hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number|WV,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"City Hospital, Inc.",3/31/2025,2.0.0,Berkeley Medical Center,"2500 Hospital Dr, Martinsburg, WV 25401",80,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,code|3,code|3|type,setting,drug_unit_of_measurement,drug_type_of_measurement, standard_charge|gross ,modifiers,standard_charge|discounted_cash,standard_charge|min,standard_charge|max,standard_charge|Aetna|All Plans|negotiated_dollar,standard_charge|Aetna|All Plans|negotiated_percentage,standard_charge|Aetna|All Plans|negotiated_algorithm,estimated_amount|Aetna|All Plans,standard_charge|Aetna|All Plans|methodology,additional_payer_notes|Aetna|All Plans,standard_charge|Aetna|Student Health|negotiated_dollar,standard_charge|Aetna|Student Health|negotiated_percentage,standard_charge|Aetna|Student Health|negotiated_algorithm,estimated_amount|Aetna|Student Health,standard_charge|Aetna|Student Health|methodology,additional_payer_notes|Aetna|Student Health,standard_charge|First Health|All Plans|negotiated_dollar,standard_charge|First Health|All Plans|negotiated_percentage,standard_charge|First Health|All Plans|negotiated_algorithm,estimated_amount|First Health|All Plans,standard_charge|First Health|All Plans|methodology,additional_payer_notes|First Health|All Plans,standard_charge|Aetna|WV Preferred & Mountain State Preferred|negotiated_dollar,standard_charge|Aetna|WV Preferred & Mountain State Preferred|negotiated_percentage,standard_charge|Aetna|WV Preferred & Mountain State Preferred|negotiated_algorithm,estimated_amount|Aetna|WV Preferred & Mountain State Preferred,standard_charge|Aetna|WV Preferred & Mountain State Preferred|methodology,additional_payer_notes|Aetna|WV Preferred & Mountain State Preferred,standard_charge|CareSource WV|All Plans|negotiated_dollar,standard_charge|CareSource WV|All Plans|negotiated_percentage,standard_charge|CareSource WV|All Plans|negotiated_algorithm,estimated_amount|CareSource WV|All Plans,standard_charge|CareSource WV|All Plans|methodology,additional_payer_notes|CareSource WV|All Plans,standard_charge|Cigna|All Plans|negotiated_dollar,standard_charge|Cigna|All Plans|negotiated_percentage,standard_charge|Cigna|All Plans|negotiated_algorithm,estimated_amount|Cigna|All Plans,standard_charge|Cigna|All Plans|methodology,additional_payer_notes|Cigna|All Plans,standard_charge|The Health Plan Commercial|All Plans|negotiated_dollar,standard_charge|The Health Plan Commercial|All Plans|negotiated_percentage,standard_charge|The Health Plan Commercial|All Plans|negotiated_algorithm,estimated_amount|The Health Plan Commercial|All Plans,standard_charge|The Health Plan Commercial|All Plans|methodology,additional_payer_notes|The Health Plan Commercial|All Plans,standard_charge|United Healthcare|All Plans|negotiated_dollar,standard_charge|United Healthcare|All Plans|negotiated_percentage,standard_charge|United Healthcare|All Plans|negotiated_algorithm,estimated_amount|United Healthcare|All Plans,standard_charge|United Healthcare|All Plans|methodology,additional_payer_notes|United Healthcare|All Plans,standard_charge|Stratose/ 4 Most|All Plans|negotiated_dollar,standard_charge|Stratose/ 4 Most|All Plans|negotiated_percentage,standard_charge|Stratose/ 4 Most|All Plans|negotiated_algorithm,estimated_amount|Stratose/ 4 Most|All Plans,standard_charge|Stratose/ 4 Most|All Plans|methodology,additional_payer_notes|Stratose/ 4 Most|All Plans,standard_charge|HealthSmart|All Plans|negotiated_dollar,standard_charge|HealthSmart|All Plans|negotiated_percentage,standard_charge|HealthSmart|All Plans|negotiated_algorithm,estimated_amount|HealthSmart|All Plans,standard_charge|HealthSmart|All Plans|methodology,additional_payer_notes|HealthSmart|All Plans,standard_charge|MultiPlan|All Plans|negotiated_dollar,standard_charge|MultiPlan|All Plans|negotiated_percentage,standard_charge|MultiPlan|All Plans|negotiated_algorithm,estimated_amount|MultiPlan|All Plans,standard_charge|MultiPlan|All Plans|methodology,additional_payer_notes|MultiPlan|All Plans,standard_charge|StoneMor|All Plans|negotiated_dollar,standard_charge|StoneMor|All Plans|negotiated_percentage,standard_charge|StoneMor|All Plans|negotiated_algorithm,estimated_amount|StoneMor|All Plans,standard_charge|StoneMor|All Plans|methodology,additional_payer_notes|StoneMor|All Plans,standard_charge|Peace|All Plans|negotiated_dollar,standard_charge|Peace|All Plans|negotiated_percentage,standard_charge|Peace|All Plans|negotiated_algorithm,estimated_amount|Peace|All Plans,standard_charge|Peace|All Plans|methodology,additional_payer_notes|Peace|All Plans,standard_charge|Peak Commercial|All Plans|negotiated_dollar,standard_charge|Peak Commercial|All Plans|negotiated_percentage,standard_charge|Peak Commercial|All Plans|negotiated_algorithm,estimated_amount|Peak Commercial|All Plans,standard_charge|Peak Commercial|All Plans|methodology,additional_payer_notes|Peak Commercial|All Plans,standard_charge|United Mine Workers of America|Active Employees|negotiated_dollar,standard_charge|United Mine Workers of America|Active Employees|negotiated_percentage,standard_charge|United Mine Workers of America|Active Employees|negotiated_algorithm,estimated_amount|United Mine Workers of America|Active Employees,standard_charge|United Mine Workers of America|Active Employees|methodology,additional_payer_notes|United Mine Workers of America|Active Employees,standard_charge|Aetna Better Health Maryland|Medicaid|negotiated_dollar,standard_charge|Aetna Better Health Maryland|Medicaid|negotiated_percentage,standard_charge|Aetna Better Health Maryland|Medicaid|negotiated_algorithm,estimated_amount|Aetna Better Health Maryland|Medicaid,standard_charge|Aetna Better Health Maryland|Medicaid|methodology,additional_payer_notes|Aetna Better Health Maryland|Medicaid,standard_charge|Highmark WV Commercial|Indemnity|negotiated_dollar,standard_charge|Highmark WV Commercial|Indemnity|negotiated_percentage,standard_charge|Highmark WV Commercial|Indemnity|negotiated_algorithm,estimated_amount|Highmark WV Commercial|Indemnity,standard_charge|Highmark WV Commercial|Indemnity|methodology,additional_payer_notes|Highmark WV Commercial|Indemnity,standard_charge|Humana Commercial|All Plans|negotiated_dollar,standard_charge|Humana Commercial|All Plans|negotiated_percentage,standard_charge|Humana Commercial|All Plans|negotiated_algorithm,estimated_amount|Humana Commercial|All Plans,standard_charge|Humana Commercial|All Plans|methodology,additional_payer_notes|Humana Commercial|All Plans,standard_charge|Health Coalition|All Plans|negotiated_dollar,standard_charge|Health Coalition|All Plans|negotiated_percentage,standard_charge|Health Coalition|All Plans|negotiated_algorithm,estimated_amount|Health Coalition|All Plans,standard_charge|Health Coalition|All Plans|methodology,additional_payer_notes|Health Coalition|All Plans,standard_charge|City of Morgantown|All Plans|negotiated_dollar,standard_charge|City of Morgantown|All Plans|negotiated_percentage,standard_charge|City of Morgantown|All Plans|negotiated_algorithm,estimated_amount|City of Morgantown|All Plans,standard_charge|City of Morgantown|All Plans|methodology,additional_payer_notes|City of Morgantown|All Plans,standard_charge|Maryland Physicians Care|Managed Medicaid|negotiated_dollar,standard_charge|Maryland Physicians Care|Managed Medicaid|negotiated_percentage,standard_charge|Maryland Physicians Care|Managed Medicaid|negotiated_algorithm,estimated_amount|Maryland Physicians Care|Managed Medicaid,standard_charge|Maryland Physicians Care|Managed Medicaid|methodology,additional_payer_notes|Maryland Physicians Care|Managed Medicaid,standard_charge|Aetna Better Health WV|Managed Medicaid|negotiated_dollar,standard_charge|Aetna Better Health WV|Managed Medicaid|negotiated_percentage,standard_charge|Aetna Better Health WV|Managed Medicaid|negotiated_algorithm,estimated_amount|Aetna Better Health WV|Managed Medicaid,standard_charge|Aetna Better Health WV|Managed Medicaid|methodology,additional_payer_notes|Aetna Better Health WV|Managed Medicaid,standard_charge|The Health Plan of WV|Managed Medicaid|negotiated_dollar,standard_charge|The Health Plan of WV|Managed Medicaid|negotiated_percentage,standard_charge|The Health Plan of WV|Managed Medicaid|negotiated_algorithm,estimated_amount|The Health Plan of WV|Managed Medicaid,standard_charge|The Health Plan of WV|Managed Medicaid|methodology,additional_payer_notes|The Health Plan of WV|Managed Medicaid,standard_charge|Wellpoint WV|Managed Medicaid|negotiated_dollar,standard_charge|Wellpoint WV|Managed Medicaid|negotiated_percentage,standard_charge|Wellpoint WV|Managed Medicaid|negotiated_algorithm,estimated_amount|Wellpoint WV|Managed Medicaid,standard_charge|Wellpoint WV|Managed Medicaid|methodology,additional_payer_notes|Wellpoint WV|Managed Medicaid,standard_charge|Highmark WV Commercial|All PPO/POS Plans|negotiated_dollar,standard_charge|Highmark WV Commercial|All PPO/POS Plans|negotiated_percentage,standard_charge|Highmark WV Commercial|All PPO/POS Plans|negotiated_algorithm,estimated_amount|Highmark WV Commercial|All PPO/POS Plans,standard_charge|Highmark WV Commercial|All PPO/POS Plans|methodology,additional_payer_notes|Highmark WV Commercial|All PPO/POS Plans,standard_charge|Alliance Coal|All Plans|negotiated_dollar,standard_charge|Alliance Coal|All Plans|negotiated_percentage,standard_charge|Alliance Coal|All Plans|negotiated_algorithm,estimated_amount|Alliance Coal|All Plans,standard_charge|Alliance Coal|All Plans|methodology,additional_payer_notes|Alliance Coal|All Plans,standard_charge|Buckeye Commercial|Exchange Plan|negotiated_dollar,standard_charge|Buckeye Commercial|Exchange Plan|negotiated_percentage,standard_charge|Buckeye Commercial|Exchange Plan|negotiated_algorithm,estimated_amount|Buckeye Commercial|Exchange Plan,standard_charge|Buckeye Commercial|Exchange Plan|methodology,additional_payer_notes|Buckeye Commercial|Exchange Plan,standard_charge|CareSource OH|Exchange|negotiated_dollar,standard_charge|CareSource OH|Exchange|negotiated_percentage,standard_charge|CareSource OH|Exchange|negotiated_algorithm,estimated_amount|CareSource OH|Exchange,standard_charge|CareSource OH|Exchange|methodology,additional_payer_notes|CareSource OH|Exchange,standard_charge|Aetna Medicare Advantage|All Plans|negotiated_dollar,standard_charge|Aetna Medicare Advantage|All Plans|negotiated_percentage,standard_charge|Aetna Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|Aetna Medicare Advantage|All Plans,standard_charge|Aetna Medicare Advantage|All Plans|methodology,additional_payer_notes|Aetna Medicare Advantage|All Plans,standard_charge|Highmark WV Medicare Advantage|All Plans|negotiated_dollar,standard_charge|Highmark WV Medicare Advantage|All Plans|negotiated_percentage,standard_charge|Highmark WV Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|Highmark WV Medicare Advantage|All Plans,standard_charge|Highmark WV Medicare Advantage|All Plans|methodology,additional_payer_notes|Highmark WV Medicare Advantage|All Plans,standard_charge|Humana Medicare Advantage|All Plans|negotiated_dollar,standard_charge|Humana Medicare Advantage|All Plans|negotiated_percentage,standard_charge|Humana Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|Humana Medicare Advantage|All Plans,standard_charge|Humana Medicare Advantage|All Plans|methodology,additional_payer_notes|Humana Medicare Advantage|All Plans,standard_charge|The Health Plan Medicare Advantage|All Plans|negotiated_dollar,standard_charge|The Health Plan Medicare Advantage|All Plans|negotiated_percentage,standard_charge|The Health Plan Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|The Health Plan Medicare Advantage|All Plans,standard_charge|The Health Plan Medicare Advantage|All Plans|methodology,additional_payer_notes|The Health Plan Medicare Advantage|All Plans,standard_charge|Provider Partners|All Plans|negotiated_dollar,standard_charge|Provider Partners|All Plans|negotiated_percentage,standard_charge|Provider Partners|All Plans|negotiated_algorithm,estimated_amount|Provider Partners|All Plans,standard_charge|Provider Partners|All Plans|methodology,additional_payer_notes|Provider Partners|All Plans,standard_charge|SeniorLife Medicare Advantage|All Plans|negotiated_dollar,standard_charge|SeniorLife Medicare Advantage|All Plans|negotiated_percentage,standard_charge|SeniorLife Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|SeniorLife Medicare Advantage|All Plans,standard_charge|SeniorLife Medicare Advantage|All Plans|methodology,additional_payer_notes|SeniorLife Medicare Advantage|All Plans,standard_charge|Senior Advantage|ISNP|negotiated_dollar,standard_charge|Senior Advantage|ISNP|negotiated_percentage,standard_charge|Senior Advantage|ISNP|negotiated_algorithm,estimated_amount|Senior Advantage|ISNP,standard_charge|Senior Advantage|ISNP|methodology,additional_payer_notes|Senior Advantage|ISNP,standard_charge|UnitedHealthcare Medicare Advantage|All Plans|negotiated_dollar,standard_charge|UnitedHealthcare Medicare Advantage|All Plans|negotiated_percentage,standard_charge|UnitedHealthcare Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|UnitedHealthcare Medicare Advantage|All Plans,standard_charge|UnitedHealthcare Medicare Advantage|All Plans|methodology,additional_payer_notes|UnitedHealthcare Medicare Advantage|All Plans,standard_charge|United Mine Workers of America|Retirees|negotiated_dollar,standard_charge|United Mine Workers of America|Retirees|negotiated_percentage,standard_charge|United Mine Workers of America|Retirees|negotiated_algorithm,estimated_amount|United Mine Workers of America|Retirees,standard_charge|United Mine Workers of America|Retirees|methodology,additional_payer_notes|United Mine Workers of America|Retirees,standard_charge|Highmark Wholecare Medicare Advantage|All Plans|negotiated_dollar,standard_charge|Highmark Wholecare Medicare Advantage|All Plans|negotiated_percentage,standard_charge|Highmark Wholecare Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|Highmark Wholecare Medicare Advantage|All Plans,standard_charge|Highmark Wholecare Medicare Advantage|All Plans|methodology,additional_payer_notes|Highmark Wholecare Medicare Advantage|All Plans,standard_charge|AmeriHealth Caritas Medicare Advantage|All Plans|negotiated_dollar,standard_charge|AmeriHealth Caritas Medicare Advantage|All Plans|negotiated_percentage,standard_charge|AmeriHealth Caritas Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|AmeriHealth Caritas Medicare Advantage|All Plans,standard_charge|AmeriHealth Caritas Medicare Advantage|All Plans|methodology,additional_payer_notes|AmeriHealth Caritas Medicare Advantage|All Plans,standard_charge|Wellcare PA Medicare Advantage|All Plans|negotiated_dollar,standard_charge|Wellcare PA Medicare Advantage|All Plans|negotiated_percentage,standard_charge|Wellcare PA Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|Wellcare PA Medicare Advantage|All Plans,standard_charge|Wellcare PA Medicare Advantage|All Plans|methodology,additional_payer_notes|Wellcare PA Medicare Advantage|All Plans,standard_charge|Geisinger Medicare Advantage|All Plans|negotiated_dollar,standard_charge|Geisinger Medicare Advantage|All Plans|negotiated_percentage,standard_charge|Geisinger Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|Geisinger Medicare Advantage|All Plans,standard_charge|Geisinger Medicare Advantage|All Plans|methodology,additional_payer_notes|Geisinger Medicare Advantage|All Plans,standard_charge|Molina Medicare Advantage|All Plans|negotiated_dollar,standard_charge|Molina Medicare Advantage|All Plans|negotiated_percentage,standard_charge|Molina Medicare Advantage|All Plans|negotiated_algorithm,estimated_amount|Molina Medicare Advantage|All Plans,standard_charge|Molina Medicare Advantage|All Plans|methodology,additional_payer_notes|Molina Medicare Advantage|All Plans,standard_charge|Point Comfort Underwriters|All Plans|negotiated_dollar,standard_charge|Point Comfort Underwriters|All Plans|negotiated_percentage,standard_charge|Point Comfort Underwriters|All Plans|negotiated_algorithm,estimated_amount|Point Comfort Underwriters|All Plans,standard_charge|Point Comfort Underwriters|All Plans|methodology,additional_payer_notes|Point Comfort Underwriters|All Plans,standard_charge|Molina Commercial|Exchange Plan|negotiated_dollar,standard_charge|Molina Commercial|Exchange Plan|negotiated_percentage,standard_charge|Molina Commercial|Exchange Plan|negotiated_algorithm,estimated_amount|Molina Commercial|Exchange Plan,standard_charge|Molina Commercial|Exchange Plan|methodology,additional_payer_notes|Molina Commercial|Exchange Plan,standard_charge|AmeriHealth Caritas PA|Managed Medicaid|negotiated_dollar,standard_charge|AmeriHealth Caritas PA|Managed Medicaid|negotiated_percentage,standard_charge|AmeriHealth Caritas PA|Managed Medicaid|negotiated_algorithm,estimated_amount|AmeriHealth Caritas PA|Managed Medicaid,standard_charge|AmeriHealth Caritas PA|Managed Medicaid|methodology,additional_payer_notes|AmeriHealth Caritas PA|Managed Medicaid,standard_charge|PA Health & Wellness|Managed Medicaid|negotiated_dollar,standard_charge|PA Health & Wellness|Managed Medicaid|negotiated_percentage,standard_charge|PA Health & Wellness|Managed Medicaid|negotiated_algorithm,estimated_amount|PA Health & Wellness|Managed Medicaid,standard_charge|PA Health & Wellness|Managed Medicaid|methodology,additional_payer_notes|PA Health & Wellness|Managed Medicaid,standard_charge|Geisinger PA|Managed Medicaid|negotiated_dollar,standard_charge|Geisinger PA|Managed Medicaid|negotiated_percentage,standard_charge|Geisinger PA|Managed Medicaid|negotiated_algorithm,estimated_amount|Geisinger PA|Managed Medicaid,standard_charge|Geisinger PA|Managed Medicaid|methodology,additional_payer_notes|Geisinger PA|Managed Medicaid,standard_charge|Health Partners|Managed Medicaid|negotiated_dollar,standard_charge|Health Partners|Managed Medicaid|negotiated_percentage,standard_charge|Health Partners|Managed Medicaid|negotiated_algorithm,estimated_amount|Health Partners|Managed Medicaid,standard_charge|Health Partners|Managed Medicaid|methodology,additional_payer_notes|Health Partners|Managed Medicaid,standard_charge|Buckeye OH|Managed Medicaid|negotiated_dollar,standard_charge|Buckeye OH|Managed Medicaid|negotiated_percentage,standard_charge|Buckeye OH|Managed Medicaid|negotiated_algorithm,estimated_amount|Buckeye OH|Managed Medicaid,standard_charge|Buckeye OH|Managed Medicaid|methodology,additional_payer_notes|Buckeye OH|Managed Medicaid,standard_charge|Molina OH|Managed Medicaid|negotiated_dollar,standard_charge|Molina OH|Managed Medicaid|negotiated_percentage,standard_charge|Molina OH|Managed Medicaid|negotiated_algorithm,estimated_amount|Molina OH|Managed Medicaid,standard_charge|Molina OH|Managed Medicaid|methodology,additional_payer_notes|Molina OH|Managed Medicaid,additional_generic_notes
HCHG OBSERVATION HOUR - TELEMETRY,762,RC,,,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS - HOURLY CHARGE,762,RC,G0378,HCPCS,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SD/ICU OBS - HOURLY CHARGE,762,RC,G0378,HCPCS,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS-HOURLY-NO ABN,762,RC,G0378,HCPCS,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS-HOURLY-ABN,762,RC,G0378,HCPCS,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIRTHING ROOM - L&D,112,RC,,,,,outpatient,,,2254,,1127,1352.4,2186.38,2118.76,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1870.82,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2132.284,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2186.38,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1805.454,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,2093.7406,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1805.6794,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENTAMICIN 80 MG VIAL,636,RC,J1580,HCPCS,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM BICARBONATE 50MEQ INJ,250,RC,,,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BASILIXIMAB INJ PER 20MG,636,RC,J0480,HCPCS,,,outpatient,,,19410,,9705,11646,18827.7,18245.4,,,,percent of total billed charges,,15528,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,16110.3,,,,percent of total billed charges,,17469,,,,percent of total billed charges,,17857.2,,,,percent of total billed charges,,17857.2,,,,percent of total billed charges,,18361.86,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,18827.7,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,17080.8,,,,percent of total billed charges,,17469,,,,percent of total billed charges,,15547.41,,,,percent of total billed charges,,17469,,,,percent of total billed charges,,11646,,,,percent of total billed charges,,18029.949,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,15528,,,,percent of total billed charges,,11646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15549.351,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTEPORFIN INJ (VISUDYNE) PER 0.1MG,636,RC,J3396,HCPCS,,,outpatient,,,49,,24.5,29.4,47.53,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,39.249,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,45.5161,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.2539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IFOSFAMIDE  1GM,636,RC,J9208,HCPCS,,,outpatient,,,119,,59.5,71.4,115.43,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,95.319,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,110.5391,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.3309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OMALIZUMAB INJ 5 MG,636,RC,J2357,HCPCS,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NITROGLYCERIN SPRAY - 12 GM,637,RC,,,,,outpatient,,,777,,388.5,466.2,753.69,730.38,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,644.91,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,735.042,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,753.69,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,683.76,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,622.377,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,721.7553,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,622.4547,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0.9% NS 250 ML,250,RC,,,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASA 81 MG TAB,637,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENADRYL-ORAL  - 50 MG,637,RC,Q0163,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENADRYL 50MG VIAL,636,RC,J1200,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACCINE (FLUZONE) - 0.5ML,636,RC,Q2038,HCPCS,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROMETHAZINE - PER 50 MG,636,RC,J2550,HCPCS,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM CHLORIDE SYRINGE,250,RC,,,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, VALRUBICIN, INTRAVESICAL, 200 MG",636,RC,J9357,HCPCS,,,outpatient,,,6132,,3066,3679.2,5948.04,5764.08,,,,percent of total billed charges,,4905.6,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5089.56,,,,percent of total billed charges,,5518.8,,,,percent of total billed charges,,5641.44,,,,percent of total billed charges,,5641.44,,,,percent of total billed charges,,5800.872,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5948.04,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5396.16,,,,percent of total billed charges,,5518.8,,,,percent of total billed charges,,4911.732,,,,percent of total billed charges,,5518.8,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,5696.0148,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,4905.6,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4912.3452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C), NONLYOPHILIZED, 500 MG",636,RC,J1561,HCPCS,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESPIRATORY SYNCYTIAL VIRUS - PALIVIZUMAB (SYNAGIS) - PER 50MG,636,RC,90378,CPT,,,outpatient,,,3642,,1821,2185.2,3532.74,3423.48,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3022.86,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,3350.64,,,,percent of total billed charges,,3350.64,,,,percent of total billed charges,,3445.332,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3532.74,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3204.96,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,2917.242,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,2185.2,,,,percent of total billed charges,,3383.0538,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,2185.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2917.6062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIB VACCINE, PRP-OMP, IM, 3 DOSE SCHEDULE, 0.5 ML",636,RC,90647,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHOTREXATE SODIUM, 50 MG",636,RC,J9260,HCPCS,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BUPIVACAINE LIPOSOME (EXPAREL), PER MG",636,RC,C9290,HCPCS,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEPOLIZUMAB (NUCALA) PER 1 MG,636,RC,J2182,HCPCS,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCTREOTIDE INJ,  25 MCG",636,RC,J2354,HCPCS,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TEPROTUMUMAB (TEPEZZA), PER 10 MG",636,RC,J3241,HCPCS,,,outpatient,,,1532,,766,919.2,1486.04,1440.08,,,,percent of total billed charges,,1225.6,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1271.56,,,,percent of total billed charges,,1378.8,,,,percent of total billed charges,,1409.44,,,,percent of total billed charges,,1409.44,,,,percent of total billed charges,,1449.272,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1486.04,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1348.16,,,,percent of total billed charges,,1378.8,,,,percent of total billed charges,,1227.132,,,,percent of total billed charges,,1378.8,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1423.0748,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1225.6,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1227.2852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GI COCKTAIL - MAALOX MAX 10ML & LIDOCANE VISCOUS 2% 5ML- PER 15ML,250,RC,,,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYALURONATE INJ (SUPARTZ) - PER 1 DOSE,636,RC,J7321,HCPCS,,,outpatient,,,1082,,541,649.2,1049.54,1017.08,,,,percent of total billed charges,,865.6,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,898.06,,,,percent of total billed charges,,973.8,,,,percent of total billed charges,,995.44,,,,percent of total billed charges,,995.44,,,,percent of total billed charges,,1023.572,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,1049.54,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,952.16,,,,percent of total billed charges,,973.8,,,,percent of total billed charges,,866.682,,,,percent of total billed charges,,973.8,,,,percent of total billed charges,,649.2,,,,percent of total billed charges,,1005.0698,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,865.6,,,,percent of total billed charges,,649.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,866.7902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLU VIRUS VAC, QUAD (AIIV4), INACTIVATED, ADJUV, NO PRSV, 0.5 ML, IM",636,RC,90694,CPT,,,outpatient,,,131,,65.5,78.6,127.07,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,104.931,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,121.6859,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.9441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ., RISPERIDONE (RISPERDAL CONSTA). 0.5 MG",636,RC,J2794,HCPCS,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, PALIPERIDONE PALMITATE,  EXTENDED RELEASE (INVEGA SUSTENNA) 1 MG",636,RC,J2426,HCPCS,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, NALTREXONE, DEPOT FORM (VIVITROL) - PER 1 MG",636,RC,J2315,HCPCS,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ., HALOPERIDOL, UP TO 5 MG",636,RC,J1630,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, ARIPIPRAZOLE (ABILIFY MAINTENA), EXTENDED RELEASE, 1 MG",636,RC,J0401,HCPCS,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, ALTEPHASE, RECOMBINANT (CATHFLO ACTIVASE), 1 MG",636,RC,J2997,HCPCS,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE (TESTOPEL) PER 75 MG TABLET,636,RC,J3490,HCPCS,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BUPIVACAINE HCL PF (MARCAINE) 0.5%, INJECTION PER 1 ML",250,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHOTREXATE OPHTH 400MCG/0.1ML PER DOSE,250,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFEPIME INJ PER 500MG,636,RC,J0692,HCPCS,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DAPTOMYCIN INJ PER 1MG,636,RC,J0878,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEROPENEM INJ PER 100MG,636,RC,J2185,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYALURONIDASE (HYLENEX) 150U/ML INJ PER 1 UNIT,636,RC,J3473,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIAMCINOLONE  40MG/1ML VIAL (TRIESENCE), PER 1 MG",636,RC,J3300,HCPCS,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOPEL 75MG PELLETS PER PELLET,636,RC,J3490,HCPCS,,,outpatient,,,338,,169,202.8,327.86,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,270.738,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,313.9682,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,270.7718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DALBAVANCIN INJ PER 5MG,636,RC,J0875,HCPCS,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUFENTANIL 50MCG/ML INJ (SUFENTA) - PER 1ML,250,RC,,,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GANCICLOVIR OPHTH 2MG/0.1ML PER DOSE,250,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE ENANTHATE 200MG/ML INJ PER 1MG,636,RC,J3121,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIFEPRISTONE (MIFEPREX) 200MG ORAL TABLET PER TABLET,636,RC,S0190,HCPCS,,,outpatient,,,198,,99,118.8,192.06,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,158.598,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,183.9222,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.6178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPIVACAINE HCL PF (MARCAINE) 0.25% INJ PER 1ML,250,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ERAVACYCLINE (XERAVA) INJ PER 1MG,636,RC,J0122,HCPCS,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNE GLOBULIN, GAMMA (GAMASTAN) PER 2ML",636,RC,90281,CPT,,,outpatient,,,428,,214,256.8,415.16,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,342.828,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,397.5692,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.8708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESMOPRESSIN ACETATE 4MCG/ML (DDAVP) PER 1MCG,636,RC,J2597,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRIAMCINOLONE ACETONIDE  (KENALOG) PER 10MG,636,RC,J3301,HCPCS,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACLOFEN (LIORESAL) INTRATHECAL PER 10MG,636,RC,J0475,HCPCS,,,outpatient,,,1064,,532,638.4,1032.08,1000.16,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,883.12,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,1006.544,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1032.08,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,936.32,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,852.264,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,988.3496,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,852.3704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ERTAPENEM SODIUM PER 500 MG,636,RC,J1335,HCPCS,,,outpatient,,,51,,25.5,30.6,49.47,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,40.851,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,47.3739,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.8561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENTAMICIN 40MG/ML INJECTION UP TO 80 MG,636,RC,J1580,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROCHLORPERAZINE UP TO 10 MG,636,RC,J0780,HCPCS,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALTEPLASE RECOMBINANT PER 1 MG,636,RC,J2997,HCPCS,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECT, INTRAVITREAL VANCOMYCIN, PER DOSE",250,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNE GLOBULIN (PRIVIGEN) NON-LYOPHILIZED INTRAVENOUS, PER 500MG",636,RC,J1459,HCPCS,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABOBOTULINUMTOXINA (DYSPORT) PER 5 UNITS,636,RC,J0586,HCPCS,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOCINOLONE ACETONIDE (ILUVIEN) PER 0.01 MG,636,RC,J7313,HCPCS,,,outpatient,,,2108,,1054,1264.8,2044.76,1981.52,,,,percent of total billed charges,,1686.4,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,1749.64,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,1939.36,,,,percent of total billed charges,,1939.36,,,,percent of total billed charges,,1994.168,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,2044.76,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,1855.04,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,1688.508,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,1264.8,,,,percent of total billed charges,,1958.1212,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,1686.4,,,,percent of total billed charges,,1264.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1688.7188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMIKACIN SULFATE PER 100 MG,636,RC,J0278,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOMETASONE FUROATE SINUS IMPLANT (SINUVA) PER 10 MCG,636,RC,J7402,HCPCS,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTRELIN IMPLANT (SUPPRELIN LA) PER 50 MG IMPLANT,636,RC,J9226,HCPCS,,,outpatient,,,170686,,85343,102411.6,165565.42,160444.84,,,,percent of total billed charges,,136548.8,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,141669.38,,,,percent of total billed charges,,153617.4,,,,percent of total billed charges,,157031.12,,,,percent of total billed charges,,157031.12,,,,percent of total billed charges,,161468.956,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,165565.42,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,150203.68,,,,percent of total billed charges,,153617.4,,,,percent of total billed charges,,136719.486,,,,percent of total billed charges,,153617.4,,,,percent of total billed charges,,102411.6,,,,percent of total billed charges,,158550.2254,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,136548.8,,,,percent of total billed charges,,102411.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136736.5546,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDRALAZINE PER 25 MG TAB,250,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYALURONATE SODIUM INTRAARTIC SYRINGE 1 MG (TRIVISC),636,RC,J7329,HCPCS,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPOETIN ALFA-EPBX (RETACRIT) INJECTION FOR ESRD ON DIALYSIS PER 100UNITS,636,RC,Q5105,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXACILLIN SODIUM INJECTION PER 250MG,636,RC,J2700,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENRALIZUMAB (FASENRA) SUBCUT 30MG/ML SYRINGE PER 1MG,636,RC,J0517,HCPCS,,,outpatient,,,754,,377,452.4,731.38,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,603.954,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,700.3906,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,604.0294,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUPROLIDE ACETATE (LUPRON) INTRAMUSCULAR SYRINGE, PER 3.75MG",636,RC,J1950,HCPCS,,,outpatient,,,7449,,3724.5,4469.4,7225.53,7002.06,,,,percent of total billed charges,,5959.2,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,6182.67,,,,percent of total billed charges,,6704.1,,,,percent of total billed charges,,6853.08,,,,percent of total billed charges,,6853.08,,,,percent of total billed charges,,7046.754,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,7225.53,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,6555.12,,,,percent of total billed charges,,6704.1,,,,percent of total billed charges,,5966.649,,,,percent of total billed charges,,6704.1,,,,percent of total billed charges,,4469.4,,,,percent of total billed charges,,6919.3761,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,5959.2,,,,percent of total billed charges,,4469.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5967.3939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPOETIN ALFA-EPBX (RETACRIT) INJECTION FOR NON-ESRD USE PER 1000 UNITS,636,RC,Q5106,HCPCS,,,outpatient,,,39,,19.5,23.4,37.83,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,31.239,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,36.2271,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.2429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLU VIRUS VAC, QUAD (CCIIV4), PRSV AND ANTIBIOTIC FREE, 0.5 ML, IM",636,RC,90674,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVONORGESTREL IUD (LILETTA) PER DEVICE,636,RC,J7297,HCPCS,,,outpatient,,,3994,,1997,2396.4,3874.18,3754.36,,,,percent of total billed charges,,3195.2,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3315.02,,,,percent of total billed charges,,3594.6,,,,percent of total billed charges,,3674.48,,,,percent of total billed charges,,3674.48,,,,percent of total billed charges,,3778.324,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3874.18,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3514.72,,,,percent of total billed charges,,3594.6,,,,percent of total billed charges,,3199.194,,,,percent of total billed charges,,3594.6,,,,percent of total billed charges,,2396.4,,,,percent of total billed charges,,3710.0266,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3195.2,,,,percent of total billed charges,,2396.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3199.5934,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HYALURONIDASE, OVINE, PF (VITRASE) PER 1 IU",636,RC,J3471,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VORICONAZOLE (VFEND IV) PER 10 MG,636,RC,J3465,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NALTREXONE, DEPOT (VIVITROL) PER 1 MG",636,RC,J2315,HCPCS,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIMATOPROST IMPLANT (DURYSTA) PER 1 MCG,636,RC,J7351,HCPCS,,,outpatient,,,895,,447.5,537,868.15,841.3,,,,percent of total billed charges,,716,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,742.85,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,846.67,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,868.15,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,787.6,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,716.895,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,537,,,,percent of total billed charges,,831.3655,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,716,,,,percent of total billed charges,,537,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,716.9845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHYTONADIONE; VITAMIN K1 (AQUA-MEPHYTON) PER 1 MG,636,RC,J3430,HCPCS,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BELIMUMAB (BENLYSTA) INJECTION, PER 10MG",636,RC,J0490,HCPCS,,,outpatient,,,234,,117,140.4,226.98,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,187.434,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,217.3626,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.4574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE BLUE, PER SYRINGE",636,RC,C9399,HCPCS,,,outpatient,,,745,,372.5,447,722.65,700.3,,,,percent of total billed charges,,596,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,618.35,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,704.77,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,722.65,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,655.6,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,596.745,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,447,,,,percent of total billed charges,,692.0305,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,596,,,,percent of total billed charges,,447,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,596.8195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMDESIVIR (VEKLURY) PER 1MG,636,RC,J0248,HCPCS,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CASIMERSEN (AMONDYS 45) PER 10MG,636,RC,J1426,HCPCS,,,outpatient,,,720,,360,432,698.4,676.8,,,,percent of total billed charges,,576,,,,percent of total billed charges,,684,,,,percent of total billed charges,,597.6,,,,percent of total billed charges,,648,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,681.12,,,,percent of total billed charges,,684,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,684,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,648,,,,percent of total billed charges,,576.72,,,,percent of total billed charges,,648,,,,percent of total billed charges,,432,,,,percent of total billed charges,,668.808,,,,percent of total billed charges,,684,,,,percent of total billed charges,,684,,,,percent of total billed charges,,576,,,,percent of total billed charges,,432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,576.792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE GLOBULIN (GAMMAGARD) LIQUID PER 500 MG,636,RC,J1569,HCPCS,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FILGRASTIM-SNDZ BIOSIMILAR INJECTION 1MCG (ZARXIO),636,RC,Q5101,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OLODATEROL RESPIMAT (STRIVERDI) PER DEVICE,637,RC,,,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B VACCINE (HEPLISAV-B) PER 0.5ML,636,RC,90739,CPT,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUOCINOLONE ACETONIDE (YUTIQ) INTRAVITREAL IMPLANT, PER 0.01MG",636,RC,J7314,HCPCS,,,outpatient,,,2249,,1124.5,1349.4,2181.53,2114.06,,,,percent of total billed charges,,1799.2,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,1866.67,,,,percent of total billed charges,,2024.1,,,,percent of total billed charges,,2069.08,,,,percent of total billed charges,,2069.08,,,,percent of total billed charges,,2127.554,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,2181.53,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,1979.12,,,,percent of total billed charges,,2024.1,,,,percent of total billed charges,,1801.449,,,,percent of total billed charges,,2024.1,,,,percent of total billed charges,,1349.4,,,,percent of total billed charges,,2089.0961,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,1799.2,,,,percent of total billed charges,,1349.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1801.6739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUPROLIDE AACETATE (ELIGARD) INTRAMUSCULAR SYRINGE, PER 7.5MG",636,RC,J9217,HCPCS,,,outpatient,,,543,,271.5,325.8,526.71,510.42,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,450.69,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,513.678,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,526.71,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,477.84,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,434.943,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,504.3927,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,434.9973,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTOLOZONE & TAZOBACTAM (ZERBAXA) INJECTION - PER 75MG (50MG CEFTOLOZANE & 25MG TAZOBACTAM),636,RC,J0695,HCPCS,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCOCCAL 15 VACCINE (VAXNEUVANCE) PER 0.5ML,636,RC,90671,CPT,,,outpatient,,,392,,196,235.2,380.24,368.48,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,325.36,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,370.832,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,380.24,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,344.96,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,313.992,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,364.1288,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,314.0312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAMMA GLOBULIN (GAMASTAN) IM INJECTION PER 1 ML,636,RC,J1460,HCPCS,,,outpatient,,,199,,99.5,119.4,193.03,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,159.399,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,184.8511,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.4189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, DOCETAXEL, 1 MG",636,RC,J9171,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFAZOLIN SODIUM INJ PER 500 MG,636,RC,J0690,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAPANESE ENCEPHALITIS VIRUS VACCINE IM PER 0.5 ML,636,RC,90738,CPT,,,outpatient,,,576,,288,345.6,558.72,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,461.376,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,535.0464,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,461.4336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INCLISIRAN (LEQVIO) PER MG,636,RC,J1306,HCPCS,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORITAVANCIN (ORBACTIV) INJECTION PER 10 MG,636,RC,J2407,HCPCS,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROMOSOZUMAB-AQQG (EVENITY) INJECTION PER 1 MG,636,RC,J3111,HCPCS,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEZEPELUMAB-EKKO (TEZSPIRE) PER 1MG,636,RC,J2356,HCPCS,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RISPERIDONE EXTENDED RELEASE (PERSERIS) PER 0.5MG,636,RC,J2798,HCPCS,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALIPERIDONE PALMITATE  (INVEGA HAFYERA) 1092MG/3.5ML SYRINGE PER SYRINGE,636,RC,J2427,HCPCS,,,outpatient,,,50113,,25056.5,30067.8,48609.61,47106.22,,,,percent of total billed charges,,40090.4,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,41593.79,,,,percent of total billed charges,,45101.7,,,,percent of total billed charges,,46103.96,,,,percent of total billed charges,,46103.96,,,,percent of total billed charges,,47406.898,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,48609.61,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,44099.44,,,,percent of total billed charges,,45101.7,,,,percent of total billed charges,,40140.513,,,,percent of total billed charges,,45101.7,,,,percent of total billed charges,,30067.8,,,,percent of total billed charges,,46549.9657,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,40090.4,,,,percent of total billed charges,,30067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40145.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALIPERIDONE PALMITATE  (INVEGA HAFYERA) 1560/5ML SYRINGE PER SYRINGE,636,RC,J2427,HCPCS,,,outpatient,,,75168,,37584,45100.8,72912.96,70657.92,,,,percent of total billed charges,,60134.4,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,62389.44,,,,percent of total billed charges,,67651.2,,,,percent of total billed charges,,69154.56,,,,percent of total billed charges,,69154.56,,,,percent of total billed charges,,71108.928,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,72912.96,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,66147.84,,,,percent of total billed charges,,67651.2,,,,percent of total billed charges,,60209.568,,,,percent of total billed charges,,67651.2,,,,percent of total billed charges,,45100.8,,,,percent of total billed charges,,69823.5552,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,60134.4,,,,percent of total billed charges,,45100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60217.0848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FERRIC GLUCONATE COMPLEX (FERRLECIT) PER 12.5MG,636,RC,J2916,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PIPERACILLIN NA/TAZOBACTAM NA (ZOSYN) INJ., 1 GM/0.125 GMS -1.125 GM",636,RC,J2543,HCPCS,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TETANUS AND DIPHTHERIA TOXOIDS ADSORBED (TD), PRESERATIVE FREE - PER 0.5 ML",636,RC,90714,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BEZLOTOXUMAB (ZINPLAVA), PER 10 MG",636,RC,J0565,HCPCS,,,outpatient,,,171,,85.5,102.6,165.87,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,136.971,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,158.8419,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.9881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BELIMUMAB (BENLYSTA), PER 10 MG",636,RC,J0490,HCPCS,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINDAMYCIN INTRAVITREAL INJ PER 1MG/0.1ML,250,RC,,,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FARICIMAB-SVOA INJECTION (VABYSMO) PER 0.1MG,636,RC,J2777,HCPCS,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RANIBIZUMAB (SUSVIMO) INTRAVITREAL IMPLANT, PER 0.1MG",636,RC,J2779,HCPCS,,,outpatient,,,360,,180,216,349.2,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,334.404,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,288.396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BEVACIZUMAB-AWWB, BIOSIMILAR, (MVASI), 10 MG",636,RC,Q5107,HCPCS,,,outpatient,,,290,,145,174,281.3,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,232.29,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,269.381,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,232.319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORITAVANCIN (KIMYRSA) INJ, PER 10MG",636,RC,J2406,HCPCS,,,outpatient,,,184,,92,110.4,178.48,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,147.384,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,170.9176,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,147.4024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), IM PER 0.5 ML",636,RC,90677,CPT,,,outpatient,,,436,,218,261.6,422.92,409.84,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,361.88,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,412.456,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,422.92,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,383.68,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,349.236,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,405.0004,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,349.2796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB-ATTO (AMJEVITA) PER 1MG,636,RC,C9399,HCPCS,,,outpatient,,,352,,176,211.2,341.44,330.88,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,332.992,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,341.44,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,309.76,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,281.952,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,326.9728,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,281.9872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG YELLOW FEVER VACCINE (YF-VAX) PER DOSE,636,RC,90717,CPT,,,outpatient,,,411,,205.5,246.6,398.67,386.34,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,341.13,,,,percent of total billed charges,,369.9,,,,percent of total billed charges,,378.12,,,,percent of total billed charges,,378.12,,,,percent of total billed charges,,388.806,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,398.67,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,361.68,,,,percent of total billed charges,,369.9,,,,percent of total billed charges,,329.211,,,,percent of total billed charges,,369.9,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,381.7779,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,329.2521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MENINGOCOCCAL CONJ VACCINE, A,C,W,Y-TT (MENQUADFI) VACCINE, PER DOSE",636,RC,90619,CPT,,,outpatient,,,286,,143,171.6,277.42,268.84,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,237.38,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,270.556,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,277.42,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,251.68,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,229.086,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,265.6654,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.1146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BEYFORTUS - RSV MONOCLONAL ANTIBODY 0.5ML, PER DOSE",636,RC,90380,CPT,,,outpatient,,,984,,492,590.4,954.48,924.96,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,816.72,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,930.864,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,954.48,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,865.92,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,788.184,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,914.0376,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,788.2824,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BEYFORTUS - RSV MONOCLONAL ANTIBODY 1ML, PER DOSE",636,RC,90381,CPT,,,outpatient,,,984,,492,590.4,954.48,924.96,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,816.72,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,930.864,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,954.48,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,865.92,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,788.184,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,914.0376,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,788.2824,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AREXVY - RSV VACCINE 0.5ML, PER DOSE",636,RC,90679,CPT,,,outpatient,,,456,,228,273.6,442.32,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,365.256,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,423.5784,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,365.3016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XIPERE - TRIAMCINOLONE ACETONIDE (SUPRACHOROIDAL), PER 1MG",636,RC,J3299,HCPCS,,,outpatient,,,186,,93,111.6,180.42,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,148.986,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,172.7754,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.0046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 10MCG TRS-SUC IM, 5-11 YRS-PFIZER",636,RC,91319,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 30MCG TRS-SUC IM, 12 YRS+ -PFIZER",636,RC,91320,CPT,,,outpatient,,,409,,204.5,245.4,396.73,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,327.609,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,379.9201,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.6499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC PREFILLED SYRINGE 30MCG TRS-SUC IM, 12 YRS+ -PFIZER",636,RC,91320,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 25 MCG/.25ML IM, 6 MONTHS-11 YRS-MODERNA",636,RC,91321,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 50 MCG/0.5ML IM, 12 YEARS+ - MODERNA",636,RC,91322,CPT,,,outpatient,,,236,,118,141.6,228.92,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,189.036,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,219.2204,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.0596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC PREFILLED SYRINGE 50 MCG/0.5ML IM, 12 YEARS+ - MODERNA",636,RC,91322,CPT,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEGCETACOPLAN (SYFOVRE) INTRIVITREAL PER 1MG,636,RC,J2781,HCPCS,,,outpatient,,,657,,328.5,394.2,637.29,617.58,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,545.31,,,,percent of total billed charges,,591.3,,,,percent of total billed charges,,604.44,,,,percent of total billed charges,,604.44,,,,percent of total billed charges,,621.522,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,637.29,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,578.16,,,,percent of total billed charges,,591.3,,,,percent of total billed charges,,526.257,,,,percent of total billed charges,,591.3,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,610.2873,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,526.3227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NADOFARAGENE FIRADENOVEC-VNCG (ADSTILADRIN) PER DOSE,636,RC,J9029,HCPCS,,,outpatient,,,180000,,90000,108000,174600,169200,,,,percent of total billed charges,,144000,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,149400,,,,percent of total billed charges,,162000,,,,percent of total billed charges,,165600,,,,percent of total billed charges,,165600,,,,percent of total billed charges,,170280,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,174600,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,158400,,,,percent of total billed charges,,162000,,,,percent of total billed charges,,144180,,,,percent of total billed charges,,162000,,,,percent of total billed charges,,108000,,,,percent of total billed charges,,167202,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,144000,,,,percent of total billed charges,,108000,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 2 X 2.5 ML MDV IM, 12 YRS+ -NOVAVAX",636,RC,91304,CPT,,,outpatient,,,210,,105,126,203.7,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,168.21,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,195.069,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RSV VAC PREF, IM, BIVALENT (ABRYSVO) PER 0.5ML",636,RC,90678,CPT,,,outpatient,,,477,,238.5,286.2,462.69,448.38,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,395.91,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,451.242,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,462.69,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,419.76,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,382.077,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,443.0853,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,382.1247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AFLIBERCEPT (EYLEA HD) INTRAVITREAL PER 1MG,636,RC,J0177,HCPCS,,,outpatient,,,1477,,738.5,886.2,1432.69,1388.38,,,,percent of total billed charges,,1181.6,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1225.91,,,,percent of total billed charges,,1329.3,,,,percent of total billed charges,,1358.84,,,,percent of total billed charges,,1358.84,,,,percent of total billed charges,,1397.242,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1432.69,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1299.76,,,,percent of total billed charges,,1329.3,,,,percent of total billed charges,,1183.077,,,,percent of total billed charges,,1329.3,,,,percent of total billed charges,,886.2,,,,percent of total billed charges,,1371.9853,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1181.6,,,,percent of total billed charges,,886.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1183.2247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MIRIKIZUMAB (OMVOH) INFUSION, PER 1MG",636,RC,J2267,HCPCS,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MIRIKIZUMAB (OMVOH) PREFILLED SC SYRINGE, PER 1MG",636,RC,J2267,HCPCS,,,outpatient,,,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANIFROLUMAB (SAPHNELO-FNIA) PREFILLED SC SYRINGE, PER 1MG",636,RC,J0491,HCPCS,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARIPIPRAZOLE (ABILIFY ASIMTUFII) PREFILLED SYRINGE, PER 1MG",636,RC,J0402,HCPCS,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PALIPERIDONE PALMITATE ER (INVEGA SUSTENNA) PREFILLED SYRINGE, PER 1MG",636,RC,J2426,HCPCS,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RISPERIDONE ER (UZEDY) SUSPENSION PREFILLED SYRINGE, PER 1MG",636,RC,J2799,HCPCS,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DUPILUMAB (DUPIXENT) 300MG/2ML PFS, PER 1MG",636,RC,J3490,HCPCS,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4081 EPOETIN ALFA (EPOGEN) INJ PER 100 UNITS,636,RC,Q4081,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4081 EPOETIN ALFA (PROCRIT) INJ PER 100 UNITS,636,RC,Q4081,HCPCS,,,outpatient,,,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, INFLUENZA VACCINE, ADJUVANTED (FLUAD)",636,RC,90653,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, INFLUENZA VACCINE (FLUCELVAX)",636,RC,90661,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECT, CABOTEGRAVIR 1 MG (APRETUDE)",636,RC,J0739,HCPCS,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECT, ACETAZOLAMIDE SODIUM, UP TO 500 MG",636,RC,J1120,HCPCS,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANTHARIDIN 0.7% TOPICAL (YCANTH) PER 1 DOSE (3.2MG),636,RC,J7354,HCPCS,,,outpatient,,,3083,,1541.5,1849.8,2990.51,2898.02,,,,percent of total billed charges,,2466.4,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2558.89,,,,percent of total billed charges,,2774.7,,,,percent of total billed charges,,2836.36,,,,percent of total billed charges,,2836.36,,,,percent of total billed charges,,2916.518,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2990.51,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2713.04,,,,percent of total billed charges,,2774.7,,,,percent of total billed charges,,2469.483,,,,percent of total billed charges,,2774.7,,,,percent of total billed charges,,1849.8,,,,percent of total billed charges,,2863.7987,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2466.4,,,,percent of total billed charges,,1849.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2469.7913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MITOMYCIN, OPHTALMIC (MITOSOL) PER 0.2MG",636,RC,J7315,HCPCS,,,outpatient,,,1616,,808,969.6,1567.52,1519.04,,,,percent of total billed charges,,1292.8,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1341.28,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,1486.72,,,,percent of total billed charges,,1486.72,,,,percent of total billed charges,,1528.736,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1567.52,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1422.08,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,1294.416,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,1501.1024,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1292.8,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1294.5776,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B IMM GLOB INJ (NABI-HB) - 1 ML,636,RC,90371,CPT,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS A PEDIATRIC (VAQTA)  BILLED PER 0.5 ML,636,RC,90633,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE MDV (AFLURIA), PER 0.25 ML",636,RC,90657,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE,PED/ADOL,IM - 3 DOSE (ENGERIX) -  0.5 ML",636,RC,90744,CPT,,,outpatient,,,37,,18.5,22.2,35.89,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,29.637,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,34.3693,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.6407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DARBEPOETIN ALFA (ARANESP), ESRD ON DIALYSIS, PER 1 MCG",636,RC,J0882,HCPCS,,,outpatient,,,34,,17,20.4,32.98,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,27.234,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,31.5826,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.2374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPOETIN ALFA (PROCRIT), NON-ESRD, PER 1000 UNITS",636,RC,J0885,HCPCS,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DELIVERY CHARGE,722,RC,,,,,outpatient,,,7712,,3856,4627.2,7480.64,7249.28,,,,percent of total billed charges,,6169.6,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,6400.96,,,,percent of total billed charges,,6940.8,,,,percent of total billed charges,,7095.04,,,,percent of total billed charges,,7095.04,,,,percent of total billed charges,,7295.552,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,7480.64,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,6786.56,,,,percent of total billed charges,,6940.8,,,,percent of total billed charges,,6177.312,,,,percent of total billed charges,,6940.8,,,,percent of total billed charges,,4627.2,,,,percent of total billed charges,,7163.6768,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,6169.6,,,,percent of total billed charges,,4627.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6178.0832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAUTERINE BALLOON,272,RC,,,,,outpatient,,,1813,,906.5,1087.8,1758.61,1704.22,,,,percent of total billed charges,,1450.4,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1504.79,,,,percent of total billed charges,,1631.7,,,,percent of total billed charges,,1667.96,,,,percent of total billed charges,,1667.96,,,,percent of total billed charges,,1715.098,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1758.61,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1595.44,,,,percent of total billed charges,,1631.7,,,,percent of total billed charges,,1452.213,,,,percent of total billed charges,,1631.7,,,,percent of total billed charges,,1087.8,,,,percent of total billed charges,,1684.0957,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1450.4,,,,percent of total billed charges,,1087.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1452.3943,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHOSCOPY,360,RC,,,,,outpatient,,,1645,,822.5,987,1595.65,1546.3,,,,percent of total billed charges,,1316,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1365.35,,,,percent of total billed charges,,1480.5,,,,percent of total billed charges,,1513.4,,,,percent of total billed charges,,1513.4,,,,percent of total billed charges,,1556.17,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1595.65,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1447.6,,,,percent of total billed charges,,1480.5,,,,percent of total billed charges,,1317.645,,,,percent of total billed charges,,1480.5,,,,percent of total billed charges,,987,,,,percent of total billed charges,,1528.0405,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1316,,,,percent of total billed charges,,987,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1317.8095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CROUPETTE(INIT) W 24H 02,271,RC,,,,,outpatient,,,729,,364.5,437.4,707.13,685.26,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,605.07,,,,percent of total billed charges,,656.1,,,,percent of total billed charges,,670.68,,,,percent of total billed charges,,670.68,,,,percent of total billed charges,,689.634,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,707.13,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,641.52,,,,percent of total billed charges,,656.1,,,,percent of total billed charges,,583.929,,,,percent of total billed charges,,656.1,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,677.1681,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.0019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INITIAL HEATED HUMIDIFIED HIGH FLOW CANNULA SYSTEM,271,RC,,,,,outpatient,,,854,,427,512.4,828.38,802.76,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,708.82,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,807.884,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,828.38,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,751.52,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,684.054,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,793.2806,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,684.1394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUBQ HEATED HUMIDIFIED HIGH FLOW CANNULA SYSTEM,271,RC,,,,,outpatient,,,427,,213.5,256.2,414.19,401.38,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,354.41,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,403.942,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,414.19,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,375.76,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,342.027,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,396.6403,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.0697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHOSCOPY ASSIST,360,RC,,,,,outpatient,,,1603,,801.5,961.8,1554.91,1506.82,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1330.49,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1516.438,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1554.91,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1410.64,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1284.003,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,1489.0267,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1284.1633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATION CIRCUIT/USE,271,RC,,,,,outpatient,,,1097,,548.5,658.2,1064.09,1031.18,,,,percent of total billed charges,,877.6,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,910.51,,,,percent of total billed charges,,987.3,,,,percent of total billed charges,,1009.24,,,,percent of total billed charges,,1009.24,,,,percent of total billed charges,,1037.762,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,1064.09,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,965.36,,,,percent of total billed charges,,987.3,,,,percent of total billed charges,,878.697,,,,percent of total billed charges,,987.3,,,,percent of total billed charges,,658.2,,,,percent of total billed charges,,1019.0033,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,877.6,,,,percent of total billed charges,,658.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,878.8067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NITRIC OXIDE PER HOUR,250,RC,,,,,outpatient,,,886,,443,531.6,859.42,832.84,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,735.38,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,838.156,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,859.42,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,779.68,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,709.686,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,823.0054,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,709.7746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RABIES VIRUS VACCINE (RABAVERT) - PER 1 ML,636,RC,90675,CPT,,,outpatient,,,653,,326.5,391.8,633.41,613.82,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,541.99,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,617.738,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,633.41,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,574.64,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,523.053,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,606.5717,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,523.1183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"'HCHG HEPATITIS A VACCINE (HAVRIX), PER 1 ML",636,RC,90632,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG EA EXTREM W/RELATED PARASPINALS W/NCS AMP LAT D,922,RC,95885,CPT,,,outpatient,,,398,,199,238.8,386.06,374.12,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,330.34,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,376.508,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,386.06,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,350.24,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,318.798,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,369.7022,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,318.8378,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG COMPLETE 5 OR MORE MUSCLES,922,RC,95886,CPT,,,outpatient,,,673,,336.5,403.8,652.81,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,539.073,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,625.1497,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,539.1403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG NONEXTREM MUSCLE W/NCS AMP LAT VEL,922,RC,95887,CPT,,,outpatient,,,673,,336.5,403.8,652.81,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,539.073,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,625.1497,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,539.1403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LD INSERT TEMP CATH FOL,361,RC,51702,CPT,,,outpatient,,,473,,236.5,283.8,458.81,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,378.873,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,439.3697,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.9203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEWBORN INTUBATION,361,RC,31500,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UMBILICAL CATH,361,RC,36510,CPT,,,outpatient,,,607,,303.5,364.2,588.79,570.58,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,503.81,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,574.222,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,588.79,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,534.16,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,486.207,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,563.8423,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,486.2677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUDITORY EVOKED POTENTIALS,471,RC,92651,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEWBORN RESUSCITATION,720,RC,99465,CPT,,,outpatient,,,1233,,616.5,739.8,1196.01,1159.02,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1023.39,,,,percent of total billed charges,,1109.7,,,,percent of total billed charges,,1134.36,,,,percent of total billed charges,,1134.36,,,,percent of total billed charges,,1166.418,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1196.01,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1085.04,,,,percent of total billed charges,,1109.7,,,,percent of total billed charges,,987.633,,,,percent of total billed charges,,1109.7,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,1145.3337,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,987.7563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CIRCUMCISION (INIT 30),360,RC,,,,,outpatient,,,2788,,1394,1672.8,2704.36,2620.72,,,,percent of total billed charges,,2230.4,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2314.04,,,,percent of total billed charges,,2509.2,,,,percent of total billed charges,,2564.96,,,,percent of total billed charges,,2564.96,,,,percent of total billed charges,,2637.448,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2704.36,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2453.44,,,,percent of total billed charges,,2509.2,,,,percent of total billed charges,,2233.188,,,,percent of total billed charges,,2509.2,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,2589.7732,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2230.4,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2233.4668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRENATAL CLASS,942,RC,S9442,HCPCS,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONT GLUCOSE MONITORING,920,RC,95250,CPT,,,outpatient,,,849,,424.5,509.4,823.53,798.06,,,,percent of total billed charges,,679.2,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,704.67,,,,percent of total billed charges,,764.1,,,,percent of total billed charges,,781.08,,,,percent of total billed charges,,781.08,,,,percent of total billed charges,,803.154,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,823.53,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,747.12,,,,percent of total billed charges,,764.1,,,,percent of total billed charges,,680.049,,,,percent of total billed charges,,764.1,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,788.6361,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,679.2,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,680.1339,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EDUC MED NUTR INDL INIT 15 MIN,942,RC,97802,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EDUC MED NUTR INDL RE-AS 15 MI,942,RC,97803,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EDUC MED NUTRITION GRP 30 MIN,942,RC,97804,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSTOMY ED/30 MIN,942,RC,99078,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATIENT EDUCATION,942,RC,99078,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTENDED CARE NURSERY,172,RC,,,,,outpatient,,,2512,,1256,1507.2,2436.64,2361.28,,,,percent of total billed charges,,2009.6,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2084.96,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,2311.04,,,,percent of total billed charges,,2311.04,,,,percent of total billed charges,,2376.352,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2436.64,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2210.56,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,2012.112,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,1507.2,,,,percent of total billed charges,,2333.3968,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2009.6,,,,percent of total billed charges,,1507.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2012.3632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAXIMUM CARE NURSERY,173,RC,,,,,outpatient,,,3585,,1792.5,2151,3477.45,3369.9,,,,percent of total billed charges,,2868,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,2975.55,,,,percent of total billed charges,,3226.5,,,,percent of total billed charges,,3298.2,,,,percent of total billed charges,,3298.2,,,,percent of total billed charges,,3391.41,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,3477.45,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,3154.8,,,,percent of total billed charges,,3226.5,,,,percent of total billed charges,,2871.585,,,,percent of total billed charges,,3226.5,,,,percent of total billed charges,,2151,,,,percent of total billed charges,,3330.1065,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,2868,,,,percent of total billed charges,,2151,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2871.9435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG LTD,922,RC,,,,,outpatient,,,961,,480.5,576.6,932.17,903.34,,,,percent of total billed charges,,768.8,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,797.63,,,,percent of total billed charges,,864.9,,,,percent of total billed charges,,884.12,,,,percent of total billed charges,,884.12,,,,percent of total billed charges,,909.106,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,932.17,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,845.68,,,,percent of total billed charges,,864.9,,,,percent of total billed charges,,769.761,,,,percent of total billed charges,,864.9,,,,percent of total billed charges,,576.6,,,,percent of total billed charges,,892.6729,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,768.8,,,,percent of total billed charges,,576.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,769.8571,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TENS/E STIM ATTEND-EA 15 MIN,430,RC,97032,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS ARTERIAL LINE PERCUT,361,RC,36620,CPT,,,outpatient,,,1954,,977,1172.4,1895.38,1836.76,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1621.82,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1848.484,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1895.38,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1719.52,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1565.154,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,1815.0706,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1565.3494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEWBORN RESUSCITATION,410,RC,99465,CPT,,,outpatient,,,1305,,652.5,783,1265.85,1226.7,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1083.15,,,,percent of total billed charges,,1174.5,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1234.53,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1265.85,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1148.4,,,,percent of total billed charges,,1174.5,,,,percent of total billed charges,,1045.305,,,,percent of total billed charges,,1174.5,,,,percent of total billed charges,,783,,,,percent of total billed charges,,1212.2145,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,783,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1045.4355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PULM REHAB NON COPD, STRENGTH & ENDURANCE",948,RC,G0237,HCPCS,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PULM REHAB NON COPD, OTHER THAN G0237",948,RC,G0238,HCPCS,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABC VISIT,510,RC,G0463,HCPCS,,,outpatient,,,76,,38,45.6,73.72,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,60.876,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,70.5964,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.8836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 66821-0510 DISCISSION 2ND MEMBRANE/LASER,510,RC,66821,CPT,,,outpatient,,,1385,,692.5,831,1343.45,1301.9,,,,percent of total billed charges,,1108,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1149.55,,,,percent of total billed charges,,1246.5,,,,percent of total billed charges,,1274.2,,,,percent of total billed charges,,1274.2,,,,percent of total billed charges,,1310.21,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1343.45,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1218.8,,,,percent of total billed charges,,1246.5,,,,percent of total billed charges,,1109.385,,,,percent of total billed charges,,1246.5,,,,percent of total billed charges,,831,,,,percent of total billed charges,,1286.5265,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1108,,,,percent of total billed charges,,831,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1109.5235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL TRANSCUT,301,RC,88720,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLINK REFLEX TEST,740,RC,95933,CPT,,,outpatient,,,327,,163.5,196.2,317.19,307.38,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,271.41,,,,percent of total billed charges,,294.3,,,,percent of total billed charges,,300.84,,,,percent of total billed charges,,300.84,,,,percent of total billed charges,,309.342,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,317.19,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,287.76,,,,percent of total billed charges,,294.3,,,,percent of total billed charges,,261.927,,,,percent of total billed charges,,294.3,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,303.7503,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,261.9597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD TRANSFUSION SERVICE,391,RC,36430,CPT,,,outpatient,,,1326,,663,795.6,1286.22,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1062.126,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1231.7214,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1062.2586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC MONITORED EXERCISE,943,RC,93798,CPT,,,outpatient,,,198,,99,118.8,192.06,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,158.598,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,183.9222,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.6178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVASCULAR STRESS TEST,482,RC,93017,CPT,,,outpatient,,,1280,,640,768,1241.6,1203.2,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1062.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1210.88,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1241.6,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1126.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1025.28,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,768,,,,percent of total billed charges,,1188.992,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1025.408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO HORM SQ/IM,331,RC,96402,CPT,,,outpatient,,,470,,235,282,455.9,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,376.47,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,436.583,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,376.517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO NONHORM SQ/IM,331,RC,96401,CPT,,,outpatient,,,470,,235,282,455.9,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,376.47,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,436.583,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,376.517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFUSION CHEMO 16-90MIN,335,RC,96413,CPT,,,outpatient,,,1447,,723.5,868.2,1403.59,1360.18,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1201.01,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1368.862,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1403.59,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1273.36,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,1159.047,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,1344.1183,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1159.1917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMO, IV INFUSION ADDL HR",335,RC,96415,CPT,,,outpatient,,,431,,215.5,258.6,418.07,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,345.231,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,400.3559,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,345.2741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMO, IV PUSH, SNGL DRUG",335,RC,96409,CPT,,,outpatient,,,470,,235,282,455.9,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,376.47,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,436.583,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,376.517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO SUBARA/INTRAVENT,331,RC,96542,CPT,,,outpatient,,,399,,199.5,239.4,387.03,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,319.599,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,370.6311,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,319.6389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMOTHERAPY, INTO CNS",331,RC,96450,CPT,,,outpatient,,,896,,448,537.6,869.12,842.24,,,,percent of total billed charges,,716.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,743.68,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,824.32,,,,percent of total billed charges,,824.32,,,,percent of total billed charges,,847.616,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,869.12,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,788.48,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,717.696,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,832.2944,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,716.8,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,717.7856,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRITICAL CARE, ADD'L 30 MIN",450,RC,99292,CPT,,,outpatient,,,924,,462,554.4,896.28,868.56,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,766.92,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,874.104,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,896.28,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,813.12,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,740.124,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,858.3036,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,740.2164,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRITICAL CARE, FIRST HOUR",450,RC,99291,CPT,,,outpatient,,,1948,,974,1168.8,1889.56,1831.12,,,,percent of total billed charges,,1558.4,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1616.84,,,,percent of total billed charges,,1753.2,,,,percent of total billed charges,,1792.16,,,,percent of total billed charges,,1792.16,,,,percent of total billed charges,,1842.808,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1889.56,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1714.24,,,,percent of total billed charges,,1753.2,,,,percent of total billed charges,,1560.348,,,,percent of total billed charges,,1753.2,,,,percent of total billed charges,,1168.8,,,,percent of total billed charges,,1809.4972,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1558.4,,,,percent of total billed charges,,1168.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1560.5428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DECLOT VASCULAR DEVICE,360,RC,36593,CPT,,,outpatient,,,709,,354.5,425.4,687.73,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,567.909,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,658.5901,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,567.9799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0108 DIAB MGMT INDIVID EA 30 MIN,942,RC,G0108,HCPCS,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIB MGMT GROUP EA30MIN,942,RC,G0109,HCPCS,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERITO DIAL 1 EVAL INPT,802,RC,90945,CPT,,,outpatient,,,696,,348,417.6,675.12,654.24,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,577.68,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,658.416,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,675.12,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,612.48,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,557.496,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,646.5144,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,557.5656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIRECT ADMIT HOSPITAL OBSERV,762,RC,G0379,HCPCS,,,outpatient,,,853,,426.5,511.8,827.41,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,683.253,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,792.3517,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.3383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER COMPLETE,483,RC,93320,CPT,,,outpatient,,,1160,,580,696,1125.2,1090.4,,,,percent of total billed charges,,928,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,962.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1097.36,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1125.2,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1020.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,929.16,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,696,,,,percent of total billed charges,,1077.524,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,928,,,,percent of total billed charges,,696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,929.276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER F/U,483,RC,93321,CPT,,,outpatient,,,754,,377,452.4,731.38,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,603.954,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,700.3906,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,604.0294,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLOR FLOW DOPPLER,483,RC,93325,CPT,,,outpatient,,,628,,314,376.8,609.16,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,503.028,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,583.3492,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,503.0908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIALYSIS GRAFT DUPLEX  -UNI/BI,921,RC,93990,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOLTER MONITOR HOOK UP,731,RC,93225,CPT,,,outpatient,,,1280,,640,768,1241.6,1203.2,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1062.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1210.88,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1241.6,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1126.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1025.28,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,768,,,,percent of total billed charges,,1188.992,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1025.408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOLTER MONITOR - 24 HR ANALYSIS,731,RC,93226,CPT,,,outpatient,,,822,,411,493.2,797.34,772.68,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,682.26,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,756.24,,,,percent of total billed charges,,756.24,,,,percent of total billed charges,,777.612,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,797.34,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,723.36,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,658.422,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,763.5558,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,658.5042,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVENT MONITOR APPL W/INST,731,RC,93270,CPT,,,outpatient,,,403,,201.5,241.8,390.91,378.82,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,334.49,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,381.238,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,390.91,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,354.64,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,322.803,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,374.3467,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,322.8433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVENT MONITOR ANALYSIS,731,RC,93271,CPT,,,outpatient,,,403,,201.5,241.8,390.91,378.82,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,334.49,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,381.238,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,390.91,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,354.64,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,322.803,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,374.3467,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,322.8433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPHTHALM BIOMETRY BY US,A-SCAN",402,RC,76516,CPT,,,outpatient,,,236,,118,141.6,228.92,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,189.036,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,219.2204,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.0596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMONIA VACCINE,771,RC,G0009,HCPCS,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE COMPLETE,480,RC,93307,CPT,,,outpatient,,,993,,496.5,595.8,963.21,933.42,,,,percent of total billed charges,,794.4,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,824.19,,,,percent of total billed charges,,893.7,,,,percent of total billed charges,,913.56,,,,percent of total billed charges,,913.56,,,,percent of total billed charges,,939.378,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,963.21,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,873.84,,,,percent of total billed charges,,893.7,,,,percent of total billed charges,,795.393,,,,percent of total billed charges,,893.7,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,922.3977,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,794.4,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,795.4923,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LIMITED F/U,483,RC,93308,CPT,,,outpatient,,,628,,314,376.8,609.16,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,503.028,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,583.3492,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,503.0908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEE COMPLETE,483,RC,93312,CPT,,,outpatient,,,1596,,798,957.6,1548.12,1500.24,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1324.68,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1509.816,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1548.12,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1404.48,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1278.396,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,1482.5244,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1278.5556,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D ECHOCARDIOGRAM CHD,483,RC,93303,CPT,,,outpatient,,,1160,,580,696,1125.2,1090.4,,,,percent of total billed charges,,928,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,962.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1097.36,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1125.2,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1020.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,929.16,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,696,,,,percent of total billed charges,,1077.524,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,928,,,,percent of total billed charges,,696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,929.276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LIMITED F/U CHD,483,RC,93304,CPT,,,outpatient,,,1092,,546,655.2,1059.24,1026.48,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,906.36,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,1004.64,,,,percent of total billed charges,,1004.64,,,,percent of total billed charges,,1033.032,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,1059.24,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,960.96,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,874.692,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,1014.3588,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,874.8012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ECHOCARDIOGRAM, STRESS",480,RC,93350,CPT,,,outpatient,,,1160,,580,696,1125.2,1090.4,,,,percent of total billed charges,,928,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,962.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1097.36,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1125.2,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1020.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,929.16,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,696,,,,percent of total billed charges,,1077.524,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,928,,,,percent of total billed charges,,696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,929.276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG DURING SURGERY,740,RC,95955,CPT,,,outpatient,,,1043,,521.5,625.8,1011.71,980.42,,,,percent of total billed charges,,834.4,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,865.69,,,,percent of total billed charges,,938.7,,,,percent of total billed charges,,959.56,,,,percent of total billed charges,,959.56,,,,percent of total billed charges,,986.678,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,1011.71,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,917.84,,,,percent of total billed charges,,938.7,,,,percent of total billed charges,,835.443,,,,percent of total billed charges,,938.7,,,,percent of total billed charges,,625.8,,,,percent of total billed charges,,968.8427,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,834.4,,,,percent of total billed charges,,625.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,835.5473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EEG, 41-60 MINUTES",740,RC,95812,CPT,,,outpatient,,,1113,,556.5,667.8,1079.61,1046.22,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,923.79,,,,percent of total billed charges,,1001.7,,,,percent of total billed charges,,1023.96,,,,percent of total billed charges,,1023.96,,,,percent of total billed charges,,1052.898,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,1079.61,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,979.44,,,,percent of total billed charges,,1001.7,,,,percent of total billed charges,,891.513,,,,percent of total billed charges,,1001.7,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,1033.8657,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,891.6243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EEG, AWAKE AND ASLEEP",740,RC,95819,CPT,,,outpatient,,,1036,,518,621.6,1004.92,973.84,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,859.88,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,980.056,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,1004.92,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,911.68,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,829.836,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,962.3404,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,829.9396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EEG, AWAKE AND DROWSY",740,RC,95816,CPT,,,outpatient,,,1036,,518,621.6,1004.92,973.84,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,859.88,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,980.056,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,1004.92,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,911.68,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,829.836,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,962.3404,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,829.9396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG 61-199 MIN,740,RC,95813,CPT,,,outpatient,,,1306,,653,783.6,1266.82,1227.64,,,,percent of total billed charges,,1044.8,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1083.98,,,,percent of total billed charges,,1175.4,,,,percent of total billed charges,,1201.52,,,,percent of total billed charges,,1201.52,,,,percent of total billed charges,,1235.476,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1266.82,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1149.28,,,,percent of total billed charges,,1175.4,,,,percent of total billed charges,,1046.106,,,,percent of total billed charges,,1175.4,,,,percent of total billed charges,,783.6,,,,percent of total billed charges,,1213.1434,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1044.8,,,,percent of total billed charges,,783.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1046.2366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EKG 12 LEAD,730,RC,93005,CPT,,,outpatient,,,306,,153,183.6,296.82,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,245.106,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,284.2434,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.1366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTR STIM BRAIN ADDL HR,740,RC,95962,CPT,,,outpatient,,,907,,453.5,544.2,879.79,852.58,,,,percent of total billed charges,,725.6,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,752.81,,,,percent of total billed charges,,816.3,,,,percent of total billed charges,,834.44,,,,percent of total billed charges,,834.44,,,,percent of total billed charges,,858.022,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,879.79,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,798.16,,,,percent of total billed charges,,816.3,,,,percent of total billed charges,,726.507,,,,percent of total billed charges,,816.3,,,,percent of total billed charges,,544.2,,,,percent of total billed charges,,842.5123,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,725.6,,,,percent of total billed charges,,544.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,726.5977,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTR STIM BRAIN INIT HR,740,RC,95961,CPT,,,outpatient,,,1817,,908.5,1090.2,1762.49,1707.98,,,,percent of total billed charges,,1453.6,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1508.11,,,,percent of total billed charges,,1635.3,,,,percent of total billed charges,,1671.64,,,,percent of total billed charges,,1671.64,,,,percent of total billed charges,,1718.882,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1762.49,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1635.3,,,,percent of total billed charges,,1455.417,,,,percent of total billed charges,,1635.3,,,,percent of total billed charges,,1090.2,,,,percent of total billed charges,,1687.8113,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1453.6,,,,percent of total billed charges,,1090.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1455.5987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACCINE,771,RC,G0008,HCPCS,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, AS 2ND",771,RC,G0008,HCPCS,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L1,450,RC,99281,CPT,,,outpatient,,,292,,146,175.2,283.24,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,233.892,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,271.2388,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.9212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L2,450,RC,99282,CPT,,,outpatient,,,359,,179.5,215.4,348.23,337.46,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,297.97,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,339.614,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,348.23,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,315.92,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,287.559,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,333.4751,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,287.5949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L3,450,RC,99283,CPT,,,outpatient,,,486,,243,291.6,471.42,456.84,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,403.38,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,459.756,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.42,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,389.286,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,451.4454,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,389.3346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L4,450,RC,99284,CPT,,,outpatient,,,792,,396,475.2,768.24,744.48,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,657.36,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,749.232,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,696.96,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,634.392,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,735.6888,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,634.4712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L5,450,RC,99285,CPT,,,outpatient,,,1201,,600.5,720.6,1164.97,1128.94,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,996.83,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1136.146,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1164.97,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1056.88,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,962.001,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,1115.6089,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,962.1211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROTID DUPLEX BILATERAL/COMPLETE,921,RC,93880,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROTID DUPLEX UNI/LTD,921,RC,93882,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABI W/O EXERCISE - BI,921,RC,93922,CPT,,,outpatient,,,731,,365.5,438.6,709.07,687.14,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,606.73,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,691.526,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,709.07,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,585.531,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,679.0259,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,585.6041,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABI/PVR LE W EXER BILATERAL,921,RC,93924,CPT,,,outpatient,,,1421,,710.5,852.6,1378.37,1335.74,,,,percent of total billed charges,,1136.8,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1179.43,,,,percent of total billed charges,,1278.9,,,,percent of total billed charges,,1307.32,,,,percent of total billed charges,,1307.32,,,,percent of total billed charges,,1344.266,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1378.37,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1250.48,,,,percent of total billed charges,,1278.9,,,,percent of total billed charges,,1138.221,,,,percent of total billed charges,,1278.9,,,,percent of total billed charges,,852.6,,,,percent of total billed charges,,1319.9669,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1136.8,,,,percent of total billed charges,,852.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1138.3631,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVR UE/LE W/O EXERCISE BILATERAL,921,RC,93923,CPT,,,outpatient,,,819,,409.5,491.4,794.43,769.86,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,679.77,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,774.774,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,794.43,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,720.72,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,656.019,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,760.7691,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,656.1009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENOUS DUPLEX UE/LE BILATERAL,921,RC,93970,CPT,,,outpatient,,,1146,,573,687.6,1111.62,1077.24,,,,percent of total billed charges,,916.8,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,951.18,,,,percent of total billed charges,,1031.4,,,,percent of total billed charges,,1054.32,,,,percent of total billed charges,,1054.32,,,,percent of total billed charges,,1084.116,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,1111.62,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,1008.48,,,,percent of total billed charges,,1031.4,,,,percent of total billed charges,,917.946,,,,percent of total billed charges,,1031.4,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,1064.5194,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,916.8,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,918.0606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93971-0921 VENOUS DUPLEX UE/LE UNI/LTD,921,RC,93971,CPT,,,outpatient,,,1199,,599.5,719.4,1163.03,1127.06,,,,percent of total billed charges,,959.2,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,995.17,,,,percent of total billed charges,,1079.1,,,,percent of total billed charges,,1103.08,,,,percent of total billed charges,,1103.08,,,,percent of total billed charges,,1134.254,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,1163.03,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,1055.12,,,,percent of total billed charges,,1079.1,,,,percent of total billed charges,,960.399,,,,percent of total billed charges,,1079.1,,,,percent of total billed charges,,719.4,,,,percent of total billed charges,,1113.7511,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,959.2,,,,percent of total billed charges,,719.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,960.5189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL BIOPHYS PROFILE W/NST,402,RC,76818,CPT,,,outpatient,,,366,,183,219.6,355.02,344.04,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,303.78,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,346.236,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,355.02,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,322.08,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,293.166,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,339.9774,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,293.2026,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMLY PSYCHOTH W/O PT 20-44 MIN,916,RC,90846,CPT,,,outpatient,,,380,,190,228,368.6,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,304.38,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,352.982,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,304.418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAIT TRAIN EA 15MIN,421,RC,97116,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRP PSYCHOTHERAPY 45-74 MIN,915,RC,90853,CPT,,,outpatient,,,212,,106,127.2,205.64,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,169.812,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,196.9268,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.8332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMODIAL 1 EVAL INPT,801,RC,90999,CPT,,,outpatient,,,889,,444.5,533.4,862.33,835.66,,,,percent of total billed charges,,711.2,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,737.87,,,,percent of total billed charges,,800.1,,,,percent of total billed charges,,817.88,,,,percent of total billed charges,,817.88,,,,percent of total billed charges,,840.994,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,862.33,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,782.32,,,,percent of total billed charges,,800.1,,,,percent of total billed charges,,712.089,,,,percent of total billed charges,,800.1,,,,percent of total billed charges,,533.4,,,,percent of total billed charges,,825.7921,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,711.2,,,,percent of total billed charges,,533.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,712.1779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HYDRATE IV INFUSION, ADD-ON",260,RC,96361,CPT,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IV HYDRATION, INIT; 31 - 60 MINUTES",260,RC,96360,CPT,,,outpatient,,,343,,171.5,205.8,332.71,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,274.743,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,318.6127,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,274.7773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICC W/O PORT 5+ YRS W/O IMAGE,361,RC,36569,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOLTER MONITOR 48 HRS-ANALYSIS,731,RC,93226,CPT,,,outpatient,,,2557,,1278.5,1534.2,2480.29,2403.58,,,,percent of total billed charges,,2045.6,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2122.31,,,,percent of total billed charges,,2301.3,,,,percent of total billed charges,,2352.44,,,,percent of total billed charges,,2352.44,,,,percent of total billed charges,,2418.922,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2480.29,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2250.16,,,,percent of total billed charges,,2301.3,,,,percent of total billed charges,,2048.157,,,,percent of total billed charges,,2301.3,,,,percent of total billed charges,,1534.2,,,,percent of total billed charges,,2375.1973,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2045.6,,,,percent of total billed charges,,1534.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2048.4127,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX LE BILATERAL,921,RC,93925,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX LE UNI/LTD,921,RC,93926,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANUAL THERAPY - 15 MINS,431,RC,97140,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANUAL THERAPY-EA 15 MIN,421,RC,97140,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECH REMOV TUNNELED CV CATH,360,RC,36596,CPT,,,outpatient,,,2207,,1103.5,1324.2,2140.79,2074.58,,,,percent of total billed charges,,1765.6,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,1831.81,,,,percent of total billed charges,,1986.3,,,,percent of total billed charges,,2030.44,,,,percent of total billed charges,,2030.44,,,,percent of total billed charges,,2087.822,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,2140.79,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,1942.16,,,,percent of total billed charges,,1986.3,,,,percent of total billed charges,,1767.807,,,,percent of total billed charges,,1986.3,,,,percent of total billed charges,,1324.2,,,,percent of total billed charges,,2050.0823,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,1765.6,,,,percent of total billed charges,,1324.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1768.0277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECHANICAL TRACTION,421,RC,97012,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSLT/MWT >6 HRS,920,RC,95805,CPT,,,outpatient,,,5138,,2569,3082.8,4983.86,4829.72,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4264.54,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4860.548,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4983.86,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4521.44,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4115.538,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,4772.6882,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4116.0518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRANIAL EMG, UNILATERAL",922,RC,95867,CPT,,,outpatient,,,486,,243,291.6,471.42,456.84,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,403.38,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,459.756,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.42,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,389.286,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,451.4454,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,389.3346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR-CRANIAL NERVE-UNILATERAL,922,RC,95867,CPT,,,outpatient,,,881,,440.5,528.6,854.57,828.14,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,731.23,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,833.426,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,854.57,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,775.28,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,705.681,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,818.3609,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,705.7691,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRANIAL EMG, BILATERAL",922,RC,95868,CPT,,,outpatient,,,1064,,532,638.4,1032.08,1000.16,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,883.12,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,1006.544,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1032.08,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,936.32,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,852.264,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,988.3496,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,852.3704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR-CRANIAL NERVE-BILATERAL,922,RC,95868,CPT,,,outpatient,,,1760,,880,1056,1707.2,1654.4,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1460.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1664.96,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1548.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1409.76,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,1634.864,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1409.936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, 2 LIMBS",922,RC,95861,CPT,,,outpatient,,,1126,,563,675.6,1092.22,1058.44,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,934.58,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1065.196,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1092.22,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,990.88,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,901.926,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,1045.9414,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,902.0386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EMG-2 EXTREMITIES-UPPER BI,922,RC,95861,CPT,,,outpatient,,,1126,,563,675.6,1092.22,1058.44,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,934.58,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1065.196,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1092.22,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,990.88,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,901.926,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,1045.9414,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,902.0386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EMG-2 EXTREMITIES-LOWER BI,922,RC,95861,CPT,,,outpatient,,,1029,,514.5,617.4,998.13,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,824.229,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,955.8381,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,824.3319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EMG 2 EXTREMITIES,922,RC,95861,CPT,,,outpatient,,,1029,,514.5,617.4,998.13,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,824.229,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,955.8381,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,824.3319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, 3 LIMBS",922,RC,95863,CPT,,,outpatient,,,1308,,654,784.8,1268.76,1229.52,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1085.64,,,,percent of total billed charges,,1177.2,,,,percent of total billed charges,,1203.36,,,,percent of total billed charges,,1203.36,,,,percent of total billed charges,,1237.368,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1268.76,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1151.04,,,,percent of total billed charges,,1177.2,,,,percent of total billed charges,,1047.708,,,,percent of total billed charges,,1177.2,,,,percent of total billed charges,,784.8,,,,percent of total billed charges,,1215.0012,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,784.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1047.8388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG - FOUR EXTREMITIES,922,RC,95864,CPT,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, ONE LIMB",922,RC,95860,CPT,,,outpatient,,,948,,474,568.8,919.56,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,759.348,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,880.5972,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,759.4428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, ONE LIMB",922,RC,95860,CPT,,,outpatient,,,866,,433,519.6,840.02,814.04,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,718.78,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,819.236,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,840.02,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,762.08,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,693.666,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,804.4274,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,693.7526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOTOR EVOC UPPER LIMBS,920,RC,95928,CPT,,,outpatient,,,2259,,1129.5,1355.4,2191.23,2123.46,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,1874.97,,,,percent of total billed charges,,2033.1,,,,percent of total billed charges,,2078.28,,,,percent of total billed charges,,2078.28,,,,percent of total billed charges,,2137.014,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,2191.23,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,1987.92,,,,percent of total billed charges,,2033.1,,,,percent of total billed charges,,1809.459,,,,percent of total billed charges,,2033.1,,,,percent of total billed charges,,1355.4,,,,percent of total billed charges,,2098.3851,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1355.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1809.6849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMUSC JCT REP STIM EA,922,RC,95937,CPT,,,outpatient,,,1057,,528.5,634.2,1025.29,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,846.657,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,981.8473,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,846.7627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMUSC RE-ED EA 15MIN,421,RC,97112,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OB NON-STRESS TESTING,920,RC,59025,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US >/= 14 WKS, SNGL FETUS",402,RC,76805,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 2",510,RC,G0463,HCPCS,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 4",510,RC,G0463,HCPCS,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 5",510,RC,G0463,HCPCS,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 3",510,RC,G0463,HCPCS,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 1",510,RC,G0463,HCPCS,,,outpatient,,,177,,88.5,106.2,171.69,166.38,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,146.91,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,167.442,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,171.69,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,155.76,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,141.777,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,164.4153,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,141.7947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 4",510,RC,G0463,HCPCS,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPAT VISIT, NEW LEVEL 5",510,RC,G0463,HCPCS,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 3",510,RC,G0463,HCPCS,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 2",510,RC,G0463,HCPCS,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERITO DIAL >1EVAL OP,831,RC,G0257,HCPCS,,,outpatient,,,1738,,869,1042.8,1685.86,1633.72,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1442.54,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1644.148,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1685.86,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1529.44,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1392.138,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,1614.4282,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1392.3118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR MEP - LOWER,920,RC,95929,CPT,,,outpatient,,,1763,,881.5,1057.8,1710.11,1657.22,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1463.29,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1667.798,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1710.11,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1551.44,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1412.163,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,1637.6507,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1412.3393,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORNISH ADVANTAGE PROGRAM VISIT,942,RC,S9446,HCPCS,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT GROUP TX,433,RC,97150,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT-TREATMENT,431,RC,97535,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT THERAP EX EA 15MIN,421,RC,97110,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY AGE 6 YRS OR OLDER W/CPAP,920,RC,95811,CPT,,,outpatient,,,5138,,2569,3082.8,4983.86,4829.72,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4264.54,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4860.548,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4983.86,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4521.44,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4115.538,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,4772.6882,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4116.0518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY 6 YEARS OR OLDER 4 OR MORE,920,RC,95810,CPT,,,outpatient,,,4881,,2440.5,2928.6,4734.57,4588.14,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4051.23,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4617.426,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4734.57,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4295.28,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,3909.681,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,4533.9609,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3910.1691,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT GROUP TX,423,RC,97150,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIOGRAPHIC SWALLOWING EVAL,444,RC,92611,CPT,,,outpatient,,,744,,372,446.4,721.68,699.36,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,617.52,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,703.824,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,721.68,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,654.72,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,595.944,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,691.1016,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,596.0184,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REFILL/MAINT PUMP/RESVR SYST,335,RC,96522,CPT,,,outpatient,,,2524,,1262,1514.4,2448.28,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2021.724,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2344.5436,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.9764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EYLEA 1 MG,636,RC,J0178,HCPCS,,,outpatient,,,4163,,2081.5,2497.8,4038.11,3913.22,,,,percent of total billed charges,,3330.4,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3455.29,,,,percent of total billed charges,,3746.7,,,,percent of total billed charges,,3829.96,,,,percent of total billed charges,,3829.96,,,,percent of total billed charges,,3938.198,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,4038.11,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3663.44,,,,percent of total billed charges,,3746.7,,,,percent of total billed charges,,3334.563,,,,percent of total billed charges,,3746.7,,,,percent of total billed charges,,2497.8,,,,percent of total billed charges,,3867.0107,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3330.4,,,,percent of total billed charges,,2497.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3334.9793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67110-0510 DEST CYCLOPHOTOCOAGULATI,510,RC,67110,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY - UNATTENDED,920,RC,95806,CPT,,,outpatient,,,554,,277,332.4,537.38,520.76,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,459.82,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,524.084,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,537.38,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,487.52,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,443.754,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,514.6106,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,443.8094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT TEMP CATH BLADDER,361,RC,51701,CPT,,,outpatient,,,409,,204.5,245.4,396.73,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,327.609,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,379.9201,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.6499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER UNSCHEDULED RETURN VISIT,450,RC,G0463,HCPCS,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE,300,RC,36415,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SEP, UPPER EXTREMITY",922,RC,95925,CPT,,,outpatient,,,2672,,1336,1603.2,2591.84,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2140.272,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2482.0208,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2140.5392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR - SSEP - UPPER,920,RC,95925,CPT,,,outpatient,,,2672,,1336,1603.2,2591.84,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2140.272,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2482.0208,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2140.5392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEP - LOWER EXTREMITY,922,RC,95926,CPT,,,outpatient,,,2672,,1336,1603.2,2591.84,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2140.272,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2482.0208,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2140.5392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR - SSEP - LOWER,920,RC,95926,CPT,,,outpatient,,,2672,,1336,1603.2,2591.84,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2140.272,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2482.0208,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2140.5392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SP/LG VOICE TX,441,RC,92507,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SW EVAL,444,RC,92610,CPT,,,outpatient,,,744,,372,446.4,721.68,699.36,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,617.52,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,703.824,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,721.68,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,654.72,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,595.944,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,691.1016,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,596.0184,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SW TX,441,RC,92526,CPT,,,outpatient,,,395,,197.5,237,383.15,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,316.395,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,366.9155,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,316.4345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TENS/E STIM ATTEND-EA 15 MIN,421,RC,97032,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DG IV INF,ADD-ON",260,RC,96366,CPT,,,outpatient,,,426,,213,255.6,413.22,400.44,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,353.58,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,402.996,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,413.22,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,374.88,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,341.226,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,395.7114,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,341.2686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV PUSH NEW DRUG,940,RC,96375,CPT,,,outpatient,,,280,,140,168,271.6,263.2,,,,percent of total billed charges,,224,,,,percent of total billed charges,,266,,,,percent of total billed charges,,232.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,266,,,,percent of total billed charges,,271.6,,,,percent of total billed charges,,266,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,224.28,,,,percent of total billed charges,,252,,,,percent of total billed charges,,168,,,,percent of total billed charges,,260.092,,,,percent of total billed charges,,266,,,,percent of total billed charges,,266,,,,percent of total billed charges,,224,,,,percent of total billed charges,,168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,224.308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DIAG INJ, IA",940,RC,96373,CPT,,,outpatient,,,347,,173.5,208.2,336.59,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,277.947,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,322.3283,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.9817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV PUSH INIT DRUG,940,RC,96374,CPT,,,outpatient,,,347,,173.5,208.2,336.59,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,277.947,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,322.3283,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.9817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THER-PROPH/DIAG INJ. SC/IM,940,RC,96372,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV INFUSION; INITIAL; UP TO 1 HR,260,RC,96365,CPT,,,outpatient,,,982,,491,589.2,952.54,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,786.582,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,912.1798,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,786.6802,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THERAPEUTIC ACTIVITY-15 MINS,431,RC,97530,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THERAPEUTIC EXERCISE-15 MINS,431,RC,97110,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67145-0510 PROPHYLAXIS RETINAL DETCHMNT,510,RC,67145,CPT,,,outpatient,,,1375,,687.5,825,1333.75,1292.5,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1141.25,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1300.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1333.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1210,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,1101.375,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,825,,,,percent of total billed charges,,1277.2375,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,825,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1101.5125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEST LOCL LESION-PHOTOCOAGULAT,510,RC,67210,CPT,,,outpatient,,,1319,,659.5,791.4,1279.43,1239.86,,,,percent of total billed charges,,1055.2,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1094.77,,,,percent of total billed charges,,1187.1,,,,percent of total billed charges,,1213.48,,,,percent of total billed charges,,1213.48,,,,percent of total billed charges,,1247.774,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1279.43,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1160.72,,,,percent of total billed charges,,1187.1,,,,percent of total billed charges,,1056.519,,,,percent of total billed charges,,1187.1,,,,percent of total billed charges,,791.4,,,,percent of total billed charges,,1225.2191,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1055.2,,,,percent of total billed charges,,791.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1056.6509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX UE BILATERAL,921,RC,93930,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX UE UNI/LTD,921,RC,93931,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US/PHONOPHORESIS-EA 15 MIN,421,RC,97035,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AO/ILIAC/IVC OR GRAFT COMPLETE,921,RC,93978,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AO/ILIAC/IVC OR GRAFT F/U,921,RC,93979,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL/CELIAC/SMA DUPLEX COMPLETE,921,RC,93975,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL/CELIAC/SMA ART DUPLEX F/U,921,RC,93976,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISUAL EVOKED POTENTIAL TEST,922,RC,95930,CPT,,,outpatient,,,1889,,944.5,1133.4,1832.33,1775.66,,,,percent of total billed charges,,1511.2,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1567.87,,,,percent of total billed charges,,1700.1,,,,percent of total billed charges,,1737.88,,,,percent of total billed charges,,1737.88,,,,percent of total billed charges,,1786.994,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1832.33,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1662.32,,,,percent of total billed charges,,1700.1,,,,percent of total billed charges,,1513.089,,,,percent of total billed charges,,1700.1,,,,percent of total billed charges,,1133.4,,,,percent of total billed charges,,1754.6921,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1511.2,,,,percent of total billed charges,,1133.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1513.2779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAUMA ACTIVATION,689,RC,G0390,HCPCS,,,outpatient,,,2855,,1427.5,1713,2769.35,2683.7,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2369.65,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2700.83,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2769.35,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2512.4,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,2286.855,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,2652.0095,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2287.1405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDOPLASTY-BILATERAL,510,RC,66762,CPT,,,outpatient,,,1299,,649.5,779.4,1260.03,1221.06,,,,percent of total billed charges,,1039.2,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1078.17,,,,percent of total billed charges,,1169.1,,,,percent of total billed charges,,1195.08,,,,percent of total billed charges,,1195.08,,,,percent of total billed charges,,1228.854,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1260.03,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1143.12,,,,percent of total billed charges,,1169.1,,,,percent of total billed charges,,1040.499,,,,percent of total billed charges,,1169.1,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,1206.6411,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1039.2,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1040.6289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DIAG INJ, SC/IM ED",450,RC,96372,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DIAG INJ, IV PUSH-ED",450,RC,96374,CPT,,,outpatient,,,539,,269.5,323.4,522.83,506.66,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,447.37,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,509.894,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,522.83,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,474.32,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,431.739,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,500.6771,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,431.7929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96365-450 IV THER/PROP/DX INIT HOUR-ED,450,RC,96365,CPT,,,outpatient,,,420,,210,252,407.4,394.8,,,,percent of total billed charges,,336,,,,percent of total billed charges,,399,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,378,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,397.32,,,,percent of total billed charges,,399,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,399,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,378,,,,percent of total billed charges,,336.42,,,,percent of total billed charges,,378,,,,percent of total billed charges,,252,,,,percent of total billed charges,,390.138,,,,percent of total billed charges,,399,,,,percent of total billed charges,,399,,,,percent of total billed charges,,336,,,,percent of total billed charges,,252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,336.462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WHIRLPOOL; PER 15 MINUTES (GRMC ONLY),421,RC,97022,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SURFACTANT DELIVERY,410,RC,94610,CPT,,,outpatient,,,243,,121.5,145.8,235.71,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,194.643,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,225.7227,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,194.6673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE COMPLETE W/CONTRAST,480,RC,C8923,HCPCS,,,outpatient,,,930,,465,558,902.1,874.2,,,,percent of total billed charges,,744,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,771.9,,,,percent of total billed charges,,837,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,879.78,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,902.1,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,837,,,,percent of total billed charges,,744.93,,,,percent of total billed charges,,837,,,,percent of total billed charges,,558,,,,percent of total billed charges,,863.877,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,744,,,,percent of total billed charges,,558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,745.023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LTD F/U WITH CONTRST,480,RC,C8924,HCPCS,,,outpatient,,,628,,314,376.8,609.16,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,503.028,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,583.3492,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,503.0908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEE COMPLETE W/CONTRAST,480,RC,C8925,HCPCS,,,outpatient,,,1929,,964.5,1157.4,1871.13,1813.26,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1601.07,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1824.834,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1871.13,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1697.52,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1545.129,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1791.8481,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1545.3219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CONTRAST,GASTROVIEW MD 367 (GASTROGRAFIN) - PER 1 ML",636,RC,Q9963,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96376-450 IV PUSH INJ ADD-ON - ED,450,RC,96376,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNIZATION ADMIN SINGLE,771,RC,90471,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90472-0771 IMMUNIZATION ADMIN EA ADD,771,RC,90472,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDRATION INIT 31MIN-1 HR,450,RC,96360,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDRATION EA ADDL HOUR,450,RC,96361,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96375-450 IV PUSH NEW INJ ADD-ON-ED,450,RC,96375,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV INFUSION EA ADDL HOUR,450,RC,96366,CPT,,,outpatient,,,188,,94,112.8,182.36,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,150.588,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,174.6332,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.6068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PICC FAILED ATT >/EQ 3YRS,361,RC,36410,CPT,,,outpatient,,,879,,439.5,527.4,852.63,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,704.079,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,816.5031,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.1669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED VENIPUNCTURE,450,RC,36415,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH-COLLECTION OF SPECIMEN,300,RC,P9612,HCPCS,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEQUENTIAL IV INFUSION; UP TO 1 HR,260,RC,96367,CPT,,,outpatient,,,343,,171.5,205.8,332.71,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,274.743,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,318.6127,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,274.7773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONCURRENT INFUSION,260,RC,96368,CPT,,,outpatient,,,346,,173,207.6,335.62,325.24,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,287.18,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,327.316,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,335.62,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,304.48,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,277.146,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,321.3994,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.1806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV PUSH INJ ADD-ON (SAME DRUG),940,RC,96376,CPT,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMO IV PUSH, NEW DRUG",331,RC,96411,CPT,,,outpatient,,,423,,211.5,253.8,410.31,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,338.823,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,392.9247,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,338.8653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO PUMP INF +8HRS,335,RC,G0498,HCPCS,,,outpatient,,,2524,,1262,1514.4,2448.28,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2021.724,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2344.5436,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.9764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO SEQ INF 16-90MIN,335,RC,96417,CPT,,,outpatient,,,431,,215.5,258.6,418.07,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,345.231,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,400.3559,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,345.2741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINIC IMMUNIZATION,771,RC,90471,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLINIC IMMUN, ADD ON",771,RC,90472,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD DRAW VIA HEPLOCK,510,RC,36592,CPT,,,outpatient,,,387,,193.5,232.2,375.39,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,309.987,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,359.4843,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.0257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36591-0510 BLOOD DRAW VIA PORT,510,RC,36591,CPT,,,outpatient,,,347,,173.5,208.2,336.59,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,277.947,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,322.3283,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.9817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DECLOT PORT W/THROMB,360,RC,36593,CPT,,,outpatient,,,709,,354.5,425.4,687.73,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,567.909,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,658.5901,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,567.9799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96523-0940 PORT FLUSH,940,RC,96523,CPT,,,outpatient,,,343,,171.5,205.8,332.71,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,274.743,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,318.6127,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,274.7773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MISC CHEMO,335,RC,96549,CPT,,,outpatient,,,1014,,507,608.4,983.58,953.16,,,,percent of total billed charges,,811.2,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,841.62,,,,percent of total billed charges,,912.6,,,,percent of total billed charges,,932.88,,,,percent of total billed charges,,932.88,,,,percent of total billed charges,,959.244,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,983.58,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,892.32,,,,percent of total billed charges,,912.6,,,,percent of total billed charges,,812.214,,,,percent of total billed charges,,912.6,,,,percent of total billed charges,,608.4,,,,percent of total billed charges,,941.9046,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,811.2,,,,percent of total billed charges,,608.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,812.3154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D DOPPLER COLOR FLOW COMPLETE,483,RC,93306,CPT,,,outpatient,,,2947,,1473.5,1768.2,2858.59,2770.18,,,,percent of total billed charges,,2357.6,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2446.01,,,,percent of total billed charges,,2652.3,,,,percent of total billed charges,,2711.24,,,,percent of total billed charges,,2711.24,,,,percent of total billed charges,,2787.862,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2858.59,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2593.36,,,,percent of total billed charges,,2652.3,,,,percent of total billed charges,,2360.547,,,,percent of total billed charges,,2652.3,,,,percent of total billed charges,,1768.2,,,,percent of total billed charges,,2737.4683,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2357.6,,,,percent of total billed charges,,1768.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2360.8417,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D DOPPLER COLOR FLOW COMPLETE W/CONTR,480,RC,C8929,HCPCS,,,outpatient,,,1929,,964.5,1157.4,1871.13,1813.26,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1601.07,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1824.834,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1871.13,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1697.52,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1545.129,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1791.8481,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1545.3219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHOCARDIOGRAM STRESS INCL ECG&ECHO,480,RC,93351,CPT,,,outpatient,,,1255,,627.5,753,1217.35,1179.7,,,,percent of total billed charges,,1004,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1041.65,,,,percent of total billed charges,,1129.5,,,,percent of total billed charges,,1154.6,,,,percent of total billed charges,,1154.6,,,,percent of total billed charges,,1187.23,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1217.35,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1104.4,,,,percent of total billed charges,,1129.5,,,,percent of total billed charges,,1005.255,,,,percent of total billed charges,,1129.5,,,,percent of total billed charges,,753,,,,percent of total billed charges,,1165.7695,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1004,,,,percent of total billed charges,,753,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1005.3805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ OF CONTRAST DURING STRESS ECHO,480,RC,93352,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO STRESS W/CNTRST INCL ECG&ECHO/MED,480,RC,C8930,HCPCS,,,outpatient,,,1851,,925.5,1110.6,1795.47,1739.94,,,,percent of total billed charges,,1480.8,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1536.33,,,,percent of total billed charges,,1665.9,,,,percent of total billed charges,,1702.92,,,,percent of total billed charges,,1702.92,,,,percent of total billed charges,,1751.046,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1795.47,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1628.88,,,,percent of total billed charges,,1665.9,,,,percent of total billed charges,,1482.651,,,,percent of total billed charges,,1665.9,,,,percent of total billed charges,,1110.6,,,,percent of total billed charges,,1719.3939,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1480.8,,,,percent of total billed charges,,1110.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.8361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LIMITED F/U ED,480,RC,93308,CPT,,,outpatient,,,628,,314,376.8,609.16,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,503.028,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,583.3492,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,503.0908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RETROPERITONEAL US, LIMITED",402,RC,76775,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED ULTRASOUND PROC,361,RC,,,,,outpatient,,,1300,,650,780,1261,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1207.57,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1041.43,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US GUIDE NEEDLE PLCMT S&I,320,RC,76942,CPT,,,outpatient,,,754,,377,452.4,731.38,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,603.954,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,700.3906,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,604.0294,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROM MEASUREMENT,421,RC,95851,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, PELVIC LIMITED",402,RC,76857,CPT,,,outpatient,,,500,,250,300,485,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,464.45,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,400.55,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSVAGINAL US OBSTETRIC,402,RC,76817,CPT,,,outpatient,,,904,,452,542.4,876.88,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,724.104,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,839.7256,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.1944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US, LIMITED FETUS(S)",402,RC,76815,CPT,,,outpatient,,,488,,244,292.8,473.36,458.72,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,405.04,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,461.648,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,473.36,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,429.44,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,390.888,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,453.3032,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,390.9368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO EXAM OF ABDOMEN,402,RC,76705,CPT,,,outpatient,,,806,,403,483.6,781.82,757.64,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,668.98,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,762.476,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,781.82,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,709.28,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,645.606,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,748.6934,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,645.6866,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, CHEST",402,RC,76604,CPT,,,outpatient,,,808,,404,484.8,783.76,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,647.208,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,750.5512,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,647.2888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, EXTREMITY",402,RC,76882,CPT,,,outpatient,,,596,,298,357.6,578.12,560.24,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,494.68,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,563.816,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,578.12,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,524.48,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,477.396,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,553.6244,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,477.4556,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPHTHALMIC US,W/B-SCAN-ED",402,RC,76512,CPT,,,outpatient,,,378,,189,226.8,366.66,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,302.778,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,351.1242,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.8158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76706-0402 ABDOMINAL SCREENING AAA,402,RC,76706,CPT,,,outpatient,,,777,,388.5,466.2,753.69,730.38,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,644.91,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,735.042,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,753.69,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,683.76,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,622.377,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,721.7553,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,622.4547,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC REHAB LEVEL III,943,RC,,,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC REHAB W/O CONT MONITOR,943,RC,93797,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST AAC NON-SPEECH DEVICE,440,RC,92606,CPT,,,outpatient,,,526,,263,315.6,510.22,494.44,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,436.58,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,497.596,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,510.22,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,462.88,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,421.326,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,488.6014,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,421.3786,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST EVAL SPEECH AAC <=1 HR,444,RC,92607,CPT,,,outpatient,,,784,,392,470.4,760.48,736.96,,,,percent of total billed charges,,627.2,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,650.72,,,,percent of total billed charges,,705.6,,,,percent of total billed charges,,721.28,,,,percent of total billed charges,,721.28,,,,percent of total billed charges,,741.664,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,760.48,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,689.92,,,,percent of total billed charges,,705.6,,,,percent of total billed charges,,627.984,,,,percent of total billed charges,,705.6,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,728.2576,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,627.2,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,628.0624,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST SPEECH THERAPY AAC DEVICE,440,RC,92609,CPT,,,outpatient,,,484,,242,290.4,469.48,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,387.684,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,449.5876,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,387.7324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST APHASIA EVAL (1 HR),440,RC,96105,CPT,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST NO SHOW/NO CHARGE,990,RC,,,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSITIONAL NYSTAGMUS TEST,920,RC,92542,CPT,,,outpatient,,,477,,238.5,286.2,462.69,448.38,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,395.91,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,451.242,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,462.69,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,419.76,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,382.077,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,443.0853,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,382.1247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAP NAP/OUTPATIENT VISIT,920,RC,95805,CPT,,,outpatient,,,1664,,832,998.4,1614.08,1564.16,,,,percent of total billed charges,,1331.2,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1381.12,,,,percent of total billed charges,,1497.6,,,,percent of total billed charges,,1530.88,,,,percent of total billed charges,,1530.88,,,,percent of total billed charges,,1574.144,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1614.08,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1464.32,,,,percent of total billed charges,,1497.6,,,,percent of total billed charges,,1332.864,,,,percent of total billed charges,,1497.6,,,,percent of total billed charges,,998.4,,,,percent of total billed charges,,1545.6896,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1331.2,,,,percent of total billed charges,,998.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1333.0304,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPLINT SHLDER/HAND LONG ARM,420,RC,29105,CPT,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT CAST B KNEE/TOE SHRT LG WA,420,RC,29425,CPT,,,outpatient,,,587,,293.5,352.2,569.39,551.78,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,487.21,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,555.302,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,569.39,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,516.56,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,470.187,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,545.2643,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,470.2457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPLINT THIGH/ANKLE/TOE LLEG,420,RC,29505,CPT,,,outpatient,,,401,,200.5,240.6,388.97,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,321.201,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,372.4889,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,321.2411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPLINT CALF/FOOT SHORT LEG,420,RC,29515,CPT,,,outpatient,,,401,,200.5,240.6,388.97,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,321.201,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,372.4889,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,321.2411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT STRAPPING KNEE,420,RC,29530,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT STRAPPING ANKLE/FOOT,420,RC,29540,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT APPLICATION UNNA BOOT,420,RC,29580,CPT,,,outpatient,,,474,,237,284.4,459.78,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,379.674,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,440.2986,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,379.7214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ELECTRICAL STIM UNATTENDED,420,RC,G0283,HCPCS,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT VASOPNEUMATIC COMPRESSION,420,RC,97016,CPT,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT PARAFIN BATH,420,RC,97018,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WHIRLPOOL & NON-SELECT DEBR,420,RC,97022,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT IONTOPHORESIS (15),420,RC,97033,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT AQUATIC THRPY W/SUPR (15),420,RC,97113,CPT,,,outpatient,,,173,,86.5,103.8,167.81,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,138.573,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,160.6997,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,138.5903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT AQUATIC GROUP THERAPY,420,RC,97150,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT THERAPEUTIC ACTIVITY (15),420,RC,97530,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SENSORY INTEGRATION (15),420,RC,97533,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ADL SELF CARE (15),420,RC,97535,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT COMM/WORK INTEGRATION (15),420,RC,97537,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WHEELCHAIR MANAGEMENT (15),420,RC,97542,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WORK HARDENING (2HRS),420,RC,97545,CPT,,,outpatient,,,895,,447.5,537,868.15,841.3,,,,percent of total billed charges,,716,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,742.85,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,846.67,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,868.15,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,787.6,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,716.895,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,537,,,,percent of total billed charges,,831.3655,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,716,,,,percent of total billed charges,,537,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,716.9845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WORK HARDENING (ADD HR),420,RC,97546,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT PHYSICAL PERFORMANCE-15 MIN,420,RC,97750,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ORTHOTIC TRAIN/FIT (15),420,RC,97760,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT PROSTHETIC TRAINING (15),420,RC,97761,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ORTH/PROTH CHECK (15),420,RC,97763,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPECIAL ORDER DEVICE,270,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT NO SHOW/NO CHARGE,990,RC,,,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT BTE EXTENDED BH,420,RC,,,,,outpatient,,,176,,88,105.6,170.72,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,140.976,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,163.4864,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.9936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SPLINT FOREARM/HAND STATIC,430,RC,29125,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SPLINT FINGER STATIC,430,RC,29130,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT STRAPPING SHOULDER,430,RC,29240,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ELECTRICAL STIM UNATTENDED,430,RC,G0283,HCPCS,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT VASOPNEUMATIC COMPRESSION,430,RC,97016,CPT,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT PARAFIN BATH,430,RC,97018,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WHIRLPOOL,431,RC,97022,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT IONTOPHORESIS (15),430,RC,97033,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT CONTRAST BATH (15),430,RC,97034,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ULTRASOUND (15),430,RC,97035,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT NEUROMUSCULR RE-ED (15),430,RC,97112,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SENSORY INTEGRATION (15),430,RC,97533,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT COMM/WORK INTEGRATION (15),430,RC,97537,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WORK HARDENING (2HRS),430,RC,97545,CPT,,,outpatient,,,895,,447.5,537,868.15,841.3,,,,percent of total billed charges,,716,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,742.85,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,846.67,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,868.15,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,787.6,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,716.895,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,537,,,,percent of total billed charges,,831.3655,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,716,,,,percent of total billed charges,,537,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,716.9845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WORK HARDENING (ADD HR),430,RC,97546,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT NON-SELECTIVE DEBRIDEMENT,430,RC,97602,CPT,,,outpatient,,,382,,191,229.2,370.54,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,305.982,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,354.8398,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.0202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT PHYSICAL PERFORMANCE,430,RC,97750,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ORTHOTIC TRAIN/FIT (15),430,RC,97760,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT PROSTHETIC TRAIN (15),430,RC,97761,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ORTH/PROTH CHECK (15),430,RC,97763,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SPECIAL ORDER DEVICE,270,RC,,,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT NO SHOW/NO CHARGE,990,RC,,,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EKG 1-3LEADS TRACING ONLY,730,RC,93041,CPT,,,outpatient,,,306,,153,183.6,296.82,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,245.106,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,284.2434,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.1366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA NUTRITION FOLLOW-UP (15),942,RC,97803,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA EXERCISE PHYSIOLOGIST,942,RC,S9449,HCPCS,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA WELLNESS MEMBER FEE 2,942,RC,S9970,HCPCS,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA WEIGHT MANAGEMENT EXT 07,942,RC,S9970,HCPCS,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA WEIGHT MANAGEMENT 07,942,RC,S9970,HCPCS,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER GASTRIC LAVAGE,450,RC,43753,CPT,,,outpatient,,,661,,330.5,396.6,641.17,621.34,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,548.63,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,625.306,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,641.17,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,581.68,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,529.461,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,614.0029,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,529.5271,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51701-0450 ER INSERT TEMP CATH BLADDER,450,RC,51701,CPT,,,outpatient,,,409,,204.5,245.4,396.73,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,327.609,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,379.9201,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.6499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51702-0450 ER TEMP INDWELLING CATHETER,450,RC,51702,CPT,,,outpatient,,,473,,236.5,283.8,458.81,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,378.873,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,439.3697,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.9203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51703-0450 ER INDWELLING CATHETER COMPLEX,450,RC,51703,CPT,,,outpatient,,,845,,422.5,507,819.65,794.3,,,,percent of total billed charges,,676,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,701.35,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,799.37,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,819.65,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,743.6,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,676.845,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,507,,,,percent of total billed charges,,784.9205,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,676,,,,percent of total billed charges,,507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,676.9295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOCCULT TEST STOOL,300,RC,82272,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER TEMPORARY EXT PACING NOT CC,450,RC,92953,CPT,,,outpatient,,,1236,,618,741.6,1198.92,1161.84,,,,percent of total billed charges,,988.8,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1025.88,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,1137.12,,,,percent of total billed charges,,1137.12,,,,percent of total billed charges,,1169.256,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1198.92,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1087.68,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,990.036,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,1148.1204,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,988.8,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,990.1596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER IV INF ADDL SEQ <=1 HOUR,450,RC,96367,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER IV INF CONCURRENT DRUG,450,RC,96368,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIFT TEST - INSTITUTIONAL,420,RC,,,,,outpatient,,,232,,116,139.2,225.04,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,185.832,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,215.5048,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.8552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR MEP-BOTH,922,RC,95939,CPT,,,outpatient,,,4088,,2044,2452.8,3965.36,3842.72,,,,percent of total billed charges,,3270.4,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3393.04,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,3760.96,,,,percent of total billed charges,,3760.96,,,,percent of total billed charges,,3867.248,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3965.36,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3597.44,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,3274.488,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2452.8,,,,percent of total billed charges,,3797.3432,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3270.4,,,,percent of total billed charges,,2452.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3274.8968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WHEELCHAIR MANAGEMENT (15),430,RC,97542,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 1-2 STUDIES,920,RC,95907,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 3-4 STUDIES,920,RC,95908,CPT,,,outpatient,,,704,,352,422.4,682.88,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,563.904,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,653.9456,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,563.9744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 5-6 STUDIES,920,RC,95909,CPT,,,outpatient,,,1057,,528.5,634.2,1025.29,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,846.657,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,981.8473,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,846.7627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 7-8 STUDIES,920,RC,95910,CPT,,,outpatient,,,1405,,702.5,843,1362.85,1320.7,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1166.15,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1329.13,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1362.85,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1236.4,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,1125.405,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,843,,,,percent of total billed charges,,1305.1045,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,843,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1125.5455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 9-10 STUDIES,920,RC,95911,CPT,,,outpatient,,,1761,,880.5,1056.6,1708.17,1655.34,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1461.63,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1665.906,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1708.17,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1549.68,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1410.561,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,1635.7929,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1410.7371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 11-12 STUDIES,920,RC,95912,CPT,,,outpatient,,,2110,,1055,1266,2046.7,1983.4,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1751.3,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1996.06,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2046.7,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1856.8,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1690.11,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,1959.979,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1690.321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 13 OR MORE STUDIES,920,RC,95913,CPT,,,outpatient,,,2462,,1231,1477.2,2388.14,2314.28,,,,percent of total billed charges,,1969.6,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2043.46,,,,percent of total billed charges,,2215.8,,,,percent of total billed charges,,2265.04,,,,percent of total billed charges,,2265.04,,,,percent of total billed charges,,2329.052,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2388.14,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2166.56,,,,percent of total billed charges,,2215.8,,,,percent of total billed charges,,1972.062,,,,percent of total billed charges,,2215.8,,,,percent of total billed charges,,1477.2,,,,percent of total billed charges,,2286.9518,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,1969.6,,,,percent of total billed charges,,1477.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1972.3082,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SSEP-UPPER & LOWER,920,RC,95938,CPT,,,outpatient,,,997,,498.5,598.2,967.09,937.18,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,827.51,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,943.162,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,967.09,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,877.36,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,798.597,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,926.1133,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,798.6967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY YOUNGER THAN 6 YRS W/CPAP,920,RC,95783,CPT,,,outpatient,,,5138,,2569,3082.8,4983.86,4829.72,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4264.54,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4860.548,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4983.86,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4521.44,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4115.538,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,4772.6882,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4116.0518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY YOUNGER THAN 6 YRS  4 OR MORE,920,RC,95782,CPT,,,outpatient,,,4881,,2440.5,2928.6,4734.57,4588.14,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4051.23,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4617.426,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4734.57,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4295.28,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,3909.681,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,4533.9609,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3910.1691,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR SSEP-UPPER & LOWER,920,RC,95938,CPT,,,outpatient,,,997,,498.5,598.2,967.09,937.18,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,827.51,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,943.162,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,967.09,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,877.36,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,798.597,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,926.1133,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,798.6967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR INTRA OP MONITORING IN OR EA 15 MIN,920,RC,95940,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR INTRA OP MONITORING OUT OF OR PER HOUR,920,RC,95941,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 1-2 STUDIES,920,RC,95907,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 3-4 STUDIES,920,RC,95908,CPT,,,outpatient,,,681,,340.5,408.6,660.57,640.14,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,565.23,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,644.226,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,660.57,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,599.28,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,545.481,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,632.5809,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,545.5491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 5-6 STUDIES,920,RC,95909,CPT,,,outpatient,,,1057,,528.5,634.2,1025.29,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,846.657,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,981.8473,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,846.7627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 7-8 STUDIES,920,RC,95910,CPT,,,outpatient,,,1405,,702.5,843,1362.85,1320.7,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1166.15,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1329.13,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1362.85,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1236.4,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,1125.405,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,843,,,,percent of total billed charges,,1305.1045,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,843,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1125.5455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 9-10 STUDIES,920,RC,95911,CPT,,,outpatient,,,1761,,880.5,1056.6,1708.17,1655.34,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1461.63,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1665.906,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1708.17,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1549.68,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1410.561,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,1635.7929,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1410.7371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 11-12 STUDIES,920,RC,95912,CPT,,,outpatient,,,2110,,1055,1266,2046.7,1983.4,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1751.3,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1996.06,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2046.7,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1856.8,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1690.11,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,1959.979,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1690.321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 13 OR MORE STUDIES,920,RC,95913,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSYCH DIAG EVAL,914,RC,90791,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90832-0914 PSYCHOTHERAPY, 30 MINUTES W/ PATIENT",914,RC,90832,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90834-0914 PSYCHOTHERAPY, 45 MINUTES W/ PATIENT",914,RC,90834,CPT,,,outpatient,,,277,,138.5,166.2,268.69,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,221.877,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,257.3053,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,221.9047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90837-0914 PSYCHOTHERAPY, 60 MINUTES W/ PATIENT",914,RC,90837,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S.A. NURSING EXAM,990,RC,,,,,outpatient,,,350,,175,210,339.5,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,280.35,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,325.115,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,280.385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICC W/O PORT 5+ YRS W/O IMAGE,361,RC,36569,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS PROCEDURE,361,RC,32554,CPT,,,outpatient,,,2007,,1003.5,1204.2,1946.79,1886.58,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1665.81,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1898.622,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1946.79,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1766.16,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1607.607,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,1864.3023,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1607.8077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUMBAR SPINAL PUNC PROC W/O GUIDE,361,RC,62270,CPT,,,outpatient,,,2011,,1005.5,1206.6,1950.67,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1610.811,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,1868.0179,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1611.0121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 38220-0361 BONE MARROW ASPIRATION,361,RC,38220,CPT,,,outpatient,,,2434,,1217,1460.4,2360.98,2287.96,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2020.22,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2302.564,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2360.98,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2141.92,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1949.634,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,2260.9426,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1949.8774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERITONEOCENTESIS, INITIAL",361,RC,49082,CPT,,,outpatient,,,2662,,1331,1597.2,2582.14,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2132.262,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2472.7318,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2132.5282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT NON-TUNNEL CATH AGE>5,361,RC,36556,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11042-0361 DEBRIDEMENT SUBQ TISS <+20 CM,361,RC,11042,CPT,,,outpatient,,,783,,391.5,469.8,759.51,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,627.183,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,727.3287,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,627.2613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32551-0361 INSERTION OF CHEST TUBE,361,RC,32551,CPT,,,outpatient,,,4102,,2051,2461.2,3978.94,3855.88,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3404.66,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3880.492,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3978.94,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3609.76,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3285.702,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,3810.3478,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3286.1122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT CATH PLEURA W/O IMAGE,361,RC,32556,CPT,,,outpatient,,,3919,,1959.5,2351.4,3801.43,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3139.119,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3640.3591,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3139.5109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREAT PLEURODESIS W/AGENT,361,RC,32560,CPT,,,outpatient,,,1801,,900.5,1080.6,1746.97,1692.94,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1494.83,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1703.746,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1746.97,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1584.88,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1442.601,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,1672.9489,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1442.7811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYSE CHEST FIBRIN INITIAL DAY,361,RC,32561,CPT,,,outpatient,,,1265,,632.5,759,1227.05,1189.1,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1049.95,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1196.69,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1227.05,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1113.2,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1013.265,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,1175.0585,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,759,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1013.3915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYSE CHEST FIBRIN SUBS DAY,361,RC,32562,CPT,,,outpatient,,,1265,,632.5,759,1227.05,1189.1,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1049.95,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1196.69,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1227.05,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1113.2,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1013.265,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,1175.0585,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,759,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1013.3915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PULM REHAB - NON COPD, STRENGTH & ENDURANCE, 2 OR MORE",948,RC,G0239,HCPCS,,,outpatient,,,472,,236,283.2,457.84,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,378.072,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,438.4408,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.1192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT FLUIDOTHERAPY,420,RC,97022,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALC/SUB ABUSE SCRN, BRIEF INTE 15 TO 30 MIN",940,RC,G0396,HCPCS,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALC/SUB ABUSE SCRN, BRIEF INTE >30 MIN",940,RC,G0397,HCPCS,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OP UNSCHED/ EMER DIALYSIS (NONCERT FAC),829,RC,G0257,HCPCS,,,outpatient,,,1917,,958.5,1150.2,1859.49,1801.98,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1591.11,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1813.482,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1859.49,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1686.96,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1535.517,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,1780.7013,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1535.7087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNLISTED THERAPEUTIC PROC (SERIAL CASTING), PER 15 MIN",420,RC,97139,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPEECH GROUP TX,443,RC,97150,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT EVAL-LOW,424,RC,97161,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT EVAL-MODERATE,424,RC,97162,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT EVAL-HIGH,424,RC,97163,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT EVAL-LOW,434,RC,97165,CPT,,,outpatient,,,415,,207.5,249,402.55,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,332.415,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,385.4935,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,332.4565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT EVAL-MODERATE,434,RC,97166,CPT,,,outpatient,,,415,,207.5,249,402.55,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,332.415,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,385.4935,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,332.4565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT EVAL-HIGH,434,RC,97167,CPT,,,outpatient,,,415,,207.5,249,402.55,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,332.415,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,385.4935,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,332.4565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT RE-EVALUATION,424,RC,97164,CPT,,,outpatient,,,206,,103,123.6,199.82,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,165.006,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,191.3534,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.0266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT RE-EVALUATION,434,RC,97168,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APPLICATON ON-BODY INJECTOR,940,RC,96377,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMUSC JCT REP STIM EA,922,RC,95937,CPT,,,outpatient,,,1057,,528.5,634.2,1025.29,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,846.657,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,981.8473,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,846.7627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG NONEXTREM MUSCLE W/NCS AMP LAT VEL,922,RC,95887,CPT,,,outpatient,,,673,,336.5,403.8,652.81,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,539.073,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,625.1497,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,539.1403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPEECH LANGUAGE GROUP,440,RC,92508,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92524-0920 BEHAVRAL QUALIT ANALYS VOICE,920,RC,92524,CPT,,,outpatient,,,764,,382,458.4,741.08,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,611.964,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,709.6796,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.0404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINICAL SWALLOW EVAL,440,RC,92610,CPT,,,outpatient,,,648,,324,388.8,628.56,609.12,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,537.84,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,596.16,,,,percent of total billed charges,,596.16,,,,percent of total billed charges,,613.008,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,628.56,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,519.048,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,601.9272,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,519.1128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WHIRLPOOL TREATMENT,430,RC,97022,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT THERAPEUTIC PROCEDURE GROUP,430,RC,97150,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLD OCCULT PEROXIDASE FECES 82272,450,RC,82272,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE CATH FOR SPECIMEN P9612,450,RC,P9612,HCPCS,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64520 INJ/BLK LUMBAR/THOR,361,RC,64520,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAP-NAP -OPT VISIT,920,RC,95807,CPT,,,outpatient,,,1673,,836.5,1003.8,1622.81,1572.62,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1388.59,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1582.658,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1622.81,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1472.24,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1340.073,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,1554.0497,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1340.2403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SLEEP STUDY, WITH SIMULTANEOUS RECORDING",920,RC,95807,CPT,,,outpatient,,,1673,,836.5,1003.8,1622.81,1572.62,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1388.59,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1582.658,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1622.81,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1472.24,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1340.073,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,1554.0497,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1340.2403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MULTI, SLEEP LATENCY OR MAINTANCE OF WAKEFULNESS",920,RC,95805,CPT,,,outpatient,,,1673,,836.5,1003.8,1622.81,1572.62,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1388.59,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1582.658,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1622.81,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1472.24,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1340.073,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,1554.0497,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1340.2403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INPT SCREENING FOR SLEEP APNEA,410,RC,,,,,outpatient,,,950,,475,570,921.5,893,,,,percent of total billed charges,,760,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,855,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,898.7,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,836,,,,percent of total billed charges,,855,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,855,,,,percent of total billed charges,,570,,,,percent of total billed charges,,882.455,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,760,,,,percent of total billed charges,,570,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,761.045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INPT SLEEP APNEA MONITORING SET UP,410,RC,,,,,outpatient,,,1662,,831,997.2,1612.14,1562.28,,,,percent of total billed charges,,1329.6,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1379.46,,,,percent of total billed charges,,1495.8,,,,percent of total billed charges,,1529.04,,,,percent of total billed charges,,1529.04,,,,percent of total billed charges,,1572.252,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1612.14,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1462.56,,,,percent of total billed charges,,1495.8,,,,percent of total billed charges,,1331.262,,,,percent of total billed charges,,1495.8,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,1543.8318,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1329.6,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1331.4282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INPT SLEEP APNEA MONITORING,410,RC,,,,,outpatient,,,950,,475,570,921.5,893,,,,percent of total billed charges,,760,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,855,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,898.7,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,836,,,,percent of total billed charges,,855,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,855,,,,percent of total billed charges,,570,,,,percent of total billed charges,,882.455,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,760,,,,percent of total billed charges,,570,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,761.045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV ADD'L 15 MIN - ST,440,RC,97130,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONT GLUC MNTR PT PROV EQP,920,RC,95249,CPT,,,outpatient,,,210,,105,126,203.7,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,168.21,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,195.069,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV INITIAL 15 MIN-OT,430,RC,97129,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV ADD'L 15 MIN - OT,430,RC,97130,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSLT/MWT < 6 HRS,920,RC,95805,CPT,,,outpatient,,,3853,,1926.5,2311.8,3737.41,3621.82,,,,percent of total billed charges,,3082.4,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3197.99,,,,percent of total billed charges,,3467.7,,,,percent of total billed charges,,3544.76,,,,percent of total billed charges,,3544.76,,,,percent of total billed charges,,3644.938,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3737.41,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3390.64,,,,percent of total billed charges,,3467.7,,,,percent of total billed charges,,3086.253,,,,percent of total billed charges,,3467.7,,,,percent of total billed charges,,2311.8,,,,percent of total billed charges,,3579.0517,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3082.4,,,,percent of total billed charges,,2311.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3086.6383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTERIAL BLD GAS COLLCTN-RESP,761,RC,36600,CPT,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHIAL CHALLENGE TEST-RESP,460,RC,94070,CPT,,,outpatient,,,743,,371.5,445.8,720.71,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,595.143,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,690.1727,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,595.2173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEX EXERCISE STRESS TEST-RESP,460,RC,94621,CPT,,,outpatient,,,2176,,1088,1305.6,2110.72,2045.44,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1806.08,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2058.496,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2110.72,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1914.88,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1742.976,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,2021.2864,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1743.1936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG VOLUME FRC-RESP,460,RC,94727,CPT,,,outpatient,,,608,,304,364.8,589.76,571.52,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,504.64,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,575.168,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,589.76,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,535.04,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,487.008,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,564.7712,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,487.0688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METABOLIC ASSESSMENT-RESP,460,RC,94690,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX-MULTIPLE-RESP,460,RC,94761,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMPLE EXERCISE STRESS TEST-RESP,460,RC,94618,CPT,,,outpatient,,,743,,371.5,445.8,720.71,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,595.143,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,690.1727,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,595.2173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY & MVV-RESP,460,RC,94010,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY WITH BRONCHODIL-RESP,460,RC,94060,CPT,,,outpatient,,,768,,384,460.8,744.96,721.92,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,637.44,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,726.528,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,744.96,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,675.84,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,615.168,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,713.3952,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,615.2448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY-NO BRONCHODIL-RESP,460,RC,94010,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAL CAPACITY TOTAL SLOW-RESP,460,RC,94150,CPT,,,outpatient,,,380,,190,228,368.6,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,304.38,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,352.982,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,304.418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY STRESS TESTING-RESP,460,RC,94618,CPT,,,outpatient,,,456,,228,273.6,442.32,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,365.256,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,423.5784,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,365.3016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPIROMETRY,BEFORE&AFTER BRONCHO,CHILD UP TO 2 YRS-RESP",460,RC,94012,CPT,,,outpatient,,,795,,397.5,477,771.15,747.3,,,,percent of total billed charges,,636,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,659.85,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,752.07,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,771.15,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,636.795,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,477,,,,percent of total billed charges,,738.4755,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,636,,,,percent of total billed charges,,477,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,636.8745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSYC TESTING EVAL, FIRST HR",918,RC,96130,CPT,,,outpatient,,,299,,149.5,179.4,290.03,281.06,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,248.17,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,282.854,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,290.03,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,239.499,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,277.7411,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,239.5289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSYCH TESTING EVAL, EACH ADD'L HOUR",918,RC,96131,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96136-0918 NEURO TEST ADM TWO OR MORE, FIRST 30 MIN",918,RC,96136,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSYCH/ NEURO TEST ADM, TWO OR MORE, EA  ADD'L 30 MIN",918,RC,96137,CPT,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCREENING BY LICENSED PSYCHOLOGIST,969,RC,T1023,HCPCS,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEV TEST ADM, W/ INTERP & REPORT, 1ST  HOUR",918,RC,96112,CPT,,,outpatient,,,372,,186,223.2,360.84,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,297.972,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,345.5508,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.0092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEV TEST ADM, W/ INTERP & REPORT, EA ADD'L 30 MIN",918,RC,96113,CPT,,,outpatient,,,186,,93,111.6,180.42,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,148.986,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,172.7754,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.0046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDIVIDUAL PSYCHOTHERAPY 60 MIN +E/M,914,RC,90838,CPT,,,outpatient,,,357,,178.5,214.2,346.29,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,285.957,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,331.6173,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.9927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20220-0450 BONE BIOPSY, TROCAR/NEEDLE",450,RC,20220,CPT,,,outpatient,,,3269,,1634.5,1961.4,3170.93,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2618.469,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3036.5741,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2618.7959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40801-0450 DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; COMPLICATED",450,RC,40801,CPT,,,outpatient,,,1676,,838,1005.6,1625.72,1575.44,,,,percent of total billed charges,,1340.8,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1391.08,,,,percent of total billed charges,,1508.4,,,,percent of total billed charges,,1541.92,,,,percent of total billed charges,,1541.92,,,,percent of total billed charges,,1585.496,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1625.72,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1474.88,,,,percent of total billed charges,,1508.4,,,,percent of total billed charges,,1342.476,,,,percent of total billed charges,,1508.4,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,1556.8364,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1340.8,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1342.6436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95992-0420 CANALITH REPOSITIONING PROCEDURE(S), PER DAY-PT",420,RC,95992,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0239-0948 PULM REHAB- NON COPD, STRENGTH & ENDURANCE, 2 OR MORE - >36 SESSIONS",948,RC,G0239,HCPCS,,,outpatient,,,430,,215,258,417.1,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,344.43,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,399.427,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,344.473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67145-0450 PROPHYLAXIS OF RETINAL DETACHMENT,450,RC,67145,CPT,,,outpatient,,,1375,,687.5,825,1333.75,1292.5,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1141.25,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1300.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1333.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1210,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,1101.375,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,825,,,,percent of total billed charges,,1277.2375,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,825,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1101.5125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40804-0450 REMOVAL EMBEDDED FOREIGN BODY, MOUTH; SIMPLE",450,RC,40804,CPT,,,outpatient,,,2276,,1138,1365.6,2207.72,2139.44,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1889.08,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2153.096,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2207.72,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2002.88,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1823.076,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,2114.1764,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1823.3036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28635-0450 TREAT TOE DISLOCATION,450,RC,28635,CPT,,,outpatient,,,3798,,1899,2278.8,3684.06,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3042.198,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3527.9622,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3042.5778,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15853-0450 REMOVE SUTURES OR STAPLES XREQ ANES,450,RC,15853,CPT,,,outpatient,,,524,,262,314.4,508.28,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,419.724,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,486.7436,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,419.7764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15854-0450 REMOVE SUTURES AND STAPLES XREQ ANES,450,RC,15854,CPT,,,outpatient,,,524,,262,314.4,508.28,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,419.724,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,486.7436,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,419.7764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59414-0450 DELIVERY OF PLACENTA - ED,450,RC,59414,CPT,,,outpatient,,,696,,348,417.6,675.12,654.24,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,577.68,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,658.416,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,675.12,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,612.48,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,557.496,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,646.5144,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,557.5656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92020-0450 GONIOSCOPY,450,RC,92020,CPT,,,outpatient,,,290,,145,174,281.3,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,232.29,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,269.381,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,232.319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96401-0450 CHEMOTHERAPY ADMINISTRATION,450,RC,96401,CPT,,,outpatient,,,470,,235,282,455.9,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,376.47,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,436.583,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,376.517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37195-0450 THROMBOLYTIC THERAPY  STR,450,RC,37195,CPT,,,outpatient,,,1304,,652,782.4,1264.88,1225.76,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1082.32,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1233.584,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1264.88,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1147.52,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1044.504,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,1211.2856,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1044.6344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43246-0450 EGD PLACE GASTROSTOMY TUBE,450,RC,43246,CPT,,,outpatient,,,4437,,2218.5,2662.2,4303.89,4170.78,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3682.71,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4197.402,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4303.89,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3904.56,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,3554.037,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,4121.5293,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3554.4807,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41825-0450 EXC OF LESION OR TUMOR, DENTOALVEOLAR STRUCT; WO REPAIR",450,RC,41825,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58999-0450  UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM",450,RC,58999,CPT,,,outpatient,,,535,,267.5,321,518.95,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,428.535,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,496.9615,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,428.5885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42182-0450 REPAIR PALATE LACERATION >2 CM OR COMPLEX,450,RC,42182,CPT,,,outpatient,,,16229,,8114.5,9737.4,15742.13,15255.26,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,13470.07,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,15352.634,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15742.13,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,14281.52,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,12999.429,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,15075.1181,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13001.0519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0410-0915 GRP PSYCHOTH PHP/IOP 45-50 MINS,915,RC,G0410,HCPCS,,,outpatient,,,234,,117,140.4,226.98,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,187.434,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,217.3626,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.4574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59025-0450 FETAL NON STRESS TEST,450,RC,59025,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27222-0450 TREAT HIP SOCKET FRACTURE,450,RC,27222,CPT,,,outpatient,,,521,,260.5,312.6,505.37,489.74,,,,percent of total billed charges,,416.8,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,432.43,,,,percent of total billed charges,,468.9,,,,percent of total billed charges,,479.32,,,,percent of total billed charges,,479.32,,,,percent of total billed charges,,492.866,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,505.37,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,458.48,,,,percent of total billed charges,,468.9,,,,percent of total billed charges,,417.321,,,,percent of total billed charges,,468.9,,,,percent of total billed charges,,312.6,,,,percent of total billed charges,,483.9569,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,416.8,,,,percent of total billed charges,,312.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,417.3731,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12007-0450 RPR S/N/AX/GEN/TRNK >30.0 CM,450,RC,12007,CPT,,,outpatient,,,526,,263,315.6,510.22,494.44,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,436.58,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,497.596,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,510.22,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,462.88,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,421.326,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,488.6014,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,421.3786,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12016-0450 RPR FE/E/EN/L/M 12.6-20.0 CM,450,RC,12016,CPT,,,outpatient,,,1047,,523.5,628.2,1015.59,984.18,,,,percent of total billed charges,,837.6,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,869.01,,,,percent of total billed charges,,942.3,,,,percent of total billed charges,,963.24,,,,percent of total billed charges,,963.24,,,,percent of total billed charges,,990.462,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,1015.59,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,921.36,,,,percent of total billed charges,,942.3,,,,percent of total billed charges,,838.647,,,,percent of total billed charges,,942.3,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,972.5583,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,837.6,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,838.7517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12036-0450 INTMD RPR S/A/T/EXT 20.1-30,450,RC,12036,CPT,,,outpatient,,,1650,,825,990,1600.5,1551,,,,percent of total billed charges,,1320,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1369.5,,,,percent of total billed charges,,1485,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1560.9,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1600.5,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1452,,,,percent of total billed charges,,1485,,,,percent of total billed charges,,1321.65,,,,percent of total billed charges,,1485,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1532.685,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1320,,,,percent of total billed charges,,990,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1321.815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23605-0450 CLTX PRX HMRL FX MNPJ+-TRACT,450,RC,23605,CPT,,,outpatient,,,5471,,2735.5,3282.6,5306.87,5142.74,,,,percent of total billed charges,,4376.8,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,4540.93,,,,percent of total billed charges,,4923.9,,,,percent of total billed charges,,5033.32,,,,percent of total billed charges,,5033.32,,,,percent of total billed charges,,5175.566,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,5306.87,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,4814.48,,,,percent of total billed charges,,4923.9,,,,percent of total billed charges,,4382.271,,,,percent of total billed charges,,4923.9,,,,percent of total billed charges,,3282.6,,,,percent of total billed charges,,5082.0119,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,4376.8,,,,percent of total billed charges,,3282.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4382.8181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24505-0450 CLOSED TX HUMERUS FX,450,RC,24505,CPT,,,outpatient,,,4221,,2110.5,2532.6,4094.37,3967.74,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3503.43,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3993.066,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4094.37,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3714.48,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3381.021,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,3920.8869,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3381.4431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24565-0450 CLOSED TX HUMERUS FX W/ MANIP,450,RC,24565,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26011-0450 DRAINAGE OF FINGER ABSCESS W/ US,450,RC,26011,CPT,,,outpatient,,,4674,,2337,2804.4,4533.78,4393.56,,,,percent of total billed charges,,3739.2,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,3879.42,,,,percent of total billed charges,,4206.6,,,,percent of total billed charges,,4300.08,,,,percent of total billed charges,,4300.08,,,,percent of total billed charges,,4421.604,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,4533.78,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,4113.12,,,,percent of total billed charges,,4206.6,,,,percent of total billed charges,,3743.874,,,,percent of total billed charges,,4206.6,,,,percent of total billed charges,,2804.4,,,,percent of total billed charges,,4341.6786,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,3739.2,,,,percent of total billed charges,,2804.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3744.3414,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26356-0450 REPAIR FINGER/HAND TENDON,450,RC,26356,CPT,,,outpatient,,,8460,,4230,5076,8206.2,7952.4,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7021.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,8003.16,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8206.2,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7444.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,6776.46,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,7858.494,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6777.306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26548-0450 RECONSTRUCT FINGER JOINT,450,RC,26548,CPT,,,outpatient,,,8460,,4230,5076,8206.2,7952.4,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7021.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,8003.16,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8206.2,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7444.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,6776.46,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,7858.494,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6777.306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26641-0450 TX THUMB DISLOCATION,450,RC,26641,CPT,,,outpatient,,,620,,310,372,601.4,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,496.62,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,575.918,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,496.682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27252-0450 CLOSED TX HIP DISLOCATION REQ ANES,450,RC,27252,CPT,,,outpatient,,,4200,,2100,2520,4074,3948,,,,percent of total billed charges,,3360,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3486,,,,percent of total billed charges,,3780,,,,percent of total billed charges,,3864,,,,percent of total billed charges,,3864,,,,percent of total billed charges,,3973.2,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,4074,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3696,,,,percent of total billed charges,,3780,,,,percent of total billed charges,,3364.2,,,,percent of total billed charges,,3780,,,,percent of total billed charges,,2520,,,,percent of total billed charges,,3901.38,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3360,,,,percent of total billed charges,,2520,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3364.62,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27385-0450 REPAIR OF THIGH MUSCLE,450,RC,27385,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27562-0450 CLOSED TX KNEECAP DISLOCATION REQ ANES,450,RC,27562,CPT,,,outpatient,,,558,,279,334.8,541.26,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,446.958,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,518.3262,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.0138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27759-0450 TX OF TIBIA FX,450,RC,27759,CPT,,,outpatient,,,15184,,7592,9110.4,14728.48,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,12162.384,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,14104.4176,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12163.9024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27762-0450 CLTX MED ANKLE FX W/MNPJ,450,RC,27762,CPT,,,outpatient,,,4221,,2110.5,2532.6,4094.37,3967.74,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3503.43,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3993.066,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4094.37,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3714.48,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3381.021,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,3920.8869,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3381.4431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27766-0450 OPTX MEDIAL ANKLE FX,450,RC,27766,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27788-0450 CLOSED TX OF DISTAL ANKLE FX W/ MANIP,450,RC,27788,CPT,,,outpatient,,,620,,310,372,601.4,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,496.62,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,575.918,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,496.682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27814-0450 OPEN TX OF BIMALLEOLAR ANKLE FX W/ FIXATION,450,RC,27814,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27818-0450 CLOSED TX OF TRIMALLEOLAR ANKLE FX W/ MANIP,450,RC,27818,CPT,,,outpatient,,,4221,,2110.5,2532.6,4094.37,3967.74,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3503.43,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3993.066,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4094.37,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3714.48,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3381.021,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,3920.8869,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3381.4431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27822-0450 OPEN TX OF TRIMALLEOLAR ANKLE FX W/O FIX; LIP,450,RC,27822,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27829-0450 OPEN TX LOWER LEG JOINT,450,RC,27829,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27899-0450 UNLISTED PX LEG/ANKLE,450,RC,27899,CPT,,,outpatient,,,617,,308.5,370.2,598.49,579.98,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,512.11,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,583.682,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,598.49,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,542.96,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,494.217,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,573.1313,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,494.2787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28475-0450 CLOSED TX METATARSAL FX W/ MANIP,450,RC,28475,CPT,,,outpatient,,,749,,374.5,449.4,726.53,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,599.949,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,695.7461,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.0239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28495-0450 CLOSED TX BIG TOE FX W/ MANIP,450,RC,28495,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28600-0450 CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,450,RC,28600,CPT,,,outpatient,,,620,,310,372,601.4,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,496.62,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,575.918,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,496.682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28630-0450 CLOSED TX METATARSOPHALANGEAL DISLOCATION W/O ANES,450,RC,28630,CPT,,,outpatient,,,764,,382,458.4,741.08,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,611.964,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,709.6796,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.0404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29700-0450 REMOVAL/REVISION OF CAST, BOOT OR BODY",450,RC,29700,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29799-0450 UNLISTED PX CASTING/STRPG,450,RC,29799,CPT,,,outpatient,,,413,,206.5,247.8,400.61,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,330.813,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,383.6357,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.8543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30000-0450 DRAINAGE OF NOSE LESION,450,RC,30000,CPT,,,outpatient,,,642,,321,385.2,622.74,603.48,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,532.86,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,607.332,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,622.74,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,564.96,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,514.242,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,596.3538,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,514.3062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30140-0450 RESECT INFERIOR TURBINATE,450,RC,30140,CPT,,,outpatient,,,8456,,4228,5073.6,8202.32,7948.64,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7018.48,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7999.376,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8202.32,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7441.28,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,6773.256,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,7854.7784,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6774.1016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30520-0450 REPAIR OF NASAL SEPTUM,450,RC,30520,CPT,,,outpatient,,,8456,,4228,5073.6,8202.32,7948.64,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7018.48,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7999.376,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8202.32,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7441.28,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,6773.256,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,7854.7784,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6774.1016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30905-0450 CONTROL OF NOSEBLEED, POSTERIOR, INITIAL",450,RC,30905,CPT,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31253-0450 NSL/SINS NDSC TOTAL,450,RC,31253,CPT,,,outpatient,,,13661,,6830.5,8196.6,13251.17,12841.34,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,11338.63,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12923.306,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,13251.17,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12021.68,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,10942.461,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,12689.7029,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10943.8271,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31292-0450 NSL/SINS NDSC MED/INF DCMPRN,450,RC,31292,CPT,,,outpatient,,,13661,,6830.5,8196.6,13251.17,12841.34,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,11338.63,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12923.306,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,13251.17,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12021.68,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,10942.461,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,12689.7029,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10943.8271,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31530-0450 LARYNGOSCOPY W/FB REMOVAL,450,RC,31530,CPT,,,outpatient,,,4043,,2021.5,2425.8,3921.71,3800.42,,,,percent of total billed charges,,3234.4,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3355.69,,,,percent of total billed charges,,3638.7,,,,percent of total billed charges,,3719.56,,,,percent of total billed charges,,3719.56,,,,percent of total billed charges,,3824.678,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3921.71,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3557.84,,,,percent of total billed charges,,3638.7,,,,percent of total billed charges,,3238.443,,,,percent of total billed charges,,3638.7,,,,percent of total billed charges,,2425.8,,,,percent of total billed charges,,3755.5427,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3234.4,,,,percent of total billed charges,,2425.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3238.8473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 35226-0450 REPAIR BLOOD VESSEL LESION,450,RC,35226,CPT,,,outpatient,,,1927,,963.5,1156.2,1869.19,1811.38,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1599.41,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1822.942,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1869.19,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1695.76,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1543.527,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,1789.9903,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1543.7197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36590-0450 REMOVAL TUNNELED CV CATH, W/ S.C. PUMP/PORT",450,RC,36590,CPT,,,outpatient,,,6187,,3093.5,3712.2,6001.39,5815.78,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,5135.21,,,,percent of total billed charges,,5568.3,,,,percent of total billed charges,,5692.04,,,,percent of total billed charges,,5692.04,,,,percent of total billed charges,,5852.902,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,6001.39,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,5444.56,,,,percent of total billed charges,,5568.3,,,,percent of total billed charges,,4955.787,,,,percent of total billed charges,,5568.3,,,,percent of total billed charges,,3712.2,,,,percent of total billed charges,,5747.1043,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,3712.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4956.4057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36680-0450 INSERT NEEDLE BONE CAVITY,450,RC,36680,CPT,,,outpatient,,,1046,,523,627.6,1014.62,983.24,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,868.18,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,989.516,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,1014.62,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,920.48,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,837.846,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,971.6294,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,837.9506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37799-0450 UNLISTED PX VASCULAR SURGERY,450,RC,37799,CPT,,,outpatient,,,1912,,956,1147.2,1854.64,1797.28,,,,percent of total billed charges,,1529.6,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1586.96,,,,percent of total billed charges,,1720.8,,,,percent of total billed charges,,1759.04,,,,percent of total billed charges,,1759.04,,,,percent of total billed charges,,1808.752,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1854.64,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1682.56,,,,percent of total billed charges,,1720.8,,,,percent of total billed charges,,1531.512,,,,percent of total billed charges,,1720.8,,,,percent of total billed charges,,1147.2,,,,percent of total billed charges,,1776.0568,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1529.6,,,,percent of total billed charges,,1147.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1531.7032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40650-0450 RPR LIP FTH VERMILION ONLY,450,RC,40650,CPT,,,outpatient,,,1446,,723,867.6,1402.62,1359.24,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1200.18,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1367.916,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1402.62,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1272.48,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1158.246,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,1343.1894,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1158.3906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40652-0450 RPR LIP FTH<HALF VER HEIGHT,450,RC,40652,CPT,,,outpatient,,,1446,,723,867.6,1402.62,1359.24,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1200.18,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1367.916,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1402.62,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1272.48,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1158.246,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,1343.1894,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1158.3906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40799-0450 UNLISTED PROCEDURE LIPS,450,RC,40799,CPT,,,outpatient,,,639,,319.5,383.4,619.83,600.66,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,530.37,,,,percent of total billed charges,,575.1,,,,percent of total billed charges,,587.88,,,,percent of total billed charges,,587.88,,,,percent of total billed charges,,604.494,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,619.83,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,562.32,,,,percent of total billed charges,,575.1,,,,percent of total billed charges,,511.839,,,,percent of total billed charges,,575.1,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,593.5671,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,511.9029,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40831-0450 REPAIR MOUTH LACERATION; OVER 2.5 CM COMPLEX,450,RC,40831,CPT,,,outpatient,,,1446,,723,867.6,1402.62,1359.24,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1200.18,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1367.916,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1402.62,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1272.48,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1158.246,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,1343.1894,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1158.3906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41599-0450 UNLISTED PX TONGUE FLR MOUTH,450,RC,41599,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42000-0450 DRAINAGE MOUTH ROOF LESION,450,RC,42000,CPT,,,outpatient,,,642,,321,385.2,622.74,603.48,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,532.86,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,607.332,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,622.74,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,564.96,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,514.242,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,596.3538,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,514.3062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45378-0450 DIAGNOSTIC COLONOSCOPY,450,RC,45378,CPT,,,outpatient,,,2078,,1039,1246.8,2015.66,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1664.478,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,1930.2542,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1664.6858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46999-0450 UNLISTED PROCEDURE ANUS,450,RC,46999,CPT,,,outpatient,,,2389,,1194.5,1433.4,2317.33,2245.66,,,,percent of total billed charges,,1911.2,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,1982.87,,,,percent of total billed charges,,2150.1,,,,percent of total billed charges,,2197.88,,,,percent of total billed charges,,2197.88,,,,percent of total billed charges,,2259.994,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,2317.33,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,2102.32,,,,percent of total billed charges,,2150.1,,,,percent of total billed charges,,1913.589,,,,percent of total billed charges,,2150.1,,,,percent of total billed charges,,1433.4,,,,percent of total billed charges,,2219.1421,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,1911.2,,,,percent of total billed charges,,1433.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1913.8279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54450-0450 PREPUTIAL STRETCHING,450,RC,54450,CPT,,,outpatient,,,649,,324.5,389.4,629.53,610.06,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,538.67,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,613.954,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,629.53,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,571.12,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,519.849,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,602.8561,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,519.9139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55874-0450 TPRNL PLMT BIODEGRDABL MATRL,450,RC,55874,CPT,,,outpatient,,,10096,,5048,6057.6,9793.12,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,8086.896,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,9378.1744,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8087.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55899-0450 UNLISTED PX MALE GENITAL SYS,450,RC,55899,CPT,,,outpatient,,,646,,323,387.6,626.62,607.24,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,536.18,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,611.116,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,626.62,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,568.48,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,517.446,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,600.0694,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,517.5106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57106-0450 REMOVE VAGINA WALL PARTIAL,450,RC,57106,CPT,,,outpatient,,,8211,,4105.5,4926.6,7964.67,7718.34,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6815.13,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7767.606,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7964.67,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7225.68,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,6577.011,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,7627.1979,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6577.8321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57160-0450 INSERT PESSARY/OTHER DEVICE,450,RC,57160,CPT,,,outpatient,,,541,,270.5,324.6,524.77,508.54,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,449.03,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,511.786,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,524.77,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,476.08,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,433.341,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,502.5349,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,433.3951,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62272-0450 THER SPI PNXR DRG CSF,450,RC,62272,CPT,,,outpatient,,,2472,,1236,1483.2,2397.84,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1980.072,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2296.2408,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1980.3192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64999-0450 UNLISTED PX NERVOUS SYSTEM,450,RC,64999,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68815-0450 PROBE NASOLACRIMAL DUCT,450,RC,68815,CPT,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45399-0450 UNLISTED PROCEDURE, COLON",450,RC,45399,CPT,,,outpatient,,,2502,,1251,1501.2,2426.94,2351.88,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2076.66,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2366.892,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2426.94,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2201.76,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2004.102,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,2324.1078,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2004.3522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50435-0450 EXCHANGE NEPHROSTOMY CATH,450,RC,50435,CPT,,,outpatient,,,3251,,1625.5,1950.6,3153.47,3055.94,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2698.33,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,3075.446,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3153.47,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2860.88,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2604.051,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,3019.8539,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2604.3761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13153-0450 REPAIR COMPLEX E/N/E/L; EACH ADD 5 CM OR LESS,450,RC,13153,CPT,,,outpatient,,,969,,484.5,581.4,939.93,910.86,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,804.27,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,916.674,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,939.93,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,852.72,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,776.169,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,900.1041,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,776.2659,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26410-0450 REPAIR HAND TENDON,450,RC,26410,CPT,,,outpatient,,,3635,,1817.5,2181,3525.95,3416.9,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3017.05,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3438.71,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3525.95,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3198.8,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2911.635,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,3376.5515,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2911.9985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4106 DERMAGRAFT 5 X 7.5 CM; PER SQ CM (38 UNITS),636,RC,Q4106,HCPCS,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WOUND CARE NON-SELECTIVE,761,RC,97602,CPT,,,outpatient,,,405,,202.5,243,392.85,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,324.405,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,376.2045,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,324.4455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4101 APLIGRAF SKIN SUB PER SQ CM (44 UNITS),636,RC,Q4101,HCPCS,,,outpatient,,,92,,46,55.2,89.24,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,73.692,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,85.4588,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.7012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEG PRESSURE DRESSING CHG < 50 CM,510,RC,97605,CPT,,,outpatient,,,405,,202.5,243,392.85,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,324.405,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,376.2045,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,324.4455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEG PRES DRESSING CHG  > 50 CM,510,RC,97606,CPT,,,outpatient,,,605,,302.5,363,586.85,568.7,,,,percent of total billed charges,,484,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,502.15,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,572.33,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,586.85,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,532.4,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,484.605,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,363,,,,percent of total billed charges,,561.9845,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,484,,,,percent of total billed charges,,363,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,484.6655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYPERBARIC THERAPY/30 MIN,413,RC,G0277,HCPCS,,,outpatient,,,645,,322.5,387,625.65,606.3,,,,percent of total billed charges,,516,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,535.35,,,,percent of total billed charges,,580.5,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,610.17,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,625.65,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,580.5,,,,percent of total billed charges,,516.645,,,,percent of total billed charges,,580.5,,,,percent of total billed charges,,387,,,,percent of total billed charges,,599.1405,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,516,,,,percent of total billed charges,,387,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,516.7095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR WC PROCEDURE,361,RC,,,,,outpatient,,,505,,252.5,303,489.85,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,404.505,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,469.0945,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.5555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HGHG LEVEL II WC PROCEDURE,361,RC,,,,,outpatient,,,861,,430.5,516.6,835.17,809.34,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,714.63,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,814.506,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,835.17,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,757.68,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,689.661,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,799.7829,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,689.7471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL III WC PROCEDURE,361,RC,,,,,outpatient,,,2846,,1423,1707.6,2760.62,2675.24,,,,percent of total billed charges,,2276.8,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2362.18,,,,percent of total billed charges,,2561.4,,,,percent of total billed charges,,2618.32,,,,percent of total billed charges,,2618.32,,,,percent of total billed charges,,2692.316,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2760.62,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2504.48,,,,percent of total billed charges,,2561.4,,,,percent of total billed charges,,2279.646,,,,percent of total billed charges,,2561.4,,,,percent of total billed charges,,1707.6,,,,percent of total billed charges,,2643.6494,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2276.8,,,,percent of total billed charges,,1707.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2279.9306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR WC PROCEDURE,361,RC,,,,,outpatient,,,4409,,2204.5,2645.4,4276.73,4144.46,,,,percent of total billed charges,,3527.2,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,3659.47,,,,percent of total billed charges,,3968.1,,,,percent of total billed charges,,4056.28,,,,percent of total billed charges,,4056.28,,,,percent of total billed charges,,4170.914,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,4276.73,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,3879.92,,,,percent of total billed charges,,3968.1,,,,percent of total billed charges,,3531.609,,,,percent of total billed charges,,3968.1,,,,percent of total billed charges,,2645.4,,,,percent of total billed charges,,4095.5201,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,3527.2,,,,percent of total billed charges,,2645.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3532.0499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4121 THERASKIN PER SQ CM,636,RC,Q4121,HCPCS,,,outpatient,,,93,,46.5,55.8,90.21,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,74.493,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,86.3877,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.5023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER/TCOM SINGLE,920,RC,93922,CPT,,,outpatient,,,414,,207,248.4,401.58,389.16,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,343.62,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,391.644,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,331.614,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,384.5646,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,331.6554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER/TCOM BILATERAL,920,RC,93923,CPT,,,outpatient,,,712,,356,427.2,690.64,669.28,,,,percent of total billed charges,,569.6,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,590.96,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,655.04,,,,percent of total billed charges,,655.04,,,,percent of total billed charges,,673.552,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,690.64,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,626.56,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,570.312,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,661.3768,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,569.6,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,570.3832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51701-0361 INSERT TEMP CATH BLADDER,361,RC,51701,CPT,,,outpatient,,,409,,204.5,245.4,396.73,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,327.609,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,379.9201,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.6499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51702-0361 INSERT TEMP CATH FOLEY,361,RC,51702,CPT,,,outpatient,,,473,,236.5,283.8,458.81,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,378.873,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,439.3697,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.9203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51703-0361 INDWELLING CATHETER COMPLEX,361,RC,51703,CPT,,,outpatient,,,845,,422.5,507,819.65,794.3,,,,percent of total billed charges,,676,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,701.35,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,799.37,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,819.65,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,743.6,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,676.845,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,507,,,,percent of total billed charges,,784.9205,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,676,,,,percent of total billed charges,,507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,676.9295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH COLLECTION OF SPECIMEN,300,RC,P9612,HCPCS,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTRIC LAVAGE,361,RC,43753,CPT,,,outpatient,,,661,,330.5,396.6,641.17,621.34,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,548.63,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,625.306,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,641.17,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,581.68,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,529.461,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,614.0029,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,529.5271,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ACTIVE WOUND CARE/20 CM OR <,420,RC,97597,CPT,,,outpatient,,,444,,222,266.4,430.68,417.36,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,368.52,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,420.024,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,430.68,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,390.72,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,355.644,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,412.4316,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,355.6884,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVE WOUND CARE > 20 CM,420,RC,97598,CPT,,,outpatient,,,542,,271,325.2,525.74,509.48,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,449.86,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,512.732,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,525.74,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,476.96,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,434.142,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,503.4638,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,434.1962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4196 PURAPLY AM PER SQ CM,636,RC,Q4196,HCPCS,,,outpatient,,,432,,216,259.2,419.04,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,346.032,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,401.2848,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,346.0752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE ELECTROMOGRAPHY, LIMITED",922,RC,95870,CPT,,,outpatient,,,259,,129.5,155.4,251.23,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,207.459,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,240.5851,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.4849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV INITIAL 15 MIN - ST,440,RC,97129,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP LAB NO SHOW,920,RC,,,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP THRSHLD EST MLT FREQ I&R,471,RC,92652,CPT,,,outpatient,,,908,,454,544.8,880.76,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,727.308,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,843.4412,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,727.3988,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP NEURODIAGNOSTIC I&R,471,RC,92653,CPT,,,outpatient,,,908,,454,544.8,880.76,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,727.308,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,843.4412,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,727.3988,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRENOTOMY - INCISION OF FRENUM,361,RC,41010,CPT,,,outpatient,,,4537,,2268.5,2722.2,4400.89,4264.78,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3765.71,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4292.002,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4400.89,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3992.56,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,3634.137,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,4214.4193,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3634.5907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRENUMECTOMY - EXCISION OF FRENUM,361,RC,40819,CPT,,,outpatient,,,5003,,2501.5,3001.8,4852.91,4702.82,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4152.49,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4732.838,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4852.91,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4402.64,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,4007.403,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,4647.2867,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4007.9033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIPAP/CPAP/EPAP/NASAL CPAP,410,RC,94660,CPT,,,outpatient,,,317,,158.5,190.2,307.49,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,253.917,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,294.4613,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.9487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD GAS PANEL,301,RC,82803,CPT,,,outpatient,,,212,,106,127.2,205.64,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,169.812,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,196.9268,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.8332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC ARREST,480,RC,92950,CPT,,,outpatient,,,1384,,692,830.4,1342.48,1300.96,,,,percent of total billed charges,,1107.2,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1148.72,,,,percent of total billed charges,,1245.6,,,,percent of total billed charges,,1273.28,,,,percent of total billed charges,,1273.28,,,,percent of total billed charges,,1309.264,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1342.48,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1217.92,,,,percent of total billed charges,,1245.6,,,,percent of total billed charges,,1108.584,,,,percent of total billed charges,,1245.6,,,,percent of total billed charges,,830.4,,,,percent of total billed charges,,1285.5976,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1107.2,,,,percent of total billed charges,,830.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1108.7224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONT BRONCHODIL TX 1ST HR,410,RC,94644,CPT,,,outpatient,,,579,,289.5,347.4,561.63,544.26,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,480.57,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,547.734,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,561.63,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,509.52,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,463.779,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,537.8331,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,463.8369,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94645-0410 CONT BRONCHODIL TX ADD HR,410,RC,94645,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD GAS PANEL/CO-OXIMETRY,301,RC,82805,CPT,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUTTER VALVE PROCEDURE-INITIA,410,RC,94667,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUTTER VALVE PROCEDURE-SUBSEQ,410,RC,94668,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM,301,RC,82330,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METERED DOSE INHAL (FOLLOW-UP),419,RC,94640,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METERED DOSE INHALER INSTRUCT,410,RC,94664,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSCILLATORY/JET VENT - INITIAL,410,RC,94002,CPT,,,outpatient,,,634,,317,380.4,614.98,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,507.834,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,588.9226,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.8974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSCILLATORY/JET VENT-SUBSEQUEN,410,RC,94003,CPT,,,outpatient,,,634,,317,380.4,614.98,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,507.834,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,588.9226,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.8974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK FLOW - INITAL,460,RC,94010,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK FLOW BEDSIDE - SUBSEQUENT,460,RC,94010,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PENTAMIDINE TX AEROSOL THERAPY,410,RC,94642,CPT,,,outpatient,,,735,,367.5,441,712.95,690.9,,,,percent of total billed charges,,588,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,610.05,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,695.31,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,712.95,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,646.8,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,588.735,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,441,,,,percent of total billed charges,,682.7415,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,588,,,,percent of total billed charges,,441,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,588.8085,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEP - INITIAL,410,RC,94667,CPT,,,outpatient,,,449,,224.5,269.4,435.53,422.06,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,372.67,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,424.754,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,435.53,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,395.12,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,359.649,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,417.0761,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,359.6939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEP - SUBSEQUENT,410,RC,94668,CPT,,,outpatient,,,272,,136,163.2,263.84,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,217.872,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,252.6608,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.8992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUSSIVE VEST,410,RC,94669,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSTURAL DRAIN/PERC-INITIAL,410,RC,94667,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94668-0410 POSTURAL DRAIN/PERC-SUBSEQUENT,410,RC,94668,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POTASSIUM,301,RC,84132,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX W/TREND,460,RC,94762,CPT,,,outpatient,,,620,,310,372,601.4,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,496.62,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,575.918,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,496.682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OXIMETRY/OVERNIGHT,460,RC,94762,CPT,,,outpatient,,,620,,310,372,601.4,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,496.62,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,575.918,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,496.682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX-UNIT SINGLE-RESP,460,RC,94760,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEO PEDS RESPIRATORY MONITORING,460,RC,94013,CPT,,,outpatient,,,853,,426.5,511.8,827.41,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,683.253,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,792.3517,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.3383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPONT DRUG AEROSOL(SUBSEQUENT),419,RC,94640,CPT,,,outpatient,,,191,,95.5,114.6,185.27,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,152.991,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,177.4199,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.0101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPONT DRUG AEROSOL-INITIAL,419,RC,94640,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TCMCO2 - INITIAL,460,RC,94799,CPT,,,outpatient,,,1426,,713,855.6,1383.22,1340.44,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1183.58,,,,percent of total billed charges,,1283.4,,,,percent of total billed charges,,1311.92,,,,percent of total billed charges,,1311.92,,,,percent of total billed charges,,1348.996,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1383.22,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1283.4,,,,percent of total billed charges,,1142.226,,,,percent of total billed charges,,1283.4,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,1324.6114,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1142.3686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TCMC02 - PER 24 HRS.,460,RC,94799,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VC/NIF/VT/RSBI,460,RC,94010,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR GEN FLOORS-INITIAL,410,RC,94002,CPT,,,outpatient,,,634,,317,380.4,614.98,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,507.834,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,588.9226,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.8974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR GEN FLOORS-SUBSEQUE,410,RC,94003,CPT,,,outpatient,,,634,,317,380.4,614.98,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,507.834,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,588.9226,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.8974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR ICU/NN - INITIAL,410,RC,94002,CPT,,,outpatient,,,1334,,667,800.4,1293.98,1253.96,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1107.22,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1261.964,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1293.98,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1173.92,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1068.534,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,1239.1526,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1068.6674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR ICU/NN -SUBSEQUENT,410,RC,94003,CPT,,,outpatient,,,1334,,667,800.4,1293.98,1253.96,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1107.22,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1261.964,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1293.98,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1173.92,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1068.534,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,1239.1526,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1068.6674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIBRATOR PEP,410,RC,94664,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTERIAL BLD GAS COLLCTN,761,RC,36600,CPT,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHIAL CHALLENGE TEST,460,RC,94070,CPT,,,outpatient,,,743,,371.5,445.8,720.71,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,595.143,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,690.1727,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,595.2173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEX EXERCISE STRESS TEST,460,RC,94621,CPT,,,outpatient,,,2176,,1088,1305.6,2110.72,2045.44,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1806.08,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2058.496,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2110.72,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1914.88,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1742.976,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,2021.2864,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1743.1936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG VOLUME - TGV,460,RC,94726,CPT,,,outpatient,,,743,,371.5,445.8,720.71,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,595.143,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,690.1727,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,595.2173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG VOLUME FRC,460,RC,94727,CPT,,,outpatient,,,608,,304,364.8,589.76,571.52,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,504.64,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,575.168,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,589.76,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,535.04,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,487.008,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,564.7712,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,487.0688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METABOLIC ASSESSMENT,460,RC,94690,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OXIMETRY - SINGLE,460,RC,94760,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX-MULTIPLE,460,RC,94761,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMPLE EXERCISE STRESS TEST,460,RC,94618,CPT,,,outpatient,,,743,,371.5,445.8,720.71,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,595.143,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,690.1727,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,595.2173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SINGLE BRTH DIFF CAPACITY,460,RC,94729,CPT,,,outpatient,,,360,,180,216,349.2,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,334.404,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,288.396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY & MVV,460,RC,94010,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY WITH BRONCHODIL,460,RC,94060,CPT,,,outpatient,,,768,,384,460.8,744.96,721.92,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,637.44,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,726.528,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,744.96,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,675.84,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,615.168,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,713.3952,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,615.2448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY-NO BRONCHODIL,460,RC,94010,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAL CAPACITY TOTAL SLOW,460,RC,94150,CPT,,,outpatient,,,380,,190,228,368.6,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,304.38,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,352.982,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,304.418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXHALED NITRIC OXIDE,460,RC,95012,CPT,,,outpatient,,,303,,151.5,181.8,293.91,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,242.703,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,281.4567,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.7333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COUGH ASSIST,410,RC,94669,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PH,301,RC,83986,CPT,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM,301,RC,84295,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GLUCOSE, NONFAST",301,RC,82947,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLORIDE,301,RC,82435,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTIC ACID,301,RC,83605,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPIROMETRY,BEFORE&AFTER BRONCHO,CHILD UP TO 2 YRS",460,RC,94012,CPT,,,outpatient,,,795,,397.5,477,771.15,747.3,,,,percent of total billed charges,,636,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,659.85,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,752.07,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,771.15,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,636.795,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,477,,,,percent of total billed charges,,738.4755,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,636,,,,percent of total billed charges,,477,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,636.8745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LUNG VOLUMES,FRC,FVC,&ERV,CHILD UP TO 2 YRS",460,RC,94013,CPT,,,outpatient,,,853,,426.5,511.8,827.41,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,683.253,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,792.3517,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.3383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31500-0361 INTUBATION ENDOTRACHEAL EMERG,361,RC,31500,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARB OXY HEMOGLOBIN,301,RC,82375,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD PH,301,RC,82800,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BLOOD GASES, O2 SAT",301,RC,82810,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHEMOGLOBIN,301,RC,83050,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPUTUM INDUCTION,410,RC,89220,CPT,,,outpatient,,,388,,194,232.8,376.36,364.72,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,367.048,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,376.36,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,341.44,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,310.788,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,360.4132,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.8268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M.V.V. MAX VOLUNTARY VENT,460,RC,94200,CPT,,,outpatient,,,355,,177.5,213,344.35,333.7,,,,percent of total billed charges,,284,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,294.65,,,,percent of total billed charges,,319.5,,,,percent of total billed charges,,326.6,,,,percent of total billed charges,,326.6,,,,percent of total billed charges,,335.83,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,344.35,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,312.4,,,,percent of total billed charges,,319.5,,,,percent of total billed charges,,284.355,,,,percent of total billed charges,,319.5,,,,percent of total billed charges,,213,,,,percent of total billed charges,,329.7595,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,284,,,,percent of total billed charges,,213,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,284.3905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRC/RV,460,RC,94726,CPT,,,outpatient,,,743,,371.5,445.8,720.71,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,595.143,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,690.1727,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,595.2173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBON MONOXIDE DIFF CAP,460,RC,94729,CPT,,,outpatient,,,360,,180,216,349.2,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,334.404,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,288.396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXHALED AIR ANALYSIS O2,410,RC,94680,CPT,,,outpatient,,,1202,,601,721.2,1165.94,1129.88,,,,percent of total billed charges,,961.6,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,997.66,,,,percent of total billed charges,,1081.8,,,,percent of total billed charges,,1105.84,,,,percent of total billed charges,,1105.84,,,,percent of total billed charges,,1137.092,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,1165.94,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,1057.76,,,,percent of total billed charges,,1081.8,,,,percent of total billed charges,,962.802,,,,percent of total billed charges,,1081.8,,,,percent of total billed charges,,721.2,,,,percent of total billed charges,,1116.5378,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,961.6,,,,percent of total billed charges,,721.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,962.9222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RT SURGICAL ASSIST,360,RC,,,,,outpatient,,,1603,,801.5,961.8,1554.91,1506.82,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1330.49,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1516.438,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1554.91,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1410.64,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1284.003,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,1489.0267,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1284.1633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NAVA CATHETER,272,RC,,,,,outpatient,,,801,,400.5,480.6,776.97,752.94,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,664.83,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,757.746,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,641.601,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,744.0489,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,641.6811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NAVA VENTILATION (INITIAL),272,RC,,,,,outpatient,,,1456,,728,873.6,1412.32,1368.64,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1208.48,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1377.376,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1412.32,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1281.28,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1166.256,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,1352.4784,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1166.4016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NAVA VENTILATION (SUBSEQUENT),272,RC,,,,,outpatient,,,655,,327.5,393,635.35,615.7,,,,percent of total billed charges,,524,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,543.65,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,619.63,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,635.35,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,576.4,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,524.655,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,393,,,,percent of total billed charges,,608.4295,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,524,,,,percent of total billed charges,,393,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,524.7205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOBACCO-USE COUNSEL 3-10 MIN,942,RC,99406,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOBACCO-USE COUNSEL > 10 MIN,942,RC,99407,CPT,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUENCEY EV,444,RC,92521,CPT,,,outpatient,,,698,,349,418.8,677.06,656.12,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,579.34,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,660.308,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,677.06,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,614.24,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,559.098,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,648.3722,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,559.1678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPCH PROD EV,444,RC,92522,CPT,,,outpatient,,,698,,349,418.8,677.06,656.12,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,579.34,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,660.308,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,677.06,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,614.24,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,559.098,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,648.3722,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,559.1678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPCH/LANG EV,444,RC,92523,CPT,,,outpatient,,,698,,349,418.8,677.06,656.12,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,579.34,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,660.308,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,677.06,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,614.24,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,559.098,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,648.3722,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,559.1678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOICE EV,444,RC,92524,CPT,,,outpatient,,,879,,439.5,527.4,852.63,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,704.079,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,816.5031,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.1669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI PAP INFANT FLOW LP GENERATEOR KIT W/ PRONGS,272,RC,,,,,outpatient,,,2726,,1363,1635.6,2644.22,2562.44,,,,percent of total billed charges,,2180.8,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2262.58,,,,percent of total billed charges,,2453.4,,,,percent of total billed charges,,2507.92,,,,percent of total billed charges,,2507.92,,,,percent of total billed charges,,2578.796,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2644.22,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2398.88,,,,percent of total billed charges,,2453.4,,,,percent of total billed charges,,2183.526,,,,percent of total billed charges,,2453.4,,,,percent of total billed charges,,1635.6,,,,percent of total billed charges,,2532.1814,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2180.8,,,,percent of total billed charges,,1635.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2183.7986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI-PAP INFANT FLOW LP HEADGEAR,272,RC,,,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI-PAP INFANT LP MASK,272,RC,,,,,outpatient,,,1108,,554,664.8,1074.76,1041.52,,,,percent of total billed charges,,886.4,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,919.64,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,1019.36,,,,percent of total billed charges,,1019.36,,,,percent of total billed charges,,1048.168,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,1074.76,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,975.04,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,887.508,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,1029.2212,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,886.4,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,887.6188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI-PAP INFANT FLOW LP PRONG,272,RC,,,,,outpatient,,,496,,248,297.6,481.12,466.24,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,411.68,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,469.216,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,481.12,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,436.48,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,397.296,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,460.7344,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,397.3456,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED ARTERIAL STICK,761,RC,36600,CPT,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY STRESS TESTING,460,RC,94618,CPT,,,outpatient,,,456,,228,273.6,442.32,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,365.256,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,423.5784,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,365.3016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ASSISTIVE TECHNOLOGY ASSESS,420,RC,97755,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOCARDIAL STRAIN IMAGING,483,RC,93356,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIX MINUTE WALK TEST,460,RC,94618,CPT,,,outpatient,,,396,,198,237.6,384.12,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,317.196,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,367.8444,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,317.2356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY-UNATTENDED W/O USE OF AIR FLOW,510,RC,95800,CPT,,,outpatient,,,424,,212,254.4,411.28,398.56,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,351.92,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,401.104,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,411.28,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,373.12,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,339.624,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,393.8536,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,339.6664,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLY >4 PAR <6 HRS,740,RC,95810,CPT,,,outpatient,,,3254,,1627,1952.4,3156.38,3058.76,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2700.82,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,3078.284,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3156.38,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2863.52,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2606.454,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,3022.6406,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2606.7794,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLY >4 W CAP < 6 HRS,740,RC,95811,CPT,,,outpatient,,,3425,,1712.5,2055,3322.25,3219.5,,,,percent of total billed charges,,2740,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,2842.75,,,,percent of total billed charges,,3082.5,,,,percent of total billed charges,,3151,,,,percent of total billed charges,,3151,,,,percent of total billed charges,,3240.05,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,3322.25,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,3014,,,,percent of total billed charges,,3082.5,,,,percent of total billed charges,,2743.425,,,,percent of total billed charges,,3082.5,,,,percent of total billed charges,,2055,,,,percent of total billed charges,,3181.4825,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,2740,,,,percent of total billed charges,,2055,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2743.7675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY - UNATTENDED < 6 HRS,920,RC,95806,CPT,,,outpatient,,,416,,208,249.6,403.52,391.04,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,345.28,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,393.536,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,403.52,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,366.08,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,333.216,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,386.4224,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,333.2576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY ATTENDED <6 HRS,740,RC,95807,CPT,,,outpatient,,,1083,,541.5,649.8,1050.51,1018.02,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,898.89,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,1024.518,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1050.51,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,953.04,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,867.483,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,1005.9987,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,867.5913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT ECG>48HR<7D RECORDING,731,RC,93242,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT ECG>48HR<7D SCAN A/R,731,RC,93243,CPT,,,outpatient,,,207,,103.5,124.2,200.79,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,165.807,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,192.2823,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.8277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT ECG>7D<15D RECORDING,731,RC,93246,CPT,,,outpatient,,,207,,103.5,124.2,200.79,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,165.807,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,192.2823,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.8277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTECG>7D<15D SCAN A/R,731,RC,93247,CPT,,,outpatient,,,418,,209,250.8,405.46,392.92,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,346.94,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,395.428,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,405.46,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,367.84,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,334.818,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,388.2802,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.8598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXERCISE TST BRNCSPSM W/O ECG,730,RC,94619,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED NEUROLOGICAL PROCEDURE,740,RC,95999,CPT,,,outpatient,,,576,,288,345.6,558.72,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,461.376,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,535.0464,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,461.4336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94625-0948  PULMONARY REHAB COPD W/O OXIMETRY MONITORING,948,RC,94625,CPT,,,outpatient,,,226,,113,135.6,219.22,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,181.026,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,209.9314,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.0486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94626-0948 PULMONARY REHAB COPD WITH OXIMETRY MONITORING,948,RC,94626,CPT,,,outpatient,,,226,,113,135.6,219.22,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,181.026,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,209.9314,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.0486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94625-0948Â PULMONARY REHAB COPD W/O OXIMETRY MONITORING > 36 SESSIONS,948,RC,94625,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94626-0948 PULMONARY REHAB COPD W/ OXIMETRY MONITORING > 36 SESSIONS,948,RC,94626,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNIT, CHEST DRAINAGE",272,RC,,,,,outpatient,,,861,,430.5,516.6,835.17,809.34,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,714.63,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,814.506,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,835.17,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,757.68,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,689.661,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,799.7829,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,689.7471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH SWANGANZ TD VIP 7.5FR, 33866",278,RC,C1751,HCPCS,,,outpatient,,,269,,134.5,161.4,260.93,252.86,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,223.27,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,254.474,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,260.93,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,236.72,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,215.469,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,249.8741,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,215.4959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HICKMAN CATH 12FR TL,272,RC,,,,,outpatient,,,2830,,1415,1698,2745.1,2660.2,,,,percent of total billed charges,,2264,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2348.9,,,,percent of total billed charges,,2547,,,,percent of total billed charges,,2603.6,,,,percent of total billed charges,,2603.6,,,,percent of total billed charges,,2677.18,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2745.1,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2490.4,,,,percent of total billed charges,,2547,,,,percent of total billed charges,,2266.83,,,,percent of total billed charges,,2547,,,,percent of total billed charges,,1698,,,,percent of total billed charges,,2628.787,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2264,,,,percent of total billed charges,,1698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2267.113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, DRAINAGE TRAY, 115868, 58539, 65009",278,RC,C1729,HCPCS,,,outpatient,,,899,,449.5,539.4,872.03,845.06,,,,percent of total billed charges,,719.2,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,746.17,,,,percent of total billed charges,,809.1,,,,percent of total billed charges,,827.08,,,,percent of total billed charges,,827.08,,,,percent of total billed charges,,850.454,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,872.03,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,791.12,,,,percent of total billed charges,,809.1,,,,percent of total billed charges,,720.099,,,,percent of total billed charges,,809.1,,,,percent of total billed charges,,539.4,,,,percent of total billed charges,,835.0811,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,719.2,,,,percent of total billed charges,,539.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,720.1889,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PORT,INDWELLING,IMPLANTABLE I",270,RC,C1729,HCPCS,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PORT,INDWELLING,IMPLANTABLE II",278,RC,C1788,HCPCS,,,outpatient,,,1770,,885,1062,1716.9,1663.8,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1469.1,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1674.42,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1716.9,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1557.6,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1417.77,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,1644.153,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1417.947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0172 COLLAR, FOAM, 2 PIECE, PREFAB OTS",274,RC,L0172,HCPCS,,,outpatient,,,312,,156,187.2,302.64,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,249.912,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,289.8168,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,249.9432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRACE, KNEE",274,RC,L1830,HCPCS,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMOBILIZER, KNEE",274,RC,L1830,HCPCS,,,outpatient,,,183,,91.5,109.8,177.51,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,146.583,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,169.9887,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.6013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPLINT, COCK-UP",270,RC,L3908,HCPCS,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPLINT, WRIST",270,RC,L3984,HCPCS,,,outpatient,,,806,,403,483.6,781.82,757.64,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,668.98,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,762.476,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,781.82,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,709.28,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,645.606,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,748.6934,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,645.6866,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOTHORAR SET COOK,278,RC,C1729,HCPCS,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRA SURGI ALL SIZES,274,RC,L8000,HCPCS,,,outpatient,,,255,,127.5,153,247.35,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,204.255,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,236.8695,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.2805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNIT, CHEST DRAINAGE, 68347",278,RC,C1729,HCPCS,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRACE, HIGH TIDE / LOW TIDE",274,RC,L4361,HCPCS,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPISTAT,270,RC,,,,,outpatient,,,649,,324.5,389.4,629.53,610.06,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,538.67,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,613.954,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,629.53,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,571.12,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,519.849,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,602.8561,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,519.9139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER FLEXICON II KIT,278,RC,C1752,HCPCS,,,outpatient,,,985,,492.5,591,955.45,925.9,,,,percent of total billed charges,,788,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,817.55,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,931.81,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,955.45,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,866.8,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,788.985,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,591,,,,percent of total billed charges,,914.9665,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,788,,,,percent of total billed charges,,591,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,789.0835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEPORT THERMOD. CATH.,278,RC,C1751,HCPCS,,,outpatient,,,475,,237.5,285,460.75,446.5,,,,percent of total billed charges,,380,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,418,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,380.475,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,285,,,,percent of total billed charges,,441.2275,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,380,,,,percent of total billed charges,,285,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,380.5225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACE ENHANCE T ROM,274,RC,L1832,HCPCS,,,outpatient,,,427,,213.5,256.2,414.19,401.38,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,354.41,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,403.942,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,414.19,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,375.76,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,342.027,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,396.6403,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.0697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V-PACING PROBE,270,RC,,,,,outpatient,,,544,,272,326.4,527.68,511.36,,,,percent of total billed charges,,435.2,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,451.52,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,500.48,,,,percent of total billed charges,,500.48,,,,percent of total billed charges,,514.624,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,527.68,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,478.72,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,435.744,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,505.3216,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,435.2,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,435.7984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY ADVANCED VENOUS ACCESS,270,RC,,,,,outpatient,,,506,,253,303.6,490.82,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,405.306,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,470.0234,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,405.3566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 1MM X 12MM 86MX,636,RC,,,,,outpatient,,,8119,,4059.5,4871.4,7875.43,7631.86,,,,percent of total billed charges,,6495.2,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,6738.77,,,,percent of total billed charges,,7307.1,,,,percent of total billed charges,,7469.48,,,,percent of total billed charges,,7469.48,,,,percent of total billed charges,,7680.574,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,7875.43,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,7144.72,,,,percent of total billed charges,,7307.1,,,,percent of total billed charges,,6503.319,,,,percent of total billed charges,,7307.1,,,,percent of total billed charges,,4871.4,,,,percent of total billed charges,,7541.7391,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,6495.2,,,,percent of total billed charges,,4871.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6504.1309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLASMA J-HOOK W/CORD,272,RC,,,,,outpatient,,,621,,310.5,372.6,602.37,583.74,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,515.43,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,587.466,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,602.37,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,497.421,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,576.8469,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,497.4831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLASMA SPATULA W/CORD,272,RC,,,,,outpatient,,,621,,310.5,372.6,602.37,583.74,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,515.43,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,587.466,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,602.37,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,497.421,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,576.8469,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,497.4831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FORCEP HALO CUTTING 5MM,272,RC,,,,,outpatient,,,621,,310.5,372.6,602.37,583.74,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,515.43,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,587.466,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,602.37,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,497.421,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,576.8469,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,497.4831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRO-TOE VO INSTRUMENT KIT,278,RC,,,,,outpatient,,,924,,462,554.4,896.28,868.56,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,766.92,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,874.104,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,896.28,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,813.12,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,740.124,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,858.3036,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,740.2164,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PKS OMNI 33 CM,272,RC,,,,,outpatient,,,1030,,515,618,999.1,968.2,,,,percent of total billed charges,,824,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,854.9,,,,percent of total billed charges,,927,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,974.38,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,999.1,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,927,,,,percent of total billed charges,,825.03,,,,percent of total billed charges,,927,,,,percent of total billed charges,,618,,,,percent of total billed charges,,956.767,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,824,,,,percent of total billed charges,,618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,825.133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK PLASMA BLADE ADENOID,272,RC,,,,,outpatient,,,1228,,614,736.8,1191.16,1154.32,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1019.24,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1161.688,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1191.16,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1080.64,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,983.628,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,1140.6892,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,983.7508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK PLASMA BLADE TNA,272,RC,,,,,outpatient,,,1228,,614,736.8,1191.16,1154.32,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1019.24,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1161.688,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1191.16,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1080.64,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,983.628,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,1140.6892,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,983.7508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PKS PLASMASORD,272,RC,,,,,outpatient,,,1240,,620,744,1202.8,1165.6,,,,percent of total billed charges,,992,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1029.2,,,,percent of total billed charges,,1116,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,1173.04,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1202.8,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,1116,,,,percent of total billed charges,,993.24,,,,percent of total billed charges,,1116,,,,percent of total billed charges,,744,,,,percent of total billed charges,,1151.836,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,992,,,,percent of total billed charges,,744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,993.364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR PROSTHESIS-PORP,278,RC,,,,,outpatient,,,1508,,754,904.8,1462.76,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1207.908,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1400.7812,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1208.0588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR PROSTHESIS-TORP,278,RC,,,,,outpatient,,,1591,,795.5,954.6,1543.27,1495.54,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1320.53,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1505.086,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1543.27,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1400.08,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1274.391,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,1477.8799,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1274.5501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABSORBTACK,278,RC,,,,,outpatient,,,1655,,827.5,993,1605.35,1555.7,,,,percent of total billed charges,,1324,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1373.65,,,,percent of total billed charges,,1489.5,,,,percent of total billed charges,,1522.6,,,,percent of total billed charges,,1522.6,,,,percent of total billed charges,,1565.63,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1605.35,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1456.4,,,,percent of total billed charges,,1489.5,,,,percent of total billed charges,,1325.655,,,,percent of total billed charges,,1489.5,,,,percent of total billed charges,,993,,,,percent of total billed charges,,1537.3295,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1324,,,,percent of total billed charges,,993,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1325.8205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRO-TOE HAMMERTOE,278,RC,,,,,outpatient,,,2329,,1164.5,1397.4,2259.13,2189.26,,,,percent of total billed charges,,1863.2,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,1933.07,,,,percent of total billed charges,,2096.1,,,,percent of total billed charges,,2142.68,,,,percent of total billed charges,,2142.68,,,,percent of total billed charges,,2203.234,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,2259.13,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,2049.52,,,,percent of total billed charges,,2096.1,,,,percent of total billed charges,,1865.529,,,,percent of total billed charges,,2096.1,,,,percent of total billed charges,,1397.4,,,,percent of total billed charges,,2163.4081,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,1863.2,,,,percent of total billed charges,,1397.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1865.7619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINI TIGHT ROPE,278,RC,,,,,outpatient,,,2518,,1259,1510.8,2442.46,2366.92,,,,percent of total billed charges,,2014.4,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2089.94,,,,percent of total billed charges,,2266.2,,,,percent of total billed charges,,2316.56,,,,percent of total billed charges,,2316.56,,,,percent of total billed charges,,2382.028,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2442.46,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2215.84,,,,percent of total billed charges,,2266.2,,,,percent of total billed charges,,2016.918,,,,percent of total billed charges,,2266.2,,,,percent of total billed charges,,1510.8,,,,percent of total billed charges,,2338.9702,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2014.4,,,,percent of total billed charges,,1510.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2017.1698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAGE CORNERSTONE PSR,278,RC,,,,,outpatient,,,5315,,2657.5,3189,5155.55,4996.1,,,,percent of total billed charges,,4252,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,4411.45,,,,percent of total billed charges,,4783.5,,,,percent of total billed charges,,4889.8,,,,percent of total billed charges,,4889.8,,,,percent of total billed charges,,5027.99,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,5155.55,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,4677.2,,,,percent of total billed charges,,4783.5,,,,percent of total billed charges,,4257.315,,,,percent of total billed charges,,4783.5,,,,percent of total billed charges,,3189,,,,percent of total billed charges,,4937.1035,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,4252,,,,percent of total billed charges,,3189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4257.8465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SOFT TISSUE PATCH GORE,270,RC,,,,,outpatient,,,13023,,6511.5,7813.8,12632.31,12241.62,,,,percent of total billed charges,,10418.4,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,10809.09,,,,percent of total billed charges,,11720.7,,,,percent of total billed charges,,11981.16,,,,percent of total billed charges,,11981.16,,,,percent of total billed charges,,12319.758,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,12632.31,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,11460.24,,,,percent of total billed charges,,11720.7,,,,percent of total billed charges,,10431.423,,,,percent of total billed charges,,11720.7,,,,percent of total billed charges,,7813.8,,,,percent of total billed charges,,12097.0647,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,10418.4,,,,percent of total billed charges,,7813.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10432.7253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTERNAL FIXATION SMALL,278,RC,,,,,outpatient,,,4699,,2349.5,2819.4,4558.03,4417.06,,,,percent of total billed charges,,3759.2,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,3900.17,,,,percent of total billed charges,,4229.1,,,,percent of total billed charges,,4323.08,,,,percent of total billed charges,,4323.08,,,,percent of total billed charges,,4445.254,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,4558.03,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,4135.12,,,,percent of total billed charges,,4229.1,,,,percent of total billed charges,,3763.899,,,,percent of total billed charges,,4229.1,,,,percent of total billed charges,,2819.4,,,,percent of total billed charges,,4364.9011,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,3759.2,,,,percent of total billed charges,,2819.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3764.3689,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESOPHYX KIT R2000,272,RC,,,,,outpatient,,,13369,,6684.5,8021.4,12967.93,12566.86,,,,percent of total billed charges,,10695.2,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,11096.27,,,,percent of total billed charges,,12032.1,,,,percent of total billed charges,,12299.48,,,,percent of total billed charges,,12299.48,,,,percent of total billed charges,,12647.074,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,12967.93,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,11764.72,,,,percent of total billed charges,,12032.1,,,,percent of total billed charges,,10708.569,,,,percent of total billed charges,,12032.1,,,,percent of total billed charges,,8021.4,,,,percent of total billed charges,,12418.4641,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,10695.2,,,,percent of total billed charges,,8021.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10709.9059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESOPHYX CARTRIDGE R2101,278,RC,,,,,outpatient,,,1498,,749,898.8,1453.06,1408.12,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1243.34,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1417.108,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1453.06,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1318.24,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,1199.898,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,1391.4922,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1200.0478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH PROLOOP XLRG 30903,278,RC,,,,,outpatient,,,1124,,562,674.4,1090.28,1056.56,,,,percent of total billed charges,,899.2,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,932.92,,,,percent of total billed charges,,1011.6,,,,percent of total billed charges,,1034.08,,,,percent of total billed charges,,1034.08,,,,percent of total billed charges,,1063.304,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,1090.28,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,989.12,,,,percent of total billed charges,,1011.6,,,,percent of total billed charges,,900.324,,,,percent of total billed charges,,1011.6,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,1044.0836,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,899.2,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,900.4364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NAIL, OFFSET END CAP",278,RC,,,,,outpatient,,,643,,321.5,385.8,623.71,604.42,,,,percent of total billed charges,,514.4,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,533.69,,,,percent of total billed charges,,578.7,,,,percent of total billed charges,,591.56,,,,percent of total billed charges,,591.56,,,,percent of total billed charges,,608.278,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,623.71,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,565.84,,,,percent of total billed charges,,578.7,,,,percent of total billed charges,,515.043,,,,percent of total billed charges,,578.7,,,,percent of total billed charges,,385.8,,,,percent of total billed charges,,597.2827,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,514.4,,,,percent of total billed charges,,385.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,515.1073,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERSAJET #50637 8MM-45 DEGREE,270,RC,,,,,outpatient,,,1760,,880,1056,1707.2,1654.4,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1460.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1664.96,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1548.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1409.76,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,1634.864,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1409.936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 4CM X 4CM GJ44,278,RC,Q4107,HCPCS,,,outpatient,,,5089,,2544.5,3053.4,4936.33,4783.66,,,,percent of total billed charges,,4071.2,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4223.87,,,,percent of total billed charges,,4580.1,,,,percent of total billed charges,,4681.88,,,,percent of total billed charges,,4681.88,,,,percent of total billed charges,,4814.194,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4936.33,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4478.32,,,,percent of total billed charges,,4580.1,,,,percent of total billed charges,,4076.289,,,,percent of total billed charges,,4580.1,,,,percent of total billed charges,,3053.4,,,,percent of total billed charges,,4727.1721,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4071.2,,,,percent of total billed charges,,3053.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4076.7979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 4X8 GJ47,278,RC,Q4107,HCPCS,,,outpatient,,,13898,,6949,8338.8,13481.06,13064.12,,,,percent of total billed charges,,11118.4,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,11535.34,,,,percent of total billed charges,,12508.2,,,,percent of total billed charges,,12786.16,,,,percent of total billed charges,,12786.16,,,,percent of total billed charges,,13147.508,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,13481.06,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,12230.24,,,,percent of total billed charges,,12508.2,,,,percent of total billed charges,,11132.298,,,,percent of total billed charges,,12508.2,,,,percent of total billed charges,,8338.8,,,,percent of total billed charges,,12909.8522,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,11118.4,,,,percent of total billed charges,,8338.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11133.6878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 5X5 86005X05,278,RC,Q4107,HCPCS,,,outpatient,,,11156,,5578,6693.6,10821.32,10486.64,,,,percent of total billed charges,,8924.8,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,9259.48,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,10263.52,,,,percent of total billed charges,,10263.52,,,,percent of total billed charges,,10553.576,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,10821.32,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,9817.28,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,8935.956,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,6693.6,,,,percent of total billed charges,,10362.8084,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,8924.8,,,,percent of total billed charges,,6693.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8937.0716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLATE T-SUPPORT 4,5,6, HOLE",278,RC,,,,,outpatient,,,982,,491,589.2,952.54,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,786.582,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,912.1798,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,786.6802,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSOBTURATOR URETEX,278,RC,,,,,outpatient,,,5218,,2609,3130.8,5061.46,4904.92,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4330.94,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4936.228,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,5061.46,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4591.84,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,4179.618,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,4847.0002,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4180.1398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MONARC SUBFASCIAL HA MMOCK,278,RC,,,,,outpatient,,,5218,,2609,3130.8,5061.46,4904.92,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4330.94,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4936.228,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,5061.46,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4591.84,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,4179.618,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,4847.0002,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4180.1398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEM, ELBOW EVOLVE",278,RC,,,,,outpatient,,,8619,,4309.5,5171.4,8360.43,8101.86,,,,percent of total billed charges,,6895.2,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,7153.77,,,,percent of total billed charges,,7757.1,,,,percent of total billed charges,,7929.48,,,,percent of total billed charges,,7929.48,,,,percent of total billed charges,,8153.574,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,8360.43,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,7584.72,,,,percent of total billed charges,,7757.1,,,,percent of total billed charges,,6903.819,,,,percent of total billed charges,,7757.1,,,,percent of total billed charges,,5171.4,,,,percent of total billed charges,,8006.1891,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,6895.2,,,,percent of total billed charges,,5171.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6904.6809,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH BARD PLUG X-LARGE,278,RC,,,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH MARLEX 6 X 6 IN 0112720,278,RC,,,,,outpatient,,,472,,236,283.2,457.84,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,378.072,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,438.4408,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.1192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH SURG KEYHOLE 18X4 IN PMSK,278,RC,,,,,outpatient,,,472,,236,283.2,457.84,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,378.072,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,438.4408,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.1192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH ONLAY MED 3 DPM,278,RC,,,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH ONLY LARGE 3 DPL,278,RC,,,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH HERIA KUEL MEDIUM OVAL,278,RC,,,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH C-QUR V-PATCH,278,RC,,,,,outpatient,,,2339,,1169.5,1403.4,2268.83,2198.66,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1941.37,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2212.694,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2268.83,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2058.32,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1873.539,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,2172.6971,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1873.7729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH HERNIA KUGEL 4.6 CM,278,RC,,,,,outpatient,,,2339,,1169.5,1403.4,2268.83,2198.66,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1941.37,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2212.694,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2268.83,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2058.32,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1873.539,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,2172.6971,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1873.7729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH COMPOSIX 8X12 0010201,278,RC,,,,,outpatient,,,7299,,3649.5,4379.4,7080.03,6861.06,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6058.17,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6904.854,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,7080.03,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6423.12,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,5846.499,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,6780.0411,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5847.2289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH MICRO PLUS 20 CMX30 CM,278,RC,,,,,outpatient,,,7299,,3649.5,4379.4,7080.03,6861.06,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6058.17,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6904.854,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,7080.03,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6423.12,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,5846.499,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,6780.0411,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5847.2289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH MICRO PLUS 26 CM X 34 CM,278,RC,,,,,outpatient,,,7299,,3649.5,4379.4,7080.03,6861.06,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6058.17,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6904.854,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,7080.03,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6423.12,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,5846.499,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,6780.0411,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5847.2289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT ESOP WF 18 MM OD 10 CMI,278,RC,,,,,outpatient,,,6725,,3362.5,4035,6523.25,6321.5,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5581.75,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6361.85,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6523.25,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5918,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,5386.725,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,6246.8525,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5387.3975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT ESOP WF 18 MM OD 15 CMI,278,RC,,,,,outpatient,,,6725,,3362.5,4035,6523.25,6321.5,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5581.75,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6361.85,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6523.25,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5918,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,5386.725,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,6246.8525,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5387.3975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROS PENILE DURA II 72009310,278,RC,,,,,outpatient,,,4023,,2011.5,2413.8,3902.31,3781.62,,,,percent of total billed charges,,3218.4,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3339.09,,,,percent of total billed charges,,3620.7,,,,percent of total billed charges,,3701.16,,,,percent of total billed charges,,3701.16,,,,percent of total billed charges,,3805.758,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3902.31,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3540.24,,,,percent of total billed charges,,3620.7,,,,percent of total billed charges,,3222.423,,,,percent of total billed charges,,3620.7,,,,percent of total billed charges,,2413.8,,,,percent of total billed charges,,3736.9647,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3218.4,,,,percent of total billed charges,,2413.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3222.8253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LENS, SN60AT320",276,RC,,,,,outpatient,,,287,,143.5,172.2,278.39,269.78,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,238.21,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,271.502,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,278.39,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,252.56,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,229.887,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,266.5943,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.9157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY CATHETER KIT ARROW,278,RC,C1751,HCPCS,,,outpatient,,,319,,159.5,191.4,309.43,299.86,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,264.77,,,,percent of total billed charges,,287.1,,,,percent of total billed charges,,293.48,,,,percent of total billed charges,,293.48,,,,percent of total billed charges,,301.774,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,309.43,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,280.72,,,,percent of total billed charges,,287.1,,,,percent of total billed charges,,255.519,,,,percent of total billed charges,,287.1,,,,percent of total billed charges,,191.4,,,,percent of total billed charges,,296.3191,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,191.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,255.5509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE SET ADULT 059001,272,RC,,,,,outpatient,,,570,,285,342,552.9,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,456.57,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,529.473,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,456.627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE SET PED 9018,272,RC,,,,,outpatient,,,646,,323,387.6,626.62,607.24,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,536.18,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,611.116,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,626.62,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,568.48,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,517.446,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,600.0694,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,517.5106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY ARROW INTRODUCER 8.5,278,RC,C1894,HCPCS,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VALVE SWALLO SPEAK PURPLE,274,RC,L8501,HCPCS,,,outpatient,,,362,,181,217.2,351.14,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,289.962,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,336.2618,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.9982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER SWAN GANZ,270,RC,,,,,outpatient,,,522,,261,313.2,506.34,490.68,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,433.26,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,480.24,,,,percent of total billed charges,,480.24,,,,percent of total billed charges,,493.812,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,506.34,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,459.36,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,418.122,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,484.8858,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,418.1742,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TROCAR BLDLESS XCEL 12 MM B 12LT,278,RC,,,,,outpatient,,,594,,297,356.4,576.18,558.36,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,493.02,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,561.924,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.18,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,522.72,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,475.794,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,551.7666,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,475.8534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT FMS FLEXISEAL,272,RC,,,,,outpatient,,,844,,422,506.4,818.68,793.36,,,,percent of total billed charges,,675.2,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,700.52,,,,percent of total billed charges,,759.6,,,,percent of total billed charges,,776.48,,,,percent of total billed charges,,776.48,,,,percent of total billed charges,,798.424,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,818.68,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,742.72,,,,percent of total billed charges,,759.6,,,,percent of total billed charges,,676.044,,,,percent of total billed charges,,759.6,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,783.9916,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,675.2,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,676.1284,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIRAL TACKER,270,RC,,,,,outpatient,,,1201,,600.5,720.6,1164.97,1128.94,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,996.83,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1136.146,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1164.97,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1056.88,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,962.001,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,1115.6089,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,962.1211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEVICE PERMASORB 0113092,270,RC,,,,,outpatient,,,1364,,682,818.4,1323.08,1282.16,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1132.12,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1290.344,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1323.08,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1200.32,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,1092.564,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,1267.0196,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1092.7004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GW ESOPHAGEAL DREMWR 035/260,272,RC,,,,,outpatient,,,1481,,740.5,888.6,1436.57,1392.14,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1229.23,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1401.026,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1436.57,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1303.28,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,1186.281,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,1375.7009,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1186.4291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERFIT TRACH KIT,270,RC,,,,,outpatient,,,1674,,837,1004.4,1623.78,1573.56,,,,percent of total billed charges,,1339.2,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1389.42,,,,percent of total billed charges,,1506.6,,,,percent of total billed charges,,1540.08,,,,percent of total billed charges,,1540.08,,,,percent of total billed charges,,1583.604,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1623.78,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1473.12,,,,percent of total billed charges,,1506.6,,,,percent of total billed charges,,1340.874,,,,percent of total billed charges,,1506.6,,,,percent of total billed charges,,1004.4,,,,percent of total billed charges,,1554.9786,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1339.2,,,,percent of total billed charges,,1004.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1341.0414,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING AQUACEL AG 3.5 X 10,270,RC,A6196,HCPCS,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SET QUICK MONITOR 0295002000,270,RC,,,,,outpatient,,,651,,325.5,390.6,631.47,611.94,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,540.33,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,615.846,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,631.47,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,572.88,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,521.451,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,604.7139,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,521.5161,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHEATH URETH 14FR X 28CM,270,RC,,,,,outpatient,,,967,,483.5,580.2,937.99,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,774.567,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,898.2463,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,774.6637,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH TENCKHOFF SET C-TCPS,270,RC,,,,,outpatient,,,509,,254.5,305.4,493.73,478.46,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,422.47,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,481.514,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,493.73,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,447.92,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,407.709,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,472.8101,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,407.7599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH GROSHONG 8.0FR SL,278,RC,,,,,outpatient,,,1172,,586,703.2,1136.84,1101.68,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,972.76,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1108.712,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1136.84,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1031.36,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,938.772,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,1088.6708,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,938.8892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIT, PLEURX DRAINAGE",278,RC,C1729,HCPCS,,,outpatient,,,469,,234.5,281.4,454.93,440.86,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,389.27,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,443.674,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,454.93,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,412.72,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,375.669,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,435.6541,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,375.7159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDO GIA UNIV 030449,272,RC,,,,,outpatient,,,1304,,652,782.4,1264.88,1225.76,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1082.32,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1233.584,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1264.88,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1147.52,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1044.504,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,1211.2856,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1044.6344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIALTY NEEDLE II,272,RC,,,,,outpatient,,,862,,431,517.2,836.14,810.28,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,715.46,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,815.452,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,836.14,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,758.56,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,690.462,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,800.7118,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,690.5482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATHETER, ATHERECTOMY DEVICE DIRECTIONAL",278,RC,C1714,HCPCS,,,outpatient,,,10486,,5243,6291.6,10171.42,9856.84,,,,percent of total billed charges,,8388.8,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,8703.38,,,,percent of total billed charges,,9437.4,,,,percent of total billed charges,,9647.12,,,,percent of total billed charges,,9647.12,,,,percent of total billed charges,,9919.756,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,10171.42,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,9227.68,,,,percent of total billed charges,,9437.4,,,,percent of total billed charges,,8399.286,,,,percent of total billed charges,,9437.4,,,,percent of total billed charges,,6291.6,,,,percent of total billed charges,,9740.4454,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,8388.8,,,,percent of total billed charges,,6291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8400.3346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0174 COLLAR, CERVICAL, FOAM 2 PIECE, PREFAB OTS",274,RC,L0174,HCPCS,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOPSY SHEATH,278,RC,C1894,HCPCS,,,outpatient,,,1347,,673.5,808.2,1306.59,1266.18,,,,percent of total billed charges,,1077.6,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1118.01,,,,percent of total billed charges,,1212.3,,,,percent of total billed charges,,1239.24,,,,percent of total billed charges,,1239.24,,,,percent of total billed charges,,1274.262,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1306.59,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1185.36,,,,percent of total billed charges,,1212.3,,,,percent of total billed charges,,1078.947,,,,percent of total billed charges,,1212.3,,,,percent of total billed charges,,808.2,,,,percent of total billed charges,,1251.2283,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1077.6,,,,percent of total billed charges,,808.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1079.0817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARCTIC GEL PAM S/M/L,270,RC,,,,,outpatient,,,5123,,2561.5,3073.8,4969.31,4815.62,,,,percent of total billed charges,,4098.4,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4252.09,,,,percent of total billed charges,,4610.7,,,,percent of total billed charges,,4713.16,,,,percent of total billed charges,,4713.16,,,,percent of total billed charges,,4846.358,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4969.31,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4508.24,,,,percent of total billed charges,,4610.7,,,,percent of total billed charges,,4103.523,,,,percent of total billed charges,,4610.7,,,,percent of total billed charges,,3073.8,,,,percent of total billed charges,,4758.7547,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4098.4,,,,percent of total billed charges,,3073.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4104.0353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARCTIC GEL UNIVERSAL PAD,270,RC,,,,,outpatient,,,1738,,869,1042.8,1685.86,1633.72,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1442.54,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1644.148,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1685.86,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1529.44,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1392.138,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,1614.4282,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1392.3118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOSPICE DAILY,101,RC,,,,,outpatient,,,886,,443,531.6,859.42,832.84,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,735.38,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,838.156,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,859.42,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,779.68,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,709.686,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,823.0054,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,709.7746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRICOTHROTOMY CATHETER 4.0,278,RC,C1769,HCPCS,,,outpatient,,,979,,489.5,587.4,949.63,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,784.179,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,909.3931,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,784.2769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRICOTHROTOMY CATHETER 6.0,278,RC,C1769,HCPCS,,,outpatient,,,979,,489.5,587.4,949.63,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,784.179,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,909.3931,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,784.2769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MEDE-KAST, SHORT LEG, ADULT 11 YR+, FIBERGLASS",270,RC,,,,,outpatient,,,741,,370.5,444.6,718.77,696.54,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,615.03,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,700.986,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,718.77,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,652.08,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,593.541,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,688.3149,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,593.6151,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT DRILL ALN PARENCHYMA BIT STPR KY CH5,272,RC,,,,,outpatient,,,520,,260,312,504.4,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,483.028,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,416.572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT PRESS MONITOR CH5 VRSN 1 LUM PORT NEUROVENT-PTO/-TO,272,RC,,,,,outpatient,,,975,,487.5,585,945.75,916.5,,,,percent of total billed charges,,780,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,809.25,,,,percent of total billed charges,,877.5,,,,percent of total billed charges,,897,,,,percent of total billed charges,,897,,,,percent of total billed charges,,922.35,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,945.75,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,858,,,,percent of total billed charges,,877.5,,,,percent of total billed charges,,780.975,,,,percent of total billed charges,,877.5,,,,percent of total billed charges,,585,,,,percent of total billed charges,,905.6775,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,780,,,,percent of total billed charges,,585,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.0725,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAT ICP NEUROVENT-PTO 5FR TEMP PTIO2 PLG PLAY SYS-129487,272,RC,,,,,outpatient,,,6035,,3017.5,3621,5853.95,5672.9,,,,percent of total billed charges,,4828,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5009.05,,,,percent of total billed charges,,5431.5,,,,percent of total billed charges,,5552.2,,,,percent of total billed charges,,5552.2,,,,percent of total billed charges,,5709.11,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5853.95,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5310.8,,,,percent of total billed charges,,5431.5,,,,percent of total billed charges,,4834.035,,,,percent of total billed charges,,5431.5,,,,percent of total billed charges,,3621,,,,percent of total billed charges,,5605.9115,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,4828,,,,percent of total billed charges,,3621,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4834.6385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PELVIC SLING,272,RC,,,,,outpatient,,,492,,246,295.2,477.24,462.48,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,408.36,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,465.432,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,477.24,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,432.96,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,394.092,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,457.0188,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,394.1412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KOOL KT-BLANKET,271,RC,,,,,outpatient,,,1886,,943,1131.6,1829.42,1772.84,,,,percent of total billed charges,,1508.8,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1565.38,,,,percent of total billed charges,,1697.4,,,,percent of total billed charges,,1735.12,,,,percent of total billed charges,,1735.12,,,,percent of total billed charges,,1784.156,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1829.42,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1659.68,,,,percent of total billed charges,,1697.4,,,,percent of total billed charges,,1510.686,,,,percent of total billed charges,,1697.4,,,,percent of total billed charges,,1131.6,,,,percent of total billed charges,,1751.9054,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1508.8,,,,percent of total billed charges,,1131.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1510.8746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING WND VAC VERAFLO MED,272,RC,,,,,outpatient,,,506,,253,303.6,490.82,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,405.306,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,470.0234,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,405.3566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING VERAFLO CLEANSE,272,RC,,,,,outpatient,,,693,,346.5,415.8,672.21,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,555.093,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,643.7277,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,555.1623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACT MENS DRESS SOCKS (XL),270,RC,A6530,HCPCS,,,outpatient,,,1726,,863,1035.6,1674.22,1622.44,,,,percent of total billed charges,,1380.8,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1432.58,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,1587.92,,,,percent of total billed charges,,1587.92,,,,percent of total billed charges,,1632.796,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1674.22,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1518.88,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,1382.526,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,1035.6,,,,percent of total billed charges,,1603.2814,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1380.8,,,,percent of total billed charges,,1035.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1382.6986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARRIER SKIN 2 1/4 FLAT F,274,RC,A4410,HCPCS,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROOKE BKA RIGID DRESSING,272,RC,B501326,HCPCS,,,outpatient,,,1525,,762.5,915,1479.25,1433.5,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1265.75,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1442.65,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1479.25,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1342,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,1221.525,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,915,,,,percent of total billed charges,,1416.5725,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,915,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1221.6775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCALPELS/KNIVES/BLADES/TREPHINES, SURGICAL  LAWSON # 63837",272,RC,,,,,outpatient,,,3075,,1537.5,1845,2982.75,2890.5,,,,percent of total billed charges,,2460,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2552.25,,,,percent of total billed charges,,2767.5,,,,percent of total billed charges,,2829,,,,percent of total billed charges,,2829,,,,percent of total billed charges,,2908.95,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2982.75,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2706,,,,percent of total billed charges,,2767.5,,,,percent of total billed charges,,2463.075,,,,percent of total billed charges,,2767.5,,,,percent of total billed charges,,1845,,,,percent of total billed charges,,2856.3675,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2460,,,,percent of total billed charges,,1845,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2463.3825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCALPELS/KNIVES/BLADES/TREPHINES, SURGICAL    LAWSON # 61225",272,RC,,,,,outpatient,,,1166,,583,699.6,1131.02,1096.04,,,,percent of total billed charges,,932.8,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,967.78,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,1072.72,,,,percent of total billed charges,,1072.72,,,,percent of total billed charges,,1103.036,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,1131.02,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,1026.08,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,933.966,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,1083.0974,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,932.8,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,934.0826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CSF CATHETERS, DRAINAGE/ADAPTERS  LAWSON",272,RC,C1729,HCPCS,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CABLES, TRANSDUCER MONITOR  LAWSON # 75404",272,RC,,,,,outpatient,,,787,,393.5,472.2,763.39,739.78,,,,percent of total billed charges,,629.6,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,653.21,,,,percent of total billed charges,,708.3,,,,percent of total billed charges,,724.04,,,,percent of total billed charges,,724.04,,,,percent of total billed charges,,744.502,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,763.39,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,692.56,,,,percent of total billed charges,,708.3,,,,percent of total billed charges,,630.387,,,,percent of total billed charges,,708.3,,,,percent of total billed charges,,472.2,,,,percent of total billed charges,,731.0443,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,629.6,,,,percent of total billed charges,,472.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,630.4657,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSTRUMENTS, CRAINIOTOMY SURGICAL       LAWSON # 120876",272,RC,,,,,outpatient,,,1746,,873,1047.6,1693.62,1641.24,,,,percent of total billed charges,,1396.8,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1449.18,,,,percent of total billed charges,,1571.4,,,,percent of total billed charges,,1606.32,,,,percent of total billed charges,,1606.32,,,,percent of total billed charges,,1651.716,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1693.62,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1536.48,,,,percent of total billed charges,,1571.4,,,,percent of total billed charges,,1398.546,,,,percent of total billed charges,,1571.4,,,,percent of total billed charges,,1047.6,,,,percent of total billed charges,,1621.8594,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1396.8,,,,percent of total billed charges,,1047.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1398.7206,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BAGS, DRAINAGE / EXTERNAL CEREBRAL VENTRICULAR  LAWSON # 20923",272,RC,,,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SHUNTS/ OR SHUNT EXTENDERS, IMPLANTABLE   LAWSON # 120875",272,RC,,,,,outpatient,,,709,,354.5,425.4,687.73,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,567.909,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,658.5901,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,567.9799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD THERAPEUTIC ARCTICGEL,270,RC,,,,,outpatient,,,3882,,1941,2329.2,3765.54,3649.08,,,,percent of total billed charges,,3105.6,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3222.06,,,,percent of total billed charges,,3493.8,,,,percent of total billed charges,,3571.44,,,,percent of total billed charges,,3571.44,,,,percent of total billed charges,,3672.372,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3765.54,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3416.16,,,,percent of total billed charges,,3493.8,,,,percent of total billed charges,,3109.482,,,,percent of total billed charges,,3493.8,,,,percent of total billed charges,,2329.2,,,,percent of total billed charges,,3605.9898,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3105.6,,,,percent of total billed charges,,2329.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3109.8702,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENENA 20CM PEEL W/125 UNIT CASE CANNISTER LAWSON# 68142,272,RC,,,,,outpatient,,,1984,,992,1190.4,1924.48,1864.96,,,,percent of total billed charges,,1587.2,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1646.72,,,,percent of total billed charges,,1785.6,,,,percent of total billed charges,,1825.28,,,,percent of total billed charges,,1825.28,,,,percent of total billed charges,,1876.864,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1924.48,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1745.92,,,,percent of total billed charges,,1785.6,,,,percent of total billed charges,,1589.184,,,,percent of total billed charges,,1785.6,,,,percent of total billed charges,,1190.4,,,,percent of total billed charges,,1842.9376,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1587.2,,,,percent of total billed charges,,1190.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1589.3824,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENA 13CM PEEL W/125 UNIT CASE CANNISTER LAWSON # 110619,272,RC,,,,,outpatient,,,2044,,1022,1226.4,1982.68,1921.36,,,,percent of total billed charges,,1635.2,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1696.52,,,,percent of total billed charges,,1839.6,,,,percent of total billed charges,,1880.48,,,,percent of total billed charges,,1880.48,,,,percent of total billed charges,,1933.624,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1982.68,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1798.72,,,,percent of total billed charges,,1839.6,,,,percent of total billed charges,,1637.244,,,,percent of total billed charges,,1839.6,,,,percent of total billed charges,,1226.4,,,,percent of total billed charges,,1898.6716,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1635.2,,,,percent of total billed charges,,1226.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1637.4484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENA PLUS SYSTEM INCISION MANAGEMENT (NOT IN LAWSON),272,RC,,,,,outpatient,,,4472,,2236,2683.2,4337.84,4203.68,,,,percent of total billed charges,,3577.6,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,3711.76,,,,percent of total billed charges,,4024.8,,,,percent of total billed charges,,4114.24,,,,percent of total billed charges,,4114.24,,,,percent of total billed charges,,4230.512,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,4337.84,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,3935.36,,,,percent of total billed charges,,4024.8,,,,percent of total billed charges,,3582.072,,,,percent of total billed charges,,4024.8,,,,percent of total billed charges,,2683.2,,,,percent of total billed charges,,4154.0408,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,3577.6,,,,percent of total billed charges,,2683.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3582.5192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENA PLUS DO SYSTEM 13CM/13CM LAWSON # 120327,272,RC,,,,,outpatient,,,2734,,1367,1640.4,2651.98,2569.96,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2269.22,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2586.364,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2651.98,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2405.92,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,2189.934,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,2539.6126,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2190.2074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OASIS 3 X 7 CM; PER SQ CM (21 UNITS),636,RC,Q4102,HCPCS,,,outpatient,,,313,,156.5,187.8,303.61,294.22,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,259.79,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,296.098,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,303.61,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,275.44,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,250.713,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,290.7457,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,250.7443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRAY WAYNE PNEUMOTHORAX  G56537, 97260",278,RC,C1729,HCPCS,,,outpatient,,,1194,,597,716.4,1158.18,1122.36,,,,percent of total billed charges,,955.2,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,991.02,,,,percent of total billed charges,,1074.6,,,,percent of total billed charges,,1098.48,,,,percent of total billed charges,,1098.48,,,,percent of total billed charges,,1129.524,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,1158.18,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,1050.72,,,,percent of total billed charges,,1074.6,,,,percent of total billed charges,,956.394,,,,percent of total billed charges,,1074.6,,,,percent of total billed charges,,716.4,,,,percent of total billed charges,,1109.1066,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,955.2,,,,percent of total billed charges,,716.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,956.5134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN POWERPICC PROVENA - 143884,278,RC,C1751,HCPCS,,,outpatient,,,1168,,584,700.8,1132.96,1097.92,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,969.44,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1104.928,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1132.96,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1027.84,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,935.568,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,1084.9552,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,935.6848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOSTAT ABS SRGCL OXD - 126683,272,RC,,,,,outpatient,,,973,,486.5,583.8,943.81,914.62,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,807.59,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,920.458,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,943.81,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,856.24,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,779.373,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,903.8197,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,779.4703,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT INTROD HALYARD 16FR 20FR - 136148,272,RC,,,,,outpatient,,,1006,,503,603.6,975.82,945.64,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,834.98,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,951.676,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,975.82,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,885.28,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,805.806,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,934.4734,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,805.9066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT 22FR 18FR LOW PROF SYRG - 136149,272,RC,,,,,outpatient,,,1006,,503,603.6,975.82,945.64,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,834.98,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,951.676,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,975.82,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,885.28,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,805.806,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,934.4734,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,805.9066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT 24FR 20FR LOW PROF SYRG - 136150,272,RC,,,,,outpatient,,,1006,,503,603.6,975.82,945.64,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,834.98,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,951.676,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,975.82,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,885.28,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,805.806,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,934.4734,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,805.9066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY TRACH 24-28FR SHLY CGL BL - 143862,272,RC,,,,,outpatient,,,1708,,854,1024.8,1656.76,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1368.108,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1586.5612,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1368.2788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN POWERPICC PROVENA-148650,272,RC,C1751,HCPCS,,,outpatient,,,767,,383.5,460.2,743.99,720.98,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,636.61,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,725.582,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,743.99,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,674.96,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,614.367,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,712.4663,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,614.4437,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARTHX AMNION ALLOGRAFT FLW - 137549, PER .5 CC",636,RC,Q4206,HCPCS,,,outpatient,,,3363,,1681.5,2017.8,3262.11,3161.22,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,2791.29,,,,percent of total billed charges,,3026.7,,,,percent of total billed charges,,3093.96,,,,percent of total billed charges,,3093.96,,,,percent of total billed charges,,3181.398,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,3262.11,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,2959.44,,,,percent of total billed charges,,3026.7,,,,percent of total billed charges,,2693.763,,,,percent of total billed charges,,3026.7,,,,percent of total billed charges,,2017.8,,,,percent of total billed charges,,3123.8907,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2017.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2694.0993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 2.5MM 82MM 4MM BVN-150717,272,RC,501402,CPT,,,outpatient,,,905,,452.5,543,877.85,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,724.905,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,840.6545,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.9955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 3MM 84MM 4.7MM BVN-150718,272,RC,,,,,outpatient,,,905,,452.5,543,877.85,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,724.905,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,840.6545,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.9955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 3.5MM 86MM 5.3MM BV-150719,272,RC,,,,,outpatient,,,905,,452.5,543,877.85,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,724.905,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,840.6545,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.9955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 4MM 88MM 6MM BVN NE-150720,272,RC,,,,,outpatient,,,905,,452.5,543,877.85,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,724.905,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,840.6545,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.9955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 5MM 106MM 7.3MM BVN-150721,272,RC,,,,,outpatient,,,905,,452.5,543,877.85,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,724.905,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,840.6545,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.9955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 5.5MM 108MM 8MM BVN-150722,272,RC,,,,,outpatient,,,905,,452.5,543,877.85,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,724.905,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,840.6545,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.9955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 7MM 80MM 10MM BVN C-150724,272,RC,,,,,outpatient,,,366,,183,219.6,355.02,344.04,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,303.78,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,346.236,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,355.02,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,322.08,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,293.166,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,339.9774,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,293.2026,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 117906 CATH DRAIN EXPEL TWST-LOC APD, SIZE 12",278,RC,C1729,HCPCS,,,outpatient,,,396,,198,237.6,384.12,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,317.196,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,367.8444,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,317.2356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 117907 CATH DRAIN EXPEL APD TWST-LOC, SIZE 14",278,RC,C1729,HCPCS,,,outpatient,,,396,,198,237.6,384.12,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,317.196,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,367.8444,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,317.2356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIGNITY CT DUAL PORT WITH SILI- LAWSON # 152429,270,RC,,,,,outpatient,,,1093,,546.5,655.8,1060.21,1027.42,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,907.19,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1033.978,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1060.21,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,961.84,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,875.493,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,1015.2877,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,875.6023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH REPR WHT 71CM 4.2FR 1- LAWSON # 28133,270,RC,,,,,outpatient,,,851,,425.5,510.6,825.47,799.94,,,,percent of total billed charges,,680.8,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,706.33,,,,percent of total billed charges,,765.9,,,,percent of total billed charges,,782.92,,,,percent of total billed charges,,782.92,,,,percent of total billed charges,,805.046,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,825.47,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,765.9,,,,percent of total billed charges,,681.651,,,,percent of total billed charges,,765.9,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,790.4939,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,680.8,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,681.7361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BREAST BX MARKER, 8 GA, A4648, 72899",278,RC,A4648,HCPCS,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BOWTIE BX MARKER BREAST, 8 GA, 13156, 153494",272,RC,C1819,HCPCS,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN CL LN 9.3 FR 22CM,272,RC,,,,,outpatient,,,2161,,1080.5,1296.6,2096.17,2031.34,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1793.63,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,2044.306,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2096.17,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1901.68,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1730.961,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,2007.3529,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1731.1771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN ICY 9.3FR 38CM HE,272,RC,,,,,outpatient,,,3254,,1627,1952.4,3156.38,3058.76,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2700.82,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,3078.284,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3156.38,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2863.52,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2606.454,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,3022.6406,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2606.7794,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ACC 50CM 2.6FR VS PICC - 100295,272,RC,,,,,outpatient,,,517,,258.5,310.2,501.49,485.98,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,429.11,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,489.082,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,501.49,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,454.96,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,414.117,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,480.2413,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,414.1687,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1894 INTRODUCER/SHEATH, OTHER THAN GUIDING",278,RC,C1894,HCPCS,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ARWG+ARD BLU BLU FLXT,278,RC,C1751,HCPCS,,,outpatient,,,328,,164,196.8,318.16,308.32,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,272.24,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,310.288,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,318.16,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,288.64,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,262.728,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,304.6792,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,262.7608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE IRRAFLOW,272,RC,,,,,outpatient,,,8775,,4387.5,5265,8511.75,8248.5,,,,percent of total billed charges,,7020,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,7283.25,,,,percent of total billed charges,,7897.5,,,,percent of total billed charges,,8073,,,,percent of total billed charges,,8073,,,,percent of total billed charges,,8301.15,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,8511.75,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,7722,,,,percent of total billed charges,,7897.5,,,,percent of total billed charges,,7028.775,,,,percent of total billed charges,,7897.5,,,,percent of total billed charges,,5265,,,,percent of total billed charges,,8151.0975,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,7020,,,,percent of total billed charges,,5265,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7029.6525,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1729 CATHER, DRAINAGE",278,RC,C1729,HCPCS,,,outpatient,,,2011,,1005.5,1206.6,1950.67,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1610.811,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,1868.0179,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1611.0121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BLU FLXTP ARGD BLU IN,278,RC,C1751,HCPCS,,,outpatient,,,493,,246.5,295.8,478.21,463.42,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,409.19,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,466.378,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,478.21,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,433.84,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,394.893,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,457.9477,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,394.9423,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG A7521 TRACH/LARYNGE TUBE, CUFFED, (PVC), EACH",274,RC,A7521,HCPCS,,,outpatient,,,233,,116.5,139.8,226.01,219.02,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,193.39,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,220.418,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,226.01,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,205.04,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,186.633,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,216.4337,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,186.6563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 4 62MM 9.4MM SHLY U,274,RC,A7521,HCPCS,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD ARCTICGEL LRG 2KITS/CS,272,RC,,,,,outpatient,,,4429,,2214.5,2657.4,4296.13,4163.26,,,,percent of total billed charges,,3543.2,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,3676.07,,,,percent of total billed charges,,3986.1,,,,percent of total billed charges,,4074.68,,,,percent of total billed charges,,4074.68,,,,percent of total billed charges,,4189.834,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,4296.13,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,3897.52,,,,percent of total billed charges,,3986.1,,,,percent of total billed charges,,3547.629,,,,percent of total billed charges,,3986.1,,,,percent of total billed charges,,2657.4,,,,percent of total billed charges,,4114.0981,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,3543.2,,,,percent of total billed charges,,2657.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3548.0719,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD ARCTICGEL MED 2KITS/CS,272,RC,,,,,outpatient,,,4503,,2251.5,2701.8,4367.91,4232.82,,,,percent of total billed charges,,3602.4,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,3737.49,,,,percent of total billed charges,,4052.7,,,,percent of total billed charges,,4142.76,,,,percent of total billed charges,,4142.76,,,,percent of total billed charges,,4259.838,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,4367.91,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,3962.64,,,,percent of total billed charges,,4052.7,,,,percent of total billed charges,,3606.903,,,,percent of total billed charges,,4052.7,,,,percent of total billed charges,,2701.8,,,,percent of total billed charges,,4182.8367,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,3602.4,,,,percent of total billed charges,,2701.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3607.3533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH SWAN-GANZ TD VIP 7.5 FR, 13934",278,RC,C1751,HCPCS,,,outpatient,,,856,,428,513.6,830.32,804.64,,,,percent of total billed charges,,684.8,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,710.48,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,787.52,,,,percent of total billed charges,,787.52,,,,percent of total billed charges,,809.776,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,830.32,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,753.28,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,685.656,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,795.1384,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,684.8,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,685.7416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG A4618 BREATHING CIRCUITS,271,RC,A4618,HCPCS,,,outpatient,,,478,,239,286.8,463.66,449.32,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,396.74,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,452.188,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,463.66,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,420.64,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,382.878,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,444.0142,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,382.9258,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING MULTITRAUMA 10X30IN 104949,272,RC,A6240,HCPCS,,,outpatient,,,318,,159,190.8,308.46,298.92,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,263.94,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,300.828,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,308.46,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,279.84,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,254.718,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,295.3902,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,254.7498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG B4087 GASTRO/JEJUNOSTOMY TUBE, STANDARD",272,RC,,,,,outpatient,,,258,,129,154.8,250.26,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,206.658,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,239.6562,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,206.6838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1715 BRACHYTHERAPY NEEDLE,278,RC,C1715,HCPCS,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1731 CATH EP DIAG, OTHER THAN 3D, >=20",272,RC,C1731,HCPCS,,,outpatient,,,3935,,1967.5,2361,3816.95,3698.9,,,,percent of total billed charges,,3148,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3266.05,,,,percent of total billed charges,,3541.5,,,,percent of total billed charges,,3620.2,,,,percent of total billed charges,,3620.2,,,,percent of total billed charges,,3722.51,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3816.95,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3462.8,,,,percent of total billed charges,,3541.5,,,,percent of total billed charges,,3151.935,,,,percent of total billed charges,,3541.5,,,,percent of total billed charges,,2361,,,,percent of total billed charges,,3655.2215,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3148,,,,percent of total billed charges,,2361,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3152.3285,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1755 CATHETER, INTRASPINAL",278,RC,C1755,HCPCS,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1762 CONNECTIVE TISSUE, HUMAN, INC FASCIA LATA",278,RC,C1762,HCPCS,,,outpatient,,,1151,,575.5,690.6,1116.47,1081.94,,,,percent of total billed charges,,920.8,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,955.33,,,,percent of total billed charges,,1035.9,,,,percent of total billed charges,,1058.92,,,,percent of total billed charges,,1058.92,,,,percent of total billed charges,,1088.846,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,1116.47,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,1012.88,,,,percent of total billed charges,,1035.9,,,,percent of total billed charges,,921.951,,,,percent of total billed charges,,1035.9,,,,percent of total billed charges,,690.6,,,,percent of total billed charges,,1069.1639,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,920.8,,,,percent of total billed charges,,690.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,922.0661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1765 Adhesion Barrier 4x3, 11621",278,RC,C1765,HCPCS,,,outpatient,,,1256,,628,753.6,1218.32,1180.64,,,,percent of total billed charges,,1004.8,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1042.48,,,,percent of total billed charges,,1130.4,,,,percent of total billed charges,,1155.52,,,,percent of total billed charges,,1155.52,,,,percent of total billed charges,,1188.176,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1218.32,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1105.28,,,,percent of total billed charges,,1130.4,,,,percent of total billed charges,,1006.056,,,,percent of total billed charges,,1130.4,,,,percent of total billed charges,,753.6,,,,percent of total billed charges,,1166.6984,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1004.8,,,,percent of total billed charges,,753.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1006.1816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1767 GENERATOR, NEUROSTIM IMPL",278,RC,C1767,HCPCS,,,outpatient,,,26961,,13480.5,16176.6,26152.17,25343.34,,,,percent of total billed charges,,21568.8,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,22377.63,,,,percent of total billed charges,,24264.9,,,,percent of total billed charges,,24804.12,,,,percent of total billed charges,,24804.12,,,,percent of total billed charges,,25505.106,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,26152.17,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,23725.68,,,,percent of total billed charges,,24264.9,,,,percent of total billed charges,,21595.761,,,,percent of total billed charges,,24264.9,,,,percent of total billed charges,,16176.6,,,,percent of total billed charges,,25044.0729,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,21568.8,,,,percent of total billed charges,,16176.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21598.4571,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1768 GRAFT VASCULAR,278,RC,C1768,HCPCS,,,outpatient,,,4897,,2448.5,2938.2,4750.09,4603.18,,,,percent of total billed charges,,3917.6,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4064.51,,,,percent of total billed charges,,4407.3,,,,percent of total billed charges,,4505.24,,,,percent of total billed charges,,4505.24,,,,percent of total billed charges,,4632.562,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4750.09,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4309.36,,,,percent of total billed charges,,4407.3,,,,percent of total billed charges,,3922.497,,,,percent of total billed charges,,4407.3,,,,percent of total billed charges,,2938.2,,,,percent of total billed charges,,4548.8233,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,3917.6,,,,percent of total billed charges,,2938.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3922.9867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1776 JOINT DEVICE, IMPLANTABLE",278,RC,C1776,HCPCS,,,outpatient,,,6311,,3155.5,3786.6,6121.67,5932.34,,,,percent of total billed charges,,5048.8,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5238.13,,,,percent of total billed charges,,5679.9,,,,percent of total billed charges,,5806.12,,,,percent of total billed charges,,5806.12,,,,percent of total billed charges,,5970.206,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,6121.67,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5553.68,,,,percent of total billed charges,,5679.9,,,,percent of total billed charges,,5055.111,,,,percent of total billed charges,,5679.9,,,,percent of total billed charges,,3786.6,,,,percent of total billed charges,,5862.2879,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5048.8,,,,percent of total billed charges,,3786.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5055.7421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1777 LEAD, CARDIOVERTER-DEFIB, ENDOCARDIAL SINGLE COIL, IMPLANTABLE",275,RC,C1777,HCPCS,,,outpatient,,,7401,,3700.5,4440.6,7178.97,6956.94,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,6142.83,,,,percent of total billed charges,,6660.9,,,,percent of total billed charges,,6808.92,,,,percent of total billed charges,,6808.92,,,,percent of total billed charges,,7001.346,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,7178.97,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,6512.88,,,,percent of total billed charges,,6660.9,,,,percent of total billed charges,,5928.201,,,,percent of total billed charges,,6660.9,,,,percent of total billed charges,,4440.6,,,,percent of total billed charges,,6874.7889,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,4440.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5928.9411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1779 LEAD, PACEMAKER, TRANSVENOUS VDD SINGLE PASS",275,RC,C1779,HCPCS,,,outpatient,,,4845,,2422.5,2907,4699.65,4554.3,,,,percent of total billed charges,,3876,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4021.35,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4457.4,,,,percent of total billed charges,,4457.4,,,,percent of total billed charges,,4583.37,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4699.65,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4263.6,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,3880.845,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,2907,,,,percent of total billed charges,,4500.5205,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,3876,,,,percent of total billed charges,,2907,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3881.3295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1781 MESH SURGICAL,278,RC,C1781,HCPCS,,,outpatient,,,3992,,1996,2395.2,3872.24,3752.48,,,,percent of total billed charges,,3193.6,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3313.36,,,,percent of total billed charges,,3592.8,,,,percent of total billed charges,,3672.64,,,,percent of total billed charges,,3672.64,,,,percent of total billed charges,,3776.432,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3872.24,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3512.96,,,,percent of total billed charges,,3592.8,,,,percent of total billed charges,,3197.592,,,,percent of total billed charges,,3592.8,,,,percent of total billed charges,,2395.2,,,,percent of total billed charges,,3708.1688,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3193.6,,,,percent of total billed charges,,2395.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3197.9912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1783 OCULAR IMPLANT, AQUEOUS DRAINAGE ASSIST DEVICE",278,RC,C1783,HCPCS,,,outpatient,,,3682,,1841,2209.2,3571.54,3461.08,,,,percent of total billed charges,,2945.6,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3056.06,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,3387.44,,,,percent of total billed charges,,3387.44,,,,percent of total billed charges,,3483.172,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3571.54,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3240.16,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,2949.282,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,2209.2,,,,percent of total billed charges,,3420.2098,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,2945.6,,,,percent of total billed charges,,2209.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2949.6502,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1787 PRGMR NEUROSTIM INTSTM,278,RC,C1787,HCPCS,,,outpatient,,,3491,,1745.5,2094.6,3386.27,3281.54,,,,percent of total billed charges,,2792.8,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,2897.53,,,,percent of total billed charges,,3141.9,,,,percent of total billed charges,,3211.72,,,,percent of total billed charges,,3211.72,,,,percent of total billed charges,,3302.486,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,3386.27,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,3072.08,,,,percent of total billed charges,,3141.9,,,,percent of total billed charges,,2796.291,,,,percent of total billed charges,,3141.9,,,,percent of total billed charges,,2094.6,,,,percent of total billed charges,,3242.7899,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,2792.8,,,,percent of total billed charges,,2094.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2796.6401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1789 PROSTHESIS, BREAST IMPLANTABLE",278,RC,C1789,HCPCS,,,outpatient,,,1455,,727.5,873,1411.35,1367.7,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1207.65,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1376.43,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1411.35,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1280.4,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1165.455,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,873,,,,percent of total billed charges,,1351.5495,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,873,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1165.6005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1813 PROSTHESIS, PENILE, INFLATABLE",278,RC,C1813,HCPCS,,,outpatient,,,11034,,5517,6620.4,10702.98,10371.96,,,,percent of total billed charges,,8827.2,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,9158.22,,,,percent of total billed charges,,9930.6,,,,percent of total billed charges,,10151.28,,,,percent of total billed charges,,10151.28,,,,percent of total billed charges,,10438.164,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,10702.98,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,9709.92,,,,percent of total billed charges,,9930.6,,,,percent of total billed charges,,8838.234,,,,percent of total billed charges,,9930.6,,,,percent of total billed charges,,6620.4,,,,percent of total billed charges,,10249.4826,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,8827.2,,,,percent of total billed charges,,6620.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8839.3374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1815 PROSTHESIS, URINARY SPHINCTER IMPLANT",278,RC,C1815,HCPCS,,,outpatient,,,14695,,7347.5,8817,14254.15,13813.3,,,,percent of total billed charges,,11756,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,12196.85,,,,percent of total billed charges,,13225.5,,,,percent of total billed charges,,13519.4,,,,percent of total billed charges,,13519.4,,,,percent of total billed charges,,13901.47,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,14254.15,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,12931.6,,,,percent of total billed charges,,13225.5,,,,percent of total billed charges,,11770.695,,,,percent of total billed charges,,13225.5,,,,percent of total billed charges,,8817,,,,percent of total billed charges,,13650.1855,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,11756,,,,percent of total billed charges,,8817,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11772.1645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1821 INTERSPINOUS PROCESS DISTRACTION DEVICE IMPLANT,278,RC,C1821,HCPCS,,,outpatient,,,4901,,2450.5,2940.6,4753.97,4606.94,,,,percent of total billed charges,,3920.8,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4067.83,,,,percent of total billed charges,,4410.9,,,,percent of total billed charges,,4508.92,,,,percent of total billed charges,,4508.92,,,,percent of total billed charges,,4636.346,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4753.97,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4312.88,,,,percent of total billed charges,,4410.9,,,,percent of total billed charges,,3925.701,,,,percent of total billed charges,,4410.9,,,,percent of total billed charges,,2940.6,,,,percent of total billed charges,,4552.5389,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,3920.8,,,,percent of total billed charges,,2940.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3926.1911,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1822 GENERATOR, NEUROSTIM, IMPLANT, HF W/ RECHARGE BATTERY & CHARGE SYSTM",278,RC,C1822,HCPCS,,,outpatient,,,48298,,24149,28978.8,46849.06,45400.12,,,,percent of total billed charges,,38638.4,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,40087.34,,,,percent of total billed charges,,43468.2,,,,percent of total billed charges,,44434.16,,,,percent of total billed charges,,44434.16,,,,percent of total billed charges,,45689.908,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,46849.06,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,42502.24,,,,percent of total billed charges,,43468.2,,,,percent of total billed charges,,38686.698,,,,percent of total billed charges,,43468.2,,,,percent of total billed charges,,28978.8,,,,percent of total billed charges,,44864.0122,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,38638.4,,,,percent of total billed charges,,28978.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38691.5278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1878 MATERIAL FOR VOCAL CORD MEDIALIZATION, SYNTHETIC IMPLANT",278,RC,C1878,HCPCS,,,outpatient,,,2276,,1138,1365.6,2207.72,2139.44,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1889.08,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2153.096,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2207.72,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2002.88,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1823.076,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,2114.1764,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1823.3036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1883 ADAPTOR/EXTENSION, PACING LEAD OR NEUROSTIM LEAD, IMPLANT",275,RC,C1883,HCPCS,,,outpatient,,,3337,,1668.5,2002.2,3236.89,3136.78,,,,percent of total billed charges,,2669.6,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,2769.71,,,,percent of total billed charges,,3003.3,,,,percent of total billed charges,,3070.04,,,,percent of total billed charges,,3070.04,,,,percent of total billed charges,,3156.802,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,3236.89,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,2936.56,,,,percent of total billed charges,,3003.3,,,,percent of total billed charges,,2672.937,,,,percent of total billed charges,,3003.3,,,,percent of total billed charges,,2002.2,,,,percent of total billed charges,,3099.7393,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,2669.6,,,,percent of total billed charges,,2002.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2673.2707,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1886 CATHETER ABLATION,278,RC,C1886,HCPCS,,,outpatient,,,3880,,1940,2328,3763.6,3647.2,,,,percent of total billed charges,,3104,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3220.4,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,3569.6,,,,percent of total billed charges,,3569.6,,,,percent of total billed charges,,3670.48,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3763.6,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3414.4,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,3107.88,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,3604.132,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3104,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3108.268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1889, IMPLANT/INSERT DEVICE, NOC",278,RC,C1889,HCPCS,,,outpatient,,,283,,141.5,169.8,274.51,266.02,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,234.89,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,267.718,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,274.51,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,249.04,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,226.683,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,262.8787,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,226.7113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2614 PROBE, PERCUTANEOUS LUMBAR DISCECTOMY",278,RC,C2614,HCPCS,,,outpatient,,,5581,,2790.5,3348.6,5413.57,5246.14,,,,percent of total billed charges,,4464.8,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,4632.23,,,,percent of total billed charges,,5022.9,,,,percent of total billed charges,,5134.52,,,,percent of total billed charges,,5134.52,,,,percent of total billed charges,,5279.626,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,5413.57,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,4911.28,,,,percent of total billed charges,,5022.9,,,,percent of total billed charges,,4470.381,,,,percent of total billed charges,,5022.9,,,,percent of total billed charges,,3348.6,,,,percent of total billed charges,,5184.1909,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,4464.8,,,,percent of total billed charges,,3348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4470.9391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2622 PROSTHESIS, PENILE NONINFLATABLE",278,RC,C2622,HCPCS,,,outpatient,,,19021,,9510.5,11412.6,18450.37,17879.74,,,,percent of total billed charges,,15216.8,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,15787.43,,,,percent of total billed charges,,17118.9,,,,percent of total billed charges,,17499.32,,,,percent of total billed charges,,17499.32,,,,percent of total billed charges,,17993.866,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,18450.37,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,16738.48,,,,percent of total billed charges,,17118.9,,,,percent of total billed charges,,15235.821,,,,percent of total billed charges,,17118.9,,,,percent of total billed charges,,11412.6,,,,percent of total billed charges,,17668.6069,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,15216.8,,,,percent of total billed charges,,11412.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15237.7231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2626 INFUSION PUMP, NONPROG, TEMP, IMPLANT",278,RC,C2626,HCPCS,,,outpatient,,,2028,,1014,1216.8,1967.16,1906.32,,,,percent of total billed charges,,1622.4,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1683.24,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,1865.76,,,,percent of total billed charges,,1865.76,,,,percent of total billed charges,,1918.488,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1967.16,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1784.64,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,1624.428,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,1216.8,,,,percent of total billed charges,,1883.8092,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1622.4,,,,percent of total billed charges,,1216.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1624.6308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2627 CATH SUPRAPUBIC/CYSTOSCOPIC,278,RC,C2627,HCPCS,,,outpatient,,,306,,153,183.6,296.82,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,245.106,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,284.2434,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.1366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2631 REPAIR DEVICE, URINARY INCONT, W/O SLING GRAFT",278,RC,C2631,HCPCS,,,outpatient,,,1724,,862,1034.4,1672.28,1620.56,,,,percent of total billed charges,,1379.2,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1430.92,,,,percent of total billed charges,,1551.6,,,,percent of total billed charges,,1586.08,,,,percent of total billed charges,,1586.08,,,,percent of total billed charges,,1630.904,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1672.28,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1517.12,,,,percent of total billed charges,,1551.6,,,,percent of total billed charges,,1380.924,,,,percent of total billed charges,,1551.6,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,1601.4236,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1379.2,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1381.0964,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STIM BONE EXTERN BONE GRW NINV 103271,272,RC,,,,,outpatient,,,5567,,2783.5,3340.2,5399.99,5232.98,,,,percent of total billed charges,,4453.6,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,4620.61,,,,percent of total billed charges,,5010.3,,,,percent of total billed charges,,5121.64,,,,percent of total billed charges,,5121.64,,,,percent of total billed charges,,5266.382,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,5399.99,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,4898.96,,,,percent of total billed charges,,5010.3,,,,percent of total billed charges,,4459.167,,,,percent of total billed charges,,5010.3,,,,percent of total billed charges,,3340.2,,,,percent of total billed charges,,5171.1863,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,4453.6,,,,percent of total billed charges,,3340.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4459.7237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG E1575 TRANSDUCER PROTECTORS/FLUID BARRIERS, FOR HEMODIALYSIS, PER 10",271,RC,,,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0150 CERVICAL, SEMI-RIDGID, ADJ, MOLD CHIN",274,RC,L0150,HCPCS,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0458 BRACE TLSO 2 RIGID PLASTIC SHE,274,RC,L0458,HCPCS,,,outpatient,,,3229,,1614.5,1937.4,3132.13,3035.26,,,,percent of total billed charges,,2583.2,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,2680.07,,,,percent of total billed charges,,2906.1,,,,percent of total billed charges,,2970.68,,,,percent of total billed charges,,2970.68,,,,percent of total billed charges,,3054.634,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,3132.13,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,2841.52,,,,percent of total billed charges,,2906.1,,,,percent of total billed charges,,2586.429,,,,percent of total billed charges,,2906.1,,,,percent of total billed charges,,1937.4,,,,percent of total billed charges,,2999.4181,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,2583.2,,,,percent of total billed charges,,1937.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2586.7519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0460 BRACE BACK RCAI TLSO, 2 RIGID PLASTIC SHELLS",274,RC,L0460,HCPCS,,,outpatient,,,3001,,1500.5,1800.6,2910.97,2820.94,,,,percent of total billed charges,,2400.8,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2490.83,,,,percent of total billed charges,,2700.9,,,,percent of total billed charges,,2760.92,,,,percent of total billed charges,,2760.92,,,,percent of total billed charges,,2838.946,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2910.97,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2640.88,,,,percent of total billed charges,,2700.9,,,,percent of total billed charges,,2403.801,,,,percent of total billed charges,,2700.9,,,,percent of total billed charges,,1800.6,,,,percent of total billed charges,,2787.6289,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2400.8,,,,percent of total billed charges,,1800.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2404.1011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0462 BRACE TLSO, 3 RIGID PLASTIC SHELLS",274,RC,L0462,HCPCS,,,outpatient,,,4096,,2048,2457.6,3973.12,3850.24,,,,percent of total billed charges,,3276.8,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3399.68,,,,percent of total billed charges,,3686.4,,,,percent of total billed charges,,3768.32,,,,percent of total billed charges,,3768.32,,,,percent of total billed charges,,3874.816,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3973.12,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3604.48,,,,percent of total billed charges,,3686.4,,,,percent of total billed charges,,3280.896,,,,percent of total billed charges,,3686.4,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,3804.7744,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3276.8,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3281.3056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0464 SUPPORT ORTHO TLSO 4 RIGID PLASTIC SHELLS,274,RC,L0464,HCPCS,,,outpatient,,,4029,,2014.5,2417.4,3908.13,3787.26,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3344.07,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3811.434,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3908.13,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3545.52,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,3227.229,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,3742.5381,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3227.6319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0472 SUPPORT ORTHO CSTM TLSO 2 PC HYPEREXTENSION,274,RC,L0472,HCPCS,,,outpatient,,,1257,,628.5,754.2,1219.29,1181.58,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1043.31,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1189.122,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1219.29,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1106.16,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,1006.857,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,1167.6273,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1006.9827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0486 SUPPORT ORTHO CSTM TLSO 2 PC,274,RC,L0486,HCPCS,,,outpatient,,,1257,,628.5,754.2,1219.29,1181.58,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1043.31,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1189.122,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1219.29,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1106.16,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,1006.857,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,1167.6273,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1006.9827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0491 TLSO HARD SHELL,274,RC,L0491,HCPCS,,,outpatient,,,2826,,1413,1695.6,2741.22,2656.44,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2345.58,,,,percent of total billed charges,,2543.4,,,,percent of total billed charges,,2599.92,,,,percent of total billed charges,,2599.92,,,,percent of total billed charges,,2673.396,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2741.22,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2486.88,,,,percent of total billed charges,,2543.4,,,,percent of total billed charges,,2263.626,,,,percent of total billed charges,,2543.4,,,,percent of total billed charges,,1695.6,,,,percent of total billed charges,,2625.0714,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,1695.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2263.9086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0628 LUMBAR SACRAL CORSET,274,RC,L0628,HCPCS,,,outpatient,,,478,,239,286.8,463.66,449.32,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,396.74,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,452.188,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,463.66,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,420.64,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,382.878,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,444.0142,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,382.9258,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0630 LUMBAR DORSAL CORSET,274,RC,L0630,HCPCS,,,outpatient,,,681,,340.5,408.6,660.57,640.14,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,565.23,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,644.226,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,660.57,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,599.28,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,545.481,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,632.5809,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,545.5491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0633 LUMBAR-SACRAL ORTHOSIS CHAIRBACK,274,RC,L0633,HCPCS,,,outpatient,,,1139,,569.5,683.4,1104.83,1070.66,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,945.37,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1077.494,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1104.83,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1002.32,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,912.339,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,1058.0171,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,912.4529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0650 LUMBAR-SACRAL ORTHOSIS RIGID ANT & POST FRAME PANELS,274,RC,L0650,HCPCS,,,outpatient,,,1101,,550.5,660.6,1067.97,1034.94,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,913.83,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1041.546,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1067.97,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,968.88,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,881.901,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,1022.7189,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,882.0111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0859 ADD TO HALO PROC, RINGS & PINS, MRI COMPATIBLE",274,RC,L0859,HCPCS,,,outpatient,,,4464,,2232,2678.4,4330.08,4196.16,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,3705.12,,,,percent of total billed charges,,4017.6,,,,percent of total billed charges,,4106.88,,,,percent of total billed charges,,4106.88,,,,percent of total billed charges,,4222.944,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,4330.08,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,3928.32,,,,percent of total billed charges,,4017.6,,,,percent of total billed charges,,3575.664,,,,percent of total billed charges,,4017.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,4146.6096,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3576.1104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L1220 ADDITION TO TLSO ANT THORACIC EXTENSION,274,RC,L1220,HCPCS,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0976 FULL CORSET,274,RC,L0976,HCPCS,,,outpatient,,,628,,314,376.8,609.16,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,503.028,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,583.3492,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,503.0908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1850 KNEE ORTHOSIS, SWEDISH TYPE, PREF",274,RC,L1850,HCPCS,,,outpatient,,,1157,,578.5,694.2,1122.29,1087.58,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,960.31,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1094.522,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1122.29,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1018.16,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,926.757,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,1074.7373,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,926.8727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1910 ANKLE-FOOT ORTHOSIS, POSTERIOR, SINGLE, PREFAB",274,RC,L1910,HCPCS,,,outpatient,,,382,,191,229.2,370.54,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,305.982,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,354.8398,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.0202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1940 ANKLE-FOOT ORTHOSIS, PLASTIC OR OTHER MAT, CUSTOM FAB",274,RC,L1940,HCPCS,,,outpatient,,,1855,,927.5,1113,1799.35,1743.7,,,,percent of total billed charges,,1484,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1539.65,,,,percent of total billed charges,,1669.5,,,,percent of total billed charges,,1706.6,,,,percent of total billed charges,,1706.6,,,,percent of total billed charges,,1754.83,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1799.35,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1632.4,,,,percent of total billed charges,,1669.5,,,,percent of total billed charges,,1485.855,,,,percent of total billed charges,,1669.5,,,,percent of total billed charges,,1113,,,,percent of total billed charges,,1723.1095,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1484,,,,percent of total billed charges,,1113,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1486.0405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1951 ANKLE-FOOT ORTHOSIS, SPIRAL, PLASTIC OR OTHER, PREFAB",274,RC,L1951,HCPCS,,,outpatient,,,3148,,1574,1888.8,3053.56,2959.12,,,,percent of total billed charges,,2518.4,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2612.84,,,,percent of total billed charges,,2833.2,,,,percent of total billed charges,,2896.16,,,,percent of total billed charges,,2896.16,,,,percent of total billed charges,,2978.008,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,3053.56,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2770.24,,,,percent of total billed charges,,2833.2,,,,percent of total billed charges,,2521.548,,,,percent of total billed charges,,2833.2,,,,percent of total billed charges,,1888.8,,,,percent of total billed charges,,2924.1772,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2518.4,,,,percent of total billed charges,,1888.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2521.8628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1960 ANKLE-FOOT ORTHOSIS, POSTERIOR, SOLD ANKLE, PLASTIC, CUSTOM",274,RC,L1960,HCPCS,,,outpatient,,,1816,,908,1089.6,1761.52,1707.04,,,,percent of total billed charges,,1452.8,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1507.28,,,,percent of total billed charges,,1634.4,,,,percent of total billed charges,,1670.72,,,,percent of total billed charges,,1670.72,,,,percent of total billed charges,,1717.936,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1761.52,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1598.08,,,,percent of total billed charges,,1634.4,,,,percent of total billed charges,,1454.616,,,,percent of total billed charges,,1634.4,,,,percent of total billed charges,,1089.6,,,,percent of total billed charges,,1686.8824,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1452.8,,,,percent of total billed charges,,1089.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1454.7976,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1980 ANKLE-FOOT ORTHOSIS, SINGLE, UPRIGHT",274,RC,L1980,HCPCS,,,outpatient,,,1387,,693.5,832.2,1345.39,1303.78,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1151.21,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1312.102,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1345.39,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1220.56,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,1110.987,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,1288.3843,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1111.1257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2036 KNEE-ANKLE-FOOT ORTHOSIS, FULL PLASTIC, DOUBLE UPRIGHT",274,RC,L2036,HCPCS,,,outpatient,,,5335,,2667.5,3201,5174.95,5014.9,,,,percent of total billed charges,,4268,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,4428.05,,,,percent of total billed charges,,4801.5,,,,percent of total billed charges,,4908.2,,,,percent of total billed charges,,4908.2,,,,percent of total billed charges,,5046.91,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,5174.95,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,4694.8,,,,percent of total billed charges,,4801.5,,,,percent of total billed charges,,4273.335,,,,percent of total billed charges,,4801.5,,,,percent of total billed charges,,3201,,,,percent of total billed charges,,4955.6815,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,4268,,,,percent of total billed charges,,3201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4273.8685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2200 ADD TO LOWER EXTREMITY, LIMIT ANKLE MOTION, EA JOINT",274,RC,L2200,HCPCS,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2210 ADD TO LOWER EXTREMITY, DORSIFLEX ASSIST, EA JOINT",274,RC,L2210,HCPCS,,,outpatient,,,294,,147,176.4,285.18,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,235.494,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,273.0966,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,235.5234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2230 ADD TO LOWER EXTREMITY, SPLIT FLAT CALIPER",274,RC,L2230,HCPCS,,,outpatient,,,322,,161,193.2,312.34,302.68,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,267.26,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,304.612,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,312.34,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,257.922,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,299.1058,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,257.9542,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2622 ADD TO LOWER EXTREMITY, PELVIC CONTROL, HIP JT",274,RC,L2622,HCPCS,,,outpatient,,,1329,,664.5,797.4,1289.13,1249.26,,,,percent of total billed charges,,1063.2,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1103.07,,,,percent of total billed charges,,1196.1,,,,percent of total billed charges,,1222.68,,,,percent of total billed charges,,1222.68,,,,percent of total billed charges,,1257.234,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1289.13,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1169.52,,,,percent of total billed charges,,1196.1,,,,percent of total billed charges,,1064.529,,,,percent of total billed charges,,1196.1,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,1234.5081,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1063.2,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1064.6619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3300 LIFT, ELEVATION, HEEL, TAPER TO METAT, PER IN",274,RC,L3300,HCPCS,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L3390 OUTFLARE WEDGE,274,RC,L3390,HCPCS,,,outpatient,,,231,,115.5,138.6,224.07,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,185.031,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,214.5759,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.0541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3485 HEEL, PAD, REMOVABLE FOR SPUR",274,RC,L3485,HCPCS,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3540 ORTHOPEDIC SHOE ADD, SOLE, FULL",274,RC,L3540,HCPCS,,,outpatient,,,236,,118,141.6,228.92,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,189.036,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,219.2204,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.0596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3761 ELBOW ORTHOSIS, ADJ POSITION LOCKING JTS, PREFAB",274,RC,L3761,HCPCS,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3929 HAND-FINGER ORTHOSIS, >1 NONTORSION JTS, TRIM/BENT/MOLDED",274,RC,L3929,HCPCS,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3960 SHOULDER-ELBOW-WRIST-HAND ORTHOSIS, ABD POS, AIRPLANE DES",274,RC,L3960,HCPCS,,,outpatient,,,550,,275,330,533.5,517,,,,percent of total billed charges,,440,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,456.5,,,,percent of total billed charges,,495,,,,percent of total billed charges,,506,,,,percent of total billed charges,,506,,,,percent of total billed charges,,520.3,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,533.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,484,,,,percent of total billed charges,,495,,,,percent of total billed charges,,440.55,,,,percent of total billed charges,,495,,,,percent of total billed charges,,330,,,,percent of total billed charges,,510.895,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,440,,,,percent of total billed charges,,330,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,440.605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L4360 WALKING BOOT, PNEUM, PREFAB, TRIM/BENT/MOLD",274,RC,L4360,HCPCS,,,outpatient,,,1206,,603,723.6,1169.82,1133.64,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1000.98,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,1109.52,,,,percent of total billed charges,,1109.52,,,,percent of total billed charges,,1140.876,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1169.82,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1061.28,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,966.006,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,1120.2534,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,966.1266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L4398 FOOT DROP SPLINT, RECUMB POS, PREFAB",274,RC,L4398,HCPCS,,,outpatient,,,346,,173,207.6,335.62,325.24,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,287.18,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,327.316,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,335.62,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,304.48,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,277.146,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,321.3994,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.1806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5400 IMMED POSTSURGICAL FIT OF INITIAL RIGID DRESS, BK",274,RC,L5400,HCPCS,,,outpatient,,,4112,,2056,2467.2,3988.64,3865.28,,,,percent of total billed charges,,3289.6,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3412.96,,,,percent of total billed charges,,3700.8,,,,percent of total billed charges,,3783.04,,,,percent of total billed charges,,3783.04,,,,percent of total billed charges,,3889.952,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3988.64,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3618.56,,,,percent of total billed charges,,3700.8,,,,percent of total billed charges,,3293.712,,,,percent of total billed charges,,3700.8,,,,percent of total billed charges,,2467.2,,,,percent of total billed charges,,3819.6368,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3289.6,,,,percent of total billed charges,,2467.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3294.1232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5420 IMMED POSTSURG FIT OF INITIAL RIGID DRESS, ABOVE KNEE",274,RC,L5420,HCPCS,,,outpatient,,,4729,,2364.5,2837.4,4587.13,4445.26,,,,percent of total billed charges,,3783.2,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,3925.07,,,,percent of total billed charges,,4256.1,,,,percent of total billed charges,,4350.68,,,,percent of total billed charges,,4350.68,,,,percent of total billed charges,,4473.634,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,4587.13,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,4161.52,,,,percent of total billed charges,,4256.1,,,,percent of total billed charges,,3787.929,,,,percent of total billed charges,,4256.1,,,,percent of total billed charges,,2837.4,,,,percent of total billed charges,,4392.7681,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,3783.2,,,,percent of total billed charges,,2837.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3788.4019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L5450 IMMED POSTSURG FITTING APPLIC NONWT BEAR RIGID DRESS BK,274,RC,L5450,HCPCS,,,outpatient,,,1720,,860,1032,1668.4,1616.8,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1427.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1627.12,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1668.4,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1377.72,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1597.708,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1377.892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5673 ADD TO LE, BK/AK, CUSTOM FAB FROM EXIST MOLD OR PREF, LOCKING MECH",274,RC,L5673,HCPCS,,,outpatient,,,2660,,1330,1596,2580.2,2500.4,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2207.8,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,2516.36,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2580.2,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2130.66,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,1596,,,,percent of total billed charges,,2470.874,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2130.926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5679 ADD TO LE, BK/AK, CUSTOM FAB FROM EXIST MOLD OR PREF, NOT LOCKING",274,RC,L5679,HCPCS,,,outpatient,,,2272,,1136,1363.2,2203.84,2135.68,,,,percent of total billed charges,,1817.6,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1885.76,,,,percent of total billed charges,,2044.8,,,,percent of total billed charges,,2090.24,,,,percent of total billed charges,,2090.24,,,,percent of total billed charges,,2149.312,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,2203.84,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1999.36,,,,percent of total billed charges,,2044.8,,,,percent of total billed charges,,1819.872,,,,percent of total billed charges,,2044.8,,,,percent of total billed charges,,1363.2,,,,percent of total billed charges,,2110.4608,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1817.6,,,,percent of total billed charges,,1363.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1820.0992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5684 ADD TO LE, BN, FORK STRAP",274,RC,L5684,HCPCS,,,outpatient,,,234,,117,140.4,226.98,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,187.434,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,217.3626,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.4574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5688 ADD TO LE, BK, WAIST BELT, WEBBING",274,RC,L5688,HCPCS,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8000 BREAST PROSTHESIS, MAST BRA",274,RC,L8000,HCPCS,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8440 PROSTHETIC SOCK, PUL PLY AK",274,RC,L8440,HCPCS,,,outpatient,,,199,,99.5,119.4,193.03,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,159.399,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,184.8511,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.4189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8465 PROSTHETIC SHRINKER UPPER LIMB, EA",274,RC,L8465,HCPCS,,,outpatient,,,272,,136,163.2,263.84,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,217.872,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,252.6608,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.8992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8500 ARTIFICAL LARYNX, ANY TYPE",274,RC,L8500,HCPCS,,,outpatient,,,1049,,524.5,629.4,1017.53,986.06,,,,percent of total billed charges,,839.2,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,870.67,,,,percent of total billed charges,,944.1,,,,percent of total billed charges,,965.08,,,,percent of total billed charges,,965.08,,,,percent of total billed charges,,992.354,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,1017.53,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,923.12,,,,percent of total billed charges,,944.1,,,,percent of total billed charges,,840.249,,,,percent of total billed charges,,944.1,,,,percent of total billed charges,,629.4,,,,percent of total billed charges,,974.4161,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,839.2,,,,percent of total billed charges,,629.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,840.3539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8507 TRACHEO-ESOPHAG VOICE PROSTHESIS,274,RC,L8507,HCPCS,,,outpatient,,,384,,192,230.4,372.48,360.96,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,318.72,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,363.264,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,372.48,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,337.92,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,307.584,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,356.6976,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,307.6224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMPLANT BRST 12CM P3.6CM MDRT 87959,278,RC,L8600,HCPCS,,,outpatient,,,2991,,1495.5,1794.6,2901.27,2811.54,,,,percent of total billed charges,,2392.8,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2482.53,,,,percent of total billed charges,,2691.9,,,,percent of total billed charges,,2751.72,,,,percent of total billed charges,,2751.72,,,,percent of total billed charges,,2829.486,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2901.27,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2632.08,,,,percent of total billed charges,,2691.9,,,,percent of total billed charges,,2395.791,,,,percent of total billed charges,,2691.9,,,,percent of total billed charges,,1794.6,,,,percent of total billed charges,,2778.3399,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2392.8,,,,percent of total billed charges,,1794.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2396.0901,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8603 INJECT COLLAGEN IMPLANT, URINARY TRACT 2.5 ML SYR",278,RC,L8603,HCPCS,,,outpatient,,,1455,,727.5,873,1411.35,1367.7,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1207.65,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1376.43,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1411.35,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1280.4,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1165.455,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,873,,,,percent of total billed charges,,1351.5495,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,873,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1165.6005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8610 OCULAR IMPLANT,278,RC,L8610,HCPCS,,,outpatient,,,1809,,904.5,1085.4,1754.73,1700.46,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1501.47,,,,percent of total billed charges,,1628.1,,,,percent of total billed charges,,1664.28,,,,percent of total billed charges,,1664.28,,,,percent of total billed charges,,1711.314,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1754.73,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1591.92,,,,percent of total billed charges,,1628.1,,,,percent of total billed charges,,1449.009,,,,percent of total billed charges,,1628.1,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,1680.3801,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1449.1899,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8612 AQUEOUS SHUNT,278,RC,L8612,HCPCS,,,outpatient,,,2685,,1342.5,1611,2604.45,2523.9,,,,percent of total billed charges,,2148,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2228.55,,,,percent of total billed charges,,2416.5,,,,percent of total billed charges,,2470.2,,,,percent of total billed charges,,2470.2,,,,percent of total billed charges,,2540.01,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2604.45,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2362.8,,,,percent of total billed charges,,2416.5,,,,percent of total billed charges,,2150.685,,,,percent of total billed charges,,2416.5,,,,percent of total billed charges,,1611,,,,percent of total billed charges,,2494.0965,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2148,,,,percent of total billed charges,,1611,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2150.9535,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTHESIS ROBINSON STAPES 4.0 11618,278,RC,L8613,HCPCS,,,outpatient,,,1293,,646.5,775.8,1254.21,1215.42,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1073.19,,,,percent of total billed charges,,1163.7,,,,percent of total billed charges,,1189.56,,,,percent of total billed charges,,1189.56,,,,percent of total billed charges,,1223.178,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1254.21,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1137.84,,,,percent of total billed charges,,1163.7,,,,percent of total billed charges,,1035.693,,,,percent of total billed charges,,1163.7,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,1201.0677,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1035.8223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8630 METACARPOPHALANGEAL JOINT IMPLANT,278,RC,L8630,HCPCS,,,outpatient,,,4307,,2153.5,2584.2,4177.79,4048.58,,,,percent of total billed charges,,3445.6,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,3574.81,,,,percent of total billed charges,,3876.3,,,,percent of total billed charges,,3962.44,,,,percent of total billed charges,,3962.44,,,,percent of total billed charges,,4074.422,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,4177.79,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,3790.16,,,,percent of total billed charges,,3876.3,,,,percent of total billed charges,,3449.907,,,,percent of total billed charges,,3876.3,,,,percent of total billed charges,,2584.2,,,,percent of total billed charges,,4000.7723,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,3445.6,,,,percent of total billed charges,,2584.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3450.3377,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8690 AUDITORY OSSEOINTEGRATED DEVICE,278,RC,L8690,HCPCS,,,outpatient,,,5641,,2820.5,3384.6,5471.77,5302.54,,,,percent of total billed charges,,4512.8,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,4682.03,,,,percent of total billed charges,,5076.9,,,,percent of total billed charges,,5189.72,,,,percent of total billed charges,,5189.72,,,,percent of total billed charges,,5336.386,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,5471.77,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,4964.08,,,,percent of total billed charges,,5076.9,,,,percent of total billed charges,,4518.441,,,,percent of total billed charges,,5076.9,,,,percent of total billed charges,,3384.6,,,,percent of total billed charges,,5239.9249,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,4512.8,,,,percent of total billed charges,,3384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4519.0051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8693 AUDITORY OSSEOINTEGRATED DEVICE, ABUTMENT",278,RC,L8693,HCPCS,,,outpatient,,,4631,,2315.5,2778.6,4492.07,4353.14,,,,percent of total billed charges,,3704.8,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,3843.73,,,,percent of total billed charges,,4167.9,,,,percent of total billed charges,,4260.52,,,,percent of total billed charges,,4260.52,,,,percent of total billed charges,,4380.926,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,4492.07,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,4075.28,,,,percent of total billed charges,,4167.9,,,,percent of total billed charges,,3709.431,,,,percent of total billed charges,,4167.9,,,,percent of total billed charges,,2778.6,,,,percent of total billed charges,,4301.7359,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,3704.8,,,,percent of total billed charges,,2778.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3709.8941,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8699 PROSTHETIC IMPLANT NOS,278,RC,L8699,HCPCS,,,outpatient,,,3137,,1568.5,1882.2,3042.89,2948.78,,,,percent of total billed charges,,2509.6,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2603.71,,,,percent of total billed charges,,2823.3,,,,percent of total billed charges,,2886.04,,,,percent of total billed charges,,2886.04,,,,percent of total billed charges,,2967.602,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,3042.89,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2760.56,,,,percent of total billed charges,,2823.3,,,,percent of total billed charges,,2512.737,,,,percent of total billed charges,,2823.3,,,,percent of total billed charges,,1882.2,,,,percent of total billed charges,,2913.9593,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2509.6,,,,percent of total billed charges,,1882.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2513.0507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4100 SKIN SUBSTITUTE NOS,636,RC,Q4100,HCPCS,,,outpatient,,,2217,,1108.5,1330.2,2150.49,2083.98,,,,percent of total billed charges,,1773.6,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,1840.11,,,,percent of total billed charges,,1995.3,,,,percent of total billed charges,,2039.64,,,,percent of total billed charges,,2039.64,,,,percent of total billed charges,,2097.282,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,2150.49,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,1950.96,,,,percent of total billed charges,,1995.3,,,,percent of total billed charges,,1775.817,,,,percent of total billed charges,,1995.3,,,,percent of total billed charges,,1330.2,,,,percent of total billed charges,,2059.3713,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,1773.6,,,,percent of total billed charges,,1330.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1776.0387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9352 MICRO COLLAGEN IMPLANT TUBE NEURAGEN NERVE PER CM LGTH,278,RC,C9352,HCPCS,,,outpatient,,,5333,,2666.5,3199.8,5173.01,5013.02,,,,percent of total billed charges,,4266.4,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,4426.39,,,,percent of total billed charges,,4799.7,,,,percent of total billed charges,,4906.36,,,,percent of total billed charges,,4906.36,,,,percent of total billed charges,,5045.018,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,5173.01,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,4693.04,,,,percent of total billed charges,,4799.7,,,,percent of total billed charges,,4271.733,,,,percent of total billed charges,,4799.7,,,,percent of total billed charges,,3199.8,,,,percent of total billed charges,,4953.8237,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,4266.4,,,,percent of total billed charges,,3199.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4272.2663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9353 MICRO COLLAGEN IMPLANT SLIT TUBE NEURAWRAP NERVE PER CM LGTH,278,RC,C9353,HCPCS,,,outpatient,,,1698,,849,1018.8,1647.06,1596.12,,,,percent of total billed charges,,1358.4,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1409.34,,,,percent of total billed charges,,1528.2,,,,percent of total billed charges,,1562.16,,,,percent of total billed charges,,1562.16,,,,percent of total billed charges,,1606.308,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1647.06,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1494.24,,,,percent of total billed charges,,1528.2,,,,percent of total billed charges,,1360.098,,,,percent of total billed charges,,1528.2,,,,percent of total billed charges,,1018.8,,,,percent of total billed charges,,1577.2722,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1358.4,,,,percent of total billed charges,,1018.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1360.2678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C9356 TENDON, POROUS MATRIX OF CL COLLAGEN & GLYCOSAM MATRIC TENOGLIDE, PER SQ CM",278,RC,C9356,HCPCS,,,outpatient,,,232,,116,139.2,225.04,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,185.832,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,215.5048,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.8552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C9363 SKIN SUBSTITUTE (INTEGRA MESHED BILAYER WOUND), PER SQ CM",636,RC,C9363,HCPCS,,,outpatient,,,2085,,1042.5,1251,2022.45,1959.9,,,,percent of total billed charges,,1668,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1730.55,,,,percent of total billed charges,,1876.5,,,,percent of total billed charges,,1918.2,,,,percent of total billed charges,,1918.2,,,,percent of total billed charges,,1972.41,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,2022.45,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1834.8,,,,percent of total billed charges,,1876.5,,,,percent of total billed charges,,1670.085,,,,percent of total billed charges,,1876.5,,,,percent of total billed charges,,1251,,,,percent of total billed charges,,1936.7565,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1668,,,,percent of total billed charges,,1251,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1670.2935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4107 GRAFT JACKET PER SQ CM,636,RC,Q4107,HCPCS,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4116 ALLODERM PER SQ CM,636,RC,Q4116,HCPCS,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4122 DEMACELL PER SQ CM,636,RC,Q4122,HCPCS,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4125 ARTHROFLEX, PER SQ CM",636,RC,Q4125,HCPCS,,,outpatient,,,251,,125.5,150.6,243.47,235.94,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,208.33,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,237.446,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,243.47,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,220.88,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,201.051,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,233.1539,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.0761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4128 FLEX HD/ALLOPATCH HD, PER SQ CM",636,RC,Q4128,HCPCS,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRATTICE 6 X 10 CM PORCINE DERM 61710; PER SQ CM (60 UNITS),636,RC,Q4130,HCPCS,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT SFT TISS. 6 X 3 CM NEOX AMNI 71618; PER SQ CM (18 UNITS),636,RC,Q4148,HCPCS,,,outpatient,,,531,,265.5,318.6,515.07,499.14,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,440.73,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,502.326,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,515.07,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,467.28,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,425.331,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,493.2459,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,425.3841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT SFT TISS. 7 X 7 CM EPIFIX MI 100357; PER SQ CM (49 UNITS),636,RC,Q4186,HCPCS,,,outpatient,,,445,,222.5,267,431.65,418.3,,,,percent of total billed charges,,356,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,369.35,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,420.97,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,431.65,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,391.6,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,356.445,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,267,,,,percent of total billed charges,,413.3605,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,356,,,,percent of total billed charges,,267,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,356.4895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GRAFT SFT TISS 1.5X1CM AMNIOGR 10180, PER PROCEDURE",810,RC,V2790,HCPCS,,,outpatient,,,1239,,619.5,743.4,1201.83,1164.66,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1028.37,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1172.094,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1201.83,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1090.32,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,992.439,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,1150.9071,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,992.5629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L3260-0274 POSTOP SHOE,274,RC,L3260,HCPCS,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER VENOUS ARROW CENTRAL,272,RC,,,,,outpatient,,,715,,357.5,429,693.55,672.1,,,,percent of total billed charges,,572,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,593.45,,,,percent of total billed charges,,643.5,,,,percent of total billed charges,,657.8,,,,percent of total billed charges,,657.8,,,,percent of total billed charges,,676.39,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,693.55,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,629.2,,,,percent of total billed charges,,643.5,,,,percent of total billed charges,,572.715,,,,percent of total billed charges,,643.5,,,,percent of total billed charges,,429,,,,percent of total billed charges,,664.1635,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,572,,,,percent of total billed charges,,429,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,572.7865,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOSEE CANNULAS ESPX5, 162501",272,RC,,,,,outpatient,,,846,,423,507.6,820.62,795.24,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,702.18,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,800.316,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,820.62,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,744.48,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,677.646,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,785.8494,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,677.7306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UTERINE VACUUME EXTRACT JADA, 315687",272,RC,,,,,outpatient,,,4324,,2162,2594.4,4194.28,4064.56,,,,percent of total billed charges,,3459.2,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,3588.92,,,,percent of total billed charges,,3891.6,,,,percent of total billed charges,,3978.08,,,,percent of total billed charges,,3978.08,,,,percent of total billed charges,,4090.504,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,4194.28,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,3805.12,,,,percent of total billed charges,,3891.6,,,,percent of total billed charges,,3463.524,,,,percent of total billed charges,,3891.6,,,,percent of total billed charges,,2594.4,,,,percent of total billed charges,,4016.5636,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,3459.2,,,,percent of total billed charges,,2594.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3463.9564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD ARCTICGEL UNIV,272,RC,,,,,outpatient,,,1387,,693.5,832.2,1345.39,1303.78,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1151.21,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1312.102,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1345.39,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1220.56,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,1110.987,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,1288.3843,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1111.1257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH KIT PLEURX W/CATH 5075, 83883",270,RC,C1729,HCPCS,,,outpatient,,,344,,172,206.4,333.68,323.36,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,285.52,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,325.424,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,333.68,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,275.544,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,319.5416,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,275.5784,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SLING LARGE SSL(SHOULDER SU, 405160",270,RC,L3670,HCPCS,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SET CRICOTHYROTOMY CATH 6MM_G04652 MELKER, 27515",278,RC,C1769,HCPCS,,,outpatient,,,1008,,504,604.8,977.76,947.52,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,836.64,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,953.568,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,977.76,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,887.04,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,807.408,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,936.3312,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,807.5088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1751 KIT CATH BLU FLXTP PEELAWAY INJ (320432, 320433)",272,RC,C1751,HCPCS,,,outpatient,,,974,,487,584.4,944.78,915.56,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,808.42,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,921.404,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,944.78,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,857.12,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,780.174,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,904.7486,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,780.2714,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SET PRESS MONITOR, PREFL SYRG DIAP CHAM SDPRT NDLE, 42617",272,RC,,,,,outpatient,,,530,,265,318,514.1,498.2,,,,percent of total billed charges,,424,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,439.9,,,,percent of total billed charges,,477,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,501.38,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,514.1,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,477,,,,percent of total billed charges,,424.53,,,,percent of total billed charges,,477,,,,percent of total billed charges,,318,,,,percent of total billed charges,,492.317,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,424,,,,percent of total billed charges,,318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,424.583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 116166 CATH ELECTROPHY 110CM 11MM PACING BIPOLAR GW, 116166",278,RC,C1730,HCPCS,,,outpatient,,,976,,488,585.6,946.72,917.44,,,,percent of total billed charges,,780.8,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,810.08,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,897.92,,,,percent of total billed charges,,897.92,,,,percent of total billed charges,,923.296,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,946.72,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,858.88,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,781.776,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,585.6,,,,percent of total billed charges,,906.6064,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,780.8,,,,percent of total billed charges,,585.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.8736,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEVICE STAB TPD 2 PRT BELT MECH PUL VELCRO PLAST ORNG PELVIS LF 77534,270,RC,,,,,outpatient,,,488,,244,292.8,473.36,458.72,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,405.04,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,461.648,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,473.36,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,429.44,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,390.888,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,453.3032,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,390.9368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GRADT TISSUE NOVACHOR 1.5 X 2.75 CM, PER SQ CM (5 UNITS); 328356",636,RC,Q4194,HCPCS,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHSCP FLXB H-STERISCOPE INSERTION TUBE ULTHN CHNL 315602,272,RC,,,,,outpatient,,,1045,,522.5,627,1013.65,982.3,,,,percent of total billed charges,,836,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,867.35,,,,percent of total billed charges,,940.5,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,988.57,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,1013.65,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,919.6,,,,percent of total billed charges,,940.5,,,,percent of total billed charges,,837.045,,,,percent of total billed charges,,940.5,,,,percent of total billed charges,,627,,,,percent of total billed charges,,970.7005,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,836,,,,percent of total billed charges,,627,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,837.1495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATHETER PROVENA L20 CM FR 2 LUMEN MIDLINE, 156501",278,RC,C1751,HCPCS,,,outpatient,,,820,,410,492,795.4,770.8,,,,percent of total billed charges,,656,,,,percent of total billed charges,,779,,,,percent of total billed charges,,680.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,775.72,,,,percent of total billed charges,,779,,,,percent of total billed charges,,795.4,,,,percent of total billed charges,,779,,,,percent of total billed charges,,721.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,656.82,,,,percent of total billed charges,,738,,,,percent of total billed charges,,492,,,,percent of total billed charges,,761.698,,,,percent of total billed charges,,779,,,,percent of total billed charges,,779,,,,percent of total billed charges,,656,,,,percent of total billed charges,,492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,656.902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SURGICEL HEMOSTAT 2 X 4, 71483",272,RC,A4649,HCPCS,,,outpatient,,,539,,269.5,323.4,522.83,506.66,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,447.37,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,509.894,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,522.83,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,474.32,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,431.739,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,500.6771,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,431.7929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V2599 CONTACT LENS/ES OTHER TYPE,274,RC,V2599,HCPCS,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BROVIAC,278,RC,C1751,HCPCS,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH HICKMAN,278,RC,C1751,HCPCS,,,outpatient,,,570,,285,342,552.9,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,456.57,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,529.473,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,456.627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH TENCKHOFF / QUINTON,278,RC,C1729,HCPCS,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL SAVER,272,RC,,,,,outpatient,,,579,,289.5,347.4,561.63,544.26,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,480.57,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,547.734,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,561.63,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,509.52,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,463.779,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,537.8331,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,463.8369,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-B (PER 1ST MINUTE),360,RC,,,,,outpatient,,,584,,292,350.4,566.48,548.96,,,,percent of total billed charges,,467.2,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,484.72,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,537.28,,,,percent of total billed charges,,537.28,,,,percent of total billed charges,,552.464,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,566.48,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,513.92,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,467.784,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,542.4776,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,467.2,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,467.8424,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-B (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-HI B (PER 1ST MINUTE),360,RC,,,,,outpatient,,,687,,343.5,412.2,666.39,645.78,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,570.21,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,649.902,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,666.39,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,604.56,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,550.287,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,638.1543,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,550.3557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-HI B (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,171,,85.5,102.6,165.87,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,136.971,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,158.8419,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.9881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT CELL SAVER FAST START,272,RC,,,,,outpatient,,,551,,275.5,330.6,534.47,517.94,,,,percent of total billed charges,,440.8,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,457.33,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,506.92,,,,percent of total billed charges,,506.92,,,,percent of total billed charges,,521.246,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,534.47,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,484.88,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,441.351,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,511.8239,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,440.8,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,441.4061,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C (PER 1ST MINUTE),360,RC,,,,,outpatient,,,848,,424,508.8,822.56,797.12,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,703.84,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,802.208,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,822.56,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,746.24,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,679.248,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,787.7072,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,679.3328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-HI C (PER 1ST MINUTE),360,RC,,,,,outpatient,,,1320,,660,792,1280.4,1240.8,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1095.6,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1214.4,,,,percent of total billed charges,,1214.4,,,,percent of total billed charges,,1248.72,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1280.4,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1161.6,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1057.32,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,792,,,,percent of total billed charges,,1226.148,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1057.452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-A (PER 1ST MINUTE),360,RC,,,,,outpatient,,,328,,164,196.8,318.16,308.32,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,272.24,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,310.288,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,318.16,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,288.64,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,262.728,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,304.6792,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,262.7608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-A (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-D (PER 1ST MINUTE),360,RC,,,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-D (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI A (PER 1ST MINUTE),360,RC,,,,,outpatient,,,439,,219.5,263.4,425.83,412.66,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,364.37,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,415.294,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,425.83,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,386.32,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,351.639,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,407.7871,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,351.6829,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI A (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI D (PER 1ST MINUTE),360,RC,,,,,outpatient,,,231,,115.5,138.6,224.07,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,185.031,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,214.5759,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.0541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI D (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1772 INFUSTION PUMP, PROGRAMMABLE , IMPLANTABLE",278,RC,C1772,HCPCS,,,outpatient,,,15446,,7723,9267.6,14982.62,14519.24,,,,percent of total billed charges,,12356.8,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,12820.18,,,,percent of total billed charges,,13901.4,,,,percent of total billed charges,,14210.32,,,,percent of total billed charges,,14210.32,,,,percent of total billed charges,,14611.916,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,14982.62,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,13592.48,,,,percent of total billed charges,,13901.4,,,,percent of total billed charges,,12372.246,,,,percent of total billed charges,,13901.4,,,,percent of total billed charges,,9267.6,,,,percent of total billed charges,,14347.7894,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,12356.8,,,,percent of total billed charges,,9267.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12373.7906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESERVOIR CELL SAVER,272,RC,,,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETRACTOR,272,RC,,,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANESTHESIA TIME (PER MIN),370,RC,,,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANESTHESIA-TIME (PER MIN),370,RC,,,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRONIC ANALYSIS,361,RC,,,,,outpatient,,,2784,,1392,1670.4,2700.48,2616.96,,,,percent of total billed charges,,2227.2,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2310.72,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,2561.28,,,,percent of total billed charges,,2561.28,,,,percent of total billed charges,,2633.664,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2700.48,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2449.92,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,2229.984,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,2586.0576,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2227.2,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2230.2624,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL A PROCEDURE,360,RC,,,,,outpatient,,,1749,,874.5,1049.4,1696.53,1644.06,,,,percent of total billed charges,,1399.2,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1451.67,,,,percent of total billed charges,,1574.1,,,,percent of total billed charges,,1609.08,,,,percent of total billed charges,,1609.08,,,,percent of total billed charges,,1654.554,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1696.53,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1539.12,,,,percent of total billed charges,,1574.1,,,,percent of total billed charges,,1400.949,,,,percent of total billed charges,,1574.1,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,1624.6461,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1399.2,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1401.1239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL B PROCEDURE,360,RC,,,,,outpatient,,,4723,,2361.5,2833.8,4581.31,4439.62,,,,percent of total billed charges,,3778.4,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,3920.09,,,,percent of total billed charges,,4250.7,,,,percent of total billed charges,,4345.16,,,,percent of total billed charges,,4345.16,,,,percent of total billed charges,,4467.958,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,4581.31,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,4156.24,,,,percent of total billed charges,,4250.7,,,,percent of total billed charges,,3783.123,,,,percent of total billed charges,,4250.7,,,,percent of total billed charges,,2833.8,,,,percent of total billed charges,,4387.1947,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,3778.4,,,,percent of total billed charges,,2833.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3783.5953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL C PROCEDURE,360,RC,,,,,outpatient,,,7087,,3543.5,4252.2,6874.39,6661.78,,,,percent of total billed charges,,5669.6,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,5882.21,,,,percent of total billed charges,,6378.3,,,,percent of total billed charges,,6520.04,,,,percent of total billed charges,,6520.04,,,,percent of total billed charges,,6704.302,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,6874.39,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,6236.56,,,,percent of total billed charges,,6378.3,,,,percent of total billed charges,,5676.687,,,,percent of total billed charges,,6378.3,,,,percent of total billed charges,,4252.2,,,,percent of total billed charges,,6583.1143,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,5669.6,,,,percent of total billed charges,,4252.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5677.3957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-HI C (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,331,,165.5,198.6,321.07,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,265.131,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,307.4659,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.1641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECOVERY, LEVEL 1, QUARTER HR",710,RC,,,,,outpatient,,,451,,225.5,270.6,437.47,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,361.251,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,418.9339,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,361.2961,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECOVERY, LEVEL 2, QUARTER HR",710,RC,,,,,outpatient,,,451,,225.5,270.6,437.47,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,361.251,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,418.9339,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,361.2961,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAAORTIC BALLOON INSERT 2HR,360,RC,,,,,outpatient,,,858,,429,514.8,832.26,806.52,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,712.14,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,789.36,,,,percent of total billed charges,,789.36,,,,percent of total billed charges,,811.668,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,832.26,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,755.04,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,687.258,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,796.9962,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,687.3438,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C-P (PER SUBSEQ MINUTES),360,RC,,,,,outpatient,,,206,,103,123.6,199.82,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,165.006,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,191.3534,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.0266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EXAM,510,RC,G0463,HCPCS,,,outpatient,,,745,,372.5,447,722.65,700.3,,,,percent of total billed charges,,596,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,618.35,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,704.77,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,722.65,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,655.6,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,596.745,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,447,,,,percent of total billed charges,,692.0305,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,596,,,,percent of total billed charges,,447,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,596.8195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIGMOIDOSCOPY,361,RC,45330,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 1.5 X 5 CM; PER SQ CM (1 UNIT),636,RC,Q4137,HCPCS,,,outpatient,,,2920,,1460,1752,2832.4,2744.8,,,,percent of total billed charges,,2336,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2423.6,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,2686.4,,,,percent of total billed charges,,2686.4,,,,percent of total billed charges,,2762.32,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2832.4,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2569.6,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,2338.92,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1752,,,,percent of total billed charges,,2712.388,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2336,,,,percent of total billed charges,,1752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2339.212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 2 X 3 CM; PER SQ CM (1 UNIT),636,RC,Q4137,HCPCS,,,outpatient,,,3848,,1924,2308.8,3732.56,3617.12,,,,percent of total billed charges,,3078.4,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3193.84,,,,percent of total billed charges,,3463.2,,,,percent of total billed charges,,3540.16,,,,percent of total billed charges,,3540.16,,,,percent of total billed charges,,3640.208,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3732.56,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3386.24,,,,percent of total billed charges,,3463.2,,,,percent of total billed charges,,3082.248,,,,percent of total billed charges,,3463.2,,,,percent of total billed charges,,2308.8,,,,percent of total billed charges,,3574.4072,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3078.4,,,,percent of total billed charges,,2308.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3082.6328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 4 X 4 CM; PER SQ CM (1 UNIT),636,RC,Q4137,HCPCS,,,outpatient,,,4206,,2103,2523.6,4079.82,3953.64,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3490.98,,,,percent of total billed charges,,3785.4,,,,percent of total billed charges,,3869.52,,,,percent of total billed charges,,3869.52,,,,percent of total billed charges,,3978.876,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,4079.82,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3701.28,,,,percent of total billed charges,,3785.4,,,,percent of total billed charges,,3369.006,,,,percent of total billed charges,,3785.4,,,,percent of total billed charges,,2523.6,,,,percent of total billed charges,,3906.9534,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,2523.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3369.4266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 4 X 8 CM; PER SQ CM (1 UNIT),636,RC,Q4137,HCPCS,,,outpatient,,,4838,,2419,2902.8,4692.86,4547.72,,,,percent of total billed charges,,3870.4,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4015.54,,,,percent of total billed charges,,4354.2,,,,percent of total billed charges,,4450.96,,,,percent of total billed charges,,4450.96,,,,percent of total billed charges,,4576.748,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4692.86,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4257.44,,,,percent of total billed charges,,4354.2,,,,percent of total billed charges,,3875.238,,,,percent of total billed charges,,4354.2,,,,percent of total billed charges,,2902.8,,,,percent of total billed charges,,4494.0182,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,3870.4,,,,percent of total billed charges,,2902.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3875.7218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 25 CM; PER SQ CM (1 UNIT),636,RC,Q4104,HCPCS,,,outpatient,,,1961,,980.5,1176.6,1902.17,1843.34,,,,percent of total billed charges,,1568.8,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1627.63,,,,percent of total billed charges,,1764.9,,,,percent of total billed charges,,1804.12,,,,percent of total billed charges,,1804.12,,,,percent of total billed charges,,1855.106,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1902.17,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1725.68,,,,percent of total billed charges,,1764.9,,,,percent of total billed charges,,1570.761,,,,percent of total billed charges,,1764.9,,,,percent of total billed charges,,1176.6,,,,percent of total billed charges,,1821.5729,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1568.8,,,,percent of total billed charges,,1176.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1570.9571,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 125 CM; PER SQ CM (1 UNIT),636,RC,Q4104,HCPCS,,,outpatient,,,597,,298.5,358.2,579.09,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,478.197,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,554.5533,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,478.2567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 250 CM; PER SQ CM (1 UNIT),636,RC,Q4104,HCPCS,,,outpatient,,,445,,222.5,267,431.65,418.3,,,,percent of total billed charges,,356,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,369.35,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,420.97,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,431.65,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,391.6,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,356.445,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,267,,,,percent of total billed charges,,413.3605,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,356,,,,percent of total billed charges,,267,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,356.4895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 500 CM; PER SQ CM (1 UNIT),636,RC,Q4104,HCPCS,,,outpatient,,,330,,165,198,320.1,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,264.33,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,306.537,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,264.363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4118 MATRISTEM MICROMATRIX, 1 MG",636,RC,Q4118,HCPCS,,,outpatient,,,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HGHC CYTAL, PER SQ. CM, USED AS A GRAFT",636,RC,Q4166,HCPCS,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HGHC Q4166 CYTAL, PER SQ CM",636,RC,Q4166,HCPCS,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORTICAL ELECTRODE - STRIP,272,RC,,,,,outpatient,,,2261,,1130.5,1356.6,2193.17,2125.34,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1876.63,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2138.906,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2193.17,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1989.68,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1811.061,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,2100.2429,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1811.2871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ELECTRODE, ENDOTRACHEAL",272,RC,,,,,outpatient,,,1163,,581.5,697.8,1128.11,1093.22,,,,percent of total billed charges,,930.4,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,965.29,,,,percent of total billed charges,,1046.7,,,,percent of total billed charges,,1069.96,,,,percent of total billed charges,,1069.96,,,,percent of total billed charges,,1100.198,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,1128.11,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,1023.44,,,,percent of total billed charges,,1046.7,,,,percent of total billed charges,,931.563,,,,percent of total billed charges,,1046.7,,,,percent of total billed charges,,697.8,,,,percent of total billed charges,,1080.3107,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,930.4,,,,percent of total billed charges,,697.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,931.6793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BACTISEAL HAKIN W/RA  ADAP LAWSON#63315,272,RC,,,,,outpatient,,,1267,,633.5,760.2,1228.99,1190.98,,,,percent of total billed charges,,1013.6,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1051.61,,,,percent of total billed charges,,1140.3,,,,percent of total billed charges,,1165.64,,,,percent of total billed charges,,1165.64,,,,percent of total billed charges,,1198.582,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1228.99,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1114.96,,,,percent of total billed charges,,1140.3,,,,percent of total billed charges,,1014.867,,,,percent of total billed charges,,1140.3,,,,percent of total billed charges,,760.2,,,,percent of total billed charges,,1176.9163,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1013.6,,,,percent of total billed charges,,760.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1014.9937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VALVE HAKIM PROGRAM ONLY LAWSON#63397,272,RC,,,,,outpatient,,,7587,,3793.5,4552.2,7359.39,7131.78,,,,percent of total billed charges,,6069.6,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,6297.21,,,,percent of total billed charges,,6828.3,,,,percent of total billed charges,,6980.04,,,,percent of total billed charges,,6980.04,,,,percent of total billed charges,,7177.302,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,7359.39,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,6676.56,,,,percent of total billed charges,,6828.3,,,,percent of total billed charges,,6077.187,,,,percent of total billed charges,,6828.3,,,,percent of total billed charges,,4552.2,,,,percent of total billed charges,,7047.5643,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,6069.6,,,,percent of total billed charges,,4552.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6077.9457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN ""1 X 2""; PER SQ CM (13 UNITS)",636,RC,Q4121,HCPCS,,,outpatient,,,261,,130.5,156.6,253.17,245.34,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,216.63,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,246.906,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,253.17,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,209.061,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,242.4429,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,209.0871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN 1"" X 1""; PER SQ CM (7 UNITS); 117862",636,RC,Q4121,HCPCS,,,outpatient,,,415,,207.5,249,402.55,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,332.415,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,385.4935,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,332.4565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BALLOON UTERINE TAMPONADE  (L123070),272,RC,,,,,outpatient,,,1867,,933.5,1120.2,1810.99,1754.98,,,,percent of total billed charges,,1493.6,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1549.61,,,,percent of total billed charges,,1680.3,,,,percent of total billed charges,,1717.64,,,,percent of total billed charges,,1717.64,,,,percent of total billed charges,,1766.182,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1810.99,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1642.96,,,,percent of total billed charges,,1680.3,,,,percent of total billed charges,,1495.467,,,,percent of total billed charges,,1680.3,,,,percent of total billed charges,,1120.2,,,,percent of total billed charges,,1734.2563,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1493.6,,,,percent of total billed charges,,1120.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1495.6537,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACCU CATH INTRAVASCULAR CATH,278,RC,C1751,HCPCS,,,outpatient,,,240,,120,144,232.8,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,192.24,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,222.936,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BARD/ ULTRACLIP BREAST MARKER, 17GA, 108864, 150703, 330366, 330436",278,RC,A4648,HCPCS,,,outpatient,,,973,,486.5,583.8,943.81,914.62,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,807.59,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,920.458,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,943.81,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,856.24,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,779.373,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,903.8197,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,779.4703,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20552 INJ TRIGGER PT 1-2 MUSCLE,510,RC,20552,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20553 INJ SING/MULT TRIG PT 3 MORE MUSC,510,RC,20553,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20605 ARTHROCENTESIS ASP INJ INTERM JT,510,RC,20605,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0361 ARTHROCENTESIS INJ INTERMED JT WITH US GUIDE,510,RC,20606,CPT,,,outpatient,,,2289,,1144.5,1373.4,2220.33,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1833.489,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2126.2521,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1833.7179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20610 ARTHROCENTESIS ASP INJ MAJOR JT W/O US GUIDE,510,RC,20610,CPT,,,outpatient,,,877,,438.5,526.2,850.69,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,702.477,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,814.6453,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,702.5647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20612-0361 ASPIRATN AND/OR INJ GANGLION CYST,510,RC,20612,CPT,,,outpatient,,,870,,435,522,843.9,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,696.87,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,808.143,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,696.957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, ANESTHETIC AGENT, PARACERVICAL (UTERINE) NERVE",510,RC,64435,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64450 INJECT NERV BLCK,OTHR PERIPH NERV-361",510,RC,64450,CPT,,,outpatient,,,2288,,1144,1372.8,2219.36,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1832.688,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2125.3232,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1832.9168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, ANESTHETIC AGENT/STEROID,PLANTAR NERVE/MORTON'S NEUROMA",510,RC,64455,CPT,,,outpatient,,,827,,413.5,496.2,802.19,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,662.427,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,768.2003,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,662.5097,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64490 INJ PARAVERT F JNT C/T 1 LEV,510,RC,64490,CPT,,,outpatient,,,3364,,1682,2018.4,3263.08,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2694.564,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3124.8196,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2694.9004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64491 INJ PARAVERT F JNT C/T 2 LEV,510,RC,64491,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64492 INJ PARAVERT F JNT C/T 3 LEV,510,RC,64492,CPT,,,outpatient,,,1811,,905.5,1086.6,1756.67,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1450.611,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1682.2379,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1450.7921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64493 INJ PARAVERT F JNT L/S 1 LEV,510,RC,64493,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64494 INJ PARAVERT F JNT L/S 2 LEV,510,RC,64494,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64495 INJ PARAVERT F JNT L/S 3 LEV,510,RC,64495,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64530 CELIAC PLEXUS NERVE BLOCK,510,RC,64530,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64566-0361 POSTERIORTIBIAL NEUROSTIM SNG TX,510,RC,64566,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64640 INJECT RX OTHER PERIPH NERVE,510,RC,64640,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C-P (PER 1ST MINUTE),360,RC,,,,,outpatient,,,825,,412.5,495,800.25,775.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,684.75,,,,percent of total billed charges,,742.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,759,,,,percent of total billed charges,,780.45,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,800.25,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,726,,,,percent of total billed charges,,742.5,,,,percent of total billed charges,,660.825,,,,percent of total billed charges,,742.5,,,,percent of total billed charges,,495,,,,percent of total billed charges,,766.3425,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,660,,,,percent of total billed charges,,495,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,660.9075,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92652-0471 AEP THRESHOLD EST MULTIPLE FREQ W/ I&R,471,RC,92652,CPT,,,outpatient,,,955,,477.5,573,926.35,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,764.955,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,887.0995,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,765.0505,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92653-0471 AEP NEURODIAGNOSTIC W/ I&R,471,RC,92653,CPT,,,outpatient,,,955,,477.5,573,926.35,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,764.955,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,887.0995,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,765.0505,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4113 GRAFT JACKET EXPRESS ALLOGRAFT,  1CC",636,RC,Q4113,HCPCS,,,outpatient,,,5565,,2782.5,3339,5398.05,5231.1,,,,percent of total billed charges,,4452,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,4618.95,,,,percent of total billed charges,,5008.5,,,,percent of total billed charges,,5119.8,,,,percent of total billed charges,,5119.8,,,,percent of total billed charges,,5264.49,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,5398.05,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,4897.2,,,,percent of total billed charges,,5008.5,,,,percent of total billed charges,,4457.565,,,,percent of total billed charges,,5008.5,,,,percent of total billed charges,,3339,,,,percent of total billed charges,,5169.3285,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,4452,,,,percent of total billed charges,,3339,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4458.1215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4152 DERMAPURE 6 X 4 CM; PER SQ CM (24 UNITS),636,RC,Q4152,HCPCS,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4152 DERMAPURE 10 X 7 CM; PER SQ CM (70 UNITS),636,RC,Q4152,HCPCS,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALANINE AMINO (ALT) (SGPT),301,RC,84460,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN, SERUM",301,RC,82105,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSPHATASE,301,RC,84075,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMIKACIN,301,RC,80150,CPT,,,outpatient,,,257,,128.5,154.2,249.29,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,205.857,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,238.7273,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.8827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMMONIA,301,RC,82140,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMYLASE,301,RC,82150,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD CHLORIDE,301,RC,82435,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD OSMOLALITY,301,RC,83930,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD/URIC ACID,301,RC,84550,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY,CALCIUM TOTAL",301,RC,82310,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY CALCIUM,QUANT URINE",301,RC,82340,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CK(CPK) TOTAL,301,RC,82550,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE BLOOD,301,RC,82565,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CYCLOSPORINE,301,RC,80158,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF DIGOXIN,301,RC,80162,CPT,,,outpatient,,,231,,115.5,138.6,224.07,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,185.031,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,214.5759,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.0541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRADIOL,301,RC,82670,CPT,,,outpatient,,,233,,116.5,139.8,226.01,219.02,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,193.39,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,220.418,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,226.01,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,205.04,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,186.633,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,216.4337,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,186.6563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FERRITIN,301,RC,82728,CPT,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FETAL FIBRONECTIN,301,RC,82731,CPT,,,outpatient,,,831,,415.5,498.6,806.07,781.14,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,689.73,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,786.126,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,806.07,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,731.28,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,665.631,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,771.9159,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,665.7141,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FREE THYROXINE,301,RC,84439,CPT,,,outpatient,,,231,,115.5,138.6,224.07,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,185.031,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,214.5759,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.0541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GENTAMICIN,301,RC,80170,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GGT,301,RC,82977,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF IRON,301,RC,83540,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LACTIC ACID,301,RC,83605,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIPASE,301,RC,83690,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPOPROTEIN HDL DIRECT,301,RC,83718,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LITHIUM,301,RC,80178,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,83735,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PARATHORMONE,301,RC,83970,CPT,,,outpatient,,,240,,120,144,232.8,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,192.24,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,222.936,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PHENOBARBITAL,301,RC,80184,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, FREE",301,RC,80186,CPT,,,outpatient,,,213,,106.5,127.8,206.61,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,170.613,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,197.8557,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.6343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, TOTAL",301,RC,80185,CPT,,,outpatient,,,231,,115.5,138.6,224.07,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,185.031,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,214.5759,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.0541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHORUS INORGANIC,301,RC,84100,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROGESTERONE,301,RC,84144,CPT,,,outpatient,,,212,,106,127.2,205.64,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,169.812,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,196.9268,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.8332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROLACTIN,301,RC,84146,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TOTAL OTHER,301,RC,84157,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TOTAL SER/PL/WB,301,RC,84155,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TOTAL URINE,301,RC,84156,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PSA, TOTAL",301,RC,84153,CPT,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSA TOTAL SCREEN,301,RC,G0103,HCPCS,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN SERUM PLASMA/WHOLE BLOOD,301,RC,82040,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POTASSIUM SERUM PLASMA/WHOLE BLOOD,301,RC,84132,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM SERUM PLASMA WHOLE BLOOD,301,RC,84295,CPT,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SWEAT SODIUM,301,RC,84302,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TACROLIMUS,301,RC,80197,CPT,,,outpatient,,,266,,133,159.6,258.02,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,213.066,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,247.0874,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.0926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THEOPHYLLINE,301,RC,80198,CPT,,,outpatient,,,246,,123,147.6,238.62,231.24,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,204.18,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,232.716,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,238.62,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,216.48,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,197.046,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,228.5094,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.0706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOBRAMYCIN,301,RC,80200,CPT,,,outpatient,,,281,,140.5,168.6,272.57,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,225.081,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,261.0209,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,225.1091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL THYROXINE,301,RC,84436,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TRANSFERRIN,301,RC,84466,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TRIGLYCERIDES,301,RC,84478,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF TROPONIN, QUANT",301,RC,84484,CPT,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UREA NITROGEN QUANT,301,RC,84520,CPT,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CHLORIDE,301,RC,82436,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,82570,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE OSMOLALITY,301,RC,83935,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHOSPHORUS INORGANIC,URIN",301,RC,84105,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE POTASSIUM,301,RC,84133,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SODIUM,301,RC,84300,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/UREA-N,301,RC,84540,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/URIC ACID,301,RC,84560,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VANCOMYCIN,301,RC,80202,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY THYROID STIM HORMONE,301,RC,84443,CPT,,,outpatient,,,129,,64.5,77.4,125.13,121.26,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,107.07,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,122.034,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,125.13,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,103.329,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,119.8281,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,103.3419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLD/SERUM CHOLEST TOTAL,301,RC,82465,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, BLOOD CARBON DIOXIDE",301,RC,82374,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, CARBAMAZEPINE, TOTAL",301,RC,80156,CPT,,,outpatient,,,254,,127,152.4,246.38,238.76,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,210.82,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,240.284,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,246.38,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,223.52,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,203.454,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,235.9406,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,203.4794,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, DIPROPYLACETIC ACID",301,RC,80164,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, GLUCOSE, BLOOD QUANT",301,RC,82947,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, OTHER FLUID CHLORIDES",301,RC,82438,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIIODOTHYRONINE TOTAL,T3",301,RC,84480,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 80048 BASIC METAB PANEL CALCIUM TOTAL,301,RC,80048,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILIRUBIN, DIRECT",301,RC,82248,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILIRUBIN, TOTAL",301,RC,82247,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD FOLIC ACID SERUM,301,RC,82746,CPT,,,outpatient,,,191,,95.5,114.6,185.27,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,152.991,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,177.4199,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.0101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARCINOEMBRYONIC ANTIGEN,301,RC,82378,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHORIO GONADOTROPIN QUANT,301,RC,84702,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 80053 COMPRE METAB PANEL,301,RC,80053,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CREATINE, MB FRACTION",301,RC,82553,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE CLEARANCE TEST,301,RC,82575,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROLYTE PANEL,301,RC,80051,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE OTHER FLUID,301,RC,82945,CPT,,,outpatient,,,49,,24.5,29.4,47.53,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,39.249,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,45.5161,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.2539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE TOL TEST SPEC1-3,301,RC,82951,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (FSH),301,RC,83001,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (LH),301,RC,83002,CPT,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GTT EA ADD BEYOND 3 SPECIMENS,301,RC,82952,CPT,,,outpatient,,,39,,19.5,23.4,37.83,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,31.239,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,36.2271,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.2429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATIC FUNCTION PANEL,301,RC,80076,CPT,,,outpatient,,,76,,38,45.6,73.72,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,60.876,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,70.5964,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.8836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 125",302,RC,86304,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTATE (LD) (LDH) ENZYME,301,RC,83615,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPID PANEL,301,RC,80061,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NATRIURETIC PEPTIDE,301,RC,83880,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY QUANT OF DRUG NEC,301,RC,80204,CPT,,,outpatient,,,398,,199,238.8,386.06,374.12,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,330.34,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,376.508,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,386.06,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,350.24,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,318.798,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,369.7022,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,318.8378,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL FUNCTION PANEL,301,RC,80069,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACETONE/KETONE,QUAL,SERUM",301,RC,82009,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL CORTISOL,301,RC,82533,CPT,,,outpatient,,,212,,106,127.2,205.64,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,169.812,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,196.9268,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.8332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSFERASE (AST) (SGOT),301,RC,84450,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN B-12,301,RC,82607,CPT,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTITHROMBIN III TEST,305,RC,85300,CPT,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BODY FLUID ACIDITY,301,RC,83986,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN,301,RC,83874,CPT,,,outpatient,,,157,,78.5,94.2,152.29,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,125.757,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,145.8373,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.7727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIFIC GR NON-URINE,301,RC,84315,CPT,,,outpatient,,,34,,17,20.4,32.98,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,27.234,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,31.5826,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.2374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOMATED LEUKOCYTE COUNT,305,RC,85048,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOMATED PLATELET COUNT,305,RC,85049,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG B CELLS, TOTAL COUNT",302,RC,86355,CPT,,,outpatient,,,632,,316,379.2,613.04,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,506.232,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,587.0648,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,506.2952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BL SMEAR W/DIFF WBC COUNT,305,RC,85007,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR IX TEST,305,RC,85250,CPT,,,outpatient,,,309,,154.5,185.4,299.73,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,247.509,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,287.0301,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,247.5399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR V TEST,305,RC,85220,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VII TEST,305,RC,85230,CPT,,,outpatient,,,429,,214.5,257.4,416.13,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,343.629,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,398.4981,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,343.6719,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VIII TEST,305,RC,85240,CPT,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN,305,RC,85246,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR X TEST,305,RC,85260,CPT,,,outpatient,,,363,,181.5,217.8,352.11,341.22,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,301.29,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,343.398,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,352.11,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,319.44,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,290.763,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,337.1907,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,290.7993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XI TEST,305,RC,85270,CPT,,,outpatient,,,325,,162.5,195,315.25,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,260.325,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,301.8925,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,260.3575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XII TEST,305,RC,85280,CPT,,,outpatient,,,402,,201,241.2,389.94,377.88,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,333.66,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,380.292,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,389.94,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,353.76,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,322.002,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,373.4178,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,322.0422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD PLATELET AGGREGATION,305,RC,85576,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BODY FLUID CELL COUNT,309,RC,89050,CPT,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BODY FLUID CELL CT W/DIFF,300,RC,89051,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLETE CBC W/AUTO DIFF WBC,305,RC,85025,CPT,,,outpatient,,,93,,46.5,55.8,90.21,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,74.493,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,86.3877,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.5023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLETE CBC, AUTOMATED",305,RC,85027,CPT,,,outpatient,,,119,,59.5,71.4,115.43,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,95.319,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,110.5391,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.3309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXAM,SYNOVIAL FLUID CRYSTALS",300,RC,89060,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIBRIN DEGRADATION, QUANT",305,RC,85379,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRINOGEN,305,RC,85384,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/ TC, 1 MARKER",311,RC,88184,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON",311,RC,88185,CPT,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN,305,RC,85018,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPARIN ASSAY,305,RC,85520,CPT,,,outpatient,,,455,,227.5,273,441.35,427.7,,,,percent of total billed charges,,364,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,377.65,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,430.43,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,441.35,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,400.4,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,364.455,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,273,,,,percent of total billed charges,,422.6495,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,364,,,,percent of total billed charges,,273,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,364.5005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROPHILE ABX SCREEN,302,RC,86308,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSCOPIC EXAM OF URINE,307,RC,81015,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NASAL SMEAR FOR EOSINOPHILS,300,RC,89190,CPT,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTHROMBIN TIME,305,RC,85610,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RBC SED RATE, NONAUTOMATED",305,RC,85651,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST,305,RC,85660,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICYTE/HGB CONCENTRATE,305,RC,85046,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RUSSELL VIPER VENOM, DILUTED",305,RC,85613,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEMEN ANALYSIS & MOTILITY,300,RC,89321,CPT,,,outpatient,,,202,,101,121.2,195.94,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,161.802,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,187.6378,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.8222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, SPECIAL STAIN",306,RC,87207,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL STAIN GROUP II,310,RC,88313,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION,306,RC,87015,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBIN TIME, PLASMA",305,RC,85670,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBOPLASTIN TIME, PARTIAL",305,RC,85730,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBOPLASTIN TIME, PARTIAL",305,RC,85732,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS,307,RC,81005,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS TEST PROCEDURE,307,RC,81099,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, AUTO W/SCOPE",307,RC,81001,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, AUTO, W/O SCOPE",307,RC,81003,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE PREGNANCY TEST,307,RC,81025,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE,300,RC,36415,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AUTOLOGOUS BLOOD, OP SALVAGE",302,RC,86891,CPT,,,outpatient,,,2683,,1341.5,1609.8,2602.51,2522.02,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2226.89,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2538.118,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2602.51,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2361.04,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2149.083,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,2492.2387,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2149.3513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, TOTAL",301,RC,82103,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTINUCLEAR ANTIBODIES,302,RC,86038,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTINUCLEAR ABX TITER,302,RC,86039,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTISTREPTOLYSIN O, TITER",302,RC,86060,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CERULOPLASMIN, SERUM",301,RC,82390,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CRYOGLOBULIN,301,RC,82595,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEPHELOMETRY EA ANALYTE,301,RC,83521,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOGLOBULIN EA,301,RC,82784,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF HAPTOGLOBIN, QUANT",301,RC,83010,CPT,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE ALBUMIN,301,RC,82042,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEROLOGY SYPHILIS QUANT,302,RC,86593,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEROLOGY SYPHILIS QUAL,302,RC,86592,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE",306,RC,87491,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN",302,RC,86160,CPT,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP",306,RC,87798,CPT,,,outpatient,,,293,,146.5,175.8,284.21,275.42,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,243.19,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,277.178,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,284.21,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,257.84,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,234.693,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,272.1677,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,234.7223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN",302,RC,86255,CPT,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, TITER",302,RC,86256,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOSYLATED HEMOGLOBIN TEST,301,RC,83036,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H-PYLORI AB,302,RC,86677,CPT,,,outpatient,,,188,,94,112.8,182.36,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,150.588,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,174.6332,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.6068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, IGM",302,RC,86709,CPT,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, TOTAL",302,RC,86708,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B CORE ANTIBODY, TOTAL",302,RC,86704,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURFACE ANTIBODY,302,RC,86706,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B SURFACE AG, EIA",306,RC,87340,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS C AB TEST,302,RC,86803,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, QUANT",306,RC,87536,CPT,,,outpatient,,,1074,,537,644.4,1041.78,1009.56,,,,percent of total billed charges,,859.2,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,891.42,,,,percent of total billed charges,,966.6,,,,percent of total billed charges,,988.08,,,,percent of total billed charges,,988.08,,,,percent of total billed charges,,1016.004,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,1041.78,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,945.12,,,,percent of total billed charges,,966.6,,,,percent of total billed charges,,860.274,,,,percent of total billed charges,,966.6,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,997.6386,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,859.2,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,860.3814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1/HIV-2 ABXSNGL ASSAY,301,RC,G0475,HCPCS,,,outpatient,,,119,,59.5,71.4,115.43,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,95.319,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,110.5391,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.3309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNFIX E-PHORSIS/URINE/CSF,302,RC,86335,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY INFECT,QUANT",302,RC,86317,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROALBUMIN QUANT, URINE",301,RC,82043,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE, DNA, AMP PROB",306,RC,87591,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN E-PHORESIS, SERUM",301,RC,84165,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN E-PHORESIS/URINE/CSF,301,RC,84166,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TREPONEMA PALLIDUM, CONFIRM",302,RC,86780,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AG DETECT NOS, EIA, SINGLE",306,RC,87899,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT BLOOD AEROBIC,306,RC,87040,CPT,,,outpatient,,,176,,88,105.6,170.72,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,140.976,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,163.4864,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.9936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLOSTRIDIUM AG, EIA",306,RC,87324,CPT,,,outpatient,,,195,,97.5,117,189.15,183.3,,,,percent of total billed charges,,156,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,161.85,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,184.47,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,189.15,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,156.195,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,117,,,,percent of total billed charges,,181.1355,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,156,,,,percent of total billed charges,,117,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,156.2145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULT EXCEPT BLOOD,ANAERO",306,RC,87075,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULT AERO ADDN ID,EA",306,RC,87077,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE ANAEROBE IDENT, EACH",306,RC,87076,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE BACTERI AEROBIC OTHR,306,RC,87071,CPT,,,outpatient,,,310,,155,186,300.7,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,248.31,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,287.959,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE SCREEN ONLY,306,RC,87081,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE TYPE, IMMUNOLOGIC",306,RC,87147,CPT,,,outpatient,,,76,,38,45.6,73.72,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,60.876,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,70.5964,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.8836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT OTHER AEROBIC,306,RC,87070,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT FECES AEROBIC S&S,306,RC,87045,CPT,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, MOLD",306,RC,87107,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, YEAST",306,RC,87106,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.AVIUM-INTRA, DNA, DIR PROB",306,RC,87149,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MACROSCOPIC EXAM PARASITE,306,RC,87169,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, DIFFUSE",306,RC,87181,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, DISK",306,RC,87184,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, ENZYME",306,RC,87185,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, MIC",306,RC,87186,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA CULTURE,306,RC,87116,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCC BLOOD,FECES,1, SCREEN",301,RC,82272,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OVA&PARA DIRECT SMEARS,306,RC,87177,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT SCR EA ABX,302,RC,86403,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT TITER EA ABX,302,RC,86406,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PINWORM EXAM,306,RC,87172,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKIN FUNGI CULTURE,306,RC,87101,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, COMPLEX STAIN",306,RC,87209,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, FLUORESCENT/ACID STAI",306,RC,87206,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, GRAM STAIN",306,RC,87205,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, WET MOUNT, SALINE/INK",306,RC,87210,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION,306,RC,87015,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT STOOL AERO EA ADDN,306,RC,87046,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP A AG, EIA",306,RC,87880,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE HOMOGENIZATION, CULTR",306,RC,87176,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE CULTURE/COLONY COUNT,306,RC,87086,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME AMNIO 6-12,310,RC,88269,CPT,,,outpatient,,,1072,,536,643.2,1039.84,1007.68,,,,percent of total billed charges,,857.6,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,889.76,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,986.24,,,,percent of total billed charges,,986.24,,,,percent of total billed charges,,1014.112,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1039.84,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,943.36,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,858.672,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,995.7808,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,857.6,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,858.7792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME PLACENTA 15,310,RC,88267,CPT,,,outpatient,,,1158,,579,694.8,1123.26,1088.52,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,961.14,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1095.468,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1123.26,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1019.04,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,927.558,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,1075.6662,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,927.6738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 15-20",310,RC,88262,CPT,,,outpatient,,,804,,402,482.4,779.88,755.76,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,667.32,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,760.584,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,779.88,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,707.52,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,644.004,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,746.8356,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.0844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 20-25",310,RC,88264,CPT,,,outpatient,,,804,,402,482.4,779.88,755.76,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,667.32,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,760.584,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,779.88,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,707.52,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,644.004,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,746.8356,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.0844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 5",310,RC,88261,CPT,,,outpatient,,,1382,,691,829.2,1340.54,1299.08,,,,percent of total billed charges,,1105.6,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1147.06,,,,percent of total billed charges,,1243.8,,,,percent of total billed charges,,1271.44,,,,percent of total billed charges,,1271.44,,,,percent of total billed charges,,1307.372,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1340.54,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1216.16,,,,percent of total billed charges,,1243.8,,,,percent of total billed charges,,1106.982,,,,percent of total billed charges,,1243.8,,,,percent of total billed charges,,829.2,,,,percent of total billed charges,,1283.7398,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1105.6,,,,percent of total billed charges,,829.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1107.1202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME BANDING STUDY,310,RC,88283,CPT,,,outpatient,,,441,,220.5,264.6,427.77,414.54,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,366.03,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,417.186,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,427.77,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,388.08,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,353.241,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,409.6449,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,353.2851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME COUNT, ADDITIONAL",310,RC,88285,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 100-300",310,RC,88275,CPT,,,outpatient,,,266,,133,159.6,258.02,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,213.066,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,247.0874,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.0926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 10-30",310,RC,88273,CPT,,,outpatient,,,205,,102.5,123,198.85,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,164.205,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,190.4245,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,164.2255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 25-99",310,RC,88274,CPT,,,outpatient,,,226,,113,135.6,219.22,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,181.026,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,209.9314,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.0486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 3-5",310,RC,88272,CPT,,,outpatient,,,212,,106,127.2,205.64,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,169.812,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,196.9268,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.8332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETIC,DNA PROBE EA",310,RC,88271,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, BONE MARROW",310,RC,88237,CPT,,,outpatient,,,814,,407,488.4,789.58,765.16,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,675.62,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,770.044,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,789.58,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,716.32,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,652.014,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,756.1246,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,652.0954,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, LYMPHOCYTE",310,RC,88230,CPT,,,outpatient,,,800,,400,480,776,752,,,,percent of total billed charges,,640,,,,percent of total billed charges,,760,,,,percent of total billed charges,,664,,,,percent of total billed charges,,720,,,,percent of total billed charges,,736,,,,percent of total billed charges,,736,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,760,,,,percent of total billed charges,,776,,,,percent of total billed charges,,760,,,,percent of total billed charges,,704,,,,percent of total billed charges,,720,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,720,,,,percent of total billed charges,,480,,,,percent of total billed charges,,743.12,,,,percent of total billed charges,,760,,,,percent of total billed charges,,760,,,,percent of total billed charges,,640,,,,percent of total billed charges,,480,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,640.88,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, PLACENTA",310,RC,88235,CPT,,,outpatient,,,950,,475,570,921.5,893,,,,percent of total billed charges,,760,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,855,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,898.7,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,836,,,,percent of total billed charges,,855,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,855,,,,percent of total billed charges,,570,,,,percent of total billed charges,,882.455,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,760,,,,percent of total billed charges,,570,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,761.045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, SKIN/BIOPSY",310,RC,88233,CPT,,,outpatient,,,906,,453,543.6,878.82,851.64,,,,percent of total billed charges,,724.8,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,751.98,,,,percent of total billed charges,,815.4,,,,percent of total billed charges,,833.52,,,,percent of total billed charges,,833.52,,,,percent of total billed charges,,857.076,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,878.82,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,797.28,,,,percent of total billed charges,,815.4,,,,percent of total billed charges,,725.706,,,,percent of total billed charges,,815.4,,,,percent of total billed charges,,543.6,,,,percent of total billed charges,,841.5834,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,724.8,,,,percent of total billed charges,,543.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,725.7966,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, TUMOR",310,RC,88239,CPT,,,outpatient,,,951,,475.5,570.6,922.47,893.94,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,789.33,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,899.646,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,922.47,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,836.88,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,761.751,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,883.3839,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,761.8461,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AG DETECT POLYVAL, EIA, MULT",306,RC,87451,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA A/B, AG, EIA",306,RC,87804,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROTAVIRUS AG EIA,302,RC,87425,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV ASSAY W/OPTIC,306,RC,87807,CPT,,,outpatient,,,221,,110.5,132.6,214.37,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,177.021,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,205.2869,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.0431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY,302,RC,86787,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIRUS INOCULATION, SHELL VIA",306,RC,87254,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN PROCESSING,309,RC,99001,CPT,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACYLCARNITINES, QUANT",301,RC,82017,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS ANTIBODY,302,RC,86603,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE,302,RC,86003,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGG,302,RC,86001,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, PHENO",301,RC,82104,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, QUAN, 6 OR MORE",301,RC,82139,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, SINGLE QUANT",301,RC,82131,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOTENSIN I ENZYME TEST,301,RC,82164,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTITHROMBIN III ANTIGEN,305,RC,85301,CPT,,,outpatient,,,37,,18.5,22.2,35.89,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,29.637,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,34.3693,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.6407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY,302,RC,86606,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACT PROT C RESIST,305,RC,85307,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSPHATASES,301,RC,84080,CPT,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY FOR PHENCYCLIDINE,301,RC,G0480,HCPCS,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GALACTOSE TRANSFER QUANT,301,RC,82775,CPT,,,outpatient,,,512,,256,307.2,496.64,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,410.112,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,475.5968,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,410.1632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF 17-HYDROXYPREGNENO,301,RC,84143,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF 5-HIAA,301,RC,83497,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ACTH,301,RC,82024,CPT,,,outpatient,,,448,,224,268.8,434.56,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,358.848,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,416.1472,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALDOLASE,301,RC,82085,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALDOSTERONE,301,RC,82088,CPT,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALUMINUM,301,RC,82108,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMYLASE,301,RC,82150,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ANDROSTENEDIONE,301,RC,82157,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF APOLIPOPROTEIN,301,RC,82172,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC,301,RC,82175,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BETA-2 PROTEIN,301,RC,82232,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BIOTINIDASE,301,RC,82261,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD FATTY ACIDS,301,RC,82725,CPT,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPOPROTEIN LDL BLOOD,301,RC,83721,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM,301,RC,82300,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCITONIN,301,RC,82308,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARNITINE TOTAL & FREE E,301,RC,82379,CPT,,,outpatient,,,37,,18.5,22.2,35.89,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,29.637,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,34.3693,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.6407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CAROTENE,301,RC,82380,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CITRATE,301,RC,82507,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY CK(CPK) TOTAL,301,RC,82550,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF COPPER,301,RC,82525,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CORTICOSTEROIDS,301,RC,83491,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF C-PEPTIDE,301,RC,84681,CPT,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF CPK,BLOOD,ISOENZ",301,RC,82552,CPT,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CSF PROTEIN (QUEST),301,RC,83873,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CYANIDE,301,RC,82600,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF DIBUCAINE NUMBER,301,RC,82638,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF DIHYDROXYVITAMIN D,301,RC,82652,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ERYTHROPOIETIN,301,RC,82668,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGENS, TOTAL",301,RC,82672,CPT,,,outpatient,,,234,,117,140.4,226.98,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,187.434,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,217.3626,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.4574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRONE,301,RC,82679,CPT,,,outpatient,,,236,,118,141.6,228.92,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,189.036,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,219.2204,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.0596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ETHOSUXIMIDE,301,RC,80168,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ETHYLENE GLYCOL,301,RC,82693,CPT,,,outpatient,,,2036,,1018,1221.6,1974.92,1913.84,,,,percent of total billed charges,,1628.8,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1689.88,,,,percent of total billed charges,,1832.4,,,,percent of total billed charges,,1873.12,,,,percent of total billed charges,,1873.12,,,,percent of total billed charges,,1926.056,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1974.92,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1791.68,,,,percent of total billed charges,,1832.4,,,,percent of total billed charges,,1630.836,,,,percent of total billed charges,,1832.4,,,,percent of total billed charges,,1221.6,,,,percent of total billed charges,,1891.2404,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1628.8,,,,percent of total billed charges,,1221.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1631.0396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPHYRINS FECES QUANT,301,RC,84126,CPT,,,outpatient,,,823,,411.5,493.8,798.31,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,659.223,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,764.4847,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,659.3053,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF FOLIC ACID, RBC",301,RC,82747,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FOR HVA,301,RC,83150,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FREE THYROXINE,301,RC,84439,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G6PD ENZYME QUANT,301,RC,82955,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGE,301,RC,82785,CPT,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM,301,RC,82784,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GASTRIN,301,RC,82941,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GLUCAGON,301,RC,82943,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HISTAMINE,301,RC,83088,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HOMOCYSTINE,301,RC,83090,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN TOTAL,301,RC,83525,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LDH ENZYMES,301,RC,83625,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD,301,RC,83655,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIDOCAINE,301,RC,80176,CPT,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIPOPROTEIN(A),301,RC,83695,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,83735,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MERCURY QUANT,301,RC,83825,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF METANEPHRINES,301,RC,83835,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN,301,RC,83874,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF OXALATE,301,RC,83945,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PARATHORMONE,301,RC,83970,CPT,,,outpatient,,,478,,239,286.8,463.66,449.32,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,396.74,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,452.188,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,463.66,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,420.64,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,382.878,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,444.0142,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,382.9258,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PLASMA HEMOGLOBIN,301,RC,83051,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHOBILINO URINE QUANT,301,RC,84110,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PREGNENOLONE,301,RC,84140,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PRIMIDONE,301,RC,80188,CPT,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROCAINAMIDE,301,RC,80192,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDROXYPROGESTERONE 17-D,301,RC,83498,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PSA, FREE",301,RC,84154,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PYRUVATE,301,RC,84210,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF QUINIDINE,301,RC,80194,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF RENIN,301,RC,84244,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SELENIUM,301,RC,84255,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SEROTONIN,301,RC,84260,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SEX HORMONE GLOBUL,301,RC,84270,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SIROLIMUS,301,RC,80195,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SOMATOMEDIN,301,RC,84305,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE FREE,301,RC,84402,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THIOCYANATE,301,RC,84430,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THYROID ACTIVITY,301,RC,84442,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOPIRAMATE,301,RC,80201,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL TESTOSTERONE,301,RC,84403,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TSI,301,RC,84445,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,82570,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHYRINS UR QUANT/FRACT,301,RC,84120,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE VMA,301,RC,84585,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VASOPRESSIN,301,RC,86255,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VIP,301,RC,84586,CPT,,,outpatient,,,199,,99.5,119.4,193.03,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,159.399,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,184.8511,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.4189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN A,301,RC,84590,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN B-1,301,RC,84425,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN B-2,301,RC,84252,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN B-6,301,RC,84207,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN D,301,RC,82306,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN E,301,RC,84446,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN K,301,RC,84597,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VOLATILES,301,RC,84600,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ZINC,301,RC,84630,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY PROSTATE PHOSPHATASE,301,RC,84066,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC PROTOPORPHYRIN QUANT,301,RC,84202,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, AMINOLEVULINIC ACID",301,RC,82135,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, BLOOD CARBON DIOXIDE",301,RC,82374,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, GROWTH HORMONE (HGH)",301,RC,83003,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, NONENDOCRINE RECEPTOR",301,RC,84238,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, RBC CHOLINESTERASE",301,RC,82482,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, SERUM CHOLINESTERASE",301,RC,82480,CPT,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, THREE CATECHOLAMINES (QUEST)",301,RC,82384,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, TOTAL HYDROXYPROLINE",301,RC,83505,CPT,,,outpatient,,,282,,141,169.2,273.54,265.08,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,234.06,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,266.772,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,273.54,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,225.882,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,261.9498,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,225.9102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-12 BINDING CAPACITY,301,RC,82608,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIUM ANTIBODY,302,RC,86609,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARTONELLA ANTIBODY,302,RC,86611,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, TOTAL",301,RC,82239,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT II PT SPECIFIC,305,RC,85210,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII MULTI,305,RC,85247,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT XIII SCREEN SOL,305,RC,85291,CPT,,,outpatient,,,249,,124.5,149.4,241.53,234.06,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,206.67,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,235.554,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,241.53,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,199.449,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,231.2961,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,199.4739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT C ANTIGEN,305,RC,85302,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT S TOTAL,305,RC,85305,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT C ACTIVIT,305,RC,85303,CPT,,,outpatient,,,264,,132,158.4,256.08,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,211.464,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,245.2296,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,211.4904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT S FREE,305,RC,85306,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORDETELLA ANTIBODY,302,RC,86615,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRUCELLA ANTIBODY,302,RC,86622,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALCULUS SPECTROSCOPY,301,RC,82365,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN ANTIBODY,302,RC,86147,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMILUMINESCENT ASSAY,301,RC,83519,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA ANTIBODY,302,RC,86631,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA IGM ANTIBODY,302,RC,86632,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOTOGRAPHY, QUANT, MULT",301,RC,82542,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY,302,RC,86644,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CMV ANTIBODY, IGM",302,RC,86645,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCCIDIOIDES ANTIBODY,302,RC,86635,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLD AGGLUTININ, TITER",302,RC,86157,CPT,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKS,301,RC,82523,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN",302,RC,86160,CPT,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, TOTAL (CH50)",302,RC,86162,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT/FUNCTION ACTIVITY,302,RC,86161,CPT,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE",301,RC,82530,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOSPORIDIUM AG, EIA",306,RC,87328,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOSPORIDUM/GARDIA AG, IF",306,RC,87271,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE SCREEN ONLY,306,RC,87081,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEG, DNA, AMP PROBE",306,RC,87496,CPT,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEG, DNA, QUANT",306,RC,87497,CPT,,,outpatient,,,294,,147,176.4,285.18,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,235.494,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,273.0966,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,235.5234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEHYDROEPIANDROSTERONE,301,RC,82626,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEHYDROEPIANDROSTERO-SULF,301,RC,82627,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEOXYCORTISOL,11",301,RC,82634,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEOXYRIBONUCLEASE, ANTIBODY",302,RC,86215,CPT,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP",306,RC,87798,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT",306,RC,87799,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGNT MULT, DNA, AMPLI",306,RC,87801,CPT,,,outpatient,,,193,,96.5,115.8,187.21,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,179.2777,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,154.6123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHTHERIA ANTIBODY,302,RC,86648,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DNA ANTIBODY, SINGLE STRAND",302,RC,86226,CPT,,,outpatient,,,131,,65.5,78.6,127.07,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,104.931,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,121.6859,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.9441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY,302,RC,86666,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROPHORETIC TEST,301,RC,82664,CPT,,,outpatient,,,255,,127.5,153,247.35,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,204.255,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,236.8695,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.2805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX CALIF,302,RC,86651,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE,302,RC,86652,CPT,,,outpatient,,,154,,77,92.4,149.38,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,123.354,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,143.0506,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.3694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX ST LOUIS,302,RC,86653,CPT,,,outpatient,,,154,,77,92.4,149.38,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,123.354,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,143.0506,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.3694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX W EQUINE,302,RC,86654,CPT,,,outpatient,,,154,,77,92.4,149.38,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,123.354,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,143.0506,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.3694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTEROVIRUS ANTIBODY,302,RC,86658,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY,301,RC,82657,CPT,,,outpatient,,,674,,337,404.4,653.78,633.56,,,,percent of total billed charges,,539.2,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,559.42,,,,percent of total billed charges,,606.6,,,,percent of total billed charges,,620.08,,,,percent of total billed charges,,620.08,,,,percent of total billed charges,,637.604,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,653.78,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,593.12,,,,percent of total billed charges,,606.6,,,,percent of total billed charges,,539.874,,,,percent of total billed charges,,606.6,,,,percent of total billed charges,,404.4,,,,percent of total billed charges,,626.0786,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,539.2,,,,percent of total billed charges,,404.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,539.9414,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX EARLY AG,302,RC,86663,CPT,,,outpatient,,,238,,119,142.8,230.86,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,190.638,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,221.0782,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,190.6618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX NUCLE AG,302,RC,86664,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX CAPSID,302,RC,86665,CPT,,,outpatient,,,213,,106.5,127.8,206.61,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,170.613,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,197.8557,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.6343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FATS/LIPIDS, FECES, QUAL",301,RC,82705,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FATS/LIPIDS, FECES, QUANT",301,RC,82710,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FINBRINO PLASM ACTIVATOR,305,RC,85415,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRINO PLAM NON-ANTIGEN,305,RC,85420,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/ TC, 1 MARKER",311,RC,88184,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN",302,RC,86255,CPT,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, TITER",302,RC,86256,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG T3 (TRIIODOTHYRONINE), FREE SERUM",301,RC,84481,CPT,,,outpatient,,,136,,68,81.6,131.92,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,108.936,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,126.3304,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.9496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ANTIBODY,302,RC,86671,CPT,,,outpatient,,,109,,54.5,65.4,105.73,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,87.309,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,101.2501,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,87.3199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMATOGRAPHY QUAL,301,RC,82542,CPT,,,outpatient,,,251,,125.5,150.6,243.47,235.94,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,208.33,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,237.446,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,243.47,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,220.88,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,201.051,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,233.1539,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.0761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GENOTYPE, DNA, HEPATITIS C",306,RC,87902,CPT,,,outpatient,,,2038,,1019,1222.8,1976.86,1915.72,,,,percent of total billed charges,,1630.4,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1691.54,,,,percent of total billed charges,,1834.2,,,,percent of total billed charges,,1874.96,,,,percent of total billed charges,,1874.96,,,,percent of total billed charges,,1927.948,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1976.86,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1793.44,,,,percent of total billed charges,,1834.2,,,,percent of total billed charges,,1632.438,,,,percent of total billed charges,,1834.2,,,,percent of total billed charges,,1222.8,,,,percent of total billed charges,,1893.0982,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1630.4,,,,percent of total billed charges,,1222.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1632.6418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECT AGENT GENO ANALYSIS BY NUCLEIC,306,RC,87901,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOPROTEIN ANTIBODY,302,RC,86146,CPT,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELICOBACTER PYLORI,302,RC,86677,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY,302,RC,86682,CPT,,,outpatient,,,260,,130,156,252.2,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,208.26,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,241.514,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY,301,RC,83021,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN STABILITY SCREEN,301,RC,83068,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOLYSINS/AGGLUTININS,302,RC,86941,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOPHILUS INFLUENZA,302,RC,86684,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B CORE ANTIBODY, IGM",302,RC,86705,CPT,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURFACE ANTIBODY,302,RC,86706,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP BE ANTIBODY,302,RC,86707,CPT,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP C AB TEST, CONFIRM",302,RC,86804,CPT,,,outpatient,,,179,,89.5,107.4,173.63,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,143.379,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,166.2731,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.3969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B, DNA, QUANT",306,RC,87517,CPT,,,outpatient,,,356,,178,213.6,345.32,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,285.156,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,330.6884,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.1916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS BE AG, EIA",306,RC,87350,CPT,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS C, RNA, AMP PROBE",306,RC,87521,CPT,,,outpatient,,,537,,268.5,322.2,520.89,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,430.137,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,498.8193,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.1907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS C, RNA, QUANT",306,RC,87522,CPT,,,outpatient,,,343,,171.5,205.8,332.71,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,274.743,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,318.6127,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,274.7773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX TYPE 1,302,RC,86695,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX NON-SPECIFIC,302,RC,86694,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX TYPE 2,302,RC,86696,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROOPHILE ABX SCREEN,302,RC,86308,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA,302,RC,86698,CPT,,,outpatient,,,267,,133.5,160.2,258.99,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,213.867,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,248.0163,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.8937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HISTOPLASMA CAPSUL AG, EIA",306,RC,87385,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, AMP PROBE",306,RC,87535,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, QUANT",306,RC,87536,CPT,,,outpatient,,,2189,,1094.5,1313.4,2123.33,2057.66,,,,percent of total billed charges,,1751.2,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,1816.87,,,,percent of total billed charges,,1970.1,,,,percent of total billed charges,,2013.88,,,,percent of total billed charges,,2013.88,,,,percent of total billed charges,,2070.794,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,2123.33,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,1926.32,,,,percent of total billed charges,,1970.1,,,,percent of total billed charges,,1753.389,,,,percent of total billed charges,,1970.1,,,,percent of total billed charges,,1313.4,,,,percent of total billed charges,,2033.3621,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,1751.2,,,,percent of total billed charges,,1313.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1753.6079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA TYPING A,B,C MULT AG",302,RC,86813,CPT,,,outpatient,,,670,,335,402,649.9,629.8,,,,percent of total billed charges,,536,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,556.1,,,,percent of total billed charges,,603,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,633.82,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,649.9,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,589.6,,,,percent of total billed charges,,603,,,,percent of total billed charges,,536.67,,,,percent of total billed charges,,603,,,,percent of total billed charges,,402,,,,percent of total billed charges,,622.363,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,536,,,,percent of total billed charges,,402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,536.737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA TYPING A,B,C SNGL AG",302,RC,86812,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HPYLORI, STOOL, EIA",306,RC,87338,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLV/HIV CONFIRMATORY TEST,302,RC,86689,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLV-I ANTIBODY,302,RC,86687,CPT,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGG 1, 2, 3 OR 4, EACH",301,RC,82787,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE COMPLEX ASSAY,302,RC,86332,CPT,,,outpatient,,,314,,157,188.4,304.58,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,251.514,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,291.6746,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,251.5454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY",301,RC,83516,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY",301,RC,86042,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA",301,RC,83520,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR OTHER",302,RC,86316,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 27, 29",302,RC,86300,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 19-9",302,RC,86301,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY,INFECTIOUS AGENT",302,RC,86317,CPT,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNODIFFUSION OUCHTERLONY,302,RC,86331,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFLUORESCENT STUDY,319,RC,88346,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOGLOBULIN ASSAY,302,RC,86023,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA VIRUS ANTIBODY,302,RC,86710,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INHIBIN A,302,RC,86336,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN ANTIBODIES,302,RC,86337,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRINSIC FACTOR ANTIBODY,302,RC,86340,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL ANTIBODY,302,RC,86341,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA ANTIBODY,302,RC,86713,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEPTOSPIRA ANTIBODY,302,RC,86720,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LONG CHAIN FATTY ACIDS,301,RC,82726,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYME DISEASE ANTIBODY (IGG), IMMUNOBLOT (SENDOUT)",302,RC,86617,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYME DISEASE ANTIBODY W/ RFLX TO BLOT (IGG, IGM)(SENDOUT)",302,RC,86618,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPHOCYTE TRANSFORMATION,302,RC,86353,CPT,,,outpatient,,,233,,116.5,139.8,226.01,219.02,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,193.39,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,220.418,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,226.01,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,205.04,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,186.633,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,216.4337,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,186.6563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.PNEUMON, DNA, AMP PROBE",306,RC,87581,CPT,,,outpatient,,,176,,88,105.6,170.72,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,140.976,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,163.4864,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.9936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.TUBERCULO, DNA, AMP PROBE",306,RC,87801,CPT,,,outpatient,,,585,,292.5,351,567.45,549.9,,,,percent of total billed charges,,468,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,485.55,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,553.41,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,567.45,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,351,,,,percent of total billed charges,,543.4065,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,468,,,,percent of total billed charges,,351,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,468.6435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUAL,301,RC,83789,CPT,,,outpatient,,,234,,117,140.4,226.98,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,187.434,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,217.3626,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.4574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT,301,RC,83789,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ANTIBODY,302,RC,86376,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUMPS ANTIBODY,302,RC,86735,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MURAMIDASE,305,RC,85549,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA,306,RC,87109,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA ANTIBODY,302,RC,86738,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NATRIURETIC PEPTIDE,301,RC,83880,CPT,,,outpatient,,,414,,207,248.4,401.58,389.16,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,343.62,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,391.644,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,331.614,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,384.5646,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,331.6554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,86235,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACID,  SINGLE, QUANT",301,RC,83921,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACIDS, TOTAL, QUANT",301,RC,83918,CPT,,,outpatient,,,413,,206.5,247.8,400.61,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,330.813,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,383.6357,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.8543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARVOVIRUS ANTIBODY,302,RC,86747,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERTUSSIS AG, IF",306,RC,87265,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHENOTYPE, DNA HIV W/CLT ADD",306,RC,87904,CPT,,,outpatient,,,280,,140,168,271.6,263.2,,,,percent of total billed charges,,224,,,,percent of total billed charges,,266,,,,percent of total billed charges,,232.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,266,,,,percent of total billed charges,,271.6,,,,percent of total billed charges,,266,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,224.28,,,,percent of total billed charges,,252,,,,percent of total billed charges,,168,,,,percent of total billed charges,,260.092,,,,percent of total billed charges,,266,,,,percent of total billed charges,,266,,,,percent of total billed charges,,224,,,,percent of total billed charges,,168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,224.308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHENOTYPE, DNA HIV W/CULTURE",306,RC,87903,CPT,,,outpatient,,,1212,,606,727.2,1175.64,1139.28,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1005.96,,,,percent of total billed charges,,1090.8,,,,percent of total billed charges,,1115.04,,,,percent of total billed charges,,1115.04,,,,percent of total billed charges,,1146.552,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1175.64,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1066.56,,,,percent of total billed charges,,1090.8,,,,percent of total billed charges,,970.812,,,,percent of total billed charges,,1090.8,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,1125.8268,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,970.9332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODIES,302,RC,86022,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS,302,RC,86753,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG",301,RC,80299,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RICKETTSIA ANTIBODY (QUEST),302,RC,86757,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA ANTIBODY,302,RC,86762,CPT,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBEOLA ANTIBODY,302,RC,86765,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY,301,RC,84311,CPT,,,outpatient,,,372,,186,223.2,360.84,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,297.972,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,345.5508,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.0092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUGARS, SINGLE, QUAL",301,RC,84376,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUGARS, SINGLE, QUANT",301,RC,84378,CPT,,,outpatient,,,736,,368,441.6,713.92,691.84,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,610.88,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,677.12,,,,percent of total billed charges,,677.12,,,,percent of total billed charges,,696.256,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,589.536,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,683.6704,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,589.6096,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T3 REVERSE,301,RC,84482,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TETANUS ANTIBODY,302,RC,86774,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THYROGLOBULIN (QUEST),301,RC,84432,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM",302,RC,86800,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA ANTIBODY,302,RC,86777,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TOXOPLASMA ANTIBODY, IGM",302,RC,86778,CPT,,,outpatient,,,34,,17,20.4,32.98,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,27.234,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,31.5826,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.2374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHINELLA ANTIBODY,302,RC,86784,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY,302,RC,86787,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS,302,RC,86790,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WBC ANTIBODY IDENTIFICATION,302,RC,86037,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG WEST NILE VIRUS AB, IGM",302,RC,86788,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS ANTIBODY,302,RC,86789,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP GALACTOSE-1-PHOS,301,RC,82776,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC,301,RC,83020,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCREEN COMP TSH,301,RC,84443,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETOMATERNAL BLOOD QUANTITATIV,305,RC,85460,CPT,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY SCREENING,302,RC,86850,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELUATE,302,RC,86860,CPT,,,outpatient,,,336,,168,201.6,325.92,315.84,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,278.88,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,317.856,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,325.92,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,295.68,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,269.136,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,312.1104,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,269.1696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY IDENTIFICATION,302,RC,86870,CPT,,,outpatient,,,460,,230,276,446.2,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,368.46,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,427.294,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,368.506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AHG, DIRECT",302,RC,86880,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY TITRES,302,RC,86886,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABO GROUPING,302,RC,86900,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH TYPING D - ONLY,302,RC,86901,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CELL TYPING,M.N. EA U",302,RC,86902,CPT,,,outpatient,,,214,,107,128.4,207.58,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,171.414,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,198.7846,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.4354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE CELL TYPING OF PATIENT,302,RC,86905,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMEDIATE SPIN CROSSMATCH,302,RC,86920,CPT,,,outpatient,,,249,,124.5,149.4,241.53,234.06,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,206.67,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,235.554,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,241.53,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,199.449,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,231.2961,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,199.4739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AHG PHASE CROSSMATCH EA U,302,RC,86922,CPT,,,outpatient,,,229,,114.5,137.4,222.13,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,183.429,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,212.7181,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.4519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE FFP THAW EA U,302,RC,86927,CPT,,,outpatient,,,380,,190,228,368.6,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,304.38,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,352.982,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,304.418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE:POOLING PLATELETS,302,RC,86965,CPT,,,outpatient,,,188,,94,112.8,182.36,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,150.588,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,174.6332,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.6068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUTRALIZATION TEST,302,RC,86977,CPT,,,outpatient,,,344,,172,206.4,333.68,323.36,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,285.52,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,325.424,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,333.68,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,275.544,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,319.5416,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,275.5784,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPLIT/BLOOD&PROD EA U,302,RC,86985,CPT,,,outpatient,,,283,,141.5,169.8,274.51,266.02,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,234.89,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,267.718,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,274.51,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,249.04,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,226.683,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,262.8787,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,226.7113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS GALACTOMANNAN ANTI,306,RC,87305,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS QUALITATIVE PCR,306,RC,87798,CPT,,,outpatient,,,888,,444,532.8,861.36,834.72,,,,percent of total billed charges,,710.4,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,737.04,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,816.96,,,,percent of total billed charges,,816.96,,,,percent of total billed charges,,840.048,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,861.36,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,781.44,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,711.288,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,824.8632,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,710.4,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,711.3768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUIDS, BRUSHINGS, WASHINGS",311,RC,88112,CPT,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMEAR & FILTER/INTERP,311,RC,88112,CPT,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR DIAGNOSTIC,311,RC,88142,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR DIAG MD RE,311,RC,88142,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FINE NEEDLE ASPIRATE,310,RC,88173,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL I (GROSS ONLY),310,RC,88300,CPT,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEVEL II, GROSS & MICROSCOPIC",310,RC,88302,CPT,,,outpatient,,,198,,99,118.8,192.06,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,158.598,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,183.9222,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.6178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL III GROSS & MICROSCOPIC,310,RC,88304,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL IV GROSS & MICROSCOPIC E,310,RC,88305,CPT,,,outpatient,,,268,,134,160.8,259.96,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,214.668,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,248.9452,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,214.6948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL V GROSS & MICROSCOPIC EX,310,RC,88307,CPT,,,outpatient,,,469,,234.5,281.4,454.93,440.86,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,389.27,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,443.674,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,454.93,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,412.72,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,375.669,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,435.6541,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,375.7159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL VI GROSS & MICROSCOPIC E,310,RC,88309,CPT,,,outpatient,,,606,,303,363.6,587.82,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,485.406,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,562.9134,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,485.4666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DECALCIFICATION PROCEDURE,310,RC,88311,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GROUP I SPECIAL STAINS,310,RC,88312,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GROUP II SPECIAL STAINS,310,RC,88313,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONSULT-FROZEN SECTION,310,RC,88331,CPT,,,outpatient,,,382,,191,229.2,370.54,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,305.982,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,354.8398,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.0202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FROZEN (ADDITIONAL BLOCKS),310,RC,88332,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOUCH PREP CYTO ANY OTHER SOUR,310,RC,88333,CPT,,,outpatient,,,606,,303,363.6,587.82,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,485.406,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,562.9134,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,485.4666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOUCH PREP EA ADDN'L SITE,310,RC,88334,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTROGEN RECEPTOR I/P,310,RC,88342,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IHC EA IDENT AB PER SPECIMEN,1ST SINGLE AB",312,RC,88342,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFLUORESCENT STUDY,310,RC,88346,CPT,,,outpatient,,,210,,105,126,203.7,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,168.21,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,195.069,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY DIAGNOSTIC,310,RC,88348,CPT,,,outpatient,,,1730,,865,1038,1678.1,1626.2,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1435.9,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1636.58,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1678.1,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1522.4,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1385.73,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,1606.997,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1385.903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMMUNOHISTOCHEM QUANT/SE,312,RC,88361,CPT,,,outpatient,,,331,,165.5,198.6,321.07,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,265.131,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,307.4659,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.1641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE IN SITU HYBRID,I&R",310,RC,88365,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR SCREENING,311,RC,G0123,HCPCS,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR SCREEN MD,311,RC,G0123,HCPCS,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH IMMUNE GLOBULIN,636,RC,J2790,HCPCS,,,outpatient,,,204,,102,122.4,197.88,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,163.404,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,189.4956,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,163.4244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACT IX COMP PER U,636,RC,J7194,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RECOMBINANT IX PER U,636,RC,J7195,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE: SAT RBC'S,390,RC,P9011,HCPCS,,,outpatient,,,184,,92,110.4,178.48,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,147.384,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,170.9176,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,147.4024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE: SAT PLT PHR,390,RC,P9011,HCPCS,,,outpatient,,,184,,92,110.4,178.48,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,147.384,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,170.9176,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,147.4024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE: SAT FFP,390,RC,P9011,HCPCS,,,outpatient,,,184,,92,110.4,178.48,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,147.384,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,170.9176,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,147.4024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE:CRYOPRECIP EA,390,RC,P9012,HCPCS,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE LRPC EA U,390,RC,P9016,HCPCS,,,outpatient,,,423,,211.5,253.8,410.31,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,338.823,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,392.9247,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,338.8653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE PLASMA EA U,390,RC,P9059,HCPCS,,,outpatient,,,285,,142.5,171,276.45,267.9,,,,percent of total billed charges,,228,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,269.61,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,276.45,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,228.285,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,171,,,,percent of total billed charges,,264.7365,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,228,,,,percent of total billed charges,,171,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,228.3135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE FFP EA U,390,RC,P9017,HCPCS,,,outpatient,,,299,,149.5,179.4,290.03,281.06,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,248.17,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,282.854,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,290.03,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,239.499,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,277.7411,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,239.5289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE PLT LR PHER EA U,390,RC,P9035,HCPCS,,,outpatient,,,1153,,576.5,691.8,1118.41,1083.82,,,,percent of total billed charges,,922.4,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,956.99,,,,percent of total billed charges,,1037.7,,,,percent of total billed charges,,1060.76,,,,percent of total billed charges,,1060.76,,,,percent of total billed charges,,1090.738,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,1118.41,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,1014.64,,,,percent of total billed charges,,1037.7,,,,percent of total billed charges,,923.553,,,,percent of total billed charges,,1037.7,,,,percent of total billed charges,,691.8,,,,percent of total billed charges,,1071.0217,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,922.4,,,,percent of total billed charges,,691.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,923.6683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 5' NUCLEOTIDASE,301,RC,83915,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSTEOCALCIN,301,RC,83937,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCE 25 CELLS, 5 COUNTS, 1 KARO",310,RC,88245,CPT,,,outpatient,,,1118,,559,670.8,1084.46,1050.92,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,927.94,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1057.628,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1084.46,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,983.84,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,895.518,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,1038.5102,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,895.6298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS CT 45 CELL,310,RC,88263,CPT,,,outpatient,,,970,,485,582,940.9,911.8,,,,percent of total billed charges,,776,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,805.1,,,,percent of total billed charges,,873,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,917.62,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,940.9,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,873,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,873,,,,percent of total billed charges,,582,,,,percent of total billed charges,,901.033,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,776,,,,percent of total billed charges,,582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,777.067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS HIGH RESOL,310,RC,88289,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 100 CELLS",310,RC,88248,CPT,,,outpatient,,,1118,,559,670.8,1084.46,1050.92,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,927.94,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1057.628,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1084.46,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,983.84,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,895.518,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,1038.5102,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,895.6298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOPRESER FREEZING & STORAGE,310,RC,88240,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THAWING,EXPAN OF FROZEN CELLS",310,RC,88241,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOMAL ANAL,ADD KARYOTYPE",310,RC,88280,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY ABSORPTION,302,RC,86978,CPT,,,outpatient,,,246,,123,147.6,238.62,231.24,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,204.18,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,232.716,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,238.62,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,216.48,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,197.046,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,228.5094,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.0706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON CROSSMATCH EA U,302,RC,86923,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C DIFFICILE CULTURE,306,RC,87230,CPT,,,outpatient,,,303,,151.5,181.8,293.91,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,242.703,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,281.4567,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.7333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORRELIA BURGDORFERI PCR,306,RC,87801,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DHR - ADDITONAL MARKER,311,RC,88185,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POST GLUCOSE DOSE,301,RC,82950,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN C ACTIVITY,305,RC,85303,CPT,,,outpatient,,,264,,132,158.4,256.08,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,211.464,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,245.2296,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,211.4904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN S, FREE",305,RC,85306,CPT,,,outpatient,,,95,,47.5,57,92.15,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,76.095,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,88.2455,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.1045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODY,302,RC,86022,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOMOCYSTEINE,300,RC,83090,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA CULTURE,306,RC,87110,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES CULTURE,306,RC,87255,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL SMEAR/SHELL VIAL,306,RC,87254,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA STAIN,306,RC,87140,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA ZOSTER CULTURE,306,RC,87254,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESPIRATORY CULTURE,306,RC,87254,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTEROVIURS CULTURE,306,RC,87254,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX RBC W/CHEM ANTIBDY ID,302,RC,86970,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE PLT LR/IR/PH EA,390,RC,P9037,HCPCS,,,outpatient,,,1237,,618.5,742.2,1199.89,1162.78,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1026.71,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1170.202,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1199.89,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1088.56,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,990.837,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,1149.0493,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,990.9607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC LR/IR EA U,390,RC,P9040,HCPCS,,,outpatient,,,505,,252.5,303,489.85,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,404.505,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,469.0945,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.5555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROALBUMIN, URINE QUANTITATIVE",301,RC,82043,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREALBUMIN,301,RC,84134,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-REACTIVE PROTEIN (HS),302,RC,86141,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LDL CHOLESTEROL DIRECT,301,RC,83721,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RHEUMATOID FACTOR, SERUM",302,RC,86431,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 1ST TRIMESTER PRENATAL SCREENING CGT,301,RC,84702,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV BY PCR,306,RC,87798,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL TOTAL,SALIVA",301,RC,82533,CPT,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CA 15-3,302,RC,86300,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOHYDRATE ANTIGEN 19-9 (CA19-9) SERUM,302,RC,86301,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSA, FREE",301,RC,84154,CPT,,,outpatient,,,131,,65.5,78.6,127.07,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,104.931,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,121.6859,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.9441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG QUANT OR SEMIQUANT IHC STAIN,310,RC,88360,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUTROPHIL OXIDATIVE BURST ASSAY(DHR)A,311,RC,88184,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUTROPHIL OXIDATIVE BURST ASSAY(DHR)C,311,RC,88187,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAP CHOLESTEROL A,301,RC,83701,CPT,,,outpatient,,,268,,134,160.8,259.96,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,214.668,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,248.9452,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,214.6948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAP CHOLESTEROL B,301,RC,84478,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTOPORPH(W/LEAD,ZINC)",301,RC,84202,CPT,,,outpatient,,,148,,74,88.8,143.56,139.12,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,122.84,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,140.008,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,143.56,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,130.24,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,118.548,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,137.4772,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,118.5628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B CORE IGM ANTIBODY,302,RC,86705,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EOSINOPHILIC CATIONIC PROTEIN,302,RC,86849,CPT,,,outpatient,,,566,,283,339.6,549.02,532.04,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,469.78,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,535.436,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,549.02,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,498.08,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,453.366,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,525.7574,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,453.4226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LECITHIN-SPHINGOMYELIN RATIO,301,RC,83661,CPT,,,outpatient,,,255,,127.5,153,247.35,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,204.255,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,236.8695,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.2805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRSA BY PCR,306,RC,87641,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA",301,RC,83520,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS, QUALITATIVE (DONOR)",302,RC,86592,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV (DONOR)(QUEST),302,RC,86644,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  HEP B SURFACE AG (DONOR)(QUEST),306,RC,87340,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B CORE ABX TOTAL (QUEST),302,RC,86704,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY TO HIV, 1 & 2 (DONOR)(QUEST)",302,RC,86703,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  ANTIBODY TO HEP C VIRUS (DONOR)(QUEST),302,RC,86803,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY TO TRYPANOSOMA CRUZI (DONOR)(QUEST),302,RC,86753,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS (DONOR)(QUEST),306,RC,87798,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC ABX SCREEN (DONOR),302,RC,86850,CPT,,,outpatient,,,173,,86.5,103.8,167.81,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,138.573,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,160.6997,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,138.5903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANITBODY SCREEN,302,RC,86022,CPT,,,outpatient,,,377,,188.5,226.2,365.69,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,301.977,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,350.1953,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.0147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CELIAC REFLEX PANEL,IGA",301,RC,82784,CPT,,,outpatient,,,513,,256.5,307.8,497.61,482.22,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,425.79,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,485.298,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,497.61,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,451.44,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,410.913,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,476.5257,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,410.9643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN, WESTERN BLOT TEST",301,RC,84182,CPT,,,outpatient,,,528,,264,316.8,512.16,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,422.928,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,490.4592,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,422.9808,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION,306,RC,87015,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, AMP PROBE",306,RC,87529,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACENTAL ALPHA MICROGLOBULIN-1,301,RC,84112,CPT,,,outpatient,,,360,,180,216,349.2,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,334.404,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,288.396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE",306,RC,87491,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE",306,RC,87591,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TB TEST CELL MEDIATED IMMUNITY ARM,302,RC,86480,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE,301,RC,80299,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELL ABSOLUTE COUNT/RATIO,302,RC,86360,CPT,,,outpatient,,,506,,253,303.6,490.82,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,405.306,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,470.0234,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,405.3566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B CELLS TOTAL COUNT,302,RC,86355,CPT,,,outpatient,,,406,,203,243.6,393.82,381.64,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,336.98,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,384.076,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,393.82,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,357.28,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,325.206,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,377.1334,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,325.2466,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NK CELLS TOTAL COUNT,302,RC,86357,CPT,,,outpatient,,,406,,203,243.6,393.82,381.64,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,336.98,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,384.076,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,393.82,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,357.28,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,325.206,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,377.1334,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,325.2466,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS TOTAL COUNT,302,RC,86359,CPT,,,outpatient,,,388,,194,232.8,376.36,364.72,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,367.048,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,376.36,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,341.44,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,310.788,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,360.4132,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.8268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC,301,RC,83883,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGIN SPECIFIC,302,RC,86003,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NIACIN,301,RC,84591,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA 1 ANTITRYPSIN, SERUM",301,RC,82103,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-FETOPROTEIN AMNIOTIC,301,RC,82106,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRIOL,301,RC,82677,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-FETOPROTEIN SERUM,301,RC,82105,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTATE(LD)(LDH)ENZYME,301,RC,83615,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C DIFF BY PCR,306,RC,87493,CPT,,,outpatient,,,316,,158,189.6,306.52,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,253.116,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,293.5324,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.1476,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROTEIN URINE,301,RC,84156,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNFIX E-PHORSIS/URINE/CSF,302,RC,86335,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN E-PHORESIS/URINE/CSF,301,RC,84166,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTEROVIRUS AMPL PROBE TECH,306,RC,87498,CPT,,,outpatient,,,566,,283,339.6,549.02,532.04,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,469.78,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,535.436,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,549.02,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,498.08,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,453.366,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,525.7574,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,453.4226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCG QUALITATIVE,301,RC,84703,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL HEMOGLOBIN ASSAY QUAL,301,RC,83033,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METAPNEUMONIAE RNA QL PCR,306,RC,87798,CPT,,,outpatient,,,440,,220,264,426.8,413.6,,,,percent of total billed charges,,352,,,,percent of total billed charges,,418,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,396,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,418,,,,percent of total billed charges,,426.8,,,,percent of total billed charges,,418,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,396,,,,percent of total billed charges,,352.44,,,,percent of total billed charges,,396,,,,percent of total billed charges,,264,,,,percent of total billed charges,,408.716,,,,percent of total billed charges,,418,,,,percent of total billed charges,,418,,,,percent of total billed charges,,352,,,,percent of total billed charges,,264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,352.484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN D 25 HYDROXY INCLUDES FRACTION,301,RC,82306,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO FISH UT SPECIMENS 3-5 PROBES EA,311,RC,88120,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VIRUS, MULTI TYPES OR SUBTYPES",306,RC,87502,CPT,,,outpatient,,,238,,119,142.8,230.86,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,190.638,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,221.0782,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,190.6618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHIGA-LIKE TOXIN,306,RC,87427,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE LYMPHOCYTE,310,RC,88230,CPT,,,outpatient,,,1252,,626,751.2,1214.44,1176.88,,,,percent of total billed charges,,1001.6,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1039.16,,,,percent of total billed charges,,1126.8,,,,percent of total billed charges,,1151.84,,,,percent of total billed charges,,1151.84,,,,percent of total billed charges,,1184.392,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1214.44,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1101.76,,,,percent of total billed charges,,1126.8,,,,percent of total billed charges,,1002.852,,,,percent of total billed charges,,1126.8,,,,percent of total billed charges,,751.2,,,,percent of total billed charges,,1162.9828,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1001.6,,,,percent of total billed charges,,751.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1002.9772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS 100,310,RC,88249,CPT,,,outpatient,,,467,,233.5,280.2,452.99,438.98,,,,percent of total billed charges,,373.6,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,387.61,,,,percent of total billed charges,,420.3,,,,percent of total billed charges,,429.64,,,,percent of total billed charges,,429.64,,,,percent of total billed charges,,441.782,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,452.99,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,410.96,,,,percent of total billed charges,,420.3,,,,percent of total billed charges,,374.067,,,,percent of total billed charges,,420.3,,,,percent of total billed charges,,280.2,,,,percent of total billed charges,,433.7963,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,373.6,,,,percent of total billed charges,,280.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,374.1137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVATED COAGULATION TIME,305,RC,85347,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID,HEP C,N",306,RC,87522,CPT,,,outpatient,,,585,,292.5,351,567.45,549.9,,,,percent of total billed charges,,468,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,485.55,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,553.41,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,567.45,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,351,,,,percent of total billed charges,,543.4065,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,468,,,,percent of total billed charges,,351,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,468.6435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, BLD, BY NMR",301,RC,83704,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPID PANEL,301,RC,80061,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALKALINE PHOSPHATASE, TOTAL AND ISOENZYMES, SERUM",301,RC,84075,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING,FISH",311,RC,88271,CPT,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING,FISH",311,RC,88273,CPT,,,outpatient,,,404,,202,242.4,391.88,379.76,,,,percent of total billed charges,,323.2,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,335.32,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,371.68,,,,percent of total billed charges,,371.68,,,,percent of total billed charges,,382.184,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,391.88,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,355.52,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,323.604,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,375.2756,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,323.2,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,323.6444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING,FISH",971,RC,88291,CPT,,,outpatient,,,949,,474.5,569.4,920.53,892.06,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,787.67,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,897.754,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,920.53,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,835.12,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,760.149,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,881.5261,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,760.2439,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLD AGGLUTININ TITER, SERUM",302,RC,86156,CPT,,,outpatient,,,51,,25.5,30.6,49.47,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,40.851,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,47.3739,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.8561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,IGG,SERUM",302,RC,86200,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYSTINURIA PROFILE, QUANTITATIVE, 24 HOUR, URINE",301,RC,82136,CPT,,,outpatient,,,432,,216,259.2,419.04,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,346.032,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,401.2848,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,346.0752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENTEROVIRUS, MOLECULAR DETECTION, PCR",306,RC,87498,CPT,,,outpatient,,,226,,113,135.6,219.22,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,181.026,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,209.9314,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.0486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGENS,ESTRONE(E1)&ESTRADIOL(E2),FRACTIONATED,SERUM",301,RC,82670,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRANCISELLA TULARENSIS AB,302,RC,86000,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACIDS SCREEN, URINE",301,RC,83919,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PANCREATIC ELASTASE-1 (E1), FECAL",301,RC,82653,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PRIMIDONE AND PHENOBARBITAL, SERUM",301,RC,80184,CPT,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROCALCITONIN, SERUM",301,RC,84145,CPT,,,outpatient,,,336,,168,201.6,325.92,315.84,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,278.88,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,317.856,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,325.92,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,295.68,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,269.136,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,312.1104,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,269.1696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROSTATE-SPECIFIC ANTIGEN(PSA)TOTAL & FREE,SERUM",301,RC,84153,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEUTRALIZATION TEST, VIRAL",302,RC,86790,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KETONE BODIES, QUANTITATIVE",301,RC,82010,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACUTE HEPATITIS PROFILE,301,RC,80074,CPT,,,outpatient,,,455,,227.5,273,441.35,427.7,,,,percent of total billed charges,,364,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,377.65,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,430.43,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,441.35,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,400.4,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,364.455,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,273,,,,percent of total billed charges,,422.6495,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,364,,,,percent of total billed charges,,273,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,364.5005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, CARBAMAZEPINE, FREE",301,RC,80157,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTH STIMULATION,300,RC,80400,CPT,,,outpatient,,,566,,283,339.6,549.02,532.04,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,469.78,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,535.436,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,549.02,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,498.08,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,453.366,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,525.7574,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,453.4226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETONE ASSAY,301,RC,82010,CPT,,,outpatient,,,95,,47.5,57,92.15,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,76.095,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,88.2455,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.1045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ADP & AMP,301,RC,82030,CPT,,,outpatient,,,458,,229,274.8,444.26,430.52,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,380.14,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,433.268,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,444.26,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,403.04,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,366.858,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,425.4362,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,366.9038,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROSTANEDIOL GLUCU,301,RC,82154,CPT,,,outpatient,,,311,,155.5,186.6,301.67,292.34,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,258.13,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,294.206,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,301.67,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,273.68,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,249.111,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,288.8879,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,249.1421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ANGIOTENSIN,301,RC,82163,CPT,,,outpatient,,,221,,110.5,132.6,214.37,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,177.021,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,205.2869,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.0431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ASCORBIC AC,301,RC,82180,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD OCCULT OTHER SOURCE,301,RC,82271,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY TEST FOR BLOOD,301,RC,82274,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC O2 SATURATION CATH,301,RC,82810,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, C-D TRANSFER MEASURE",301,RC,82373,CPT,,,outpatient,,,457,,228.5,274.2,443.29,429.58,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,379.31,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,432.322,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,443.29,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,402.16,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,366.057,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,424.5073,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,366.1027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN LAYER CHROMATOG,301,RC,84999,CPT,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CHROMIUM,301,RC,82495,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLUMN CHROMOTOGRAPHY QUANT,301,RC,82542,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLUMN CHROMOTOGRAPH/ISOTOPE,301,RC,82542,CPT,,,outpatient,,,721,,360.5,432.6,699.37,677.74,,,,percent of total billed charges,,576.8,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,598.43,,,,percent of total billed charges,,648.9,,,,percent of total billed charges,,663.32,,,,percent of total billed charges,,663.32,,,,percent of total billed charges,,682.066,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,699.37,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,634.48,,,,percent of total billed charges,,648.9,,,,percent of total billed charges,,577.521,,,,percent of total billed charges,,648.9,,,,percent of total billed charges,,432.6,,,,percent of total billed charges,,669.7369,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,576.8,,,,percent of total billed charges,,432.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,577.5931,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BLOOD GASES, O2 SAT",301,RC,82810,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GLUTATHIONE,301,RC,82978,CPT,,,outpatient,,,107,,53.5,64.2,103.79,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,85.707,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,99.3923,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.7177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCATED PROTEIN,301,RC,82985,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG QUANTITATIVE SCREEN,301,RC,83018,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTIC FIBROSIS (NEWBORN),301,RC,83520,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON BINDING TEST,301,RC,83550,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LACTOFERRIN, FECAL (QUAL)",301,RC,83630,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LAP ENZYME,301,RC,83670,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MANGANESE,301,RC,83785,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALPROTECTIN FECAL,301,RC,83993,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD PKU (NEWBORN),301,RC,84030,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSP,301,RC,84078,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEST FOR PORPHOBILIN,301,RC,84106,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSP-70 ANTIBODY (ANTI-68 KD),301,RC,84181,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHIPHYSIN TEST,301,RC,84181,CPT,,,outpatient,,,448,,224,268.8,434.56,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,358.848,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,416.1472,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROINSULIN,301,RC,84206,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY-FLUID,301,RC,84311,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOMARK,301,RC,84378,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SULFA,301,RC,84392,CPT,,,outpatient,,,205,,102.5,123,198.85,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,164.205,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,190.4245,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,164.2255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBOXANE METABOLI,301,RC,84431,CPT,,,outpatient,,,377,,188.5,226.2,365.69,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,301.977,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,350.1953,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.0147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF NEONATAL THROXINE,301,RC,84437,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINICAL CHEMISTRY T,301,RC,84999,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLEEDING TIME TEST,305,RC,85002,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMATOCRIT,305,RC,85014,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICULOCYTE COUNT,305,RC,85045,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR VIII ASSAY,305,RC,85240,CPT,,,outpatient,,,472,,236,283.2,457.84,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,378.072,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,438.4408,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.1192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EUGLOBULIN LYSIS,305,RC,85360,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRIN DEGRADATION P,305,RC,85362,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOTTING FUNCT ACTIV,305,RC,85397,CPT,,,outpatient,,,342,,171,205.2,331.74,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,317.6838,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,273.9762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPID NEUTRAL,305,RC,85598,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTHROMBIN TEST,305,RC,85611,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPID ANTIBOD,302,RC,86148,CPT,,,outpatient,,,173,,86.5,103.8,167.81,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,138.573,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,160.6997,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,138.5903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNA ANTIBODY,302,RC,86225,CPT,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HUMAN EPIDIDYMIS PRO,302,RC,86305,CPT,,,outpatient,,,512,,256,307.2,496.64,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,410.112,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,475.5968,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,410.1632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFIXATION ELECT,302,RC,86334,CPT,,,outpatient,,,259,,129.5,155.4,251.23,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,207.459,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,240.5851,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.4849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL FUNC ASSAY BIOM,302,RC,86352,CPT,,,outpatient,,,527,,263.5,316.2,511.19,495.38,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,437.41,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,498.542,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,511.19,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,463.76,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,422.127,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,489.5303,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,422.1797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MONONUCLEAR CELL ANT,302,RC,86356,CPT,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG T CELL, ABSOLUTE COU",302,RC,86361,CPT,,,outpatient,,,506,,253,303.6,490.82,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,405.306,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,470.0234,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,405.3566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL NEUTRALIZ (NAB),302,RC,86382,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY,302,RC,86606,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLASTOMYCES ANTIBODY,302,RC,86612,CPT,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER ANTIBODY,302,RC,86638,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GIARDIA LAMBLIA ANTI,302,RC,86674,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS, DELTA AGE",302,RC,86692,CPT,,,outpatient,,,186,,93,111.6,180.42,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,148.986,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,172.7754,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.0046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1,302,RC,86701,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEISHMANIA ANTIBODY,302,RC,86717,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SALMONELLA ANTIBODY,302,RC,86768,CPT,,,outpatient,,,157,,78.5,94.2,152.29,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,125.757,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,145.8373,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.7727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COOMBS TEST, INDIREC",300,RC,86885,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BLOOD TYPING, PATIEN",300,RC,86904,CPT,,,outpatient,,,608,,304,364.8,589.76,571.52,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,504.64,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,575.168,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,589.76,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,535.04,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,487.008,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,564.7712,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,487.0688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH PHENOTYPING COMPL,300,RC,86906,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC PRETREATMENT,300,RC,86971,CPT,,,outpatient,,,226,,113,135.6,219.22,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,181.026,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,209.9314,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.0486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE BACTERIA CULTURE,306,RC,87088,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ISOLATION CULTURE,306,RC,87102,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIC IDENTIF,306,RC,87118,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPT, MYC",306,RC,87190,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE EXAM FOR FUNG,306,RC,87220,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS INOCULATE TISSUE,306,RC,87253,CPT,,,outpatient,,,1020,,510,612,989.4,958.8,,,,percent of total billed charges,,816,,,,percent of total billed charges,,969,,,,percent of total billed charges,,846.6,,,,percent of total billed charges,,918,,,,percent of total billed charges,,938.4,,,,percent of total billed charges,,938.4,,,,percent of total billed charges,,964.92,,,,percent of total billed charges,,969,,,,percent of total billed charges,,989.4,,,,percent of total billed charges,,969,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,918,,,,percent of total billed charges,,817.02,,,,percent of total billed charges,,918,,,,percent of total billed charges,,612,,,,percent of total billed charges,,947.478,,,,percent of total billed charges,,969,,,,percent of total billed charges,,969,,,,percent of total billed charges,,816,,,,percent of total billed charges,,612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,817.122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA TRACHOMATI,306,RC,87270,CPT,,,outpatient,,,204,,102,122.4,197.88,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,163.404,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,189.4956,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,163.4244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX 2, AG",306,RC,87273,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX 1, AG",306,RC,87274,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCYSTIS CARINII,306,RC,87281,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY DETECTION NOS IF,306,RC,87299,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS AG GIARD,306,RC,87329,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENTAMOEB HIST GROUP,",306,RC,87337,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B SURFACE,",306,RC,87341,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS DELTA AG,306,RC,87380,CPT,,,outpatient,,,253,,126.5,151.8,245.41,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,202.653,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,235.0117,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.6783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP A AG, ELA",306,RC,87880,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AG DETECT NOS, ELA",306,RC,87449,CPT,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BARTONELLA, DNA, AMP",306,RC,87471,CPT,,,outpatient,,,509,,254.5,305.4,493.73,478.46,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,422.47,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,481.514,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,493.73,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,447.92,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,407.709,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,472.8101,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,407.7599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, QUANT",306,RC,87530,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HHV-6, DNA, AMP PROB",306,RC,87532,CPT,,,outpatient,,,236,,118,141.6,228.92,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,189.036,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,219.2204,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.0596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.AVIUM-INTRA, DNA,",306,RC,87561,CPT,,,outpatient,,,253,,126.5,151.8,245.41,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,202.653,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,235.0117,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.6783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA ASSAY W/OP,306,RC,87804,CPT,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AGENT NOS ASSAY W/OP,306,RC,87899,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOPATHOLOGY, FLUID",311,RC,88104,CPT,,,outpatient,,,195,,97.5,117,189.15,183.3,,,,percent of total billed charges,,156,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,161.85,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,184.47,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,189.15,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,156.195,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,117,,,,percent of total billed charges,,181.1355,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,156,,,,percent of total billed charges,,117,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,156.2145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOPATH CONCENTRATE,311,RC,88108,CPT,,,outpatient,,,195,,97.5,117,189.15,183.3,,,,percent of total billed charges,,156,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,161.85,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,184.47,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,189.15,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,156.195,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,117,,,,percent of total billed charges,,181.1355,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,156,,,,percent of total billed charges,,117,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,156.2145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLOWCYTOMETRY/READ,311,RC,88188,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATH CONSULT INTROP,310,RC,88329,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUKOCYTE COUNT, FEC",300,RC,89055,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXAM FECES FOR MEAT,309,RC,89160,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEMEN ANALYSIS,300,RC,89320,CPT,,,outpatient,,,210,,105,126,203.7,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,168.21,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,195.069,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FSH/LH (OVA1),301,RC,84999,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11-DEOXYCORTICOSTERONE (DOC),301,RC,82633,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOTENSIN II,301,RC,82163,CPT,,,outpatient,,,670,,335,402,649.9,629.8,,,,percent of total billed charges,,536,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,556.1,,,,percent of total billed charges,,603,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,633.82,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,649.9,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,589.6,,,,percent of total billed charges,,603,,,,percent of total billed charges,,536.67,,,,percent of total billed charges,,603,,,,percent of total billed charges,,402,,,,percent of total billed charges,,622.363,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,536,,,,percent of total billed charges,,402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,536.737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIMICROBIAL SUSCEPTIBILITY, MACROBROTH METHOD",306,RC,87188,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASCORBIC ACID,301,RC,82180,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLASTOMYCES ANTIBODY BY EIA,302,RC,86612,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALPROTECTIN, FECES",301,RC,83993,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA ANTIGEN AND ANTIBODY PANEL,302,RC,86403,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA ANTIGEN AND ANTIBODY PANEL,302,RC,86628,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOHYDRATE DEFICIENT TRANSFERRIN,301,RC,82373,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CARBOYHEMOGLOBIN, QUANT",301,RC,82375,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARCINOEMBRYONIC ANTIGEN (CEA),301,RC,82378,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMIUM,301,RC,82495,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORTICOSTERONE,301,RC,82528,CPT,,,outpatient,,,322,,161,193.2,312.34,302.68,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,267.26,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,304.612,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,312.34,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,257.922,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,299.1058,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,257.9542,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTATIN C,301,RC,82610,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG D-LACTATE,301,RC,83605,CPT,,,outpatient,,,677,,338.5,406.2,656.69,636.38,,,,percent of total billed charges,,541.6,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,561.91,,,,percent of total billed charges,,609.3,,,,percent of total billed charges,,622.84,,,,percent of total billed charges,,622.84,,,,percent of total billed charges,,640.442,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,656.69,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,595.76,,,,percent of total billed charges,,609.3,,,,percent of total billed charges,,542.277,,,,percent of total billed charges,,609.3,,,,percent of total billed charges,,406.2,,,,percent of total billed charges,,628.8653,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,541.6,,,,percent of total billed charges,,406.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,542.3447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRINOGEN ANTIGEN,305,RC,85385,CPT,,,outpatient,,,292,,146,175.2,283.24,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,233.892,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,271.2388,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.9212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT,301,RC,82542,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCATED PROTEIN,301,RC,82985,CPT,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN RELEASING HORMONE (GN-RH),301,RC,83727,CPT,,,outpatient,,,374,,187,224.4,362.78,351.56,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,310.42,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,353.804,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,362.78,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,329.12,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,299.574,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,347.4086,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,299.6114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HALOPERIDOL,301,RC,80173,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENYLALANINE BLOOD,301,RC,84030,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS D VIRUS (HDV) IGM ANTIBODY, EIA",302,RC,86692,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 PHENOTYPIC DRUG RESISTANCE PREDICTION,306,RC,87900,CPT,,,outpatient,,,396,,198,237.6,384.12,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,317.196,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,367.8444,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,317.2356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HUMAN HERPESVIRUS-6, MOLECULAR DETECTION, PCR, PLAA",306,RC,87532,CPT,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DET BY EIA,306,RC,87449,CPT,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEISHMANIASIS (VISCERAL) ANTIBODY,302,RC,86717,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANGANESE,301,RC,83785,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MONONUCLEAR CELL ANTIGEN, QUANT, NOS,EA AG",302,RC,86356,CPT,,,outpatient,,,458,,229,274.8,444.26,430.52,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,380.14,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,433.268,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,444.26,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,403.04,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,366.858,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,425.4362,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,366.9038,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES (MPS) ACID QUANT,301,RC,83864,CPT,,,outpatient,,,900,,450,540,873,846,,,,percent of total billed charges,,720,,,,percent of total billed charges,,855,,,,percent of total billed charges,,747,,,,percent of total billed charges,,810,,,,percent of total billed charges,,828,,,,percent of total billed charges,,828,,,,percent of total billed charges,,851.4,,,,percent of total billed charges,,855,,,,percent of total billed charges,,873,,,,percent of total billed charges,,855,,,,percent of total billed charges,,792,,,,percent of total billed charges,,810,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,810,,,,percent of total billed charges,,540,,,,percent of total billed charges,,836.01,,,,percent of total billed charges,,855,,,,percent of total billed charges,,855,,,,percent of total billed charges,,720,,,,percent of total billed charges,,540,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,720.99,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROINSULIN,301,RC,84206,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTAGLANDIN D2 (PG D2),301,RC,84150,CPT,,,outpatient,,,600,,300,360,582,564,,,,percent of total billed charges,,480,,,,percent of total billed charges,,570,,,,percent of total billed charges,,498,,,,percent of total billed charges,,540,,,,percent of total billed charges,,552,,,,percent of total billed charges,,552,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,570,,,,percent of total billed charges,,582,,,,percent of total billed charges,,570,,,,percent of total billed charges,,528,,,,percent of total billed charges,,540,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,540,,,,percent of total billed charges,,360,,,,percent of total billed charges,,557.34,,,,percent of total billed charges,,570,,,,percent of total billed charges,,570,,,,percent of total billed charges,,480,,,,percent of total billed charges,,360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,480.66,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER ANTIBODY,302,RC,86638,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMITH-LEMLI-OPITZ SCREEN, GC/MS",301,RC,82542,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SOMATOSTATIN,301,RC,84307,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYROSINE,301,RC,84510,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VALPROIC ACID,301,RC,80164,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISCOSITY,305,RC,85810,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOTTING FUNCTION ACTIVITY,305,RC,85397,CPT,,,outpatient,,,240,,120,144,232.8,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,192.24,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,222.936,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB ADMN PER DIEM,391,RC,36430,CPT,,,outpatient,,,1326,,663,795.6,1286.22,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1062.126,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1231.7214,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1062.2586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACUTE HEPATITIS PANEL,301,RC,80074,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUGS OF ABUSE SCREEN,301,RC,80307,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMIKACIN,301,RC,80150,CPT,,,outpatient,,,257,,128.5,154.2,249.29,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,205.857,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,238.7273,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.8827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CYCLOSPORINE,300,RC,80158,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, DIPROPYLACETIC ACID",300,RC,80164,CPT,,,outpatient,,,289,,144.5,173.4,280.33,271.66,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,239.87,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,273.394,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,280.33,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,254.32,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,231.489,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,268.4521,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.5179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PHENOBARBITAL,301,RC,80184,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, FREE",300,RC,80186,CPT,,,outpatient,,,213,,106.5,127.8,206.61,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,170.613,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,197.8557,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.6343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TACROLIMUS,300,RC,80197,CPT,,,outpatient,,,266,,133,159.6,258.02,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,213.066,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,247.0874,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.0926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WARFARIN (COUMADIN),301,RC,80299,CPT,,,outpatient,,,262,,131,157.2,254.14,246.28,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,217.46,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,247.852,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,254.14,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,230.56,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,209.862,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,243.3718,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,209.8882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY,",301,RC,80299,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS AUTO W/SCOPE,307,RC,81001,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS NONAUTO W/O SCOPE,307,RC,81002,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSCOPIC EXAM OF URINE,307,RC,81015,CPT,,,outpatient,,,39,,19.5,23.4,37.83,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,31.239,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,36.2271,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.2429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREGNANCY TEST- URINE,307,RC,81025,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ACTH,301,RC,82024,CPT,,,outpatient,,,448,,224,268.8,434.56,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,358.848,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,416.1472,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN SERUM PLASMA/WHOLE BLOOD,301,RC,82040,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE ALBUMIN,301,RC,82042,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALDOSTERONE,301,RC,82088,CPT,,,outpatient,,,472,,236,283.2,457.84,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,378.072,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,438.4408,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.1192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AFP, TUMOR MARKER",301,RC,82105,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILIRUBIN, TOTAL",301,RC,82247,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOTINIDASE,301,RC,82261,CPT,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCCULT BLOOD,FECES SCREEN",301,RC,82270,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCC BLOOD,FECES,1, SCREEN",301,RC,82272,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM,301,RC,82330,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLD/SERUM CHOLEST TOTAL,301,RC,82465,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOZAPINE,301,RC,82542,CPT,,,outpatient,,,109,,54.5,65.4,105.73,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,87.309,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,101.2501,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,87.3199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CRYOGLOBULIN,301,RC,82595,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGE,301,RC,82785,CPT,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GGT,301,RC,82977,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (FSH),301,RC,83001,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (LH),301,RC,83002,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, GROWTH HORMONE (HGH)",301,RC,83003,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF HAPTOGLOBIN, QUANT",301,RC,83010,CPT,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL HEMOGLOBIN ASSAY QUAL,301,RC,83033,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOSYLATED HEMOGLOBIN TEST,301,RC,83036,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF HEMOSIDERIN, QUAL",301,RC,83070,CPT,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-OHPROGESTERONE (NEWBORN),301,RC,83498,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMOOTH MUSCLE AB,302,RC,83516,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE TRANSGLUTAMINASE IGG,301,RC,83516,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTH RELATED PEPTIDE,301,RC,83519,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCREATIC POLYPEPTIDE,301,RC,83519,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF IRON,301,RC,83540,CPT,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LACTIC ACID,301,RC,83605,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIPASE,301,RC,83690,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN,301,RC,83874,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CSF ISO ELECTRIC FOCUS,301,RC,83916,CPT,,,outpatient,,,216,,108,129.6,209.52,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,200.6424,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.0376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACIDS,301,RC,83918,CPT,,,outpatient,,,472,,236,283.2,457.84,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,378.072,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,438.4408,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.1192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACID,  SINGLE, QUANT",301,RC,83921,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD OSMOLALITY,301,RC,83930,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE OSMOLALITY,301,RC,83935,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PH STOOL,301,RC,83986,CPT,,,outpatient,,,93,,46.5,55.8,90.21,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,74.493,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,86.3877,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.5023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENYLALANINE,301,RC,84030,CPT,,,outpatient,,,313,,156.5,187.8,303.61,294.22,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,259.79,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,296.098,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,303.61,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,275.44,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,250.713,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,290.7457,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,250.7443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSPHATASE,301,RC,84075,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROGESTERONE,301,RC,84144,CPT,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN CSF,301,RC,84157,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN E-PHORESIS, SERUM",301,RC,84165,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SWEAT SODIUM,301,RC,84302,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY-FLUID,301,RC,84311,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALT, HEPCFIBRO",301,RC,84460,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIIODOTHYRONINE TOTAL,T3",301,RC,84480,CPT,,,outpatient,,,227,,113.5,136.2,220.19,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,181.827,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,210.8603,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.8497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE ASSAY (FT-3),301,RC,84481,CPT,,,outpatient,,,136,,68,81.6,131.92,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,108.936,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,126.3304,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.9496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/URIC ACID,301,RC,84560,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF C-PEPTIDE,301,RC,84681,CPT,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCG QUALITATIVE,301,RC,84703,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN (POC),305,RC,85018,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VII TEST,305,RC,85230,CPT,,,outpatient,,,303,,151.5,181.8,293.91,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,242.703,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,281.4567,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.7333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR VIII INHIBITOR SCREEN,305,RC,85240,CPT,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII W/COFAC,305,RC,85245,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN,305,RC,85246,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR IX TEST,305,RC,85250,CPT,,,outpatient,,,309,,154.5,185.4,299.73,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,247.509,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,287.0301,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,247.5399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR X TEST,305,RC,85260,CPT,,,outpatient,,,325,,162.5,195,315.25,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,260.325,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,301.8925,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,260.3575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XI TEST,305,RC,85270,CPT,,,outpatient,,,325,,162.5,195,315.25,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,260.325,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,301.8925,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,260.3575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XII TEST,305,RC,85280,CPT,,,outpatient,,,325,,162.5,195,315.25,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,260.325,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,301.8925,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,260.3575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTITHROMBIN III TEST,305,RC,85300,CPT,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVATED COAGULATION TIME,305,RC,85347,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRIN MONOMER LAB,305,RC,85362,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APT TEST,305,RC,85460,CPT,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPARIN ANTI-XA,305,RC,85520,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE ALK PHOS,305,RC,85540,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTIME (POC),305,RC,85610,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTHORMBIN TIME BASELINE,305,RC,85610,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RUSSELL VIPER VENOM, DILUTED",305,RC,85613,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST,305,RC,85660,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBIN TIME, PLASMA",305,RC,85670,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUPUS ANTICOAGULANT,305,RC,85730,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APTT QUEST,305,RC,85730,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APTT MIXING STUDY,305,RC,85732,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISCOSITY SERUM TEST,305,RC,85810,CPT,,,outpatient,,,267,,133.5,160.2,258.99,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,213.867,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,248.0163,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.8937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGIN SPECIFIC,302,RC,86003,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODY,302,RC,86022,CPT,,,outpatient,,,466,,233,279.6,452.02,438.04,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,386.78,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,440.836,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,452.02,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,410.08,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,373.266,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,432.8674,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,373.3126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARC PLATELET ASSOC ASSAY,300,RC,86023,CPT,,,outpatient,,,260,,130,156,252.2,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,208.26,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,241.514,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANA (ANTI-NUCLEAR ABY),302,RC,86038,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-CENTROMERE ANTIBODY,302,RC,86038,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANA TITER,302,RC,86039,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1 ESTERASE INHIBITOR,302,RC,86160,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 125",302,RC,86304,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROPHILE ABX SCREEN,302,RC,86308,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY,INFECTIOUS AGENT",302,RC,86317,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-2 TRANSFERRIN,302,RC,86335,CPT,,,outpatient,,,382,,191,229.2,370.54,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,305.982,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,354.8398,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.0202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B CELLS TOTAL,302,RC,86355,CPT,,,outpatient,,,92,,46,55.2,89.24,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,73.692,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,85.4588,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.7012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS TOTAL,302,RC,86359,CPT,,,outpatient,,,92,,46,55.2,89.24,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,73.692,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,85.4588,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.7012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS ABSOLUTE,302,RC,86360,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG T CELL, ABSOLUTE COU",302,RC,86361,CPT,,,outpatient,,,240,,120,144,232.8,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,192.24,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,222.936,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ANTIBODY,302,RC,86376,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT SCR EA ABX,302,RC,86403,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS, QUALITATIVE (DONOR)",302,RC,86592,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ANTIBODY,302,RC,86618,CPT,,,outpatient,,,448,,224,268.8,434.56,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,358.848,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,416.1472,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX VIRUS IGM,302,RC,86694,CPT,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY TO HIV, 1 & 2 (DONOR)",302,RC,86703,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, IGM",302,RC,86709,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA ANTIBODY,302,RC,86762,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOTOXIC ANTIBODY SCREENING,302,RC,86807,CPT,,,outpatient,,,511,,255.5,306.6,495.67,480.34,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,424.13,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,483.406,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,495.67,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,449.68,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,409.311,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,474.6679,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,409.3621,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARC RH TYPE CHARGE,390,RC,86901,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC I/R CMV-NEG IRRAD,390,RC,P9058,HCPCS,,,outpatient,,,589,,294.5,353.4,571.33,553.66,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,488.87,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.88,,,,percent of total billed charges,,541.88,,,,percent of total billed charges,,557.194,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,571.33,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,518.32,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,471.789,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,547.1221,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,471.8479,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE CAMPYLOBACTER,306,RC,87046,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKIN FUNGI CULTURE,306,RC,87101,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD FUNGUS CULTURE,306,RC,87103,CPT,,,outpatient,,,191,,95.5,114.6,185.27,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,152.991,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,177.4199,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.0101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, YEAST",306,RC,87106,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, MOLD",306,RC,87107,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA CULTURE,306,RC,87116,CPT,,,outpatient,,,377,,188.5,226.2,365.69,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,301.977,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,350.1953,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.0147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.AVIUM-INTRA, DNA, DIR PROB",306,RC,87149,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MACROSCOPIC EXAM ARTHROPOD,306,RC,87168,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MACROSCOPIC EXAM PARASITE,306,RC,87169,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PINWORM EXAM,306,RC,87172,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OVA&PARA DIRECT SMEARS,306,RC,87177,CPT,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, DIFFUSE",306,RC,87181,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, MIC",306,RC,87186,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, FLUORESCENT/ACID STAI",306,RC,87206,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MODIFIED ACID FAST STAIN,306,RC,87206,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MALARIA IDENTIFICATION,306,RC,87207,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMEAR SPECIAL STAIN,306,RC,87207,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHROME STAIN,306,RC,87209,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS CULTURE,306,RC,87252,CPT,,,outpatient,,,308,,154,184.8,298.76,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,246.708,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,286.1012,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,246.7388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAINFLUENZA CULTURE 1,306,RC,87254,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VZV DIRECT DFA,306,RC,87290,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAPID STREP SCREEN,306,RC,87880,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, DIR PROBE",306,RC,87490,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA TRACHOMATIS RNA TMA,306,RC,87491,CPT,,,outpatient,,,537,,268.5,322.2,520.89,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,430.137,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,498.8193,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.1907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV DNA QUANTITATIVE,306,RC,87497,CPT,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOMEGALOVIRUS DNA,306,RC,87497,CPT,,,outpatient,,,655,,327.5,393,635.35,615.7,,,,percent of total billed charges,,524,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,543.65,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,619.63,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,635.35,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,576.4,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,524.655,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,393,,,,percent of total billed charges,,608.4295,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,524,,,,percent of total billed charges,,393,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,524.7205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, QUANT",306,RC,87536,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M. TUBERCULOSIS, PCR, NON-RESP",306,RC,87556,CPT,,,outpatient,,,377,,188.5,226.2,365.69,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,301.977,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,350.1953,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.0147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE, DNA, DIR PROB",306,RC,87590,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEISSERIA GONORRHOEAE RNA TMA,306,RC,87591,CPT,,,outpatient,,,537,,268.5,322.2,520.89,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,430.137,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,498.8193,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.1907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT",306,RC,87799,CPT,,,outpatient,,,356,,178,213.6,345.32,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,285.156,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,330.6884,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.1916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV ASSAY W/OPTIC,302,RC,87807,CPT,,,outpatient,,,221,,110.5,132.6,214.37,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,177.021,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,205.2869,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.0431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP PNEUMO AG,URINE",306,RC,87899,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUIDS, BRUSHINGS, WASHINGS",311,RC,88112,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO FISH UT SPECIMENS 3-5 PROBES EA,310,RC,88120,CPT,,,outpatient,,,495,,247.5,297,480.15,465.3,,,,percent of total billed charges,,396,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,410.85,,,,percent of total billed charges,,445.5,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,468.27,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,480.15,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.5,,,,percent of total billed charges,,396.495,,,,percent of total billed charges,,445.5,,,,percent of total billed charges,,297,,,,percent of total billed charges,,459.8055,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,396,,,,percent of total billed charges,,297,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,396.5445,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP SCREENING,311,RC,G0123,HCPCS,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THIN PREP,CERV/VAG DIAGNOSTIC",311,RC,88142,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULT CHROMFAN,310,RC,88230,CPT,,,outpatient,,,313,,156.5,187.8,303.61,294.22,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,259.79,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,296.098,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,303.61,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,275.44,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,250.713,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,290.7457,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,250.7443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE SKIN / BIOPSY,310,RC,88233,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME TISSUE NO GROWTH,310,RC,88233,CPT,,,outpatient,,,353,,176.5,211.8,342.41,331.82,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,292.99,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,333.938,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,342.41,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,310.64,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,282.753,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,327.9017,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,282.7883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, AMNIOTIC FL",311,RC,88235,CPT,,,outpatient,,,881,,440.5,528.6,854.57,828.14,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,731.23,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,833.426,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,854.57,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,775.28,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,705.681,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,818.3609,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,705.7691,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE CHROMH,310,RC,88237,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULT NEOPLAS BM/BLOOD,311,RC,88237,CPT,,,outpatient,,,1358,,679,814.8,1317.26,1276.52,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1127.14,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1284.668,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1317.26,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1195.04,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1087.758,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,1261.4462,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1087.8938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 15-20",310,RC,88262,CPT,,,outpatient,,,1565,,782.5,939,1518.05,1471.1,,,,percent of total billed charges,,1252,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1298.95,,,,percent of total billed charges,,1408.5,,,,percent of total billed charges,,1439.8,,,,percent of total billed charges,,1439.8,,,,percent of total billed charges,,1480.49,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1518.05,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1377.2,,,,percent of total billed charges,,1408.5,,,,percent of total billed charges,,1253.565,,,,percent of total billed charges,,1408.5,,,,percent of total billed charges,,939,,,,percent of total billed charges,,1453.7285,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1252,,,,percent of total billed charges,,939,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1253.7215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME 20-25 CELLS,310,RC,88264,CPT,,,outpatient,,,314,,157,188.4,304.58,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,251.514,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,291.6746,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,251.5454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME 20-25 CELLS CHROMH,310,RC,88264,CPT,,,outpatient,,,329,,164.5,197.4,319.13,309.26,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,273.07,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,311.234,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,319.13,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,289.52,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,263.529,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,305.6081,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,263.5619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME AMNIO 6-12,311,RC,88269,CPT,,,outpatient,,,2088,,1044,1252.8,2025.36,1962.72,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1733.04,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1975.248,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2025.36,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1837.44,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1672.488,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1939.5432,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1672.6968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 3-5",310,RC,88272,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO 25-99 (FISHPREN),310,RC,88274,CPT,,,outpatient,,,107,,53.5,64.2,103.79,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,85.707,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,99.3923,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.7177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGEN 100-300 ALLNHL,310,RC,88275,CPT,,,outpatient,,,309,,154.5,185.4,299.73,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,247.509,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,287.0301,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,247.5399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGEN 100-300 MDS,310,RC,88275,CPT,,,outpatient,,,303,,151.5,181.8,293.91,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,242.703,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,281.4567,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.7333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH IP 100-300,310,RC,88275,CPT,,,outpatient,,,453,,226.5,271.8,439.41,425.82,,,,percent of total billed charges,,362.4,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,375.99,,,,percent of total billed charges,,407.7,,,,percent of total billed charges,,416.76,,,,percent of total billed charges,,416.76,,,,percent of total billed charges,,428.538,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,439.41,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,398.64,,,,percent of total billed charges,,407.7,,,,percent of total billed charges,,362.853,,,,percent of total billed charges,,407.7,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,420.7917,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,362.4,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,362.8983,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISHIP MM-MGUS,310,RC,88275,CPT,,,outpatient,,,281,,140.5,168.6,272.57,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,225.081,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,261.0209,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,225.1091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERPHASE ISH BCR/ABL,310,RC,88275,CPT,,,outpatient,,,485,,242.5,291,470.45,455.9,,,,percent of total billed charges,,388,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,470.45,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,426.8,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,388.485,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,291,,,,percent of total billed charges,,450.5165,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,388,,,,percent of total billed charges,,291,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,388.5335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOMAL ANAL,ADD KARYOTYPE",311,RC,88280,CPT,,,outpatient,,,316,,158,189.6,306.52,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,253.116,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,293.5324,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.1476,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS HIGH RESOL,311,RC,88289,CPT,,,outpatient,,,432,,216,259.2,419.04,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,346.032,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,401.2848,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,346.0752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE LEVEL 4 (AP),310,RC,88305,CPT,,,outpatient,,,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE LEVEL 4 (AP) REF,310,RC,88305,CPT,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL BIOPSY H & E,310,RC,88305,CPT,,,outpatient,,,216,,108,129.6,209.52,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,200.6424,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.0376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GROUP 2 STAIN,310,RC,88313,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL STAIN GROUP II,310,RC,88313,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOCHEM MUSBX,310,RC,88319,CPT,,,outpatient,,,606,,303,363.6,587.82,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,485.406,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,562.9134,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,485.4666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATH CONSULT OUTSIDE SLIDE,310,RC,88321,CPT,,,outpatient,,,588,,294,352.8,570.36,552.72,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,488.04,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,556.248,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,570.36,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,517.44,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,470.988,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,546.1932,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,471.0468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATHOLOGY CONSULT SLIDE PREP,310,RC,88323,CPT,,,outpatient,,,588,,294,352.8,570.36,552.72,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,488.04,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,556.248,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,570.36,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,517.44,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,470.988,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,546.1932,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,471.0468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOHISTOCHEMISTRY EACH AB,310,RC,88342,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EACH ANTIBODY (REF),310,RC,88342,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EA ANTIBODY W/INTERP (REF),310,RC,88342,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY RENAL BIOSPY,310,RC,88348,CPT,,,outpatient,,,606,,303,363.6,587.82,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,485.406,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,562.9134,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,485.4666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY,310,RC,88348,CPT,,,outpatient,,,1730,,865,1038,1678.1,1626.2,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1435.9,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1636.58,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1678.1,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1522.4,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1385.73,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,1606.997,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1385.903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMMUNOHISTOCHE,310,RC,88360,CPT,,,outpatient,,,268,,134,160.8,259.96,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,214.668,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,248.9452,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,214.6948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISH EACH PROBE (REF),310,RC,88365,CPT,,,outpatient,,,392,,196,235.2,380.24,368.48,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,325.36,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,370.832,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,380.24,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,344.96,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,313.992,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,364.1288,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,314.0312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSITU HYBRIDIZATION, MANUAL",310,RC,88368,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL TRANSCUT,301,RC,88720,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RHOD IMMUNE GLOB (PER 100 IU),636,RC,J2792,HCPCS,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB VWF / F8 (ALPHANATE),636,RC,J7186,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB FACTOR 7A PER 1 MCG,636,RC,J7189,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB HUMATE P,636,RC,J7190,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB FACTOR 8 (PER IU),636,RC,J7192,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB THAWED POOL CRYOPRECIPITATE,390,RC,P9012,HCPCS,,,outpatient,,,678,,339,406.8,657.66,637.32,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,562.74,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,641.388,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,657.66,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,596.64,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,543.078,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,629.7942,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,543.1458,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PROC LEUKO REDUCED RBC,390,RC,P9016,HCPCS,,,outpatient,,,423,,211.5,253.8,410.31,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,338.823,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,392.9247,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,338.8653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN 25% 50ML,636,RC,P9047,HCPCS,,,outpatient,,,176,,88,105.6,170.72,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,140.976,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,163.4864,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.9936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PROCESS LPC CMV NEG,390,RC,P9051,HCPCS,,,outpatient,,,503,,251.5,301.8,487.91,472.82,,,,percent of total billed charges,,402.4,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,417.49,,,,percent of total billed charges,,452.7,,,,percent of total billed charges,,462.76,,,,percent of total billed charges,,462.76,,,,percent of total billed charges,,475.838,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,487.91,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,442.64,,,,percent of total billed charges,,452.7,,,,percent of total billed charges,,402.903,,,,percent of total billed charges,,452.7,,,,percent of total billed charges,,301.8,,,,percent of total billed charges,,467.2367,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,402.4,,,,percent of total billed charges,,301.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,402.9533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PHPLT L/R CMVN LRR,390,RC,P9053,HCPCS,,,outpatient,,,1170,,585,702,1134.9,1099.8,,,,percent of total billed charges,,936,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,971.1,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1106.82,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1134.9,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,937.17,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,702,,,,percent of total billed charges,,1086.813,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,936,,,,percent of total billed charges,,702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,937.287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PROC DEBLYC LEUKO RED RBC,390,RC,P9054,HCPCS,,,outpatient,,,1170,,585,702,1134.9,1099.8,,,,percent of total billed charges,,936,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,971.1,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1106.82,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1134.9,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,937.17,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,702,,,,percent of total billed charges,,1086.813,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,936,,,,percent of total billed charges,,702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,937.287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PHPLT L/R CMVN IRR,390,RC,P9055,HCPCS,,,outpatient,,,1235,,617.5,741,1197.95,1160.9,,,,percent of total billed charges,,988,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1025.05,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1168.31,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1197.95,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,989.235,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,741,,,,percent of total billed charges,,1147.1915,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,988,,,,percent of total billed charges,,741,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,989.3585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PLASMA FROZEN W/IN 24 HOURS,390,RC,P9059,HCPCS,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL STAINS 1 (REF),310,RC,88312,CPT,,,outpatient,,,191,,95.5,114.6,185.27,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,152.991,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,177.4199,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.0101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT GUIDANCE PAIN MGMT,361,RC,,,,,outpatient,,,3719,,1859.5,2231.4,3607.43,3495.86,,,,percent of total billed charges,,2975.2,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3086.77,,,,percent of total billed charges,,3347.1,,,,percent of total billed charges,,3421.48,,,,percent of total billed charges,,3421.48,,,,percent of total billed charges,,3518.174,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3607.43,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3272.72,,,,percent of total billed charges,,3347.1,,,,percent of total billed charges,,2978.919,,,,percent of total billed charges,,3347.1,,,,percent of total billed charges,,2231.4,,,,percent of total billed charges,,3454.5791,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,2975.2,,,,percent of total billed charges,,2231.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2979.2909,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONC REMOVAL CVP CATHETER,361,RC,36589,CPT,,,outpatient,,,3657,,1828.5,2194.2,3547.29,3437.58,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3035.31,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3459.522,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3547.29,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3218.16,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2929.257,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,3396.9873,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2929.6227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONC BONE MARROW COLLECTION,361,RC,38221,CPT,,,outpatient,,,3476,,1738,2085.6,3371.72,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2784.276,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3228.8564,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2784.6236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51720-0361 BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT,361,RC,51720,CPT,,,outpatient,,,1076,,538,645.6,1043.72,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,861.876,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,999.4964,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,861.9836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONC-REFILL/MAINTAIN PORT PUMP,940,RC,96521,CPT,,,outpatient,,,817,,408.5,490.2,792.49,767.98,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,678.11,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,772.882,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,792.49,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,654.417,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,758.9113,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,654.4987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABLAVAR 10ML VIAL,636,RC,A9583,HCPCS,,,outpatient,,,330,,165,198,320.1,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,264.33,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,306.537,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,264.363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABLAVAR 15ML VIAL,636,RC,A9583,HCPCS,,,outpatient,,,484,,242,290.4,469.48,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,387.684,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,449.5876,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,387.7324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR ECT,901,RC,90870,CPT,,,outpatient,,,2181,,1090.5,1308.6,2115.57,2050.14,,,,percent of total billed charges,,1744.8,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,1810.23,,,,percent of total billed charges,,1962.9,,,,percent of total billed charges,,2006.52,,,,percent of total billed charges,,2006.52,,,,percent of total billed charges,,2063.226,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,2115.57,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,1919.28,,,,percent of total billed charges,,1962.9,,,,percent of total billed charges,,1746.981,,,,percent of total billed charges,,1962.9,,,,percent of total billed charges,,1308.6,,,,percent of total billed charges,,2025.9309,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,1744.8,,,,percent of total billed charges,,1308.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1747.1991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA TOCOPHEROL (VITAMIN E),301,RC,84446,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 GENE MAJOR BP,301,RC,81206,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR GENE KNOWN FAM VARIANTS,301,RC,81221,CPT,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR GENE INTRON POLY T,301,RC,81224,CPT,,,outpatient,,,301,,150.5,180.6,291.97,282.94,,,,percent of total billed charges,,240.8,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,249.83,,,,percent of total billed charges,,270.9,,,,percent of total billed charges,,276.92,,,,percent of total billed charges,,276.92,,,,percent of total billed charges,,284.746,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,291.97,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,270.9,,,,percent of total billed charges,,241.101,,,,percent of total billed charges,,270.9,,,,percent of total billed charges,,180.6,,,,percent of total billed charges,,279.5989,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,240.8,,,,percent of total billed charges,,180.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,241.1311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2C19 GENE COM VARIANTS,301,RC,81225,CPT,,,outpatient,,,2132,,1066,1279.2,2068.04,2004.08,,,,percent of total billed charges,,1705.6,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,1769.56,,,,percent of total billed charges,,1918.8,,,,percent of total billed charges,,1961.44,,,,percent of total billed charges,,1961.44,,,,percent of total billed charges,,2016.872,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,2068.04,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,1876.16,,,,percent of total billed charges,,1918.8,,,,percent of total billed charges,,1707.732,,,,percent of total billed charges,,1918.8,,,,percent of total billed charges,,1279.2,,,,percent of total billed charges,,1980.4148,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,1705.6,,,,percent of total billed charges,,1279.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1707.9452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENOMIC MICROARRAY(GENOMO),301,RC,81228,CPT,,,outpatient,,,2268,,1134,1360.8,2199.96,2131.92,,,,percent of total billed charges,,1814.4,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,1882.44,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,2086.56,,,,percent of total billed charges,,2086.56,,,,percent of total billed charges,,2145.528,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,2199.96,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,1995.84,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,1816.668,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,1360.8,,,,percent of total billed charges,,2106.7452,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,1814.4,,,,percent of total billed charges,,1360.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1816.8948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG F2 GENE,301,RC,81240,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG F5 GENE,301,RC,81241,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENE ANALYSIS DETECT (FRAGX),301,RC,81243,CPT,,,outpatient,,,554,,277,332.4,537.38,520.76,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,459.82,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,524.084,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,537.38,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,487.52,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,443.754,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,514.6106,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,443.8094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENE ANALYSIS CHAR (FRAGXSB),301,RC,81244,CPT,,,outpatient,,,198,,99,118.8,192.06,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,158.598,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,183.9222,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.6178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HFE GENE,301,RC,81256,CPT,,,outpatient,,,652,,326,391.2,632.44,612.88,,,,percent of total billed charges,,521.6,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,541.16,,,,percent of total billed charges,,586.8,,,,percent of total billed charges,,599.84,,,,percent of total billed charges,,599.84,,,,percent of total billed charges,,616.792,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,632.44,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,573.76,,,,percent of total billed charges,,586.8,,,,percent of total billed charges,,522.252,,,,percent of total billed charges,,586.8,,,,percent of total billed charges,,391.2,,,,percent of total billed charges,,605.6428,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,521.6,,,,percent of total billed charges,,391.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,522.3172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 GENE,310,RC,81270,CPT,,,outpatient,,,760,,380,456,737.2,714.4,,,,percent of total billed charges,,608,,,,percent of total billed charges,,722,,,,percent of total billed charges,,630.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,722,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,722,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,608.76,,,,percent of total billed charges,,684,,,,percent of total billed charges,,456,,,,percent of total billed charges,,705.964,,,,percent of total billed charges,,722,,,,percent of total billed charges,,722,,,,percent of total billed charges,,608,,,,percent of total billed charges,,456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,608.836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE,310,RC,81275,CPT,,,outpatient,,,337,,168.5,202.2,326.89,316.78,,,,percent of total billed charges,,269.6,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,279.71,,,,percent of total billed charges,,303.3,,,,percent of total billed charges,,310.04,,,,percent of total billed charges,,310.04,,,,percent of total billed charges,,318.802,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,326.89,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,296.56,,,,percent of total billed charges,,303.3,,,,percent of total billed charges,,269.937,,,,percent of total billed charges,,303.3,,,,percent of total billed charges,,202.2,,,,percent of total billed charges,,313.0393,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,269.6,,,,percent of total billed charges,,202.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,269.9707,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MTHFR GENE,301,RC,81291,CPT,,,outpatient,,,438,,219,262.8,424.86,411.72,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,363.54,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,414.348,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,424.86,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,385.44,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,350.838,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,406.8582,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,350.8818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SNRPN/UBE3A GENE,301,RC,81331,CPT,,,outpatient,,,540,,270,324,523.8,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,432.54,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,501.606,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERPINA1 GENE,301,RC,81332,CPT,,,outpatient,,,823,,411.5,493.8,798.31,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,659.223,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,764.4847,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,659.3053,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 1,310,RC,81400,CPT,,,outpatient,,,214,,107,128.4,207.58,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,171.414,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,198.7846,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.4354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 2,310,RC,81401,CPT,,,outpatient,,,1024,,512,614.4,993.28,962.56,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,849.92,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,968.704,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,993.28,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,901.12,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,820.224,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,951.1936,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,820.3264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 4,310,RC,81403,CPT,,,outpatient,,,339,,169.5,203.4,328.83,318.66,,,,percent of total billed charges,,271.2,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,281.37,,,,percent of total billed charges,,305.1,,,,percent of total billed charges,,311.88,,,,percent of total billed charges,,311.88,,,,percent of total billed charges,,320.694,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,328.83,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,298.32,,,,percent of total billed charges,,305.1,,,,percent of total billed charges,,271.539,,,,percent of total billed charges,,305.1,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,314.8971,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,271.2,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,271.5729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCIUM IN URINE,301,RC,82340,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY URINE CATECHOLAMINES,301,RC,82382,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CREATINE,301,RC,82540,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE CLEARANCE TEST,301,RC,82575,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA AB (IGG/LGM/LGA),302,RC,86628,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LCM ANTIBODY IGG/IGM,302,RC,86727,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS INOCULATE TISSUE ADDL,306,RC,87253,CPT,,,outpatient,,,310,,155,186,300.7,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,248.31,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,287.959,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROBIOLOGY PROCEDURE,306,RC,87999,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL MARKER STUDY,311,RC,88182,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE TUMOR,310,RC,88239,CPT,,,outpatient,,,373,,186.5,223.8,361.81,350.62,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,309.59,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,352.858,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,361.81,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,328.24,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,298.773,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,346.4797,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.8103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE SOLID TUMOR,310,RC,88239,CPT,,,outpatient,,,2292,,1146,1375.2,2223.24,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1835.892,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2129.0388,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1836.1212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS 45,310,RC,88263,CPT,,,outpatient,,,1887,,943.5,1132.2,1830.39,1773.78,,,,percent of total billed charges,,1509.6,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1566.21,,,,percent of total billed charges,,1698.3,,,,percent of total billed charges,,1736.04,,,,percent of total billed charges,,1736.04,,,,percent of total billed charges,,1785.102,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1830.39,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1660.56,,,,percent of total billed charges,,1698.3,,,,percent of total billed charges,,1511.487,,,,percent of total billed charges,,1698.3,,,,percent of total billed charges,,1132.2,,,,percent of total billed charges,,1752.8343,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1509.6,,,,percent of total billed charges,,1132.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1511.6757,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENETICS DNA PROBE YFISHALK,310,RC,88271,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR CYTOGENETICS DNA PROBE,310,RC,88271,CPT,,,outpatient,,,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENETICS 25-99,310,RC,88274,CPT,,,outpatient,,,543,,271.5,325.8,526.71,510.42,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,450.69,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,513.678,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,526.71,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,477.84,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,434.943,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,504.3927,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,434.9973,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENETICS 100-300,310,RC,88275,CPT,,,outpatient,,,505,,252.5,303,489.85,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,404.505,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,469.0945,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.5555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKS,301,RC,82523,CPT,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM,301,RC,82784,CPT,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID MICROSOMAL AB,302,RC,86376,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-2 MICROGLOBULIN,301,RC,82232,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN ANTIBODY,302,RC,86800,CPT,,,outpatient,,,206,,103,123.6,199.82,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,165.006,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,191.3534,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.0266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR (CFCS),310,RC,81220,CPT,,,outpatient,,,186,,93,111.6,180.42,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,148.986,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,172.7754,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.0046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IKBKAP (CLLIGVH),310,RC,81263,CPT,,,outpatient,,,370,,185,222,358.9,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,296.37,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,343.693,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,296.407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 FULL (MLHMSH),310,RC,81292,CPT,,,outpatient,,,2620,,1310,1572,2541.4,2462.8,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2174.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2478.52,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2541.4,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2305.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,2098.62,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,2433.718,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2098.882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSH2 FULL (MLHMSH),310,RC,81295,CPT,,,outpatient,,,2620,,1310,1572,2541.4,2462.8,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2174.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2478.52,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2541.4,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2305.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,2098.62,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,2433.718,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2098.882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSATELLITE INSTABLTY(YMSI),301,RC,81301,CPT,,,outpatient,,,370,,185,222,358.9,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,296.37,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,343.693,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,296.407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING COMPLETE (HLAABC),301,RC,81372,CPT,,,outpatient,,,1289,,644.5,773.4,1250.33,1211.66,,,,percent of total billed charges,,1031.2,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1069.87,,,,percent of total billed charges,,1160.1,,,,percent of total billed charges,,1185.88,,,,percent of total billed charges,,1185.88,,,,percent of total billed charges,,1219.394,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1250.33,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1134.32,,,,percent of total billed charges,,1160.1,,,,percent of total billed charges,,1032.489,,,,percent of total billed charges,,1160.1,,,,percent of total billed charges,,773.4,,,,percent of total billed charges,,1197.3521,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1031.2,,,,percent of total billed charges,,773.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1032.6179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA I TYPING 1 LOCUS LR,310,RC,81373,CPT,,,outpatient,,,347,,173.5,208.2,336.59,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,277.947,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,322.3283,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.9817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONE ANTIGEN (HLAB27DNA),310,RC,81374,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING HLAD (HLAD),301,RC,81375,CPT,,,outpatient,,,1778,,889,1066.8,1724.66,1671.32,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1475.74,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1681.988,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1724.66,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1564.64,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1424.178,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,1651.5842,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1424.3558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA II TYPING 1 LOCUS LR,310,RC,81376,CPT,,,outpatient,,,984,,492,590.4,954.48,924.96,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,816.72,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,930.864,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,954.48,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,865.92,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,788.184,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,914.0376,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,788.2824,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONE ANTIGEN (NARCO),310,RC,81377,CPT,,,outpatient,,,493,,246.5,295.8,478.21,463.42,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,409.19,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,466.378,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,478.21,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,433.84,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,394.893,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,457.9477,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,394.9423,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING (HLAB57),301,RC,81381,CPT,,,outpatient,,,1358,,679,814.8,1317.26,1276.52,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1127.14,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1284.668,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1317.26,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1195.04,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1087.758,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,1261.4462,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1087.8938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONE LOCUS (HLADQB),310,RC,81382,CPT,,,outpatient,,,689,,344.5,413.4,668.33,647.66,,,,percent of total billed charges,,551.2,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,571.87,,,,percent of total billed charges,,620.1,,,,percent of total billed charges,,633.88,,,,percent of total billed charges,,633.88,,,,percent of total billed charges,,651.794,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,668.33,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,606.32,,,,percent of total billed charges,,620.1,,,,percent of total billed charges,,551.889,,,,percent of total billed charges,,620.1,,,,percent of total billed charges,,413.4,,,,percent of total billed charges,,640.0121,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,551.2,,,,percent of total billed charges,,413.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,551.9579,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA II TYPING 1 ALLELE HR,310,RC,81383,CPT,,,outpatient,,,514,,257,308.4,498.58,483.16,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,426.62,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,486.244,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,498.58,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,452.32,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,411.714,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,477.4546,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,411.7654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 5,310,RC,81404,CPT,,,outpatient,,,448,,224,268.8,434.56,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,358.848,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,416.1472,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 6,310,RC,81405,CPT,,,outpatient,,,2097,,1048.5,1258.2,2034.09,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1679.697,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,1947.9033,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1679.9067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE 24 HR URINE,301,RC,82540,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-GLUCOSIDASE,301,RC,82963,CPT,,,outpatient,,,432,,216,259.2,419.04,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,346.032,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,401.2848,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,346.0752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 (SERUM),301,RC,83950,CPT,,,outpatient,,,693,,346.5,415.8,672.21,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,555.093,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,643.7277,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,555.1623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT TITER EA ABX,302,RC,86406,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL 16S RDNA SEQUENCING,306,RC,87153,CPT,,,outpatient,,,545,,272.5,327,528.65,512.3,,,,percent of total billed charges,,436,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,452.35,,,,percent of total billed charges,,490.5,,,,percent of total billed charges,,501.4,,,,percent of total billed charges,,501.4,,,,percent of total billed charges,,515.57,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,528.65,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,479.6,,,,percent of total billed charges,,490.5,,,,percent of total billed charges,,436.545,,,,percent of total billed charges,,490.5,,,,percent of total billed charges,,327,,,,percent of total billed charges,,506.2505,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,436,,,,percent of total billed charges,,327,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,436.5995,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DETECTION,306,RC,87502,CPT,,,outpatient,,,330,,165,198,320.1,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,264.33,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,306.537,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,264.363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M AVIUM-INTRACELL PROBE,306,RC,87560,CPT,,,outpatient,,,148,,74,88.8,143.56,139.12,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,122.84,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,140.008,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,143.56,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,130.24,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,118.548,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,137.4772,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,118.5628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOLOGOUS BLOOD OR COMPONENT,309,RC,86890,CPT,,,outpatient,,,553,,276.5,331.8,536.41,519.82,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,458.99,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,523.138,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,536.41,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,486.64,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,442.953,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,513.6817,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,443.0083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR INHIBITOR TEST,305,RC,85335,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMPLOYEE URINE COLLECTION,990,RC,,,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG SCREEN COLLECTION,999,RC,,,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ETOH COLLECTION,999,RC,,,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV 2 ANTIBODY,302,RC,86702,CPT,,,outpatient,,,157,,78.5,94.2,152.29,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,125.757,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,145.8373,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.7727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRO REVIEW NEG,300,RC,,,,,outpatient,,,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRO REVIEW POS,300,RC,,,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTOFERRIN DETECTION,301,RC,83630,CPT,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL NEUTRALIZ (NAB) TEST,302,RC,86382,CPT,,,outpatient,,,599,,299.5,359.4,581.03,563.06,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,497.17,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,566.654,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,581.03,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,527.12,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,479.799,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,556.4111,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,479.8589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HA STROKE PREVENTION,301,RC,80061,CPT,,,outpatient,,,279,,139.5,167.4,270.63,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,223.479,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,259.1631,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,223.5069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA HAPLOTYPE BY STR,310,RC,81265,CPT,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERPINA 1,310,RC,81332,CPT,,,outpatient,,,665,,332.5,399,645.05,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,532.665,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,617.7185,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,532.7315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR CYSTIC FIBROSIS GENE ANALYSIS,310,RC,81220,CPT,,,outpatient,,,229,,114.5,137.4,222.13,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,183.429,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,212.7181,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.4519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL II,310,RC,81401,CPT,,,outpatient,,,554,,277,332.4,537.38,520.76,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,459.82,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,524.084,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,537.38,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,487.52,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,443.754,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,514.6106,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,443.8094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FANCC FANOIN ANEMIA COMP GRP C,310,RC,81242,CPT,,,outpatient,,,1188,,594,712.8,1152.36,1116.72,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,986.04,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1123.848,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1152.36,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1045.44,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,951.588,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,1103.5332,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,951.7068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GBA (GAUCHER DISEASE),310,RC,81251,CPT,,,outpatient,,,1188,,594,712.8,1152.36,1116.72,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,986.04,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1123.848,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1152.36,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1045.44,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,951.588,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,1103.5332,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,951.7068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HFE (HEMOCHROMATOSIS),310,RC,81256,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 MINOR,310,RC,81207,CPT,,,outpatient,,,3042,,1521,1825.2,2950.74,2859.48,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2524.86,,,,percent of total billed charges,,2737.8,,,,percent of total billed charges,,2798.64,,,,percent of total billed charges,,2798.64,,,,percent of total billed charges,,2877.732,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2950.74,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2676.96,,,,percent of total billed charges,,2737.8,,,,percent of total billed charges,,2436.642,,,,percent of total billed charges,,2737.8,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,2825.7138,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2436.9462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERROGATION OF GENOMIC REGIONS,310,RC,81229,CPT,,,outpatient,,,1917,,958.5,1150.2,1859.49,1801.98,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1591.11,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1813.482,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1859.49,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1686.96,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1535.517,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,1780.7013,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1535.7087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2,310,RC,81270,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PML/RARALPHA,310,RC,81315,CPT,,,outpatient,,,330,,165,198,320.1,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,264.33,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,306.537,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,264.363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA),310,RC,81342,CPT,,,outpatient,,,1391,,695.5,834.6,1349.27,1307.54,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1154.53,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1315.886,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1349.27,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1224.08,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,1114.191,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,1292.0999,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1114.3301,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM POST TRANS WITH CELL SELECTION,310,RC,81268,CPT,,,outpatient,,,365,,182.5,219,354.05,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,292.365,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,339.0485,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,292.4015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBA1/HBA2,310,RC,81257,CPT,,,outpatient,,,2998,,1499,1798.8,2908.06,2818.12,,,,percent of total billed charges,,2398.4,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2488.34,,,,percent of total billed charges,,2698.2,,,,percent of total billed charges,,2758.16,,,,percent of total billed charges,,2758.16,,,,percent of total billed charges,,2836.108,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2908.06,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2638.24,,,,percent of total billed charges,,2698.2,,,,percent of total billed charges,,2401.398,,,,percent of total billed charges,,2698.2,,,,percent of total billed charges,,1798.8,,,,percent of total billed charges,,2784.8422,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2398.4,,,,percent of total billed charges,,1798.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2401.6978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMR1 FRAGILE X,310,RC,81243,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGH GENE REARRANGEMENT AMP,310,RC,81261,CPT,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGK GENE REARRANGEMENT,310,RC,81264,CPT,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF GENE ANALYSIS,310,RC,81210,CPT,,,outpatient,,,598,,299,358.8,580.06,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,555.4822,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,479.0578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2D6 GENE ANALYSIS,310,RC,81226,CPT,,,outpatient,,,370,,185,222,358.9,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,296.37,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,343.693,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,296.407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2C19,310,RC,81225,CPT,,,outpatient,,,1641,,820.5,984.6,1591.77,1542.54,,,,percent of total billed charges,,1312.8,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1362.03,,,,percent of total billed charges,,1476.9,,,,percent of total billed charges,,1509.72,,,,percent of total billed charges,,1509.72,,,,percent of total billed charges,,1552.386,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1591.77,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1444.08,,,,percent of total billed charges,,1476.9,,,,percent of total billed charges,,1314.441,,,,percent of total billed charges,,1476.9,,,,percent of total billed charges,,984.6,,,,percent of total billed charges,,1524.3249,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1312.8,,,,percent of total billed charges,,984.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1314.6051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA CLASS I TYPE HI RES ONE ALLELE OR GROUP,310,RC,81381,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MTHFR GENE ANALYSIS,310,RC,81291,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TBR T CELL ANTIGEN RECEPTOR,310,RC,81340,CPT,,,outpatient,,,1391,,695.5,834.6,1349.27,1307.54,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1154.53,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1315.886,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1349.27,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1224.08,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,1114.191,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,1292.0999,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1114.3301,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SNRPN/UBE3A,310,RC,81331,CPT,,,outpatient,,,356,,178,213.6,345.32,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,285.156,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,330.6884,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.1916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC TROPONIN I,301,RC,84484,CPT,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN A1C,301,RC,83036,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC IDENTIFICATION,300,RC,87153,CPT,,,outpatient,,,290,,145,174,281.3,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,232.29,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,269.381,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,232.319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC SUSCEPTIBILITY,300,RC,87181,CPT,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULT AERO ADDL ID, EA",306,RC,87077,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SMIKACIN,300,RC,80150,CPT,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF IRON,301,RC,83540,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, TOTAL",302,RC,86708,CPT,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR V TEST,305,RC,85220,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIRUS INOCULATION, SHELL VIA",306,RC,87254,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KLEIHAUER BETKE,305,RC,85460,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG F2 (COAGULATION FACTOR 2), 1199G>A VARIANT",310,RC,81240,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG F5 (COAGULATION FACTOR V), HR2 VARIANT",310,RC,81241,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1,  OTHER REGION (EG INTEGRASE, FUSION)",306,RC,87906,CPT,,,outpatient,,,370,,185,222,358.9,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,296.37,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,343.693,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,296.407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA CLASS II TYPING, HIGH RESOLUTION, ONE ALLELE OP",310,RC,81383,CPT,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 GENE MINOR BP,310,RC,81207,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGRF GENE ANALYSIS,310,RC,81235,CPT,,,outpatient,,,1286,,643,771.6,1247.42,1208.84,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1067.38,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1216.556,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1247.42,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1131.68,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1030.086,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,1194.5654,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1030.2146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PMP22 GENE,310,RC,81324,CPT,,,outpatient,,,972,,486,583.2,942.84,913.68,,,,percent of total billed charges,,777.6,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,806.76,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,894.24,,,,percent of total billed charges,,894.24,,,,percent of total billed charges,,919.512,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,942.84,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,855.36,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,778.572,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,902.8908,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,777.6,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,778.6692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B VIRUS,306,RC,87912,CPT,,,outpatient,,,460,,230,276,446.2,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,368.46,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,427.294,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,368.506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RESPIRATORY VIRUS, MULTIPLEX REVERSE TRANSCRIPTION",306,RC,87631,CPT,,,outpatient,,,444,,222,266.4,430.68,417.36,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,368.52,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,420.024,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,430.68,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,390.72,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,355.644,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,412.4316,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,355.6884,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA IGG,302,RC,86762,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRO REVIEW PER 10 MIN,300,RC,,,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODY DIRECT,302,RC,86023,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELLULAR FUNCTION ASSAY,302,RC,86352,CPT,,,outpatient,,,268,,134,160.8,259.96,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,214.668,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,248.9452,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,214.6948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN SINGLE, CORDSTAT",301,RC,80307,CPT,,,outpatient,,,465,,232.5,279,451.05,437.1,,,,percent of total billed charges,,372,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,385.95,,,,percent of total billed charges,,418.5,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,439.89,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,451.05,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,409.2,,,,percent of total billed charges,,418.5,,,,percent of total billed charges,,372.465,,,,percent of total billed charges,,418.5,,,,percent of total billed charges,,279,,,,percent of total billed charges,,431.9385,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,372,,,,percent of total billed charges,,279,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,372.5115,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEGALOVIRUS, AMPLIED PROBE",306,RC,87496,CPT,,,outpatient,,,131,,65.5,78.6,127.07,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,104.931,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,121.6859,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.9441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX, AMPLIED PROBE",306,RC,87529,CPT,,,outpatient,,,537,,268.5,322.2,520.89,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,430.137,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,498.8193,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.1907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROCALCITONIN,301,RC,84145,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSULIN, TOTAL",301,RC,83525,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN,301,RC,84432,CPT,,,outpatient,,,563,,281.5,337.8,546.11,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,450.963,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,522.9707,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.0193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ERYTHROCYTE SEDIMENTATION RATE, AUTOMATED",305,RC,85652,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEXOSAMINIDASE A,301,RC,83080,CPT,,,outpatient,,,183,,91.5,109.8,177.51,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,146.583,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,169.9887,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.6013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE ANALYSIS VARIANTS IN CODONS 12 AND 13,310,RC,81275,CPT,,,outpatient,,,623,,311.5,373.8,604.31,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,499.023,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,578.7047,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,499.0853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 GENE ANALYSIS P VAL617PHE VARIANT,310,RC,81270,CPT,,,outpatient,,,2196,,1098,1317.6,2130.12,2064.24,,,,percent of total billed charges,,1756.8,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,1822.68,,,,percent of total billed charges,,1976.4,,,,percent of total billed charges,,2020.32,,,,percent of total billed charges,,2020.32,,,,percent of total billed charges,,2077.416,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,2130.12,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,1932.48,,,,percent of total billed charges,,1976.4,,,,percent of total billed charges,,1758.996,,,,percent of total billed charges,,1976.4,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,2039.8644,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,1756.8,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1759.2156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED HEMA/COAG PROCEDURE,305,RC,85999,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUTLIANALYTE ASSAY W/ ALGORITHMIC ANALYSIS,310,RC,81599,CPT,,,outpatient,,,2953,,1476.5,1771.8,2864.41,2775.82,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2450.99,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2793.538,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2864.41,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2598.64,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,2365.353,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,2743.0417,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2365.6483,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TYROXINE REQUIRING ELUTION (EG NEONATAL),301,RC,84437,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SULFATE, URINE",301,RC,84392,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PH, BODY FLUID, NOT OTHERWISE SPECIFIED",301,RC,83986,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOFEEDBACK TRAINING, INITIAL 15 MIN-PT",420,RC,90912,CPT,,,outpatient,,,227,,113.5,136.2,220.19,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,181.827,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,210.8603,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.8497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUMPS ANTIBODY,302,RC,86735,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE TESTOSTERONE,301,RC,84402,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DHEA,301,RC,82626,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EACH MULTIPLEX AB STAIN PROCEDURE,312,RC,88344,CPT,,,outpatient,,,157,,78.5,94.2,152.29,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,125.757,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,145.8373,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.7727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZONISAMIDE,301,RC,80203,CPT,,,outpatient,,,92,,46,55.2,89.24,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,73.692,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,85.4588,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.7012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAFFINE,301,RC,80155,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GABAPENTIN,301,RC,80171,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LAMOTRIGINE,301,RC,80175,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVETIRACETAM,301,RC,80177,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIAGABINE,301,RC,80199,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPHENOLATE,301,RC,80180,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONGENTIAL ABNORMAL, 4 ANALYTES",301,RC,81511,CPT,,,outpatient,,,704,,352,422.4,682.88,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,563.904,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,653.9456,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,563.9744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONGENTIAL ABNORMAL, 3 ANALYTES",301,RC,81510,CPT,,,outpatient,,,396,,198,237.6,384.12,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,317.196,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,367.8444,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,317.2356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORDETELLA PERTUSSIS/PARAPERTUSSIS BY PCR,306,RC,87798,CPT,,,outpatient,,,308,,154,184.8,298.76,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,246.708,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,286.1012,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,246.7388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBAMAZEPINE,301,RC,80156,CPT,,,outpatient,,,336,,168,201.6,325.92,315.84,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,278.88,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,317.856,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,325.92,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,295.68,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,269.136,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,312.1104,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,269.1696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPA GEEN ANALYSIS COMMON VARIANTS,310,RC,81200,CPT,,,outpatient,,,1471,,735.5,882.6,1426.87,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1178.271,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1366.4119,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1178.4181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLM GENE ANALYSIS 2281DEL6INS7 VARIANT,310,RC,81209,CPT,,,outpatient,,,1471,,735.5,882.6,1426.87,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1178.271,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1366.4119,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1178.4181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FANCC GENE ANALYSIS COMMON VARIANT,310,RC,81242,CPT,,,outpatient,,,1471,,735.5,882.6,1426.87,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1178.271,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1366.4119,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1178.4181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GBA GLUCOSIDASE/BETA/ACID ANALY COMM VARIANTS,310,RC,81251,CPT,,,outpatient,,,1471,,735.5,882.6,1426.87,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1178.271,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1366.4119,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1178.4181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEXA GENE ANALY COMM VARIANTS,310,RC,81255,CPT,,,outpatient,,,1471,,735.5,882.6,1426.87,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1178.271,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1366.4119,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1178.4181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MCOLN1 MUCOLIPIN1 GENE ANALY COMM VARIANTS,310,RC,81290,CPT,,,outpatient,,,1471,,735.5,882.6,1426.87,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1178.271,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1366.4119,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1178.4181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMPD1 GENE ANALY COMM VARIANTS,310,RC,81330,CPT,,,outpatient,,,1471,,735.5,882.6,1426.87,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1178.271,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1366.4119,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1178.4181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENOM CONST MICROARRAY,310,RC,81229,CPT,,,outpatient,,,2013,,1006.5,1207.8,1952.61,1892.22,,,,percent of total billed charges,,1610.4,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1670.79,,,,percent of total billed charges,,1811.7,,,,percent of total billed charges,,1851.96,,,,percent of total billed charges,,1851.96,,,,percent of total billed charges,,1904.298,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1952.61,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1771.44,,,,percent of total billed charges,,1811.7,,,,percent of total billed charges,,1612.413,,,,percent of total billed charges,,1811.7,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,1869.8757,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1610.4,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1612.6143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HUNTINGTON DIS, MOLECULAR ANALY",310,RC,81401,CPT,,,outpatient,,,688,,344,412.8,667.36,646.72,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,571.04,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,650.848,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,667.36,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,551.088,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,639.0832,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,551.1568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN (AFP), FOUR MARKER SCREEN, MATERNAL SERUM",310,RC,81511,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS SCREEN,301,RC,82175,CPT,,,outpatient,,,693,,346.5,415.8,672.21,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,555.093,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,643.7277,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,555.1623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEMOGLOBIN ELECTROPHORESIS CASCADE, BLOOD",301,RC,83020,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17-HYDROXYPROGESTERONE, URINE",301,RC,83498,CPT,,,outpatient,,,357,,178.5,214.2,346.29,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,285.957,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,331.6173,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.9927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY ANALY QUAL/SEMIQUAL MULT STEP,302,RC,83516,CPT,,,outpatient,,,494,,247,296.4,479.18,464.36,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,410.02,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,454.48,,,,percent of total billed charges,,454.48,,,,percent of total billed charges,,467.324,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,479.18,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,434.72,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,395.694,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,458.8766,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,395.7434,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY ANALY QUAMT RADIO,302,RC,83519,CPT,,,outpatient,,,325,,162.5,195,315.25,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,260.325,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,301.8925,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,260.3575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY ANALY QUAMT NOS,302,RC,82657,CPT,,,outpatient,,,829,,414.5,497.4,804.13,779.26,,,,percent of total billed charges,,663.2,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,688.07,,,,percent of total billed charges,,746.1,,,,percent of total billed charges,,762.68,,,,percent of total billed charges,,762.68,,,,percent of total billed charges,,784.234,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,804.13,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,729.52,,,,percent of total billed charges,,746.1,,,,percent of total billed charges,,664.029,,,,percent of total billed charges,,746.1,,,,percent of total billed charges,,497.4,,,,percent of total billed charges,,770.0581,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,663.2,,,,percent of total billed charges,,497.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,664.1119,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT-2,301,RC,83789,CPT,,,outpatient,,,314,,157,188.4,304.58,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,251.514,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,291.6746,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,251.5454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TESTOSTERONE, TOTAL, BIOAVAILABLE AND FREE, SERUM",301,RC,84402,CPT,,,outpatient,,,581,,290.5,348.6,563.57,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,465.381,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,539.6909,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,465.4391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHOSPHOLIPID (CARDIOLIPIN) ANTIBODIES, IGG, IGM, AND IGA",302,RC,86147,CPT,,,outpatient,,,517,,258.5,310.2,501.49,485.98,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,429.11,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,489.082,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,501.49,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,454.96,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,414.117,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,480.2413,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,414.1687,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AUTOANTIBODIES TO SSA (RO) OR (LA) ANTIGEN, SERUM",302,RC,86235,CPT,,,outpatient,,,231,,115.5,138.6,224.07,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,185.031,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,214.5759,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.0541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY, IGG, SERUM",302,RC,86255,CPT,,,outpatient,,,456,,228,273.6,442.32,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,365.256,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,423.5784,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,365.3016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYME DISEASE AB CONFIRMATION, CSF",302,RC,86617,CPT,,,outpatient,,,456,,228,273.6,442.32,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,365.256,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,423.5784,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,365.3016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEGALOVIRUS (CMV) AB, IGG, SERUM",302,RC,86644,CPT,,,outpatient,,,294,,147,176.4,285.18,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,235.494,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,273.0966,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,235.5234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALIFORNIA (LACROSSE VIRUS) ENCEPHALITIS AB PANEL, IGG &IGM, CSF",302,RC,86651,CPT,,,outpatient,,,302,,151,181.2,292.94,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,241.902,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,280.5278,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,241.9322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HELICOBACTER PYLORI AB, IGA, SERUM",302,RC,86677,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE ADHESION DEFICIENCY,311,RC,88184,CPT,,,outpatient,,,593,,296.5,355.8,575.21,557.42,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,492.19,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,560.978,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,575.21,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,521.84,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,474.993,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,550.8377,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,475.0523,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EACH ADDITONIAL AB PER SPECIMEN,312,RC,88341,CPT,,,outpatient,,,271,,135.5,162.6,262.87,254.74,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,224.93,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,256.366,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,262.87,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,238.48,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,217.071,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,251.7319,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.0981,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SOMATOSTATIN,301,RC,84307,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSA TOTAL DIAGNOSTIC,301,RC,84153,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AG IF CRYPTOSPORIDIUM,306,RC,87272,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID HORMONE UPTAKE,301,RC,84479,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AG IF CRYPTOSPORIDIUM,306,RC,87272,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAINFLUENZA VIRUS 123 MOLECULAR DETECT PCR QUAL,306,RC,87631,CPT,,,outpatient,,,628,,314,376.8,609.16,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,503.028,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,583.3492,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,503.0908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PT SUBSTITUTION, PLASMA FRACTION",305,RC,85611,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY HIV-1,302,RC,86701,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EACH INDENTIFIABLE ANTIBODY PER SLIDE,312,RC,88342,CPT,,,outpatient,,,238,,119,142.8,230.86,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,190.638,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,221.0782,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,190.6618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, BLOOD, ELECTROPHORETIC SEP AND QUAN",301,RC,83700,CPT,,,outpatient,,,93,,46.5,55.8,90.21,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,74.493,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,86.3877,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.5023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT MUSK,302,RC,83519,CPT,,,outpatient,,,1119,,559.5,671.4,1085.43,1051.86,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,928.77,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1058.574,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1085.43,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,984.72,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,896.319,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,1039.4391,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,896.4309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VANC RESISTANT AMP PROBE,306,RC,87500,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S. AUREUS METH RESIST AMP PROBE,306,RC,87641,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICRODISSECTION, MANUAL",310,RC,88381,CPT,,,outpatient,,,248,,124,148.8,240.56,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,198.648,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,230.3672,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,198.6728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHOMONAS AMP PROBE,306,RC,87661,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVEROLIMUS,301,RC,80169,CPT,,,outpatient,,,302,,151,181.2,292.94,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,241.902,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,280.5278,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,241.9322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, HEP B VIRUS, QUANT",306,RC,87517,CPT,,,outpatient,,,356,,178,213.6,345.32,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,285.156,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,330.6884,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.1916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID, HEP C VIRUS",306,RC,87902,CPT,,,outpatient,,,2140,,1070,1284,2075.8,2011.6,,,,percent of total billed charges,,1712,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,1776.2,,,,percent of total billed charges,,1926,,,,percent of total billed charges,,1968.8,,,,percent of total billed charges,,1968.8,,,,percent of total billed charges,,2024.44,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,2075.8,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,1883.2,,,,percent of total billed charges,,1926,,,,percent of total billed charges,,1714.14,,,,percent of total billed charges,,1926,,,,percent of total billed charges,,1284,,,,percent of total billed charges,,1987.846,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,1712,,,,percent of total billed charges,,1284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1714.354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAPH AUREUS,306,RC,87640,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METH RESIS STAPH AUREUS,306,RC,87641,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA, MULTIPLE, FIRST 2",306,RC,87502,CPT,,,outpatient,,,459,,229.5,275.4,445.23,431.46,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,380.97,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,434.214,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,445.23,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,403.92,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,367.659,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,426.3651,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,367.7049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA, MULTIPLE, BEYOND 2",306,RC,87503,CPT,,,outpatient,,,255,,127.5,153,247.35,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,204.255,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,236.8695,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.2805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP GROUP A, AMP PROBE",306,RC,87651,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RESPIRATORY VIRUS, MULTIPLEX REVERSE TRANSCRIPTION, 12-25 TARGETS",306,RC,87633,CPT,,,outpatient,,,2893,,1446.5,1735.8,2806.21,2719.42,,,,percent of total billed charges,,2314.4,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2401.19,,,,percent of total billed charges,,2603.7,,,,percent of total billed charges,,2661.56,,,,percent of total billed charges,,2661.56,,,,percent of total billed charges,,2736.778,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2806.21,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2545.84,,,,percent of total billed charges,,2603.7,,,,percent of total billed charges,,2317.293,,,,percent of total billed charges,,2603.7,,,,percent of total billed charges,,1735.8,,,,percent of total billed charges,,2687.3077,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2314.4,,,,percent of total billed charges,,1735.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2317.5823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BORDETELLA PERTUSSIS, AMPLIFIED PROBE TECH",306,RC,87798,CPT,,,outpatient,,,387,,193.5,232.2,375.39,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,309.987,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,359.4843,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.0257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHLAMYDIA PNEUMONIAE, AMPLIFIED PROBE TECH",306,RC,87486,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYCOPLASMA PNEUMONIAE, AMPLIFIED PROBE TECH",306,RC,87581,CPT,,,outpatient,,,387,,193.5,232.2,375.39,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,309.987,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,359.4843,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.0257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC-SO EACH ADDITONIAL AB PER SPECIMEN (US LABS),312,RC,88341,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC-SO EACH ADDITONIAL AB PER SPECIMEN (MAYO),312,RC,88341,CPT,,,outpatient,,,264,,132,158.4,256.08,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,211.464,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,245.2296,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,211.4904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SS GROUP 1 (US LABS),312,RC,88312,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUGARS, MULTI QUAL, EA SPECIMEN",301,RC,84377,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIRUS, NOT ELSEWHERE SPECIFIED",302,RC,86790,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PLASMA HEMOGLOBIN,301,RC,83051,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HUMAN PAPILLOMAVIRUS (HPV) HIGH-RISK TYPES,306,RC,G0476,HCPCS,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HUMAN PAPILLOMAVIRUS (HPV) TYPES 16 AND 18 ONLY, INCLUDES TYPE 45",306,RC,87625,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANABOLIC STEROIDS, 1 OR 2",301,RC,G0480,HCPCS,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEROIN METABOLITE,301,RC,G0480,HCPCS,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BENZODIAZEPINES, 1-12",301,RC,G0480,HCPCS,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES,301,RC,G0480,HCPCS,,,outpatient,,,193,,96.5,115.8,187.21,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,179.2777,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,154.6123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMPHETAMINES, 1 OR 2",301,RC,G0480,HCPCS,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLENEDIOXYAMPHETAMINES (MDA, MDEA, MDMA)",301,RC,80324,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 2",301,RC,G0480,HCPCS,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG OR SUBSTANCE, DEFIN, QUAL OR QUANT, NT SPECIFIED, 1-3",301,RC,G0480,HCPCS,,,outpatient,,,516,,258,309.6,500.52,485.04,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,428.28,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,474.72,,,,percent of total billed charges,,474.72,,,,percent of total billed charges,,488.136,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,500.52,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,454.08,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,413.316,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,479.3124,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,413.3676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPRENORPHINE,301,RC,G0480,HCPCS,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCAINE,301,RC,G0480,HCPCS,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRG SCRN, ANY # DRG CLS LST A, SNGLE DRG CLS MTHD, BY INST TST SY",301,RC,80307,CPT,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCRN, NOT OTHWSE SPECIFIED PRESUMPTIVE PROC, EACH PROCEDURE",301,RC,80307,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOLS,301,RC,82077,CPT,,,outpatient,,,165,,82.5,99,160.05,155.1,,,,percent of total billed charges,,132,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,136.95,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,156.09,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,160.05,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,132.165,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,99,,,,percent of total billed charges,,153.2685,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,132,,,,percent of total billed charges,,99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.1815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL,301,RC,G0480,HCPCS,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VALPROIC ACID, FREE",301,RC,80165,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN, PRESUMPTIVE, SINGLE DRUG CLASS FROM DRUG CLASS",301,RC,80307,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KETAMINE AND NORKETAMINE,301,RC,G0480,HCPCS,,,outpatient,,,507,,253.5,304.2,491.79,476.58,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,420.81,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,479.622,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,491.79,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,446.16,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,406.107,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,470.9523,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,406.1577,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHADONE,301,RC,80358,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALKALOIDS, NOT OTHERWISE SPECIFIED",301,RC,80323,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPIATES, 1 OR MORE",301,RC,G0480,HCPCS,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXYCODONE,301,RC,G0480,HCPCS,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CANNABINOIDS, NATURAL",301,RC,G0480,HCPCS,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, NOT OTHERWISE SPECIFIED",301,RC,G0480,HCPCS,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EA ADDL SINGLE PROBE STAIN PROCEDURE,312,RC,88369,CPT,,,outpatient,,,373,,186.5,223.8,361.81,350.62,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,309.59,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,352.858,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,361.81,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,328.24,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,298.773,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,346.4797,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.8103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALCOHOL BIOMARKERS, 3 OR MORE",301,RC,G0480,HCPCS,,,outpatient,,,365,,182.5,219,354.05,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,292.365,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,339.0485,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,292.4015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,G0480,HCPCS,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,G0480,HCPCS,,,outpatient,,,365,,182.5,219,354.05,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,292.365,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,339.0485,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,292.4015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREGABALIN,301,RC,G0480,HCPCS,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIEPILEPTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,80210,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,G0480,HCPCS,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, MULTIPLE MYELOMA PROCESS AND HOLD",311,RC,88237,CPT,,,outpatient,,,814,,407,488.4,789.58,765.16,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,675.62,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,770.044,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,789.58,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,716.32,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,652.014,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,756.1246,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,652.0954,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CG PROCESS AND HOLD,311,RC,88237,CPT,,,outpatient,,,814,,407,488.4,789.58,765.16,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,675.62,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,770.044,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,789.58,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,716.32,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,652.014,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,756.1246,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,652.0954,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRG SCN,DRG CLSS LSTB BY IMMUN OR NONTLC CHRMATGPHY W/O MSS SPECT",301,RC,80307,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE",301,RC,80307,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LAMOTRIGINE,301,RC,80175,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVETIRACETAM,301,RC,80177,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALGESICS NON-OPIOD, 1 OR 2",301,RC,G0480,HCPCS,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALGESICS, NON-OPIOD, 1 OR 2",301,RC,80307,CPT,,,outpatient,,,179,,89.5,107.4,173.63,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,143.379,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,166.2731,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.3969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXTRACTABLE NUCLEAR ANTIGEN, ANTIBODY TO ANY METHOD",302,RC,86235,CPT,,,outpatient,,,109,,54.5,65.4,105.73,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,87.309,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,101.2501,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,87.3199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUN, QUALITATIVE OR SEMIQUANTITATIVE, MULTI STEP METHD",301,RC,86364,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUBERCULOSIS TEST, GAMMA INTERON",302,RC,86480,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC, 6 OR MORE",301,RC,G0482,HCPCS,,,outpatient,,,520,,260,312,504.4,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,483.028,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,416.572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE IN SITU HYBRID,I&R, EA ADDITIONAL PROBE",312,RC,88364,CPT,,,outpatient,,,310,,155,186,300.7,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,248.31,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,287.959,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAPILLARY BLOOD DRAW,300,RC,36416,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IN SITU HYBID (EG.FISH), PER SPEC EA ADD",312,RC,88364,CPT,,,outpatient,,,310,,155,186,300.7,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,248.31,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,287.959,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IN SITU HYBID (EG. FISH), PER SPEC EA EA MULTIPLEX",312,RC,88366,CPT,,,outpatient,,,519,,259.5,311.4,503.43,487.86,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,430.77,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,490.974,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,503.43,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,456.72,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,415.719,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,482.0991,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,415.7709,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPOPROTEIN-ASSOC PHOSPHOLIPASE A2 (LP-PLA2),301,RC,83698,CPT,,,outpatient,,,481,,240.5,288.6,466.57,452.14,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,399.23,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,455.026,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,466.57,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,423.28,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,385.281,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,446.8009,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,385.3291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE HISTAMINE (LHR),302,RC,86343,CPT,,,outpatient,,,294,,147,176.4,285.18,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,235.494,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,273.0966,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,235.5234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MATERNIT21 PLUS,310,RC,81420,CPT,,,outpatient,,,1350,,675,810,1309.5,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1081.35,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1254.015,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1081.485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CRYOFIBRINOGEN,301,RC,82585,CPT,,,outpatient,,,107,,53.5,64.2,103.79,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,85.707,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,99.3923,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.7177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1/HIV-2 ABXSNGL ASSAY,301,RC,87389,CPT,,,outpatient,,,267,,133.5,160.2,258.99,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,213.867,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,248.0163,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.8937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONCOLOGY (OVARIAN), BIOCHEM ASSAY OF FIVE PROTIENS",301,RC,81503,CPT,,,outpatient,,,1367,,683.5,820.2,1325.99,1284.98,,,,percent of total billed charges,,1093.6,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1134.61,,,,percent of total billed charges,,1230.3,,,,percent of total billed charges,,1257.64,,,,percent of total billed charges,,1257.64,,,,percent of total billed charges,,1293.182,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1325.99,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1202.96,,,,percent of total billed charges,,1230.3,,,,percent of total billed charges,,1094.967,,,,percent of total billed charges,,1230.3,,,,percent of total billed charges,,820.2,,,,percent of total billed charges,,1269.8063,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1093.6,,,,percent of total billed charges,,820.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1095.1037,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHTHERIA TOXOID IGG,302,RC,86317,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TETANUS TOXOID IGG,302,RC,86317,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHOMONAS BY NAA,306,RC,87661,CPT,,,outpatient,,,556,,278,333.6,539.32,522.64,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,461.48,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,525.976,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,539.32,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,489.28,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,445.356,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,516.4684,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,445.4116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIVER FIBROSIS, FIBRO TEST - ACTITEST PANEL",310,RC,81599,CPT,,,outpatient,,,1157,,578.5,694.2,1122.29,1087.58,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,960.31,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1094.522,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1122.29,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1018.16,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,926.757,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,1074.7373,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,926.8727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV VACCINE HPV9 - 2 OR 3 DOSE (GARDASIL 9) - PER 0.5 ML,636,RC,90651,CPT,,,outpatient,,,549,,274.5,329.4,532.53,516.06,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,455.67,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,519.354,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,532.53,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,483.12,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,439.749,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,509.9661,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.8039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENOMIC CONSTITUTIONAL MICROARRAY ANALYSIS,310,RC,81229,CPT,,,outpatient,,,3738,,1869,2242.8,3625.86,3513.72,,,,percent of total billed charges,,2990.4,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3102.54,,,,percent of total billed charges,,3364.2,,,,percent of total billed charges,,3438.96,,,,percent of total billed charges,,3438.96,,,,percent of total billed charges,,3536.148,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3625.86,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3289.44,,,,percent of total billed charges,,3364.2,,,,percent of total billed charges,,2994.138,,,,percent of total billed charges,,3364.2,,,,percent of total billed charges,,2242.8,,,,percent of total billed charges,,3472.2282,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,2990.4,,,,percent of total billed charges,,2242.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2994.5118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREPTOCOCCUS, GROUP B. AMPLIFIED PROBE TECHNIQUE",300,RC,87653,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL THYROXINE,301,RC,84436,CPT,,,outpatient,,,181,,90.5,108.6,175.57,170.14,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,150.23,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,171.226,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,175.57,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,159.28,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,144.981,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,168.1309,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.9991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONG ABNORM, (PAPP-A AND HCG) ALGORITHM W/RISK SCORE",310,RC,81508,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE TYPING, ID BY NUCLEIC ACID (DNA OR RNA)",306,RC,87150,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIT GENE ANALYSIS, D816 VARIANT",310,RC,81273,CPT,,,outpatient,,,960,,480,576,931.2,902.4,,,,percent of total billed charges,,768,,,,percent of total billed charges,,912,,,,percent of total billed charges,,796.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,912,,,,percent of total billed charges,,931.2,,,,percent of total billed charges,,912,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,768.96,,,,percent of total billed charges,,864,,,,percent of total billed charges,,576,,,,percent of total billed charges,,891.744,,,,percent of total billed charges,,912,,,,percent of total billed charges,,912,,,,percent of total billed charges,,768,,,,percent of total billed charges,,576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,769.056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOFLUORESCENCE, EACH ADDL AB",312,RC,88350,CPT,,,outpatient,,,393,,196.5,235.8,381.21,369.42,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,326.19,,,,percent of total billed charges,,353.7,,,,percent of total billed charges,,361.56,,,,percent of total billed charges,,361.56,,,,percent of total billed charges,,371.778,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,381.21,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,345.84,,,,percent of total billed charges,,353.7,,,,percent of total billed charges,,314.793,,,,percent of total billed charges,,353.7,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,365.0577,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,314.8323,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZODIAZEPINE QUANT,301,RC,G0480,HCPCS,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOLS,301,RC,80307,CPT,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUGS OF ABUSE SCREEN_DIRECT OPTICAL OBSER,301,RC,80305,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCILIC & OTHER  CYCLICALS, 6 OR MORE",301,RC,G0481,HCPCS,,,outpatient,,,520,,260,312,504.4,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,483.028,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,416.572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZODIAZEPINE QUANT,301,RC,G0481,HCPCS,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPRENORPHINE SCREEN,301,RC,80307,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALGESICS NON-OPIOD, 1 OR 2",301,RC,80307,CPT,,,outpatient,,,179,,89.5,107.4,173.63,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,143.379,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,166.2731,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.3969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IF EACH ADDITIONAL ANTIBODY,312,RC,88350,CPT,,,outpatient,,,176,,88,105.6,170.72,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,140.976,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,163.4864,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.9936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUPPLEMENTAL NEWBORN SCREEN,301,RC,82542,CPT,,,outpatient,,,234,,117,140.4,226.98,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,187.434,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,217.3626,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.4574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INERCELLULAR SUBSTANCE AB,319,RC,88346,CPT,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLUMN CHROMATOGRAPHY, MASS, QUANT/QUAL",301,RC,82542,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHLORINATED HYDROCARBONS, SCREEN",301,RC,G0480,HCPCS,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUOFIXATION ELECTROPHORESIS, SERUM",300,RC,86334,CPT,,,outpatient,,,259,,129.5,155.4,251.23,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,207.459,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,240.5851,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.4849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG YERSINIA ANTIBODIES,300,RC,86793,CPT,,,outpatient,,,229,,114.5,137.4,222.13,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,183.429,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,212.7181,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.4519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRCA1, BRCA2, GENE ANAL, FULL SEQ & FULL DUP/DEL",310,RC,81162,CPT,,,outpatient,,,8833,,4416.5,5299.8,8568.01,8303.02,,,,percent of total billed charges,,7066.4,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,7331.39,,,,percent of total billed charges,,7949.7,,,,percent of total billed charges,,8126.36,,,,percent of total billed charges,,8126.36,,,,percent of total billed charges,,8356.018,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,8568.01,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,7773.04,,,,percent of total billed charges,,7949.7,,,,percent of total billed charges,,7075.233,,,,percent of total billed charges,,7949.7,,,,percent of total billed charges,,5299.8,,,,percent of total billed charges,,8204.9737,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,7066.4,,,,percent of total billed charges,,5299.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7076.1163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG SCREEN ON UNKNOWN SUBSTANCE,301,RC,84999,CPT,,,outpatient,,,982,,491,589.2,952.54,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,786.582,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,912.1798,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,786.6802,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALR GENE ANALYSIS,310,RC,81219,CPT,,,outpatient,,,2822,,1411,1693.2,2737.34,2652.68,,,,percent of total billed charges,,2257.6,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2342.26,,,,percent of total billed charges,,2539.8,,,,percent of total billed charges,,2596.24,,,,percent of total billed charges,,2596.24,,,,percent of total billed charges,,2669.612,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2737.34,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2483.36,,,,percent of total billed charges,,2539.8,,,,percent of total billed charges,,2260.422,,,,percent of total billed charges,,2539.8,,,,percent of total billed charges,,1693.2,,,,percent of total billed charges,,2621.3558,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2257.6,,,,percent of total billed charges,,1693.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2260.7042,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IDENTIFICATION BY NUCLEIC ACID SEQUENCING, EACH ISOLATE",300,RC,87153,CPT,,,outpatient,,,482,,241,289.2,467.54,453.08,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,400.06,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,455.972,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,467.54,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,424.16,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,386.082,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,447.7298,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,386.1302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL MYELIN PROTEIN (PMP22),310,RC,81325,CPT,,,outpatient,,,10482,,5241,6289.2,10167.54,9853.08,,,,percent of total billed charges,,8385.6,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,8700.06,,,,percent of total billed charges,,9433.8,,,,percent of total billed charges,,9643.44,,,,percent of total billed charges,,9643.44,,,,percent of total billed charges,,9915.972,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,10167.54,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,9224.16,,,,percent of total billed charges,,9433.8,,,,percent of total billed charges,,8396.082,,,,percent of total billed charges,,9433.8,,,,percent of total billed charges,,6289.2,,,,percent of total billed charges,,9736.7298,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,8385.6,,,,percent of total billed charges,,6289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8397.1302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOL BIOMARKERS:1 OR 2,301,RC,80307,CPT,,,outpatient,,,365,,182.5,219,354.05,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,292.365,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,339.0485,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,292.4015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT, DNA, RNA, NOS:AMP, EACH ORG",306,RC,87798,CPT,,,outpatient,,,1019,,509.5,611.4,988.43,957.86,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,845.77,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,963.974,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,988.43,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,896.72,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,816.219,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,946.5491,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,816.3209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT, DNA,RNA,  AMP, HERPES SIMP VIRUS",306,RC,87529,CPT,,,outpatient,,,1019,,509.5,611.4,988.43,957.86,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,845.77,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,963.974,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,988.43,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,896.72,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,816.219,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,946.5491,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,816.3209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNA EXTRACTION AND STORAGE,310,RC,81479,CPT,,,outpatient,,,214,,107,128.4,207.58,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,171.414,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,198.7846,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.4354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCA3/KLK PROSTATE CANCER ANTIGEN 3,310,RC,81313,CPT,,,outpatient,,,660,,330,396,640.2,620.4,,,,percent of total billed charges,,528,,,,percent of total billed charges,,627,,,,percent of total billed charges,,547.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,624.36,,,,percent of total billed charges,,627,,,,percent of total billed charges,,640.2,,,,percent of total billed charges,,627,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,528.66,,,,percent of total billed charges,,594,,,,percent of total billed charges,,396,,,,percent of total billed charges,,613.074,,,,percent of total billed charges,,627,,,,percent of total billed charges,,627,,,,percent of total billed charges,,528,,,,percent of total billed charges,,396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,528.726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 HYPEMETHYLATION,310,RC,81288,CPT,,,outpatient,,,2215,,1107.5,1329,2148.55,2082.1,,,,percent of total billed charges,,1772,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,1838.45,,,,percent of total billed charges,,1993.5,,,,percent of total billed charges,,2037.8,,,,percent of total billed charges,,2037.8,,,,percent of total billed charges,,2095.39,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,2148.55,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,1949.2,,,,percent of total billed charges,,1993.5,,,,percent of total billed charges,,1774.215,,,,percent of total billed charges,,1993.5,,,,percent of total billed charges,,1329,,,,percent of total billed charges,,2057.5135,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,1772,,,,percent of total billed charges,,1329,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1774.4365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT-L1 LUNG,310,RC,88360,CPT,,,outpatient,,,958,,479,574.8,929.26,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,767.358,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,889.8862,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,767.4538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE OSMOLALITY,301,RC,83935,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF OXALATE,301,RC,83945,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY PH BODY FLUID NOS,301,RC,83986,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE POTASSIUM,301,RC,84133,CPT,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SODIUM,301,RC,84300,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SULFATE,301,RC,84392,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/URIC ACID,301,RC,84560,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMMONIA,301,RC,82140,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCIUM IN URINE,301,RC,82340,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CHLORIDE,301,RC,82436,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CITRATE,301,RC,82507,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,82570,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,83735,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE PHOSPHORUS,301,RC,84105,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/UREA-N,301,RC,84540,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMMONIA,301,RC,82140,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCIUM,301,RC,82310,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CHLORIDE,301,RC,82436,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CITRATE,301,RC,82507,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,82570,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,83735,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE PHOSPHORUS,301,RC,84105,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 1",301,RC,80307,CPT,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 2",301,RC,80307,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 3",301,RC,80307,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 4",301,RC,80179,CPT,,,outpatient,,,179,,89.5,107.4,173.63,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,143.379,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,166.2731,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.3969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 5",301,RC,80307,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 6",301,RC,80307,CPT,,,outpatient,,,358,,179,214.8,347.26,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,286.758,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,332.5462,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.7938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 7",301,RC,80307,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 11",301,RC,80307,CPT,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF APOLIPOPROTEIN,301,RC,82172,CPT,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL,301,RC,82247,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GGT,301,RC,82977,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HAPTOGLOBIN QUANT,301,RC,83010,CPT,,,outpatient,,,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC,301,RC,83883,CPT,,,outpatient,,,213,,106.5,127.8,206.61,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,170.613,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,197.8557,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.6343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALANINE AMINO (ALT) (SGPT),301,RC,84460,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASO TITER,302,RC,86060,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALDOSTERONE,301,RC,82088,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DETECT BY NUCLEIC ACID (DNA OR RNA),306,RC,87483,CPT,,,outpatient,,,724,,362,434.4,702.28,680.56,,,,percent of total billed charges,,579.2,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,600.92,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,666.08,,,,percent of total billed charges,,666.08,,,,percent of total billed charges,,684.904,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,702.28,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,637.12,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,579.924,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,672.5236,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,579.2,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,579.9964,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOZAPINE,301,RC,80159,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER; 1 OR 2",301,RC,G0480,HCPCS,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONGENTIAL ABNORMALITIES,FOUR ANALYTES",310,RC,81511,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROSTENEDIONE,301,RC,82157,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGENS, FRACTIONATED",301,RC,82671,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METAL QUANT, EACH, NOT ELSEWHERE SPECIFIED",301,RC,82542,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALK PHOS ISOENZYMES,301,RC,84075,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TESTOSTERONE, BIOAVAILABLE DIRECT",300,RC,84410,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CARDIOLIPIN AB, EACH IG CLASS",302,RC,86147,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AB, BACTERIUM, NOT ELSEWHERE SPECIFIED",302,RC,86609,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, AMPLIFIED",306,RC,87801,CPT,,,outpatient,,,399,,199.5,239.4,387.03,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,319.599,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,370.6311,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,319.6389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS TEST, QUANT",302,RC,86593,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUM, ANY # DRUGS BY INST, PER DOS",301,RC,80307,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY FOR ANALYTE OTHER THAN INFECT AB OR AG, QUANT BY RIA",302,RC,83519,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY FOR ANALYTE OTHER THAN INFECT AB OR AG, QUAN NOT SPEC",302,RC,83520,CPT,,,outpatient,,,338,,169,202.8,327.86,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,270.738,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,313.9682,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,270.7718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MTHFR GENE ANALYSIS, COMMON VIARIANTS",310,RC,81291,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN BARR VIRUS, MOLECULAR DETECTION, PCR, QUANTITATIVE",306,RC,87799,CPT,,,outpatient,,,302,,151,181.2,292.94,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,241.902,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,280.5278,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,241.9322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CFTR GENE ANALYSIS, COMMON VARIANTS",310,RC,81220,CPT,,,outpatient,,,362,,181,217.2,351.14,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,289.962,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,336.2618,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.9982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAGINITIS PATHOGEN DNA PANEL BY PCR,306,RC,81514,CPT,,,outpatient,,,1167,,583.5,700.2,1131.99,1096.98,,,,percent of total billed charges,,933.6,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,968.61,,,,percent of total billed charges,,1050.3,,,,percent of total billed charges,,1073.64,,,,percent of total billed charges,,1073.64,,,,percent of total billed charges,,1103.982,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,1131.99,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,1026.96,,,,percent of total billed charges,,1050.3,,,,percent of total billed charges,,934.767,,,,percent of total billed charges,,1050.3,,,,percent of total billed charges,,700.2,,,,percent of total billed charges,,1084.0263,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,933.6,,,,percent of total billed charges,,700.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,934.8837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA DNA AMP PROBE,306,RC,87481,CPT,,,outpatient,,,247,,123.5,148.2,239.59,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,197.847,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,229.4383,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.8717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INF AGENT BY NUCLEIC ACID, TRICHOMONAS VAGINALIS, AMP PROBE",306,RC,87661,CPT,,,outpatient,,,247,,123.5,148.2,239.59,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,197.847,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,229.4383,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.8717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY, JC(JOHN CUNNINGHAN) VIRUS",302,RC,86711,CPT,,,outpatient,,,3634,,1817,2180.4,3524.98,3415.96,,,,percent of total billed charges,,2907.2,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3016.22,,,,percent of total billed charges,,3270.6,,,,percent of total billed charges,,3343.28,,,,percent of total billed charges,,3343.28,,,,percent of total billed charges,,3437.764,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3524.98,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3270.6,,,,percent of total billed charges,,2910.834,,,,percent of total billed charges,,3270.6,,,,percent of total billed charges,,2180.4,,,,percent of total billed charges,,3375.6226,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,2907.2,,,,percent of total billed charges,,2180.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2911.1974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENERAL HEALTH PANEL (PEIA),301,RC,80050,CPT,,,outpatient,,,581,,290.5,348.6,563.57,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,465.381,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,539.6909,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,465.4391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLASE,300,RC,82150,CPT,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOW CYTOMETRY, 1ST MARKER2",310,RC,88184,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIGOXIN, FREE",300,RC,80163,CPT,,,outpatient,,,528,,264,316.8,512.16,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,422.928,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,490.4592,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,422.9808,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA CLASS I & II TYPING, HIGH RES, HLA A,B,C & DRB1",310,RC,81378,CPT,,,outpatient,,,831,,415.5,498.6,806.07,781.14,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,689.73,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,786.126,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,806.07,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,731.28,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,665.631,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,771.9159,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,665.7141,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA CLASS II TYPING, HIGH RES, ONE LOCUS, EACH",310,RC,81382,CPT,,,outpatient,,,298,,149,178.8,289.06,280.12,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,247.34,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,281.908,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,289.06,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,262.24,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,238.698,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,276.8122,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,238.7278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NOT INFECTIOUS AGENT, QUANT BY RIA",301,RC,83519,CPT,,,outpatient,,,550,,275,330,533.5,517,,,,percent of total billed charges,,440,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,456.5,,,,percent of total billed charges,,495,,,,percent of total billed charges,,506,,,,percent of total billed charges,,506,,,,percent of total billed charges,,520.3,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,533.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,484,,,,percent of total billed charges,,495,,,,percent of total billed charges,,440.55,,,,percent of total billed charges,,495,,,,percent of total billed charges,,330,,,,percent of total billed charges,,510.895,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,440,,,,percent of total billed charges,,330,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,440.605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INF. AGNT DETECT BY NUCL. ACID (DNAORRNA),GI PATH,12-25TARGETS",306,RC,87507,CPT,,,outpatient,,,1190,,595,714,1154.3,1118.6,,,,percent of total billed charges,,952,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,987.7,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1125.74,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1154.3,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,953.19,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,714,,,,percent of total billed charges,,1105.391,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,952,,,,percent of total billed charges,,714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,953.309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NON-INFECTOUS AB, TITER, EACH AB",300,RC,86256,CPT,,,outpatient,,,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMILUMINESCENT ASSAY,301,RC,82397,CPT,,,outpatient,,,292,,146,175.2,283.24,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,233.892,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,271.2388,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.9212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY,302,RC,86147,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCOPROTEIN 1 ANTIBODY,302,RC,86146,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN (PHOSPHOLIPID) - ANTIBODY,302,RC,86147,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCOPROTEIN 1 - ANTIBODY,302,RC,86146,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN (PHOSPHOLIPID)- ANTIBODY,302,RC,86147,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 - GLYCOPROTEIN 1 ANTIBODY,302,RC,86146,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID",302,RC,86665,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BARR VIRUS, EARLY ANTIGEN",302,RC,86663,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BARR VIRUS, NUCLEAR ANTIGEN(EBNA)",302,RC,86664,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN - BARR (EB) VIRUS, VIRAL CAPSID",302,RC,86665,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA,302,RC,86777,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA,302,RC,86762,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGALOVIRUS (CMV),302,RC,86644,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX, TYPE 1",302,RC,86695,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX, TYPE 2",302,RC,86696,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBEOLA,302,RC,86765,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGH VARIABLE REGION SOMATIC MUT ANALYSIS,310,RC,81263,CPT,,,outpatient,,,1725,,862.5,1035,1673.25,1621.5,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1431.75,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1631.85,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1673.25,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1381.725,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1602.3525,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1381.8975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TARGETED GENOMIC SEQUENCE ANALYSIS, HEM NEOPLASM OR DISORDER",310,RC,81450,CPT,,,outpatient,,,4834,,2417,2900.4,4688.98,4543.96,,,,percent of total billed charges,,3867.2,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4012.22,,,,percent of total billed charges,,4350.6,,,,percent of total billed charges,,4447.28,,,,percent of total billed charges,,4447.28,,,,percent of total billed charges,,4572.964,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4688.98,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4253.92,,,,percent of total billed charges,,4350.6,,,,percent of total billed charges,,3872.034,,,,percent of total billed charges,,4350.6,,,,percent of total billed charges,,2900.4,,,,percent of total billed charges,,4490.3026,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,3867.2,,,,percent of total billed charges,,2900.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3872.5174,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VITAMIN D, 25 HYDROXY",300,RC,82306,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMN1 GENE DOS/DELETION ALYS,310,RC,81329,CPT,,,outpatient,,,600,,300,360,582,564,,,,percent of total billed charges,,480,,,,percent of total billed charges,,570,,,,percent of total billed charges,,498,,,,percent of total billed charges,,540,,,,percent of total billed charges,,552,,,,percent of total billed charges,,552,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,570,,,,percent of total billed charges,,582,,,,percent of total billed charges,,570,,,,percent of total billed charges,,528,,,,percent of total billed charges,,540,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,540,,,,percent of total billed charges,,360,,,,percent of total billed charges,,557.34,,,,percent of total billed charges,,570,,,,percent of total billed charges,,570,,,,percent of total billed charges,,480,,,,percent of total billed charges,,360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,480.66,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHETAMINES 5 OR MORE,301,RC,80326,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BENZODIAZEPINES CONFIRMATION, S",301,RC,80347,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHADONE AND METABOLITE CONFIRM, S",301,RC,80358,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRESUMPTIVE DRUG CLASS SCREENING,301,RC,80307,CPT,,,outpatient,,,92,,46,55.2,89.24,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,73.692,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,85.4588,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.7012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,86235,CPT,,,outpatient,,,395,,197.5,237,383.15,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,316.395,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,366.9155,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,316.4345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATHOGEN REDUCED PLATELETS,390,RC,P9073,HCPCS,,,outpatient,,,2705,,1352.5,1623,2623.85,2542.7,,,,percent of total billed charges,,2164,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2245.15,,,,percent of total billed charges,,2434.5,,,,percent of total billed charges,,2488.6,,,,percent of total billed charges,,2488.6,,,,percent of total billed charges,,2558.93,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2623.85,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2380.4,,,,percent of total billed charges,,2434.5,,,,percent of total billed charges,,2166.705,,,,percent of total billed charges,,2434.5,,,,percent of total billed charges,,1623,,,,percent of total billed charges,,2512.6745,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2164,,,,percent of total billed charges,,1623,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2166.9755,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, EWING/PNET, EWSR1, 22Q12 REARRGMT (QUEST)",311,RC,88271,CPT,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, EWING/PNET, EWSR1, 22Q12 REARRGMT (QUEST)",311,RC,88275,CPT,,,outpatient,,,271,,135.5,162.6,262.87,254.74,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,224.93,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,256.366,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,262.87,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,238.48,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,217.071,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,251.7319,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.0981,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, OLIGODENDROGLIOMA, 1P/19Q (QUEST)",312,RC,88364,CPT,,,outpatient,,,389,,194.5,233.4,377.33,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,311.589,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,361.3421,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,311.6279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, OLIGODENDROGLIOMA, 1P/19Q (QUEST)",312,RC,88365,CPT,,,outpatient,,,389,,194.5,233.4,377.33,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,311.589,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,361.3421,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,311.6279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-KIT MUTATIONS (QUEST),310,RC,81272,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANNEXIN-1, IHC (QUEST)",312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TP53 SOMATIC MUTATION (QUEST),310,RC,81352,CPT,,,outpatient,,,1757,,878.5,1054.2,1704.29,1651.58,,,,percent of total billed charges,,1405.6,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1458.31,,,,percent of total billed charges,,1581.3,,,,percent of total billed charges,,1616.44,,,,percent of total billed charges,,1616.44,,,,percent of total billed charges,,1662.122,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1704.29,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1546.16,,,,percent of total billed charges,,1581.3,,,,percent of total billed charges,,1407.357,,,,percent of total billed charges,,1581.3,,,,percent of total billed charges,,1054.2,,,,percent of total billed charges,,1632.0773,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1405.6,,,,percent of total billed charges,,1054.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1407.5327,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN, FNA (QUEST)",301,RC,84432,CPT,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NRAS MUTATION ANALYSIS (QUEST),310,RC,81311,CPT,,,outpatient,,,603,,301.5,361.8,584.91,566.82,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,500.49,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,570.438,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,584.91,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,530.64,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,483.003,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,560.1267,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,483.0633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PDGFRA MUTATION ANALYSIS (QUEST),310,RC,81314,CPT,,,outpatient,,,688,,344,412.8,667.36,646.72,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,571.04,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,650.848,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,667.36,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,551.088,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,639.0832,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,551.1568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FASCIN, IHC (QUEST)",312,RC,88342,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CUTANEOUS DIRECT IF (QUEST),312,RC,88346,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,81210,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,81275,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,81276,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,81311,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,81404,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOPEROXIDASE, IHC (QUEST)",312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-1-ANTITRYPSIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAPLASTIC LYMPHOMA KINASE 1 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CA125 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD25, IHC (QUEST)",312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD61 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 19 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DBA44 HAIRY CELL IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR 13A IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRANZYME B IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPPAR-1 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LH, IHC (QUEST)",312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYSOZYME, IHC (QUEST)",312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MA903 CYTOKERATIN 34BE12 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOGENIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURON-SPECIFIC ENOLASE IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTATIC ACID PHOS IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTH IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL CELL CARC IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMOOTH MUSCLE ACTIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TERM DEOXY TRANSFERASE IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T GONDII IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TSH IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOB1 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH SYN SARCOMA SYT (QUEST),311,RC,88271,CPT,,,outpatient,,,228,,114,136.8,221.16,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,211.7892,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,182.6508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH SYN SARCOMA SYT (QUEST),311,RC,88275,CPT,,,outpatient,,,228,,114,136.8,221.16,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,211.7892,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,182.6508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH HER2/NEU IHC (QUEST),312,RC,88377,CPT,,,outpatient,,,513,,256.5,307.8,497.61,482.22,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,425.79,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,485.298,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,497.61,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,451.44,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,410.913,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,476.5257,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,410.9643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARCOMA MUT ANALYSIS (QUEST),310,RC,81445,CPT,,,outpatient,,,838,,419,502.8,812.86,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,671.238,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,778.4182,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,671.3218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-KIT MUT ANALYSIS CELL BASED (QUEST),310,RC,81272,CPT,,,outpatient,,,788,,394,472.8,764.36,740.72,,,,percent of total billed charges,,630.4,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,654.04,,,,percent of total billed charges,,709.2,,,,percent of total billed charges,,724.96,,,,percent of total billed charges,,724.96,,,,percent of total billed charges,,745.448,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,764.36,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,693.44,,,,percent of total billed charges,,709.2,,,,percent of total billed charges,,631.188,,,,percent of total billed charges,,709.2,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,731.9732,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,630.4,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,631.2668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 NON-LUNG IHC (QUEST),312,RC,88360,CPT,,,outpatient,,,853,,426.5,511.8,827.41,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,683.253,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,792.3517,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.3383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SUBSET (QUEST),302,RC,86355,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SUBSET (QUEST),302,RC,86359,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SUBSET (QUEST),302,RC,86360,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONCOMINE DX TARGET (QUEST),310,RC,0022U,HCPCS,,,outpatient,,,4938,,2469,2962.8,4789.86,4641.72,,,,percent of total billed charges,,3950.4,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4098.54,,,,percent of total billed charges,,4444.2,,,,percent of total billed charges,,4542.96,,,,percent of total billed charges,,4542.96,,,,percent of total billed charges,,4671.348,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4789.86,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4345.44,,,,percent of total billed charges,,4444.2,,,,percent of total billed charges,,3955.338,,,,percent of total billed charges,,4444.2,,,,percent of total billed charges,,2962.8,,,,percent of total billed charges,,4586.9082,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,3950.4,,,,percent of total billed charges,,2962.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3955.8318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN AE1/AE3 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLOID A IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MET-PHOSPHO IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD14 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD44 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD163 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CK17 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOG1 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H-CALDESMON IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INI-1 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMAGLOBIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX2 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P57 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD123 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROPLAKIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VILLIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECEPTOR (QUEST),310,RC,81342,CPT,,,outpatient,,,305,,152.5,183,295.85,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,244.305,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,283.3145,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,244.3355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECEPTOR (QUEST),301,RC,84999,CPT,,,outpatient,,,305,,152.5,183,295.85,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,244.305,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,283.3145,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,244.3355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MGMT PROMOTER METHYL DET (QUEST),310,RC,81287,CPT,,,outpatient,,,800,,400,480,776,752,,,,percent of total billed charges,,640,,,,percent of total billed charges,,760,,,,percent of total billed charges,,664,,,,percent of total billed charges,,720,,,,percent of total billed charges,,736,,,,percent of total billed charges,,736,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,760,,,,percent of total billed charges,,776,,,,percent of total billed charges,,760,,,,percent of total billed charges,,704,,,,percent of total billed charges,,720,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,720,,,,percent of total billed charges,,480,,,,percent of total billed charges,,743.12,,,,percent of total billed charges,,760,,,,percent of total billed charges,,760,,,,percent of total billed charges,,640,,,,percent of total billed charges,,480,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,640.88,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROM MICROARRAY HEM CLARISURE (QUEST),310,RC,81406,CPT,,,outpatient,,,2000,,1000,1200,1940,1880,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1660,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1940,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1760,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1602,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,1857.8,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1602.2,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGG4 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTEIN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-1 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROGEN RECPTR IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR PNL IHC,312,RC,88341,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR PNL IHC,312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY PNL PCR (QUEST),310,RC,81340,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY PNL PCR (QUEST),310,RC,81342,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY PNL PCR (QUEST),301,RC,84999,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECPTR BETA PCR (QUEST),310,RC,81340,CPT,,,outpatient,,,425,,212.5,255,412.25,399.5,,,,percent of total billed charges,,340,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,352.75,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,391,,,,percent of total billed charges,,391,,,,percent of total billed charges,,402.05,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,412.25,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,374,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,340.425,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,255,,,,percent of total billed charges,,394.7825,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,340,,,,percent of total billed charges,,255,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,340.4675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECPTR BETA PCR (QUEST),301,RC,84999,CPT,,,outpatient,,,425,,212.5,255,412.25,399.5,,,,percent of total billed charges,,340,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,352.75,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,391,,,,percent of total billed charges,,391,,,,percent of total billed charges,,402.05,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,412.25,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,374,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,340.425,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,255,,,,percent of total billed charges,,394.7825,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,340,,,,percent of total billed charges,,255,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,340.4675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTATE TRIPLE STAIN IHC (QUEST),312,RC,88344,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY PNL PCR (QUEST),310,RC,81261,CPT,,,outpatient,,,399,,199.5,239.4,387.03,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,319.599,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,370.6311,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,319.6389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY PNL PCR (QUEST),310,RC,81264,CPT,,,outpatient,,,399,,199.5,239.4,387.03,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,319.599,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,370.6311,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,319.6389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY PNL PCR (QUEST),301,RC,84999,CPT,,,outpatient,,,399,,199.5,239.4,387.03,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,319.599,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,370.6311,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,319.6389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYD88 MUT ANALYSIS (QUEST),310,RC,81305,CPT,,,outpatient,,,751,,375.5,450.6,728.47,705.94,,,,percent of total billed charges,,600.8,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,623.33,,,,percent of total billed charges,,675.9,,,,percent of total billed charges,,690.92,,,,percent of total billed charges,,690.92,,,,percent of total billed charges,,710.446,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,728.47,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,660.88,,,,percent of total billed charges,,675.9,,,,percent of total billed charges,,601.551,,,,percent of total billed charges,,675.9,,,,percent of total billed charges,,450.6,,,,percent of total billed charges,,697.6039,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,600.8,,,,percent of total billed charges,,450.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,601.6261,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA ROS1 REARR (QUEST),311,RC,88274,CPT,,,outpatient,,,482,,241,289.2,467.54,453.08,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,400.06,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,455.972,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,467.54,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,424.16,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,386.082,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,447.7298,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,386.1302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 LUNG (PEM) IHC (QUEST),312,RC,88360,CPT,,,outpatient,,,853,,426.5,511.8,827.41,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,683.253,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,792.3517,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.3383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 BLADDER (QUEST),312,RC,88360,CPT,,,outpatient,,,853,,426.5,511.8,827.41,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,683.253,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,792.3517,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.3383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 (ATEZO) IHC (QUEST),312,RC,88360,CPT,,,outpatient,,,853,,426.5,511.8,827.41,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,683.253,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,792.3517,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.3383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GAD65, IA-2 AND INSULIN AB (QUEST)",302,RC,86337,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GAD65, IA-2 AND INSULIN AB (QUEST)",302,RC,86341,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLIAL FIBRILLARY ACIDIC PROT IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MELAN-A IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROFILAMENT PROT IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P504S IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WILMS' TUMOR-1 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PDGFRA MUT ANALYSIS (QUEST),310,RC,81314,CPT,,,outpatient,,,688,,344,412.8,667.36,646.72,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,571.04,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,650.848,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,667.36,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,551.088,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,639.0832,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,551.1568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTEN IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, MET AMPL (QUEST)",311,RC,88271,CPT,,,outpatient,,,238,,119,142.8,230.86,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,190.638,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,221.0782,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,190.6618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, MET AMPL (QUEST)",311,RC,88275,CPT,,,outpatient,,,446,,223,267.6,432.62,419.24,,,,percent of total billed charges,,356.8,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,370.18,,,,percent of total billed charges,,401.4,,,,percent of total billed charges,,410.32,,,,percent of total billed charges,,410.32,,,,percent of total billed charges,,421.916,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,432.62,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,392.48,,,,percent of total billed charges,,401.4,,,,percent of total billed charges,,357.246,,,,percent of total billed charges,,401.4,,,,percent of total billed charges,,267.6,,,,percent of total billed charges,,414.2894,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,356.8,,,,percent of total billed charges,,267.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,357.2906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGG IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 IHC (QUEST),312,RC,88360,CPT,,,outpatient,,,568,,284,340.8,550.96,533.92,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,471.44,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,537.328,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,550.96,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,499.84,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,454.968,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,527.6152,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,455.0248,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS TEST, NON-TREPONEMAL ANTIBODY",310,RC,0065U,HCPCS,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOCOCCUS ANTIGEN TITER, LFA, SPINAL FLUID",306,RC,87899,CPT,,,outpatient,,,600,,300,360,582,564,,,,percent of total billed charges,,480,,,,percent of total billed charges,,570,,,,percent of total billed charges,,498,,,,percent of total billed charges,,540,,,,percent of total billed charges,,552,,,,percent of total billed charges,,552,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,570,,,,percent of total billed charges,,582,,,,percent of total billed charges,,570,,,,percent of total billed charges,,528,,,,percent of total billed charges,,540,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,540,,,,percent of total billed charges,,360,,,,percent of total billed charges,,557.34,,,,percent of total billed charges,,570,,,,percent of total billed charges,,570,,,,percent of total billed charges,,480,,,,percent of total billed charges,,360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,480.66,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOCOCCUS ANTIGEN TITER, LFA, SERUM",306,RC,87899,CPT,,,outpatient,,,625,,312.5,375,606.25,587.5,,,,percent of total billed charges,,500,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,518.75,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,575,,,,percent of total billed charges,,575,,,,percent of total billed charges,,591.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,606.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,550,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,500.625,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,375,,,,percent of total billed charges,,580.5625,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,500,,,,percent of total billed charges,,375,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,500.6875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP PANEL 22 TARGETS INCL SARSCOV2,310,RC,0202U,HCPCS,,,outpatient,,,1052,,526,631.2,1020.44,988.88,,,,percent of total billed charges,,841.6,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,873.16,,,,percent of total billed charges,,946.8,,,,percent of total billed charges,,967.84,,,,percent of total billed charges,,967.84,,,,percent of total billed charges,,995.192,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,1020.44,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,925.76,,,,percent of total billed charges,,946.8,,,,percent of total billed charges,,842.652,,,,percent of total billed charges,,946.8,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,977.2028,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,841.6,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,842.7572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NPM1 MUTATION ANALYSIS, V",310,RC,81401,CPT,,,outpatient,,,892,,446,535.2,865.24,838.48,,,,percent of total billed charges,,713.6,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,740.36,,,,percent of total billed charges,,802.8,,,,percent of total billed charges,,820.64,,,,percent of total billed charges,,820.64,,,,percent of total billed charges,,843.832,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,865.24,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,784.96,,,,percent of total billed charges,,802.8,,,,percent of total billed charges,,714.492,,,,percent of total billed charges,,802.8,,,,percent of total billed charges,,535.2,,,,percent of total billed charges,,828.5788,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,713.6,,,,percent of total billed charges,,535.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,714.5812,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY NONANTIBODY,301,RC,83516,CPT,,,outpatient,,,303,,151.5,181.8,293.91,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,242.703,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,281.4567,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.7333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,86235,CPT,,,outpatient,,,361,,180.5,216.6,350.17,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,335.3329,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.1971,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KAPPA FREE LIGHT CHAIN, CSF",301,RC,83883,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THIOPURINES AND METABOLITES, B",301,RC,80299,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PTH, FNAB, NEEDLE WASH",301,RC,83970,CPT,,,outpatient,,,430,,215,258,417.1,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,344.43,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,399.427,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,344.473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PANCREATIC ELASTASE, F",301,RC,83520,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENC2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,86255,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83519,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DYS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83519,CPT,,,outpatient,,,202,,101,121.2,195.94,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,161.802,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,187.6378,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.8222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DYS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN 2,302,RC,83520,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DYS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,258,,129,154.8,250.26,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,206.658,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,239.6562,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,206.6838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DYS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,974,,487,584.4,944.78,915.56,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,808.42,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,921.404,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,944.78,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,857.12,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,780.174,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,904.7486,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,780.2714,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,632,,316,379.2,613.04,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,506.232,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,587.0648,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,506.2952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CDS1 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,616,,308,369.6,597.52,579.04,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,582.736,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,542.08,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,493.416,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,572.2024,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,493.4776,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AIAES FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,183,,91.5,109.8,177.51,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,146.583,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,169.9887,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.6013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AIAES PROTEIN, WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,84182,CPT,,,outpatient,,,438,,219,262.8,424.86,411.72,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,363.54,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,414.348,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,424.86,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,385.44,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,350.838,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,406.8582,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,350.8818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AIAES IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83519,CPT,,,outpatient,,,279,,139.5,167.4,270.63,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,223.479,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,259.1631,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,223.5069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAD65AB ASSAY,302,RC,86341,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAC1 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAC1 PROTEIN, WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,84182,CPT,,,outpatient,,,426,,213,255.6,413.22,400.44,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,353.58,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,402.996,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,413.22,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,374.88,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,341.226,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,395.7114,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,341.2686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAC1 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,343,,171.5,205.8,332.71,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,274.743,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,318.6127,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,274.7773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RIA NONANTIBODY,302,RC,83519,CPT,,,outpatient,,,263,,131.5,157.8,255.11,247.22,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,218.29,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,248.798,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,255.11,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,231.44,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,210.663,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,244.3007,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,210.6893,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL ANTIBODY,302,RC,86341,CPT,,,outpatient,,,338,,169,202.8,327.86,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,270.738,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,313.9682,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,270.7718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORESCENT ANTIBODY SCREEN,302,RC,86255,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN WESTERN BLOT TEST,301,RC,84182,CPT,,,outpatient,,,418,,209,250.8,405.46,392.92,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,346.94,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,395.428,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,405.46,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,367.84,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,334.818,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,388.2802,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.8598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDEC,302,RC,86255,CPT,,,outpatient,,,198,,99,118.8,192.06,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,158.598,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,183.9222,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.6178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDEC QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,387,,193.5,232.2,375.39,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,309.987,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,359.4843,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.0257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDES IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83519,CPT,,,outpatient,,,281,,140.5,168.6,272.57,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,225.081,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,261.0209,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,225.1091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDES QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,361,,180.5,216.6,350.17,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,335.3329,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.1971,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PCDES FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDC2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDC2 PROTEIN,WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,84182,CPT,,,outpatient,,,210,,105,126,203.7,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,168.21,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,195.069,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDC2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83519,CPT,,,outpatient,,,171,,85.5,102.6,165.87,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,136.971,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,158.8419,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.9881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDS2 PROTEIN, WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,84182,CPT,,,outpatient,,,272,,136,163.2,263.84,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,217.872,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,252.6608,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.8992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPC2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN,WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,84182,CPT,,,outpatient,,,532,,266,319.2,516.04,500.08,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,441.56,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,489.44,,,,percent of total billed charges,,489.44,,,,percent of total billed charges,,503.272,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,516.04,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,468.16,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,426.132,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,494.1748,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,426.1852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83519,CPT,,,outpatient,,,205,,102.5,123,198.85,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,164.205,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,190.4245,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,164.2255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,261,,130.5,156.6,253.17,245.34,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,216.63,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,246.906,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,253.17,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,209.061,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,242.4429,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,209.0871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,86255,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DMC2  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,86255,CPT,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DMC2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DMS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83519,CPT,,,outpatient,,,188,,94,112.8,182.36,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,150.588,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,174.6332,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.6068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DMS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,86341,CPT,,,outpatient,,,240,,120,144,232.8,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,192.24,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,222.936,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DMS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,86255,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDM2-FISH (NEO),312,RC,88377,CPT,,,outpatient,,,660,,330,396,640.2,620.4,,,,percent of total billed charges,,528,,,,percent of total billed charges,,627,,,,percent of total billed charges,,547.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,624.36,,,,percent of total billed charges,,627,,,,percent of total billed charges,,640.2,,,,percent of total billed charges,,627,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,528.66,,,,percent of total billed charges,,594,,,,percent of total billed charges,,396,,,,percent of total billed charges,,613.074,,,,percent of total billed charges,,627,,,,percent of total billed charges,,627,,,,percent of total billed charges,,528,,,,percent of total billed charges,,396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,528.726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 PROMOTER METHYLATION (NEO),310,RC,81288,CPT,,,outpatient,,,1024,,512,614.4,993.28,962.56,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,849.92,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,968.704,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,993.28,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,901.12,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,820.224,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,951.1936,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,820.3264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC BAND 3 PROTEIN REDUCTION IN HS,311,RC,88184,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEINZ BODY STAIN, DIRECT",305,RC,85441,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG  HEINZ BODY STAIN, INDUCED",305,RC,85445,CPT,,,outpatient,,,207,,103.5,124.2,200.79,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,165.807,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,192.2823,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.8277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VON WILLEBRAND FACTOR COLLAGEN BINDING,301,RC,83520,CPT,,,outpatient,,,372,,186,223.2,360.84,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,297.972,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,345.5508,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.0092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE FOR NON-NEOPLASTIC DISORDERS,311,RC,88230,CPT,,,outpatient,,,1008,,504,604.8,977.76,947.52,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,836.64,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,953.568,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,977.76,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,887.04,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,807.408,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,936.3312,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,807.5088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCORE 100 CELLS, CLASTOGEN STRESS",311,RC,88249,CPT,,,outpatient,,,1394,,697,836.4,1352.18,1310.36,,,,percent of total billed charges,,1115.2,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1157.02,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,1282.48,,,,percent of total billed charges,,1282.48,,,,percent of total billed charges,,1318.724,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1352.18,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1226.72,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,1116.594,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,836.4,,,,percent of total billed charges,,1294.8866,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1115.2,,,,percent of total billed charges,,836.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1116.7334,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HHV8 BY QUANTITATIVE PCR, SOURCE",306,RC,87799,CPT,,,outpatient,,,605,,302.5,363,586.85,568.7,,,,percent of total billed charges,,484,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,502.15,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,572.33,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,586.85,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,532.4,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,484.605,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,363,,,,percent of total billed charges,,561.9845,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,484,,,,percent of total billed charges,,363,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,484.6655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYOGLOBULIN, S",301,RC,82595,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYOFIBRINOGEN, P",301,RC,82585,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFIXATION CRYOGLOBULIN,302,RC,86334,CPT,,,outpatient,,,386,,193,231.6,374.42,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,309.186,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,358.5554,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,309.2246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PYRUVATE KINASE, RBC",301,RC,84220,CPT,,,outpatient,,,474,,237,284.4,459.78,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,379.674,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,440.2986,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,379.7214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MPN (JAK2 V617F, CALR, MPL) REFLEX",310,RC,81270,CPT,,,outpatient,,,678,,339,406.8,657.66,637.32,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,562.74,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,641.388,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,657.66,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,596.64,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,543.078,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,629.7942,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,543.1458,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALR, GENE MUTATION, EXON 9, REFLEX",310,RC,81219,CPT,,,outpatient,,,951,,475.5,570.6,922.47,893.94,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,789.33,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,899.646,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,922.47,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,836.88,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,761.751,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,883.3839,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,761.8461,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MPL EXON 10 MUTATION DETECTION, R",310,RC,81403,CPT,,,outpatient,,,1747,,873.5,1048.2,1694.59,1642.18,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1450.01,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1652.662,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1694.59,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1537.36,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1399.347,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,1622.7883,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1399.5217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOGENIC FVIII, P",305,RC,85130,CPT,,,outpatient,,,531,,265.5,318.6,515.07,499.14,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,440.73,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,502.326,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,515.07,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,467.28,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,425.331,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,493.2459,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,425.3841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR X CHROMOGENIC ACTIVITY ASSAY,305,RC,85260,CPT,,,outpatient,,,869,,434.5,521.4,842.93,816.86,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,721.27,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,822.074,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,842.93,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,764.72,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,696.069,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,807.2141,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,696.1559,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOGENIC FVIII, P",305,RC,85130,CPT,,,outpatient,,,413,,206.5,247.8,400.61,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,330.813,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,383.6357,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.8543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOGENIC FVIII INHIBITOR TITER,P",305,RC,85335,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOGENIC FVIII INHIBITOR INTERP,305,RC,85390,CPT,,,outpatient,,,498,,249,298.8,483.06,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,398.898,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,462.5922,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.9478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COAG FACTOR X ASSAY, P",305,RC,85260,CPT,,,outpatient,,,647,,323.5,388.2,627.59,608.18,,,,percent of total billed charges,,517.6,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,537.01,,,,percent of total billed charges,,582.3,,,,percent of total billed charges,,595.24,,,,percent of total billed charges,,595.24,,,,percent of total billed charges,,612.062,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,627.59,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,569.36,,,,percent of total billed charges,,582.3,,,,percent of total billed charges,,518.247,,,,percent of total billed charges,,582.3,,,,percent of total billed charges,,388.2,,,,percent of total billed charges,,600.9983,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,517.6,,,,percent of total billed charges,,388.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,518.3117,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BETA GLOBIN GENE SEQUENCING, B",310,RC,81364,CPT,,,outpatient,,,1739,,869.5,1043.4,1686.83,1634.66,,,,percent of total billed charges,,1391.2,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1443.37,,,,percent of total billed charges,,1565.1,,,,percent of total billed charges,,1599.88,,,,percent of total billed charges,,1599.88,,,,percent of total billed charges,,1645.094,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1686.83,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1530.32,,,,percent of total billed charges,,1565.1,,,,percent of total billed charges,,1392.939,,,,percent of total billed charges,,1565.1,,,,percent of total billed charges,,1043.4,,,,percent of total billed charges,,1615.3571,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1391.2,,,,percent of total billed charges,,1043.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1393.1129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EHRLICHIA/ANAPLASMA PCR, B",306,RC,87798,CPT,,,outpatient,,,863,,431.5,517.8,837.11,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,691.263,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,801.6407,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,691.3493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BORRELIA MIYAMOTOI DETECTION PCR, B",306,RC,87798,CPT,,,outpatient,,,262,,131,157.2,254.14,246.28,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,217.46,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,247.852,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,254.14,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,230.56,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,209.862,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,243.3718,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,209.8882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BABESIA SPECIES, PCR, B",306,RC,87798,CPT,,,outpatient,,,702,,351,421.2,680.94,659.88,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,582.66,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,664.092,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,680.94,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,617.76,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,562.302,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,652.0878,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,562.3722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 2,3-DINOR 11B-PROSTAGLANDIN F2A, U",301,RC,84150,CPT,,,outpatient,,,549,,274.5,329.4,532.53,516.06,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,455.67,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,519.354,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,532.53,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,483.12,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,439.749,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,509.9661,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.8039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUKOTRIENE E4, U",301,RC,82542,CPT,,,outpatient,,,537,,268.5,322.2,520.89,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,430.137,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,498.8193,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.1907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB S/U DAT,390,RC,86880,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV1 GENOTYPE BY SEQUENCING,306,RC,87901,CPT,,,outpatient,,,836,,418,501.6,810.92,785.84,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,693.88,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,790.856,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,810.92,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,735.68,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,669.636,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,776.5604,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,669.7196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MULTIPLEX RESPIRATORY ASSAY -CEPHEID,306,RC,0241U,HCPCS,,,outpatient,,,679,,339.5,407.4,658.63,638.26,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,642.334,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,658.63,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,543.879,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,630.7231,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,543.9469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KI67 IHC WITH INTERPRET (QUEST),310,RC,88360,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER/PR/KI67/HER2 (QUEST),310,RC,88360,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 FISH (QUEST),310,RC,88377,CPT,,,outpatient,,,410,,205,246,397.7,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,328.41,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,380.849,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,328.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGFR MUT ANALYSIS (QUEST),310,RC,81235,CPT,,,outpatient,,,519,,259.5,311.4,503.43,487.86,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,430.77,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,490.974,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,503.43,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,456.72,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,415.719,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,482.0991,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,415.7709,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC ENZYMES,301,RC,83915,CPT,,,outpatient,,,1070,,535,642,1037.9,1005.8,,,,percent of total billed charges,,856,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,888.1,,,,percent of total billed charges,,963,,,,percent of total billed charges,,984.4,,,,percent of total billed charges,,984.4,,,,percent of total billed charges,,1012.22,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,1037.9,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,941.6,,,,percent of total billed charges,,963,,,,percent of total billed charges,,857.07,,,,percent of total billed charges,,963,,,,percent of total billed charges,,642,,,,percent of total billed charges,,993.923,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,856,,,,percent of total billed charges,,642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,857.177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTHROMBIN COMPLEX CONCENTRATE, KCENTRA, PER IU OF FACTOR",636,RC,J7168,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACTIVATED COAGULATION TIME, GLOBAL",305,RC,85347,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPARIN NEUTRALIZATION, GLOBAL",305,RC,85525,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIBRINOGEN ACTIVITY, GLOBAL",305,RC,85384,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACTIVATED COAGULATION TIME, TRAUMA",305,RC,85347,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIBRINOGEN ACTIVITY, TRAUMA",305,RC,85384,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPARIN NEUTRALIZATION, PLATELET MAPPING",305,RC,85525,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLATELET AGGREGATION, PLATELET MAPPING",305,RC,85576,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COVID-19 IGG ANTIBODY, NUCLEOCAPSID",302,RC,86769,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COVID ANTIBODY, IGM",302,RC,86769,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,82570,CPT,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HMG-COA REDUCTASE AB, S",301,RC,82397,CPT,,,outpatient,,,528,,264,316.8,512.16,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,422.928,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,490.4592,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,422.9808,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AGNA-1 IMMUNOBLOT, CSF",301,RC,84182,CPT,,,outpatient,,,263,,131.5,157.8,255.11,247.22,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,218.29,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,248.798,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,255.11,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,231.44,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,210.663,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,244.3007,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,210.6893,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CERAMIDE TRIHEX AND SULFATIDE, U",301,RC,83789,CPT,,,outpatient,,,1272,,636,763.2,1233.84,1195.68,,,,percent of total billed charges,,1017.6,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1055.76,,,,percent of total billed charges,,1144.8,,,,percent of total billed charges,,1170.24,,,,percent of total billed charges,,1170.24,,,,percent of total billed charges,,1203.312,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1233.84,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1119.36,,,,percent of total billed charges,,1144.8,,,,percent of total billed charges,,1018.872,,,,percent of total billed charges,,1144.8,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,1181.5608,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1017.6,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1018.9992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE REFERRED FOR IDENTIFICATION, FUNGUS",306,RC,87107,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG D2 FUNGAL SEQUENCING ID,306,RC,87153,CPT,,,outpatient,,,430,,215,258,417.1,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,344.43,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,399.427,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,344.473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGAL IDENT PANEL A,306,RC,87107,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGAL IDENT PANEL B,306,RC,87107,CPT,,,outpatient,,,214,,107,128.4,207.58,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,171.414,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,198.7846,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.4354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENT RAPID PCR COCCIDIOIDES,306,RC,87150,CPT,,,outpatient,,,277,,138.5,166.2,268.69,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,221.877,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,257.3053,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,221.9047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ID, HISTOPLASMA/BLASTOMYCES PCR",306,RC,87150,CPT,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID MALDI-TOF MASS SPEC FUNGI,306,RC,87107,CPT,,,outpatient,,,310,,155,186,300.7,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,248.31,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,287.959,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID MALDI-TOF MASS SPEC YEAST,306,RC,87106,CPT,,,outpatient,,,279,,139.5,167.4,270.63,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,223.479,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,259.1631,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,223.5069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTERLEUKIN 6, P",301,RC,83529,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CARBAMAZEPINE, FREE",301,RC,80157,CPT,,,outpatient,,,394,,197,236.4,382.18,370.36,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,327.02,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,372.724,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,382.18,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,346.72,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,315.594,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,365.9866,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,315.6334,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY,312,RC,88348,CPT,,,outpatient,,,935,,467.5,561,906.95,878.9,,,,percent of total billed charges,,748,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,776.05,,,,percent of total billed charges,,841.5,,,,percent of total billed charges,,860.2,,,,percent of total billed charges,,860.2,,,,percent of total billed charges,,884.51,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,906.95,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,822.8,,,,percent of total billed charges,,841.5,,,,percent of total billed charges,,748.935,,,,percent of total billed charges,,841.5,,,,percent of total billed charges,,561,,,,percent of total billed charges,,868.5215,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,748,,,,percent of total billed charges,,561,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,749.0285,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROS-1 CYTOGENETICS DNA PROBE,311,RC,88271,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROS-1 CYTOGENETICS 25-99,311,RC,88274,CPT,,,outpatient,,,883,,441.5,529.8,856.51,830.02,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,732.89,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,835.318,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,856.51,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,777.04,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,707.283,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,820.2187,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,707.3713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PD-L1 PEMBROLIZUMAB MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,88360,CPT,,,outpatient,,,917,,458.5,550.2,889.49,861.98,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,761.11,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,867.482,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,889.49,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,806.96,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,734.517,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,851.8013,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,734.6087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ER/PR/HER2 MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,88360,CPT,,,outpatient,,,575,,287.5,345,557.75,540.5,,,,percent of total billed charges,,460,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,477.25,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,529,,,,percent of total billed charges,,529,,,,percent of total billed charges,,543.95,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,557.75,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,506,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,460.575,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,534.1175,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,460,,,,percent of total billed charges,,345,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,460.6325,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY TRB GENE REARRANGE AMPLIFY,310,RC,81340,CPT,,,outpatient,,,1332,,666,799.2,1292.04,1252.08,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1105.56,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1260.072,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1292.04,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1172.16,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1066.932,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,1237.2948,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1067.0652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY TRG GENE REARRANGEMENT ANALYSIS,310,RC,81342,CPT,,,outpatient,,,1286,,643,771.6,1247.42,1208.84,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1067.38,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1216.556,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1247.42,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1131.68,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1030.086,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,1194.5654,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1030.2146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY IGH GENE REARRANGE AMP METH,310,RC,81261,CPT,,,outpatient,,,1093,,546.5,655.8,1060.21,1027.42,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,907.19,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1033.978,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1060.21,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,961.84,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,875.493,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,1015.2877,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,875.6023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY IGK REARRANGEABN CLONAL POP,310,RC,81264,CPT,,,outpatient,,,953,,476.5,571.8,924.41,895.82,,,,percent of total billed charges,,762.4,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,790.99,,,,percent of total billed charges,,857.7,,,,percent of total billed charges,,876.76,,,,percent of total billed charges,,876.76,,,,percent of total billed charges,,901.538,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,924.41,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,838.64,,,,percent of total billed charges,,857.7,,,,percent of total billed charges,,763.353,,,,percent of total billed charges,,857.7,,,,percent of total billed charges,,571.8,,,,percent of total billed charges,,885.2417,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,762.4,,,,percent of total billed charges,,571.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,763.4483,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HG LYMPHOMA CYTOGENETICS 100-300,311,RC,88275,CPT,,,outpatient,,,1950,,975,1170,1891.5,1833,,,,percent of total billed charges,,1560,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1618.5,,,,percent of total billed charges,,1755,,,,percent of total billed charges,,1794,,,,percent of total billed charges,,1794,,,,percent of total billed charges,,1844.7,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1891.5,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1716,,,,percent of total billed charges,,1755,,,,percent of total billed charges,,1561.95,,,,percent of total billed charges,,1755,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1811.355,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1560,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1562.145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HG LYMPHOMA CYTOGENETICS DNA PROBE,311,RC,88271,CPT,,,outpatient,,,817,,408.5,490.2,792.49,767.98,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,678.11,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,772.882,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,792.49,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,654.417,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,758.9113,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,654.4987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE VARIANTS EXON 2,310,RC,81275,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE ADDL VARIANTS,310,RC,81276,CPT,,,outpatient,,,412,,206,247.2,399.64,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,330.012,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,382.7068,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.0532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF GENE,310,RC,81210,CPT,,,outpatient,,,1196,,598,717.6,1160.12,1124.24,,,,percent of total billed charges,,956.8,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,992.68,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1100.32,,,,percent of total billed charges,,1100.32,,,,percent of total billed charges,,1131.416,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1160.12,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1052.48,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,957.996,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,717.6,,,,percent of total billed charges,,1110.9644,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,956.8,,,,percent of total billed charges,,717.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,958.1156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NRAS GENE VARIANTS EXON 2&3,310,RC,81311,CPT,,,outpatient,,,823,,411.5,493.8,798.31,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,659.223,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,764.4847,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,659.3053,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PIK3CA GENE TRGT SEQ ALYS,310,RC,81309,CPT,,,outpatient,,,873,,436.5,523.8,846.81,820.62,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,825.858,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,846.81,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,699.273,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,810.9297,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,699.3603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PD-L1 NIVOLUMAB MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,88360,CPT,,,outpatient,,,917,,458.5,550.2,889.49,861.98,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,761.11,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,867.482,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,889.49,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,806.96,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,734.517,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,851.8013,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,734.6087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PD-L1, IHC WITH INTERP",312,RC,88360,CPT,,,outpatient,,,611,,305.5,366.6,592.67,574.34,,,,percent of total billed charges,,488.8,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,507.13,,,,percent of total billed charges,,549.9,,,,percent of total billed charges,,562.12,,,,percent of total billed charges,,562.12,,,,percent of total billed charges,,578.006,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,592.67,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,537.68,,,,percent of total billed charges,,549.9,,,,percent of total billed charges,,489.411,,,,percent of total billed charges,,549.9,,,,percent of total billed charges,,366.6,,,,percent of total billed charges,,567.5579,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,488.8,,,,percent of total billed charges,,366.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,489.4721,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGFR GENE COM VARIANTS,310,RC,81235,CPT,,,outpatient,,,1747,,873.5,1048.2,1694.59,1642.18,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1450.01,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1652.662,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1694.59,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1537.36,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1399.347,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,1622.7883,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1399.5217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALK2P23 CYTOGENETICS DNA PROBE,311,RC,88271,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALK2P23 CYTOGENETICS 25-99,311,RC,88274,CPT,,,outpatient,,,484,,242,290.4,469.48,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,387.684,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,449.5876,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,387.7324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 MULTIPLEX PROBE,312,RC,88377,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-CAHERIN IHC,312,RC,88342,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ER/PR  MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,88360,CPT,,,outpatient,,,383,,191.5,229.8,371.51,360.02,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,317.89,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,362.318,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,371.51,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,337.04,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,306.783,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,355.7687,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.8213,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HER2 MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,88360,CPT,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF V600 GENE,310,RC,81210,CPT,,,outpatient,,,1810,,905,1086,1755.7,1701.4,,,,percent of total billed charges,,1448,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1502.3,,,,percent of total billed charges,,1629,,,,percent of total billed charges,,1665.2,,,,percent of total billed charges,,1665.2,,,,percent of total billed charges,,1712.26,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1755.7,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1592.8,,,,percent of total billed charges,,1629,,,,percent of total billed charges,,1449.81,,,,percent of total billed charges,,1629,,,,percent of total billed charges,,1086,,,,percent of total billed charges,,1681.309,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1448,,,,percent of total billed charges,,1086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1449.991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA CULTURE REFER ID+SUSC,306,RC,87118,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID MALDI-TOF MASS SPEC AFB,306,RC,87118,CPT,,,outpatient,,,245,,122.5,147,237.65,230.3,,,,percent of total billed charges,,196,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,203.35,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,231.77,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,237.65,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,215.6,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,196.245,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,147,,,,percent of total billed charges,,227.5805,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,196,,,,percent of total billed charges,,147,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,196.2695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ID, MTB SPECIATION, PCR",306,RC,87150,CPT,,,outpatient,,,448,,224,268.8,434.56,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,358.848,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,416.1472,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA PROBE IDENT SOLID TBMP1,306,RC,87150,CPT,,,outpatient,,,253,,126.5,151.8,245.41,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,202.653,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,235.0117,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.6783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA PROBE IDENT BROTH TBPB1,306,RC,87150,CPT,,,outpatient,,,314,,157,188.4,304.58,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,251.514,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,291.6746,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,251.5454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACT IDENT BY SEQUENCING,306,RC,87153,CPT,,,outpatient,,,432,,216,259.2,419.04,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,346.032,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,401.2848,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,346.0752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY RAPID GROWER,306,RC,87186,CPT,,,outpatient,,,938,,469,562.8,909.86,881.72,,,,percent of total billed charges,,750.4,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,778.54,,,,percent of total billed charges,,844.2,,,,percent of total billed charges,,862.96,,,,percent of total billed charges,,862.96,,,,percent of total billed charges,,887.348,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,909.86,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,825.44,,,,percent of total billed charges,,844.2,,,,percent of total billed charges,,751.338,,,,percent of total billed charges,,844.2,,,,percent of total billed charges,,562.8,,,,percent of total billed charges,,871.3082,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,750.4,,,,percent of total billed charges,,562.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,751.4318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY SLOW GROWER,306,RC,87186,CPT,,,outpatient,,,728,,364,436.8,706.16,684.32,,,,percent of total billed charges,,582.4,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,604.24,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,669.76,,,,percent of total billed charges,,669.76,,,,percent of total billed charges,,688.688,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,706.16,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,640.64,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,583.128,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,436.8,,,,percent of total billed charges,,676.2392,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,582.4,,,,percent of total billed charges,,436.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,583.2008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, NOCARDIA",306,RC,87186,CPT,,,outpatient,,,407,,203.5,244.2,394.79,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,326.007,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,378.0623,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,326.0477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, MTB COMPLEX, BROTH",306,RC,87188,CPT,,,outpatient,,,385,,192.5,231,373.45,361.9,,,,percent of total billed charges,,308,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,319.55,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,364.21,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,373.45,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,338.8,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,308.385,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,231,,,,percent of total billed charges,,357.6265,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,308,,,,percent of total billed charges,,231,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,308.4235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, MTB CX, 2ND LINE",306,RC,87186,CPT,,,outpatient,,,838,,419,502.8,812.86,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,671.238,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,778.4182,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,671.3218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, MTB COMPLEX, PZA",306,RC,87188,CPT,,,outpatient,,,389,,194.5,233.4,377.33,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,311.589,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,361.3421,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,311.6279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MTB PZA CONFIRMATION, PNCA SEQUENCE",306,RC,87153,CPT,,,outpatient,,,1086,,543,651.6,1053.42,1020.84,,,,percent of total billed charges,,868.8,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,901.38,,,,percent of total billed charges,,977.4,,,,percent of total billed charges,,999.12,,,,percent of total billed charges,,999.12,,,,percent of total billed charges,,1027.356,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,1053.42,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,955.68,,,,percent of total billed charges,,977.4,,,,percent of total billed charges,,869.886,,,,percent of total billed charges,,977.4,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,1008.7854,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,868.8,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,869.9946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, AEROBIC",306,RC,87186,CPT,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELICOBACTER PYLORI CULTURE,306,RC,87070,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELICOBACTER PYLORI CULTURE,306,RC,87153,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENTIFICATION AEROBIC ISOLATE,306,RC,87077,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENTIFICATION BY NUCLEIC ACID SEQUENCING,306,RC,87153,CPT,,,outpatient,,,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYOGLOBULIN, S",301,RC,82595,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFIXATION CRYOGLOBULIN,302,RC,86334,CPT,,,outpatient,,,449,,224.5,269.4,435.53,422.06,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,372.67,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,424.754,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,435.53,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,395.12,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,359.649,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,417.0761,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,359.6939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOPLASMA GENITALIUM PCR,306,RC,87563,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB QUANT,301,RC,80230,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB QUANT,301,RC,80145,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACOSAMIDE,301,RC,80235,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSACONAZOLE,301,RC,80187,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VORICONAZOLE,301,RC,87798,CPT,,,outpatient,,,485,,242.5,291,470.45,455.9,,,,percent of total billed charges,,388,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,470.45,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,426.8,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,388.485,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,291,,,,percent of total billed charges,,450.5165,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,388,,,,percent of total billed charges,,291,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,388.5335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BCR/ABL1 MUTATION, SEQ",310,RC,81170,CPT,,,outpatient,,,594,,297,356.4,576.18,558.36,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,493.02,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,561.924,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.18,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,522.72,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,475.794,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,551.7666,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,475.8534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, S, LC-MS/MS",301,RC,82533,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALDOSTERONE, SERUM",301,RC,82088,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, URINE",301,RC,83789,CPT,,,outpatient,,,3267,,1633.5,1960.2,3168.99,3070.98,,,,percent of total billed charges,,2613.6,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,2711.61,,,,percent of total billed charges,,2940.3,,,,percent of total billed charges,,3005.64,,,,percent of total billed charges,,3005.64,,,,percent of total billed charges,,3090.582,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,3168.99,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,2874.96,,,,percent of total billed charges,,2940.3,,,,percent of total billed charges,,2616.867,,,,percent of total billed charges,,2940.3,,,,percent of total billed charges,,1960.2,,,,percent of total billed charges,,3034.7163,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,2613.6,,,,percent of total billed charges,,1960.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2617.1937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 1-7 DRUG CLASSES",301,RC,G0480,HCPCS,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 8-14 DRUG CLASSES",301,RC,G0481,HCPCS,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 15-21 DRUG CLASSES",301,RC,G0482,HCPCS,,,outpatient,,,431,,215.5,258.6,418.07,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,345.231,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,400.3559,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,345.2741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 22 + DRUG CLASSES",301,RC,G0483,HCPCS,,,outpatient,,,538,,269,322.8,521.86,505.72,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,446.54,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,508.948,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,521.86,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,473.44,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,430.938,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,499.7482,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.9918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCHG FETAL CHROMOSOME ANEUPLOIDY2,310,RC,81420,CPT,,,outpatient,,,2683,,1341.5,1609.8,2602.51,2522.02,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2226.89,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2538.118,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2602.51,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2361.04,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2149.083,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,2492.2387,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2149.3513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXTRACTABLE NUCLEAR ANTIGEN, ANTIBODY TO ANY METHOD2",302,RC,86235,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE2",301,RC,80307,CPT,,,outpatient,,,292,,146,175.2,283.24,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,233.892,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,271.2388,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.9212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE7",301,RC,80307,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE36",301,RC,80307,CPT,,,outpatient,,,371,,185.5,222.6,359.87,348.74,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,307.93,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,350.966,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,359.87,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,326.48,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,297.171,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,344.6219,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,297.2081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG PANEL 1 WITH CONF&D/L ISOMERS URINE (QUEST),301,RC,80307,CPT,,,outpatient,,,356,,178,213.6,345.32,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,285.156,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,330.6884,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.1916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRG SCN,DRG CLSS LSTB BY IMMUN OR NONTLC CHRMATGPHY W/O MSS SPECT2",301,RC,80307,CPT,,,outpatient,,,318,,159,190.8,308.46,298.92,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,263.94,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,300.828,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,308.46,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,279.84,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,254.718,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,295.3902,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,254.7498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, NOT OTHERWISE SPECIFIED2",301,RC,G0480,HCPCS,,,outpatient,,,332,,166,199.2,322.04,312.08,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,275.56,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,314.072,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,265.932,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,308.3948,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.9652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CANNABINOIDS, NATURAL4",301,RC,G0480,HCPCS,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXYCODONE3,301,RC,G0480,HCPCS,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPIATES, 1 OR MORE2",301,RC,G0480,HCPCS,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPIATES, 1 OR MORE3",301,RC,G0480,HCPCS,,,outpatient,,,304,,152,182.4,294.88,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,282.3856,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,243.5344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHADONE3,301,RC,G0480,HCPCS,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN, PRESUMPTIVE, SINGLE DRUG CLASS FROM DRUG CLASS2",301,RC,80307,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL2,301,RC,G0480,HCPCS,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCRN, NOT OTHWSE SPECIFIED PRESUMPTIVE PROC, EACH PROCEDURE7",301,RC,80307,CPT,,,outpatient,,,281,,140.5,168.6,272.57,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,225.081,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,261.0209,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,225.1091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCAINE2,301,RC,80353,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCAINE6,301,RC,80353,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 22",301,RC,80299,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 23",301,RC,G0480,HCPCS,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS,1 OR 25",301,RC,G0480,HCPCS,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES4,301,RC,80151,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES8,301,RC,80345,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BENZODIAZEPINES, 1-127",301,RC,80346,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHEMOGLOBIN, QUANT2",301,RC,83050,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SULFHEMOGLOBIN, QUANT2",301,RC,83060,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DNA ANTIBODY, DOUBLE STRANDED IGG3",302,RC,86225,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1,  OTHER REGION (EG INTEGRASE, FUSION)2",306,RC,87906,CPT,,,outpatient,,,801,,400.5,480.6,776.97,752.94,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,664.83,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,757.746,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,641.601,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,744.0489,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,641.6811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOLECULAR PATHOLOGY PROCEDURE, LEVEL 78",310,RC,81406,CPT,,,outpatient,,,1883,,941.5,1129.8,1826.51,1770.02,,,,percent of total billed charges,,1506.4,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1562.89,,,,percent of total billed charges,,1694.7,,,,percent of total billed charges,,1732.36,,,,percent of total billed charges,,1732.36,,,,percent of total billed charges,,1781.318,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1826.51,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1657.04,,,,percent of total billed charges,,1694.7,,,,percent of total billed charges,,1508.283,,,,percent of total billed charges,,1694.7,,,,percent of total billed charges,,1129.8,,,,percent of total billed charges,,1749.1187,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1506.4,,,,percent of total billed charges,,1129.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1508.4713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE2,310,RC,81479,CPT,,,outpatient,,,1642,,821,985.2,1592.74,1543.48,,,,percent of total billed charges,,1313.6,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1362.86,,,,percent of total billed charges,,1477.8,,,,percent of total billed charges,,1510.64,,,,percent of total billed charges,,1510.64,,,,percent of total billed charges,,1553.332,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1592.74,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1444.96,,,,percent of total billed charges,,1477.8,,,,percent of total billed charges,,1315.242,,,,percent of total billed charges,,1477.8,,,,percent of total billed charges,,985.2,,,,percent of total billed charges,,1525.2538,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1313.6,,,,percent of total billed charges,,985.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1315.4062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE4,310,RC,81479,CPT,,,outpatient,,,1260,,630,756,1222.2,1184.4,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1134,,,,percent of total billed charges,,1159.2,,,,percent of total billed charges,,1159.2,,,,percent of total billed charges,,1191.96,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1134,,,,percent of total billed charges,,1009.26,,,,percent of total billed charges,,1134,,,,percent of total billed charges,,756,,,,percent of total billed charges,,1170.414,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1009.386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE9,310,RC,81479,CPT,,,outpatient,,,1484,,742,890.4,1439.48,1394.96,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1231.72,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1403.864,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1439.48,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1305.92,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,1188.684,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,1378.4876,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1188.8324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE16,310,RC,81479,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE22,310,RC,0023U,HCPCS,,,outpatient,,,620,,310,372,601.4,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,496.62,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,575.918,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,496.682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE27,310,RC,81479,CPT,,,outpatient,,,900,,450,540,873,846,,,,percent of total billed charges,,720,,,,percent of total billed charges,,855,,,,percent of total billed charges,,747,,,,percent of total billed charges,,810,,,,percent of total billed charges,,828,,,,percent of total billed charges,,828,,,,percent of total billed charges,,851.4,,,,percent of total billed charges,,855,,,,percent of total billed charges,,873,,,,percent of total billed charges,,855,,,,percent of total billed charges,,792,,,,percent of total billed charges,,810,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,810,,,,percent of total billed charges,,540,,,,percent of total billed charges,,836.01,,,,percent of total billed charges,,855,,,,percent of total billed charges,,855,,,,percent of total billed charges,,720,,,,percent of total billed charges,,540,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,720.99,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE28,310,RC,81479,CPT,,,outpatient,,,1402,,701,841.2,1359.94,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1123.002,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1302.3178,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1123.1422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN URINE OR OTHER SOURCE MMSP2,307,RC,82042,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN MMSP2,307,RC,82040,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC SUSCEPTIBILITY2,300,RC,87181,CPT,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC IDENTIFICATION2,300,RC,87076,CPT,,,outpatient,,,379,,189.5,227.4,367.63,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,303.579,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,352.0531,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,303.6169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2C9 GENE ANALYSIS2,310,RC,81227,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TBR T CELL ANTIGEN RECEPTOR8,310,RC,81340,CPT,,,outpatient,,,671,,335.5,402.6,650.87,630.74,,,,percent of total billed charges,,536.8,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,556.93,,,,percent of total billed charges,,603.9,,,,percent of total billed charges,,617.32,,,,percent of total billed charges,,617.32,,,,percent of total billed charges,,634.766,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,650.87,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,590.48,,,,percent of total billed charges,,603.9,,,,percent of total billed charges,,537.471,,,,percent of total billed charges,,603.9,,,,percent of total billed charges,,402.6,,,,percent of total billed charges,,623.2919,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,536.8,,,,percent of total billed charges,,402.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,537.5381,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM ENGRAFTMENT POST TRANS2,310,RC,81267,CPT,,,outpatient,,,484,,242,290.4,469.48,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,387.684,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,449.5876,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,387.7324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMR1 FRAGILE X2,310,RC,81243,CPT,,,outpatient,,,326,,163,195.6,316.22,306.44,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,270.58,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,308.396,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,316.22,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,261.126,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,302.8214,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,261.1586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR DUPLICATION/DELETION VARIANTS4,310,RC,81222,CPT,,,outpatient,,,2743,,1371.5,1645.8,2660.71,2578.42,,,,percent of total billed charges,,2194.4,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2276.69,,,,percent of total billed charges,,2468.7,,,,percent of total billed charges,,2523.56,,,,percent of total billed charges,,2523.56,,,,percent of total billed charges,,2594.878,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2660.71,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2413.84,,,,percent of total billed charges,,2468.7,,,,percent of total billed charges,,2197.143,,,,percent of total billed charges,,2468.7,,,,percent of total billed charges,,1645.8,,,,percent of total billed charges,,2547.9727,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2194.4,,,,percent of total billed charges,,1645.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2197.4173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 44,310,RC,81403,CPT,,,outpatient,,,808,,404,484.8,783.76,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,647.208,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,750.5512,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,647.2888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 45,310,RC,81403,CPT,,,outpatient,,,693,,346.5,415.8,672.21,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,555.093,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,643.7277,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,555.1623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 59,310,RC,81404,CPT,,,outpatient,,,2070,,1035,1242,2007.9,1945.8,,,,percent of total billed charges,,1656,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1718.1,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,1904.4,,,,percent of total billed charges,,1904.4,,,,percent of total billed charges,,1958.22,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,2007.9,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1821.6,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,1658.07,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1922.823,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1656,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1658.277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 510,310,RC,81404,CPT,,,outpatient,,,1596,,798,957.6,1548.12,1500.24,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1324.68,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1509.816,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1548.12,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1404.48,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1278.396,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,1482.5244,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1278.5556,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA)2,310,RC,81342,CPT,,,outpatient,,,540,,270,324,523.8,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,432.54,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,501.606,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA)9,310,RC,81342,CPT,,,outpatient,,,1190,,595,714,1154.3,1118.6,,,,percent of total billed charges,,952,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,987.7,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1125.74,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1154.3,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,953.19,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,714,,,,percent of total billed charges,,1105.391,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,952,,,,percent of total billed charges,,714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,953.309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA)10,310,RC,81342,CPT,,,outpatient,,,650,,325,390,630.5,611,,,,percent of total billed charges,,520,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,539.5,,,,percent of total billed charges,,585,,,,percent of total billed charges,,598,,,,percent of total billed charges,,598,,,,percent of total billed charges,,614.9,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,630.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,572,,,,percent of total billed charges,,585,,,,percent of total billed charges,,520.65,,,,percent of total billed charges,,585,,,,percent of total billed charges,,390,,,,percent of total billed charges,,603.785,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,520,,,,percent of total billed charges,,390,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,520.715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PML/RARALPHA2,310,RC,81315,CPT,,,outpatient,,,1174,,587,704.4,1138.78,1103.56,,,,percent of total billed charges,,939.2,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,974.42,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,1080.08,,,,percent of total billed charges,,1080.08,,,,percent of total billed charges,,1110.604,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,1138.78,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,1033.12,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,940.374,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,704.4,,,,percent of total billed charges,,1090.5286,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,939.2,,,,percent of total billed charges,,704.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,940.4914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK25,310,RC,81270,CPT,,,outpatient,,,764,,382,458.4,741.08,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,611.964,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,709.6796,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.0404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 MINOR5,310,RC,81207,CPT,,,outpatient,,,512,,256,307.2,496.64,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,410.112,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,475.5968,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,410.1632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 MAJOR3,310,RC,81206,CPT,,,outpatient,,,512,,256,307.2,496.64,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,410.112,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,475.5968,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,410.1632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL II7,310,RC,81401,CPT,,,outpatient,,,552,,276,331.2,535.44,518.88,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,507.84,,,,percent of total billed charges,,507.84,,,,percent of total billed charges,,522.192,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,535.44,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,442.152,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,512.7528,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,442.2072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR CYSTIC FIBROSIS GENE ANALYSIS2,310,RC,81220,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR CYSTIC FIBROSIS GENE ANALYSIS6,310,RC,81220,CPT,,,outpatient,,,513,,256.5,307.8,497.61,482.22,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,425.79,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,485.298,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,497.61,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,451.44,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,410.913,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,476.5257,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,410.9643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL I2,310,RC,81232,CPT,,,outpatient,,,1374,,687,824.4,1332.78,1291.56,,,,percent of total billed charges,,1099.2,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1140.42,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,1264.08,,,,percent of total billed charges,,1264.08,,,,percent of total billed charges,,1299.804,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1332.78,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1209.12,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,1100.574,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,824.4,,,,percent of total billed charges,,1276.3086,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1099.2,,,,percent of total billed charges,,824.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1100.7114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPE II LOW RES ONE LOCUS4,310,RC,81376,CPT,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA HAPLOTYPE BY STR2,310,RC,81265,CPT,,,outpatient,,,570,,285,342,552.9,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,456.57,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,529.473,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,456.627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN2,305,RC,85246,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOTTING FUNCTION ACTIVITY4,305,RC,85397,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES (MPS) ACID QUANT3,301,RC,83864,CPT,,,outpatient,,,684,,342,410.4,663.48,642.96,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,567.72,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,629.28,,,,percent of total billed charges,,629.28,,,,percent of total billed charges,,647.064,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,663.48,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,547.884,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,635.3676,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,547.9524,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANGANESE2,301,RC,83785,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS D VIRUS (HDV) IGM ANTIBODY, EIA2",302,RC,86692,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN-OXYGEN AFFINITY3,301,RC,82820,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METAL QUANTITATIVE EACH4,301,RC,83018,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METAL QUANTITATIVE EACH5,301,RC,83018,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT8,301,RC,82542,CPT,,,outpatient,,,241,,120.5,144.6,233.77,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,193.041,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,223.8649,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.0651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT9,301,RC,80299,CPT,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT10,301,RC,82542,CPT,,,outpatient,,,238,,119,142.8,230.86,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,190.638,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,221.0782,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,190.6618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT12,301,RC,82542,CPT,,,outpatient,,,221,,110.5,132.6,214.37,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,177.021,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,205.2869,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.0431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT18,301,RC,82542,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMIUM3,301,RC,82495,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOHYDRATE DEFICIENT TRANSFERRIN2,301,RC,82373,CPT,,,outpatient,,,613,,306.5,367.8,594.61,576.22,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,508.79,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,579.898,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,594.61,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,539.44,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,491.013,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,569.4157,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,491.0743,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIMICROBIAL SUSCEPTIBILITY, MACROBROTH METHOD3",306,RC,87188,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11-DEOXYCORTICOSTERONE (DOC)2,301,RC,82633,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B SURFACE,2",306,RC,87341,CPT,,,outpatient,,,481,,240.5,288.6,466.57,452.14,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,399.23,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,455.026,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,466.57,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,423.28,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,385.281,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,446.8009,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,385.3291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GLUTATHIONE2,301,RC,82978,CPT,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING, H2",971,RC,88291,CPT,,,outpatient,,,949,,474.5,569.4,920.53,892.06,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,787.67,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,897.754,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,920.53,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,835.12,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,760.149,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,881.5261,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,760.2439,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE LYMPHOCYTE2,310,RC,88230,CPT,,,outpatient,,,874,,437,524.4,847.78,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,700.074,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,811.8586,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,700.1614,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHIGA-LIKE TOXIN2,306,RC,87427,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METAPNEUMONIAE RNA QL PCR2,306,RC,87798,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNFIX E-PHORSIS/URINE/CSF7,302,RC,86335,CPT,,,outpatient,,,370,,185,222,358.9,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,296.37,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,343.693,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,296.407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA 1 ANTITRYPSIN, SERUM3",301,RC,82103,CPT,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA 1 ANTITRYPSIN, SERUM4",301,RC,82103,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC11,301,RC,83883,CPT,,,outpatient,,,257,,128.5,154.2,249.29,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,205.857,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,238.7273,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.8827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC12,301,RC,83883,CPT,,,outpatient,,,253,,126.5,151.8,245.41,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,202.653,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,235.0117,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.6783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS TOTAL COUNT2,302,RC,86359,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NK CELLS TOTAL COUNT2,302,RC,86357,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B CELLS TOTAL COUNT2,302,RC,86355,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELL ABSOLUTE COUNT/RATIO2,302,RC,86360,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE3,301,RC,80181,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE6,301,RC,80167,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE7,301,RC,80203,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE8,301,RC,80299,CPT,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE9,301,RC,80299,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE10,301,RC,80299,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE13,301,RC,80299,CPT,,,outpatient,,,213,,106.5,127.8,206.61,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,170.613,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,197.8557,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.6343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE16,301,RC,80299,CPT,,,outpatient,,,794,,397,476.4,770.18,746.36,,,,percent of total billed charges,,635.2,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,659.02,,,,percent of total billed charges,,714.6,,,,percent of total billed charges,,730.48,,,,percent of total billed charges,,730.48,,,,percent of total billed charges,,751.124,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,770.18,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,698.72,,,,percent of total billed charges,,714.6,,,,percent of total billed charges,,635.994,,,,percent of total billed charges,,714.6,,,,percent of total billed charges,,476.4,,,,percent of total billed charges,,737.5466,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,635.2,,,,percent of total billed charges,,476.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,636.0734,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE18,301,RC,80193,CPT,,,outpatient,,,228,,114,136.8,221.16,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,211.7892,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,182.6508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE21,301,RC,80299,CPT,,,outpatient,,,699,,349.5,419.4,678.03,657.06,,,,percent of total billed charges,,559.2,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,580.17,,,,percent of total billed charges,,629.1,,,,percent of total billed charges,,643.08,,,,percent of total billed charges,,643.08,,,,percent of total billed charges,,661.254,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,678.03,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,615.12,,,,percent of total billed charges,,629.1,,,,percent of total billed charges,,559.899,,,,percent of total billed charges,,629.1,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,649.3011,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,559.2,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,559.9689,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE23,301,RC,80299,CPT,,,outpatient,,,874,,437,524.4,847.78,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,700.074,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,811.8586,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,700.1614,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE24,301,RC,80189,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE25,301,RC,80299,CPT,,,outpatient,,,272,,136,163.2,263.84,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,217.872,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,252.6608,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.8992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE27,301,RC,80299,CPT,,,outpatient,,,370,,185,222,358.9,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,296.37,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,343.693,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,296.407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE31,301,RC,80299,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE36,301,RC,80299,CPT,,,outpatient,,,504,,252,302.4,488.88,473.76,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,418.32,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,476.784,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,488.88,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,443.52,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,468.1656,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,403.7544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE37,301,RC,80299,CPT,,,outpatient,,,441,,220.5,264.6,427.77,414.54,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,366.03,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,417.186,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,427.77,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,388.08,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,353.241,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,409.6449,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,353.2851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE3",306,RC,87591,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE5",306,RC,87591,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE3",306,RC,87491,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE4",306,RC,87491,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE5",306,RC,87491,CPT,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, AMP PROBE2",306,RC,87529,CPT,,,outpatient,,,598,,299,358.8,580.06,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,555.4822,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,479.0578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, AMP PROBE3",306,RC,87529,CPT,,,outpatient,,,659,,329.5,395.4,639.23,619.46,,,,percent of total billed charges,,527.2,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,546.97,,,,percent of total billed charges,,593.1,,,,percent of total billed charges,,606.28,,,,percent of total billed charges,,606.28,,,,percent of total billed charges,,623.414,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,639.23,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,579.92,,,,percent of total billed charges,,593.1,,,,percent of total billed charges,,527.859,,,,percent of total billed charges,,593.1,,,,percent of total billed charges,,395.4,,,,percent of total billed charges,,612.1451,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,527.2,,,,percent of total billed charges,,395.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,527.9249,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN, WESTERN BLOT TEST4",301,RC,84182,CPT,,,outpatient,,,379,,189.5,227.4,367.63,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,303.579,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,352.0531,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,303.6169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN, WESTERN BLOT TEST15",301,RC,84182,CPT,,,outpatient,,,332,,166,199.2,322.04,312.08,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,275.56,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,314.072,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,265.932,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,308.3948,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.9652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA2",301,RC,83520,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA5",301,RC,83520,CPT,,,outpatient,,,186,,93,111.6,180.42,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,148.986,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,172.7754,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.0046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL TOTAL,SALIVA2",301,RC,82533,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL TOTAL,SALIVA3",301,RC,82533,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED CHEMISTRY PROCEDURE2,301,RC,84999,CPT,,,outpatient,,,717,,358.5,430.2,695.49,673.98,,,,percent of total billed charges,,573.6,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,595.11,,,,percent of total billed charges,,645.3,,,,percent of total billed charges,,659.64,,,,percent of total billed charges,,659.64,,,,percent of total billed charges,,678.282,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,695.49,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,630.96,,,,percent of total billed charges,,645.3,,,,percent of total billed charges,,574.317,,,,percent of total billed charges,,645.3,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,666.0213,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,573.6,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,574.3887,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED CHEMISTRY PROCEDURE6,301,RC,84999,CPT,,,outpatient,,,3275,,1637.5,1965,3176.75,3078.5,,,,percent of total billed charges,,2620,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,2718.25,,,,percent of total billed charges,,2947.5,,,,percent of total billed charges,,3013,,,,percent of total billed charges,,3013,,,,percent of total billed charges,,3098.15,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,3176.75,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,2882,,,,percent of total billed charges,,2947.5,,,,percent of total billed charges,,2623.275,,,,percent of total billed charges,,2947.5,,,,percent of total billed charges,,1965,,,,percent of total billed charges,,3042.1475,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,2620,,,,percent of total billed charges,,1965,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2623.6025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED CHEMISTRY PROCEDURE9,301,RC,84999,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE CELL TYPING OF PATIENT2,302,RC,86905,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH TYPING D - ONLY2,302,RC,86901,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABO GROUPING2,302,RC,86900,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC2,301,RC,83020,CPT,,,outpatient,,,376,,188,225.6,364.72,353.44,,,,percent of total billed charges,,300.8,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,312.08,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,345.92,,,,percent of total billed charges,,345.92,,,,percent of total billed charges,,355.696,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,364.72,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,301.176,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,349.2664,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,300.8,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,301.2136,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC4,301,RC,83020,CPT,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC5,301,RC,83020,CPT,,,outpatient,,,238,,119,142.8,230.86,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,190.638,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,221.0782,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,190.6618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS ANTIBODY2,302,RC,86789,CPT,,,outpatient,,,328,,164,196.8,318.16,308.32,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,272.24,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,310.288,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,318.16,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,288.64,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,262.728,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,304.6792,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,262.7608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG WEST NILE VIRUS AB, IGM2",302,RC,86788,CPT,,,outpatient,,,379,,189.5,227.4,367.63,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,303.579,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,352.0531,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,303.6169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS9,302,RC,86790,CPT,,,outpatient,,,356,,178,213.6,345.32,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,285.156,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,330.6884,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.1916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS10,302,RC,86790,CPT,,,outpatient,,,255,,127.5,153,247.35,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,204.255,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,236.8695,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.2805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS11,302,RC,86790,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS14,302,RC,86790,CPT,,,outpatient,,,199,,99.5,119.4,193.03,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,159.399,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,184.8511,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.4189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY2,302,RC,86787,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY3,302,RC,86787,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TOXOPLASMA ANTIBODY, IGM3",302,RC,86778,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA ANTIBODY2,302,RC,86777,CPT,,,outpatient,,,92,,46,55.2,89.24,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,73.692,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,85.4588,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.7012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA ANTIBODY3,302,RC,86777,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM4",302,RC,86800,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM5",302,RC,86800,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM6 (QUEST)",302,RC,86800,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY11,301,RC,84311,CPT,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY13,301,RC,84311,CPT,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY16,301,RC,84311,CPT,,,outpatient,,,154,,77,92.4,149.38,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,123.354,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,143.0506,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.3694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY18,301,RC,84311,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA ANTIBODY3,302,RC,86762,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG6",301,RC,82542,CPT,,,outpatient,,,277,,138.5,166.2,268.69,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,221.877,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,257.3053,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,221.9047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG8",301,RC,82542,CPT,,,outpatient,,,173,,86.5,103.8,167.81,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,138.573,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,160.6997,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,138.5903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG9",301,RC,82542,CPT,,,outpatient,,,247,,123.5,148.2,239.59,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,197.847,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,229.4383,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.8717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG17",301,RC,82542,CPT,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS2,302,RC,86753,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS3,302,RC,86753,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS7,302,RC,86753,CPT,,,outpatient,,,148,,74,88.8,143.56,139.12,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,122.84,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,140.008,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,143.56,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,130.24,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,118.548,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,137.4772,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,118.5628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODIES2,302,RC,86022,CPT,,,outpatient,,,379,,189.5,227.4,367.63,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,303.579,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,352.0531,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,303.6169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACID,  SINGLE, QUANT9",301,RC,83921,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY2,302,RC,86235,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY3,302,RC,86235,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY4,302,RC,86235,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY9,302,RC,86235,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY12,302,RC,86235,CPT,,,outpatient,,,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY14,302,RC,86235,CPT,,,outpatient,,,216,,108,129.6,209.52,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,200.6424,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.0376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY15,302,RC,86235,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA ANTIBODY2,302,RC,86738,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA ANTIBODY5,302,RC,86738,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ANTIBODY2,302,RC,86376,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT2,301,RC,83789,CPT,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT3,301,RC,83789,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT6,301,RC,83789,CPT,,,outpatient,,,507,,253.5,304.2,491.79,476.58,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,420.81,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,479.622,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,491.79,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,446.16,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,406.107,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,470.9523,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,406.1577,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT12,301,RC,83789,CPT,,,outpatient,,,266,,133,159.6,258.02,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,213.066,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,247.0874,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.0926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT16,301,RC,83789,CPT,,,outpatient,,,342,,171,205.2,331.74,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,317.6838,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,273.9762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT24,301,RC,83789,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUAL2,301,RC,83789,CPT,,,outpatient,,,243,,121.5,145.8,235.71,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,194.643,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,225.7227,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,194.6673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPHOCYTE TRANSFORMATION3,302,RC,86353,CPT,,,outpatient,,,362,,181,217.2,351.14,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,289.962,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,336.2618,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.9982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ANTIBODY2,302,RC,86618,CPT,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ANTIBODY3,302,RC,86618,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ABX CONFIRM2,302,RC,86617,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ABX CONFIRM3,302,RC,86617,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA ANTIBODY2,302,RC,86713,CPT,,,outpatient,,,265,,132.5,159,257.05,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,212.265,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,246.1585,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,212.2915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL ANTIBODY5,302,RC,86341,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INHIBIN A2,302,RC,86336,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY,INFECTIOUS AGENT3",302,RC,86317,CPT,,,outpatient,,,1268,,634,760.8,1229.96,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1015.668,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1177.8452,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1015.7948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA2",301,RC,83520,CPT,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA3",301,RC,86316,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA7",301,RC,83520,CPT,,,outpatient,,,514,,257,308.4,498.58,483.16,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,426.62,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,486.244,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,498.58,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,452.32,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,411.714,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,477.4546,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,411.7654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA12",301,RC,86161,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA16",301,RC,83520,CPT,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA17",301,RC,83520,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA18",301,RC,83520,CPT,,,outpatient,,,1268,,634,760.8,1229.96,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1015.668,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1177.8452,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1015.7948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA19",301,RC,83520,CPT,,,outpatient,,,793,,396.5,475.8,769.21,745.42,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,658.19,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,750.178,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,769.21,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,697.84,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,635.193,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,736.6177,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,635.2723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA22",301,RC,83520,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA30",301,RC,83520,CPT,,,outpatient,,,483,,241.5,289.8,468.51,454.02,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,400.89,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,456.918,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,468.51,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,386.883,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,448.6587,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,386.9313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA31",301,RC,83520,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA32",301,RC,83520,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA33",301,RC,83520,CPT,,,outpatient,,,219,,109.5,131.4,212.43,205.86,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,181.77,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,207.174,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,212.43,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,192.72,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,175.419,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,203.4291,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,175.4409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA38",301,RC,83520,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA39",301,RC,86160,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA44",301,RC,83520,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA45",301,RC,83520,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA50",301,RC,83520,CPT,,,outpatient,,,345,,172.5,207,334.65,324.3,,,,percent of total billed charges,,276,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,286.35,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,326.37,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,334.65,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,276.345,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,320.4705,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,276,,,,percent of total billed charges,,207,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,276.3795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA53",301,RC,83520,CPT,,,outpatient,,,269,,134.5,161.4,260.93,252.86,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,223.27,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,254.474,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,260.93,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,236.72,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,215.469,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,249.8741,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,215.4959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA57",301,RC,83520,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA60",301,RC,83520,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA64",301,RC,83520,CPT,,,outpatient,,,429,,214.5,257.4,416.13,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,343.629,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,398.4981,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,343.6719,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA68",301,RC,82397,CPT,,,outpatient,,,175,,87.5,105,169.75,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,140.175,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,162.5575,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.1925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA69",301,RC,83520,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY2",301,RC,86041,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY3",301,RC,83519,CPT,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY5",301,RC,83519,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY6",301,RC,83520,CPT,,,outpatient,,,39,,19.5,23.4,37.83,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,31.239,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,36.2271,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.2429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY9",301,RC,83519,CPT,,,outpatient,,,637,,318.5,382.2,617.89,598.78,,,,percent of total billed charges,,509.6,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,528.71,,,,percent of total billed charges,,573.3,,,,percent of total billed charges,,586.04,,,,percent of total billed charges,,586.04,,,,percent of total billed charges,,602.602,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,617.89,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,560.56,,,,percent of total billed charges,,573.3,,,,percent of total billed charges,,510.237,,,,percent of total billed charges,,573.3,,,,percent of total billed charges,,382.2,,,,percent of total billed charges,,591.7093,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,509.6,,,,percent of total billed charges,,382.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,510.3007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY14",301,RC,83519,CPT,,,outpatient,,,174,,87,104.4,168.78,163.56,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,144.42,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,164.604,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,168.78,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,153.12,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,139.374,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,161.6286,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,139.3914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY15",301,RC,83519,CPT,,,outpatient,,,555,,277.5,333,538.35,521.7,,,,percent of total billed charges,,444,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,460.65,,,,percent of total billed charges,,499.5,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,525.03,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,538.35,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,499.5,,,,percent of total billed charges,,444.555,,,,percent of total billed charges,,499.5,,,,percent of total billed charges,,333,,,,percent of total billed charges,,515.5395,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,444,,,,percent of total billed charges,,333,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,444.6105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY18",301,RC,83519,CPT,,,outpatient,,,570,,285,342,552.9,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,456.57,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,529.473,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,456.627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY19",301,RC,83519,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY30",301,RC,83519,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY31",301,RC,83519,CPT,,,outpatient,,,276,,138,165.6,267.72,259.44,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,261.096,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,267.72,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,221.076,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,256.3764,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,221.1036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY35",301,RC,83519,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY36",301,RC,83519,CPT,,,outpatient,,,998,,499,598.8,968.06,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,799.398,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,927.0422,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,799.4978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY37",301,RC,83519,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY5",301,RC,83516,CPT,,,outpatient,,,1649,,824.5,989.4,1599.53,1550.06,,,,percent of total billed charges,,1319.2,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1368.67,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,1517.08,,,,percent of total billed charges,,1517.08,,,,percent of total billed charges,,1559.954,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1599.53,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1451.12,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,1320.849,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,989.4,,,,percent of total billed charges,,1531.7561,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1319.2,,,,percent of total billed charges,,989.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1321.0139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY6",301,RC,83516,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY7",301,RC,86364,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY9",301,RC,83516,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY10",301,RC,86258,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY11",301,RC,86258,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY13",301,RC,83516,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY14",301,RC,83516,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY15",301,RC,83516,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY16",301,RC,83516,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY19",301,RC,86381,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY20",301,RC,83516,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY22",301,RC,83516,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY24",301,RC,83516,CPT,,,outpatient,,,245,,122.5,147,237.65,230.3,,,,percent of total billed charges,,196,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,203.35,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,231.77,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,237.65,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,215.6,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,196.245,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,147,,,,percent of total billed charges,,227.5805,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,196,,,,percent of total billed charges,,147,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,196.2695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY26",301,RC,83516,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE COMPLEX ASSAY5,302,RC,86332,CPT,,,outpatient,,,227,,113.5,136.2,220.19,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,181.827,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,210.8603,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.8497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGG 1, 2, 3 OR 4, EACH2",301,RC,82787,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGG 1, 2, 3 OR 4, EACH3",301,RC,82787,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA5,302,RC,86698,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA6,302,RC,86698,CPT,,,outpatient,,,51,,25.5,30.6,49.47,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,40.851,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,47.3739,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.8561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX TYPE 22,302,RC,86696,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX TYPE 23,302,RC,86696,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX NON-SPECIFIC3,302,RC,86694,CPT,,,outpatient,,,174,,87,104.4,168.78,163.56,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,144.42,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,164.604,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,168.78,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,153.12,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,139.374,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,161.6286,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,139.3914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX TYPE 12,302,RC,86695,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX TYPE 18,302,RC,86695,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS BE AG, EIA2",306,RC,87350,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY2,301,RC,83021,CPT,,,outpatient,,,205,,102.5,123,198.85,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,164.205,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,190.4245,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,164.2255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY5,301,RC,83021,CPT,,,outpatient,,,312,,156,187.2,302.64,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,249.912,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,289.8168,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,249.9432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY8,301,RC,83021,CPT,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY9,301,RC,83021,CPT,,,outpatient,,,136,,68,81.6,131.92,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,108.936,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,126.3304,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.9496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY11,301,RC,83021,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY2,302,RC,86682,CPT,,,outpatient,,,384,,192,230.4,372.48,360.96,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,318.72,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,363.264,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,372.48,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,337.92,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,307.584,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,356.6976,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,307.6224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY8,302,RC,86682,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY9,302,RC,86682,CPT,,,outpatient,,,349,,174.5,209.4,338.53,328.06,,,,percent of total billed charges,,279.2,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,289.67,,,,percent of total billed charges,,314.1,,,,percent of total billed charges,,321.08,,,,percent of total billed charges,,321.08,,,,percent of total billed charges,,330.154,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,338.53,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,307.12,,,,percent of total billed charges,,314.1,,,,percent of total billed charges,,279.549,,,,percent of total billed charges,,314.1,,,,percent of total billed charges,,209.4,,,,percent of total billed charges,,324.1861,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,279.2,,,,percent of total billed charges,,209.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,279.5839,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY10,302,RC,86682,CPT,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ANTIBODY4,302,RC,86671,CPT,,,outpatient,,,232,,116,139.2,225.04,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,185.832,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,215.5048,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.8552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ANTIBODY7,302,RC,86671,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, TITER3",302,RC,86256,CPT,,,outpatient,,,353,,176.5,211.8,342.41,331.82,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,292.99,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,333.938,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,342.41,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,310.64,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,282.753,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,327.9017,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,282.7883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN3",302,RC,86231,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN10",302,RC,86052,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN11",302,RC,86255,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLTAGE GATED CA CHANNEL AB,302,RC,86596,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN16",302,RC,86255,CPT,,,outpatient,,,618,,309,370.8,599.46,580.92,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,512.94,,,,percent of total billed charges,,556.2,,,,percent of total billed charges,,568.56,,,,percent of total billed charges,,568.56,,,,percent of total billed charges,,584.628,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,599.46,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,543.84,,,,percent of total billed charges,,556.2,,,,percent of total billed charges,,495.018,,,,percent of total billed charges,,556.2,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,574.0602,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,495.0798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN18",302,RC,86015,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN21",302,RC,86255,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN26",302,RC,86255,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN27",302,RC,86231,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN28",302,RC,86255,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN29",302,RC,86053,CPT,,,outpatient,,,405,,202.5,243,392.85,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,324.405,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,376.2045,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,324.4455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN30",302,RC,86255,CPT,,,outpatient,,,165,,82.5,99,160.05,155.1,,,,percent of total billed charges,,132,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,136.95,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,156.09,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,160.05,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,132.165,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,99,,,,percent of total billed charges,,153.2685,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,132,,,,percent of total billed charges,,99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.1815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN31",302,RC,86255,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON2",311,RC,88185,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON9",311,RC,88185,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON10",311,RC,88185,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/ TC, 1 MARKER13",311,RC,88184,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX CAPSID2,302,RC,86665,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX NUCLE AG4,302,RC,86664,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY2,301,RC,82657,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY7,301,RC,82657,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY10,301,RC,82657,CPT,,,outpatient,,,330,,165,198,320.1,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,264.33,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,306.537,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,264.363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY11,301,RC,82657,CPT,,,outpatient,,,312,,156,187.2,302.64,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,249.912,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,289.8168,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,249.9432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TPMT ACTIVITY (QUEST),301,RC,84433,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY15,301,RC,82657,CPT,,,outpatient,,,786,,393,471.6,762.42,738.84,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,652.38,,,,percent of total billed charges,,707.4,,,,percent of total billed charges,,723.12,,,,percent of total billed charges,,723.12,,,,percent of total billed charges,,743.556,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,762.42,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,691.68,,,,percent of total billed charges,,707.4,,,,percent of total billed charges,,629.586,,,,percent of total billed charges,,707.4,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,730.1154,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,629.6646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX W EQUINE2,302,RC,86654,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX W EQUINE3,302,RC,86654,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX ST LOUIS3,302,RC,86653,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX ST LOUIS5,302,RC,86653,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE3,302,RC,86652,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE5,302,RC,86652,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE6,302,RC,86652,CPT,,,outpatient,,,245,,122.5,147,237.65,230.3,,,,percent of total billed charges,,196,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,203.35,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,231.77,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,237.65,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,215.6,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,196.245,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,147,,,,percent of total billed charges,,227.5805,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,196,,,,percent of total billed charges,,147,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,196.2695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX CALIF2,302,RC,86651,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX CALIF3,302,RC,86651,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROPHORETIC TEST5,301,RC,82664,CPT,,,outpatient,,,268,,134,160.8,259.96,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,214.668,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,248.9452,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,214.6948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY2,302,RC,86666,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY4,302,RC,86666,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY5,302,RC,86666,CPT,,,outpatient,,,248,,124,148.8,240.56,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,198.648,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,230.3672,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,198.6728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT2",306,RC,87799,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT3",306,RC,87799,CPT,,,outpatient,,,380,,190,228,368.6,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,304.38,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,352.982,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,304.418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT5",306,RC,87799,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT6",306,RC,87799,CPT,,,outpatient,,,756,,378,453.6,733.32,710.64,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,627.48,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,715.176,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,733.32,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,665.28,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,605.556,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,702.2484,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,605.6316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP2",306,RC,87798,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP5",306,RC,87798,CPT,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP7",306,RC,87798,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP10",306,RC,87798,CPT,,,outpatient,,,1625,,812.5,975,1576.25,1527.5,,,,percent of total billed charges,,1300,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1348.75,,,,percent of total billed charges,,1462.5,,,,percent of total billed charges,,1495,,,,percent of total billed charges,,1495,,,,percent of total billed charges,,1537.25,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1576.25,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1430,,,,percent of total billed charges,,1462.5,,,,percent of total billed charges,,1301.625,,,,percent of total billed charges,,1462.5,,,,percent of total billed charges,,975,,,,percent of total billed charges,,1509.4625,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1300,,,,percent of total billed charges,,975,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1301.7875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP15",306,RC,87798,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP16",306,RC,87798,CPT,,,outpatient,,,511,,255.5,306.6,495.67,480.34,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,424.13,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,483.406,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,495.67,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,449.68,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,409.311,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,474.6679,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,409.3621,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP17",306,RC,87798,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP18",306,RC,87798,CPT,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP20",306,RC,87798,CPT,,,outpatient,,,848,,424,508.8,822.56,797.12,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,703.84,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,802.208,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,822.56,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,746.24,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,679.248,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,787.7072,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,679.3328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP23",306,RC,87798,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP24",306,RC,87798,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP25",306,RC,87798,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP26",306,RC,87798,CPT,,,outpatient,,,267,,133.5,160.2,258.99,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,213.867,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,248.0163,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.8937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP27",306,RC,87798,CPT,,,outpatient,,,157,,78.5,94.2,152.29,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,125.757,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,145.8373,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.7727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP28",306,RC,87798,CPT,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP29",306,RC,87798,CPT,,,outpatient,,,171,,85.5,102.6,165.87,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,136.971,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,158.8419,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.9881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP31",306,RC,87798,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP33",306,RC,87798,CPT,,,outpatient,,,214,,107,128.4,207.58,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,171.414,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,198.7846,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.4354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP34",306,RC,87798,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP35",306,RC,87798,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE SCREEN ONLY2,306,RC,87081,CPT,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE2",301,RC,82530,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE5",301,RC,82530,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT/FUNCTION ACTIVITY3,302,RC,86161,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN4",302,RC,86160,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN6",302,RC,86160,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN7",302,RC,86160,CPT,,,outpatient,,,362,,181,217.2,351.14,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,289.962,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,336.2618,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.9982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKS5,301,RC,82523,CPT,,,outpatient,,,154,,77,92.4,149.38,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,123.354,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,143.0506,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.3694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCCIDIOIDES ANTIBODY2,302,RC,86635,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY2,302,RC,86644,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY3,302,RC,86644,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY5,302,RC,86644,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMILUMINESCENT ASSAY2,301,RC,82397,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB AB,301,RC,83520,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRUCELLA ANTIBODY2,302,RC,86622,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, THREE CATECHOLAMINES2",301,RC,82384,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, SERUM CHOLINESTERASE2",301,RC,82480,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, SERUM CHOLINESTERASE3",301,RC,82480,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC PROTOPORPHYRIN QUANT2,301,RC,84202,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ZINC2,301,RC,84630,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE3,301,RC,82570,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE2,301,RC,82570,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE3,301,RC,82570,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE6,301,RC,82570,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL TESTOSTERONE2,301,RC,84403,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL TESTOSTERONE3,301,RC,84403,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SOMATOMEDIN3,301,RC,84305,CPT,,,outpatient,,,205,,102.5,123,198.85,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,164.205,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,190.4245,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,164.2255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHOBILINO URINE QUANT2,301,RC,84110,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF OXALATE4,301,RC,83945,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN2,301,RC,83874,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF METANEPHRINES2,301,RC,83835,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF METANEPHRINES3,301,RC,83835,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MERCURY QUANT7,301,RC,83825,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MERCURY QUANT9,301,RC,83825,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM2,301,RC,83735,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD5,301,RC,83655,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD6,301,RC,83655,CPT,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD7,301,RC,83655,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD9,301,RC,83655,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD13,301,RC,83655,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HISTAMINE3,301,RC,83088,CPT,,,outpatient,,,109,,54.5,65.4,105.73,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,87.309,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,101.2501,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,87.3199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM2,301,RC,82784,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM4,301,RC,82784,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM5,301,RC,82784,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM6,301,RC,82784,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM7,301,RC,82784,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRONE2,301,RC,82679,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF COPPER2,301,RC,82525,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARNITINE TOTAL & FREE E2,301,RC,82379,CPT,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM2,301,RC,82300,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM5,301,RC,82300,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM6,301,RC,82300,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BIOTINIDASE2,301,RC,82261,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BIOTINIDASE3,301,RC,82261,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC2,301,RC,82175,CPT,,,outpatient,,,275,,137.5,165,266.75,258.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,228.25,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,253,,,,percent of total billed charges,,253,,,,percent of total billed charges,,260.15,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,266.75,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,242,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,220.275,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,165,,,,percent of total billed charges,,255.4475,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,220,,,,percent of total billed charges,,165,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,220.3025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC5,301,RC,82175,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC6,301,RC,82175,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC7,301,RC,82175,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF APOLIPOPROTEIN3,301,RC,82172,CPT,,,outpatient,,,257,,128.5,154.2,249.29,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,205.857,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,238.7273,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.8827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY2,302,RC,86606,CPT,,,outpatient,,,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY3,302,RC,86606,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY4,302,RC,86606,CPT,,,outpatient,,,37,,18.5,22.2,35.89,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,29.637,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,34.3693,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.6407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOTENSIN I ENZYME TEST2,301,RC,82164,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, QUAN, 6 OR MORE3",301,RC,82139,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, PHENO2",301,RC,82104,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, PHENO3",301,RC,82104,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SAGE FOOD IGE,302,RC,86003,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE3,302,RC,86003,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE6,302,RC,86003,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE9,302,RC,86003,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE11,302,RC,86003,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE13,302,RC,86003,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT STOOL AERO EA ADDN3,306,RC,87046,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION3,306,RC,87015,CPT,,,outpatient,,,309,,154.5,185.4,299.73,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,247.509,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,287.0301,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,247.5399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, MIC2",306,RC,87186,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT FECES AEROBIC S&S2,306,RC,87045,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST2,305,RC,85660,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST4,305,RC,85660,CPT,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM2,301,RC,82330,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2 COMPLEMENT FUNCTIONAL,302,RC,86161,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADAMTS13 INHIBITOR BETHESDA TTR,305,RC,85397,CPT,,,outpatient,,,803,,401.5,481.8,778.91,754.82,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,666.49,,,,percent of total billed charges,,722.7,,,,percent of total billed charges,,738.76,,,,percent of total billed charges,,738.76,,,,percent of total billed charges,,759.638,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,778.91,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,706.64,,,,percent of total billed charges,,722.7,,,,percent of total billed charges,,643.203,,,,percent of total billed charges,,722.7,,,,percent of total billed charges,,481.8,,,,percent of total billed charges,,745.9067,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,481.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,643.2833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CELIAC-ASSOCIATED HLA-DQ ALPHA 1 AND DQ BETA 1 TYPING, D",310,RC,81376,CPT,,,outpatient,,,767,,383.5,460.2,743.99,720.98,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,636.61,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,725.582,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,743.99,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,674.96,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,614.367,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,712.4663,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,614.4437,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PNEUMOCYSTIS JIROVECI, MOLE DET, PCR",306,RC,87798,CPT,,,outpatient,,,280,,140,168,271.6,263.2,,,,percent of total billed charges,,224,,,,percent of total billed charges,,266,,,,percent of total billed charges,,232.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,266,,,,percent of total billed charges,,271.6,,,,percent of total billed charges,,266,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,224.28,,,,percent of total billed charges,,252,,,,percent of total billed charges,,168,,,,percent of total billed charges,,260.092,,,,percent of total billed charges,,266,,,,percent of total billed charges,,266,,,,percent of total billed charges,,224,,,,percent of total billed charges,,168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,224.308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TICK-BORNE DISEASE ANTIBODIES 86753,302,RC,86753,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TICK-BORNE DISEASE ANTIBODIES 86666,302,RC,86666,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN MASS SPEC, SERUM  (QUEST)",301,RC,84432,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CK ISOENZYMES,301,RC,82552,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLASE,301,RC,82150,CPT,,,outpatient,,,383,,191.5,229.8,371.51,360.02,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,317.89,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,362.318,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,371.51,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,337.04,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,306.783,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,355.7687,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.8213,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOBAZAM,301,RC,G0480,HCPCS,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELODYSPLASTIC SYD MUTAT,310,RC,81450,CPT,,,outpatient,,,2513,,1256.5,1507.8,2437.61,2362.22,,,,percent of total billed charges,,2010.4,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2085.79,,,,percent of total billed charges,,2261.7,,,,percent of total billed charges,,2311.96,,,,percent of total billed charges,,2311.96,,,,percent of total billed charges,,2377.298,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2437.61,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2211.44,,,,percent of total billed charges,,2261.7,,,,percent of total billed charges,,2012.913,,,,percent of total billed charges,,2261.7,,,,percent of total billed charges,,1507.8,,,,percent of total billed charges,,2334.3257,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2010.4,,,,percent of total billed charges,,1507.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2013.1643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H PYLORI UREA BREATH TEST,301,RC,83013,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN, SERUM",300,RC,82107,CPT,,,outpatient,,,248,,124,148.8,240.56,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,198.648,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,230.3672,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,198.6728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO SCREENING BY AUTO SYSTEM AND MAN,310,RC,88175,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOELECTROPHORES,SER",302,RC,86320,CPT,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAPID STREP,300,RC,87430,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS-MICROALBUMIN,307,RC,82044,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOXYHB TRANSCUT PER DA,301,RC,88740,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTEPILEPTIC, NOS, 1-3  (PERAMPANEL)",301,RC,G0480,HCPCS,,,outpatient,,,563,,281.5,337.8,546.11,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,450.963,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,522.9707,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.0193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RADIOLOGIC EXAM, ELBOW, ARTHROGRAPHY S&I",322,RC,73085,CPT,,,outpatient,,,2460,,1230,1476,2386.2,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1970.46,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2285.094,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1970.706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPIRATION AND/OR INJECTION OF GANGLION CYST (S), AND LOC",361,RC,20612,CPT,,,outpatient,,,870,,435,522,843.9,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,696.87,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,808.143,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,696.957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXCARBAZEPINE,301,RC,80183,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG TEST PRESUMPTIVE,301,RC,80305,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JCV ANTIBODY,302,RC,86711,CPT,,,outpatient,,,2961,,1480.5,1776.6,2872.17,2783.34,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2457.63,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2801.106,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2872.17,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2605.68,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,2371.761,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,2750.4729,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2372.0571,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLUMN CHROMAT, INCL. MS, NON DRUG, NOT ELSW SPECI, QUAL OR QUANT",300,RC,82542,CPT,,,outpatient,,,668,,334,400.8,647.96,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,535.068,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,620.5052,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,535.1348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MGMT GENE-PROMOTER METHYLATION,310,RC,81287,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICRODISSECTION MANUALLY,310,RC,88381,CPT,,,outpatient,,,279,,139.5,167.4,270.63,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,223.479,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,259.1631,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,223.5069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOW CYTOMETRY, 1ST MARKER",311,RC,88184,CPT,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOW CYTOMETRY, EACH ADD'L MARKER",311,RC,88185,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA): HIV-2,306,RC,87538,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INF AGENT DECT BY DNA OR RNA, MULT ORG, AMP PROBE",306,RC,87801,CPT,,,outpatient,,,232,,116,139.2,225.04,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,185.832,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,215.5048,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.8552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CANDIDA SPECIES, AMPLIFIED PROBE",306,RC,87481,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GARDNERELLA VAGINALIS, QUANT",306,RC,87512,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRICHOMONAS VAGINALIS, AMPLIFIED PROBE",306,RC,87661,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRICHOMONAS VAGINALIS, AMPLIFIED PROBE",306,RC,87661,CPT,,,outpatient,,,298,,149,178.8,289.06,280.12,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,247.34,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,281.908,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,289.06,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,262.24,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,238.698,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,276.8122,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,238.7278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZIKA VIRUS DNA/RNA,306,RC,87662,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBA1/HBA2 DUPL/DELETION VARIANTS,310,RC,81269,CPT,,,outpatient,,,559,,279.5,335.4,542.23,525.46,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,463.97,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,528.814,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,542.23,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,447.759,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,519.2551,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.8149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALLERGEN SPEC IGE QUANT OR SEMIQUANT, RECOMB OR PUR COMP, EACH",302,RC,86008,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBA1/HBA2 FULL GENE SEQUENCE,310,RC,,,,,outpatient,,,500,,250,300,485,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,464.45,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,400.55,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBB FULL GENE SEQUENCE,310,RC,81364,CPT,,,outpatient,,,312,,156,187.2,302.64,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,249.912,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,289.8168,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,249.9432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHGHBB DUPL/DELETION VARIANT(S,310,RC,81363,CPT,,,outpatient,,,240,,120,144,232.8,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,192.24,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,222.936,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ZIKA VIRUS, IGM",302,RC,86794,CPT,,,outpatient,,,410,,205,246,397.7,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,328.41,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,380.849,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,328.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SLCO1B1 GENE ANALYSIS, COMMON VARIANT(S)",310,RC,81328,CPT,,,outpatient,,,1309,,654.5,785.4,1269.73,1230.46,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1086.47,,,,percent of total billed charges,,1178.1,,,,percent of total billed charges,,1204.28,,,,percent of total billed charges,,1204.28,,,,percent of total billed charges,,1238.314,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1269.73,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1151.92,,,,percent of total billed charges,,1178.1,,,,percent of total billed charges,,1048.509,,,,percent of total billed charges,,1178.1,,,,percent of total billed charges,,785.4,,,,percent of total billed charges,,1215.9301,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,785.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1048.6399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY, TREPONEMA PALLIDUM",302,RC,86780,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCGH DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, DO, PER DOS 7",301,RC,80305,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORRELIA BURGDORFERI (LYME DISEASE),300,RC,86618,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIT TEST,300,RC,82274,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPASE,300,RC,83690,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KRAS GENE ANALYSIS, VARIANTS IN EXON 2",310,RC,81275,CPT,,,outpatient,,,874,,437,524.4,847.78,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,700.074,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,811.8586,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,700.1614,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KRAS GENE ANALYSIS, ADD'L VARIANTS",310,RC,81276,CPT,,,outpatient,,,874,,437,524.4,847.78,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,700.074,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,811.8586,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,700.1614,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG APOPLIPOPROTEIN, EACH",300,RC,82172,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, DIRECT MEASUREMENT: HDL",300,RC,83718,CPT,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, BLOOD, ELECTROPHORETIC SEPARATION AND QUANT",300,RC,83700,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENZYME ACTIVITY IN BLD CELLS,CULT CELLS OR TISSUE, NES",300,RC,82657,CPT,,,outpatient,,,482,,241,289.2,467.54,453.08,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,400.06,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,455.972,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,467.54,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,424.16,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,386.082,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,447.7298,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,386.1302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9,310,RC,81219,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALCOHOL BIOMARKERS, 1 OR 2",301,RC,G0480,HCPCS,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CREATININE, OTHER SOURCE",301,RC,82570,CPT,,,outpatient,,,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLUMN CHROMATOGRAPHY,INCL MS,NON-DRUG,NEC,QUAL OR QUANT,EA SPEC",301,RC,82542,CPT,,,outpatient,,,606,,303,363.6,587.82,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,485.406,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,562.9134,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,485.4666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIROLIMUS,301,RC,80195,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVEROLIMUS,301,RC,80169,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPHENOLATE (MYCOPHENOLIC ACID),301,RC,80180,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIDEPRESSANTS CLASS 3-5,301,RC,G0480,HCPCS,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICYCLIC & CYCLICALS 6/MORE,301,RC,G0481,HCPCS,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKELETAL MUSCLE RELAXANT 1/2,301,RC,G0480,HCPCS,,,outpatient,,,129,,64.5,77.4,125.13,121.26,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,107.07,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,122.034,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,125.13,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,103.329,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,119.8281,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,103.3419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGE (RPR5 IGE),300,RC,82785,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 HYPERMETHYLATION,310,RC,81288,CPT,,,outpatient,,,590,,295,354,572.3,554.6,,,,percent of total billed charges,,472,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,489.7,,,,percent of total billed charges,,531,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,558.14,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,572.3,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,531,,,,percent of total billed charges,,472.59,,,,percent of total billed charges,,531,,,,percent of total billed charges,,354,,,,percent of total billed charges,,548.051,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,472,,,,percent of total billed charges,,354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,472.649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOLECULAR CYTOGEN, DNA PROBE EACH (EG FISH)",310,RC,88271,CPT,,,outpatient,,,1435,,717.5,861,1391.95,1348.9,,,,percent of total billed charges,,1148,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1191.05,,,,percent of total billed charges,,1291.5,,,,percent of total billed charges,,1320.2,,,,percent of total billed charges,,1320.2,,,,percent of total billed charges,,1357.51,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1391.95,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1262.8,,,,percent of total billed charges,,1291.5,,,,percent of total billed charges,,1149.435,,,,percent of total billed charges,,1291.5,,,,percent of total billed charges,,861,,,,percent of total billed charges,,1332.9715,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1148,,,,percent of total billed charges,,861,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1149.5785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, QUANT, NOT OTHERWISE SPECIFIED",300,RC,83520,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DNA, NATIVE OR DOUBLE STRANDED",300,RC,86225,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG APOLIPOPROTEIN, EACH",300,RC,82172,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOLS,300,RC,80307,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTRADIOL,300,RC,82670,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOLECULAR CYTOGEN, DNA PROBE EACH (EG FISH)",310,RC,88271,CPT,,,outpatient,,,810,,405,486,785.7,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,648.81,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,752.409,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSMOTIC FRAGILITY RBC INCUBATED,310,RC,85557,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROLACTIN,300,RC,84146,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG APOLIPOPROTEIN B, S",300,RC,82172,CPT,,,outpatient,,,34,,17,20.4,32.98,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,27.234,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,31.5826,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.2374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MORPHOMETRIC ANALYSIS, TUMOR IHC",310,RC,88360,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR",300,RC,85245,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HBB, DUPL/DEL VARIANT(S)",310,RC,81363,CPT,,,outpatient,,,772,,386,463.2,748.84,725.68,,,,percent of total billed charges,,617.6,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,640.76,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,710.24,,,,percent of total billed charges,,710.24,,,,percent of total billed charges,,730.312,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,748.84,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,679.36,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,618.372,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,717.1108,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,617.6,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,618.4492,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AB, EACH",300,RC,86255,CPT,,,outpatient,,,860,,430,516,834.2,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,688.86,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,798.854,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,688.946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AB TITER, EACH",300,RC,86053,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TARGETED LUNG NEOPLASM GENOMIC SEQUENCE ANALYSIS,310,RC,81445,CPT,,,outpatient,,,3105,,1552.5,1863,3011.85,2918.7,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2577.15,,,,percent of total billed charges,,2794.5,,,,percent of total billed charges,,2856.6,,,,percent of total billed charges,,2856.6,,,,percent of total billed charges,,2937.33,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,3011.85,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2732.4,,,,percent of total billed charges,,2794.5,,,,percent of total billed charges,,2487.105,,,,percent of total billed charges,,2794.5,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,2884.2345,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2487.4155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGM,301,RC,82784,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGA,300,RC,82784,CPT,,,outpatient,,,163,,81.5,97.8,158.11,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,130.563,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,151.4107,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,130.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP 2 SUBSTRATE,300,RC,86038,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C3,302,RC,86160,CPT,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-DOUBLE STRANDED DNA AB,302,RC,86255,CPT,,,outpatient,,,105,,52.5,63,101.85,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,84.105,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,97.5345,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.1155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1,300,RC,86701,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-2,300,RC,86702,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SS-A/RO ABS, IGG",302,RC,86235,CPT,,,outpatient,,,103,,51.5,61.8,99.91,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,82.503,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,95.6767,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.5133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETAMINOPHEN LEVEL,301,RC,80143,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN, URINE",301,RC,80307,CPT,,,outpatient,,,358,,179,214.8,347.26,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,286.758,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,332.5462,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.7938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUPUS ANTICOAGULANT TEST,300,RC,85730,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREPTOCOCCUS, GROUP A, AMPLIFIED PROBE TECHNIQUE",306,RC,87651,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICULATED PLATELET ASSAY,300,RC,85055,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICULOCYTE HEMOGLOBIN CONTENT,300,RC,85046,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIHYDROTESTOSTERONE,301,RC,82642,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV ALGORITHM WITH SIX ASSAYS & FIBROSIS SCORE,310,RC,81596,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTT GENE ANALYSIS,310,RC,81271,CPT,,,outpatient,,,436,,218,261.6,422.92,409.84,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,361.88,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,412.456,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,422.92,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,383.68,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,349.236,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,405.0004,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,349.2796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN, EACH ANTIBODY",302,RC,86255,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP C VIRUS,306,RC,87902,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRAMADOL- DRUG TEST(S), PRESUMPTIVE",301,RC,80306,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FENTANYL- DRUG TEST(S), PRESUMPTIVE",301,RC,80306,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IODINE,301,RC,83789,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE CONC,301,RC,82570,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLOBAZAM AND METABOLITE, SERUM",301,RC,80346,CPT,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLOBAZAM AND METABOLITE, SERUM",301,RC,80346,CPT,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MORPHOMETRIC ANALYSIS TUMOR IHC, EACH AB",312,RC,88360,CPT,,,outpatient,,,243,,121.5,145.8,235.71,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,194.643,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,225.7227,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,194.6673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRIATIONAL AB,300,RC,83520,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE,302,RC,86003,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE,302,RC,86003,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS I PRA,302,RC,86830,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS II PRA,302,RC,86831,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS I HD,302,RC,86832,CPT,,,outpatient,,,758,,379,454.8,735.26,712.52,,,,percent of total billed charges,,606.4,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,629.14,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,697.36,,,,percent of total billed charges,,697.36,,,,percent of total billed charges,,717.068,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,735.26,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,667.04,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,607.158,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,454.8,,,,percent of total billed charges,,704.1062,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,606.4,,,,percent of total billed charges,,454.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,607.2338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS I DSA,302,RC,86832,CPT,,,outpatient,,,809,,404.5,485.4,784.73,760.46,,,,percent of total billed charges,,647.2,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,671.47,,,,percent of total billed charges,,728.1,,,,percent of total billed charges,,744.28,,,,percent of total billed charges,,744.28,,,,percent of total billed charges,,765.314,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,784.73,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,711.92,,,,percent of total billed charges,,728.1,,,,percent of total billed charges,,648.009,,,,percent of total billed charges,,728.1,,,,percent of total billed charges,,485.4,,,,percent of total billed charges,,751.4801,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,647.2,,,,percent of total billed charges,,485.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.0899,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS II HD,302,RC,86833,CPT,,,outpatient,,,761,,380.5,456.6,738.17,715.34,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,631.63,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,719.906,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,738.17,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,669.68,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,609.561,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,706.8929,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,609.6371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS II DSA,302,RC,86833,CPT,,,outpatient,,,815,,407.5,489,790.55,766.1,,,,percent of total billed charges,,652,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,676.45,,,,percent of total billed charges,,733.5,,,,percent of total billed charges,,749.8,,,,percent of total billed charges,,749.8,,,,percent of total billed charges,,770.99,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,790.55,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,717.2,,,,percent of total billed charges,,733.5,,,,percent of total billed charges,,652.815,,,,percent of total billed charges,,733.5,,,,percent of total billed charges,,489,,,,percent of total billed charges,,757.0535,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,652,,,,percent of total billed charges,,489,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,652.8965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA DTT TREATMENT,302,RC,86977,CPT,,,outpatient,,,184,,92,110.4,178.48,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,147.384,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,170.9176,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,147.4024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENOTEST BC,310,RC,0086U,HCPCS,,,outpatient,,,901,,450.5,540.6,873.97,846.94,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,747.83,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,852.346,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,873.97,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,792.88,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,721.701,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,836.9389,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,721.7911,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GI PATHOGEN 22 TARGETS,309,RC,87507,CPT,,,outpatient,,,1172,,586,703.2,1136.84,1101.68,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,972.76,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1108.712,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1136.84,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1031.36,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,938.772,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,1088.6708,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,938.8892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE DRUG SCREEN,301,RC,80307,CPT,,,outpatient,,,358,,179,214.8,347.26,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,286.758,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,332.5462,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.7938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,86235,CPT,,,outpatient,,,49,,24.5,29.4,47.53,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,39.249,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,45.5161,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.2539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEUTRALIZATION TEST, VIRAL",302,RC,86382,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN",302,RC,86255,CPT,,,outpatient,,,744,,372,446.4,721.68,699.36,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,617.52,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,703.824,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,721.68,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,654.72,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,595.944,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,691.1016,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,596.0184,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, TITER",302,RC,86256,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WESTERNBLOT,301,RC,84182,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN",302,RC,86255,CPT,,,outpatient,,,418,,209,250.8,405.46,392.92,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,346.94,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,395.428,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,405.46,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,367.84,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,334.818,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,388.2802,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.8598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN",302,RC,86255,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY FOR ANALYTE OTHER THATN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,83516,CPT,,,outpatient,,,51,,25.5,30.6,49.47,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,40.851,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,47.3739,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.8561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIDOCAINE,301,RC,80176,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-HYDROXYPROGESTERONE (NBS),301,RC,83498,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAL-1-P4 UT (NBS),301,RC,82775,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB IEF (NBS),301,RC,83020,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYROSINE (NBS),301,RC,84510,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, > 6, QUANT (NBS)",301,RC,82139,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACYLCARNITINES, QUANT (NBS)",301,RC,82017,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS NON DRUG (NBS),301,RC,83789,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BATTA- SUSCEPTIBILITY, ANAEROBIC",306,RC,87186,CPT,,,outpatient,,,374,,187,224.4,362.78,351.56,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,310.42,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,353.804,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,362.78,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,329.12,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,299.574,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,347.4086,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,299.6114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 5,310,RC,81404,CPT,,,outpatient,,,3269,,1634.5,1961.4,3170.93,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2618.469,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3036.5741,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2618.7959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY,310,RC,81479,CPT,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENETIC TSTG SEVERE INH COND,310,RC,81443,CPT,,,outpatient,,,4293,,2146.5,2575.8,4164.21,4035.42,,,,percent of total billed charges,,3434.4,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,3563.19,,,,percent of total billed charges,,3863.7,,,,percent of total billed charges,,3949.56,,,,percent of total billed charges,,3949.56,,,,percent of total billed charges,,4061.178,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,4164.21,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,3777.84,,,,percent of total billed charges,,3863.7,,,,percent of total billed charges,,3438.693,,,,percent of total billed charges,,3863.7,,,,percent of total billed charges,,2575.8,,,,percent of total billed charges,,3987.7677,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,3434.4,,,,percent of total billed charges,,2575.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3439.1223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBROBLAST CULTURE,310,RC,88233,CPT,,,outpatient,,,591,,295.5,354.6,573.27,555.54,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,490.53,,,,percent of total billed charges,,531.9,,,,percent of total billed charges,,543.72,,,,percent of total billed charges,,543.72,,,,percent of total billed charges,,559.086,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,573.27,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,520.08,,,,percent of total billed charges,,531.9,,,,percent of total billed charges,,473.391,,,,percent of total billed charges,,531.9,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,548.9799,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,473.4501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYO FOR BIOCHEM STUDIES,310,RC,88240,CPT,,,outpatient,,,524,,262,314.4,508.28,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,419.724,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,486.7436,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,419.7764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KNOWN VARIANT ANALYSIS 1 VARIANT,310,RC,81403,CPT,,,outpatient,,,1060,,530,636,1028.2,996.4,,,,percent of total billed charges,,848,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,879.8,,,,percent of total billed charges,,954,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,1002.76,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,1028.2,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,932.8,,,,percent of total billed charges,,954,,,,percent of total billed charges,,849.06,,,,percent of total billed charges,,954,,,,percent of total billed charges,,636,,,,percent of total billed charges,,984.634,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,848,,,,percent of total billed charges,,636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,849.166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY; TREPONEMA PALLIDUM AND RPR (BIOPLEX),310,RC,0064U,HCPCS,,,outpatient,,,169,,84.5,101.4,163.93,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,135.369,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,156.9841,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.3859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY, TREPONEMA PALLIDUM (TPPA)",302,RC,86780,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS, QUANTATIVE",302,RC,86593,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMATIN IGG,302,RC,86235,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CENTROMERE, IGG",301,RC,86235,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RIBOSOME, IGG",301,RC,83516,CPT,,,outpatient,,,51,,25.5,30.6,49.47,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,40.851,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,47.3739,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.8561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOGLOBIN,301,RC,83874,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLASMINOGEN ACTIVATOR,305,RC,85415,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 (LABCORP),306,RC,U0002,HCPCS,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9,310,RC,81219,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,310,RC,81403,CPT,,,outpatient,,,683,,341.5,409.8,662.51,642.02,,,,percent of total billed charges,,546.4,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,566.89,,,,percent of total billed charges,,614.7,,,,percent of total billed charges,,628.36,,,,percent of total billed charges,,628.36,,,,percent of total billed charges,,646.118,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,662.51,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,601.04,,,,percent of total billed charges,,614.7,,,,percent of total billed charges,,547.083,,,,percent of total billed charges,,614.7,,,,percent of total billed charges,,409.8,,,,percent of total billed charges,,634.4387,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,546.4,,,,percent of total billed charges,,409.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,547.1513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG JAK2 (JANUS KINASE 2) (EG, MYELOPROLIFERATIVE DISORDER) GENE ANALYSIS, P.VAL617PHE (V617F) VARIANT",310,RC,81270,CPT,,,outpatient,,,1300,,650,780,1261,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1207.57,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1041.43,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALR (CALRETICULIN) (EG, MYELOPROLIFERATIVE DISORDERS), GENE ANALYSIS, COMMON VARIANTS IN EXON 9",310,RC,81219,CPT,,,outpatient,,,813,,406.5,487.8,788.61,764.22,,,,percent of total billed charges,,650.4,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,674.79,,,,percent of total billed charges,,731.7,,,,percent of total billed charges,,747.96,,,,percent of total billed charges,,747.96,,,,percent of total billed charges,,769.098,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,788.61,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,715.44,,,,percent of total billed charges,,731.7,,,,percent of total billed charges,,651.213,,,,percent of total billed charges,,731.7,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,755.1957,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,650.4,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,651.2943,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,310,RC,81403,CPT,,,outpatient,,,1443,,721.5,865.8,1399.71,1356.42,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1197.69,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1365.078,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1399.71,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1269.84,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,1155.843,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,1340.4027,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1155.9873,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TARGETED GENOMIC SEQUENCE PANEL,310,RC,81450,CPT,,,outpatient,,,3826,,1913,2295.6,3711.22,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3064.626,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3553.9714,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3065.0086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN, QUANTITATIVE,NOS",301,RC,83520,CPT,,,outpatient,,,210,,105,126,203.7,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,168.21,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,195.069,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID-19 TEST (QUEST),306,RC,87635,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 TEST (RUBY),306,RC,U0002,HCPCS,,,outpatient,,,199,,99.5,119.4,193.03,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,159.399,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,184.8511,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.4189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 (CEPHEID),306,RC,U0002,HCPCS,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 (BD MAX/DIASORIN),306,RC,U0002,HCPCS,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD23 IHC W/INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD 23 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-CATENIN IHC W/INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-CATENIN IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH HIGH-GRADE LYMPHOMA PANEL (QUEST),311,RC,88275,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH HIGH-GRADE LYMPHOMA PANEL (QUEST),311,RC,88271,CPT,,,outpatient,,,236,,118,141.6,228.92,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,189.036,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,219.2204,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.0596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG PANEL W/REARRANGEMENT (MAYO),310,RC,81445,CPT,,,outpatient,,,1660,,830,996,1610.2,1560.4,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1377.8,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,1527.2,,,,percent of total billed charges,,1527.2,,,,percent of total billed charges,,1570.36,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1460.8,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,1329.66,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,996,,,,percent of total billed charges,,1541.974,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1329.826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG PANEL W/REARRANGEMENT (MAYO),312,RC,88381,CPT,,,outpatient,,,188,,94,112.8,182.36,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,150.588,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,174.6332,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.6068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 (22C3) IHC (MAYO),312,RC,88360,CPT,,,outpatient,,,500,,250,300,485,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,464.45,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,400.55,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 87636-0300 ROCHE SARS, INF A, INF B TEST",300,RC,87636,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBSTETRIC BLOOD TEST PANEL,300,RC,80055,CPT,,,outpatient,,,443,,221.5,265.8,429.71,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,354.843,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,411.5027,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.8873,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TAU CSF,310,RC,86317,CPT,,,outpatient,,,321,,160.5,192.6,311.37,301.74,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,266.43,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,303.666,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,311.37,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,282.48,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,257.121,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,298.1769,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,257.1531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TAU CSF,310,RC,84182,CPT,,,outpatient,,,321,,160.5,192.6,311.37,301.74,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,266.43,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,303.666,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,311.37,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,282.48,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,257.121,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,298.1769,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,257.1531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TAU CSF,310,RC,0035U,HCPCS,,,outpatient,,,431,,215.5,258.6,418.07,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,345.231,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,400.3559,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,345.2741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH,HER-2/NEU, BLOCK (QUEST)",310,RC,88377,CPT,,,outpatient,,,410,,205,246,397.7,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,328.41,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,380.849,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,328.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS MUT ANALYSIS (QUEST),310,RC,81275,CPT,,,outpatient,,,193,,96.5,115.8,187.21,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,179.2777,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,154.6123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS MUT ANALYSIS (QUEST),310,RC,81276,CPT,,,outpatient,,,193,,96.5,115.8,187.21,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,179.2777,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,154.6123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF MUT ANALYSIS (QUEST),310,RC,81210,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PIK3CA MUT ANALYSIS (QUEST),310,RC,81404,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD3, IHC W/OUT INTERP (QUEST)",310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOKERATIN AE1/AE3, IHC W/OUT INTERP (QUEST)",310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV IN-SITU HYBRID W/INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGM IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD56 IHC W/INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 5/6 IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 7 IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 20 IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTRIN IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROID TRANS FACT-1 IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCT2 IHC W/INTER (QUEST),310,RC,88342,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD20 IHC W/INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH HIGH RISK W/INTERP (QUEST),310,RC,88365,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH HIGH RISK W/OUT INTERP (QUEST),310,RC,88365,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH LOW RISK W/INTERP (QUEST),310,RC,88365,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH LOW RISK W/OUT INTERP (QUEST),310,RC,88365,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, ALK 2P23 REA LUNG CA (NSCLC) (QUEST)",310,RC,88271,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, ALK 2P23 REA LUNG CA (NSCLC) (QUEST)",310,RC,88274,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,81235,CPT,,,outpatient,,,619,,309.5,371.4,600.43,581.86,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,513.77,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,585.574,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,600.43,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,544.72,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,495.819,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,574.9891,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,495.8809,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,81275,CPT,,,outpatient,,,371,,185.5,222.6,359.87,348.74,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,307.93,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,350.966,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,359.87,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,326.48,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,297.171,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,344.6219,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,297.2081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,81276,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,88271,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,88274,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA(NSCLC) ROS1 REARRANGE FISH (QUEST),310,RC,88271,CPT,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA(NSCLC) ROS1 REARRANGE FISH (QUEST),310,RC,88274,CPT,,,outpatient,,,386,,193,231.6,374.42,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,309.186,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,358.5554,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,309.2246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH EGFR (QUEST),310,RC,88365,CPT,,,outpatient,,,526,,263,315.6,510.22,494.44,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,436.58,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,497.596,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,510.22,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,462.88,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,421.326,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,488.6014,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,421.3786,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HHV-8 IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P16 IHC W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNAPTOPHYSIN IHC  W/OUT INTERP (QUEST),310,RC,88342,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER/PR BLOCK (QUEST),310,RC,88360,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 IHC (QUEST),310,RC,88360,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH HER2/NEU, BLOCK (QUEST)",310,RC,88377,CPT,,,outpatient,,,410,,205,246,397.7,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,328.41,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,380.849,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,328.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER/PR/KI67/HER2 FISH W/INTERP (QUEST),310,RC,88360,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KI67 IHC W/INTERP (QUEST),310,RC,88360,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COVID-19 IGG ANTIBODY, SPIKE (RBD)",302,RC,86769,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-MULLERIAN HORMONE,301,RC,83520,CPT,,,outpatient,,,193,,96.5,115.8,187.21,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,179.2777,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,154.6123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON BINDING TEST (QUEST),301,RC,83550,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APTT QUEST,305,RC,85730,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VIII TEST (QUEST),305,RC,85240,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII W/COFAC (QUEST),305,RC,85245,CPT,,,outpatient,,,260,,130,156,252.2,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,208.26,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,241.514,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN (QUEST),305,RC,85246,CPT,,,outpatient,,,260,,130,156,252.2,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,208.26,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,241.514,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII MULTI (QUEST),305,RC,85247,CPT,,,outpatient,,,260,,130,156,252.2,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,208.26,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,241.514,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST (QUEST),305,RC,85660,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TRANSFERRIN (QUEST),301,RC,84466,CPT,,,outpatient,,,51,,25.5,30.6,49.47,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,40.851,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,47.3739,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.8561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,IGG,SERUM (QUEST)",302,RC,86200,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM (QUEST),301,RC,82330,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN (QUEST),301,RC,84432,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE DRUG SCREEN (QUEST),301,RC,80307,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL SMEAR/SHELL VIAL  (QUEST),306,RC,87254,CPT,,,outpatient,,,360,,180,216,349.2,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,334.404,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,288.396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA ANTIBODY (QUEST),302,RC,86713,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN S AG, TOTAL (QUEST)",305,RC,85305,CPT,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALUMINUM (QUEST),301,RC,82108,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHTHERIA ANTIBODY (QUEST),302,RC,86648,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TETANUS ANTIBODY (QUEST),302,RC,86774,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY (QUEST),302,RC,86666,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA GENITALIUM,306,RC,87563,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NFCT DS BV RNA VAG FLU ALG,306,RC,81513,CPT,,,outpatient,,,492,,246,295.2,477.24,462.48,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,408.36,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,465.432,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,477.24,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,432.96,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,394.092,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,457.0188,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,394.1412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-CADHERIN STAIN,310,RC,88342,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRATIFY JCV ANTIBODY (QUEST),302,RC,86711,CPT,,,outpatient,,,3072,,1536,1843.2,2979.84,2887.68,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2549.76,,,,percent of total billed charges,,2764.8,,,,percent of total billed charges,,2826.24,,,,percent of total billed charges,,2826.24,,,,percent of total billed charges,,2906.112,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2979.84,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2703.36,,,,percent of total billed charges,,2764.8,,,,percent of total billed charges,,2460.672,,,,percent of total billed charges,,2764.8,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,2853.5808,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2460.9792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRATIFY JCV ANTIBODY INHIBITION (QUEST),302,RC,86711,CPT,,,outpatient,,,1168,,584,700.8,1132.96,1097.92,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,969.44,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1104.928,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1132.96,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1027.84,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,935.568,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,1084.9552,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,935.6848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 ANTIGEN BECKMAN,302,RC,87426,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14-3-3 PROT, CSF (QUEST)",301,RC,83520,CPT,,,outpatient,,,338,,169,202.8,327.86,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,270.738,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,313.9682,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,270.7718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETYL RECPTR GANGLIONIC (A3) AB (QUEST),301,RC,83519,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETYL RECPTR MODULATING AB (QUEST),301,RC,83519,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALDOSTERONE/RENIN RATIO LCMS (QUEST),301,RC,82088,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALDOSTERONE/RENIN RATIO LCMS (QUEST),301,RC,84244,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMINO ACID URINE LCMS (QUEST),301,RC,82139,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMINO ACID URINE LCMS (QUEST),301,RC,82570,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMITRIPTYLINE (QUEST),301,RC,80335,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBE E-TEST (QUEST),306,RC,87181,CPT,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-PM/SCL-100 AB (RDL) (QUEST),302,RC,86235,CPT,,,outpatient,,,186,,93,111.6,180.42,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,148.986,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,172.7754,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.0046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-TH/TO AB (RDL) (QUEST),301,RC,83520,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPERGILLUS AG, EIA (QUEST)",306,RC,87305,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPERGILLUS DNA, QUAL PCR (QUEST)",306,RC,87798,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID AEROBIC (QUEST),306,RC,87077,CPT,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID ANAEROBIC (QUEST),300,RC,87076,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BARTONELLA DNA,  PCR (QUEST)",306,RC,87471,CPT,,,outpatient,,,350,,175,210,339.5,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,280.35,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,325.115,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,280.385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, FRACT AND TOTAL (QUEST)",301,RC,82542,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, URINE (QUEST)",301,RC,82239,CPT,,,outpatient,,,2408,,1204,1444.8,2335.76,2263.52,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1998.64,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2277.968,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2335.76,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2119.04,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1928.808,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,2236.7912,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1929.0488,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRCA PANEL (BRCA1, BRCA2) (QUEST)",310,RC,81162,CPT,,,outpatient,,,2400,,1200,1440,2328,2256,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,1992,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,2208,,,,percent of total billed charges,,2208,,,,percent of total billed charges,,2270.4,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,2112,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,1922.4,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,2229.36,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1922.64,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING FOR CELIAC DISEASE (QUEST),310,RC,81376,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING FOR CELIAC DISEASE (QUEST),310,RC,81382,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/CHLAMYDIA RNA TMA (QUEST),306,RC,87491,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/CHLAMYDIA RNA TMA (QUEST),306,RC,87591,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROM MICROARRAY PRENATAL SNP (QUEST),310,RC,81229,CPT,,,outpatient,,,1600,,800,960,1552,1504,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1281.6,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,960,,,,percent of total billed charges,,1486.24,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,960,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1281.76,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOBAZAM (QUEST),301,RC,80339,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE LCMS (QUEST)",301,RC,82530,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE LCMS (QUEST)",301,RC,82570,CPT,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE 24 HR URINE (QUEST),301,RC,82540,CPT,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANCA SCREEN (QUEST),302,RC,86036,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNASE B AB (QUEST),301,RC,86215,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPILEPSY AB EVAL  (QUEST),301,RC,83519,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPILEPSY AB EVAL  (QUEST),302,RC,86255,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPILEPSY AB EVAL  (QUEST),302,RC,86341,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EBV DNA QNT PCR (QUEST),306,RC,87799,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-TEST MIC (QUEST),306,RC,87181,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT-SPECTRUM BETA-LACTASE CONF (QUEST),306,RC,87184,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FOLATE RBC (QUEST),301,RC,82747,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRAGILE X METHYL ANALYSIS (QUEST),301,RC,81244,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,82175,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,82300,CPT,,,outpatient,,,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,83655,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,83825,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),301,RC,83021,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP D VIRUS IGM AB (QUEST),302,RC,86692,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERP 6 DNA QUAL PCR (QUEST),306,RC,87532,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 1/2 AB IGM IFA (QUEST),302,RC,86695,CPT,,,outpatient,,,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 1/2 AB IGM IFA (QUEST),302,RC,86696,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTAMINE RELEASE (QUEST),302,RC,86343,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JC POLYOMA VIRUS DNA QUAL PCR CSF (QUEST),306,RC,87798,CPT,,,outpatient,,,253,,126.5,151.8,245.41,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,202.653,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,235.0117,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.6783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIVER CYTOSOL ABS (QUEST),302,RC,86376,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA ROS1 REARRANG FISH (QUEST),310,RC,88271,CPT,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA ROS1 REARRANG FISH (QUEST),310,RC,88274,CPT,,,outpatient,,,331,,165.5,198.6,321.07,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,265.131,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,307.4659,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.1641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE AB IGG IBL CSF (QUEST),302,RC,86617,CPT,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE AB IGG/IGM IBL (QUEST),302,RC,86617,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH PROLIF MITOGEN INDUCED (QUEST),302,RC,86353,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M PNEUMO AB IGM (QUEST),302,RC,86738,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MARIJUANA CONF MECONIUM (QUEST),301,RC,80349,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB (QUEST),302,RC,86362,CPT,,,outpatient,,,860,,430,516,834.2,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,688.86,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,798.854,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,688.946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOSITIS SPEC AB (QUEST),301,RC,84182,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOSITIS SPEC AB (QUEST),302,RC,86235,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NICOTINE AND COTININE URINE (QUEST),301,RC,80323,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NMDA RECEPTR AB (QUEST),302,RC,86255,CPT,,,outpatient,,,1000,,500,600,970,940,,,,percent of total billed charges,,800,,,,percent of total billed charges,,950,,,,percent of total billed charges,,830,,,,percent of total billed charges,,900,,,,percent of total billed charges,,920,,,,percent of total billed charges,,920,,,,percent of total billed charges,,946,,,,percent of total billed charges,,950,,,,percent of total billed charges,,970,,,,percent of total billed charges,,950,,,,percent of total billed charges,,880,,,,percent of total billed charges,,900,,,,percent of total billed charges,,801,,,,percent of total billed charges,,900,,,,percent of total billed charges,,600,,,,percent of total billed charges,,928.9,,,,percent of total billed charges,,950,,,,percent of total billed charges,,950,,,,percent of total billed charges,,800,,,,percent of total billed charges,,600,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,801.1,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPASE A2 RECPTR AB (QUEST),301,RC,83520,CPT,,,outpatient,,,484,,242,290.4,469.48,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,387.684,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,449.5876,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,387.7324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPASE A2 RECPTR AB (QUEST),302,RC,86255,CPT,,,outpatient,,,451,,225.5,270.6,437.47,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,361.251,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,418.9339,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,361.2961,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPIDS (QUEST),301,RC,84311,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH PROLIF PHA INDUCED (QUEST),302,RC,86353,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PMP22 DUPL/DEL TEST (QUEST),310,RC,81324,CPT,,,outpatient,,,1990,,995,1194,1930.3,1870.6,,,,percent of total billed charges,,1592,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1651.7,,,,percent of total billed charges,,1791,,,,percent of total billed charges,,1830.8,,,,percent of total billed charges,,1830.8,,,,percent of total billed charges,,1882.54,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1930.3,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1751.2,,,,percent of total billed charges,,1791,,,,percent of total billed charges,,1593.99,,,,percent of total billed charges,,1791,,,,percent of total billed charges,,1194,,,,percent of total billed charges,,1848.511,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1592,,,,percent of total billed charges,,1194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1594.189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL FREE DNA PRENATAL (QUEST),310,RC,81420,CPT,,,outpatient,,,1600,,800,960,1552,1504,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1281.6,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,960,,,,percent of total billed charges,,1486.24,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,960,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1281.76,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25-HYDROXY VITD MS (QUEST),300,RC,82306,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETT SYNDROME REARRGMT (DEL/DUPL) (QUEST),310,RC,81304,CPT,,,outpatient,,,1591,,795.5,954.6,1543.27,1495.54,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1320.53,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1505.086,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1543.27,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1400.08,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1274.391,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,1477.8799,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1274.5501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA AB IGM (QUEST),302,RC,86762,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEASLES AB IGM (QUEST),302,RC,86765,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S. CEREVISIASE AB IGA (QUEST),302,RC,86671,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S. CEREVISIAE AB IGG (QUEST),302,RC,86671,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UREAPLASMA SPEC, PCR (QUEST)",306,RC,87798,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHC SCLERODERMA AB (QUEST),306,RC,84182,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCLERODERMA AB (QUEST),302,RC,86235,CPT,,,outpatient,,,158,,79,94.8,153.26,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,126.558,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,146.7662,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.5738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID CA MUT PANEL (QUEST),310,RC,81445,CPT,,,outpatient,,,3100,,1550,1860,3007,2914,,,,percent of total billed charges,,2480,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2573,,,,percent of total billed charges,,2790,,,,percent of total billed charges,,2852,,,,percent of total billed charges,,2852,,,,percent of total billed charges,,2932.6,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,3007,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2728,,,,percent of total billed charges,,2790,,,,percent of total billed charges,,2483.1,,,,percent of total billed charges,,2790,,,,percent of total billed charges,,1860,,,,percent of total billed charges,,2879.59,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2480,,,,percent of total billed charges,,1860,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2483.41,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,86592,CPT,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,86645,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,86695,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,86696,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,86762,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,86778,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T. PALLIDUM AB IFA CSF (QUEST),302,RC,86780,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UGT1A1 POLYMORPHISM (QUEST),310,RC,81350,CPT,,,outpatient,,,360,,180,216,349.2,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,334.404,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,288.396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA URINE (QUEST),301,RC,82570,CPT,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA URINE (QUEST),301,RC,84585,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VZV AB ACIF CSF (QUEST),302,RC,86787,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VORICONAZOLE (QUEST),301,RC,80285,CPT,,,outpatient,,,239,,119.5,143.4,231.83,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,191.439,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,222.0071,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.4629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZINC TRANSPORTER 8 AB (QUEST),302,RC,86341,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL CK (QUEST),301,RC,82550,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV AB  (QUEST),302,RC,86644,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR VIII INH (QUEST),305,RC,85335,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP FATTY ACIDS (QUEST),301,RC,82725,CPT,,,outpatient,,,202,,101,121.2,195.94,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,161.802,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,187.6378,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.8222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP FATTY ACIDS (QUEST),301,RC,82726,CPT,,,outpatient,,,275,,137.5,165,266.75,258.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,228.25,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,253,,,,percent of total billed charges,,253,,,,percent of total billed charges,,260.15,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,266.75,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,242,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,220.275,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,165,,,,percent of total billed charges,,255.4475,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,220,,,,percent of total billed charges,,165,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,220.3025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESSENTIAL FATTY ACIDS (QUEST),301,RC,82725,CPT,,,outpatient,,,232,,116,139.2,225.04,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,185.832,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,215.5048,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.8552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH LOCUS SPEC PROBE (QUEST),310,RC,88271,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH LOCUS SPEC PROBE (QUEST),310,RC,88275,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNODIFFUSION (HYPERSENS PNEUMO) (QUEST),301,RC,86331,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLATILES URINE (QUEST),301,RC,80320,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOPORPHYRIN (QUEST),301,RC,84202,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA DNA QUAL PCR (QUEST),306,RC,87541,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,82040,CPT,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,82042,CPT,,,outpatient,,,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,82784,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,83916,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METANEPHRINES FRACT LCMS URINE (QUEST),301,RC,82570,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYASTHESIA GRAVIS PANEL (QUEST),301,RC,86255,CPT,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKED N-TELOPEPTIDE UR (QUEST),301,RC,82570,CPT,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACID QNT URINE (QUEST),301,RC,82542,CPT,,,outpatient,,,342,,171,205.2,331.74,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,317.6838,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,273.9762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACID QNT URINE (QUEST),301,RC,82570,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALCIUM (URORISK PROFILE) (QUEST),301,RC,82340,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T. PALLIDUM AB PARTICLE AGGLUT (QUEST),302,RC,84703,CPT,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BCL-2, IHC W/OUT INTERP (QUEST)",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCL-6 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEREP4 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD10 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD138 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD30 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD34 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD45 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD5 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD68 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CDX2 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOGRANIN IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYCLIN D1 (BCL-1) IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-CADHERIN IHC W-OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV DNA LOW/HIGH RISK ISH (QUEST),306,RC,87624,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LGT CHAIN ISH W/OUT INTERP (QUEST),312,RC,88365,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LGT CHAIN ISH W/OUT INTERP (QUEST),312,RC,88366,CPT,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 'MYOSIN-SMOOTH MUSCLE IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P63 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX-5 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX8 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S100 (POLYCLONAL) IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LGHT CHAIN TOTAL URINE (QUEST),301,RC,83883,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOMYSIAL AB TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV TYPING (QUEST),306,RC,87140,CPT,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LGI1 AB TEST (QUEST),302,RC,86255,CPT,,,outpatient,,,970,,485,582,940.9,911.8,,,,percent of total billed charges,,776,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,805.1,,,,percent of total billed charges,,873,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,917.62,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,940.9,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,873,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,873,,,,percent of total billed charges,,582,,,,percent of total billed charges,,901.033,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,776,,,,percent of total billed charges,,582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,777.067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NT-PROBNP (QUEST),301,RC,83880,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFL BOWEL DISEASE DIFF PANEL (QUEST),302,RC,86021,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFL BOWEL DISEASE DIFF PANEL (QUEST),302,RC,86671,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYPOGLYCEMIA AGENT SCR (QUEST),302,RC,80377,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA/CHLAMYDOPHILA AB IGG/IGM (QUEST),302,RC,86631,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA/CHLAMYDOPHILA AB IGG/IGM (QUEST),302,RC,86632,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CSF3R MUT ANALYSIS (QUEST),309,RC,81479,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,86355,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,86357,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,86359,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,86360,CPT,,,outpatient,,,179,,89.5,107.4,173.63,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,143.379,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,166.2731,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.3969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,86356,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB SERUM (QUEST),302,RC,86255,CPT,,,outpatient,,,860,,430,516,834.2,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,688.86,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,798.854,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,688.946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG N-METHYLHISTAMINE URINE (QUEST),301,RC,82542,CPT,,,outpatient,,,506,,253,303.6,490.82,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,405.306,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,470.0234,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,405.3566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG MONITOR, ANTIDEPRESSANTS URINE (QUEST)",301,RC,80307,CPT,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLTAGE GATED K CHANNEL AB (QUEST),302,RC,83519,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME PCR BLOOD (QUEST),306,RC,87801,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYPTOSPORIDIUM AB FECES DFA (QUEST),306,RC,87015,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYPTOSPORIDIUM AB FECES DFA (QUEST),306,RC,87272,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),300,RC,83020,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),305,RC,85014,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),305,RC,85018,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),305,RC,85041,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 GENOTYPE INHIBITORS (QUEST),301,RC,87900,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 GENOTYPE INHIBITORS (QUEST),301,RC,87901,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 GENOTYPE INHIBITORS (QUEST),301,RC,87906,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES QUANT URINE (QUEST),301,RC,82664,CPT,,,outpatient,,,441,,220.5,264.6,427.77,414.54,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,366.03,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,417.186,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,427.77,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,388.08,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,353.241,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,409.6449,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,353.2851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES QUANT URINE (QUEST),301,RC,83864,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL TESTOSTERONE MS (QUEST),301,RC,88403,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,82570,CPT,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,83150,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,84585,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GANGLIOSIDE AB PANEL (QUEST),302,RC,83520,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP ALLERGY PROFILE REGION V (QUEST),302,RC,82785,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP ALLERGY PROFILE REGION V (QUEST),302,RC,86003,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPIATE CONF MECONIUM (QUEST),301,RC,80361,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPIATE CONF MECONIUM (QUEST),301,RC,80365,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHETAMINE CONF MECONIUM (QUEST),301,RC,80324,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES CONF MECONIUM (QUEST),301,RC,80345,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHADONE CONF MECONIUM (QUEST),301,RC,80358,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZODIAZEPINE CONF MECONIUM (QUEST),301,RC,80346,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86651,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86652,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86653,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86654,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86695,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86696,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86727,CPT,,,outpatient,,,51,,25.5,30.6,49.47,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,40.851,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,47.3739,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.8561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86735,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86788,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,86789,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACOSAMIDE (QUEST),301,RC,80235,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUSK AB (QUEST),302,RC,86366,CPT,,,outpatient,,,998,,499,598.8,968.06,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,799.398,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,927.0422,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,799.4978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, 24 HOUR UR W/CREATININE (QUEST)",301,RC,82043,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, 24 HOUR UR W/CREATININE (QUEST)",301,RC,82570,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, RANDOM UR W/CREATININE (QUEST)",301,RC,82043,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, RANDOM UR W/CREATININE (QUEST)",301,RC,82570,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BORRELIA MIYAMOTOI AB (IGG, IGM), IA (QUEST)",302,RC,86619,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPRENORPHINE QUANT (QUEST),301,RC,80348,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTOFERRIN QUANT STOOL (QUEST),301,RC,83631,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRIATED MUSCLE AB (QUEST),302,RC,86255,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCCUPATIONAL DRUG SCREEN,301,RC,,,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCC UDS CHAIN OF CUSTODY,301,RC,,,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAFV600E MUTATION (QUEST),310,RC,81210,CPT,,,outpatient,,,945,,472.5,567,916.65,888.3,,,,percent of total billed charges,,756,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,784.35,,,,percent of total billed charges,,850.5,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,893.97,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,916.65,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.5,,,,percent of total billed charges,,756.945,,,,percent of total billed charges,,850.5,,,,percent of total billed charges,,567,,,,percent of total billed charges,,877.8105,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,756,,,,percent of total billed charges,,567,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,757.0395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAD 65 AB (QUEST),302,RC,86341,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMOOTH MUSCLE AB TITER (QUEST),302,RC,86015,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KI67 W/OUT INTERP (QUEST),312,RC,88360,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV RNA LOW/HIGH RISK ISH (QUEST),312,RC,88364,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV RNA LOW/HIGH RISK ISH (QUEST),312,RC,88365,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HHV 6 DNA QNT PCR (QUEST),306,RC,87533,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LG CHAINS TOTAL RANDOM URINE (QUEST),301,RC,83520,CPT,,,outpatient,,,231,,115.5,138.6,224.07,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,185.031,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,214.5759,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.0541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN FREE (BIOACTIVE) (QUEST),301,RC,83527,CPT,,,outpatient,,,76,,38,45.6,73.72,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,60.876,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,70.5964,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.8836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-STRIATED MUSCLE AB TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD20 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIAGNOSTIC CONSULT-BLOCK/SLIDES (QUEST),310,RC,88323,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNTHETIC CANNABINOIDS URINE (QUEST),301,RC,80307,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTRADIOL FREE (QUEST),301,RC,82681,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 1 IGM TITER (QUEST),302,RC,86695,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 2 IGM TITER (QUEST),302,RC,86696,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-GALACTOSIDASE (QUEST),301,RC,82657,CPT,,,outpatient,,,830,,415,498,805.1,780.2,,,,percent of total billed charges,,664,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,688.9,,,,percent of total billed charges,,747,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,785.18,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,805.1,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,747,,,,percent of total billed charges,,664.83,,,,percent of total billed charges,,747,,,,percent of total billed charges,,498,,,,percent of total billed charges,,770.987,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,664,,,,percent of total billed charges,,498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,664.913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CF GENE SEQUENCING (QUEST),310,RC,81220,CPT,,,outpatient,,,345,,172.5,207,334.65,324.3,,,,percent of total billed charges,,276,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,286.35,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,326.37,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,334.65,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,276.345,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,320.4705,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,276,,,,percent of total billed charges,,207,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,276.3795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLV I/II AB (QUEST),302,RC,86790,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B. HENSELAE AB TITER (QUEST),302,RC,86611,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B. QUINTANA AB TITER (QUEST),302,RC,86611,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, BUP AND NALOXONE UR (QUEST)",301,RC,80348,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, BUP AND NALOXONE UR (QUEST)",301,RC,80362,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, METHYLPHENID METAB UR (QUEST)",301,RC,80360,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, PCP, UR (QUEST)",301,RC,83992,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, FENTANYL, UR (QUEST)",301,RC,80354,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, TAPENTADOL, UR (QUEST)",301,RC,80372,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,82570,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,83150,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,84585,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSPECTIBILITY H.PYLORI MIC (QUEST),306,RC,87181,CPT,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GANGLIOSIDE AB (QUEST),302,RC,83520,CPT,,,outpatient,,,67,,33.5,40.2,64.99,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,62.2363,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.6737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV RNA GENOTYPE 1 NS3 DRUG RESIST (QUEST),302,RC,87902,CPT,,,outpatient,,,750,,375,450,727.5,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,600.75,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,696.675,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV RNA GENOTYPE I NS5B DRUG RESIST (QUEST),302,RC,87902,CPT,,,outpatient,,,750,,375,450,727.5,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,600.75,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,696.675,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD138 IHC W/INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LG CHAIN ISH W/INTERP (QUEST),312,RC,88364,CPT,,,outpatient,,,315,,157.5,189,305.55,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,252.315,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,292.6035,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,252.3465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LG CHAIN ISH W/INTERP (QUEST),312,RC,88365,CPT,,,outpatient,,,315,,157.5,189,305.55,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,252.315,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,292.6035,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,252.3465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX-5 IHC W/INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA RANDOM URINE (QUEST),301,RC,82570,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAD65 NEURO SYNDROME AB (QUEST),302,RC,86341,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD43 IHC W/INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRIATED MUSCLE AB (QUEST),302,RC,86255,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CADMIUM (QUEST),301,RC,82300,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESIPRAMINE (QUEST),301,RC,80335,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT COMP C6 (QUEST),302,RC,86160,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMIPRAMINE (QUEST),301,RC,80335,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYCLOBENZAPRINE (QUEST),301,RC,80299,CPT,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEXILETINE (QUEST),301,RC,80299,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IBUPROFEN (QUEST),301,RC,80299,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APOLIPOPROTEIN A1 (QUEST),301,RC,82172,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZTROPINE (QUEST),301,RC,80299,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPAFENONE (QUEST),301,RC,80299,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APOLIPOPROTEIN EVAL (QUEST),301,RC,82172,CPT,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHOLINESTERASE WITH DIBUCAINE INHIBITION (QUEST),301,RC,82480,CPT,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHOLINESTERASE WITH DIBUCAINE INHIBITION (QUEST),301,RC,82638,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTAGLANDINS (URINE) (QUEST),301,RC,84150,CPT,,,outpatient,,,640,,320,384,620.8,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,512.64,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,594.496,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,512.704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL PORPHYRINS (QUEST),301,RC,82542,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KETAMINE AND METABOLITE, URINE (QUEST)",301,RC,80307,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMIUM, UR (QUEST)",301,RC,82570,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,82175,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,82300,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,82570,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,83655,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,83825,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COPPER, RANDOM URINE (QUEST)",301,RC,82570,CPT,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BULLOUS PEMPHIGOID BP180 AB (QUEST),302,RC,83520,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARB-DEF TRANSFERRIN (ALCOHOL USE) (QUEST),301,RC,84466,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ADENOSINE DEAMINASE, PERITONEAL FL (QUEST)",301,RC,84311,CPT,,,outpatient,,,184,,92,110.4,178.48,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,147.384,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,170.9176,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,147.4024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PAIN MGMT, CYP450 2D6/2C19 GENOTYPE, QL (QUEST)",309,RC,81225,CPT,,,outpatient,,,2350,,1175,1410,2279.5,2209,,,,percent of total billed charges,,1880,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,1950.5,,,,percent of total billed charges,,2115,,,,percent of total billed charges,,2162,,,,percent of total billed charges,,2162,,,,percent of total billed charges,,2223.1,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,2279.5,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,2068,,,,percent of total billed charges,,2115,,,,percent of total billed charges,,1882.35,,,,percent of total billed charges,,2115,,,,percent of total billed charges,,1410,,,,percent of total billed charges,,2182.915,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,1880,,,,percent of total billed charges,,1410,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1882.585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIAGABINE (QUEST),301,RC,80199,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOTANE (QUEST),301,RC,80299,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOTANE (QUEST),301,RC,80375,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEINASE-3 ANTIBODY (QUEST),302,RC,86021,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT COMPONENT C8 (QUEST),302,RC,86160,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT COMPONENT C9 (QUEST),302,RC,86160,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MTB COMPLEX AND RIFAMPIN RESIST, PCR, NON-SP (QUEST)",309,RC,87801,CPT,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOGLOBULIN SCR (QUEST),301,RC,82595,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOGLOBULIN REFLEX (QUEST),302,RC,86334,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOGLOBULIN REFLEX (QUEST),302,RC,86431,CPT,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BPGM FULL GENE SEQUENCING (QUEST),309,RC,81479,CPT,,,outpatient,,,1364,,682,818.4,1323.08,1282.16,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1132.12,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1290.344,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1323.08,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1200.32,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,1092.564,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,1267.0196,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1092.7004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCREATIC POLYPEPTIDE BY ECL (QUEST),301,RC,83520,CPT,,,outpatient,,,160,,80,96,155.2,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,128.16,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,148.624,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KETAMINE AND METABOLITE CONFIRMATION, URINE (QUEST)",301,RC,80357,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHORIONIC GONAD BETA-SUBUNIT QN, CSF (QUEST)",301,RC,86316,CPT,,,outpatient,,,416,,208,249.6,403.52,391.04,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,345.28,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,393.536,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,403.52,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,366.08,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,333.216,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,386.4224,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,333.2576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEROID PANEL, 21-HYDROXYLASE DEFICIENCY/STRESS (QUEST)",301,RC,83498,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEROID PANEL, 21-HYDROXYLASE DEFICIENCY/STRESS (QUEST)",301,RC,82157,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEROID PANEL, 21-HYDROXYLASE DEFICIENCY/STRESS (QUEST)",301,RC,82533,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLMALONIC ACID, GC/MS/MS, URINE (QUEST)",301,RC,82570,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUNFLOWER SEED IGE* (QUEST),302,RC,86003,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-STRIATED MUSCLE AB TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,32,,16,19.2,31.04,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,25.632,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,29.7248,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.6352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EASTERN EQUINE ENCEPHALITIS VIRUS IGG AB, IFA(CSF) (QUEST)",302,RC,86652,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESMOGLEIN ABS (1 AND 3) (QUEST),302,RC,83520,CPT,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEUTROPHIL ANTIBODY, FLOW CYTOMETRY (QUEST)",302,RC,86021,CPT,,,outpatient,,,198,,99,118.8,192.06,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,158.598,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,183.9222,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.6178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-GLOBIN GENE SEQUENCING (QUEST),309,RC,81259,CPT,,,outpatient,,,802,,401,481.2,777.94,753.88,,,,percent of total billed charges,,641.6,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,665.66,,,,percent of total billed charges,,721.8,,,,percent of total billed charges,,737.84,,,,percent of total billed charges,,737.84,,,,percent of total billed charges,,758.692,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,777.94,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,705.76,,,,percent of total billed charges,,721.8,,,,percent of total billed charges,,642.402,,,,percent of total billed charges,,721.8,,,,percent of total billed charges,,481.2,,,,percent of total billed charges,,744.9778,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,641.6,,,,percent of total billed charges,,481.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,642.4822,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHATIDYLETHANOLAMINE ANTIBODY (IGG) (QUEST),302,RC,83520,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2 COMPLEMENT COMPONENT (QUEST),302,RC,86160,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 MICROGLOBULIN (U) (QUEST),301,RC,82232,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COPPER, LIVER (QUEST)",301,RC,82525,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SEROTONIN, WB (QUEST)",301,RC,84260,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENOMIC SNP MICROARRAY, FETAL",309,RC,81229,CPT,,,outpatient,,,1326,,663,795.6,1286.22,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1062.126,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1231.7214,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1062.2586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENOMIC SNP MICROARRAY, FETAL",309,RC,81265,CPT,,,outpatient,,,1326,,663,795.6,1286.22,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1062.126,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1231.7214,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1062.2586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GENOMIC SNP MICROARRAY, PRODUCT OF CONCEPTION",309,RC,81229,CPT,,,outpatient,,,2261,,1130.5,1356.6,2193.17,2125.34,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1876.63,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2138.906,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2193.17,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1989.68,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1811.061,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,2100.2429,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1811.2871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RICKETTSIA AB (QUEST),302,RC,86757,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHGH ISLET CELL AB TITER (QUEST),302,RC,86341,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA/UREAPLASMA PANEL (QUEST),306,RC,87563,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA/UREAPLASMA PANEL (QUEST),306,RC,87798,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINIMUM INHIBITORY CONC (MIC) (QUEST),306,RC,87186,CPT,,,outpatient,,,174,,87,104.4,168.78,163.56,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,144.42,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,164.604,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,168.78,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,153.12,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,139.374,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,161.6286,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,139.3914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FASTIDIOUS PATHOGEN, MIC (QUEST)",306,RC,87186,CPT,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG E TEST, MIC (QUEST)",306,RC,87181,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BACTERIAL ID, AEROBIC (QUEST)",306,RC,87077,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BACTERIAL ID & SUSCEPT, AEROBIC (QUEST)",306,RC,87077,CPT,,,outpatient,,,228,,114,136.8,221.16,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,211.7892,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,182.6508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYCOBACTERIUM ID, TB/MAI PROBES (QUEST)",306,RC,87149,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),300,RC,83020,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),305,RC,85014,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),305,RC,85018,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),305,RC,85041,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80320,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80321,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80323,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80326,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80330,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80333,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80337,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80338,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80340,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80344,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80345,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80346,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80348,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80349,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80353,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80354,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80355,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80356,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80357,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80358,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80359,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80360,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80361,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80364,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80365,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80366,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80367,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80368,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80370,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80372,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80373,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,80377,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,83992,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV DNA PCR QUAL SALIVA (QUEST),306,RC,87496,CPT,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-MULLERIAN HORMONE MALE (QUEST),301,RC,82397,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPAR1 AB CBA IFA TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,1572,,786,943.2,1524.84,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1259.172,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1460.2308,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1259.3292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPAR2 AB CBA IFA TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,1572,,786,943.2,1524.84,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1259.172,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1460.2308,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1259.3292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAG AB IGM WB (QUEST),302,RC,84182,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB TITER (QUEST),302,RC,86362,CPT,,,outpatient,,,1570,,785,942,1522.9,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1257.57,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1458.373,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1257.727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURONAL NUCLEAR AB TYPE 3 TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELIN AB IFA TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,1572,,786,943.2,1524.84,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1259.172,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1460.2308,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1259.3292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAG SGPG AB IGM (QUEST),302,RC,83520,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAG AB IGM EIA (QUEST),302,RC,83520,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GABABR AB CBA IFA TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,1572,,786,943.2,1524.84,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1259.172,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1460.2308,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1259.3292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROLOGY AB LINE BLOT (QUEST),302,RC,84182,CPT,,,outpatient,,,2700,,1350,1620,2619,2538,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,2430,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,2554.2,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2376,,,,percent of total billed charges,,2430,,,,percent of total billed charges,,2162.7,,,,percent of total billed charges,,2430,,,,percent of total billed charges,,1620,,,,percent of total billed charges,,2508.03,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,1620,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2162.97,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NIJMEGEN ASSAY (QUEST),302,RC,85335,CPT,,,outpatient,,,254,,127,152.4,246.38,238.76,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,210.82,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,240.284,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,246.38,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,223.52,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,203.454,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,235.9406,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,203.4794,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCA TR (DNER) AB CBA IFA TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,1570,,785,942,1522.9,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1257.57,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1458.373,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1257.727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURKINJE CELL CYTOPLASMIC AB TYPE 2 TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURKINJE CELL CYTOPLASMIC AB TYPE TR CBA IFA (QUEST),302,RC,86255,CPT,,,outpatient,,,800,,400,480,776,752,,,,percent of total billed charges,,640,,,,percent of total billed charges,,760,,,,percent of total billed charges,,664,,,,percent of total billed charges,,720,,,,percent of total billed charges,,736,,,,percent of total billed charges,,736,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,760,,,,percent of total billed charges,,776,,,,percent of total billed charges,,760,,,,percent of total billed charges,,704,,,,percent of total billed charges,,720,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,720,,,,percent of total billed charges,,480,,,,percent of total billed charges,,743.12,,,,percent of total billed charges,,760,,,,percent of total billed charges,,760,,,,percent of total billed charges,,640,,,,percent of total billed charges,,480,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,640.88,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARANEOPLASTIC AB LB (QUEST),302,RC,84182,CPT,,,outpatient,,,359,,179.5,215.4,348.23,337.46,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,297.97,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,339.614,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,348.23,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,315.92,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,287.559,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,333.4751,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,287.5949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARANEOPLASTIC AB LB (QUEST),302,RC,86341,CPT,,,outpatient,,,357,,178.5,214.2,346.29,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,285.957,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,331.6173,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.9927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN 4 AB TITER (QUEST),302,RC,86255,CPT,,,outpatient,,,1570,,785,942,1522.9,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1257.57,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1458.373,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1257.727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROLOGY AB LINE BLOT (QUEST),302,RC,84182,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROLOGY AB LINE BLOT (QUEST),302,RC,86341,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NMDAR1 CBA IFA TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,1572,,786,943.2,1524.84,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1259.172,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1460.2308,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1259.3292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG ABUSE 9 SCREEN SERUM (QUEST),301,RC,80307,CPT,,,outpatient,,,234,,117,140.4,226.98,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,187.434,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,217.3626,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.4574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD19 IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR IHC W/INTERP (QUEST),312,RC,88341,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR IHC W/INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY NOCARDIA/AEROBIC ACTINOMYCETES MIC (QUEST),306,RC,87186,CPT,,,outpatient,,,196,,98,117.6,190.12,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,156.996,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,182.0644,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.0156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHYL ALCOHOL (QUEST),301,RC,80320,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ETHYLENE GLYCOL (QUEST),301,RC,82693,CPT,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID ANAEROBIC (QUEST),306,RC,87999,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC ID AND ETEST MIC (QUEST),306,RC,87076,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY AEROBIC MIC (QUEST),306,RC,87186,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GABAPENTIN, URINE-QUEST",301,RC,80355,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHYRINS QUANT 24 HR URINE-QUEST,301,RC,84110,CPT,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHYRINS QUANT 24 HR URINE-QUEST,301,RC,84120,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB S POST TRANSFUSION-QUEST,300,RC,83020,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB CBA-QUEST,302,RC,86362,CPT,,,outpatient,,,860,,430,516,834.2,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,688.86,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,798.854,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,688.946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER IHC W/INTERP (QUEST),312,RC,88360,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PR IHC W/INTERP (QUEST),312,RC,88360,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 LUNG (NIVOLUMAB) IHC (QUEST),312,RC,88360,CPT,,,outpatient,,,580,,290,348,562.6,545.2,,,,percent of total billed charges,,464,,,,percent of total billed charges,,551,,,,percent of total billed charges,,481.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,548.68,,,,percent of total billed charges,,551,,,,percent of total billed charges,,562.6,,,,percent of total billed charges,,551,,,,percent of total billed charges,,510.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,464.58,,,,percent of total billed charges,,522,,,,percent of total billed charges,,348,,,,percent of total billed charges,,538.762,,,,percent of total billed charges,,551,,,,percent of total billed charges,,551,,,,percent of total billed charges,,464,,,,percent of total billed charges,,348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,464.638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EGFR MUTATION ANALYSIS, TUMOR-QUEST",310,RC,81235,CPT,,,outpatient,,,2000,,1000,1200,1940,1880,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1660,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1940,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1760,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1602,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,1857.8,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1602.2,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IODINE URINE-QUEST,301,RC,82542,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS PCR-QUEST,306,RC,87798,CPT,,,outpatient,,,422,,211,253.2,409.34,396.68,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,350.26,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,399.212,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,409.34,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,371.36,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,338.022,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,391.9958,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,338.0642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS MUTATION-QUEST,310,RC,81275,CPT,,,outpatient,,,530,,265,318,514.1,498.2,,,,percent of total billed charges,,424,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,439.9,,,,percent of total billed charges,,477,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,501.38,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,514.1,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,477,,,,percent of total billed charges,,424.53,,,,percent of total billed charges,,477,,,,percent of total billed charges,,318,,,,percent of total billed charges,,492.317,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,424,,,,percent of total billed charges,,318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,424.583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, TB-QUEST",306,RC,87190,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M AVIUM COMPLEX MIC-QUEST,306,RC,87186,CPT,,,outpatient,,,282,,141,169.2,273.54,265.08,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,234.06,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,266.772,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,273.54,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,225.882,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,261.9498,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,225.9102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE CORTISOL/CORTISONE-QUEST,301,RC,82542,CPT,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE CORTISOL/CORTISONE-QUEST,301,RC,82570,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DPD MUTATION-QUEST,309,RC,81232,CPT,,,outpatient,,,356,,178,213.6,345.32,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,285.156,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,330.6884,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.1916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NPM (EXON 12) MUT ANALYSIS, CELL BASED-QUEST",309,RC,81310,CPT,,,outpatient,,,428,,214,256.8,415.16,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,342.828,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,397.5692,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.8708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CXCR4 GENE MUTATION, REFLEX TEST (MAYO)",310,RC,81479,CPT,,,outpatient,,,1474,,737,884.4,1429.78,1385.56,,,,percent of total billed charges,,1179.2,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1223.42,,,,percent of total billed charges,,1326.6,,,,percent of total billed charges,,1356.08,,,,percent of total billed charges,,1356.08,,,,percent of total billed charges,,1394.404,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1429.78,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1297.12,,,,percent of total billed charges,,1326.6,,,,percent of total billed charges,,1180.674,,,,percent of total billed charges,,1326.6,,,,percent of total billed charges,,884.4,,,,percent of total billed charges,,1369.1986,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1179.2,,,,percent of total billed charges,,884.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1180.8214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYNTHETIC STIMULANTS, QUANT, URINE (QUEST)",301,RC,80371,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG YEAST, SUSCEPTIBILITY, COMPREHENSIVE (QUEST)",306,RC,87186,CPT,,,outpatient,,,924,,462,554.4,896.28,868.56,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,766.92,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,874.104,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,896.28,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,813.12,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,740.124,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,858.3036,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,740.2164,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T SPOT TB (QUEST),306,RC,86481,CPT,,,outpatient,,,278,,139,166.8,269.66,261.32,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,230.74,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,262.988,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,269.66,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,244.64,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,222.678,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,258.2342,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,222.7058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE DISORDERS PANEL (QUEST),301,RC,82540,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE DISORDERS PANEL (QUEST),301,RC,82542,CPT,,,outpatient,,,363,,181.5,217.8,352.11,341.22,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,301.29,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,343.398,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,352.11,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,319.44,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,290.763,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,337.1907,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,290.7993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSP-70 AB (QUEST),302,RC,84181,CPT,,,outpatient,,,272,,136,163.2,263.84,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,217.872,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,252.6608,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.8992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG PANEL W/ALCOHOL (QUEST),301,RC,80307,CPT,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, MASS SPEC-SENDOUT (MAYO)",301,RC,82533,CPT,,,outpatient,,,483,,241.5,289.8,468.51,454.02,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,400.89,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,456.918,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,468.51,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,386.883,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,448.6587,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,386.9313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALDOSTERONE, MASS SPEC-SENDOUT (MAYO)",301,RC,82088,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV DNA PCR-SENDOUT (NEOGENOMICS),306,RC,87624,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF IHC W/INTERP-SENDOUT (NEOGENOMICS),312,RC,88342,CPT,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAT6 IHC-SENDOUT (NEOGENOMICS),312,RC,88342,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREPONEMA PALLIDUM IHC W/INTERP-SENDOUT (NEO),312,RC,88342,CPT,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYPTOSPORIDIUM AG EIA STOOL-SENDOUT (QUEST),306,RC,87328,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER IGG TITER (SENDOUT),302,RC,86638,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER IGM TITER (SENDOUT),302,RC,86638,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE CREATININE (QUEST),301,RC,82570,CPT,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON TOTAL (QUEST),301,RC,83540,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLIANCE DRUG SCREEN,301,RC,80307,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-AMPHETAMINE,301,RC,80326,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANALGESICS,301,RC,80331,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-SEROTONERGIC,301,RC,80334,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-TRICYCLICS,301,RC,80337,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANTIDEPRESS,301,RC,80338,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANTIEPILEPTICS,301,RC,80341,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANTIPSYCHOTICS,301,RC,80344,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-BENZO,301,RC,80346,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-BUPRENORPHINE,301,RC,80348,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-COCAINE,301,RC,80353,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-FENTANYL,301,RC,80354,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-GABAPENTIN,301,RC,80355,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-KETAMINE,301,RC,80357,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-METHADONE,301,RC,80358,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-MDMA,301,RC,80359,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-METHYLPHENIDATE,301,RC,80360,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-OPIATES,301,RC,80361,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-OPIODS,301,RC,80364,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-OXYCODONE,301,RC,80365,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-PREGABALIN,301,RC,80366,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-PROPOXYPHENE,301,RC,80367,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-SEDATIVES,301,RC,80368,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-MUSCLE RELAXANTS,301,RC,80370,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-STIMULANTS,301,RC,80371,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-TAPENTADOL,301,RC,80372,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-TRAMADOL,301,RC,80373,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-DEFINITIVE NOS,301,RC,80377,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-CREAT,301,RC,82570,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-PCP,301,RC,83992,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV QUAL PCR SALIVA,309,RC,87496,CPT,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NASAL EOSINOPHIL CT,300,RC,89190,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1 ESTERASE INHIBITOR PROTEIN,301,RC,86160,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TSH RECEPTOR ANTIBODY (IN HOUSE),301,RC,83520,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  TREPONEM PALLIDUM ANTIBODY (IN-HOUSE),301,RC,86780,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN E (TOCOPHEROL) (SEND-OUT),301,RC,84446,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LAMOTRIGINE (SEND-OUT),301,RC,80175,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVETIRACETAM (SEND-OUT),301,RC,80177,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG (FNA) IMMEDIATE EVAL ADEQUACY, EA ADD'L, SAME SITE (IN-HOUSE)",310,RC,88177,CPT,,,outpatient,,,76,,38,45.6,73.72,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,60.876,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,70.5964,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.8836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPOXYPHENE QNT (QUEST),301,RC,80367,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICYCLICS QNT (QUEST),301,RC,80335,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SRA LMWH (QUEST),302,RC,86022,CPT,,,outpatient,,,520,,260,312,504.4,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,483.028,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,416.572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-1-ANTITRYPSIN FECAL,301,RC,82103,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 DNA QUALITATIVE PCR QUEST/ SENDOUT,306,RC,87535,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S100, IHC WITHOUT INTERP, SENDOUT",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DESMIN, IHC WIHOUT INTERP, SENDOUT",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD99, IHC WITHOUT INTERP, SENDOUT",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD31, IHC WITHOUT INTERP, SENDOUT",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD15, IHC WITHOUT INTERP, SENDOUT",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BAR VIRUS, ISH WITHOUT INTERP, SENDOUT",312,RC,88365,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPASE, FLUID",301,RC,83690,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA PANEL-MORPHOMETRIC ANALYSIS,310,RC,88360,CPT,,,outpatient,,,277,,138.5,166.2,268.69,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,221.877,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,257.3053,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,221.9047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA PANEL-ISH EACH PROBE,310,RC,88377,CPT,,,outpatient,,,207,,103.5,124.2,200.79,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,165.807,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,192.2823,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.8277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANTRK IHC W/OUT INTERP,312,RC,88342,CPT,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NTKR FUSION,310,RC,81194,CPT,,,outpatient,,,1916,,958,1149.6,1858.52,1801.04,,,,percent of total billed charges,,1532.8,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1590.28,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,1762.72,,,,percent of total billed charges,,1762.72,,,,percent of total billed charges,,1812.536,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1858.52,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1686.08,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,1534.716,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,1149.6,,,,percent of total billed charges,,1779.7724,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1532.8,,,,percent of total billed charges,,1149.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1534.9076,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS PCR CSF,306,RC,87798,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI DFS70,301,RC,86038,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP VIRUS PANEL BAL,310,RC,0202U,HCPCS,,,outpatient,,,1068,,534,640.8,1035.96,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,855.468,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,992.0652,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,855.5748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NICOTINE & COTININE URINE,301,RC,80323,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DAT-IGG-SENDOUT,300,RC,86880,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DAT-C3-SENDOUT,300,RC,86880,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GALACTOSE-ALPHA-1,3-GALACTOSE, IGE",302,RC,86008,CPT,,,outpatient,,,122,,61,73.2,118.34,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,97.722,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,113.3258,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MALARIA PCR,306,RC,87798,CPT,,,outpatient,,,690,,345,414,669.3,648.6,,,,percent of total billed charges,,552,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,572.7,,,,percent of total billed charges,,621,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,652.74,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,669.3,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,621,,,,percent of total billed charges,,552.69,,,,percent of total billed charges,,621,,,,percent of total billed charges,,414,,,,percent of total billed charges,,640.941,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,552,,,,percent of total billed charges,,414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,552.759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOCHONDRIAL ABS EIA,302,RC,83520,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA AB ID CLASS I HIGH RES (VERSITI),309,RC,86832,CPT,,,outpatient,,,750,,375,450,727.5,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,600.75,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,696.675,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA AB ID CLASS II HIGH RES (VERSITI),309,RC,86833,CPT,,,outpatient,,,750,,375,450,727.5,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,600.75,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,696.675,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, FREE (SENDOUT)",301,RC,80186,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA RANDOM URINE (SENDOUT),301,RC,83150,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA RANDOM URINE (SENDOUT),301,RC,84585,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VZV PCR (SENDOUT),306,RC,87798,CPT,,,outpatient,,,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,80230,CPT,,,outpatient,,,910,,455,546,882.7,855.4,,,,percent of total billed charges,,728,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,755.3,,,,percent of total billed charges,,819,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,860.86,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,882.7,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,819,,,,percent of total billed charges,,728.91,,,,percent of total billed charges,,819,,,,percent of total billed charges,,546,,,,percent of total billed charges,,845.299,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,728,,,,percent of total billed charges,,546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,729.001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB AB (PROMETHEUS) (SENDOUT),301,RC,82542,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,80145,CPT,,,outpatient,,,910,,455,546,882.7,855.4,,,,percent of total billed charges,,728,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,755.3,,,,percent of total billed charges,,819,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,860.86,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,882.7,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,819,,,,percent of total billed charges,,728.91,,,,percent of total billed charges,,819,,,,percent of total billed charges,,546,,,,percent of total billed charges,,845.299,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,728,,,,percent of total billed charges,,546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,729.001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB AB (PROMETHEUS) (SENDOUT),301,RC,82542,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEDOLIZUMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,80280,CPT,,,outpatient,,,910,,455,546,882.7,855.4,,,,percent of total billed charges,,728,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,755.3,,,,percent of total billed charges,,819,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,860.86,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,882.7,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,819,,,,percent of total billed charges,,728.91,,,,percent of total billed charges,,819,,,,percent of total billed charges,,546,,,,percent of total billed charges,,845.299,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,728,,,,percent of total billed charges,,546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,729.001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEDOLIZUMAB AB (PROMETHEUS) (SENDOUT),301,RC,82542,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG USTEKINUMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,80299,CPT,,,outpatient,,,1046,,523,627.6,1014.62,983.24,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,868.18,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,989.516,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,1014.62,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,920.48,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,837.846,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,971.6294,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,837.9506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG USTEKINUMAB AB (PROMETHEUS) (SENDOUT),301,RC,82542,CPT,,,outpatient,,,390,,195,234,378.3,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,362.271,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,312.429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRP (PROMETHEUS) (SENDOUT),301,RC,86140,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCA IGG (PROMETHEUS) (SENDOUT),310,RC,88346,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNASE (PROMETHEUS) (SENDOUT),310,RC,88350,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LH PEDIATRIC (QUEST) (SENDOUT),301,RC,83002,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FSH PEDIATRIC (QUEST) (SENDOUT),301,RC,83001,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROTRANS METAB 5HIAA,301,RC,82542,CPT,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROTRANS METAB HVA,301,RC,83497,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROTRANS METAB 3-O-MD,301,RC,83150,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KLEIHAUER-BETKE STAIN (QUEST SENDOUT),305,RC,85460,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHETAMINES 5 OR MORE,301,RC,80326,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZOS 13 OR MORE,301,RC,80347,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPIODS 5 OR MORE,301,RC,80364,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GABAPENTIN NON BLOOD,301,RC,80355,CPT,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA CLASS I TYPING LOW RES ONE LOCUS,310,RC,81373,CPT,,,outpatient,,,343,,171.5,205.8,332.71,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,274.743,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,318.6127,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,274.7773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOGLOBULIN (IGA),301,RC,82784,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGA SUBCLASSES,301,RC,82787,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 V617F MUT,310,RC,81270,CPT,,,outpatient,,,345,,172.5,207,334.65,324.3,,,,percent of total billed charges,,276,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,286.35,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,326.37,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,334.65,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,276.345,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,320.4705,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,276,,,,percent of total billed charges,,207,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,276.3795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 EXON 12 MUT.,310,RC,81279,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MPL MUTATION,310,RC,81339,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAF3R MUTATION,310,RC,81479,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CBFB/MYH11 INV(16) PCR,310,RC,81401,CPT,,,outpatient,,,773,,386.5,463.8,749.81,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,619.173,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,718.0397,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,619.2503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC AG GENOTYPING DNA,310,RC,0282U,HCPCS,,,outpatient,,,656,,328,393.6,636.32,616.64,,,,percent of total billed charges,,524.8,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,544.48,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,603.52,,,,percent of total billed charges,,603.52,,,,percent of total billed charges,,620.576,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,636.32,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,577.28,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,525.456,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,609.3584,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,524.8,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,525.5216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV GENOTYPE NS5A DRUG RESIST,309,RC,87902,CPT,,,outpatient,,,862,,431,517.2,836.14,810.28,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,715.46,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,815.452,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,836.14,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,758.56,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,690.462,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,800.7118,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,690.5482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLONAZEPAM (QUEST SENDOUT),301,RC,80346,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCO AB IGA (QUEST SENDOUT),302,RC,86146,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCO I AB IGM (QUEST SENDOUT),302,RC,86146,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCO I AB IGG (QUEST SENDOUT),302,RC,86146,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE TESTOSTERONE,301,RC,84402,CPT,,,outpatient,,,44,,22,26.4,42.68,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,40.8716,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.2484,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACANTHAMOEBA SP PCR OCULAR,309,RC,87798,CPT,,,outpatient,,,667,,333.5,400.2,646.99,626.98,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,553.61,,,,percent of total billed charges,,600.3,,,,percent of total billed charges,,613.64,,,,percent of total billed charges,,613.64,,,,percent of total billed charges,,630.982,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,646.99,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,586.96,,,,percent of total billed charges,,600.3,,,,percent of total billed charges,,534.267,,,,percent of total billed charges,,600.3,,,,percent of total billed charges,,400.2,,,,percent of total billed charges,,619.5763,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,400.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,534.3337,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL ABNORMALITIES BIOCHEM ASSAYS USING MATERNAL SERUM W/RISK SCORE,310,RC,81512,CPT,,,outpatient,,,734,,367,440.4,711.98,689.96,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,609.22,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,694.364,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,711.98,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,645.92,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,587.934,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,681.8126,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,588.0074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAINFLUENZA PCR,309,RC,87631,CPT,,,outpatient,,,292,,146,175.2,283.24,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,233.892,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,271.2388,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.9212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HUMAN METAPNEUMOVIRUS PCR,309,RC,87798,CPT,,,outpatient,,,559,,279.5,335.4,542.23,525.46,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,463.97,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,528.814,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,542.23,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,447.759,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,519.2551,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.8149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRCA PANEL (BRCA1, BRCA2); FULL SEQ (NEOGENOMICS)",310,RC,81163,CPT,,,outpatient,,,1076,,538,645.6,1043.72,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,861.876,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,999.4964,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,861.9836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD2, IHC W/O INTERP (QUEST)",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAST CELL TRYPTASE, IHC W/O INTERP (QUEST)",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MA903 CYTOKERATIN 34BE12, IHC W/O INTERP (QUEST)",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLARETININ, IHC W/O INTERP (QUEST)",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX VIRUS TYPES 1 AND 2, IHC W/O INTERP",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPITHELIAL MEMBRANE ANTIGEN, IHC W/O INTERP",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIMENTIN, IHC W/O INTERPRETATION",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXALATE,301,RC,83945,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH DNA PROBE ALK2P23,310,RC,88271,CPT,,,outpatient,,,308,,154,184.8,298.76,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,246.708,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,286.1012,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,246.7388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH ANALYSIS ALK2P23,310,RC,88274,CPT,,,outpatient,,,154,,77,92.4,149.38,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,123.354,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,143.0506,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.3694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EM, DIAGNOSTIC",319,RC,88348,CPT,,,outpatient,,,2240,,1120,1344,2172.8,2105.6,,,,percent of total billed charges,,1792,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1859.2,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2060.8,,,,percent of total billed charges,,2060.8,,,,percent of total billed charges,,2119.04,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,2172.8,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1971.2,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1794.24,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1344,,,,percent of total billed charges,,2080.736,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1792,,,,percent of total billed charges,,1344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1794.464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLT GLYCOPROTEIN FLOW,319,RC,88184,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLT GLYCOPROTEIN ADD'L FLOW MARKERS,319,RC,88185,CPT,,,outpatient,,,1000,,500,600,970,940,,,,percent of total billed charges,,800,,,,percent of total billed charges,,950,,,,percent of total billed charges,,830,,,,percent of total billed charges,,900,,,,percent of total billed charges,,920,,,,percent of total billed charges,,920,,,,percent of total billed charges,,946,,,,percent of total billed charges,,950,,,,percent of total billed charges,,970,,,,percent of total billed charges,,950,,,,percent of total billed charges,,880,,,,percent of total billed charges,,900,,,,percent of total billed charges,,801,,,,percent of total billed charges,,900,,,,percent of total billed charges,,600,,,,percent of total billed charges,,928.9,,,,percent of total billed charges,,950,,,,percent of total billed charges,,950,,,,percent of total billed charges,,800,,,,percent of total billed charges,,600,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,801.1,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT BY TMA,309,RC,87491,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA BY TMA,309,RC,87491,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NG BY TMA,309,RC,87591,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B. HENSELASE IGG AB,302,RC,86611,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACIDS TOTAL QUANT,301,RC,83918,CPT,,,outpatient,,,614,,307,368.4,595.58,577.16,,,,percent of total billed charges,,491.2,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,509.62,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,564.88,,,,percent of total billed charges,,564.88,,,,percent of total billed charges,,580.844,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,595.58,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,540.32,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,491.814,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,368.4,,,,percent of total billed charges,,570.3446,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,491.2,,,,percent of total billed charges,,368.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,491.8754,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANISE IGE,302,RC,86003,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYROSINE,301,RC,84510,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLUMN CHROMATOGRAPHY NON-DRUG QUAL OR QUANT,301,RC,82542,CPT,,,outpatient,,,289,,144.5,173.4,280.33,271.66,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,239.87,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,273.394,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,280.33,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,254.32,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,231.489,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,268.4521,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.5179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IG LIGHT CHAINS FREE EACH,301,RC,83521,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MONKEYPOX VIRUS DNA QUAL PCR (QUEST),300,RC,87593,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOGENIC SUBSTRATE ASSAY,305,RC,85130,CPT,,,outpatient,,,569,,284.5,341.4,551.93,534.86,,,,percent of total billed charges,,455.2,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,472.27,,,,percent of total billed charges,,512.1,,,,percent of total billed charges,,523.48,,,,percent of total billed charges,,523.48,,,,percent of total billed charges,,538.274,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,551.93,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,500.72,,,,percent of total billed charges,,512.1,,,,percent of total billed charges,,455.769,,,,percent of total billed charges,,512.1,,,,percent of total billed charges,,341.4,,,,percent of total billed charges,,528.5441,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,455.2,,,,percent of total billed charges,,341.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,455.8259,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 5-HIAA RANDOM URINE,301,RC,83497,CPT,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR INHIBITOR TEST,305,RC,85335,CPT,,,outpatient,,,616,,308,369.6,597.52,579.04,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,582.736,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,542.08,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,493.416,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,572.2024,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,493.4776,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN CBA EACH,302,RC,86052,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN CBA TITER,302,RC,86052,CPT,,,outpatient,,,1570,,785,942,1522.9,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1257.57,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1458.373,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1257.727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN  AB ELISA,302,RC,86051,CPT,,,outpatient,,,1120,,560,672,1086.4,1052.8,,,,percent of total billed charges,,896,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,929.6,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,1030.4,,,,percent of total billed charges,,1030.4,,,,percent of total billed charges,,1059.52,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,985.6,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,897.12,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,672,,,,percent of total billed charges,,1040.368,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,896,,,,percent of total billed charges,,672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,897.232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOGLOBIN IHC W/O INTERP,310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG SCREEN W/ALCOHOL  UMB CORD,301,RC,80307,CPT,,,outpatient,,,575,,287.5,345,557.75,540.5,,,,percent of total billed charges,,460,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,477.25,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,529,,,,percent of total billed charges,,529,,,,percent of total billed charges,,543.95,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,557.75,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,506,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,460.575,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,534.1175,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,460,,,,percent of total billed charges,,345,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,460.6325,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TPMT GENE ANALYSIS,310,RC,81335,CPT,,,outpatient,,,402,,201,241.2,389.94,377.88,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,333.66,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,380.292,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,389.94,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,353.76,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,322.002,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,373.4178,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,322.0422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUDT15 GENE ANALYSIS,310,RC,81306,CPT,,,outpatient,,,402,,201,241.2,389.94,377.88,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,333.66,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,380.292,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,389.94,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,353.76,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,322.002,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,373.4178,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,322.0422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEGALOVIRUS, IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME TOTAL ANTOBODIES (LIAISON),302,RC,86618,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME IGM CONFIRMATION (LIAISON),302,RC,86617,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME IGG CONFIRMATION (LIAISON),302,RC,86617,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAT LYME IGG  (SOPHIA),302,RC,86618,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAT LYME IGM (SOPHIA),302,RC,86618,CPT,,,outpatient,,,55,,27.5,33,53.35,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,44.055,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,51.0895,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.0605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM-FLOW MARKER,311,RC,88184,CPT,,,outpatient,,,382,,191,229.2,370.54,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,305.982,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,354.8398,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.0202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM-ADD'L FLOW MARKER,311,RC,88185,CPT,,,outpatient,,,365,,182.5,219,354.05,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,292.365,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,339.0485,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,292.4015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROXINE BINDING GLOBULIN (QUEST),301,RC,84442,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RABIES RFFIT SCREEN (QUEST),300,RC,86382,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FECAL FAT QUAL (QUEST),300,RC,82705,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUROESCENT NON-INFECTIOUS AB EACH (QUEST),302,RC,86255,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT RIA (QUEST),302,RC,83519,CPT,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUROESCENT NON-INFECTIOUS AB EACH (QUEST),302,RC,86255,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT RIA (QUEST),302,RC,83519,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL AB (QUEST),302,RC,86341,CPT,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN 4 AB CBA EACH (QUEST),302,RC,86052,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURONAL K+ CHANNEL AB CSF (QUEST),302,RC,83519,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN 4 AB TITER EACH (QUEST),302,RC,86052,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUROESCENT NON-INFECTIOUS AB TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURKINJE CELL CYTOPLASMIC AB CBA IFA (QUEST),302,RC,86255,CPT,,,outpatient,,,500,,250,300,485,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,464.45,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,400.55,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN AB CBA (QUEST),302,RC,86052,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLTAGE GATED CA AB (QUEST),302,RC,86596,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN AB CBA CSF (QUEST),302,RC,86052,CPT,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL AB CSF (QUEST),302,RC,86341,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURONAL K+ CHANNEL AB CSF (QUEST),302,RC,83519,CPT,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELIN AB IFA TITER (QUEST),302,RC,86256,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP C VIRUS GENOTYPE (QUEST),300,RC,87902,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTRONE (QUEST),301,RC,82679,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR XIII (QUEST),309,RC,85290,CPT,,,outpatient,,,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROSTATE TRIPLE STAIN , IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,88342,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROSTATE TRIPLE STAIN , IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,88344,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELLULAR FUNCTION ASSAY (CINCY CHILDREN'S),302,RC,86352,CPT,,,outpatient,,,1361,,680.5,816.6,1320.17,1279.34,,,,percent of total billed charges,,1088.8,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1129.63,,,,percent of total billed charges,,1224.9,,,,percent of total billed charges,,1252.12,,,,percent of total billed charges,,1252.12,,,,percent of total billed charges,,1287.506,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1320.17,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1197.68,,,,percent of total billed charges,,1224.9,,,,percent of total billed charges,,1090.161,,,,percent of total billed charges,,1224.9,,,,percent of total billed charges,,816.6,,,,percent of total billed charges,,1264.2329,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1088.8,,,,percent of total billed charges,,816.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1090.2971,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NK CELLS TOTAL COUNT (CINCY CHILDREN'S),309,RC,86357,CPT,,,outpatient,,,378,,189,226.8,366.66,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,302.778,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,351.1242,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.8158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYPHILIS AB (DONOR)(QUEST),309,RC,86780,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLVI/II AB (DONOR)(QUEST),309,RC,86790,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCYSTIS JIROVECII QUANT PCR (QUEST),309,RC,87799,CPT,,,outpatient,,,672,,336,403.2,651.84,631.68,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,557.76,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,618.24,,,,percent of total billed charges,,618.24,,,,percent of total billed charges,,635.712,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,651.84,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,591.36,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,538.272,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,624.2208,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,538.3392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV/HCV/HBV NAT (DONOR)(QUEST),309,RC,87801,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUM1, IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREGABALIN (QUEST),301,RC,80366,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZOLPIDEM (QUEST),301,RC,80368,CPT,,,outpatient,,,154,,77,92.4,149.38,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,123.354,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,143.0506,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.3694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLOID PROTEIN MS (MAYO),309,RC,82542,CPT,,,outpatient,,,350,,175,210,339.5,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,280.35,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,325.115,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,280.385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON LIVER TISSUE (MAYO),309,RC,83540,CPT,,,outpatient,,,680,,340,408,659.6,639.2,,,,percent of total billed charges,,544,,,,percent of total billed charges,,646,,,,percent of total billed charges,,564.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,646,,,,percent of total billed charges,,659.6,,,,percent of total billed charges,,646,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,544.68,,,,percent of total billed charges,,612,,,,percent of total billed charges,,408,,,,percent of total billed charges,,631.652,,,,percent of total billed charges,,646,,,,percent of total billed charges,,646,,,,percent of total billed charges,,544,,,,percent of total billed charges,,408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,544.748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA PNEUMOPHILIA (QUEST),306,RC,87278,CPT,,,outpatient,,,136,,68,81.6,131.92,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,108.936,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,126.3304,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.9496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EBV PCR (MAYO),309,RC,87798,CPT,,,outpatient,,,1000,,500,600,970,940,,,,percent of total billed charges,,800,,,,percent of total billed charges,,950,,,,percent of total billed charges,,830,,,,percent of total billed charges,,900,,,,percent of total billed charges,,920,,,,percent of total billed charges,,920,,,,percent of total billed charges,,946,,,,percent of total billed charges,,950,,,,percent of total billed charges,,970,,,,percent of total billed charges,,950,,,,percent of total billed charges,,880,,,,percent of total billed charges,,900,,,,percent of total billed charges,,801,,,,percent of total billed charges,,900,,,,percent of total billed charges,,600,,,,percent of total billed charges,,928.9,,,,percent of total billed charges,,950,,,,percent of total billed charges,,950,,,,percent of total billed charges,,800,,,,percent of total billed charges,,600,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,801.1,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLADDER CA FISH (QUEST),310,RC,88120,CPT,,,outpatient,,,430,,215,258,417.1,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,344.43,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,399.427,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,344.473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLOID PROTEIN ID MS (MAYO),310,RC,88313,CPT,,,outpatient,,,350,,175,210,339.5,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,280.35,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,325.115,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,280.385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICRODISSECTION LASER CAPTURE (MAYO),310,RC,88380,CPT,,,outpatient,,,2100,,1050,1260,2037,1974,,,,percent of total billed charges,,1680,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1743,,,,percent of total billed charges,,1890,,,,percent of total billed charges,,1932,,,,percent of total billed charges,,1932,,,,percent of total billed charges,,1986.6,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,2037,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,1890,,,,percent of total billed charges,,1682.1,,,,percent of total billed charges,,1890,,,,percent of total billed charges,,1260,,,,percent of total billed charges,,1950.69,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1680,,,,percent of total billed charges,,1260,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1682.31,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TARGETED GENOMIC SEQ ANALYSIS,310,RC,81450,CPT,,,outpatient,,,3241,,1620.5,1944.6,3143.77,3046.54,,,,percent of total billed charges,,2592.8,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,2690.03,,,,percent of total billed charges,,2916.9,,,,percent of total billed charges,,2981.72,,,,percent of total billed charges,,2981.72,,,,percent of total billed charges,,3065.986,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,3143.77,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,2852.08,,,,percent of total billed charges,,2916.9,,,,percent of total billed charges,,2596.041,,,,percent of total billed charges,,2916.9,,,,percent of total billed charges,,1944.6,,,,percent of total billed charges,,3010.5649,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,2592.8,,,,percent of total billed charges,,1944.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2596.3651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDMA QUANT (QUEST SENDOUT),301,RC,80359,CPT,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA SUBUNIT (QUEST SENDOUT),300,RC,83520,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FGF-23 (QUEST SENDOUT),300,RC,83520,CPT,,,outpatient,,,410,,205,246,397.7,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,328.41,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,380.849,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,328.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUKNOW CELLULAR FUNCTION ASSAY (VIRACOR SENDOUT),302,RC,86352,CPT,,,outpatient,,,340,,170,204,329.8,319.6,,,,percent of total billed charges,,272,,,,percent of total billed charges,,323,,,,percent of total billed charges,,282.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,321.64,,,,percent of total billed charges,,323,,,,percent of total billed charges,,329.8,,,,percent of total billed charges,,323,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,272.34,,,,percent of total billed charges,,306,,,,percent of total billed charges,,204,,,,percent of total billed charges,,315.826,,,,percent of total billed charges,,323,,,,percent of total billed charges,,323,,,,percent of total billed charges,,272,,,,percent of total billed charges,,204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,272.374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLD ID (QUEST SENDOUT),306,RC,87107,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLD SENSITIVITIES (QUEST SENDOUT),306,RC,87188,CPT,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV AMPLIFIED PROBE (QUEST SENDOUT),306,RC,87496,CPT,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCREATIC NGS PANEL (UPMC),310,RC,0313U,HCPCS,,,outpatient,,,1725,,862.5,1035,1673.25,1621.5,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1431.75,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1631.85,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1673.25,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1381.725,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1602.3525,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1381.8975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RHD MOLECULAR (VERSITI),310,RC,81479,CPT,,,outpatient,,,773,,386.5,463.8,749.81,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,619.173,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,718.0397,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,619.2503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG D ANTIGEN (VERSITI),309,RC,86901,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OLIGOSACCHARIDE (MAYO),301,RC,84377,CPT,,,outpatient,,,694,,347,416.4,673.18,652.36,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,576.02,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,656.524,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,673.18,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,610.72,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,555.894,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,644.6566,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,555.9634,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITORING PANEL 5 (QUEST),301,RC,80307,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGA, IHC W/O INTERPRETATION (QUEST SENDOUT)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG D2-40, IHC W/O INTERPRETATION (QUEST SENDOUT)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITOR PANEL 8 (QUEST),301,RC,80307,CPT,,,outpatient,,,378,,189,226.8,366.66,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,302.778,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,351.1242,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.8158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL CONF (QUEST),301,RC,80354,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEROIN METABOLITE (QUEST),301,RC,80356,CPT,,,outpatient,,,40,,20,24,38.8,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,37.156,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MET EXON 14 DELETION ANALYSIS (QUEST),310,RC,81479,CPT,,,outpatient,,,1012,,506,607.2,981.64,951.28,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,839.96,,,,percent of total billed charges,,910.8,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,957.352,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,981.64,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,890.56,,,,percent of total billed charges,,910.8,,,,percent of total billed charges,,810.612,,,,percent of total billed charges,,910.8,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,940.0468,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,810.7132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DELTA AMINOLEVULINIC ACID (QUEST),301,RC,82135,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CITRIC ACID (QUEST),301,RC,82507,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE (MAYO),301,RC,82570,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TITANIUM (QUEST),301,RC,83018,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT (QUEST),302,RC,83520,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON LIVER (QUEST),309,RC,83540,CPT,,,outpatient,,,202,,101,121.2,195.94,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,161.802,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,187.6378,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.8222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TSH (QUEST),301,RC,84443,CPT,,,outpatient,,,93,,46.5,55.8,90.21,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,74.493,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,86.3877,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.5023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTICHOKE IGE (QUEST),302,RC,86003,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE HISTAMINE RELEASE TEST (QUEST),302,RC,86343,CPT,,,outpatient,,,73,,36.5,43.8,70.81,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,58.473,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,67.8097,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.4803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ABS (QUEST),302,RC,86376,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN AB (QUEST),302,RC,86800,CPT,,,outpatient,,,93,,46.5,55.8,90.21,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,74.493,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,86.3877,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.5023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H3K27M IHC (MAYO),312,RC,88342,CPT,,,outpatient,,,204,,102,122.4,197.88,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,163.404,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,189.4956,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,163.4244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H3 TRIMETHYL K27 IHC (MAYO),312,RC,88342,CPT,,,outpatient,,,204,,102,122.4,197.88,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,163.404,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,189.4956,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,163.4244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THSD7A BY IF (MAYO),312,RC,88346,CPT,,,outpatient,,,342,,171,205.2,331.74,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,317.6838,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,273.9762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLA2R BY IF (MAYO),312,RC,88346,CPT,,,outpatient,,,342,,171,205.2,331.74,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,317.6838,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,273.9762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCYSTIS JIROVECII,306,RC,87798,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN, IHC W/O INTERPRETATION (QUEST)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGEN RECEPTOR (ER), IHC WITHOUT INTERPRETATION (QUEST)",310,RC,88360,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROGESTERONE RECEPTOR, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,88360,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARS-COV2 NUCLEOCAPSID AB (QUEST),302,RC,86769,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHYLPHENIDATE METABOLITE QUANT (QUEST),301,RC,80360,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BROAD RANGE BACTERIAL PCR/SEQUENCING (MAYO),306,RC,87801,CPT,,,outpatient,,,742,,371,445.2,719.74,697.48,,,,percent of total billed charges,,593.6,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,615.86,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,682.64,,,,percent of total billed charges,,682.64,,,,percent of total billed charges,,701.932,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,719.74,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,652.96,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,594.342,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,445.2,,,,percent of total billed charges,,689.2438,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,593.6,,,,percent of total billed charges,,445.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,594.4162,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID BY SEQUENCING (MAYO),306,RC,87798,CPT,,,outpatient,,,405,,202.5,243,392.85,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,324.405,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,376.2045,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,324.4455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID NGS (MAYO),306,RC,87798,CPT,,,outpatient,,,920,,460,552,892.4,864.8,,,,percent of total billed charges,,736,,,,percent of total billed charges,,874,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,874,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,874,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,828,,,,percent of total billed charges,,552,,,,percent of total billed charges,,854.588,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,736,,,,percent of total billed charges,,552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,737.012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID BY PCR (MAYO),306,RC,87798,CPT,,,outpatient,,,1104,,552,662.4,1070.88,1037.76,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,916.32,,,,percent of total billed charges,,993.6,,,,percent of total billed charges,,1015.68,,,,percent of total billed charges,,1015.68,,,,percent of total billed charges,,1044.384,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,1070.88,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,993.6,,,,percent of total billed charges,,884.304,,,,percent of total billed charges,,993.6,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,1025.5056,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,884.4144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGITIS PANEL PCR CSF (MAYO),306,RC,87483,CPT,,,outpatient,,,960,,480,576,931.2,902.4,,,,percent of total billed charges,,768,,,,percent of total billed charges,,912,,,,percent of total billed charges,,796.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,912,,,,percent of total billed charges,,931.2,,,,percent of total billed charges,,912,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,768.96,,,,percent of total billed charges,,864,,,,percent of total billed charges,,576,,,,percent of total billed charges,,891.744,,,,percent of total billed charges,,912,,,,percent of total billed charges,,912,,,,percent of total billed charges,,768,,,,percent of total billed charges,,576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,769.056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURINES & PYRIMIDINE URINE (MAYO),301,RC,82542,CPT,,,outpatient,,,1048,,524,628.8,1016.56,985.12,,,,percent of total billed charges,,838.4,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,869.84,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,964.16,,,,percent of total billed charges,,964.16,,,,percent of total billed charges,,991.408,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,1016.56,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,922.24,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,839.448,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,973.4872,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,838.4,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,839.5528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MELANOMA AG REC BY T CELLS IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARS-COV2 SPIKE AB (QUEST),302,RC,86769,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD1A, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NAPSIN A, IHC W/O INTERPRETATION (QUEST)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSA, IHC W/O INTERP (QUEST)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA AMYLOID RATIO (QUEST),310,RC,0346U,HCPCS,,,outpatient,,,963,,481.5,577.8,934.11,905.22,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,799.29,,,,percent of total billed charges,,866.7,,,,percent of total billed charges,,885.96,,,,percent of total billed charges,,885.96,,,,percent of total billed charges,,910.998,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,934.11,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,847.44,,,,percent of total billed charges,,866.7,,,,percent of total billed charges,,771.363,,,,percent of total billed charges,,866.7,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,894.5307,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,771.4593,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LRP4 AUTOAB (QUEST),302,RC,86255,CPT,,,outpatient,,,1440,,720,864,1396.8,1353.6,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1195.2,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,1362.24,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1396.8,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1267.2,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,1153.44,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,864,,,,percent of total billed charges,,1337.616,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1153.584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NMO AB CBA (QUEST),302,RC,86052,CPT,,,outpatient,,,250,,125,150,242.5,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,200.25,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,232.225,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,200.275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV DNA HIGH RISK TYPES (QUEST),309,RC,87624,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG MONITORING ACCESS PANEL, EXTENDED, QUANT, URINE (QUEST)",301,RC,G0483,HCPCS,,,outpatient,,,846,,423,507.6,820.62,795.24,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,702.18,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,800.316,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,820.62,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,744.48,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,677.646,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,785.8494,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,677.7306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP IMAGING (QUEST),311,RC,G0145,HCPCS,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV RNA (QUEST),309,RC,87624,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE (QUEST)",306,RC,87491,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE (QUEST)",306,RC,87591,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURF AG (QUEST),306,RC,87340,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURF AG CONF (QUEST),306,RC,87341,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOL BIOMARKER (QUEST),301,RC,G0480,HCPCS,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSA SENSITIVE (QUEST),301,RC,84153,CPT,,,outpatient,,,59,,29.5,35.4,57.23,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,47.259,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,54.8051,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.2649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL MOL PATH LVL 6 (QUEST),310,RC,81405,CPT,,,outpatient,,,915,,457.5,549,887.55,860.1,,,,percent of total billed charges,,732,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,759.45,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,865.59,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,887.55,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,732.915,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,549,,,,percent of total billed charges,,849.9435,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,732,,,,percent of total billed charges,,549,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,733.0065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL MOL PATH LVL 7 (QUEST),310,RC,81406,CPT,,,outpatient,,,457,,228.5,274.2,443.29,429.58,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,379.31,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,432.322,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,443.29,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,402.16,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,366.057,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,424.5073,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,366.1027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL MOL PATH LVL 8 (QUEST),310,RC,81407,CPT,,,outpatient,,,915,,457.5,549,887.55,860.1,,,,percent of total billed charges,,732,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,759.45,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,865.59,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,887.55,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,732.915,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,549,,,,percent of total billed charges,,849.9435,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,732,,,,percent of total billed charges,,549,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,733.0065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL UNLISTED MOL PATH (QUEST),310,RC,81479,CPT,,,outpatient,,,915,,457.5,549,887.55,860.1,,,,percent of total billed charges,,732,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,759.45,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,865.59,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,887.55,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,732.915,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,549,,,,percent of total billed charges,,849.9435,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,732,,,,percent of total billed charges,,549,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,733.0065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APOE GENOTYPING (ARUP),310,RC,81401,CPT,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHLERS-DANLOS SYND GENE PANEL-MOL PATH LVL 8 (MAYO),310,RC,81408,CPT,,,outpatient,,,1626,,813,975.6,1577.22,1528.44,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1349.58,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1538.196,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1577.22,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1430.88,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1302.426,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,1510.3914,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1302.5886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHLERS-DANLOS SYND GENE PANEL-MISC MOLECULAR (MAYO),310,RC,81479,CPT,,,outpatient,,,1626,,813,975.6,1577.22,1528.44,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1349.58,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1538.196,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1577.22,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1430.88,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1302.426,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,1510.3914,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1302.5886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA AB CSF (QUEST),302,RC,86698,CPT,,,outpatient,,,107,,53.5,64.2,103.79,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,85.707,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,99.3923,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.7177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNOVASURE ALPHA DEFENSIN (ZIMMER BIOMET),301,RC,83516,CPT,,,outpatient,,,219,,109.5,131.4,212.43,205.86,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,181.77,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,207.174,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,212.43,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,192.72,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,175.419,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,203.4291,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,175.4409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNOVASURE CRP FLUID (ZIMMER BIOMET),301,RC,86140,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTATIN C,301,RC,82610,CPT,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEIN-BARR VIRUS ANTIBODY PANEL (QUEST),302,RC,86664,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEIN-BARR VIRUS ANTIBODY PANEL Â(QUEST),302,RC,86665,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN S ACTIVITY,305,RC,85306,CPT,,,outpatient,,,49,,24.5,29.4,47.53,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,39.249,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,45.5161,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.2539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PARVOVIRUS B19, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GLYCOPHORIN A, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P53 IHC W/O INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCT3/4 IHC W/O INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS HEM DISORDER COG (MAYO SENDOUT),310,RC,88237,CPT,,,outpatient,,,1016,,508,609.6,985.52,955.04,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,843.28,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,961.136,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,985.52,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,894.08,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,813.816,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,943.7624,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,813.9176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHRONIC URTICARIA-IMMUNOASSAY (QUEST SENDOUT),302,RC,83520,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHRONIC URTICARIA-LHR TEST (QUEST SENDOUT),302,RC,86343,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITORING ANTIPSYCHOTICS URINE (QUEST SENDOUT),301,RC,80307,CPT,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA AURIS PCR (QUEST),309,RC,87481,CPT,,,outpatient,,,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLATILES BLOOD (QUEST),301,RC,80320,CPT,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COG METAPHASES (MAYO),310,RC,88264,CPT,,,outpatient,,,700,,350,420,679,658,,,,percent of total billed charges,,560,,,,percent of total billed charges,,665,,,,percent of total billed charges,,581,,,,percent of total billed charges,,630,,,,percent of total billed charges,,644,,,,percent of total billed charges,,644,,,,percent of total billed charges,,662.2,,,,percent of total billed charges,,665,,,,percent of total billed charges,,679,,,,percent of total billed charges,,665,,,,percent of total billed charges,,616,,,,percent of total billed charges,,630,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,630,,,,percent of total billed charges,,420,,,,percent of total billed charges,,650.23,,,,percent of total billed charges,,665,,,,percent of total billed charges,,665,,,,percent of total billed charges,,560,,,,percent of total billed charges,,420,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,560.77,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COG ADD'L CELLS COUNTED (MAYO),310,RC,88285,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AG-NOR/CBL STAIN (MAYO),310,RC,88283,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACHR MODULATING AB (QUEST),302,RC,86043,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-MULLERIAN HORMONE (QUEST),301,RC,82166,CPT,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA A/B RAPID,306,RC,87400,CPT,,,outpatient,,,64,,32,38.4,62.08,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,51.264,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,59.4496,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.2704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BK VIRUS PCR QUANT,310,RC,87799,CPT,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE PANCREATIC FLUID (MAYO),301,RC,82945,CPT,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXYCODONE & METABOLITES (QUEST),301,RC,80365,CPT,,,outpatient,,,126,,63,75.6,122.22,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,100.926,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,117.0414,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.9386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG PANEL 8 W/CONF (QUEST),301,RC,80307,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPOXYPHENE & METABOLITES (QUEST),301,RC,80367,CPT,,,outpatient,,,264,,132,158.4,256.08,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,211.464,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,245.2296,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,211.4904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET ANTIGEN 2 AB (QUEST),302,RC,86341,CPT,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROBIAL ID BY IA METHOD (CD LABS),306,RC,87449,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LIGHT CHAIN FREE URINE (QUEST),301,RC,83521,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-IGE IGG (QUEST),302,RC,83520,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRCA1/2 GENE ANALYSIS (QUEST),309,RC,81162,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALB2 GENE ANALYSIS (QUEST),309,RC,81307,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTEN GENE ANALYSIS (QUEST),309,RC,81321,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTEN DELETION/DUPL VARIANT (QUEST),309,RC,81323,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TP53 GENE ANALYSIS (QUEST),309,RC,81351,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC LEVEL 5 (QUEST),309,RC,81404,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC LEVEL 6 (QUEST),309,RC,81405,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC LEVEL 7 (QUEST),309,RC,81406,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC UNLISTED (QUEST),309,RC,81479,CPT,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENETIC SEQUENCING FOR SEVERE INHERITED CONDITIONS (QUEST),309,RC,81443,CPT,,,outpatient,,,1021,,510.5,612.6,990.37,959.74,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,847.43,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,965.866,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,990.37,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,898.48,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,817.821,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,948.4069,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,817.9231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMR1 GENE ANALYSIS (QUEST),309,RC,81243,CPT,,,outpatient,,,1021,,510.5,612.6,990.37,959.74,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,847.43,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,965.866,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,990.37,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,898.48,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,817.821,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,948.4069,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,817.9231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMN1 GENE ANALYSIS (QUEST),309,RC,81329,CPT,,,outpatient,,,1021,,510.5,612.6,990.37,959.74,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,847.43,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,965.866,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,990.37,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,898.48,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,817.821,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,948.4069,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,817.9231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENE ANALYSIS FOR SOLID TUMOR PANEL,310,RC,0250U,HCPCS,,,outpatient,,,4813,,2406.5,2887.8,4668.61,4524.22,,,,percent of total billed charges,,3850.4,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,3994.79,,,,percent of total billed charges,,4331.7,,,,percent of total billed charges,,4427.96,,,,percent of total billed charges,,4427.96,,,,percent of total billed charges,,4553.098,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,4668.61,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,4235.44,,,,percent of total billed charges,,4331.7,,,,percent of total billed charges,,3855.213,,,,percent of total billed charges,,4331.7,,,,percent of total billed charges,,2887.8,,,,percent of total billed charges,,4470.7957,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,3850.4,,,,percent of total billed charges,,2887.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3855.6943,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEASLES PCR (QUEST),306,RC,87798,CPT,,,outpatient,,,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEASLES PCR (QUEST),306,RC,87798,CPT,,,outpatient,,,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITORING PANEL 7 (QUEST),301,RC,80307,CPT,,,outpatient,,,378,,189,226.8,366.66,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,302.778,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,351.1242,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.8158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDMA/MDA (QUEST),301,RC,80307,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NALOXONE QUANT (QUEST),301,RC,80362,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBIOTIC SENSITIVITY (QUEST),306,RC,87184,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GHRELIN PLASMA (QUEST),301,RC,83520,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NOROVIRUS DETECTION PCR,306,RC,87798,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOHISTO ANTB 1ST STAIN (QUEST),310,RC,88342,CPT,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRB GENE REARRANGEMENT ANALYSIS PCR (QUEST),309,RC,81340,CPT,,,outpatient,,,540,,270,324,523.8,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,432.54,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,501.606,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE POC (QUEST),309,RC,88233,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS 15-20 POC (QUEST),309,RC,88262,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD117 C-KIT IHC W/OUT INTERP (QUEST),312,RC,88342,CPT,,,outpatient,,,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Toxoplasma gondii PCR (ARUP),309,RC,87798,CPT,,,outpatient,,,220,,110,132,213.4,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,204.358,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV Qual PCR (ARUP),309,RC,87496,CPT,,,outpatient,,,207,,103.5,124.2,200.79,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,165.807,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,192.2823,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.8277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARSCOV & INF VIR A&B AG IA,300,RC,87428,CPT,,,outpatient,,,255,,127.5,153,247.35,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,204.255,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,236.8695,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.2805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB GLYCOSYLATED A1C HOME DEV,301,RC,83037,CPT,,,outpatient,,,30,,15,18,29.1,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,27.867,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,306,RC,87634,CPT,,,outpatient,,,256,,128,153.6,248.32,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,205.056,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,237.7984,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.0816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA DNA AMP PROBE,310,RC,87481,CPT,,,outpatient,,,127,,63.5,76.2,123.19,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,101.727,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,117.9703,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.7397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ASSOC. IMMUNOGLOBULIN ASSAY (QUEST),302,RC,86023,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AML RAPID MUTATION PANEL (QUEST),309,RC,81450,CPT,,,outpatient,,,3670,,1835,2202,3559.9,3449.8,,,,percent of total billed charges,,2936,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3046.1,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,3376.4,,,,percent of total billed charges,,3376.4,,,,percent of total billed charges,,3471.82,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3559.9,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3229.6,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,2939.67,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,2202,,,,percent of total billed charges,,3409.063,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,2936,,,,percent of total billed charges,,2202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2940.037,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROMA (RISK OF OVARIAN MALIGNANCY ALGORITHM) (QUEST),309,RC,81500,CPT,,,outpatient,,,1114,,557,668.4,1080.58,1047.16,,,,percent of total billed charges,,891.2,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,924.62,,,,percent of total billed charges,,1002.6,,,,percent of total billed charges,,1024.88,,,,percent of total billed charges,,1024.88,,,,percent of total billed charges,,1053.844,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,1080.58,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,980.32,,,,percent of total billed charges,,1002.6,,,,percent of total billed charges,,892.314,,,,percent of total billed charges,,1002.6,,,,percent of total billed charges,,668.4,,,,percent of total billed charges,,1034.7946,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,891.2,,,,percent of total billed charges,,668.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,892.4254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HMGCR AB IGG (QUEST),302,RC,83520,CPT,,,outpatient,,,410,,205,246,397.7,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,328.41,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,380.849,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,328.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROSTENEDIONE (CAH PANEL) (QUEST),301,RC,82157,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORTISOL TOTAL (CAH PANEL) (QUEST),301,RC,82533,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DHEA (CAH PANEL) (QUEST),301,RC,82626,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11-DEOXYCORTISOL (CAH PANEL) (QUEST),301,RC,82634,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-D-HYDROXYPROGESTERONE (CAH PANEL) (QUEST),301,RC,83498,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-HYDROXYPREGNENOLONE (CAH PANEL) (QUEST),301,RC,84143,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROGESTERONE (CAH PANEL) (QUEST),301,RC,84144,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE TOTAL (CAH PANEL) (QUEST),301,RC,84403,CPT,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISO PSA (Quest),301,RC,0359U,HCPCS,,,outpatient,,,535,,267.5,321,518.95,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,428.535,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,496.9615,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,428.5885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV PCR,309,RC,87634,CPT,,,outpatient,,,255,,127.5,153,247.35,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,204.255,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,236.8695,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.2805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABO (VERSITI) - SENDOUT,302,RC,86900,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH TYPE (VERSITI)-SENDOUT,302,RC,86901,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYSTALS SYNOVIAL FLUID (QUEST) - SENDOUT,309,RC,89060,CPT,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NGAL (U OF MI) - SENDOUT,301,RC,83520,CPT,,,outpatient,,,194,,97,116.4,188.18,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,155.394,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,180.2066,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.4134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA SERUM ALIQUOT (UPMC) (SENDOUT),309,RC,86849,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA SERUM STORAGE (UPMC) (SENDOUT),309,RC,86849,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA DNA STORAGE (UPMC) (SENDOUT),310,RC,88240,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OVA & PARASITE EXAM AND ID (QUEST),306,RC,87177,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEX SPECIAL STAIN FOR OVA &PARASITES (QUEST),306,RC,87209,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Lohexol (Mayo),301,RC,82542,CPT,,,outpatient,,,486,,243,291.6,471.42,456.84,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,403.38,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,459.756,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.42,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,389.286,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,451.4454,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,389.3346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUT COMPONENT IGE (QUEST),302,RC,86008,CPT,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG YERSINIA CULTURE (QUEST),306,RC,87046,CPT,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P-TAU 217 PLASMA (QUEST),309,RC,83520,CPT,,,outpatient,,,1001,,500.5,600.6,970.97,940.94,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,830.83,,,,percent of total billed charges,,900.9,,,,percent of total billed charges,,920.92,,,,percent of total billed charges,,920.92,,,,percent of total billed charges,,946.946,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,970.97,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,880.88,,,,percent of total billed charges,,900.9,,,,percent of total billed charges,,801.801,,,,percent of total billed charges,,900.9,,,,percent of total billed charges,,600.6,,,,percent of total billed charges,,929.8289,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,600.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,801.9011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROB IGE (QUEST),302,RC,86003,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGE GUM XANTHAN/CARAGEENAN (QUEST),302,RC,86003,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36591-0510 BLOOD DRAW (VAD),510,RC,36591,CPT,,,outpatient,,,347,,173.5,208.2,336.59,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,277.947,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,322.3283,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.9817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW ASPIRATION,510,RC,38220,CPT,,,outpatient,,,2260,,1130,1356,2192.2,2124.4,,,,percent of total billed charges,,1808,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,1875.8,,,,percent of total billed charges,,2034,,,,percent of total billed charges,,2079.2,,,,percent of total billed charges,,2079.2,,,,percent of total billed charges,,2137.96,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,2192.2,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,1988.8,,,,percent of total billed charges,,2034,,,,percent of total billed charges,,1810.26,,,,percent of total billed charges,,2034,,,,percent of total billed charges,,1356,,,,percent of total billed charges,,2099.314,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,1808,,,,percent of total billed charges,,1356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1810.486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99195-0940 THERAPEUTIC PHLEBOTOMY,940,RC,99195,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, VITAMINE B1, THIAMINE HCL, 100 MG",636,RC,J3411,HCPCS,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON SUCROSE INJECTION - 1 MG,636,RC,J1756,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUTEROL,INHAL,DME,UNIT DOSE,1MG",250,RC,,,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUTEROL NON-COMPOUNDED - 3 ML,636,RC,J7620,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IPRATROPIUM BROM INH SOL U D - 3 ML,636,RC,J7644,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE SODIUM PHOS - 1 MG,636,RC,J1100,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHENHYDRAMINE HCL INJECTION - 50 MG,636,RC,J1200,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ HEPARIN SODIUM PER 10 U,636,RC,J1642,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN INJECTION - 5 UNITS,636,RC,J1815,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KETOROLAC TROMETHAMINE INJ - 15 MG,636,RC,J1885,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METOCLOPRAMIDE HCL INJECTION, PER 10 MG",636,RC,J2765,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIAMCINOLONE A INJ PRS-FREE, PER 1 MG",636,RC,J3300,HCPCS,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN B12 INJECTION - UP TO 1000 MCG,636,RC,J3420,HCPCS,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FERUMOXYTOL, NON-ESRD - 1 MG",636,RC,Q0138,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ MIDAZOLAM HYDROCHLORIDE - 1 MG,636,RC,J2250,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ CEFTAZIDIME PER 500 MG,636,RC,J0713,HCPCS,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DARBEPOETIN ALFA, NON-ESRD - 1 MCG",636,RC,J0881,HCPCS,,,outpatient,,,34,,17,20.4,32.98,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,27.234,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,31.5826,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.2374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEVALBUTEROL, INHAL, UNIT DOSE, PER TREATMENT",250,RC,,,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDROMORPHONE INJECTION - 0.1MG,636,RC,J1170,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEPERIDINE HYDROCHL /100 MG,636,RC,J2175,HCPCS,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL CITRATE INJECITON,636,RC,J3010,HCPCS,,,outpatient,,,6,,3,3.6,5.82,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,5.5734,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.8066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION,XEOMIN,1 UNIT",636,RC,J0588,HCPCS,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOTULINUM TOXIN A PER UNIT,636,RC,J0585,HCPCS,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 20MG INJECTION, PER 1MG",636,RC,J1010,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTRIAXONE SODIUM INJECTION - 250 MG,636,RC,J0696,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VANCOMYCIN HCL INJECTION - 500 MG,636,RC,J3370,HCPCS,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE SODIUM SUCCINATE (SOLU MEDROL) UP TO 125MG INJECTION, PER 5MG",636,RC,J2919,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROMETHAZINE HCL INJECTION - 50 MG,636,RC,J2550,HCPCS,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETAMETHASONE ACET&SOD PHOSP - 3 MG,636,RC,J0702,HCPCS,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPICILLIN 500 MG INJ,636,RC,J0290,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOTULINUM TOXIN TYPE B - 100 UNITS,636,RC,J0587,HCPCS,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE CYPIONATE PER 1 MG,636,RC,J1071,HCPCS,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PENICILLIN G BENZATHINE INJ, 100,000 UNITS",636,RC,J0561,HCPCS,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 40MG INJECTION, PER 1MG",636,RC,J1010,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, 6-35 MO, IM",636,RC,90655,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACCINE =>3YO PRESERVATIVE FREE IM (FLUARIX),636,RC,90656,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, 6-35 MO, IM",636,RC,90657,CPT,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, 3 YRS, IM",636,RC,90658,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA VACCINE SPLT PRSRV FREE INC ANTIGEN IM,636,RC,90662,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE,PED/ADOL,IM - 3 DOSE (RECOMBIVAX) -  0.5 ML",636,RC,90744,CPT,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TD VACCINE NO PRSRV >/= 7 YO, IM (TENIVAC) - PER 0.5 ML",636,RC,90714,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, INFLUENZA VACCINE LIVE, INTRANASAL (FLUMIST TRIVALENT)",636,RC,90660,CPT,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP IMMUNIZATION, IM (DAPTACEL) - PER 0.5 ML",636,RC,90700,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 80MG INJECTION, PER 1MG",636,RC,J1010,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIB VACCINE, PRP-T, IM - 4 DOSE (ACTHIB) - PER 0.5 ML",636,RC,90648,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG POLIOMYELITIS IMMUNIZATN,INACTV,SUB-Q (IPOL) - PER 0.5 ML",636,RC,90713,CPT,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPOETIN ALFA, NON-ESRD - 1000 UNITS",636,RC,J0885,HCPCS,,,outpatient,,,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOMYCIN 5 MG INJ,636,RC,J9280,HCPCS,,,outpatient,,,230,,115,138,223.1,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,213.647,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,184.253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FOSCARNET SODIUM INJECTION - 1000 MG,636,RC,J1455,HCPCS,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE, ADULT, IM-TECH VACCINE (ENGERIX), PER 1 ML",636,RC,90746,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TDAP VACCINE >7 YO, IM (BOOSTRIX) - 0.5 ML",636,RC,90715,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEVACIZUMAB INJECTION PER .25 MG,636,RC,C9257,HCPCS,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCGH MMR VIRUS IMMUNIZATION, SUBCUT - (M-M-R II) 0.5 ML",636,RC,90707,CPT,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIPTH, PERTUS, TET, POLIO VACCINE (QUADRACEL), PER 0.5 ML",636,RC,90696,CPT,,,outpatient,,,111,,55.5,66.6,107.67,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,88.911,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,103.1079,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.9221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLONIDINE HYDROCHLORIDE - 1 MG,636,RC,J0735,HCPCS,,,outpatient,,,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ DIHYDROERGOTAMINE MESYLT - 1 MG,636,RC,J1110,HCPCS,,,outpatient,,,181,,90.5,108.6,175.57,170.14,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,150.23,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,171.226,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,175.57,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,159.28,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,144.981,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,168.1309,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.9991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOLUTION INFUS,636,RC,J7030,HCPCS,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOLUTION INFUS - 500 ML,636,RC,J7040,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RINGERS LACTATE INFUSION - 1000 ML,636,RC,J7120,HCPCS,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP-HIB-IP VACCINE, IM (PENTACEL)- 0.5 ML",636,RC,90698,CPT,,,outpatient,,,202,,101,121.2,195.94,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,161.802,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,187.6378,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.8222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP/HEPB/IPV VACCINE,IM (PEDIARIX)- 0.5 ML",636,RC,90723,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ROTOVIRUS VACCINE, PENTAVAL, 3 DOSE, ORAL, (ROTATEQ) - 2 ML",636,RC,90680,CPT,,,outpatient,,,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ROTAVIRUS VACCINE,HUMAN,ATTENUATED,2DOSE,LIVE,ORAL, (ROTARIX) - 1 ML",636,RC,90681,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RANIBIZUMAB INJECTION (LUCENTIS) PER 0.1MG,636,RC,J2778,HCPCS,,,outpatient,,,1755,,877.5,1053,1702.35,1649.7,,,,percent of total billed charges,,1404,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1456.65,,,,percent of total billed charges,,1579.5,,,,percent of total billed charges,,1614.6,,,,percent of total billed charges,,1614.6,,,,percent of total billed charges,,1660.23,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1702.35,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1544.4,,,,percent of total billed charges,,1579.5,,,,percent of total billed charges,,1405.755,,,,percent of total billed charges,,1579.5,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,1630.2195,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1404,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1405.9305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPA/HEHCHG VACCINE ADULT IM,636,RC,90636,CPT,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MENINGOCOCCAL VACCINE (MENACTRA), PER 0.5 ML",636,RC,90734,CPT,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HPV/ HUMAN PAPILLOMA VACC, IM - 3 DOSE, 0.5 ML",636,RC,90649,CPT,,,outpatient,,,538,,269,322.8,521.86,505.72,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,446.54,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,508.948,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,521.86,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,473.44,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,430.938,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,499.7482,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.9918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RABIES VACCINE, IM",636,RC,90675,CPT,,,outpatient,,,766,,383,459.6,743.02,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,613.566,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,711.5374,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,613.6426,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUMATRIPTAN SUCCINATE / 6 MG,636,RC,J3030,HCPCS,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIMETHYL SULFOXIDE 50% 50 ML,636,RC,J1212,HCPCS,,,outpatient,,,2874,,1437,1724.4,2787.78,2701.56,,,,percent of total billed charges,,2299.2,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2385.42,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,2644.08,,,,percent of total billed charges,,2644.08,,,,percent of total billed charges,,2718.804,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2787.78,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2529.12,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,2302.074,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,2669.6586,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2299.2,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2302.3614,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ,COSYNTROPIN,0.25MG",636,RC,J0834,HCPCS,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCAGON HYDROCHLORIDE/1 MG,636,RC,J1610,HCPCS,,,outpatient,,,759,,379.5,455.4,736.23,713.46,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,629.97,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,718.014,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,736.23,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,607.959,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,705.0351,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,608.0349,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCG LIVE INTRAVESICAL VAC - 1 MG,636,RC,J9030,HCPCS,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GOSERELIN ACETATE IMPLANT - 3.6 MG,636,RC,J9202,HCPCS,,,outpatient,,,4468,,2234,2680.8,4333.96,4199.92,,,,percent of total billed charges,,3574.4,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,3708.44,,,,percent of total billed charges,,4021.2,,,,percent of total billed charges,,4110.56,,,,percent of total billed charges,,4110.56,,,,percent of total billed charges,,4226.728,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,4333.96,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,3931.84,,,,percent of total billed charges,,4021.2,,,,percent of total billed charges,,3578.868,,,,percent of total billed charges,,4021.2,,,,percent of total billed charges,,2680.8,,,,percent of total billed charges,,4150.3252,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,3574.4,,,,percent of total billed charges,,2680.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3579.3148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ZOLEDRONIC ACID IN MANNITOL (RECLAST), PER 1MG",636,RC,J3489,HCPCS,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUPROLIDE ACETATE (LUPRON) (FOR DEPOT SUSPENSION) SYRGS & KITS, PER 7.5MG",636,RC,J9217,HCPCS,,,outpatient,,,733,,366.5,439.8,711.01,689.02,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,608.39,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,693.418,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,711.01,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,645.04,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,587.133,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,680.8837,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,587.2063,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAUT COPPER CONTRACEPTIVE (PARAGARD) PER DEVICE,636,RC,J7300,HCPCS,,,outpatient,,,1349,,674.5,809.4,1308.53,1268.06,,,,percent of total billed charges,,1079.2,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1119.67,,,,percent of total billed charges,,1214.1,,,,percent of total billed charges,,1241.08,,,,percent of total billed charges,,1241.08,,,,percent of total billed charges,,1276.154,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1308.53,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1187.12,,,,percent of total billed charges,,1214.1,,,,percent of total billed charges,,1080.549,,,,percent of total billed charges,,1214.1,,,,percent of total billed charges,,809.4,,,,percent of total billed charges,,1253.0861,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1079.2,,,,percent of total billed charges,,809.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1080.6839,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVONORGESTREL IU CONTRACEPT (MIRENA) - PER DEVICE,636,RC,J7298,HCPCS,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ETONOGESTREL(CONTRACEPTIVE)IMPLNT SYSTM,INCL IMPLNT&SUPPLIES (NEXPLANON)- 68 MG",636,RC,J7307,HCPCS,,,outpatient,,,2458,,1229,1474.8,2384.26,2310.52,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2040.14,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2325.268,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2384.26,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2163.04,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1968.858,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,2283.2362,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1969.1038,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUPARTZ INJ PER DOSE,636,RC,J7321,HCPCS,,,outpatient,,,1031,,515.5,618.6,1000.07,969.14,,,,percent of total billed charges,,824.8,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,855.73,,,,percent of total billed charges,,927.9,,,,percent of total billed charges,,948.52,,,,percent of total billed charges,,948.52,,,,percent of total billed charges,,975.326,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,1000.07,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,907.28,,,,percent of total billed charges,,927.9,,,,percent of total billed charges,,825.831,,,,percent of total billed charges,,927.9,,,,percent of total billed charges,,618.6,,,,percent of total billed charges,,957.6959,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,824.8,,,,percent of total billed charges,,618.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,825.9341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EUFLEXXA INJ PER DOSE,636,RC,J7323,HCPCS,,,outpatient,,,1504,,752,902.4,1458.88,1413.76,,,,percent of total billed charges,,1203.2,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1248.32,,,,percent of total billed charges,,1353.6,,,,percent of total billed charges,,1383.68,,,,percent of total billed charges,,1383.68,,,,percent of total billed charges,,1422.784,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1458.88,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1323.52,,,,percent of total billed charges,,1353.6,,,,percent of total billed charges,,1204.704,,,,percent of total billed charges,,1353.6,,,,percent of total billed charges,,902.4,,,,percent of total billed charges,,1397.0656,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1203.2,,,,percent of total billed charges,,902.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1204.8544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEDRXYPROGESTER ACETATE PER MG,636,RC,J1050,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HYALURONAN, SYNVISC, INTRA ART INJ,1 MG",636,RC,J7325,HCPCS,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MORPHINE SULFATE PER 10 MG,636,RC,J2274,HCPCS,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ROPIVACAINE HCL, PER 1 MG",636,RC,J2795,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEARING AID CHECK ONE EAR,471,RC,92592,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEARING AID CHECK BOTH EARS,471,RC,92593,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99487-0510 CMPLX CHRON CARE MGMT,510,RC,99487,CPT,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99489-0510 CMPLX CHRON CARE MGMT, ADD'L 30 MIN",510,RC,99489,CPT,,,outpatient,,,145,,72.5,87,140.65,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,116.145,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,134.6905,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.1595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC A1C,300,RC,83036,CPT,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIRENA (J7298) - 52 MG,636,RC,J7298,HCPCS,,,outpatient,,,5466,,2733,3279.6,5302.02,5138.04,,,,percent of total billed charges,,4372.8,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,4536.78,,,,percent of total billed charges,,4919.4,,,,percent of total billed charges,,5028.72,,,,percent of total billed charges,,5028.72,,,,percent of total billed charges,,5170.836,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,5302.02,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,4810.08,,,,percent of total billed charges,,4919.4,,,,percent of total billed charges,,4378.266,,,,percent of total billed charges,,4919.4,,,,percent of total billed charges,,3279.6,,,,percent of total billed charges,,5077.3674,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,4372.8,,,,percent of total billed charges,,3279.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4378.8126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORTHOVISC - 2ML,636,RC,J7324,HCPCS,,,outpatient,,,580,,290,348,562.6,545.2,,,,percent of total billed charges,,464,,,,percent of total billed charges,,551,,,,percent of total billed charges,,481.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,548.68,,,,percent of total billed charges,,551,,,,percent of total billed charges,,562.6,,,,percent of total billed charges,,551,,,,percent of total billed charges,,510.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,464.58,,,,percent of total billed charges,,522,,,,percent of total billed charges,,348,,,,percent of total billed charges,,538.762,,,,percent of total billed charges,,551,,,,percent of total billed charges,,551,,,,percent of total billed charges,,464,,,,percent of total billed charges,,348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,464.638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGEN - 0.9 MG,636,RC,J3240,HCPCS,,,outpatient,,,8898,,4449,5338.8,8631.06,8364.12,,,,percent of total billed charges,,7118.4,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,7385.34,,,,percent of total billed charges,,8008.2,,,,percent of total billed charges,,8186.16,,,,percent of total billed charges,,8186.16,,,,percent of total billed charges,,8417.508,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,8631.06,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,7830.24,,,,percent of total billed charges,,8008.2,,,,percent of total billed charges,,7127.298,,,,percent of total billed charges,,8008.2,,,,percent of total billed charges,,5338.8,,,,percent of total billed charges,,8265.3522,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,7118.4,,,,percent of total billed charges,,5338.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7128.1878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DENOSUMAB (PROLIA) PER 1MG,636,RC,J0897,HCPCS,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOCOCCAL VACCINE (BEXSERO-) PER 0.5 ML,636,RC,90620,CPT,,,outpatient,,,309,,154.5,185.4,299.73,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,247.509,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,287.0301,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,247.5399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKYLA - 13.5 MG,636,RC,J7301,HCPCS,,,outpatient,,,4335,,2167.5,2601,4204.95,4074.9,,,,percent of total billed charges,,3468,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,3598.05,,,,percent of total billed charges,,3901.5,,,,percent of total billed charges,,3988.2,,,,percent of total billed charges,,3988.2,,,,percent of total billed charges,,4100.91,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,4204.95,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,3814.8,,,,percent of total billed charges,,3901.5,,,,percent of total billed charges,,3472.335,,,,percent of total billed charges,,3901.5,,,,percent of total billed charges,,2601,,,,percent of total billed charges,,4026.7815,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,3468,,,,percent of total billed charges,,2601,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3472.7685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZOFRAN,636,RC,J2405,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OZURDEX - 0.1 MG,636,RC,J7312,HCPCS,,,outpatient,,,883,,441.5,529.8,856.51,830.02,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,732.89,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,835.318,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,856.51,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,777.04,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,707.283,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,820.2187,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,707.3713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MONOVISC, PER DOSE 88 MG",636,RC,J7327,HCPCS,,,outpatient,,,2832,,1416,1699.2,2747.04,2662.08,,,,percent of total billed charges,,2265.6,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2350.56,,,,percent of total billed charges,,2548.8,,,,percent of total billed charges,,2605.44,,,,percent of total billed charges,,2605.44,,,,percent of total billed charges,,2679.072,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2747.04,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2492.16,,,,percent of total billed charges,,2548.8,,,,percent of total billed charges,,2268.432,,,,percent of total billed charges,,2548.8,,,,percent of total billed charges,,1699.2,,,,percent of total billed charges,,2630.6448,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2265.6,,,,percent of total billed charges,,1699.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2268.7152,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTAPENEM - 500 MG,636,RC,J1335,HCPCS,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENTAMYCIN - 80 MG,636,RC,J1580,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOROURACIL INJECTION (PER 500 MGS),636,RC,J9190,HCPCS,,,outpatient,,,57,,28.5,34.2,55.29,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,45.657,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,52.9473,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.6627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUROLANE SODIUM HYALURONATE - 1MG,636,RC,J7318,HCPCS,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64425-0510 INJ ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",510,RC,64425,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP LONG ARM PED FBRGLS,270,RC,Q4008,HCPCS,,,outpatient,,,41,,20.5,24.6,39.77,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,32.841,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,38.0849,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.8451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP SHT ARM ADULT FBRGL,270,RC,Q4010,HCPCS,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP SHT ARM PED FBRGLAS,270,RC,Q4012,HCPCS,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP SHT ARM SPLINT FBRG,270,RC,Q4022,HCPCS,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4038 CAST SUPPLY SHORT LEG FIBERGLASS,270,RC,Q4038,HCPCS,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUPPLIES UNLISTED,270,RC,Q4050,HCPCS,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, AUTO, W/O SCOPE",307,RC,81003,CPT,,,outpatient,,,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE BLOOD TEST,301,RC,82962,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN,305,RC,85018,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS NONAUTO W/O SCOPE,307,RC,81002,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLECTION CAPILLARY BLOOD SPECIMEN,300,RC,36416,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, NONAUTO, W/SCOPE",307,RC,81000,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL TRANSCUT,301,RC,88720,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE PREGNANCY TEST,307,RC,81025,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY FOR LEAD,301,RC,83655,CPT,,,outpatient,,,141,,70.5,84.6,136.77,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,112.941,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,130.9749,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.9551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADMIN HEPATITIS B VACCINE,771,RC,G0010,HCPCS,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STREP A ASSAY W/OPTIC,306,RC,87880,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA",306,RC,87804,CPT,,,outpatient,,,457,,228.5,274.2,443.29,429.58,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,379.31,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,432.322,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,443.29,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,402.16,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,366.057,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,424.5073,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,366.1027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,320,RC,77002,CPT,,,outpatient,,,641,,320.5,384.6,621.77,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,513.441,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,595.4249,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,513.5051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHG TB INTRADERMAL TEST,302,RC,86580,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OSTEOPATHIC MANIP,1-2 BODY REGN",530,RC,98925,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEMO &/OR EVAL,PT USE,AEROSOL DEVICE",410,RC,94664,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INHAL RX, AIRWAY OBST/DX SPUTUM INDUCT",410,RC,94640,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PURE TONE AUDIOMETRY, AIR",471,RC,92552,CPT,,,outpatient,,,334,,167,200.4,323.98,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,267.534,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,310.2526,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,267.5674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYMPANOMETRY,471,RC,92567,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEG PRESS WOUND TX, < 50 CM",361,RC,97605,CPT,,,outpatient,,,405,,202.5,243,392.85,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,324.405,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,376.2045,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,324.4455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPREHENSIVE HEARING TEST,471,RC,92557,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94060-0460 EVAL OF BRONCHOSPASM,460,RC,94060,CPT,,,outpatient,,,668,,334,400.8,647.96,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,535.068,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,620.5052,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,535.1348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WELCOME TO MEDICARE,770,RC,G0402,HCPCS,,,outpatient,,,315,,157.5,189,305.55,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,252.315,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,292.6035,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,252.3465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEG PRESS WOUND TX, > 50 CM",361,RC,97606,CPT,,,outpatient,,,605,,302.5,363,586.85,568.7,,,,percent of total billed charges,,484,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,502.15,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,572.33,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,586.85,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,532.4,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,484.605,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,363,,,,percent of total billed charges,,561.9845,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,484,,,,percent of total billed charges,,363,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,484.6655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVE WOUND CARE/20 CM OR <,361,RC,97597,CPT,,,outpatient,,,474,,237,284.4,459.78,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,379.674,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,440.2986,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,379.7214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVE WOUND CARE > 20 CM,361,RC,97598,CPT,,,outpatient,,,542,,271,325.2,525.74,509.48,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,449.86,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,512.732,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,525.74,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,476.96,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,434.142,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,503.4638,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,434.1962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL BIOPHYSICAL PROFILE,402,RC,76818,CPT,,,outpatient,,,436,,218,261.6,422.92,409.84,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,361.88,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,412.456,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,422.92,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,383.68,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,349.236,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,405.0004,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,349.2796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95165-0510 ANTIGEN THERAPY SERVICES,510,RC,95165,CPT,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95970-0920 ANALYZE NEUROSTIM NO PROG,920,RC,95970,CPT,,,outpatient,,,274,,137,164.4,265.78,257.56,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,227.42,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,259.204,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,265.78,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,241.12,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,219.474,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,254.5186,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,219.5014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALYZE NEUROSTIM,SIMPLE/PROG",510,RC,95971,CPT,,,outpatient,,,362,,181,217.2,351.14,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,289.962,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,336.2618,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.9982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACOUSTIC IMMITTANCE TESTING,471,RC,92570,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISUAL AUDIOMETRY (VRA),471,RC,92579,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX ANAL COCHLEAR IMP,PT >7 YRS,W/PROG",471,RC,92603,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX ANAL COCHLEAR IMP,PT >7 YRS,REPROG",471,RC,92604,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVAL AUDITORY REHAB STATUS, 1ST HOUR",471,RC,92626,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,942,RC,99406,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL BIOPHYS PROF,W/O NST",402,RC,76819,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US DOPPLER FETAL UMBILICAL ARTERY,402,RC,76820,CPT,,,outpatient,,,1237,,618.5,742.2,1199.89,1162.78,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1026.71,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1170.202,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1199.89,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1088.56,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,990.837,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,1149.0493,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,990.9607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SONO EXAM, HYSTEROSONOGRAPHY",402,RC,76831,CPT,,,outpatient,,,904,,452,542.4,876.88,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,724.104,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,839.7256,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.1944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US XTR NON-VASC COMPLETE,402,RC,76881,CPT,,,outpatient,,,795,,397.5,477,771.15,747.3,,,,percent of total billed charges,,636,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,659.85,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,752.07,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,771.15,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,636.795,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,477,,,,percent of total billed charges,,738.4755,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,636,,,,percent of total billed charges,,477,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,636.8745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSITIONAL NYSTAGMUS TEST,920,RC,92542,CPT,,,outpatient,,,415,,207.5,249,402.55,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,332.415,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,385.4935,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,332.4565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTOACOUSTIC EMMISSION TEST (LIMITED),471,RC,92587,CPT,,,outpatient,,,329,,164.5,197.4,319.13,309.26,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,273.07,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,311.234,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,319.13,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,289.52,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,263.529,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,305.6081,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,263.5619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92588-0471 EVOKED AUDITORY TEST,COMPREHSV",471,RC,92588,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PM DEVICE PROGR EVAL,  SNGL",480,RC,93279,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PM DEVICE PROGR EVAL, DUAL",480,RC,93280,CPT,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93283-0480 ICD DEVICE PROGR EVAL, DUAL",480,RC,93283,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PM DEVICE EVAL IN PERSON,480,RC,93288,CPT,,,outpatient,,,183,,91.5,109.8,177.51,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,146.583,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,169.9887,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.6013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EMG, NEEDLE, LARYNX",922,RC,95865,CPT,,,outpatient,,,274,,137,164.4,265.78,257.56,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,227.42,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,259.204,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,265.78,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,241.12,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,219.474,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,254.5186,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,219.5014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYMPANOMETRY AND REFLEX THRESH,471,RC,92550,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AUDIOMETRY, AIR & BONE",471,RC,92553,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPEECH THRESHOLD AUDIOMETRY,471,RC,92555,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPEECH AUDIOMETRY, COMPLETE",471,RC,92556,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONDITIONING PLAY AUDIOMETRY,471,RC,92582,CPT,,,outpatient,,,419,,209.5,251.4,406.43,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,335.619,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,389.2091,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.6609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALLERGY SKIN TESTS,ALLERGENS",924,RC,95004,CPT,,,outpatient,,,37,,18.5,22.2,35.89,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,29.637,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,34.3693,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.6407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG REFIL/MAINT,IMPLANT PUMP,DRUG DELIV,CNS",924,RC,95990,CPT,,,outpatient,,,450,,225,270,436.5,423,,,,percent of total billed charges,,360,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,405,,,,percent of total billed charges,,414,,,,percent of total billed charges,,414,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,396,,,,percent of total billed charges,,405,,,,percent of total billed charges,,360.45,,,,percent of total billed charges,,405,,,,percent of total billed charges,,270,,,,percent of total billed charges,,418.005,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,360,,,,percent of total billed charges,,270,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,360.495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96110-0918 DEVELOPMENTAL TEST, LIM",918,RC,96110,CPT,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB FEEDING ASSESSMENT/REASSESSMENT,918,RC,96156,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOTHERAPY, ONE INJECTION",940,RC,95115,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOTHERAPY, 2+ INJECTIONS",940,RC,95117,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0232T-0510 INJ,PLASMA,INCL/IMAGE GUIDE",510,RC,0232T,HCPCS,,,outpatient,,,1041,,520.5,624.6,1009.77,978.54,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,864.03,,,,percent of total billed charges,,936.9,,,,percent of total billed charges,,957.72,,,,percent of total billed charges,,957.72,,,,percent of total billed charges,,984.786,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,1009.77,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,916.08,,,,percent of total billed charges,,936.9,,,,percent of total billed charges,,833.841,,,,percent of total billed charges,,936.9,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,966.9849,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,833.9451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF IMPACTED WAX MD,510,RC,G0268,HCPCS,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99381-0510 INIT PM E/M NEW PAT INFANT,510,RC,99381,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99382-0510 INIT PM E/M NEW PAT 1-4 YRS,510,RC,99382,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99383-0510 PREV VISIT NEW AGE 5-11,510,RC,99383,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99384-0510 PREV VISIT NEW AGE 12-17,510,RC,99384,CPT,,,outpatient,,,153,,76.5,91.8,148.41,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,122.553,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,142.1217,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.5683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99385-0510 PREVENTIVE VISIT,NEW,18-39",510,RC,99385,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99386-0510 PREVENTIVE VISIT,NEW,40-64",510,RC,99386,CPT,,,outpatient,,,157,,78.5,94.2,152.29,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,125.757,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,145.8373,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.7727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99387-0510 INIT PM E/M NEW PAT 65+ YRS,510,RC,99387,CPT,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99391-0510 PER PM REEVAL EST PAT INFANT,510,RC,99391,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99392-0510 PREV VISIT EST AGE 1-4,510,RC,99392,CPT,,,outpatient,,,115,,57.5,69,111.55,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,92.115,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,106.8235,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.1265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99393-0510 PREV VISIT EST AGE 5-11,510,RC,99393,CPT,,,outpatient,,,114,,57,68.4,110.58,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,91.314,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,105.8946,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.3254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PREV VISIT,EST,12 TO 17",510,RC,99394,CPT,,,outpatient,,,109,,54.5,65.4,105.73,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,87.309,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,101.2501,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,87.3199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99395-0510 PREVENTIVE VISIT,EST,18-39",510,RC,99395,CPT,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99396-0510 PREVENTIVE VISIT,EST,40-64",510,RC,99396,CPT,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PREV VISIT,EST,65 AND OVER",510,RC,99397,CPT,,,outpatient,,,134,,67,80.4,129.98,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,107.334,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,124.4726,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.3474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAPID RSV,306,RC,87807,CPT,,,outpatient,,,52,,26,31.2,50.44,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,41.652,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,48.3028,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.6572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIDERMAL AUTOGRAFT - T/A/L,761,RC,15100,CPT,,,outpatient,,,7273,,3636.5,4363.8,7054.81,6836.62,,,,percent of total billed charges,,5818.4,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,6036.59,,,,percent of total billed charges,,6545.7,,,,percent of total billed charges,,6691.16,,,,percent of total billed charges,,6691.16,,,,percent of total billed charges,,6880.258,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,7054.81,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,6400.24,,,,percent of total billed charges,,6545.7,,,,percent of total billed charges,,5825.673,,,,percent of total billed charges,,6545.7,,,,percent of total billed charges,,4363.8,,,,percent of total billed charges,,6755.8897,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,5818.4,,,,percent of total billed charges,,4363.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5826.4003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIDERMAL AUTOGRAFT - N/F/H/G,761,RC,15115,CPT,,,outpatient,,,6145,,3072.5,3687,5960.65,5776.3,,,,percent of total billed charges,,4916,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5100.35,,,,percent of total billed charges,,5530.5,,,,percent of total billed charges,,5653.4,,,,percent of total billed charges,,5653.4,,,,percent of total billed charges,,5813.17,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5960.65,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5407.6,,,,percent of total billed charges,,5530.5,,,,percent of total billed charges,,4922.145,,,,percent of total billed charges,,5530.5,,,,percent of total billed charges,,3687,,,,percent of total billed charges,,5708.0905,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,4916,,,,percent of total billed charges,,3687,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4922.7595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIDERMAL AUTOGRAFT EACH ADD'L,761,RC,15111,CPT,,,outpatient,,,3484,,1742,2090.4,3379.48,3274.96,,,,percent of total billed charges,,2787.2,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,2891.72,,,,percent of total billed charges,,3135.6,,,,percent of total billed charges,,3205.28,,,,percent of total billed charges,,3205.28,,,,percent of total billed charges,,3295.864,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,3379.48,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,3065.92,,,,percent of total billed charges,,3135.6,,,,percent of total billed charges,,2790.684,,,,percent of total billed charges,,3135.6,,,,percent of total billed charges,,2090.4,,,,percent of total billed charges,,3236.2876,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,2787.2,,,,percent of total billed charges,,2090.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2791.0324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA VIRUS VAC, QUADRIVALENT, LIVE (LAIV4), FOR INTRANASAL USE",636,RC,90672,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99490-0510 CHRONIC CARE MGMT,510,RC,99490,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSITION CM 7 DAY,510,RC,99496,CPT,,,outpatient,,,315,,157.5,189,305.55,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,252.315,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,292.6035,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,252.3465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99495-0510 TRANSITION CM 14 DAY,510,RC,99495,CPT,,,outpatient,,,315,,157.5,189,305.55,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,252.315,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,292.6035,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,252.3465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10060-0361 I&D SKIN SUBQ ABCESS SIMP,361,RC,10060,CPT,,,outpatient,,,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I&D SKIN SUBQ ABSCESS MUL,361,RC,10061,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10120-0361 INC & REMOVAL FB, SQ",361,RC,10120,CPT,,,outpatient,,,1029,,514.5,617.4,998.13,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,824.229,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,955.8381,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,824.3319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10140-0361 I & D HEMATOMA,361,RC,10140,CPT,,,outpatient,,,2919,,1459.5,1751.4,2831.43,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2338.119,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2711.4591,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2338.4109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042-0361 DEBRIDE SUBCU,1ST 20SQ CM",361,RC,11042,CPT,,,outpatient,,,783,,391.5,469.8,759.51,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,627.183,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,727.3287,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,627.2613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11045-0361 DEBRIDE SUB,EA ADL 20SQCM",361,RC,11045,CPT,,,outpatient,,,460,,230,276,446.2,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,368.46,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,427.294,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,368.506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APPLY MULTILAYER COMP - LATERAL - LOWER LEG,361,RC,29581,CPT,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96158-0510 BEHAV INTERVENTION, IND, FTF, INITIAL 30 MIN",510,RC,96158,CPT,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10021-0510 FINE NEEDLE ASPIRATION,510,RC,10021,CPT,,,outpatient,,,2129,,1064.5,1277.4,2065.13,2001.26,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1767.07,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,2014.034,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2065.13,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1873.52,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1705.329,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,1977.6281,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1705.5419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10080-0510 I&D PILONIDAL CYST,SIMPLE 10080",510,RC,10080,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10121-0510 INCIS/REM FB COMPLICATED,510,RC,10121,CPT,,,outpatient,,,4134,,2067,2480.4,4009.98,3885.96,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3431.22,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3910.764,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,4009.98,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3637.92,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,3311.334,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,3840.0726,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3311.7474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11055-0510 PARE/CUT BENIGN LES SINGLE,510,RC,11055,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11057-0510 PARE CUT BEHIGN LESION >4,510,RC,11057,CPT,,,outpatient,,,653,,326.5,391.8,633.41,613.82,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,541.99,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,617.738,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,633.41,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,574.64,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,523.053,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,606.5717,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,523.1183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11200-0510 REMOVE SKIN TAGS ANY AREA 15 OR <,510,RC,11200,CPT,,,outpatient,,,497,,248.5,298.2,482.09,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,398.097,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,461.6633,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11300-0510 SHAVE SKIN LESIONS .5CM TR/AR/LG,510,RC,11300,CPT,,,outpatient,,,1029,,514.5,617.4,998.13,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,824.229,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,955.8381,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,824.3319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11301-0510 SHAVE SK LESION .6-1.0CM TR/AR/LG,510,RC,11301,CPT,,,outpatient,,,497,,248.5,298.2,482.09,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,398.097,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,461.6633,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11302-0510 SHAVE SK LESN 1.0-2.0CM TR/AR/LG,510,RC,11302,CPT,,,outpatient,,,497,,248.5,298.2,482.09,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,398.097,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,461.6633,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11303-0510 SHAVE SK LESION >2.0CM TR/AR/LG,510,RC,11303,CPT,,,outpatient,,,1029,,514.5,617.4,998.13,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,824.229,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,955.8381,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,824.3319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11305-0510 SHAVE LES .5CM SCLP/NK/HD/GEN/FT,510,RC,11305,CPT,,,outpatient,,,429,,214.5,257.4,416.13,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,343.629,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,398.4981,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,343.6719,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11306-0510 SHAV LES.6-1.0CM SCLP/NK/HD/GEN/F,510,RC,11306,CPT,,,outpatient,,,429,,214.5,257.4,416.13,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,343.629,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,398.4981,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,343.6719,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11310-0510 SHAVE EPIDRML/DERM LESION 0.5CM <,510,RC,11310,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11400-0510 EXC BENIGN LESION .5CM TR/AR/LG,510,RC,11400,CPT,,,outpatient,,,1508,,754,904.8,1462.76,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1207.908,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1400.7812,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1208.0588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11401-0510 EXCIS BENIGN LES.6-1.0CM TR/AR/LG,510,RC,11401,CPT,,,outpatient,,,823,,411.5,493.8,798.31,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,659.223,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,764.4847,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,659.3053,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11402-0510 EXC BENIGN LES 1.2-2.0CM TR/AR/LG,510,RC,11402,CPT,,,outpatient,,,1508,,754,904.8,1462.76,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1207.908,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1400.7812,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1208.0588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11406-0510 EXC BENIGN LESION 4.0CM TR/AR/LG,510,RC,11406,CPT,,,outpatient,,,3476,,1738,2085.6,3371.72,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2784.276,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3228.8564,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2784.6236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11421-0510 EXC BEN LES.6-1.0CM SCP/NK/HD/GEN,510,RC,11421,CPT,,,outpatient,,,1788,,894,1072.8,1734.36,1680.72,,,,percent of total billed charges,,1430.4,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1484.04,,,,percent of total billed charges,,1609.2,,,,percent of total billed charges,,1644.96,,,,percent of total billed charges,,1644.96,,,,percent of total billed charges,,1691.448,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1734.36,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1573.44,,,,percent of total billed charges,,1609.2,,,,percent of total billed charges,,1432.188,,,,percent of total billed charges,,1609.2,,,,percent of total billed charges,,1072.8,,,,percent of total billed charges,,1660.8732,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1430.4,,,,percent of total billed charges,,1072.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1432.3668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11440-0510 EXC BENIGN LESION 0.5CM OR LESS,510,RC,11440,CPT,,,outpatient,,,1508,,754,904.8,1462.76,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1207.908,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1400.7812,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1208.0588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11441-0510 EXC BENIGN LESION 0.6 TO 1.0CM,510,RC,11441,CPT,,,outpatient,,,1508,,754,904.8,1462.76,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1207.908,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1400.7812,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1208.0588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11443-0510 EXC BEN LES 2.1-3CM FACE,510,RC,11443,CPT,,,outpatient,,,4134,,2067,2480.4,4009.98,3885.96,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3431.22,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3910.764,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,4009.98,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3637.92,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,3311.334,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,3840.0726,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3311.7474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11444-0510 EXC BEN LES 3.1-4CM FACE,510,RC,11444,CPT,,,outpatient,,,3749,,1874.5,2249.4,3636.53,3524.06,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3111.67,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3546.554,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3636.53,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3002.949,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,3482.4461,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3003.3239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11446-0510 EXC BEN LES >4.0CM FACE,510,RC,11446,CPT,,,outpatient,,,8626,,4313,5175.6,8367.22,8108.44,,,,percent of total billed charges,,6900.8,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,7159.58,,,,percent of total billed charges,,7763.4,,,,percent of total billed charges,,7935.92,,,,percent of total billed charges,,7935.92,,,,percent of total billed charges,,8160.196,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,8367.22,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,7590.88,,,,percent of total billed charges,,7763.4,,,,percent of total billed charges,,6909.426,,,,percent of total billed charges,,7763.4,,,,percent of total billed charges,,5175.6,,,,percent of total billed charges,,8012.6914,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,6900.8,,,,percent of total billed charges,,5175.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6910.2886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MALG LES.5CM OR< SCLP/NK/HD/G,510,RC,11620,CPT,,,outpatient,,,2327,,1163.5,1396.2,2257.19,2187.38,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1931.41,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2201.342,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2257.19,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2047.76,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1863.927,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,2161.5503,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1864.1597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 0.6-1.0 CM FACE,510,RC,11641,CPT,,,outpatient,,,1785,,892.5,1071,1731.45,1677.9,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1481.55,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1688.61,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1731.45,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1570.8,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1429.785,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1658.0865,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1429.9635,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 1.1-2.0CM FACE 11642,510,RC,11642,CPT,,,outpatient,,,2010,,1005,1206,1949.7,1889.4,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1668.3,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1901.46,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1949.7,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1768.8,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1610.01,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,1867.089,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1610.211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11644-0510 EXC MAL LES 3.1-4.0CM FACE,510,RC,11644,CPT,,,outpatient,,,5024,,2512,3014.4,4873.28,4722.56,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4169.92,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4752.704,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4873.28,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4421.12,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,4024.224,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,4666.7936,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4024.7264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11720-0510 DEBRIDEMENT NAILS 1-5 ANY METHOD,510,RC,11720,CPT,,,outpatient,,,258,,129,154.8,250.26,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,206.658,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,239.6562,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,206.6838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11721-0361 DEBRIDEMENT NAILS 6 OR> ANY METH,361,RC,11721,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11730-0510 AVULSION NAIL PLT PAR/COM-SIM/SIN,510,RC,11730,CPT,,,outpatient,,,640,,320,384,620.8,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,512.64,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,594.496,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,512.704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11732-0510 AVULSION NAIL PLATE EA ADDL,510,RC,11732,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11750-0510 EXC NAIL MATRX PART/COMP PERM REM,510,RC,11750,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEDGE EXC INGROWN TOENAIL 11765,510,RC,11765,CPT,,,outpatient,,,1290,,645,774,1251.3,1212.6,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1070.7,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1220.34,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1251.3,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1135.2,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,1033.29,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,774,,,,percent of total billed charges,,1198.281,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1033.419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11770-0510 EXC PILONIDAL CYST SINS SMP,510,RC,11770,CPT,,,outpatient,,,4273,,2136.5,2563.8,4144.81,4016.62,,,,percent of total billed charges,,3418.4,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,3546.59,,,,percent of total billed charges,,3845.7,,,,percent of total billed charges,,3931.16,,,,percent of total billed charges,,3931.16,,,,percent of total billed charges,,4042.258,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,4144.81,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,3760.24,,,,percent of total billed charges,,3845.7,,,,percent of total billed charges,,3422.673,,,,percent of total billed charges,,3845.7,,,,percent of total billed charges,,2563.8,,,,percent of total billed charges,,3969.1897,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,3418.4,,,,percent of total billed charges,,2563.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3423.1003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ INTR >7 LESIONS 11901,510,RC,11901,CPT,,,outpatient,,,497,,248.5,298.2,482.09,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,398.097,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,461.6633,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17000-0510 DST PRE MALIG LES 1ST LES,510,RC,17000,CPT,,,outpatient,,,497,,248.5,298.2,482.09,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,398.097,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,461.6633,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17003-0510 DST PRE MALIG LES 2-14,510,RC,17003,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17110-0510 DESTRUCT LESION UP TO 14 LESIONS,510,RC,17110,CPT,,,outpatient,,,497,,248.5,298.2,482.09,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,398.097,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,461.6633,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DSTMLGLSFC,ER,ELD,NS,LP,MM0.6-1.0",510,RC,17281,CPT,,,outpatient,,,1290,,645,774,1251.3,1212.6,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1070.7,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1220.34,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1251.3,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1135.2,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,1033.29,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,774,,,,percent of total billed charges,,1198.281,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1033.419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20550-0510 INJ SINGLE TENDON SHEATH/LIGAMENT,510,RC,20550,CPT,,,outpatient,,,967,,483.5,580.2,937.99,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,774.567,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,898.2463,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,774.6637,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20552-0510 INJ TRIGGER PT 1-2 MUSCLE,510,RC,20552,CPT,,,outpatient,,,958,,479,574.8,929.26,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,767.358,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,889.8862,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,767.4538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20553-0510 INJ SING/MULT TRIG PT(S), 3 OR MORE MUSC",510,RC,20553,CPT,,,outpatient,,,958,,479,574.8,929.26,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,767.358,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,889.8862,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,767.4538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20600-0510 ARTHROCENTESIS ASP INJ SMALL JNT,510,RC,20600,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20605-0510 ARTHROCENTESIS ASP INJ INTERM JT,510,RC,20605,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0361 ARTHROCENTESIS INJ INTERMED JTW/U,361,RC,20606,CPT,,,outpatient,,,2289,,1144.5,1373.4,2220.33,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1833.489,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2126.2521,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1833.7179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20610-0510 ARTHROCENTESIS ASP INJ MAJOR JT W/O US,510,RC,20610,CPT,,,outpatient,,,877,,438.5,526.2,850.69,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,702.477,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,814.6453,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,702.5647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611-0510 ARTHROCENTESIS MAJOR JT W/US,510,RC,20611,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLSD TX NASAL BN FX WO STABLILIZA,510,RC,21315,CPT,,,outpatient,,,3269,,1634.5,1961.4,3170.93,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2618.469,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3036.5741,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2618.7959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22310-0510 CL TX VERT BDY FX WO MANIP W/CAST,510,RC,22310,CPT,,,outpatient,,,568,,284,340.8,550.96,533.92,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,471.44,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,537.328,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,550.96,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,499.84,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,454.968,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,527.6152,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,455.0248,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX HUM EPICND FX W/O MANIP,510,RC,24560,CPT,,,outpatient,,,873,,436.5,523.8,846.81,820.62,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,825.858,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,846.81,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,699.273,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,810.9297,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,699.3603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25600-0510 TX DIS RAD/COLLES W/O MANIP,510,RC,25600,CPT,,,outpatient,,,791,,395.5,474.6,767.27,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,633.591,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,734.7599,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,633.6701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25630-0510 SD TX CARPAL FX W/O MANIP,510,RC,25630,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26341-0510 MANIP PALMAR FASC CD POST ENZ INJ,510,RC,26341,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX METACARP FX W/MANIP EA BN,510,RC,26605,CPT,,,outpatient,,,791,,395.5,474.6,767.27,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,633.591,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,734.7599,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,633.6701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX METCARP DIS SGL W/ MANIP,510,RC,26700,CPT,,,outpatient,,,749,,374.5,449.4,726.53,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,599.949,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,695.7461,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.0239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26740-0510 CL TX ARTIC FX WO MANIP EA,510,RC,26740,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26750-0510 TX DIS PHAL FX W/O MANIP,510,RC,26750,CPT,,,outpatient,,,765,,382.5,459,742.05,719.1,,,,percent of total billed charges,,612,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,634.95,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,723.69,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,742.05,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,612.765,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,459,,,,percent of total billed charges,,710.6085,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,612,,,,percent of total billed charges,,459,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.8415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CL TX HIP FX W/O MANIP,510,RC,27220,CPT,,,outpatient,,,633,,316.5,379.8,614.01,595.02,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,525.39,,,,percent of total billed charges,,569.7,,,,percent of total billed charges,,582.36,,,,percent of total billed charges,,582.36,,,,percent of total billed charges,,598.818,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,614.01,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,557.04,,,,percent of total billed charges,,569.7,,,,percent of total billed charges,,507.033,,,,percent of total billed charges,,569.7,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,587.9937,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.0963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27246-0510 CL TX OF GREATER TROCHANTERIC FX, W/O MANIP",510,RC,27246,CPT,,,outpatient,,,733,,366.5,439.8,711.01,689.02,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,608.39,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,693.418,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,711.01,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,645.04,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,587.133,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,680.8837,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,587.2063,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27500-0510 CL TX FEM SHFT W/O MANIP,510,RC,27500,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27808-0510 TX BIMALL FX W/O MANIP,510,RC,27808,CPT,,,outpatient,,,748,,374,448.8,725.56,703.12,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,620.84,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,707.608,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,725.56,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,658.24,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,599.148,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,694.8172,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,599.2228,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28010-0510 PERCUT TENOT TOE SINGLE,510,RC,28010,CPT,,,outpatient,,,3954,,1977,2372.4,3835.38,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3167.154,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3672.8706,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3167.5494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX CALC FX W/O MANIP,510,RC,28400,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX TARSL FX W/ MANIP,510,RC,28455,CPT,,,outpatient,,,3954,,1977,2372.4,3835.38,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3167.154,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3672.8706,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3167.5494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28475-0510 CLOSED TX METATARSAL FX; W/ MANIPULATION, EACH",510,RC,28475,CPT,,,outpatient,,,748,,374,448.8,725.56,703.12,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,620.84,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,707.608,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,725.56,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,658.24,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,599.148,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,694.8172,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,599.2228,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28495-0510 TREAT BIG TOE FRACTURE, W/MANIP",510,RC,28495,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29105-0510 LONG ARM SPLINT,510,RC,29105,CPT,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29425-0510 APPLICATION OF SHORT LEG CAST; WALKING OR AMBUL TYPE,510,RC,29425,CPT,,,outpatient,,,587,,293.5,352.2,569.39,551.78,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,487.21,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,555.302,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,569.39,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,516.56,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,470.187,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,545.2643,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,470.2457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29515-0510 SHORT LEG SPLINT,510,RC,29515,CPT,,,outpatient,,,401,,200.5,240.6,388.97,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,321.201,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,372.4889,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,321.2411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30110-0510 EXCISION NASAL POLYP SIMPLE,510,RC,30110,CPT,,,outpatient,,,3826,,1913,2295.6,3711.22,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3064.626,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3553.9714,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3065.0086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCIS OR DEST INTRNASL LSN INTERN,510,RC,30117,CPT,,,outpatient,,,6288,,3144,3772.8,6099.36,5910.72,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5219.04,,,,percent of total billed charges,,5659.2,,,,percent of total billed charges,,5784.96,,,,percent of total billed charges,,5784.96,,,,percent of total billed charges,,5948.448,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,6099.36,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5533.44,,,,percent of total billed charges,,5659.2,,,,percent of total billed charges,,5036.688,,,,percent of total billed charges,,5659.2,,,,percent of total billed charges,,3772.8,,,,percent of total billed charges,,5840.9232,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,3772.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5037.3168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NOSE REMOVAL FOREIGN BODY,510,RC,30300,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30901-0510 NOSE CTRL HEMORRHAGE SIMP ANTER,510,RC,30901,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30903-0510 NOSE CTRL HEMORRHAGE COMP ANTER,510,RC,30903,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31231-0510 NOSE NASAL ENDOSCOPY,510,RC,31231,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31237-0510 NOSE NASAL ENDOSC BX DEBRID 1/2SD,510,RC,31237,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31238-0510 NOSE NASAL ENDOSC W/CTRL NSL HEMM,510,RC,31238,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31575-0510 FLEXIBLE LARYNGOSCOPY,510,RC,31575,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31579-0510 VIDEOSTROBOSCOPY,510,RC,31579,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40490-0510 BIOPSY OF LIP,510,RC,40490,CPT,,,outpatient,,,573,,286.5,343.8,555.81,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,458.973,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,532.2597,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,459.0303,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40808-0510 BIOPSY, VESTIVULE OF MOUTH",510,RC,40808,CPT,,,outpatient,,,1259,,629.5,755.4,1221.23,1183.46,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1044.97,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1191.014,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1221.23,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1107.92,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1008.459,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,1169.4851,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1008.5849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCSLES MUC/SUB VSTBL MTH SMP RPR,510,RC,40812,CPT,,,outpatient,,,4922,,2461,2953.2,4774.34,4626.68,,,,percent of total billed charges,,3937.6,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4085.26,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,4528.24,,,,percent of total billed charges,,4528.24,,,,percent of total billed charges,,4656.212,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4774.34,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4331.36,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,3942.522,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,2953.2,,,,percent of total billed charges,,4572.0458,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,3937.6,,,,percent of total billed charges,,2953.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3943.0142,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41100-0510 BIOPSY TONGUE ANTERIOR 2/3,510,RC,41100,CPT,,,outpatient,,,1259,,629.5,755.4,1221.23,1183.46,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1044.97,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1191.014,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1221.23,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1107.92,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1008.459,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,1169.4851,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1008.5849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41105-0510 BIOPSY OF TONGUE POSTERIOR 1/3,510,RC,41105,CPT,,,outpatient,,,6274,,3137,3764.4,6085.78,5897.56,,,,percent of total billed charges,,5019.2,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5207.42,,,,percent of total billed charges,,5646.6,,,,percent of total billed charges,,5772.08,,,,percent of total billed charges,,5772.08,,,,percent of total billed charges,,5935.204,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,6085.78,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5521.12,,,,percent of total billed charges,,5646.6,,,,percent of total billed charges,,5025.474,,,,percent of total billed charges,,5646.6,,,,percent of total billed charges,,3764.4,,,,percent of total billed charges,,5827.9186,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5019.2,,,,percent of total billed charges,,3764.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5026.1014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42100-0510 BIOPSY OF PALATE, UVULA",510,RC,42100,CPT,,,outpatient,,,3826,,1913,2295.6,3711.22,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3064.626,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3553.9714,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3065.0086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXC, LES PALATE,UVULA, W/O CLOSE",510,RC,42104,CPT,,,outpatient,,,6902,,3451,4141.2,6694.94,6487.88,,,,percent of total billed charges,,5521.6,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,5728.66,,,,percent of total billed charges,,6211.8,,,,percent of total billed charges,,6349.84,,,,percent of total billed charges,,6349.84,,,,percent of total billed charges,,6529.292,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,6694.94,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,6073.76,,,,percent of total billed charges,,6211.8,,,,percent of total billed charges,,5528.502,,,,percent of total billed charges,,6211.8,,,,percent of total billed charges,,4141.2,,,,percent of total billed charges,,6411.2678,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,5521.6,,,,percent of total billed charges,,4141.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5529.1922,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42800-0510 BX OROPHARYNX,510,RC,42800,CPT,,,outpatient,,,3826,,1913,2295.6,3711.22,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3064.626,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3553.9714,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3065.0086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51700-0510 BLADDER IRRIGATION/INSTILL,510,RC,51700,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51701-0510 CATH BLADDER SIMPLE,510,RC,51701,CPT,,,outpatient,,,409,,204.5,245.4,396.73,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,327.609,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,379.9201,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.6499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51702-0510 SIMPLE CATHERETIZATION,510,RC,51702,CPT,,,outpatient,,,473,,236.5,283.8,458.81,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,378.873,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,439.3697,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.9203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51703-0510 COMPLICATED CATHETERIZATION,510,RC,51703,CPT,,,outpatient,,,845,,422.5,507,819.65,794.3,,,,percent of total billed charges,,676,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,701.35,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,799.37,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,819.65,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,743.6,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,676.845,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,507,,,,percent of total billed charges,,784.9205,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,676,,,,percent of total billed charges,,507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,676.9295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51705-0510 SUPRAPUBIC CATHETER CHANGE,510,RC,51705,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51720-0510 BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT,510,RC,51720,CPT,,,outpatient,,,1076,,538,645.6,1043.72,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,861.876,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,999.4964,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,861.9836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51729-0510 CMG W/VOID PRSR STDS/URETH PRSR,510,RC,51729,CPT,,,outpatient,,,2247,,1123.5,1348.2,2179.59,2112.18,,,,percent of total billed charges,,1797.6,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,1865.01,,,,percent of total billed charges,,2022.3,,,,percent of total billed charges,,2067.24,,,,percent of total billed charges,,2067.24,,,,percent of total billed charges,,2125.662,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,2179.59,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,1977.36,,,,percent of total billed charges,,2022.3,,,,percent of total billed charges,,1799.847,,,,percent of total billed charges,,2022.3,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,2087.2383,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,1797.6,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1800.0717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51741-0510 COMPLEX UROFLOWMETRY,510,RC,51741,CPT,,,outpatient,,,518,,259,310.8,502.46,486.92,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,429.94,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,490.028,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,502.46,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,455.84,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,414.918,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,481.1702,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,414.9698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51798-0510 PVR VOIDING RESIDUAL URI,510,RC,51798,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52000-0510 CYSTOURETHROSCOPY,510,RC,52000,CPT,,,outpatient,,,1563,,781.5,937.8,1516.11,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1251.963,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1451.8707,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1252.1193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTO W/DILATION OF URETH,510,RC,52281,CPT,,,outpatient,,,4637,,2318.5,2782.2,4497.89,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3714.237,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4307.3093,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3714.7007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52310-0510 CYSTO W/REMOVAL STENT/SIM,510,RC,52310,CPT,,,outpatient,,,4637,,2318.5,2782.2,4497.89,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3714.237,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4307.3093,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3714.7007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52315-0510 CYSTOURETHROSCOPY REM FB,510,RC,52315,CPT,,,outpatient,,,4572,,2286,2743.2,4434.84,4297.68,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,3794.76,,,,percent of total billed charges,,4114.8,,,,percent of total billed charges,,4206.24,,,,percent of total billed charges,,4206.24,,,,percent of total billed charges,,4325.112,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,4434.84,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,4023.36,,,,percent of total billed charges,,4114.8,,,,percent of total billed charges,,3662.172,,,,percent of total billed charges,,4114.8,,,,percent of total billed charges,,2743.2,,,,percent of total billed charges,,4246.9308,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,2743.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3662.6292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DILATION URETHRA, MALE, INITIAL",510,RC,53600,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 53661-0510 FEMALE DILATION SUBSEQUENT,510,RC,53661,CPT,,,outpatient,,,304,,152,182.4,294.88,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,282.3856,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,243.5344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54235-0510 PENILE INJECTION,510,RC,54235,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAPHIMOSIS MANUAL REDUCTION,510,RC,54450,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56405-0510 I&D PERINEAL ABSCESS,510,RC,56405,CPT,,,outpatient,,,805,,402.5,483,780.85,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,644.805,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,747.7645,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.8855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56420-0510 I&D BARTHOLIN'S GLAND ABCSS,510,RC,56420,CPT,,,outpatient,,,491,,245.5,294.6,476.27,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,393.291,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,456.0899,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,393.3401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56501-0510 DESTRUCTION VULVA LES SIMP,510,RC,56501,CPT,,,outpatient,,,2855,,1427.5,1713,2769.35,2683.7,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2369.65,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2700.83,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2769.35,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2512.4,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,2286.855,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,2652.0095,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2287.1405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56605-0510 VULVA BX,510,RC,56605,CPT,,,outpatient,,,1939,,969.5,1163.4,1880.83,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1553.139,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1801.1371,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1553.3329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56821-0510 COLPO W/BX VULVA,510,RC,56821,CPT,,,outpatient,,,805,,402.5,483,780.85,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,644.805,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,747.7645,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.8855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57100-0510 VAGINAL BX,510,RC,57100,CPT,,,outpatient,,,1939,,969.5,1163.4,1880.83,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1553.139,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1801.1371,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1553.3329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57160-0510 INSERTION PESSARY,510,RC,57160,CPT,,,outpatient,,,491,,245.5,294.6,476.27,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,393.291,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,456.0899,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,393.3401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIAPHRAGM FITTING 57170,510,RC,57170,CPT,,,outpatient,,,427,,213.5,256.2,414.19,401.38,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,354.41,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,403.942,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,414.19,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,375.76,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,342.027,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,396.6403,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.0697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57420-0510 COLPO VAGINA,510,RC,57420,CPT,,,outpatient,,,805,,402.5,483,780.85,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,644.805,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,747.7645,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.8855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57421-0510 COLPO W/BX VAGINA,510,RC,57421,CPT,,,outpatient,,,1939,,969.5,1163.4,1880.83,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1553.139,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1801.1371,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1553.3329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57454-0510 COLPOS W BIOPSY,510,RC,57454,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57455-0510 COLPO W/BX CERVIX,510,RC,57455,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57456-0510 COLPO W/CURETTAGE CERVIX,510,RC,57456,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57500-0510 CERVICAL BX,510,RC,57500,CPT,,,outpatient,,,1939,,969.5,1163.4,1880.83,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1553.139,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1801.1371,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1553.3329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57505-0510 ENDOCERV CURETTAGE,510,RC,57505,CPT,,,outpatient,,,1939,,969.5,1163.4,1880.83,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1553.139,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1801.1371,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1553.3329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58100-0510 ENDOMETRIAL BX, W/O CERVICAL DILATION, ANY METHOD",510,RC,58100,CPT,,,outpatient,,,491,,245.5,294.6,476.27,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,393.291,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,456.0899,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,393.3401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58300-0510 INSERTION IUD,510,RC,58300,CPT,,,outpatient,,,303,,151.5,181.8,293.91,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,242.703,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,281.4567,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.7333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58301-0510 REMOVAL IUD,510,RC,58301,CPT,,,outpatient,,,443,,221.5,265.8,429.71,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,354.843,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,411.5027,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.8873,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NST 59025,510,RC,59025,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OB SERVICES >7 VISITS 59426,510,RC,59426,CPT,,,outpatient,,,773,,386.5,463.8,749.81,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,619.173,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,718.0397,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,619.2503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64430-0510 INJ PUDENDAL NERVE BLOCK,510,RC,64430,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64566-0510 POSTERIORTIBIAL NEUROSTIM SNG TX,510,RC,64566,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMODENERVE 1 EXTREMITY 1-4 MUSC,510,RC,64642,CPT,,,outpatient,,,1776,,888,1065.6,1722.72,1669.44,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1474.08,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1680.096,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1722.72,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1562.88,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1422.576,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1649.7264,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1422.7536,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64647-0510 CHEMODENERVE TRUNK 6+ MUSCLES,510,RC,64647,CPT,,,outpatient,,,1776,,888,1065.6,1722.72,1669.44,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1474.08,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1680.096,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1722.72,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1562.88,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1422.576,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1649.7264,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1422.7536,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69100-0510 BX EXTERNAL EAR,510,RC,69100,CPT,,,outpatient,,,573,,286.5,343.8,555.81,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,458.973,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,532.2597,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,459.0303,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69105-0510 BIOPSY EXTERNAL AUDITORY CANAL,510,RC,69105,CPT,,,outpatient,,,1608,,804,964.8,1559.76,1511.52,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1334.64,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1479.36,,,,percent of total billed charges,,1479.36,,,,percent of total billed charges,,1521.168,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1559.76,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1415.04,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1288.008,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,1493.6712,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1288.1688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69145-0510 EXCI SFT TIS LES EXTERN AUDIO CNL,510,RC,69145,CPT,,,outpatient,,,6092,,3046,3655.2,5909.24,5726.48,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5056.36,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5763.032,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5909.24,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5360.96,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,4879.692,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,5658.8588,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4880.3012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69200-0510 EAR REMOVE FOREIGN BODY,510,RC,69200,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69210-0510 EAR REMOVE IMPACTED CERUMEN BX,510,RC,69210,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69220-0510 EAR DEBRIDE MASTOID CAVITY SIMP,510,RC,69220,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69420-0510 EAR MYRINGOTOMY W/ ASPIRATION,510,RC,69420,CPT,,,outpatient,,,573,,286.5,343.8,555.81,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,458.973,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,532.2597,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,459.0303,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR MYRINGOTOMY W/TUBE,510,RC,69433,CPT,,,outpatient,,,1259,,629.5,755.4,1221.23,1183.46,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1044.97,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1191.014,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1221.23,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1107.92,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1008.459,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,1169.4851,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1008.5849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TDAP > 7 YO (ADACEL) - 0.5 ML,636,RC,90715,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION LASIX 20 MG,636,RC,J1940,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SC THER INFUS UP TO 1 HR,260,RC,96369,CPT,,,outpatient,,,407,,203.5,244.2,394.79,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,326.007,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,378.0623,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,326.0477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SC THER INFUSION ADDL HR,260,RC,96370,CPT,,,outpatient,,,183,,91.5,109.8,177.51,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,146.583,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,169.9887,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.6013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROLONGED IV INFUSION, REQ. PUMP, > 8 HRS.",260,RC,C8957,HCPCS,,,outpatient,,,1016,,508,609.6,985.52,955.04,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,843.28,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,961.136,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,985.52,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,894.08,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,813.816,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,943.7624,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,813.9176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR BINOCULAR MICROSCOPY,471,RC,92504,CPT,,,outpatient,,,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACOUSTIC REFLEX TEST,471,RC,92568,CPT,,,outpatient,,,86,,43,51.6,83.42,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,68.886,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,79.8854,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.8946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDUCTION OXYTOCIN,920,RC,59020,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDUCTION CERVIDIL,920,RC,59200,CPT,,,outpatient,,,992,,496,595.2,962.24,932.48,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,823.36,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,938.432,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,962.24,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,872.96,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,794.592,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,921.4688,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,794.6912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSED SAM <5 YR 1ST 15 MIN,450,RC,99151,CPT,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHINGRIX - 0.5 ML,636,RC,90750,CPT,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLTH/BEHAVIOR ASSESS/REASSESS,918,RC,96156,CPT,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERVENE HLTH/BEHAVE INDIV 30 MIN,914,RC,96158,CPT,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLTH/BEHAV GROUP W/PT INITIAL 30 MIN,916,RC,96164,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLTH/BEHAV FAM W PT INITIAL 30 MIN,916,RC,96167,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLT/BEHAV FAM NO PT INITIAL 30 MIN,916,RC,96170,CPT,,,outpatient,,,95,,47.5,57,92.15,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,76.095,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,88.2455,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.1045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE GYNECOLOGICAL EXAM-RET,510,RC,G0463,HCPCS,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSCILLATORY/JET VENT - INITIAL-TF,410,RC,94002,CPT,,,outpatient,,,634,,317,380.4,614.98,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,507.834,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,588.9226,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.8974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR GEN FLOORS-INITIAL-TF,410,RC,94002,CPT,,,outpatient,,,634,,317,380.4,614.98,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,507.834,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,588.9226,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.8974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR ICU/NN - INITIAL-TF,410,RC,94002,CPT,,,outpatient,,,634,,317,380.4,614.98,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,507.834,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,588.9226,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.8974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVAL AUDITORY REHAB STATUS, EACH ADD'L 15 MIN",471,RC,92627,CPT,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE 1 MG,636,RC,J1100,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEMEROL PER 100 MG,636,RC,J2175,HCPCS,,,outpatient,,,49,,24.5,29.4,47.53,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,39.249,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,45.5161,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.2539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENEGAN 50 MG,636,RC,J2550,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE SODIUM SUCCINATE (SOLU MEDROL) 40MG, PER 5MG",636,RC,J2919,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATARAX/HYDROXYZINE - 25 MG,636,RC,J3410,HCPCS,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOLN 500CC,636,RC,J7040,HCPCS,,,outpatient,,,156,,78,93.6,151.32,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,124.956,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,144.9084,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.9716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTATED RINGERS - 1000 ML,636,RC,J7120,HCPCS,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREDNISOLONE 5MG ORAL,636,RC,J7510,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11300-0510 SHAVE SKIN LES < .5 CM-TECH,510,RC,11300,CPT,,,outpatient,,,1029,,514.5,617.4,998.13,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,824.229,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,955.8381,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,824.3319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12001-0361 REP SUPF WOUND < 2.5CM-TECH,361,RC,12001,CPT,,,outpatient,,,597,,298.5,358.2,579.09,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,478.197,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,554.5533,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,478.2567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX BURN(S) PT SM-TECH,361,RC,16020,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASP/INJ LG JT BURSA-TECH,361,RC,20610,CPT,,,outpatient,,,877,,438.5,526.2,850.69,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,702.477,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,814.6453,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,702.5647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29125-0510 APPLY FOREARM SPLINT-TECH,510,RC,29125,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE-TECH,300,RC,36415,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58300-0361 INSERT IUD-TECH,361,RC,58300,CPT,,,outpatient,,,303,,151.5,181.8,293.91,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,242.703,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,281.4567,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.7333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS AUTO W/O SCOPE,307,RC,81003,CPT,,,outpatient,,,21,,10.5,12.6,20.37,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,16.821,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,19.5069,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.8231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE PREGNANCY TEST,307,RC,81025,CPT,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCREEN BLOOD STOOL,301,RC,82270,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROPHILE ABX SCREEN,302,RC,86308,CPT,,,outpatient,,,65,,32.5,39,63.05,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,52.065,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,60.3785,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.0715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TB INTRADERMAL TEST,302,RC,86580,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMEAR WET MNT SALINE/INK,306,RC,87210,CPT,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMOGAM-RABIES RLG,636,RC,90375,CPT,,,outpatient,,,2208,,1104,1324.8,2141.76,2075.52,,,,percent of total billed charges,,1766.4,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,1832.64,,,,percent of total billed charges,,1987.2,,,,percent of total billed charges,,2031.36,,,,percent of total billed charges,,2031.36,,,,percent of total billed charges,,2088.768,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,2141.76,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,1943.04,,,,percent of total billed charges,,1987.2,,,,percent of total billed charges,,1768.608,,,,percent of total billed charges,,1987.2,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,2051.0112,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,1766.4,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1768.8288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNIZATION ADMIN-TECH,771,RC,90471,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACC ADMIN,771,RC,90471,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUN ADMIN, EA ADD-TECH",771,RC,90472,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS A ADULT (VAQTA) - 1 ML,636,RC,90632,CPT,,,outpatient,,,132,,66,79.2,128.04,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,105.732,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,122.6148,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.7452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP VACCINE (INFANRIX), < 7 YRS, IM-TECH - 0.5 ML",636,RC,90700,CPT,,,outpatient,,,42,,21,25.2,40.74,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,39.0138,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.6462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MMR VACCINE (PRIORIX), SC-TECH - 0.5 ML",636,RC,90707,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROQUAD VACC - 0.5 ML,636,RC,90710,CPT,,,outpatient,,,518,,259,310.8,502.46,486.92,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,429.94,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,490.028,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,502.46,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,455.84,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,414.918,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,481.1702,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,414.9698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TDAP VACCINE 7R+ - 0.5 ML,636,RC,90715,CPT,,,outpatient,,,93,,46.5,55.8,90.21,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,74.493,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,86.3877,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.5023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHICKEN POX VACCINE, SC-TECH (VARIVAX) - 0.5 ML",636,RC,90716,CPT,,,outpatient,,,348,,174,208.8,337.56,327.12,,,,percent of total billed charges,,278.4,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,288.84,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,320.16,,,,percent of total billed charges,,320.16,,,,percent of total billed charges,,329.208,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,337.56,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,306.24,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,278.748,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,323.2572,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,278.4,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,278.7828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MENINGOCOCCAL VACCINE-TECH (MENVEO), PER 0.5 ML",636,RC,90734,CPT,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE, ADULT, IM-TECH, 3 DOSE 1 ML",636,RC,90746,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, SC/IM-TECH",510,RC,96372,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURE TONE HEARING TEST-TECH,471,RC,92551,CPT,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYMPANOMETRY-TECH,471,RC,92567,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROCARDIOGRAM-TECH,730,RC,93005,CPT,,,outpatient,,,306,,153,183.6,296.82,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,245.106,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,284.2434,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.1366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVAL USE OF INHALER-TECH,412,RC,94664,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEASURE BLOOD O2 LVL-TECH,460,RC,94760,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN HANDLING-TECH,300,RC,99000,CPT,,,outpatient,,,34,,17,20.4,32.98,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,27.234,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,31.5826,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.2374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCULAR FUNCTION SCRN-TECH,920,RC,99172,CPT,,,outpatient,,,131,,65.5,78.6,127.07,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,104.931,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,121.6859,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.9441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISUAL ACUITY SCREEN-TECH,920,RC,99173,CPT,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99212-0510 OFFICE O/P EST SF 10- 19 MINUTES,510,RC,G0463,HCPCS,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PV NEW, AGE 5-11-TECH",510,RC,99383,CPT,,,outpatient,,,94,,47,56.4,91.18,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,75.294,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,87.3166,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.3034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99395-0510 PV RETURN, AGE 18-39",510,RC,99395,CPT,,,outpatient,,,123,,61.5,73.8,119.31,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,98.523,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,114.2547,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.5353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0101-0770 CA SCREEN; PELVIC-TECH,770,RC,G0101,HCPCS,,,outpatient,,,77,,38.5,46.2,74.69,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,61.677,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,71.5253,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.6847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RHOGAM, PER 300 MCG",636,RC,J2790,HCPCS,,,outpatient,,,365,,182.5,219,354.05,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,292.365,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,339.0485,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,292.4015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIRENA - 52 MG,636,RC,J7298,HCPCS,,,outpatient,,,5571,,2785.5,3342.6,5403.87,5236.74,,,,percent of total billed charges,,4456.8,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,4623.93,,,,percent of total billed charges,,5013.9,,,,percent of total billed charges,,5125.32,,,,percent of total billed charges,,5125.32,,,,percent of total billed charges,,5270.166,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,5403.87,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,4902.48,,,,percent of total billed charges,,5013.9,,,,percent of total billed charges,,4462.371,,,,percent of total billed charges,,5013.9,,,,percent of total billed charges,,3342.6,,,,percent of total billed charges,,5174.9019,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,4456.8,,,,percent of total billed charges,,3342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4462.9281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOL 1000 CC,636,RC,J7030,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUTEROL PER 0.5MG,250,RC,J3490,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATROVENT - 1 MG,250,RC,J7644,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q0091-0510 OBTAIN SCREEN PAP SMEAR-TECH,510,RC,Q0091,HCPCS,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 80MG, PER 1MG",636,RC,J1010,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 40MG, PER 1MG",636,RC,J1010,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS A PEDIATRIC (HAVRIX)  BILLED PER 0.5 ML,636,RC,90633,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCOCCAL VAC-TECH (PNEUMOVAX 23) PER 0.5 ML,636,RC,90732,CPT,,,outpatient,,,209,,104.5,125.4,202.73,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,167.409,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,194.1401,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.4299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHONE CONS 1-PRO 5-10 MIN,960,RC,99441,CPT,,,outpatient,,,31,,15.5,18.6,30.07,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,28.7959,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.8341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHONE CONS 2-PRO 11-20 MIN,960,RC,99442,CPT,,,outpatient,,,60,,30,36,58.2,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,48.06,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,55.734,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHONE CONS 3-PRO 21-30 MIN,960,RC,99443,CPT,,,outpatient,,,91,,45.5,54.6,88.27,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,72.891,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,84.5299,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.9001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIPTH, PERTUS, TET, POLIO VACCINE (KINRIX), PER 0.5ML",636,RC,90696,CPT,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B VACC-ADOLE - 0.5 ML,636,RC,90743,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTRIAXONE WITH LIDO PER 250 MG,636,RC,J0696,HCPCS,,,outpatient,,,47,,23.5,28.2,45.59,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,37.647,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,43.6583,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.6517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 40MG INJECTION, PER 1MG",636,RC,J1010,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 80MG INJECTION, PER 1MG",636,RC,J1010,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE SODIUM PHOSPHATE 1 MG,636,RC,J1100,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE SODIUM SUCCINATE (SOLU MEDROL) INJECTION, PER 5MG",636,RC,J2919,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORAPRED PER 5 MG,637,RC,,,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREDNISONE PER 5 MG,636,RC,J7510,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUTEROL INHALED DME PER 1 MG,637,RC,750581,CPT,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG XOPENEX INHALED PER 0.5 MG,637,RC,750582,CPT,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IPRATROPIUM BROMIDE PER 1 MG,637,RC,J7644,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENADRYL PER 50 MG,637,RC,Q0163,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDROXYZINE HYDROCHLORIDE PER 25 MG,636,RC,J3410,HCPCS,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISTARIL ORAL SUSPENSION PER 25 MG,637,RC,Q0177,HCPCS,,,outpatient,,,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZOFRAN TABLET PER 1 MG,636,RC,Q0162,HCPCS,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMLA-TOPICAL CREAM - 5 G,637,RC,J3490,HCPCS,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RACEPINEPHRINE 11.25MG - 1 EA,637,RC,J3490,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVNAR 13 - 0.5 ML,636,RC,90670,CPT,,,outpatient,,,394,,197,236.4,382.18,370.36,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,327.02,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,372.724,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,382.18,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,346.72,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,315.594,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,365.9866,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,315.6334,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIPEN 0.1 MG,637,RC,750611,CPT,,,outpatient,,,410,,205,246,397.7,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,328.41,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,380.849,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,328.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BICILLIN 100,000 UNITS",636,RC,J0558,HCPCS,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PEDS IMMUNIZATION, 1ST",771,RC,90460,CPT,,,outpatient,,,26,,13,15.6,25.22,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,20.826,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,24.1514,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.8286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PEDS IMMUNIZATION, SUBSEQ",771,RC,90461,CPT,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0438-0770 NP WELLNESS VISIT,770,RC,G0438,HCPCS,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0439-0770 RET WELLNESS VISIT,770,RC,G0439,HCPCS,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMINOLEVULINIC ACID HCL (LEVULAN KERASTICK) PER 354 MG,636,RC,J7308,HCPCS,,,outpatient,,,1770,,885,1062,1716.9,1663.8,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1469.1,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1674.42,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1716.9,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1557.6,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1417.77,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,1644.153,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1417.947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEHAVIOR COUNSEL OBESITY 15M-TECH,510,RC,G0447,HCPCS,,,outpatient,,,212,,106,127.2,205.64,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,169.812,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,196.9268,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.8332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEPRESSION SCREEN ANNUAL-PROF,517,RC,G0444,HCPCS,,,outpatient,,,23,,11.5,13.8,22.31,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,18.423,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,21.3647,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.4253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0444-0517 DEPRESSION SCREEN ANNUAL-TECH,517,RC,G0444,HCPCS,,,outpatient,,,43,,21.5,25.8,41.71,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,34.443,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,39.9427,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.4473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANNUAL ALCOHOL SCREEN 15 MIN-TECH,510,RC,G0442,HCPCS,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL SING/DUEL IMPLANT DEFIB ELECTRODES TRANS,480,RC,33244,CPT,,,outpatient,,,6536,,3268,3921.6,6339.92,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,5235.336,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6071.2904,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5235.9896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BALLOON DILATION, URETERAL STRICTURE, INC IMAGING GUID",361,RC,50706,CPT,,,outpatient,,,358,,179,214.8,347.26,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,286.758,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,332.5462,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.7938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ART PRESSURE WAVEFORM ANALYS,482,RC,750795,CPT,,,outpatient,,,331,,165.5,198.6,321.07,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,265.131,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,307.4659,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.1641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC V,278,RC,C1757,HCPCS,,,outpatient,,,9498,,4749,5698.8,9213.06,8928.12,,,,percent of total billed charges,,7598.4,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,7883.34,,,,percent of total billed charges,,8548.2,,,,percent of total billed charges,,8738.16,,,,percent of total billed charges,,8738.16,,,,percent of total billed charges,,8985.108,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,9213.06,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,8358.24,,,,percent of total billed charges,,8548.2,,,,percent of total billed charges,,7607.898,,,,percent of total billed charges,,8548.2,,,,percent of total billed charges,,5698.8,,,,percent of total billed charges,,8822.6922,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,7598.4,,,,percent of total billed charges,,5698.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7608.8478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOPLEX W/HV CEMENT,278,RC,C1713,HCPCS,,,outpatient,,,4925,,2462.5,2955,4777.25,4629.5,,,,percent of total billed charges,,3940,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4087.75,,,,percent of total billed charges,,4432.5,,,,percent of total billed charges,,4531,,,,percent of total billed charges,,4531,,,,percent of total billed charges,,4659.05,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4777.25,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4334,,,,percent of total billed charges,,4432.5,,,,percent of total billed charges,,3944.925,,,,percent of total billed charges,,4432.5,,,,percent of total billed charges,,2955,,,,percent of total billed charges,,4574.8325,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,3940,,,,percent of total billed charges,,2955,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3945.4175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE, CURVED",272,RC,,,,,outpatient,,,2803,,1401.5,1681.8,2718.91,2634.82,,,,percent of total billed charges,,2242.4,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2326.49,,,,percent of total billed charges,,2522.7,,,,percent of total billed charges,,2578.76,,,,percent of total billed charges,,2578.76,,,,percent of total billed charges,,2651.638,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2718.91,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2466.64,,,,percent of total billed charges,,2522.7,,,,percent of total billed charges,,2245.203,,,,percent of total billed charges,,2522.7,,,,percent of total billed charges,,1681.8,,,,percent of total billed charges,,2603.7067,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2242.4,,,,percent of total billed charges,,1681.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2245.4833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HV CEMENT,278,RC,C1713,HCPCS,,,outpatient,,,2306,,1153,1383.6,2236.82,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1847.106,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2142.0434,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1847.3366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KYPHOPLASTY BALLOON,272,RC,,,,,outpatient,,,5726,,2863,3435.6,5554.22,5382.44,,,,percent of total billed charges,,4580.8,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,4752.58,,,,percent of total billed charges,,5153.4,,,,percent of total billed charges,,5267.92,,,,percent of total billed charges,,5267.92,,,,percent of total billed charges,,5416.796,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,5554.22,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,5038.88,,,,percent of total billed charges,,5153.4,,,,percent of total billed charges,,4586.526,,,,percent of total billed charges,,5153.4,,,,percent of total billed charges,,3435.6,,,,percent of total billed charges,,5318.8814,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,4580.8,,,,percent of total billed charges,,3435.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4587.0986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEL SYN - 0.1 MG,636,RC,J7328,HCPCS,,,outpatient,,,10,,5,6,9.7,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,9.289,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRIPTORELIN PAMOATE - 3.75 MG,636,RC,J3315,HCPCS,,,outpatient,,,3257,,1628.5,1954.2,3159.29,3061.58,,,,percent of total billed charges,,2605.6,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,2703.31,,,,percent of total billed charges,,2931.3,,,,percent of total billed charges,,2996.44,,,,percent of total billed charges,,2996.44,,,,percent of total billed charges,,3081.122,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,3159.29,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,2866.16,,,,percent of total billed charges,,2931.3,,,,percent of total billed charges,,2608.857,,,,percent of total billed charges,,2931.3,,,,percent of total billed charges,,1954.2,,,,percent of total billed charges,,3025.4273,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,2605.6,,,,percent of total billed charges,,1954.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2609.1827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611 ARTHROCENTESIS ASP INJ MAJOR JT W GUIDE-0361,361,RC,20611,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51798-0361 BLADDER SCAN US RESIDUAL URINE,361,RC,51798,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASOUND GUIDANCE-NEEDLE PLACEMENT,402,RC,76942,CPT,,,outpatient,,,754,,377,452.4,731.38,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,603.954,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,700.3906,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,604.0294,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99491-0510 CHRNC CARE MGMT SVC 30 MIN,510,RC,99491,CPT,,,outpatient,,,95,,47.5,57,92.15,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,76.095,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,88.2455,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.1045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10060 - I & D ABSCESS, SIMPLE/SINGLE",761,RC,10060,CPT,,,outpatient,,,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10140 - I & D HEMATOMA, SEROMA, OR FLUID",761,RC,10140,CPT,,,outpatient,,,2919,,1459.5,1751.4,2831.43,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2338.119,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2711.4591,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2338.4109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042 - DEBRIDEMENT, SUB-Q TISSUE (INCLUD",761,RC,11042,CPT,,,outpatient,,,783,,391.5,469.8,759.51,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,627.183,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,727.3287,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,627.2613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11043 - DEBRIDEMENT, MUSCLE AND/OR FASCI",761,RC,11043,CPT,,,outpatient,,,1905,,952.5,1143,1847.85,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1525.905,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1769.5545,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1526.0955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11055 - PARING OR CUTTING 1 BENIGN HYPER,761,RC,11055,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11056 - PARING OR CUTTING OF BENIGN HYPE,761,RC,11056,CPT,,,outpatient,,,497,,248.5,298.2,482.09,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,398.097,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,461.6633,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11402 - EXCISION, BENIGN LESION, TRUNK/A",510,RC,11402,CPT,,,outpatient,,,1508,,754,904.8,1462.76,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1207.908,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1400.7812,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1208.0588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11403 - EXCISION, BENIGN LESION, TRUNK/A",510,RC,11403,CPT,,,outpatient,,,2303,,1151.5,1381.8,2233.91,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1844.703,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2139.2567,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1844.9333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11720 - DEBRIDE NAIL -ANY METHOD,1-5",761,RC,11720,CPT,,,outpatient,,,258,,129,154.8,250.26,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,206.658,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,239.6562,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,206.6838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11721 - DEBRIDE NAIL -ANY METHOD, 6 OR M",761,RC,11721,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11730-0761 AVULSION OF NAIL PLATE, PARTIAL",761,RC,11730,CPT,,,outpatient,,,640,,320,384,620.8,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,512.64,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,594.496,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,512.704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11732 - AVULSION OF NAIL PLATE, PARTIAL",761,RC,11732,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17250 - CHEMICAL CAUTERIZATION OF GRANUL,761,RC,17250,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28010 - TENOTOMY, PERCUTANEOUS, TOE, SIN",510,RC,28010,CPT,,,outpatient,,,3954,,1977,2372.4,3835.38,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3167.154,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3672.8706,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3167.5494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29445 - APPLICATION OF RIGID TOTAL CONTA,761,RC,29445,CPT,,,outpatient,,,810,,405,486,785.7,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,648.81,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,752.409,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29581-0519 PROFORE WRAP,519,RC,29581,CPT,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99212 - EST. PATIENT LEVEL 2 - LOW TO MO,510,RC,G0463,HCPCS,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B IMM GLOB INJ - 1 ML,636,RC,90371,CPT,,,outpatient,,,287,,143.5,172.2,278.39,269.78,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,238.21,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,271.502,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,278.39,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,252.56,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,229.887,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,266.5943,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.9157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VFC MENINGOCOCCAL B VACC,636,RC,90621,CPT,,,outpatient,,,284,,142,170.4,275.48,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,227.484,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,263.8076,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.5124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYPHOI VACC [25 MCG/0.5 ML,636,RC,90691,CPT,,,outpatient,,,257,,128.5,154.2,249.29,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,205.857,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,238.7273,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.8827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0463 - OUTPT VISIT,510,RC,G0463,HCPCS,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64640-0510 INJ RX PERIPH NERVE,510,RC,64640,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69209-0510 REM CERUMEN W/IRR UNI,510,RC,69209,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ ANESTH, OTHR PERIPHER-510",510,RC,64450,CPT,,,outpatient,,,2288,,1144,1372.8,2219.36,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1832.688,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2125.3232,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1832.9168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABI W/O EXERCISE-UNI,921,RC,93922,CPT,,,outpatient,,,731,,365.5,438.6,709.07,687.14,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,606.73,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,691.526,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,709.07,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,585.531,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,679.0259,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,585.6041,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEADLESS PM PERI OP ANAL,480,RC,93286,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEADLESS PM ANALW/O PROGM,480,RC,93288,CPT,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPOT VISION SCREEN,920,RC,99177,CPT,,,outpatient,,,66,,33,39.6,64.02,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,52.866,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,61.3074,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.8726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STREP A (LIAT),300,RC,87651,CPT,,,outpatient,,,206,,103,123.6,199.82,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,165.006,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,191.3534,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.0266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q3014-0780 TELEHEALTH ORIGINATING SITE - PN MODIFIER,780,RC,Q3014,HCPCS,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PM DEVICE PROGR EVAL MULTI,480,RC,93281,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRGRMG EVAL IMPLANTABLE DFB,480,RC,93284,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERROG DEVICE EVAL HEART,480,RC,93289,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ILR DEVICE INTERROGATE,480,RC,93291,CPT,,,outpatient,,,201,,100.5,120.6,194.97,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,161.001,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,186.7089,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.0211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERROGATION VAD IN PERSON,480,RC,93750,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  GEL ONE - PER DOSE,636,RC,J7326,HCPCS,,,outpatient,,,2228,,1114,1336.8,2161.16,2094.32,,,,percent of total billed charges,,1782.4,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,1849.24,,,,percent of total billed charges,,2005.2,,,,percent of total billed charges,,2049.76,,,,percent of total billed charges,,2049.76,,,,percent of total billed charges,,2107.688,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,2161.16,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,1960.64,,,,percent of total billed charges,,2005.2,,,,percent of total billed charges,,1784.628,,,,percent of total billed charges,,2005.2,,,,percent of total billed charges,,1336.8,,,,percent of total billed charges,,2069.5892,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,1782.4,,,,percent of total billed charges,,1336.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.8508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RIBOFLAVIN 5'-PHOSPHATE, OPHTHALMIC SOLUTION (PHOTREXA) UP TO 3 ML",636,RC,J2787,HCPCS,,,outpatient,,,18675,,9337.5,11205,18114.75,17554.5,,,,percent of total billed charges,,14940,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,15500.25,,,,percent of total billed charges,,16807.5,,,,percent of total billed charges,,17181,,,,percent of total billed charges,,17181,,,,percent of total billed charges,,17666.55,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,18114.75,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,16434,,,,percent of total billed charges,,16807.5,,,,percent of total billed charges,,14958.675,,,,percent of total billed charges,,16807.5,,,,percent of total billed charges,,11205,,,,percent of total billed charges,,17347.2075,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,14940,,,,percent of total billed charges,,11205,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14960.5425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q3014-0780 TELEHEALTH ORIGINATING SITE (WITHOUT PN MODIFIER),780,RC,Q3014,HCPCS,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUBLOK QUADRIVALENT,636,RC,90682,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC HIV (2 COMPONENTS /1 CHARGE),300,RC,86703,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC HEP C  (HEPATITIS C ANTIBODY),300,RC,86803,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC SYPHILIS  (SYPHILIS ANTIBODY,300,RC,86780,CPT,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AZITHROMYCIN 500MG TAB,637,RC,751165,CPT,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENGERIX B 20MCG/ML, 3 DOSE, 1 ML",636,RC,90746,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADACEL - 0.5 ML,636,RC,90715,CPT,,,outpatient,,,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVASCULAR PROCEDURE,943,RC,93799,CPT,,,outpatient,,,583,,291.5,349.8,565.51,548.02,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,483.89,,,,percent of total billed charges,,524.7,,,,percent of total billed charges,,536.36,,,,percent of total billed charges,,536.36,,,,percent of total billed charges,,551.518,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,565.51,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,513.04,,,,percent of total billed charges,,524.7,,,,percent of total billed charges,,466.983,,,,percent of total billed charges,,524.7,,,,percent of total billed charges,,349.8,,,,percent of total billed charges,,541.5487,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,349.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,467.0413,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KYLEENA,636,RC,J7296,HCPCS,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE (DECADRON) ORAL LIQUID - PER 0.25 MG,636,RC,J8540,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, COLLAGNENASE, CLOSTRIDIUM HISTOLYTICUM (XIAFLEX) 0.01 MG",636,RC,J0775,HCPCS,,,outpatient,,,343,,171.5,205.8,332.71,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,274.743,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,318.6127,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,274.7773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZICONOTIDE INJECTION (PRIALT) PER 1MCG,636,RC,J2278,HCPCS,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAKENA 10MG,636,RC,J1726,HCPCS,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD 1.6 SQ CM DISC (2 UNITS),636,RC,Q4160,HCPCS,,,outpatient,,,594,,297,356.4,576.18,558.36,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,493.02,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,561.924,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.18,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,522.72,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,475.794,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,551.7666,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,475.8534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L3 CM X W2 CM ALLOGRAFT; PER SQ CM (6 UNITS),636,RC,Q4160,HCPCS,,,outpatient,,,469,,234.5,281.4,454.93,440.86,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,389.27,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,443.674,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,454.93,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,412.72,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,375.669,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,435.6541,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,375.7159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L4 CM X W2 CM ALLOGRAFT; PER SQ CM (8 UNITS),636,RC,Q4160,HCPCS,,,outpatient,,,395,,197.5,237,383.15,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,316.395,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,366.9155,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,316.4345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L4 CM X W3 CM ALLOGRAFT; PER SQ CM (12 UNITS),636,RC,Q4160,HCPCS,,,outpatient,,,350,,175,210,339.5,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,280.35,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,325.115,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,280.385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L4 CM X W4 CM ALLOGRAFT; PER SQ CM (16 UNITS),636,RC,Q4160,HCPCS,,,outpatient,,,266,,133,159.6,258.02,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,213.066,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,247.0874,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.0926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L6 CM X W4 CM ALLOGRAFT; PER SQ CM (24 UNITS),636,RC,Q4160,HCPCS,,,outpatient,,,217,,108.5,130.2,210.49,203.98,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,180.11,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,205.282,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,210.49,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,190.96,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,173.817,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,201.5713,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.8387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L6 CM X W6 CM ALLOGRAFT; PER SQ CM (36 UNITS),636,RC,Q4160,HCPCS,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97607-0761 NEG PRESS WND TX <=50 SQ CM,761,RC,97607,CPT,,,outpatient,,,1283,,641.5,769.8,1244.51,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1027.683,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1191.7787,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1027.8113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97608-0761 NEG PRESS WOUND TX >50 CM,761,RC,97608,CPT,,,outpatient,,,1283,,641.5,769.8,1244.51,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1027.683,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1191.7787,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1027.8113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN 0.69""X0.69""; PER SQ CM (3 UNITS)",636,RC,Q4121,HCPCS,,,outpatient,,,901,,450.5,540.6,873.97,846.94,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,747.83,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,852.346,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,873.97,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,792.88,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,721.701,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,836.9389,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,721.7911,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN 1.57""X2.56""; PER SQ CM (26 UNITS)",636,RC,Q4121,HCPCS,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANALITH REPOSITIONING PROC,420,RC,95992,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV INITIAL 15 MIN-PT,420,RC,97129,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAOPERATIVE RADIATION TREATMENT DELIVERY,333,RC,77424,CPT,,,outpatient,,,18549,,9274.5,11129.4,17992.53,17436.06,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,15395.67,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17547.354,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17992.53,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,16323.12,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,14857.749,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,17230.1661,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14859.6039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREP OF TUMOR CAVITY W/PLCMNT OF RAD THERAPY APPLICATOR FOR IORT4,360,RC,19294,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27265-0450 CL TX POST HIP ARTH W/O ANES,450,RC,27265,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13122-0450 REPAIR COMPLEX EA ADD'L,450,RC,13122,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13131-0450 REPAIR COMPLEX 1.1-2.5CM,450,RC,13131,CPT,,,outpatient,,,1283,,641.5,769.8,1244.51,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1027.683,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1191.7787,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1027.8113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13152-0450 REPAIR COMPLEX E/N/E/L2.6,450,RC,13152,CPT,,,outpatient,,,2008,,1004,1204.8,1947.76,1887.52,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1666.64,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1899.568,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1947.76,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1767.04,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1608.408,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,1865.2312,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1608.6088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23675-0450 CLOSED TX OF SHOULDER DIS,450,RC,23675,CPT,,,outpatient,,,3954,,1977,2372.4,3835.38,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3167.154,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3672.8706,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3167.5494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25600-0450 CLSD TX DISTAL RADIAL FX,450,RC,25600,CPT,,,outpatient,,,791,,395.5,474.6,767.27,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,633.591,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,734.7599,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,633.6701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41800-0450 DR ABSC CYST HEMATOM-DENT,450,RC,41800,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46083-0450 I&D THROMBOSED HEMORRHOID,450,RC,46083,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69801-0510 INCISE INNER EAR,510,RC,69801,CPT,,,outpatient,,,3807,,1903.5,2284.2,3692.79,3578.58,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3159.81,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3601.422,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3692.79,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3350.16,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3049.407,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,3536.3223,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3049.7877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24105-0510 EXCISION OF OLECRANON BURSA,510,RC,24105,CPT,,,outpatient,,,7710,,3855,4626,7478.7,7247.4,,,,percent of total billed charges,,6168,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,6399.3,,,,percent of total billed charges,,6939,,,,percent of total billed charges,,7093.2,,,,percent of total billed charges,,7093.2,,,,percent of total billed charges,,7293.66,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,7478.7,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,6784.8,,,,percent of total billed charges,,6939,,,,percent of total billed charges,,6175.71,,,,percent of total billed charges,,6939,,,,percent of total billed charges,,4626,,,,percent of total billed charges,,7161.819,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,6168,,,,percent of total billed charges,,4626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6176.481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  67840-0510  EXCISION OF LESION EYELID,510,RC,67840,CPT,,,outpatient,,,1956,,978,1173.6,1897.32,1838.64,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1623.48,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1850.376,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1897.32,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1721.28,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1566.756,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1816.9284,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1566.9516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE RITALIN,301,RC,G0480,HCPCS,,,outpatient,,,316,,158,189.6,306.52,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,253.116,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,293.5324,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.1476,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PL SOFT TISSUE DEV 1ST,361,RC,10035,CPT,,,outpatient,,,2521,,1260.5,1512.6,2445.37,2369.74,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2092.43,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2384.866,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2445.37,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2218.48,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,2019.321,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,2341.7569,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2019.5731,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERSTITIAL SIMPLE,333,RC,77799,CPT,,,outpatient,,,286,,143,171.6,277.42,268.84,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,237.38,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,270.556,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,277.42,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,251.68,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,229.086,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,265.6654,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.1146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99492-0900 1ST PSYCH CARE MGMT, 70 MIN/MONTH-COCM",900,RC,99492,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99493-0900 SBSQ PSYCH COLLAB CARE MGMT, 60 MIN/MONTH COCM",900,RC,99493,CPT,,,outpatient,,,190,,95,114,184.3,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,152.19,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,176.491,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REP WOUND FACE <2.5CM-TECH,510,RC,12011,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11982-0510 REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",510,RC,11982,CPT,,,outpatient,,,1468,,734,880.8,1423.96,1379.92,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1218.44,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1388.728,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1423.96,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1291.84,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1175.868,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1363.6252,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1176.0148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11104-0510 PUNCH BX SKIN, 1ST LESION",510,RC,11104,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESOPHAGEAL MOTILITY STUDY W/INTERPRETATION,750,RC,91010,CPT,,,outpatient,,,2184,,1092,1310.4,2118.48,2052.96,,,,percent of total billed charges,,1747.2,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,1812.72,,,,percent of total billed charges,,1965.6,,,,percent of total billed charges,,2009.28,,,,percent of total billed charges,,2009.28,,,,percent of total billed charges,,2066.064,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,2118.48,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,1921.92,,,,percent of total billed charges,,1965.6,,,,percent of total billed charges,,1749.384,,,,percent of total billed charges,,1965.6,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,2028.7176,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,1747.2,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1749.6024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11102-0510 TANGENTIAL (SHAVE, CURETTE) BX SKIN, 1ST LESION",510,RC,11102,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11103-0510 TANGENTIAL (SHAVE, CURETTE) BX SKIN, ADDL LESION",510,RC,11103,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11105-0510 PUNCH BX SKIN, ADDL LESION",510,RC,11105,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11106-0510 INCISIONAL BX SKIN, 1ST LESION",510,RC,11106,CPT,,,outpatient,,,1332,,666,799.2,1292.04,1252.08,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1105.56,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1260.072,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1292.04,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1172.16,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1066.932,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,1237.2948,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1067.0652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11107-0510 INCISIONAL BX SKIN, ADDL LESION",510,RC,11107,CPT,,,outpatient,,,665,,332.5,399,645.05,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,532.665,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,617.7185,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,532.7315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERQ/ICUT ALLERGY TEST, EA",924,RC,95017,CPT,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INGEST CHALENGE INIT 120 MIN,924,RC,95076,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43762-0510 REPLACEMENT G TUBE, PERCUT, INCL. REMVL, W/O IMAGING",510,RC,43762,CPT,,,outpatient,,,948,,474,568.8,919.56,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,759.348,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,880.5972,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,759.4428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67950-0361 CANTHOPLASTY,361,RC,67950,CPT,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14302-0361 TISSUE TRANSFER ADDITIONAL 30 SQ CM,361,RC,14302,CPT,,,outpatient,,,3598,,1799,2158.8,3490.06,3382.12,,,,percent of total billed charges,,2878.4,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,2986.34,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,3310.16,,,,percent of total billed charges,,3310.16,,,,percent of total billed charges,,3403.708,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,3490.06,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,3166.24,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,2881.998,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,2158.8,,,,percent of total billed charges,,3342.1822,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,2878.4,,,,percent of total billed charges,,2158.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2882.3578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOHS EACH ADDITIONAL BLOCK, ANY STAGE",361,RC,,,,,outpatient,,,982,,491,589.2,952.54,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,786.582,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,912.1798,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,786.6802,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14020-0361 TIS TRNFR S/A/L 10 SQ CM/<,361,RC,14020,CPT,,,outpatient,,,5693,,2846.5,3415.8,5522.21,5351.42,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4725.19,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5385.578,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5522.21,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5009.84,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,4560.093,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,5288.2277,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4560.6623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15630-0361 DELAY OF FLAP OR SECTIONING OF FLAP; AT EYE/NOSE/EARS/LIPS,361,RC,15630,CPT,,,outpatient,,,5633,,2816.5,3379.8,5464.01,5295.02,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4675.39,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5328.818,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5464.01,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4957.04,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,4512.033,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,5232.4937,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4512.5963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IN 111 PENTE TREOTIDE UP TO 6 MCI,343,RC,A9572,HCPCS,,,outpatient,,,5539,,2769.5,3323.4,5372.83,5206.66,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4597.37,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5239.894,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5372.83,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4874.32,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,4436.739,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,5145.1771,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4437.2929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M BICISATE UPTO 25MCI,343,RC,A9557,HCPCS,,,outpatient,,,3244,,1622,1946.4,3146.68,3049.36,,,,percent of total billed charges,,2595.2,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,2692.52,,,,percent of total billed charges,,2919.6,,,,percent of total billed charges,,2984.48,,,,percent of total billed charges,,2984.48,,,,percent of total billed charges,,3068.824,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,3146.68,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,2854.72,,,,percent of total billed charges,,2919.6,,,,percent of total billed charges,,2598.444,,,,percent of total billed charges,,2919.6,,,,percent of total billed charges,,1946.4,,,,percent of total billed charges,,3013.3516,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,2595.2,,,,percent of total billed charges,,1946.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2598.7684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GA 67 DX PER MCI,343,RC,A9556,HCPCS,,,outpatient,,,168,,84,100.8,162.96,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,134.568,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,156.0552,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.5848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0259-0361 INJECT SACROILIAC JOINT FOR ARTHROGRAM,361,RC,G0259,HCPCS,,,outpatient,,,2158,,1079,1294.8,2093.26,2028.52,,,,percent of total billed charges,,1726.4,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,1791.14,,,,percent of total billed charges,,1942.2,,,,percent of total billed charges,,1985.36,,,,percent of total billed charges,,1985.36,,,,percent of total billed charges,,2041.468,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,2093.26,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,1942.2,,,,percent of total billed charges,,1728.558,,,,percent of total billed charges,,1942.2,,,,percent of total billed charges,,1294.8,,,,percent of total billed charges,,2004.5662,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,1726.4,,,,percent of total billed charges,,1294.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1728.7738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTATE I125 SEEDS,278,RC,C2639,HCPCS,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IN 111 PENTETATE, PER 1.5 MCI",343,RC,A9548,HCPCS,,,outpatient,,,3951,,1975.5,2370.6,3832.47,3713.94,,,,percent of total billed charges,,3160.8,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3279.33,,,,percent of total billed charges,,3555.9,,,,percent of total billed charges,,3634.92,,,,percent of total billed charges,,3634.92,,,,percent of total billed charges,,3737.646,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3832.47,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3476.88,,,,percent of total billed charges,,3555.9,,,,percent of total billed charges,,3164.751,,,,percent of total billed charges,,3555.9,,,,percent of total billed charges,,2370.6,,,,percent of total billed charges,,3670.0839,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3160.8,,,,percent of total billed charges,,2370.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3165.1461,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MERTIATIDE TO 15MCI,343,RC,A9562,HCPCS,,,outpatient,,,1968,,984,1180.8,1908.96,1849.92,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1633.44,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1861.728,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1908.96,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1731.84,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1576.368,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1828.0752,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1576.5648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLD PYP/TC99M RBC DX TO 30 MCI’S,343,RC,A9560,HCPCS,,,outpatient,,,3897,,1948.5,2338.2,3780.09,3663.18,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3234.51,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3686.562,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3780.09,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3429.36,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,3121.497,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,3619.9233,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3121.8867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I123 IODIDE PER100 MICRO,343,RC,A9516,HCPCS,,,outpatient,,,326,,163,195.6,316.22,306.44,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,270.58,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,308.396,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,316.22,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,261.126,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,302.8214,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,261.1586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TL201 THALLIUM PER MCI,343,RC,A9505,HCPCS,,,outpatient,,,226,,113,135.6,219.22,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,181.026,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,209.9314,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.0486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MEDRONATE TO 30MCI,343,RC,A9503,HCPCS,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M TETROFOSMIN- STUDY,343,RC,A9502,HCPCS,,,outpatient,,,373,,186.5,223.8,361.81,350.62,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,309.59,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,352.858,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,361.81,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,328.24,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,298.773,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,346.4797,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.8103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M SESTAM UP TO 40MCI,343,RC,A9500,HCPCS,,,outpatient,,,1142,,571,685.2,1107.74,1073.48,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,947.86,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1080.332,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1107.74,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1004.96,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,914.742,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,1060.8038,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,914.8562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 5,510,RC,G0463,HCPCS,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 4,510,RC,G0463,HCPCS,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 3,510,RC,G0463,HCPCS,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 2,510,RC,G0463,HCPCS,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETURN PT LEVEL 1,510,RC,G0463,HCPCS,,,outpatient,,,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 5,510,RC,G0463,HCPCS,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 4,510,RC,G0463,HCPCS,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 3,510,RC,G0463,HCPCS,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 2,510,RC,G0463,HCPCS,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUPLEX VASC STUDY COMPL,921,RC,93975,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR DIAGNOSTIC EXAM,341,RC,78999,CPT,,,outpatient,,,4975,,2487.5,2985,4825.75,4676.5,,,,percent of total billed charges,,3980,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4129.25,,,,percent of total billed charges,,4477.5,,,,percent of total billed charges,,4577,,,,percent of total billed charges,,4577,,,,percent of total billed charges,,4706.35,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4825.75,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4378,,,,percent of total billed charges,,4477.5,,,,percent of total billed charges,,3984.975,,,,percent of total billed charges,,4477.5,,,,percent of total billed charges,,2985,,,,percent of total billed charges,,4621.2775,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,3980,,,,percent of total billed charges,,2985,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3985.4725,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGE PET/CT FULL BODY,404,RC,78816,CPT,,,outpatient,,,6427,,3213.5,3856.2,6234.19,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5148.027,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,5970.0403,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5148.6697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMORIMAGE PET/CT SKUL-THIGH,404,RC,78815,CPT,,,outpatient,,,6427,,3213.5,3856.2,6234.19,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5148.027,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,5970.0403,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5148.6697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUMOR IMAGE PET/CT, LIMITED",404,RC,78814,CPT,,,outpatient,,,6427,,3213.5,3856.2,6234.19,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5148.027,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,5970.0403,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5148.6697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ABSCESS IMAGING, WHOLE BODY >1 DAY",341,RC,78804,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUMOR IMAGING (3D) 1 AREA, 1 DAY",341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUMOR IMAG >1 AREA, 1 DAY",341,RC,78801,CPT,,,outpatient,,,3755,,1877.5,2253,3642.35,3529.7,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3116.65,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3552.23,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3642.35,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3304.4,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,3007.755,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,3488.0195,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3008.1305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIDNEY IMAGING, MORPHOL",341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KFLOW/FUNCT IMAGE W/DRUG,341,RC,78708,CPT,,,outpatient,,,1859,,929.5,1115.4,1803.23,1747.46,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1542.97,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1758.614,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1803.23,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1635.92,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1489.059,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,1726.8251,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1489.2449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KFLOW/FUNCT IMAGE W/O DRUG,341,RC,78707,CPT,,,outpatient,,,1859,,929.5,1115.4,1803.23,1747.46,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1542.97,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1758.614,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1803.23,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1635.92,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1489.059,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,1726.8251,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1489.2449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CSF LEAKAGE IMAGING,341,RC,78650,CPT,,,outpatient,,,3233,,1616.5,1939.8,3136.01,3039.02,,,,percent of total billed charges,,2586.4,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,2683.39,,,,percent of total billed charges,,2909.7,,,,percent of total billed charges,,2974.36,,,,percent of total billed charges,,2974.36,,,,percent of total billed charges,,3058.418,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,3136.01,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,2845.04,,,,percent of total billed charges,,2909.7,,,,percent of total billed charges,,2589.633,,,,percent of total billed charges,,2909.7,,,,percent of total billed charges,,1939.8,,,,percent of total billed charges,,3003.1337,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,2586.4,,,,percent of total billed charges,,1939.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2589.9563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEREBROSPINAL FLUID SCAN,341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEREBROSPINAL FLUID SCAN,341,RC,78630,CPT,,,outpatient,,,3225,,1612.5,1935,3128.25,3031.5,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2676.75,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,3050.85,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3128.25,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2838,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2583.225,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,2995.7025,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2583.5475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEREBRAL VASCULAR FLOW IMAGE,341,RC,78610,CPT,,,outpatient,,,3589,,1794.5,2153.4,3481.33,3373.66,,,,percent of total billed charges,,2871.2,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,2978.87,,,,percent of total billed charges,,3230.1,,,,percent of total billed charges,,3301.88,,,,percent of total billed charges,,3301.88,,,,percent of total billed charges,,3395.194,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,3481.33,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,3158.32,,,,percent of total billed charges,,3230.1,,,,percent of total billed charges,,2874.789,,,,percent of total billed charges,,3230.1,,,,percent of total billed charges,,2153.4,,,,percent of total billed charges,,3333.8221,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,2871.2,,,,percent of total billed charges,,2153.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2875.1479,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAIN IMAGING (PET),404,RC,78608,CPT,,,outpatient,,,6427,,3213.5,3856.2,6234.19,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5148.027,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,5970.0403,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5148.6697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAIN IMAGING (3D),341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG PERFUSION IMAGING,341,RC,78580,CPT,,,outpatient,,,1243,,621.5,745.8,1205.71,1168.42,,,,percent of total billed charges,,994.4,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1031.69,,,,percent of total billed charges,,1118.7,,,,percent of total billed charges,,1143.56,,,,percent of total billed charges,,1143.56,,,,percent of total billed charges,,1175.878,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1205.71,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1093.84,,,,percent of total billed charges,,1118.7,,,,percent of total billed charges,,995.643,,,,percent of total billed charges,,1118.7,,,,percent of total billed charges,,745.8,,,,percent of total billed charges,,1154.6227,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,994.4,,,,percent of total billed charges,,745.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,995.7673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLANAR MULT W OR WO QUANT,341,RC,78473,CPT,,,outpatient,,,1778,,889,1066.8,1724.66,1671.32,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1475.74,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1681.988,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1724.66,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1564.64,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1424.178,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,1651.5842,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1424.3558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLANAR SGL W OR WO QUANT,341,RC,78472,CPT,,,outpatient,,,1778,,889,1066.8,1724.66,1671.32,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1475.74,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1681.988,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1724.66,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1564.64,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1424.178,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,1651.5842,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1424.3558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEART IMAGE (3D), MULTIPLE",341,RC,78452,CPT,,,outpatient,,,6297,,3148.5,3778.2,6108.09,5919.18,,,,percent of total billed charges,,5037.6,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5226.51,,,,percent of total billed charges,,5667.3,,,,percent of total billed charges,,5793.24,,,,percent of total billed charges,,5793.24,,,,percent of total billed charges,,5956.962,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,6108.09,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5541.36,,,,percent of total billed charges,,5667.3,,,,percent of total billed charges,,5043.897,,,,percent of total billed charges,,5667.3,,,,percent of total billed charges,,3778.2,,,,percent of total billed charges,,5849.2833,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5037.6,,,,percent of total billed charges,,3778.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5044.5267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEART IMAGE (3D), SINGLE",341,RC,78451,CPT,,,outpatient,,,4332,,2166,2599.2,4202.04,4072.08,,,,percent of total billed charges,,3465.6,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,3595.56,,,,percent of total billed charges,,3898.8,,,,percent of total billed charges,,3985.44,,,,percent of total billed charges,,3985.44,,,,percent of total billed charges,,4098.072,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,4202.04,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,3812.16,,,,percent of total billed charges,,3898.8,,,,percent of total billed charges,,3469.932,,,,percent of total billed charges,,3898.8,,,,percent of total billed charges,,2599.2,,,,percent of total billed charges,,4023.9948,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,3465.6,,,,percent of total billed charges,,2599.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3470.3652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE IMAGING (3D),341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE IMAGING, 3 PHASE",341,RC,78315,CPT,,,outpatient,,,1392,,696,835.2,1350.24,1308.48,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1155.36,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1316.832,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1350.24,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1224.96,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1114.992,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,1293.0288,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1115.1312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE IMAGING, WHOLE BODY",341,RC,78306,CPT,,,outpatient,,,1392,,696,835.2,1350.24,1308.48,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1155.36,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1316.832,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1350.24,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1224.96,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1114.992,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,1293.0288,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1115.1312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE IMAGING, LIMITED AREA",341,RC,78300,CPT,,,outpatient,,,1392,,696,835.2,1350.24,1308.48,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1155.36,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1316.832,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1350.24,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1224.96,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1114.992,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,1293.0288,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1115.1312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECKELS DIVERT EXAM,341,RC,78290,CPT,,,outpatient,,,1386,,693,831.6,1344.42,1302.84,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1150.38,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1311.156,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1344.42,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1219.68,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1110.186,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,1287.4554,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1110.3246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACUTE GI BLOOD LOSS IMAGING,341,RC,78278,CPT,,,outpatient,,,1386,,693,831.6,1344.42,1302.84,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1150.38,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1311.156,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1344.42,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1219.68,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1110.186,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,1287.4554,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1110.3246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTRIC EMPTYING STUDY,341,RC,78264,CPT,,,outpatient,,,1386,,693,831.6,1344.42,1302.84,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1150.38,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1311.156,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1344.42,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1219.68,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1110.186,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,1287.4554,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1110.3246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIVER/SPLEEN IMAGE STATIC,341,RC,78215,CPT,,,outpatient,,,1545,,772.5,927,1498.65,1452.3,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1282.35,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1461.57,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1498.65,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1359.6,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1237.545,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,927,,,,percent of total billed charges,,1435.1505,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,927,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1237.6995,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIVER IMAGING (3D),341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SYSTEM IMAGING,341,RC,78195,CPT,,,outpatient,,,1436,,718,861.6,1392.92,1349.84,,,,percent of total billed charges,,1148.8,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1191.88,,,,percent of total billed charges,,1292.4,,,,percent of total billed charges,,1321.12,,,,percent of total billed charges,,1321.12,,,,percent of total billed charges,,1358.456,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1392.92,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1263.68,,,,percent of total billed charges,,1292.4,,,,percent of total billed charges,,1150.236,,,,percent of total billed charges,,1292.4,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,1333.9004,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1148.8,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1150.3796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARATHYROID NUCLEAR IMAGING,341,RC,78070,CPT,,,outpatient,,,1262,,631,757.2,1224.14,1186.28,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1047.46,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1193.852,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1224.14,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1110.56,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1010.862,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,1172.2718,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1010.9882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HANDLING & LOADING RAD SOURCES,333,RC,77790,CPT,,,outpatient,,,305,,152.5,183,295.85,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,244.305,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,283.3145,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,244.3355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERSTITIAL APPLIC >10 SOURCE,333,RC,77778,CPT,,,outpatient,,,1708,,854,1024.8,1656.76,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1368.108,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1586.5612,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1368.2788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACAVITARY APPLIC >10 SOURC,333,RC,77763,CPT,,,outpatient,,,1708,,854,1024.8,1656.76,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1368.108,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1586.5612,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1368.2788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL TREATMENT PROCEDURE,333,RC,77470,CPT,,,outpatient,,,1205,,602.5,723,1168.85,1132.7,,,,percent of total billed charges,,964,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1000.15,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1139.93,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1168.85,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1060.4,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,965.205,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,723,,,,percent of total billed charges,,1119.3245,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,964,,,,percent of total billed charges,,723,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,965.3255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT PORT FILM,333,RC,77417,CPT,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TREATMENT-COMPLX,ELECT 11-19 M",333,RC,77412,CPT,,,outpatient,,,640,,320,384,620.8,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,512.64,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,594.496,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,512.704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT-INTERMEDIATE 11-19ME,333,RC,77407,CPT,,,outpatient,,,640,,320,384,620.8,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,512.64,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,594.496,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,512.704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT-SIMPLE 11-19 MEV,333,RC,77402,CPT,,,outpatient,,,286,,143,171.6,277.42,268.84,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,237.38,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,270.556,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,277.42,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,251.68,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,229.086,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,265.6654,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.1146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIATION PHYSICS CONSULT,333,RC,77370,CPT,,,outpatient,,,324,,162,194.4,314.28,304.56,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,268.92,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,306.504,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.28,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,259.524,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,300.9636,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,259.5564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEEKLY PHYSICS CONSULTATION,333,RC,77336,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIATION TX AID(S)COMP,333,RC,77334,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT DEVICE INTERMEDIATE,333,RC,77333,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT DEVICE SIMPLE,333,RC,77332,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL RADIATION DOSIMETRY,333,RC,77331,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL TELETHERAPY PLAN,333,RC,77321,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMRT TELETHERAPY PLANNING,333,RC,77301,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIATION THERAPY DOSE PLAN,333,RC,77300,CPT,,,outpatient,,,3301,,1650.5,1980.6,3201.97,3102.94,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2739.83,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3122.746,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3201.97,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2904.88,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,2644.101,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,3066.2989,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2644.4311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D RADIOTH TX PLAN W/ DVH'S,333,RC,77295,CPT,,,outpatient,,,3301,,1650.5,1980.6,3201.97,3102.94,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2739.83,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3122.746,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3201.97,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2904.88,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,2644.101,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,3066.2989,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2644.4311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION COMPLEX,333,RC,77290,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION INTERMEDIATE,333,RC,77285,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION SIMPLE,333,RC,77280,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DXA BONE DENSITY 1 + SITE,320,RC,77080,CPT,,,outpatient,,,668,,334,400.8,647.96,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,535.068,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,620.5052,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,535.1348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY BONE SURVEY COMPL,320,RC,77075,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY BONE LENGTH STUDIES,320,RC,77073,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAYS FOR BONE AGE,320,RC,77072,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUCT/GALACTOGRAM MULT S&I,320,RC,77054,CPT,,,outpatient,,,577,,288.5,346.2,559.69,542.38,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,478.91,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,545.842,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,559.69,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,507.76,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,462.177,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,535.9753,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,462.2347,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LOCALIZATION-RADRX FIELDS,350,RC,77014,CPT,,,outpatient,,,741,,370.5,444.6,718.77,696.54,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,615.03,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,700.986,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,718.77,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,652.08,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,593.541,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,688.3149,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,593.6151,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SCAN FOR LOCALIZATION,359,RC,77011,CPT,,,outpatient,,,1119,,559.5,671.4,1085.43,1051.86,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,928.77,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1058.574,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1085.43,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,984.72,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,896.319,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,1039.4391,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,896.4309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US GUIDE, INTRAOP",402,RC,76998,CPT,,,outpatient,,,613,,306.5,367.8,594.61,576.22,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,508.79,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,579.898,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,594.61,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,539.44,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,491.013,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,569.4157,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,491.0743,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASONIC GUIDANCE FOR IMPLAN,402,RC,76965,CPT,,,outpatient,,,754,,377,452.4,731.38,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,603.954,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,700.3906,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,604.0294,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US GUIDE AMNIOCENT S&I,402,RC,76946,CPT,,,outpatient,,,626,,313,375.6,607.22,588.44,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,519.58,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,592.196,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,607.22,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,550.88,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,501.426,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,581.4914,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,501.4886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76942-0402 US GUIDE NEEDLE PLCMT S&I,402,RC,76942,CPT,,,outpatient,,,1083,,541.5,649.8,1050.51,1018.02,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,898.89,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,1024.518,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1050.51,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,953.04,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,867.483,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,1005.9987,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,867.5913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US GUIDE, TISSUE ABLATION",402,RC,76940,CPT,,,outpatient,,,2409,,1204.5,1445.4,2336.73,2264.46,,,,percent of total billed charges,,1927.2,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,1999.47,,,,percent of total billed charges,,2168.1,,,,percent of total billed charges,,2216.28,,,,percent of total billed charges,,2216.28,,,,percent of total billed charges,,2278.914,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,2336.73,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,2119.92,,,,percent of total billed charges,,2168.1,,,,percent of total billed charges,,1929.609,,,,percent of total billed charges,,2168.1,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,2237.7201,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,1927.2,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1929.8499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM INFANT HIPS, STATIC",402,RC,76886,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM INFANT HIPS, DYNAMIC",402,RC,76885,CPT,,,outpatient,,,808,,404,484.8,783.76,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,647.208,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,750.5512,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,647.2888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, EXTREMITY",402,RC,76882,CPT,,,outpatient,,,596,,298,357.6,578.12,560.24,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,494.68,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,563.816,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,578.12,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,524.48,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,477.396,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,553.6244,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,477.4556,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ULTRASOUND, TRANSECTAL",402,RC,76873,CPT,,,outpatient,,,262,,131,157.2,254.14,246.28,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,217.46,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,247.852,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,254.14,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,230.56,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,209.862,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,243.3718,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,209.8882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US, TRANSRECTAL",402,RC,76872,CPT,,,outpatient,,,502,,251,301.2,486.94,471.88,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,416.66,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,474.892,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,486.94,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,441.76,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,402.102,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,466.3078,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,402.1522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76870-0402  US EXAM, SCROTUM",402,RC,76870,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US PELVIC LIMITED OR F/U,402,RC,76857,CPT,,,outpatient,,,500,,250,300,485,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,464.45,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,400.55,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US PELVIC NON OB COMPLETE,402,RC,76856,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSVAGINAL US, NON-OB",402,RC,76830,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76817 TRANSVAGINAL US, OBSTETRIC",402,RC,76817,CPT,,,outpatient,,,904,,452,542.4,876.88,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,724.104,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,839.7256,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.1944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76816 OB US, FOLLOW-UP, PER FETUS",402,RC,76816,CPT,,,outpatient,,,511,,255.5,306.6,495.67,480.34,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,424.13,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,483.406,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,495.67,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,449.68,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,409.311,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,474.6679,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,409.3621,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76815 OB US QUICK LOOK LIMITED FETUS,402,RC,76815,CPT,,,outpatient,,,502,,251,301.2,486.94,471.88,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,416.66,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,474.892,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,486.94,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,441.76,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,402.102,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,466.3078,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,402.1522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US, DETAILED, ADDL FETUS",402,RC,76812,CPT,,,outpatient,,,553,,276.5,331.8,536.41,519.82,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,458.99,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,523.138,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,536.41,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,486.64,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,442.953,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,513.6817,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,443.0083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US, DETAILED, SNGL FETUS",402,RC,76811,CPT,,,outpatient,,,904,,452,542.4,876.88,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,724.104,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,839.7256,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.1944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76810 OB US >/= 14 WKS, ADDL FETUS",402,RC,76810,CPT,,,outpatient,,,499,,249.5,299.4,484.03,469.06,,,,percent of total billed charges,,399.2,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,414.17,,,,percent of total billed charges,,449.1,,,,percent of total billed charges,,459.08,,,,percent of total billed charges,,459.08,,,,percent of total billed charges,,472.054,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,484.03,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,439.12,,,,percent of total billed charges,,449.1,,,,percent of total billed charges,,399.699,,,,percent of total billed charges,,449.1,,,,percent of total billed charges,,299.4,,,,percent of total billed charges,,463.5211,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,399.2,,,,percent of total billed charges,,299.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,399.7489,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76805 OB US >/= 14 WKS, SNGL FETUS",402,RC,76805,CPT,,,outpatient,,,820,,410,492,795.4,770.8,,,,percent of total billed charges,,656,,,,percent of total billed charges,,779,,,,percent of total billed charges,,680.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,775.72,,,,percent of total billed charges,,779,,,,percent of total billed charges,,795.4,,,,percent of total billed charges,,779,,,,percent of total billed charges,,721.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,656.82,,,,percent of total billed charges,,738,,,,percent of total billed charges,,492,,,,percent of total billed charges,,761.698,,,,percent of total billed charges,,779,,,,percent of total billed charges,,779,,,,percent of total billed charges,,656,,,,percent of total billed charges,,492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,656.902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76802 OB US < 14 WKS, ADDÆL FETUS",402,RC,76802,CPT,,,outpatient,,,553,,276.5,331.8,536.41,519.82,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,458.99,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,523.138,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,536.41,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,486.64,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,442.953,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,513.6817,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,443.0083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76801 OB US < 14 WK, SINGLE FETUS",402,RC,76801,CPT,,,outpatient,,,904,,452,542.4,876.88,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,724.104,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,839.7256,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.1944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, SPINAL CANAL",402,RC,76800,CPT,,,outpatient,,,808,,404,484.8,783.76,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,647.208,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,750.5512,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,647.2888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM ABDO BACK WALL, COMP",402,RC,76770,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASOUND ABD LTD SINGLE ORGAN,402,RC,76705,CPT,,,outpatient,,,806,,403,483.6,781.82,757.64,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,668.98,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,762.476,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,781.82,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,709.28,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,645.606,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,748.6934,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,645.6866,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, ABDOM, COMPLETE",402,RC,76700,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, CHEST",402,RC,76604,CPT,,,outpatient,,,808,,404,484.8,783.76,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,647.208,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,750.5512,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,647.2888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US SOFT TISSUE HEAD/NECK,402,RC,76536,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO EXAM OF HEAD,402,RC,76506,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR SPECTROSCOPY,610,RC,76390,CPT,,,outpatient,,,1469,,734.5,881.4,1424.93,1380.86,,,,percent of total billed charges,,1175.2,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1219.27,,,,percent of total billed charges,,1322.1,,,,percent of total billed charges,,1351.48,,,,percent of total billed charges,,1351.48,,,,percent of total billed charges,,1389.674,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1424.93,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1292.72,,,,percent of total billed charges,,1322.1,,,,percent of total billed charges,,1176.669,,,,percent of total billed charges,,1322.1,,,,percent of total billed charges,,881.4,,,,percent of total billed charges,,1364.5541,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1175.2,,,,percent of total billed charges,,881.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1176.8159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LIMITED FOLLOW-UP,350,RC,76380,CPT,,,outpatient,,,306,,153,183.6,296.82,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,245.106,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,284.2434,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.1366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D RENDER W/O POSTPROCESS,359,RC,76376,CPT,,,outpatient,,,857,,428.5,514.2,831.29,805.58,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,711.31,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,810.722,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,831.29,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,754.16,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,686.457,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,796.0673,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,686.5427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO BREAST SPECIMEN,320,RC,76098,CPT,,,outpatient,,,773,,386.5,463.8,749.81,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,619.173,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,718.0397,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,619.2503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORO EXAM UP TO 1 HR,320,RC,76000,CPT,,,outpatient,,,991,,495.5,594.6,961.27,931.54,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,822.53,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,937.486,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,961.27,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,872.08,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,793.791,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,920.5399,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,793.8901,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABSCESS DRAINAGE UNDER X-RAY,352,RC,75989,CPT,,,outpatient,,,911,,455.5,546.6,883.67,856.34,,,,percent of total billed charges,,728.8,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,756.13,,,,percent of total billed charges,,819.9,,,,percent of total billed charges,,838.12,,,,percent of total billed charges,,838.12,,,,percent of total billed charges,,861.806,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,883.67,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,801.68,,,,percent of total billed charges,,819.9,,,,percent of total billed charges,,729.711,,,,percent of total billed charges,,819.9,,,,percent of total billed charges,,546.6,,,,percent of total billed charges,,846.2279,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,728.8,,,,percent of total billed charges,,546.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,729.8021,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SHUNTOGRAM S&I,320,RC,75809,CPT,,,outpatient,,,838,,419,502.8,812.86,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,671.238,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,778.4182,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,671.3218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HYSTEROSALPH S&I,320,RC,74740,CPT,,,outpatient,,,1929,,964.5,1157.4,1871.13,1813.26,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1601.07,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1824.834,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1871.13,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1697.52,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1545.129,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1791.8481,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1545.3219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URETHROCYSTO VOID S&I,320,RC,74455,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URETHROCYSTO RETRO S&I,320,RC,74450,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTOGRAM MIN 3V S&I,320,RC,74430,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM RETRO WORWO KUB,320,RC,74420,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM INF TECH W NEPH,320,RC,74415,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM INF TECH,320,RC,74410,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY INTRO GI TUBE S&I,320,RC,74340,CPT,,,outpatient,,,749,,374.5,449.4,726.53,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,599.949,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,695.7461,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.0239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDO BILE/PANCR DUCT S&I,320,RC,74330,CPT,,,outpatient,,,1842,,921,1105.2,1786.74,1731.48,,,,percent of total billed charges,,1473.6,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1528.86,,,,percent of total billed charges,,1657.8,,,,percent of total billed charges,,1694.64,,,,percent of total billed charges,,1694.64,,,,percent of total billed charges,,1742.532,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1786.74,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1620.96,,,,percent of total billed charges,,1657.8,,,,percent of total billed charges,,1475.442,,,,percent of total billed charges,,1657.8,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,1711.0338,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1473.6,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1475.6262,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY INTRAOP CHOLANG S&I,320,RC,74300,CPT,,,outpatient,,,838,,419,502.8,812.86,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,671.238,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,778.4182,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,671.3218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENEMA THERAPEUTIC,320,RC,74283,CPT,,,outpatient,,,1064,,532,638.4,1032.08,1000.16,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,883.12,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,1006.544,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1032.08,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,936.32,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,852.264,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,988.3496,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,852.3704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY COLON CONTRAST,320,RC,74280,CPT,,,outpatient,,,1125,,562.5,675,1091.25,1057.5,,,,percent of total billed charges,,900,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,933.75,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1064.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1091.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,901.125,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,1045.0125,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,900,,,,percent of total billed charges,,675,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,901.2375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY COLON CONT WORWOKUB,320,RC,74270,CPT,,,outpatient,,,771,,385.5,462.6,747.87,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,617.571,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,716.1819,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,617.6481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SM BOWEL ENT TUBE,320,RC,74251,CPT,,,outpatient,,,1125,,562.5,675,1091.25,1057.5,,,,percent of total billed charges,,900,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,933.75,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1064.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1091.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,901.125,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,1045.0125,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,900,,,,percent of total billed charges,,675,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,901.2375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SM BOWEL MULT FILMS,320,RC,74250,CPT,,,outpatient,,,771,,385.5,462.6,747.87,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,617.571,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,716.1819,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,617.6481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY UPPER GI W KUB,320,RC,74240,CPT,,,outpatient,,,581,,290.5,348.6,563.57,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,465.381,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,539.6909,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,465.4391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG X-RAY EXAM, UPPER GI TRACT",320,RC,74240,CPT,,,outpatient,,,771,,385.5,462.6,747.87,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,617.571,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,716.1819,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,617.6481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SWALLOW FUNCT CINE/VIDEO,320,RC,74230,CPT,,,outpatient,,,771,,385.5,462.6,747.87,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,617.571,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,716.1819,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,617.6481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CONTRAST X-RAY, ESOPHAGUS",320,RC,74220,CPT,,,outpatient,,,771,,385.5,462.6,747.87,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,617.571,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,716.1819,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,617.6481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI ANGIO, ABDOM W ORW/O DYE",618,RC,C8902,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ABDOMEN W/O & W/DYE,614,RC,74183,CPT,,,outpatient,,,3426,,1713,2055.6,3323.22,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2744.226,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3182.4114,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2744.5686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ABDOMEN W/O DYE,614,RC,74181,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ANGIO ABDOM W/O & W/DYE,352,RC,74175,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABDOMEN W/O & W/DYE,352,RC,74170,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABDOMEN W/DYE,352,RC,74160,CPT,,,outpatient,,,2098,,1049,1258.8,2035.06,1972.12,,,,percent of total billed charges,,1678.4,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1741.34,,,,percent of total billed charges,,1888.2,,,,percent of total billed charges,,1930.16,,,,percent of total billed charges,,1930.16,,,,percent of total billed charges,,1984.708,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,2035.06,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1846.24,,,,percent of total billed charges,,1888.2,,,,percent of total billed charges,,1680.498,,,,percent of total billed charges,,1888.2,,,,percent of total billed charges,,1258.8,,,,percent of total billed charges,,1948.8322,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1678.4,,,,percent of total billed charges,,1258.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1680.7078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABDOMEN W/O DYE,352,RC,74150,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ABD COMPL W CHEST,320,RC,74022,CPT,,,outpatient,,,632,,316,379.2,613.04,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,506.232,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,587.0648,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,506.2952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG X-RAY ABDOMEN COMPLETE, 2 VIEWS",320,RC,74019,CPT,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ABDOMEN SINGLE AP V,320,RC,74018,CPT,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANG LWR EXT W OR W/O DYE,618,RC,c8914,HCPCS,,,outpatient,,,1894,,947,1136.4,1837.18,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1517.094,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1759.3366,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1517.2834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT LWR EXTR W/O&W/DYE,614,RC,73723,CPT,,,outpatient,,,3426,,1713,2055.6,3323.22,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2744.226,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3182.4114,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2744.5686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT OF LWR EXTR W/DYE,614,RC,73722,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JNT OF LWR EXTRE W/O DYE,614,RC,73721,CPT,,,outpatient,,,2230,,1115,1338,2163.1,2096.2,,,,percent of total billed charges,,1784,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,1850.9,,,,percent of total billed charges,,2007,,,,percent of total billed charges,,2051.6,,,,percent of total billed charges,,2051.6,,,,percent of total billed charges,,2109.58,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,2163.1,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,1962.4,,,,percent of total billed charges,,2007,,,,percent of total billed charges,,1786.23,,,,percent of total billed charges,,2007,,,,percent of total billed charges,,1338,,,,percent of total billed charges,,2071.447,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,1784,,,,percent of total billed charges,,1338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1786.453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LWR EXTREMITY W/O&W/DYE,614,RC,73720,CPT,,,outpatient,,,3426,,1713,2055.6,3323.22,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2744.226,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3182.4114,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2744.5686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LOWER EXTREMITY W/O DYE,614,RC,73718,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 73706-0352 CT ANGIO LWR EXTR W/O&W/DYE,352,RC,73706,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LWR EXTREMITY W/O&W/DYE,352,RC,73702,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LOWER EXTREMITY W/DYE,352,RC,73701,CPT,,,outpatient,,,2097,,1048.5,1258.2,2034.09,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1679.697,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,1947.9033,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1679.9067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LOWER EXTREMITY W/O DYE,352,RC,73700,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY TOE(S) MIN 2V,320,RC,73660,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CALCANEUS MIN 2V,320,RC,73650,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FOOT COMPLETE,320,RC,73630,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FOOT 2 VIEWS,320,RC,73620,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ANKLE COMPLETE,320,RC,73610,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ANKLE 2 VIEWS,320,RC,73600,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY TIB/FIB 2 VIEWS,320,RC,73590,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROGRAM KNEE S&I,322,RC,73580,CPT,,,outpatient,,,1412,,706,847.2,1369.64,1327.28,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1171.96,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1335.752,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1369.64,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1242.56,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,1131.012,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,1311.6068,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1131.1532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG X-RAY EXAM OF KNEE, 3 VIEW",320,RC,73562,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY KNEE 1-2 VIEWS,320,RC,73560,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROGRAM HIP S&I,322,RC,73525,CPT,,,outpatient,,,2002,,1001,1201.2,1941.94,1881.88,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1661.66,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1893.892,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1941.94,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1761.76,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1603.602,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,1859.6578,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1603.8022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA UPR EXT WO & W CONT,618,RC,c8936,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT UPR EXTR W/O&W/DYE,614,RC,73223,CPT,,,outpatient,,,3426,,1713,2055.6,3323.22,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2744.226,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3182.4114,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2744.5686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT UPR EXTREM W/O DYE,614,RC,73221,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI UPPR EXTREMITY W/O&W/DYE,614,RC,73220,CPT,,,outpatient,,,3426,,1713,2055.6,3323.22,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2744.226,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3182.4114,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2744.5686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI UPPER EXTREMITY W/O DYE,614,RC,73218,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA UPR EXT WO & W CONT,352,RC,73206,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT UPPR EXTREMITY W/O&W/DYE,352,RC,73202,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT UPPER EXTREMITY W/DYE,352,RC,73201,CPT,,,outpatient,,,2097,,1048.5,1258.2,2034.09,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1679.697,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,1947.9033,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1679.9067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT UPPER EXTREMITY W/O DYE,352,RC,73200,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FINGER(S) MIN 2 V,320,RC,73140,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HAND MIN 3 VIEWS,320,RC,73130,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HAND 2 VIEWS,320,RC,73120,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY WRIST COMPLETE,320,RC,73110,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY WRIST 2 VIEWS,320,RC,73100,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FOREARM 2 VIEWS,320,RC,73090,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ELBOW COMPLETE,320,RC,73080,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ELBOW 2 VIEWS,320,RC,73070,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HUMERUS MIN 2 VIEWS,320,RC,73060,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SHOULDER JOINTS BIL,320,RC,73050,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SHOULDER COMPLETE,320,RC,73030,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SCAPULA COMPLETE,320,RC,73010,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CLAVICLE COMPLETE,320,RC,73000,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM LUMBSACR S&I,320,RC,72265,CPT,,,outpatient,,,3762,,1881,2257.2,3649.14,3536.28,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3122.46,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3558.852,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3649.14,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3310.56,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3013.362,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,3494.5218,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3013.7382,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SACRUMCOCCYX MIN 2V,320,RC,72220,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SACROILIAC 3+ VIEWS,320,RC,72202,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI PELVIS W/O & W/DYE,614,RC,72197,CPT,,,outpatient,,,3426,,1713,2055.6,3323.22,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2744.226,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3182.4114,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2744.5686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI PELVIS W/DYE,614,RC,72196,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI PELVIS W/O DYE,614,RC,72195,CPT,,,outpatient,,,2155,,1077.5,1293,2090.35,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1726.155,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2001.7795,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1726.3705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT PELVIS W/O & W/DYE,352,RC,72194,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT PELVIS W/DYE,352,RC,72193,CPT,,,outpatient,,,2097,,1048.5,1258.2,2034.09,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1679.697,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,1947.9033,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1679.9067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT PELVIS W/O DYE,352,RC,72192,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA PELVIS WO & W CONT,352,RC,72191,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY PELVIS COMPL MIN 3V,320,RC,72190,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY PELVIS 1-2 VIEWS,320,RC,72170,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LUMBAR SPINE W/O & W/DYE,612,RC,72158,CPT,,,outpatient,,,3427,,1713.5,2056.2,3324.19,3221.38,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2844.41,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3241.942,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3324.19,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3015.76,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2745.027,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,3183.3403,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2745.3697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST SPINE W/O & W/DYE,612,RC,72157,CPT,,,outpatient,,,3427,,1713.5,2056.2,3324.19,3221.38,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2844.41,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3241.942,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3324.19,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3015.76,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2745.027,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,3183.3403,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2745.3697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI NECK SPINE W/O & W/DYE,612,RC,72156,CPT,,,outpatient,,,3587,,1793.5,2152.2,3479.39,3371.78,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2977.21,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3393.302,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3479.39,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3156.56,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2873.187,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,3331.9643,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2873.5457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LUMBAR SPINE W/DYE,612,RC,72149,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LUMBAR SPINE W/O DYE,612,RC,72148,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST SPINE W/DYE,612,RC,72147,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI THORACIC SPINE,612,RC,72146,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI NECK SPINE W/DYE,612,RC,72142,CPT,,,outpatient,,,2834,,1417,1700.4,2748.98,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2270.034,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2632.5026,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2270.3174,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI NECK SPINE W/O DYE,612,RC,72141,CPT,,,outpatient,,,2330,,1165,1398,2260.1,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1866.33,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2164.337,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1866.563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LUMBAR SPINE W/O & W/DYE,352,RC,72133,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LUMBAR SPINE W/DYE,352,RC,72132,CPT,,,outpatient,,,2097,,1048.5,1258.2,2034.09,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1679.697,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,1947.9033,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1679.9067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LUMBAR SPINE W/O DYE,352,RC,72131,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE THOR WO & W CONT,352,RC,72130,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE THORACIC W CONT,352,RC,72129,CPT,,,outpatient,,,2097,,1048.5,1258.2,2034.09,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1679.697,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,1947.9033,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1679.9067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE THORACIC WO CONT,352,RC,72128,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE CERV WO & W CONT,352,RC,72127,CPT,,,outpatient,,,2520,,1260,1512,2444.4,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2018.52,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2340.828,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2018.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE CERVICAL W CONT,352,RC,72126,CPT,,,outpatient,,,2163,,1081.5,1297.8,2098.11,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1732.563,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2009.2107,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1732.7793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE CERVICAL WO CONT,352,RC,72125,CPT,,,outpatient,,,1563,,781.5,937.8,1516.11,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1251.963,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1451.8707,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1252.1193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY LUMBSACR MIN 4 VIEW,320,RC,72110,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY LUMBSACR 2-3 VIEWS,320,RC,72100,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE THOR/LMBR 2V,320,RC,72080,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE THORACIC 3V,320,RC,72072,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE CERV COMPL,320,RC,72052,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE CERV 2-3 VIEW,320,RC,72040,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE SINGLE VIEW,320,RC,72020,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO CHEST WITH CONTRAST,618,RC,C8909,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST W/O & W/DYE,614,RC,71552,CPT,,,outpatient,,,3426,,1713,2055.6,3323.22,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2744.226,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3182.4114,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2744.5686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST W/DYE,614,RC,71551,CPT,,,outpatient,,,2042,,1021,1225.2,1980.74,1919.48,,,,percent of total billed charges,,1633.6,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1694.86,,,,percent of total billed charges,,1837.8,,,,percent of total billed charges,,1878.64,,,,percent of total billed charges,,1878.64,,,,percent of total billed charges,,1931.732,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1980.74,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1796.96,,,,percent of total billed charges,,1837.8,,,,percent of total billed charges,,1635.642,,,,percent of total billed charges,,1837.8,,,,percent of total billed charges,,1225.2,,,,percent of total billed charges,,1896.8138,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1633.6,,,,percent of total billed charges,,1225.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1635.8462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST W/O DYE,614,RC,71550,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA CHEST W CONTRAST,352,RC,71275,CPT,,,outpatient,,,2837,,1418.5,1702.2,2751.89,2666.78,,,,percent of total billed charges,,2269.6,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2354.71,,,,percent of total billed charges,,2553.3,,,,percent of total billed charges,,2610.04,,,,percent of total billed charges,,2610.04,,,,percent of total billed charges,,2683.802,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2751.89,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2496.56,,,,percent of total billed charges,,2553.3,,,,percent of total billed charges,,2272.437,,,,percent of total billed charges,,2553.3,,,,percent of total billed charges,,1702.2,,,,percent of total billed charges,,2635.2893,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2269.6,,,,percent of total billed charges,,1702.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2272.7207,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/O & W/DYE,352,RC,71270,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/DYE,352,RC,71260,CPT,,,outpatient,,,2097,,1048.5,1258.2,2034.09,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1679.697,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,1947.9033,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1679.9067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/O DYE,352,RC,71250,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY STERNCLAV JT MIN 3V,320,RC,71130,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY STERNUM MIN 2 VIEWS,320,RC,71120,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY RIBS BIL 3 VIEWS,320,RC,71110,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY RIBS UNI 2 VIEWS,320,RC,71100,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CHEST COMP MIN 4V,324,RC,71048,CPT,,,outpatient,,,317,,158.5,190.2,307.49,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,253.917,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,294.4613,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.9487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CHEST 2 VIEWS,324,RC,71046,CPT,,,outpatient,,,317,,158.5,190.2,307.49,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,253.917,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,294.4613,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.9487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CHEST SINGLE VIEW,324,RC,71045,CPT,,,outpatient,,,317,,158.5,190.2,307.49,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,253.917,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,294.4613,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.9487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BRAIN W/O & W/DYE,611,RC,70553,CPT,,,outpatient,,,3643,,1821.5,2185.8,3533.71,3424.42,,,,percent of total billed charges,,2914.4,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3023.69,,,,percent of total billed charges,,3278.7,,,,percent of total billed charges,,3351.56,,,,percent of total billed charges,,3351.56,,,,percent of total billed charges,,3446.278,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3533.71,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3205.84,,,,percent of total billed charges,,3278.7,,,,percent of total billed charges,,2918.043,,,,percent of total billed charges,,3278.7,,,,percent of total billed charges,,2185.8,,,,percent of total billed charges,,3383.9827,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,2914.4,,,,percent of total billed charges,,2185.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2918.4073,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BRAIN W/DYE,611,RC,70552,CPT,,,outpatient,,,2834,,1417,1700.4,2748.98,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2270.034,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2632.5026,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2270.3174,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BRAIN W/O DYE,611,RC,70551,CPT,,,outpatient,,,2330,,1165,1398,2260.1,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1866.33,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2164.337,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1866.563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPH NECK W/O&W/DYE,615,RC,70549,CPT,,,outpatient,,,3587,,1793.5,2152.2,3479.39,3371.78,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2977.21,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3393.302,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3479.39,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3156.56,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2873.187,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,3331.9643,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2873.5457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY NECK W/O DYE,615,RC,70547,CPT,,,outpatient,,,2330,,1165,1398,2260.1,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1866.33,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2164.337,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1866.563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPH HEAD W/O&W/DYE,615,RC,70546,CPT,,,outpatient,,,3587,,1793.5,2152.2,3479.39,3371.78,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2977.21,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3393.302,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3479.39,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3156.56,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2873.187,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,3331.9643,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2873.5457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY HEAD W/O DYE,615,RC,70544,CPT,,,outpatient,,,2330,,1165,1398,2260.1,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1866.33,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2164.337,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1866.563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ORBT/FAC/NCK W/O & W/DYE,611,RC,70543,CPT,,,outpatient,,,3586,,1793,2151.6,3478.42,3370.84,,,,percent of total billed charges,,2868.8,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,2976.38,,,,percent of total billed charges,,3227.4,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3392.356,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,3478.42,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,3155.68,,,,percent of total billed charges,,3227.4,,,,percent of total billed charges,,2872.386,,,,percent of total billed charges,,3227.4,,,,percent of total billed charges,,2151.6,,,,percent of total billed charges,,3331.0354,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,2868.8,,,,percent of total billed charges,,2151.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2872.7446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ORBIT/FACE/NECK W/O DYE,611,RC,70540,CPT,,,outpatient,,,2330,,1165,1398,2260.1,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1866.33,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2164.337,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1866.563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA NECK W CONTRAST,351,RC,70498,CPT,,,outpatient,,,2520,,1260,1512,2444.4,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2018.52,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2340.828,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2018.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA HEAD W CONTRAST,351,RC,70496,CPT,,,outpatient,,,2520,,1260,1512,2444.4,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2018.52,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2340.828,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2018.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SFT TSUE NCK W/O & W/DYE,351,RC,70492,CPT,,,outpatient,,,2520,,1260,1512,2444.4,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2018.52,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2340.828,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2018.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SOFT TISSUE NECK W/DYE,351,RC,70491,CPT,,,outpatient,,,2163,,1081.5,1297.8,2098.11,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1732.563,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2009.2107,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1732.7793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SOFT TISSUE NECK W/O DYE,351,RC,70490,CPT,,,outpatient,,,1563,,781.5,937.8,1516.11,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1251.963,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1451.8707,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1252.1193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT MAXILLOFACIAL W/O & W/DYE,351,RC,70488,CPT,,,outpatient,,,2520,,1260,1512,2444.4,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2018.52,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2340.828,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2018.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT MAXILLOFACIAL W/DYE,351,RC,70487,CPT,,,outpatient,,,2163,,1081.5,1297.8,2098.11,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1732.563,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2009.2107,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1732.7793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT MAXILLOFACIAL W/O DYE,351,RC,70486,CPT,,,outpatient,,,1563,,781.5,937.8,1516.11,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1251.963,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1451.8707,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1252.1193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ORBIT/EAR/FOSSA W/O&W/DYE,351,RC,70482,CPT,,,outpatient,,,2520,,1260,1512,2444.4,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2018.52,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2340.828,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2018.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ORBIT/EAR/FOSSA W/DYE,351,RC,70481,CPT,,,outpatient,,,2163,,1081.5,1297.8,2098.11,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1732.563,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2009.2107,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1732.7793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ORBIT/EAR/FOSSA W/O DYE,351,RC,70480,CPT,,,outpatient,,,1563,,781.5,937.8,1516.11,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1251.963,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1451.8707,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1252.1193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT HEAD/BRAIN W/O & W/DYE,351,RC,70470,CPT,,,outpatient,,,2520,,1260,1512,2444.4,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2018.52,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2340.828,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2018.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT HEAD/BRAIN W/DYE,351,RC,70460,CPT,,,outpatient,,,2163,,1081.5,1297.8,2098.11,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1732.563,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2009.2107,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1732.7793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT HEAD/BRAIN W/O CONTRST,351,RC,70450,CPT,,,outpatient,,,1567,,783.5,940.2,1519.99,1472.98,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1300.61,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1482.382,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1519.99,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1378.96,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1255.167,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,1455.5863,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1255.3237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SIALOGRAM S&I,320,RC,70390,CPT,,,outpatient,,,462,,231,277.2,448.14,434.28,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,383.46,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,437.052,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,448.14,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,406.56,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,370.062,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,429.1518,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,370.1082,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 70360-0320 X-RAY NECK SOFT TISSUE,320,RC,70360,CPT,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAGNETIC IMAGE, JAW JOINT",614,RC,70336,CPT,,,outpatient,,,2227,,1113.5,1336.2,2160.19,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1783.827,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2068.6603,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1784.0497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY TMJ BIL,320,RC,70330,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SKULL COMPL MIN 4V,320,RC,70260,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SKULL < 4 VIEWS,320,RC,70250,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SINUS PARANAS COMPL,320,RC,70220,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SINUS PARANASAL <3V,320,RC,70210,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ORBITS COMPL MIN 4V,320,RC,70200,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY NASAL BONES MIN 3V,320,RC,70160,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FACIAL BONES MIN 3V,320,RC,70150,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY MASTOIDS COMP MIN3V,320,RC,70130,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY JAW MIN OF 4 VIEWS,320,RC,70110,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY EYE FOR FOREIGN BODY,320,RC,70030,CPT,,,outpatient,,,377,,188.5,226.2,365.69,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,301.977,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,350.1953,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.0147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREOTACTIC BRAIN BIOPSY,360,RC,61751,CPT,,,outpatient,,,1906,,953,1143.6,1848.82,1791.64,,,,percent of total billed charges,,1524.8,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1581.98,,,,percent of total billed charges,,1715.4,,,,percent of total billed charges,,1753.52,,,,percent of total billed charges,,1753.52,,,,percent of total billed charges,,1803.076,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1848.82,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1677.28,,,,percent of total billed charges,,1715.4,,,,percent of total billed charges,,1526.706,,,,percent of total billed charges,,1715.4,,,,percent of total billed charges,,1143.6,,,,percent of total billed charges,,1770.4834,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1524.8,,,,percent of total billed charges,,1143.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1526.8966,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX THYROID PERC NEED CORE,361,RC,60100,CPT,,,outpatient,,,2677,,1338.5,1606.2,2596.69,2516.38,,,,percent of total billed charges,,2141.6,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2221.91,,,,percent of total billed charges,,2409.3,,,,percent of total billed charges,,2462.84,,,,percent of total billed charges,,2462.84,,,,percent of total billed charges,,2532.442,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2596.69,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2355.76,,,,percent of total billed charges,,2409.3,,,,percent of total billed charges,,2144.277,,,,percent of total billed charges,,2409.3,,,,percent of total billed charges,,1606.2,,,,percent of total billed charges,,2486.6653,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2141.6,,,,percent of total billed charges,,1606.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2144.5447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPIRATE/INJECT THYRIOD CYST,361,RC,60300,CPT,,,outpatient,,,992,,496,595.2,962.24,932.48,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,823.36,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,938.432,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,962.24,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,872.96,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,794.592,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,921.4688,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,794.6912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER FOR HYSTEROGRAPHY,361,RC,58340,CPT,,,outpatient,,,1601,,800.5,960.6,1552.97,1504.94,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1328.83,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1514.546,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1552.97,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1408.88,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1282.401,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,1487.1689,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1282.5611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR-CATH INSERT UTER/VAG,360,RC,57155,CPT,,,outpatient,,,9156,,4578,5493.6,8881.32,8606.64,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7599.48,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8661.576,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8881.32,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8057.28,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,7333.956,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,8505.0084,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7334.8716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR BLADDER X-RAY,361,RC,51600,CPT,,,outpatient,,,1683,,841.5,1009.8,1632.51,1582.02,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1396.89,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1592.118,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1632.51,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1481.04,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1348.083,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,1563.3387,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1348.2513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR URETER X-RAY,361,RC,50690,CPT,,,outpatient,,,2220,,1110,1332,2153.4,2086.8,,,,percent of total billed charges,,1776,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,1842.6,,,,percent of total billed charges,,1998,,,,percent of total billed charges,,2042.4,,,,percent of total billed charges,,2042.4,,,,percent of total billed charges,,2100.12,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,2153.4,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1998,,,,percent of total billed charges,,1778.22,,,,percent of total billed charges,,1998,,,,percent of total billed charges,,1332,,,,percent of total billed charges,,2062.158,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,1776,,,,percent of total billed charges,,1332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1778.442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAINAGE OF KIDNEY LESION,361,RC,50390,CPT,,,outpatient,,,3362,,1681,2017.2,3261.14,3160.28,,,,percent of total billed charges,,2689.6,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,2790.46,,,,percent of total billed charges,,3025.8,,,,percent of total billed charges,,3093.04,,,,percent of total billed charges,,3093.04,,,,percent of total billed charges,,3180.452,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,3261.14,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,2958.56,,,,percent of total billed charges,,3025.8,,,,percent of total billed charges,,2692.962,,,,percent of total billed charges,,3025.8,,,,percent of total billed charges,,2017.2,,,,percent of total billed charges,,3122.9618,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,2689.6,,,,percent of total billed charges,,2017.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2693.2982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, LIVER ADD-ON",361,RC,47001,CPT,,,outpatient,,,2757,,1378.5,1654.2,2674.29,2591.58,,,,percent of total billed charges,,2205.6,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2288.31,,,,percent of total billed charges,,2481.3,,,,percent of total billed charges,,2536.44,,,,percent of total billed charges,,2536.44,,,,percent of total billed charges,,2608.122,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2674.29,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2426.16,,,,percent of total billed charges,,2481.3,,,,percent of total billed charges,,2208.357,,,,percent of total billed charges,,2481.3,,,,percent of total billed charges,,1654.2,,,,percent of total billed charges,,2560.9773,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2205.6,,,,percent of total billed charges,,1654.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2208.6327,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENTIFY SENTINEL NODE,361,RC,38792,CPT,,,outpatient,,,1498,,749,898.8,1453.06,1408.12,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1243.34,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1417.108,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1453.06,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1318.24,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,1199.898,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,1391.4922,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1200.0478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, LYMPH NODES",361,RC,38505,CPT,,,outpatient,,,1956,,978,1173.6,1897.32,1838.64,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1623.48,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1850.376,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1897.32,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1721.28,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1566.756,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1816.9284,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1566.9516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR ANKLE X-RAY,361,RC,27648,CPT,,,outpatient,,,1976,,988,1185.6,1916.72,1857.44,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1640.08,,,,percent of total billed charges,,1778.4,,,,percent of total billed charges,,1817.92,,,,percent of total billed charges,,1817.92,,,,percent of total billed charges,,1869.296,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1916.72,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1738.88,,,,percent of total billed charges,,1778.4,,,,percent of total billed charges,,1582.776,,,,percent of total billed charges,,1778.4,,,,percent of total billed charges,,1185.6,,,,percent of total billed charges,,1835.5064,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1185.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1582.9736,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONTRAST INJ FOR KNEE CT/MRI/ARTHROGRAM,361,RC,27369,CPT,,,outpatient,,,2866,,1433,1719.6,2780.02,2694.04,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2378.78,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2711.236,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2780.02,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2522.08,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,2295.666,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,2662.2274,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2295.9526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR HIP X-RAY,361,RC,27093,CPT,,,outpatient,,,2678,,1339,1606.8,2597.66,2517.32,,,,percent of total billed charges,,2142.4,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2222.74,,,,percent of total billed charges,,2410.2,,,,percent of total billed charges,,2463.76,,,,percent of total billed charges,,2463.76,,,,percent of total billed charges,,2533.388,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2597.66,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2356.64,,,,percent of total billed charges,,2410.2,,,,percent of total billed charges,,2145.078,,,,percent of total billed charges,,2410.2,,,,percent of total billed charges,,1606.8,,,,percent of total billed charges,,2487.5942,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2142.4,,,,percent of total billed charges,,1606.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2145.3458,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR WRIST X-RAY,361,RC,25246,CPT,,,outpatient,,,2987,,1493.5,1792.2,2897.39,2807.78,,,,percent of total billed charges,,2389.6,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2479.21,,,,percent of total billed charges,,2688.3,,,,percent of total billed charges,,2748.04,,,,percent of total billed charges,,2748.04,,,,percent of total billed charges,,2825.702,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2897.39,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2628.56,,,,percent of total billed charges,,2688.3,,,,percent of total billed charges,,2392.587,,,,percent of total billed charges,,2688.3,,,,percent of total billed charges,,1792.2,,,,percent of total billed charges,,2774.6243,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2389.6,,,,percent of total billed charges,,1792.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2392.8857,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR ELBOW X-RAY,361,RC,24220,CPT,,,outpatient,,,2698,,1349,1618.8,2617.06,2536.12,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2239.34,,,,percent of total billed charges,,2428.2,,,,percent of total billed charges,,2482.16,,,,percent of total billed charges,,2482.16,,,,percent of total billed charges,,2552.308,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2617.06,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2374.24,,,,percent of total billed charges,,2428.2,,,,percent of total billed charges,,2161.098,,,,percent of total billed charges,,2428.2,,,,percent of total billed charges,,1618.8,,,,percent of total billed charges,,2506.1722,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1618.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2161.3678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR SHOULDER X-RAY,361,RC,23350,CPT,,,outpatient,,,2061,,1030.5,1236.6,1999.17,1937.34,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1710.63,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1949.706,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1999.17,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1813.68,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1650.861,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,1914.4629,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1651.0671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT OF BONE CYST,361,RC,20615,CPT,,,outpatient,,,4365,,2182.5,2619,4234.05,4103.1,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,3622.95,,,,percent of total billed charges,,3928.5,,,,percent of total billed charges,,4015.8,,,,percent of total billed charges,,4015.8,,,,percent of total billed charges,,4129.29,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,4234.05,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,3841.2,,,,percent of total billed charges,,3928.5,,,,percent of total billed charges,,3496.365,,,,percent of total billed charges,,3928.5,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,4054.6485,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3496.8015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19000-0361 DRAINAGE OF BREAST LESION,361,RC,19000,CPT,,,outpatient,,,2088,,1044,1252.8,2025.36,1962.72,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1733.04,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1975.248,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2025.36,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1837.44,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1672.488,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1939.5432,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1672.6968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CCTA W/WO, QUAN CALCIUM",350,RC,75574,CPT,,,outpatient,,,3667,,1833.5,2200.2,3556.99,3446.98,,,,percent of total billed charges,,2933.6,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3043.61,,,,percent of total billed charges,,3300.3,,,,percent of total billed charges,,3373.64,,,,percent of total billed charges,,3373.64,,,,percent of total billed charges,,3468.982,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3556.99,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3226.96,,,,percent of total billed charges,,3300.3,,,,percent of total billed charges,,2937.267,,,,percent of total billed charges,,3300.3,,,,percent of total billed charges,,2200.2,,,,percent of total billed charges,,3406.2763,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,2933.6,,,,percent of total billed charges,,2200.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2937.6337,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CT HEART WO DYE, QUAL CALC",350,RC,75571,CPT,,,outpatient,,,248,,124,148.8,240.56,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,198.648,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,230.3672,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,198.6728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M SULFCOLLOID TO20MCI,343,RC,A9541,HCPCS,,,outpatient,,,871,,435.5,522.6,844.87,818.74,,,,percent of total billed charges,,696.8,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,722.93,,,,percent of total billed charges,,783.9,,,,percent of total billed charges,,801.32,,,,percent of total billed charges,,801.32,,,,percent of total billed charges,,823.966,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,844.87,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,766.48,,,,percent of total billed charges,,783.9,,,,percent of total billed charges,,697.671,,,,percent of total billed charges,,783.9,,,,percent of total billed charges,,522.6,,,,percent of total billed charges,,809.0719,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,696.8,,,,percent of total billed charges,,522.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,697.7581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MAA UP TO 10MCI,343,RC,A9540,HCPCS,,,outpatient,,,839,,419.5,503.4,813.83,788.66,,,,percent of total billed charges,,671.2,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,696.37,,,,percent of total billed charges,,755.1,,,,percent of total billed charges,,771.88,,,,percent of total billed charges,,771.88,,,,percent of total billed charges,,793.694,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,813.83,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,738.32,,,,percent of total billed charges,,755.1,,,,percent of total billed charges,,672.039,,,,percent of total billed charges,,755.1,,,,percent of total billed charges,,503.4,,,,percent of total billed charges,,779.3471,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,671.2,,,,percent of total billed charges,,503.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,672.1229,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC 99M PENTETATE UP TO 25 MCI,343,RC,A9539,HCPCS,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MEBROFENIN TO 15MCI,343,RC,A9537,HCPCS,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL SUPPLIES,270,RC,,,,,outpatient,,,734,,367,440.4,711.98,689.96,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,609.22,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,694.364,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,711.98,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,645.92,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,587.934,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,681.8126,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,588.0074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO CHEST WO CONTRAST,618,RC,c8910,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR ENDOBRONCHIAL CATHE 1000MM,272,RC,,,,,outpatient,,,810,,405,486,785.7,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,648.81,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,752.409,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ/ASP SHUNT TUBING,361,RC,61070,CPT,,,outpatient,,,2289,,1144.5,1373.4,2220.33,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1833.489,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2126.2521,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1833.7179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO LOCALIZATION,401,RC,19283,CPT,,,outpatient,,,1300,,650,780,1261,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1207.57,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1041.43,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREOTACTIC BIOPSY,401,RC,19081,CPT,,,outpatient,,,3627,,1813.5,2176.2,3518.19,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2905.227,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3369.1203,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2905.5897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICRO MARK TISSUE MARKER,278,RC,A4648,HCPCS,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BASIC DOSIMETRY CALCULATION,333,RC,77300,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIOELEMENT LOAD IR 192,333,RC,77790,CPT,,,outpatient,,,650,,325,390,630.5,611,,,,percent of total billed charges,,520,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,539.5,,,,percent of total billed charges,,585,,,,percent of total billed charges,,598,,,,percent of total billed charges,,598,,,,percent of total billed charges,,614.9,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,630.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,572,,,,percent of total billed charges,,585,,,,percent of total billed charges,,520.65,,,,percent of total billed charges,,585,,,,percent of total billed charges,,390,,,,percent of total billed charges,,603.785,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,520,,,,percent of total billed charges,,390,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,520.715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL PHYSICS CONSULT,333,RC,77370,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL DOSIMETRY (TLD'S),333,RC,77331,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREOTACTIC RADIOSURGERY,333,RC,77370,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MED PHYSICS CONSULTATION,333,RC,77336,CPT,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI W/ ADMIN NEUROPSYCH,611,RC,70555,CPT,,,outpatient,,,679,,339.5,407.4,658.63,638.26,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,642.334,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,658.63,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,543.879,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,630.7231,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,543.9469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG U/S NDL BX, RENAL",361,RC,,,,,outpatient,,,944,,472,566.4,915.68,887.36,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,783.52,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,893.024,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,915.68,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,830.72,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,756.144,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,876.8816,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,756.2384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACAVITARY APPLIC 1-4 SOURC,333,RC,77761,CPT,,,outpatient,,,1402,,701,841.2,1359.94,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1123.002,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1302.3178,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1123.1422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACAVITARY APPLIC 5-10 SOUR,333,RC,77762,CPT,,,outpatient,,,1402,,701,841.2,1359.94,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1123.002,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1302.3178,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1123.1422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY HEAD W/DY,615,RC,70545,CPT,,,outpatient,,,2834,,1417,1700.4,2748.98,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2270.034,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2632.5026,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2270.3174,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY NECK W/DY,615,RC,70548,CPT,,,outpatient,,,2978,,1489,1786.8,2888.66,2799.32,,,,percent of total billed charges,,2382.4,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2471.74,,,,percent of total billed charges,,2680.2,,,,percent of total billed charges,,2739.76,,,,percent of total billed charges,,2739.76,,,,percent of total billed charges,,2817.188,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2888.66,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2620.64,,,,percent of total billed charges,,2680.2,,,,percent of total billed charges,,2385.378,,,,percent of total billed charges,,2680.2,,,,percent of total billed charges,,1786.8,,,,percent of total billed charges,,2766.2642,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2382.4,,,,percent of total billed charges,,1786.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2385.6758,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNCTIONAL MRI BRAIN,611,RC,70554,CPT,,,outpatient,,,616,,308,369.6,597.52,579.04,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,582.736,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,542.08,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,493.416,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,572.2024,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,493.4776,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA SPINE WO & W CONT,610,RC,72159,CPT,,,outpatient,,,2161,,1080.5,1296.6,2096.17,2031.34,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1793.63,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,2044.306,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2096.17,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1901.68,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1730.961,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,2007.3529,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1731.1771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIO PELVIS W/O & W/DYE,618,RC,C8920,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIG MAMMO-SCREENING,403,RC,77067,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIG MAMMO-BOTH BREASTS,401,RC,77066,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIG MAMMO-SINGLE BREAST,401,RC,77065,CPT,,,outpatient,,,302,,151,181.2,292.94,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,241.902,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,280.5278,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,241.9322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY KNEE 1-2 VIEWS BIL,320,RC,73560,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-REACTIVE PROTEIN,302,RC,86140,CPT,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT VIRTUAL COLON SCREENING,352,RC,74263,CPT,,,outpatient,,,1189,,594.5,713.4,1153.33,1117.66,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,986.87,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1124.794,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1153.33,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1046.32,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,952.389,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,1104.4621,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,952.5079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT VIRTUAL COLON DIAGNOSTIC,352,RC,74261,CPT,,,outpatient,,,1483,,741.5,889.8,1438.51,1394.02,,,,percent of total billed charges,,1186.4,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1230.89,,,,percent of total billed charges,,1334.7,,,,percent of total billed charges,,1364.36,,,,percent of total billed charges,,1364.36,,,,percent of total billed charges,,1402.918,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1438.51,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1305.04,,,,percent of total billed charges,,1334.7,,,,percent of total billed charges,,1187.883,,,,percent of total billed charges,,1334.7,,,,percent of total billed charges,,889.8,,,,percent of total billed charges,,1377.5587,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1186.4,,,,percent of total billed charges,,889.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1188.0313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT-BRAIN PERFUSION,351,RC,0042T,HCPCS,,,outpatient,,,3265,,1632.5,1959,3167.05,3069.1,,,,percent of total billed charges,,2612,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,2709.95,,,,percent of total billed charges,,2938.5,,,,percent of total billed charges,,3003.8,,,,percent of total billed charges,,3003.8,,,,percent of total billed charges,,3088.69,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,3167.05,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,2873.2,,,,percent of total billed charges,,2938.5,,,,percent of total billed charges,,2615.265,,,,percent of total billed charges,,2938.5,,,,percent of total billed charges,,1959,,,,percent of total billed charges,,3032.8585,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,2612,,,,percent of total billed charges,,1959,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2615.5915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I-STAT CREATININE,301,RC,82565,CPT,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT VIRTUAL COLON DIAGNOSTIC W/DYE,320,RC,74262,CPT,,,outpatient,,,2057,,1028.5,1234.2,1995.29,1933.58,,,,percent of total billed charges,,1645.6,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1707.31,,,,percent of total billed charges,,1851.3,,,,percent of total billed charges,,1892.44,,,,percent of total billed charges,,1892.44,,,,percent of total billed charges,,1945.922,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1995.29,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1810.16,,,,percent of total billed charges,,1851.3,,,,percent of total billed charges,,1647.657,,,,percent of total billed charges,,1851.3,,,,percent of total billed charges,,1234.2,,,,percent of total billed charges,,1910.7473,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1645.6,,,,percent of total billed charges,,1234.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1647.8627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM,DUPLEX SCAN, LIMITED",921,RC,93976,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, RETROPERITONEAL, LIMITED",402,RC,76775,CPT,,,outpatient,,,700,,350,420,679,658,,,,percent of total billed charges,,560,,,,percent of total billed charges,,665,,,,percent of total billed charges,,581,,,,percent of total billed charges,,630,,,,percent of total billed charges,,644,,,,percent of total billed charges,,644,,,,percent of total billed charges,,662.2,,,,percent of total billed charges,,665,,,,percent of total billed charges,,679,,,,percent of total billed charges,,665,,,,percent of total billed charges,,616,,,,percent of total billed charges,,630,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,630,,,,percent of total billed charges,,420,,,,percent of total billed charges,,650.23,,,,percent of total billed charges,,665,,,,percent of total billed charges,,665,,,,percent of total billed charges,,560,,,,percent of total billed charges,,420,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,560.77,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM,TRANSPLANTED KIDNEY W/DOPPLER",402,RC,76776,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM,NUCHAL TRANSLUCENCY MEASUREMEN",402,RC,76813,CPT,,,outpatient,,,267,,133.5,160.2,258.99,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,213.867,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,248.0163,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.8937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IN-111 WBC ADMINISTRATION,343,RC,A9570,HCPCS,,,outpatient,,,3897,,1948.5,2338.2,3780.09,3663.18,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3234.51,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3686.562,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3780.09,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3429.36,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,3121.497,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,3619.9233,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3121.8867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABD PEL W/O DYE,352,RC,74176,CPT,,,outpatient,,,2883,,1441.5,1729.8,2796.51,2710.02,,,,percent of total billed charges,,2306.4,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2392.89,,,,percent of total billed charges,,2594.7,,,,percent of total billed charges,,2652.36,,,,percent of total billed charges,,2652.36,,,,percent of total billed charges,,2727.318,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2796.51,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2537.04,,,,percent of total billed charges,,2594.7,,,,percent of total billed charges,,2309.283,,,,percent of total billed charges,,2594.7,,,,percent of total billed charges,,1729.8,,,,percent of total billed charges,,2678.0187,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2306.4,,,,percent of total billed charges,,1729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2309.5713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABD PEL W/ DYE,352,RC,74177,CPT,,,outpatient,,,3985,,1992.5,2391,3865.45,3745.9,,,,percent of total billed charges,,3188,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3307.55,,,,percent of total billed charges,,3586.5,,,,percent of total billed charges,,3666.2,,,,percent of total billed charges,,3666.2,,,,percent of total billed charges,,3769.81,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3865.45,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3506.8,,,,percent of total billed charges,,3586.5,,,,percent of total billed charges,,3191.985,,,,percent of total billed charges,,3586.5,,,,percent of total billed charges,,2391,,,,percent of total billed charges,,3701.6665,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3188,,,,percent of total billed charges,,2391,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3192.3835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABD PEL W/O & W/ DYE,352,RC,74178,CPT,,,outpatient,,,4641,,2320.5,2784.6,4501.77,4362.54,,,,percent of total billed charges,,3712.8,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,3852.03,,,,percent of total billed charges,,4176.9,,,,percent of total billed charges,,4269.72,,,,percent of total billed charges,,4269.72,,,,percent of total billed charges,,4390.386,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,4501.77,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,4084.08,,,,percent of total billed charges,,4176.9,,,,percent of total billed charges,,3717.441,,,,percent of total billed charges,,4176.9,,,,percent of total billed charges,,2784.6,,,,percent of total billed charges,,4311.0249,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,3712.8,,,,percent of total billed charges,,2784.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3717.9051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTEBRAL FX ASSESSMENT,320,RC,77086,CPT,,,outpatient,,,574,,287,344.4,556.78,539.56,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,476.42,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,543.004,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,556.78,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,505.12,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,459.774,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,533.1886,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,459.8314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RIBS UNILATERAL,320,RC,71101,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TECHNETIUM HDP TO 30 MCI,343,RC,A9561,HCPCS,,,outpatient,,,124,,62,74.4,120.28,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,99.324,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,115.1836,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.3364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76820 OB UMBILICAL ARTERY DOPPLER,402,RC,76820,CPT,,,outpatient,,,753,,376.5,451.8,730.41,707.82,,,,percent of total billed charges,,602.4,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,624.99,,,,percent of total billed charges,,677.7,,,,percent of total billed charges,,692.76,,,,percent of total billed charges,,692.76,,,,percent of total billed charges,,712.338,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,730.41,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,662.64,,,,percent of total billed charges,,677.7,,,,percent of total billed charges,,603.153,,,,percent of total billed charges,,677.7,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,699.4617,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,602.4,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,603.2283,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROTID DUPLEX (NECK),921,RC,93880,CPT,,,outpatient,,,702,,351,421.2,680.94,659.88,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,582.66,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,664.092,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,680.94,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,617.76,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,562.302,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,652.0878,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,562.3722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ANGIO AORTA W/BFRO,352,RC,75635,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA CORONARY W/O CA SCORE,352,RC,75572,CPT,,,outpatient,,,1456,,728,873.6,1412.32,1368.64,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1208.48,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1377.376,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1412.32,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1281.28,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1166.256,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,1352.4784,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1166.4016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DISKOGRPHY CERVICAL THORACIC,320,RC,72285,CPT,,,outpatient,,,4404,,2202,2642.4,4271.88,4139.76,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,3655.32,,,,percent of total billed charges,,3963.6,,,,percent of total billed charges,,4051.68,,,,percent of total billed charges,,4051.68,,,,percent of total billed charges,,4166.184,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,4271.88,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,3875.52,,,,percent of total billed charges,,3963.6,,,,percent of total billed charges,,3527.604,,,,percent of total billed charges,,3963.6,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,4090.8756,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3528.0444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX CHEST, PA/LAT & LORDOTIC, 3 VIEWS",324,RC,71047,CPT,,,outpatient,,,227,,113.5,136.2,220.19,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,181.827,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,210.8603,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.8497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT LOWER EXT, LT 2V>",320,RC,73592,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT LOWER EXT, RT 2V>",320,RC,73592,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT LOWER EXT,BIL 2V>",320,RC,73592,CPT,,,outpatient,,,1481,,740.5,888.6,1436.57,1392.14,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1229.23,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1401.026,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1436.57,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1303.28,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,1186.281,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,1375.7009,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1186.4291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT UPPER EXT, LT 2V",320,RC,73092,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT UPPER EXT, RT 2V",320,RC,73092,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT, UPPER EXT BIL 2V",320,RC,73092,CPT,,,outpatient,,,527,,263.5,316.2,511.19,495.38,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,437.41,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,498.542,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,511.19,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,463.76,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,422.127,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,489.5303,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,422.1797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX OPTIC FORAMINA,320,RC,70190,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX PEDS FB/NOSE-RECTUM 1V,320,RC,76010,CPT,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX UGI, SINGLE W/SBFT",320,RC,74240,CPT,,,outpatient,,,581,,290.5,348.6,563.57,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,465.381,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,539.6909,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,465.4391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX UGI, W/AIR, W/KUB",320,RC,74246,CPT,,,outpatient,,,581,,290.5,348.6,563.57,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,465.381,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,539.6909,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,465.4391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX UGI, W/AIR, W/O KUB",320,RC,74246,CPT,,,outpatient,,,771,,385.5,462.6,747.87,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,617.571,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,716.1819,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,617.6481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM BRAIN SCAN & FLOW,341,RC,78606,CPT,,,outpatient,,,3225,,1612.5,1935,3128.25,3031.5,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2676.75,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,3050.85,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3128.25,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2838,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2583.225,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,2995.7025,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2583.5475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LIVER HEMANGIOMA SCAN,341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LIVER/SPLEEN SPECT,341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM TUMOR IMAG 1 AREA, 1 DAY",341,RC,78800,CPT,,,outpatient,,,1854,,927,1112.4,1798.38,1742.76,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1538.82,,,,percent of total billed charges,,1668.6,,,,percent of total billed charges,,1705.68,,,,percent of total billed charges,,1705.68,,,,percent of total billed charges,,1753.884,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1798.38,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1631.52,,,,percent of total billed charges,,1668.6,,,,percent of total billed charges,,1485.054,,,,percent of total billed charges,,1668.6,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,1722.1806,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1485.2394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM TUMOR IMAG 1 AREA, 1 DAY (OCR)",341,RC,78800,CPT,,,outpatient,,,3755,,1877.5,2253,3642.35,3529.7,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3116.65,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3552.23,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3642.35,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3304.4,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,3007.755,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,3488.0195,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3008.1305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PET/CT BRAIN PERFUSION EVAL,404,RC,78609,CPT,,,outpatient,,,6427,,3213.5,3856.2,6234.19,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5148.027,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,5970.0403,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5148.6697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US AORTA,402,RC,76775,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US DOP CAROTID BIL,921,RC,93880,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US RENAL,402,RC,76775,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX FACIAL BONES, < 3V",320,RC,70140,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX MANDIBLE, < 4V",320,RC,70100,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX FACIAL BONES, < 3V",320,RC,70140,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX TMJ, RT",320,RC,70328,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX SACROILIAC JOINTS < 3V,320,RC,72200,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX ARTHRO/WRIST,322,RC,73115,CPT,,,outpatient,,,1312,,656,787.2,1272.64,1233.28,,,,percent of total billed charges,,1049.6,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1088.96,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1207.04,,,,percent of total billed charges,,1207.04,,,,percent of total billed charges,,1241.152,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1272.64,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1154.56,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1050.912,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,1218.7168,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1049.6,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1051.0432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX KNEE, BIL STANDING",320,RC,73565,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LOWER EXTREMITY,610,RC,73719,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX ABDOMEN, KUB & OBLIQUE, 3 VIEWS",320,RC,74021,CPT,,,outpatient,,,364,,182,218.4,353.08,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,291.564,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,338.1196,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,291.6004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX TOMO TMJ,320,RC,76100,CPT,,,outpatient,,,632,,316,379.2,613.04,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,506.232,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,587.0648,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,506.2952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US ED ABD LTD RETROPERITONEAL,402,RC,76775,CPT,,,outpatient,,,224,,112,134.4,217.28,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,179.424,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,208.0736,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.4464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAMMO,DUCTOGRAM SINGLE",401,RC,77053,CPT,,,outpatient,,,577,,288.5,346.2,559.69,542.38,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,478.91,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,545.842,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,559.69,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,507.76,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,462.177,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,535.9753,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,462.2347,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST UNILATERAL W/ OR W/O CONTRAST,614,RC,C8905,HCPCS,,,outpatient,,,2258,,1129,1354.8,2190.26,2122.52,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1874.14,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2136.068,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2190.26,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1987.04,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1808.658,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,2097.4562,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1808.8838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST BILATERAL WO/CONTR,610,RC,77047,CPT,,,outpatient,,,3255,,1627.5,1953,3157.35,3059.7,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2701.65,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,3079.23,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3157.35,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2864.4,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2607.255,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,3023.5695,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2607.5805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX BONE SURVEY-METASTATIC,320,RC,77074,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX INFANT BONE SURVEY,320,RC,77076,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX DEXA PERIPHERAL,320,RC,77081,CPT,,,outpatient,,,827,,413.5,496.2,802.19,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,662.427,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,768.2003,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,662.5097,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LUNG SCAN VENT/AEROSOL,341,RC,78579,CPT,,,outpatient,,,1577,,788.5,946.2,1529.69,1482.38,,,,percent of total billed charges,,1261.6,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1308.91,,,,percent of total billed charges,,1419.3,,,,percent of total billed charges,,1450.84,,,,percent of total billed charges,,1450.84,,,,percent of total billed charges,,1491.842,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1529.69,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1387.76,,,,percent of total billed charges,,1419.3,,,,percent of total billed charges,,1263.177,,,,percent of total billed charges,,1419.3,,,,percent of total billed charges,,946.2,,,,percent of total billed charges,,1464.8753,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1261.6,,,,percent of total billed charges,,946.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1263.3347,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM QUANTITATIVE LUNG SCAN,341,RC,78598,CPT,,,outpatient,,,1438,,719,862.8,1394.86,1351.72,,,,percent of total billed charges,,1150.4,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1193.54,,,,percent of total billed charges,,1294.2,,,,percent of total billed charges,,1322.96,,,,percent of total billed charges,,1322.96,,,,percent of total billed charges,,1360.348,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1394.86,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1265.44,,,,percent of total billed charges,,1294.2,,,,percent of total billed charges,,1151.838,,,,percent of total billed charges,,1294.2,,,,percent of total billed charges,,862.8,,,,percent of total billed charges,,1335.7582,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1150.4,,,,percent of total billed charges,,862.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1151.9818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CERETEC PER DOSE =<25MCI,343,RC,A9521,HCPCS,,,outpatient,,,4029,,2014.5,2417.4,3908.13,3787.26,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3344.07,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3811.434,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3908.13,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3545.52,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,3227.229,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,3742.5381,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3227.6319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG F-18 FDG =<45 MCI,343,RC,A9552,HCPCS,,,outpatient,,,998,,499,598.8,968.06,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,799.398,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,927.0422,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,799.4978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PENETATE DTPA AEROSOL <=75MCI,343,RC,A9567,HCPCS,,,outpatient,,,271,,135.5,162.6,262.87,254.74,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,224.93,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,256.366,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,262.87,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,238.48,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,217.071,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,251.7319,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.0981,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SINCALIDE (KINEVAC) PER 5 MCG,636,RC,J2805,HCPCS,,,outpatient,,,541,,270.5,324.6,524.77,508.54,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,449.03,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,511.786,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,524.77,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,476.08,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,433.341,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,502.5349,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,433.3951,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IN 111 OXYQUINOLINE DX 0.5 MCI,343,RC,A9547,HCPCS,,,outpatient,,,1402,,701,841.2,1359.94,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1123.002,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1302.3178,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1123.1422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIDNEY MORPHOLOGY IMAGING,341,RC,78700,CPT,,,outpatient,,,2339,,1169.5,1403.4,2268.83,2198.66,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1941.37,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2212.694,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2268.83,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2058.32,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1873.539,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,2172.6971,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1873.7729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM SCINTOMAMMO BILATERAL,341,RC,78801,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA CHEST W/ & W/O CONTRAST,618,RC,c8911,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPRIATION CYST, BREAST ADDIT",361,RC,19001,CPT,,,outpatient,,,776,,388,465.6,752.72,729.44,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,644.08,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,734.096,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,752.72,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,621.576,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,720.8264,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,621.6536,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION SINUS TRACT, THERAP",361,RC,20500,CPT,,,outpatient,,,2365,,1182.5,1419,2294.05,2223.1,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1962.95,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2237.29,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2294.05,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2081.2,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1894.365,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,2196.8485,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1894.6015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BX, SOFT TIS BACK/FLANK DEEP",361,RC,21925,CPT,,,outpatient,,,8556,,4278,5133.6,8299.32,8042.64,,,,percent of total billed charges,,6844.8,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,7101.48,,,,percent of total billed charges,,7700.4,,,,percent of total billed charges,,7871.52,,,,percent of total billed charges,,7871.52,,,,percent of total billed charges,,8093.976,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,8299.32,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,7529.28,,,,percent of total billed charges,,7700.4,,,,percent of total billed charges,,6853.356,,,,percent of total billed charges,,7700.4,,,,percent of total billed charges,,5133.6,,,,percent of total billed charges,,7947.6684,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,6844.8,,,,percent of total billed charges,,5133.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6854.2116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32998-0361 ABALATION PULMONARY TUMOR,361,RC,32998,CPT,,,outpatient,,,10410,,5205,6246,10097.7,9785.4,,,,percent of total billed charges,,8328,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,8640.3,,,,percent of total billed charges,,9369,,,,percent of total billed charges,,9577.2,,,,percent of total billed charges,,9577.2,,,,percent of total billed charges,,9847.86,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,10097.7,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,9160.8,,,,percent of total billed charges,,9369,,,,percent of total billed charges,,8338.41,,,,percent of total billed charges,,9369,,,,percent of total billed charges,,6246,,,,percent of total billed charges,,9669.849,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,8328,,,,percent of total billed charges,,6246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8339.451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTR NEDLE/CATH CAR/VERT ART,361,RC,36100,CPT,,,outpatient,,,5407,,2703.5,3244.2,5244.79,5082.58,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4487.81,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,5115.022,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5244.79,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4758.16,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,4331.007,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,5022.5623,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4331.5477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36468-0361 INJ SCLER SOL LIMB/TRNK SPI VE,361,RC,36468,CPT,,,outpatient,,,541,,270.5,324.6,524.77,508.54,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,449.03,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,511.786,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,524.77,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,476.08,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,433.341,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,502.5349,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,433.3951,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ SCLEROSING SOL SING VEIN,361,RC,36470,CPT,,,outpatient,,,1609,,804.5,965.4,1560.73,1512.46,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1335.47,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1522.114,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1560.73,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1415.92,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1288.809,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,1494.6001,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1288.9699,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ SCLEROSING SOL MULT VEIN,361,RC,36471,CPT,,,outpatient,,,3049,,1524.5,1829.4,2957.53,2866.06,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2530.67,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2884.354,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2957.53,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2683.12,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,2442.249,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,2832.2161,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2442.5539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV ABLATION EXTREMITY 1ST VEIN,361,RC,36478,CPT,,,outpatient,,,9217,,4608.5,5530.2,8940.49,8663.98,,,,percent of total billed charges,,7373.6,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,7650.11,,,,percent of total billed charges,,8295.3,,,,percent of total billed charges,,8479.64,,,,percent of total billed charges,,8479.64,,,,percent of total billed charges,,8719.282,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,8940.49,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,8110.96,,,,percent of total billed charges,,8295.3,,,,percent of total billed charges,,7382.817,,,,percent of total billed charges,,8295.3,,,,percent of total billed charges,,5530.2,,,,percent of total billed charges,,8561.6713,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,7373.6,,,,percent of total billed charges,,5530.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7383.7387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV ABLATION EXTREMITY ADD VEIN,361,RC,36479,CPT,,,outpatient,,,5277,,2638.5,3166.2,5118.69,4960.38,,,,percent of total billed charges,,4221.6,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,4379.91,,,,percent of total billed charges,,4749.3,,,,percent of total billed charges,,4854.84,,,,percent of total billed charges,,4854.84,,,,percent of total billed charges,,4992.042,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,5118.69,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,4643.76,,,,percent of total billed charges,,4749.3,,,,percent of total billed charges,,4226.877,,,,percent of total billed charges,,4749.3,,,,percent of total billed charges,,3166.2,,,,percent of total billed charges,,4901.8053,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,4221.6,,,,percent of total billed charges,,3166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4227.4047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS TUNNEL CV ACES DEV W/ SQPUM,361,RC,36563,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICV ACC DEV W/ PORT <5Y OA,361,RC,36570,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REP COMP PICC W/ SQPORT SVA,361,RC,36585,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT CANNULA DECLOT W/O BALLOON,361,RC,36860,CPT,,,outpatient,,,4136,,2068,2481.6,4011.92,3887.84,,,,percent of total billed charges,,3308.8,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3432.88,,,,percent of total billed charges,,3722.4,,,,percent of total billed charges,,3805.12,,,,percent of total billed charges,,3805.12,,,,percent of total billed charges,,3912.656,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,4011.92,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3639.68,,,,percent of total billed charges,,3722.4,,,,percent of total billed charges,,3312.936,,,,percent of total billed charges,,3722.4,,,,percent of total billed charges,,2481.6,,,,percent of total billed charges,,3841.9304,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3308.8,,,,percent of total billed charges,,2481.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3313.3496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT CANNULA DECLOT W/ BALLOON,361,RC,36861,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANLUM MECH THROMBECT VEIN RP,361,RC,37188,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION SPLENOPORTOGRAPHY,361,RC,38200,CPT,,,outpatient,,,5433,,2716.5,3259.8,5270.01,5107.02,,,,percent of total billed charges,,4346.4,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,4509.39,,,,percent of total billed charges,,4889.7,,,,percent of total billed charges,,4998.36,,,,percent of total billed charges,,4998.36,,,,percent of total billed charges,,5139.618,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,5270.01,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,4781.04,,,,percent of total billed charges,,4889.7,,,,percent of total billed charges,,4351.833,,,,percent of total billed charges,,4889.7,,,,percent of total billed charges,,3259.8,,,,percent of total billed charges,,5046.7137,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,4346.4,,,,percent of total billed charges,,3259.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4352.3763,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW ASPIRATION,361,RC,38220,CPT,,,outpatient,,,2434,,1217,1460.4,2360.98,2287.96,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2020.22,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2302.564,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2360.98,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2141.92,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1949.634,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,2260.9426,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1949.8774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CECOS/OTH COLON TUB W/ FLU,361,RC,49442,CPT,,,outpatient,,,7392,,3696,4435.2,7170.24,6948.48,,,,percent of total billed charges,,5913.6,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,6135.36,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,6800.64,,,,percent of total billed charges,,6800.64,,,,percent of total billed charges,,6992.832,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,7170.24,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,6504.96,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,5920.992,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,4435.2,,,,percent of total billed charges,,6866.4288,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,5913.6,,,,percent of total billed charges,,4435.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5921.7312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECH REMOV OBS MAT G/J TUB,361,RC,49460,CPT,,,outpatient,,,1499,,749.5,899.4,1454.03,1409.06,,,,percent of total billed charges,,1199.2,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1244.17,,,,percent of total billed charges,,1349.1,,,,percent of total billed charges,,1379.08,,,,percent of total billed charges,,1379.08,,,,percent of total billed charges,,1418.054,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1454.03,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1319.12,,,,percent of total billed charges,,1349.1,,,,percent of total billed charges,,1200.699,,,,percent of total billed charges,,1349.1,,,,percent of total billed charges,,899.4,,,,percent of total billed charges,,1392.4211,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1199.2,,,,percent of total billed charges,,899.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1200.8489,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REM/REPL INT URETERAL STENT,361,RC,50382,CPT,,,outpatient,,,10163,,5081.5,6097.8,9858.11,9553.22,,,,percent of total billed charges,,8130.4,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,8435.29,,,,percent of total billed charges,,9146.7,,,,percent of total billed charges,,9349.96,,,,percent of total billed charges,,9349.96,,,,percent of total billed charges,,9614.198,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,9858.11,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,8943.44,,,,percent of total billed charges,,9146.7,,,,percent of total billed charges,,8140.563,,,,percent of total billed charges,,9146.7,,,,percent of total billed charges,,6097.8,,,,percent of total billed charges,,9440.4107,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,8130.4,,,,percent of total billed charges,,6097.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8141.5793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REM/REPL INT URETERAL STENT TU,361,RC,50385,CPT,,,outpatient,,,6933,,3466.5,4159.8,6725.01,6517.02,,,,percent of total billed charges,,5546.4,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,5754.39,,,,percent of total billed charges,,6239.7,,,,percent of total billed charges,,6378.36,,,,percent of total billed charges,,6378.36,,,,percent of total billed charges,,6558.618,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,6725.01,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,6101.04,,,,percent of total billed charges,,6239.7,,,,percent of total billed charges,,5553.333,,,,percent of total billed charges,,6239.7,,,,percent of total billed charges,,4159.8,,,,percent of total billed charges,,6440.0637,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,5546.4,,,,percent of total billed charges,,4159.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5554.0263,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50386-0361 REMOV INT URETERAL STENT TU,361,RC,50386,CPT,,,outpatient,,,5153,,2576.5,3091.8,4998.41,4843.82,,,,percent of total billed charges,,4122.4,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4276.99,,,,percent of total billed charges,,4637.7,,,,percent of total billed charges,,4740.76,,,,percent of total billed charges,,4740.76,,,,percent of total billed charges,,4874.738,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4998.41,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4534.64,,,,percent of total billed charges,,4637.7,,,,percent of total billed charges,,4127.553,,,,percent of total billed charges,,4637.7,,,,percent of total billed charges,,3091.8,,,,percent of total billed charges,,4786.6217,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4122.4,,,,percent of total billed charges,,3091.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4128.0683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INST THER AGE RENAL PEL/URET,361,RC,50391,CPT,,,outpatient,,,3059,,1529.5,1835.4,2967.23,2875.46,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2538.97,,,,percent of total billed charges,,2753.1,,,,percent of total billed charges,,2814.28,,,,percent of total billed charges,,2814.28,,,,percent of total billed charges,,2893.814,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2967.23,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2691.92,,,,percent of total billed charges,,2753.1,,,,percent of total billed charges,,2450.259,,,,percent of total billed charges,,2753.1,,,,percent of total billed charges,,1835.4,,,,percent of total billed charges,,2841.5051,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,1835.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2450.5649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51040-0361 CYSTOTOMY W/ DRAINAGE,361,RC,51040,CPT,,,outpatient,,,5088,,2544,3052.8,4935.36,4782.72,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4223.04,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4813.248,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4935.36,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4477.44,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,4075.488,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,4726.2432,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4075.9968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BX SPINAL CORD, PERC",361,RC,62269,CPT,,,outpatient,,,7823,,3911.5,4693.8,7588.31,7353.62,,,,percent of total billed charges,,6258.4,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,6493.09,,,,percent of total billed charges,,7040.7,,,,percent of total billed charges,,7197.16,,,,percent of total billed charges,,7197.16,,,,percent of total billed charges,,7400.558,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,7588.31,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,6884.24,,,,percent of total billed charges,,7040.7,,,,percent of total billed charges,,6266.223,,,,percent of total billed charges,,7040.7,,,,percent of total billed charges,,4693.8,,,,percent of total billed charges,,7266.7847,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,6258.4,,,,percent of total billed charges,,4693.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6267.0053,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ DISK EA LEVEL CERV/THORAC,361,RC,62291,CPT,,,outpatient,,,5208,,2604,3124.8,5051.76,4895.52,,,,percent of total billed charges,,4166.4,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4322.64,,,,percent of total billed charges,,4687.2,,,,percent of total billed charges,,4791.36,,,,percent of total billed charges,,4791.36,,,,percent of total billed charges,,4926.768,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,5051.76,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4583.04,,,,percent of total billed charges,,4687.2,,,,percent of total billed charges,,4171.608,,,,percent of total billed charges,,4687.2,,,,percent of total billed charges,,3124.8,,,,percent of total billed charges,,4837.7112,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4166.4,,,,percent of total billed charges,,3124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4172.1288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX ARTHRO/ANKLE,322,RC,73615,CPT,,,outpatient,,,1412,,706,847.2,1369.64,1327.28,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1171.96,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1335.752,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1369.64,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1242.56,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,1131.012,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,1311.6068,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1131.1532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL CYST STUDY/TRANSLUMBAR,320,RC,74470,CPT,,,outpatient,,,807,,403.5,484.2,782.79,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,646.407,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,749.6223,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.4877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR RTERIOGRAM ADRENAL,323,RC,75731,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR ARTER ADRENAL BILAT,323,RC,75733,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPLENOPORTOGRAPHY,320,RC,75810,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM RENAL BILATERAL,320,RC,75833,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM ADREN UNI,320,RC,75840,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM ADRENAL BILAT,320,RC,75842,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM EPIDURAL,320,RC,75872,CPT,,,outpatient,,,6726,,3363,4035.6,6524.22,6322.44,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5582.58,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6362.796,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6524.22,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5918.88,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5387.526,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,6247.7814,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5388.1986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROID UPTAKE, SINGLE OR MULTIPLE",340,RC,78012,CPT,,,outpatient,,,756,,378,453.6,733.32,710.64,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,627.48,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,715.176,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,733.32,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,665.28,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,605.556,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,702.2484,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,605.6316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID IMAGING,340,RC,78013,CPT,,,outpatient,,,749,,374.5,449.4,726.53,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,599.949,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,695.7461,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.0239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID IMAGING W SINGLE OR MULTIPLE UPTAKES,340,RC,78014,CPT,,,outpatient,,,1262,,631,757.2,1224.14,1186.28,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1047.46,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1193.852,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1224.14,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1110.56,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1010.862,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,1172.2718,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1010.9882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARATHYROID IMAGING WITH SPECT & CT,340,RC,78072,CPT,,,outpatient,,,1668,,834,1000.8,1617.96,1567.92,,,,percent of total billed charges,,1334.4,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1384.44,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,1534.56,,,,percent of total billed charges,,1534.56,,,,percent of total billed charges,,1577.928,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1617.96,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1467.84,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,1336.068,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,1000.8,,,,percent of total billed charges,,1549.4052,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1334.4,,,,percent of total billed charges,,1000.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1336.2348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST BILATERAL W/ CONTR,610,RC,C8906,HCPCS,,,outpatient,,,3255,,1627.5,1953,3157.35,3059.7,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2701.65,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,3079.23,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3157.35,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2864.4,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2607.255,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,3023.5695,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2607.5805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST BILATERAL W/O CONTR FOL W/ CONTRAST,610,RC,C8908,HCPCS,,,outpatient,,,3255,,1627.5,1953,3157.35,3059.7,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2701.65,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,3079.23,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3157.35,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2864.4,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2607.255,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,3023.5695,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2607.5805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST UNILATERAL W/ CONTRAST,614,RC,C8903,HCPCS,,,outpatient,,,2258,,1129,1354.8,2190.26,2122.52,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1874.14,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2136.068,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2190.26,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1987.04,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1808.658,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,2097.4562,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1808.8838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST UNILATERAL WO/ CONTRAST,614,RC,77046,CPT,,,outpatient,,,2258,,1129,1354.8,2190.26,2122.52,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1874.14,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2136.068,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2190.26,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1987.04,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1808.658,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,2097.4562,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1808.8838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI ANGIO, ABDOM W CONTRAST",618,RC,C8900,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI ANGIO, ABDOM WO CONTRAST",618,RC,C8901,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO LWR EXT W CONTRAST,618,RC,C8912,HCPCS,,,outpatient,,,1894,,947,1136.4,1837.18,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1517.094,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1759.3366,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1517.2834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO LWR EXT WO CONTRAST,618,RC,C8913,HCPCS,,,outpatient,,,1894,,947,1136.4,1837.18,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1517.094,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1759.3366,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1517.2834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO PELVIS W CONTRAST,618,RC,C8918,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO PELVIS WO CONTRAST,618,RC,C8919,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA UPR EXT W/CONTRAST,618,RC,C8934,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA UPR EXT WO/CONTRAST,618,RC,C8935,HCPCS,,,outpatient,,,2750,,1375,1650,2667.5,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2202.75,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2554.475,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2203.025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEVIC PLACMT BST LOC LES W GUID,401,RC,19281,CPT,,,outpatient,,,1997,,998.5,1198.2,1937.09,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1599.597,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,1855.0133,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1599.7967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEV PLACMT BST LOC LES W GUID ADD,401,RC,19282,CPT,,,outpatient,,,999,,499.5,599.4,969.03,939.06,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,829.17,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,945.054,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,969.03,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,879.12,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,800.199,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,927.9711,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,800.2989,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEVIC PLACMT BST LOC LES W GUID,401,RC,19281,CPT,,,outpatient,,,1997,,998.5,1198.2,1937.09,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1599.597,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,1855.0133,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1599.7967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEV PLACMT BST LOC LES W GUID ADD,401,RC,19282,CPT,,,outpatient,,,999,,499.5,599.4,969.03,939.06,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,829.17,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,945.054,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,969.03,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,879.12,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,800.199,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,927.9711,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,800.2989,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE 1ST LESION STEREOTACTIC GUIDE,401,RC,19081,CPT,,,outpatient,,,3627,,1813.5,2176.2,3518.19,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2905.227,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3369.1203,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2905.5897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION STEREOTACT GUIDE,401,RC,19082,CPT,,,outpatient,,,2530,,1265,1518,2454.1,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2026.53,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2350.117,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2026.783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE 1ST LESION STEREOTACTIC GUIDE,401,RC,19081,CPT,,,outpatient,,,3627,,1813.5,2176.2,3518.19,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2905.227,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3369.1203,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2905.5897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION STEREOTACT GUIDE,401,RC,19082,CPT,,,outpatient,,,2530,,1265,1518,2454.1,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2026.53,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2350.117,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2026.783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,402,RC,19285,CPT,,,outpatient,,,1723,,861.5,1033.8,1671.31,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1380.123,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1600.4947,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1380.2953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,402,RC,19286,CPT,,,outpatient,,,863,,431.5,517.8,837.11,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,691.263,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,801.6407,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,691.3493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,402,RC,19285,CPT,,,outpatient,,,1723,,861.5,1033.8,1671.31,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1380.123,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1600.4947,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1380.2953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,402,RC,19286,CPT,,,outpatient,,,863,,431.5,517.8,837.11,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,691.263,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,801.6407,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,691.3493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE 1ST LESION US GUIDE,402,RC,19083,CPT,,,outpatient,,,3627,,1813.5,2176.2,3518.19,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2905.227,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3369.1203,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2905.5897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION US GUIDE,401,RC,19084,CPT,,,outpatient,,,2530,,1265,1518,2454.1,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2026.53,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2350.117,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2026.783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/DEVICE 1ST LESION US GUIDE,401,RC,19083,CPT,,,outpatient,,,3627,,1813.5,2176.2,3518.19,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2905.227,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3369.1203,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2905.5897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION US GUIDE,401,RC,19084,CPT,,,outpatient,,,2530,,1265,1518,2454.1,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2026.53,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2350.117,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2026.783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST, WHOLE",402,RC,76641,CPT,,,outpatient,,,498,,249,298.8,483.06,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,398.898,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,462.5922,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.9478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST, LIMITED",402,RC,76642,CPT,,,outpatient,,,498,,249,298.8,483.06,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,398.898,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,462.5922,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.9478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST, AXILLA",402,RC,76882,CPT,,,outpatient,,,498,,249,298.8,483.06,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,398.898,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,462.5922,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.9478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXA WITH VFA,320,RC,77085,CPT,,,outpatient,,,1491,,745.5,894.6,1446.27,1401.54,,,,percent of total billed charges,,1192.8,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1237.53,,,,percent of total billed charges,,1341.9,,,,percent of total billed charges,,1371.72,,,,percent of total billed charges,,1371.72,,,,percent of total billed charges,,1410.486,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1446.27,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1312.08,,,,percent of total billed charges,,1341.9,,,,percent of total billed charges,,1194.291,,,,percent of total billed charges,,1341.9,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,1384.9899,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1192.8,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1194.4401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCREENING BREAST TOMO, BILATERAL",403,RC,77063,CPT,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCREENING BREAST TOMO, BILATERAL",403,RC,77063,CPT,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIAGNOSTIC BREAST TOMO, BILATERAL",401,RC,G0279,HCPCS,,,outpatient,,,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIAGNOSTIC BREAST TOMO, UNILATERAL",401,RC,G0279,HCPCS,,,outpatient,,,87,,43.5,52.2,84.39,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,69.687,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,80.8143,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.6957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2613 LUNG BIOPSY PLUG WITH DELIVERY SYSTEM,278,RC,C2613,HCPCS,,,outpatient,,,1447,,723.5,868.2,1403.59,1360.18,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1201.01,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1368.862,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1403.59,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1273.36,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,1159.047,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,1344.1183,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1159.1917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I123 IODINE PER MCI,343,RC,A9509,HCPCS,,,outpatient,,,3251,,1625.5,1950.6,3153.47,3055.94,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2698.33,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,3075.446,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3153.47,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2860.88,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2604.051,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,3019.8539,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2604.3761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, CHEST",402,RC,76604,CPT,,,outpatient,,,808,,404,484.8,783.76,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,647.208,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,750.5512,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,647.2888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LIVER IMG SPECT W/FLOW,340,RC,78803,CPT,,,outpatient,,,5608,,2804,3364.8,5439.76,5271.52,,,,percent of total billed charges,,4486.4,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,4654.64,,,,percent of total billed charges,,5047.2,,,,percent of total billed charges,,5159.36,,,,percent of total billed charges,,5159.36,,,,percent of total billed charges,,5305.168,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,5439.76,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,4935.04,,,,percent of total billed charges,,5047.2,,,,percent of total billed charges,,4492.008,,,,percent of total billed charges,,5047.2,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,5209.2712,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,4486.4,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4492.5688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RED BLOOD CELL LIVER,341,RC,78803,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 73620-0320 XR FOOT AP+LAT BILATERAL,320,RC,73620,CPT,,,outpatient,,,335,,167.5,201,324.95,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,268.335,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,311.1815,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,268.3685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO ADM INTRALESIONAL UP TO=7,331,RC,96405,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEM ADM INTRALESIONAL > 7,331,RC,96406,CPT,,,outpatient,,,826,,413,495.6,801.22,776.44,,,,percent of total billed charges,,660.8,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,685.58,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,759.92,,,,percent of total billed charges,,759.92,,,,percent of total billed charges,,781.396,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,801.22,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,726.88,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,661.626,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,495.6,,,,percent of total billed charges,,767.2714,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,660.8,,,,percent of total billed charges,,495.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,661.7086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEREOTACT RADIOSURG,1SES",333,RC,77372,CPT,,,outpatient,,,9282,,4641,5569.2,9003.54,8725.08,,,,percent of total billed charges,,7425.6,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,7704.06,,,,percent of total billed charges,,8353.8,,,,percent of total billed charges,,8539.44,,,,percent of total billed charges,,8539.44,,,,percent of total billed charges,,8780.772,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,9003.54,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,8168.16,,,,percent of total billed charges,,8353.8,,,,percent of total billed charges,,7434.882,,,,percent of total billed charges,,8353.8,,,,percent of total billed charges,,5569.2,,,,percent of total billed charges,,8622.0498,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,7425.6,,,,percent of total billed charges,,5569.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7435.8102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA TXTMT PLAN - SIMPLE,333,RC,77261,CPT,,,outpatient,,,413,,206.5,247.8,400.61,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,330.813,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,383.6357,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.8543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA TXTMT PLAN - INTERMEDIATE,333,RC,77262,CPT,,,outpatient,,,620,,310,372,601.4,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,496.62,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,575.918,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,496.682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA TXTMT PLAN - COMPLEX,333,RC,77263,CPT,,,outpatient,,,920,,460,552,892.4,864.8,,,,percent of total billed charges,,736,,,,percent of total billed charges,,874,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,874,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,874,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,828,,,,percent of total billed charges,,552,,,,percent of total billed charges,,854.588,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,736,,,,percent of total billed charges,,552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,737.012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA WKLY RAD TXT,333,RC,77427,CPT,,,outpatient,,,565,,282.5,339,548.05,531.1,,,,percent of total billed charges,,452,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,468.95,,,,percent of total billed charges,,508.5,,,,percent of total billed charges,,519.8,,,,percent of total billed charges,,519.8,,,,percent of total billed charges,,534.49,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,548.05,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,497.2,,,,percent of total billed charges,,508.5,,,,percent of total billed charges,,452.565,,,,percent of total billed charges,,508.5,,,,percent of total billed charges,,339,,,,percent of total billed charges,,524.8285,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,452,,,,percent of total billed charges,,339,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,452.6215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA 1 OR 2 FRACTIONS,333,RC,77431,CPT,,,outpatient,,,261,,130.5,156.6,253.17,245.34,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,216.63,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,246.906,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,253.17,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,209.061,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,242.4429,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,209.0871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 73706-0352 CT CTA EXT LOWER BILATER,352,RC,73706,CPT,,,outpatient,,,2123,,1061.5,1273.8,2059.31,1995.62,,,,percent of total billed charges,,1698.4,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,1762.09,,,,percent of total billed charges,,1910.7,,,,percent of total billed charges,,1953.16,,,,percent of total billed charges,,1953.16,,,,percent of total billed charges,,2008.358,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,2059.31,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,1868.24,,,,percent of total billed charges,,1910.7,,,,percent of total billed charges,,1700.523,,,,percent of total billed charges,,1910.7,,,,percent of total billed charges,,1273.8,,,,percent of total billed charges,,1972.0547,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,1698.4,,,,percent of total billed charges,,1273.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1700.7353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US BREAST COMPLETE BIL,402,RC,76641,CPT,,,outpatient,,,498,,249,298.8,483.06,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,398.898,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,462.5922,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.9478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST LIMITED, BIL",402,RC,76642,CPT,,,outpatient,,,498,,249,298.8,483.06,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,398.898,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,462.5922,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.9478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US SOFT TISSUE, EXTREMITY",402,RC,76882,CPT,,,outpatient,,,596,,298,357.6,578.12,560.24,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,494.68,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,563.816,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,578.12,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,524.48,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,477.396,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,553.6244,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,477.4556,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1882 CARDIOVERTER-DEFIB, OTHER THAN SINGLE OR DUAL, IMPLANT",275,RC,C1882,HCPCS,,,outpatient,,,31702,,15851,19021.2,30750.94,29799.88,,,,percent of total billed charges,,25361.6,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,26312.66,,,,percent of total billed charges,,28531.8,,,,percent of total billed charges,,29165.84,,,,percent of total billed charges,,29165.84,,,,percent of total billed charges,,29990.092,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,30750.94,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,27897.76,,,,percent of total billed charges,,28531.8,,,,percent of total billed charges,,25393.302,,,,percent of total billed charges,,28531.8,,,,percent of total billed charges,,19021.2,,,,percent of total billed charges,,29447.9878,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,25361.6,,,,percent of total billed charges,,19021.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25396.4722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIVENTRIC PM&AICD W/RPGM,480,RC,93284,CPT,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANALY CARD MONITOR SYSTEM,480,RC,93291,CPT,,,outpatient,,,215,,107.5,129,208.55,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,172.215,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,199.7135,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.2365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALLADIUM 103 SEEDS,278,RC,C2641,HCPCS,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EG EEG SLEEP ONLY,740,RC,95822,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILATERAL SCREENING MAMMO WITH CAD,403,RC,77067,CPT,,,outpatient,,,641,,320.5,384.6,621.77,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,513.441,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,595.4249,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,513.5051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNILATERAL SCREENING MAMMO WITH CAD,403,RC,77067,CPT,,,outpatient,,,304,,152,182.4,294.88,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,282.3856,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,243.5344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILATERAL DIAGNOSTIC MAMMO WITH CAD,401,RC,77066,CPT,,,outpatient,,,641,,320.5,384.6,621.77,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,513.441,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,595.4249,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,513.5051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNILATERAL DIAGNOSTIC MAMMO WITH CAD,401,RC,77065,CPT,,,outpatient,,,395,,197.5,237,383.15,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,316.395,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,366.9155,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,316.4345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37188 VENOUS M-THROMBECTOMY ADD-ON,361,RC,37188,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33340  PER TRANSCATH CLOSURE,361,RC,33340,CPT,,,outpatient,,,22480,,11240,13488,21805.6,21131.2,,,,percent of total billed charges,,17984,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,18658.4,,,,percent of total billed charges,,20232,,,,percent of total billed charges,,20681.6,,,,percent of total billed charges,,20681.6,,,,percent of total billed charges,,21266.08,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,21805.6,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,19782.4,,,,percent of total billed charges,,20232,,,,percent of total billed charges,,18006.48,,,,percent of total billed charges,,20232,,,,percent of total billed charges,,13488,,,,percent of total billed charges,,20881.672,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,17984,,,,percent of total billed charges,,13488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18008.728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36473  ENDOVENOUS ABLATION, FIRST",361,RC,36473,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36474  ENDOVENOUS ABLATION, SUB",361,RC,36474,CPT,,,outpatient,,,2909,,1454.5,1745.4,2821.73,2734.46,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2414.47,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2751.914,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2821.73,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2559.92,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,2330.109,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,2702.1701,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2330.3999,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36901-0361  INTRODUCTION OF NEEDLE/CATH,361,RC,36901,CPT,,,outpatient,,,2565,,1282.5,1539,2488.05,2411.1,,,,percent of total billed charges,,2052,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2128.95,,,,percent of total billed charges,,2308.5,,,,percent of total billed charges,,2359.8,,,,percent of total billed charges,,2359.8,,,,percent of total billed charges,,2426.49,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2488.05,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,2308.5,,,,percent of total billed charges,,2054.565,,,,percent of total billed charges,,2308.5,,,,percent of total billed charges,,1539,,,,percent of total billed charges,,2382.6285,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2052,,,,percent of total billed charges,,1539,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2054.8215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36902  INTRODUCTION OF NEEDLE/CATH,ANGIO",361,RC,36902,CPT,,,outpatient,,,13793,,6896.5,8275.8,13379.21,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,11048.193,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,12812.3177,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11049.5723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36903  INTRODUCTION OF NEEDLE/STENT,361,RC,36903,CPT,,,outpatient,,,7826,,3913,4695.6,7591.22,7356.44,,,,percent of total billed charges,,6260.8,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,6495.58,,,,percent of total billed charges,,7043.4,,,,percent of total billed charges,,7199.92,,,,percent of total billed charges,,7199.92,,,,percent of total billed charges,,7403.396,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,7591.22,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,6886.88,,,,percent of total billed charges,,7043.4,,,,percent of total billed charges,,6268.626,,,,percent of total billed charges,,7043.4,,,,percent of total billed charges,,4695.6,,,,percent of total billed charges,,7269.5714,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,6260.8,,,,percent of total billed charges,,4695.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6269.4086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36904  PERC TRANSLUMIN MECH THROMBECTOMY,361,RC,36904,CPT,,,outpatient,,,9307,,4653.5,5584.2,9027.79,8748.58,,,,percent of total billed charges,,7445.6,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,7724.81,,,,percent of total billed charges,,8376.3,,,,percent of total billed charges,,8562.44,,,,percent of total billed charges,,8562.44,,,,percent of total billed charges,,8804.422,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,9027.79,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,8190.16,,,,percent of total billed charges,,8376.3,,,,percent of total billed charges,,7454.907,,,,percent of total billed charges,,8376.3,,,,percent of total billed charges,,5584.2,,,,percent of total billed charges,,8645.2723,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,7445.6,,,,percent of total billed charges,,5584.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7455.8377,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36905  PERCUTANEOUS TRANSLUMIN THROMB W/ ANGIOP,361,RC,36905,CPT,,,outpatient,,,17986,,8993,10791.6,17446.42,16906.84,,,,percent of total billed charges,,14388.8,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,14928.38,,,,percent of total billed charges,,16187.4,,,,percent of total billed charges,,16547.12,,,,percent of total billed charges,,16547.12,,,,percent of total billed charges,,17014.756,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,17446.42,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,15827.68,,,,percent of total billed charges,,16187.4,,,,percent of total billed charges,,14406.786,,,,percent of total billed charges,,16187.4,,,,percent of total billed charges,,10791.6,,,,percent of total billed charges,,16707.1954,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,14388.8,,,,percent of total billed charges,,10791.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14408.5846,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36906  PERCUTANEOUS TRANSLUMIN THROMB W/ STENT,361,RC,36906,CPT,,,outpatient,,,20033,,10016.5,12019.8,19432.01,18831.02,,,,percent of total billed charges,,16026.4,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,16627.39,,,,percent of total billed charges,,18029.7,,,,percent of total billed charges,,18430.36,,,,percent of total billed charges,,18430.36,,,,percent of total billed charges,,18951.218,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,19432.01,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,17629.04,,,,percent of total billed charges,,18029.7,,,,percent of total billed charges,,16046.433,,,,percent of total billed charges,,18029.7,,,,percent of total billed charges,,12019.8,,,,percent of total billed charges,,18608.6537,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,16026.4,,,,percent of total billed charges,,12019.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16048.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36907  TRANSLUMINAL BALLOON ANGIOP,361,RC,36907,CPT,,,outpatient,,,13793,,6896.5,8275.8,13379.21,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,11048.193,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,12812.3177,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11049.5723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36908  TRANSCATHETER PLACEMENT STENT,361,RC,36908,CPT,,,outpatient,,,13793,,6896.5,8275.8,13379.21,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,11048.193,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,12812.3177,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11049.5723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36909  DIALYSIS CIRCUIT PERMAN EMBOL,361,RC,36909,CPT,,,outpatient,,,13793,,6896.5,8275.8,13379.21,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,11048.193,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,12812.3177,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11049.5723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37246  TRANSLUMINAL BALLOON ANGIOP,361,RC,37246,CPT,,,outpatient,,,13793,,6896.5,8275.8,13379.21,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,11048.193,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,12812.3177,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11049.5723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37247  TRANSLUMINAL BALLOON ANGIOP LOWER ARTER,361,RC,37247,CPT,,,outpatient,,,15862,,7931,9517.2,15386.14,14910.28,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13165.46,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,15005.452,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15386.14,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13958.56,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,12705.462,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,14734.2118,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12707.0482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 37248  TRANSLUMINAL BALLOON ANGIO, INITIAL VEIN",361,RC,37248,CPT,,,outpatient,,,8888,,4444,5332.8,8621.36,8354.72,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7377.04,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8408.048,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8621.36,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7821.44,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,7119.288,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,8256.0632,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7120.1768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 37249  TRANSLUMINAL BALLOON ANGIO, SUB VEIN",361,RC,37249,CPT,,,outpatient,,,15862,,7931,9517.2,15386.14,14910.28,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13165.46,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,15005.452,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15386.14,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13958.56,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,12705.462,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,14734.2118,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12707.0482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62320  INJECTION(S), OF DIAG SUB W/O GUIDE",361,RC,62320,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62321  INJECTION(S), OF DIAG SUB W/ GUIDE",361,RC,62321,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62322  INJECTION(S), OF DIAG SUB W/O GUIDE",361,RC,62322,CPT,,,outpatient,,,4311,,2155.5,2586.6,4181.67,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3453.111,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4004.4879,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3453.5421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62323  INJECTION(S), OF DIAG SUB W/ GUIDE",361,RC,62323,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPACEOAR,361,RC,55874,CPT,,,outpatient,,,10096,,5048,6057.6,9793.12,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,8086.896,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,9378.1744,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8087.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOABLATION OF LIVER TUMOR,361,RC,47383,CPT,,,outpatient,,,20392,,10196,12235.2,19780.24,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,16333.992,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,18942.1288,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16336.0312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PUNCTURE ASPIRATION OF HYDROCELE,361,RC,55000,CPT,,,outpatient,,,1875,,937.5,1125,1818.75,1762.5,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1556.25,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1773.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1818.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1501.875,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,1741.6875,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1502.0625,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EG EMG THORACIC PARASPINAL MUSCLE,922,RC,95869,CPT,,,outpatient,,,673,,336.5,403.8,652.81,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,539.073,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,625.1497,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,539.1403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EG EEG CEREBRAL DEATH EVAL ONLY,740,RC,95824,CPT,,,outpatient,,,668,,334,400.8,647.96,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,535.068,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,620.5052,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,535.1348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92960-0480 CARDIOVERSION,480,RC,92960,CPT,,,outpatient,,,2608,,1304,1564.8,2529.76,2451.52,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2164.64,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2467.168,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2529.76,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2295.04,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2089.008,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,2422.5712,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2089.2688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV INSERT PACING ELECTROD, CVS,LEFT VENTRIC, ADD ON",480,RC,33225,CPT,,,outpatient,,,5539,,2769.5,3323.4,5372.83,5206.66,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4597.37,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5239.894,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5372.83,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4874.32,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,4436.739,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,5145.1771,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4437.2929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REPOSITIONING OF PREV IMPLANT CVS, LEFT VENTRIC",480,RC,33226,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERM PACEMAKER W/ REPLACEMENT SINGLE,480,RC,33227,CPT,,,outpatient,,,6193,,3096.5,3715.8,6007.21,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4960.593,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,5752.6777,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4961.2123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERM PACEMAKER W/ REPLACEMENT DUAL,480,RC,33228,CPT,,,outpatient,,,10122,,5061,6073.2,9818.34,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,8107.722,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,9402.3258,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8108.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERM PACEMAKER W/ REPLACEMENT MULTIPLE,480,RC,33229,CPT,,,outpatient,,,16552,,8276,9931.2,16055.44,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,13258.152,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,15375.1528,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13259.8072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV INSERT OF IMPLANT DEFIBRILLATOR ONLY W/ EXISTING SINGLE LEAD,480,RC,33230,CPT,,,outpatient,,,16482,,8241,9889.2,15987.54,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,13202.082,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,15310.1298,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13203.7302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV INSERT OF IMPLANT DEFIBRILLATOR ONLY W/EXISTING MULTIPLE LEAD,480,RC,33231,CPT,,,outpatient,,,21456,,10728,12873.6,20812.32,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,17186.256,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,19930.4784,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17188.4016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODES, SINGLE",480,RC,33234,CPT,,,outpatient,,,6536,,3268,3921.6,6339.92,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,5235.336,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6071.2904,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5235.9896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODES, DUAL",480,RC,33235,CPT,,,outpatient,,,6536,,3268,3921.6,6339.92,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,5235.336,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6071.2904,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5235.9896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV INSERT OF IMPLANT DEFBRILLATOR  ONLY, EXISTING SINGLE",480,RC,33240,CPT,,,outpatient,,,16482,,8241,9889.2,15987.54,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,13202.082,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,15310.1298,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13203.7302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF IMPLANTABLE DEFIBRILLATOR ONLY,480,RC,33241,CPT,,,outpatient,,,6536,,3268,3921.6,6339.92,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,5235.336,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6071.2904,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5235.9896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF IMPLANT DEFIBRILLATOR W/ REPLACE, SINGLE",480,RC,33262,CPT,,,outpatient,,,16482,,8241,9889.2,15987.54,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,13202.082,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,15310.1298,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13203.7302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF IMPLANT DEFIBRILLATOR W/ REPLACE, DUAL",480,RC,33263,CPT,,,outpatient,,,16482,,8241,9889.2,15987.54,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,13202.082,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,15310.1298,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13203.7302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF IMPLANT DEFIBRILLATOR W/ REPLACE, MULTIPLE",480,RC,33264,CPT,,,outpatient,,,21456,,10728,12873.6,20812.32,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,17186.256,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,19930.4784,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17188.4016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR ONLY,480,RC,33233,CPT,,,outpatient,,,6193,,3096.5,3715.8,6007.21,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4960.593,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,5752.6777,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4961.2123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIGH ACTIVITY SEEDS (BRACHYTX, NON-STR,I-125)",278,RC,C2634,HCPCS,,,outpatient,,,377,,188.5,226.2,365.69,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,301.977,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,350.1953,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.0147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUTATHERA PER 1MCI,344,RC,A9513,HCPCS,,,outpatient,,,510,,255,306,494.7,479.4,,,,percent of total billed charges,,408,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,423.3,,,,percent of total billed charges,,459,,,,percent of total billed charges,,469.2,,,,percent of total billed charges,,469.2,,,,percent of total billed charges,,482.46,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,494.7,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,459,,,,percent of total billed charges,,408.51,,,,percent of total billed charges,,459,,,,percent of total billed charges,,306,,,,percent of total billed charges,,473.739,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,408,,,,percent of total billed charges,,306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,408.561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 74360-0320 INTRAL DILAT OF STRICT AND/OR OBSTRUCT, RAD SUP & INTERP",320,RC,74360,CPT,,,outpatient,,,4250,,2125,2550,4122.5,3995,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3527.5,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,4020.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4122.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3740,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,3404.25,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,3947.825,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3404.675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19085-0401 BX BREAST 1ST LESION W/ MRI,401,RC,19085,CPT,,,outpatient,,,4217,,2108.5,2530.2,4090.49,3963.98,,,,percent of total billed charges,,3373.6,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,3500.11,,,,percent of total billed charges,,3795.3,,,,percent of total billed charges,,3879.64,,,,percent of total billed charges,,3879.64,,,,percent of total billed charges,,3989.282,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,4090.49,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,3710.96,,,,percent of total billed charges,,3795.3,,,,percent of total billed charges,,3377.817,,,,percent of total billed charges,,3795.3,,,,percent of total billed charges,,2530.2,,,,percent of total billed charges,,3917.1713,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,3373.6,,,,percent of total billed charges,,2530.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3378.2387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19086-0401 BREAST BX W/ MRI G EACH ADD'L,401,RC,19086,CPT,,,outpatient,,,2109,,1054.5,1265.4,2045.73,1982.46,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,1750.47,,,,percent of total billed charges,,1898.1,,,,percent of total billed charges,,1940.28,,,,percent of total billed charges,,1940.28,,,,percent of total billed charges,,1995.114,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,2045.73,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,1855.92,,,,percent of total billed charges,,1898.1,,,,percent of total billed charges,,1689.309,,,,percent of total billed charges,,1898.1,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1959.0501,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1689.5199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG A9595 PIFLUFOLASTAT F-18, DIAG, 1 MCI",343,RC,A9595,HCPCS,,,outpatient,,,1466,,733,879.6,1422.02,1378.04,,,,percent of total billed charges,,1172.8,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1216.78,,,,percent of total billed charges,,1319.4,,,,percent of total billed charges,,1348.72,,,,percent of total billed charges,,1348.72,,,,percent of total billed charges,,1386.836,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1422.02,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1290.08,,,,percent of total billed charges,,1319.4,,,,percent of total billed charges,,1174.266,,,,percent of total billed charges,,1319.4,,,,percent of total billed charges,,879.6,,,,percent of total billed charges,,1361.7674,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1172.8,,,,percent of total billed charges,,879.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1174.4126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DXA BONE DENSITY 1 + SITE - PROMO,320,RC,77080,CPT,,,outpatient,,,666,,333,399.6,646.02,626.04,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,552.78,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,612.72,,,,percent of total billed charges,,612.72,,,,percent of total billed charges,,630.036,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,646.02,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,586.08,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,533.466,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,618.6474,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,533.5326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/O DYE - LUNG SCAN PROMO,352,RC,71250,CPT,,,outpatient,,,1516,,758,909.6,1470.52,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1214.316,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1408.2124,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1214.4676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILATERAL SCREENING MAMMO W/ CAD - PROMO,403,RC,77067,CPT,,,outpatient,,,641,,320.5,384.6,621.77,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,513.441,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,595.4249,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,513.5051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M SULFCOLLOID (FILTERED) TO 20 MCI,343,RC,A9541,HCPCS,,,outpatient,,,403,,201.5,241.8,390.91,378.82,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,334.49,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,381.238,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,390.91,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,354.64,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,322.803,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,374.3467,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,322.8433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 75580-0480 NON-INV EST OF CORONARY FFR AGMNT SW ALYS CTA I&R PHY/QHP,480,RC,75580,CPT,,,outpatient,,,7499,,3749.5,4499.4,7274.03,7049.06,,,,percent of total billed charges,,5999.2,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,6224.17,,,,percent of total billed charges,,6749.1,,,,percent of total billed charges,,6899.08,,,,percent of total billed charges,,6899.08,,,,percent of total billed charges,,7094.054,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,7274.03,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,6599.12,,,,percent of total billed charges,,6749.1,,,,percent of total billed charges,,6006.699,,,,percent of total billed charges,,6749.1,,,,percent of total billed charges,,4499.4,,,,percent of total billed charges,,6965.8211,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,5999.2,,,,percent of total billed charges,,4499.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6007.4489,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43241-0510 EGD TUBE/ CATH INSERTION,510,RC,43241,CPT,,,outpatient,,,4532,,2266,2719.2,4396.04,4260.08,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3761.56,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4287.272,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4396.04,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3988.16,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,3630.132,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,4209.7748,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3630.5852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55874-0510 SPACEOAR,510,RC,55874,CPT,,,outpatient,,,10096,,5048,6057.6,9793.12,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,8086.896,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,9378.1744,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8087.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 77767-0333 HDR RDNCL SK SRF BRACHY LES <2CM/1 CHAN,333,RC,77767,CPT,,,outpatient,,,576,,288,345.6,558.72,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,461.376,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,535.0464,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,461.4336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 77768-0333 HDR RNCL SK SRF BRACHY LES >2CM & 2 CHAN OR MULT LES,333,RC,77768,CPT,,,outpatient,,,576,,288,345.6,558.72,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,461.376,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,535.0464,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,461.4336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG A9608 FLOTUFOLASTAT F 18, DIAGNOSTIC, 1 MILLICURIE",343,RC,A9608,HCPCS,,,outpatient,,,1688,,844,1012.8,1637.36,1586.72,,,,percent of total billed charges,,1350.4,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1401.04,,,,percent of total billed charges,,1519.2,,,,percent of total billed charges,,1552.96,,,,percent of total billed charges,,1552.96,,,,percent of total billed charges,,1596.848,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1637.36,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1485.44,,,,percent of total billed charges,,1519.2,,,,percent of total billed charges,,1352.088,,,,percent of total billed charges,,1519.2,,,,percent of total billed charges,,1012.8,,,,percent of total billed charges,,1567.9832,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1350.4,,,,percent of total billed charges,,1012.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1352.2568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93588-0360 VNGRPH CHD VNVN CLTRL BELOW,360,RC,93588,CPT,,,outpatient,,,12899,,6449.5,7739.4,12512.03,12125.06,,,,percent of total billed charges,,10319.2,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,10706.17,,,,percent of total billed charges,,11609.1,,,,percent of total billed charges,,11867.08,,,,percent of total billed charges,,11867.08,,,,percent of total billed charges,,12202.454,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,12512.03,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,11351.12,,,,percent of total billed charges,,11609.1,,,,percent of total billed charges,,10332.099,,,,percent of total billed charges,,11609.1,,,,percent of total billed charges,,7739.4,,,,percent of total billed charges,,11981.8811,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,10319.2,,,,percent of total billed charges,,7739.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10333.3889,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HOURGLASS/CORK/U BREAST TISSUE MARKER, 9-14GA, 31458, 31460, 152512",278,RC,A4648,HCPCS,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BOWTIE BX MARKER BREAST, 10-14 GA, 73913, 152509, 302941",278,RC,A4648,HCPCS,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BREAST BX MARKER, 8GA, C1819, 153495, 304995",278,RC,C1819,HCPCS,,,outpatient,,,297,,148.5,178.2,288.09,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,237.897,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,275.8833,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.9267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 3 PK FIDUCIAL MARKER, 20 CM, 18 GA, C1819, 129248",278,RC,C1819,HCPCS,,,outpatient,,,998,,499,598.8,968.06,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,799.398,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,927.0422,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,799.4978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHY TX NON-STR HDR IR-192,278,RC,C1717,HCPCS,,,outpatient,,,867,,433.5,520.2,840.99,814.98,,,,percent of total billed charges,,693.6,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,719.61,,,,percent of total billed charges,,780.3,,,,percent of total billed charges,,797.64,,,,percent of total billed charges,,797.64,,,,percent of total billed charges,,820.182,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,840.99,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,762.96,,,,percent of total billed charges,,780.3,,,,percent of total billed charges,,694.467,,,,percent of total billed charges,,780.3,,,,percent of total billed charges,,520.2,,,,percent of total billed charges,,805.3563,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,693.6,,,,percent of total billed charges,,520.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,694.5537,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1730 CATHETER, DIRECTIONAL EP - OTHER THAN 3D, <=19",278,RC,C1730,HCPCS,,,outpatient,,,2909,,1454.5,1745.4,2821.73,2734.46,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2414.47,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2751.914,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2821.73,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2559.92,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,2330.109,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,2702.1701,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2330.3999,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93319-0480 3D ECHO IMG CGEN CAR ANOMAL,480,RC,93319,CPT,,,outpatient,,,617,,308.5,370.2,598.49,579.98,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,512.11,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,583.682,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,598.49,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,542.96,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,494.217,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,573.1313,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,494.2787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93593-0481 R HRT CATH CONG, NORMAL NATIVE CONNECTIONS",481,RC,93593,CPT,,,outpatient,,,6212,,3106,3727.2,6025.64,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4975.812,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,5770.3268,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4976.4332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93594-0481 R HRT CATH CONG, ABNORMAL NATIVE CONNECTIONS",481,RC,93594,CPT,,,outpatient,,,6212,,3106,3727.2,6025.64,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4975.812,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,5770.3268,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4976.4332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93595-0481 L HRT CATH CONGENITAL HEART DEFECT,481,RC,93595,CPT,,,outpatient,,,6212,,3106,3727.2,6025.64,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4975.812,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,5770.3268,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4976.4332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93596-0481 R&L HRT CATH CONG NORMAL NATIVE CONNECTIONS,481,RC,93596,CPT,,,outpatient,,,6212,,3106,3727.2,6025.64,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4975.812,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,5770.3268,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4976.4332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93597-0481 R&L HRT CATH CONG ABNORMAL NATIVE CONNECTIONS,481,RC,93597,CPT,,,outpatient,,,6212,,3106,3727.2,6025.64,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4975.812,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,5770.3268,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4976.4332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93598-0481 CARDIAC OUTPT MEAS DILUTION CONG HEART DEFECT WITH CATH,481,RC,93598,CPT,,,outpatient,,,5874,,2937,3524.4,5697.78,5521.56,,,,percent of total billed charges,,4699.2,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,4875.42,,,,percent of total billed charges,,5286.6,,,,percent of total billed charges,,5404.08,,,,percent of total billed charges,,5404.08,,,,percent of total billed charges,,5556.804,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,5697.78,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,5169.12,,,,percent of total billed charges,,5286.6,,,,percent of total billed charges,,4705.074,,,,percent of total billed charges,,5286.6,,,,percent of total billed charges,,3524.4,,,,percent of total billed charges,,5456.3586,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,4699.2,,,,percent of total billed charges,,3524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4705.6614,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9772-0360 INTRAVAS LITHO - BELOW KNEE,360,RC,C9772,HCPCS,,,outpatient,,,31557,,15778.5,18934.2,30610.29,29663.58,,,,percent of total billed charges,,25245.6,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,26192.31,,,,percent of total billed charges,,28401.3,,,,percent of total billed charges,,29032.44,,,,percent of total billed charges,,29032.44,,,,percent of total billed charges,,29852.922,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,30610.29,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,27770.16,,,,percent of total billed charges,,28401.3,,,,percent of total billed charges,,25277.157,,,,percent of total billed charges,,28401.3,,,,percent of total billed charges,,18934.2,,,,percent of total billed charges,,29313.2973,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,25245.6,,,,percent of total billed charges,,18934.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25280.3127,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9773-0360 INTRAVAS LITHO W STENT - BELOW KNEE,360,RC,C9773,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9774-0360 INTRAVAS LITHO W ATHERECTOMY - BELOW KNEE,360,RC,C9774,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9775-0360 INTRAVAS LITHO W STENT & ATHERECTOMY - BELOW KNEE,360,RC,C9775,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0715T-0360 CORONARY LITHOTRIPSY,360,RC,0715T,HCPCS,,,outpatient,,,260,,130,156,252.2,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,208.26,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,241.514,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0795T-0361 INSERT OF DC LEADLESS PM (COMPLETE SYSTEM),361,RC,0795T,HCPCS,,,outpatient,,,16552,,8276,9931.2,16055.44,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,13258.152,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,15375.1528,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13259.8072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0796T-0481 INSERT DC LEADLESS PM (RA TO CREATE DC),481,RC,0796T,HCPCS,,,outpatient,,,16552,,8276,9931.2,16055.44,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,13258.152,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,15375.1528,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13259.8072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0797T-0481 INSERT DC LEADLESS PM (RV TO CREATE DC),481,RC,0797T,HCPCS,,,outpatient,,,16552,,8276,9931.2,16055.44,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,13258.152,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,15375.1528,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13259.8072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0798T-0481 REMOVE DC LEADLESS PM (COMPLETE SYSTEM),481,RC,0798T,HCPCS,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0799T-0481 REMOVE DC LEADLESS PM (RA COMPONENT),481,RC,0799T,HCPCS,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0800T-0481 REMOVE OF DC LEADLESS PM (RV WHEN PART OF DC),481,RC,0800T,HCPCS,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0801T-0481 REMOVE & REPLACE DC LEADLESS PM (COMPLETE SYSTEM),481,RC,0801T,HCPCS,,,outpatient,,,16552,,8276,9931.2,16055.44,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,13258.152,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,15375.1528,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13259.8072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0802T-0481 REMOVE & REPLACE DC LEADLESS PM (RA COMPONENT),481,RC,0802T,HCPCS,,,outpatient,,,16552,,8276,9931.2,16055.44,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,13258.152,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,15375.1528,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13259.8072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0803T-0481 REMOVE & REPLACE DC LEADLESS PM  (RV COMPONENT),481,RC,0803T,HCPCS,,,outpatient,,,16552,,8276,9931.2,16055.44,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,13258.152,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,15375.1528,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13259.8072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0804T-0481 IN PERSON PROGRAMMING DC LEADLESS PM,481,RC,0804T,HCPCS,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92972-0360 PERQ TRLUML CORONRY LITHOTRP,360,RC,92972,CPT,,,outpatient,,,12804,,6402,7682.4,12419.88,12035.76,,,,percent of total billed charges,,10243.2,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,10627.32,,,,percent of total billed charges,,11523.6,,,,percent of total billed charges,,11779.68,,,,percent of total billed charges,,11779.68,,,,percent of total billed charges,,12112.584,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,12419.88,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,11267.52,,,,percent of total billed charges,,11523.6,,,,percent of total billed charges,,10256.004,,,,percent of total billed charges,,11523.6,,,,percent of total billed charges,,7682.4,,,,percent of total billed charges,,11893.6356,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,10243.2,,,,percent of total billed charges,,7682.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10257.2844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0408T-0361 INSERT/REPL PERM CCM SYTM GENERATOR & ELECTRODES,361,RC,0408T,HCPCS,,,outpatient,,,21456,,10728,12873.6,20812.32,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,17186.256,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,19930.4784,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17188.4016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0409T-0361 INSERT/REPL PERM CCM SYTM GENERATOR ONLY,361,RC,0409T,HCPCS,,,outpatient,,,16482,,8241,9889.2,15987.54,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,13202.082,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,15310.1298,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13203.7302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0410T-0361 INSERT/REPL PERM CCM SYTM ATRIAL ELECTRODE ONLY,361,RC,0410T,HCPCS,,,outpatient,,,6193,,3096.5,3715.8,6007.21,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4960.593,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,5752.6777,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4961.2123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0411T-0361 INSERT/REPL PERM CCM SYTM VENTRICULAR ELECTRODE ONLY,361,RC,0411T,HCPCS,,,outpatient,,,6193,,3096.5,3715.8,6007.21,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4960.593,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,5752.6777,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4961.2123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0412T-0361 REMOVAL PERM CCM SYTM PULSE GENERATOR ONLY,361,RC,0412T,HCPCS,,,outpatient,,,6536,,3268,3921.6,6339.92,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,5235.336,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6071.2904,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5235.9896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0413T-0361 REMOVAL PERM CCM SYTM ELECTRODE ONLY, ARTIAL OR VENTRICULAR",361,RC,0413T,HCPCS,,,outpatient,,,6536,,3268,3921.6,6339.92,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,5235.336,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6071.2904,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5235.9896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0414T-0361 REMOVAL &REP PERM CCM SYTM GENERATOR ONLY,361,RC,0414T,HCPCS,,,outpatient,,,16482,,8241,9889.2,15987.54,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,13202.082,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,15310.1298,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13203.7302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0415T-0361 REPOSITIONING PERM CCM SYTM ELECTRODE ONLY, ARTIAL OR VENTRICULAR",361,RC,0415T,HCPCS,,,outpatient,,,1720,,860,1032,1668.4,1616.8,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1427.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1627.12,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1668.4,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1377.72,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1597.708,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1377.892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0416T-0361 RELOCATION OF SKIN POCKET FOR IMPLANTED CCM PULSE GENERATOR,361,RC,0416T,HCPCS,,,outpatient,,,4996,,2498,2997.6,4846.12,4696.24,,,,percent of total billed charges,,3996.8,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4146.68,,,,percent of total billed charges,,4496.4,,,,percent of total billed charges,,4596.32,,,,percent of total billed charges,,4596.32,,,,percent of total billed charges,,4726.216,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4846.12,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4396.48,,,,percent of total billed charges,,4496.4,,,,percent of total billed charges,,4001.796,,,,percent of total billed charges,,4496.4,,,,percent of total billed charges,,2997.6,,,,percent of total billed charges,,4640.7844,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,3996.8,,,,percent of total billed charges,,2997.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4002.2956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0417T-0361 PROG DEV EVAL CCM SYSM, IN PERSON",361,RC,0417T,HCPCS,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0418T-0361 INTERROGATION DEV EVAL CCM SYSM, IN PERSON",361,RC,0418T,HCPCS,,,outpatient,,,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0826T-0481 PRGRMG EVL LDLS PM 1CHMBR IP,481,RC,0826T,HCPCS,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0826T-0510 PRGRMG EVL LDLS PM 1CHMBR IP,510,RC,0826T,HCPCS,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABLATION AV NODE,480,RC,93650,CPT,,,outpatient,,,9555,,4777.5,5733,9268.35,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,7653.555,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,8875.6395,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7654.5105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABLATE BONETUMOR PERC,361,RC,20982,CPT,,,outpatient,,,15184,,7592,9110.4,14728.48,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,12162.384,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,14104.4176,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12163.9024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD GUID CATH PLC S&I,320,RC,75989,CPT,,,outpatient,,,962,,481,577.2,933.14,904.28,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,798.46,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,910.052,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,933.14,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,846.56,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,770.562,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,893.6018,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,770.6582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO JET RHEOLYIC THROMB SYS,278,RC,C1757,HCPCS,,,outpatient,,,4708,,2354,2824.8,4566.76,4425.52,,,,percent of total billed charges,,3766.4,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,3907.64,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,4331.36,,,,percent of total billed charges,,4331.36,,,,percent of total billed charges,,4453.768,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,4566.76,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,4143.04,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,3771.108,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,2824.8,,,,percent of total billed charges,,4373.2612,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,3766.4,,,,percent of total billed charges,,2824.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3771.5788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO SEL EA ADD VESS S&I,323,RC,75774,CPT,,,outpatient,,,3754,,1877,2252.4,3641.38,3528.76,,,,percent of total billed charges,,3003.2,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3115.82,,,,percent of total billed charges,,3378.6,,,,percent of total billed charges,,3453.68,,,,percent of total billed charges,,3453.68,,,,percent of total billed charges,,3551.284,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3641.38,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3303.52,,,,percent of total billed charges,,3378.6,,,,percent of total billed charges,,3006.954,,,,percent of total billed charges,,3378.6,,,,percent of total billed charges,,2252.4,,,,percent of total billed charges,,3487.0906,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3003.2,,,,percent of total billed charges,,2252.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3007.3294,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO VISC SELECT S&I,323,RC,75726,CPT,,,outpatient,,,6500,,3250,3900,6305,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5206.5,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6037.85,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5207.15,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO EXT UNI S&I,323,RC,75710,CPT,,,outpatient,,,6264,,3132,3758.4,6076.08,5888.16,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5199.12,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5925.744,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,6076.08,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5512.32,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,5017.464,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,5818.6296,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5018.0904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO EXT BIL S&I,323,RC,75716,CPT,,,outpatient,,,6500,,3250,3900,6305,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5206.5,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6037.85,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5207.15,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO INT MAMM S&I,323,RC,75756,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO PULM NONSELECT S&I,323,RC,75746,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO PULM UNI SELECT S&I,323,RC,75741,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I ANGIO PULM BILAT SELECTIVE,323,RC,75743,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO PELVIC SELECT S&I,323,RC,75736,CPT,,,outpatient,,,6500,,3250,3900,6305,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5206.5,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6037.85,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5207.15,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO SPINE SEL S&I,323,RC,75705,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSESS CYST, CONTRAST INJECT",361,RC,49424,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BALLOON, CUTTING",278,RC,C1725,HCPCS,,,outpatient,,,2436,,1218,1461.6,2362.92,2289.84,,,,percent of total billed charges,,1948.8,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2021.88,,,,percent of total billed charges,,2192.4,,,,percent of total billed charges,,2241.12,,,,percent of total billed charges,,2241.12,,,,percent of total billed charges,,2304.456,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2362.92,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2143.68,,,,percent of total billed charges,,2192.4,,,,percent of total billed charges,,1951.236,,,,percent of total billed charges,,2192.4,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,2262.8004,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,1948.8,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1951.4796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIARY ENDOSCOPY THRU SKIN,361,RC,47553,CPT,,,outpatient,,,14288,,7144,8572.8,13859.36,13430.72,,,,percent of total billed charges,,11430.4,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,11859.04,,,,percent of total billed charges,,12859.2,,,,percent of total billed charges,,13144.96,,,,percent of total billed charges,,13144.96,,,,percent of total billed charges,,13516.448,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,13859.36,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,12573.44,,,,percent of total billed charges,,12859.2,,,,percent of total billed charges,,11444.688,,,,percent of total billed charges,,12859.2,,,,percent of total billed charges,,8572.8,,,,percent of total billed charges,,13272.1232,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,11430.4,,,,percent of total billed charges,,8572.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11446.1168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLETHYSMOGRAPHY,921,RC,93701,CPT,,,outpatient,,,1102,,551,661.2,1068.94,1035.88,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,914.66,,,,percent of total billed charges,,991.8,,,,percent of total billed charges,,1013.84,,,,percent of total billed charges,,1013.84,,,,percent of total billed charges,,1042.492,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,1068.94,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,969.76,,,,percent of total billed charges,,991.8,,,,percent of total billed charges,,882.702,,,,percent of total billed charges,,991.8,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,1023.6478,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,882.8122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOMYOCARDIAL BIOPSY,481,RC,93505,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50200-0361 BX RENAL PERC,361,RC,50200,CPT,,,outpatient,,,4857,,2428.5,2914.2,4711.29,4565.58,,,,percent of total billed charges,,3885.6,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4031.31,,,,percent of total billed charges,,4371.3,,,,percent of total billed charges,,4468.44,,,,percent of total billed charges,,4468.44,,,,percent of total billed charges,,4594.722,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4711.29,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4274.16,,,,percent of total billed charges,,4371.3,,,,percent of total billed charges,,3890.457,,,,percent of total billed charges,,4371.3,,,,percent of total billed charges,,2914.2,,,,percent of total billed charges,,4511.6673,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,3885.6,,,,percent of total billed charges,,2914.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3890.9427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOPSY OF SALIVARY GLAND,361,RC,42400,CPT,,,outpatient,,,7261,,3630.5,4356.6,7043.17,6825.34,,,,percent of total billed charges,,5808.8,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,6026.63,,,,percent of total billed charges,,6534.9,,,,percent of total billed charges,,6680.12,,,,percent of total billed charges,,6680.12,,,,percent of total billed charges,,6868.906,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,7043.17,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,6389.68,,,,percent of total billed charges,,6534.9,,,,percent of total billed charges,,5816.061,,,,percent of total billed charges,,6534.9,,,,percent of total billed charges,,4356.6,,,,percent of total billed charges,,6744.7429,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,5808.8,,,,percent of total billed charges,,4356.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5816.7871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOPSY, ABDOMINAL MASS",361,RC,49180,CPT,,,outpatient,,,3200,,1600,1920,3104,3008,,,,percent of total billed charges,,2560,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,2656,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,2944,,,,percent of total billed charges,,2944,,,,percent of total billed charges,,3027.2,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,3104,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,2816,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,2563.2,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,2972.48,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,2560,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2563.52,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE BIOPSY, TROCAR/NEEDLE",361,RC,20220,CPT,,,outpatient,,,3269,,1634.5,1961.4,3170.93,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2618.469,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3036.5741,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2618.7959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE BIOPSY, TROCAR/NEEDLE",361,RC,20225,CPT,,,outpatient,,,3457,,1728.5,2074.2,3353.29,3249.58,,,,percent of total billed charges,,2765.6,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,2869.31,,,,percent of total billed charges,,3111.3,,,,percent of total billed charges,,3180.44,,,,percent of total billed charges,,3180.44,,,,percent of total billed charges,,3270.322,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,3353.29,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,3042.16,,,,percent of total billed charges,,3111.3,,,,percent of total billed charges,,2769.057,,,,percent of total billed charges,,3111.3,,,,percent of total billed charges,,2074.2,,,,percent of total billed charges,,3211.2073,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,2765.6,,,,percent of total billed charges,,2074.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2769.4027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUNDLE OF HIS RECORDING,480,RC,93600,CPT,,,outpatient,,,9555,,4777.5,5733,9268.35,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,7653.555,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,8875.6395,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7654.5105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRESS TEST TRACING ONLY,482,RC,93017,CPT,,,outpatient,,,687,,343.5,412.2,666.39,645.78,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,570.21,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,649.902,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,666.39,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,604.56,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,550.287,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,638.1543,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,550.3557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVERSION ELECTIVE EXTERNAL,480,RC,92960,CPT,,,outpatient,,,2608,,1304,1564.8,2529.76,2451.52,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2164.64,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2467.168,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2529.76,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2295.04,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2089.008,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,2422.5712,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2089.2688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1727 CATH, BALLOON DISSECTOR, NONVAS",278,RC,C1727,HCPCS,,,outpatient,,,217,,108.5,130.2,210.49,203.98,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,180.11,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,205.282,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,210.49,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,190.96,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,173.817,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,201.5713,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.8387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BALLOON,278,RC,C1725,HCPCS,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH DIALYSIS II,278,RC,C1751,HCPCS,,,outpatient,,,1068,,534,640.8,1035.96,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,855.468,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,992.0652,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,855.5748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH DX,278,RC,,,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH INFUSION,278,RC,C1751,HCPCS,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PRESSURE WEDGE,272,RC,,,,,outpatient,,,210,,105,126,203.7,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,168.21,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,195.069,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1757 CATH THROMBOLYTIC,278,RC,C1757,HCPCS,,,outpatient,,,1443,,721.5,865.8,1399.71,1356.42,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1197.69,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1365.078,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1399.71,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1269.84,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,1155.843,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,1340.4027,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1155.9873,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, DRAINAGE",278,RC,C1729,HCPCS,,,outpatient,,,428,,214,256.8,415.16,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,342.828,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,397.5692,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.8708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1753 CATHETHER COR US, OTHER",278,RC,C1753,HCPCS,,,outpatient,,,2537,,1268.5,1522.2,2460.89,2384.78,,,,percent of total billed charges,,2029.6,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2105.71,,,,percent of total billed charges,,2283.3,,,,percent of total billed charges,,2334.04,,,,percent of total billed charges,,2334.04,,,,percent of total billed charges,,2400.002,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2460.89,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2232.56,,,,percent of total billed charges,,2283.3,,,,percent of total billed charges,,2032.137,,,,percent of total billed charges,,2283.3,,,,percent of total billed charges,,1522.2,,,,percent of total billed charges,,2356.6193,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2029.6,,,,percent of total billed charges,,1522.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2032.3907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHANGE EXT/INT URETER STENT,361,RC,50387,CPT,,,outpatient,,,3695,,1847.5,2217,3584.15,3473.3,,,,percent of total billed charges,,2956,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3066.85,,,,percent of total billed charges,,3325.5,,,,percent of total billed charges,,3399.4,,,,percent of total billed charges,,3399.4,,,,percent of total billed charges,,3495.47,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3584.15,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3251.6,,,,percent of total billed charges,,3325.5,,,,percent of total billed charges,,2959.695,,,,percent of total billed charges,,3325.5,,,,percent of total billed charges,,2217,,,,percent of total billed charges,,3432.2855,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,2956,,,,percent of total billed charges,,2217,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2960.0645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHANGE OF URETER TUBE/STENT,361,RC,50688,CPT,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMOTHERAPY, INTO CNS",331,RC,96450,CPT,,,outpatient,,,962,,481,577.2,933.14,904.28,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,798.46,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,910.052,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,933.14,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,846.56,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,770.562,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,893.6018,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,770.6582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COAGULATION TIME,305,RC,85347,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COIL - GDC,278,RC,,,,,outpatient,,,1420,,710,852,1377.4,1334.8,,,,percent of total billed charges,,1136,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1178.6,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,1306.4,,,,percent of total billed charges,,1306.4,,,,percent of total billed charges,,1343.32,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1377.4,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1249.6,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,1137.42,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,852,,,,percent of total billed charges,,1319.038,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1136,,,,percent of total billed charges,,852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1137.562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLOSCOPE BRUSH,272,RC,,,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERIALOGRAM THORAC S&I,323,RC,75605,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERIALOGRAM ABD S&I,323,RC,75625,CPT,,,outpatient,,,6500,,3250,3900,6305,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5206.5,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6037.85,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5207.15,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM CERV S&I,320,RC,72240,CPT,,,outpatient,,,3762,,1881,2257.2,3649.14,3536.28,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3122.46,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3558.852,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3649.14,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3310.56,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3013.362,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,3494.5218,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3013.7382,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROGRAM SHOULDER S&I,322,RC,73040,CPT,,,outpatient,,,2002,,1001,1201.2,1941.94,1881.88,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1661.66,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1893.892,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1941.94,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1761.76,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1603.602,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,1859.6578,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1603.8022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM 2+ REG S&I,320,RC,72270,CPT,,,outpatient,,,3762,,1881,2257.2,3649.14,3536.28,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3122.46,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3558.852,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3649.14,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3310.56,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3013.362,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,3494.5218,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3013.7382,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM THOR S&I,320,RC,72255,CPT,,,outpatient,,,2943,,1471.5,1765.8,2854.71,2766.42,,,,percent of total billed charges,,2354.4,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2442.69,,,,percent of total billed charges,,2648.7,,,,percent of total billed charges,,2707.56,,,,percent of total billed charges,,2707.56,,,,percent of total billed charges,,2784.078,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2854.71,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2589.84,,,,percent of total billed charges,,2648.7,,,,percent of total billed charges,,2357.343,,,,percent of total billed charges,,2648.7,,,,percent of total billed charges,,1765.8,,,,percent of total billed charges,,2733.7527,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2354.4,,,,percent of total billed charges,,1765.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2357.6373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM ANTE S&I,320,RC,74425,CPT,,,outpatient,,,631,,315.5,378.6,612.07,593.14,,,,percent of total billed charges,,504.8,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,523.73,,,,percent of total billed charges,,567.9,,,,percent of total billed charges,,580.52,,,,percent of total billed charges,,580.52,,,,percent of total billed charges,,596.926,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,612.07,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,555.28,,,,percent of total billed charges,,567.9,,,,percent of total billed charges,,505.431,,,,percent of total billed charges,,567.9,,,,percent of total billed charges,,378.6,,,,percent of total billed charges,,586.1359,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,504.8,,,,percent of total billed charges,,378.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,505.4941,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL WINDOW,360,RC,,,,,outpatient,,,6618,,3309,3970.8,6419.46,6220.92,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,5492.94,,,,percent of total billed charges,,5956.2,,,,percent of total billed charges,,6088.56,,,,percent of total billed charges,,6088.56,,,,percent of total billed charges,,6260.628,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,6419.46,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,5823.84,,,,percent of total billed charges,,5956.2,,,,percent of total billed charges,,5301.018,,,,percent of total billed charges,,5956.2,,,,percent of total billed charges,,3970.8,,,,percent of total billed charges,,6147.4602,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,3970.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5301.6798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT GUIDE FOR TISSUE ABLATION,352,RC,77013,CPT,,,outpatient,,,2546,,1273,1527.6,2469.62,2393.24,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2113.18,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2408.516,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2469.62,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2240.48,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,2039.346,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,2364.9794,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2039.6006,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT GUIDE NEEDLE PLCMT S&I,352,RC,77012,CPT,,,outpatient,,,2688,,1344,1612.8,2607.36,2526.72,,,,percent of total billed charges,,2150.4,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2231.04,,,,percent of total billed charges,,2419.2,,,,percent of total billed charges,,2472.96,,,,percent of total billed charges,,2472.96,,,,percent of total billed charges,,2542.848,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2607.36,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2365.44,,,,percent of total billed charges,,2419.2,,,,percent of total billed charges,,2153.088,,,,percent of total billed charges,,2419.2,,,,percent of total billed charges,,1612.8,,,,percent of total billed charges,,2496.8832,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2150.4,,,,percent of total billed charges,,1612.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2153.3568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIALYSIS CATH I,278,RC,C1751,HCPCS,,,outpatient,,,1018,,509,610.8,987.46,956.92,,,,percent of total billed charges,,814.4,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,844.94,,,,percent of total billed charges,,916.2,,,,percent of total billed charges,,936.56,,,,percent of total billed charges,,936.56,,,,percent of total billed charges,,963.028,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,987.46,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,895.84,,,,percent of total billed charges,,916.2,,,,percent of total billed charges,,815.418,,,,percent of total billed charges,,916.2,,,,percent of total billed charges,,610.8,,,,percent of total billed charges,,945.6202,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,814.4,,,,percent of total billed charges,,610.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,815.5198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DILATOR KIT W/ 2 DILATORS,272,RC,,,,,outpatient,,,817,,408.5,490.2,792.49,767.98,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,678.11,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,772.882,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,792.49,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,654.417,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,758.9113,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,654.4987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W/O GUIDE,361,RC,62272,CPT,,,outpatient,,,2472,,1236,1483.2,2397.84,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1980.072,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2296.2408,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1980.3192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20600-0361 DRAIN/INJECT, JOINT/BURSA",361,RC,20600,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20605-0361 DRAIN/INJECT, JOINT/BURSA",361,RC,20605,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRAIN/INJECT, JOINT/BURSA W/O US",361,RC,20610,CPT,,,outpatient,,,877,,438.5,526.2,850.69,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,702.477,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,814.6453,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,702.5647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US GUIDE NEEDLE PLCMT S&I,320,RC,76942,CPT,,,outpatient,,,812,,406,487.2,787.64,763.28,,,,percent of total billed charges,,649.6,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,673.96,,,,percent of total billed charges,,730.8,,,,percent of total billed charges,,747.04,,,,percent of total billed charges,,747.04,,,,percent of total billed charges,,768.152,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,787.64,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,714.56,,,,percent of total billed charges,,730.8,,,,percent of total billed charges,,650.412,,,,percent of total billed charges,,730.8,,,,percent of total billed charges,,487.2,,,,percent of total billed charges,,754.2668,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,649.6,,,,percent of total billed charges,,487.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,650.4932,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ELECTRODES, ENSITE NAVX",272,RC,C1732,HCPCS,,,outpatient,,,5078,,2539,3046.8,4925.66,4773.32,,,,percent of total billed charges,,4062.4,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4214.74,,,,percent of total billed charges,,4570.2,,,,percent of total billed charges,,4671.76,,,,percent of total billed charges,,4671.76,,,,percent of total billed charges,,4803.788,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4925.66,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4468.64,,,,percent of total billed charges,,4570.2,,,,percent of total billed charges,,4067.478,,,,percent of total billed charges,,4570.2,,,,percent of total billed charges,,3046.8,,,,percent of total billed charges,,4716.9542,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4062.4,,,,percent of total billed charges,,3046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4067.9858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAPPING 3D,480,RC,93613,CPT,,,outpatient,,,30768,,15384,18460.8,29844.96,28921.92,,,,percent of total billed charges,,24614.4,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,25537.44,,,,percent of total billed charges,,27691.2,,,,percent of total billed charges,,28306.56,,,,percent of total billed charges,,28306.56,,,,percent of total billed charges,,29106.528,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,29844.96,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,27075.84,,,,percent of total billed charges,,27691.2,,,,percent of total billed charges,,24645.168,,,,percent of total billed charges,,27691.2,,,,percent of total billed charges,,18460.8,,,,percent of total billed charges,,28580.3952,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,24614.4,,,,percent of total billed charges,,18460.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24648.2448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS, COMPLETE",480,RC,93620,CPT,,,outpatient,,,9555,,4777.5,5733,9268.35,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,7653.555,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,8875.6395,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7654.5105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS, RECORD FROM CS",480,RC,93621,CPT,,,outpatient,,,3194,,1597,1916.4,3098.18,3002.36,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2651.02,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,3021.524,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3098.18,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2810.72,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2558.394,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,2966.9066,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2558.7134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS, RECORD FROM LV",480,RC,93622,CPT,,,outpatient,,,3194,,1597,1916.4,3098.18,3002.36,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2651.02,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,3021.524,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3098.18,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2810.72,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2558.394,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,2966.9066,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2558.7134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD EP EVALUATION,480,RC,93642,CPT,,,outpatient,,,8384,,4192,5030.4,8132.48,7880.96,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6958.72,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7931.264,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,8132.48,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7377.92,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,6715.584,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,7787.8976,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6716.4224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD SYSTEM INSERTION  - SINGLE,360,RC,,,,,outpatient,,,16905,,8452.5,10143,16397.85,15890.7,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14031.15,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15992.13,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16397.85,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14876.4,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,13540.905,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,15703.0545,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13542.5955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD SYSTEM INSERTION - DUAL,360,RC,,,,,outpatient,,,16905,,8452.5,10143,16397.85,15890.7,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14031.15,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15992.13,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16397.85,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14876.4,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,13540.905,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,15703.0545,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13542.5955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOLIZATION PARTICLES,278,RC,,,,,outpatient,,,821,,410.5,492.6,796.37,771.74,,,,percent of total billed charges,,656.8,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,681.43,,,,percent of total billed charges,,738.9,,,,percent of total billed charges,,755.32,,,,percent of total billed charges,,755.32,,,,percent of total billed charges,,776.666,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,796.37,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,722.48,,,,percent of total billed charges,,738.9,,,,percent of total billed charges,,657.621,,,,percent of total billed charges,,738.9,,,,percent of total billed charges,,492.6,,,,percent of total billed charges,,762.6269,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,656.8,,,,percent of total billed charges,,492.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,657.7031,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1884 EMBOLIZATION PROCTIVE DEVICE,278,RC,C1884,HCPCS,,,outpatient,,,3866,,1933,2319.6,3750.02,3634.04,,,,percent of total billed charges,,3092.8,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3208.78,,,,percent of total billed charges,,3479.4,,,,percent of total billed charges,,3556.72,,,,percent of total billed charges,,3556.72,,,,percent of total billed charges,,3657.236,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3750.02,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3402.08,,,,percent of total billed charges,,3479.4,,,,percent of total billed charges,,3096.666,,,,percent of total billed charges,,3479.4,,,,percent of total billed charges,,2319.6,,,,percent of total billed charges,,3591.1274,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3092.8,,,,percent of total billed charges,,2319.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3097.0526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOPROSTHESIS, GORE",278,RC,C1874,HCPCS,,,outpatient,,,2204,,1102,1322.4,2137.88,2071.76,,,,percent of total billed charges,,1763.2,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,1829.32,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2027.68,,,,percent of total billed charges,,2027.68,,,,percent of total billed charges,,2084.984,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,2137.88,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,1939.52,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1765.404,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,2047.2956,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,1763.2,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1765.6244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EST ACCESS EXTREM ARTERY,361,RC,36140,CPT,,,outpatient,,,3597,,1798.5,2158.2,3489.09,3381.18,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2985.51,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3402.762,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3489.09,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3165.36,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2881.197,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,3341.2533,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2881.5567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCHANGE DRAINAGE CATHETER,361,RC,49423,CPT,,,outpatient,,,2281,,1140.5,1368.6,2212.57,2144.14,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1893.23,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2157.826,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2212.57,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2007.28,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1827.081,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,2118.8209,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1827.3091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEEDING TUBE,272,RC,,,,,outpatient,,,866,,433,519.6,840.02,814.04,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,718.78,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,819.236,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,840.02,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,762.08,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,693.666,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,804.4274,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,693.7526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOROGUIDE FOR SPINE INJECT,320,RC,77003,CPT,,,outpatient,,,2469,,1234.5,1481.4,2394.93,2320.86,,,,percent of total billed charges,,1975.2,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2049.27,,,,percent of total billed charges,,2222.1,,,,percent of total billed charges,,2271.48,,,,percent of total billed charges,,2271.48,,,,percent of total billed charges,,2335.674,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2394.93,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2172.72,,,,percent of total billed charges,,2222.1,,,,percent of total billed charges,,1977.669,,,,percent of total billed charges,,2222.1,,,,percent of total billed charges,,1481.4,,,,percent of total billed charges,,2293.4541,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,1975.2,,,,percent of total billed charges,,1481.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1977.9159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOROGUIDE FOR CENTRAL VENOUS ACCESS DEVICE,320,RC,77001,CPT,,,outpatient,,,1030,,515,618,999.1,968.2,,,,percent of total billed charges,,824,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,854.9,,,,percent of total billed charges,,927,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,974.38,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,999.1,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,927,,,,percent of total billed charges,,825.03,,,,percent of total billed charges,,927,,,,percent of total billed charges,,618,,,,percent of total billed charges,,956.767,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,824,,,,percent of total billed charges,,618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,825.133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORO EXAM UP TO 1 HR,320,RC,76000,CPT,,,outpatient,,,991,,495.5,594.6,961.27,931.54,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,822.53,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,937.486,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,961.27,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,872.08,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,793.791,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,920.5399,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,793.8901,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO F/U THRU EXIST CATH,323,RC,75898,CPT,,,outpatient,,,1744,,872,1046.4,1691.68,1639.36,,,,percent of total billed charges,,1395.2,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1447.52,,,,percent of total billed charges,,1569.6,,,,percent of total billed charges,,1604.48,,,,percent of total billed charges,,1604.48,,,,percent of total billed charges,,1649.824,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1691.68,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1534.72,,,,percent of total billed charges,,1569.6,,,,percent of total billed charges,,1396.944,,,,percent of total billed charges,,1569.6,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,1620.0016,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1395.2,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1397.1184,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1725 GUIDE CATHETER,278,RC,C1725,HCPCS,,,outpatient,,,556,,278,333.6,539.32,522.64,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,461.48,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,525.976,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,539.32,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,489.28,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,445.356,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,516.4684,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,445.4116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1887 GUIDECATHETER SPECIALTY,278,RC,C1887,HCPCS,,,outpatient,,,386,,193,231.6,374.42,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,309.186,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,358.5554,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,309.2246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE DX,278,RC,C1769,HCPCS,,,outpatient,,,305,,152.5,183,295.85,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,244.305,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,283.3145,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,244.3355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE DX SPECIALTY,278,RC,C1769,HCPCS,,,outpatient,,,423,,211.5,253.8,410.31,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,338.823,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,392.9247,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,338.8653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE I,278,RC,C1769,HCPCS,,,outpatient,,,1830,,915,1098,1775.1,1720.2,,,,percent of total billed charges,,1464,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1518.9,,,,percent of total billed charges,,1647,,,,percent of total billed charges,,1683.6,,,,percent of total billed charges,,1683.6,,,,percent of total billed charges,,1731.18,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1775.1,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1610.4,,,,percent of total billed charges,,1647,,,,percent of total billed charges,,1465.83,,,,percent of total billed charges,,1647,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1699.887,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1464,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1466.013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE II,278,RC,C1769,HCPCS,,,outpatient,,,559,,279.5,335.4,542.23,525.46,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,463.97,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,528.814,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,542.23,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,447.759,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,519.2551,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.8149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE INTERVENTIONAL,278,RC,C1769,HCPCS,,,outpatient,,,603,,301.5,361.8,584.91,566.82,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,500.49,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,570.438,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,584.91,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,530.64,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,483.003,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,560.1267,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,483.0633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDING CATH I,278,RC,C1887,HCPCS,,,outpatient,,,625,,312.5,375,606.25,587.5,,,,percent of total billed charges,,500,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,518.75,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,575,,,,percent of total billed charges,,575,,,,percent of total billed charges,,591.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,606.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,550,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,500.625,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,375,,,,percent of total billed charges,,580.5625,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,500,,,,percent of total billed charges,,375,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,500.6875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDING CATH II,278,RC,C1887,HCPCS,,,outpatient,,,1282,,641,769.2,1243.54,1205.08,,,,percent of total billed charges,,1025.6,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1064.06,,,,percent of total billed charges,,1153.8,,,,percent of total billed charges,,1179.44,,,,percent of total billed charges,,1179.44,,,,percent of total billed charges,,1212.772,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1243.54,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1128.16,,,,percent of total billed charges,,1153.8,,,,percent of total billed charges,,1026.882,,,,percent of total billed charges,,1153.8,,,,percent of total billed charges,,769.2,,,,percent of total billed charges,,1190.8498,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1025.6,,,,percent of total billed charges,,769.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1027.0102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COR FLOW MEASUREMENT, INIT VESS",481,RC,93571,CPT,,,outpatient,,,179,,89.5,107.4,173.63,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,143.379,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,166.2731,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.3969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COR FLOW MEASUREMENT, EA ADD'L VESS",481,RC,93572,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARRHYTHMIA INDUCTION BY PACING,480,RC,93618,CPT,,,outpatient,,,5468,,2734,3280.8,5303.96,5139.92,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4538.44,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5172.728,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5303.96,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4811.84,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,4379.868,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,5079.2252,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4380.4148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CPR/EMERGENT CARDIOVERSION (NO RESP),480,RC,92950,CPT,,,outpatient,,,1490,,745,894,1445.3,1400.6,,,,percent of total billed charges,,1192,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1236.7,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,1370.8,,,,percent of total billed charges,,1370.8,,,,percent of total billed charges,,1409.54,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1445.3,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1311.2,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,1193.49,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,894,,,,percent of total billed charges,,1384.061,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1192,,,,percent of total billed charges,,894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1193.639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD BI-VENT,275,RC,C1721,HCPCS,,,outpatient,,,78246,,39123,46947.6,75898.62,73551.24,,,,percent of total billed charges,,62596.8,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,64944.18,,,,percent of total billed charges,,70421.4,,,,percent of total billed charges,,71986.32,,,,percent of total billed charges,,71986.32,,,,percent of total billed charges,,74020.716,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,75898.62,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,68856.48,,,,percent of total billed charges,,70421.4,,,,percent of total billed charges,,62675.046,,,,percent of total billed charges,,70421.4,,,,percent of total billed charges,,46947.6,,,,percent of total billed charges,,72682.7094,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,62596.8,,,,percent of total billed charges,,46947.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62682.8706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1721 ICD DUAL,275,RC,C1721,HCPCS,,,outpatient,,,23912,,11956,14347.2,23194.64,22477.28,,,,percent of total billed charges,,19129.6,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,19846.96,,,,percent of total billed charges,,21520.8,,,,percent of total billed charges,,21999.04,,,,percent of total billed charges,,21999.04,,,,percent of total billed charges,,22620.752,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,23194.64,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,21042.56,,,,percent of total billed charges,,21520.8,,,,percent of total billed charges,,19153.512,,,,percent of total billed charges,,21520.8,,,,percent of total billed charges,,14347.2,,,,percent of total billed charges,,22211.8568,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,19129.6,,,,percent of total billed charges,,14347.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19155.9032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD POCKET REVISOIN/DEFIB,360,RC,,,,,outpatient,,,13298,,6649,7978.8,12899.06,12500.12,,,,percent of total billed charges,,10638.4,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,11037.34,,,,percent of total billed charges,,11968.2,,,,percent of total billed charges,,12234.16,,,,percent of total billed charges,,12234.16,,,,percent of total billed charges,,12579.908,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,12899.06,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,11702.24,,,,percent of total billed charges,,11968.2,,,,percent of total billed charges,,10651.698,,,,percent of total billed charges,,11968.2,,,,percent of total billed charges,,7978.8,,,,percent of total billed charges,,12352.5122,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,10638.4,,,,percent of total billed charges,,7978.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10653.0278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD REMOVAL  ONLY,360,RC,,,,,outpatient,,,12276,,6138,7365.6,11907.72,11539.44,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10189.08,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11613.096,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11907.72,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10802.88,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,9833.076,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,11403.1764,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9834.3036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1722 ICD SINGLE,275,RC,C1722,HCPCS,,,outpatient,,,21997,,10998.5,13198.2,21337.09,20677.18,,,,percent of total billed charges,,17597.6,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,18257.51,,,,percent of total billed charges,,19797.3,,,,percent of total billed charges,,20237.24,,,,percent of total billed charges,,20237.24,,,,percent of total billed charges,,20809.162,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,21337.09,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,19357.36,,,,percent of total billed charges,,19797.3,,,,percent of total billed charges,,17619.597,,,,percent of total billed charges,,19797.3,,,,percent of total billed charges,,13198.2,,,,percent of total billed charges,,20433.0133,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,17597.6,,,,percent of total billed charges,,13198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17621.7967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT SUBQ CARDIAC RHYTHM MONITOR,361,RC,33285,CPT,,,outpatient,,,10743,,5371.5,6445.8,10420.71,10098.42,,,,percent of total billed charges,,8594.4,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,8916.69,,,,percent of total billed charges,,9668.7,,,,percent of total billed charges,,9883.56,,,,percent of total billed charges,,9883.56,,,,percent of total billed charges,,10162.878,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,10420.71,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,9453.84,,,,percent of total billed charges,,9668.7,,,,percent of total billed charges,,8605.143,,,,percent of total billed charges,,9668.7,,,,percent of total billed charges,,6445.8,,,,percent of total billed charges,,9979.1727,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,8594.4,,,,percent of total billed charges,,6445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8606.2173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INCISION OF GALLBLADDER,361,RC,47490,CPT,,,outpatient,,,6773,,3386.5,4063.8,6569.81,6366.62,,,,percent of total billed charges,,5418.4,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,5621.59,,,,percent of total billed charges,,6095.7,,,,percent of total billed charges,,6231.16,,,,percent of total billed charges,,6231.16,,,,percent of total billed charges,,6407.258,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,6569.81,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,5960.24,,,,percent of total billed charges,,6095.7,,,,percent of total billed charges,,5425.173,,,,percent of total billed charges,,6095.7,,,,percent of total billed charges,,4063.8,,,,percent of total billed charges,,6291.4397,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,5418.4,,,,percent of total billed charges,,4063.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5425.8503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLATION KIT,272,RC,,,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FORAMEN EPIDURAL ADD-ON,361,RC,64480,CPT,,,outpatient,,,2219,,1109.5,1331.4,2152.43,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1777.419,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2061.2291,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1777.6409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64484-0361 INJ FORAMEN EPIDURAL ADD-ON,361,RC,64484,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FORAMEN EPIDURAL C/T,361,RC,64479,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64483-0361 INJ. FORAMEN EPIDURAL L/S,361,RC,64483,CPT,,,outpatient,,,2930,,1465,1758,2842.1,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2346.93,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2721.677,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2347.223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ W/FLUOR, EVAL CV DEVICE",361,RC,36598,CPT,,,outpatient,,,1525,,762.5,915,1479.25,1433.5,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1265.75,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1442.65,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1479.25,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1342,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,1221.525,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,915,,,,percent of total billed charges,,1416.5725,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,915,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1221.6775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0361 INJECT EPIDURAL PATCH,361,RC,62273,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECT FOR SPINE DISK X-RAY,361,RC,62290,CPT,,,outpatient,,,2674,,1337,1604.4,2593.78,2513.56,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2219.42,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2529.604,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2593.78,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2353.12,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,2141.874,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,2483.8786,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2142.1414,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECT SINUS TRACT FOR X-RAY,361,RC,20501,CPT,,,outpatient,,,1406,,703,843.6,1363.82,1321.64,,,,percent of total billed charges,,1124.8,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1166.98,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1293.52,,,,percent of total billed charges,,1293.52,,,,percent of total billed charges,,1330.076,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1363.82,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1237.28,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1126.206,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,1306.0334,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1124.8,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1126.3466,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECT SPINE L/S (CD),361,RC,62322,CPT,,,outpatient,,,4311,,2155.5,2586.6,4181.67,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3453.111,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4004.4879,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3453.5421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONTRAST INJECTION VENOGRAPHY,361,RC,36005,CPT,,,outpatient,,,1957,,978.5,1174.2,1898.29,1839.58,,,,percent of total billed charges,,1565.6,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1624.31,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1800.44,,,,percent of total billed charges,,1800.44,,,,percent of total billed charges,,1851.322,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1898.29,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1722.16,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1567.557,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1817.8573,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1565.6,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1567.7527,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR BLADDER X-RAY,361,RC,51610,CPT,,,outpatient,,,2161,,1080.5,1296.6,2096.17,2031.34,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1793.63,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,2044.306,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2096.17,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1901.68,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1730.961,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,2007.3529,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1731.1771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR MYELOGRAM,361,RC,62284,CPT,,,outpatient,,,3168,,1584,1900.8,3072.96,2977.92,,,,percent of total billed charges,,2534.4,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2629.44,,,,percent of total billed charges,,2851.2,,,,percent of total billed charges,,2914.56,,,,percent of total billed charges,,2914.56,,,,percent of total billed charges,,2996.928,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3072.96,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2787.84,,,,percent of total billed charges,,2851.2,,,,percent of total billed charges,,2537.568,,,,percent of total billed charges,,2851.2,,,,percent of total billed charges,,1900.8,,,,percent of total billed charges,,2942.7552,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2534.4,,,,percent of total billed charges,,1900.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2537.8848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR SHOULDER X-RAY,361,RC,23350,CPT,,,outpatient,,,2061,,1030.5,1236.6,1999.17,1937.34,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1710.63,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1949.706,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1999.17,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1813.68,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1650.861,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,1914.4629,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1651.0671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION INTO BRAIN CANAL,361,RC,61055,CPT,,,outpatient,,,1138,,569,682.8,1103.86,1069.72,,,,percent of total billed charges,,910.4,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,944.54,,,,percent of total billed charges,,1024.2,,,,percent of total billed charges,,1046.96,,,,percent of total billed charges,,1046.96,,,,percent of total billed charges,,1076.548,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,1103.86,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,1001.44,,,,percent of total billed charges,,1024.2,,,,percent of total billed charges,,911.538,,,,percent of total billed charges,,1024.2,,,,percent of total billed charges,,682.8,,,,percent of total billed charges,,1057.0882,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,910.4,,,,percent of total billed charges,,682.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,911.6518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERT ABDOM DRAIN, PERM",361,RC,49421,CPT,,,outpatient,,,6665,,3332.5,3999,6465.05,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,5338.665,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6191.1185,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5339.3315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT HEPATIC SHUNT (TIPS),361,RC,37182,CPT,,,outpatient,,,28424,,14212,17054.4,27571.28,26718.56,,,,percent of total billed charges,,22739.2,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,23591.92,,,,percent of total billed charges,,25581.6,,,,percent of total billed charges,,26150.08,,,,percent of total billed charges,,26150.08,,,,percent of total billed charges,,26889.104,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,27571.28,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,25013.12,,,,percent of total billed charges,,25581.6,,,,percent of total billed charges,,22767.624,,,,percent of total billed charges,,25581.6,,,,percent of total billed charges,,17054.4,,,,percent of total billed charges,,26403.0536,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,22739.2,,,,percent of total billed charges,,17054.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22770.4664,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CV CATH 5YR OR OLDER,361,RC,36556,CPT,,,outpatient,,,4618,,2309,2770.8,4479.46,4340.92,,,,percent of total billed charges,,3694.4,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,3832.94,,,,percent of total billed charges,,4156.2,,,,percent of total billed charges,,4248.56,,,,percent of total billed charges,,4248.56,,,,percent of total billed charges,,4368.628,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,4479.46,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,4063.84,,,,percent of total billed charges,,4156.2,,,,percent of total billed charges,,3699.018,,,,percent of total billed charges,,4156.2,,,,percent of total billed charges,,2770.8,,,,percent of total billed charges,,4289.6602,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,3694.4,,,,percent of total billed charges,,2770.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3699.4798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF DUAL LEADS PCM/ICD,360,RC,,,,,outpatient,,,14079,,7039.5,8447.4,13656.63,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,11277.279,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,13077.9831,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11278.6869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF SINGLE LEAD PCM/ICD,360,RC,,,,,outpatient,,,12699,,6349.5,7619.4,12318.03,11937.06,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10540.17,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,12013.254,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12318.03,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,11175.12,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,10171.899,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,11796.1011,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10173.1689,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT LD FOR LV (PREVIOUS SYSTEM),360,RC,,,,,outpatient,,,13152,,6576,7891.2,12757.44,12362.88,,,,percent of total billed charges,,10521.6,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,10916.16,,,,percent of total billed charges,,11836.8,,,,percent of total billed charges,,12099.84,,,,percent of total billed charges,,12099.84,,,,percent of total billed charges,,12441.792,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,12757.44,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,11573.76,,,,percent of total billed charges,,11836.8,,,,percent of total billed charges,,10534.752,,,,percent of total billed charges,,11836.8,,,,percent of total billed charges,,7891.2,,,,percent of total billed charges,,12216.8928,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,10521.6,,,,percent of total billed charges,,7891.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10536.0672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICC W/O PORT 5+ YRS W/O IMAGE,361,RC,36569,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERTR DUAL (CHANGE),360,RC,,,,,outpatient,,,14892,,7446,8935.2,14445.24,13998.48,,,,percent of total billed charges,,11913.6,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,12360.36,,,,percent of total billed charges,,13402.8,,,,percent of total billed charges,,13700.64,,,,percent of total billed charges,,13700.64,,,,percent of total billed charges,,14087.832,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,14445.24,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,13104.96,,,,percent of total billed charges,,13402.8,,,,percent of total billed charges,,11928.492,,,,percent of total billed charges,,13402.8,,,,percent of total billed charges,,8935.2,,,,percent of total billed charges,,13833.1788,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,11913.6,,,,percent of total billed charges,,8935.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11929.9812,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERT-SINGLE (CHANGE),360,RC,,,,,outpatient,,,18039,,9019.5,10823.4,17497.83,16956.66,,,,percent of total billed charges,,14431.2,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,14972.37,,,,percent of total billed charges,,16235.1,,,,percent of total billed charges,,16595.88,,,,percent of total billed charges,,16595.88,,,,percent of total billed charges,,17064.894,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,17497.83,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,15874.32,,,,percent of total billed charges,,16235.1,,,,percent of total billed charges,,14449.239,,,,percent of total billed charges,,16235.1,,,,percent of total billed charges,,10823.4,,,,percent of total billed charges,,16756.4271,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,14431.2,,,,percent of total billed charges,,10823.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14451.0429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CV CATH WO PORT >5YRS,361,RC,36558,CPT,,,outpatient,,,8109,,4054.5,4865.4,7865.73,7622.46,,,,percent of total billed charges,,6487.2,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,6730.47,,,,percent of total billed charges,,7298.1,,,,percent of total billed charges,,7460.28,,,,percent of total billed charges,,7460.28,,,,percent of total billed charges,,7671.114,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,7865.73,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,7135.92,,,,percent of total billed charges,,7298.1,,,,percent of total billed charges,,6495.309,,,,percent of total billed charges,,7298.1,,,,percent of total billed charges,,4865.4,,,,percent of total billed charges,,7532.4501,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,6487.2,,,,percent of total billed charges,,4865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6496.1199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CV CATH W PORT >5YRS,361,RC,36561,CPT,,,outpatient,,,10118,,5059,6070.8,9814.46,9510.92,,,,percent of total billed charges,,8094.4,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,8397.94,,,,percent of total billed charges,,9106.2,,,,percent of total billed charges,,9308.56,,,,percent of total billed charges,,9308.56,,,,percent of total billed charges,,9571.628,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,9814.46,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,8903.84,,,,percent of total billed charges,,9106.2,,,,percent of total billed charges,,8104.518,,,,percent of total billed charges,,9106.2,,,,percent of total billed charges,,6070.8,,,,percent of total billed charges,,9398.6102,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,8094.4,,,,percent of total billed charges,,6070.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8105.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SWAN GANZ PLACEMENT (INCL CATHETER),481,RC,93503,CPT,,,outpatient,,,4352,,2176,2611.2,4221.44,4090.88,,,,percent of total billed charges,,3481.6,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,3612.16,,,,percent of total billed charges,,3916.8,,,,percent of total billed charges,,4003.84,,,,percent of total billed charges,,4003.84,,,,percent of total billed charges,,4116.992,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,4221.44,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,3829.76,,,,percent of total billed charges,,3916.8,,,,percent of total billed charges,,3485.952,,,,percent of total billed charges,,3916.8,,,,percent of total billed charges,,2611.2,,,,percent of total billed charges,,4042.5728,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,3481.6,,,,percent of total billed charges,,2611.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3486.3872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS ARTERIAL LINE PERCUT,361,RC,36620,CPT,,,outpatient,,,1954,,977,1172.4,1895.38,1836.76,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1621.82,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1848.484,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1895.38,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1719.52,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1565.154,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,1815.0706,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1565.3494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CATH PERC PORTAL VEIN,361,RC,36481,CPT,,,outpatient,,,3749,,1874.5,2249.4,3636.53,3524.06,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3111.67,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3546.554,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3636.53,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3002.949,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,3482.4461,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3003.3239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERTION OF CATHETER, VEIN",361,RC,36500,CPT,,,outpatient,,,3214,,1607,1928.4,3117.58,3021.16,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2667.62,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,3040.444,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3117.58,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2828.32,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2574.414,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,2985.4846,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2574.7354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACOSTOMY-ABSCESS/HEMTHRX/EMPYMA,361,RC,32551,CPT,,,outpatient,,,4102,,2051,2461.2,3978.94,3855.88,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3404.66,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3880.492,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3978.94,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3609.76,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3285.702,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,3810.3478,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3286.1122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACING INTRA ATRIAL,480,RC,93610,CPT,,,outpatient,,,9555,,4777.5,5733,9268.35,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,7653.555,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,8875.6395,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7654.5105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECORDING, INTRA ATRIAL",480,RC,93602,CPT,,,outpatient,,,9555,,4777.5,5733,9268.35,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,7653.555,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,8875.6395,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7654.5105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAVASCULAR ULTRASOUND - INIT VESS,481,RC,92978,CPT,,,outpatient,,,2314,,1157,1388.4,2244.58,2175.16,,,,percent of total billed charges,,1851.2,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,1920.62,,,,percent of total billed charges,,2082.6,,,,percent of total billed charges,,2128.88,,,,percent of total billed charges,,2128.88,,,,percent of total billed charges,,2189.044,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,2244.58,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,2036.32,,,,percent of total billed charges,,2082.6,,,,percent of total billed charges,,1853.514,,,,percent of total billed charges,,2082.6,,,,percent of total billed charges,,1388.4,,,,percent of total billed charges,,2149.4746,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,1851.2,,,,percent of total billed charges,,1388.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1853.7454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAVASCULAR ULTRASOUND - EA ADD'L VESS,481,RC,92979,CPT,,,outpatient,,,1893,,946.5,1135.8,1836.21,1779.42,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1571.19,,,,percent of total billed charges,,1703.7,,,,percent of total billed charges,,1741.56,,,,percent of total billed charges,,1741.56,,,,percent of total billed charges,,1790.778,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1836.21,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1665.84,,,,percent of total billed charges,,1703.7,,,,percent of total billed charges,,1516.293,,,,percent of total billed charges,,1703.7,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1758.4077,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1516.4823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PACING, INTRA VENTRCULAR",480,RC,93612,CPT,,,outpatient,,,9555,,4777.5,5733,9268.35,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,7653.555,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,8875.6395,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7654.5105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRODUCER KIT/SET,272,RC,,,,,outpatient,,,167,,83.5,100.2,161.99,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,133.767,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,155.1263,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.7837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRODUCER/SHEATH,272,RC,,,,,outpatient,,,500,,250,300,485,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,464.45,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,400.55,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1895  LEAD ICD CARDIO-DEFIBR ENDOCARDIAL  DUAL COIL,275,RC,C1895,HCPCS,,,outpatient,,,7484,,3742,4490.4,7259.48,7034.96,,,,percent of total billed charges,,5987.2,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,6211.72,,,,percent of total billed charges,,6735.6,,,,percent of total billed charges,,6885.28,,,,percent of total billed charges,,6885.28,,,,percent of total billed charges,,7079.864,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,7259.48,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,6585.92,,,,percent of total billed charges,,6735.6,,,,percent of total billed charges,,5994.684,,,,percent of total billed charges,,6735.6,,,,percent of total billed charges,,4490.4,,,,percent of total billed charges,,6951.8876,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,5987.2,,,,percent of total billed charges,,4490.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5995.4324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1898 LEAD  PACEMAKER, OTHER THAN TRANSVENOUS, VDD SINGLE PASS",275,RC,C1898,HCPCS,,,outpatient,,,1502,,751,901.2,1456.94,1411.88,,,,percent of total billed charges,,1201.6,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1246.66,,,,percent of total billed charges,,1351.8,,,,percent of total billed charges,,1381.84,,,,percent of total billed charges,,1381.84,,,,percent of total billed charges,,1420.892,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1456.94,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1321.76,,,,percent of total billed charges,,1351.8,,,,percent of total billed charges,,1203.102,,,,percent of total billed charges,,1351.8,,,,percent of total billed charges,,901.2,,,,percent of total billed charges,,1395.2078,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1201.6,,,,percent of total billed charges,,901.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1203.2522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEAD, CORONARY VENOUS",275,RC,C1900,HCPCS,,,outpatient,,,4804,,2402,2882.4,4659.88,4515.76,,,,percent of total billed charges,,3843.2,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,3987.32,,,,percent of total billed charges,,4323.6,,,,percent of total billed charges,,4419.68,,,,percent of total billed charges,,4419.68,,,,percent of total billed charges,,4544.584,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,4659.88,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,4227.52,,,,percent of total billed charges,,4323.6,,,,percent of total billed charges,,3848.004,,,,percent of total billed charges,,4323.6,,,,percent of total billed charges,,2882.4,,,,percent of total billed charges,,4462.4356,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,3843.2,,,,percent of total billed charges,,2882.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3848.4844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAPPING IV OR IA,480,RC,93609,CPT,,,outpatient,,,10254,,5127,6152.4,9946.38,9638.76,,,,percent of total billed charges,,8203.2,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,8510.82,,,,percent of total billed charges,,9228.6,,,,percent of total billed charges,,9433.68,,,,percent of total billed charges,,9433.68,,,,percent of total billed charges,,9700.284,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,9946.38,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,9023.52,,,,percent of total billed charges,,9228.6,,,,percent of total billed charges,,8213.454,,,,percent of total billed charges,,9228.6,,,,percent of total billed charges,,6152.4,,,,percent of total billed charges,,9524.9406,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,8203.2,,,,percent of total billed charges,,6152.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8214.4794,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE,272,RC,,,,,outpatient,,,161,,80.5,96.6,156.17,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,128.961,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,149.5529,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.9771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE BIOPSY CHEST LINING,361,RC,32400,CPT,,,outpatient,,,2749,,1374.5,1649.4,2666.53,2584.06,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2281.67,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2600.554,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2666.53,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2419.12,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,2201.949,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,2553.5461,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2202.2239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 47000-0361 NEEDLE BIOPSY OF LIVER,361,RC,47000,CPT,,,outpatient,,,3511,,1755.5,2106.6,3405.67,3300.34,,,,percent of total billed charges,,2808.8,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,2914.13,,,,percent of total billed charges,,3159.9,,,,percent of total billed charges,,3230.12,,,,percent of total billed charges,,3230.12,,,,percent of total billed charges,,3321.406,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,3405.67,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,3089.68,,,,percent of total billed charges,,3159.9,,,,percent of total billed charges,,2812.311,,,,percent of total billed charges,,3159.9,,,,percent of total billed charges,,2106.6,,,,percent of total billed charges,,3261.3679,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,2808.8,,,,percent of total billed charges,,2106.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2812.6621,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, MUSCLE",361,RC,20206,CPT,,,outpatient,,,2091,,1045.5,1254.6,2028.27,1965.54,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1735.53,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1978.086,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,2028.27,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1840.08,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1674.891,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,1942.3299,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1675.1001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, PANCREAS",361,RC,48102,CPT,,,outpatient,,,7339,,3669.5,4403.4,7118.83,6898.66,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6091.37,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6942.694,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,7118.83,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6458.32,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,5878.539,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,6817.1971,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5879.2729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORO GUIDE NEEDL PLCMT,320,RC,77002,CPT,,,outpatient,,,738,,369,442.8,715.86,693.72,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,612.54,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,698.148,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,715.86,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,649.44,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,591.138,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,685.5282,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,591.2118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NON-ROUTINE BL DRAW > 3 YRS,361,RC,36410,CPT,,,outpatient,,,879,,439.5,527.4,852.63,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,704.079,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,816.5031,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.1669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTHER INTRODUCER,272,RC,C1894,HCPCS,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER SYS INSERTION DUAL,360,RC,,,,,outpatient,,,13805,,6902.5,8283,13390.85,12976.7,,,,percent of total billed charges,,11044,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,11458.15,,,,percent of total billed charges,,12424.5,,,,percent of total billed charges,,12700.6,,,,percent of total billed charges,,12700.6,,,,percent of total billed charges,,13059.53,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,13390.85,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,12148.4,,,,percent of total billed charges,,12424.5,,,,percent of total billed charges,,11057.805,,,,percent of total billed charges,,12424.5,,,,percent of total billed charges,,8283,,,,percent of total billed charges,,12823.4645,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,11044,,,,percent of total billed charges,,8283,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11059.1855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER SYS INSERTION SINGLE ATRIAL,360,RC,,,,,outpatient,,,14079,,7039.5,8447.4,13656.63,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,11277.279,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,13077.9831,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11278.6869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER SYS INSERTION SINGLE VENTRICULAR,360,RC,,,,,outpatient,,,12570,,6285,7542,12192.9,11815.8,,,,percent of total billed charges,,10056,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,10433.1,,,,percent of total billed charges,,11313,,,,percent of total billed charges,,11564.4,,,,percent of total billed charges,,11564.4,,,,percent of total billed charges,,11891.22,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,12192.9,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,11061.6,,,,percent of total billed charges,,11313,,,,percent of total billed charges,,10068.57,,,,percent of total billed charges,,11313,,,,percent of total billed charges,,7542,,,,percent of total billed charges,,11676.273,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,10056,,,,percent of total billed charges,,7542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10069.827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER UPGRADE,360,RC,,,,,outpatient,,,12699,,6349.5,7619.4,12318.03,11937.06,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10540.17,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,12013.254,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12318.03,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,11175.12,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,10171.899,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,11796.1011,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10173.1689,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT LD FOR LV (AT INSERT OF BI-V),360,RC,,,,,outpatient,,,11772,,5886,7063.2,11418.84,11065.68,,,,percent of total billed charges,,9417.6,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,9770.76,,,,percent of total billed charges,,10594.8,,,,percent of total billed charges,,10830.24,,,,percent of total billed charges,,10830.24,,,,percent of total billed charges,,11136.312,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,11418.84,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,10359.36,,,,percent of total billed charges,,10594.8,,,,percent of total billed charges,,9429.372,,,,percent of total billed charges,,10594.8,,,,percent of total billed charges,,7063.2,,,,percent of total billed charges,,10935.0108,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,9417.6,,,,percent of total billed charges,,7063.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9430.5492,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCMKR GENERATOR CHANGE - DUAL,360,RC,,,,,outpatient,,,9272,,4636,5563.2,8993.84,8715.68,,,,percent of total billed charges,,7417.6,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,7695.76,,,,percent of total billed charges,,8344.8,,,,percent of total billed charges,,8530.24,,,,percent of total billed charges,,8530.24,,,,percent of total billed charges,,8771.312,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,8993.84,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,8159.36,,,,percent of total billed charges,,8344.8,,,,percent of total billed charges,,7426.872,,,,percent of total billed charges,,8344.8,,,,percent of total billed charges,,5563.2,,,,percent of total billed charges,,8612.7608,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,7417.6,,,,percent of total billed charges,,5563.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7427.7992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER GENERATOR CHANGE - SINGLE,360,RC,,,,,outpatient,,,9008,,4504,5404.8,8737.76,8467.52,,,,percent of total billed charges,,7206.4,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,7476.64,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,8287.36,,,,percent of total billed charges,,8287.36,,,,percent of total billed charges,,8521.568,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,8737.76,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,7927.04,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,7215.408,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,5404.8,,,,percent of total billed charges,,8367.5312,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,7206.4,,,,percent of total billed charges,,5404.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7216.3088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1785 PCMKR, DC RATE RESPONSIVE",275,RC,C1785,HCPCS,,,outpatient,,,8628,,4314,5176.8,8369.16,8110.32,,,,percent of total billed charges,,6902.4,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,7161.24,,,,percent of total billed charges,,7765.2,,,,percent of total billed charges,,7937.76,,,,percent of total billed charges,,7937.76,,,,percent of total billed charges,,8162.088,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,8369.16,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,7592.64,,,,percent of total billed charges,,7765.2,,,,percent of total billed charges,,6911.028,,,,percent of total billed charges,,7765.2,,,,percent of total billed charges,,5176.8,,,,percent of total billed charges,,8014.5492,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,6902.4,,,,percent of total billed charges,,5176.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6911.8908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1786 PCMKR, SC RATE RESPONSIVE",275,RC,C1786,HCPCS,,,outpatient,,,19287,,9643.5,11572.2,18708.39,18129.78,,,,percent of total billed charges,,15429.6,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,16008.21,,,,percent of total billed charges,,17358.3,,,,percent of total billed charges,,17744.04,,,,percent of total billed charges,,17744.04,,,,percent of total billed charges,,18245.502,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,18708.39,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,16972.56,,,,percent of total billed charges,,17358.3,,,,percent of total billed charges,,15448.887,,,,percent of total billed charges,,17358.3,,,,percent of total billed charges,,11572.2,,,,percent of total billed charges,,17915.6943,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,15429.6,,,,percent of total billed charges,,11572.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15450.8157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT ABLATE LIVER RF,361,RC,47382,CPT,,,outpatient,,,23763,,11881.5,14257.8,23050.11,22337.22,,,,percent of total billed charges,,19010.4,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,19723.29,,,,percent of total billed charges,,21386.7,,,,percent of total billed charges,,21861.96,,,,percent of total billed charges,,21861.96,,,,percent of total billed charges,,22479.798,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,23050.11,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,20911.44,,,,percent of total billed charges,,21386.7,,,,percent of total billed charges,,19034.163,,,,percent of total billed charges,,21386.7,,,,percent of total billed charges,,14257.8,,,,percent of total billed charges,,22073.4507,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,19010.4,,,,percent of total billed charges,,14257.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19036.5393,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS,360,RC,,,,,outpatient,,,7522,,3761,4513.2,7296.34,7070.68,,,,percent of total billed charges,,6017.6,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,6243.26,,,,percent of total billed charges,,6769.8,,,,percent of total billed charges,,6920.24,,,,percent of total billed charges,,6920.24,,,,percent of total billed charges,,7115.812,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,7296.34,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,6619.36,,,,percent of total billed charges,,6769.8,,,,percent of total billed charges,,6025.122,,,,percent of total billed charges,,6769.8,,,,percent of total billed charges,,4513.2,,,,percent of total billed charges,,6987.1858,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,6017.6,,,,percent of total billed charges,,4513.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6025.8742,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS KIT I,272,RC,,,,,outpatient,,,1077,,538.5,646.2,1044.69,1012.38,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,893.91,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,990.84,,,,percent of total billed charges,,990.84,,,,percent of total billed charges,,1018.842,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,1044.69,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,947.76,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,862.677,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,1000.4253,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,862.7847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50593-0361 CRYOABLATION RENAL UNI PERC,361,RC,50593,CPT,,,outpatient,,,15294,,7647,9176.4,14835.18,14376.36,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,12694.02,,,,percent of total billed charges,,13764.6,,,,percent of total billed charges,,14070.48,,,,percent of total billed charges,,14070.48,,,,percent of total billed charges,,14468.124,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,14835.18,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,13458.72,,,,percent of total billed charges,,13764.6,,,,percent of total billed charges,,12250.494,,,,percent of total billed charges,,13764.6,,,,percent of total billed charges,,9176.4,,,,percent of total billed charges,,14206.5966,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,9176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12252.0234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN AORTA,361,RC,36200,CPT,,,outpatient,,,5407,,2703.5,3244.2,5244.79,5082.58,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4487.81,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,5115.022,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5244.79,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4758.16,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,4331.007,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,5022.5623,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4331.5477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN ARTERY,361,RC,36013,CPT,,,outpatient,,,2078,,1039,1246.8,2015.66,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1664.478,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,1930.2542,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1664.6858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN ARTERY,361,RC,36015,CPT,,,outpatient,,,3694,,1847,2216.4,3583.18,3472.36,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3066.02,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3494.524,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3583.18,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3250.72,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2958.894,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,3431.3566,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2959.2634,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART ADDORD ABD/PEL/EX,361,RC,36248,CPT,,,outpatient,,,2081,,1040.5,1248.6,2018.57,1956.14,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1727.23,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1968.626,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,2018.57,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1831.28,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1666.881,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,1933.0409,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1667.0891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 3RD ORD THORBRAC,361,RC,36217,CPT,,,outpatient,,,1743,,871.5,1045.8,1690.71,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1396.143,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1619.0727,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1396.3173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART EA ADDL THORBRAC,361,RC,36218,CPT,,,outpatient,,,1743,,871.5,1045.8,1690.71,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1396.143,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1619.0727,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1396.3173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART 3RDORD ABD/PEL/EX,361,RC,36247,CPT,,,outpatient,,,12476,,6238,7485.6,12101.72,11727.44,,,,percent of total billed charges,,9980.8,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,10355.08,,,,percent of total billed charges,,11228.4,,,,percent of total billed charges,,11477.92,,,,percent of total billed charges,,11477.92,,,,percent of total billed charges,,11802.296,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,12101.72,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,10978.88,,,,percent of total billed charges,,11228.4,,,,percent of total billed charges,,9993.276,,,,percent of total billed charges,,11228.4,,,,percent of total billed charges,,7485.6,,,,percent of total billed charges,,11588.9564,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,9980.8,,,,percent of total billed charges,,7485.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9994.5236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PLACE PULM ARTERY,361,RC,36014,CPT,,,outpatient,,,3226,,1613,1935.6,3129.22,3032.44,,,,percent of total billed charges,,2580.8,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,2677.58,,,,percent of total billed charges,,2903.4,,,,percent of total billed charges,,2967.92,,,,percent of total billed charges,,2967.92,,,,percent of total billed charges,,3051.796,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,3129.22,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,2838.88,,,,percent of total billed charges,,2903.4,,,,percent of total billed charges,,2584.026,,,,percent of total billed charges,,2903.4,,,,percent of total billed charges,,1935.6,,,,percent of total billed charges,,2996.6314,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,2580.8,,,,percent of total billed charges,,1935.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2584.3486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 2ND ORD THORBRAC,361,RC,36216,CPT,,,outpatient,,,1743,,871.5,1045.8,1690.71,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1396.143,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1619.0727,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1396.3173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART 1STORD ABD/PEL/EX,361,RC,36245,CPT,,,outpatient,,,5748,,2874,3448.8,5575.56,5403.12,,,,percent of total billed charges,,4598.4,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,4770.84,,,,percent of total billed charges,,5173.2,,,,percent of total billed charges,,5288.16,,,,percent of total billed charges,,5288.16,,,,percent of total billed charges,,5437.608,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,5575.56,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,5058.24,,,,percent of total billed charges,,5173.2,,,,percent of total billed charges,,4604.148,,,,percent of total billed charges,,5173.2,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,5339.3172,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,4598.4,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4604.7228,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART 2NDORD ABD/PEL/EX,361,RC,36246,CPT,,,outpatient,,,10845,,5422.5,6507,10519.65,10194.3,,,,percent of total billed charges,,8676,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,9001.35,,,,percent of total billed charges,,9760.5,,,,percent of total billed charges,,9977.4,,,,percent of total billed charges,,9977.4,,,,percent of total billed charges,,10259.37,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,10519.65,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,9543.6,,,,percent of total billed charges,,9760.5,,,,percent of total billed charges,,8686.845,,,,percent of total billed charges,,9760.5,,,,percent of total billed charges,,6507,,,,percent of total billed charges,,10073.9205,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,8676,,,,percent of total billed charges,,6507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8687.9295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 1ST ORD THORBRAC,361,RC,36215,CPT,,,outpatient,,,1743,,871.5,1045.8,1690.71,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1396.143,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1619.0727,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1396.3173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN VEIN,361,RC,36011,CPT,,,outpatient,,,3435,,1717.5,2061,3331.95,3228.9,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2851.05,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3249.51,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3331.95,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3022.8,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2751.435,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,3190.7715,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2751.7785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN VEIN,361,RC,36012,CPT,,,outpatient,,,3285,,1642.5,1971,3186.45,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2631.285,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3051.4365,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2631.6135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN VEIN,361,RC,36010,CPT,,,outpatient,,,2683,,1341.5,1609.8,2602.51,2522.02,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2226.89,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2538.118,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2602.51,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2361.04,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2149.083,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,2492.2387,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2149.3513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POCKET REVISION/PACEMAKER,360,RC,,,,,outpatient,,,9934,,4967,5960.4,9635.98,9337.96,,,,percent of total billed charges,,7947.2,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,8245.22,,,,percent of total billed charges,,8940.6,,,,percent of total billed charges,,9139.28,,,,percent of total billed charges,,9139.28,,,,percent of total billed charges,,9397.564,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,9635.98,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,8741.92,,,,percent of total billed charges,,8940.6,,,,percent of total billed charges,,7957.134,,,,percent of total billed charges,,8940.6,,,,percent of total billed charges,,5960.4,,,,percent of total billed charges,,9227.6926,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,7947.2,,,,percent of total billed charges,,5960.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7958.1274,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERC MECH THROMB INT VESS,361,RC,37184,CPT,,,outpatient,,,12323,,6161.5,7393.8,11953.31,11583.62,,,,percent of total billed charges,,9858.4,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,10228.09,,,,percent of total billed charges,,11090.7,,,,percent of total billed charges,,11337.16,,,,percent of total billed charges,,11337.16,,,,percent of total billed charges,,11657.558,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,11953.31,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,10844.24,,,,percent of total billed charges,,11090.7,,,,percent of total billed charges,,9870.723,,,,percent of total billed charges,,11090.7,,,,percent of total billed charges,,7393.8,,,,percent of total billed charges,,11446.8347,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,9858.4,,,,percent of total billed charges,,7393.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9871.9553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRIM ART M-THROMBECT ADD-ON,361,RC,37185,CPT,,,outpatient,,,5122,,2561,3073.2,4968.34,4814.68,,,,percent of total billed charges,,4097.6,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4251.26,,,,percent of total billed charges,,4609.8,,,,percent of total billed charges,,4712.24,,,,percent of total billed charges,,4712.24,,,,percent of total billed charges,,4845.412,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4968.34,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4507.36,,,,percent of total billed charges,,4609.8,,,,percent of total billed charges,,4102.722,,,,percent of total billed charges,,4609.8,,,,percent of total billed charges,,3073.2,,,,percent of total billed charges,,4757.8258,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4097.6,,,,percent of total billed charges,,3073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4103.2342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSEUDOANEURYSM INJECTION TRT,361,RC,36002,CPT,,,outpatient,,,716,,358,429.6,694.52,673.04,,,,percent of total billed charges,,572.8,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,594.28,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,658.72,,,,percent of total billed charges,,658.72,,,,percent of total billed charges,,677.336,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,694.52,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,630.08,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,573.516,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,665.0924,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,572.8,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,573.5876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA PULM ART SINGLE VESSEL,481,RC,92997,CPT,,,outpatient,,,15288,,7644,9172.8,14829.36,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,12245.688,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,14201.0232,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12247.2168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA PULM ART EA ADD'L VESSEL,481,RC,92998,CPT,,,outpatient,,,2992,,1496,1795.2,2902.24,2812.48,,,,percent of total billed charges,,2393.6,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2483.36,,,,percent of total billed charges,,2692.8,,,,percent of total billed charges,,2752.64,,,,percent of total billed charges,,2752.64,,,,percent of total billed charges,,2830.432,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2902.24,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2632.96,,,,percent of total billed charges,,2692.8,,,,percent of total billed charges,,2396.592,,,,percent of total billed charges,,2692.8,,,,percent of total billed charges,,1795.2,,,,percent of total billed charges,,2779.2688,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2393.6,,,,percent of total billed charges,,1795.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2396.8912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PUNCTURE DRAINAGE OF LESION,361,RC,10160,CPT,,,outpatient,,,1769,,884.5,1061.4,1715.93,1662.86,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1468.27,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1673.474,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1715.93,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1556.72,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1416.969,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,1643.2241,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1417.1459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1764 RECORDER CARDIAC, MED REVAL",278,RC,C1764,HCPCS,,,outpatient,,,10253,,5126.5,6151.8,9945.41,9637.82,,,,percent of total billed charges,,8202.4,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,8509.99,,,,percent of total billed charges,,9227.7,,,,percent of total billed charges,,9432.76,,,,percent of total billed charges,,9432.76,,,,percent of total billed charges,,9699.338,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,9945.41,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,9022.64,,,,percent of total billed charges,,9227.7,,,,percent of total billed charges,,8212.653,,,,percent of total billed charges,,9227.7,,,,percent of total billed charges,,6151.8,,,,percent of total billed charges,,9524.0117,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,8202.4,,,,percent of total billed charges,,6151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8213.6783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF PCM GENERATOR,360,RC,,,,,outpatient,,,9938,,4969,5962.8,9639.86,9341.72,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8248.54,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9401.348,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9639.86,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8745.44,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,7960.338,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,9231.4082,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7961.3318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF PCM LEAD - SINGLE,360,RC,,,,,outpatient,,,14079,,7039.5,8447.4,13656.63,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,11277.279,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,13077.9831,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11278.6869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF PCM LEAD - DUAL,360,RC,,,,,outpatient,,,14079,,7039.5,8447.4,13656.63,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,11277.279,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,13077.9831,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11278.6869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOV TUNN CVCATH WO PORT,361,RC,36589,CPT,,,outpatient,,,3657,,1828.5,2194.2,3547.29,3437.58,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3035.31,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3459.522,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3547.29,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3218.16,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2929.257,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,3396.9873,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2929.6227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF SINGLE OR DUAL ICD LEADS,360,RC,,,,,outpatient,,,9938,,4969,5962.8,9639.86,9341.72,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8248.54,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9401.348,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9639.86,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8745.44,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,7960.338,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,9231.4082,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7961.3318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REVISION (TIPS),361,RC,37183,CPT,,,outpatient,,,8888,,4444,5332.8,8621.36,8354.72,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7377.04,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8408.048,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8621.36,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7821.44,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,7119.288,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,8256.0632,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7120.1768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL SUBQ CARDIAC RHYTHM MONITOR,361,RC,33286,CPT,,,outpatient,,,2953,,1476.5,1771.8,2864.41,2775.82,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2450.99,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2793.538,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2864.41,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2598.64,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,2365.353,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,2743.0417,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2365.6483,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVE RENAL TUBE W/FLUORO,361,RC,50389,CPT,,,outpatient,,,1720,,860,1032,1668.4,1616.8,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1427.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1627.12,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1668.4,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1377.72,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1597.708,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1377.892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA BALLOON FEM POP,361,RC,37224,CPT,,,outpatient,,,16107,,8053.5,9664.2,15623.79,15140.58,,,,percent of total billed charges,,12885.6,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,13368.81,,,,percent of total billed charges,,14496.3,,,,percent of total billed charges,,14818.44,,,,percent of total billed charges,,14818.44,,,,percent of total billed charges,,15237.222,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,15623.79,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,14174.16,,,,percent of total billed charges,,14496.3,,,,percent of total billed charges,,12901.707,,,,percent of total billed charges,,14496.3,,,,percent of total billed charges,,9664.2,,,,percent of total billed charges,,14961.7923,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,12885.6,,,,percent of total billed charges,,9664.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12903.3177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA BALLOON ILIAC,361,RC,37222,CPT,,,outpatient,,,7681,,3840.5,4608.6,7450.57,7220.14,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6375.23,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7266.226,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7450.57,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6759.28,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,6152.481,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,7134.8809,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6153.2491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DISC ASPIRATION,361,RC,62267,CPT,,,outpatient,,,1968,,984,1180.8,1908.96,1849.92,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1633.44,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1861.728,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1908.96,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1731.84,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1576.368,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1828.0752,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1576.5648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR OF LEAD - SINGLE,360,RC,,,,,outpatient,,,12699,,6349.5,7619.4,12318.03,11937.06,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10540.17,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,12013.254,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12318.03,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,11175.12,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,10171.899,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,11796.1011,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10173.1689,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR CVCATH WO PORTPUMP,361,RC,36575,CPT,,,outpatient,,,1239,,619.5,743.4,1201.83,1164.66,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1028.37,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1172.094,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1201.83,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1090.32,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,992.439,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,1150.9071,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,992.5629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR CVCATH W PORTPUMP,361,RC,36576,CPT,,,outpatient,,,5986,,2993,3591.6,5806.42,5626.84,,,,percent of total billed charges,,4788.8,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,4968.38,,,,percent of total billed charges,,5387.4,,,,percent of total billed charges,,5507.12,,,,percent of total billed charges,,5507.12,,,,percent of total billed charges,,5662.756,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,5806.42,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,5267.68,,,,percent of total billed charges,,5387.4,,,,percent of total billed charges,,4794.786,,,,percent of total billed charges,,5387.4,,,,percent of total billed charges,,3591.6,,,,percent of total billed charges,,5560.3954,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,4788.8,,,,percent of total billed charges,,3591.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4795.3846,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL CVADCATH WOPORT,361,RC,36580,CPT,,,outpatient,,,2422,,1211,1453.2,2349.34,2276.68,,,,percent of total billed charges,,1937.6,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2010.26,,,,percent of total billed charges,,2179.8,,,,percent of total billed charges,,2228.24,,,,percent of total billed charges,,2228.24,,,,percent of total billed charges,,2291.212,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2349.34,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2131.36,,,,percent of total billed charges,,2179.8,,,,percent of total billed charges,,1940.022,,,,percent of total billed charges,,2179.8,,,,percent of total billed charges,,1453.2,,,,percent of total billed charges,,2249.7958,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,1937.6,,,,percent of total billed charges,,1453.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1940.2642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL PICC WO PORT,361,RC,36584,CPT,,,outpatient,,,2219,,1109.5,1331.4,2152.43,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1777.419,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2061.2291,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1777.6409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPL CVCATH W PORT PUMP,361,RC,36578,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL CVCATH WOPORT,361,RC,36581,CPT,,,outpatient,,,5832,,2916,3499.2,5657.04,5482.08,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4840.56,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5517.072,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5657.04,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5132.16,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,4671.432,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,5417.3448,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4672.0152,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL CVCATH W PORT,361,RC,36582,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITION GASTROSTOMY TUBE,361,RC,43761,CPT,,,outpatient,,,3716,,1858,2229.6,3604.52,3493.04,,,,percent of total billed charges,,2972.8,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3084.28,,,,percent of total billed charges,,3344.4,,,,percent of total billed charges,,3418.72,,,,percent of total billed charges,,3418.72,,,,percent of total billed charges,,3515.336,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3604.52,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3270.08,,,,percent of total billed charges,,3344.4,,,,percent of total billed charges,,2976.516,,,,percent of total billed charges,,3344.4,,,,percent of total billed charges,,2229.6,,,,percent of total billed charges,,3451.7924,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,2972.8,,,,percent of total billed charges,,2229.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2976.8876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOS OF LV LEAD,360,RC,,,,,outpatient,,,14079,,7039.5,8447.4,13656.63,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,11277.279,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,13077.9831,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11278.6869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITION OF IMPLANTED LEAD,360,RC,,,,,outpatient,,,14079,,7039.5,8447.4,13656.63,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,11277.279,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,13077.9831,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11278.6869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOS VEN CATH UND FLUOR,361,RC,36597,CPT,,,outpatient,,,2235,,1117.5,1341,2167.95,2100.9,,,,percent of total billed charges,,1788,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,1855.05,,,,percent of total billed charges,,2011.5,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,2114.31,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,2167.95,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,1966.8,,,,percent of total billed charges,,2011.5,,,,percent of total billed charges,,1790.235,,,,percent of total billed charges,,2011.5,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,2076.0915,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,1788,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1790.4585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1773 RETRIEVAL DEVICE I,278,RC,C1773,HCPCS,,,outpatient,,,1137,,568.5,682.2,1102.89,1068.78,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,943.71,,,,percent of total billed charges,,1023.3,,,,percent of total billed charges,,1046.04,,,,percent of total billed charges,,1046.04,,,,percent of total billed charges,,1075.602,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,1102.89,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,1000.56,,,,percent of total billed charges,,1023.3,,,,percent of total billed charges,,910.737,,,,percent of total billed charges,,1023.3,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,1056.1593,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,910.8507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AORTIC BALLOON VALVULOPLASTY,481,RC,92986,CPT,,,outpatient,,,8888,,4444,5332.8,8621.36,8354.72,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7377.04,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8408.048,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8621.36,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7821.44,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,7119.288,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,8256.0632,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7120.1768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33741-0360 TAS CONGENITAL CAR ANOMAL,360,RC,33741,CPT,,,outpatient,,,12132,,6066,7279.2,11768.04,11404.08,,,,percent of total billed charges,,9705.6,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,10069.56,,,,percent of total billed charges,,10918.8,,,,percent of total billed charges,,11161.44,,,,percent of total billed charges,,11161.44,,,,percent of total billed charges,,11476.872,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,11768.04,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,10676.16,,,,percent of total billed charges,,10918.8,,,,percent of total billed charges,,9717.732,,,,percent of total billed charges,,10918.8,,,,percent of total billed charges,,7279.2,,,,percent of total billed charges,,11269.4148,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,9705.6,,,,percent of total billed charges,,7279.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9718.9452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY BALLOON VALVULOPLASTY,481,RC,92990,CPT,,,outpatient,,,15288,,7644,9172.8,14829.36,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,12245.688,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,14201.0232,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12247.2168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EKG 1-3LEADS TRACING ONLY,730,RC,93041,CPT,,,outpatient,,,330,,165,198,320.1,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,264.33,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,306.537,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,264.363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R HT CATH ONLY,481,RC,93451,CPT,,,outpatient,,,9454,,4727,5672.4,9170.38,8886.76,,,,percent of total billed charges,,7563.2,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,7846.82,,,,percent of total billed charges,,8508.6,,,,percent of total billed charges,,8697.68,,,,percent of total billed charges,,8697.68,,,,percent of total billed charges,,8943.484,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,9170.38,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,8319.52,,,,percent of total billed charges,,8508.6,,,,percent of total billed charges,,7572.654,,,,percent of total billed charges,,8508.6,,,,percent of total billed charges,,5672.4,,,,percent of total billed charges,,8781.8206,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,7563.2,,,,percent of total billed charges,,5672.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7573.5994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECORDING, RIGHT VENTRICULAR",480,RC,93603,CPT,,,outpatient,,,5468,,2734,3280.8,5303.96,5139.92,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4538.44,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5172.728,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5303.96,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4811.84,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,4379.868,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,5079.2252,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4380.4148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEC ART M-THROMBECT ADD-ON,361,RC,37186,CPT,,,outpatient,,,7681,,3840.5,4608.6,7450.57,7220.14,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6375.23,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7266.226,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7450.57,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6759.28,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,6152.481,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,7134.8809,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6153.2491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEPTAL DEFECT DEVICE,278,RC,C1817,HCPCS,,,outpatient,,,5557,,2778.5,3334.2,5390.29,5223.58,,,,percent of total billed charges,,4445.6,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,4612.31,,,,percent of total billed charges,,5001.3,,,,percent of total billed charges,,5112.44,,,,percent of total billed charges,,5112.44,,,,percent of total billed charges,,5256.922,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,5390.29,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,4890.16,,,,percent of total billed charges,,5001.3,,,,percent of total billed charges,,4451.157,,,,percent of total billed charges,,5001.3,,,,percent of total billed charges,,3334.2,,,,percent of total billed charges,,5161.8973,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,4445.6,,,,percent of total billed charges,,3334.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4451.7127,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHEATH,272,RC,C1894,HCPCS,,,outpatient,,,247,,123.5,148.2,239.59,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,197.847,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,229.4383,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.8717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL FLUID TAP, DIAGNOSTIC W/O GUIDE",361,RC,62270,CPT,,,outpatient,,,2011,,1005.5,1206.6,1950.67,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1610.811,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,1868.0179,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1611.0121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1876 STENT NONCOATED/NONCOVERED, W/ DELIVERY SYSTEM",278,RC,C1876,HCPCS,,,outpatient,,,2304,,1152,1382.4,2234.88,2165.76,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1912.32,,,,percent of total billed charges,,2073.6,,,,percent of total billed charges,,2119.68,,,,percent of total billed charges,,2119.68,,,,percent of total billed charges,,2179.584,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2234.88,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2027.52,,,,percent of total billed charges,,2073.6,,,,percent of total billed charges,,1845.504,,,,percent of total billed charges,,2073.6,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,2140.1856,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1845.7344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT DRUG ELUTING,278,RC,C1874,HCPCS,,,outpatient,,,2170,,1085,1302,2104.9,2039.8,,,,percent of total billed charges,,1736,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,1801.1,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,1996.4,,,,percent of total billed charges,,1996.4,,,,percent of total billed charges,,2052.82,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,2104.9,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,1909.6,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,1738.17,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,1302,,,,percent of total billed charges,,2015.713,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,1736,,,,percent of total billed charges,,1302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1738.387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT MISC I,278,RC,C1876,HCPCS,,,outpatient,,,4422,,2211,2653.2,4289.34,4156.68,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,3670.26,,,,percent of total billed charges,,3979.8,,,,percent of total billed charges,,4068.24,,,,percent of total billed charges,,4068.24,,,,percent of total billed charges,,4183.212,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,4289.34,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,3891.36,,,,percent of total billed charges,,3979.8,,,,percent of total billed charges,,3542.022,,,,percent of total billed charges,,3979.8,,,,percent of total billed charges,,2653.2,,,,percent of total billed charges,,4107.5958,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,2653.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3542.4642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1874 STENT, COATED/COVERED, W/ DELIVERY SYSTEM",278,RC,C1874,HCPCS,,,outpatient,,,2408,,1204,1444.8,2335.76,2263.52,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1998.64,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2277.968,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2335.76,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2119.04,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1928.808,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,2236.7912,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1929.0488,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROGRAM STIMULATION/IV DRUG INFUSION,480,RC,93623,CPT,,,outpatient,,,4002,,2001,2401.2,3881.94,3761.88,,,,percent of total billed charges,,3201.6,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3321.66,,,,percent of total billed charges,,3601.8,,,,percent of total billed charges,,3681.84,,,,percent of total billed charges,,3681.84,,,,percent of total billed charges,,3785.892,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3881.94,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3521.76,,,,percent of total billed charges,,3601.8,,,,percent of total billed charges,,3205.602,,,,percent of total billed charges,,3601.8,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,3717.4578,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3201.6,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3206.0022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOSTATIC PATCH,272,RC,,,,,outpatient,,,1591,,795.5,954.6,1543.27,1495.54,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1320.53,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1505.086,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1543.27,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1400.08,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1274.391,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,1477.8799,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1274.5501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEMPORARY PACEMAKER INSERTION,360,RC,,,,,outpatient,,,2464,,1232,1478.4,2390.08,2316.16,,,,percent of total billed charges,,1971.2,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2045.12,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2266.88,,,,percent of total billed charges,,2266.88,,,,percent of total billed charges,,2330.944,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2390.08,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2168.32,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,1973.664,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,1478.4,,,,percent of total billed charges,,2288.8096,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,1971.2,,,,percent of total billed charges,,1478.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1973.9104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTERNAL TEMP PACING,480,RC,92953,CPT,,,outpatient,,,1841,,920.5,1104.6,1785.77,1730.54,,,,percent of total billed charges,,1472.8,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1528.03,,,,percent of total billed charges,,1656.9,,,,percent of total billed charges,,1693.72,,,,percent of total billed charges,,1693.72,,,,percent of total billed charges,,1741.586,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1785.77,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1620.08,,,,percent of total billed charges,,1656.9,,,,percent of total billed charges,,1474.641,,,,percent of total billed charges,,1656.9,,,,percent of total billed charges,,1104.6,,,,percent of total billed charges,,1710.1049,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1472.8,,,,percent of total billed charges,,1104.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1474.8251,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INOTROPIC INFUSION THERAPY EACH ADD'L HOUR,260,RC,96366,CPT,,,outpatient,,,2355,,1177.5,1413,2284.35,2213.7,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1954.65,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2227.83,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2284.35,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2072.4,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1886.355,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,2187.5595,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1886.5905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INOTROPIC INFUSION THERAPY 1ST HR,260,RC,96365,CPT,,,outpatient,,,2355,,1177.5,1413,2284.35,2213.7,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1954.65,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2227.83,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2284.35,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2072.4,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1886.355,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,2187.5595,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1886.5905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBOLYTIC THERAPY, STROKE",361,RC,37195,CPT,,,outpatient,,,1304,,652,782.4,1264.88,1225.76,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1082.32,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1233.584,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1264.88,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1147.52,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1044.504,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,1211.2856,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1044.6344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TILT TABLE EVALUATION,482,RC,93660,CPT,,,outpatient,,,766,,383,459.6,743.02,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,613.566,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,711.5374,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,613.6426,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PFO/ASD CLOSURE PERCUTANEOUS (INCL R&L HEART CATH, INJCTNS, VENT/ATRIAL IMAGING)",481,RC,93580,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCATH STENT, CCA W/EPS",361,RC,37215,CPT,,,outpatient,,,28005,,14002.5,16803,27164.85,26324.7,,,,percent of total billed charges,,22404,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,23244.15,,,,percent of total billed charges,,25204.5,,,,percent of total billed charges,,25764.6,,,,percent of total billed charges,,25764.6,,,,percent of total billed charges,,26492.73,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,27164.85,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,24644.4,,,,percent of total billed charges,,25204.5,,,,percent of total billed charges,,22432.005,,,,percent of total billed charges,,25204.5,,,,percent of total billed charges,,16803,,,,percent of total billed charges,,26013.8445,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,22404,,,,percent of total billed charges,,16803,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22434.8055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCATH STENT, CCA W/O EPS",361,RC,37216,CPT,,,outpatient,,,26964,,13482,16178.4,26155.08,25346.16,,,,percent of total billed charges,,21571.2,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,22380.12,,,,percent of total billed charges,,24267.6,,,,percent of total billed charges,,24806.88,,,,percent of total billed charges,,24806.88,,,,percent of total billed charges,,25507.944,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,26155.08,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,23728.32,,,,percent of total billed charges,,24267.6,,,,percent of total billed charges,,21598.164,,,,percent of total billed charges,,24267.6,,,,percent of total billed charges,,16178.4,,,,percent of total billed charges,,25046.8596,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,21571.2,,,,percent of total billed charges,,16178.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21600.8604,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATHETER BIOPSY,361,RC,37200,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH I,278,RC,C1725,HCPCS,,,outpatient,,,810,,405,486,785.7,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,648.81,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,752.409,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH II,278,RC,C1725,HCPCS,,,outpatient,,,718,,359,430.8,696.46,674.92,,,,percent of total billed charges,,574.4,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,595.94,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,660.56,,,,percent of total billed charges,,660.56,,,,percent of total billed charges,,679.228,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,696.46,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,631.84,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,575.118,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,430.8,,,,percent of total billed charges,,666.9502,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,574.4,,,,percent of total billed charges,,430.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,575.1898,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROLOGY SURGERY PROCEDURE,361,RC,53899,CPT,,,outpatient,,,582,,291,349.2,564.54,547.08,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,535.44,,,,percent of total billed charges,,535.44,,,,percent of total billed charges,,550.572,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,564.54,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,466.182,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,540.6198,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,466.2402,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US GUIDE, VASCULAR ACCESS",402,RC,76937,CPT,,,outpatient,,,311,,155.5,186.6,301.67,292.34,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,258.13,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,294.206,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,301.67,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,273.68,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,249.111,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,288.8879,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,249.1421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH BX S&I,320,RC,75970,CPT,,,outpatient,,,2201,,1100.5,1320.6,2134.97,2068.94,,,,percent of total billed charges,,1760.8,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,1826.83,,,,percent of total billed charges,,1980.9,,,,percent of total billed charges,,2024.92,,,,percent of total billed charges,,2024.92,,,,percent of total billed charges,,2082.146,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,2134.97,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,1936.88,,,,percent of total billed charges,,1980.9,,,,percent of total billed charges,,1763.001,,,,percent of total billed charges,,1980.9,,,,percent of total billed charges,,1320.6,,,,percent of total billed charges,,2044.5089,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,1760.8,,,,percent of total billed charges,,1320.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1763.2211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1760 VASCULAR CLOSURE DEVICE,278,RC,C1760,HCPCS,,,outpatient,,,761,,380.5,456.6,738.17,715.34,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,631.63,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,719.906,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,738.17,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,669.68,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,609.561,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,706.8929,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,609.6371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASCULAR SURGERY PROCEDURE,361,RC,37799,CPT,,,outpatient,,,1663,,831.5,997.8,1613.11,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1332.063,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1544.7607,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1332.2293,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I VENOGRAPHY EXT UNILATERAL,320,RC,75820,CPT,,,outpatient,,,2410,,1205,1446,2337.7,2265.4,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2000.3,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2279.86,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2337.7,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2120.8,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1930.41,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,2238.649,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1930.651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENOGRAM EXT BIL S&I,320,RC,75822,CPT,,,outpatient,,,2410,,1205,1446,2337.7,2265.4,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2000.3,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2279.86,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2337.7,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2120.8,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1930.41,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,2238.649,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1930.651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO CAVAL SUP SERIAL S&I,320,RC,75827,CPT,,,outpatient,,,4064,,2032,2438.4,3942.08,3820.16,,,,percent of total billed charges,,3251.2,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3373.12,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,3738.88,,,,percent of total billed charges,,3738.88,,,,percent of total billed charges,,3844.544,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3942.08,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3576.32,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,3255.264,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,2438.4,,,,percent of total billed charges,,3775.0496,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3251.2,,,,percent of total billed charges,,2438.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3255.6704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO RENAL SELECT UNI S&I,320,RC,75831,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO HEPAT W HEMODYN S&I,320,RC,75889,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO HEPAT WO HEMODYN S&I,320,RC,75891,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I VENOGAPHY CS OR JUGULAR,320,RC,75860,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO SUP SAGITT SINUS S&I,320,RC,75870,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO CAVAL INF SERIAL S&I,320,RC,75825,CPT,,,outpatient,,,5818,,2909,3490.8,5643.46,5468.92,,,,percent of total billed charges,,4654.4,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,4828.94,,,,percent of total billed charges,,5236.2,,,,percent of total billed charges,,5352.56,,,,percent of total billed charges,,5352.56,,,,percent of total billed charges,,5503.828,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,5643.46,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,5119.84,,,,percent of total billed charges,,5236.2,,,,percent of total billed charges,,4660.218,,,,percent of total billed charges,,5236.2,,,,percent of total billed charges,,3490.8,,,,percent of total billed charges,,5404.3402,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,4654.4,,,,percent of total billed charges,,3490.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4660.7998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENA CAVA FILTER,278,RC,C1880,HCPCS,,,outpatient,,,3187,,1593.5,1912.2,3091.39,2995.78,,,,percent of total billed charges,,2549.6,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,2645.21,,,,percent of total billed charges,,2868.3,,,,percent of total billed charges,,2932.04,,,,percent of total billed charges,,2932.04,,,,percent of total billed charges,,3014.902,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,3091.39,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,2804.56,,,,percent of total billed charges,,2868.3,,,,percent of total billed charges,,2552.787,,,,percent of total billed charges,,2868.3,,,,percent of total billed charges,,1912.2,,,,percent of total billed charges,,2960.4043,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,2549.6,,,,percent of total billed charges,,1912.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2553.1057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENOUS MECH THROMBECTOMY,361,RC,37187,CPT,,,outpatient,,,15288,,7644,9172.8,14829.36,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,12245.688,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,14201.0232,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12247.2168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEN SAMPLE THRU CATH S&I,320,RC,75893,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WIRE PRESSURE,272,RC,,,,,outpatient,,,619,,309.5,371.4,600.43,581.86,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,513.77,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,585.574,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,600.43,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,544.72,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,495.819,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,574.9891,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,495.8809,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERIALOGRAM ABD W RUNOFF,323,RC,75630,CPT,,,outpatient,,,6264,,3132,3758.4,6076.08,5888.16,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5199.12,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5925.744,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,6076.08,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5512.32,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,5017.464,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,5818.6296,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5018.0904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHG PERC CATH W CONT S&I,320,RC,75984,CPT,,,outpatient,,,636,,318,381.6,616.92,597.84,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,527.88,,,,percent of total billed charges,,572.4,,,,percent of total billed charges,,585.12,,,,percent of total billed charges,,585.12,,,,percent of total billed charges,,601.656,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,616.92,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,559.68,,,,percent of total billed charges,,572.4,,,,percent of total billed charges,,509.436,,,,percent of total billed charges,,572.4,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,590.7804,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,509.4996,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ABSC/FIST/SINUS S&I,320,RC,76080,CPT,,,outpatient,,,828,,414,496.8,803.16,778.32,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,687.24,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,761.76,,,,percent of total billed charges,,761.76,,,,percent of total billed charges,,783.288,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,663.228,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,769.1292,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,663.3108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY GU DILATION S&I,320,RC,74485,CPT,,,outpatient,,,2662,,1331,1597.2,2582.14,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2132.262,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2472.7318,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2132.5282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DISCOGRAM LUMB S&I,320,RC,72295,CPT,,,outpatient,,,4109,,2054.5,2465.4,3985.73,3862.46,,,,percent of total billed charges,,3287.2,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3410.47,,,,percent of total billed charges,,3698.1,,,,percent of total billed charges,,3780.28,,,,percent of total billed charges,,3780.28,,,,percent of total billed charges,,3887.114,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3985.73,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3615.92,,,,percent of total billed charges,,3698.1,,,,percent of total billed charges,,3291.309,,,,percent of total billed charges,,3698.1,,,,percent of total billed charges,,2465.4,,,,percent of total billed charges,,3816.8501,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3287.2,,,,percent of total billed charges,,2465.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3291.7199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY BILE DUCT DIL S&I,320,RC,74363,CPT,,,outpatient,,,1313,,656.5,787.8,1273.61,1234.22,,,,percent of total billed charges,,1050.4,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1089.79,,,,percent of total billed charges,,1181.7,,,,percent of total billed charges,,1207.96,,,,percent of total billed charges,,1207.96,,,,percent of total billed charges,,1242.098,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1273.61,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1155.44,,,,percent of total billed charges,,1181.7,,,,percent of total billed charges,,1051.713,,,,percent of total billed charges,,1181.7,,,,percent of total billed charges,,787.8,,,,percent of total billed charges,,1219.6457,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1050.4,,,,percent of total billed charges,,787.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1051.8443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR THOR AORTA S&I,320,RC,75956,CPT,,,outpatient,,,14408,,7204,8644.8,13975.76,13543.52,,,,percent of total billed charges,,11526.4,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,11958.64,,,,percent of total billed charges,,12967.2,,,,percent of total billed charges,,13255.36,,,,percent of total billed charges,,13255.36,,,,percent of total billed charges,,13629.968,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,13975.76,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,12679.04,,,,percent of total billed charges,,12967.2,,,,percent of total billed charges,,11540.808,,,,percent of total billed charges,,12967.2,,,,percent of total billed charges,,8644.8,,,,percent of total billed charges,,13383.5912,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,11526.4,,,,percent of total billed charges,,8644.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11542.2488,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR DES THOR/AORTA S&I,320,RC,75957,CPT,,,outpatient,,,12352,,6176,7411.2,11981.44,11610.88,,,,percent of total billed charges,,9881.6,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,10252.16,,,,percent of total billed charges,,11116.8,,,,percent of total billed charges,,11363.84,,,,percent of total billed charges,,11363.84,,,,percent of total billed charges,,11684.992,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,11981.44,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,10869.76,,,,percent of total billed charges,,11116.8,,,,percent of total billed charges,,9893.952,,,,percent of total billed charges,,11116.8,,,,percent of total billed charges,,7411.2,,,,percent of total billed charges,,11473.7728,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,9881.6,,,,percent of total billed charges,,7411.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9895.1872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URETHROCYSTO RETRO S&I,320,RC,74450,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH THER EMB S&I,320,RC,75894,CPT,,,outpatient,,,5397,,2698.5,3238.2,5235.09,5073.18,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4479.51,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,5105.562,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5235.09,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4749.36,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,4322.997,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,5013.2733,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4323.5367,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE BIOPSY KIT,272,RC,,,,,outpatient,,,1627,,813.5,976.2,1578.19,1529.38,,,,percent of total billed charges,,1301.6,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1350.41,,,,percent of total billed charges,,1464.3,,,,percent of total billed charges,,1496.84,,,,percent of total billed charges,,1496.84,,,,percent of total billed charges,,1539.142,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1578.19,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1431.76,,,,percent of total billed charges,,1464.3,,,,percent of total billed charges,,1303.227,,,,percent of total billed charges,,1464.3,,,,percent of total billed charges,,976.2,,,,percent of total billed charges,,1511.3203,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1301.6,,,,percent of total billed charges,,976.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1303.3897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH EMBOLECTOMY ART,278,RC,,,,,outpatient,,,278,,139,166.8,269.66,261.32,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,230.74,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,262.988,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,269.66,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,244.64,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,222.678,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,258.2342,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,222.7058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC,TRAN ANGIO,TIBIOPERONEAL",361,RC,37228,CPT,,,outpatient,,,19686,,9843,11811.6,19095.42,18504.84,,,,percent of total billed charges,,15748.8,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,16339.38,,,,percent of total billed charges,,17717.4,,,,percent of total billed charges,,18111.12,,,,percent of total billed charges,,18111.12,,,,percent of total billed charges,,18622.956,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,19095.42,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,17323.68,,,,percent of total billed charges,,17717.4,,,,percent of total billed charges,,15768.486,,,,percent of total billed charges,,17717.4,,,,percent of total billed charges,,11811.6,,,,percent of total billed charges,,18286.3254,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,15748.8,,,,percent of total billed charges,,11811.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15770.4546,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNLISTED PRCDURE,VASCULAR INJ",361,RC,36299,CPT,,,outpatient,,,443,,221.5,265.8,429.71,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,354.843,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,411.5027,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.8873,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT PICC W/PORT >5,361,RC,36571,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORTOGRAM WO HEMODYN S&I,320,RC,75887,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I TRANSCATHETEROCCL/EMBOLIZATION W/DEVICE,320,RC,75894,CPT,,,outpatient,,,5397,,2698.5,3238.2,5235.09,5073.18,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4479.51,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,5105.562,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5235.09,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4749.36,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,4322.997,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,5013.2733,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4323.5367,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITRAL BALLOON VALVULOPLASTY,481,RC,92987,CPT,,,outpatient,,,15288,,7644,9172.8,14829.36,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,12245.688,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,14201.0232,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12247.2168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PLCMNT NON SEL FEMORAL AR,361,RC,36140,CPT,,,outpatient,,,3597,,1798.5,2158.2,3489.09,3381.18,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2985.51,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3402.762,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3489.09,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3165.36,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2881.197,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,3341.2533,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2881.5567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IVP W OR WO KUB OR TOMO,320,RC,74400,CPT,,,outpatient,,,1217,,608.5,730.2,1180.49,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,974.817,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1130.4713,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.9387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREO LOC ADD SITE,401,RC,19284,CPT,,,outpatient,,,651,,325.5,390.6,631.47,611.94,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,540.33,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,615.846,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,631.47,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,572.88,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,521.451,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,604.7139,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,521.5161,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINE, CERVICAL 4 VIEWS",320,RC,72050,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE THORAC MIN 4V,320,RC,72074,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY LUMBOSACR COMPLETE,320,RC,72114,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUMBOSACR BEND 2 OR 3 VWS,320,RC,72120,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SHOULDER, 1 VIEW",320,RC,73020,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY KNEE COMPLETE,320,RC,73564,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI FACE, NECK W/CONTRAST",611,RC,70542,CPT,,,outpatient,,,2834,,1417,1700.4,2748.98,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2270.034,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2632.5026,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2270.3174,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI, ABDOMEN W/CONTRAST",614,RC,74182,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI,UPR EXTREM W/CONTRAST",614,RC,73219,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JNT UPR EXT W/CONTRST,614,RC,73222,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOBRONC CATH 150MM,272,RC,,,,,outpatient,,,810,,405,486,785.7,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,648.81,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,752.409,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERT ONLY-DUAL,360,RC,,,,,outpatient,,,12276,,6138,7365.6,11907.72,11539.44,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10189.08,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11613.096,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11907.72,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10802.88,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,9833.076,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,11403.1764,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9834.3036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VSD CLOS(R&L HRT CTH&INJ),481,RC,93581,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL TUNNELED W PORT/PUMP,361,RC,36590,CPT,,,outpatient,,,6189,,3094.5,3713.4,6003.33,5817.66,,,,percent of total billed charges,,4951.2,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,5136.87,,,,percent of total billed charges,,5570.1,,,,percent of total billed charges,,5693.88,,,,percent of total billed charges,,5693.88,,,,percent of total billed charges,,5854.794,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,6003.33,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,5446.32,,,,percent of total billed charges,,5570.1,,,,percent of total billed charges,,4957.389,,,,percent of total billed charges,,5570.1,,,,percent of total billed charges,,3713.4,,,,percent of total billed charges,,5748.9621,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,4951.2,,,,percent of total billed charges,,3713.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4958.0079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO INTRACARDIAC,482,RC,93662,CPT,,,outpatient,,,4988,,2494,2992.8,4838.36,4688.72,,,,percent of total billed charges,,3990.4,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4140.04,,,,percent of total billed charges,,4489.2,,,,percent of total billed charges,,4588.96,,,,percent of total billed charges,,4588.96,,,,percent of total billed charges,,4718.648,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4838.36,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4389.44,,,,percent of total billed charges,,4489.2,,,,percent of total billed charges,,3995.388,,,,percent of total billed charges,,4489.2,,,,percent of total billed charges,,2992.8,,,,percent of total billed charges,,4633.3532,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,3990.4,,,,percent of total billed charges,,2992.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3995.8868,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOSPY, KYPHX",272,RC,,,,,outpatient,,,505,,252.5,303,489.85,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,404.505,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,469.0945,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.5555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBO VEN ACC DEVICE,361,RC,36593,CPT,,,outpatient,,,709,,354.5,425.4,687.73,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,567.909,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,658.5901,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,567.9799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32550-0361 INS TUNN PLEUR CATH W/ CUFF,361,RC,32550,CPT,,,outpatient,,,7021,,3510.5,4212.6,6810.37,6599.74,,,,percent of total billed charges,,5616.8,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,5827.43,,,,percent of total billed charges,,6318.9,,,,percent of total billed charges,,6459.32,,,,percent of total billed charges,,6459.32,,,,percent of total billed charges,,6641.866,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,6810.37,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,6178.48,,,,percent of total billed charges,,6318.9,,,,percent of total billed charges,,5623.821,,,,percent of total billed charges,,6318.9,,,,percent of total billed charges,,4212.6,,,,percent of total billed charges,,6521.8069,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,5616.8,,,,percent of total billed charges,,4212.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5624.5231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INST G TUBE PERC UNDER FLUORO INCL INJ,361,RC,49440,CPT,,,outpatient,,,7724,,3862,4634.4,7492.28,7260.56,,,,percent of total billed charges,,6179.2,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,6410.92,,,,percent of total billed charges,,6951.6,,,,percent of total billed charges,,7106.08,,,,percent of total billed charges,,7106.08,,,,percent of total billed charges,,7306.904,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,7492.28,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,6797.12,,,,percent of total billed charges,,6951.6,,,,percent of total billed charges,,6186.924,,,,percent of total billed charges,,6951.6,,,,percent of total billed charges,,4634.4,,,,percent of total billed charges,,7174.8236,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,6179.2,,,,percent of total billed charges,,4634.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6187.6964,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INST DUODENO OR JTUBE PERC UND FLU INJ,361,RC,49441,CPT,,,outpatient,,,8816,,4408,5289.6,8551.52,8287.04,,,,percent of total billed charges,,7052.8,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,7317.28,,,,percent of total billed charges,,7934.4,,,,percent of total billed charges,,8110.72,,,,percent of total billed charges,,8110.72,,,,percent of total billed charges,,8339.936,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,8551.52,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,7758.08,,,,percent of total billed charges,,7934.4,,,,percent of total billed charges,,7061.616,,,,percent of total billed charges,,7934.4,,,,percent of total billed charges,,5289.6,,,,percent of total billed charges,,8189.1824,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,7052.8,,,,percent of total billed charges,,5289.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7062.4976,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONV JTUBE TO GTUBE UND FLUORO INC INJ,361,RC,49446,CPT,,,outpatient,,,6117,,3058.5,3670.2,5933.49,5749.98,,,,percent of total billed charges,,4893.6,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5077.11,,,,percent of total billed charges,,5505.3,,,,percent of total billed charges,,5627.64,,,,percent of total billed charges,,5627.64,,,,percent of total billed charges,,5786.682,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5933.49,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5382.96,,,,percent of total billed charges,,5505.3,,,,percent of total billed charges,,4899.717,,,,percent of total billed charges,,5505.3,,,,percent of total billed charges,,3670.2,,,,percent of total billed charges,,5682.0813,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,4893.6,,,,percent of total billed charges,,3670.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4900.3287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RPLC DUODENO OR JTUBE PERC UND FLUORO,361,RC,49451,CPT,,,outpatient,,,3402,,1701,2041.2,3299.94,3197.88,,,,percent of total billed charges,,2721.6,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,2823.66,,,,percent of total billed charges,,3061.8,,,,percent of total billed charges,,3129.84,,,,percent of total billed charges,,3129.84,,,,percent of total billed charges,,3218.292,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,3299.94,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,2993.76,,,,percent of total billed charges,,3061.8,,,,percent of total billed charges,,2725.002,,,,percent of total billed charges,,3061.8,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,3160.1178,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,2721.6,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2725.3422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RPLC G-JTUBE PERC UND FLUORO INC INJ,361,RC,49452,CPT,,,outpatient,,,5287,,2643.5,3172.2,5128.39,4969.78,,,,percent of total billed charges,,4229.6,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,4388.21,,,,percent of total billed charges,,4758.3,,,,percent of total billed charges,,4864.04,,,,percent of total billed charges,,4864.04,,,,percent of total billed charges,,5001.502,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,5128.39,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,4652.56,,,,percent of total billed charges,,4758.3,,,,percent of total billed charges,,4234.887,,,,percent of total billed charges,,4758.3,,,,percent of total billed charges,,3172.2,,,,percent of total billed charges,,4911.0943,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,4229.6,,,,percent of total billed charges,,3172.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4235.4157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CNTRST INJ G,DUODENO J OR G-JTUBE PERC",361,RC,49465,CPT,,,outpatient,,,1145,,572.5,687,1110.65,1076.3,,,,percent of total billed charges,,916,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,950.35,,,,percent of total billed charges,,1030.5,,,,percent of total billed charges,,1053.4,,,,percent of total billed charges,,1053.4,,,,percent of total billed charges,,1083.17,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,1110.65,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,1007.6,,,,percent of total billed charges,,1030.5,,,,percent of total billed charges,,917.145,,,,percent of total billed charges,,1030.5,,,,percent of total billed charges,,687,,,,percent of total billed charges,,1063.5905,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,916,,,,percent of total billed charges,,687,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,917.2595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RPLC GTUBE PERC UNDR FLUORO INC INJ,361,RC,49450,CPT,,,outpatient,,,2510,,1255,1506,2434.7,2359.4,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2083.3,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2374.46,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2434.7,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2208.8,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,2010.51,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,2331.539,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2010.761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORTOGRAM W HEMODYN S&I,320,RC,75885,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF PERC LV ASSIST DEVICE,480,RC,92970,CPT,,,outpatient,,,14205,,7102.5,8523,13778.85,13352.7,,,,percent of total billed charges,,11364,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,11790.15,,,,percent of total billed charges,,12784.5,,,,percent of total billed charges,,13068.6,,,,percent of total billed charges,,13068.6,,,,percent of total billed charges,,13437.93,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,13778.85,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,12500.4,,,,percent of total billed charges,,12784.5,,,,percent of total billed charges,,11378.205,,,,percent of total billed charges,,12784.5,,,,percent of total billed charges,,8523,,,,percent of total billed charges,,13195.0245,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,11364,,,,percent of total billed charges,,8523,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11379.6255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LC BEADS,272,RC,,,,,outpatient,,,3867,,1933.5,2320.2,3750.99,3634.98,,,,percent of total billed charges,,3093.6,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3209.61,,,,percent of total billed charges,,3480.3,,,,percent of total billed charges,,3557.64,,,,percent of total billed charges,,3557.64,,,,percent of total billed charges,,3658.182,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3750.99,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3402.96,,,,percent of total billed charges,,3480.3,,,,percent of total billed charges,,3097.467,,,,percent of total billed charges,,3480.3,,,,percent of total billed charges,,2320.2,,,,percent of total billed charges,,3592.0563,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3093.6,,,,percent of total billed charges,,2320.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3097.8537,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ THRU ILEAL CONDUIT URETERAL CATHET,361,RC,50684,CPT,,,outpatient,,,1567,,783.5,940.2,1519.99,1472.98,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1300.61,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1482.382,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1519.99,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1378.96,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1255.167,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,1455.5863,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1255.3237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRO OF NEEDLE/CATHETER, VEIN",361,RC,36000,CPT,,,outpatient,,,535,,267.5,321,518.95,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,428.535,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,496.9615,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,428.5885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I VENOGRAPHY ORBITAL,320,RC,75880,CPT,,,outpatient,,,6726,,3363,4035.6,6524.22,6322.44,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5582.58,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6362.796,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6524.22,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5918.88,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5387.526,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,6247.7814,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5388.1986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I ENDOVASC REP THORACIC AORTA DISTAL,320,RC,75958,CPT,,,outpatient,,,8235,,4117.5,4941,7987.95,7740.9,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6835.05,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7790.31,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7987.95,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7246.8,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,6596.235,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,7649.4915,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6597.0585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I ENDOVASC REP THORACIC AORTA DISTAL,320,RC,75959,CPT,,,outpatient,,,7204,,3602,4322.4,6987.88,6771.76,,,,percent of total billed charges,,5763.2,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,5979.32,,,,percent of total billed charges,,6483.6,,,,percent of total billed charges,,6627.68,,,,percent of total billed charges,,6627.68,,,,percent of total billed charges,,6814.984,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,6987.88,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,6339.52,,,,percent of total billed charges,,6483.6,,,,percent of total billed charges,,5770.404,,,,percent of total billed charges,,6483.6,,,,percent of total billed charges,,4322.4,,,,percent of total billed charges,,6691.7956,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,5763.2,,,,percent of total billed charges,,4322.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5771.1244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EP PACEMAKER EVALUATION,480,RC,93724,CPT,,,outpatient,,,8384,,4192,5030.4,8132.48,7880.96,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6958.72,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7931.264,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,8132.48,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7377.92,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,6715.584,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,7787.8976,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6716.4224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2629 SHEATH, LASER",272,RC,C2629,HCPCS,,,outpatient,,,7182,,3591,4309.2,6966.54,6751.08,,,,percent of total billed charges,,5745.6,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,5961.06,,,,percent of total billed charges,,6463.8,,,,percent of total billed charges,,6607.44,,,,percent of total billed charges,,6607.44,,,,percent of total billed charges,,6794.172,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,6966.54,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,6320.16,,,,percent of total billed charges,,6463.8,,,,percent of total billed charges,,5752.782,,,,percent of total billed charges,,6463.8,,,,percent of total billed charges,,4309.2,,,,percent of total billed charges,,6671.3598,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,5745.6,,,,percent of total billed charges,,4309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5753.5002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2621 PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER IMPLANT (BI-VENT)",275,RC,C2621,HCPCS,,,outpatient,,,15870,,7935,9522,15393.9,14917.8,,,,percent of total billed charges,,12696,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,13172.1,,,,percent of total billed charges,,14283,,,,percent of total billed charges,,14600.4,,,,percent of total billed charges,,14600.4,,,,percent of total billed charges,,15013.02,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,15393.9,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,13965.6,,,,percent of total billed charges,,14283,,,,percent of total billed charges,,12711.87,,,,percent of total billed charges,,14283,,,,percent of total billed charges,,9522,,,,percent of total billed charges,,14741.643,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,12696,,,,percent of total billed charges,,9522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12713.457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASONIC GUIDE FOR NDLE PLCMT-INJCTN,402,RC,76942,CPT,,,outpatient,,,754,,377,452.4,731.38,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,603.954,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,700.3906,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,604.0294,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1900 LEAD BI VENT II, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",275,RC,C1900,HCPCS,,,outpatient,,,4745,,2372.5,2847,4602.65,4460.3,,,,percent of total billed charges,,3796,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,3938.35,,,,percent of total billed charges,,4270.5,,,,percent of total billed charges,,4365.4,,,,percent of total billed charges,,4365.4,,,,percent of total billed charges,,4488.77,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,4602.65,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,4175.6,,,,percent of total billed charges,,4270.5,,,,percent of total billed charges,,3800.745,,,,percent of total billed charges,,4270.5,,,,percent of total billed charges,,2847,,,,percent of total billed charges,,4407.6305,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,3796,,,,percent of total billed charges,,2847,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3801.2195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE,300,RC,36415,CPT,,,outpatient,,,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT C/T 1 LEV,361,RC,64490,CPT,,,outpatient,,,3364,,1682,2018.4,3263.08,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2694.564,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3124.8196,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2694.9004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT C/T 2 LEV,361,RC,64491,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT C/T 3 LEV,361,RC,64492,CPT,,,outpatient,,,1811,,905.5,1086.6,1756.67,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1450.611,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1682.2379,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1450.7921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT L/S 1 LEV,361,RC,64493,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT L/S 2 LEV,361,RC,64494,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT L/S 3 LEV,361,RC,64495,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IODINE I-131 CAPSULES, THERAPEUTIC , PER MCI",344,RC,A9517,HCPCS,,,outpatient,,,80,,40,48,77.6,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,64.08,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,74.312,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR BILE DUCT/PANCREAS,CHOLANGIOGRAPHY",320,RC,74301,CPT,,,outpatient,,,838,,419,502.8,812.86,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,671.238,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,778.4182,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,671.3218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TECHNETIUM TC-99M PERTECHNETATE, DIAG, PER MCI",343,RC,A9512,HCPCS,,,outpatient,,,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IODINE I-123 IOBENGUANE,DIAG,UP TO 15",343,RC,A9582,HCPCS,,,outpatient,,,8049,,4024.5,4829.4,7807.53,7566.06,,,,percent of total billed charges,,6439.2,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,6680.67,,,,percent of total billed charges,,7244.1,,,,percent of total billed charges,,7405.08,,,,percent of total billed charges,,7405.08,,,,percent of total billed charges,,7614.354,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,7807.53,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,7083.12,,,,percent of total billed charges,,7244.1,,,,percent of total billed charges,,6447.249,,,,percent of total billed charges,,7244.1,,,,percent of total billed charges,,4829.4,,,,percent of total billed charges,,7476.7161,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,6439.2,,,,percent of total billed charges,,4829.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6448.0539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLC FOR IMRT,333,RC,77338,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1750 CATH HEMODIALYSIS/PERIOTONEAL, LONG-TERM",278,RC,C1750,HCPCS,,,outpatient,,,1042,,521,625.2,1010.74,979.48,,,,percent of total billed charges,,833.6,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,864.86,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,958.64,,,,percent of total billed charges,,958.64,,,,percent of total billed charges,,985.732,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,1010.74,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,916.96,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,834.642,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,625.2,,,,percent of total billed charges,,967.9138,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,833.6,,,,percent of total billed charges,,625.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,834.7462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY RIBS BILATERAL,320,RC,71111,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACIC SPINNE 2 VIEWS,320,RC,72070,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY ILIAC,361,RC,0238T,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM POP ATHERECT/PLASTY,361,RC,37225,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM POP ATHERECT/PLASTY/STENT,361,RC,37227,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIBIOPER ATHERECT/PLASTY,361,RC,37229,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIOPER ATHERECT/PLASTY,ADD'L",361,RC,37233,CPT,,,outpatient,,,13377,,6688.5,8026.2,12975.69,12574.38,,,,percent of total billed charges,,10701.6,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,11102.91,,,,percent of total billed charges,,12039.3,,,,percent of total billed charges,,12306.84,,,,percent of total billed charges,,12306.84,,,,percent of total billed charges,,12654.642,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,12975.69,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,11771.76,,,,percent of total billed charges,,12039.3,,,,percent of total billed charges,,10714.977,,,,percent of total billed charges,,12039.3,,,,percent of total billed charges,,8026.2,,,,percent of total billed charges,,12425.8953,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,10701.6,,,,percent of total billed charges,,8026.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10716.3147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIOPERONEAL PLASTY,ADD'L",361,RC,37232,CPT,,,outpatient,,,8235,,4117.5,4941,7987.95,7740.9,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6835.05,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7790.31,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7987.95,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7246.8,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,6596.235,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,7649.4915,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6597.0585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ILIAC STENT/PLASTY,361,RC,37221,CPT,,,outpatient,,,17896,,8948,10737.6,17359.12,16822.24,,,,percent of total billed charges,,14316.8,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,14853.68,,,,percent of total billed charges,,16106.4,,,,percent of total billed charges,,16464.32,,,,percent of total billed charges,,16464.32,,,,percent of total billed charges,,16929.616,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,17359.12,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,15748.48,,,,percent of total billed charges,,16106.4,,,,percent of total billed charges,,14334.696,,,,percent of total billed charges,,16106.4,,,,percent of total billed charges,,10737.6,,,,percent of total billed charges,,16623.5944,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,14316.8,,,,percent of total billed charges,,10737.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14336.4856,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ILIAC STENT/PLASTY, ADD'L",361,RC,37223,CPT,,,outpatient,,,8749,,4374.5,5249.4,8486.53,8224.06,,,,percent of total billed charges,,6999.2,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,7261.67,,,,percent of total billed charges,,7874.1,,,,percent of total billed charges,,8049.08,,,,percent of total billed charges,,8049.08,,,,percent of total billed charges,,8276.554,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,8486.53,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,7699.12,,,,percent of total billed charges,,7874.1,,,,percent of total billed charges,,7007.949,,,,percent of total billed charges,,7874.1,,,,percent of total billed charges,,5249.4,,,,percent of total billed charges,,8126.9461,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,6999.2,,,,percent of total billed charges,,5249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7008.8239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM/POP PLASTY/STENT,361,RC,37226,CPT,,,outpatient,,,20649,,10324.5,12389.4,20029.53,19410.06,,,,percent of total billed charges,,16519.2,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,17138.67,,,,percent of total billed charges,,18584.1,,,,percent of total billed charges,,18997.08,,,,percent of total billed charges,,18997.08,,,,percent of total billed charges,,19533.954,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,20029.53,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,18171.12,,,,percent of total billed charges,,18584.1,,,,percent of total billed charges,,16539.849,,,,percent of total billed charges,,18584.1,,,,percent of total billed charges,,12389.4,,,,percent of total billed charges,,19180.8561,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,16519.2,,,,percent of total billed charges,,12389.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16541.9139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM/POP PLASTY/STENT/ATHERECT,361,RC,37227,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIBIAL/PERONEAL STENT/PLASTY,361,RC,37230,CPT,,,outpatient,,,24696,,12348,14817.6,23955.12,23214.24,,,,percent of total billed charges,,19756.8,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,20497.68,,,,percent of total billed charges,,22226.4,,,,percent of total billed charges,,22720.32,,,,percent of total billed charges,,22720.32,,,,percent of total billed charges,,23362.416,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,23955.12,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,21732.48,,,,percent of total billed charges,,22226.4,,,,percent of total billed charges,,19781.496,,,,percent of total billed charges,,22226.4,,,,percent of total billed charges,,14817.6,,,,percent of total billed charges,,22940.1144,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,19756.8,,,,percent of total billed charges,,14817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19783.9656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIBIAL/PERONEAL STENT/PLASTY/ATHERECT,361,RC,37231,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIAL/PERONEAL STENT/PLASTY, ADD'L",361,RC,37234,CPT,,,outpatient,,,11321,,5660.5,6792.6,10981.37,10641.74,,,,percent of total billed charges,,9056.8,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,9396.43,,,,percent of total billed charges,,10188.9,,,,percent of total billed charges,,10415.32,,,,percent of total billed charges,,10415.32,,,,percent of total billed charges,,10709.666,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,10981.37,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,9962.48,,,,percent of total billed charges,,10188.9,,,,percent of total billed charges,,9068.121,,,,percent of total billed charges,,10188.9,,,,percent of total billed charges,,6792.6,,,,percent of total billed charges,,10516.0769,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,9056.8,,,,percent of total billed charges,,6792.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9069.2531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIAL/PER STENT/PLASTY/ATHERECT,ADD'L",361,RC,37235,CPT,,,outpatient,,,16054,,8027,9632.4,15572.38,15090.76,,,,percent of total billed charges,,12843.2,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,13324.82,,,,percent of total billed charges,,14448.6,,,,percent of total billed charges,,14769.68,,,,percent of total billed charges,,14769.68,,,,percent of total billed charges,,15187.084,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,15572.38,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,14127.52,,,,percent of total billed charges,,14448.6,,,,percent of total billed charges,,12859.254,,,,percent of total billed charges,,14448.6,,,,percent of total billed charges,,9632.4,,,,percent of total billed charges,,14912.5606,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,12843.2,,,,percent of total billed charges,,9632.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12860.8594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L HT CATH W/WO LV GRAM INCL S&I,481,RC,93452,CPT,,,outpatient,,,11881,,5940.5,7128.6,11524.57,11168.14,,,,percent of total billed charges,,9504.8,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,9861.23,,,,percent of total billed charges,,10692.9,,,,percent of total billed charges,,10930.52,,,,percent of total billed charges,,10930.52,,,,percent of total billed charges,,11239.426,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,11524.57,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,10455.28,,,,percent of total billed charges,,10692.9,,,,percent of total billed charges,,9516.681,,,,percent of total billed charges,,10692.9,,,,percent of total billed charges,,7128.6,,,,percent of total billed charges,,11036.2609,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,9504.8,,,,percent of total billed charges,,7128.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9517.8691,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R&L HT CATH W/WO LV GRAM INCL S&I,481,RC,93453,CPT,,,outpatient,,,16568,,8284,9940.8,16070.96,15573.92,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13751.44,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15673.328,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,16070.96,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,14579.84,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,13270.968,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,15390.0152,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13272.6248,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORONARY ANGIO INCL S&I,481,RC,93454,CPT,,,outpatient,,,8824,,4412,5294.4,8559.28,8294.56,,,,percent of total billed charges,,7059.2,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,7323.92,,,,percent of total billed charges,,7941.6,,,,percent of total billed charges,,8118.08,,,,percent of total billed charges,,8118.08,,,,percent of total billed charges,,8347.504,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,8559.28,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,7765.12,,,,percent of total billed charges,,7941.6,,,,percent of total billed charges,,7068.024,,,,percent of total billed charges,,7941.6,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,8196.6136,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,7059.2,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7068.9064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORONARY & BYPASS ANGIO INCL S&I,481,RC,93455,CPT,,,outpatient,,,10408,,5204,6244.8,10095.76,9783.52,,,,percent of total billed charges,,8326.4,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,8638.64,,,,percent of total billed charges,,9367.2,,,,percent of total billed charges,,9575.36,,,,percent of total billed charges,,9575.36,,,,percent of total billed charges,,9845.968,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,10095.76,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,9159.04,,,,percent of total billed charges,,9367.2,,,,percent of total billed charges,,8336.808,,,,percent of total billed charges,,9367.2,,,,percent of total billed charges,,6244.8,,,,percent of total billed charges,,9667.9912,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,8326.4,,,,percent of total billed charges,,6244.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8337.8488,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R HT CATH W/CORONARY ANGIO INCL S&I,481,RC,93456,CPT,,,outpatient,,,9980,,4990,5988,9680.6,9381.2,,,,percent of total billed charges,,7984,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,8283.4,,,,percent of total billed charges,,8982,,,,percent of total billed charges,,9181.6,,,,percent of total billed charges,,9181.6,,,,percent of total billed charges,,9441.08,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,9680.6,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,8782.4,,,,percent of total billed charges,,8982,,,,percent of total billed charges,,7993.98,,,,percent of total billed charges,,8982,,,,percent of total billed charges,,5988,,,,percent of total billed charges,,9270.422,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,7984,,,,percent of total billed charges,,5988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7994.978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R HT CATH  W/CORONARY & BYPASS ANGIO I,481,RC,93457,CPT,,,outpatient,,,13047,,6523.5,7828.2,12655.59,12264.18,,,,percent of total billed charges,,10437.6,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,10829.01,,,,percent of total billed charges,,11742.3,,,,percent of total billed charges,,12003.24,,,,percent of total billed charges,,12003.24,,,,percent of total billed charges,,12342.462,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,12655.59,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,11481.36,,,,percent of total billed charges,,11742.3,,,,percent of total billed charges,,10450.647,,,,percent of total billed charges,,11742.3,,,,percent of total billed charges,,7828.2,,,,percent of total billed charges,,12119.3583,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,10437.6,,,,percent of total billed charges,,7828.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10451.9517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L HT CATH W/CORONARY ANGIO W/WO LV GRA,481,RC,93458,CPT,,,outpatient,,,14588,,7294,8752.8,14150.36,13712.72,,,,percent of total billed charges,,11670.4,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,12108.04,,,,percent of total billed charges,,13129.2,,,,percent of total billed charges,,13420.96,,,,percent of total billed charges,,13420.96,,,,percent of total billed charges,,13800.248,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,14150.36,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,12837.44,,,,percent of total billed charges,,13129.2,,,,percent of total billed charges,,11684.988,,,,percent of total billed charges,,13129.2,,,,percent of total billed charges,,8752.8,,,,percent of total billed charges,,13550.7932,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,11670.4,,,,percent of total billed charges,,8752.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11686.4468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L HT CATH W/CORONARY&BYPASS ANGIO W/WO,481,RC,93459,CPT,,,outpatient,,,17290,,8645,10374,16771.3,16252.6,,,,percent of total billed charges,,13832,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,14350.7,,,,percent of total billed charges,,15561,,,,percent of total billed charges,,15906.8,,,,percent of total billed charges,,15906.8,,,,percent of total billed charges,,16356.34,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,16771.3,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,15215.2,,,,percent of total billed charges,,15561,,,,percent of total billed charges,,13849.29,,,,percent of total billed charges,,15561,,,,percent of total billed charges,,10374,,,,percent of total billed charges,,16060.681,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,13832,,,,percent of total billed charges,,10374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13851.019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R&L HT CATH W/CORONARY ANGIO W/WO LV G,481,RC,93460,CPT,,,outpatient,,,16568,,8284,9940.8,16070.96,15573.92,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13751.44,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15673.328,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,16070.96,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,14579.84,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,13270.968,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,15390.0152,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13272.6248,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R&L HT CATH W/CORONARY&BYPASS ANGIO W/,481,RC,93461,CPT,,,outpatient,,,17759,,8879.5,10655.4,17226.23,16693.46,,,,percent of total billed charges,,14207.2,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,14739.97,,,,percent of total billed charges,,15983.1,,,,percent of total billed charges,,16338.28,,,,percent of total billed charges,,16338.28,,,,percent of total billed charges,,16800.014,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,17226.23,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,15627.92,,,,percent of total billed charges,,15983.1,,,,percent of total billed charges,,14224.959,,,,percent of total billed charges,,15983.1,,,,percent of total billed charges,,10655.4,,,,percent of total billed charges,,16496.3351,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,14207.2,,,,percent of total billed charges,,10655.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14226.7349,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSEP PUNCTURE-VIA SEPTUM OR LHC,481,RC,93462,CPT,,,outpatient,,,8948,,4474,5368.8,8679.56,8411.12,,,,percent of total billed charges,,7158.4,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,7426.84,,,,percent of total billed charges,,8053.2,,,,percent of total billed charges,,8232.16,,,,percent of total billed charges,,8232.16,,,,percent of total billed charges,,8464.808,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,8679.56,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,7874.24,,,,percent of total billed charges,,8053.2,,,,percent of total billed charges,,7167.348,,,,percent of total billed charges,,8053.2,,,,percent of total billed charges,,5368.8,,,,percent of total billed charges,,8311.7972,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,7158.4,,,,percent of total billed charges,,5368.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7168.2428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHARM STRESS W/CATH (NOT INCLDG DRUG),481,RC,93463,CPT,,,outpatient,,,4824,,2412,2894.4,4679.28,4534.56,,,,percent of total billed charges,,3859.2,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4003.92,,,,percent of total billed charges,,4341.6,,,,percent of total billed charges,,4438.08,,,,percent of total billed charges,,4438.08,,,,percent of total billed charges,,4563.504,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4679.28,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4245.12,,,,percent of total billed charges,,4341.6,,,,percent of total billed charges,,3864.024,,,,percent of total billed charges,,4341.6,,,,percent of total billed charges,,2894.4,,,,percent of total billed charges,,4481.0136,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,3859.2,,,,percent of total billed charges,,2894.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3864.5064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXERC STRESS W/CATH (ARM ERGOM/BIKE),481,RC,93464,CPT,,,outpatient,,,4371,,2185.5,2622.6,4239.87,4108.74,,,,percent of total billed charges,,3496.8,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,3627.93,,,,percent of total billed charges,,3933.9,,,,percent of total billed charges,,4021.32,,,,percent of total billed charges,,4021.32,,,,percent of total billed charges,,4134.966,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,4239.87,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,3846.48,,,,percent of total billed charges,,3933.9,,,,percent of total billed charges,,3501.171,,,,percent of total billed charges,,3933.9,,,,percent of total billed charges,,2622.6,,,,percent of total billed charges,,4060.2219,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,3496.8,,,,percent of total billed charges,,2622.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3501.6081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORONARY ANGIO INCL S&I CHD ONLY,481,RC,93563,CPT,,,outpatient,,,1158,,579,694.8,1123.26,1088.52,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,961.14,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1095.468,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1123.26,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1019.04,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,927.558,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,1075.6662,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,927.6738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BYPASS ANGIO INCL S&I CHD ONLY,481,RC,93564,CPT,,,outpatient,,,3194,,1597,1916.4,3098.18,3002.36,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2651.02,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,3021.524,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3098.18,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2810.72,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2558.394,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,2966.9066,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2558.7134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LV OR LA ANGIO INCL S&I CHD ONLY,481,RC,93565,CPT,,,outpatient,,,4698,,2349,2818.8,4557.06,4416.12,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3899.34,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4444.308,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4557.06,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4134.24,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,3763.098,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,4363.9722,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3763.5678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RV OR RA ANGIO INCL S&I ADULT OR CHD,481,RC,93566,CPT,,,outpatient,,,4698,,2349,2818.8,4557.06,4416.12,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3899.34,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4444.308,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4557.06,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4134.24,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,3763.098,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,4363.9722,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3763.5678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUPRAVALV AORTOG INCL S&I ADULT OR CHD,481,RC,93567,CPT,,,outpatient,,,602,,301,361.2,583.94,565.88,,,,percent of total billed charges,,481.6,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,499.66,,,,percent of total billed charges,,541.8,,,,percent of total billed charges,,553.84,,,,percent of total billed charges,,553.84,,,,percent of total billed charges,,569.492,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,583.94,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,529.76,,,,percent of total billed charges,,541.8,,,,percent of total billed charges,,482.202,,,,percent of total billed charges,,541.8,,,,percent of total billed charges,,361.2,,,,percent of total billed charges,,559.1978,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,481.6,,,,percent of total billed charges,,361.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,482.2622,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY ANGIO INCL S&I ADULT OR CHD,481,RC,93568,CPT,,,outpatient,,,759,,379.5,455.4,736.23,713.46,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,629.97,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,718.014,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,736.23,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,607.959,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,705.0351,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,608.0349,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D RENDERING - INDPT STATION,350,RC,76377,CPT,,,outpatient,,,857,,428.5,514.2,831.29,805.58,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,711.31,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,810.722,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,831.29,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,754.16,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,686.457,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,796.0673,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,686.5427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEVICE, RADIAL ARTERY COMPRESSION",272,RC,,,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT OF INTRAPERITONEAL TUNNEL CATHE,361,RC,49418,CPT,,,outpatient,,,7053,,3526.5,4231.8,6841.41,6629.82,,,,percent of total billed charges,,5642.4,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,5853.99,,,,percent of total billed charges,,6347.7,,,,percent of total billed charges,,6488.76,,,,percent of total billed charges,,6488.76,,,,percent of total billed charges,,6672.138,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,6841.41,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,6206.64,,,,percent of total billed charges,,6347.7,,,,percent of total billed charges,,5649.453,,,,percent of total billed charges,,6347.7,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,6551.5317,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,5642.4,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5650.1583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA ILIAC INITIAL VESSEL,360,RC,37220,CPT,,,outpatient,,,14585,,7292.5,8751,14147.45,13709.9,,,,percent of total billed charges,,11668,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,12105.55,,,,percent of total billed charges,,13126.5,,,,percent of total billed charges,,13418.2,,,,percent of total billed charges,,13418.2,,,,percent of total billed charges,,13797.41,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,14147.45,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,12834.8,,,,percent of total billed charges,,13126.5,,,,percent of total billed charges,,11682.585,,,,percent of total billed charges,,13126.5,,,,percent of total billed charges,,8751,,,,percent of total billed charges,,13548.0065,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,11668,,,,percent of total billed charges,,8751,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11684.0435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH,IMPLANTABLE PORT SNGL W/SUTURE PLUGS LUMEN VENOUS",278,RC,C1751,HCPCS,,,outpatient,,,514,,257,308.4,498.58,483.16,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,426.62,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,486.244,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,498.58,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,452.32,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,411.714,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,477.4546,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,411.7654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, TRIPLE LUMEN CV",278,RC,C1751,HCPCS,,,outpatient,,,783,,391.5,469.8,759.51,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,627.183,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,727.3287,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,627.2613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELIAC PLEXUS NERVE BLOCK,361,RC,64530,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RFA OF KIDNEY TUMOR,360,RC,50592,CPT,,,outpatient,,,26346,,13173,15807.6,25555.62,24765.24,,,,percent of total billed charges,,21076.8,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,21867.18,,,,percent of total billed charges,,23711.4,,,,percent of total billed charges,,24238.32,,,,percent of total billed charges,,24238.32,,,,percent of total billed charges,,24923.316,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,25555.62,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,23184.48,,,,percent of total billed charges,,23711.4,,,,percent of total billed charges,,21103.146,,,,percent of total billed charges,,23711.4,,,,percent of total billed charges,,15807.6,,,,percent of total billed charges,,24472.7994,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,21076.8,,,,percent of total billed charges,,15807.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21105.7806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ANGIO ABDOMEN PELVIS,350,RC,74174,CPT,,,outpatient,,,4800,,2400,2880,4656,4512,,,,percent of total billed charges,,3840,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,3984,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,4416,,,,percent of total billed charges,,4416,,,,percent of total billed charges,,4540.8,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,4656,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,4224,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,3844.8,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,4458.72,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,3840,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3845.28,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATOBILIARY IMAGING,340,RC,78226,CPT,,,outpatient,,,1630,,815,978,1581.1,1532.2,,,,percent of total billed charges,,1304,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1352.9,,,,percent of total billed charges,,1467,,,,percent of total billed charges,,1499.6,,,,percent of total billed charges,,1499.6,,,,percent of total billed charges,,1541.98,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1581.1,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1434.4,,,,percent of total billed charges,,1467,,,,percent of total billed charges,,1305.63,,,,percent of total billed charges,,1467,,,,percent of total billed charges,,978,,,,percent of total billed charges,,1514.107,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1304,,,,percent of total billed charges,,978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1305.793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATOBILARY IMAGING WITH PHARM INTERVENTION,340,RC,78227,CPT,,,outpatient,,,1728,,864,1036.8,1676.16,1624.32,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1434.24,,,,percent of total billed charges,,1555.2,,,,percent of total billed charges,,1589.76,,,,percent of total billed charges,,1589.76,,,,percent of total billed charges,,1634.688,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1676.16,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1520.64,,,,percent of total billed charges,,1555.2,,,,percent of total billed charges,,1384.128,,,,percent of total billed charges,,1555.2,,,,percent of total billed charges,,1036.8,,,,percent of total billed charges,,1605.1392,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,1036.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1384.3008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATION AND PERFUSION LUNG SCAN,340,RC,78582,CPT,,,outpatient,,,3485,,1742.5,2091,3380.45,3275.9,,,,percent of total billed charges,,2788,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,2892.55,,,,percent of total billed charges,,3136.5,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,3296.81,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,3380.45,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,3066.8,,,,percent of total billed charges,,3136.5,,,,percent of total billed charges,,2791.485,,,,percent of total billed charges,,3136.5,,,,percent of total billed charges,,2091,,,,percent of total billed charges,,3237.2165,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,2788,,,,percent of total billed charges,,2091,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2791.8335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERFUSION LUNG SCAN WITH COMPUTER ANALYSIS,340,RC,78597,CPT,,,outpatient,,,1118,,559,670.8,1084.46,1050.92,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,927.94,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1057.628,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1084.46,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,983.84,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,895.518,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,1038.5102,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,895.6298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA BILATERAL LOWER EXTREMITY RUNOFF,350,RC,75635,CPT,,,outpatient,,,2442,,1221,1465.2,2368.74,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1956.042,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2268.3738,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1956.2862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTOSTOMY TUBY CHANGE,361,RC,51705,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 1ST ORDER RENAL CATH PL-UNI,361,RC,36251,CPT,,,outpatient,,,9577,,4788.5,5746.2,9289.69,9002.38,,,,percent of total billed charges,,7661.6,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,7948.91,,,,percent of total billed charges,,8619.3,,,,percent of total billed charges,,8810.84,,,,percent of total billed charges,,8810.84,,,,percent of total billed charges,,9059.842,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,9289.69,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,8427.76,,,,percent of total billed charges,,8619.3,,,,percent of total billed charges,,7671.177,,,,percent of total billed charges,,8619.3,,,,percent of total billed charges,,5746.2,,,,percent of total billed charges,,8896.0753,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,7661.6,,,,percent of total billed charges,,5746.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7672.1347,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 1ST ORDER RENAL CATH PL-BI,361,RC,36252,CPT,,,outpatient,,,12509,,6254.5,7505.4,12133.73,11758.46,,,,percent of total billed charges,,10007.2,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,10382.47,,,,percent of total billed charges,,11258.1,,,,percent of total billed charges,,11508.28,,,,percent of total billed charges,,11508.28,,,,percent of total billed charges,,11833.514,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,12133.73,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,11007.92,,,,percent of total billed charges,,11258.1,,,,percent of total billed charges,,10019.709,,,,percent of total billed charges,,11258.1,,,,percent of total billed charges,,7505.4,,,,percent of total billed charges,,11619.6101,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,10007.2,,,,percent of total billed charges,,7505.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10020.9599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUB ORDER RENAL CATH-UNI,361,RC,36253,CPT,,,outpatient,,,13512,,6756,8107.2,13106.64,12701.28,,,,percent of total billed charges,,10809.6,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,11214.96,,,,percent of total billed charges,,12160.8,,,,percent of total billed charges,,12431.04,,,,percent of total billed charges,,12431.04,,,,percent of total billed charges,,12782.352,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,13106.64,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,11890.56,,,,percent of total billed charges,,12160.8,,,,percent of total billed charges,,10823.112,,,,percent of total billed charges,,12160.8,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,12551.2968,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,10809.6,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10824.4632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUB ORDER RENAL CATH-BI,361,RC,36254,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IVC FILTER INS INC S&I,361,RC,37191,CPT,,,outpatient,,,7354,,3677,4412.4,7133.38,6912.76,,,,percent of total billed charges,,5883.2,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,6103.82,,,,percent of total billed charges,,6618.6,,,,percent of total billed charges,,6765.68,,,,percent of total billed charges,,6765.68,,,,percent of total billed charges,,6956.884,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,7133.38,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,6471.52,,,,percent of total billed charges,,6618.6,,,,percent of total billed charges,,5890.554,,,,percent of total billed charges,,6618.6,,,,percent of total billed charges,,4412.4,,,,percent of total billed charges,,6831.1306,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,5883.2,,,,percent of total billed charges,,4412.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5891.2894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITION IVC FILTER INC S&I,361,RC,37192,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IVC FILTER REMOVAL INC S&I,361,RC,37193,CPT,,,outpatient,,,13154,,6577,7892.4,12759.38,12364.76,,,,percent of total billed charges,,10523.2,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,10917.82,,,,percent of total billed charges,,11838.6,,,,percent of total billed charges,,12101.68,,,,percent of total billed charges,,12101.68,,,,percent of total billed charges,,12443.684,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,12759.38,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,11575.52,,,,percent of total billed charges,,11838.6,,,,percent of total billed charges,,10536.354,,,,percent of total billed charges,,11838.6,,,,percent of total billed charges,,7892.4,,,,percent of total billed charges,,12218.7506,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,10523.2,,,,percent of total billed charges,,7892.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10537.6694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABD PARACENTESIS W/O GUID,361,RC,49082,CPT,,,outpatient,,,2662,,1331,1597.2,2582.14,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2132.262,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2472.7318,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2132.5282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49083-0361 ABD PARACENTESIS W GUIDE,361,RC,49083,CPT,,,outpatient,,,3009,,1504.5,1805.4,2918.73,2828.46,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2497.47,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2846.514,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2918.73,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2647.92,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2410.209,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,2795.0601,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2410.5099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1766 INTRODUCER/SHEATH GUIDING, INTRACARDIAC, ELECTROPHY",272,RC,C1766,HCPCS,,,outpatient,,,235,,117.5,141,227.95,220.9,,,,percent of total billed charges,,188,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,195.05,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,222.31,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,227.95,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,206.8,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,188.235,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,141,,,,percent of total billed charges,,218.2915,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,188,,,,percent of total billed charges,,141,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,188.2585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CBCT IGRT,333,RC,77014,CPT,,,outpatient,,,760,,380,456,737.2,714.4,,,,percent of total billed charges,,608,,,,percent of total billed charges,,722,,,,percent of total billed charges,,630.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,722,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,722,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,608.76,,,,percent of total billed charges,,684,,,,percent of total billed charges,,456,,,,percent of total billed charges,,705.964,,,,percent of total billed charges,,722,,,,percent of total billed charges,,722,,,,percent of total billed charges,,608,,,,percent of total billed charges,,456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,608.836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KV/KV IGRT,333,RC,77387,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M CERETEC UP TO 25MCI,343,RC,A9521,HCPCS,,,outpatient,,,4551,,2275.5,2730.6,4414.47,4277.94,,,,percent of total billed charges,,3640.8,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,3777.33,,,,percent of total billed charges,,4095.9,,,,percent of total billed charges,,4186.92,,,,percent of total billed charges,,4186.92,,,,percent of total billed charges,,4305.246,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,4414.47,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,4004.88,,,,percent of total billed charges,,4095.9,,,,percent of total billed charges,,3645.351,,,,percent of total billed charges,,4095.9,,,,percent of total billed charges,,2730.6,,,,percent of total billed charges,,4227.4239,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,3640.8,,,,percent of total billed charges,,2730.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3645.8061,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVLT, 1ST VEIN",360,RC,36478,CPT,,,outpatient,,,9563,,4781.5,5737.8,9276.11,8989.22,,,,percent of total billed charges,,7650.4,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,7937.29,,,,percent of total billed charges,,8606.7,,,,percent of total billed charges,,8797.96,,,,percent of total billed charges,,8797.96,,,,percent of total billed charges,,9046.598,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,9276.11,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,8415.44,,,,percent of total billed charges,,8606.7,,,,percent of total billed charges,,7659.963,,,,percent of total billed charges,,8606.7,,,,percent of total billed charges,,5737.8,,,,percent of total billed charges,,8883.0707,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,7650.4,,,,percent of total billed charges,,5737.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7660.9193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMBULATORY PHELBECTOMY 1 EXT 10-20 INCISIONS,360,RC,37765,CPT,,,outpatient,,,5832,,2916,3499.2,5657.04,5482.08,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4840.56,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5517.072,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5657.04,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5132.16,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,4671.432,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,5417.3448,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4672.0152,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FOAM SCLEROTHERAPY INJ OF A SINGLE VEIN,360,RC,36470,CPT,,,outpatient,,,1609,,804.5,965.4,1560.73,1512.46,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1335.47,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1522.114,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1560.73,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1415.92,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1288.809,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,1494.6001,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1288.9699,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATHETER, ENDOVASCULAR NON CARDIAC ABLATIVE",278,RC,C1888,HCPCS,,,outpatient,,,537,,268.5,322.2,520.89,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,430.137,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,498.8193,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.1907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRODUCER/SHEATH, OTHER THAN GUIDING OR INTRA-CARR",272,RC,C1894,HCPCS,,,outpatient,,,558,,279,334.8,541.26,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,446.958,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,518.3262,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.0138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE,278,RC,C1751,HCPCS,,,outpatient,,,537,,268.5,322.2,520.89,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,430.137,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,498.8193,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,430.1907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEART W DYE, STRUCTURE AND MORPH",350,RC,75572,CPT,,,outpatient,,,2910,,1455,1746,2822.7,2735.4,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2415.3,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,2677.2,,,,percent of total billed charges,,2677.2,,,,percent of total billed charges,,2752.86,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2822.7,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2560.8,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,2330.91,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,2703.099,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2331.201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT W/ TRANSVEN EL ATRIAL,361,RC,33206,CPT,,,outpatient,,,10122,,5061,6073.2,9818.34,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,8107.722,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,9402.3258,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8108.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT W/ TRANSVEN EL VENTRI,361,RC,33207,CPT,,,outpatient,,,10122,,5061,6073.2,9818.34,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,8107.722,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,9402.3258,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8108.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT W/ TRANSVEN EL AV SEQ,361,RC,33208,CPT,,,outpatient,,,10122,,5061,6073.2,9818.34,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,8107.722,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,9402.3258,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8108.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEMP PACER INSERT TRANS ELE,361,RC,33210,CPT,,,outpatient,,,6193,,3096.5,3715.8,6007.21,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4960.593,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,5752.6777,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4961.2123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPLACE PULSE GENERATOR,361,RC,33212,CPT,,,outpatient,,,6193,,3096.5,3715.8,6007.21,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4960.593,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,5752.6777,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4961.2123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMPLT OF SINGLE CHAMBER ICD,361,RC,33249,CPT,,,outpatient,,,21456,,10728,12873.6,20812.32,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,17186.256,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,19930.4784,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17188.4016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRA-AORTIC BALLOON INSERT,360,RC,33967,CPT,,,outpatient,,,11674,,5837,7004.4,11323.78,10973.56,,,,percent of total billed charges,,9339.2,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,9689.42,,,,percent of total billed charges,,10506.6,,,,percent of total billed charges,,10740.08,,,,percent of total billed charges,,10740.08,,,,percent of total billed charges,,11043.604,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,11323.78,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,10273.12,,,,percent of total billed charges,,10506.6,,,,percent of total billed charges,,9350.874,,,,percent of total billed charges,,10506.6,,,,percent of total billed charges,,7004.4,,,,percent of total billed charges,,10843.9786,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,9339.2,,,,percent of total billed charges,,7004.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9352.0414,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEL CATH PL VEN SYS 1ST,361,RC,36011,CPT,,,outpatient,,,3435,,1717.5,2061,3331.95,3228.9,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2851.05,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3249.51,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3331.95,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3022.8,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2751.435,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,3190.7715,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2751.7785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEL CATH PL VEN SYS 2ND,361,RC,36012,CPT,,,outpatient,,,3285,,1642.5,1971,3186.45,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2631.285,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3051.4365,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2631.6135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTR CATH RT HRT/PULM AR,361,RC,36013,CPT,,,outpatient,,,2078,,1039,1246.8,2015.66,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1664.478,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,1930.2542,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1664.6858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEL CATH SEG/SUBSEG PUL,361,RC,36015,CPT,,,outpatient,,,3694,,1847,2216.4,3583.18,3472.36,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3066.02,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3494.524,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3583.18,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3250.72,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2958.894,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,3431.3566,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2959.2634,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ADD 2/3RD LOWER EXT,361,RC,36248,CPT,,,outpatient,,,2081,,1040.5,1248.6,2018.57,1956.14,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1727.23,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1968.626,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,2018.57,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1831.28,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1666.881,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,1933.0409,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1667.0891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTH VEN CATH PROC VEIN,361,RC,36481,CPT,,,outpatient,,,3749,,1874.5,2249.4,3636.53,3524.06,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3111.67,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3546.554,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3636.53,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3002.949,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,3482.4461,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3003.3239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTH VEN CATH PROC ORG BLOOD,361,RC,36500,CPT,,,outpatient,,,3214,,1607,1928.4,3117.58,3021.16,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2667.62,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,3040.444,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3117.58,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2828.32,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2574.414,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,2985.4846,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2574.7354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AORTOGRAPHY THO WO SRLOGRPH,323,RC,75600,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AORTOGRAPHY THOR SERIALGRPH,323,RC,75605,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOGRAPHY INT MAMMARY ART,323,RC,75756,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVERSION INTERNAL,481,RC,92961,CPT,,,outpatient,,,1807,,903.5,1084.2,1752.79,1698.58,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1499.81,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1709.422,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1752.79,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1590.16,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1447.407,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,1678.5223,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1447.5877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBOLYSIS - INTRACORON,481,RC,92975,CPT,,,outpatient,,,738,,369,442.8,715.86,693.72,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,612.54,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,698.148,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,715.86,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,649.44,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,591.138,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,685.5282,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,591.2118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBOLYSIS INFUSION,481,RC,92977,CPT,,,outpatient,,,804,,402,482.4,779.88,755.76,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,667.32,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,760.584,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,779.88,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,707.52,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,644.004,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,746.8356,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.0844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ERGONOVINE PROVOCATION TEST,481,RC,93024,CPT,,,outpatient,,,774,,387,464.4,750.78,727.56,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,642.42,,,,percent of total billed charges,,696.6,,,,percent of total billed charges,,712.08,,,,percent of total billed charges,,712.08,,,,percent of total billed charges,,732.204,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,750.78,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,681.12,,,,percent of total billed charges,,696.6,,,,percent of total billed charges,,619.974,,,,percent of total billed charges,,696.6,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,718.9686,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,620.0514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEART CATH LEFT PERC,481,RC,93458,CPT,,,outpatient,,,6212,,3106,3727.2,6025.64,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4975.812,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,5770.3268,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4976.4332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERT ONLY - SINGLE,360,RC,,,,,outpatient,,,6138,,3069,3682.8,5953.86,5769.72,,,,percent of total billed charges,,4910.4,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5094.54,,,,percent of total billed charges,,5524.2,,,,percent of total billed charges,,5646.96,,,,percent of total billed charges,,5646.96,,,,percent of total billed charges,,5806.548,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5953.86,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5401.44,,,,percent of total billed charges,,5524.2,,,,percent of total billed charges,,4916.538,,,,percent of total billed charges,,5524.2,,,,percent of total billed charges,,3682.8,,,,percent of total billed charges,,5701.5882,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,4910.4,,,,percent of total billed charges,,3682.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4917.1518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH IIII,278,RC,C1725,HCPCS,,,outpatient,,,2916,,1458,1749.6,2828.52,2741.04,,,,percent of total billed charges,,2332.8,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2420.28,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,2682.72,,,,percent of total billed charges,,2682.72,,,,percent of total billed charges,,2758.536,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2828.52,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2566.08,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,2335.716,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,1749.6,,,,percent of total billed charges,,2708.6724,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2332.8,,,,percent of total billed charges,,1749.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2336.0076,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1729-0278 CATH, DRAINAGE",278,RC,C1729,HCPCS,,,outpatient,,,424,,212,254.4,411.28,398.56,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,351.92,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,401.104,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,411.28,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,373.12,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,339.624,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,393.8536,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,339.6664,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, MULTI LUMEN",278,RC,C1751,HCPCS,,,outpatient,,,340,,170,204,329.8,319.6,,,,percent of total billed charges,,272,,,,percent of total billed charges,,323,,,,percent of total billed charges,,282.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,321.64,,,,percent of total billed charges,,323,,,,percent of total billed charges,,329.8,,,,percent of total billed charges,,323,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,272.34,,,,percent of total billed charges,,306,,,,percent of total billed charges,,204,,,,percent of total billed charges,,315.826,,,,percent of total billed charges,,323,,,,percent of total billed charges,,323,,,,percent of total billed charges,,272,,,,percent of total billed charges,,204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,272.374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1769 GUIDEWIRE III,278,RC,C1769,HCPCS,,,outpatient,,,213,,106.5,127.8,206.61,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,170.613,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,197.8557,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.6343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COVERED II",278,RC,C1874,HCPCS,,,outpatient,,,15258,,7629,9154.8,14800.26,14342.52,,,,percent of total billed charges,,12206.4,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,12664.14,,,,percent of total billed charges,,13732.2,,,,percent of total billed charges,,14037.36,,,,percent of total billed charges,,14037.36,,,,percent of total billed charges,,14434.068,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,14800.26,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,13427.04,,,,percent of total billed charges,,13732.2,,,,percent of total billed charges,,12221.658,,,,percent of total billed charges,,13732.2,,,,percent of total billed charges,,9154.8,,,,percent of total billed charges,,14173.1562,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,12206.4,,,,percent of total billed charges,,9154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12223.1838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRO/SHEATH,FIXED NON-PEEL",278,RC,C1893,HCPCS,,,outpatient,,,82,,41,49.2,79.54,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,65.682,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,76.1698,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.6902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1896 HCHG C1896 LEAD,CARDIO-DEFIB IMPLTLEAD,CARDIO-DEFIB IMPLT",275,RC,C1896,HCPCS,,,outpatient,,,14389,,7194.5,8633.4,13957.33,13525.66,,,,percent of total billed charges,,11511.2,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,11942.87,,,,percent of total billed charges,,12950.1,,,,percent of total billed charges,,13237.88,,,,percent of total billed charges,,13237.88,,,,percent of total billed charges,,13611.994,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,13957.33,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,12662.32,,,,percent of total billed charges,,12950.1,,,,percent of total billed charges,,11525.589,,,,percent of total billed charges,,12950.1,,,,percent of total billed charges,,8633.4,,,,percent of total billed charges,,13365.9421,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,11511.2,,,,percent of total billed charges,,8633.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11527.0279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PER SHEATH INTRO TRAY,278,RC,C1894,HCPCS,,,outpatient,,,237,,118.5,142.2,229.89,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,189.837,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,220.1493,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.8607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TEMP PACING CATH ARROW, 80221",272,RC,,,,,outpatient,,,705,,352.5,423,683.85,662.7,,,,percent of total billed charges,,564,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,585.15,,,,percent of total billed charges,,634.5,,,,percent of total billed charges,,648.6,,,,percent of total billed charges,,648.6,,,,percent of total billed charges,,666.93,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,683.85,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,620.4,,,,percent of total billed charges,,634.5,,,,percent of total billed charges,,564.705,,,,percent of total billed charges,,634.5,,,,percent of total billed charges,,423,,,,percent of total billed charges,,654.8745,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,564,,,,percent of total billed charges,,423,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,564.7755,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS KIT,278,RC,C1729,HCPCS,,,outpatient,,,451,,225.5,270.6,437.47,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,361.251,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,418.9339,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,361.2961,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAT BAL INTRA AORTIC,272,RC,,,,,outpatient,,,3572,,1786,2143.2,3464.84,3357.68,,,,percent of total billed charges,,2857.6,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,2964.76,,,,percent of total billed charges,,3214.8,,,,percent of total billed charges,,3286.24,,,,percent of total billed charges,,3286.24,,,,percent of total billed charges,,3379.112,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,3464.84,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,3143.36,,,,percent of total billed charges,,3214.8,,,,percent of total billed charges,,2861.172,,,,percent of total billed charges,,3214.8,,,,percent of total billed charges,,2143.2,,,,percent of total billed charges,,3318.0308,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,2857.6,,,,percent of total billed charges,,2143.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2861.5292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, THROMBECTOMY/EMBOLECTOMY (SOLITAIRE FR REVAS)",278,RC,C1757,HCPCS,,,outpatient,,,2143,,1071.5,1285.8,2078.71,2014.42,,,,percent of total billed charges,,1714.4,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,1778.69,,,,percent of total billed charges,,1928.7,,,,percent of total billed charges,,1971.56,,,,percent of total billed charges,,1971.56,,,,percent of total billed charges,,2027.278,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,2078.71,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,1885.84,,,,percent of total billed charges,,1928.7,,,,percent of total billed charges,,1716.543,,,,percent of total billed charges,,1928.7,,,,percent of total billed charges,,1285.8,,,,percent of total billed charges,,1990.6327,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,1714.4,,,,percent of total billed charges,,1285.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1716.7573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INCIS/DRAN HEMATOMA, SEROMA",481,RC,10140,CPT,,,outpatient,,,2919,,1459.5,1751.4,2831.43,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2338.119,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2711.4591,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2338.4109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BX, SOFT TIS BACK/FLANK SUPFIC",481,RC,21920,CPT,,,outpatient,,,3093,,1546.5,1855.8,3000.21,2907.42,,,,percent of total billed charges,,2474.4,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2567.19,,,,percent of total billed charges,,2783.7,,,,percent of total billed charges,,2845.56,,,,percent of total billed charges,,2845.56,,,,percent of total billed charges,,2925.978,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,3000.21,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2721.84,,,,percent of total billed charges,,2783.7,,,,percent of total billed charges,,2477.493,,,,percent of total billed charges,,2783.7,,,,percent of total billed charges,,1855.8,,,,percent of total billed charges,,2873.0877,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2474.4,,,,percent of total billed charges,,1855.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2477.8023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION SACROILIAC JOINT,361,RC,G0260,HCPCS,,,outpatient,,,2589,,1294.5,1553.4,2511.33,2433.66,,,,percent of total billed charges,,2071.2,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2148.87,,,,percent of total billed charges,,2330.1,,,,percent of total billed charges,,2381.88,,,,percent of total billed charges,,2381.88,,,,percent of total billed charges,,2449.194,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2511.33,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2278.32,,,,percent of total billed charges,,2330.1,,,,percent of total billed charges,,2073.789,,,,percent of total billed charges,,2330.1,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,2404.9221,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2071.2,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2074.0479,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32552-0481 REMOVE TUNNELED PLEURAL  CATH,481,RC,32552,CPT,,,outpatient,,,4676,,2338,2805.6,4535.72,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3745.476,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4343.5364,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3745.9436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECH REM PERICATH OM CVD SEPVA,481,RC,36595,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW BIOPSY,361,RC,38221,CPT,,,outpatient,,,3476,,1738,2085.6,3371.72,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2784.276,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3228.8564,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2784.6236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NASO/ORO-GASTRIC TUBE PLACE,481,RC,43752,CPT,,,outpatient,,,989,,494.5,593.4,959.33,929.66,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,820.87,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,935.594,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,959.33,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,792.189,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,918.6821,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,792.2879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOV INT URETERAL STENT,481,RC,50384,CPT,,,outpatient,,,9238,,4619,5542.8,8960.86,8683.72,,,,percent of total billed charges,,7390.4,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,7667.54,,,,percent of total billed charges,,8314.2,,,,percent of total billed charges,,8498.96,,,,percent of total billed charges,,8498.96,,,,percent of total billed charges,,8739.148,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,8960.86,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,8129.44,,,,percent of total billed charges,,8314.2,,,,percent of total billed charges,,7399.638,,,,percent of total billed charges,,8314.2,,,,percent of total billed charges,,5542.8,,,,percent of total billed charges,,8581.1782,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,7390.4,,,,percent of total billed charges,,5542.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7400.5618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR PLACE ENTEROCLYSIS TUBE,481,RC,74355,CPT,,,outpatient,,,793,,396.5,475.8,769.21,745.42,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,658.19,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,750.178,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,769.21,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,697.84,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,635.193,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,736.6177,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,635.2723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR REMOV FILBRIN STRIP/FEMORAL,320,RC,75901,CPT,,,outpatient,,,1068,,534,640.8,1035.96,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,855.468,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,992.0652,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,855.5748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR REMOV FILBRIN STRIP/EX CATH,320,RC,75902,CPT,,,outpatient,,,1068,,534,640.8,1035.96,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,855.468,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,992.0652,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,855.5748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMPLANTABLE ACCESS SYST PERC,278,RC,A4301,HCPCS,,,outpatient,,,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1724 CATH, TRANS ATHEREC, ROTATION",278,RC,C1724,HCPCS,,,outpatient,,,10536,,5268,6321.6,10219.92,9903.84,,,,percent of total billed charges,,8428.8,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,8744.88,,,,percent of total billed charges,,9482.4,,,,percent of total billed charges,,9693.12,,,,percent of total billed charges,,9693.12,,,,percent of total billed charges,,9967.056,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,10219.92,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,9271.68,,,,percent of total billed charges,,9482.4,,,,percent of total billed charges,,8439.336,,,,percent of total billed charges,,9482.4,,,,percent of total billed charges,,6321.6,,,,percent of total billed charges,,9786.8904,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,8428.8,,,,percent of total billed charges,,6321.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8440.3896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH III,278,RC,C1725,HCPCS,,,outpatient,,,1342,,671,805.2,1301.74,1261.48,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1113.86,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,1234.64,,,,percent of total billed charges,,1234.64,,,,percent of total billed charges,,1269.532,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1301.74,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1180.96,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,1074.942,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,1246.5838,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1075.0762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, IMPLANTABLE PORT DUEL LUMEN VENOUS",278,RC,C1751,HCPCS,,,outpatient,,,540,,270,324,523.8,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,432.54,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,501.606,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1752 CATH HEMODIALYSIS/PERITONEAL SHORT-TERM,278,RC,C1752,HCPCS,,,outpatient,,,1096,,548,657.6,1063.12,1030.24,,,,percent of total billed charges,,876.8,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,909.68,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,1008.32,,,,percent of total billed charges,,1008.32,,,,percent of total billed charges,,1036.816,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,1063.12,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,964.48,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,877.896,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,1018.0744,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,876.8,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,878.0056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1788 PORT, INDWELLING, IMPLANTABLE II",278,RC,C1788,HCPCS,,,outpatient,,,687,,343.5,412.2,666.39,645.78,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,570.21,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,649.902,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,666.39,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,604.56,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,550.287,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,638.1543,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,550.3557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1877 STENT, NON-COAT/COV W/O DEL",278,RC,C1877,HCPCS,,,outpatient,,,422,,211,253.2,409.34,396.68,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,350.26,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,399.212,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,409.34,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,371.36,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,338.022,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,391.9958,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,338.0642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBY ADAPTOR,272,RC,,,,,outpatient,,,129,,64.5,77.4,125.13,121.26,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,107.07,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,122.034,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,125.13,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,103.329,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,119.8281,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,103.3419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIALTY NEEDLE,272,RC,,,,,outpatient,,,789,,394.5,473.4,765.33,741.66,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,654.87,,,,percent of total billed charges,,710.1,,,,percent of total billed charges,,725.88,,,,percent of total billed charges,,725.88,,,,percent of total billed charges,,746.394,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,765.33,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,694.32,,,,percent of total billed charges,,710.1,,,,percent of total billed charges,,631.989,,,,percent of total billed charges,,710.1,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,732.9021,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,632.0679,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROPUNCTURE SET,272,RC,,,,,outpatient,,,226,,113,135.6,219.22,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,181.026,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,209.9314,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.0486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEEDING TUBE,278,RC,,,,,outpatient,,,332,,166,199.2,322.04,312.08,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,275.56,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,314.072,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,265.932,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,308.3948,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.9652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUO-FLOW 400XL,270,RC,,,,,outpatient,,,529,,264.5,317.4,513.13,497.26,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,439.07,,,,percent of total billed charges,,476.1,,,,percent of total billed charges,,486.68,,,,percent of total billed charges,,486.68,,,,percent of total billed charges,,500.434,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,513.13,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,476.1,,,,percent of total billed charges,,423.729,,,,percent of total billed charges,,476.1,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,491.3881,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,423.7819,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDECATH GONADIAL 078/55/7F,272,RC,,,,,outpatient,,,574,,287,344.4,556.78,539.56,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,476.42,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,543.004,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,556.78,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,505.12,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,459.774,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,533.1886,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,459.8314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POWER PULSE KIT,272,RC,,,,,outpatient,,,590,,295,354,572.3,554.6,,,,percent of total billed charges,,472,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,489.7,,,,percent of total billed charges,,531,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,558.14,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,572.3,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,531,,,,percent of total billed charges,,472.59,,,,percent of total billed charges,,531,,,,percent of total billed charges,,354,,,,percent of total billed charges,,548.051,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,472,,,,percent of total billed charges,,354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,472.649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KP BONE CEMENT W/ MIXER,270,RC,,,,,outpatient,,,680,,340,408,659.6,639.2,,,,percent of total billed charges,,544,,,,percent of total billed charges,,646,,,,percent of total billed charges,,564.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,646,,,,percent of total billed charges,,659.6,,,,percent of total billed charges,,646,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,544.68,,,,percent of total billed charges,,612,,,,percent of total billed charges,,408,,,,percent of total billed charges,,631.652,,,,percent of total billed charges,,646,,,,percent of total billed charges,,646,,,,percent of total billed charges,,544,,,,percent of total billed charges,,408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,544.748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATEC BREAST BX SYS 12G/12/20MM,272,RC,,,,,outpatient,,,824,,412,494.4,799.28,774.56,,,,percent of total billed charges,,659.2,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,683.92,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,758.08,,,,percent of total billed charges,,758.08,,,,percent of total billed charges,,779.504,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,799.28,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,725.12,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,660.024,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,765.4136,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,659.2,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,660.1064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VACUUM ASSISTED CORE BIOPSY,272,RC,,,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUNTHER TULIP FILTER RETRIEVE,272,RC,,,,,outpatient,,,818,,409,490.8,793.46,768.92,,,,percent of total billed charges,,654.4,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,678.94,,,,percent of total billed charges,,736.2,,,,percent of total billed charges,,752.56,,,,percent of total billed charges,,752.56,,,,percent of total billed charges,,773.828,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,793.46,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,719.84,,,,percent of total billed charges,,736.2,,,,percent of total billed charges,,655.218,,,,percent of total billed charges,,736.2,,,,percent of total billed charges,,490.8,,,,percent of total billed charges,,759.8402,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,654.4,,,,percent of total billed charges,,490.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,655.2998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEG PONSKY PULL 28FR,278,RC,,,,,outpatient,,,885,,442.5,531,858.45,831.9,,,,percent of total billed charges,,708,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,734.55,,,,percent of total billed charges,,796.5,,,,percent of total billed charges,,814.2,,,,percent of total billed charges,,814.2,,,,percent of total billed charges,,837.21,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,858.45,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,778.8,,,,percent of total billed charges,,796.5,,,,percent of total billed charges,,708.885,,,,percent of total billed charges,,796.5,,,,percent of total billed charges,,531,,,,percent of total billed charges,,822.0765,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,708,,,,percent of total billed charges,,531,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,708.9735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOPHERE 1,278,RC,,,,,outpatient,,,1535,,767.5,921,1488.95,1442.9,,,,percent of total billed charges,,1228,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1274.05,,,,percent of total billed charges,,1381.5,,,,percent of total billed charges,,1412.2,,,,percent of total billed charges,,1412.2,,,,percent of total billed charges,,1452.11,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1488.95,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1350.8,,,,percent of total billed charges,,1381.5,,,,percent of total billed charges,,1229.535,,,,percent of total billed charges,,1381.5,,,,percent of total billed charges,,921,,,,percent of total billed charges,,1425.8615,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1228,,,,percent of total billed charges,,921,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1229.6885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SNARE GOOSENECK 6FR/15MM,272,RC,,,,,outpatient,,,1144,,572,686.4,1109.68,1075.36,,,,percent of total billed charges,,915.2,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,949.52,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1052.48,,,,percent of total billed charges,,1052.48,,,,percent of total billed charges,,1082.224,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1109.68,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1006.72,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,916.344,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,1062.6616,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,915.2,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,916.4584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTBRO FACET TIP NEEDLE,272,RC,,,,,outpatient,,,1205,,602.5,723,1168.85,1132.7,,,,percent of total billed charges,,964,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1000.15,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1139.93,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1168.85,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1060.4,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,965.205,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,723,,,,percent of total billed charges,,1119.3245,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,964,,,,percent of total billed charges,,723,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,965.3255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 2,278,RC,,,,,outpatient,,,3132,,1566,1879.2,3038.04,2944.08,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2599.56,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,2881.44,,,,percent of total billed charges,,2881.44,,,,percent of total billed charges,,2962.872,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,3038.04,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2756.16,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,2508.732,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,2909.3148,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2509.0452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 3,278,RC,,,,,outpatient,,,4702,,2351,2821.2,4560.94,4419.88,,,,percent of total billed charges,,3761.6,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,3902.66,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,4325.84,,,,percent of total billed charges,,4325.84,,,,percent of total billed charges,,4448.092,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,4560.94,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,4137.76,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,3766.302,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,2821.2,,,,percent of total billed charges,,4367.6878,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,3761.6,,,,percent of total billed charges,,2821.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3766.7722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTEBRO AUTOPLEX W/CEMENT,278,RC,,,,,outpatient,,,3122,,1561,1873.2,3028.34,2934.68,,,,percent of total billed charges,,2497.6,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2591.26,,,,percent of total billed charges,,2809.8,,,,percent of total billed charges,,2872.24,,,,percent of total billed charges,,2872.24,,,,percent of total billed charges,,2953.412,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,3028.34,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2747.36,,,,percent of total billed charges,,2809.8,,,,percent of total billed charges,,2500.722,,,,percent of total billed charges,,2809.8,,,,percent of total billed charges,,1873.2,,,,percent of total billed charges,,2900.0258,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2497.6,,,,percent of total billed charges,,1873.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2501.0342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLAR CATH INFLATION DEVICE,272,RC,,,,,outpatient,,,3501,,1750.5,2100.6,3395.97,3290.94,,,,percent of total billed charges,,2800.8,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,2905.83,,,,percent of total billed charges,,3150.9,,,,percent of total billed charges,,3220.92,,,,percent of total billed charges,,3220.92,,,,percent of total billed charges,,3311.946,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,3395.97,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,3080.88,,,,percent of total billed charges,,3150.9,,,,percent of total billed charges,,2804.301,,,,percent of total billed charges,,3150.9,,,,percent of total billed charges,,2100.6,,,,percent of total billed charges,,3252.0789,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,2800.8,,,,percent of total billed charges,,2100.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2804.6511,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRONTRUNNER XP CTO CATH 140,272,RC,,,,,outpatient,,,3631,,1815.5,2178.6,3522.07,3413.14,,,,percent of total billed charges,,2904.8,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3013.73,,,,percent of total billed charges,,3267.9,,,,percent of total billed charges,,3340.52,,,,percent of total billed charges,,3340.52,,,,percent of total billed charges,,3434.926,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3522.07,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3195.28,,,,percent of total billed charges,,3267.9,,,,percent of total billed charges,,2908.431,,,,percent of total billed charges,,3267.9,,,,percent of total billed charges,,2178.6,,,,percent of total billed charges,,3372.8359,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,2904.8,,,,percent of total billed charges,,2178.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2908.7941,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LC BEADS 100-300 MICROSPH,VIAL",272,RC,,,,,outpatient,,,7400,,3700,4440,7178,6956,,,,percent of total billed charges,,5920,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,6142,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,7000.4,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,7178,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,6512,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,5927.4,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,4440,,,,percent of total billed charges,,6873.86,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,5920,,,,percent of total billed charges,,4440,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5928.14,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OUTBACK RE ENTRY CATH 120,272,RC,,,,,outpatient,,,7096,,3548,4257.6,6883.12,6670.24,,,,percent of total billed charges,,5676.8,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,5889.68,,,,percent of total billed charges,,6386.4,,,,percent of total billed charges,,6528.32,,,,percent of total billed charges,,6528.32,,,,percent of total billed charges,,6712.816,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,6883.12,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,6244.48,,,,percent of total billed charges,,6386.4,,,,percent of total billed charges,,5683.896,,,,percent of total billed charges,,6386.4,,,,percent of total billed charges,,4257.6,,,,percent of total billed charges,,6591.4744,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,5676.8,,,,percent of total billed charges,,4257.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5684.6056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M PENTETATE - AEROSOL,343,RC,A9567,HCPCS,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULM REHAB MAINTENANCE,410,RC,,,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY EXAM OF MASTOIDS,320,RC,70120,CPT,,,outpatient,,,354,,177,212.4,343.38,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,283.554,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,328.8306,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.5894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FNA W/O IMAGE,361,RC,10021,CPT,,,outpatient,,,2130,,1065,1278,2066.1,2002.2,,,,percent of total billed charges,,1704,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,1767.9,,,,percent of total billed charges,,1917,,,,percent of total billed charges,,1959.6,,,,percent of total billed charges,,1959.6,,,,percent of total billed charges,,2014.98,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,2066.1,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,1874.4,,,,percent of total billed charges,,1917,,,,percent of total billed charges,,1706.13,,,,percent of total billed charges,,1917,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,1978.557,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,1704,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1706.343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER GUIDING,278,RC,C1887,HCPCS,,,outpatient,,,680,,340,408,659.6,639.2,,,,percent of total billed charges,,544,,,,percent of total billed charges,,646,,,,percent of total billed charges,,564.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,646,,,,percent of total billed charges,,659.6,,,,percent of total billed charges,,646,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,544.68,,,,percent of total billed charges,,612,,,,percent of total billed charges,,408,,,,percent of total billed charges,,631.652,,,,percent of total billed charges,,646,,,,percent of total billed charges,,646,,,,percent of total billed charges,,544,,,,percent of total billed charges,,408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,544.748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 1,278,RC,,,,,outpatient,,,2668,,1334,1600.8,2587.96,2507.92,,,,percent of total billed charges,,2134.4,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2214.44,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,2454.56,,,,percent of total billed charges,,2454.56,,,,percent of total billed charges,,2523.928,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2587.96,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2347.84,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,2137.068,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,2478.3052,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2134.4,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2137.3348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOPHERE 2,278,RC,,,,,outpatient,,,1805,,902.5,1083,1750.85,1696.7,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1624.5,,,,percent of total billed charges,,1660.6,,,,percent of total billed charges,,1660.6,,,,percent of total billed charges,,1707.53,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1750.85,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1588.4,,,,percent of total billed charges,,1624.5,,,,percent of total billed charges,,1445.805,,,,percent of total billed charges,,1624.5,,,,percent of total billed charges,,1083,,,,percent of total billed charges,,1676.6645,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1083,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1445.9855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIDER FX EMBOLIC PROT 4.5-6.0,272,RC,,,,,outpatient,,,2971,,1485.5,1782.6,2881.87,2792.74,,,,percent of total billed charges,,2376.8,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2465.93,,,,percent of total billed charges,,2673.9,,,,percent of total billed charges,,2733.32,,,,percent of total billed charges,,2733.32,,,,percent of total billed charges,,2810.566,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2881.87,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2614.48,,,,percent of total billed charges,,2673.9,,,,percent of total billed charges,,2379.771,,,,percent of total billed charges,,2673.9,,,,percent of total billed charges,,1782.6,,,,percent of total billed charges,,2759.7619,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2376.8,,,,percent of total billed charges,,1782.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.0681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIC GASTROS FEED TUBE 57.9,278,RC,,,,,outpatient,,,562,,281,337.2,545.14,528.28,,,,percent of total billed charges,,449.6,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,466.46,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,517.04,,,,percent of total billed charges,,517.04,,,,percent of total billed charges,,531.652,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,545.14,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,494.56,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,450.162,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,337.2,,,,percent of total billed charges,,522.0418,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,449.6,,,,percent of total billed charges,,337.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,450.2182,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOSHIELD PROTECTION DEVICE - II,278,RC,C1884,HCPCS,,,outpatient,,,7560,,3780,4536,7333.2,7106.4,,,,percent of total billed charges,,6048,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,6274.8,,,,percent of total billed charges,,6804,,,,percent of total billed charges,,6955.2,,,,percent of total billed charges,,6955.2,,,,percent of total billed charges,,7151.76,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,7333.2,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,6804,,,,percent of total billed charges,,6055.56,,,,percent of total billed charges,,6804,,,,percent of total billed charges,,4536,,,,percent of total billed charges,,7022.484,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,6048,,,,percent of total billed charges,,4536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6056.316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBO COIL,278,RC,,,,,outpatient,,,421,,210.5,252.6,408.37,395.74,,,,percent of total billed charges,,336.8,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,349.43,,,,percent of total billed charges,,378.9,,,,percent of total billed charges,,387.32,,,,percent of total billed charges,,387.32,,,,percent of total billed charges,,398.266,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,408.37,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,370.48,,,,percent of total billed charges,,378.9,,,,percent of total billed charges,,337.221,,,,percent of total billed charges,,378.9,,,,percent of total billed charges,,252.6,,,,percent of total billed charges,,391.0669,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,336.8,,,,percent of total billed charges,,252.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,337.2631,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 4,278,RC,,,,,outpatient,,,5747,,2873.5,3448.2,5574.59,5402.18,,,,percent of total billed charges,,4597.6,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,4770.01,,,,percent of total billed charges,,5172.3,,,,percent of total billed charges,,5287.24,,,,percent of total billed charges,,5287.24,,,,percent of total billed charges,,5436.662,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,5574.59,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,5057.36,,,,percent of total billed charges,,5172.3,,,,percent of total billed charges,,4603.347,,,,percent of total billed charges,,5172.3,,,,percent of total billed charges,,3448.2,,,,percent of total billed charges,,5338.3883,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,4597.6,,,,percent of total billed charges,,3448.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4603.9217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SBRT,333,RC,77373,CPT,,,outpatient,,,4250,,2125,2550,4122.5,3995,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3527.5,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,4020.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4122.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3740,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,3404.25,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,3947.825,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3404.675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS I",278,RC,C1874,HCPCS,,,outpatient,,,707,,353.5,424.2,685.79,664.58,,,,percent of total billed charges,,565.6,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,586.81,,,,percent of total billed charges,,636.3,,,,percent of total billed charges,,650.44,,,,percent of total billed charges,,650.44,,,,percent of total billed charges,,668.822,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,685.79,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,622.16,,,,percent of total billed charges,,636.3,,,,percent of total billed charges,,566.307,,,,percent of total billed charges,,636.3,,,,percent of total billed charges,,424.2,,,,percent of total billed charges,,656.7323,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,565.6,,,,percent of total billed charges,,424.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,566.3777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS II",278,RC,C1874,HCPCS,,,outpatient,,,1897,,948.5,1138.2,1840.09,1783.18,,,,percent of total billed charges,,1517.6,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1574.51,,,,percent of total billed charges,,1707.3,,,,percent of total billed charges,,1745.24,,,,percent of total billed charges,,1745.24,,,,percent of total billed charges,,1794.562,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1840.09,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1669.36,,,,percent of total billed charges,,1707.3,,,,percent of total billed charges,,1519.497,,,,percent of total billed charges,,1707.3,,,,percent of total billed charges,,1138.2,,,,percent of total billed charges,,1762.1233,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1517.6,,,,percent of total billed charges,,1138.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1519.6867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS III",278,RC,C1874,HCPCS,,,outpatient,,,4056,,2028,2433.6,3934.32,3812.64,,,,percent of total billed charges,,3244.8,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3366.48,,,,percent of total billed charges,,3650.4,,,,percent of total billed charges,,3731.52,,,,percent of total billed charges,,3731.52,,,,percent of total billed charges,,3836.976,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3934.32,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3569.28,,,,percent of total billed charges,,3650.4,,,,percent of total billed charges,,3248.856,,,,percent of total billed charges,,3650.4,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,3767.6184,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3244.8,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3249.2616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS IV",278,RC,C1874,HCPCS,,,outpatient,,,1189,,594.5,713.4,1153.33,1117.66,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,986.87,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1124.794,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1153.33,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1046.32,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,952.389,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,1104.4621,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,952.5079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W DEL SYS V",278,RC,C1874,HCPCS,,,outpatient,,,7865,,3932.5,4719,7629.05,7393.1,,,,percent of total billed charges,,6292,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,6527.95,,,,percent of total billed charges,,7078.5,,,,percent of total billed charges,,7235.8,,,,percent of total billed charges,,7235.8,,,,percent of total billed charges,,7440.29,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,7629.05,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,6921.2,,,,percent of total billed charges,,7078.5,,,,percent of total billed charges,,6299.865,,,,percent of total billed charges,,7078.5,,,,percent of total billed charges,,4719,,,,percent of total billed charges,,7305.7985,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,6292,,,,percent of total billed charges,,4719,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6300.6515,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS VI",278,RC,C1874,HCPCS,,,outpatient,,,9463,,4731.5,5677.8,9179.11,8895.22,,,,percent of total billed charges,,7570.4,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,7854.29,,,,percent of total billed charges,,8516.7,,,,percent of total billed charges,,8705.96,,,,percent of total billed charges,,8705.96,,,,percent of total billed charges,,8951.998,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,9179.11,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,8327.44,,,,percent of total billed charges,,8516.7,,,,percent of total billed charges,,7579.863,,,,percent of total billed charges,,8516.7,,,,percent of total billed charges,,5677.8,,,,percent of total billed charges,,8790.1807,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,7570.4,,,,percent of total billed charges,,5677.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7580.8093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS VII",278,RC,C1874,HCPCS,,,outpatient,,,11083,,5541.5,6649.8,10750.51,10418.02,,,,percent of total billed charges,,8866.4,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,9198.89,,,,percent of total billed charges,,9974.7,,,,percent of total billed charges,,10196.36,,,,percent of total billed charges,,10196.36,,,,percent of total billed charges,,10484.518,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,10750.51,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,9753.04,,,,percent of total billed charges,,9974.7,,,,percent of total billed charges,,8877.483,,,,percent of total billed charges,,9974.7,,,,percent of total billed charges,,6649.8,,,,percent of total billed charges,,10294.9987,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,8866.4,,,,percent of total billed charges,,6649.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8878.5913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/O DELIV SYS I",278,RC,C1875,HCPCS,,,outpatient,,,869,,434.5,521.4,842.93,816.86,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,721.27,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,822.074,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,842.93,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,764.72,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,696.069,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,807.2141,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,696.1559,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/O DELIV SYS II",278,RC,C1875,HCPCS,,,outpatient,,,1300,,650,780,1261,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1207.57,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1041.43,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL I",278,RC,C1876,HCPCS,,,outpatient,,,5380,,2690,3228,5218.6,5057.2,,,,percent of total billed charges,,4304,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,4465.4,,,,percent of total billed charges,,4842,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,5089.48,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,5218.6,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,4734.4,,,,percent of total billed charges,,4842,,,,percent of total billed charges,,4309.38,,,,percent of total billed charges,,4842,,,,percent of total billed charges,,3228,,,,percent of total billed charges,,4997.482,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,4304,,,,percent of total billed charges,,3228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4309.918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL II",278,RC,C1876,HCPCS,,,outpatient,,,6053,,3026.5,3631.8,5871.41,5689.82,,,,percent of total billed charges,,4842.4,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5023.99,,,,percent of total billed charges,,5447.7,,,,percent of total billed charges,,5568.76,,,,percent of total billed charges,,5568.76,,,,percent of total billed charges,,5726.138,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5871.41,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5326.64,,,,percent of total billed charges,,5447.7,,,,percent of total billed charges,,4848.453,,,,percent of total billed charges,,5447.7,,,,percent of total billed charges,,3631.8,,,,percent of total billed charges,,5622.6317,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,4842.4,,,,percent of total billed charges,,3631.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4849.0583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL III",278,RC,C1876,HCPCS,,,outpatient,,,7524,,3762,4514.4,7298.28,7072.56,,,,percent of total billed charges,,6019.2,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,6244.92,,,,percent of total billed charges,,6771.6,,,,percent of total billed charges,,6922.08,,,,percent of total billed charges,,6922.08,,,,percent of total billed charges,,7117.704,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,7298.28,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,6621.12,,,,percent of total billed charges,,6771.6,,,,percent of total billed charges,,6026.724,,,,percent of total billed charges,,6771.6,,,,percent of total billed charges,,4514.4,,,,percent of total billed charges,,6989.0436,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,6019.2,,,,percent of total billed charges,,4514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6027.4764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL IV",278,RC,C1876,HCPCS,,,outpatient,,,8027,,4013.5,4816.2,7786.19,7545.38,,,,percent of total billed charges,,6421.6,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,6662.41,,,,percent of total billed charges,,7224.3,,,,percent of total billed charges,,7384.84,,,,percent of total billed charges,,7384.84,,,,percent of total billed charges,,7593.542,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,7786.19,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,7063.76,,,,percent of total billed charges,,7224.3,,,,percent of total billed charges,,6429.627,,,,percent of total billed charges,,7224.3,,,,percent of total billed charges,,4816.2,,,,percent of total billed charges,,7456.2803,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,6421.6,,,,percent of total billed charges,,4816.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6430.4297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W DEL V",278,RC,C1876,HCPCS,,,outpatient,,,8853,,4426.5,5311.8,8587.41,8321.82,,,,percent of total billed charges,,7082.4,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,7347.99,,,,percent of total billed charges,,7967.7,,,,percent of total billed charges,,8144.76,,,,percent of total billed charges,,8144.76,,,,percent of total billed charges,,8374.938,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,8587.41,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,7790.64,,,,percent of total billed charges,,7967.7,,,,percent of total billed charges,,7091.253,,,,percent of total billed charges,,7967.7,,,,percent of total billed charges,,5311.8,,,,percent of total billed charges,,8223.5517,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,7082.4,,,,percent of total billed charges,,5311.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7092.1383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL VI",278,RC,C1876,HCPCS,,,outpatient,,,9760,,4880,5856,9467.2,9174.4,,,,percent of total billed charges,,7808,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,8100.8,,,,percent of total billed charges,,8784,,,,percent of total billed charges,,8979.2,,,,percent of total billed charges,,8979.2,,,,percent of total billed charges,,9232.96,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,9467.2,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,8588.8,,,,percent of total billed charges,,8784,,,,percent of total billed charges,,7817.76,,,,percent of total billed charges,,8784,,,,percent of total billed charges,,5856,,,,percent of total billed charges,,9066.064,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,7808,,,,percent of total billed charges,,5856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7818.736,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL I",278,RC,C1877,HCPCS,,,outpatient,,,713,,356.5,427.8,691.61,670.22,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,591.79,,,,percent of total billed charges,,641.7,,,,percent of total billed charges,,655.96,,,,percent of total billed charges,,655.96,,,,percent of total billed charges,,674.498,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,691.61,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,627.44,,,,percent of total billed charges,,641.7,,,,percent of total billed charges,,571.113,,,,percent of total billed charges,,641.7,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,662.3057,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,571.1843,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL II",278,RC,C1877,HCPCS,,,outpatient,,,2194,,1097,1316.4,2128.18,2062.36,,,,percent of total billed charges,,1755.2,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,1821.02,,,,percent of total billed charges,,1974.6,,,,percent of total billed charges,,2018.48,,,,percent of total billed charges,,2018.48,,,,percent of total billed charges,,2075.524,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,2128.18,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,1930.72,,,,percent of total billed charges,,1974.6,,,,percent of total billed charges,,1757.394,,,,percent of total billed charges,,1974.6,,,,percent of total billed charges,,1316.4,,,,percent of total billed charges,,2038.0066,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,1755.2,,,,percent of total billed charges,,1316.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1757.6134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL III",278,RC,C1877,HCPCS,,,outpatient,,,4255,,2127.5,2553,4127.35,3999.7,,,,percent of total billed charges,,3404,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,3531.65,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,3914.6,,,,percent of total billed charges,,3914.6,,,,percent of total billed charges,,4025.23,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,4127.35,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,3744.4,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,3408.255,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,2553,,,,percent of total billed charges,,3952.4695,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,3404,,,,percent of total billed charges,,2553,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3408.6805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL IV",278,RC,C1877,HCPCS,,,outpatient,,,5872,,2936,3523.2,5695.84,5519.68,,,,percent of total billed charges,,4697.6,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,4873.76,,,,percent of total billed charges,,5284.8,,,,percent of total billed charges,,5402.24,,,,percent of total billed charges,,5402.24,,,,percent of total billed charges,,5554.912,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,5695.84,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,5167.36,,,,percent of total billed charges,,5284.8,,,,percent of total billed charges,,4703.472,,,,percent of total billed charges,,5284.8,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,5454.5008,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,4697.6,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4704.0592,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEAD INTRODUCER KIT 355018,278,RC,C1894,HCPCS,,,outpatient,,,216,,108,129.6,209.52,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,200.6424,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.0376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRA W/ CONT, LWR EXT",619,RC,C8912,HCPCS,,,outpatient,,,1894,,947,1136.4,1837.18,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1517.094,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1759.3366,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1517.2834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRA W/O CONT, LWR EXT",619,RC,C8913,HCPCS,,,outpatient,,,1894,,947,1136.4,1837.18,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1517.094,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1759.3366,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1517.2834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRA W/O FOL W/ CONT, LWR EXT",619,RC,C8914,HCPCS,,,outpatient,,,3126,,1563,1875.6,3032.22,2938.44,,,,percent of total billed charges,,2500.8,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2594.58,,,,percent of total billed charges,,2813.4,,,,percent of total billed charges,,2875.92,,,,percent of total billed charges,,2875.92,,,,percent of total billed charges,,2957.196,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,3032.22,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2750.88,,,,percent of total billed charges,,2813.4,,,,percent of total billed charges,,2503.926,,,,percent of total billed charges,,2813.4,,,,percent of total billed charges,,1875.6,,,,percent of total billed charges,,2903.7414,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2500.8,,,,percent of total billed charges,,1875.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2504.2386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GELFOAM,272,RC,,,,,outpatient,,,979,,489.5,587.4,949.63,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,784.179,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,909.3931,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,784.2769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS,360,RC,32554,CPT,,,outpatient,,,2007,,1003.5,1204.2,1946.79,1886.58,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1665.81,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1898.622,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1946.79,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1766.16,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1607.607,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,1864.3023,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1607.8077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS WITH S&I,360,RC,32555,CPT,,,outpatient,,,3574,,1787,2144.4,3466.78,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2862.774,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3319.8886,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2863.1314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURAL DRAINAGE,360,RC,32556,CPT,,,outpatient,,,3919,,1959.5,2351.4,3801.43,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3139.119,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3640.3591,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3139.5109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURAL DRAINAGE W/ S&I,360,RC,32557,CPT,,,outpatient,,,3910,,1955,2346,3792.7,3675.4,,,,percent of total billed charges,,3128,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3245.3,,,,percent of total billed charges,,3519,,,,percent of total billed charges,,3597.2,,,,percent of total billed charges,,3597.2,,,,percent of total billed charges,,3698.86,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3792.7,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3440.8,,,,percent of total billed charges,,3519,,,,percent of total billed charges,,3131.91,,,,percent of total billed charges,,3519,,,,percent of total billed charges,,2346,,,,percent of total billed charges,,3631.999,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3128,,,,percent of total billed charges,,2346,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3132.301,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN AORTA W/ S&I,360,RC,36221,CPT,,,outpatient,,,9060,,4530,5436,8788.2,8516.4,,,,percent of total billed charges,,7248,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,7519.8,,,,percent of total billed charges,,8154,,,,percent of total billed charges,,8335.2,,,,percent of total billed charges,,8335.2,,,,percent of total billed charges,,8570.76,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,8788.2,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,7972.8,,,,percent of total billed charges,,8154,,,,percent of total billed charges,,7257.06,,,,percent of total billed charges,,8154,,,,percent of total billed charges,,5436,,,,percent of total billed charges,,8415.834,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,7248,,,,percent of total billed charges,,5436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7257.966,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 1ST ORD THORBRAC W/ S&I,360,RC,36222,CPT,,,outpatient,,,9987,,4993.5,5992.2,9687.39,9387.78,,,,percent of total billed charges,,7989.6,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,8289.21,,,,percent of total billed charges,,8988.3,,,,percent of total billed charges,,9188.04,,,,percent of total billed charges,,9188.04,,,,percent of total billed charges,,9447.702,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,9687.39,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,8788.56,,,,percent of total billed charges,,8988.3,,,,percent of total billed charges,,7999.587,,,,percent of total billed charges,,8988.3,,,,percent of total billed charges,,5992.2,,,,percent of total billed charges,,9276.9243,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,7989.6,,,,percent of total billed charges,,5992.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8000.5857,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL COMM CAROTID WITH S&I,360,RC,36223,CPT,,,outpatient,,,8500,,4250,5100,8245,7990,,,,percent of total billed charges,,6800,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,7055,,,,percent of total billed charges,,7650,,,,percent of total billed charges,,7820,,,,percent of total billed charges,,7820,,,,percent of total billed charges,,8041,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,8245,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,7480,,,,percent of total billed charges,,7650,,,,percent of total billed charges,,6808.5,,,,percent of total billed charges,,7650,,,,percent of total billed charges,,5100,,,,percent of total billed charges,,7895.65,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,6800,,,,percent of total billed charges,,5100,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6809.35,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL INT CAROTID WITH S&I,360,RC,36224,CPT,,,outpatient,,,8444,,4222,5066.4,8190.68,7937.36,,,,percent of total billed charges,,6755.2,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,7008.52,,,,percent of total billed charges,,7599.6,,,,percent of total billed charges,,7768.48,,,,percent of total billed charges,,7768.48,,,,percent of total billed charges,,7988.024,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,8190.68,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,7430.72,,,,percent of total billed charges,,7599.6,,,,percent of total billed charges,,6763.644,,,,percent of total billed charges,,7599.6,,,,percent of total billed charges,,5066.4,,,,percent of total billed charges,,7843.6316,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,6755.2,,,,percent of total billed charges,,5066.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6764.4884,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL SUBCLAVIAN WITH S&I,360,RC,36225,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL VERTEBRAL WITH S&I,360,RC,36226,CPT,,,outpatient,,,5538,,2769,3322.8,5371.86,5205.72,,,,percent of total billed charges,,4430.4,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,4596.54,,,,percent of total billed charges,,4984.2,,,,percent of total billed charges,,5094.96,,,,percent of total billed charges,,5094.96,,,,percent of total billed charges,,5238.948,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,5371.86,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,4873.44,,,,percent of total billed charges,,4984.2,,,,percent of total billed charges,,4435.938,,,,percent of total billed charges,,4984.2,,,,percent of total billed charges,,3322.8,,,,percent of total billed charges,,5144.2482,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,4430.4,,,,percent of total billed charges,,3322.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4436.4918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL EXT CAROTID WITH S&I,360,RC,36227,CPT,,,outpatient,,,10045,,5022.5,6027,9743.65,9442.3,,,,percent of total billed charges,,8036,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,8337.35,,,,percent of total billed charges,,9040.5,,,,percent of total billed charges,,9241.4,,,,percent of total billed charges,,9241.4,,,,percent of total billed charges,,9502.57,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,9743.65,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,8839.6,,,,percent of total billed charges,,9040.5,,,,percent of total billed charges,,8046.045,,,,percent of total billed charges,,9040.5,,,,percent of total billed charges,,6027,,,,percent of total billed charges,,9330.8005,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,8036,,,,percent of total billed charges,,6027,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8047.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL INTRACRANIAL BR WITH S&I,360,RC,36228,CPT,,,outpatient,,,10349,,5174.5,6209.4,10038.53,9728.06,,,,percent of total billed charges,,8279.2,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,8589.67,,,,percent of total billed charges,,9314.1,,,,percent of total billed charges,,9521.08,,,,percent of total billed charges,,9521.08,,,,percent of total billed charges,,9790.154,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,10038.53,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,9107.12,,,,percent of total billed charges,,9314.1,,,,percent of total billed charges,,8289.549,,,,percent of total billed charges,,9314.1,,,,percent of total billed charges,,6209.4,,,,percent of total billed charges,,9613.1861,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,8279.2,,,,percent of total billed charges,,6209.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8290.5839,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCTH RETRIEVAL FB PROC,360,RC,37197,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH ARTERIAL INFUSION,360,RC,37211,CPT,,,outpatient,,,11621,,5810.5,6972.6,11272.37,10923.74,,,,percent of total billed charges,,9296.8,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,9645.43,,,,percent of total billed charges,,10458.9,,,,percent of total billed charges,,10691.32,,,,percent of total billed charges,,10691.32,,,,percent of total billed charges,,10993.466,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,11272.37,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,10226.48,,,,percent of total billed charges,,10458.9,,,,percent of total billed charges,,9308.421,,,,percent of total billed charges,,10458.9,,,,percent of total billed charges,,6972.6,,,,percent of total billed charges,,10794.7469,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,9296.8,,,,percent of total billed charges,,6972.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9309.5831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH VENOUS INFUSION,360,RC,37212,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH ART OR VEN INFUSION,360,RC,37213,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CESSATION OF THORMBOLYSIS,360,RC,37214,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTCA INIITIAL VESSEL,360,RC,92920,CPT,,,outpatient,,,13793,,6896.5,8275.8,13379.21,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,11048.193,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,12812.3177,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11049.5723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTCA EA ADD'L VESS,360,RC,92921,CPT,,,outpatient,,,4759,,2379.5,2855.4,4616.23,4473.46,,,,percent of total billed charges,,3807.2,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,3949.97,,,,percent of total billed charges,,4283.1,,,,percent of total billed charges,,4378.28,,,,percent of total billed charges,,4378.28,,,,percent of total billed charges,,4502.014,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,4616.23,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,4187.92,,,,percent of total billed charges,,4283.1,,,,percent of total billed charges,,3811.959,,,,percent of total billed charges,,4283.1,,,,percent of total billed charges,,2855.4,,,,percent of total billed charges,,4420.6351,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,3807.2,,,,percent of total billed charges,,2855.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3812.4349,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY INIT VESS,360,RC,92924,CPT,,,outpatient,,,15288,,7644,9172.8,14829.36,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,12245.688,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,14201.0232,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12247.2168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ATHERECTOMY, EA ADD'L",360,RC,92925,CPT,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT PX, INIT VESSEL",360,RC,92928,CPT,,,outpatient,,,23750,,11875,14250,23037.5,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,19023.75,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,22061.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19026.125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT PX, EA ADD'L VESSEL",360,RC,92929,CPT,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY INIT VESS STENT,360,RC,92933,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY ADD'L VESS STENT,360,RC,92934,CPT,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, SINGLE CABG",360,RC,92937,CPT,,,outpatient,,,15288,,7644,9172.8,14829.36,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,12245.688,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,14201.0232,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12247.2168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, EA ADD'L",360,RC,92938,CPT,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, SINGLE AMI",360,RC,92941,CPT,,,outpatient,,,27313,,13656.5,16387.8,26493.61,25674.22,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,22669.79,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25838.098,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,26493.61,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,24035.44,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,21877.713,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,25371.0457,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21880.4443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, SINGLE",360,RC,92943,CPT,,,outpatient,,,23750,,11875,14250,23037.5,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,19023.75,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,22061.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19026.125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, EA ADD'L",360,RC,92944,CPT,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP EPS EVAL FOR SVT,480,RC,93653,CPT,,,outpatient,,,27395,,13697.5,16437,26573.15,25751.3,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,22737.85,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25915.67,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26573.15,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,24107.6,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,21943.395,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,25447.2155,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21946.1345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP EPS EVAL FOR V-TACH,480,RC,93654,CPT,,,outpatient,,,27395,,13697.5,16437,26573.15,25751.3,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,22737.85,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25915.67,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26573.15,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,24107.6,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,21943.395,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,25447.2155,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21946.1345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACARDIAC CATH ABL ADD ON,480,RC,93655,CPT,,,outpatient,,,10528,,5264,6316.8,10212.16,9896.32,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8738.24,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9959.488,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10212.16,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,9264.64,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,8432.928,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,9779.4592,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8433.9808,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP EPS EVAL INC CATH,480,RC,93656,CPT,,,outpatient,,,27395,,13697.5,16437,26573.15,25751.3,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,22737.85,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25915.67,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26573.15,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,24107.6,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,21943.395,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,25447.2155,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21946.1345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH ABLATION, ADD ON",480,RC,93657,CPT,,,outpatient,,,10528,,5264,6316.8,10212.16,9896.32,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8738.24,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9959.488,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10212.16,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,9264.64,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,8432.928,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,9779.4592,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8433.9808,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DES STENT PX, INIT VES",480,RC,C9600,HCPCS,,,outpatient,,,23750,,11875,14250,23037.5,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,19023.75,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,22061.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19026.125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DES STENT PX, EA ADD'L VES",480,RC,C9601,HCPCS,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY INIT VESS DES STENT,480,RC,C9602,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY ADD'L VESS DES STENT,480,RC,C9603,HCPCS,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, SINGLE CABG DES",480,RC,C9604,HCPCS,,,outpatient,,,23750,,11875,14250,23037.5,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,19023.75,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,22061.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19026.125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, EA ADD'L DES",480,RC,C9605,HCPCS,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, AMI DES",480,RC,C9606,HCPCS,,,outpatient,,,27313,,13656.5,16387.8,26493.61,25674.22,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,22669.79,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25838.098,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,26493.61,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,24035.44,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,21877.713,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,25371.0457,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21880.4443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, SINGLE DES",480,RC,C9607,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, DES EA ADD'L",480,RC,C9608,HCPCS,,,outpatient,,,13109,,6554.5,7865.4,12715.73,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,10500.309,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,12176.9501,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10501.6199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPS FOLLOW UP STUDY,480,RC,93624,CPT,,,outpatient,,,9555,,4777.5,5733,9268.35,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,7653.555,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,8875.6395,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7654.5105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF INTRA-AORTIC BALLOON PUMP - PERC,360,RC,33967,CPT,,,outpatient,,,2853,,1426.5,1711.8,2767.41,2681.82,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2367.99,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2698.938,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2767.41,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2510.64,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,2285.253,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,2650.1517,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2285.5383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF INTRA-AORTIC BALLOON PUMP - PERC,360,RC,,,,,outpatient,,,2424,,1212,1454.4,2351.28,2278.56,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2011.92,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2293.104,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2351.28,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2133.12,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1941.624,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,2251.6536,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1941.8664,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF IMPELLA-PERC,360,RC,,,,,outpatient,,,2853,,1426.5,1711.8,2767.41,2681.82,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2367.99,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2698.938,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2767.41,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2510.64,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,2285.253,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,2650.1517,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2285.5383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITIONING OF IMPELLA W/ IMAGING-PERC,360,RC,,,,,outpatient,,,1027,,513.5,616.2,996.19,965.38,,,,percent of total billed charges,,821.6,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,852.41,,,,percent of total billed charges,,924.3,,,,percent of total billed charges,,944.84,,,,percent of total billed charges,,944.84,,,,percent of total billed charges,,971.542,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,996.19,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,903.76,,,,percent of total billed charges,,924.3,,,,percent of total billed charges,,822.627,,,,percent of total billed charges,,924.3,,,,percent of total billed charges,,616.2,,,,percent of total billed charges,,953.9803,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,821.6,,,,percent of total billed charges,,616.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,822.7297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF IMPELLA-PERC,360,RC,,,,,outpatient,,,2424,,1212,1454.4,2351.28,2278.56,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2011.92,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2293.104,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2351.28,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2133.12,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1941.624,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,2251.6536,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1941.8664,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1763 CONNECTIVE TISSUE-NON HUMAN,278,RC,C1763,HCPCS,,,outpatient,,,3081,,1540.5,1848.6,2988.57,2896.14,,,,percent of total billed charges,,2464.8,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2557.23,,,,percent of total billed charges,,2772.9,,,,percent of total billed charges,,2834.52,,,,percent of total billed charges,,2834.52,,,,percent of total billed charges,,2914.626,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2988.57,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2711.28,,,,percent of total billed charges,,2772.9,,,,percent of total billed charges,,2467.881,,,,percent of total billed charges,,2772.9,,,,percent of total billed charges,,1848.6,,,,percent of total billed charges,,2861.9409,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2464.8,,,,percent of total billed charges,,1848.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2468.1891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE FOR PERCU ACCESS PANEL,278,RC,C1769,HCPCS,,,outpatient,,,188,,94,112.8,182.36,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,150.588,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,174.6332,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.6068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRODUCER FOR PERCU ACCESS PANEL,278,RC,c1894,HCPCS,,,outpatient,,,188,,94,112.8,182.36,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,150.588,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,174.6332,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.6068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER GUIDING II,278,RC,C1887,HCPCS,,,outpatient,,,862,,431,517.2,836.14,810.28,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,715.46,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,815.452,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,836.14,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,758.56,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,690.462,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,800.7118,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,690.5482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER GUIDING VII,278,RC,C1887,HCPCS,,,outpatient,,,3819,,1909.5,2291.4,3704.43,3589.86,,,,percent of total billed charges,,3055.2,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3169.77,,,,percent of total billed charges,,3437.1,,,,percent of total billed charges,,3513.48,,,,percent of total billed charges,,3513.48,,,,percent of total billed charges,,3612.774,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3704.43,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3360.72,,,,percent of total billed charges,,3437.1,,,,percent of total billed charges,,3059.019,,,,percent of total billed charges,,3437.1,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,3547.4691,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3055.2,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3059.4009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC II,278,RC,C1757,HCPCS,,,outpatient,,,4474,,2237,2684.4,4339.78,4205.56,,,,percent of total billed charges,,3579.2,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,3713.42,,,,percent of total billed charges,,4026.6,,,,percent of total billed charges,,4116.08,,,,percent of total billed charges,,4116.08,,,,percent of total billed charges,,4232.404,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,4339.78,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,3937.12,,,,percent of total billed charges,,4026.6,,,,percent of total billed charges,,3583.674,,,,percent of total billed charges,,4026.6,,,,percent of total billed charges,,2684.4,,,,percent of total billed charges,,4155.8986,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,3579.2,,,,percent of total billed charges,,2684.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3584.1214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PTD ROTATOR UNIT,272,RC,,,,,outpatient,,,1336,,668,801.6,1295.92,1255.84,,,,percent of total billed charges,,1068.8,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1108.88,,,,percent of total billed charges,,1202.4,,,,percent of total billed charges,,1229.12,,,,percent of total billed charges,,1229.12,,,,percent of total billed charges,,1263.856,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1295.92,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1175.68,,,,percent of total billed charges,,1202.4,,,,percent of total billed charges,,1070.136,,,,percent of total billed charges,,1202.4,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,1241.0104,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1068.8,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1070.2696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC III,278,RC,C1757,HCPCS,,,outpatient,,,5636,,2818,3381.6,5466.92,5297.84,,,,percent of total billed charges,,4508.8,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,4677.88,,,,percent of total billed charges,,5072.4,,,,percent of total billed charges,,5185.12,,,,percent of total billed charges,,5185.12,,,,percent of total billed charges,,5331.656,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,5466.92,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,4959.68,,,,percent of total billed charges,,5072.4,,,,percent of total billed charges,,4514.436,,,,percent of total billed charges,,5072.4,,,,percent of total billed charges,,3381.6,,,,percent of total billed charges,,5235.2804,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,4508.8,,,,percent of total billed charges,,3381.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4514.9996,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC IV,278,RC,C1757,HCPCS,,,outpatient,,,7601,,3800.5,4560.6,7372.97,7144.94,,,,percent of total billed charges,,6080.8,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,6308.83,,,,percent of total billed charges,,6840.9,,,,percent of total billed charges,,6992.92,,,,percent of total billed charges,,6992.92,,,,percent of total billed charges,,7190.546,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,7372.97,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,6688.88,,,,percent of total billed charges,,6840.9,,,,percent of total billed charges,,6088.401,,,,percent of total billed charges,,6840.9,,,,percent of total billed charges,,4560.6,,,,percent of total billed charges,,7060.5689,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,6080.8,,,,percent of total billed charges,,4560.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6089.1611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1885 CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",278,RC,C1885,HCPCS,,,outpatient,,,9868,,4934,5920.8,9571.96,9275.92,,,,percent of total billed charges,,7894.4,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,8190.44,,,,percent of total billed charges,,8881.2,,,,percent of total billed charges,,9078.56,,,,percent of total billed charges,,9078.56,,,,percent of total billed charges,,9335.128,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,9571.96,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,8683.84,,,,percent of total billed charges,,8881.2,,,,percent of total billed charges,,7904.268,,,,percent of total billed charges,,8881.2,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,9166.3852,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,7894.4,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7905.2548,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI DYNAMIC PELVIC FLOOR,610,RC,76498,CPT,,,outpatient,,,2155,,1077.5,1293,2090.35,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1726.155,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2001.7795,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1726.3705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D IMAGING FOR ECHO,333,RC,76376,CPT,,,outpatient,,,840,,420,504,814.8,789.6,,,,percent of total billed charges,,672,,,,percent of total billed charges,,798,,,,percent of total billed charges,,697.2,,,,percent of total billed charges,,756,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,794.64,,,,percent of total billed charges,,798,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,798,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,756,,,,percent of total billed charges,,672.84,,,,percent of total billed charges,,756,,,,percent of total billed charges,,504,,,,percent of total billed charges,,780.276,,,,percent of total billed charges,,798,,,,percent of total billed charges,,798,,,,percent of total billed charges,,672,,,,percent of total billed charges,,504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,672.924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93296-0480 REMOTE DEVICE CHECK PACER OR ICD,480,RC,93296,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREO BIOPSY ADD SITE,401,RC,19082,CPT,,,outpatient,,,2530,,1265,1518,2454.1,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2026.53,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2350.117,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2026.783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO RAD SEED IMPLANT,401,RC,19281,CPT,,,outpatient,,,1997,,998.5,1198.2,1937.09,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1599.597,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,1855.0133,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1599.7967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASOUND BIOPSY,402,RC,19083,CPT,,,outpatient,,,3627,,1813.5,2176.2,3518.19,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2905.227,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3369.1203,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2905.5897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US BIOPSY ADD SITE,401,RC,19084,CPT,,,outpatient,,,2530,,1265,1518,2454.1,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2026.53,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2350.117,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2026.783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US LOCALIZATION,402,RC,19285,CPT,,,outpatient,,,1723,,861.5,1033.8,1671.31,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1380.123,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1600.4947,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1380.2953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US- LOC ADD SITE,402,RC,19286,CPT,,,outpatient,,,863,,431.5,517.8,837.11,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,691.263,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,801.6407,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,691.3493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US RAD SEED IMPLANT,402,RC,19285,CPT,,,outpatient,,,1723,,861.5,1033.8,1671.31,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1380.123,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1600.4947,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1380.2953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT 1ST,361,RC,37236,CPT,,,outpatient,,,25835,,12917.5,15501,25059.95,24284.9,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,21443.05,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,24439.91,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,25059.95,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,22734.8,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,20693.835,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,23998.1315,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20696.4185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT 2ND,361,RC,37237,CPT,,,outpatient,,,14369,,7184.5,8621.4,13937.93,13506.86,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11926.27,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13593.074,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13937.93,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,12644.72,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,11509.569,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,13347.3641,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11511.0059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT SAME,361,RC,37238,CPT,,,outpatient,,,25835,,12917.5,15501,25059.95,24284.9,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,21443.05,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,24439.91,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,25059.95,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,22734.8,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,20693.835,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,23998.1315,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20696.4185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT EA ADD,361,RC,37239,CPT,,,outpatient,,,14369,,7184.5,8621.4,13937.93,13506.86,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11926.27,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13593.074,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13937.93,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,12644.72,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,11509.569,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,13347.3641,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11511.0059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC-VENOUS,361,RC,37241,CPT,,,outpatient,,,15288,,7644,9172.8,14829.36,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,12245.688,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,14201.0232,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12247.2168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC- ARTERY,361,RC,37242,CPT,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC-ORGAN,361,RC,37243,CPT,,,outpatient,,,20541,,10270.5,12324.6,19924.77,19308.54,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,17049.03,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,19431.786,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19924.77,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,18076.08,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,16453.341,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,19080.5349,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16455.3951,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC-BLEED,361,RC,37244,CPT,,,outpatient,,,20541,,10270.5,12324.6,19924.77,19308.54,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,17049.03,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,19431.786,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19924.77,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,18076.08,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,16453.341,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,19080.5349,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16455.3951,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMAGE CATH FLUID-VISC,361,RC,49405,CPT,,,outpatient,,,7160,,3580,4296,6945.2,6730.4,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5942.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6773.36,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6945.2,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6300.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,5735.16,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,6650.924,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5735.876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMAGE CATH FLUID-PERI,361,RC,49406,CPT,,,outpatient,,,7160,,3580,4296,6945.2,6730.4,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5942.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6773.36,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6945.2,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6300.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,5735.16,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,6650.924,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5735.876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMAGE CATH FLUID-TRANSV,361,RC,49407,CPT,,,outpatient,,,7215,,3607.5,4329,6998.55,6782.1,,,,percent of total billed charges,,5772,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,5988.45,,,,percent of total billed charges,,6493.5,,,,percent of total billed charges,,6637.8,,,,percent of total billed charges,,6637.8,,,,percent of total billed charges,,6825.39,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,6998.55,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,6349.2,,,,percent of total billed charges,,6493.5,,,,percent of total billed charges,,5779.215,,,,percent of total billed charges,,6493.5,,,,percent of total billed charges,,4329,,,,percent of total billed charges,,6702.0135,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,5772,,,,percent of total billed charges,,4329,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5779.9365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IG FLUID COLL BY CATH,361,RC,10030,CPT,,,outpatient,,,2312,,1156,1387.2,2242.64,2173.28,,,,percent of total billed charges,,1849.6,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,1918.96,,,,percent of total billed charges,,2080.8,,,,percent of total billed charges,,2127.04,,,,percent of total billed charges,,2127.04,,,,percent of total billed charges,,2187.152,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,2242.64,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,2034.56,,,,percent of total billed charges,,2080.8,,,,percent of total billed charges,,1851.912,,,,percent of total billed charges,,2080.8,,,,percent of total billed charges,,1387.2,,,,percent of total billed charges,,2147.6168,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,1849.6,,,,percent of total billed charges,,1387.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1852.1432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO LOCALIZATION,401,RC,19281,CPT,,,outpatient,,,1997,,998.5,1198.2,1937.09,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1599.597,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,1855.0133,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1599.7967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION W/ RESP MOTION MGMT.,333,RC,77293,CPT,,,outpatient,,,771,,385.5,462.6,747.87,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,617.571,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,716.1819,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,617.6481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE SURVEY INFANT,320,RC,77076,CPT,,,outpatient,,,615,,307.5,369,596.55,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,492.615,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,571.2735,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.6765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL TUNNELED INTRAPERITONEAL CATH,361,RC,49422,CPT,,,outpatient,,,4617,,2308.5,2770.2,4478.49,4339.98,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3832.11,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4367.682,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4478.49,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4062.96,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3698.217,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,4288.7313,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3698.6787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOPSY, SOFT TISSUE NECK OR THORAX",361,RC,21550,CPT,,,outpatient,,,3473,,1736.5,2083.8,3368.81,3264.62,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2882.59,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3285.458,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3368.81,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3056.24,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2781.873,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,3226.0697,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2782.2203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOLUS MATERIAL,272,RC,,,,,outpatient,,,3158,,1579,1894.8,3063.26,2968.52,,,,percent of total billed charges,,2526.4,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,2621.14,,,,percent of total billed charges,,2842.2,,,,percent of total billed charges,,2905.36,,,,percent of total billed charges,,2905.36,,,,percent of total billed charges,,2987.468,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,3063.26,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,2779.04,,,,percent of total billed charges,,2842.2,,,,percent of total billed charges,,2529.558,,,,percent of total billed charges,,2842.2,,,,percent of total billed charges,,1894.8,,,,percent of total billed charges,,2933.4662,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,2526.4,,,,percent of total billed charges,,1894.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2529.8738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMOEMBOLIZATION,331,RC,96420,CPT,,,outpatient,,,1559,,779.5,935.4,1512.23,1465.46,,,,percent of total billed charges,,1247.2,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1293.97,,,,percent of total billed charges,,1403.1,,,,percent of total billed charges,,1434.28,,,,percent of total billed charges,,1434.28,,,,percent of total billed charges,,1474.814,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1512.23,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1371.92,,,,percent of total billed charges,,1403.1,,,,percent of total billed charges,,1248.759,,,,percent of total billed charges,,1403.1,,,,percent of total billed charges,,935.4,,,,percent of total billed charges,,1448.1551,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1247.2,,,,percent of total billed charges,,935.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1248.9149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD BRIEF VISIT,510,RC,G0463,HCPCS,,,outpatient,,,84,,42,50.4,81.48,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,67.284,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,78.0276,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.2924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I CERVICAL",361,RC,62302,CPT,,,outpatient,,,2845,,1422.5,1707,2759.65,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2278.845,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2642.7205,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2279.1295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I THORACIC",361,RC,62303,CPT,,,outpatient,,,2845,,1422.5,1707,2759.65,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2278.845,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2642.7205,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2279.1295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I LUMBOSACRAL",361,RC,62304,CPT,,,outpatient,,,2845,,1422.5,1707,2759.65,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2278.845,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2642.7205,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2279.1295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I 2 OR MORE REGIONS",361,RC,62305,CPT,,,outpatient,,,2845,,1422.5,1707,2759.65,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2278.845,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2642.7205,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2279.1295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT VERTEBROPLASTY LUMB,361,RC,22511,CPT,,,outpatient,,,7200,,3600,4320,6984,6768,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5976,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6811.2,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6984,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6336,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,5767.2,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,6688.08,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5767.92,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT VERTEBROPLASTY ADDÆL,361,RC,22512,CPT,,,outpatient,,,6713,,3356.5,4027.8,6511.61,6310.22,,,,percent of total billed charges,,5370.4,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,5571.79,,,,percent of total billed charges,,6041.7,,,,percent of total billed charges,,6175.96,,,,percent of total billed charges,,6175.96,,,,percent of total billed charges,,6350.498,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,6511.61,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,5907.44,,,,percent of total billed charges,,6041.7,,,,percent of total billed charges,,5377.113,,,,percent of total billed charges,,6041.7,,,,percent of total billed charges,,4027.8,,,,percent of total billed charges,,6235.7057,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,5370.4,,,,percent of total billed charges,,4027.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5377.7843,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERCUT KYPHOPLASTY, THOR",361,RC,22513,CPT,,,outpatient,,,13177,,6588.5,7906.2,12781.69,12386.38,,,,percent of total billed charges,,10541.6,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,10936.91,,,,percent of total billed charges,,11859.3,,,,percent of total billed charges,,12122.84,,,,percent of total billed charges,,12122.84,,,,percent of total billed charges,,12465.442,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,12781.69,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,11595.76,,,,percent of total billed charges,,11859.3,,,,percent of total billed charges,,10554.777,,,,percent of total billed charges,,11859.3,,,,percent of total billed charges,,7906.2,,,,percent of total billed charges,,12240.1153,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,10541.6,,,,percent of total billed charges,,7906.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10556.0947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERCUT KYPHOPLASTY, LUMBAR",361,RC,22514,CPT,,,outpatient,,,12607,,6303.5,7564.2,12228.79,11850.58,,,,percent of total billed charges,,10085.6,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,10463.81,,,,percent of total billed charges,,11346.3,,,,percent of total billed charges,,11598.44,,,,percent of total billed charges,,11598.44,,,,percent of total billed charges,,11926.222,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,12228.79,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,11094.16,,,,percent of total billed charges,,11346.3,,,,percent of total billed charges,,10098.207,,,,percent of total billed charges,,11346.3,,,,percent of total billed charges,,7564.2,,,,percent of total billed charges,,11710.6423,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,10085.6,,,,percent of total billed charges,,7564.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10099.4677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERC KYPHOPLASTY EA ADDL,361,RC,22515,CPT,,,outpatient,,,6979,,3489.5,4187.4,6769.63,6560.26,,,,percent of total billed charges,,5583.2,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,5792.57,,,,percent of total billed charges,,6281.1,,,,percent of total billed charges,,6420.68,,,,percent of total billed charges,,6420.68,,,,percent of total billed charges,,6602.134,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,6769.63,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,6141.52,,,,percent of total billed charges,,6281.1,,,,percent of total billed charges,,5590.179,,,,percent of total billed charges,,6281.1,,,,percent of total billed charges,,4187.4,,,,percent of total billed charges,,6482.7931,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,5583.2,,,,percent of total billed charges,,4187.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5590.8769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SACROPLASTY, UNILAT INJ",361,RC,0200T,HCPCS,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SACROPLASTY, BILAT INJ",361,RC,0201T,HCPCS,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOABLATE BONETUMOR PERC,361,RC,20983,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TELETH ISODOSE PLAN:SIMPLE,333,RC,77306,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TELETH ISODOSE PLAN:COMPLEX,333,RC,77307,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTH ISODOSE PLAN:SIMPLE,333,RC,77316,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTH ISODOSE PLAN:INTERMED,333,RC,77317,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTH ISODOSE PLAN:COMPLEX,333,RC,77318,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMRT DELIVERY-SIMPLE,333,RC,77385,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMRT DELIVERY-COMPLEX,333,RC,77386,CPT,,,outpatient,,,1514,,757,908.4,1468.58,1423.16,,,,percent of total billed charges,,1211.2,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1256.62,,,,percent of total billed charges,,1362.6,,,,percent of total billed charges,,1392.88,,,,percent of total billed charges,,1392.88,,,,percent of total billed charges,,1432.244,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1468.58,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1332.32,,,,percent of total billed charges,,1362.6,,,,percent of total billed charges,,1212.714,,,,percent of total billed charges,,1362.6,,,,percent of total billed charges,,908.4,,,,percent of total billed charges,,1406.3546,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1211.2,,,,percent of total billed charges,,908.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1212.8654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT VERTEBROPLASTY THOR,361,RC,22510,CPT,,,outpatient,,,7200,,3600,4320,6984,6768,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5976,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6811.2,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6984,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6336,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,5767.2,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,6688.08,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5767.92,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASCULAR LASER CATHETER,272,RC,,,,,outpatient,,,7763,,3881.5,4657.8,7530.11,7297.22,,,,percent of total billed charges,,6210.4,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,6443.29,,,,percent of total billed charges,,6986.7,,,,percent of total billed charges,,7141.96,,,,percent of total billed charges,,7141.96,,,,percent of total billed charges,,7343.798,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,7530.11,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,6831.44,,,,percent of total billed charges,,6986.7,,,,percent of total billed charges,,6218.163,,,,percent of total billed charges,,6986.7,,,,percent of total billed charges,,4657.8,,,,percent of total billed charges,,7211.0507,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,6210.4,,,,percent of total billed charges,,4657.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6218.9393,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT VAG APPLICATOR,361,RC,57156,CPT,,,outpatient,,,764,,382,458.4,741.08,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,611.964,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,709.6796,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.0404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2623 CATHETER TRANSLUMINAL ANGIOPLASTY, DRUG COATED NONLASER",278,RC,C2623,HCPCS,,,outpatient,,,4054,,2027,2432.4,3932.38,3810.76,,,,percent of total billed charges,,3243.2,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3364.82,,,,percent of total billed charges,,3648.6,,,,percent of total billed charges,,3729.68,,,,percent of total billed charges,,3729.68,,,,percent of total billed charges,,3835.084,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3932.38,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3567.52,,,,percent of total billed charges,,3648.6,,,,percent of total billed charges,,3247.254,,,,percent of total billed charges,,3648.6,,,,percent of total billed charges,,2432.4,,,,percent of total billed charges,,3765.7606,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3243.2,,,,percent of total billed charges,,2432.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3247.6594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCERVICAL INTRODUCTION OF FALLOPIAN TUBE CATHETER FOR DIAGNOSIS AND/OR RE-ESTABLISHING PATENCY (ANY METHOD), WITH OR WITHOUT HYSTEROSALPINGOGRAPHY",361,RC,58345,CPT,,,outpatient,,,6743,,3371.5,4045.8,6540.71,6338.42,,,,percent of total billed charges,,5394.4,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,5596.69,,,,percent of total billed charges,,6068.7,,,,percent of total billed charges,,6203.56,,,,percent of total billed charges,,6203.56,,,,percent of total billed charges,,6378.878,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,6540.71,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,5933.84,,,,percent of total billed charges,,6068.7,,,,percent of total billed charges,,5401.143,,,,percent of total billed charges,,6068.7,,,,percent of total billed charges,,4045.8,,,,percent of total billed charges,,6263.5727,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,5394.4,,,,percent of total billed charges,,4045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5401.8173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE, RADIOLOGICAL SUPERVISION & INTERPRETATION",361,RC,74742,CPT,,,outpatient,,,1360,,680,816,1319.2,1278.4,,,,percent of total billed charges,,1088,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1128.8,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,1251.2,,,,percent of total billed charges,,1251.2,,,,percent of total billed charges,,1286.56,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1319.2,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,1089.36,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,816,,,,percent of total billed charges,,1263.304,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1088,,,,percent of total billed charges,,816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1089.496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED FLUROSCOPIC PROCEDURE (DIAGNOSTIC INTERVENTIONAL),320,RC,76496,CPT,,,outpatient,,,385,,192.5,231,373.45,361.9,,,,percent of total billed charges,,308,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,319.55,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,364.21,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,373.45,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,338.8,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,308.385,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,231,,,,percent of total billed charges,,357.6265,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,308,,,,percent of total billed charges,,231,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,308.4235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION PROCEDURE FOR MAMMARY DUCTOGRAM,320,RC,19030,CPT,,,outpatient,,,626,,313,375.6,607.22,588.44,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,519.58,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,592.196,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,607.22,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,550.88,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,501.426,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,581.4914,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,501.4886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROPHYSIOLOGIC EVAL OF CARDOVERTER-DEFIB LEADS,480,RC,93641,CPT,,,outpatient,,,106,,53,63.6,102.82,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,84.906,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,98.4634,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.9166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRA-OP RT DELIVERY, SINGLE SESSION",333,RC,77424,CPT,,,outpatient,,,18549,,9274.5,11129.4,17992.53,17436.06,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,15395.67,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17547.354,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17992.53,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,16323.12,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,14857.749,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,17230.1661,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14859.6039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CVIS NON-CHARGE SUPPLY,272,RC,,,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LOW-DOSE CT (LDCT) FOR LUNG CANCER SCREENING,350,RC,71271,CPT,,,outpatient,,,240,,120,144,232.8,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,192.24,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,222.936,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 1 VW",320,RC,72081,CPT,,,outpatient,,,361,,180.5,216.6,350.17,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,335.3329,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.1971,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 2-3 VW",320,RC,72082,CPT,,,outpatient,,,378,,189,226.8,366.66,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,302.778,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,351.1242,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.8158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 4-5 VW",320,RC,72083,CPT,,,outpatient,,,391,,195.5,234.6,379.27,367.54,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,324.53,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,359.72,,,,percent of total billed charges,,359.72,,,,percent of total billed charges,,369.886,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,379.27,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,313.191,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,363.1999,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,313.2301,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 6> VW",320,RC,72084,CPT,,,outpatient,,,408,,204,244.8,395.76,383.52,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,338.64,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,375.36,,,,percent of total billed charges,,375.36,,,,percent of total billed charges,,385.968,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,395.76,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,359.04,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,326.808,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,378.9912,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,326.8488,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIP UNILATERAL, 1 VIEW",320,RC,73501,CPT,,,outpatient,,,372,,186,223.2,360.84,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,297.972,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,345.5508,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.0092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIP UNILATERAL, 2-3  VIEWS",320,RC,73502,CPT,,,outpatient,,,381,,190.5,228.6,369.57,358.14,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,316.23,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,360.426,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,369.57,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,335.28,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,305.181,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,353.9109,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,305.2191,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIP UNILATERAL, MINIMUM OF 4 VIEWS",320,RC,73503,CPT,,,outpatient,,,389,,194.5,233.4,377.33,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,311.589,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,361.3421,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,311.6279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIPS BILATERAL, 2 VIEWS",320,RC,73521,CPT,,,outpatient,,,372,,186,223.2,360.84,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,297.972,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,345.5508,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.0092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIPS BILATERAL, 3-4 VIEWS",320,RC,73522,CPT,,,outpatient,,,381,,190.5,228.6,369.57,358.14,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,316.23,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,360.426,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,369.57,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,335.28,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,305.181,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,353.9109,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,305.2191,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIPS BILATERAL, MINIMUM OF 5 VIEWS",320,RC,73523,CPT,,,outpatient,,,389,,194.5,233.4,377.33,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,311.589,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,361.3421,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,311.6279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR  FEMUR, 1 VIEW",320,RC,73551,CPT,,,outpatient,,,361,,180.5,216.6,350.17,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,335.3329,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.1971,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR FEMUR, 2 VIEWS",320,RC,73552,CPT,,,outpatient,,,368,,184,220.8,356.96,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,294.768,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,341.8352,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.8048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR BRACHY 1 CHANNEL,333,RC,77770,CPT,,,outpatient,,,1708,,854,1024.8,1656.76,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1368.108,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1586.5612,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1368.2788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR BRACHY 2-12 CHANNELS,333,RC,77771,CPT,,,outpatient,,,1708,,854,1024.8,1656.76,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1368.108,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1586.5612,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1368.2788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR BRACHY >12 CHANNELS,333,RC,77772,CPT,,,outpatient,,,1708,,854,1024.8,1656.76,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1368.108,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1586.5612,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1368.2788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ ART M-THROMBECT INTRACRAN,361,RC,61645,CPT,,,outpatient,,,13586,,6793,8151.6,13178.42,12770.84,,,,percent of total billed charges,,10868.8,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,11276.38,,,,percent of total billed charges,,12227.4,,,,percent of total billed charges,,12499.12,,,,percent of total billed charges,,12499.12,,,,percent of total billed charges,,12852.356,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,13178.42,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,11955.68,,,,percent of total billed charges,,12227.4,,,,percent of total billed charges,,10882.386,,,,percent of total billed charges,,12227.4,,,,percent of total billed charges,,8151.6,,,,percent of total billed charges,,12620.0354,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,10868.8,,,,percent of total billed charges,,8151.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10883.7446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRVASC US NONCORONARY 1ST,361,RC,37252,CPT,,,outpatient,,,3161,,1580.5,1896.6,3066.17,2971.34,,,,percent of total billed charges,,2528.8,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,2623.63,,,,percent of total billed charges,,2844.9,,,,percent of total billed charges,,2908.12,,,,percent of total billed charges,,2908.12,,,,percent of total billed charges,,2990.306,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,3066.17,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,2781.68,,,,percent of total billed charges,,2844.9,,,,percent of total billed charges,,2531.961,,,,percent of total billed charges,,2844.9,,,,percent of total billed charges,,1896.6,,,,percent of total billed charges,,2936.2529,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,2528.8,,,,percent of total billed charges,,1896.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2532.2771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRVASC US NONCORONARY ADDL,361,RC,37253,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION FOR CHOLANG, EXIST",361,RC,47531,CPT,,,outpatient,,,4847,,2423.5,2908.2,4701.59,4556.18,,,,percent of total billed charges,,3877.6,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4023.01,,,,percent of total billed charges,,4362.3,,,,percent of total billed charges,,4459.24,,,,percent of total billed charges,,4459.24,,,,percent of total billed charges,,4585.262,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4701.59,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4265.36,,,,percent of total billed charges,,4362.3,,,,percent of total billed charges,,3882.447,,,,percent of total billed charges,,4362.3,,,,percent of total billed charges,,2908.2,,,,percent of total billed charges,,4502.3783,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,3877.6,,,,percent of total billed charges,,2908.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3882.9317,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION FOR CHOLANG, NEW",361,RC,47532,CPT,,,outpatient,,,6665,,3332.5,3999,6465.05,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,5338.665,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6191.1185,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5339.3315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT BILIARY DRAINAGE CATH, EXT",361,RC,47533,CPT,,,outpatient,,,6665,,3332.5,3999,6465.05,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,5338.665,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6191.1185,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5339.3315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT BILIARY DRAINAGE CATH, INT/EXT",361,RC,47534,CPT,,,outpatient,,,6665,,3332.5,3999,6465.05,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,5338.665,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6191.1185,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5339.3315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT BILIARY DRAINAGE CATH, CONV",361,RC,47534,CPT,,,outpatient,,,6665,,3332.5,3999,6465.05,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,5338.665,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6191.1185,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5339.3315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCHANGE BILIARY DRG CATH,361,RC,47536,CPT,,,outpatient,,,2864,,1432,1718.4,2778.08,2692.16,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2377.12,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2709.344,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2778.08,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2520.32,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,2294.064,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2660.3696,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2294.3504,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL BILIARY DRG CATH,361,RC,47537,CPT,,,outpatient,,,2864,,1432,1718.4,2778.08,2692.16,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2377.12,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2709.344,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2778.08,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2520.32,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,2294.064,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2660.3696,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2294.3504,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REM DUCT GLBLDR CALCULI,361,RC,47544,CPT,,,outpatient,,,792,,396,475.2,768.24,744.48,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,657.36,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,749.232,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,696.96,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,634.392,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,735.6888,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,634.4712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NJX PX NFROSGRM &/URTRGRM, NEW",361,RC,50430,CPT,,,outpatient,,,4331,,2165.5,2598.6,4201.07,4071.14,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3594.73,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,4097.126,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4201.07,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3811.28,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,3469.131,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,4023.0659,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3469.5641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NJX PX NFROSGRM &/URTRGRM, EXIS",361,RC,50431,CPT,,,outpatient,,,4331,,2165.5,2598.6,4201.07,4071.14,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3594.73,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,4097.126,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4201.07,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3811.28,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,3469.131,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,4023.0659,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3469.5641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT NEPHROSTOMY CATHETER,361,RC,50432,CPT,,,outpatient,,,7739,,3869.5,4643.4,7506.83,7274.66,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6423.37,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7321.094,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7506.83,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6810.32,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,6198.939,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,7188.7571,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6199.7129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT NEPHROSTOMY CATH, NEW",361,RC,50433,CPT,,,outpatient,,,7739,,3869.5,4643.4,7506.83,7274.66,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6423.37,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7321.094,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7506.83,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6810.32,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,6198.939,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,7188.7571,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6199.7129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONVERT NEPHROSTOMY CATH,361,RC,50434,CPT,,,outpatient,,,2749,,1374.5,1649.4,2666.53,2584.06,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2281.67,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2600.554,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2666.53,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2419.12,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,2201.949,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,2553.5461,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2202.2239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCHANGE NEPHROSTOMY CATH,361,RC,50435,CPT,,,outpatient,,,3251,,1625.5,1950.6,3153.47,3055.94,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2698.33,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,3075.446,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3153.47,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2860.88,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2604.051,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,3019.8539,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2604.3761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT URETERAL STENT PRQ,361,RC,50693,CPT,,,outpatient,,,1819,,909.5,1091.4,1764.43,1709.86,,,,percent of total billed charges,,1455.2,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1509.77,,,,percent of total billed charges,,1637.1,,,,percent of total billed charges,,1673.48,,,,percent of total billed charges,,1673.48,,,,percent of total billed charges,,1720.774,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1764.43,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1600.72,,,,percent of total billed charges,,1637.1,,,,percent of total billed charges,,1457.019,,,,percent of total billed charges,,1637.1,,,,percent of total billed charges,,1091.4,,,,percent of total billed charges,,1689.6691,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1455.2,,,,percent of total billed charges,,1091.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1457.2009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT URETERAL STENT NEW TRACT,361,RC,50694,CPT,,,outpatient,,,10504,,5252,6302.4,10188.88,9873.76,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8718.32,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9936.784,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,10188.88,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9243.52,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,8413.704,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,9757.1656,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8414.7544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT URETERAL STENT NEW ACC/TRT,361,RC,50695,CPT,,,outpatient,,,10504,,5252,6302.4,10188.88,9873.76,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8718.32,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9936.784,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,10188.88,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9243.52,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,8413.704,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,9757.1656,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8414.7544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVASC PRLNG ADMN RX AGNT 1ST,361,RC,61650,CPT,,,outpatient,,,13697,,6848.5,8218.2,13286.09,12875.18,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,11368.51,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12957.362,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13286.09,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,12053.36,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,10971.297,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,12723.1433,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10972.6667,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVASC PRLNG ADMN RX AGNT ADD,361,RC,61651,CPT,,,outpatient,,,13697,,6848.5,8218.2,13286.09,12875.18,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,11368.51,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12957.362,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13286.09,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,12053.36,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,10971.297,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,12723.1433,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10972.6667,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCLEROTX FLUID COLLECTION,361,RC,49185,CPT,,,outpatient,,,4856,,2428,2913.6,4710.32,4564.64,,,,percent of total billed charges,,3884.8,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4030.48,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,4467.52,,,,percent of total billed charges,,4467.52,,,,percent of total billed charges,,4593.776,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4710.32,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4273.28,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3889.656,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,4510.7384,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,3884.8,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3890.1416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC SINGLE INJ SITE,361,RC,64461,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC 2ND+ INJ SITE,361,RC,64462,CPT,,,outpatient,,,2003,,1001.5,1201.8,1942.91,1882.82,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1662.49,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1894.838,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1942.91,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1762.64,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1604.403,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,1860.5867,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1604.6033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC CONT INFUSION,361,RC,64462,CPT,,,outpatient,,,2003,,1001.5,1201.8,1942.91,1882.82,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1662.49,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1894.838,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1942.91,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1762.64,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1604.403,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,1860.5867,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1604.6033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRO GASTROINTESTINAL TUBE,320,RC,44500,CPT,,,outpatient,,,2476,,1238,1485.6,2401.72,2327.44,,,,percent of total billed charges,,1980.8,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2055.08,,,,percent of total billed charges,,2228.4,,,,percent of total billed charges,,2277.92,,,,percent of total billed charges,,2277.92,,,,percent of total billed charges,,2342.296,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2401.72,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2178.88,,,,percent of total billed charges,,2228.4,,,,percent of total billed charges,,1983.276,,,,percent of total billed charges,,2228.4,,,,percent of total billed charges,,1485.6,,,,percent of total billed charges,,2299.9564,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,1980.8,,,,percent of total billed charges,,1485.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1983.5236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTHERAPY STR CES131,278,RC,C2642,HCPCS,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BM BX AND ASPIRATION,361,RC,38222,CPT,,,outpatient,,,4711,,2355.5,2826.6,4569.67,4428.34,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3910.13,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4456.606,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4569.67,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4145.68,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,3773.511,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,4376.0479,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3773.9821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA (34701),360,RC,34701,CPT,,,outpatient,,,33669,,16834.5,20201.4,32658.93,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,26968.869,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,31275.1341,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26972.2359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA (34702),360,RC,34702,CPT,,,outpatient,,,33669,,16834.5,20201.4,32658.93,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,26968.869,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,31275.1341,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26972.2359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA (34703),360,RC,34703,CPT,,,outpatient,,,33669,,16834.5,20201.4,32658.93,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,26968.869,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,31275.1341,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26972.2359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34704),360,RC,34704,CPT,,,outpatient,,,33669,,16834.5,20201.4,32658.93,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,26968.869,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,31275.1341,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26972.2359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34705),360,RC,34705,CPT,,,outpatient,,,33669,,16834.5,20201.4,32658.93,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,26968.869,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,31275.1341,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26972.2359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34706),360,RC,34706,CPT,,,outpatient,,,33669,,16834.5,20201.4,32658.93,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,26968.869,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,31275.1341,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26972.2359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34707),360,RC,34707,CPT,,,outpatient,,,4632,,2316,2779.2,4493.04,4354.08,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3844.56,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4381.872,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4493.04,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4076.16,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3710.232,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,4302.6648,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3710.6952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF ILIAC ART (34708),360,RC,34708,CPT,,,outpatient,,,4632,,2316,2779.2,4493.04,4354.08,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3844.56,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4381.872,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4493.04,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4076.16,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3710.232,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,4302.6648,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3710.6952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVENT RECORDER, CARDIAC (IMPLANTABLE)",278,RC,C1764,HCPCS,,,outpatient,,,11913,,5956.5,7147.8,11555.61,11198.22,,,,percent of total billed charges,,9530.4,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,9887.79,,,,percent of total billed charges,,10721.7,,,,percent of total billed charges,,10959.96,,,,percent of total billed charges,,10959.96,,,,percent of total billed charges,,11269.698,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,11555.61,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,10483.44,,,,percent of total billed charges,,10721.7,,,,percent of total billed charges,,9542.313,,,,percent of total billed charges,,10721.7,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,11065.9857,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,9530.4,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9543.5043,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FOAM SCLEROSANT,361,RC,36465,CPT,,,outpatient,,,2034,,1017,1220.4,1972.98,1911.96,,,,percent of total billed charges,,1627.2,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1688.22,,,,percent of total billed charges,,1830.6,,,,percent of total billed charges,,1871.28,,,,percent of total billed charges,,1871.28,,,,percent of total billed charges,,1924.164,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1972.98,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1789.92,,,,percent of total billed charges,,1830.6,,,,percent of total billed charges,,1629.234,,,,percent of total billed charges,,1830.6,,,,percent of total billed charges,,1220.4,,,,percent of total billed charges,,1889.3826,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1627.2,,,,percent of total billed charges,,1220.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1629.4374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ FOAM SCLEROSANT, SAME LEG",361,RC,36466,CPT,,,outpatient,,,2961,,1480.5,1776.6,2872.17,2783.34,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2457.63,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2801.106,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2872.17,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2605.68,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,2371.761,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,2750.4729,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2372.0571,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOVENOUS ABL THERAPY,361,RC,36482,CPT,,,outpatient,,,5648,,2824,3388.8,5478.56,5309.12,,,,percent of total billed charges,,4518.4,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,4687.84,,,,percent of total billed charges,,5083.2,,,,percent of total billed charges,,5196.16,,,,percent of total billed charges,,5196.16,,,,percent of total billed charges,,5343.008,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,5478.56,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,4970.24,,,,percent of total billed charges,,5083.2,,,,percent of total billed charges,,4524.048,,,,percent of total billed charges,,5083.2,,,,percent of total billed charges,,3388.8,,,,percent of total billed charges,,5246.4272,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,4518.4,,,,percent of total billed charges,,3388.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4524.6128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOVENOUS ABL THERAPY, ADD ON",361,RC,36483,CPT,,,outpatient,,,2824,,1412,1694.4,2739.28,2654.56,,,,percent of total billed charges,,2259.2,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2343.92,,,,percent of total billed charges,,2541.6,,,,percent of total billed charges,,2598.08,,,,percent of total billed charges,,2598.08,,,,percent of total billed charges,,2671.504,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2739.28,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2485.12,,,,percent of total billed charges,,2541.6,,,,percent of total billed charges,,2262.024,,,,percent of total billed charges,,2541.6,,,,percent of total billed charges,,1694.4,,,,percent of total billed charges,,2623.2136,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2259.2,,,,percent of total billed charges,,1694.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2262.3064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GADOBUTROL INJECTION, 0.1 ML",343,RC,A9585,HCPCS,,,outpatient,,,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RMVL PULSE GEN COMP(BAT//TRNSMT)WIRELESS CARD STIM/LT VENT PACING,361,RC,0518T,HCPCS,,,outpatient,,,6536,,3268,3921.6,6339.92,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,5235.336,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6071.2904,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5235.9896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRA PX CORONARY FFR W 3D FUNCT-COLOR-CODE FFR VALS CORONAY TREE,481,RC,0523T,HCPCS,,,outpatient,,,10448,,5224,6268.8,10134.56,9821.12,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8671.84,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9883.808,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,10134.56,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9194.24,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,8368.848,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,9705.1472,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8369.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOVNOUS CATH CHEM ABLAT'N BALLOON ISOLAT INCOMP EXTREMITY VEIN,361,RC,0524T,HCPCS,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING US GUIDANCE, FIRST LESION",402,RC,10005,CPT,,,outpatient,,,2935,,1467.5,1761,2846.95,2758.9,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2436.05,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2776.51,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2846.95,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2582.8,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,2350.935,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,2726.3215,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2351.2285,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX INCLD US GUIDE,EA LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",402,RC,10006,CPT,,,outpatient,,,2936,,1468,1761.6,2847.92,2759.84,,,,percent of total billed charges,,2348.8,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2436.88,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,2701.12,,,,percent of total billed charges,,2701.12,,,,percent of total billed charges,,2777.456,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2847.92,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2583.68,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,2351.736,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,1761.6,,,,percent of total billed charges,,2727.2504,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2348.8,,,,percent of total billed charges,,1761.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2352.0296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING FLUOROSCOPIC GUIDANCE, FIRST LESION",320,RC,10007,CPT,,,outpatient,,,3162,,1581,1897.2,3067.14,2972.28,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2624.46,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2991.252,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3067.14,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2782.56,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2532.762,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,2937.1818,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2533.0782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX,INCL FLUORO GUID, EA LESN(LIST SEPARATE IN ADDN TO PRIM PX)",320,RC,10008,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING CT GUIDANCE, FIRST LESION",350,RC,10009,CPT,,,outpatient,,,3162,,1581,1897.2,3067.14,2972.28,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2624.46,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2991.252,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3067.14,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2782.56,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2532.762,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,2937.1818,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2533.0782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX,INCLUDE CT GUIDE, EA LESION(LIST SEPARATE IN ADDN PRIM PX)",350,RC,10010,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING MR GUIDANCE, FIRST LESION",610,RC,10011,CPT,,,outpatient,,,3162,,1581,1897.2,3067.14,2972.28,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2624.46,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2991.252,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3067.14,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2782.56,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2532.762,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,2937.1818,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2533.0782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX,INCLUD MR GUIDE, EA LESION(LIST SEPARATE ADDN TO PRIM PX)",610,RC,10012,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PX CNTRST KNEE ARTHROGRAPH CNTRST ENHNCD CT/MRI KNEE ARTHRO,361,RC,27369,CPT,,,outpatient,,,2866,,1433,1719.6,2780.02,2694.04,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2378.78,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2711.236,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2780.02,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2522.08,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,2295.666,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,2662.2274,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2295.9526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCATH INSERT REPLCMENT PERMANENT LEADLESS PCEMKR,RT VENT",480,RC,33274,CPT,,,outpatient,,,10448,,5224,6268.8,10134.56,9821.12,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8671.84,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9883.808,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,10134.56,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9194.24,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,8368.848,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,9705.1472,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8369.8928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERT PICC WP SUBQ PORT/PUMP, IMAGE GUIDE UNDER 5 YO",361,RC,36572,CPT,,,outpatient,,,801,,400.5,480.6,776.97,752.94,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,664.83,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,757.746,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,641.601,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,744.0489,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,641.6811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERT PICC WP SUBQ PORT/PUMP, IMAGE GUIDE OVER 5 YO",361,RC,36573,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DILAT EXIST TRACT,PERCUTAN,FOR ENDOUROLOGIC PX INCLD IMAGE GUIDE",361,RC,50437,CPT,,,outpatient,,,593,,296.5,355.8,575.21,557.42,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,492.19,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,560.978,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,575.21,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,521.84,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,474.993,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,550.8377,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,475.0523,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ELECTROPHY 80CM 5FR REDEL,272,RC,C1730,HCPCS,,,outpatient,,,1727,,863.5,1036.2,1675.19,1623.38,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1433.41,,,,percent of total billed charges,,1554.3,,,,percent of total billed charges,,1588.84,,,,percent of total billed charges,,1588.84,,,,percent of total billed charges,,1633.742,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1675.19,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1519.76,,,,percent of total billed charges,,1554.3,,,,percent of total billed charges,,1383.327,,,,percent of total billed charges,,1554.3,,,,percent of total billed charges,,1036.2,,,,percent of total billed charges,,1604.2103,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1036.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1383.4997,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERINEOGRAM, (EG, VAGINOGRAM)",320,RC,74775,CPT,,,outpatient,,,759,,379.5,455.4,736.23,713.46,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,629.97,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,718.014,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,736.23,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,607.959,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,705.0351,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,608.0349,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TREATMENT OF MISSED ABORTION, COMPL SURG; 1ST TRIMSTER",361,RC,59820,CPT,,,outpatient,,,10085,,5042.5,6051,9782.45,9479.9,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8370.55,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9540.41,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9782.45,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8874.8,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,8078.085,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,9367.9565,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8079.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50606-0361 ENDOLUMINAL BX URTR RNL PLVS,361,RC,50606,CPT,,,outpatient,,,5185,,2592.5,3111,5029.45,4873.9,,,,percent of total billed charges,,4148,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4303.55,,,,percent of total billed charges,,4666.5,,,,percent of total billed charges,,4770.2,,,,percent of total billed charges,,4770.2,,,,percent of total billed charges,,4905.01,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,5029.45,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4562.8,,,,percent of total billed charges,,4666.5,,,,percent of total billed charges,,4153.185,,,,percent of total billed charges,,4666.5,,,,percent of total billed charges,,3111,,,,percent of total billed charges,,4816.3465,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4148,,,,percent of total billed charges,,3111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4153.7035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55920-0333 PLCMT OF NEEDLES INTO PELVIC ORGANS/GENITALIA FOR SUBS INTERS RADIOEL APP,333,RC,55920,CPT,,,outpatient,,,9156,,4578,5493.6,8881.32,8606.64,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7599.48,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8661.576,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8881.32,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8057.28,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,7333.956,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,8505.0084,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7334.8716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37218-0360 STENT PLACEMENT CARTOID/ INNOMINATE ARTERY,360,RC,37218,CPT,,,outpatient,,,31020,,15510,18612,30089.4,29158.8,,,,percent of total billed charges,,24816,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,25746.6,,,,percent of total billed charges,,27918,,,,percent of total billed charges,,28538.4,,,,percent of total billed charges,,28538.4,,,,percent of total billed charges,,29344.92,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,30089.4,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,27297.6,,,,percent of total billed charges,,27918,,,,percent of total billed charges,,24847.02,,,,percent of total billed charges,,27918,,,,percent of total billed charges,,18612,,,,percent of total billed charges,,28814.478,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,24816,,,,percent of total billed charges,,18612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24850.122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43241-0361 EGD TUBE/ CATH INSERTION,361,RC,43241,CPT,,,outpatient,,,4532,,2266,2719.2,4396.04,4260.08,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3761.56,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4287.272,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4396.04,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3988.16,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,3630.132,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,4209.7748,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3630.5852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36465-0510 INJ FOAM SCLEROSANT,510,RC,36465,CPT,,,outpatient,,,2033,,1016.5,1219.8,1972.01,1911.02,,,,percent of total billed charges,,1626.4,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1687.39,,,,percent of total billed charges,,1829.7,,,,percent of total billed charges,,1870.36,,,,percent of total billed charges,,1870.36,,,,percent of total billed charges,,1923.218,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1972.01,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1789.04,,,,percent of total billed charges,,1829.7,,,,percent of total billed charges,,1628.433,,,,percent of total billed charges,,1829.7,,,,percent of total billed charges,,1219.8,,,,percent of total billed charges,,1888.4537,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1626.4,,,,percent of total billed charges,,1219.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1628.6363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36466-0510 INJ FOAM SCLEROSANT, SAME LEG",510,RC,36466,CPT,,,outpatient,,,2959,,1479.5,1775.4,2870.23,2781.46,,,,percent of total billed charges,,2367.2,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2455.97,,,,percent of total billed charges,,2663.1,,,,percent of total billed charges,,2722.28,,,,percent of total billed charges,,2722.28,,,,percent of total billed charges,,2799.214,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2870.23,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2603.92,,,,percent of total billed charges,,2663.1,,,,percent of total billed charges,,2370.159,,,,percent of total billed charges,,2663.1,,,,percent of total billed charges,,1775.4,,,,percent of total billed charges,,2748.6151,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2367.2,,,,percent of total billed charges,,1775.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2370.4549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBC TYPHOID VACCINE INJ - 0.5 ML,636,RC,90691,CPT,,,outpatient,,,257,,128.5,154.2,249.29,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,205.857,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,238.7273,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.8827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL VASCULAR REHAB,480,RC,93668,CPT,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90947-0801 CRRH DIALYSIS,801,RC,90947,CPT,,,outpatient,,,2535,,1267.5,1521,2458.95,2382.9,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2104.05,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2398.11,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2458.95,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2230.8,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,2030.535,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,2354.7615,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2030.7885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT CATH 7FR 20CM ARWG+ARD BLU-135508,272,RC,C1751,HCPCS,,,outpatient,,,599,,299.5,359.4,581.03,563.06,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,497.17,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,566.654,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,581.03,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,527.12,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,479.799,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,556.4111,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,479.8589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHSCP FLXB 600MM 5.8MM 2.8,272,RC,,,,,outpatient,,,1350,,675,810,1309.5,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1081.35,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1254.015,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1081.485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT VENTRICULOSTOMY STD RZR,272,RC,,,,,outpatient,,,1545,,772.5,927,1498.65,1452.3,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1282.35,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1461.57,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1498.65,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1359.6,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1237.545,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,927,,,,percent of total billed charges,,1435.1505,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,927,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1237.6995,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAOCULAR LENS,276,RC,V2632,HCPCS,,,outpatient,,,150,,75,90,145.5,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,139.335,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BAKRI POSTPARTUM BALLOON, 72857",278,RC,,,,,outpatient,,,1054,,527,632.4,1022.38,990.76,,,,percent of total billed charges,,843.2,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,874.82,,,,percent of total billed charges,,948.6,,,,percent of total billed charges,,969.68,,,,percent of total billed charges,,969.68,,,,percent of total billed charges,,997.084,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,1022.38,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,927.52,,,,percent of total billed charges,,948.6,,,,percent of total billed charges,,844.254,,,,percent of total billed charges,,948.6,,,,percent of total billed charges,,632.4,,,,percent of total billed charges,,979.0606,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,843.2,,,,percent of total billed charges,,632.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,844.3594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EZ-IO 45MM NEEDLE SET, 74800",270,RC,,,,,outpatient,,,658,,329,394.8,638.26,618.52,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,546.14,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,622.468,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,638.26,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,579.04,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,527.058,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,611.2162,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,527.1238,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EZ-IO 25MM NEEDLE SET, 76135",270,RC,,,,,outpatient,,,658,,329,394.8,638.26,618.52,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,546.14,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,622.468,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,638.26,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,579.04,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,527.058,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,611.2162,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,527.1238,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EZ-IO 15MM NEEDLE SET, 76133",270,RC,,,,,outpatient,,,658,,329,394.8,638.26,618.52,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,546.14,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,622.468,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,638.26,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,579.04,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,527.058,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,611.2162,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,527.1238,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FECAL DRAIN COLLECTOR,272,RC,,,,,outpatient,,,530,,265,318,514.1,498.2,,,,percent of total billed charges,,424,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,439.9,,,,percent of total billed charges,,477,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,501.38,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,514.1,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,477,,,,percent of total billed charges,,424.53,,,,percent of total billed charges,,477,,,,percent of total billed charges,,318,,,,percent of total billed charges,,492.317,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,424,,,,percent of total billed charges,,318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,424.583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RAD SITZ MARKER, 300447",279,RC,,,,,outpatient,,,534,,267,320.4,517.98,501.96,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,443.22,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,491.28,,,,percent of total billed charges,,491.28,,,,percent of total billed charges,,505.164,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,517.98,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,469.92,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,427.734,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,496.0326,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,427.7874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT POLARIS ULTRA 6 X 24,278,RC,C2617,HCPCS,,,outpatient,,,451,,225.5,270.6,437.47,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,361.251,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,418.9339,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,361.2961,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH URETERAL C1758,278,RC,C1758,HCPCS,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURX CATHETER KIT,272,RC,,,,,outpatient,,,2934,,1467,1760.4,2845.98,2757.96,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2435.22,,,,percent of total billed charges,,2640.6,,,,percent of total billed charges,,2699.28,,,,percent of total billed charges,,2699.28,,,,percent of total billed charges,,2775.564,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2845.98,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2581.92,,,,percent of total billed charges,,2640.6,,,,percent of total billed charges,,2350.134,,,,percent of total billed charges,,2640.6,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,2725.3926,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2350.4274,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN CRYOPRESERVE 2.5 X 2.5 INCHES, PER SQ CM (41 UNITS)",636,RC,Q4121,HCPCS,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENOL EZ SWABS EACH,250,RC,,,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SILVER NITRATE SWABS - EACH,250,RC,,,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRIPLE ANTIBIOTIC OINTMENT (NEOSPORIN) UNIT DOSE PACKETS,250,RC,,,,,outpatient,,,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15275-0510 APPLICATION OF SKIN SUBSTITUTE G; TOT WND < 101 SQ CM,510,RC,15275,CPT,,,outpatient,,,5264,,2632,3158.4,5106.08,4948.16,,,,percent of total billed charges,,4211.2,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,4369.12,,,,percent of total billed charges,,4737.6,,,,percent of total billed charges,,4842.88,,,,percent of total billed charges,,4842.88,,,,percent of total billed charges,,4979.744,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,5106.08,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,4632.32,,,,percent of total billed charges,,4737.6,,,,percent of total billed charges,,4216.464,,,,percent of total billed charges,,4737.6,,,,percent of total billed charges,,3158.4,,,,percent of total billed charges,,4889.7296,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,4211.2,,,,percent of total billed charges,,3158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4216.9904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4101 APLIGRAF SKIN SUB PER SQ CM (44 UNITS),636,RC,Q4101,HCPCS,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15271-0510 SKIN SUB GRAFT TRNK/ARM/LEG; UP TO 100 SQ/ CM,510,RC,15271,CPT,,,outpatient,,,5163,,2581.5,3097.8,5008.11,4853.22,,,,percent of total billed charges,,4130.4,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4285.29,,,,percent of total billed charges,,4646.7,,,,percent of total billed charges,,4749.96,,,,percent of total billed charges,,4749.96,,,,percent of total billed charges,,4884.198,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,5008.11,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4543.44,,,,percent of total billed charges,,4646.7,,,,percent of total billed charges,,4135.563,,,,percent of total billed charges,,4646.7,,,,percent of total billed charges,,3097.8,,,,percent of total billed charges,,4795.9107,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4130.4,,,,percent of total billed charges,,3097.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4136.0793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG N BLOCK SPENOPALATINE GANGL-IN ED,450,RC,64505,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LORAZEPAM 2MG VIAL,636,RC,J2060,HCPCS,,,outpatient,,,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIRMAGON (DEGARELIX) PER 1 MG,636,RC,J9155,HCPCS,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36471-0510 NJX SCLRSNT MLT INCMPTNT VN,510,RC,36471,CPT,,,outpatient,,,3049,,1524.5,1829.4,2957.53,2866.06,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2530.67,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2884.354,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2957.53,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2683.12,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,2442.249,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,2832.2161,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2442.5539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORPHENADRINE CITRATE (NORFLEX) - 60 MG,636,RC,J2360,HCPCS,,,outpatient,,,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28660-0450 TREAT TOE DISLOCATION, W/O ANESTHESIA",450,RC,28660,CPT,,,outpatient,,,873,,436.5,523.8,846.81,820.62,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,825.858,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,846.81,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,699.273,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,810.9297,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,699.3603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW BX,360,RC,38221,CPT,,,outpatient,,,3476,,1738,2085.6,3371.72,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2784.276,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3228.8564,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2784.6236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTROINTESTINAL TUB,360,RC,43752,CPT,,,outpatient,,,989,,494.5,593.4,959.33,929.66,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,820.87,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,935.594,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,959.33,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,792.189,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,918.6821,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,792.2879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIDUCIAL MARKER, INT",360,RC,49411,CPT,,,outpatient,,,6031,,3015.5,3618.6,5850.07,5669.14,,,,percent of total billed charges,,4824.8,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5005.73,,,,percent of total billed charges,,5427.9,,,,percent of total billed charges,,5548.52,,,,percent of total billed charges,,5548.52,,,,percent of total billed charges,,5705.326,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5850.07,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5307.28,,,,percent of total billed charges,,5427.9,,,,percent of total billed charges,,4830.831,,,,percent of total billed charges,,5427.9,,,,percent of total billed charges,,3618.6,,,,percent of total billed charges,,5602.1959,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,4824.8,,,,percent of total billed charges,,3618.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4831.4341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT CATH MIDLINE 4FR,270,RC,,,,,outpatient,,,702,,351,421.2,680.94,659.88,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,582.66,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,664.092,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,680.94,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,617.76,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,562.302,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,652.0878,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,562.3722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIT CATH PROVENA MIDLINE 3FR, 129384",270,RC,C1751,HCPCS,,,outpatient,,,528,,264,316.8,512.16,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,422.928,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,490.4592,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,422.9808,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31502-0510 TRACHEOSTOMY CARE,510,RC,31502,CPT,,,outpatient,,,573,,286.5,343.8,555.81,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,458.973,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,532.2597,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,459.0303,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRIEF EMOTIONAL/BEHAV ASSMT,918,RC,96127,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG J3304 INJ, TRIAMCINOLONE ACETONIDE - ZILRETTA, 1 MG",636,RC,J3304,HCPCS,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51736-0510 TECH URINE FLOW MEASUREMENT,510,RC,51736,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIFEPREX - 200 MG,636,RC,S0190,HCPCS,,,outpatient,,,203,,101.5,121.8,196.91,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,162.603,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,188.5667,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.6233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LINCOMYCIN UP TO 300 MGS,636,RC,J2010,HCPCS,,,outpatient,,,70,,35,42,67.9,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,56.07,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,65.023,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4195 PURAPLY PER SQ CM,636,RC,Q4195,HCPCS,,,outpatient,,,293,,146.5,175.8,284.21,275.42,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,243.19,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,277.178,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,284.21,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,257.84,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,234.693,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,272.1677,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,234.7223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY ANTIMOCROBIAL PER SQ CM,636,RC,Q4196,HCPCS,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURA PLY XT PER SQ SM,636,RC,Q4197,HCPCS,,,outpatient,,,300,,150,180,291,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,278.67,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.33,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95976-0920 ALYS SMPL CN NPGT PRGRMG,920,RC,95976,CPT,,,outpatient,,,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALYS CPLX CN NPGT PRGRMG,510,RC,95977,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11602-0510 EXC TR-EXT MAL+MARG 1.1-2 CM,510,RC,11602,CPT,,,outpatient,,,1350,,675,810,1309.5,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1081.35,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1254.015,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1081.485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEMCITABINE INJECTION - PER 200 MG,636,RC,J9201,HCPCS,,,outpatient,,,29,,14.5,17.4,28.13,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,23.229,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,26.9381,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.2319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTAROLINE FOSAMIL (TEFLARO) PER 10MG,636,RC,J0712,HCPCS,,,outpatient,,,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TECH INCISION SUBCUT TOE TENDON,>1",510,RC,28011,CPT,,,outpatient,,,3828,,1914,2296.8,3713.16,3598.32,,,,percent of total billed charges,,3062.4,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3177.24,,,,percent of total billed charges,,3445.2,,,,percent of total billed charges,,3521.76,,,,percent of total billed charges,,3521.76,,,,percent of total billed charges,,3621.288,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3713.16,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3368.64,,,,percent of total billed charges,,3445.2,,,,percent of total billed charges,,3066.228,,,,percent of total billed charges,,3445.2,,,,percent of total billed charges,,2296.8,,,,percent of total billed charges,,3555.8292,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3062.4,,,,percent of total billed charges,,2296.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3066.6108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRESSURE TREATMENT ESOPHAGUS,360,RC,43460,CPT,,,outpatient,,,308,,154,184.8,298.76,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,246.708,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,286.1012,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,246.7388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED EXTERNAL TEMP PACING,480,RC,92953,CPT,,,outpatient,,,2458,,1229,1474.8,2384.26,2310.52,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2040.14,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2325.268,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2384.26,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2163.04,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1968.858,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,2283.2362,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1969.1038,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED CPR/EMERGENT CARDIOVERSION,480,RC,92950,CPT,,,outpatient,,,1520,,760,912,1474.4,1428.8,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1261.6,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1398.4,,,,percent of total billed charges,,1398.4,,,,percent of total billed charges,,1437.92,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1474.4,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1337.6,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1217.52,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,912,,,,percent of total billed charges,,1411.928,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1217.672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FFR FROM CT,480,RC,0502T,HCPCS,,,outpatient,,,6206,,3103,3723.6,6019.82,5833.64,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5150.98,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5870.876,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,6019.82,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5461.28,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,4971.006,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,5764.7534,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4971.6266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FFR FROM CT2,480,RC,0503T,HCPCS,,,outpatient,,,6206,,3103,3723.6,6019.82,5833.64,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5150.98,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5870.876,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,6019.82,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5461.28,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,4971.006,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,5764.7534,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4971.6266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64425-0361 INJ(S) ILIOINGUINAL, ILIOHYPOGASTRIC NERVES, BILATERAL",361,RC,64425,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI JOINT BILATERAL JOINT,361,RC,G0260,HCPCS,,,outpatient,,,2065,,1032.5,1239,2003.05,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1654.065,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,1918.1785,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1654.2715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64479-0361 TRANSFORMINAL EPIDURAL BILATERAL C/T, 1ST",510,RC,64479,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64480-0361 TRANSFORMINAL EPIDURAL BILATERAL C/T, ADDL",510,RC,64480,CPT,,,outpatient,,,2219,,1109.5,1331.4,2152.43,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1777.419,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2061.2291,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1777.6409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64483-0361 TRANSFORMINAL EPIDURAL BILATERAL L/S, 1ST",510,RC,64483,CPT,,,outpatient,,,2930,,1465,1758,2842.1,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2346.93,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2721.677,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2347.223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64484-0361 TRANSFORMINAL EPIDURAL BILATERAL L/S, ADDL",510,RC,64484,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64490-0361 MEDIAL BRANCH BLOCK BILATERAL C/T 1ST LEVEL,510,RC,64490,CPT,,,outpatient,,,3364,,1682,2018.4,3263.08,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2694.564,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3124.8196,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2694.9004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64491-0361 MEDIAL BRANCH BLOCK BILATERAL C/T 2ND LEVEL,510,RC,64491,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64492-0361 MEDIAL BRANCH BLOCK BILATERAL C/T 3RD LEVEL,510,RC,64492,CPT,,,outpatient,,,1811,,905.5,1086.6,1756.67,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1450.611,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1682.2379,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1450.7921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64493-0361 MEDIAL BRANCH BLOCK BILATERAL L/S 1ST LEVEL,510,RC,64493,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64494-0361 MEDIAL BRANCH BLOCK BILATERAL L/S 2ND LEVEL,510,RC,64494,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64495-0361 MEDIAL BRANCH BLOCK BILATERAL L/S 3RD LEVEL,510,RC,64495,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64625-0361 RFA SI JOINT BILATERAL,510,RC,64625,CPT,,,outpatient,,,4599,,2299.5,2759.4,4461.03,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,3683.799,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4272.0111,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3684.2589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64633-0361 RFA C/T 1ST JOINT BILATERAL,510,RC,64633,CPT,,,outpatient,,,5866,,2933,3519.6,5690.02,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,4698.666,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5448.9274,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4699.2526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64635-0361 RFA L/S 1ST JOINT BILATERAL,510,RC,64635,CPT,,,outpatient,,,5866,,2933,3519.6,5690.02,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,4698.666,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5448.9274,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4699.2526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92532-0510 POSITIONAL NYSTAGMUS TEST,510,RC,92532,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V5264-0510 EAR MOLD/INSERT,510,RC,V5264,HCPCS,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR IMPRESSION,510,RC,V5275,HCPCS,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11601-0361 EXC MALIG LES .6-1.0CM TR/AR/LG,361,RC,11601,CPT,,,outpatient,,,1036,,518,621.6,1004.92,973.84,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,859.88,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,980.056,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,1004.92,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,911.68,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,829.836,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,962.3404,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,829.9396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11602-0361 EXC TR-EXT MAL+MARG 1.1-2 CM,361,RC,11602,CPT,,,outpatient,,,1350,,675,810,1309.5,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1081.35,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1254.015,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1081.485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11603-0361 EXC MALIG LES 2.1-3CM TR/AR/LG,361,RC,11603,CPT,,,outpatient,,,1970,,985,1182,1910.9,1851.8,,,,percent of total billed charges,,1576,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1635.1,,,,percent of total billed charges,,1773,,,,percent of total billed charges,,1812.4,,,,percent of total billed charges,,1812.4,,,,percent of total billed charges,,1863.62,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1910.9,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1733.6,,,,percent of total billed charges,,1773,,,,percent of total billed charges,,1577.97,,,,percent of total billed charges,,1773,,,,percent of total billed charges,,1182,,,,percent of total billed charges,,1829.933,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1576,,,,percent of total billed charges,,1182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11604-0361 EXC MALIG LES 3.1-4CM TR/AR/LG,361,RC,11604,CPT,,,outpatient,,,2460,,1230,1476,2386.2,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1970.46,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2285.094,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1970.706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11621-0361 EXC MALIGNANT LESION 0.6 TO 1.0CM,361,RC,11621,CPT,,,outpatient,,,2460,,1230,1476,2386.2,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1970.46,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2285.094,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1970.706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11622-0361 EXC MAL LES 1.1-2 SCLP/NK/HD/GN/F,361,RC,11622,CPT,,,outpatient,,,2460,,1230,1476,2386.2,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1970.46,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2285.094,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1970.706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11623-0361 EXC LES 2.1-3CM SCLP/NK/HD/GN/FT,361,RC,11623,CPT,,,outpatient,,,4435,,2217.5,2661,4301.95,4168.9,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3681.05,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4195.51,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4301.95,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3902.8,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,3552.435,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,4119.6715,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3552.8785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 3.1-4.0 CM SCLP/NK/HD/GN,361,RC,11624,CPT,,,outpatient,,,2327,,1163.5,1396.2,2257.19,2187.38,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1931.41,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2201.342,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2257.19,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2047.76,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1863.927,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,2161.5503,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1864.1597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 0.6-1.0 CM FACE,361,RC,11641,CPT,,,outpatient,,,1785,,892.5,1071,1731.45,1677.9,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1481.55,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1688.61,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1731.45,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1570.8,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1429.785,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1658.0865,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1429.9635,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 1.1-2.0CM FACE 11642,361,RC,11642,CPT,,,outpatient,,,2010,,1005,1206,1949.7,1889.4,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1668.3,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1901.46,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1949.7,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1768.8,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1610.01,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,1867.089,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1610.211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11643-0361 EXC MAL LES 2.1-3.0CM FACE,361,RC,11643,CPT,,,outpatient,,,4435,,2217.5,2661,4301.95,4168.9,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3681.05,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4195.51,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4301.95,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3902.8,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,3552.435,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,4119.6715,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3552.8785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONLINE ASSESS & MGMT-NONPHYSICIAN, EST PT, 5-10 MIN",969,RC,98970,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONLINE ASSESS & MGMT-NONPHYSICIAN, EST PT, 11-20 MIN",969,RC,98971,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONLINE ASSESS & MGMT-NONPHYSICIAN, EST PT, 21 OR MORE",969,RC,98972,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64681 RFA SUPERIOR HYPOGASTRIC PLEXUS,510,RC,64681,CPT,,,outpatient,,,3280,,1640,1968,3181.6,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2627.28,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3046.792,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2627.608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64680-0361 RFA CELIAC PLEXUS,510,RC,64680,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64624 RADIOFREQUENCY GENICULAR NERVES,510,RC,64624,CPT,,,outpatient,,,4599,,2299.5,2759.4,4461.03,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,3683.799,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4272.0111,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3684.2589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64620 RADIOFREQUENCY INTERCOSTAL NERVE,510,RC,64620,CPT,,,outpatient,,,3280,,1640,1968,3181.6,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2627.28,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3046.792,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2627.608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22869 INSERT INTERSPINOUS DEVICE,510,RC,22869,CPT,,,outpatient,,,15184,,7592,9110.4,14728.48,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,12162.384,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,14104.4176,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12163.9024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 22870 INSERT INTERSPINOUS DEVICE, EACH ADD'L",510,RC,22870,CPT,,,outpatient,,,16337,,8168.5,9802.2,15846.89,15356.78,,,,percent of total billed charges,,13069.6,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,13559.71,,,,percent of total billed charges,,14703.3,,,,percent of total billed charges,,15030.04,,,,percent of total billed charges,,15030.04,,,,percent of total billed charges,,15454.802,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,15846.89,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,14376.56,,,,percent of total billed charges,,14703.3,,,,percent of total billed charges,,13085.937,,,,percent of total billed charges,,14703.3,,,,percent of total billed charges,,9802.2,,,,percent of total billed charges,,15175.4393,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,13069.6,,,,percent of total billed charges,,9802.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13087.5707,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DISCOGRAM, LUMBAR",510,RC,72295,CPT,,,outpatient,,,5454,,2727,3272.4,5290.38,5126.76,,,,percent of total billed charges,,4363.2,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,4526.82,,,,percent of total billed charges,,4908.6,,,,percent of total billed charges,,5017.68,,,,percent of total billed charges,,5017.68,,,,percent of total billed charges,,5159.484,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,5290.38,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,4799.52,,,,percent of total billed charges,,4908.6,,,,percent of total billed charges,,4368.654,,,,percent of total billed charges,,4908.6,,,,percent of total billed charges,,3272.4,,,,percent of total billed charges,,5066.2206,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,4363.2,,,,percent of total billed charges,,3272.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4369.1994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FOR SPINE DISC XRAY,510,RC,62290,CPT,,,outpatient,,,2674,,1337,1604.4,2593.78,2513.56,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2219.42,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2529.604,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2593.78,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2353.12,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,2141.874,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,2483.8786,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2142.1414,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ/ASP SHUNT TUBING,510,RC,61070,CPT,,,outpatient,,,2289,,1144.5,1373.4,2220.33,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1833.489,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2126.2521,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1833.7179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0361 INJECT EPIDURAL PATCH,510,RC,62273,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W/O GUIDE,510,RC,62272,CPT,,,outpatient,,,2472,,1236,1483.2,2397.84,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1980.072,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2296.2408,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1980.3192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64461-0361 PVB THORACIC SINGLE INJ SITE,510,RC,64461,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC 2ND+ INJ SITE,510,RC,64462,CPT,,,outpatient,,,2003,,1001.5,1201.8,1942.91,1882.82,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1662.49,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1894.838,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1942.91,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1762.64,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1604.403,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,1860.5867,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1604.6033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64479 INJ FORAMEN EPIDURAL C/T,510,RC,64479,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64480 INJ FORAMEN EPIDURAL ADD-ON,510,RC,64480,CPT,,,outpatient,,,2219,,1109.5,1331.4,2152.43,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1777.419,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2061.2291,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1777.6409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64483 INJ. FORAMEN EPIDURAL L/S,510,RC,64483,CPT,,,outpatient,,,2930,,1465,1758,2842.1,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2346.93,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2721.677,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2347.223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64484 INJ FORAMEN EPIDURAL ADD-ON,510,RC,64484,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64510 NBLOCK, STELLATE GANGLION",510,RC,64510,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64520 INJ/BLK LUMBAR/THOR,510,RC,64520,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95910-0361 NERVE CONDUCTION 7-8 STUDIES,510,RC,95910,CPT,,,outpatient,,,1139,,569.5,683.4,1104.83,1070.66,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,945.37,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1077.494,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1104.83,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1002.32,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,912.339,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,1058.0171,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,912.4529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI JOINT INJECTION,510,RC,G0260,HCPCS,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611 ARTHROCENTESIS ASP INJ MAJOR JT W GUIDE,510,RC,20611,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62321 SUB EPIDURAL CERVICAL/THORACIC W GUIDE,510,RC,62321,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62323 SUB EPIDURAL LUMBAR/SACRAL W/ GUIDE,510,RC,62323,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62360-0361 INPLANT/REPLACE IT PAIN PUMP W RESERVOIR,510,RC,62360,CPT,,,outpatient,,,10119,,5059.5,6071.4,9815.43,9511.86,,,,percent of total billed charges,,8095.2,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,8398.77,,,,percent of total billed charges,,9107.1,,,,percent of total billed charges,,9309.48,,,,percent of total billed charges,,9309.48,,,,percent of total billed charges,,9572.574,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,9815.43,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,8904.72,,,,percent of total billed charges,,9107.1,,,,percent of total billed charges,,8105.319,,,,percent of total billed charges,,9107.1,,,,percent of total billed charges,,6071.4,,,,percent of total billed charges,,9399.5391,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,8095.2,,,,percent of total billed charges,,6071.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8106.3309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62370-0361 REFILL/REPROGRAM IT PAIN PUMP,510,RC,62370,CPT,,,outpatient,,,843,,421.5,505.8,817.71,792.42,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,699.69,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,797.478,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,817.71,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,741.84,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,675.243,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,783.0627,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,675.3273,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUMBAR DECOMPRESSION,510,RC,63056,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERC IMPLANT NEURO STIM ELECTRODE,510,RC,63650,CPT,,,outpatient,,,7246,,3623,4347.6,7028.62,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,5804.046,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,6730.8094,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5804.7706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63685 INSERT/REPLAC NEURO GENERATOR,510,RC,63685,CPT,,,outpatient,,,12616,,6308,7569.6,12237.52,11859.04,,,,percent of total billed charges,,10092.8,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,10471.28,,,,percent of total billed charges,,11354.4,,,,percent of total billed charges,,11606.72,,,,percent of total billed charges,,11606.72,,,,percent of total billed charges,,11934.736,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,12237.52,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,11102.08,,,,percent of total billed charges,,11354.4,,,,percent of total billed charges,,10105.416,,,,percent of total billed charges,,11354.4,,,,percent of total billed charges,,7569.6,,,,percent of total billed charges,,11719.0024,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,10092.8,,,,percent of total billed charges,,7569.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10106.6776,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63688 REVISION/REMOV NEURO GENERATOR,510,RC,63688,CPT,,,outpatient,,,6652,,3326,3991.2,6452.44,6252.88,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5521.16,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6292.792,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6452.44,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5853.76,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,5328.252,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,6179.0428,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5328.9172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64400 INJ TRIGEMINAL NERVE,510,RC,64400,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64999-0361 INJ FACIAL NERVE,510,RC,64999,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64405 INJ GREATER OCCIPTAL NERVE,510,RC,64405,CPT,,,outpatient,,,965,,482.5,579,936.05,907.1,,,,percent of total billed charges,,772,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,800.95,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,912.89,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,936.05,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,849.2,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,772.965,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,579,,,,percent of total billed charges,,896.3885,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,772,,,,percent of total billed charges,,579,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,773.0615,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64408-0361 INJ VAGUS NERVE,510,RC,64408,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64999-0361 UNLISTED PROCEDURE, NERVOUS SYSTEM",510,RC,64999,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64999-0361 INJ CERVICAL PLEXUS,361,RC,64999,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ BRACHIAL PLEXUS, SINGLE",510,RC,64415,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ BRACHIAL PLEXUS, CONTINUOUS",510,RC,64416,CPT,,,outpatient,,,3280,,1640,1968,3181.6,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2627.28,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3046.792,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2627.608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ AXILLARY NERVE,510,RC,64417,CPT,,,outpatient,,,2737,,1368.5,1642.2,2654.89,2572.78,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2271.71,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2589.202,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2654.89,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2408.56,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,2192.337,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,2542.3993,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2192.6107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ SUPRACAPULAR NERVE,510,RC,64418,CPT,,,outpatient,,,2306,,1153,1383.6,2236.82,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1847.106,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2142.0434,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1847.3366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64420 INJ INTERCOSTAL NERVE SINGLE LEVEL,510,RC,64420,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64421 INJ INTERCOSTAL NERVE EACH ADD'L LEVEL,510,RC,64421,CPT,,,outpatient,,,2432,,1216,1459.2,2359.04,2286.08,,,,percent of total billed charges,,1945.6,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2018.56,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2237.44,,,,percent of total billed charges,,2237.44,,,,percent of total billed charges,,2300.672,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2359.04,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2140.16,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1948.032,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,2259.0848,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,1945.6,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1948.2752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64425 INJ(S) ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",510,RC,64425,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64430 INJ PUDENDAL NERVE,510,RC,64430,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64445 INJ SCIATIC NERVE, SINGLE",510,RC,64445,CPT,,,outpatient,,,2310,,1155,1386,2240.7,2171.4,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1917.3,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2185.26,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2240.7,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2032.8,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1850.31,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,2145.759,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1850.541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64447 INJ FEMORAL NERVE, SINGLE",510,RC,64447,CPT,,,outpatient,,,2306,,1153,1383.6,2236.82,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1847.106,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2142.0434,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1847.3366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ LUMBAR PLEXUS,510,RC,64449,CPT,,,outpatient,,,3280,,1640,1968,3181.6,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2627.28,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3046.792,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2627.608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64486-0361 TRANSVERSUS ABDOMINIS PLANE BLOCK, UNILATERAL",510,RC,64486,CPT,,,outpatient,,,2973,,1486.5,1783.8,2883.81,2794.62,,,,percent of total billed charges,,2378.4,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2467.59,,,,percent of total billed charges,,2675.7,,,,percent of total billed charges,,2735.16,,,,percent of total billed charges,,2735.16,,,,percent of total billed charges,,2812.458,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2883.81,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2616.24,,,,percent of total billed charges,,2675.7,,,,percent of total billed charges,,2381.373,,,,percent of total billed charges,,2675.7,,,,percent of total billed charges,,1783.8,,,,percent of total billed charges,,2761.6197,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2378.4,,,,percent of total billed charges,,1783.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2381.6703,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64488 TRANSVERSUS ABDOMINIS PLANE BLOCK, BILAT, BY INJECTIONS",510,RC,64488,CPT,,,outpatient,,,3280,,1640,1968,3181.6,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2627.28,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3046.792,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2627.608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NBLOCK, SPHENOPALATINE GANGLION",510,RC,64505,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64517 NBLOCK SUPERIOR HYPOGASTRIC PLEXUS,510,RC,64517,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64615-0361 CHEMODENERV MUSC MIGRAINE,510,RC,64615,CPT,,,outpatient,,,966,,483,579.6,937.02,908.04,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,801.78,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,913.836,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,937.02,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,773.766,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,897.3174,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,773.8626,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64616 CHEMODENERVATION NECK MUSCLES,510,RC,64616,CPT,,,outpatient,,,1056,,528,633.6,1024.32,992.64,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,876.48,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,998.976,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1024.32,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,929.28,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,845.856,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,980.9184,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,845.9616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64633 DESTRUCT CERVICAL/THORAC, SINGLE JOINT",510,RC,64633,CPT,,,outpatient,,,5866,,2933,3519.6,5690.02,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,4698.666,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5448.9274,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4699.2526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESTRUCT CERVICAL/THORAC EADH ADD'L,510,RC,64634,CPT,,,outpatient,,,2292,,1146,1375.2,2223.24,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1835.892,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2129.0388,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1836.1212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64635 DESTRUCT LUMBAR/SACRAL, SINGLE JOINT",510,RC,64635,CPT,,,outpatient,,,5866,,2933,3519.6,5690.02,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,4698.666,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5448.9274,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4699.2526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64636-0361 DESTRUCT LUMBAR/SACRAL, EACH ADD'L",510,RC,64636,CPT,,,outpatient,,,2292,,1146,1375.2,2223.24,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1835.892,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2129.0388,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1836.1212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERDISCAL PERQ ASPIR DX,510,RC,62267,CPT,,,outpatient,,,1968,,984,1180.8,1908.96,1849.92,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1633.44,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1861.728,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1908.96,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1731.84,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1576.368,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1828.0752,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1576.5648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62320 SUB EPIDURAL CERVICAL/THORACIC WO GUIDE,510,RC,62320,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS ED- HOURLY CHARGE,762,RC,G0378,HCPCS,,,outpatient,,,83,,41.5,49.8,80.51,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,66.483,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,77.0987,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.4913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHYSICAL THERAPY TREATMENT,420,RC,97039,CPT,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99499-0510 SCHEDULED SPORTS PHYSICAL,510,RC,99499,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RHEUM U/S INJ SMALL,510,RC,20604,CPT,,,outpatient,,,967,,483.5,580.2,937.99,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,774.567,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,898.2463,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,774.6637,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0510 RHEUM U/S INJ INTERMEDIATE,510,RC,20606,CPT,,,outpatient,,,2289,,1144.5,1373.4,2220.33,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1833.489,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2126.2521,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1833.7179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611-0361 RHEUM U/S INJ MAJOR,361,RC,20611,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOVENOUS RF, 1ST VEIN",361,RC,36475,CPT,,,outpatient,,,8163,,4081.5,4897.8,7918.11,7673.22,,,,percent of total billed charges,,6530.4,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,6775.29,,,,percent of total billed charges,,7346.7,,,,percent of total billed charges,,7509.96,,,,percent of total billed charges,,7509.96,,,,percent of total billed charges,,7722.198,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,7918.11,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,7183.44,,,,percent of total billed charges,,7346.7,,,,percent of total billed charges,,6538.563,,,,percent of total billed charges,,7346.7,,,,percent of total billed charges,,4897.8,,,,percent of total billed charges,,7582.6107,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,6530.4,,,,percent of total billed charges,,4897.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6539.3793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOVENOUS RF, VEIN ADD ON",361,RC,36476,CPT,,,outpatient,,,4479,,2239.5,2687.4,4344.63,4210.26,,,,percent of total billed charges,,3583.2,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,3717.57,,,,percent of total billed charges,,4031.1,,,,percent of total billed charges,,4120.68,,,,percent of total billed charges,,4120.68,,,,percent of total billed charges,,4237.134,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,4344.63,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,3941.52,,,,percent of total billed charges,,4031.1,,,,percent of total billed charges,,3587.679,,,,percent of total billed charges,,4031.1,,,,percent of total billed charges,,2687.4,,,,percent of total billed charges,,4160.5431,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,3583.2,,,,percent of total billed charges,,2687.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3588.1269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52001-0510 CYSTOSCOPY REMOVAL OF CLOTS,510,RC,52001,CPT,,,outpatient,,,8304,,4152,4982.4,8054.88,7805.76,,,,percent of total billed charges,,6643.2,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,6892.32,,,,percent of total billed charges,,7473.6,,,,percent of total billed charges,,7639.68,,,,percent of total billed charges,,7639.68,,,,percent of total billed charges,,7855.584,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,8054.88,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,7307.52,,,,percent of total billed charges,,7473.6,,,,percent of total billed charges,,6651.504,,,,percent of total billed charges,,7473.6,,,,percent of total billed charges,,4982.4,,,,percent of total billed charges,,7713.5856,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,6643.2,,,,percent of total billed charges,,4982.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6652.3344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65205-0450 REMV F.B.,EYE,SUPERF CONJUNC",450,RC,65205,CPT,,,outpatient,,,290,,145,174,281.3,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,232.29,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,269.381,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,232.319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65220-0450 REMV F.B.,EYE,CORNEA,NO SLIT",450,RC,65220,CPT,,,outpatient,,,944,,472,566.4,915.68,887.36,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,783.52,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,893.024,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,915.68,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,830.72,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,756.144,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,876.8816,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,756.2384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65222-0450 REMV F.B.,EYE,CORNEA,SLIT LAMP",450,RC,65222,CPT,,,outpatient,,,308,,154,184.8,298.76,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,246.708,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,286.1012,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,246.7388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 68115-0510 EXCIS CONJUNC LESN,>1 CM, BI",510,RC,68115,CPT,,,outpatient,,,5566,,2783,3339.6,5399.02,5232.04,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4619.78,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5265.436,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5399.02,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4898.08,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,4458.366,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,5170.2574,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4458.9226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 68115-0510 EXCIS CONJUNC LESN,>1 CM",510,RC,68115,CPT,,,outpatient,,,5566,,2783,3339.6,5399.02,5232.04,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4619.78,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5265.436,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5399.02,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4898.08,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,4458.366,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,5170.2574,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4458.9226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSITIONAL NYSTAGMUS TEST (DIX HALPIKE),920,RC,92532,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERVEN HLTH/BEHAV INDIV ADD'1 15 MIN,914,RC,96159,CPT,,,outpatient,,,112,,56,67.2,108.64,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,89.712,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,104.0368,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.7232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERVEN HLTH/BEHAVE GROUP ADD'L 15 MIN,916,RC,96165,CPT,,,outpatient,,,39,,19.5,23.4,37.83,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,31.239,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,36.2271,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.2429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLTH/BEHAV FAM W PT ADDL 15 MIN,916,RC,96168,CPT,,,outpatient,,,39,,19.5,23.4,37.83,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,31.239,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,36.2271,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.2429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLT/BEHAV FAM NO PT ADD'L 15 MIN,916,RC,96171,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS WO/W IMAGE,360,RC,33016,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH >5 YRS,360,RC,33017,CPT,,,outpatient,,,5386,,2693,3231.6,5224.42,5062.84,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4470.38,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,5095.156,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5224.42,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4739.68,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,4314.186,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,5003.0554,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4314.7246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH <6 YRS,360,RC,33018,CPT,,,outpatient,,,5001,,2500.5,3000.6,4850.97,4700.94,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4150.83,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4730.946,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4850.97,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4400.88,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4005.801,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,4645.4289,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4006.3011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33016-0450 PERICARDIOCENTESIS W/ IMAGING,450,RC,33016,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH >5 YRS,450,RC,33017,CPT,,,outpatient,,,5386,,2693,3231.6,5224.42,5062.84,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4470.38,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,5095.156,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5224.42,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4739.68,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,4314.186,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,5003.0554,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4314.7246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH <6 YRS,450,RC,33018,CPT,,,outpatient,,,5001,,2500.5,3000.6,4850.97,4700.94,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4150.83,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4730.946,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4850.97,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4400.88,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4005.801,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,4645.4289,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4006.3011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EYE EXAM W RETINAL DRAWING & SCLERAL DEPRESSION UNI OR BILATERAL,510,RC,92201,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EYE EXAM W OPTIC NERVE/MACULA DRAWING  UNI OR BILATERAL,510,RC,92202,CPT,,,outpatient,,,244,,122,146.4,236.68,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,195.444,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,226.6516,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.4684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93297-0480 REMOTE EVAL IMPLANTABLE CV SYSTEM,480,RC,93297,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93298-0480 REM INTERROG SCRMS <30 D PHYS/QHP,480,RC,93298,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB FEEDING TEACH/TRN EA ADDL 15 MIN,510,RC,96159,CPT,,,outpatient,,,109,,54.5,65.4,105.73,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,87.309,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,101.2501,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,87.3199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV ADD'L 15 MIN-PT,420,RC,97130,CPT,,,outpatient,,,33,,16.5,19.8,32.01,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,30.6537,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.4363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 34717-0360 EV REP ILIAC W PLAC ENDOGRAFT,360,RC,34717,CPT,,,outpatient,,,7006,,3503,4203.6,6795.82,6585.64,,,,percent of total billed charges,,5604.8,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,5814.98,,,,percent of total billed charges,,6305.4,,,,percent of total billed charges,,6445.52,,,,percent of total billed charges,,6445.52,,,,percent of total billed charges,,6627.676,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,6795.82,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,6165.28,,,,percent of total billed charges,,6305.4,,,,percent of total billed charges,,5611.806,,,,percent of total billed charges,,6305.4,,,,percent of total billed charges,,4203.6,,,,percent of total billed charges,,6507.8734,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,5604.8,,,,percent of total billed charges,,4203.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5612.5066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP ILIAC W/O PLAC ENDOGRAFT,360,RC,34718,CPT,,,outpatient,,,4820,,2410,2892,4675.4,4530.8,,,,percent of total billed charges,,3856,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4000.6,,,,percent of total billed charges,,4338,,,,percent of total billed charges,,4434.4,,,,percent of total billed charges,,4434.4,,,,percent of total billed charges,,4559.72,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4675.4,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4241.6,,,,percent of total billed charges,,4338,,,,percent of total billed charges,,3860.82,,,,percent of total billed charges,,4338,,,,percent of total billed charges,,2892,,,,percent of total billed charges,,4477.298,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,3856,,,,percent of total billed charges,,2892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3861.302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W FLUORO/CT,361,RC,62329,CPT,,,outpatient,,,2148,,1074,1288.8,2083.56,2019.12,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1782.84,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,2032.008,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2083.56,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1890.24,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1720.548,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,1995.2772,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1720.7628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NUCLEAR LOCALIZATION/ABSCESS 2 OR MORE AREAS, 1 DAY",341,RC,78831,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR LOCALIZATION/ABSCESS 1 AREA 2 OR MORE DAYS,341,RC,78831,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W FLUORO/CT,361,RC,62329,CPT,,,outpatient,,,2148,,1074,1288.8,2083.56,2019.12,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1782.84,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,2032.008,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2083.56,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1890.24,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1720.548,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,1995.2772,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1720.7628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOFEEDBACK TRAIN EA ADDL 15 MIN-PT,420,RC,90913,CPT,,,outpatient,,,113,,56.5,67.8,109.61,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,90.513,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,104.9657,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.5243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93297-0480 INTEROGT EVAL IMPLANTABLE CV SYST,480,RC,93297,CPT,,,outpatient,,,101,,50.5,60.6,97.97,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,80.901,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,93.8189,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.9111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD UGI DOUBLE CONTRAST,320,RC,74246,CPT,,,outpatient,,,581,,290.5,348.6,563.57,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,465.381,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,539.6909,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,465.4391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD SM INTEST FOLLOW THRU STUDY,320,RC,74248,CPT,,,outpatient,,,292,,146,175.2,283.24,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,233.892,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,271.2388,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.9212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM INFLAMMATORY/ABSCESS 1 AREA, 1 DAY",341,RC,78800,CPT,,,outpatient,,,1586,,793,951.6,1538.42,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1270.386,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1473.2354,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1270.5446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM INFLAMMATORY/ABSCESS >1 AREA, 1 DAY",341,RC,78801,CPT,,,outpatient,,,1586,,793,951.6,1538.42,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1270.386,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1473.2354,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1270.5446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM INFLAMMATORY/ABSCESS 1 AREA, 2 OR MORE DAYS",341,RC,78801,CPT,,,outpatient,,,1586,,793,951.6,1538.42,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1270.386,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1473.2354,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1270.5446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ABSCESS IMAGING, WHOLE BODY, SINGLE DAY",341,RC,78802,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL TAP, DIAGNOSTIC W FLUORO/CT",361,RC,62328,CPT,,,outpatient,,,1993,,996.5,1195.8,1933.21,1873.42,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1654.19,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1885.378,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1933.21,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1753.84,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1596.393,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,1851.2977,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1596.5923,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99439-0510 CHRONIC CARE MGMT, EACH ADD'L 20 MIN",510,RC,99439,CPT,,,outpatient,,,119,,59.5,71.4,115.43,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,95.319,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,110.5391,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.3309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGE 1 AREA >1 DAYS,341,RC,78801,CPT,,,outpatient,,,1586,,793,951.6,1538.42,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1270.386,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1473.2354,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1270.5446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGING (3D) 2 AREAS 1 DAY,341,RC,78831,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGING (3D) 1 AREA >1 DAYS,341,RC,78831,CPT,,,outpatient,,,5505,,2752.5,3303,5339.85,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,4409.505,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5113.5945,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4410.0555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESOPHAGUS, DOUBLE-CONTRAST",320,RC,74221,CPT,,,outpatient,,,735,,367.5,441,712.95,690.9,,,,percent of total billed charges,,588,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,610.05,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,695.31,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,712.95,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,646.8,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,588.735,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,441,,,,percent of total billed charges,,682.7415,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,588,,,,percent of total billed charges,,441,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,588.8085,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64451-0510 LATERAL DORSAL RAMUS INJ.,510,RC,64451,CPT,,,outpatient,,,2065,,1032.5,1239,2003.05,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1654.065,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,1918.1785,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1654.2715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64464-0510 NJX AA&/STRD GNCLR NRV BRNCH,510,RC,64454,CPT,,,outpatient,,,2524,,1262,1514.4,2448.28,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2021.724,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2344.5436,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.9764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64624-0510 DSTRJ NULYT AGT GNCLR NRV,510,RC,64624,CPT,,,outpatient,,,4599,,2299.5,2759.4,4461.03,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,3683.799,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4272.0111,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3684.2589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64625-0510 RFA NERVES INNERVATING SI,510,RC,64625,CPT,,,outpatient,,,4599,,2299.5,2759.4,4461.03,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,3683.799,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4272.0111,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3684.2589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC, WITH FLUOROSCOPIC OR CT GUIDANCE",361,RC,62328,CPT,,,outpatient,,,1993,,996.5,1195.8,1933.21,1873.42,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1654.19,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1885.378,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1933.21,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1753.84,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1596.393,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,1851.2977,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1596.5923,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL PUNCTURE, THERAPEUTIC, FOR DRAINAGE OF CEREBROSPINAL FLUID (BY NEEDLE OR CATH), W/ FLUORO OR CT GUID",361,RC,62329,CPT,,,outpatient,,,2418,,1209,1450.8,2345.46,2272.92,,,,percent of total billed charges,,1934.4,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2006.94,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,2224.56,,,,percent of total billed charges,,2224.56,,,,percent of total billed charges,,2287.428,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2345.46,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2127.84,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,1936.818,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,1450.8,,,,percent of total billed charges,,2246.0802,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,1934.4,,,,percent of total billed charges,,1450.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1937.0598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RADIOPHARMACEUTICAL QUANT. MEAS., SINGLE AREA",404,RC,78835,CPT,,,outpatient,,,316,,158,189.6,306.52,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,253.116,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,293.5324,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.1476,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOCARDIAL METABOLIC EVAL IMAGING PET WITH CT SCAN,404,RC,78429,CPT,,,outpatient,,,6372,,3186,3823.2,6180.84,5989.68,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5288.76,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,6027.912,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6180.84,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5607.36,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5103.972,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,5918.9508,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5104.6092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYOCARDIAL PERF  IMAGING PET WITH CT, SINGLE STUDY, AT REST OR STRESS",404,RC,78430,CPT,,,outpatient,,,6372,,3186,3823.2,6180.84,5989.68,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5288.76,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,6027.912,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6180.84,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5607.36,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5103.972,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,5918.9508,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5104.6092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYOCARDIAL PERF  IMAGING PET WITH CT, MULTIPLE STUDIES ,AT REST AND STRESS",404,RC,78431,CPT,,,outpatient,,,9936,,4968,5961.6,9637.92,9339.84,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8246.88,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9399.456,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9637.92,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8743.68,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,7958.736,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,9229.5504,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7959.7296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYOCARDIAL PERF  WITH METABOLIC EVAL  IMAGING PET WITH CT SCAN, DUAL TRACER",404,RC,78433,CPT,,,outpatient,,,9936,,4968,5961.6,9637.92,9339.84,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8246.88,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9399.456,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9637.92,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8743.68,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,7958.736,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,9229.5504,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7959.7296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABSOLUTE QUANTITATION OF MYOCARDIAL BLOOD FLOW,404,RC,78434,CPT,,,outpatient,,,459,,229.5,275.4,445.23,431.46,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,380.97,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,434.214,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,445.23,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,403.92,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,367.659,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,426.3651,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,367.7049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPLACEMENT GASTROSTOMY TUBE,361,RC,43762,CPT,,,outpatient,,,948,,474,568.8,919.56,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,759.348,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,880.5972,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,759.4428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64454 INJ GENICULAR NERVE,510,RC,64454,CPT,,,outpatient,,,2524,,1262,1514.4,2448.28,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2021.724,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2344.5436,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.9764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ GENICULAR NERVE,361,RC,64454,CPT,,,outpatient,,,2524,,1262,1514.4,2448.28,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2021.724,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2344.5436,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.9764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THERAPEUTIC SPINAL PUNCTURE W GUIDE,361,RC,62329,CPT,,,outpatient,,,2148,,1074,1288.8,2083.56,2019.12,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1782.84,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,2032.008,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2083.56,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1890.24,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1720.548,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,1995.2772,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1720.7628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERICARDIAL DRAINAGE WITH INSERTION OF INDWELLING CATHETER, PERCUTANEOUS, INCL CT GUID",361,RC,33019,CPT,,,outpatient,,,5001,,2500.5,3000.6,4850.97,4700.94,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4150.83,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4730.946,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4850.97,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4400.88,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4005.801,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,4645.4289,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4006.3011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MEDICAL NUTRITION THERAPY,REASSESSMENT&SUBS INTERVENTION FOLLOWING 2ND REF,SAME YR,EACH 15 MIN",942,RC,G0270,HCPCS,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECT/CT SINGLE AREA,341,RC,78830,CPT,,,outpatient,,,5617,,2808.5,3370.2,5448.49,5279.98,,,,percent of total billed charges,,4493.6,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,4662.11,,,,percent of total billed charges,,5055.3,,,,percent of total billed charges,,5167.64,,,,percent of total billed charges,,5167.64,,,,percent of total billed charges,,5313.682,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,5448.49,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,4942.96,,,,percent of total billed charges,,5055.3,,,,percent of total billed charges,,4499.217,,,,percent of total billed charges,,5055.3,,,,percent of total billed charges,,3370.2,,,,percent of total billed charges,,5217.6313,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,4493.6,,,,percent of total billed charges,,3370.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4499.7787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECT/CT MULTIPLE AREAS,341,RC,78832,CPT,,,outpatient,,,6372,,3186,3823.2,6180.84,5989.68,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5288.76,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,6027.912,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6180.84,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5607.36,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5103.972,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,5918.9508,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5104.6092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG CONT REC W/WO VID EEG TECH,740,RC,95700,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID 2-12 HR UNMNTR,740,RC,95705,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG WO VID 2-12HR INTMT MNTR,740,RC,95706,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID 2-12HR CONT MNTR,740,RC,95707,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG WO VID EA 12-26HR UNMNTR,740,RC,95708,CPT,,,outpatient,,,1978,,989,1186.8,1918.66,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1584.378,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1837.3642,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1584.5758,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID EA 12-26HR INTMT,740,RC,95709,CPT,,,outpatient,,,1978,,989,1186.8,1918.66,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1584.378,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1837.3642,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1584.5758,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID EA 12-26HR CONT,740,RC,95710,CPT,,,outpatient,,,1978,,989,1186.8,1918.66,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1584.378,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1837.3642,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1584.5758,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG 2-12 HR UNMONITORED,740,RC,95711,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG 2-12 HR INTMT MNTR,740,RC,95712,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG 2-12 HR CONT MNTR,740,RC,95713,CPT,,,outpatient,,,1807,,903.5,1084.2,1752.79,1698.58,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1499.81,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1709.422,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1752.79,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1590.16,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1447.407,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,1678.5223,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1447.5877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG EA 12-26 HR UNMNTR,740,RC,95714,CPT,,,outpatient,,,1807,,903.5,1084.2,1752.79,1698.58,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1499.81,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1709.422,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1752.79,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1590.16,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1447.407,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,1678.5223,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1447.5877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG EA 12-26HR INTMT MNTR,740,RC,95715,CPT,,,outpatient,,,1978,,989,1186.8,1918.66,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1584.378,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1837.3642,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1584.5758,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG EA 12-26HR CONT MNTR,740,RC,95716,CPT,,,outpatient,,,2490,,1245,1494,2415.3,2340.6,,,,percent of total billed charges,,1992,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2066.7,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,2290.8,,,,percent of total billed charges,,2290.8,,,,percent of total billed charges,,2355.54,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2415.3,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2191.2,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,1994.49,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,2312.961,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,1992,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1994.739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ULTRASONIC GUIDE FOR ENDOMYOCARDIAL BIOPSY, IMAGING SUPERV & INTERPRET",402,RC,76932,CPT,,,outpatient,,,389,,194.5,233.4,377.33,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,311.589,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,361.3421,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,311.6279,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PT DRY NEEDLING, ONE OR TWO MUSCLES",420,RC,20560,CPT,,,outpatient,,,121,,60.5,72.6,117.37,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,96.921,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,112.3969,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.9331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PT DRY NEEDLING, THREE OR MORE MUSCLES",420,RC,20561,CPT,,,outpatient,,,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12004-0361_ REPAIR S/N/AS/GEN/TRK 7.6-12.5CM,361,RC,12004,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG REMOVAL OF FOREIGN BODY, PELVIS OR HIP; DEEP - 0450",450,RC,27087,CPT,,,outpatient,,,9339,,4669.5,5603.4,9058.83,8778.66,,,,percent of total billed charges,,7471.2,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,7751.37,,,,percent of total billed charges,,8405.1,,,,percent of total billed charges,,8591.88,,,,percent of total billed charges,,8591.88,,,,percent of total billed charges,,8834.694,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,9058.83,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,8218.32,,,,percent of total billed charges,,8405.1,,,,percent of total billed charges,,7480.539,,,,percent of total billed charges,,8405.1,,,,percent of total billed charges,,5603.4,,,,percent of total billed charges,,8674.9971,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,7471.2,,,,percent of total billed charges,,5603.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7481.4729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69209-0361 REM CERUMEN W/IRR UNI,361,RC,69209,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TELEPHONE ASSESS & MGMT-NONPHYSICIAN, EST PT, 5-10 MIN",960,RC,98966,CPT,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TELEPHONE ASSESS & MGMT-NONPHYSICIAN, EST PT, 11-20 MIN",960,RC,98967,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TELEPHONE ASSESS & MGMT-NONPHYSICIAN, EST PT, 21-30 MIN",960,RC,98968,CPT,,,outpatient,,,35,,17.5,21,33.95,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,28.035,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,32.5115,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.0385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51705-0361 CYSTOSTOMY TUBY CHANGE,361,RC,51705,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11404-0361 EXC BENIGN LES 3.1-4.0CM TR/AR/LG,361,RC,11404,CPT,,,outpatient,,,2327,,1163.5,1396.2,2257.19,2187.38,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1931.41,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2201.342,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2257.19,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2047.76,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1863.927,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,2161.5503,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1864.1597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANESTHESIA FOR NON-INVASIVE IMAGING OR RADIATION THERAPY,  PER MINUTE",370,RC,01922,CPT,,,outpatient,,,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10160-0450 PUNCT ASPIRAT OF ABSCESS,HEMATOMA",450,RC,10160,CPT,,,outpatient,,,1769,,884.5,1061.4,1715.93,1662.86,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1468.27,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1673.474,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1715.93,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1556.72,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1416.969,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,1643.2241,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1417.1459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11730-0450 AVULSION OF NAIL PLATE, PARTIAL/COMP, SING",450,RC,11730,CPT,,,outpatient,,,640,,320,384,620.8,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,512.64,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,594.496,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,512.704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17250-0450 CHEMICAL CAUTERIZATION TISSUE,450,RC,17250,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51700-0450 BLADDER IRRIGATION,450,RC,51700,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32551-0450 TUBE THORACOSTOMY,450,RC,32551,CPT,,,outpatient,,,4102,,2051,2461.2,3978.94,3855.88,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3404.66,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3880.492,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3978.94,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3609.76,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3285.702,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,3810.3478,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3286.1122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69210-0450 EAR IRRIGATION-CERUMEN REMOVAL,450,RC,69210,CPT,,,outpatient,,,208,,104,124.8,201.76,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,166.608,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,193.2112,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.6288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69209-0450 REMOVAL IMPACTED CERUMEN IRR,450,RC,69209,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31500-0450 INTUBATION,ET,EMERGENT",450,RC,31500,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30300-0450 REM;FOREIGN BODY,INTRANASAL",450,RC,30300,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36569-0450 INSERTION OF PERIPHERALLY PICC,450,RC,36569,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAGINAL DELIVERY ONLY-ED,450,RC,59409,CPT,,,outpatient,,,5113,,2556.5,3067.8,4959.61,4806.22,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4243.79,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4836.898,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4959.61,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4499.44,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4095.513,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,4749.4657,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4096.0243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64400-0450 INJ, ANESTETIC AGENT; TRIGEMIN",450,RC,64400,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNLISTED PROCEDURE, HUMERUS OR ELBOW",361,RC,24999,CPT,,,outpatient,,,738,,369,442.8,715.86,693.72,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,612.54,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,698.148,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,715.86,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,649.44,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,591.138,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,685.5282,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,591.2118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69200-0450 FB REMOVAL EXT AUDITORY CANAL,450,RC,69200,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96523-0510 IRRIGATION IMPLANTED VENOUS,510,RC,96523,CPT,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT CONTRAST BATH (15),420,RC,97034,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APPLY MULTILAYER COMP - LOWER LEG - BILATERAL,761,RC,29581,CPT,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11644-0361 EXC MAL LES 3.1-4.0CM FACE,361,RC,11644,CPT,,,outpatient,,,5024,,2512,3014.4,4873.28,4722.56,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4169.92,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4752.704,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4873.28,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4421.12,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,4024.224,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,4666.7936,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4024.7264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11721-0510 DEBRIDEMENT OF NAILS, 6 OR MORE",510,RC,11721,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMORRHOIDECTOMY SIMPLE L,361,RC,46221,CPT,,,outpatient,,,3082,,1541,1849.2,2989.54,2897.08,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2558.06,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2915.572,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2989.54,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2712.16,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,2468.682,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,2862.8698,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2468.9902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11104-0361 PUNCH BX SKIN, 1ST LESION",361,RC,11104,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11105-0361 PUNCH BX SKIN, ADDL LESION",361,RC,11105,CPT,,,outpatient,,,375,,187.5,225,363.75,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,300.375,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,348.3375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.4125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11102-0361 TANGENTIAL (SHAVE, CURETTE) BX SKIN, 1ST LESION",361,RC,11102,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCISION OF THROMBOSED HEMORRHOID,510,RC,46320,CPT,,,outpatient,,,4051,,2025.5,2430.6,3929.47,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3244.851,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,3762.9739,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3245.2561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABDOMINAL PARACENTESIS W/O ANESTHESIA,510,RC,49082,CPT,,,outpatient,,,2662,,1331,1597.2,2582.14,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2132.262,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2472.7318,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2132.5282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51705-0450 CHANGE CYSTOSTOMY TUBE;SIMPLE,450,RC,51705,CPT,,,outpatient,,,400,,200,240,388,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,371.56,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,320.44,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENOXAPARIN SODIUM (LOVENOX) PER 10MG,636,RC,J1650,HCPCS,,,outpatient,,,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVOFLOXACIN (LEVAQUIN) 250MG IM INJ,636,RC,J1956,HCPCS,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q3014-0450 TELEHEALTH ORIGINATING SITE,450,RC,Q3014,HCPCS,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64625 ABLATION NERVES INNERVATING SI,510,RC,64625,CPT,,,outpatient,,,4599,,2299.5,2759.4,4461.03,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,3683.799,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4272.0111,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3684.2589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 TEST (PANTHER) [U0002],306,RC,U0002,HCPCS,,,outpatient,,,199,,99.5,119.4,193.03,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,159.399,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,184.8511,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.4189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MED NUTRITION THER,REASSESSMT&SUBS INTERVNTN FOLLOWING 2ND REF,SAME YR,GROUP,EA 30 MIN",942,RC,G0271,HCPCS,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17250-0510 CHEMICAL CAUTERIZATION,510,RC,17250,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 23605 CLOSED TMT PROX HUMERAL(SURG OR ANAT NECK)FRACTURE;W/MANIPU,W OR W/O SKELETAL TRACTION-0510",510,RC,23605,CPT,,,outpatient,,,5474,,2737,3284.4,5309.78,5145.56,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4543.42,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5178.404,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5309.78,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4817.12,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,4384.674,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,5084.7986,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4385.2214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26040-0510 FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRAC); PERC",510,RC,26040,CPT,,,outpatient,,,5474,,2737,3284.4,5309.78,5145.56,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4543.42,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5178.404,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5309.78,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4817.12,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,4384.674,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,5084.7986,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4385.2214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64420 INJ INTERCOSTAL NERVE, SINGLE-0510",510,RC,64420,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD57 IHC (QUEST),312,RC,88342,CPT,,,outpatient,,,104,,52,62.4,100.88,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,83.304,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,96.6056,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.3144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9764-0360 INTRAVAS LITHO - ABOVE KNEE,360,RC,C9764,HCPCS,,,outpatient,,,20866,,10433,12519.6,20240.02,19614.04,,,,percent of total billed charges,,16692.8,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,17318.78,,,,percent of total billed charges,,18779.4,,,,percent of total billed charges,,19196.72,,,,percent of total billed charges,,19196.72,,,,percent of total billed charges,,19739.236,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,20240.02,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,18362.08,,,,percent of total billed charges,,18779.4,,,,percent of total billed charges,,16713.666,,,,percent of total billed charges,,18779.4,,,,percent of total billed charges,,12519.6,,,,percent of total billed charges,,19382.4274,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,16692.8,,,,percent of total billed charges,,12519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16715.7526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9765-0360 INTRAVAS LITHO W STENT - ABOVE KNEE,360,RC,C9765,HCPCS,,,outpatient,,,41730,,20865,25038,40478.1,39226.2,,,,percent of total billed charges,,33384,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,34635.9,,,,percent of total billed charges,,37557,,,,percent of total billed charges,,38391.6,,,,percent of total billed charges,,38391.6,,,,percent of total billed charges,,39476.58,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,40478.1,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,36722.4,,,,percent of total billed charges,,37557,,,,percent of total billed charges,,33425.73,,,,percent of total billed charges,,37557,,,,percent of total billed charges,,25038,,,,percent of total billed charges,,38762.997,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,33384,,,,percent of total billed charges,,25038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33429.903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9766-0360 INTRAVAS LITHO W ATHERECTOMY - ABOVE KNEE,360,RC,C9766,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9767-0360 INTRAVAS LITHO W STENT & ATHERECTOMY - ABOVE KNEE,360,RC,C9767,HCPCS,,,outpatient,,,19696,,9848,11817.6,19105.12,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,15776.496,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,18295.6144,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15778.4656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20240-0510  - BIOPSY, BONE, EXCISIONAL; SUPERF",510,RC,20240,CPT,,,outpatient,,,6092,,3046,3655.2,5909.24,5726.48,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5056.36,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5763.032,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5909.24,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5360.96,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,4879.692,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,5658.8588,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4880.3012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36590-0510 REMOVAL TUNNELED CV CATH (PORT),510,RC,36590,CPT,,,outpatient,,,2546,,1273,1527.6,2469.62,2393.24,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2113.18,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2408.516,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2469.62,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2240.48,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,2039.346,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,2364.9794,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2039.6006,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57522-0510 CONIZATION OF CERVIX; LOOP,510,RC,57522,CPT,,,outpatient,,,10085,,5042.5,6051,9782.45,9479.9,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8370.55,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9540.41,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9782.45,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8874.8,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,8078.085,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,9367.9565,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8079.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92960-0450 CARDIOVERSION ELECTRIC EXT,450,RC,92960,CPT,,,outpatient,,,2165,,1082.5,1299,2100.05,2035.1,,,,percent of total billed charges,,1732,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,1796.95,,,,percent of total billed charges,,1948.5,,,,percent of total billed charges,,1991.8,,,,percent of total billed charges,,1991.8,,,,percent of total billed charges,,2048.09,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,2100.05,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,1905.2,,,,percent of total billed charges,,1948.5,,,,percent of total billed charges,,1734.165,,,,percent of total billed charges,,1948.5,,,,percent of total billed charges,,1299,,,,percent of total billed charges,,2011.0685,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,1732,,,,percent of total billed charges,,1299,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1734.3815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24065 BIOPSY ARM/ELBOW SOFT TISSUE,361,RC,24065,CPT,,,outpatient,,,5542,,2771,3325.2,5375.74,5209.48,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4599.86,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5242.732,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5375.74,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4876.96,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,4439.142,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,5147.9638,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4439.6962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27502-0450 TREATMENT OF THIGH FRACTURE,450,RC,27502,CPT,,,outpatient,,,4623,,2311.5,2773.8,4484.31,4345.62,,,,percent of total billed charges,,3698.4,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,3837.09,,,,percent of total billed charges,,4160.7,,,,percent of total billed charges,,4253.16,,,,percent of total billed charges,,4253.16,,,,percent of total billed charges,,4373.358,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,4484.31,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,4068.24,,,,percent of total billed charges,,4160.7,,,,percent of total billed charges,,3703.023,,,,percent of total billed charges,,4160.7,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,4294.3047,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,3698.4,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3703.4853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62322-0510 NJX INTERLAMINAR LMBR/SAC,510,RC,62322,CPT,,,outpatient,,,4311,,2155.5,2586.6,4181.67,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3453.111,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4004.4879,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3453.5421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62323-0510  INJECTION(S), OF DIAG SUB W/ GUIDE",510,RC,62323,CPT,,,outpatient,,,2288,,1144,1372.8,2219.36,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1832.688,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2125.3232,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1832.9168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64490-0510 INJ PARAVERT F JNT C/T 1 LEV,510,RC,64490,CPT,,,outpatient,,,3364,,1682,2018.4,3263.08,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2694.564,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3124.8196,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2694.9004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64491-0510 INJ PARAVERT F JNT C/T 2 LEV,510,RC,64491,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64493-0510 INJ PARAVERT F JNT L/S 1 LEV,510,RC,64493,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64494-0510 INJ PARAVERT F JNT L/S 2 LEV,510,RC,64494,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36410-0450 NON-ROUTINE BL DRAW > 3 YRS,450,RC,36410,CPT,,,outpatient,,,879,,439.5,527.4,852.63,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,704.079,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,816.5031,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.1669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41010-0510 INCISION OF TONGUE FOLD,510,RC,41010,CPT,,,outpatient,,,4537,,2268.5,2722.2,4400.89,4264.78,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3765.71,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4292.002,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4400.89,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3992.56,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,3634.137,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,4214.4193,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3634.5907,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11981-0510 INSERT DRUG IMPLANT DEVICE,510,RC,11981,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21044 EXCISION OF MALIGNANT TUMOR OF MANDIBLE,510,RC,21044,CPT,,,outpatient,,,16548,,8274,9928.8,16051.56,15555.12,,,,percent of total billed charges,,13238.4,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,13734.84,,,,percent of total billed charges,,14893.2,,,,percent of total billed charges,,15224.16,,,,percent of total billed charges,,15224.16,,,,percent of total billed charges,,15654.408,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,16051.56,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,14562.24,,,,percent of total billed charges,,14893.2,,,,percent of total billed charges,,13254.948,,,,percent of total billed charges,,14893.2,,,,percent of total billed charges,,9928.8,,,,percent of total billed charges,,15371.4372,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,13238.4,,,,percent of total billed charges,,9928.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13256.6028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42650 DILATION SALIVARY DUCT,510,RC,42650,CPT,,,outpatient,,,5447,,2723.5,3268.2,5283.59,5120.18,,,,percent of total billed charges,,4357.6,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,4521.01,,,,percent of total billed charges,,4902.3,,,,percent of total billed charges,,5011.24,,,,percent of total billed charges,,5011.24,,,,percent of total billed charges,,5152.862,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,5283.59,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,4793.36,,,,percent of total billed charges,,4902.3,,,,percent of total billed charges,,4363.047,,,,percent of total billed charges,,4902.3,,,,percent of total billed charges,,3268.2,,,,percent of total billed charges,,5059.7183,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,4357.6,,,,percent of total billed charges,,3268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4363.5917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24201-0450 REMOVAL OF ARM FOREIGN BODY,450,RC,24201,CPT,,,outpatient,,,9363,,4681.5,5617.8,9082.11,8801.22,,,,percent of total billed charges,,7490.4,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,7771.29,,,,percent of total billed charges,,8426.7,,,,percent of total billed charges,,8613.96,,,,percent of total billed charges,,8613.96,,,,percent of total billed charges,,8857.398,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,9082.11,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,8239.44,,,,percent of total billed charges,,8426.7,,,,percent of total billed charges,,7499.763,,,,percent of total billed charges,,8426.7,,,,percent of total billed charges,,5617.8,,,,percent of total billed charges,,8697.2907,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,7490.4,,,,percent of total billed charges,,5617.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7500.6993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUCELVAX QUAD 2020-2021\ 0.5ML DOSAGE,636,RC,90756,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62252-0361 CSF SHUNT REPROGRAM,361,RC,62252,CPT,,,outpatient,,,925,,462.5,555,897.25,869.5,,,,percent of total billed charges,,740,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,767.75,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,851,,,,percent of total billed charges,,851,,,,percent of total billed charges,,875.05,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,897.25,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,814,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,740.925,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,555,,,,percent of total billed charges,,859.2325,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,740,,,,percent of total billed charges,,555,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,741.0175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64630 INJECTION TREATMENT OF NERVE,510,RC,64630,CPT,,,outpatient,,,3280,,1640,1968,3181.6,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2627.28,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3046.792,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2627.608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20526 INJ CARPAL TUNNEL,510,RC,20526,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64447-0450 INJ ANES AGENT, FEMORAL NERVE,SING",450,RC,64447,CPT,,,outpatient,,,2306,,1153,1383.6,2236.82,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1847.106,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2142.0434,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1847.3366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46040-0510 INCISION OF RECTAL ABSCESS,510,RC,46040,CPT,,,outpatient,,,4051,,2025.5,2430.6,3929.47,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3244.851,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,3762.9739,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3245.2561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11043-0510 DEBRIDE M/FAS 1ST 20SQ CM,510,RC,11043,CPT,,,outpatient,,,1905,,952.5,1143,1847.85,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1525.905,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1769.5545,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1526.0955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56606-0510 BIOPSY OF VULVA/PERINEUM EACH SEPARATE ADD'L LESION,510,RC,56606,CPT,,,outpatient,,,386,,193,231.6,374.42,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,309.186,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,358.5554,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,309.2246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 98928 OSTEOPATH MANJ 7-8 REGIONS,530,RC,98928,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 98929 OSTEOPATH MANJ 9-10 REGIONS,530,RC,98929,CPT,,,outpatient,,,56,,28,33.6,54.32,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,52.0184,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.8616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11983-0510 REMOVE/INSERT DRUG IMPLANT,510,RC,11983,CPT,,,outpatient,,,1002,,501,601.2,971.94,941.88,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,831.66,,,,percent of total billed charges,,901.8,,,,percent of total billed charges,,921.84,,,,percent of total billed charges,,921.84,,,,percent of total billed charges,,947.892,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,971.94,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,881.76,,,,percent of total billed charges,,901.8,,,,percent of total billed charges,,802.602,,,,percent of total billed charges,,901.8,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,930.7578,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,802.7022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64420-0450 NJX AA&/STRD NTRCOST NRV 1,450,RC,64420,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21930-0510 EXC BACK LES SC < 3 CM,510,RC,21930,CPT,,,outpatient,,,5542,,2771,3325.2,5375.74,5209.48,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4599.86,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5242.732,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5375.74,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4876.96,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,4439.142,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,5147.9638,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4439.6962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95822-0740 EG EEG SLEEP ONLY,740,RC,95822,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90687-0636 INFLUENZA VIRUS VACCINE, QUADRIVALENT (IIV4), (AFLURIA) PER 0.25 ML",636,RC,90687,CPT,,,outpatient,,,19,,9.5,11.4,18.43,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,17.6491,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.2209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40806-0510 INCISION OF LIP FOLD,510,RC,40806,CPT,,,outpatient,,,1783,,891.5,1069.8,1729.51,1676.02,,,,percent of total billed charges,,1426.4,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1479.89,,,,percent of total billed charges,,1604.7,,,,percent of total billed charges,,1640.36,,,,percent of total billed charges,,1640.36,,,,percent of total billed charges,,1686.718,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1729.51,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1569.04,,,,percent of total billed charges,,1604.7,,,,percent of total billed charges,,1428.183,,,,percent of total billed charges,,1604.7,,,,percent of total billed charges,,1069.8,,,,percent of total billed charges,,1656.2287,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1426.4,,,,percent of total billed charges,,1069.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1428.3613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S0612-0510 ANNUAL GYNECOLOGICAL EXAMINA, RET",510,RC,S0612,HCPCS,,,outpatient,,,138,,69,82.8,133.86,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,110.538,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,128.1882,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.5518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARTICL EMBL 2.5MM 1ML SYRG EM (LAWSON 143883),278,RC,,,,,outpatient,,,249,,124.5,149.4,241.53,234.06,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,206.67,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,235.554,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,241.53,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,199.449,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,231.2961,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,199.4739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOSORB FILTER-148898,272,RC,,,,,outpatient,,,5137,,2568.5,3082.2,4982.89,4828.78,,,,percent of total billed charges,,4109.6,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4263.71,,,,percent of total billed charges,,4623.3,,,,percent of total billed charges,,4726.04,,,,percent of total billed charges,,4726.04,,,,percent of total billed charges,,4859.602,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4982.89,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4520.56,,,,percent of total billed charges,,4623.3,,,,percent of total billed charges,,4114.737,,,,percent of total billed charges,,4623.3,,,,percent of total billed charges,,3082.2,,,,percent of total billed charges,,4771.7593,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4109.6,,,,percent of total billed charges,,3082.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4115.2507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CASIRIVI AND IMDEVI INC INFUSION, MONITORING",771,RC,M0243,HCPCS,,,outpatient,,,1068,,534,640.8,1035.96,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,855.468,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,992.0652,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,855.5748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP HEARING STATUS DETER I&R,471,RC,92651,CPT,,,outpatient,,,479,,239.5,287.4,464.63,450.26,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,397.57,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,453.134,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,464.63,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,421.52,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,383.679,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,444.9431,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,383.7269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP THRSHLD EST MLT FREQ I&R,471,RC,92652,CPT,,,outpatient,,,908,,454,544.8,880.76,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,727.308,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,843.4412,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,727.3988,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP NEURODIAGNOSTIC I&R,471,RC,92653,CPT,,,outpatient,,,908,,454,544.8,880.76,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,727.308,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,843.4412,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,727.3988,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64455-0510 N BLOCK INJ PLANTAR DIGIT,510,RC,64455,CPT,,,outpatient,,,827,,413.5,496.2,802.19,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,662.427,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,768.2003,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,662.5097,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67917-0510 REPAIR EYELID DEFECT,510,RC,67917,CPT,,,outpatient,,,5032,,2516,3019.2,4881.04,4730.08,,,,percent of total billed charges,,4025.6,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4176.56,,,,percent of total billed charges,,4528.8,,,,percent of total billed charges,,4629.44,,,,percent of total billed charges,,4629.44,,,,percent of total billed charges,,4760.272,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4881.04,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4428.16,,,,percent of total billed charges,,4528.8,,,,percent of total billed charges,,4030.632,,,,percent of total billed charges,,4528.8,,,,percent of total billed charges,,3019.2,,,,percent of total billed charges,,4674.2248,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4025.6,,,,percent of total billed charges,,3019.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4031.1352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, LUNG/ MEDIASTIUM W IMAGE GUIDANCE",361,RC,32408,CPT,,,outpatient,,,4452,,2226,2671.2,4318.44,4184.88,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3695.16,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4211.592,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4318.44,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3917.76,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,3566.052,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,4135.4628,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3566.4972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 74190-0361 X-RAY EXAM OF PERITONEUM,361,RC,74190,CPT,,,outpatient,,,1554,,777,932.4,1507.38,1460.76,,,,percent of total billed charges,,1243.2,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1289.82,,,,percent of total billed charges,,1398.6,,,,percent of total billed charges,,1429.68,,,,percent of total billed charges,,1429.68,,,,percent of total billed charges,,1470.084,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1507.38,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1367.52,,,,percent of total billed charges,,1398.6,,,,percent of total billed charges,,1244.754,,,,percent of total billed charges,,1398.6,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,1443.5106,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1243.2,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1244.9094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49400-0361 AIR INJECTION INTO ABDOMEN,361,RC,49400,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97140-420 MANUAL THER TECH 1+REGIONS EA 15 MIN,420,RC,97140,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95908-0922 NERVE CONDUCTION 3-4 STUDIES,922,RC,95908,CPT,,,outpatient,,,1091,,545.5,654.6,1058.27,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,873.891,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1013.4299,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,874.0001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32408-0361 CORE NDL BX LNG/MED PERQ,361,RC,32408,CPT,,,outpatient,,,4452,,2226,2671.2,4318.44,4184.88,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3695.16,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4211.592,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4318.44,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3917.76,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,3566.052,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,4135.4628,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3566.4972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97035-0420 ULTRASOUND THERAPY EA 15 MIN,420,RC,97035,CPT,,,outpatient,,,85,,42.5,51,82.45,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,68.085,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,78.9565,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.0935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21555-0510 EXC NECK LESS SC < 3 CM,510,RC,21555,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21012-0510 EXC FACE LES SBQ 2 CM/>,510,RC,21012,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS WITH S&I BIL,361,RC,32555,CPT,,,outpatient,,,3574,,1787,2144.4,3466.78,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2862.774,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3319.8886,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2863.1314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, EXTREMITY BIL",402,RC,76882,CPT,,,outpatient,,,1013,,506.5,607.8,982.61,952.22,,,,percent of total billed charges,,810.4,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,840.79,,,,percent of total billed charges,,911.7,,,,percent of total billed charges,,931.96,,,,percent of total billed charges,,931.96,,,,percent of total billed charges,,958.298,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,982.61,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,891.44,,,,percent of total billed charges,,911.7,,,,percent of total billed charges,,811.413,,,,percent of total billed charges,,911.7,,,,percent of total billed charges,,607.8,,,,percent of total billed charges,,940.9757,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,810.4,,,,percent of total billed charges,,607.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,811.5143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76882-0402 US BREAST, AXILLA BIL",402,RC,76882,CPT,,,outpatient,,,847,,423.5,508.2,821.59,796.18,,,,percent of total billed charges,,677.6,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,703.01,,,,percent of total billed charges,,762.3,,,,percent of total billed charges,,779.24,,,,percent of total billed charges,,779.24,,,,percent of total billed charges,,801.262,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,821.59,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,745.36,,,,percent of total billed charges,,762.3,,,,percent of total billed charges,,678.447,,,,percent of total billed charges,,762.3,,,,percent of total billed charges,,508.2,,,,percent of total billed charges,,786.7783,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,677.6,,,,percent of total billed charges,,508.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,678.5317,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US XTR NON-VASC COMPLETE BIL,402,RC,76881,CPT,,,outpatient,,,1351,,675.5,810.6,1310.47,1269.94,,,,percent of total billed charges,,1080.8,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1121.33,,,,percent of total billed charges,,1215.9,,,,percent of total billed charges,,1242.92,,,,percent of total billed charges,,1242.92,,,,percent of total billed charges,,1278.046,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1310.47,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1188.88,,,,percent of total billed charges,,1215.9,,,,percent of total billed charges,,1082.151,,,,percent of total billed charges,,1215.9,,,,percent of total billed charges,,810.6,,,,percent of total billed charges,,1254.9439,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1080.8,,,,percent of total billed charges,,810.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1082.2861,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRANIAL EMG, UNILATERAL",922,RC,95867,CPT,,,outpatient,,,979,,489.5,587.4,949.63,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,784.179,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,909.3931,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,784.2769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE ELECTROMOGRAPHY; OF ANAL OR URETHRAL SPHINCTER,922,RC,51785,CPT,,,outpatient,,,985,,492.5,591,955.45,925.9,,,,percent of total billed charges,,788,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,817.55,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,931.81,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,955.45,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,866.8,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,788.985,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,591,,,,percent of total billed charges,,914.9665,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,788,,,,percent of total billed charges,,591,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,789.0835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21931-0510  EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUT; 3 CM OR GREATER",510,RC,21931,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27618-0510 EXC LEG/ANKLE TUM < 3 CM,510,RC,27618,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP SCR AUDITORY POTENTIAL NEWBORN,471,RC,92650,CPT,,,outpatient,,,479,,239.5,287.4,464.63,450.26,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,397.57,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,453.134,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,464.63,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,421.52,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,383.679,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,444.9431,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,383.7269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP SCR AUDITORY POTENTIAL NEWBORN,471,RC,92650,CPT,,,outpatient,,,479,,239.5,287.4,464.63,450.26,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,397.57,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,453.134,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,464.63,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,421.52,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,383.679,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,444.9431,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,383.7269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROCENTESIS INJ INTERMED JT WITH US GUIDE,361,RC,20606,CPT,,,outpatient,,,2289,,1144.5,1373.4,2220.33,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1833.489,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2126.2521,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1833.7179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROCENTESIS MAJOR JT W/US,361,RC,20611,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION SINUS TRACT; THERAP,361,RC,20500,CPT,,,outpatient,,,2365,,1182.5,1419,2294.05,2223.1,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1962.95,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2237.29,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2294.05,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2081.2,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1894.365,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,2196.8485,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1894.6015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19000-0510 DRAINAGE OF BREAST LESION,510,RC,19000,CPT,,,outpatient,,,2088,,1044,1252.8,2025.36,1962.72,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1733.04,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1975.248,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2025.36,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1837.44,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1672.488,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1939.5432,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1672.6968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 44799-0510 UNLISTED PROCEDURE, SMALL INTESTINE",510,RC,44799,CPT,,,outpatient,,,2535,,1267.5,1521,2458.95,2382.9,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2104.05,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2398.11,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2458.95,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2230.8,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,2030.535,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,2354.7615,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2030.7885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95909-0510 NERVE CONDUCTION STUDIES; 5-6 STUDIES,510,RC,95909,CPT,,,outpatient,,,1091,,545.5,654.6,1058.27,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,873.891,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1013.4299,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,874.0001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95910-0510 NERVE CONDUCTION STUDIES; 7-8 STUDIES,510,RC,95910,CPT,,,outpatient,,,1091,,545.5,654.6,1058.27,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,873.891,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1013.4299,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,874.0001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95911-0510 NERVE CONDUCTION STUDIES; 9-10 STUDIES,510,RC,95911,CPT,,,outpatient,,,2012,,1006,1207.2,1951.64,1891.28,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1669.96,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1903.352,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1951.64,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1770.56,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1611.612,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,1868.9468,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1611.8132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95872-0510 MUSCLE TEST,SINGLE FIBER",510,RC,95872,CPT,,,outpatient,,,518,,259,310.8,502.46,486.92,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,429.94,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,490.028,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,502.46,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,455.84,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,414.918,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,481.1702,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,414.9698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20550-0361 INJ SINGLE TENDON SHEATH/LIGAMENT,361,RC,20550,CPT,,,outpatient,,,967,,483.5,580.2,937.99,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,774.567,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,898.2463,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,774.6637,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORRECTION EYELID W/IMPLANT UNILATERAL,510,RC,67912,CPT,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORRECTION EYELID W/IMPLANT BILATERAL,510,RC,67912,CPT,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21011-0510 EXC FACE LES SC <2 CM,510,RC,21011,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26160-0510 REMOVE TENDON SHEATH LESION,510,RC,26160,CPT,,,outpatient,,,5158,,2579,3094.8,5003.26,4848.52,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4281.14,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4879.468,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,5003.26,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4539.04,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,4131.558,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,4791.2662,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4132.0738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 32999-0361 UNLISTED PROCEDURE, LUNGS AND PLEURA",361,RC,32999,CPT,,,outpatient,,,1824,,912,1094.4,1769.28,1714.56,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1513.92,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1678.08,,,,percent of total billed charges,,1678.08,,,,percent of total billed charges,,1725.504,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1769.28,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1605.12,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1461.024,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1094.4,,,,percent of total billed charges,,1694.3136,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,1094.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1461.2064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23071-0510 EXC SHOULDER LES SC 3 CM/>,510,RC,23071,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97598-0510 RMVL DEVITAL TIS ADDL 20CM/<,510,RC,97598,CPT,,,outpatient,,,542,,271,325.2,525.74,509.48,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,449.86,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,512.732,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,525.74,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,476.96,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,434.142,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,503.4638,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,434.1962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURAL DRAINAGE,361,RC,32556,CPT,,,outpatient,,,3919,,1959.5,2351.4,3801.43,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3139.119,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3640.3591,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3139.5109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB,  INFUSION AND POST ADMIN MONITORING",771,RC,M0245,HCPCS,,,outpatient,,,1065,,532.5,639,1033.05,1001.1,,,,percent of total billed charges,,852,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,883.95,,,,percent of total billed charges,,958.5,,,,percent of total billed charges,,979.8,,,,percent of total billed charges,,979.8,,,,percent of total billed charges,,1007.49,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,1033.05,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,937.2,,,,percent of total billed charges,,958.5,,,,percent of total billed charges,,853.065,,,,percent of total billed charges,,958.5,,,,percent of total billed charges,,639,,,,percent of total billed charges,,989.2785,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,852,,,,percent of total billed charges,,639,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,853.1715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11010-0510 DEBRIDE SKIN AT FX SITE,510,RC,11010,CPT,,,outpatient,,,2303,,1151.5,1381.8,2233.91,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1844.703,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2139.2567,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1844.9333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64449-0360 INJ LUMBAR PLEXUS,360,RC,64449,CPT,,,outpatient,,,3280,,1640,1968,3181.6,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2627.28,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3046.792,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2627.608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67924-0510 REPAIR OF ENTROPION; EXTENSIVE (EYELID DEFECT),510,RC,67924,CPT,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  DIAGNOSTIC DIGITAL BREAST TOMOSYSNTHESIS; UNILATERAL,401,RC,77061,CPT,,,outpatient,,,501,,250.5,300.6,485.97,470.94,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,415.83,,,,percent of total billed charges,,450.9,,,,percent of total billed charges,,460.92,,,,percent of total billed charges,,460.92,,,,percent of total billed charges,,473.946,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,485.97,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,440.88,,,,percent of total billed charges,,450.9,,,,percent of total billed charges,,401.301,,,,percent of total billed charges,,450.9,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,465.3789,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,401.3511,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIAGNOSTIC DIGITAL BREAST TOMOSYSNTHESIS; BILATERAL,401,RC,77062,CPT,,,outpatient,,,747,,373.5,448.2,724.59,702.18,,,,percent of total billed charges,,597.6,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,620.01,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,687.24,,,,percent of total billed charges,,687.24,,,,percent of total billed charges,,706.662,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,657.36,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,598.347,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,693.8883,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,597.6,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,598.4217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC BENIGN LES 2.1-3.0CM TR/AR/LG,450,RC,11403,CPT,,,outpatient,,,2303,,1151.5,1381.8,2233.91,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1844.703,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2139.2567,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1844.9333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67805-0510 EXCISION OF CHALAZION; MULTIPLE, DIFFERENT LIDS",510,RC,67805,CPT,,,outpatient,,,679,,339.5,407.4,658.63,638.26,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,642.334,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,658.63,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,543.879,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,630.7231,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,543.9469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27268-0450 CLTX THIGH FX W/MNPJ,450,RC,27268,CPT,,,outpatient,,,8858,,4429,5314.8,8592.26,8326.52,,,,percent of total billed charges,,7086.4,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,7352.14,,,,percent of total billed charges,,7972.2,,,,percent of total billed charges,,8149.36,,,,percent of total billed charges,,8149.36,,,,percent of total billed charges,,8379.668,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,8592.26,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,7795.04,,,,percent of total billed charges,,7972.2,,,,percent of total billed charges,,7095.258,,,,percent of total billed charges,,7972.2,,,,percent of total billed charges,,5314.8,,,,percent of total billed charges,,8228.1962,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,7086.4,,,,percent of total billed charges,,5314.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7096.1438,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21933-0510 EXC BACK TUM DEEP 5 CM/>,510,RC,21933,CPT,,,outpatient,,,7418,,3709,4450.8,7195.46,6972.92,,,,percent of total billed charges,,5934.4,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,6156.94,,,,percent of total billed charges,,6676.2,,,,percent of total billed charges,,6824.56,,,,percent of total billed charges,,6824.56,,,,percent of total billed charges,,7017.428,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,7195.46,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,6527.84,,,,percent of total billed charges,,6676.2,,,,percent of total billed charges,,5941.818,,,,percent of total billed charges,,6676.2,,,,percent of total billed charges,,4450.8,,,,percent of total billed charges,,6890.5802,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,5934.4,,,,percent of total billed charges,,4450.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5942.5598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27767-0510 CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; W/O MANIPULATION,510,RC,27767,CPT,,,outpatient,,,765,,382.5,459,742.05,719.1,,,,percent of total billed charges,,612,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,634.95,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,723.69,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,742.05,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,612.765,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,459,,,,percent of total billed charges,,710.6085,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,612,,,,percent of total billed charges,,459,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.8415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 38500-0510 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL",510,RC,38500,CPT,,,outpatient,,,11697,,5848.5,7018.2,11346.09,10995.18,,,,percent of total billed charges,,9357.6,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,9708.51,,,,percent of total billed charges,,10527.3,,,,percent of total billed charges,,10761.24,,,,percent of total billed charges,,10761.24,,,,percent of total billed charges,,11065.362,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,11346.09,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,10293.36,,,,percent of total billed charges,,10527.3,,,,percent of total billed charges,,9369.297,,,,percent of total billed charges,,10527.3,,,,percent of total billed charges,,7018.2,,,,percent of total billed charges,,10865.3433,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,9357.6,,,,percent of total billed charges,,7018.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9370.4667,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92608-0444 EVAL OF SPEECH DEV (ADD'L 30 MIN),444,RC,92608,CPT,,,outpatient,,,395,,197.5,237,383.15,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,316.395,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,366.9155,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,316.4345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21550-0510 US STJ SURG BIOPSY SOFT TISSUE  NECK POCT,510,RC,21550,CPT,,,outpatient,,,3473,,1736.5,2083.8,3368.81,3264.62,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2882.59,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3285.458,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3368.81,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3056.24,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2781.873,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,3226.0697,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2782.2203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 8 79MM 12.2MM SHLY,274,RC,,,,,outpatient,,,263,,131.5,157.8,255.11,247.22,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,218.29,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,248.798,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,255.11,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,231.44,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,210.663,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,244.3007,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,210.6893,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99406-0942 BEHAV CHNG SMOKING 3-10 MIN,942,RC,99406,CPT,,,outpatient,,,69,,34.5,41.4,66.93,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,55.269,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,64.0941,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.2759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG COMPLETE 5 OR MORE MUSCLES,510,RC,95886,CPT,,,outpatient,,,586,,293,351.6,568.42,550.84,,,,percent of total billed charges,,468.8,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,486.38,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,539.12,,,,percent of total billed charges,,539.12,,,,percent of total billed charges,,554.356,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,568.42,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,515.68,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,469.386,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,351.6,,,,percent of total billed charges,,544.3354,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,468.8,,,,percent of total billed charges,,351.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,469.4446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90791-0900 PSYCH DIAG EVAL,900,RC,90791,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90834-0914 PSYCHOTHERAPY, 45 MINUTES W/ PATIENT",914,RC,90834,CPT,,,outpatient,,,277,,138.5,166.2,268.69,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,221.877,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,257.3053,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,221.9047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90837-0914 PSYCHOTHERAPY, 60 MINUTES W/ PATIENT",914,RC,90837,CPT,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29445-0510 APPLICATION OF RIGID TOTAL CONTACT LEG CAST,510,RC,29445,CPT,,,outpatient,,,810,,405,486,785.7,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,648.81,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,752.409,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INITIAL OR SUBS PSYCH (COCM) SERVICES- 30 MINUTES IN ANY MONTH,900,RC,G2214,HCPCS,,,outpatient,,,200,,100,120,194,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,185.78,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.22,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  64612-0510 BOTOX INJECTION,510,RC,64612,CPT,,,outpatient,,,967,,483.5,580.2,937.99,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,774.567,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,898.2463,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,774.6637,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90832-0914 PSYCHOTHERAPY, 30 MINUTES W/ PATIENT",914,RC,90832,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 1 FCC",510,RC,G0463,HCPCS,,,outpatient,,,177,,88.5,106.2,171.69,166.38,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,146.91,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,167.442,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,171.69,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,155.76,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,141.777,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,164.4153,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,141.7947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 2 FCC",510,RC,G0463,HCPCS,,,outpatient,,,182,,91,109.2,176.54,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,145.782,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,169.0598,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.8002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 3 FCC",510,RC,G0463,HCPCS,,,outpatient,,,187,,93.5,112.2,181.39,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,149.787,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,173.7043,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.8057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 4 FCC",510,RC,G0463,HCPCS,,,outpatient,,,192,,96,115.2,186.24,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,153.792,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,178.3488,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.8112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 5 FCC",510,RC,G0463,HCPCS,,,outpatient,,,197,,98.5,118.2,191.09,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,157.797,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,182.9933,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.8167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 2 FCC",510,RC,G0463,HCPCS,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 3 FCC",510,RC,G0463,HCPCS,,,outpatient,,,142,,71,85.2,137.74,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,113.742,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,131.9038,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.7562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 4 FCC",510,RC,G0463,HCPCS,,,outpatient,,,147,,73.5,88.2,142.59,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,117.747,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,136.5483,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.7617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 5 FCC",510,RC,G0463,HCPCS,,,outpatient,,,152,,76,91.2,147.44,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,121.752,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,141.1928,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.7672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68815-0510 PROBE NASOLACRIMAL DUCT,510,RC,68815,CPT,,,outpatient,,,5206,,2603,3123.6,5049.82,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4170.006,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,4835.8534,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.5266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52005-0361 CYSTOURETHROSCOPY W/ URETERAL CATH,361,RC,52005,CPT,,,outpatient,,,5021,,2510.5,3012.6,4870.37,4719.74,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4167.43,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4749.866,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4870.37,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4418.48,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4021.821,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,4664.0069,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4022.3231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95912-0510 NERVE CONDUCTION STUDIES; 11-12 STUDIES,510,RC,95912,CPT,,,outpatient,,,2012,,1006,1207.2,1951.64,1891.28,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1669.96,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1903.352,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1951.64,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1770.56,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1611.612,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,1868.9468,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1611.8132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95992-0510 CANALITH REPOSITIONING PROC, PER DAY",510,RC,95992,CPT,,,outpatient,,,139,,69.5,83.4,134.83,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,111.339,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,129.1171,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.3529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90833-0510 INDIVIDUAL PSYCHOTHERAPY 30 MIN +E/M,510,RC,90833,CPT,,,outpatient,,,172,,86,103.2,166.84,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,137.772,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,159.7708,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.7892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90836-0510 INDIVIDUAL PSYCHOTHERAPY 45 MIN +E/M,510,RC,90836,CPT,,,outpatient,,,248,,124,148.8,240.56,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,198.648,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,230.3672,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,198.6728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90838-0510 INDIVIDUAL PSYCHOTHERAPY 60 MIN +E/M,510,RC,90838,CPT,,,outpatient,,,347,,173.5,208.2,336.59,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,277.947,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,322.3283,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.9817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96136-0510 PSYCH/NEURO TEST ADM TWO OR MORE, FIRST 30 MIN",510,RC,96136,CPT,,,outpatient,,,140,,70,84,135.8,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,112.14,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,130.046,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96132-0510 NEUROBEHAV TESTING EVAL BY PSYCH/PHYS, 1ST HOUR",510,RC,96132,CPT,,,outpatient,,,1091,,545.5,654.6,1058.27,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,873.891,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1013.4299,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,874.0001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 096116-0510 NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHYS, 1ST HOUR",510,RC,96116,CPT,,,outpatient,,,1091,,545.5,654.6,1058.27,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,873.891,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1013.4299,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,874.0001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13100-0510 REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM",510,RC,13100,CPT,,,outpatient,,,1940,,970,1164,1881.8,1823.6,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1835.24,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1881.8,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1553.94,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1802.066,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1554.134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29365-0510 APPLICATION OF CYLINDER CAST (THIGH TO ANKLE),510,RC,29365,CPT,,,outpatient,,,894,,447,536.4,867.18,840.36,,,,percent of total billed charges,,715.2,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,742.02,,,,percent of total billed charges,,804.6,,,,percent of total billed charges,,822.48,,,,percent of total billed charges,,822.48,,,,percent of total billed charges,,845.724,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,867.18,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,786.72,,,,percent of total billed charges,,804.6,,,,percent of total billed charges,,716.094,,,,percent of total billed charges,,804.6,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,830.4366,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,715.2,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,716.1834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33210-0450 INSERT ELECTRD/PM CATH SNGL,450,RC,33210,CPT,,,outpatient,,,6193,,3096.5,3715.8,6007.21,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4960.593,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,5752.6777,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4961.2123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27842-0450 CLOSED TX DISLOCATION ANKLE REQ ANESTHESIA,450,RC,27842,CPT,,,outpatient,,,5158,,2579,3094.8,5003.26,4848.52,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4281.14,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4879.468,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,5003.26,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4539.04,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,4131.558,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,4791.2662,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4132.0738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11976-0510 REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES",510,RC,11976,CPT,,,outpatient,,,2303,,1151.5,1381.8,2233.91,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1844.703,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2139.2567,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1844.9333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57461-0510 CONZ OF CERVIX W/SCOPE LEEP,510,RC,57461,CPT,,,outpatient,,,6820,,3410,4092,6615.4,6410.8,,,,percent of total billed charges,,5456,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,5660.6,,,,percent of total billed charges,,6138,,,,percent of total billed charges,,6274.4,,,,percent of total billed charges,,6274.4,,,,percent of total billed charges,,6451.72,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,6615.4,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,6001.6,,,,percent of total billed charges,,6138,,,,percent of total billed charges,,5462.82,,,,percent of total billed charges,,6138,,,,percent of total billed charges,,4092,,,,percent of total billed charges,,6335.098,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,5456,,,,percent of total billed charges,,4092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5463.502,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51728-0510 CYSTOMETROGRAM W/VP STUDIES,510,RC,51728,CPT,,,outpatient,,,1723,,861.5,1033.8,1671.31,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1380.123,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1600.4947,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1380.2953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRN BLADDER W SP CATH,361,RC,51102,CPT,,,outpatient,,,5113,,2556.5,3067.8,4959.61,4806.22,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4243.79,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4836.898,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4959.61,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4499.44,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4095.513,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,4749.4657,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4096.0243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99497-0510 ADVNCD CARE PLAN 30 MIN,510,RC,99497,CPT,,,outpatient,,,275,,137.5,165,266.75,258.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,228.25,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,253,,,,percent of total billed charges,,253,,,,percent of total billed charges,,260.15,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,266.75,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,242,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,220.275,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,165,,,,percent of total billed charges,,255.4475,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,220,,,,percent of total billed charges,,165,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,220.3025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13101-0510 REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM",510,RC,13101,CPT,,,outpatient,,,1905,,952.5,1143,1847.85,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1525.905,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1769.5545,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1526.0955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13121-0510 CMPLX RPR S/A/L 2.6-7.5 CM,510,RC,13121,CPT,,,outpatient,,,1940,,970,1164,1881.8,1823.6,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1835.24,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1881.8,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1553.94,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1802.066,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1554.134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13122-0510 REPAIR COMPLEX EACH ADDTL,510,RC,13122,CPT,,,outpatient,,,880,,440,528,853.6,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,817.432,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17106-0510 DEST CUT VASCULAR PROLIFERAT LESIONS < 10 SQ CM,510,RC,17106,CPT,,,outpatient,,,1029,,514.5,617.4,998.13,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,824.229,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,955.8381,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,824.3319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17107-0510 DEST CUT VASCULAR PROLIFERAT LESIONS 10.0 TO 50 SQ CM,510,RC,17107,CPT,,,outpatient,,,1496,,748,897.6,1451.12,1406.24,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1241.68,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1415.216,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1451.12,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1316.48,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1198.296,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,1389.6344,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1198.4456,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17108-0510 DESTRUCTION OF SKIN LESIONS,510,RC,17108,CPT,,,outpatient,,,4344,,2172,2606.4,4213.68,4083.36,,,,percent of total billed charges,,3475.2,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,3605.52,,,,percent of total billed charges,,3909.6,,,,percent of total billed charges,,3996.48,,,,percent of total billed charges,,3996.48,,,,percent of total billed charges,,4109.424,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,4213.68,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,3822.72,,,,percent of total billed charges,,3909.6,,,,percent of total billed charges,,3479.544,,,,percent of total billed charges,,3909.6,,,,percent of total billed charges,,2606.4,,,,percent of total billed charges,,4035.1416,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,3475.2,,,,percent of total billed charges,,2606.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3479.9784,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17263-0510 DEST, MALIG LESION, TRUNK/ARMS/LEGS; LESION DIAM 2.1 TO 3.0 CM",510,RC,17263,CPT,,,outpatient,,,498,,249,298.8,483.06,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,398.898,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,462.5922,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,398.9478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64650-0510 CHEMODENERV ECCRINE GLANDS,510,RC,64650,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26115-0510  EXIS SOFT TISSUE LESION HAND SUBCUT; LESS THAN 1.5 CM,510,RC,26115,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24075-0510 EXC ARM/ELBOW LES SC < 3 CM,510,RC,24075,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13131-0510 REPAIR COMPLEX 1.1-2.5CM,510,RC,13131,CPT,,,outpatient,,,1283,,641.5,769.8,1244.51,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1027.683,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1191.7787,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1027.8113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12037-0510 INTMD RPR S/TR/EXT >30.0 CM,510,RC,12037,CPT,,,outpatient,,,6353,,3176.5,3811.8,6162.41,5971.82,,,,percent of total billed charges,,5082.4,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,5272.99,,,,percent of total billed charges,,5717.7,,,,percent of total billed charges,,5844.76,,,,percent of total billed charges,,5844.76,,,,percent of total billed charges,,6009.938,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,6162.41,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,5590.64,,,,percent of total billed charges,,5717.7,,,,percent of total billed charges,,5088.753,,,,percent of total billed charges,,5717.7,,,,percent of total billed charges,,3811.8,,,,percent of total billed charges,,5901.3017,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,5082.4,,,,percent of total billed charges,,3811.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5089.3883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13152-0510 REPAIR COMPLEX E/N/E/L 2.6 CM TO 7.5 CM,510,RC,13152,CPT,,,outpatient,,,2008,,1004,1204.8,1947.76,1887.52,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1666.64,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1899.568,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1947.76,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1767.04,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1608.408,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,1865.2312,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1608.6088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13153-0510 REPAIR COMPLEX E/N/E/L; EACH ADD 5 CM OR LESS,510,RC,13153,CPT,,,outpatient,,,969,,484.5,581.4,939.93,910.86,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,804.27,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,916.674,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,939.93,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,852.72,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,776.169,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,900.1041,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,776.2659,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46220-0510 EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG; ANUS,510,RC,46220,CPT,,,outpatient,,,3840,,1920,2304,3724.8,3609.6,,,,percent of total billed charges,,3072,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3187.2,,,,percent of total billed charges,,3456,,,,percent of total billed charges,,3532.8,,,,percent of total billed charges,,3532.8,,,,percent of total billed charges,,3632.64,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3724.8,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3379.2,,,,percent of total billed charges,,3456,,,,percent of total billed charges,,3075.84,,,,percent of total billed charges,,3456,,,,percent of total billed charges,,2304,,,,percent of total billed charges,,3566.976,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3072,,,,percent of total billed charges,,2304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3076.224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93793-0510 ANTICOAG MGMT PT WAFARIN,510,RC,93793,CPT,,,outpatient,,,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32554-0450 THORACENTESIS W/O IMAGING GUIDANCE,450,RC,32554,CPT,,,outpatient,,,2007,,1003.5,1204.2,1946.79,1886.58,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1665.81,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1898.622,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1946.79,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1766.16,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1607.607,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,1864.3023,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1607.8077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DUPLEX SCAN, PREP HEMODIALYSIS ACCESS, COMPLT BILAT STUDY",921,RC,93985,CPT,,,outpatient,,,598,,299,358.8,580.06,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,555.4822,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,479.0578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DUPLEX SCAN, PREP HEMODIALYSIS ACCESS, COMPLT UNILAT STUDY",921,RC,93986,CPT,,,outpatient,,,283,,141.5,169.8,274.51,266.02,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,234.89,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,267.718,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,274.51,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,249.04,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,226.683,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,262.8787,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,226.7113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97607-0510 NEG PRESS WOUND TX <=50 SQ CM,510,RC,97607,CPT,,,outpatient,,,1283,,641.5,769.8,1244.51,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1027.683,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1191.7787,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1027.8113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRAVENOUS INFUSION, SOTROVIMAB, INFUSION & POST ADMIN MONITORING",771,RC,M0247,HCPCS,,,outpatient,,,1489,,744.5,893.4,1444.33,1399.66,,,,percent of total billed charges,,1191.2,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1235.87,,,,percent of total billed charges,,1340.1,,,,percent of total billed charges,,1369.88,,,,percent of total billed charges,,1369.88,,,,percent of total billed charges,,1408.594,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1444.33,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1310.32,,,,percent of total billed charges,,1340.1,,,,percent of total billed charges,,1192.689,,,,percent of total billed charges,,1340.1,,,,percent of total billed charges,,893.4,,,,percent of total billed charges,,1383.1321,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1191.2,,,,percent of total billed charges,,893.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1192.8379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90785-0510 PSYTX COMPLEX INTERACTIVE,510,RC,90785,CPT,,,outpatient,,,185,,92.5,111,179.45,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,148.185,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,171.8465,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.2035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90846-0510 FAMILY PSYCH, WO PATIENT, 50 MIN",510,RC,90846,CPT,,,outpatient,,,380,,190,228,368.6,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,304.38,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,352.982,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,304.418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90847-0510 FAMILY PSYCH, CONJOINT, W/PATIENT, 50 MIN",510,RC,90847,CPT,,,outpatient,,,357,,178.5,214.2,346.29,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,285.957,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,331.6173,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,285.9927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11104-0450 PUNCH BX SKIN SINGLE LESION,450,RC,11104,CPT,,,outpatient,,,1283,,641.5,769.8,1244.51,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1027.683,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1191.7787,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1027.8113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99417-0510 PROLNG OP E/M EACH 15 MIN,510,RC,99417,CPT,,,outpatient,,,157,,78.5,94.2,152.29,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,125.757,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,145.8373,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.7727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10005-0510 FNA BX W/US GDN 1ST LES,510,RC,10005,CPT,,,outpatient,,,2935,,1467.5,1761,2846.95,2758.9,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2436.05,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2776.51,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2846.95,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2582.8,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,2350.935,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,2726.3215,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2351.2285,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10160-0510 PUNCTURE AS ABSC,HEMATOMA",510,RC,10160,CPT,,,outpatient,,,1769,,884.5,1061.4,1715.93,1662.86,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1468.27,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1673.474,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1715.93,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1556.72,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1416.969,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,1643.2241,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1417.1459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042-0510 DEBRIDE SUBCU,1ST 20SQ CM",510,RC,11042,CPT,,,outpatient,,,783,,391.5,469.8,759.51,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,627.183,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,727.3287,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,627.2613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29581-0510 APPLY MULTILAYER COMP - LATERAL - LOWER LEG,510,RC,29581,CPT,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59200-0510 INDUCTION CERVIDIL DILATOR,510,RC,59200,CPT,,,outpatient,,,992,,496,595.2,962.24,932.48,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,823.36,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,938.432,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,962.24,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,872.96,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,794.592,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,921.4688,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,794.6912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29580-0510 UNNA BOOT APPLICATION,510,RC,29580,CPT,,,outpatient,,,474,,237,284.4,459.78,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,379.674,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,440.2986,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,379.7214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92551-0510 PURE TONE HEARING TEST,510,RC,92551,CPT,,,outpatient,,,53,,26.5,31.8,51.41,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,42.453,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,49.2317,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.4583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92567-0510 TYMPANOMETRY,510,RC,92567,CPT,,,outpatient,,,98,,49,58.8,95.06,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,78.498,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,91.0322,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.5078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93279-0510 PM DEVICE PROG EVAL,  SNGL",510,RC,93279,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93280-0510 FEE PM DEVICE PROG EV,510,RC,93280,CPT,,,outpatient,,,125,,62.5,75,121.25,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,100.125,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,116.1125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.1375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93281-0510 PM DEVICE PROGR EVAL MULT,510,RC,93281,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93282-0510 ICD DEVICE PROG EVAL, 1 SNGL",510,RC,93282,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93283-0510 ICD DEVICE PROGR EVAL DUAL,510,RC,93283,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94060-0510 EAST PFT W/PRE & POST NEB TX,510,RC,94060,CPT,,,outpatient,,,668,,334,400.8,647.96,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,535.068,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,620.5052,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,535.1348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96110-0510 DEVELOPMENTAL TEST, LIM",510,RC,96110,CPT,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 97602-0510 REMOVE DEVITALIZED TISSUE, NON-SELE",510,RC,97602,CPT,,,outpatient,,,405,,202.5,243,392.85,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,324.405,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,376.2045,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,324.4455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99173-0510 VISUAL ACUITY SCREENING,510,RC,99173,CPT,,,outpatient,,,79,,39.5,47.4,76.63,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,63.279,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,73.3831,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.2869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64479-0510 SELECTIVE NERVE ROOT BLOCK CER/THO,510,RC,64479,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64445-0510 INJ SCIATIC NERVE, SINGLE",510,RC,64445,CPT,,,outpatient,,,2310,,1155,1386,2240.7,2171.4,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1917.3,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2185.26,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2240.7,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2032.8,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1850.31,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,2145.759,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1850.541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20670-0510 REMOVAL OF IMPLANT; SUPERFICIAL,510,RC,20670,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90792-0510 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES,510,RC,90792,CPT,,,outpatient,,,347,,173.5,208.2,336.59,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,277.947,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,322.3283,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.9817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28630-0510 CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA,510,RC,28630,CPT,,,outpatient,,,765,,382.5,459,742.05,719.1,,,,percent of total billed charges,,612,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,634.95,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,723.69,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,742.05,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,612.765,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,459,,,,percent of total billed charges,,710.6085,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,612,,,,percent of total billed charges,,459,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.8415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26010-0510 DRAINAGE OF FINGER ABSCESS; SIMPLE,510,RC,26010,CPT,,,outpatient,,,665,,332.5,399,645.05,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,532.665,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,617.7185,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,532.7315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93261-0480 INTERROGATION DEVICE EVALUATION (IN PERSON), INCLUDES CONNECTION, RECORDING AND DISCONNECTION",480,RC,93261,CPT,,,outpatient,,,149,,74.5,89.4,144.53,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,119.349,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,138.4061,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.3639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99426-0510 PRIN CARE MGMT SSTFF 1ST 30 MIN,510,RC,99426,CPT,,,outpatient,,,191,,95.5,114.6,185.27,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,152.991,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,177.4199,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.0101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99427-0510 PRIN CARE MGMT STAFF EA ADDL,510,RC,99427,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24071-0510 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW, SUBCUTANEOUS; 3 CM OR GREATER",510,RC,24071,CPT,,,outpatient,,,8778,,4389,5266.8,8514.66,8251.32,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,7285.74,,,,percent of total billed charges,,7900.2,,,,percent of total billed charges,,8075.76,,,,percent of total billed charges,,8075.76,,,,percent of total billed charges,,8303.988,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,8514.66,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,7724.64,,,,percent of total billed charges,,7900.2,,,,percent of total billed charges,,7031.178,,,,percent of total billed charges,,7900.2,,,,percent of total billed charges,,5266.8,,,,percent of total billed charges,,8153.8842,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,5266.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7032.0558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POCT SOFIA SARS ANTIGEN TEST,306,RC,87426,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36680-0510 INTRAOSSEOUS NEEDLE PLACEMENT,510,RC,36680,CPT,,,outpatient,,,949,,474.5,569.4,920.53,892.06,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,787.67,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,897.754,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,920.53,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,835.12,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,760.149,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,881.5261,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,760.2439,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64451 LATERAL DORSAL RAMUS INJ,510,RC,64451,CPT,,,outpatient,,,2065,,1032.5,1239,2003.05,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1654.065,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,1918.1785,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1654.2715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64451-0361 LATERAL DORSAL RAMUS INJ BILATERAL,361,RC,64451,CPT,,,outpatient,,,2065,,1032.5,1239,2003.05,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1654.065,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,1918.1785,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1654.2715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29581-0420 APPLY MULTILAYER COMP - LOWER LEG,420,RC,29581,CPT,,,outpatient,,,417,,208.5,250.2,404.49,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,334.017,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,387.3513,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.0587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29584-0420 APPLY MULTILAYER COMP - ARM/HAND,420,RC,29584,CPT,,,outpatient,,,460,,230,276,446.2,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,368.46,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,427.294,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,368.506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46922-0361 DEST LESION ANUS,361,RC,46922,CPT,,,outpatient,,,7954,,3977,4772.4,7715.38,7476.76,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6601.82,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7524.484,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7715.38,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6999.52,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,6371.154,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,7388.4706,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6371.9494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46020-0361 SETON PLACEMENT,361,RC,46020,CPT,,,outpatient,,,7954,,3977,4772.4,7715.38,7476.76,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6601.82,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7524.484,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7715.38,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6999.52,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,6371.154,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,7388.4706,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6371.9494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46030-0361 REMOVAL OF ANAL SETON, OTHER MARKER",361,RC,46030,CPT,,,outpatient,,,3374,,1687,2024.4,3272.78,3171.56,,,,percent of total billed charges,,2699.2,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,2800.42,,,,percent of total billed charges,,3036.6,,,,percent of total billed charges,,3104.08,,,,percent of total billed charges,,3104.08,,,,percent of total billed charges,,3191.804,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,3272.78,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,2969.12,,,,percent of total billed charges,,3036.6,,,,percent of total billed charges,,2702.574,,,,percent of total billed charges,,3036.6,,,,percent of total billed charges,,2024.4,,,,percent of total billed charges,,3134.1086,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,2699.2,,,,percent of total billed charges,,2024.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2702.9114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M0220-0771 INJ TIXAGEVIMAB & CILGAVIMAB,771,RC,M0220,HCPCS,,,outpatient,,,496,,248,297.6,481.12,466.24,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,411.68,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,469.216,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,481.12,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,436.48,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,397.296,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,460.7344,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,397.3456,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95250-0510 CONT GLUC MNTR PHYS/QHP EQP,510,RC,95250,CPT,,,outpatient,,,429,,214.5,257.4,416.13,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,343.629,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,398.4981,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,343.6719,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 19101-0510 BIOPSY OF BREAST; OPEN, INCISIONAL",510,RC,19101,CPT,,,outpatient,,,10497,,5248.5,6298.2,10182.09,9867.18,,,,percent of total billed charges,,8397.6,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,8712.51,,,,percent of total billed charges,,9447.3,,,,percent of total billed charges,,9657.24,,,,percent of total billed charges,,9657.24,,,,percent of total billed charges,,9930.162,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,10182.09,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,9237.36,,,,percent of total billed charges,,9447.3,,,,percent of total billed charges,,8408.097,,,,percent of total billed charges,,9447.3,,,,percent of total billed charges,,6298.2,,,,percent of total billed charges,,9750.6633,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,8397.6,,,,percent of total billed charges,,6298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8409.1467,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15260-0361 FULL THICKNESS GRAFT; EEN & LIPS; 20 SQ CM OR LESS,361,RC,15260,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15261-0361 FULL THICKNESS GRAFT FOR EACH ADDITIONAL 20 SQ CM,361,RC,15261,CPT,,,outpatient,,,2818,,1409,1690.8,2733.46,2648.92,,,,percent of total billed charges,,2254.4,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2338.94,,,,percent of total billed charges,,2536.2,,,,percent of total billed charges,,2592.56,,,,percent of total billed charges,,2592.56,,,,percent of total billed charges,,2665.828,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2733.46,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2479.84,,,,percent of total billed charges,,2536.2,,,,percent of total billed charges,,2257.218,,,,percent of total billed charges,,2536.2,,,,percent of total billed charges,,1690.8,,,,percent of total billed charges,,2617.6402,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2254.4,,,,percent of total billed charges,,1690.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2257.4998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96416-0335 PROLONGED CHEMO IV INFUSION; > 8 HOURS,335,RC,96416,CPT,,,outpatient,,,1101,,550.5,660.6,1067.97,1034.94,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,913.83,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1041.546,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1067.97,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,968.88,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,881.901,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,1022.7189,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,882.0111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49082-0450 ABDOMINAL PARACENTESIS,450,RC,49082,CPT,,,outpatient,,,2662,,1331,1597.2,2582.14,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2132.262,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2472.7318,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2132.5282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43246-0360 ENDOSCOPIC PLACE PEG TUBE,360,RC,43246,CPT,,,outpatient,,,4437,,2218.5,2662.2,4303.89,4170.78,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3682.71,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4197.402,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4303.89,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3904.56,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,3554.037,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,4121.5293,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3554.4807,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96372-0761 INJ, SQ/IM EACH ADD",761,RC,96372,CPT,,,outpatient,,,223,,111.5,133.8,216.31,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,178.623,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,207.1447,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.6453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95857-0740 TENSILON TEST,740,RC,95857,CPT,,,outpatient,,,723,,361.5,433.8,701.31,679.62,,,,percent of total billed charges,,578.4,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,600.09,,,,percent of total billed charges,,650.7,,,,percent of total billed charges,,665.16,,,,percent of total billed charges,,665.16,,,,percent of total billed charges,,683.958,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,701.31,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,636.24,,,,percent of total billed charges,,650.7,,,,percent of total billed charges,,579.123,,,,percent of total billed charges,,650.7,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,671.5947,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,578.4,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,579.1953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG PHYS/QHP W/O VID EA 2-12HR CONT,740,RC,95717,CPT,,,outpatient,,,921,,460.5,552.6,893.37,865.74,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,764.43,,,,percent of total billed charges,,828.9,,,,percent of total billed charges,,847.32,,,,percent of total billed charges,,847.32,,,,percent of total billed charges,,871.266,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,893.37,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,810.48,,,,percent of total billed charges,,828.9,,,,percent of total billed charges,,737.721,,,,percent of total billed charges,,828.9,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,855.5169,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,737.8131,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG PHYS/QHP W/O VID EA 12-26HR CONT,740,RC,95719,CPT,,,outpatient,,,1763,,881.5,1057.8,1710.11,1657.22,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1463.29,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1667.798,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1710.11,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1551.44,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1412.163,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,1637.6507,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1412.3393,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36556-0450 INSERTION OF CVAD,450,RC,36556,CPT,,,outpatient,,,4617,,2308.5,2770.2,4478.49,4339.98,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3832.11,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4367.682,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4478.49,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4062.96,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3698.217,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,4288.7313,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3698.6787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99483-0510 ASSMT & CARE PLN PT COG IMP,510,RC,99483,CPT,,,outpatient,,,204,,102,122.4,197.88,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,163.404,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,189.4956,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,163.4244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12005-0510 LACER SIMP EXT 12.6-20 CM FAC,510,RC,12005,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ULTRACLIP BREAST LOCALIZATION TAG, 17 GA, 330366, 330370",278,RC,C1819,HCPCS,,,outpatient,,,994,,497,596.4,964.18,934.36,,,,percent of total billed charges,,795.2,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,825.02,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,914.48,,,,percent of total billed charges,,914.48,,,,percent of total billed charges,,940.324,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,964.18,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,874.72,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,796.194,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,596.4,,,,percent of total billed charges,,923.3266,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,795.2,,,,percent of total billed charges,,596.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,796.2934,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19100-0361 BIOPSY BREAST NEEDLE CORE W/O IMAGING GUIDANCE,361,RC,19100,CPT,,,outpatient,,,4676,,2338,2805.6,4535.72,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3745.476,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4343.5364,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3745.9436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21085-0361 PREPARATION ORAL SURGICAL SPLINT,361,RC,21085,CPT,,,outpatient,,,704,,352,422.4,682.88,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,563.904,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,653.9456,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,563.9744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MULTIPLEX RESPIRATORY ASSAY -CEPHEID-CLINICS ONLY (POCT),306,RC,87637,CPT,,,outpatient,,,714,,357,428.4,692.58,671.16,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,592.62,,,,percent of total billed charges,,642.6,,,,percent of total billed charges,,656.88,,,,percent of total billed charges,,656.88,,,,percent of total billed charges,,675.444,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,692.58,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,628.32,,,,percent of total billed charges,,642.6,,,,percent of total billed charges,,571.914,,,,percent of total billed charges,,642.6,,,,percent of total billed charges,,428.4,,,,percent of total billed charges,,663.2346,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,428.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,571.9854,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16025-0510 DEBRIDE AND/OR DSG--MED,510,RC,16025,CPT,,,outpatient,,,598,,299,358.8,580.06,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,555.4822,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,479.0578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15220-0510 SKIN FULL GRAFT SCLP/ARM/LEG, 20 SQ CM OR LESS",510,RC,15220,CPT,,,outpatient,,,5633,,2816.5,3379.8,5464.01,5295.02,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4675.39,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5328.818,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5464.01,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4957.04,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,4512.033,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,5232.4937,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4512.5963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11045-0510 - EXCISIONAL DEBRIDEMENT, SUBCUTAN",510,RC,11045,CPT,,,outpatient,,,460,,230,276,446.2,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,368.46,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,427.294,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,368.506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11046-0510 - EXCISIONAL DEBRIDEMENT, MUSCLE A",510,RC,11046,CPT,,,outpatient,,,626,,313,375.6,607.22,588.44,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,519.58,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,592.196,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,607.22,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,550.88,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,501.426,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,581.4914,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,501.4886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11044-0510 - DEBRIDEMENT; BONE (INCLUDES EDIP, DERMIS, ECT.)",510,RC,11044,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10060-0510 - I & D ABSCESS; SIMPLE/SINGLE,510,RC,10060,CPT,,,outpatient,,,563,,281.5,337.8,546.11,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,450.963,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,522.9707,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.0193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10061-510 - I & D ABSCESS; COMPLICATED OR MULTIPLE,510,RC,10061,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55000-0510  PUNCTURE ASPIRATION OF HYDROCELE,510,RC,55000,CPT,,,outpatient,,,1875,,937.5,1125,1818.75,1762.5,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1556.25,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1773.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1818.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1501.875,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,1741.6875,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1502.0625,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20680-0510 REMOVAL OF IMPLANT DEEP,510,RC,20680,CPT,,,outpatient,,,7883,,3941.5,4729.8,7646.51,7410.02,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6542.89,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7457.318,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7646.51,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6937.04,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,6314.283,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,7322.5187,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6315.0713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59001-0361  THERAPEUTIC  AMNIOTIC FLUID REDUCTION (ULTRASOUNDS GUIDANCE INCLUDED),361,RC,59001,CPT,,,outpatient,,,936,,468,561.6,907.92,879.84,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,776.88,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,861.12,,,,percent of total billed charges,,861.12,,,,percent of total billed charges,,885.456,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,907.92,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,823.68,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,749.736,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,869.4504,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,749.8296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96161-0918 CAREGIVER HEALTH RISK ASSESSMENT,918,RC,96161,CPT,,,outpatient,,,62,,31,37.2,60.14,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,49.662,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,57.5918,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.6682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57150-0510 TREATMENT OF  VAGINAL INFECTION,510,RC,57150,CPT,,,outpatient,,,186,,93,111.6,180.42,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,148.986,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,172.7754,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.0046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 33894-0360 ENDOVASC STENT REPAIR ACC/TRANS/DESC THORACIC/ABD AORTA, STENT PLCMT, ACROSS MSB",360,RC,33894,CPT,,,outpatient,,,4923,,2461.5,2953.8,4775.31,4627.62,,,,percent of total billed charges,,3938.4,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4086.09,,,,percent of total billed charges,,4430.7,,,,percent of total billed charges,,4529.16,,,,percent of total billed charges,,4529.16,,,,percent of total billed charges,,4657.158,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4775.31,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4332.24,,,,percent of total billed charges,,4430.7,,,,percent of total billed charges,,3943.323,,,,percent of total billed charges,,4430.7,,,,percent of total billed charges,,2953.8,,,,percent of total billed charges,,4572.9747,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,3938.4,,,,percent of total billed charges,,2953.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3943.8153,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 33895-0360 ENDOVASC STENT REPAIR ACC/TRANS/DESC THORACIC/ABD AORTA, STENT PLCMT, NOT CROSS MSB",360,RC,33895,CPT,,,outpatient,,,3685,,1842.5,2211,3574.45,3463.9,,,,percent of total billed charges,,2948,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3058.55,,,,percent of total billed charges,,3316.5,,,,percent of total billed charges,,3390.2,,,,percent of total billed charges,,3390.2,,,,percent of total billed charges,,3486.01,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3574.45,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3242.8,,,,percent of total billed charges,,3316.5,,,,percent of total billed charges,,2951.685,,,,percent of total billed charges,,3316.5,,,,percent of total billed charges,,2211,,,,percent of total billed charges,,3422.9965,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,2948,,,,percent of total billed charges,,2211,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2952.0535,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33897-0360 PERCUT TRANSLUM ANGIOPLASTY NATIVE/RECUR COARCT OF AORTA,360,RC,33897,CPT,,,outpatient,,,7370,,3685,4422,7148.9,6927.8,,,,percent of total billed charges,,5896,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,6117.1,,,,percent of total billed charges,,6633,,,,percent of total billed charges,,6780.4,,,,percent of total billed charges,,6780.4,,,,percent of total billed charges,,6972.02,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,7148.9,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,6485.6,,,,percent of total billed charges,,6633,,,,percent of total billed charges,,5903.37,,,,percent of total billed charges,,6633,,,,percent of total billed charges,,4422,,,,percent of total billed charges,,6845.993,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,5896,,,,percent of total billed charges,,4422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5904.107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEBTELOVIMAB INJECTION AND MONITORING,771,RC,M0222,HCPCS,,,outpatient,,,1158,,579,694.8,1123.26,1088.52,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,961.14,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1095.468,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1123.26,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1019.04,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,927.558,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,1075.6662,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,927.6738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64417-0510 INJ(S), ANESTHETIC AGENT(S) AND/OR STEROID; AXIL NRV",510,RC,64417,CPT,,,outpatient,,,2737,,1368.5,1642.2,2654.89,2572.78,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2271.71,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2589.202,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2654.89,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2408.56,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,2192.337,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,2542.3993,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2192.6107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIXAGEV AND CILGAV INJECTION AND MONITORING,771,RC,M0220,HCPCS,,,outpatient,,,496,,248,297.6,481.12,466.24,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,411.68,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,469.216,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,481.12,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,436.48,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,397.296,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,460.7344,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,397.3456,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92517-0920 CVEMP TESTING - CERVICAL,  W/INTER & REP",920,RC,92517,CPT,,,outpatient,,,504,,252,302.4,488.88,473.76,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,418.32,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,476.784,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,488.88,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,443.52,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,468.1656,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,403.7544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92518-0920 OVEMP TESTING - OCULAR,  W/INTER & REP",920,RC,92518,CPT,,,outpatient,,,504,,252,302.4,488.88,473.76,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,418.32,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,476.784,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,488.88,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,443.52,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,468.1656,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,403.7544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92519-0920 CVEMP & OVEMP TESTING - CERVICAL & OCULAR,  W/INTER & REP",920,RC,92519,CPT,,,outpatient,,,955,,477.5,573,926.35,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,764.955,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,887.0995,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,765.0505,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1897 NEUROSTIMULATOR TEST-IMPLANT - CLINIC,278,RC,C1897,HCPCS,,,outpatient,,,4138,,2069,2482.8,4013.86,3889.72,,,,percent of total billed charges,,3310.4,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3434.54,,,,percent of total billed charges,,3724.2,,,,percent of total billed charges,,3806.96,,,,percent of total billed charges,,3806.96,,,,percent of total billed charges,,3914.548,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,4013.86,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3641.44,,,,percent of total billed charges,,3724.2,,,,percent of total billed charges,,3314.538,,,,percent of total billed charges,,3724.2,,,,percent of total billed charges,,2482.8,,,,percent of total billed charges,,3843.7882,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3310.4,,,,percent of total billed charges,,2482.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3314.9518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMOD EVALUATION FOR PNE,270,RC,,,,,outpatient,,,2233,,1116.5,1339.8,2166.01,2099.02,,,,percent of total billed charges,,1786.4,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,1853.39,,,,percent of total billed charges,,2009.7,,,,percent of total billed charges,,2054.36,,,,percent of total billed charges,,2054.36,,,,percent of total billed charges,,2112.418,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,2166.01,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,1965.04,,,,percent of total billed charges,,2009.7,,,,percent of total billed charges,,1788.633,,,,percent of total billed charges,,2009.7,,,,percent of total billed charges,,1339.8,,,,percent of total billed charges,,2074.2337,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,1786.4,,,,percent of total billed charges,,1339.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1788.8563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28825-0510 AMPUTATION, TOE; INTERPHALANGEAL JOINT",510,RC,28825,CPT,,,outpatient,,,9413,,4706.5,5647.8,9130.61,8848.22,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7812.79,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8904.698,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,9130.61,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8283.44,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,7539.813,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,8743.7357,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7540.7543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58558-0510 HYSTEROSCOPY, W/BX ENDOMETRIUM &/OR POLYPECTOMY, W/ OR W/O D & C",510,RC,58558,CPT,,,outpatient,,,8722,,4361,5233.2,8460.34,8198.68,,,,percent of total billed charges,,6977.6,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,7239.26,,,,percent of total billed charges,,7849.8,,,,percent of total billed charges,,8024.24,,,,percent of total billed charges,,8024.24,,,,percent of total billed charges,,8251.012,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,8460.34,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,7675.36,,,,percent of total billed charges,,7849.8,,,,percent of total billed charges,,6986.322,,,,percent of total billed charges,,7849.8,,,,percent of total billed charges,,5233.2,,,,percent of total billed charges,,8101.8658,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,6977.6,,,,percent of total billed charges,,5233.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6987.1942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 22902-0510 EXCISION, TUMOR,  ABDOMINAL WALL, S.C.; < 3 CM",510,RC,22902,CPT,,,outpatient,,,4676,,2338,2805.6,4535.72,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3745.476,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4343.5364,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3745.9436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 32555-0510 THORACENTESIS, ASPIRATE PLEURA W/IMAGING",510,RC,32555,CPT,,,outpatient,,,3574,,1787,2144.4,3466.78,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2862.774,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3319.8886,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2863.1314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46050-0510 I&D, PERIANAL ABSCESS, SUPERFICIAL",510,RC,46050,CPT,,,outpatient,,,2635,,1317.5,1581,2555.95,2476.9,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2187.05,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2492.71,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2555.95,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2318.8,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,2110.635,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,2447.6515,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2110.8985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26011-0510 DRAINAGE OF FINGER ABSCESS; COMPLICATED,510,RC,26011,CPT,,,outpatient,,,4676,,2338,2805.6,4535.72,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3745.476,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4343.5364,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3745.9436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28820-0510 AMPUTATION, TOE; METATARSOPHALANGEAL JOINT",510,RC,28820,CPT,,,outpatient,,,9413,,4706.5,5647.8,9130.61,8848.22,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7812.79,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8904.698,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,9130.61,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8283.44,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,7539.813,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,8743.7357,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7540.7543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13132-0510 CMPLX RPR F/C/C/M/N/AX/G/H/F; 2.6 CM TO 7.5 CM,510,RC,13132,CPT,,,outpatient,,,1740,,870,1044,1687.8,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1393.74,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1616.286,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1393.914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64418-0510 INJECT NERVE BLOCK, SUPRASCAP N.",510,RC,64418,CPT,,,outpatient,,,2306,,1153,1383.6,2236.82,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1847.106,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2142.0434,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1847.3366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67902-0510 REPAIR OF BLEPHAROPTOSIS (INCLUDES OBTAINING FASCIA),510,RC,67902,CPT,,,outpatient,,,7725,,3862.5,4635,7493.25,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,6187.725,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7175.7525,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6188.4975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96127-0510 BRIEF EMOTIONAL/BEHAVIORAL ASSMT.,510,RC,96127,CPT,,,outpatient,,,128,,64,76.8,124.16,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,102.528,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,118.8992,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.5408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28190-0510 REMOVAL OF FOREIGN BODY, FOOT; SUBQ",510,RC,28190,CPT,,,outpatient,,,2068,,1034,1240.8,2005.96,1943.92,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1716.44,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1956.328,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,2005.96,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1819.84,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1656.468,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,1920.9652,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1656.6748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 19020-0510 MASTOTOMY W/EXPLORATION OR DRAINAGE OF ABSCESS, DEEP",510,RC,19020,CPT,,,outpatient,,,4676,,2338,2805.6,4535.72,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3745.476,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4343.5364,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3745.9436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 49999-0361 UNLISTED PROC, ABDOMEN, PERITONEUM & OMENTUM",361,RC,49999,CPT,,,outpatient,,,2662,,1331,1597.2,2582.14,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2132.262,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2472.7318,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2132.5282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65222-0510 REM FB EYE, CORNEAL W/SLIT LAMP",510,RC,65222,CPT,,,outpatient,,,308,,154,184.8,298.76,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,246.708,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,286.1012,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,246.7388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11760-0510 REPAIR OF NAIL BED,510,RC,11760,CPT,,,outpatient,,,1740,,870,1044,1687.8,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1393.74,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1616.286,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1393.914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95927-0922 OR - SSEP - TRUNK OR HEAD,922,RC,95927,CPT,,,outpatient,,,955,,477.5,573,926.35,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,764.955,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,887.0995,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,765.0505,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 5 X 5 CM PER SQ CM; 25 UNITS,636,RC,Q4107,HCPCS,,,outpatient,,,295,,147.5,177,286.15,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,236.295,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,274.0255,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.3245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64615-0510 CHEMODENERV MUSC MIGRAINE,510,RC,64615,CPT,,,outpatient,,,966,,483,579.6,937.02,908.04,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,801.78,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,913.836,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,937.02,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,773.766,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,897.3174,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,773.8626,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15823-0510 BLEPHAROPLASTY, UPPER EYELID",510,RC,15823,CPT,,,outpatient,,,5693,,2846.5,3415.8,5522.21,5351.42,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4725.19,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5385.578,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5522.21,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5009.84,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,4560.093,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,5288.2277,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4560.6623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOBAND ALLOGRAF 4 X 2 CM; PER SQ CM (8 UNITS),636,RC,Q4151,HCPCS,,,outpatient,,,466,,233,279.6,452.02,438.04,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,386.78,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,440.836,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,452.02,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,410.08,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,373.266,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,432.8674,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,373.3126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67908-0510 REPAIR EYELID DEFECT,510,RC,67908,CPT,,,outpatient,,,5467,,2733.5,3280.2,5302.99,5138.98,,,,percent of total billed charges,,4373.6,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,4537.61,,,,percent of total billed charges,,4920.3,,,,percent of total billed charges,,5029.64,,,,percent of total billed charges,,5029.64,,,,percent of total billed charges,,5171.782,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,5302.99,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,4810.96,,,,percent of total billed charges,,4920.3,,,,percent of total billed charges,,4379.067,,,,percent of total billed charges,,4920.3,,,,percent of total billed charges,,3280.2,,,,percent of total billed charges,,5078.2963,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,4373.6,,,,percent of total billed charges,,3280.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4379.6137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67710-0510 SEVERING OF TARSORRHAPHY,510,RC,67710,CPT,,,outpatient,,,2692,,1346,1615.2,2611.24,2530.48,,,,percent of total billed charges,,2153.6,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2234.36,,,,percent of total billed charges,,2422.8,,,,percent of total billed charges,,2476.64,,,,percent of total billed charges,,2476.64,,,,percent of total billed charges,,2546.632,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2611.24,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2368.96,,,,percent of total billed charges,,2422.8,,,,percent of total billed charges,,2156.292,,,,percent of total billed charges,,2422.8,,,,percent of total billed charges,,1615.2,,,,percent of total billed charges,,2500.5988,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2153.6,,,,percent of total billed charges,,1615.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2156.5612,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 44340-0450 REVISION OF COLOSTOMY; SIMPLE,450,RC,44340,CPT,,,outpatient,,,11581,,5790.5,6948.6,11233.57,10886.14,,,,percent of total billed charges,,9264.8,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,9612.23,,,,percent of total billed charges,,10422.9,,,,percent of total billed charges,,10654.52,,,,percent of total billed charges,,10654.52,,,,percent of total billed charges,,10955.626,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,11233.57,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,10191.28,,,,percent of total billed charges,,10422.9,,,,percent of total billed charges,,9276.381,,,,percent of total billed charges,,10422.9,,,,percent of total billed charges,,6948.6,,,,percent of total billed charges,,10757.5909,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,9264.8,,,,percent of total billed charges,,6948.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9277.5391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58555-0510 HYSTEROSCOPY, DIAGNOSTIC",510,RC,58555,CPT,,,outpatient,,,7794,,3897,4676.4,7560.18,7326.36,,,,percent of total billed charges,,6235.2,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,6469.02,,,,percent of total billed charges,,7014.6,,,,percent of total billed charges,,7170.48,,,,percent of total billed charges,,7170.48,,,,percent of total billed charges,,7373.124,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,7560.18,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,6858.72,,,,percent of total billed charges,,7014.6,,,,percent of total billed charges,,6242.994,,,,percent of total billed charges,,7014.6,,,,percent of total billed charges,,4676.4,,,,percent of total billed charges,,7239.8466,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,6235.2,,,,percent of total billed charges,,4676.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6243.7734,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36573-0450 INSJ PICC RS&I 5 YRS+,450,RC,36573,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99188-0510 APPLY TOPICAL FLUORIDE VARNISH - PHYS OR OTH HCP,510,RC,99188,CPT,,,outpatient,,,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10180-0510 I & D, COMPLEX, POST -OP ABSCESS",510,RC,10180,CPT,,,outpatient,,,7883,,3941.5,4729.8,7646.51,7410.02,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6542.89,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7457.318,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7646.51,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6937.04,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,6314.283,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,7322.5187,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6315.0713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12001-0510 SIMPLE REPAIR SUPF WOUND < 2.5 CM,510,RC,12001,CPT,,,outpatient,,,597,,298.5,358.2,579.09,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,478.197,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,554.5533,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,478.2567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12002-0510 SIMPLE REPAIR SUPF WOUND 2.6-7.5 CM,510,RC,12002,CPT,,,outpatient,,,597,,298.5,358.2,579.09,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,478.197,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,554.5533,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,478.2567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12032-0510 INTERMEDIATE WOUND REPAIR 2.6-7.5 CM`,510,RC,12032,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12035-0510 INTERMEDIATE WOUND REPAIR 12.6-20 CM,510,RC,12035,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12044-0510 INTERMEDIATE WOUND REPAIR 7.6-12.5 CM,510,RC,12044,CPT,,,outpatient,,,1740,,870,1044,1687.8,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1393.74,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1616.286,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1393.914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12051-0510 INTERMEDIATE WOUND REPAIR < 2.5 CM,510,RC,12051,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20612-0510 ASPIRATION &/ OR INJ OF GANGLION CYST(S),510,RC,20612,CPT,,,outpatient,,,870,,435,522,843.9,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,696.87,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,808.143,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,696.957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40830-0510 CLOSURE OF LACERATION, VESTIBULE OF MOUTH 2.5 CM OR <",510,RC,40830,CPT,,,outpatient,,,704,,352,422.4,682.88,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,563.904,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,653.9456,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,563.9744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46600-0510 ANOSCOPY; DIAGNOSTIC, INCL COLLECTION OF SPECIMEN(S)",510,RC,46600,CPT,,,outpatient,,,308,,154,184.8,298.76,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,246.708,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,286.1012,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,246.7388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54150-0510 CIRCUMCISION,510,RC,54150,CPT,,,outpatient,,,5952,,2976,3571.2,5773.44,5594.88,,,,percent of total billed charges,,4761.6,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,4940.16,,,,percent of total billed charges,,5356.8,,,,percent of total billed charges,,5475.84,,,,percent of total billed charges,,5475.84,,,,percent of total billed charges,,5630.592,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,5773.44,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,5237.76,,,,percent of total billed charges,,5356.8,,,,percent of total billed charges,,4767.552,,,,percent of total billed charges,,5356.8,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,5528.8128,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,4761.6,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4768.1472,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55250-0510 REMOVAL OF SPERM DUCT(S),510,RC,55250,CPT,,,outpatient,,,5890,,2945,3534,5713.3,5536.6,,,,percent of total billed charges,,4712,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,4888.7,,,,percent of total billed charges,,5301,,,,percent of total billed charges,,5418.8,,,,percent of total billed charges,,5418.8,,,,percent of total billed charges,,5571.94,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,5713.3,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,5183.2,,,,percent of total billed charges,,5301,,,,percent of total billed charges,,4717.89,,,,percent of total billed charges,,5301,,,,percent of total billed charges,,3534,,,,percent of total billed charges,,5471.221,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,4712,,,,percent of total billed charges,,3534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4718.479,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62270-0510 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC W/O GUIDE",510,RC,62270,CPT,,,outpatient,,,2011,,1005.5,1206.6,1950.67,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1610.811,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,1868.0179,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1611.0121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64400-0510 INJ TRIGEMINAL NERVE,510,RC,64400,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64405-0510 INJ GREATER OCCIPTAL NERVE,510,RC,64405,CPT,,,outpatient,,,965,,482.5,579,936.05,907.1,,,,percent of total billed charges,,772,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,800.95,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,912.89,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,936.05,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,849.2,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,772.965,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,579,,,,percent of total billed charges,,896.3885,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,772,,,,percent of total billed charges,,579,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,773.0615,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64447-0510 INJ FEMORAL NERVE, SINGLE",510,RC,64447,CPT,,,outpatient,,,2306,,1153,1383.6,2236.82,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1847.106,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2142.0434,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1847.3366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76376-0400 3D RENDERING W/ INTERP POSTPROCESSING,400,RC,76376,CPT,,,outpatient,,,766,,383,459.6,743.02,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,613.566,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,711.5374,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,613.6426,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76377-0400 3D RENDERING W/ INTERP POSTPROCESSING,400,RC,76377,CPT,,,outpatient,,,766,,383,459.6,743.02,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,613.566,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,711.5374,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,613.6426,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96900-0940 ACTINOTHERAPY (UV LIGHT),940,RC,96900,CPT,,,outpatient,,,96,,48,57.6,93.12,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,76.896,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,89.1744,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36566-0361 INS TUNNEL CVA DEV 2 CATH 2 SITE W/ PORT,361,RC,36566,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51710-0361 COMPLICATED CYSTOSTOMY TUBE CHANGE,361,RC,51710,CPT,,,outpatient,,,1464,,732,878.4,1420.08,1376.16,,,,percent of total billed charges,,1171.2,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1215.12,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,1346.88,,,,percent of total billed charges,,1346.88,,,,percent of total billed charges,,1384.944,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1420.08,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1288.32,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,1172.664,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,1359.9096,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1171.2,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1172.8104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13120-0510 CMPLX RPR S/A/L 1.1-2.5 CM,510,RC,13120,CPT,,,outpatient,,,1496,,748,897.6,1451.12,1406.24,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1241.68,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1415.216,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1451.12,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1316.48,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1198.296,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,1389.6344,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1198.4456,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15853-0761 REMOVE SUTURES OR STAPLES XREQ ANES,761,RC,15853,CPT,,,outpatient,,,524,,262,314.4,508.28,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,419.724,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,486.7436,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,419.7764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15854-0761 REMOVE SUTURES AND STAPLES XREQ ANES,761,RC,15854,CPT,,,outpatient,,,524,,262,314.4,508.28,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,419.724,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,486.7436,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,419.7764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15853-0361 REMOVE SUTURES OR STAPLES XREQ ANES,361,RC,15853,CPT,,,outpatient,,,524,,262,314.4,508.28,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,419.724,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,486.7436,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,419.7764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15854-0510 REMOVE SUTURES AND STAPLES XREQ ANES,510,RC,15854,CPT,,,outpatient,,,524,,262,314.4,508.28,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,419.724,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,486.7436,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,419.7764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64633-0510 DESTRUCT CERVICAL/THORAC, SINGLE JT",510,RC,64633,CPT,,,outpatient,,,5866,,2933,3519.6,5690.02,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,4698.666,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5448.9274,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4699.2526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64634-0510 DESTRUCT CERVICAL/THORAC, EA ADD'L JT",510,RC,64634,CPT,,,outpatient,,,2292,,1146,1375.2,2223.24,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1835.892,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2129.0388,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1836.1212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62370-0510 REFILL/REPROGRAM IT PAIN PUMP,510,RC,62370,CPT,,,outpatient,,,843,,421.5,505.8,817.71,792.42,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,699.69,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,797.478,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,817.71,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,741.84,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,675.243,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,783.0627,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,675.3273,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY AM XT EXTRA FENESTRATED 3 X 4 CM; PER SQ CM (12 UNITS),636,RC,Q4196,HCPCS,,,outpatient,,,361,,180.5,216.6,350.17,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,335.3329,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.1971,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY AM XT EXTRA FENESTRATED 4 X 4 CM; PER SQ CM (16 UNITS),636,RC,Q4196,HCPCS,,,outpatient,,,323,,161.5,193.8,313.31,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,258.723,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,300.0347,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.7553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68440-0510 SNIP INCISION OF LACRIMAL PUNCTUM,510,RC,68440,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68810-0510 PROBE NASOLACRIMAL DUCT,510,RC,68810,CPT,,,outpatient,,,694,,347,416.4,673.18,652.36,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,576.02,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,656.524,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,673.18,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,610.72,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,555.894,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,644.6566,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,555.9634,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20220-0510 BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL",510,RC,20220,CPT,,,outpatient,,,3269,,1634.5,1961.4,3170.93,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2618.469,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3036.5741,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2618.7959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 35875-0361 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT,361,RC,35875,CPT,,,outpatient,,,10078,,5039,6046.8,9775.66,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,8072.478,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,9361.4542,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8073.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64616-0510 CHEMODENERVATION NECK MUSCLES,510,RC,64616,CPT,,,outpatient,,,1056,,528,633.6,1024.32,992.64,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,876.48,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,998.976,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1024.32,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,929.28,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,845.856,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,980.9184,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,845.9616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64635-0510 DESTROY LUMB/SAC FACET JNT,510,RC,64635,CPT,,,outpatient,,,5866,,2933,3519.6,5690.02,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,4698.666,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5448.9274,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4699.2526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64636-0510 DESTRUCT LUMBAR/ SACRAL, EACH ADDL.",510,RC,64636,CPT,,,outpatient,,,2292,,1146,1375.2,2223.24,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1835.892,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2129.0388,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1836.1212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64483-0510 INJ. FORAMEN EPIDURAL L/S,510,RC,64483,CPT,,,outpatient,,,2930,,1465,1758,2842.1,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2346.93,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2721.677,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2347.223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64492-0510 INJ PARAVERT F JNT C/T 3 LEV,510,RC,64492,CPT,,,outpatient,,,1811,,905.5,1086.6,1756.67,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1450.611,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1682.2379,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1450.7921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58120-0510 DILATION & CURETTAGE, DIAGN &/OR THERAP, NONOBS",510,RC,58120,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58120-0361 DILATION & CURETTAGE, DIAGN &/OR THERAP, NONOBS",361,RC,58120,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51785-0510 NEEDLE ELECTROMOGRAPHY; OF ANAL OR URETHRAL SPHINCTER,510,RC,51785,CPT,,,outpatient,,,985,,492.5,591,955.45,925.9,,,,percent of total billed charges,,788,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,817.55,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,931.81,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,955.45,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,866.8,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,788.985,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,591,,,,percent of total billed charges,,914.9665,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,788,,,,percent of total billed charges,,591,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,789.0835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 53200-0510 BIOPSY OF URETHRA,510,RC,53200,CPT,,,outpatient,,,5638,,2819,3382.8,5468.86,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,4516.038,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5237.1382,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4516.6018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 54700-0510 INCISION & DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROT",510,RC,54700,CPT,,,outpatient,,,5638,,2819,3382.8,5468.86,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,4516.038,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5237.1382,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4516.6018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 61070-0510 INJ/ASP SHUNT TUBING,510,RC,61070,CPT,,,outpatient,,,2288,,1144,1372.8,2219.36,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1832.688,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2125.3232,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1832.9168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0510 INJECT EPIDURAL PATCH,510,RC,62273,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62320-0510 INJ INTERLAMINAR CERVICAL/THRC,510,RC,62320,CPT,,,outpatient,,,2525,,1262.5,1515,2449.25,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2022.525,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2345.4725,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2022.7775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62321-0510 INJ INTERLAMINAR CERVICAL/THRC W/ GUIDE,510,RC,62321,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63650-0510 PERC IMPLANT NEURO STIM ELECTRODES,510,RC,63650,CPT,,,outpatient,,,7246,,3623,4347.6,7028.62,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,5804.046,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,6730.8094,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5804.7706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63688-0510 REVISE/REMOVE NEURORECEIVER,510,RC,63688,CPT,,,outpatient,,,6652,,3326,3991.2,6452.44,6252.88,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5521.16,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6292.792,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6452.44,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5853.76,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,5328.252,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,6179.0428,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5328.9172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64461-0510 PVB THORACIC SINGLE INJ SITE,510,RC,64461,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64480-0510 INJ FORAMEN EPIDURAL ADD-ON,510,RC,64480,CPT,,,outpatient,,,2219,,1109.5,1331.4,2152.43,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1777.419,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2061.2291,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1777.6409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64484-0510 INJ FORAMEN EPIDURAL ADD-ON,510,RC,64484,CPT,,,outpatient,,,1850,,925,1110,1794.5,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1481.85,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1718.465,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1482.035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64486-0510 TAP BLOCK UNIL BY INJECTION,510,RC,64486,CPT,,,outpatient,,,2972,,1486,1783.2,2882.84,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2380.572,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,2760.6908,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2380.8692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64488-0510 TAP BLOCK BILATERAL INJECTION,510,RC,64488,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64495-0510 INJ PARAVERT F JNT L/S 3 LEV,510,RC,64495,CPT,,,outpatient,,,1273,,636.5,763.8,1234.81,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1019.673,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1182.4897,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1019.8003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64510-0510 N BLOCK STELLATE GANGLION,510,RC,64510,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64517-0510 N BLOCK INJ HYPOGAS PLEXUS,510,RC,64517,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64520-0510 N BLOCK LUMBAR/THORACIC,510,RC,64520,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64530-0510 N BLOCK INJ CELIAC PELUS,510,RC,64530,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64680-0510 RFA CELIAC PLEXUS,510,RC,64680,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64999-0510 UNLISTED PROCEDURE, NERVOUS SYSTEM",510,RC,64999,CPT,,,outpatient,,,876,,438,525.6,849.72,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,701.676,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,813.7164,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,701.7636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0259-0510 INJ SACROILIAC JT FOR ARTHO,510,RC,G0259,HCPCS,,,outpatient,,,2156,,1078,1293.6,2091.32,2026.64,,,,percent of total billed charges,,1724.8,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,1789.48,,,,percent of total billed charges,,1940.4,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,2039.576,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,2091.32,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,1897.28,,,,percent of total billed charges,,1940.4,,,,percent of total billed charges,,1726.956,,,,percent of total billed charges,,1940.4,,,,percent of total billed charges,,1293.6,,,,percent of total billed charges,,2002.7084,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,1724.8,,,,percent of total billed charges,,1293.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1727.1716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO ADM. INTRALESIONAL 1-7 LES.,510,RC,96405,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96416-0510 PROLONGED CHEMO IV INFUSION; > 8 HOURS,510,RC,96416,CPT,,,outpatient,,,1101,,550.5,660.6,1067.97,1034.94,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,913.83,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1041.546,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1067.97,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,968.88,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,881.901,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,1022.7189,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,882.0111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96417-0510 CHEMO,IV INF,EACH ADDITIONAL 1 HOUR",335,RC,96417,CPT,,,outpatient,,,431,,215.5,258.6,418.07,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,345.231,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,400.3559,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,345.2741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96521-0510 REFIL & MAINT. OF PORTABLE PUMP,510,RC,96521,CPT,,,outpatient,,,816,,408,489.6,791.52,767.04,,,,percent of total billed charges,,652.8,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,677.28,,,,percent of total billed charges,,734.4,,,,percent of total billed charges,,750.72,,,,percent of total billed charges,,750.72,,,,percent of total billed charges,,771.936,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,791.52,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,718.08,,,,percent of total billed charges,,734.4,,,,percent of total billed charges,,653.616,,,,percent of total billed charges,,734.4,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,757.9824,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,652.8,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,653.6976,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 87808 RAPID TRICHOMONAS ASSAY TEST W/OPTIC,306,RC,87808,CPT,,,outpatient,,,48,,24,28.8,46.56,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,38.448,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,44.5872,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.4528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 87905 SIALIDASE ENZYME ASSAY - POC TEST,306,RC,87905,CPT,,,outpatient,,,38,,19,22.8,36.86,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,30.438,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,35.2982,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.4418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10140-0510 I&D HEMATOMA,510,RC,10140,CPT,,,outpatient,,,2919,,1459.5,1751.4,2831.43,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2338.119,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2711.4591,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2338.4109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11106-0361 INCISIONAL BIOPSY SKIN; SINGLE LESION,361,RC,11106,CPT,,,outpatient,,,1332,,666,799.2,1292.04,1252.08,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1105.56,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1260.072,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1292.04,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1172.16,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1066.932,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,1237.2948,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1067.0652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11107-0361 INCISIONAL BIOPSY SKIN; ADDL LESION,361,RC,11107,CPT,,,outpatient,,,665,,332.5,399,645.05,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,532.665,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,617.7185,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,532.7315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12052-0510 REPAIR INTER MED FACE2.6-5CM,510,RC,12052,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13151-0510 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",510,RC,13151,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14000-0510 ADJACENT TISSUE TRANSFER, TRUNK; DEFECT 10 SQ CM/<",510,RC,14000,CPT,,,outpatient,,,5246,,2623,3147.6,5088.62,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4202.046,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,4873.0094,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4202.5706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14001-0510 ADJACENT TISSUE TRANSFER, TRUNK; DEFECT 10.1-30 SQ CM",510,RC,14001,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14021-0510 ADJ TISSUE TRANSFER, SCLP, ARM, LEG; DEFECT 10.1-30 SQ CM",510,RC,14021,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14041-0510 TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10.1-30 SQ CM,510,RC,14041,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14060-0510 ADJ TISSUE TRANSFER, EYELID, NOSE, EAR, LIP; DEFECT 10 SQ CM/<",510,RC,14060,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14301-0510 ADJ TISSUE TRANSFER, ANY AREA; DEFECT 30.1 TO 60.0 SQ CM",510,RC,14301,CPT,,,outpatient,,,9792,,4896,5875.2,9498.24,9204.48,,,,percent of total billed charges,,7833.6,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,8127.36,,,,percent of total billed charges,,8812.8,,,,percent of total billed charges,,9008.64,,,,percent of total billed charges,,9008.64,,,,percent of total billed charges,,9263.232,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,9498.24,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,8616.96,,,,percent of total billed charges,,8812.8,,,,percent of total billed charges,,7843.392,,,,percent of total billed charges,,8812.8,,,,percent of total billed charges,,5875.2,,,,percent of total billed charges,,9095.7888,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,7833.6,,,,percent of total billed charges,,5875.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7844.3712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15240-0510 SKIN FULL GRFT FACE/GENIT/HF, 20 SQCM OR LESS",510,RC,15240,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15260-0510 FULL THICKNESS GRAFT; EEN & LIPS; 20 SQ CM OR LESS,510,RC,15260,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15760-0510 COMPOSITE GRAFT; INCL PRIM CLOS; DONOR AREA,510,RC,15760,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17266-0510 DEST, MALIG LESION, TRUNK/ARMS/LEGS; LESION DIAM > 4.0CM",510,RC,17266,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17311-0510 MOHS MICRO TECHNIQUE, 1ST STAGE, UP TO 5 TISSUE BLOCKS",510,RC,17311,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17312-0510 MOHS MICRO TECHNIQUE, EA ADDL STAGE, UP TO 5 TISSUE BLOCKS",510,RC,17312,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17313-0510 MOHS MICRO TECHNIQUE, 1ST STAGE, UP TO 5 SPEC OF TRUNK/ARMS/LEGS",510,RC,17313,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17314-0510 MOHS MICRO TECHNIQUE, EA ADDL STAGE, UP TO 5 SPEC OF TRUNK/ARMS/LEGS",510,RC,17314,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40820-0510 DESTRUCT LESION/SCAR VESTIBULE MOUTH BY PHYSICAL METHODS,510,RC,40820,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54100-0510 BIOPSY OF PENIS,510,RC,54100,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64653-0510 CHEMODENERV ECCRINE GLANDS, PER DAY",510,RC,64653,CPT,,,outpatient,,,827,,413.5,496.2,802.19,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,662.427,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,768.2003,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,662.5097,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96920-0510 LASER TREATMENT FOR PSORIASIS; TOTAL AREA < 250 SQ CM,510,RC,96920,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96999-0510 UNLISTED SPECIAL DERMATOLOGY PROCEDURE,510,RC,96999,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 22899-0510 UNLISTED PROCEDURE, SPINE",510,RC,22899,CPT,,,outpatient,,,623,,311.5,373.8,604.31,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,499.023,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,578.7047,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,499.0853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24066-0510 BIOPSY, SOFT TISSUE OF UPPER ARM/ELBOW; DEEP",510,RC,24066,CPT,,,outpatient,,,7852,,3926,4711.2,7616.44,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,6289.452,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7293.7228,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6290.2372,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24359-0510 TENOTOMY, REPAIR ELBOW DEB/ATTACH OPEN",510,RC,24359,CPT,,,outpatient,,,8165,,4082.5,4899,7920.05,7675.1,,,,percent of total billed charges,,6532,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,6776.95,,,,percent of total billed charges,,7348.5,,,,percent of total billed charges,,7511.8,,,,percent of total billed charges,,7511.8,,,,percent of total billed charges,,7724.09,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,7920.05,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,7185.2,,,,percent of total billed charges,,7348.5,,,,percent of total billed charges,,6540.165,,,,percent of total billed charges,,7348.5,,,,percent of total billed charges,,4899,,,,percent of total billed charges,,7584.4685,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,6532,,,,percent of total billed charges,,4899,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6540.9815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24565-0510 CLOSED TREATMENT, BROKEN ELBOW, MEDIAL OR LATERAL, W/ MANIP",510,RC,24565,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25000-0510 INCISION, EXTENSOR TENDON, WRIST",510,RC,25000,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25075-0510 EXCISION, TUMOR, SOFT TISSUE OF FOREARM/WRIST < 3CM",510,RC,25075,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25111-0510 EXCISION OF GANGLION WRIST, PRIMARY",510,RC,25111,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25112-0510 EXCISION OF GANGLION WRIST, RECURRENT",510,RC,25112,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26045-0510 FASCIOTOMY, PALMAR; OPEN, PARTIAL",510,RC,26045,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26111-0510 EXC TUM OR VASC MALFORMATION, S.C; 1.5 CM OR GREATER",510,RC,26111,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26121-0510 FASCIOTOMY, PALM OR FINGER",510,RC,26121,CPT,,,outpatient,,,8959,,4479.5,5375.4,8690.23,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,7176.159,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,8322.0151,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7177.0549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26210-0510 EXCISION OF BONE CIST/BENIGN TUMOR OF FINGER,510,RC,26210,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26236-0510 PARTIAL EXCISION BONE; DISTAL PHALANX FINGER,510,RC,26236,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26320-0510 REMOVAL OF IMPLANT, FINGER/HAND",510,RC,26320,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26418-0510 REPAIR EXTENSOR TENDON FINGER,510,RC,26418,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26445-0510 TENOLYSIS, EXTENSOR TENDON, HAND/FINGER, EA TENDON",510,RC,26445,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26951-0510 AMPUTATION, FINGER OR THUMB, W/ DIRECT CLOSURE",510,RC,26951,CPT,,,outpatient,,,8206,,4103,4923.6,7959.82,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,6573.006,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,7622.5534,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6573.8266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26952-0510 AMPUTATION, FINGER OR THUMB, W/ LOCAL ADV FLAPS",510,RC,26952,CPT,,,outpatient,,,8206,,4103,4923.6,7959.82,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,6573.006,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,7622.5534,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6573.8266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27605-0510 TENOTOMY, PERC, ACHILLES, LOCAL ANES",510,RC,27605,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27606-0510 TENOTOMY, PERC, ACHILLES, GEN ANES",510,RC,27606,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28039-0510 EXC, TUMOR, SOFT TISS OF FOOT/TOE, SUBQ 1.5 CM>",510,RC,28039,CPT,,,outpatient,,,7852,,3926,4711.2,7616.44,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,6289.452,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7293.7228,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6290.2372,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28043-0510 EXC FOOT/TOE TUM SC < 1.5 CM,510,RC,28043,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29086-0510 APPLICATION CAST, FINGER",510,RC,29086,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29435-0510 APPLICATION CAST, PATELLAR TENDON BEARING (PTB)",510,RC,29435,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29450-0510 APPLICATION CLUBFOOT CAST W/ MOLDING/MANIPULATION,510,RC,29450,CPT,,,outpatient,,,442,,221,265.2,428.74,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,354.042,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,410.5738,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.0862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64718-0510 NEUROPLASTY/TRANSPOSITION, ULNAR NERVE ELBOW",510,RC,64718,CPT,,,outpatient,,,5463,,2731.5,3277.8,5299.11,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,4375.863,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5074.5807,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4376.4093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64721-0510 NEUROPLASTY/TRANSPOSITION, CARPAL TUNNEL",510,RC,64721,CPT,,,outpatient,,,5463,,2731.5,3277.8,5299.11,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,4375.863,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5074.5807,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4376.4093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRONCHOSCOPE FLEX ADULT (NORMAL, LG, EXTRA)",272,RC,,,,,outpatient,,,1076,,538,645.6,1043.72,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,861.876,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,999.4964,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,861.9836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51600-0510 INJECTION FOR BLADDER X-RAY,510,RC,51600,CPT,,,outpatient,,,1683,,841.5,1009.8,1632.51,1582.02,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1396.89,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1592.118,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1632.51,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1481.04,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1348.083,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,1563.3387,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1348.2513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52204-0510 CYSTOURETHROSCOPY W/ BIOPSY,510,RC,52204,CPT,,,outpatient,,,4637,,2318.5,2782.2,4497.89,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3714.237,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4307.3093,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3714.7007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52287-0510 CYSTOURETHROSCOPY W/ INJ CHEMODENERVATION,510,RC,52287,CPT,,,outpatient,,,4637,,2318.5,2782.2,4497.89,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3714.237,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4307.3093,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3714.7007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56441-0510 LYSIS OF LABIAL ADHESIONS,510,RC,56441,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56441-0510 EXCISION OF BARTHOLINS GLAND/CYST,510,RC,56740,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57135-0510 EXCISION OF VAGINAL CYST/TUMOR,510,RC,57135,CPT,,,outpatient,,,8510,,4255,5106,8254.7,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,6816.51,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,7904.939,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6817.361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58999-0510 UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM",510,RC,58999,CPT,,,outpatient,,,535,,267.5,321,518.95,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,428.535,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,496.9615,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,428.5885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59000-0510 AMNIOCENTESIS, DIAGNOSTIC",510,RC,59000,CPT,,,outpatient,,,2138,,1069,1282.8,2073.86,2009.72,,,,percent of total billed charges,,1710.4,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,1774.54,,,,percent of total billed charges,,1924.2,,,,percent of total billed charges,,1966.96,,,,percent of total billed charges,,1966.96,,,,percent of total billed charges,,2022.548,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,2073.86,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,1881.44,,,,percent of total billed charges,,1924.2,,,,percent of total billed charges,,1712.538,,,,percent of total billed charges,,1924.2,,,,percent of total billed charges,,1282.8,,,,percent of total billed charges,,1985.9882,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,1710.4,,,,percent of total billed charges,,1282.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1712.7518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64555-0510 IMPLANT NEUROSTIMULATOR ELECTRODE, PERIPHERAL NERVE",510,RC,64555,CPT,,,outpatient,,,7246,,3623,4347.6,7028.62,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,5804.046,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,6730.8094,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5804.7706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64561-0510 IMPLANT NEUROSTIMULATOR ELECTRODE, SACRAL NERVE",510,RC,64561,CPT,,,outpatient,,,7246,,3623,4347.6,7028.62,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,5804.046,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,6730.8094,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5804.7706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76817-0510 TRANSVAGINAL ULTRASOUND,510,RC,76817,CPT,,,outpatient,,,904,,452,542.4,876.88,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,724.104,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,839.7256,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,724.1944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10120-0510 REMV FOREIGN BODY SQ,510,RC,10120,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21450-0510 CLOSED TREATMENT MANDIBULAR FRACTURE, W/O MANIP",510,RC,21450,CPT,,,outpatient,,,1388,,694,832.8,1346.36,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1111.788,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1289.3132,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1111.9268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49083-0510 ABD PARACENTESIS W/ IMAGING,510,RC,49083,CPT,,,outpatient,,,3009,,1504.5,1805.4,2918.73,2828.46,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2497.47,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2846.514,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2918.73,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2647.92,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2410.209,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,2795.0601,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2410.5099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43999-0510 UNLISTED PROCEDURE, STOMACH",510,RC,43999,CPT,,,outpatient,,,2485,,1242.5,1491,2410.45,2335.9,,,,percent of total billed charges,,1988,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2062.55,,,,percent of total billed charges,,2236.5,,,,percent of total billed charges,,2286.2,,,,percent of total billed charges,,2286.2,,,,percent of total billed charges,,2350.81,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2410.45,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2186.8,,,,percent of total billed charges,,2236.5,,,,percent of total billed charges,,1990.485,,,,percent of total billed charges,,2236.5,,,,percent of total billed charges,,1491,,,,percent of total billed charges,,2308.3165,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,1988,,,,percent of total billed charges,,1491,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1990.7335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62252-0510 CSF SHUNT REPROGRAM,510,RC,62252,CPT,,,outpatient,,,925,,462.5,555,897.25,869.5,,,,percent of total billed charges,,740,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,767.75,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,851,,,,percent of total billed charges,,851,,,,percent of total billed charges,,875.05,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,897.25,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,814,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,740.925,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,555,,,,percent of total billed charges,,859.2325,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,740,,,,percent of total billed charges,,555,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,741.0175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64605-0510 DESTRUCT NEUROLYTIC AGENT, TRIGEMINAL NERVE",510,RC,64605,CPT,,,outpatient,,,5463,,2731.5,3277.8,5299.11,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,4375.863,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5074.5807,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4376.4093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64611-0510 CHEMODENERVATION PAROTID/SUB SALIVARY GLANDS, BIL",510,RC,64611,CPT,,,outpatient,,,819,,409.5,491.4,794.43,769.86,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,679.77,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,774.774,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,794.43,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,720.72,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,656.019,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,760.7691,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,656.1009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64617-0510 CHEMODENERV MUSCLE LARYNX EMG,510,RC,64617,CPT,,,outpatient,,,1958,,979,1174.8,1899.26,1840.52,,,,percent of total billed charges,,1566.4,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1625.14,,,,percent of total billed charges,,1762.2,,,,percent of total billed charges,,1801.36,,,,percent of total billed charges,,1801.36,,,,percent of total billed charges,,1852.268,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1899.26,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1723.04,,,,percent of total billed charges,,1762.2,,,,percent of total billed charges,,1568.358,,,,percent of total billed charges,,1762.2,,,,percent of total billed charges,,1174.8,,,,percent of total billed charges,,1818.7862,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1566.4,,,,percent of total billed charges,,1174.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1568.5538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11980-0510 SUBC HORMONE PELLET IMPLANT,510,RC,11980,CPT,,,outpatient,,,1148,,574,688.8,1113.56,1079.12,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,952.84,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1086.008,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1113.56,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1010.24,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,919.548,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,1066.3772,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,919.6628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19357-0510 TISSUE EXPAND PLCEMNT BREAST RECONSTRUCT W/ SUBSQ EXP,510,RC,19357,CPT,,,outpatient,,,16712,,8356,10027.2,16210.64,15709.28,,,,percent of total billed charges,,13369.6,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,13870.96,,,,percent of total billed charges,,15040.8,,,,percent of total billed charges,,15375.04,,,,percent of total billed charges,,15375.04,,,,percent of total billed charges,,15809.552,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,16210.64,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,14706.56,,,,percent of total billed charges,,15040.8,,,,percent of total billed charges,,13386.312,,,,percent of total billed charges,,15040.8,,,,percent of total billed charges,,10027.2,,,,percent of total billed charges,,15523.7768,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,13369.6,,,,percent of total billed charges,,10027.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13387.9832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45303-0510 PROCTOSIGMOIDOSCOPY W/ DILATION,510,RC,45303,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54162-0510 LYSIS/EXCISION PENILE CIRCUM ADHESION,510,RC,54162,CPT,,,outpatient,,,5638,,2819,3382.8,5468.86,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,4516.038,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5237.1382,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4516.6018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52234-0510 CYSTOURETHROSCOPY W/ FULGURATION,510,RC,52234,CPT,,,outpatient,,,8013,,4006.5,4807.8,7772.61,7532.22,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6650.79,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7580.298,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7772.61,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7051.44,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,6418.413,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,7443.2757,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6419.2143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52601-0510 TRANSURETHRAL ELECTROSURG RESECTION PROSTATE,510,RC,52601,CPT,,,outpatient,,,10096,,5048,6057.6,9793.12,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,8086.896,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,9378.1744,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8087.9056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10035-0510 PL SOFT TISSUE DEV 1ST,510,RC,10035,CPT,,,outpatient,,,2521,,1260.5,1512.6,2445.37,2369.74,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2092.43,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2384.866,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2445.37,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2218.48,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,2019.321,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,2341.7569,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2019.5731,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13160-0510 SECD CLOS SURG WND EXTEN/COMPLIC,510,RC,13160,CPT,,,outpatient,,,5246,,2623,3147.6,5088.62,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4202.046,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,4873.0094,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4202.5706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16000-0510 INIT BURN TX 1ST DEG,510,RC,16000,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 19001-0510 ASPRIATION CYST, BREAST ADDIT",510,RC,19001,CPT,,,outpatient,,,776,,388,465.6,752.72,729.44,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,644.08,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,734.096,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,752.72,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,621.576,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,720.8264,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,621.6536,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20206-0510 NEEDLE BIOPSY, MUSCLE",510,RC,20206,CPT,,,outpatient,,,2091,,1045.5,1254.6,2028.27,1965.54,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1735.53,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1978.086,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,2028.27,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1840.08,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1674.891,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,1942.3299,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1675.1001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32556-0510 PLEURAL DRAINAGE,510,RC,32556,CPT,,,outpatient,,,3919,,1959.5,2351.4,3801.43,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3139.119,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3640.3591,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3139.5109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32560-0510 TREAT PLEURODESIS W/AGENT,510,RC,32560,CPT,,,outpatient,,,1801,,900.5,1080.6,1746.97,1692.94,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1494.83,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1703.746,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1746.97,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1584.88,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1442.601,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,1672.9489,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1442.7811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32561-0510 LYSE CHEST FIBRIN; INITIAL DAY,510,RC,32561,CPT,,,outpatient,,,1265,,632.5,759,1227.05,1189.1,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1049.95,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1196.69,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1227.05,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1113.2,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1013.265,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,1175.0585,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,759,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1013.3915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33208-0510 INSERT PACEMAKER W/ TRANSVEN EL AV SEQ,510,RC,33208,CPT,,,outpatient,,,10122,,5061,6073.2,9818.34,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,8107.722,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,9402.3258,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8108.7342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36522-0510 PHOTOPHERESIS,510,RC,36522,CPT,,,outpatient,,,12520,,6260,7512,12144.4,11768.8,,,,percent of total billed charges,,10016,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,10391.6,,,,percent of total billed charges,,11268,,,,percent of total billed charges,,11518.4,,,,percent of total billed charges,,11518.4,,,,percent of total billed charges,,11843.92,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,12144.4,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,11017.6,,,,percent of total billed charges,,11268,,,,percent of total billed charges,,10028.52,,,,percent of total billed charges,,11268,,,,percent of total billed charges,,7512,,,,percent of total billed charges,,11629.828,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,10016,,,,percent of total billed charges,,7512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10029.772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36573-0510 INSJ PICC RS&I 5 YRS+,510,RC,36573,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36593-0510 DECLOT THROMB. AG IMP VAD/CA,510,RC,36593,CPT,,,outpatient,,,709,,354.5,425.4,687.73,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,567.909,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,658.5901,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,567.9799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 37799-0510 UNLISTED PROCEDURE, VASCULAR SURGERY",510,RC,37799,CPT,,,outpatient,,,1663,,831.5,997.8,1613.11,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1332.063,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1544.7607,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1332.2293,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 38221-0510 DIAGNOSTIC BONE MARROW; BIOPSY(IES),510,RC,38221,CPT,,,outpatient,,,3476,,1738,2085.6,3371.72,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2784.276,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3228.8564,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2784.6236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 38222-0510 BM BX AND ASPIRATION,510,RC,38222,CPT,,,outpatient,,,4711,,2355.5,2826.6,4569.67,4428.34,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3910.13,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4456.606,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4569.67,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4145.68,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,3773.511,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,4376.0479,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3773.9821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 38505-0510 NEEDLE BX OF LYMPH NODE(S), SUPERFICIAL",510,RC,38505,CPT,,,outpatient,,,1956,,978,1173.6,1897.32,1838.64,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1623.48,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1850.376,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1897.32,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1721.28,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1566.756,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1816.9284,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1566.9516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40819-0510 FRENUMECTOMY - EXCISION OF FRENUM,510,RC,40819,CPT,,,outpatient,,,5003,,2501.5,3001.8,4852.91,4702.82,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4152.49,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4732.838,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4852.91,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4402.64,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,4007.403,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,4647.2867,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4007.9033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46083-0510 INCISION OF THROMBOSED HEMORRHOID, EXT",510,RC,46083,CPT,,,outpatient,,,592,,296,355.2,574.24,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,474.192,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,549.9088,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.2512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46221-0510 HEMORRHOIDECTOMY, INTERNAL, SIMPLE",510,RC,46221,CPT,,,outpatient,,,3082,,1541,1849.2,2989.54,2897.08,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2558.06,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2915.572,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2989.54,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2712.16,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,2468.682,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,2862.8698,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2468.9902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49423-0510 EXCHANGE DRAINAGE CATHETER UNDER RAD GUID,510,RC,49423,CPT,,,outpatient,,,2281,,1140.5,1368.6,2212.57,2144.14,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1893.23,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2157.826,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2212.57,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2007.28,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1827.081,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,2118.8209,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1827.3091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52005-0510 CYSTOURETHROSCOPY W/ URETERAL CATH,510,RC,52005,CPT,,,outpatient,,,5021,,2510.5,3012.6,4870.37,4719.74,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4167.43,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4749.866,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4870.37,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4418.48,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4021.821,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,4664.0069,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4022.3231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54161-0510 CIRCUMCISION > 28 DAYS,510,RC,54161,CPT,,,outpatient,,,5638,,2819,3382.8,5468.86,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,4516.038,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5237.1382,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4516.6018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57156-0510 INSERT VAG APPLICATOR,510,RC,57156,CPT,,,outpatient,,,764,,382,458.4,741.08,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,611.964,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,709.6796,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,612.0404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58340-0510 CATH FOR HYSTEROGRAPHY,510,RC,58340,CPT,,,outpatient,,,1601,,800.5,960.6,1552.97,1504.94,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1328.83,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1514.546,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1552.97,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1408.88,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1282.401,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,1487.1689,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1282.5611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62272-0510 DRAIN CEREBRO SPINAL FLUID W/O GUIDE,510,RC,62272,CPT,,,outpatient,,,2472,,1236,1483.2,2397.84,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1980.072,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2296.2408,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1980.3192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64415-0510 INJ BRACHIAL PLEXUS, SINGLE",510,RC,64415,CPT,,,outpatient,,,3277,,1638.5,1966.2,3178.69,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2624.877,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3044.0053,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2625.2047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65426-0510 EXCIS PTERYGIUM,W GRAFT",510,RC,65426,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65435-0510 CURETTE/TREAT CORNEA,510,RC,65435,CPT,,,outpatient,,,2182,,1091,1309.2,2116.54,2051.08,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1811.06,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2064.172,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2116.54,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1920.16,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1747.782,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,2026.8598,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1748.0002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65450-0510 DESTR CORNEAL LESN,CRYO,PHOTO,THERM",510,RC,65450,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65600-0510 MULT PUNC ANTER CORNEA,510,RC,65600,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65778-0510 COVER EYE W/MEMBRANE,510,RC,65778,CPT,,,outpatient,,,2182,,1091,1309.2,2116.54,2051.08,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1811.06,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2064.172,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2116.54,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1920.16,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1747.782,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,2026.8598,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1748.0002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65779-0510 COVER EYE W/MEMBRANE STENT,510,RC,65779,CPT,,,outpatient,,,7725,,3862.5,4635,7493.25,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,6187.725,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7175.7525,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6188.4975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65800-0510 DRAINAGE ANTER CHAMBR OF EYE,510,RC,65800,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66030-0510 INJECT, ANTERIOR CHAMBER OF EYE; MEDICATION",510,RC,66030,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 66250-0510 REVIS/REPAIR OP WOUND ANTER SGMT,510,RC,66250,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66999-0510 UNLISTED PROCEDURE, ANTERIOR SEGMENT OF EYE",510,RC,66999,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67141-0510 PROPHYLAXIS OF RETINAL DETACH WO DRAINAGE, 1 OR MORE SESSIONS",510,RC,67141,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67515-0510 INJ,THER AGENT INTO TENON'S CAPSULE",510,RC,67515,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67700-0510 BLEPHAROTOMY, DRAIN OF ABSCESS, EYELID",510,RC,67700,CPT,,,outpatient,,,805,,402.5,483,780.85,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,644.805,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,747.7645,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.8855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67801-0510 EXCISION OF CHALAZION; MULTIPLE, SAME LID",510,RC,67801,CPT,,,outpatient,,,2182,,1091,1309.2,2116.54,2051.08,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1811.06,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2064.172,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2116.54,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1920.16,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1747.782,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,2026.8598,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1748.0002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67825-0510  CORRECTION OF TRICHIASIS; EPILATION BY OTHER THAN FORCEPS,510,RC,67825,CPT,,,outpatient,,,805,,402.5,483,780.85,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,644.805,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,747.7645,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.8855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67850-0510 DESTRUCT OF LESION OF LID MARGIN (UP TO 1 CM),510,RC,67850,CPT,,,outpatient,,,2653,,1326.5,1591.8,2573.41,2493.82,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2201.99,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2509.738,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2573.41,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2334.64,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,2125.053,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,2464.3717,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2125.3183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67875-0510 TEMP CLOSURE EYELID BY SUTURE,510,RC,67875,CPT,,,outpatient,,,2653,,1326.5,1591.8,2573.41,2493.82,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2201.99,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2509.738,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2573.41,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2334.64,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,2125.053,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,2464.3717,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2125.3183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68200-0510 SUBCONJUNCTIVAL INJECTN,510,RC,68200,CPT,,,outpatient,,,944,,472,566.4,915.68,887.36,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,783.52,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,893.024,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,915.68,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,830.72,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,756.144,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,876.8816,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,756.2384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68330-0510 REPAIR SYMBLEPHARON,510,RC,68330,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68420-0510 INCISE/DRAIN TEAR SAC,510,RC,68420,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68700-0510 PLASTIC REPAIR OF CANALICULI,510,RC,68700,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68720-0510 CREATE TEAR SAC-NASAL FISTULA,510,RC,68720,CPT,,,outpatient,,,7725,,3862.5,4635,7493.25,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,6187.725,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7175.7525,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6188.4975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68760-0510 CLOSE TEAR DUCT OPENING,510,RC,68760,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68840-0510 EXPLORE LACRIMAL CANALICULI,510,RC,68840,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 68899-0510 UNLISTED PROCEDURE, LACRIMAL SYSTEM",510,RC,68899,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0260-0510 SI JOINT INJECTION,510,RC,G0260,HCPCS,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67500-0510 RETROBULBAR INJECTION; (MEDICATION SEP PROC),510,RC,67500,CPT,,,outpatient,,,595,,297.5,357,577.15,559.3,,,,percent of total billed charges,,476,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,493.85,,,,percent of total billed charges,,535.5,,,,percent of total billed charges,,547.4,,,,percent of total billed charges,,547.4,,,,percent of total billed charges,,562.87,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,577.15,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,523.6,,,,percent of total billed charges,,535.5,,,,percent of total billed charges,,476.595,,,,percent of total billed charges,,535.5,,,,percent of total billed charges,,357,,,,percent of total billed charges,,552.6955,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,476,,,,percent of total billed charges,,357,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,476.6545,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11950-0510 S.C. INJECT OF FILLING MATERIAL; 1 CC OR LESS,510,RC,11950,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11951-0510 S.C. INJ. OF FILLING MATERIAL; 1.1 TO 5.0 CC,510,RC,11951,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11954-0510 SUBCUT INJECT OF FILLING MATERIAL; OVER 10.0 CC,510,RC,11954,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15200-0510 SKIN FULL GRAFT TRUNK; 20 SQ CM OR LESS,510,RC,15200,CPT,,,outpatient,,,5194,,2597,3116.4,5038.18,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4160.394,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,4824.7066,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4160.9134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15783-0510 DERMABRASION; SUPERFICIAL, ANY SITE",510,RC,15783,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17380-0510 ELECTROLYSIS EPILATION, EACHÂ30ÂMIN",510,RC,17380,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20205-0510 BX, MUSCLE; DEEP",510,RC,20205,CPT,,,outpatient,,,7852,,3926,4711.2,7616.44,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,6289.452,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7293.7228,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6290.2372,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20690-0510 APPLICATION OF A UNIPLANE,510,RC,20690,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20974-0510 ELECT STIM TO AID BONE HEALING; NONINVAS,510,RC,20974,CPT,,,outpatient,,,61,,30.5,36.6,59.17,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,48.861,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,56.6629,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.8671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21025-0510 EXCISION OF BONE; MANDIBLE,510,RC,21025,CPT,,,outpatient,,,16071,,8035.5,9642.6,15588.87,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,12872.871,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,14928.3519,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12874.4781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21282-0510 LATERAL CANTHOPEXY,510,RC,21282,CPT,,,outpatient,,,8563,,4281.5,5137.8,8306.11,8049.22,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7107.29,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,8100.598,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8306.11,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7535.44,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,6858.963,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,7954.1707,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6859.8193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21501-0510 I&D, DEEP ABSCESS OR HEMATOMA, SOFT TISS OF NECK OR THORAX",510,RC,21501,CPT,,,outpatient,,,7852,,3926,4711.2,7616.44,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,6289.452,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7293.7228,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6290.2372,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 23065-0510 BX, SOFT TISSUE OF SHOULDER AREA; SUPERF",510,RC,23065,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 23075-0510 EXC, TUMOR, SOFT TISS OF SHOULDER AREA, SUBCU; < 3 CM",510,RC,23075,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24200-0510 REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCU",510,RC,24200,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24357-0510 TENOTOMY, ELBOW, LATERAL OR MEDIAL; PERCUT",510,RC,24357,CPT,,,outpatient,,,8959,,4479.5,5375.4,8690.23,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,7176.159,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,8322.0151,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7177.0549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25065-0510 BX, SOFT TISSUE OF FOREARM AND/OR WRIST; SUPERF",510,RC,25065,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26020-0510 DRAINAGE OF TENDON SHEATH, DIGIT A/O PALM, EA",510,RC,26020,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26060-0510 TENOTOMY, PERCUT, SINGLE, EA DIGIT",510,RC,26060,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26116-0510 EXC, TUMOR, SOFT TIS, OR VASC MALFOR, H/F, SUBFAS; < 1.5 CM",510,RC,26116,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26180-0510 EXC OF TENDON, FINGER/FLEXOR/EXTENSOR, EA",510,RC,26180,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26433-0510 REPAIR OF FINGER TENDON; W/O GRAFT,510,RC,26433,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26455-0510 TENOTOMY, FLEXOR, FINGER, OPEN, EA",510,RC,26455,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26546-0510 REPAIR NON-UNION, METACARPAL OR PHALANX",510,RC,26546,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26591-0510 REPAIR, INTRINSIC MUSCLES OF HAND, EA",510,RC,26591,CPT,,,outpatient,,,8959,,4479.5,5375.4,8690.23,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,7176.159,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,8322.0151,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7177.0549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27310-0510 EXPLORATION OF KNEE JOINT,510,RC,27310,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27323-0510 BX, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFIC",510,RC,27323,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27501-0510 CLOSED TX OF SUPRA/TRANSCONDYLAR FEM FX, WO MANIP",510,RC,27501,CPT,,,outpatient,,,623,,311.5,373.8,604.31,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,499.023,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,578.7047,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,499.0853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27599-0510 UNLISTED PROCEDURE, FEMUR OR KNEE",510,RC,27599,CPT,,,outpatient,,,623,,311.5,373.8,604.31,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,499.023,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,578.7047,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,499.0853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27752-0510 CLOSED TX OF TIBIAL SHAFT FX; W/ MANIP,510,RC,27752,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27827-0510 OPEN TX LOWER LEG FX, W/ INTERNAL FIXAT",510,RC,27827,CPT,,,outpatient,,,15184,,7592,9110.4,14728.48,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,12162.384,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,14104.4176,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12163.9024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30020-0510 DRAIN ABSCESS OR HEMATOMA, NASAL SEPTUM",510,RC,30020,CPT,,,outpatient,,,1388,,694,832.8,1346.36,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1111.788,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1289.3132,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1111.9268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30220-0510 INSERT, NASAL SEPTAL PROSTHESIS (BUTTON)",510,RC,30220,CPT,,,outpatient,,,4219,,2109.5,2531.4,4092.43,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3379.419,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,3919.0291,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3379.8409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30430-0510 RHINOPLASTY, 2ND; MINOR REVIS",510,RC,30430,CPT,,,outpatient,,,16071,,8035.5,9642.6,15588.87,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,12872.871,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,14928.3519,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12874.4781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31233-0510 NASAL/SINUS ENDO, DIAG; W MAXILL SINUSOSCOPY",510,RC,31233,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31235-0510 NASAL/SINUS ENDO, DIAG; W SPHENOID SINUSOSCOPY",510,RC,31235,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31505-0510 LARYNGOSCOPY, INDIRECT; DIAG",510,RC,31505,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31525-0510 LARYNG DIRECT, W OR WO TRACHEOSCOPY; DIAGN, EXCEPT NEWBORN",510,RC,31525,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31526-0510 LARYNGO DIRECT, W OR WO TRACHEOSCOPY; DIAGN",510,RC,31526,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31570-0510 LARYNGOSCOPY, DIRECT, W INJECT INTO VOCAL CORD(S), THERAP",510,RC,31570,CPT,,,outpatient,,,8334,,4167,5000.4,8083.98,7833.96,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6917.22,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7883.964,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,8083.98,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7333.92,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,6675.534,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,7741.4526,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6676.3674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31572-0510 LARYNGO, FLEX; W ABLATION/DEST OF LESION(S) W LASER, UNILAT",510,RC,31572,CPT,,,outpatient,,,8334,,4167,5000.4,8083.98,7833.96,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6917.22,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7883.964,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,8083.98,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7333.92,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,6675.534,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,7741.4526,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6676.3674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31573-0510 LARYNGO, FLEX; W THERA INJECT, UNILAT",510,RC,31573,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31574-0510 LARYNGO, FLEX; W INJECT FOR AUGMENTATION, UNILAT",510,RC,31574,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31599-0510 UNLISTED LARYNX SURGERY PROCEDURE,510,RC,31599,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31615-0510 TRACHEOBRONCHOSCOPY THRU ESTAB TRACHEOSTOMY INCIS,510,RC,31615,CPT,,,outpatient,,,1142,,571,685.2,1107.74,1073.48,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,947.86,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1080.332,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1107.74,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1004.96,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,914.742,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,1060.8038,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,914.8562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31820-0510 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WO PLASTIC REPAIR,510,RC,31820,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36473-0510  ENDOVENOUS ABLATION, FIRST",510,RC,36473,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36475-0510 ENDOVENOUS RF, 1ST VEIN",510,RC,36475,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41112-0510 EXC OF LESION OF TONGUE W CLOSURE; ANTER TWO-THIRDS,510,RC,41112,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41115-0510 EXCISION OF LINGUAL FRENUM,510,RC,41115,CPT,,,outpatient,,,4219,,2109.5,2531.4,4092.43,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3379.419,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,3919.0291,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3379.8409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41599-0510 UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH",510,RC,41599,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41825-0510 EXC OF LESION OR TUMOR, DENTOALVEOLAR STRUCT; WO REPAIR",510,RC,41825,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41899-0510 UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES",510,RC,41899,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42335-0510 SIALOLITHOTOMY; SUBMANDIBULAR, COMPLIC, INTRAORAL",510,RC,42335,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42405-0510 BX OF SALIVARY GLAND; INCISIONAL,510,RC,42405,CPT,,,outpatient,,,4219,,2109.5,2531.4,4092.43,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3379.419,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,3919.0291,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3379.8409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42960-0510 CONTROL OROPHARYNGEAL HEMORR, PRIM OR SECOND; SIMPLE",510,RC,42960,CPT,,,outpatient,,,1388,,694,832.8,1346.36,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1111.788,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1289.3132,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1111.9268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43239-0510 EGD W/ BX,510,RC,43239,CPT,,,outpatient,,,2064,,1032,1238.4,2002.08,1940.16,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1713.12,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1952.544,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,2002.08,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1816.32,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1653.264,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,1917.2496,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1653.4704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43247-0510 ESOPHAGOGASTRODUODENOSCOPY, FLEXI, TRANSORAL",510,RC,43247,CPT,,,outpatient,,,2064,,1032,1238.4,2002.08,1940.16,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1713.12,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1952.544,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,2002.08,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1816.32,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1653.264,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,1917.2496,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1653.4704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43770-0510 LAP; PLCMT OF ADJUST GASTRIC RESTRICT DEVICE,510,RC,43770,CPT,,,outpatient,,,20392,,10196,12235.2,19780.24,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,16333.992,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,18942.1288,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16336.0312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45300-0510 PROCTOSIGMOIDOSCOPY, RIGID; DIAG",510,RC,45300,CPT,,,outpatient,,,2078,,1039,1246.8,2015.66,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1664.478,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,1930.2542,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1664.6858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45378-0510 COLONOSCOPY FLEXIBLE,510,RC,45378,CPT,,,outpatient,,,2078,,1039,1246.8,2015.66,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1664.478,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,1930.2542,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1664.6858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45385-0510 COLONOSCOPY COLD SNARE POLY,510,RC,45385,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49422-0510 REM PERM INTRAPERI CAN/CA,510,RC,49422,CPT,,,outpatient,,,5739,,2869.5,3443.4,5566.83,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,4596.939,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5330.9571,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4597.5129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54060-0510 EXCISION OF PENIS LESION(S),510,RC,54060,CPT,,,outpatient,,,5246,,2623,3147.6,5088.62,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4202.046,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,4873.0094,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4202.5706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56700-0510 PARTIAL REMOVAL OF HYMEN,510,RC,56700,CPT,,,outpatient,,,8510,,4255,5106,8254.7,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,6816.51,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,7904.939,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6817.361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 57105-0510 BX OF VAGINAL MUCOSA; EXT, REQ SUTURE, INCL CYSTS",510,RC,57105,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57510-0510 CAUTERY OF CERVIX; ELECTRO OR THERMAL,510,RC,57510,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 57720-0510 PLASTIC REPAIR OF UTERINE CERVIX, VAG APPROACH",510,RC,57720,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57800-0510 DILATION OF CERVICAL CANAL,510,RC,57800,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58110-0510 ENDOMETRIAL SAMPLING (BX) PERF IN CONJ W COLPOS,510,RC,58110,CPT,,,outpatient,,,222,,111,133.2,215.34,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,177.822,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,206.2158,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.8442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59160-0510 CURETTAGE, POSTPARTUM",510,RC,59160,CPT,,,outpatient,,,8510,,4255,5106,8254.7,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,6816.51,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,7904.939,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6817.361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59300-0510 EPISIOTOMY OR VAGINAL REPAIR, NOT BY ATTENDING",510,RC,59300,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59412-0510 EXTERNAL CEPHALIC VERSION, W OR WO TOCOLYSIS",510,RC,59412,CPT,,,outpatient,,,8510,,4255,5106,8254.7,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,6816.51,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,7904.939,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6817.361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59840-0510 INDUCED ABORTION, BY DILATION & CURETTAGE",510,RC,59840,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 60500-0510 PARATHYROIDECTOMY OR EXPLOR OF PARATHYROID(S),510,RC,60500,CPT,,,outpatient,,,16071,,8035.5,9642.6,15588.87,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,12872.871,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,14928.3519,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12874.4781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62324-0510 NERVE INJECT - NJX INTERLAMINAR CRV/THRC,510,RC,62324,CPT,,,outpatient,,,2590,,1295,1554,2512.3,2434.6,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2149.7,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2450.14,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2512.3,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2279.2,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,2074.59,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,2405.851,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2074.849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63661-0510 REMOVE SPINE ELTRD PERQ ARAY,510,RC,63661,CPT,,,outpatient,,,5410,,2705,3246,5247.7,5085.4,,,,percent of total billed charges,,4328,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,4490.3,,,,percent of total billed charges,,4869,,,,percent of total billed charges,,4977.2,,,,percent of total billed charges,,4977.2,,,,percent of total billed charges,,5117.86,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,5247.7,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,4760.8,,,,percent of total billed charges,,4869,,,,percent of total billed charges,,4333.41,,,,percent of total billed charges,,4869,,,,percent of total billed charges,,3246,,,,percent of total billed charges,,5025.349,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,4328,,,,percent of total billed charges,,3246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4333.951,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64585-0510 REV OR REMOVAL OF PERIP NEUROSTIMULATOR ELECTRODE ARRAY,510,RC,64585,CPT,,,outpatient,,,6652,,3326,3991.2,6452.44,6252.88,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5521.16,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6292.792,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6452.44,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5853.76,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,5328.252,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,6179.0428,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5328.9172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64590-0510 IMPLANT GASTRIC NEUROSTIM/RECEIVER,510,RC,64590,CPT,,,outpatient,,,8652,,4326,5191.2,8392.44,8132.88,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7181.16,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,8184.792,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8392.44,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7613.76,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,6930.252,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,8036.8428,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6931.1172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65436-0510 CURETTE/ TREAT CORNEA, APPLY CHELATE",510,RC,65436,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65810-0510 DRAIN ANT CHMBR, REMV VITREOUS",510,RC,65810,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65860-0510 SEVERING ADHESIONS OF ANTER SEG, LASER TECHN",510,RC,65860,CPT,,,outpatient,,,1327,,663.5,796.2,1287.19,1247.38,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1101.41,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1255.342,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1287.19,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1167.76,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,1062.927,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,1232.6503,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1063.0597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66180-0510 AQUEOUS SHUNT TO EXTRAOC EQUATO PLATE RESER, EXT APPR",510,RC,66180,CPT,,,outpatient,,,7571,,3785.5,4542.6,7343.87,7116.74,,,,percent of total billed charges,,6056.8,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,6283.93,,,,percent of total billed charges,,6813.9,,,,percent of total billed charges,,6965.32,,,,percent of total billed charges,,6965.32,,,,percent of total billed charges,,7162.166,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,7343.87,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,6662.48,,,,percent of total billed charges,,6813.9,,,,percent of total billed charges,,6064.371,,,,percent of total billed charges,,6813.9,,,,percent of total billed charges,,4542.6,,,,percent of total billed charges,,7032.7019,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,6056.8,,,,percent of total billed charges,,4542.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6065.1281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66711-0510 CILIARY BODY DESTR; CYCLOPHOTO, ENDO",510,RC,66711,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 66940-0510 REMOVAL OF LENS MATERIAL; EXTRACAPSULAR,510,RC,66940,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67121-0510 REMOVAL OF IMPLANT MATERIAL, POSTERIOR SEG; INTRAOCULAR",510,RC,67121,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67299-0510 UNLISTED PROCEDURE, POSTERIOR SEGMENT",510,RC,67299,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67715-0510 CANTHOTOMY,510,RC,67715,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67921-0510 REPAIR OF ENTROPION; SUTURE,510,RC,67921,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67966-0510 EXCISION AND REPAIR OF EYELID,510,RC,67966,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67975-0510 RECONSTRUCTION OF EYELID, SECOND STAGE",510,RC,67975,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69005-0510 DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATO; COMPLIC",510,RC,69005,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69020-0510 DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS",510,RC,69020,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69205-0510 REMOVAL FOREIGN BODY FROM EXT AUD CANAL; W GEN ANESTH,510,RC,69205,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69222-0510 DEBRID, MASTOID CAVITY, COMP",510,RC,69222,CPT,,,outpatient,,,1388,,694,832.8,1346.36,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1111.788,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1289.3132,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1111.9268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69421-0510 MYRINGOTOMY INCL ASPIRAT A/OR EUSTACH TUBE INFLAT, REQ ANES",510,RC,69421,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69610-0510 TYMPANIC MEMB REPAIR,510,RC,69610,CPT,,,outpatient,,,4177,,2088.5,2506.2,4051.69,3926.38,,,,percent of total billed charges,,3341.6,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3466.91,,,,percent of total billed charges,,3759.3,,,,percent of total billed charges,,3842.84,,,,percent of total billed charges,,3842.84,,,,percent of total billed charges,,3951.442,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,4051.69,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3675.76,,,,percent of total billed charges,,3759.3,,,,percent of total billed charges,,3345.777,,,,percent of total billed charges,,3759.3,,,,percent of total billed charges,,2506.2,,,,percent of total billed charges,,3880.0153,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3341.6,,,,percent of total billed charges,,2506.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3346.1947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69631-0510 TYMPANOPLASTY,510,RC,69631,CPT,,,outpatient,,,16071,,8035.5,9642.6,15588.87,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,12872.871,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,14928.3519,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12874.4781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69799-0510 UNLISTED PROCEDURE, MIDDLE EAR",510,RC,69799,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0213T-0510 INJECT PARAVERTEBRAL JT W US, CERVI OR THORAC; SING LEVEL",510,RC,0213T,HCPCS,,,outpatient,,,2590,,1295,1554,2512.3,2434.6,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2149.7,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2450.14,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2512.3,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2279.2,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,2074.59,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,2405.851,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2074.849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0402T-0510 COLLAGEN CROSS-LINKING OF CORNEA,510,RC,0402T,HCPCS,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0479T-0510 FRACTIONAL ABLAT LSR FENEST OF BURN/TRAUMA SCARS, 1ST 100 CM2",510,RC,0479T,HCPCS,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40800-0510 DRAINAGE OF MOUTH LESION; SIMPLE,510,RC,40800,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31240-0510 NASAL/SINUS ENDOSCOPY, W/ CONCHA BULLOSA RESECTION",510,RC,31240,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31505-0510 LARYNGOSCOPY, INDIRECT; DIAGNOSTIC",510,RC,31505,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31570-0510 LARYNGOSCOPY, DIRECT, W/ INJECTION INTO VOCAL CORDS, THERAPEUTIC",510,RC,31570,CPT,,,outpatient,,,8334,,4167,5000.4,8083.98,7833.96,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6917.22,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7883.964,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,8083.98,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7333.92,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,6675.534,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,7741.4526,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6676.3674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31573-0510 LARYNGOSCOPY, FLEXIBLE; W/ THERAPEUTIC INJ, UNILATERAL",510,RC,31573,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31591-0510 LARYNGOPLASTY, MEDIALIZATION, UNILATERAL",510,RC,31591,CPT,,,outpatient,,,16071,,8035.5,9642.6,15588.87,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,12872.871,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,14928.3519,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12874.4781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42300-0510 DRAINAGE OF ABSCESS; PAROTID, SIMPLE",510,RC,42300,CPT,,,outpatient,,,4219,,2109.5,2531.4,4092.43,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3379.419,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,3919.0291,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3379.8409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69436-0510 TYMPANOSTOMY, INSERT EAR TUBES",510,RC,69436,CPT,,,outpatient,,,4219,,2109.5,2531.4,4092.43,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3379.419,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,3919.0291,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3379.8409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45100-0510 BX OF ANORECTAL WALL,510,RC,45100,CPT,,,outpatient,,,7810,,3905,4686,7575.7,7341.4,,,,percent of total billed charges,,6248,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,6482.3,,,,percent of total billed charges,,7029,,,,percent of total billed charges,,7185.2,,,,percent of total billed charges,,7185.2,,,,percent of total billed charges,,7388.26,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,7575.7,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,6872.8,,,,percent of total billed charges,,7029,,,,percent of total billed charges,,6255.81,,,,percent of total billed charges,,7029,,,,percent of total billed charges,,4686,,,,percent of total billed charges,,7254.709,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,6248,,,,percent of total billed charges,,4686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6256.591,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45399-0510 UNLISTED PROCEDURE, COLON",510,RC,45399,CPT,,,outpatient,,,2502,,1251,1501.2,2426.94,2351.88,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2076.66,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2366.892,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2426.94,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2201.76,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2004.102,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,2324.1078,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2004.3522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 49450-0510 REPLACE GASTRO/CECO TUBE, PERCUTANEOUS, W/ FLUORO GUIDANCE & CONT INJ",510,RC,49450,CPT,,,outpatient,,,2510,,1255,1506,2434.7,2359.4,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2083.3,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2374.46,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2434.7,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2208.8,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,2010.51,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,2331.539,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2010.761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45385-0361 COLONOSCOPY COLD SNARE POLY,361,RC,45385,CPT,,,outpatient,,,2707,,1353.5,1624.2,2625.79,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2168.307,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2514.5323,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2168.5777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32550-0510 INS TUNN PLEUR CATH WCUFF,510,RC,32550,CPT,,,outpatient,,,6665,,3332.5,3999,6465.05,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,5338.665,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6191.1185,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5339.3315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41800-0510 DRAINAGE OF ABSCESS, CYST",510,RC,41800,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10021-0450 FINE NEEDLE ASPIRATION,450,RC,10021,CPT,,,outpatient,,,2129,,1064.5,1277.4,2065.13,2001.26,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1767.07,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,2014.034,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2065.13,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1873.52,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1705.329,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,1977.6281,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1705.5419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10060-0450 I & D ABSCESS; SIMPLE/SINGLE,450,RC,10060,CPT,,,outpatient,,,563,,281.5,337.8,546.11,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,450.963,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,522.9707,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.0193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10061-0450 I & D ABSCESS; COMPLICATED OR MULTIPLE,450,RC,10061,CPT,,,outpatient,,,1032,,516,619.2,1001.04,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,826.632,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,958.6248,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,826.7352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10080-0450 I&D PILONIDAL CYST,SIMPLE",450,RC,10080,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10081-0450 I&D PILONIDAL CYST COMPLIC,450,RC,10081,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10120-0450 REMV FOREIGN BODY SQ,450,RC,10120,CPT,,,outpatient,,,773,,386.5,463.8,749.81,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,619.173,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,718.0397,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,619.2503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10121-0450 INCIS/REM FB COMPLICATED,450,RC,10121,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10140-0450 INCIS & DRAIN OF HEMATOMA, SEROMA OR FLUID COLLECT",450,RC,10140,CPT,,,outpatient,,,2919,,1459.5,1751.4,2831.43,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2338.119,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2711.4591,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2338.4109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10180-0450 I & D, COMPLEX, POST -OP ABSCESS",450,RC,10180,CPT,,,outpatient,,,7883,,3941.5,4729.8,7646.51,7410.02,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6542.89,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7457.318,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7646.51,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6937.04,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,6314.283,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,7322.5187,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6315.0713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11012-0450  DEBRIDE INCLUDING REMOVAL OF FOR,450,RC,11012,CPT,,,outpatient,,,7852,,3926,4711.2,7616.44,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,6289.452,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7293.7228,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6290.2372,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042-0450 DEBRIDE SUBCU,1ST 20SQ CM",450,RC,11042,CPT,,,outpatient,,,783,,391.5,469.8,759.51,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,627.183,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,727.3287,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,627.2613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11043-0450 DEBRIDE M/FAS 1ST 20SQ CM,450,RC,11043,CPT,,,outpatient,,,1905,,952.5,1143,1847.85,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1525.905,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1769.5545,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1526.0955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11044-0450 DEBRIDEMENT; BONE (INCLUDES EDIP, DERMIS, ECT.)",450,RC,11044,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11420-0450 EXCISION BENIGN LESION 0.5CM OR <,450,RC,11420,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11732-0450 AVULSION NAIL PLATE EA ADDL,450,RC,11732,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11740-0450 EVAC/SUBUNGUAL HEMATOMA,450,RC,11740,CPT,,,outpatient,,,353,,176.5,211.8,342.41,331.82,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,292.99,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,333.938,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,342.41,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,310.64,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,282.753,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,327.9017,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,282.7883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11750-0450 EXC NAIL MATRIX PART/COMP PERM REM,450,RC,11750,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11760-0450 REPAIR OF NAIL BED,450,RC,11760,CPT,,,outpatient,,,1740,,870,1044,1687.8,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1393.74,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1616.286,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1393.914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12001-0450 SIMPLE REPAIR SUPF WOUND < 2.5 CM,450,RC,12001,CPT,,,outpatient,,,597,,298.5,358.2,579.09,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,478.197,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,554.5533,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,478.2567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12002-0450 SIMPLE REPAIR SUPF WOUND 2.6-7.5 CM,450,RC,12002,CPT,,,outpatient,,,597,,298.5,358.2,579.09,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,478.197,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,554.5533,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,478.2567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12004-0450 RPR S/N/AS/GEN/TRK7.6-12.5CM,450,RC,12004,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12005-0450 LACER SIMP EXT 12.6-20 CM FAC,450,RC,12005,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12006-0450 REPAIR OF SIMPLE LAC 20.1 CM-30.0 CM,450,RC,12006,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12011-0450 REP WOUND FACE <2.5CM,450,RC,12011,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12013-0450 SREP F/E/N/L/MM;2.6-5CM,450,RC,12013,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12014-0450 RPR F/E/E/N/L/M 5.1-7.5 CM,450,RC,12014,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12015-0450 REPR SUPERF WND FACE 7.6-12.5,450,RC,12015,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12020-0450 TMT OF SUPERFICIAL WND DEHISCENCE SIMP CLOSE,450,RC,12020,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12031-0450 INT REP WND SC/AX/TK/EXT < 2.5CM,450,RC,12031,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12032-0450 INTERMEDIATE WOUND REPAIR 2.6-7.5 CM,450,RC,12032,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 12034-0450 REPAIR INT LAC 7.6-12.5 CM SCALP, TRUNK",450,RC,12034,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12035-0450 INTERMEDIATE WOUND REPAIR 12.6-20 CM,450,RC,12035,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12041-0450 INTRM REP NK/HD/FT/EXT GEN<=2.5CM,450,RC,12041,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12042-0450 REPAIR INTERMEDIATE 2.6-7.5,450,RC,12042,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12044-0450 INTERMEDIATE WOUND REPAIR 7.6-12.5 CM,450,RC,12044,CPT,,,outpatient,,,1740,,870,1044,1687.8,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1393.74,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1616.286,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1393.914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12051-0450 INTERMEDIATE WOUND REPAIR < 2.5 CM,450,RC,12051,CPT,,,outpatient,,,1149,,574.5,689.4,1114.53,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,920.349,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1067.3061,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,920.4639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12052-0450 INTMD WOUND REPAIR FACE/OR MM; 2.6 CM TO 5.0 CM,450,RC,12052,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12053-0450 INTERMED REPAIRS 5.1 CM - 7.5 CM,450,RC,12053,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12054-0450 REPAIR WOUND FACE EARS ET,450,RC,12054,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12055-0450 LAYER CLOS FACE EAR 12.6,450,RC,12055,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13101-0450 REPAIR COMPLEX TRUNK 2.6CM TO 7.5 CM,450,RC,13101,CPT,,,outpatient,,,1905,,952.5,1143,1847.85,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1525.905,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1769.5545,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1526.0955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13102-0450 REPAIR COMPLEX TRUNK; EA ADD'L 5 CM OR <,450,RC,13102,CPT,,,outpatient,,,952,,476,571.2,923.44,894.88,,,,percent of total billed charges,,761.6,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,790.16,,,,percent of total billed charges,,856.8,,,,percent of total billed charges,,875.84,,,,percent of total billed charges,,875.84,,,,percent of total billed charges,,900.592,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,923.44,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,837.76,,,,percent of total billed charges,,856.8,,,,percent of total billed charges,,762.552,,,,percent of total billed charges,,856.8,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,884.3128,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,761.6,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,762.6472,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13121-0450 CMPLEX RPR S/A/L 2.6-7.5 CM,450,RC,13121,CPT,,,outpatient,,,1940,,970,1164,1881.8,1823.6,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1835.24,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1881.8,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1553.94,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1802.066,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1554.134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13132-0450 CMPLX RPR F/C/C/M/N/AX/G/H/F; 2.6 TO 7.5 CM,450,RC,13132,CPT,,,outpatient,,,1740,,870,1044,1687.8,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1393.74,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1616.286,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1393.914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13133-0450 REPAIR COMPLEX EA ADD'L,450,RC,13133,CPT,,,outpatient,,,870,,435,522,843.9,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,696.87,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,808.143,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,696.957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13151-0450 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",450,RC,13151,CPT,,,outpatient,,,1765,,882.5,1059,1712.05,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1413.765,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1639.5085,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1413.9415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16000-0450 INIT BURN TX 1ST DEG,450,RC,16000,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16020-0450 DRESSINGS AND/OR DEBRIDE OF B,450,RC,16020,CPT,,,outpatient,,,706,,353,423.6,684.82,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,565.506,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,655.8034,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,565.5766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16025-0450 DEBRIDE AND/OR DSG--MED,450,RC,16025,CPT,,,outpatient,,,598,,299,358.8,580.06,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,555.4822,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,479.0578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16030-0450 DRESSINGS AND/OR DEBRIDEMENT OF,450,RC,16030,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20102-0450 EXPLORE WOUND ABDOMEN,450,RC,20102,CPT,,,outpatient,,,5246,,2623,3147.6,5088.62,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4202.046,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,4873.0094,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4202.5706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20103-0450 EXTREMITY WOUND EXP,450,RC,20103,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20520-0450 REMOVAL FOREIGN BODY MUSC,450,RC,20520,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20552-0450 INJ TRIGGER POINT 1/2 MUSCL,450,RC,20552,CPT,,,outpatient,,,958,,479,574.8,929.26,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,767.358,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,889.8862,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,767.4538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20553-0450 INJ SING/MULT TRIG PT(S), 3 OR MORE MUSC",450,RC,20553,CPT,,,outpatient,,,958,,479,574.8,929.26,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,767.358,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,889.8862,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,767.4538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20600-0450 ARTHROCENTESIS S ASP INJ SMALL JNT,450,RC,20600,CPT,,,outpatient,,,1220,,610,732,1183.4,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,977.22,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1133.258,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,977.342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20605-0450 ARTHROCENTESIS ASP INJ INTERM JT W/O US GUIDE,450,RC,20605,CPT,,,outpatient,,,1058,,529,634.8,1026.26,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,847.458,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,982.7762,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,847.5638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0450 ARTHROCENTESIS ASP INJ INTERM JT WITH US GUIDE,450,RC,20606,CPT,,,outpatient,,,2289,,1144.5,1373.4,2220.33,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1833.489,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2126.2521,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1833.7179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20610-0450 ARTHROCENTESIS ASP INJ MAJOR JT W/O US,450,RC,20610,CPT,,,outpatient,,,877,,438.5,526.2,850.69,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,702.477,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,814.6453,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,702.5647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611-0450 ARTHROCENTESIS MAJOR JT W/US,450,RC,20611,CPT,,,outpatient,,,959,,479.5,575.4,930.23,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,768.159,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,890.8151,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,768.2549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20650-0450 INSERT OF WIRE/PIN W APPLIC OF SKEL TRACTION, INCLUD REMOV",450,RC,20650,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20670-0450 REMOVAL OF IMPLANT; SUPERFICIAL,450,RC,20670,CPT,,,outpatient,,,5211,,2605.5,3126.6,5054.67,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4174.011,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,4840.4979,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4174.5321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20999-0450 UNLISTED MUSCULOSKELETAL SYTM, GEN",450,RC,20999,CPT,,,outpatient,,,623,,311.5,373.8,604.31,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,499.023,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,578.7047,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,499.0853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21110-0450 APPL OF HALO TYPE APP FOR MAXILLOFACIAL FIX, INCL REMOVAL",450,RC,21110,CPT,,,outpatient,,,16229,,8114.5,9737.4,15742.13,15255.26,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,13470.07,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,15352.634,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15742.13,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,14281.52,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,12999.429,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,15075.1181,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13001.0519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21320-0450 NOSE NASAL FX W/STABILIZATION,450,RC,21320,CPT,,,outpatient,,,8648,,4324,5188.8,8388.56,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,6927.048,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8033.1272,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6927.9128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21421-0450 CLOSED TRMT OF PALATAL OR MAXILLARY FRACT,450,RC,21421,CPT,,,outpatient,,,8563,,4281.5,5137.8,8306.11,8049.22,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7107.29,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,8100.598,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8306.11,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7535.44,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,6858.963,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,7954.1707,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6859.8193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21480-0450 CLOSED TRTMT OF TEMPOROMANDIB DISLOC; INIT OR SUBSQ,450,RC,21480,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21497-0450 INTERDENTAL WIRING, FOR COND OTHER THAN FRACTURE",450,RC,21497,CPT,,,outpatient,,,4219,,2109.5,2531.4,4092.43,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3379.419,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,3919.0291,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3379.8409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23600-0450 TREAT HUMERUS FRACTURE,450,RC,23600,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23650-0450 TREAT SHOULDER DISLOCATION,450,RC,23650,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23655-0450 CLOSED TRTMT SHOULDER DISLOC; REQ ANEST.,450,RC,23655,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23665-0450 TREAT DISLOCATION/FRACTURE W/ MANIPU,450,RC,23665,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24500-0450 TREAT HUMERUS FRACTURE,450,RC,24500,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24530-0450 CLOSED TREAT HUMERUS FRACTURE,450,RC,24530,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24600-0450 TX OF ELBOW DISLOCATION; W/O ANESTH,450,RC,24600,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24605-0450 TREAT ELBOW DISLOC REQ ANES,450,RC,24605,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24620-0450 CLOSED TRTMT OF MONTEGGIA TYPE OF FRACTURE DISLOC AT ELBOW W MANIP,450,RC,24620,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24640-0450 TX RAD HD SUB/CH NRSMAID ELB,450,RC,24640,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24655-0450 CLSD TX W/ MANIP,450,RC,24655,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24675-0450 CLOSED TX ULNAR FX W/ MANIPU,450,RC,24675,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25505-0450 SD TX RAD SHAFT FX W/ MANIP,450,RC,25505,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25535-0450 SD TX ULNAR SHFT FX W/ MANIP,450,RC,25535,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25565-0450 CLOSED;RADIAL,ULNAR SHAFT W/MA",450,RC,25565,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25605-0450 CLOSED RX DIST RAD/ULNA FX,MANIPUL",450,RC,25605,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26010-0450 DRAINAGE OF FINGER ABSCESS; SIMPLE,450,RC,26010,CPT,,,outpatient,,,665,,332.5,399,645.05,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,532.665,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,617.7185,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,532.7315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26236-0450 PART EXC DISTAL FINGER,450,RC,26236,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26418-0450 REPAIR EXTENSOR TENDON, W IM",450,RC,26418,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26587-0450 RECONSTRUCT OF POLYDACTYLOUS DIGIT, SOFT TISSUE & BONE",450,RC,26587,CPT,,,outpatient,,,8959,,4479.5,5375.4,8690.23,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,7176.159,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,8322.0151,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7177.0549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26600-0450  CLSD TX METACARPAL FX W/O,450,RC,26600,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26605-0450 TX METACARP FX W/MANIP EA BN,450,RC,26605,CPT,,,outpatient,,,791,,395.5,474.6,767.27,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,633.591,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,734.7599,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,633.6701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26700-0450 CLOSED TX METCARP DIS SGL W/ MANIP; W/O ANES,450,RC,26700,CPT,,,outpatient,,,749,,374.5,449.4,726.53,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,599.949,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,695.7461,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,600.0239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26720-0450 CLSD TX PHALANGEAL FX,450,RC,26720,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26725-0450 W MANIP W/WO SKN/SKL TRAC EA,450,RC,26725,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26742-0450 CLOSED TX OF ARTICULAR FX, INVOL MCP OR IP JT; W/ MAN, EA",450,RC,26742,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26755-0450 TX DIS PHAL FX W/ MANIP,450,RC,26755,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26770-0450 TX INTRPHAL DISL W/MAN NO ANES,450,RC,26770,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26785-0450 OPEN TMT OF INTERPHALANGEAL JOINT DISLOC SINGLE,450,RC,26785,CPT,,,outpatient,,,8206,,4103,4923.6,7959.82,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,6573.006,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,7622.5534,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6573.8266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26951-0450 AMPUTATION FINGER OR THUMB,450,RC,26951,CPT,,,outpatient,,,8206,,4103,4923.6,7959.82,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,6573.006,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,7622.5534,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6573.8266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27250-0450 CLSD TMT OF HIP DISLOC, TRAUMA; W/O ANES",450,RC,27250,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27266-0450 TMT OF POST HIP ARTHROPLASTY DISLOC,450,RC,27266,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27310-0450 EXPLORATION OF KNEE JOINT,450,RC,27310,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27508-0450 DIS FEM FX MED/LAT/CON W/O MANIP,450,RC,27508,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27510-0450 CLOSED TX OF FEMORAL FX, DISTAL END, MED OR LAT CONDYLE, W MANIP",450,RC,27510,CPT,,,outpatient,,,4318,,2159,2590.8,4188.46,4058.92,,,,percent of total billed charges,,3454.4,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,3583.94,,,,percent of total billed charges,,3886.2,,,,percent of total billed charges,,3972.56,,,,percent of total billed charges,,3972.56,,,,percent of total billed charges,,4084.828,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,4188.46,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,3799.84,,,,percent of total billed charges,,3886.2,,,,percent of total billed charges,,3458.718,,,,percent of total billed charges,,3886.2,,,,percent of total billed charges,,2590.8,,,,percent of total billed charges,,4010.9902,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,3454.4,,,,percent of total billed charges,,2590.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3459.1498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27520-0450 TX PAT FX W/O MANIP,450,RC,27520,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27550-0450 TX ACET FX W/O MANIP,450,RC,27550,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27560-0450 CLOSED TX OF PATELLAR DISLOC; W/O ANES,450,RC,27560,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27750-0450 TX TIB SHFT FX W/O MANIP,450,RC,27750,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27752-0450 CLOSED TX OF TIBIAL SHAFT FX; W/ MANIP,450,RC,27752,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27760-0450 TX MEDIAL MALLEOLUS FX,450,RC,27760,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27786-0450 TX DIS FIB FX/LAT MAL W/O MANIP,450,RC,27786,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27810-0450 TMT OF ANKLE FRACTURE,450,RC,27810,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27825-0450 CLOSED TMT OF FRACTURE,450,RC,27825,CPT,,,outpatient,,,4360,,2180,2616,4229.2,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,3492.36,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4050.004,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3492.796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27830-0450 CLOSED TMT OF PROXIMAL TIBIOFIBULAR JOINT DISLOC; WO ANES,450,RC,27830,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27840-0450 TX CL ANKLE DISLO WO ANESTH,450,RC,27840,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28190-0450 REMOVAL OF FOREIGN BODY, FOOT; SUBQ",450,RC,28190,CPT,,,outpatient,,,2068,,1034,1240.8,2005.96,1943.92,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1716.44,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1956.328,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,2005.96,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1819.84,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1656.468,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,1920.9652,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1656.6748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28208-0450 REPAIR, TENDON, EXTENSOR, FOOT; PRIM OR SEC, EA TENDON",450,RC,28208,CPT,,,outpatient,,,9048,,4524,5428.8,8776.56,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,7247.448,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,8404.6872,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7248.3528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28400-0450 CLOSED TMT OF HEEL FRACT, W/O MANIPUL",450,RC,28400,CPT,,,outpatient,,,571,,285.5,342.6,553.87,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,457.371,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,530.4019,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,457.4281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28435-0450 CLOSED TX OF TALUS FX; W/ MANIP,450,RC,28435,CPT,,,outpatient,,,3954,,1977,2372.4,3835.38,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3167.154,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3672.8706,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3167.5494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28515-450 TX OF TOE FX, W/MANIP, EA",450,RC,28515,CPT,,,outpatient,,,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28810-0450  AMPUTATION, METATARSAL, W TOE",450,RC,28810,CPT,,,outpatient,,,8959,,4479.5,5375.4,8690.23,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,7176.159,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,8322.0151,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7177.0549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29065-0450 LONG ARM CAST,450,RC,29065,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29075-0450 SHORT ARM CAST,450,RC,29075,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29105-0450 LONG ARM SPLINT,450,RC,29105,CPT,,,outpatient,,,490,,245,294,475.3,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,392.49,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,455.161,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,392.539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29125-0450 APPLY FOREARM SPLINT-TECH,450,RC,29125,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29130-0450 FINGER SPLINT,450,RC,29130,CPT,,,outpatient,,,273,,136.5,163.8,264.81,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,218.673,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,253.5897,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,218.7003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29345-0450 LONG LEG CAST,450,RC,29345,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29355-0450 APPLICATION OF LONG LEG CAST,450,RC,29355,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29405-0450 SHORT LEG CAST,450,RC,29405,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29425-0450 APP OF SHORT LEG CAST; WALKING OR AMBUL TYPE,450,RC,29425,CPT,,,outpatient,,,587,,293.5,352.2,569.39,551.78,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,487.21,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,555.302,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,569.39,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,516.56,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,470.187,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,545.2643,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,470.2457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29505-0450 LONG LEG SPLINT,450,RC,29505,CPT,,,outpatient,,,401,,200.5,240.6,388.97,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,321.201,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,372.4889,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,321.2411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29515-0450 SHORT LEG SPLINT,450,RC,29515,CPT,,,outpatient,,,401,,200.5,240.6,388.97,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,321.201,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,372.4889,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,321.2411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29705-0450 REMOVAL/REVISION OF CAST,450,RC,29705,CPT,,,outpatient,,,730,,365,438,708.1,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,584.73,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,678.097,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30020-0450 DRAIN ABSCESS OR HEMATOMA, NASAL SEPTUM",450,RC,30020,CPT,,,outpatient,,,1388,,694,832.8,1346.36,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1111.788,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1289.3132,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1111.9268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30901-0450 NOSE CTRL HEMORRHAGE SIMP ANTER,450,RC,30901,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30903-0450 NOSE CTRL HEMORRHAGE COMP ANTER,450,RC,30903,CPT,,,outpatient,,,320,,160,192,310.4,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,256.32,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,297.248,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30999-0450 UNLISTED PROCEDURE, NOSE",450,RC,30999,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31231-0450 NOSE NASAL ENDOSCOPY,450,RC,31231,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31237-0450 NOSE NASAL ENDOSC BX DEBRID 1/2SD,450,RC,31237,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31238-0450 NOSE NASAL ENDOSC W/CTRL NSL HEMM,450,RC,31238,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31502-0450 TRACH TUBE CHANGE PRIOR TO EST OF FISTULA TRACT,450,RC,31502,CPT,,,outpatient,,,573,,286.5,343.8,555.81,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,458.973,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,532.2597,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,459.0303,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31575-0450 FLEXIBLE LARYNGOSCOPY,450,RC,31575,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31622-0450 BRONCHOSCOPY,DIAGNOSTIC",450,RC,31622,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 32555-0450 THORACENTESIS, ASPIRATE PLEURA W/IMAGING",450,RC,32555,CPT,,,outpatient,,,3574,,1787,2144.4,3466.78,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2862.774,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3319.8886,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2863.1314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36510-0450 UMBILICAL CATH,450,RC,36510,CPT,,,outpatient,,,607,,303.5,364.2,588.79,570.58,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,503.81,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,574.222,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,588.79,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,534.16,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,486.207,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,563.8423,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,486.2677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36555-0450 INSERT CENTRAL LINE (< 5 YO),450,RC,36555,CPT,,,outpatient,,,8211,,4105.5,4926.6,7964.67,7718.34,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6815.13,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7767.606,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7964.67,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7225.68,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,6577.011,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,7627.1979,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6577.8321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36593-0450 DECLOT THROMB. AG IMP VAD/CA,450,RC,36593,CPT,,,outpatient,,,709,,354.5,425.4,687.73,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,567.909,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,658.5901,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,567.9799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36620-0450 INS ARTERIAL LINE PERCUT,450,RC,36620,CPT,,,outpatient,,,1954,,977,1172.4,1895.38,1836.76,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1621.82,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1848.484,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1895.38,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1719.52,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1565.154,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,1815.0706,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1565.3494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40800-0450 DRAINAGE OF MOUTH LESION; SIMPLE,450,RC,40800,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41250-0450 REP LACERAT 2.5 CM/<;FLR-MOUTH,450,RC,41250,CPT,,,outpatient,,,1148,,574,688.8,1113.56,1079.12,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,952.84,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1086.008,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1113.56,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1010.24,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,919.548,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,1066.3772,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,919.6628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41251-0450 REP OF LACERATION 2.5 CM OR LESS; POST 1/3 OF TONGUE,450,RC,41251,CPT,,,outpatient,,,632,,316,379.2,613.04,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,506.232,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,587.0648,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,506.2952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41252-0450 REPAIR OF LACERATION OF TONGUE, FOM, OVER 2.6 CM",450,RC,41252,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41899-0450 UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES",450,RC,41899,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42700-0450 I&D ABCESS PERITONSILLAR,450,RC,42700,CPT,,,outpatient,,,632,,316,379.2,613.04,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,506.232,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,587.0648,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,506.2952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42999-0450 UNLISTED PROC, PHARYNX, ADENOIDS, OR TONSILS",450,RC,42999,CPT,,,outpatient,,,627,,313.5,376.2,608.19,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,502.227,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,582.4203,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,502.2897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43247-0450 ESOPHAGOGASTRODUODENOSCOPY, FLEXI, TRANSORAL",450,RC,43247,CPT,,,outpatient,,,2064,,1032,1238.4,2002.08,1940.16,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1713.12,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1952.544,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,2002.08,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1816.32,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1653.264,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,1917.2496,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1653.4704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43752-0450 NASO/ORO-GASTRIC TUBE PLACE,450,RC,43752,CPT,,,outpatient,,,989,,494.5,593.4,959.33,929.66,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,820.87,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,935.594,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,959.33,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,792.189,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,918.6821,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,792.2879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43762-0450 REPLACE G TUBE, PERCUT, INCL. REMVL, W/O IMAGING",450,RC,43762,CPT,,,outpatient,,,948,,474,568.8,919.56,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,759.348,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,880.5972,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,759.4428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45541-0450 CORRECT RECTAL PROLAPSE,450,RC,45541,CPT,,,outpatient,,,7734,,3867,4640.4,7501.98,7269.96,,,,percent of total billed charges,,6187.2,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,6419.22,,,,percent of total billed charges,,6960.6,,,,percent of total billed charges,,7115.28,,,,percent of total billed charges,,7115.28,,,,percent of total billed charges,,7316.364,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,7501.98,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,6805.92,,,,percent of total billed charges,,6960.6,,,,percent of total billed charges,,6194.934,,,,percent of total billed charges,,6960.6,,,,percent of total billed charges,,4640.4,,,,percent of total billed charges,,7184.1126,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,6187.2,,,,percent of total billed charges,,4640.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6195.7074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45999-0450 FISTULOTOMY OF PERNIEAL AREA W/ DEBRIDE,450,RC,45999,CPT,,,outpatient,,,2502,,1251,1501.2,2426.94,2351.88,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2076.66,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2366.892,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2426.94,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2201.76,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2004.102,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,2324.1078,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2004.3522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46040-0450 INCISION OF RECTAL ABSCESS,450,RC,46040,CPT,,,outpatient,,,4051,,2025.5,2430.6,3929.47,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3244.851,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,3762.9739,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3245.2561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46050-0450 I&D, PERIANAL ABSCESS, SUPERFICIAL",450,RC,46050,CPT,,,outpatient,,,2635,,1317.5,1581,2555.95,2476.9,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2187.05,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2492.71,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2555.95,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2318.8,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,2110.635,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,2447.6515,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2110.8985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46320-0450 EXCISION OF THROMBOSED HEMORRHOID,450,RC,46320,CPT,,,outpatient,,,4051,,2025.5,2430.6,3929.47,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3244.851,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,3762.9739,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3245.2561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49083-0450 ABD PARACENTESIS W/ IMAGING,450,RC,49083,CPT,,,outpatient,,,3009,,1504.5,1805.4,2918.73,2828.46,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2497.47,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2846.514,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2918.73,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2647.92,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2410.209,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,2795.0601,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2410.5099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51040-0450 CYSTOTOMY W/ DRAINAGE,450,RC,51040,CPT,,,outpatient,,,5088,,2544,3052.8,4935.36,4782.72,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4223.04,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4813.248,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4935.36,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4477.44,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,4075.488,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,4726.2432,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4075.9968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51102-0450 DRAIN BLADDER W/ SUP CATH,450,RC,51102,CPT,,,outpatient,,,5113,,2556.5,3067.8,4959.61,4806.22,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4243.79,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4836.898,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4959.61,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4499.44,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4095.513,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,4749.4657,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4096.0243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51798-0450 PVR VOIDING RESIDUAL URI,450,RC,51798,CPT,,,outpatient,,,211,,105.5,126.6,204.67,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,169.011,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,195.9979,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.0321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52000-0450 CYSTOURETHROSCOPY,450,RC,52000,CPT,,,outpatient,,,1563,,781.5,937.8,1516.11,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1251.963,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1451.8707,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1252.1193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52005-0450 CYSTOURETHROSCOPY W/ URETERAL CATH,450,RC,52005,CPT,,,outpatient,,,5021,,2510.5,3012.6,4870.37,4719.74,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4167.43,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4749.866,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4870.37,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4418.48,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4021.821,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,4664.0069,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4022.3231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52281-0450 CYSTO W/DILATION OF URETH,450,RC,52281,CPT,,,outpatient,,,4637,,2318.5,2782.2,4497.89,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3714.237,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4307.3093,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3714.7007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52310-0450 CYSTO W/REMOVAL STENT/SIM,450,RC,52310,CPT,,,outpatient,,,4637,,2318.5,2782.2,4497.89,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3714.237,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4307.3093,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3714.7007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 52332-0450 CYSTOURETHROSCOPY, W INSERT OF INDWELLING URETERAL STENT",450,RC,52332,CPT,,,outpatient,,,8013,,4006.5,4807.8,7772.61,7532.22,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6650.79,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7580.298,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7772.61,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7051.44,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,6418.413,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,7443.2757,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6419.2143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54220-0450 IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM,450,RC,54220,CPT,,,outpatient,,,653,,326.5,391.8,633.41,613.82,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,541.99,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,617.738,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,633.41,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,574.64,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,523.053,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,606.5717,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,523.1183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 54700-0450 INCISION & DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROT",450,RC,54700,CPT,,,outpatient,,,5638,,2819,3382.8,5468.86,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,4516.038,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5237.1382,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4516.6018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55100-0450 DRAINAGE OF SCROTAL WALL,450,RC,55100,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56405-0450 I&D PERINEAL ABSCESS,450,RC,56405,CPT,,,outpatient,,,805,,402.5,483,780.85,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,644.805,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,747.7645,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.8855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56420-0450 I&D BARTHOLIN'S GLAND ABCSS,450,RC,56420,CPT,,,outpatient,,,491,,245.5,294.6,476.27,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,393.291,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,456.0899,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,393.3401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58301-0450 REMOVAL IUD,450,RC,58301,CPT,,,outpatient,,,443,,221.5,265.8,429.71,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,354.843,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,411.5027,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,354.8873,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59812-0450 TREATMENT OF INCOMPLETE A,450,RC,59812,CPT,,,outpatient,,,8594,,4297,5156.4,8336.18,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,6883.794,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,7982.9666,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6884.6534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 61070-0450 INJ/ASP SHUNT TUBING,450,RC,61070,CPT,,,outpatient,,,2288,,1144,1372.8,2219.36,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1832.688,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2125.3232,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1832.9168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62252-0450 CSF SHUNT REPROGRAM,450,RC,62252,CPT,,,outpatient,,,925,,462.5,555,897.25,869.5,,,,percent of total billed charges,,740,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,767.75,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,851,,,,percent of total billed charges,,851,,,,percent of total billed charges,,875.05,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,897.25,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,814,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,740.925,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,555,,,,percent of total billed charges,,859.2325,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,740,,,,percent of total billed charges,,555,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,741.0175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62270-0450 SPINAL PUNCTURE, LUMBAR, DIAG W/O GUIDE",450,RC,62270,CPT,,,outpatient,,,2011,,1005.5,1206.6,1950.67,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1610.811,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,1868.0179,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1611.0121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0450 INJECT EPIDURAL PATCH,450,RC,62273,CPT,,,outpatient,,,2523,,1261.5,1513.8,2447.31,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2020.923,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2343.6147,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2021.1753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64405-0450 INJ GREATER OCCIPTAL NERVE,450,RC,64405,CPT,,,outpatient,,,965,,482.5,579,936.05,907.1,,,,percent of total billed charges,,772,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,800.95,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,912.89,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,936.05,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,849.2,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,772.965,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,579,,,,percent of total billed charges,,896.3885,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,772,,,,percent of total billed charges,,579,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,773.0615,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64450-0450 INJ ANESTH; OTHR PERIPHER,450,RC,64450,CPT,,,outpatient,,,2288,,1144,1372.8,2219.36,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1832.688,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2125.3232,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1832.9168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64831-0450 SUTURE OF DIGITAL NERVE, HAND OR FOOT; 1 NERVE",450,RC,64831,CPT,,,outpatient,,,5463,,2731.5,3277.8,5299.11,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,4375.863,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5074.5807,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4376.4093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65270-0450 REPAIR OF LACERAT; CONJUNCTIVA, W OR WO NONPERF LACERA SCLERA, DIR CLOS",450,RC,65270,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65286-0450 REPAIR LACERATION, APP TISS GLUE, WOUNDS OF CORNEA/SCLERA",450,RC,65286,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65800-0450 DRAINAGE ANTER CHAMBR OF EYE,450,RC,65800,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67028-0450 INJ. INTRAVITREAL,450,RC,67028,CPT,,,outpatient,,,832,,416,499.2,807.04,782.08,,,,percent of total billed charges,,665.6,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,690.56,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,765.44,,,,percent of total billed charges,,765.44,,,,percent of total billed charges,,787.072,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,807.04,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,732.16,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,666.432,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,499.2,,,,percent of total billed charges,,772.8448,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,665.6,,,,percent of total billed charges,,499.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,666.5152,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67105-0450 REPAIR-RETINAL DETACHMENT,450,RC,67105,CPT,,,outpatient,,,1327,,663.5,796.2,1287.19,1247.38,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1101.41,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1255.342,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1287.19,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1167.76,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,1062.927,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,1232.6503,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1063.0597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67110-0450 DEST CYCLOPHOTOCOAGULATI,450,RC,67110,CPT,,,outpatient,,,5399,,2699.5,3239.4,5237.03,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4324.599,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5015.1311,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4325.1389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67141-0450 PROPHYLAXIS OF RETINAL DETACH WO DRAINAGE, 1 OR MORE SESSIONS",450,RC,67141,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67560-0450 ORBITAL IMPLANT; REMOVAL OR REVISION,450,RC,67560,CPT,,,outpatient,,,7725,,3862.5,4635,7493.25,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,6187.725,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7175.7525,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6188.4975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67700-0450 BLEPHAROTOMY, DRAIN OF ABSCESS, EYELID",450,RC,67700,CPT,,,outpatient,,,805,,402.5,483,780.85,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,644.805,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,747.7645,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,644.8855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67938-0450  REMOVAL FB EYELID,450,RC,67938,CPT,,,outpatient,,,662,,331,397.2,642.14,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,530.262,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,614.9318,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.3282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68700-0450 PLASTIC REPAIR OF CANALICULI,450,RC,68700,CPT,,,outpatient,,,5286,,2643,3171.6,5127.42,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4234.086,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,4910.1654,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4234.6146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69000-0450 EAR DRAIN EXT ABCESS HEMA SIMP,450,RC,69000,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69020-0450 DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS",450,RC,69020,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69205-0450 REMOVAL FOREIGN BODY FROM EXT AUD CANAL; W GEN ANESTH,450,RC,69205,CPT,,,outpatient,,,4558,,2279,2734.8,4421.26,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,3650.958,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4233.9262,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3651.4138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69220-0450 EAR DEBRIDE MASTOID CAVITY SIMP,450,RC,69220,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92511-0450 NASOPHARYNGOSCOPY,450,RC,92511,CPT,,,outpatient,,,447,,223.5,268.2,433.59,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,358.047,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,415.2183,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,358.0917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97597-0450 RMVL DEVITAL TIS 20 CM/<,450,RC,97597,CPT,,,outpatient,,,548,,274,328.8,531.56,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,438.948,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,509.0372,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,439.0028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27345-0510 EXCISION PROCEDURES ON THE FEMUR & KNEE JOINT,510,RC,27345,CPT,,,outpatient,,,9049,,4524.5,5429.4,8777.53,8506.06,,,,percent of total billed charges,,7239.2,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,7510.67,,,,percent of total billed charges,,8144.1,,,,percent of total billed charges,,8325.08,,,,percent of total billed charges,,8325.08,,,,percent of total billed charges,,8560.354,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,8777.53,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,7963.12,,,,percent of total billed charges,,8144.1,,,,percent of total billed charges,,7248.249,,,,percent of total billed charges,,8144.1,,,,percent of total billed charges,,5429.4,,,,percent of total billed charges,,8405.6161,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,7239.2,,,,percent of total billed charges,,5429.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7249.1539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33016-0361 PERICARDIOCENTESIS W/ IMAGING,361,RC,33016,CPT,,,outpatient,,,3348,,1674,2008.8,3247.56,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2681.748,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3109.9572,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2682.0828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45380-0510 COLONOSCOPY, FLEX; W BX, SING OR MULT",510,RC,45380,CPT,,,outpatient,,,1624,,812,974.4,1575.28,1526.56,,,,percent of total billed charges,,1299.2,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1347.92,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,1494.08,,,,percent of total billed charges,,1494.08,,,,percent of total billed charges,,1536.304,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1575.28,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1429.12,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,1300.824,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,974.4,,,,percent of total billed charges,,1508.5336,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1299.2,,,,percent of total billed charges,,974.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1300.9864,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95970-0450 ANALYZE NEUROSTIM W/O REPROG,450,RC,95970,CPT,,,outpatient,,,384,,192,230.4,372.48,360.96,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,318.72,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,363.264,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,372.48,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,337.92,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,307.584,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,356.6976,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,307.6224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64632-0510 DESTR BY NEUROLYTIC AGENT; PLANTAR COMMON DIGITAL NRV,510,RC,64632,CPT,,,outpatient,,,827,,413.5,496.2,802.19,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,662.427,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,768.2003,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,662.5097,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V5008-0471 HEARING SCREENING,471,RC,V5008,HCPCS,,,outpatient,,,46,,23,27.6,44.62,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,42.7294,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.8506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59430-0510 POST PARTUM CARE ONLY,510,RC,59430,CPT,,,outpatient,,,100,,50,60,97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,92.89,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.11,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S3005-0900 PERFORM MEASUREMENT, EVAL OF PT SELF ASSESS, DEPRESSION",900,RC,S3005,HCPCS,,,outpatient,,,11,,5.5,6.6,10.67,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,8.811,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,10.2179,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.8121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32556-0450 INSERT CATH PLEURA W/O IMAGE,450,RC,32556,CPT,,,outpatient,,,3919,,1959.5,2351.4,3801.43,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3139.119,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3640.3591,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3139.5109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RHC G0323-0900 CARE MGT FOR BEHAVIORAL HEALTH, 20 MIN",900,RC,G0323,HCPCS,,,outpatient,,,74,,37,44.4,71.78,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,59.274,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,68.7386,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.2814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ADM SARSCOV2 VACCINE, ANY",771,RC,90480,CPT,,,outpatient,,,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31526-0450 LARYNGO DIRECT, W OR WO TRACHEOSCOPY; DIAGN",450,RC,31526,CPT,,,outpatient,,,3996,,1998,2397.6,3876.12,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3200.796,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,3711.8844,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3201.1956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SETUP, MAINT, ADJ & CLEANING, HEARING AID(S), CASH SERVICE",920,RC,,,,,outpatient,,,500,,250,300,485,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,464.45,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,400.55,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEARING AID REPAIR, SINGLE, CASH SERVICE",920,RC,,,,,outpatient,,,25,,12.5,15,24.25,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,20.025,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,23.2225,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.0275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEARING AID REPAIR, BOTH, CASH SERVICE",920,RC,,,,,outpatient,,,50,,25,30,48.5,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,40.05,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,46.445,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 20 MG, PER MG (20 UNITS), 314070",636,RC,Q4105,HCPCS,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 30 MG, PER MG (30 UNITS), 314071",636,RC,Q4105,HCPCS,,,outpatient,,,14,,7,8.4,13.58,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,11.214,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,13.0046,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.2154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 60 MG, PER MG (60 UNITS), 314072",636,RC,Q4118,HCPCS,,,outpatient,,,15,,7.5,9,14.55,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,12.015,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,13.9335,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.0165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 100 MG, PER MG (100 UNITS), 314073",636,RC,Q4118,HCPCS,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 200 MG, PER MG (200 UNITS), 314088",636,RC,Q4118,HCPCS,,,outpatient,,,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11982-0450 REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",450,RC,11982,CPT,,,outpatient,,,1468,,734,880.8,1423.96,1379.92,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1218.44,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1388.728,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1423.96,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1291.84,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1175.868,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1363.6252,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1176.0148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADM RSV IM SEASONAL DOSE W/COUNSELING,771,RC,96380,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADM RSV IM SEASONAL DOSE,771,RC,96381,CPT,,,outpatient,,,159,,79.5,95.4,154.23,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,127.359,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,147.6951,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.3749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12021-0510 TREAT SUPRFIC WND DEHISCENCE W/PK,510,RC,12021,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4019 CAST SUPPLIES, LONG ARM SPLINT, PEDIATRIC (0-10ÂYEARS), PLASTER",270,RC,Q4019,HCPCS,,,outpatient,,,20,,10,12,19.4,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,16.02,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,18.578,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36406-0510 VENIPUNCTURE, <3YRS, SKILL OF PHYSICIAN OR OQHCP",510,RC,36406,CPT,,,outpatient,,,22,,11,13.2,21.34,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,20.4358,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.6242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92015-0510 REFRACTION,510,RC,92015,CPT,,,outpatient,,,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67516-0360 SUPRACHOROIDAL SPC NJX RX AGT,360,RC,67516,CPT,,,outpatient,,,890,,445,534,863.3,836.6,,,,percent of total billed charges,,712,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,738.7,,,,percent of total billed charges,,801,,,,percent of total billed charges,,818.8,,,,percent of total billed charges,,818.8,,,,percent of total billed charges,,841.94,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,863.3,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,801,,,,percent of total billed charges,,712.89,,,,percent of total billed charges,,801,,,,percent of total billed charges,,534,,,,percent of total billed charges,,826.721,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,712,,,,percent of total billed charges,,534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,712.979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG-24201-0361 REMOVAL OF ARM FOREIGN BODY,361,RC,24201,CPT,,,outpatient,,,9359,,4679.5,5615.4,9078.23,8797.46,,,,percent of total billed charges,,7487.2,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,7767.97,,,,percent of total billed charges,,8423.1,,,,percent of total billed charges,,8610.28,,,,percent of total billed charges,,8610.28,,,,percent of total billed charges,,8853.614,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,9078.23,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,8235.92,,,,percent of total billed charges,,8423.1,,,,percent of total billed charges,,7496.559,,,,percent of total billed charges,,8423.1,,,,percent of total billed charges,,5615.4,,,,percent of total billed charges,,8693.5751,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,7487.2,,,,percent of total billed charges,,5615.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7497.4949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11982-0361 REMOVAL, NON-BIODEGRAD DRUG DEL IMPLANT",361,RC,11982,CPT,,,outpatient,,,1468,,734,880.8,1423.96,1379.92,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1218.44,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1388.728,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1423.96,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1291.84,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1175.868,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1363.6252,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1176.0148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12053-0510 INTERMED REPAIRS 5.1 CM - 7.5 CM,510,RC,12053,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12054-0510 REPAIR WOUND FACE EARS ET,510,RC,12054,CPT,,,outpatient,,,1135,,567.5,681,1100.95,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,909.135,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1054.3015,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,909.2485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13133-0510 REPAIR COMPLEX EA ADD'L,510,RC,13133,CPT,,,outpatient,,,870,,435,522,843.9,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,696.87,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,808.143,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,696.957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97810-0420 ACUPUNCT W/O STIMUL 15 MIN,420,RC,97810,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97813-0420 ACUPUNCT W/STIMUL 15 MIN,420,RC,97813,CPT,,,outpatient,,,78,,39,46.8,75.66,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,62.478,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,72.4542,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.4858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0446-0510 INTENSIVE BEHAVIORAL THERAPY CARDIOVAS DX INDIV 15 MIN,510,RC,G0446,HCPCS,,,outpatient,,,68,,34,40.8,65.96,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,54.468,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,63.1652,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.4748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46601-0510 ANOSCOPY HIGH RESOLUTION,510,RC,46601,CPT,,,outpatient,,,304,,152,182.4,294.88,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,282.3856,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,243.5344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9784-0510 ENDO SLEEVE GASTRO W/TUBE,510,RC,C9784,HCPCS,,,outpatient,,,20392,,10196,12235.2,19780.24,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,16333.992,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,18942.1288,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16336.0312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9785-0510 ENDO OUTLET RESTRICT W/TUBE,510,RC,C9785,HCPCS,,,outpatient,,,20392,,10196,12235.2,19780.24,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,16333.992,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,18942.1288,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16336.0312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76998-0360 US GUIDE INTRAOP,360,RC,76998,CPT,,,outpatient,,,613,,306.5,367.8,594.61,576.22,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,508.79,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,579.898,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,594.61,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,539.44,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,491.013,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,569.4157,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,491.0743,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64590-0360 INS/RPL PRPH SAC/GSTR NPG/R,360,RC,64590,CPT,,,outpatient,,,8652,,4326,5191.2,8392.44,8132.88,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7181.16,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,8184.792,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8392.44,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7613.76,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,6930.252,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,8036.8428,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6931.1172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95971-0360 ALYS SMPL SP/PN NPGT W/PRGRM,360,RC,95971,CPT,,,outpatient,,,362,,181,217.2,351.14,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,289.962,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,336.2618,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.9982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95972-0360 ALYS CPLX SP/PN NPGT W/PRGRM,360,RC,95972,CPT,,,outpatient,,,266,,133,159.6,258.02,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,213.066,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,247.0874,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.0926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92544-0471 OPTOKINETIC NYSTAGMUS TEST, BIDIRECTIONAL, W REC",471,RC,92544,CPT,,,outpatient,,,428,,214,256.8,415.16,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,342.828,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,397.5692,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.8708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92545-0471 OSCILLATING TRACKING TEST, W REC",471,RC,92545,CPT,,,outpatient,,,860,,430,516,834.2,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,688.86,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,798.854,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,688.946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20600 DRAIN/INJ JOINT/BURSA W/O US,510,RC,20600,CPT,,,outpatient,,,1219,,609.5,731.4,1182.43,1145.86,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1011.77,,,,percent of total billed charges,,1097.1,,,,percent of total billed charges,,1121.48,,,,percent of total billed charges,,1121.48,,,,percent of total billed charges,,1153.174,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1182.43,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1072.72,,,,percent of total billed charges,,1097.1,,,,percent of total billed charges,,976.419,,,,percent of total billed charges,,1097.1,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,1132.3291,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,976.5409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 35226-0361 REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY",361,RC,35226,CPT,,,outpatient,,,1927,,963.5,1156.2,1869.19,1811.38,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1599.41,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1822.942,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1869.19,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1695.76,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1543.527,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,1789.9903,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1543.7197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 38206-0819 HARVEST AUTO STEM CELLS, PER COLLECTION",819,RC,38206,CPT,,,outpatient,,,4030,,2015,2418,3909.1,3788.2,,,,percent of total billed charges,,3224,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3344.9,,,,percent of total billed charges,,3627,,,,percent of total billed charges,,3707.6,,,,percent of total billed charges,,3707.6,,,,percent of total billed charges,,3812.38,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3909.1,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3546.4,,,,percent of total billed charges,,3627,,,,percent of total billed charges,,3228.03,,,,percent of total billed charges,,3627,,,,percent of total billed charges,,2418,,,,percent of total billed charges,,3743.467,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3224,,,,percent of total billed charges,,2418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3228.433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96040-0510 GENETIC COUNSELING 30 MIN,510,RC,96040,CPT,,,outpatient,,,146,,73,87.6,141.62,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,116.946,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,135.6194,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.9606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0272T-0480 INTERROGATE CRTD SNS DEV,480,RC,0272T,HCPCS,,,outpatient,,,407,,203.5,244.2,394.79,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,326.007,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,378.0623,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,326.0477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0273T-0480 INTERROGATE CRTD SNS W/PGRMG,480,RC,0273T,HCPCS,,,outpatient,,,407,,203.5,244.2,394.79,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,326.007,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,378.0623,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,326.0477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S9470-0942 NUTRITIONAL COUNSELING, DIETICIAN VISIT",942,RC,S9470,HCPCS,,,outpatient,,,92,,46,55.2,89.24,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,73.692,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,85.4588,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.7012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93264-0480 REM MNTR WRLS P-ART PRS SNR,480,RC,93264,CPT,,,outpatient,,,116,,58,69.6,112.52,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,92.916,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,107.7524,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.9276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96422-0335 CHEMOTHERAPY ADM, INTRA-ARTERIAL INFUS, UP TO 1 HR",335,RC,96422,CPT,,,outpatient,,,928,,464,556.8,900.16,872.32,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,770.24,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,877.888,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,900.16,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,816.64,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,743.328,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,862.0192,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,743.4208,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96422-0335 CHEMOTHERAPY ADM, INTRA-ARTERIAL INFUS, EA ADD'L HOUR",335,RC,96423,CPT,,,outpatient,,,130,,65,78,126.1,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,104.13,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,120.757,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96420-0331 CHEMOTHERAPY ADMIN, INTRA-ARTERIAL, PUSH TECH",331,RC,96420,CPT,,,outpatient,,,928,,464,556.8,900.16,872.32,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,770.24,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,877.888,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,900.16,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,816.64,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,743.328,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,862.0192,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,743.4208,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96440-331 CHEMOTHERAPY ADM INTO PLEURAL CAVITY, INC THORACENTESIS",331,RC,96440,CPT,,,outpatient,,,928,,464,556.8,900.16,872.32,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,770.24,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,877.888,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,900.16,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,816.64,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,743.328,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,862.0192,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,743.4208,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95018-0924 PERQ&IC ALLG TEST DRUGS/BIOL,924,RC,95018,CPT,,,outpatient,,,110,,55,66,106.7,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,88.11,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,102.179,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99459-0510 PELVIC EXAMINATION,510,RC,99459,CPT,,,outpatient,,,28,,14,16.8,27.16,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,22.428,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,26.0092,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.4308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10080-0361 INCISION AND DRAINAGE OF PILODONAL CYST, SIMPLE",361,RC,10080,CPT,,,outpatient,,,1971,,985.5,1182.6,1911.87,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1578.771,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1830.8619,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1578.9681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62270-0361 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC W/O GUIDE",361,RC,62270,CPT,,,outpatient,,,2427,,1213.5,1456.2,2354.19,2281.38,,,,percent of total billed charges,,1941.6,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2014.41,,,,percent of total billed charges,,2184.3,,,,percent of total billed charges,,2232.84,,,,percent of total billed charges,,2232.84,,,,percent of total billed charges,,2295.942,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2354.19,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2135.76,,,,percent of total billed charges,,2184.3,,,,percent of total billed charges,,1944.027,,,,percent of total billed charges,,2184.3,,,,percent of total billed charges,,1456.2,,,,percent of total billed charges,,2254.4403,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,1941.6,,,,percent of total billed charges,,1456.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1944.2697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 8 X 8 CM; PER SQ CM (64 UNITS), 330228",636,RC,Q4201,HCPCS,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 8 X 8 CM;  PER SQ CM (64 UNITS), 330227",636,RC,Q4201,HCPCS,,,outpatient,,,242,,121,145.2,234.74,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,193.842,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,224.7938,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,193.8662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MATRION SOLID 5 X 5 CM; PER SQ CM (25 UNITS),636,RC,Q4201,HCPCS,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 5 X 5 CM;  PER SQ CM (25 UNITS), 330226",636,RC,Q4201,HCPCS,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 3 X 4 CM; PER SQ CM (12 UNITS), 330222",636,RC,Q4201,HCPCS,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 3 X 4 CM;  PER SQ CM (12 UNITS), 330223",636,RC,Q4201,HCPCS,,,outpatient,,,288,,144,172.8,279.36,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,267.5232,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.7168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 2 X 3 CM; PER SQ CM (6 UNITS), 330220",636,RC,Q4201,HCPCS,,,outpatient,,,439,,219.5,263.4,425.83,412.66,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,364.37,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,415.294,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,425.83,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,386.32,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,351.639,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,407.7871,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,351.6829,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 2 X 3 CM;  PER SQ CM (6 UNITS), 330221",636,RC,Q4201,HCPCS,,,outpatient,,,439,,219.5,263.4,425.83,412.66,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,364.37,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,415.294,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,425.83,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,386.32,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,351.639,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,407.7871,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,351.6829,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 20 MM DISK, PER SQUARE CENTIMETER (2 UNITS), 330224",636,RC,Q4201,HCPCS,,,outpatient,,,1133,,566.5,679.8,1099.01,1065.02,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,940.39,,,,percent of total billed charges,,1019.7,,,,percent of total billed charges,,1042.36,,,,percent of total billed charges,,1042.36,,,,percent of total billed charges,,1071.818,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,1099.01,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,997.04,,,,percent of total billed charges,,1019.7,,,,percent of total billed charges,,907.533,,,,percent of total billed charges,,1019.7,,,,percent of total billed charges,,679.8,,,,percent of total billed charges,,1052.4437,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,679.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,907.6463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 2 X 2 CM; PER SQ CM (4 UNITS), 330198",636,RC,Q4122,HCPCS,,,outpatient,,,258,,129,154.8,250.26,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,206.658,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,239.6562,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,206.6838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 4 X 4 CM; PER SQ CM (16 UNITS), 330199",636,RC,Q4122,HCPCS,,,outpatient,,,216,,108,129.6,209.52,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,200.6424,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.0376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DERMACELL UNMESHED 5 X 7 CM; PER SQ CM (35 UNITS) 330200,636,RC,Q4122,HCPCS,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 6 X 7 CM; PER SQ CM (42 UNITS), 330201",636,RC,Q4122,HCPCS,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 4 X 8 CM; PER SQ CM (32 UNITS), 330202",636,RC,Q4122,HCPCS,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 2 X 2 CM; PER SQ CM (4 UNITS), 330203",636,RC,Q4122,HCPCS,,,outpatient,,,259,,129.5,155.4,251.23,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,207.459,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,240.5851,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.4849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 3 X 3 CM; PER SQ CM (9 UNITS), 330204",636,RC,Q4122,HCPCS,,,outpatient,,,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 4 X 4 CM; PER SQ CM (16 UNITS), 330205",636,RC,Q4122,HCPCS,,,outpatient,,,217,,108.5,130.2,210.49,203.98,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,180.11,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,205.282,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,210.49,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,190.96,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,173.817,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,201.5713,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.8387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 5 X 7 CM; PER SQ CM (35 UNITS), 330206",636,RC,Q4122,HCPCS,,,outpatient,,,166,,83,99.6,161.02,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,132.966,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,154.1974,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.9826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 6 X 7 CM; PER SQ CM (42 UNITS), 330207",636,RC,Q4122,HCPCS,,,outpatient,,,164,,82,98.4,159.08,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,131.364,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,152.3396,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.3804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED  4 X 8 CM; PER SQ CM (32 UNITS), 330208",636,RC,Q4122,HCPCS,,,outpatient,,,170,,85,102,164.9,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,136.17,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,157.913,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 5 X 9 CM; PER SQ CM (54 UNITS), 330209",636,RC,Q4122,HCPCS,,,outpatient,,,133,,66.5,79.8,129.01,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,106.533,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,123.5437,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.5463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 4 X 10 CM; PER SQ CM (40 UNITS), 330210",636,RC,Q4122,HCPCS,,,outpatient,,,178,,89,106.8,172.66,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,142.578,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,165.3442,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.5958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 6 X 10 CM; PER SQ CM (60 UNITS), 330211",636,RC,Q4122,HCPCS,,,outpatient,,,155,,77.5,93,150.35,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,124.155,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,143.9795,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.1705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL 8 X 10 CM; PER SQ CM (80 UNITS), 330212",636,RC,Q4122,HCPCS,,,outpatient,,,143,,71.5,85.8,138.71,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,114.543,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,132.8327,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.5573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL 8 X 12 CM; PER SQ CM (96 UNITS), 330213",636,RC,Q4122,HCPCS,,,outpatient,,,137,,68.5,82.2,132.89,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,109.737,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,127.2593,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.7507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIGRAFF AUTOLOGOUS WOUND MANAGEMENT SYSTEM,383,RC,G0465,HCPCS,,,outpatient,,,4791,,2395.5,2874.6,4647.27,4503.54,,,,percent of total billed charges,,3832.8,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,3976.53,,,,percent of total billed charges,,4311.9,,,,percent of total billed charges,,4407.72,,,,percent of total billed charges,,4407.72,,,,percent of total billed charges,,4532.286,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,4647.27,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,4216.08,,,,percent of total billed charges,,4311.9,,,,percent of total billed charges,,3837.591,,,,percent of total billed charges,,4311.9,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,4450.3599,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,3832.8,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3838.0701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27532-0510 TREAT KNEE FRACTURE,510,RC,27532,CPT,,,outpatient,,,7651,,3825.5,4590.6,7421.47,7191.94,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6350.33,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7237.846,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7421.47,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6732.88,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,6128.451,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,7107.0139,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6129.2161,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46930-0761 DESTRUCTION OF INTERNAL HEMORRHOID(S) BY THERMAL ENERGY,761,RC,46930,CPT,,,outpatient,,,2776,,1388,1665.6,2692.72,2609.44,,,,percent of total billed charges,,2220.8,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2304.08,,,,percent of total billed charges,,2498.4,,,,percent of total billed charges,,2553.92,,,,percent of total billed charges,,2553.92,,,,percent of total billed charges,,2626.096,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2692.72,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2442.88,,,,percent of total billed charges,,2498.4,,,,percent of total billed charges,,2223.576,,,,percent of total billed charges,,2498.4,,,,percent of total billed charges,,1665.6,,,,percent of total billed charges,,2578.6264,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2220.8,,,,percent of total billed charges,,1665.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2223.8536,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67950-0510 CANTHOPLASTY,510,RC,67950,CPT,,,outpatient,,,4588,,2294,2752.8,4450.36,4312.72,,,,percent of total billed charges,,3670.4,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,3808.04,,,,percent of total billed charges,,4129.2,,,,percent of total billed charges,,4220.96,,,,percent of total billed charges,,4220.96,,,,percent of total billed charges,,4340.248,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,4450.36,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,4037.44,,,,percent of total billed charges,,4129.2,,,,percent of total billed charges,,3674.988,,,,percent of total billed charges,,4129.2,,,,percent of total billed charges,,2752.8,,,,percent of total billed charges,,4261.7932,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,3670.4,,,,percent of total billed charges,,2752.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3675.4468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68841-0510 INSJ RX ELUT IMPLT LAC CANAL,510,RC,68841,CPT,,,outpatient,,,5034,,2517,3020.4,4882.98,4731.96,,,,percent of total billed charges,,4027.2,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4178.22,,,,percent of total billed charges,,4530.6,,,,percent of total billed charges,,4631.28,,,,percent of total billed charges,,4631.28,,,,percent of total billed charges,,4762.164,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4882.98,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4429.92,,,,percent of total billed charges,,4530.6,,,,percent of total billed charges,,4032.234,,,,percent of total billed charges,,4530.6,,,,percent of total billed charges,,3020.4,,,,percent of total billed charges,,4676.0826,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4027.2,,,,percent of total billed charges,,3020.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4032.7374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23665-0510 TREAT DISLOCATION/FRACTURE W/ MANIPU,510,RC,23665,CPT,,,outpatient,,,3635,,1817.5,2181,3525.95,3416.9,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3017.05,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3438.71,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3525.95,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3198.8,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2911.635,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,3376.5515,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2911.9985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24535-0510 TREAT HUMERUS FRACTURE,510,RC,24535,CPT,,,outpatient,,,3798,,1899,2278.8,3684.06,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3042.198,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3527.9622,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3042.5778,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15221-0510 FULL THICKNESS GRAFT S/A/L; EA ADDL 20 SQ CM,510,RC,15221,CPT,,,outpatient,,,1882,,941,1129.2,1825.54,1769.08,,,,percent of total billed charges,,1505.6,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1562.06,,,,percent of total billed charges,,1693.8,,,,percent of total billed charges,,1731.44,,,,percent of total billed charges,,1731.44,,,,percent of total billed charges,,1780.372,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1825.54,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1656.16,,,,percent of total billed charges,,1693.8,,,,percent of total billed charges,,1507.482,,,,percent of total billed charges,,1693.8,,,,percent of total billed charges,,1129.2,,,,percent of total billed charges,,1748.1898,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1505.6,,,,percent of total billed charges,,1129.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1507.6702,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64596-0510 INS/RPLCMT PRQ ELTRD RA PN 1,510,RC,64596,CPT,,,outpatient,,,20600,,10300,12360,19982,19364,,,,percent of total billed charges,,16480,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,17098,,,,percent of total billed charges,,18540,,,,percent of total billed charges,,18952,,,,percent of total billed charges,,18952,,,,percent of total billed charges,,19487.6,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,19982,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,18128,,,,percent of total billed charges,,18540,,,,percent of total billed charges,,16500.6,,,,percent of total billed charges,,18540,,,,percent of total billed charges,,12360,,,,percent of total billed charges,,19135.34,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,16480,,,,percent of total billed charges,,12360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16502.66,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10006-0510 FNA BX W/US GDN EA ADDL,510,RC,10006,CPT,,,outpatient,,,831,,415.5,498.6,806.07,781.14,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,689.73,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,786.126,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,806.07,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,731.28,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,665.631,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,771.9159,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,665.7141,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 61020-0510 REMOVE BRAIN CAVITY FLUID,510,RC,61020,CPT,,,outpatient,,,2155,,1077.5,1293,2090.35,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1726.155,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2001.7795,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1726.3705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0460-0510 AUTOLOGOUS PRP FOR ULCERS, NON-DIABETIC",510,RC,G0460,HCPCS,,,outpatient,,,4311,,2155.5,2586.6,4181.67,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3453.111,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4004.4879,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3453.5421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYSTALS, FLUID (QUEST)",309,RC,89060,CPT,,,outpatient,,,118,,59,70.8,114.46,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,94.518,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,109.6102,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.5298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOFIBRINOGEN (MAYO),309,RC,82585,CPT,,,outpatient,,,216,,108,129.6,209.52,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,200.6424,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.0376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREDICTR PK (PROMETHEUS),309,RC,84999,CPT,,,outpatient,,,1287,,643.5,772.2,1248.39,1209.78,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1068.21,,,,percent of total billed charges,,1158.3,,,,percent of total billed charges,,1184.04,,,,percent of total billed charges,,1184.04,,,,percent of total billed charges,,1217.502,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1248.39,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1132.56,,,,percent of total billed charges,,1158.3,,,,percent of total billed charges,,1030.887,,,,percent of total billed charges,,1158.3,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,1195.4943,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1031.0157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55100-0510 DRAINAGE OF SCROTUM ABSCESS,510,RC,55100,CPT,,,outpatient,,,3833,,1916.5,2299.8,3718.01,3603.02,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3181.39,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3626.018,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3718.01,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3373.04,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,3070.233,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,3560.4737,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3070.6163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30802-0510 ABLTJ SOF TISS INF TURBS UNI/BI SUPEF INTRAMURAL,510,RC,30802,CPT,,,outpatient,,,3604,,1802,2162.4,3495.88,3387.76,,,,percent of total billed charges,,2883.2,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,2991.32,,,,percent of total billed charges,,3243.6,,,,percent of total billed charges,,3315.68,,,,percent of total billed charges,,3315.68,,,,percent of total billed charges,,3409.384,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,3495.88,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,3171.52,,,,percent of total billed charges,,3243.6,,,,percent of total billed charges,,2886.804,,,,percent of total billed charges,,3243.6,,,,percent of total billed charges,,2162.4,,,,percent of total billed charges,,3347.7556,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,2883.2,,,,percent of total billed charges,,2162.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2887.1644,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 60100-0510 BX THYROID PERC NEED CORE,510,RC,60100,CPT,,,outpatient,,,1663,,831.5,997.8,1613.11,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1332.063,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1544.7607,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1332.2293,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28092-0510 REMOVAL OF TOE LESIONS,510,RC,28092,CPT,,,outpatient,,,3798,,1899,2278.8,3684.06,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3042.198,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3527.9622,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3042.5778,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27685-0510 Revision of Lower Leg Tendon,510,RC,27685,CPT,,,outpatient,,,7651,,3825.5,4590.6,7421.47,7191.94,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6350.33,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7237.846,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7421.47,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6732.88,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,6128.451,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,7107.0139,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6129.2161,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY-COM 3.76 X 3.76 CM; PER SQ CM (15 UNITS),636,RC,Q4196,HCPCS,,,outpatient,,,251,,125.5,150.6,243.47,235.94,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,208.33,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,237.446,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,243.47,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,220.88,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,201.051,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,233.1539,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.0761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95131-0510 IMMNTX 2 STING INSECTS,510,RC,95131,CPT,,,outpatient,,,131,,65.5,78.6,127.07,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,104.931,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,121.6859,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.9441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95133-0510 IMMNTX 4 STING INSECTS,510,RC,95133,CPT,,,outpatient,,,136,,68,81.6,131.92,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,108.936,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,126.3304,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.9496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95148-0510 ANITGEN THERAPY SERVICES,510,RC,95148,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG J1566 IMMUNE GLOBULIN, POWDER",636,RC,J1566,HCPCS,,,outpatient,,,246,,123,147.6,238.62,231.24,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,204.18,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,232.716,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,238.62,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,216.48,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,197.046,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,228.5094,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.0706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S2083-0510 GASTRIC BAND ADJUSTMENT, PERCUTANEOUS",510,RC,S2083,HCPCS,,,outpatient,,,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92622-0471 DX ALY AUD OI SND PRCSR 1ST HOUR,471,RC,92622,CPT,,,outpatient,,,385,,192.5,231,373.45,361.9,,,,percent of total billed charges,,308,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,319.55,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,364.21,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,373.45,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,338.8,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,308.385,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,231,,,,percent of total billed charges,,357.6265,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,308,,,,percent of total billed charges,,231,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,308.4235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92623-0471 DX ALY AUD OI SND PRCSR EACH ADDL 15 MINS,471,RC,92623,CPT,,,outpatient,,,97,,48.5,58.2,94.09,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,77.697,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,90.1033,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.7067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24505-0510 Closed Tx Humerus Fx,510,RC,24505,CPT,,,outpatient,,,3635,,1817.5,2181,3525.95,3416.9,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3017.05,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3438.71,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3525.95,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3198.8,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2911.635,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,3376.5515,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2911.9985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93153-0510 INTERROGATION W/O PROGRAMMING IPNSS,510,RC,93153,CPT,,,outpatient,,,229,,114.5,137.4,222.13,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,183.429,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,212.7181,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.4519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOTO PATCH TEST SPECIFY NUMBER TSTS,924,RC,95052,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95145-0510 PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT,510,RC,95145,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20551 INJ SINGLE TENDON ORIGIN/INSERTION,510,RC,20551,CPT,,,outpatient,,,700,,350,420,679,658,,,,percent of total billed charges,,560,,,,percent of total billed charges,,665,,,,percent of total billed charges,,581,,,,percent of total billed charges,,630,,,,percent of total billed charges,,644,,,,percent of total billed charges,,644,,,,percent of total billed charges,,662.2,,,,percent of total billed charges,,665,,,,percent of total billed charges,,679,,,,percent of total billed charges,,665,,,,percent of total billed charges,,616,,,,percent of total billed charges,,630,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,630,,,,percent of total billed charges,,420,,,,percent of total billed charges,,650.23,,,,percent of total billed charges,,665,,,,percent of total billed charges,,665,,,,percent of total billed charges,,560,,,,percent of total billed charges,,420,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,560.77,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20982 ABLATE BONE TUMOR PERQ,510,RC,20982,CPT,,,outpatient,,,15184,,7592,9110.4,14728.48,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,12162.384,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,14104.4176,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12163.9024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22510 PERQ CERVICOTHORACIC INJ,510,RC,22510,CPT,,,outpatient,,,7614,,3807,4568.4,7385.58,7157.16,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6319.62,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7202.844,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7385.58,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6700.32,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,6098.814,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,7072.6446,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6099.5754,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22511 PERQ LUMBOSACRAL INJ,510,RC,22511,CPT,,,outpatient,,,7614,,3807,4568.4,7385.58,7157.16,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6319.62,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7202.844,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7385.58,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6700.32,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,6098.814,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,7072.6446,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6099.5754,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22512 VERTEBROPLASTY ADDL INJ,510,RC,22512,CPT,,,outpatient,,,3807,,1903.5,2284.2,3692.79,3578.58,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3159.81,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3601.422,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3692.79,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3350.16,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3049.407,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,3536.3223,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3049.7877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22513 PERQ VERTEBRAL AUGMENTATION THORACIC,510,RC,22513,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22514 PERQ VERTEBRAL AUGMENTATION LUMBAR,510,RC,22514,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22515 PER VERTEBRAL AUGMENTATION EA ADDL,510,RC,22515,CPT,,,outpatient,,,5896,,2948,3537.6,5719.12,5542.24,,,,percent of total billed charges,,4716.8,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,4893.68,,,,percent of total billed charges,,5306.4,,,,percent of total billed charges,,5424.32,,,,percent of total billed charges,,5424.32,,,,percent of total billed charges,,5577.616,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,5719.12,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,5188.48,,,,percent of total billed charges,,5306.4,,,,percent of total billed charges,,4722.696,,,,percent of total billed charges,,5306.4,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,5476.7944,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,4716.8,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4723.2856,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27093 INJ HIP X-RAY,510,RC,27093,CPT,,,outpatient,,,998,,499,598.8,968.06,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,799.398,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,927.0422,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,799.4978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27570 MANIPULATION KNEE JOINT,510,RC,27570,CPT,,,outpatient,,,3798,,1899,2278.8,3684.06,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3042.198,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3527.9622,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3042.5778,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62268 DRAIN SPINAL CORD CYST,510,RC,62268,CPT,,,outpatient,,,2144,,1072,1286.4,2079.68,2015.36,,,,percent of total billed charges,,1715.2,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1779.52,,,,percent of total billed charges,,1929.6,,,,percent of total billed charges,,1972.48,,,,percent of total billed charges,,1972.48,,,,percent of total billed charges,,2028.224,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2079.68,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1886.72,,,,percent of total billed charges,,1929.6,,,,percent of total billed charges,,1717.344,,,,percent of total billed charges,,1929.6,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,1991.5616,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1715.2,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1717.5584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62291 INJ DISC EA LVL CERV/THORAC,510,RC,62291,CPT,,,outpatient,,,606,,303,363.6,587.82,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,485.406,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,562.9134,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,485.4666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62322 INJ INTERLAMINAR LMBR/SAC,510,RC,62322,CPT,,,outpatient,,,2155,,1077.5,1293,2090.35,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1726.155,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2001.7795,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1726.3705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 63030 LAMNOTMY, 1 INTRSPC LUMBAR",510,RC,63030,CPT,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63663 REVISE SPINE ELECTRODE PERQ ARRAY,510,RC,63663,CPT,,,outpatient,,,7246,,3623,4347.6,7028.62,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,5804.046,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,6730.8094,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5804.7706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64487 TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION,510,RC,64487,CPT,,,outpatient,,,2676,,1338,1605.6,2595.72,2515.44,,,,percent of total billed charges,,2140.8,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2221.08,,,,percent of total billed charges,,2408.4,,,,percent of total billed charges,,2461.92,,,,percent of total billed charges,,2461.92,,,,percent of total billed charges,,2531.496,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2595.72,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2354.88,,,,percent of total billed charges,,2408.4,,,,percent of total billed charges,,2143.476,,,,percent of total billed charges,,2408.4,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,2485.7364,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2140.8,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2143.7436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64489 TAP BLOCK BILAT BY CONTINUOUS INFUSION,510,RC,64489,CPT,,,outpatient,,,7339,,3669.5,4403.4,7118.83,6898.66,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6091.37,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6942.694,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,7118.83,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6458.32,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,5878.539,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,6817.1971,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5879.2729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64555 IMPLANT NEUROSTIMULATOR ELECTRODE, PERIPHERAL NERVE",510,RC,64555,CPT,,,outpatient,,,7246,,3623,4347.6,7028.62,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,5804.046,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,6730.8094,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5804.7706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95990 REFILL/MAINT IMPLANT PUMP, DRUG DELIVERY",510,RC,95990,CPT,,,outpatient,,,726,,363,435.6,704.22,682.44,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,602.58,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,686.796,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,704.22,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,638.88,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,581.526,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,674.3814,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,581.5986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95991 REFILL/MAINT IMPLANT PUMP, PHYS/QHP",510,RC,95991,CPT,,,outpatient,,,635,,317.5,381,615.95,596.9,,,,percent of total billed charges,,508,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,527.05,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,600.71,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,615.95,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,558.8,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,508.635,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,381,,,,percent of total billed charges,,589.8515,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,508,,,,percent of total billed charges,,381,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,508.6985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0275T PERQ LAMINO/LAMINECTOMY LUMBAR,510,RC,0275T,HCPCS,,,outpatient,,,11553,,5776.5,6931.8,11206.41,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,9253.953,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,10731.5817,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9255.1083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0259 INJ SACROILIAC JT, ARTHROGRAPHY",510,RC,G0259,HCPCS,,,outpatient,,,2129,,1064.5,1277.4,2065.13,2001.26,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1767.07,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,2014.034,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2065.13,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1873.52,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1705.329,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,1977.6281,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1705.5419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0260 INJ SACROILIAC JT, ANESTH",510,RC,G0260,HCPCS,,,outpatient,,,1634,,817,980.4,1584.98,1535.96,,,,percent of total billed charges,,1307.2,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1356.22,,,,percent of total billed charges,,1470.6,,,,percent of total billed charges,,1503.28,,,,percent of total billed charges,,1503.28,,,,percent of total billed charges,,1545.764,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1584.98,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1437.92,,,,percent of total billed charges,,1470.6,,,,percent of total billed charges,,1308.834,,,,percent of total billed charges,,1470.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1517.8226,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1307.2,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1308.9974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11011-0510 Debride Skin Musc At Fx Site,510,RC,11011,CPT,,,outpatient,,,1663,,831.5,997.8,1613.11,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1332.063,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1544.7607,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1332.2293,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12045-0510 Intmd Rpr N-Hf/Genit12.6-20,510,RC,12045,CPT,,,outpatient,,,1484,,742,890.4,1439.48,1394.96,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1231.72,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1403.864,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1439.48,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1305.92,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,1188.684,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,1378.4876,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1188.8324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12056-0510 Intmd RPR Face/MM 20.1-30.0,510,RC,12056,CPT,,,outpatient,,,943,,471.5,565.8,914.71,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,755.343,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,875.9527,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,755.4373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14020-0510 Tis Trnfr S/A/L 10 sq cm/<,510,RC,14020,CPT,,,outpatient,,,4310,,2155,2586,4180.7,4051.4,,,,percent of total billed charges,,3448,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,3577.3,,,,percent of total billed charges,,3879,,,,percent of total billed charges,,3965.2,,,,percent of total billed charges,,3965.2,,,,percent of total billed charges,,4077.26,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,4180.7,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,3792.8,,,,percent of total billed charges,,3879,,,,percent of total billed charges,,3452.31,,,,percent of total billed charges,,3879,,,,percent of total billed charges,,2586,,,,percent of total billed charges,,4003.559,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,3448,,,,percent of total billed charges,,2586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3452.741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14302-0510 Tissue Transfer additional 30 sq cm,510,RC,14302,CPT,,,outpatient,,,4220,,2110,2532,4093.4,3966.8,,,,percent of total billed charges,,3376,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,3502.6,,,,percent of total billed charges,,3798,,,,percent of total billed charges,,3882.4,,,,percent of total billed charges,,3882.4,,,,percent of total billed charges,,3992.12,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,4093.4,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,3713.6,,,,percent of total billed charges,,3798,,,,percent of total billed charges,,3380.22,,,,percent of total billed charges,,3798,,,,percent of total billed charges,,2532,,,,percent of total billed charges,,3919.958,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,3376,,,,percent of total billed charges,,2532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3380.642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15201-0510 Skin Full Graft Trunk Aadd-On; EACH Add'l 20 SQ CM,510,RC,15201,CPT,,,outpatient,,,2145,,1072.5,1287,2080.65,2016.3,,,,percent of total billed charges,,1716,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,1780.35,,,,percent of total billed charges,,1930.5,,,,percent of total billed charges,,1973.4,,,,percent of total billed charges,,1973.4,,,,percent of total billed charges,,2029.17,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,2080.65,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,1887.6,,,,percent of total billed charges,,1930.5,,,,percent of total billed charges,,1718.145,,,,percent of total billed charges,,1930.5,,,,percent of total billed charges,,1287,,,,percent of total billed charges,,1992.4905,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,1716,,,,percent of total billed charges,,1287,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1718.3595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15630-0510 Delay of Flap or Sectioning of Flap; at eye/nose/ears/lips,510,RC,15630,CPT,,,outpatient,,,4289,,2144.5,2573.4,4160.33,4031.66,,,,percent of total billed charges,,3431.2,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,3559.87,,,,percent of total billed charges,,3860.1,,,,percent of total billed charges,,3945.88,,,,percent of total billed charges,,3945.88,,,,percent of total billed charges,,4057.394,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,4160.33,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,3774.32,,,,percent of total billed charges,,3860.1,,,,percent of total billed charges,,3435.489,,,,percent of total billed charges,,3860.1,,,,percent of total billed charges,,2573.4,,,,percent of total billed charges,,3984.0521,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,3431.2,,,,percent of total billed charges,,2573.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3435.9179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20525-0510 Removal of Foreign Body  Deep/Comp,510,RC,20525,CPT,,,outpatient,,,6717,,3358.5,4030.2,6515.49,6313.98,,,,percent of total billed charges,,5373.6,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,5575.11,,,,percent of total billed charges,,6045.3,,,,percent of total billed charges,,6179.64,,,,percent of total billed charges,,6179.64,,,,percent of total billed charges,,6354.282,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,6515.49,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,5910.96,,,,percent of total billed charges,,6045.3,,,,percent of total billed charges,,5380.317,,,,percent of total billed charges,,6045.3,,,,percent of total billed charges,,4030.2,,,,percent of total billed charges,,6239.4213,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,5373.6,,,,percent of total billed charges,,4030.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5380.9887,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21920-0510 BX, Soft Tis Back/Flank Supfic",510,RC,21920,CPT,,,outpatient,,,3833,,1916.5,2299.8,3718.01,3603.02,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3181.39,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3626.018,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3718.01,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3373.04,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,3070.233,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,3560.4737,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3070.6163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25031-0510 Incision & Drainage Forearm &/Wrist Bursa,510,RC,25031,CPT,,,outpatient,,,3780,,1890,2268,3666.6,3553.2,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3137.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3575.88,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3666.6,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3326.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,3027.78,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,3511.242,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3028.158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26735-0510 Open Tx Finger Fx Each,510,RC,26735,CPT,,,outpatient,,,7651,,3825.5,4590.6,7421.47,7191.94,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6350.33,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7237.846,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7421.47,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6732.88,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,6128.451,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,7107.0139,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6129.2161,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27200-0510 Closed Treatment Coccygeal Fracture,510,RC,27200,CPT,,,outpatient,,,558,,279,334.8,541.26,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,446.958,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,518.3262,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.0138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27503-0510 Treatment of Thigh Fracture,510,RC,27503,CPT,,,outpatient,,,3780,,1890,2268,3666.6,3553.2,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3137.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3575.88,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3666.6,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3326.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,3027.78,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,3511.242,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3028.158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27604-0510 Incision & Drainage Leg/Ankle Infected Bursa,510,RC,27604,CPT,,,outpatient,,,7614,,3807,4568.4,7385.58,7157.16,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6319.62,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7202.844,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7385.58,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6700.32,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,6098.814,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,7072.6446,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6099.5754,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27825-0510 Treat Lower Leg Fracture,510,RC,27825,CPT,,,outpatient,,,3798,,1899,2278.8,3684.06,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3042.198,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3527.9622,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3042.5778,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29700-0510 Removal/Revision Of Cast, Boot or Body",510,RC,29700,CPT,,,outpatient,,,635,,317.5,381,615.95,596.9,,,,percent of total billed charges,,508,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,527.05,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,600.71,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,615.95,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,558.8,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,508.635,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,381,,,,percent of total billed charges,,589.8515,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,508,,,,percent of total billed charges,,381,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,508.6985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46946-0510 Ligation of Int Hemorrhoid,510,RC,46946,CPT,,,outpatient,,,6637,,3318.5,3982.2,6437.89,6238.78,,,,percent of total billed charges,,5309.6,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,5508.71,,,,percent of total billed charges,,5973.3,,,,percent of total billed charges,,6106.04,,,,percent of total billed charges,,6106.04,,,,percent of total billed charges,,6278.602,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,6437.89,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,5840.56,,,,percent of total billed charges,,5973.3,,,,percent of total billed charges,,5316.237,,,,percent of total billed charges,,5973.3,,,,percent of total billed charges,,3982.2,,,,percent of total billed charges,,6165.1093,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,5309.6,,,,percent of total billed charges,,3982.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5316.9007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55876 -0510 Plmt Interstitial Dev Radiat Tx Prostate 1/Mult,510,RC,55876,CPT,,,outpatient,,,3259,,1629.5,1955.4,3161.23,3063.46,,,,percent of total billed charges,,2607.2,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,2704.97,,,,percent of total billed charges,,2933.1,,,,percent of total billed charges,,2998.28,,,,percent of total billed charges,,2998.28,,,,percent of total billed charges,,3083.014,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,3161.23,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,2867.92,,,,percent of total billed charges,,2933.1,,,,percent of total billed charges,,2610.459,,,,percent of total billed charges,,2933.1,,,,percent of total billed charges,,1955.4,,,,percent of total billed charges,,3027.2851,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,2607.2,,,,percent of total billed charges,,1955.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2610.7849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59015-0510 Chorionic villus sampling, any method",510,RC,59015,CPT,,,outpatient,,,1900,,950,1140,1843,1786,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1710,,,,percent of total billed charges,,1748,,,,percent of total billed charges,,1748,,,,percent of total billed charges,,1797.4,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1710,,,,percent of total billed charges,,1521.9,,,,percent of total billed charges,,1710,,,,percent of total billed charges,,1140,,,,percent of total billed charges,,1764.91,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1140,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1522.09,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65205-0510 REMV F.B.,EYE,SUPERF CONJUNC",510,RC,65205,CPT,,,outpatient,,,274,,137,164.4,265.78,257.56,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,227.42,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,259.204,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,265.78,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,241.12,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,219.474,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,254.5186,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,219.5014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65210-0510 REMV F.B.,EYE,EMBED CONJUNC",510,RC,65210,CPT,,,outpatient,,,854,,427,512.4,828.38,802.76,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,708.82,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,807.884,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,828.38,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,751.52,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,684.054,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,793.2806,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,684.1394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68530-0510 CLEARANCE OF TEAR DUCT,510,RC,68530,CPT,,,outpatient,,,625,,312.5,375,606.25,587.5,,,,percent of total billed charges,,500,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,518.75,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,575,,,,percent of total billed charges,,575,,,,percent of total billed charges,,591.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,606.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,550,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,500.625,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,375,,,,percent of total billed charges,,580.5625,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,500,,,,percent of total billed charges,,375,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,500.6875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95146-0510 Prepj & Antigen Allergen ImmunoTherapy 2 Insect,510,RC,95146,CPT,,,outpatient,,,102,,51,61.2,98.94,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,81.702,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,94.7478,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.7122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95147-0510 Prepj & Antigen Allergen ImmunoTherapy 3 Insect,510,RC,95147,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95149-0510 Prepj & Antigen Allergen ImmunoTherapy 5 Insect,510,RC,95149,CPT,,,outpatient,,,151,,75.5,90.6,146.47,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,120.951,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,140.2639,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.9661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0540T-0874 CAR-T Therapy Autolpgous Cell Admin,874,RC,0540T,HCPCS,,,outpatient,,,726,,363,435.6,704.22,682.44,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,602.58,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,686.796,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,704.22,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,638.88,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,581.526,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,674.3814,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,581.5986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0238-0410 Oth Resp Proc,  Indiv",410,RC,G0238,HCPCS,,,outpatient,,,71,,35.5,42.6,68.87,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,56.871,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,65.9519,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.8781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG V2510-0274 Contact lens, gas permeable, spherical, per len",274,RC,V2510,HCPCS,,,outpatient,,,218,,109,130.8,211.46,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,174.618,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,202.5002,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.6398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27096-0510 SACROILIAC JT INJECTION,510,RC,27096,CPT,,,outpatient,,,290,,145,174,281.3,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,232.29,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,269.381,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,232.319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 91200-0510 LIVER ELASTOGRAPHY W/O IMAG W/I&R,510,RC,91200,CPT,,,outpatient,,,383,,191.5,229.8,371.51,360.02,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,317.89,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,362.318,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,371.51,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,337.04,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,306.783,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,355.7687,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.8213,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52285-510 Cystourethroscopy & Treatment,510,RC,52285,CPT,,,outpatient,,,1253,,626.5,751.8,1215.41,1177.82,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1039.99,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1185.338,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1215.41,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1102.64,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,1003.653,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,1163.9117,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1003.7783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57288-0510 Repair Bladder Defect,510,RC,57288,CPT,,,outpatient,,,8525,,4262.5,5115,8269.25,8013.5,,,,percent of total billed charges,,6820,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,7075.75,,,,percent of total billed charges,,7672.5,,,,percent of total billed charges,,7843,,,,percent of total billed charges,,7843,,,,percent of total billed charges,,8064.65,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,8269.25,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,7502,,,,percent of total billed charges,,7672.5,,,,percent of total billed charges,,6828.525,,,,percent of total billed charges,,7672.5,,,,percent of total billed charges,,5115,,,,percent of total billed charges,,7918.8725,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,6820,,,,percent of total billed charges,,5115,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6829.3775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67914-510 Repair Ectropion Suture,510,RC,67914,CPT,,,outpatient,,,1253,,626.5,751.8,1215.41,1177.82,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1039.99,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1185.338,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1215.41,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1102.64,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,1003.653,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,1163.9117,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1003.7783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95134-510 Prof Services Allg Immntx w/Prv Xtrc 5 Stings Insect,510,RC,95134,CPT,,,outpatient,,,235,,117.5,141,227.95,220.9,,,,percent of total billed charges,,188,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,195.05,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,222.31,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,227.95,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,206.8,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,188.235,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,141,,,,percent of total billed charges,,218.2915,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,188,,,,percent of total billed charges,,141,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,188.2585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20703-510 Removal Intramedullary Drug Delivery Device,510,RC,20703,CPT,,,outpatient,,,6490,,3245,3894,6295.3,6100.6,,,,percent of total billed charges,,5192,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,5386.7,,,,percent of total billed charges,,5841,,,,percent of total billed charges,,5970.8,,,,percent of total billed charges,,5970.8,,,,percent of total billed charges,,6139.54,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,6295.3,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,5711.2,,,,percent of total billed charges,,5841,,,,percent of total billed charges,,5198.49,,,,percent of total billed charges,,5841,,,,percent of total billed charges,,3894,,,,percent of total billed charges,,6028.561,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,5192,,,,percent of total billed charges,,3894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5199.139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27198-0510 CLSD TX PELVIC RING FX,510,RC,27198,CPT,,,outpatient,,,558,,279,334.8,541.26,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,446.958,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,518.3262,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.0138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28090-0510 REMOVAL OF FOOT LESION,510,RC,28090,CPT,,,outpatient,,,2068,,1034,1240.8,2005.96,1943.92,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1716.44,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1956.328,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,2005.96,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1819.84,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1656.468,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,1920.9652,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1656.6748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52260-0510 CYSTOSCOPY AND TREATMENT,510,RC,52260,CPT,,,outpatient,,,4815,,2407.5,2889,4670.55,4526.1,,,,percent of total billed charges,,3852,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,3996.45,,,,percent of total billed charges,,4333.5,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,4554.99,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,4670.55,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,4333.5,,,,percent of total billed charges,,3856.815,,,,percent of total billed charges,,4333.5,,,,percent of total billed charges,,2889,,,,percent of total billed charges,,4472.6535,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,3852,,,,percent of total billed charges,,2889,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3857.2965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68100-0510 BIOPSY OF EYELID LINING,510,RC,68100,CPT,,,outpatient,,,5523,,2761.5,3313.8,5357.31,5191.62,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4584.09,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5224.758,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5357.31,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4860.24,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,4423.923,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,5130.3147,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4424.4753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69620-0510 REPAIR OF EARDRUM,510,RC,69620,CPT,,,outpatient,,,7610,,3805,4566,7381.7,7153.4,,,,percent of total billed charges,,6088,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,6316.3,,,,percent of total billed charges,,6849,,,,percent of total billed charges,,7001.2,,,,percent of total billed charges,,7001.2,,,,percent of total billed charges,,7199.06,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,7381.7,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,6696.8,,,,percent of total billed charges,,6849,,,,percent of total billed charges,,6095.61,,,,percent of total billed charges,,6849,,,,percent of total billed charges,,4566,,,,percent of total billed charges,,7068.929,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,6088,,,,percent of total billed charges,,4566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6096.371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 91112-0510 GI WIRELESS CAPSULE MEARSURE,510,RC,91112,CPT,,,outpatient,,,2142,,1071,1285.2,2077.74,2013.48,,,,percent of total billed charges,,1713.6,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1777.86,,,,percent of total billed charges,,1927.8,,,,percent of total billed charges,,1970.64,,,,percent of total billed charges,,1970.64,,,,percent of total billed charges,,2026.332,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2077.74,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1884.96,,,,percent of total billed charges,,1927.8,,,,percent of total billed charges,,1715.742,,,,percent of total billed charges,,1927.8,,,,percent of total billed charges,,1285.2,,,,percent of total billed charges,,1989.7038,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1713.6,,,,percent of total billed charges,,1285.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1715.9562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96573-0510 PDT DSTR PRMLG LES PHYS/QHP,510,RC,96573,CPT,,,outpatient,,,473,,236.5,283.8,458.81,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,378.873,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,439.3697,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,378.9203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67909-0510 REVISE EYELID DEFECT,510,RC,67909,CPT,,,outpatient,,,5523,,2761.5,3313.8,5357.31,5191.62,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4584.09,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5224.758,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5357.31,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4860.24,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,4423.923,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,5130.3147,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4424.4753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20701-0510 REMOVAL DEEP DRUG DELIVERY DEVICE,510,RC,20701,CPT,,,outpatient,,,2734,,1367,1640.4,2651.98,2569.96,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2269.22,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2586.364,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2651.98,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2405.92,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,2189.934,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,2539.6126,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2190.2074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59425-0510 ANTEPARTUM CARE ONLY 4-6 VISITS,510,RC,59425,CPT,,,outpatient,,,89,,44.5,53.4,86.33,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,71.289,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,82.6721,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.2979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64788-0510 REMOVE SKIN NERVE LESION,510,RC,64788,CPT,,,outpatient,,,4564,,2282,2738.4,4427.08,4290.16,,,,percent of total billed charges,,3651.2,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,3788.12,,,,percent of total billed charges,,4107.6,,,,percent of total billed charges,,4198.88,,,,percent of total billed charges,,4198.88,,,,percent of total billed charges,,4317.544,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,4427.08,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,4016.32,,,,percent of total billed charges,,4107.6,,,,percent of total billed charges,,3655.764,,,,percent of total billed charges,,4107.6,,,,percent of total billed charges,,2738.4,,,,percent of total billed charges,,4239.4996,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,3651.2,,,,percent of total billed charges,,2738.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3656.2204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94642-0410 AEROSOL INHALATION TREATMENT,510,RC,94642,CPT,,,outpatient,,,88,,44,52.8,85.36,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,70.488,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,81.7432,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.4968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 97811-0940 ACUPUNCTURE, WO STIMUL ADDL 15 MIN",940,RC,97811,CPT,,,outpatient,,,75,,37.5,45,72.75,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,60.075,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,69.6675,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.0825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97814-0940 ACUTPUNTURE W/STIMUL ADDL 15 MIN,940,RC,97814,CPT,,,outpatient,,,58,,29,34.8,56.26,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,53.8762,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.4638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTENSIVE CARE ROOM,200,RC,,,,,inpatient,,,4528,,2264,2716.8,4571.9216,4256.32,,,,percent of total billed charges,,3622.4,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,3758.24,,,,percent of total billed charges,,4075.2,,,,percent of total billed charges,,4165.76,,,,percent of total billed charges,,4165.76,,,,percent of total billed charges,,4283.488,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,4392.16,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,3984.64,,,,percent of total billed charges,,4075.2,,,,percent of total billed charges,,2934.144,,,,percent of total billed charges,,4075.2,,,,percent of total billed charges,,2716.8,,,,percent of total billed charges,,4571.9216,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,3622.4,,,,percent of total billed charges,,2716.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISOLATION ROOM,164,RC,,,,,inpatient,,,2093,,1046.5,1255.8,2113.3021,1967.42,,,,percent of total billed charges,,1674.4,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1737.19,,,,percent of total billed charges,,1883.7,,,,percent of total billed charges,,1925.56,,,,percent of total billed charges,,1925.56,,,,percent of total billed charges,,1979.978,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,2030.21,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1883.7,,,,percent of total billed charges,,1356.264,,,,percent of total billed charges,,1883.7,,,,percent of total billed charges,,1255.8,,,,percent of total billed charges,,2113.3021,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1674.4,,,,percent of total billed charges,,1255.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEWBORN ROOM,171,RC,,,,,inpatient,,,1077,,538.5,646.2,1087.4469,1012.38,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,893.91,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,990.84,,,,percent of total billed charges,,990.84,,,,percent of total billed charges,,1018.842,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,1044.69,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,947.76,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,697.896,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,1087.4469,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NN INTENSIVE CARE ROOM,174,RC,,,,,inpatient,,,4528,,2264,2716.8,4571.9216,4256.32,,,,percent of total billed charges,,3622.4,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,3758.24,,,,percent of total billed charges,,4075.2,,,,percent of total billed charges,,4165.76,,,,percent of total billed charges,,4165.76,,,,percent of total billed charges,,4283.488,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,4392.16,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,3984.64,,,,percent of total billed charges,,4075.2,,,,percent of total billed charges,,2934.144,,,,percent of total billed charges,,4075.2,,,,percent of total billed charges,,2716.8,,,,percent of total billed charges,,4571.9216,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,4301.6,,,,percent of total billed charges,,3622.4,,,,percent of total billed charges,,2716.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NN STEP DOWN II ROOM,172,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NN STEP DOWN ROOM,173,RC,,,,,inpatient,,,2620,,1310,1572,2645.414,2462.8,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2174.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2478.52,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2541.4,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2305.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1697.76,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,2645.414,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NURSERY,171,RC,,,,,inpatient,,,2254,,1127,1352.4,2275.8638,2118.76,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1870.82,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2132.284,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2186.38,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1460.592,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,2275.8638,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OB ROOM,112,RC,,,,,inpatient,,,2254,,1127,1352.4,2275.8638,2118.76,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1870.82,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2132.284,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2186.38,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1460.592,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,2275.8638,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSYCH ICU ROOM,124,RC,,,,,inpatient,,,3300,,1650,1980,3332.01,3102,,,,percent of total billed charges,,2640,,,,percent of total billed charges,,3135,,,,percent of total billed charges,,2739,,,,percent of total billed charges,,2970,,,,percent of total billed charges,,3036,,,,percent of total billed charges,,3036,,,,percent of total billed charges,,3121.8,,,,percent of total billed charges,,3135,,,,percent of total billed charges,,3201,,,,percent of total billed charges,,3135,,,,percent of total billed charges,,2904,,,,percent of total billed charges,,2970,,,,percent of total billed charges,,2138.4,,,,percent of total billed charges,,2970,,,,percent of total billed charges,,1980,,,,percent of total billed charges,,3332.01,,,,percent of total billed charges,,3135,,,,percent of total billed charges,,3135,,,,percent of total billed charges,,2640,,,,percent of total billed charges,,1980,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE ROOM,110,RC,,,,,inpatient,,,1941,,970.5,1164.6,1959.8277,1824.54,,,,percent of total billed charges,,1552.8,,,,percent of total billed charges,,1843.95,,,,percent of total billed charges,,1611.03,,,,percent of total billed charges,,1746.9,,,,percent of total billed charges,,1785.72,,,,percent of total billed charges,,1785.72,,,,percent of total billed charges,,1836.186,,,,percent of total billed charges,,1843.95,,,,percent of total billed charges,,1882.77,,,,percent of total billed charges,,1843.95,,,,percent of total billed charges,,1708.08,,,,percent of total billed charges,,1746.9,,,,percent of total billed charges,,1257.768,,,,percent of total billed charges,,1746.9,,,,percent of total billed charges,,1164.6,,,,percent of total billed charges,,1959.8277,,,,percent of total billed charges,,1843.95,,,,percent of total billed charges,,1843.95,,,,percent of total billed charges,,1552.8,,,,percent of total billed charges,,1164.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEP DOWN ROOM,206,RC,,,,,inpatient,,,3236,,1618,1941.6,3267.3892,3041.84,,,,percent of total billed charges,,2588.8,,,,percent of total billed charges,,3074.2,,,,percent of total billed charges,,2685.88,,,,percent of total billed charges,,2912.4,,,,percent of total billed charges,,2977.12,,,,percent of total billed charges,,2977.12,,,,percent of total billed charges,,3061.256,,,,percent of total billed charges,,3074.2,,,,percent of total billed charges,,3138.92,,,,percent of total billed charges,,3074.2,,,,percent of total billed charges,,2847.68,,,,percent of total billed charges,,2912.4,,,,percent of total billed charges,,2096.928,,,,percent of total billed charges,,2912.4,,,,percent of total billed charges,,1941.6,,,,percent of total billed charges,,3267.3892,,,,percent of total billed charges,,3074.2,,,,percent of total billed charges,,3074.2,,,,percent of total billed charges,,2588.8,,,,percent of total billed charges,,1941.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TELEMETRY ROOM,214,RC,,,,,inpatient,,,2093,,1046.5,1255.8,2113.3021,1967.42,,,,percent of total billed charges,,1674.4,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1737.19,,,,percent of total billed charges,,1883.7,,,,percent of total billed charges,,1925.56,,,,percent of total billed charges,,1925.56,,,,percent of total billed charges,,1979.978,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,2030.21,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1883.7,,,,percent of total billed charges,,1356.264,,,,percent of total billed charges,,1883.7,,,,percent of total billed charges,,1255.8,,,,percent of total billed charges,,2113.3021,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1988.35,,,,percent of total billed charges,,1674.4,,,,percent of total billed charges,,1255.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBSERVATION HOUR - TELEMETRY,762,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS - HOURLY CHARGE,762,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SD/ICU OBS - HOURLY CHARGE,762,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS-HOURLY-NO ABN,762,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS-HOURLY-ABN,762,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIRTHING ROOM - L&D,112,RC,,,,,inpatient,,,2254,,1127,1352.4,2275.8638,2118.76,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1870.82,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2073.68,,,,percent of total billed charges,,2132.284,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2186.38,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1460.592,,,,percent of total billed charges,,2028.6,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,2275.8638,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,2141.3,,,,percent of total billed charges,,1803.2,,,,percent of total billed charges,,1352.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENTAMICIN 80 MG VIAL,636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM BICARBONATE 50MEQ INJ,250,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BASILIXIMAB INJ PER 20MG,636,RC,,,,,inpatient,,,19410,,9705,11646,19598.277,18245.4,,,,percent of total billed charges,,15528,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,16110.3,,,,percent of total billed charges,,17469,,,,percent of total billed charges,,17857.2,,,,percent of total billed charges,,17857.2,,,,percent of total billed charges,,18361.86,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,18827.7,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,17080.8,,,,percent of total billed charges,,17469,,,,percent of total billed charges,,12577.68,,,,percent of total billed charges,,17469,,,,percent of total billed charges,,11646,,,,percent of total billed charges,,19598.277,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,18439.5,,,,percent of total billed charges,,15528,,,,percent of total billed charges,,11646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTEPORFIN INJ (VISUDYNE) PER 0.1MG,636,RC,,,,,inpatient,,,49,,24.5,29.4,49.4753,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,49.4753,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IFOSFAMIDE  1GM,636,RC,,,,,inpatient,,,119,,59.5,71.4,120.1543,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,120.1543,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OMALIZUMAB INJ 5 MG,636,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NITROGLYCERIN SPRAY - 12 GM,637,RC,,,,,inpatient,,,777,,388.5,466.2,784.5369,730.38,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,644.91,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,735.042,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,753.69,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,683.76,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,503.496,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,784.5369,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0.9% NS 250 ML,250,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASA 81 MG TAB,637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENADRYL-ORAL  - 50 MG,637,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENADRYL 50MG VIAL,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACCINE (FLUZONE) - 0.5ML,636,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROMETHAZINE - PER 50 MG,636,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM CHLORIDE SYRINGE,250,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, VALRUBICIN, INTRAVESICAL, 200 MG",636,RC,,,,,inpatient,,,6132,,3066,3679.2,6191.4804,5764.08,,,,percent of total billed charges,,4905.6,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5089.56,,,,percent of total billed charges,,5518.8,,,,percent of total billed charges,,5641.44,,,,percent of total billed charges,,5641.44,,,,percent of total billed charges,,5800.872,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5948.04,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5396.16,,,,percent of total billed charges,,5518.8,,,,percent of total billed charges,,3973.536,,,,percent of total billed charges,,5518.8,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,6191.4804,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,5825.4,,,,percent of total billed charges,,4905.6,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C), NONLYOPHILIZED, 500 MG",636,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESPIRATORY SYNCYTIAL VIRUS - PALIVIZUMAB (SYNAGIS) - PER 50MG,636,RC,,,,,inpatient,,,3642,,1821,2185.2,3677.3274,3423.48,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3022.86,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,3350.64,,,,percent of total billed charges,,3350.64,,,,percent of total billed charges,,3445.332,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3532.74,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3204.96,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,2360.016,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,2185.2,,,,percent of total billed charges,,3677.3274,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,3459.9,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,2185.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIB VACCINE, PRP-OMP, IM, 3 DOSE SCHEDULE, 0.5 ML",636,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHOTREXATE SODIUM, 50 MG",636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BUPIVACAINE LIPOSOME (EXPAREL), PER MG",636,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEPOLIZUMAB (NUCALA) PER 1 MG,636,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCTREOTIDE INJ,  25 MCG",636,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TEPROTUMUMAB (TEPEZZA), PER 10 MG",636,RC,,,,,inpatient,,,1532,,766,919.2,1546.8604,1440.08,,,,percent of total billed charges,,1225.6,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1271.56,,,,percent of total billed charges,,1378.8,,,,percent of total billed charges,,1409.44,,,,percent of total billed charges,,1409.44,,,,percent of total billed charges,,1449.272,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1486.04,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1348.16,,,,percent of total billed charges,,1378.8,,,,percent of total billed charges,,992.736,,,,percent of total billed charges,,1378.8,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1546.8604,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1455.4,,,,percent of total billed charges,,1225.6,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GI COCKTAIL - MAALOX MAX 10ML & LIDOCANE VISCOUS 2% 5ML- PER 15ML,250,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYALURONATE INJ (SUPARTZ) - PER 1 DOSE,636,RC,,,,,inpatient,,,1082,,541,649.2,1092.4954,1017.08,,,,percent of total billed charges,,865.6,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,898.06,,,,percent of total billed charges,,973.8,,,,percent of total billed charges,,995.44,,,,percent of total billed charges,,995.44,,,,percent of total billed charges,,1023.572,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,1049.54,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,952.16,,,,percent of total billed charges,,973.8,,,,percent of total billed charges,,701.136,,,,percent of total billed charges,,973.8,,,,percent of total billed charges,,649.2,,,,percent of total billed charges,,1092.4954,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,1027.9,,,,percent of total billed charges,,865.6,,,,percent of total billed charges,,649.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLU VIRUS VAC, QUAD (AIIV4), INACTIVATED, ADJUV, NO PRSV, 0.5 ML, IM",636,RC,,,,,inpatient,,,131,,65.5,78.6,132.2707,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,132.2707,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ., RISPERIDONE (RISPERDAL CONSTA). 0.5 MG",636,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, PALIPERIDONE PALMITATE,  EXTENDED RELEASE (INVEGA SUSTENNA) 1 MG",636,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, NALTREXONE, DEPOT FORM (VIVITROL) - PER 1 MG",636,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ., HALOPERIDOL, UP TO 5 MG",636,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, ARIPIPRAZOLE (ABILIFY MAINTENA), EXTENDED RELEASE, 1 MG",636,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ, ALTEPHASE, RECOMBINANT (CATHFLO ACTIVASE), 1 MG",636,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE (TESTOPEL) PER 75 MG TABLET,636,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BUPIVACAINE HCL PF (MARCAINE) 0.5%, INJECTION PER 1 ML",250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHOTREXATE OPHTH 400MCG/0.1ML PER DOSE,250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFEPIME INJ PER 500MG,636,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DAPTOMYCIN INJ PER 1MG,636,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEROPENEM INJ PER 100MG,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYALURONIDASE (HYLENEX) 150U/ML INJ PER 1 UNIT,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIAMCINOLONE  40MG/1ML VIAL (TRIESENCE), PER 1 MG",636,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOPEL 75MG PELLETS PER PELLET,636,RC,,,,,inpatient,,,338,,169,202.8,341.2786,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,341.2786,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DALBAVANCIN INJ PER 5MG,636,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUFENTANIL 50MCG/ML INJ (SUFENTA) - PER 1ML,250,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GANCICLOVIR OPHTH 2MG/0.1ML PER DOSE,250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE ENANTHATE 200MG/ML INJ PER 1MG,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIFEPRISTONE (MIFEPREX) 200MG ORAL TABLET PER TABLET,636,RC,,,,,inpatient,,,198,,99,118.8,199.9206,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,199.9206,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPIVACAINE HCL PF (MARCAINE) 0.25% INJ PER 1ML,250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ERAVACYCLINE (XERAVA) INJ PER 1MG,636,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNE GLOBULIN, GAMMA (GAMASTAN) PER 2ML",636,RC,,,,,inpatient,,,428,,214,256.8,432.1516,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,277.344,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,432.1516,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESMOPRESSIN ACETATE 4MCG/ML (DDAVP) PER 1MCG,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRIAMCINOLONE ACETONIDE  (KENALOG) PER 10MG,636,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACLOFEN (LIORESAL) INTRATHECAL PER 10MG,636,RC,,,,,inpatient,,,1064,,532,638.4,1074.3208,1000.16,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,883.12,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,1006.544,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1032.08,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,936.32,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,689.472,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,1074.3208,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ERTAPENEM SODIUM PER 500 MG,636,RC,,,,,inpatient,,,51,,25.5,30.6,51.4947,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,51.4947,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENTAMICIN 40MG/ML INJECTION UP TO 80 MG,636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROCHLORPERAZINE UP TO 10 MG,636,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALTEPLASE RECOMBINANT PER 1 MG,636,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECT, INTRAVITREAL VANCOMYCIN, PER DOSE",250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNE GLOBULIN (PRIVIGEN) NON-LYOPHILIZED INTRAVENOUS, PER 500MG",636,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABOBOTULINUMTOXINA (DYSPORT) PER 5 UNITS,636,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOCINOLONE ACETONIDE (ILUVIEN) PER 0.01 MG,636,RC,,,,,inpatient,,,2108,,1054,1264.8,2128.4476,1981.52,,,,percent of total billed charges,,1686.4,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,1749.64,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,1939.36,,,,percent of total billed charges,,1939.36,,,,percent of total billed charges,,1994.168,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,2044.76,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,1855.04,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,1365.984,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,1264.8,,,,percent of total billed charges,,2128.4476,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,2002.6,,,,percent of total billed charges,,1686.4,,,,percent of total billed charges,,1264.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMIKACIN SULFATE PER 100 MG,636,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOMETASONE FUROATE SINUS IMPLANT (SINUVA) PER 10 MCG,636,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTRELIN IMPLANT (SUPPRELIN LA) PER 50 MG IMPLANT,636,RC,,,,,inpatient,,,170686,,85343,102411.6,172341.6542,160444.84,,,,percent of total billed charges,,136548.8,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,141669.38,,,,percent of total billed charges,,153617.4,,,,percent of total billed charges,,157031.12,,,,percent of total billed charges,,157031.12,,,,percent of total billed charges,,161468.956,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,165565.42,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,150203.68,,,,percent of total billed charges,,153617.4,,,,percent of total billed charges,,110604.528,,,,percent of total billed charges,,153617.4,,,,percent of total billed charges,,102411.6,,,,percent of total billed charges,,172341.6542,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,162151.7,,,,percent of total billed charges,,136548.8,,,,percent of total billed charges,,102411.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDRALAZINE PER 25 MG TAB,250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYALURONATE SODIUM INTRAARTIC SYRINGE 1 MG (TRIVISC),636,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPOETIN ALFA-EPBX (RETACRIT) INJECTION FOR ESRD ON DIALYSIS PER 100UNITS,636,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXACILLIN SODIUM INJECTION PER 250MG,636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENRALIZUMAB (FASENRA) SUBCUT 30MG/ML SYRINGE PER 1MG,636,RC,,,,,inpatient,,,754,,377,452.4,761.3138,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,488.592,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,761.3138,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUPROLIDE ACETATE (LUPRON) INTRAMUSCULAR SYRINGE, PER 3.75MG",636,RC,,,,,inpatient,,,7449,,3724.5,4469.4,7521.2553,7002.06,,,,percent of total billed charges,,5959.2,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,6182.67,,,,percent of total billed charges,,6704.1,,,,percent of total billed charges,,6853.08,,,,percent of total billed charges,,6853.08,,,,percent of total billed charges,,7046.754,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,7225.53,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,6555.12,,,,percent of total billed charges,,6704.1,,,,percent of total billed charges,,4826.952,,,,percent of total billed charges,,6704.1,,,,percent of total billed charges,,4469.4,,,,percent of total billed charges,,7521.2553,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,7076.55,,,,percent of total billed charges,,5959.2,,,,percent of total billed charges,,4469.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPOETIN ALFA-EPBX (RETACRIT) INJECTION FOR NON-ESRD USE PER 1000 UNITS,636,RC,,,,,inpatient,,,39,,19.5,23.4,39.3783,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,39.3783,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLU VIRUS VAC, QUAD (CCIIV4), PRSV AND ANTIBIOTIC FREE, 0.5 ML, IM",636,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVONORGESTREL IUD (LILETTA) PER DEVICE,636,RC,,,,,inpatient,,,3994,,1997,2396.4,4032.7418,3754.36,,,,percent of total billed charges,,3195.2,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3315.02,,,,percent of total billed charges,,3594.6,,,,percent of total billed charges,,3674.48,,,,percent of total billed charges,,3674.48,,,,percent of total billed charges,,3778.324,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3874.18,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3514.72,,,,percent of total billed charges,,3594.6,,,,percent of total billed charges,,2588.112,,,,percent of total billed charges,,3594.6,,,,percent of total billed charges,,2396.4,,,,percent of total billed charges,,4032.7418,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3794.3,,,,percent of total billed charges,,3195.2,,,,percent of total billed charges,,2396.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HYALURONIDASE, OVINE, PF (VITRASE) PER 1 IU",636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VORICONAZOLE (VFEND IV) PER 10 MG,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NALTREXONE, DEPOT (VIVITROL) PER 1 MG",636,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIMATOPROST IMPLANT (DURYSTA) PER 1 MCG,636,RC,,,,,inpatient,,,895,,447.5,537,903.6815,841.3,,,,percent of total billed charges,,716,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,742.85,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,846.67,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,868.15,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,787.6,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,579.96,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,537,,,,percent of total billed charges,,903.6815,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,716,,,,percent of total billed charges,,537,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHYTONADIONE; VITAMIN K1 (AQUA-MEPHYTON) PER 1 MG,636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BELIMUMAB (BENLYSTA) INJECTION, PER 10MG",636,RC,,,,,inpatient,,,234,,117,140.4,236.2698,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,151.632,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,236.2698,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE BLUE, PER SYRINGE",636,RC,,,,,inpatient,,,745,,372.5,447,752.2265,700.3,,,,percent of total billed charges,,596,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,618.35,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,704.77,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,722.65,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,655.6,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,482.76,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,447,,,,percent of total billed charges,,752.2265,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,596,,,,percent of total billed charges,,447,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMDESIVIR (VEKLURY) PER 1MG,636,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CASIMERSEN (AMONDYS 45) PER 10MG,636,RC,,,,,inpatient,,,720,,360,432,726.984,676.8,,,,percent of total billed charges,,576,,,,percent of total billed charges,,684,,,,percent of total billed charges,,597.6,,,,percent of total billed charges,,648,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,681.12,,,,percent of total billed charges,,684,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,684,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,648,,,,percent of total billed charges,,466.56,,,,percent of total billed charges,,648,,,,percent of total billed charges,,432,,,,percent of total billed charges,,726.984,,,,percent of total billed charges,,684,,,,percent of total billed charges,,684,,,,percent of total billed charges,,576,,,,percent of total billed charges,,432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE GLOBULIN (GAMMAGARD) LIQUID PER 500 MG,636,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FILGRASTIM-SNDZ BIOSIMILAR INJECTION 1MCG (ZARXIO),636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OLODATEROL RESPIMAT (STRIVERDI) PER DEVICE,637,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B VACCINE (HEPLISAV-B) PER 0.5ML,636,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUOCINOLONE ACETONIDE (YUTIQ) INTRAVITREAL IMPLANT, PER 0.01MG",636,RC,,,,,inpatient,,,2249,,1124.5,1349.4,2270.8153,2114.06,,,,percent of total billed charges,,1799.2,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,1866.67,,,,percent of total billed charges,,2024.1,,,,percent of total billed charges,,2069.08,,,,percent of total billed charges,,2069.08,,,,percent of total billed charges,,2127.554,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,2181.53,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,1979.12,,,,percent of total billed charges,,2024.1,,,,percent of total billed charges,,1457.352,,,,percent of total billed charges,,2024.1,,,,percent of total billed charges,,1349.4,,,,percent of total billed charges,,2270.8153,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,2136.55,,,,percent of total billed charges,,1799.2,,,,percent of total billed charges,,1349.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUPROLIDE AACETATE (ELIGARD) INTRAMUSCULAR SYRINGE, PER 7.5MG",636,RC,,,,,inpatient,,,543,,271.5,325.8,548.2671,510.42,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,450.69,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,513.678,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,526.71,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,477.84,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,351.864,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,548.2671,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTOLOZONE & TAZOBACTAM (ZERBAXA) INJECTION - PER 75MG (50MG CEFTOLOZANE & 25MG TAZOBACTAM),636,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCOCCAL 15 VACCINE (VAXNEUVANCE) PER 0.5ML,636,RC,,,,,inpatient,,,392,,196,235.2,395.8024,368.48,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,325.36,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,370.832,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,380.24,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,344.96,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,254.016,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,395.8024,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAMMA GLOBULIN (GAMASTAN) IM INJECTION PER 1 ML,636,RC,,,,,inpatient,,,199,,99.5,119.4,200.9303,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,128.952,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,200.9303,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, DOCETAXEL, 1 MG",636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFAZOLIN SODIUM INJ PER 500 MG,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAPANESE ENCEPHALITIS VIRUS VACCINE IM PER 0.5 ML,636,RC,,,,,inpatient,,,576,,288,345.6,581.5872,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,373.248,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,581.5872,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INCLISIRAN (LEQVIO) PER MG,636,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORITAVANCIN (ORBACTIV) INJECTION PER 10 MG,636,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROMOSOZUMAB-AQQG (EVENITY) INJECTION PER 1 MG,636,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEZEPELUMAB-EKKO (TEZSPIRE) PER 1MG,636,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RISPERIDONE EXTENDED RELEASE (PERSERIS) PER 0.5MG,636,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALIPERIDONE PALMITATE  (INVEGA HAFYERA) 1092MG/3.5ML SYRINGE PER SYRINGE,636,RC,,,,,inpatient,,,50113,,25056.5,30067.8,50599.0961,47106.22,,,,percent of total billed charges,,40090.4,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,41593.79,,,,percent of total billed charges,,45101.7,,,,percent of total billed charges,,46103.96,,,,percent of total billed charges,,46103.96,,,,percent of total billed charges,,47406.898,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,48609.61,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,44099.44,,,,percent of total billed charges,,45101.7,,,,percent of total billed charges,,32473.224,,,,percent of total billed charges,,45101.7,,,,percent of total billed charges,,30067.8,,,,percent of total billed charges,,50599.0961,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,47607.35,,,,percent of total billed charges,,40090.4,,,,percent of total billed charges,,30067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALIPERIDONE PALMITATE  (INVEGA HAFYERA) 1560/5ML SYRINGE PER SYRINGE,636,RC,,,,,inpatient,,,75168,,37584,45100.8,75897.1296,70657.92,,,,percent of total billed charges,,60134.4,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,62389.44,,,,percent of total billed charges,,67651.2,,,,percent of total billed charges,,69154.56,,,,percent of total billed charges,,69154.56,,,,percent of total billed charges,,71108.928,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,72912.96,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,66147.84,,,,percent of total billed charges,,67651.2,,,,percent of total billed charges,,48708.864,,,,percent of total billed charges,,67651.2,,,,percent of total billed charges,,45100.8,,,,percent of total billed charges,,75897.1296,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,71409.6,,,,percent of total billed charges,,60134.4,,,,percent of total billed charges,,45100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FERRIC GLUCONATE COMPLEX (FERRLECIT) PER 12.5MG,636,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PIPERACILLIN NA/TAZOBACTAM NA (ZOSYN) INJ., 1 GM/0.125 GMS -1.125 GM",636,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TETANUS AND DIPHTHERIA TOXOIDS ADSORBED (TD), PRESERATIVE FREE - PER 0.5 ML",636,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BEZLOTOXUMAB (ZINPLAVA), PER 10 MG",636,RC,,,,,inpatient,,,171,,85.5,102.6,172.6587,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,110.808,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,172.6587,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BELIMUMAB (BENLYSTA), PER 10 MG",636,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINDAMYCIN INTRAVITREAL INJ PER 1MG/0.1ML,250,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FARICIMAB-SVOA INJECTION (VABYSMO) PER 0.1MG,636,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RANIBIZUMAB (SUSVIMO) INTRAVITREAL IMPLANT, PER 0.1MG",636,RC,,,,,inpatient,,,360,,180,216,363.492,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,233.28,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,363.492,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, BEVACIZUMAB-AWWB, BIOSIMILAR, (MVASI), 10 MG",636,RC,,,,,inpatient,,,290,,145,174,292.813,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,292.813,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORITAVANCIN (KIMYRSA) INJ, PER 10MG",636,RC,,,,,inpatient,,,184,,92,110.4,185.7848,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,185.7848,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), IM PER 0.5 ML",636,RC,,,,,inpatient,,,436,,218,261.6,440.2292,409.84,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,361.88,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,412.456,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,422.92,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,383.68,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,282.528,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,440.2292,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB-ATTO (AMJEVITA) PER 1MG,636,RC,,,,,inpatient,,,352,,176,211.2,355.4144,330.88,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,332.992,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,341.44,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,309.76,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,228.096,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,355.4144,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG YELLOW FEVER VACCINE (YF-VAX) PER DOSE,636,RC,,,,,inpatient,,,411,,205.5,246.6,414.9867,386.34,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,341.13,,,,percent of total billed charges,,369.9,,,,percent of total billed charges,,378.12,,,,percent of total billed charges,,378.12,,,,percent of total billed charges,,388.806,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,398.67,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,361.68,,,,percent of total billed charges,,369.9,,,,percent of total billed charges,,266.328,,,,percent of total billed charges,,369.9,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,414.9867,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,390.45,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MENINGOCOCCAL CONJ VACCINE, A,C,W,Y-TT (MENQUADFI) VACCINE, PER DOSE",636,RC,,,,,inpatient,,,286,,143,171.6,288.7742,268.84,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,237.38,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,270.556,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,277.42,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,251.68,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,185.328,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,288.7742,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BEYFORTUS - RSV MONOCLONAL ANTIBODY 0.5ML, PER DOSE",636,RC,,,,,inpatient,,,984,,492,590.4,993.5448,924.96,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,816.72,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,930.864,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,954.48,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,865.92,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,637.632,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,993.5448,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BEYFORTUS - RSV MONOCLONAL ANTIBODY 1ML, PER DOSE",636,RC,,,,,inpatient,,,984,,492,590.4,993.5448,924.96,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,816.72,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,930.864,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,954.48,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,865.92,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,637.632,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,993.5448,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AREXVY - RSV VACCINE 0.5ML, PER DOSE",636,RC,,,,,inpatient,,,456,,228,273.6,460.4232,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,295.488,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,460.4232,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XIPERE - TRIAMCINOLONE ACETONIDE (SUPRACHOROIDAL), PER 1MG",636,RC,,,,,inpatient,,,186,,93,111.6,187.8042,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,120.528,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,187.8042,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 10MCG TRS-SUC IM, 5-11 YRS-PFIZER",636,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 30MCG TRS-SUC IM, 12 YRS+ -PFIZER",636,RC,,,,,inpatient,,,409,,204.5,245.4,412.9673,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,265.032,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,412.9673,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC PREFILLED SYRINGE 30MCG TRS-SUC IM, 12 YRS+ -PFIZER",636,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 25 MCG/.25ML IM, 6 MONTHS-11 YRS-MODERNA",636,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 50 MCG/0.5ML IM, 12 YEARS+ - MODERNA",636,RC,,,,,inpatient,,,236,,118,141.6,238.2892,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,238.2892,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC PREFILLED SYRINGE 50 MCG/0.5ML IM, 12 YEARS+ - MODERNA",636,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEGCETACOPLAN (SYFOVRE) INTRIVITREAL PER 1MG,636,RC,,,,,inpatient,,,657,,328.5,394.2,663.3729,617.58,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,545.31,,,,percent of total billed charges,,591.3,,,,percent of total billed charges,,604.44,,,,percent of total billed charges,,604.44,,,,percent of total billed charges,,621.522,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,637.29,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,578.16,,,,percent of total billed charges,,591.3,,,,percent of total billed charges,,425.736,,,,percent of total billed charges,,591.3,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,663.3729,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,624.15,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NADOFARAGENE FIRADENOVEC-VNCG (ADSTILADRIN) PER DOSE,636,RC,,,,,inpatient,,,180000,,90000,108000,181746,169200,,,,percent of total billed charges,,144000,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,149400,,,,percent of total billed charges,,162000,,,,percent of total billed charges,,165600,,,,percent of total billed charges,,165600,,,,percent of total billed charges,,170280,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,174600,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,158400,,,,percent of total billed charges,,162000,,,,percent of total billed charges,,116640,,,,percent of total billed charges,,162000,,,,percent of total billed charges,,108000,,,,percent of total billed charges,,181746,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,171000,,,,percent of total billed charges,,144000,,,,percent of total billed charges,,108000,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SARSCOV2 VAC 2 X 2.5 ML MDV IM, 12 YRS+ -NOVAVAX",636,RC,,,,,inpatient,,,210,,105,126,212.037,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,212.037,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RSV VAC PREF, IM, BIVALENT (ABRYSVO) PER 0.5ML",636,RC,,,,,inpatient,,,477,,238.5,286.2,481.6269,448.38,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,395.91,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,451.242,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,462.69,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,419.76,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,309.096,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,481.6269,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AFLIBERCEPT (EYLEA HD) INTRAVITREAL PER 1MG,636,RC,,,,,inpatient,,,1477,,738.5,886.2,1491.3269,1388.38,,,,percent of total billed charges,,1181.6,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1225.91,,,,percent of total billed charges,,1329.3,,,,percent of total billed charges,,1358.84,,,,percent of total billed charges,,1358.84,,,,percent of total billed charges,,1397.242,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1432.69,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1299.76,,,,percent of total billed charges,,1329.3,,,,percent of total billed charges,,957.096,,,,percent of total billed charges,,1329.3,,,,percent of total billed charges,,886.2,,,,percent of total billed charges,,1491.3269,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1403.15,,,,percent of total billed charges,,1181.6,,,,percent of total billed charges,,886.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MIRIKIZUMAB (OMVOH) INFUSION, PER 1MG",636,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MIRIKIZUMAB (OMVOH) PREFILLED SC SYRINGE, PER 1MG",636,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANIFROLUMAB (SAPHNELO-FNIA) PREFILLED SC SYRINGE, PER 1MG",636,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARIPIPRAZOLE (ABILIFY ASIMTUFII) PREFILLED SYRINGE, PER 1MG",636,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PALIPERIDONE PALMITATE ER (INVEGA SUSTENNA) PREFILLED SYRINGE, PER 1MG",636,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RISPERIDONE ER (UZEDY) SUSPENSION PREFILLED SYRINGE, PER 1MG",636,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DUPILUMAB (DUPIXENT) 300MG/2ML PFS, PER 1MG",636,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4081 EPOETIN ALFA (EPOGEN) INJ PER 100 UNITS,636,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4081 EPOETIN ALFA (PROCRIT) INJ PER 100 UNITS,636,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, INFLUENZA VACCINE, ADJUVANTED (FLUAD)",636,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, INFLUENZA VACCINE (FLUCELVAX)",636,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECT, CABOTEGRAVIR 1 MG (APRETUDE)",636,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECT, ACETAZOLAMIDE SODIUM, UP TO 500 MG",636,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANTHARIDIN 0.7% TOPICAL (YCANTH) PER 1 DOSE (3.2MG),636,RC,,,,,inpatient,,,3083,,1541.5,1849.8,3112.9051,2898.02,,,,percent of total billed charges,,2466.4,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2558.89,,,,percent of total billed charges,,2774.7,,,,percent of total billed charges,,2836.36,,,,percent of total billed charges,,2836.36,,,,percent of total billed charges,,2916.518,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2990.51,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2713.04,,,,percent of total billed charges,,2774.7,,,,percent of total billed charges,,1997.784,,,,percent of total billed charges,,2774.7,,,,percent of total billed charges,,1849.8,,,,percent of total billed charges,,3112.9051,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2928.85,,,,percent of total billed charges,,2466.4,,,,percent of total billed charges,,1849.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MITOMYCIN, OPHTALMIC (MITOSOL) PER 0.2MG",636,RC,,,,,inpatient,,,1616,,808,969.6,1631.6752,1519.04,,,,percent of total billed charges,,1292.8,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1341.28,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,1486.72,,,,percent of total billed charges,,1486.72,,,,percent of total billed charges,,1528.736,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1567.52,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1422.08,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,1047.168,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,1631.6752,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1535.2,,,,percent of total billed charges,,1292.8,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B IMM GLOB INJ (NABI-HB) - 1 ML,636,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS A PEDIATRIC (VAQTA)  BILLED PER 0.5 ML,636,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE MDV (AFLURIA), PER 0.25 ML",636,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE,PED/ADOL,IM - 3 DOSE (ENGERIX) -  0.5 ML",636,RC,,,,,inpatient,,,37,,18.5,22.2,37.3589,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,37.3589,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DARBEPOETIN ALFA (ARANESP), ESRD ON DIALYSIS, PER 1 MCG",636,RC,,,,,inpatient,,,34,,17,20.4,34.3298,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,34.3298,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPOETIN ALFA (PROCRIT), NON-ESRD, PER 1000 UNITS",636,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DELIVERY CHARGE,722,RC,,,,,inpatient,,,7712,,3856,4627.2,7786.8064,7249.28,,,,percent of total billed charges,,6169.6,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,6400.96,,,,percent of total billed charges,,6940.8,,,,percent of total billed charges,,7095.04,,,,percent of total billed charges,,7095.04,,,,percent of total billed charges,,7295.552,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,7480.64,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,6786.56,,,,percent of total billed charges,,6940.8,,,,percent of total billed charges,,4997.376,,,,percent of total billed charges,,6940.8,,,,percent of total billed charges,,4627.2,,,,percent of total billed charges,,7786.8064,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,7326.4,,,,percent of total billed charges,,6169.6,,,,percent of total billed charges,,4627.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAUTERINE BALLOON,272,RC,,,,,inpatient,,,1813,,906.5,1087.8,1830.5861,1704.22,,,,percent of total billed charges,,1450.4,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1504.79,,,,percent of total billed charges,,1631.7,,,,percent of total billed charges,,1667.96,,,,percent of total billed charges,,1667.96,,,,percent of total billed charges,,1715.098,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1758.61,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1595.44,,,,percent of total billed charges,,1631.7,,,,percent of total billed charges,,1174.824,,,,percent of total billed charges,,1631.7,,,,percent of total billed charges,,1087.8,,,,percent of total billed charges,,1830.5861,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1722.35,,,,percent of total billed charges,,1450.4,,,,percent of total billed charges,,1087.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHOSCOPY,360,RC,,,,,inpatient,,,1645,,822.5,987,1660.9565,1546.3,,,,percent of total billed charges,,1316,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1365.35,,,,percent of total billed charges,,1480.5,,,,percent of total billed charges,,1513.4,,,,percent of total billed charges,,1513.4,,,,percent of total billed charges,,1556.17,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1595.65,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1447.6,,,,percent of total billed charges,,1480.5,,,,percent of total billed charges,,1065.96,,,,percent of total billed charges,,1480.5,,,,percent of total billed charges,,987,,,,percent of total billed charges,,1660.9565,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1562.75,,,,percent of total billed charges,,1316,,,,percent of total billed charges,,987,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CROUPETTE(INIT) W 24H 02,271,RC,,,,,inpatient,,,729,,364.5,437.4,736.0713,685.26,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,605.07,,,,percent of total billed charges,,656.1,,,,percent of total billed charges,,670.68,,,,percent of total billed charges,,670.68,,,,percent of total billed charges,,689.634,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,707.13,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,641.52,,,,percent of total billed charges,,656.1,,,,percent of total billed charges,,472.392,,,,percent of total billed charges,,656.1,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,736.0713,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,692.55,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INITIAL HEATED HUMIDIFIED HIGH FLOW CANNULA SYSTEM,271,RC,,,,,inpatient,,,854,,427,512.4,862.2838,802.76,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,708.82,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,807.884,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,828.38,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,751.52,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,862.2838,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUBQ HEATED HUMIDIFIED HIGH FLOW CANNULA SYSTEM,271,RC,,,,,inpatient,,,427,,213.5,256.2,431.1419,401.38,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,354.41,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,403.942,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,414.19,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,375.76,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,276.696,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,431.1419,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHOSCOPY ASSIST,360,RC,,,,,inpatient,,,1603,,801.5,961.8,1618.5491,1506.82,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1330.49,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1516.438,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1554.91,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1410.64,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1038.744,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,1618.5491,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATION CIRCUIT/USE,271,RC,,,,,inpatient,,,1097,,548.5,658.2,1107.6409,1031.18,,,,percent of total billed charges,,877.6,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,910.51,,,,percent of total billed charges,,987.3,,,,percent of total billed charges,,1009.24,,,,percent of total billed charges,,1009.24,,,,percent of total billed charges,,1037.762,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,1064.09,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,965.36,,,,percent of total billed charges,,987.3,,,,percent of total billed charges,,710.856,,,,percent of total billed charges,,987.3,,,,percent of total billed charges,,658.2,,,,percent of total billed charges,,1107.6409,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,1042.15,,,,percent of total billed charges,,877.6,,,,percent of total billed charges,,658.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NITRIC OXIDE PER HOUR,250,RC,,,,,inpatient,,,886,,443,531.6,894.5942,832.84,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,735.38,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,838.156,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,859.42,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,779.68,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,574.128,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,894.5942,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RABIES VIRUS VACCINE (RABAVERT) - PER 1 ML,636,RC,,,,,inpatient,,,653,,326.5,391.8,659.3341,613.82,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,541.99,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,617.738,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,633.41,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,574.64,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,423.144,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,659.3341,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"'HCHG HEPATITIS A VACCINE (HAVRIX), PER 1 ML",636,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG EA EXTREM W/RELATED PARASPINALS W/NCS AMP LAT D,922,RC,,,,,inpatient,,,398,,199,238.8,401.8606,374.12,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,330.34,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,376.508,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,386.06,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,350.24,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,257.904,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,401.8606,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG COMPLETE 5 OR MORE MUSCLES,922,RC,,,,,inpatient,,,673,,336.5,403.8,679.5281,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,436.104,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,679.5281,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG NONEXTREM MUSCLE W/NCS AMP LAT VEL,922,RC,,,,,inpatient,,,673,,336.5,403.8,679.5281,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,436.104,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,679.5281,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LD INSERT TEMP CATH FOL,361,RC,,,,,inpatient,,,473,,236.5,283.8,477.5881,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,306.504,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,477.5881,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEWBORN INTUBATION,361,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UMBILICAL CATH,361,RC,,,,,inpatient,,,607,,303.5,364.2,612.8879,570.58,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,503.81,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,574.222,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,588.79,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,534.16,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,393.336,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,612.8879,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUDITORY EVOKED POTENTIALS,471,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEWBORN RESUSCITATION,720,RC,,,,,inpatient,,,1233,,616.5,739.8,1244.9601,1159.02,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1023.39,,,,percent of total billed charges,,1109.7,,,,percent of total billed charges,,1134.36,,,,percent of total billed charges,,1134.36,,,,percent of total billed charges,,1166.418,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1196.01,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1085.04,,,,percent of total billed charges,,1109.7,,,,percent of total billed charges,,798.984,,,,percent of total billed charges,,1109.7,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,1244.9601,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,1171.35,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CIRCUMCISION (INIT 30),360,RC,,,,,inpatient,,,2788,,1394,1672.8,2815.0436,2620.72,,,,percent of total billed charges,,2230.4,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2314.04,,,,percent of total billed charges,,2509.2,,,,percent of total billed charges,,2564.96,,,,percent of total billed charges,,2564.96,,,,percent of total billed charges,,2637.448,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2704.36,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2453.44,,,,percent of total billed charges,,2509.2,,,,percent of total billed charges,,1806.624,,,,percent of total billed charges,,2509.2,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,2815.0436,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2648.6,,,,percent of total billed charges,,2230.4,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRENATAL CLASS,942,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONT GLUCOSE MONITORING,920,RC,,,,,inpatient,,,849,,424.5,509.4,857.2353,798.06,,,,percent of total billed charges,,679.2,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,704.67,,,,percent of total billed charges,,764.1,,,,percent of total billed charges,,781.08,,,,percent of total billed charges,,781.08,,,,percent of total billed charges,,803.154,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,823.53,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,747.12,,,,percent of total billed charges,,764.1,,,,percent of total billed charges,,550.152,,,,percent of total billed charges,,764.1,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,857.2353,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,806.55,,,,percent of total billed charges,,679.2,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EDUC MED NUTR INDL INIT 15 MIN,942,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EDUC MED NUTR INDL RE-AS 15 MI,942,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EDUC MED NUTRITION GRP 30 MIN,942,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSTOMY ED/30 MIN,942,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATIENT EDUCATION,942,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTENDED CARE NURSERY,172,RC,,,,,inpatient,,,2512,,1256,1507.2,2536.3664,2361.28,,,,percent of total billed charges,,2009.6,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2084.96,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,2311.04,,,,percent of total billed charges,,2311.04,,,,percent of total billed charges,,2376.352,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2436.64,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2210.56,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,1627.776,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,1507.2,,,,percent of total billed charges,,2536.3664,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2386.4,,,,percent of total billed charges,,2009.6,,,,percent of total billed charges,,1507.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAXIMUM CARE NURSERY,173,RC,,,,,inpatient,,,3585,,1792.5,2151,3619.7745,3369.9,,,,percent of total billed charges,,2868,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,2975.55,,,,percent of total billed charges,,3226.5,,,,percent of total billed charges,,3298.2,,,,percent of total billed charges,,3298.2,,,,percent of total billed charges,,3391.41,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,3477.45,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,3154.8,,,,percent of total billed charges,,3226.5,,,,percent of total billed charges,,2323.08,,,,percent of total billed charges,,3226.5,,,,percent of total billed charges,,2151,,,,percent of total billed charges,,3619.7745,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,3405.75,,,,percent of total billed charges,,2868,,,,percent of total billed charges,,2151,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG LTD,922,RC,,,,,inpatient,,,961,,480.5,576.6,970.3217,903.34,,,,percent of total billed charges,,768.8,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,797.63,,,,percent of total billed charges,,864.9,,,,percent of total billed charges,,884.12,,,,percent of total billed charges,,884.12,,,,percent of total billed charges,,909.106,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,932.17,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,845.68,,,,percent of total billed charges,,864.9,,,,percent of total billed charges,,622.728,,,,percent of total billed charges,,864.9,,,,percent of total billed charges,,576.6,,,,percent of total billed charges,,970.3217,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,912.95,,,,percent of total billed charges,,768.8,,,,percent of total billed charges,,576.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TENS/E STIM ATTEND-EA 15 MIN,430,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS ARTERIAL LINE PERCUT,361,RC,,,,,inpatient,,,1954,,977,1172.4,1972.9538,1836.76,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1621.82,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1848.484,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1895.38,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1719.52,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1266.192,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,1972.9538,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEWBORN RESUSCITATION,410,RC,,,,,inpatient,,,1305,,652.5,783,1317.6585,1226.7,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1083.15,,,,percent of total billed charges,,1174.5,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1234.53,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1265.85,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1148.4,,,,percent of total billed charges,,1174.5,,,,percent of total billed charges,,845.64,,,,percent of total billed charges,,1174.5,,,,percent of total billed charges,,783,,,,percent of total billed charges,,1317.6585,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1239.75,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,783,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PULM REHAB NON COPD, STRENGTH & ENDURANCE",948,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PULM REHAB NON COPD, OTHER THAN G0237",948,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABC VISIT,510,RC,,,,,inpatient,,,76,,38,45.6,76.7372,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,76.7372,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 66821-0510 DISCISSION 2ND MEMBRANE/LASER,510,RC,,,,,inpatient,,,1385,,692.5,831,1398.4345,1301.9,,,,percent of total billed charges,,1108,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1149.55,,,,percent of total billed charges,,1246.5,,,,percent of total billed charges,,1274.2,,,,percent of total billed charges,,1274.2,,,,percent of total billed charges,,1310.21,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1343.45,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1218.8,,,,percent of total billed charges,,1246.5,,,,percent of total billed charges,,897.48,,,,percent of total billed charges,,1246.5,,,,percent of total billed charges,,831,,,,percent of total billed charges,,1398.4345,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1315.75,,,,percent of total billed charges,,1108,,,,percent of total billed charges,,831,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL TRANSCUT,301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLINK REFLEX TEST,740,RC,,,,,inpatient,,,327,,163.5,196.2,330.1719,307.38,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,271.41,,,,percent of total billed charges,,294.3,,,,percent of total billed charges,,300.84,,,,percent of total billed charges,,300.84,,,,percent of total billed charges,,309.342,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,317.19,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,287.76,,,,percent of total billed charges,,294.3,,,,percent of total billed charges,,211.896,,,,percent of total billed charges,,294.3,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,330.1719,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,310.65,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD TRANSFUSION SERVICE,391,RC,,,,,inpatient,,,1326,,663,795.6,1338.8622,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,859.248,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1338.8622,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC MONITORED EXERCISE,943,RC,,,,,inpatient,,,198,,99,118.8,199.9206,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,199.9206,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVASCULAR STRESS TEST,482,RC,,,,,inpatient,,,1280,,640,768,1292.416,1203.2,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1062.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1210.88,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1241.6,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1126.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,829.44,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,768,,,,percent of total billed charges,,1292.416,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO HORM SQ/IM,331,RC,,,,,inpatient,,,470,,235,282,474.559,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,304.56,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,474.559,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO NONHORM SQ/IM,331,RC,,,,,inpatient,,,470,,235,282,474.559,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,304.56,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,474.559,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFUSION CHEMO 16-90MIN,335,RC,,,,,inpatient,,,1447,,723.5,868.2,1461.0359,1360.18,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1201.01,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1368.862,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1403.59,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1273.36,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,937.656,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,1461.0359,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMO, IV INFUSION ADDL HR",335,RC,,,,,inpatient,,,431,,215.5,258.6,435.1807,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,279.288,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,435.1807,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMO, IV PUSH, SNGL DRUG",335,RC,,,,,inpatient,,,470,,235,282,474.559,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,304.56,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,474.559,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO SUBARA/INTRAVENT,331,RC,,,,,inpatient,,,399,,199.5,239.4,402.8703,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,258.552,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,402.8703,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMOTHERAPY, INTO CNS",331,RC,,,,,inpatient,,,896,,448,537.6,904.6912,842.24,,,,percent of total billed charges,,716.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,743.68,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,824.32,,,,percent of total billed charges,,824.32,,,,percent of total billed charges,,847.616,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,869.12,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,788.48,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,580.608,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,904.6912,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,716.8,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRITICAL CARE, ADD'L 30 MIN",450,RC,,,,,inpatient,,,924,,462,554.4,932.9628,868.56,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,766.92,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,874.104,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,896.28,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,813.12,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,598.752,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,932.9628,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRITICAL CARE, FIRST HOUR",450,RC,,,,,inpatient,,,1948,,974,1168.8,1966.8956,1831.12,,,,percent of total billed charges,,1558.4,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1616.84,,,,percent of total billed charges,,1753.2,,,,percent of total billed charges,,1792.16,,,,percent of total billed charges,,1792.16,,,,percent of total billed charges,,1842.808,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1889.56,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1714.24,,,,percent of total billed charges,,1753.2,,,,percent of total billed charges,,1262.304,,,,percent of total billed charges,,1753.2,,,,percent of total billed charges,,1168.8,,,,percent of total billed charges,,1966.8956,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1850.6,,,,percent of total billed charges,,1558.4,,,,percent of total billed charges,,1168.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DECLOT VASCULAR DEVICE,360,RC,,,,,inpatient,,,709,,354.5,425.4,715.8773,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,459.432,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,715.8773,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0108 DIAB MGMT INDIVID EA 30 MIN,942,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIB MGMT GROUP EA30MIN,942,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERITO DIAL 1 EVAL INPT,802,RC,,,,,inpatient,,,696,,348,417.6,702.7512,654.24,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,577.68,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,658.416,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,675.12,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,612.48,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,451.008,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,702.7512,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIRECT ADMIT HOSPITAL OBSERV,762,RC,,,,,inpatient,,,853,,426.5,511.8,861.2741,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,861.2741,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER COMPLETE,483,RC,,,,,inpatient,,,1160,,580,696,1171.252,1090.4,,,,percent of total billed charges,,928,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,962.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1097.36,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1125.2,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1020.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,751.68,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,696,,,,percent of total billed charges,,1171.252,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,928,,,,percent of total billed charges,,696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER F/U,483,RC,,,,,inpatient,,,754,,377,452.4,761.3138,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,488.592,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,761.3138,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLOR FLOW DOPPLER,483,RC,,,,,inpatient,,,628,,314,376.8,634.0916,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,406.944,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,634.0916,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIALYSIS GRAFT DUPLEX  -UNI/BI,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOLTER MONITOR HOOK UP,731,RC,,,,,inpatient,,,1280,,640,768,1292.416,1203.2,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1062.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1177.6,,,,percent of total billed charges,,1210.88,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1241.6,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1126.4,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,829.44,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,768,,,,percent of total billed charges,,1292.416,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1024,,,,percent of total billed charges,,768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOLTER MONITOR - 24 HR ANALYSIS,731,RC,,,,,inpatient,,,822,,411,493.2,829.9734,772.68,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,682.26,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,756.24,,,,percent of total billed charges,,756.24,,,,percent of total billed charges,,777.612,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,797.34,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,723.36,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,532.656,,,,percent of total billed charges,,739.8,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,829.9734,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,780.9,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVENT MONITOR APPL W/INST,731,RC,,,,,inpatient,,,403,,201.5,241.8,406.9091,378.82,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,334.49,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,381.238,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,390.91,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,354.64,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,261.144,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,406.9091,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVENT MONITOR ANALYSIS,731,RC,,,,,inpatient,,,403,,201.5,241.8,406.9091,378.82,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,334.49,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,381.238,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,390.91,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,354.64,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,261.144,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,406.9091,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPHTHALM BIOMETRY BY US,A-SCAN",402,RC,,,,,inpatient,,,236,,118,141.6,238.2892,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,238.2892,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMONIA VACCINE,771,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE COMPLETE,480,RC,,,,,inpatient,,,993,,496.5,595.8,1002.6321,933.42,,,,percent of total billed charges,,794.4,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,824.19,,,,percent of total billed charges,,893.7,,,,percent of total billed charges,,913.56,,,,percent of total billed charges,,913.56,,,,percent of total billed charges,,939.378,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,963.21,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,873.84,,,,percent of total billed charges,,893.7,,,,percent of total billed charges,,643.464,,,,percent of total billed charges,,893.7,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,1002.6321,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,943.35,,,,percent of total billed charges,,794.4,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LIMITED F/U,483,RC,,,,,inpatient,,,628,,314,376.8,634.0916,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,406.944,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,634.0916,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEE COMPLETE,483,RC,,,,,inpatient,,,1596,,798,957.6,1611.4812,1500.24,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1324.68,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1509.816,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1548.12,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1404.48,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1034.208,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,1611.4812,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D ECHOCARDIOGRAM CHD,483,RC,,,,,inpatient,,,1160,,580,696,1171.252,1090.4,,,,percent of total billed charges,,928,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,962.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1097.36,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1125.2,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1020.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,751.68,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,696,,,,percent of total billed charges,,1171.252,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,928,,,,percent of total billed charges,,696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LIMITED F/U CHD,483,RC,,,,,inpatient,,,1092,,546,655.2,1102.5924,1026.48,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,906.36,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,1004.64,,,,percent of total billed charges,,1004.64,,,,percent of total billed charges,,1033.032,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,1059.24,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,960.96,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,707.616,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,1102.5924,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,1037.4,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ECHOCARDIOGRAM, STRESS",480,RC,,,,,inpatient,,,1160,,580,696,1171.252,1090.4,,,,percent of total billed charges,,928,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,962.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1097.36,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1125.2,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1020.8,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,751.68,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,696,,,,percent of total billed charges,,1171.252,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,1102,,,,percent of total billed charges,,928,,,,percent of total billed charges,,696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG DURING SURGERY,740,RC,,,,,inpatient,,,1043,,521.5,625.8,1053.1171,980.42,,,,percent of total billed charges,,834.4,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,865.69,,,,percent of total billed charges,,938.7,,,,percent of total billed charges,,959.56,,,,percent of total billed charges,,959.56,,,,percent of total billed charges,,986.678,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,1011.71,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,917.84,,,,percent of total billed charges,,938.7,,,,percent of total billed charges,,675.864,,,,percent of total billed charges,,938.7,,,,percent of total billed charges,,625.8,,,,percent of total billed charges,,1053.1171,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,990.85,,,,percent of total billed charges,,834.4,,,,percent of total billed charges,,625.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EEG, 41-60 MINUTES",740,RC,,,,,inpatient,,,1113,,556.5,667.8,1123.7961,1046.22,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,923.79,,,,percent of total billed charges,,1001.7,,,,percent of total billed charges,,1023.96,,,,percent of total billed charges,,1023.96,,,,percent of total billed charges,,1052.898,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,1079.61,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,979.44,,,,percent of total billed charges,,1001.7,,,,percent of total billed charges,,721.224,,,,percent of total billed charges,,1001.7,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,1123.7961,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,1057.35,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EEG, AWAKE AND ASLEEP",740,RC,,,,,inpatient,,,1036,,518,621.6,1046.0492,973.84,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,859.88,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,980.056,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,1004.92,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,911.68,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,671.328,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,1046.0492,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EEG, AWAKE AND DROWSY",740,RC,,,,,inpatient,,,1036,,518,621.6,1046.0492,973.84,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,859.88,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,980.056,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,1004.92,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,911.68,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,671.328,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,1046.0492,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG 61-199 MIN,740,RC,,,,,inpatient,,,1306,,653,783.6,1318.6682,1227.64,,,,percent of total billed charges,,1044.8,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1083.98,,,,percent of total billed charges,,1175.4,,,,percent of total billed charges,,1201.52,,,,percent of total billed charges,,1201.52,,,,percent of total billed charges,,1235.476,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1266.82,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1149.28,,,,percent of total billed charges,,1175.4,,,,percent of total billed charges,,846.288,,,,percent of total billed charges,,1175.4,,,,percent of total billed charges,,783.6,,,,percent of total billed charges,,1318.6682,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1240.7,,,,percent of total billed charges,,1044.8,,,,percent of total billed charges,,783.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EKG 12 LEAD,730,RC,,,,,inpatient,,,306,,153,183.6,308.9682,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,198.288,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,308.9682,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTR STIM BRAIN ADDL HR,740,RC,,,,,inpatient,,,907,,453.5,544.2,915.7979,852.58,,,,percent of total billed charges,,725.6,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,752.81,,,,percent of total billed charges,,816.3,,,,percent of total billed charges,,834.44,,,,percent of total billed charges,,834.44,,,,percent of total billed charges,,858.022,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,879.79,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,798.16,,,,percent of total billed charges,,816.3,,,,percent of total billed charges,,587.736,,,,percent of total billed charges,,816.3,,,,percent of total billed charges,,544.2,,,,percent of total billed charges,,915.7979,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,861.65,,,,percent of total billed charges,,725.6,,,,percent of total billed charges,,544.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTR STIM BRAIN INIT HR,740,RC,,,,,inpatient,,,1817,,908.5,1090.2,1834.6249,1707.98,,,,percent of total billed charges,,1453.6,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1508.11,,,,percent of total billed charges,,1635.3,,,,percent of total billed charges,,1671.64,,,,percent of total billed charges,,1671.64,,,,percent of total billed charges,,1718.882,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1762.49,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1635.3,,,,percent of total billed charges,,1177.416,,,,percent of total billed charges,,1635.3,,,,percent of total billed charges,,1090.2,,,,percent of total billed charges,,1834.6249,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1726.15,,,,percent of total billed charges,,1453.6,,,,percent of total billed charges,,1090.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACCINE,771,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, AS 2ND",771,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L1,450,RC,,,,,inpatient,,,292,,146,175.2,294.8324,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,294.8324,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L2,450,RC,,,,,inpatient,,,359,,179.5,215.4,362.4823,337.46,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,297.97,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,339.614,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,348.23,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,315.92,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,232.632,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,362.4823,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L3,450,RC,,,,,inpatient,,,486,,243,291.6,490.7142,456.84,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,403.38,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,459.756,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.42,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,314.928,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,490.7142,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L4,450,RC,,,,,inpatient,,,792,,396,475.2,799.6824,744.48,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,657.36,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,749.232,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,696.96,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,513.216,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,799.6824,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMERGENCY DEPT VISIT L5,450,RC,,,,,inpatient,,,1201,,600.5,720.6,1212.6497,1128.94,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,996.83,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1136.146,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1164.97,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1056.88,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,778.248,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,1212.6497,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROTID DUPLEX BILATERAL/COMPLETE,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROTID DUPLEX UNI/LTD,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABI W/O EXERCISE - BI,921,RC,,,,,inpatient,,,731,,365.5,438.6,738.0907,687.14,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,606.73,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,691.526,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,709.07,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,473.688,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,738.0907,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABI/PVR LE W EXER BILATERAL,921,RC,,,,,inpatient,,,1421,,710.5,852.6,1434.7837,1335.74,,,,percent of total billed charges,,1136.8,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1179.43,,,,percent of total billed charges,,1278.9,,,,percent of total billed charges,,1307.32,,,,percent of total billed charges,,1307.32,,,,percent of total billed charges,,1344.266,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1378.37,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1250.48,,,,percent of total billed charges,,1278.9,,,,percent of total billed charges,,920.808,,,,percent of total billed charges,,1278.9,,,,percent of total billed charges,,852.6,,,,percent of total billed charges,,1434.7837,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1349.95,,,,percent of total billed charges,,1136.8,,,,percent of total billed charges,,852.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVR UE/LE W/O EXERCISE BILATERAL,921,RC,,,,,inpatient,,,819,,409.5,491.4,826.9443,769.86,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,679.77,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,774.774,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,794.43,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,720.72,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,530.712,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,826.9443,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENOUS DUPLEX UE/LE BILATERAL,921,RC,,,,,inpatient,,,1146,,573,687.6,1157.1162,1077.24,,,,percent of total billed charges,,916.8,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,951.18,,,,percent of total billed charges,,1031.4,,,,percent of total billed charges,,1054.32,,,,percent of total billed charges,,1054.32,,,,percent of total billed charges,,1084.116,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,1111.62,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,1008.48,,,,percent of total billed charges,,1031.4,,,,percent of total billed charges,,742.608,,,,percent of total billed charges,,1031.4,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,1157.1162,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,1088.7,,,,percent of total billed charges,,916.8,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93971-0921 VENOUS DUPLEX UE/LE UNI/LTD,921,RC,,,,,inpatient,,,1199,,599.5,719.4,1210.6303,1127.06,,,,percent of total billed charges,,959.2,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,995.17,,,,percent of total billed charges,,1079.1,,,,percent of total billed charges,,1103.08,,,,percent of total billed charges,,1103.08,,,,percent of total billed charges,,1134.254,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,1163.03,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,1055.12,,,,percent of total billed charges,,1079.1,,,,percent of total billed charges,,776.952,,,,percent of total billed charges,,1079.1,,,,percent of total billed charges,,719.4,,,,percent of total billed charges,,1210.6303,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,1139.05,,,,percent of total billed charges,,959.2,,,,percent of total billed charges,,719.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL BIOPHYS PROFILE W/NST,402,RC,,,,,inpatient,,,366,,183,219.6,369.5502,344.04,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,303.78,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,346.236,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,355.02,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,322.08,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,237.168,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,369.5502,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMLY PSYCHOTH W/O PT 20-44 MIN,916,RC,,,,,inpatient,,,380,,190,228,383.686,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,246.24,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,383.686,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAIT TRAIN EA 15MIN,421,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRP PSYCHOTHERAPY 45-74 MIN,915,RC,,,,,inpatient,,,212,,106,127.2,214.0564,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,137.376,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,214.0564,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMODIAL 1 EVAL INPT,801,RC,,,,,inpatient,,,889,,444.5,533.4,897.6233,835.66,,,,percent of total billed charges,,711.2,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,737.87,,,,percent of total billed charges,,800.1,,,,percent of total billed charges,,817.88,,,,percent of total billed charges,,817.88,,,,percent of total billed charges,,840.994,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,862.33,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,782.32,,,,percent of total billed charges,,800.1,,,,percent of total billed charges,,576.072,,,,percent of total billed charges,,800.1,,,,percent of total billed charges,,533.4,,,,percent of total billed charges,,897.6233,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,844.55,,,,percent of total billed charges,,711.2,,,,percent of total billed charges,,533.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HYDRATE IV INFUSION, ADD-ON",260,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IV HYDRATION, INIT; 31 - 60 MINUTES",260,RC,,,,,inpatient,,,343,,171.5,205.8,346.3271,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,222.264,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,346.3271,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICC W/O PORT 5+ YRS W/O IMAGE,361,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOLTER MONITOR 48 HRS-ANALYSIS,731,RC,,,,,inpatient,,,2557,,1278.5,1534.2,2581.8029,2403.58,,,,percent of total billed charges,,2045.6,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2122.31,,,,percent of total billed charges,,2301.3,,,,percent of total billed charges,,2352.44,,,,percent of total billed charges,,2352.44,,,,percent of total billed charges,,2418.922,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2480.29,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2250.16,,,,percent of total billed charges,,2301.3,,,,percent of total billed charges,,1656.936,,,,percent of total billed charges,,2301.3,,,,percent of total billed charges,,1534.2,,,,percent of total billed charges,,2581.8029,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2429.15,,,,percent of total billed charges,,2045.6,,,,percent of total billed charges,,1534.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX LE BILATERAL,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX LE UNI/LTD,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANUAL THERAPY - 15 MINS,431,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANUAL THERAPY-EA 15 MIN,421,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECH REMOV TUNNELED CV CATH,360,RC,,,,,inpatient,,,2207,,1103.5,1324.2,2228.4079,2074.58,,,,percent of total billed charges,,1765.6,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,1831.81,,,,percent of total billed charges,,1986.3,,,,percent of total billed charges,,2030.44,,,,percent of total billed charges,,2030.44,,,,percent of total billed charges,,2087.822,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,2140.79,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,1942.16,,,,percent of total billed charges,,1986.3,,,,percent of total billed charges,,1430.136,,,,percent of total billed charges,,1986.3,,,,percent of total billed charges,,1324.2,,,,percent of total billed charges,,2228.4079,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,2096.65,,,,percent of total billed charges,,1765.6,,,,percent of total billed charges,,1324.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECHANICAL TRACTION,421,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSLT/MWT >6 HRS,920,RC,,,,,inpatient,,,5138,,2569,3082.8,5187.8386,4829.72,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4264.54,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4860.548,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4983.86,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4521.44,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3329.424,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,5187.8386,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRANIAL EMG, UNILATERAL",922,RC,,,,,inpatient,,,486,,243,291.6,490.7142,456.84,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,403.38,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,459.756,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.42,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,314.928,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,490.7142,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR-CRANIAL NERVE-UNILATERAL,922,RC,,,,,inpatient,,,881,,440.5,528.6,889.5457,828.14,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,731.23,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,833.426,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,854.57,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,775.28,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,570.888,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,889.5457,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRANIAL EMG, BILATERAL",922,RC,,,,,inpatient,,,1064,,532,638.4,1074.3208,1000.16,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,883.12,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,1006.544,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1032.08,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,936.32,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,689.472,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,1074.3208,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR-CRANIAL NERVE-BILATERAL,922,RC,,,,,inpatient,,,1760,,880,1056,1777.072,1654.4,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1460.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1664.96,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1548.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1140.48,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,1777.072,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, 2 LIMBS",922,RC,,,,,inpatient,,,1126,,563,675.6,1136.9222,1058.44,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,934.58,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1065.196,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1092.22,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,990.88,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,729.648,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,1136.9222,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EMG-2 EXTREMITIES-UPPER BI,922,RC,,,,,inpatient,,,1126,,563,675.6,1136.9222,1058.44,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,934.58,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1035.92,,,,percent of total billed charges,,1065.196,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1092.22,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,990.88,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,729.648,,,,percent of total billed charges,,1013.4,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,1136.9222,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,1069.7,,,,percent of total billed charges,,900.8,,,,percent of total billed charges,,675.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EMG-2 EXTREMITIES-LOWER BI,922,RC,,,,,inpatient,,,1029,,514.5,617.4,1038.9813,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,666.792,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,1038.9813,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EMG 2 EXTREMITIES,922,RC,,,,,inpatient,,,1029,,514.5,617.4,1038.9813,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,666.792,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,1038.9813,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, 3 LIMBS",922,RC,,,,,inpatient,,,1308,,654,784.8,1320.6876,1229.52,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1085.64,,,,percent of total billed charges,,1177.2,,,,percent of total billed charges,,1203.36,,,,percent of total billed charges,,1203.36,,,,percent of total billed charges,,1237.368,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1268.76,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1151.04,,,,percent of total billed charges,,1177.2,,,,percent of total billed charges,,847.584,,,,percent of total billed charges,,1177.2,,,,percent of total billed charges,,784.8,,,,percent of total billed charges,,1320.6876,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1242.6,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,784.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG - FOUR EXTREMITIES,922,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, ONE LIMB",922,RC,,,,,inpatient,,,948,,474,568.8,957.1956,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,614.304,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,957.1956,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUSCLE TEST, ONE LIMB",922,RC,,,,,inpatient,,,866,,433,519.6,874.4002,814.04,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,718.78,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,819.236,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,840.02,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,762.08,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,561.168,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,874.4002,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOTOR EVOC UPPER LIMBS,920,RC,,,,,inpatient,,,2259,,1129.5,1355.4,2280.9123,2123.46,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,1874.97,,,,percent of total billed charges,,2033.1,,,,percent of total billed charges,,2078.28,,,,percent of total billed charges,,2078.28,,,,percent of total billed charges,,2137.014,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,2191.23,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,1987.92,,,,percent of total billed charges,,2033.1,,,,percent of total billed charges,,1463.832,,,,percent of total billed charges,,2033.1,,,,percent of total billed charges,,1355.4,,,,percent of total billed charges,,2280.9123,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,2146.05,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1355.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMUSC JCT REP STIM EA,922,RC,,,,,inpatient,,,1057,,528.5,634.2,1067.2529,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,684.936,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,1067.2529,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMUSC RE-ED EA 15MIN,421,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OB NON-STRESS TESTING,920,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US >/= 14 WKS, SNGL FETUS",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 2",510,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 4",510,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 5",510,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 3",510,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 1",510,RC,,,,,inpatient,,,177,,88.5,106.2,178.7169,166.38,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,146.91,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,167.442,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,171.69,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,155.76,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,114.696,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,178.7169,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 4",510,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPAT VISIT, NEW LEVEL 5",510,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 3",510,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 2",510,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERITO DIAL >1EVAL OP,831,RC,,,,,inpatient,,,1738,,869,1042.8,1754.8586,1633.72,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1442.54,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1644.148,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1685.86,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1529.44,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1126.224,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,1754.8586,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR MEP - LOWER,920,RC,,,,,inpatient,,,1763,,881.5,1057.8,1780.1011,1657.22,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1463.29,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1667.798,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1710.11,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1551.44,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1142.424,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,1780.1011,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORNISH ADVANTAGE PROGRAM VISIT,942,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT GROUP TX,433,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT-TREATMENT,431,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT THERAP EX EA 15MIN,421,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY AGE 6 YRS OR OLDER W/CPAP,920,RC,,,,,inpatient,,,5138,,2569,3082.8,5187.8386,4829.72,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4264.54,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4860.548,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4983.86,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4521.44,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3329.424,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,5187.8386,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY 6 YEARS OR OLDER 4 OR MORE,920,RC,,,,,inpatient,,,4881,,2440.5,2928.6,4928.3457,4588.14,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4051.23,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4617.426,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4734.57,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4295.28,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,3162.888,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,4928.3457,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT GROUP TX,423,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIOGRAPHIC SWALLOWING EVAL,444,RC,,,,,inpatient,,,744,,372,446.4,751.2168,699.36,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,617.52,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,703.824,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,721.68,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,654.72,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,482.112,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,751.2168,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REFILL/MAINT PUMP/RESVR SYST,335,RC,,,,,inpatient,,,2524,,1262,1514.4,2548.4828,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1635.552,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2548.4828,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EYLEA 1 MG,636,RC,,,,,inpatient,,,4163,,2081.5,2497.8,4203.3811,3913.22,,,,percent of total billed charges,,3330.4,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3455.29,,,,percent of total billed charges,,3746.7,,,,percent of total billed charges,,3829.96,,,,percent of total billed charges,,3829.96,,,,percent of total billed charges,,3938.198,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,4038.11,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3663.44,,,,percent of total billed charges,,3746.7,,,,percent of total billed charges,,2697.624,,,,percent of total billed charges,,3746.7,,,,percent of total billed charges,,2497.8,,,,percent of total billed charges,,4203.3811,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3954.85,,,,percent of total billed charges,,3330.4,,,,percent of total billed charges,,2497.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67110-0510 DEST CYCLOPHOTOCOAGULATI,510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY - UNATTENDED,920,RC,,,,,inpatient,,,554,,277,332.4,559.3738,520.76,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,459.82,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,524.084,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,537.38,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,487.52,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,358.992,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,559.3738,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT TEMP CATH BLADDER,361,RC,,,,,inpatient,,,409,,204.5,245.4,412.9673,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,265.032,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,412.9673,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER UNSCHEDULED RETURN VISIT,450,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE,300,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SEP, UPPER EXTREMITY",922,RC,,,,,inpatient,,,2672,,1336,1603.2,2697.9184,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1731.456,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2697.9184,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR - SSEP - UPPER,920,RC,,,,,inpatient,,,2672,,1336,1603.2,2697.9184,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1731.456,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2697.9184,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEP - LOWER EXTREMITY,922,RC,,,,,inpatient,,,2672,,1336,1603.2,2697.9184,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1731.456,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2697.9184,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR - SSEP - LOWER,920,RC,,,,,inpatient,,,2672,,1336,1603.2,2697.9184,2511.68,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2217.76,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2458.24,,,,percent of total billed charges,,2527.712,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2591.84,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2351.36,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1731.456,,,,percent of total billed charges,,2404.8,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,2697.9184,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2538.4,,,,percent of total billed charges,,2137.6,,,,percent of total billed charges,,1603.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SP/LG VOICE TX,441,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SW EVAL,444,RC,,,,,inpatient,,,744,,372,446.4,751.2168,699.36,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,617.52,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,703.824,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,721.68,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,654.72,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,482.112,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,751.2168,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SW TX,441,RC,,,,,inpatient,,,395,,197.5,237,398.8315,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,255.96,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,398.8315,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TENS/E STIM ATTEND-EA 15 MIN,421,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DG IV INF,ADD-ON",260,RC,,,,,inpatient,,,426,,213,255.6,430.1322,400.44,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,353.58,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,402.996,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,413.22,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,374.88,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,276.048,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,430.1322,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV PUSH NEW DRUG,940,RC,,,,,inpatient,,,280,,140,168,282.716,263.2,,,,percent of total billed charges,,224,,,,percent of total billed charges,,266,,,,percent of total billed charges,,232.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,266,,,,percent of total billed charges,,271.6,,,,percent of total billed charges,,266,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,181.44,,,,percent of total billed charges,,252,,,,percent of total billed charges,,168,,,,percent of total billed charges,,282.716,,,,percent of total billed charges,,266,,,,percent of total billed charges,,266,,,,percent of total billed charges,,224,,,,percent of total billed charges,,168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DIAG INJ, IA",940,RC,,,,,inpatient,,,347,,173.5,208.2,350.3659,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,224.856,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,350.3659,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV PUSH INIT DRUG,940,RC,,,,,inpatient,,,347,,173.5,208.2,350.3659,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,224.856,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,350.3659,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THER-PROPH/DIAG INJ. SC/IM,940,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV INFUSION; INITIAL; UP TO 1 HR,260,RC,,,,,inpatient,,,982,,491,589.2,991.5254,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,636.336,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,991.5254,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THERAPEUTIC ACTIVITY-15 MINS,431,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THERAPEUTIC EXERCISE-15 MINS,431,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67145-0510 PROPHYLAXIS RETINAL DETCHMNT,510,RC,,,,,inpatient,,,1375,,687.5,825,1388.3375,1292.5,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1141.25,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1300.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1333.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1210,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,891,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,825,,,,percent of total billed charges,,1388.3375,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,825,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEST LOCL LESION-PHOTOCOAGULAT,510,RC,,,,,inpatient,,,1319,,659.5,791.4,1331.7943,1239.86,,,,percent of total billed charges,,1055.2,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1094.77,,,,percent of total billed charges,,1187.1,,,,percent of total billed charges,,1213.48,,,,percent of total billed charges,,1213.48,,,,percent of total billed charges,,1247.774,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1279.43,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1160.72,,,,percent of total billed charges,,1187.1,,,,percent of total billed charges,,854.712,,,,percent of total billed charges,,1187.1,,,,percent of total billed charges,,791.4,,,,percent of total billed charges,,1331.7943,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1253.05,,,,percent of total billed charges,,1055.2,,,,percent of total billed charges,,791.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX UE BILATERAL,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL ART DUPLEX UE UNI/LTD,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US/PHONOPHORESIS-EA 15 MIN,421,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AO/ILIAC/IVC OR GRAFT COMPLETE,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AO/ILIAC/IVC OR GRAFT F/U,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL/CELIAC/SMA DUPLEX COMPLETE,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL/CELIAC/SMA ART DUPLEX F/U,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISUAL EVOKED POTENTIAL TEST,922,RC,,,,,inpatient,,,1889,,944.5,1133.4,1907.3233,1775.66,,,,percent of total billed charges,,1511.2,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1567.87,,,,percent of total billed charges,,1700.1,,,,percent of total billed charges,,1737.88,,,,percent of total billed charges,,1737.88,,,,percent of total billed charges,,1786.994,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1832.33,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1662.32,,,,percent of total billed charges,,1700.1,,,,percent of total billed charges,,1224.072,,,,percent of total billed charges,,1700.1,,,,percent of total billed charges,,1133.4,,,,percent of total billed charges,,1907.3233,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1794.55,,,,percent of total billed charges,,1511.2,,,,percent of total billed charges,,1133.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAUMA ACTIVATION,689,RC,,,,,inpatient,,,2855,,1427.5,1713,2882.6935,2683.7,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2369.65,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2700.83,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2769.35,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2512.4,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,1850.04,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,2882.6935,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDOPLASTY-BILATERAL,510,RC,,,,,inpatient,,,1299,,649.5,779.4,1311.6003,1221.06,,,,percent of total billed charges,,1039.2,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1078.17,,,,percent of total billed charges,,1169.1,,,,percent of total billed charges,,1195.08,,,,percent of total billed charges,,1195.08,,,,percent of total billed charges,,1228.854,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1260.03,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1143.12,,,,percent of total billed charges,,1169.1,,,,percent of total billed charges,,841.752,,,,percent of total billed charges,,1169.1,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,1311.6003,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1234.05,,,,percent of total billed charges,,1039.2,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DIAG INJ, SC/IM ED",450,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THER/PROPH/DIAG INJ, IV PUSH-ED",450,RC,,,,,inpatient,,,539,,269.5,323.4,544.2283,506.66,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,447.37,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,509.894,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,522.83,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,474.32,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,349.272,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,544.2283,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96365-450 IV THER/PROP/DX INIT HOUR-ED,450,RC,,,,,inpatient,,,420,,210,252,424.074,394.8,,,,percent of total billed charges,,336,,,,percent of total billed charges,,399,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,378,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,397.32,,,,percent of total billed charges,,399,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,399,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,378,,,,percent of total billed charges,,272.16,,,,percent of total billed charges,,378,,,,percent of total billed charges,,252,,,,percent of total billed charges,,424.074,,,,percent of total billed charges,,399,,,,percent of total billed charges,,399,,,,percent of total billed charges,,336,,,,percent of total billed charges,,252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WHIRLPOOL; PER 15 MINUTES (GRMC ONLY),421,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SURFACTANT DELIVERY,410,RC,,,,,inpatient,,,243,,121.5,145.8,245.3571,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,157.464,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,245.3571,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE COMPLETE W/CONTRAST,480,RC,,,,,inpatient,,,930,,465,558,939.021,874.2,,,,percent of total billed charges,,744,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,771.9,,,,percent of total billed charges,,837,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,879.78,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,902.1,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,837,,,,percent of total billed charges,,602.64,,,,percent of total billed charges,,837,,,,percent of total billed charges,,558,,,,percent of total billed charges,,939.021,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,883.5,,,,percent of total billed charges,,744,,,,percent of total billed charges,,558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LTD F/U WITH CONTRST,480,RC,,,,,inpatient,,,628,,314,376.8,634.0916,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,406.944,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,634.0916,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEE COMPLETE W/CONTRAST,480,RC,,,,,inpatient,,,1929,,964.5,1157.4,1947.7113,1813.26,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1601.07,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1824.834,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1871.13,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1697.52,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1249.992,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1947.7113,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CONTRAST,GASTROVIEW MD 367 (GASTROGRAFIN) - PER 1 ML",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96376-450 IV PUSH INJ ADD-ON - ED,450,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNIZATION ADMIN SINGLE,771,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90472-0771 IMMUNIZATION ADMIN EA ADD,771,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDRATION INIT 31MIN-1 HR,450,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDRATION EA ADDL HOUR,450,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96375-450 IV PUSH NEW INJ ADD-ON-ED,450,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV INFUSION EA ADDL HOUR,450,RC,,,,,inpatient,,,188,,94,112.8,189.8236,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,121.824,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,189.8236,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PICC FAILED ATT >/EQ 3YRS,361,RC,,,,,inpatient,,,879,,439.5,527.4,887.5263,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,569.592,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,887.5263,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED VENIPUNCTURE,450,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH-COLLECTION OF SPECIMEN,300,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEQUENTIAL IV INFUSION; UP TO 1 HR,260,RC,,,,,inpatient,,,343,,171.5,205.8,346.3271,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,222.264,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,346.3271,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONCURRENT INFUSION,260,RC,,,,,inpatient,,,346,,173,207.6,349.3562,325.24,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,287.18,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,327.316,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,335.62,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,304.48,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,224.208,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,349.3562,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IV PUSH INJ ADD-ON (SAME DRUG),940,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMO IV PUSH, NEW DRUG",331,RC,,,,,inpatient,,,423,,211.5,253.8,427.1031,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,274.104,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,427.1031,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO PUMP INF +8HRS,335,RC,,,,,inpatient,,,2524,,1262,1514.4,2548.4828,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1635.552,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2548.4828,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO SEQ INF 16-90MIN,335,RC,,,,,inpatient,,,431,,215.5,258.6,435.1807,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,279.288,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,435.1807,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINIC IMMUNIZATION,771,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLINIC IMMUN, ADD ON",771,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD DRAW VIA HEPLOCK,510,RC,,,,,inpatient,,,387,,193.5,232.2,390.7539,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,250.776,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,390.7539,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36591-0510 BLOOD DRAW VIA PORT,510,RC,,,,,inpatient,,,347,,173.5,208.2,350.3659,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,224.856,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,350.3659,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DECLOT PORT W/THROMB,360,RC,,,,,inpatient,,,709,,354.5,425.4,715.8773,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,459.432,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,715.8773,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96523-0940 PORT FLUSH,940,RC,,,,,inpatient,,,343,,171.5,205.8,346.3271,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,222.264,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,346.3271,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MISC CHEMO,335,RC,,,,,inpatient,,,1014,,507,608.4,1023.8358,953.16,,,,percent of total billed charges,,811.2,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,841.62,,,,percent of total billed charges,,912.6,,,,percent of total billed charges,,932.88,,,,percent of total billed charges,,932.88,,,,percent of total billed charges,,959.244,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,983.58,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,892.32,,,,percent of total billed charges,,912.6,,,,percent of total billed charges,,657.072,,,,percent of total billed charges,,912.6,,,,percent of total billed charges,,608.4,,,,percent of total billed charges,,1023.8358,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,963.3,,,,percent of total billed charges,,811.2,,,,percent of total billed charges,,608.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D DOPPLER COLOR FLOW COMPLETE,483,RC,,,,,inpatient,,,2947,,1473.5,1768.2,2975.5859,2770.18,,,,percent of total billed charges,,2357.6,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2446.01,,,,percent of total billed charges,,2652.3,,,,percent of total billed charges,,2711.24,,,,percent of total billed charges,,2711.24,,,,percent of total billed charges,,2787.862,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2858.59,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2593.36,,,,percent of total billed charges,,2652.3,,,,percent of total billed charges,,1909.656,,,,percent of total billed charges,,2652.3,,,,percent of total billed charges,,1768.2,,,,percent of total billed charges,,2975.5859,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2799.65,,,,percent of total billed charges,,2357.6,,,,percent of total billed charges,,1768.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D DOPPLER COLOR FLOW COMPLETE W/CONTR,480,RC,,,,,inpatient,,,1929,,964.5,1157.4,1947.7113,1813.26,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1601.07,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1824.834,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1871.13,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1697.52,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1249.992,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1947.7113,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHOCARDIOGRAM STRESS INCL ECG&ECHO,480,RC,,,,,inpatient,,,1255,,627.5,753,1267.1735,1179.7,,,,percent of total billed charges,,1004,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1041.65,,,,percent of total billed charges,,1129.5,,,,percent of total billed charges,,1154.6,,,,percent of total billed charges,,1154.6,,,,percent of total billed charges,,1187.23,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1217.35,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1104.4,,,,percent of total billed charges,,1129.5,,,,percent of total billed charges,,813.24,,,,percent of total billed charges,,1129.5,,,,percent of total billed charges,,753,,,,percent of total billed charges,,1267.1735,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1192.25,,,,percent of total billed charges,,1004,,,,percent of total billed charges,,753,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ OF CONTRAST DURING STRESS ECHO,480,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO STRESS W/CNTRST INCL ECG&ECHO/MED,480,RC,,,,,inpatient,,,1851,,925.5,1110.6,1868.9547,1739.94,,,,percent of total billed charges,,1480.8,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1536.33,,,,percent of total billed charges,,1665.9,,,,percent of total billed charges,,1702.92,,,,percent of total billed charges,,1702.92,,,,percent of total billed charges,,1751.046,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1795.47,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1628.88,,,,percent of total billed charges,,1665.9,,,,percent of total billed charges,,1199.448,,,,percent of total billed charges,,1665.9,,,,percent of total billed charges,,1110.6,,,,percent of total billed charges,,1868.9547,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1758.45,,,,percent of total billed charges,,1480.8,,,,percent of total billed charges,,1110.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 2D M-MODE LIMITED F/U ED,480,RC,,,,,inpatient,,,628,,314,376.8,634.0916,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,406.944,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,634.0916,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RETROPERITONEAL US, LIMITED",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED ULTRASOUND PROC,361,RC,,,,,inpatient,,,1300,,650,780,1312.61,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1312.61,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US GUIDE NEEDLE PLCMT S&I,320,RC,,,,,inpatient,,,754,,377,452.4,761.3138,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,488.592,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,761.3138,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROM MEASUREMENT,421,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, PELVIC LIMITED",402,RC,,,,,inpatient,,,500,,250,300,504.85,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,324,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,504.85,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSVAGINAL US OBSTETRIC,402,RC,,,,,inpatient,,,904,,452,542.4,912.7688,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,585.792,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,912.7688,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US, LIMITED FETUS(S)",402,RC,,,,,inpatient,,,488,,244,292.8,492.7336,458.72,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,405.04,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,461.648,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,473.36,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,429.44,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,316.224,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,492.7336,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO EXAM OF ABDOMEN,402,RC,,,,,inpatient,,,806,,403,483.6,813.8182,757.64,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,668.98,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,762.476,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,781.82,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,709.28,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,522.288,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,813.8182,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, CHEST",402,RC,,,,,inpatient,,,808,,404,484.8,815.8376,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,523.584,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,815.8376,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, EXTREMITY",402,RC,,,,,inpatient,,,596,,298,357.6,601.7812,560.24,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,494.68,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,563.816,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,578.12,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,524.48,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,386.208,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,601.7812,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPHTHALMIC US,W/B-SCAN-ED",402,RC,,,,,inpatient,,,378,,189,226.8,381.6666,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,381.6666,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76706-0402 ABDOMINAL SCREENING AAA,402,RC,,,,,inpatient,,,777,,388.5,466.2,784.5369,730.38,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,644.91,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,714.84,,,,percent of total billed charges,,735.042,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,753.69,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,683.76,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,503.496,,,,percent of total billed charges,,699.3,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,784.5369,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,738.15,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC REHAB LEVEL III,943,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC REHAB W/O CONT MONITOR,943,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST AAC NON-SPEECH DEVICE,440,RC,,,,,inpatient,,,526,,263,315.6,531.1022,494.44,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,436.58,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,497.596,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,510.22,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,462.88,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,340.848,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,531.1022,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST EVAL SPEECH AAC <=1 HR,444,RC,,,,,inpatient,,,784,,392,470.4,791.6048,736.96,,,,percent of total billed charges,,627.2,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,650.72,,,,percent of total billed charges,,705.6,,,,percent of total billed charges,,721.28,,,,percent of total billed charges,,721.28,,,,percent of total billed charges,,741.664,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,760.48,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,689.92,,,,percent of total billed charges,,705.6,,,,percent of total billed charges,,508.032,,,,percent of total billed charges,,705.6,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,791.6048,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,744.8,,,,percent of total billed charges,,627.2,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST SPEECH THERAPY AAC DEVICE,440,RC,,,,,inpatient,,,484,,242,290.4,488.6948,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,313.632,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,488.6948,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST APHASIA EVAL (1 HR),440,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ST NO SHOW/NO CHARGE,990,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSITIONAL NYSTAGMUS TEST,920,RC,,,,,inpatient,,,477,,238.5,286.2,481.6269,448.38,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,395.91,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,438.84,,,,percent of total billed charges,,451.242,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,462.69,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,419.76,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,309.096,,,,percent of total billed charges,,429.3,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,481.6269,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,453.15,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAP NAP/OUTPATIENT VISIT,920,RC,,,,,inpatient,,,1664,,832,998.4,1680.1408,1564.16,,,,percent of total billed charges,,1331.2,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1381.12,,,,percent of total billed charges,,1497.6,,,,percent of total billed charges,,1530.88,,,,percent of total billed charges,,1530.88,,,,percent of total billed charges,,1574.144,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1614.08,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1464.32,,,,percent of total billed charges,,1497.6,,,,percent of total billed charges,,1078.272,,,,percent of total billed charges,,1497.6,,,,percent of total billed charges,,998.4,,,,percent of total billed charges,,1680.1408,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1331.2,,,,percent of total billed charges,,998.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPLINT SHLDER/HAND LONG ARM,420,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT CAST B KNEE/TOE SHRT LG WA,420,RC,,,,,inpatient,,,587,,293.5,352.2,592.6939,551.78,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,487.21,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,555.302,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,569.39,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,516.56,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,380.376,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,592.6939,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPLINT THIGH/ANKLE/TOE LLEG,420,RC,,,,,inpatient,,,401,,200.5,240.6,404.8897,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,259.848,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,404.8897,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPLINT CALF/FOOT SHORT LEG,420,RC,,,,,inpatient,,,401,,200.5,240.6,404.8897,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,259.848,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,404.8897,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT STRAPPING KNEE,420,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT STRAPPING ANKLE/FOOT,420,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT APPLICATION UNNA BOOT,420,RC,,,,,inpatient,,,474,,237,284.4,478.5978,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,307.152,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,478.5978,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ELECTRICAL STIM UNATTENDED,420,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT VASOPNEUMATIC COMPRESSION,420,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT PARAFIN BATH,420,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WHIRLPOOL & NON-SELECT DEBR,420,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT IONTOPHORESIS (15),420,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT AQUATIC THRPY W/SUPR (15),420,RC,,,,,inpatient,,,173,,86.5,103.8,174.6781,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,112.104,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,174.6781,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT AQUATIC GROUP THERAPY,420,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT THERAPEUTIC ACTIVITY (15),420,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SENSORY INTEGRATION (15),420,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ADL SELF CARE (15),420,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT COMM/WORK INTEGRATION (15),420,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WHEELCHAIR MANAGEMENT (15),420,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WORK HARDENING (2HRS),420,RC,,,,,inpatient,,,895,,447.5,537,903.6815,841.3,,,,percent of total billed charges,,716,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,742.85,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,846.67,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,868.15,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,787.6,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,579.96,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,537,,,,percent of total billed charges,,903.6815,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,716,,,,percent of total billed charges,,537,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT WORK HARDENING (ADD HR),420,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT PHYSICAL PERFORMANCE-15 MIN,420,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ORTHOTIC TRAIN/FIT (15),420,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT PROSTHETIC TRAINING (15),420,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ORTH/PROTH CHECK (15),420,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT SPECIAL ORDER DEVICE,270,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT NO SHOW/NO CHARGE,990,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT BTE EXTENDED BH,420,RC,,,,,inpatient,,,176,,88,105.6,177.7072,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,177.7072,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SPLINT FOREARM/HAND STATIC,430,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SPLINT FINGER STATIC,430,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT STRAPPING SHOULDER,430,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ELECTRICAL STIM UNATTENDED,430,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT VASOPNEUMATIC COMPRESSION,430,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT PARAFIN BATH,430,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WHIRLPOOL,431,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT IONTOPHORESIS (15),430,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT CONTRAST BATH (15),430,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ULTRASOUND (15),430,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT NEUROMUSCULR RE-ED (15),430,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SENSORY INTEGRATION (15),430,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT COMM/WORK INTEGRATION (15),430,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WORK HARDENING (2HRS),430,RC,,,,,inpatient,,,895,,447.5,537,903.6815,841.3,,,,percent of total billed charges,,716,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,742.85,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,823.4,,,,percent of total billed charges,,846.67,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,868.15,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,787.6,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,579.96,,,,percent of total billed charges,,805.5,,,,percent of total billed charges,,537,,,,percent of total billed charges,,903.6815,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,850.25,,,,percent of total billed charges,,716,,,,percent of total billed charges,,537,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WORK HARDENING (ADD HR),430,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT NON-SELECTIVE DEBRIDEMENT,430,RC,,,,,inpatient,,,382,,191,229.2,385.7054,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,247.536,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,385.7054,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT PHYSICAL PERFORMANCE,430,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ORTHOTIC TRAIN/FIT (15),430,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT PROSTHETIC TRAIN (15),430,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT ORTH/PROTH CHECK (15),430,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT SPECIAL ORDER DEVICE,270,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT NO SHOW/NO CHARGE,990,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EKG 1-3LEADS TRACING ONLY,730,RC,,,,,inpatient,,,306,,153,183.6,308.9682,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,198.288,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,308.9682,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA NUTRITION FOLLOW-UP (15),942,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA EXERCISE PHYSIOLOGIST,942,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA WELLNESS MEMBER FEE 2,942,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA WEIGHT MANAGEMENT EXT 07,942,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEIA WEIGHT MANAGEMENT 07,942,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER GASTRIC LAVAGE,450,RC,,,,,inpatient,,,661,,330.5,396.6,667.4117,621.34,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,548.63,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,625.306,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,641.17,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,581.68,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,428.328,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,667.4117,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51701-0450 ER INSERT TEMP CATH BLADDER,450,RC,,,,,inpatient,,,409,,204.5,245.4,412.9673,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,265.032,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,412.9673,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51702-0450 ER TEMP INDWELLING CATHETER,450,RC,,,,,inpatient,,,473,,236.5,283.8,477.5881,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,306.504,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,477.5881,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51703-0450 ER INDWELLING CATHETER COMPLEX,450,RC,,,,,inpatient,,,845,,422.5,507,853.1965,794.3,,,,percent of total billed charges,,676,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,701.35,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,799.37,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,819.65,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,743.6,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,547.56,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,507,,,,percent of total billed charges,,853.1965,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,676,,,,percent of total billed charges,,507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOCCULT TEST STOOL,300,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER TEMPORARY EXT PACING NOT CC,450,RC,,,,,inpatient,,,1236,,618,741.6,1247.9892,1161.84,,,,percent of total billed charges,,988.8,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1025.88,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,1137.12,,,,percent of total billed charges,,1137.12,,,,percent of total billed charges,,1169.256,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1198.92,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1087.68,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,800.928,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,1247.9892,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,988.8,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER IV INF ADDL SEQ <=1 HOUR,450,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER IV INF CONCURRENT DRUG,450,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIFT TEST - INSTITUTIONAL,420,RC,,,,,inpatient,,,232,,116,139.2,234.2504,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,150.336,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,234.2504,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR MEP-BOTH,922,RC,,,,,inpatient,,,4088,,2044,2452.8,4127.6536,3842.72,,,,percent of total billed charges,,3270.4,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3393.04,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,3760.96,,,,percent of total billed charges,,3760.96,,,,percent of total billed charges,,3867.248,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3965.36,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3597.44,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2649.024,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2452.8,,,,percent of total billed charges,,4127.6536,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3883.6,,,,percent of total billed charges,,3270.4,,,,percent of total billed charges,,2452.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WHEELCHAIR MANAGEMENT (15),430,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 1-2 STUDIES,920,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 3-4 STUDIES,920,RC,,,,,inpatient,,,704,,352,422.4,710.8288,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,456.192,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,710.8288,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 5-6 STUDIES,920,RC,,,,,inpatient,,,1057,,528.5,634.2,1067.2529,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,684.936,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,1067.2529,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 7-8 STUDIES,920,RC,,,,,inpatient,,,1405,,702.5,843,1418.6285,1320.7,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1166.15,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1329.13,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1362.85,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1236.4,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,910.44,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,843,,,,percent of total billed charges,,1418.6285,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,843,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 9-10 STUDIES,920,RC,,,,,inpatient,,,1761,,880.5,1056.6,1778.0817,1655.34,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1461.63,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1665.906,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1708.17,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1549.68,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1141.128,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,1778.0817,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 11-12 STUDIES,920,RC,,,,,inpatient,,,2110,,1055,1266,2130.467,1983.4,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1751.3,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1996.06,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2046.7,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1856.8,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1367.28,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,2130.467,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NERVE CONDUCTION 13 OR MORE STUDIES,920,RC,,,,,inpatient,,,2462,,1231,1477.2,2485.8814,2314.28,,,,percent of total billed charges,,1969.6,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2043.46,,,,percent of total billed charges,,2215.8,,,,percent of total billed charges,,2265.04,,,,percent of total billed charges,,2265.04,,,,percent of total billed charges,,2329.052,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2388.14,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2166.56,,,,percent of total billed charges,,2215.8,,,,percent of total billed charges,,1595.376,,,,percent of total billed charges,,2215.8,,,,percent of total billed charges,,1477.2,,,,percent of total billed charges,,2485.8814,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,2338.9,,,,percent of total billed charges,,1969.6,,,,percent of total billed charges,,1477.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SSEP-UPPER & LOWER,920,RC,,,,,inpatient,,,997,,498.5,598.2,1006.6709,937.18,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,827.51,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,943.162,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,967.09,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,877.36,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,646.056,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,1006.6709,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY YOUNGER THAN 6 YRS W/CPAP,920,RC,,,,,inpatient,,,5138,,2569,3082.8,5187.8386,4829.72,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4264.54,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4726.96,,,,percent of total billed charges,,4860.548,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4983.86,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4521.44,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3329.424,,,,percent of total billed charges,,4624.2,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,5187.8386,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4881.1,,,,percent of total billed charges,,4110.4,,,,percent of total billed charges,,3082.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLYSOMNOGRAPHY YOUNGER THAN 6 YRS  4 OR MORE,920,RC,,,,,inpatient,,,4881,,2440.5,2928.6,4928.3457,4588.14,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4051.23,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4490.52,,,,percent of total billed charges,,4617.426,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4734.57,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4295.28,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,3162.888,,,,percent of total billed charges,,4392.9,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,4928.3457,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,4636.95,,,,percent of total billed charges,,3904.8,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR SSEP-UPPER & LOWER,920,RC,,,,,inpatient,,,997,,498.5,598.2,1006.6709,937.18,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,827.51,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,917.24,,,,percent of total billed charges,,943.162,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,967.09,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,877.36,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,646.056,,,,percent of total billed charges,,897.3,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,1006.6709,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,947.15,,,,percent of total billed charges,,797.6,,,,percent of total billed charges,,598.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR INTRA OP MONITORING IN OR EA 15 MIN,920,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR INTRA OP MONITORING OUT OF OR PER HOUR,920,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 1-2 STUDIES,920,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 3-4 STUDIES,920,RC,,,,,inpatient,,,681,,340.5,408.6,687.6057,640.14,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,565.23,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,644.226,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,660.57,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,599.28,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,441.288,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,687.6057,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 5-6 STUDIES,920,RC,,,,,inpatient,,,1057,,528.5,634.2,1067.2529,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,684.936,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,1067.2529,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 7-8 STUDIES,920,RC,,,,,inpatient,,,1405,,702.5,843,1418.6285,1320.7,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1166.15,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1292.6,,,,percent of total billed charges,,1329.13,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1362.85,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1236.4,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,910.44,,,,percent of total billed charges,,1264.5,,,,percent of total billed charges,,843,,,,percent of total billed charges,,1418.6285,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1334.75,,,,percent of total billed charges,,1124,,,,percent of total billed charges,,843,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 9-10 STUDIES,920,RC,,,,,inpatient,,,1761,,880.5,1056.6,1778.0817,1655.34,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1461.63,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1620.12,,,,percent of total billed charges,,1665.906,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1708.17,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1549.68,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1141.128,,,,percent of total billed charges,,1584.9,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,1778.0817,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1672.95,,,,percent of total billed charges,,1408.8,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 11-12 STUDIES,920,RC,,,,,inpatient,,,2110,,1055,1266,2130.467,1983.4,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1751.3,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1941.2,,,,percent of total billed charges,,1996.06,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2046.7,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1856.8,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1367.28,,,,percent of total billed charges,,1899,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,2130.467,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,2004.5,,,,percent of total billed charges,,1688,,,,percent of total billed charges,,1266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR NERVE CONDUCTION 13 OR MORE STUDIES,920,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSYCH DIAG EVAL,914,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90832-0914 PSYCHOTHERAPY, 30 MINUTES W/ PATIENT",914,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90834-0914 PSYCHOTHERAPY, 45 MINUTES W/ PATIENT",914,RC,,,,,inpatient,,,277,,138.5,166.2,279.6869,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,179.496,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,279.6869,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90837-0914 PSYCHOTHERAPY, 60 MINUTES W/ PATIENT",914,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S.A. NURSING EXAM,990,RC,,,,,inpatient,,,350,,175,210,353.395,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,353.395,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICC W/O PORT 5+ YRS W/O IMAGE,361,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS PROCEDURE,361,RC,,,,,inpatient,,,2007,,1003.5,1204.2,2026.4679,1886.58,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1665.81,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1898.622,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1946.79,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1766.16,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1300.536,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,2026.4679,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUMBAR SPINAL PUNC PROC W/O GUIDE,361,RC,,,,,inpatient,,,2011,,1005.5,1206.6,2030.5067,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1303.128,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,2030.5067,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 38220-0361 BONE MARROW ASPIRATION,361,RC,,,,,inpatient,,,2434,,1217,1460.4,2457.6098,2287.96,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2020.22,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2302.564,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2360.98,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2141.92,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1577.232,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,2457.6098,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERITONEOCENTESIS, INITIAL",361,RC,,,,,inpatient,,,2662,,1331,1597.2,2687.8214,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1724.976,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2687.8214,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT NON-TUNNEL CATH AGE>5,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11042-0361 DEBRIDEMENT SUBQ TISS <+20 CM,361,RC,,,,,inpatient,,,783,,391.5,469.8,790.5951,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,507.384,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,790.5951,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32551-0361 INSERTION OF CHEST TUBE,361,RC,,,,,inpatient,,,4102,,2051,2461.2,4141.7894,3855.88,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3404.66,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3880.492,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3978.94,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3609.76,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2658.096,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,4141.7894,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT CATH PLEURA W/O IMAGE,361,RC,,,,,inpatient,,,3919,,1959.5,2351.4,3957.0143,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2539.512,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3957.0143,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREAT PLEURODESIS W/AGENT,361,RC,,,,,inpatient,,,1801,,900.5,1080.6,1818.4697,1692.94,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1494.83,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1703.746,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1746.97,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1584.88,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1167.048,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,1818.4697,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYSE CHEST FIBRIN INITIAL DAY,361,RC,,,,,inpatient,,,1265,,632.5,759,1277.2705,1189.1,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1049.95,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1196.69,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1227.05,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1113.2,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,819.72,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,1277.2705,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,759,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYSE CHEST FIBRIN SUBS DAY,361,RC,,,,,inpatient,,,1265,,632.5,759,1277.2705,1189.1,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1049.95,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1196.69,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1227.05,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1113.2,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,819.72,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,1277.2705,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,759,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PULM REHAB - NON COPD, STRENGTH & ENDURANCE, 2 OR MORE",948,RC,,,,,inpatient,,,472,,236,283.2,476.5784,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,305.856,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,476.5784,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT FLUIDOTHERAPY,420,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALC/SUB ABUSE SCRN, BRIEF INTE 15 TO 30 MIN",940,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALC/SUB ABUSE SCRN, BRIEF INTE >30 MIN",940,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OP UNSCHED/ EMER DIALYSIS (NONCERT FAC),829,RC,,,,,inpatient,,,1917,,958.5,1150.2,1935.5949,1801.98,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1591.11,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1813.482,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1859.49,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1686.96,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1242.216,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,1935.5949,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNLISTED THERAPEUTIC PROC (SERIAL CASTING), PER 15 MIN",420,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPEECH GROUP TX,443,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT EVAL-LOW,424,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT EVAL-MODERATE,424,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT EVAL-HIGH,424,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT EVAL-LOW,434,RC,,,,,inpatient,,,415,,207.5,249,419.0255,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,268.92,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,419.0255,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT EVAL-MODERATE,434,RC,,,,,inpatient,,,415,,207.5,249,419.0255,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,268.92,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,419.0255,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT EVAL-HIGH,434,RC,,,,,inpatient,,,415,,207.5,249,419.0255,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,268.92,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,419.0255,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT RE-EVALUATION,424,RC,,,,,inpatient,,,206,,103,123.6,207.9982,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,133.488,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,207.9982,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT RE-EVALUATION,434,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APPLICATON ON-BODY INJECTOR,940,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMUSC JCT REP STIM EA,922,RC,,,,,inpatient,,,1057,,528.5,634.2,1067.2529,993.58,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,877.31,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,972.44,,,,percent of total billed charges,,999.922,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1025.29,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,930.16,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,684.936,,,,percent of total billed charges,,951.3,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,1067.2529,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,1004.15,,,,percent of total billed charges,,845.6,,,,percent of total billed charges,,634.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG NONEXTREM MUSCLE W/NCS AMP LAT VEL,922,RC,,,,,inpatient,,,673,,336.5,403.8,679.5281,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,436.104,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,679.5281,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPEECH LANGUAGE GROUP,440,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92524-0920 BEHAVRAL QUALIT ANALYS VOICE,920,RC,,,,,inpatient,,,764,,382,458.4,771.4108,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,495.072,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,771.4108,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINICAL SWALLOW EVAL,440,RC,,,,,inpatient,,,648,,324,388.8,654.2856,609.12,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,537.84,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,596.16,,,,percent of total billed charges,,596.16,,,,percent of total billed charges,,613.008,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,628.56,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,419.904,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,654.2856,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT WHIRLPOOL TREATMENT,430,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OT THERAPEUTIC PROCEDURE GROUP,430,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLD OCCULT PEROXIDASE FECES 82272,450,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE CATH FOR SPECIMEN P9612,450,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64520 INJ/BLK LUMBAR/THOR,361,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAP-NAP -OPT VISIT,920,RC,,,,,inpatient,,,1673,,836.5,1003.8,1689.2281,1572.62,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1388.59,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1582.658,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1622.81,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1472.24,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1084.104,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,1689.2281,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SLEEP STUDY, WITH SIMULTANEOUS RECORDING",920,RC,,,,,inpatient,,,1673,,836.5,1003.8,1689.2281,1572.62,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1388.59,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1582.658,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1622.81,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1472.24,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1084.104,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,1689.2281,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MULTI, SLEEP LATENCY OR MAINTANCE OF WAKEFULNESS",920,RC,,,,,inpatient,,,1673,,836.5,1003.8,1689.2281,1572.62,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1388.59,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1539.16,,,,percent of total billed charges,,1582.658,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1622.81,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1472.24,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1084.104,,,,percent of total billed charges,,1505.7,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,1689.2281,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1589.35,,,,percent of total billed charges,,1338.4,,,,percent of total billed charges,,1003.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INPT SCREENING FOR SLEEP APNEA,410,RC,,,,,inpatient,,,950,,475,570,959.215,893,,,,percent of total billed charges,,760,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,855,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,898.7,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,836,,,,percent of total billed charges,,855,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,855,,,,percent of total billed charges,,570,,,,percent of total billed charges,,959.215,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,760,,,,percent of total billed charges,,570,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INPT SLEEP APNEA MONITORING SET UP,410,RC,,,,,inpatient,,,1662,,831,997.2,1678.1214,1562.28,,,,percent of total billed charges,,1329.6,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1379.46,,,,percent of total billed charges,,1495.8,,,,percent of total billed charges,,1529.04,,,,percent of total billed charges,,1529.04,,,,percent of total billed charges,,1572.252,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1612.14,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1462.56,,,,percent of total billed charges,,1495.8,,,,percent of total billed charges,,1076.976,,,,percent of total billed charges,,1495.8,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,1678.1214,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1578.9,,,,percent of total billed charges,,1329.6,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INPT SLEEP APNEA MONITORING,410,RC,,,,,inpatient,,,950,,475,570,959.215,893,,,,percent of total billed charges,,760,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,855,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,898.7,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,836,,,,percent of total billed charges,,855,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,855,,,,percent of total billed charges,,570,,,,percent of total billed charges,,959.215,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,760,,,,percent of total billed charges,,570,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV ADD'L 15 MIN - ST,440,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONT GLUC MNTR PT PROV EQP,920,RC,,,,,inpatient,,,210,,105,126,212.037,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,212.037,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV INITIAL 15 MIN-OT,430,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV ADD'L 15 MIN - OT,430,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSLT/MWT < 6 HRS,920,RC,,,,,inpatient,,,3853,,1926.5,2311.8,3890.3741,3621.82,,,,percent of total billed charges,,3082.4,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3197.99,,,,percent of total billed charges,,3467.7,,,,percent of total billed charges,,3544.76,,,,percent of total billed charges,,3544.76,,,,percent of total billed charges,,3644.938,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3737.41,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3390.64,,,,percent of total billed charges,,3467.7,,,,percent of total billed charges,,2496.744,,,,percent of total billed charges,,3467.7,,,,percent of total billed charges,,2311.8,,,,percent of total billed charges,,3890.3741,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3660.35,,,,percent of total billed charges,,3082.4,,,,percent of total billed charges,,2311.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTERIAL BLD GAS COLLCTN-RESP,761,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHIAL CHALLENGE TEST-RESP,460,RC,,,,,inpatient,,,743,,371.5,445.8,750.2071,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,481.464,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,750.2071,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEX EXERCISE STRESS TEST-RESP,460,RC,,,,,inpatient,,,2176,,1088,1305.6,2197.1072,2045.44,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1806.08,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2058.496,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2110.72,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1914.88,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1410.048,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,2197.1072,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG VOLUME FRC-RESP,460,RC,,,,,inpatient,,,608,,304,364.8,613.8976,571.52,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,504.64,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,575.168,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,589.76,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,535.04,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,393.984,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,613.8976,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METABOLIC ASSESSMENT-RESP,460,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX-MULTIPLE-RESP,460,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMPLE EXERCISE STRESS TEST-RESP,460,RC,,,,,inpatient,,,743,,371.5,445.8,750.2071,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,481.464,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,750.2071,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY & MVV-RESP,460,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY WITH BRONCHODIL-RESP,460,RC,,,,,inpatient,,,768,,384,460.8,775.4496,721.92,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,637.44,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,726.528,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,744.96,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,675.84,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,497.664,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,775.4496,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY-NO BRONCHODIL-RESP,460,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAL CAPACITY TOTAL SLOW-RESP,460,RC,,,,,inpatient,,,380,,190,228,383.686,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,246.24,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,383.686,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY STRESS TESTING-RESP,460,RC,,,,,inpatient,,,456,,228,273.6,460.4232,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,295.488,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,460.4232,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPIROMETRY,BEFORE&AFTER BRONCHO,CHILD UP TO 2 YRS-RESP",460,RC,,,,,inpatient,,,795,,397.5,477,802.7115,747.3,,,,percent of total billed charges,,636,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,659.85,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,752.07,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,771.15,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,515.16,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,477,,,,percent of total billed charges,,802.7115,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,636,,,,percent of total billed charges,,477,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSYC TESTING EVAL, FIRST HR",918,RC,,,,,inpatient,,,299,,149.5,179.4,301.9003,281.06,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,248.17,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,282.854,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,290.03,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,193.752,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,301.9003,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSYCH TESTING EVAL, EACH ADD'L HOUR",918,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96136-0918 NEURO TEST ADM TWO OR MORE, FIRST 30 MIN",918,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSYCH/ NEURO TEST ADM, TWO OR MORE, EA  ADD'L 30 MIN",918,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCREENING BY LICENSED PSYCHOLOGIST,969,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEV TEST ADM, W/ INTERP & REPORT, 1ST  HOUR",918,RC,,,,,inpatient,,,372,,186,223.2,375.6084,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,241.056,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,375.6084,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEV TEST ADM, W/ INTERP & REPORT, EA ADD'L 30 MIN",918,RC,,,,,inpatient,,,186,,93,111.6,187.8042,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,120.528,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,187.8042,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDIVIDUAL PSYCHOTHERAPY 60 MIN +E/M,914,RC,,,,,inpatient,,,357,,178.5,214.2,360.4629,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,231.336,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,360.4629,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20220-0450 BONE BIOPSY, TROCAR/NEEDLE",450,RC,,,,,inpatient,,,3269,,1634.5,1961.4,3300.7093,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2118.312,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3300.7093,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40801-0450 DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; COMPLICATED",450,RC,,,,,inpatient,,,1676,,838,1005.6,1692.2572,1575.44,,,,percent of total billed charges,,1340.8,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1391.08,,,,percent of total billed charges,,1508.4,,,,percent of total billed charges,,1541.92,,,,percent of total billed charges,,1541.92,,,,percent of total billed charges,,1585.496,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1625.72,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1474.88,,,,percent of total billed charges,,1508.4,,,,percent of total billed charges,,1086.048,,,,percent of total billed charges,,1508.4,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,1692.2572,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1592.2,,,,percent of total billed charges,,1340.8,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95992-0420 CANALITH REPOSITIONING PROCEDURE(S), PER DAY-PT",420,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0239-0948 PULM REHAB- NON COPD, STRENGTH & ENDURANCE, 2 OR MORE - >36 SESSIONS",948,RC,,,,,inpatient,,,430,,215,258,434.171,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,278.64,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,434.171,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67145-0450 PROPHYLAXIS OF RETINAL DETACHMENT,450,RC,,,,,inpatient,,,1375,,687.5,825,1388.3375,1292.5,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1141.25,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1265,,,,percent of total billed charges,,1300.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1333.75,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1210,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,891,,,,percent of total billed charges,,1237.5,,,,percent of total billed charges,,825,,,,percent of total billed charges,,1388.3375,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1306.25,,,,percent of total billed charges,,1100,,,,percent of total billed charges,,825,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40804-0450 REMOVAL EMBEDDED FOREIGN BODY, MOUTH; SIMPLE",450,RC,,,,,inpatient,,,2276,,1138,1365.6,2298.0772,2139.44,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1889.08,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2153.096,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2207.72,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2002.88,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1474.848,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,2298.0772,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28635-0450 TREAT TOE DISLOCATION,450,RC,,,,,inpatient,,,3798,,1899,2278.8,3834.8406,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2461.104,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3834.8406,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15853-0450 REMOVE SUTURES OR STAPLES XREQ ANES,450,RC,,,,,inpatient,,,524,,262,314.4,529.0828,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,339.552,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,529.0828,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15854-0450 REMOVE SUTURES AND STAPLES XREQ ANES,450,RC,,,,,inpatient,,,524,,262,314.4,529.0828,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,339.552,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,529.0828,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59414-0450 DELIVERY OF PLACENTA - ED,450,RC,,,,,inpatient,,,696,,348,417.6,702.7512,654.24,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,577.68,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,640.32,,,,percent of total billed charges,,658.416,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,675.12,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,612.48,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,451.008,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,702.7512,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92020-0450 GONIOSCOPY,450,RC,,,,,inpatient,,,290,,145,174,292.813,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,292.813,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96401-0450 CHEMOTHERAPY ADMINISTRATION,450,RC,,,,,inpatient,,,470,,235,282,474.559,441.8,,,,percent of total billed charges,,376,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,390.1,,,,percent of total billed charges,,423,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,432.4,,,,percent of total billed charges,,444.62,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,455.9,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,423,,,,percent of total billed charges,,304.56,,,,percent of total billed charges,,423,,,,percent of total billed charges,,282,,,,percent of total billed charges,,474.559,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,446.5,,,,percent of total billed charges,,376,,,,percent of total billed charges,,282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37195-0450 THROMBOLYTIC THERAPY  STR,450,RC,,,,,inpatient,,,1304,,652,782.4,1316.6488,1225.76,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1082.32,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1233.584,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1264.88,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1147.52,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,844.992,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,1316.6488,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43246-0450 EGD PLACE GASTROSTOMY TUBE,450,RC,,,,,inpatient,,,4437,,2218.5,2662.2,4480.0389,4170.78,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3682.71,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4197.402,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4303.89,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3904.56,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,2875.176,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,4480.0389,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41825-0450 EXC OF LESION OR TUMOR, DENTOALVEOLAR STRUCT; WO REPAIR",450,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58999-0450  UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM",450,RC,,,,,inpatient,,,535,,267.5,321,540.1895,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,346.68,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,540.1895,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42182-0450 REPAIR PALATE LACERATION >2 CM OR COMPLEX,450,RC,,,,,inpatient,,,16229,,8114.5,9737.4,16386.4213,15255.26,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,13470.07,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,15352.634,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15742.13,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,14281.52,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,10516.392,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,16386.4213,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0410-0915 GRP PSYCHOTH PHP/IOP 45-50 MINS,915,RC,,,,,inpatient,,,234,,117,140.4,236.2698,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,151.632,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,236.2698,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59025-0450 FETAL NON STRESS TEST,450,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27222-0450 TREAT HIP SOCKET FRACTURE,450,RC,,,,,inpatient,,,521,,260.5,312.6,526.0537,489.74,,,,percent of total billed charges,,416.8,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,432.43,,,,percent of total billed charges,,468.9,,,,percent of total billed charges,,479.32,,,,percent of total billed charges,,479.32,,,,percent of total billed charges,,492.866,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,505.37,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,458.48,,,,percent of total billed charges,,468.9,,,,percent of total billed charges,,337.608,,,,percent of total billed charges,,468.9,,,,percent of total billed charges,,312.6,,,,percent of total billed charges,,526.0537,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,494.95,,,,percent of total billed charges,,416.8,,,,percent of total billed charges,,312.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12007-0450 RPR S/N/AX/GEN/TRNK >30.0 CM,450,RC,,,,,inpatient,,,526,,263,315.6,531.1022,494.44,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,436.58,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,497.596,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,510.22,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,462.88,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,340.848,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,531.1022,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12016-0450 RPR FE/E/EN/L/M 12.6-20.0 CM,450,RC,,,,,inpatient,,,1047,,523.5,628.2,1057.1559,984.18,,,,percent of total billed charges,,837.6,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,869.01,,,,percent of total billed charges,,942.3,,,,percent of total billed charges,,963.24,,,,percent of total billed charges,,963.24,,,,percent of total billed charges,,990.462,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,1015.59,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,921.36,,,,percent of total billed charges,,942.3,,,,percent of total billed charges,,678.456,,,,percent of total billed charges,,942.3,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,1057.1559,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,994.65,,,,percent of total billed charges,,837.6,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12036-0450 INTMD RPR S/A/T/EXT 20.1-30,450,RC,,,,,inpatient,,,1650,,825,990,1666.005,1551,,,,percent of total billed charges,,1320,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1369.5,,,,percent of total billed charges,,1485,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1560.9,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1600.5,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1452,,,,percent of total billed charges,,1485,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,1485,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1666.005,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1567.5,,,,percent of total billed charges,,1320,,,,percent of total billed charges,,990,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23605-0450 CLTX PRX HMRL FX MNPJ+-TRACT,450,RC,,,,,inpatient,,,5471,,2735.5,3282.6,5524.0687,5142.74,,,,percent of total billed charges,,4376.8,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,4540.93,,,,percent of total billed charges,,4923.9,,,,percent of total billed charges,,5033.32,,,,percent of total billed charges,,5033.32,,,,percent of total billed charges,,5175.566,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,5306.87,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,4814.48,,,,percent of total billed charges,,4923.9,,,,percent of total billed charges,,3545.208,,,,percent of total billed charges,,4923.9,,,,percent of total billed charges,,3282.6,,,,percent of total billed charges,,5524.0687,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,5197.45,,,,percent of total billed charges,,4376.8,,,,percent of total billed charges,,3282.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24505-0450 CLOSED TX HUMERUS FX,450,RC,,,,,inpatient,,,4221,,2110.5,2532.6,4261.9437,3967.74,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3503.43,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3993.066,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4094.37,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3714.48,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2735.208,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,4261.9437,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24565-0450 CLOSED TX HUMERUS FX W/ MANIP,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26011-0450 DRAINAGE OF FINGER ABSCESS W/ US,450,RC,,,,,inpatient,,,4674,,2337,2804.4,4719.3378,4393.56,,,,percent of total billed charges,,3739.2,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,3879.42,,,,percent of total billed charges,,4206.6,,,,percent of total billed charges,,4300.08,,,,percent of total billed charges,,4300.08,,,,percent of total billed charges,,4421.604,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,4533.78,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,4113.12,,,,percent of total billed charges,,4206.6,,,,percent of total billed charges,,3028.752,,,,percent of total billed charges,,4206.6,,,,percent of total billed charges,,2804.4,,,,percent of total billed charges,,4719.3378,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,4440.3,,,,percent of total billed charges,,3739.2,,,,percent of total billed charges,,2804.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26356-0450 REPAIR FINGER/HAND TENDON,450,RC,,,,,inpatient,,,8460,,4230,5076,8542.062,7952.4,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7021.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,8003.16,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8206.2,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7444.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5482.08,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,8542.062,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26548-0450 RECONSTRUCT FINGER JOINT,450,RC,,,,,inpatient,,,8460,,4230,5076,8542.062,7952.4,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7021.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,8003.16,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8206.2,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,7444.8,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5482.08,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,8542.062,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,8037,,,,percent of total billed charges,,6768,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26641-0450 TX THUMB DISLOCATION,450,RC,,,,,inpatient,,,620,,310,372,626.014,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,401.76,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,626.014,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27252-0450 CLOSED TX HIP DISLOCATION REQ ANES,450,RC,,,,,inpatient,,,4200,,2100,2520,4240.74,3948,,,,percent of total billed charges,,3360,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3486,,,,percent of total billed charges,,3780,,,,percent of total billed charges,,3864,,,,percent of total billed charges,,3864,,,,percent of total billed charges,,3973.2,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,4074,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3696,,,,percent of total billed charges,,3780,,,,percent of total billed charges,,2721.6,,,,percent of total billed charges,,3780,,,,percent of total billed charges,,2520,,,,percent of total billed charges,,4240.74,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3990,,,,percent of total billed charges,,3360,,,,percent of total billed charges,,2520,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27385-0450 REPAIR OF THIGH MUSCLE,450,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27562-0450 CLOSED TX KNEECAP DISLOCATION REQ ANES,450,RC,,,,,inpatient,,,558,,279,334.8,563.4126,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,361.584,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,563.4126,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27759-0450 TX OF TIBIA FX,450,RC,,,,,inpatient,,,15184,,7592,9110.4,15331.2848,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9839.232,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,15331.2848,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27762-0450 CLTX MED ANKLE FX W/MNPJ,450,RC,,,,,inpatient,,,4221,,2110.5,2532.6,4261.9437,3967.74,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3503.43,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3993.066,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4094.37,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3714.48,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2735.208,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,4261.9437,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27766-0450 OPTX MEDIAL ANKLE FX,450,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27788-0450 CLOSED TX OF DISTAL ANKLE FX W/ MANIP,450,RC,,,,,inpatient,,,620,,310,372,626.014,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,401.76,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,626.014,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27814-0450 OPEN TX OF BIMALLEOLAR ANKLE FX W/ FIXATION,450,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27818-0450 CLOSED TX OF TRIMALLEOLAR ANKLE FX W/ MANIP,450,RC,,,,,inpatient,,,4221,,2110.5,2532.6,4261.9437,3967.74,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3503.43,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3883.32,,,,percent of total billed charges,,3993.066,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4094.37,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3714.48,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2735.208,,,,percent of total billed charges,,3798.9,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,4261.9437,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,4009.95,,,,percent of total billed charges,,3376.8,,,,percent of total billed charges,,2532.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27822-0450 OPEN TX OF TRIMALLEOLAR ANKLE FX W/O FIX; LIP,450,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27829-0450 OPEN TX LOWER LEG JOINT,450,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27899-0450 UNLISTED PX LEG/ANKLE,450,RC,,,,,inpatient,,,617,,308.5,370.2,622.9849,579.98,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,512.11,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,583.682,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,598.49,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,542.96,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,399.816,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,622.9849,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28475-0450 CLOSED TX METATARSAL FX W/ MANIP,450,RC,,,,,inpatient,,,749,,374.5,449.4,756.2653,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,485.352,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,756.2653,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28495-0450 CLOSED TX BIG TOE FX W/ MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28600-0450 CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,450,RC,,,,,inpatient,,,620,,310,372,626.014,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,401.76,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,626.014,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28630-0450 CLOSED TX METATARSOPHALANGEAL DISLOCATION W/O ANES,450,RC,,,,,inpatient,,,764,,382,458.4,771.4108,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,495.072,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,771.4108,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29700-0450 REMOVAL/REVISION OF CAST, BOOT OR BODY",450,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29799-0450 UNLISTED PX CASTING/STRPG,450,RC,,,,,inpatient,,,413,,206.5,247.8,417.0061,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,267.624,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,417.0061,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30000-0450 DRAINAGE OF NOSE LESION,450,RC,,,,,inpatient,,,642,,321,385.2,648.2274,603.48,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,532.86,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,607.332,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,622.74,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,564.96,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,416.016,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,648.2274,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30140-0450 RESECT INFERIOR TURBINATE,450,RC,,,,,inpatient,,,8456,,4228,5073.6,8538.0232,7948.64,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7018.48,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7999.376,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8202.32,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7441.28,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,5479.488,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,8538.0232,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30520-0450 REPAIR OF NASAL SEPTUM,450,RC,,,,,inpatient,,,8456,,4228,5073.6,8538.0232,7948.64,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7018.48,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7779.52,,,,percent of total billed charges,,7999.376,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8202.32,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,7441.28,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,5479.488,,,,percent of total billed charges,,7610.4,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,8538.0232,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,8033.2,,,,percent of total billed charges,,6764.8,,,,percent of total billed charges,,5073.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30905-0450 CONTROL OF NOSEBLEED, POSTERIOR, INITIAL",450,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31253-0450 NSL/SINS NDSC TOTAL,450,RC,,,,,inpatient,,,13661,,6830.5,8196.6,13793.5117,12841.34,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,11338.63,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12923.306,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,13251.17,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12021.68,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,8852.328,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,13793.5117,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31292-0450 NSL/SINS NDSC MED/INF DCMPRN,450,RC,,,,,inpatient,,,13661,,6830.5,8196.6,13793.5117,12841.34,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,11338.63,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12568.12,,,,percent of total billed charges,,12923.306,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,13251.17,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12021.68,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,8852.328,,,,percent of total billed charges,,12294.9,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,13793.5117,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,12977.95,,,,percent of total billed charges,,10928.8,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31530-0450 LARYNGOSCOPY W/FB REMOVAL,450,RC,,,,,inpatient,,,4043,,2021.5,2425.8,4082.2171,3800.42,,,,percent of total billed charges,,3234.4,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3355.69,,,,percent of total billed charges,,3638.7,,,,percent of total billed charges,,3719.56,,,,percent of total billed charges,,3719.56,,,,percent of total billed charges,,3824.678,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3921.71,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3557.84,,,,percent of total billed charges,,3638.7,,,,percent of total billed charges,,2619.864,,,,percent of total billed charges,,3638.7,,,,percent of total billed charges,,2425.8,,,,percent of total billed charges,,4082.2171,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3840.85,,,,percent of total billed charges,,3234.4,,,,percent of total billed charges,,2425.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 35226-0450 REPAIR BLOOD VESSEL LESION,450,RC,,,,,inpatient,,,1927,,963.5,1156.2,1945.6919,1811.38,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1599.41,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1822.942,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1869.19,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1695.76,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1248.696,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,1945.6919,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36590-0450 REMOVAL TUNNELED CV CATH, W/ S.C. PUMP/PORT",450,RC,,,,,inpatient,,,6187,,3093.5,3712.2,6247.0139,5815.78,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,5135.21,,,,percent of total billed charges,,5568.3,,,,percent of total billed charges,,5692.04,,,,percent of total billed charges,,5692.04,,,,percent of total billed charges,,5852.902,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,6001.39,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,5444.56,,,,percent of total billed charges,,5568.3,,,,percent of total billed charges,,4009.176,,,,percent of total billed charges,,5568.3,,,,percent of total billed charges,,3712.2,,,,percent of total billed charges,,6247.0139,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,5877.65,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,3712.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36680-0450 INSERT NEEDLE BONE CAVITY,450,RC,,,,,inpatient,,,1046,,523,627.6,1056.1462,983.24,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,868.18,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,989.516,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,1014.62,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,920.48,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,677.808,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,1056.1462,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37799-0450 UNLISTED PX VASCULAR SURGERY,450,RC,,,,,inpatient,,,1912,,956,1147.2,1930.5464,1797.28,,,,percent of total billed charges,,1529.6,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1586.96,,,,percent of total billed charges,,1720.8,,,,percent of total billed charges,,1759.04,,,,percent of total billed charges,,1759.04,,,,percent of total billed charges,,1808.752,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1854.64,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1682.56,,,,percent of total billed charges,,1720.8,,,,percent of total billed charges,,1238.976,,,,percent of total billed charges,,1720.8,,,,percent of total billed charges,,1147.2,,,,percent of total billed charges,,1930.5464,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1816.4,,,,percent of total billed charges,,1529.6,,,,percent of total billed charges,,1147.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40650-0450 RPR LIP FTH VERMILION ONLY,450,RC,,,,,inpatient,,,1446,,723,867.6,1460.0262,1359.24,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1200.18,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1367.916,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1402.62,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1272.48,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,937.008,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,1460.0262,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40652-0450 RPR LIP FTH<HALF VER HEIGHT,450,RC,,,,,inpatient,,,1446,,723,867.6,1460.0262,1359.24,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1200.18,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1367.916,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1402.62,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1272.48,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,937.008,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,1460.0262,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40799-0450 UNLISTED PROCEDURE LIPS,450,RC,,,,,inpatient,,,639,,319.5,383.4,645.1983,600.66,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,530.37,,,,percent of total billed charges,,575.1,,,,percent of total billed charges,,587.88,,,,percent of total billed charges,,587.88,,,,percent of total billed charges,,604.494,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,619.83,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,562.32,,,,percent of total billed charges,,575.1,,,,percent of total billed charges,,414.072,,,,percent of total billed charges,,575.1,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,645.1983,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,607.05,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40831-0450 REPAIR MOUTH LACERATION; OVER 2.5 CM COMPLEX,450,RC,,,,,inpatient,,,1446,,723,867.6,1460.0262,1359.24,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1200.18,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1330.32,,,,percent of total billed charges,,1367.916,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1402.62,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1272.48,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,937.008,,,,percent of total billed charges,,1301.4,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,1460.0262,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1373.7,,,,percent of total billed charges,,1156.8,,,,percent of total billed charges,,867.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41599-0450 UNLISTED PX TONGUE FLR MOUTH,450,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42000-0450 DRAINAGE MOUTH ROOF LESION,450,RC,,,,,inpatient,,,642,,321,385.2,648.2274,603.48,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,532.86,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,590.64,,,,percent of total billed charges,,607.332,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,622.74,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,564.96,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,416.016,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,648.2274,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,609.9,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45378-0450 DIAGNOSTIC COLONOSCOPY,450,RC,,,,,inpatient,,,2078,,1039,1246.8,2098.1566,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1346.544,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,2098.1566,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46999-0450 UNLISTED PROCEDURE ANUS,450,RC,,,,,inpatient,,,2389,,1194.5,1433.4,2412.1733,2245.66,,,,percent of total billed charges,,1911.2,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,1982.87,,,,percent of total billed charges,,2150.1,,,,percent of total billed charges,,2197.88,,,,percent of total billed charges,,2197.88,,,,percent of total billed charges,,2259.994,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,2317.33,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,2102.32,,,,percent of total billed charges,,2150.1,,,,percent of total billed charges,,1548.072,,,,percent of total billed charges,,2150.1,,,,percent of total billed charges,,1433.4,,,,percent of total billed charges,,2412.1733,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,2269.55,,,,percent of total billed charges,,1911.2,,,,percent of total billed charges,,1433.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54450-0450 PREPUTIAL STRETCHING,450,RC,,,,,inpatient,,,649,,324.5,389.4,655.2953,610.06,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,538.67,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,613.954,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,629.53,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,571.12,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,420.552,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,655.2953,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55874-0450 TPRNL PLMT BIODEGRDABL MATRL,450,RC,,,,,inpatient,,,10096,,5048,6057.6,10193.9312,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6542.208,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,10193.9312,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55899-0450 UNLISTED PX MALE GENITAL SYS,450,RC,,,,,inpatient,,,646,,323,387.6,652.2662,607.24,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,536.18,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,611.116,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,626.62,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,568.48,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,418.608,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,652.2662,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57106-0450 REMOVE VAGINA WALL PARTIAL,450,RC,,,,,inpatient,,,8211,,4105.5,4926.6,8290.6467,7718.34,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6815.13,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7767.606,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7964.67,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7225.68,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,5320.728,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,8290.6467,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57160-0450 INSERT PESSARY/OTHER DEVICE,450,RC,,,,,inpatient,,,541,,270.5,324.6,546.2477,508.54,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,449.03,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,511.786,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,524.77,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,476.08,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,350.568,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,546.2477,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62272-0450 THER SPI PNXR DRG CSF,450,RC,,,,,inpatient,,,2472,,1236,1483.2,2495.9784,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1601.856,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2495.9784,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64999-0450 UNLISTED PX NERVOUS SYSTEM,450,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68815-0450 PROBE NASOLACRIMAL DUCT,450,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45399-0450 UNLISTED PROCEDURE, COLON",450,RC,,,,,inpatient,,,2502,,1251,1501.2,2526.2694,2351.88,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2076.66,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2366.892,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2426.94,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2201.76,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1621.296,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,2526.2694,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50435-0450 EXCHANGE NEPHROSTOMY CATH,450,RC,,,,,inpatient,,,3251,,1625.5,1950.6,3282.5347,3055.94,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2698.33,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,3075.446,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3153.47,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2860.88,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2106.648,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,3282.5347,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13153-0450 REPAIR COMPLEX E/N/E/L; EACH ADD 5 CM OR LESS,450,RC,,,,,inpatient,,,969,,484.5,581.4,978.3993,910.86,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,804.27,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,916.674,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,939.93,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,852.72,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,627.912,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,978.3993,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26410-0450 REPAIR HAND TENDON,450,RC,,,,,inpatient,,,3635,,1817.5,2181,3670.2595,3416.9,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3017.05,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3438.71,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3525.95,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3198.8,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2355.48,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,3670.2595,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4106 DERMAGRAFT 5 X 7.5 CM; PER SQ CM (38 UNITS),636,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WOUND CARE NON-SELECTIVE,761,RC,,,,,inpatient,,,405,,202.5,243,408.9285,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,262.44,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,408.9285,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4101 APLIGRAF SKIN SUB PER SQ CM (44 UNITS),636,RC,,,,,inpatient,,,92,,46,55.2,92.8924,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,59.616,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,92.8924,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEG PRESSURE DRESSING CHG < 50 CM,510,RC,,,,,inpatient,,,405,,202.5,243,408.9285,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,262.44,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,408.9285,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEG PRES DRESSING CHG  > 50 CM,510,RC,,,,,inpatient,,,605,,302.5,363,610.8685,568.7,,,,percent of total billed charges,,484,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,502.15,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,572.33,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,586.85,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,532.4,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,392.04,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,363,,,,percent of total billed charges,,610.8685,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,484,,,,percent of total billed charges,,363,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYPERBARIC THERAPY/30 MIN,413,RC,,,,,inpatient,,,645,,322.5,387,651.2565,606.3,,,,percent of total billed charges,,516,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,535.35,,,,percent of total billed charges,,580.5,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,610.17,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,625.65,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,580.5,,,,percent of total billed charges,,417.96,,,,percent of total billed charges,,580.5,,,,percent of total billed charges,,387,,,,percent of total billed charges,,651.2565,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,612.75,,,,percent of total billed charges,,516,,,,percent of total billed charges,,387,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR WC PROCEDURE,361,RC,,,,,inpatient,,,505,,252.5,303,509.8985,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,327.24,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,509.8985,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HGHG LEVEL II WC PROCEDURE,361,RC,,,,,inpatient,,,861,,430.5,516.6,869.3517,809.34,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,714.63,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,814.506,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,835.17,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,757.68,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,557.928,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,869.3517,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL III WC PROCEDURE,361,RC,,,,,inpatient,,,2846,,1423,1707.6,2873.6062,2675.24,,,,percent of total billed charges,,2276.8,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2362.18,,,,percent of total billed charges,,2561.4,,,,percent of total billed charges,,2618.32,,,,percent of total billed charges,,2618.32,,,,percent of total billed charges,,2692.316,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2760.62,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2504.48,,,,percent of total billed charges,,2561.4,,,,percent of total billed charges,,1844.208,,,,percent of total billed charges,,2561.4,,,,percent of total billed charges,,1707.6,,,,percent of total billed charges,,2873.6062,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2703.7,,,,percent of total billed charges,,2276.8,,,,percent of total billed charges,,1707.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR WC PROCEDURE,361,RC,,,,,inpatient,,,4409,,2204.5,2645.4,4451.7673,4144.46,,,,percent of total billed charges,,3527.2,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,3659.47,,,,percent of total billed charges,,3968.1,,,,percent of total billed charges,,4056.28,,,,percent of total billed charges,,4056.28,,,,percent of total billed charges,,4170.914,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,4276.73,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,3879.92,,,,percent of total billed charges,,3968.1,,,,percent of total billed charges,,2857.032,,,,percent of total billed charges,,3968.1,,,,percent of total billed charges,,2645.4,,,,percent of total billed charges,,4451.7673,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,4188.55,,,,percent of total billed charges,,3527.2,,,,percent of total billed charges,,2645.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4121 THERASKIN PER SQ CM,636,RC,,,,,inpatient,,,93,,46.5,55.8,93.9021,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,93.9021,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER/TCOM SINGLE,920,RC,,,,,inpatient,,,414,,207,248.4,418.0158,389.16,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,343.62,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,391.644,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,268.272,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,418.0158,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOPPLER/TCOM BILATERAL,920,RC,,,,,inpatient,,,712,,356,427.2,718.9064,669.28,,,,percent of total billed charges,,569.6,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,590.96,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,655.04,,,,percent of total billed charges,,655.04,,,,percent of total billed charges,,673.552,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,690.64,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,626.56,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,461.376,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,718.9064,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,676.4,,,,percent of total billed charges,,569.6,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51701-0361 INSERT TEMP CATH BLADDER,361,RC,,,,,inpatient,,,409,,204.5,245.4,412.9673,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,265.032,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,412.9673,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51702-0361 INSERT TEMP CATH FOLEY,361,RC,,,,,inpatient,,,473,,236.5,283.8,477.5881,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,306.504,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,477.5881,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51703-0361 INDWELLING CATHETER COMPLEX,361,RC,,,,,inpatient,,,845,,422.5,507,853.1965,794.3,,,,percent of total billed charges,,676,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,701.35,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,799.37,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,819.65,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,743.6,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,547.56,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,507,,,,percent of total billed charges,,853.1965,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,676,,,,percent of total billed charges,,507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH COLLECTION OF SPECIMEN,300,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTRIC LAVAGE,361,RC,,,,,inpatient,,,661,,330.5,396.6,667.4117,621.34,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,548.63,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,608.12,,,,percent of total billed charges,,625.306,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,641.17,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,581.68,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,428.328,,,,percent of total billed charges,,594.9,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,667.4117,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,627.95,,,,percent of total billed charges,,528.8,,,,percent of total billed charges,,396.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ACTIVE WOUND CARE/20 CM OR <,420,RC,,,,,inpatient,,,444,,222,266.4,448.3068,417.36,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,368.52,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,420.024,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,430.68,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,390.72,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,287.712,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,448.3068,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVE WOUND CARE > 20 CM,420,RC,,,,,inpatient,,,542,,271,325.2,547.2574,509.48,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,449.86,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,512.732,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,525.74,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,476.96,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,351.216,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,547.2574,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4196 PURAPLY AM PER SQ CM,636,RC,,,,,inpatient,,,432,,216,259.2,436.1904,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,279.936,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,436.1904,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE ELECTROMOGRAPHY, LIMITED",922,RC,,,,,inpatient,,,259,,129.5,155.4,261.5123,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,167.832,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,261.5123,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV INITIAL 15 MIN - ST,440,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP LAB NO SHOW,920,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP THRSHLD EST MLT FREQ I&R,471,RC,,,,,inpatient,,,908,,454,544.8,916.8076,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,588.384,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,916.8076,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP NEURODIAGNOSTIC I&R,471,RC,,,,,inpatient,,,908,,454,544.8,916.8076,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,588.384,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,916.8076,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRENOTOMY - INCISION OF FRENUM,361,RC,,,,,inpatient,,,4537,,2268.5,2722.2,4581.0089,4264.78,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3765.71,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4292.002,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4400.89,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3992.56,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,2939.976,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,4581.0089,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRENUMECTOMY - EXCISION OF FRENUM,361,RC,,,,,inpatient,,,5003,,2501.5,3001.8,5051.5291,4702.82,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4152.49,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4732.838,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4852.91,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4402.64,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,3241.944,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,5051.5291,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIPAP/CPAP/EPAP/NASAL CPAP,410,RC,,,,,inpatient,,,317,,158.5,190.2,320.0749,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,205.416,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,320.0749,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD GAS PANEL,301,RC,,,,,inpatient,,,212,,106,127.2,214.0564,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,137.376,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,214.0564,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIAC ARREST,480,RC,,,,,inpatient,,,1384,,692,830.4,1397.4248,1300.96,,,,percent of total billed charges,,1107.2,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1148.72,,,,percent of total billed charges,,1245.6,,,,percent of total billed charges,,1273.28,,,,percent of total billed charges,,1273.28,,,,percent of total billed charges,,1309.264,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1342.48,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1217.92,,,,percent of total billed charges,,1245.6,,,,percent of total billed charges,,896.832,,,,percent of total billed charges,,1245.6,,,,percent of total billed charges,,830.4,,,,percent of total billed charges,,1397.4248,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1314.8,,,,percent of total billed charges,,1107.2,,,,percent of total billed charges,,830.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONT BRONCHODIL TX 1ST HR,410,RC,,,,,inpatient,,,579,,289.5,347.4,584.6163,544.26,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,480.57,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,547.734,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,561.63,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,509.52,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,375.192,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,584.6163,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94645-0410 CONT BRONCHODIL TX ADD HR,410,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD GAS PANEL/CO-OXIMETRY,301,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUTTER VALVE PROCEDURE-INITIA,410,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUTTER VALVE PROCEDURE-SUBSEQ,410,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM,301,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METERED DOSE INHAL (FOLLOW-UP),419,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METERED DOSE INHALER INSTRUCT,410,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSCILLATORY/JET VENT - INITIAL,410,RC,,,,,inpatient,,,634,,317,380.4,640.1498,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,410.832,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,640.1498,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSCILLATORY/JET VENT-SUBSEQUEN,410,RC,,,,,inpatient,,,634,,317,380.4,640.1498,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,410.832,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,640.1498,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK FLOW - INITAL,460,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK FLOW BEDSIDE - SUBSEQUENT,460,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PENTAMIDINE TX AEROSOL THERAPY,410,RC,,,,,inpatient,,,735,,367.5,441,742.1295,690.9,,,,percent of total billed charges,,588,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,610.05,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,695.31,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,712.95,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,646.8,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,476.28,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,441,,,,percent of total billed charges,,742.1295,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,588,,,,percent of total billed charges,,441,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEP - INITIAL,410,RC,,,,,inpatient,,,449,,224.5,269.4,453.3553,422.06,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,372.67,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,424.754,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,435.53,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,395.12,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,290.952,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,453.3553,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEP - SUBSEQUENT,410,RC,,,,,inpatient,,,272,,136,163.2,274.6384,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,176.256,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,274.6384,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUSSIVE VEST,410,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSTURAL DRAIN/PERC-INITIAL,410,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94668-0410 POSTURAL DRAIN/PERC-SUBSEQUENT,410,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POTASSIUM,301,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX W/TREND,460,RC,,,,,inpatient,,,620,,310,372,626.014,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,401.76,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,626.014,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OXIMETRY/OVERNIGHT,460,RC,,,,,inpatient,,,620,,310,372,626.014,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,401.76,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,626.014,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX-UNIT SINGLE-RESP,460,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEO PEDS RESPIRATORY MONITORING,460,RC,,,,,inpatient,,,853,,426.5,511.8,861.2741,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,861.2741,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPONT DRUG AEROSOL(SUBSEQUENT),419,RC,,,,,inpatient,,,191,,95.5,114.6,192.8527,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,192.8527,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPONT DRUG AEROSOL-INITIAL,419,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TCMCO2 - INITIAL,460,RC,,,,,inpatient,,,1426,,713,855.6,1439.8322,1340.44,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1183.58,,,,percent of total billed charges,,1283.4,,,,percent of total billed charges,,1311.92,,,,percent of total billed charges,,1311.92,,,,percent of total billed charges,,1348.996,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1383.22,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1283.4,,,,percent of total billed charges,,924.048,,,,percent of total billed charges,,1283.4,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,1439.8322,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1354.7,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,855.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TCMC02 - PER 24 HRS.,460,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VC/NIF/VT/RSBI,460,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR GEN FLOORS-INITIAL,410,RC,,,,,inpatient,,,634,,317,380.4,640.1498,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,410.832,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,640.1498,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR GEN FLOORS-SUBSEQUE,410,RC,,,,,inpatient,,,634,,317,380.4,640.1498,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,410.832,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,640.1498,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR ICU/NN - INITIAL,410,RC,,,,,inpatient,,,1334,,667,800.4,1346.9398,1253.96,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1107.22,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1261.964,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1293.98,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1173.92,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,864.432,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,1346.9398,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR ICU/NN -SUBSEQUENT,410,RC,,,,,inpatient,,,1334,,667,800.4,1346.9398,1253.96,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1107.22,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1227.28,,,,percent of total billed charges,,1261.964,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1293.98,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1173.92,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,864.432,,,,percent of total billed charges,,1200.6,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,1346.9398,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1267.3,,,,percent of total billed charges,,1067.2,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIBRATOR PEP,410,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTERIAL BLD GAS COLLCTN,761,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHIAL CHALLENGE TEST,460,RC,,,,,inpatient,,,743,,371.5,445.8,750.2071,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,481.464,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,750.2071,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEX EXERCISE STRESS TEST,460,RC,,,,,inpatient,,,2176,,1088,1305.6,2197.1072,2045.44,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1806.08,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2001.92,,,,percent of total billed charges,,2058.496,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2110.72,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1914.88,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1410.048,,,,percent of total billed charges,,1958.4,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,2197.1072,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,2067.2,,,,percent of total billed charges,,1740.8,,,,percent of total billed charges,,1305.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG VOLUME - TGV,460,RC,,,,,inpatient,,,743,,371.5,445.8,750.2071,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,481.464,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,750.2071,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG VOLUME FRC,460,RC,,,,,inpatient,,,608,,304,364.8,613.8976,571.52,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,504.64,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,575.168,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,589.76,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,535.04,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,393.984,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,613.8976,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METABOLIC ASSESSMENT,460,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OXIMETRY - SINGLE,460,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULSE OX-MULTIPLE,460,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMPLE EXERCISE STRESS TEST,460,RC,,,,,inpatient,,,743,,371.5,445.8,750.2071,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,481.464,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,750.2071,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SINGLE BRTH DIFF CAPACITY,460,RC,,,,,inpatient,,,360,,180,216,363.492,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,233.28,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,363.492,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY & MVV,460,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY WITH BRONCHODIL,460,RC,,,,,inpatient,,,768,,384,460.8,775.4496,721.92,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,637.44,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,706.56,,,,percent of total billed charges,,726.528,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,744.96,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,675.84,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,497.664,,,,percent of total billed charges,,691.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,775.4496,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,729.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIROMETRY-NO BRONCHODIL,460,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAL CAPACITY TOTAL SLOW,460,RC,,,,,inpatient,,,380,,190,228,383.686,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,246.24,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,383.686,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXHALED NITRIC OXIDE,460,RC,,,,,inpatient,,,303,,151.5,181.8,305.9391,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,196.344,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,305.9391,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COUGH ASSIST,410,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PH,301,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM,301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GLUCOSE, NONFAST",301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLORIDE,301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTIC ACID,301,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPIROMETRY,BEFORE&AFTER BRONCHO,CHILD UP TO 2 YRS",460,RC,,,,,inpatient,,,795,,397.5,477,802.7115,747.3,,,,percent of total billed charges,,636,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,659.85,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,752.07,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,771.15,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,515.16,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,477,,,,percent of total billed charges,,802.7115,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,636,,,,percent of total billed charges,,477,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LUNG VOLUMES,FRC,FVC,&ERV,CHILD UP TO 2 YRS",460,RC,,,,,inpatient,,,853,,426.5,511.8,861.2741,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,861.2741,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31500-0361 INTUBATION ENDOTRACHEAL EMERG,361,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARB OXY HEMOGLOBIN,301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD PH,301,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BLOOD GASES, O2 SAT",301,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHEMOGLOBIN,301,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPUTUM INDUCTION,410,RC,,,,,inpatient,,,388,,194,232.8,391.7636,364.72,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,367.048,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,376.36,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,341.44,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,251.424,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,391.7636,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M.V.V. MAX VOLUNTARY VENT,460,RC,,,,,inpatient,,,355,,177.5,213,358.4435,333.7,,,,percent of total billed charges,,284,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,294.65,,,,percent of total billed charges,,319.5,,,,percent of total billed charges,,326.6,,,,percent of total billed charges,,326.6,,,,percent of total billed charges,,335.83,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,344.35,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,312.4,,,,percent of total billed charges,,319.5,,,,percent of total billed charges,,230.04,,,,percent of total billed charges,,319.5,,,,percent of total billed charges,,213,,,,percent of total billed charges,,358.4435,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,337.25,,,,percent of total billed charges,,284,,,,percent of total billed charges,,213,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRC/RV,460,RC,,,,,inpatient,,,743,,371.5,445.8,750.2071,698.42,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,616.69,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,683.56,,,,percent of total billed charges,,702.878,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,720.71,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,653.84,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,481.464,,,,percent of total billed charges,,668.7,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,750.2071,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,705.85,,,,percent of total billed charges,,594.4,,,,percent of total billed charges,,445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBON MONOXIDE DIFF CAP,460,RC,,,,,inpatient,,,360,,180,216,363.492,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,233.28,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,363.492,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXHALED AIR ANALYSIS O2,410,RC,,,,,inpatient,,,1202,,601,721.2,1213.6594,1129.88,,,,percent of total billed charges,,961.6,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,997.66,,,,percent of total billed charges,,1081.8,,,,percent of total billed charges,,1105.84,,,,percent of total billed charges,,1105.84,,,,percent of total billed charges,,1137.092,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,1165.94,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,1057.76,,,,percent of total billed charges,,1081.8,,,,percent of total billed charges,,778.896,,,,percent of total billed charges,,1081.8,,,,percent of total billed charges,,721.2,,,,percent of total billed charges,,1213.6594,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,1141.9,,,,percent of total billed charges,,961.6,,,,percent of total billed charges,,721.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RT SURGICAL ASSIST,360,RC,,,,,inpatient,,,1603,,801.5,961.8,1618.5491,1506.82,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1330.49,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1474.76,,,,percent of total billed charges,,1516.438,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1554.91,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1410.64,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,1038.744,,,,percent of total billed charges,,1442.7,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,1618.5491,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1522.85,,,,percent of total billed charges,,1282.4,,,,percent of total billed charges,,961.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NAVA CATHETER,272,RC,,,,,inpatient,,,801,,400.5,480.6,808.7697,752.94,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,664.83,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,757.746,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,519.048,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,808.7697,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NAVA VENTILATION (INITIAL),272,RC,,,,,inpatient,,,1456,,728,873.6,1470.1232,1368.64,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1208.48,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1377.376,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1412.32,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1281.28,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,943.488,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,1470.1232,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NAVA VENTILATION (SUBSEQUENT),272,RC,,,,,inpatient,,,655,,327.5,393,661.3535,615.7,,,,percent of total billed charges,,524,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,543.65,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,619.63,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,635.35,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,576.4,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,424.44,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,393,,,,percent of total billed charges,,661.3535,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,524,,,,percent of total billed charges,,393,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOBACCO-USE COUNSEL 3-10 MIN,942,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOBACCO-USE COUNSEL > 10 MIN,942,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUENCEY EV,444,RC,,,,,inpatient,,,698,,349,418.8,704.7706,656.12,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,579.34,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,660.308,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,677.06,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,614.24,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,452.304,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,704.7706,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPCH PROD EV,444,RC,,,,,inpatient,,,698,,349,418.8,704.7706,656.12,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,579.34,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,660.308,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,677.06,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,614.24,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,452.304,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,704.7706,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPCH/LANG EV,444,RC,,,,,inpatient,,,698,,349,418.8,704.7706,656.12,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,579.34,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,642.16,,,,percent of total billed charges,,660.308,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,677.06,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,614.24,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,452.304,,,,percent of total billed charges,,628.2,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,704.7706,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,663.1,,,,percent of total billed charges,,558.4,,,,percent of total billed charges,,418.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOICE EV,444,RC,,,,,inpatient,,,879,,439.5,527.4,887.5263,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,569.592,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,887.5263,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI PAP INFANT FLOW LP GENERATEOR KIT W/ PRONGS,272,RC,,,,,inpatient,,,2726,,1363,1635.6,2752.4422,2562.44,,,,percent of total billed charges,,2180.8,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2262.58,,,,percent of total billed charges,,2453.4,,,,percent of total billed charges,,2507.92,,,,percent of total billed charges,,2507.92,,,,percent of total billed charges,,2578.796,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2644.22,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2398.88,,,,percent of total billed charges,,2453.4,,,,percent of total billed charges,,1766.448,,,,percent of total billed charges,,2453.4,,,,percent of total billed charges,,1635.6,,,,percent of total billed charges,,2752.4422,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2589.7,,,,percent of total billed charges,,2180.8,,,,percent of total billed charges,,1635.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI-PAP INFANT FLOW LP HEADGEAR,272,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI-PAP INFANT LP MASK,272,RC,,,,,inpatient,,,1108,,554,664.8,1118.7476,1041.52,,,,percent of total billed charges,,886.4,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,919.64,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,1019.36,,,,percent of total billed charges,,1019.36,,,,percent of total billed charges,,1048.168,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,1074.76,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,975.04,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,717.984,,,,percent of total billed charges,,997.2,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,1118.7476,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,1052.6,,,,percent of total billed charges,,886.4,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI-PAP INFANT FLOW LP PRONG,272,RC,,,,,inpatient,,,496,,248,297.6,500.8112,466.24,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,411.68,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,469.216,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,481.12,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,436.48,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,321.408,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,500.8112,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED ARTERIAL STICK,761,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY STRESS TESTING,460,RC,,,,,inpatient,,,456,,228,273.6,460.4232,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,295.488,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,460.4232,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT ASSISTIVE TECHNOLOGY ASSESS,420,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOCARDIAL STRAIN IMAGING,483,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIX MINUTE WALK TEST,460,RC,,,,,inpatient,,,396,,198,237.6,399.8412,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,256.608,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,399.8412,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY-UNATTENDED W/O USE OF AIR FLOW,510,RC,,,,,inpatient,,,424,,212,254.4,428.1128,398.56,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,351.92,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,401.104,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,411.28,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,373.12,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,274.752,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,428.1128,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLY >4 PAR <6 HRS,740,RC,,,,,inpatient,,,3254,,1627,1952.4,3285.5638,3058.76,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2700.82,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,3078.284,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3156.38,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2863.52,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2108.592,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,3285.5638,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLY >4 W CAP < 6 HRS,740,RC,,,,,inpatient,,,3425,,1712.5,2055,3458.2225,3219.5,,,,percent of total billed charges,,2740,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,2842.75,,,,percent of total billed charges,,3082.5,,,,percent of total billed charges,,3151,,,,percent of total billed charges,,3151,,,,percent of total billed charges,,3240.05,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,3322.25,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,3014,,,,percent of total billed charges,,3082.5,,,,percent of total billed charges,,2219.4,,,,percent of total billed charges,,3082.5,,,,percent of total billed charges,,2055,,,,percent of total billed charges,,3458.2225,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,3253.75,,,,percent of total billed charges,,2740,,,,percent of total billed charges,,2055,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY - UNATTENDED < 6 HRS,920,RC,,,,,inpatient,,,416,,208,249.6,420.0352,391.04,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,345.28,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,393.536,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,403.52,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,366.08,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,269.568,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,420.0352,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SLEEP STUDY ATTENDED <6 HRS,740,RC,,,,,inpatient,,,1083,,541.5,649.8,1093.5051,1018.02,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,898.89,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,1024.518,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1050.51,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,953.04,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,701.784,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,1093.5051,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT ECG>48HR<7D RECORDING,731,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT ECG>48HR<7D SCAN A/R,731,RC,,,,,inpatient,,,207,,103.5,124.2,209.0079,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,209.0079,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT ECG>7D<15D RECORDING,731,RC,,,,,inpatient,,,207,,103.5,124.2,209.0079,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,209.0079,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTECG>7D<15D SCAN A/R,731,RC,,,,,inpatient,,,418,,209,250.8,422.0546,392.92,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,346.94,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,395.428,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,405.46,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,367.84,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,270.864,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,422.0546,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXERCISE TST BRNCSPSM W/O ECG,730,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED NEUROLOGICAL PROCEDURE,740,RC,,,,,inpatient,,,576,,288,345.6,581.5872,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,373.248,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,581.5872,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94625-0948  PULMONARY REHAB COPD W/O OXIMETRY MONITORING,948,RC,,,,,inpatient,,,226,,113,135.6,228.1922,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,228.1922,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94626-0948 PULMONARY REHAB COPD WITH OXIMETRY MONITORING,948,RC,,,,,inpatient,,,226,,113,135.6,228.1922,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,228.1922,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94625-0948Â PULMONARY REHAB COPD W/O OXIMETRY MONITORING > 36 SESSIONS,948,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94626-0948 PULMONARY REHAB COPD W/ OXIMETRY MONITORING > 36 SESSIONS,948,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNIT, CHEST DRAINAGE",272,RC,,,,,inpatient,,,861,,430.5,516.6,869.3517,809.34,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,714.63,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,792.12,,,,percent of total billed charges,,814.506,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,835.17,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,757.68,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,557.928,,,,percent of total billed charges,,774.9,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,869.3517,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,817.95,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH SWANGANZ TD VIP 7.5FR, 33866",278,RC,,,,,inpatient,,,269,,134.5,161.4,271.6093,252.86,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,223.27,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,254.474,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,260.93,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,236.72,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,174.312,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,271.6093,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HICKMAN CATH 12FR TL,272,RC,,,,,inpatient,,,2830,,1415,1698,2857.451,2660.2,,,,percent of total billed charges,,2264,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2348.9,,,,percent of total billed charges,,2547,,,,percent of total billed charges,,2603.6,,,,percent of total billed charges,,2603.6,,,,percent of total billed charges,,2677.18,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2745.1,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2490.4,,,,percent of total billed charges,,2547,,,,percent of total billed charges,,1833.84,,,,percent of total billed charges,,2547,,,,percent of total billed charges,,1698,,,,percent of total billed charges,,2857.451,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2688.5,,,,percent of total billed charges,,2264,,,,percent of total billed charges,,1698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, DRAINAGE TRAY, 115868, 58539, 65009",278,RC,,,,,inpatient,,,899,,449.5,539.4,907.7203,845.06,,,,percent of total billed charges,,719.2,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,746.17,,,,percent of total billed charges,,809.1,,,,percent of total billed charges,,827.08,,,,percent of total billed charges,,827.08,,,,percent of total billed charges,,850.454,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,872.03,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,791.12,,,,percent of total billed charges,,809.1,,,,percent of total billed charges,,582.552,,,,percent of total billed charges,,809.1,,,,percent of total billed charges,,539.4,,,,percent of total billed charges,,907.7203,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,854.05,,,,percent of total billed charges,,719.2,,,,percent of total billed charges,,539.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PORT,INDWELLING,IMPLANTABLE I",270,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PORT,INDWELLING,IMPLANTABLE II",278,RC,,,,,inpatient,,,1770,,885,1062,1787.169,1663.8,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1469.1,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1674.42,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1716.9,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1557.6,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1146.96,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,1787.169,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0172 COLLAR, FOAM, 2 PIECE, PREFAB OTS",274,RC,,,,,inpatient,,,312,,156,187.2,315.0264,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,315.0264,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRACE, KNEE",274,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMOBILIZER, KNEE",274,RC,,,,,inpatient,,,183,,91.5,109.8,184.7751,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,118.584,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,184.7751,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPLINT, COCK-UP",270,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPLINT, WRIST",270,RC,,,,,inpatient,,,806,,403,483.6,813.8182,757.64,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,668.98,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,762.476,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,781.82,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,709.28,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,522.288,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,813.8182,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOTHORAR SET COOK,278,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRA SURGI ALL SIZES,274,RC,,,,,inpatient,,,255,,127.5,153,257.4735,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,165.24,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,257.4735,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNIT, CHEST DRAINAGE, 68347",278,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRACE, HIGH TIDE / LOW TIDE",274,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPISTAT,270,RC,,,,,inpatient,,,649,,324.5,389.4,655.2953,610.06,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,538.67,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,597.08,,,,percent of total billed charges,,613.954,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,629.53,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,571.12,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,420.552,,,,percent of total billed charges,,584.1,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,655.2953,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,616.55,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,389.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER FLEXICON II KIT,278,RC,,,,,inpatient,,,985,,492.5,591,994.5545,925.9,,,,percent of total billed charges,,788,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,817.55,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,931.81,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,955.45,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,866.8,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,638.28,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,591,,,,percent of total billed charges,,994.5545,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,788,,,,percent of total billed charges,,591,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEPORT THERMOD. CATH.,278,RC,,,,,inpatient,,,475,,237.5,285,479.6075,446.5,,,,percent of total billed charges,,380,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,418,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,285,,,,percent of total billed charges,,479.6075,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,451.25,,,,percent of total billed charges,,380,,,,percent of total billed charges,,285,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACE ENHANCE T ROM,274,RC,,,,,inpatient,,,427,,213.5,256.2,431.1419,401.38,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,354.41,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,403.942,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,414.19,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,375.76,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,276.696,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,431.1419,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V-PACING PROBE,270,RC,,,,,inpatient,,,544,,272,326.4,549.2768,511.36,,,,percent of total billed charges,,435.2,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,451.52,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,500.48,,,,percent of total billed charges,,500.48,,,,percent of total billed charges,,514.624,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,527.68,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,478.72,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,352.512,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,549.2768,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,435.2,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY ADVANCED VENOUS ACCESS,270,RC,,,,,inpatient,,,506,,253,303.6,510.9082,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,327.888,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,510.9082,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 1MM X 12MM 86MX,636,RC,,,,,inpatient,,,8119,,4059.5,4871.4,8197.7543,7631.86,,,,percent of total billed charges,,6495.2,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,6738.77,,,,percent of total billed charges,,7307.1,,,,percent of total billed charges,,7469.48,,,,percent of total billed charges,,7469.48,,,,percent of total billed charges,,7680.574,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,7875.43,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,7144.72,,,,percent of total billed charges,,7307.1,,,,percent of total billed charges,,5261.112,,,,percent of total billed charges,,7307.1,,,,percent of total billed charges,,4871.4,,,,percent of total billed charges,,8197.7543,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,7713.05,,,,percent of total billed charges,,6495.2,,,,percent of total billed charges,,4871.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLASMA J-HOOK W/CORD,272,RC,,,,,inpatient,,,621,,310.5,372.6,627.0237,583.74,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,515.43,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,587.466,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,602.37,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,402.408,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,627.0237,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLASMA SPATULA W/CORD,272,RC,,,,,inpatient,,,621,,310.5,372.6,627.0237,583.74,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,515.43,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,587.466,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,602.37,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,402.408,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,627.0237,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FORCEP HALO CUTTING 5MM,272,RC,,,,,inpatient,,,621,,310.5,372.6,627.0237,583.74,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,515.43,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,571.32,,,,percent of total billed charges,,587.466,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,602.37,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,402.408,,,,percent of total billed charges,,558.9,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,627.0237,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,589.95,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRO-TOE VO INSTRUMENT KIT,278,RC,,,,,inpatient,,,924,,462,554.4,932.9628,868.56,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,766.92,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,874.104,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,896.28,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,813.12,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,598.752,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,932.9628,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PKS OMNI 33 CM,272,RC,,,,,inpatient,,,1030,,515,618,1039.991,968.2,,,,percent of total billed charges,,824,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,854.9,,,,percent of total billed charges,,927,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,974.38,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,999.1,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,927,,,,percent of total billed charges,,667.44,,,,percent of total billed charges,,927,,,,percent of total billed charges,,618,,,,percent of total billed charges,,1039.991,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,824,,,,percent of total billed charges,,618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK PLASMA BLADE ADENOID,272,RC,,,,,inpatient,,,1228,,614,736.8,1239.9116,1154.32,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1019.24,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1161.688,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1191.16,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1080.64,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,795.744,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,1239.9116,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEAK PLASMA BLADE TNA,272,RC,,,,,inpatient,,,1228,,614,736.8,1239.9116,1154.32,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1019.24,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1129.76,,,,percent of total billed charges,,1161.688,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1191.16,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1080.64,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,795.744,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,1239.9116,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,1166.6,,,,percent of total billed charges,,982.4,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PKS PLASMASORD,272,RC,,,,,inpatient,,,1240,,620,744,1252.028,1165.6,,,,percent of total billed charges,,992,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1029.2,,,,percent of total billed charges,,1116,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,1140.8,,,,percent of total billed charges,,1173.04,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1202.8,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,1116,,,,percent of total billed charges,,803.52,,,,percent of total billed charges,,1116,,,,percent of total billed charges,,744,,,,percent of total billed charges,,1252.028,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,1178,,,,percent of total billed charges,,992,,,,percent of total billed charges,,744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR PROSTHESIS-PORP,278,RC,,,,,inpatient,,,1508,,754,904.8,1522.6276,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,977.184,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1522.6276,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR PROSTHESIS-TORP,278,RC,,,,,inpatient,,,1591,,795.5,954.6,1606.4327,1495.54,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1320.53,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1505.086,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1543.27,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1400.08,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1030.968,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,1606.4327,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABSORBTACK,278,RC,,,,,inpatient,,,1655,,827.5,993,1671.0535,1555.7,,,,percent of total billed charges,,1324,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1373.65,,,,percent of total billed charges,,1489.5,,,,percent of total billed charges,,1522.6,,,,percent of total billed charges,,1522.6,,,,percent of total billed charges,,1565.63,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1605.35,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1456.4,,,,percent of total billed charges,,1489.5,,,,percent of total billed charges,,1072.44,,,,percent of total billed charges,,1489.5,,,,percent of total billed charges,,993,,,,percent of total billed charges,,1671.0535,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1572.25,,,,percent of total billed charges,,1324,,,,percent of total billed charges,,993,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRO-TOE HAMMERTOE,278,RC,,,,,inpatient,,,2329,,1164.5,1397.4,2351.5913,2189.26,,,,percent of total billed charges,,1863.2,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,1933.07,,,,percent of total billed charges,,2096.1,,,,percent of total billed charges,,2142.68,,,,percent of total billed charges,,2142.68,,,,percent of total billed charges,,2203.234,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,2259.13,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,2049.52,,,,percent of total billed charges,,2096.1,,,,percent of total billed charges,,1509.192,,,,percent of total billed charges,,2096.1,,,,percent of total billed charges,,1397.4,,,,percent of total billed charges,,2351.5913,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,2212.55,,,,percent of total billed charges,,1863.2,,,,percent of total billed charges,,1397.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINI TIGHT ROPE,278,RC,,,,,inpatient,,,2518,,1259,1510.8,2542.4246,2366.92,,,,percent of total billed charges,,2014.4,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2089.94,,,,percent of total billed charges,,2266.2,,,,percent of total billed charges,,2316.56,,,,percent of total billed charges,,2316.56,,,,percent of total billed charges,,2382.028,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2442.46,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2215.84,,,,percent of total billed charges,,2266.2,,,,percent of total billed charges,,1631.664,,,,percent of total billed charges,,2266.2,,,,percent of total billed charges,,1510.8,,,,percent of total billed charges,,2542.4246,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2392.1,,,,percent of total billed charges,,2014.4,,,,percent of total billed charges,,1510.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAGE CORNERSTONE PSR,278,RC,,,,,inpatient,,,5315,,2657.5,3189,5366.5555,4996.1,,,,percent of total billed charges,,4252,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,4411.45,,,,percent of total billed charges,,4783.5,,,,percent of total billed charges,,4889.8,,,,percent of total billed charges,,4889.8,,,,percent of total billed charges,,5027.99,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,5155.55,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,4677.2,,,,percent of total billed charges,,4783.5,,,,percent of total billed charges,,3444.12,,,,percent of total billed charges,,4783.5,,,,percent of total billed charges,,3189,,,,percent of total billed charges,,5366.5555,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,5049.25,,,,percent of total billed charges,,4252,,,,percent of total billed charges,,3189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SOFT TISSUE PATCH GORE,270,RC,,,,,inpatient,,,13023,,6511.5,7813.8,13149.3231,12241.62,,,,percent of total billed charges,,10418.4,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,10809.09,,,,percent of total billed charges,,11720.7,,,,percent of total billed charges,,11981.16,,,,percent of total billed charges,,11981.16,,,,percent of total billed charges,,12319.758,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,12632.31,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,11460.24,,,,percent of total billed charges,,11720.7,,,,percent of total billed charges,,8438.904,,,,percent of total billed charges,,11720.7,,,,percent of total billed charges,,7813.8,,,,percent of total billed charges,,13149.3231,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,12371.85,,,,percent of total billed charges,,10418.4,,,,percent of total billed charges,,7813.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTERNAL FIXATION SMALL,278,RC,,,,,inpatient,,,4699,,2349.5,2819.4,4744.5803,4417.06,,,,percent of total billed charges,,3759.2,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,3900.17,,,,percent of total billed charges,,4229.1,,,,percent of total billed charges,,4323.08,,,,percent of total billed charges,,4323.08,,,,percent of total billed charges,,4445.254,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,4558.03,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,4135.12,,,,percent of total billed charges,,4229.1,,,,percent of total billed charges,,3044.952,,,,percent of total billed charges,,4229.1,,,,percent of total billed charges,,2819.4,,,,percent of total billed charges,,4744.5803,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,4464.05,,,,percent of total billed charges,,3759.2,,,,percent of total billed charges,,2819.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESOPHYX KIT R2000,272,RC,,,,,inpatient,,,13369,,6684.5,8021.4,13498.6793,12566.86,,,,percent of total billed charges,,10695.2,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,11096.27,,,,percent of total billed charges,,12032.1,,,,percent of total billed charges,,12299.48,,,,percent of total billed charges,,12299.48,,,,percent of total billed charges,,12647.074,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,12967.93,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,11764.72,,,,percent of total billed charges,,12032.1,,,,percent of total billed charges,,8663.112,,,,percent of total billed charges,,12032.1,,,,percent of total billed charges,,8021.4,,,,percent of total billed charges,,13498.6793,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,12700.55,,,,percent of total billed charges,,10695.2,,,,percent of total billed charges,,8021.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESOPHYX CARTRIDGE R2101,278,RC,,,,,inpatient,,,1498,,749,898.8,1512.5306,1408.12,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1243.34,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1417.108,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1453.06,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1318.24,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,970.704,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,1512.5306,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH PROLOOP XLRG 30903,278,RC,,,,,inpatient,,,1124,,562,674.4,1134.9028,1056.56,,,,percent of total billed charges,,899.2,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,932.92,,,,percent of total billed charges,,1011.6,,,,percent of total billed charges,,1034.08,,,,percent of total billed charges,,1034.08,,,,percent of total billed charges,,1063.304,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,1090.28,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,989.12,,,,percent of total billed charges,,1011.6,,,,percent of total billed charges,,728.352,,,,percent of total billed charges,,1011.6,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,1134.9028,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,1067.8,,,,percent of total billed charges,,899.2,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NAIL, OFFSET END CAP",278,RC,,,,,inpatient,,,643,,321.5,385.8,649.2371,604.42,,,,percent of total billed charges,,514.4,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,533.69,,,,percent of total billed charges,,578.7,,,,percent of total billed charges,,591.56,,,,percent of total billed charges,,591.56,,,,percent of total billed charges,,608.278,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,623.71,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,565.84,,,,percent of total billed charges,,578.7,,,,percent of total billed charges,,416.664,,,,percent of total billed charges,,578.7,,,,percent of total billed charges,,385.8,,,,percent of total billed charges,,649.2371,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,610.85,,,,percent of total billed charges,,514.4,,,,percent of total billed charges,,385.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERSAJET #50637 8MM-45 DEGREE,270,RC,,,,,inpatient,,,1760,,880,1056,1777.072,1654.4,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1460.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1619.2,,,,percent of total billed charges,,1664.96,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1548.8,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1140.48,,,,percent of total billed charges,,1584,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,1777.072,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 4CM X 4CM GJ44,278,RC,,,,,inpatient,,,5089,,2544.5,3053.4,5138.3633,4783.66,,,,percent of total billed charges,,4071.2,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4223.87,,,,percent of total billed charges,,4580.1,,,,percent of total billed charges,,4681.88,,,,percent of total billed charges,,4681.88,,,,percent of total billed charges,,4814.194,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4936.33,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4478.32,,,,percent of total billed charges,,4580.1,,,,percent of total billed charges,,3297.672,,,,percent of total billed charges,,4580.1,,,,percent of total billed charges,,3053.4,,,,percent of total billed charges,,5138.3633,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4834.55,,,,percent of total billed charges,,4071.2,,,,percent of total billed charges,,3053.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 4X8 GJ47,278,RC,,,,,inpatient,,,13898,,6949,8338.8,14032.8106,13064.12,,,,percent of total billed charges,,11118.4,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,11535.34,,,,percent of total billed charges,,12508.2,,,,percent of total billed charges,,12786.16,,,,percent of total billed charges,,12786.16,,,,percent of total billed charges,,13147.508,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,13481.06,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,12230.24,,,,percent of total billed charges,,12508.2,,,,percent of total billed charges,,9005.904,,,,percent of total billed charges,,12508.2,,,,percent of total billed charges,,8338.8,,,,percent of total billed charges,,14032.8106,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,13203.1,,,,percent of total billed charges,,11118.4,,,,percent of total billed charges,,8338.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 5X5 86005X05,278,RC,,,,,inpatient,,,11156,,5578,6693.6,11264.2132,10486.64,,,,percent of total billed charges,,8924.8,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,9259.48,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,10263.52,,,,percent of total billed charges,,10263.52,,,,percent of total billed charges,,10553.576,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,10821.32,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,9817.28,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,7229.088,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,6693.6,,,,percent of total billed charges,,11264.2132,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,10598.2,,,,percent of total billed charges,,8924.8,,,,percent of total billed charges,,6693.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLATE T-SUPPORT 4,5,6, HOLE",278,RC,,,,,inpatient,,,982,,491,589.2,991.5254,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,636.336,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,991.5254,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSOBTURATOR URETEX,278,RC,,,,,inpatient,,,5218,,2609,3130.8,5268.6146,4904.92,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4330.94,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4936.228,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,5061.46,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4591.84,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,3381.264,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,5268.6146,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MONARC SUBFASCIAL HA MMOCK,278,RC,,,,,inpatient,,,5218,,2609,3130.8,5268.6146,4904.92,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4330.94,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4800.56,,,,percent of total billed charges,,4936.228,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,5061.46,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4591.84,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,3381.264,,,,percent of total billed charges,,4696.2,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,5268.6146,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4957.1,,,,percent of total billed charges,,4174.4,,,,percent of total billed charges,,3130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEM, ELBOW EVOLVE",278,RC,,,,,inpatient,,,8619,,4309.5,5171.4,8702.6043,8101.86,,,,percent of total billed charges,,6895.2,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,7153.77,,,,percent of total billed charges,,7757.1,,,,percent of total billed charges,,7929.48,,,,percent of total billed charges,,7929.48,,,,percent of total billed charges,,8153.574,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,8360.43,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,7584.72,,,,percent of total billed charges,,7757.1,,,,percent of total billed charges,,5585.112,,,,percent of total billed charges,,7757.1,,,,percent of total billed charges,,5171.4,,,,percent of total billed charges,,8702.6043,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,8188.05,,,,percent of total billed charges,,6895.2,,,,percent of total billed charges,,5171.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH BARD PLUG X-LARGE,278,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH MARLEX 6 X 6 IN 0112720,278,RC,,,,,inpatient,,,472,,236,283.2,476.5784,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,305.856,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,476.5784,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH SURG KEYHOLE 18X4 IN PMSK,278,RC,,,,,inpatient,,,472,,236,283.2,476.5784,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,305.856,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,476.5784,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH ONLAY MED 3 DPM,278,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH ONLY LARGE 3 DPL,278,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH HERIA KUEL MEDIUM OVAL,278,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH C-QUR V-PATCH,278,RC,,,,,inpatient,,,2339,,1169.5,1403.4,2361.6883,2198.66,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1941.37,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2212.694,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2268.83,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2058.32,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1515.672,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,2361.6883,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATCH HERNIA KUGEL 4.6 CM,278,RC,,,,,inpatient,,,2339,,1169.5,1403.4,2361.6883,2198.66,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1941.37,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2212.694,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2268.83,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2058.32,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1515.672,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,2361.6883,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH COMPOSIX 8X12 0010201,278,RC,,,,,inpatient,,,7299,,3649.5,4379.4,7369.8003,6861.06,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6058.17,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6904.854,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,7080.03,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6423.12,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4729.752,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,7369.8003,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH MICRO PLUS 20 CMX30 CM,278,RC,,,,,inpatient,,,7299,,3649.5,4379.4,7369.8003,6861.06,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6058.17,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6904.854,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,7080.03,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6423.12,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4729.752,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,7369.8003,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MESH MICRO PLUS 26 CM X 34 CM,278,RC,,,,,inpatient,,,7299,,3649.5,4379.4,7369.8003,6861.06,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6058.17,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6715.08,,,,percent of total billed charges,,6904.854,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,7080.03,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6423.12,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4729.752,,,,percent of total billed charges,,6569.1,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,7369.8003,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,6934.05,,,,percent of total billed charges,,5839.2,,,,percent of total billed charges,,4379.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT ESOP WF 18 MM OD 10 CMI,278,RC,,,,,inpatient,,,6725,,3362.5,4035,6790.2325,6321.5,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5581.75,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6361.85,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6523.25,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5918,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,4357.8,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,6790.2325,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT ESOP WF 18 MM OD 15 CMI,278,RC,,,,,inpatient,,,6725,,3362.5,4035,6790.2325,6321.5,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5581.75,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6187,,,,percent of total billed charges,,6361.85,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6523.25,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5918,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,4357.8,,,,percent of total billed charges,,6052.5,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,6790.2325,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,6388.75,,,,percent of total billed charges,,5380,,,,percent of total billed charges,,4035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROS PENILE DURA II 72009310,278,RC,,,,,inpatient,,,4023,,2011.5,2413.8,4062.0231,3781.62,,,,percent of total billed charges,,3218.4,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3339.09,,,,percent of total billed charges,,3620.7,,,,percent of total billed charges,,3701.16,,,,percent of total billed charges,,3701.16,,,,percent of total billed charges,,3805.758,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3902.31,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3540.24,,,,percent of total billed charges,,3620.7,,,,percent of total billed charges,,2606.904,,,,percent of total billed charges,,3620.7,,,,percent of total billed charges,,2413.8,,,,percent of total billed charges,,4062.0231,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3821.85,,,,percent of total billed charges,,3218.4,,,,percent of total billed charges,,2413.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LENS, SN60AT320",276,RC,,,,,inpatient,,,287,,143.5,172.2,289.7839,269.78,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,238.21,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,271.502,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,278.39,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,252.56,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,289.7839,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY CATHETER KIT ARROW,278,RC,,,,,inpatient,,,319,,159.5,191.4,322.0943,299.86,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,264.77,,,,percent of total billed charges,,287.1,,,,percent of total billed charges,,293.48,,,,percent of total billed charges,,293.48,,,,percent of total billed charges,,301.774,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,309.43,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,280.72,,,,percent of total billed charges,,287.1,,,,percent of total billed charges,,206.712,,,,percent of total billed charges,,287.1,,,,percent of total billed charges,,191.4,,,,percent of total billed charges,,322.0943,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,303.05,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,191.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE SET ADULT 059001,272,RC,,,,,inpatient,,,570,,285,342,575.529,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,369.36,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,575.529,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE SET PED 9018,272,RC,,,,,inpatient,,,646,,323,387.6,652.2662,607.24,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,536.18,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,594.32,,,,percent of total billed charges,,611.116,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,626.62,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,568.48,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,418.608,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,652.2662,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,613.7,,,,percent of total billed charges,,516.8,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY ARROW INTRODUCER 8.5,278,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VALVE SWALLO SPEAK PURPLE,274,RC,,,,,inpatient,,,362,,181,217.2,365.5114,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,234.576,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,365.5114,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER SWAN GANZ,270,RC,,,,,inpatient,,,522,,261,313.2,527.0634,490.68,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,433.26,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,480.24,,,,percent of total billed charges,,480.24,,,,percent of total billed charges,,493.812,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,506.34,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,459.36,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,338.256,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,527.0634,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,417.6,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TROCAR BLDLESS XCEL 12 MM B 12LT,278,RC,,,,,inpatient,,,594,,297,356.4,599.7618,558.36,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,493.02,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,561.924,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.18,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,522.72,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,384.912,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,599.7618,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT FMS FLEXISEAL,272,RC,,,,,inpatient,,,844,,422,506.4,852.1868,793.36,,,,percent of total billed charges,,675.2,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,700.52,,,,percent of total billed charges,,759.6,,,,percent of total billed charges,,776.48,,,,percent of total billed charges,,776.48,,,,percent of total billed charges,,798.424,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,818.68,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,742.72,,,,percent of total billed charges,,759.6,,,,percent of total billed charges,,546.912,,,,percent of total billed charges,,759.6,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,852.1868,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,801.8,,,,percent of total billed charges,,675.2,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIRAL TACKER,270,RC,,,,,inpatient,,,1201,,600.5,720.6,1212.6497,1128.94,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,996.83,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1104.92,,,,percent of total billed charges,,1136.146,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1164.97,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1056.88,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,778.248,,,,percent of total billed charges,,1080.9,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,1212.6497,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,1140.95,,,,percent of total billed charges,,960.8,,,,percent of total billed charges,,720.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEVICE PERMASORB 0113092,270,RC,,,,,inpatient,,,1364,,682,818.4,1377.2308,1282.16,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1132.12,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1290.344,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1323.08,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1200.32,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,883.872,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,1377.2308,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GW ESOPHAGEAL DREMWR 035/260,272,RC,,,,,inpatient,,,1481,,740.5,888.6,1495.3657,1392.14,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1229.23,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1401.026,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1436.57,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1303.28,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,959.688,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,1495.3657,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERFIT TRACH KIT,270,RC,,,,,inpatient,,,1674,,837,1004.4,1690.2378,1573.56,,,,percent of total billed charges,,1339.2,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1389.42,,,,percent of total billed charges,,1506.6,,,,percent of total billed charges,,1540.08,,,,percent of total billed charges,,1540.08,,,,percent of total billed charges,,1583.604,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1623.78,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1473.12,,,,percent of total billed charges,,1506.6,,,,percent of total billed charges,,1084.752,,,,percent of total billed charges,,1506.6,,,,percent of total billed charges,,1004.4,,,,percent of total billed charges,,1690.2378,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1590.3,,,,percent of total billed charges,,1339.2,,,,percent of total billed charges,,1004.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING AQUACEL AG 3.5 X 10,270,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SET QUICK MONITOR 0295002000,270,RC,,,,,inpatient,,,651,,325.5,390.6,657.3147,611.94,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,540.33,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,615.846,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,631.47,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,572.88,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,421.848,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,657.3147,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHEATH URETH 14FR X 28CM,270,RC,,,,,inpatient,,,967,,483.5,580.2,976.3799,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,626.616,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,976.3799,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH TENCKHOFF SET C-TCPS,270,RC,,,,,inpatient,,,509,,254.5,305.4,513.9373,478.46,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,422.47,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,481.514,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,493.73,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,447.92,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,329.832,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,513.9373,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH GROSHONG 8.0FR SL,278,RC,,,,,inpatient,,,1172,,586,703.2,1183.3684,1101.68,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,972.76,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1108.712,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1136.84,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1031.36,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,759.456,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,1183.3684,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIT, PLEURX DRAINAGE",278,RC,,,,,inpatient,,,469,,234.5,281.4,473.5493,440.86,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,389.27,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,443.674,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,454.93,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,412.72,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,303.912,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,473.5493,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDO GIA UNIV 030449,272,RC,,,,,inpatient,,,1304,,652,782.4,1316.6488,1225.76,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1082.32,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1233.584,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1264.88,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1147.52,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,844.992,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,1316.6488,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIALTY NEEDLE II,272,RC,,,,,inpatient,,,862,,431,517.2,870.3614,810.28,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,715.46,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,815.452,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,836.14,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,758.56,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,558.576,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,870.3614,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATHETER, ATHERECTOMY DEVICE DIRECTIONAL",278,RC,,,,,inpatient,,,10486,,5243,6291.6,10587.7142,9856.84,,,,percent of total billed charges,,8388.8,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,8703.38,,,,percent of total billed charges,,9437.4,,,,percent of total billed charges,,9647.12,,,,percent of total billed charges,,9647.12,,,,percent of total billed charges,,9919.756,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,10171.42,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,9227.68,,,,percent of total billed charges,,9437.4,,,,percent of total billed charges,,6794.928,,,,percent of total billed charges,,9437.4,,,,percent of total billed charges,,6291.6,,,,percent of total billed charges,,10587.7142,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,9961.7,,,,percent of total billed charges,,8388.8,,,,percent of total billed charges,,6291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0174 COLLAR, CERVICAL, FOAM 2 PIECE, PREFAB OTS",274,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOPSY SHEATH,278,RC,,,,,inpatient,,,1347,,673.5,808.2,1360.0659,1266.18,,,,percent of total billed charges,,1077.6,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1118.01,,,,percent of total billed charges,,1212.3,,,,percent of total billed charges,,1239.24,,,,percent of total billed charges,,1239.24,,,,percent of total billed charges,,1274.262,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1306.59,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1185.36,,,,percent of total billed charges,,1212.3,,,,percent of total billed charges,,872.856,,,,percent of total billed charges,,1212.3,,,,percent of total billed charges,,808.2,,,,percent of total billed charges,,1360.0659,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1279.65,,,,percent of total billed charges,,1077.6,,,,percent of total billed charges,,808.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARCTIC GEL PAM S/M/L,270,RC,,,,,inpatient,,,5123,,2561.5,3073.8,5172.6931,4815.62,,,,percent of total billed charges,,4098.4,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4252.09,,,,percent of total billed charges,,4610.7,,,,percent of total billed charges,,4713.16,,,,percent of total billed charges,,4713.16,,,,percent of total billed charges,,4846.358,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4969.31,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4508.24,,,,percent of total billed charges,,4610.7,,,,percent of total billed charges,,3319.704,,,,percent of total billed charges,,4610.7,,,,percent of total billed charges,,3073.8,,,,percent of total billed charges,,5172.6931,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4866.85,,,,percent of total billed charges,,4098.4,,,,percent of total billed charges,,3073.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARCTIC GEL UNIVERSAL PAD,270,RC,,,,,inpatient,,,1738,,869,1042.8,1754.8586,1633.72,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1442.54,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1598.96,,,,percent of total billed charges,,1644.148,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1685.86,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1529.44,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1126.224,,,,percent of total billed charges,,1564.2,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,1754.8586,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1651.1,,,,percent of total billed charges,,1390.4,,,,percent of total billed charges,,1042.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOSPICE DAILY,101,RC,,,,,inpatient,,,886,,443,531.6,894.5942,832.84,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,735.38,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,815.12,,,,percent of total billed charges,,838.156,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,859.42,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,779.68,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,574.128,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,894.5942,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,841.7,,,,percent of total billed charges,,708.8,,,,percent of total billed charges,,531.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRICOTHROTOMY CATHETER 4.0,278,RC,,,,,inpatient,,,979,,489.5,587.4,988.4963,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,634.392,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,988.4963,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRICOTHROTOMY CATHETER 6.0,278,RC,,,,,inpatient,,,979,,489.5,587.4,988.4963,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,634.392,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,988.4963,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MEDE-KAST, SHORT LEG, ADULT 11 YR+, FIBERGLASS",270,RC,,,,,inpatient,,,741,,370.5,444.6,748.1877,696.54,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,615.03,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,700.986,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,718.77,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,652.08,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,480.168,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,748.1877,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT DRILL ALN PARENCHYMA BIT STPR KY CH5,272,RC,,,,,inpatient,,,520,,260,312,525.044,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,336.96,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,525.044,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT PRESS MONITOR CH5 VRSN 1 LUM PORT NEUROVENT-PTO/-TO,272,RC,,,,,inpatient,,,975,,487.5,585,984.4575,916.5,,,,percent of total billed charges,,780,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,809.25,,,,percent of total billed charges,,877.5,,,,percent of total billed charges,,897,,,,percent of total billed charges,,897,,,,percent of total billed charges,,922.35,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,945.75,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,858,,,,percent of total billed charges,,877.5,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,877.5,,,,percent of total billed charges,,585,,,,percent of total billed charges,,984.4575,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,926.25,,,,percent of total billed charges,,780,,,,percent of total billed charges,,585,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAT ICP NEUROVENT-PTO 5FR TEMP PTIO2 PLG PLAY SYS-129487,272,RC,,,,,inpatient,,,6035,,3017.5,3621,6093.5395,5672.9,,,,percent of total billed charges,,4828,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5009.05,,,,percent of total billed charges,,5431.5,,,,percent of total billed charges,,5552.2,,,,percent of total billed charges,,5552.2,,,,percent of total billed charges,,5709.11,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5853.95,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5310.8,,,,percent of total billed charges,,5431.5,,,,percent of total billed charges,,3910.68,,,,percent of total billed charges,,5431.5,,,,percent of total billed charges,,3621,,,,percent of total billed charges,,6093.5395,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,5733.25,,,,percent of total billed charges,,4828,,,,percent of total billed charges,,3621,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PELVIC SLING,272,RC,,,,,inpatient,,,492,,246,295.2,496.7724,462.48,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,408.36,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,465.432,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,477.24,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,432.96,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,318.816,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,496.7724,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KOOL KT-BLANKET,271,RC,,,,,inpatient,,,1886,,943,1131.6,1904.2942,1772.84,,,,percent of total billed charges,,1508.8,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1565.38,,,,percent of total billed charges,,1697.4,,,,percent of total billed charges,,1735.12,,,,percent of total billed charges,,1735.12,,,,percent of total billed charges,,1784.156,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1829.42,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1659.68,,,,percent of total billed charges,,1697.4,,,,percent of total billed charges,,1222.128,,,,percent of total billed charges,,1697.4,,,,percent of total billed charges,,1131.6,,,,percent of total billed charges,,1904.2942,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1791.7,,,,percent of total billed charges,,1508.8,,,,percent of total billed charges,,1131.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING WND VAC VERAFLO MED,272,RC,,,,,inpatient,,,506,,253,303.6,510.9082,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,327.888,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,510.9082,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING VERAFLO CLEANSE,272,RC,,,,,inpatient,,,693,,346.5,415.8,699.7221,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,449.064,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,699.7221,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACT MENS DRESS SOCKS (XL),270,RC,,,,,inpatient,,,1726,,863,1035.6,1742.7422,1622.44,,,,percent of total billed charges,,1380.8,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1432.58,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,1587.92,,,,percent of total billed charges,,1587.92,,,,percent of total billed charges,,1632.796,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1674.22,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1518.88,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,1118.448,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,1035.6,,,,percent of total billed charges,,1742.7422,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1639.7,,,,percent of total billed charges,,1380.8,,,,percent of total billed charges,,1035.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARRIER SKIN 2 1/4 FLAT F,274,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROOKE BKA RIGID DRESSING,272,RC,,,,,inpatient,,,1525,,762.5,915,1539.7925,1433.5,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1265.75,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1442.65,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1479.25,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1342,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,988.2,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,915,,,,percent of total billed charges,,1539.7925,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,915,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCALPELS/KNIVES/BLADES/TREPHINES, SURGICAL  LAWSON # 63837",272,RC,,,,,inpatient,,,3075,,1537.5,1845,3104.8275,2890.5,,,,percent of total billed charges,,2460,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2552.25,,,,percent of total billed charges,,2767.5,,,,percent of total billed charges,,2829,,,,percent of total billed charges,,2829,,,,percent of total billed charges,,2908.95,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2982.75,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2706,,,,percent of total billed charges,,2767.5,,,,percent of total billed charges,,1992.6,,,,percent of total billed charges,,2767.5,,,,percent of total billed charges,,1845,,,,percent of total billed charges,,3104.8275,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2921.25,,,,percent of total billed charges,,2460,,,,percent of total billed charges,,1845,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCALPELS/KNIVES/BLADES/TREPHINES, SURGICAL    LAWSON # 61225",272,RC,,,,,inpatient,,,1166,,583,699.6,1177.3102,1096.04,,,,percent of total billed charges,,932.8,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,967.78,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,1072.72,,,,percent of total billed charges,,1072.72,,,,percent of total billed charges,,1103.036,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,1131.02,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,1026.08,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,755.568,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,1177.3102,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,1107.7,,,,percent of total billed charges,,932.8,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CSF CATHETERS, DRAINAGE/ADAPTERS  LAWSON",272,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CABLES, TRANSDUCER MONITOR  LAWSON # 75404",272,RC,,,,,inpatient,,,787,,393.5,472.2,794.6339,739.78,,,,percent of total billed charges,,629.6,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,653.21,,,,percent of total billed charges,,708.3,,,,percent of total billed charges,,724.04,,,,percent of total billed charges,,724.04,,,,percent of total billed charges,,744.502,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,763.39,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,692.56,,,,percent of total billed charges,,708.3,,,,percent of total billed charges,,509.976,,,,percent of total billed charges,,708.3,,,,percent of total billed charges,,472.2,,,,percent of total billed charges,,794.6339,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,747.65,,,,percent of total billed charges,,629.6,,,,percent of total billed charges,,472.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSTRUMENTS, CRAINIOTOMY SURGICAL       LAWSON # 120876",272,RC,,,,,inpatient,,,1746,,873,1047.6,1762.9362,1641.24,,,,percent of total billed charges,,1396.8,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1449.18,,,,percent of total billed charges,,1571.4,,,,percent of total billed charges,,1606.32,,,,percent of total billed charges,,1606.32,,,,percent of total billed charges,,1651.716,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1693.62,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1536.48,,,,percent of total billed charges,,1571.4,,,,percent of total billed charges,,1131.408,,,,percent of total billed charges,,1571.4,,,,percent of total billed charges,,1047.6,,,,percent of total billed charges,,1762.9362,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1658.7,,,,percent of total billed charges,,1396.8,,,,percent of total billed charges,,1047.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BAGS, DRAINAGE / EXTERNAL CEREBRAL VENTRICULAR  LAWSON # 20923",272,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SHUNTS/ OR SHUNT EXTENDERS, IMPLANTABLE   LAWSON # 120875",272,RC,,,,,inpatient,,,709,,354.5,425.4,715.8773,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,459.432,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,715.8773,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD THERAPEUTIC ARCTICGEL,270,RC,,,,,inpatient,,,3882,,1941,2329.2,3919.6554,3649.08,,,,percent of total billed charges,,3105.6,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3222.06,,,,percent of total billed charges,,3493.8,,,,percent of total billed charges,,3571.44,,,,percent of total billed charges,,3571.44,,,,percent of total billed charges,,3672.372,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3765.54,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3416.16,,,,percent of total billed charges,,3493.8,,,,percent of total billed charges,,2515.536,,,,percent of total billed charges,,3493.8,,,,percent of total billed charges,,2329.2,,,,percent of total billed charges,,3919.6554,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3687.9,,,,percent of total billed charges,,3105.6,,,,percent of total billed charges,,2329.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENENA 20CM PEEL W/125 UNIT CASE CANNISTER LAWSON# 68142,272,RC,,,,,inpatient,,,1984,,992,1190.4,2003.2448,1864.96,,,,percent of total billed charges,,1587.2,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1646.72,,,,percent of total billed charges,,1785.6,,,,percent of total billed charges,,1825.28,,,,percent of total billed charges,,1825.28,,,,percent of total billed charges,,1876.864,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1924.48,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1745.92,,,,percent of total billed charges,,1785.6,,,,percent of total billed charges,,1285.632,,,,percent of total billed charges,,1785.6,,,,percent of total billed charges,,1190.4,,,,percent of total billed charges,,2003.2448,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1884.8,,,,percent of total billed charges,,1587.2,,,,percent of total billed charges,,1190.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENA 13CM PEEL W/125 UNIT CASE CANNISTER LAWSON # 110619,272,RC,,,,,inpatient,,,2044,,1022,1226.4,2063.8268,1921.36,,,,percent of total billed charges,,1635.2,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1696.52,,,,percent of total billed charges,,1839.6,,,,percent of total billed charges,,1880.48,,,,percent of total billed charges,,1880.48,,,,percent of total billed charges,,1933.624,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1982.68,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1798.72,,,,percent of total billed charges,,1839.6,,,,percent of total billed charges,,1324.512,,,,percent of total billed charges,,1839.6,,,,percent of total billed charges,,1226.4,,,,percent of total billed charges,,2063.8268,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1941.8,,,,percent of total billed charges,,1635.2,,,,percent of total billed charges,,1226.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENA PLUS SYSTEM INCISION MANAGEMENT (NOT IN LAWSON),272,RC,,,,,inpatient,,,4472,,2236,2683.2,4515.3784,4203.68,,,,percent of total billed charges,,3577.6,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,3711.76,,,,percent of total billed charges,,4024.8,,,,percent of total billed charges,,4114.24,,,,percent of total billed charges,,4114.24,,,,percent of total billed charges,,4230.512,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,4337.84,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,3935.36,,,,percent of total billed charges,,4024.8,,,,percent of total billed charges,,2897.856,,,,percent of total billed charges,,4024.8,,,,percent of total billed charges,,2683.2,,,,percent of total billed charges,,4515.3784,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,4248.4,,,,percent of total billed charges,,3577.6,,,,percent of total billed charges,,2683.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVENA PLUS DO SYSTEM 13CM/13CM LAWSON # 120327,272,RC,,,,,inpatient,,,2734,,1367,1640.4,2760.5198,2569.96,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2269.22,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2586.364,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2651.98,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2405.92,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,1771.632,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,2760.5198,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OASIS 3 X 7 CM; PER SQ CM (21 UNITS),636,RC,,,,,inpatient,,,313,,156.5,187.8,316.0361,294.22,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,259.79,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,296.098,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,303.61,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,275.44,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,202.824,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,316.0361,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRAY WAYNE PNEUMOTHORAX  G56537, 97260",278,RC,,,,,inpatient,,,1194,,597,716.4,1205.5818,1122.36,,,,percent of total billed charges,,955.2,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,991.02,,,,percent of total billed charges,,1074.6,,,,percent of total billed charges,,1098.48,,,,percent of total billed charges,,1098.48,,,,percent of total billed charges,,1129.524,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,1158.18,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,1050.72,,,,percent of total billed charges,,1074.6,,,,percent of total billed charges,,773.712,,,,percent of total billed charges,,1074.6,,,,percent of total billed charges,,716.4,,,,percent of total billed charges,,1205.5818,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,1134.3,,,,percent of total billed charges,,955.2,,,,percent of total billed charges,,716.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN POWERPICC PROVENA - 143884,278,RC,,,,,inpatient,,,1168,,584,700.8,1179.3296,1097.92,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,969.44,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1104.928,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1132.96,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1027.84,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,756.864,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,1179.3296,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOSTAT ABS SRGCL OXD - 126683,272,RC,,,,,inpatient,,,973,,486.5,583.8,982.4381,914.62,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,807.59,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,920.458,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,943.81,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,856.24,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,630.504,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,982.4381,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT INTROD HALYARD 16FR 20FR - 136148,272,RC,,,,,inpatient,,,1006,,503,603.6,1015.7582,945.64,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,834.98,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,951.676,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,975.82,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,885.28,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,651.888,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,1015.7582,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT 22FR 18FR LOW PROF SYRG - 136149,272,RC,,,,,inpatient,,,1006,,503,603.6,1015.7582,945.64,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,834.98,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,951.676,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,975.82,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,885.28,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,651.888,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,1015.7582,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT 24FR 20FR LOW PROF SYRG - 136150,272,RC,,,,,inpatient,,,1006,,503,603.6,1015.7582,945.64,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,834.98,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,925.52,,,,percent of total billed charges,,951.676,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,975.82,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,885.28,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,651.888,,,,percent of total billed charges,,905.4,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,1015.7582,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,955.7,,,,percent of total billed charges,,804.8,,,,percent of total billed charges,,603.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRAY TRACH 24-28FR SHLY CGL BL - 143862,272,RC,,,,,inpatient,,,1708,,854,1024.8,1724.5676,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1106.784,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1724.5676,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN POWERPICC PROVENA-148650,272,RC,,,,,inpatient,,,767,,383.5,460.2,774.4399,720.98,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,636.61,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,725.582,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,743.99,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,674.96,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,497.016,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,774.4399,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARTHX AMNION ALLOGRAFT FLW - 137549, PER .5 CC",636,RC,,,,,inpatient,,,3363,,1681.5,2017.8,3395.6211,3161.22,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,2791.29,,,,percent of total billed charges,,3026.7,,,,percent of total billed charges,,3093.96,,,,percent of total billed charges,,3093.96,,,,percent of total billed charges,,3181.398,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,3262.11,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,2959.44,,,,percent of total billed charges,,3026.7,,,,percent of total billed charges,,2179.224,,,,percent of total billed charges,,3026.7,,,,percent of total billed charges,,2017.8,,,,percent of total billed charges,,3395.6211,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,3194.85,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2017.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 2.5MM 82MM 4MM BVN-150717,272,RC,,,,,inpatient,,,905,,452.5,543,913.7785,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,586.44,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,913.7785,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 3MM 84MM 4.7MM BVN-150718,272,RC,,,,,inpatient,,,905,,452.5,543,913.7785,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,586.44,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,913.7785,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 3.5MM 86MM 5.3MM BV-150719,272,RC,,,,,inpatient,,,905,,452.5,543,913.7785,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,586.44,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,913.7785,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 4MM 88MM 6MM BVN NE-150720,272,RC,,,,,inpatient,,,905,,452.5,543,913.7785,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,586.44,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,913.7785,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 5MM 106MM 7.3MM BVN-150721,272,RC,,,,,inpatient,,,905,,452.5,543,913.7785,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,586.44,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,913.7785,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 5.5MM 108MM 8MM BVN-150722,272,RC,,,,,inpatient,,,905,,452.5,543,913.7785,850.7,,,,percent of total billed charges,,724,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,751.15,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,832.6,,,,percent of total billed charges,,856.13,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,877.85,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,796.4,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,586.44,,,,percent of total billed charges,,814.5,,,,percent of total billed charges,,543,,,,percent of total billed charges,,913.7785,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,859.75,,,,percent of total billed charges,,724,,,,percent of total billed charges,,543,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 7MM 80MM 10MM BVN C-150724,272,RC,,,,,inpatient,,,366,,183,219.6,369.5502,344.04,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,303.78,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,336.72,,,,percent of total billed charges,,346.236,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,355.02,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,322.08,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,237.168,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,369.5502,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,347.7,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 117906 CATH DRAIN EXPEL TWST-LOC APD, SIZE 12",278,RC,,,,,inpatient,,,396,,198,237.6,399.8412,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,256.608,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,399.8412,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 117907 CATH DRAIN EXPEL APD TWST-LOC, SIZE 14",278,RC,,,,,inpatient,,,396,,198,237.6,399.8412,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,256.608,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,399.8412,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIGNITY CT DUAL PORT WITH SILI- LAWSON # 152429,270,RC,,,,,inpatient,,,1093,,546.5,655.8,1103.6021,1027.42,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,907.19,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1033.978,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1060.21,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,961.84,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,708.264,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,1103.6021,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH REPR WHT 71CM 4.2FR 1- LAWSON # 28133,270,RC,,,,,inpatient,,,851,,425.5,510.6,859.2547,799.94,,,,percent of total billed charges,,680.8,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,706.33,,,,percent of total billed charges,,765.9,,,,percent of total billed charges,,782.92,,,,percent of total billed charges,,782.92,,,,percent of total billed charges,,805.046,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,825.47,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,765.9,,,,percent of total billed charges,,551.448,,,,percent of total billed charges,,765.9,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,859.2547,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,808.45,,,,percent of total billed charges,,680.8,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BREAST BX MARKER, 8 GA, A4648, 72899",278,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BOWTIE BX MARKER BREAST, 8 GA, 13156, 153494",272,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN CL LN 9.3 FR 22CM,272,RC,,,,,inpatient,,,2161,,1080.5,1296.6,2181.9617,2031.34,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1793.63,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,2044.306,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2096.17,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1901.68,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1400.328,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,2181.9617,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH CEN VEN ICY 9.3FR 38CM HE,272,RC,,,,,inpatient,,,3254,,1627,1952.4,3285.5638,3058.76,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2700.82,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,2993.68,,,,percent of total billed charges,,3078.284,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3156.38,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2863.52,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,2108.592,,,,percent of total billed charges,,2928.6,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,3285.5638,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,3091.3,,,,percent of total billed charges,,2603.2,,,,percent of total billed charges,,1952.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ACC 50CM 2.6FR VS PICC - 100295,272,RC,,,,,inpatient,,,517,,258.5,310.2,522.0149,485.98,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,429.11,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,489.082,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,501.49,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,454.96,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,522.0149,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1894 INTRODUCER/SHEATH, OTHER THAN GUIDING",278,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ARWG+ARD BLU BLU FLXT,278,RC,,,,,inpatient,,,328,,164,196.8,331.1816,308.32,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,272.24,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,310.288,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,318.16,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,288.64,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,331.1816,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE IRRAFLOW,272,RC,,,,,inpatient,,,8775,,4387.5,5265,8860.1175,8248.5,,,,percent of total billed charges,,7020,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,7283.25,,,,percent of total billed charges,,7897.5,,,,percent of total billed charges,,8073,,,,percent of total billed charges,,8073,,,,percent of total billed charges,,8301.15,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,8511.75,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,7722,,,,percent of total billed charges,,7897.5,,,,percent of total billed charges,,5686.2,,,,percent of total billed charges,,7897.5,,,,percent of total billed charges,,5265,,,,percent of total billed charges,,8860.1175,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,8336.25,,,,percent of total billed charges,,7020,,,,percent of total billed charges,,5265,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1729 CATHER, DRAINAGE",278,RC,,,,,inpatient,,,2011,,1005.5,1206.6,2030.5067,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1303.128,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,2030.5067,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BLU FLXTP ARGD BLU IN,278,RC,,,,,inpatient,,,493,,246.5,295.8,497.7821,463.42,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,409.19,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,466.378,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,478.21,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,433.84,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,319.464,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,497.7821,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG A7521 TRACH/LARYNGE TUBE, CUFFED, (PVC), EACH",274,RC,,,,,inpatient,,,233,,116.5,139.8,235.2601,219.02,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,193.39,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,220.418,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,226.01,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,205.04,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,150.984,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,235.2601,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 4 62MM 9.4MM SHLY U,274,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD ARCTICGEL LRG 2KITS/CS,272,RC,,,,,inpatient,,,4429,,2214.5,2657.4,4471.9613,4163.26,,,,percent of total billed charges,,3543.2,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,3676.07,,,,percent of total billed charges,,3986.1,,,,percent of total billed charges,,4074.68,,,,percent of total billed charges,,4074.68,,,,percent of total billed charges,,4189.834,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,4296.13,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,3897.52,,,,percent of total billed charges,,3986.1,,,,percent of total billed charges,,2869.992,,,,percent of total billed charges,,3986.1,,,,percent of total billed charges,,2657.4,,,,percent of total billed charges,,4471.9613,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,4207.55,,,,percent of total billed charges,,3543.2,,,,percent of total billed charges,,2657.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD ARCTICGEL MED 2KITS/CS,272,RC,,,,,inpatient,,,4503,,2251.5,2701.8,4546.6791,4232.82,,,,percent of total billed charges,,3602.4,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,3737.49,,,,percent of total billed charges,,4052.7,,,,percent of total billed charges,,4142.76,,,,percent of total billed charges,,4142.76,,,,percent of total billed charges,,4259.838,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,4367.91,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,3962.64,,,,percent of total billed charges,,4052.7,,,,percent of total billed charges,,2917.944,,,,percent of total billed charges,,4052.7,,,,percent of total billed charges,,2701.8,,,,percent of total billed charges,,4546.6791,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,4277.85,,,,percent of total billed charges,,3602.4,,,,percent of total billed charges,,2701.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH SWAN-GANZ TD VIP 7.5 FR, 13934",278,RC,,,,,inpatient,,,856,,428,513.6,864.3032,804.64,,,,percent of total billed charges,,684.8,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,710.48,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,787.52,,,,percent of total billed charges,,787.52,,,,percent of total billed charges,,809.776,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,830.32,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,753.28,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,554.688,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,864.3032,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,813.2,,,,percent of total billed charges,,684.8,,,,percent of total billed charges,,513.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG A4618 BREATHING CIRCUITS,271,RC,,,,,inpatient,,,478,,239,286.8,482.6366,449.32,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,396.74,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,452.188,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,463.66,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,420.64,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,309.744,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,482.6366,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRESSING MULTITRAUMA 10X30IN 104949,272,RC,,,,,inpatient,,,318,,159,190.8,321.0846,298.92,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,263.94,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,300.828,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,308.46,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,279.84,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,206.064,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,321.0846,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG B4087 GASTRO/JEJUNOSTOMY TUBE, STANDARD",272,RC,,,,,inpatient,,,258,,129,154.8,260.5026,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,167.184,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,260.5026,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1715 BRACHYTHERAPY NEEDLE,278,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1731 CATH EP DIAG, OTHER THAN 3D, >=20",272,RC,,,,,inpatient,,,3935,,1967.5,2361,3973.1695,3698.9,,,,percent of total billed charges,,3148,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3266.05,,,,percent of total billed charges,,3541.5,,,,percent of total billed charges,,3620.2,,,,percent of total billed charges,,3620.2,,,,percent of total billed charges,,3722.51,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3816.95,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3462.8,,,,percent of total billed charges,,3541.5,,,,percent of total billed charges,,2549.88,,,,percent of total billed charges,,3541.5,,,,percent of total billed charges,,2361,,,,percent of total billed charges,,3973.1695,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3738.25,,,,percent of total billed charges,,3148,,,,percent of total billed charges,,2361,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1755 CATHETER, INTRASPINAL",278,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1762 CONNECTIVE TISSUE, HUMAN, INC FASCIA LATA",278,RC,,,,,inpatient,,,1151,,575.5,690.6,1162.1647,1081.94,,,,percent of total billed charges,,920.8,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,955.33,,,,percent of total billed charges,,1035.9,,,,percent of total billed charges,,1058.92,,,,percent of total billed charges,,1058.92,,,,percent of total billed charges,,1088.846,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,1116.47,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,1012.88,,,,percent of total billed charges,,1035.9,,,,percent of total billed charges,,745.848,,,,percent of total billed charges,,1035.9,,,,percent of total billed charges,,690.6,,,,percent of total billed charges,,1162.1647,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,1093.45,,,,percent of total billed charges,,920.8,,,,percent of total billed charges,,690.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1765 Adhesion Barrier 4x3, 11621",278,RC,,,,,inpatient,,,1256,,628,753.6,1268.1832,1180.64,,,,percent of total billed charges,,1004.8,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1042.48,,,,percent of total billed charges,,1130.4,,,,percent of total billed charges,,1155.52,,,,percent of total billed charges,,1155.52,,,,percent of total billed charges,,1188.176,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1218.32,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1105.28,,,,percent of total billed charges,,1130.4,,,,percent of total billed charges,,813.888,,,,percent of total billed charges,,1130.4,,,,percent of total billed charges,,753.6,,,,percent of total billed charges,,1268.1832,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1193.2,,,,percent of total billed charges,,1004.8,,,,percent of total billed charges,,753.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1767 GENERATOR, NEUROSTIM IMPL",278,RC,,,,,inpatient,,,26961,,13480.5,16176.6,27222.5217,25343.34,,,,percent of total billed charges,,21568.8,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,22377.63,,,,percent of total billed charges,,24264.9,,,,percent of total billed charges,,24804.12,,,,percent of total billed charges,,24804.12,,,,percent of total billed charges,,25505.106,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,26152.17,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,23725.68,,,,percent of total billed charges,,24264.9,,,,percent of total billed charges,,17470.728,,,,percent of total billed charges,,24264.9,,,,percent of total billed charges,,16176.6,,,,percent of total billed charges,,27222.5217,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,25612.95,,,,percent of total billed charges,,21568.8,,,,percent of total billed charges,,16176.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1768 GRAFT VASCULAR,278,RC,,,,,inpatient,,,4897,,2448.5,2938.2,4944.5009,4603.18,,,,percent of total billed charges,,3917.6,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4064.51,,,,percent of total billed charges,,4407.3,,,,percent of total billed charges,,4505.24,,,,percent of total billed charges,,4505.24,,,,percent of total billed charges,,4632.562,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4750.09,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4309.36,,,,percent of total billed charges,,4407.3,,,,percent of total billed charges,,3173.256,,,,percent of total billed charges,,4407.3,,,,percent of total billed charges,,2938.2,,,,percent of total billed charges,,4944.5009,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,4652.15,,,,percent of total billed charges,,3917.6,,,,percent of total billed charges,,2938.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1776 JOINT DEVICE, IMPLANTABLE",278,RC,,,,,inpatient,,,6311,,3155.5,3786.6,6372.2167,5932.34,,,,percent of total billed charges,,5048.8,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5238.13,,,,percent of total billed charges,,5679.9,,,,percent of total billed charges,,5806.12,,,,percent of total billed charges,,5806.12,,,,percent of total billed charges,,5970.206,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,6121.67,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5553.68,,,,percent of total billed charges,,5679.9,,,,percent of total billed charges,,4089.528,,,,percent of total billed charges,,5679.9,,,,percent of total billed charges,,3786.6,,,,percent of total billed charges,,6372.2167,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5995.45,,,,percent of total billed charges,,5048.8,,,,percent of total billed charges,,3786.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1777 LEAD, CARDIOVERTER-DEFIB, ENDOCARDIAL SINGLE COIL, IMPLANTABLE",275,RC,,,,,inpatient,,,7401,,3700.5,4440.6,7472.7897,6956.94,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,6142.83,,,,percent of total billed charges,,6660.9,,,,percent of total billed charges,,6808.92,,,,percent of total billed charges,,6808.92,,,,percent of total billed charges,,7001.346,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,7178.97,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,6512.88,,,,percent of total billed charges,,6660.9,,,,percent of total billed charges,,4795.848,,,,percent of total billed charges,,6660.9,,,,percent of total billed charges,,4440.6,,,,percent of total billed charges,,7472.7897,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,7030.95,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,4440.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1779 LEAD, PACEMAKER, TRANSVENOUS VDD SINGLE PASS",275,RC,,,,,inpatient,,,4845,,2422.5,2907,4891.9965,4554.3,,,,percent of total billed charges,,3876,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4021.35,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4457.4,,,,percent of total billed charges,,4457.4,,,,percent of total billed charges,,4583.37,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4699.65,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4263.6,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,3139.56,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,2907,,,,percent of total billed charges,,4891.9965,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,4602.75,,,,percent of total billed charges,,3876,,,,percent of total billed charges,,2907,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1781 MESH SURGICAL,278,RC,,,,,inpatient,,,3992,,1996,2395.2,4030.7224,3752.48,,,,percent of total billed charges,,3193.6,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3313.36,,,,percent of total billed charges,,3592.8,,,,percent of total billed charges,,3672.64,,,,percent of total billed charges,,3672.64,,,,percent of total billed charges,,3776.432,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3872.24,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3512.96,,,,percent of total billed charges,,3592.8,,,,percent of total billed charges,,2586.816,,,,percent of total billed charges,,3592.8,,,,percent of total billed charges,,2395.2,,,,percent of total billed charges,,4030.7224,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3792.4,,,,percent of total billed charges,,3193.6,,,,percent of total billed charges,,2395.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1783 OCULAR IMPLANT, AQUEOUS DRAINAGE ASSIST DEVICE",278,RC,,,,,inpatient,,,3682,,1841,2209.2,3717.7154,3461.08,,,,percent of total billed charges,,2945.6,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3056.06,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,3387.44,,,,percent of total billed charges,,3387.44,,,,percent of total billed charges,,3483.172,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3571.54,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3240.16,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,2385.936,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,2209.2,,,,percent of total billed charges,,3717.7154,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,3497.9,,,,percent of total billed charges,,2945.6,,,,percent of total billed charges,,2209.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1787 PRGMR NEUROSTIM INTSTM,278,RC,,,,,inpatient,,,3491,,1745.5,2094.6,3524.8627,3281.54,,,,percent of total billed charges,,2792.8,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,2897.53,,,,percent of total billed charges,,3141.9,,,,percent of total billed charges,,3211.72,,,,percent of total billed charges,,3211.72,,,,percent of total billed charges,,3302.486,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,3386.27,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,3072.08,,,,percent of total billed charges,,3141.9,,,,percent of total billed charges,,2262.168,,,,percent of total billed charges,,3141.9,,,,percent of total billed charges,,2094.6,,,,percent of total billed charges,,3524.8627,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,3316.45,,,,percent of total billed charges,,2792.8,,,,percent of total billed charges,,2094.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1789 PROSTHESIS, BREAST IMPLANTABLE",278,RC,,,,,inpatient,,,1455,,727.5,873,1469.1135,1367.7,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1207.65,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1376.43,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1411.35,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1280.4,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,942.84,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,873,,,,percent of total billed charges,,1469.1135,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,873,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1813 PROSTHESIS, PENILE, INFLATABLE",278,RC,,,,,inpatient,,,11034,,5517,6620.4,11141.0298,10371.96,,,,percent of total billed charges,,8827.2,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,9158.22,,,,percent of total billed charges,,9930.6,,,,percent of total billed charges,,10151.28,,,,percent of total billed charges,,10151.28,,,,percent of total billed charges,,10438.164,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,10702.98,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,9709.92,,,,percent of total billed charges,,9930.6,,,,percent of total billed charges,,7150.032,,,,percent of total billed charges,,9930.6,,,,percent of total billed charges,,6620.4,,,,percent of total billed charges,,11141.0298,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,10482.3,,,,percent of total billed charges,,8827.2,,,,percent of total billed charges,,6620.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1815 PROSTHESIS, URINARY SPHINCTER IMPLANT",278,RC,,,,,inpatient,,,14695,,7347.5,8817,14837.5415,13813.3,,,,percent of total billed charges,,11756,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,12196.85,,,,percent of total billed charges,,13225.5,,,,percent of total billed charges,,13519.4,,,,percent of total billed charges,,13519.4,,,,percent of total billed charges,,13901.47,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,14254.15,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,12931.6,,,,percent of total billed charges,,13225.5,,,,percent of total billed charges,,9522.36,,,,percent of total billed charges,,13225.5,,,,percent of total billed charges,,8817,,,,percent of total billed charges,,14837.5415,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,13960.25,,,,percent of total billed charges,,11756,,,,percent of total billed charges,,8817,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1821 INTERSPINOUS PROCESS DISTRACTION DEVICE IMPLANT,278,RC,,,,,inpatient,,,4901,,2450.5,2940.6,4948.5397,4606.94,,,,percent of total billed charges,,3920.8,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4067.83,,,,percent of total billed charges,,4410.9,,,,percent of total billed charges,,4508.92,,,,percent of total billed charges,,4508.92,,,,percent of total billed charges,,4636.346,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4753.97,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4312.88,,,,percent of total billed charges,,4410.9,,,,percent of total billed charges,,3175.848,,,,percent of total billed charges,,4410.9,,,,percent of total billed charges,,2940.6,,,,percent of total billed charges,,4948.5397,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,4655.95,,,,percent of total billed charges,,3920.8,,,,percent of total billed charges,,2940.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1822 GENERATOR, NEUROSTIM, IMPLANT, HF W/ RECHARGE BATTERY & CHARGE SYSTM",278,RC,,,,,inpatient,,,48298,,24149,28978.8,48766.4906,45400.12,,,,percent of total billed charges,,38638.4,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,40087.34,,,,percent of total billed charges,,43468.2,,,,percent of total billed charges,,44434.16,,,,percent of total billed charges,,44434.16,,,,percent of total billed charges,,45689.908,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,46849.06,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,42502.24,,,,percent of total billed charges,,43468.2,,,,percent of total billed charges,,31297.104,,,,percent of total billed charges,,43468.2,,,,percent of total billed charges,,28978.8,,,,percent of total billed charges,,48766.4906,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,45883.1,,,,percent of total billed charges,,38638.4,,,,percent of total billed charges,,28978.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1878 MATERIAL FOR VOCAL CORD MEDIALIZATION, SYNTHETIC IMPLANT",278,RC,,,,,inpatient,,,2276,,1138,1365.6,2298.0772,2139.44,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1889.08,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2093.92,,,,percent of total billed charges,,2153.096,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2207.72,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2002.88,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1474.848,,,,percent of total billed charges,,2048.4,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,2298.0772,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,2162.2,,,,percent of total billed charges,,1820.8,,,,percent of total billed charges,,1365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1883 ADAPTOR/EXTENSION, PACING LEAD OR NEUROSTIM LEAD, IMPLANT",275,RC,,,,,inpatient,,,3337,,1668.5,2002.2,3369.3689,3136.78,,,,percent of total billed charges,,2669.6,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,2769.71,,,,percent of total billed charges,,3003.3,,,,percent of total billed charges,,3070.04,,,,percent of total billed charges,,3070.04,,,,percent of total billed charges,,3156.802,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,3236.89,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,2936.56,,,,percent of total billed charges,,3003.3,,,,percent of total billed charges,,2162.376,,,,percent of total billed charges,,3003.3,,,,percent of total billed charges,,2002.2,,,,percent of total billed charges,,3369.3689,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,3170.15,,,,percent of total billed charges,,2669.6,,,,percent of total billed charges,,2002.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1886 CATHETER ABLATION,278,RC,,,,,inpatient,,,3880,,1940,2328,3917.636,3647.2,,,,percent of total billed charges,,3104,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3220.4,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,3569.6,,,,percent of total billed charges,,3569.6,,,,percent of total billed charges,,3670.48,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3763.6,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3414.4,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,2514.24,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,3917.636,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3686,,,,percent of total billed charges,,3104,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1889, IMPLANT/INSERT DEVICE, NOC",278,RC,,,,,inpatient,,,283,,141.5,169.8,285.7451,266.02,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,234.89,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,267.718,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,274.51,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,249.04,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,183.384,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,285.7451,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2614 PROBE, PERCUTANEOUS LUMBAR DISCECTOMY",278,RC,,,,,inpatient,,,5581,,2790.5,3348.6,5635.1357,5246.14,,,,percent of total billed charges,,4464.8,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,4632.23,,,,percent of total billed charges,,5022.9,,,,percent of total billed charges,,5134.52,,,,percent of total billed charges,,5134.52,,,,percent of total billed charges,,5279.626,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,5413.57,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,4911.28,,,,percent of total billed charges,,5022.9,,,,percent of total billed charges,,3616.488,,,,percent of total billed charges,,5022.9,,,,percent of total billed charges,,3348.6,,,,percent of total billed charges,,5635.1357,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,5301.95,,,,percent of total billed charges,,4464.8,,,,percent of total billed charges,,3348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2622 PROSTHESIS, PENILE NONINFLATABLE",278,RC,,,,,inpatient,,,19021,,9510.5,11412.6,19205.5037,17879.74,,,,percent of total billed charges,,15216.8,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,15787.43,,,,percent of total billed charges,,17118.9,,,,percent of total billed charges,,17499.32,,,,percent of total billed charges,,17499.32,,,,percent of total billed charges,,17993.866,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,18450.37,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,16738.48,,,,percent of total billed charges,,17118.9,,,,percent of total billed charges,,12325.608,,,,percent of total billed charges,,17118.9,,,,percent of total billed charges,,11412.6,,,,percent of total billed charges,,19205.5037,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,18069.95,,,,percent of total billed charges,,15216.8,,,,percent of total billed charges,,11412.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2626 INFUSION PUMP, NONPROG, TEMP, IMPLANT",278,RC,,,,,inpatient,,,2028,,1014,1216.8,2047.6716,1906.32,,,,percent of total billed charges,,1622.4,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1683.24,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,1865.76,,,,percent of total billed charges,,1865.76,,,,percent of total billed charges,,1918.488,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1967.16,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1784.64,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,1314.144,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,1216.8,,,,percent of total billed charges,,2047.6716,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1926.6,,,,percent of total billed charges,,1622.4,,,,percent of total billed charges,,1216.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2627 CATH SUPRAPUBIC/CYSTOSCOPIC,278,RC,,,,,inpatient,,,306,,153,183.6,308.9682,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,198.288,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,308.9682,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2631 REPAIR DEVICE, URINARY INCONT, W/O SLING GRAFT",278,RC,,,,,inpatient,,,1724,,862,1034.4,1740.7228,1620.56,,,,percent of total billed charges,,1379.2,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1430.92,,,,percent of total billed charges,,1551.6,,,,percent of total billed charges,,1586.08,,,,percent of total billed charges,,1586.08,,,,percent of total billed charges,,1630.904,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1672.28,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1517.12,,,,percent of total billed charges,,1551.6,,,,percent of total billed charges,,1117.152,,,,percent of total billed charges,,1551.6,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,1740.7228,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1637.8,,,,percent of total billed charges,,1379.2,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STIM BONE EXTERN BONE GRW NINV 103271,272,RC,,,,,inpatient,,,5567,,2783.5,3340.2,5620.9999,5232.98,,,,percent of total billed charges,,4453.6,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,4620.61,,,,percent of total billed charges,,5010.3,,,,percent of total billed charges,,5121.64,,,,percent of total billed charges,,5121.64,,,,percent of total billed charges,,5266.382,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,5399.99,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,4898.96,,,,percent of total billed charges,,5010.3,,,,percent of total billed charges,,3607.416,,,,percent of total billed charges,,5010.3,,,,percent of total billed charges,,3340.2,,,,percent of total billed charges,,5620.9999,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,5288.65,,,,percent of total billed charges,,4453.6,,,,percent of total billed charges,,3340.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG E1575 TRANSDUCER PROTECTORS/FLUID BARRIERS, FOR HEMODIALYSIS, PER 10",271,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0150 CERVICAL, SEMI-RIDGID, ADJ, MOLD CHIN",274,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0458 BRACE TLSO 2 RIGID PLASTIC SHE,274,RC,,,,,inpatient,,,3229,,1614.5,1937.4,3260.3213,3035.26,,,,percent of total billed charges,,2583.2,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,2680.07,,,,percent of total billed charges,,2906.1,,,,percent of total billed charges,,2970.68,,,,percent of total billed charges,,2970.68,,,,percent of total billed charges,,3054.634,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,3132.13,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,2841.52,,,,percent of total billed charges,,2906.1,,,,percent of total billed charges,,2092.392,,,,percent of total billed charges,,2906.1,,,,percent of total billed charges,,1937.4,,,,percent of total billed charges,,3260.3213,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,3067.55,,,,percent of total billed charges,,2583.2,,,,percent of total billed charges,,1937.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0460 BRACE BACK RCAI TLSO, 2 RIGID PLASTIC SHELLS",274,RC,,,,,inpatient,,,3001,,1500.5,1800.6,3030.1097,2820.94,,,,percent of total billed charges,,2400.8,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2490.83,,,,percent of total billed charges,,2700.9,,,,percent of total billed charges,,2760.92,,,,percent of total billed charges,,2760.92,,,,percent of total billed charges,,2838.946,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2910.97,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2640.88,,,,percent of total billed charges,,2700.9,,,,percent of total billed charges,,1944.648,,,,percent of total billed charges,,2700.9,,,,percent of total billed charges,,1800.6,,,,percent of total billed charges,,3030.1097,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2850.95,,,,percent of total billed charges,,2400.8,,,,percent of total billed charges,,1800.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0462 BRACE TLSO, 3 RIGID PLASTIC SHELLS",274,RC,,,,,inpatient,,,4096,,2048,2457.6,4135.7312,3850.24,,,,percent of total billed charges,,3276.8,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3399.68,,,,percent of total billed charges,,3686.4,,,,percent of total billed charges,,3768.32,,,,percent of total billed charges,,3768.32,,,,percent of total billed charges,,3874.816,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3973.12,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3604.48,,,,percent of total billed charges,,3686.4,,,,percent of total billed charges,,2654.208,,,,percent of total billed charges,,3686.4,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,4135.7312,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3891.2,,,,percent of total billed charges,,3276.8,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0464 SUPPORT ORTHO TLSO 4 RIGID PLASTIC SHELLS,274,RC,,,,,inpatient,,,4029,,2014.5,2417.4,4068.0813,3787.26,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3344.07,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3811.434,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3908.13,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3545.52,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,2610.792,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,4068.0813,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0472 SUPPORT ORTHO CSTM TLSO 2 PC HYPEREXTENSION,274,RC,,,,,inpatient,,,1257,,628.5,754.2,1269.1929,1181.58,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1043.31,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1189.122,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1219.29,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1106.16,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,814.536,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,1269.1929,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0486 SUPPORT ORTHO CSTM TLSO 2 PC,274,RC,,,,,inpatient,,,1257,,628.5,754.2,1269.1929,1181.58,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1043.31,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1156.44,,,,percent of total billed charges,,1189.122,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1219.29,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1106.16,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,814.536,,,,percent of total billed charges,,1131.3,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,1269.1929,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1194.15,,,,percent of total billed charges,,1005.6,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0491 TLSO HARD SHELL,274,RC,,,,,inpatient,,,2826,,1413,1695.6,2853.4122,2656.44,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2345.58,,,,percent of total billed charges,,2543.4,,,,percent of total billed charges,,2599.92,,,,percent of total billed charges,,2599.92,,,,percent of total billed charges,,2673.396,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2741.22,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2486.88,,,,percent of total billed charges,,2543.4,,,,percent of total billed charges,,1831.248,,,,percent of total billed charges,,2543.4,,,,percent of total billed charges,,1695.6,,,,percent of total billed charges,,2853.4122,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2684.7,,,,percent of total billed charges,,2260.8,,,,percent of total billed charges,,1695.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0628 LUMBAR SACRAL CORSET,274,RC,,,,,inpatient,,,478,,239,286.8,482.6366,449.32,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,396.74,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,452.188,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,463.66,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,420.64,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,309.744,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,482.6366,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0630 LUMBAR DORSAL CORSET,274,RC,,,,,inpatient,,,681,,340.5,408.6,687.6057,640.14,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,565.23,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,626.52,,,,percent of total billed charges,,644.226,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,660.57,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,599.28,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,441.288,,,,percent of total billed charges,,612.9,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,687.6057,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,646.95,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0633 LUMBAR-SACRAL ORTHOSIS CHAIRBACK,274,RC,,,,,inpatient,,,1139,,569.5,683.4,1150.0483,1070.66,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,945.37,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1077.494,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1104.83,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1002.32,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,738.072,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,1150.0483,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0650 LUMBAR-SACRAL ORTHOSIS RIGID ANT & POST FRAME PANELS,274,RC,,,,,inpatient,,,1101,,550.5,660.6,1111.6797,1034.94,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,913.83,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1041.546,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1067.97,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,968.88,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,713.448,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,1111.6797,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L0859 ADD TO HALO PROC, RINGS & PINS, MRI COMPATIBLE",274,RC,,,,,inpatient,,,4464,,2232,2678.4,4507.3008,4196.16,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,3705.12,,,,percent of total billed charges,,4017.6,,,,percent of total billed charges,,4106.88,,,,percent of total billed charges,,4106.88,,,,percent of total billed charges,,4222.944,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,4330.08,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,3928.32,,,,percent of total billed charges,,4017.6,,,,percent of total billed charges,,2892.672,,,,percent of total billed charges,,4017.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,4507.3008,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,4240.8,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L1220 ADDITION TO TLSO ANT THORACIC EXTENSION,274,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L0976 FULL CORSET,274,RC,,,,,inpatient,,,628,,314,376.8,634.0916,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,406.944,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,634.0916,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1850 KNEE ORTHOSIS, SWEDISH TYPE, PREF",274,RC,,,,,inpatient,,,1157,,578.5,694.2,1168.2229,1087.58,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,960.31,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1094.522,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1122.29,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1018.16,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,749.736,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,1168.2229,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1910 ANKLE-FOOT ORTHOSIS, POSTERIOR, SINGLE, PREFAB",274,RC,,,,,inpatient,,,382,,191,229.2,385.7054,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,247.536,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,385.7054,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1940 ANKLE-FOOT ORTHOSIS, PLASTIC OR OTHER MAT, CUSTOM FAB",274,RC,,,,,inpatient,,,1855,,927.5,1113,1872.9935,1743.7,,,,percent of total billed charges,,1484,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1539.65,,,,percent of total billed charges,,1669.5,,,,percent of total billed charges,,1706.6,,,,percent of total billed charges,,1706.6,,,,percent of total billed charges,,1754.83,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1799.35,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1632.4,,,,percent of total billed charges,,1669.5,,,,percent of total billed charges,,1202.04,,,,percent of total billed charges,,1669.5,,,,percent of total billed charges,,1113,,,,percent of total billed charges,,1872.9935,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1762.25,,,,percent of total billed charges,,1484,,,,percent of total billed charges,,1113,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1951 ANKLE-FOOT ORTHOSIS, SPIRAL, PLASTIC OR OTHER, PREFAB",274,RC,,,,,inpatient,,,3148,,1574,1888.8,3178.5356,2959.12,,,,percent of total billed charges,,2518.4,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2612.84,,,,percent of total billed charges,,2833.2,,,,percent of total billed charges,,2896.16,,,,percent of total billed charges,,2896.16,,,,percent of total billed charges,,2978.008,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,3053.56,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2770.24,,,,percent of total billed charges,,2833.2,,,,percent of total billed charges,,2039.904,,,,percent of total billed charges,,2833.2,,,,percent of total billed charges,,1888.8,,,,percent of total billed charges,,3178.5356,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2990.6,,,,percent of total billed charges,,2518.4,,,,percent of total billed charges,,1888.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1960 ANKLE-FOOT ORTHOSIS, POSTERIOR, SOLD ANKLE, PLASTIC, CUSTOM",274,RC,,,,,inpatient,,,1816,,908,1089.6,1833.6152,1707.04,,,,percent of total billed charges,,1452.8,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1507.28,,,,percent of total billed charges,,1634.4,,,,percent of total billed charges,,1670.72,,,,percent of total billed charges,,1670.72,,,,percent of total billed charges,,1717.936,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1761.52,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1598.08,,,,percent of total billed charges,,1634.4,,,,percent of total billed charges,,1176.768,,,,percent of total billed charges,,1634.4,,,,percent of total billed charges,,1089.6,,,,percent of total billed charges,,1833.6152,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1725.2,,,,percent of total billed charges,,1452.8,,,,percent of total billed charges,,1089.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L1980 ANKLE-FOOT ORTHOSIS, SINGLE, UPRIGHT",274,RC,,,,,inpatient,,,1387,,693.5,832.2,1400.4539,1303.78,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1151.21,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1312.102,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1345.39,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1220.56,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,898.776,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,1400.4539,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2036 KNEE-ANKLE-FOOT ORTHOSIS, FULL PLASTIC, DOUBLE UPRIGHT",274,RC,,,,,inpatient,,,5335,,2667.5,3201,5386.7495,5014.9,,,,percent of total billed charges,,4268,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,4428.05,,,,percent of total billed charges,,4801.5,,,,percent of total billed charges,,4908.2,,,,percent of total billed charges,,4908.2,,,,percent of total billed charges,,5046.91,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,5174.95,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,4694.8,,,,percent of total billed charges,,4801.5,,,,percent of total billed charges,,3457.08,,,,percent of total billed charges,,4801.5,,,,percent of total billed charges,,3201,,,,percent of total billed charges,,5386.7495,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,5068.25,,,,percent of total billed charges,,4268,,,,percent of total billed charges,,3201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2200 ADD TO LOWER EXTREMITY, LIMIT ANKLE MOTION, EA JOINT",274,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2210 ADD TO LOWER EXTREMITY, DORSIFLEX ASSIST, EA JOINT",274,RC,,,,,inpatient,,,294,,147,176.4,296.8518,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,296.8518,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2230 ADD TO LOWER EXTREMITY, SPLIT FLAT CALIPER",274,RC,,,,,inpatient,,,322,,161,193.2,325.1234,302.68,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,267.26,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,304.612,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,312.34,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,208.656,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,325.1234,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L2622 ADD TO LOWER EXTREMITY, PELVIC CONTROL, HIP JT",274,RC,,,,,inpatient,,,1329,,664.5,797.4,1341.8913,1249.26,,,,percent of total billed charges,,1063.2,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1103.07,,,,percent of total billed charges,,1196.1,,,,percent of total billed charges,,1222.68,,,,percent of total billed charges,,1222.68,,,,percent of total billed charges,,1257.234,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1289.13,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1169.52,,,,percent of total billed charges,,1196.1,,,,percent of total billed charges,,861.192,,,,percent of total billed charges,,1196.1,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,1341.8913,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1262.55,,,,percent of total billed charges,,1063.2,,,,percent of total billed charges,,797.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3300 LIFT, ELEVATION, HEEL, TAPER TO METAT, PER IN",274,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L3390 OUTFLARE WEDGE,274,RC,,,,,inpatient,,,231,,115.5,138.6,233.2407,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,149.688,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,233.2407,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3485 HEEL, PAD, REMOVABLE FOR SPUR",274,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3540 ORTHOPEDIC SHOE ADD, SOLE, FULL",274,RC,,,,,inpatient,,,236,,118,141.6,238.2892,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,238.2892,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3761 ELBOW ORTHOSIS, ADJ POSITION LOCKING JTS, PREFAB",274,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3929 HAND-FINGER ORTHOSIS, >1 NONTORSION JTS, TRIM/BENT/MOLDED",274,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L3960 SHOULDER-ELBOW-WRIST-HAND ORTHOSIS, ABD POS, AIRPLANE DES",274,RC,,,,,inpatient,,,550,,275,330,555.335,517,,,,percent of total billed charges,,440,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,456.5,,,,percent of total billed charges,,495,,,,percent of total billed charges,,506,,,,percent of total billed charges,,506,,,,percent of total billed charges,,520.3,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,533.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,484,,,,percent of total billed charges,,495,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,495,,,,percent of total billed charges,,330,,,,percent of total billed charges,,555.335,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,440,,,,percent of total billed charges,,330,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L4360 WALKING BOOT, PNEUM, PREFAB, TRIM/BENT/MOLD",274,RC,,,,,inpatient,,,1206,,603,723.6,1217.6982,1133.64,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1000.98,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,1109.52,,,,percent of total billed charges,,1109.52,,,,percent of total billed charges,,1140.876,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1169.82,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1061.28,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,781.488,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,1217.6982,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L4398 FOOT DROP SPLINT, RECUMB POS, PREFAB",274,RC,,,,,inpatient,,,346,,173,207.6,349.3562,325.24,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,287.18,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,318.32,,,,percent of total billed charges,,327.316,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,335.62,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,304.48,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,224.208,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,349.3562,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,328.7,,,,percent of total billed charges,,276.8,,,,percent of total billed charges,,207.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5400 IMMED POSTSURGICAL FIT OF INITIAL RIGID DRESS, BK",274,RC,,,,,inpatient,,,4112,,2056,2467.2,4151.8864,3865.28,,,,percent of total billed charges,,3289.6,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3412.96,,,,percent of total billed charges,,3700.8,,,,percent of total billed charges,,3783.04,,,,percent of total billed charges,,3783.04,,,,percent of total billed charges,,3889.952,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3988.64,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3618.56,,,,percent of total billed charges,,3700.8,,,,percent of total billed charges,,2664.576,,,,percent of total billed charges,,3700.8,,,,percent of total billed charges,,2467.2,,,,percent of total billed charges,,4151.8864,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3906.4,,,,percent of total billed charges,,3289.6,,,,percent of total billed charges,,2467.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5420 IMMED POSTSURG FIT OF INITIAL RIGID DRESS, ABOVE KNEE",274,RC,,,,,inpatient,,,4729,,2364.5,2837.4,4774.8713,4445.26,,,,percent of total billed charges,,3783.2,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,3925.07,,,,percent of total billed charges,,4256.1,,,,percent of total billed charges,,4350.68,,,,percent of total billed charges,,4350.68,,,,percent of total billed charges,,4473.634,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,4587.13,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,4161.52,,,,percent of total billed charges,,4256.1,,,,percent of total billed charges,,3064.392,,,,percent of total billed charges,,4256.1,,,,percent of total billed charges,,2837.4,,,,percent of total billed charges,,4774.8713,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,4492.55,,,,percent of total billed charges,,3783.2,,,,percent of total billed charges,,2837.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L5450 IMMED POSTSURG FITTING APPLIC NONWT BEAR RIGID DRESS BK,274,RC,,,,,inpatient,,,1720,,860,1032,1736.684,1616.8,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1427.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1627.12,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1668.4,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1114.56,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1736.684,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5673 ADD TO LE, BK/AK, CUSTOM FAB FROM EXIST MOLD OR PREF, LOCKING MECH",274,RC,,,,,inpatient,,,2660,,1330,1596,2685.802,2500.4,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2207.8,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,2516.36,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2580.2,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,1723.68,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,1596,,,,percent of total billed charges,,2685.802,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2527,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5679 ADD TO LE, BK/AK, CUSTOM FAB FROM EXIST MOLD OR PREF, NOT LOCKING",274,RC,,,,,inpatient,,,2272,,1136,1363.2,2294.0384,2135.68,,,,percent of total billed charges,,1817.6,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1885.76,,,,percent of total billed charges,,2044.8,,,,percent of total billed charges,,2090.24,,,,percent of total billed charges,,2090.24,,,,percent of total billed charges,,2149.312,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,2203.84,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1999.36,,,,percent of total billed charges,,2044.8,,,,percent of total billed charges,,1472.256,,,,percent of total billed charges,,2044.8,,,,percent of total billed charges,,1363.2,,,,percent of total billed charges,,2294.0384,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1817.6,,,,percent of total billed charges,,1363.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5684 ADD TO LE, BN, FORK STRAP",274,RC,,,,,inpatient,,,234,,117,140.4,236.2698,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,151.632,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,236.2698,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L5688 ADD TO LE, BK, WAIST BELT, WEBBING",274,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8000 BREAST PROSTHESIS, MAST BRA",274,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8440 PROSTHETIC SOCK, PUL PLY AK",274,RC,,,,,inpatient,,,199,,99.5,119.4,200.9303,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,128.952,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,200.9303,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8465 PROSTHETIC SHRINKER UPPER LIMB, EA",274,RC,,,,,inpatient,,,272,,136,163.2,274.6384,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,176.256,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,274.6384,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8500 ARTIFICAL LARYNX, ANY TYPE",274,RC,,,,,inpatient,,,1049,,524.5,629.4,1059.1753,986.06,,,,percent of total billed charges,,839.2,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,870.67,,,,percent of total billed charges,,944.1,,,,percent of total billed charges,,965.08,,,,percent of total billed charges,,965.08,,,,percent of total billed charges,,992.354,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,1017.53,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,923.12,,,,percent of total billed charges,,944.1,,,,percent of total billed charges,,679.752,,,,percent of total billed charges,,944.1,,,,percent of total billed charges,,629.4,,,,percent of total billed charges,,1059.1753,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,996.55,,,,percent of total billed charges,,839.2,,,,percent of total billed charges,,629.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8507 TRACHEO-ESOPHAG VOICE PROSTHESIS,274,RC,,,,,inpatient,,,384,,192,230.4,387.7248,360.96,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,318.72,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,363.264,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,372.48,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,337.92,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,248.832,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,387.7248,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMPLANT BRST 12CM P3.6CM MDRT 87959,278,RC,,,,,inpatient,,,2991,,1495.5,1794.6,3020.0127,2811.54,,,,percent of total billed charges,,2392.8,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2482.53,,,,percent of total billed charges,,2691.9,,,,percent of total billed charges,,2751.72,,,,percent of total billed charges,,2751.72,,,,percent of total billed charges,,2829.486,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2901.27,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2632.08,,,,percent of total billed charges,,2691.9,,,,percent of total billed charges,,1938.168,,,,percent of total billed charges,,2691.9,,,,percent of total billed charges,,1794.6,,,,percent of total billed charges,,3020.0127,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2841.45,,,,percent of total billed charges,,2392.8,,,,percent of total billed charges,,1794.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8603 INJECT COLLAGEN IMPLANT, URINARY TRACT 2.5 ML SYR",278,RC,,,,,inpatient,,,1455,,727.5,873,1469.1135,1367.7,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1207.65,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1338.6,,,,percent of total billed charges,,1376.43,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1411.35,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1280.4,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,942.84,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,873,,,,percent of total billed charges,,1469.1135,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1382.25,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,873,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8610 OCULAR IMPLANT,278,RC,,,,,inpatient,,,1809,,904.5,1085.4,1826.5473,1700.46,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1501.47,,,,percent of total billed charges,,1628.1,,,,percent of total billed charges,,1664.28,,,,percent of total billed charges,,1664.28,,,,percent of total billed charges,,1711.314,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1754.73,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1591.92,,,,percent of total billed charges,,1628.1,,,,percent of total billed charges,,1172.232,,,,percent of total billed charges,,1628.1,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,1826.5473,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1718.55,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1085.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8612 AQUEOUS SHUNT,278,RC,,,,,inpatient,,,2685,,1342.5,1611,2711.0445,2523.9,,,,percent of total billed charges,,2148,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2228.55,,,,percent of total billed charges,,2416.5,,,,percent of total billed charges,,2470.2,,,,percent of total billed charges,,2470.2,,,,percent of total billed charges,,2540.01,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2604.45,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2362.8,,,,percent of total billed charges,,2416.5,,,,percent of total billed charges,,1739.88,,,,percent of total billed charges,,2416.5,,,,percent of total billed charges,,1611,,,,percent of total billed charges,,2711.0445,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2550.75,,,,percent of total billed charges,,2148,,,,percent of total billed charges,,1611,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTHESIS ROBINSON STAPES 4.0 11618,278,RC,,,,,inpatient,,,1293,,646.5,775.8,1305.5421,1215.42,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1073.19,,,,percent of total billed charges,,1163.7,,,,percent of total billed charges,,1189.56,,,,percent of total billed charges,,1189.56,,,,percent of total billed charges,,1223.178,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1254.21,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1137.84,,,,percent of total billed charges,,1163.7,,,,percent of total billed charges,,837.864,,,,percent of total billed charges,,1163.7,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,1305.5421,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1228.35,,,,percent of total billed charges,,1034.4,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8630 METACARPOPHALANGEAL JOINT IMPLANT,278,RC,,,,,inpatient,,,4307,,2153.5,2584.2,4348.7779,4048.58,,,,percent of total billed charges,,3445.6,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,3574.81,,,,percent of total billed charges,,3876.3,,,,percent of total billed charges,,3962.44,,,,percent of total billed charges,,3962.44,,,,percent of total billed charges,,4074.422,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,4177.79,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,3790.16,,,,percent of total billed charges,,3876.3,,,,percent of total billed charges,,2790.936,,,,percent of total billed charges,,3876.3,,,,percent of total billed charges,,2584.2,,,,percent of total billed charges,,4348.7779,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,4091.65,,,,percent of total billed charges,,3445.6,,,,percent of total billed charges,,2584.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8690 AUDITORY OSSEOINTEGRATED DEVICE,278,RC,,,,,inpatient,,,5641,,2820.5,3384.6,5695.7177,5302.54,,,,percent of total billed charges,,4512.8,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,4682.03,,,,percent of total billed charges,,5076.9,,,,percent of total billed charges,,5189.72,,,,percent of total billed charges,,5189.72,,,,percent of total billed charges,,5336.386,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,5471.77,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,4964.08,,,,percent of total billed charges,,5076.9,,,,percent of total billed charges,,3655.368,,,,percent of total billed charges,,5076.9,,,,percent of total billed charges,,3384.6,,,,percent of total billed charges,,5695.7177,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,5358.95,,,,percent of total billed charges,,4512.8,,,,percent of total billed charges,,3384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG L8693 AUDITORY OSSEOINTEGRATED DEVICE, ABUTMENT",278,RC,,,,,inpatient,,,4631,,2315.5,2778.6,4675.9207,4353.14,,,,percent of total billed charges,,3704.8,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,3843.73,,,,percent of total billed charges,,4167.9,,,,percent of total billed charges,,4260.52,,,,percent of total billed charges,,4260.52,,,,percent of total billed charges,,4380.926,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,4492.07,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,4075.28,,,,percent of total billed charges,,4167.9,,,,percent of total billed charges,,3000.888,,,,percent of total billed charges,,4167.9,,,,percent of total billed charges,,2778.6,,,,percent of total billed charges,,4675.9207,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,4399.45,,,,percent of total billed charges,,3704.8,,,,percent of total billed charges,,2778.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L8699 PROSTHETIC IMPLANT NOS,278,RC,,,,,inpatient,,,3137,,1568.5,1882.2,3167.4289,2948.78,,,,percent of total billed charges,,2509.6,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2603.71,,,,percent of total billed charges,,2823.3,,,,percent of total billed charges,,2886.04,,,,percent of total billed charges,,2886.04,,,,percent of total billed charges,,2967.602,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,3042.89,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2760.56,,,,percent of total billed charges,,2823.3,,,,percent of total billed charges,,2032.776,,,,percent of total billed charges,,2823.3,,,,percent of total billed charges,,1882.2,,,,percent of total billed charges,,3167.4289,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2980.15,,,,percent of total billed charges,,2509.6,,,,percent of total billed charges,,1882.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4100 SKIN SUBSTITUTE NOS,636,RC,,,,,inpatient,,,2217,,1108.5,1330.2,2238.5049,2083.98,,,,percent of total billed charges,,1773.6,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,1840.11,,,,percent of total billed charges,,1995.3,,,,percent of total billed charges,,2039.64,,,,percent of total billed charges,,2039.64,,,,percent of total billed charges,,2097.282,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,2150.49,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,1950.96,,,,percent of total billed charges,,1995.3,,,,percent of total billed charges,,1436.616,,,,percent of total billed charges,,1995.3,,,,percent of total billed charges,,1330.2,,,,percent of total billed charges,,2238.5049,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,2106.15,,,,percent of total billed charges,,1773.6,,,,percent of total billed charges,,1330.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9352 MICRO COLLAGEN IMPLANT TUBE NEURAGEN NERVE PER CM LGTH,278,RC,,,,,inpatient,,,5333,,2666.5,3199.8,5384.7301,5013.02,,,,percent of total billed charges,,4266.4,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,4426.39,,,,percent of total billed charges,,4799.7,,,,percent of total billed charges,,4906.36,,,,percent of total billed charges,,4906.36,,,,percent of total billed charges,,5045.018,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,5173.01,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,4693.04,,,,percent of total billed charges,,4799.7,,,,percent of total billed charges,,3455.784,,,,percent of total billed charges,,4799.7,,,,percent of total billed charges,,3199.8,,,,percent of total billed charges,,5384.7301,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,5066.35,,,,percent of total billed charges,,4266.4,,,,percent of total billed charges,,3199.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9353 MICRO COLLAGEN IMPLANT SLIT TUBE NEURAWRAP NERVE PER CM LGTH,278,RC,,,,,inpatient,,,1698,,849,1018.8,1714.4706,1596.12,,,,percent of total billed charges,,1358.4,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1409.34,,,,percent of total billed charges,,1528.2,,,,percent of total billed charges,,1562.16,,,,percent of total billed charges,,1562.16,,,,percent of total billed charges,,1606.308,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1647.06,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1494.24,,,,percent of total billed charges,,1528.2,,,,percent of total billed charges,,1100.304,,,,percent of total billed charges,,1528.2,,,,percent of total billed charges,,1018.8,,,,percent of total billed charges,,1714.4706,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1613.1,,,,percent of total billed charges,,1358.4,,,,percent of total billed charges,,1018.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C9356 TENDON, POROUS MATRIX OF CL COLLAGEN & GLYCOSAM MATRIC TENOGLIDE, PER SQ CM",278,RC,,,,,inpatient,,,232,,116,139.2,234.2504,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,150.336,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,234.2504,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C9363 SKIN SUBSTITUTE (INTEGRA MESHED BILAYER WOUND), PER SQ CM",636,RC,,,,,inpatient,,,2085,,1042.5,1251,2105.2245,1959.9,,,,percent of total billed charges,,1668,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1730.55,,,,percent of total billed charges,,1876.5,,,,percent of total billed charges,,1918.2,,,,percent of total billed charges,,1918.2,,,,percent of total billed charges,,1972.41,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,2022.45,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1834.8,,,,percent of total billed charges,,1876.5,,,,percent of total billed charges,,1351.08,,,,percent of total billed charges,,1876.5,,,,percent of total billed charges,,1251,,,,percent of total billed charges,,2105.2245,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1980.75,,,,percent of total billed charges,,1668,,,,percent of total billed charges,,1251,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4107 GRAFT JACKET PER SQ CM,636,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4116 ALLODERM PER SQ CM,636,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4122 DEMACELL PER SQ CM,636,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4125 ARTHROFLEX, PER SQ CM",636,RC,,,,,inpatient,,,251,,125.5,150.6,253.4347,235.94,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,208.33,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,237.446,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,243.47,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,220.88,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,253.4347,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4128 FLEX HD/ALLOPATCH HD, PER SQ CM",636,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRATTICE 6 X 10 CM PORCINE DERM 61710; PER SQ CM (60 UNITS),636,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT SFT TISS. 6 X 3 CM NEOX AMNI 71618; PER SQ CM (18 UNITS),636,RC,,,,,inpatient,,,531,,265.5,318.6,536.1507,499.14,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,440.73,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,502.326,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,515.07,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,467.28,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,344.088,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,536.1507,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT SFT TISS. 7 X 7 CM EPIFIX MI 100357; PER SQ CM (49 UNITS),636,RC,,,,,inpatient,,,445,,222.5,267,449.3165,418.3,,,,percent of total billed charges,,356,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,369.35,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,420.97,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,431.65,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,391.6,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,267,,,,percent of total billed charges,,449.3165,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,356,,,,percent of total billed charges,,267,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GRAFT SFT TISS 1.5X1CM AMNIOGR 10180, PER PROCEDURE",810,RC,,,,,inpatient,,,1239,,619.5,743.4,1251.0183,1164.66,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1028.37,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1172.094,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1201.83,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1090.32,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,802.872,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,1251.0183,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L3260-0274 POSTOP SHOE,274,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER VENOUS ARROW CENTRAL,272,RC,,,,,inpatient,,,715,,357.5,429,721.9355,672.1,,,,percent of total billed charges,,572,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,593.45,,,,percent of total billed charges,,643.5,,,,percent of total billed charges,,657.8,,,,percent of total billed charges,,657.8,,,,percent of total billed charges,,676.39,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,693.55,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,629.2,,,,percent of total billed charges,,643.5,,,,percent of total billed charges,,463.32,,,,percent of total billed charges,,643.5,,,,percent of total billed charges,,429,,,,percent of total billed charges,,721.9355,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,679.25,,,,percent of total billed charges,,572,,,,percent of total billed charges,,429,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOSEE CANNULAS ESPX5, 162501",272,RC,,,,,inpatient,,,846,,423,507.6,854.2062,795.24,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,702.18,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,800.316,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,820.62,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,744.48,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,548.208,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,854.2062,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UTERINE VACUUME EXTRACT JADA, 315687",272,RC,,,,,inpatient,,,4324,,2162,2594.4,4365.9428,4064.56,,,,percent of total billed charges,,3459.2,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,3588.92,,,,percent of total billed charges,,3891.6,,,,percent of total billed charges,,3978.08,,,,percent of total billed charges,,3978.08,,,,percent of total billed charges,,4090.504,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,4194.28,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,3805.12,,,,percent of total billed charges,,3891.6,,,,percent of total billed charges,,2801.952,,,,percent of total billed charges,,3891.6,,,,percent of total billed charges,,2594.4,,,,percent of total billed charges,,4365.9428,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,4107.8,,,,percent of total billed charges,,3459.2,,,,percent of total billed charges,,2594.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAD ARCTICGEL UNIV,272,RC,,,,,inpatient,,,1387,,693.5,832.2,1400.4539,1303.78,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1151.21,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1276.04,,,,percent of total billed charges,,1312.102,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1345.39,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1220.56,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,898.776,,,,percent of total billed charges,,1248.3,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,1400.4539,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1317.65,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH KIT PLEURX W/CATH 5075, 83883",270,RC,,,,,inpatient,,,344,,172,206.4,347.3368,323.36,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,285.52,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,325.424,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,333.68,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,222.912,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,347.3368,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SLING LARGE SSL(SHOULDER SU, 405160",270,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SET CRICOTHYROTOMY CATH 6MM_G04652 MELKER, 27515",278,RC,,,,,inpatient,,,1008,,504,604.8,1017.7776,947.52,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,836.64,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,953.568,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,977.76,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,887.04,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,653.184,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,1017.7776,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1751 KIT CATH BLU FLXTP PEELAWAY INJ (320432, 320433)",272,RC,,,,,inpatient,,,974,,487,584.4,983.4478,915.56,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,808.42,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,921.404,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,944.78,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,857.12,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,631.152,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,983.4478,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SET PRESS MONITOR, PREFL SYRG DIAP CHAM SDPRT NDLE, 42617",272,RC,,,,,inpatient,,,530,,265,318,535.141,498.2,,,,percent of total billed charges,,424,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,439.9,,,,percent of total billed charges,,477,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,501.38,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,514.1,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,477,,,,percent of total billed charges,,343.44,,,,percent of total billed charges,,477,,,,percent of total billed charges,,318,,,,percent of total billed charges,,535.141,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,424,,,,percent of total billed charges,,318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 116166 CATH ELECTROPHY 110CM 11MM PACING BIPOLAR GW, 116166",278,RC,,,,,inpatient,,,976,,488,585.6,985.4672,917.44,,,,percent of total billed charges,,780.8,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,810.08,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,897.92,,,,percent of total billed charges,,897.92,,,,percent of total billed charges,,923.296,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,946.72,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,858.88,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,632.448,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,585.6,,,,percent of total billed charges,,985.4672,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,927.2,,,,percent of total billed charges,,780.8,,,,percent of total billed charges,,585.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEVICE STAB TPD 2 PRT BELT MECH PUL VELCRO PLAST ORNG PELVIS LF 77534,270,RC,,,,,inpatient,,,488,,244,292.8,492.7336,458.72,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,405.04,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,448.96,,,,percent of total billed charges,,461.648,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,473.36,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,429.44,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,316.224,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,492.7336,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,463.6,,,,percent of total billed charges,,390.4,,,,percent of total billed charges,,292.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GRADT TISSUE NOVACHOR 1.5 X 2.75 CM, PER SQ CM (5 UNITS); 328356",636,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHSCP FLXB H-STERISCOPE INSERTION TUBE ULTHN CHNL 315602,272,RC,,,,,inpatient,,,1045,,522.5,627,1055.1365,982.3,,,,percent of total billed charges,,836,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,867.35,,,,percent of total billed charges,,940.5,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,988.57,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,1013.65,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,919.6,,,,percent of total billed charges,,940.5,,,,percent of total billed charges,,677.16,,,,percent of total billed charges,,940.5,,,,percent of total billed charges,,627,,,,percent of total billed charges,,1055.1365,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,992.75,,,,percent of total billed charges,,836,,,,percent of total billed charges,,627,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATHETER PROVENA L20 CM FR 2 LUMEN MIDLINE, 156501",278,RC,,,,,inpatient,,,820,,410,492,827.954,770.8,,,,percent of total billed charges,,656,,,,percent of total billed charges,,779,,,,percent of total billed charges,,680.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,775.72,,,,percent of total billed charges,,779,,,,percent of total billed charges,,795.4,,,,percent of total billed charges,,779,,,,percent of total billed charges,,721.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,531.36,,,,percent of total billed charges,,738,,,,percent of total billed charges,,492,,,,percent of total billed charges,,827.954,,,,percent of total billed charges,,779,,,,percent of total billed charges,,779,,,,percent of total billed charges,,656,,,,percent of total billed charges,,492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SURGICEL HEMOSTAT 2 X 4, 71483",272,RC,,,,,inpatient,,,539,,269.5,323.4,544.2283,506.66,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,447.37,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,495.88,,,,percent of total billed charges,,509.894,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,522.83,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,474.32,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,349.272,,,,percent of total billed charges,,485.1,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,544.2283,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,512.05,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V2599 CONTACT LENS/ES OTHER TYPE,274,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BROVIAC,278,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH HICKMAN,278,RC,,,,,inpatient,,,570,,285,342,575.529,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,369.36,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,575.529,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH TENCKHOFF / QUINTON,278,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL SAVER,272,RC,,,,,inpatient,,,579,,289.5,347.4,584.6163,544.26,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,480.57,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,532.68,,,,percent of total billed charges,,547.734,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,561.63,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,509.52,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,375.192,,,,percent of total billed charges,,521.1,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,584.6163,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,550.05,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-B (PER 1ST MINUTE),360,RC,,,,,inpatient,,,584,,292,350.4,589.6648,548.96,,,,percent of total billed charges,,467.2,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,484.72,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,537.28,,,,percent of total billed charges,,537.28,,,,percent of total billed charges,,552.464,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,566.48,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,513.92,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,378.432,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,589.6648,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,554.8,,,,percent of total billed charges,,467.2,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-B (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-HI B (PER 1ST MINUTE),360,RC,,,,,inpatient,,,687,,343.5,412.2,693.6639,645.78,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,570.21,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,649.902,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,666.39,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,604.56,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,445.176,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,693.6639,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTER SURGERY-HI B (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,171,,85.5,102.6,172.6587,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,110.808,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,172.6587,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT CELL SAVER FAST START,272,RC,,,,,inpatient,,,551,,275.5,330.6,556.3447,517.94,,,,percent of total billed charges,,440.8,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,457.33,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,506.92,,,,percent of total billed charges,,506.92,,,,percent of total billed charges,,521.246,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,534.47,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,484.88,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,357.048,,,,percent of total billed charges,,495.9,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,556.3447,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,523.45,,,,percent of total billed charges,,440.8,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C (PER 1ST MINUTE),360,RC,,,,,inpatient,,,848,,424,508.8,856.2256,797.12,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,703.84,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,802.208,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,822.56,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,746.24,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,549.504,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,856.2256,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-HI C (PER 1ST MINUTE),360,RC,,,,,inpatient,,,1320,,660,792,1332.804,1240.8,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1095.6,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1214.4,,,,percent of total billed charges,,1214.4,,,,percent of total billed charges,,1248.72,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1280.4,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1161.6,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,855.36,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,792,,,,percent of total billed charges,,1332.804,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1254,,,,percent of total billed charges,,1056,,,,percent of total billed charges,,792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-A (PER 1ST MINUTE),360,RC,,,,,inpatient,,,328,,164,196.8,331.1816,308.32,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,272.24,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,310.288,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,318.16,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,288.64,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,331.1816,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-A (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-D (PER 1ST MINUTE),360,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-D (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI A (PER 1ST MINUTE),360,RC,,,,,inpatient,,,439,,219.5,263.4,443.2583,412.66,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,364.37,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,415.294,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,425.83,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,386.32,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,284.472,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,443.2583,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI A (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI D (PER 1ST MINUTE),360,RC,,,,,inpatient,,,231,,115.5,138.6,233.2407,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,149.688,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,233.2407,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINOR SURGERY-HI D (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1772 INFUSTION PUMP, PROGRAMMABLE , IMPLANTABLE",278,RC,,,,,inpatient,,,15446,,7723,9267.6,15595.8262,14519.24,,,,percent of total billed charges,,12356.8,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,12820.18,,,,percent of total billed charges,,13901.4,,,,percent of total billed charges,,14210.32,,,,percent of total billed charges,,14210.32,,,,percent of total billed charges,,14611.916,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,14982.62,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,13592.48,,,,percent of total billed charges,,13901.4,,,,percent of total billed charges,,10009.008,,,,percent of total billed charges,,13901.4,,,,percent of total billed charges,,9267.6,,,,percent of total billed charges,,15595.8262,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,14673.7,,,,percent of total billed charges,,12356.8,,,,percent of total billed charges,,9267.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESERVOIR CELL SAVER,272,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETRACTOR,272,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANESTHESIA TIME (PER MIN),370,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANESTHESIA-TIME (PER MIN),370,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRONIC ANALYSIS,361,RC,,,,,inpatient,,,2784,,1392,1670.4,2811.0048,2616.96,,,,percent of total billed charges,,2227.2,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2310.72,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,2561.28,,,,percent of total billed charges,,2561.28,,,,percent of total billed charges,,2633.664,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2700.48,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2449.92,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,1804.032,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,2811.0048,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2644.8,,,,percent of total billed charges,,2227.2,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL A PROCEDURE,360,RC,,,,,inpatient,,,1749,,874.5,1049.4,1765.9653,1644.06,,,,percent of total billed charges,,1399.2,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1451.67,,,,percent of total billed charges,,1574.1,,,,percent of total billed charges,,1609.08,,,,percent of total billed charges,,1609.08,,,,percent of total billed charges,,1654.554,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1696.53,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1539.12,,,,percent of total billed charges,,1574.1,,,,percent of total billed charges,,1133.352,,,,percent of total billed charges,,1574.1,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,1765.9653,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1661.55,,,,percent of total billed charges,,1399.2,,,,percent of total billed charges,,1049.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL B PROCEDURE,360,RC,,,,,inpatient,,,4723,,2361.5,2833.8,4768.8131,4439.62,,,,percent of total billed charges,,3778.4,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,3920.09,,,,percent of total billed charges,,4250.7,,,,percent of total billed charges,,4345.16,,,,percent of total billed charges,,4345.16,,,,percent of total billed charges,,4467.958,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,4581.31,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,4156.24,,,,percent of total billed charges,,4250.7,,,,percent of total billed charges,,3060.504,,,,percent of total billed charges,,4250.7,,,,percent of total billed charges,,2833.8,,,,percent of total billed charges,,4768.8131,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,4486.85,,,,percent of total billed charges,,3778.4,,,,percent of total billed charges,,2833.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL C PROCEDURE,360,RC,,,,,inpatient,,,7087,,3543.5,4252.2,7155.7439,6661.78,,,,percent of total billed charges,,5669.6,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,5882.21,,,,percent of total billed charges,,6378.3,,,,percent of total billed charges,,6520.04,,,,percent of total billed charges,,6520.04,,,,percent of total billed charges,,6704.302,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,6874.39,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,6236.56,,,,percent of total billed charges,,6378.3,,,,percent of total billed charges,,4592.376,,,,percent of total billed charges,,6378.3,,,,percent of total billed charges,,4252.2,,,,percent of total billed charges,,7155.7439,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,6732.65,,,,percent of total billed charges,,5669.6,,,,percent of total billed charges,,4252.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-HI C (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,331,,165.5,198.6,334.2107,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,214.488,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,334.2107,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECOVERY, LEVEL 1, QUARTER HR",710,RC,,,,,inpatient,,,451,,225.5,270.6,455.3747,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,292.248,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,455.3747,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECOVERY, LEVEL 2, QUARTER HR",710,RC,,,,,inpatient,,,451,,225.5,270.6,455.3747,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,292.248,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,455.3747,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAAORTIC BALLOON INSERT 2HR,360,RC,,,,,inpatient,,,858,,429,514.8,866.3226,806.52,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,712.14,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,789.36,,,,percent of total billed charges,,789.36,,,,percent of total billed charges,,811.668,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,832.26,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,755.04,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,555.984,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,866.3226,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,815.1,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C-P (PER SUBSEQ MINUTES),360,RC,,,,,inpatient,,,206,,103,123.6,207.9982,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,133.488,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,207.9982,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR EXAM,510,RC,,,,,inpatient,,,745,,372.5,447,752.2265,700.3,,,,percent of total billed charges,,596,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,618.35,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,685.4,,,,percent of total billed charges,,704.77,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,722.65,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,655.6,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,482.76,,,,percent of total billed charges,,670.5,,,,percent of total billed charges,,447,,,,percent of total billed charges,,752.2265,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,707.75,,,,percent of total billed charges,,596,,,,percent of total billed charges,,447,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIGMOIDOSCOPY,361,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 1.5 X 5 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,2920,,1460,1752,2948.324,2744.8,,,,percent of total billed charges,,2336,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2423.6,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,2686.4,,,,percent of total billed charges,,2686.4,,,,percent of total billed charges,,2762.32,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2832.4,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2569.6,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1892.16,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1752,,,,percent of total billed charges,,2948.324,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2774,,,,percent of total billed charges,,2336,,,,percent of total billed charges,,1752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 2 X 3 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,3848,,1924,2308.8,3885.3256,3617.12,,,,percent of total billed charges,,3078.4,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3193.84,,,,percent of total billed charges,,3463.2,,,,percent of total billed charges,,3540.16,,,,percent of total billed charges,,3540.16,,,,percent of total billed charges,,3640.208,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3732.56,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3386.24,,,,percent of total billed charges,,3463.2,,,,percent of total billed charges,,2493.504,,,,percent of total billed charges,,3463.2,,,,percent of total billed charges,,2308.8,,,,percent of total billed charges,,3885.3256,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3655.6,,,,percent of total billed charges,,3078.4,,,,percent of total billed charges,,2308.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 4 X 4 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,4206,,2103,2523.6,4246.7982,3953.64,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3490.98,,,,percent of total billed charges,,3785.4,,,,percent of total billed charges,,3869.52,,,,percent of total billed charges,,3869.52,,,,percent of total billed charges,,3978.876,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,4079.82,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3701.28,,,,percent of total billed charges,,3785.4,,,,percent of total billed charges,,2725.488,,,,percent of total billed charges,,3785.4,,,,percent of total billed charges,,2523.6,,,,percent of total billed charges,,4246.7982,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3995.7,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,2523.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOEXCEL 4 X 8 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,4838,,2419,2902.8,4884.9286,4547.72,,,,percent of total billed charges,,3870.4,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4015.54,,,,percent of total billed charges,,4354.2,,,,percent of total billed charges,,4450.96,,,,percent of total billed charges,,4450.96,,,,percent of total billed charges,,4576.748,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4692.86,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4257.44,,,,percent of total billed charges,,4354.2,,,,percent of total billed charges,,3135.024,,,,percent of total billed charges,,4354.2,,,,percent of total billed charges,,2902.8,,,,percent of total billed charges,,4884.9286,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,4596.1,,,,percent of total billed charges,,3870.4,,,,percent of total billed charges,,2902.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 25 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,1961,,980.5,1176.6,1980.0217,1843.34,,,,percent of total billed charges,,1568.8,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1627.63,,,,percent of total billed charges,,1764.9,,,,percent of total billed charges,,1804.12,,,,percent of total billed charges,,1804.12,,,,percent of total billed charges,,1855.106,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1902.17,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1725.68,,,,percent of total billed charges,,1764.9,,,,percent of total billed charges,,1270.728,,,,percent of total billed charges,,1764.9,,,,percent of total billed charges,,1176.6,,,,percent of total billed charges,,1980.0217,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1862.95,,,,percent of total billed charges,,1568.8,,,,percent of total billed charges,,1176.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 125 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,597,,298.5,358.2,602.7909,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,386.856,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,602.7909,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 250 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,445,,222.5,267,449.3165,418.3,,,,percent of total billed charges,,356,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,369.35,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,409.4,,,,percent of total billed charges,,420.97,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,431.65,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,391.6,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,288.36,,,,percent of total billed charges,,400.5,,,,percent of total billed charges,,267,,,,percent of total billed charges,,449.3165,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,422.75,,,,percent of total billed charges,,356,,,,percent of total billed charges,,267,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTEGRA MESHED BILAYER 500 CM; PER SQ CM (1 UNIT),636,RC,,,,,inpatient,,,330,,165,198,333.201,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,333.201,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4118 MATRISTEM MICROMATRIX, 1 MG",636,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HGHC CYTAL, PER SQ. CM, USED AS A GRAFT",636,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HGHC Q4166 CYTAL, PER SQ CM",636,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORTICAL ELECTRODE - STRIP,272,RC,,,,,inpatient,,,2261,,1130.5,1356.6,2282.9317,2125.34,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1876.63,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2138.906,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2193.17,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1989.68,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1465.128,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,2282.9317,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ELECTRODE, ENDOTRACHEAL",272,RC,,,,,inpatient,,,1163,,581.5,697.8,1174.2811,1093.22,,,,percent of total billed charges,,930.4,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,965.29,,,,percent of total billed charges,,1046.7,,,,percent of total billed charges,,1069.96,,,,percent of total billed charges,,1069.96,,,,percent of total billed charges,,1100.198,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,1128.11,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,1023.44,,,,percent of total billed charges,,1046.7,,,,percent of total billed charges,,753.624,,,,percent of total billed charges,,1046.7,,,,percent of total billed charges,,697.8,,,,percent of total billed charges,,1174.2811,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,1104.85,,,,percent of total billed charges,,930.4,,,,percent of total billed charges,,697.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BACTISEAL HAKIN W/RA  ADAP LAWSON#63315,272,RC,,,,,inpatient,,,1267,,633.5,760.2,1279.2899,1190.98,,,,percent of total billed charges,,1013.6,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1051.61,,,,percent of total billed charges,,1140.3,,,,percent of total billed charges,,1165.64,,,,percent of total billed charges,,1165.64,,,,percent of total billed charges,,1198.582,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1228.99,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1114.96,,,,percent of total billed charges,,1140.3,,,,percent of total billed charges,,821.016,,,,percent of total billed charges,,1140.3,,,,percent of total billed charges,,760.2,,,,percent of total billed charges,,1279.2899,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1203.65,,,,percent of total billed charges,,1013.6,,,,percent of total billed charges,,760.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VALVE HAKIM PROGRAM ONLY LAWSON#63397,272,RC,,,,,inpatient,,,7587,,3793.5,4552.2,7660.5939,7131.78,,,,percent of total billed charges,,6069.6,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,6297.21,,,,percent of total billed charges,,6828.3,,,,percent of total billed charges,,6980.04,,,,percent of total billed charges,,6980.04,,,,percent of total billed charges,,7177.302,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,7359.39,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,6676.56,,,,percent of total billed charges,,6828.3,,,,percent of total billed charges,,4916.376,,,,percent of total billed charges,,6828.3,,,,percent of total billed charges,,4552.2,,,,percent of total billed charges,,7660.5939,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,7207.65,,,,percent of total billed charges,,6069.6,,,,percent of total billed charges,,4552.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN ""1 X 2""; PER SQ CM (13 UNITS)",636,RC,,,,,inpatient,,,261,,130.5,156.6,263.5317,245.34,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,216.63,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,246.906,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,253.17,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,169.128,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,263.5317,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN 1"" X 1""; PER SQ CM (7 UNITS); 117862",636,RC,,,,,inpatient,,,415,,207.5,249,419.0255,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,268.92,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,419.0255,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BALLOON UTERINE TAMPONADE  (L123070),272,RC,,,,,inpatient,,,1867,,933.5,1120.2,1885.1099,1754.98,,,,percent of total billed charges,,1493.6,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1549.61,,,,percent of total billed charges,,1680.3,,,,percent of total billed charges,,1717.64,,,,percent of total billed charges,,1717.64,,,,percent of total billed charges,,1766.182,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1810.99,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1642.96,,,,percent of total billed charges,,1680.3,,,,percent of total billed charges,,1209.816,,,,percent of total billed charges,,1680.3,,,,percent of total billed charges,,1120.2,,,,percent of total billed charges,,1885.1099,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1773.65,,,,percent of total billed charges,,1493.6,,,,percent of total billed charges,,1120.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACCU CATH INTRAVASCULAR CATH,278,RC,,,,,inpatient,,,240,,120,144,242.328,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,155.52,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,242.328,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BARD/ ULTRACLIP BREAST MARKER, 17GA, 108864, 150703, 330366, 330436",278,RC,,,,,inpatient,,,973,,486.5,583.8,982.4381,914.62,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,807.59,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,895.16,,,,percent of total billed charges,,920.458,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,943.81,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,856.24,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,630.504,,,,percent of total billed charges,,875.7,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,982.4381,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,924.35,,,,percent of total billed charges,,778.4,,,,percent of total billed charges,,583.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20552 INJ TRIGGER PT 1-2 MUSCLE,510,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20553 INJ SING/MULT TRIG PT 3 MORE MUSC,510,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20605 ARTHROCENTESIS ASP INJ INTERM JT,510,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0361 ARTHROCENTESIS INJ INTERMED JT WITH US GUIDE,510,RC,,,,,inpatient,,,2289,,1144.5,1373.4,2311.2033,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1483.272,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2311.2033,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20610 ARTHROCENTESIS ASP INJ MAJOR JT W/O US GUIDE,510,RC,,,,,inpatient,,,877,,438.5,526.2,885.5069,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,568.296,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,885.5069,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20612-0361 ASPIRATN AND/OR INJ GANGLION CYST,510,RC,,,,,inpatient,,,870,,435,522,878.439,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,563.76,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,878.439,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, ANESTHETIC AGENT, PARACERVICAL (UTERINE) NERVE",510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64450 INJECT NERV BLCK,OTHR PERIPH NERV-361",510,RC,,,,,inpatient,,,2288,,1144,1372.8,2310.1936,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1482.624,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2310.1936,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, ANESTHETIC AGENT/STEROID,PLANTAR NERVE/MORTON'S NEUROMA",510,RC,,,,,inpatient,,,827,,413.5,496.2,835.0219,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,535.896,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,835.0219,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64490 INJ PARAVERT F JNT C/T 1 LEV,510,RC,,,,,inpatient,,,3364,,1682,2018.4,3396.6308,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2179.872,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3396.6308,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64491 INJ PARAVERT F JNT C/T 2 LEV,510,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64492 INJ PARAVERT F JNT C/T 3 LEV,510,RC,,,,,inpatient,,,1811,,905.5,1086.6,1828.5667,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1173.528,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1828.5667,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64493 INJ PARAVERT F JNT L/S 1 LEV,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64494 INJ PARAVERT F JNT L/S 2 LEV,510,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64495 INJ PARAVERT F JNT L/S 3 LEV,510,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64530 CELIAC PLEXUS NERVE BLOCK,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64566-0361 POSTERIORTIBIAL NEUROSTIM SNG TX,510,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64640 INJECT RX OTHER PERIPH NERVE,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAJOR SURGERY-C-P (PER 1ST MINUTE),360,RC,,,,,inpatient,,,825,,412.5,495,833.0025,775.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,684.75,,,,percent of total billed charges,,742.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,759,,,,percent of total billed charges,,780.45,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,800.25,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,726,,,,percent of total billed charges,,742.5,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,742.5,,,,percent of total billed charges,,495,,,,percent of total billed charges,,833.0025,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,783.75,,,,percent of total billed charges,,660,,,,percent of total billed charges,,495,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92652-0471 AEP THRESHOLD EST MULTIPLE FREQ W/ I&R,471,RC,,,,,inpatient,,,955,,477.5,573,964.2635,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,618.84,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,964.2635,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92653-0471 AEP NEURODIAGNOSTIC W/ I&R,471,RC,,,,,inpatient,,,955,,477.5,573,964.2635,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,618.84,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,964.2635,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4113 GRAFT JACKET EXPRESS ALLOGRAFT,  1CC",636,RC,,,,,inpatient,,,5565,,2782.5,3339,5618.9805,5231.1,,,,percent of total billed charges,,4452,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,4618.95,,,,percent of total billed charges,,5008.5,,,,percent of total billed charges,,5119.8,,,,percent of total billed charges,,5119.8,,,,percent of total billed charges,,5264.49,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,5398.05,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,4897.2,,,,percent of total billed charges,,5008.5,,,,percent of total billed charges,,3606.12,,,,percent of total billed charges,,5008.5,,,,percent of total billed charges,,3339,,,,percent of total billed charges,,5618.9805,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,5286.75,,,,percent of total billed charges,,4452,,,,percent of total billed charges,,3339,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4152 DERMAPURE 6 X 4 CM; PER SQ CM (24 UNITS),636,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4152 DERMAPURE 10 X 7 CM; PER SQ CM (70 UNITS),636,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALANINE AMINO (ALT) (SGPT),301,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN, SERUM",301,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSPHATASE,301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMIKACIN,301,RC,,,,,inpatient,,,257,,128.5,154.2,259.4929,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,166.536,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,259.4929,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMMONIA,301,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMYLASE,301,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD CHLORIDE,301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD OSMOLALITY,301,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD/URIC ACID,301,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY,CALCIUM TOTAL",301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY CALCIUM,QUANT URINE",301,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CK(CPK) TOTAL,301,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE BLOOD,301,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CYCLOSPORINE,301,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF DIGOXIN,301,RC,,,,,inpatient,,,231,,115.5,138.6,233.2407,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,149.688,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,233.2407,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRADIOL,301,RC,,,,,inpatient,,,233,,116.5,139.8,235.2601,219.02,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,193.39,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,220.418,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,226.01,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,205.04,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,150.984,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,235.2601,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FERRITIN,301,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FETAL FIBRONECTIN,301,RC,,,,,inpatient,,,831,,415.5,498.6,839.0607,781.14,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,689.73,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,786.126,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,806.07,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,731.28,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,538.488,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,839.0607,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FREE THYROXINE,301,RC,,,,,inpatient,,,231,,115.5,138.6,233.2407,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,149.688,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,233.2407,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GENTAMICIN,301,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GGT,301,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF IRON,301,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LACTIC ACID,301,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIPASE,301,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPOPROTEIN HDL DIRECT,301,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LITHIUM,301,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PARATHORMONE,301,RC,,,,,inpatient,,,240,,120,144,242.328,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,155.52,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,242.328,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PHENOBARBITAL,301,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, FREE",301,RC,,,,,inpatient,,,213,,106.5,127.8,215.0661,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,138.024,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,215.0661,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, TOTAL",301,RC,,,,,inpatient,,,231,,115.5,138.6,233.2407,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,149.688,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,233.2407,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHORUS INORGANIC,301,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROGESTERONE,301,RC,,,,,inpatient,,,212,,106,127.2,214.0564,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,137.376,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,214.0564,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROLACTIN,301,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TOTAL OTHER,301,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TOTAL SER/PL/WB,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TOTAL URINE,301,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PSA, TOTAL",301,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSA TOTAL SCREEN,301,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN SERUM PLASMA/WHOLE BLOOD,301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POTASSIUM SERUM PLASMA/WHOLE BLOOD,301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SODIUM SERUM PLASMA WHOLE BLOOD,301,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SWEAT SODIUM,301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TACROLIMUS,301,RC,,,,,inpatient,,,266,,133,159.6,268.5802,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,172.368,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,268.5802,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THEOPHYLLINE,301,RC,,,,,inpatient,,,246,,123,147.6,248.3862,231.24,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,204.18,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,232.716,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,238.62,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,216.48,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,159.408,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,248.3862,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOBRAMYCIN,301,RC,,,,,inpatient,,,281,,140.5,168.6,283.7257,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,182.088,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,283.7257,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL THYROXINE,301,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TRANSFERRIN,301,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TRIGLYCERIDES,301,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF TROPONIN, QUANT",301,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UREA NITROGEN QUANT,301,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CHLORIDE,301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE OSMOLALITY,301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHOSPHORUS INORGANIC,URIN",301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE POTASSIUM,301,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SODIUM,301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/UREA-N,301,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/URIC ACID,301,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VANCOMYCIN,301,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY THYROID STIM HORMONE,301,RC,,,,,inpatient,,,129,,64.5,77.4,130.2513,121.26,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,107.07,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,122.034,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,125.13,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,83.592,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,130.2513,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLD/SERUM CHOLEST TOTAL,301,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, BLOOD CARBON DIOXIDE",301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, CARBAMAZEPINE, TOTAL",301,RC,,,,,inpatient,,,254,,127,152.4,256.4638,238.76,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,210.82,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,240.284,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,246.38,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,223.52,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,164.592,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,256.4638,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, DIPROPYLACETIC ACID",301,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, GLUCOSE, BLOOD QUANT",301,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, OTHER FLUID CHLORIDES",301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIIODOTHYRONINE TOTAL,T3",301,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 80048 BASIC METAB PANEL CALCIUM TOTAL,301,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILIRUBIN, DIRECT",301,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILIRUBIN, TOTAL",301,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD FOLIC ACID SERUM,301,RC,,,,,inpatient,,,191,,95.5,114.6,192.8527,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,192.8527,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARCINOEMBRYONIC ANTIGEN,301,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHORIO GONADOTROPIN QUANT,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 80053 COMPRE METAB PANEL,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CREATINE, MB FRACTION",301,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE CLEARANCE TEST,301,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROLYTE PANEL,301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE OTHER FLUID,301,RC,,,,,inpatient,,,49,,24.5,29.4,49.4753,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,49.4753,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE TOL TEST SPEC1-3,301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (FSH),301,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (LH),301,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GTT EA ADD BEYOND 3 SPECIMENS,301,RC,,,,,inpatient,,,39,,19.5,23.4,39.3783,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,39.3783,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATIC FUNCTION PANEL,301,RC,,,,,inpatient,,,76,,38,45.6,76.7372,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,76.7372,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 125",302,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTATE (LD) (LDH) ENZYME,301,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPID PANEL,301,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NATRIURETIC PEPTIDE,301,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY QUANT OF DRUG NEC,301,RC,,,,,inpatient,,,398,,199,238.8,401.8606,374.12,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,330.34,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,366.16,,,,percent of total billed charges,,376.508,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,386.06,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,350.24,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,257.904,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,401.8606,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,378.1,,,,percent of total billed charges,,318.4,,,,percent of total billed charges,,238.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL FUNCTION PANEL,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACETONE/KETONE,QUAL,SERUM",301,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL CORTISOL,301,RC,,,,,inpatient,,,212,,106,127.2,214.0564,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,137.376,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,214.0564,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSFERASE (AST) (SGOT),301,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN B-12,301,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTITHROMBIN III TEST,305,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BODY FLUID ACIDITY,301,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN,301,RC,,,,,inpatient,,,157,,78.5,94.2,158.5229,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,101.736,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,158.5229,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIFIC GR NON-URINE,301,RC,,,,,inpatient,,,34,,17,20.4,34.3298,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,34.3298,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOMATED LEUKOCYTE COUNT,305,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOMATED PLATELET COUNT,305,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG B CELLS, TOTAL COUNT",302,RC,,,,,inpatient,,,632,,316,379.2,638.1304,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,409.536,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,638.1304,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BL SMEAR W/DIFF WBC COUNT,305,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR IX TEST,305,RC,,,,,inpatient,,,309,,154.5,185.4,311.9973,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,200.232,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,311.9973,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR V TEST,305,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VII TEST,305,RC,,,,,inpatient,,,429,,214.5,257.4,433.1613,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,277.992,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,433.1613,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VIII TEST,305,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN,305,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR X TEST,305,RC,,,,,inpatient,,,363,,181.5,217.8,366.5211,341.22,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,301.29,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,343.398,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,352.11,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,319.44,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,235.224,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,366.5211,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XI TEST,305,RC,,,,,inpatient,,,325,,162.5,195,328.1525,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,328.1525,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XII TEST,305,RC,,,,,inpatient,,,402,,201,241.2,405.8994,377.88,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,333.66,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,380.292,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,389.94,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,353.76,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,260.496,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,405.8994,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD PLATELET AGGREGATION,305,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BODY FLUID CELL COUNT,309,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BODY FLUID CELL CT W/DIFF,300,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLETE CBC W/AUTO DIFF WBC,305,RC,,,,,inpatient,,,93,,46.5,55.8,93.9021,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,93.9021,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLETE CBC, AUTOMATED",305,RC,,,,,inpatient,,,119,,59.5,71.4,120.1543,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,120.1543,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXAM,SYNOVIAL FLUID CRYSTALS",300,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIBRIN DEGRADATION, QUANT",305,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRINOGEN,305,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/ TC, 1 MARKER",311,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON",311,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN,305,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPARIN ASSAY,305,RC,,,,,inpatient,,,455,,227.5,273,459.4135,427.7,,,,percent of total billed charges,,364,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,377.65,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,430.43,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,441.35,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,400.4,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,294.84,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,273,,,,percent of total billed charges,,459.4135,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,364,,,,percent of total billed charges,,273,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROPHILE ABX SCREEN,302,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSCOPIC EXAM OF URINE,307,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NASAL SMEAR FOR EOSINOPHILS,300,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTHROMBIN TIME,305,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RBC SED RATE, NONAUTOMATED",305,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST,305,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICYTE/HGB CONCENTRATE,305,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RUSSELL VIPER VENOM, DILUTED",305,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEMEN ANALYSIS & MOTILITY,300,RC,,,,,inpatient,,,202,,101,121.2,203.9594,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,130.896,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,203.9594,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, SPECIAL STAIN",306,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL STAIN GROUP II,310,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION,306,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBIN TIME, PLASMA",305,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBOPLASTIN TIME, PARTIAL",305,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBOPLASTIN TIME, PARTIAL",305,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS,307,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS TEST PROCEDURE,307,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, AUTO W/SCOPE",307,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, AUTO, W/O SCOPE",307,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE PREGNANCY TEST,307,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE,300,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AUTOLOGOUS BLOOD, OP SALVAGE",302,RC,,,,,inpatient,,,2683,,1341.5,1609.8,2709.0251,2522.02,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2226.89,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2538.118,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2602.51,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2361.04,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1738.584,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,2709.0251,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, TOTAL",301,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTINUCLEAR ANTIBODIES,302,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTINUCLEAR ABX TITER,302,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTISTREPTOLYSIN O, TITER",302,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CERULOPLASMIN, SERUM",301,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CRYOGLOBULIN,301,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEPHELOMETRY EA ANALYTE,301,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOGLOBULIN EA,301,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF HAPTOGLOBIN, QUANT",301,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE ALBUMIN,301,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEROLOGY SYPHILIS QUANT,302,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEROLOGY SYPHILIS QUAL,302,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE",306,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN",302,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP",306,RC,,,,,inpatient,,,293,,146.5,175.8,295.8421,275.42,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,243.19,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,277.178,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,284.21,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,257.84,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,189.864,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,295.8421,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN",302,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, TITER",302,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOSYLATED HEMOGLOBIN TEST,301,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H-PYLORI AB,302,RC,,,,,inpatient,,,188,,94,112.8,189.8236,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,121.824,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,189.8236,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, IGM",302,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, TOTAL",302,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B CORE ANTIBODY, TOTAL",302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURFACE ANTIBODY,302,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B SURFACE AG, EIA",306,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS C AB TEST,302,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, QUANT",306,RC,,,,,inpatient,,,1074,,537,644.4,1084.4178,1009.56,,,,percent of total billed charges,,859.2,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,891.42,,,,percent of total billed charges,,966.6,,,,percent of total billed charges,,988.08,,,,percent of total billed charges,,988.08,,,,percent of total billed charges,,1016.004,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,1041.78,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,945.12,,,,percent of total billed charges,,966.6,,,,percent of total billed charges,,695.952,,,,percent of total billed charges,,966.6,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,1084.4178,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,1020.3,,,,percent of total billed charges,,859.2,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1/HIV-2 ABXSNGL ASSAY,301,RC,,,,,inpatient,,,119,,59.5,71.4,120.1543,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,120.1543,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNFIX E-PHORSIS/URINE/CSF,302,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY INFECT,QUANT",302,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROALBUMIN QUANT, URINE",301,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE, DNA, AMP PROB",306,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN E-PHORESIS, SERUM",301,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN E-PHORESIS/URINE/CSF,301,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TREPONEMA PALLIDUM, CONFIRM",302,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AG DETECT NOS, EIA, SINGLE",306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT BLOOD AEROBIC,306,RC,,,,,inpatient,,,176,,88,105.6,177.7072,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,177.7072,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLOSTRIDIUM AG, EIA",306,RC,,,,,inpatient,,,195,,97.5,117,196.8915,183.3,,,,percent of total billed charges,,156,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,161.85,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,184.47,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,189.15,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,117,,,,percent of total billed charges,,196.8915,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,156,,,,percent of total billed charges,,117,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULT EXCEPT BLOOD,ANAERO",306,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULT AERO ADDN ID,EA",306,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE ANAEROBE IDENT, EACH",306,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE BACTERI AEROBIC OTHR,306,RC,,,,,inpatient,,,310,,155,186,313.007,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,200.88,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,313.007,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE SCREEN ONLY,306,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE TYPE, IMMUNOLOGIC",306,RC,,,,,inpatient,,,76,,38,45.6,76.7372,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,76.7372,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT OTHER AEROBIC,306,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT FECES AEROBIC S&S,306,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, MOLD",306,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, YEAST",306,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.AVIUM-INTRA, DNA, DIR PROB",306,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MACROSCOPIC EXAM PARASITE,306,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, DIFFUSE",306,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, DISK",306,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, ENZYME",306,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, MIC",306,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA CULTURE,306,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCC BLOOD,FECES,1, SCREEN",301,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OVA&PARA DIRECT SMEARS,306,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT SCR EA ABX,302,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT TITER EA ABX,302,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PINWORM EXAM,306,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKIN FUNGI CULTURE,306,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, COMPLEX STAIN",306,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, FLUORESCENT/ACID STAI",306,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, GRAM STAIN",306,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, WET MOUNT, SALINE/INK",306,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION,306,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT STOOL AERO EA ADDN,306,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP A AG, EIA",306,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE HOMOGENIZATION, CULTR",306,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE CULTURE/COLONY COUNT,306,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME AMNIO 6-12,310,RC,,,,,inpatient,,,1072,,536,643.2,1082.3984,1007.68,,,,percent of total billed charges,,857.6,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,889.76,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,986.24,,,,percent of total billed charges,,986.24,,,,percent of total billed charges,,1014.112,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1039.84,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,943.36,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,694.656,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,1082.3984,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,857.6,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME PLACENTA 15,310,RC,,,,,inpatient,,,1158,,579,694.8,1169.2326,1088.52,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,961.14,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1095.468,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1123.26,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1019.04,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,750.384,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,1169.2326,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 15-20",310,RC,,,,,inpatient,,,804,,402,482.4,811.7988,755.76,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,667.32,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,760.584,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,779.88,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,707.52,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,520.992,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,811.7988,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 20-25",310,RC,,,,,inpatient,,,804,,402,482.4,811.7988,755.76,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,667.32,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,760.584,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,779.88,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,707.52,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,520.992,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,811.7988,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 5",310,RC,,,,,inpatient,,,1382,,691,829.2,1395.4054,1299.08,,,,percent of total billed charges,,1105.6,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1147.06,,,,percent of total billed charges,,1243.8,,,,percent of total billed charges,,1271.44,,,,percent of total billed charges,,1271.44,,,,percent of total billed charges,,1307.372,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1340.54,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1216.16,,,,percent of total billed charges,,1243.8,,,,percent of total billed charges,,895.536,,,,percent of total billed charges,,1243.8,,,,percent of total billed charges,,829.2,,,,percent of total billed charges,,1395.4054,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1312.9,,,,percent of total billed charges,,1105.6,,,,percent of total billed charges,,829.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME BANDING STUDY,310,RC,,,,,inpatient,,,441,,220.5,264.6,445.2777,414.54,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,366.03,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,417.186,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,427.77,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,388.08,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,285.768,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,445.2777,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME COUNT, ADDITIONAL",310,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 100-300",310,RC,,,,,inpatient,,,266,,133,159.6,268.5802,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,172.368,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,268.5802,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 10-30",310,RC,,,,,inpatient,,,205,,102.5,123,206.9885,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,206.9885,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 25-99",310,RC,,,,,inpatient,,,226,,113,135.6,228.1922,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,228.1922,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 3-5",310,RC,,,,,inpatient,,,212,,106,127.2,214.0564,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,137.376,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,214.0564,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETIC,DNA PROBE EA",310,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, BONE MARROW",310,RC,,,,,inpatient,,,814,,407,488.4,821.8958,765.16,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,675.62,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,770.044,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,789.58,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,716.32,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,527.472,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,821.8958,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, LYMPHOCYTE",310,RC,,,,,inpatient,,,800,,400,480,807.76,752,,,,percent of total billed charges,,640,,,,percent of total billed charges,,760,,,,percent of total billed charges,,664,,,,percent of total billed charges,,720,,,,percent of total billed charges,,736,,,,percent of total billed charges,,736,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,760,,,,percent of total billed charges,,776,,,,percent of total billed charges,,760,,,,percent of total billed charges,,704,,,,percent of total billed charges,,720,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,720,,,,percent of total billed charges,,480,,,,percent of total billed charges,,807.76,,,,percent of total billed charges,,760,,,,percent of total billed charges,,760,,,,percent of total billed charges,,640,,,,percent of total billed charges,,480,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, PLACENTA",310,RC,,,,,inpatient,,,950,,475,570,959.215,893,,,,percent of total billed charges,,760,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,855,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,898.7,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,836,,,,percent of total billed charges,,855,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,855,,,,percent of total billed charges,,570,,,,percent of total billed charges,,959.215,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,902.5,,,,percent of total billed charges,,760,,,,percent of total billed charges,,570,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, SKIN/BIOPSY",310,RC,,,,,inpatient,,,906,,453,543.6,914.7882,851.64,,,,percent of total billed charges,,724.8,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,751.98,,,,percent of total billed charges,,815.4,,,,percent of total billed charges,,833.52,,,,percent of total billed charges,,833.52,,,,percent of total billed charges,,857.076,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,878.82,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,797.28,,,,percent of total billed charges,,815.4,,,,percent of total billed charges,,587.088,,,,percent of total billed charges,,815.4,,,,percent of total billed charges,,543.6,,,,percent of total billed charges,,914.7882,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,860.7,,,,percent of total billed charges,,724.8,,,,percent of total billed charges,,543.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, TUMOR",310,RC,,,,,inpatient,,,951,,475.5,570.6,960.2247,893.94,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,789.33,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,899.646,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,922.47,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,836.88,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,616.248,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,960.2247,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AG DETECT POLYVAL, EIA, MULT",306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA A/B, AG, EIA",306,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROTAVIRUS AG EIA,302,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV ASSAY W/OPTIC,306,RC,,,,,inpatient,,,221,,110.5,132.6,223.1437,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,143.208,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,223.1437,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY,302,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIRUS INOCULATION, SHELL VIA",306,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN PROCESSING,309,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACYLCARNITINES, QUANT",301,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS ANTIBODY,302,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE,302,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGG,302,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, PHENO",301,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, QUAN, 6 OR MORE",301,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, SINGLE QUANT",301,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOTENSIN I ENZYME TEST,301,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTITHROMBIN III ANTIGEN,305,RC,,,,,inpatient,,,37,,18.5,22.2,37.3589,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,37.3589,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY,302,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACT PROT C RESIST,305,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSPHATASES,301,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY FOR PHENCYCLIDINE,301,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GALACTOSE TRANSFER QUANT,301,RC,,,,,inpatient,,,512,,256,307.2,516.9664,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,331.776,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,516.9664,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF 17-HYDROXYPREGNENO,301,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF 5-HIAA,301,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ACTH,301,RC,,,,,inpatient,,,448,,224,268.8,452.3456,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,290.304,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,452.3456,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALDOLASE,301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALDOSTERONE,301,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALUMINUM,301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMYLASE,301,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ANDROSTENEDIONE,301,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF APOLIPOPROTEIN,301,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BETA-2 PROTEIN,301,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BIOTINIDASE,301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD FATTY ACIDS,301,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPOPROTEIN LDL BLOOD,301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM,301,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCITONIN,301,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARNITINE TOTAL & FREE E,301,RC,,,,,inpatient,,,37,,18.5,22.2,37.3589,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,37.3589,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CAROTENE,301,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CITRATE,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY CK(CPK) TOTAL,301,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF COPPER,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CORTICOSTEROIDS,301,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF C-PEPTIDE,301,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF CPK,BLOOD,ISOENZ",301,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CSF PROTEIN (QUEST),301,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CYANIDE,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF DIBUCAINE NUMBER,301,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF DIHYDROXYVITAMIN D,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ERYTHROPOIETIN,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGENS, TOTAL",301,RC,,,,,inpatient,,,234,,117,140.4,236.2698,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,151.632,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,236.2698,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRONE,301,RC,,,,,inpatient,,,236,,118,141.6,238.2892,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,238.2892,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ETHOSUXIMIDE,301,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ETHYLENE GLYCOL,301,RC,,,,,inpatient,,,2036,,1018,1221.6,2055.7492,1913.84,,,,percent of total billed charges,,1628.8,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1689.88,,,,percent of total billed charges,,1832.4,,,,percent of total billed charges,,1873.12,,,,percent of total billed charges,,1873.12,,,,percent of total billed charges,,1926.056,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1974.92,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1791.68,,,,percent of total billed charges,,1832.4,,,,percent of total billed charges,,1319.328,,,,percent of total billed charges,,1832.4,,,,percent of total billed charges,,1221.6,,,,percent of total billed charges,,2055.7492,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1934.2,,,,percent of total billed charges,,1628.8,,,,percent of total billed charges,,1221.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPHYRINS FECES QUANT,301,RC,,,,,inpatient,,,823,,411.5,493.8,830.9831,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,533.304,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,830.9831,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF FOLIC ACID, RBC",301,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FOR HVA,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF FREE THYROXINE,301,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G6PD ENZYME QUANT,301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGE,301,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM,301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GASTRIN,301,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GLUCAGON,301,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HISTAMINE,301,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HOMOCYSTINE,301,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN TOTAL,301,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LDH ENZYMES,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD,301,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIDOCAINE,301,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIPOPROTEIN(A),301,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MERCURY QUANT,301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF METANEPHRINES,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN,301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF OXALATE,301,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PARATHORMONE,301,RC,,,,,inpatient,,,478,,239,286.8,482.6366,449.32,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,396.74,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,439.76,,,,percent of total billed charges,,452.188,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,463.66,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,420.64,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,309.744,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,482.6366,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,454.1,,,,percent of total billed charges,,382.4,,,,percent of total billed charges,,286.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PLASMA HEMOGLOBIN,301,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHOBILINO URINE QUANT,301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PREGNENOLONE,301,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PRIMIDONE,301,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROCAINAMIDE,301,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDROXYPROGESTERONE 17-D,301,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PSA, FREE",301,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PYRUVATE,301,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF QUINIDINE,301,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF RENIN,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SELENIUM,301,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SEROTONIN,301,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SEX HORMONE GLOBUL,301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SIROLIMUS,301,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SOMATOMEDIN,301,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE FREE,301,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THIOCYANATE,301,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THYROID ACTIVITY,301,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOPIRAMATE,301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL TESTOSTERONE,301,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TSI,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHYRINS UR QUANT/FRACT,301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE VMA,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VASOPRESSIN,301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VIP,301,RC,,,,,inpatient,,,199,,99.5,119.4,200.9303,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,128.952,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,200.9303,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN A,301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN B-1,301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN B-2,301,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN B-6,301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN D,301,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN E,301,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VITAMIN K,301,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF VOLATILES,301,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ZINC,301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY PROSTATE PHOSPHATASE,301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC PROTOPORPHYRIN QUANT,301,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, AMINOLEVULINIC ACID",301,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, BLOOD CARBON DIOXIDE",301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, GROWTH HORMONE (HGH)",301,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, NONENDOCRINE RECEPTOR",301,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, RBC CHOLINESTERASE",301,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, SERUM CHOLINESTERASE",301,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, THREE CATECHOLAMINES (QUEST)",301,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, TOTAL HYDROXYPROLINE",301,RC,,,,,inpatient,,,282,,141,169.2,284.7354,265.08,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,234.06,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,266.772,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,273.54,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,182.736,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,284.7354,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-12 BINDING CAPACITY,301,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIUM ANTIBODY,302,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARTONELLA ANTIBODY,302,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, TOTAL",301,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT II PT SPECIFIC,305,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII MULTI,305,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT XIII SCREEN SOL,305,RC,,,,,inpatient,,,249,,124.5,149.4,251.4153,234.06,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,206.67,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,235.554,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,241.53,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,161.352,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,251.4153,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT C ANTIGEN,305,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT S TOTAL,305,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT C ACTIVIT,305,RC,,,,,inpatient,,,264,,132,158.4,266.5608,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,266.5608,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT INHIB PROT S FREE,305,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORDETELLA ANTIBODY,302,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRUCELLA ANTIBODY,302,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALCULUS SPECTROSCOPY,301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN ANTIBODY,302,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMILUMINESCENT ASSAY,301,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA ANTIBODY,302,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA IGM ANTIBODY,302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOTOGRAPHY, QUANT, MULT",301,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY,302,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CMV ANTIBODY, IGM",302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCCIDIOIDES ANTIBODY,302,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLD AGGLUTININ, TITER",302,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKS,301,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN",302,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, TOTAL (CH50)",302,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT/FUNCTION ACTIVITY,302,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE",301,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOSPORIDIUM AG, EIA",306,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOSPORIDUM/GARDIA AG, IF",306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE SCREEN ONLY,306,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEG, DNA, AMP PROBE",306,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEG, DNA, QUANT",306,RC,,,,,inpatient,,,294,,147,176.4,296.8518,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,296.8518,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEHYDROEPIANDROSTERONE,301,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEHYDROEPIANDROSTERO-SULF,301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEOXYCORTISOL,11",301,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEOXYRIBONUCLEASE, ANTIBODY",302,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP",306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT",306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGNT MULT, DNA, AMPLI",306,RC,,,,,inpatient,,,193,,96.5,115.8,194.8721,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,194.8721,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHTHERIA ANTIBODY,302,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DNA ANTIBODY, SINGLE STRAND",302,RC,,,,,inpatient,,,131,,65.5,78.6,132.2707,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,132.2707,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY,302,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROPHORETIC TEST,301,RC,,,,,inpatient,,,255,,127.5,153,257.4735,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,165.24,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,257.4735,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX CALIF,302,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE,302,RC,,,,,inpatient,,,154,,77,92.4,155.4938,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,99.792,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,155.4938,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX ST LOUIS,302,RC,,,,,inpatient,,,154,,77,92.4,155.4938,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,99.792,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,155.4938,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX W EQUINE,302,RC,,,,,inpatient,,,154,,77,92.4,155.4938,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,99.792,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,155.4938,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTEROVIRUS ANTIBODY,302,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY,301,RC,,,,,inpatient,,,674,,337,404.4,680.5378,633.56,,,,percent of total billed charges,,539.2,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,559.42,,,,percent of total billed charges,,606.6,,,,percent of total billed charges,,620.08,,,,percent of total billed charges,,620.08,,,,percent of total billed charges,,637.604,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,653.78,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,593.12,,,,percent of total billed charges,,606.6,,,,percent of total billed charges,,436.752,,,,percent of total billed charges,,606.6,,,,percent of total billed charges,,404.4,,,,percent of total billed charges,,680.5378,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,640.3,,,,percent of total billed charges,,539.2,,,,percent of total billed charges,,404.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX EARLY AG,302,RC,,,,,inpatient,,,238,,119,142.8,240.3086,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,154.224,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,240.3086,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX NUCLE AG,302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX CAPSID,302,RC,,,,,inpatient,,,213,,106.5,127.8,215.0661,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,138.024,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,215.0661,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FATS/LIPIDS, FECES, QUAL",301,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FATS/LIPIDS, FECES, QUANT",301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FINBRINO PLASM ACTIVATOR,305,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRINO PLAM NON-ANTIGEN,305,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/ TC, 1 MARKER",311,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN",302,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, TITER",302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG T3 (TRIIODOTHYRONINE), FREE SERUM",301,RC,,,,,inpatient,,,136,,68,81.6,137.3192,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,137.3192,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ANTIBODY,302,RC,,,,,inpatient,,,109,,54.5,65.4,110.0573,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,110.0573,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMATOGRAPHY QUAL,301,RC,,,,,inpatient,,,251,,125.5,150.6,253.4347,235.94,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,208.33,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,237.446,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,243.47,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,220.88,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,253.4347,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GENOTYPE, DNA, HEPATITIS C",306,RC,,,,,inpatient,,,2038,,1019,1222.8,2057.7686,1915.72,,,,percent of total billed charges,,1630.4,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1691.54,,,,percent of total billed charges,,1834.2,,,,percent of total billed charges,,1874.96,,,,percent of total billed charges,,1874.96,,,,percent of total billed charges,,1927.948,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1976.86,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1793.44,,,,percent of total billed charges,,1834.2,,,,percent of total billed charges,,1320.624,,,,percent of total billed charges,,1834.2,,,,percent of total billed charges,,1222.8,,,,percent of total billed charges,,2057.7686,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1936.1,,,,percent of total billed charges,,1630.4,,,,percent of total billed charges,,1222.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECT AGENT GENO ANALYSIS BY NUCLEIC,306,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOPROTEIN ANTIBODY,302,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELICOBACTER PYLORI,302,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY,302,RC,,,,,inpatient,,,260,,130,156,262.522,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,168.48,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,262.522,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY,301,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN STABILITY SCREEN,301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOLYSINS/AGGLUTININS,302,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOPHILUS INFLUENZA,302,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B CORE ANTIBODY, IGM",302,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURFACE ANTIBODY,302,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP BE ANTIBODY,302,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP C AB TEST, CONFIRM",302,RC,,,,,inpatient,,,179,,89.5,107.4,180.7363,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,115.992,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,180.7363,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B, DNA, QUANT",306,RC,,,,,inpatient,,,356,,178,213.6,359.4532,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,359.4532,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS BE AG, EIA",306,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS C, RNA, AMP PROBE",306,RC,,,,,inpatient,,,537,,268.5,322.2,542.2089,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,347.976,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,542.2089,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS C, RNA, QUANT",306,RC,,,,,inpatient,,,343,,171.5,205.8,346.3271,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,222.264,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,346.3271,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX TYPE 1,302,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX NON-SPECIFIC,302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX TYPE 2,302,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROOPHILE ABX SCREEN,302,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA,302,RC,,,,,inpatient,,,267,,133.5,160.2,269.5899,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,269.5899,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HISTOPLASMA CAPSUL AG, EIA",306,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, AMP PROBE",306,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, QUANT",306,RC,,,,,inpatient,,,2189,,1094.5,1313.4,2210.2333,2057.66,,,,percent of total billed charges,,1751.2,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,1816.87,,,,percent of total billed charges,,1970.1,,,,percent of total billed charges,,2013.88,,,,percent of total billed charges,,2013.88,,,,percent of total billed charges,,2070.794,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,2123.33,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,1926.32,,,,percent of total billed charges,,1970.1,,,,percent of total billed charges,,1418.472,,,,percent of total billed charges,,1970.1,,,,percent of total billed charges,,1313.4,,,,percent of total billed charges,,2210.2333,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,2079.55,,,,percent of total billed charges,,1751.2,,,,percent of total billed charges,,1313.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA TYPING A,B,C MULT AG",302,RC,,,,,inpatient,,,670,,335,402,676.499,629.8,,,,percent of total billed charges,,536,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,556.1,,,,percent of total billed charges,,603,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,633.82,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,649.9,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,589.6,,,,percent of total billed charges,,603,,,,percent of total billed charges,,434.16,,,,percent of total billed charges,,603,,,,percent of total billed charges,,402,,,,percent of total billed charges,,676.499,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,536,,,,percent of total billed charges,,402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA TYPING A,B,C SNGL AG",302,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HPYLORI, STOOL, EIA",306,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLV/HIV CONFIRMATORY TEST,302,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLV-I ANTIBODY,302,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGG 1, 2, 3 OR 4, EACH",301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE COMPLEX ASSAY,302,RC,,,,,inpatient,,,314,,157,188.4,317.0458,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,203.472,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,317.0458,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY",301,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY",301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA",301,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR OTHER",302,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 27, 29",302,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 19-9",302,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY,INFECTIOUS AGENT",302,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNODIFFUSION OUCHTERLONY,302,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFLUORESCENT STUDY,319,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOGLOBULIN ASSAY,302,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA VIRUS ANTIBODY,302,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INHIBIN A,302,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN ANTIBODIES,302,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRINSIC FACTOR ANTIBODY,302,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL ANTIBODY,302,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA ANTIBODY,302,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEPTOSPIRA ANTIBODY,302,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LONG CHAIN FATTY ACIDS,301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYME DISEASE ANTIBODY (IGG), IMMUNOBLOT (SENDOUT)",302,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYME DISEASE ANTIBODY W/ RFLX TO BLOT (IGG, IGM)(SENDOUT)",302,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPHOCYTE TRANSFORMATION,302,RC,,,,,inpatient,,,233,,116.5,139.8,235.2601,219.02,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,193.39,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,214.36,,,,percent of total billed charges,,220.418,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,226.01,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,205.04,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,150.984,,,,percent of total billed charges,,209.7,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,235.2601,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,221.35,,,,percent of total billed charges,,186.4,,,,percent of total billed charges,,139.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.PNEUMON, DNA, AMP PROBE",306,RC,,,,,inpatient,,,176,,88,105.6,177.7072,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,177.7072,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.TUBERCULO, DNA, AMP PROBE",306,RC,,,,,inpatient,,,585,,292.5,351,590.6745,549.9,,,,percent of total billed charges,,468,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,485.55,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,553.41,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,567.45,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,379.08,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,351,,,,percent of total billed charges,,590.6745,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,468,,,,percent of total billed charges,,351,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUAL,301,RC,,,,,inpatient,,,234,,117,140.4,236.2698,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,151.632,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,236.2698,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT,301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ANTIBODY,302,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUMPS ANTIBODY,302,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MURAMIDASE,305,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA,306,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA ANTIBODY,302,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NATRIURETIC PEPTIDE,301,RC,,,,,inpatient,,,414,,207,248.4,418.0158,389.16,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,343.62,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,380.88,,,,percent of total billed charges,,391.644,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,268.272,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,418.0158,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,393.3,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACID,  SINGLE, QUANT",301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACIDS, TOTAL, QUANT",301,RC,,,,,inpatient,,,413,,206.5,247.8,417.0061,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,267.624,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,417.0061,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARVOVIRUS ANTIBODY,302,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERTUSSIS AG, IF",306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHENOTYPE, DNA HIV W/CLT ADD",306,RC,,,,,inpatient,,,280,,140,168,282.716,263.2,,,,percent of total billed charges,,224,,,,percent of total billed charges,,266,,,,percent of total billed charges,,232.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,266,,,,percent of total billed charges,,271.6,,,,percent of total billed charges,,266,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,181.44,,,,percent of total billed charges,,252,,,,percent of total billed charges,,168,,,,percent of total billed charges,,282.716,,,,percent of total billed charges,,266,,,,percent of total billed charges,,266,,,,percent of total billed charges,,224,,,,percent of total billed charges,,168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHENOTYPE, DNA HIV W/CULTURE",306,RC,,,,,inpatient,,,1212,,606,727.2,1223.7564,1139.28,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1005.96,,,,percent of total billed charges,,1090.8,,,,percent of total billed charges,,1115.04,,,,percent of total billed charges,,1115.04,,,,percent of total billed charges,,1146.552,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1175.64,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1066.56,,,,percent of total billed charges,,1090.8,,,,percent of total billed charges,,785.376,,,,percent of total billed charges,,1090.8,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,1223.7564,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,1151.4,,,,percent of total billed charges,,969.6,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODIES,302,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS,302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG",301,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RICKETTSIA ANTIBODY (QUEST),302,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA ANTIBODY,302,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBEOLA ANTIBODY,302,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY,301,RC,,,,,inpatient,,,372,,186,223.2,375.6084,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,241.056,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,375.6084,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUGARS, SINGLE, QUAL",301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUGARS, SINGLE, QUANT",301,RC,,,,,inpatient,,,736,,368,441.6,743.1392,691.84,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,610.88,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,677.12,,,,percent of total billed charges,,677.12,,,,percent of total billed charges,,696.256,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,476.928,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,743.1392,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T3 REVERSE,301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TETANUS ANTIBODY,302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF THYROGLOBULIN (QUEST),301,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM",302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA ANTIBODY,302,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TOXOPLASMA ANTIBODY, IGM",302,RC,,,,,inpatient,,,34,,17,20.4,34.3298,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,34.3298,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHINELLA ANTIBODY,302,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY,302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS,302,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WBC ANTIBODY IDENTIFICATION,302,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG WEST NILE VIRUS AB, IGM",302,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS ANTIBODY,302,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP GALACTOSE-1-PHOS,301,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC,301,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCREEN COMP TSH,301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETOMATERNAL BLOOD QUANTITATIV,305,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY SCREENING,302,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELUATE,302,RC,,,,,inpatient,,,336,,168,201.6,339.2592,315.84,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,278.88,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,317.856,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,325.92,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,295.68,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,217.728,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,339.2592,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY IDENTIFICATION,302,RC,,,,,inpatient,,,460,,230,276,464.462,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,464.462,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AHG, DIRECT",302,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY TITRES,302,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABO GROUPING,302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH TYPING D - ONLY,302,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CELL TYPING,M.N. EA U",302,RC,,,,,inpatient,,,214,,107,128.4,216.0758,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,138.672,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,216.0758,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE CELL TYPING OF PATIENT,302,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMEDIATE SPIN CROSSMATCH,302,RC,,,,,inpatient,,,249,,124.5,149.4,251.4153,234.06,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,206.67,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,235.554,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,241.53,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,161.352,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,251.4153,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AHG PHASE CROSSMATCH EA U,302,RC,,,,,inpatient,,,229,,114.5,137.4,231.2213,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,148.392,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,231.2213,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE FFP THAW EA U,302,RC,,,,,inpatient,,,380,,190,228,383.686,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,246.24,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,383.686,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE:POOLING PLATELETS,302,RC,,,,,inpatient,,,188,,94,112.8,189.8236,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,121.824,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,189.8236,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUTRALIZATION TEST,302,RC,,,,,inpatient,,,344,,172,206.4,347.3368,323.36,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,285.52,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,316.48,,,,percent of total billed charges,,325.424,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,333.68,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,222.912,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,347.3368,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,326.8,,,,percent of total billed charges,,275.2,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPLIT/BLOOD&PROD EA U,302,RC,,,,,inpatient,,,283,,141.5,169.8,285.7451,266.02,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,234.89,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,267.718,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,274.51,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,249.04,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,183.384,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,285.7451,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS GALACTOMANNAN ANTI,306,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS QUALITATIVE PCR,306,RC,,,,,inpatient,,,888,,444,532.8,896.6136,834.72,,,,percent of total billed charges,,710.4,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,737.04,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,816.96,,,,percent of total billed charges,,816.96,,,,percent of total billed charges,,840.048,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,861.36,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,781.44,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,575.424,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,896.6136,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,710.4,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUIDS, BRUSHINGS, WASHINGS",311,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMEAR & FILTER/INTERP,311,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR DIAGNOSTIC,311,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR DIAG MD RE,311,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FINE NEEDLE ASPIRATE,310,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL I (GROSS ONLY),310,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEVEL II, GROSS & MICROSCOPIC",310,RC,,,,,inpatient,,,198,,99,118.8,199.9206,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,199.9206,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL III GROSS & MICROSCOPIC,310,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL IV GROSS & MICROSCOPIC E,310,RC,,,,,inpatient,,,268,,134,160.8,270.5996,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,173.664,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,270.5996,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL V GROSS & MICROSCOPIC EX,310,RC,,,,,inpatient,,,469,,234.5,281.4,473.5493,440.86,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,389.27,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,443.674,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,454.93,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,412.72,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,303.912,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,473.5493,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVEL VI GROSS & MICROSCOPIC E,310,RC,,,,,inpatient,,,606,,303,363.6,611.8782,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,392.688,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,611.8782,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DECALCIFICATION PROCEDURE,310,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GROUP I SPECIAL STAINS,310,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GROUP II SPECIAL STAINS,310,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONSULT-FROZEN SECTION,310,RC,,,,,inpatient,,,382,,191,229.2,385.7054,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,247.536,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,385.7054,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FROZEN (ADDITIONAL BLOCKS),310,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOUCH PREP CYTO ANY OTHER SOUR,310,RC,,,,,inpatient,,,606,,303,363.6,611.8782,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,392.688,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,611.8782,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOUCH PREP EA ADDN'L SITE,310,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTROGEN RECEPTOR I/P,310,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IHC EA IDENT AB PER SPECIMEN,1ST SINGLE AB",312,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFLUORESCENT STUDY,310,RC,,,,,inpatient,,,210,,105,126,212.037,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,212.037,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY DIAGNOSTIC,310,RC,,,,,inpatient,,,1730,,865,1038,1746.781,1626.2,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1435.9,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1636.58,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1678.1,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1522.4,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,1746.781,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMMUNOHISTOCHEM QUANT/SE,312,RC,,,,,inpatient,,,331,,165.5,198.6,334.2107,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,214.488,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,334.2107,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE IN SITU HYBRID,I&R",310,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR SCREENING,311,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP PAP SMEAR SCREEN MD,311,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH IMMUNE GLOBULIN,636,RC,,,,,inpatient,,,204,,102,122.4,205.9788,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,132.192,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,205.9788,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACT IX COMP PER U,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RECOMBINANT IX PER U,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE: SAT RBC'S,390,RC,,,,,inpatient,,,184,,92,110.4,185.7848,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,185.7848,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE: SAT PLT PHR,390,RC,,,,,inpatient,,,184,,92,110.4,185.7848,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,185.7848,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE: SAT FFP,390,RC,,,,,inpatient,,,184,,92,110.4,185.7848,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,185.7848,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE:CRYOPRECIP EA,390,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE LRPC EA U,390,RC,,,,,inpatient,,,423,,211.5,253.8,427.1031,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,274.104,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,427.1031,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE PLASMA EA U,390,RC,,,,,inpatient,,,285,,142.5,171,287.7645,267.9,,,,percent of total billed charges,,228,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,269.61,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,276.45,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,184.68,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,171,,,,percent of total billed charges,,287.7645,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,270.75,,,,percent of total billed charges,,228,,,,percent of total billed charges,,171,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RC PROC FEE FFP EA U,390,RC,,,,,inpatient,,,299,,149.5,179.4,301.9003,281.06,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,248.17,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,282.854,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,290.03,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,193.752,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,301.9003,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,284.05,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE PLT LR PHER EA U,390,RC,,,,,inpatient,,,1153,,576.5,691.8,1164.1841,1083.82,,,,percent of total billed charges,,922.4,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,956.99,,,,percent of total billed charges,,1037.7,,,,percent of total billed charges,,1060.76,,,,percent of total billed charges,,1060.76,,,,percent of total billed charges,,1090.738,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,1118.41,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,1014.64,,,,percent of total billed charges,,1037.7,,,,percent of total billed charges,,747.144,,,,percent of total billed charges,,1037.7,,,,percent of total billed charges,,691.8,,,,percent of total billed charges,,1164.1841,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,1095.35,,,,percent of total billed charges,,922.4,,,,percent of total billed charges,,691.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 5' NUCLEOTIDASE,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSTEOCALCIN,301,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCE 25 CELLS, 5 COUNTS, 1 KARO",310,RC,,,,,inpatient,,,1118,,559,670.8,1128.8446,1050.92,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,927.94,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1057.628,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1084.46,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,983.84,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,724.464,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,1128.8446,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS CT 45 CELL,310,RC,,,,,inpatient,,,970,,485,582,979.409,911.8,,,,percent of total billed charges,,776,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,805.1,,,,percent of total billed charges,,873,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,917.62,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,940.9,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,873,,,,percent of total billed charges,,628.56,,,,percent of total billed charges,,873,,,,percent of total billed charges,,582,,,,percent of total billed charges,,979.409,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,776,,,,percent of total billed charges,,582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS HIGH RESOL,310,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 100 CELLS",310,RC,,,,,inpatient,,,1118,,559,670.8,1128.8446,1050.92,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,927.94,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1057.628,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1084.46,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,983.84,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,724.464,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,1128.8446,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOPRESER FREEZING & STORAGE,310,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THAWING,EXPAN OF FROZEN CELLS",310,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOMAL ANAL,ADD KARYOTYPE",310,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY ABSORPTION,302,RC,,,,,inpatient,,,246,,123,147.6,248.3862,231.24,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,204.18,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,232.716,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,238.62,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,216.48,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,159.408,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,248.3862,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON CROSSMATCH EA U,302,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C DIFFICILE CULTURE,306,RC,,,,,inpatient,,,303,,151.5,181.8,305.9391,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,196.344,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,305.9391,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORRELIA BURGDORFERI PCR,306,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DHR - ADDITONAL MARKER,311,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POST GLUCOSE DOSE,301,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN C ACTIVITY,305,RC,,,,,inpatient,,,264,,132,158.4,266.5608,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,266.5608,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN S, FREE",305,RC,,,,,inpatient,,,95,,47.5,57,95.9215,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,95.9215,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODY,302,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HOMOCYSTEINE,300,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA CULTURE,306,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES CULTURE,306,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL SMEAR/SHELL VIAL,306,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA STAIN,306,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA ZOSTER CULTURE,306,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESPIRATORY CULTURE,306,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTEROVIURS CULTURE,306,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX RBC W/CHEM ANTIBDY ID,302,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROC FEE PLT LR/IR/PH EA,390,RC,,,,,inpatient,,,1237,,618.5,742.2,1248.9989,1162.78,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1026.71,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1170.202,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1199.89,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1088.56,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,801.576,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,1248.9989,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC LR/IR EA U,390,RC,,,,,inpatient,,,505,,252.5,303,509.8985,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,327.24,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,509.8985,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROALBUMIN, URINE QUANTITATIVE",301,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREALBUMIN,301,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-REACTIVE PROTEIN (HS),302,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LDL CHOLESTEROL DIRECT,301,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RHEUMATOID FACTOR, SERUM",302,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 1ST TRIMESTER PRENATAL SCREENING CGT,301,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV BY PCR,306,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL TOTAL,SALIVA",301,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CA 15-3,302,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOHYDRATE ANTIGEN 19-9 (CA19-9) SERUM,302,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSA, FREE",301,RC,,,,,inpatient,,,131,,65.5,78.6,132.2707,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,132.2707,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG QUANT OR SEMIQUANT IHC STAIN,310,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUTROPHIL OXIDATIVE BURST ASSAY(DHR)A,311,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUTROPHIL OXIDATIVE BURST ASSAY(DHR)C,311,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAP CHOLESTEROL A,301,RC,,,,,inpatient,,,268,,134,160.8,270.5996,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,173.664,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,270.5996,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAP CHOLESTEROL B,301,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTOPORPH(W/LEAD,ZINC)",301,RC,,,,,inpatient,,,148,,74,88.8,149.4356,139.12,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,122.84,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,140.008,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,143.56,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,130.24,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,95.904,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,149.4356,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B CORE IGM ANTIBODY,302,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EOSINOPHILIC CATIONIC PROTEIN,302,RC,,,,,inpatient,,,566,,283,339.6,571.4902,532.04,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,469.78,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,535.436,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,549.02,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,498.08,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,366.768,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,571.4902,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LECITHIN-SPHINGOMYELIN RATIO,301,RC,,,,,inpatient,,,255,,127.5,153,257.4735,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,165.24,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,257.4735,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRSA BY PCR,306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA",301,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS, QUALITATIVE (DONOR)",302,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV (DONOR)(QUEST),302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  HEP B SURFACE AG (DONOR)(QUEST),306,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B CORE ABX TOTAL (QUEST),302,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY TO HIV, 1 & 2 (DONOR)(QUEST)",302,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  ANTIBODY TO HEP C VIRUS (DONOR)(QUEST),302,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY TO TRYPANOSOMA CRUZI (DONOR)(QUEST),302,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS (DONOR)(QUEST),306,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC ABX SCREEN (DONOR),302,RC,,,,,inpatient,,,173,,86.5,103.8,174.6781,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,112.104,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,174.6781,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANITBODY SCREEN,302,RC,,,,,inpatient,,,377,,188.5,226.2,380.6569,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,244.296,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,380.6569,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CELIAC REFLEX PANEL,IGA",301,RC,,,,,inpatient,,,513,,256.5,307.8,517.9761,482.22,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,425.79,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,485.298,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,497.61,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,451.44,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,332.424,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,517.9761,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN, WESTERN BLOT TEST",301,RC,,,,,inpatient,,,528,,264,316.8,533.1216,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,342.144,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,533.1216,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION,306,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, AMP PROBE",306,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACENTAL ALPHA MICROGLOBULIN-1,301,RC,,,,,inpatient,,,360,,180,216,363.492,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,233.28,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,363.492,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE",306,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE",306,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TB TEST CELL MEDIATED IMMUNITY ARM,302,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE,301,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELL ABSOLUTE COUNT/RATIO,302,RC,,,,,inpatient,,,506,,253,303.6,510.9082,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,327.888,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,510.9082,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B CELLS TOTAL COUNT,302,RC,,,,,inpatient,,,406,,203,243.6,409.9382,381.64,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,336.98,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,384.076,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,393.82,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,357.28,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,263.088,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,409.9382,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NK CELLS TOTAL COUNT,302,RC,,,,,inpatient,,,406,,203,243.6,409.9382,381.64,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,336.98,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,373.52,,,,percent of total billed charges,,384.076,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,393.82,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,357.28,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,263.088,,,,percent of total billed charges,,365.4,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,409.9382,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,385.7,,,,percent of total billed charges,,324.8,,,,percent of total billed charges,,243.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS TOTAL COUNT,302,RC,,,,,inpatient,,,388,,194,232.8,391.7636,364.72,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,367.048,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,376.36,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,341.44,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,251.424,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,391.7636,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC,301,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGIN SPECIFIC,302,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NIACIN,301,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA 1 ANTITRYPSIN, SERUM",301,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-FETOPROTEIN AMNIOTIC,301,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRIOL,301,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-FETOPROTEIN SERUM,301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTATE(LD)(LDH)ENZYME,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C DIFF BY PCR,306,RC,,,,,inpatient,,,316,,158,189.6,319.0652,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,204.768,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,319.0652,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROTEIN URINE,301,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNFIX E-PHORSIS/URINE/CSF,302,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN E-PHORESIS/URINE/CSF,301,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTEROVIRUS AMPL PROBE TECH,306,RC,,,,,inpatient,,,566,,283,339.6,571.4902,532.04,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,469.78,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,535.436,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,549.02,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,498.08,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,366.768,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,571.4902,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCG QUALITATIVE,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL HEMOGLOBIN ASSAY QUAL,301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METAPNEUMONIAE RNA QL PCR,306,RC,,,,,inpatient,,,440,,220,264,444.268,413.6,,,,percent of total billed charges,,352,,,,percent of total billed charges,,418,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,396,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,418,,,,percent of total billed charges,,426.8,,,,percent of total billed charges,,418,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,396,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,396,,,,percent of total billed charges,,264,,,,percent of total billed charges,,444.268,,,,percent of total billed charges,,418,,,,percent of total billed charges,,418,,,,percent of total billed charges,,352,,,,percent of total billed charges,,264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN D 25 HYDROXY INCLUDES FRACTION,301,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO FISH UT SPECIMENS 3-5 PROBES EA,311,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VIRUS, MULTI TYPES OR SUBTYPES",306,RC,,,,,inpatient,,,238,,119,142.8,240.3086,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,154.224,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,240.3086,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHIGA-LIKE TOXIN,306,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE LYMPHOCYTE,310,RC,,,,,inpatient,,,1252,,626,751.2,1264.1444,1176.88,,,,percent of total billed charges,,1001.6,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1039.16,,,,percent of total billed charges,,1126.8,,,,percent of total billed charges,,1151.84,,,,percent of total billed charges,,1151.84,,,,percent of total billed charges,,1184.392,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1214.44,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1101.76,,,,percent of total billed charges,,1126.8,,,,percent of total billed charges,,811.296,,,,percent of total billed charges,,1126.8,,,,percent of total billed charges,,751.2,,,,percent of total billed charges,,1264.1444,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1189.4,,,,percent of total billed charges,,1001.6,,,,percent of total billed charges,,751.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS 100,310,RC,,,,,inpatient,,,467,,233.5,280.2,471.5299,438.98,,,,percent of total billed charges,,373.6,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,387.61,,,,percent of total billed charges,,420.3,,,,percent of total billed charges,,429.64,,,,percent of total billed charges,,429.64,,,,percent of total billed charges,,441.782,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,452.99,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,410.96,,,,percent of total billed charges,,420.3,,,,percent of total billed charges,,302.616,,,,percent of total billed charges,,420.3,,,,percent of total billed charges,,280.2,,,,percent of total billed charges,,471.5299,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,443.65,,,,percent of total billed charges,,373.6,,,,percent of total billed charges,,280.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVATED COAGULATION TIME,305,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID,HEP C,N",306,RC,,,,,inpatient,,,585,,292.5,351,590.6745,549.9,,,,percent of total billed charges,,468,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,485.55,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,553.41,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,567.45,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,514.8,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,379.08,,,,percent of total billed charges,,526.5,,,,percent of total billed charges,,351,,,,percent of total billed charges,,590.6745,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,555.75,,,,percent of total billed charges,,468,,,,percent of total billed charges,,351,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, BLD, BY NMR",301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPID PANEL,301,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALKALINE PHOSPHATASE, TOTAL AND ISOENZYMES, SERUM",301,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING,FISH",311,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING,FISH",311,RC,,,,,inpatient,,,404,,202,242.4,407.9188,379.76,,,,percent of total billed charges,,323.2,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,335.32,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,371.68,,,,percent of total billed charges,,371.68,,,,percent of total billed charges,,382.184,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,391.88,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,355.52,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,261.792,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,407.9188,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,383.8,,,,percent of total billed charges,,323.2,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING,FISH",971,RC,,,,,inpatient,,,949,,474.5,569.4,958.2053,892.06,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,787.67,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,897.754,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,920.53,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,835.12,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,614.952,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,958.2053,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLD AGGLUTININ TITER, SERUM",302,RC,,,,,inpatient,,,51,,25.5,30.6,51.4947,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,51.4947,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,IGG,SERUM",302,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYSTINURIA PROFILE, QUANTITATIVE, 24 HOUR, URINE",301,RC,,,,,inpatient,,,432,,216,259.2,436.1904,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,279.936,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,436.1904,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENTEROVIRUS, MOLECULAR DETECTION, PCR",306,RC,,,,,inpatient,,,226,,113,135.6,228.1922,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,228.1922,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGENS,ESTRONE(E1)&ESTRADIOL(E2),FRACTIONATED,SERUM",301,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRANCISELLA TULARENSIS AB,302,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACIDS SCREEN, URINE",301,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PANCREATIC ELASTASE-1 (E1), FECAL",301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PRIMIDONE AND PHENOBARBITAL, SERUM",301,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROCALCITONIN, SERUM",301,RC,,,,,inpatient,,,336,,168,201.6,339.2592,315.84,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,278.88,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,317.856,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,325.92,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,295.68,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,217.728,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,339.2592,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROSTATE-SPECIFIC ANTIGEN(PSA)TOTAL & FREE,SERUM",301,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEUTRALIZATION TEST, VIRAL",302,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KETONE BODIES, QUANTITATIVE",301,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACUTE HEPATITIS PROFILE,301,RC,,,,,inpatient,,,455,,227.5,273,459.4135,427.7,,,,percent of total billed charges,,364,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,377.65,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,418.6,,,,percent of total billed charges,,430.43,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,441.35,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,400.4,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,294.84,,,,percent of total billed charges,,409.5,,,,percent of total billed charges,,273,,,,percent of total billed charges,,459.4135,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,432.25,,,,percent of total billed charges,,364,,,,percent of total billed charges,,273,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, CARBAMAZEPINE, FREE",301,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTH STIMULATION,300,RC,,,,,inpatient,,,566,,283,339.6,571.4902,532.04,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,469.78,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,520.72,,,,percent of total billed charges,,535.436,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,549.02,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,498.08,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,366.768,,,,percent of total billed charges,,509.4,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,571.4902,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,537.7,,,,percent of total billed charges,,452.8,,,,percent of total billed charges,,339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETONE ASSAY,301,RC,,,,,inpatient,,,95,,47.5,57,95.9215,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,95.9215,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ADP & AMP,301,RC,,,,,inpatient,,,458,,229,274.8,462.4426,430.52,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,380.14,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,433.268,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,444.26,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,403.04,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,296.784,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,462.4426,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROSTANEDIOL GLUCU,301,RC,,,,,inpatient,,,311,,155.5,186.6,314.0167,292.34,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,258.13,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,294.206,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,301.67,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,273.68,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,201.528,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,314.0167,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ANGIOTENSIN,301,RC,,,,,inpatient,,,221,,110.5,132.6,223.1437,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,143.208,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,223.1437,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ASCORBIC AC,301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD OCCULT OTHER SOURCE,301,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY TEST FOR BLOOD,301,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC O2 SATURATION CATH,301,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, C-D TRANSFER MEASURE",301,RC,,,,,inpatient,,,457,,228.5,274.2,461.4329,429.58,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,379.31,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,432.322,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,443.29,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,402.16,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,296.136,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,461.4329,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN LAYER CHROMATOG,301,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CHROMIUM,301,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLUMN CHROMOTOGRAPHY QUANT,301,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLUMN CHROMOTOGRAPH/ISOTOPE,301,RC,,,,,inpatient,,,721,,360.5,432.6,727.9937,677.74,,,,percent of total billed charges,,576.8,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,598.43,,,,percent of total billed charges,,648.9,,,,percent of total billed charges,,663.32,,,,percent of total billed charges,,663.32,,,,percent of total billed charges,,682.066,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,699.37,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,634.48,,,,percent of total billed charges,,648.9,,,,percent of total billed charges,,467.208,,,,percent of total billed charges,,648.9,,,,percent of total billed charges,,432.6,,,,percent of total billed charges,,727.9937,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,684.95,,,,percent of total billed charges,,576.8,,,,percent of total billed charges,,432.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BLOOD GASES, O2 SAT",301,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GLUTATHIONE,301,RC,,,,,inpatient,,,107,,53.5,64.2,108.0379,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,69.336,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,108.0379,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCATED PROTEIN,301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG QUANTITATIVE SCREEN,301,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTIC FIBROSIS (NEWBORN),301,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON BINDING TEST,301,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LACTOFERRIN, FECAL (QUAL)",301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LAP ENZYME,301,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MANGANESE,301,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALPROTECTIN FECAL,301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD PKU (NEWBORN),301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSP,301,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEST FOR PORPHOBILIN,301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSP-70 ANTIBODY (ANTI-68 KD),301,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHIPHYSIN TEST,301,RC,,,,,inpatient,,,448,,224,268.8,452.3456,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,290.304,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,452.3456,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROINSULIN,301,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY-FLUID,301,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOMARK,301,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SULFA,301,RC,,,,,inpatient,,,205,,102.5,123,206.9885,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,206.9885,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBOXANE METABOLI,301,RC,,,,,inpatient,,,377,,188.5,226.2,380.6569,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,244.296,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,380.6569,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF NEONATAL THROXINE,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLINICAL CHEMISTRY T,301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLEEDING TIME TEST,305,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMATOCRIT,305,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICULOCYTE COUNT,305,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR VIII ASSAY,305,RC,,,,,inpatient,,,472,,236,283.2,476.5784,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,305.856,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,476.5784,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EUGLOBULIN LYSIS,305,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRIN DEGRADATION P,305,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOTTING FUNCT ACTIV,305,RC,,,,,inpatient,,,342,,171,205.2,345.3174,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,221.616,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,345.3174,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPID NEUTRAL,305,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTHROMBIN TEST,305,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPID ANTIBOD,302,RC,,,,,inpatient,,,173,,86.5,103.8,174.6781,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,112.104,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,174.6781,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNA ANTIBODY,302,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HUMAN EPIDIDYMIS PRO,302,RC,,,,,inpatient,,,512,,256,307.2,516.9664,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,331.776,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,516.9664,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFIXATION ELECT,302,RC,,,,,inpatient,,,259,,129.5,155.4,261.5123,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,167.832,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,261.5123,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL FUNC ASSAY BIOM,302,RC,,,,,inpatient,,,527,,263.5,316.2,532.1119,495.38,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,437.41,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,498.542,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,511.19,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,463.76,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,341.496,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,532.1119,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MONONUCLEAR CELL ANT,302,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG T CELL, ABSOLUTE COU",302,RC,,,,,inpatient,,,506,,253,303.6,510.9082,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,327.888,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,510.9082,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL NEUTRALIZ (NAB),302,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY,302,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLASTOMYCES ANTIBODY,302,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER ANTIBODY,302,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GIARDIA LAMBLIA ANTI,302,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS, DELTA AGE",302,RC,,,,,inpatient,,,186,,93,111.6,187.8042,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,120.528,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,187.8042,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1,302,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEISHMANIA ANTIBODY,302,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SALMONELLA ANTIBODY,302,RC,,,,,inpatient,,,157,,78.5,94.2,158.5229,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,101.736,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,158.5229,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COOMBS TEST, INDIREC",300,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BLOOD TYPING, PATIEN",300,RC,,,,,inpatient,,,608,,304,364.8,613.8976,571.52,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,504.64,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,559.36,,,,percent of total billed charges,,575.168,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,589.76,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,535.04,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,393.984,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,613.8976,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,577.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH PHENOTYPING COMPL,300,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC PRETREATMENT,300,RC,,,,,inpatient,,,226,,113,135.6,228.1922,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,228.1922,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE BACTERIA CULTURE,306,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ISOLATION CULTURE,306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIC IDENTIF,306,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPT, MYC",306,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE EXAM FOR FUNG,306,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS INOCULATE TISSUE,306,RC,,,,,inpatient,,,1020,,510,612,1029.894,958.8,,,,percent of total billed charges,,816,,,,percent of total billed charges,,969,,,,percent of total billed charges,,846.6,,,,percent of total billed charges,,918,,,,percent of total billed charges,,938.4,,,,percent of total billed charges,,938.4,,,,percent of total billed charges,,964.92,,,,percent of total billed charges,,969,,,,percent of total billed charges,,989.4,,,,percent of total billed charges,,969,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,918,,,,percent of total billed charges,,660.96,,,,percent of total billed charges,,918,,,,percent of total billed charges,,612,,,,percent of total billed charges,,1029.894,,,,percent of total billed charges,,969,,,,percent of total billed charges,,969,,,,percent of total billed charges,,816,,,,percent of total billed charges,,612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA TRACHOMATI,306,RC,,,,,inpatient,,,204,,102,122.4,205.9788,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,132.192,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,205.9788,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX 2, AG",306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX 1, AG",306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCYSTIS CARINII,306,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY DETECTION NOS IF,306,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS AG GIARD,306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENTAMOEB HIST GROUP,",306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B SURFACE,",306,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS DELTA AG,306,RC,,,,,inpatient,,,253,,126.5,151.8,255.4541,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,163.944,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,255.4541,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP A AG, ELA",306,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AG DETECT NOS, ELA",306,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BARTONELLA, DNA, AMP",306,RC,,,,,inpatient,,,509,,254.5,305.4,513.9373,478.46,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,422.47,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,468.28,,,,percent of total billed charges,,481.514,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,493.73,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,447.92,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,329.832,,,,percent of total billed charges,,458.1,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,513.9373,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,483.55,,,,percent of total billed charges,,407.2,,,,percent of total billed charges,,305.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, QUANT",306,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HHV-6, DNA, AMP PROB",306,RC,,,,,inpatient,,,236,,118,141.6,238.2892,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,238.2892,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.AVIUM-INTRA, DNA,",306,RC,,,,,inpatient,,,253,,126.5,151.8,255.4541,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,163.944,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,255.4541,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA ASSAY W/OP,306,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AGENT NOS ASSAY W/OP,306,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOPATHOLOGY, FLUID",311,RC,,,,,inpatient,,,195,,97.5,117,196.8915,183.3,,,,percent of total billed charges,,156,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,161.85,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,184.47,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,189.15,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,117,,,,percent of total billed charges,,196.8915,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,156,,,,percent of total billed charges,,117,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOPATH CONCENTRATE,311,RC,,,,,inpatient,,,195,,97.5,117,196.8915,183.3,,,,percent of total billed charges,,156,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,161.85,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,179.4,,,,percent of total billed charges,,184.47,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,189.15,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,117,,,,percent of total billed charges,,196.8915,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,185.25,,,,percent of total billed charges,,156,,,,percent of total billed charges,,117,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLOWCYTOMETRY/READ,311,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATH CONSULT INTROP,310,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUKOCYTE COUNT, FEC",300,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXAM FECES FOR MEAT,309,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEMEN ANALYSIS,300,RC,,,,,inpatient,,,210,,105,126,212.037,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,212.037,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FSH/LH (OVA1),301,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11-DEOXYCORTICOSTERONE (DOC),301,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOTENSIN II,301,RC,,,,,inpatient,,,670,,335,402,676.499,629.8,,,,percent of total billed charges,,536,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,556.1,,,,percent of total billed charges,,603,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,616.4,,,,percent of total billed charges,,633.82,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,649.9,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,589.6,,,,percent of total billed charges,,603,,,,percent of total billed charges,,434.16,,,,percent of total billed charges,,603,,,,percent of total billed charges,,402,,,,percent of total billed charges,,676.499,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,636.5,,,,percent of total billed charges,,536,,,,percent of total billed charges,,402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIMICROBIAL SUSCEPTIBILITY, MACROBROTH METHOD",306,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASCORBIC ACID,301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLASTOMYCES ANTIBODY BY EIA,302,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALPROTECTIN, FECES",301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA ANTIGEN AND ANTIBODY PANEL,302,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA ANTIGEN AND ANTIBODY PANEL,302,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOHYDRATE DEFICIENT TRANSFERRIN,301,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CARBOYHEMOGLOBIN, QUANT",301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARCINOEMBRYONIC ANTIGEN (CEA),301,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMIUM,301,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORTICOSTERONE,301,RC,,,,,inpatient,,,322,,161,193.2,325.1234,302.68,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,267.26,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,296.24,,,,percent of total billed charges,,304.612,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,312.34,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,208.656,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,325.1234,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,305.9,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTATIN C,301,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG D-LACTATE,301,RC,,,,,inpatient,,,677,,338.5,406.2,683.5669,636.38,,,,percent of total billed charges,,541.6,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,561.91,,,,percent of total billed charges,,609.3,,,,percent of total billed charges,,622.84,,,,percent of total billed charges,,622.84,,,,percent of total billed charges,,640.442,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,656.69,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,595.76,,,,percent of total billed charges,,609.3,,,,percent of total billed charges,,438.696,,,,percent of total billed charges,,609.3,,,,percent of total billed charges,,406.2,,,,percent of total billed charges,,683.5669,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,643.15,,,,percent of total billed charges,,541.6,,,,percent of total billed charges,,406.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRINOGEN ANTIGEN,305,RC,,,,,inpatient,,,292,,146,175.2,294.8324,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,294.8324,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT,301,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCATED PROTEIN,301,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN RELEASING HORMONE (GN-RH),301,RC,,,,,inpatient,,,374,,187,224.4,377.6278,351.56,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,310.42,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,353.804,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,362.78,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,329.12,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,242.352,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,377.6278,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HALOPERIDOL,301,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENYLALANINE BLOOD,301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS D VIRUS (HDV) IGM ANTIBODY, EIA",302,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 PHENOTYPIC DRUG RESISTANCE PREDICTION,306,RC,,,,,inpatient,,,396,,198,237.6,399.8412,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,256.608,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,399.8412,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HUMAN HERPESVIRUS-6, MOLECULAR DETECTION, PCR, PLAA",306,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DET BY EIA,306,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEISHMANIASIS (VISCERAL) ANTIBODY,302,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANGANESE,301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MONONUCLEAR CELL ANTIGEN, QUANT, NOS,EA AG",302,RC,,,,,inpatient,,,458,,229,274.8,462.4426,430.52,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,380.14,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,421.36,,,,percent of total billed charges,,433.268,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,444.26,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,403.04,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,296.784,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,462.4426,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,435.1,,,,percent of total billed charges,,366.4,,,,percent of total billed charges,,274.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES (MPS) ACID QUANT,301,RC,,,,,inpatient,,,900,,450,540,908.73,846,,,,percent of total billed charges,,720,,,,percent of total billed charges,,855,,,,percent of total billed charges,,747,,,,percent of total billed charges,,810,,,,percent of total billed charges,,828,,,,percent of total billed charges,,828,,,,percent of total billed charges,,851.4,,,,percent of total billed charges,,855,,,,percent of total billed charges,,873,,,,percent of total billed charges,,855,,,,percent of total billed charges,,792,,,,percent of total billed charges,,810,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,810,,,,percent of total billed charges,,540,,,,percent of total billed charges,,908.73,,,,percent of total billed charges,,855,,,,percent of total billed charges,,855,,,,percent of total billed charges,,720,,,,percent of total billed charges,,540,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROINSULIN,301,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTAGLANDIN D2 (PG D2),301,RC,,,,,inpatient,,,600,,300,360,605.82,564,,,,percent of total billed charges,,480,,,,percent of total billed charges,,570,,,,percent of total billed charges,,498,,,,percent of total billed charges,,540,,,,percent of total billed charges,,552,,,,percent of total billed charges,,552,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,570,,,,percent of total billed charges,,582,,,,percent of total billed charges,,570,,,,percent of total billed charges,,528,,,,percent of total billed charges,,540,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,540,,,,percent of total billed charges,,360,,,,percent of total billed charges,,605.82,,,,percent of total billed charges,,570,,,,percent of total billed charges,,570,,,,percent of total billed charges,,480,,,,percent of total billed charges,,360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER ANTIBODY,302,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMITH-LEMLI-OPITZ SCREEN, GC/MS",301,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SOMATOSTATIN,301,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYROSINE,301,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VALPROIC ACID,301,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISCOSITY,305,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOTTING FUNCTION ACTIVITY,305,RC,,,,,inpatient,,,240,,120,144,242.328,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,155.52,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,242.328,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB ADMN PER DIEM,391,RC,,,,,inpatient,,,1326,,663,795.6,1338.8622,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,859.248,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1338.8622,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACUTE HEPATITIS PANEL,301,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUGS OF ABUSE SCREEN,301,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMIKACIN,301,RC,,,,,inpatient,,,257,,128.5,154.2,259.4929,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,166.536,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,259.4929,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CYCLOSPORINE,300,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, DIPROPYLACETIC ACID",300,RC,,,,,inpatient,,,289,,144.5,173.4,291.8033,271.66,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,239.87,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,273.394,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,280.33,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,254.32,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,187.272,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,291.8033,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PHENOBARBITAL,301,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, FREE",300,RC,,,,,inpatient,,,213,,106.5,127.8,215.0661,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,138.024,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,215.0661,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TACROLIMUS,300,RC,,,,,inpatient,,,266,,133,159.6,268.5802,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,172.368,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,268.5802,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WARFARIN (COUMADIN),301,RC,,,,,inpatient,,,262,,131,157.2,264.5414,246.28,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,217.46,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,247.852,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,254.14,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,230.56,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,169.776,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,264.5414,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY,",301,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS AUTO W/SCOPE,307,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS NONAUTO W/O SCOPE,307,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSCOPIC EXAM OF URINE,307,RC,,,,,inpatient,,,39,,19.5,23.4,39.3783,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,39.3783,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREGNANCY TEST- URINE,307,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ACTH,301,RC,,,,,inpatient,,,448,,224,268.8,452.3456,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,290.304,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,452.3456,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN SERUM PLASMA/WHOLE BLOOD,301,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE ALBUMIN,301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALDOSTERONE,301,RC,,,,,inpatient,,,472,,236,283.2,476.5784,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,305.856,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,476.5784,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AFP, TUMOR MARKER",301,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILIRUBIN, TOTAL",301,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOTINIDASE,301,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCCULT BLOOD,FECES SCREEN",301,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OCC BLOOD,FECES,1, SCREEN",301,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM,301,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLD/SERUM CHOLEST TOTAL,301,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOZAPINE,301,RC,,,,,inpatient,,,109,,54.5,65.4,110.0573,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,110.0573,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CRYOGLOBULIN,301,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGE,301,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GGT,301,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (FSH),301,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GONADOTROPIN (LH),301,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, GROWTH HORMONE (HGH)",301,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF HAPTOGLOBIN, QUANT",301,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL HEMOGLOBIN ASSAY QUAL,301,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLYCOSYLATED HEMOGLOBIN TEST,301,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF HEMOSIDERIN, QUAL",301,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-OHPROGESTERONE (NEWBORN),301,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMOOTH MUSCLE AB,302,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE TRANSGLUTAMINASE IGG,301,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTH RELATED PEPTIDE,301,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCREATIC POLYPEPTIDE,301,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF IRON,301,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LACTIC ACID,301,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LIPASE,301,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN,301,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CSF ISO ELECTRIC FOCUS,301,RC,,,,,inpatient,,,216,,108,129.6,218.0952,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,139.968,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,218.0952,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACIDS,301,RC,,,,,inpatient,,,472,,236,283.2,476.5784,443.68,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,391.76,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,434.24,,,,percent of total billed charges,,446.512,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,457.84,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,415.36,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,305.856,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,476.5784,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,448.4,,,,percent of total billed charges,,377.6,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACID,  SINGLE, QUANT",301,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BLOOD OSMOLALITY,301,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE OSMOLALITY,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PH STOOL,301,RC,,,,,inpatient,,,93,,46.5,55.8,93.9021,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,93.9021,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENYLALANINE,301,RC,,,,,inpatient,,,313,,156.5,187.8,316.0361,294.22,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,259.79,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,296.098,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,303.61,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,275.44,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,202.824,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,316.0361,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY ALKALINE PHOSPHATASE,301,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PROGESTERONE,301,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN CSF,301,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN E-PHORESIS, SERUM",301,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SWEAT SODIUM,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY-FLUID,301,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALT, HEPCFIBRO",301,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIIODOTHYRONINE TOTAL,T3",301,RC,,,,,inpatient,,,227,,113.5,136.2,229.2019,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,147.096,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,229.2019,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE ASSAY (FT-3),301,RC,,,,,inpatient,,,136,,68,81.6,137.3192,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,137.3192,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/URIC ACID,301,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF C-PEPTIDE,301,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCG QUALITATIVE,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN (POC),305,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VII TEST,305,RC,,,,,inpatient,,,303,,151.5,181.8,305.9391,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,196.344,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,305.9391,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR VIII INHIBITOR SCREEN,305,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII W/COFAC,305,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN,305,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR IX TEST,305,RC,,,,,inpatient,,,309,,154.5,185.4,311.9973,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,200.232,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,311.9973,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR X TEST,305,RC,,,,,inpatient,,,325,,162.5,195,328.1525,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,328.1525,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XI TEST,305,RC,,,,,inpatient,,,325,,162.5,195,328.1525,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,328.1525,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR XII TEST,305,RC,,,,,inpatient,,,325,,162.5,195,328.1525,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,328.1525,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTITHROMBIN III TEST,305,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVATED COAGULATION TIME,305,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBRIN MONOMER LAB,305,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APT TEST,305,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPARIN ANTI-XA,305,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE ALK PHOS,305,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTIME (POC),305,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTHORMBIN TIME BASELINE,305,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RUSSELL VIPER VENOM, DILUTED",305,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST,305,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBIN TIME, PLASMA",305,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUPUS ANTICOAGULANT,305,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APTT QUEST,305,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APTT MIXING STUDY,305,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISCOSITY SERUM TEST,305,RC,,,,,inpatient,,,267,,133.5,160.2,269.5899,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,269.5899,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGIN SPECIFIC,302,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODY,302,RC,,,,,inpatient,,,466,,233,279.6,470.5202,438.04,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,386.78,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,440.836,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,452.02,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,410.08,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,301.968,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,470.5202,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARC PLATELET ASSOC ASSAY,300,RC,,,,,inpatient,,,260,,130,156,262.522,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,168.48,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,262.522,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANA (ANTI-NUCLEAR ABY),302,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-CENTROMERE ANTIBODY,302,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANA TITER,302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1 ESTERASE INHIBITOR,302,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, TUMOR, CA 125",302,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROPHILE ABX SCREEN,302,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY,INFECTIOUS AGENT",302,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-2 TRANSFERRIN,302,RC,,,,,inpatient,,,382,,191,229.2,385.7054,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,247.536,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,385.7054,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B CELLS TOTAL,302,RC,,,,,inpatient,,,92,,46,55.2,92.8924,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,59.616,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,92.8924,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS TOTAL,302,RC,,,,,inpatient,,,92,,46,55.2,92.8924,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,59.616,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,92.8924,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS ABSOLUTE,302,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG T CELL, ABSOLUTE COU",302,RC,,,,,inpatient,,,240,,120,144,242.328,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,155.52,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,242.328,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ANTIBODY,302,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT SCR EA ABX,302,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS, QUALITATIVE (DONOR)",302,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ANTIBODY,302,RC,,,,,inpatient,,,448,,224,268.8,452.3456,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,290.304,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,452.3456,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX VIRUS IGM,302,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY TO HIV, 1 & 2 (DONOR)",302,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, IGM",302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA ANTIBODY,302,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOTOXIC ANTIBODY SCREENING,302,RC,,,,,inpatient,,,511,,255.5,306.6,515.9567,480.34,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,424.13,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,483.406,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,495.67,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,449.68,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,331.128,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,515.9567,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARC RH TYPE CHARGE,390,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC I/R CMV-NEG IRRAD,390,RC,,,,,inpatient,,,589,,294.5,353.4,594.7133,553.66,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,488.87,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.88,,,,percent of total billed charges,,541.88,,,,percent of total billed charges,,557.194,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,571.33,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,518.32,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,381.672,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,594.7133,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,559.55,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE CAMPYLOBACTER,306,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKIN FUNGI CULTURE,306,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD FUNGUS CULTURE,306,RC,,,,,inpatient,,,191,,95.5,114.6,192.8527,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,192.8527,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, YEAST",306,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FUNGI IDENTIFICATION, MOLD",306,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA CULTURE,306,RC,,,,,inpatient,,,377,,188.5,226.2,380.6569,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,244.296,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,380.6569,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M.AVIUM-INTRA, DNA, DIR PROB",306,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MACROSCOPIC EXAM ARTHROPOD,306,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MACROSCOPIC EXAM PARASITE,306,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PINWORM EXAM,306,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OVA&PARA DIRECT SMEARS,306,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, DIFFUSE",306,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, MIC",306,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SMEAR, FLUORESCENT/ACID STAI",306,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MODIFIED ACID FAST STAIN,306,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MALARIA IDENTIFICATION,306,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMEAR SPECIAL STAIN,306,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHROME STAIN,306,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADENOVIRUS CULTURE,306,RC,,,,,inpatient,,,308,,154,184.8,310.9876,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,310.9876,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAINFLUENZA CULTURE 1,306,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VZV DIRECT DFA,306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAPID STREP SCREEN,306,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, DIR PROBE",306,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA TRACHOMATIS RNA TMA,306,RC,,,,,inpatient,,,537,,268.5,322.2,542.2089,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,347.976,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,542.2089,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV DNA QUANTITATIVE,306,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOMEGALOVIRUS DNA,306,RC,,,,,inpatient,,,655,,327.5,393,661.3535,615.7,,,,percent of total billed charges,,524,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,543.65,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,602.6,,,,percent of total billed charges,,619.63,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,635.35,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,576.4,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,424.44,,,,percent of total billed charges,,589.5,,,,percent of total billed charges,,393,,,,percent of total billed charges,,661.3535,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,622.25,,,,percent of total billed charges,,524,,,,percent of total billed charges,,393,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1, DNA, QUANT",306,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG M. TUBERCULOSIS, PCR, NON-RESP",306,RC,,,,,inpatient,,,377,,188.5,226.2,380.6569,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,244.296,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,380.6569,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE, DNA, DIR PROB",306,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEISSERIA GONORRHOEAE RNA TMA,306,RC,,,,,inpatient,,,537,,268.5,322.2,542.2089,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,347.976,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,542.2089,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT",306,RC,,,,,inpatient,,,356,,178,213.6,359.4532,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,359.4532,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV ASSAY W/OPTIC,302,RC,,,,,inpatient,,,221,,110.5,132.6,223.1437,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,143.208,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,223.1437,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP PNEUMO AG,URINE",306,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUIDS, BRUSHINGS, WASHINGS",311,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO FISH UT SPECIMENS 3-5 PROBES EA,310,RC,,,,,inpatient,,,495,,247.5,297,499.8015,465.3,,,,percent of total billed charges,,396,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,410.85,,,,percent of total billed charges,,445.5,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,468.27,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,480.15,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.5,,,,percent of total billed charges,,320.76,,,,percent of total billed charges,,445.5,,,,percent of total billed charges,,297,,,,percent of total billed charges,,499.8015,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,470.25,,,,percent of total billed charges,,396,,,,percent of total billed charges,,297,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP SCREENING,311,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THIN PREP,CERV/VAG DIAGNOSTIC",311,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULT CHROMFAN,310,RC,,,,,inpatient,,,313,,156.5,187.8,316.0361,294.22,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,259.79,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,287.96,,,,percent of total billed charges,,296.098,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,303.61,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,275.44,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,202.824,,,,percent of total billed charges,,281.7,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,316.0361,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,297.35,,,,percent of total billed charges,,250.4,,,,percent of total billed charges,,187.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE SKIN / BIOPSY,310,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME TISSUE NO GROWTH,310,RC,,,,,inpatient,,,353,,176.5,211.8,356.4241,331.82,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,292.99,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,333.938,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,342.41,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,310.64,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,228.744,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,356.4241,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE CULTURE, AMNIOTIC FL",311,RC,,,,,inpatient,,,881,,440.5,528.6,889.5457,828.14,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,731.23,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,810.52,,,,percent of total billed charges,,833.426,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,854.57,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,775.28,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,570.888,,,,percent of total billed charges,,792.9,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,889.5457,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,836.95,,,,percent of total billed charges,,704.8,,,,percent of total billed charges,,528.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE CHROMH,310,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULT NEOPLAS BM/BLOOD,311,RC,,,,,inpatient,,,1358,,679,814.8,1371.1726,1276.52,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1127.14,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1284.668,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1317.26,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1195.04,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,879.984,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,1371.1726,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOME ANALYSIS, 15-20",310,RC,,,,,inpatient,,,1565,,782.5,939,1580.1805,1471.1,,,,percent of total billed charges,,1252,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1298.95,,,,percent of total billed charges,,1408.5,,,,percent of total billed charges,,1439.8,,,,percent of total billed charges,,1439.8,,,,percent of total billed charges,,1480.49,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1518.05,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1377.2,,,,percent of total billed charges,,1408.5,,,,percent of total billed charges,,1014.12,,,,percent of total billed charges,,1408.5,,,,percent of total billed charges,,939,,,,percent of total billed charges,,1580.1805,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1486.75,,,,percent of total billed charges,,1252,,,,percent of total billed charges,,939,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME 20-25 CELLS,310,RC,,,,,inpatient,,,314,,157,188.4,317.0458,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,203.472,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,317.0458,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME 20-25 CELLS CHROMH,310,RC,,,,,inpatient,,,329,,164.5,197.4,332.1913,309.26,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,273.07,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,311.234,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,319.13,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,289.52,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,213.192,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,332.1913,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME AMNIO 6-12,311,RC,,,,,inpatient,,,2088,,1044,1252.8,2108.2536,1962.72,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1733.04,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1975.248,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2025.36,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1837.44,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1353.024,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,2108.2536,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENETICS, 3-5",310,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO 25-99 (FISHPREN),310,RC,,,,,inpatient,,,107,,53.5,64.2,108.0379,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,69.336,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,108.0379,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGEN 100-300 ALLNHL,310,RC,,,,,inpatient,,,309,,154.5,185.4,311.9973,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,200.232,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,311.9973,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGEN 100-300 MDS,310,RC,,,,,inpatient,,,303,,151.5,181.8,305.9391,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,196.344,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,305.9391,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH IP 100-300,310,RC,,,,,inpatient,,,453,,226.5,271.8,457.3941,425.82,,,,percent of total billed charges,,362.4,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,375.99,,,,percent of total billed charges,,407.7,,,,percent of total billed charges,,416.76,,,,percent of total billed charges,,416.76,,,,percent of total billed charges,,428.538,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,439.41,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,398.64,,,,percent of total billed charges,,407.7,,,,percent of total billed charges,,293.544,,,,percent of total billed charges,,407.7,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,457.3941,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,430.35,,,,percent of total billed charges,,362.4,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISHIP MM-MGUS,310,RC,,,,,inpatient,,,281,,140.5,168.6,283.7257,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,182.088,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,283.7257,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERPHASE ISH BCR/ABL,310,RC,,,,,inpatient,,,485,,242.5,291,489.7045,455.9,,,,percent of total billed charges,,388,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,470.45,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,426.8,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,314.28,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,291,,,,percent of total billed charges,,489.7045,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,388,,,,percent of total billed charges,,291,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOSOMAL ANAL,ADD KARYOTYPE",311,RC,,,,,inpatient,,,316,,158,189.6,319.0652,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,204.768,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,319.0652,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS HIGH RESOL,311,RC,,,,,inpatient,,,432,,216,259.2,436.1904,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,279.936,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,436.1904,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE LEVEL 4 (AP),310,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE LEVEL 4 (AP) REF,310,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL BIOPSY H & E,310,RC,,,,,inpatient,,,216,,108,129.6,218.0952,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,139.968,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,218.0952,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GROUP 2 STAIN,310,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL STAIN GROUP II,310,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOCHEM MUSBX,310,RC,,,,,inpatient,,,606,,303,363.6,611.8782,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,392.688,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,611.8782,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATH CONSULT OUTSIDE SLIDE,310,RC,,,,,inpatient,,,588,,294,352.8,593.7036,552.72,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,488.04,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,556.248,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,570.36,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,517.44,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,381.024,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,593.7036,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATHOLOGY CONSULT SLIDE PREP,310,RC,,,,,inpatient,,,588,,294,352.8,593.7036,552.72,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,488.04,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,540.96,,,,percent of total billed charges,,556.248,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,570.36,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,517.44,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,381.024,,,,percent of total billed charges,,529.2,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,593.7036,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,558.6,,,,percent of total billed charges,,470.4,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOHISTOCHEMISTRY EACH AB,310,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EACH ANTIBODY (REF),310,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EA ANTIBODY W/INTERP (REF),310,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY RENAL BIOSPY,310,RC,,,,,inpatient,,,606,,303,363.6,611.8782,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,392.688,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,611.8782,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY,310,RC,,,,,inpatient,,,1730,,865,1038,1746.781,1626.2,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1435.9,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1591.6,,,,percent of total billed charges,,1636.58,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1678.1,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1522.4,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,1557,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,1746.781,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1643.5,,,,percent of total billed charges,,1384,,,,percent of total billed charges,,1038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMMUNOHISTOCHE,310,RC,,,,,inpatient,,,268,,134,160.8,270.5996,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,173.664,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,270.5996,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISH EACH PROBE (REF),310,RC,,,,,inpatient,,,392,,196,235.2,395.8024,368.48,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,325.36,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,360.64,,,,percent of total billed charges,,370.832,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,380.24,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,344.96,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,254.016,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,395.8024,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,372.4,,,,percent of total billed charges,,313.6,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSITU HYBRIDIZATION, MANUAL",310,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL TRANSCUT,301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RHOD IMMUNE GLOB (PER 100 IU),636,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB VWF / F8 (ALPHANATE),636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB FACTOR 7A PER 1 MCG,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB HUMATE P,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB FACTOR 8 (PER IU),636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB THAWED POOL CRYOPRECIPITATE,390,RC,,,,,inpatient,,,678,,339,406.8,684.5766,637.32,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,562.74,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,641.388,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,657.66,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,596.64,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,439.344,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,684.5766,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PROC LEUKO REDUCED RBC,390,RC,,,,,inpatient,,,423,,211.5,253.8,427.1031,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,274.104,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,427.1031,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN 25% 50ML,636,RC,,,,,inpatient,,,176,,88,105.6,177.7072,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,177.7072,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PROCESS LPC CMV NEG,390,RC,,,,,inpatient,,,503,,251.5,301.8,507.8791,472.82,,,,percent of total billed charges,,402.4,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,417.49,,,,percent of total billed charges,,452.7,,,,percent of total billed charges,,462.76,,,,percent of total billed charges,,462.76,,,,percent of total billed charges,,475.838,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,487.91,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,442.64,,,,percent of total billed charges,,452.7,,,,percent of total billed charges,,325.944,,,,percent of total billed charges,,452.7,,,,percent of total billed charges,,301.8,,,,percent of total billed charges,,507.8791,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,477.85,,,,percent of total billed charges,,402.4,,,,percent of total billed charges,,301.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PHPLT L/R CMVN LRR,390,RC,,,,,inpatient,,,1170,,585,702,1181.349,1099.8,,,,percent of total billed charges,,936,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,971.1,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1106.82,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1134.9,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,758.16,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,702,,,,percent of total billed charges,,1181.349,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,936,,,,percent of total billed charges,,702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PROC DEBLYC LEUKO RED RBC,390,RC,,,,,inpatient,,,1170,,585,702,1181.349,1099.8,,,,percent of total billed charges,,936,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,971.1,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1106.82,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1134.9,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,758.16,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,702,,,,percent of total billed charges,,1181.349,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,936,,,,percent of total billed charges,,702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PHPLT L/R CMVN IRR,390,RC,,,,,inpatient,,,1235,,617.5,741,1246.9795,1160.9,,,,percent of total billed charges,,988,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1025.05,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1168.31,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1197.95,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,800.28,,,,percent of total billed charges,,1111.5,,,,percent of total billed charges,,741,,,,percent of total billed charges,,1246.9795,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,1173.25,,,,percent of total billed charges,,988,,,,percent of total billed charges,,741,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB PLASMA FROZEN W/IN 24 HOURS,390,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL STAINS 1 (REF),310,RC,,,,,inpatient,,,191,,95.5,114.6,192.8527,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,192.8527,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT GUIDANCE PAIN MGMT,361,RC,,,,,inpatient,,,3719,,1859.5,2231.4,3755.0743,3495.86,,,,percent of total billed charges,,2975.2,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3086.77,,,,percent of total billed charges,,3347.1,,,,percent of total billed charges,,3421.48,,,,percent of total billed charges,,3421.48,,,,percent of total billed charges,,3518.174,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3607.43,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3272.72,,,,percent of total billed charges,,3347.1,,,,percent of total billed charges,,2409.912,,,,percent of total billed charges,,3347.1,,,,percent of total billed charges,,2231.4,,,,percent of total billed charges,,3755.0743,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,3533.05,,,,percent of total billed charges,,2975.2,,,,percent of total billed charges,,2231.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONC REMOVAL CVP CATHETER,361,RC,,,,,inpatient,,,3657,,1828.5,2194.2,3692.4729,3437.58,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3035.31,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3459.522,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3547.29,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3218.16,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2369.736,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,3692.4729,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONC BONE MARROW COLLECTION,361,RC,,,,,inpatient,,,3476,,1738,2085.6,3509.7172,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2252.448,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3509.7172,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51720-0361 BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT,361,RC,,,,,inpatient,,,1076,,538,645.6,1086.4372,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,697.248,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,1086.4372,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONC-REFILL/MAINTAIN PORT PUMP,940,RC,,,,,inpatient,,,817,,408.5,490.2,824.9249,767.98,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,678.11,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,772.882,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,792.49,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,529.416,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,824.9249,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABLAVAR 10ML VIAL,636,RC,,,,,inpatient,,,330,,165,198,333.201,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,333.201,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABLAVAR 15ML VIAL,636,RC,,,,,inpatient,,,484,,242,290.4,488.6948,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,313.632,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,488.6948,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OR ECT,901,RC,,,,,inpatient,,,2181,,1090.5,1308.6,2202.1557,2050.14,,,,percent of total billed charges,,1744.8,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,1810.23,,,,percent of total billed charges,,1962.9,,,,percent of total billed charges,,2006.52,,,,percent of total billed charges,,2006.52,,,,percent of total billed charges,,2063.226,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,2115.57,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,1919.28,,,,percent of total billed charges,,1962.9,,,,percent of total billed charges,,1413.288,,,,percent of total billed charges,,1962.9,,,,percent of total billed charges,,1308.6,,,,percent of total billed charges,,2202.1557,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,2071.95,,,,percent of total billed charges,,1744.8,,,,percent of total billed charges,,1308.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA TOCOPHEROL (VITAMIN E),301,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 GENE MAJOR BP,301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR GENE KNOWN FAM VARIANTS,301,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR GENE INTRON POLY T,301,RC,,,,,inpatient,,,301,,150.5,180.6,303.9197,282.94,,,,percent of total billed charges,,240.8,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,249.83,,,,percent of total billed charges,,270.9,,,,percent of total billed charges,,276.92,,,,percent of total billed charges,,276.92,,,,percent of total billed charges,,284.746,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,291.97,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,270.9,,,,percent of total billed charges,,195.048,,,,percent of total billed charges,,270.9,,,,percent of total billed charges,,180.6,,,,percent of total billed charges,,303.9197,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,285.95,,,,percent of total billed charges,,240.8,,,,percent of total billed charges,,180.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2C19 GENE COM VARIANTS,301,RC,,,,,inpatient,,,2132,,1066,1279.2,2152.6804,2004.08,,,,percent of total billed charges,,1705.6,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,1769.56,,,,percent of total billed charges,,1918.8,,,,percent of total billed charges,,1961.44,,,,percent of total billed charges,,1961.44,,,,percent of total billed charges,,2016.872,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,2068.04,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,1876.16,,,,percent of total billed charges,,1918.8,,,,percent of total billed charges,,1381.536,,,,percent of total billed charges,,1918.8,,,,percent of total billed charges,,1279.2,,,,percent of total billed charges,,2152.6804,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,2025.4,,,,percent of total billed charges,,1705.6,,,,percent of total billed charges,,1279.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENOMIC MICROARRAY(GENOMO),301,RC,,,,,inpatient,,,2268,,1134,1360.8,2289.9996,2131.92,,,,percent of total billed charges,,1814.4,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,1882.44,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,2086.56,,,,percent of total billed charges,,2086.56,,,,percent of total billed charges,,2145.528,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,2199.96,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,1995.84,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,1469.664,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,1360.8,,,,percent of total billed charges,,2289.9996,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,2154.6,,,,percent of total billed charges,,1814.4,,,,percent of total billed charges,,1360.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG F2 GENE,301,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG F5 GENE,301,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENE ANALYSIS DETECT (FRAGX),301,RC,,,,,inpatient,,,554,,277,332.4,559.3738,520.76,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,459.82,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,524.084,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,537.38,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,487.52,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,358.992,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,559.3738,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENE ANALYSIS CHAR (FRAGXSB),301,RC,,,,,inpatient,,,198,,99,118.8,199.9206,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,199.9206,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HFE GENE,301,RC,,,,,inpatient,,,652,,326,391.2,658.3244,612.88,,,,percent of total billed charges,,521.6,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,541.16,,,,percent of total billed charges,,586.8,,,,percent of total billed charges,,599.84,,,,percent of total billed charges,,599.84,,,,percent of total billed charges,,616.792,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,632.44,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,573.76,,,,percent of total billed charges,,586.8,,,,percent of total billed charges,,422.496,,,,percent of total billed charges,,586.8,,,,percent of total billed charges,,391.2,,,,percent of total billed charges,,658.3244,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,619.4,,,,percent of total billed charges,,521.6,,,,percent of total billed charges,,391.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 GENE,310,RC,,,,,inpatient,,,760,,380,456,767.372,714.4,,,,percent of total billed charges,,608,,,,percent of total billed charges,,722,,,,percent of total billed charges,,630.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,722,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,722,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,492.48,,,,percent of total billed charges,,684,,,,percent of total billed charges,,456,,,,percent of total billed charges,,767.372,,,,percent of total billed charges,,722,,,,percent of total billed charges,,722,,,,percent of total billed charges,,608,,,,percent of total billed charges,,456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE,310,RC,,,,,inpatient,,,337,,168.5,202.2,340.2689,316.78,,,,percent of total billed charges,,269.6,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,279.71,,,,percent of total billed charges,,303.3,,,,percent of total billed charges,,310.04,,,,percent of total billed charges,,310.04,,,,percent of total billed charges,,318.802,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,326.89,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,296.56,,,,percent of total billed charges,,303.3,,,,percent of total billed charges,,218.376,,,,percent of total billed charges,,303.3,,,,percent of total billed charges,,202.2,,,,percent of total billed charges,,340.2689,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,320.15,,,,percent of total billed charges,,269.6,,,,percent of total billed charges,,202.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MTHFR GENE,301,RC,,,,,inpatient,,,438,,219,262.8,442.2486,411.72,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,363.54,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,414.348,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,424.86,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,385.44,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,283.824,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,442.2486,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SNRPN/UBE3A GENE,301,RC,,,,,inpatient,,,540,,270,324,545.238,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,349.92,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,545.238,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERPINA1 GENE,301,RC,,,,,inpatient,,,823,,411.5,493.8,830.9831,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,533.304,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,830.9831,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 1,310,RC,,,,,inpatient,,,214,,107,128.4,216.0758,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,138.672,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,216.0758,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 2,310,RC,,,,,inpatient,,,1024,,512,614.4,1033.9328,962.56,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,849.92,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,968.704,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,993.28,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,901.12,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,663.552,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,1033.9328,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 4,310,RC,,,,,inpatient,,,339,,169.5,203.4,342.2883,318.66,,,,percent of total billed charges,,271.2,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,281.37,,,,percent of total billed charges,,305.1,,,,percent of total billed charges,,311.88,,,,percent of total billed charges,,311.88,,,,percent of total billed charges,,320.694,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,328.83,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,298.32,,,,percent of total billed charges,,305.1,,,,percent of total billed charges,,219.672,,,,percent of total billed charges,,305.1,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,342.2883,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,322.05,,,,percent of total billed charges,,271.2,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCIUM IN URINE,301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY URINE CATECHOLAMINES,301,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CREATINE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE CLEARANCE TEST,301,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA AB (IGG/LGM/LGA),302,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LCM ANTIBODY IGG/IGM,302,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS INOCULATE TISSUE ADDL,306,RC,,,,,inpatient,,,310,,155,186,313.007,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,200.88,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,313.007,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROBIOLOGY PROCEDURE,306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL MARKER STUDY,311,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE TUMOR,310,RC,,,,,inpatient,,,373,,186.5,223.8,376.6181,350.62,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,309.59,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,352.858,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,361.81,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,328.24,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,241.704,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,376.6181,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE SOLID TUMOR,310,RC,,,,,inpatient,,,2292,,1146,1375.2,2314.2324,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1485.216,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2314.2324,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS 45,310,RC,,,,,inpatient,,,1887,,943.5,1132.2,1905.3039,1773.78,,,,percent of total billed charges,,1509.6,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1566.21,,,,percent of total billed charges,,1698.3,,,,percent of total billed charges,,1736.04,,,,percent of total billed charges,,1736.04,,,,percent of total billed charges,,1785.102,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1830.39,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1660.56,,,,percent of total billed charges,,1698.3,,,,percent of total billed charges,,1222.776,,,,percent of total billed charges,,1698.3,,,,percent of total billed charges,,1132.2,,,,percent of total billed charges,,1905.3039,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1792.65,,,,percent of total billed charges,,1509.6,,,,percent of total billed charges,,1132.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENETICS DNA PROBE YFISHALK,310,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR CYTOGENETICS DNA PROBE,310,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENETICS 25-99,310,RC,,,,,inpatient,,,543,,271.5,325.8,548.2671,510.42,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,450.69,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,499.56,,,,percent of total billed charges,,513.678,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,526.71,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,477.84,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,351.864,,,,percent of total billed charges,,488.7,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,548.2671,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,515.85,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENETICS 100-300,310,RC,,,,,inpatient,,,505,,252.5,303,509.8985,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,327.24,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,509.8985,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKS,301,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM,301,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID MICROSOMAL AB,302,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-2 MICROGLOBULIN,301,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN ANTIBODY,302,RC,,,,,inpatient,,,206,,103,123.6,207.9982,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,133.488,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,207.9982,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR (CFCS),310,RC,,,,,inpatient,,,186,,93,111.6,187.8042,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,120.528,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,187.8042,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IKBKAP (CLLIGVH),310,RC,,,,,inpatient,,,370,,185,222,373.589,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,239.76,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,373.589,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 FULL (MLHMSH),310,RC,,,,,inpatient,,,2620,,1310,1572,2645.414,2462.8,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2174.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2478.52,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2541.4,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2305.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1697.76,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,2645.414,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSH2 FULL (MLHMSH),310,RC,,,,,inpatient,,,2620,,1310,1572,2645.414,2462.8,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2174.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2410.4,,,,percent of total billed charges,,2478.52,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2541.4,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2305.6,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1697.76,,,,percent of total billed charges,,2358,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,2645.414,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2489,,,,percent of total billed charges,,2096,,,,percent of total billed charges,,1572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSATELLITE INSTABLTY(YMSI),301,RC,,,,,inpatient,,,370,,185,222,373.589,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,239.76,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,373.589,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING COMPLETE (HLAABC),301,RC,,,,,inpatient,,,1289,,644.5,773.4,1301.5033,1211.66,,,,percent of total billed charges,,1031.2,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1069.87,,,,percent of total billed charges,,1160.1,,,,percent of total billed charges,,1185.88,,,,percent of total billed charges,,1185.88,,,,percent of total billed charges,,1219.394,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1250.33,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1134.32,,,,percent of total billed charges,,1160.1,,,,percent of total billed charges,,835.272,,,,percent of total billed charges,,1160.1,,,,percent of total billed charges,,773.4,,,,percent of total billed charges,,1301.5033,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1224.55,,,,percent of total billed charges,,1031.2,,,,percent of total billed charges,,773.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA I TYPING 1 LOCUS LR,310,RC,,,,,inpatient,,,347,,173.5,208.2,350.3659,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,224.856,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,350.3659,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONE ANTIGEN (HLAB27DNA),310,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING HLAD (HLAD),301,RC,,,,,inpatient,,,1778,,889,1066.8,1795.2466,1671.32,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1475.74,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1681.988,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1724.66,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1564.64,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1152.144,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,1795.2466,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA II TYPING 1 LOCUS LR,310,RC,,,,,inpatient,,,984,,492,590.4,993.5448,924.96,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,816.72,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,905.28,,,,percent of total billed charges,,930.864,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,954.48,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,865.92,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,637.632,,,,percent of total billed charges,,885.6,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,993.5448,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,934.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONE ANTIGEN (NARCO),310,RC,,,,,inpatient,,,493,,246.5,295.8,497.7821,463.42,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,409.19,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,453.56,,,,percent of total billed charges,,466.378,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,478.21,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,433.84,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,319.464,,,,percent of total billed charges,,443.7,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,497.7821,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,468.35,,,,percent of total billed charges,,394.4,,,,percent of total billed charges,,295.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING (HLAB57),301,RC,,,,,inpatient,,,1358,,679,814.8,1371.1726,1276.52,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1127.14,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1249.36,,,,percent of total billed charges,,1284.668,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1317.26,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1195.04,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,879.984,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,1371.1726,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1290.1,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONE LOCUS (HLADQB),310,RC,,,,,inpatient,,,689,,344.5,413.4,695.6833,647.66,,,,percent of total billed charges,,551.2,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,571.87,,,,percent of total billed charges,,620.1,,,,percent of total billed charges,,633.88,,,,percent of total billed charges,,633.88,,,,percent of total billed charges,,651.794,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,668.33,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,606.32,,,,percent of total billed charges,,620.1,,,,percent of total billed charges,,446.472,,,,percent of total billed charges,,620.1,,,,percent of total billed charges,,413.4,,,,percent of total billed charges,,695.6833,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,654.55,,,,percent of total billed charges,,551.2,,,,percent of total billed charges,,413.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA II TYPING 1 ALLELE HR,310,RC,,,,,inpatient,,,514,,257,308.4,518.9858,483.16,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,426.62,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,486.244,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,498.58,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,452.32,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,333.072,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,518.9858,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 5,310,RC,,,,,inpatient,,,448,,224,268.8,452.3456,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,290.304,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,452.3456,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 6,310,RC,,,,,inpatient,,,2097,,1048.5,1258.2,2117.3409,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1358.856,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,2117.3409,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE 24 HR URINE,301,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-GLUCOSIDASE,301,RC,,,,,inpatient,,,432,,216,259.2,436.1904,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,279.936,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,436.1904,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 (SERUM),301,RC,,,,,inpatient,,,693,,346.5,415.8,699.7221,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,449.064,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,699.7221,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PART AGGLUT TITER EA ABX,302,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL 16S RDNA SEQUENCING,306,RC,,,,,inpatient,,,545,,272.5,327,550.2865,512.3,,,,percent of total billed charges,,436,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,452.35,,,,percent of total billed charges,,490.5,,,,percent of total billed charges,,501.4,,,,percent of total billed charges,,501.4,,,,percent of total billed charges,,515.57,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,528.65,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,479.6,,,,percent of total billed charges,,490.5,,,,percent of total billed charges,,353.16,,,,percent of total billed charges,,490.5,,,,percent of total billed charges,,327,,,,percent of total billed charges,,550.2865,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,517.75,,,,percent of total billed charges,,436,,,,percent of total billed charges,,327,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DETECTION,306,RC,,,,,inpatient,,,330,,165,198,333.201,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,333.201,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M AVIUM-INTRACELL PROBE,306,RC,,,,,inpatient,,,148,,74,88.8,149.4356,139.12,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,122.84,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,140.008,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,143.56,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,130.24,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,95.904,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,149.4356,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOLOGOUS BLOOD OR COMPONENT,309,RC,,,,,inpatient,,,553,,276.5,331.8,558.3641,519.82,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,458.99,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,523.138,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,536.41,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,486.64,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,358.344,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,558.3641,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR INHIBITOR TEST,305,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMPLOYEE URINE COLLECTION,990,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG SCREEN COLLECTION,999,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ETOH COLLECTION,999,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV 2 ANTIBODY,302,RC,,,,,inpatient,,,157,,78.5,94.2,158.5229,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,101.736,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,158.5229,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRO REVIEW NEG,300,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRO REVIEW POS,300,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTOFERRIN DETECTION,301,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL NEUTRALIZ (NAB) TEST,302,RC,,,,,inpatient,,,599,,299.5,359.4,604.8103,563.06,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,497.17,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,566.654,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,581.03,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,527.12,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,388.152,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,604.8103,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HA STROKE PREVENTION,301,RC,,,,,inpatient,,,279,,139.5,167.4,281.7063,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,180.792,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,281.7063,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA HAPLOTYPE BY STR,310,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERPINA 1,310,RC,,,,,inpatient,,,665,,332.5,399,671.4505,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,430.92,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,671.4505,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR CYSTIC FIBROSIS GENE ANALYSIS,310,RC,,,,,inpatient,,,229,,114.5,137.4,231.2213,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,148.392,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,231.2213,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL II,310,RC,,,,,inpatient,,,554,,277,332.4,559.3738,520.76,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,459.82,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,509.68,,,,percent of total billed charges,,524.084,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,537.38,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,487.52,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,358.992,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,559.3738,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,526.3,,,,percent of total billed charges,,443.2,,,,percent of total billed charges,,332.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FANCC FANOIN ANEMIA COMP GRP C,310,RC,,,,,inpatient,,,1188,,594,712.8,1199.5236,1116.72,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,986.04,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1123.848,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1152.36,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1045.44,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,769.824,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,1199.5236,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GBA (GAUCHER DISEASE),310,RC,,,,,inpatient,,,1188,,594,712.8,1199.5236,1116.72,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,986.04,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1092.96,,,,percent of total billed charges,,1123.848,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1152.36,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1045.44,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,769.824,,,,percent of total billed charges,,1069.2,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,1199.5236,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,1128.6,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HFE (HEMOCHROMATOSIS),310,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 MINOR,310,RC,,,,,inpatient,,,3042,,1521,1825.2,3071.5074,2859.48,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2524.86,,,,percent of total billed charges,,2737.8,,,,percent of total billed charges,,2798.64,,,,percent of total billed charges,,2798.64,,,,percent of total billed charges,,2877.732,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2950.74,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2676.96,,,,percent of total billed charges,,2737.8,,,,percent of total billed charges,,1971.216,,,,percent of total billed charges,,2737.8,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,3071.5074,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2889.9,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,1825.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERROGATION OF GENOMIC REGIONS,310,RC,,,,,inpatient,,,1917,,958.5,1150.2,1935.5949,1801.98,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1591.11,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1763.64,,,,percent of total billed charges,,1813.482,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1859.49,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1686.96,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1242.216,,,,percent of total billed charges,,1725.3,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,1935.5949,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1821.15,,,,percent of total billed charges,,1533.6,,,,percent of total billed charges,,1150.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2,310,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PML/RARALPHA,310,RC,,,,,inpatient,,,330,,165,198,333.201,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,333.201,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA),310,RC,,,,,inpatient,,,1391,,695.5,834.6,1404.4927,1307.54,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1154.53,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1315.886,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1349.27,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1224.08,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,901.368,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,1404.4927,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM POST TRANS WITH CELL SELECTION,310,RC,,,,,inpatient,,,365,,182.5,219,368.5405,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,236.52,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,368.5405,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBA1/HBA2,310,RC,,,,,inpatient,,,2998,,1499,1798.8,3027.0806,2818.12,,,,percent of total billed charges,,2398.4,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2488.34,,,,percent of total billed charges,,2698.2,,,,percent of total billed charges,,2758.16,,,,percent of total billed charges,,2758.16,,,,percent of total billed charges,,2836.108,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2908.06,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2638.24,,,,percent of total billed charges,,2698.2,,,,percent of total billed charges,,1942.704,,,,percent of total billed charges,,2698.2,,,,percent of total billed charges,,1798.8,,,,percent of total billed charges,,3027.0806,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2848.1,,,,percent of total billed charges,,2398.4,,,,percent of total billed charges,,1798.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMR1 FRAGILE X,310,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGH GENE REARRANGEMENT AMP,310,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGK GENE REARRANGEMENT,310,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF GENE ANALYSIS,310,RC,,,,,inpatient,,,598,,299,358.8,603.8006,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,387.504,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,603.8006,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2D6 GENE ANALYSIS,310,RC,,,,,inpatient,,,370,,185,222,373.589,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,239.76,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,373.589,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2C19,310,RC,,,,,inpatient,,,1641,,820.5,984.6,1656.9177,1542.54,,,,percent of total billed charges,,1312.8,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1362.03,,,,percent of total billed charges,,1476.9,,,,percent of total billed charges,,1509.72,,,,percent of total billed charges,,1509.72,,,,percent of total billed charges,,1552.386,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1591.77,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1444.08,,,,percent of total billed charges,,1476.9,,,,percent of total billed charges,,1063.368,,,,percent of total billed charges,,1476.9,,,,percent of total billed charges,,984.6,,,,percent of total billed charges,,1656.9177,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1558.95,,,,percent of total billed charges,,1312.8,,,,percent of total billed charges,,984.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA CLASS I TYPE HI RES ONE ALLELE OR GROUP,310,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MTHFR GENE ANALYSIS,310,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TBR T CELL ANTIGEN RECEPTOR,310,RC,,,,,inpatient,,,1391,,695.5,834.6,1404.4927,1307.54,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1154.53,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1279.72,,,,percent of total billed charges,,1315.886,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1349.27,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1224.08,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,901.368,,,,percent of total billed charges,,1251.9,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,1404.4927,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1321.45,,,,percent of total billed charges,,1112.8,,,,percent of total billed charges,,834.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SNRPN/UBE3A,310,RC,,,,,inpatient,,,356,,178,213.6,359.4532,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,359.4532,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC TROPONIN I,301,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN A1C,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC IDENTIFICATION,300,RC,,,,,inpatient,,,290,,145,174,292.813,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,292.813,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC SUSCEPTIBILITY,300,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULT AERO ADDL ID, EA",306,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SMIKACIN,300,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF IRON,301,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP A ANTIBODY, TOTAL",302,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR V TEST,305,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIRUS INOCULATION, SHELL VIA",306,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KLEIHAUER BETKE,305,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG F2 (COAGULATION FACTOR 2), 1199G>A VARIANT",310,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG F5 (COAGULATION FACTOR V), HR2 VARIANT",310,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1,  OTHER REGION (EG INTEGRASE, FUSION)",306,RC,,,,,inpatient,,,370,,185,222,373.589,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,239.76,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,373.589,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA CLASS II TYPING, HIGH RESOLUTION, ONE ALLELE OP",310,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 GENE MINOR BP,310,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGRF GENE ANALYSIS,310,RC,,,,,inpatient,,,1286,,643,771.6,1298.4742,1208.84,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1067.38,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1216.556,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1247.42,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1131.68,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,833.328,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,1298.4742,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PMP22 GENE,310,RC,,,,,inpatient,,,972,,486,583.2,981.4284,913.68,,,,percent of total billed charges,,777.6,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,806.76,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,894.24,,,,percent of total billed charges,,894.24,,,,percent of total billed charges,,919.512,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,942.84,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,855.36,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,629.856,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,981.4284,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,923.4,,,,percent of total billed charges,,777.6,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B VIRUS,306,RC,,,,,inpatient,,,460,,230,276,464.462,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,464.462,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RESPIRATORY VIRUS, MULTIPLEX REVERSE TRANSCRIPTION",306,RC,,,,,inpatient,,,444,,222,266.4,448.3068,417.36,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,368.52,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,408.48,,,,percent of total billed charges,,420.024,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,430.68,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,390.72,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,287.712,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,448.3068,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,421.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,266.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA IGG,302,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRO REVIEW PER 10 MIN,300,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODY DIRECT,302,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELLULAR FUNCTION ASSAY,302,RC,,,,,inpatient,,,268,,134,160.8,270.5996,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,173.664,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,270.5996,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN SINGLE, CORDSTAT",301,RC,,,,,inpatient,,,465,,232.5,279,469.5105,437.1,,,,percent of total billed charges,,372,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,385.95,,,,percent of total billed charges,,418.5,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,439.89,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,451.05,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,409.2,,,,percent of total billed charges,,418.5,,,,percent of total billed charges,,301.32,,,,percent of total billed charges,,418.5,,,,percent of total billed charges,,279,,,,percent of total billed charges,,469.5105,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,441.75,,,,percent of total billed charges,,372,,,,percent of total billed charges,,279,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEGALOVIRUS, AMPLIED PROBE",306,RC,,,,,inpatient,,,131,,65.5,78.6,132.2707,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,132.2707,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX, AMPLIED PROBE",306,RC,,,,,inpatient,,,537,,268.5,322.2,542.2089,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,347.976,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,542.2089,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROCALCITONIN,301,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSULIN, TOTAL",301,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN,301,RC,,,,,inpatient,,,563,,281.5,337.8,568.4611,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,364.824,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,568.4611,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ERYTHROCYTE SEDIMENTATION RATE, AUTOMATED",305,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEXOSAMINIDASE A,301,RC,,,,,inpatient,,,183,,91.5,109.8,184.7751,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,118.584,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,184.7751,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE ANALYSIS VARIANTS IN CODONS 12 AND 13,310,RC,,,,,inpatient,,,623,,311.5,373.8,629.0431,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,629.0431,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 GENE ANALYSIS P VAL617PHE VARIANT,310,RC,,,,,inpatient,,,2196,,1098,1317.6,2217.3012,2064.24,,,,percent of total billed charges,,1756.8,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,1822.68,,,,percent of total billed charges,,1976.4,,,,percent of total billed charges,,2020.32,,,,percent of total billed charges,,2020.32,,,,percent of total billed charges,,2077.416,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,2130.12,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,1932.48,,,,percent of total billed charges,,1976.4,,,,percent of total billed charges,,1423.008,,,,percent of total billed charges,,1976.4,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,2217.3012,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,2086.2,,,,percent of total billed charges,,1756.8,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED HEMA/COAG PROCEDURE,305,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUTLIANALYTE ASSAY W/ ALGORITHMIC ANALYSIS,310,RC,,,,,inpatient,,,2953,,1476.5,1771.8,2981.6441,2775.82,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2450.99,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2793.538,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2864.41,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2598.64,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,1913.544,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,2981.6441,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TYROXINE REQUIRING ELUTION (EG NEONATAL),301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SULFATE, URINE",301,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PH, BODY FLUID, NOT OTHERWISE SPECIFIED",301,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOFEEDBACK TRAINING, INITIAL 15 MIN-PT",420,RC,,,,,inpatient,,,227,,113.5,136.2,229.2019,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,147.096,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,229.2019,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUMPS ANTIBODY,302,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE TESTOSTERONE,301,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DHEA,301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EACH MULTIPLEX AB STAIN PROCEDURE,312,RC,,,,,inpatient,,,157,,78.5,94.2,158.5229,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,101.736,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,158.5229,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZONISAMIDE,301,RC,,,,,inpatient,,,92,,46,55.2,92.8924,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,59.616,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,92.8924,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAFFINE,301,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GABAPENTIN,301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LAMOTRIGINE,301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVETIRACETAM,301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIAGABINE,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPHENOLATE,301,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONGENTIAL ABNORMAL, 4 ANALYTES",301,RC,,,,,inpatient,,,704,,352,422.4,710.8288,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,456.192,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,710.8288,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONGENTIAL ABNORMAL, 3 ANALYTES",301,RC,,,,,inpatient,,,396,,198,237.6,399.8412,372.24,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,328.68,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,364.32,,,,percent of total billed charges,,374.616,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,348.48,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,256.608,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,399.8412,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORDETELLA PERTUSSIS/PARAPERTUSSIS BY PCR,306,RC,,,,,inpatient,,,308,,154,184.8,310.9876,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,310.9876,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBAMAZEPINE,301,RC,,,,,inpatient,,,336,,168,201.6,339.2592,315.84,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,278.88,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,309.12,,,,percent of total billed charges,,317.856,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,325.92,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,295.68,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,217.728,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,339.2592,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPA GEEN ANALYSIS COMMON VARIANTS,310,RC,,,,,inpatient,,,1471,,735.5,882.6,1485.2687,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,953.208,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1485.2687,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLM GENE ANALYSIS 2281DEL6INS7 VARIANT,310,RC,,,,,inpatient,,,1471,,735.5,882.6,1485.2687,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,953.208,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1485.2687,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FANCC GENE ANALYSIS COMMON VARIANT,310,RC,,,,,inpatient,,,1471,,735.5,882.6,1485.2687,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,953.208,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1485.2687,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GBA GLUCOSIDASE/BETA/ACID ANALY COMM VARIANTS,310,RC,,,,,inpatient,,,1471,,735.5,882.6,1485.2687,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,953.208,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1485.2687,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEXA GENE ANALY COMM VARIANTS,310,RC,,,,,inpatient,,,1471,,735.5,882.6,1485.2687,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,953.208,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1485.2687,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MCOLN1 MUCOLIPIN1 GENE ANALY COMM VARIANTS,310,RC,,,,,inpatient,,,1471,,735.5,882.6,1485.2687,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,953.208,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1485.2687,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMPD1 GENE ANALY COMM VARIANTS,310,RC,,,,,inpatient,,,1471,,735.5,882.6,1485.2687,1382.74,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1220.93,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1353.32,,,,percent of total billed charges,,1391.566,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1426.87,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1294.48,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,953.208,,,,percent of total billed charges,,1323.9,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,1485.2687,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1397.45,,,,percent of total billed charges,,1176.8,,,,percent of total billed charges,,882.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENOM CONST MICROARRAY,310,RC,,,,,inpatient,,,2013,,1006.5,1207.8,2032.5261,1892.22,,,,percent of total billed charges,,1610.4,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1670.79,,,,percent of total billed charges,,1811.7,,,,percent of total billed charges,,1851.96,,,,percent of total billed charges,,1851.96,,,,percent of total billed charges,,1904.298,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1952.61,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1771.44,,,,percent of total billed charges,,1811.7,,,,percent of total billed charges,,1304.424,,,,percent of total billed charges,,1811.7,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,2032.5261,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1912.35,,,,percent of total billed charges,,1610.4,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HUNTINGTON DIS, MOLECULAR ANALY",310,RC,,,,,inpatient,,,688,,344,412.8,694.6736,646.72,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,571.04,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,650.848,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,667.36,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,445.824,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,694.6736,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN (AFP), FOUR MARKER SCREEN, MATERNAL SERUM",310,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS SCREEN,301,RC,,,,,inpatient,,,693,,346.5,415.8,699.7221,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,449.064,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,699.7221,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEMOGLOBIN ELECTROPHORESIS CASCADE, BLOOD",301,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17-HYDROXYPROGESTERONE, URINE",301,RC,,,,,inpatient,,,357,,178.5,214.2,360.4629,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,231.336,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,360.4629,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY ANALY QUAL/SEMIQUAL MULT STEP,302,RC,,,,,inpatient,,,494,,247,296.4,498.7918,464.36,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,410.02,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,454.48,,,,percent of total billed charges,,454.48,,,,percent of total billed charges,,467.324,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,479.18,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,434.72,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,498.7918,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,469.3,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY ANALY QUAMT RADIO,302,RC,,,,,inpatient,,,325,,162.5,195,328.1525,305.5,,,,percent of total billed charges,,260,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,269.75,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,299,,,,percent of total billed charges,,299,,,,percent of total billed charges,,307.45,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,315.25,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,286,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,292.5,,,,percent of total billed charges,,195,,,,percent of total billed charges,,328.1525,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,308.75,,,,percent of total billed charges,,260,,,,percent of total billed charges,,195,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY ANALY QUAMT NOS,302,RC,,,,,inpatient,,,829,,414.5,497.4,837.0413,779.26,,,,percent of total billed charges,,663.2,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,688.07,,,,percent of total billed charges,,746.1,,,,percent of total billed charges,,762.68,,,,percent of total billed charges,,762.68,,,,percent of total billed charges,,784.234,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,804.13,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,729.52,,,,percent of total billed charges,,746.1,,,,percent of total billed charges,,537.192,,,,percent of total billed charges,,746.1,,,,percent of total billed charges,,497.4,,,,percent of total billed charges,,837.0413,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,787.55,,,,percent of total billed charges,,663.2,,,,percent of total billed charges,,497.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT-2,301,RC,,,,,inpatient,,,314,,157,188.4,317.0458,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,203.472,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,317.0458,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TESTOSTERONE, TOTAL, BIOAVAILABLE AND FREE, SERUM",301,RC,,,,,inpatient,,,581,,290.5,348.6,586.6357,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,376.488,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,586.6357,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PHOSPHOLIPID (CARDIOLIPIN) ANTIBODIES, IGG, IGM, AND IGA",302,RC,,,,,inpatient,,,517,,258.5,310.2,522.0149,485.98,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,429.11,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,475.64,,,,percent of total billed charges,,489.082,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,501.49,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,454.96,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,465.3,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,522.0149,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,491.15,,,,percent of total billed charges,,413.6,,,,percent of total billed charges,,310.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AUTOANTIBODIES TO SSA (RO) OR (LA) ANTIGEN, SERUM",302,RC,,,,,inpatient,,,231,,115.5,138.6,233.2407,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,149.688,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,233.2407,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY, IGG, SERUM",302,RC,,,,,inpatient,,,456,,228,273.6,460.4232,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,295.488,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,460.4232,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYME DISEASE AB CONFIRMATION, CSF",302,RC,,,,,inpatient,,,456,,228,273.6,460.4232,428.64,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,378.48,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,419.52,,,,percent of total billed charges,,431.376,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,442.32,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,401.28,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,295.488,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,460.4232,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,433.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEGALOVIRUS (CMV) AB, IGG, SERUM",302,RC,,,,,inpatient,,,294,,147,176.4,296.8518,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,296.8518,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALIFORNIA (LACROSSE VIRUS) ENCEPHALITIS AB PANEL, IGG &IGM, CSF",302,RC,,,,,inpatient,,,302,,151,181.2,304.9294,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,195.696,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,304.9294,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HELICOBACTER PYLORI AB, IGA, SERUM",302,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE ADHESION DEFICIENCY,311,RC,,,,,inpatient,,,593,,296.5,355.8,598.7521,557.42,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,492.19,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,560.978,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,575.21,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,521.84,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,384.264,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,598.7521,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC EACH ADDITONIAL AB PER SPECIMEN,312,RC,,,,,inpatient,,,271,,135.5,162.6,273.6287,254.74,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,224.93,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,256.366,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,262.87,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,238.48,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,175.608,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,273.6287,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SOMATOSTATIN,301,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSA TOTAL DIAGNOSTIC,301,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AG IF CRYPTOSPORIDIUM,306,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID HORMONE UPTAKE,301,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AG IF CRYPTOSPORIDIUM,306,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAINFLUENZA VIRUS 123 MOLECULAR DETECT PCR QUAL,306,RC,,,,,inpatient,,,628,,314,376.8,634.0916,590.32,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,521.24,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,577.76,,,,percent of total billed charges,,594.088,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,609.16,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,552.64,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,406.944,,,,percent of total billed charges,,565.2,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,634.0916,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,596.6,,,,percent of total billed charges,,502.4,,,,percent of total billed charges,,376.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PT SUBSTITUTION, PLASMA FRACTION",305,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY HIV-1,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EACH INDENTIFIABLE ANTIBODY PER SLIDE,312,RC,,,,,inpatient,,,238,,119,142.8,240.3086,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,154.224,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,240.3086,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, BLOOD, ELECTROPHORETIC SEP AND QUAN",301,RC,,,,,inpatient,,,93,,46.5,55.8,93.9021,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,93.9021,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT MUSK,302,RC,,,,,inpatient,,,1119,,559.5,671.4,1129.8543,1051.86,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,928.77,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1058.574,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1085.43,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,984.72,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,725.112,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,1129.8543,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VANC RESISTANT AMP PROBE,306,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S. AUREUS METH RESIST AMP PROBE,306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICRODISSECTION, MANUAL",310,RC,,,,,inpatient,,,248,,124,148.8,250.4056,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,250.4056,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHOMONAS AMP PROBE,306,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVEROLIMUS,301,RC,,,,,inpatient,,,302,,151,181.2,304.9294,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,195.696,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,304.9294,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, HEP B VIRUS, QUANT",306,RC,,,,,inpatient,,,356,,178,213.6,359.4532,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,359.4532,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID, HEP C VIRUS",306,RC,,,,,inpatient,,,2140,,1070,1284,2160.758,2011.6,,,,percent of total billed charges,,1712,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,1776.2,,,,percent of total billed charges,,1926,,,,percent of total billed charges,,1968.8,,,,percent of total billed charges,,1968.8,,,,percent of total billed charges,,2024.44,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,2075.8,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,1883.2,,,,percent of total billed charges,,1926,,,,percent of total billed charges,,1386.72,,,,percent of total billed charges,,1926,,,,percent of total billed charges,,1284,,,,percent of total billed charges,,2160.758,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,2033,,,,percent of total billed charges,,1712,,,,percent of total billed charges,,1284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAPH AUREUS,306,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METH RESIS STAPH AUREUS,306,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA, MULTIPLE, FIRST 2",306,RC,,,,,inpatient,,,459,,229.5,275.4,463.4523,431.46,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,380.97,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,434.214,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,445.23,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,403.92,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,297.432,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,463.4523,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA, MULTIPLE, BEYOND 2",306,RC,,,,,inpatient,,,255,,127.5,153,257.4735,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,165.24,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,257.4735,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREP GROUP A, AMP PROBE",306,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RESPIRATORY VIRUS, MULTIPLEX REVERSE TRANSCRIPTION, 12-25 TARGETS",306,RC,,,,,inpatient,,,2893,,1446.5,1735.8,2921.0621,2719.42,,,,percent of total billed charges,,2314.4,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2401.19,,,,percent of total billed charges,,2603.7,,,,percent of total billed charges,,2661.56,,,,percent of total billed charges,,2661.56,,,,percent of total billed charges,,2736.778,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2806.21,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2545.84,,,,percent of total billed charges,,2603.7,,,,percent of total billed charges,,1874.664,,,,percent of total billed charges,,2603.7,,,,percent of total billed charges,,1735.8,,,,percent of total billed charges,,2921.0621,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2748.35,,,,percent of total billed charges,,2314.4,,,,percent of total billed charges,,1735.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BORDETELLA PERTUSSIS, AMPLIFIED PROBE TECH",306,RC,,,,,inpatient,,,387,,193.5,232.2,390.7539,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,250.776,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,390.7539,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHLAMYDIA PNEUMONIAE, AMPLIFIED PROBE TECH",306,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYCOPLASMA PNEUMONIAE, AMPLIFIED PROBE TECH",306,RC,,,,,inpatient,,,387,,193.5,232.2,390.7539,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,250.776,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,390.7539,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC-SO EACH ADDITONIAL AB PER SPECIMEN (US LABS),312,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IHC-SO EACH ADDITONIAL AB PER SPECIMEN (MAYO),312,RC,,,,,inpatient,,,264,,132,158.4,266.5608,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,266.5608,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SS GROUP 1 (US LABS),312,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUGARS, MULTI QUAL, EA SPECIMEN",301,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIRUS, NOT ELSEWHERE SPECIFIED",302,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF PLASMA HEMOGLOBIN,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HUMAN PAPILLOMAVIRUS (HPV) HIGH-RISK TYPES,306,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HUMAN PAPILLOMAVIRUS (HPV) TYPES 16 AND 18 ONLY, INCLUDES TYPE 45",306,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANABOLIC STEROIDS, 1 OR 2",301,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEROIN METABOLITE,301,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BENZODIAZEPINES, 1-12",301,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES,301,RC,,,,,inpatient,,,193,,96.5,115.8,194.8721,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,194.8721,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMPHETAMINES, 1 OR 2",301,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLENEDIOXYAMPHETAMINES (MDA, MDEA, MDMA)",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 2",301,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG OR SUBSTANCE, DEFIN, QUAL OR QUANT, NT SPECIFIED, 1-3",301,RC,,,,,inpatient,,,516,,258,309.6,521.0052,485.04,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,428.28,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,474.72,,,,percent of total billed charges,,474.72,,,,percent of total billed charges,,488.136,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,500.52,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,454.08,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,334.368,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,521.0052,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPRENORPHINE,301,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCAINE,301,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRG SCRN, ANY # DRG CLS LST A, SNGLE DRG CLS MTHD, BY INST TST SY",301,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCRN, NOT OTHWSE SPECIFIED PRESUMPTIVE PROC, EACH PROCEDURE",301,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOLS,301,RC,,,,,inpatient,,,165,,82.5,99,166.6005,155.1,,,,percent of total billed charges,,132,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,136.95,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,156.09,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,160.05,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,99,,,,percent of total billed charges,,166.6005,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,132,,,,percent of total billed charges,,99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL,301,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VALPROIC ACID, FREE",301,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN, PRESUMPTIVE, SINGLE DRUG CLASS FROM DRUG CLASS",301,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KETAMINE AND NORKETAMINE,301,RC,,,,,inpatient,,,507,,253.5,304.2,511.9179,476.58,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,420.81,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,479.622,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,491.79,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,446.16,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,328.536,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,511.9179,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHADONE,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALKALOIDS, NOT OTHERWISE SPECIFIED",301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPIATES, 1 OR MORE",301,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXYCODONE,301,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CANNABINOIDS, NATURAL",301,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, NOT OTHERWISE SPECIFIED",301,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EA ADDL SINGLE PROBE STAIN PROCEDURE,312,RC,,,,,inpatient,,,373,,186.5,223.8,376.6181,350.62,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,309.59,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,352.858,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,361.81,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,328.24,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,241.704,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,376.6181,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALCOHOL BIOMARKERS, 3 OR MORE",301,RC,,,,,inpatient,,,365,,182.5,219,368.5405,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,236.52,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,368.5405,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,,,,,inpatient,,,365,,182.5,219,368.5405,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,236.52,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,368.5405,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREGABALIN,301,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIEPILEPTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED, 1-3",301,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, MULTIPLE MYELOMA PROCESS AND HOLD",311,RC,,,,,inpatient,,,814,,407,488.4,821.8958,765.16,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,675.62,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,770.044,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,789.58,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,716.32,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,527.472,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,821.8958,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CG PROCESS AND HOLD,311,RC,,,,,inpatient,,,814,,407,488.4,821.8958,765.16,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,675.62,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,748.88,,,,percent of total billed charges,,770.044,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,789.58,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,716.32,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,527.472,,,,percent of total billed charges,,732.6,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,821.8958,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,773.3,,,,percent of total billed charges,,651.2,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRG SCN,DRG CLSS LSTB BY IMMUN OR NONTLC CHRMATGPHY W/O MSS SPECT",301,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE",301,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LAMOTRIGINE,301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVETIRACETAM,301,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALGESICS NON-OPIOD, 1 OR 2",301,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALGESICS, NON-OPIOD, 1 OR 2",301,RC,,,,,inpatient,,,179,,89.5,107.4,180.7363,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,115.992,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,180.7363,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXTRACTABLE NUCLEAR ANTIGEN, ANTIBODY TO ANY METHOD",302,RC,,,,,inpatient,,,109,,54.5,65.4,110.0573,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,110.0573,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUN, QUALITATIVE OR SEMIQUANTITATIVE, MULTI STEP METHD",301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUBERCULOSIS TEST, GAMMA INTERON",302,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC, 6 OR MORE",301,RC,,,,,inpatient,,,520,,260,312,525.044,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,336.96,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,525.044,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TISSUE IN SITU HYBRID,I&R, EA ADDITIONAL PROBE",312,RC,,,,,inpatient,,,310,,155,186,313.007,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,200.88,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,313.007,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAPILLARY BLOOD DRAW,300,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IN SITU HYBID (EG.FISH), PER SPEC EA ADD",312,RC,,,,,inpatient,,,310,,155,186,313.007,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,200.88,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,313.007,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IN SITU HYBID (EG. FISH), PER SPEC EA EA MULTIPLEX",312,RC,,,,,inpatient,,,519,,259.5,311.4,524.0343,487.86,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,430.77,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,490.974,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,503.43,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,456.72,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,336.312,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,524.0343,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPOPROTEIN-ASSOC PHOSPHOLIPASE A2 (LP-PLA2),301,RC,,,,,inpatient,,,481,,240.5,288.6,485.6657,452.14,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,399.23,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,455.026,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,466.57,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,423.28,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,311.688,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,485.6657,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE HISTAMINE (LHR),302,RC,,,,,inpatient,,,294,,147,176.4,296.8518,276.36,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,244.02,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,270.48,,,,percent of total billed charges,,278.124,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,285.18,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,258.72,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,296.8518,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,279.3,,,,percent of total billed charges,,235.2,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MATERNIT21 PLUS,310,RC,,,,,inpatient,,,1350,,675,810,1363.095,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1363.095,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CRYOFIBRINOGEN,301,RC,,,,,inpatient,,,107,,53.5,64.2,108.0379,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,69.336,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,108.0379,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1/HIV-2 ABXSNGL ASSAY,301,RC,,,,,inpatient,,,267,,133.5,160.2,269.5899,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,269.5899,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONCOLOGY (OVARIAN), BIOCHEM ASSAY OF FIVE PROTIENS",301,RC,,,,,inpatient,,,1367,,683.5,820.2,1380.2599,1284.98,,,,percent of total billed charges,,1093.6,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1134.61,,,,percent of total billed charges,,1230.3,,,,percent of total billed charges,,1257.64,,,,percent of total billed charges,,1257.64,,,,percent of total billed charges,,1293.182,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1325.99,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1202.96,,,,percent of total billed charges,,1230.3,,,,percent of total billed charges,,885.816,,,,percent of total billed charges,,1230.3,,,,percent of total billed charges,,820.2,,,,percent of total billed charges,,1380.2599,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1298.65,,,,percent of total billed charges,,1093.6,,,,percent of total billed charges,,820.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHTHERIA TOXOID IGG,302,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TETANUS TOXOID IGG,302,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICHOMONAS BY NAA,306,RC,,,,,inpatient,,,556,,278,333.6,561.3932,522.64,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,461.48,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,525.976,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,539.32,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,489.28,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,360.288,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,561.3932,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIVER FIBROSIS, FIBRO TEST - ACTITEST PANEL",310,RC,,,,,inpatient,,,1157,,578.5,694.2,1168.2229,1087.58,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,960.31,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1064.44,,,,percent of total billed charges,,1094.522,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1122.29,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1018.16,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,749.736,,,,percent of total billed charges,,1041.3,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,1168.2229,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,1099.15,,,,percent of total billed charges,,925.6,,,,percent of total billed charges,,694.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV VACCINE HPV9 - 2 OR 3 DOSE (GARDASIL 9) - PER 0.5 ML,636,RC,,,,,inpatient,,,549,,274.5,329.4,554.3253,516.06,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,455.67,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,519.354,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,532.53,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,483.12,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,355.752,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,554.3253,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOGENOMIC CONSTITUTIONAL MICROARRAY ANALYSIS,310,RC,,,,,inpatient,,,3738,,1869,2242.8,3774.2586,3513.72,,,,percent of total billed charges,,2990.4,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3102.54,,,,percent of total billed charges,,3364.2,,,,percent of total billed charges,,3438.96,,,,percent of total billed charges,,3438.96,,,,percent of total billed charges,,3536.148,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3625.86,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3289.44,,,,percent of total billed charges,,3364.2,,,,percent of total billed charges,,2422.224,,,,percent of total billed charges,,3364.2,,,,percent of total billed charges,,2242.8,,,,percent of total billed charges,,3774.2586,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,3551.1,,,,percent of total billed charges,,2990.4,,,,percent of total billed charges,,2242.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREPTOCOCCUS, GROUP B. AMPLIFIED PROBE TECHNIQUE",300,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL THYROXINE,301,RC,,,,,inpatient,,,181,,90.5,108.6,182.7557,170.14,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,150.23,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,171.226,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,175.57,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,159.28,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,117.288,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,182.7557,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONG ABNORM, (PAPP-A AND HCG) ALGORITHM W/RISK SCORE",310,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE TYPING, ID BY NUCLEIC ACID (DNA OR RNA)",306,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIT GENE ANALYSIS, D816 VARIANT",310,RC,,,,,inpatient,,,960,,480,576,969.312,902.4,,,,percent of total billed charges,,768,,,,percent of total billed charges,,912,,,,percent of total billed charges,,796.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,912,,,,percent of total billed charges,,931.2,,,,percent of total billed charges,,912,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,622.08,,,,percent of total billed charges,,864,,,,percent of total billed charges,,576,,,,percent of total billed charges,,969.312,,,,percent of total billed charges,,912,,,,percent of total billed charges,,912,,,,percent of total billed charges,,768,,,,percent of total billed charges,,576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOFLUORESCENCE, EACH ADDL AB",312,RC,,,,,inpatient,,,393,,196.5,235.8,396.8121,369.42,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,326.19,,,,percent of total billed charges,,353.7,,,,percent of total billed charges,,361.56,,,,percent of total billed charges,,361.56,,,,percent of total billed charges,,371.778,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,381.21,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,345.84,,,,percent of total billed charges,,353.7,,,,percent of total billed charges,,254.664,,,,percent of total billed charges,,353.7,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,396.8121,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,373.35,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZODIAZEPINE QUANT,301,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOLS,301,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUGS OF ABUSE SCREEN_DIRECT OPTICAL OBSER,301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCILIC & OTHER  CYCLICALS, 6 OR MORE",301,RC,,,,,inpatient,,,520,,260,312,525.044,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,336.96,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,525.044,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZODIAZEPINE QUANT,301,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPRENORPHINE SCREEN,301,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALGESICS NON-OPIOD, 1 OR 2",301,RC,,,,,inpatient,,,179,,89.5,107.4,180.7363,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,115.992,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,180.7363,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IF EACH ADDITIONAL ANTIBODY,312,RC,,,,,inpatient,,,176,,88,105.6,177.7072,165.44,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,166.496,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,154.88,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,177.7072,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUPPLEMENTAL NEWBORN SCREEN,301,RC,,,,,inpatient,,,234,,117,140.4,236.2698,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,151.632,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,236.2698,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INERCELLULAR SUBSTANCE AB,319,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLUMN CHROMATOGRAPHY, MASS, QUANT/QUAL",301,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHLORINATED HYDROCARBONS, SCREEN",301,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUOFIXATION ELECTROPHORESIS, SERUM",300,RC,,,,,inpatient,,,259,,129.5,155.4,261.5123,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,167.832,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,261.5123,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG YERSINIA ANTIBODIES,300,RC,,,,,inpatient,,,229,,114.5,137.4,231.2213,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,148.392,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,231.2213,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRCA1, BRCA2, GENE ANAL, FULL SEQ & FULL DUP/DEL",310,RC,,,,,inpatient,,,8833,,4416.5,5299.8,8918.6801,8303.02,,,,percent of total billed charges,,7066.4,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,7331.39,,,,percent of total billed charges,,7949.7,,,,percent of total billed charges,,8126.36,,,,percent of total billed charges,,8126.36,,,,percent of total billed charges,,8356.018,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,8568.01,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,7773.04,,,,percent of total billed charges,,7949.7,,,,percent of total billed charges,,5723.784,,,,percent of total billed charges,,7949.7,,,,percent of total billed charges,,5299.8,,,,percent of total billed charges,,8918.6801,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,8391.35,,,,percent of total billed charges,,7066.4,,,,percent of total billed charges,,5299.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG SCREEN ON UNKNOWN SUBSTANCE,301,RC,,,,,inpatient,,,982,,491,589.2,991.5254,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,636.336,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,991.5254,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALR GENE ANALYSIS,310,RC,,,,,inpatient,,,2822,,1411,1693.2,2849.3734,2652.68,,,,percent of total billed charges,,2257.6,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2342.26,,,,percent of total billed charges,,2539.8,,,,percent of total billed charges,,2596.24,,,,percent of total billed charges,,2596.24,,,,percent of total billed charges,,2669.612,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2737.34,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2483.36,,,,percent of total billed charges,,2539.8,,,,percent of total billed charges,,1828.656,,,,percent of total billed charges,,2539.8,,,,percent of total billed charges,,1693.2,,,,percent of total billed charges,,2849.3734,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2680.9,,,,percent of total billed charges,,2257.6,,,,percent of total billed charges,,1693.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IDENTIFICATION BY NUCLEIC ACID SEQUENCING, EACH ISOLATE",300,RC,,,,,inpatient,,,482,,241,289.2,486.6754,453.08,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,400.06,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,455.972,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,467.54,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,424.16,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,312.336,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,486.6754,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL MYELIN PROTEIN (PMP22),310,RC,,,,,inpatient,,,10482,,5241,6289.2,10583.6754,9853.08,,,,percent of total billed charges,,8385.6,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,8700.06,,,,percent of total billed charges,,9433.8,,,,percent of total billed charges,,9643.44,,,,percent of total billed charges,,9643.44,,,,percent of total billed charges,,9915.972,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,10167.54,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,9224.16,,,,percent of total billed charges,,9433.8,,,,percent of total billed charges,,6792.336,,,,percent of total billed charges,,9433.8,,,,percent of total billed charges,,6289.2,,,,percent of total billed charges,,10583.6754,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,9957.9,,,,percent of total billed charges,,8385.6,,,,percent of total billed charges,,6289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOL BIOMARKERS:1 OR 2,301,RC,,,,,inpatient,,,365,,182.5,219,368.5405,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,236.52,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,368.5405,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT, DNA, RNA, NOS:AMP, EACH ORG",306,RC,,,,,inpatient,,,1019,,509.5,611.4,1028.8843,957.86,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,845.77,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,963.974,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,988.43,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,896.72,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,660.312,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,1028.8843,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT, DNA,RNA,  AMP, HERPES SIMP VIRUS",306,RC,,,,,inpatient,,,1019,,509.5,611.4,1028.8843,957.86,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,845.77,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,937.48,,,,percent of total billed charges,,963.974,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,988.43,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,896.72,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,660.312,,,,percent of total billed charges,,917.1,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,1028.8843,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,968.05,,,,percent of total billed charges,,815.2,,,,percent of total billed charges,,611.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNA EXTRACTION AND STORAGE,310,RC,,,,,inpatient,,,214,,107,128.4,216.0758,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,138.672,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,216.0758,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCA3/KLK PROSTATE CANCER ANTIGEN 3,310,RC,,,,,inpatient,,,660,,330,396,666.402,620.4,,,,percent of total billed charges,,528,,,,percent of total billed charges,,627,,,,percent of total billed charges,,547.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,624.36,,,,percent of total billed charges,,627,,,,percent of total billed charges,,640.2,,,,percent of total billed charges,,627,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,594,,,,percent of total billed charges,,396,,,,percent of total billed charges,,666.402,,,,percent of total billed charges,,627,,,,percent of total billed charges,,627,,,,percent of total billed charges,,528,,,,percent of total billed charges,,396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 HYPEMETHYLATION,310,RC,,,,,inpatient,,,2215,,1107.5,1329,2236.4855,2082.1,,,,percent of total billed charges,,1772,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,1838.45,,,,percent of total billed charges,,1993.5,,,,percent of total billed charges,,2037.8,,,,percent of total billed charges,,2037.8,,,,percent of total billed charges,,2095.39,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,2148.55,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,1949.2,,,,percent of total billed charges,,1993.5,,,,percent of total billed charges,,1435.32,,,,percent of total billed charges,,1993.5,,,,percent of total billed charges,,1329,,,,percent of total billed charges,,2236.4855,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,2104.25,,,,percent of total billed charges,,1772,,,,percent of total billed charges,,1329,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT-L1 LUNG,310,RC,,,,,inpatient,,,958,,479,574.8,967.2926,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,620.784,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,967.2926,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE OSMOLALITY,301,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF OXALATE,301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY PH BODY FLUID NOS,301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE POTASSIUM,301,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SODIUM,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE SULFATE,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/URIC ACID,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMMONIA,301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCIUM IN URINE,301,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CHLORIDE,301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CITRATE,301,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE PHOSPHORUS,301,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE/UREA-N,301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF AMMONIA,301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CALCIUM,301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CHLORIDE,301,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CITRATE,301,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM,301,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE PHOSPHORUS,301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 1",301,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 2",301,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 3",301,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 4",301,RC,,,,,inpatient,,,179,,89.5,107.4,180.7363,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,115.992,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,180.7363,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 5",301,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 6",301,RC,,,,,inpatient,,,358,,179,214.8,361.4726,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,231.984,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,361.4726,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 7",301,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, PER DOS 11",301,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF APOLIPOPROTEIN,301,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL,301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GGT,301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HAPTOGLOBIN QUANT,301,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC,301,RC,,,,,inpatient,,,213,,106.5,127.8,215.0661,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,138.024,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,215.0661,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALANINE AMINO (ALT) (SGPT),301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASO TITER,302,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALDOSTERONE,301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DETECT BY NUCLEIC ACID (DNA OR RNA),306,RC,,,,,inpatient,,,724,,362,434.4,731.0228,680.56,,,,percent of total billed charges,,579.2,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,600.92,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,666.08,,,,percent of total billed charges,,666.08,,,,percent of total billed charges,,684.904,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,702.28,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,637.12,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,469.152,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,731.0228,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,687.8,,,,percent of total billed charges,,579.2,,,,percent of total billed charges,,434.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOZAPINE,301,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER; 1 OR 2",301,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL CONGENTIAL ABNORMALITIES,FOUR ANALYTES",310,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROSTENEDIONE,301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGENS, FRACTIONATED",301,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METAL QUANT, EACH, NOT ELSEWHERE SPECIFIED",301,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALK PHOS ISOENZYMES,301,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TESTOSTERONE, BIOAVAILABLE DIRECT",300,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CARDIOLIPIN AB, EACH IG CLASS",302,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AB, BACTERIUM, NOT ELSEWHERE SPECIFIED",302,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, AMPLIFIED",306,RC,,,,,inpatient,,,399,,199.5,239.4,402.8703,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,258.552,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,402.8703,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS TEST, QUANT",302,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG TEST, PRESUM, ANY # DRUGS BY INST, PER DOS",301,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY FOR ANALYTE OTHER THAN INFECT AB OR AG, QUANT BY RIA",302,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY FOR ANALYTE OTHER THAN INFECT AB OR AG, QUAN NOT SPEC",302,RC,,,,,inpatient,,,338,,169,202.8,341.2786,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,341.2786,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MTHFR GENE ANALYSIS, COMMON VIARIANTS",310,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN BARR VIRUS, MOLECULAR DETECTION, PCR, QUANTITATIVE",306,RC,,,,,inpatient,,,302,,151,181.2,304.9294,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,195.696,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,304.9294,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CFTR GENE ANALYSIS, COMMON VARIANTS",310,RC,,,,,inpatient,,,362,,181,217.2,365.5114,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,234.576,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,365.5114,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAGINITIS PATHOGEN DNA PANEL BY PCR,306,RC,,,,,inpatient,,,1167,,583.5,700.2,1178.3199,1096.98,,,,percent of total billed charges,,933.6,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,968.61,,,,percent of total billed charges,,1050.3,,,,percent of total billed charges,,1073.64,,,,percent of total billed charges,,1073.64,,,,percent of total billed charges,,1103.982,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,1131.99,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,1026.96,,,,percent of total billed charges,,1050.3,,,,percent of total billed charges,,756.216,,,,percent of total billed charges,,1050.3,,,,percent of total billed charges,,700.2,,,,percent of total billed charges,,1178.3199,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,1108.65,,,,percent of total billed charges,,933.6,,,,percent of total billed charges,,700.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA DNA AMP PROBE,306,RC,,,,,inpatient,,,247,,123.5,148.2,249.3959,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,249.3959,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INF AGENT BY NUCLEIC ACID, TRICHOMONAS VAGINALIS, AMP PROBE",306,RC,,,,,inpatient,,,247,,123.5,148.2,249.3959,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,249.3959,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY, JC(JOHN CUNNINGHAN) VIRUS",302,RC,,,,,inpatient,,,3634,,1817,2180.4,3669.2498,3415.96,,,,percent of total billed charges,,2907.2,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3016.22,,,,percent of total billed charges,,3270.6,,,,percent of total billed charges,,3343.28,,,,percent of total billed charges,,3343.28,,,,percent of total billed charges,,3437.764,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3524.98,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3270.6,,,,percent of total billed charges,,2354.832,,,,percent of total billed charges,,3270.6,,,,percent of total billed charges,,2180.4,,,,percent of total billed charges,,3669.2498,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,3452.3,,,,percent of total billed charges,,2907.2,,,,percent of total billed charges,,2180.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENERAL HEALTH PANEL (PEIA),301,RC,,,,,inpatient,,,581,,290.5,348.6,586.6357,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,376.488,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,586.6357,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLASE,300,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOW CYTOMETRY, 1ST MARKER2",310,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIGOXIN, FREE",300,RC,,,,,inpatient,,,528,,264,316.8,533.1216,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,342.144,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,533.1216,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA CLASS I & II TYPING, HIGH RES, HLA A,B,C & DRB1",310,RC,,,,,inpatient,,,831,,415.5,498.6,839.0607,781.14,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,689.73,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,786.126,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,806.07,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,731.28,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,538.488,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,839.0607,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HLA CLASS II TYPING, HIGH RES, ONE LOCUS, EACH",310,RC,,,,,inpatient,,,298,,149,178.8,300.8906,280.12,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,247.34,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,281.908,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,289.06,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,262.24,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,193.104,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,300.8906,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NOT INFECTIOUS AGENT, QUANT BY RIA",301,RC,,,,,inpatient,,,550,,275,330,555.335,517,,,,percent of total billed charges,,440,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,456.5,,,,percent of total billed charges,,495,,,,percent of total billed charges,,506,,,,percent of total billed charges,,506,,,,percent of total billed charges,,520.3,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,533.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,484,,,,percent of total billed charges,,495,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,495,,,,percent of total billed charges,,330,,,,percent of total billed charges,,555.335,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,522.5,,,,percent of total billed charges,,440,,,,percent of total billed charges,,330,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INF. AGNT DETECT BY NUCL. ACID (DNAORRNA),GI PATH,12-25TARGETS",306,RC,,,,,inpatient,,,1190,,595,714,1201.543,1118.6,,,,percent of total billed charges,,952,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,987.7,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1125.74,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1154.3,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,771.12,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,714,,,,percent of total billed charges,,1201.543,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,952,,,,percent of total billed charges,,714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NON-INFECTOUS AB, TITER, EACH AB",300,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMILUMINESCENT ASSAY,301,RC,,,,,inpatient,,,292,,146,175.2,294.8324,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,294.8324,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCOPROTEIN 1 ANTIBODY,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN (PHOSPHOLIPID) - ANTIBODY,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCOPROTEIN 1 - ANTIBODY,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOLIPIN (PHOSPHOLIPID)- ANTIBODY,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 - GLYCOPROTEIN 1 ANTIBODY,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID",302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BARR VIRUS, EARLY ANTIGEN",302,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BARR VIRUS, NUCLEAR ANTIGEN(EBNA)",302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN - BARR (EB) VIRUS, VIRAL CAPSID",302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA,302,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA,302,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGALOVIRUS (CMV),302,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX, TYPE 1",302,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX, TYPE 2",302,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBEOLA,302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGH VARIABLE REGION SOMATIC MUT ANALYSIS,310,RC,,,,,inpatient,,,1725,,862.5,1035,1741.7325,1621.5,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1431.75,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1631.85,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1673.25,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1117.8,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1741.7325,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TARGETED GENOMIC SEQUENCE ANALYSIS, HEM NEOPLASM OR DISORDER",310,RC,,,,,inpatient,,,4834,,2417,2900.4,4880.8898,4543.96,,,,percent of total billed charges,,3867.2,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4012.22,,,,percent of total billed charges,,4350.6,,,,percent of total billed charges,,4447.28,,,,percent of total billed charges,,4447.28,,,,percent of total billed charges,,4572.964,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4688.98,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4253.92,,,,percent of total billed charges,,4350.6,,,,percent of total billed charges,,3132.432,,,,percent of total billed charges,,4350.6,,,,percent of total billed charges,,2900.4,,,,percent of total billed charges,,4880.8898,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,4592.3,,,,percent of total billed charges,,3867.2,,,,percent of total billed charges,,2900.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VITAMIN D, 25 HYDROXY",300,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMN1 GENE DOS/DELETION ALYS,310,RC,,,,,inpatient,,,600,,300,360,605.82,564,,,,percent of total billed charges,,480,,,,percent of total billed charges,,570,,,,percent of total billed charges,,498,,,,percent of total billed charges,,540,,,,percent of total billed charges,,552,,,,percent of total billed charges,,552,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,570,,,,percent of total billed charges,,582,,,,percent of total billed charges,,570,,,,percent of total billed charges,,528,,,,percent of total billed charges,,540,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,540,,,,percent of total billed charges,,360,,,,percent of total billed charges,,605.82,,,,percent of total billed charges,,570,,,,percent of total billed charges,,570,,,,percent of total billed charges,,480,,,,percent of total billed charges,,360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHETAMINES 5 OR MORE,301,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BENZODIAZEPINES CONFIRMATION, S",301,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHADONE AND METABOLITE CONFIRM, S",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRESUMPTIVE DRUG CLASS SCREENING,301,RC,,,,,inpatient,,,92,,46,55.2,92.8924,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,59.616,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,92.8924,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,,,,,inpatient,,,395,,197.5,237,398.8315,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,255.96,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,398.8315,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PATHOGEN REDUCED PLATELETS,390,RC,,,,,inpatient,,,2705,,1352.5,1623,2731.2385,2542.7,,,,percent of total billed charges,,2164,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2245.15,,,,percent of total billed charges,,2434.5,,,,percent of total billed charges,,2488.6,,,,percent of total billed charges,,2488.6,,,,percent of total billed charges,,2558.93,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2623.85,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2380.4,,,,percent of total billed charges,,2434.5,,,,percent of total billed charges,,1752.84,,,,percent of total billed charges,,2434.5,,,,percent of total billed charges,,1623,,,,percent of total billed charges,,2731.2385,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2569.75,,,,percent of total billed charges,,2164,,,,percent of total billed charges,,1623,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, EWING/PNET, EWSR1, 22Q12 REARRGMT (QUEST)",311,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, EWING/PNET, EWSR1, 22Q12 REARRGMT (QUEST)",311,RC,,,,,inpatient,,,271,,135.5,162.6,273.6287,254.74,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,224.93,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,256.366,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,262.87,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,238.48,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,175.608,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,273.6287,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, OLIGODENDROGLIOMA, 1P/19Q (QUEST)",312,RC,,,,,inpatient,,,389,,194.5,233.4,392.7733,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,252.072,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,392.7733,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, OLIGODENDROGLIOMA, 1P/19Q (QUEST)",312,RC,,,,,inpatient,,,389,,194.5,233.4,392.7733,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,252.072,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,392.7733,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-KIT MUTATIONS (QUEST),310,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANNEXIN-1, IHC (QUEST)",312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TP53 SOMATIC MUTATION (QUEST),310,RC,,,,,inpatient,,,1757,,878.5,1054.2,1774.0429,1651.58,,,,percent of total billed charges,,1405.6,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1458.31,,,,percent of total billed charges,,1581.3,,,,percent of total billed charges,,1616.44,,,,percent of total billed charges,,1616.44,,,,percent of total billed charges,,1662.122,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1704.29,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1546.16,,,,percent of total billed charges,,1581.3,,,,percent of total billed charges,,1138.536,,,,percent of total billed charges,,1581.3,,,,percent of total billed charges,,1054.2,,,,percent of total billed charges,,1774.0429,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1669.15,,,,percent of total billed charges,,1405.6,,,,percent of total billed charges,,1054.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN, FNA (QUEST)",301,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NRAS MUTATION ANALYSIS (QUEST),310,RC,,,,,inpatient,,,603,,301.5,361.8,608.8491,566.82,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,500.49,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,570.438,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,584.91,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,530.64,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,390.744,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,608.8491,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PDGFRA MUTATION ANALYSIS (QUEST),310,RC,,,,,inpatient,,,688,,344,412.8,694.6736,646.72,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,571.04,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,650.848,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,667.36,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,445.824,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,694.6736,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FASCIN, IHC (QUEST)",312,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CUTANEOUS DIRECT IF (QUEST),312,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLORECTAL CANCER MUT PNL (QUEST),310,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOPEROXIDASE, IHC (QUEST)",312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-1-ANTITRYPSIN IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAPLASTIC LYMPHOMA KINASE 1 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CA125 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD25, IHC (QUEST)",312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD61 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 19 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DBA44 HAIRY CELL IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR 13A IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRANZYME B IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPPAR-1 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LH, IHC (QUEST)",312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LYSOZYME, IHC (QUEST)",312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MA903 CYTOKERATIN 34BE12 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOGENIN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURON-SPECIFIC ENOLASE IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTATIC ACID PHOS IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTH IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL CELL CARC IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMOOTH MUSCLE ACTIN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TERM DEOXY TRANSFERASE IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T GONDII IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TSH IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOB1 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH SYN SARCOMA SYT (QUEST),311,RC,,,,,inpatient,,,228,,114,136.8,230.2116,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,147.744,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,230.2116,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH SYN SARCOMA SYT (QUEST),311,RC,,,,,inpatient,,,228,,114,136.8,230.2116,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,147.744,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,230.2116,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH HER2/NEU IHC (QUEST),312,RC,,,,,inpatient,,,513,,256.5,307.8,517.9761,482.22,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,425.79,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,485.298,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,497.61,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,451.44,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,332.424,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,517.9761,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARCOMA MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,838,,419,502.8,846.1286,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,543.024,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,846.1286,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-KIT MUT ANALYSIS CELL BASED (QUEST),310,RC,,,,,inpatient,,,788,,394,472.8,795.6436,740.72,,,,percent of total billed charges,,630.4,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,654.04,,,,percent of total billed charges,,709.2,,,,percent of total billed charges,,724.96,,,,percent of total billed charges,,724.96,,,,percent of total billed charges,,745.448,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,764.36,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,693.44,,,,percent of total billed charges,,709.2,,,,percent of total billed charges,,510.624,,,,percent of total billed charges,,709.2,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,795.6436,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,748.6,,,,percent of total billed charges,,630.4,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 NON-LUNG IHC (QUEST),312,RC,,,,,inpatient,,,853,,426.5,511.8,861.2741,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,861.2741,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SUBSET (QUEST),302,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SUBSET (QUEST),302,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SUBSET (QUEST),302,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ONCOMINE DX TARGET (QUEST),310,RC,,,,,inpatient,,,4938,,2469,2962.8,4985.8986,4641.72,,,,percent of total billed charges,,3950.4,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4098.54,,,,percent of total billed charges,,4444.2,,,,percent of total billed charges,,4542.96,,,,percent of total billed charges,,4542.96,,,,percent of total billed charges,,4671.348,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4789.86,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4345.44,,,,percent of total billed charges,,4444.2,,,,percent of total billed charges,,3199.824,,,,percent of total billed charges,,4444.2,,,,percent of total billed charges,,2962.8,,,,percent of total billed charges,,4985.8986,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,4691.1,,,,percent of total billed charges,,3950.4,,,,percent of total billed charges,,2962.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN AE1/AE3 IHC (QUEST),312,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLOID A IHC (QUEST),312,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MET-PHOSPHO IHC (QUEST),312,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD14 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD44 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD163 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CK17 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DOG1 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H-CALDESMON IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INI-1 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMAGLOBIN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX2 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P57 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD123 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROPLAKIN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VILLIN IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECEPTOR (QUEST),310,RC,,,,,inpatient,,,305,,152.5,183,307.9585,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,197.64,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,307.9585,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECEPTOR (QUEST),301,RC,,,,,inpatient,,,305,,152.5,183,307.9585,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,197.64,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,307.9585,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MGMT PROMOTER METHYL DET (QUEST),310,RC,,,,,inpatient,,,800,,400,480,807.76,752,,,,percent of total billed charges,,640,,,,percent of total billed charges,,760,,,,percent of total billed charges,,664,,,,percent of total billed charges,,720,,,,percent of total billed charges,,736,,,,percent of total billed charges,,736,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,760,,,,percent of total billed charges,,776,,,,percent of total billed charges,,760,,,,percent of total billed charges,,704,,,,percent of total billed charges,,720,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,720,,,,percent of total billed charges,,480,,,,percent of total billed charges,,807.76,,,,percent of total billed charges,,760,,,,percent of total billed charges,,760,,,,percent of total billed charges,,640,,,,percent of total billed charges,,480,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROM MICROARRAY HEM CLARISURE (QUEST),310,RC,,,,,inpatient,,,2000,,1000,1200,2019.4,1880,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1660,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1940,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1760,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,2019.4,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGG4 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTEIN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-1 IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROGEN RECPTR IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR PNL IHC,312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR PNL IHC,312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY PNL PCR (QUEST),310,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY PNL PCR (QUEST),310,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY PNL PCR (QUEST),301,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECPTR BETA PCR (QUEST),310,RC,,,,,inpatient,,,425,,212.5,255,429.1225,399.5,,,,percent of total billed charges,,340,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,352.75,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,391,,,,percent of total billed charges,,391,,,,percent of total billed charges,,402.05,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,412.25,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,374,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,255,,,,percent of total billed charges,,429.1225,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,340,,,,percent of total billed charges,,255,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL RECPTR BETA PCR (QUEST),301,RC,,,,,inpatient,,,425,,212.5,255,429.1225,399.5,,,,percent of total billed charges,,340,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,352.75,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,391,,,,percent of total billed charges,,391,,,,percent of total billed charges,,402.05,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,412.25,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,374,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,382.5,,,,percent of total billed charges,,255,,,,percent of total billed charges,,429.1225,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,403.75,,,,percent of total billed charges,,340,,,,percent of total billed charges,,255,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTATE TRIPLE STAIN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY PNL PCR (QUEST),310,RC,,,,,inpatient,,,399,,199.5,239.4,402.8703,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,258.552,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,402.8703,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY PNL PCR (QUEST),310,RC,,,,,inpatient,,,399,,199.5,239.4,402.8703,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,258.552,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,402.8703,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY PNL PCR (QUEST),301,RC,,,,,inpatient,,,399,,199.5,239.4,402.8703,375.06,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,331.17,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,367.08,,,,percent of total billed charges,,377.454,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,387.03,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,351.12,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,258.552,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,402.8703,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,379.05,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYD88 MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,751,,375.5,450.6,758.2847,705.94,,,,percent of total billed charges,,600.8,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,623.33,,,,percent of total billed charges,,675.9,,,,percent of total billed charges,,690.92,,,,percent of total billed charges,,690.92,,,,percent of total billed charges,,710.446,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,728.47,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,660.88,,,,percent of total billed charges,,675.9,,,,percent of total billed charges,,486.648,,,,percent of total billed charges,,675.9,,,,percent of total billed charges,,450.6,,,,percent of total billed charges,,758.2847,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,713.45,,,,percent of total billed charges,,600.8,,,,percent of total billed charges,,450.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA ROS1 REARR (QUEST),311,RC,,,,,inpatient,,,482,,241,289.2,486.6754,453.08,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,400.06,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,455.972,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,467.54,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,424.16,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,312.336,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,486.6754,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 LUNG (PEM) IHC (QUEST),312,RC,,,,,inpatient,,,853,,426.5,511.8,861.2741,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,861.2741,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 BLADDER (QUEST),312,RC,,,,,inpatient,,,853,,426.5,511.8,861.2741,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,861.2741,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 (ATEZO) IHC (QUEST),312,RC,,,,,inpatient,,,853,,426.5,511.8,861.2741,801.82,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,707.99,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,784.76,,,,percent of total billed charges,,806.938,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,827.41,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,750.64,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,767.7,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,861.2741,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,810.35,,,,percent of total billed charges,,682.4,,,,percent of total billed charges,,511.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GAD65, IA-2 AND INSULIN AB (QUEST)",302,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GAD65, IA-2 AND INSULIN AB (QUEST)",302,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLIAL FIBRILLARY ACIDIC PROT IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MELAN-A IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROFILAMENT PROT IHC (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P504S IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WILMS' TUMOR-1 IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PDGFRA MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,688,,344,412.8,694.6736,646.72,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,571.04,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,632.96,,,,percent of total billed charges,,650.848,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,667.36,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,445.824,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,694.6736,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,550.4,,,,percent of total billed charges,,412.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTEN IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, MET AMPL (QUEST)",311,RC,,,,,inpatient,,,238,,119,142.8,240.3086,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,154.224,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,240.3086,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, MET AMPL (QUEST)",311,RC,,,,,inpatient,,,446,,223,267.6,450.3262,419.24,,,,percent of total billed charges,,356.8,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,370.18,,,,percent of total billed charges,,401.4,,,,percent of total billed charges,,410.32,,,,percent of total billed charges,,410.32,,,,percent of total billed charges,,421.916,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,432.62,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,392.48,,,,percent of total billed charges,,401.4,,,,percent of total billed charges,,289.008,,,,percent of total billed charges,,401.4,,,,percent of total billed charges,,267.6,,,,percent of total billed charges,,450.3262,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,423.7,,,,percent of total billed charges,,356.8,,,,percent of total billed charges,,267.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGG IHC (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 IHC (QUEST),312,RC,,,,,inpatient,,,568,,284,340.8,573.5096,533.92,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,471.44,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,537.328,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,550.96,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,499.84,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,368.064,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,573.5096,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS TEST, NON-TREPONEMAL ANTIBODY",310,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOCOCCUS ANTIGEN TITER, LFA, SPINAL FLUID",306,RC,,,,,inpatient,,,600,,300,360,605.82,564,,,,percent of total billed charges,,480,,,,percent of total billed charges,,570,,,,percent of total billed charges,,498,,,,percent of total billed charges,,540,,,,percent of total billed charges,,552,,,,percent of total billed charges,,552,,,,percent of total billed charges,,567.6,,,,percent of total billed charges,,570,,,,percent of total billed charges,,582,,,,percent of total billed charges,,570,,,,percent of total billed charges,,528,,,,percent of total billed charges,,540,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,540,,,,percent of total billed charges,,360,,,,percent of total billed charges,,605.82,,,,percent of total billed charges,,570,,,,percent of total billed charges,,570,,,,percent of total billed charges,,480,,,,percent of total billed charges,,360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYPTOCOCCUS ANTIGEN TITER, LFA, SERUM",306,RC,,,,,inpatient,,,625,,312.5,375,631.0625,587.5,,,,percent of total billed charges,,500,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,518.75,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,575,,,,percent of total billed charges,,575,,,,percent of total billed charges,,591.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,606.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,550,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,405,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,375,,,,percent of total billed charges,,631.0625,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,500,,,,percent of total billed charges,,375,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP PANEL 22 TARGETS INCL SARSCOV2,310,RC,,,,,inpatient,,,1052,,526,631.2,1062.2044,988.88,,,,percent of total billed charges,,841.6,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,873.16,,,,percent of total billed charges,,946.8,,,,percent of total billed charges,,967.84,,,,percent of total billed charges,,967.84,,,,percent of total billed charges,,995.192,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,1020.44,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,925.76,,,,percent of total billed charges,,946.8,,,,percent of total billed charges,,681.696,,,,percent of total billed charges,,946.8,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,1062.2044,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,999.4,,,,percent of total billed charges,,841.6,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NPM1 MUTATION ANALYSIS, V",310,RC,,,,,inpatient,,,892,,446,535.2,900.6524,838.48,,,,percent of total billed charges,,713.6,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,740.36,,,,percent of total billed charges,,802.8,,,,percent of total billed charges,,820.64,,,,percent of total billed charges,,820.64,,,,percent of total billed charges,,843.832,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,865.24,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,784.96,,,,percent of total billed charges,,802.8,,,,percent of total billed charges,,578.016,,,,percent of total billed charges,,802.8,,,,percent of total billed charges,,535.2,,,,percent of total billed charges,,900.6524,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,847.4,,,,percent of total billed charges,,713.6,,,,percent of total billed charges,,535.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY NONANTIBODY,301,RC,,,,,inpatient,,,303,,151.5,181.8,305.9391,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,196.344,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,305.9391,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,,,,,inpatient,,,361,,180.5,216.6,364.5017,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,233.928,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,364.5017,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KAPPA FREE LIGHT CHAIN, CSF",301,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THIOPURINES AND METABOLITES, B",301,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PTH, FNAB, NEEDLE WASH",301,RC,,,,,inpatient,,,430,,215,258,434.171,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,278.64,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,434.171,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PANCREATIC ELASTASE, F",301,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENC2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DYS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,202,,101,121.2,203.9594,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,130.896,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,203.9594,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DYS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN 2,302,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DYS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,258,,129,154.8,260.5026,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,167.184,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,260.5026,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DYS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,974,,487,584.4,983.4478,915.56,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,808.42,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,896.08,,,,percent of total billed charges,,921.404,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,944.78,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,857.12,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,631.152,,,,percent of total billed charges,,876.6,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,983.4478,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,925.3,,,,percent of total billed charges,,779.2,,,,percent of total billed charges,,584.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,632,,316,379.2,638.1304,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,409.536,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,638.1304,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CDS1 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,616,,308,369.6,621.9752,579.04,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,582.736,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,542.08,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,399.168,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,621.9752,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AIAES FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,183,,91.5,109.8,184.7751,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,118.584,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,184.7751,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AIAES PROTEIN, WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,,,,,inpatient,,,438,,219,262.8,442.2486,411.72,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,363.54,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,402.96,,,,percent of total billed charges,,414.348,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,424.86,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,385.44,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,283.824,,,,percent of total billed charges,,394.2,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,442.2486,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,416.1,,,,percent of total billed charges,,350.4,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AIAES IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,279,,139.5,167.4,281.7063,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,180.792,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,281.7063,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAD65AB ASSAY,302,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAC1 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAC1 PROTEIN, WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,,,,,inpatient,,,426,,213,255.6,430.1322,400.44,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,353.58,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,391.92,,,,percent of total billed charges,,402.996,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,413.22,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,374.88,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,276.048,,,,percent of total billed charges,,383.4,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,430.1322,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,404.7,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAC1 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,343,,171.5,205.8,346.3271,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,222.264,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,346.3271,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RIA NONANTIBODY,302,RC,,,,,inpatient,,,263,,131.5,157.8,265.5511,247.22,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,218.29,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,248.798,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,255.11,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,231.44,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,170.424,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,265.5511,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL ANTIBODY,302,RC,,,,,inpatient,,,338,,169,202.8,341.2786,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,341.2786,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORESCENT ANTIBODY SCREEN,302,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN WESTERN BLOT TEST,301,RC,,,,,inpatient,,,418,,209,250.8,422.0546,392.92,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,346.94,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,395.428,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,405.46,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,367.84,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,270.864,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,422.0546,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDEC,302,RC,,,,,inpatient,,,198,,99,118.8,199.9206,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,199.9206,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDEC QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,387,,193.5,232.2,390.7539,363.78,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,321.21,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,356.04,,,,percent of total billed charges,,366.102,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,375.39,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,250.776,,,,percent of total billed charges,,348.3,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,390.7539,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,367.65,,,,percent of total billed charges,,309.6,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDES IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,281,,140.5,168.6,283.7257,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,182.088,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,283.7257,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCDES QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,361,,180.5,216.6,364.5017,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,233.928,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,364.5017,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PCDES FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDC2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDC2 PROTEIN,WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,,,,,inpatient,,,210,,105,126,212.037,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,212.037,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDC2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,171,,85.5,102.6,172.6587,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,110.808,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,172.6587,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MDS2 PROTEIN, WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,,,,,inpatient,,,272,,136,163.2,274.6384,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,176.256,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,274.6384,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPC2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EACH ANTIBODY",302,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN,WESTERN BLOT,W/IMMUNOLOGICAL PROBE FOR BAND IDENTIFICATION,EACH",301,RC,,,,,inpatient,,,532,,266,319.2,537.1604,500.08,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,441.56,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,489.44,,,,percent of total billed charges,,489.44,,,,percent of total billed charges,,503.272,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,516.04,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,468.16,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,344.736,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,537.1604,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,505.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,319.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,205,,102.5,123,206.9885,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,206.9885,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,261,,130.5,156.6,263.5317,245.34,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,216.63,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,246.906,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,253.17,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,169.128,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,263.5317,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DMC2  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DMC2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DMS2 IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,188,,94,112.8,189.8236,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,121.824,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,189.8236,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DMS2 QUALITATIVE OR SEMIQUANTITATIVE IMMUNOASSAYS,302,RC,,,,,inpatient,,,240,,120,144,242.328,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,155.52,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,242.328,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DMS2 FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;SCREEN,EA ANTIBODY",302,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDM2-FISH (NEO),312,RC,,,,,inpatient,,,660,,330,396,666.402,620.4,,,,percent of total billed charges,,528,,,,percent of total billed charges,,627,,,,percent of total billed charges,,547.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,624.36,,,,percent of total billed charges,,627,,,,percent of total billed charges,,640.2,,,,percent of total billed charges,,627,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,594,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,594,,,,percent of total billed charges,,396,,,,percent of total billed charges,,666.402,,,,percent of total billed charges,,627,,,,percent of total billed charges,,627,,,,percent of total billed charges,,528,,,,percent of total billed charges,,396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 PROMOTER METHYLATION (NEO),310,RC,,,,,inpatient,,,1024,,512,614.4,1033.9328,962.56,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,849.92,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,942.08,,,,percent of total billed charges,,968.704,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,993.28,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,901.12,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,663.552,,,,percent of total billed charges,,921.6,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,1033.9328,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,972.8,,,,percent of total billed charges,,819.2,,,,percent of total billed charges,,614.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC BAND 3 PROTEIN REDUCTION IN HS,311,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEINZ BODY STAIN, DIRECT",305,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG  HEINZ BODY STAIN, INDUCED",305,RC,,,,,inpatient,,,207,,103.5,124.2,209.0079,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,209.0079,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VON WILLEBRAND FACTOR COLLAGEN BINDING,301,RC,,,,,inpatient,,,372,,186,223.2,375.6084,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,241.056,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,375.6084,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE FOR NON-NEOPLASTIC DISORDERS,311,RC,,,,,inpatient,,,1008,,504,604.8,1017.7776,947.52,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,836.64,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,927.36,,,,percent of total billed charges,,953.568,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,977.76,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,887.04,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,653.184,,,,percent of total billed charges,,907.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,1017.7776,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,806.4,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCORE 100 CELLS, CLASTOGEN STRESS",311,RC,,,,,inpatient,,,1394,,697,836.4,1407.5218,1310.36,,,,percent of total billed charges,,1115.2,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1157.02,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,1282.48,,,,percent of total billed charges,,1282.48,,,,percent of total billed charges,,1318.724,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1352.18,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1226.72,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,903.312,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,836.4,,,,percent of total billed charges,,1407.5218,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1324.3,,,,percent of total billed charges,,1115.2,,,,percent of total billed charges,,836.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HHV8 BY QUANTITATIVE PCR, SOURCE",306,RC,,,,,inpatient,,,605,,302.5,363,610.8685,568.7,,,,percent of total billed charges,,484,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,502.15,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,572.33,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,586.85,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,532.4,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,392.04,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,363,,,,percent of total billed charges,,610.8685,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,484,,,,percent of total billed charges,,363,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYOGLOBULIN, S",301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYOFIBRINOGEN, P",301,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFIXATION CRYOGLOBULIN,302,RC,,,,,inpatient,,,386,,193,231.6,389.7442,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,250.128,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,389.7442,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PYRUVATE KINASE, RBC",301,RC,,,,,inpatient,,,474,,237,284.4,478.5978,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,307.152,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,478.5978,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MPN (JAK2 V617F, CALR, MPL) REFLEX",310,RC,,,,,inpatient,,,678,,339,406.8,684.5766,637.32,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,562.74,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,623.76,,,,percent of total billed charges,,641.388,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,657.66,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,596.64,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,439.344,,,,percent of total billed charges,,610.2,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,684.5766,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,644.1,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,406.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALR, GENE MUTATION, EXON 9, REFLEX",310,RC,,,,,inpatient,,,951,,475.5,570.6,960.2247,893.94,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,789.33,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,874.92,,,,percent of total billed charges,,899.646,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,922.47,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,836.88,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,616.248,,,,percent of total billed charges,,855.9,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,960.2247,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,903.45,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MPL EXON 10 MUTATION DETECTION, R",310,RC,,,,,inpatient,,,1747,,873.5,1048.2,1763.9459,1642.18,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1450.01,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1652.662,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1694.59,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1537.36,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1132.056,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,1763.9459,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOGENIC FVIII, P",305,RC,,,,,inpatient,,,531,,265.5,318.6,536.1507,499.14,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,440.73,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,488.52,,,,percent of total billed charges,,502.326,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,515.07,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,467.28,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,344.088,,,,percent of total billed charges,,477.9,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,536.1507,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,504.45,,,,percent of total billed charges,,424.8,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR X CHROMOGENIC ACTIVITY ASSAY,305,RC,,,,,inpatient,,,869,,434.5,521.4,877.4293,816.86,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,721.27,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,822.074,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,842.93,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,764.72,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,563.112,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,877.4293,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOGENIC FVIII, P",305,RC,,,,,inpatient,,,413,,206.5,247.8,417.0061,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,267.624,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,417.0061,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMOGENIC FVIII INHIBITOR TITER,P",305,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOGENIC FVIII INHIBITOR INTERP,305,RC,,,,,inpatient,,,498,,249,298.8,502.8306,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,322.704,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,502.8306,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COAG FACTOR X ASSAY, P",305,RC,,,,,inpatient,,,647,,323.5,388.2,653.2759,608.18,,,,percent of total billed charges,,517.6,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,537.01,,,,percent of total billed charges,,582.3,,,,percent of total billed charges,,595.24,,,,percent of total billed charges,,595.24,,,,percent of total billed charges,,612.062,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,627.59,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,569.36,,,,percent of total billed charges,,582.3,,,,percent of total billed charges,,419.256,,,,percent of total billed charges,,582.3,,,,percent of total billed charges,,388.2,,,,percent of total billed charges,,653.2759,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,614.65,,,,percent of total billed charges,,517.6,,,,percent of total billed charges,,388.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BETA GLOBIN GENE SEQUENCING, B",310,RC,,,,,inpatient,,,1739,,869.5,1043.4,1755.8683,1634.66,,,,percent of total billed charges,,1391.2,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1443.37,,,,percent of total billed charges,,1565.1,,,,percent of total billed charges,,1599.88,,,,percent of total billed charges,,1599.88,,,,percent of total billed charges,,1645.094,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1686.83,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1530.32,,,,percent of total billed charges,,1565.1,,,,percent of total billed charges,,1126.872,,,,percent of total billed charges,,1565.1,,,,percent of total billed charges,,1043.4,,,,percent of total billed charges,,1755.8683,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1652.05,,,,percent of total billed charges,,1391.2,,,,percent of total billed charges,,1043.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EHRLICHIA/ANAPLASMA PCR, B",306,RC,,,,,inpatient,,,863,,431.5,517.8,871.3711,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,559.224,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,871.3711,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BORRELIA MIYAMOTOI DETECTION PCR, B",306,RC,,,,,inpatient,,,262,,131,157.2,264.5414,246.28,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,217.46,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,247.852,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,254.14,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,230.56,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,169.776,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,264.5414,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BABESIA SPECIES, PCR, B",306,RC,,,,,inpatient,,,702,,351,421.2,708.8094,659.88,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,582.66,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,664.092,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,680.94,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,617.76,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,454.896,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,708.8094,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 2,3-DINOR 11B-PROSTAGLANDIN F2A, U",301,RC,,,,,inpatient,,,549,,274.5,329.4,554.3253,516.06,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,455.67,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,505.08,,,,percent of total billed charges,,519.354,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,532.53,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,483.12,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,355.752,,,,percent of total billed charges,,494.1,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,554.3253,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,521.55,,,,percent of total billed charges,,439.2,,,,percent of total billed charges,,329.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUKOTRIENE E4, U",301,RC,,,,,inpatient,,,537,,268.5,322.2,542.2089,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,347.976,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,542.2089,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BB S/U DAT,390,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV1 GENOTYPE BY SEQUENCING,306,RC,,,,,inpatient,,,836,,418,501.6,844.1092,785.84,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,693.88,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,790.856,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,810.92,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,735.68,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,541.728,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,844.1092,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,794.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MULTIPLEX RESPIRATORY ASSAY -CEPHEID,306,RC,,,,,inpatient,,,679,,339.5,407.4,685.5863,638.26,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,642.334,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,658.63,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,439.992,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,685.5863,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KI67 IHC WITH INTERPRET (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER/PR/KI67/HER2 (QUEST),310,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 FISH (QUEST),310,RC,,,,,inpatient,,,410,,205,246,413.977,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,265.68,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,413.977,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGFR MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,519,,259.5,311.4,524.0343,487.86,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,430.77,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,477.48,,,,percent of total billed charges,,490.974,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,503.43,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,456.72,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,336.312,,,,percent of total billed charges,,467.1,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,524.0343,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,493.05,,,,percent of total billed charges,,415.2,,,,percent of total billed charges,,311.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC ENZYMES,301,RC,,,,,inpatient,,,1070,,535,642,1080.379,1005.8,,,,percent of total billed charges,,856,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,888.1,,,,percent of total billed charges,,963,,,,percent of total billed charges,,984.4,,,,percent of total billed charges,,984.4,,,,percent of total billed charges,,1012.22,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,1037.9,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,941.6,,,,percent of total billed charges,,963,,,,percent of total billed charges,,693.36,,,,percent of total billed charges,,963,,,,percent of total billed charges,,642,,,,percent of total billed charges,,1080.379,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,1016.5,,,,percent of total billed charges,,856,,,,percent of total billed charges,,642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTHROMBIN COMPLEX CONCENTRATE, KCENTRA, PER IU OF FACTOR",636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACTIVATED COAGULATION TIME, GLOBAL",305,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPARIN NEUTRALIZATION, GLOBAL",305,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIBRINOGEN ACTIVITY, GLOBAL",305,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACTIVATED COAGULATION TIME, TRAUMA",305,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIBRINOGEN ACTIVITY, TRAUMA",305,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPARIN NEUTRALIZATION, PLATELET MAPPING",305,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLATELET AGGREGATION, PLATELET MAPPING",305,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COVID-19 IGG ANTIBODY, NUCLEOCAPSID",302,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COVID ANTIBODY, IGM",302,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE,301,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HMG-COA REDUCTASE AB, S",301,RC,,,,,inpatient,,,528,,264,316.8,533.1216,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,342.144,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,533.1216,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AGNA-1 IMMUNOBLOT, CSF",301,RC,,,,,inpatient,,,263,,131.5,157.8,265.5511,247.22,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,218.29,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,248.798,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,255.11,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,231.44,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,170.424,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,265.5511,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CERAMIDE TRIHEX AND SULFATIDE, U",301,RC,,,,,inpatient,,,1272,,636,763.2,1284.3384,1195.68,,,,percent of total billed charges,,1017.6,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1055.76,,,,percent of total billed charges,,1144.8,,,,percent of total billed charges,,1170.24,,,,percent of total billed charges,,1170.24,,,,percent of total billed charges,,1203.312,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1233.84,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1119.36,,,,percent of total billed charges,,1144.8,,,,percent of total billed charges,,824.256,,,,percent of total billed charges,,1144.8,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,1284.3384,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1208.4,,,,percent of total billed charges,,1017.6,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CULTURE REFERRED FOR IDENTIFICATION, FUNGUS",306,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG D2 FUNGAL SEQUENCING ID,306,RC,,,,,inpatient,,,430,,215,258,434.171,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,278.64,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,434.171,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGAL IDENT PANEL A,306,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGAL IDENT PANEL B,306,RC,,,,,inpatient,,,214,,107,128.4,216.0758,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,138.672,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,216.0758,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENT RAPID PCR COCCIDIOIDES,306,RC,,,,,inpatient,,,277,,138.5,166.2,279.6869,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,179.496,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,279.6869,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ID, HISTOPLASMA/BLASTOMYCES PCR",306,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID MALDI-TOF MASS SPEC FUNGI,306,RC,,,,,inpatient,,,310,,155,186,313.007,291.4,,,,percent of total billed charges,,248,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,257.3,,,,percent of total billed charges,,279,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,285.2,,,,percent of total billed charges,,293.26,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,300.7,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,272.8,,,,percent of total billed charges,,279,,,,percent of total billed charges,,200.88,,,,percent of total billed charges,,279,,,,percent of total billed charges,,186,,,,percent of total billed charges,,313.007,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,294.5,,,,percent of total billed charges,,248,,,,percent of total billed charges,,186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID MALDI-TOF MASS SPEC YEAST,306,RC,,,,,inpatient,,,279,,139.5,167.4,281.7063,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,180.792,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,281.7063,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTERLEUKIN 6, P",301,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CARBAMAZEPINE, FREE",301,RC,,,,,inpatient,,,394,,197,236.4,397.8218,370.36,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,327.02,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,372.724,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,382.18,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,346.72,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,255.312,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,397.8218,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTRON MICROSCOPY,312,RC,,,,,inpatient,,,935,,467.5,561,944.0695,878.9,,,,percent of total billed charges,,748,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,776.05,,,,percent of total billed charges,,841.5,,,,percent of total billed charges,,860.2,,,,percent of total billed charges,,860.2,,,,percent of total billed charges,,884.51,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,906.95,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,822.8,,,,percent of total billed charges,,841.5,,,,percent of total billed charges,,605.88,,,,percent of total billed charges,,841.5,,,,percent of total billed charges,,561,,,,percent of total billed charges,,944.0695,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,888.25,,,,percent of total billed charges,,748,,,,percent of total billed charges,,561,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROS-1 CYTOGENETICS DNA PROBE,311,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROS-1 CYTOGENETICS 25-99,311,RC,,,,,inpatient,,,883,,441.5,529.8,891.5651,830.02,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,732.89,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,835.318,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,856.51,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,777.04,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,572.184,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,891.5651,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PD-L1 PEMBROLIZUMAB MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,,,,,inpatient,,,917,,458.5,550.2,925.8949,861.98,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,761.11,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,867.482,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,889.49,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,806.96,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,594.216,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,925.8949,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ER/PR/HER2 MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,,,,,inpatient,,,575,,287.5,345,580.5775,540.5,,,,percent of total billed charges,,460,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,477.25,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,529,,,,percent of total billed charges,,529,,,,percent of total billed charges,,543.95,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,557.75,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,506,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,580.5775,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,460,,,,percent of total billed charges,,345,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY TRB GENE REARRANGE AMPLIFY,310,RC,,,,,inpatient,,,1332,,666,799.2,1344.9204,1252.08,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1105.56,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1260.072,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1292.04,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1172.16,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,863.136,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,1344.9204,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T-CELL CLONALITY TRG GENE REARRANGEMENT ANALYSIS,310,RC,,,,,inpatient,,,1286,,643,771.6,1298.4742,1208.84,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1067.38,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1183.12,,,,percent of total billed charges,,1216.556,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1247.42,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1131.68,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,833.328,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,1298.4742,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1221.7,,,,percent of total billed charges,,1028.8,,,,percent of total billed charges,,771.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY IGH GENE REARRANGE AMP METH,310,RC,,,,,inpatient,,,1093,,546.5,655.8,1103.6021,1027.42,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,907.19,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1005.56,,,,percent of total billed charges,,1033.978,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1060.21,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,961.84,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,708.264,,,,percent of total billed charges,,983.7,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,1103.6021,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,1038.35,,,,percent of total billed charges,,874.4,,,,percent of total billed charges,,655.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B-CELL CLONALITY IGK REARRANGEABN CLONAL POP,310,RC,,,,,inpatient,,,953,,476.5,571.8,962.2441,895.82,,,,percent of total billed charges,,762.4,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,790.99,,,,percent of total billed charges,,857.7,,,,percent of total billed charges,,876.76,,,,percent of total billed charges,,876.76,,,,percent of total billed charges,,901.538,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,924.41,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,838.64,,,,percent of total billed charges,,857.7,,,,percent of total billed charges,,617.544,,,,percent of total billed charges,,857.7,,,,percent of total billed charges,,571.8,,,,percent of total billed charges,,962.2441,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,905.35,,,,percent of total billed charges,,762.4,,,,percent of total billed charges,,571.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HG LYMPHOMA CYTOGENETICS 100-300,311,RC,,,,,inpatient,,,1950,,975,1170,1968.915,1833,,,,percent of total billed charges,,1560,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1618.5,,,,percent of total billed charges,,1755,,,,percent of total billed charges,,1794,,,,percent of total billed charges,,1794,,,,percent of total billed charges,,1844.7,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1891.5,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1716,,,,percent of total billed charges,,1755,,,,percent of total billed charges,,1263.6,,,,percent of total billed charges,,1755,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1968.915,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1852.5,,,,percent of total billed charges,,1560,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HG LYMPHOMA CYTOGENETICS DNA PROBE,311,RC,,,,,inpatient,,,817,,408.5,490.2,824.9249,767.98,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,678.11,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,772.882,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,792.49,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,529.416,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,824.9249,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE VARIANTS EXON 2,310,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS GENE ADDL VARIANTS,310,RC,,,,,inpatient,,,412,,206,247.2,415.9964,387.28,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,341.96,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,379.04,,,,percent of total billed charges,,389.752,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,399.64,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,362.56,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,266.976,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,415.9964,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,391.4,,,,percent of total billed charges,,329.6,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF GENE,310,RC,,,,,inpatient,,,1196,,598,717.6,1207.6012,1124.24,,,,percent of total billed charges,,956.8,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,992.68,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,1100.32,,,,percent of total billed charges,,1100.32,,,,percent of total billed charges,,1131.416,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1160.12,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1052.48,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,775.008,,,,percent of total billed charges,,1076.4,,,,percent of total billed charges,,717.6,,,,percent of total billed charges,,1207.6012,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,1136.2,,,,percent of total billed charges,,956.8,,,,percent of total billed charges,,717.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NRAS GENE VARIANTS EXON 2&3,310,RC,,,,,inpatient,,,823,,411.5,493.8,830.9831,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,533.304,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,830.9831,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PIK3CA GENE TRGT SEQ ALYS,310,RC,,,,,inpatient,,,873,,436.5,523.8,881.4681,820.62,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,825.858,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,846.81,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,565.704,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,881.4681,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PD-L1 NIVOLUMAB MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,,,,,inpatient,,,917,,458.5,550.2,925.8949,861.98,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,761.11,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,843.64,,,,percent of total billed charges,,867.482,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,889.49,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,806.96,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,594.216,,,,percent of total billed charges,,825.3,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,925.8949,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,871.15,,,,percent of total billed charges,,733.6,,,,percent of total billed charges,,550.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PD-L1, IHC WITH INTERP",312,RC,,,,,inpatient,,,611,,305.5,366.6,616.9267,574.34,,,,percent of total billed charges,,488.8,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,507.13,,,,percent of total billed charges,,549.9,,,,percent of total billed charges,,562.12,,,,percent of total billed charges,,562.12,,,,percent of total billed charges,,578.006,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,592.67,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,537.68,,,,percent of total billed charges,,549.9,,,,percent of total billed charges,,395.928,,,,percent of total billed charges,,549.9,,,,percent of total billed charges,,366.6,,,,percent of total billed charges,,616.9267,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,580.45,,,,percent of total billed charges,,488.8,,,,percent of total billed charges,,366.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EGFR GENE COM VARIANTS,310,RC,,,,,inpatient,,,1747,,873.5,1048.2,1763.9459,1642.18,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1450.01,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1607.24,,,,percent of total billed charges,,1652.662,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1694.59,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1537.36,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1132.056,,,,percent of total billed charges,,1572.3,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,1763.9459,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1659.65,,,,percent of total billed charges,,1397.6,,,,percent of total billed charges,,1048.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALK2P23 CYTOGENETICS DNA PROBE,311,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALK2P23 CYTOGENETICS 25-99,311,RC,,,,,inpatient,,,484,,242,290.4,488.6948,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,313.632,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,488.6948,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 MULTIPLEX PROBE,312,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-CAHERIN IHC,312,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ER/PR  MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,,,,,inpatient,,,383,,191.5,229.8,386.7151,360.02,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,317.89,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,362.318,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,371.51,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,337.04,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,248.184,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,386.7151,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HER2 MORPHOMETRIC ANALYSIS, TUMOR IHC",312,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF V600 GENE,310,RC,,,,,inpatient,,,1810,,905,1086,1827.557,1701.4,,,,percent of total billed charges,,1448,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1502.3,,,,percent of total billed charges,,1629,,,,percent of total billed charges,,1665.2,,,,percent of total billed charges,,1665.2,,,,percent of total billed charges,,1712.26,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1755.7,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1592.8,,,,percent of total billed charges,,1629,,,,percent of total billed charges,,1172.88,,,,percent of total billed charges,,1629,,,,percent of total billed charges,,1086,,,,percent of total billed charges,,1827.557,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1719.5,,,,percent of total billed charges,,1448,,,,percent of total billed charges,,1086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA CULTURE REFER ID+SUSC,306,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID MALDI-TOF MASS SPEC AFB,306,RC,,,,,inpatient,,,245,,122.5,147,247.3765,230.3,,,,percent of total billed charges,,196,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,203.35,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,231.77,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,237.65,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,215.6,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,158.76,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,147,,,,percent of total billed charges,,247.3765,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,196,,,,percent of total billed charges,,147,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ID, MTB SPECIATION, PCR",306,RC,,,,,inpatient,,,448,,224,268.8,452.3456,421.12,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,371.84,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,412.16,,,,percent of total billed charges,,423.808,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,434.56,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,394.24,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,290.304,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,452.3456,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,425.6,,,,percent of total billed charges,,358.4,,,,percent of total billed charges,,268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA PROBE IDENT SOLID TBMP1,306,RC,,,,,inpatient,,,253,,126.5,151.8,255.4541,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,163.944,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,255.4541,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACTERIA PROBE IDENT BROTH TBPB1,306,RC,,,,,inpatient,,,314,,157,188.4,317.0458,295.16,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,260.62,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,288.88,,,,percent of total billed charges,,297.044,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,304.58,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,276.32,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,203.472,,,,percent of total billed charges,,282.6,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,317.0458,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,298.3,,,,percent of total billed charges,,251.2,,,,percent of total billed charges,,188.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOBACT IDENT BY SEQUENCING,306,RC,,,,,inpatient,,,432,,216,259.2,436.1904,406.08,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,358.56,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,397.44,,,,percent of total billed charges,,408.672,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,419.04,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,279.936,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,436.1904,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY RAPID GROWER,306,RC,,,,,inpatient,,,938,,469,562.8,947.0986,881.72,,,,percent of total billed charges,,750.4,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,778.54,,,,percent of total billed charges,,844.2,,,,percent of total billed charges,,862.96,,,,percent of total billed charges,,862.96,,,,percent of total billed charges,,887.348,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,909.86,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,825.44,,,,percent of total billed charges,,844.2,,,,percent of total billed charges,,607.824,,,,percent of total billed charges,,844.2,,,,percent of total billed charges,,562.8,,,,percent of total billed charges,,947.0986,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,891.1,,,,percent of total billed charges,,750.4,,,,percent of total billed charges,,562.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY SLOW GROWER,306,RC,,,,,inpatient,,,728,,364,436.8,735.0616,684.32,,,,percent of total billed charges,,582.4,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,604.24,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,669.76,,,,percent of total billed charges,,669.76,,,,percent of total billed charges,,688.688,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,706.16,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,640.64,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,471.744,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,436.8,,,,percent of total billed charges,,735.0616,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,691.6,,,,percent of total billed charges,,582.4,,,,percent of total billed charges,,436.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, NOCARDIA",306,RC,,,,,inpatient,,,407,,203.5,244.2,410.9479,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,263.736,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,410.9479,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, MTB COMPLEX, BROTH",306,RC,,,,,inpatient,,,385,,192.5,231,388.7345,361.9,,,,percent of total billed charges,,308,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,319.55,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,364.21,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,373.45,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,338.8,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,249.48,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,231,,,,percent of total billed charges,,388.7345,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,308,,,,percent of total billed charges,,231,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, MTB CX, 2ND LINE",306,RC,,,,,inpatient,,,838,,419,502.8,846.1286,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,543.024,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,846.1286,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, MTB COMPLEX, PZA",306,RC,,,,,inpatient,,,389,,194.5,233.4,392.7733,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,252.072,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,392.7733,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MTB PZA CONFIRMATION, PNCA SEQUENCE",306,RC,,,,,inpatient,,,1086,,543,651.6,1096.5342,1020.84,,,,percent of total billed charges,,868.8,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,901.38,,,,percent of total billed charges,,977.4,,,,percent of total billed charges,,999.12,,,,percent of total billed charges,,999.12,,,,percent of total billed charges,,1027.356,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,1053.42,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,955.68,,,,percent of total billed charges,,977.4,,,,percent of total billed charges,,703.728,,,,percent of total billed charges,,977.4,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,1096.5342,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,1031.7,,,,percent of total billed charges,,868.8,,,,percent of total billed charges,,651.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, AEROBIC",306,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELICOBACTER PYLORI CULTURE,306,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELICOBACTER PYLORI CULTURE,306,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENTIFICATION AEROBIC ISOLATE,306,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENTIFICATION BY NUCLEIC ACID SEQUENCING,306,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYOGLOBULIN, S",301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOFIXATION CRYOGLOBULIN,302,RC,,,,,inpatient,,,449,,224.5,269.4,453.3553,422.06,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,372.67,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,413.08,,,,percent of total billed charges,,424.754,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,435.53,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,395.12,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,290.952,,,,percent of total billed charges,,404.1,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,453.3553,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,426.55,,,,percent of total billed charges,,359.2,,,,percent of total billed charges,,269.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOPLASMA GENITALIUM PCR,306,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB QUANT,301,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB QUANT,301,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACOSAMIDE,301,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSACONAZOLE,301,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VORICONAZOLE,301,RC,,,,,inpatient,,,485,,242.5,291,489.7045,455.9,,,,percent of total billed charges,,388,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,470.45,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,426.8,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,314.28,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,291,,,,percent of total billed charges,,489.7045,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,460.75,,,,percent of total billed charges,,388,,,,percent of total billed charges,,291,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BCR/ABL1 MUTATION, SEQ",310,RC,,,,,inpatient,,,594,,297,356.4,599.7618,558.36,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,493.02,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,561.924,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.18,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,522.72,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,384.912,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,599.7618,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, S, LC-MS/MS",301,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALDOSTERONE, SERUM",301,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, URINE",301,RC,,,,,inpatient,,,3267,,1633.5,1960.2,3298.6899,3070.98,,,,percent of total billed charges,,2613.6,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,2711.61,,,,percent of total billed charges,,2940.3,,,,percent of total billed charges,,3005.64,,,,percent of total billed charges,,3005.64,,,,percent of total billed charges,,3090.582,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,3168.99,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,2874.96,,,,percent of total billed charges,,2940.3,,,,percent of total billed charges,,2117.016,,,,percent of total billed charges,,2940.3,,,,percent of total billed charges,,1960.2,,,,percent of total billed charges,,3298.6899,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,3103.65,,,,percent of total billed charges,,2613.6,,,,percent of total billed charges,,1960.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 1-7 DRUG CLASSES",301,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 8-14 DRUG CLASSES",301,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 15-21 DRUG CLASSES",301,RC,,,,,inpatient,,,431,,215.5,258.6,435.1807,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,279.288,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,435.1807,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEFINITIVE DRUG TEST, 22 + DRUG CLASSES",301,RC,,,,,inpatient,,,538,,269,322.8,543.2186,505.72,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,446.54,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,508.948,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,521.86,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,473.44,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,348.624,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,543.2186,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCHG FETAL CHROMOSOME ANEUPLOIDY2,310,RC,,,,,inpatient,,,2683,,1341.5,1609.8,2709.0251,2522.02,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2226.89,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2538.118,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2602.51,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2361.04,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1738.584,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,2709.0251,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXTRACTABLE NUCLEAR ANTIGEN, ANTIBODY TO ANY METHOD2",302,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE2",301,RC,,,,,inpatient,,,292,,146,175.2,294.8324,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,294.8324,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE7",301,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SNGL DRG CLASS METHOD, BY INSTR TEST SYSTEM, PER DATE OF SERVICE36",301,RC,,,,,inpatient,,,371,,185.5,222.6,374.5987,348.74,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,307.93,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,350.966,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,359.87,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,326.48,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,374.5987,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG PANEL 1 WITH CONF&D/L ISOMERS URINE (QUEST),301,RC,,,,,inpatient,,,356,,178,213.6,359.4532,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,359.4532,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRG SCN,DRG CLSS LSTB BY IMMUN OR NONTLC CHRMATGPHY W/O MSS SPECT2",301,RC,,,,,inpatient,,,318,,159,190.8,321.0846,298.92,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,263.94,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,292.56,,,,percent of total billed charges,,300.828,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,308.46,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,279.84,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,206.064,,,,percent of total billed charges,,286.2,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,321.0846,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,302.1,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, NOT OTHERWISE SPECIFIED2",301,RC,,,,,inpatient,,,332,,166,199.2,335.2204,312.08,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,275.56,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,314.072,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,215.136,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,335.2204,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CANNABINOIDS, NATURAL4",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXYCODONE3,301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPIATES, 1 OR MORE2",301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OPIATES, 1 OR MORE3",301,RC,,,,,inpatient,,,304,,152,182.4,306.9488,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,306.9488,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHADONE3,301,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN, PRESUMPTIVE, SINGLE DRUG CLASS FROM DRUG CLASS2",301,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL2,301,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCRN, NOT OTHWSE SPECIFIED PRESUMPTIVE PROC, EACH PROCEDURE7",301,RC,,,,,inpatient,,,281,,140.5,168.6,283.7257,264.14,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,233.23,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,258.52,,,,percent of total billed charges,,265.826,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,272.57,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,247.28,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,182.088,,,,percent of total billed charges,,252.9,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,283.7257,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,266.95,,,,percent of total billed charges,,224.8,,,,percent of total billed charges,,168.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCAINE2,301,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCAINE6,301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 22",301,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 23",301,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS,1 OR 25",301,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES4,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES8,301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BENZODIAZEPINES, 1-127",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHEMOGLOBIN, QUANT2",301,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SULFHEMOGLOBIN, QUANT2",301,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DNA ANTIBODY, DOUBLE STRANDED IGG3",302,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIV-1,  OTHER REGION (EG INTEGRASE, FUSION)2",306,RC,,,,,inpatient,,,801,,400.5,480.6,808.7697,752.94,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,664.83,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,757.746,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,519.048,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,808.7697,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOLECULAR PATHOLOGY PROCEDURE, LEVEL 78",310,RC,,,,,inpatient,,,1883,,941.5,1129.8,1901.2651,1770.02,,,,percent of total billed charges,,1506.4,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1562.89,,,,percent of total billed charges,,1694.7,,,,percent of total billed charges,,1732.36,,,,percent of total billed charges,,1732.36,,,,percent of total billed charges,,1781.318,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1826.51,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1657.04,,,,percent of total billed charges,,1694.7,,,,percent of total billed charges,,1220.184,,,,percent of total billed charges,,1694.7,,,,percent of total billed charges,,1129.8,,,,percent of total billed charges,,1901.2651,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1788.85,,,,percent of total billed charges,,1506.4,,,,percent of total billed charges,,1129.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE2,310,RC,,,,,inpatient,,,1642,,821,985.2,1657.9274,1543.48,,,,percent of total billed charges,,1313.6,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1362.86,,,,percent of total billed charges,,1477.8,,,,percent of total billed charges,,1510.64,,,,percent of total billed charges,,1510.64,,,,percent of total billed charges,,1553.332,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1592.74,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1444.96,,,,percent of total billed charges,,1477.8,,,,percent of total billed charges,,1064.016,,,,percent of total billed charges,,1477.8,,,,percent of total billed charges,,985.2,,,,percent of total billed charges,,1657.9274,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1559.9,,,,percent of total billed charges,,1313.6,,,,percent of total billed charges,,985.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE4,310,RC,,,,,inpatient,,,1260,,630,756,1272.222,1184.4,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1134,,,,percent of total billed charges,,1159.2,,,,percent of total billed charges,,1159.2,,,,percent of total billed charges,,1191.96,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1222.2,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1134,,,,percent of total billed charges,,816.48,,,,percent of total billed charges,,1134,,,,percent of total billed charges,,756,,,,percent of total billed charges,,1272.222,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1197,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE9,310,RC,,,,,inpatient,,,1484,,742,890.4,1498.3948,1394.96,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1231.72,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1403.864,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1439.48,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1305.92,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,961.632,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,1498.3948,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE16,310,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE22,310,RC,,,,,inpatient,,,620,,310,372,626.014,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,401.76,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,626.014,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE27,310,RC,,,,,inpatient,,,900,,450,540,908.73,846,,,,percent of total billed charges,,720,,,,percent of total billed charges,,855,,,,percent of total billed charges,,747,,,,percent of total billed charges,,810,,,,percent of total billed charges,,828,,,,percent of total billed charges,,828,,,,percent of total billed charges,,851.4,,,,percent of total billed charges,,855,,,,percent of total billed charges,,873,,,,percent of total billed charges,,855,,,,percent of total billed charges,,792,,,,percent of total billed charges,,810,,,,percent of total billed charges,,583.2,,,,percent of total billed charges,,810,,,,percent of total billed charges,,540,,,,percent of total billed charges,,908.73,,,,percent of total billed charges,,855,,,,percent of total billed charges,,855,,,,percent of total billed charges,,720,,,,percent of total billed charges,,540,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY PROCEDURE28,310,RC,,,,,inpatient,,,1402,,701,841.2,1415.5994,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,908.496,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1415.5994,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN URINE OR OTHER SOURCE MMSP2,307,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUMIN MMSP2,307,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC SUSCEPTIBILITY2,300,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC IDENTIFICATION2,300,RC,,,,,inpatient,,,379,,189.5,227.4,382.6763,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,245.592,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,382.6763,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYP2C9 GENE ANALYSIS2,310,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TBR T CELL ANTIGEN RECEPTOR8,310,RC,,,,,inpatient,,,671,,335.5,402.6,677.5087,630.74,,,,percent of total billed charges,,536.8,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,556.93,,,,percent of total billed charges,,603.9,,,,percent of total billed charges,,617.32,,,,percent of total billed charges,,617.32,,,,percent of total billed charges,,634.766,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,650.87,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,590.48,,,,percent of total billed charges,,603.9,,,,percent of total billed charges,,434.808,,,,percent of total billed charges,,603.9,,,,percent of total billed charges,,402.6,,,,percent of total billed charges,,677.5087,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,637.45,,,,percent of total billed charges,,536.8,,,,percent of total billed charges,,402.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM ENGRAFTMENT POST TRANS2,310,RC,,,,,inpatient,,,484,,242,290.4,488.6948,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,313.632,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,488.6948,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMR1 FRAGILE X2,310,RC,,,,,inpatient,,,326,,163,195.6,329.1622,306.44,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,270.58,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,308.396,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,316.22,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,211.248,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,329.1622,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR DUPLICATION/DELETION VARIANTS4,310,RC,,,,,inpatient,,,2743,,1371.5,1645.8,2769.6071,2578.42,,,,percent of total billed charges,,2194.4,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2276.69,,,,percent of total billed charges,,2468.7,,,,percent of total billed charges,,2523.56,,,,percent of total billed charges,,2523.56,,,,percent of total billed charges,,2594.878,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2660.71,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2413.84,,,,percent of total billed charges,,2468.7,,,,percent of total billed charges,,1777.464,,,,percent of total billed charges,,2468.7,,,,percent of total billed charges,,1645.8,,,,percent of total billed charges,,2769.6071,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2605.85,,,,percent of total billed charges,,2194.4,,,,percent of total billed charges,,1645.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 44,310,RC,,,,,inpatient,,,808,,404,484.8,815.8376,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,523.584,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,815.8376,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 45,310,RC,,,,,inpatient,,,693,,346.5,415.8,699.7221,651.42,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,575.19,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,637.56,,,,percent of total billed charges,,655.578,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,672.21,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,609.84,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,449.064,,,,percent of total billed charges,,623.7,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,699.7221,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,658.35,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 59,310,RC,,,,,inpatient,,,2070,,1035,1242,2090.079,1945.8,,,,percent of total billed charges,,1656,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1718.1,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,1904.4,,,,percent of total billed charges,,1904.4,,,,percent of total billed charges,,1958.22,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,2007.9,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1821.6,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,1341.36,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,2090.079,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1966.5,,,,percent of total billed charges,,1656,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL 510,310,RC,,,,,inpatient,,,1596,,798,957.6,1611.4812,1500.24,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1324.68,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1468.32,,,,percent of total billed charges,,1509.816,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1548.12,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1404.48,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,1034.208,,,,percent of total billed charges,,1436.4,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,1611.4812,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1516.2,,,,percent of total billed charges,,1276.8,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA)2,310,RC,,,,,inpatient,,,540,,270,324,545.238,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,349.92,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,545.238,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA)9,310,RC,,,,,inpatient,,,1190,,595,714,1201.543,1118.6,,,,percent of total billed charges,,952,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,987.7,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1094.8,,,,percent of total billed charges,,1125.74,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1154.3,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,771.12,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,714,,,,percent of total billed charges,,1201.543,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,1130.5,,,,percent of total billed charges,,952,,,,percent of total billed charges,,714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRG (T CELL ANTIGER RECEPTOR GAMMA)10,310,RC,,,,,inpatient,,,650,,325,390,656.305,611,,,,percent of total billed charges,,520,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,539.5,,,,percent of total billed charges,,585,,,,percent of total billed charges,,598,,,,percent of total billed charges,,598,,,,percent of total billed charges,,614.9,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,630.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,572,,,,percent of total billed charges,,585,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,585,,,,percent of total billed charges,,390,,,,percent of total billed charges,,656.305,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,520,,,,percent of total billed charges,,390,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PML/RARALPHA2,310,RC,,,,,inpatient,,,1174,,587,704.4,1185.3878,1103.56,,,,percent of total billed charges,,939.2,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,974.42,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,1080.08,,,,percent of total billed charges,,1080.08,,,,percent of total billed charges,,1110.604,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,1138.78,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,1033.12,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,760.752,,,,percent of total billed charges,,1056.6,,,,percent of total billed charges,,704.4,,,,percent of total billed charges,,1185.3878,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,1115.3,,,,percent of total billed charges,,939.2,,,,percent of total billed charges,,704.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK25,310,RC,,,,,inpatient,,,764,,382,458.4,771.4108,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,495.072,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,771.4108,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 MINOR5,310,RC,,,,,inpatient,,,512,,256,307.2,516.9664,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,331.776,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,516.9664,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCR/ABL1 MAJOR3,310,RC,,,,,inpatient,,,512,,256,307.2,516.9664,481.28,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,424.96,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,471.04,,,,percent of total billed charges,,484.352,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,496.64,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,450.56,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,331.776,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,516.9664,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,486.4,,,,percent of total billed charges,,409.6,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL II7,310,RC,,,,,inpatient,,,552,,276,331.2,557.3544,518.88,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,507.84,,,,percent of total billed charges,,507.84,,,,percent of total billed charges,,522.192,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,535.44,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,357.696,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,557.3544,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,441.6,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR CYSTIC FIBROSIS GENE ANALYSIS2,310,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CFTR CYSTIC FIBROSIS GENE ANALYSIS6,310,RC,,,,,inpatient,,,513,,256.5,307.8,517.9761,482.22,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,425.79,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,471.96,,,,percent of total billed charges,,485.298,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,497.61,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,451.44,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,332.424,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,517.9761,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,487.35,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH LEVEL I2,310,RC,,,,,inpatient,,,1374,,687,824.4,1387.3278,1291.56,,,,percent of total billed charges,,1099.2,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1140.42,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,1264.08,,,,percent of total billed charges,,1264.08,,,,percent of total billed charges,,1299.804,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1332.78,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1209.12,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,890.352,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,824.4,,,,percent of total billed charges,,1387.3278,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1305.3,,,,percent of total billed charges,,1099.2,,,,percent of total billed charges,,824.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPE II LOW RES ONE LOCUS4,310,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA HAPLOTYPE BY STR2,310,RC,,,,,inpatient,,,570,,285,342,575.529,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,369.36,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,575.529,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN2,305,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOTTING FUNCTION ACTIVITY4,305,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES (MPS) ACID QUANT3,301,RC,,,,,inpatient,,,684,,342,410.4,690.6348,642.96,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,567.72,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,629.28,,,,percent of total billed charges,,629.28,,,,percent of total billed charges,,647.064,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,663.48,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,443.232,,,,percent of total billed charges,,615.6,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,690.6348,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,410.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MANGANESE2,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS D VIRUS (HDV) IGM ANTIBODY, EIA2",302,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN-OXYGEN AFFINITY3,301,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METAL QUANTITATIVE EACH4,301,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METAL QUANTITATIVE EACH5,301,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT8,301,RC,,,,,inpatient,,,241,,120.5,144.6,243.3377,226.54,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,200.03,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,221.72,,,,percent of total billed charges,,227.986,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,233.77,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,212.08,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,156.168,,,,percent of total billed charges,,216.9,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,243.3377,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,228.95,,,,percent of total billed charges,,192.8,,,,percent of total billed charges,,144.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT9,301,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT10,301,RC,,,,,inpatient,,,238,,119,142.8,240.3086,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,154.224,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,240.3086,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT12,301,RC,,,,,inpatient,,,221,,110.5,132.6,223.1437,207.74,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,183.43,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,203.32,,,,percent of total billed charges,,209.066,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,214.37,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,194.48,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,143.208,,,,percent of total billed charges,,198.9,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,223.1437,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,209.95,,,,percent of total billed charges,,176.8,,,,percent of total billed charges,,132.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/MS OR HPLCNOS QUANT18,301,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMIUM3,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOHYDRATE DEFICIENT TRANSFERRIN2,301,RC,,,,,inpatient,,,613,,306.5,367.8,618.9461,576.22,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,508.79,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,579.898,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,594.61,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,539.44,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,397.224,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,618.9461,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIMICROBIAL SUSCEPTIBILITY, MACROBROTH METHOD3",306,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11-DEOXYCORTICOSTERONE (DOC)2,301,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS B SURFACE,2",306,RC,,,,,inpatient,,,481,,240.5,288.6,485.6657,452.14,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,399.23,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,442.52,,,,percent of total billed charges,,455.026,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,466.57,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,423.28,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,311.688,,,,percent of total billed charges,,432.9,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,485.6657,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,456.95,,,,percent of total billed charges,,384.8,,,,percent of total billed charges,,288.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GLUTATHIONE2,301,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ARRAY COMP GENOME HYBRID(ACGH)PARENTAL TESTING, H2",971,RC,,,,,inpatient,,,949,,474.5,569.4,958.2053,892.06,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,787.67,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,897.754,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,920.53,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,835.12,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,614.952,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,958.2053,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE LYMPHOCYTE2,310,RC,,,,,inpatient,,,874,,437,524.4,882.4778,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,566.352,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,882.4778,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHIGA-LIKE TOXIN2,306,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METAPNEUMONIAE RNA QL PCR2,306,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNFIX E-PHORSIS/URINE/CSF7,302,RC,,,,,inpatient,,,370,,185,222,373.589,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,239.76,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,373.589,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA 1 ANTITRYPSIN, SERUM3",301,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA 1 ANTITRYPSIN, SERUM4",301,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC11,301,RC,,,,,inpatient,,,257,,128.5,154.2,259.4929,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,166.536,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,259.4929,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY NEPHELOMETRY NOT SPEC12,301,RC,,,,,inpatient,,,253,,126.5,151.8,255.4541,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,163.944,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,255.4541,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELLS TOTAL COUNT2,302,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NK CELLS TOTAL COUNT2,302,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B CELLS TOTAL COUNT2,302,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T CELL ABSOLUTE COUNT/RATIO2,302,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE3,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE6,301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE7,301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE8,301,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE9,301,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE10,301,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE13,301,RC,,,,,inpatient,,,213,,106.5,127.8,215.0661,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,138.024,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,215.0661,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE16,301,RC,,,,,inpatient,,,794,,397,476.4,801.7018,746.36,,,,percent of total billed charges,,635.2,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,659.02,,,,percent of total billed charges,,714.6,,,,percent of total billed charges,,730.48,,,,percent of total billed charges,,730.48,,,,percent of total billed charges,,751.124,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,770.18,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,698.72,,,,percent of total billed charges,,714.6,,,,percent of total billed charges,,514.512,,,,percent of total billed charges,,714.6,,,,percent of total billed charges,,476.4,,,,percent of total billed charges,,801.7018,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,754.3,,,,percent of total billed charges,,635.2,,,,percent of total billed charges,,476.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE18,301,RC,,,,,inpatient,,,228,,114,136.8,230.2116,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,147.744,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,230.2116,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE21,301,RC,,,,,inpatient,,,699,,349.5,419.4,705.7803,657.06,,,,percent of total billed charges,,559.2,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,580.17,,,,percent of total billed charges,,629.1,,,,percent of total billed charges,,643.08,,,,percent of total billed charges,,643.08,,,,percent of total billed charges,,661.254,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,678.03,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,615.12,,,,percent of total billed charges,,629.1,,,,percent of total billed charges,,452.952,,,,percent of total billed charges,,629.1,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,705.7803,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,664.05,,,,percent of total billed charges,,559.2,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE23,301,RC,,,,,inpatient,,,874,,437,524.4,882.4778,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,566.352,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,882.4778,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE24,301,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE25,301,RC,,,,,inpatient,,,272,,136,163.2,274.6384,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,176.256,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,274.6384,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE27,301,RC,,,,,inpatient,,,370,,185,222,373.589,347.8,,,,percent of total billed charges,,296,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,307.1,,,,percent of total billed charges,,333,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,340.4,,,,percent of total billed charges,,350.02,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,358.9,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,333,,,,percent of total billed charges,,239.76,,,,percent of total billed charges,,333,,,,percent of total billed charges,,222,,,,percent of total billed charges,,373.589,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,351.5,,,,percent of total billed charges,,296,,,,percent of total billed charges,,222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE31,301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE36,301,RC,,,,,inpatient,,,504,,252,302.4,508.8888,473.76,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,418.32,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,476.784,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,488.88,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,443.52,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,326.592,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,508.8888,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUSULFAN AREA UNDER THE CURVE37,301,RC,,,,,inpatient,,,441,,220.5,264.6,445.2777,414.54,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,366.03,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,417.186,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,427.77,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,388.08,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,285.768,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,445.2777,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE3",306,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE5",306,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE3",306,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE4",306,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE5",306,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, AMP PROBE2",306,RC,,,,,inpatient,,,598,,299,358.8,603.8006,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,387.504,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,603.8006,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HSV, DNA, AMP PROBE3",306,RC,,,,,inpatient,,,659,,329.5,395.4,665.3923,619.46,,,,percent of total billed charges,,527.2,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,546.97,,,,percent of total billed charges,,593.1,,,,percent of total billed charges,,606.28,,,,percent of total billed charges,,606.28,,,,percent of total billed charges,,623.414,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,639.23,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,579.92,,,,percent of total billed charges,,593.1,,,,percent of total billed charges,,427.032,,,,percent of total billed charges,,593.1,,,,percent of total billed charges,,395.4,,,,percent of total billed charges,,665.3923,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,626.05,,,,percent of total billed charges,,527.2,,,,percent of total billed charges,,395.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN, WESTERN BLOT TEST4",301,RC,,,,,inpatient,,,379,,189.5,227.4,382.6763,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,245.592,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,382.6763,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN, WESTERN BLOT TEST15",301,RC,,,,,inpatient,,,332,,166,199.2,335.2204,312.08,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,275.56,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,314.072,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,215.136,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,335.2204,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA2",301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA5",301,RC,,,,,inpatient,,,186,,93,111.6,187.8042,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,120.528,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,187.8042,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL TOTAL,SALIVA2",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL TOTAL,SALIVA3",301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED CHEMISTRY PROCEDURE2,301,RC,,,,,inpatient,,,717,,358.5,430.2,723.9549,673.98,,,,percent of total billed charges,,573.6,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,595.11,,,,percent of total billed charges,,645.3,,,,percent of total billed charges,,659.64,,,,percent of total billed charges,,659.64,,,,percent of total billed charges,,678.282,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,695.49,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,630.96,,,,percent of total billed charges,,645.3,,,,percent of total billed charges,,464.616,,,,percent of total billed charges,,645.3,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,723.9549,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,681.15,,,,percent of total billed charges,,573.6,,,,percent of total billed charges,,430.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED CHEMISTRY PROCEDURE6,301,RC,,,,,inpatient,,,3275,,1637.5,1965,3306.7675,3078.5,,,,percent of total billed charges,,2620,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,2718.25,,,,percent of total billed charges,,2947.5,,,,percent of total billed charges,,3013,,,,percent of total billed charges,,3013,,,,percent of total billed charges,,3098.15,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,3176.75,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,2882,,,,percent of total billed charges,,2947.5,,,,percent of total billed charges,,2122.2,,,,percent of total billed charges,,2947.5,,,,percent of total billed charges,,1965,,,,percent of total billed charges,,3306.7675,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,3111.25,,,,percent of total billed charges,,2620,,,,percent of total billed charges,,1965,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED CHEMISTRY PROCEDURE9,301,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE CELL TYPING OF PATIENT2,302,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH TYPING D - ONLY2,302,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABO GROUPING2,302,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC2,301,RC,,,,,inpatient,,,376,,188,225.6,379.6472,353.44,,,,percent of total billed charges,,300.8,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,312.08,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,345.92,,,,percent of total billed charges,,345.92,,,,percent of total billed charges,,355.696,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,364.72,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,243.648,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,379.6472,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,357.2,,,,percent of total billed charges,,300.8,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC4,301,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB SCRN COMP HGB FRAC ELEC5,301,RC,,,,,inpatient,,,238,,119,142.8,240.3086,223.72,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,197.54,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,218.96,,,,percent of total billed charges,,225.148,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,230.86,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,209.44,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,154.224,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,240.3086,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,226.1,,,,percent of total billed charges,,190.4,,,,percent of total billed charges,,142.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS ANTIBODY2,302,RC,,,,,inpatient,,,328,,164,196.8,331.1816,308.32,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,272.24,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,301.76,,,,percent of total billed charges,,310.288,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,318.16,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,288.64,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,331.1816,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,311.6,,,,percent of total billed charges,,262.4,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG WEST NILE VIRUS AB, IGM2",302,RC,,,,,inpatient,,,379,,189.5,227.4,382.6763,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,245.592,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,382.6763,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS9,302,RC,,,,,inpatient,,,356,,178,213.6,359.4532,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,359.4532,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS10,302,RC,,,,,inpatient,,,255,,127.5,153,257.4735,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,165.24,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,257.4735,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS11,302,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRUS ANTIBODY NOS14,302,RC,,,,,inpatient,,,199,,99.5,119.4,200.9303,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,128.952,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,200.9303,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY2,302,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VARICELLA-ZOSTER ANTIBODY3,302,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TOXOPLASMA ANTIBODY, IGM3",302,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA ANTIBODY2,302,RC,,,,,inpatient,,,92,,46,55.2,92.8924,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,59.616,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,92.8924,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOXOPLASMA ANTIBODY3,302,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM4",302,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM5",302,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN ANTIBODY, SERUM6 (QUEST)",302,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY11,301,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY13,301,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY16,301,RC,,,,,inpatient,,,154,,77,92.4,155.4938,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,99.792,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,155.4938,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECTROPHOTOMETRY18,301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA ANTIBODY3,302,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG6",301,RC,,,,,inpatient,,,277,,138.5,166.2,279.6869,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,179.496,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,279.6869,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG8",301,RC,,,,,inpatient,,,173,,86.5,103.8,174.6781,162.62,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,143.59,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,159.16,,,,percent of total billed charges,,163.658,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,167.81,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,152.24,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,112.104,,,,percent of total billed charges,,155.7,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,174.6781,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,164.35,,,,percent of total billed charges,,138.4,,,,percent of total billed charges,,103.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG9",301,RC,,,,,inpatient,,,247,,123.5,148.2,249.3959,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,249.3959,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG QUANTITATIVE ASSAY, DRUG17",301,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS2,302,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS3,302,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOZOA ANTIBODY NOS7,302,RC,,,,,inpatient,,,148,,74,88.8,149.4356,139.12,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,122.84,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,136.16,,,,percent of total billed charges,,140.008,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,143.56,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,130.24,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,95.904,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,149.4356,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,140.6,,,,percent of total billed charges,,118.4,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ANTIBODIES2,302,RC,,,,,inpatient,,,379,,189.5,227.4,382.6763,356.26,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,314.57,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,348.68,,,,percent of total billed charges,,358.534,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,367.63,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,333.52,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,245.592,,,,percent of total billed charges,,341.1,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,382.6763,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,360.05,,,,percent of total billed charges,,303.2,,,,percent of total billed charges,,227.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ORGANIC ACID,  SINGLE, QUANT9",301,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY2,302,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY3,302,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY4,302,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY9,302,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY12,302,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY14,302,RC,,,,,inpatient,,,216,,108,129.6,218.0952,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,139.968,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,218.0952,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY15,302,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA ANTIBODY2,302,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA ANTIBODY5,302,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ANTIBODY2,302,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT2,301,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT3,301,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT6,301,RC,,,,,inpatient,,,507,,253.5,304.2,511.9179,476.58,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,420.81,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,466.44,,,,percent of total billed charges,,479.622,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,491.79,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,446.16,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,328.536,,,,percent of total billed charges,,456.3,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,511.9179,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,481.65,,,,percent of total billed charges,,405.6,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT12,301,RC,,,,,inpatient,,,266,,133,159.6,268.5802,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,172.368,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,268.5802,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT16,301,RC,,,,,inpatient,,,342,,171,205.2,345.3174,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,221.616,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,345.3174,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUANT24,301,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MASS SPECTROMETRY QUAL2,301,RC,,,,,inpatient,,,243,,121.5,145.8,245.3571,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,157.464,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,245.3571,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPHOCYTE TRANSFORMATION3,302,RC,,,,,inpatient,,,362,,181,217.2,365.5114,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,234.576,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,365.5114,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ANTIBODY2,302,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ANTIBODY3,302,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ABX CONFIRM2,302,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE ABX CONFIRM3,302,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA ANTIBODY2,302,RC,,,,,inpatient,,,265,,132.5,159,267.5705,249.1,,,,percent of total billed charges,,212,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,219.95,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,243.8,,,,percent of total billed charges,,250.69,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,257.05,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,233.2,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,238.5,,,,percent of total billed charges,,159,,,,percent of total billed charges,,267.5705,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,251.75,,,,percent of total billed charges,,212,,,,percent of total billed charges,,159,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL ANTIBODY5,302,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INHIBIN A2,302,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY,INFECTIOUS AGENT3",302,RC,,,,,inpatient,,,1268,,634,760.8,1280.2996,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,821.664,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1280.2996,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA2",301,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA3",301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA7",301,RC,,,,,inpatient,,,514,,257,308.4,518.9858,483.16,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,426.62,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,486.244,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,498.58,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,452.32,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,333.072,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,518.9858,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA12",301,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA16",301,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA17",301,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA18",301,RC,,,,,inpatient,,,1268,,634,760.8,1280.2996,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,821.664,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1280.2996,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA19",301,RC,,,,,inpatient,,,793,,396.5,475.8,800.6921,745.42,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,658.19,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,750.178,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,769.21,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,697.84,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,513.864,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,800.6921,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA22",301,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA30",301,RC,,,,,inpatient,,,483,,241.5,289.8,487.6851,454.02,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,400.89,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,456.918,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,468.51,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,312.984,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,487.6851,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA31",301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA32",301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA33",301,RC,,,,,inpatient,,,219,,109.5,131.4,221.1243,205.86,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,181.77,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,207.174,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,212.43,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,192.72,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,221.1243,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA38",301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA39",301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA44",301,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA45",301,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA50",301,RC,,,,,inpatient,,,345,,172.5,207,348.3465,324.3,,,,percent of total billed charges,,276,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,286.35,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,326.37,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,334.65,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,348.3465,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,276,,,,percent of total billed charges,,207,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA53",301,RC,,,,,inpatient,,,269,,134.5,161.4,271.6093,252.86,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,223.27,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,247.48,,,,percent of total billed charges,,254.474,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,260.93,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,236.72,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,174.312,,,,percent of total billed charges,,242.1,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,271.6093,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,255.55,,,,percent of total billed charges,,215.2,,,,percent of total billed charges,,161.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA57",301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA60",301,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA64",301,RC,,,,,inpatient,,,429,,214.5,257.4,433.1613,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,277.992,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,433.1613,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA68",301,RC,,,,,inpatient,,,175,,87.5,105,176.6975,164.5,,,,percent of total billed charges,,140,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,145.25,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,161,,,,percent of total billed charges,,161,,,,percent of total billed charges,,165.55,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,169.75,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,154,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,157.5,,,,percent of total billed charges,,105,,,,percent of total billed charges,,176.6975,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,166.25,,,,percent of total billed charges,,140,,,,percent of total billed charges,,105,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, RIA69",301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY2",301,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY3",301,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY5",301,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY6",301,RC,,,,,inpatient,,,39,,19.5,23.4,39.3783,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,39.3783,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY9",301,RC,,,,,inpatient,,,637,,318.5,382.2,643.1789,598.78,,,,percent of total billed charges,,509.6,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,528.71,,,,percent of total billed charges,,573.3,,,,percent of total billed charges,,586.04,,,,percent of total billed charges,,586.04,,,,percent of total billed charges,,602.602,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,617.89,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,560.56,,,,percent of total billed charges,,573.3,,,,percent of total billed charges,,412.776,,,,percent of total billed charges,,573.3,,,,percent of total billed charges,,382.2,,,,percent of total billed charges,,643.1789,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,605.15,,,,percent of total billed charges,,509.6,,,,percent of total billed charges,,382.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY14",301,RC,,,,,inpatient,,,174,,87,104.4,175.6878,163.56,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,144.42,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,164.604,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,168.78,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,153.12,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,175.6878,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY15",301,RC,,,,,inpatient,,,555,,277.5,333,560.3835,521.7,,,,percent of total billed charges,,444,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,460.65,,,,percent of total billed charges,,499.5,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,510.6,,,,percent of total billed charges,,525.03,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,538.35,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,488.4,,,,percent of total billed charges,,499.5,,,,percent of total billed charges,,359.64,,,,percent of total billed charges,,499.5,,,,percent of total billed charges,,333,,,,percent of total billed charges,,560.3835,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,527.25,,,,percent of total billed charges,,444,,,,percent of total billed charges,,333,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY18",301,RC,,,,,inpatient,,,570,,285,342,575.529,535.8,,,,percent of total billed charges,,456,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,513,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,539.22,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,513,,,,percent of total billed charges,,369.36,,,,percent of total billed charges,,513,,,,percent of total billed charges,,342,,,,percent of total billed charges,,575.529,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,541.5,,,,percent of total billed charges,,456,,,,percent of total billed charges,,342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY19",301,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY30",301,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY31",301,RC,,,,,inpatient,,,276,,138,165.6,278.6772,259.44,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,261.096,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,267.72,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,178.848,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,278.6772,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,262.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY35",301,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY36",301,RC,,,,,inpatient,,,998,,499,598.8,1007.6806,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,646.704,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,1007.6806,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY37",301,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY5",301,RC,,,,,inpatient,,,1649,,824.5,989.4,1664.9953,1550.06,,,,percent of total billed charges,,1319.2,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1368.67,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,1517.08,,,,percent of total billed charges,,1517.08,,,,percent of total billed charges,,1559.954,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1599.53,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1451.12,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,1068.552,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,989.4,,,,percent of total billed charges,,1664.9953,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1566.55,,,,percent of total billed charges,,1319.2,,,,percent of total billed charges,,989.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY6",301,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY7",301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY9",301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY10",301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY11",301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY13",301,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY14",301,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY15",301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY16",301,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY19",301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY20",301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY22",301,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY24",301,RC,,,,,inpatient,,,245,,122.5,147,247.3765,230.3,,,,percent of total billed charges,,196,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,203.35,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,231.77,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,237.65,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,215.6,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,158.76,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,147,,,,percent of total billed charges,,247.3765,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,196,,,,percent of total billed charges,,147,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, NONANTIBODY26",301,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE COMPLEX ASSAY5,302,RC,,,,,inpatient,,,227,,113.5,136.2,229.2019,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,147.096,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,229.2019,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGG 1, 2, 3 OR 4, EACH2",301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGG 1, 2, 3 OR 4, EACH3",301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA5,302,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA6,302,RC,,,,,inpatient,,,51,,25.5,30.6,51.4947,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,51.4947,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX TYPE 22,302,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SIMPLEX TYPE 23,302,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX NON-SPECIFIC3,302,RC,,,,,inpatient,,,174,,87,104.4,175.6878,163.56,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,144.42,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,164.604,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,168.78,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,153.12,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,175.6878,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX TYPE 12,302,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERPES SMPLX TYPE 18,302,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEPATITIS BE AG, EIA2",306,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY2,301,RC,,,,,inpatient,,,205,,102.5,123,206.9885,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,206.9885,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY5,301,RC,,,,,inpatient,,,312,,156,187.2,315.0264,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,315.0264,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY8,301,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY9,301,RC,,,,,inpatient,,,136,,68,81.6,137.3192,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,137.3192,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN CHROMOTOGRAPHY11,301,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY2,302,RC,,,,,inpatient,,,384,,192,230.4,387.7248,360.96,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,318.72,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,363.264,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,372.48,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,337.92,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,248.832,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,387.7248,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY8,302,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY9,302,RC,,,,,inpatient,,,349,,174.5,209.4,352.3853,328.06,,,,percent of total billed charges,,279.2,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,289.67,,,,percent of total billed charges,,314.1,,,,percent of total billed charges,,321.08,,,,percent of total billed charges,,321.08,,,,percent of total billed charges,,330.154,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,338.53,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,307.12,,,,percent of total billed charges,,314.1,,,,percent of total billed charges,,226.152,,,,percent of total billed charges,,314.1,,,,percent of total billed charges,,209.4,,,,percent of total billed charges,,352.3853,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,331.55,,,,percent of total billed charges,,279.2,,,,percent of total billed charges,,209.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HELMINTH ANTIBODY10,302,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ANTIBODY4,302,RC,,,,,inpatient,,,232,,116,139.2,234.2504,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,150.336,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,234.2504,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNGUS ANTIBODY7,302,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, TITER3",302,RC,,,,,inpatient,,,353,,176.5,211.8,356.4241,331.82,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,292.99,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,333.938,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,342.41,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,310.64,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,228.744,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,356.4241,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN3",302,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN10",302,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN11",302,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLTAGE GATED CA CHANNEL AB,302,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN16",302,RC,,,,,inpatient,,,618,,309,370.8,623.9946,580.92,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,512.94,,,,percent of total billed charges,,556.2,,,,percent of total billed charges,,568.56,,,,percent of total billed charges,,568.56,,,,percent of total billed charges,,584.628,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,599.46,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,543.84,,,,percent of total billed charges,,556.2,,,,percent of total billed charges,,400.464,,,,percent of total billed charges,,556.2,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,623.9946,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,587.1,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,370.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN18",302,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN21",302,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN26",302,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN27",302,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN28",302,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN29",302,RC,,,,,inpatient,,,405,,202.5,243,408.9285,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,262.44,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,408.9285,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN30",302,RC,,,,,inpatient,,,165,,82.5,99,166.6005,155.1,,,,percent of total billed charges,,132,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,136.95,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,156.09,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,160.05,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,148.5,,,,percent of total billed charges,,99,,,,percent of total billed charges,,166.6005,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,156.75,,,,percent of total billed charges,,132,,,,percent of total billed charges,,99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT ANTIBODY, SCREEN31",302,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON2",311,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON9",311,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/TC, ADD-ON10",311,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOWCYTOMETRY/ TC, 1 MARKER13",311,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX CAPSID2,302,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEINBARR ABX NUCLE AG4,302,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY2,301,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY7,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY10,301,RC,,,,,inpatient,,,330,,165,198,333.201,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,333.201,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY11,301,RC,,,,,inpatient,,,312,,156,187.2,315.0264,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,315.0264,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TPMT ACTIVITY (QUEST),301,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENZYME CELL ACTIVITY15,301,RC,,,,,inpatient,,,786,,393,471.6,793.6242,738.84,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,652.38,,,,percent of total billed charges,,707.4,,,,percent of total billed charges,,723.12,,,,percent of total billed charges,,723.12,,,,percent of total billed charges,,743.556,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,762.42,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,691.68,,,,percent of total billed charges,,707.4,,,,percent of total billed charges,,509.328,,,,percent of total billed charges,,707.4,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,793.6242,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,746.7,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX W EQUINE2,302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX W EQUINE3,302,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX ST LOUIS3,302,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX ST LOUIS5,302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE3,302,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE5,302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX E EQUINE6,302,RC,,,,,inpatient,,,245,,122.5,147,247.3765,230.3,,,,percent of total billed charges,,196,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,203.35,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,225.4,,,,percent of total billed charges,,231.77,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,237.65,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,215.6,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,158.76,,,,percent of total billed charges,,220.5,,,,percent of total billed charges,,147,,,,percent of total billed charges,,247.3765,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,232.75,,,,percent of total billed charges,,196,,,,percent of total billed charges,,147,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX CALIF2,302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENCEPHALITIS ABX CALIF3,302,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROPHORETIC TEST5,301,RC,,,,,inpatient,,,268,,134,160.8,270.5996,251.92,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,222.44,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,246.56,,,,percent of total billed charges,,253.528,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,259.96,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,235.84,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,173.664,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,270.5996,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,254.6,,,,percent of total billed charges,,214.4,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY2,302,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY4,302,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY5,302,RC,,,,,inpatient,,,248,,124,148.8,250.4056,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,250.4056,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT2",306,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT3",306,RC,,,,,inpatient,,,380,,190,228,383.686,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,246.24,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,383.686,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT5",306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, QUANT6",306,RC,,,,,inpatient,,,756,,378,453.6,763.3332,710.64,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,627.48,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,715.176,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,733.32,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,665.28,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,489.888,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,763.3332,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP2",306,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP5",306,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP7",306,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP10",306,RC,,,,,inpatient,,,1625,,812.5,975,1640.7625,1527.5,,,,percent of total billed charges,,1300,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1348.75,,,,percent of total billed charges,,1462.5,,,,percent of total billed charges,,1495,,,,percent of total billed charges,,1495,,,,percent of total billed charges,,1537.25,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1576.25,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1430,,,,percent of total billed charges,,1462.5,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,1462.5,,,,percent of total billed charges,,975,,,,percent of total billed charges,,1640.7625,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1543.75,,,,percent of total billed charges,,1300,,,,percent of total billed charges,,975,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP15",306,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP16",306,RC,,,,,inpatient,,,511,,255.5,306.6,515.9567,480.34,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,424.13,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,483.406,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,495.67,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,449.68,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,331.128,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,515.9567,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP17",306,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP18",306,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP20",306,RC,,,,,inpatient,,,848,,424,508.8,856.2256,797.12,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,703.84,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,780.16,,,,percent of total billed charges,,802.208,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,822.56,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,746.24,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,549.504,,,,percent of total billed charges,,763.2,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,856.2256,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,805.6,,,,percent of total billed charges,,678.4,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP23",306,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP24",306,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP25",306,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP26",306,RC,,,,,inpatient,,,267,,133.5,160.2,269.5899,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,269.5899,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP27",306,RC,,,,,inpatient,,,157,,78.5,94.2,158.5229,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,101.736,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,158.5229,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP28",306,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP29",306,RC,,,,,inpatient,,,171,,85.5,102.6,172.6587,160.74,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,141.93,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,161.766,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,165.87,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,150.48,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,110.808,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,172.6587,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,162.45,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP31",306,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP33",306,RC,,,,,inpatient,,,214,,107,128.4,216.0758,201.16,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,177.62,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,196.88,,,,percent of total billed charges,,202.444,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,207.58,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,188.32,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,138.672,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,216.0758,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,203.3,,,,percent of total billed charges,,171.2,,,,percent of total billed charges,,128.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP34",306,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT NOS, DNA, AMP35",306,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULTURE SCREEN ONLY2,306,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE2",301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE5",301,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT/FUNCTION ACTIVITY3,302,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN4",302,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN6",302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COMPLEMENT, ANTIGEN7",302,RC,,,,,inpatient,,,362,,181,217.2,365.5114,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,234.576,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,365.5114,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKS5,301,RC,,,,,inpatient,,,154,,77,92.4,155.4938,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,99.792,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,155.4938,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COCCIDIOIDES ANTIBODY2,302,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY2,302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY3,302,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV ANTIBODY5,302,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMILUMINESCENT ASSAY2,301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB AB,301,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRUCELLA ANTIBODY2,302,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, THREE CATECHOLAMINES2",301,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, SERUM CHOLINESTERASE2",301,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY, SERUM CHOLINESTERASE3",301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC PROTOPORPHYRIN QUANT2,301,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ZINC2,301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE3,301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE2,301,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE3,301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF URINE CREATININE6,301,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL TESTOSTERONE2,301,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TOTAL TESTOSTERONE3,301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF SOMATOMEDIN3,301,RC,,,,,inpatient,,,205,,102.5,123,206.9885,192.7,,,,percent of total billed charges,,164,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,170.15,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,188.6,,,,percent of total billed charges,,193.93,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,198.85,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,180.4,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,184.5,,,,percent of total billed charges,,123,,,,percent of total billed charges,,206.9885,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,194.75,,,,percent of total billed charges,,164,,,,percent of total billed charges,,123,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHOBILINO URINE QUANT2,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF OXALATE4,301,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MYOGLOBIN2,301,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF METANEPHRINES2,301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF METANEPHRINES3,301,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MERCURY QUANT7,301,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MERCURY QUANT9,301,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF MAGNESIUM2,301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD5,301,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD6,301,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD7,301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD9,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF LEAD13,301,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF HISTAMINE3,301,RC,,,,,inpatient,,,109,,54.5,65.4,110.0573,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,110.0573,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM2,301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM4,301,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM5,301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM6,301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF GAMMAGLOBULIN IGM7,301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ESTRONE2,301,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF COPPER2,301,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARNITINE TOTAL & FREE E2,301,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM2,301,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM5,301,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF CADMIUM6,301,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BIOTINIDASE2,301,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF BIOTINIDASE3,301,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC2,301,RC,,,,,inpatient,,,275,,137.5,165,277.6675,258.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,228.25,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,253,,,,percent of total billed charges,,253,,,,percent of total billed charges,,260.15,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,266.75,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,242,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,165,,,,percent of total billed charges,,277.6675,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,220,,,,percent of total billed charges,,165,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC5,301,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC6,301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ARSENIC7,301,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF APOLIPOPROTEIN3,301,RC,,,,,inpatient,,,257,,128.5,154.2,259.4929,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,166.536,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,259.4929,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY2,302,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY3,302,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPERGILLUS ANTIBODY4,302,RC,,,,,inpatient,,,37,,18.5,22.2,37.3589,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,37.3589,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOTENSIN I ENZYME TEST2,301,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, QUAN, 6 OR MORE3",301,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, PHENO2",301,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-1-ANTITRYPSIN, PHENO3",301,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SAGE FOOD IGE,302,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE3,302,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE6,302,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE9,302,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE11,302,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE13,302,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT STOOL AERO EA ADDN3,306,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN CONCENTRATION3,306,RC,,,,,inpatient,,,309,,154.5,185.4,311.9973,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,200.232,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,311.9973,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MICROBE SUSCEPTIBLE, MIC2",306,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CULT FECES AEROBIC S&S2,306,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST2,305,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST4,305,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM2,301,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2 COMPLEMENT FUNCTIONAL,302,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADAMTS13 INHIBITOR BETHESDA TTR,305,RC,,,,,inpatient,,,803,,401.5,481.8,810.7891,754.82,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,666.49,,,,percent of total billed charges,,722.7,,,,percent of total billed charges,,738.76,,,,percent of total billed charges,,738.76,,,,percent of total billed charges,,759.638,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,778.91,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,706.64,,,,percent of total billed charges,,722.7,,,,percent of total billed charges,,520.344,,,,percent of total billed charges,,722.7,,,,percent of total billed charges,,481.8,,,,percent of total billed charges,,810.7891,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,762.85,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,481.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CELIAC-ASSOCIATED HLA-DQ ALPHA 1 AND DQ BETA 1 TYPING, D",310,RC,,,,,inpatient,,,767,,383.5,460.2,774.4399,720.98,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,636.61,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,705.64,,,,percent of total billed charges,,725.582,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,743.99,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,674.96,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,497.016,,,,percent of total billed charges,,690.3,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,774.4399,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,728.65,,,,percent of total billed charges,,613.6,,,,percent of total billed charges,,460.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PNEUMOCYSTIS JIROVECI, MOLE DET, PCR",306,RC,,,,,inpatient,,,280,,140,168,282.716,263.2,,,,percent of total billed charges,,224,,,,percent of total billed charges,,266,,,,percent of total billed charges,,232.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,257.6,,,,percent of total billed charges,,264.88,,,,percent of total billed charges,,266,,,,percent of total billed charges,,271.6,,,,percent of total billed charges,,266,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,252,,,,percent of total billed charges,,181.44,,,,percent of total billed charges,,252,,,,percent of total billed charges,,168,,,,percent of total billed charges,,282.716,,,,percent of total billed charges,,266,,,,percent of total billed charges,,266,,,,percent of total billed charges,,224,,,,percent of total billed charges,,168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TICK-BORNE DISEASE ANTIBODIES 86753,302,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TICK-BORNE DISEASE ANTIBODIES 86666,302,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROGLOBULIN MASS SPEC, SERUM  (QUEST)",301,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CK ISOENZYMES,301,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLASE,301,RC,,,,,inpatient,,,383,,191.5,229.8,386.7151,360.02,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,317.89,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,362.318,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,371.51,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,337.04,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,248.184,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,386.7151,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOBAZAM,301,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELODYSPLASTIC SYD MUTAT,310,RC,,,,,inpatient,,,2513,,1256.5,1507.8,2537.3761,2362.22,,,,percent of total billed charges,,2010.4,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2085.79,,,,percent of total billed charges,,2261.7,,,,percent of total billed charges,,2311.96,,,,percent of total billed charges,,2311.96,,,,percent of total billed charges,,2377.298,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2437.61,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2211.44,,,,percent of total billed charges,,2261.7,,,,percent of total billed charges,,1628.424,,,,percent of total billed charges,,2261.7,,,,percent of total billed charges,,1507.8,,,,percent of total billed charges,,2537.3761,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2387.35,,,,percent of total billed charges,,2010.4,,,,percent of total billed charges,,1507.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H PYLORI UREA BREATH TEST,301,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN, SERUM",300,RC,,,,,inpatient,,,248,,124,148.8,250.4056,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,250.4056,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTO SCREENING BY AUTO SYSTEM AND MAN,310,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOELECTROPHORES,SER",302,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAPID STREP,300,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS-MICROALBUMIN,307,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARBOXYHB TRANSCUT PER DA,301,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTEPILEPTIC, NOS, 1-3  (PERAMPANEL)",301,RC,,,,,inpatient,,,563,,281.5,337.8,568.4611,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,364.824,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,568.4611,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RADIOLOGIC EXAM, ELBOW, ARTHROGRAPHY S&I",322,RC,,,,,inpatient,,,2460,,1230,1476,2483.862,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1594.08,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2483.862,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPIRATION AND/OR INJECTION OF GANGLION CYST (S), AND LOC",361,RC,,,,,inpatient,,,870,,435,522,878.439,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,563.76,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,878.439,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXCARBAZEPINE,301,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG TEST PRESUMPTIVE,301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JCV ANTIBODY,302,RC,,,,,inpatient,,,2961,,1480.5,1776.6,2989.7217,2783.34,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2457.63,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2801.106,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2872.17,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2605.68,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,1918.728,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,2989.7217,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLUMN CHROMAT, INCL. MS, NON DRUG, NOT ELSW SPECI, QUAL OR QUANT",300,RC,,,,,inpatient,,,668,,334,400.8,674.4796,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,432.864,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,674.4796,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MGMT GENE-PROMOTER METHYLATION,310,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICRODISSECTION MANUALLY,310,RC,,,,,inpatient,,,279,,139.5,167.4,281.7063,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,180.792,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,281.7063,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOW CYTOMETRY, 1ST MARKER",311,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLOW CYTOMETRY, EACH ADD'L MARKER",311,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA): HIV-2,306,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INF AGENT DECT BY DNA OR RNA, MULT ORG, AMP PROBE",306,RC,,,,,inpatient,,,232,,116,139.2,234.2504,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,150.336,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,234.2504,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CANDIDA SPECIES, AMPLIFIED PROBE",306,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GARDNERELLA VAGINALIS, QUANT",306,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRICHOMONAS VAGINALIS, AMPLIFIED PROBE",306,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRICHOMONAS VAGINALIS, AMPLIFIED PROBE",306,RC,,,,,inpatient,,,298,,149,178.8,300.8906,280.12,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,247.34,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,274.16,,,,percent of total billed charges,,281.908,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,289.06,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,262.24,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,193.104,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,300.8906,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,283.1,,,,percent of total billed charges,,238.4,,,,percent of total billed charges,,178.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZIKA VIRUS DNA/RNA,306,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBA1/HBA2 DUPL/DELETION VARIANTS,310,RC,,,,,inpatient,,,559,,279.5,335.4,564.4223,525.46,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,463.97,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,528.814,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,542.23,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,362.232,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,564.4223,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALLERGEN SPEC IGE QUANT OR SEMIQUANT, RECOMB OR PUR COMP, EACH",302,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBA1/HBA2 FULL GENE SEQUENCE,310,RC,,,,,inpatient,,,500,,250,300,504.85,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,324,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,504.85,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBB FULL GENE SEQUENCE,310,RC,,,,,inpatient,,,312,,156,187.2,315.0264,293.28,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,258.96,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,287.04,,,,percent of total billed charges,,295.152,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,302.64,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,274.56,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,280.8,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,315.0264,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,296.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHGHBB DUPL/DELETION VARIANT(S,310,RC,,,,,inpatient,,,240,,120,144,242.328,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,155.52,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,242.328,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ZIKA VIRUS, IGM",302,RC,,,,,inpatient,,,410,,205,246,413.977,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,265.68,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,413.977,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SLCO1B1 GENE ANALYSIS, COMMON VARIANT(S)",310,RC,,,,,inpatient,,,1309,,654.5,785.4,1321.6973,1230.46,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1086.47,,,,percent of total billed charges,,1178.1,,,,percent of total billed charges,,1204.28,,,,percent of total billed charges,,1204.28,,,,percent of total billed charges,,1238.314,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1269.73,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1151.92,,,,percent of total billed charges,,1178.1,,,,percent of total billed charges,,848.232,,,,percent of total billed charges,,1178.1,,,,percent of total billed charges,,785.4,,,,percent of total billed charges,,1321.6973,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1243.55,,,,percent of total billed charges,,1047.2,,,,percent of total billed charges,,785.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY, TREPONEMA PALLIDUM",302,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCGH DRUG TEST, PRESUMPTIVE, ANY DRUG CLASS, ANY # PROC, DO, PER DOS 7",301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BORRELIA BURGDORFERI (LYME DISEASE),300,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIT TEST,300,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIPASE,300,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KRAS GENE ANALYSIS, VARIANTS IN EXON 2",310,RC,,,,,inpatient,,,874,,437,524.4,882.4778,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,566.352,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,882.4778,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KRAS GENE ANALYSIS, ADD'L VARIANTS",310,RC,,,,,inpatient,,,874,,437,524.4,882.4778,821.56,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,725.42,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,804.08,,,,percent of total billed charges,,826.804,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,847.78,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,769.12,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,566.352,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,882.4778,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,830.3,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG APOPLIPOPROTEIN, EACH",300,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, DIRECT MEASUREMENT: HDL",300,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPOPROTEIN, BLOOD, ELECTROPHORETIC SEPARATION AND QUANT",300,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENZYME ACTIVITY IN BLD CELLS,CULT CELLS OR TISSUE, NES",300,RC,,,,,inpatient,,,482,,241,289.2,486.6754,453.08,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,400.06,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,443.44,,,,percent of total billed charges,,455.972,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,467.54,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,424.16,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,312.336,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,486.6754,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,457.9,,,,percent of total billed charges,,385.6,,,,percent of total billed charges,,289.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9,310,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALCOHOL BIOMARKERS, 1 OR 2",301,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CREATININE, OTHER SOURCE",301,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COLUMN CHROMATOGRAPHY,INCL MS,NON-DRUG,NEC,QUAL OR QUANT,EA SPEC",301,RC,,,,,inpatient,,,606,,303,363.6,611.8782,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,392.688,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,611.8782,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIROLIMUS,301,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVEROLIMUS,301,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPHENOLATE (MYCOPHENOLIC ACID),301,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIDEPRESSANTS CLASS 3-5,301,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICYCLIC & CYCLICALS 6/MORE,301,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKELETAL MUSCLE RELAXANT 1/2,301,RC,,,,,inpatient,,,129,,64.5,77.4,130.2513,121.26,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,107.07,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,122.034,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,125.13,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,83.592,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,130.2513,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGE (RPR5 IGE),300,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLH1 HYPERMETHYLATION,310,RC,,,,,inpatient,,,590,,295,354,595.723,554.6,,,,percent of total billed charges,,472,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,489.7,,,,percent of total billed charges,,531,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,558.14,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,572.3,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,531,,,,percent of total billed charges,,382.32,,,,percent of total billed charges,,531,,,,percent of total billed charges,,354,,,,percent of total billed charges,,595.723,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,472,,,,percent of total billed charges,,354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOLECULAR CYTOGEN, DNA PROBE EACH (EG FISH)",310,RC,,,,,inpatient,,,1435,,717.5,861,1448.9195,1348.9,,,,percent of total billed charges,,1148,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1191.05,,,,percent of total billed charges,,1291.5,,,,percent of total billed charges,,1320.2,,,,percent of total billed charges,,1320.2,,,,percent of total billed charges,,1357.51,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1391.95,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1262.8,,,,percent of total billed charges,,1291.5,,,,percent of total billed charges,,929.88,,,,percent of total billed charges,,1291.5,,,,percent of total billed charges,,861,,,,percent of total billed charges,,1448.9195,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1363.25,,,,percent of total billed charges,,1148,,,,percent of total billed charges,,861,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY, QUANT, NOT OTHERWISE SPECIFIED",300,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DNA, NATIVE OR DOUBLE STRANDED",300,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG APOLIPOPROTEIN, EACH",300,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOLS,300,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTRADIOL,300,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOLECULAR CYTOGEN, DNA PROBE EACH (EG FISH)",310,RC,,,,,inpatient,,,810,,405,486,817.857,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,524.88,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,817.857,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSMOTIC FRAGILITY RBC INCUBATED,310,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROLACTIN,300,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG APOLIPOPROTEIN B, S",300,RC,,,,,inpatient,,,34,,17,20.4,34.3298,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,34.3298,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MORPHOMETRIC ANALYSIS, TUMOR IHC",310,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR",300,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HBB, DUPL/DEL VARIANT(S)",310,RC,,,,,inpatient,,,772,,386,463.2,779.4884,725.68,,,,percent of total billed charges,,617.6,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,640.76,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,710.24,,,,percent of total billed charges,,710.24,,,,percent of total billed charges,,730.312,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,748.84,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,679.36,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,500.256,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,779.4884,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,733.4,,,,percent of total billed charges,,617.6,,,,percent of total billed charges,,463.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AB, EACH",300,RC,,,,,inpatient,,,860,,430,516,868.342,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,557.28,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,868.342,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AB TITER, EACH",300,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TARGETED LUNG NEOPLASM GENOMIC SEQUENCE ANALYSIS,310,RC,,,,,inpatient,,,3105,,1552.5,1863,3135.1185,2918.7,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2577.15,,,,percent of total billed charges,,2794.5,,,,percent of total billed charges,,2856.6,,,,percent of total billed charges,,2856.6,,,,percent of total billed charges,,2937.33,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,3011.85,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2732.4,,,,percent of total billed charges,,2794.5,,,,percent of total billed charges,,2012.04,,,,percent of total billed charges,,2794.5,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,3135.1185,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2949.75,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,1863,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGM,301,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGA,300,RC,,,,,inpatient,,,163,,81.5,97.8,164.5811,153.22,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,135.29,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,149.96,,,,percent of total billed charges,,154.198,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,158.11,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,143.44,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,105.624,,,,percent of total billed charges,,146.7,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,164.5811,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,154.85,,,,percent of total billed charges,,130.4,,,,percent of total billed charges,,97.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP 2 SUBSTRATE,300,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C3,302,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-DOUBLE STRANDED DNA AB,302,RC,,,,,inpatient,,,105,,52.5,63,106.0185,98.7,,,,percent of total billed charges,,84,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,87.15,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,99.33,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,101.85,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,63,,,,percent of total billed charges,,106.0185,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,99.75,,,,percent of total billed charges,,84,,,,percent of total billed charges,,63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1,300,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-2,300,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SS-A/RO ABS, IGG",302,RC,,,,,inpatient,,,103,,51.5,61.8,103.9991,96.82,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,85.49,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,94.76,,,,percent of total billed charges,,97.438,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,99.91,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,90.64,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,92.7,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,103.9991,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,97.85,,,,percent of total billed charges,,82.4,,,,percent of total billed charges,,61.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETAMINOPHEN LEVEL,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG SCREEN, URINE",301,RC,,,,,inpatient,,,358,,179,214.8,361.4726,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,231.984,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,361.4726,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUPUS ANTICOAGULANT TEST,300,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STREPTOCOCCUS, GROUP A, AMPLIFIED PROBE TECHNIQUE",306,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICULATED PLATELET ASSAY,300,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETICULOCYTE HEMOGLOBIN CONTENT,300,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIHYDROTESTOSTERONE,301,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV ALGORITHM WITH SIX ASSAYS & FIBROSIS SCORE,310,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTT GENE ANALYSIS,310,RC,,,,,inpatient,,,436,,218,261.6,440.2292,409.84,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,361.88,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,412.456,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,422.92,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,383.68,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,282.528,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,440.2292,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN, EACH ANTIBODY",302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP C VIRUS,306,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRAMADOL- DRUG TEST(S), PRESUMPTIVE",301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FENTANYL- DRUG TEST(S), PRESUMPTIVE",301,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IODINE,301,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE CONC,301,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLOBAZAM AND METABOLITE, SERUM",301,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLOBAZAM AND METABOLITE, SERUM",301,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MORPHOMETRIC ANALYSIS TUMOR IHC, EACH AB",312,RC,,,,,inpatient,,,243,,121.5,145.8,245.3571,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,157.464,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,245.3571,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRIATIONAL AB,300,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE,302,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALLERGEN SPECIFIC IGE,302,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS I PRA,302,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS II PRA,302,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS I HD,302,RC,,,,,inpatient,,,758,,379,454.8,765.3526,712.52,,,,percent of total billed charges,,606.4,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,629.14,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,697.36,,,,percent of total billed charges,,697.36,,,,percent of total billed charges,,717.068,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,735.26,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,667.04,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,491.184,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,454.8,,,,percent of total billed charges,,765.3526,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,720.1,,,,percent of total billed charges,,606.4,,,,percent of total billed charges,,454.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS I DSA,302,RC,,,,,inpatient,,,809,,404.5,485.4,816.8473,760.46,,,,percent of total billed charges,,647.2,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,671.47,,,,percent of total billed charges,,728.1,,,,percent of total billed charges,,744.28,,,,percent of total billed charges,,744.28,,,,percent of total billed charges,,765.314,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,784.73,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,711.92,,,,percent of total billed charges,,728.1,,,,percent of total billed charges,,524.232,,,,percent of total billed charges,,728.1,,,,percent of total billed charges,,485.4,,,,percent of total billed charges,,816.8473,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,768.55,,,,percent of total billed charges,,647.2,,,,percent of total billed charges,,485.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS II HD,302,RC,,,,,inpatient,,,761,,380.5,456.6,768.3817,715.34,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,631.63,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,719.906,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,738.17,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,669.68,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,493.128,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,768.3817,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA LUMINEX CLASS II DSA,302,RC,,,,,inpatient,,,815,,407.5,489,822.9055,766.1,,,,percent of total billed charges,,652,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,676.45,,,,percent of total billed charges,,733.5,,,,percent of total billed charges,,749.8,,,,percent of total billed charges,,749.8,,,,percent of total billed charges,,770.99,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,790.55,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,717.2,,,,percent of total billed charges,,733.5,,,,percent of total billed charges,,528.12,,,,percent of total billed charges,,733.5,,,,percent of total billed charges,,489,,,,percent of total billed charges,,822.9055,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,774.25,,,,percent of total billed charges,,652,,,,percent of total billed charges,,489,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA DTT TREATMENT,302,RC,,,,,inpatient,,,184,,92,110.4,185.7848,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,185.7848,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENOTEST BC,310,RC,,,,,inpatient,,,901,,450.5,540.6,909.7397,846.94,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,747.83,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,852.346,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,873.97,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,792.88,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,583.848,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,909.7397,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GI PATHOGEN 22 TARGETS,309,RC,,,,,inpatient,,,1172,,586,703.2,1183.3684,1101.68,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,972.76,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1078.24,,,,percent of total billed charges,,1108.712,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1136.84,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1031.36,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,759.456,,,,percent of total billed charges,,1054.8,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,1183.3684,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,1113.4,,,,percent of total billed charges,,937.6,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE DRUG SCREEN,301,RC,,,,,inpatient,,,358,,179,214.8,361.4726,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,231.984,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,361.4726,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR ANTIGEN ANTIBODY,302,RC,,,,,inpatient,,,49,,24.5,29.4,49.4753,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,49.4753,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEUTRALIZATION TEST, VIRAL",302,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN",302,RC,,,,,inpatient,,,744,,372,446.4,751.2168,699.36,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,617.52,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,684.48,,,,percent of total billed charges,,703.824,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,721.68,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,654.72,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,482.112,,,,percent of total billed charges,,669.6,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,751.2168,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,706.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, TITER",302,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WESTERNBLOT,301,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN",302,RC,,,,,inpatient,,,418,,209,250.8,422.0546,392.92,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,346.94,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,384.56,,,,percent of total billed charges,,395.428,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,405.46,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,367.84,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,270.864,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,422.0546,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,397.1,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN",302,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY FOR ANALYTE OTHER THATN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN,302,RC,,,,,inpatient,,,51,,25.5,30.6,51.4947,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,51.4947,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIDOCAINE,301,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-HYDROXYPROGESTERONE (NBS),301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAL-1-P4 UT (NBS),301,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB IEF (NBS),301,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYROSINE (NBS),301,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AMINO ACIDS, > 6, QUANT (NBS)",301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ACYLCARNITINES, QUANT (NBS)",301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS NON DRUG (NBS),301,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BATTA- SUSCEPTIBILITY, ANAEROBIC",306,RC,,,,,inpatient,,,374,,187,224.4,377.6278,351.56,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,310.42,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,353.804,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,362.78,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,329.12,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,242.352,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,377.6278,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,355.3,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOPATH PROCEDURE LEVEL 5,310,RC,,,,,inpatient,,,3269,,1634.5,1961.4,3300.7093,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2118.312,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3300.7093,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED MOLECULAR PATHOLOGY,310,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENETIC TSTG SEVERE INH COND,310,RC,,,,,inpatient,,,4293,,2146.5,2575.8,4334.6421,4035.42,,,,percent of total billed charges,,3434.4,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,3563.19,,,,percent of total billed charges,,3863.7,,,,percent of total billed charges,,3949.56,,,,percent of total billed charges,,3949.56,,,,percent of total billed charges,,4061.178,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,4164.21,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,3777.84,,,,percent of total billed charges,,3863.7,,,,percent of total billed charges,,2781.864,,,,percent of total billed charges,,3863.7,,,,percent of total billed charges,,2575.8,,,,percent of total billed charges,,4334.6421,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,4078.35,,,,percent of total billed charges,,3434.4,,,,percent of total billed charges,,2575.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIBROBLAST CULTURE,310,RC,,,,,inpatient,,,591,,295.5,354.6,596.7327,555.54,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,490.53,,,,percent of total billed charges,,531.9,,,,percent of total billed charges,,543.72,,,,percent of total billed charges,,543.72,,,,percent of total billed charges,,559.086,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,573.27,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,520.08,,,,percent of total billed charges,,531.9,,,,percent of total billed charges,,382.968,,,,percent of total billed charges,,531.9,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,596.7327,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,561.45,,,,percent of total billed charges,,472.8,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYO FOR BIOCHEM STUDIES,310,RC,,,,,inpatient,,,524,,262,314.4,529.0828,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,339.552,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,529.0828,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KNOWN VARIANT ANALYSIS 1 VARIANT,310,RC,,,,,inpatient,,,1060,,530,636,1070.282,996.4,,,,percent of total billed charges,,848,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,879.8,,,,percent of total billed charges,,954,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,1002.76,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,1028.2,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,932.8,,,,percent of total billed charges,,954,,,,percent of total billed charges,,686.88,,,,percent of total billed charges,,954,,,,percent of total billed charges,,636,,,,percent of total billed charges,,1070.282,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,1007,,,,percent of total billed charges,,848,,,,percent of total billed charges,,636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBODY; TREPONEMA PALLIDUM AND RPR (BIOPLEX),310,RC,,,,,inpatient,,,169,,84.5,101.4,170.6393,158.86,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,140.27,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,155.48,,,,percent of total billed charges,,159.874,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,163.93,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,148.72,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,109.512,,,,percent of total billed charges,,152.1,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,170.6393,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,160.55,,,,percent of total billed charges,,135.2,,,,percent of total billed charges,,101.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANTIBODY, TREPONEMA PALLIDUM (TPPA)",302,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYPHILIS, QUANTATIVE",302,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMATIN IGG,302,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CENTROMERE, IGG",301,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RIBOSOME, IGG",301,RC,,,,,inpatient,,,51,,25.5,30.6,51.4947,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,51.4947,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOGLOBIN,301,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLASMINOGEN ACTIVATOR,305,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 (LABCORP),306,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9,310,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,310,RC,,,,,inpatient,,,683,,341.5,409.8,689.6251,642.02,,,,percent of total billed charges,,546.4,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,566.89,,,,percent of total billed charges,,614.7,,,,percent of total billed charges,,628.36,,,,percent of total billed charges,,628.36,,,,percent of total billed charges,,646.118,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,662.51,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,601.04,,,,percent of total billed charges,,614.7,,,,percent of total billed charges,,442.584,,,,percent of total billed charges,,614.7,,,,percent of total billed charges,,409.8,,,,percent of total billed charges,,689.6251,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,648.85,,,,percent of total billed charges,,546.4,,,,percent of total billed charges,,409.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG JAK2 (JANUS KINASE 2) (EG, MYELOPROLIFERATIVE DISORDER) GENE ANALYSIS, P.VAL617PHE (V617F) VARIANT",310,RC,,,,,inpatient,,,1300,,650,780,1312.61,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1312.61,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CALR (CALRETICULIN) (EG, MYELOPROLIFERATIVE DISORDERS), GENE ANALYSIS, COMMON VARIANTS IN EXON 9",310,RC,,,,,inpatient,,,813,,406.5,487.8,820.8861,764.22,,,,percent of total billed charges,,650.4,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,674.79,,,,percent of total billed charges,,731.7,,,,percent of total billed charges,,747.96,,,,percent of total billed charges,,747.96,,,,percent of total billed charges,,769.098,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,788.61,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,715.44,,,,percent of total billed charges,,731.7,,,,percent of total billed charges,,526.824,,,,percent of total billed charges,,731.7,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,820.8861,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,772.35,,,,percent of total billed charges,,650.4,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,310,RC,,,,,inpatient,,,1443,,721.5,865.8,1456.9971,1356.42,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1197.69,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1365.078,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1399.71,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1269.84,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,935.064,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,1456.9971,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TARGETED GENOMIC SEQUENCE PANEL,310,RC,,,,,inpatient,,,3826,,1913,2295.6,3863.1122,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2479.248,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3863.1122,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN, QUANTITATIVE,NOS",301,RC,,,,,inpatient,,,210,,105,126,212.037,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,212.037,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID-19 TEST (QUEST),306,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 TEST (RUBY),306,RC,,,,,inpatient,,,199,,99.5,119.4,200.9303,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,128.952,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,200.9303,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 (CEPHEID),306,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 (BD MAX/DIASORIN),306,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD23 IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD 23 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-CATENIN IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA-CATENIN IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH HIGH-GRADE LYMPHOMA PANEL (QUEST),311,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH HIGH-GRADE LYMPHOMA PANEL (QUEST),311,RC,,,,,inpatient,,,236,,118,141.6,238.2892,221.84,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,195.88,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,217.12,,,,percent of total billed charges,,223.256,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,228.92,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,207.68,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,238.2892,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,224.2,,,,percent of total billed charges,,188.8,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG PANEL W/REARRANGEMENT (MAYO),310,RC,,,,,inpatient,,,1660,,830,996,1676.102,1560.4,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1377.8,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,1527.2,,,,percent of total billed charges,,1527.2,,,,percent of total billed charges,,1570.36,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1460.8,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,1075.68,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,996,,,,percent of total billed charges,,1676.102,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG PANEL W/REARRANGEMENT (MAYO),312,RC,,,,,inpatient,,,188,,94,112.8,189.8236,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,121.824,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,189.8236,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 (22C3) IHC (MAYO),312,RC,,,,,inpatient,,,500,,250,300,504.85,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,324,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,504.85,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 87636-0300 ROCHE SARS, INF A, INF B TEST",300,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBSTETRIC BLOOD TEST PANEL,300,RC,,,,,inpatient,,,443,,221.5,265.8,447.2971,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,287.064,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,447.2971,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TAU CSF,310,RC,,,,,inpatient,,,321,,160.5,192.6,324.1137,301.74,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,266.43,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,303.666,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,311.37,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,282.48,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,208.008,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,324.1137,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TAU CSF,310,RC,,,,,inpatient,,,321,,160.5,192.6,324.1137,301.74,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,266.43,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,295.32,,,,percent of total billed charges,,303.666,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,311.37,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,282.48,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,208.008,,,,percent of total billed charges,,288.9,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,324.1137,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,304.95,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,192.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN TAU CSF,310,RC,,,,,inpatient,,,431,,215.5,258.6,435.1807,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,279.288,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,435.1807,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH,HER-2/NEU, BLOCK (QUEST)",310,RC,,,,,inpatient,,,410,,205,246,413.977,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,265.68,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,413.977,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,193,,96.5,115.8,194.8721,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,194.8721,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,193,,96.5,115.8,194.8721,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,194.8721,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PIK3CA MUT ANALYSIS (QUEST),310,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD3, IHC W/OUT INTERP (QUEST)",310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOKERATIN AE1/AE3, IHC W/OUT INTERP (QUEST)",310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV IN-SITU HYBRID W/INTERP (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGM IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD56 IHC W/INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 5/6 IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 7 IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOKERATIN 20 IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTRIN IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROID TRANS FACT-1 IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCT2 IHC W/INTER (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD20 IHC W/INTERP (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH HIGH RISK W/INTERP (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH HIGH RISK W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH LOW RISK W/INTERP (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV ISH LOW RISK W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, ALK 2P23 REA LUNG CA (NSCLC) (QUEST)",310,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH, ALK 2P23 REA LUNG CA (NSCLC) (QUEST)",310,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,,,,,inpatient,,,619,,309.5,371.4,625.0043,581.86,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,513.77,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,585.574,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,600.43,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,544.72,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,401.112,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,625.0043,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,,,,,inpatient,,,371,,185.5,222.6,374.5987,348.74,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,307.93,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,341.32,,,,percent of total billed charges,,350.966,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,359.87,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,326.48,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,333.9,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,374.5987,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,352.45,,,,percent of total billed charges,,296.8,,,,percent of total billed charges,,222.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA MUT PANEL (QUEST),310,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA(NSCLC) ROS1 REARRANGE FISH (QUEST),310,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA(NSCLC) ROS1 REARRANGE FISH (QUEST),310,RC,,,,,inpatient,,,386,,193,231.6,389.7442,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,250.128,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,389.7442,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH EGFR (QUEST),310,RC,,,,,inpatient,,,526,,263,315.6,531.1022,494.44,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,436.58,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,483.92,,,,percent of total billed charges,,497.596,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,510.22,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,462.88,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,340.848,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,531.1022,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,499.7,,,,percent of total billed charges,,420.8,,,,percent of total billed charges,,315.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HHV-8 IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P16 IHC W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNAPTOPHYSIN IHC  W/OUT INTERP (QUEST),310,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER/PR BLOCK (QUEST),310,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HER2 IHC (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FISH HER2/NEU, BLOCK (QUEST)",310,RC,,,,,inpatient,,,410,,205,246,413.977,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,265.68,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,413.977,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER/PR/KI67/HER2 FISH W/INTERP (QUEST),310,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KI67 IHC W/INTERP (QUEST),310,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COVID-19 IGG ANTIBODY, SPIKE (RBD)",302,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-MULLERIAN HORMONE,301,RC,,,,,inpatient,,,193,,96.5,115.8,194.8721,181.42,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,160.19,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,177.56,,,,percent of total billed charges,,182.578,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,187.21,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,169.84,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,173.7,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,194.8721,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,183.35,,,,percent of total billed charges,,154.4,,,,percent of total billed charges,,115.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON BINDING TEST (QUEST),301,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APTT QUEST,305,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLOOD CLOT FACTOR VIII TEST (QUEST),305,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII W/COFAC (QUEST),305,RC,,,,,inpatient,,,260,,130,156,262.522,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,168.48,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,262.522,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII VW ANTIGEN (QUEST),305,RC,,,,,inpatient,,,260,,130,156,262.522,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,168.48,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,262.522,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOT FACT VIII MULTI (QUEST),305,RC,,,,,inpatient,,,260,,130,156,262.522,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,168.48,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,262.522,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC SICKLE CELL TEST (QUEST),305,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF TRANSFERRIN (QUEST),301,RC,,,,,inpatient,,,51,,25.5,30.6,51.4947,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,51.4947,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,IGG,SERUM (QUEST)",302,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IONIZED CALCIUM (QUEST),301,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN (QUEST),301,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE DRUG SCREEN (QUEST),301,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VIRAL SMEAR/SHELL VIAL  (QUEST),306,RC,,,,,inpatient,,,360,,180,216,363.492,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,233.28,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,363.492,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA ANTIBODY (QUEST),302,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROTEIN S AG, TOTAL (QUEST)",305,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY OF ALUMINUM (QUEST),301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHTHERIA ANTIBODY (QUEST),302,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TETANUS ANTIBODY (QUEST),302,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHRLICHIA ANTIBODY (QUEST),302,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA GENITALIUM,306,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NFCT DS BV RNA VAG FLU ALG,306,RC,,,,,inpatient,,,492,,246,295.2,496.7724,462.48,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,408.36,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,452.64,,,,percent of total billed charges,,465.432,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,477.24,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,432.96,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,318.816,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,496.7724,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,467.4,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,295.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-CADHERIN STAIN,310,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRATIFY JCV ANTIBODY (QUEST),302,RC,,,,,inpatient,,,3072,,1536,1843.2,3101.7984,2887.68,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2549.76,,,,percent of total billed charges,,2764.8,,,,percent of total billed charges,,2826.24,,,,percent of total billed charges,,2826.24,,,,percent of total billed charges,,2906.112,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2979.84,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2703.36,,,,percent of total billed charges,,2764.8,,,,percent of total billed charges,,1990.656,,,,percent of total billed charges,,2764.8,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,3101.7984,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2918.4,,,,percent of total billed charges,,2457.6,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRATIFY JCV ANTIBODY INHIBITION (QUEST),302,RC,,,,,inpatient,,,1168,,584,700.8,1179.3296,1097.92,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,969.44,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1074.56,,,,percent of total billed charges,,1104.928,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1132.96,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1027.84,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,756.864,,,,percent of total billed charges,,1051.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,1179.3296,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,1109.6,,,,percent of total billed charges,,934.4,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 ANTIGEN BECKMAN,302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14-3-3 PROT, CSF (QUEST)",301,RC,,,,,inpatient,,,338,,169,202.8,341.2786,317.72,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,280.54,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,310.96,,,,percent of total billed charges,,319.748,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,327.86,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,297.44,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,304.2,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,341.2786,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,321.1,,,,percent of total billed charges,,270.4,,,,percent of total billed charges,,202.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETYL RECPTR GANGLIONIC (A3) AB (QUEST),301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACETYL RECPTR MODULATING AB (QUEST),301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALDOSTERONE/RENIN RATIO LCMS (QUEST),301,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALDOSTERONE/RENIN RATIO LCMS (QUEST),301,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMINO ACID URINE LCMS (QUEST),301,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMINO ACID URINE LCMS (QUEST),301,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMITRIPTYLINE (QUEST),301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBE E-TEST (QUEST),306,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-PM/SCL-100 AB (RDL) (QUEST),302,RC,,,,,inpatient,,,186,,93,111.6,187.8042,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,120.528,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,187.8042,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-TH/TO AB (RDL) (QUEST),301,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPERGILLUS AG, EIA (QUEST)",306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPERGILLUS DNA, QUAL PCR (QUEST)",306,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID AEROBIC (QUEST),306,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID ANAEROBIC (QUEST),300,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BARTONELLA DNA,  PCR (QUEST)",306,RC,,,,,inpatient,,,350,,175,210,353.395,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,353.395,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, FRACT AND TOTAL (QUEST)",301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BILE ACIDS, URINE (QUEST)",301,RC,,,,,inpatient,,,2408,,1204,1444.8,2431.3576,2263.52,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1998.64,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2277.968,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2335.76,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2119.04,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1560.384,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,2431.3576,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRCA PANEL (BRCA1, BRCA2) (QUEST)",310,RC,,,,,inpatient,,,2400,,1200,1440,2423.28,2256,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,1992,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,2208,,,,percent of total billed charges,,2208,,,,percent of total billed charges,,2270.4,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,2112,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,1555.2,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,2423.28,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,2280,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING FOR CELIAC DISEASE (QUEST),310,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA TYPING FOR CELIAC DISEASE (QUEST),310,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/CHLAMYDIA RNA TMA (QUEST),306,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GC/CHLAMYDIA RNA TMA (QUEST),306,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROM MICROARRAY PRENATAL SNP (QUEST),310,RC,,,,,inpatient,,,1600,,800,960,1615.52,1504,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1036.8,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,960,,,,percent of total billed charges,,1615.52,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,960,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLOBAZAM (QUEST),301,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE LCMS (QUEST)",301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, FREE LCMS (QUEST)",301,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE 24 HR URINE (QUEST),301,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANCA SCREEN (QUEST),302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNASE B AB (QUEST),301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPILEPSY AB EVAL  (QUEST),301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPILEPSY AB EVAL  (QUEST),302,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPILEPSY AB EVAL  (QUEST),302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EBV DNA QNT PCR (QUEST),306,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-TEST MIC (QUEST),306,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT-SPECTRUM BETA-LACTASE CONF (QUEST),306,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FOLATE RBC (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRAGILE X METHYL ANALYSIS (QUEST),301,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEAVY METALS (QUEST),301,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP D VIRUS IGM AB (QUEST),302,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HERP 6 DNA QUAL PCR (QUEST),306,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 1/2 AB IGM IFA (QUEST),302,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 1/2 AB IGM IFA (QUEST),302,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTAMINE RELEASE (QUEST),302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JC POLYOMA VIRUS DNA QUAL PCR CSF (QUEST),306,RC,,,,,inpatient,,,253,,126.5,151.8,255.4541,237.82,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,209.99,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,232.76,,,,percent of total billed charges,,239.338,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,245.41,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,163.944,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,255.4541,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,240.35,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIVER CYTOSOL ABS (QUEST),302,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA ROS1 REARRANG FISH (QUEST),310,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA ROS1 REARRANG FISH (QUEST),310,RC,,,,,inpatient,,,331,,165.5,198.6,334.2107,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,214.488,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,334.2107,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE AB IGG IBL CSF (QUEST),302,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME DISEASE AB IGG/IGM IBL (QUEST),302,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH PROLIF MITOGEN INDUCED (QUEST),302,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M PNEUMO AB IGM (QUEST),302,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MARIJUANA CONF MECONIUM (QUEST),301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB (QUEST),302,RC,,,,,inpatient,,,860,,430,516,868.342,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,557.28,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,868.342,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOSITIS SPEC AB (QUEST),301,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOSITIS SPEC AB (QUEST),302,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NICOTINE AND COTININE URINE (QUEST),301,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NMDA RECEPTR AB (QUEST),302,RC,,,,,inpatient,,,1000,,500,600,1009.7,940,,,,percent of total billed charges,,800,,,,percent of total billed charges,,950,,,,percent of total billed charges,,830,,,,percent of total billed charges,,900,,,,percent of total billed charges,,920,,,,percent of total billed charges,,920,,,,percent of total billed charges,,946,,,,percent of total billed charges,,950,,,,percent of total billed charges,,970,,,,percent of total billed charges,,950,,,,percent of total billed charges,,880,,,,percent of total billed charges,,900,,,,percent of total billed charges,,648,,,,percent of total billed charges,,900,,,,percent of total billed charges,,600,,,,percent of total billed charges,,1009.7,,,,percent of total billed charges,,950,,,,percent of total billed charges,,950,,,,percent of total billed charges,,800,,,,percent of total billed charges,,600,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPASE A2 RECPTR AB (QUEST),301,RC,,,,,inpatient,,,484,,242,290.4,488.6948,454.96,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,401.72,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,457.864,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,469.48,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,425.92,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,313.632,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,488.6948,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,459.8,,,,percent of total billed charges,,387.2,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPASE A2 RECPTR AB (QUEST),302,RC,,,,,inpatient,,,451,,225.5,270.6,455.3747,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,292.248,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,455.3747,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHOLIPIDS (QUEST),301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH PROLIF PHA INDUCED (QUEST),302,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PMP22 DUPL/DEL TEST (QUEST),310,RC,,,,,inpatient,,,1990,,995,1194,2009.303,1870.6,,,,percent of total billed charges,,1592,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1651.7,,,,percent of total billed charges,,1791,,,,percent of total billed charges,,1830.8,,,,percent of total billed charges,,1830.8,,,,percent of total billed charges,,1882.54,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1930.3,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1751.2,,,,percent of total billed charges,,1791,,,,percent of total billed charges,,1289.52,,,,percent of total billed charges,,1791,,,,percent of total billed charges,,1194,,,,percent of total billed charges,,2009.303,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1890.5,,,,percent of total billed charges,,1592,,,,percent of total billed charges,,1194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELL FREE DNA PRENATAL (QUEST),310,RC,,,,,inpatient,,,1600,,800,960,1615.52,1504,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1328,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1472,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1408,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,1036.8,,,,percent of total billed charges,,1440,,,,percent of total billed charges,,960,,,,percent of total billed charges,,1615.52,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1280,,,,percent of total billed charges,,960,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25-HYDROXY VITD MS (QUEST),300,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETT SYNDROME REARRGMT (DEL/DUPL) (QUEST),310,RC,,,,,inpatient,,,1591,,795.5,954.6,1606.4327,1495.54,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1320.53,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1505.086,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1543.27,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1400.08,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1030.968,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,1606.4327,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RUBELLA AB IGM (QUEST),302,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEASLES AB IGM (QUEST),302,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S. CEREVISIASE AB IGA (QUEST),302,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S. CEREVISIAE AB IGG (QUEST),302,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UREAPLASMA SPEC, PCR (QUEST)",306,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHC SCLERODERMA AB (QUEST),306,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCLERODERMA AB (QUEST),302,RC,,,,,inpatient,,,158,,79,94.8,159.5326,148.52,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,131.14,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,145.36,,,,percent of total billed charges,,149.468,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,153.26,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,139.04,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,159.5326,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,150.1,,,,percent of total billed charges,,126.4,,,,percent of total billed charges,,94.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID CA MUT PANEL (QUEST),310,RC,,,,,inpatient,,,3100,,1550,1860,3130.07,2914,,,,percent of total billed charges,,2480,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2573,,,,percent of total billed charges,,2790,,,,percent of total billed charges,,2852,,,,percent of total billed charges,,2852,,,,percent of total billed charges,,2932.6,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,3007,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2728,,,,percent of total billed charges,,2790,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,2790,,,,percent of total billed charges,,1860,,,,percent of total billed charges,,3130.07,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2945,,,,percent of total billed charges,,2480,,,,percent of total billed charges,,1860,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TORCH IGM (QUEST),302,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T. PALLIDUM AB IFA CSF (QUEST),302,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UGT1A1 POLYMORPHISM (QUEST),310,RC,,,,,inpatient,,,360,,180,216,363.492,338.4,,,,percent of total billed charges,,288,,,,percent of total billed charges,,342,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,340.56,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,342,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,324,,,,percent of total billed charges,,233.28,,,,percent of total billed charges,,324,,,,percent of total billed charges,,216,,,,percent of total billed charges,,363.492,,,,percent of total billed charges,,342,,,,percent of total billed charges,,342,,,,percent of total billed charges,,288,,,,percent of total billed charges,,216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA URINE (QUEST),301,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA URINE (QUEST),301,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VZV AB ACIF CSF (QUEST),302,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VORICONAZOLE (QUEST),301,RC,,,,,inpatient,,,239,,119.5,143.4,241.3183,224.66,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,198.37,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,219.88,,,,percent of total billed charges,,226.094,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,231.83,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,210.32,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,154.872,,,,percent of total billed charges,,215.1,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,241.3183,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,227.05,,,,percent of total billed charges,,191.2,,,,percent of total billed charges,,143.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZINC TRANSPORTER 8 AB (QUEST),302,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL CK (QUEST),301,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV AB  (QUEST),302,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR VIII INH (QUEST),305,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP FATTY ACIDS (QUEST),301,RC,,,,,inpatient,,,202,,101,121.2,203.9594,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,130.896,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,203.9594,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP FATTY ACIDS (QUEST),301,RC,,,,,inpatient,,,275,,137.5,165,277.6675,258.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,228.25,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,253,,,,percent of total billed charges,,253,,,,percent of total billed charges,,260.15,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,266.75,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,242,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,165,,,,percent of total billed charges,,277.6675,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,220,,,,percent of total billed charges,,165,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESSENTIAL FATTY ACIDS (QUEST),301,RC,,,,,inpatient,,,232,,116,139.2,234.2504,218.08,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,192.56,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,213.44,,,,percent of total billed charges,,219.472,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,225.04,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,204.16,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,150.336,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,234.2504,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,220.4,,,,percent of total billed charges,,185.6,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH LOCUS SPEC PROBE (QUEST),310,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH LOCUS SPEC PROBE (QUEST),310,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNODIFFUSION (HYPERSENS PNEUMO) (QUEST),301,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLATILES URINE (QUEST),301,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTOPORPHYRIN (QUEST),301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA DNA QUAL PCR (QUEST),306,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MS PANEL (QUEST),301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METANEPHRINES FRACT LCMS URINE (QUEST),301,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYASTHESIA GRAVIS PANEL (QUEST),301,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLAGEN CROSSLINKED N-TELOPEPTIDE UR (QUEST),301,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACID QNT URINE (QUEST),301,RC,,,,,inpatient,,,342,,171,205.2,345.3174,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,221.616,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,345.3174,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACID QNT URINE (QUEST),301,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CALCIUM (URORISK PROFILE) (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T. PALLIDUM AB PARTICLE AGGLUT (QUEST),302,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BCL-2, IHC W/OUT INTERP (QUEST)",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCL-6 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEREP4 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD10 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD138 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD30 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD34 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD45 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD5 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD68 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CDX2 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOGRANIN IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYCLIN D1 (BCL-1) IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E-CADHERIN IHC W-OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV DNA LOW/HIGH RISK ISH (QUEST),306,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LGT CHAIN ISH W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LGT CHAIN ISH W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 'MYOSIN-SMOOTH MUSCLE IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P63 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX-5 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX8 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S100 (POLYCLONAL) IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LGHT CHAIN TOTAL URINE (QUEST),301,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOMYSIAL AB TITER (QUEST),302,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV TYPING (QUEST),306,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LGI1 AB TEST (QUEST),302,RC,,,,,inpatient,,,970,,485,582,979.409,911.8,,,,percent of total billed charges,,776,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,805.1,,,,percent of total billed charges,,873,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,917.62,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,940.9,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,873,,,,percent of total billed charges,,628.56,,,,percent of total billed charges,,873,,,,percent of total billed charges,,582,,,,percent of total billed charges,,979.409,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,921.5,,,,percent of total billed charges,,776,,,,percent of total billed charges,,582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NT-PROBNP (QUEST),301,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFL BOWEL DISEASE DIFF PANEL (QUEST),302,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFL BOWEL DISEASE DIFF PANEL (QUEST),302,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYPOGLYCEMIA AGENT SCR (QUEST),302,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA/CHLAMYDOPHILA AB IGG/IGM (QUEST),302,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA/CHLAMYDOPHILA AB IGG/IGM (QUEST),302,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CSF3R MUT ANALYSIS (QUEST),309,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,,,,,inpatient,,,179,,89.5,107.4,180.7363,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,115.992,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,180.7363,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNE ASSESSMT B CELL SUBSET (QUEST),302,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB SERUM (QUEST),302,RC,,,,,inpatient,,,860,,430,516,868.342,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,557.28,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,868.342,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG N-METHYLHISTAMINE URINE (QUEST),301,RC,,,,,inpatient,,,506,,253,303.6,510.9082,475.64,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,419.98,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,478.676,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,490.82,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,445.28,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,327.888,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,510.9082,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,480.7,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG MONITOR, ANTIDEPRESSANTS URINE (QUEST)",301,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLTAGE GATED K CHANNEL AB (QUEST),302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME PCR BLOOD (QUEST),306,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYPTOSPORIDIUM AB FECES DFA (QUEST),306,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYPTOSPORIDIUM AB FECES DFA (QUEST),306,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),300,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),305,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),305,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB-OPATHY EVAL (QUEST),305,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 GENOTYPE INHIBITORS (QUEST),301,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 GENOTYPE INHIBITORS (QUEST),301,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 GENOTYPE INHIBITORS (QUEST),301,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES QUANT URINE (QUEST),301,RC,,,,,inpatient,,,441,,220.5,264.6,445.2777,414.54,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,366.03,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,405.72,,,,percent of total billed charges,,417.186,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,427.77,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,388.08,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,285.768,,,,percent of total billed charges,,396.9,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,445.2777,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,418.95,,,,percent of total billed charges,,352.8,,,,percent of total billed charges,,264.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUCOPOLYSACCHARIDES QUANT URINE (QUEST),301,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL TESTOSTERONE MS (QUEST),301,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GANGLIOSIDE AB PANEL (QUEST),302,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP ALLERGY PROFILE REGION V (QUEST),302,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP ALLERGY PROFILE REGION V (QUEST),302,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPIATE CONF MECONIUM (QUEST),301,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPIATE CONF MECONIUM (QUEST),301,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHETAMINE CONF MECONIUM (QUEST),301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BARBITURATES CONF MECONIUM (QUEST),301,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHADONE CONF MECONIUM (QUEST),301,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZODIAZEPINE CONF MECONIUM (QUEST),301,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,51,,25.5,30.6,51.4947,47.94,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,42.33,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,48.246,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,49.47,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,51.4947,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,48.45,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOENCEPHALITIS PANEL CSF (QUEST),302,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACOSAMIDE (QUEST),301,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MUSK AB (QUEST),302,RC,,,,,inpatient,,,998,,499,598.8,1007.6806,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,646.704,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,1007.6806,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, 24 HOUR UR W/CREATININE (QUEST)",301,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, 24 HOUR UR W/CREATININE (QUEST)",301,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, RANDOM UR W/CREATININE (QUEST)",301,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUMIN, RANDOM UR W/CREATININE (QUEST)",301,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BORRELIA MIYAMOTOI AB (IGG, IGM), IA (QUEST)",302,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUPRENORPHINE QUANT (QUEST),301,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTOFERRIN QUANT STOOL (QUEST),301,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRIATED MUSCLE AB (QUEST),302,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCCUPATIONAL DRUG SCREEN,301,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCC UDS CHAIN OF CUSTODY,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAFV600E MUTATION (QUEST),310,RC,,,,,inpatient,,,945,,472.5,567,954.1665,888.3,,,,percent of total billed charges,,756,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,784.35,,,,percent of total billed charges,,850.5,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,893.97,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,916.65,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.5,,,,percent of total billed charges,,612.36,,,,percent of total billed charges,,850.5,,,,percent of total billed charges,,567,,,,percent of total billed charges,,954.1665,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,897.75,,,,percent of total billed charges,,756,,,,percent of total billed charges,,567,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAD 65 AB (QUEST),302,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMOOTH MUSCLE AB TITER (QUEST),302,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KI67 W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV RNA LOW/HIGH RISK ISH (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV RNA LOW/HIGH RISK ISH (QUEST),312,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HHV 6 DNA QNT PCR (QUEST),306,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LG CHAINS TOTAL RANDOM URINE (QUEST),301,RC,,,,,inpatient,,,231,,115.5,138.6,233.2407,217.14,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,191.73,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,212.52,,,,percent of total billed charges,,218.526,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,224.07,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,203.28,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,149.688,,,,percent of total billed charges,,207.9,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,233.2407,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,219.45,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN FREE (BIOACTIVE) (QUEST),301,RC,,,,,inpatient,,,76,,38,45.6,76.7372,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,76.7372,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-STRIATED MUSCLE AB TITER (QUEST),302,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD20 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIAGNOSTIC CONSULT-BLOCK/SLIDES (QUEST),310,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNTHETIC CANNABINOIDS URINE (QUEST),301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTRADIOL FREE (QUEST),301,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 1 IGM TITER (QUEST),302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSV 2 IGM TITER (QUEST),302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-GALACTOSIDASE (QUEST),301,RC,,,,,inpatient,,,830,,415,498,838.051,780.2,,,,percent of total billed charges,,664,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,688.9,,,,percent of total billed charges,,747,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,785.18,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,805.1,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,747,,,,percent of total billed charges,,537.84,,,,percent of total billed charges,,747,,,,percent of total billed charges,,498,,,,percent of total billed charges,,838.051,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,788.5,,,,percent of total billed charges,,664,,,,percent of total billed charges,,498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CF GENE SEQUENCING (QUEST),310,RC,,,,,inpatient,,,345,,172.5,207,348.3465,324.3,,,,percent of total billed charges,,276,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,286.35,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,326.37,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,334.65,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,348.3465,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,276,,,,percent of total billed charges,,207,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLV I/II AB (QUEST),302,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B. HENSELAE AB TITER (QUEST),302,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B. QUINTANA AB TITER (QUEST),302,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, BUP AND NALOXONE UR (QUEST)",301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, BUP AND NALOXONE UR (QUEST)",301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, METHYLPHENID METAB UR (QUEST)",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, PCP, UR (QUEST)",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, FENTANYL, UR (QUEST)",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG CONF, TAPENTADOL, UR (QUEST)",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA/VMA 24 HR URINE (QUEST),301,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSPECTIBILITY H.PYLORI MIC (QUEST),306,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GANGLIOSIDE AB (QUEST),302,RC,,,,,inpatient,,,67,,33.5,40.2,67.6499,62.98,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,55.61,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,61.64,,,,percent of total billed charges,,63.382,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,64.99,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,58.96,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,43.416,,,,percent of total billed charges,,60.3,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,67.6499,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,63.65,,,,percent of total billed charges,,53.6,,,,percent of total billed charges,,40.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV RNA GENOTYPE 1 NS3 DRUG RESIST (QUEST),302,RC,,,,,inpatient,,,750,,375,450,757.275,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,486,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,757.275,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV RNA GENOTYPE I NS5B DRUG RESIST (QUEST),302,RC,,,,,inpatient,,,750,,375,450,757.275,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,486,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,757.275,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD138 IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LG CHAIN ISH W/INTERP (QUEST),312,RC,,,,,inpatient,,,315,,157.5,189,318.0555,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,318.0555,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LG CHAIN ISH W/INTERP (QUEST),312,RC,,,,,inpatient,,,315,,157.5,189,318.0555,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,318.0555,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PAX-5 IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA RANDOM URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GAD65 NEURO SYNDROME AB (QUEST),302,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD43 IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRIATED MUSCLE AB (QUEST),302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CADMIUM (QUEST),301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESIPRAMINE (QUEST),301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT COMP C6 (QUEST),302,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMIPRAMINE (QUEST),301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYCLOBENZAPRINE (QUEST),301,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEXILETINE (QUEST),301,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IBUPROFEN (QUEST),301,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APOLIPOPROTEIN A1 (QUEST),301,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZTROPINE (QUEST),301,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPAFENONE (QUEST),301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APOLIPOPROTEIN EVAL (QUEST),301,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHOLINESTERASE WITH DIBUCAINE INHIBITION (QUEST),301,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHOLINESTERASE WITH DIBUCAINE INHIBITION (QUEST),301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTAGLANDINS (URINE) (QUEST),301,RC,,,,,inpatient,,,640,,320,384,646.208,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,414.72,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,646.208,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOTAL PORPHYRINS (QUEST),301,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KETAMINE AND METABOLITE, URINE (QUEST)",301,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHROMIUM, UR (QUEST)",301,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEAVY METALS PANEL, RDM URINE (QUEST)",301,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COPPER, RANDOM URINE (QUEST)",301,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BULLOUS PEMPHIGOID BP180 AB (QUEST),302,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARB-DEF TRANSFERRIN (ALCOHOL USE) (QUEST),301,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ADENOSINE DEAMINASE, PERITONEAL FL (QUEST)",301,RC,,,,,inpatient,,,184,,92,110.4,185.7848,172.96,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,169.28,,,,percent of total billed charges,,174.064,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,161.92,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,185.7848,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PAIN MGMT, CYP450 2D6/2C19 GENOTYPE, QL (QUEST)",309,RC,,,,,inpatient,,,2350,,1175,1410,2372.795,2209,,,,percent of total billed charges,,1880,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,1950.5,,,,percent of total billed charges,,2115,,,,percent of total billed charges,,2162,,,,percent of total billed charges,,2162,,,,percent of total billed charges,,2223.1,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,2279.5,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,2068,,,,percent of total billed charges,,2115,,,,percent of total billed charges,,1522.8,,,,percent of total billed charges,,2115,,,,percent of total billed charges,,1410,,,,percent of total billed charges,,2372.795,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,2232.5,,,,percent of total billed charges,,1880,,,,percent of total billed charges,,1410,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIAGABINE (QUEST),301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOTANE (QUEST),301,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOTANE (QUEST),301,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEINASE-3 ANTIBODY (QUEST),302,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT COMPONENT C8 (QUEST),302,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEMENT COMPONENT C9 (QUEST),302,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MTB COMPLEX AND RIFAMPIN RESIST, PCR, NON-SP (QUEST)",309,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOGLOBULIN SCR (QUEST),301,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOGLOBULIN REFLEX (QUEST),302,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOGLOBULIN REFLEX (QUEST),302,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BPGM FULL GENE SEQUENCING (QUEST),309,RC,,,,,inpatient,,,1364,,682,818.4,1377.2308,1282.16,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1132.12,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1254.88,,,,percent of total billed charges,,1290.344,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1323.08,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1200.32,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,883.872,,,,percent of total billed charges,,1227.6,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,1377.2308,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1295.8,,,,percent of total billed charges,,1091.2,,,,percent of total billed charges,,818.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCREATIC POLYPEPTIDE BY ECL (QUEST),301,RC,,,,,inpatient,,,160,,80,96,161.552,150.4,,,,percent of total billed charges,,128,,,,percent of total billed charges,,152,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,147.2,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,152,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,152,,,,percent of total billed charges,,140.8,,,,percent of total billed charges,,144,,,,percent of total billed charges,,103.68,,,,percent of total billed charges,,144,,,,percent of total billed charges,,96,,,,percent of total billed charges,,161.552,,,,percent of total billed charges,,152,,,,percent of total billed charges,,152,,,,percent of total billed charges,,128,,,,percent of total billed charges,,96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KETAMINE AND METABOLITE CONFIRMATION, URINE (QUEST)",301,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHORIONIC GONAD BETA-SUBUNIT QN, CSF (QUEST)",301,RC,,,,,inpatient,,,416,,208,249.6,420.0352,391.04,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,345.28,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,382.72,,,,percent of total billed charges,,393.536,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,403.52,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,366.08,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,269.568,,,,percent of total billed charges,,374.4,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,420.0352,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,395.2,,,,percent of total billed charges,,332.8,,,,percent of total billed charges,,249.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEROID PANEL, 21-HYDROXYLASE DEFICIENCY/STRESS (QUEST)",301,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEROID PANEL, 21-HYDROXYLASE DEFICIENCY/STRESS (QUEST)",301,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEROID PANEL, 21-HYDROXYLASE DEFICIENCY/STRESS (QUEST)",301,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLMALONIC ACID, GC/MS/MS, URINE (QUEST)",301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUNFLOWER SEED IGE* (QUEST),302,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-STRIATED MUSCLE AB TITER (QUEST),302,RC,,,,,inpatient,,,32,,16,19.2,32.3104,30.08,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,26.56,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,29.44,,,,percent of total billed charges,,30.272,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,31.04,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,32.3104,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,25.6,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EASTERN EQUINE ENCEPHALITIS VIRUS IGG AB, IFA(CSF) (QUEST)",302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESMOGLEIN ABS (1 AND 3) (QUEST),302,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEUTROPHIL ANTIBODY, FLOW CYTOMETRY (QUEST)",302,RC,,,,,inpatient,,,198,,99,118.8,199.9206,186.12,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,164.34,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,187.308,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.06,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,174.24,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,199.9206,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-GLOBIN GENE SEQUENCING (QUEST),309,RC,,,,,inpatient,,,802,,401,481.2,809.7794,753.88,,,,percent of total billed charges,,641.6,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,665.66,,,,percent of total billed charges,,721.8,,,,percent of total billed charges,,737.84,,,,percent of total billed charges,,737.84,,,,percent of total billed charges,,758.692,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,777.94,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,705.76,,,,percent of total billed charges,,721.8,,,,percent of total billed charges,,519.696,,,,percent of total billed charges,,721.8,,,,percent of total billed charges,,481.2,,,,percent of total billed charges,,809.7794,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,761.9,,,,percent of total billed charges,,641.6,,,,percent of total billed charges,,481.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOSPHATIDYLETHANOLAMINE ANTIBODY (IGG) (QUEST),302,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2 COMPLEMENT COMPONENT (QUEST),302,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 MICROGLOBULIN (U) (QUEST),301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COPPER, LIVER (QUEST)",301,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SEROTONIN, WB (QUEST)",301,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENOMIC SNP MICROARRAY, FETAL",309,RC,,,,,inpatient,,,1326,,663,795.6,1338.8622,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,859.248,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1338.8622,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOGENOMIC SNP MICROARRAY, FETAL",309,RC,,,,,inpatient,,,1326,,663,795.6,1338.8622,1246.44,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1100.58,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1219.92,,,,percent of total billed charges,,1254.396,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1286.22,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1166.88,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,859.248,,,,percent of total billed charges,,1193.4,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,1338.8622,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1259.7,,,,percent of total billed charges,,1060.8,,,,percent of total billed charges,,795.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GENOMIC SNP MICROARRAY, PRODUCT OF CONCEPTION",309,RC,,,,,inpatient,,,2261,,1130.5,1356.6,2282.9317,2125.34,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1876.63,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2080.12,,,,percent of total billed charges,,2138.906,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2193.17,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1989.68,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1465.128,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,2282.9317,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,2147.95,,,,percent of total billed charges,,1808.8,,,,percent of total billed charges,,1356.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RICKETTSIA AB (QUEST),302,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHGH ISLET CELL AB TITER (QUEST),302,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA/UREAPLASMA PANEL (QUEST),306,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYCOPLASMA/UREAPLASMA PANEL (QUEST),306,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MINIMUM INHIBITORY CONC (MIC) (QUEST),306,RC,,,,,inpatient,,,174,,87,104.4,175.6878,163.56,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,144.42,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,160.08,,,,percent of total billed charges,,164.604,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,168.78,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,153.12,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,175.6878,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,165.3,,,,percent of total billed charges,,139.2,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FASTIDIOUS PATHOGEN, MIC (QUEST)",306,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG E TEST, MIC (QUEST)",306,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BACTERIAL ID, AEROBIC (QUEST)",306,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BACTERIAL ID & SUSCEPT, AEROBIC (QUEST)",306,RC,,,,,inpatient,,,228,,114,136.8,230.2116,214.32,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,189.24,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,209.76,,,,percent of total billed charges,,215.688,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,221.16,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,200.64,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,147.744,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,230.2116,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYCOBACTERIUM ID, TB/MAI PROBES (QUEST)",306,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),300,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),305,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),305,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBINOPATHY EVAL (QUEST),305,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEN TOX (SCRIPT/OTC) DRUG TEST URINE (QUEST),301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV DNA PCR QUAL SALIVA (QUEST),306,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-MULLERIAN HORMONE MALE (QUEST),301,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPAR1 AB CBA IFA TITER (QUEST),302,RC,,,,,inpatient,,,1572,,786,943.2,1587.2484,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1018.656,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1587.2484,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPAR2 AB CBA IFA TITER (QUEST),302,RC,,,,,inpatient,,,1572,,786,943.2,1587.2484,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1018.656,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1587.2484,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAG AB IGM WB (QUEST),302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB TITER (QUEST),302,RC,,,,,inpatient,,,1570,,785,942,1585.229,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1017.36,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1585.229,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURONAL NUCLEAR AB TYPE 3 TITER (QUEST),302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELIN AB IFA TITER (QUEST),302,RC,,,,,inpatient,,,1572,,786,943.2,1587.2484,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1018.656,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1587.2484,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAG SGPG AB IGM (QUEST),302,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAG AB IGM EIA (QUEST),302,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GABABR AB CBA IFA TITER (QUEST),302,RC,,,,,inpatient,,,1572,,786,943.2,1587.2484,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1018.656,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1587.2484,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROLOGY AB LINE BLOT (QUEST),302,RC,,,,,inpatient,,,2700,,1350,1620,2726.19,2538,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,2430,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,2484,,,,percent of total billed charges,,2554.2,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2376,,,,percent of total billed charges,,2430,,,,percent of total billed charges,,1749.6,,,,percent of total billed charges,,2430,,,,percent of total billed charges,,1620,,,,percent of total billed charges,,2726.19,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2565,,,,percent of total billed charges,,2160,,,,percent of total billed charges,,1620,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NIJMEGEN ASSAY (QUEST),302,RC,,,,,inpatient,,,254,,127,152.4,256.4638,238.76,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,210.82,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,233.68,,,,percent of total billed charges,,240.284,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,246.38,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,223.52,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,164.592,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,256.4638,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,241.3,,,,percent of total billed charges,,203.2,,,,percent of total billed charges,,152.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCA TR (DNER) AB CBA IFA TITER (QUEST),302,RC,,,,,inpatient,,,1570,,785,942,1585.229,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1017.36,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1585.229,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURKINJE CELL CYTOPLASMIC AB TYPE 2 TITER (QUEST),302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURKINJE CELL CYTOPLASMIC AB TYPE TR CBA IFA (QUEST),302,RC,,,,,inpatient,,,800,,400,480,807.76,752,,,,percent of total billed charges,,640,,,,percent of total billed charges,,760,,,,percent of total billed charges,,664,,,,percent of total billed charges,,720,,,,percent of total billed charges,,736,,,,percent of total billed charges,,736,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,760,,,,percent of total billed charges,,776,,,,percent of total billed charges,,760,,,,percent of total billed charges,,704,,,,percent of total billed charges,,720,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,720,,,,percent of total billed charges,,480,,,,percent of total billed charges,,807.76,,,,percent of total billed charges,,760,,,,percent of total billed charges,,760,,,,percent of total billed charges,,640,,,,percent of total billed charges,,480,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARANEOPLASTIC AB LB (QUEST),302,RC,,,,,inpatient,,,359,,179.5,215.4,362.4823,337.46,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,297.97,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,330.28,,,,percent of total billed charges,,339.614,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,348.23,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,315.92,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,232.632,,,,percent of total billed charges,,323.1,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,362.4823,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,341.05,,,,percent of total billed charges,,287.2,,,,percent of total billed charges,,215.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARANEOPLASTIC AB LB (QUEST),302,RC,,,,,inpatient,,,357,,178.5,214.2,360.4629,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,231.336,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,360.4629,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN 4 AB TITER (QUEST),302,RC,,,,,inpatient,,,1570,,785,942,1585.229,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1017.36,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1585.229,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROLOGY AB LINE BLOT (QUEST),302,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROLOGY AB LINE BLOT (QUEST),302,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NMDAR1 CBA IFA TITER (QUEST),302,RC,,,,,inpatient,,,1572,,786,943.2,1587.2484,1477.68,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1304.76,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1446.24,,,,percent of total billed charges,,1487.112,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1524.84,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1383.36,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,1018.656,,,,percent of total billed charges,,1414.8,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,1587.2484,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1493.4,,,,percent of total billed charges,,1257.6,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG ABUSE 9 SCREEN SERUM (QUEST),301,RC,,,,,inpatient,,,234,,117,140.4,236.2698,219.96,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,194.22,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,215.28,,,,percent of total billed charges,,221.364,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,226.98,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,205.92,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,151.632,,,,percent of total billed charges,,210.6,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,236.2698,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD19 IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYNCH SYNDROME TUMOR IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY NOCARDIA/AEROBIC ACTINOMYCETES MIC (QUEST),306,RC,,,,,inpatient,,,196,,98,117.6,197.9012,184.24,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,162.68,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,180.32,,,,percent of total billed charges,,185.416,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,190.12,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,172.48,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,176.4,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,197.9012,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,186.2,,,,percent of total billed charges,,156.8,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHYL ALCOHOL (QUEST),301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ETHYLENE GLYCOL (QUEST),301,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID ANAEROBIC (QUEST),306,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANAEROBIC ID AND ETEST MIC (QUEST),306,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUSCEPTIBILITY AEROBIC MIC (QUEST),306,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GABAPENTIN, URINE-QUEST",301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHYRINS QUANT 24 HR URINE-QUEST,301,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORPHYRINS QUANT 24 HR URINE-QUEST,301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB S POST TRANSFUSION-QUEST,300,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOG AB CBA-QUEST,302,RC,,,,,inpatient,,,860,,430,516,868.342,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,557.28,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,868.342,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ER IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PR IHC W/INTERP (QUEST),312,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PD-L1 LUNG (NIVOLUMAB) IHC (QUEST),312,RC,,,,,inpatient,,,580,,290,348,585.626,545.2,,,,percent of total billed charges,,464,,,,percent of total billed charges,,551,,,,percent of total billed charges,,481.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,548.68,,,,percent of total billed charges,,551,,,,percent of total billed charges,,562.6,,,,percent of total billed charges,,551,,,,percent of total billed charges,,510.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,375.84,,,,percent of total billed charges,,522,,,,percent of total billed charges,,348,,,,percent of total billed charges,,585.626,,,,percent of total billed charges,,551,,,,percent of total billed charges,,551,,,,percent of total billed charges,,464,,,,percent of total billed charges,,348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EGFR MUTATION ANALYSIS, TUMOR-QUEST",310,RC,,,,,inpatient,,,2000,,1000,1200,2019.4,1880,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1660,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1840,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1940,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1760,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,1800,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,2019.4,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1900,,,,percent of total billed charges,,1600,,,,percent of total billed charges,,1200,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IODINE URINE-QUEST,301,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS PCR-QUEST,306,RC,,,,,inpatient,,,422,,211,253.2,426.0934,396.68,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,350.26,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,399.212,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,409.34,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,371.36,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,273.456,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,426.0934,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KRAS MUTATION-QUEST,310,RC,,,,,inpatient,,,530,,265,318,535.141,498.2,,,,percent of total billed charges,,424,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,439.9,,,,percent of total billed charges,,477,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,501.38,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,514.1,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,477,,,,percent of total billed charges,,343.44,,,,percent of total billed charges,,477,,,,percent of total billed charges,,318,,,,percent of total billed charges,,535.141,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,424,,,,percent of total billed charges,,318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SUSCEPTIBILITY, TB-QUEST",306,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M AVIUM COMPLEX MIC-QUEST,306,RC,,,,,inpatient,,,282,,141,169.2,284.7354,265.08,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,234.06,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,259.44,,,,percent of total billed charges,,266.772,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,273.54,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,182.736,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,284.7354,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,267.9,,,,percent of total billed charges,,225.6,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE CORTISOL/CORTISONE-QUEST,301,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE CORTISOL/CORTISONE-QUEST,301,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DPD MUTATION-QUEST,309,RC,,,,,inpatient,,,356,,178,213.6,359.4532,334.64,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,295.48,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,327.52,,,,percent of total billed charges,,336.776,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,345.32,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,313.28,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,230.688,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,359.4532,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,338.2,,,,percent of total billed charges,,284.8,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NPM (EXON 12) MUT ANALYSIS, CELL BASED-QUEST",309,RC,,,,,inpatient,,,428,,214,256.8,432.1516,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,277.344,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,432.1516,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CXCR4 GENE MUTATION, REFLEX TEST (MAYO)",310,RC,,,,,inpatient,,,1474,,737,884.4,1488.2978,1385.56,,,,percent of total billed charges,,1179.2,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1223.42,,,,percent of total billed charges,,1326.6,,,,percent of total billed charges,,1356.08,,,,percent of total billed charges,,1356.08,,,,percent of total billed charges,,1394.404,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1429.78,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1297.12,,,,percent of total billed charges,,1326.6,,,,percent of total billed charges,,955.152,,,,percent of total billed charges,,1326.6,,,,percent of total billed charges,,884.4,,,,percent of total billed charges,,1488.2978,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1400.3,,,,percent of total billed charges,,1179.2,,,,percent of total billed charges,,884.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SYNTHETIC STIMULANTS, QUANT, URINE (QUEST)",301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG YEAST, SUSCEPTIBILITY, COMPREHENSIVE (QUEST)",306,RC,,,,,inpatient,,,924,,462,554.4,932.9628,868.56,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,766.92,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,874.104,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,896.28,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,813.12,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,598.752,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,932.9628,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,877.8,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG T SPOT TB (QUEST),306,RC,,,,,inpatient,,,278,,139,166.8,280.6966,261.32,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,230.74,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,262.988,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,269.66,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,244.64,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,180.144,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,280.6966,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE DISORDERS PANEL (QUEST),301,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATINE DISORDERS PANEL (QUEST),301,RC,,,,,inpatient,,,363,,181.5,217.8,366.5211,341.22,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,301.29,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,333.96,,,,percent of total billed charges,,343.398,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,352.11,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,319.44,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,235.224,,,,percent of total billed charges,,326.7,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,366.5211,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,344.85,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HSP-70 AB (QUEST),302,RC,,,,,inpatient,,,272,,136,163.2,274.6384,255.68,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,225.76,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,250.24,,,,percent of total billed charges,,257.312,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,263.84,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,239.36,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,176.256,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,274.6384,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,217.6,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG PANEL W/ALCOHOL (QUEST),301,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CORTISOL, MASS SPEC-SENDOUT (MAYO)",301,RC,,,,,inpatient,,,483,,241.5,289.8,487.6851,454.02,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,400.89,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,444.36,,,,percent of total billed charges,,456.918,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,468.51,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,312.984,,,,percent of total billed charges,,434.7,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,487.6851,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,458.85,,,,percent of total billed charges,,386.4,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALDOSTERONE, MASS SPEC-SENDOUT (MAYO)",301,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV DNA PCR-SENDOUT (NEOGENOMICS),306,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAF IHC W/INTERP-SENDOUT (NEOGENOMICS),312,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAT6 IHC-SENDOUT (NEOGENOMICS),312,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREPONEMA PALLIDUM IHC W/INTERP-SENDOUT (NEO),312,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYPTOSPORIDIUM AG EIA STOOL-SENDOUT (QUEST),306,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER IGG TITER (SENDOUT),302,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q FEVER IGM TITER (SENDOUT),302,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE CREATININE (QUEST),301,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON TOTAL (QUEST),301,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLIANCE DRUG SCREEN,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-AMPHETAMINE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANALGESICS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-SEROTONERGIC,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-TRICYCLICS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANTIDEPRESS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANTIEPILEPTICS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-ANTIPSYCHOTICS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-BENZO,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-BUPRENORPHINE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-COCAINE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-FENTANYL,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-GABAPENTIN,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-KETAMINE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-METHADONE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-MDMA,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-METHYLPHENIDATE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-OPIATES,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-OPIODS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-OXYCODONE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-PREGABALIN,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-PROPOXYPHENE,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-SEDATIVES,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-MUSCLE RELAXANTS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-STIMULANTS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-TAPENTADOL,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-TRAMADOL,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-DEFINITIVE NOS,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-CREAT,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPL DRUG SCR-PCP,301,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV QUAL PCR SALIVA,309,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NASAL EOSINOPHIL CT,300,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1 ESTERASE INHIBITOR PROTEIN,301,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TSH RECEPTOR ANTIBODY (IN HOUSE),301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  TREPONEM PALLIDUM ANTIBODY (IN-HOUSE),301,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN E (TOCOPHEROL) (SEND-OUT),301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LAMOTRIGINE (SEND-OUT),301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVETIRACETAM (SEND-OUT),301,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG (FNA) IMMEDIATE EVAL ADEQUACY, EA ADD'L, SAME SITE (IN-HOUSE)",310,RC,,,,,inpatient,,,76,,38,45.6,76.7372,71.44,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,63.08,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,69.92,,,,percent of total billed charges,,71.896,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,73.72,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,66.88,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,76.7372,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,72.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPOXYPHENE QNT (QUEST),301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRICYCLICS QNT (QUEST),301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SRA LMWH (QUEST),302,RC,,,,,inpatient,,,520,,260,312,525.044,488.8,,,,percent of total billed charges,,416,,,,percent of total billed charges,,494,,,,percent of total billed charges,,431.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,494,,,,percent of total billed charges,,504.4,,,,percent of total billed charges,,494,,,,percent of total billed charges,,457.6,,,,percent of total billed charges,,468,,,,percent of total billed charges,,336.96,,,,percent of total billed charges,,468,,,,percent of total billed charges,,312,,,,percent of total billed charges,,525.044,,,,percent of total billed charges,,494,,,,percent of total billed charges,,494,,,,percent of total billed charges,,416,,,,percent of total billed charges,,312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA-1-ANTITRYPSIN FECAL,301,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV-1 DNA QUALITATIVE PCR QUEST/ SENDOUT,306,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S100, IHC WITHOUT INTERP, SENDOUT",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DESMIN, IHC WIHOUT INTERP, SENDOUT",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD99, IHC WITHOUT INTERP, SENDOUT",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD31, IHC WITHOUT INTERP, SENDOUT",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD15, IHC WITHOUT INTERP, SENDOUT",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPSTEIN-BAR VIRUS, ISH WITHOUT INTERP, SENDOUT",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LIPASE, FLUID",301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA PANEL-MORPHOMETRIC ANALYSIS,310,RC,,,,,inpatient,,,277,,138.5,166.2,279.6869,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,179.496,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,279.6869,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG CA PANEL-ISH EACH PROBE,310,RC,,,,,inpatient,,,207,,103.5,124.2,209.0079,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,209.0079,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANTRK IHC W/OUT INTERP,312,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NTKR FUSION,310,RC,,,,,inpatient,,,1916,,958,1149.6,1934.5852,1801.04,,,,percent of total billed charges,,1532.8,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1590.28,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,1762.72,,,,percent of total billed charges,,1762.72,,,,percent of total billed charges,,1812.536,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1858.52,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1686.08,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,1241.568,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,1149.6,,,,percent of total billed charges,,1934.5852,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1820.2,,,,percent of total billed charges,,1532.8,,,,percent of total billed charges,,1149.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEST NILE VIRUS PCR CSF,306,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI DFS70,301,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RESP VIRUS PANEL BAL,310,RC,,,,,inpatient,,,1068,,534,640.8,1078.3596,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,692.064,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,1078.3596,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NICOTINE & COTININE URINE,301,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DAT-IGG-SENDOUT,300,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DAT-C3-SENDOUT,300,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GALACTOSE-ALPHA-1,3-GALACTOSE, IGE",302,RC,,,,,inpatient,,,122,,61,73.2,123.1834,114.68,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,101.26,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,112.24,,,,percent of total billed charges,,115.412,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,118.34,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,107.36,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,79.056,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,123.1834,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,115.9,,,,percent of total billed charges,,97.6,,,,percent of total billed charges,,73.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MALARIA PCR,306,RC,,,,,inpatient,,,690,,345,414,696.693,648.6,,,,percent of total billed charges,,552,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,572.7,,,,percent of total billed charges,,621,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,652.74,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,669.3,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,621,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,621,,,,percent of total billed charges,,414,,,,percent of total billed charges,,696.693,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,655.5,,,,percent of total billed charges,,552,,,,percent of total billed charges,,414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOCHONDRIAL ABS EIA,302,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA AB ID CLASS I HIGH RES (VERSITI),309,RC,,,,,inpatient,,,750,,375,450,757.275,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,486,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,757.275,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA AB ID CLASS II HIGH RES (VERSITI),309,RC,,,,,inpatient,,,750,,375,450,757.275,705,,,,percent of total billed charges,,600,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,622.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,690,,,,percent of total billed charges,,690,,,,percent of total billed charges,,709.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,727.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,660,,,,percent of total billed charges,,675,,,,percent of total billed charges,,486,,,,percent of total billed charges,,675,,,,percent of total billed charges,,450,,,,percent of total billed charges,,757.275,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,712.5,,,,percent of total billed charges,,600,,,,percent of total billed charges,,450,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSAY OF PHENYTOIN, FREE (SENDOUT)",301,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HVA RANDOM URINE (SENDOUT),301,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VMA RANDOM URINE (SENDOUT),301,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VZV PCR (SENDOUT),306,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,910,,455,546,918.827,855.4,,,,percent of total billed charges,,728,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,755.3,,,,percent of total billed charges,,819,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,860.86,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,882.7,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,819,,,,percent of total billed charges,,589.68,,,,percent of total billed charges,,819,,,,percent of total billed charges,,546,,,,percent of total billed charges,,918.827,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,728,,,,percent of total billed charges,,546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLIXIMAB AB (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,910,,455,546,918.827,855.4,,,,percent of total billed charges,,728,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,755.3,,,,percent of total billed charges,,819,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,860.86,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,882.7,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,819,,,,percent of total billed charges,,589.68,,,,percent of total billed charges,,819,,,,percent of total billed charges,,546,,,,percent of total billed charges,,918.827,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,728,,,,percent of total billed charges,,546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADALIMUMAB AB (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEDOLIZUMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,910,,455,546,918.827,855.4,,,,percent of total billed charges,,728,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,755.3,,,,percent of total billed charges,,819,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,837.2,,,,percent of total billed charges,,860.86,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,882.7,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,819,,,,percent of total billed charges,,589.68,,,,percent of total billed charges,,819,,,,percent of total billed charges,,546,,,,percent of total billed charges,,918.827,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,864.5,,,,percent of total billed charges,,728,,,,percent of total billed charges,,546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEDOLIZUMAB AB (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG USTEKINUMAB LEVEL (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,1046,,523,627.6,1056.1462,983.24,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,868.18,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,962.32,,,,percent of total billed charges,,989.516,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,1014.62,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,920.48,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,677.808,,,,percent of total billed charges,,941.4,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,1056.1462,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,993.7,,,,percent of total billed charges,,836.8,,,,percent of total billed charges,,627.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG USTEKINUMAB AB (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,390,,195,234,393.783,366.6,,,,percent of total billed charges,,312,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,323.7,,,,percent of total billed charges,,351,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,368.94,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,378.3,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,351,,,,percent of total billed charges,,252.72,,,,percent of total billed charges,,351,,,,percent of total billed charges,,234,,,,percent of total billed charges,,393.783,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,370.5,,,,percent of total billed charges,,312,,,,percent of total billed charges,,234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRP (PROMETHEUS) (SENDOUT),301,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCA IGG (PROMETHEUS) (SENDOUT),310,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DNASE (PROMETHEUS) (SENDOUT),310,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LH PEDIATRIC (QUEST) (SENDOUT),301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FSH PEDIATRIC (QUEST) (SENDOUT),301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROTRANS METAB 5HIAA,301,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROTRANS METAB HVA,301,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROTRANS METAB 3-O-MD,301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KLEIHAUER-BETKE STAIN (QUEST SENDOUT),305,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPHETAMINES 5 OR MORE,301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENZOS 13 OR MORE,301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPIODS 5 OR MORE,301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GABAPENTIN NON BLOOD,301,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA CLASS I TYPING LOW RES ONE LOCUS,310,RC,,,,,inpatient,,,343,,171.5,205.8,346.3271,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,222.264,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,346.3271,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOGLOBULIN (IGA),301,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGA SUBCLASSES,301,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 V617F MUT,310,RC,,,,,inpatient,,,345,,172.5,207,348.3465,324.3,,,,percent of total billed charges,,276,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,286.35,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,326.37,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,334.65,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,310.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,348.3465,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,327.75,,,,percent of total billed charges,,276,,,,percent of total billed charges,,207,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG JAK2 EXON 12 MUT.,310,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MPL MUTATION,310,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAF3R MUTATION,310,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CBFB/MYH11 INV(16) PCR,310,RC,,,,,inpatient,,,773,,386.5,463.8,780.4981,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,500.904,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,780.4981,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RBC AG GENOTYPING DNA,310,RC,,,,,inpatient,,,656,,328,393.6,662.3632,616.64,,,,percent of total billed charges,,524.8,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,544.48,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,603.52,,,,percent of total billed charges,,603.52,,,,percent of total billed charges,,620.576,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,636.32,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,577.28,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,425.088,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,662.3632,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,623.2,,,,percent of total billed charges,,524.8,,,,percent of total billed charges,,393.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HCV GENOTYPE NS5A DRUG RESIST,309,RC,,,,,inpatient,,,862,,431,517.2,870.3614,810.28,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,715.46,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,815.452,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,836.14,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,758.56,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,558.576,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,870.3614,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLONAZEPAM (QUEST SENDOUT),301,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCO AB IGA (QUEST SENDOUT),302,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCO I AB IGM (QUEST SENDOUT),302,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA 2 GLYCO I AB IGG (QUEST SENDOUT),302,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FREE TESTOSTERONE,301,RC,,,,,inpatient,,,44,,22,26.4,44.4268,41.36,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,36.52,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.624,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,42.68,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,38.72,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,41.8,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACANTHAMOEBA SP PCR OCULAR,309,RC,,,,,inpatient,,,667,,333.5,400.2,673.4699,626.98,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,553.61,,,,percent of total billed charges,,600.3,,,,percent of total billed charges,,613.64,,,,percent of total billed charges,,613.64,,,,percent of total billed charges,,630.982,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,646.99,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,586.96,,,,percent of total billed charges,,600.3,,,,percent of total billed charges,,432.216,,,,percent of total billed charges,,600.3,,,,percent of total billed charges,,400.2,,,,percent of total billed charges,,673.4699,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,633.65,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,400.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL ABNORMALITIES BIOCHEM ASSAYS USING MATERNAL SERUM W/RISK SCORE,310,RC,,,,,inpatient,,,734,,367,440.4,741.1198,689.96,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,609.22,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,694.364,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,711.98,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,645.92,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,475.632,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,741.1198,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAINFLUENZA PCR,309,RC,,,,,inpatient,,,292,,146,175.2,294.8324,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,294.8324,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HUMAN METAPNEUMOVIRUS PCR,309,RC,,,,,inpatient,,,559,,279.5,335.4,564.4223,525.46,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,463.97,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,528.814,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,542.23,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,362.232,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,564.4223,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRCA PANEL (BRCA1, BRCA2); FULL SEQ (NEOGENOMICS)",310,RC,,,,,inpatient,,,1076,,538,645.6,1086.4372,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,697.248,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,1086.4372,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD2, IHC W/O INTERP (QUEST)",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAST CELL TRYPTASE, IHC W/O INTERP (QUEST)",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MA903 CYTOKERATIN 34BE12, IHC W/O INTERP (QUEST)",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CLARETININ, IHC W/O INTERP (QUEST)",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HERPES SIMPLEX VIRUS TYPES 1 AND 2, IHC W/O INTERP",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPITHELIAL MEMBRANE ANTIGEN, IHC W/O INTERP",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG VIMENTIN, IHC W/O INTERPRETATION",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXALATE,301,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH DNA PROBE ALK2P23,310,RC,,,,,inpatient,,,308,,154,184.8,310.9876,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,310.9876,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FISH ANALYSIS ALK2P23,310,RC,,,,,inpatient,,,154,,77,92.4,155.4938,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,99.792,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,155.4938,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EM, DIAGNOSTIC",319,RC,,,,,inpatient,,,2240,,1120,1344,2261.728,2105.6,,,,percent of total billed charges,,1792,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1859.2,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2060.8,,,,percent of total billed charges,,2060.8,,,,percent of total billed charges,,2119.04,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,2172.8,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1971.2,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1451.52,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1344,,,,percent of total billed charges,,2261.728,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,2128,,,,percent of total billed charges,,1792,,,,percent of total billed charges,,1344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLT GLYCOPROTEIN FLOW,319,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLT GLYCOPROTEIN ADD'L FLOW MARKERS,319,RC,,,,,inpatient,,,1000,,500,600,1009.7,940,,,,percent of total billed charges,,800,,,,percent of total billed charges,,950,,,,percent of total billed charges,,830,,,,percent of total billed charges,,900,,,,percent of total billed charges,,920,,,,percent of total billed charges,,920,,,,percent of total billed charges,,946,,,,percent of total billed charges,,950,,,,percent of total billed charges,,970,,,,percent of total billed charges,,950,,,,percent of total billed charges,,880,,,,percent of total billed charges,,900,,,,percent of total billed charges,,648,,,,percent of total billed charges,,900,,,,percent of total billed charges,,600,,,,percent of total billed charges,,1009.7,,,,percent of total billed charges,,950,,,,percent of total billed charges,,950,,,,percent of total billed charges,,800,,,,percent of total billed charges,,600,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT BY TMA,309,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHLAMYDIA BY TMA,309,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NG BY TMA,309,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG B. HENSELASE IGG AB,302,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORGANIC ACIDS TOTAL QUANT,301,RC,,,,,inpatient,,,614,,307,368.4,619.9558,577.16,,,,percent of total billed charges,,491.2,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,509.62,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,564.88,,,,percent of total billed charges,,564.88,,,,percent of total billed charges,,580.844,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,595.58,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,540.32,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,397.872,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,368.4,,,,percent of total billed charges,,619.9558,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,583.3,,,,percent of total billed charges,,491.2,,,,percent of total billed charges,,368.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANISE IGE,302,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYROSINE,301,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLUMN CHROMATOGRAPHY NON-DRUG QUAL OR QUANT,301,RC,,,,,inpatient,,,289,,144.5,173.4,291.8033,271.66,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,239.87,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,265.88,,,,percent of total billed charges,,273.394,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,280.33,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,254.32,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,187.272,,,,percent of total billed charges,,260.1,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,291.8033,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,274.55,,,,percent of total billed charges,,231.2,,,,percent of total billed charges,,173.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IG LIGHT CHAINS FREE EACH,301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MONKEYPOX VIRUS DNA QUAL PCR (QUEST),300,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOGENIC SUBSTRATE ASSAY,305,RC,,,,,inpatient,,,569,,284.5,341.4,574.5193,534.86,,,,percent of total billed charges,,455.2,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,472.27,,,,percent of total billed charges,,512.1,,,,percent of total billed charges,,523.48,,,,percent of total billed charges,,523.48,,,,percent of total billed charges,,538.274,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,551.93,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,500.72,,,,percent of total billed charges,,512.1,,,,percent of total billed charges,,368.712,,,,percent of total billed charges,,512.1,,,,percent of total billed charges,,341.4,,,,percent of total billed charges,,574.5193,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,540.55,,,,percent of total billed charges,,455.2,,,,percent of total billed charges,,341.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 5-HIAA RANDOM URINE,301,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR INHIBITOR TEST,305,RC,,,,,inpatient,,,616,,308,369.6,621.9752,579.04,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,582.736,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,542.08,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,399.168,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,621.9752,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN CBA EACH,302,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN CBA TITER,302,RC,,,,,inpatient,,,1570,,785,942,1585.229,1475.8,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1303.1,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1444.4,,,,percent of total billed charges,,1485.22,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1522.9,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,1017.36,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,942,,,,percent of total billed charges,,1585.229,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1491.5,,,,percent of total billed charges,,1256,,,,percent of total billed charges,,942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN  AB ELISA,302,RC,,,,,inpatient,,,1120,,560,672,1130.864,1052.8,,,,percent of total billed charges,,896,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,929.6,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,1030.4,,,,percent of total billed charges,,1030.4,,,,percent of total billed charges,,1059.52,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,1086.4,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,985.6,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,725.76,,,,percent of total billed charges,,1008,,,,percent of total billed charges,,672,,,,percent of total billed charges,,1130.864,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,1064,,,,percent of total billed charges,,896,,,,percent of total billed charges,,672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOGLOBIN IHC W/O INTERP,310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG SCREEN W/ALCOHOL  UMB CORD,301,RC,,,,,inpatient,,,575,,287.5,345,580.5775,540.5,,,,percent of total billed charges,,460,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,477.25,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,529,,,,percent of total billed charges,,529,,,,percent of total billed charges,,543.95,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,557.75,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,506,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,517.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,580.5775,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,546.25,,,,percent of total billed charges,,460,,,,percent of total billed charges,,345,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TPMT GENE ANALYSIS,310,RC,,,,,inpatient,,,402,,201,241.2,405.8994,377.88,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,333.66,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,380.292,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,389.94,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,353.76,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,260.496,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,405.8994,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUDT15 GENE ANALYSIS,310,RC,,,,,inpatient,,,402,,201,241.2,405.8994,377.88,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,333.66,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,369.84,,,,percent of total billed charges,,380.292,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,389.94,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,353.76,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,260.496,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,405.8994,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,381.9,,,,percent of total billed charges,,321.6,,,,percent of total billed charges,,241.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CYTOMEGALOVIRUS, IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME TOTAL ANTOBODIES (LIAISON),302,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME IGM CONFIRMATION (LIAISON),302,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYME IGG CONFIRMATION (LIAISON),302,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAT LYME IGG  (SOPHIA),302,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STAT LYME IGM (SOPHIA),302,RC,,,,,inpatient,,,55,,27.5,33,55.5335,51.7,,,,percent of total billed charges,,44,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,45.65,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,50.6,,,,percent of total billed charges,,52.03,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,53.35,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,48.4,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,33,,,,percent of total billed charges,,55.5335,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,52.25,,,,percent of total billed charges,,44,,,,percent of total billed charges,,33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM-FLOW MARKER,311,RC,,,,,inpatient,,,382,,191,229.2,385.7054,359.08,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,317.06,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,351.44,,,,percent of total billed charges,,361.372,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,370.54,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,336.16,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,247.536,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,385.7054,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,362.9,,,,percent of total billed charges,,305.6,,,,percent of total billed charges,,229.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHIMERISM-ADD'L FLOW MARKER,311,RC,,,,,inpatient,,,365,,182.5,219,368.5405,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,236.52,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,368.5405,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROXINE BINDING GLOBULIN (QUEST),301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RABIES RFFIT SCREEN (QUEST),300,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FECAL FAT QUAL (QUEST),300,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUROESCENT NON-INFECTIOUS AB EACH (QUEST),302,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT RIA (QUEST),302,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUROESCENT NON-INFECTIOUS AB EACH (QUEST),302,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT RIA (QUEST),302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL AB (QUEST),302,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN 4 AB CBA EACH (QUEST),302,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURONAL K+ CHANNEL AB CSF (QUEST),302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN 4 AB TITER EACH (QUEST),302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUROESCENT NON-INFECTIOUS AB TITER (QUEST),302,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURKINJE CELL CYTOPLASMIC AB CBA IFA (QUEST),302,RC,,,,,inpatient,,,500,,250,300,504.85,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,324,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,504.85,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN AB CBA (QUEST),302,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLTAGE GATED CA AB (QUEST),302,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AQUAPORIN AB CBA CSF (QUEST),302,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET CELL AB CSF (QUEST),302,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEURONAL K+ CHANNEL AB CSF (QUEST),302,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELIN AB IFA TITER (QUEST),302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP C VIRUS GENOTYPE (QUEST),300,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESTRONE (QUEST),301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FACTOR XIII (QUEST),309,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROSTATE TRIPLE STAIN , IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROSTATE TRIPLE STAIN , IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELLULAR FUNCTION ASSAY (CINCY CHILDREN'S),302,RC,,,,,inpatient,,,1361,,680.5,816.6,1374.2017,1279.34,,,,percent of total billed charges,,1088.8,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1129.63,,,,percent of total billed charges,,1224.9,,,,percent of total billed charges,,1252.12,,,,percent of total billed charges,,1252.12,,,,percent of total billed charges,,1287.506,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1320.17,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1197.68,,,,percent of total billed charges,,1224.9,,,,percent of total billed charges,,881.928,,,,percent of total billed charges,,1224.9,,,,percent of total billed charges,,816.6,,,,percent of total billed charges,,1374.2017,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1292.95,,,,percent of total billed charges,,1088.8,,,,percent of total billed charges,,816.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NK CELLS TOTAL COUNT (CINCY CHILDREN'S),309,RC,,,,,inpatient,,,378,,189,226.8,381.6666,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,381.6666,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYPHILIS AB (DONOR)(QUEST),309,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HTLVI/II AB (DONOR)(QUEST),309,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCYSTIS JIROVECII QUANT PCR (QUEST),309,RC,,,,,inpatient,,,672,,336,403.2,678.5184,631.68,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,557.76,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,618.24,,,,percent of total billed charges,,618.24,,,,percent of total billed charges,,635.712,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,651.84,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,591.36,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,435.456,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,678.5184,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,537.6,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HIV/HCV/HBV NAT (DONOR)(QUEST),309,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MUM1, IHC W/O INTERPRETATION (QUEST SENDOUT)",312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREGABALIN (QUEST),301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZOLPIDEM (QUEST),301,RC,,,,,inpatient,,,154,,77,92.4,155.4938,144.76,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,127.82,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,145.684,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,149.38,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,135.52,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,99.792,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,155.4938,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,146.3,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,92.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLOID PROTEIN MS (MAYO),309,RC,,,,,inpatient,,,350,,175,210,353.395,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,353.395,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON LIVER TISSUE (MAYO),309,RC,,,,,inpatient,,,680,,340,408,686.596,639.2,,,,percent of total billed charges,,544,,,,percent of total billed charges,,646,,,,percent of total billed charges,,564.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,646,,,,percent of total billed charges,,659.6,,,,percent of total billed charges,,646,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,440.64,,,,percent of total billed charges,,612,,,,percent of total billed charges,,408,,,,percent of total billed charges,,686.596,,,,percent of total billed charges,,646,,,,percent of total billed charges,,646,,,,percent of total billed charges,,544,,,,percent of total billed charges,,408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEGIONELLA PNEUMOPHILIA (QUEST),306,RC,,,,,inpatient,,,136,,68,81.6,137.3192,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,137.3192,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EBV PCR (MAYO),309,RC,,,,,inpatient,,,1000,,500,600,1009.7,940,,,,percent of total billed charges,,800,,,,percent of total billed charges,,950,,,,percent of total billed charges,,830,,,,percent of total billed charges,,900,,,,percent of total billed charges,,920,,,,percent of total billed charges,,920,,,,percent of total billed charges,,946,,,,percent of total billed charges,,950,,,,percent of total billed charges,,970,,,,percent of total billed charges,,950,,,,percent of total billed charges,,880,,,,percent of total billed charges,,900,,,,percent of total billed charges,,648,,,,percent of total billed charges,,900,,,,percent of total billed charges,,600,,,,percent of total billed charges,,1009.7,,,,percent of total billed charges,,950,,,,percent of total billed charges,,950,,,,percent of total billed charges,,800,,,,percent of total billed charges,,600,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BLADDER CA FISH (QUEST),310,RC,,,,,inpatient,,,430,,215,258,434.171,404.2,,,,percent of total billed charges,,344,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,356.9,,,,percent of total billed charges,,387,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,395.6,,,,percent of total billed charges,,406.78,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,417.1,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,387,,,,percent of total billed charges,,278.64,,,,percent of total billed charges,,387,,,,percent of total billed charges,,258,,,,percent of total billed charges,,434.171,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,408.5,,,,percent of total billed charges,,344,,,,percent of total billed charges,,258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMYLOID PROTEIN ID MS (MAYO),310,RC,,,,,inpatient,,,350,,175,210,353.395,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,353.395,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICRODISSECTION LASER CAPTURE (MAYO),310,RC,,,,,inpatient,,,2100,,1050,1260,2120.37,1974,,,,percent of total billed charges,,1680,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1743,,,,percent of total billed charges,,1890,,,,percent of total billed charges,,1932,,,,percent of total billed charges,,1932,,,,percent of total billed charges,,1986.6,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,2037,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,1890,,,,percent of total billed charges,,1360.8,,,,percent of total billed charges,,1890,,,,percent of total billed charges,,1260,,,,percent of total billed charges,,2120.37,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1995,,,,percent of total billed charges,,1680,,,,percent of total billed charges,,1260,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TARGETED GENOMIC SEQ ANALYSIS,310,RC,,,,,inpatient,,,3241,,1620.5,1944.6,3272.4377,3046.54,,,,percent of total billed charges,,2592.8,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,2690.03,,,,percent of total billed charges,,2916.9,,,,percent of total billed charges,,2981.72,,,,percent of total billed charges,,2981.72,,,,percent of total billed charges,,3065.986,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,3143.77,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,2852.08,,,,percent of total billed charges,,2916.9,,,,percent of total billed charges,,2100.168,,,,percent of total billed charges,,2916.9,,,,percent of total billed charges,,1944.6,,,,percent of total billed charges,,3272.4377,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,3078.95,,,,percent of total billed charges,,2592.8,,,,percent of total billed charges,,1944.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDMA QUANT (QUEST SENDOUT),301,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALPHA SUBUNIT (QUEST SENDOUT),300,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FGF-23 (QUEST SENDOUT),300,RC,,,,,inpatient,,,410,,205,246,413.977,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,265.68,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,413.977,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUKNOW CELLULAR FUNCTION ASSAY (VIRACOR SENDOUT),302,RC,,,,,inpatient,,,340,,170,204,343.298,319.6,,,,percent of total billed charges,,272,,,,percent of total billed charges,,323,,,,percent of total billed charges,,282.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,321.64,,,,percent of total billed charges,,323,,,,percent of total billed charges,,329.8,,,,percent of total billed charges,,323,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,220.32,,,,percent of total billed charges,,306,,,,percent of total billed charges,,204,,,,percent of total billed charges,,343.298,,,,percent of total billed charges,,323,,,,percent of total billed charges,,323,,,,percent of total billed charges,,272,,,,percent of total billed charges,,204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLD ID (QUEST SENDOUT),306,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLD SENSITIVITIES (QUEST SENDOUT),306,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV AMPLIFIED PROBE (QUEST SENDOUT),306,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PANCREATIC NGS PANEL (UPMC),310,RC,,,,,inpatient,,,1725,,862.5,1035,1741.7325,1621.5,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1431.75,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1587,,,,percent of total billed charges,,1631.85,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1673.25,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1117.8,,,,percent of total billed charges,,1552.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1741.7325,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1638.75,,,,percent of total billed charges,,1380,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RHD MOLECULAR (VERSITI),310,RC,,,,,inpatient,,,773,,386.5,463.8,780.4981,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,500.904,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,780.4981,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG D ANTIGEN (VERSITI),309,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OLIGOSACCHARIDE (MAYO),301,RC,,,,,inpatient,,,694,,347,416.4,700.7318,652.36,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,576.02,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,656.524,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,673.18,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,610.72,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,449.712,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,700.7318,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITORING PANEL 5 (QUEST),301,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IGA, IHC W/O INTERPRETATION (QUEST SENDOUT)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG D2-40, IHC W/O INTERPRETATION (QUEST SENDOUT)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITOR PANEL 8 (QUEST),301,RC,,,,,inpatient,,,378,,189,226.8,381.6666,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,381.6666,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL CONF (QUEST),301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEROIN METABOLITE (QUEST),301,RC,,,,,inpatient,,,40,,20,24,40.388,37.6,,,,percent of total billed charges,,32,,,,percent of total billed charges,,38,,,,percent of total billed charges,,33.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38.8,,,,percent of total billed charges,,38,,,,percent of total billed charges,,35.2,,,,percent of total billed charges,,36,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,36,,,,percent of total billed charges,,24,,,,percent of total billed charges,,40.388,,,,percent of total billed charges,,38,,,,percent of total billed charges,,38,,,,percent of total billed charges,,32,,,,percent of total billed charges,,24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MET EXON 14 DELETION ANALYSIS (QUEST),310,RC,,,,,inpatient,,,1012,,506,607.2,1021.8164,951.28,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,839.96,,,,percent of total billed charges,,910.8,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,957.352,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,981.64,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,890.56,,,,percent of total billed charges,,910.8,,,,percent of total billed charges,,655.776,,,,percent of total billed charges,,910.8,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,1021.8164,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,961.4,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DELTA AMINOLEVULINIC ACID (QUEST),301,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CITRIC ACID (QUEST),301,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CREATININE (MAYO),301,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TITANIUM (QUEST),301,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOASSAY QUANT (QUEST),302,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON LIVER (QUEST),309,RC,,,,,inpatient,,,202,,101,121.2,203.9594,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,130.896,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,203.9594,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TSH (QUEST),301,RC,,,,,inpatient,,,93,,46.5,55.8,93.9021,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,93.9021,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTICHOKE IGE (QUEST),302,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEUKOCYTE HISTAMINE RELEASE TEST (QUEST),302,RC,,,,,inpatient,,,73,,36.5,43.8,73.7081,68.62,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,60.59,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,67.16,,,,percent of total billed charges,,69.058,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,70.81,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,64.24,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,65.7,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,73.7081,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,69.35,,,,percent of total billed charges,,58.4,,,,percent of total billed charges,,43.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROSOMAL ABS (QUEST),302,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGLOBULIN AB (QUEST),302,RC,,,,,inpatient,,,93,,46.5,55.8,93.9021,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,93.9021,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H3K27M IHC (MAYO),312,RC,,,,,inpatient,,,204,,102,122.4,205.9788,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,132.192,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,205.9788,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG H3 TRIMETHYL K27 IHC (MAYO),312,RC,,,,,inpatient,,,204,,102,122.4,205.9788,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,132.192,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,205.9788,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THSD7A BY IF (MAYO),312,RC,,,,,inpatient,,,342,,171,205.2,345.3174,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,221.616,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,345.3174,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLA2R BY IF (MAYO),312,RC,,,,,inpatient,,,342,,171,205.2,345.3174,321.48,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,283.86,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,314.64,,,,percent of total billed charges,,323.532,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,331.74,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,221.616,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,345.3174,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCYSTIS JIROVECII,306,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALPHA-FETOPROTEIN, IHC W/O INTERPRETATION (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESTROGEN RECEPTOR (ER), IHC WITHOUT INTERPRETATION (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROGESTERONE RECEPTOR, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARS-COV2 NUCLEOCAPSID AB (QUEST),302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG METHYLPHENIDATE METABOLITE QUANT (QUEST),301,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BROAD RANGE BACTERIAL PCR/SEQUENCING (MAYO),306,RC,,,,,inpatient,,,742,,371,445.2,749.1974,697.48,,,,percent of total billed charges,,593.6,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,615.86,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,682.64,,,,percent of total billed charges,,682.64,,,,percent of total billed charges,,701.932,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,719.74,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,652.96,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,480.816,,,,percent of total billed charges,,667.8,,,,percent of total billed charges,,445.2,,,,percent of total billed charges,,749.1974,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,704.9,,,,percent of total billed charges,,593.6,,,,percent of total billed charges,,445.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BACTERIAL ID BY SEQUENCING (MAYO),306,RC,,,,,inpatient,,,405,,202.5,243,408.9285,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,262.44,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,408.9285,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID NGS (MAYO),306,RC,,,,,inpatient,,,920,,460,552,928.924,864.8,,,,percent of total billed charges,,736,,,,percent of total billed charges,,874,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,874,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,874,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,596.16,,,,percent of total billed charges,,828,,,,percent of total billed charges,,552,,,,percent of total billed charges,,928.924,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,736,,,,percent of total billed charges,,552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ID BY PCR (MAYO),306,RC,,,,,inpatient,,,1104,,552,662.4,1114.7088,1037.76,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,916.32,,,,percent of total billed charges,,993.6,,,,percent of total billed charges,,1015.68,,,,percent of total billed charges,,1015.68,,,,percent of total billed charges,,1044.384,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,1070.88,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,993.6,,,,percent of total billed charges,,715.392,,,,percent of total billed charges,,993.6,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,1114.7088,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,1048.8,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGITIS PANEL PCR CSF (MAYO),306,RC,,,,,inpatient,,,960,,480,576,969.312,902.4,,,,percent of total billed charges,,768,,,,percent of total billed charges,,912,,,,percent of total billed charges,,796.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,883.2,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,912,,,,percent of total billed charges,,931.2,,,,percent of total billed charges,,912,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,864,,,,percent of total billed charges,,622.08,,,,percent of total billed charges,,864,,,,percent of total billed charges,,576,,,,percent of total billed charges,,969.312,,,,percent of total billed charges,,912,,,,percent of total billed charges,,912,,,,percent of total billed charges,,768,,,,percent of total billed charges,,576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURINES & PYRIMIDINE URINE (MAYO),301,RC,,,,,inpatient,,,1048,,524,628.8,1058.1656,985.12,,,,percent of total billed charges,,838.4,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,869.84,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,964.16,,,,percent of total billed charges,,964.16,,,,percent of total billed charges,,991.408,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,1016.56,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,922.24,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,679.104,,,,percent of total billed charges,,943.2,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,1058.1656,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,995.6,,,,percent of total billed charges,,838.4,,,,percent of total billed charges,,628.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MELANOMA AG REC BY T CELLS IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARS-COV2 SPIKE AB (QUEST),302,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CD1A, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NAPSIN A, IHC W/O INTERPRETATION (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PSA, IHC W/O INTERP (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETA AMYLOID RATIO (QUEST),310,RC,,,,,inpatient,,,963,,481.5,577.8,972.3411,905.22,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,799.29,,,,percent of total billed charges,,866.7,,,,percent of total billed charges,,885.96,,,,percent of total billed charges,,885.96,,,,percent of total billed charges,,910.998,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,934.11,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,847.44,,,,percent of total billed charges,,866.7,,,,percent of total billed charges,,624.024,,,,percent of total billed charges,,866.7,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,972.3411,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,914.85,,,,percent of total billed charges,,770.4,,,,percent of total billed charges,,577.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LRP4 AUTOAB (QUEST),302,RC,,,,,inpatient,,,1440,,720,864,1453.968,1353.6,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1195.2,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,1362.24,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1396.8,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1267.2,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,933.12,,,,percent of total billed charges,,1296,,,,percent of total billed charges,,864,,,,percent of total billed charges,,1453.968,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1152,,,,percent of total billed charges,,864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NMO AB CBA (QUEST),302,RC,,,,,inpatient,,,250,,125,150,252.425,235,,,,percent of total billed charges,,200,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,207.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,230,,,,percent of total billed charges,,230,,,,percent of total billed charges,,236.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,242.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,225,,,,percent of total billed charges,,162,,,,percent of total billed charges,,225,,,,percent of total billed charges,,150,,,,percent of total billed charges,,252.425,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,237.5,,,,percent of total billed charges,,200,,,,percent of total billed charges,,150,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV DNA HIGH RISK TYPES (QUEST),309,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRUG MONITORING ACCESS PANEL, EXTENDED, QUANT, URINE (QUEST)",301,RC,,,,,inpatient,,,846,,423,507.6,854.2062,795.24,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,702.18,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,778.32,,,,percent of total billed charges,,800.316,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,820.62,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,744.48,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,548.208,,,,percent of total billed charges,,761.4,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,854.2062,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,803.7,,,,percent of total billed charges,,676.8,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THIN PREP IMAGING (QUEST),311,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HPV RNA (QUEST),309,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHYLMD TRACH, DNA, AMP PROBE (QUEST)",306,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG N.GONORRHOEAE,DNA AMP PROBE (QUEST)",306,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURF AG (QUEST),306,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEP B SURF AG CONF (QUEST),306,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALCOHOL BIOMARKER (QUEST),301,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSA SENSITIVE (QUEST),301,RC,,,,,inpatient,,,59,,29.5,35.4,59.5723,55.46,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,48.97,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,54.28,,,,percent of total billed charges,,55.814,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,57.23,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,51.92,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,53.1,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,59.5723,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,56.05,,,,percent of total billed charges,,47.2,,,,percent of total billed charges,,35.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL MOL PATH LVL 6 (QUEST),310,RC,,,,,inpatient,,,915,,457.5,549,923.8755,860.1,,,,percent of total billed charges,,732,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,759.45,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,865.59,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,887.55,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,592.92,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,549,,,,percent of total billed charges,,923.8755,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,732,,,,percent of total billed charges,,549,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL MOL PATH LVL 7 (QUEST),310,RC,,,,,inpatient,,,457,,228.5,274.2,461.4329,429.58,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,379.31,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,432.322,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,443.29,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,402.16,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,296.136,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,461.4329,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL MOL PATH LVL 8 (QUEST),310,RC,,,,,inpatient,,,915,,457.5,549,923.8755,860.1,,,,percent of total billed charges,,732,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,759.45,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,865.59,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,887.55,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,592.92,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,549,,,,percent of total billed charges,,923.8755,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,732,,,,percent of total billed charges,,549,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FH PANEL UNLISTED MOL PATH (QUEST),310,RC,,,,,inpatient,,,915,,457.5,549,923.8755,860.1,,,,percent of total billed charges,,732,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,759.45,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,841.8,,,,percent of total billed charges,,865.59,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,887.55,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,592.92,,,,percent of total billed charges,,823.5,,,,percent of total billed charges,,549,,,,percent of total billed charges,,923.8755,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,869.25,,,,percent of total billed charges,,732,,,,percent of total billed charges,,549,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APOE GENOTYPING (ARUP),310,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHLERS-DANLOS SYND GENE PANEL-MOL PATH LVL 8 (MAYO),310,RC,,,,,inpatient,,,1626,,813,975.6,1641.7722,1528.44,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1349.58,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1538.196,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1577.22,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1430.88,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1053.648,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,1641.7722,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EHLERS-DANLOS SYND GENE PANEL-MISC MOLECULAR (MAYO),310,RC,,,,,inpatient,,,1626,,813,975.6,1641.7722,1528.44,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1349.58,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1495.92,,,,percent of total billed charges,,1538.196,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1577.22,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1430.88,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,1053.648,,,,percent of total billed charges,,1463.4,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,1641.7722,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1544.7,,,,percent of total billed charges,,1300.8,,,,percent of total billed charges,,975.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HISTOPLASMA AB CSF (QUEST),302,RC,,,,,inpatient,,,107,,53.5,64.2,108.0379,100.58,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,88.81,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,98.44,,,,percent of total billed charges,,101.222,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,103.79,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,94.16,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,69.336,,,,percent of total billed charges,,96.3,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,108.0379,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,101.65,,,,percent of total billed charges,,85.6,,,,percent of total billed charges,,64.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNOVASURE ALPHA DEFENSIN (ZIMMER BIOMET),301,RC,,,,,inpatient,,,219,,109.5,131.4,221.1243,205.86,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,181.77,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,201.48,,,,percent of total billed charges,,207.174,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,212.43,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,192.72,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,197.1,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,221.1243,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,208.05,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SYNOVASURE CRP FLUID (ZIMMER BIOMET),301,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTATIN C,301,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEIN-BARR VIRUS ANTIBODY PANEL (QUEST),302,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPSTEIN-BARR VIRUS ANTIBODY PANEL Â(QUEST),302,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROTEIN S ACTIVITY,305,RC,,,,,inpatient,,,49,,24.5,29.4,49.4753,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,49.4753,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PARVOVIRUS B19, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GLYCOPHORIN A, IHC WITHOUT INTERPRETATION (QUEST)",310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P53 IHC W/O INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCT3/4 IHC W/O INTERP (QUEST),312,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS HEM DISORDER COG (MAYO SENDOUT),310,RC,,,,,inpatient,,,1016,,508,609.6,1025.8552,955.04,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,843.28,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,961.136,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,985.52,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,894.08,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,658.368,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,1025.8552,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHRONIC URTICARIA-IMMUNOASSAY (QUEST SENDOUT),302,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHRONIC URTICARIA-LHR TEST (QUEST SENDOUT),302,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITORING ANTIPSYCHOTICS URINE (QUEST SENDOUT),301,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA AURIS PCR (QUEST),309,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VOLATILES BLOOD (QUEST),301,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COG METAPHASES (MAYO),310,RC,,,,,inpatient,,,700,,350,420,706.79,658,,,,percent of total billed charges,,560,,,,percent of total billed charges,,665,,,,percent of total billed charges,,581,,,,percent of total billed charges,,630,,,,percent of total billed charges,,644,,,,percent of total billed charges,,644,,,,percent of total billed charges,,662.2,,,,percent of total billed charges,,665,,,,percent of total billed charges,,679,,,,percent of total billed charges,,665,,,,percent of total billed charges,,616,,,,percent of total billed charges,,630,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,630,,,,percent of total billed charges,,420,,,,percent of total billed charges,,706.79,,,,percent of total billed charges,,665,,,,percent of total billed charges,,665,,,,percent of total billed charges,,560,,,,percent of total billed charges,,420,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COG ADD'L CELLS COUNTED (MAYO),310,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AG-NOR/CBL STAIN (MAYO),310,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACHR MODULATING AB (QUEST),302,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-MULLERIAN HORMONE (QUEST),301,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA A/B RAPID,306,RC,,,,,inpatient,,,64,,32,38.4,64.6208,60.16,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,53.12,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,58.88,,,,percent of total billed charges,,60.544,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,62.08,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,56.32,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,64.6208,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,60.8,,,,percent of total billed charges,,51.2,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BK VIRUS PCR QUANT,310,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE PANCREATIC FLUID (MAYO),301,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OXYCODONE & METABOLITES (QUEST),301,RC,,,,,inpatient,,,126,,63,75.6,127.2222,118.44,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,104.58,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,115.92,,,,percent of total billed charges,,119.196,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.22,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,81.648,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,127.2222,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG PANEL 8 W/CONF (QUEST),301,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROPOXYPHENE & METABOLITES (QUEST),301,RC,,,,,inpatient,,,264,,132,158.4,266.5608,248.16,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,242.88,,,,percent of total billed charges,,249.744,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,256.08,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,232.32,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,266.5608,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,250.8,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISLET ANTIGEN 2 AB (QUEST),302,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROBIAL ID BY IA METHOD (CD LABS),306,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KAPPA/LAMBDA LIGHT CHAIN FREE URINE (QUEST),301,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTI-IGE IGG (QUEST),302,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRCA1/2 GENE ANALYSIS (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALB2 GENE ANALYSIS (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTEN GENE ANALYSIS (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTEN DELETION/DUPL VARIANT (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TP53 GENE ANALYSIS (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC LEVEL 5 (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC LEVEL 6 (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC LEVEL 7 (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MOLECULAR PATH PROC UNLISTED (QUEST),309,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENETIC SEQUENCING FOR SEVERE INHERITED CONDITIONS (QUEST),309,RC,,,,,inpatient,,,1021,,510.5,612.6,1030.9037,959.74,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,847.43,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,965.866,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,990.37,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,898.48,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,661.608,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,1030.9037,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FMR1 GENE ANALYSIS (QUEST),309,RC,,,,,inpatient,,,1021,,510.5,612.6,1030.9037,959.74,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,847.43,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,965.866,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,990.37,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,898.48,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,661.608,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,1030.9037,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMN1 GENE ANALYSIS (QUEST),309,RC,,,,,inpatient,,,1021,,510.5,612.6,1030.9037,959.74,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,847.43,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,939.32,,,,percent of total billed charges,,965.866,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,990.37,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,898.48,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,661.608,,,,percent of total billed charges,,918.9,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,1030.9037,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,969.95,,,,percent of total billed charges,,816.8,,,,percent of total billed charges,,612.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENE ANALYSIS FOR SOLID TUMOR PANEL,310,RC,,,,,inpatient,,,4813,,2406.5,2887.8,4859.6861,4524.22,,,,percent of total billed charges,,3850.4,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,3994.79,,,,percent of total billed charges,,4331.7,,,,percent of total billed charges,,4427.96,,,,percent of total billed charges,,4427.96,,,,percent of total billed charges,,4553.098,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,4668.61,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,4235.44,,,,percent of total billed charges,,4331.7,,,,percent of total billed charges,,3118.824,,,,percent of total billed charges,,4331.7,,,,percent of total billed charges,,2887.8,,,,percent of total billed charges,,4859.6861,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,4572.35,,,,percent of total billed charges,,3850.4,,,,percent of total billed charges,,2887.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEASLES PCR (QUEST),306,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEASLES PCR (QUEST),306,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRUG MONITORING PANEL 7 (QUEST),301,RC,,,,,inpatient,,,378,,189,226.8,381.6666,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,381.6666,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MDMA/MDA (QUEST),301,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NALOXONE QUANT (QUEST),301,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANTIBIOTIC SENSITIVITY (QUEST),306,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GHRELIN PLASMA (QUEST),301,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NOROVIRUS DETECTION PCR,306,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNOHISTO ANTB 1ST STAIN (QUEST),310,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRB GENE REARRANGEMENT ANALYSIS PCR (QUEST),309,RC,,,,,inpatient,,,540,,270,324,545.238,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,349.92,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,545.238,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TISSUE CULTURE POC (QUEST),309,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHROMOSOME ANALYSIS 15-20 POC (QUEST),309,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD117 C-KIT IHC W/OUT INTERP (QUEST),312,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Toxoplasma gondii PCR (ARUP),309,RC,,,,,inpatient,,,220,,110,132,222.134,206.8,,,,percent of total billed charges,,176,,,,percent of total billed charges,,209,,,,percent of total billed charges,,182.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,208.12,,,,percent of total billed charges,,209,,,,percent of total billed charges,,213.4,,,,percent of total billed charges,,209,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,198,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,198,,,,percent of total billed charges,,132,,,,percent of total billed charges,,222.134,,,,percent of total billed charges,,209,,,,percent of total billed charges,,209,,,,percent of total billed charges,,176,,,,percent of total billed charges,,132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CMV Qual PCR (ARUP),309,RC,,,,,inpatient,,,207,,103.5,124.2,209.0079,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,209.0079,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SARSCOV & INF VIR A&B AG IA,300,RC,,,,,inpatient,,,255,,127.5,153,257.4735,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,165.24,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,257.4735,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HGB GLYCOSYLATED A1C HOME DEV,301,RC,,,,,inpatient,,,30,,15,18,30.291,28.2,,,,percent of total billed charges,,24,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24.9,,,,percent of total billed charges,,27,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,28.38,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,29.1,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,27,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,27,,,,percent of total billed charges,,18,,,,percent of total billed charges,,30.291,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,28.5,,,,percent of total billed charges,,24,,,,percent of total billed charges,,18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,306,RC,,,,,inpatient,,,256,,128,153.6,258.4832,240.64,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,212.48,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,235.52,,,,percent of total billed charges,,242.176,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,248.32,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,225.28,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,258.4832,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,204.8,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANDIDA DNA AMP PROBE,310,RC,,,,,inpatient,,,127,,63.5,76.2,128.2319,119.38,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,105.41,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,116.84,,,,percent of total billed charges,,120.142,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,123.19,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,111.76,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,82.296,,,,percent of total billed charges,,114.3,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,128.2319,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,120.65,,,,percent of total billed charges,,101.6,,,,percent of total billed charges,,76.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLATELET ASSOC. IMMUNOGLOBULIN ASSAY (QUEST),302,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AML RAPID MUTATION PANEL (QUEST),309,RC,,,,,inpatient,,,3670,,1835,2202,3705.599,3449.8,,,,percent of total billed charges,,2936,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3046.1,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,3376.4,,,,percent of total billed charges,,3376.4,,,,percent of total billed charges,,3471.82,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3559.9,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3229.6,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,2378.16,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,2202,,,,percent of total billed charges,,3705.599,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,3486.5,,,,percent of total billed charges,,2936,,,,percent of total billed charges,,2202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROMA (RISK OF OVARIAN MALIGNANCY ALGORITHM) (QUEST),309,RC,,,,,inpatient,,,1114,,557,668.4,1124.8058,1047.16,,,,percent of total billed charges,,891.2,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,924.62,,,,percent of total billed charges,,1002.6,,,,percent of total billed charges,,1024.88,,,,percent of total billed charges,,1024.88,,,,percent of total billed charges,,1053.844,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,1080.58,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,980.32,,,,percent of total billed charges,,1002.6,,,,percent of total billed charges,,721.872,,,,percent of total billed charges,,1002.6,,,,percent of total billed charges,,668.4,,,,percent of total billed charges,,1124.8058,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,1058.3,,,,percent of total billed charges,,891.2,,,,percent of total billed charges,,668.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HMGCR AB IGG (QUEST),302,RC,,,,,inpatient,,,410,,205,246,413.977,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,265.68,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,413.977,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANDROSTENEDIONE (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORTISOL TOTAL (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DHEA (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11-DEOXYCORTISOL (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-D-HYDROXYPROGESTERONE (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17-HYDROXYPREGNENOLONE (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROGESTERONE (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE TOTAL (CAH PANEL) (QUEST),301,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ISO PSA (Quest),301,RC,,,,,inpatient,,,535,,267.5,321,540.1895,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,346.68,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,540.1895,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RSV PCR,309,RC,,,,,inpatient,,,255,,127.5,153,257.4735,239.7,,,,percent of total billed charges,,204,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,211.65,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,241.23,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,247.35,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,224.4,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,165.24,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,153,,,,percent of total billed charges,,257.4735,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,242.25,,,,percent of total billed charges,,204,,,,percent of total billed charges,,153,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABO (VERSITI) - SENDOUT,302,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RH TYPE (VERSITI)-SENDOUT,302,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYSTALS SYNOVIAL FLUID (QUEST) - SENDOUT,309,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NGAL (U OF MI) - SENDOUT,301,RC,,,,,inpatient,,,194,,97,116.4,195.8818,182.36,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,178.48,,,,percent of total billed charges,,183.524,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,188.18,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,170.72,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,125.712,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,195.8818,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,155.2,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA SERUM ALIQUOT (UPMC) (SENDOUT),309,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA SERUM STORAGE (UPMC) (SENDOUT),309,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLA DNA STORAGE (UPMC) (SENDOUT),310,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OVA & PARASITE EXAM AND ID (QUEST),306,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPLEX SPECIAL STAIN FOR OVA &PARASITES (QUEST),306,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Lohexol (Mayo),301,RC,,,,,inpatient,,,486,,243,291.6,490.7142,456.84,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,403.38,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,447.12,,,,percent of total billed charges,,459.756,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,471.42,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,427.68,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,314.928,,,,percent of total billed charges,,437.4,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,490.7142,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,461.7,,,,percent of total billed charges,,388.8,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUT COMPONENT IGE (QUEST),302,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG YERSINIA CULTURE (QUEST),306,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG P-TAU 217 PLASMA (QUEST),309,RC,,,,,inpatient,,,1001,,500.5,600.6,1010.7097,940.94,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,830.83,,,,percent of total billed charges,,900.9,,,,percent of total billed charges,,920.92,,,,percent of total billed charges,,920.92,,,,percent of total billed charges,,946.946,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,970.97,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,880.88,,,,percent of total billed charges,,900.9,,,,percent of total billed charges,,648.648,,,,percent of total billed charges,,900.9,,,,percent of total billed charges,,600.6,,,,percent of total billed charges,,1010.7097,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,950.95,,,,percent of total billed charges,,800.8,,,,percent of total billed charges,,600.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROB IGE (QUEST),302,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IGE GUM XANTHAN/CARAGEENAN (QUEST),302,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36591-0510 BLOOD DRAW (VAD),510,RC,,,,,inpatient,,,347,,173.5,208.2,350.3659,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,224.856,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,350.3659,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW ASPIRATION,510,RC,,,,,inpatient,,,2260,,1130,1356,2281.922,2124.4,,,,percent of total billed charges,,1808,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,1875.8,,,,percent of total billed charges,,2034,,,,percent of total billed charges,,2079.2,,,,percent of total billed charges,,2079.2,,,,percent of total billed charges,,2137.96,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,2192.2,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,1988.8,,,,percent of total billed charges,,2034,,,,percent of total billed charges,,1464.48,,,,percent of total billed charges,,2034,,,,percent of total billed charges,,1356,,,,percent of total billed charges,,2281.922,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,2147,,,,percent of total billed charges,,1808,,,,percent of total billed charges,,1356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99195-0940 THERAPEUTIC PHLEBOTOMY,940,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, VITAMINE B1, THIAMINE HCL, 100 MG",636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IRON SUCROSE INJECTION - 1 MG,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALBUTEROL,INHAL,DME,UNIT DOSE,1MG",250,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUTEROL NON-COMPOUNDED - 3 ML,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IPRATROPIUM BROM INH SOL U D - 3 ML,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE SODIUM PHOS - 1 MG,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIPHENHYDRAMINE HCL INJECTION - 50 MG,636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ HEPARIN SODIUM PER 10 U,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSULIN INJECTION - 5 UNITS,636,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KETOROLAC TROMETHAMINE INJ - 15 MG,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METOCLOPRAMIDE HCL INJECTION, PER 10 MG",636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRIAMCINOLONE A INJ PRS-FREE, PER 1 MG",636,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VITAMIN B12 INJECTION - UP TO 1000 MCG,636,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FERUMOXYTOL, NON-ESRD - 1 MG",636,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ MIDAZOLAM HYDROCHLORIDE - 1 MG,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ CEFTAZIDIME PER 500 MG,636,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DARBEPOETIN ALFA, NON-ESRD - 1 MCG",636,RC,,,,,inpatient,,,34,,17,20.4,34.3298,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,34.3298,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEVALBUTEROL, INHAL, UNIT DOSE, PER TREATMENT",250,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDROMORPHONE INJECTION - 0.1MG,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEPERIDINE HYDROCHL /100 MG,636,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FENTANYL CITRATE INJECITON,636,RC,,,,,inpatient,,,6,,3,3.6,6.0582,5.64,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.98,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.82,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,6.0582,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION,XEOMIN,1 UNIT",636,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOTULINUM TOXIN A PER UNIT,636,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 20MG INJECTION, PER 1MG",636,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTRIAXONE SODIUM INJECTION - 250 MG,636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VANCOMYCIN HCL INJECTION - 500 MG,636,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE SODIUM SUCCINATE (SOLU MEDROL) UP TO 125MG INJECTION, PER 5MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROMETHAZINE HCL INJECTION - 50 MG,636,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BETAMETHASONE ACET&SOD PHOSP - 3 MG,636,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMPICILLIN 500 MG INJ,636,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOTULINUM TOXIN TYPE B - 100 UNITS,636,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TESTOSTERONE CYPIONATE PER 1 MG,636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PENICILLIN G BENZATHINE INJ, 100,000 UNITS",636,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 40MG INJECTION, PER 1MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, 6-35 MO, IM",636,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACCINE =>3YO PRESERVATIVE FREE IM (FLUARIX),636,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, 6-35 MO, IM",636,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, 3 YRS, IM",636,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLUENZA VACCINE SPLT PRSRV FREE INC ANTIGEN IM,636,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE,PED/ADOL,IM - 3 DOSE (RECOMBIVAX) -  0.5 ML",636,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TD VACCINE NO PRSRV >/= 7 YO, IM (TENIVAC) - PER 0.5 ML",636,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FLU VACCINE, INFLUENZA VACCINE LIVE, INTRANASAL (FLUMIST TRIVALENT)",636,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP IMMUNIZATION, IM (DAPTACEL) - PER 0.5 ML",636,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 80MG INJECTION, PER 1MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIB VACCINE, PRP-T, IM - 4 DOSE (ACTHIB) - PER 0.5 ML",636,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG POLIOMYELITIS IMMUNIZATN,INACTV,SUB-Q (IPOL) - PER 0.5 ML",636,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPOETIN ALFA, NON-ESRD - 1000 UNITS",636,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITOMYCIN 5 MG INJ,636,RC,,,,,inpatient,,,230,,115,138,232.231,216.2,,,,percent of total billed charges,,184,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,190.9,,,,percent of total billed charges,,207,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,211.6,,,,percent of total billed charges,,217.58,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,223.1,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,202.4,,,,percent of total billed charges,,207,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,207,,,,percent of total billed charges,,138,,,,percent of total billed charges,,232.231,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,218.5,,,,percent of total billed charges,,184,,,,percent of total billed charges,,138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FOSCARNET SODIUM INJECTION - 1000 MG,636,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE, ADULT, IM-TECH VACCINE (ENGERIX), PER 1 ML",636,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TDAP VACCINE >7 YO, IM (BOOSTRIX) - 0.5 ML",636,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEVACIZUMAB INJECTION PER .25 MG,636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCGH MMR VIRUS IMMUNIZATION, SUBCUT - (M-M-R II) 0.5 ML",636,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIPTH, PERTUS, TET, POLIO VACCINE (QUADRACEL), PER 0.5 ML",636,RC,,,,,inpatient,,,111,,55.5,66.6,112.0767,104.34,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,92.13,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,102.12,,,,percent of total billed charges,,105.006,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,107.67,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,97.68,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,99.9,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,112.0767,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,105.45,,,,percent of total billed charges,,88.8,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLONIDINE HYDROCHLORIDE - 1 MG,636,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ DIHYDROERGOTAMINE MESYLT - 1 MG,636,RC,,,,,inpatient,,,181,,90.5,108.6,182.7557,170.14,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,150.23,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,166.52,,,,percent of total billed charges,,171.226,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,175.57,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,159.28,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,117.288,,,,percent of total billed charges,,162.9,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,182.7557,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,171.95,,,,percent of total billed charges,,144.8,,,,percent of total billed charges,,108.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOLUTION INFUS,636,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOLUTION INFUS - 500 ML,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RINGERS LACTATE INFUSION - 1000 ML,636,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP-HIB-IP VACCINE, IM (PENTACEL)- 0.5 ML",636,RC,,,,,inpatient,,,202,,101,121.2,203.9594,189.88,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,167.66,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,185.84,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,195.94,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,177.76,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,130.896,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,203.9594,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,191.9,,,,percent of total billed charges,,161.6,,,,percent of total billed charges,,121.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP/HEPB/IPV VACCINE,IM (PEDIARIX)- 0.5 ML",636,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ROTOVIRUS VACCINE, PENTAVAL, 3 DOSE, ORAL, (ROTATEQ) - 2 ML",636,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ROTAVIRUS VACCINE,HUMAN,ATTENUATED,2DOSE,LIVE,ORAL, (ROTARIX) - 1 ML",636,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RANIBIZUMAB INJECTION (LUCENTIS) PER 0.1MG,636,RC,,,,,inpatient,,,1755,,877.5,1053,1772.0235,1649.7,,,,percent of total billed charges,,1404,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1456.65,,,,percent of total billed charges,,1579.5,,,,percent of total billed charges,,1614.6,,,,percent of total billed charges,,1614.6,,,,percent of total billed charges,,1660.23,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1702.35,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1544.4,,,,percent of total billed charges,,1579.5,,,,percent of total billed charges,,1137.24,,,,percent of total billed charges,,1579.5,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,1772.0235,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1667.25,,,,percent of total billed charges,,1404,,,,percent of total billed charges,,1053,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPA/HEHCHG VACCINE ADULT IM,636,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MENINGOCOCCAL VACCINE (MENACTRA), PER 0.5 ML",636,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HPV/ HUMAN PAPILLOMA VACC, IM - 3 DOSE, 0.5 ML",636,RC,,,,,inpatient,,,538,,269,322.8,543.2186,505.72,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,446.54,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,494.96,,,,percent of total billed charges,,508.948,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,521.86,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,473.44,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,348.624,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,543.2186,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,511.1,,,,percent of total billed charges,,430.4,,,,percent of total billed charges,,322.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RABIES VACCINE, IM",636,RC,,,,,inpatient,,,766,,383,459.6,773.4302,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,496.368,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,773.4302,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUMATRIPTAN SUCCINATE / 6 MG,636,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIMETHYL SULFOXIDE 50% 50 ML,636,RC,,,,,inpatient,,,2874,,1437,1724.4,2901.8778,2701.56,,,,percent of total billed charges,,2299.2,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2385.42,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,2644.08,,,,percent of total billed charges,,2644.08,,,,percent of total billed charges,,2718.804,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2787.78,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2529.12,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,1862.352,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,2901.8778,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2730.3,,,,percent of total billed charges,,2299.2,,,,percent of total billed charges,,1724.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ,COSYNTROPIN,0.25MG",636,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCAGON HYDROCHLORIDE/1 MG,636,RC,,,,,inpatient,,,759,,379.5,455.4,766.3623,713.46,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,629.97,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,718.014,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,736.23,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,491.832,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,766.3623,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BCG LIVE INTRAVESICAL VAC - 1 MG,636,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GOSERELIN ACETATE IMPLANT - 3.6 MG,636,RC,,,,,inpatient,,,4468,,2234,2680.8,4511.3396,4199.92,,,,percent of total billed charges,,3574.4,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,3708.44,,,,percent of total billed charges,,4021.2,,,,percent of total billed charges,,4110.56,,,,percent of total billed charges,,4110.56,,,,percent of total billed charges,,4226.728,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,4333.96,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,3931.84,,,,percent of total billed charges,,4021.2,,,,percent of total billed charges,,2895.264,,,,percent of total billed charges,,4021.2,,,,percent of total billed charges,,2680.8,,,,percent of total billed charges,,4511.3396,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,4244.6,,,,percent of total billed charges,,3574.4,,,,percent of total billed charges,,2680.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ZOLEDRONIC ACID IN MANNITOL (RECLAST), PER 1MG",636,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEUPROLIDE ACETATE (LUPRON) (FOR DEPOT SUSPENSION) SYRGS & KITS, PER 7.5MG",636,RC,,,,,inpatient,,,733,,366.5,439.8,740.1101,689.02,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,608.39,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,693.418,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,711.01,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,645.04,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,474.984,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,740.1101,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAUT COPPER CONTRACEPTIVE (PARAGARD) PER DEVICE,636,RC,,,,,inpatient,,,1349,,674.5,809.4,1362.0853,1268.06,,,,percent of total billed charges,,1079.2,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1119.67,,,,percent of total billed charges,,1214.1,,,,percent of total billed charges,,1241.08,,,,percent of total billed charges,,1241.08,,,,percent of total billed charges,,1276.154,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1308.53,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1187.12,,,,percent of total billed charges,,1214.1,,,,percent of total billed charges,,874.152,,,,percent of total billed charges,,1214.1,,,,percent of total billed charges,,809.4,,,,percent of total billed charges,,1362.0853,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1281.55,,,,percent of total billed charges,,1079.2,,,,percent of total billed charges,,809.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVONORGESTREL IU CONTRACEPT (MIRENA) - PER DEVICE,636,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ETONOGESTREL(CONTRACEPTIVE)IMPLNT SYSTM,INCL IMPLNT&SUPPLIES (NEXPLANON)- 68 MG",636,RC,,,,,inpatient,,,2458,,1229,1474.8,2481.8426,2310.52,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2040.14,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2325.268,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2384.26,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2163.04,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1592.784,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,2481.8426,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUPARTZ INJ PER DOSE,636,RC,,,,,inpatient,,,1031,,515.5,618.6,1041.0007,969.14,,,,percent of total billed charges,,824.8,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,855.73,,,,percent of total billed charges,,927.9,,,,percent of total billed charges,,948.52,,,,percent of total billed charges,,948.52,,,,percent of total billed charges,,975.326,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,1000.07,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,907.28,,,,percent of total billed charges,,927.9,,,,percent of total billed charges,,668.088,,,,percent of total billed charges,,927.9,,,,percent of total billed charges,,618.6,,,,percent of total billed charges,,1041.0007,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,979.45,,,,percent of total billed charges,,824.8,,,,percent of total billed charges,,618.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EUFLEXXA INJ PER DOSE,636,RC,,,,,inpatient,,,1504,,752,902.4,1518.5888,1413.76,,,,percent of total billed charges,,1203.2,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1248.32,,,,percent of total billed charges,,1353.6,,,,percent of total billed charges,,1383.68,,,,percent of total billed charges,,1383.68,,,,percent of total billed charges,,1422.784,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1458.88,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1323.52,,,,percent of total billed charges,,1353.6,,,,percent of total billed charges,,974.592,,,,percent of total billed charges,,1353.6,,,,percent of total billed charges,,902.4,,,,percent of total billed charges,,1518.5888,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1428.8,,,,percent of total billed charges,,1203.2,,,,percent of total billed charges,,902.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEDRXYPROGESTER ACETATE PER MG,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HYALURONAN, SYNVISC, INTRA ART INJ,1 MG",636,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MORPHINE SULFATE PER 10 MG,636,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ROPIVACAINE HCL, PER 1 MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEARING AID CHECK ONE EAR,471,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEARING AID CHECK BOTH EARS,471,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99487-0510 CMPLX CHRON CARE MGMT,510,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99489-0510 CMPLX CHRON CARE MGMT, ADD'L 30 MIN",510,RC,,,,,inpatient,,,145,,72.5,87,146.4065,136.3,,,,percent of total billed charges,,116,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,120.35,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,133.4,,,,percent of total billed charges,,137.17,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,140.65,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,127.6,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,93.96,,,,percent of total billed charges,,130.5,,,,percent of total billed charges,,87,,,,percent of total billed charges,,146.4065,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,137.75,,,,percent of total billed charges,,116,,,,percent of total billed charges,,87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC A1C,300,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIRENA (J7298) - 52 MG,636,RC,,,,,inpatient,,,5466,,2733,3279.6,5519.0202,5138.04,,,,percent of total billed charges,,4372.8,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,4536.78,,,,percent of total billed charges,,4919.4,,,,percent of total billed charges,,5028.72,,,,percent of total billed charges,,5028.72,,,,percent of total billed charges,,5170.836,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,5302.02,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,4810.08,,,,percent of total billed charges,,4919.4,,,,percent of total billed charges,,3541.968,,,,percent of total billed charges,,4919.4,,,,percent of total billed charges,,3279.6,,,,percent of total billed charges,,5519.0202,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,5192.7,,,,percent of total billed charges,,4372.8,,,,percent of total billed charges,,3279.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORTHOVISC - 2ML,636,RC,,,,,inpatient,,,580,,290,348,585.626,545.2,,,,percent of total billed charges,,464,,,,percent of total billed charges,,551,,,,percent of total billed charges,,481.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,533.6,,,,percent of total billed charges,,548.68,,,,percent of total billed charges,,551,,,,percent of total billed charges,,562.6,,,,percent of total billed charges,,551,,,,percent of total billed charges,,510.4,,,,percent of total billed charges,,522,,,,percent of total billed charges,,375.84,,,,percent of total billed charges,,522,,,,percent of total billed charges,,348,,,,percent of total billed charges,,585.626,,,,percent of total billed charges,,551,,,,percent of total billed charges,,551,,,,percent of total billed charges,,464,,,,percent of total billed charges,,348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROGEN - 0.9 MG,636,RC,,,,,inpatient,,,8898,,4449,5338.8,8984.3106,8364.12,,,,percent of total billed charges,,7118.4,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,7385.34,,,,percent of total billed charges,,8008.2,,,,percent of total billed charges,,8186.16,,,,percent of total billed charges,,8186.16,,,,percent of total billed charges,,8417.508,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,8631.06,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,7830.24,,,,percent of total billed charges,,8008.2,,,,percent of total billed charges,,5765.904,,,,percent of total billed charges,,8008.2,,,,percent of total billed charges,,5338.8,,,,percent of total billed charges,,8984.3106,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,8453.1,,,,percent of total billed charges,,7118.4,,,,percent of total billed charges,,5338.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DENOSUMAB (PROLIA) PER 1MG,636,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MENINGOCOCCAL VACCINE (BEXSERO-) PER 0.5 ML,636,RC,,,,,inpatient,,,309,,154.5,185.4,311.9973,290.46,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,256.47,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,284.28,,,,percent of total billed charges,,292.314,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,299.73,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,271.92,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,200.232,,,,percent of total billed charges,,278.1,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,311.9973,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,293.55,,,,percent of total billed charges,,247.2,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SKYLA - 13.5 MG,636,RC,,,,,inpatient,,,4335,,2167.5,2601,4377.0495,4074.9,,,,percent of total billed charges,,3468,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,3598.05,,,,percent of total billed charges,,3901.5,,,,percent of total billed charges,,3988.2,,,,percent of total billed charges,,3988.2,,,,percent of total billed charges,,4100.91,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,4204.95,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,3814.8,,,,percent of total billed charges,,3901.5,,,,percent of total billed charges,,2809.08,,,,percent of total billed charges,,3901.5,,,,percent of total billed charges,,2601,,,,percent of total billed charges,,4377.0495,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,4118.25,,,,percent of total billed charges,,3468,,,,percent of total billed charges,,2601,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZOFRAN,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OZURDEX - 0.1 MG,636,RC,,,,,inpatient,,,883,,441.5,529.8,891.5651,830.02,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,732.89,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,812.36,,,,percent of total billed charges,,835.318,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,856.51,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,777.04,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,572.184,,,,percent of total billed charges,,794.7,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,891.5651,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,838.85,,,,percent of total billed charges,,706.4,,,,percent of total billed charges,,529.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MONOVISC, PER DOSE 88 MG",636,RC,,,,,inpatient,,,2832,,1416,1699.2,2859.4704,2662.08,,,,percent of total billed charges,,2265.6,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2350.56,,,,percent of total billed charges,,2548.8,,,,percent of total billed charges,,2605.44,,,,percent of total billed charges,,2605.44,,,,percent of total billed charges,,2679.072,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2747.04,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2492.16,,,,percent of total billed charges,,2548.8,,,,percent of total billed charges,,1835.136,,,,percent of total billed charges,,2548.8,,,,percent of total billed charges,,1699.2,,,,percent of total billed charges,,2859.4704,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2690.4,,,,percent of total billed charges,,2265.6,,,,percent of total billed charges,,1699.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENTAPENEM - 500 MG,636,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GENTAMYCIN - 80 MG,636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOROURACIL INJECTION (PER 500 MGS),636,RC,,,,,inpatient,,,57,,28.5,34.2,57.5529,53.58,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,47.31,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,52.44,,,,percent of total billed charges,,53.922,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,55.29,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,50.16,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,57.5529,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,54.15,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUROLANE SODIUM HYALURONATE - 1MG,636,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64425-0510 INJ ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP LONG ARM PED FBRGLS,270,RC,,,,,inpatient,,,41,,20.5,24.6,41.3977,38.54,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,34.03,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,37.72,,,,percent of total billed charges,,38.786,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,39.77,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,36.08,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,36.9,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,41.3977,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,38.95,,,,percent of total billed charges,,32.8,,,,percent of total billed charges,,24.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP SHT ARM ADULT FBRGL,270,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP SHT ARM PED FBRGLAS,270,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUP SHT ARM SPLINT FBRG,270,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4038 CAST SUPPLY SHORT LEG FIBERGLASS,270,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAST SUPPLIES UNLISTED,270,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, AUTO, W/O SCOPE",307,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GLUCOSE BLOOD TEST,301,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOGLOBIN,305,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS NONAUTO W/O SCOPE,307,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLLECTION CAPILLARY BLOOD SPECIMEN,300,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG URINALYSIS, NONAUTO, W/SCOPE",307,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIRUBIN TOTAL TRANSCUT,301,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE PREGNANCY TEST,307,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASSAY FOR LEAD,301,RC,,,,,inpatient,,,141,,70.5,84.6,142.3677,132.54,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,117.03,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,129.72,,,,percent of total billed charges,,133.386,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,136.77,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,91.368,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,142.3677,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,133.95,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADMIN HEPATITIS B VACCINE,771,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STREP A ASSAY W/OPTIC,306,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA",306,RC,,,,,inpatient,,,457,,228.5,274.2,461.4329,429.58,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,379.31,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,420.44,,,,percent of total billed charges,,432.322,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,443.29,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,402.16,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,296.136,,,,percent of total billed charges,,411.3,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,461.4329,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,434.15,,,,percent of total billed charges,,365.6,,,,percent of total billed charges,,274.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,320,RC,,,,,inpatient,,,641,,320.5,384.6,647.2177,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,415.368,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,647.2177,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHG TB INTRADERMAL TEST,302,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OSTEOPATHIC MANIP,1-2 BODY REGN",530,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEMO &/OR EVAL,PT USE,AEROSOL DEVICE",410,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INHAL RX, AIRWAY OBST/DX SPUTUM INDUCT",410,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PURE TONE AUDIOMETRY, AIR",471,RC,,,,,inpatient,,,334,,167,200.4,337.2398,313.96,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,277.22,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,307.28,,,,percent of total billed charges,,315.964,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,323.98,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,293.92,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,216.432,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,337.2398,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,317.3,,,,percent of total billed charges,,267.2,,,,percent of total billed charges,,200.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYMPANOMETRY,471,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEG PRESS WOUND TX, < 50 CM",361,RC,,,,,inpatient,,,405,,202.5,243,408.9285,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,262.44,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,408.9285,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMPREHENSIVE HEARING TEST,471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94060-0460 EVAL OF BRONCHOSPASM,460,RC,,,,,inpatient,,,668,,334,400.8,674.4796,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,432.864,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,674.4796,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WELCOME TO MEDICARE,770,RC,,,,,inpatient,,,315,,157.5,189,318.0555,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,318.0555,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEG PRESS WOUND TX, > 50 CM",361,RC,,,,,inpatient,,,605,,302.5,363,610.8685,568.7,,,,percent of total billed charges,,484,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,502.15,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,556.6,,,,percent of total billed charges,,572.33,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,586.85,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,532.4,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,392.04,,,,percent of total billed charges,,544.5,,,,percent of total billed charges,,363,,,,percent of total billed charges,,610.8685,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,574.75,,,,percent of total billed charges,,484,,,,percent of total billed charges,,363,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVE WOUND CARE/20 CM OR <,361,RC,,,,,inpatient,,,474,,237,284.4,478.5978,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,307.152,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,478.5978,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIVE WOUND CARE > 20 CM,361,RC,,,,,inpatient,,,542,,271,325.2,547.2574,509.48,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,449.86,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,512.732,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,525.74,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,476.96,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,351.216,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,547.2574,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FETAL BIOPHYSICAL PROFILE,402,RC,,,,,inpatient,,,436,,218,261.6,440.2292,409.84,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,361.88,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,401.12,,,,percent of total billed charges,,412.456,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,422.92,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,383.68,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,282.528,,,,percent of total billed charges,,392.4,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,440.2292,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,414.2,,,,percent of total billed charges,,348.8,,,,percent of total billed charges,,261.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95165-0510 ANTIGEN THERAPY SERVICES,510,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95970-0920 ANALYZE NEUROSTIM NO PROG,920,RC,,,,,inpatient,,,274,,137,164.4,276.6578,257.56,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,227.42,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,259.204,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,265.78,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,241.12,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,177.552,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,276.6578,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANALYZE NEUROSTIM,SIMPLE/PROG",510,RC,,,,,inpatient,,,362,,181,217.2,365.5114,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,234.576,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,365.5114,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACOUSTIC IMMITTANCE TESTING,471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISUAL AUDIOMETRY (VRA),471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX ANAL COCHLEAR IMP,PT >7 YRS,W/PROG",471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX ANAL COCHLEAR IMP,PT >7 YRS,REPROG",471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVAL AUDITORY REHAB STATUS, 1ST HOUR",471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,942,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FETAL BIOPHYS PROF,W/O NST",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US DOPPLER FETAL UMBILICAL ARTERY,402,RC,,,,,inpatient,,,1237,,618.5,742.2,1248.9989,1162.78,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1026.71,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1138.04,,,,percent of total billed charges,,1170.202,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1199.89,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1088.56,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,801.576,,,,percent of total billed charges,,1113.3,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,1248.9989,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,1175.15,,,,percent of total billed charges,,989.6,,,,percent of total billed charges,,742.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SONO EXAM, HYSTEROSONOGRAPHY",402,RC,,,,,inpatient,,,904,,452,542.4,912.7688,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,585.792,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,912.7688,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US XTR NON-VASC COMPLETE,402,RC,,,,,inpatient,,,795,,397.5,477,802.7115,747.3,,,,percent of total billed charges,,636,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,659.85,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,752.07,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,771.15,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,699.6,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,515.16,,,,percent of total billed charges,,715.5,,,,percent of total billed charges,,477,,,,percent of total billed charges,,802.7115,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,755.25,,,,percent of total billed charges,,636,,,,percent of total billed charges,,477,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSITIONAL NYSTAGMUS TEST,920,RC,,,,,inpatient,,,415,,207.5,249,419.0255,390.1,,,,percent of total billed charges,,332,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,344.45,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,402.55,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,365.2,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,268.92,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,249,,,,percent of total billed charges,,419.0255,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,394.25,,,,percent of total billed charges,,332,,,,percent of total billed charges,,249,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTOACOUSTIC EMMISSION TEST (LIMITED),471,RC,,,,,inpatient,,,329,,164.5,197.4,332.1913,309.26,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,273.07,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,302.68,,,,percent of total billed charges,,311.234,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,319.13,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,289.52,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,213.192,,,,percent of total billed charges,,296.1,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,332.1913,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,312.55,,,,percent of total billed charges,,263.2,,,,percent of total billed charges,,197.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92588-0471 EVOKED AUDITORY TEST,COMPREHSV",471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PM DEVICE PROGR EVAL,  SNGL",480,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PM DEVICE PROGR EVAL, DUAL",480,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93283-0480 ICD DEVICE PROGR EVAL, DUAL",480,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PM DEVICE EVAL IN PERSON,480,RC,,,,,inpatient,,,183,,91.5,109.8,184.7751,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,118.584,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,184.7751,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EMG, NEEDLE, LARYNX",922,RC,,,,,inpatient,,,274,,137,164.4,276.6578,257.56,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,227.42,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,259.204,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,265.78,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,241.12,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,177.552,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,276.6578,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYMPANOMETRY AND REFLEX THRESH,471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG AUDIOMETRY, AIR & BONE",471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPEECH THRESHOLD AUDIOMETRY,471,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPEECH AUDIOMETRY, COMPLETE",471,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONDITIONING PLAY AUDIOMETRY,471,RC,,,,,inpatient,,,419,,209.5,251.4,423.0643,393.86,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,347.77,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,385.48,,,,percent of total billed charges,,396.374,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,406.43,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,368.72,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,271.512,,,,percent of total billed charges,,377.1,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,423.0643,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,398.05,,,,percent of total billed charges,,335.2,,,,percent of total billed charges,,251.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ALLERGY SKIN TESTS,ALLERGENS",924,RC,,,,,inpatient,,,37,,18.5,22.2,37.3589,34.78,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,30.71,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,34.04,,,,percent of total billed charges,,35.002,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.89,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,32.56,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,33.3,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,37.3589,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,35.15,,,,percent of total billed charges,,29.6,,,,percent of total billed charges,,22.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG REFIL/MAINT,IMPLANT PUMP,DRUG DELIV,CNS",924,RC,,,,,inpatient,,,450,,225,270,454.365,423,,,,percent of total billed charges,,360,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,405,,,,percent of total billed charges,,414,,,,percent of total billed charges,,414,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,396,,,,percent of total billed charges,,405,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,405,,,,percent of total billed charges,,270,,,,percent of total billed charges,,454.365,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,360,,,,percent of total billed charges,,270,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96110-0918 DEVELOPMENTAL TEST, LIM",918,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB FEEDING ASSESSMENT/REASSESSMENT,918,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOTHERAPY, ONE INJECTION",940,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUNOTHERAPY, 2+ INJECTIONS",940,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0232T-0510 INJ,PLASMA,INCL/IMAGE GUIDE",510,RC,,,,,inpatient,,,1041,,520.5,624.6,1051.0977,978.54,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,864.03,,,,percent of total billed charges,,936.9,,,,percent of total billed charges,,957.72,,,,percent of total billed charges,,957.72,,,,percent of total billed charges,,984.786,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,1009.77,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,916.08,,,,percent of total billed charges,,936.9,,,,percent of total billed charges,,674.568,,,,percent of total billed charges,,936.9,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,1051.0977,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,988.95,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF IMPACTED WAX MD,510,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99381-0510 INIT PM E/M NEW PAT INFANT,510,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99382-0510 INIT PM E/M NEW PAT 1-4 YRS,510,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99383-0510 PREV VISIT NEW AGE 5-11,510,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99384-0510 PREV VISIT NEW AGE 12-17,510,RC,,,,,inpatient,,,153,,76.5,91.8,154.4841,143.82,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,126.99,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,140.76,,,,percent of total billed charges,,144.738,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,148.41,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,134.64,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,99.144,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,154.4841,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,145.35,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99385-0510 PREVENTIVE VISIT,NEW,18-39",510,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99386-0510 PREVENTIVE VISIT,NEW,40-64",510,RC,,,,,inpatient,,,157,,78.5,94.2,158.5229,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,101.736,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,158.5229,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99387-0510 INIT PM E/M NEW PAT 65+ YRS,510,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99391-0510 PER PM REEVAL EST PAT INFANT,510,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99392-0510 PREV VISIT EST AGE 1-4,510,RC,,,,,inpatient,,,115,,57.5,69,116.1155,108.1,,,,percent of total billed charges,,92,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,95.45,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,105.8,,,,percent of total billed charges,,108.79,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,111.55,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,116.1155,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,109.25,,,,percent of total billed charges,,92,,,,percent of total billed charges,,69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99393-0510 PREV VISIT EST AGE 5-11,510,RC,,,,,inpatient,,,114,,57,68.4,115.1058,107.16,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,94.62,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,104.88,,,,percent of total billed charges,,107.844,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,110.58,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,100.32,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,115.1058,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,108.3,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PREV VISIT,EST,12 TO 17",510,RC,,,,,inpatient,,,109,,54.5,65.4,110.0573,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,110.0573,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99395-0510 PREVENTIVE VISIT,EST,18-39",510,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99396-0510 PREVENTIVE VISIT,EST,40-64",510,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PREV VISIT,EST,65 AND OVER",510,RC,,,,,inpatient,,,134,,67,80.4,135.2998,125.96,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,111.22,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,123.28,,,,percent of total billed charges,,126.764,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,129.98,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,117.92,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,86.832,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,135.2998,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,127.3,,,,percent of total billed charges,,107.2,,,,percent of total billed charges,,80.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAPID RSV,306,RC,,,,,inpatient,,,52,,26,31.2,52.5044,48.88,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,43.16,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,47.84,,,,percent of total billed charges,,49.192,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,50.44,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,45.76,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,33.696,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,52.5044,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,49.4,,,,percent of total billed charges,,41.6,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIDERMAL AUTOGRAFT - T/A/L,761,RC,,,,,inpatient,,,7273,,3636.5,4363.8,7343.5481,6836.62,,,,percent of total billed charges,,5818.4,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,6036.59,,,,percent of total billed charges,,6545.7,,,,percent of total billed charges,,6691.16,,,,percent of total billed charges,,6691.16,,,,percent of total billed charges,,6880.258,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,7054.81,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,6400.24,,,,percent of total billed charges,,6545.7,,,,percent of total billed charges,,4712.904,,,,percent of total billed charges,,6545.7,,,,percent of total billed charges,,4363.8,,,,percent of total billed charges,,7343.5481,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,6909.35,,,,percent of total billed charges,,5818.4,,,,percent of total billed charges,,4363.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIDERMAL AUTOGRAFT - N/F/H/G,761,RC,,,,,inpatient,,,6145,,3072.5,3687,6204.6065,5776.3,,,,percent of total billed charges,,4916,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5100.35,,,,percent of total billed charges,,5530.5,,,,percent of total billed charges,,5653.4,,,,percent of total billed charges,,5653.4,,,,percent of total billed charges,,5813.17,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5960.65,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5407.6,,,,percent of total billed charges,,5530.5,,,,percent of total billed charges,,3981.96,,,,percent of total billed charges,,5530.5,,,,percent of total billed charges,,3687,,,,percent of total billed charges,,6204.6065,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,5837.75,,,,percent of total billed charges,,4916,,,,percent of total billed charges,,3687,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIDERMAL AUTOGRAFT EACH ADD'L,761,RC,,,,,inpatient,,,3484,,1742,2090.4,3517.7948,3274.96,,,,percent of total billed charges,,2787.2,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,2891.72,,,,percent of total billed charges,,3135.6,,,,percent of total billed charges,,3205.28,,,,percent of total billed charges,,3205.28,,,,percent of total billed charges,,3295.864,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,3379.48,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,3065.92,,,,percent of total billed charges,,3135.6,,,,percent of total billed charges,,2257.632,,,,percent of total billed charges,,3135.6,,,,percent of total billed charges,,2090.4,,,,percent of total billed charges,,3517.7948,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,3309.8,,,,percent of total billed charges,,2787.2,,,,percent of total billed charges,,2090.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INFLUENZA VIRUS VAC, QUADRIVALENT, LIVE (LAIV4), FOR INTRANASAL USE",636,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99490-0510 CHRONIC CARE MGMT,510,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSITION CM 7 DAY,510,RC,,,,,inpatient,,,315,,157.5,189,318.0555,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,318.0555,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99495-0510 TRANSITION CM 14 DAY,510,RC,,,,,inpatient,,,315,,157.5,189,318.0555,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,318.0555,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10060-0361 I&D SKIN SUBQ ABCESS SIMP,361,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I&D SKIN SUBQ ABSCESS MUL,361,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10120-0361 INC & REMOVAL FB, SQ",361,RC,,,,,inpatient,,,1029,,514.5,617.4,1038.9813,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,666.792,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,1038.9813,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10140-0361 I & D HEMATOMA,361,RC,,,,,inpatient,,,2919,,1459.5,1751.4,2947.3143,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1891.512,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2947.3143,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042-0361 DEBRIDE SUBCU,1ST 20SQ CM",361,RC,,,,,inpatient,,,783,,391.5,469.8,790.5951,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,507.384,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,790.5951,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11045-0361 DEBRIDE SUB,EA ADL 20SQCM",361,RC,,,,,inpatient,,,460,,230,276,464.462,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,464.462,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APPLY MULTILAYER COMP - LATERAL - LOWER LEG,361,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96158-0510 BEHAV INTERVENTION, IND, FTF, INITIAL 30 MIN",510,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10021-0510 FINE NEEDLE ASPIRATION,510,RC,,,,,inpatient,,,2129,,1064.5,1277.4,2149.6513,2001.26,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1767.07,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,2014.034,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2065.13,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1873.52,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1379.592,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,2149.6513,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10080-0510 I&D PILONIDAL CYST,SIMPLE 10080",510,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10121-0510 INCIS/REM FB COMPLICATED,510,RC,,,,,inpatient,,,4134,,2067,2480.4,4174.0998,3885.96,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3431.22,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3910.764,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,4009.98,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3637.92,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,2678.832,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,4174.0998,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11055-0510 PARE/CUT BENIGN LES SINGLE,510,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11057-0510 PARE CUT BEHIGN LESION >4,510,RC,,,,,inpatient,,,653,,326.5,391.8,659.3341,613.82,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,541.99,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,617.738,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,633.41,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,574.64,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,423.144,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,659.3341,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11200-0510 REMOVE SKIN TAGS ANY AREA 15 OR <,510,RC,,,,,inpatient,,,497,,248.5,298.2,501.8209,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,322.056,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,501.8209,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11300-0510 SHAVE SKIN LESIONS .5CM TR/AR/LG,510,RC,,,,,inpatient,,,1029,,514.5,617.4,1038.9813,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,666.792,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,1038.9813,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11301-0510 SHAVE SK LESION .6-1.0CM TR/AR/LG,510,RC,,,,,inpatient,,,497,,248.5,298.2,501.8209,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,322.056,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,501.8209,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11302-0510 SHAVE SK LESN 1.0-2.0CM TR/AR/LG,510,RC,,,,,inpatient,,,497,,248.5,298.2,501.8209,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,322.056,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,501.8209,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11303-0510 SHAVE SK LESION >2.0CM TR/AR/LG,510,RC,,,,,inpatient,,,1029,,514.5,617.4,1038.9813,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,666.792,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,1038.9813,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11305-0510 SHAVE LES .5CM SCLP/NK/HD/GEN/FT,510,RC,,,,,inpatient,,,429,,214.5,257.4,433.1613,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,277.992,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,433.1613,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11306-0510 SHAV LES.6-1.0CM SCLP/NK/HD/GEN/F,510,RC,,,,,inpatient,,,429,,214.5,257.4,433.1613,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,277.992,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,433.1613,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11310-0510 SHAVE EPIDRML/DERM LESION 0.5CM <,510,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11400-0510 EXC BENIGN LESION .5CM TR/AR/LG,510,RC,,,,,inpatient,,,1508,,754,904.8,1522.6276,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,977.184,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1522.6276,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11401-0510 EXCIS BENIGN LES.6-1.0CM TR/AR/LG,510,RC,,,,,inpatient,,,823,,411.5,493.8,830.9831,773.62,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,683.09,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,757.16,,,,percent of total billed charges,,778.558,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,798.31,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,724.24,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,533.304,,,,percent of total billed charges,,740.7,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,830.9831,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,781.85,,,,percent of total billed charges,,658.4,,,,percent of total billed charges,,493.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11402-0510 EXC BENIGN LES 1.2-2.0CM TR/AR/LG,510,RC,,,,,inpatient,,,1508,,754,904.8,1522.6276,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,977.184,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1522.6276,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11406-0510 EXC BENIGN LESION 4.0CM TR/AR/LG,510,RC,,,,,inpatient,,,3476,,1738,2085.6,3509.7172,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2252.448,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3509.7172,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11421-0510 EXC BEN LES.6-1.0CM SCP/NK/HD/GEN,510,RC,,,,,inpatient,,,1788,,894,1072.8,1805.3436,1680.72,,,,percent of total billed charges,,1430.4,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1484.04,,,,percent of total billed charges,,1609.2,,,,percent of total billed charges,,1644.96,,,,percent of total billed charges,,1644.96,,,,percent of total billed charges,,1691.448,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1734.36,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1573.44,,,,percent of total billed charges,,1609.2,,,,percent of total billed charges,,1158.624,,,,percent of total billed charges,,1609.2,,,,percent of total billed charges,,1072.8,,,,percent of total billed charges,,1805.3436,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1698.6,,,,percent of total billed charges,,1430.4,,,,percent of total billed charges,,1072.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11440-0510 EXC BENIGN LESION 0.5CM OR LESS,510,RC,,,,,inpatient,,,1508,,754,904.8,1522.6276,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,977.184,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1522.6276,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11441-0510 EXC BENIGN LESION 0.6 TO 1.0CM,510,RC,,,,,inpatient,,,1508,,754,904.8,1522.6276,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,977.184,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1522.6276,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11443-0510 EXC BEN LES 2.1-3CM FACE,510,RC,,,,,inpatient,,,4134,,2067,2480.4,4174.0998,3885.96,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3431.22,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3803.28,,,,percent of total billed charges,,3910.764,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,4009.98,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3637.92,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,2678.832,,,,percent of total billed charges,,3720.6,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,4174.0998,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3927.3,,,,percent of total billed charges,,3307.2,,,,percent of total billed charges,,2480.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11444-0510 EXC BEN LES 3.1-4CM FACE,510,RC,,,,,inpatient,,,3749,,1874.5,2249.4,3785.3653,3524.06,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3111.67,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3546.554,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3636.53,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2429.352,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,3785.3653,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11446-0510 EXC BEN LES >4.0CM FACE,510,RC,,,,,inpatient,,,8626,,4313,5175.6,8709.6722,8108.44,,,,percent of total billed charges,,6900.8,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,7159.58,,,,percent of total billed charges,,7763.4,,,,percent of total billed charges,,7935.92,,,,percent of total billed charges,,7935.92,,,,percent of total billed charges,,8160.196,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,8367.22,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,7590.88,,,,percent of total billed charges,,7763.4,,,,percent of total billed charges,,5589.648,,,,percent of total billed charges,,7763.4,,,,percent of total billed charges,,5175.6,,,,percent of total billed charges,,8709.6722,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,8194.7,,,,percent of total billed charges,,6900.8,,,,percent of total billed charges,,5175.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MALG LES.5CM OR< SCLP/NK/HD/G,510,RC,,,,,inpatient,,,2327,,1163.5,1396.2,2349.5719,2187.38,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1931.41,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2201.342,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2257.19,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2047.76,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1507.896,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,2349.5719,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 0.6-1.0 CM FACE,510,RC,,,,,inpatient,,,1785,,892.5,1071,1802.3145,1677.9,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1481.55,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1688.61,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1731.45,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1570.8,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1156.68,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1802.3145,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 1.1-2.0CM FACE 11642,510,RC,,,,,inpatient,,,2010,,1005,1206,2029.497,1889.4,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1668.3,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1901.46,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1949.7,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1768.8,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1302.48,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,2029.497,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11644-0510 EXC MAL LES 3.1-4.0CM FACE,510,RC,,,,,inpatient,,,5024,,2512,3014.4,5072.7328,4722.56,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4169.92,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4752.704,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4873.28,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4421.12,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,3255.552,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,5072.7328,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11720-0510 DEBRIDEMENT NAILS 1-5 ANY METHOD,510,RC,,,,,inpatient,,,258,,129,154.8,260.5026,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,167.184,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,260.5026,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11721-0361 DEBRIDEMENT NAILS 6 OR> ANY METH,361,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11730-0510 AVULSION NAIL PLT PAR/COM-SIM/SIN,510,RC,,,,,inpatient,,,640,,320,384,646.208,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,414.72,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,646.208,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11732-0510 AVULSION NAIL PLATE EA ADDL,510,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11750-0510 EXC NAIL MATRX PART/COMP PERM REM,510,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEDGE EXC INGROWN TOENAIL 11765,510,RC,,,,,inpatient,,,1290,,645,774,1302.513,1212.6,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1070.7,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1220.34,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1251.3,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1135.2,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,835.92,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,774,,,,percent of total billed charges,,1302.513,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11770-0510 EXC PILONIDAL CYST SINS SMP,510,RC,,,,,inpatient,,,4273,,2136.5,2563.8,4314.4481,4016.62,,,,percent of total billed charges,,3418.4,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,3546.59,,,,percent of total billed charges,,3845.7,,,,percent of total billed charges,,3931.16,,,,percent of total billed charges,,3931.16,,,,percent of total billed charges,,4042.258,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,4144.81,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,3760.24,,,,percent of total billed charges,,3845.7,,,,percent of total billed charges,,2768.904,,,,percent of total billed charges,,3845.7,,,,percent of total billed charges,,2563.8,,,,percent of total billed charges,,4314.4481,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,4059.35,,,,percent of total billed charges,,3418.4,,,,percent of total billed charges,,2563.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ INTR >7 LESIONS 11901,510,RC,,,,,inpatient,,,497,,248.5,298.2,501.8209,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,322.056,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,501.8209,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17000-0510 DST PRE MALIG LES 1ST LES,510,RC,,,,,inpatient,,,497,,248.5,298.2,501.8209,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,322.056,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,501.8209,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17003-0510 DST PRE MALIG LES 2-14,510,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17110-0510 DESTRUCT LESION UP TO 14 LESIONS,510,RC,,,,,inpatient,,,497,,248.5,298.2,501.8209,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,322.056,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,501.8209,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DSTMLGLSFC,ER,ELD,NS,LP,MM0.6-1.0",510,RC,,,,,inpatient,,,1290,,645,774,1302.513,1212.6,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1070.7,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1220.34,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1251.3,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1135.2,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,835.92,,,,percent of total billed charges,,1161,,,,percent of total billed charges,,774,,,,percent of total billed charges,,1302.513,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1225.5,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20550-0510 INJ SINGLE TENDON SHEATH/LIGAMENT,510,RC,,,,,inpatient,,,967,,483.5,580.2,976.3799,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,626.616,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,976.3799,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20552-0510 INJ TRIGGER PT 1-2 MUSCLE,510,RC,,,,,inpatient,,,958,,479,574.8,967.2926,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,620.784,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,967.2926,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20553-0510 INJ SING/MULT TRIG PT(S), 3 OR MORE MUSC",510,RC,,,,,inpatient,,,958,,479,574.8,967.2926,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,620.784,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,967.2926,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20600-0510 ARTHROCENTESIS ASP INJ SMALL JNT,510,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20605-0510 ARTHROCENTESIS ASP INJ INTERM JT,510,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0361 ARTHROCENTESIS INJ INTERMED JTW/U,361,RC,,,,,inpatient,,,2289,,1144.5,1373.4,2311.2033,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1483.272,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2311.2033,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20610-0510 ARTHROCENTESIS ASP INJ MAJOR JT W/O US,510,RC,,,,,inpatient,,,877,,438.5,526.2,885.5069,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,568.296,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,885.5069,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611-0510 ARTHROCENTESIS MAJOR JT W/US,510,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CLSD TX NASAL BN FX WO STABLILIZA,510,RC,,,,,inpatient,,,3269,,1634.5,1961.4,3300.7093,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2118.312,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3300.7093,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22310-0510 CL TX VERT BDY FX WO MANIP W/CAST,510,RC,,,,,inpatient,,,568,,284,340.8,573.5096,533.92,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,471.44,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,522.56,,,,percent of total billed charges,,537.328,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,550.96,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,499.84,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,368.064,,,,percent of total billed charges,,511.2,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,573.5096,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,539.6,,,,percent of total billed charges,,454.4,,,,percent of total billed charges,,340.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX HUM EPICND FX W/O MANIP,510,RC,,,,,inpatient,,,873,,436.5,523.8,881.4681,820.62,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,825.858,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,846.81,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,565.704,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,881.4681,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25600-0510 TX DIS RAD/COLLES W/O MANIP,510,RC,,,,,inpatient,,,791,,395.5,474.6,798.6727,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,512.568,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,798.6727,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25630-0510 SD TX CARPAL FX W/O MANIP,510,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26341-0510 MANIP PALMAR FASC CD POST ENZ INJ,510,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX METACARP FX W/MANIP EA BN,510,RC,,,,,inpatient,,,791,,395.5,474.6,798.6727,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,512.568,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,798.6727,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX METCARP DIS SGL W/ MANIP,510,RC,,,,,inpatient,,,749,,374.5,449.4,756.2653,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,485.352,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,756.2653,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26740-0510 CL TX ARTIC FX WO MANIP EA,510,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26750-0510 TX DIS PHAL FX W/O MANIP,510,RC,,,,,inpatient,,,765,,382.5,459,772.4205,719.1,,,,percent of total billed charges,,612,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,634.95,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,723.69,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,742.05,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,495.72,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,459,,,,percent of total billed charges,,772.4205,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,612,,,,percent of total billed charges,,459,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CL TX HIP FX W/O MANIP,510,RC,,,,,inpatient,,,633,,316.5,379.8,639.1401,595.02,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,525.39,,,,percent of total billed charges,,569.7,,,,percent of total billed charges,,582.36,,,,percent of total billed charges,,582.36,,,,percent of total billed charges,,598.818,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,614.01,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,557.04,,,,percent of total billed charges,,569.7,,,,percent of total billed charges,,410.184,,,,percent of total billed charges,,569.7,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,639.1401,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,601.35,,,,percent of total billed charges,,506.4,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27246-0510 CL TX OF GREATER TROCHANTERIC FX, W/O MANIP",510,RC,,,,,inpatient,,,733,,366.5,439.8,740.1101,689.02,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,608.39,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,674.36,,,,percent of total billed charges,,693.418,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,711.01,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,645.04,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,474.984,,,,percent of total billed charges,,659.7,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,740.1101,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,696.35,,,,percent of total billed charges,,586.4,,,,percent of total billed charges,,439.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27500-0510 CL TX FEM SHFT W/O MANIP,510,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27808-0510 TX BIMALL FX W/O MANIP,510,RC,,,,,inpatient,,,748,,374,448.8,755.2556,703.12,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,620.84,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,707.608,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,725.56,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,658.24,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,484.704,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,755.2556,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28010-0510 PERCUT TENOT TOE SINGLE,510,RC,,,,,inpatient,,,3954,,1977,2372.4,3992.3538,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2562.192,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3992.3538,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX CALC FX W/O MANIP,510,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX TARSL FX W/ MANIP,510,RC,,,,,inpatient,,,3954,,1977,2372.4,3992.3538,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2562.192,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3992.3538,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28475-0510 CLOSED TX METATARSAL FX; W/ MANIPULATION, EACH",510,RC,,,,,inpatient,,,748,,374,448.8,755.2556,703.12,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,620.84,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,688.16,,,,percent of total billed charges,,707.608,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,725.56,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,658.24,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,484.704,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,755.2556,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,710.6,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28495-0510 TREAT BIG TOE FRACTURE, W/MANIP",510,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29105-0510 LONG ARM SPLINT,510,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29425-0510 APPLICATION OF SHORT LEG CAST; WALKING OR AMBUL TYPE,510,RC,,,,,inpatient,,,587,,293.5,352.2,592.6939,551.78,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,487.21,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,555.302,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,569.39,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,516.56,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,380.376,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,592.6939,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29515-0510 SHORT LEG SPLINT,510,RC,,,,,inpatient,,,401,,200.5,240.6,404.8897,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,259.848,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,404.8897,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30110-0510 EXCISION NASAL POLYP SIMPLE,510,RC,,,,,inpatient,,,3826,,1913,2295.6,3863.1122,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2479.248,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3863.1122,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCIS OR DEST INTRNASL LSN INTERN,510,RC,,,,,inpatient,,,6288,,3144,3772.8,6348.9936,5910.72,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5219.04,,,,percent of total billed charges,,5659.2,,,,percent of total billed charges,,5784.96,,,,percent of total billed charges,,5784.96,,,,percent of total billed charges,,5948.448,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,6099.36,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5533.44,,,,percent of total billed charges,,5659.2,,,,percent of total billed charges,,4074.624,,,,percent of total billed charges,,5659.2,,,,percent of total billed charges,,3772.8,,,,percent of total billed charges,,6348.9936,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5973.6,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,3772.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NOSE REMOVAL FOREIGN BODY,510,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30901-0510 NOSE CTRL HEMORRHAGE SIMP ANTER,510,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30903-0510 NOSE CTRL HEMORRHAGE COMP ANTER,510,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31231-0510 NOSE NASAL ENDOSCOPY,510,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31237-0510 NOSE NASAL ENDOSC BX DEBRID 1/2SD,510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31238-0510 NOSE NASAL ENDOSC W/CTRL NSL HEMM,510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31575-0510 FLEXIBLE LARYNGOSCOPY,510,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31579-0510 VIDEOSTROBOSCOPY,510,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40490-0510 BIOPSY OF LIP,510,RC,,,,,inpatient,,,573,,286.5,343.8,578.5581,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,371.304,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,578.5581,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40808-0510 BIOPSY, VESTIVULE OF MOUTH",510,RC,,,,,inpatient,,,1259,,629.5,755.4,1271.2123,1183.46,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1044.97,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1191.014,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1221.23,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1107.92,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,815.832,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,1271.2123,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCSLES MUC/SUB VSTBL MTH SMP RPR,510,RC,,,,,inpatient,,,4922,,2461,2953.2,4969.7434,4626.68,,,,percent of total billed charges,,3937.6,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4085.26,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,4528.24,,,,percent of total billed charges,,4528.24,,,,percent of total billed charges,,4656.212,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4774.34,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4331.36,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,3189.456,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,2953.2,,,,percent of total billed charges,,4969.7434,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,4675.9,,,,percent of total billed charges,,3937.6,,,,percent of total billed charges,,2953.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41100-0510 BIOPSY TONGUE ANTERIOR 2/3,510,RC,,,,,inpatient,,,1259,,629.5,755.4,1271.2123,1183.46,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1044.97,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1191.014,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1221.23,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1107.92,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,815.832,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,1271.2123,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41105-0510 BIOPSY OF TONGUE POSTERIOR 1/3,510,RC,,,,,inpatient,,,6274,,3137,3764.4,6334.8578,5897.56,,,,percent of total billed charges,,5019.2,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5207.42,,,,percent of total billed charges,,5646.6,,,,percent of total billed charges,,5772.08,,,,percent of total billed charges,,5772.08,,,,percent of total billed charges,,5935.204,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,6085.78,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5521.12,,,,percent of total billed charges,,5646.6,,,,percent of total billed charges,,4065.552,,,,percent of total billed charges,,5646.6,,,,percent of total billed charges,,3764.4,,,,percent of total billed charges,,6334.8578,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5960.3,,,,percent of total billed charges,,5019.2,,,,percent of total billed charges,,3764.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42100-0510 BIOPSY OF PALATE, UVULA",510,RC,,,,,inpatient,,,3826,,1913,2295.6,3863.1122,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2479.248,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3863.1122,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EXC, LES PALATE,UVULA, W/O CLOSE",510,RC,,,,,inpatient,,,6902,,3451,4141.2,6968.9494,6487.88,,,,percent of total billed charges,,5521.6,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,5728.66,,,,percent of total billed charges,,6211.8,,,,percent of total billed charges,,6349.84,,,,percent of total billed charges,,6349.84,,,,percent of total billed charges,,6529.292,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,6694.94,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,6073.76,,,,percent of total billed charges,,6211.8,,,,percent of total billed charges,,4472.496,,,,percent of total billed charges,,6211.8,,,,percent of total billed charges,,4141.2,,,,percent of total billed charges,,6968.9494,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,6556.9,,,,percent of total billed charges,,5521.6,,,,percent of total billed charges,,4141.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42800-0510 BX OROPHARYNX,510,RC,,,,,inpatient,,,3826,,1913,2295.6,3863.1122,3596.44,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3175.58,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3519.92,,,,percent of total billed charges,,3619.396,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3711.22,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3366.88,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2479.248,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,3863.1122,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3634.7,,,,percent of total billed charges,,3060.8,,,,percent of total billed charges,,2295.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51700-0510 BLADDER IRRIGATION/INSTILL,510,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51701-0510 CATH BLADDER SIMPLE,510,RC,,,,,inpatient,,,409,,204.5,245.4,412.9673,384.46,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,339.47,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,376.28,,,,percent of total billed charges,,386.914,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,396.73,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,359.92,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,265.032,,,,percent of total billed charges,,368.1,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,412.9673,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,388.55,,,,percent of total billed charges,,327.2,,,,percent of total billed charges,,245.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51702-0510 SIMPLE CATHERETIZATION,510,RC,,,,,inpatient,,,473,,236.5,283.8,477.5881,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,306.504,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,477.5881,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51703-0510 COMPLICATED CATHETERIZATION,510,RC,,,,,inpatient,,,845,,422.5,507,853.1965,794.3,,,,percent of total billed charges,,676,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,701.35,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,777.4,,,,percent of total billed charges,,799.37,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,819.65,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,743.6,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,547.56,,,,percent of total billed charges,,760.5,,,,percent of total billed charges,,507,,,,percent of total billed charges,,853.1965,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,802.75,,,,percent of total billed charges,,676,,,,percent of total billed charges,,507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51705-0510 SUPRAPUBIC CATHETER CHANGE,510,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51720-0510 BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT,510,RC,,,,,inpatient,,,1076,,538,645.6,1086.4372,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,697.248,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,1086.4372,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51729-0510 CMG W/VOID PRSR STDS/URETH PRSR,510,RC,,,,,inpatient,,,2247,,1123.5,1348.2,2268.7959,2112.18,,,,percent of total billed charges,,1797.6,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,1865.01,,,,percent of total billed charges,,2022.3,,,,percent of total billed charges,,2067.24,,,,percent of total billed charges,,2067.24,,,,percent of total billed charges,,2125.662,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,2179.59,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,1977.36,,,,percent of total billed charges,,2022.3,,,,percent of total billed charges,,1456.056,,,,percent of total billed charges,,2022.3,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,2268.7959,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,2134.65,,,,percent of total billed charges,,1797.6,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51741-0510 COMPLEX UROFLOWMETRY,510,RC,,,,,inpatient,,,518,,259,310.8,523.0246,486.92,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,429.94,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,490.028,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,502.46,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,455.84,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,335.664,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,523.0246,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51798-0510 PVR VOIDING RESIDUAL URI,510,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52000-0510 CYSTOURETHROSCOPY,510,RC,,,,,inpatient,,,1563,,781.5,937.8,1578.1611,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1012.824,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1578.1611,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTO W/DILATION OF URETH,510,RC,,,,,inpatient,,,4637,,2318.5,2782.2,4681.9789,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3004.776,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4681.9789,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52310-0510 CYSTO W/REMOVAL STENT/SIM,510,RC,,,,,inpatient,,,4637,,2318.5,2782.2,4681.9789,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3004.776,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4681.9789,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52315-0510 CYSTOURETHROSCOPY REM FB,510,RC,,,,,inpatient,,,4572,,2286,2743.2,4616.3484,4297.68,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,3794.76,,,,percent of total billed charges,,4114.8,,,,percent of total billed charges,,4206.24,,,,percent of total billed charges,,4206.24,,,,percent of total billed charges,,4325.112,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,4434.84,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,4023.36,,,,percent of total billed charges,,4114.8,,,,percent of total billed charges,,2962.656,,,,percent of total billed charges,,4114.8,,,,percent of total billed charges,,2743.2,,,,percent of total billed charges,,4616.3484,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,4343.4,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,2743.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DILATION URETHRA, MALE, INITIAL",510,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 53661-0510 FEMALE DILATION SUBSEQUENT,510,RC,,,,,inpatient,,,304,,152,182.4,306.9488,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,306.9488,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54235-0510 PENILE INJECTION,510,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARAPHIMOSIS MANUAL REDUCTION,510,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56405-0510 I&D PERINEAL ABSCESS,510,RC,,,,,inpatient,,,805,,402.5,483,812.8085,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,521.64,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,812.8085,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56420-0510 I&D BARTHOLIN'S GLAND ABCSS,510,RC,,,,,inpatient,,,491,,245.5,294.6,495.7627,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,318.168,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,495.7627,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56501-0510 DESTRUCTION VULVA LES SIMP,510,RC,,,,,inpatient,,,2855,,1427.5,1713,2882.6935,2683.7,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2369.65,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2626.6,,,,percent of total billed charges,,2700.83,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2769.35,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2512.4,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,1850.04,,,,percent of total billed charges,,2569.5,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,2882.6935,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2712.25,,,,percent of total billed charges,,2284,,,,percent of total billed charges,,1713,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56605-0510 VULVA BX,510,RC,,,,,inpatient,,,1939,,969.5,1163.4,1957.8083,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1256.472,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1957.8083,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56821-0510 COLPO W/BX VULVA,510,RC,,,,,inpatient,,,805,,402.5,483,812.8085,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,521.64,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,812.8085,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57100-0510 VAGINAL BX,510,RC,,,,,inpatient,,,1939,,969.5,1163.4,1957.8083,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1256.472,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1957.8083,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57160-0510 INSERTION PESSARY,510,RC,,,,,inpatient,,,491,,245.5,294.6,495.7627,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,318.168,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,495.7627,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIAPHRAGM FITTING 57170,510,RC,,,,,inpatient,,,427,,213.5,256.2,431.1419,401.38,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,354.41,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,392.84,,,,percent of total billed charges,,403.942,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,414.19,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,375.76,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,276.696,,,,percent of total billed charges,,384.3,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,431.1419,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,405.65,,,,percent of total billed charges,,341.6,,,,percent of total billed charges,,256.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57420-0510 COLPO VAGINA,510,RC,,,,,inpatient,,,805,,402.5,483,812.8085,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,521.64,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,812.8085,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57421-0510 COLPO W/BX VAGINA,510,RC,,,,,inpatient,,,1939,,969.5,1163.4,1957.8083,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1256.472,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1957.8083,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57454-0510 COLPOS W BIOPSY,510,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57455-0510 COLPO W/BX CERVIX,510,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57456-0510 COLPO W/CURETTAGE CERVIX,510,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57500-0510 CERVICAL BX,510,RC,,,,,inpatient,,,1939,,969.5,1163.4,1957.8083,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1256.472,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1957.8083,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57505-0510 ENDOCERV CURETTAGE,510,RC,,,,,inpatient,,,1939,,969.5,1163.4,1957.8083,1822.66,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1609.37,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1783.88,,,,percent of total billed charges,,1834.294,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1880.83,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1706.32,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1256.472,,,,percent of total billed charges,,1745.1,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,1957.8083,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1842.05,,,,percent of total billed charges,,1551.2,,,,percent of total billed charges,,1163.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58100-0510 ENDOMETRIAL BX, W/O CERVICAL DILATION, ANY METHOD",510,RC,,,,,inpatient,,,491,,245.5,294.6,495.7627,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,318.168,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,495.7627,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58300-0510 INSERTION IUD,510,RC,,,,,inpatient,,,303,,151.5,181.8,305.9391,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,196.344,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,305.9391,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58301-0510 REMOVAL IUD,510,RC,,,,,inpatient,,,443,,221.5,265.8,447.2971,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,287.064,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,447.2971,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NST 59025,510,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OB SERVICES >7 VISITS 59426,510,RC,,,,,inpatient,,,773,,386.5,463.8,780.4981,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,500.904,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,780.4981,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64430-0510 INJ PUDENDAL NERVE BLOCK,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64566-0510 POSTERIORTIBIAL NEUROSTIM SNG TX,510,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMODENERVE 1 EXTREMITY 1-4 MUSC,510,RC,,,,,inpatient,,,1776,,888,1065.6,1793.2272,1669.44,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1474.08,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1680.096,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1722.72,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1562.88,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1150.848,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1793.2272,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64647-0510 CHEMODENERVE TRUNK 6+ MUSCLES,510,RC,,,,,inpatient,,,1776,,888,1065.6,1793.2272,1669.44,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1474.08,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1633.92,,,,percent of total billed charges,,1680.096,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1722.72,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1562.88,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1150.848,,,,percent of total billed charges,,1598.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1793.2272,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1420.8,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69100-0510 BX EXTERNAL EAR,510,RC,,,,,inpatient,,,573,,286.5,343.8,578.5581,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,371.304,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,578.5581,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69105-0510 BIOPSY EXTERNAL AUDITORY CANAL,510,RC,,,,,inpatient,,,1608,,804,964.8,1623.5976,1511.52,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1334.64,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1479.36,,,,percent of total billed charges,,1479.36,,,,percent of total billed charges,,1521.168,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1559.76,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1415.04,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,1041.984,,,,percent of total billed charges,,1447.2,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,1623.5976,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,964.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69145-0510 EXCI SFT TIS LES EXTERN AUDIO CNL,510,RC,,,,,inpatient,,,6092,,3046,3655.2,6151.0924,5726.48,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5056.36,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5763.032,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5909.24,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5360.96,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,3947.616,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,6151.0924,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69200-0510 EAR REMOVE FOREIGN BODY,510,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69210-0510 EAR REMOVE IMPACTED CERUMEN BX,510,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69220-0510 EAR DEBRIDE MASTOID CAVITY SIMP,510,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69420-0510 EAR MYRINGOTOMY W/ ASPIRATION,510,RC,,,,,inpatient,,,573,,286.5,343.8,578.5581,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,371.304,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,578.5581,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR MYRINGOTOMY W/TUBE,510,RC,,,,,inpatient,,,1259,,629.5,755.4,1271.2123,1183.46,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1044.97,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1158.28,,,,percent of total billed charges,,1191.014,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1221.23,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1107.92,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,815.832,,,,percent of total billed charges,,1133.1,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,1271.2123,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1196.05,,,,percent of total billed charges,,1007.2,,,,percent of total billed charges,,755.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TDAP > 7 YO (ADACEL) - 0.5 ML,636,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION LASIX 20 MG,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SC THER INFUS UP TO 1 HR,260,RC,,,,,inpatient,,,407,,203.5,244.2,410.9479,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,263.736,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,410.9479,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SC THER INFUSION ADDL HR,260,RC,,,,,inpatient,,,183,,91.5,109.8,184.7751,172.02,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,151.89,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,168.36,,,,percent of total billed charges,,173.118,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,177.51,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,161.04,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,118.584,,,,percent of total billed charges,,164.7,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,184.7751,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,173.85,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,109.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PROLONGED IV INFUSION, REQ. PUMP, > 8 HRS.",260,RC,,,,,inpatient,,,1016,,508,609.6,1025.8552,955.04,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,843.28,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,934.72,,,,percent of total billed charges,,961.136,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,985.52,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,894.08,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,658.368,,,,percent of total billed charges,,914.4,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,1025.8552,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,965.2,,,,percent of total billed charges,,812.8,,,,percent of total billed charges,,609.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR BINOCULAR MICROSCOPY,471,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACOUSTIC REFLEX TEST,471,RC,,,,,inpatient,,,86,,43,51.6,86.8342,80.84,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,71.38,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,79.12,,,,percent of total billed charges,,81.356,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,83.42,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,55.728,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,86.8342,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,81.7,,,,percent of total billed charges,,68.8,,,,percent of total billed charges,,51.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDUCTION OXYTOCIN,920,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INDUCTION CERVIDIL,920,RC,,,,,inpatient,,,992,,496,595.2,1001.6224,932.48,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,823.36,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,938.432,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,962.24,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,872.96,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,642.816,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,1001.6224,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MSED SAM <5 YR 1ST 15 MIN,450,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHINGRIX - 0.5 ML,636,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HLTH/BEHAVIOR ASSESS/REASSESS,918,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERVENE HLTH/BEHAVE INDIV 30 MIN,914,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLTH/BEHAV GROUP W/PT INITIAL 30 MIN,916,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLTH/BEHAV FAM W PT INITIAL 30 MIN,916,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLT/BEHAV FAM NO PT INITIAL 30 MIN,916,RC,,,,,inpatient,,,95,,47.5,57,95.9215,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,95.9215,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE GYNECOLOGICAL EXAM-RET,510,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OSCILLATORY/JET VENT - INITIAL-TF,410,RC,,,,,inpatient,,,634,,317,380.4,640.1498,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,410.832,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,640.1498,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR GEN FLOORS-INITIAL-TF,410,RC,,,,,inpatient,,,634,,317,380.4,640.1498,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,410.832,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,640.1498,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATOR ICU/NN - INITIAL-TF,410,RC,,,,,inpatient,,,634,,317,380.4,640.1498,595.96,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,526.22,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,583.28,,,,percent of total billed charges,,599.764,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,614.98,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,557.92,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,410.832,,,,percent of total billed charges,,570.6,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,640.1498,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,602.3,,,,percent of total billed charges,,507.2,,,,percent of total billed charges,,380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVAL AUDITORY REHAB STATUS, EACH ADD'L 15 MIN",471,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE 1 MG,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEMEROL PER 100 MG,636,RC,,,,,inpatient,,,49,,24.5,29.4,49.4753,46.06,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,40.67,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,45.08,,,,percent of total billed charges,,46.354,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,47.53,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,43.12,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,44.1,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,49.4753,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,46.55,,,,percent of total billed charges,,39.2,,,,percent of total billed charges,,29.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENEGAN 50 MG,636,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE SODIUM SUCCINATE (SOLU MEDROL) 40MG, PER 5MG",636,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATARAX/HYDROXYZINE - 25 MG,636,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOLN 500CC,636,RC,,,,,inpatient,,,156,,78,93.6,157.5132,146.64,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,129.48,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,143.52,,,,percent of total billed charges,,147.576,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,151.32,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,137.28,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,101.088,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,157.5132,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LACTATED RINGERS - 1000 ML,636,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREDNISOLONE 5MG ORAL,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11300-0510 SHAVE SKIN LES < .5 CM-TECH,510,RC,,,,,inpatient,,,1029,,514.5,617.4,1038.9813,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,666.792,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,1038.9813,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12001-0361 REP SUPF WOUND < 2.5CM-TECH,361,RC,,,,,inpatient,,,597,,298.5,358.2,602.7909,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,386.856,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,602.7909,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TX BURN(S) PT SM-TECH,361,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASP/INJ LG JT BURSA-TECH,361,RC,,,,,inpatient,,,877,,438.5,526.2,885.5069,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,568.296,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,885.5069,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29125-0510 APPLY FOREARM SPLINT-TECH,510,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE-TECH,300,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58300-0361 INSERT IUD-TECH,361,RC,,,,,inpatient,,,303,,151.5,181.8,305.9391,284.82,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,251.49,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,278.76,,,,percent of total billed charges,,286.638,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,293.91,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,266.64,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,196.344,,,,percent of total billed charges,,272.7,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,305.9391,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,287.85,,,,percent of total billed charges,,242.4,,,,percent of total billed charges,,181.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINALYSIS AUTO W/O SCOPE,307,RC,,,,,inpatient,,,21,,10.5,12.6,21.2037,19.74,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,17.43,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.32,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,20.37,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,18.48,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,21.2037,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,19.95,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE PREGNANCY TEST,307,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCREEN BLOOD STOOL,301,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HETEROPHILE ABX SCREEN,302,RC,,,,,inpatient,,,65,,32.5,39,65.6305,61.1,,,,percent of total billed charges,,52,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,53.95,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,59.8,,,,percent of total billed charges,,61.49,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,63.05,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,57.2,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,42.12,,,,percent of total billed charges,,58.5,,,,percent of total billed charges,,39,,,,percent of total billed charges,,65.6305,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,61.75,,,,percent of total billed charges,,52,,,,percent of total billed charges,,39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TB INTRADERMAL TEST,302,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SMEAR WET MNT SALINE/INK,306,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMOGAM-RABIES RLG,636,RC,,,,,inpatient,,,2208,,1104,1324.8,2229.4176,2075.52,,,,percent of total billed charges,,1766.4,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,1832.64,,,,percent of total billed charges,,1987.2,,,,percent of total billed charges,,2031.36,,,,percent of total billed charges,,2031.36,,,,percent of total billed charges,,2088.768,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,2141.76,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,1943.04,,,,percent of total billed charges,,1987.2,,,,percent of total billed charges,,1430.784,,,,percent of total billed charges,,1987.2,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,2229.4176,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,2097.6,,,,percent of total billed charges,,1766.4,,,,percent of total billed charges,,1324.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMMUNIZATION ADMIN-TECH,771,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLU VACC ADMIN,771,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IMMUN ADMIN, EA ADD-TECH",771,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS A ADULT (VAQTA) - 1 ML,636,RC,,,,,inpatient,,,132,,66,79.2,133.2804,124.08,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,109.56,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.872,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,128.04,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,116.16,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,133.2804,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DTAP VACCINE (INFANRIX), < 7 YRS, IM-TECH - 0.5 ML",636,RC,,,,,inpatient,,,42,,21,25.2,42.4074,39.48,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,38.64,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,40.74,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,36.96,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,42.4074,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,39.9,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MMR VACCINE (PRIORIX), SC-TECH - 0.5 ML",636,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROQUAD VACC - 0.5 ML,636,RC,,,,,inpatient,,,518,,259,310.8,523.0246,486.92,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,429.94,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,490.028,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,502.46,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,455.84,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,335.664,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,523.0246,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TDAP VACCINE 7R+ - 0.5 ML,636,RC,,,,,inpatient,,,93,,46.5,55.8,93.9021,87.42,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,77.19,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,85.56,,,,percent of total billed charges,,87.978,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,90.21,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,81.84,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,83.7,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,93.9021,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,88.35,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHICKEN POX VACCINE, SC-TECH (VARIVAX) - 0.5 ML",636,RC,,,,,inpatient,,,348,,174,208.8,351.3756,327.12,,,,percent of total billed charges,,278.4,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,288.84,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,320.16,,,,percent of total billed charges,,320.16,,,,percent of total billed charges,,329.208,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,337.56,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,306.24,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,225.504,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,351.3756,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,330.6,,,,percent of total billed charges,,278.4,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MENINGOCOCCAL VACCINE-TECH (MENVEO), PER 0.5 ML",636,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEP B VACCINE, ADULT, IM-TECH, 3 DOSE 1 ML",636,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, SC/IM-TECH",510,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURE TONE HEARING TEST-TECH,471,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYMPANOMETRY-TECH,471,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROCARDIOGRAM-TECH,730,RC,,,,,inpatient,,,306,,153,183.6,308.9682,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,198.288,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,308.9682,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVAL USE OF INHALER-TECH,412,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MEASURE BLOOD O2 LVL-TECH,460,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIMEN HANDLING-TECH,300,RC,,,,,inpatient,,,34,,17,20.4,34.3298,31.96,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,28.22,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,31.28,,,,percent of total billed charges,,32.164,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.98,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,29.92,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,34.3298,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,32.3,,,,percent of total billed charges,,27.2,,,,percent of total billed charges,,20.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OCULAR FUNCTION SCRN-TECH,920,RC,,,,,inpatient,,,131,,65.5,78.6,132.2707,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,132.2707,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISUAL ACUITY SCREEN-TECH,920,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99212-0510 OFFICE O/P EST SF 10- 19 MINUTES,510,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PV NEW, AGE 5-11-TECH",510,RC,,,,,inpatient,,,94,,47,56.4,94.9118,88.36,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,78.02,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,86.48,,,,percent of total billed charges,,88.924,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,91.18,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,82.72,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,60.912,,,,percent of total billed charges,,84.6,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,94.9118,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,89.3,,,,percent of total billed charges,,75.2,,,,percent of total billed charges,,56.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99395-0510 PV RETURN, AGE 18-39",510,RC,,,,,inpatient,,,123,,61.5,73.8,124.1931,115.62,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,102.09,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,113.16,,,,percent of total billed charges,,116.358,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,119.31,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,108.24,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,110.7,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,124.1931,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,116.85,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0101-0770 CA SCREEN; PELVIC-TECH,770,RC,,,,,inpatient,,,77,,38.5,46.2,77.7469,72.38,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,63.91,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,70.84,,,,percent of total billed charges,,72.842,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,74.69,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,67.76,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,77.7469,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,73.15,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,46.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RHOGAM, PER 300 MCG",636,RC,,,,,inpatient,,,365,,182.5,219,368.5405,343.1,,,,percent of total billed charges,,292,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,302.95,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,335.8,,,,percent of total billed charges,,345.29,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,354.05,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,321.2,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,236.52,,,,percent of total billed charges,,328.5,,,,percent of total billed charges,,219,,,,percent of total billed charges,,368.5405,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,346.75,,,,percent of total billed charges,,292,,,,percent of total billed charges,,219,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIRENA - 52 MG,636,RC,,,,,inpatient,,,5571,,2785.5,3342.6,5625.0387,5236.74,,,,percent of total billed charges,,4456.8,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,4623.93,,,,percent of total billed charges,,5013.9,,,,percent of total billed charges,,5125.32,,,,percent of total billed charges,,5125.32,,,,percent of total billed charges,,5270.166,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,5403.87,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,4902.48,,,,percent of total billed charges,,5013.9,,,,percent of total billed charges,,3610.008,,,,percent of total billed charges,,5013.9,,,,percent of total billed charges,,3342.6,,,,percent of total billed charges,,5625.0387,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,5292.45,,,,percent of total billed charges,,4456.8,,,,percent of total billed charges,,3342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NORMAL SALINE SOL 1000 CC,636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUTEROL PER 0.5MG,250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATROVENT - 1 MG,250,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q0091-0510 OBTAIN SCREEN PAP SMEAR-TECH,510,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 80MG, PER 1MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 40MG, PER 1MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS A PEDIATRIC (HAVRIX)  BILLED PER 0.5 ML,636,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PNEUMOCOCCAL VAC-TECH (PNEUMOVAX 23) PER 0.5 ML,636,RC,,,,,inpatient,,,209,,104.5,125.4,211.0273,196.46,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,173.47,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,192.28,,,,percent of total billed charges,,197.714,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,202.73,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,183.92,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,135.432,,,,percent of total billed charges,,188.1,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,211.0273,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,198.55,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,125.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHONE CONS 1-PRO 5-10 MIN,960,RC,,,,,inpatient,,,31,,15.5,18.6,31.3007,29.14,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,25.73,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,28.52,,,,percent of total billed charges,,29.326,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,30.07,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,27.28,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,27.9,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,31.3007,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,29.45,,,,percent of total billed charges,,24.8,,,,percent of total billed charges,,18.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHONE CONS 2-PRO 11-20 MIN,960,RC,,,,,inpatient,,,60,,30,36,60.582,56.4,,,,percent of total billed charges,,48,,,,percent of total billed charges,,57,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,56.76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,57,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,54,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,54,,,,percent of total billed charges,,36,,,,percent of total billed charges,,60.582,,,,percent of total billed charges,,57,,,,percent of total billed charges,,57,,,,percent of total billed charges,,48,,,,percent of total billed charges,,36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHONE CONS 3-PRO 21-30 MIN,960,RC,,,,,inpatient,,,91,,45.5,54.6,91.8827,85.54,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,75.53,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,83.72,,,,percent of total billed charges,,86.086,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,88.27,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,80.08,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,81.9,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,91.8827,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,86.45,,,,percent of total billed charges,,72.8,,,,percent of total billed charges,,54.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIPTH, PERTUS, TET, POLIO VACCINE (KINRIX), PER 0.5ML",636,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B VACC-ADOLE - 0.5 ML,636,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTRIAXONE WITH LIDO PER 250 MG,636,RC,,,,,inpatient,,,47,,23.5,28.2,47.4559,44.18,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,39.01,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,43.24,,,,percent of total billed charges,,44.462,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,45.59,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,41.36,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,42.3,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,47.4559,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,44.65,,,,percent of total billed charges,,37.6,,,,percent of total billed charges,,28.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 40MG INJECTION, PER 1MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE ACETATE (DEPO MEDROL) 80MG INJECTION, PER 1MG",636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE SODIUM PHOSPHATE 1 MG,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG METHYLPREDNISOLONE SODIUM SUCCINATE (SOLU MEDROL) INJECTION, PER 5MG",636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORAPRED PER 5 MG,637,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREDNISONE PER 5 MG,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALBUTEROL INHALED DME PER 1 MG,637,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG XOPENEX INHALED PER 0.5 MG,637,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IPRATROPIUM BROMIDE PER 1 MG,637,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BENADRYL PER 50 MG,637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HYDROXYZINE HYDROCHLORIDE PER 25 MG,636,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VISTARIL ORAL SUSPENSION PER 25 MG,637,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZOFRAN TABLET PER 1 MG,636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMLA-TOPICAL CREAM - 5 G,637,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RACEPINEPHRINE 11.25MG - 1 EA,637,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREVNAR 13 - 0.5 ML,636,RC,,,,,inpatient,,,394,,197,236.4,397.8218,370.36,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,327.02,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,362.48,,,,percent of total billed charges,,372.724,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,382.18,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,346.72,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,255.312,,,,percent of total billed charges,,354.6,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,397.8218,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,374.3,,,,percent of total billed charges,,315.2,,,,percent of total billed charges,,236.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPIPEN 0.1 MG,637,RC,,,,,inpatient,,,410,,205,246,413.977,385.4,,,,percent of total billed charges,,328,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,340.3,,,,percent of total billed charges,,369,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,377.2,,,,percent of total billed charges,,387.86,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,397.7,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,369,,,,percent of total billed charges,,265.68,,,,percent of total billed charges,,369,,,,percent of total billed charges,,246,,,,percent of total billed charges,,413.977,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,389.5,,,,percent of total billed charges,,328,,,,percent of total billed charges,,246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BICILLIN 100,000 UNITS",636,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PEDS IMMUNIZATION, 1ST",771,RC,,,,,inpatient,,,26,,13,15.6,26.2522,24.44,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,21.58,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,23.92,,,,percent of total billed charges,,24.596,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,25.22,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,22.88,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,26.2522,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,24.7,,,,percent of total billed charges,,20.8,,,,percent of total billed charges,,15.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PEDS IMMUNIZATION, SUBSEQ",771,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0438-0770 NP WELLNESS VISIT,770,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0439-0770 RET WELLNESS VISIT,770,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMINOLEVULINIC ACID HCL (LEVULAN KERASTICK) PER 354 MG,636,RC,,,,,inpatient,,,1770,,885,1062,1787.169,1663.8,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1469.1,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1628.4,,,,percent of total billed charges,,1674.42,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1716.9,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1557.6,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1146.96,,,,percent of total billed charges,,1593,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,1787.169,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1681.5,,,,percent of total billed charges,,1416,,,,percent of total billed charges,,1062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEHAVIOR COUNSEL OBESITY 15M-TECH,510,RC,,,,,inpatient,,,212,,106,127.2,214.0564,199.28,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,175.96,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,195.04,,,,percent of total billed charges,,200.552,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,205.64,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,186.56,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,137.376,,,,percent of total billed charges,,190.8,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,214.0564,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,201.4,,,,percent of total billed charges,,169.6,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEPRESSION SCREEN ANNUAL-PROF,517,RC,,,,,inpatient,,,23,,11.5,13.8,23.2231,21.62,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,19.09,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.16,,,,percent of total billed charges,,21.758,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,22.31,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,23.2231,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,21.85,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0444-0517 DEPRESSION SCREEN ANNUAL-TECH,517,RC,,,,,inpatient,,,43,,21.5,25.8,43.4171,40.42,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,35.69,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,39.56,,,,percent of total billed charges,,40.678,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,41.71,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,37.84,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,38.7,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,43.4171,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,40.85,,,,percent of total billed charges,,34.4,,,,percent of total billed charges,,25.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANNUAL ALCOHOL SCREEN 15 MIN-TECH,510,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL SING/DUEL IMPLANT DEFIB ELECTRODES TRANS,480,RC,,,,,inpatient,,,6536,,3268,3921.6,6599.3992,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,4235.328,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6599.3992,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BALLOON DILATION, URETERAL STRICTURE, INC IMAGING GUID",361,RC,,,,,inpatient,,,358,,179,214.8,361.4726,336.52,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,297.14,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,329.36,,,,percent of total billed charges,,338.668,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,347.26,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,315.04,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,231.984,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,361.4726,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,340.1,,,,percent of total billed charges,,286.4,,,,percent of total billed charges,,214.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ART PRESSURE WAVEFORM ANALYS,482,RC,,,,,inpatient,,,331,,165.5,198.6,334.2107,311.14,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,274.73,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,304.52,,,,percent of total billed charges,,313.126,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,321.07,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,291.28,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,214.488,,,,percent of total billed charges,,297.9,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,334.2107,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,314.45,,,,percent of total billed charges,,264.8,,,,percent of total billed charges,,198.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC V,278,RC,,,,,inpatient,,,9498,,4749,5698.8,9590.1306,8928.12,,,,percent of total billed charges,,7598.4,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,7883.34,,,,percent of total billed charges,,8548.2,,,,percent of total billed charges,,8738.16,,,,percent of total billed charges,,8738.16,,,,percent of total billed charges,,8985.108,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,9213.06,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,8358.24,,,,percent of total billed charges,,8548.2,,,,percent of total billed charges,,6154.704,,,,percent of total billed charges,,8548.2,,,,percent of total billed charges,,5698.8,,,,percent of total billed charges,,9590.1306,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,9023.1,,,,percent of total billed charges,,7598.4,,,,percent of total billed charges,,5698.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AUTOPLEX W/HV CEMENT,278,RC,,,,,inpatient,,,4925,,2462.5,2955,4972.7725,4629.5,,,,percent of total billed charges,,3940,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4087.75,,,,percent of total billed charges,,4432.5,,,,percent of total billed charges,,4531,,,,percent of total billed charges,,4531,,,,percent of total billed charges,,4659.05,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4777.25,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4334,,,,percent of total billed charges,,4432.5,,,,percent of total billed charges,,3191.4,,,,percent of total billed charges,,4432.5,,,,percent of total billed charges,,2955,,,,percent of total billed charges,,4972.7725,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,4678.75,,,,percent of total billed charges,,3940,,,,percent of total billed charges,,2955,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE, CURVED",272,RC,,,,,inpatient,,,2803,,1401.5,1681.8,2830.1891,2634.82,,,,percent of total billed charges,,2242.4,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2326.49,,,,percent of total billed charges,,2522.7,,,,percent of total billed charges,,2578.76,,,,percent of total billed charges,,2578.76,,,,percent of total billed charges,,2651.638,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2718.91,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2466.64,,,,percent of total billed charges,,2522.7,,,,percent of total billed charges,,1816.344,,,,percent of total billed charges,,2522.7,,,,percent of total billed charges,,1681.8,,,,percent of total billed charges,,2830.1891,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2662.85,,,,percent of total billed charges,,2242.4,,,,percent of total billed charges,,1681.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HV CEMENT,278,RC,,,,,inpatient,,,2306,,1153,1383.6,2328.3682,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1494.288,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2328.3682,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KYPHOPLASTY BALLOON,272,RC,,,,,inpatient,,,5726,,2863,3435.6,5781.5422,5382.44,,,,percent of total billed charges,,4580.8,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,4752.58,,,,percent of total billed charges,,5153.4,,,,percent of total billed charges,,5267.92,,,,percent of total billed charges,,5267.92,,,,percent of total billed charges,,5416.796,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,5554.22,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,5038.88,,,,percent of total billed charges,,5153.4,,,,percent of total billed charges,,3710.448,,,,percent of total billed charges,,5153.4,,,,percent of total billed charges,,3435.6,,,,percent of total billed charges,,5781.5422,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,5439.7,,,,percent of total billed charges,,4580.8,,,,percent of total billed charges,,3435.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEL SYN - 0.1 MG,636,RC,,,,,inpatient,,,10,,5,6,10.097,9.4,,,,percent of total billed charges,,8,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.3,,,,percent of total billed charges,,9,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.2,,,,percent of total billed charges,,9.46,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.7,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6,,,,percent of total billed charges,,10.097,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,9.5,,,,percent of total billed charges,,8,,,,percent of total billed charges,,6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRIPTORELIN PAMOATE - 3.75 MG,636,RC,,,,,inpatient,,,3257,,1628.5,1954.2,3288.5929,3061.58,,,,percent of total billed charges,,2605.6,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,2703.31,,,,percent of total billed charges,,2931.3,,,,percent of total billed charges,,2996.44,,,,percent of total billed charges,,2996.44,,,,percent of total billed charges,,3081.122,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,3159.29,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,2866.16,,,,percent of total billed charges,,2931.3,,,,percent of total billed charges,,2110.536,,,,percent of total billed charges,,2931.3,,,,percent of total billed charges,,1954.2,,,,percent of total billed charges,,3288.5929,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,3094.15,,,,percent of total billed charges,,2605.6,,,,percent of total billed charges,,1954.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611 ARTHROCENTESIS ASP INJ MAJOR JT W GUIDE-0361,361,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51798-0361 BLADDER SCAN US RESIDUAL URINE,361,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASOUND GUIDANCE-NEEDLE PLACEMENT,402,RC,,,,,inpatient,,,754,,377,452.4,761.3138,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,488.592,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,761.3138,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99491-0510 CHRNC CARE MGMT SVC 30 MIN,510,RC,,,,,inpatient,,,95,,47.5,57,95.9215,89.3,,,,percent of total billed charges,,76,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.87,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,57,,,,percent of total billed charges,,95.9215,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,90.25,,,,percent of total billed charges,,76,,,,percent of total billed charges,,57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10060 - I & D ABSCESS, SIMPLE/SINGLE",761,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10140 - I & D HEMATOMA, SEROMA, OR FLUID",761,RC,,,,,inpatient,,,2919,,1459.5,1751.4,2947.3143,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1891.512,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2947.3143,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042 - DEBRIDEMENT, SUB-Q TISSUE (INCLUD",761,RC,,,,,inpatient,,,783,,391.5,469.8,790.5951,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,507.384,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,790.5951,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11043 - DEBRIDEMENT, MUSCLE AND/OR FASCI",761,RC,,,,,inpatient,,,1905,,952.5,1143,1923.4785,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1234.44,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1923.4785,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11055 - PARING OR CUTTING 1 BENIGN HYPER,761,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11056 - PARING OR CUTTING OF BENIGN HYPE,761,RC,,,,,inpatient,,,497,,248.5,298.2,501.8209,467.18,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,412.51,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,457.24,,,,percent of total billed charges,,470.162,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,482.09,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,437.36,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,322.056,,,,percent of total billed charges,,447.3,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,501.8209,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,472.15,,,,percent of total billed charges,,397.6,,,,percent of total billed charges,,298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11402 - EXCISION, BENIGN LESION, TRUNK/A",510,RC,,,,,inpatient,,,1508,,754,904.8,1522.6276,1417.52,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1251.64,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1387.36,,,,percent of total billed charges,,1426.568,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1462.76,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1327.04,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,977.184,,,,percent of total billed charges,,1357.2,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,1522.6276,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1432.6,,,,percent of total billed charges,,1206.4,,,,percent of total billed charges,,904.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11403 - EXCISION, BENIGN LESION, TRUNK/A",510,RC,,,,,inpatient,,,2303,,1151.5,1381.8,2325.3391,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1492.344,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2325.3391,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11720 - DEBRIDE NAIL -ANY METHOD,1-5",761,RC,,,,,inpatient,,,258,,129,154.8,260.5026,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,167.184,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,260.5026,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11721 - DEBRIDE NAIL -ANY METHOD, 6 OR M",761,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11730-0761 AVULSION OF NAIL PLATE, PARTIAL",761,RC,,,,,inpatient,,,640,,320,384,646.208,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,414.72,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,646.208,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11732 - AVULSION OF NAIL PLATE, PARTIAL",761,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17250 - CHEMICAL CAUTERIZATION OF GRANUL,761,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28010 - TENOTOMY, PERCUTANEOUS, TOE, SIN",510,RC,,,,,inpatient,,,3954,,1977,2372.4,3992.3538,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2562.192,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3992.3538,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29445 - APPLICATION OF RIGID TOTAL CONTA,761,RC,,,,,inpatient,,,810,,405,486,817.857,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,524.88,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,817.857,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29581-0519 PROFORE WRAP,519,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99212 - EST. PATIENT LEVEL 2 - LOW TO MO,510,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATITIS B IMM GLOB INJ - 1 ML,636,RC,,,,,inpatient,,,287,,143.5,172.2,289.7839,269.78,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,238.21,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,264.04,,,,percent of total billed charges,,271.502,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,278.39,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,252.56,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,258.3,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,289.7839,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,272.65,,,,percent of total billed charges,,229.6,,,,percent of total billed charges,,172.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VFC MENINGOCOCCAL B VACC,636,RC,,,,,inpatient,,,284,,142,170.4,286.7548,266.96,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,235.72,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,261.28,,,,percent of total billed charges,,268.664,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,275.48,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,249.92,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,184.032,,,,percent of total billed charges,,255.6,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,286.7548,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,269.8,,,,percent of total billed charges,,227.2,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TYPHOI VACC [25 MCG/0.5 ML,636,RC,,,,,inpatient,,,257,,128.5,154.2,259.4929,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,166.536,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,259.4929,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0463 - OUTPT VISIT,510,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64640-0510 INJ RX PERIPH NERVE,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69209-0510 REM CERUMEN W/IRR UNI,510,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ ANESTH, OTHR PERIPHER-510",510,RC,,,,,inpatient,,,2288,,1144,1372.8,2310.1936,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1482.624,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2310.1936,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABI W/O EXERCISE-UNI,921,RC,,,,,inpatient,,,731,,365.5,438.6,738.0907,687.14,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,606.73,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,672.52,,,,percent of total billed charges,,691.526,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,709.07,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,473.688,,,,percent of total billed charges,,657.9,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,738.0907,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,694.45,,,,percent of total billed charges,,584.8,,,,percent of total billed charges,,438.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEADLESS PM PERI OP ANAL,480,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEADLESS PM ANALW/O PROGM,480,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPOT VISION SCREEN,920,RC,,,,,inpatient,,,66,,33,39.6,66.6402,62.04,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,54.78,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.436,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,64.02,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,58.08,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,66.6402,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,62.7,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STREP A (LIAT),300,RC,,,,,inpatient,,,206,,103,123.6,207.9982,193.64,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,170.98,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,189.52,,,,percent of total billed charges,,194.876,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,199.82,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,181.28,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,133.488,,,,percent of total billed charges,,185.4,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,207.9982,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,195.7,,,,percent of total billed charges,,164.8,,,,percent of total billed charges,,123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q3014-0780 TELEHEALTH ORIGINATING SITE - PN MODIFIER,780,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PM DEVICE PROGR EVAL MULTI,480,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRGRMG EVAL IMPLANTABLE DFB,480,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERROG DEVICE EVAL HEART,480,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ILR DEVICE INTERROGATE,480,RC,,,,,inpatient,,,201,,100.5,120.6,202.9497,188.94,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,166.83,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,184.92,,,,percent of total billed charges,,190.146,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,194.97,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,176.88,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,130.248,,,,percent of total billed charges,,180.9,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,202.9497,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,190.95,,,,percent of total billed charges,,160.8,,,,percent of total billed charges,,120.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERROGATION VAD IN PERSON,480,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  GEL ONE - PER DOSE,636,RC,,,,,inpatient,,,2228,,1114,1336.8,2249.6116,2094.32,,,,percent of total billed charges,,1782.4,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,1849.24,,,,percent of total billed charges,,2005.2,,,,percent of total billed charges,,2049.76,,,,percent of total billed charges,,2049.76,,,,percent of total billed charges,,2107.688,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,2161.16,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,1960.64,,,,percent of total billed charges,,2005.2,,,,percent of total billed charges,,1443.744,,,,percent of total billed charges,,2005.2,,,,percent of total billed charges,,1336.8,,,,percent of total billed charges,,2249.6116,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,2116.6,,,,percent of total billed charges,,1782.4,,,,percent of total billed charges,,1336.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RIBOFLAVIN 5'-PHOSPHATE, OPHTHALMIC SOLUTION (PHOTREXA) UP TO 3 ML",636,RC,,,,,inpatient,,,18675,,9337.5,11205,18856.1475,17554.5,,,,percent of total billed charges,,14940,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,15500.25,,,,percent of total billed charges,,16807.5,,,,percent of total billed charges,,17181,,,,percent of total billed charges,,17181,,,,percent of total billed charges,,17666.55,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,18114.75,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,16434,,,,percent of total billed charges,,16807.5,,,,percent of total billed charges,,12101.4,,,,percent of total billed charges,,16807.5,,,,percent of total billed charges,,11205,,,,percent of total billed charges,,18856.1475,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,17741.25,,,,percent of total billed charges,,14940,,,,percent of total billed charges,,11205,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q3014-0780 TELEHEALTH ORIGINATING SITE (WITHOUT PN MODIFIER),780,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUBLOK QUADRIVALENT,636,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC HIV (2 COMPONENTS /1 CHARGE),300,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC HEP C  (HEPATITIS C ANTIBODY),300,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POC SYPHILIS  (SYPHILIS ANTIBODY,300,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AZITHROMYCIN 500MG TAB,637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENGERIX B 20MCG/ML, 3 DOSE, 1 ML",636,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADACEL - 0.5 ML,636,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVASCULAR PROCEDURE,943,RC,,,,,inpatient,,,583,,291.5,349.8,588.6551,548.02,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,483.89,,,,percent of total billed charges,,524.7,,,,percent of total billed charges,,536.36,,,,percent of total billed charges,,536.36,,,,percent of total billed charges,,551.518,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,565.51,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,513.04,,,,percent of total billed charges,,524.7,,,,percent of total billed charges,,377.784,,,,percent of total billed charges,,524.7,,,,percent of total billed charges,,349.8,,,,percent of total billed charges,,588.6551,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,553.85,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,349.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KYLEENA,636,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXAMETHASONE (DECADRON) ORAL LIQUID - PER 0.25 MG,636,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION, COLLAGNENASE, CLOSTRIDIUM HISTOLYTICUM (XIAFLEX) 0.01 MG",636,RC,,,,,inpatient,,,343,,171.5,205.8,346.3271,322.42,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,284.69,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,315.56,,,,percent of total billed charges,,324.478,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,332.71,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,301.84,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,222.264,,,,percent of total billed charges,,308.7,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,346.3271,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,325.85,,,,percent of total billed charges,,274.4,,,,percent of total billed charges,,205.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ZICONOTIDE INJECTION (PRIALT) PER 1MCG,636,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAKENA 10MG,636,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD 1.6 SQ CM DISC (2 UNITS),636,RC,,,,,inpatient,,,594,,297,356.4,599.7618,558.36,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,493.02,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,546.48,,,,percent of total billed charges,,561.924,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.18,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,522.72,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,384.912,,,,percent of total billed charges,,534.6,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,599.7618,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L3 CM X W2 CM ALLOGRAFT; PER SQ CM (6 UNITS),636,RC,,,,,inpatient,,,469,,234.5,281.4,473.5493,440.86,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,389.27,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,431.48,,,,percent of total billed charges,,443.674,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,454.93,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,412.72,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,303.912,,,,percent of total billed charges,,422.1,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,473.5493,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,445.55,,,,percent of total billed charges,,375.2,,,,percent of total billed charges,,281.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L4 CM X W2 CM ALLOGRAFT; PER SQ CM (8 UNITS),636,RC,,,,,inpatient,,,395,,197.5,237,398.8315,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,255.96,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,398.8315,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L4 CM X W3 CM ALLOGRAFT; PER SQ CM (12 UNITS),636,RC,,,,,inpatient,,,350,,175,210,353.395,329,,,,percent of total billed charges,,280,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,290.5,,,,percent of total billed charges,,315,,,,percent of total billed charges,,322,,,,percent of total billed charges,,322,,,,percent of total billed charges,,331.1,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,339.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,308,,,,percent of total billed charges,,315,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,315,,,,percent of total billed charges,,210,,,,percent of total billed charges,,353.395,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,332.5,,,,percent of total billed charges,,280,,,,percent of total billed charges,,210,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L4 CM X W4 CM ALLOGRAFT; PER SQ CM (16 UNITS),636,RC,,,,,inpatient,,,266,,133,159.6,268.5802,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,172.368,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,268.5802,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L6 CM X W4 CM ALLOGRAFT; PER SQ CM (24 UNITS),636,RC,,,,,inpatient,,,217,,108.5,130.2,219.1049,203.98,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,180.11,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,205.282,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,210.49,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,190.96,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,140.616,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,219.1049,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUSHIELD L6 CM X W6 CM ALLOGRAFT; PER SQ CM (36 UNITS),636,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97607-0761 NEG PRESS WND TX <=50 SQ CM,761,RC,,,,,inpatient,,,1283,,641.5,769.8,1295.4451,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,831.384,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1295.4451,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97608-0761 NEG PRESS WOUND TX >50 CM,761,RC,,,,,inpatient,,,1283,,641.5,769.8,1295.4451,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,831.384,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1295.4451,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN 0.69""X0.69""; PER SQ CM (3 UNITS)",636,RC,,,,,inpatient,,,901,,450.5,540.6,909.7397,846.94,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,747.83,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,828.92,,,,percent of total billed charges,,852.346,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,873.97,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,792.88,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,583.848,,,,percent of total billed charges,,810.9,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,909.7397,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,855.95,,,,percent of total billed charges,,720.8,,,,percent of total billed charges,,540.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN 1.57""X2.56""; PER SQ CM (26 UNITS)",636,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CANALITH REPOSITIONING PROC,420,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV INITIAL 15 MIN-PT,420,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAOPERATIVE RADIATION TREATMENT DELIVERY,333,RC,,,,,inpatient,,,18549,,9274.5,11129.4,18728.9253,17436.06,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,15395.67,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17547.354,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17992.53,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,16323.12,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,12019.752,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,18728.9253,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREP OF TUMOR CAVITY W/PLCMNT OF RAD THERAPY APPLICATOR FOR IORT4,360,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27265-0450 CL TX POST HIP ARTH W/O ANES,450,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13122-0450 REPAIR COMPLEX EA ADD'L,450,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13131-0450 REPAIR COMPLEX 1.1-2.5CM,450,RC,,,,,inpatient,,,1283,,641.5,769.8,1295.4451,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,831.384,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1295.4451,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13152-0450 REPAIR COMPLEX E/N/E/L2.6,450,RC,,,,,inpatient,,,2008,,1004,1204.8,2027.4776,1887.52,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1666.64,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1899.568,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1947.76,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1767.04,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1301.184,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,2027.4776,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23675-0450 CLOSED TX OF SHOULDER DIS,450,RC,,,,,inpatient,,,3954,,1977,2372.4,3992.3538,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2562.192,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3992.3538,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25600-0450 CLSD TX DISTAL RADIAL FX,450,RC,,,,,inpatient,,,791,,395.5,474.6,798.6727,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,512.568,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,798.6727,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41800-0450 DR ABSC CYST HEMATOM-DENT,450,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46083-0450 I&D THROMBOSED HEMORRHOID,450,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69801-0510 INCISE INNER EAR,510,RC,,,,,inpatient,,,3807,,1903.5,2284.2,3843.9279,3578.58,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3159.81,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3601.422,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3692.79,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3350.16,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2466.936,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,3843.9279,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24105-0510 EXCISION OF OLECRANON BURSA,510,RC,,,,,inpatient,,,7710,,3855,4626,7784.787,7247.4,,,,percent of total billed charges,,6168,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,6399.3,,,,percent of total billed charges,,6939,,,,percent of total billed charges,,7093.2,,,,percent of total billed charges,,7093.2,,,,percent of total billed charges,,7293.66,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,7478.7,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,6784.8,,,,percent of total billed charges,,6939,,,,percent of total billed charges,,4996.08,,,,percent of total billed charges,,6939,,,,percent of total billed charges,,4626,,,,percent of total billed charges,,7784.787,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,7324.5,,,,percent of total billed charges,,6168,,,,percent of total billed charges,,4626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  67840-0510  EXCISION OF LESION EYELID,510,RC,,,,,inpatient,,,1956,,978,1173.6,1974.9732,1838.64,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1623.48,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1850.376,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1897.32,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1721.28,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1267.488,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1974.9732,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URINE RITALIN,301,RC,,,,,inpatient,,,316,,158,189.6,319.0652,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,204.768,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,319.0652,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PL SOFT TISSUE DEV 1ST,361,RC,,,,,inpatient,,,2521,,1260.5,1512.6,2545.4537,2369.74,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2092.43,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2384.866,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2445.37,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2218.48,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,1633.608,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,2545.4537,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERSTITIAL SIMPLE,333,RC,,,,,inpatient,,,286,,143,171.6,288.7742,268.84,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,237.38,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,270.556,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,277.42,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,251.68,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,185.328,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,288.7742,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99492-0900 1ST PSYCH CARE MGMT, 70 MIN/MONTH-COCM",900,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99493-0900 SBSQ PSYCH COLLAB CARE MGMT, 60 MIN/MONTH COCM",900,RC,,,,,inpatient,,,190,,95,114,191.843,178.6,,,,percent of total billed charges,,152,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,174.8,,,,percent of total billed charges,,179.74,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,184.3,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,167.2,,,,percent of total billed charges,,171,,,,percent of total billed charges,,123.12,,,,percent of total billed charges,,171,,,,percent of total billed charges,,114,,,,percent of total billed charges,,191.843,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,180.5,,,,percent of total billed charges,,152,,,,percent of total billed charges,,114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REP WOUND FACE <2.5CM-TECH,510,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11982-0510 REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",510,RC,,,,,inpatient,,,1468,,734,880.8,1482.2396,1379.92,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1218.44,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1388.728,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1423.96,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1291.84,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,951.264,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1482.2396,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11104-0510 PUNCH BX SKIN, 1ST LESION",510,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ESOPHAGEAL MOTILITY STUDY W/INTERPRETATION,750,RC,,,,,inpatient,,,2184,,1092,1310.4,2205.1848,2052.96,,,,percent of total billed charges,,1747.2,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,1812.72,,,,percent of total billed charges,,1965.6,,,,percent of total billed charges,,2009.28,,,,percent of total billed charges,,2009.28,,,,percent of total billed charges,,2066.064,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,2118.48,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,1921.92,,,,percent of total billed charges,,1965.6,,,,percent of total billed charges,,1415.232,,,,percent of total billed charges,,1965.6,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,2205.1848,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,2074.8,,,,percent of total billed charges,,1747.2,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11102-0510 TANGENTIAL (SHAVE, CURETTE) BX SKIN, 1ST LESION",510,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11103-0510 TANGENTIAL (SHAVE, CURETTE) BX SKIN, ADDL LESION",510,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11105-0510 PUNCH BX SKIN, ADDL LESION",510,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11106-0510 INCISIONAL BX SKIN, 1ST LESION",510,RC,,,,,inpatient,,,1332,,666,799.2,1344.9204,1252.08,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1105.56,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1260.072,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1292.04,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1172.16,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,863.136,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,1344.9204,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11107-0510 INCISIONAL BX SKIN, ADDL LESION",510,RC,,,,,inpatient,,,665,,332.5,399,671.4505,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,430.92,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,671.4505,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERQ/ICUT ALLERGY TEST, EA",924,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INGEST CHALENGE INIT 120 MIN,924,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43762-0510 REPLACEMENT G TUBE, PERCUT, INCL. REMVL, W/O IMAGING",510,RC,,,,,inpatient,,,948,,474,568.8,957.1956,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,614.304,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,957.1956,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67950-0361 CANTHOPLASTY,361,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14302-0361 TISSUE TRANSFER ADDITIONAL 30 SQ CM,361,RC,,,,,inpatient,,,3598,,1799,2158.8,3632.9006,3382.12,,,,percent of total billed charges,,2878.4,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,2986.34,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,3310.16,,,,percent of total billed charges,,3310.16,,,,percent of total billed charges,,3403.708,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,3490.06,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,3166.24,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,2331.504,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,2158.8,,,,percent of total billed charges,,3632.9006,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,3418.1,,,,percent of total billed charges,,2878.4,,,,percent of total billed charges,,2158.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MOHS EACH ADDITIONAL BLOCK, ANY STAGE",361,RC,,,,,inpatient,,,982,,491,589.2,991.5254,923.08,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,815.06,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,903.44,,,,percent of total billed charges,,928.972,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,952.54,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,864.16,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,636.336,,,,percent of total billed charges,,883.8,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,991.5254,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,932.9,,,,percent of total billed charges,,785.6,,,,percent of total billed charges,,589.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14020-0361 TIS TRNFR S/A/L 10 SQ CM/<,361,RC,,,,,inpatient,,,5693,,2846.5,3415.8,5748.2221,5351.42,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4725.19,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5385.578,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5522.21,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5009.84,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,3689.064,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,5748.2221,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15630-0361 DELAY OF FLAP OR SECTIONING OF FLAP; AT EYE/NOSE/EARS/LIPS,361,RC,,,,,inpatient,,,5633,,2816.5,3379.8,5687.6401,5295.02,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4675.39,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5328.818,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5464.01,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4957.04,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,3650.184,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,5687.6401,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IN 111 PENTE TREOTIDE UP TO 6 MCI,343,RC,,,,,inpatient,,,5539,,2769.5,3323.4,5592.7283,5206.66,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4597.37,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5239.894,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5372.83,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4874.32,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,3589.272,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,5592.7283,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M BICISATE UPTO 25MCI,343,RC,,,,,inpatient,,,3244,,1622,1946.4,3275.4668,3049.36,,,,percent of total billed charges,,2595.2,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,2692.52,,,,percent of total billed charges,,2919.6,,,,percent of total billed charges,,2984.48,,,,percent of total billed charges,,2984.48,,,,percent of total billed charges,,3068.824,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,3146.68,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,2854.72,,,,percent of total billed charges,,2919.6,,,,percent of total billed charges,,2102.112,,,,percent of total billed charges,,2919.6,,,,percent of total billed charges,,1946.4,,,,percent of total billed charges,,3275.4668,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,3081.8,,,,percent of total billed charges,,2595.2,,,,percent of total billed charges,,1946.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GA 67 DX PER MCI,343,RC,,,,,inpatient,,,168,,84,100.8,169.6296,157.92,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,139.44,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,154.56,,,,percent of total billed charges,,158.928,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,162.96,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,147.84,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,169.6296,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0259-0361 INJECT SACROILIAC JOINT FOR ARTHROGRAM,361,RC,,,,,inpatient,,,2158,,1079,1294.8,2178.9326,2028.52,,,,percent of total billed charges,,1726.4,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,1791.14,,,,percent of total billed charges,,1942.2,,,,percent of total billed charges,,1985.36,,,,percent of total billed charges,,1985.36,,,,percent of total billed charges,,2041.468,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,2093.26,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,1942.2,,,,percent of total billed charges,,1398.384,,,,percent of total billed charges,,1942.2,,,,percent of total billed charges,,1294.8,,,,percent of total billed charges,,2178.9326,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,2050.1,,,,percent of total billed charges,,1726.4,,,,percent of total billed charges,,1294.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROSTATE I125 SEEDS,278,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IN 111 PENTETATE, PER 1.5 MCI",343,RC,,,,,inpatient,,,3951,,1975.5,2370.6,3989.3247,3713.94,,,,percent of total billed charges,,3160.8,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3279.33,,,,percent of total billed charges,,3555.9,,,,percent of total billed charges,,3634.92,,,,percent of total billed charges,,3634.92,,,,percent of total billed charges,,3737.646,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3832.47,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3476.88,,,,percent of total billed charges,,3555.9,,,,percent of total billed charges,,2560.248,,,,percent of total billed charges,,3555.9,,,,percent of total billed charges,,2370.6,,,,percent of total billed charges,,3989.3247,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3753.45,,,,percent of total billed charges,,3160.8,,,,percent of total billed charges,,2370.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MERTIATIDE TO 15MCI,343,RC,,,,,inpatient,,,1968,,984,1180.8,1987.0896,1849.92,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1633.44,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1861.728,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1908.96,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1731.84,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1275.264,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1987.0896,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLD PYP/TC99M RBC DX TO 30 MCI’S,343,RC,,,,,inpatient,,,3897,,1948.5,2338.2,3934.8009,3663.18,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3234.51,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3686.562,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3780.09,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3429.36,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,2525.256,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,3934.8009,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I123 IODIDE PER100 MICRO,343,RC,,,,,inpatient,,,326,,163,195.6,329.1622,306.44,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,270.58,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,299.92,,,,percent of total billed charges,,308.396,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,316.22,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,211.248,,,,percent of total billed charges,,293.4,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,329.1622,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,309.7,,,,percent of total billed charges,,260.8,,,,percent of total billed charges,,195.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TL201 THALLIUM PER MCI,343,RC,,,,,inpatient,,,226,,113,135.6,228.1922,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,228.1922,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MEDRONATE TO 30MCI,343,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M TETROFOSMIN- STUDY,343,RC,,,,,inpatient,,,373,,186.5,223.8,376.6181,350.62,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,309.59,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,343.16,,,,percent of total billed charges,,352.858,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,361.81,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,328.24,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,241.704,,,,percent of total billed charges,,335.7,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,376.6181,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,354.35,,,,percent of total billed charges,,298.4,,,,percent of total billed charges,,223.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M SESTAM UP TO 40MCI,343,RC,,,,,inpatient,,,1142,,571,685.2,1153.0774,1073.48,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,947.86,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1080.332,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1107.74,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1004.96,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,740.016,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,1153.0774,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 5,510,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 4,510,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 3,510,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M RETURN PAT LEVEL 2,510,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RETURN PT LEVEL 1,510,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 5,510,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 4,510,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 3,510,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG E&M NEW PATIENT LEVEL 2,510,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUPLEX VASC STUDY COMPL,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR DIAGNOSTIC EXAM,341,RC,,,,,inpatient,,,4975,,2487.5,2985,5023.2575,4676.5,,,,percent of total billed charges,,3980,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4129.25,,,,percent of total billed charges,,4477.5,,,,percent of total billed charges,,4577,,,,percent of total billed charges,,4577,,,,percent of total billed charges,,4706.35,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4825.75,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4378,,,,percent of total billed charges,,4477.5,,,,percent of total billed charges,,3223.8,,,,percent of total billed charges,,4477.5,,,,percent of total billed charges,,2985,,,,percent of total billed charges,,5023.2575,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,4726.25,,,,percent of total billed charges,,3980,,,,percent of total billed charges,,2985,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGE PET/CT FULL BODY,404,RC,,,,,inpatient,,,6427,,3213.5,3856.2,6489.3419,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,4164.696,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,6489.3419,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMORIMAGE PET/CT SKUL-THIGH,404,RC,,,,,inpatient,,,6427,,3213.5,3856.2,6489.3419,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,4164.696,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,6489.3419,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUMOR IMAGE PET/CT, LIMITED",404,RC,,,,,inpatient,,,6427,,3213.5,3856.2,6489.3419,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,4164.696,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,6489.3419,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ABSCESS IMAGING, WHOLE BODY >1 DAY",341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUMOR IMAGING (3D) 1 AREA, 1 DAY",341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TUMOR IMAG >1 AREA, 1 DAY",341,RC,,,,,inpatient,,,3755,,1877.5,2253,3791.4235,3529.7,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3116.65,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3552.23,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3642.35,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3304.4,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,2433.24,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,3791.4235,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIDNEY IMAGING, MORPHOL",341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KFLOW/FUNCT IMAGE W/DRUG,341,RC,,,,,inpatient,,,1859,,929.5,1115.4,1877.0323,1747.46,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1542.97,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1758.614,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1803.23,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1635.92,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1204.632,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,1877.0323,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KFLOW/FUNCT IMAGE W/O DRUG,341,RC,,,,,inpatient,,,1859,,929.5,1115.4,1877.0323,1747.46,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1542.97,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1710.28,,,,percent of total billed charges,,1758.614,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1803.23,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1635.92,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1204.632,,,,percent of total billed charges,,1673.1,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,1877.0323,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1766.05,,,,percent of total billed charges,,1487.2,,,,percent of total billed charges,,1115.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CSF LEAKAGE IMAGING,341,RC,,,,,inpatient,,,3233,,1616.5,1939.8,3264.3601,3039.02,,,,percent of total billed charges,,2586.4,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,2683.39,,,,percent of total billed charges,,2909.7,,,,percent of total billed charges,,2974.36,,,,percent of total billed charges,,2974.36,,,,percent of total billed charges,,3058.418,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,3136.01,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,2845.04,,,,percent of total billed charges,,2909.7,,,,percent of total billed charges,,2094.984,,,,percent of total billed charges,,2909.7,,,,percent of total billed charges,,1939.8,,,,percent of total billed charges,,3264.3601,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,3071.35,,,,percent of total billed charges,,2586.4,,,,percent of total billed charges,,1939.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEREBROSPINAL FLUID SCAN,341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEREBROSPINAL FLUID SCAN,341,RC,,,,,inpatient,,,3225,,1612.5,1935,3256.2825,3031.5,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2676.75,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,3050.85,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3128.25,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2838,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2089.8,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,3256.2825,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEREBRAL VASCULAR FLOW IMAGE,341,RC,,,,,inpatient,,,3589,,1794.5,2153.4,3623.8133,3373.66,,,,percent of total billed charges,,2871.2,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,2978.87,,,,percent of total billed charges,,3230.1,,,,percent of total billed charges,,3301.88,,,,percent of total billed charges,,3301.88,,,,percent of total billed charges,,3395.194,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,3481.33,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,3158.32,,,,percent of total billed charges,,3230.1,,,,percent of total billed charges,,2325.672,,,,percent of total billed charges,,3230.1,,,,percent of total billed charges,,2153.4,,,,percent of total billed charges,,3623.8133,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,3409.55,,,,percent of total billed charges,,2871.2,,,,percent of total billed charges,,2153.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAIN IMAGING (PET),404,RC,,,,,inpatient,,,6427,,3213.5,3856.2,6489.3419,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,4164.696,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,6489.3419,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRAIN IMAGING (3D),341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUNG PERFUSION IMAGING,341,RC,,,,,inpatient,,,1243,,621.5,745.8,1255.0571,1168.42,,,,percent of total billed charges,,994.4,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1031.69,,,,percent of total billed charges,,1118.7,,,,percent of total billed charges,,1143.56,,,,percent of total billed charges,,1143.56,,,,percent of total billed charges,,1175.878,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1205.71,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1093.84,,,,percent of total billed charges,,1118.7,,,,percent of total billed charges,,805.464,,,,percent of total billed charges,,1118.7,,,,percent of total billed charges,,745.8,,,,percent of total billed charges,,1255.0571,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,1180.85,,,,percent of total billed charges,,994.4,,,,percent of total billed charges,,745.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLANAR MULT W OR WO QUANT,341,RC,,,,,inpatient,,,1778,,889,1066.8,1795.2466,1671.32,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1475.74,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1681.988,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1724.66,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1564.64,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1152.144,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,1795.2466,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLANAR SGL W OR WO QUANT,341,RC,,,,,inpatient,,,1778,,889,1066.8,1795.2466,1671.32,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1475.74,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1635.76,,,,percent of total billed charges,,1681.988,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1724.66,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1564.64,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1152.144,,,,percent of total billed charges,,1600.2,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,1795.2466,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1689.1,,,,percent of total billed charges,,1422.4,,,,percent of total billed charges,,1066.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEART IMAGE (3D), MULTIPLE",341,RC,,,,,inpatient,,,6297,,3148.5,3778.2,6358.0809,5919.18,,,,percent of total billed charges,,5037.6,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5226.51,,,,percent of total billed charges,,5667.3,,,,percent of total billed charges,,5793.24,,,,percent of total billed charges,,5793.24,,,,percent of total billed charges,,5956.962,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,6108.09,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5541.36,,,,percent of total billed charges,,5667.3,,,,percent of total billed charges,,4080.456,,,,percent of total billed charges,,5667.3,,,,percent of total billed charges,,3778.2,,,,percent of total billed charges,,6358.0809,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5982.15,,,,percent of total billed charges,,5037.6,,,,percent of total billed charges,,3778.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEART IMAGE (3D), SINGLE",341,RC,,,,,inpatient,,,4332,,2166,2599.2,4374.0204,4072.08,,,,percent of total billed charges,,3465.6,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,3595.56,,,,percent of total billed charges,,3898.8,,,,percent of total billed charges,,3985.44,,,,percent of total billed charges,,3985.44,,,,percent of total billed charges,,4098.072,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,4202.04,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,3812.16,,,,percent of total billed charges,,3898.8,,,,percent of total billed charges,,2807.136,,,,percent of total billed charges,,3898.8,,,,percent of total billed charges,,2599.2,,,,percent of total billed charges,,4374.0204,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,4115.4,,,,percent of total billed charges,,3465.6,,,,percent of total billed charges,,2599.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE IMAGING (3D),341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE IMAGING, 3 PHASE",341,RC,,,,,inpatient,,,1392,,696,835.2,1405.5024,1308.48,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1155.36,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1316.832,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1350.24,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1224.96,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,902.016,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,1405.5024,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE IMAGING, WHOLE BODY",341,RC,,,,,inpatient,,,1392,,696,835.2,1405.5024,1308.48,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1155.36,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1316.832,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1350.24,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1224.96,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,902.016,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,1405.5024,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE IMAGING, LIMITED AREA",341,RC,,,,,inpatient,,,1392,,696,835.2,1405.5024,1308.48,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1155.36,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1280.64,,,,percent of total billed charges,,1316.832,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1350.24,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1224.96,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,902.016,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,1405.5024,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,1113.6,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECKELS DIVERT EXAM,341,RC,,,,,inpatient,,,1386,,693,831.6,1399.4442,1302.84,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1150.38,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1311.156,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1344.42,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1219.68,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,898.128,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,1399.4442,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACUTE GI BLOOD LOSS IMAGING,341,RC,,,,,inpatient,,,1386,,693,831.6,1399.4442,1302.84,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1150.38,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1311.156,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1344.42,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1219.68,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,898.128,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,1399.4442,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTRIC EMPTYING STUDY,341,RC,,,,,inpatient,,,1386,,693,831.6,1399.4442,1302.84,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1150.38,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1275.12,,,,percent of total billed charges,,1311.156,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1344.42,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1219.68,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,898.128,,,,percent of total billed charges,,1247.4,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,1399.4442,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1316.7,,,,percent of total billed charges,,1108.8,,,,percent of total billed charges,,831.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIVER/SPLEEN IMAGE STATIC,341,RC,,,,,inpatient,,,1545,,772.5,927,1559.9865,1452.3,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1282.35,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1461.57,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1498.65,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1359.6,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1001.16,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,927,,,,percent of total billed charges,,1559.9865,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,927,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LIVER IMAGING (3D),341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LYMPH SYSTEM IMAGING,341,RC,,,,,inpatient,,,1436,,718,861.6,1449.9292,1349.84,,,,percent of total billed charges,,1148.8,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1191.88,,,,percent of total billed charges,,1292.4,,,,percent of total billed charges,,1321.12,,,,percent of total billed charges,,1321.12,,,,percent of total billed charges,,1358.456,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1392.92,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1263.68,,,,percent of total billed charges,,1292.4,,,,percent of total billed charges,,930.528,,,,percent of total billed charges,,1292.4,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,1449.9292,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1364.2,,,,percent of total billed charges,,1148.8,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARATHYROID NUCLEAR IMAGING,341,RC,,,,,inpatient,,,1262,,631,757.2,1274.2414,1186.28,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1047.46,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1193.852,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1224.14,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1110.56,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,817.776,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,1274.2414,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HANDLING & LOADING RAD SOURCES,333,RC,,,,,inpatient,,,305,,152.5,183,307.9585,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,197.64,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,307.9585,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERSTITIAL APPLIC >10 SOURCE,333,RC,,,,,inpatient,,,1708,,854,1024.8,1724.5676,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1106.784,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1724.5676,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACAVITARY APPLIC >10 SOURC,333,RC,,,,,inpatient,,,1708,,854,1024.8,1724.5676,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1106.784,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1724.5676,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL TREATMENT PROCEDURE,333,RC,,,,,inpatient,,,1205,,602.5,723,1216.6885,1132.7,,,,percent of total billed charges,,964,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1000.15,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1139.93,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1168.85,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1060.4,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,780.84,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,723,,,,percent of total billed charges,,1216.6885,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,964,,,,percent of total billed charges,,723,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT PORT FILM,333,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TREATMENT-COMPLX,ELECT 11-19 M",333,RC,,,,,inpatient,,,640,,320,384,646.208,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,414.72,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,646.208,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT-INTERMEDIATE 11-19ME,333,RC,,,,,inpatient,,,640,,320,384,646.208,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,414.72,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,646.208,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT-SIMPLE 11-19 MEV,333,RC,,,,,inpatient,,,286,,143,171.6,288.7742,268.84,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,237.38,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,263.12,,,,percent of total billed charges,,270.556,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,277.42,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,251.68,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,185.328,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,288.7742,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,271.7,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIATION PHYSICS CONSULT,333,RC,,,,,inpatient,,,324,,162,194.4,327.1428,304.56,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,268.92,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,306.504,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,314.28,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,209.952,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,327.1428,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,307.8,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WEEKLY PHYSICS CONSULTATION,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIATION TX AID(S)COMP,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT DEVICE INTERMEDIATE,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT DEVICE SIMPLE,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL RADIATION DOSIMETRY,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL TELETHERAPY PLAN,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMRT TELETHERAPY PLANNING,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIATION THERAPY DOSE PLAN,333,RC,,,,,inpatient,,,3301,,1650.5,1980.6,3333.0197,3102.94,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2739.83,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3122.746,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3201.97,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2904.88,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,2139.048,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,3333.0197,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D RADIOTH TX PLAN W/ DVH'S,333,RC,,,,,inpatient,,,3301,,1650.5,1980.6,3333.0197,3102.94,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2739.83,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3036.92,,,,percent of total billed charges,,3122.746,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3201.97,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2904.88,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,2139.048,,,,percent of total billed charges,,2970.9,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,3333.0197,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,3135.95,,,,percent of total billed charges,,2640.8,,,,percent of total billed charges,,1980.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION COMPLEX,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION INTERMEDIATE,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION SIMPLE,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DXA BONE DENSITY 1 + SITE,320,RC,,,,,inpatient,,,668,,334,400.8,674.4796,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,432.864,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,674.4796,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY BONE SURVEY COMPL,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY BONE LENGTH STUDIES,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAYS FOR BONE AGE,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUCT/GALACTOGRAM MULT S&I,320,RC,,,,,inpatient,,,577,,288.5,346.2,582.5969,542.38,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,478.91,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,545.842,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,559.69,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,507.76,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,373.896,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,582.5969,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LOCALIZATION-RADRX FIELDS,350,RC,,,,,inpatient,,,741,,370.5,444.6,748.1877,696.54,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,615.03,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,681.72,,,,percent of total billed charges,,700.986,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,718.77,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,652.08,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,480.168,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,748.1877,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,703.95,,,,percent of total billed charges,,592.8,,,,percent of total billed charges,,444.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SCAN FOR LOCALIZATION,359,RC,,,,,inpatient,,,1119,,559.5,671.4,1129.8543,1051.86,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,928.77,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1029.48,,,,percent of total billed charges,,1058.574,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1085.43,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,984.72,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,725.112,,,,percent of total billed charges,,1007.1,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,1129.8543,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,1063.05,,,,percent of total billed charges,,895.2,,,,percent of total billed charges,,671.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US GUIDE, INTRAOP",402,RC,,,,,inpatient,,,613,,306.5,367.8,618.9461,576.22,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,508.79,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,579.898,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,594.61,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,539.44,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,397.224,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,618.9461,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASONIC GUIDANCE FOR IMPLAN,402,RC,,,,,inpatient,,,754,,377,452.4,761.3138,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,488.592,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,761.3138,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US GUIDE AMNIOCENT S&I,402,RC,,,,,inpatient,,,626,,313,375.6,632.0722,588.44,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,519.58,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,592.196,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,607.22,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,550.88,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,405.648,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,632.0722,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76942-0402 US GUIDE NEEDLE PLCMT S&I,402,RC,,,,,inpatient,,,1083,,541.5,649.8,1093.5051,1018.02,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,898.89,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,996.36,,,,percent of total billed charges,,1024.518,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1050.51,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,953.04,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,701.784,,,,percent of total billed charges,,974.7,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,1093.5051,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,1028.85,,,,percent of total billed charges,,866.4,,,,percent of total billed charges,,649.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US GUIDE, TISSUE ABLATION",402,RC,,,,,inpatient,,,2409,,1204.5,1445.4,2432.3673,2264.46,,,,percent of total billed charges,,1927.2,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,1999.47,,,,percent of total billed charges,,2168.1,,,,percent of total billed charges,,2216.28,,,,percent of total billed charges,,2216.28,,,,percent of total billed charges,,2278.914,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,2336.73,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,2119.92,,,,percent of total billed charges,,2168.1,,,,percent of total billed charges,,1561.032,,,,percent of total billed charges,,2168.1,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,2432.3673,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,2288.55,,,,percent of total billed charges,,1927.2,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM INFANT HIPS, STATIC",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM INFANT HIPS, DYNAMIC",402,RC,,,,,inpatient,,,808,,404,484.8,815.8376,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,523.584,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,815.8376,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, EXTREMITY",402,RC,,,,,inpatient,,,596,,298,357.6,601.7812,560.24,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,494.68,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,563.816,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,578.12,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,524.48,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,386.208,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,601.7812,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ULTRASOUND, TRANSECTAL",402,RC,,,,,inpatient,,,262,,131,157.2,264.5414,246.28,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,217.46,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,241.04,,,,percent of total billed charges,,247.852,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,254.14,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,230.56,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,169.776,,,,percent of total billed charges,,235.8,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,264.5414,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,248.9,,,,percent of total billed charges,,209.6,,,,percent of total billed charges,,157.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US, TRANSRECTAL",402,RC,,,,,inpatient,,,502,,251,301.2,506.8694,471.88,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,416.66,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,474.892,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,486.94,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,441.76,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,325.296,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,506.8694,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76870-0402  US EXAM, SCROTUM",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US PELVIC LIMITED OR F/U,402,RC,,,,,inpatient,,,500,,250,300,504.85,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,324,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,504.85,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US PELVIC NON OB COMPLETE,402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSVAGINAL US, NON-OB",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76817 TRANSVAGINAL US, OBSTETRIC",402,RC,,,,,inpatient,,,904,,452,542.4,912.7688,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,585.792,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,912.7688,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76816 OB US, FOLLOW-UP, PER FETUS",402,RC,,,,,inpatient,,,511,,255.5,306.6,515.9567,480.34,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,424.13,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,470.12,,,,percent of total billed charges,,483.406,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,495.67,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,449.68,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,331.128,,,,percent of total billed charges,,459.9,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,515.9567,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,485.45,,,,percent of total billed charges,,408.8,,,,percent of total billed charges,,306.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76815 OB US QUICK LOOK LIMITED FETUS,402,RC,,,,,inpatient,,,502,,251,301.2,506.8694,471.88,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,416.66,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,461.84,,,,percent of total billed charges,,474.892,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,486.94,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,441.76,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,325.296,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,506.8694,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,476.9,,,,percent of total billed charges,,401.6,,,,percent of total billed charges,,301.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US, DETAILED, ADDL FETUS",402,RC,,,,,inpatient,,,553,,276.5,331.8,558.3641,519.82,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,458.99,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,523.138,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,536.41,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,486.64,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,358.344,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,558.3641,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OB US, DETAILED, SNGL FETUS",402,RC,,,,,inpatient,,,904,,452,542.4,912.7688,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,585.792,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,912.7688,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76810 OB US >/= 14 WKS, ADDL FETUS",402,RC,,,,,inpatient,,,499,,249.5,299.4,503.8403,469.06,,,,percent of total billed charges,,399.2,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,414.17,,,,percent of total billed charges,,449.1,,,,percent of total billed charges,,459.08,,,,percent of total billed charges,,459.08,,,,percent of total billed charges,,472.054,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,484.03,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,439.12,,,,percent of total billed charges,,449.1,,,,percent of total billed charges,,323.352,,,,percent of total billed charges,,449.1,,,,percent of total billed charges,,299.4,,,,percent of total billed charges,,503.8403,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,474.05,,,,percent of total billed charges,,399.2,,,,percent of total billed charges,,299.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76805 OB US >/= 14 WKS, SNGL FETUS",402,RC,,,,,inpatient,,,820,,410,492,827.954,770.8,,,,percent of total billed charges,,656,,,,percent of total billed charges,,779,,,,percent of total billed charges,,680.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,775.72,,,,percent of total billed charges,,779,,,,percent of total billed charges,,795.4,,,,percent of total billed charges,,779,,,,percent of total billed charges,,721.6,,,,percent of total billed charges,,738,,,,percent of total billed charges,,531.36,,,,percent of total billed charges,,738,,,,percent of total billed charges,,492,,,,percent of total billed charges,,827.954,,,,percent of total billed charges,,779,,,,percent of total billed charges,,779,,,,percent of total billed charges,,656,,,,percent of total billed charges,,492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76802 OB US < 14 WKS, ADDÆL FETUS",402,RC,,,,,inpatient,,,553,,276.5,331.8,558.3641,519.82,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,458.99,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,508.76,,,,percent of total billed charges,,523.138,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,536.41,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,486.64,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,358.344,,,,percent of total billed charges,,497.7,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,558.3641,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,525.35,,,,percent of total billed charges,,442.4,,,,percent of total billed charges,,331.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76801 OB US < 14 WK, SINGLE FETUS",402,RC,,,,,inpatient,,,904,,452,542.4,912.7688,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,585.792,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,912.7688,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, SPINAL CANAL",402,RC,,,,,inpatient,,,808,,404,484.8,815.8376,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,523.584,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,815.8376,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM ABDO BACK WALL, COMP",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASOUND ABD LTD SINGLE ORGAN,402,RC,,,,,inpatient,,,806,,403,483.6,813.8182,757.64,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,668.98,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,741.52,,,,percent of total billed charges,,762.476,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,781.82,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,709.28,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,522.288,,,,percent of total billed charges,,725.4,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,813.8182,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,765.7,,,,percent of total billed charges,,644.8,,,,percent of total billed charges,,483.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, ABDOM, COMPLETE",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, CHEST",402,RC,,,,,inpatient,,,808,,404,484.8,815.8376,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,523.584,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,815.8376,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US SOFT TISSUE HEAD/NECK,402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO EXAM OF HEAD,402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR SPECTROSCOPY,610,RC,,,,,inpatient,,,1469,,734.5,881.4,1483.2493,1380.86,,,,percent of total billed charges,,1175.2,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1219.27,,,,percent of total billed charges,,1322.1,,,,percent of total billed charges,,1351.48,,,,percent of total billed charges,,1351.48,,,,percent of total billed charges,,1389.674,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1424.93,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1292.72,,,,percent of total billed charges,,1322.1,,,,percent of total billed charges,,951.912,,,,percent of total billed charges,,1322.1,,,,percent of total billed charges,,881.4,,,,percent of total billed charges,,1483.2493,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1395.55,,,,percent of total billed charges,,1175.2,,,,percent of total billed charges,,881.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LIMITED FOLLOW-UP,350,RC,,,,,inpatient,,,306,,153,183.6,308.9682,287.64,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,253.98,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,281.52,,,,percent of total billed charges,,289.476,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,296.82,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,269.28,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,198.288,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,308.9682,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D RENDER W/O POSTPROCESS,359,RC,,,,,inpatient,,,857,,428.5,514.2,865.3129,805.58,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,711.31,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,810.722,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,831.29,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,754.16,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,555.336,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,865.3129,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO BREAST SPECIMEN,320,RC,,,,,inpatient,,,773,,386.5,463.8,780.4981,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,500.904,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,780.4981,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORO EXAM UP TO 1 HR,320,RC,,,,,inpatient,,,991,,495.5,594.6,1000.6127,931.54,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,822.53,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,937.486,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,961.27,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,872.08,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,642.168,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,1000.6127,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABSCESS DRAINAGE UNDER X-RAY,352,RC,,,,,inpatient,,,911,,455.5,546.6,919.8367,856.34,,,,percent of total billed charges,,728.8,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,756.13,,,,percent of total billed charges,,819.9,,,,percent of total billed charges,,838.12,,,,percent of total billed charges,,838.12,,,,percent of total billed charges,,861.806,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,883.67,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,801.68,,,,percent of total billed charges,,819.9,,,,percent of total billed charges,,590.328,,,,percent of total billed charges,,819.9,,,,percent of total billed charges,,546.6,,,,percent of total billed charges,,919.8367,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,865.45,,,,percent of total billed charges,,728.8,,,,percent of total billed charges,,546.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SHUNTOGRAM S&I,320,RC,,,,,inpatient,,,838,,419,502.8,846.1286,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,543.024,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,846.1286,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HYSTEROSALPH S&I,320,RC,,,,,inpatient,,,1929,,964.5,1157.4,1947.7113,1813.26,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1601.07,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1774.68,,,,percent of total billed charges,,1824.834,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1871.13,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1697.52,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1249.992,,,,percent of total billed charges,,1736.1,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,1947.7113,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1832.55,,,,percent of total billed charges,,1543.2,,,,percent of total billed charges,,1157.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URETHROCYSTO VOID S&I,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URETHROCYSTO RETRO S&I,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTOGRAM MIN 3V S&I,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM RETRO WORWO KUB,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM INF TECH W NEPH,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM INF TECH,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY INTRO GI TUBE S&I,320,RC,,,,,inpatient,,,749,,374.5,449.4,756.2653,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,485.352,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,756.2653,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDO BILE/PANCR DUCT S&I,320,RC,,,,,inpatient,,,1842,,921,1105.2,1859.8674,1731.48,,,,percent of total billed charges,,1473.6,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1528.86,,,,percent of total billed charges,,1657.8,,,,percent of total billed charges,,1694.64,,,,percent of total billed charges,,1694.64,,,,percent of total billed charges,,1742.532,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1786.74,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1620.96,,,,percent of total billed charges,,1657.8,,,,percent of total billed charges,,1193.616,,,,percent of total billed charges,,1657.8,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,1859.8674,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1749.9,,,,percent of total billed charges,,1473.6,,,,percent of total billed charges,,1105.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY INTRAOP CHOLANG S&I,320,RC,,,,,inpatient,,,838,,419,502.8,846.1286,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,543.024,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,846.1286,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENEMA THERAPEUTIC,320,RC,,,,,inpatient,,,1064,,532,638.4,1074.3208,1000.16,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,883.12,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,978.88,,,,percent of total billed charges,,1006.544,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1032.08,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,936.32,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,689.472,,,,percent of total billed charges,,957.6,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,1074.3208,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,1010.8,,,,percent of total billed charges,,851.2,,,,percent of total billed charges,,638.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY COLON CONTRAST,320,RC,,,,,inpatient,,,1125,,562.5,675,1135.9125,1057.5,,,,percent of total billed charges,,900,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,933.75,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1064.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1091.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,729,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,1135.9125,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,900,,,,percent of total billed charges,,675,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY COLON CONT WORWOKUB,320,RC,,,,,inpatient,,,771,,385.5,462.6,778.4787,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,499.608,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,778.4787,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SM BOWEL ENT TUBE,320,RC,,,,,inpatient,,,1125,,562.5,675,1135.9125,1057.5,,,,percent of total billed charges,,900,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,933.75,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1064.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1091.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,729,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,1135.9125,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,900,,,,percent of total billed charges,,675,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SM BOWEL MULT FILMS,320,RC,,,,,inpatient,,,771,,385.5,462.6,778.4787,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,499.608,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,778.4787,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY UPPER GI W KUB,320,RC,,,,,inpatient,,,581,,290.5,348.6,586.6357,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,376.488,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,586.6357,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG X-RAY EXAM, UPPER GI TRACT",320,RC,,,,,inpatient,,,771,,385.5,462.6,778.4787,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,499.608,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,778.4787,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SWALLOW FUNCT CINE/VIDEO,320,RC,,,,,inpatient,,,771,,385.5,462.6,778.4787,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,499.608,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,778.4787,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CONTRAST X-RAY, ESOPHAGUS",320,RC,,,,,inpatient,,,771,,385.5,462.6,778.4787,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,499.608,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,778.4787,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI ANGIO, ABDOM W ORW/O DYE",618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ABDOMEN W/O & W/DYE,614,RC,,,,,inpatient,,,3426,,1713,2055.6,3459.2322,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2220.048,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3459.2322,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ABDOMEN W/O DYE,614,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ANGIO ABDOM W/O & W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABDOMEN W/O & W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABDOMEN W/DYE,352,RC,,,,,inpatient,,,2098,,1049,1258.8,2118.3506,1972.12,,,,percent of total billed charges,,1678.4,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1741.34,,,,percent of total billed charges,,1888.2,,,,percent of total billed charges,,1930.16,,,,percent of total billed charges,,1930.16,,,,percent of total billed charges,,1984.708,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,2035.06,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1846.24,,,,percent of total billed charges,,1888.2,,,,percent of total billed charges,,1359.504,,,,percent of total billed charges,,1888.2,,,,percent of total billed charges,,1258.8,,,,percent of total billed charges,,2118.3506,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1993.1,,,,percent of total billed charges,,1678.4,,,,percent of total billed charges,,1258.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABDOMEN W/O DYE,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ABD COMPL W CHEST,320,RC,,,,,inpatient,,,632,,316,379.2,638.1304,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,409.536,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,638.1304,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG X-RAY ABDOMEN COMPLETE, 2 VIEWS",320,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ABDOMEN SINGLE AP V,320,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANG LWR EXT W OR W/O DYE,618,RC,,,,,inpatient,,,1894,,947,1136.4,1912.3718,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1227.312,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1912.3718,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT LWR EXTR W/O&W/DYE,614,RC,,,,,inpatient,,,3426,,1713,2055.6,3459.2322,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2220.048,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3459.2322,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT OF LWR EXTR W/DYE,614,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JNT OF LWR EXTRE W/O DYE,614,RC,,,,,inpatient,,,2230,,1115,1338,2251.631,2096.2,,,,percent of total billed charges,,1784,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,1850.9,,,,percent of total billed charges,,2007,,,,percent of total billed charges,,2051.6,,,,percent of total billed charges,,2051.6,,,,percent of total billed charges,,2109.58,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,2163.1,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,1962.4,,,,percent of total billed charges,,2007,,,,percent of total billed charges,,1445.04,,,,percent of total billed charges,,2007,,,,percent of total billed charges,,1338,,,,percent of total billed charges,,2251.631,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,2118.5,,,,percent of total billed charges,,1784,,,,percent of total billed charges,,1338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LWR EXTREMITY W/O&W/DYE,614,RC,,,,,inpatient,,,3426,,1713,2055.6,3459.2322,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2220.048,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3459.2322,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LOWER EXTREMITY W/O DYE,614,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 73706-0352 CT ANGIO LWR EXTR W/O&W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LWR EXTREMITY W/O&W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LOWER EXTREMITY W/DYE,352,RC,,,,,inpatient,,,2097,,1048.5,1258.2,2117.3409,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1358.856,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,2117.3409,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LOWER EXTREMITY W/O DYE,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY TOE(S) MIN 2V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CALCANEUS MIN 2V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FOOT COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FOOT 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ANKLE COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ANKLE 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY TIB/FIB 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROGRAM KNEE S&I,322,RC,,,,,inpatient,,,1412,,706,847.2,1425.6964,1327.28,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1171.96,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1335.752,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1369.64,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1242.56,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,914.976,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,1425.6964,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG X-RAY EXAM OF KNEE, 3 VIEW",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY KNEE 1-2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROGRAM HIP S&I,322,RC,,,,,inpatient,,,2002,,1001,1201.2,2021.4194,1881.88,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1661.66,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1893.892,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1941.94,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1761.76,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1297.296,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,2021.4194,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA UPR EXT WO & W CONT,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT UPR EXTR W/O&W/DYE,614,RC,,,,,inpatient,,,3426,,1713,2055.6,3459.2322,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2220.048,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3459.2322,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JOINT UPR EXTREM W/O DYE,614,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI UPPR EXTREMITY W/O&W/DYE,614,RC,,,,,inpatient,,,3426,,1713,2055.6,3459.2322,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2220.048,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3459.2322,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI UPPER EXTREMITY W/O DYE,614,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA UPR EXT WO & W CONT,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT UPPR EXTREMITY W/O&W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT UPPER EXTREMITY W/DYE,352,RC,,,,,inpatient,,,2097,,1048.5,1258.2,2117.3409,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1358.856,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,2117.3409,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT UPPER EXTREMITY W/O DYE,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FINGER(S) MIN 2 V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HAND MIN 3 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HAND 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY WRIST COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY WRIST 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FOREARM 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ELBOW COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ELBOW 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY HUMERUS MIN 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SHOULDER JOINTS BIL,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SHOULDER COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SCAPULA COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CLAVICLE COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM LUMBSACR S&I,320,RC,,,,,inpatient,,,3762,,1881,2257.2,3798.4914,3536.28,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3122.46,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3558.852,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3649.14,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3310.56,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2437.776,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,3798.4914,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SACRUMCOCCYX MIN 2V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SACROILIAC 3+ VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI PELVIS W/O & W/DYE,614,RC,,,,,inpatient,,,3426,,1713,2055.6,3459.2322,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2220.048,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3459.2322,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI PELVIS W/DYE,614,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI PELVIS W/O DYE,614,RC,,,,,inpatient,,,2155,,1077.5,1293,2175.9035,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1396.44,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2175.9035,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT PELVIS W/O & W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT PELVIS W/DYE,352,RC,,,,,inpatient,,,2097,,1048.5,1258.2,2117.3409,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1358.856,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,2117.3409,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT PELVIS W/O DYE,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA PELVIS WO & W CONT,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY PELVIS COMPL MIN 3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY PELVIS 1-2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LUMBAR SPINE W/O & W/DYE,612,RC,,,,,inpatient,,,3427,,1713.5,2056.2,3460.2419,3221.38,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2844.41,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3241.942,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3324.19,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3015.76,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2220.696,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,3460.2419,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST SPINE W/O & W/DYE,612,RC,,,,,inpatient,,,3427,,1713.5,2056.2,3460.2419,3221.38,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2844.41,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3152.84,,,,percent of total billed charges,,3241.942,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3324.19,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3015.76,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2220.696,,,,percent of total billed charges,,3084.3,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,3460.2419,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,3255.65,,,,percent of total billed charges,,2741.6,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI NECK SPINE W/O & W/DYE,612,RC,,,,,inpatient,,,3587,,1793.5,2152.2,3621.7939,3371.78,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2977.21,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3393.302,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3479.39,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3156.56,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2324.376,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,3621.7939,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LUMBAR SPINE W/DYE,612,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LUMBAR SPINE W/O DYE,612,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST SPINE W/DYE,612,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI THORACIC SPINE,612,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI NECK SPINE W/DYE,612,RC,,,,,inpatient,,,2834,,1417,1700.4,2861.4898,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1836.432,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2861.4898,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI NECK SPINE W/O DYE,612,RC,,,,,inpatient,,,2330,,1165,1398,2352.601,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1509.84,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2352.601,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LUMBAR SPINE W/O & W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LUMBAR SPINE W/DYE,352,RC,,,,,inpatient,,,2097,,1048.5,1258.2,2117.3409,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1358.856,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,2117.3409,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT LUMBAR SPINE W/O DYE,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE THOR WO & W CONT,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE THORACIC W CONT,352,RC,,,,,inpatient,,,2097,,1048.5,1258.2,2117.3409,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1358.856,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,2117.3409,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE THORACIC WO CONT,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE CERV WO & W CONT,352,RC,,,,,inpatient,,,2520,,1260,1512,2544.444,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1632.96,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2544.444,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE CERVICAL W CONT,352,RC,,,,,inpatient,,,2163,,1081.5,1297.8,2183.9811,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1401.624,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2183.9811,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SPINE CERVICAL WO CONT,352,RC,,,,,inpatient,,,1563,,781.5,937.8,1578.1611,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1012.824,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1578.1611,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY LUMBSACR MIN 4 VIEW,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY LUMBSACR 2-3 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE THOR/LMBR 2V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE THORACIC 3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE CERV COMPL,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE CERV 2-3 VIEW,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE SINGLE VIEW,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO CHEST WITH CONTRAST,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST W/O & W/DYE,614,RC,,,,,inpatient,,,3426,,1713,2055.6,3459.2322,3220.44,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2843.58,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3151.92,,,,percent of total billed charges,,3240.996,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3323.22,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3014.88,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2220.048,,,,percent of total billed charges,,3083.4,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,3459.2322,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,3254.7,,,,percent of total billed charges,,2740.8,,,,percent of total billed charges,,2055.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST W/DYE,614,RC,,,,,inpatient,,,2042,,1021,1225.2,2061.8074,1919.48,,,,percent of total billed charges,,1633.6,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1694.86,,,,percent of total billed charges,,1837.8,,,,percent of total billed charges,,1878.64,,,,percent of total billed charges,,1878.64,,,,percent of total billed charges,,1931.732,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1980.74,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1796.96,,,,percent of total billed charges,,1837.8,,,,percent of total billed charges,,1323.216,,,,percent of total billed charges,,1837.8,,,,percent of total billed charges,,1225.2,,,,percent of total billed charges,,2061.8074,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1939.9,,,,percent of total billed charges,,1633.6,,,,percent of total billed charges,,1225.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI CHEST W/O DYE,614,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA CHEST W CONTRAST,352,RC,,,,,inpatient,,,2837,,1418.5,1702.2,2864.5189,2666.78,,,,percent of total billed charges,,2269.6,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2354.71,,,,percent of total billed charges,,2553.3,,,,percent of total billed charges,,2610.04,,,,percent of total billed charges,,2610.04,,,,percent of total billed charges,,2683.802,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2751.89,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2496.56,,,,percent of total billed charges,,2553.3,,,,percent of total billed charges,,1838.376,,,,percent of total billed charges,,2553.3,,,,percent of total billed charges,,1702.2,,,,percent of total billed charges,,2864.5189,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2695.15,,,,percent of total billed charges,,2269.6,,,,percent of total billed charges,,1702.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/O & W/DYE,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/DYE,352,RC,,,,,inpatient,,,2097,,1048.5,1258.2,2117.3409,1971.18,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1740.51,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1929.24,,,,percent of total billed charges,,1983.762,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,2034.09,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1845.36,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1358.856,,,,percent of total billed charges,,1887.3,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,2117.3409,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1992.15,,,,percent of total billed charges,,1677.6,,,,percent of total billed charges,,1258.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/O DYE,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY STERNCLAV JT MIN 3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY STERNUM MIN 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY RIBS BIL 3 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY RIBS UNI 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CHEST COMP MIN 4V,324,RC,,,,,inpatient,,,317,,158.5,190.2,320.0749,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,205.416,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,320.0749,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CHEST 2 VIEWS,324,RC,,,,,inpatient,,,317,,158.5,190.2,320.0749,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,205.416,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,320.0749,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY CHEST SINGLE VIEW,324,RC,,,,,inpatient,,,317,,158.5,190.2,320.0749,297.98,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,263.11,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,291.64,,,,percent of total billed charges,,299.882,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,307.49,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,278.96,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,205.416,,,,percent of total billed charges,,285.3,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,320.0749,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,301.15,,,,percent of total billed charges,,253.6,,,,percent of total billed charges,,190.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BRAIN W/O & W/DYE,611,RC,,,,,inpatient,,,3643,,1821.5,2185.8,3678.3371,3424.42,,,,percent of total billed charges,,2914.4,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3023.69,,,,percent of total billed charges,,3278.7,,,,percent of total billed charges,,3351.56,,,,percent of total billed charges,,3351.56,,,,percent of total billed charges,,3446.278,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3533.71,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3205.84,,,,percent of total billed charges,,3278.7,,,,percent of total billed charges,,2360.664,,,,percent of total billed charges,,3278.7,,,,percent of total billed charges,,2185.8,,,,percent of total billed charges,,3678.3371,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,3460.85,,,,percent of total billed charges,,2914.4,,,,percent of total billed charges,,2185.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BRAIN W/DYE,611,RC,,,,,inpatient,,,2834,,1417,1700.4,2861.4898,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1836.432,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2861.4898,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BRAIN W/O DYE,611,RC,,,,,inpatient,,,2330,,1165,1398,2352.601,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1509.84,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2352.601,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPH NECK W/O&W/DYE,615,RC,,,,,inpatient,,,3587,,1793.5,2152.2,3621.7939,3371.78,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2977.21,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3393.302,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3479.39,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3156.56,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2324.376,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,3621.7939,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY NECK W/O DYE,615,RC,,,,,inpatient,,,2330,,1165,1398,2352.601,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1509.84,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2352.601,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPH HEAD W/O&W/DYE,615,RC,,,,,inpatient,,,3587,,1793.5,2152.2,3621.7939,3371.78,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2977.21,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3300.04,,,,percent of total billed charges,,3393.302,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3479.39,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3156.56,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2324.376,,,,percent of total billed charges,,3228.3,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,3621.7939,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,3407.65,,,,percent of total billed charges,,2869.6,,,,percent of total billed charges,,2152.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY HEAD W/O DYE,615,RC,,,,,inpatient,,,2330,,1165,1398,2352.601,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1509.84,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2352.601,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ORBT/FAC/NCK W/O & W/DYE,611,RC,,,,,inpatient,,,3586,,1793,2151.6,3620.7842,3370.84,,,,percent of total billed charges,,2868.8,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,2976.38,,,,percent of total billed charges,,3227.4,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3392.356,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,3478.42,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,3155.68,,,,percent of total billed charges,,3227.4,,,,percent of total billed charges,,2323.728,,,,percent of total billed charges,,3227.4,,,,percent of total billed charges,,2151.6,,,,percent of total billed charges,,3620.7842,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,3406.7,,,,percent of total billed charges,,2868.8,,,,percent of total billed charges,,2151.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ORBIT/FACE/NECK W/O DYE,611,RC,,,,,inpatient,,,2330,,1165,1398,2352.601,2190.2,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1933.9,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2143.6,,,,percent of total billed charges,,2204.18,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2260.1,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2050.4,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1509.84,,,,percent of total billed charges,,2097,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,2352.601,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,2213.5,,,,percent of total billed charges,,1864,,,,percent of total billed charges,,1398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA NECK W CONTRAST,351,RC,,,,,inpatient,,,2520,,1260,1512,2544.444,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1632.96,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2544.444,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA HEAD W CONTRAST,351,RC,,,,,inpatient,,,2520,,1260,1512,2544.444,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1632.96,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2544.444,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SFT TSUE NCK W/O & W/DYE,351,RC,,,,,inpatient,,,2520,,1260,1512,2544.444,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1632.96,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2544.444,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SOFT TISSUE NECK W/DYE,351,RC,,,,,inpatient,,,2163,,1081.5,1297.8,2183.9811,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1401.624,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2183.9811,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT SOFT TISSUE NECK W/O DYE,351,RC,,,,,inpatient,,,1563,,781.5,937.8,1578.1611,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1012.824,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1578.1611,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT MAXILLOFACIAL W/O & W/DYE,351,RC,,,,,inpatient,,,2520,,1260,1512,2544.444,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1632.96,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2544.444,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT MAXILLOFACIAL W/DYE,351,RC,,,,,inpatient,,,2163,,1081.5,1297.8,2183.9811,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1401.624,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2183.9811,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT MAXILLOFACIAL W/O DYE,351,RC,,,,,inpatient,,,1563,,781.5,937.8,1578.1611,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1012.824,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1578.1611,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ORBIT/EAR/FOSSA W/O&W/DYE,351,RC,,,,,inpatient,,,2520,,1260,1512,2544.444,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1632.96,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2544.444,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ORBIT/EAR/FOSSA W/DYE,351,RC,,,,,inpatient,,,2163,,1081.5,1297.8,2183.9811,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1401.624,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2183.9811,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ORBIT/EAR/FOSSA W/O DYE,351,RC,,,,,inpatient,,,1563,,781.5,937.8,1578.1611,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1012.824,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1578.1611,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT HEAD/BRAIN W/O & W/DYE,351,RC,,,,,inpatient,,,2520,,1260,1512,2544.444,2368.8,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2091.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2318.4,,,,percent of total billed charges,,2383.92,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2444.4,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1632.96,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,2544.444,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2394,,,,percent of total billed charges,,2016,,,,percent of total billed charges,,1512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT HEAD/BRAIN W/DYE,351,RC,,,,,inpatient,,,2163,,1081.5,1297.8,2183.9811,2033.22,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1795.29,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,1989.96,,,,percent of total billed charges,,2046.198,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2098.11,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1903.44,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1401.624,,,,percent of total billed charges,,1946.7,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,2183.9811,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,2054.85,,,,percent of total billed charges,,1730.4,,,,percent of total billed charges,,1297.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT HEAD/BRAIN W/O CONTRST,351,RC,,,,,inpatient,,,1567,,783.5,940.2,1582.1999,1472.98,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1300.61,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1482.382,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1519.99,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1378.96,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1015.416,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,1582.1999,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SIALOGRAM S&I,320,RC,,,,,inpatient,,,462,,231,277.2,466.4814,434.28,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,383.46,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,425.04,,,,percent of total billed charges,,437.052,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,448.14,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,406.56,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,299.376,,,,percent of total billed charges,,415.8,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,466.4814,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,438.9,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 70360-0320 X-RAY NECK SOFT TISSUE,320,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAGNETIC IMAGE, JAW JOINT",614,RC,,,,,inpatient,,,2227,,1113.5,1336.2,2248.6019,2093.38,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1848.41,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2048.84,,,,percent of total billed charges,,2106.742,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2160.19,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1959.76,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1443.096,,,,percent of total billed charges,,2004.3,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,2248.6019,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,2115.65,,,,percent of total billed charges,,1781.6,,,,percent of total billed charges,,1336.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY TMJ BIL,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SKULL COMPL MIN 4V,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SKULL < 4 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SINUS PARANAS COMPL,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SINUS PARANASAL <3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ORBITS COMPL MIN 4V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY NASAL BONES MIN 3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY FACIAL BONES MIN 3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY MASTOIDS COMP MIN3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY JAW MIN OF 4 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY EYE FOR FOREIGN BODY,320,RC,,,,,inpatient,,,377,,188.5,226.2,380.6569,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,244.296,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,380.6569,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREOTACTIC BRAIN BIOPSY,360,RC,,,,,inpatient,,,1906,,953,1143.6,1924.4882,1791.64,,,,percent of total billed charges,,1524.8,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1581.98,,,,percent of total billed charges,,1715.4,,,,percent of total billed charges,,1753.52,,,,percent of total billed charges,,1753.52,,,,percent of total billed charges,,1803.076,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1848.82,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1677.28,,,,percent of total billed charges,,1715.4,,,,percent of total billed charges,,1235.088,,,,percent of total billed charges,,1715.4,,,,percent of total billed charges,,1143.6,,,,percent of total billed charges,,1924.4882,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1810.7,,,,percent of total billed charges,,1524.8,,,,percent of total billed charges,,1143.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX THYROID PERC NEED CORE,361,RC,,,,,inpatient,,,2677,,1338.5,1606.2,2702.9669,2516.38,,,,percent of total billed charges,,2141.6,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2221.91,,,,percent of total billed charges,,2409.3,,,,percent of total billed charges,,2462.84,,,,percent of total billed charges,,2462.84,,,,percent of total billed charges,,2532.442,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2596.69,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2355.76,,,,percent of total billed charges,,2409.3,,,,percent of total billed charges,,1734.696,,,,percent of total billed charges,,2409.3,,,,percent of total billed charges,,1606.2,,,,percent of total billed charges,,2702.9669,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2543.15,,,,percent of total billed charges,,2141.6,,,,percent of total billed charges,,1606.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ASPIRATE/INJECT THYRIOD CYST,361,RC,,,,,inpatient,,,992,,496,595.2,1001.6224,932.48,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,823.36,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,938.432,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,962.24,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,872.96,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,642.816,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,1001.6224,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER FOR HYSTEROGRAPHY,361,RC,,,,,inpatient,,,1601,,800.5,960.6,1616.5297,1504.94,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1328.83,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1514.546,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1552.97,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1408.88,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1037.448,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,1616.5297,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR-CATH INSERT UTER/VAG,360,RC,,,,,inpatient,,,9156,,4578,5493.6,9244.8132,8606.64,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7599.48,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8661.576,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8881.32,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8057.28,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,5933.088,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,9244.8132,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR BLADDER X-RAY,361,RC,,,,,inpatient,,,1683,,841.5,1009.8,1699.3251,1582.02,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1396.89,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1592.118,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1632.51,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1481.04,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1090.584,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,1699.3251,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR URETER X-RAY,361,RC,,,,,inpatient,,,2220,,1110,1332,2241.534,2086.8,,,,percent of total billed charges,,1776,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,1842.6,,,,percent of total billed charges,,1998,,,,percent of total billed charges,,2042.4,,,,percent of total billed charges,,2042.4,,,,percent of total billed charges,,2100.12,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,2153.4,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1998,,,,percent of total billed charges,,1438.56,,,,percent of total billed charges,,1998,,,,percent of total billed charges,,1332,,,,percent of total billed charges,,2241.534,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,2109,,,,percent of total billed charges,,1776,,,,percent of total billed charges,,1332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAINAGE OF KIDNEY LESION,361,RC,,,,,inpatient,,,3362,,1681,2017.2,3394.6114,3160.28,,,,percent of total billed charges,,2689.6,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,2790.46,,,,percent of total billed charges,,3025.8,,,,percent of total billed charges,,3093.04,,,,percent of total billed charges,,3093.04,,,,percent of total billed charges,,3180.452,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,3261.14,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,2958.56,,,,percent of total billed charges,,3025.8,,,,percent of total billed charges,,2178.576,,,,percent of total billed charges,,3025.8,,,,percent of total billed charges,,2017.2,,,,percent of total billed charges,,3394.6114,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,3193.9,,,,percent of total billed charges,,2689.6,,,,percent of total billed charges,,2017.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, LIVER ADD-ON",361,RC,,,,,inpatient,,,2757,,1378.5,1654.2,2783.7429,2591.58,,,,percent of total billed charges,,2205.6,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2288.31,,,,percent of total billed charges,,2481.3,,,,percent of total billed charges,,2536.44,,,,percent of total billed charges,,2536.44,,,,percent of total billed charges,,2608.122,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2674.29,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2426.16,,,,percent of total billed charges,,2481.3,,,,percent of total billed charges,,1786.536,,,,percent of total billed charges,,2481.3,,,,percent of total billed charges,,1654.2,,,,percent of total billed charges,,2783.7429,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2619.15,,,,percent of total billed charges,,2205.6,,,,percent of total billed charges,,1654.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IDENTIFY SENTINEL NODE,361,RC,,,,,inpatient,,,1498,,749,898.8,1512.5306,1408.12,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1243.34,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1378.16,,,,percent of total billed charges,,1417.108,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1453.06,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1318.24,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,970.704,,,,percent of total billed charges,,1348.2,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,1512.5306,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1423.1,,,,percent of total billed charges,,1198.4,,,,percent of total billed charges,,898.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, LYMPH NODES",361,RC,,,,,inpatient,,,1956,,978,1173.6,1974.9732,1838.64,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1623.48,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1850.376,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1897.32,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1721.28,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1267.488,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1974.9732,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR ANKLE X-RAY,361,RC,,,,,inpatient,,,1976,,988,1185.6,1995.1672,1857.44,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1640.08,,,,percent of total billed charges,,1778.4,,,,percent of total billed charges,,1817.92,,,,percent of total billed charges,,1817.92,,,,percent of total billed charges,,1869.296,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1916.72,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1738.88,,,,percent of total billed charges,,1778.4,,,,percent of total billed charges,,1280.448,,,,percent of total billed charges,,1778.4,,,,percent of total billed charges,,1185.6,,,,percent of total billed charges,,1995.1672,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1877.2,,,,percent of total billed charges,,1580.8,,,,percent of total billed charges,,1185.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONTRAST INJ FOR KNEE CT/MRI/ARTHROGRAM,361,RC,,,,,inpatient,,,2866,,1433,1719.6,2893.8002,2694.04,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2378.78,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2711.236,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2780.02,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2522.08,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,1857.168,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,2893.8002,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR HIP X-RAY,361,RC,,,,,inpatient,,,2678,,1339,1606.8,2703.9766,2517.32,,,,percent of total billed charges,,2142.4,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2222.74,,,,percent of total billed charges,,2410.2,,,,percent of total billed charges,,2463.76,,,,percent of total billed charges,,2463.76,,,,percent of total billed charges,,2533.388,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2597.66,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2356.64,,,,percent of total billed charges,,2410.2,,,,percent of total billed charges,,1735.344,,,,percent of total billed charges,,2410.2,,,,percent of total billed charges,,1606.8,,,,percent of total billed charges,,2703.9766,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2544.1,,,,percent of total billed charges,,2142.4,,,,percent of total billed charges,,1606.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR WRIST X-RAY,361,RC,,,,,inpatient,,,2987,,1493.5,1792.2,3015.9739,2807.78,,,,percent of total billed charges,,2389.6,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2479.21,,,,percent of total billed charges,,2688.3,,,,percent of total billed charges,,2748.04,,,,percent of total billed charges,,2748.04,,,,percent of total billed charges,,2825.702,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2897.39,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2628.56,,,,percent of total billed charges,,2688.3,,,,percent of total billed charges,,1935.576,,,,percent of total billed charges,,2688.3,,,,percent of total billed charges,,1792.2,,,,percent of total billed charges,,3015.9739,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2837.65,,,,percent of total billed charges,,2389.6,,,,percent of total billed charges,,1792.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR ELBOW X-RAY,361,RC,,,,,inpatient,,,2698,,1349,1618.8,2724.1706,2536.12,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2239.34,,,,percent of total billed charges,,2428.2,,,,percent of total billed charges,,2482.16,,,,percent of total billed charges,,2482.16,,,,percent of total billed charges,,2552.308,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2617.06,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2374.24,,,,percent of total billed charges,,2428.2,,,,percent of total billed charges,,1748.304,,,,percent of total billed charges,,2428.2,,,,percent of total billed charges,,1618.8,,,,percent of total billed charges,,2724.1706,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2563.1,,,,percent of total billed charges,,2158.4,,,,percent of total billed charges,,1618.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR SHOULDER X-RAY,361,RC,,,,,inpatient,,,2061,,1030.5,1236.6,2080.9917,1937.34,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1710.63,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1949.706,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1999.17,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1813.68,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1335.528,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,2080.9917,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TREATMENT OF BONE CYST,361,RC,,,,,inpatient,,,4365,,2182.5,2619,4407.3405,4103.1,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,3622.95,,,,percent of total billed charges,,3928.5,,,,percent of total billed charges,,4015.8,,,,percent of total billed charges,,4015.8,,,,percent of total billed charges,,4129.29,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,4234.05,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,3841.2,,,,percent of total billed charges,,3928.5,,,,percent of total billed charges,,2828.52,,,,percent of total billed charges,,3928.5,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,4407.3405,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,4146.75,,,,percent of total billed charges,,3492,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19000-0361 DRAINAGE OF BREAST LESION,361,RC,,,,,inpatient,,,2088,,1044,1252.8,2108.2536,1962.72,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1733.04,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1975.248,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2025.36,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1837.44,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1353.024,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,2108.2536,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CCTA W/WO, QUAN CALCIUM",350,RC,,,,,inpatient,,,3667,,1833.5,2200.2,3702.5699,3446.98,,,,percent of total billed charges,,2933.6,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3043.61,,,,percent of total billed charges,,3300.3,,,,percent of total billed charges,,3373.64,,,,percent of total billed charges,,3373.64,,,,percent of total billed charges,,3468.982,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3556.99,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3226.96,,,,percent of total billed charges,,3300.3,,,,percent of total billed charges,,2376.216,,,,percent of total billed charges,,3300.3,,,,percent of total billed charges,,2200.2,,,,percent of total billed charges,,3702.5699,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,3483.65,,,,percent of total billed charges,,2933.6,,,,percent of total billed charges,,2200.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CT HEART WO DYE, QUAL CALC",350,RC,,,,,inpatient,,,248,,124,148.8,250.4056,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,250.4056,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M SULFCOLLOID TO20MCI,343,RC,,,,,inpatient,,,871,,435.5,522.6,879.4487,818.74,,,,percent of total billed charges,,696.8,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,722.93,,,,percent of total billed charges,,783.9,,,,percent of total billed charges,,801.32,,,,percent of total billed charges,,801.32,,,,percent of total billed charges,,823.966,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,844.87,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,766.48,,,,percent of total billed charges,,783.9,,,,percent of total billed charges,,564.408,,,,percent of total billed charges,,783.9,,,,percent of total billed charges,,522.6,,,,percent of total billed charges,,879.4487,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,827.45,,,,percent of total billed charges,,696.8,,,,percent of total billed charges,,522.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MAA UP TO 10MCI,343,RC,,,,,inpatient,,,839,,419.5,503.4,847.1383,788.66,,,,percent of total billed charges,,671.2,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,696.37,,,,percent of total billed charges,,755.1,,,,percent of total billed charges,,771.88,,,,percent of total billed charges,,771.88,,,,percent of total billed charges,,793.694,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,813.83,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,738.32,,,,percent of total billed charges,,755.1,,,,percent of total billed charges,,543.672,,,,percent of total billed charges,,755.1,,,,percent of total billed charges,,503.4,,,,percent of total billed charges,,847.1383,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,797.05,,,,percent of total billed charges,,671.2,,,,percent of total billed charges,,503.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC 99M PENTETATE UP TO 25 MCI,343,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M MEBROFENIN TO 15MCI,343,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL SUPPLIES,270,RC,,,,,inpatient,,,734,,367,440.4,741.1198,689.96,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,609.22,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,675.28,,,,percent of total billed charges,,694.364,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,711.98,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,645.92,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,475.632,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,741.1198,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,697.3,,,,percent of total billed charges,,587.2,,,,percent of total billed charges,,440.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO CHEST WO CONTRAST,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR ENDOBRONCHIAL CATHE 1000MM,272,RC,,,,,inpatient,,,810,,405,486,817.857,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,524.88,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,817.857,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ/ASP SHUNT TUBING,361,RC,,,,,inpatient,,,2289,,1144.5,1373.4,2311.2033,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1483.272,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2311.2033,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO LOCALIZATION,401,RC,,,,,inpatient,,,1300,,650,780,1312.61,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1312.61,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREOTACTIC BIOPSY,401,RC,,,,,inpatient,,,3627,,1813.5,2176.2,3662.1819,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2350.296,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3662.1819,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICRO MARK TISSUE MARKER,278,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BASIC DOSIMETRY CALCULATION,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RADIOELEMENT LOAD IR 192,333,RC,,,,,inpatient,,,650,,325,390,656.305,611,,,,percent of total billed charges,,520,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,539.5,,,,percent of total billed charges,,585,,,,percent of total billed charges,,598,,,,percent of total billed charges,,598,,,,percent of total billed charges,,614.9,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,630.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,572,,,,percent of total billed charges,,585,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,585,,,,percent of total billed charges,,390,,,,percent of total billed charges,,656.305,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,617.5,,,,percent of total billed charges,,520,,,,percent of total billed charges,,390,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL PHYSICS CONSULT,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIAL DOSIMETRY (TLD'S),333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREOTACTIC RADIOSURGERY,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MED PHYSICS CONSULTATION,333,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI W/ ADMIN NEUROPSYCH,611,RC,,,,,inpatient,,,679,,339.5,407.4,685.5863,638.26,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,642.334,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,658.63,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,439.992,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,685.5863,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG U/S NDL BX, RENAL",361,RC,,,,,inpatient,,,944,,472,566.4,953.1568,887.36,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,783.52,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,893.024,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,915.68,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,830.72,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,611.712,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,953.1568,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACAVITARY APPLIC 1-4 SOURC,333,RC,,,,,inpatient,,,1402,,701,841.2,1415.5994,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,908.496,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1415.5994,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACAVITARY APPLIC 5-10 SOUR,333,RC,,,,,inpatient,,,1402,,701,841.2,1415.5994,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,908.496,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1415.5994,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY HEAD W/DY,615,RC,,,,,inpatient,,,2834,,1417,1700.4,2861.4898,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1836.432,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2861.4898,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIOGRAPHY NECK W/DY,615,RC,,,,,inpatient,,,2978,,1489,1786.8,3006.8866,2799.32,,,,percent of total billed charges,,2382.4,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2471.74,,,,percent of total billed charges,,2680.2,,,,percent of total billed charges,,2739.76,,,,percent of total billed charges,,2739.76,,,,percent of total billed charges,,2817.188,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2888.66,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2620.64,,,,percent of total billed charges,,2680.2,,,,percent of total billed charges,,1929.744,,,,percent of total billed charges,,2680.2,,,,percent of total billed charges,,1786.8,,,,percent of total billed charges,,3006.8866,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2829.1,,,,percent of total billed charges,,2382.4,,,,percent of total billed charges,,1786.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FUNCTIONAL MRI BRAIN,611,RC,,,,,inpatient,,,616,,308,369.6,621.9752,579.04,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,566.72,,,,percent of total billed charges,,582.736,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,542.08,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,399.168,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,621.9752,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,492.8,,,,percent of total billed charges,,369.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA SPINE WO & W CONT,610,RC,,,,,inpatient,,,2161,,1080.5,1296.6,2181.9617,2031.34,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1793.63,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,2044.306,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2096.17,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1901.68,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1400.328,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,2181.9617,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MR ANGIO PELVIS W/O & W/DYE,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIG MAMMO-SCREENING,403,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIG MAMMO-BOTH BREASTS,401,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIG MAMMO-SINGLE BREAST,401,RC,,,,,inpatient,,,302,,151,181.2,304.9294,283.88,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,250.66,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,277.84,,,,percent of total billed charges,,285.692,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,292.94,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,265.76,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,195.696,,,,percent of total billed charges,,271.8,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,304.9294,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,286.9,,,,percent of total billed charges,,241.6,,,,percent of total billed charges,,181.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY KNEE 1-2 VIEWS BIL,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C-REACTIVE PROTEIN,302,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT VIRTUAL COLON SCREENING,352,RC,,,,,inpatient,,,1189,,594.5,713.4,1200.5333,1117.66,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,986.87,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1124.794,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1153.33,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1046.32,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,770.472,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,1200.5333,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT VIRTUAL COLON DIAGNOSTIC,352,RC,,,,,inpatient,,,1483,,741.5,889.8,1497.3851,1394.02,,,,percent of total billed charges,,1186.4,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1230.89,,,,percent of total billed charges,,1334.7,,,,percent of total billed charges,,1364.36,,,,percent of total billed charges,,1364.36,,,,percent of total billed charges,,1402.918,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1438.51,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1305.04,,,,percent of total billed charges,,1334.7,,,,percent of total billed charges,,960.984,,,,percent of total billed charges,,1334.7,,,,percent of total billed charges,,889.8,,,,percent of total billed charges,,1497.3851,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1408.85,,,,percent of total billed charges,,1186.4,,,,percent of total billed charges,,889.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT-BRAIN PERFUSION,351,RC,,,,,inpatient,,,3265,,1632.5,1959,3296.6705,3069.1,,,,percent of total billed charges,,2612,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,2709.95,,,,percent of total billed charges,,2938.5,,,,percent of total billed charges,,3003.8,,,,percent of total billed charges,,3003.8,,,,percent of total billed charges,,3088.69,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,3167.05,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,2873.2,,,,percent of total billed charges,,2938.5,,,,percent of total billed charges,,2115.72,,,,percent of total billed charges,,2938.5,,,,percent of total billed charges,,1959,,,,percent of total billed charges,,3296.6705,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,3101.75,,,,percent of total billed charges,,2612,,,,percent of total billed charges,,1959,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I-STAT CREATININE,301,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT VIRTUAL COLON DIAGNOSTIC W/DYE,320,RC,,,,,inpatient,,,2057,,1028.5,1234.2,2076.9529,1933.58,,,,percent of total billed charges,,1645.6,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1707.31,,,,percent of total billed charges,,1851.3,,,,percent of total billed charges,,1892.44,,,,percent of total billed charges,,1892.44,,,,percent of total billed charges,,1945.922,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1995.29,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1810.16,,,,percent of total billed charges,,1851.3,,,,percent of total billed charges,,1332.936,,,,percent of total billed charges,,1851.3,,,,percent of total billed charges,,1234.2,,,,percent of total billed charges,,2076.9529,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1954.15,,,,percent of total billed charges,,1645.6,,,,percent of total billed charges,,1234.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM,DUPLEX SCAN, LIMITED",921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, RETROPERITONEAL, LIMITED",402,RC,,,,,inpatient,,,700,,350,420,706.79,658,,,,percent of total billed charges,,560,,,,percent of total billed charges,,665,,,,percent of total billed charges,,581,,,,percent of total billed charges,,630,,,,percent of total billed charges,,644,,,,percent of total billed charges,,644,,,,percent of total billed charges,,662.2,,,,percent of total billed charges,,665,,,,percent of total billed charges,,679,,,,percent of total billed charges,,665,,,,percent of total billed charges,,616,,,,percent of total billed charges,,630,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,630,,,,percent of total billed charges,,420,,,,percent of total billed charges,,706.79,,,,percent of total billed charges,,665,,,,percent of total billed charges,,665,,,,percent of total billed charges,,560,,,,percent of total billed charges,,420,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM,TRANSPLANTED KIDNEY W/DOPPLER",402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM,NUCHAL TRANSLUCENCY MEASUREMEN",402,RC,,,,,inpatient,,,267,,133.5,160.2,269.5899,250.98,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,221.61,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,245.64,,,,percent of total billed charges,,252.582,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,258.99,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,234.96,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,173.016,,,,percent of total billed charges,,240.3,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,269.5899,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,253.65,,,,percent of total billed charges,,213.6,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IN-111 WBC ADMINISTRATION,343,RC,,,,,inpatient,,,3897,,1948.5,2338.2,3934.8009,3663.18,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3234.51,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3585.24,,,,percent of total billed charges,,3686.562,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3780.09,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3429.36,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,2525.256,,,,percent of total billed charges,,3507.3,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,3934.8009,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3702.15,,,,percent of total billed charges,,3117.6,,,,percent of total billed charges,,2338.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABD PEL W/O DYE,352,RC,,,,,inpatient,,,2883,,1441.5,1729.8,2910.9651,2710.02,,,,percent of total billed charges,,2306.4,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2392.89,,,,percent of total billed charges,,2594.7,,,,percent of total billed charges,,2652.36,,,,percent of total billed charges,,2652.36,,,,percent of total billed charges,,2727.318,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2796.51,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2537.04,,,,percent of total billed charges,,2594.7,,,,percent of total billed charges,,1868.184,,,,percent of total billed charges,,2594.7,,,,percent of total billed charges,,1729.8,,,,percent of total billed charges,,2910.9651,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2738.85,,,,percent of total billed charges,,2306.4,,,,percent of total billed charges,,1729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABD PEL W/ DYE,352,RC,,,,,inpatient,,,3985,,1992.5,2391,4023.6545,3745.9,,,,percent of total billed charges,,3188,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3307.55,,,,percent of total billed charges,,3586.5,,,,percent of total billed charges,,3666.2,,,,percent of total billed charges,,3666.2,,,,percent of total billed charges,,3769.81,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3865.45,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3506.8,,,,percent of total billed charges,,3586.5,,,,percent of total billed charges,,2582.28,,,,percent of total billed charges,,3586.5,,,,percent of total billed charges,,2391,,,,percent of total billed charges,,4023.6545,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3785.75,,,,percent of total billed charges,,3188,,,,percent of total billed charges,,2391,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABD PEL W/O & W/ DYE,352,RC,,,,,inpatient,,,4641,,2320.5,2784.6,4686.0177,4362.54,,,,percent of total billed charges,,3712.8,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,3852.03,,,,percent of total billed charges,,4176.9,,,,percent of total billed charges,,4269.72,,,,percent of total billed charges,,4269.72,,,,percent of total billed charges,,4390.386,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,4501.77,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,4084.08,,,,percent of total billed charges,,4176.9,,,,percent of total billed charges,,3007.368,,,,percent of total billed charges,,4176.9,,,,percent of total billed charges,,2784.6,,,,percent of total billed charges,,4686.0177,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,4408.95,,,,percent of total billed charges,,3712.8,,,,percent of total billed charges,,2784.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTEBRAL FX ASSESSMENT,320,RC,,,,,inpatient,,,574,,287,344.4,579.5678,539.56,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,476.42,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,543.004,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,556.78,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,505.12,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,371.952,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,579.5678,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RIBS UNILATERAL,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TECHNETIUM HDP TO 30 MCI,343,RC,,,,,inpatient,,,124,,62,74.4,125.2028,116.56,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,102.92,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,114.08,,,,percent of total billed charges,,117.304,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,120.28,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,109.12,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,80.352,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,125.2028,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,117.8,,,,percent of total billed charges,,99.2,,,,percent of total billed charges,,74.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76820 OB UMBILICAL ARTERY DOPPLER,402,RC,,,,,inpatient,,,753,,376.5,451.8,760.3041,707.82,,,,percent of total billed charges,,602.4,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,624.99,,,,percent of total billed charges,,677.7,,,,percent of total billed charges,,692.76,,,,percent of total billed charges,,692.76,,,,percent of total billed charges,,712.338,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,730.41,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,662.64,,,,percent of total billed charges,,677.7,,,,percent of total billed charges,,487.944,,,,percent of total billed charges,,677.7,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,760.3041,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,715.35,,,,percent of total billed charges,,602.4,,,,percent of total billed charges,,451.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAROTID DUPLEX (NECK),921,RC,,,,,inpatient,,,702,,351,421.2,708.8094,659.88,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,582.66,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,664.092,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,680.94,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,617.76,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,454.896,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,708.8094,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ANGIO AORTA W/BFRO,352,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA CORONARY W/O CA SCORE,352,RC,,,,,inpatient,,,1456,,728,873.6,1470.1232,1368.64,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1208.48,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1339.52,,,,percent of total billed charges,,1377.376,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1412.32,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1281.28,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,943.488,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,1470.1232,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1383.2,,,,percent of total billed charges,,1164.8,,,,percent of total billed charges,,873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DISKOGRPHY CERVICAL THORACIC,320,RC,,,,,inpatient,,,4404,,2202,2642.4,4446.7188,4139.76,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,3655.32,,,,percent of total billed charges,,3963.6,,,,percent of total billed charges,,4051.68,,,,percent of total billed charges,,4051.68,,,,percent of total billed charges,,4166.184,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,4271.88,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,3875.52,,,,percent of total billed charges,,3963.6,,,,percent of total billed charges,,2853.792,,,,percent of total billed charges,,3963.6,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,4446.7188,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,4183.8,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX CHEST, PA/LAT & LORDOTIC, 3 VIEWS",324,RC,,,,,inpatient,,,227,,113.5,136.2,229.2019,213.38,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,188.41,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,208.84,,,,percent of total billed charges,,214.742,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,220.19,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,199.76,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,147.096,,,,percent of total billed charges,,204.3,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,229.2019,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,215.65,,,,percent of total billed charges,,181.6,,,,percent of total billed charges,,136.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT LOWER EXT, LT 2V>",320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT LOWER EXT, RT 2V>",320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT LOWER EXT,BIL 2V>",320,RC,,,,,inpatient,,,1481,,740.5,888.6,1495.3657,1392.14,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1229.23,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1362.52,,,,percent of total billed charges,,1401.026,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1436.57,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1303.28,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,959.688,,,,percent of total billed charges,,1332.9,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,1495.3657,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1406.95,,,,percent of total billed charges,,1184.8,,,,percent of total billed charges,,888.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT UPPER EXT, LT 2V",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT UPPER EXT, RT 2V",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX INFANT, UPPER EXT BIL 2V",320,RC,,,,,inpatient,,,527,,263.5,316.2,532.1119,495.38,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,437.41,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,484.84,,,,percent of total billed charges,,498.542,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,511.19,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,463.76,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,341.496,,,,percent of total billed charges,,474.3,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,532.1119,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,500.65,,,,percent of total billed charges,,421.6,,,,percent of total billed charges,,316.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX OPTIC FORAMINA,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX PEDS FB/NOSE-RECTUM 1V,320,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX UGI, SINGLE W/SBFT",320,RC,,,,,inpatient,,,581,,290.5,348.6,586.6357,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,376.488,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,586.6357,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX UGI, W/AIR, W/KUB",320,RC,,,,,inpatient,,,581,,290.5,348.6,586.6357,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,376.488,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,586.6357,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX UGI, W/AIR, W/O KUB",320,RC,,,,,inpatient,,,771,,385.5,462.6,778.4787,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,499.608,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,778.4787,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM BRAIN SCAN & FLOW,341,RC,,,,,inpatient,,,3225,,1612.5,1935,3256.2825,3031.5,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2676.75,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,2967,,,,percent of total billed charges,,3050.85,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3128.25,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2838,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,2089.8,,,,percent of total billed charges,,2902.5,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,3256.2825,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,3063.75,,,,percent of total billed charges,,2580,,,,percent of total billed charges,,1935,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LIVER HEMANGIOMA SCAN,341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LIVER/SPLEEN SPECT,341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM TUMOR IMAG 1 AREA, 1 DAY",341,RC,,,,,inpatient,,,1854,,927,1112.4,1871.9838,1742.76,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1538.82,,,,percent of total billed charges,,1668.6,,,,percent of total billed charges,,1705.68,,,,percent of total billed charges,,1705.68,,,,percent of total billed charges,,1753.884,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1798.38,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1631.52,,,,percent of total billed charges,,1668.6,,,,percent of total billed charges,,1201.392,,,,percent of total billed charges,,1668.6,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,1871.9838,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,1112.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM TUMOR IMAG 1 AREA, 1 DAY (OCR)",341,RC,,,,,inpatient,,,3755,,1877.5,2253,3791.4235,3529.7,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3116.65,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3454.6,,,,percent of total billed charges,,3552.23,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3642.35,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3304.4,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,2433.24,,,,percent of total billed charges,,3379.5,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,3791.4235,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3567.25,,,,percent of total billed charges,,3004,,,,percent of total billed charges,,2253,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PET/CT BRAIN PERFUSION EVAL,404,RC,,,,,inpatient,,,6427,,3213.5,3856.2,6489.3419,6041.38,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5334.41,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,5912.84,,,,percent of total billed charges,,6079.942,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6234.19,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5655.76,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,4164.696,,,,percent of total billed charges,,5784.3,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,6489.3419,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,6105.65,,,,percent of total billed charges,,5141.6,,,,percent of total billed charges,,3856.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US AORTA,402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US DOP CAROTID BIL,921,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US RENAL,402,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX FACIAL BONES, < 3V",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX MANDIBLE, < 4V",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX FACIAL BONES, < 3V",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX TMJ, RT",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX SACROILIAC JOINTS < 3V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX ARTHRO/WRIST,322,RC,,,,,inpatient,,,1312,,656,787.2,1324.7264,1233.28,,,,percent of total billed charges,,1049.6,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1088.96,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1207.04,,,,percent of total billed charges,,1207.04,,,,percent of total billed charges,,1241.152,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1272.64,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1154.56,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,850.176,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,1324.7264,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1246.4,,,,percent of total billed charges,,1049.6,,,,percent of total billed charges,,787.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX KNEE, BIL STANDING",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI LOWER EXTREMITY,610,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DX ABDOMEN, KUB & OBLIQUE, 3 VIEWS",320,RC,,,,,inpatient,,,364,,182,218.4,367.5308,342.16,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,302.12,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,334.88,,,,percent of total billed charges,,344.344,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,353.08,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,320.32,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,235.872,,,,percent of total billed charges,,327.6,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,367.5308,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,345.8,,,,percent of total billed charges,,291.2,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX TOMO TMJ,320,RC,,,,,inpatient,,,632,,316,379.2,638.1304,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,409.536,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,638.1304,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US ED ABD LTD RETROPERITONEAL,402,RC,,,,,inpatient,,,224,,112,134.4,226.1728,210.56,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,185.92,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,206.08,,,,percent of total billed charges,,211.904,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,217.28,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,197.12,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,145.152,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,226.1728,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,179.2,,,,percent of total billed charges,,134.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MAMMO,DUCTOGRAM SINGLE",401,RC,,,,,inpatient,,,577,,288.5,346.2,582.5969,542.38,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,478.91,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,530.84,,,,percent of total billed charges,,545.842,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,559.69,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,507.76,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,373.896,,,,percent of total billed charges,,519.3,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,582.5969,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,548.15,,,,percent of total billed charges,,461.6,,,,percent of total billed charges,,346.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST UNILATERAL W/ OR W/O CONTRAST,614,RC,,,,,inpatient,,,2258,,1129,1354.8,2279.9026,2122.52,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1874.14,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2136.068,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2190.26,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1987.04,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1463.184,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,2279.9026,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST BILATERAL WO/CONTR,610,RC,,,,,inpatient,,,3255,,1627.5,1953,3286.5735,3059.7,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2701.65,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,3079.23,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3157.35,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2864.4,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2109.24,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,3286.5735,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX BONE SURVEY-METASTATIC,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX INFANT BONE SURVEY,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX DEXA PERIPHERAL,320,RC,,,,,inpatient,,,827,,413.5,496.2,835.0219,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,535.896,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,835.0219,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LUNG SCAN VENT/AEROSOL,341,RC,,,,,inpatient,,,1577,,788.5,946.2,1592.2969,1482.38,,,,percent of total billed charges,,1261.6,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1308.91,,,,percent of total billed charges,,1419.3,,,,percent of total billed charges,,1450.84,,,,percent of total billed charges,,1450.84,,,,percent of total billed charges,,1491.842,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1529.69,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1387.76,,,,percent of total billed charges,,1419.3,,,,percent of total billed charges,,1021.896,,,,percent of total billed charges,,1419.3,,,,percent of total billed charges,,946.2,,,,percent of total billed charges,,1592.2969,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1261.6,,,,percent of total billed charges,,946.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM QUANTITATIVE LUNG SCAN,341,RC,,,,,inpatient,,,1438,,719,862.8,1451.9486,1351.72,,,,percent of total billed charges,,1150.4,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1193.54,,,,percent of total billed charges,,1294.2,,,,percent of total billed charges,,1322.96,,,,percent of total billed charges,,1322.96,,,,percent of total billed charges,,1360.348,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1394.86,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1265.44,,,,percent of total billed charges,,1294.2,,,,percent of total billed charges,,931.824,,,,percent of total billed charges,,1294.2,,,,percent of total billed charges,,862.8,,,,percent of total billed charges,,1451.9486,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1366.1,,,,percent of total billed charges,,1150.4,,,,percent of total billed charges,,862.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CERETEC PER DOSE =<25MCI,343,RC,,,,,inpatient,,,4029,,2014.5,2417.4,4068.0813,3787.26,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3344.07,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3706.68,,,,percent of total billed charges,,3811.434,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3908.13,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3545.52,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,2610.792,,,,percent of total billed charges,,3626.1,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,4068.0813,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3827.55,,,,percent of total billed charges,,3223.2,,,,percent of total billed charges,,2417.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG F-18 FDG =<45 MCI,343,RC,,,,,inpatient,,,998,,499,598.8,1007.6806,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,646.704,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,1007.6806,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PENETATE DTPA AEROSOL <=75MCI,343,RC,,,,,inpatient,,,271,,135.5,162.6,273.6287,254.74,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,224.93,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,249.32,,,,percent of total billed charges,,256.366,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,262.87,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,238.48,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,175.608,,,,percent of total billed charges,,243.9,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,273.6287,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,257.45,,,,percent of total billed charges,,216.8,,,,percent of total billed charges,,162.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SINCALIDE (KINEVAC) PER 5 MCG,636,RC,,,,,inpatient,,,541,,270.5,324.6,546.2477,508.54,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,449.03,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,511.786,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,524.77,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,476.08,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,350.568,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,546.2477,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IN 111 OXYQUINOLINE DX 0.5 MCI,343,RC,,,,,inpatient,,,1402,,701,841.2,1415.5994,1317.88,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1163.66,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1289.84,,,,percent of total billed charges,,1326.292,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1359.94,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1233.76,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,908.496,,,,percent of total billed charges,,1261.8,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,1415.5994,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1331.9,,,,percent of total billed charges,,1121.6,,,,percent of total billed charges,,841.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIDNEY MORPHOLOGY IMAGING,341,RC,,,,,inpatient,,,2339,,1169.5,1403.4,2361.6883,2198.66,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1941.37,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2151.88,,,,percent of total billed charges,,2212.694,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2268.83,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2058.32,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1515.672,,,,percent of total billed charges,,2105.1,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,2361.6883,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,2222.05,,,,percent of total billed charges,,1871.2,,,,percent of total billed charges,,1403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM SCINTOMAMMO BILATERAL,341,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA CHEST W/ & W/O CONTRAST,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASPRIATION CYST, BREAST ADDIT",361,RC,,,,,inpatient,,,776,,388,465.6,783.5272,729.44,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,644.08,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,734.096,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,752.72,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,502.848,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,783.5272,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION SINUS TRACT, THERAP",361,RC,,,,,inpatient,,,2365,,1182.5,1419,2387.9405,2223.1,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1962.95,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2237.29,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2294.05,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2081.2,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1532.52,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,2387.9405,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BX, SOFT TIS BACK/FLANK DEEP",361,RC,,,,,inpatient,,,8556,,4278,5133.6,8638.9932,8042.64,,,,percent of total billed charges,,6844.8,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,7101.48,,,,percent of total billed charges,,7700.4,,,,percent of total billed charges,,7871.52,,,,percent of total billed charges,,7871.52,,,,percent of total billed charges,,8093.976,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,8299.32,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,7529.28,,,,percent of total billed charges,,7700.4,,,,percent of total billed charges,,5544.288,,,,percent of total billed charges,,7700.4,,,,percent of total billed charges,,5133.6,,,,percent of total billed charges,,8638.9932,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,8128.2,,,,percent of total billed charges,,6844.8,,,,percent of total billed charges,,5133.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32998-0361 ABALATION PULMONARY TUMOR,361,RC,,,,,inpatient,,,10410,,5205,6246,10510.977,9785.4,,,,percent of total billed charges,,8328,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,8640.3,,,,percent of total billed charges,,9369,,,,percent of total billed charges,,9577.2,,,,percent of total billed charges,,9577.2,,,,percent of total billed charges,,9847.86,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,10097.7,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,9160.8,,,,percent of total billed charges,,9369,,,,percent of total billed charges,,6745.68,,,,percent of total billed charges,,9369,,,,percent of total billed charges,,6246,,,,percent of total billed charges,,10510.977,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,9889.5,,,,percent of total billed charges,,8328,,,,percent of total billed charges,,6246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTR NEDLE/CATH CAR/VERT ART,361,RC,,,,,inpatient,,,5407,,2703.5,3244.2,5459.4479,5082.58,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4487.81,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,5115.022,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5244.79,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4758.16,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,3503.736,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,5459.4479,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36468-0361 INJ SCLER SOL LIMB/TRNK SPI VE,361,RC,,,,,inpatient,,,541,,270.5,324.6,546.2477,508.54,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,449.03,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,497.72,,,,percent of total billed charges,,511.786,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,524.77,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,476.08,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,350.568,,,,percent of total billed charges,,486.9,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,546.2477,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,513.95,,,,percent of total billed charges,,432.8,,,,percent of total billed charges,,324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ SCLEROSING SOL SING VEIN,361,RC,,,,,inpatient,,,1609,,804.5,965.4,1624.6073,1512.46,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1335.47,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1522.114,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1560.73,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1415.92,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1042.632,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,1624.6073,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ SCLEROSING SOL MULT VEIN,361,RC,,,,,inpatient,,,3049,,1524.5,1829.4,3078.5753,2866.06,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2530.67,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2884.354,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2957.53,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2683.12,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,1975.752,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,3078.5753,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV ABLATION EXTREMITY 1ST VEIN,361,RC,,,,,inpatient,,,9217,,4608.5,5530.2,9306.4049,8663.98,,,,percent of total billed charges,,7373.6,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,7650.11,,,,percent of total billed charges,,8295.3,,,,percent of total billed charges,,8479.64,,,,percent of total billed charges,,8479.64,,,,percent of total billed charges,,8719.282,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,8940.49,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,8110.96,,,,percent of total billed charges,,8295.3,,,,percent of total billed charges,,5972.616,,,,percent of total billed charges,,8295.3,,,,percent of total billed charges,,5530.2,,,,percent of total billed charges,,9306.4049,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,8756.15,,,,percent of total billed charges,,7373.6,,,,percent of total billed charges,,5530.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV ABLATION EXTREMITY ADD VEIN,361,RC,,,,,inpatient,,,5277,,2638.5,3166.2,5328.1869,4960.38,,,,percent of total billed charges,,4221.6,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,4379.91,,,,percent of total billed charges,,4749.3,,,,percent of total billed charges,,4854.84,,,,percent of total billed charges,,4854.84,,,,percent of total billed charges,,4992.042,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,5118.69,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,4643.76,,,,percent of total billed charges,,4749.3,,,,percent of total billed charges,,3419.496,,,,percent of total billed charges,,4749.3,,,,percent of total billed charges,,3166.2,,,,percent of total billed charges,,5328.1869,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,5013.15,,,,percent of total billed charges,,4221.6,,,,percent of total billed charges,,3166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS TUNNEL CV ACES DEV W/ SQPUM,361,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICV ACC DEV W/ PORT <5Y OA,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REP COMP PICC W/ SQPORT SVA,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT CANNULA DECLOT W/O BALLOON,361,RC,,,,,inpatient,,,4136,,2068,2481.6,4176.1192,3887.84,,,,percent of total billed charges,,3308.8,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3432.88,,,,percent of total billed charges,,3722.4,,,,percent of total billed charges,,3805.12,,,,percent of total billed charges,,3805.12,,,,percent of total billed charges,,3912.656,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,4011.92,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3639.68,,,,percent of total billed charges,,3722.4,,,,percent of total billed charges,,2680.128,,,,percent of total billed charges,,3722.4,,,,percent of total billed charges,,2481.6,,,,percent of total billed charges,,4176.1192,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3929.2,,,,percent of total billed charges,,3308.8,,,,percent of total billed charges,,2481.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXT CANNULA DECLOT W/ BALLOON,361,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANLUM MECH THROMBECT VEIN RP,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION SPLENOPORTOGRAPHY,361,RC,,,,,inpatient,,,5433,,2716.5,3259.8,5485.7001,5107.02,,,,percent of total billed charges,,4346.4,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,4509.39,,,,percent of total billed charges,,4889.7,,,,percent of total billed charges,,4998.36,,,,percent of total billed charges,,4998.36,,,,percent of total billed charges,,5139.618,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,5270.01,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,4781.04,,,,percent of total billed charges,,4889.7,,,,percent of total billed charges,,3520.584,,,,percent of total billed charges,,4889.7,,,,percent of total billed charges,,3259.8,,,,percent of total billed charges,,5485.7001,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,5161.35,,,,percent of total billed charges,,4346.4,,,,percent of total billed charges,,3259.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW ASPIRATION,361,RC,,,,,inpatient,,,2434,,1217,1460.4,2457.6098,2287.96,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2020.22,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2239.28,,,,percent of total billed charges,,2302.564,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2360.98,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2141.92,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1577.232,,,,percent of total billed charges,,2190.6,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,2457.6098,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,2312.3,,,,percent of total billed charges,,1947.2,,,,percent of total billed charges,,1460.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CECOS/OTH COLON TUB W/ FLU,361,RC,,,,,inpatient,,,7392,,3696,4435.2,7463.7024,6948.48,,,,percent of total billed charges,,5913.6,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,6135.36,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,6800.64,,,,percent of total billed charges,,6800.64,,,,percent of total billed charges,,6992.832,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,7170.24,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,6504.96,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,4790.016,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,4435.2,,,,percent of total billed charges,,7463.7024,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,5913.6,,,,percent of total billed charges,,4435.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECH REMOV OBS MAT G/J TUB,361,RC,,,,,inpatient,,,1499,,749.5,899.4,1513.5403,1409.06,,,,percent of total billed charges,,1199.2,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1244.17,,,,percent of total billed charges,,1349.1,,,,percent of total billed charges,,1379.08,,,,percent of total billed charges,,1379.08,,,,percent of total billed charges,,1418.054,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1454.03,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1319.12,,,,percent of total billed charges,,1349.1,,,,percent of total billed charges,,971.352,,,,percent of total billed charges,,1349.1,,,,percent of total billed charges,,899.4,,,,percent of total billed charges,,1513.5403,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1424.05,,,,percent of total billed charges,,1199.2,,,,percent of total billed charges,,899.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REM/REPL INT URETERAL STENT,361,RC,,,,,inpatient,,,10163,,5081.5,6097.8,10261.5811,9553.22,,,,percent of total billed charges,,8130.4,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,8435.29,,,,percent of total billed charges,,9146.7,,,,percent of total billed charges,,9349.96,,,,percent of total billed charges,,9349.96,,,,percent of total billed charges,,9614.198,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,9858.11,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,8943.44,,,,percent of total billed charges,,9146.7,,,,percent of total billed charges,,6585.624,,,,percent of total billed charges,,9146.7,,,,percent of total billed charges,,6097.8,,,,percent of total billed charges,,10261.5811,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,9654.85,,,,percent of total billed charges,,8130.4,,,,percent of total billed charges,,6097.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REM/REPL INT URETERAL STENT TU,361,RC,,,,,inpatient,,,6933,,3466.5,4159.8,7000.2501,6517.02,,,,percent of total billed charges,,5546.4,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,5754.39,,,,percent of total billed charges,,6239.7,,,,percent of total billed charges,,6378.36,,,,percent of total billed charges,,6378.36,,,,percent of total billed charges,,6558.618,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,6725.01,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,6101.04,,,,percent of total billed charges,,6239.7,,,,percent of total billed charges,,4492.584,,,,percent of total billed charges,,6239.7,,,,percent of total billed charges,,4159.8,,,,percent of total billed charges,,7000.2501,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,6586.35,,,,percent of total billed charges,,5546.4,,,,percent of total billed charges,,4159.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50386-0361 REMOV INT URETERAL STENT TU,361,RC,,,,,inpatient,,,5153,,2576.5,3091.8,5202.9841,4843.82,,,,percent of total billed charges,,4122.4,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4276.99,,,,percent of total billed charges,,4637.7,,,,percent of total billed charges,,4740.76,,,,percent of total billed charges,,4740.76,,,,percent of total billed charges,,4874.738,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4998.41,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4534.64,,,,percent of total billed charges,,4637.7,,,,percent of total billed charges,,3339.144,,,,percent of total billed charges,,4637.7,,,,percent of total billed charges,,3091.8,,,,percent of total billed charges,,5202.9841,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4895.35,,,,percent of total billed charges,,4122.4,,,,percent of total billed charges,,3091.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INST THER AGE RENAL PEL/URET,361,RC,,,,,inpatient,,,3059,,1529.5,1835.4,3088.6723,2875.46,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2538.97,,,,percent of total billed charges,,2753.1,,,,percent of total billed charges,,2814.28,,,,percent of total billed charges,,2814.28,,,,percent of total billed charges,,2893.814,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2967.23,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2691.92,,,,percent of total billed charges,,2753.1,,,,percent of total billed charges,,1982.232,,,,percent of total billed charges,,2753.1,,,,percent of total billed charges,,1835.4,,,,percent of total billed charges,,3088.6723,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2906.05,,,,percent of total billed charges,,2447.2,,,,percent of total billed charges,,1835.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51040-0361 CYSTOTOMY W/ DRAINAGE,361,RC,,,,,inpatient,,,5088,,2544,3052.8,5137.3536,4782.72,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4223.04,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4813.248,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4935.36,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4477.44,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,3297.024,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,5137.3536,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BX SPINAL CORD, PERC",361,RC,,,,,inpatient,,,7823,,3911.5,4693.8,7898.8831,7353.62,,,,percent of total billed charges,,6258.4,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,6493.09,,,,percent of total billed charges,,7040.7,,,,percent of total billed charges,,7197.16,,,,percent of total billed charges,,7197.16,,,,percent of total billed charges,,7400.558,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,7588.31,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,6884.24,,,,percent of total billed charges,,7040.7,,,,percent of total billed charges,,5069.304,,,,percent of total billed charges,,7040.7,,,,percent of total billed charges,,4693.8,,,,percent of total billed charges,,7898.8831,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,7431.85,,,,percent of total billed charges,,6258.4,,,,percent of total billed charges,,4693.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ DISK EA LEVEL CERV/THORAC,361,RC,,,,,inpatient,,,5208,,2604,3124.8,5258.5176,4895.52,,,,percent of total billed charges,,4166.4,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4322.64,,,,percent of total billed charges,,4687.2,,,,percent of total billed charges,,4791.36,,,,percent of total billed charges,,4791.36,,,,percent of total billed charges,,4926.768,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,5051.76,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4583.04,,,,percent of total billed charges,,4687.2,,,,percent of total billed charges,,3374.784,,,,percent of total billed charges,,4687.2,,,,percent of total billed charges,,3124.8,,,,percent of total billed charges,,5258.5176,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4947.6,,,,percent of total billed charges,,4166.4,,,,percent of total billed charges,,3124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DX ARTHRO/ANKLE,322,RC,,,,,inpatient,,,1412,,706,847.2,1425.6964,1327.28,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1171.96,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1299.04,,,,percent of total billed charges,,1335.752,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1369.64,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1242.56,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,914.976,,,,percent of total billed charges,,1270.8,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,1425.6964,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1341.4,,,,percent of total billed charges,,1129.6,,,,percent of total billed charges,,847.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RENAL CYST STUDY/TRANSLUMBAR,320,RC,,,,,inpatient,,,807,,403.5,484.2,814.8279,758.58,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,669.81,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,742.44,,,,percent of total billed charges,,763.422,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,782.79,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,710.16,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,522.936,,,,percent of total billed charges,,726.3,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,814.8279,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,766.65,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,484.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR RTERIOGRAM ADRENAL,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR ARTER ADRENAL BILAT,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPLENOPORTOGRAPHY,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM RENAL BILATERAL,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM ADREN UNI,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM ADRENAL BILAT,320,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR VENOGRAM EPIDURAL,320,RC,,,,,inpatient,,,6726,,3363,4035.6,6791.2422,6322.44,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5582.58,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6362.796,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6524.22,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5918.88,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,4358.448,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,6791.2422,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THYROID UPTAKE, SINGLE OR MULTIPLE",340,RC,,,,,inpatient,,,756,,378,453.6,763.3332,710.64,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,627.48,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,695.52,,,,percent of total billed charges,,715.176,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,733.32,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,665.28,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,489.888,,,,percent of total billed charges,,680.4,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,763.3332,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,718.2,,,,percent of total billed charges,,604.8,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID IMAGING,340,RC,,,,,inpatient,,,749,,374.5,449.4,756.2653,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,485.352,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,756.2653,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THYROID IMAGING W SINGLE OR MULTIPLE UPTAKES,340,RC,,,,,inpatient,,,1262,,631,757.2,1274.2414,1186.28,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1047.46,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1161.04,,,,percent of total billed charges,,1193.852,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1224.14,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1110.56,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,817.776,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,1274.2414,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1198.9,,,,percent of total billed charges,,1009.6,,,,percent of total billed charges,,757.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARATHYROID IMAGING WITH SPECT & CT,340,RC,,,,,inpatient,,,1668,,834,1000.8,1684.1796,1567.92,,,,percent of total billed charges,,1334.4,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1384.44,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,1534.56,,,,percent of total billed charges,,1534.56,,,,percent of total billed charges,,1577.928,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1617.96,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1467.84,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,1080.864,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,1000.8,,,,percent of total billed charges,,1684.1796,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1584.6,,,,percent of total billed charges,,1334.4,,,,percent of total billed charges,,1000.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST BILATERAL W/ CONTR,610,RC,,,,,inpatient,,,3255,,1627.5,1953,3286.5735,3059.7,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2701.65,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,3079.23,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3157.35,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2864.4,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2109.24,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,3286.5735,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST BILATERAL W/O CONTR FOL W/ CONTRAST,610,RC,,,,,inpatient,,,3255,,1627.5,1953,3286.5735,3059.7,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2701.65,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,2994.6,,,,percent of total billed charges,,3079.23,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3157.35,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2864.4,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,2109.24,,,,percent of total billed charges,,2929.5,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,3286.5735,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,3092.25,,,,percent of total billed charges,,2604,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST UNILATERAL W/ CONTRAST,614,RC,,,,,inpatient,,,2258,,1129,1354.8,2279.9026,2122.52,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1874.14,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2136.068,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2190.26,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1987.04,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1463.184,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,2279.9026,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI BREAST UNILATERAL WO/ CONTRAST,614,RC,,,,,inpatient,,,2258,,1129,1354.8,2279.9026,2122.52,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1874.14,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2077.36,,,,percent of total billed charges,,2136.068,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2190.26,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1987.04,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1463.184,,,,percent of total billed charges,,2032.2,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,2279.9026,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,2145.1,,,,percent of total billed charges,,1806.4,,,,percent of total billed charges,,1354.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI ANGIO, ABDOM W CONTRAST",618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI ANGIO, ABDOM WO CONTRAST",618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO LWR EXT W CONTRAST,618,RC,,,,,inpatient,,,1894,,947,1136.4,1912.3718,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1227.312,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1912.3718,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO LWR EXT WO CONTRAST,618,RC,,,,,inpatient,,,1894,,947,1136.4,1912.3718,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1227.312,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1912.3718,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO PELVIS W CONTRAST,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI ANGIO PELVIS WO CONTRAST,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA UPR EXT W/CONTRAST,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRA UPR EXT WO/CONTRAST,618,RC,,,,,inpatient,,,2750,,1375,1650,2776.675,2585,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2282.5,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2530,,,,percent of total billed charges,,2601.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2667.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2420,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1782,,,,percent of total billed charges,,2475,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,2776.675,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2612.5,,,,percent of total billed charges,,2200,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEVIC PLACMT BST LOC LES W GUID,401,RC,,,,,inpatient,,,1997,,998.5,1198.2,2016.3709,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1294.056,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,2016.3709,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEV PLACMT BST LOC LES W GUID ADD,401,RC,,,,,inpatient,,,999,,499.5,599.4,1008.6903,939.06,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,829.17,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,945.054,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,969.03,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,879.12,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,647.352,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,1008.6903,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEVIC PLACMT BST LOC LES W GUID,401,RC,,,,,inpatient,,,1997,,998.5,1198.2,2016.3709,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1294.056,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,2016.3709,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ DEV PLACMT BST LOC LES W GUID ADD,401,RC,,,,,inpatient,,,999,,499.5,599.4,1008.6903,939.06,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,829.17,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,919.08,,,,percent of total billed charges,,945.054,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,969.03,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,879.12,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,647.352,,,,percent of total billed charges,,899.1,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,1008.6903,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,949.05,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE 1ST LESION STEREOTACTIC GUIDE,401,RC,,,,,inpatient,,,3627,,1813.5,2176.2,3662.1819,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2350.296,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3662.1819,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION STEREOTACT GUIDE,401,RC,,,,,inpatient,,,2530,,1265,1518,2554.541,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1639.44,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2554.541,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE 1ST LESION STEREOTACTIC GUIDE,401,RC,,,,,inpatient,,,3627,,1813.5,2176.2,3662.1819,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2350.296,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3662.1819,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION STEREOTACT GUIDE,401,RC,,,,,inpatient,,,2530,,1265,1518,2554.541,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1639.44,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2554.541,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,402,RC,,,,,inpatient,,,1723,,861.5,1033.8,1739.7131,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1116.504,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1739.7131,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,402,RC,,,,,inpatient,,,863,,431.5,517.8,871.3711,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,559.224,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,871.3711,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,402,RC,,,,,inpatient,,,1723,,861.5,1033.8,1739.7131,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1116.504,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1739.7131,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,402,RC,,,,,inpatient,,,863,,431.5,517.8,871.3711,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,559.224,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,871.3711,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE 1ST LESION US GUIDE,402,RC,,,,,inpatient,,,3627,,1813.5,2176.2,3662.1819,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2350.296,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3662.1819,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION US GUIDE,401,RC,,,,,inpatient,,,2530,,1265,1518,2554.541,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1639.44,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2554.541,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/DEVICE 1ST LESION US GUIDE,401,RC,,,,,inpatient,,,3627,,1813.5,2176.2,3662.1819,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2350.296,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3662.1819,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BX BREAST W/ DEVICE ADDL LESION US GUIDE,401,RC,,,,,inpatient,,,2530,,1265,1518,2554.541,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1639.44,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2554.541,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST, WHOLE",402,RC,,,,,inpatient,,,498,,249,298.8,502.8306,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,322.704,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,502.8306,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST, LIMITED",402,RC,,,,,inpatient,,,498,,249,298.8,502.8306,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,322.704,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,502.8306,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST, AXILLA",402,RC,,,,,inpatient,,,498,,249,298.8,502.8306,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,322.704,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,502.8306,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DEXA WITH VFA,320,RC,,,,,inpatient,,,1491,,745.5,894.6,1505.4627,1401.54,,,,percent of total billed charges,,1192.8,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1237.53,,,,percent of total billed charges,,1341.9,,,,percent of total billed charges,,1371.72,,,,percent of total billed charges,,1371.72,,,,percent of total billed charges,,1410.486,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1446.27,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1312.08,,,,percent of total billed charges,,1341.9,,,,percent of total billed charges,,966.168,,,,percent of total billed charges,,1341.9,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,1505.4627,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1416.45,,,,percent of total billed charges,,1192.8,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCREENING BREAST TOMO, BILATERAL",403,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SCREENING BREAST TOMO, BILATERAL",403,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIAGNOSTIC BREAST TOMO, BILATERAL",401,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DIAGNOSTIC BREAST TOMO, UNILATERAL",401,RC,,,,,inpatient,,,87,,43.5,52.2,87.8439,81.78,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,72.21,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,80.04,,,,percent of total billed charges,,82.302,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,84.39,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,76.56,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,78.3,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,87.8439,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,82.65,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C2613 LUNG BIOPSY PLUG WITH DELIVERY SYSTEM,278,RC,,,,,inpatient,,,1447,,723.5,868.2,1461.0359,1360.18,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1201.01,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1331.24,,,,percent of total billed charges,,1368.862,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1403.59,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1273.36,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,937.656,,,,percent of total billed charges,,1302.3,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,1461.0359,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1374.65,,,,percent of total billed charges,,1157.6,,,,percent of total billed charges,,868.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG I123 IODINE PER MCI,343,RC,,,,,inpatient,,,3251,,1625.5,1950.6,3282.5347,3055.94,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2698.33,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,3075.446,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3153.47,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2860.88,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2106.648,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,3282.5347,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, CHEST",402,RC,,,,,inpatient,,,808,,404,484.8,815.8376,759.52,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,670.64,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,743.36,,,,percent of total billed charges,,764.368,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,783.76,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,711.04,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,523.584,,,,percent of total billed charges,,727.2,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,815.8376,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,767.6,,,,percent of total billed charges,,646.4,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NM LIVER IMG SPECT W/FLOW,340,RC,,,,,inpatient,,,5608,,2804,3364.8,5662.3976,5271.52,,,,percent of total billed charges,,4486.4,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,4654.64,,,,percent of total billed charges,,5047.2,,,,percent of total billed charges,,5159.36,,,,percent of total billed charges,,5159.36,,,,percent of total billed charges,,5305.168,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,5439.76,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,4935.04,,,,percent of total billed charges,,5047.2,,,,percent of total billed charges,,3633.984,,,,percent of total billed charges,,5047.2,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,5662.3976,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,5327.6,,,,percent of total billed charges,,4486.4,,,,percent of total billed charges,,3364.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RED BLOOD CELL LIVER,341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 73620-0320 XR FOOT AP+LAT BILATERAL,320,RC,,,,,inpatient,,,335,,167.5,201,338.2495,314.9,,,,percent of total billed charges,,268,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,278.05,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,308.2,,,,percent of total billed charges,,316.91,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,324.95,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,294.8,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,217.08,,,,percent of total billed charges,,301.5,,,,percent of total billed charges,,201,,,,percent of total billed charges,,338.2495,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,318.25,,,,percent of total billed charges,,268,,,,percent of total billed charges,,201,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO ADM INTRALESIONAL UP TO=7,331,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEM ADM INTRALESIONAL > 7,331,RC,,,,,inpatient,,,826,,413,495.6,834.0122,776.44,,,,percent of total billed charges,,660.8,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,685.58,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,759.92,,,,percent of total billed charges,,759.92,,,,percent of total billed charges,,781.396,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,801.22,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,726.88,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,535.248,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,495.6,,,,percent of total billed charges,,834.0122,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,784.7,,,,percent of total billed charges,,660.8,,,,percent of total billed charges,,495.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STEREOTACT RADIOSURG,1SES",333,RC,,,,,inpatient,,,9282,,4641,5569.2,9372.0354,8725.08,,,,percent of total billed charges,,7425.6,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,7704.06,,,,percent of total billed charges,,8353.8,,,,percent of total billed charges,,8539.44,,,,percent of total billed charges,,8539.44,,,,percent of total billed charges,,8780.772,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,9003.54,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,8168.16,,,,percent of total billed charges,,8353.8,,,,percent of total billed charges,,6014.736,,,,percent of total billed charges,,8353.8,,,,percent of total billed charges,,5569.2,,,,percent of total billed charges,,9372.0354,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,8817.9,,,,percent of total billed charges,,7425.6,,,,percent of total billed charges,,5569.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA TXTMT PLAN - SIMPLE,333,RC,,,,,inpatient,,,413,,206.5,247.8,417.0061,388.22,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,342.79,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,379.96,,,,percent of total billed charges,,390.698,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,400.61,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,363.44,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,267.624,,,,percent of total billed charges,,371.7,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,417.0061,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,392.35,,,,percent of total billed charges,,330.4,,,,percent of total billed charges,,247.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA TXTMT PLAN - INTERMEDIATE,333,RC,,,,,inpatient,,,620,,310,372,626.014,582.8,,,,percent of total billed charges,,496,,,,percent of total billed charges,,589,,,,percent of total billed charges,,514.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,586.52,,,,percent of total billed charges,,589,,,,percent of total billed charges,,601.4,,,,percent of total billed charges,,589,,,,percent of total billed charges,,545.6,,,,percent of total billed charges,,558,,,,percent of total billed charges,,401.76,,,,percent of total billed charges,,558,,,,percent of total billed charges,,372,,,,percent of total billed charges,,626.014,,,,percent of total billed charges,,589,,,,percent of total billed charges,,589,,,,percent of total billed charges,,496,,,,percent of total billed charges,,372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA TXTMT PLAN - COMPLEX,333,RC,,,,,inpatient,,,920,,460,552,928.924,864.8,,,,percent of total billed charges,,736,,,,percent of total billed charges,,874,,,,percent of total billed charges,,763.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,874,,,,percent of total billed charges,,892.4,,,,percent of total billed charges,,874,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,828,,,,percent of total billed charges,,596.16,,,,percent of total billed charges,,828,,,,percent of total billed charges,,552,,,,percent of total billed charges,,928.924,,,,percent of total billed charges,,874,,,,percent of total billed charges,,874,,,,percent of total billed charges,,736,,,,percent of total billed charges,,552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA WKLY RAD TXT,333,RC,,,,,inpatient,,,565,,282.5,339,570.4805,531.1,,,,percent of total billed charges,,452,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,468.95,,,,percent of total billed charges,,508.5,,,,percent of total billed charges,,519.8,,,,percent of total billed charges,,519.8,,,,percent of total billed charges,,534.49,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,548.05,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,497.2,,,,percent of total billed charges,,508.5,,,,percent of total billed charges,,366.12,,,,percent of total billed charges,,508.5,,,,percent of total billed charges,,339,,,,percent of total billed charges,,570.4805,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,536.75,,,,percent of total billed charges,,452,,,,percent of total billed charges,,339,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VA 1 OR 2 FRACTIONS,333,RC,,,,,inpatient,,,261,,130.5,156.6,263.5317,245.34,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,216.63,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,240.12,,,,percent of total billed charges,,246.906,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,253.17,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,169.128,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,263.5317,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,247.95,,,,percent of total billed charges,,208.8,,,,percent of total billed charges,,156.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 73706-0352 CT CTA EXT LOWER BILATER,352,RC,,,,,inpatient,,,2123,,1061.5,1273.8,2143.5931,1995.62,,,,percent of total billed charges,,1698.4,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,1762.09,,,,percent of total billed charges,,1910.7,,,,percent of total billed charges,,1953.16,,,,percent of total billed charges,,1953.16,,,,percent of total billed charges,,2008.358,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,2059.31,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,1868.24,,,,percent of total billed charges,,1910.7,,,,percent of total billed charges,,1375.704,,,,percent of total billed charges,,1910.7,,,,percent of total billed charges,,1273.8,,,,percent of total billed charges,,2143.5931,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,2016.85,,,,percent of total billed charges,,1698.4,,,,percent of total billed charges,,1273.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US BREAST COMPLETE BIL,402,RC,,,,,inpatient,,,498,,249,298.8,502.8306,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,322.704,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,502.8306,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US BREAST LIMITED, BIL",402,RC,,,,,inpatient,,,498,,249,298.8,502.8306,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,322.704,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,502.8306,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US SOFT TISSUE, EXTREMITY",402,RC,,,,,inpatient,,,596,,298,357.6,601.7812,560.24,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,494.68,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,548.32,,,,percent of total billed charges,,563.816,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,578.12,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,524.48,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,386.208,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,601.7812,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,566.2,,,,percent of total billed charges,,476.8,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1882 CARDIOVERTER-DEFIB, OTHER THAN SINGLE OR DUAL, IMPLANT",275,RC,,,,,inpatient,,,31702,,15851,19021.2,32009.5094,29799.88,,,,percent of total billed charges,,25361.6,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,26312.66,,,,percent of total billed charges,,28531.8,,,,percent of total billed charges,,29165.84,,,,percent of total billed charges,,29165.84,,,,percent of total billed charges,,29990.092,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,30750.94,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,27897.76,,,,percent of total billed charges,,28531.8,,,,percent of total billed charges,,20542.896,,,,percent of total billed charges,,28531.8,,,,percent of total billed charges,,19021.2,,,,percent of total billed charges,,32009.5094,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,30116.9,,,,percent of total billed charges,,25361.6,,,,percent of total billed charges,,19021.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIVENTRIC PM&AICD W/RPGM,480,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANALY CARD MONITOR SYSTEM,480,RC,,,,,inpatient,,,215,,107.5,129,217.0855,202.1,,,,percent of total billed charges,,172,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,178.45,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,197.8,,,,percent of total billed charges,,203.39,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,208.55,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,139.32,,,,percent of total billed charges,,193.5,,,,percent of total billed charges,,129,,,,percent of total billed charges,,217.0855,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,204.25,,,,percent of total billed charges,,172,,,,percent of total billed charges,,129,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PALLADIUM 103 SEEDS,278,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EG EEG SLEEP ONLY,740,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILATERAL SCREENING MAMMO WITH CAD,403,RC,,,,,inpatient,,,641,,320.5,384.6,647.2177,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,415.368,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,647.2177,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNILATERAL SCREENING MAMMO WITH CAD,403,RC,,,,,inpatient,,,304,,152,182.4,306.9488,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,306.9488,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILATERAL DIAGNOSTIC MAMMO WITH CAD,401,RC,,,,,inpatient,,,641,,320.5,384.6,647.2177,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,415.368,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,647.2177,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNILATERAL DIAGNOSTIC MAMMO WITH CAD,401,RC,,,,,inpatient,,,395,,197.5,237,398.8315,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,255.96,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,398.8315,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37188 VENOUS M-THROMBECTOMY ADD-ON,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33340  PER TRANSCATH CLOSURE,361,RC,,,,,inpatient,,,22480,,11240,13488,22698.056,21131.2,,,,percent of total billed charges,,17984,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,18658.4,,,,percent of total billed charges,,20232,,,,percent of total billed charges,,20681.6,,,,percent of total billed charges,,20681.6,,,,percent of total billed charges,,21266.08,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,21805.6,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,19782.4,,,,percent of total billed charges,,20232,,,,percent of total billed charges,,14567.04,,,,percent of total billed charges,,20232,,,,percent of total billed charges,,13488,,,,percent of total billed charges,,22698.056,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,21356,,,,percent of total billed charges,,17984,,,,percent of total billed charges,,13488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36473  ENDOVENOUS ABLATION, FIRST",361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36474  ENDOVENOUS ABLATION, SUB",361,RC,,,,,inpatient,,,2909,,1454.5,1745.4,2937.2173,2734.46,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2414.47,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2751.914,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2821.73,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2559.92,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,1885.032,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,2937.2173,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36901-0361  INTRODUCTION OF NEEDLE/CATH,361,RC,,,,,inpatient,,,2565,,1282.5,1539,2589.8805,2411.1,,,,percent of total billed charges,,2052,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2128.95,,,,percent of total billed charges,,2308.5,,,,percent of total billed charges,,2359.8,,,,percent of total billed charges,,2359.8,,,,percent of total billed charges,,2426.49,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2488.05,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,2308.5,,,,percent of total billed charges,,1662.12,,,,percent of total billed charges,,2308.5,,,,percent of total billed charges,,1539,,,,percent of total billed charges,,2589.8805,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2436.75,,,,percent of total billed charges,,2052,,,,percent of total billed charges,,1539,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36902  INTRODUCTION OF NEEDLE/CATH,ANGIO",361,RC,,,,,inpatient,,,13793,,6896.5,8275.8,13926.7921,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8937.864,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,13926.7921,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36903  INTRODUCTION OF NEEDLE/STENT,361,RC,,,,,inpatient,,,7826,,3913,4695.6,7901.9122,7356.44,,,,percent of total billed charges,,6260.8,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,6495.58,,,,percent of total billed charges,,7043.4,,,,percent of total billed charges,,7199.92,,,,percent of total billed charges,,7199.92,,,,percent of total billed charges,,7403.396,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,7591.22,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,6886.88,,,,percent of total billed charges,,7043.4,,,,percent of total billed charges,,5071.248,,,,percent of total billed charges,,7043.4,,,,percent of total billed charges,,4695.6,,,,percent of total billed charges,,7901.9122,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,7434.7,,,,percent of total billed charges,,6260.8,,,,percent of total billed charges,,4695.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36904  PERC TRANSLUMIN MECH THROMBECTOMY,361,RC,,,,,inpatient,,,9307,,4653.5,5584.2,9397.2779,8748.58,,,,percent of total billed charges,,7445.6,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,7724.81,,,,percent of total billed charges,,8376.3,,,,percent of total billed charges,,8562.44,,,,percent of total billed charges,,8562.44,,,,percent of total billed charges,,8804.422,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,9027.79,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,8190.16,,,,percent of total billed charges,,8376.3,,,,percent of total billed charges,,6030.936,,,,percent of total billed charges,,8376.3,,,,percent of total billed charges,,5584.2,,,,percent of total billed charges,,9397.2779,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,8841.65,,,,percent of total billed charges,,7445.6,,,,percent of total billed charges,,5584.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36905  PERCUTANEOUS TRANSLUMIN THROMB W/ ANGIOP,361,RC,,,,,inpatient,,,17986,,8993,10791.6,18160.4642,16906.84,,,,percent of total billed charges,,14388.8,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,14928.38,,,,percent of total billed charges,,16187.4,,,,percent of total billed charges,,16547.12,,,,percent of total billed charges,,16547.12,,,,percent of total billed charges,,17014.756,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,17446.42,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,15827.68,,,,percent of total billed charges,,16187.4,,,,percent of total billed charges,,11654.928,,,,percent of total billed charges,,16187.4,,,,percent of total billed charges,,10791.6,,,,percent of total billed charges,,18160.4642,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,17086.7,,,,percent of total billed charges,,14388.8,,,,percent of total billed charges,,10791.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36906  PERCUTANEOUS TRANSLUMIN THROMB W/ STENT,361,RC,,,,,inpatient,,,20033,,10016.5,12019.8,20227.3201,18831.02,,,,percent of total billed charges,,16026.4,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,16627.39,,,,percent of total billed charges,,18029.7,,,,percent of total billed charges,,18430.36,,,,percent of total billed charges,,18430.36,,,,percent of total billed charges,,18951.218,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,19432.01,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,17629.04,,,,percent of total billed charges,,18029.7,,,,percent of total billed charges,,12981.384,,,,percent of total billed charges,,18029.7,,,,percent of total billed charges,,12019.8,,,,percent of total billed charges,,20227.3201,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,19031.35,,,,percent of total billed charges,,16026.4,,,,percent of total billed charges,,12019.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36907  TRANSLUMINAL BALLOON ANGIOP,361,RC,,,,,inpatient,,,13793,,6896.5,8275.8,13926.7921,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8937.864,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,13926.7921,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36908  TRANSCATHETER PLACEMENT STENT,361,RC,,,,,inpatient,,,13793,,6896.5,8275.8,13926.7921,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8937.864,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,13926.7921,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36909  DIALYSIS CIRCUIT PERMAN EMBOL,361,RC,,,,,inpatient,,,13793,,6896.5,8275.8,13926.7921,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8937.864,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,13926.7921,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37246  TRANSLUMINAL BALLOON ANGIOP,361,RC,,,,,inpatient,,,13793,,6896.5,8275.8,13926.7921,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8937.864,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,13926.7921,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37247  TRANSLUMINAL BALLOON ANGIOP LOWER ARTER,361,RC,,,,,inpatient,,,15862,,7931,9517.2,16015.8614,14910.28,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13165.46,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,15005.452,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15386.14,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13958.56,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,10278.576,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,16015.8614,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 37248  TRANSLUMINAL BALLOON ANGIO, INITIAL VEIN",361,RC,,,,,inpatient,,,8888,,4444,5332.8,8974.2136,8354.72,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7377.04,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8408.048,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8621.36,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7821.44,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5759.424,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,8974.2136,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 37249  TRANSLUMINAL BALLOON ANGIO, SUB VEIN",361,RC,,,,,inpatient,,,15862,,7931,9517.2,16015.8614,14910.28,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13165.46,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,14593.04,,,,percent of total billed charges,,15005.452,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15386.14,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,13958.56,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,10278.576,,,,percent of total billed charges,,14275.8,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,16015.8614,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,15068.9,,,,percent of total billed charges,,12689.6,,,,percent of total billed charges,,9517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62320  INJECTION(S), OF DIAG SUB W/O GUIDE",361,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62321  INJECTION(S), OF DIAG SUB W/ GUIDE",361,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62322  INJECTION(S), OF DIAG SUB W/O GUIDE",361,RC,,,,,inpatient,,,4311,,2155.5,2586.6,4352.8167,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2793.528,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4352.8167,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62323  INJECTION(S), OF DIAG SUB W/ GUIDE",361,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPACEOAR,361,RC,,,,,inpatient,,,10096,,5048,6057.6,10193.9312,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6542.208,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,10193.9312,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOABLATION OF LIVER TUMOR,361,RC,,,,,inpatient,,,20392,,10196,12235.2,20589.8024,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,13214.016,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,20589.8024,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PUNCTURE ASPIRATION OF HYDROCELE,361,RC,,,,,inpatient,,,1875,,937.5,1125,1893.1875,1762.5,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1556.25,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1773.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1818.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,1893.1875,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EG EMG THORACIC PARASPINAL MUSCLE,922,RC,,,,,inpatient,,,673,,336.5,403.8,679.5281,632.62,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,558.59,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,619.16,,,,percent of total billed charges,,636.658,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,652.81,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,592.24,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,436.104,,,,percent of total billed charges,,605.7,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,679.5281,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,639.35,,,,percent of total billed charges,,538.4,,,,percent of total billed charges,,403.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EG EEG CEREBRAL DEATH EVAL ONLY,740,RC,,,,,inpatient,,,668,,334,400.8,674.4796,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,432.864,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,674.4796,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92960-0480 CARDIOVERSION,480,RC,,,,,inpatient,,,2608,,1304,1564.8,2633.2976,2451.52,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2164.64,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2467.168,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2529.76,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2295.04,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1689.984,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,2633.2976,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV INSERT PACING ELECTROD, CVS,LEFT VENTRIC, ADD ON",480,RC,,,,,inpatient,,,5539,,2769.5,3323.4,5592.7283,5206.66,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4597.37,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5095.88,,,,percent of total billed charges,,5239.894,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5372.83,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4874.32,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,3589.272,,,,percent of total billed charges,,4985.1,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,5592.7283,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,5262.05,,,,percent of total billed charges,,4431.2,,,,percent of total billed charges,,3323.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REPOSITIONING OF PREV IMPLANT CVS, LEFT VENTRIC",480,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERM PACEMAKER W/ REPLACEMENT SINGLE,480,RC,,,,,inpatient,,,6193,,3096.5,3715.8,6253.0721,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4013.064,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,6253.0721,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERM PACEMAKER W/ REPLACEMENT DUAL,480,RC,,,,,inpatient,,,10122,,5061,6073.2,10220.1834,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6559.056,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,10220.1834,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERM PACEMAKER W/ REPLACEMENT MULTIPLE,480,RC,,,,,inpatient,,,16552,,8276,9931.2,16712.5544,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,10725.696,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,16712.5544,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV INSERT OF IMPLANT DEFIBRILLATOR ONLY W/ EXISTING SINGLE LEAD,480,RC,,,,,inpatient,,,16482,,8241,9889.2,16641.8754,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,10680.336,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,16641.8754,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV INSERT OF IMPLANT DEFIBRILLATOR ONLY W/EXISTING MULTIPLE LEAD,480,RC,,,,,inpatient,,,21456,,10728,12873.6,21664.1232,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,13903.488,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,21664.1232,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODES, SINGLE",480,RC,,,,,inpatient,,,6536,,3268,3921.6,6599.3992,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,4235.328,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6599.3992,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODES, DUAL",480,RC,,,,,inpatient,,,6536,,3268,3921.6,6599.3992,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,4235.328,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6599.3992,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV INSERT OF IMPLANT DEFBRILLATOR  ONLY, EXISTING SINGLE",480,RC,,,,,inpatient,,,16482,,8241,9889.2,16641.8754,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,10680.336,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,16641.8754,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF IMPLANTABLE DEFIBRILLATOR ONLY,480,RC,,,,,inpatient,,,6536,,3268,3921.6,6599.3992,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,4235.328,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6599.3992,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF IMPLANT DEFIBRILLATOR W/ REPLACE, SINGLE",480,RC,,,,,inpatient,,,16482,,8241,9889.2,16641.8754,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,10680.336,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,16641.8754,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF IMPLANT DEFIBRILLATOR W/ REPLACE, DUAL",480,RC,,,,,inpatient,,,16482,,8241,9889.2,16641.8754,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,10680.336,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,16641.8754,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIV REMOVAL OF IMPLANT DEFIBRILLATOR W/ REPLACE, MULTIPLE",480,RC,,,,,inpatient,,,21456,,10728,12873.6,21664.1232,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,13903.488,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,21664.1232,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIV REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR ONLY,480,RC,,,,,inpatient,,,6193,,3096.5,3715.8,6253.0721,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4013.064,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,6253.0721,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HIGH ACTIVITY SEEDS (BRACHYTX, NON-STR,I-125)",278,RC,,,,,inpatient,,,377,,188.5,226.2,380.6569,354.38,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,312.91,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,346.84,,,,percent of total billed charges,,356.642,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,365.69,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,331.76,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,244.296,,,,percent of total billed charges,,339.3,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,380.6569,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,358.15,,,,percent of total billed charges,,301.6,,,,percent of total billed charges,,226.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUTATHERA PER 1MCI,344,RC,,,,,inpatient,,,510,,255,306,514.947,479.4,,,,percent of total billed charges,,408,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,423.3,,,,percent of total billed charges,,459,,,,percent of total billed charges,,469.2,,,,percent of total billed charges,,469.2,,,,percent of total billed charges,,482.46,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,494.7,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,448.8,,,,percent of total billed charges,,459,,,,percent of total billed charges,,330.48,,,,percent of total billed charges,,459,,,,percent of total billed charges,,306,,,,percent of total billed charges,,514.947,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,484.5,,,,percent of total billed charges,,408,,,,percent of total billed charges,,306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 74360-0320 INTRAL DILAT OF STRICT AND/OR OBSTRUCT, RAD SUP & INTERP",320,RC,,,,,inpatient,,,4250,,2125,2550,4291.225,3995,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3527.5,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,4020.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4122.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3740,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,2754,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,4291.225,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19085-0401 BX BREAST 1ST LESION W/ MRI,401,RC,,,,,inpatient,,,4217,,2108.5,2530.2,4257.9049,3963.98,,,,percent of total billed charges,,3373.6,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,3500.11,,,,percent of total billed charges,,3795.3,,,,percent of total billed charges,,3879.64,,,,percent of total billed charges,,3879.64,,,,percent of total billed charges,,3989.282,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,4090.49,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,3710.96,,,,percent of total billed charges,,3795.3,,,,percent of total billed charges,,2732.616,,,,percent of total billed charges,,3795.3,,,,percent of total billed charges,,2530.2,,,,percent of total billed charges,,4257.9049,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,4006.15,,,,percent of total billed charges,,3373.6,,,,percent of total billed charges,,2530.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19086-0401 BREAST BX W/ MRI G EACH ADD'L,401,RC,,,,,inpatient,,,2109,,1054.5,1265.4,2129.4573,1982.46,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,1750.47,,,,percent of total billed charges,,1898.1,,,,percent of total billed charges,,1940.28,,,,percent of total billed charges,,1940.28,,,,percent of total billed charges,,1995.114,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,2045.73,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,1855.92,,,,percent of total billed charges,,1898.1,,,,percent of total billed charges,,1366.632,,,,percent of total billed charges,,1898.1,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,2129.4573,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,2003.55,,,,percent of total billed charges,,1687.2,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG A9595 PIFLUFOLASTAT F-18, DIAG, 1 MCI",343,RC,,,,,inpatient,,,1466,,733,879.6,1480.2202,1378.04,,,,percent of total billed charges,,1172.8,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1216.78,,,,percent of total billed charges,,1319.4,,,,percent of total billed charges,,1348.72,,,,percent of total billed charges,,1348.72,,,,percent of total billed charges,,1386.836,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1422.02,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1290.08,,,,percent of total billed charges,,1319.4,,,,percent of total billed charges,,949.968,,,,percent of total billed charges,,1319.4,,,,percent of total billed charges,,879.6,,,,percent of total billed charges,,1480.2202,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1392.7,,,,percent of total billed charges,,1172.8,,,,percent of total billed charges,,879.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DXA BONE DENSITY 1 + SITE - PROMO,320,RC,,,,,inpatient,,,666,,333,399.6,672.4602,626.04,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,552.78,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,612.72,,,,percent of total billed charges,,612.72,,,,percent of total billed charges,,630.036,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,646.02,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,586.08,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,431.568,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,672.4602,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,632.7,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,399.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT THORAX W/O DYE - LUNG SCAN PROMO,352,RC,,,,,inpatient,,,1516,,758,909.6,1530.7052,1425.04,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1258.28,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1394.72,,,,percent of total billed charges,,1434.136,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1470.52,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1334.08,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,982.368,,,,percent of total billed charges,,1364.4,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1530.7052,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1440.2,,,,percent of total billed charges,,1212.8,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILATERAL SCREENING MAMMO W/ CAD - PROMO,403,RC,,,,,inpatient,,,641,,320.5,384.6,647.2177,602.54,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,532.03,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,589.72,,,,percent of total billed charges,,606.386,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,621.77,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,564.08,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,415.368,,,,percent of total billed charges,,576.9,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,647.2177,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,608.95,,,,percent of total billed charges,,512.8,,,,percent of total billed charges,,384.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M SULFCOLLOID (FILTERED) TO 20 MCI,343,RC,,,,,inpatient,,,403,,201.5,241.8,406.9091,378.82,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,334.49,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,370.76,,,,percent of total billed charges,,381.238,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,390.91,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,354.64,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,261.144,,,,percent of total billed charges,,362.7,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,406.9091,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,382.85,,,,percent of total billed charges,,322.4,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 75580-0480 NON-INV EST OF CORONARY FFR AGMNT SW ALYS CTA I&R PHY/QHP,480,RC,,,,,inpatient,,,7499,,3749.5,4499.4,7571.7403,7049.06,,,,percent of total billed charges,,5999.2,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,6224.17,,,,percent of total billed charges,,6749.1,,,,percent of total billed charges,,6899.08,,,,percent of total billed charges,,6899.08,,,,percent of total billed charges,,7094.054,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,7274.03,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,6599.12,,,,percent of total billed charges,,6749.1,,,,percent of total billed charges,,4859.352,,,,percent of total billed charges,,6749.1,,,,percent of total billed charges,,4499.4,,,,percent of total billed charges,,7571.7403,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,7124.05,,,,percent of total billed charges,,5999.2,,,,percent of total billed charges,,4499.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43241-0510 EGD TUBE/ CATH INSERTION,510,RC,,,,,inpatient,,,4532,,2266,2719.2,4575.9604,4260.08,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3761.56,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4287.272,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4396.04,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3988.16,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,2936.736,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,4575.9604,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55874-0510 SPACEOAR,510,RC,,,,,inpatient,,,10096,,5048,6057.6,10193.9312,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6542.208,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,10193.9312,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 77767-0333 HDR RDNCL SK SRF BRACHY LES <2CM/1 CHAN,333,RC,,,,,inpatient,,,576,,288,345.6,581.5872,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,373.248,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,581.5872,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 77768-0333 HDR RNCL SK SRF BRACHY LES >2CM & 2 CHAN OR MULT LES,333,RC,,,,,inpatient,,,576,,288,345.6,581.5872,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,373.248,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,581.5872,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG A9608 FLOTUFOLASTAT F 18, DIAGNOSTIC, 1 MILLICURIE",343,RC,,,,,inpatient,,,1688,,844,1012.8,1704.3736,1586.72,,,,percent of total billed charges,,1350.4,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1401.04,,,,percent of total billed charges,,1519.2,,,,percent of total billed charges,,1552.96,,,,percent of total billed charges,,1552.96,,,,percent of total billed charges,,1596.848,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1637.36,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1485.44,,,,percent of total billed charges,,1519.2,,,,percent of total billed charges,,1093.824,,,,percent of total billed charges,,1519.2,,,,percent of total billed charges,,1012.8,,,,percent of total billed charges,,1704.3736,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1603.6,,,,percent of total billed charges,,1350.4,,,,percent of total billed charges,,1012.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93588-0360 VNGRPH CHD VNVN CLTRL BELOW,360,RC,,,,,inpatient,,,12899,,6449.5,7739.4,13024.1203,12125.06,,,,percent of total billed charges,,10319.2,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,10706.17,,,,percent of total billed charges,,11609.1,,,,percent of total billed charges,,11867.08,,,,percent of total billed charges,,11867.08,,,,percent of total billed charges,,12202.454,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,12512.03,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,11351.12,,,,percent of total billed charges,,11609.1,,,,percent of total billed charges,,8358.552,,,,percent of total billed charges,,11609.1,,,,percent of total billed charges,,7739.4,,,,percent of total billed charges,,13024.1203,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,12254.05,,,,percent of total billed charges,,10319.2,,,,percent of total billed charges,,7739.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HOURGLASS/CORK/U BREAST TISSUE MARKER, 9-14GA, 31458, 31460, 152512",278,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BOWTIE BX MARKER BREAST, 10-14 GA, 73913, 152509, 302941",278,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BREAST BX MARKER, 8GA, C1819, 153495, 304995",278,RC,,,,,inpatient,,,297,,148.5,178.2,299.8809,279.18,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,246.51,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,273.24,,,,percent of total billed charges,,280.962,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,288.09,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,261.36,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,267.3,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,299.8809,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,282.15,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 3 PK FIDUCIAL MARKER, 20 CM, 18 GA, C1819, 129248",278,RC,,,,,inpatient,,,998,,499,598.8,1007.6806,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,646.704,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,1007.6806,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHY TX NON-STR HDR IR-192,278,RC,,,,,inpatient,,,867,,433.5,520.2,875.4099,814.98,,,,percent of total billed charges,,693.6,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,719.61,,,,percent of total billed charges,,780.3,,,,percent of total billed charges,,797.64,,,,percent of total billed charges,,797.64,,,,percent of total billed charges,,820.182,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,840.99,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,762.96,,,,percent of total billed charges,,780.3,,,,percent of total billed charges,,561.816,,,,percent of total billed charges,,780.3,,,,percent of total billed charges,,520.2,,,,percent of total billed charges,,875.4099,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,823.65,,,,percent of total billed charges,,693.6,,,,percent of total billed charges,,520.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1730 CATHETER, DIRECTIONAL EP - OTHER THAN 3D, <=19",278,RC,,,,,inpatient,,,2909,,1454.5,1745.4,2937.2173,2734.46,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2414.47,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2676.28,,,,percent of total billed charges,,2751.914,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2821.73,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2559.92,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,1885.032,,,,percent of total billed charges,,2618.1,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,2937.2173,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2763.55,,,,percent of total billed charges,,2327.2,,,,percent of total billed charges,,1745.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93319-0480 3D ECHO IMG CGEN CAR ANOMAL,480,RC,,,,,inpatient,,,617,,308.5,370.2,622.9849,579.98,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,512.11,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,567.64,,,,percent of total billed charges,,583.682,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,598.49,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,542.96,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,399.816,,,,percent of total billed charges,,555.3,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,622.9849,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,586.15,,,,percent of total billed charges,,493.6,,,,percent of total billed charges,,370.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93593-0481 R HRT CATH CONG, NORMAL NATIVE CONNECTIONS",481,RC,,,,,inpatient,,,6212,,3106,3727.2,6272.2564,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4025.376,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,6272.2564,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93594-0481 R HRT CATH CONG, ABNORMAL NATIVE CONNECTIONS",481,RC,,,,,inpatient,,,6212,,3106,3727.2,6272.2564,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4025.376,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,6272.2564,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93595-0481 L HRT CATH CONGENITAL HEART DEFECT,481,RC,,,,,inpatient,,,6212,,3106,3727.2,6272.2564,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4025.376,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,6272.2564,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93596-0481 R&L HRT CATH CONG NORMAL NATIVE CONNECTIONS,481,RC,,,,,inpatient,,,6212,,3106,3727.2,6272.2564,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4025.376,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,6272.2564,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93597-0481 R&L HRT CATH CONG ABNORMAL NATIVE CONNECTIONS,481,RC,,,,,inpatient,,,6212,,3106,3727.2,6272.2564,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4025.376,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,6272.2564,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93598-0481 CARDIAC OUTPT MEAS DILUTION CONG HEART DEFECT WITH CATH,481,RC,,,,,inpatient,,,5874,,2937,3524.4,5930.9778,5521.56,,,,percent of total billed charges,,4699.2,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,4875.42,,,,percent of total billed charges,,5286.6,,,,percent of total billed charges,,5404.08,,,,percent of total billed charges,,5404.08,,,,percent of total billed charges,,5556.804,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,5697.78,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,5169.12,,,,percent of total billed charges,,5286.6,,,,percent of total billed charges,,3806.352,,,,percent of total billed charges,,5286.6,,,,percent of total billed charges,,3524.4,,,,percent of total billed charges,,5930.9778,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,5580.3,,,,percent of total billed charges,,4699.2,,,,percent of total billed charges,,3524.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9772-0360 INTRAVAS LITHO - BELOW KNEE,360,RC,,,,,inpatient,,,31557,,15778.5,18934.2,31863.1029,29663.58,,,,percent of total billed charges,,25245.6,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,26192.31,,,,percent of total billed charges,,28401.3,,,,percent of total billed charges,,29032.44,,,,percent of total billed charges,,29032.44,,,,percent of total billed charges,,29852.922,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,30610.29,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,27770.16,,,,percent of total billed charges,,28401.3,,,,percent of total billed charges,,20448.936,,,,percent of total billed charges,,28401.3,,,,percent of total billed charges,,18934.2,,,,percent of total billed charges,,31863.1029,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,29979.15,,,,percent of total billed charges,,25245.6,,,,percent of total billed charges,,18934.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9773-0360 INTRAVAS LITHO W STENT - BELOW KNEE,360,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9774-0360 INTRAVAS LITHO W ATHERECTOMY - BELOW KNEE,360,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9775-0360 INTRAVAS LITHO W STENT & ATHERECTOMY - BELOW KNEE,360,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0715T-0360 CORONARY LITHOTRIPSY,360,RC,,,,,inpatient,,,260,,130,156,262.522,244.4,,,,percent of total billed charges,,208,,,,percent of total billed charges,,247,,,,percent of total billed charges,,215.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,239.2,,,,percent of total billed charges,,245.96,,,,percent of total billed charges,,247,,,,percent of total billed charges,,252.2,,,,percent of total billed charges,,247,,,,percent of total billed charges,,228.8,,,,percent of total billed charges,,234,,,,percent of total billed charges,,168.48,,,,percent of total billed charges,,234,,,,percent of total billed charges,,156,,,,percent of total billed charges,,262.522,,,,percent of total billed charges,,247,,,,percent of total billed charges,,247,,,,percent of total billed charges,,208,,,,percent of total billed charges,,156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0795T-0361 INSERT OF DC LEADLESS PM (COMPLETE SYSTEM),361,RC,,,,,inpatient,,,16552,,8276,9931.2,16712.5544,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,10725.696,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,16712.5544,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0796T-0481 INSERT DC LEADLESS PM (RA TO CREATE DC),481,RC,,,,,inpatient,,,16552,,8276,9931.2,16712.5544,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,10725.696,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,16712.5544,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0797T-0481 INSERT DC LEADLESS PM (RV TO CREATE DC),481,RC,,,,,inpatient,,,16552,,8276,9931.2,16712.5544,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,10725.696,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,16712.5544,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0798T-0481 REMOVE DC LEADLESS PM (COMPLETE SYSTEM),481,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0799T-0481 REMOVE DC LEADLESS PM (RA COMPONENT),481,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0800T-0481 REMOVE OF DC LEADLESS PM (RV WHEN PART OF DC),481,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0801T-0481 REMOVE & REPLACE DC LEADLESS PM (COMPLETE SYSTEM),481,RC,,,,,inpatient,,,16552,,8276,9931.2,16712.5544,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,10725.696,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,16712.5544,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0802T-0481 REMOVE & REPLACE DC LEADLESS PM (RA COMPONENT),481,RC,,,,,inpatient,,,16552,,8276,9931.2,16712.5544,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,10725.696,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,16712.5544,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0803T-0481 REMOVE & REPLACE DC LEADLESS PM  (RV COMPONENT),481,RC,,,,,inpatient,,,16552,,8276,9931.2,16712.5544,15558.88,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13738.16,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15227.84,,,,percent of total billed charges,,15658.192,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,16055.44,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,14565.76,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,10725.696,,,,percent of total billed charges,,14896.8,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,16712.5544,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,15724.4,,,,percent of total billed charges,,13241.6,,,,percent of total billed charges,,9931.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0804T-0481 IN PERSON PROGRAMMING DC LEADLESS PM,481,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92972-0360 PERQ TRLUML CORONRY LITHOTRP,360,RC,,,,,inpatient,,,12804,,6402,7682.4,12928.1988,12035.76,,,,percent of total billed charges,,10243.2,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,10627.32,,,,percent of total billed charges,,11523.6,,,,percent of total billed charges,,11779.68,,,,percent of total billed charges,,11779.68,,,,percent of total billed charges,,12112.584,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,12419.88,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,11267.52,,,,percent of total billed charges,,11523.6,,,,percent of total billed charges,,8296.992,,,,percent of total billed charges,,11523.6,,,,percent of total billed charges,,7682.4,,,,percent of total billed charges,,12928.1988,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,12163.8,,,,percent of total billed charges,,10243.2,,,,percent of total billed charges,,7682.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0408T-0361 INSERT/REPL PERM CCM SYTM GENERATOR & ELECTRODES,361,RC,,,,,inpatient,,,21456,,10728,12873.6,21664.1232,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,13903.488,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,21664.1232,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0409T-0361 INSERT/REPL PERM CCM SYTM GENERATOR ONLY,361,RC,,,,,inpatient,,,16482,,8241,9889.2,16641.8754,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,10680.336,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,16641.8754,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0410T-0361 INSERT/REPL PERM CCM SYTM ATRIAL ELECTRODE ONLY,361,RC,,,,,inpatient,,,6193,,3096.5,3715.8,6253.0721,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4013.064,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,6253.0721,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0411T-0361 INSERT/REPL PERM CCM SYTM VENTRICULAR ELECTRODE ONLY,361,RC,,,,,inpatient,,,6193,,3096.5,3715.8,6253.0721,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4013.064,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,6253.0721,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0412T-0361 REMOVAL PERM CCM SYTM PULSE GENERATOR ONLY,361,RC,,,,,inpatient,,,6536,,3268,3921.6,6599.3992,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,4235.328,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6599.3992,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0413T-0361 REMOVAL PERM CCM SYTM ELECTRODE ONLY, ARTIAL OR VENTRICULAR",361,RC,,,,,inpatient,,,6536,,3268,3921.6,6599.3992,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,4235.328,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6599.3992,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0414T-0361 REMOVAL &REP PERM CCM SYTM GENERATOR ONLY,361,RC,,,,,inpatient,,,16482,,8241,9889.2,16641.8754,15493.08,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13680.06,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15163.44,,,,percent of total billed charges,,15591.972,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15987.54,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,14504.16,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,10680.336,,,,percent of total billed charges,,14833.8,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,16641.8754,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,15657.9,,,,percent of total billed charges,,13185.6,,,,percent of total billed charges,,9889.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0415T-0361 REPOSITIONING PERM CCM SYTM ELECTRODE ONLY, ARTIAL OR VENTRICULAR",361,RC,,,,,inpatient,,,1720,,860,1032,1736.684,1616.8,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1427.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1627.12,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1668.4,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1114.56,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1736.684,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0416T-0361 RELOCATION OF SKIN POCKET FOR IMPLANTED CCM PULSE GENERATOR,361,RC,,,,,inpatient,,,4996,,2498,2997.6,5044.4612,4696.24,,,,percent of total billed charges,,3996.8,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4146.68,,,,percent of total billed charges,,4496.4,,,,percent of total billed charges,,4596.32,,,,percent of total billed charges,,4596.32,,,,percent of total billed charges,,4726.216,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4846.12,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4396.48,,,,percent of total billed charges,,4496.4,,,,percent of total billed charges,,3237.408,,,,percent of total billed charges,,4496.4,,,,percent of total billed charges,,2997.6,,,,percent of total billed charges,,5044.4612,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,4746.2,,,,percent of total billed charges,,3996.8,,,,percent of total billed charges,,2997.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0417T-0361 PROG DEV EVAL CCM SYSM, IN PERSON",361,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0418T-0361 INTERROGATION DEV EVAL CCM SYSM, IN PERSON",361,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0826T-0481 PRGRMG EVL LDLS PM 1CHMBR IP,481,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0826T-0510 PRGRMG EVL LDLS PM 1CHMBR IP,510,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABLATION AV NODE,480,RC,,,,,inpatient,,,9555,,4777.5,5733,9647.6835,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,6191.64,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,9647.6835,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ABLATE BONETUMOR PERC,361,RC,,,,,inpatient,,,15184,,7592,9110.4,15331.2848,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9839.232,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,15331.2848,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD GUID CATH PLC S&I,320,RC,,,,,inpatient,,,962,,481,577.2,971.3314,904.28,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,798.46,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,910.052,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,933.14,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,846.56,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,623.376,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,971.3314,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO JET RHEOLYIC THROMB SYS,278,RC,,,,,inpatient,,,4708,,2354,2824.8,4753.6676,4425.52,,,,percent of total billed charges,,3766.4,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,3907.64,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,4331.36,,,,percent of total billed charges,,4331.36,,,,percent of total billed charges,,4453.768,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,4566.76,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,4143.04,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,3050.784,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,2824.8,,,,percent of total billed charges,,4753.6676,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,4472.6,,,,percent of total billed charges,,3766.4,,,,percent of total billed charges,,2824.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO SEL EA ADD VESS S&I,323,RC,,,,,inpatient,,,3754,,1877,2252.4,3790.4138,3528.76,,,,percent of total billed charges,,3003.2,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3115.82,,,,percent of total billed charges,,3378.6,,,,percent of total billed charges,,3453.68,,,,percent of total billed charges,,3453.68,,,,percent of total billed charges,,3551.284,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3641.38,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3303.52,,,,percent of total billed charges,,3378.6,,,,percent of total billed charges,,2432.592,,,,percent of total billed charges,,3378.6,,,,percent of total billed charges,,2252.4,,,,percent of total billed charges,,3790.4138,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3566.3,,,,percent of total billed charges,,3003.2,,,,percent of total billed charges,,2252.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO VISC SELECT S&I,323,RC,,,,,inpatient,,,6500,,3250,3900,6563.05,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,4212,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6563.05,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO EXT UNI S&I,323,RC,,,,,inpatient,,,6264,,3132,3758.4,6324.7608,5888.16,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5199.12,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5925.744,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,6076.08,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5512.32,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,4059.072,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,6324.7608,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO EXT BIL S&I,323,RC,,,,,inpatient,,,6500,,3250,3900,6563.05,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,4212,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6563.05,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO INT MAMM S&I,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO PULM NONSELECT S&I,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO PULM UNI SELECT S&I,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I ANGIO PULM BILAT SELECTIVE,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO PELVIC SELECT S&I,323,RC,,,,,inpatient,,,6500,,3250,3900,6563.05,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,4212,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6563.05,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO SPINE SEL S&I,323,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ASSESS CYST, CONTRAST INJECT",361,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BALLOON, CUTTING",278,RC,,,,,inpatient,,,2436,,1218,1461.6,2459.6292,2289.84,,,,percent of total billed charges,,1948.8,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2021.88,,,,percent of total billed charges,,2192.4,,,,percent of total billed charges,,2241.12,,,,percent of total billed charges,,2241.12,,,,percent of total billed charges,,2304.456,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2362.92,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2143.68,,,,percent of total billed charges,,2192.4,,,,percent of total billed charges,,1578.528,,,,percent of total billed charges,,2192.4,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,2459.6292,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,2314.2,,,,percent of total billed charges,,1948.8,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BILIARY ENDOSCOPY THRU SKIN,361,RC,,,,,inpatient,,,14288,,7144,8572.8,14426.5936,13430.72,,,,percent of total billed charges,,11430.4,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,11859.04,,,,percent of total billed charges,,12859.2,,,,percent of total billed charges,,13144.96,,,,percent of total billed charges,,13144.96,,,,percent of total billed charges,,13516.448,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,13859.36,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,12573.44,,,,percent of total billed charges,,12859.2,,,,percent of total billed charges,,9258.624,,,,percent of total billed charges,,12859.2,,,,percent of total billed charges,,8572.8,,,,percent of total billed charges,,14426.5936,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,13573.6,,,,percent of total billed charges,,11430.4,,,,percent of total billed charges,,8572.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLETHYSMOGRAPHY,921,RC,,,,,inpatient,,,1102,,551,661.2,1112.6894,1035.88,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,914.66,,,,percent of total billed charges,,991.8,,,,percent of total billed charges,,1013.84,,,,percent of total billed charges,,1013.84,,,,percent of total billed charges,,1042.492,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,1068.94,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,969.76,,,,percent of total billed charges,,991.8,,,,percent of total billed charges,,714.096,,,,percent of total billed charges,,991.8,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,1112.6894,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,1046.9,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,661.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOMYOCARDIAL BIOPSY,481,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50200-0361 BX RENAL PERC,361,RC,,,,,inpatient,,,4857,,2428.5,2914.2,4904.1129,4565.58,,,,percent of total billed charges,,3885.6,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4031.31,,,,percent of total billed charges,,4371.3,,,,percent of total billed charges,,4468.44,,,,percent of total billed charges,,4468.44,,,,percent of total billed charges,,4594.722,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4711.29,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4274.16,,,,percent of total billed charges,,4371.3,,,,percent of total billed charges,,3147.336,,,,percent of total billed charges,,4371.3,,,,percent of total billed charges,,2914.2,,,,percent of total billed charges,,4904.1129,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,4614.15,,,,percent of total billed charges,,3885.6,,,,percent of total billed charges,,2914.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOPSY OF SALIVARY GLAND,361,RC,,,,,inpatient,,,7261,,3630.5,4356.6,7331.4317,6825.34,,,,percent of total billed charges,,5808.8,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,6026.63,,,,percent of total billed charges,,6534.9,,,,percent of total billed charges,,6680.12,,,,percent of total billed charges,,6680.12,,,,percent of total billed charges,,6868.906,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,7043.17,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,6389.68,,,,percent of total billed charges,,6534.9,,,,percent of total billed charges,,4705.128,,,,percent of total billed charges,,6534.9,,,,percent of total billed charges,,4356.6,,,,percent of total billed charges,,7331.4317,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,6897.95,,,,percent of total billed charges,,5808.8,,,,percent of total billed charges,,4356.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOPSY, ABDOMINAL MASS",361,RC,,,,,inpatient,,,3200,,1600,1920,3231.04,3008,,,,percent of total billed charges,,2560,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,2656,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,2944,,,,percent of total billed charges,,2944,,,,percent of total billed charges,,3027.2,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,3104,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,2816,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,2073.6,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,3231.04,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,3040,,,,percent of total billed charges,,2560,,,,percent of total billed charges,,1920,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE BIOPSY, TROCAR/NEEDLE",361,RC,,,,,inpatient,,,3269,,1634.5,1961.4,3300.7093,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2118.312,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3300.7093,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BONE BIOPSY, TROCAR/NEEDLE",361,RC,,,,,inpatient,,,3457,,1728.5,2074.2,3490.5329,3249.58,,,,percent of total billed charges,,2765.6,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,2869.31,,,,percent of total billed charges,,3111.3,,,,percent of total billed charges,,3180.44,,,,percent of total billed charges,,3180.44,,,,percent of total billed charges,,3270.322,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,3353.29,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,3042.16,,,,percent of total billed charges,,3111.3,,,,percent of total billed charges,,2240.136,,,,percent of total billed charges,,3111.3,,,,percent of total billed charges,,2074.2,,,,percent of total billed charges,,3490.5329,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,3284.15,,,,percent of total billed charges,,2765.6,,,,percent of total billed charges,,2074.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BUNDLE OF HIS RECORDING,480,RC,,,,,inpatient,,,9555,,4777.5,5733,9647.6835,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,6191.64,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,9647.6835,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STRESS TEST TRACING ONLY,482,RC,,,,,inpatient,,,687,,343.5,412.2,693.6639,645.78,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,570.21,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,649.902,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,666.39,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,604.56,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,445.176,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,693.6639,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVERSION ELECTIVE EXTERNAL,480,RC,,,,,inpatient,,,2608,,1304,1564.8,2633.2976,2451.52,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2164.64,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2399.36,,,,percent of total billed charges,,2467.168,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2529.76,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2295.04,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1689.984,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,2633.2976,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2477.6,,,,percent of total billed charges,,2086.4,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1727 CATH, BALLOON DISSECTOR, NONVAS",278,RC,,,,,inpatient,,,217,,108.5,130.2,219.1049,203.98,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,180.11,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,205.282,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,210.49,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,190.96,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,140.616,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,219.1049,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH BALLOON,278,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH DIALYSIS II,278,RC,,,,,inpatient,,,1068,,534,640.8,1078.3596,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,692.064,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,1078.3596,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH DX,278,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH INFUSION,278,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PRESSURE WEDGE,272,RC,,,,,inpatient,,,210,,105,126,212.037,197.4,,,,percent of total billed charges,,168,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,174.3,,,,percent of total billed charges,,189,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,193.2,,,,percent of total billed charges,,198.66,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,203.7,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,189,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,189,,,,percent of total billed charges,,126,,,,percent of total billed charges,,212.037,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,199.5,,,,percent of total billed charges,,168,,,,percent of total billed charges,,126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1757 CATH THROMBOLYTIC,278,RC,,,,,inpatient,,,1443,,721.5,865.8,1456.9971,1356.42,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1197.69,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1327.56,,,,percent of total billed charges,,1365.078,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1399.71,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1269.84,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,935.064,,,,percent of total billed charges,,1298.7,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,1456.9971,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1370.85,,,,percent of total billed charges,,1154.4,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, DRAINAGE",278,RC,,,,,inpatient,,,428,,214,256.8,432.1516,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,277.344,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,432.1516,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1753 CATHETHER COR US, OTHER",278,RC,,,,,inpatient,,,2537,,1268.5,1522.2,2561.6089,2384.78,,,,percent of total billed charges,,2029.6,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2105.71,,,,percent of total billed charges,,2283.3,,,,percent of total billed charges,,2334.04,,,,percent of total billed charges,,2334.04,,,,percent of total billed charges,,2400.002,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2460.89,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2232.56,,,,percent of total billed charges,,2283.3,,,,percent of total billed charges,,1643.976,,,,percent of total billed charges,,2283.3,,,,percent of total billed charges,,1522.2,,,,percent of total billed charges,,2561.6089,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2410.15,,,,percent of total billed charges,,2029.6,,,,percent of total billed charges,,1522.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHANGE EXT/INT URETER STENT,361,RC,,,,,inpatient,,,3695,,1847.5,2217,3730.8415,3473.3,,,,percent of total billed charges,,2956,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3066.85,,,,percent of total billed charges,,3325.5,,,,percent of total billed charges,,3399.4,,,,percent of total billed charges,,3399.4,,,,percent of total billed charges,,3495.47,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3584.15,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3251.6,,,,percent of total billed charges,,3325.5,,,,percent of total billed charges,,2394.36,,,,percent of total billed charges,,3325.5,,,,percent of total billed charges,,2217,,,,percent of total billed charges,,3730.8415,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,3510.25,,,,percent of total billed charges,,2956,,,,percent of total billed charges,,2217,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHANGE OF URETER TUBE/STENT,361,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CHEMOTHERAPY, INTO CNS",331,RC,,,,,inpatient,,,962,,481,577.2,971.3314,904.28,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,798.46,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,885.04,,,,percent of total billed charges,,910.052,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,933.14,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,846.56,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,623.376,,,,percent of total billed charges,,865.8,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,971.3314,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,913.9,,,,percent of total billed charges,,769.6,,,,percent of total billed charges,,577.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COAGULATION TIME,305,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COIL - GDC,278,RC,,,,,inpatient,,,1420,,710,852,1433.774,1334.8,,,,percent of total billed charges,,1136,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1178.6,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,1306.4,,,,percent of total billed charges,,1306.4,,,,percent of total billed charges,,1343.32,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1377.4,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1249.6,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,920.16,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,852,,,,percent of total billed charges,,1433.774,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1349,,,,percent of total billed charges,,1136,,,,percent of total billed charges,,852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COLOSCOPE BRUSH,272,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERIALOGRAM THORAC S&I,323,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERIALOGRAM ABD S&I,323,RC,,,,,inpatient,,,6500,,3250,3900,6563.05,6110,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5395,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,5980,,,,percent of total billed charges,,6149,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6305,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5720,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,4212,,,,percent of total billed charges,,5850,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,6563.05,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,6175,,,,percent of total billed charges,,5200,,,,percent of total billed charges,,3900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM CERV S&I,320,RC,,,,,inpatient,,,3762,,1881,2257.2,3798.4914,3536.28,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3122.46,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3558.852,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3649.14,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3310.56,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2437.776,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,3798.4914,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROGRAM SHOULDER S&I,322,RC,,,,,inpatient,,,2002,,1001,1201.2,2021.4194,1881.88,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1661.66,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1841.84,,,,percent of total billed charges,,1893.892,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1941.94,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1761.76,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1297.296,,,,percent of total billed charges,,1801.8,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,2021.4194,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1901.9,,,,percent of total billed charges,,1601.6,,,,percent of total billed charges,,1201.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM 2+ REG S&I,320,RC,,,,,inpatient,,,3762,,1881,2257.2,3798.4914,3536.28,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3122.46,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3461.04,,,,percent of total billed charges,,3558.852,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3649.14,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3310.56,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2437.776,,,,percent of total billed charges,,3385.8,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,3798.4914,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3573.9,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2257.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYELOGRAM THOR S&I,320,RC,,,,,inpatient,,,2943,,1471.5,1765.8,2971.5471,2766.42,,,,percent of total billed charges,,2354.4,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2442.69,,,,percent of total billed charges,,2648.7,,,,percent of total billed charges,,2707.56,,,,percent of total billed charges,,2707.56,,,,percent of total billed charges,,2784.078,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2854.71,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2589.84,,,,percent of total billed charges,,2648.7,,,,percent of total billed charges,,1907.064,,,,percent of total billed charges,,2648.7,,,,percent of total billed charges,,1765.8,,,,percent of total billed charges,,2971.5471,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2795.85,,,,percent of total billed charges,,2354.4,,,,percent of total billed charges,,1765.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROGRAM ANTE S&I,320,RC,,,,,inpatient,,,631,,315.5,378.6,637.1207,593.14,,,,percent of total billed charges,,504.8,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,523.73,,,,percent of total billed charges,,567.9,,,,percent of total billed charges,,580.52,,,,percent of total billed charges,,580.52,,,,percent of total billed charges,,596.926,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,612.07,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,555.28,,,,percent of total billed charges,,567.9,,,,percent of total billed charges,,408.888,,,,percent of total billed charges,,567.9,,,,percent of total billed charges,,378.6,,,,percent of total billed charges,,637.1207,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,599.45,,,,percent of total billed charges,,504.8,,,,percent of total billed charges,,378.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL WINDOW,360,RC,,,,,inpatient,,,6618,,3309,3970.8,6682.1946,6220.92,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,5492.94,,,,percent of total billed charges,,5956.2,,,,percent of total billed charges,,6088.56,,,,percent of total billed charges,,6088.56,,,,percent of total billed charges,,6260.628,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,6419.46,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,5823.84,,,,percent of total billed charges,,5956.2,,,,percent of total billed charges,,4288.464,,,,percent of total billed charges,,5956.2,,,,percent of total billed charges,,3970.8,,,,percent of total billed charges,,6682.1946,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,6287.1,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,3970.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT GUIDE FOR TISSUE ABLATION,352,RC,,,,,inpatient,,,2546,,1273,1527.6,2570.6962,2393.24,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2113.18,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2408.516,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2469.62,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2240.48,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,1649.808,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,2570.6962,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT GUIDE NEEDLE PLCMT S&I,352,RC,,,,,inpatient,,,2688,,1344,1612.8,2714.0736,2526.72,,,,percent of total billed charges,,2150.4,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2231.04,,,,percent of total billed charges,,2419.2,,,,percent of total billed charges,,2472.96,,,,percent of total billed charges,,2472.96,,,,percent of total billed charges,,2542.848,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2607.36,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2365.44,,,,percent of total billed charges,,2419.2,,,,percent of total billed charges,,1741.824,,,,percent of total billed charges,,2419.2,,,,percent of total billed charges,,1612.8,,,,percent of total billed charges,,2714.0736,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2553.6,,,,percent of total billed charges,,2150.4,,,,percent of total billed charges,,1612.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIALYSIS CATH I,278,RC,,,,,inpatient,,,1018,,509,610.8,1027.8746,956.92,,,,percent of total billed charges,,814.4,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,844.94,,,,percent of total billed charges,,916.2,,,,percent of total billed charges,,936.56,,,,percent of total billed charges,,936.56,,,,percent of total billed charges,,963.028,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,987.46,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,895.84,,,,percent of total billed charges,,916.2,,,,percent of total billed charges,,659.664,,,,percent of total billed charges,,916.2,,,,percent of total billed charges,,610.8,,,,percent of total billed charges,,1027.8746,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,967.1,,,,percent of total billed charges,,814.4,,,,percent of total billed charges,,610.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DILATOR KIT W/ 2 DILATORS,272,RC,,,,,inpatient,,,817,,408.5,490.2,824.9249,767.98,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,678.11,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,751.64,,,,percent of total billed charges,,772.882,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,792.49,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,529.416,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,824.9249,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,776.15,,,,percent of total billed charges,,653.6,,,,percent of total billed charges,,490.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W/O GUIDE,361,RC,,,,,inpatient,,,2472,,1236,1483.2,2495.9784,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1601.856,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2495.9784,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20600-0361 DRAIN/INJECT, JOINT/BURSA",361,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20605-0361 DRAIN/INJECT, JOINT/BURSA",361,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DRAIN/INJECT, JOINT/BURSA W/O US",361,RC,,,,,inpatient,,,877,,438.5,526.2,885.5069,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,568.296,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,885.5069,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US GUIDE NEEDLE PLCMT S&I,320,RC,,,,,inpatient,,,812,,406,487.2,819.8764,763.28,,,,percent of total billed charges,,649.6,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,673.96,,,,percent of total billed charges,,730.8,,,,percent of total billed charges,,747.04,,,,percent of total billed charges,,747.04,,,,percent of total billed charges,,768.152,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,787.64,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,714.56,,,,percent of total billed charges,,730.8,,,,percent of total billed charges,,526.176,,,,percent of total billed charges,,730.8,,,,percent of total billed charges,,487.2,,,,percent of total billed charges,,819.8764,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,771.4,,,,percent of total billed charges,,649.6,,,,percent of total billed charges,,487.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ELECTRODES, ENSITE NAVX",272,RC,,,,,inpatient,,,5078,,2539,3046.8,5127.2566,4773.32,,,,percent of total billed charges,,4062.4,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4214.74,,,,percent of total billed charges,,4570.2,,,,percent of total billed charges,,4671.76,,,,percent of total billed charges,,4671.76,,,,percent of total billed charges,,4803.788,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4925.66,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4468.64,,,,percent of total billed charges,,4570.2,,,,percent of total billed charges,,3290.544,,,,percent of total billed charges,,4570.2,,,,percent of total billed charges,,3046.8,,,,percent of total billed charges,,5127.2566,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4824.1,,,,percent of total billed charges,,4062.4,,,,percent of total billed charges,,3046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAPPING 3D,480,RC,,,,,inpatient,,,30768,,15384,18460.8,31066.4496,28921.92,,,,percent of total billed charges,,24614.4,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,25537.44,,,,percent of total billed charges,,27691.2,,,,percent of total billed charges,,28306.56,,,,percent of total billed charges,,28306.56,,,,percent of total billed charges,,29106.528,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,29844.96,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,27075.84,,,,percent of total billed charges,,27691.2,,,,percent of total billed charges,,19937.664,,,,percent of total billed charges,,27691.2,,,,percent of total billed charges,,18460.8,,,,percent of total billed charges,,31066.4496,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,29229.6,,,,percent of total billed charges,,24614.4,,,,percent of total billed charges,,18460.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS, COMPLETE",480,RC,,,,,inpatient,,,9555,,4777.5,5733,9647.6835,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,6191.64,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,9647.6835,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS, RECORD FROM CS",480,RC,,,,,inpatient,,,3194,,1597,1916.4,3224.9818,3002.36,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2651.02,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,3021.524,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3098.18,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2810.72,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2069.712,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,3224.9818,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EPS, RECORD FROM LV",480,RC,,,,,inpatient,,,3194,,1597,1916.4,3224.9818,3002.36,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2651.02,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,3021.524,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3098.18,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2810.72,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2069.712,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,3224.9818,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD EP EVALUATION,480,RC,,,,,inpatient,,,8384,,4192,5030.4,8465.3248,7880.96,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6958.72,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7931.264,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,8132.48,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7377.92,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,5432.832,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,8465.3248,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD SYSTEM INSERTION  - SINGLE,360,RC,,,,,inpatient,,,16905,,8452.5,10143,17068.9785,15890.7,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14031.15,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15992.13,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16397.85,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14876.4,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,10954.44,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,17068.9785,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD SYSTEM INSERTION - DUAL,360,RC,,,,,inpatient,,,16905,,8452.5,10143,17068.9785,15890.7,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14031.15,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15552.6,,,,percent of total billed charges,,15992.13,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16397.85,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,14876.4,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,10954.44,,,,percent of total billed charges,,15214.5,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,17068.9785,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,16059.75,,,,percent of total billed charges,,13524,,,,percent of total billed charges,,10143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOLIZATION PARTICLES,278,RC,,,,,inpatient,,,821,,410.5,492.6,828.9637,771.74,,,,percent of total billed charges,,656.8,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,681.43,,,,percent of total billed charges,,738.9,,,,percent of total billed charges,,755.32,,,,percent of total billed charges,,755.32,,,,percent of total billed charges,,776.666,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,796.37,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,722.48,,,,percent of total billed charges,,738.9,,,,percent of total billed charges,,532.008,,,,percent of total billed charges,,738.9,,,,percent of total billed charges,,492.6,,,,percent of total billed charges,,828.9637,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,779.95,,,,percent of total billed charges,,656.8,,,,percent of total billed charges,,492.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1884 EMBOLIZATION PROCTIVE DEVICE,278,RC,,,,,inpatient,,,3866,,1933,2319.6,3903.5002,3634.04,,,,percent of total billed charges,,3092.8,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3208.78,,,,percent of total billed charges,,3479.4,,,,percent of total billed charges,,3556.72,,,,percent of total billed charges,,3556.72,,,,percent of total billed charges,,3657.236,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3750.02,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3402.08,,,,percent of total billed charges,,3479.4,,,,percent of total billed charges,,2505.168,,,,percent of total billed charges,,3479.4,,,,percent of total billed charges,,2319.6,,,,percent of total billed charges,,3903.5002,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3672.7,,,,percent of total billed charges,,3092.8,,,,percent of total billed charges,,2319.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOPROSTHESIS, GORE",278,RC,,,,,inpatient,,,2204,,1102,1322.4,2225.3788,2071.76,,,,percent of total billed charges,,1763.2,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,1829.32,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2027.68,,,,percent of total billed charges,,2027.68,,,,percent of total billed charges,,2084.984,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,2137.88,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,1939.52,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1428.192,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,2225.3788,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,2093.8,,,,percent of total billed charges,,1763.2,,,,percent of total billed charges,,1322.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EST ACCESS EXTREM ARTERY,361,RC,,,,,inpatient,,,3597,,1798.5,2158.2,3631.8909,3381.18,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2985.51,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3402.762,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3489.09,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3165.36,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2330.856,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,3631.8909,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCHANGE DRAINAGE CATHETER,361,RC,,,,,inpatient,,,2281,,1140.5,1368.6,2303.1257,2144.14,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1893.23,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2157.826,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2212.57,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2007.28,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1478.088,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,2303.1257,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEEDING TUBE,272,RC,,,,,inpatient,,,866,,433,519.6,874.4002,814.04,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,718.78,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,796.72,,,,percent of total billed charges,,819.236,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,840.02,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,762.08,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,561.168,,,,percent of total billed charges,,779.4,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,874.4002,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,822.7,,,,percent of total billed charges,,692.8,,,,percent of total billed charges,,519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOROGUIDE FOR SPINE INJECT,320,RC,,,,,inpatient,,,2469,,1234.5,1481.4,2492.9493,2320.86,,,,percent of total billed charges,,1975.2,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2049.27,,,,percent of total billed charges,,2222.1,,,,percent of total billed charges,,2271.48,,,,percent of total billed charges,,2271.48,,,,percent of total billed charges,,2335.674,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2394.93,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2172.72,,,,percent of total billed charges,,2222.1,,,,percent of total billed charges,,1599.912,,,,percent of total billed charges,,2222.1,,,,percent of total billed charges,,1481.4,,,,percent of total billed charges,,2492.9493,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,2345.55,,,,percent of total billed charges,,1975.2,,,,percent of total billed charges,,1481.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUOROGUIDE FOR CENTRAL VENOUS ACCESS DEVICE,320,RC,,,,,inpatient,,,1030,,515,618,1039.991,968.2,,,,percent of total billed charges,,824,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,854.9,,,,percent of total billed charges,,927,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,947.6,,,,percent of total billed charges,,974.38,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,999.1,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,927,,,,percent of total billed charges,,667.44,,,,percent of total billed charges,,927,,,,percent of total billed charges,,618,,,,percent of total billed charges,,1039.991,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,978.5,,,,percent of total billed charges,,824,,,,percent of total billed charges,,618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORO EXAM UP TO 1 HR,320,RC,,,,,inpatient,,,991,,495.5,594.6,1000.6127,931.54,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,822.53,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,911.72,,,,percent of total billed charges,,937.486,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,961.27,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,872.08,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,642.168,,,,percent of total billed charges,,891.9,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,1000.6127,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,941.45,,,,percent of total billed charges,,792.8,,,,percent of total billed charges,,594.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIO F/U THRU EXIST CATH,323,RC,,,,,inpatient,,,1744,,872,1046.4,1760.9168,1639.36,,,,percent of total billed charges,,1395.2,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1447.52,,,,percent of total billed charges,,1569.6,,,,percent of total billed charges,,1604.48,,,,percent of total billed charges,,1604.48,,,,percent of total billed charges,,1649.824,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1691.68,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1534.72,,,,percent of total billed charges,,1569.6,,,,percent of total billed charges,,1130.112,,,,percent of total billed charges,,1569.6,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,1760.9168,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1656.8,,,,percent of total billed charges,,1395.2,,,,percent of total billed charges,,1046.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1725 GUIDE CATHETER,278,RC,,,,,inpatient,,,556,,278,333.6,561.3932,522.64,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,461.48,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,511.52,,,,percent of total billed charges,,525.976,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,539.32,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,489.28,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,360.288,,,,percent of total billed charges,,500.4,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,561.3932,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,528.2,,,,percent of total billed charges,,444.8,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1887 GUIDECATHETER SPECIALTY,278,RC,,,,,inpatient,,,386,,193,231.6,389.7442,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,250.128,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,389.7442,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE DX,278,RC,,,,,inpatient,,,305,,152.5,183,307.9585,286.7,,,,percent of total billed charges,,244,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,253.15,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,280.6,,,,percent of total billed charges,,288.53,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,295.85,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,268.4,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,197.64,,,,percent of total billed charges,,274.5,,,,percent of total billed charges,,183,,,,percent of total billed charges,,307.9585,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,289.75,,,,percent of total billed charges,,244,,,,percent of total billed charges,,183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE DX SPECIALTY,278,RC,,,,,inpatient,,,423,,211.5,253.8,427.1031,397.62,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,351.09,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,389.16,,,,percent of total billed charges,,400.158,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,410.31,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,274.104,,,,percent of total billed charges,,380.7,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,427.1031,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,401.85,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,253.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE I,278,RC,,,,,inpatient,,,1830,,915,1098,1847.751,1720.2,,,,percent of total billed charges,,1464,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1518.9,,,,percent of total billed charges,,1647,,,,percent of total billed charges,,1683.6,,,,percent of total billed charges,,1683.6,,,,percent of total billed charges,,1731.18,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1775.1,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1610.4,,,,percent of total billed charges,,1647,,,,percent of total billed charges,,1185.84,,,,percent of total billed charges,,1647,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1847.751,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1738.5,,,,percent of total billed charges,,1464,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE II,278,RC,,,,,inpatient,,,559,,279.5,335.4,564.4223,525.46,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,463.97,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,514.28,,,,percent of total billed charges,,528.814,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,542.23,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,491.92,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,362.232,,,,percent of total billed charges,,503.1,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,564.4223,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,531.05,,,,percent of total billed charges,,447.2,,,,percent of total billed charges,,335.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE INTERVENTIONAL,278,RC,,,,,inpatient,,,603,,301.5,361.8,608.8491,566.82,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,500.49,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,554.76,,,,percent of total billed charges,,570.438,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,584.91,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,530.64,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,390.744,,,,percent of total billed charges,,542.7,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,608.8491,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,572.85,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,361.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDING CATH I,278,RC,,,,,inpatient,,,625,,312.5,375,631.0625,587.5,,,,percent of total billed charges,,500,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,518.75,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,575,,,,percent of total billed charges,,575,,,,percent of total billed charges,,591.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,606.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,550,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,405,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,375,,,,percent of total billed charges,,631.0625,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,500,,,,percent of total billed charges,,375,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDING CATH II,278,RC,,,,,inpatient,,,1282,,641,769.2,1294.4354,1205.08,,,,percent of total billed charges,,1025.6,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1064.06,,,,percent of total billed charges,,1153.8,,,,percent of total billed charges,,1179.44,,,,percent of total billed charges,,1179.44,,,,percent of total billed charges,,1212.772,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1243.54,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1128.16,,,,percent of total billed charges,,1153.8,,,,percent of total billed charges,,830.736,,,,percent of total billed charges,,1153.8,,,,percent of total billed charges,,769.2,,,,percent of total billed charges,,1294.4354,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1217.9,,,,percent of total billed charges,,1025.6,,,,percent of total billed charges,,769.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COR FLOW MEASUREMENT, INIT VESS",481,RC,,,,,inpatient,,,179,,89.5,107.4,180.7363,168.26,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,148.57,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,164.68,,,,percent of total billed charges,,169.334,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,173.63,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,157.52,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,115.992,,,,percent of total billed charges,,161.1,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,180.7363,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,170.05,,,,percent of total billed charges,,143.2,,,,percent of total billed charges,,107.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG COR FLOW MEASUREMENT, EA ADD'L VESS",481,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARRHYTHMIA INDUCTION BY PACING,480,RC,,,,,inpatient,,,5468,,2734,3280.8,5521.0396,5139.92,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4538.44,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5172.728,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5303.96,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4811.84,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,3543.264,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,5521.0396,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CPR/EMERGENT CARDIOVERSION (NO RESP),480,RC,,,,,inpatient,,,1490,,745,894,1504.453,1400.6,,,,percent of total billed charges,,1192,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1236.7,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,1370.8,,,,percent of total billed charges,,1370.8,,,,percent of total billed charges,,1409.54,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1445.3,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1311.2,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,965.52,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,894,,,,percent of total billed charges,,1504.453,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1415.5,,,,percent of total billed charges,,1192,,,,percent of total billed charges,,894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD BI-VENT,275,RC,,,,,inpatient,,,78246,,39123,46947.6,79004.9862,73551.24,,,,percent of total billed charges,,62596.8,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,64944.18,,,,percent of total billed charges,,70421.4,,,,percent of total billed charges,,71986.32,,,,percent of total billed charges,,71986.32,,,,percent of total billed charges,,74020.716,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,75898.62,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,68856.48,,,,percent of total billed charges,,70421.4,,,,percent of total billed charges,,50703.408,,,,percent of total billed charges,,70421.4,,,,percent of total billed charges,,46947.6,,,,percent of total billed charges,,79004.9862,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,74333.7,,,,percent of total billed charges,,62596.8,,,,percent of total billed charges,,46947.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1721 ICD DUAL,275,RC,,,,,inpatient,,,23912,,11956,14347.2,24143.9464,22477.28,,,,percent of total billed charges,,19129.6,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,19846.96,,,,percent of total billed charges,,21520.8,,,,percent of total billed charges,,21999.04,,,,percent of total billed charges,,21999.04,,,,percent of total billed charges,,22620.752,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,23194.64,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,21042.56,,,,percent of total billed charges,,21520.8,,,,percent of total billed charges,,15494.976,,,,percent of total billed charges,,21520.8,,,,percent of total billed charges,,14347.2,,,,percent of total billed charges,,24143.9464,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,22716.4,,,,percent of total billed charges,,19129.6,,,,percent of total billed charges,,14347.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD POCKET REVISOIN/DEFIB,360,RC,,,,,inpatient,,,13298,,6649,7978.8,13426.9906,12500.12,,,,percent of total billed charges,,10638.4,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,11037.34,,,,percent of total billed charges,,11968.2,,,,percent of total billed charges,,12234.16,,,,percent of total billed charges,,12234.16,,,,percent of total billed charges,,12579.908,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,12899.06,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,11702.24,,,,percent of total billed charges,,11968.2,,,,percent of total billed charges,,8617.104,,,,percent of total billed charges,,11968.2,,,,percent of total billed charges,,7978.8,,,,percent of total billed charges,,13426.9906,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,12633.1,,,,percent of total billed charges,,10638.4,,,,percent of total billed charges,,7978.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD REMOVAL  ONLY,360,RC,,,,,inpatient,,,12276,,6138,7365.6,12395.0772,11539.44,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10189.08,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11613.096,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11907.72,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10802.88,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,7954.848,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,12395.0772,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1722 ICD SINGLE,275,RC,,,,,inpatient,,,21997,,10998.5,13198.2,22210.3709,20677.18,,,,percent of total billed charges,,17597.6,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,18257.51,,,,percent of total billed charges,,19797.3,,,,percent of total billed charges,,20237.24,,,,percent of total billed charges,,20237.24,,,,percent of total billed charges,,20809.162,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,21337.09,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,19357.36,,,,percent of total billed charges,,19797.3,,,,percent of total billed charges,,14254.056,,,,percent of total billed charges,,19797.3,,,,percent of total billed charges,,13198.2,,,,percent of total billed charges,,22210.3709,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,20897.15,,,,percent of total billed charges,,17597.6,,,,percent of total billed charges,,13198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT SUBQ CARDIAC RHYTHM MONITOR,361,RC,,,,,inpatient,,,10743,,5371.5,6445.8,10847.2071,10098.42,,,,percent of total billed charges,,8594.4,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,8916.69,,,,percent of total billed charges,,9668.7,,,,percent of total billed charges,,9883.56,,,,percent of total billed charges,,9883.56,,,,percent of total billed charges,,10162.878,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,10420.71,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,9453.84,,,,percent of total billed charges,,9668.7,,,,percent of total billed charges,,6961.464,,,,percent of total billed charges,,9668.7,,,,percent of total billed charges,,6445.8,,,,percent of total billed charges,,10847.2071,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,10205.85,,,,percent of total billed charges,,8594.4,,,,percent of total billed charges,,6445.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INCISION OF GALLBLADDER,361,RC,,,,,inpatient,,,6773,,3386.5,4063.8,6838.6981,6366.62,,,,percent of total billed charges,,5418.4,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,5621.59,,,,percent of total billed charges,,6095.7,,,,percent of total billed charges,,6231.16,,,,percent of total billed charges,,6231.16,,,,percent of total billed charges,,6407.258,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,6569.81,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,5960.24,,,,percent of total billed charges,,6095.7,,,,percent of total billed charges,,4388.904,,,,percent of total billed charges,,6095.7,,,,percent of total billed charges,,4063.8,,,,percent of total billed charges,,6838.6981,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,6434.35,,,,percent of total billed charges,,5418.4,,,,percent of total billed charges,,4063.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INFLATION KIT,272,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FORAMEN EPIDURAL ADD-ON,361,RC,,,,,inpatient,,,2219,,1109.5,1331.4,2240.5243,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1437.912,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2240.5243,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64484-0361 INJ FORAMEN EPIDURAL ADD-ON,361,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FORAMEN EPIDURAL C/T,361,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64483-0361 INJ. FORAMEN EPIDURAL L/S,361,RC,,,,,inpatient,,,2930,,1465,1758,2958.421,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1898.64,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2958.421,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ W/FLUOR, EVAL CV DEVICE",361,RC,,,,,inpatient,,,1525,,762.5,915,1539.7925,1433.5,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1265.75,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1403,,,,percent of total billed charges,,1442.65,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1479.25,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1342,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,988.2,,,,percent of total billed charges,,1372.5,,,,percent of total billed charges,,915,,,,percent of total billed charges,,1539.7925,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1448.75,,,,percent of total billed charges,,1220,,,,percent of total billed charges,,915,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0361 INJECT EPIDURAL PATCH,361,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECT FOR SPINE DISK X-RAY,361,RC,,,,,inpatient,,,2674,,1337,1604.4,2699.9378,2513.56,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2219.42,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2529.604,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2593.78,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2353.12,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,1732.752,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,2699.9378,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECT SINUS TRACT FOR X-RAY,361,RC,,,,,inpatient,,,1406,,703,843.6,1419.6382,1321.64,,,,percent of total billed charges,,1124.8,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1166.98,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1293.52,,,,percent of total billed charges,,1293.52,,,,percent of total billed charges,,1330.076,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1363.82,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1237.28,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,911.088,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,1419.6382,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1335.7,,,,percent of total billed charges,,1124.8,,,,percent of total billed charges,,843.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECT SPINE L/S (CD),361,RC,,,,,inpatient,,,4311,,2155.5,2586.6,4352.8167,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2793.528,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4352.8167,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONTRAST INJECTION VENOGRAPHY,361,RC,,,,,inpatient,,,1957,,978.5,1174.2,1975.9829,1839.58,,,,percent of total billed charges,,1565.6,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1624.31,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1800.44,,,,percent of total billed charges,,1800.44,,,,percent of total billed charges,,1851.322,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1898.29,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1722.16,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1268.136,,,,percent of total billed charges,,1761.3,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,1975.9829,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1859.15,,,,percent of total billed charges,,1565.6,,,,percent of total billed charges,,1174.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR BLADDER X-RAY,361,RC,,,,,inpatient,,,2161,,1080.5,1296.6,2181.9617,2031.34,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1793.63,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,1988.12,,,,percent of total billed charges,,2044.306,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2096.17,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1901.68,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1400.328,,,,percent of total billed charges,,1944.9,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,2181.9617,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,2052.95,,,,percent of total billed charges,,1728.8,,,,percent of total billed charges,,1296.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR MYELOGRAM,361,RC,,,,,inpatient,,,3168,,1584,1900.8,3198.7296,2977.92,,,,percent of total billed charges,,2534.4,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2629.44,,,,percent of total billed charges,,2851.2,,,,percent of total billed charges,,2914.56,,,,percent of total billed charges,,2914.56,,,,percent of total billed charges,,2996.928,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3072.96,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2787.84,,,,percent of total billed charges,,2851.2,,,,percent of total billed charges,,2052.864,,,,percent of total billed charges,,2851.2,,,,percent of total billed charges,,1900.8,,,,percent of total billed charges,,3198.7296,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,3009.6,,,,percent of total billed charges,,2534.4,,,,percent of total billed charges,,1900.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION FOR SHOULDER X-RAY,361,RC,,,,,inpatient,,,2061,,1030.5,1236.6,2080.9917,1937.34,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1710.63,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1896.12,,,,percent of total billed charges,,1949.706,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1999.17,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1813.68,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1335.528,,,,percent of total billed charges,,1854.9,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,2080.9917,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1957.95,,,,percent of total billed charges,,1648.8,,,,percent of total billed charges,,1236.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION INTO BRAIN CANAL,361,RC,,,,,inpatient,,,1138,,569,682.8,1149.0386,1069.72,,,,percent of total billed charges,,910.4,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,944.54,,,,percent of total billed charges,,1024.2,,,,percent of total billed charges,,1046.96,,,,percent of total billed charges,,1046.96,,,,percent of total billed charges,,1076.548,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,1103.86,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,1001.44,,,,percent of total billed charges,,1024.2,,,,percent of total billed charges,,737.424,,,,percent of total billed charges,,1024.2,,,,percent of total billed charges,,682.8,,,,percent of total billed charges,,1149.0386,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,1081.1,,,,percent of total billed charges,,910.4,,,,percent of total billed charges,,682.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERT ABDOM DRAIN, PERM",361,RC,,,,,inpatient,,,6665,,3332.5,3999,6729.6505,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,4318.92,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6729.6505,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT HEPATIC SHUNT (TIPS),361,RC,,,,,inpatient,,,28424,,14212,17054.4,28699.7128,26718.56,,,,percent of total billed charges,,22739.2,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,23591.92,,,,percent of total billed charges,,25581.6,,,,percent of total billed charges,,26150.08,,,,percent of total billed charges,,26150.08,,,,percent of total billed charges,,26889.104,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,27571.28,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,25013.12,,,,percent of total billed charges,,25581.6,,,,percent of total billed charges,,18418.752,,,,percent of total billed charges,,25581.6,,,,percent of total billed charges,,17054.4,,,,percent of total billed charges,,28699.7128,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,27002.8,,,,percent of total billed charges,,22739.2,,,,percent of total billed charges,,17054.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CV CATH 5YR OR OLDER,361,RC,,,,,inpatient,,,4618,,2309,2770.8,4662.7946,4340.92,,,,percent of total billed charges,,3694.4,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,3832.94,,,,percent of total billed charges,,4156.2,,,,percent of total billed charges,,4248.56,,,,percent of total billed charges,,4248.56,,,,percent of total billed charges,,4368.628,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,4479.46,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,4063.84,,,,percent of total billed charges,,4156.2,,,,percent of total billed charges,,2992.464,,,,percent of total billed charges,,4156.2,,,,percent of total billed charges,,2770.8,,,,percent of total billed charges,,4662.7946,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,4387.1,,,,percent of total billed charges,,3694.4,,,,percent of total billed charges,,2770.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF DUAL LEADS PCM/ICD,360,RC,,,,,inpatient,,,14079,,7039.5,8447.4,14215.5663,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,9123.192,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,14215.5663,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF SINGLE LEAD PCM/ICD,360,RC,,,,,inpatient,,,12699,,6349.5,7619.4,12822.1803,11937.06,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10540.17,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,12013.254,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12318.03,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,11175.12,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,8228.952,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,12822.1803,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT LD FOR LV (PREVIOUS SYSTEM),360,RC,,,,,inpatient,,,13152,,6576,7891.2,13279.5744,12362.88,,,,percent of total billed charges,,10521.6,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,10916.16,,,,percent of total billed charges,,11836.8,,,,percent of total billed charges,,12099.84,,,,percent of total billed charges,,12099.84,,,,percent of total billed charges,,12441.792,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,12757.44,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,11573.76,,,,percent of total billed charges,,11836.8,,,,percent of total billed charges,,8522.496,,,,percent of total billed charges,,11836.8,,,,percent of total billed charges,,7891.2,,,,percent of total billed charges,,13279.5744,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,12494.4,,,,percent of total billed charges,,10521.6,,,,percent of total billed charges,,7891.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS PICC W/O PORT 5+ YRS W/O IMAGE,361,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERTR DUAL (CHANGE),360,RC,,,,,inpatient,,,14892,,7446,8935.2,15036.4524,13998.48,,,,percent of total billed charges,,11913.6,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,12360.36,,,,percent of total billed charges,,13402.8,,,,percent of total billed charges,,13700.64,,,,percent of total billed charges,,13700.64,,,,percent of total billed charges,,14087.832,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,14445.24,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,13104.96,,,,percent of total billed charges,,13402.8,,,,percent of total billed charges,,9650.016,,,,percent of total billed charges,,13402.8,,,,percent of total billed charges,,8935.2,,,,percent of total billed charges,,15036.4524,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,14147.4,,,,percent of total billed charges,,11913.6,,,,percent of total billed charges,,8935.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERT-SINGLE (CHANGE),360,RC,,,,,inpatient,,,18039,,9019.5,10823.4,18213.9783,16956.66,,,,percent of total billed charges,,14431.2,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,14972.37,,,,percent of total billed charges,,16235.1,,,,percent of total billed charges,,16595.88,,,,percent of total billed charges,,16595.88,,,,percent of total billed charges,,17064.894,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,17497.83,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,15874.32,,,,percent of total billed charges,,16235.1,,,,percent of total billed charges,,11689.272,,,,percent of total billed charges,,16235.1,,,,percent of total billed charges,,10823.4,,,,percent of total billed charges,,18213.9783,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,17137.05,,,,percent of total billed charges,,14431.2,,,,percent of total billed charges,,10823.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CV CATH WO PORT >5YRS,361,RC,,,,,inpatient,,,8109,,4054.5,4865.4,8187.6573,7622.46,,,,percent of total billed charges,,6487.2,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,6730.47,,,,percent of total billed charges,,7298.1,,,,percent of total billed charges,,7460.28,,,,percent of total billed charges,,7460.28,,,,percent of total billed charges,,7671.114,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,7865.73,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,7135.92,,,,percent of total billed charges,,7298.1,,,,percent of total billed charges,,5254.632,,,,percent of total billed charges,,7298.1,,,,percent of total billed charges,,4865.4,,,,percent of total billed charges,,8187.6573,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,7703.55,,,,percent of total billed charges,,6487.2,,,,percent of total billed charges,,4865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CV CATH W PORT >5YRS,361,RC,,,,,inpatient,,,10118,,5059,6070.8,10216.1446,9510.92,,,,percent of total billed charges,,8094.4,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,8397.94,,,,percent of total billed charges,,9106.2,,,,percent of total billed charges,,9308.56,,,,percent of total billed charges,,9308.56,,,,percent of total billed charges,,9571.628,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,9814.46,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,8903.84,,,,percent of total billed charges,,9106.2,,,,percent of total billed charges,,6556.464,,,,percent of total billed charges,,9106.2,,,,percent of total billed charges,,6070.8,,,,percent of total billed charges,,10216.1446,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,9612.1,,,,percent of total billed charges,,8094.4,,,,percent of total billed charges,,6070.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SWAN GANZ PLACEMENT (INCL CATHETER),481,RC,,,,,inpatient,,,4352,,2176,2611.2,4394.2144,4090.88,,,,percent of total billed charges,,3481.6,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,3612.16,,,,percent of total billed charges,,3916.8,,,,percent of total billed charges,,4003.84,,,,percent of total billed charges,,4003.84,,,,percent of total billed charges,,4116.992,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,4221.44,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,3829.76,,,,percent of total billed charges,,3916.8,,,,percent of total billed charges,,2820.096,,,,percent of total billed charges,,3916.8,,,,percent of total billed charges,,2611.2,,,,percent of total billed charges,,4394.2144,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,4134.4,,,,percent of total billed charges,,3481.6,,,,percent of total billed charges,,2611.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS ARTERIAL LINE PERCUT,361,RC,,,,,inpatient,,,1954,,977,1172.4,1972.9538,1836.76,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1621.82,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1848.484,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1895.38,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1719.52,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1266.192,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,1972.9538,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INS CATH PERC PORTAL VEIN,361,RC,,,,,inpatient,,,3749,,1874.5,2249.4,3785.3653,3524.06,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3111.67,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3546.554,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3636.53,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2429.352,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,3785.3653,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERTION OF CATHETER, VEIN",361,RC,,,,,inpatient,,,3214,,1607,1928.4,3245.1758,3021.16,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2667.62,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,3040.444,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3117.58,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2828.32,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2082.672,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,3245.1758,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACOSTOMY-ABSCESS/HEMTHRX/EMPYMA,361,RC,,,,,inpatient,,,4102,,2051,2461.2,4141.7894,3855.88,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3404.66,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3880.492,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3978.94,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3609.76,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2658.096,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,4141.7894,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACING INTRA ATRIAL,480,RC,,,,,inpatient,,,9555,,4777.5,5733,9647.6835,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,6191.64,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,9647.6835,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECORDING, INTRA ATRIAL",480,RC,,,,,inpatient,,,9555,,4777.5,5733,9647.6835,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,6191.64,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,9647.6835,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAVASCULAR ULTRASOUND - INIT VESS,481,RC,,,,,inpatient,,,2314,,1157,1388.4,2336.4458,2175.16,,,,percent of total billed charges,,1851.2,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,1920.62,,,,percent of total billed charges,,2082.6,,,,percent of total billed charges,,2128.88,,,,percent of total billed charges,,2128.88,,,,percent of total billed charges,,2189.044,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,2244.58,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,2036.32,,,,percent of total billed charges,,2082.6,,,,percent of total billed charges,,1499.472,,,,percent of total billed charges,,2082.6,,,,percent of total billed charges,,1388.4,,,,percent of total billed charges,,2336.4458,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,2198.3,,,,percent of total billed charges,,1851.2,,,,percent of total billed charges,,1388.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAVASCULAR ULTRASOUND - EA ADD'L VESS,481,RC,,,,,inpatient,,,1893,,946.5,1135.8,1911.3621,1779.42,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1571.19,,,,percent of total billed charges,,1703.7,,,,percent of total billed charges,,1741.56,,,,percent of total billed charges,,1741.56,,,,percent of total billed charges,,1790.778,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1836.21,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1665.84,,,,percent of total billed charges,,1703.7,,,,percent of total billed charges,,1226.664,,,,percent of total billed charges,,1703.7,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,1911.3621,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1798.35,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,1135.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PACING, INTRA VENTRCULAR",480,RC,,,,,inpatient,,,9555,,4777.5,5733,9647.6835,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,6191.64,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,9647.6835,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRODUCER KIT/SET,272,RC,,,,,inpatient,,,167,,83.5,100.2,168.6199,156.98,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,138.61,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,153.64,,,,percent of total billed charges,,157.982,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,161.99,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,146.96,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,108.216,,,,percent of total billed charges,,150.3,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,168.6199,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,158.65,,,,percent of total billed charges,,133.6,,,,percent of total billed charges,,100.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRODUCER/SHEATH,272,RC,,,,,inpatient,,,500,,250,300,504.85,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,324,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,504.85,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1895  LEAD ICD CARDIO-DEFIBR ENDOCARDIAL  DUAL COIL,275,RC,,,,,inpatient,,,7484,,3742,4490.4,7556.5948,7034.96,,,,percent of total billed charges,,5987.2,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,6211.72,,,,percent of total billed charges,,6735.6,,,,percent of total billed charges,,6885.28,,,,percent of total billed charges,,6885.28,,,,percent of total billed charges,,7079.864,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,7259.48,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,6585.92,,,,percent of total billed charges,,6735.6,,,,percent of total billed charges,,4849.632,,,,percent of total billed charges,,6735.6,,,,percent of total billed charges,,4490.4,,,,percent of total billed charges,,7556.5948,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,7109.8,,,,percent of total billed charges,,5987.2,,,,percent of total billed charges,,4490.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1898 LEAD  PACEMAKER, OTHER THAN TRANSVENOUS, VDD SINGLE PASS",275,RC,,,,,inpatient,,,1502,,751,901.2,1516.5694,1411.88,,,,percent of total billed charges,,1201.6,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1246.66,,,,percent of total billed charges,,1351.8,,,,percent of total billed charges,,1381.84,,,,percent of total billed charges,,1381.84,,,,percent of total billed charges,,1420.892,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1456.94,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1321.76,,,,percent of total billed charges,,1351.8,,,,percent of total billed charges,,973.296,,,,percent of total billed charges,,1351.8,,,,percent of total billed charges,,901.2,,,,percent of total billed charges,,1516.5694,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1426.9,,,,percent of total billed charges,,1201.6,,,,percent of total billed charges,,901.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LEAD, CORONARY VENOUS",275,RC,,,,,inpatient,,,4804,,2402,2882.4,4850.5988,4515.76,,,,percent of total billed charges,,3843.2,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,3987.32,,,,percent of total billed charges,,4323.6,,,,percent of total billed charges,,4419.68,,,,percent of total billed charges,,4419.68,,,,percent of total billed charges,,4544.584,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,4659.88,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,4227.52,,,,percent of total billed charges,,4323.6,,,,percent of total billed charges,,3112.992,,,,percent of total billed charges,,4323.6,,,,percent of total billed charges,,2882.4,,,,percent of total billed charges,,4850.5988,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,4563.8,,,,percent of total billed charges,,3843.2,,,,percent of total billed charges,,2882.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAPPING IV OR IA,480,RC,,,,,inpatient,,,10254,,5127,6152.4,10353.4638,9638.76,,,,percent of total billed charges,,8203.2,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,8510.82,,,,percent of total billed charges,,9228.6,,,,percent of total billed charges,,9433.68,,,,percent of total billed charges,,9433.68,,,,percent of total billed charges,,9700.284,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,9946.38,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,9023.52,,,,percent of total billed charges,,9228.6,,,,percent of total billed charges,,6644.592,,,,percent of total billed charges,,9228.6,,,,percent of total billed charges,,6152.4,,,,percent of total billed charges,,10353.4638,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,9741.3,,,,percent of total billed charges,,8203.2,,,,percent of total billed charges,,6152.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE,272,RC,,,,,inpatient,,,161,,80.5,96.6,162.5617,151.34,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,133.63,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,148.12,,,,percent of total billed charges,,152.306,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,156.17,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,141.68,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,104.328,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,162.5617,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,152.95,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,96.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE BIOPSY CHEST LINING,361,RC,,,,,inpatient,,,2749,,1374.5,1649.4,2775.6653,2584.06,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2281.67,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2600.554,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2666.53,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2419.12,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,1781.352,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,2775.6653,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 47000-0361 NEEDLE BIOPSY OF LIVER,361,RC,,,,,inpatient,,,3511,,1755.5,2106.6,3545.0567,3300.34,,,,percent of total billed charges,,2808.8,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,2914.13,,,,percent of total billed charges,,3159.9,,,,percent of total billed charges,,3230.12,,,,percent of total billed charges,,3230.12,,,,percent of total billed charges,,3321.406,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,3405.67,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,3089.68,,,,percent of total billed charges,,3159.9,,,,percent of total billed charges,,2275.128,,,,percent of total billed charges,,3159.9,,,,percent of total billed charges,,2106.6,,,,percent of total billed charges,,3545.0567,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,3335.45,,,,percent of total billed charges,,2808.8,,,,percent of total billed charges,,2106.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, MUSCLE",361,RC,,,,,inpatient,,,2091,,1045.5,1254.6,2111.2827,1965.54,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1735.53,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1978.086,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,2028.27,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1840.08,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1354.968,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,2111.2827,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, PANCREAS",361,RC,,,,,inpatient,,,7339,,3669.5,4403.4,7410.1883,6898.66,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6091.37,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6942.694,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,7118.83,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6458.32,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,4755.672,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,7410.1883,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUORO GUIDE NEEDL PLCMT,320,RC,,,,,inpatient,,,738,,369,442.8,745.1586,693.72,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,612.54,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,698.148,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,715.86,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,649.44,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,478.224,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,745.1586,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NON-ROUTINE BL DRAW > 3 YRS,361,RC,,,,,inpatient,,,879,,439.5,527.4,887.5263,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,569.592,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,887.5263,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTHER INTRODUCER,272,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER SYS INSERTION DUAL,360,RC,,,,,inpatient,,,13805,,6902.5,8283,13938.9085,12976.7,,,,percent of total billed charges,,11044,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,11458.15,,,,percent of total billed charges,,12424.5,,,,percent of total billed charges,,12700.6,,,,percent of total billed charges,,12700.6,,,,percent of total billed charges,,13059.53,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,13390.85,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,12148.4,,,,percent of total billed charges,,12424.5,,,,percent of total billed charges,,8945.64,,,,percent of total billed charges,,12424.5,,,,percent of total billed charges,,8283,,,,percent of total billed charges,,13938.9085,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,13114.75,,,,percent of total billed charges,,11044,,,,percent of total billed charges,,8283,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER SYS INSERTION SINGLE ATRIAL,360,RC,,,,,inpatient,,,14079,,7039.5,8447.4,14215.5663,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,9123.192,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,14215.5663,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER SYS INSERTION SINGLE VENTRICULAR,360,RC,,,,,inpatient,,,12570,,6285,7542,12691.929,11815.8,,,,percent of total billed charges,,10056,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,10433.1,,,,percent of total billed charges,,11313,,,,percent of total billed charges,,11564.4,,,,percent of total billed charges,,11564.4,,,,percent of total billed charges,,11891.22,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,12192.9,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,11061.6,,,,percent of total billed charges,,11313,,,,percent of total billed charges,,8145.36,,,,percent of total billed charges,,11313,,,,percent of total billed charges,,7542,,,,percent of total billed charges,,12691.929,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,11941.5,,,,percent of total billed charges,,10056,,,,percent of total billed charges,,7542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER UPGRADE,360,RC,,,,,inpatient,,,12699,,6349.5,7619.4,12822.1803,11937.06,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10540.17,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,12013.254,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12318.03,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,11175.12,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,8228.952,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,12822.1803,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT LD FOR LV (AT INSERT OF BI-V),360,RC,,,,,inpatient,,,11772,,5886,7063.2,11886.1884,11065.68,,,,percent of total billed charges,,9417.6,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,9770.76,,,,percent of total billed charges,,10594.8,,,,percent of total billed charges,,10830.24,,,,percent of total billed charges,,10830.24,,,,percent of total billed charges,,11136.312,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,11418.84,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,10359.36,,,,percent of total billed charges,,10594.8,,,,percent of total billed charges,,7628.256,,,,percent of total billed charges,,10594.8,,,,percent of total billed charges,,7063.2,,,,percent of total billed charges,,11886.1884,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,11183.4,,,,percent of total billed charges,,9417.6,,,,percent of total billed charges,,7063.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PCMKR GENERATOR CHANGE - DUAL,360,RC,,,,,inpatient,,,9272,,4636,5563.2,9361.9384,8715.68,,,,percent of total billed charges,,7417.6,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,7695.76,,,,percent of total billed charges,,8344.8,,,,percent of total billed charges,,8530.24,,,,percent of total billed charges,,8530.24,,,,percent of total billed charges,,8771.312,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,8993.84,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,8159.36,,,,percent of total billed charges,,8344.8,,,,percent of total billed charges,,6008.256,,,,percent of total billed charges,,8344.8,,,,percent of total billed charges,,5563.2,,,,percent of total billed charges,,9361.9384,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,8808.4,,,,percent of total billed charges,,7417.6,,,,percent of total billed charges,,5563.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PACEMAKER GENERATOR CHANGE - SINGLE,360,RC,,,,,inpatient,,,9008,,4504,5404.8,9095.3776,8467.52,,,,percent of total billed charges,,7206.4,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,7476.64,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,8287.36,,,,percent of total billed charges,,8287.36,,,,percent of total billed charges,,8521.568,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,8737.76,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,7927.04,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,5837.184,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,5404.8,,,,percent of total billed charges,,9095.3776,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,8557.6,,,,percent of total billed charges,,7206.4,,,,percent of total billed charges,,5404.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1785 PCMKR, DC RATE RESPONSIVE",275,RC,,,,,inpatient,,,8628,,4314,5176.8,8711.6916,8110.32,,,,percent of total billed charges,,6902.4,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,7161.24,,,,percent of total billed charges,,7765.2,,,,percent of total billed charges,,7937.76,,,,percent of total billed charges,,7937.76,,,,percent of total billed charges,,8162.088,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,8369.16,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,7592.64,,,,percent of total billed charges,,7765.2,,,,percent of total billed charges,,5590.944,,,,percent of total billed charges,,7765.2,,,,percent of total billed charges,,5176.8,,,,percent of total billed charges,,8711.6916,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,8196.6,,,,percent of total billed charges,,6902.4,,,,percent of total billed charges,,5176.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1786 PCMKR, SC RATE RESPONSIVE",275,RC,,,,,inpatient,,,19287,,9643.5,11572.2,19474.0839,18129.78,,,,percent of total billed charges,,15429.6,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,16008.21,,,,percent of total billed charges,,17358.3,,,,percent of total billed charges,,17744.04,,,,percent of total billed charges,,17744.04,,,,percent of total billed charges,,18245.502,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,18708.39,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,16972.56,,,,percent of total billed charges,,17358.3,,,,percent of total billed charges,,12497.976,,,,percent of total billed charges,,17358.3,,,,percent of total billed charges,,11572.2,,,,percent of total billed charges,,19474.0839,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,18322.65,,,,percent of total billed charges,,15429.6,,,,percent of total billed charges,,11572.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT ABLATE LIVER RF,361,RC,,,,,inpatient,,,23763,,11881.5,14257.8,23993.5011,22337.22,,,,percent of total billed charges,,19010.4,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,19723.29,,,,percent of total billed charges,,21386.7,,,,percent of total billed charges,,21861.96,,,,percent of total billed charges,,21861.96,,,,percent of total billed charges,,22479.798,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,23050.11,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,20911.44,,,,percent of total billed charges,,21386.7,,,,percent of total billed charges,,15398.424,,,,percent of total billed charges,,21386.7,,,,percent of total billed charges,,14257.8,,,,percent of total billed charges,,23993.5011,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,22574.85,,,,percent of total billed charges,,19010.4,,,,percent of total billed charges,,14257.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS,360,RC,,,,,inpatient,,,7522,,3761,4513.2,7594.9634,7070.68,,,,percent of total billed charges,,6017.6,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,6243.26,,,,percent of total billed charges,,6769.8,,,,percent of total billed charges,,6920.24,,,,percent of total billed charges,,6920.24,,,,percent of total billed charges,,7115.812,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,7296.34,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,6619.36,,,,percent of total billed charges,,6769.8,,,,percent of total billed charges,,4874.256,,,,percent of total billed charges,,6769.8,,,,percent of total billed charges,,4513.2,,,,percent of total billed charges,,7594.9634,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,7145.9,,,,percent of total billed charges,,6017.6,,,,percent of total billed charges,,4513.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS KIT I,272,RC,,,,,inpatient,,,1077,,538.5,646.2,1087.4469,1012.38,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,893.91,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,990.84,,,,percent of total billed charges,,990.84,,,,percent of total billed charges,,1018.842,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,1044.69,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,947.76,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,697.896,,,,percent of total billed charges,,969.3,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,1087.4469,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,1023.15,,,,percent of total billed charges,,861.6,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50593-0361 CRYOABLATION RENAL UNI PERC,361,RC,,,,,inpatient,,,15294,,7647,9176.4,15442.3518,14376.36,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,12694.02,,,,percent of total billed charges,,13764.6,,,,percent of total billed charges,,14070.48,,,,percent of total billed charges,,14070.48,,,,percent of total billed charges,,14468.124,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,14835.18,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,13458.72,,,,percent of total billed charges,,13764.6,,,,percent of total billed charges,,9910.512,,,,percent of total billed charges,,13764.6,,,,percent of total billed charges,,9176.4,,,,percent of total billed charges,,15442.3518,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,14529.3,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,9176.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN AORTA,361,RC,,,,,inpatient,,,5407,,2703.5,3244.2,5459.4479,5082.58,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4487.81,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,4974.44,,,,percent of total billed charges,,5115.022,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5244.79,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4758.16,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,3503.736,,,,percent of total billed charges,,4866.3,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,5459.4479,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,5136.65,,,,percent of total billed charges,,4325.6,,,,percent of total billed charges,,3244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN ARTERY,361,RC,,,,,inpatient,,,2078,,1039,1246.8,2098.1566,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1346.544,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,2098.1566,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN ARTERY,361,RC,,,,,inpatient,,,3694,,1847,2216.4,3729.8318,3472.36,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3066.02,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3494.524,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3583.18,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3250.72,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2393.712,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,3729.8318,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART ADDORD ABD/PEL/EX,361,RC,,,,,inpatient,,,2081,,1040.5,1248.6,2101.1857,1956.14,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1727.23,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1968.626,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,2018.57,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1831.28,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1348.488,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,2101.1857,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 3RD ORD THORBRAC,361,RC,,,,,inpatient,,,1743,,871.5,1045.8,1759.9071,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1129.464,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1759.9071,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART EA ADDL THORBRAC,361,RC,,,,,inpatient,,,1743,,871.5,1045.8,1759.9071,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1129.464,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1759.9071,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART 3RDORD ABD/PEL/EX,361,RC,,,,,inpatient,,,12476,,6238,7485.6,12597.0172,11727.44,,,,percent of total billed charges,,9980.8,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,10355.08,,,,percent of total billed charges,,11228.4,,,,percent of total billed charges,,11477.92,,,,percent of total billed charges,,11477.92,,,,percent of total billed charges,,11802.296,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,12101.72,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,10978.88,,,,percent of total billed charges,,11228.4,,,,percent of total billed charges,,8084.448,,,,percent of total billed charges,,11228.4,,,,percent of total billed charges,,7485.6,,,,percent of total billed charges,,12597.0172,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,11852.2,,,,percent of total billed charges,,9980.8,,,,percent of total billed charges,,7485.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PLACE PULM ARTERY,361,RC,,,,,inpatient,,,3226,,1613,1935.6,3257.2922,3032.44,,,,percent of total billed charges,,2580.8,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,2677.58,,,,percent of total billed charges,,2903.4,,,,percent of total billed charges,,2967.92,,,,percent of total billed charges,,2967.92,,,,percent of total billed charges,,3051.796,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,3129.22,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,2838.88,,,,percent of total billed charges,,2903.4,,,,percent of total billed charges,,2090.448,,,,percent of total billed charges,,2903.4,,,,percent of total billed charges,,1935.6,,,,percent of total billed charges,,3257.2922,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,3064.7,,,,percent of total billed charges,,2580.8,,,,percent of total billed charges,,1935.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 2ND ORD THORBRAC,361,RC,,,,,inpatient,,,1743,,871.5,1045.8,1759.9071,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1129.464,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1759.9071,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART 1STORD ABD/PEL/EX,361,RC,,,,,inpatient,,,5748,,2874,3448.8,5803.7556,5403.12,,,,percent of total billed charges,,4598.4,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,4770.84,,,,percent of total billed charges,,5173.2,,,,percent of total billed charges,,5288.16,,,,percent of total billed charges,,5288.16,,,,percent of total billed charges,,5437.608,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,5575.56,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,5058.24,,,,percent of total billed charges,,5173.2,,,,percent of total billed charges,,3724.704,,,,percent of total billed charges,,5173.2,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,5803.7556,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,5460.6,,,,percent of total billed charges,,4598.4,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHART 2NDORD ABD/PEL/EX,361,RC,,,,,inpatient,,,10845,,5422.5,6507,10950.1965,10194.3,,,,percent of total billed charges,,8676,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,9001.35,,,,percent of total billed charges,,9760.5,,,,percent of total billed charges,,9977.4,,,,percent of total billed charges,,9977.4,,,,percent of total billed charges,,10259.37,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,10519.65,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,9543.6,,,,percent of total billed charges,,9760.5,,,,percent of total billed charges,,7027.56,,,,percent of total billed charges,,9760.5,,,,percent of total billed charges,,6507,,,,percent of total billed charges,,10950.1965,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,10302.75,,,,percent of total billed charges,,8676,,,,percent of total billed charges,,6507,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 1ST ORD THORBRAC,361,RC,,,,,inpatient,,,1743,,871.5,1045.8,1759.9071,1638.42,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1446.69,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1603.56,,,,percent of total billed charges,,1648.878,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1690.71,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1533.84,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1129.464,,,,percent of total billed charges,,1568.7,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,1759.9071,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1655.85,,,,percent of total billed charges,,1394.4,,,,percent of total billed charges,,1045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN VEIN,361,RC,,,,,inpatient,,,3435,,1717.5,2061,3468.3195,3228.9,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2851.05,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3249.51,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3331.95,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3022.8,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2225.88,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,3468.3195,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN VEIN,361,RC,,,,,inpatient,,,3285,,1642.5,1971,3316.8645,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2128.68,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3316.8645,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN VEIN,361,RC,,,,,inpatient,,,2683,,1341.5,1609.8,2709.0251,2522.02,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2226.89,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2468.36,,,,percent of total billed charges,,2538.118,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2602.51,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2361.04,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1738.584,,,,percent of total billed charges,,2414.7,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,2709.0251,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2548.85,,,,percent of total billed charges,,2146.4,,,,percent of total billed charges,,1609.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POCKET REVISION/PACEMAKER,360,RC,,,,,inpatient,,,9934,,4967,5960.4,10030.3598,9337.96,,,,percent of total billed charges,,7947.2,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,8245.22,,,,percent of total billed charges,,8940.6,,,,percent of total billed charges,,9139.28,,,,percent of total billed charges,,9139.28,,,,percent of total billed charges,,9397.564,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,9635.98,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,8741.92,,,,percent of total billed charges,,8940.6,,,,percent of total billed charges,,6437.232,,,,percent of total billed charges,,8940.6,,,,percent of total billed charges,,5960.4,,,,percent of total billed charges,,10030.3598,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,9437.3,,,,percent of total billed charges,,7947.2,,,,percent of total billed charges,,5960.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERC MECH THROMB INT VESS,361,RC,,,,,inpatient,,,12323,,6161.5,7393.8,12442.5331,11583.62,,,,percent of total billed charges,,9858.4,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,10228.09,,,,percent of total billed charges,,11090.7,,,,percent of total billed charges,,11337.16,,,,percent of total billed charges,,11337.16,,,,percent of total billed charges,,11657.558,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,11953.31,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,10844.24,,,,percent of total billed charges,,11090.7,,,,percent of total billed charges,,7985.304,,,,percent of total billed charges,,11090.7,,,,percent of total billed charges,,7393.8,,,,percent of total billed charges,,12442.5331,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,11706.85,,,,percent of total billed charges,,9858.4,,,,percent of total billed charges,,7393.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRIM ART M-THROMBECT ADD-ON,361,RC,,,,,inpatient,,,5122,,2561,3073.2,5171.6834,4814.68,,,,percent of total billed charges,,4097.6,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4251.26,,,,percent of total billed charges,,4609.8,,,,percent of total billed charges,,4712.24,,,,percent of total billed charges,,4712.24,,,,percent of total billed charges,,4845.412,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4968.34,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4507.36,,,,percent of total billed charges,,4609.8,,,,percent of total billed charges,,3319.056,,,,percent of total billed charges,,4609.8,,,,percent of total billed charges,,3073.2,,,,percent of total billed charges,,5171.6834,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4865.9,,,,percent of total billed charges,,4097.6,,,,percent of total billed charges,,3073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PSEUDOANEURYSM INJECTION TRT,361,RC,,,,,inpatient,,,716,,358,429.6,722.9452,673.04,,,,percent of total billed charges,,572.8,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,594.28,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,658.72,,,,percent of total billed charges,,658.72,,,,percent of total billed charges,,677.336,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,694.52,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,630.08,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,463.968,,,,percent of total billed charges,,644.4,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,722.9452,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,680.2,,,,percent of total billed charges,,572.8,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA PULM ART SINGLE VESSEL,481,RC,,,,,inpatient,,,15288,,7644,9172.8,15436.2936,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9906.624,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,15436.2936,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA PULM ART EA ADD'L VESSEL,481,RC,,,,,inpatient,,,2992,,1496,1795.2,3021.0224,2812.48,,,,percent of total billed charges,,2393.6,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2483.36,,,,percent of total billed charges,,2692.8,,,,percent of total billed charges,,2752.64,,,,percent of total billed charges,,2752.64,,,,percent of total billed charges,,2830.432,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2902.24,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2632.96,,,,percent of total billed charges,,2692.8,,,,percent of total billed charges,,1938.816,,,,percent of total billed charges,,2692.8,,,,percent of total billed charges,,1795.2,,,,percent of total billed charges,,3021.0224,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2842.4,,,,percent of total billed charges,,2393.6,,,,percent of total billed charges,,1795.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PUNCTURE DRAINAGE OF LESION,361,RC,,,,,inpatient,,,1769,,884.5,1061.4,1786.1593,1662.86,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1468.27,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1673.474,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1715.93,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1556.72,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1146.312,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,1786.1593,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1764 RECORDER CARDIAC, MED REVAL",278,RC,,,,,inpatient,,,10253,,5126.5,6151.8,10352.4541,9637.82,,,,percent of total billed charges,,8202.4,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,8509.99,,,,percent of total billed charges,,9227.7,,,,percent of total billed charges,,9432.76,,,,percent of total billed charges,,9432.76,,,,percent of total billed charges,,9699.338,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,9945.41,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,9022.64,,,,percent of total billed charges,,9227.7,,,,percent of total billed charges,,6643.944,,,,percent of total billed charges,,9227.7,,,,percent of total billed charges,,6151.8,,,,percent of total billed charges,,10352.4541,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,9740.35,,,,percent of total billed charges,,8202.4,,,,percent of total billed charges,,6151.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF PCM GENERATOR,360,RC,,,,,inpatient,,,9938,,4969,5962.8,10034.3986,9341.72,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8248.54,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9401.348,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9639.86,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8745.44,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,6439.824,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,10034.3986,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF PCM LEAD - SINGLE,360,RC,,,,,inpatient,,,14079,,7039.5,8447.4,14215.5663,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,9123.192,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,14215.5663,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF PCM LEAD - DUAL,360,RC,,,,,inpatient,,,14079,,7039.5,8447.4,14215.5663,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,9123.192,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,14215.5663,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOV TUNN CVCATH WO PORT,361,RC,,,,,inpatient,,,3657,,1828.5,2194.2,3692.4729,3437.58,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3035.31,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3364.44,,,,percent of total billed charges,,3459.522,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3547.29,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3218.16,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2369.736,,,,percent of total billed charges,,3291.3,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,3692.4729,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,3474.15,,,,percent of total billed charges,,2925.6,,,,percent of total billed charges,,2194.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF SINGLE OR DUAL ICD LEADS,360,RC,,,,,inpatient,,,9938,,4969,5962.8,10034.3986,9341.72,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8248.54,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9142.96,,,,percent of total billed charges,,9401.348,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9639.86,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,8745.44,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,6439.824,,,,percent of total billed charges,,8944.2,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,10034.3986,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,9441.1,,,,percent of total billed charges,,7950.4,,,,percent of total billed charges,,5962.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REVISION (TIPS),361,RC,,,,,inpatient,,,8888,,4444,5332.8,8974.2136,8354.72,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7377.04,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8408.048,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8621.36,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7821.44,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5759.424,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,8974.2136,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL SUBQ CARDIAC RHYTHM MONITOR,361,RC,,,,,inpatient,,,2953,,1476.5,1771.8,2981.6441,2775.82,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2450.99,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2716.76,,,,percent of total billed charges,,2793.538,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2864.41,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2598.64,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,1913.544,,,,percent of total billed charges,,2657.7,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,2981.6441,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2805.35,,,,percent of total billed charges,,2362.4,,,,percent of total billed charges,,1771.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVE RENAL TUBE W/FLUORO,361,RC,,,,,inpatient,,,1720,,860,1032,1736.684,1616.8,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1427.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1627.12,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1668.4,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1513.6,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1114.56,,,,percent of total billed charges,,1548,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,1736.684,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1634,,,,percent of total billed charges,,1376,,,,percent of total billed charges,,1032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA BALLOON FEM POP,361,RC,,,,,inpatient,,,16107,,8053.5,9664.2,16263.2379,15140.58,,,,percent of total billed charges,,12885.6,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,13368.81,,,,percent of total billed charges,,14496.3,,,,percent of total billed charges,,14818.44,,,,percent of total billed charges,,14818.44,,,,percent of total billed charges,,15237.222,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,15623.79,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,14174.16,,,,percent of total billed charges,,14496.3,,,,percent of total billed charges,,10437.336,,,,percent of total billed charges,,14496.3,,,,percent of total billed charges,,9664.2,,,,percent of total billed charges,,16263.2379,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,15301.65,,,,percent of total billed charges,,12885.6,,,,percent of total billed charges,,9664.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA BALLOON ILIAC,361,RC,,,,,inpatient,,,7681,,3840.5,4608.6,7755.5057,7220.14,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6375.23,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7266.226,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7450.57,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6759.28,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,4977.288,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,7755.5057,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DISC ASPIRATION,361,RC,,,,,inpatient,,,1968,,984,1180.8,1987.0896,1849.92,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1633.44,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1861.728,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1908.96,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1731.84,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1275.264,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1987.0896,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR OF LEAD - SINGLE,360,RC,,,,,inpatient,,,12699,,6349.5,7619.4,12822.1803,11937.06,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10540.17,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,11683.08,,,,percent of total billed charges,,12013.254,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12318.03,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,11175.12,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,8228.952,,,,percent of total billed charges,,11429.1,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,12822.1803,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,12064.05,,,,percent of total billed charges,,10159.2,,,,percent of total billed charges,,7619.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR CVCATH WO PORTPUMP,361,RC,,,,,inpatient,,,1239,,619.5,743.4,1251.0183,1164.66,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1028.37,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1139.88,,,,percent of total billed charges,,1172.094,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1201.83,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1090.32,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,802.872,,,,percent of total billed charges,,1115.1,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,1251.0183,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,1177.05,,,,percent of total billed charges,,991.2,,,,percent of total billed charges,,743.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR CVCATH W PORTPUMP,361,RC,,,,,inpatient,,,5986,,2993,3591.6,6044.0642,5626.84,,,,percent of total billed charges,,4788.8,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,4968.38,,,,percent of total billed charges,,5387.4,,,,percent of total billed charges,,5507.12,,,,percent of total billed charges,,5507.12,,,,percent of total billed charges,,5662.756,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,5806.42,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,5267.68,,,,percent of total billed charges,,5387.4,,,,percent of total billed charges,,3878.928,,,,percent of total billed charges,,5387.4,,,,percent of total billed charges,,3591.6,,,,percent of total billed charges,,6044.0642,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,5686.7,,,,percent of total billed charges,,4788.8,,,,percent of total billed charges,,3591.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL CVADCATH WOPORT,361,RC,,,,,inpatient,,,2422,,1211,1453.2,2445.4934,2276.68,,,,percent of total billed charges,,1937.6,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2010.26,,,,percent of total billed charges,,2179.8,,,,percent of total billed charges,,2228.24,,,,percent of total billed charges,,2228.24,,,,percent of total billed charges,,2291.212,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2349.34,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2131.36,,,,percent of total billed charges,,2179.8,,,,percent of total billed charges,,1569.456,,,,percent of total billed charges,,2179.8,,,,percent of total billed charges,,1453.2,,,,percent of total billed charges,,2445.4934,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,2300.9,,,,percent of total billed charges,,1937.6,,,,percent of total billed charges,,1453.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL PICC WO PORT,361,RC,,,,,inpatient,,,2219,,1109.5,1331.4,2240.5243,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1437.912,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2240.5243,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPL CVCATH W PORT PUMP,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL CVCATH WOPORT,361,RC,,,,,inpatient,,,5832,,2916,3499.2,5888.5704,5482.08,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4840.56,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5517.072,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5657.04,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5132.16,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,3779.136,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,5888.5704,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP REPL CVCATH W PORT,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITION GASTROSTOMY TUBE,361,RC,,,,,inpatient,,,3716,,1858,2229.6,3752.0452,3493.04,,,,percent of total billed charges,,2972.8,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3084.28,,,,percent of total billed charges,,3344.4,,,,percent of total billed charges,,3418.72,,,,percent of total billed charges,,3418.72,,,,percent of total billed charges,,3515.336,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3604.52,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3270.08,,,,percent of total billed charges,,3344.4,,,,percent of total billed charges,,2407.968,,,,percent of total billed charges,,3344.4,,,,percent of total billed charges,,2229.6,,,,percent of total billed charges,,3752.0452,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,3530.2,,,,percent of total billed charges,,2972.8,,,,percent of total billed charges,,2229.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOS OF LV LEAD,360,RC,,,,,inpatient,,,14079,,7039.5,8447.4,14215.5663,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,9123.192,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,14215.5663,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITION OF IMPLANTED LEAD,360,RC,,,,,inpatient,,,14079,,7039.5,8447.4,14215.5663,13234.26,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11685.57,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,12952.68,,,,percent of total billed charges,,13318.734,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13656.63,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,12389.52,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,9123.192,,,,percent of total billed charges,,12671.1,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,14215.5663,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,13375.05,,,,percent of total billed charges,,11263.2,,,,percent of total billed charges,,8447.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOS VEN CATH UND FLUOR,361,RC,,,,,inpatient,,,2235,,1117.5,1341,2256.6795,2100.9,,,,percent of total billed charges,,1788,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,1855.05,,,,percent of total billed charges,,2011.5,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,2056.2,,,,percent of total billed charges,,2114.31,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,2167.95,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,1966.8,,,,percent of total billed charges,,2011.5,,,,percent of total billed charges,,1448.28,,,,percent of total billed charges,,2011.5,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,2256.6795,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,2123.25,,,,percent of total billed charges,,1788,,,,percent of total billed charges,,1341,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1773 RETRIEVAL DEVICE I,278,RC,,,,,inpatient,,,1137,,568.5,682.2,1148.0289,1068.78,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,943.71,,,,percent of total billed charges,,1023.3,,,,percent of total billed charges,,1046.04,,,,percent of total billed charges,,1046.04,,,,percent of total billed charges,,1075.602,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,1102.89,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,1000.56,,,,percent of total billed charges,,1023.3,,,,percent of total billed charges,,736.776,,,,percent of total billed charges,,1023.3,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,1148.0289,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,1080.15,,,,percent of total billed charges,,909.6,,,,percent of total billed charges,,682.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AORTIC BALLOON VALVULOPLASTY,481,RC,,,,,inpatient,,,8888,,4444,5332.8,8974.2136,8354.72,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7377.04,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8176.96,,,,percent of total billed charges,,8408.048,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8621.36,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7821.44,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5759.424,,,,percent of total billed charges,,7999.2,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,8974.2136,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,8443.6,,,,percent of total billed charges,,7110.4,,,,percent of total billed charges,,5332.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33741-0360 TAS CONGENITAL CAR ANOMAL,360,RC,,,,,inpatient,,,12132,,6066,7279.2,12249.6804,11404.08,,,,percent of total billed charges,,9705.6,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,10069.56,,,,percent of total billed charges,,10918.8,,,,percent of total billed charges,,11161.44,,,,percent of total billed charges,,11161.44,,,,percent of total billed charges,,11476.872,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,11768.04,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,10676.16,,,,percent of total billed charges,,10918.8,,,,percent of total billed charges,,7861.536,,,,percent of total billed charges,,10918.8,,,,percent of total billed charges,,7279.2,,,,percent of total billed charges,,12249.6804,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,11525.4,,,,percent of total billed charges,,9705.6,,,,percent of total billed charges,,7279.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY BALLOON VALVULOPLASTY,481,RC,,,,,inpatient,,,15288,,7644,9172.8,15436.2936,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9906.624,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,15436.2936,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EKG 1-3LEADS TRACING ONLY,730,RC,,,,,inpatient,,,330,,165,198,333.201,310.2,,,,percent of total billed charges,,264,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,273.9,,,,percent of total billed charges,,297,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,303.6,,,,percent of total billed charges,,312.18,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,320.1,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,290.4,,,,percent of total billed charges,,297,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,297,,,,percent of total billed charges,,198,,,,percent of total billed charges,,333.201,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,313.5,,,,percent of total billed charges,,264,,,,percent of total billed charges,,198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R HT CATH ONLY,481,RC,,,,,inpatient,,,9454,,4727,5672.4,9545.7038,8886.76,,,,percent of total billed charges,,7563.2,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,7846.82,,,,percent of total billed charges,,8508.6,,,,percent of total billed charges,,8697.68,,,,percent of total billed charges,,8697.68,,,,percent of total billed charges,,8943.484,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,9170.38,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,8319.52,,,,percent of total billed charges,,8508.6,,,,percent of total billed charges,,6126.192,,,,percent of total billed charges,,8508.6,,,,percent of total billed charges,,5672.4,,,,percent of total billed charges,,9545.7038,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,8981.3,,,,percent of total billed charges,,7563.2,,,,percent of total billed charges,,5672.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RECORDING, RIGHT VENTRICULAR",480,RC,,,,,inpatient,,,5468,,2734,3280.8,5521.0396,5139.92,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4538.44,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5030.56,,,,percent of total billed charges,,5172.728,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5303.96,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4811.84,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,3543.264,,,,percent of total billed charges,,4921.2,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,5521.0396,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,5194.6,,,,percent of total billed charges,,4374.4,,,,percent of total billed charges,,3280.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEC ART M-THROMBECT ADD-ON,361,RC,,,,,inpatient,,,7681,,3840.5,4608.6,7755.5057,7220.14,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6375.23,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7066.52,,,,percent of total billed charges,,7266.226,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7450.57,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6759.28,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,4977.288,,,,percent of total billed charges,,6912.9,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,7755.5057,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,7296.95,,,,percent of total billed charges,,6144.8,,,,percent of total billed charges,,4608.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEPTAL DEFECT DEVICE,278,RC,,,,,inpatient,,,5557,,2778.5,3334.2,5610.9029,5223.58,,,,percent of total billed charges,,4445.6,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,4612.31,,,,percent of total billed charges,,5001.3,,,,percent of total billed charges,,5112.44,,,,percent of total billed charges,,5112.44,,,,percent of total billed charges,,5256.922,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,5390.29,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,4890.16,,,,percent of total billed charges,,5001.3,,,,percent of total billed charges,,3600.936,,,,percent of total billed charges,,5001.3,,,,percent of total billed charges,,3334.2,,,,percent of total billed charges,,5610.9029,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,5279.15,,,,percent of total billed charges,,4445.6,,,,percent of total billed charges,,3334.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SHEATH,272,RC,,,,,inpatient,,,247,,123.5,148.2,249.3959,232.18,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,205.01,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,227.24,,,,percent of total billed charges,,233.662,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,239.59,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,217.36,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,222.3,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,249.3959,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,234.65,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,148.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL FLUID TAP, DIAGNOSTIC W/O GUIDE",361,RC,,,,,inpatient,,,2011,,1005.5,1206.6,2030.5067,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1303.128,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,2030.5067,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1876 STENT NONCOATED/NONCOVERED, W/ DELIVERY SYSTEM",278,RC,,,,,inpatient,,,2304,,1152,1382.4,2326.3488,2165.76,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1912.32,,,,percent of total billed charges,,2073.6,,,,percent of total billed charges,,2119.68,,,,percent of total billed charges,,2119.68,,,,percent of total billed charges,,2179.584,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2234.88,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2027.52,,,,percent of total billed charges,,2073.6,,,,percent of total billed charges,,1492.992,,,,percent of total billed charges,,2073.6,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,2326.3488,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1843.2,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT DRUG ELUTING,278,RC,,,,,inpatient,,,2170,,1085,1302,2191.049,2039.8,,,,percent of total billed charges,,1736,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,1801.1,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,1996.4,,,,percent of total billed charges,,1996.4,,,,percent of total billed charges,,2052.82,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,2104.9,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,1909.6,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,1406.16,,,,percent of total billed charges,,1953,,,,percent of total billed charges,,1302,,,,percent of total billed charges,,2191.049,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,2061.5,,,,percent of total billed charges,,1736,,,,percent of total billed charges,,1302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT MISC I,278,RC,,,,,inpatient,,,4422,,2211,2653.2,4464.8934,4156.68,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,3670.26,,,,percent of total billed charges,,3979.8,,,,percent of total billed charges,,4068.24,,,,percent of total billed charges,,4068.24,,,,percent of total billed charges,,4183.212,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,4289.34,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,3891.36,,,,percent of total billed charges,,3979.8,,,,percent of total billed charges,,2865.456,,,,percent of total billed charges,,3979.8,,,,percent of total billed charges,,2653.2,,,,percent of total billed charges,,4464.8934,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,4200.9,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,2653.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1874 STENT, COATED/COVERED, W/ DELIVERY SYSTEM",278,RC,,,,,inpatient,,,2408,,1204,1444.8,2431.3576,2263.52,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1998.64,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2215.36,,,,percent of total billed charges,,2277.968,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2335.76,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2119.04,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1560.384,,,,percent of total billed charges,,2167.2,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,2431.3576,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,2287.6,,,,percent of total billed charges,,1926.4,,,,percent of total billed charges,,1444.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PROGRAM STIMULATION/IV DRUG INFUSION,480,RC,,,,,inpatient,,,4002,,2001,2401.2,4040.8194,3761.88,,,,percent of total billed charges,,3201.6,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3321.66,,,,percent of total billed charges,,3601.8,,,,percent of total billed charges,,3681.84,,,,percent of total billed charges,,3681.84,,,,percent of total billed charges,,3785.892,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3881.94,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3521.76,,,,percent of total billed charges,,3601.8,,,,percent of total billed charges,,2593.296,,,,percent of total billed charges,,3601.8,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,4040.8194,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3801.9,,,,percent of total billed charges,,3201.6,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMOSTATIC PATCH,272,RC,,,,,inpatient,,,1591,,795.5,954.6,1606.4327,1495.54,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1320.53,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1463.72,,,,percent of total billed charges,,1505.086,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1543.27,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1400.08,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,1030.968,,,,percent of total billed charges,,1431.9,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,1606.4327,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1511.45,,,,percent of total billed charges,,1272.8,,,,percent of total billed charges,,954.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEMPORARY PACEMAKER INSERTION,360,RC,,,,,inpatient,,,2464,,1232,1478.4,2487.9008,2316.16,,,,percent of total billed charges,,1971.2,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2045.12,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,2266.88,,,,percent of total billed charges,,2266.88,,,,percent of total billed charges,,2330.944,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2390.08,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2168.32,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,1596.672,,,,percent of total billed charges,,2217.6,,,,percent of total billed charges,,1478.4,,,,percent of total billed charges,,2487.9008,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,2340.8,,,,percent of total billed charges,,1971.2,,,,percent of total billed charges,,1478.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXTERNAL TEMP PACING,480,RC,,,,,inpatient,,,1841,,920.5,1104.6,1858.8577,1730.54,,,,percent of total billed charges,,1472.8,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1528.03,,,,percent of total billed charges,,1656.9,,,,percent of total billed charges,,1693.72,,,,percent of total billed charges,,1693.72,,,,percent of total billed charges,,1741.586,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1785.77,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1620.08,,,,percent of total billed charges,,1656.9,,,,percent of total billed charges,,1192.968,,,,percent of total billed charges,,1656.9,,,,percent of total billed charges,,1104.6,,,,percent of total billed charges,,1858.8577,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1748.95,,,,percent of total billed charges,,1472.8,,,,percent of total billed charges,,1104.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INOTROPIC INFUSION THERAPY EACH ADD'L HOUR,260,RC,,,,,inpatient,,,2355,,1177.5,1413,2377.8435,2213.7,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1954.65,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2227.83,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2284.35,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2072.4,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1526.04,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,2377.8435,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INOTROPIC INFUSION THERAPY 1ST HR,260,RC,,,,,inpatient,,,2355,,1177.5,1413,2377.8435,2213.7,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1954.65,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2166.6,,,,percent of total billed charges,,2227.83,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2284.35,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2072.4,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1526.04,,,,percent of total billed charges,,2119.5,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,2377.8435,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,2237.25,,,,percent of total billed charges,,1884,,,,percent of total billed charges,,1413,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THROMBOLYTIC THERAPY, STROKE",361,RC,,,,,inpatient,,,1304,,652,782.4,1316.6488,1225.76,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1082.32,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1199.68,,,,percent of total billed charges,,1233.584,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1264.88,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1147.52,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,844.992,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,1316.6488,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1238.8,,,,percent of total billed charges,,1043.2,,,,percent of total billed charges,,782.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TILT TABLE EVALUATION,482,RC,,,,,inpatient,,,766,,383,459.6,773.4302,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,496.368,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,773.4302,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PFO/ASD CLOSURE PERCUTANEOUS (INCL R&L HEART CATH, INJCTNS, VENT/ATRIAL IMAGING)",481,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCATH STENT, CCA W/EPS",361,RC,,,,,inpatient,,,28005,,14002.5,16803,28276.6485,26324.7,,,,percent of total billed charges,,22404,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,23244.15,,,,percent of total billed charges,,25204.5,,,,percent of total billed charges,,25764.6,,,,percent of total billed charges,,25764.6,,,,percent of total billed charges,,26492.73,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,27164.85,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,24644.4,,,,percent of total billed charges,,25204.5,,,,percent of total billed charges,,18147.24,,,,percent of total billed charges,,25204.5,,,,percent of total billed charges,,16803,,,,percent of total billed charges,,28276.6485,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,26604.75,,,,percent of total billed charges,,22404,,,,percent of total billed charges,,16803,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCATH STENT, CCA W/O EPS",361,RC,,,,,inpatient,,,26964,,13482,16178.4,27225.5508,25346.16,,,,percent of total billed charges,,21571.2,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,22380.12,,,,percent of total billed charges,,24267.6,,,,percent of total billed charges,,24806.88,,,,percent of total billed charges,,24806.88,,,,percent of total billed charges,,25507.944,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,26155.08,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,23728.32,,,,percent of total billed charges,,24267.6,,,,percent of total billed charges,,17472.672,,,,percent of total billed charges,,24267.6,,,,percent of total billed charges,,16178.4,,,,percent of total billed charges,,27225.5508,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,25615.8,,,,percent of total billed charges,,21571.2,,,,percent of total billed charges,,16178.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATHETER BIOPSY,361,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH I,278,RC,,,,,inpatient,,,810,,405,486,817.857,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,524.88,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,817.857,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH II,278,RC,,,,,inpatient,,,718,,359,430.8,724.9646,674.92,,,,percent of total billed charges,,574.4,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,595.94,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,660.56,,,,percent of total billed charges,,660.56,,,,percent of total billed charges,,679.228,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,696.46,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,631.84,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,465.264,,,,percent of total billed charges,,646.2,,,,percent of total billed charges,,430.8,,,,percent of total billed charges,,724.9646,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,682.1,,,,percent of total billed charges,,574.4,,,,percent of total billed charges,,430.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UROLOGY SURGERY PROCEDURE,361,RC,,,,,inpatient,,,582,,291,349.2,587.6454,547.08,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,535.44,,,,percent of total billed charges,,535.44,,,,percent of total billed charges,,550.572,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,564.54,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,377.136,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,587.6454,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,552.9,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US GUIDE, VASCULAR ACCESS",402,RC,,,,,inpatient,,,311,,155.5,186.6,314.0167,292.34,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,258.13,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,286.12,,,,percent of total billed charges,,294.206,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,301.67,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,273.68,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,201.528,,,,percent of total billed charges,,279.9,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,314.0167,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,295.45,,,,percent of total billed charges,,248.8,,,,percent of total billed charges,,186.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH BX S&I,320,RC,,,,,inpatient,,,2201,,1100.5,1320.6,2222.3497,2068.94,,,,percent of total billed charges,,1760.8,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,1826.83,,,,percent of total billed charges,,1980.9,,,,percent of total billed charges,,2024.92,,,,percent of total billed charges,,2024.92,,,,percent of total billed charges,,2082.146,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,2134.97,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,1936.88,,,,percent of total billed charges,,1980.9,,,,percent of total billed charges,,1426.248,,,,percent of total billed charges,,1980.9,,,,percent of total billed charges,,1320.6,,,,percent of total billed charges,,2222.3497,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,2090.95,,,,percent of total billed charges,,1760.8,,,,percent of total billed charges,,1320.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1760 VASCULAR CLOSURE DEVICE,278,RC,,,,,inpatient,,,761,,380.5,456.6,768.3817,715.34,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,631.63,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,700.12,,,,percent of total billed charges,,719.906,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,738.17,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,669.68,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,493.128,,,,percent of total billed charges,,684.9,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,768.3817,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,722.95,,,,percent of total billed charges,,608.8,,,,percent of total billed charges,,456.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASCULAR SURGERY PROCEDURE,361,RC,,,,,inpatient,,,1663,,831.5,997.8,1679.1311,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1077.624,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1679.1311,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I VENOGRAPHY EXT UNILATERAL,320,RC,,,,,inpatient,,,2410,,1205,1446,2433.377,2265.4,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2000.3,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2279.86,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2337.7,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2120.8,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1561.68,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,2433.377,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENOGRAM EXT BIL S&I,320,RC,,,,,inpatient,,,2410,,1205,1446,2433.377,2265.4,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2000.3,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2217.2,,,,percent of total billed charges,,2279.86,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2337.7,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2120.8,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1561.68,,,,percent of total billed charges,,2169,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,2433.377,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,2289.5,,,,percent of total billed charges,,1928,,,,percent of total billed charges,,1446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO CAVAL SUP SERIAL S&I,320,RC,,,,,inpatient,,,4064,,2032,2438.4,4103.4208,3820.16,,,,percent of total billed charges,,3251.2,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3373.12,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,3738.88,,,,percent of total billed charges,,3738.88,,,,percent of total billed charges,,3844.544,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3942.08,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3576.32,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,2633.472,,,,percent of total billed charges,,3657.6,,,,percent of total billed charges,,2438.4,,,,percent of total billed charges,,4103.4208,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3860.8,,,,percent of total billed charges,,3251.2,,,,percent of total billed charges,,2438.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO RENAL SELECT UNI S&I,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO HEPAT W HEMODYN S&I,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO HEPAT WO HEMODYN S&I,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I VENOGAPHY CS OR JUGULAR,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO SUP SAGITT SINUS S&I,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENO CAVAL INF SERIAL S&I,320,RC,,,,,inpatient,,,5818,,2909,3490.8,5874.4346,5468.92,,,,percent of total billed charges,,4654.4,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,4828.94,,,,percent of total billed charges,,5236.2,,,,percent of total billed charges,,5352.56,,,,percent of total billed charges,,5352.56,,,,percent of total billed charges,,5503.828,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,5643.46,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,5119.84,,,,percent of total billed charges,,5236.2,,,,percent of total billed charges,,3770.064,,,,percent of total billed charges,,5236.2,,,,percent of total billed charges,,3490.8,,,,percent of total billed charges,,5874.4346,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,5527.1,,,,percent of total billed charges,,4654.4,,,,percent of total billed charges,,3490.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENA CAVA FILTER,278,RC,,,,,inpatient,,,3187,,1593.5,1912.2,3217.9139,2995.78,,,,percent of total billed charges,,2549.6,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,2645.21,,,,percent of total billed charges,,2868.3,,,,percent of total billed charges,,2932.04,,,,percent of total billed charges,,2932.04,,,,percent of total billed charges,,3014.902,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,3091.39,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,2804.56,,,,percent of total billed charges,,2868.3,,,,percent of total billed charges,,2065.176,,,,percent of total billed charges,,2868.3,,,,percent of total billed charges,,1912.2,,,,percent of total billed charges,,3217.9139,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,3027.65,,,,percent of total billed charges,,2549.6,,,,percent of total billed charges,,1912.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENOUS MECH THROMBECTOMY,361,RC,,,,,inpatient,,,15288,,7644,9172.8,15436.2936,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9906.624,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,15436.2936,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEN SAMPLE THRU CATH S&I,320,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG WIRE PRESSURE,272,RC,,,,,inpatient,,,619,,309.5,371.4,625.0043,581.86,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,513.77,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,569.48,,,,percent of total billed charges,,585.574,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,600.43,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,544.72,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,401.112,,,,percent of total billed charges,,557.1,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,625.0043,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,588.05,,,,percent of total billed charges,,495.2,,,,percent of total billed charges,,371.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SERIALOGRAM ABD W RUNOFF,323,RC,,,,,inpatient,,,6264,,3132,3758.4,6324.7608,5888.16,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5199.12,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5762.88,,,,percent of total billed charges,,5925.744,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,6076.08,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5512.32,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,4059.072,,,,percent of total billed charges,,5637.6,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,6324.7608,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5950.8,,,,percent of total billed charges,,5011.2,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHG PERC CATH W CONT S&I,320,RC,,,,,inpatient,,,636,,318,381.6,642.1692,597.84,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,527.88,,,,percent of total billed charges,,572.4,,,,percent of total billed charges,,585.12,,,,percent of total billed charges,,585.12,,,,percent of total billed charges,,601.656,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,616.92,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,559.68,,,,percent of total billed charges,,572.4,,,,percent of total billed charges,,412.128,,,,percent of total billed charges,,572.4,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,642.1692,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,604.2,,,,percent of total billed charges,,508.8,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY ABSC/FIST/SINUS S&I,320,RC,,,,,inpatient,,,828,,414,496.8,836.0316,778.32,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,687.24,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,761.76,,,,percent of total billed charges,,761.76,,,,percent of total billed charges,,783.288,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,536.544,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,836.0316,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,786.6,,,,percent of total billed charges,,662.4,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY GU DILATION S&I,320,RC,,,,,inpatient,,,2662,,1331,1597.2,2687.8214,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1724.976,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2687.8214,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DISCOGRAM LUMB S&I,320,RC,,,,,inpatient,,,4109,,2054.5,2465.4,4148.8573,3862.46,,,,percent of total billed charges,,3287.2,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3410.47,,,,percent of total billed charges,,3698.1,,,,percent of total billed charges,,3780.28,,,,percent of total billed charges,,3780.28,,,,percent of total billed charges,,3887.114,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3985.73,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3615.92,,,,percent of total billed charges,,3698.1,,,,percent of total billed charges,,2662.632,,,,percent of total billed charges,,3698.1,,,,percent of total billed charges,,2465.4,,,,percent of total billed charges,,4148.8573,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3903.55,,,,percent of total billed charges,,3287.2,,,,percent of total billed charges,,2465.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY BILE DUCT DIL S&I,320,RC,,,,,inpatient,,,1313,,656.5,787.8,1325.7361,1234.22,,,,percent of total billed charges,,1050.4,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1089.79,,,,percent of total billed charges,,1181.7,,,,percent of total billed charges,,1207.96,,,,percent of total billed charges,,1207.96,,,,percent of total billed charges,,1242.098,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1273.61,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1155.44,,,,percent of total billed charges,,1181.7,,,,percent of total billed charges,,850.824,,,,percent of total billed charges,,1181.7,,,,percent of total billed charges,,787.8,,,,percent of total billed charges,,1325.7361,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1247.35,,,,percent of total billed charges,,1050.4,,,,percent of total billed charges,,787.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR THOR AORTA S&I,320,RC,,,,,inpatient,,,14408,,7204,8644.8,14547.7576,13543.52,,,,percent of total billed charges,,11526.4,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,11958.64,,,,percent of total billed charges,,12967.2,,,,percent of total billed charges,,13255.36,,,,percent of total billed charges,,13255.36,,,,percent of total billed charges,,13629.968,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,13975.76,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,12679.04,,,,percent of total billed charges,,12967.2,,,,percent of total billed charges,,9336.384,,,,percent of total billed charges,,12967.2,,,,percent of total billed charges,,8644.8,,,,percent of total billed charges,,14547.7576,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,13687.6,,,,percent of total billed charges,,11526.4,,,,percent of total billed charges,,8644.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPAIR DES THOR/AORTA S&I,320,RC,,,,,inpatient,,,12352,,6176,7411.2,12471.8144,11610.88,,,,percent of total billed charges,,9881.6,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,10252.16,,,,percent of total billed charges,,11116.8,,,,percent of total billed charges,,11363.84,,,,percent of total billed charges,,11363.84,,,,percent of total billed charges,,11684.992,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,11981.44,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,10869.76,,,,percent of total billed charges,,11116.8,,,,percent of total billed charges,,8004.096,,,,percent of total billed charges,,11116.8,,,,percent of total billed charges,,7411.2,,,,percent of total billed charges,,12471.8144,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,11734.4,,,,percent of total billed charges,,9881.6,,,,percent of total billed charges,,7411.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG URETHROCYSTO RETRO S&I,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH THER EMB S&I,320,RC,,,,,inpatient,,,5397,,2698.5,3238.2,5449.3509,5073.18,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4479.51,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,5105.562,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5235.09,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4749.36,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,3497.256,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,5449.3509,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE BIOPSY KIT,272,RC,,,,,inpatient,,,1627,,813.5,976.2,1642.7819,1529.38,,,,percent of total billed charges,,1301.6,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1350.41,,,,percent of total billed charges,,1464.3,,,,percent of total billed charges,,1496.84,,,,percent of total billed charges,,1496.84,,,,percent of total billed charges,,1539.142,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1578.19,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1431.76,,,,percent of total billed charges,,1464.3,,,,percent of total billed charges,,1054.296,,,,percent of total billed charges,,1464.3,,,,percent of total billed charges,,976.2,,,,percent of total billed charges,,1642.7819,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1545.65,,,,percent of total billed charges,,1301.6,,,,percent of total billed charges,,976.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH EMBOLECTOMY ART,278,RC,,,,,inpatient,,,278,,139,166.8,280.6966,261.32,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,230.74,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,255.76,,,,percent of total billed charges,,262.988,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,269.66,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,244.64,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,180.144,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,280.6966,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,264.1,,,,percent of total billed charges,,222.4,,,,percent of total billed charges,,166.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC,TRAN ANGIO,TIBIOPERONEAL",361,RC,,,,,inpatient,,,19686,,9843,11811.6,19876.9542,18504.84,,,,percent of total billed charges,,15748.8,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,16339.38,,,,percent of total billed charges,,17717.4,,,,percent of total billed charges,,18111.12,,,,percent of total billed charges,,18111.12,,,,percent of total billed charges,,18622.956,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,19095.42,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,17323.68,,,,percent of total billed charges,,17717.4,,,,percent of total billed charges,,12756.528,,,,percent of total billed charges,,17717.4,,,,percent of total billed charges,,11811.6,,,,percent of total billed charges,,19876.9542,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,18701.7,,,,percent of total billed charges,,15748.8,,,,percent of total billed charges,,11811.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNLISTED PRCDURE,VASCULAR INJ",361,RC,,,,,inpatient,,,443,,221.5,265.8,447.2971,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,287.064,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,447.2971,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT PICC W/PORT >5,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORTOGRAM WO HEMODYN S&I,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I TRANSCATHETEROCCL/EMBOLIZATION W/DEVICE,320,RC,,,,,inpatient,,,5397,,2698.5,3238.2,5449.3509,5073.18,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4479.51,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,4965.24,,,,percent of total billed charges,,5105.562,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5235.09,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4749.36,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,3497.256,,,,percent of total billed charges,,4857.3,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,5449.3509,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,5127.15,,,,percent of total billed charges,,4317.6,,,,percent of total billed charges,,3238.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MITRAL BALLOON VALVULOPLASTY,481,RC,,,,,inpatient,,,15288,,7644,9172.8,15436.2936,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9906.624,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,15436.2936,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PLCMNT NON SEL FEMORAL AR,361,RC,,,,,inpatient,,,3597,,1798.5,2158.2,3631.8909,3381.18,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2985.51,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3309.24,,,,percent of total billed charges,,3402.762,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3489.09,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3165.36,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2330.856,,,,percent of total billed charges,,3237.3,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,3631.8909,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,3417.15,,,,percent of total billed charges,,2877.6,,,,percent of total billed charges,,2158.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IVP W OR WO KUB OR TOMO,320,RC,,,,,inpatient,,,1217,,608.5,730.2,1228.8049,1143.98,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1010.11,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1119.64,,,,percent of total billed charges,,1151.282,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1180.49,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1070.96,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,788.616,,,,percent of total billed charges,,1095.3,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,1228.8049,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,1156.15,,,,percent of total billed charges,,973.6,,,,percent of total billed charges,,730.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREO LOC ADD SITE,401,RC,,,,,inpatient,,,651,,325.5,390.6,657.3147,611.94,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,540.33,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,598.92,,,,percent of total billed charges,,615.846,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,631.47,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,572.88,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,421.848,,,,percent of total billed charges,,585.9,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,657.3147,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,618.45,,,,percent of total billed charges,,520.8,,,,percent of total billed charges,,390.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINE, CERVICAL 4 VIEWS",320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY SPINE THORAC MIN 4V,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY LUMBOSACR COMPLETE,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUMBOSACR BEND 2 OR 3 VWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SHOULDER, 1 VIEW",320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY KNEE COMPLETE,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI FACE, NECK W/CONTRAST",611,RC,,,,,inpatient,,,2834,,1417,1700.4,2861.4898,2663.96,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2352.22,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2607.28,,,,percent of total billed charges,,2680.964,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2748.98,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2493.92,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1836.432,,,,percent of total billed charges,,2550.6,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,2861.4898,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2692.3,,,,percent of total billed charges,,2267.2,,,,percent of total billed charges,,1700.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI, ABDOMEN W/CONTRAST",614,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRI,UPR EXTREM W/CONTRAST",614,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI JNT UPR EXT W/CONTRST,614,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOBRONC CATH 150MM,272,RC,,,,,inpatient,,,810,,405,486,817.857,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,524.88,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,817.857,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERT ONLY-DUAL,360,RC,,,,,inpatient,,,12276,,6138,7365.6,12395.0772,11539.44,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10189.08,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11293.92,,,,percent of total billed charges,,11613.096,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11907.72,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,10802.88,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,7954.848,,,,percent of total billed charges,,11048.4,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,12395.0772,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,11662.2,,,,percent of total billed charges,,9820.8,,,,percent of total billed charges,,7365.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VSD CLOS(R&L HRT CTH&INJ),481,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL TUNNELED W PORT/PUMP,361,RC,,,,,inpatient,,,6189,,3094.5,3713.4,6249.0333,5817.66,,,,percent of total billed charges,,4951.2,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,5136.87,,,,percent of total billed charges,,5570.1,,,,percent of total billed charges,,5693.88,,,,percent of total billed charges,,5693.88,,,,percent of total billed charges,,5854.794,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,6003.33,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,5446.32,,,,percent of total billed charges,,5570.1,,,,percent of total billed charges,,4010.472,,,,percent of total billed charges,,5570.1,,,,percent of total billed charges,,3713.4,,,,percent of total billed charges,,6249.0333,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,5879.55,,,,percent of total billed charges,,4951.2,,,,percent of total billed charges,,3713.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ECHO INTRACARDIAC,482,RC,,,,,inpatient,,,4988,,2494,2992.8,5036.3836,4688.72,,,,percent of total billed charges,,3990.4,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4140.04,,,,percent of total billed charges,,4489.2,,,,percent of total billed charges,,4588.96,,,,percent of total billed charges,,4588.96,,,,percent of total billed charges,,4718.648,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4838.36,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4389.44,,,,percent of total billed charges,,4489.2,,,,percent of total billed charges,,3232.224,,,,percent of total billed charges,,4489.2,,,,percent of total billed charges,,2992.8,,,,percent of total billed charges,,5036.3836,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,4738.6,,,,percent of total billed charges,,3990.4,,,,percent of total billed charges,,2992.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOSPY, KYPHX",272,RC,,,,,inpatient,,,505,,252.5,303,509.8985,474.7,,,,percent of total billed charges,,404,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,419.15,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,464.6,,,,percent of total billed charges,,477.73,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,489.85,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,444.4,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,327.24,,,,percent of total billed charges,,454.5,,,,percent of total billed charges,,303,,,,percent of total billed charges,,509.8985,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,479.75,,,,percent of total billed charges,,404,,,,percent of total billed charges,,303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBO VEN ACC DEVICE,361,RC,,,,,inpatient,,,709,,354.5,425.4,715.8773,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,459.432,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,715.8773,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32550-0361 INS TUNN PLEUR CATH W/ CUFF,361,RC,,,,,inpatient,,,7021,,3510.5,4212.6,7089.1037,6599.74,,,,percent of total billed charges,,5616.8,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,5827.43,,,,percent of total billed charges,,6318.9,,,,percent of total billed charges,,6459.32,,,,percent of total billed charges,,6459.32,,,,percent of total billed charges,,6641.866,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,6810.37,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,6178.48,,,,percent of total billed charges,,6318.9,,,,percent of total billed charges,,4549.608,,,,percent of total billed charges,,6318.9,,,,percent of total billed charges,,4212.6,,,,percent of total billed charges,,7089.1037,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,6669.95,,,,percent of total billed charges,,5616.8,,,,percent of total billed charges,,4212.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INST G TUBE PERC UNDER FLUORO INCL INJ,361,RC,,,,,inpatient,,,7724,,3862,4634.4,7798.9228,7260.56,,,,percent of total billed charges,,6179.2,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,6410.92,,,,percent of total billed charges,,6951.6,,,,percent of total billed charges,,7106.08,,,,percent of total billed charges,,7106.08,,,,percent of total billed charges,,7306.904,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,7492.28,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,6797.12,,,,percent of total billed charges,,6951.6,,,,percent of total billed charges,,5005.152,,,,percent of total billed charges,,6951.6,,,,percent of total billed charges,,4634.4,,,,percent of total billed charges,,7798.9228,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,7337.8,,,,percent of total billed charges,,6179.2,,,,percent of total billed charges,,4634.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INST DUODENO OR JTUBE PERC UND FLU INJ,361,RC,,,,,inpatient,,,8816,,4408,5289.6,8901.5152,8287.04,,,,percent of total billed charges,,7052.8,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,7317.28,,,,percent of total billed charges,,7934.4,,,,percent of total billed charges,,8110.72,,,,percent of total billed charges,,8110.72,,,,percent of total billed charges,,8339.936,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,8551.52,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,7758.08,,,,percent of total billed charges,,7934.4,,,,percent of total billed charges,,5712.768,,,,percent of total billed charges,,7934.4,,,,percent of total billed charges,,5289.6,,,,percent of total billed charges,,8901.5152,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,8375.2,,,,percent of total billed charges,,7052.8,,,,percent of total billed charges,,5289.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONV JTUBE TO GTUBE UND FLUORO INC INJ,361,RC,,,,,inpatient,,,6117,,3058.5,3670.2,6176.3349,5749.98,,,,percent of total billed charges,,4893.6,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5077.11,,,,percent of total billed charges,,5505.3,,,,percent of total billed charges,,5627.64,,,,percent of total billed charges,,5627.64,,,,percent of total billed charges,,5786.682,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5933.49,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5382.96,,,,percent of total billed charges,,5505.3,,,,percent of total billed charges,,3963.816,,,,percent of total billed charges,,5505.3,,,,percent of total billed charges,,3670.2,,,,percent of total billed charges,,6176.3349,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,5811.15,,,,percent of total billed charges,,4893.6,,,,percent of total billed charges,,3670.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RPLC DUODENO OR JTUBE PERC UND FLUORO,361,RC,,,,,inpatient,,,3402,,1701,2041.2,3434.9994,3197.88,,,,percent of total billed charges,,2721.6,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,2823.66,,,,percent of total billed charges,,3061.8,,,,percent of total billed charges,,3129.84,,,,percent of total billed charges,,3129.84,,,,percent of total billed charges,,3218.292,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,3299.94,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,2993.76,,,,percent of total billed charges,,3061.8,,,,percent of total billed charges,,2204.496,,,,percent of total billed charges,,3061.8,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,3434.9994,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,3231.9,,,,percent of total billed charges,,2721.6,,,,percent of total billed charges,,2041.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RPLC G-JTUBE PERC UND FLUORO INC INJ,361,RC,,,,,inpatient,,,5287,,2643.5,3172.2,5338.2839,4969.78,,,,percent of total billed charges,,4229.6,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,4388.21,,,,percent of total billed charges,,4758.3,,,,percent of total billed charges,,4864.04,,,,percent of total billed charges,,4864.04,,,,percent of total billed charges,,5001.502,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,5128.39,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,4652.56,,,,percent of total billed charges,,4758.3,,,,percent of total billed charges,,3425.976,,,,percent of total billed charges,,4758.3,,,,percent of total billed charges,,3172.2,,,,percent of total billed charges,,5338.2839,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,5022.65,,,,percent of total billed charges,,4229.6,,,,percent of total billed charges,,3172.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CNTRST INJ G,DUODENO J OR G-JTUBE PERC",361,RC,,,,,inpatient,,,1145,,572.5,687,1156.1065,1076.3,,,,percent of total billed charges,,916,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,950.35,,,,percent of total billed charges,,1030.5,,,,percent of total billed charges,,1053.4,,,,percent of total billed charges,,1053.4,,,,percent of total billed charges,,1083.17,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,1110.65,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,1007.6,,,,percent of total billed charges,,1030.5,,,,percent of total billed charges,,741.96,,,,percent of total billed charges,,1030.5,,,,percent of total billed charges,,687,,,,percent of total billed charges,,1156.1065,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,1087.75,,,,percent of total billed charges,,916,,,,percent of total billed charges,,687,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RPLC GTUBE PERC UNDR FLUORO INC INJ,361,RC,,,,,inpatient,,,2510,,1255,1506,2534.347,2359.4,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2083.3,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2374.46,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2434.7,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2208.8,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,1626.48,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,2534.347,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PORTOGRAM W HEMODYN S&I,320,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF PERC LV ASSIST DEVICE,480,RC,,,,,inpatient,,,14205,,7102.5,8523,14342.7885,13352.7,,,,percent of total billed charges,,11364,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,11790.15,,,,percent of total billed charges,,12784.5,,,,percent of total billed charges,,13068.6,,,,percent of total billed charges,,13068.6,,,,percent of total billed charges,,13437.93,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,13778.85,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,12500.4,,,,percent of total billed charges,,12784.5,,,,percent of total billed charges,,9204.84,,,,percent of total billed charges,,12784.5,,,,percent of total billed charges,,8523,,,,percent of total billed charges,,14342.7885,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,13494.75,,,,percent of total billed charges,,11364,,,,percent of total billed charges,,8523,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LC BEADS,272,RC,,,,,inpatient,,,3867,,1933.5,2320.2,3904.5099,3634.98,,,,percent of total billed charges,,3093.6,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3209.61,,,,percent of total billed charges,,3480.3,,,,percent of total billed charges,,3557.64,,,,percent of total billed charges,,3557.64,,,,percent of total billed charges,,3658.182,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3750.99,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3402.96,,,,percent of total billed charges,,3480.3,,,,percent of total billed charges,,2505.816,,,,percent of total billed charges,,3480.3,,,,percent of total billed charges,,2320.2,,,,percent of total billed charges,,3904.5099,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3673.65,,,,percent of total billed charges,,3093.6,,,,percent of total billed charges,,2320.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ THRU ILEAL CONDUIT URETERAL CATHET,361,RC,,,,,inpatient,,,1567,,783.5,940.2,1582.1999,1472.98,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1300.61,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1441.64,,,,percent of total billed charges,,1482.382,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1519.99,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1378.96,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,1015.416,,,,percent of total billed charges,,1410.3,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,1582.1999,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1488.65,,,,percent of total billed charges,,1253.6,,,,percent of total billed charges,,940.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRO OF NEEDLE/CATHETER, VEIN",361,RC,,,,,inpatient,,,535,,267.5,321,540.1895,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,346.68,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,540.1895,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I VENOGRAPHY ORBITAL,320,RC,,,,,inpatient,,,6726,,3363,4035.6,6791.2422,6322.44,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5582.58,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6187.92,,,,percent of total billed charges,,6362.796,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6524.22,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5918.88,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,4358.448,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,6791.2422,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,6389.7,,,,percent of total billed charges,,5380.8,,,,percent of total billed charges,,4035.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I ENDOVASC REP THORACIC AORTA DISTAL,320,RC,,,,,inpatient,,,8235,,4117.5,4941,8314.8795,7740.9,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6835.05,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7790.31,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7987.95,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7246.8,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,5336.28,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,8314.8795,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG S&I ENDOVASC REP THORACIC AORTA DISTAL,320,RC,,,,,inpatient,,,7204,,3602,4322.4,7273.8788,6771.76,,,,percent of total billed charges,,5763.2,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,5979.32,,,,percent of total billed charges,,6483.6,,,,percent of total billed charges,,6627.68,,,,percent of total billed charges,,6627.68,,,,percent of total billed charges,,6814.984,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,6987.88,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,6339.52,,,,percent of total billed charges,,6483.6,,,,percent of total billed charges,,4668.192,,,,percent of total billed charges,,6483.6,,,,percent of total billed charges,,4322.4,,,,percent of total billed charges,,7273.8788,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,6843.8,,,,percent of total billed charges,,5763.2,,,,percent of total billed charges,,4322.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EP PACEMAKER EVALUATION,480,RC,,,,,inpatient,,,8384,,4192,5030.4,8465.3248,7880.96,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6958.72,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7713.28,,,,percent of total billed charges,,7931.264,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,8132.48,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7377.92,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,5432.832,,,,percent of total billed charges,,7545.6,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,8465.3248,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,7964.8,,,,percent of total billed charges,,6707.2,,,,percent of total billed charges,,5030.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2629 SHEATH, LASER",272,RC,,,,,inpatient,,,7182,,3591,4309.2,7251.6654,6751.08,,,,percent of total billed charges,,5745.6,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,5961.06,,,,percent of total billed charges,,6463.8,,,,percent of total billed charges,,6607.44,,,,percent of total billed charges,,6607.44,,,,percent of total billed charges,,6794.172,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,6966.54,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,6320.16,,,,percent of total billed charges,,6463.8,,,,percent of total billed charges,,4653.936,,,,percent of total billed charges,,6463.8,,,,percent of total billed charges,,4309.2,,,,percent of total billed charges,,7251.6654,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,6822.9,,,,percent of total billed charges,,5745.6,,,,percent of total billed charges,,4309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2621 PACEMAKER, OTHER THAN SINGLE OR DUAL CHAMBER IMPLANT (BI-VENT)",275,RC,,,,,inpatient,,,15870,,7935,9522,16023.939,14917.8,,,,percent of total billed charges,,12696,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,13172.1,,,,percent of total billed charges,,14283,,,,percent of total billed charges,,14600.4,,,,percent of total billed charges,,14600.4,,,,percent of total billed charges,,15013.02,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,15393.9,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,13965.6,,,,percent of total billed charges,,14283,,,,percent of total billed charges,,10283.76,,,,percent of total billed charges,,14283,,,,percent of total billed charges,,9522,,,,percent of total billed charges,,16023.939,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,15076.5,,,,percent of total billed charges,,12696,,,,percent of total billed charges,,9522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASONIC GUIDE FOR NDLE PLCMT-INJCTN,402,RC,,,,,inpatient,,,754,,377,452.4,761.3138,708.76,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,625.82,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,693.68,,,,percent of total billed charges,,713.284,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,731.38,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,663.52,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,488.592,,,,percent of total billed charges,,678.6,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,761.3138,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,716.3,,,,percent of total billed charges,,603.2,,,,percent of total billed charges,,452.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1900 LEAD BI VENT II, LEFT VENTRICULAR CORONARY VENOUS SYSTEM",275,RC,,,,,inpatient,,,4745,,2372.5,2847,4791.0265,4460.3,,,,percent of total billed charges,,3796,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,3938.35,,,,percent of total billed charges,,4270.5,,,,percent of total billed charges,,4365.4,,,,percent of total billed charges,,4365.4,,,,percent of total billed charges,,4488.77,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,4602.65,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,4175.6,,,,percent of total billed charges,,4270.5,,,,percent of total billed charges,,3074.76,,,,percent of total billed charges,,4270.5,,,,percent of total billed charges,,2847,,,,percent of total billed charges,,4791.0265,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,4507.75,,,,percent of total billed charges,,3796,,,,percent of total billed charges,,2847,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ROUTINE VENIPUNCTURE,300,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT C/T 1 LEV,361,RC,,,,,inpatient,,,3364,,1682,2018.4,3396.6308,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2179.872,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3396.6308,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT C/T 2 LEV,361,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT C/T 3 LEV,361,RC,,,,,inpatient,,,1811,,905.5,1086.6,1828.5667,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1173.528,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1828.5667,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT L/S 1 LEV,361,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT L/S 2 LEV,361,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PARAVERT F JNT L/S 3 LEV,361,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IODINE I-131 CAPSULES, THERAPEUTIC , PER MCI",344,RC,,,,,inpatient,,,80,,40,48,80.776,75.2,,,,percent of total billed charges,,64,,,,percent of total billed charges,,76,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,75.68,,,,percent of total billed charges,,76,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,76,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,72,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,72,,,,percent of total billed charges,,48,,,,percent of total billed charges,,80.776,,,,percent of total billed charges,,76,,,,percent of total billed charges,,76,,,,percent of total billed charges,,64,,,,percent of total billed charges,,48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR BILE DUCT/PANCREAS,CHOLANGIOGRAPHY",320,RC,,,,,inpatient,,,838,,419,502.8,846.1286,787.72,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,695.54,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,770.96,,,,percent of total billed charges,,792.748,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,812.86,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,737.44,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,543.024,,,,percent of total billed charges,,754.2,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,846.1286,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,796.1,,,,percent of total billed charges,,670.4,,,,percent of total billed charges,,502.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TECHNETIUM TC-99M PERTECHNETATE, DIAG, PER MCI",343,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG IODINE I-123 IOBENGUANE,DIAG,UP TO 15",343,RC,,,,,inpatient,,,8049,,4024.5,4829.4,8127.0753,7566.06,,,,percent of total billed charges,,6439.2,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,6680.67,,,,percent of total billed charges,,7244.1,,,,percent of total billed charges,,7405.08,,,,percent of total billed charges,,7405.08,,,,percent of total billed charges,,7614.354,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,7807.53,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,7083.12,,,,percent of total billed charges,,7244.1,,,,percent of total billed charges,,5215.752,,,,percent of total billed charges,,7244.1,,,,percent of total billed charges,,4829.4,,,,percent of total billed charges,,8127.0753,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,7646.55,,,,percent of total billed charges,,6439.2,,,,percent of total billed charges,,4829.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MLC FOR IMRT,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1750 CATH HEMODIALYSIS/PERIOTONEAL, LONG-TERM",278,RC,,,,,inpatient,,,1042,,521,625.2,1052.1074,979.48,,,,percent of total billed charges,,833.6,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,864.86,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,958.64,,,,percent of total billed charges,,958.64,,,,percent of total billed charges,,985.732,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,1010.74,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,916.96,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,675.216,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,625.2,,,,percent of total billed charges,,1052.1074,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,989.9,,,,percent of total billed charges,,833.6,,,,percent of total billed charges,,625.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY RIBS BILATERAL,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACIC SPINNE 2 VIEWS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY ILIAC,361,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM POP ATHERECT/PLASTY,361,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM POP ATHERECT/PLASTY/STENT,361,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIBIOPER ATHERECT/PLASTY,361,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIOPER ATHERECT/PLASTY,ADD'L",361,RC,,,,,inpatient,,,13377,,6688.5,8026.2,13506.7569,12574.38,,,,percent of total billed charges,,10701.6,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,11102.91,,,,percent of total billed charges,,12039.3,,,,percent of total billed charges,,12306.84,,,,percent of total billed charges,,12306.84,,,,percent of total billed charges,,12654.642,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,12975.69,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,11771.76,,,,percent of total billed charges,,12039.3,,,,percent of total billed charges,,8668.296,,,,percent of total billed charges,,12039.3,,,,percent of total billed charges,,8026.2,,,,percent of total billed charges,,13506.7569,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,12708.15,,,,percent of total billed charges,,10701.6,,,,percent of total billed charges,,8026.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIOPERONEAL PLASTY,ADD'L",361,RC,,,,,inpatient,,,8235,,4117.5,4941,8314.8795,7740.9,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6835.05,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7576.2,,,,percent of total billed charges,,7790.31,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7987.95,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7246.8,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,5336.28,,,,percent of total billed charges,,7411.5,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,8314.8795,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,7823.25,,,,percent of total billed charges,,6588,,,,percent of total billed charges,,4941,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ILIAC STENT/PLASTY,361,RC,,,,,inpatient,,,17896,,8948,10737.6,18069.5912,16822.24,,,,percent of total billed charges,,14316.8,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,14853.68,,,,percent of total billed charges,,16106.4,,,,percent of total billed charges,,16464.32,,,,percent of total billed charges,,16464.32,,,,percent of total billed charges,,16929.616,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,17359.12,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,15748.48,,,,percent of total billed charges,,16106.4,,,,percent of total billed charges,,11596.608,,,,percent of total billed charges,,16106.4,,,,percent of total billed charges,,10737.6,,,,percent of total billed charges,,18069.5912,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,17001.2,,,,percent of total billed charges,,14316.8,,,,percent of total billed charges,,10737.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ILIAC STENT/PLASTY, ADD'L",361,RC,,,,,inpatient,,,8749,,4374.5,5249.4,8833.8653,8224.06,,,,percent of total billed charges,,6999.2,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,7261.67,,,,percent of total billed charges,,7874.1,,,,percent of total billed charges,,8049.08,,,,percent of total billed charges,,8049.08,,,,percent of total billed charges,,8276.554,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,8486.53,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,7699.12,,,,percent of total billed charges,,7874.1,,,,percent of total billed charges,,5669.352,,,,percent of total billed charges,,7874.1,,,,percent of total billed charges,,5249.4,,,,percent of total billed charges,,8833.8653,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,8311.55,,,,percent of total billed charges,,6999.2,,,,percent of total billed charges,,5249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM/POP PLASTY/STENT,361,RC,,,,,inpatient,,,20649,,10324.5,12389.4,20849.2953,19410.06,,,,percent of total billed charges,,16519.2,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,17138.67,,,,percent of total billed charges,,18584.1,,,,percent of total billed charges,,18997.08,,,,percent of total billed charges,,18997.08,,,,percent of total billed charges,,19533.954,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,20029.53,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,18171.12,,,,percent of total billed charges,,18584.1,,,,percent of total billed charges,,13380.552,,,,percent of total billed charges,,18584.1,,,,percent of total billed charges,,12389.4,,,,percent of total billed charges,,20849.2953,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,19616.55,,,,percent of total billed charges,,16519.2,,,,percent of total billed charges,,12389.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEM/POP PLASTY/STENT/ATHERECT,361,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIBIAL/PERONEAL STENT/PLASTY,361,RC,,,,,inpatient,,,24696,,12348,14817.6,24935.5512,23214.24,,,,percent of total billed charges,,19756.8,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,20497.68,,,,percent of total billed charges,,22226.4,,,,percent of total billed charges,,22720.32,,,,percent of total billed charges,,22720.32,,,,percent of total billed charges,,23362.416,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,23955.12,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,21732.48,,,,percent of total billed charges,,22226.4,,,,percent of total billed charges,,16003.008,,,,percent of total billed charges,,22226.4,,,,percent of total billed charges,,14817.6,,,,percent of total billed charges,,24935.5512,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,23461.2,,,,percent of total billed charges,,19756.8,,,,percent of total billed charges,,14817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIBIAL/PERONEAL STENT/PLASTY/ATHERECT,361,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIAL/PERONEAL STENT/PLASTY, ADD'L",361,RC,,,,,inpatient,,,11321,,5660.5,6792.6,11430.8137,10641.74,,,,percent of total billed charges,,9056.8,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,9396.43,,,,percent of total billed charges,,10188.9,,,,percent of total billed charges,,10415.32,,,,percent of total billed charges,,10415.32,,,,percent of total billed charges,,10709.666,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,10981.37,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,9962.48,,,,percent of total billed charges,,10188.9,,,,percent of total billed charges,,7336.008,,,,percent of total billed charges,,10188.9,,,,percent of total billed charges,,6792.6,,,,percent of total billed charges,,11430.8137,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,10754.95,,,,percent of total billed charges,,9056.8,,,,percent of total billed charges,,6792.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TIBIAL/PER STENT/PLASTY/ATHERECT,ADD'L",361,RC,,,,,inpatient,,,16054,,8027,9632.4,16209.7238,15090.76,,,,percent of total billed charges,,12843.2,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,13324.82,,,,percent of total billed charges,,14448.6,,,,percent of total billed charges,,14769.68,,,,percent of total billed charges,,14769.68,,,,percent of total billed charges,,15187.084,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,15572.38,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,14127.52,,,,percent of total billed charges,,14448.6,,,,percent of total billed charges,,10402.992,,,,percent of total billed charges,,14448.6,,,,percent of total billed charges,,9632.4,,,,percent of total billed charges,,16209.7238,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,15251.3,,,,percent of total billed charges,,12843.2,,,,percent of total billed charges,,9632.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L HT CATH W/WO LV GRAM INCL S&I,481,RC,,,,,inpatient,,,11881,,5940.5,7128.6,11996.2457,11168.14,,,,percent of total billed charges,,9504.8,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,9861.23,,,,percent of total billed charges,,10692.9,,,,percent of total billed charges,,10930.52,,,,percent of total billed charges,,10930.52,,,,percent of total billed charges,,11239.426,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,11524.57,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,10455.28,,,,percent of total billed charges,,10692.9,,,,percent of total billed charges,,7698.888,,,,percent of total billed charges,,10692.9,,,,percent of total billed charges,,7128.6,,,,percent of total billed charges,,11996.2457,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,11286.95,,,,percent of total billed charges,,9504.8,,,,percent of total billed charges,,7128.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R&L HT CATH W/WO LV GRAM INCL S&I,481,RC,,,,,inpatient,,,16568,,8284,9940.8,16728.7096,15573.92,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13751.44,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15673.328,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,16070.96,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,14579.84,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,10736.064,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,16728.7096,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORONARY ANGIO INCL S&I,481,RC,,,,,inpatient,,,8824,,4412,5294.4,8909.5928,8294.56,,,,percent of total billed charges,,7059.2,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,7323.92,,,,percent of total billed charges,,7941.6,,,,percent of total billed charges,,8118.08,,,,percent of total billed charges,,8118.08,,,,percent of total billed charges,,8347.504,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,8559.28,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,7765.12,,,,percent of total billed charges,,7941.6,,,,percent of total billed charges,,5717.952,,,,percent of total billed charges,,7941.6,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,8909.5928,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,8382.8,,,,percent of total billed charges,,7059.2,,,,percent of total billed charges,,5294.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORONARY & BYPASS ANGIO INCL S&I,481,RC,,,,,inpatient,,,10408,,5204,6244.8,10508.9576,9783.52,,,,percent of total billed charges,,8326.4,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,8638.64,,,,percent of total billed charges,,9367.2,,,,percent of total billed charges,,9575.36,,,,percent of total billed charges,,9575.36,,,,percent of total billed charges,,9845.968,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,10095.76,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,9159.04,,,,percent of total billed charges,,9367.2,,,,percent of total billed charges,,6744.384,,,,percent of total billed charges,,9367.2,,,,percent of total billed charges,,6244.8,,,,percent of total billed charges,,10508.9576,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,9887.6,,,,percent of total billed charges,,8326.4,,,,percent of total billed charges,,6244.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R HT CATH W/CORONARY ANGIO INCL S&I,481,RC,,,,,inpatient,,,9980,,4990,5988,10076.806,9381.2,,,,percent of total billed charges,,7984,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,8283.4,,,,percent of total billed charges,,8982,,,,percent of total billed charges,,9181.6,,,,percent of total billed charges,,9181.6,,,,percent of total billed charges,,9441.08,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,9680.6,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,8782.4,,,,percent of total billed charges,,8982,,,,percent of total billed charges,,6467.04,,,,percent of total billed charges,,8982,,,,percent of total billed charges,,5988,,,,percent of total billed charges,,10076.806,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,9481,,,,percent of total billed charges,,7984,,,,percent of total billed charges,,5988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R HT CATH  W/CORONARY & BYPASS ANGIO I,481,RC,,,,,inpatient,,,13047,,6523.5,7828.2,13173.5559,12264.18,,,,percent of total billed charges,,10437.6,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,10829.01,,,,percent of total billed charges,,11742.3,,,,percent of total billed charges,,12003.24,,,,percent of total billed charges,,12003.24,,,,percent of total billed charges,,12342.462,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,12655.59,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,11481.36,,,,percent of total billed charges,,11742.3,,,,percent of total billed charges,,8454.456,,,,percent of total billed charges,,11742.3,,,,percent of total billed charges,,7828.2,,,,percent of total billed charges,,13173.5559,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,12394.65,,,,percent of total billed charges,,10437.6,,,,percent of total billed charges,,7828.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L HT CATH W/CORONARY ANGIO W/WO LV GRA,481,RC,,,,,inpatient,,,14588,,7294,8752.8,14729.5036,13712.72,,,,percent of total billed charges,,11670.4,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,12108.04,,,,percent of total billed charges,,13129.2,,,,percent of total billed charges,,13420.96,,,,percent of total billed charges,,13420.96,,,,percent of total billed charges,,13800.248,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,14150.36,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,12837.44,,,,percent of total billed charges,,13129.2,,,,percent of total billed charges,,9453.024,,,,percent of total billed charges,,13129.2,,,,percent of total billed charges,,8752.8,,,,percent of total billed charges,,14729.5036,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,13858.6,,,,percent of total billed charges,,11670.4,,,,percent of total billed charges,,8752.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG L HT CATH W/CORONARY&BYPASS ANGIO W/WO,481,RC,,,,,inpatient,,,17290,,8645,10374,17457.713,16252.6,,,,percent of total billed charges,,13832,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,14350.7,,,,percent of total billed charges,,15561,,,,percent of total billed charges,,15906.8,,,,percent of total billed charges,,15906.8,,,,percent of total billed charges,,16356.34,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,16771.3,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,15215.2,,,,percent of total billed charges,,15561,,,,percent of total billed charges,,11203.92,,,,percent of total billed charges,,15561,,,,percent of total billed charges,,10374,,,,percent of total billed charges,,17457.713,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,16425.5,,,,percent of total billed charges,,13832,,,,percent of total billed charges,,10374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R&L HT CATH W/CORONARY ANGIO W/WO LV G,481,RC,,,,,inpatient,,,16568,,8284,9940.8,16728.7096,15573.92,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13751.44,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15242.56,,,,percent of total billed charges,,15673.328,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,16070.96,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,14579.84,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,10736.064,,,,percent of total billed charges,,14911.2,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,16728.7096,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,15739.6,,,,percent of total billed charges,,13254.4,,,,percent of total billed charges,,9940.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG R&L HT CATH W/CORONARY&BYPASS ANGIO W/,481,RC,,,,,inpatient,,,17759,,8879.5,10655.4,17931.2623,16693.46,,,,percent of total billed charges,,14207.2,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,14739.97,,,,percent of total billed charges,,15983.1,,,,percent of total billed charges,,16338.28,,,,percent of total billed charges,,16338.28,,,,percent of total billed charges,,16800.014,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,17226.23,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,15627.92,,,,percent of total billed charges,,15983.1,,,,percent of total billed charges,,11507.832,,,,percent of total billed charges,,15983.1,,,,percent of total billed charges,,10655.4,,,,percent of total billed charges,,17931.2623,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,16871.05,,,,percent of total billed charges,,14207.2,,,,percent of total billed charges,,10655.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSEP PUNCTURE-VIA SEPTUM OR LHC,481,RC,,,,,inpatient,,,8948,,4474,5368.8,9034.7956,8411.12,,,,percent of total billed charges,,7158.4,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,7426.84,,,,percent of total billed charges,,8053.2,,,,percent of total billed charges,,8232.16,,,,percent of total billed charges,,8232.16,,,,percent of total billed charges,,8464.808,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,8679.56,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,7874.24,,,,percent of total billed charges,,8053.2,,,,percent of total billed charges,,5798.304,,,,percent of total billed charges,,8053.2,,,,percent of total billed charges,,5368.8,,,,percent of total billed charges,,9034.7956,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,8500.6,,,,percent of total billed charges,,7158.4,,,,percent of total billed charges,,5368.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHARM STRESS W/CATH (NOT INCLDG DRUG),481,RC,,,,,inpatient,,,4824,,2412,2894.4,4870.7928,4534.56,,,,percent of total billed charges,,3859.2,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4003.92,,,,percent of total billed charges,,4341.6,,,,percent of total billed charges,,4438.08,,,,percent of total billed charges,,4438.08,,,,percent of total billed charges,,4563.504,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4679.28,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4245.12,,,,percent of total billed charges,,4341.6,,,,percent of total billed charges,,3125.952,,,,percent of total billed charges,,4341.6,,,,percent of total billed charges,,2894.4,,,,percent of total billed charges,,4870.7928,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,4582.8,,,,percent of total billed charges,,3859.2,,,,percent of total billed charges,,2894.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXERC STRESS W/CATH (ARM ERGOM/BIKE),481,RC,,,,,inpatient,,,4371,,2185.5,2622.6,4413.3987,4108.74,,,,percent of total billed charges,,3496.8,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,3627.93,,,,percent of total billed charges,,3933.9,,,,percent of total billed charges,,4021.32,,,,percent of total billed charges,,4021.32,,,,percent of total billed charges,,4134.966,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,4239.87,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,3846.48,,,,percent of total billed charges,,3933.9,,,,percent of total billed charges,,2832.408,,,,percent of total billed charges,,3933.9,,,,percent of total billed charges,,2622.6,,,,percent of total billed charges,,4413.3987,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,4152.45,,,,percent of total billed charges,,3496.8,,,,percent of total billed charges,,2622.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORONARY ANGIO INCL S&I CHD ONLY,481,RC,,,,,inpatient,,,1158,,579,694.8,1169.2326,1088.52,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,961.14,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1095.468,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1123.26,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1019.04,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,750.384,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,1169.2326,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BYPASS ANGIO INCL S&I CHD ONLY,481,RC,,,,,inpatient,,,3194,,1597,1916.4,3224.9818,3002.36,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2651.02,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,2938.48,,,,percent of total billed charges,,3021.524,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3098.18,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2810.72,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,2069.712,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,3224.9818,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,3034.3,,,,percent of total billed charges,,2555.2,,,,percent of total billed charges,,1916.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LV OR LA ANGIO INCL S&I CHD ONLY,481,RC,,,,,inpatient,,,4698,,2349,2818.8,4743.5706,4416.12,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3899.34,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4444.308,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4557.06,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4134.24,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,3044.304,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,4743.5706,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RV OR RA ANGIO INCL S&I ADULT OR CHD,481,RC,,,,,inpatient,,,4698,,2349,2818.8,4743.5706,4416.12,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3899.34,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4322.16,,,,percent of total billed charges,,4444.308,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4557.06,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4134.24,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,3044.304,,,,percent of total billed charges,,4228.2,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,4743.5706,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,4463.1,,,,percent of total billed charges,,3758.4,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUPRAVALV AORTOG INCL S&I ADULT OR CHD,481,RC,,,,,inpatient,,,602,,301,361.2,607.8394,565.88,,,,percent of total billed charges,,481.6,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,499.66,,,,percent of total billed charges,,541.8,,,,percent of total billed charges,,553.84,,,,percent of total billed charges,,553.84,,,,percent of total billed charges,,569.492,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,583.94,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,529.76,,,,percent of total billed charges,,541.8,,,,percent of total billed charges,,390.096,,,,percent of total billed charges,,541.8,,,,percent of total billed charges,,361.2,,,,percent of total billed charges,,607.8394,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,571.9,,,,percent of total billed charges,,481.6,,,,percent of total billed charges,,361.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULMONARY ANGIO INCL S&I ADULT OR CHD,481,RC,,,,,inpatient,,,759,,379.5,455.4,766.3623,713.46,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,629.97,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,718.014,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,736.23,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,491.832,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,766.3623,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D RENDERING - INDPT STATION,350,RC,,,,,inpatient,,,857,,428.5,514.2,865.3129,805.58,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,711.31,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,788.44,,,,percent of total billed charges,,810.722,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,831.29,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,754.16,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,555.336,,,,percent of total billed charges,,771.3,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,865.3129,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,814.15,,,,percent of total billed charges,,685.6,,,,percent of total billed charges,,514.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DEVICE, RADIAL ARTERY COMPRESSION",272,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT OF INTRAPERITONEAL TUNNEL CATHE,361,RC,,,,,inpatient,,,7053,,3526.5,4231.8,7121.4141,6629.82,,,,percent of total billed charges,,5642.4,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,5853.99,,,,percent of total billed charges,,6347.7,,,,percent of total billed charges,,6488.76,,,,percent of total billed charges,,6488.76,,,,percent of total billed charges,,6672.138,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,6841.41,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,6206.64,,,,percent of total billed charges,,6347.7,,,,percent of total billed charges,,4570.344,,,,percent of total billed charges,,6347.7,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,7121.4141,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,6700.35,,,,percent of total billed charges,,5642.4,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTA ILIAC INITIAL VESSEL,360,RC,,,,,inpatient,,,14585,,7292.5,8751,14726.4745,13709.9,,,,percent of total billed charges,,11668,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,12105.55,,,,percent of total billed charges,,13126.5,,,,percent of total billed charges,,13418.2,,,,percent of total billed charges,,13418.2,,,,percent of total billed charges,,13797.41,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,14147.45,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,12834.8,,,,percent of total billed charges,,13126.5,,,,percent of total billed charges,,9451.08,,,,percent of total billed charges,,13126.5,,,,percent of total billed charges,,8751,,,,percent of total billed charges,,14726.4745,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,13855.75,,,,percent of total billed charges,,11668,,,,percent of total billed charges,,8751,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH,IMPLANTABLE PORT SNGL W/SUTURE PLUGS LUMEN VENOUS",278,RC,,,,,inpatient,,,514,,257,308.4,518.9858,483.16,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,426.62,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,472.88,,,,percent of total billed charges,,486.244,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,498.58,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,452.32,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,333.072,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,518.9858,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,488.3,,,,percent of total billed charges,,411.2,,,,percent of total billed charges,,308.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, TRIPLE LUMEN CV",278,RC,,,,,inpatient,,,783,,391.5,469.8,790.5951,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,507.384,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,790.5951,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CELIAC PLEXUS NERVE BLOCK,361,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RFA OF KIDNEY TUMOR,360,RC,,,,,inpatient,,,26346,,13173,15807.6,26601.5562,24765.24,,,,percent of total billed charges,,21076.8,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,21867.18,,,,percent of total billed charges,,23711.4,,,,percent of total billed charges,,24238.32,,,,percent of total billed charges,,24238.32,,,,percent of total billed charges,,24923.316,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,25555.62,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,23184.48,,,,percent of total billed charges,,23711.4,,,,percent of total billed charges,,17072.208,,,,percent of total billed charges,,23711.4,,,,percent of total billed charges,,15807.6,,,,percent of total billed charges,,26601.5562,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,25028.7,,,,percent of total billed charges,,21076.8,,,,percent of total billed charges,,15807.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CT ANGIO ABDOMEN PELVIS,350,RC,,,,,inpatient,,,4800,,2400,2880,4846.56,4512,,,,percent of total billed charges,,3840,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,3984,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,4416,,,,percent of total billed charges,,4416,,,,percent of total billed charges,,4540.8,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,4656,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,4224,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,3110.4,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,4846.56,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,4560,,,,percent of total billed charges,,3840,,,,percent of total billed charges,,2880,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATOBILIARY IMAGING,340,RC,,,,,inpatient,,,1630,,815,978,1645.811,1532.2,,,,percent of total billed charges,,1304,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1352.9,,,,percent of total billed charges,,1467,,,,percent of total billed charges,,1499.6,,,,percent of total billed charges,,1499.6,,,,percent of total billed charges,,1541.98,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1581.1,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1434.4,,,,percent of total billed charges,,1467,,,,percent of total billed charges,,1056.24,,,,percent of total billed charges,,1467,,,,percent of total billed charges,,978,,,,percent of total billed charges,,1645.811,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1548.5,,,,percent of total billed charges,,1304,,,,percent of total billed charges,,978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEPATOBILARY IMAGING WITH PHARM INTERVENTION,340,RC,,,,,inpatient,,,1728,,864,1036.8,1744.7616,1624.32,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1434.24,,,,percent of total billed charges,,1555.2,,,,percent of total billed charges,,1589.76,,,,percent of total billed charges,,1589.76,,,,percent of total billed charges,,1634.688,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1676.16,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1520.64,,,,percent of total billed charges,,1555.2,,,,percent of total billed charges,,1119.744,,,,percent of total billed charges,,1555.2,,,,percent of total billed charges,,1036.8,,,,percent of total billed charges,,1744.7616,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1382.4,,,,percent of total billed charges,,1036.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VENTILATION AND PERFUSION LUNG SCAN,340,RC,,,,,inpatient,,,3485,,1742.5,2091,3518.8045,3275.9,,,,percent of total billed charges,,2788,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,2892.55,,,,percent of total billed charges,,3136.5,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,3296.81,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,3380.45,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,3066.8,,,,percent of total billed charges,,3136.5,,,,percent of total billed charges,,2258.28,,,,percent of total billed charges,,3136.5,,,,percent of total billed charges,,2091,,,,percent of total billed charges,,3518.8045,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,3310.75,,,,percent of total billed charges,,2788,,,,percent of total billed charges,,2091,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERFUSION LUNG SCAN WITH COMPUTER ANALYSIS,340,RC,,,,,inpatient,,,1118,,559,670.8,1128.8446,1050.92,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,927.94,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1028.56,,,,percent of total billed charges,,1057.628,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1084.46,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,983.84,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,724.464,,,,percent of total billed charges,,1006.2,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,1128.8446,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,1062.1,,,,percent of total billed charges,,894.4,,,,percent of total billed charges,,670.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CTA BILATERAL LOWER EXTREMITY RUNOFF,350,RC,,,,,inpatient,,,2442,,1221,1465.2,2465.6874,2295.48,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2026.86,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2246.64,,,,percent of total billed charges,,2310.132,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2368.74,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2148.96,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1582.416,,,,percent of total billed charges,,2197.8,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,2465.6874,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,2319.9,,,,percent of total billed charges,,1953.6,,,,percent of total billed charges,,1465.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYSTOSTOMY TUBY CHANGE,361,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 1ST ORDER RENAL CATH PL-UNI,361,RC,,,,,inpatient,,,9577,,4788.5,5746.2,9669.8969,9002.38,,,,percent of total billed charges,,7661.6,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,7948.91,,,,percent of total billed charges,,8619.3,,,,percent of total billed charges,,8810.84,,,,percent of total billed charges,,8810.84,,,,percent of total billed charges,,9059.842,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,9289.69,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,8427.76,,,,percent of total billed charges,,8619.3,,,,percent of total billed charges,,6205.896,,,,percent of total billed charges,,8619.3,,,,percent of total billed charges,,5746.2,,,,percent of total billed charges,,9669.8969,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,9098.15,,,,percent of total billed charges,,7661.6,,,,percent of total billed charges,,5746.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 1ST ORDER RENAL CATH PL-BI,361,RC,,,,,inpatient,,,12509,,6254.5,7505.4,12630.3373,11758.46,,,,percent of total billed charges,,10007.2,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,10382.47,,,,percent of total billed charges,,11258.1,,,,percent of total billed charges,,11508.28,,,,percent of total billed charges,,11508.28,,,,percent of total billed charges,,11833.514,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,12133.73,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,11007.92,,,,percent of total billed charges,,11258.1,,,,percent of total billed charges,,8105.832,,,,percent of total billed charges,,11258.1,,,,percent of total billed charges,,7505.4,,,,percent of total billed charges,,12630.3373,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,11883.55,,,,percent of total billed charges,,10007.2,,,,percent of total billed charges,,7505.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUB ORDER RENAL CATH-UNI,361,RC,,,,,inpatient,,,13512,,6756,8107.2,13643.0664,12701.28,,,,percent of total billed charges,,10809.6,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,11214.96,,,,percent of total billed charges,,12160.8,,,,percent of total billed charges,,12431.04,,,,percent of total billed charges,,12431.04,,,,percent of total billed charges,,12782.352,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,13106.64,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,11890.56,,,,percent of total billed charges,,12160.8,,,,percent of total billed charges,,8755.776,,,,percent of total billed charges,,12160.8,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,13643.0664,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,12836.4,,,,percent of total billed charges,,10809.6,,,,percent of total billed charges,,8107.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SUB ORDER RENAL CATH-BI,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IVC FILTER INS INC S&I,361,RC,,,,,inpatient,,,7354,,3677,4412.4,7425.3338,6912.76,,,,percent of total billed charges,,5883.2,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,6103.82,,,,percent of total billed charges,,6618.6,,,,percent of total billed charges,,6765.68,,,,percent of total billed charges,,6765.68,,,,percent of total billed charges,,6956.884,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,7133.38,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,6471.52,,,,percent of total billed charges,,6618.6,,,,percent of total billed charges,,4765.392,,,,percent of total billed charges,,6618.6,,,,percent of total billed charges,,4412.4,,,,percent of total billed charges,,7425.3338,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,6986.3,,,,percent of total billed charges,,5883.2,,,,percent of total billed charges,,4412.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITION IVC FILTER INC S&I,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IVC FILTER REMOVAL INC S&I,361,RC,,,,,inpatient,,,13154,,6577,7892.4,13281.5938,12364.76,,,,percent of total billed charges,,10523.2,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,10917.82,,,,percent of total billed charges,,11838.6,,,,percent of total billed charges,,12101.68,,,,percent of total billed charges,,12101.68,,,,percent of total billed charges,,12443.684,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,12759.38,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,11575.52,,,,percent of total billed charges,,11838.6,,,,percent of total billed charges,,8523.792,,,,percent of total billed charges,,11838.6,,,,percent of total billed charges,,7892.4,,,,percent of total billed charges,,13281.5938,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,12496.3,,,,percent of total billed charges,,10523.2,,,,percent of total billed charges,,7892.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABD PARACENTESIS W/O GUID,361,RC,,,,,inpatient,,,2662,,1331,1597.2,2687.8214,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1724.976,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2687.8214,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49083-0361 ABD PARACENTESIS W GUIDE,361,RC,,,,,inpatient,,,3009,,1504.5,1805.4,3038.1873,2828.46,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2497.47,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2846.514,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2918.73,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2647.92,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1949.832,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,3038.1873,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1766 INTRODUCER/SHEATH GUIDING, INTRACARDIAC, ELECTROPHY",272,RC,,,,,inpatient,,,235,,117.5,141,237.2795,220.9,,,,percent of total billed charges,,188,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,195.05,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,222.31,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,227.95,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,206.8,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,152.28,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,141,,,,percent of total billed charges,,237.2795,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,188,,,,percent of total billed charges,,141,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CBCT IGRT,333,RC,,,,,inpatient,,,760,,380,456,767.372,714.4,,,,percent of total billed charges,,608,,,,percent of total billed charges,,722,,,,percent of total billed charges,,630.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,699.2,,,,percent of total billed charges,,718.96,,,,percent of total billed charges,,722,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,722,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,684,,,,percent of total billed charges,,492.48,,,,percent of total billed charges,,684,,,,percent of total billed charges,,456,,,,percent of total billed charges,,767.372,,,,percent of total billed charges,,722,,,,percent of total billed charges,,722,,,,percent of total billed charges,,608,,,,percent of total billed charges,,456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KV/KV IGRT,333,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M CERETEC UP TO 25MCI,343,RC,,,,,inpatient,,,4551,,2275.5,2730.6,4595.1447,4277.94,,,,percent of total billed charges,,3640.8,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,3777.33,,,,percent of total billed charges,,4095.9,,,,percent of total billed charges,,4186.92,,,,percent of total billed charges,,4186.92,,,,percent of total billed charges,,4305.246,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,4414.47,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,4004.88,,,,percent of total billed charges,,4095.9,,,,percent of total billed charges,,2949.048,,,,percent of total billed charges,,4095.9,,,,percent of total billed charges,,2730.6,,,,percent of total billed charges,,4595.1447,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,4323.45,,,,percent of total billed charges,,3640.8,,,,percent of total billed charges,,2730.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVLT, 1ST VEIN",360,RC,,,,,inpatient,,,9563,,4781.5,5737.8,9655.7611,8989.22,,,,percent of total billed charges,,7650.4,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,7937.29,,,,percent of total billed charges,,8606.7,,,,percent of total billed charges,,8797.96,,,,percent of total billed charges,,8797.96,,,,percent of total billed charges,,9046.598,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,9276.11,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,8415.44,,,,percent of total billed charges,,8606.7,,,,percent of total billed charges,,6196.824,,,,percent of total billed charges,,8606.7,,,,percent of total billed charges,,5737.8,,,,percent of total billed charges,,9655.7611,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,9084.85,,,,percent of total billed charges,,7650.4,,,,percent of total billed charges,,5737.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMBULATORY PHELBECTOMY 1 EXT 10-20 INCISIONS,360,RC,,,,,inpatient,,,5832,,2916,3499.2,5888.5704,5482.08,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4840.56,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5365.44,,,,percent of total billed charges,,5517.072,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5657.04,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5132.16,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,3779.136,,,,percent of total billed charges,,5248.8,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,5888.5704,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FOAM SCLEROTHERAPY INJ OF A SINGLE VEIN,360,RC,,,,,inpatient,,,1609,,804.5,965.4,1624.6073,1512.46,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1335.47,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1480.28,,,,percent of total billed charges,,1522.114,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1560.73,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1415.92,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,1042.632,,,,percent of total billed charges,,1448.1,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,1624.6073,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1528.55,,,,percent of total billed charges,,1287.2,,,,percent of total billed charges,,965.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATHETER, ENDOVASCULAR NON CARDIAC ABLATIVE",278,RC,,,,,inpatient,,,537,,268.5,322.2,542.2089,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,347.976,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,542.2089,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRODUCER/SHEATH, OTHER THAN GUIDING OR INTRA-CARR",272,RC,,,,,inpatient,,,558,,279,334.8,563.4126,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,361.584,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,563.4126,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE,278,RC,,,,,inpatient,,,537,,268.5,322.2,542.2089,504.78,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,445.71,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,494.04,,,,percent of total billed charges,,508.002,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,520.89,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,472.56,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,347.976,,,,percent of total billed charges,,483.3,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,542.2089,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,510.15,,,,percent of total billed charges,,429.6,,,,percent of total billed charges,,322.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEART W DYE, STRUCTURE AND MORPH",350,RC,,,,,inpatient,,,2910,,1455,1746,2938.227,2735.4,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2415.3,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,2677.2,,,,percent of total billed charges,,2677.2,,,,percent of total billed charges,,2752.86,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2822.7,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2560.8,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,1885.68,,,,percent of total billed charges,,2619,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,2938.227,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2764.5,,,,percent of total billed charges,,2328,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT W/ TRANSVEN EL ATRIAL,361,RC,,,,,inpatient,,,10122,,5061,6073.2,10220.1834,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6559.056,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,10220.1834,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT W/ TRANSVEN EL VENTRI,361,RC,,,,,inpatient,,,10122,,5061,6073.2,10220.1834,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6559.056,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,10220.1834,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT W/ TRANSVEN EL AV SEQ,361,RC,,,,,inpatient,,,10122,,5061,6073.2,10220.1834,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6559.056,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,10220.1834,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TEMP PACER INSERT TRANS ELE,361,RC,,,,,inpatient,,,6193,,3096.5,3715.8,6253.0721,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4013.064,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,6253.0721,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPLACE PULSE GENERATOR,361,RC,,,,,inpatient,,,6193,,3096.5,3715.8,6253.0721,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4013.064,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,6253.0721,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMPLT OF SINGLE CHAMBER ICD,361,RC,,,,,inpatient,,,21456,,10728,12873.6,21664.1232,20168.64,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17808.48,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,19739.52,,,,percent of total billed charges,,20297.376,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20812.32,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,18881.28,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,13903.488,,,,percent of total billed charges,,19310.4,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,21664.1232,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,20383.2,,,,percent of total billed charges,,17164.8,,,,percent of total billed charges,,12873.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRA-AORTIC BALLOON INSERT,360,RC,,,,,inpatient,,,11674,,5837,7004.4,11787.2378,10973.56,,,,percent of total billed charges,,9339.2,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,9689.42,,,,percent of total billed charges,,10506.6,,,,percent of total billed charges,,10740.08,,,,percent of total billed charges,,10740.08,,,,percent of total billed charges,,11043.604,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,11323.78,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,10273.12,,,,percent of total billed charges,,10506.6,,,,percent of total billed charges,,7564.752,,,,percent of total billed charges,,10506.6,,,,percent of total billed charges,,7004.4,,,,percent of total billed charges,,11787.2378,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,11090.3,,,,percent of total billed charges,,9339.2,,,,percent of total billed charges,,7004.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEL CATH PL VEN SYS 1ST,361,RC,,,,,inpatient,,,3435,,1717.5,2061,3468.3195,3228.9,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2851.05,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3160.2,,,,percent of total billed charges,,3249.51,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3331.95,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3022.8,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2225.88,,,,percent of total billed charges,,3091.5,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,3468.3195,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,3263.25,,,,percent of total billed charges,,2748,,,,percent of total billed charges,,2061,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEL CATH PL VEN SYS 2ND,361,RC,,,,,inpatient,,,3285,,1642.5,1971,3316.8645,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2128.68,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3316.8645,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTR CATH RT HRT/PULM AR,361,RC,,,,,inpatient,,,2078,,1039,1246.8,2098.1566,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1346.544,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,2098.1566,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SEL CATH SEG/SUBSEG PUL,361,RC,,,,,inpatient,,,3694,,1847,2216.4,3729.8318,3472.36,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3066.02,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3398.48,,,,percent of total billed charges,,3494.524,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3583.18,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3250.72,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2393.712,,,,percent of total billed charges,,3324.6,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,3729.8318,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,3509.3,,,,percent of total billed charges,,2955.2,,,,percent of total billed charges,,2216.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ADD 2/3RD LOWER EXT,361,RC,,,,,inpatient,,,2081,,1040.5,1248.6,2101.1857,1956.14,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1727.23,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1914.52,,,,percent of total billed charges,,1968.626,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,2018.57,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1831.28,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1348.488,,,,percent of total billed charges,,1872.9,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,2101.1857,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1976.95,,,,percent of total billed charges,,1664.8,,,,percent of total billed charges,,1248.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTH VEN CATH PROC VEIN,361,RC,,,,,inpatient,,,3749,,1874.5,2249.4,3785.3653,3524.06,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3111.67,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3449.08,,,,percent of total billed charges,,3546.554,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3636.53,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3299.12,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2429.352,,,,percent of total billed charges,,3374.1,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,3785.3653,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,3561.55,,,,percent of total billed charges,,2999.2,,,,percent of total billed charges,,2249.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OTH VEN CATH PROC ORG BLOOD,361,RC,,,,,inpatient,,,3214,,1607,1928.4,3245.1758,3021.16,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2667.62,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,2956.88,,,,percent of total billed charges,,3040.444,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3117.58,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2828.32,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,2082.672,,,,percent of total billed charges,,2892.6,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,3245.1758,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,3053.3,,,,percent of total billed charges,,2571.2,,,,percent of total billed charges,,1928.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AORTOGRAPHY THO WO SRLOGRPH,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AORTOGRAPHY THOR SERIALGRPH,323,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ANGIOGRAPHY INT MAMMARY ART,323,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CARDIOVERSION INTERNAL,481,RC,,,,,inpatient,,,1807,,903.5,1084.2,1824.5279,1698.58,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1499.81,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1709.422,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1752.79,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1590.16,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1170.936,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,1824.5279,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBOLYSIS - INTRACORON,481,RC,,,,,inpatient,,,738,,369,442.8,745.1586,693.72,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,612.54,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,698.148,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,715.86,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,649.44,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,478.224,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,745.1586,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THROMBOLYSIS INFUSION,481,RC,,,,,inpatient,,,804,,402,482.4,811.7988,755.76,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,667.32,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,739.68,,,,percent of total billed charges,,760.584,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,779.88,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,707.52,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,520.992,,,,percent of total billed charges,,723.6,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,811.7988,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,643.2,,,,percent of total billed charges,,482.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ERGONOVINE PROVOCATION TEST,481,RC,,,,,inpatient,,,774,,387,464.4,781.5078,727.56,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,642.42,,,,percent of total billed charges,,696.6,,,,percent of total billed charges,,712.08,,,,percent of total billed charges,,712.08,,,,percent of total billed charges,,732.204,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,750.78,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,681.12,,,,percent of total billed charges,,696.6,,,,percent of total billed charges,,501.552,,,,percent of total billed charges,,696.6,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,781.5078,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,735.3,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,464.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEART CATH LEFT PERC,481,RC,,,,,inpatient,,,6212,,3106,3727.2,6272.2564,5839.28,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5155.96,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5715.04,,,,percent of total billed charges,,5876.552,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,6025.64,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5466.56,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,4025.376,,,,percent of total billed charges,,5590.8,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,6272.2564,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,5901.4,,,,percent of total billed charges,,4969.6,,,,percent of total billed charges,,3727.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ICD GEN INSERT ONLY - SINGLE,360,RC,,,,,inpatient,,,6138,,3069,3682.8,6197.5386,5769.72,,,,percent of total billed charges,,4910.4,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5094.54,,,,percent of total billed charges,,5524.2,,,,percent of total billed charges,,5646.96,,,,percent of total billed charges,,5646.96,,,,percent of total billed charges,,5806.548,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5953.86,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5401.44,,,,percent of total billed charges,,5524.2,,,,percent of total billed charges,,3977.424,,,,percent of total billed charges,,5524.2,,,,percent of total billed charges,,3682.8,,,,percent of total billed charges,,6197.5386,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,5831.1,,,,percent of total billed charges,,4910.4,,,,percent of total billed charges,,3682.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH IIII,278,RC,,,,,inpatient,,,2916,,1458,1749.6,2944.2852,2741.04,,,,percent of total billed charges,,2332.8,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2420.28,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,2682.72,,,,percent of total billed charges,,2682.72,,,,percent of total billed charges,,2758.536,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2828.52,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2566.08,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,1889.568,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,1749.6,,,,percent of total billed charges,,2944.2852,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,2332.8,,,,percent of total billed charges,,1749.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1729-0278 CATH, DRAINAGE",278,RC,,,,,inpatient,,,424,,212,254.4,428.1128,398.56,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,351.92,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,390.08,,,,percent of total billed charges,,401.104,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,411.28,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,373.12,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,274.752,,,,percent of total billed charges,,381.6,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,428.1128,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,402.8,,,,percent of total billed charges,,339.2,,,,percent of total billed charges,,254.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, MULTI LUMEN",278,RC,,,,,inpatient,,,340,,170,204,343.298,319.6,,,,percent of total billed charges,,272,,,,percent of total billed charges,,323,,,,percent of total billed charges,,282.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,321.64,,,,percent of total billed charges,,323,,,,percent of total billed charges,,329.8,,,,percent of total billed charges,,323,,,,percent of total billed charges,,299.2,,,,percent of total billed charges,,306,,,,percent of total billed charges,,220.32,,,,percent of total billed charges,,306,,,,percent of total billed charges,,204,,,,percent of total billed charges,,343.298,,,,percent of total billed charges,,323,,,,percent of total billed charges,,323,,,,percent of total billed charges,,272,,,,percent of total billed charges,,204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1769 GUIDEWIRE III,278,RC,,,,,inpatient,,,213,,106.5,127.8,215.0661,200.22,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,176.79,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,195.96,,,,percent of total billed charges,,201.498,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,206.61,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,187.44,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,138.024,,,,percent of total billed charges,,191.7,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,215.0661,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,202.35,,,,percent of total billed charges,,170.4,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COVERED II",278,RC,,,,,inpatient,,,15258,,7629,9154.8,15406.0026,14342.52,,,,percent of total billed charges,,12206.4,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,12664.14,,,,percent of total billed charges,,13732.2,,,,percent of total billed charges,,14037.36,,,,percent of total billed charges,,14037.36,,,,percent of total billed charges,,14434.068,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,14800.26,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,13427.04,,,,percent of total billed charges,,13732.2,,,,percent of total billed charges,,9887.184,,,,percent of total billed charges,,13732.2,,,,percent of total billed charges,,9154.8,,,,percent of total billed charges,,15406.0026,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,14495.1,,,,percent of total billed charges,,12206.4,,,,percent of total billed charges,,9154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRO/SHEATH,FIXED NON-PEEL",278,RC,,,,,inpatient,,,82,,41,49.2,82.7954,77.08,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,68.06,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,75.44,,,,percent of total billed charges,,77.572,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,79.54,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,72.16,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,73.8,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,82.7954,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,77.9,,,,percent of total billed charges,,65.6,,,,percent of total billed charges,,49.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1896 HCHG C1896 LEAD,CARDIO-DEFIB IMPLTLEAD,CARDIO-DEFIB IMPLT",275,RC,,,,,inpatient,,,14389,,7194.5,8633.4,14528.5733,13525.66,,,,percent of total billed charges,,11511.2,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,11942.87,,,,percent of total billed charges,,12950.1,,,,percent of total billed charges,,13237.88,,,,percent of total billed charges,,13237.88,,,,percent of total billed charges,,13611.994,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,13957.33,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,12662.32,,,,percent of total billed charges,,12950.1,,,,percent of total billed charges,,9324.072,,,,percent of total billed charges,,12950.1,,,,percent of total billed charges,,8633.4,,,,percent of total billed charges,,14528.5733,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,13669.55,,,,percent of total billed charges,,11511.2,,,,percent of total billed charges,,8633.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PER SHEATH INTRO TRAY,278,RC,,,,,inpatient,,,237,,118.5,142.2,239.2989,222.78,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,196.71,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,218.04,,,,percent of total billed charges,,224.202,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,229.89,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,208.56,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,213.3,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,239.2989,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,225.15,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TEMP PACING CATH ARROW, 80221",272,RC,,,,,inpatient,,,705,,352.5,423,711.8385,662.7,,,,percent of total billed charges,,564,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,585.15,,,,percent of total billed charges,,634.5,,,,percent of total billed charges,,648.6,,,,percent of total billed charges,,648.6,,,,percent of total billed charges,,666.93,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,683.85,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,620.4,,,,percent of total billed charges,,634.5,,,,percent of total billed charges,,456.84,,,,percent of total billed charges,,634.5,,,,percent of total billed charges,,423,,,,percent of total billed charges,,711.8385,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,669.75,,,,percent of total billed charges,,564,,,,percent of total billed charges,,423,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS KIT,278,RC,,,,,inpatient,,,451,,225.5,270.6,455.3747,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,292.248,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,455.3747,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CAT BAL INTRA AORTIC,272,RC,,,,,inpatient,,,3572,,1786,2143.2,3606.6484,3357.68,,,,percent of total billed charges,,2857.6,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,2964.76,,,,percent of total billed charges,,3214.8,,,,percent of total billed charges,,3286.24,,,,percent of total billed charges,,3286.24,,,,percent of total billed charges,,3379.112,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,3464.84,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,3143.36,,,,percent of total billed charges,,3214.8,,,,percent of total billed charges,,2314.656,,,,percent of total billed charges,,3214.8,,,,percent of total billed charges,,2143.2,,,,percent of total billed charges,,3606.6484,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,3393.4,,,,percent of total billed charges,,2857.6,,,,percent of total billed charges,,2143.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, THROMBECTOMY/EMBOLECTOMY (SOLITAIRE FR REVAS)",278,RC,,,,,inpatient,,,2143,,1071.5,1285.8,2163.7871,2014.42,,,,percent of total billed charges,,1714.4,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,1778.69,,,,percent of total billed charges,,1928.7,,,,percent of total billed charges,,1971.56,,,,percent of total billed charges,,1971.56,,,,percent of total billed charges,,2027.278,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,2078.71,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,1885.84,,,,percent of total billed charges,,1928.7,,,,percent of total billed charges,,1388.664,,,,percent of total billed charges,,1928.7,,,,percent of total billed charges,,1285.8,,,,percent of total billed charges,,2163.7871,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,2035.85,,,,percent of total billed charges,,1714.4,,,,percent of total billed charges,,1285.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INCIS/DRAN HEMATOMA, SEROMA",481,RC,,,,,inpatient,,,2919,,1459.5,1751.4,2947.3143,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1891.512,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2947.3143,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BX, SOFT TIS BACK/FLANK SUPFIC",481,RC,,,,,inpatient,,,3093,,1546.5,1855.8,3123.0021,2907.42,,,,percent of total billed charges,,2474.4,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2567.19,,,,percent of total billed charges,,2783.7,,,,percent of total billed charges,,2845.56,,,,percent of total billed charges,,2845.56,,,,percent of total billed charges,,2925.978,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,3000.21,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2721.84,,,,percent of total billed charges,,2783.7,,,,percent of total billed charges,,2004.264,,,,percent of total billed charges,,2783.7,,,,percent of total billed charges,,1855.8,,,,percent of total billed charges,,3123.0021,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2938.35,,,,percent of total billed charges,,2474.4,,,,percent of total billed charges,,1855.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION SACROILIAC JOINT,361,RC,,,,,inpatient,,,2589,,1294.5,1553.4,2614.1133,2433.66,,,,percent of total billed charges,,2071.2,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2148.87,,,,percent of total billed charges,,2330.1,,,,percent of total billed charges,,2381.88,,,,percent of total billed charges,,2381.88,,,,percent of total billed charges,,2449.194,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2511.33,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2278.32,,,,percent of total billed charges,,2330.1,,,,percent of total billed charges,,1677.672,,,,percent of total billed charges,,2330.1,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,2614.1133,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2459.55,,,,percent of total billed charges,,2071.2,,,,percent of total billed charges,,1553.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32552-0481 REMOVE TUNNELED PLEURAL  CATH,481,RC,,,,,inpatient,,,4676,,2338,2805.6,4721.3572,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3030.048,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4721.3572,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MECH REM PERICATH OM CVD SEPVA,481,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW BIOPSY,361,RC,,,,,inpatient,,,3476,,1738,2085.6,3509.7172,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2252.448,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3509.7172,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NASO/ORO-GASTRIC TUBE PLACE,481,RC,,,,,inpatient,,,989,,494.5,593.4,998.5933,929.66,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,820.87,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,935.594,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,959.33,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,640.872,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,998.5933,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOV INT URETERAL STENT,481,RC,,,,,inpatient,,,9238,,4619,5542.8,9327.6086,8683.72,,,,percent of total billed charges,,7390.4,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,7667.54,,,,percent of total billed charges,,8314.2,,,,percent of total billed charges,,8498.96,,,,percent of total billed charges,,8498.96,,,,percent of total billed charges,,8739.148,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,8960.86,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,8129.44,,,,percent of total billed charges,,8314.2,,,,percent of total billed charges,,5986.224,,,,percent of total billed charges,,8314.2,,,,percent of total billed charges,,5542.8,,,,percent of total billed charges,,9327.6086,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,8776.1,,,,percent of total billed charges,,7390.4,,,,percent of total billed charges,,5542.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR PLACE ENTEROCLYSIS TUBE,481,RC,,,,,inpatient,,,793,,396.5,475.8,800.6921,745.42,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,658.19,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,729.56,,,,percent of total billed charges,,750.178,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,769.21,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,697.84,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,513.864,,,,percent of total billed charges,,713.7,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,800.6921,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,753.35,,,,percent of total billed charges,,634.4,,,,percent of total billed charges,,475.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR REMOV FILBRIN STRIP/FEMORAL,320,RC,,,,,inpatient,,,1068,,534,640.8,1078.3596,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,692.064,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,1078.3596,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IR REMOV FILBRIN STRIP/EX CATH,320,RC,,,,,inpatient,,,1068,,534,640.8,1078.3596,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,692.064,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,1078.3596,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMPLANTABLE ACCESS SYST PERC,278,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1724 CATH, TRANS ATHEREC, ROTATION",278,RC,,,,,inpatient,,,10536,,5268,6321.6,10638.1992,9903.84,,,,percent of total billed charges,,8428.8,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,8744.88,,,,percent of total billed charges,,9482.4,,,,percent of total billed charges,,9693.12,,,,percent of total billed charges,,9693.12,,,,percent of total billed charges,,9967.056,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,10219.92,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,9271.68,,,,percent of total billed charges,,9482.4,,,,percent of total billed charges,,6827.328,,,,percent of total billed charges,,9482.4,,,,percent of total billed charges,,6321.6,,,,percent of total billed charges,,10638.1992,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,10009.2,,,,percent of total billed charges,,8428.8,,,,percent of total billed charges,,6321.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSLUMINAL CATH III,278,RC,,,,,inpatient,,,1342,,671,805.2,1355.0174,1261.48,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1113.86,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,1234.64,,,,percent of total billed charges,,1234.64,,,,percent of total billed charges,,1269.532,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1301.74,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1180.96,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,869.616,,,,percent of total billed charges,,1207.8,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,1355.0174,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1274.9,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,805.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH, IMPLANTABLE PORT DUEL LUMEN VENOUS",278,RC,,,,,inpatient,,,540,,270,324,545.238,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,349.92,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,545.238,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1752 CATH HEMODIALYSIS/PERITONEAL SHORT-TERM,278,RC,,,,,inpatient,,,1096,,548,657.6,1106.6312,1030.24,,,,percent of total billed charges,,876.8,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,909.68,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,1008.32,,,,percent of total billed charges,,1008.32,,,,percent of total billed charges,,1036.816,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,1063.12,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,964.48,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,710.208,,,,percent of total billed charges,,986.4,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,1106.6312,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,1041.2,,,,percent of total billed charges,,876.8,,,,percent of total billed charges,,657.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1788 PORT, INDWELLING, IMPLANTABLE II",278,RC,,,,,inpatient,,,687,,343.5,412.2,693.6639,645.78,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,570.21,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,632.04,,,,percent of total billed charges,,649.902,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,666.39,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,604.56,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,445.176,,,,percent of total billed charges,,618.3,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,693.6639,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,652.65,,,,percent of total billed charges,,549.6,,,,percent of total billed charges,,412.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1877 STENT, NON-COAT/COV W/O DEL",278,RC,,,,,inpatient,,,422,,211,253.2,426.0934,396.68,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,350.26,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,388.24,,,,percent of total billed charges,,399.212,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,409.34,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,371.36,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,273.456,,,,percent of total billed charges,,379.8,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,426.0934,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,400.9,,,,percent of total billed charges,,337.6,,,,percent of total billed charges,,253.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBY ADAPTOR,272,RC,,,,,inpatient,,,129,,64.5,77.4,130.2513,121.26,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,107.07,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,118.68,,,,percent of total billed charges,,122.034,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,125.13,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,83.592,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,130.2513,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,122.55,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,77.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECIALTY NEEDLE,272,RC,,,,,inpatient,,,789,,394.5,473.4,796.6533,741.66,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,654.87,,,,percent of total billed charges,,710.1,,,,percent of total billed charges,,725.88,,,,percent of total billed charges,,725.88,,,,percent of total billed charges,,746.394,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,765.33,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,694.32,,,,percent of total billed charges,,710.1,,,,percent of total billed charges,,511.272,,,,percent of total billed charges,,710.1,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,796.6533,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,749.55,,,,percent of total billed charges,,631.2,,,,percent of total billed charges,,473.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MICROPUNCTURE SET,272,RC,,,,,inpatient,,,226,,113,135.6,228.1922,212.44,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,187.58,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,207.92,,,,percent of total billed charges,,213.796,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,219.22,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,198.88,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,203.4,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,228.1922,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,214.7,,,,percent of total billed charges,,180.8,,,,percent of total billed charges,,135.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FEEDING TUBE,278,RC,,,,,inpatient,,,332,,166,199.2,335.2204,312.08,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,275.56,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,314.072,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,322.04,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,292.16,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,215.136,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,335.2204,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DUO-FLOW 400XL,270,RC,,,,,inpatient,,,529,,264.5,317.4,534.1313,497.26,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,439.07,,,,percent of total billed charges,,476.1,,,,percent of total billed charges,,486.68,,,,percent of total billed charges,,486.68,,,,percent of total billed charges,,500.434,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,513.13,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,465.52,,,,percent of total billed charges,,476.1,,,,percent of total billed charges,,342.792,,,,percent of total billed charges,,476.1,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,534.1313,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,502.55,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,317.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDECATH GONADIAL 078/55/7F,272,RC,,,,,inpatient,,,574,,287,344.4,579.5678,539.56,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,476.42,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,528.08,,,,percent of total billed charges,,543.004,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,556.78,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,505.12,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,371.952,,,,percent of total billed charges,,516.6,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,579.5678,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,545.3,,,,percent of total billed charges,,459.2,,,,percent of total billed charges,,344.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POWER PULSE KIT,272,RC,,,,,inpatient,,,590,,295,354,595.723,554.6,,,,percent of total billed charges,,472,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,489.7,,,,percent of total billed charges,,531,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,542.8,,,,percent of total billed charges,,558.14,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,572.3,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,519.2,,,,percent of total billed charges,,531,,,,percent of total billed charges,,382.32,,,,percent of total billed charges,,531,,,,percent of total billed charges,,354,,,,percent of total billed charges,,595.723,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,560.5,,,,percent of total billed charges,,472,,,,percent of total billed charges,,354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KP BONE CEMENT W/ MIXER,270,RC,,,,,inpatient,,,680,,340,408,686.596,639.2,,,,percent of total billed charges,,544,,,,percent of total billed charges,,646,,,,percent of total billed charges,,564.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,646,,,,percent of total billed charges,,659.6,,,,percent of total billed charges,,646,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,440.64,,,,percent of total billed charges,,612,,,,percent of total billed charges,,408,,,,percent of total billed charges,,686.596,,,,percent of total billed charges,,646,,,,percent of total billed charges,,646,,,,percent of total billed charges,,544,,,,percent of total billed charges,,408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATEC BREAST BX SYS 12G/12/20MM,272,RC,,,,,inpatient,,,824,,412,494.4,831.9928,774.56,,,,percent of total billed charges,,659.2,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,683.92,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,758.08,,,,percent of total billed charges,,758.08,,,,percent of total billed charges,,779.504,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,799.28,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,725.12,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,533.952,,,,percent of total billed charges,,741.6,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,831.9928,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,782.8,,,,percent of total billed charges,,659.2,,,,percent of total billed charges,,494.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VACUUM ASSISTED CORE BIOPSY,272,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUNTHER TULIP FILTER RETRIEVE,272,RC,,,,,inpatient,,,818,,409,490.8,825.9346,768.92,,,,percent of total billed charges,,654.4,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,678.94,,,,percent of total billed charges,,736.2,,,,percent of total billed charges,,752.56,,,,percent of total billed charges,,752.56,,,,percent of total billed charges,,773.828,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,793.46,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,719.84,,,,percent of total billed charges,,736.2,,,,percent of total billed charges,,530.064,,,,percent of total billed charges,,736.2,,,,percent of total billed charges,,490.8,,,,percent of total billed charges,,825.9346,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,777.1,,,,percent of total billed charges,,654.4,,,,percent of total billed charges,,490.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PEG PONSKY PULL 28FR,278,RC,,,,,inpatient,,,885,,442.5,531,893.5845,831.9,,,,percent of total billed charges,,708,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,734.55,,,,percent of total billed charges,,796.5,,,,percent of total billed charges,,814.2,,,,percent of total billed charges,,814.2,,,,percent of total billed charges,,837.21,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,858.45,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,778.8,,,,percent of total billed charges,,796.5,,,,percent of total billed charges,,573.48,,,,percent of total billed charges,,796.5,,,,percent of total billed charges,,531,,,,percent of total billed charges,,893.5845,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,840.75,,,,percent of total billed charges,,708,,,,percent of total billed charges,,531,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOPHERE 1,278,RC,,,,,inpatient,,,1535,,767.5,921,1549.8895,1442.9,,,,percent of total billed charges,,1228,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1274.05,,,,percent of total billed charges,,1381.5,,,,percent of total billed charges,,1412.2,,,,percent of total billed charges,,1412.2,,,,percent of total billed charges,,1452.11,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1488.95,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1350.8,,,,percent of total billed charges,,1381.5,,,,percent of total billed charges,,994.68,,,,percent of total billed charges,,1381.5,,,,percent of total billed charges,,921,,,,percent of total billed charges,,1549.8895,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1458.25,,,,percent of total billed charges,,1228,,,,percent of total billed charges,,921,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SNARE GOOSENECK 6FR/15MM,272,RC,,,,,inpatient,,,1144,,572,686.4,1155.0968,1075.36,,,,percent of total billed charges,,915.2,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,949.52,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1052.48,,,,percent of total billed charges,,1052.48,,,,percent of total billed charges,,1082.224,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1109.68,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1006.72,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,741.312,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,1155.0968,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,1086.8,,,,percent of total billed charges,,915.2,,,,percent of total billed charges,,686.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTBRO FACET TIP NEEDLE,272,RC,,,,,inpatient,,,1205,,602.5,723,1216.6885,1132.7,,,,percent of total billed charges,,964,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1000.15,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1108.6,,,,percent of total billed charges,,1139.93,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1168.85,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1060.4,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,780.84,,,,percent of total billed charges,,1084.5,,,,percent of total billed charges,,723,,,,percent of total billed charges,,1216.6885,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,1144.75,,,,percent of total billed charges,,964,,,,percent of total billed charges,,723,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 2,278,RC,,,,,inpatient,,,3132,,1566,1879.2,3162.3804,2944.08,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2599.56,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,2881.44,,,,percent of total billed charges,,2881.44,,,,percent of total billed charges,,2962.872,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,3038.04,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2756.16,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,2029.536,,,,percent of total billed charges,,2818.8,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,3162.3804,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2975.4,,,,percent of total billed charges,,2505.6,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 3,278,RC,,,,,inpatient,,,4702,,2351,2821.2,4747.6094,4419.88,,,,percent of total billed charges,,3761.6,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,3902.66,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,4325.84,,,,percent of total billed charges,,4325.84,,,,percent of total billed charges,,4448.092,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,4560.94,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,4137.76,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,3046.896,,,,percent of total billed charges,,4231.8,,,,percent of total billed charges,,2821.2,,,,percent of total billed charges,,4747.6094,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,4466.9,,,,percent of total billed charges,,3761.6,,,,percent of total billed charges,,2821.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VERTEBRO AUTOPLEX W/CEMENT,278,RC,,,,,inpatient,,,3122,,1561,1873.2,3152.2834,2934.68,,,,percent of total billed charges,,2497.6,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2591.26,,,,percent of total billed charges,,2809.8,,,,percent of total billed charges,,2872.24,,,,percent of total billed charges,,2872.24,,,,percent of total billed charges,,2953.412,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,3028.34,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2747.36,,,,percent of total billed charges,,2809.8,,,,percent of total billed charges,,2023.056,,,,percent of total billed charges,,2809.8,,,,percent of total billed charges,,1873.2,,,,percent of total billed charges,,3152.2834,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2965.9,,,,percent of total billed charges,,2497.6,,,,percent of total billed charges,,1873.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POLAR CATH INFLATION DEVICE,272,RC,,,,,inpatient,,,3501,,1750.5,2100.6,3534.9597,3290.94,,,,percent of total billed charges,,2800.8,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,2905.83,,,,percent of total billed charges,,3150.9,,,,percent of total billed charges,,3220.92,,,,percent of total billed charges,,3220.92,,,,percent of total billed charges,,3311.946,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,3395.97,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,3080.88,,,,percent of total billed charges,,3150.9,,,,percent of total billed charges,,2268.648,,,,percent of total billed charges,,3150.9,,,,percent of total billed charges,,2100.6,,,,percent of total billed charges,,3534.9597,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,3325.95,,,,percent of total billed charges,,2800.8,,,,percent of total billed charges,,2100.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FRONTRUNNER XP CTO CATH 140,272,RC,,,,,inpatient,,,3631,,1815.5,2178.6,3666.2207,3413.14,,,,percent of total billed charges,,2904.8,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3013.73,,,,percent of total billed charges,,3267.9,,,,percent of total billed charges,,3340.52,,,,percent of total billed charges,,3340.52,,,,percent of total billed charges,,3434.926,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3522.07,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3195.28,,,,percent of total billed charges,,3267.9,,,,percent of total billed charges,,2352.888,,,,percent of total billed charges,,3267.9,,,,percent of total billed charges,,2178.6,,,,percent of total billed charges,,3666.2207,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,3449.45,,,,percent of total billed charges,,2904.8,,,,percent of total billed charges,,2178.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG LC BEADS 100-300 MICROSPH,VIAL",272,RC,,,,,inpatient,,,7400,,3700,4440,7471.78,6956,,,,percent of total billed charges,,5920,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,6142,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,7000.4,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,7178,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,6512,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,4795.2,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,4440,,,,percent of total billed charges,,7471.78,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,7030,,,,percent of total billed charges,,5920,,,,percent of total billed charges,,4440,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OUTBACK RE ENTRY CATH 120,272,RC,,,,,inpatient,,,7096,,3548,4257.6,7164.8312,6670.24,,,,percent of total billed charges,,5676.8,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,5889.68,,,,percent of total billed charges,,6386.4,,,,percent of total billed charges,,6528.32,,,,percent of total billed charges,,6528.32,,,,percent of total billed charges,,6712.816,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,6883.12,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,6244.48,,,,percent of total billed charges,,6386.4,,,,percent of total billed charges,,4598.208,,,,percent of total billed charges,,6386.4,,,,percent of total billed charges,,4257.6,,,,percent of total billed charges,,7164.8312,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,6741.2,,,,percent of total billed charges,,5676.8,,,,percent of total billed charges,,4257.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TC99M PENTETATE - AEROSOL,343,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PULM REHAB MAINTENANCE,410,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG X-RAY EXAM OF MASTOIDS,320,RC,,,,,inpatient,,,354,,177,212.4,357.4338,332.76,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,293.82,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,325.68,,,,percent of total billed charges,,334.884,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,343.38,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,311.52,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,318.6,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,357.4338,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,336.3,,,,percent of total billed charges,,283.2,,,,percent of total billed charges,,212.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FNA W/O IMAGE,361,RC,,,,,inpatient,,,2130,,1065,1278,2150.661,2002.2,,,,percent of total billed charges,,1704,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,1767.9,,,,percent of total billed charges,,1917,,,,percent of total billed charges,,1959.6,,,,percent of total billed charges,,1959.6,,,,percent of total billed charges,,2014.98,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,2066.1,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,1874.4,,,,percent of total billed charges,,1917,,,,percent of total billed charges,,1380.24,,,,percent of total billed charges,,1917,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,2150.661,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,2023.5,,,,percent of total billed charges,,1704,,,,percent of total billed charges,,1278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER GUIDING,278,RC,,,,,inpatient,,,680,,340,408,686.596,639.2,,,,percent of total billed charges,,544,,,,percent of total billed charges,,646,,,,percent of total billed charges,,564.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,625.6,,,,percent of total billed charges,,643.28,,,,percent of total billed charges,,646,,,,percent of total billed charges,,659.6,,,,percent of total billed charges,,646,,,,percent of total billed charges,,598.4,,,,percent of total billed charges,,612,,,,percent of total billed charges,,440.64,,,,percent of total billed charges,,612,,,,percent of total billed charges,,408,,,,percent of total billed charges,,686.596,,,,percent of total billed charges,,646,,,,percent of total billed charges,,646,,,,percent of total billed charges,,544,,,,percent of total billed charges,,408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 1,278,RC,,,,,inpatient,,,2668,,1334,1600.8,2693.8796,2507.92,,,,percent of total billed charges,,2134.4,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2214.44,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,2454.56,,,,percent of total billed charges,,2454.56,,,,percent of total billed charges,,2523.928,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2587.96,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2347.84,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,1728.864,,,,percent of total billed charges,,2401.2,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,2693.8796,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2534.6,,,,percent of total billed charges,,2134.4,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOPHERE 2,278,RC,,,,,inpatient,,,1805,,902.5,1083,1822.5085,1696.7,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1498.15,,,,percent of total billed charges,,1624.5,,,,percent of total billed charges,,1660.6,,,,percent of total billed charges,,1660.6,,,,percent of total billed charges,,1707.53,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1750.85,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1588.4,,,,percent of total billed charges,,1624.5,,,,percent of total billed charges,,1169.64,,,,percent of total billed charges,,1624.5,,,,percent of total billed charges,,1083,,,,percent of total billed charges,,1822.5085,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1714.75,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1083,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPIDER FX EMBOLIC PROT 4.5-6.0,272,RC,,,,,inpatient,,,2971,,1485.5,1782.6,2999.8187,2792.74,,,,percent of total billed charges,,2376.8,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2465.93,,,,percent of total billed charges,,2673.9,,,,percent of total billed charges,,2733.32,,,,percent of total billed charges,,2733.32,,,,percent of total billed charges,,2810.566,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2881.87,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2614.48,,,,percent of total billed charges,,2673.9,,,,percent of total billed charges,,1925.208,,,,percent of total billed charges,,2673.9,,,,percent of total billed charges,,1782.6,,,,percent of total billed charges,,2999.8187,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2822.45,,,,percent of total billed charges,,2376.8,,,,percent of total billed charges,,1782.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIC GASTROS FEED TUBE 57.9,278,RC,,,,,inpatient,,,562,,281,337.2,567.4514,528.28,,,,percent of total billed charges,,449.6,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,466.46,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,517.04,,,,percent of total billed charges,,517.04,,,,percent of total billed charges,,531.652,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,545.14,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,494.56,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,364.176,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,337.2,,,,percent of total billed charges,,567.4514,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,533.9,,,,percent of total billed charges,,449.6,,,,percent of total billed charges,,337.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBOSHIELD PROTECTION DEVICE - II,278,RC,,,,,inpatient,,,7560,,3780,4536,7633.332,7106.4,,,,percent of total billed charges,,6048,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,6274.8,,,,percent of total billed charges,,6804,,,,percent of total billed charges,,6955.2,,,,percent of total billed charges,,6955.2,,,,percent of total billed charges,,7151.76,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,7333.2,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,6652.8,,,,percent of total billed charges,,6804,,,,percent of total billed charges,,4898.88,,,,percent of total billed charges,,6804,,,,percent of total billed charges,,4536,,,,percent of total billed charges,,7633.332,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,7182,,,,percent of total billed charges,,6048,,,,percent of total billed charges,,4536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMBO COIL,278,RC,,,,,inpatient,,,421,,210.5,252.6,425.0837,395.74,,,,percent of total billed charges,,336.8,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,349.43,,,,percent of total billed charges,,378.9,,,,percent of total billed charges,,387.32,,,,percent of total billed charges,,387.32,,,,percent of total billed charges,,398.266,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,408.37,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,370.48,,,,percent of total billed charges,,378.9,,,,percent of total billed charges,,272.808,,,,percent of total billed charges,,378.9,,,,percent of total billed charges,,252.6,,,,percent of total billed charges,,425.0837,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,399.95,,,,percent of total billed charges,,336.8,,,,percent of total billed charges,,252.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERLOCK COIL 4,278,RC,,,,,inpatient,,,5747,,2873.5,3448.2,5802.7459,5402.18,,,,percent of total billed charges,,4597.6,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,4770.01,,,,percent of total billed charges,,5172.3,,,,percent of total billed charges,,5287.24,,,,percent of total billed charges,,5287.24,,,,percent of total billed charges,,5436.662,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,5574.59,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,5057.36,,,,percent of total billed charges,,5172.3,,,,percent of total billed charges,,3724.056,,,,percent of total billed charges,,5172.3,,,,percent of total billed charges,,3448.2,,,,percent of total billed charges,,5802.7459,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,5459.65,,,,percent of total billed charges,,4597.6,,,,percent of total billed charges,,3448.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SBRT,333,RC,,,,,inpatient,,,4250,,2125,2550,4291.225,3995,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3527.5,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,3910,,,,percent of total billed charges,,4020.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4122.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3740,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,2754,,,,percent of total billed charges,,3825,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,4291.225,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,4037.5,,,,percent of total billed charges,,3400,,,,percent of total billed charges,,2550,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS I",278,RC,,,,,inpatient,,,707,,353.5,424.2,713.8579,664.58,,,,percent of total billed charges,,565.6,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,586.81,,,,percent of total billed charges,,636.3,,,,percent of total billed charges,,650.44,,,,percent of total billed charges,,650.44,,,,percent of total billed charges,,668.822,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,685.79,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,622.16,,,,percent of total billed charges,,636.3,,,,percent of total billed charges,,458.136,,,,percent of total billed charges,,636.3,,,,percent of total billed charges,,424.2,,,,percent of total billed charges,,713.8579,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,671.65,,,,percent of total billed charges,,565.6,,,,percent of total billed charges,,424.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS II",278,RC,,,,,inpatient,,,1897,,948.5,1138.2,1915.4009,1783.18,,,,percent of total billed charges,,1517.6,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1574.51,,,,percent of total billed charges,,1707.3,,,,percent of total billed charges,,1745.24,,,,percent of total billed charges,,1745.24,,,,percent of total billed charges,,1794.562,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1840.09,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1669.36,,,,percent of total billed charges,,1707.3,,,,percent of total billed charges,,1229.256,,,,percent of total billed charges,,1707.3,,,,percent of total billed charges,,1138.2,,,,percent of total billed charges,,1915.4009,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1802.15,,,,percent of total billed charges,,1517.6,,,,percent of total billed charges,,1138.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS III",278,RC,,,,,inpatient,,,4056,,2028,2433.6,4095.3432,3812.64,,,,percent of total billed charges,,3244.8,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3366.48,,,,percent of total billed charges,,3650.4,,,,percent of total billed charges,,3731.52,,,,percent of total billed charges,,3731.52,,,,percent of total billed charges,,3836.976,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3934.32,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3569.28,,,,percent of total billed charges,,3650.4,,,,percent of total billed charges,,2628.288,,,,percent of total billed charges,,3650.4,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,4095.3432,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3853.2,,,,percent of total billed charges,,3244.8,,,,percent of total billed charges,,2433.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS IV",278,RC,,,,,inpatient,,,1189,,594.5,713.4,1200.5333,1117.66,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,986.87,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1093.88,,,,percent of total billed charges,,1124.794,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1153.33,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1046.32,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,770.472,,,,percent of total billed charges,,1070.1,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,1200.5333,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,1129.55,,,,percent of total billed charges,,951.2,,,,percent of total billed charges,,713.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W DEL SYS V",278,RC,,,,,inpatient,,,7865,,3932.5,4719,7941.2905,7393.1,,,,percent of total billed charges,,6292,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,6527.95,,,,percent of total billed charges,,7078.5,,,,percent of total billed charges,,7235.8,,,,percent of total billed charges,,7235.8,,,,percent of total billed charges,,7440.29,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,7629.05,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,6921.2,,,,percent of total billed charges,,7078.5,,,,percent of total billed charges,,5096.52,,,,percent of total billed charges,,7078.5,,,,percent of total billed charges,,4719,,,,percent of total billed charges,,7941.2905,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,7471.75,,,,percent of total billed charges,,6292,,,,percent of total billed charges,,4719,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS VI",278,RC,,,,,inpatient,,,9463,,4731.5,5677.8,9554.7911,8895.22,,,,percent of total billed charges,,7570.4,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,7854.29,,,,percent of total billed charges,,8516.7,,,,percent of total billed charges,,8705.96,,,,percent of total billed charges,,8705.96,,,,percent of total billed charges,,8951.998,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,9179.11,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,8327.44,,,,percent of total billed charges,,8516.7,,,,percent of total billed charges,,6132.024,,,,percent of total billed charges,,8516.7,,,,percent of total billed charges,,5677.8,,,,percent of total billed charges,,9554.7911,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,8989.85,,,,percent of total billed charges,,7570.4,,,,percent of total billed charges,,5677.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/ DEL SYS VII",278,RC,,,,,inpatient,,,11083,,5541.5,6649.8,11190.5051,10418.02,,,,percent of total billed charges,,8866.4,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,9198.89,,,,percent of total billed charges,,9974.7,,,,percent of total billed charges,,10196.36,,,,percent of total billed charges,,10196.36,,,,percent of total billed charges,,10484.518,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,10750.51,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,9753.04,,,,percent of total billed charges,,9974.7,,,,percent of total billed charges,,7181.784,,,,percent of total billed charges,,9974.7,,,,percent of total billed charges,,6649.8,,,,percent of total billed charges,,11190.5051,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,10528.85,,,,percent of total billed charges,,8866.4,,,,percent of total billed charges,,6649.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/O DELIV SYS I",278,RC,,,,,inpatient,,,869,,434.5,521.4,877.4293,816.86,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,721.27,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,799.48,,,,percent of total billed charges,,822.074,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,842.93,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,764.72,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,563.112,,,,percent of total billed charges,,782.1,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,877.4293,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,825.55,,,,percent of total billed charges,,695.2,,,,percent of total billed charges,,521.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, COATED/COV W/O DELIV SYS II",278,RC,,,,,inpatient,,,1300,,650,780,1312.61,1222,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1079,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1196,,,,percent of total billed charges,,1229.8,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1261,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1144,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,1170,,,,percent of total billed charges,,780,,,,percent of total billed charges,,1312.61,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1235,,,,percent of total billed charges,,1040,,,,percent of total billed charges,,780,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL I",278,RC,,,,,inpatient,,,5380,,2690,3228,5432.186,5057.2,,,,percent of total billed charges,,4304,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,4465.4,,,,percent of total billed charges,,4842,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,4949.6,,,,percent of total billed charges,,5089.48,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,5218.6,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,4734.4,,,,percent of total billed charges,,4842,,,,percent of total billed charges,,3486.24,,,,percent of total billed charges,,4842,,,,percent of total billed charges,,3228,,,,percent of total billed charges,,5432.186,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,5111,,,,percent of total billed charges,,4304,,,,percent of total billed charges,,3228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL II",278,RC,,,,,inpatient,,,6053,,3026.5,3631.8,6111.7141,5689.82,,,,percent of total billed charges,,4842.4,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5023.99,,,,percent of total billed charges,,5447.7,,,,percent of total billed charges,,5568.76,,,,percent of total billed charges,,5568.76,,,,percent of total billed charges,,5726.138,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5871.41,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5326.64,,,,percent of total billed charges,,5447.7,,,,percent of total billed charges,,3922.344,,,,percent of total billed charges,,5447.7,,,,percent of total billed charges,,3631.8,,,,percent of total billed charges,,6111.7141,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,5750.35,,,,percent of total billed charges,,4842.4,,,,percent of total billed charges,,3631.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL III",278,RC,,,,,inpatient,,,7524,,3762,4514.4,7596.9828,7072.56,,,,percent of total billed charges,,6019.2,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,6244.92,,,,percent of total billed charges,,6771.6,,,,percent of total billed charges,,6922.08,,,,percent of total billed charges,,6922.08,,,,percent of total billed charges,,7117.704,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,7298.28,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,6621.12,,,,percent of total billed charges,,6771.6,,,,percent of total billed charges,,4875.552,,,,percent of total billed charges,,6771.6,,,,percent of total billed charges,,4514.4,,,,percent of total billed charges,,7596.9828,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,6019.2,,,,percent of total billed charges,,4514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL IV",278,RC,,,,,inpatient,,,8027,,4013.5,4816.2,8104.8619,7545.38,,,,percent of total billed charges,,6421.6,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,6662.41,,,,percent of total billed charges,,7224.3,,,,percent of total billed charges,,7384.84,,,,percent of total billed charges,,7384.84,,,,percent of total billed charges,,7593.542,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,7786.19,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,7063.76,,,,percent of total billed charges,,7224.3,,,,percent of total billed charges,,5201.496,,,,percent of total billed charges,,7224.3,,,,percent of total billed charges,,4816.2,,,,percent of total billed charges,,8104.8619,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,7625.65,,,,percent of total billed charges,,6421.6,,,,percent of total billed charges,,4816.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W DEL V",278,RC,,,,,inpatient,,,8853,,4426.5,5311.8,8938.8741,8321.82,,,,percent of total billed charges,,7082.4,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,7347.99,,,,percent of total billed charges,,7967.7,,,,percent of total billed charges,,8144.76,,,,percent of total billed charges,,8144.76,,,,percent of total billed charges,,8374.938,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,8587.41,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,7790.64,,,,percent of total billed charges,,7967.7,,,,percent of total billed charges,,5736.744,,,,percent of total billed charges,,7967.7,,,,percent of total billed charges,,5311.8,,,,percent of total billed charges,,8938.8741,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,8410.35,,,,percent of total billed charges,,7082.4,,,,percent of total billed charges,,5311.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/NON-COV W/ DEL VI",278,RC,,,,,inpatient,,,9760,,4880,5856,9854.672,9174.4,,,,percent of total billed charges,,7808,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,8100.8,,,,percent of total billed charges,,8784,,,,percent of total billed charges,,8979.2,,,,percent of total billed charges,,8979.2,,,,percent of total billed charges,,9232.96,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,9467.2,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,8588.8,,,,percent of total billed charges,,8784,,,,percent of total billed charges,,6324.48,,,,percent of total billed charges,,8784,,,,percent of total billed charges,,5856,,,,percent of total billed charges,,9854.672,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,9272,,,,percent of total billed charges,,7808,,,,percent of total billed charges,,5856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL I",278,RC,,,,,inpatient,,,713,,356.5,427.8,719.9161,670.22,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,591.79,,,,percent of total billed charges,,641.7,,,,percent of total billed charges,,655.96,,,,percent of total billed charges,,655.96,,,,percent of total billed charges,,674.498,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,691.61,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,627.44,,,,percent of total billed charges,,641.7,,,,percent of total billed charges,,462.024,,,,percent of total billed charges,,641.7,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,719.9161,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,677.35,,,,percent of total billed charges,,570.4,,,,percent of total billed charges,,427.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL II",278,RC,,,,,inpatient,,,2194,,1097,1316.4,2215.2818,2062.36,,,,percent of total billed charges,,1755.2,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,1821.02,,,,percent of total billed charges,,1974.6,,,,percent of total billed charges,,2018.48,,,,percent of total billed charges,,2018.48,,,,percent of total billed charges,,2075.524,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,2128.18,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,1930.72,,,,percent of total billed charges,,1974.6,,,,percent of total billed charges,,1421.712,,,,percent of total billed charges,,1974.6,,,,percent of total billed charges,,1316.4,,,,percent of total billed charges,,2215.2818,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,2084.3,,,,percent of total billed charges,,1755.2,,,,percent of total billed charges,,1316.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL III",278,RC,,,,,inpatient,,,4255,,2127.5,2553,4296.2735,3999.7,,,,percent of total billed charges,,3404,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,3531.65,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,3914.6,,,,percent of total billed charges,,3914.6,,,,percent of total billed charges,,4025.23,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,4127.35,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,3744.4,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,2757.24,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,2553,,,,percent of total billed charges,,4296.2735,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,4042.25,,,,percent of total billed charges,,3404,,,,percent of total billed charges,,2553,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT, NON-COAT/COV W/O DEL IV",278,RC,,,,,inpatient,,,5872,,2936,3523.2,5928.9584,5519.68,,,,percent of total billed charges,,4697.6,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,4873.76,,,,percent of total billed charges,,5284.8,,,,percent of total billed charges,,5402.24,,,,percent of total billed charges,,5402.24,,,,percent of total billed charges,,5554.912,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,5695.84,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,5167.36,,,,percent of total billed charges,,5284.8,,,,percent of total billed charges,,3805.056,,,,percent of total billed charges,,5284.8,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,5928.9584,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,5578.4,,,,percent of total billed charges,,4697.6,,,,percent of total billed charges,,3523.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEAD INTRODUCER KIT 355018,278,RC,,,,,inpatient,,,216,,108,129.6,218.0952,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,139.968,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,218.0952,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRA W/ CONT, LWR EXT",619,RC,,,,,inpatient,,,1894,,947,1136.4,1912.3718,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1227.312,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1912.3718,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRA W/O CONT, LWR EXT",619,RC,,,,,inpatient,,,1894,,947,1136.4,1912.3718,1780.36,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1572.02,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1742.48,,,,percent of total billed charges,,1791.724,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1837.18,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1666.72,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1227.312,,,,percent of total billed charges,,1704.6,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,1912.3718,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1799.3,,,,percent of total billed charges,,1515.2,,,,percent of total billed charges,,1136.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MRA W/O FOL W/ CONT, LWR EXT",619,RC,,,,,inpatient,,,3126,,1563,1875.6,3156.3222,2938.44,,,,percent of total billed charges,,2500.8,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2594.58,,,,percent of total billed charges,,2813.4,,,,percent of total billed charges,,2875.92,,,,percent of total billed charges,,2875.92,,,,percent of total billed charges,,2957.196,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,3032.22,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2750.88,,,,percent of total billed charges,,2813.4,,,,percent of total billed charges,,2025.648,,,,percent of total billed charges,,2813.4,,,,percent of total billed charges,,1875.6,,,,percent of total billed charges,,3156.3222,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2969.7,,,,percent of total billed charges,,2500.8,,,,percent of total billed charges,,1875.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GELFOAM,272,RC,,,,,inpatient,,,979,,489.5,587.4,988.4963,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,634.392,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,988.4963,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS,360,RC,,,,,inpatient,,,2007,,1003.5,1204.2,2026.4679,1886.58,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1665.81,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1898.622,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1946.79,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1766.16,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1300.536,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,2026.4679,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS WITH S&I,360,RC,,,,,inpatient,,,3574,,1787,2144.4,3608.6678,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2315.952,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3608.6678,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURAL DRAINAGE,360,RC,,,,,inpatient,,,3919,,1959.5,2351.4,3957.0143,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2539.512,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3957.0143,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURAL DRAINAGE W/ S&I,360,RC,,,,,inpatient,,,3910,,1955,2346,3947.927,3675.4,,,,percent of total billed charges,,3128,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3245.3,,,,percent of total billed charges,,3519,,,,percent of total billed charges,,3597.2,,,,percent of total billed charges,,3597.2,,,,percent of total billed charges,,3698.86,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3792.7,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3440.8,,,,percent of total billed charges,,3519,,,,percent of total billed charges,,2533.68,,,,percent of total billed charges,,3519,,,,percent of total billed charges,,2346,,,,percent of total billed charges,,3947.927,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3714.5,,,,percent of total billed charges,,3128,,,,percent of total billed charges,,2346,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLACE CATHETER IN AORTA W/ S&I,360,RC,,,,,inpatient,,,9060,,4530,5436,9147.882,8516.4,,,,percent of total billed charges,,7248,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,7519.8,,,,percent of total billed charges,,8154,,,,percent of total billed charges,,8335.2,,,,percent of total billed charges,,8335.2,,,,percent of total billed charges,,8570.76,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,8788.2,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,7972.8,,,,percent of total billed charges,,8154,,,,percent of total billed charges,,5870.88,,,,percent of total billed charges,,8154,,,,percent of total billed charges,,5436,,,,percent of total billed charges,,9147.882,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,8607,,,,percent of total billed charges,,7248,,,,percent of total billed charges,,5436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ART 1ST ORD THORBRAC W/ S&I,360,RC,,,,,inpatient,,,9987,,4993.5,5992.2,10083.8739,9387.78,,,,percent of total billed charges,,7989.6,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,8289.21,,,,percent of total billed charges,,8988.3,,,,percent of total billed charges,,9188.04,,,,percent of total billed charges,,9188.04,,,,percent of total billed charges,,9447.702,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,9687.39,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,8788.56,,,,percent of total billed charges,,8988.3,,,,percent of total billed charges,,6471.576,,,,percent of total billed charges,,8988.3,,,,percent of total billed charges,,5992.2,,,,percent of total billed charges,,10083.8739,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,9487.65,,,,percent of total billed charges,,7989.6,,,,percent of total billed charges,,5992.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL COMM CAROTID WITH S&I,360,RC,,,,,inpatient,,,8500,,4250,5100,8582.45,7990,,,,percent of total billed charges,,6800,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,7055,,,,percent of total billed charges,,7650,,,,percent of total billed charges,,7820,,,,percent of total billed charges,,7820,,,,percent of total billed charges,,8041,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,8245,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,7480,,,,percent of total billed charges,,7650,,,,percent of total billed charges,,5508,,,,percent of total billed charges,,7650,,,,percent of total billed charges,,5100,,,,percent of total billed charges,,8582.45,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,8075,,,,percent of total billed charges,,6800,,,,percent of total billed charges,,5100,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL INT CAROTID WITH S&I,360,RC,,,,,inpatient,,,8444,,4222,5066.4,8525.9068,7937.36,,,,percent of total billed charges,,6755.2,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,7008.52,,,,percent of total billed charges,,7599.6,,,,percent of total billed charges,,7768.48,,,,percent of total billed charges,,7768.48,,,,percent of total billed charges,,7988.024,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,8190.68,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,7430.72,,,,percent of total billed charges,,7599.6,,,,percent of total billed charges,,5471.712,,,,percent of total billed charges,,7599.6,,,,percent of total billed charges,,5066.4,,,,percent of total billed charges,,8525.9068,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,8021.8,,,,percent of total billed charges,,6755.2,,,,percent of total billed charges,,5066.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL SUBCLAVIAN WITH S&I,360,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL VERTEBRAL WITH S&I,360,RC,,,,,inpatient,,,5538,,2769,3322.8,5591.7186,5205.72,,,,percent of total billed charges,,4430.4,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,4596.54,,,,percent of total billed charges,,4984.2,,,,percent of total billed charges,,5094.96,,,,percent of total billed charges,,5094.96,,,,percent of total billed charges,,5238.948,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,5371.86,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,4873.44,,,,percent of total billed charges,,4984.2,,,,percent of total billed charges,,3588.624,,,,percent of total billed charges,,4984.2,,,,percent of total billed charges,,3322.8,,,,percent of total billed charges,,5591.7186,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,5261.1,,,,percent of total billed charges,,4430.4,,,,percent of total billed charges,,3322.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL EXT CAROTID WITH S&I,360,RC,,,,,inpatient,,,10045,,5022.5,6027,10142.4365,9442.3,,,,percent of total billed charges,,8036,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,8337.35,,,,percent of total billed charges,,9040.5,,,,percent of total billed charges,,9241.4,,,,percent of total billed charges,,9241.4,,,,percent of total billed charges,,9502.57,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,9743.65,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,8839.6,,,,percent of total billed charges,,9040.5,,,,percent of total billed charges,,6509.16,,,,percent of total billed charges,,9040.5,,,,percent of total billed charges,,6027,,,,percent of total billed charges,,10142.4365,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,9542.75,,,,percent of total billed charges,,8036,,,,percent of total billed charges,,6027,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH PL INTRACRANIAL BR WITH S&I,360,RC,,,,,inpatient,,,10349,,5174.5,6209.4,10449.3853,9728.06,,,,percent of total billed charges,,8279.2,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,8589.67,,,,percent of total billed charges,,9314.1,,,,percent of total billed charges,,9521.08,,,,percent of total billed charges,,9521.08,,,,percent of total billed charges,,9790.154,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,10038.53,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,9107.12,,,,percent of total billed charges,,9314.1,,,,percent of total billed charges,,6706.152,,,,percent of total billed charges,,9314.1,,,,percent of total billed charges,,6209.4,,,,percent of total billed charges,,10449.3853,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,9831.55,,,,percent of total billed charges,,8279.2,,,,percent of total billed charges,,6209.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCTH RETRIEVAL FB PROC,360,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH ARTERIAL INFUSION,360,RC,,,,,inpatient,,,11621,,5810.5,6972.6,11733.7237,10923.74,,,,percent of total billed charges,,9296.8,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,9645.43,,,,percent of total billed charges,,10458.9,,,,percent of total billed charges,,10691.32,,,,percent of total billed charges,,10691.32,,,,percent of total billed charges,,10993.466,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,11272.37,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,10226.48,,,,percent of total billed charges,,10458.9,,,,percent of total billed charges,,7530.408,,,,percent of total billed charges,,10458.9,,,,percent of total billed charges,,6972.6,,,,percent of total billed charges,,11733.7237,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,11039.95,,,,percent of total billed charges,,9296.8,,,,percent of total billed charges,,6972.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH VENOUS INFUSION,360,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRANSCATH ART OR VEN INFUSION,360,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CESSATION OF THORMBOLYSIS,360,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTCA INIITIAL VESSEL,360,RC,,,,,inpatient,,,13793,,6896.5,8275.8,13926.7921,12965.42,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11448.19,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,12689.56,,,,percent of total billed charges,,13048.178,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13379.21,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,12137.84,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8937.864,,,,percent of total billed charges,,12413.7,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,13926.7921,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,13103.35,,,,percent of total billed charges,,11034.4,,,,percent of total billed charges,,8275.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PTCA EA ADD'L VESS,360,RC,,,,,inpatient,,,4759,,2379.5,2855.4,4805.1623,4473.46,,,,percent of total billed charges,,3807.2,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,3949.97,,,,percent of total billed charges,,4283.1,,,,percent of total billed charges,,4378.28,,,,percent of total billed charges,,4378.28,,,,percent of total billed charges,,4502.014,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,4616.23,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,4187.92,,,,percent of total billed charges,,4283.1,,,,percent of total billed charges,,3083.832,,,,percent of total billed charges,,4283.1,,,,percent of total billed charges,,2855.4,,,,percent of total billed charges,,4805.1623,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,4521.05,,,,percent of total billed charges,,3807.2,,,,percent of total billed charges,,2855.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY INIT VESS,360,RC,,,,,inpatient,,,15288,,7644,9172.8,15436.2936,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9906.624,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,15436.2936,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ATHERECTOMY, EA ADD'L",360,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT PX, INIT VESSEL",360,RC,,,,,inpatient,,,23750,,11875,14250,23980.375,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,15390,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,23980.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG STENT PX, EA ADD'L VESSEL",360,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY INIT VESS STENT,360,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY ADD'L VESS STENT,360,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, SINGLE CABG",360,RC,,,,,inpatient,,,15288,,7644,9172.8,15436.2936,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9906.624,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,15436.2936,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, EA ADD'L",360,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, SINGLE AMI",360,RC,,,,,inpatient,,,27313,,13656.5,16387.8,27577.9361,25674.22,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,22669.79,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25838.098,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,26493.61,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,24035.44,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,17698.824,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,27577.9361,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, SINGLE",360,RC,,,,,inpatient,,,23750,,11875,14250,23980.375,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,15390,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,23980.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, EA ADD'L",360,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP EPS EVAL FOR SVT,480,RC,,,,,inpatient,,,27395,,13697.5,16437,27660.7315,25751.3,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,22737.85,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25915.67,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26573.15,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,24107.6,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,17751.96,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,27660.7315,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP EPS EVAL FOR V-TACH,480,RC,,,,,inpatient,,,27395,,13697.5,16437,27660.7315,25751.3,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,22737.85,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25915.67,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26573.15,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,24107.6,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,17751.96,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,27660.7315,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRACARDIAC CATH ABL ADD ON,480,RC,,,,,inpatient,,,10528,,5264,6316.8,10630.1216,9896.32,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8738.24,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9959.488,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10212.16,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,9264.64,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,6822.144,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,10630.1216,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COMP EPS EVAL INC CATH,480,RC,,,,,inpatient,,,27395,,13697.5,16437,27660.7315,25751.3,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,22737.85,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25203.4,,,,percent of total billed charges,,25915.67,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26573.15,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,24107.6,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,17751.96,,,,percent of total billed charges,,24655.5,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,27660.7315,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,26025.25,,,,percent of total billed charges,,21916,,,,percent of total billed charges,,16437,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CATH ABLATION, ADD ON",480,RC,,,,,inpatient,,,10528,,5264,6316.8,10630.1216,9896.32,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8738.24,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9685.76,,,,percent of total billed charges,,9959.488,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10212.16,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,9264.64,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,6822.144,,,,percent of total billed charges,,9475.2,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,10630.1216,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,10001.6,,,,percent of total billed charges,,8422.4,,,,percent of total billed charges,,6316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DES STENT PX, INIT VES",480,RC,,,,,inpatient,,,23750,,11875,14250,23980.375,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,15390,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,23980.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DES STENT PX, EA ADD'L VES",480,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY INIT VESS DES STENT,480,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ATHERECTOMY ADD'L VESS DES STENT,480,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, SINGLE CABG DES",480,RC,,,,,inpatient,,,23750,,11875,14250,23980.375,22325,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19712.5,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,21850,,,,percent of total billed charges,,22467.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,23037.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,20900,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,15390,,,,percent of total billed charges,,21375,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,23980.375,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,22562.5,,,,percent of total billed charges,,19000,,,,percent of total billed charges,,14250,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, EA ADD'L DES",480,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS, AMI DES",480,RC,,,,,inpatient,,,27313,,13656.5,16387.8,27577.9361,25674.22,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,22669.79,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25127.96,,,,percent of total billed charges,,25838.098,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,26493.61,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,24035.44,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,17698.824,,,,percent of total billed charges,,24581.7,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,27577.9361,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,25947.35,,,,percent of total billed charges,,21850.4,,,,percent of total billed charges,,16387.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, SINGLE DES",480,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERC TRANSLUM REVAS CHRONIC, DES EA ADD'L",480,RC,,,,,inpatient,,,13109,,6554.5,7865.4,13236.1573,12322.46,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10880.47,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12060.28,,,,percent of total billed charges,,12401.114,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12715.73,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,11535.92,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,8494.632,,,,percent of total billed charges,,11798.1,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,13236.1573,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,12453.55,,,,percent of total billed charges,,10487.2,,,,percent of total billed charges,,7865.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EPS FOLLOW UP STUDY,480,RC,,,,,inpatient,,,9555,,4777.5,5733,9647.6835,8981.7,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7930.65,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,8790.6,,,,percent of total billed charges,,9039.03,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9268.35,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,8408.4,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,6191.64,,,,percent of total billed charges,,8599.5,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,9647.6835,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,9077.25,,,,percent of total billed charges,,7644,,,,percent of total billed charges,,5733,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF INTRA-AORTIC BALLOON PUMP - PERC,360,RC,,,,,inpatient,,,2853,,1426.5,1711.8,2880.6741,2681.82,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2367.99,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2698.938,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2767.41,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2510.64,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,1848.744,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,2880.6741,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF INTRA-AORTIC BALLOON PUMP - PERC,360,RC,,,,,inpatient,,,2424,,1212,1454.4,2447.5128,2278.56,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2011.92,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2293.104,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2351.28,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2133.12,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1570.752,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,2447.5128,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERTION OF IMPELLA-PERC,360,RC,,,,,inpatient,,,2853,,1426.5,1711.8,2880.6741,2681.82,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2367.99,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2624.76,,,,percent of total billed charges,,2698.938,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2767.41,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2510.64,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,1848.744,,,,percent of total billed charges,,2567.7,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,2880.6741,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2710.35,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1711.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPOSITIONING OF IMPELLA W/ IMAGING-PERC,360,RC,,,,,inpatient,,,1027,,513.5,616.2,1036.9619,965.38,,,,percent of total billed charges,,821.6,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,852.41,,,,percent of total billed charges,,924.3,,,,percent of total billed charges,,944.84,,,,percent of total billed charges,,944.84,,,,percent of total billed charges,,971.542,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,996.19,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,903.76,,,,percent of total billed charges,,924.3,,,,percent of total billed charges,,665.496,,,,percent of total billed charges,,924.3,,,,percent of total billed charges,,616.2,,,,percent of total billed charges,,1036.9619,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,975.65,,,,percent of total billed charges,,821.6,,,,percent of total billed charges,,616.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL OF IMPELLA-PERC,360,RC,,,,,inpatient,,,2424,,1212,1454.4,2447.5128,2278.56,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2011.92,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2230.08,,,,percent of total billed charges,,2293.104,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2351.28,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2133.12,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1570.752,,,,percent of total billed charges,,2181.6,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,2447.5128,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,2302.8,,,,percent of total billed charges,,1939.2,,,,percent of total billed charges,,1454.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1763 CONNECTIVE TISSUE-NON HUMAN,278,RC,,,,,inpatient,,,3081,,1540.5,1848.6,3110.8857,2896.14,,,,percent of total billed charges,,2464.8,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2557.23,,,,percent of total billed charges,,2772.9,,,,percent of total billed charges,,2834.52,,,,percent of total billed charges,,2834.52,,,,percent of total billed charges,,2914.626,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2988.57,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2711.28,,,,percent of total billed charges,,2772.9,,,,percent of total billed charges,,1996.488,,,,percent of total billed charges,,2772.9,,,,percent of total billed charges,,1848.6,,,,percent of total billed charges,,3110.8857,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2926.95,,,,percent of total billed charges,,2464.8,,,,percent of total billed charges,,1848.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GUIDEWIRE FOR PERCU ACCESS PANEL,278,RC,,,,,inpatient,,,188,,94,112.8,189.8236,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,121.824,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,189.8236,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRODUCER FOR PERCU ACCESS PANEL,278,RC,,,,,inpatient,,,188,,94,112.8,189.8236,176.72,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,156.04,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,172.96,,,,percent of total billed charges,,177.848,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,182.36,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,121.824,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,189.8236,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,178.6,,,,percent of total billed charges,,150.4,,,,percent of total billed charges,,112.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER GUIDING II,278,RC,,,,,inpatient,,,862,,431,517.2,870.3614,810.28,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,715.46,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,793.04,,,,percent of total billed charges,,815.452,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,836.14,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,758.56,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,558.576,,,,percent of total billed charges,,775.8,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,870.3614,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,818.9,,,,percent of total billed charges,,689.6,,,,percent of total billed charges,,517.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATHETER GUIDING VII,278,RC,,,,,inpatient,,,3819,,1909.5,2291.4,3856.0443,3589.86,,,,percent of total billed charges,,3055.2,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3169.77,,,,percent of total billed charges,,3437.1,,,,percent of total billed charges,,3513.48,,,,percent of total billed charges,,3513.48,,,,percent of total billed charges,,3612.774,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3704.43,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3360.72,,,,percent of total billed charges,,3437.1,,,,percent of total billed charges,,2474.712,,,,percent of total billed charges,,3437.1,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,3856.0443,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3628.05,,,,percent of total billed charges,,3055.2,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC II,278,RC,,,,,inpatient,,,4474,,2237,2684.4,4517.3978,4205.56,,,,percent of total billed charges,,3579.2,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,3713.42,,,,percent of total billed charges,,4026.6,,,,percent of total billed charges,,4116.08,,,,percent of total billed charges,,4116.08,,,,percent of total billed charges,,4232.404,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,4339.78,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,3937.12,,,,percent of total billed charges,,4026.6,,,,percent of total billed charges,,2899.152,,,,percent of total billed charges,,4026.6,,,,percent of total billed charges,,2684.4,,,,percent of total billed charges,,4517.3978,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,4250.3,,,,percent of total billed charges,,3579.2,,,,percent of total billed charges,,2684.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PTD ROTATOR UNIT,272,RC,,,,,inpatient,,,1336,,668,801.6,1348.9592,1255.84,,,,percent of total billed charges,,1068.8,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1108.88,,,,percent of total billed charges,,1202.4,,,,percent of total billed charges,,1229.12,,,,percent of total billed charges,,1229.12,,,,percent of total billed charges,,1263.856,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1295.92,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1175.68,,,,percent of total billed charges,,1202.4,,,,percent of total billed charges,,865.728,,,,percent of total billed charges,,1202.4,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,1348.9592,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1269.2,,,,percent of total billed charges,,1068.8,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC III,278,RC,,,,,inpatient,,,5636,,2818,3381.6,5690.6692,5297.84,,,,percent of total billed charges,,4508.8,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,4677.88,,,,percent of total billed charges,,5072.4,,,,percent of total billed charges,,5185.12,,,,percent of total billed charges,,5185.12,,,,percent of total billed charges,,5331.656,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,5466.92,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,4959.68,,,,percent of total billed charges,,5072.4,,,,percent of total billed charges,,3652.128,,,,percent of total billed charges,,5072.4,,,,percent of total billed charges,,3381.6,,,,percent of total billed charges,,5690.6692,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,5354.2,,,,percent of total billed charges,,4508.8,,,,percent of total billed charges,,3381.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH THROMBOLYTIC IV,278,RC,,,,,inpatient,,,7601,,3800.5,4560.6,7674.7297,7144.94,,,,percent of total billed charges,,6080.8,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,6308.83,,,,percent of total billed charges,,6840.9,,,,percent of total billed charges,,6992.92,,,,percent of total billed charges,,6992.92,,,,percent of total billed charges,,7190.546,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,7372.97,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,6688.88,,,,percent of total billed charges,,6840.9,,,,percent of total billed charges,,4925.448,,,,percent of total billed charges,,6840.9,,,,percent of total billed charges,,4560.6,,,,percent of total billed charges,,7674.7297,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,7220.95,,,,percent of total billed charges,,6080.8,,,,percent of total billed charges,,4560.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C1885 CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER",278,RC,,,,,inpatient,,,9868,,4934,5920.8,9963.7196,9275.92,,,,percent of total billed charges,,7894.4,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,8190.44,,,,percent of total billed charges,,8881.2,,,,percent of total billed charges,,9078.56,,,,percent of total billed charges,,9078.56,,,,percent of total billed charges,,9335.128,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,9571.96,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,8683.84,,,,percent of total billed charges,,8881.2,,,,percent of total billed charges,,6394.464,,,,percent of total billed charges,,8881.2,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,9963.7196,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,9374.6,,,,percent of total billed charges,,7894.4,,,,percent of total billed charges,,5920.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MRI DYNAMIC PELVIC FLOOR,610,RC,,,,,inpatient,,,2155,,1077.5,1293,2175.9035,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1396.44,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2175.9035,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 3D IMAGING FOR ECHO,333,RC,,,,,inpatient,,,840,,420,504,848.148,789.6,,,,percent of total billed charges,,672,,,,percent of total billed charges,,798,,,,percent of total billed charges,,697.2,,,,percent of total billed charges,,756,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,794.64,,,,percent of total billed charges,,798,,,,percent of total billed charges,,814.8,,,,percent of total billed charges,,798,,,,percent of total billed charges,,739.2,,,,percent of total billed charges,,756,,,,percent of total billed charges,,544.32,,,,percent of total billed charges,,756,,,,percent of total billed charges,,504,,,,percent of total billed charges,,848.148,,,,percent of total billed charges,,798,,,,percent of total billed charges,,798,,,,percent of total billed charges,,672,,,,percent of total billed charges,,504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93296-0480 REMOTE DEVICE CHECK PACER OR ICD,480,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STEREO BIOPSY ADD SITE,401,RC,,,,,inpatient,,,2530,,1265,1518,2554.541,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1639.44,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2554.541,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO RAD SEED IMPLANT,401,RC,,,,,inpatient,,,1997,,998.5,1198.2,2016.3709,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1294.056,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,2016.3709,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ULTRASOUND BIOPSY,402,RC,,,,,inpatient,,,3627,,1813.5,2176.2,3662.1819,3409.38,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3010.41,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3336.84,,,,percent of total billed charges,,3431.142,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3518.19,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3191.76,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2350.296,,,,percent of total billed charges,,3264.3,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,3662.1819,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,3445.65,,,,percent of total billed charges,,2901.6,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US BIOPSY ADD SITE,401,RC,,,,,inpatient,,,2530,,1265,1518,2554.541,2378.2,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2099.9,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2327.6,,,,percent of total billed charges,,2393.38,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2454.1,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2226.4,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1639.44,,,,percent of total billed charges,,2277,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,2554.541,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2403.5,,,,percent of total billed charges,,2024,,,,percent of total billed charges,,1518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US LOCALIZATION,402,RC,,,,,inpatient,,,1723,,861.5,1033.8,1739.7131,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1116.504,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1739.7131,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US- LOC ADD SITE,402,RC,,,,,inpatient,,,863,,431.5,517.8,871.3711,811.22,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,716.29,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,793.96,,,,percent of total billed charges,,816.398,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,837.11,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,759.44,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,559.224,,,,percent of total billed charges,,776.7,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,871.3711,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,819.85,,,,percent of total billed charges,,690.4,,,,percent of total billed charges,,517.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US RAD SEED IMPLANT,402,RC,,,,,inpatient,,,1723,,861.5,1033.8,1739.7131,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1116.504,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1739.7131,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT 1ST,361,RC,,,,,inpatient,,,25835,,12917.5,15501,26085.5995,24284.9,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,21443.05,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,24439.91,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,25059.95,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,22734.8,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,16741.08,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,26085.5995,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT 2ND,361,RC,,,,,inpatient,,,14369,,7184.5,8621.4,14508.3793,13506.86,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11926.27,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13593.074,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13937.93,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,12644.72,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,9311.112,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,14508.3793,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT SAME,361,RC,,,,,inpatient,,,25835,,12917.5,15501,26085.5995,24284.9,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,21443.05,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,23768.2,,,,percent of total billed charges,,24439.91,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,25059.95,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,22734.8,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,16741.08,,,,percent of total billed charges,,23251.5,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,26085.5995,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,24543.25,,,,percent of total billed charges,,20668,,,,percent of total billed charges,,15501,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OPEN/PERQ PLACE STENT EA ADD,361,RC,,,,,inpatient,,,14369,,7184.5,8621.4,14508.3793,13506.86,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11926.27,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13219.48,,,,percent of total billed charges,,13593.074,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13937.93,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,12644.72,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,9311.112,,,,percent of total billed charges,,12932.1,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,14508.3793,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,13650.55,,,,percent of total billed charges,,11495.2,,,,percent of total billed charges,,8621.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC-VENOUS,361,RC,,,,,inpatient,,,15288,,7644,9172.8,15436.2936,14370.72,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12689.04,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14064.96,,,,percent of total billed charges,,14462.448,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14829.36,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,13453.44,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9906.624,,,,percent of total billed charges,,13759.2,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,15436.2936,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,14523.6,,,,percent of total billed charges,,12230.4,,,,percent of total billed charges,,9172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC- ARTERY,361,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC-ORGAN,361,RC,,,,,inpatient,,,20541,,10270.5,12324.6,20740.2477,19308.54,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,17049.03,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,19431.786,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19924.77,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,18076.08,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,13310.568,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,20740.2477,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASC EMBOLIZE/OCC-BLEED,361,RC,,,,,inpatient,,,20541,,10270.5,12324.6,20740.2477,19308.54,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,17049.03,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,18897.72,,,,percent of total billed charges,,19431.786,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19924.77,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,18076.08,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,13310.568,,,,percent of total billed charges,,18486.9,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,20740.2477,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,19513.95,,,,percent of total billed charges,,16432.8,,,,percent of total billed charges,,12324.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMAGE CATH FLUID-VISC,361,RC,,,,,inpatient,,,7160,,3580,4296,7229.452,6730.4,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5942.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6773.36,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6945.2,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6300.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,4639.68,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,7229.452,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMAGE CATH FLUID-PERI,361,RC,,,,,inpatient,,,7160,,3580,4296,7229.452,6730.4,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5942.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6587.2,,,,percent of total billed charges,,6773.36,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6945.2,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6300.8,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,4639.68,,,,percent of total billed charges,,6444,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,7229.452,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,6802,,,,percent of total billed charges,,5728,,,,percent of total billed charges,,4296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMAGE CATH FLUID-TRANSV,361,RC,,,,,inpatient,,,7215,,3607.5,4329,7284.9855,6782.1,,,,percent of total billed charges,,5772,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,5988.45,,,,percent of total billed charges,,6493.5,,,,percent of total billed charges,,6637.8,,,,percent of total billed charges,,6637.8,,,,percent of total billed charges,,6825.39,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,6998.55,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,6349.2,,,,percent of total billed charges,,6493.5,,,,percent of total billed charges,,4675.32,,,,percent of total billed charges,,6493.5,,,,percent of total billed charges,,4329,,,,percent of total billed charges,,7284.9855,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,6854.25,,,,percent of total billed charges,,5772,,,,percent of total billed charges,,4329,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IG FLUID COLL BY CATH,361,RC,,,,,inpatient,,,2312,,1156,1387.2,2334.4264,2173.28,,,,percent of total billed charges,,1849.6,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,1918.96,,,,percent of total billed charges,,2080.8,,,,percent of total billed charges,,2127.04,,,,percent of total billed charges,,2127.04,,,,percent of total billed charges,,2187.152,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,2242.64,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,2034.56,,,,percent of total billed charges,,2080.8,,,,percent of total billed charges,,1498.176,,,,percent of total billed charges,,2080.8,,,,percent of total billed charges,,1387.2,,,,percent of total billed charges,,2334.4264,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,2196.4,,,,percent of total billed charges,,1849.6,,,,percent of total billed charges,,1387.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MAMMO LOCALIZATION,401,RC,,,,,inpatient,,,1997,,998.5,1198.2,2016.3709,1877.18,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1657.51,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1837.24,,,,percent of total billed charges,,1889.162,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1937.09,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1757.36,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1294.056,,,,percent of total billed charges,,1797.3,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,2016.3709,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1897.15,,,,percent of total billed charges,,1597.6,,,,percent of total billed charges,,1198.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SIMULATION W/ RESP MOTION MGMT.,333,RC,,,,,inpatient,,,771,,385.5,462.6,778.4787,724.74,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,639.93,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,709.32,,,,percent of total billed charges,,729.366,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,747.87,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,678.48,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,499.608,,,,percent of total billed charges,,693.9,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,778.4787,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,732.45,,,,percent of total billed charges,,616.8,,,,percent of total billed charges,,462.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE SURVEY INFANT,320,RC,,,,,inpatient,,,615,,307.5,369,620.9655,578.1,,,,percent of total billed charges,,492,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,510.45,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,581.79,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,596.55,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,541.2,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,398.52,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,369,,,,percent of total billed charges,,620.9655,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,584.25,,,,percent of total billed charges,,492,,,,percent of total billed charges,,369,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL TUNNELED INTRAPERITONEAL CATH,361,RC,,,,,inpatient,,,4617,,2308.5,2770.2,4661.7849,4339.98,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3832.11,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4367.682,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4478.49,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4062.96,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,2991.816,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,4661.7849,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BIOPSY, SOFT TISSUE NECK OR THORAX",361,RC,,,,,inpatient,,,3473,,1736.5,2083.8,3506.6881,3264.62,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2882.59,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3285.458,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3368.81,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3056.24,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2250.504,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,3506.6881,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BOLUS MATERIAL,272,RC,,,,,inpatient,,,3158,,1579,1894.8,3188.6326,2968.52,,,,percent of total billed charges,,2526.4,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,2621.14,,,,percent of total billed charges,,2842.2,,,,percent of total billed charges,,2905.36,,,,percent of total billed charges,,2905.36,,,,percent of total billed charges,,2987.468,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,3063.26,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,2779.04,,,,percent of total billed charges,,2842.2,,,,percent of total billed charges,,2046.384,,,,percent of total billed charges,,2842.2,,,,percent of total billed charges,,1894.8,,,,percent of total billed charges,,3188.6326,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,3000.1,,,,percent of total billed charges,,2526.4,,,,percent of total billed charges,,1894.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMOEMBOLIZATION,331,RC,,,,,inpatient,,,1559,,779.5,935.4,1574.1223,1465.46,,,,percent of total billed charges,,1247.2,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1293.97,,,,percent of total billed charges,,1403.1,,,,percent of total billed charges,,1434.28,,,,percent of total billed charges,,1434.28,,,,percent of total billed charges,,1474.814,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1512.23,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1371.92,,,,percent of total billed charges,,1403.1,,,,percent of total billed charges,,1010.232,,,,percent of total billed charges,,1403.1,,,,percent of total billed charges,,935.4,,,,percent of total billed charges,,1574.1223,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1481.05,,,,percent of total billed charges,,1247.2,,,,percent of total billed charges,,935.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD BRIEF VISIT,510,RC,,,,,inpatient,,,84,,42,50.4,84.8148,78.96,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,69.72,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,77.28,,,,percent of total billed charges,,79.464,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,81.48,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,73.92,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,84.8148,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I CERVICAL",361,RC,,,,,inpatient,,,2845,,1422.5,1707,2872.5965,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1843.56,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2872.5965,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I THORACIC",361,RC,,,,,inpatient,,,2845,,1422.5,1707,2872.5965,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1843.56,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2872.5965,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I LUMBOSACRAL",361,RC,,,,,inpatient,,,2845,,1422.5,1707,2872.5965,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1843.56,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2872.5965,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYELOGRAPHY VIA LUMBAR INJ, S&I 2 OR MORE REGIONS",361,RC,,,,,inpatient,,,2845,,1422.5,1707,2872.5965,2674.3,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2361.35,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2617.4,,,,percent of total billed charges,,2691.37,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2759.65,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2503.6,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1843.56,,,,percent of total billed charges,,2560.5,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,2872.5965,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2702.75,,,,percent of total billed charges,,2276,,,,percent of total billed charges,,1707,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT VERTEBROPLASTY LUMB,361,RC,,,,,inpatient,,,7200,,3600,4320,7269.84,6768,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5976,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6811.2,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6984,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6336,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,7269.84,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT VERTEBROPLASTY ADDÆL,361,RC,,,,,inpatient,,,6713,,3356.5,4027.8,6778.1161,6310.22,,,,percent of total billed charges,,5370.4,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,5571.79,,,,percent of total billed charges,,6041.7,,,,percent of total billed charges,,6175.96,,,,percent of total billed charges,,6175.96,,,,percent of total billed charges,,6350.498,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,6511.61,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,5907.44,,,,percent of total billed charges,,6041.7,,,,percent of total billed charges,,4350.024,,,,percent of total billed charges,,6041.7,,,,percent of total billed charges,,4027.8,,,,percent of total billed charges,,6778.1161,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,6377.35,,,,percent of total billed charges,,5370.4,,,,percent of total billed charges,,4027.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERCUT KYPHOPLASTY, THOR",361,RC,,,,,inpatient,,,13177,,6588.5,7906.2,13304.8169,12386.38,,,,percent of total billed charges,,10541.6,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,10936.91,,,,percent of total billed charges,,11859.3,,,,percent of total billed charges,,12122.84,,,,percent of total billed charges,,12122.84,,,,percent of total billed charges,,12465.442,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,12781.69,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,11595.76,,,,percent of total billed charges,,11859.3,,,,percent of total billed charges,,8538.696,,,,percent of total billed charges,,11859.3,,,,percent of total billed charges,,7906.2,,,,percent of total billed charges,,13304.8169,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,12518.15,,,,percent of total billed charges,,10541.6,,,,percent of total billed charges,,7906.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERCUT KYPHOPLASTY, LUMBAR",361,RC,,,,,inpatient,,,12607,,6303.5,7564.2,12729.2879,11850.58,,,,percent of total billed charges,,10085.6,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,10463.81,,,,percent of total billed charges,,11346.3,,,,percent of total billed charges,,11598.44,,,,percent of total billed charges,,11598.44,,,,percent of total billed charges,,11926.222,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,12228.79,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,11094.16,,,,percent of total billed charges,,11346.3,,,,percent of total billed charges,,8169.336,,,,percent of total billed charges,,11346.3,,,,percent of total billed charges,,7564.2,,,,percent of total billed charges,,12729.2879,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,11976.65,,,,percent of total billed charges,,10085.6,,,,percent of total billed charges,,7564.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERC KYPHOPLASTY EA ADDL,361,RC,,,,,inpatient,,,6979,,3489.5,4187.4,7046.6963,6560.26,,,,percent of total billed charges,,5583.2,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,5792.57,,,,percent of total billed charges,,6281.1,,,,percent of total billed charges,,6420.68,,,,percent of total billed charges,,6420.68,,,,percent of total billed charges,,6602.134,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,6769.63,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,6141.52,,,,percent of total billed charges,,6281.1,,,,percent of total billed charges,,4522.392,,,,percent of total billed charges,,6281.1,,,,percent of total billed charges,,4187.4,,,,percent of total billed charges,,7046.6963,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,6630.05,,,,percent of total billed charges,,5583.2,,,,percent of total billed charges,,4187.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SACROPLASTY, UNILAT INJ",361,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SACROPLASTY, BILAT INJ",361,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOABLATE BONETUMOR PERC,361,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TELETH ISODOSE PLAN:SIMPLE,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TELETH ISODOSE PLAN:COMPLEX,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTH ISODOSE PLAN:SIMPLE,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTH ISODOSE PLAN:INTERMED,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTH ISODOSE PLAN:COMPLEX,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMRT DELIVERY-SIMPLE,333,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG IMRT DELIVERY-COMPLEX,333,RC,,,,,inpatient,,,1514,,757,908.4,1528.6858,1423.16,,,,percent of total billed charges,,1211.2,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1256.62,,,,percent of total billed charges,,1362.6,,,,percent of total billed charges,,1392.88,,,,percent of total billed charges,,1392.88,,,,percent of total billed charges,,1432.244,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1468.58,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1332.32,,,,percent of total billed charges,,1362.6,,,,percent of total billed charges,,981.072,,,,percent of total billed charges,,1362.6,,,,percent of total billed charges,,908.4,,,,percent of total billed charges,,1528.6858,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1438.3,,,,percent of total billed charges,,1211.2,,,,percent of total billed charges,,908.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERCUT VERTEBROPLASTY THOR,361,RC,,,,,inpatient,,,7200,,3600,4320,7269.84,6768,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5976,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6811.2,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6984,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6336,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,7269.84,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VASCULAR LASER CATHETER,272,RC,,,,,inpatient,,,7763,,3881.5,4657.8,7838.3011,7297.22,,,,percent of total billed charges,,6210.4,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,6443.29,,,,percent of total billed charges,,6986.7,,,,percent of total billed charges,,7141.96,,,,percent of total billed charges,,7141.96,,,,percent of total billed charges,,7343.798,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,7530.11,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,6831.44,,,,percent of total billed charges,,6986.7,,,,percent of total billed charges,,5030.424,,,,percent of total billed charges,,6986.7,,,,percent of total billed charges,,4657.8,,,,percent of total billed charges,,7838.3011,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,7374.85,,,,percent of total billed charges,,6210.4,,,,percent of total billed charges,,4657.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INSERT VAG APPLICATOR,361,RC,,,,,inpatient,,,764,,382,458.4,771.4108,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,495.072,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,771.4108,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG C2623 CATHETER TRANSLUMINAL ANGIOPLASTY, DRUG COATED NONLASER",278,RC,,,,,inpatient,,,4054,,2027,2432.4,4093.3238,3810.76,,,,percent of total billed charges,,3243.2,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3364.82,,,,percent of total billed charges,,3648.6,,,,percent of total billed charges,,3729.68,,,,percent of total billed charges,,3729.68,,,,percent of total billed charges,,3835.084,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3932.38,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3567.52,,,,percent of total billed charges,,3648.6,,,,percent of total billed charges,,2626.992,,,,percent of total billed charges,,3648.6,,,,percent of total billed charges,,2432.4,,,,percent of total billed charges,,4093.3238,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3851.3,,,,percent of total billed charges,,3243.2,,,,percent of total billed charges,,2432.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCERVICAL INTRODUCTION OF FALLOPIAN TUBE CATHETER FOR DIAGNOSIS AND/OR RE-ESTABLISHING PATENCY (ANY METHOD), WITH OR WITHOUT HYSTEROSALPINGOGRAPHY",361,RC,,,,,inpatient,,,6743,,3371.5,4045.8,6808.4071,6338.42,,,,percent of total billed charges,,5394.4,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,5596.69,,,,percent of total billed charges,,6068.7,,,,percent of total billed charges,,6203.56,,,,percent of total billed charges,,6203.56,,,,percent of total billed charges,,6378.878,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,6540.71,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,5933.84,,,,percent of total billed charges,,6068.7,,,,percent of total billed charges,,4369.464,,,,percent of total billed charges,,6068.7,,,,percent of total billed charges,,4045.8,,,,percent of total billed charges,,6808.4071,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,6405.85,,,,percent of total billed charges,,5394.4,,,,percent of total billed charges,,4045.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE, RADIOLOGICAL SUPERVISION & INTERPRETATION",361,RC,,,,,inpatient,,,1360,,680,816,1373.192,1278.4,,,,percent of total billed charges,,1088,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1128.8,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,1251.2,,,,percent of total billed charges,,1251.2,,,,percent of total billed charges,,1286.56,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1319.2,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,881.28,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,816,,,,percent of total billed charges,,1373.192,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1292,,,,percent of total billed charges,,1088,,,,percent of total billed charges,,816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG UNLISTED FLUROSCOPIC PROCEDURE (DIAGNOSTIC INTERVENTIONAL),320,RC,,,,,inpatient,,,385,,192.5,231,388.7345,361.9,,,,percent of total billed charges,,308,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,319.55,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,364.21,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,373.45,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,338.8,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,249.48,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,231,,,,percent of total billed charges,,388.7345,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,308,,,,percent of total billed charges,,231,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION PROCEDURE FOR MAMMARY DUCTOGRAM,320,RC,,,,,inpatient,,,626,,313,375.6,632.0722,588.44,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,519.58,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,592.196,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,607.22,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,550.88,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,405.648,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,632.0722,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ELECTROPHYSIOLOGIC EVAL OF CARDOVERTER-DEFIB LEADS,480,RC,,,,,inpatient,,,106,,53,63.6,107.0282,99.64,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,87.98,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,97.52,,,,percent of total billed charges,,100.276,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,102.82,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,93.28,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,68.688,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,107.0282,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,100.7,,,,percent of total billed charges,,84.8,,,,percent of total billed charges,,63.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRA-OP RT DELIVERY, SINGLE SESSION",333,RC,,,,,inpatient,,,18549,,9274.5,11129.4,18728.9253,17436.06,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,15395.67,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17065.08,,,,percent of total billed charges,,17547.354,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17992.53,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,16323.12,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,12019.752,,,,percent of total billed charges,,16694.1,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,18728.9253,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,17621.55,,,,percent of total billed charges,,14839.2,,,,percent of total billed charges,,11129.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CVIS NON-CHARGE SUPPLY,272,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LOW-DOSE CT (LDCT) FOR LUNG CANCER SCREENING,350,RC,,,,,inpatient,,,240,,120,144,242.328,225.6,,,,percent of total billed charges,,192,,,,percent of total billed charges,,228,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,228,,,,percent of total billed charges,,232.8,,,,percent of total billed charges,,228,,,,percent of total billed charges,,211.2,,,,percent of total billed charges,,216,,,,percent of total billed charges,,155.52,,,,percent of total billed charges,,216,,,,percent of total billed charges,,144,,,,percent of total billed charges,,242.328,,,,percent of total billed charges,,228,,,,percent of total billed charges,,228,,,,percent of total billed charges,,192,,,,percent of total billed charges,,144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 1 VW",320,RC,,,,,inpatient,,,361,,180.5,216.6,364.5017,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,233.928,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,364.5017,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 2-3 VW",320,RC,,,,,inpatient,,,378,,189,226.8,381.6666,355.32,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,313.74,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,347.76,,,,percent of total billed charges,,357.588,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,366.66,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,332.64,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,381.6666,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,359.1,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 4-5 VW",320,RC,,,,,inpatient,,,391,,195.5,234.6,394.7927,367.54,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,324.53,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,359.72,,,,percent of total billed charges,,359.72,,,,percent of total billed charges,,369.886,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,379.27,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,344.08,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,253.368,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,394.7927,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,371.45,,,,percent of total billed charges,,312.8,,,,percent of total billed charges,,234.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR THRC,LMBR (CRV,SAC) SPINE 6> VW",320,RC,,,,,inpatient,,,408,,204,244.8,411.9576,383.52,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,338.64,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,375.36,,,,percent of total billed charges,,375.36,,,,percent of total billed charges,,385.968,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,395.76,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,359.04,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,264.384,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,411.9576,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,387.6,,,,percent of total billed charges,,326.4,,,,percent of total billed charges,,244.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIP UNILATERAL, 1 VIEW",320,RC,,,,,inpatient,,,372,,186,223.2,375.6084,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,241.056,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,375.6084,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIP UNILATERAL, 2-3  VIEWS",320,RC,,,,,inpatient,,,381,,190.5,228.6,384.6957,358.14,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,316.23,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,360.426,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,369.57,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,335.28,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,246.888,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,384.6957,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIP UNILATERAL, MINIMUM OF 4 VIEWS",320,RC,,,,,inpatient,,,389,,194.5,233.4,392.7733,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,252.072,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,392.7733,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIPS BILATERAL, 2 VIEWS",320,RC,,,,,inpatient,,,372,,186,223.2,375.6084,349.68,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,308.76,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,342.24,,,,percent of total billed charges,,351.912,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,360.84,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,327.36,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,241.056,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,375.6084,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,353.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIPS BILATERAL, 3-4 VIEWS",320,RC,,,,,inpatient,,,381,,190.5,228.6,384.6957,358.14,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,316.23,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,350.52,,,,percent of total billed charges,,360.426,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,369.57,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,335.28,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,246.888,,,,percent of total billed charges,,342.9,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,384.6957,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,361.95,,,,percent of total billed charges,,304.8,,,,percent of total billed charges,,228.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR HIPS BILATERAL, MINIMUM OF 5 VIEWS",320,RC,,,,,inpatient,,,389,,194.5,233.4,392.7733,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,252.072,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,392.7733,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR  FEMUR, 1 VIEW",320,RC,,,,,inpatient,,,361,,180.5,216.6,364.5017,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,233.928,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,364.5017,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG XR FEMUR, 2 VIEWS",320,RC,,,,,inpatient,,,368,,184,220.8,371.5696,345.92,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,305.44,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,338.56,,,,percent of total billed charges,,348.128,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,356.96,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,323.84,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,238.464,,,,percent of total billed charges,,331.2,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,371.5696,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,220.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR BRACHY 1 CHANNEL,333,RC,,,,,inpatient,,,1708,,854,1024.8,1724.5676,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1106.784,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1724.5676,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR BRACHY 2-12 CHANNELS,333,RC,,,,,inpatient,,,1708,,854,1024.8,1724.5676,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1106.784,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1724.5676,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HDR BRACHY >12 CHANNELS,333,RC,,,,,inpatient,,,1708,,854,1024.8,1724.5676,1605.52,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1417.64,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1571.36,,,,percent of total billed charges,,1615.768,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1656.76,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1503.04,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1106.784,,,,percent of total billed charges,,1537.2,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,1724.5676,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1622.6,,,,percent of total billed charges,,1366.4,,,,percent of total billed charges,,1024.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERQ ART M-THROMBECT INTRACRAN,361,RC,,,,,inpatient,,,13586,,6793,8151.6,13717.7842,12770.84,,,,percent of total billed charges,,10868.8,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,11276.38,,,,percent of total billed charges,,12227.4,,,,percent of total billed charges,,12499.12,,,,percent of total billed charges,,12499.12,,,,percent of total billed charges,,12852.356,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,13178.42,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,11955.68,,,,percent of total billed charges,,12227.4,,,,percent of total billed charges,,8803.728,,,,percent of total billed charges,,12227.4,,,,percent of total billed charges,,8151.6,,,,percent of total billed charges,,13717.7842,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,12906.7,,,,percent of total billed charges,,10868.8,,,,percent of total billed charges,,8151.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRVASC US NONCORONARY 1ST,361,RC,,,,,inpatient,,,3161,,1580.5,1896.6,3191.6617,2971.34,,,,percent of total billed charges,,2528.8,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,2623.63,,,,percent of total billed charges,,2844.9,,,,percent of total billed charges,,2908.12,,,,percent of total billed charges,,2908.12,,,,percent of total billed charges,,2990.306,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,3066.17,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,2781.68,,,,percent of total billed charges,,2844.9,,,,percent of total billed charges,,2048.328,,,,percent of total billed charges,,2844.9,,,,percent of total billed charges,,1896.6,,,,percent of total billed charges,,3191.6617,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,3002.95,,,,percent of total billed charges,,2528.8,,,,percent of total billed charges,,1896.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRVASC US NONCORONARY ADDL,361,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION FOR CHOLANG, EXIST",361,RC,,,,,inpatient,,,4847,,2423.5,2908.2,4894.0159,4556.18,,,,percent of total billed charges,,3877.6,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4023.01,,,,percent of total billed charges,,4362.3,,,,percent of total billed charges,,4459.24,,,,percent of total billed charges,,4459.24,,,,percent of total billed charges,,4585.262,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4701.59,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4265.36,,,,percent of total billed charges,,4362.3,,,,percent of total billed charges,,3140.856,,,,percent of total billed charges,,4362.3,,,,percent of total billed charges,,2908.2,,,,percent of total billed charges,,4894.0159,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,4604.65,,,,percent of total billed charges,,3877.6,,,,percent of total billed charges,,2908.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJECTION FOR CHOLANG, NEW",361,RC,,,,,inpatient,,,6665,,3332.5,3999,6729.6505,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,4318.92,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6729.6505,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT BILIARY DRAINAGE CATH, EXT",361,RC,,,,,inpatient,,,6665,,3332.5,3999,6729.6505,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,4318.92,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6729.6505,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT BILIARY DRAINAGE CATH, INT/EXT",361,RC,,,,,inpatient,,,6665,,3332.5,3999,6729.6505,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,4318.92,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6729.6505,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT BILIARY DRAINAGE CATH, CONV",361,RC,,,,,inpatient,,,6665,,3332.5,3999,6729.6505,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,4318.92,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6729.6505,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCHANGE BILIARY DRG CATH,361,RC,,,,,inpatient,,,2864,,1432,1718.4,2891.7808,2692.16,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2377.12,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2709.344,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2778.08,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2520.32,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,1855.872,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2891.7808,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REMOVAL BILIARY DRG CATH,361,RC,,,,,inpatient,,,2864,,1432,1718.4,2891.7808,2692.16,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2377.12,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2634.88,,,,percent of total billed charges,,2709.344,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2778.08,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2520.32,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,1855.872,,,,percent of total billed charges,,2577.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2891.7808,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2720.8,,,,percent of total billed charges,,2291.2,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REM DUCT GLBLDR CALCULI,361,RC,,,,,inpatient,,,792,,396,475.2,799.6824,744.48,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,657.36,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,728.64,,,,percent of total billed charges,,749.232,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,696.96,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,513.216,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,799.6824,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,752.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NJX PX NFROSGRM &/URTRGRM, NEW",361,RC,,,,,inpatient,,,4331,,2165.5,2598.6,4373.0107,4071.14,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3594.73,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,4097.126,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4201.07,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3811.28,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,2806.488,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,4373.0107,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NJX PX NFROSGRM &/URTRGRM, EXIS",361,RC,,,,,inpatient,,,4331,,2165.5,2598.6,4373.0107,4071.14,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3594.73,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,3984.52,,,,percent of total billed charges,,4097.126,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4201.07,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3811.28,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,2806.488,,,,percent of total billed charges,,3897.9,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,4373.0107,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,4114.45,,,,percent of total billed charges,,3464.8,,,,percent of total billed charges,,2598.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT NEPHROSTOMY CATHETER,361,RC,,,,,inpatient,,,7739,,3869.5,4643.4,7814.0683,7274.66,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6423.37,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7321.094,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7506.83,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6810.32,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,5014.872,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,7814.0683,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PLMT NEPHROSTOMY CATH, NEW",361,RC,,,,,inpatient,,,7739,,3869.5,4643.4,7814.0683,7274.66,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6423.37,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7119.88,,,,percent of total billed charges,,7321.094,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7506.83,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6810.32,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,5014.872,,,,percent of total billed charges,,6965.1,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,7814.0683,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,7352.05,,,,percent of total billed charges,,6191.2,,,,percent of total billed charges,,4643.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CONVERT NEPHROSTOMY CATH,361,RC,,,,,inpatient,,,2749,,1374.5,1649.4,2775.6653,2584.06,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2281.67,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2529.08,,,,percent of total billed charges,,2600.554,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2666.53,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2419.12,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,1781.352,,,,percent of total billed charges,,2474.1,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,2775.6653,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2611.55,,,,percent of total billed charges,,2199.2,,,,percent of total billed charges,,1649.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCHANGE NEPHROSTOMY CATH,361,RC,,,,,inpatient,,,3251,,1625.5,1950.6,3282.5347,3055.94,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2698.33,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,2990.92,,,,percent of total billed charges,,3075.446,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3153.47,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2860.88,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,2106.648,,,,percent of total billed charges,,2925.9,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,3282.5347,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,3088.45,,,,percent of total billed charges,,2600.8,,,,percent of total billed charges,,1950.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT URETERAL STENT PRQ,361,RC,,,,,inpatient,,,1819,,909.5,1091.4,1836.6443,1709.86,,,,percent of total billed charges,,1455.2,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1509.77,,,,percent of total billed charges,,1637.1,,,,percent of total billed charges,,1673.48,,,,percent of total billed charges,,1673.48,,,,percent of total billed charges,,1720.774,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1764.43,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1600.72,,,,percent of total billed charges,,1637.1,,,,percent of total billed charges,,1178.712,,,,percent of total billed charges,,1637.1,,,,percent of total billed charges,,1091.4,,,,percent of total billed charges,,1836.6443,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1728.05,,,,percent of total billed charges,,1455.2,,,,percent of total billed charges,,1091.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT URETERAL STENT NEW TRACT,361,RC,,,,,inpatient,,,10504,,5252,6302.4,10605.8888,9873.76,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8718.32,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9936.784,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,10188.88,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9243.52,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,6806.592,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,10605.8888,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLMT URETERAL STENT NEW ACC/TRT,361,RC,,,,,inpatient,,,10504,,5252,6302.4,10605.8888,9873.76,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8718.32,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9663.68,,,,percent of total billed charges,,9936.784,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,10188.88,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9243.52,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,6806.592,,,,percent of total billed charges,,9453.6,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,10605.8888,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,9978.8,,,,percent of total billed charges,,8403.2,,,,percent of total billed charges,,6302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVASC PRLNG ADMN RX AGNT 1ST,361,RC,,,,,inpatient,,,13697,,6848.5,8218.2,13829.8609,12875.18,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,11368.51,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12957.362,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13286.09,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,12053.36,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,8875.656,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,13829.8609,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EVASC PRLNG ADMN RX AGNT ADD,361,RC,,,,,inpatient,,,13697,,6848.5,8218.2,13829.8609,12875.18,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,11368.51,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12601.24,,,,percent of total billed charges,,12957.362,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13286.09,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,12053.36,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,8875.656,,,,percent of total billed charges,,12327.3,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,13829.8609,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,13012.15,,,,percent of total billed charges,,10957.6,,,,percent of total billed charges,,8218.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SCLEROTX FLUID COLLECTION,361,RC,,,,,inpatient,,,4856,,2428,2913.6,4903.1032,4564.64,,,,percent of total billed charges,,3884.8,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4030.48,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,4467.52,,,,percent of total billed charges,,4467.52,,,,percent of total billed charges,,4593.776,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4710.32,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4273.28,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3146.688,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,4903.1032,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,4613.2,,,,percent of total billed charges,,3884.8,,,,percent of total billed charges,,2913.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC SINGLE INJ SITE,361,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC 2ND+ INJ SITE,361,RC,,,,,inpatient,,,2003,,1001.5,1201.8,2022.4291,1882.82,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1662.49,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1894.838,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1942.91,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1762.64,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1297.944,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,2022.4291,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC CONT INFUSION,361,RC,,,,,inpatient,,,2003,,1001.5,1201.8,2022.4291,1882.82,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1662.49,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1894.838,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1942.91,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1762.64,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1297.944,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,2022.4291,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRO GASTROINTESTINAL TUBE,320,RC,,,,,inpatient,,,2476,,1238,1485.6,2500.0172,2327.44,,,,percent of total billed charges,,1980.8,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2055.08,,,,percent of total billed charges,,2228.4,,,,percent of total billed charges,,2277.92,,,,percent of total billed charges,,2277.92,,,,percent of total billed charges,,2342.296,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2401.72,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2178.88,,,,percent of total billed charges,,2228.4,,,,percent of total billed charges,,1604.448,,,,percent of total billed charges,,2228.4,,,,percent of total billed charges,,1485.6,,,,percent of total billed charges,,2500.0172,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,2352.2,,,,percent of total billed charges,,1980.8,,,,percent of total billed charges,,1485.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRACHYTHERAPY STR CES131,278,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BM BX AND ASPIRATION,361,RC,,,,,inpatient,,,4711,,2355.5,2826.6,4756.6967,4428.34,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3910.13,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4456.606,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4569.67,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4145.68,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,3052.728,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,4756.6967,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA (34701),360,RC,,,,,inpatient,,,33669,,16834.5,20201.4,33995.5893,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,21817.512,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,33995.5893,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA (34702),360,RC,,,,,inpatient,,,33669,,16834.5,20201.4,33995.5893,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,21817.512,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,33995.5893,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA (34703),360,RC,,,,,inpatient,,,33669,,16834.5,20201.4,33995.5893,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,21817.512,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,33995.5893,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34704),360,RC,,,,,inpatient,,,33669,,16834.5,20201.4,33995.5893,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,21817.512,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,33995.5893,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34705),360,RC,,,,,inpatient,,,33669,,16834.5,20201.4,33995.5893,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,21817.512,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,33995.5893,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34706),360,RC,,,,,inpatient,,,33669,,16834.5,20201.4,33995.5893,31648.86,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,27945.27,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,30975.48,,,,percent of total billed charges,,31850.874,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,32658.93,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,29628.72,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,21817.512,,,,percent of total billed charges,,30302.1,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,33995.5893,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,31985.55,,,,percent of total billed charges,,26935.2,,,,percent of total billed charges,,20201.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF INTRARENAL AORTA OR ILIAC ART (34707),360,RC,,,,,inpatient,,,4632,,2316,2779.2,4676.9304,4354.08,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3844.56,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4381.872,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4493.04,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4076.16,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3001.536,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,4676.9304,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP OF ILIAC ART (34708),360,RC,,,,,inpatient,,,4632,,2316,2779.2,4676.9304,4354.08,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3844.56,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4261.44,,,,percent of total billed charges,,4381.872,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4493.04,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4076.16,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3001.536,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,4676.9304,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,4400.4,,,,percent of total billed charges,,3705.6,,,,percent of total billed charges,,2779.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EVENT RECORDER, CARDIAC (IMPLANTABLE)",278,RC,,,,,inpatient,,,11913,,5956.5,7147.8,12028.5561,11198.22,,,,percent of total billed charges,,9530.4,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,9887.79,,,,percent of total billed charges,,10721.7,,,,percent of total billed charges,,10959.96,,,,percent of total billed charges,,10959.96,,,,percent of total billed charges,,11269.698,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,11555.61,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,10483.44,,,,percent of total billed charges,,10721.7,,,,percent of total billed charges,,7719.624,,,,percent of total billed charges,,10721.7,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,12028.5561,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,11317.35,,,,percent of total billed charges,,9530.4,,,,percent of total billed charges,,7147.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FOAM SCLEROSANT,361,RC,,,,,inpatient,,,2034,,1017,1220.4,2053.7298,1911.96,,,,percent of total billed charges,,1627.2,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1688.22,,,,percent of total billed charges,,1830.6,,,,percent of total billed charges,,1871.28,,,,percent of total billed charges,,1871.28,,,,percent of total billed charges,,1924.164,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1972.98,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1789.92,,,,percent of total billed charges,,1830.6,,,,percent of total billed charges,,1318.032,,,,percent of total billed charges,,1830.6,,,,percent of total billed charges,,1220.4,,,,percent of total billed charges,,2053.7298,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1932.3,,,,percent of total billed charges,,1627.2,,,,percent of total billed charges,,1220.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ FOAM SCLEROSANT, SAME LEG",361,RC,,,,,inpatient,,,2961,,1480.5,1776.6,2989.7217,2783.34,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2457.63,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2724.12,,,,percent of total billed charges,,2801.106,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2872.17,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2605.68,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,1918.728,,,,percent of total billed charges,,2664.9,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,2989.7217,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2812.95,,,,percent of total billed charges,,2368.8,,,,percent of total billed charges,,1776.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOVENOUS ABL THERAPY,361,RC,,,,,inpatient,,,5648,,2824,3388.8,5702.7856,5309.12,,,,percent of total billed charges,,4518.4,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,4687.84,,,,percent of total billed charges,,5083.2,,,,percent of total billed charges,,5196.16,,,,percent of total billed charges,,5196.16,,,,percent of total billed charges,,5343.008,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,5478.56,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,4970.24,,,,percent of total billed charges,,5083.2,,,,percent of total billed charges,,3659.904,,,,percent of total billed charges,,5083.2,,,,percent of total billed charges,,3388.8,,,,percent of total billed charges,,5702.7856,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,5365.6,,,,percent of total billed charges,,4518.4,,,,percent of total billed charges,,3388.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOVENOUS ABL THERAPY, ADD ON",361,RC,,,,,inpatient,,,2824,,1412,1694.4,2851.3928,2654.56,,,,percent of total billed charges,,2259.2,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2343.92,,,,percent of total billed charges,,2541.6,,,,percent of total billed charges,,2598.08,,,,percent of total billed charges,,2598.08,,,,percent of total billed charges,,2671.504,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2739.28,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2485.12,,,,percent of total billed charges,,2541.6,,,,percent of total billed charges,,1829.952,,,,percent of total billed charges,,2541.6,,,,percent of total billed charges,,1694.4,,,,percent of total billed charges,,2851.3928,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2682.8,,,,percent of total billed charges,,2259.2,,,,percent of total billed charges,,1694.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG GADOBUTROL INJECTION, 0.1 ML",343,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RMVL PULSE GEN COMP(BAT//TRNSMT)WIRELESS CARD STIM/LT VENT PACING,361,RC,,,,,inpatient,,,6536,,3268,3921.6,6599.3992,6143.84,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5424.88,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6013.12,,,,percent of total billed charges,,6183.056,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6339.92,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5751.68,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,4235.328,,,,percent of total billed charges,,5882.4,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,6599.3992,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,6209.2,,,,percent of total billed charges,,5228.8,,,,percent of total billed charges,,3921.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRA PX CORONARY FFR W 3D FUNCT-COLOR-CODE FFR VALS CORONAY TREE,481,RC,,,,,inpatient,,,10448,,5224,6268.8,10549.3456,9821.12,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8671.84,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9883.808,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,10134.56,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9194.24,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,6770.304,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,10549.3456,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENDOVNOUS CATH CHEM ABLAT'N BALLOON ISOLAT INCOMP EXTREMITY VEIN,361,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING US GUIDANCE, FIRST LESION",402,RC,,,,,inpatient,,,2935,,1467.5,1761,2963.4695,2758.9,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2436.05,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2776.51,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2846.95,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2582.8,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,1901.88,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,2963.4695,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX INCLD US GUIDE,EA LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",402,RC,,,,,inpatient,,,2936,,1468,1761.6,2964.4792,2759.84,,,,percent of total billed charges,,2348.8,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2436.88,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,2701.12,,,,percent of total billed charges,,2701.12,,,,percent of total billed charges,,2777.456,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2847.92,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2583.68,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,1902.528,,,,percent of total billed charges,,2642.4,,,,percent of total billed charges,,1761.6,,,,percent of total billed charges,,2964.4792,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2789.2,,,,percent of total billed charges,,2348.8,,,,percent of total billed charges,,1761.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING FLUOROSCOPIC GUIDANCE, FIRST LESION",320,RC,,,,,inpatient,,,3162,,1581,1897.2,3192.6714,2972.28,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2624.46,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2991.252,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3067.14,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2782.56,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2048.976,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,3192.6714,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX,INCL FLUORO GUID, EA LESN(LIST SEPARATE IN ADDN TO PRIM PX)",320,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING CT GUIDANCE, FIRST LESION",350,RC,,,,,inpatient,,,3162,,1581,1897.2,3192.6714,2972.28,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2624.46,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2991.252,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3067.14,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2782.56,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2048.976,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,3192.6714,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX,INCLUDE CT GUIDE, EA LESION(LIST SEPARATE IN ADDN PRIM PX)",350,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX, INCLUDING MR GUIDANCE, FIRST LESION",610,RC,,,,,inpatient,,,3162,,1581,1897.2,3192.6714,2972.28,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2624.46,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2909.04,,,,percent of total billed charges,,2991.252,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3067.14,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2782.56,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,2048.976,,,,percent of total billed charges,,2845.8,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,3192.6714,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,3003.9,,,,percent of total billed charges,,2529.6,,,,percent of total billed charges,,1897.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FNA BX,INCLUD MR GUIDE, EA LESION(LIST SEPARATE ADDN TO PRIM PX)",610,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ PX CNTRST KNEE ARTHROGRAPH CNTRST ENHNCD CT/MRI KNEE ARTHRO,361,RC,,,,,inpatient,,,2866,,1433,1719.6,2893.8002,2694.04,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2378.78,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2636.72,,,,percent of total billed charges,,2711.236,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2780.02,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2522.08,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,1857.168,,,,percent of total billed charges,,2579.4,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,2893.8002,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2722.7,,,,percent of total billed charges,,2292.8,,,,percent of total billed charges,,1719.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TRANSCATH INSERT REPLCMENT PERMANENT LEADLESS PCEMKR,RT VENT",480,RC,,,,,inpatient,,,10448,,5224,6268.8,10549.3456,9821.12,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8671.84,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9612.16,,,,percent of total billed charges,,9883.808,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,10134.56,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9194.24,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,6770.304,,,,percent of total billed charges,,9403.2,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,10549.3456,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,9925.6,,,,percent of total billed charges,,8358.4,,,,percent of total billed charges,,6268.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERT PICC WP SUBQ PORT/PUMP, IMAGE GUIDE UNDER 5 YO",361,RC,,,,,inpatient,,,801,,400.5,480.6,808.7697,752.94,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,664.83,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,736.92,,,,percent of total billed charges,,757.746,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,776.97,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,704.88,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,519.048,,,,percent of total billed charges,,720.9,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,808.7697,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,760.95,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INSERT PICC WP SUBQ PORT/PUMP, IMAGE GUIDE OVER 5 YO",361,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DILAT EXIST TRACT,PERCUTAN,FOR ENDOUROLOGIC PX INCLD IMAGE GUIDE",361,RC,,,,,inpatient,,,593,,296.5,355.8,598.7521,557.42,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,492.19,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,545.56,,,,percent of total billed charges,,560.978,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,575.21,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,521.84,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,384.264,,,,percent of total billed charges,,533.7,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,598.7521,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,563.35,,,,percent of total billed charges,,474.4,,,,percent of total billed charges,,355.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH ELECTROPHY 80CM 5FR REDEL,272,RC,,,,,inpatient,,,1727,,863.5,1036.2,1743.7519,1623.38,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1433.41,,,,percent of total billed charges,,1554.3,,,,percent of total billed charges,,1588.84,,,,percent of total billed charges,,1588.84,,,,percent of total billed charges,,1633.742,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1675.19,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1519.76,,,,percent of total billed charges,,1554.3,,,,percent of total billed charges,,1119.096,,,,percent of total billed charges,,1554.3,,,,percent of total billed charges,,1036.2,,,,percent of total billed charges,,1743.7519,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1640.65,,,,percent of total billed charges,,1381.6,,,,percent of total billed charges,,1036.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERINEOGRAM, (EG, VAGINOGRAM)",320,RC,,,,,inpatient,,,759,,379.5,455.4,766.3623,713.46,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,629.97,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,698.28,,,,percent of total billed charges,,718.014,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,736.23,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,491.832,,,,percent of total billed charges,,683.1,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,766.3623,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,721.05,,,,percent of total billed charges,,607.2,,,,percent of total billed charges,,455.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TREATMENT OF MISSED ABORTION, COMPL SURG; 1ST TRIMSTER",361,RC,,,,,inpatient,,,10085,,5042.5,6051,10182.8245,9479.9,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8370.55,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9540.41,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9782.45,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8874.8,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,6535.08,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,10182.8245,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 50606-0361 ENDOLUMINAL BX URTR RNL PLVS,361,RC,,,,,inpatient,,,5185,,2592.5,3111,5235.2945,4873.9,,,,percent of total billed charges,,4148,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4303.55,,,,percent of total billed charges,,4666.5,,,,percent of total billed charges,,4770.2,,,,percent of total billed charges,,4770.2,,,,percent of total billed charges,,4905.01,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,5029.45,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4562.8,,,,percent of total billed charges,,4666.5,,,,percent of total billed charges,,3359.88,,,,percent of total billed charges,,4666.5,,,,percent of total billed charges,,3111,,,,percent of total billed charges,,5235.2945,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4925.75,,,,percent of total billed charges,,4148,,,,percent of total billed charges,,3111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55920-0333 PLCMT OF NEEDLES INTO PELVIC ORGANS/GENITALIA FOR SUBS INTERS RADIOEL APP,333,RC,,,,,inpatient,,,9156,,4578,5493.6,9244.8132,8606.64,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7599.48,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8423.52,,,,percent of total billed charges,,8661.576,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8881.32,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8057.28,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,5933.088,,,,percent of total billed charges,,8240.4,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,9244.8132,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,8698.2,,,,percent of total billed charges,,7324.8,,,,percent of total billed charges,,5493.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 37218-0360 STENT PLACEMENT CARTOID/ INNOMINATE ARTERY,360,RC,,,,,inpatient,,,31020,,15510,18612,31320.894,29158.8,,,,percent of total billed charges,,24816,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,25746.6,,,,percent of total billed charges,,27918,,,,percent of total billed charges,,28538.4,,,,percent of total billed charges,,28538.4,,,,percent of total billed charges,,29344.92,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,30089.4,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,27297.6,,,,percent of total billed charges,,27918,,,,percent of total billed charges,,20100.96,,,,percent of total billed charges,,27918,,,,percent of total billed charges,,18612,,,,percent of total billed charges,,31320.894,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,29469,,,,percent of total billed charges,,24816,,,,percent of total billed charges,,18612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43241-0361 EGD TUBE/ CATH INSERTION,361,RC,,,,,inpatient,,,4532,,2266,2719.2,4575.9604,4260.08,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3761.56,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4169.44,,,,percent of total billed charges,,4287.272,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4396.04,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3988.16,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,2936.736,,,,percent of total billed charges,,4078.8,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,4575.9604,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,4305.4,,,,percent of total billed charges,,3625.6,,,,percent of total billed charges,,2719.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36465-0510 INJ FOAM SCLEROSANT,510,RC,,,,,inpatient,,,2033,,1016.5,1219.8,2052.7201,1911.02,,,,percent of total billed charges,,1626.4,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1687.39,,,,percent of total billed charges,,1829.7,,,,percent of total billed charges,,1870.36,,,,percent of total billed charges,,1870.36,,,,percent of total billed charges,,1923.218,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1972.01,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1789.04,,,,percent of total billed charges,,1829.7,,,,percent of total billed charges,,1317.384,,,,percent of total billed charges,,1829.7,,,,percent of total billed charges,,1219.8,,,,percent of total billed charges,,2052.7201,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1931.35,,,,percent of total billed charges,,1626.4,,,,percent of total billed charges,,1219.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36466-0510 INJ FOAM SCLEROSANT, SAME LEG",510,RC,,,,,inpatient,,,2959,,1479.5,1775.4,2987.7023,2781.46,,,,percent of total billed charges,,2367.2,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2455.97,,,,percent of total billed charges,,2663.1,,,,percent of total billed charges,,2722.28,,,,percent of total billed charges,,2722.28,,,,percent of total billed charges,,2799.214,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2870.23,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2603.92,,,,percent of total billed charges,,2663.1,,,,percent of total billed charges,,1917.432,,,,percent of total billed charges,,2663.1,,,,percent of total billed charges,,1775.4,,,,percent of total billed charges,,2987.7023,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2811.05,,,,percent of total billed charges,,2367.2,,,,percent of total billed charges,,1775.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HBC TYPHOID VACCINE INJ - 0.5 ML,636,RC,,,,,inpatient,,,257,,128.5,154.2,259.4929,241.58,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,213.31,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,236.44,,,,percent of total billed charges,,243.122,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,249.29,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,226.16,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,166.536,,,,percent of total billed charges,,231.3,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,259.4929,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,244.15,,,,percent of total billed charges,,205.6,,,,percent of total billed charges,,154.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERIPHERAL VASCULAR REHAB,480,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90947-0801 CRRH DIALYSIS,801,RC,,,,,inpatient,,,2535,,1267.5,1521,2559.5895,2382.9,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2104.05,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2398.11,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2458.95,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2230.8,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,1642.68,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,2559.5895,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT CATH 7FR 20CM ARWG+ARD BLU-135508,272,RC,,,,,inpatient,,,599,,299.5,359.4,604.8103,563.06,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,497.17,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,551.08,,,,percent of total billed charges,,566.654,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,581.03,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,527.12,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,388.152,,,,percent of total billed charges,,539.1,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,604.8103,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,569.05,,,,percent of total billed charges,,479.2,,,,percent of total billed charges,,359.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRONCHSCP FLXB 600MM 5.8MM 2.8,272,RC,,,,,inpatient,,,1350,,675,810,1363.095,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1363.095,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT VENTRICULOSTOMY STD RZR,272,RC,,,,,inpatient,,,1545,,772.5,927,1559.9865,1452.3,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1282.35,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1421.4,,,,percent of total billed charges,,1461.57,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1498.65,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1359.6,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,1001.16,,,,percent of total billed charges,,1390.5,,,,percent of total billed charges,,927,,,,percent of total billed charges,,1559.9865,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1467.75,,,,percent of total billed charges,,1236,,,,percent of total billed charges,,927,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTRAOCULAR LENS,276,RC,,,,,inpatient,,,150,,75,90,151.455,141,,,,percent of total billed charges,,120,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,124.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,138,,,,percent of total billed charges,,138,,,,percent of total billed charges,,141.9,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,145.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,132,,,,percent of total billed charges,,135,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,135,,,,percent of total billed charges,,90,,,,percent of total billed charges,,151.455,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,142.5,,,,percent of total billed charges,,120,,,,percent of total billed charges,,90,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BAKRI POSTPARTUM BALLOON, 72857",278,RC,,,,,inpatient,,,1054,,527,632.4,1064.2238,990.76,,,,percent of total billed charges,,843.2,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,874.82,,,,percent of total billed charges,,948.6,,,,percent of total billed charges,,969.68,,,,percent of total billed charges,,969.68,,,,percent of total billed charges,,997.084,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,1022.38,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,927.52,,,,percent of total billed charges,,948.6,,,,percent of total billed charges,,682.992,,,,percent of total billed charges,,948.6,,,,percent of total billed charges,,632.4,,,,percent of total billed charges,,1064.2238,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,1001.3,,,,percent of total billed charges,,843.2,,,,percent of total billed charges,,632.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EZ-IO 45MM NEEDLE SET, 74800",270,RC,,,,,inpatient,,,658,,329,394.8,664.3826,618.52,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,546.14,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,622.468,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,638.26,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,579.04,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,426.384,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,664.3826,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EZ-IO 25MM NEEDLE SET, 76135",270,RC,,,,,inpatient,,,658,,329,394.8,664.3826,618.52,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,546.14,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,622.468,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,638.26,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,579.04,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,426.384,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,664.3826,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG EZ-IO 15MM NEEDLE SET, 76133",270,RC,,,,,inpatient,,,658,,329,394.8,664.3826,618.52,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,546.14,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,605.36,,,,percent of total billed charges,,622.468,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,638.26,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,579.04,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,426.384,,,,percent of total billed charges,,592.2,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,664.3826,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,625.1,,,,percent of total billed charges,,526.4,,,,percent of total billed charges,,394.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FECAL DRAIN COLLECTOR,272,RC,,,,,inpatient,,,530,,265,318,535.141,498.2,,,,percent of total billed charges,,424,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,439.9,,,,percent of total billed charges,,477,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,487.6,,,,percent of total billed charges,,501.38,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,514.1,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,466.4,,,,percent of total billed charges,,477,,,,percent of total billed charges,,343.44,,,,percent of total billed charges,,477,,,,percent of total billed charges,,318,,,,percent of total billed charges,,535.141,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,503.5,,,,percent of total billed charges,,424,,,,percent of total billed charges,,318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RAD SITZ MARKER, 300447",279,RC,,,,,inpatient,,,534,,267,320.4,539.1798,501.96,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,443.22,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,491.28,,,,percent of total billed charges,,491.28,,,,percent of total billed charges,,505.164,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,517.98,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,469.92,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,346.032,,,,percent of total billed charges,,480.6,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,539.1798,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,507.3,,,,percent of total billed charges,,427.2,,,,percent of total billed charges,,320.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG STENT POLARIS ULTRA 6 X 24,278,RC,,,,,inpatient,,,451,,225.5,270.6,455.3747,423.94,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,374.33,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,414.92,,,,percent of total billed charges,,426.646,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,437.47,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,396.88,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,292.248,,,,percent of total billed charges,,405.9,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,455.3747,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,428.45,,,,percent of total billed charges,,360.8,,,,percent of total billed charges,,270.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CATH URETERAL C1758,278,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURX CATHETER KIT,272,RC,,,,,inpatient,,,2934,,1467,1760.4,2962.4598,2757.96,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2435.22,,,,percent of total billed charges,,2640.6,,,,percent of total billed charges,,2699.28,,,,percent of total billed charges,,2699.28,,,,percent of total billed charges,,2775.564,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2845.98,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2581.92,,,,percent of total billed charges,,2640.6,,,,percent of total billed charges,,1901.232,,,,percent of total billed charges,,2640.6,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,2962.4598,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2787.3,,,,percent of total billed charges,,2347.2,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG THERASKIN CRYOPRESERVE 2.5 X 2.5 INCHES, PER SQ CM (41 UNITS)",636,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHENOL EZ SWABS EACH,250,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SILVER NITRATE SWABS - EACH,250,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TRIPLE ANTIBIOTIC OINTMENT (NEOSPORIN) UNIT DOSE PACKETS,250,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15275-0510 APPLICATION OF SKIN SUBSTITUTE G; TOT WND < 101 SQ CM,510,RC,,,,,inpatient,,,5264,,2632,3158.4,5315.0608,4948.16,,,,percent of total billed charges,,4211.2,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,4369.12,,,,percent of total billed charges,,4737.6,,,,percent of total billed charges,,4842.88,,,,percent of total billed charges,,4842.88,,,,percent of total billed charges,,4979.744,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,5106.08,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,4632.32,,,,percent of total billed charges,,4737.6,,,,percent of total billed charges,,3411.072,,,,percent of total billed charges,,4737.6,,,,percent of total billed charges,,3158.4,,,,percent of total billed charges,,5315.0608,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,5000.8,,,,percent of total billed charges,,4211.2,,,,percent of total billed charges,,3158.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4101 APLIGRAF SKIN SUB PER SQ CM (44 UNITS),636,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15271-0510 SKIN SUB GRAFT TRNK/ARM/LEG; UP TO 100 SQ/ CM,510,RC,,,,,inpatient,,,5163,,2581.5,3097.8,5213.0811,4853.22,,,,percent of total billed charges,,4130.4,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4285.29,,,,percent of total billed charges,,4646.7,,,,percent of total billed charges,,4749.96,,,,percent of total billed charges,,4749.96,,,,percent of total billed charges,,4884.198,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,5008.11,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4543.44,,,,percent of total billed charges,,4646.7,,,,percent of total billed charges,,3345.624,,,,percent of total billed charges,,4646.7,,,,percent of total billed charges,,3097.8,,,,percent of total billed charges,,5213.0811,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4904.85,,,,percent of total billed charges,,4130.4,,,,percent of total billed charges,,3097.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG N BLOCK SPENOPALATINE GANGL-IN ED,450,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LORAZEPAM 2MG VIAL,636,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FIRMAGON (DEGARELIX) PER 1 MG,636,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36471-0510 NJX SCLRSNT MLT INCMPTNT VN,510,RC,,,,,inpatient,,,3049,,1524.5,1829.4,3078.5753,2866.06,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2530.67,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2805.08,,,,percent of total billed charges,,2884.354,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2957.53,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2683.12,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,1975.752,,,,percent of total billed charges,,2744.1,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,3078.5753,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2896.55,,,,percent of total billed charges,,2439.2,,,,percent of total billed charges,,1829.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ORPHENADRINE CITRATE (NORFLEX) - 60 MG,636,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28660-0450 TREAT TOE DISLOCATION, W/O ANESTHESIA",450,RC,,,,,inpatient,,,873,,436.5,523.8,881.4681,820.62,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,803.16,,,,percent of total billed charges,,825.858,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,846.81,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,768.24,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,565.704,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,881.4681,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,829.35,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BONE MARROW BX,360,RC,,,,,inpatient,,,3476,,1738,2085.6,3509.7172,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2252.448,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3509.7172,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GASTROINTESTINAL TUB,360,RC,,,,,inpatient,,,989,,494.5,593.4,998.5933,929.66,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,820.87,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,935.594,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,959.33,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,640.872,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,998.5933,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG FIDUCIAL MARKER, INT",360,RC,,,,,inpatient,,,6031,,3015.5,3618.6,6089.5007,5669.14,,,,percent of total billed charges,,4824.8,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5005.73,,,,percent of total billed charges,,5427.9,,,,percent of total billed charges,,5548.52,,,,percent of total billed charges,,5548.52,,,,percent of total billed charges,,5705.326,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5850.07,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5307.28,,,,percent of total billed charges,,5427.9,,,,percent of total billed charges,,3908.088,,,,percent of total billed charges,,5427.9,,,,percent of total billed charges,,3618.6,,,,percent of total billed charges,,6089.5007,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,5729.45,,,,percent of total billed charges,,4824.8,,,,percent of total billed charges,,3618.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG KIT CATH MIDLINE 4FR,270,RC,,,,,inpatient,,,702,,351,421.2,708.8094,659.88,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,582.66,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,645.84,,,,percent of total billed charges,,664.092,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,680.94,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,617.76,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,454.896,,,,percent of total billed charges,,631.8,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,708.8094,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,666.9,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,421.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG KIT CATH PROVENA MIDLINE 3FR, 129384",270,RC,,,,,inpatient,,,528,,264,316.8,533.1216,496.32,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,485.76,,,,percent of total billed charges,,499.488,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,512.16,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,464.64,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,342.144,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,533.1216,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,316.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31502-0510 TRACHEOSTOMY CARE,510,RC,,,,,inpatient,,,573,,286.5,343.8,578.5581,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,371.304,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,578.5581,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BRIEF EMOTIONAL/BEHAV ASSMT,918,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG J3304 INJ, TRIAMCINOLONE ACETONIDE - ZILRETTA, 1 MG",636,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51736-0510 TECH URINE FLOW MEASUREMENT,510,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MIFEPREX - 200 MG,636,RC,,,,,inpatient,,,203,,101.5,121.8,204.9691,190.82,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,168.49,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,186.76,,,,percent of total billed charges,,192.038,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,196.91,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,178.64,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,131.544,,,,percent of total billed charges,,182.7,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,204.9691,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,192.85,,,,percent of total billed charges,,162.4,,,,percent of total billed charges,,121.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LINCOMYCIN UP TO 300 MGS,636,RC,,,,,inpatient,,,70,,35,42,70.679,65.8,,,,percent of total billed charges,,56,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,58.1,,,,percent of total billed charges,,63,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,64.4,,,,percent of total billed charges,,66.22,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,67.9,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,61.6,,,,percent of total billed charges,,63,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,63,,,,percent of total billed charges,,42,,,,percent of total billed charges,,70.679,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,66.5,,,,percent of total billed charges,,56,,,,percent of total billed charges,,42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q4195 PURAPLY PER SQ CM,636,RC,,,,,inpatient,,,293,,146.5,175.8,295.8421,275.42,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,243.19,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,269.56,,,,percent of total billed charges,,277.178,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,284.21,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,257.84,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,189.864,,,,percent of total billed charges,,263.7,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,295.8421,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,278.35,,,,percent of total billed charges,,234.4,,,,percent of total billed charges,,175.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY ANTIMOCROBIAL PER SQ CM,636,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURA PLY XT PER SQ SM,636,RC,,,,,inpatient,,,300,,150,180,302.91,282,,,,percent of total billed charges,,240,,,,percent of total billed charges,,285,,,,percent of total billed charges,,249,,,,percent of total billed charges,,270,,,,percent of total billed charges,,276,,,,percent of total billed charges,,276,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,285,,,,percent of total billed charges,,291,,,,percent of total billed charges,,285,,,,percent of total billed charges,,264,,,,percent of total billed charges,,270,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,270,,,,percent of total billed charges,,180,,,,percent of total billed charges,,302.91,,,,percent of total billed charges,,285,,,,percent of total billed charges,,285,,,,percent of total billed charges,,240,,,,percent of total billed charges,,180,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95976-0920 ALYS SMPL CN NPGT PRGRMG,920,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ALYS CPLX CN NPGT PRGRMG,510,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11602-0510 EXC TR-EXT MAL+MARG 1.1-2 CM,510,RC,,,,,inpatient,,,1350,,675,810,1363.095,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1363.095,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GEMCITABINE INJECTION - PER 200 MG,636,RC,,,,,inpatient,,,29,,14.5,17.4,29.2813,27.26,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,24.07,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,27.434,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,28.13,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,25.52,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,26.1,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,29.2813,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,27.55,,,,percent of total billed charges,,23.2,,,,percent of total billed charges,,17.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CEFTAROLINE FOSAMIL (TEFLARO) PER 10MG,636,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TECH INCISION SUBCUT TOE TENDON,>1",510,RC,,,,,inpatient,,,3828,,1914,2296.8,3865.1316,3598.32,,,,percent of total billed charges,,3062.4,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3177.24,,,,percent of total billed charges,,3445.2,,,,percent of total billed charges,,3521.76,,,,percent of total billed charges,,3521.76,,,,percent of total billed charges,,3621.288,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3713.16,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3368.64,,,,percent of total billed charges,,3445.2,,,,percent of total billed charges,,2480.544,,,,percent of total billed charges,,3445.2,,,,percent of total billed charges,,2296.8,,,,percent of total billed charges,,3865.1316,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3636.6,,,,percent of total billed charges,,3062.4,,,,percent of total billed charges,,2296.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PRESSURE TREATMENT ESOPHAGUS,360,RC,,,,,inpatient,,,308,,154,184.8,310.9876,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,310.9876,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED EXTERNAL TEMP PACING,480,RC,,,,,inpatient,,,2458,,1229,1474.8,2481.8426,2310.52,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2040.14,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2261.36,,,,percent of total billed charges,,2325.268,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2384.26,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2163.04,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1592.784,,,,percent of total billed charges,,2212.2,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,2481.8426,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,2335.1,,,,percent of total billed charges,,1966.4,,,,percent of total billed charges,,1474.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ED CPR/EMERGENT CARDIOVERSION,480,RC,,,,,inpatient,,,1520,,760,912,1534.744,1428.8,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1261.6,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,1398.4,,,,percent of total billed charges,,1398.4,,,,percent of total billed charges,,1437.92,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1474.4,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1337.6,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,984.96,,,,percent of total billed charges,,1368,,,,percent of total billed charges,,912,,,,percent of total billed charges,,1534.744,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1444,,,,percent of total billed charges,,1216,,,,percent of total billed charges,,912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FFR FROM CT,480,RC,,,,,inpatient,,,6206,,3103,3723.6,6266.1982,5833.64,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5150.98,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5870.876,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,6019.82,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5461.28,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,4021.488,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,6266.1982,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FFR FROM CT2,480,RC,,,,,inpatient,,,6206,,3103,3723.6,6266.1982,5833.64,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5150.98,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5709.52,,,,percent of total billed charges,,5870.876,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,6019.82,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5461.28,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,4021.488,,,,percent of total billed charges,,5585.4,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,6266.1982,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,5895.7,,,,percent of total billed charges,,4964.8,,,,percent of total billed charges,,3723.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64425-0361 INJ(S) ILIOINGUINAL, ILIOHYPOGASTRIC NERVES, BILATERAL",361,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI JOINT BILATERAL JOINT,361,RC,,,,,inpatient,,,2065,,1032.5,1239,2085.0305,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1338.12,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,2085.0305,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64479-0361 TRANSFORMINAL EPIDURAL BILATERAL C/T, 1ST",510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64480-0361 TRANSFORMINAL EPIDURAL BILATERAL C/T, ADDL",510,RC,,,,,inpatient,,,2219,,1109.5,1331.4,2240.5243,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1437.912,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2240.5243,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64483-0361 TRANSFORMINAL EPIDURAL BILATERAL L/S, 1ST",510,RC,,,,,inpatient,,,2930,,1465,1758,2958.421,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1898.64,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2958.421,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64484-0361 TRANSFORMINAL EPIDURAL BILATERAL L/S, ADDL",510,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64490-0361 MEDIAL BRANCH BLOCK BILATERAL C/T 1ST LEVEL,510,RC,,,,,inpatient,,,3364,,1682,2018.4,3396.6308,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2179.872,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3396.6308,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64491-0361 MEDIAL BRANCH BLOCK BILATERAL C/T 2ND LEVEL,510,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64492-0361 MEDIAL BRANCH BLOCK BILATERAL C/T 3RD LEVEL,510,RC,,,,,inpatient,,,1811,,905.5,1086.6,1828.5667,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1173.528,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1828.5667,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64493-0361 MEDIAL BRANCH BLOCK BILATERAL L/S 1ST LEVEL,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64494-0361 MEDIAL BRANCH BLOCK BILATERAL L/S 2ND LEVEL,510,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64495-0361 MEDIAL BRANCH BLOCK BILATERAL L/S 3RD LEVEL,510,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64625-0361 RFA SI JOINT BILATERAL,510,RC,,,,,inpatient,,,4599,,2299.5,2759.4,4643.6103,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2980.152,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4643.6103,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64633-0361 RFA C/T 1ST JOINT BILATERAL,510,RC,,,,,inpatient,,,5866,,2933,3519.6,5922.9002,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3801.168,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5922.9002,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64635-0361 RFA L/S 1ST JOINT BILATERAL,510,RC,,,,,inpatient,,,5866,,2933,3519.6,5922.9002,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3801.168,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5922.9002,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92532-0510 POSITIONAL NYSTAGMUS TEST,510,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V5264-0510 EAR MOLD/INSERT,510,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EAR IMPRESSION,510,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11601-0361 EXC MALIG LES .6-1.0CM TR/AR/LG,361,RC,,,,,inpatient,,,1036,,518,621.6,1046.0492,973.84,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,859.88,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,953.12,,,,percent of total billed charges,,980.056,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,1004.92,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,911.68,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,671.328,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,1046.0492,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,984.2,,,,percent of total billed charges,,828.8,,,,percent of total billed charges,,621.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11602-0361 EXC TR-EXT MAL+MARG 1.1-2 CM,361,RC,,,,,inpatient,,,1350,,675,810,1363.095,1269,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1120.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1242,,,,percent of total billed charges,,1277.1,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1309.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1188,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,874.8,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,810,,,,percent of total billed charges,,1363.095,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1282.5,,,,percent of total billed charges,,1080,,,,percent of total billed charges,,810,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11603-0361 EXC MALIG LES 2.1-3CM TR/AR/LG,361,RC,,,,,inpatient,,,1970,,985,1182,1989.109,1851.8,,,,percent of total billed charges,,1576,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1635.1,,,,percent of total billed charges,,1773,,,,percent of total billed charges,,1812.4,,,,percent of total billed charges,,1812.4,,,,percent of total billed charges,,1863.62,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1910.9,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1733.6,,,,percent of total billed charges,,1773,,,,percent of total billed charges,,1276.56,,,,percent of total billed charges,,1773,,,,percent of total billed charges,,1182,,,,percent of total billed charges,,1989.109,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1871.5,,,,percent of total billed charges,,1576,,,,percent of total billed charges,,1182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11604-0361 EXC MALIG LES 3.1-4CM TR/AR/LG,361,RC,,,,,inpatient,,,2460,,1230,1476,2483.862,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1594.08,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2483.862,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11621-0361 EXC MALIGNANT LESION 0.6 TO 1.0CM,361,RC,,,,,inpatient,,,2460,,1230,1476,2483.862,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1594.08,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2483.862,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11622-0361 EXC MAL LES 1.1-2 SCLP/NK/HD/GN/F,361,RC,,,,,inpatient,,,2460,,1230,1476,2483.862,2312.4,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2041.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2263.2,,,,percent of total billed charges,,2327.16,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2386.2,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2164.8,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1594.08,,,,percent of total billed charges,,2214,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,2483.862,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,2337,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,1476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11623-0361 EXC LES 2.1-3CM SCLP/NK/HD/GN/FT,361,RC,,,,,inpatient,,,4435,,2217.5,2661,4478.0195,4168.9,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3681.05,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4195.51,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4301.95,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3902.8,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,2873.88,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,4478.0195,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 3.1-4.0 CM SCLP/NK/HD/GN,361,RC,,,,,inpatient,,,2327,,1163.5,1396.2,2349.5719,2187.38,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1931.41,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2201.342,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2257.19,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2047.76,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1507.896,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,2349.5719,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 0.6-1.0 CM FACE,361,RC,,,,,inpatient,,,1785,,892.5,1071,1802.3145,1677.9,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1481.55,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,1688.61,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1731.45,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1570.8,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1156.68,,,,percent of total billed charges,,1606.5,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,1802.3145,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1695.75,,,,percent of total billed charges,,1428,,,,percent of total billed charges,,1071,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC MAL LES 1.1-2.0CM FACE 11642,361,RC,,,,,inpatient,,,2010,,1005,1206,2029.497,1889.4,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1668.3,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,1901.46,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1949.7,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1768.8,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1302.48,,,,percent of total billed charges,,1809,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,2029.497,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1909.5,,,,percent of total billed charges,,1608,,,,percent of total billed charges,,1206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11643-0361 EXC MAL LES 2.1-3.0CM FACE,361,RC,,,,,inpatient,,,4435,,2217.5,2661,4478.0195,4168.9,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3681.05,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4080.2,,,,percent of total billed charges,,4195.51,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4301.95,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3902.8,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,2873.88,,,,percent of total billed charges,,3991.5,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,4478.0195,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,4213.25,,,,percent of total billed charges,,3548,,,,percent of total billed charges,,2661,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONLINE ASSESS & MGMT-NONPHYSICIAN, EST PT, 5-10 MIN",969,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONLINE ASSESS & MGMT-NONPHYSICIAN, EST PT, 11-20 MIN",969,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ONLINE ASSESS & MGMT-NONPHYSICIAN, EST PT, 21 OR MORE",969,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64681 RFA SUPERIOR HYPOGASTRIC PLEXUS,510,RC,,,,,inpatient,,,3280,,1640,1968,3311.816,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2125.44,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3311.816,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64680-0361 RFA CELIAC PLEXUS,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64624 RADIOFREQUENCY GENICULAR NERVES,510,RC,,,,,inpatient,,,4599,,2299.5,2759.4,4643.6103,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2980.152,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4643.6103,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64620 RADIOFREQUENCY INTERCOSTAL NERVE,510,RC,,,,,inpatient,,,3280,,1640,1968,3311.816,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2125.44,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3311.816,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22869 INSERT INTERSPINOUS DEVICE,510,RC,,,,,inpatient,,,15184,,7592,9110.4,15331.2848,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9839.232,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,15331.2848,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 22870 INSERT INTERSPINOUS DEVICE, EACH ADD'L",510,RC,,,,,inpatient,,,16337,,8168.5,9802.2,16495.4689,15356.78,,,,percent of total billed charges,,13069.6,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,13559.71,,,,percent of total billed charges,,14703.3,,,,percent of total billed charges,,15030.04,,,,percent of total billed charges,,15030.04,,,,percent of total billed charges,,15454.802,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,15846.89,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,14376.56,,,,percent of total billed charges,,14703.3,,,,percent of total billed charges,,10586.376,,,,percent of total billed charges,,14703.3,,,,percent of total billed charges,,9802.2,,,,percent of total billed charges,,16495.4689,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,15520.15,,,,percent of total billed charges,,13069.6,,,,percent of total billed charges,,9802.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DISCOGRAM, LUMBAR",510,RC,,,,,inpatient,,,5454,,2727,3272.4,5506.9038,5126.76,,,,percent of total billed charges,,4363.2,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,4526.82,,,,percent of total billed charges,,4908.6,,,,percent of total billed charges,,5017.68,,,,percent of total billed charges,,5017.68,,,,percent of total billed charges,,5159.484,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,5290.38,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,4799.52,,,,percent of total billed charges,,4908.6,,,,percent of total billed charges,,3534.192,,,,percent of total billed charges,,4908.6,,,,percent of total billed charges,,3272.4,,,,percent of total billed charges,,5506.9038,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,5181.3,,,,percent of total billed charges,,4363.2,,,,percent of total billed charges,,3272.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ FOR SPINE DISC XRAY,510,RC,,,,,inpatient,,,2674,,1337,1604.4,2699.9378,2513.56,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2219.42,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2460.08,,,,percent of total billed charges,,2529.604,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2593.78,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2353.12,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,1732.752,,,,percent of total billed charges,,2406.6,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,2699.9378,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2540.3,,,,percent of total billed charges,,2139.2,,,,percent of total billed charges,,1604.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ/ASP SHUNT TUBING,510,RC,,,,,inpatient,,,2289,,1144.5,1373.4,2311.2033,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1483.272,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2311.2033,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0361 INJECT EPIDURAL PATCH,510,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W/O GUIDE,510,RC,,,,,inpatient,,,2472,,1236,1483.2,2495.9784,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1601.856,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2495.9784,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64461-0361 PVB THORACIC SINGLE INJ SITE,510,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PVB THORACIC 2ND+ INJ SITE,510,RC,,,,,inpatient,,,2003,,1001.5,1201.8,2022.4291,1882.82,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1662.49,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1842.76,,,,percent of total billed charges,,1894.838,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1942.91,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1762.64,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1297.944,,,,percent of total billed charges,,1802.7,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,2022.4291,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1902.85,,,,percent of total billed charges,,1602.4,,,,percent of total billed charges,,1201.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64479 INJ FORAMEN EPIDURAL C/T,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64480 INJ FORAMEN EPIDURAL ADD-ON,510,RC,,,,,inpatient,,,2219,,1109.5,1331.4,2240.5243,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1437.912,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2240.5243,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64483 INJ. FORAMEN EPIDURAL L/S,510,RC,,,,,inpatient,,,2930,,1465,1758,2958.421,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1898.64,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2958.421,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64484 INJ FORAMEN EPIDURAL ADD-ON,510,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64510 NBLOCK, STELLATE GANGLION",510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64520 INJ/BLK LUMBAR/THOR,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95910-0361 NERVE CONDUCTION 7-8 STUDIES,510,RC,,,,,inpatient,,,1139,,569.5,683.4,1150.0483,1070.66,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,945.37,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1047.88,,,,percent of total billed charges,,1077.494,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1104.83,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1002.32,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,738.072,,,,percent of total billed charges,,1025.1,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,1150.0483,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,1082.05,,,,percent of total billed charges,,911.2,,,,percent of total billed charges,,683.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SI JOINT INJECTION,510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611 ARTHROCENTESIS ASP INJ MAJOR JT W GUIDE,510,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62321 SUB EPIDURAL CERVICAL/THORACIC W GUIDE,510,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62323 SUB EPIDURAL LUMBAR/SACRAL W/ GUIDE,510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62360-0361 INPLANT/REPLACE IT PAIN PUMP W RESERVOIR,510,RC,,,,,inpatient,,,10119,,5059.5,6071.4,10217.1543,9511.86,,,,percent of total billed charges,,8095.2,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,8398.77,,,,percent of total billed charges,,9107.1,,,,percent of total billed charges,,9309.48,,,,percent of total billed charges,,9309.48,,,,percent of total billed charges,,9572.574,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,9815.43,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,8904.72,,,,percent of total billed charges,,9107.1,,,,percent of total billed charges,,6557.112,,,,percent of total billed charges,,9107.1,,,,percent of total billed charges,,6071.4,,,,percent of total billed charges,,10217.1543,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,9613.05,,,,percent of total billed charges,,8095.2,,,,percent of total billed charges,,6071.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62370-0361 REFILL/REPROGRAM IT PAIN PUMP,510,RC,,,,,inpatient,,,843,,421.5,505.8,851.1771,792.42,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,699.69,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,797.478,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,817.71,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,741.84,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,546.264,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,851.1771,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LUMBAR DECOMPRESSION,510,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERC IMPLANT NEURO STIM ELECTRODE,510,RC,,,,,inpatient,,,7246,,3623,4347.6,7316.2862,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4695.408,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,7316.2862,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63685 INSERT/REPLAC NEURO GENERATOR,510,RC,,,,,inpatient,,,12616,,6308,7569.6,12738.3752,11859.04,,,,percent of total billed charges,,10092.8,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,10471.28,,,,percent of total billed charges,,11354.4,,,,percent of total billed charges,,11606.72,,,,percent of total billed charges,,11606.72,,,,percent of total billed charges,,11934.736,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,12237.52,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,11102.08,,,,percent of total billed charges,,11354.4,,,,percent of total billed charges,,8175.168,,,,percent of total billed charges,,11354.4,,,,percent of total billed charges,,7569.6,,,,percent of total billed charges,,12738.3752,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,11985.2,,,,percent of total billed charges,,10092.8,,,,percent of total billed charges,,7569.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63688 REVISION/REMOV NEURO GENERATOR,510,RC,,,,,inpatient,,,6652,,3326,3991.2,6716.5244,6252.88,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5521.16,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6292.792,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6452.44,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5853.76,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,4310.496,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,6716.5244,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64400 INJ TRIGEMINAL NERVE,510,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64999-0361 INJ FACIAL NERVE,510,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64405 INJ GREATER OCCIPTAL NERVE,510,RC,,,,,inpatient,,,965,,482.5,579,974.3605,907.1,,,,percent of total billed charges,,772,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,800.95,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,912.89,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,936.05,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,849.2,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,625.32,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,579,,,,percent of total billed charges,,974.3605,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,772,,,,percent of total billed charges,,579,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64408-0361 INJ VAGUS NERVE,510,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64999-0361 UNLISTED PROCEDURE, NERVOUS SYSTEM",510,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64999-0361 INJ CERVICAL PLEXUS,361,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ BRACHIAL PLEXUS, SINGLE",510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INJ BRACHIAL PLEXUS, CONTINUOUS",510,RC,,,,,inpatient,,,3280,,1640,1968,3311.816,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2125.44,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3311.816,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ AXILLARY NERVE,510,RC,,,,,inpatient,,,2737,,1368.5,1642.2,2763.5489,2572.78,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2271.71,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2589.202,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2654.89,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2408.56,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,1773.576,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,2763.5489,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ SUPRACAPULAR NERVE,510,RC,,,,,inpatient,,,2306,,1153,1383.6,2328.3682,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1494.288,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2328.3682,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64420 INJ INTERCOSTAL NERVE SINGLE LEVEL,510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64421 INJ INTERCOSTAL NERVE EACH ADD'L LEVEL,510,RC,,,,,inpatient,,,2432,,1216,1459.2,2455.5904,2286.08,,,,percent of total billed charges,,1945.6,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2018.56,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,2237.44,,,,percent of total billed charges,,2237.44,,,,percent of total billed charges,,2300.672,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2359.04,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2140.16,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1575.936,,,,percent of total billed charges,,2188.8,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,2455.5904,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,2310.4,,,,percent of total billed charges,,1945.6,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64425 INJ(S) ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64430 INJ PUDENDAL NERVE,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64445 INJ SCIATIC NERVE, SINGLE",510,RC,,,,,inpatient,,,2310,,1155,1386,2332.407,2171.4,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1917.3,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2185.26,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2240.7,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2032.8,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1496.88,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,2332.407,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64447 INJ FEMORAL NERVE, SINGLE",510,RC,,,,,inpatient,,,2306,,1153,1383.6,2328.3682,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1494.288,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2328.3682,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ LUMBAR PLEXUS,510,RC,,,,,inpatient,,,3280,,1640,1968,3311.816,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2125.44,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3311.816,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64486-0361 TRANSVERSUS ABDOMINIS PLANE BLOCK, UNILATERAL",510,RC,,,,,inpatient,,,2973,,1486.5,1783.8,3001.8381,2794.62,,,,percent of total billed charges,,2378.4,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2467.59,,,,percent of total billed charges,,2675.7,,,,percent of total billed charges,,2735.16,,,,percent of total billed charges,,2735.16,,,,percent of total billed charges,,2812.458,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2883.81,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2616.24,,,,percent of total billed charges,,2675.7,,,,percent of total billed charges,,1926.504,,,,percent of total billed charges,,2675.7,,,,percent of total billed charges,,1783.8,,,,percent of total billed charges,,3001.8381,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2824.35,,,,percent of total billed charges,,2378.4,,,,percent of total billed charges,,1783.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64488 TRANSVERSUS ABDOMINIS PLANE BLOCK, BILAT, BY INJECTIONS",510,RC,,,,,inpatient,,,3280,,1640,1968,3311.816,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2125.44,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3311.816,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NBLOCK, SPHENOPALATINE GANGLION",510,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64517 NBLOCK SUPERIOR HYPOGASTRIC PLEXUS,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64615-0361 CHEMODENERV MUSC MIGRAINE,510,RC,,,,,inpatient,,,966,,483,579.6,975.3702,908.04,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,801.78,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,913.836,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,937.02,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,625.968,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,975.3702,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64616 CHEMODENERVATION NECK MUSCLES,510,RC,,,,,inpatient,,,1056,,528,633.6,1066.2432,992.64,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,876.48,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,998.976,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1024.32,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,929.28,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,684.288,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,1066.2432,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64633 DESTRUCT CERVICAL/THORAC, SINGLE JOINT",510,RC,,,,,inpatient,,,5866,,2933,3519.6,5922.9002,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3801.168,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5922.9002,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DESTRUCT CERVICAL/THORAC EADH ADD'L,510,RC,,,,,inpatient,,,2292,,1146,1375.2,2314.2324,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1485.216,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2314.2324,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64635 DESTRUCT LUMBAR/SACRAL, SINGLE JOINT",510,RC,,,,,inpatient,,,5866,,2933,3519.6,5922.9002,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3801.168,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5922.9002,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64636-0361 DESTRUCT LUMBAR/SACRAL, EACH ADD'L",510,RC,,,,,inpatient,,,2292,,1146,1375.2,2314.2324,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1485.216,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2314.2324,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERDISCAL PERQ ASPIR DX,510,RC,,,,,inpatient,,,1968,,984,1180.8,1987.0896,1849.92,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1633.44,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1810.56,,,,percent of total billed charges,,1861.728,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1908.96,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1731.84,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1275.264,,,,percent of total billed charges,,1771.2,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,1987.0896,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1869.6,,,,percent of total billed charges,,1574.4,,,,percent of total billed charges,,1180.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62320 SUB EPIDURAL CERVICAL/THORACIC WO GUIDE,510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG OBS ED- HOURLY CHARGE,762,RC,,,,,inpatient,,,83,,41.5,49.8,83.8051,78.02,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,68.89,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,78.518,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,53.784,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,83.8051,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,78.85,,,,percent of total billed charges,,66.4,,,,percent of total billed charges,,49.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHYSICAL THERAPY TREATMENT,420,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99499-0510 SCHEDULED SPORTS PHYSICAL,510,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RHEUM U/S INJ SMALL,510,RC,,,,,inpatient,,,967,,483.5,580.2,976.3799,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,626.616,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,976.3799,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0510 RHEUM U/S INJ INTERMEDIATE,510,RC,,,,,inpatient,,,2289,,1144.5,1373.4,2311.2033,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1483.272,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2311.2033,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611-0361 RHEUM U/S INJ MAJOR,361,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOVENOUS RF, 1ST VEIN",361,RC,,,,,inpatient,,,8163,,4081.5,4897.8,8242.1811,7673.22,,,,percent of total billed charges,,6530.4,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,6775.29,,,,percent of total billed charges,,7346.7,,,,percent of total billed charges,,7509.96,,,,percent of total billed charges,,7509.96,,,,percent of total billed charges,,7722.198,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,7918.11,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,7183.44,,,,percent of total billed charges,,7346.7,,,,percent of total billed charges,,5289.624,,,,percent of total billed charges,,7346.7,,,,percent of total billed charges,,4897.8,,,,percent of total billed charges,,8242.1811,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,7754.85,,,,percent of total billed charges,,6530.4,,,,percent of total billed charges,,4897.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ENDOVENOUS RF, VEIN ADD ON",361,RC,,,,,inpatient,,,4479,,2239.5,2687.4,4522.4463,4210.26,,,,percent of total billed charges,,3583.2,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,3717.57,,,,percent of total billed charges,,4031.1,,,,percent of total billed charges,,4120.68,,,,percent of total billed charges,,4120.68,,,,percent of total billed charges,,4237.134,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,4344.63,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,3941.52,,,,percent of total billed charges,,4031.1,,,,percent of total billed charges,,2902.392,,,,percent of total billed charges,,4031.1,,,,percent of total billed charges,,2687.4,,,,percent of total billed charges,,4522.4463,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,4255.05,,,,percent of total billed charges,,3583.2,,,,percent of total billed charges,,2687.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52001-0510 CYSTOSCOPY REMOVAL OF CLOTS,510,RC,,,,,inpatient,,,8304,,4152,4982.4,8384.5488,7805.76,,,,percent of total billed charges,,6643.2,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,6892.32,,,,percent of total billed charges,,7473.6,,,,percent of total billed charges,,7639.68,,,,percent of total billed charges,,7639.68,,,,percent of total billed charges,,7855.584,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,8054.88,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,7307.52,,,,percent of total billed charges,,7473.6,,,,percent of total billed charges,,5380.992,,,,percent of total billed charges,,7473.6,,,,percent of total billed charges,,4982.4,,,,percent of total billed charges,,8384.5488,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,7888.8,,,,percent of total billed charges,,6643.2,,,,percent of total billed charges,,4982.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65205-0450 REMV F.B.,EYE,SUPERF CONJUNC",450,RC,,,,,inpatient,,,290,,145,174,292.813,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,292.813,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65220-0450 REMV F.B.,EYE,CORNEA,NO SLIT",450,RC,,,,,inpatient,,,944,,472,566.4,953.1568,887.36,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,783.52,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,893.024,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,915.68,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,830.72,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,611.712,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,953.1568,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65222-0450 REMV F.B.,EYE,CORNEA,SLIT LAMP",450,RC,,,,,inpatient,,,308,,154,184.8,310.9876,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,310.9876,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 68115-0510 EXCIS CONJUNC LESN,>1 CM, BI",510,RC,,,,,inpatient,,,5566,,2783,3339.6,5619.9902,5232.04,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4619.78,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5265.436,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5399.02,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4898.08,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,3606.768,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,5619.9902,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 68115-0510 EXCIS CONJUNC LESN,>1 CM",510,RC,,,,,inpatient,,,5566,,2783,3339.6,5619.9902,5232.04,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4619.78,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5120.72,,,,percent of total billed charges,,5265.436,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5399.02,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4898.08,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,3606.768,,,,percent of total billed charges,,5009.4,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,5619.9902,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,5287.7,,,,percent of total billed charges,,4452.8,,,,percent of total billed charges,,3339.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POSITIONAL NYSTAGMUS TEST (DIX HALPIKE),920,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERVEN HLTH/BEHAV INDIV ADD'1 15 MIN,914,RC,,,,,inpatient,,,112,,56,67.2,113.0864,105.28,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,92.96,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,103.04,,,,percent of total billed charges,,105.952,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,108.64,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,98.56,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,100.8,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,113.0864,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,89.6,,,,percent of total billed charges,,67.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERVEN HLTH/BEHAVE GROUP ADD'L 15 MIN,916,RC,,,,,inpatient,,,39,,19.5,23.4,39.3783,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,39.3783,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLTH/BEHAV FAM W PT ADDL 15 MIN,916,RC,,,,,inpatient,,,39,,19.5,23.4,39.3783,36.66,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,32.37,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,35.88,,,,percent of total billed charges,,36.894,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.83,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,34.32,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,39.3783,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,37.05,,,,percent of total billed charges,,31.2,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INTERV HLT/BEHAV FAM NO PT ADD'L 15 MIN,916,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIOCENTESIS WO/W IMAGE,360,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH >5 YRS,360,RC,,,,,inpatient,,,5386,,2693,3231.6,5438.2442,5062.84,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4470.38,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,5095.156,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5224.42,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4739.68,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,3490.128,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,5438.2442,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH <6 YRS,360,RC,,,,,inpatient,,,5001,,2500.5,3000.6,5049.5097,4700.94,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4150.83,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4730.946,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4850.97,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4400.88,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3240.648,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,5049.5097,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33016-0450 PERICARDIOCENTESIS W/ IMAGING,450,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH >5 YRS,450,RC,,,,,inpatient,,,5386,,2693,3231.6,5438.2442,5062.84,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4470.38,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,4955.12,,,,percent of total billed charges,,5095.156,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5224.42,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4739.68,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,3490.128,,,,percent of total billed charges,,4847.4,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,5438.2442,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,5116.7,,,,percent of total billed charges,,4308.8,,,,percent of total billed charges,,3231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PERICARDIAL DRAIN W CATH <6 YRS,450,RC,,,,,inpatient,,,5001,,2500.5,3000.6,5049.5097,4700.94,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4150.83,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4730.946,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4850.97,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4400.88,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3240.648,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,5049.5097,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EYE EXAM W RETINAL DRAWING & SCLERAL DEPRESSION UNI OR BILATERAL,510,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EYE EXAM W OPTIC NERVE/MACULA DRAWING  UNI OR BILATERAL,510,RC,,,,,inpatient,,,244,,122,146.4,246.3668,229.36,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,202.52,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,224.48,,,,percent of total billed charges,,230.824,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,236.68,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,214.72,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,158.112,,,,percent of total billed charges,,219.6,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,246.3668,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,231.8,,,,percent of total billed charges,,195.2,,,,percent of total billed charges,,146.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93297-0480 REMOTE EVAL IMPLANTABLE CV SYSTEM,480,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93298-0480 REM INTERROG SCRMS <30 D PHYS/QHP,480,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NB FEEDING TEACH/TRN EA ADDL 15 MIN,510,RC,,,,,inpatient,,,109,,54.5,65.4,110.0573,102.46,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,90.47,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,100.28,,,,percent of total billed charges,,103.114,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,105.73,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,95.92,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,98.1,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,110.0573,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,103.55,,,,percent of total billed charges,,87.2,,,,percent of total billed charges,,65.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COGNITIVE SKILL DEV ADD'L 15 MIN-PT,420,RC,,,,,inpatient,,,33,,16.5,19.8,33.3201,31.02,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,27.39,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.218,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,32.01,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,29.04,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,33.3201,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,31.35,,,,percent of total billed charges,,26.4,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 34717-0360 EV REP ILIAC W PLAC ENDOGRAFT,360,RC,,,,,inpatient,,,7006,,3503,4203.6,7073.9582,6585.64,,,,percent of total billed charges,,5604.8,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,5814.98,,,,percent of total billed charges,,6305.4,,,,percent of total billed charges,,6445.52,,,,percent of total billed charges,,6445.52,,,,percent of total billed charges,,6627.676,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,6795.82,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,6165.28,,,,percent of total billed charges,,6305.4,,,,percent of total billed charges,,4539.888,,,,percent of total billed charges,,6305.4,,,,percent of total billed charges,,4203.6,,,,percent of total billed charges,,7073.9582,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,6655.7,,,,percent of total billed charges,,5604.8,,,,percent of total billed charges,,4203.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EV REP ILIAC W/O PLAC ENDOGRAFT,360,RC,,,,,inpatient,,,4820,,2410,2892,4866.754,4530.8,,,,percent of total billed charges,,3856,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4000.6,,,,percent of total billed charges,,4338,,,,percent of total billed charges,,4434.4,,,,percent of total billed charges,,4434.4,,,,percent of total billed charges,,4559.72,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4675.4,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4241.6,,,,percent of total billed charges,,4338,,,,percent of total billed charges,,3123.36,,,,percent of total billed charges,,4338,,,,percent of total billed charges,,2892,,,,percent of total billed charges,,4866.754,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,4579,,,,percent of total billed charges,,3856,,,,percent of total billed charges,,2892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W FLUORO/CT,361,RC,,,,,inpatient,,,2148,,1074,1288.8,2168.8356,2019.12,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1782.84,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,2032.008,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2083.56,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1890.24,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1391.904,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,2168.8356,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NUCLEAR LOCALIZATION/ABSCESS 2 OR MORE AREAS, 1 DAY",341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NUCLEAR LOCALIZATION/ABSCESS 1 AREA 2 OR MORE DAYS,341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRAIN CEREBRO SPINAL FLUID W FLUORO/CT,361,RC,,,,,inpatient,,,2148,,1074,1288.8,2168.8356,2019.12,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1782.84,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,2032.008,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2083.56,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1890.24,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1391.904,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,2168.8356,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BIOFEEDBACK TRAIN EA ADDL 15 MIN-PT,420,RC,,,,,inpatient,,,113,,56.5,67.8,114.0961,106.22,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,93.79,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,103.96,,,,percent of total billed charges,,106.898,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,109.61,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,99.44,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,73.224,,,,percent of total billed charges,,101.7,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,114.0961,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,107.35,,,,percent of total billed charges,,90.4,,,,percent of total billed charges,,67.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93297-0480 INTEROGT EVAL IMPLANTABLE CV SYST,480,RC,,,,,inpatient,,,101,,50.5,60.6,101.9797,94.94,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,83.83,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,92.92,,,,percent of total billed charges,,95.546,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,97.97,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,88.88,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,90.9,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,101.9797,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,95.95,,,,percent of total billed charges,,80.8,,,,percent of total billed charges,,60.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD UGI DOUBLE CONTRAST,320,RC,,,,,inpatient,,,581,,290.5,348.6,586.6357,546.14,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,482.23,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,534.52,,,,percent of total billed charges,,549.626,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,511.28,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,376.488,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,586.6357,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,464.8,,,,percent of total billed charges,,348.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG RAD SM INTEST FOLLOW THRU STUDY,320,RC,,,,,inpatient,,,292,,146,175.2,294.8324,274.48,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,242.36,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,268.64,,,,percent of total billed charges,,276.232,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,283.24,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,256.96,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,262.8,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,294.8324,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,277.4,,,,percent of total billed charges,,233.6,,,,percent of total billed charges,,175.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM INFLAMMATORY/ABSCESS 1 AREA, 1 DAY",341,RC,,,,,inpatient,,,1586,,793,951.6,1601.3842,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1027.728,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1601.3842,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM INFLAMMATORY/ABSCESS >1 AREA, 1 DAY",341,RC,,,,,inpatient,,,1586,,793,951.6,1601.3842,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1027.728,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1601.3842,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NM INFLAMMATORY/ABSCESS 1 AREA, 2 OR MORE DAYS",341,RC,,,,,inpatient,,,1586,,793,951.6,1601.3842,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1027.728,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1601.3842,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ABSCESS IMAGING, WHOLE BODY, SINGLE DAY",341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL TAP, DIAGNOSTIC W FLUORO/CT",361,RC,,,,,inpatient,,,1993,,996.5,1195.8,2012.3321,1873.42,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1654.19,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1885.378,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1933.21,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1753.84,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1291.464,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,2012.3321,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 99439-0510 CHRONIC CARE MGMT, EACH ADD'L 20 MIN",510,RC,,,,,inpatient,,,119,,59.5,71.4,120.1543,111.86,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,98.77,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,112.574,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,115.43,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,104.72,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,107.1,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,120.1543,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,113.05,,,,percent of total billed charges,,95.2,,,,percent of total billed charges,,71.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGE 1 AREA >1 DAYS,341,RC,,,,,inpatient,,,1586,,793,951.6,1601.3842,1490.84,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1316.38,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1459.12,,,,percent of total billed charges,,1500.356,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1538.42,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1395.68,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,1027.728,,,,percent of total billed charges,,1427.4,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,1601.3842,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1506.7,,,,percent of total billed charges,,1268.8,,,,percent of total billed charges,,951.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGING (3D) 2 AREAS 1 DAY,341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUMOR IMAGING (3D) 1 AREA >1 DAYS,341,RC,,,,,inpatient,,,5505,,2752.5,3303,5558.3985,5174.7,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4569.15,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5064.6,,,,percent of total billed charges,,5207.73,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5339.85,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4844.4,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3567.24,,,,percent of total billed charges,,4954.5,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,5558.3985,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,5229.75,,,,percent of total billed charges,,4404,,,,percent of total billed charges,,3303,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ESOPHAGUS, DOUBLE-CONTRAST",320,RC,,,,,inpatient,,,735,,367.5,441,742.1295,690.9,,,,percent of total billed charges,,588,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,610.05,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,676.2,,,,percent of total billed charges,,695.31,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,712.95,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,646.8,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,476.28,,,,percent of total billed charges,,661.5,,,,percent of total billed charges,,441,,,,percent of total billed charges,,742.1295,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,698.25,,,,percent of total billed charges,,588,,,,percent of total billed charges,,441,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64451-0510 LATERAL DORSAL RAMUS INJ.,510,RC,,,,,inpatient,,,2065,,1032.5,1239,2085.0305,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1338.12,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,2085.0305,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64464-0510 NJX AA&/STRD GNCLR NRV BRNCH,510,RC,,,,,inpatient,,,2524,,1262,1514.4,2548.4828,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1635.552,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2548.4828,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64624-0510 DSTRJ NULYT AGT GNCLR NRV,510,RC,,,,,inpatient,,,4599,,2299.5,2759.4,4643.6103,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2980.152,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4643.6103,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64625-0510 RFA NERVES INNERVATING SI,510,RC,,,,,inpatient,,,4599,,2299.5,2759.4,4643.6103,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2980.152,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4643.6103,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC, WITH FLUOROSCOPIC OR CT GUIDANCE",361,RC,,,,,inpatient,,,1993,,996.5,1195.8,2012.3321,1873.42,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1654.19,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1833.56,,,,percent of total billed charges,,1885.378,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1933.21,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1753.84,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1291.464,,,,percent of total billed charges,,1793.7,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,2012.3321,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1893.35,,,,percent of total billed charges,,1594.4,,,,percent of total billed charges,,1195.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SPINAL PUNCTURE, THERAPEUTIC, FOR DRAINAGE OF CEREBROSPINAL FLUID (BY NEEDLE OR CATH), W/ FLUORO OR CT GUID",361,RC,,,,,inpatient,,,2418,,1209,1450.8,2441.4546,2272.92,,,,percent of total billed charges,,1934.4,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2006.94,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,2224.56,,,,percent of total billed charges,,2224.56,,,,percent of total billed charges,,2287.428,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2345.46,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2127.84,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,1566.864,,,,percent of total billed charges,,2176.2,,,,percent of total billed charges,,1450.8,,,,percent of total billed charges,,2441.4546,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,2297.1,,,,percent of total billed charges,,1934.4,,,,percent of total billed charges,,1450.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RADIOPHARMACEUTICAL QUANT. MEAS., SINGLE AREA",404,RC,,,,,inpatient,,,316,,158,189.6,319.0652,297.04,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,262.28,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,290.72,,,,percent of total billed charges,,298.936,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,306.52,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,278.08,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,204.768,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,319.0652,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,300.2,,,,percent of total billed charges,,252.8,,,,percent of total billed charges,,189.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MYOCARDIAL METABOLIC EVAL IMAGING PET WITH CT SCAN,404,RC,,,,,inpatient,,,6372,,3186,3823.2,6433.8084,5989.68,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5288.76,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,6027.912,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6180.84,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5607.36,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,4129.056,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,6433.8084,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYOCARDIAL PERF  IMAGING PET WITH CT, SINGLE STUDY, AT REST OR STRESS",404,RC,,,,,inpatient,,,6372,,3186,3823.2,6433.8084,5989.68,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5288.76,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,6027.912,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6180.84,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5607.36,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,4129.056,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,6433.8084,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYOCARDIAL PERF  IMAGING PET WITH CT, MULTIPLE STUDIES ,AT REST AND STRESS",404,RC,,,,,inpatient,,,9936,,4968,5961.6,10032.3792,9339.84,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8246.88,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9399.456,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9637.92,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8743.68,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,6438.528,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,10032.3792,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MYOCARDIAL PERF  WITH METABOLIC EVAL  IMAGING PET WITH CT SCAN, DUAL TRACER",404,RC,,,,,inpatient,,,9936,,4968,5961.6,10032.3792,9339.84,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8246.88,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9141.12,,,,percent of total billed charges,,9399.456,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9637.92,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,8743.68,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,6438.528,,,,percent of total billed charges,,8942.4,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,10032.3792,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,9439.2,,,,percent of total billed charges,,7948.8,,,,percent of total billed charges,,5961.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABSOLUTE QUANTITATION OF MYOCARDIAL BLOOD FLOW,404,RC,,,,,inpatient,,,459,,229.5,275.4,463.4523,431.46,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,380.97,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,422.28,,,,percent of total billed charges,,434.214,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,445.23,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,403.92,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,297.432,,,,percent of total billed charges,,413.1,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,463.4523,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,436.05,,,,percent of total billed charges,,367.2,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG REPLACEMENT GASTROSTOMY TUBE,361,RC,,,,,inpatient,,,948,,474,568.8,957.1956,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,614.304,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,957.1956,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64454 INJ GENICULAR NERVE,510,RC,,,,,inpatient,,,2524,,1262,1514.4,2548.4828,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1635.552,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2548.4828,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJ GENICULAR NERVE,361,RC,,,,,inpatient,,,2524,,1262,1514.4,2548.4828,2372.56,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2094.92,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2322.08,,,,percent of total billed charges,,2387.704,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2448.28,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2221.12,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1635.552,,,,percent of total billed charges,,2271.6,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,2548.4828,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2397.8,,,,percent of total billed charges,,2019.2,,,,percent of total billed charges,,1514.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THERAPEUTIC SPINAL PUNCTURE W GUIDE,361,RC,,,,,inpatient,,,2148,,1074,1288.8,2168.8356,2019.12,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1782.84,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,1976.16,,,,percent of total billed charges,,2032.008,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2083.56,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1890.24,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1391.904,,,,percent of total billed charges,,1933.2,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,2168.8356,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,2040.6,,,,percent of total billed charges,,1718.4,,,,percent of total billed charges,,1288.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PERICARDIAL DRAINAGE WITH INSERTION OF INDWELLING CATHETER, PERCUTANEOUS, INCL CT GUID",361,RC,,,,,inpatient,,,5001,,2500.5,3000.6,5049.5097,4700.94,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4150.83,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4600.92,,,,percent of total billed charges,,4730.946,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4850.97,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4400.88,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3240.648,,,,percent of total billed charges,,4500.9,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,5049.5097,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4750.95,,,,percent of total billed charges,,4000.8,,,,percent of total billed charges,,3000.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MEDICAL NUTRITION THERAPY,REASSESSMENT&SUBS INTERVENTION FOLLOWING 2ND REF,SAME YR,EACH 15 MIN",942,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECT/CT SINGLE AREA,341,RC,,,,,inpatient,,,5617,,2808.5,3370.2,5671.4849,5279.98,,,,percent of total billed charges,,4493.6,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,4662.11,,,,percent of total billed charges,,5055.3,,,,percent of total billed charges,,5167.64,,,,percent of total billed charges,,5167.64,,,,percent of total billed charges,,5313.682,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,5448.49,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,4942.96,,,,percent of total billed charges,,5055.3,,,,percent of total billed charges,,3639.816,,,,percent of total billed charges,,5055.3,,,,percent of total billed charges,,3370.2,,,,percent of total billed charges,,5671.4849,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,5336.15,,,,percent of total billed charges,,4493.6,,,,percent of total billed charges,,3370.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG SPECT/CT MULTIPLE AREAS,341,RC,,,,,inpatient,,,6372,,3186,3823.2,6433.8084,5989.68,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5288.76,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,5862.24,,,,percent of total billed charges,,6027.912,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6180.84,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5607.36,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,4129.056,,,,percent of total billed charges,,5734.8,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,6433.8084,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,6053.4,,,,percent of total billed charges,,5097.6,,,,percent of total billed charges,,3823.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG CONT REC W/WO VID EEG TECH,740,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID 2-12 HR UNMNTR,740,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG WO VID 2-12HR INTMT MNTR,740,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID 2-12HR CONT MNTR,740,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG WO VID EA 12-26HR UNMNTR,740,RC,,,,,inpatient,,,1978,,989,1186.8,1997.1866,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1281.744,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1997.1866,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID EA 12-26HR INTMT,740,RC,,,,,inpatient,,,1978,,989,1186.8,1997.1866,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1281.744,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1997.1866,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG W/O VID EA 12-26HR CONT,740,RC,,,,,inpatient,,,1978,,989,1186.8,1997.1866,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1281.744,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1997.1866,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG 2-12 HR UNMONITORED,740,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG 2-12 HR INTMT MNTR,740,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG 2-12 HR CONT MNTR,740,RC,,,,,inpatient,,,1807,,903.5,1084.2,1824.5279,1698.58,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1499.81,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1709.422,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1752.79,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1590.16,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1170.936,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,1824.5279,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG EA 12-26 HR UNMNTR,740,RC,,,,,inpatient,,,1807,,903.5,1084.2,1824.5279,1698.58,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1499.81,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1662.44,,,,percent of total billed charges,,1709.422,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1752.79,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1590.16,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1170.936,,,,percent of total billed charges,,1626.3,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,1824.5279,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1716.65,,,,percent of total billed charges,,1445.6,,,,percent of total billed charges,,1084.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG EA 12-26HR INTMT MNTR,740,RC,,,,,inpatient,,,1978,,989,1186.8,1997.1866,1859.32,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1641.74,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1819.76,,,,percent of total billed charges,,1871.188,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1918.66,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1740.64,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1281.744,,,,percent of total billed charges,,1780.2,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,1997.1866,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1879.1,,,,percent of total billed charges,,1582.4,,,,percent of total billed charges,,1186.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VEEG EA 12-26HR CONT MNTR,740,RC,,,,,inpatient,,,2490,,1245,1494,2514.153,2340.6,,,,percent of total billed charges,,1992,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2066.7,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,2290.8,,,,percent of total billed charges,,2290.8,,,,percent of total billed charges,,2355.54,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2415.3,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2191.2,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,1613.52,,,,percent of total billed charges,,2241,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,2514.153,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,2365.5,,,,percent of total billed charges,,1992,,,,percent of total billed charges,,1494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ULTRASONIC GUIDE FOR ENDOMYOCARDIAL BIOPSY, IMAGING SUPERV & INTERPRET",402,RC,,,,,inpatient,,,389,,194.5,233.4,392.7733,365.66,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,322.87,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,357.88,,,,percent of total billed charges,,367.994,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,377.33,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,342.32,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,252.072,,,,percent of total billed charges,,350.1,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,392.7733,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,369.55,,,,percent of total billed charges,,311.2,,,,percent of total billed charges,,233.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PT DRY NEEDLING, ONE OR TWO MUSCLES",420,RC,,,,,inpatient,,,121,,60.5,72.6,122.1737,113.74,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,100.43,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,111.32,,,,percent of total billed charges,,114.466,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,117.37,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,106.48,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,122.1737,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,114.95,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,72.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG PT DRY NEEDLING, THREE OR MORE MUSCLES",420,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12004-0361_ REPAIR S/N/AS/GEN/TRK 7.6-12.5CM,361,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG REMOVAL OF FOREIGN BODY, PELVIS OR HIP; DEEP - 0450",450,RC,,,,,inpatient,,,9339,,4669.5,5603.4,9429.5883,8778.66,,,,percent of total billed charges,,7471.2,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,7751.37,,,,percent of total billed charges,,8405.1,,,,percent of total billed charges,,8591.88,,,,percent of total billed charges,,8591.88,,,,percent of total billed charges,,8834.694,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,9058.83,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,8218.32,,,,percent of total billed charges,,8405.1,,,,percent of total billed charges,,6051.672,,,,percent of total billed charges,,8405.1,,,,percent of total billed charges,,5603.4,,,,percent of total billed charges,,9429.5883,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,8872.05,,,,percent of total billed charges,,7471.2,,,,percent of total billed charges,,5603.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69209-0361 REM CERUMEN W/IRR UNI,361,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TELEPHONE ASSESS & MGMT-NONPHYSICIAN, EST PT, 5-10 MIN",960,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TELEPHONE ASSESS & MGMT-NONPHYSICIAN, EST PT, 11-20 MIN",960,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG TELEPHONE ASSESS & MGMT-NONPHYSICIAN, EST PT, 21-30 MIN",960,RC,,,,,inpatient,,,35,,17.5,21,35.3395,32.9,,,,percent of total billed charges,,28,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,29.05,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,32.2,,,,percent of total billed charges,,33.11,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.95,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,30.8,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,31.5,,,,percent of total billed charges,,21,,,,percent of total billed charges,,35.3395,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,33.25,,,,percent of total billed charges,,28,,,,percent of total billed charges,,21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51705-0361 CYSTOSTOMY TUBY CHANGE,361,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11404-0361 EXC BENIGN LES 3.1-4.0CM TR/AR/LG,361,RC,,,,,inpatient,,,2327,,1163.5,1396.2,2349.5719,2187.38,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1931.41,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2140.84,,,,percent of total billed charges,,2201.342,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2257.19,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2047.76,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1507.896,,,,percent of total billed charges,,2094.3,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,2349.5719,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,2210.65,,,,percent of total billed charges,,1861.6,,,,percent of total billed charges,,1396.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ANESTHESIA FOR NON-INVASIVE IMAGING OR RADIATION THERAPY,  PER MINUTE",370,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10160-0450 PUNCT ASPIRAT OF ABSCESS,HEMATOMA",450,RC,,,,,inpatient,,,1769,,884.5,1061.4,1786.1593,1662.86,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1468.27,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1673.474,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1715.93,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1556.72,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1146.312,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,1786.1593,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11730-0450 AVULSION OF NAIL PLATE, PARTIAL/COMP, SING",450,RC,,,,,inpatient,,,640,,320,384,646.208,601.6,,,,percent of total billed charges,,512,,,,percent of total billed charges,,608,,,,percent of total billed charges,,531.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,588.8,,,,percent of total billed charges,,605.44,,,,percent of total billed charges,,608,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,608,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,576,,,,percent of total billed charges,,414.72,,,,percent of total billed charges,,576,,,,percent of total billed charges,,384,,,,percent of total billed charges,,646.208,,,,percent of total billed charges,,608,,,,percent of total billed charges,,608,,,,percent of total billed charges,,512,,,,percent of total billed charges,,384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17250-0450 CHEMICAL CAUTERIZATION TISSUE,450,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51700-0450 BLADDER IRRIGATION,450,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32551-0450 TUBE THORACOSTOMY,450,RC,,,,,inpatient,,,4102,,2051,2461.2,4141.7894,3855.88,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3404.66,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3773.84,,,,percent of total billed charges,,3880.492,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3978.94,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3609.76,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2658.096,,,,percent of total billed charges,,3691.8,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,4141.7894,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3896.9,,,,percent of total billed charges,,3281.6,,,,percent of total billed charges,,2461.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69210-0450 EAR IRRIGATION-CERUMEN REMOVAL,450,RC,,,,,inpatient,,,208,,104,124.8,210.0176,195.52,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,172.64,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,191.36,,,,percent of total billed charges,,196.768,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,201.76,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,183.04,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,187.2,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,210.0176,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,197.6,,,,percent of total billed charges,,166.4,,,,percent of total billed charges,,124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69209-0450 REMOVAL IMPACTED CERUMEN IRR,450,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31500-0450 INTUBATION,ET,EMERGENT",450,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30300-0450 REM;FOREIGN BODY,INTRANASAL",450,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36569-0450 INSERTION OF PERIPHERALLY PICC,450,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG VAGINAL DELIVERY ONLY-ED,450,RC,,,,,inpatient,,,5113,,2556.5,3067.8,5162.5961,4806.22,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4243.79,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4836.898,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4959.61,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4499.44,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3313.224,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,5162.5961,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64400-0450 INJ, ANESTETIC AGENT; TRIGEMIN",450,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG UNLISTED PROCEDURE, HUMERUS OR ELBOW",361,RC,,,,,inpatient,,,738,,369,442.8,745.1586,693.72,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,612.54,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,678.96,,,,percent of total billed charges,,698.148,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,715.86,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,649.44,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,478.224,,,,percent of total billed charges,,664.2,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,745.1586,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,701.1,,,,percent of total billed charges,,590.4,,,,percent of total billed charges,,442.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69200-0450 FB REMOVAL EXT AUDITORY CANAL,450,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96523-0510 IRRIGATION IMPLANTED VENOUS,510,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PT CONTRAST BATH (15),420,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG APPLY MULTILAYER COMP - LOWER LEG - BILATERAL,761,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11644-0361 EXC MAL LES 3.1-4.0CM FACE,361,RC,,,,,inpatient,,,5024,,2512,3014.4,5072.7328,4722.56,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4169.92,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4622.08,,,,percent of total billed charges,,4752.704,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4873.28,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4421.12,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,3255.552,,,,percent of total billed charges,,4521.6,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,5072.7328,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4772.8,,,,percent of total billed charges,,4019.2,,,,percent of total billed charges,,3014.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11721-0510 DEBRIDEMENT OF NAILS, 6 OR MORE",510,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG HEMORRHOIDECTOMY SIMPLE L,361,RC,,,,,inpatient,,,3082,,1541,1849.2,3111.8954,2897.08,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2558.06,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2915.572,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2989.54,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2712.16,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,1997.136,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,3111.8954,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11104-0361 PUNCH BX SKIN, 1ST LESION",361,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11105-0361 PUNCH BX SKIN, ADDL LESION",361,RC,,,,,inpatient,,,375,,187.5,225,378.6375,352.5,,,,percent of total billed charges,,300,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,311.25,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,345,,,,percent of total billed charges,,345,,,,percent of total billed charges,,354.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,363.75,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,330,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,337.5,,,,percent of total billed charges,,225,,,,percent of total billed charges,,378.6375,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,356.25,,,,percent of total billed charges,,300,,,,percent of total billed charges,,225,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11102-0361 TANGENTIAL (SHAVE, CURETTE) BX SKIN, 1ST LESION",361,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXCISION OF THROMBOSED HEMORRHOID,510,RC,,,,,inpatient,,,4051,,2025.5,2430.6,4090.2947,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2625.048,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,4090.2947,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ABDOMINAL PARACENTESIS W/O ANESTHESIA,510,RC,,,,,inpatient,,,2662,,1331,1597.2,2687.8214,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1724.976,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2687.8214,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51705-0450 CHANGE CYSTOSTOMY TUBE;SIMPLE,450,RC,,,,,inpatient,,,400,,200,240,403.88,376,,,,percent of total billed charges,,320,,,,percent of total billed charges,,380,,,,percent of total billed charges,,332,,,,percent of total billed charges,,360,,,,percent of total billed charges,,368,,,,percent of total billed charges,,368,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,380,,,,percent of total billed charges,,388,,,,percent of total billed charges,,380,,,,percent of total billed charges,,352,,,,percent of total billed charges,,360,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,360,,,,percent of total billed charges,,240,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,380,,,,percent of total billed charges,,380,,,,percent of total billed charges,,320,,,,percent of total billed charges,,240,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ENOXAPARIN SODIUM (LOVENOX) PER 10MG,636,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG LEVOFLOXACIN (LEVAQUIN) 250MG IM INJ,636,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG Q3014-0450 TELEHEALTH ORIGINATING SITE,450,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64625 ABLATION NERVES INNERVATING SI,510,RC,,,,,inpatient,,,4599,,2299.5,2759.4,4643.6103,4323.06,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3817.17,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4231.08,,,,percent of total billed charges,,4350.654,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4461.03,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4047.12,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2980.152,,,,percent of total billed charges,,4139.1,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,4643.6103,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,4369.05,,,,percent of total billed charges,,3679.2,,,,percent of total billed charges,,2759.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG COVID 19 TEST (PANTHER) [U0002],306,RC,,,,,inpatient,,,199,,99.5,119.4,200.9303,187.06,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,165.17,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,183.08,,,,percent of total billed charges,,188.254,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,193.03,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,175.12,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,128.952,,,,percent of total billed charges,,179.1,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,200.9303,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,189.05,,,,percent of total billed charges,,159.2,,,,percent of total billed charges,,119.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MED NUTRITION THER,REASSESSMT&SUBS INTERVNTN FOLLOWING 2ND REF,SAME YR,GROUP,EA 30 MIN",942,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17250-0510 CHEMICAL CAUTERIZATION,510,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 23605 CLOSED TMT PROX HUMERAL(SURG OR ANAT NECK)FRACTURE;W/MANIPU,W OR W/O SKELETAL TRACTION-0510",510,RC,,,,,inpatient,,,5474,,2737,3284.4,5527.0978,5145.56,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4543.42,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5178.404,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5309.78,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4817.12,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,3547.152,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,5527.0978,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26040-0510 FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRAC); PERC",510,RC,,,,,inpatient,,,5474,,2737,3284.4,5527.0978,5145.56,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4543.42,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5036.08,,,,percent of total billed charges,,5178.404,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5309.78,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4817.12,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,3547.152,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,5527.0978,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,5200.3,,,,percent of total billed charges,,4379.2,,,,percent of total billed charges,,3284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64420 INJ INTERCOSTAL NERVE, SINGLE-0510",510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CD57 IHC (QUEST),312,RC,,,,,inpatient,,,104,,52,62.4,105.0088,97.76,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,86.32,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,95.68,,,,percent of total billed charges,,98.384,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,100.88,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,91.52,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,67.392,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,105.0088,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,98.8,,,,percent of total billed charges,,83.2,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9764-0360 INTRAVAS LITHO - ABOVE KNEE,360,RC,,,,,inpatient,,,20866,,10433,12519.6,21068.4002,19614.04,,,,percent of total billed charges,,16692.8,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,17318.78,,,,percent of total billed charges,,18779.4,,,,percent of total billed charges,,19196.72,,,,percent of total billed charges,,19196.72,,,,percent of total billed charges,,19739.236,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,20240.02,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,18362.08,,,,percent of total billed charges,,18779.4,,,,percent of total billed charges,,13521.168,,,,percent of total billed charges,,18779.4,,,,percent of total billed charges,,12519.6,,,,percent of total billed charges,,21068.4002,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,19822.7,,,,percent of total billed charges,,16692.8,,,,percent of total billed charges,,12519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9765-0360 INTRAVAS LITHO W STENT - ABOVE KNEE,360,RC,,,,,inpatient,,,41730,,20865,25038,42134.781,39226.2,,,,percent of total billed charges,,33384,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,34635.9,,,,percent of total billed charges,,37557,,,,percent of total billed charges,,38391.6,,,,percent of total billed charges,,38391.6,,,,percent of total billed charges,,39476.58,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,40478.1,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,36722.4,,,,percent of total billed charges,,37557,,,,percent of total billed charges,,27041.04,,,,percent of total billed charges,,37557,,,,percent of total billed charges,,25038,,,,percent of total billed charges,,42134.781,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,39643.5,,,,percent of total billed charges,,33384,,,,percent of total billed charges,,25038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9766-0360 INTRAVAS LITHO W ATHERECTOMY - ABOVE KNEE,360,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9767-0360 INTRAVAS LITHO W STENT & ATHERECTOMY - ABOVE KNEE,360,RC,,,,,inpatient,,,19696,,9848,11817.6,19887.0512,18514.24,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,16347.68,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18120.32,,,,percent of total billed charges,,18632.416,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,19105.12,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,17332.48,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,12763.008,,,,percent of total billed charges,,17726.4,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,19887.0512,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,18711.2,,,,percent of total billed charges,,15756.8,,,,percent of total billed charges,,11817.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20240-0510  - BIOPSY, BONE, EXCISIONAL; SUPERF",510,RC,,,,,inpatient,,,6092,,3046,3655.2,6151.0924,5726.48,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5056.36,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5604.64,,,,percent of total billed charges,,5763.032,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5909.24,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5360.96,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,3947.616,,,,percent of total billed charges,,5482.8,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,6151.0924,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,5787.4,,,,percent of total billed charges,,4873.6,,,,percent of total billed charges,,3655.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36590-0510 REMOVAL TUNNELED CV CATH (PORT),510,RC,,,,,inpatient,,,2546,,1273,1527.6,2570.6962,2393.24,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2113.18,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2342.32,,,,percent of total billed charges,,2408.516,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2469.62,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2240.48,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,1649.808,,,,percent of total billed charges,,2291.4,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,2570.6962,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2418.7,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1527.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57522-0510 CONIZATION OF CERVIX; LOOP,510,RC,,,,,inpatient,,,10085,,5042.5,6051,10182.8245,9479.9,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8370.55,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9278.2,,,,percent of total billed charges,,9540.41,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9782.45,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8874.8,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,6535.08,,,,percent of total billed charges,,9076.5,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,10182.8245,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,9580.75,,,,percent of total billed charges,,8068,,,,percent of total billed charges,,6051,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92960-0450 CARDIOVERSION ELECTRIC EXT,450,RC,,,,,inpatient,,,2165,,1082.5,1299,2186.0005,2035.1,,,,percent of total billed charges,,1732,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,1796.95,,,,percent of total billed charges,,1948.5,,,,percent of total billed charges,,1991.8,,,,percent of total billed charges,,1991.8,,,,percent of total billed charges,,2048.09,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,2100.05,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,1905.2,,,,percent of total billed charges,,1948.5,,,,percent of total billed charges,,1402.92,,,,percent of total billed charges,,1948.5,,,,percent of total billed charges,,1299,,,,percent of total billed charges,,2186.0005,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,2056.75,,,,percent of total billed charges,,1732,,,,percent of total billed charges,,1299,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24065 BIOPSY ARM/ELBOW SOFT TISSUE,361,RC,,,,,inpatient,,,5542,,2771,3325.2,5595.7574,5209.48,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4599.86,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5242.732,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5375.74,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4876.96,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,3591.216,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,5595.7574,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27502-0450 TREATMENT OF THIGH FRACTURE,450,RC,,,,,inpatient,,,4623,,2311.5,2773.8,4667.8431,4345.62,,,,percent of total billed charges,,3698.4,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,3837.09,,,,percent of total billed charges,,4160.7,,,,percent of total billed charges,,4253.16,,,,percent of total billed charges,,4253.16,,,,percent of total billed charges,,4373.358,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,4484.31,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,4068.24,,,,percent of total billed charges,,4160.7,,,,percent of total billed charges,,2995.704,,,,percent of total billed charges,,4160.7,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,4667.8431,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,4391.85,,,,percent of total billed charges,,3698.4,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62322-0510 NJX INTERLAMINAR LMBR/SAC,510,RC,,,,,inpatient,,,4311,,2155.5,2586.6,4352.8167,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2793.528,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4352.8167,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62323-0510  INJECTION(S), OF DIAG SUB W/ GUIDE",510,RC,,,,,inpatient,,,2288,,1144,1372.8,2310.1936,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1482.624,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2310.1936,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64490-0510 INJ PARAVERT F JNT C/T 1 LEV,510,RC,,,,,inpatient,,,3364,,1682,2018.4,3396.6308,3162.16,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2792.12,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3094.88,,,,percent of total billed charges,,3182.344,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3263.08,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2960.32,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2179.872,,,,percent of total billed charges,,3027.6,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,3396.6308,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,3195.8,,,,percent of total billed charges,,2691.2,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64491-0510 INJ PARAVERT F JNT C/T 2 LEV,510,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64493-0510 INJ PARAVERT F JNT L/S 1 LEV,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64494-0510 INJ PARAVERT F JNT L/S 2 LEV,510,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36410-0450 NON-ROUTINE BL DRAW > 3 YRS,450,RC,,,,,inpatient,,,879,,439.5,527.4,887.5263,826.26,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,729.57,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,808.68,,,,percent of total billed charges,,831.534,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,852.63,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,773.52,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,569.592,,,,percent of total billed charges,,791.1,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,887.5263,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,835.05,,,,percent of total billed charges,,703.2,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41010-0510 INCISION OF TONGUE FOLD,510,RC,,,,,inpatient,,,4537,,2268.5,2722.2,4581.0089,4264.78,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3765.71,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4174.04,,,,percent of total billed charges,,4292.002,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4400.89,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3992.56,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,2939.976,,,,percent of total billed charges,,4083.3,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,4581.0089,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,4310.15,,,,percent of total billed charges,,3629.6,,,,percent of total billed charges,,2722.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11981-0510 INSERT DRUG IMPLANT DEVICE,510,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21044 EXCISION OF MALIGNANT TUMOR OF MANDIBLE,510,RC,,,,,inpatient,,,16548,,8274,9928.8,16708.5156,15555.12,,,,percent of total billed charges,,13238.4,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,13734.84,,,,percent of total billed charges,,14893.2,,,,percent of total billed charges,,15224.16,,,,percent of total billed charges,,15224.16,,,,percent of total billed charges,,15654.408,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,16051.56,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,14562.24,,,,percent of total billed charges,,14893.2,,,,percent of total billed charges,,10723.104,,,,percent of total billed charges,,14893.2,,,,percent of total billed charges,,9928.8,,,,percent of total billed charges,,16708.5156,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,15720.6,,,,percent of total billed charges,,13238.4,,,,percent of total billed charges,,9928.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42650 DILATION SALIVARY DUCT,510,RC,,,,,inpatient,,,5447,,2723.5,3268.2,5499.8359,5120.18,,,,percent of total billed charges,,4357.6,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,4521.01,,,,percent of total billed charges,,4902.3,,,,percent of total billed charges,,5011.24,,,,percent of total billed charges,,5011.24,,,,percent of total billed charges,,5152.862,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,5283.59,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,4793.36,,,,percent of total billed charges,,4902.3,,,,percent of total billed charges,,3529.656,,,,percent of total billed charges,,4902.3,,,,percent of total billed charges,,3268.2,,,,percent of total billed charges,,5499.8359,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,5174.65,,,,percent of total billed charges,,4357.6,,,,percent of total billed charges,,3268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24201-0450 REMOVAL OF ARM FOREIGN BODY,450,RC,,,,,inpatient,,,9363,,4681.5,5617.8,9453.8211,8801.22,,,,percent of total billed charges,,7490.4,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,7771.29,,,,percent of total billed charges,,8426.7,,,,percent of total billed charges,,8613.96,,,,percent of total billed charges,,8613.96,,,,percent of total billed charges,,8857.398,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,9082.11,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,8239.44,,,,percent of total billed charges,,8426.7,,,,percent of total billed charges,,6067.224,,,,percent of total billed charges,,8426.7,,,,percent of total billed charges,,5617.8,,,,percent of total billed charges,,9453.8211,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,8894.85,,,,percent of total billed charges,,7490.4,,,,percent of total billed charges,,5617.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG FLUCELVAX QUAD 2020-2021\ 0.5ML DOSAGE,636,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62252-0361 CSF SHUNT REPROGRAM,361,RC,,,,,inpatient,,,925,,462.5,555,933.9725,869.5,,,,percent of total billed charges,,740,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,767.75,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,851,,,,percent of total billed charges,,851,,,,percent of total billed charges,,875.05,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,897.25,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,814,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,555,,,,percent of total billed charges,,933.9725,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,740,,,,percent of total billed charges,,555,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64630 INJECTION TREATMENT OF NERVE,510,RC,,,,,inpatient,,,3280,,1640,1968,3311.816,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2125.44,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3311.816,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20526 INJ CARPAL TUNNEL,510,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64447-0450 INJ ANES AGENT, FEMORAL NERVE,SING",450,RC,,,,,inpatient,,,2306,,1153,1383.6,2328.3682,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1494.288,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2328.3682,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46040-0510 INCISION OF RECTAL ABSCESS,510,RC,,,,,inpatient,,,4051,,2025.5,2430.6,4090.2947,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2625.048,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,4090.2947,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11043-0510 DEBRIDE M/FAS 1ST 20SQ CM,510,RC,,,,,inpatient,,,1905,,952.5,1143,1923.4785,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1234.44,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1923.4785,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56606-0510 BIOPSY OF VULVA/PERINEUM EACH SEPARATE ADD'L LESION,510,RC,,,,,inpatient,,,386,,193,231.6,389.7442,362.84,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,320.38,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,355.12,,,,percent of total billed charges,,365.156,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,374.42,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,339.68,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,250.128,,,,percent of total billed charges,,347.4,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,389.7442,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,366.7,,,,percent of total billed charges,,308.8,,,,percent of total billed charges,,231.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 98928 OSTEOPATH MANJ 7-8 REGIONS,530,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 98929 OSTEOPATH MANJ 9-10 REGIONS,530,RC,,,,,inpatient,,,56,,28,33.6,56.5432,52.64,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,51.52,,,,percent of total billed charges,,52.976,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,54.32,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,49.28,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,56.5432,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,53.2,,,,percent of total billed charges,,44.8,,,,percent of total billed charges,,33.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11983-0510 REMOVE/INSERT DRUG IMPLANT,510,RC,,,,,inpatient,,,1002,,501,601.2,1011.7194,941.88,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,831.66,,,,percent of total billed charges,,901.8,,,,percent of total billed charges,,921.84,,,,percent of total billed charges,,921.84,,,,percent of total billed charges,,947.892,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,971.94,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,881.76,,,,percent of total billed charges,,901.8,,,,percent of total billed charges,,649.296,,,,percent of total billed charges,,901.8,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,1011.7194,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,951.9,,,,percent of total billed charges,,801.6,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64420-0450 NJX AA&/STRD NTRCOST NRV 1,450,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21930-0510 EXC BACK LES SC < 3 CM,510,RC,,,,,inpatient,,,5542,,2771,3325.2,5595.7574,5209.48,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4599.86,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5098.64,,,,percent of total billed charges,,5242.732,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5375.74,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4876.96,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,3591.216,,,,percent of total billed charges,,4987.8,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,5595.7574,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,5264.9,,,,percent of total billed charges,,4433.6,,,,percent of total billed charges,,3325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95822-0740 EG EEG SLEEP ONLY,740,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90687-0636 INFLUENZA VIRUS VACCINE, QUADRIVALENT (IIV4), (AFLURIA) PER 0.25 ML",636,RC,,,,,inpatient,,,19,,9.5,11.4,19.1843,17.86,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.77,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.48,,,,percent of total billed charges,,17.974,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.43,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,16.72,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,19.1843,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,18.05,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40806-0510 INCISION OF LIP FOLD,510,RC,,,,,inpatient,,,1783,,891.5,1069.8,1800.2951,1676.02,,,,percent of total billed charges,,1426.4,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1479.89,,,,percent of total billed charges,,1604.7,,,,percent of total billed charges,,1640.36,,,,percent of total billed charges,,1640.36,,,,percent of total billed charges,,1686.718,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1729.51,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1569.04,,,,percent of total billed charges,,1604.7,,,,percent of total billed charges,,1155.384,,,,percent of total billed charges,,1604.7,,,,percent of total billed charges,,1069.8,,,,percent of total billed charges,,1800.2951,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1693.85,,,,percent of total billed charges,,1426.4,,,,percent of total billed charges,,1069.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S0612-0510 ANNUAL GYNECOLOGICAL EXAMINA, RET",510,RC,,,,,inpatient,,,138,,69,82.8,139.3386,129.72,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,114.54,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,126.96,,,,percent of total billed charges,,130.548,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,133.86,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,121.44,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,139.3386,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,131.1,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PARTICL EMBL 2.5MM 1ML SYRG EM (LAWSON 143883),278,RC,,,,,inpatient,,,249,,124.5,149.4,251.4153,234.06,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,206.67,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,229.08,,,,percent of total billed charges,,235.554,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,241.53,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,219.12,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,161.352,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,251.4153,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,236.55,,,,percent of total billed charges,,199.2,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CYTOSORB FILTER-148898,272,RC,,,,,inpatient,,,5137,,2568.5,3082.2,5186.8289,4828.78,,,,percent of total billed charges,,4109.6,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4263.71,,,,percent of total billed charges,,4623.3,,,,percent of total billed charges,,4726.04,,,,percent of total billed charges,,4726.04,,,,percent of total billed charges,,4859.602,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4982.89,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4520.56,,,,percent of total billed charges,,4623.3,,,,percent of total billed charges,,3328.776,,,,percent of total billed charges,,4623.3,,,,percent of total billed charges,,3082.2,,,,percent of total billed charges,,5186.8289,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4880.15,,,,percent of total billed charges,,4109.6,,,,percent of total billed charges,,3082.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CASIRIVI AND IMDEVI INC INFUSION, MONITORING",771,RC,,,,,inpatient,,,1068,,534,640.8,1078.3596,1003.92,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,886.44,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,982.56,,,,percent of total billed charges,,1010.328,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1035.96,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,939.84,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,692.064,,,,percent of total billed charges,,961.2,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,1078.3596,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,1014.6,,,,percent of total billed charges,,854.4,,,,percent of total billed charges,,640.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP HEARING STATUS DETER I&R,471,RC,,,,,inpatient,,,479,,239.5,287.4,483.6463,450.26,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,397.57,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,453.134,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,464.63,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,421.52,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,310.392,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,483.6463,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP THRSHLD EST MLT FREQ I&R,471,RC,,,,,inpatient,,,908,,454,544.8,916.8076,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,588.384,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,916.8076,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP NEURODIAGNOSTIC I&R,471,RC,,,,,inpatient,,,908,,454,544.8,916.8076,853.52,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,753.64,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,835.36,,,,percent of total billed charges,,858.968,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,880.76,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,799.04,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,588.384,,,,percent of total billed charges,,817.2,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,916.8076,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,862.6,,,,percent of total billed charges,,726.4,,,,percent of total billed charges,,544.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64455-0510 N BLOCK INJ PLANTAR DIGIT,510,RC,,,,,inpatient,,,827,,413.5,496.2,835.0219,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,535.896,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,835.0219,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67917-0510 REPAIR EYELID DEFECT,510,RC,,,,,inpatient,,,5032,,2516,3019.2,5080.8104,4730.08,,,,percent of total billed charges,,4025.6,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4176.56,,,,percent of total billed charges,,4528.8,,,,percent of total billed charges,,4629.44,,,,percent of total billed charges,,4629.44,,,,percent of total billed charges,,4760.272,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4881.04,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4428.16,,,,percent of total billed charges,,4528.8,,,,percent of total billed charges,,3260.736,,,,percent of total billed charges,,4528.8,,,,percent of total billed charges,,3019.2,,,,percent of total billed charges,,5080.8104,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4780.4,,,,percent of total billed charges,,4025.6,,,,percent of total billed charges,,3019.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG NEEDLE BIOPSY, LUNG/ MEDIASTIUM W IMAGE GUIDANCE",361,RC,,,,,inpatient,,,4452,,2226,2671.2,4495.1844,4184.88,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3695.16,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4211.592,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4318.44,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3917.76,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,2884.896,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,4495.1844,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 74190-0361 X-RAY EXAM OF PERITONEUM,361,RC,,,,,inpatient,,,1554,,777,932.4,1569.0738,1460.76,,,,percent of total billed charges,,1243.2,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1289.82,,,,percent of total billed charges,,1398.6,,,,percent of total billed charges,,1429.68,,,,percent of total billed charges,,1429.68,,,,percent of total billed charges,,1470.084,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1507.38,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1367.52,,,,percent of total billed charges,,1398.6,,,,percent of total billed charges,,1006.992,,,,percent of total billed charges,,1398.6,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,1569.0738,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1476.3,,,,percent of total billed charges,,1243.2,,,,percent of total billed charges,,932.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49400-0361 AIR INJECTION INTO ABDOMEN,361,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97140-420 MANUAL THER TECH 1+REGIONS EA 15 MIN,420,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95908-0922 NERVE CONDUCTION 3-4 STUDIES,922,RC,,,,,inpatient,,,1091,,545.5,654.6,1101.5827,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,706.968,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1101.5827,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32408-0361 CORE NDL BX LNG/MED PERQ,361,RC,,,,,inpatient,,,4452,,2226,2671.2,4495.1844,4184.88,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3695.16,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4095.84,,,,percent of total billed charges,,4211.592,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4318.44,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3917.76,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,2884.896,,,,percent of total billed charges,,4006.8,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,4495.1844,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,4229.4,,,,percent of total billed charges,,3561.6,,,,percent of total billed charges,,2671.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97035-0420 ULTRASOUND THERAPY EA 15 MIN,420,RC,,,,,inpatient,,,85,,42.5,51,85.8245,79.9,,,,percent of total billed charges,,68,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,70.55,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,78.2,,,,percent of total billed charges,,80.41,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,82.45,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,74.8,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,76.5,,,,percent of total billed charges,,51,,,,percent of total billed charges,,85.8245,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,80.75,,,,percent of total billed charges,,68,,,,percent of total billed charges,,51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21555-0510 EXC NECK LESS SC < 3 CM,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21012-0510 EXC FACE LES SBQ 2 CM/>,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG THORACENTESIS WITH S&I BIL,361,RC,,,,,inpatient,,,3574,,1787,2144.4,3608.6678,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2315.952,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3608.6678,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG US EXAM, EXTREMITY BIL",402,RC,,,,,inpatient,,,1013,,506.5,607.8,1022.8261,952.22,,,,percent of total billed charges,,810.4,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,840.79,,,,percent of total billed charges,,911.7,,,,percent of total billed charges,,931.96,,,,percent of total billed charges,,931.96,,,,percent of total billed charges,,958.298,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,982.61,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,891.44,,,,percent of total billed charges,,911.7,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,911.7,,,,percent of total billed charges,,607.8,,,,percent of total billed charges,,1022.8261,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,962.35,,,,percent of total billed charges,,810.4,,,,percent of total billed charges,,607.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 76882-0402 US BREAST, AXILLA BIL",402,RC,,,,,inpatient,,,847,,423.5,508.2,855.2159,796.18,,,,percent of total billed charges,,677.6,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,703.01,,,,percent of total billed charges,,762.3,,,,percent of total billed charges,,779.24,,,,percent of total billed charges,,779.24,,,,percent of total billed charges,,801.262,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,821.59,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,745.36,,,,percent of total billed charges,,762.3,,,,percent of total billed charges,,548.856,,,,percent of total billed charges,,762.3,,,,percent of total billed charges,,508.2,,,,percent of total billed charges,,855.2159,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,804.65,,,,percent of total billed charges,,677.6,,,,percent of total billed charges,,508.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG US XTR NON-VASC COMPLETE BIL,402,RC,,,,,inpatient,,,1351,,675.5,810.6,1364.1047,1269.94,,,,percent of total billed charges,,1080.8,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1121.33,,,,percent of total billed charges,,1215.9,,,,percent of total billed charges,,1242.92,,,,percent of total billed charges,,1242.92,,,,percent of total billed charges,,1278.046,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1310.47,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1188.88,,,,percent of total billed charges,,1215.9,,,,percent of total billed charges,,875.448,,,,percent of total billed charges,,1215.9,,,,percent of total billed charges,,810.6,,,,percent of total billed charges,,1364.1047,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1283.45,,,,percent of total billed charges,,1080.8,,,,percent of total billed charges,,810.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRANIAL EMG, UNILATERAL",922,RC,,,,,inpatient,,,979,,489.5,587.4,988.4963,920.26,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,812.57,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,900.68,,,,percent of total billed charges,,926.134,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,949.63,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,861.52,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,634.392,,,,percent of total billed charges,,881.1,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,988.4963,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,930.05,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,587.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEEDLE ELECTROMOGRAPHY; OF ANAL OR URETHRAL SPHINCTER,922,RC,,,,,inpatient,,,985,,492.5,591,994.5545,925.9,,,,percent of total billed charges,,788,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,817.55,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,931.81,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,955.45,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,866.8,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,638.28,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,591,,,,percent of total billed charges,,994.5545,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,788,,,,percent of total billed charges,,591,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21931-0510  EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUT; 3 CM OR GREATER",510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27618-0510 EXC LEG/ANKLE TUM < 3 CM,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP SCR AUDITORY POTENTIAL NEWBORN,471,RC,,,,,inpatient,,,479,,239.5,287.4,483.6463,450.26,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,397.57,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,453.134,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,464.63,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,421.52,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,310.392,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,483.6463,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AEP SCR AUDITORY POTENTIAL NEWBORN,471,RC,,,,,inpatient,,,479,,239.5,287.4,483.6463,450.26,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,397.57,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,440.68,,,,percent of total billed charges,,453.134,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,464.63,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,421.52,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,310.392,,,,percent of total billed charges,,431.1,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,483.6463,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,455.05,,,,percent of total billed charges,,383.2,,,,percent of total billed charges,,287.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROCENTESIS INJ INTERMED JT WITH US GUIDE,361,RC,,,,,inpatient,,,2289,,1144.5,1373.4,2311.2033,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1483.272,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2311.2033,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ARTHROCENTESIS MAJOR JT W/US,361,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INJECTION SINUS TRACT; THERAP,361,RC,,,,,inpatient,,,2365,,1182.5,1419,2387.9405,2223.1,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1962.95,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2175.8,,,,percent of total billed charges,,2237.29,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2294.05,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2081.2,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1532.52,,,,percent of total billed charges,,2128.5,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,2387.9405,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,2246.75,,,,percent of total billed charges,,1892,,,,percent of total billed charges,,1419,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19000-0510 DRAINAGE OF BREAST LESION,510,RC,,,,,inpatient,,,2088,,1044,1252.8,2108.2536,1962.72,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1733.04,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1920.96,,,,percent of total billed charges,,1975.248,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,2025.36,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1837.44,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1353.024,,,,percent of total billed charges,,1879.2,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,2108.2536,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1983.6,,,,percent of total billed charges,,1670.4,,,,percent of total billed charges,,1252.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 44799-0510 UNLISTED PROCEDURE, SMALL INTESTINE",510,RC,,,,,inpatient,,,2535,,1267.5,1521,2559.5895,2382.9,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2104.05,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2332.2,,,,percent of total billed charges,,2398.11,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2458.95,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2230.8,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,1642.68,,,,percent of total billed charges,,2281.5,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,2559.5895,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2408.25,,,,percent of total billed charges,,2028,,,,percent of total billed charges,,1521,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95909-0510 NERVE CONDUCTION STUDIES; 5-6 STUDIES,510,RC,,,,,inpatient,,,1091,,545.5,654.6,1101.5827,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,706.968,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1101.5827,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95910-0510 NERVE CONDUCTION STUDIES; 7-8 STUDIES,510,RC,,,,,inpatient,,,1091,,545.5,654.6,1101.5827,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,706.968,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1101.5827,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95911-0510 NERVE CONDUCTION STUDIES; 9-10 STUDIES,510,RC,,,,,inpatient,,,2012,,1006,1207.2,2031.5164,1891.28,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1669.96,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1903.352,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1951.64,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1770.56,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1303.776,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,2031.5164,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95872-0510 MUSCLE TEST,SINGLE FIBER",510,RC,,,,,inpatient,,,518,,259,310.8,523.0246,486.92,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,429.94,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,476.56,,,,percent of total billed charges,,490.028,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,502.46,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,455.84,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,335.664,,,,percent of total billed charges,,466.2,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,523.0246,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,492.1,,,,percent of total billed charges,,414.4,,,,percent of total billed charges,,310.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20550-0361 INJ SINGLE TENDON SHEATH/LIGAMENT,361,RC,,,,,inpatient,,,967,,483.5,580.2,976.3799,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,626.616,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,976.3799,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORRECTION EYELID W/IMPLANT UNILATERAL,510,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CORRECTION EYELID W/IMPLANT BILATERAL,510,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21011-0510 EXC FACE LES SC <2 CM,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26160-0510 REMOVE TENDON SHEATH LESION,510,RC,,,,,inpatient,,,5158,,2579,3094.8,5208.0326,4848.52,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4281.14,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4879.468,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,5003.26,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4539.04,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,3342.384,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,5208.0326,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 32999-0361 UNLISTED PROCEDURE, LUNGS AND PLEURA",361,RC,,,,,inpatient,,,1824,,912,1094.4,1841.6928,1714.56,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1513.92,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1678.08,,,,percent of total billed charges,,1678.08,,,,percent of total billed charges,,1725.504,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1769.28,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1605.12,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1181.952,,,,percent of total billed charges,,1641.6,,,,percent of total billed charges,,1094.4,,,,percent of total billed charges,,1841.6928,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1732.8,,,,percent of total billed charges,,1459.2,,,,percent of total billed charges,,1094.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23071-0510 EXC SHOULDER LES SC 3 CM/>,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97598-0510 RMVL DEVITAL TIS ADDL 20CM/<,510,RC,,,,,inpatient,,,542,,271,325.2,547.2574,509.48,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,449.86,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,498.64,,,,percent of total billed charges,,512.732,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,525.74,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,476.96,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,351.216,,,,percent of total billed charges,,487.8,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,547.2574,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,514.9,,,,percent of total billed charges,,433.6,,,,percent of total billed charges,,325.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PLEURAL DRAINAGE,361,RC,,,,,inpatient,,,3919,,1959.5,2351.4,3957.0143,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2539.512,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3957.0143,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB,  INFUSION AND POST ADMIN MONITORING",771,RC,,,,,inpatient,,,1065,,532.5,639,1075.3305,1001.1,,,,percent of total billed charges,,852,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,883.95,,,,percent of total billed charges,,958.5,,,,percent of total billed charges,,979.8,,,,percent of total billed charges,,979.8,,,,percent of total billed charges,,1007.49,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,1033.05,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,937.2,,,,percent of total billed charges,,958.5,,,,percent of total billed charges,,690.12,,,,percent of total billed charges,,958.5,,,,percent of total billed charges,,639,,,,percent of total billed charges,,1075.3305,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,1011.75,,,,percent of total billed charges,,852,,,,percent of total billed charges,,639,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11010-0510 DEBRIDE SKIN AT FX SITE,510,RC,,,,,inpatient,,,2303,,1151.5,1381.8,2325.3391,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1492.344,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2325.3391,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64449-0360 INJ LUMBAR PLEXUS,360,RC,,,,,inpatient,,,3280,,1640,1968,3311.816,3083.2,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2722.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3017.6,,,,percent of total billed charges,,3102.88,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3181.6,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2886.4,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,2125.44,,,,percent of total billed charges,,2952,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,3311.816,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,3116,,,,percent of total billed charges,,2624,,,,percent of total billed charges,,1968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67924-0510 REPAIR OF ENTROPION; EXTENSIVE (EYELID DEFECT),510,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  DIAGNOSTIC DIGITAL BREAST TOMOSYSNTHESIS; UNILATERAL,401,RC,,,,,inpatient,,,501,,250.5,300.6,505.8597,470.94,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,415.83,,,,percent of total billed charges,,450.9,,,,percent of total billed charges,,460.92,,,,percent of total billed charges,,460.92,,,,percent of total billed charges,,473.946,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,485.97,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,440.88,,,,percent of total billed charges,,450.9,,,,percent of total billed charges,,324.648,,,,percent of total billed charges,,450.9,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,505.8597,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,475.95,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,300.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DIAGNOSTIC DIGITAL BREAST TOMOSYSNTHESIS; BILATERAL,401,RC,,,,,inpatient,,,747,,373.5,448.2,754.2459,702.18,,,,percent of total billed charges,,597.6,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,620.01,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,687.24,,,,percent of total billed charges,,687.24,,,,percent of total billed charges,,706.662,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,724.59,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,657.36,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,484.056,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,754.2459,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,709.65,,,,percent of total billed charges,,597.6,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EXC BENIGN LES 2.1-3.0CM TR/AR/LG,450,RC,,,,,inpatient,,,2303,,1151.5,1381.8,2325.3391,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1492.344,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2325.3391,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67805-0510 EXCISION OF CHALAZION; MULTIPLE, DIFFERENT LIDS",510,RC,,,,,inpatient,,,679,,339.5,407.4,685.5863,638.26,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,563.57,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,624.68,,,,percent of total billed charges,,642.334,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,658.63,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,597.52,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,439.992,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,685.5863,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,543.2,,,,percent of total billed charges,,407.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27268-0450 CLTX THIGH FX W/MNPJ,450,RC,,,,,inpatient,,,8858,,4429,5314.8,8943.9226,8326.52,,,,percent of total billed charges,,7086.4,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,7352.14,,,,percent of total billed charges,,7972.2,,,,percent of total billed charges,,8149.36,,,,percent of total billed charges,,8149.36,,,,percent of total billed charges,,8379.668,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,8592.26,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,7795.04,,,,percent of total billed charges,,7972.2,,,,percent of total billed charges,,5739.984,,,,percent of total billed charges,,7972.2,,,,percent of total billed charges,,5314.8,,,,percent of total billed charges,,8943.9226,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,8415.1,,,,percent of total billed charges,,7086.4,,,,percent of total billed charges,,5314.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21933-0510 EXC BACK TUM DEEP 5 CM/>,510,RC,,,,,inpatient,,,7418,,3709,4450.8,7489.9546,6972.92,,,,percent of total billed charges,,5934.4,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,6156.94,,,,percent of total billed charges,,6676.2,,,,percent of total billed charges,,6824.56,,,,percent of total billed charges,,6824.56,,,,percent of total billed charges,,7017.428,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,7195.46,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,6527.84,,,,percent of total billed charges,,6676.2,,,,percent of total billed charges,,4806.864,,,,percent of total billed charges,,6676.2,,,,percent of total billed charges,,4450.8,,,,percent of total billed charges,,7489.9546,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,7047.1,,,,percent of total billed charges,,5934.4,,,,percent of total billed charges,,4450.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27767-0510 CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; W/O MANIPULATION,510,RC,,,,,inpatient,,,765,,382.5,459,772.4205,719.1,,,,percent of total billed charges,,612,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,634.95,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,723.69,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,742.05,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,495.72,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,459,,,,percent of total billed charges,,772.4205,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,612,,,,percent of total billed charges,,459,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 38500-0510 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL",510,RC,,,,,inpatient,,,11697,,5848.5,7018.2,11810.4609,10995.18,,,,percent of total billed charges,,9357.6,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,9708.51,,,,percent of total billed charges,,10527.3,,,,percent of total billed charges,,10761.24,,,,percent of total billed charges,,10761.24,,,,percent of total billed charges,,11065.362,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,11346.09,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,10293.36,,,,percent of total billed charges,,10527.3,,,,percent of total billed charges,,7579.656,,,,percent of total billed charges,,10527.3,,,,percent of total billed charges,,7018.2,,,,percent of total billed charges,,11810.4609,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,11112.15,,,,percent of total billed charges,,9357.6,,,,percent of total billed charges,,7018.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92608-0444 EVAL OF SPEECH DEV (ADD'L 30 MIN),444,RC,,,,,inpatient,,,395,,197.5,237,398.8315,371.3,,,,percent of total billed charges,,316,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,327.85,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,363.4,,,,percent of total billed charges,,373.67,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,383.15,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,347.6,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,255.96,,,,percent of total billed charges,,355.5,,,,percent of total billed charges,,237,,,,percent of total billed charges,,398.8315,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,375.25,,,,percent of total billed charges,,316,,,,percent of total billed charges,,237,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21550-0510 US STJ SURG BIOPSY SOFT TISSUE  NECK POCT,510,RC,,,,,inpatient,,,3473,,1736.5,2083.8,3506.6881,3264.62,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2882.59,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3195.16,,,,percent of total billed charges,,3285.458,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3368.81,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3056.24,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2250.504,,,,percent of total billed charges,,3125.7,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,3506.6881,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,3299.35,,,,percent of total billed charges,,2778.4,,,,percent of total billed charges,,2083.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TUBE TRACH 8 79MM 12.2MM SHLY,274,RC,,,,,inpatient,,,263,,131.5,157.8,265.5511,247.22,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,218.29,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,241.96,,,,percent of total billed charges,,248.798,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,255.11,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,231.44,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,170.424,,,,percent of total billed charges,,236.7,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,265.5511,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,249.85,,,,percent of total billed charges,,210.4,,,,percent of total billed charges,,157.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99406-0942 BEHAV CHNG SMOKING 3-10 MIN,942,RC,,,,,inpatient,,,69,,34.5,41.4,69.6693,64.86,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,57.27,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,63.48,,,,percent of total billed charges,,65.274,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,66.93,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,60.72,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,69.6693,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,65.55,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EMG COMPLETE 5 OR MORE MUSCLES,510,RC,,,,,inpatient,,,586,,293,351.6,591.6842,550.84,,,,percent of total billed charges,,468.8,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,486.38,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,539.12,,,,percent of total billed charges,,539.12,,,,percent of total billed charges,,554.356,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,568.42,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,515.68,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,379.728,,,,percent of total billed charges,,527.4,,,,percent of total billed charges,,351.6,,,,percent of total billed charges,,591.6842,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,556.7,,,,percent of total billed charges,,468.8,,,,percent of total billed charges,,351.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90791-0900 PSYCH DIAG EVAL,900,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90834-0914 PSYCHOTHERAPY, 45 MINUTES W/ PATIENT",914,RC,,,,,inpatient,,,277,,138.5,166.2,279.6869,260.38,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,229.91,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,254.84,,,,percent of total billed charges,,262.042,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,268.69,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,243.76,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,179.496,,,,percent of total billed charges,,249.3,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,279.6869,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,263.15,,,,percent of total billed charges,,221.6,,,,percent of total billed charges,,166.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90837-0914 PSYCHOTHERAPY, 60 MINUTES W/ PATIENT",914,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29445-0510 APPLICATION OF RIGID TOTAL CONTACT LEG CAST,510,RC,,,,,inpatient,,,810,,405,486,817.857,761.4,,,,percent of total billed charges,,648,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,672.3,,,,percent of total billed charges,,729,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,745.2,,,,percent of total billed charges,,766.26,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,785.7,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,712.8,,,,percent of total billed charges,,729,,,,percent of total billed charges,,524.88,,,,percent of total billed charges,,729,,,,percent of total billed charges,,486,,,,percent of total billed charges,,817.857,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,769.5,,,,percent of total billed charges,,648,,,,percent of total billed charges,,486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG INITIAL OR SUBS PSYCH (COCM) SERVICES- 30 MINUTES IN ANY MONTH,900,RC,,,,,inpatient,,,200,,100,120,201.94,188,,,,percent of total billed charges,,160,,,,percent of total billed charges,,190,,,,percent of total billed charges,,166,,,,percent of total billed charges,,180,,,,percent of total billed charges,,184,,,,percent of total billed charges,,184,,,,percent of total billed charges,,189.2,,,,percent of total billed charges,,190,,,,percent of total billed charges,,194,,,,percent of total billed charges,,190,,,,percent of total billed charges,,176,,,,percent of total billed charges,,180,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,180,,,,percent of total billed charges,,120,,,,percent of total billed charges,,201.94,,,,percent of total billed charges,,190,,,,percent of total billed charges,,190,,,,percent of total billed charges,,160,,,,percent of total billed charges,,120,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG  64612-0510 BOTOX INJECTION,510,RC,,,,,inpatient,,,967,,483.5,580.2,976.3799,908.98,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,802.61,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,889.64,,,,percent of total billed charges,,914.782,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,937.99,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,850.96,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,626.616,,,,percent of total billed charges,,870.3,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,976.3799,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,918.65,,,,percent of total billed charges,,773.6,,,,percent of total billed charges,,580.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90832-0914 PSYCHOTHERAPY, 30 MINUTES W/ PATIENT",914,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 1 FCC",510,RC,,,,,inpatient,,,177,,88.5,106.2,178.7169,166.38,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,146.91,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,162.84,,,,percent of total billed charges,,167.442,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,171.69,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,155.76,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,114.696,,,,percent of total billed charges,,159.3,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,178.7169,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,168.15,,,,percent of total billed charges,,141.6,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 2 FCC",510,RC,,,,,inpatient,,,182,,91,109.2,183.7654,171.08,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,151.06,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,167.44,,,,percent of total billed charges,,172.172,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,176.54,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,160.16,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,117.936,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,183.7654,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,172.9,,,,percent of total billed charges,,145.6,,,,percent of total billed charges,,109.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 3 FCC",510,RC,,,,,inpatient,,,187,,93.5,112.2,188.8139,175.78,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,155.21,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,172.04,,,,percent of total billed charges,,176.902,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,181.39,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,164.56,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,168.3,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,188.8139,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,177.65,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,112.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 4 FCC",510,RC,,,,,inpatient,,,192,,96,115.2,193.8624,180.48,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,159.36,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,176.64,,,,percent of total billed charges,,181.632,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,186.24,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,168.96,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,193.8624,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,153.6,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, EST LEVEL 5 FCC",510,RC,,,,,inpatient,,,197,,98.5,118.2,198.9109,185.18,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,163.51,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,181.24,,,,percent of total billed charges,,186.362,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,191.09,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,173.36,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,127.656,,,,percent of total billed charges,,177.3,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,198.9109,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,187.15,,,,percent of total billed charges,,157.6,,,,percent of total billed charges,,118.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 2 FCC",510,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 3 FCC",510,RC,,,,,inpatient,,,142,,71,85.2,143.3774,133.48,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,117.86,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,130.64,,,,percent of total billed charges,,134.332,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,137.74,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,124.96,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,92.016,,,,percent of total billed charges,,127.8,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,143.3774,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,134.9,,,,percent of total billed charges,,113.6,,,,percent of total billed charges,,85.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 4 FCC",510,RC,,,,,inpatient,,,147,,73.5,88.2,148.4259,138.18,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,122.01,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,135.24,,,,percent of total billed charges,,139.062,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,142.59,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,129.36,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,95.256,,,,percent of total billed charges,,132.3,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,148.4259,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,139.65,,,,percent of total billed charges,,117.6,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG OFFICE/OUTPATIENT VISIT, NEW LEVEL 5 FCC",510,RC,,,,,inpatient,,,152,,76,91.2,153.4744,142.88,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,126.16,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,139.84,,,,percent of total billed charges,,143.792,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,147.44,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,133.76,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,153.4744,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,144.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68815-0510 PROBE NASOLACRIMAL DUCT,510,RC,,,,,inpatient,,,5206,,2603,3123.6,5256.4982,4893.64,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4320.98,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4789.52,,,,percent of total billed charges,,4924.876,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,5049.82,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4581.28,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3373.488,,,,percent of total billed charges,,4685.4,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,5256.4982,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4945.7,,,,percent of total billed charges,,4164.8,,,,percent of total billed charges,,3123.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52005-0361 CYSTOURETHROSCOPY W/ URETERAL CATH,361,RC,,,,,inpatient,,,5021,,2510.5,3012.6,5069.7037,4719.74,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4167.43,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4749.866,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4870.37,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4418.48,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3253.608,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,5069.7037,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95912-0510 NERVE CONDUCTION STUDIES; 11-12 STUDIES,510,RC,,,,,inpatient,,,2012,,1006,1207.2,2031.5164,1891.28,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1669.96,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1851.04,,,,percent of total billed charges,,1903.352,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1951.64,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1770.56,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1303.776,,,,percent of total billed charges,,1810.8,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,2031.5164,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1911.4,,,,percent of total billed charges,,1609.6,,,,percent of total billed charges,,1207.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95992-0510 CANALITH REPOSITIONING PROC, PER DAY",510,RC,,,,,inpatient,,,139,,69.5,83.4,140.3483,130.66,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,115.37,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,127.88,,,,percent of total billed charges,,131.494,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,134.83,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,122.32,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,125.1,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,140.3483,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,132.05,,,,percent of total billed charges,,111.2,,,,percent of total billed charges,,83.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90833-0510 INDIVIDUAL PSYCHOTHERAPY 30 MIN +E/M,510,RC,,,,,inpatient,,,172,,86,103.2,173.6684,161.68,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,142.76,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,158.24,,,,percent of total billed charges,,162.712,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,166.84,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,151.36,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,111.456,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,173.6684,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,163.4,,,,percent of total billed charges,,137.6,,,,percent of total billed charges,,103.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90836-0510 INDIVIDUAL PSYCHOTHERAPY 45 MIN +E/M,510,RC,,,,,inpatient,,,248,,124,148.8,250.4056,233.12,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,205.84,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,228.16,,,,percent of total billed charges,,234.608,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,240.56,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,218.24,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,250.4056,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,235.6,,,,percent of total billed charges,,198.4,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90838-0510 INDIVIDUAL PSYCHOTHERAPY 60 MIN +E/M,510,RC,,,,,inpatient,,,347,,173.5,208.2,350.3659,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,224.856,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,350.3659,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96136-0510 PSYCH/NEURO TEST ADM TWO OR MORE, FIRST 30 MIN",510,RC,,,,,inpatient,,,140,,70,84,141.358,131.6,,,,percent of total billed charges,,112,,,,percent of total billed charges,,133,,,,percent of total billed charges,,116.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,128.8,,,,percent of total billed charges,,132.44,,,,percent of total billed charges,,133,,,,percent of total billed charges,,135.8,,,,percent of total billed charges,,133,,,,percent of total billed charges,,123.2,,,,percent of total billed charges,,126,,,,percent of total billed charges,,90.72,,,,percent of total billed charges,,126,,,,percent of total billed charges,,84,,,,percent of total billed charges,,141.358,,,,percent of total billed charges,,133,,,,percent of total billed charges,,133,,,,percent of total billed charges,,112,,,,percent of total billed charges,,84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96132-0510 NEUROBEHAV TESTING EVAL BY PSYCH/PHYS, 1ST HOUR",510,RC,,,,,inpatient,,,1091,,545.5,654.6,1101.5827,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,706.968,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1101.5827,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 096116-0510 NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHYS, 1ST HOUR",510,RC,,,,,inpatient,,,1091,,545.5,654.6,1101.5827,1025.54,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,905.53,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1003.72,,,,percent of total billed charges,,1032.086,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1058.27,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,960.08,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,706.968,,,,percent of total billed charges,,981.9,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,1101.5827,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,1036.45,,,,percent of total billed charges,,872.8,,,,percent of total billed charges,,654.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13100-0510 REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM",510,RC,,,,,inpatient,,,1940,,970,1164,1958.818,1823.6,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1835.24,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1881.8,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1257.12,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1958.818,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29365-0510 APPLICATION OF CYLINDER CAST (THIGH TO ANKLE),510,RC,,,,,inpatient,,,894,,447,536.4,902.6718,840.36,,,,percent of total billed charges,,715.2,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,742.02,,,,percent of total billed charges,,804.6,,,,percent of total billed charges,,822.48,,,,percent of total billed charges,,822.48,,,,percent of total billed charges,,845.724,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,867.18,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,786.72,,,,percent of total billed charges,,804.6,,,,percent of total billed charges,,579.312,,,,percent of total billed charges,,804.6,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,902.6718,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,849.3,,,,percent of total billed charges,,715.2,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33210-0450 INSERT ELECTRD/PM CATH SNGL,450,RC,,,,,inpatient,,,6193,,3096.5,3715.8,6253.0721,5821.42,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5140.19,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5697.56,,,,percent of total billed charges,,5858.578,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,6007.21,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5449.84,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,4013.064,,,,percent of total billed charges,,5573.7,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,6253.0721,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,5883.35,,,,percent of total billed charges,,4954.4,,,,percent of total billed charges,,3715.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27842-0450 CLOSED TX DISLOCATION ANKLE REQ ANESTHESIA,450,RC,,,,,inpatient,,,5158,,2579,3094.8,5208.0326,4848.52,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4281.14,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4745.36,,,,percent of total billed charges,,4879.468,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,5003.26,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4539.04,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,3342.384,,,,percent of total billed charges,,4642.2,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,5208.0326,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4900.1,,,,percent of total billed charges,,4126.4,,,,percent of total billed charges,,3094.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11976-0510 REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES",510,RC,,,,,inpatient,,,2303,,1151.5,1381.8,2325.3391,2164.82,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1911.49,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2118.76,,,,percent of total billed charges,,2178.638,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2233.91,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2026.64,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1492.344,,,,percent of total billed charges,,2072.7,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,2325.3391,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,2187.85,,,,percent of total billed charges,,1842.4,,,,percent of total billed charges,,1381.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57461-0510 CONZ OF CERVIX W/SCOPE LEEP,510,RC,,,,,inpatient,,,6820,,3410,4092,6886.154,6410.8,,,,percent of total billed charges,,5456,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,5660.6,,,,percent of total billed charges,,6138,,,,percent of total billed charges,,6274.4,,,,percent of total billed charges,,6274.4,,,,percent of total billed charges,,6451.72,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,6615.4,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,6001.6,,,,percent of total billed charges,,6138,,,,percent of total billed charges,,4419.36,,,,percent of total billed charges,,6138,,,,percent of total billed charges,,4092,,,,percent of total billed charges,,6886.154,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,6479,,,,percent of total billed charges,,5456,,,,percent of total billed charges,,4092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51728-0510 CYSTOMETROGRAM W/VP STUDIES,510,RC,,,,,inpatient,,,1723,,861.5,1033.8,1739.7131,1619.62,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1430.09,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1585.16,,,,percent of total billed charges,,1629.958,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1671.31,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1516.24,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1116.504,,,,percent of total billed charges,,1550.7,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,1739.7131,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1636.85,,,,percent of total billed charges,,1378.4,,,,percent of total billed charges,,1033.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DRN BLADDER W SP CATH,361,RC,,,,,inpatient,,,5113,,2556.5,3067.8,5162.5961,4806.22,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4243.79,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4836.898,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4959.61,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4499.44,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3313.224,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,5162.5961,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99497-0510 ADVNCD CARE PLAN 30 MIN,510,RC,,,,,inpatient,,,275,,137.5,165,277.6675,258.5,,,,percent of total billed charges,,220,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,228.25,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,253,,,,percent of total billed charges,,253,,,,percent of total billed charges,,260.15,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,266.75,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,242,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,178.2,,,,percent of total billed charges,,247.5,,,,percent of total billed charges,,165,,,,percent of total billed charges,,277.6675,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,261.25,,,,percent of total billed charges,,220,,,,percent of total billed charges,,165,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13101-0510 REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM",510,RC,,,,,inpatient,,,1905,,952.5,1143,1923.4785,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1234.44,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1923.4785,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13121-0510 CMPLX RPR S/A/L 2.6-7.5 CM,510,RC,,,,,inpatient,,,1940,,970,1164,1958.818,1823.6,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1835.24,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1881.8,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1257.12,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1958.818,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13122-0510 REPAIR COMPLEX EACH ADDTL,510,RC,,,,,inpatient,,,880,,440,528,888.536,827.2,,,,percent of total billed charges,,704,,,,percent of total billed charges,,836,,,,percent of total billed charges,,730.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,809.6,,,,percent of total billed charges,,832.48,,,,percent of total billed charges,,836,,,,percent of total billed charges,,853.6,,,,percent of total billed charges,,836,,,,percent of total billed charges,,774.4,,,,percent of total billed charges,,792,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,792,,,,percent of total billed charges,,528,,,,percent of total billed charges,,888.536,,,,percent of total billed charges,,836,,,,percent of total billed charges,,836,,,,percent of total billed charges,,704,,,,percent of total billed charges,,528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17106-0510 DEST CUT VASCULAR PROLIFERAT LESIONS < 10 SQ CM,510,RC,,,,,inpatient,,,1029,,514.5,617.4,1038.9813,967.26,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,854.07,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,946.68,,,,percent of total billed charges,,973.434,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,998.13,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,905.52,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,666.792,,,,percent of total billed charges,,926.1,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,1038.9813,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,977.55,,,,percent of total billed charges,,823.2,,,,percent of total billed charges,,617.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17107-0510 DEST CUT VASCULAR PROLIFERAT LESIONS 10.0 TO 50 SQ CM,510,RC,,,,,inpatient,,,1496,,748,897.6,1510.5112,1406.24,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1241.68,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1415.216,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1451.12,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1316.48,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,969.408,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,1510.5112,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 17108-0510 DESTRUCTION OF SKIN LESIONS,510,RC,,,,,inpatient,,,4344,,2172,2606.4,4386.1368,4083.36,,,,percent of total billed charges,,3475.2,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,3605.52,,,,percent of total billed charges,,3909.6,,,,percent of total billed charges,,3996.48,,,,percent of total billed charges,,3996.48,,,,percent of total billed charges,,4109.424,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,4213.68,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,3822.72,,,,percent of total billed charges,,3909.6,,,,percent of total billed charges,,2814.912,,,,percent of total billed charges,,3909.6,,,,percent of total billed charges,,2606.4,,,,percent of total billed charges,,4386.1368,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,4126.8,,,,percent of total billed charges,,3475.2,,,,percent of total billed charges,,2606.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17263-0510 DEST, MALIG LESION, TRUNK/ARMS/LEGS; LESION DIAM 2.1 TO 3.0 CM",510,RC,,,,,inpatient,,,498,,249,298.8,502.8306,468.12,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,413.34,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,458.16,,,,percent of total billed charges,,471.108,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,483.06,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,438.24,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,322.704,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,502.8306,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,473.1,,,,percent of total billed charges,,398.4,,,,percent of total billed charges,,298.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64650-0510 CHEMODENERV ECCRINE GLANDS,510,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26115-0510  EXIS SOFT TISSUE LESION HAND SUBCUT; LESS THAN 1.5 CM,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24075-0510 EXC ARM/ELBOW LES SC < 3 CM,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13131-0510 REPAIR COMPLEX 1.1-2.5CM,510,RC,,,,,inpatient,,,1283,,641.5,769.8,1295.4451,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,831.384,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1295.4451,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12037-0510 INTMD RPR S/TR/EXT >30.0 CM,510,RC,,,,,inpatient,,,6353,,3176.5,3811.8,6414.6241,5971.82,,,,percent of total billed charges,,5082.4,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,5272.99,,,,percent of total billed charges,,5717.7,,,,percent of total billed charges,,5844.76,,,,percent of total billed charges,,5844.76,,,,percent of total billed charges,,6009.938,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,6162.41,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,5590.64,,,,percent of total billed charges,,5717.7,,,,percent of total billed charges,,4116.744,,,,percent of total billed charges,,5717.7,,,,percent of total billed charges,,3811.8,,,,percent of total billed charges,,6414.6241,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,6035.35,,,,percent of total billed charges,,5082.4,,,,percent of total billed charges,,3811.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13152-0510 REPAIR COMPLEX E/N/E/L 2.6 CM TO 7.5 CM,510,RC,,,,,inpatient,,,2008,,1004,1204.8,2027.4776,1887.52,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1666.64,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1847.36,,,,percent of total billed charges,,1899.568,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1947.76,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1767.04,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1301.184,,,,percent of total billed charges,,1807.2,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,2027.4776,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1907.6,,,,percent of total billed charges,,1606.4,,,,percent of total billed charges,,1204.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13153-0510 REPAIR COMPLEX E/N/E/L; EACH ADD 5 CM OR LESS,510,RC,,,,,inpatient,,,969,,484.5,581.4,978.3993,910.86,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,804.27,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,891.48,,,,percent of total billed charges,,916.674,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,939.93,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,852.72,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,627.912,,,,percent of total billed charges,,872.1,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,978.3993,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,920.55,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,581.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46220-0510 EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG; ANUS,510,RC,,,,,inpatient,,,3840,,1920,2304,3877.248,3609.6,,,,percent of total billed charges,,3072,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3187.2,,,,percent of total billed charges,,3456,,,,percent of total billed charges,,3532.8,,,,percent of total billed charges,,3532.8,,,,percent of total billed charges,,3632.64,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3724.8,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3379.2,,,,percent of total billed charges,,3456,,,,percent of total billed charges,,2488.32,,,,percent of total billed charges,,3456,,,,percent of total billed charges,,2304,,,,percent of total billed charges,,3877.248,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3648,,,,percent of total billed charges,,3072,,,,percent of total billed charges,,2304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93793-0510 ANTICOAG MGMT PT WAFARIN,510,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32554-0450 THORACENTESIS W/O IMAGING GUIDANCE,450,RC,,,,,inpatient,,,2007,,1003.5,1204.2,2026.4679,1886.58,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1665.81,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1846.44,,,,percent of total billed charges,,1898.622,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1946.79,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1766.16,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1300.536,,,,percent of total billed charges,,1806.3,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,2026.4679,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1906.65,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,1204.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DUPLEX SCAN, PREP HEMODIALYSIS ACCESS, COMPLT BILAT STUDY",921,RC,,,,,inpatient,,,598,,299,358.8,603.8006,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,387.504,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,603.8006,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DUPLEX SCAN, PREP HEMODIALYSIS ACCESS, COMPLT UNILAT STUDY",921,RC,,,,,inpatient,,,283,,141.5,169.8,285.7451,266.02,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,234.89,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,260.36,,,,percent of total billed charges,,267.718,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,274.51,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,249.04,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,183.384,,,,percent of total billed charges,,254.7,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,285.7451,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,268.85,,,,percent of total billed charges,,226.4,,,,percent of total billed charges,,169.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97607-0510 NEG PRESS WOUND TX <=50 SQ CM,510,RC,,,,,inpatient,,,1283,,641.5,769.8,1295.4451,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,831.384,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1295.4451,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTRAVENOUS INFUSION, SOTROVIMAB, INFUSION & POST ADMIN MONITORING",771,RC,,,,,inpatient,,,1489,,744.5,893.4,1503.4433,1399.66,,,,percent of total billed charges,,1191.2,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1235.87,,,,percent of total billed charges,,1340.1,,,,percent of total billed charges,,1369.88,,,,percent of total billed charges,,1369.88,,,,percent of total billed charges,,1408.594,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1444.33,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1310.32,,,,percent of total billed charges,,1340.1,,,,percent of total billed charges,,964.872,,,,percent of total billed charges,,1340.1,,,,percent of total billed charges,,893.4,,,,percent of total billed charges,,1503.4433,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1414.55,,,,percent of total billed charges,,1191.2,,,,percent of total billed charges,,893.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90785-0510 PSYTX COMPLEX INTERACTIVE,510,RC,,,,,inpatient,,,185,,92.5,111,186.7945,173.9,,,,percent of total billed charges,,148,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,153.55,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,170.2,,,,percent of total billed charges,,175.01,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,179.45,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,162.8,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,166.5,,,,percent of total billed charges,,111,,,,percent of total billed charges,,186.7945,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,175.75,,,,percent of total billed charges,,148,,,,percent of total billed charges,,111,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90846-0510 FAMILY PSYCH, WO PATIENT, 50 MIN",510,RC,,,,,inpatient,,,380,,190,228,383.686,357.2,,,,percent of total billed charges,,304,,,,percent of total billed charges,,361,,,,percent of total billed charges,,315.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,349.6,,,,percent of total billed charges,,359.48,,,,percent of total billed charges,,361,,,,percent of total billed charges,,368.6,,,,percent of total billed charges,,361,,,,percent of total billed charges,,334.4,,,,percent of total billed charges,,342,,,,percent of total billed charges,,246.24,,,,percent of total billed charges,,342,,,,percent of total billed charges,,228,,,,percent of total billed charges,,383.686,,,,percent of total billed charges,,361,,,,percent of total billed charges,,361,,,,percent of total billed charges,,304,,,,percent of total billed charges,,228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 90847-0510 FAMILY PSYCH, CONJOINT, W/PATIENT, 50 MIN",510,RC,,,,,inpatient,,,357,,178.5,214.2,360.4629,335.58,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,296.31,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,328.44,,,,percent of total billed charges,,337.722,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,346.29,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,314.16,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,231.336,,,,percent of total billed charges,,321.3,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,360.4629,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,339.15,,,,percent of total billed charges,,285.6,,,,percent of total billed charges,,214.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11104-0450 PUNCH BX SKIN SINGLE LESION,450,RC,,,,,inpatient,,,1283,,641.5,769.8,1295.4451,1206.02,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1064.89,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1180.36,,,,percent of total billed charges,,1213.718,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1244.51,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1129.04,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,831.384,,,,percent of total billed charges,,1154.7,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,1295.4451,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1218.85,,,,percent of total billed charges,,1026.4,,,,percent of total billed charges,,769.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99417-0510 PROLNG OP E/M EACH 15 MIN,510,RC,,,,,inpatient,,,157,,78.5,94.2,158.5229,147.58,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,130.31,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,144.44,,,,percent of total billed charges,,148.522,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,152.29,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,138.16,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,101.736,,,,percent of total billed charges,,141.3,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,158.5229,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,149.15,,,,percent of total billed charges,,125.6,,,,percent of total billed charges,,94.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10005-0510 FNA BX W/US GDN 1ST LES,510,RC,,,,,inpatient,,,2935,,1467.5,1761,2963.4695,2758.9,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2436.05,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2700.2,,,,percent of total billed charges,,2776.51,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2846.95,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2582.8,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,1901.88,,,,percent of total billed charges,,2641.5,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,2963.4695,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2788.25,,,,percent of total billed charges,,2348,,,,percent of total billed charges,,1761,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10160-0510 PUNCTURE AS ABSC,HEMATOMA",510,RC,,,,,inpatient,,,1769,,884.5,1061.4,1786.1593,1662.86,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1468.27,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1627.48,,,,percent of total billed charges,,1673.474,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1715.93,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1556.72,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1146.312,,,,percent of total billed charges,,1592.1,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,1786.1593,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1680.55,,,,percent of total billed charges,,1415.2,,,,percent of total billed charges,,1061.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042-0510 DEBRIDE SUBCU,1ST 20SQ CM",510,RC,,,,,inpatient,,,783,,391.5,469.8,790.5951,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,507.384,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,790.5951,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29581-0510 APPLY MULTILAYER COMP - LATERAL - LOWER LEG,510,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59200-0510 INDUCTION CERVIDIL DILATOR,510,RC,,,,,inpatient,,,992,,496,595.2,1001.6224,932.48,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,823.36,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,912.64,,,,percent of total billed charges,,938.432,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,962.24,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,872.96,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,642.816,,,,percent of total billed charges,,892.8,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,1001.6224,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,942.4,,,,percent of total billed charges,,793.6,,,,percent of total billed charges,,595.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29580-0510 UNNA BOOT APPLICATION,510,RC,,,,,inpatient,,,474,,237,284.4,478.5978,445.56,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,393.42,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,436.08,,,,percent of total billed charges,,448.404,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,459.78,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,417.12,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,307.152,,,,percent of total billed charges,,426.6,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,478.5978,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,450.3,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,284.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92551-0510 PURE TONE HEARING TEST,510,RC,,,,,inpatient,,,53,,26.5,31.8,53.5141,49.82,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,43.99,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,48.76,,,,percent of total billed charges,,50.138,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,51.41,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,46.64,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,47.7,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,53.5141,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,50.35,,,,percent of total billed charges,,42.4,,,,percent of total billed charges,,31.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92567-0510 TYMPANOMETRY,510,RC,,,,,inpatient,,,98,,49,58.8,98.9506,92.12,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,81.34,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,90.16,,,,percent of total billed charges,,92.708,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,95.06,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,86.24,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,63.504,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,98.9506,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,93.1,,,,percent of total billed charges,,78.4,,,,percent of total billed charges,,58.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93279-0510 PM DEVICE PROG EVAL,  SNGL",510,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93280-0510 FEE PM DEVICE PROG EV,510,RC,,,,,inpatient,,,125,,62.5,75,126.2125,117.5,,,,percent of total billed charges,,100,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,103.75,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,115,,,,percent of total billed charges,,115,,,,percent of total billed charges,,118.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,121.25,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,110,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,112.5,,,,percent of total billed charges,,75,,,,percent of total billed charges,,126.2125,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,118.75,,,,percent of total billed charges,,100,,,,percent of total billed charges,,75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93281-0510 PM DEVICE PROGR EVAL MULT,510,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93282-0510 ICD DEVICE PROG EVAL, 1 SNGL",510,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93283-0510 ICD DEVICE PROGR EVAL DUAL,510,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94060-0510 EAST PFT W/PRE & POST NEB TX,510,RC,,,,,inpatient,,,668,,334,400.8,674.4796,627.92,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,554.44,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,614.56,,,,percent of total billed charges,,631.928,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,647.96,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,587.84,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,432.864,,,,percent of total billed charges,,601.2,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,674.4796,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,634.6,,,,percent of total billed charges,,534.4,,,,percent of total billed charges,,400.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96110-0510 DEVELOPMENTAL TEST, LIM",510,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 97602-0510 REMOVE DEVITALIZED TISSUE, NON-SELE",510,RC,,,,,inpatient,,,405,,202.5,243,408.9285,380.7,,,,percent of total billed charges,,324,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,336.15,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,372.6,,,,percent of total billed charges,,383.13,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,356.4,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,262.44,,,,percent of total billed charges,,364.5,,,,percent of total billed charges,,243,,,,percent of total billed charges,,408.9285,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,384.75,,,,percent of total billed charges,,324,,,,percent of total billed charges,,243,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99173-0510 VISUAL ACUITY SCREENING,510,RC,,,,,inpatient,,,79,,39.5,47.4,79.7663,74.26,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,65.57,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,72.68,,,,percent of total billed charges,,74.734,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,76.63,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,69.52,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,71.1,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,79.7663,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,75.05,,,,percent of total billed charges,,63.2,,,,percent of total billed charges,,47.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64479-0510 SELECTIVE NERVE ROOT BLOCK CER/THO,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64445-0510 INJ SCIATIC NERVE, SINGLE",510,RC,,,,,inpatient,,,2310,,1155,1386,2332.407,2171.4,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1917.3,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2125.2,,,,percent of total billed charges,,2185.26,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2240.7,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2032.8,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1496.88,,,,percent of total billed charges,,2079,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,2332.407,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,2194.5,,,,percent of total billed charges,,1848,,,,percent of total billed charges,,1386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20670-0510 REMOVAL OF IMPLANT; SUPERFICIAL,510,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 90792-0510 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES,510,RC,,,,,inpatient,,,347,,173.5,208.2,350.3659,326.18,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,288.01,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,319.24,,,,percent of total billed charges,,328.262,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,336.59,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,305.36,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,224.856,,,,percent of total billed charges,,312.3,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,350.3659,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,329.65,,,,percent of total billed charges,,277.6,,,,percent of total billed charges,,208.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28630-0510 CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA,510,RC,,,,,inpatient,,,765,,382.5,459,772.4205,719.1,,,,percent of total billed charges,,612,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,634.95,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,703.8,,,,percent of total billed charges,,723.69,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,742.05,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,673.2,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,495.72,,,,percent of total billed charges,,688.5,,,,percent of total billed charges,,459,,,,percent of total billed charges,,772.4205,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,726.75,,,,percent of total billed charges,,612,,,,percent of total billed charges,,459,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26010-0510 DRAINAGE OF FINGER ABSCESS; SIMPLE,510,RC,,,,,inpatient,,,665,,332.5,399,671.4505,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,430.92,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,671.4505,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 93261-0480 INTERROGATION DEVICE EVALUATION (IN PERSON), INCLUDES CONNECTION, RECORDING AND DISCONNECTION",480,RC,,,,,inpatient,,,149,,74.5,89.4,150.4453,140.06,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,123.67,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,137.08,,,,percent of total billed charges,,140.954,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,144.53,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,131.12,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,96.552,,,,percent of total billed charges,,134.1,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,150.4453,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,141.55,,,,percent of total billed charges,,119.2,,,,percent of total billed charges,,89.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99426-0510 PRIN CARE MGMT SSTFF 1ST 30 MIN,510,RC,,,,,inpatient,,,191,,95.5,114.6,192.8527,179.54,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,158.53,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,175.72,,,,percent of total billed charges,,180.686,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,185.27,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,168.08,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,171.9,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,192.8527,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,181.45,,,,percent of total billed charges,,152.8,,,,percent of total billed charges,,114.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99427-0510 PRIN CARE MGMT STAFF EA ADDL,510,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24071-0510 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW, SUBCUTANEOUS; 3 CM OR GREATER",510,RC,,,,,inpatient,,,8778,,4389,5266.8,8863.1466,8251.32,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,7285.74,,,,percent of total billed charges,,7900.2,,,,percent of total billed charges,,8075.76,,,,percent of total billed charges,,8075.76,,,,percent of total billed charges,,8303.988,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,8514.66,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,7724.64,,,,percent of total billed charges,,7900.2,,,,percent of total billed charges,,5688.144,,,,percent of total billed charges,,7900.2,,,,percent of total billed charges,,5266.8,,,,percent of total billed charges,,8863.1466,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,8339.1,,,,percent of total billed charges,,7022.4,,,,percent of total billed charges,,5266.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG POCT SOFIA SARS ANTIGEN TEST,306,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36680-0510 INTRAOSSEOUS NEEDLE PLACEMENT,510,RC,,,,,inpatient,,,949,,474.5,569.4,958.2053,892.06,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,787.67,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,873.08,,,,percent of total billed charges,,897.754,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,920.53,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,835.12,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,614.952,,,,percent of total billed charges,,854.1,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,958.2053,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,901.55,,,,percent of total billed charges,,759.2,,,,percent of total billed charges,,569.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64451 LATERAL DORSAL RAMUS INJ,510,RC,,,,,inpatient,,,2065,,1032.5,1239,2085.0305,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1338.12,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,2085.0305,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64451-0361 LATERAL DORSAL RAMUS INJ BILATERAL,361,RC,,,,,inpatient,,,2065,,1032.5,1239,2085.0305,1941.1,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1713.95,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1899.8,,,,percent of total billed charges,,1953.49,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,2003.05,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1817.2,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1338.12,,,,percent of total billed charges,,1858.5,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,2085.0305,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1961.75,,,,percent of total billed charges,,1652,,,,percent of total billed charges,,1239,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29581-0420 APPLY MULTILAYER COMP - LOWER LEG,420,RC,,,,,inpatient,,,417,,208.5,250.2,421.0449,391.98,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,346.11,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,383.64,,,,percent of total billed charges,,394.482,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,404.49,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,366.96,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,270.216,,,,percent of total billed charges,,375.3,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,421.0449,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,396.15,,,,percent of total billed charges,,333.6,,,,percent of total billed charges,,250.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29584-0420 APPLY MULTILAYER COMP - ARM/HAND,420,RC,,,,,inpatient,,,460,,230,276,464.462,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,464.462,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46922-0361 DEST LESION ANUS,361,RC,,,,,inpatient,,,7954,,3977,4772.4,8031.1538,7476.76,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6601.82,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7524.484,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7715.38,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6999.52,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,5154.192,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,8031.1538,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46020-0361 SETON PLACEMENT,361,RC,,,,,inpatient,,,7954,,3977,4772.4,8031.1538,7476.76,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6601.82,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7317.68,,,,percent of total billed charges,,7524.484,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7715.38,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6999.52,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,5154.192,,,,percent of total billed charges,,7158.6,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,8031.1538,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,7556.3,,,,percent of total billed charges,,6363.2,,,,percent of total billed charges,,4772.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46030-0361 REMOVAL OF ANAL SETON, OTHER MARKER",361,RC,,,,,inpatient,,,3374,,1687,2024.4,3406.7278,3171.56,,,,percent of total billed charges,,2699.2,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,2800.42,,,,percent of total billed charges,,3036.6,,,,percent of total billed charges,,3104.08,,,,percent of total billed charges,,3104.08,,,,percent of total billed charges,,3191.804,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,3272.78,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,2969.12,,,,percent of total billed charges,,3036.6,,,,percent of total billed charges,,2186.352,,,,percent of total billed charges,,3036.6,,,,percent of total billed charges,,2024.4,,,,percent of total billed charges,,3406.7278,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,3205.3,,,,percent of total billed charges,,2699.2,,,,percent of total billed charges,,2024.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG M0220-0771 INJ TIXAGEVIMAB & CILGAVIMAB,771,RC,,,,,inpatient,,,496,,248,297.6,500.8112,466.24,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,411.68,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,469.216,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,481.12,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,436.48,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,321.408,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,500.8112,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95250-0510 CONT GLUC MNTR PHYS/QHP EQP,510,RC,,,,,inpatient,,,429,,214.5,257.4,433.1613,403.26,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,356.07,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,394.68,,,,percent of total billed charges,,405.834,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,416.13,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,377.52,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,277.992,,,,percent of total billed charges,,386.1,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,433.1613,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,407.55,,,,percent of total billed charges,,343.2,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 19101-0510 BIOPSY OF BREAST; OPEN, INCISIONAL",510,RC,,,,,inpatient,,,10497,,5248.5,6298.2,10598.8209,9867.18,,,,percent of total billed charges,,8397.6,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,8712.51,,,,percent of total billed charges,,9447.3,,,,percent of total billed charges,,9657.24,,,,percent of total billed charges,,9657.24,,,,percent of total billed charges,,9930.162,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,10182.09,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,9237.36,,,,percent of total billed charges,,9447.3,,,,percent of total billed charges,,6802.056,,,,percent of total billed charges,,9447.3,,,,percent of total billed charges,,6298.2,,,,percent of total billed charges,,10598.8209,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,9972.15,,,,percent of total billed charges,,8397.6,,,,percent of total billed charges,,6298.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15260-0361 FULL THICKNESS GRAFT; EEN & LIPS; 20 SQ CM OR LESS,361,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15261-0361 FULL THICKNESS GRAFT FOR EACH ADDITIONAL 20 SQ CM,361,RC,,,,,inpatient,,,2818,,1409,1690.8,2845.3346,2648.92,,,,percent of total billed charges,,2254.4,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2338.94,,,,percent of total billed charges,,2536.2,,,,percent of total billed charges,,2592.56,,,,percent of total billed charges,,2592.56,,,,percent of total billed charges,,2665.828,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2733.46,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2479.84,,,,percent of total billed charges,,2536.2,,,,percent of total billed charges,,1826.064,,,,percent of total billed charges,,2536.2,,,,percent of total billed charges,,1690.8,,,,percent of total billed charges,,2845.3346,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2677.1,,,,percent of total billed charges,,2254.4,,,,percent of total billed charges,,1690.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96416-0335 PROLONGED CHEMO IV INFUSION; > 8 HOURS,335,RC,,,,,inpatient,,,1101,,550.5,660.6,1111.6797,1034.94,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,913.83,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1041.546,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1067.97,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,968.88,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,713.448,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,1111.6797,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49082-0450 ABDOMINAL PARACENTESIS,450,RC,,,,,inpatient,,,2662,,1331,1597.2,2687.8214,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1724.976,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2687.8214,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43246-0360 ENDOSCOPIC PLACE PEG TUBE,360,RC,,,,,inpatient,,,4437,,2218.5,2662.2,4480.0389,4170.78,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3682.71,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4082.04,,,,percent of total billed charges,,4197.402,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4303.89,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3904.56,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,2875.176,,,,percent of total billed charges,,3993.3,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,4480.0389,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,4215.15,,,,percent of total billed charges,,3549.6,,,,percent of total billed charges,,2662.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96372-0761 INJ, SQ/IM EACH ADD",761,RC,,,,,inpatient,,,223,,111.5,133.8,225.1631,209.62,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,185.09,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,205.16,,,,percent of total billed charges,,210.958,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,216.31,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,196.24,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,144.504,,,,percent of total billed charges,,200.7,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,225.1631,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,211.85,,,,percent of total billed charges,,178.4,,,,percent of total billed charges,,133.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95857-0740 TENSILON TEST,740,RC,,,,,inpatient,,,723,,361.5,433.8,730.0131,679.62,,,,percent of total billed charges,,578.4,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,600.09,,,,percent of total billed charges,,650.7,,,,percent of total billed charges,,665.16,,,,percent of total billed charges,,665.16,,,,percent of total billed charges,,683.958,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,701.31,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,636.24,,,,percent of total billed charges,,650.7,,,,percent of total billed charges,,468.504,,,,percent of total billed charges,,650.7,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,730.0131,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,686.85,,,,percent of total billed charges,,578.4,,,,percent of total billed charges,,433.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG PHYS/QHP W/O VID EA 2-12HR CONT,740,RC,,,,,inpatient,,,921,,460.5,552.6,929.9337,865.74,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,764.43,,,,percent of total billed charges,,828.9,,,,percent of total billed charges,,847.32,,,,percent of total billed charges,,847.32,,,,percent of total billed charges,,871.266,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,893.37,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,810.48,,,,percent of total billed charges,,828.9,,,,percent of total billed charges,,596.808,,,,percent of total billed charges,,828.9,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,929.9337,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,874.95,,,,percent of total billed charges,,736.8,,,,percent of total billed charges,,552.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG EEG PHYS/QHP W/O VID EA 12-26HR CONT,740,RC,,,,,inpatient,,,1763,,881.5,1057.8,1780.1011,1657.22,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1463.29,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1621.96,,,,percent of total billed charges,,1667.798,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1710.11,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1551.44,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1142.424,,,,percent of total billed charges,,1586.7,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,1780.1011,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1674.85,,,,percent of total billed charges,,1410.4,,,,percent of total billed charges,,1057.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36556-0450 INSERTION OF CVAD,450,RC,,,,,inpatient,,,4617,,2308.5,2770.2,4661.7849,4339.98,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3832.11,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4247.64,,,,percent of total billed charges,,4367.682,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4478.49,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4062.96,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,2991.816,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,4661.7849,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,4386.15,,,,percent of total billed charges,,3693.6,,,,percent of total billed charges,,2770.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99483-0510 ASSMT & CARE PLN PT COG IMP,510,RC,,,,,inpatient,,,204,,102,122.4,205.9788,191.76,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,169.32,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,187.68,,,,percent of total billed charges,,192.984,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,197.88,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,179.52,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,132.192,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,205.9788,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,163.2,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12005-0510 LACER SIMP EXT 12.6-20 CM FAC,510,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ULTRACLIP BREAST LOCALIZATION TAG, 17 GA, 330366, 330370",278,RC,,,,,inpatient,,,994,,497,596.4,1003.6418,934.36,,,,percent of total billed charges,,795.2,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,825.02,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,914.48,,,,percent of total billed charges,,914.48,,,,percent of total billed charges,,940.324,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,964.18,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,874.72,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,644.112,,,,percent of total billed charges,,894.6,,,,percent of total billed charges,,596.4,,,,percent of total billed charges,,1003.6418,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,944.3,,,,percent of total billed charges,,795.2,,,,percent of total billed charges,,596.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19100-0361 BIOPSY BREAST NEEDLE CORE W/O IMAGING GUIDANCE,361,RC,,,,,inpatient,,,4676,,2338,2805.6,4721.3572,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3030.048,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4721.3572,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21085-0361 PREPARATION ORAL SURGICAL SPLINT,361,RC,,,,,inpatient,,,704,,352,422.4,710.8288,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,456.192,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,710.8288,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MULTIPLEX RESPIRATORY ASSAY -CEPHEID-CLINICS ONLY (POCT),306,RC,,,,,inpatient,,,714,,357,428.4,720.9258,671.16,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,592.62,,,,percent of total billed charges,,642.6,,,,percent of total billed charges,,656.88,,,,percent of total billed charges,,656.88,,,,percent of total billed charges,,675.444,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,692.58,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,628.32,,,,percent of total billed charges,,642.6,,,,percent of total billed charges,,462.672,,,,percent of total billed charges,,642.6,,,,percent of total billed charges,,428.4,,,,percent of total billed charges,,720.9258,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,678.3,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,428.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16025-0510 DEBRIDE AND/OR DSG--MED,510,RC,,,,,inpatient,,,598,,299,358.8,603.8006,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,387.504,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,603.8006,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15220-0510 SKIN FULL GRAFT SCLP/ARM/LEG, 20 SQ CM OR LESS",510,RC,,,,,inpatient,,,5633,,2816.5,3379.8,5687.6401,5295.02,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4675.39,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5182.36,,,,percent of total billed charges,,5328.818,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5464.01,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4957.04,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,3650.184,,,,percent of total billed charges,,5069.7,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,5687.6401,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,5351.35,,,,percent of total billed charges,,4506.4,,,,percent of total billed charges,,3379.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11045-0510 - EXCISIONAL DEBRIDEMENT, SUBCUTAN",510,RC,,,,,inpatient,,,460,,230,276,464.462,432.4,,,,percent of total billed charges,,368,,,,percent of total billed charges,,437,,,,percent of total billed charges,,381.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,423.2,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,437,,,,percent of total billed charges,,446.2,,,,percent of total billed charges,,437,,,,percent of total billed charges,,404.8,,,,percent of total billed charges,,414,,,,percent of total billed charges,,298.08,,,,percent of total billed charges,,414,,,,percent of total billed charges,,276,,,,percent of total billed charges,,464.462,,,,percent of total billed charges,,437,,,,percent of total billed charges,,437,,,,percent of total billed charges,,368,,,,percent of total billed charges,,276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11046-0510 - EXCISIONAL DEBRIDEMENT, MUSCLE A",510,RC,,,,,inpatient,,,626,,313,375.6,632.0722,588.44,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,519.58,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,575.92,,,,percent of total billed charges,,592.196,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,607.22,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,550.88,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,405.648,,,,percent of total billed charges,,563.4,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,632.0722,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,594.7,,,,percent of total billed charges,,500.8,,,,percent of total billed charges,,375.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11044-0510 - DEBRIDEMENT; BONE (INCLUDES EDIP, DERMIS, ECT.)",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10060-0510 - I & D ABSCESS; SIMPLE/SINGLE,510,RC,,,,,inpatient,,,563,,281.5,337.8,568.4611,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,364.824,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,568.4611,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10061-510 - I & D ABSCESS; COMPLICATED OR MULTIPLE,510,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55000-0510  PUNCTURE ASPIRATION OF HYDROCELE,510,RC,,,,,inpatient,,,1875,,937.5,1125,1893.1875,1762.5,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1556.25,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1725,,,,percent of total billed charges,,1773.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1818.75,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1650,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1215,,,,percent of total billed charges,,1687.5,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,1893.1875,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1781.25,,,,percent of total billed charges,,1500,,,,percent of total billed charges,,1125,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20680-0510 REMOVAL OF IMPLANT DEEP,510,RC,,,,,inpatient,,,7883,,3941.5,4729.8,7959.4651,7410.02,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6542.89,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7457.318,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7646.51,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6937.04,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,5108.184,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,7959.4651,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59001-0361  THERAPEUTIC  AMNIOTIC FLUID REDUCTION (ULTRASOUNDS GUIDANCE INCLUDED),361,RC,,,,,inpatient,,,936,,468,561.6,945.0792,879.84,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,776.88,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,861.12,,,,percent of total billed charges,,861.12,,,,percent of total billed charges,,885.456,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,907.92,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,823.68,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,606.528,,,,percent of total billed charges,,842.4,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,945.0792,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,889.2,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,561.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96161-0918 CAREGIVER HEALTH RISK ASSESSMENT,918,RC,,,,,inpatient,,,62,,31,37.2,62.6014,58.28,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,51.46,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,57.04,,,,percent of total billed charges,,58.652,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,60.14,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,54.56,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,55.8,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,62.6014,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,58.9,,,,percent of total billed charges,,49.6,,,,percent of total billed charges,,37.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57150-0510 TREATMENT OF  VAGINAL INFECTION,510,RC,,,,,inpatient,,,186,,93,111.6,187.8042,174.84,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,154.38,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,171.12,,,,percent of total billed charges,,175.956,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,180.42,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,163.68,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,120.528,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,187.8042,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,176.7,,,,percent of total billed charges,,148.8,,,,percent of total billed charges,,111.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 33894-0360 ENDOVASC STENT REPAIR ACC/TRANS/DESC THORACIC/ABD AORTA, STENT PLCMT, ACROSS MSB",360,RC,,,,,inpatient,,,4923,,2461.5,2953.8,4970.7531,4627.62,,,,percent of total billed charges,,3938.4,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4086.09,,,,percent of total billed charges,,4430.7,,,,percent of total billed charges,,4529.16,,,,percent of total billed charges,,4529.16,,,,percent of total billed charges,,4657.158,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4775.31,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4332.24,,,,percent of total billed charges,,4430.7,,,,percent of total billed charges,,3190.104,,,,percent of total billed charges,,4430.7,,,,percent of total billed charges,,2953.8,,,,percent of total billed charges,,4970.7531,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,4676.85,,,,percent of total billed charges,,3938.4,,,,percent of total billed charges,,2953.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 33895-0360 ENDOVASC STENT REPAIR ACC/TRANS/DESC THORACIC/ABD AORTA, STENT PLCMT, NOT CROSS MSB",360,RC,,,,,inpatient,,,3685,,1842.5,2211,3720.7445,3463.9,,,,percent of total billed charges,,2948,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3058.55,,,,percent of total billed charges,,3316.5,,,,percent of total billed charges,,3390.2,,,,percent of total billed charges,,3390.2,,,,percent of total billed charges,,3486.01,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3574.45,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3242.8,,,,percent of total billed charges,,3316.5,,,,percent of total billed charges,,2387.88,,,,percent of total billed charges,,3316.5,,,,percent of total billed charges,,2211,,,,percent of total billed charges,,3720.7445,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,3500.75,,,,percent of total billed charges,,2948,,,,percent of total billed charges,,2211,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33897-0360 PERCUT TRANSLUM ANGIOPLASTY NATIVE/RECUR COARCT OF AORTA,360,RC,,,,,inpatient,,,7370,,3685,4422,7441.489,6927.8,,,,percent of total billed charges,,5896,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,6117.1,,,,percent of total billed charges,,6633,,,,percent of total billed charges,,6780.4,,,,percent of total billed charges,,6780.4,,,,percent of total billed charges,,6972.02,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,7148.9,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,6485.6,,,,percent of total billed charges,,6633,,,,percent of total billed charges,,4775.76,,,,percent of total billed charges,,6633,,,,percent of total billed charges,,4422,,,,percent of total billed charges,,7441.489,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,7001.5,,,,percent of total billed charges,,5896,,,,percent of total billed charges,,4422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG BEBTELOVIMAB INJECTION AND MONITORING,771,RC,,,,,inpatient,,,1158,,579,694.8,1169.2326,1088.52,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,961.14,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1065.36,,,,percent of total billed charges,,1095.468,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1123.26,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1019.04,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,750.384,,,,percent of total billed charges,,1042.2,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,1169.2326,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,1100.1,,,,percent of total billed charges,,926.4,,,,percent of total billed charges,,694.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64417-0510 INJ(S), ANESTHETIC AGENT(S) AND/OR STEROID; AXIL NRV",510,RC,,,,,inpatient,,,2737,,1368.5,1642.2,2763.5489,2572.78,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2271.71,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2518.04,,,,percent of total billed charges,,2589.202,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2654.89,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2408.56,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,1773.576,,,,percent of total billed charges,,2463.3,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,2763.5489,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2600.15,,,,percent of total billed charges,,2189.6,,,,percent of total billed charges,,1642.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG TIXAGEV AND CILGAV INJECTION AND MONITORING,771,RC,,,,,inpatient,,,496,,248,297.6,500.8112,466.24,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,411.68,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,456.32,,,,percent of total billed charges,,469.216,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,481.12,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,436.48,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,321.408,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,500.8112,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,471.2,,,,percent of total billed charges,,396.8,,,,percent of total billed charges,,297.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92517-0920 CVEMP TESTING - CERVICAL,  W/INTER & REP",920,RC,,,,,inpatient,,,504,,252,302.4,508.8888,473.76,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,418.32,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,476.784,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,488.88,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,443.52,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,326.592,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,508.8888,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92518-0920 OVEMP TESTING - OCULAR,  W/INTER & REP",920,RC,,,,,inpatient,,,504,,252,302.4,508.8888,473.76,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,418.32,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,463.68,,,,percent of total billed charges,,476.784,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,488.88,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,443.52,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,326.592,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,508.8888,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,478.8,,,,percent of total billed charges,,403.2,,,,percent of total billed charges,,302.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92519-0920 CVEMP & OVEMP TESTING - CERVICAL & OCULAR,  W/INTER & REP",920,RC,,,,,inpatient,,,955,,477.5,573,964.2635,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,618.84,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,964.2635,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C1897 NEUROSTIMULATOR TEST-IMPLANT - CLINIC,278,RC,,,,,inpatient,,,4138,,2069,2482.8,4178.1386,3889.72,,,,percent of total billed charges,,3310.4,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3434.54,,,,percent of total billed charges,,3724.2,,,,percent of total billed charges,,3806.96,,,,percent of total billed charges,,3806.96,,,,percent of total billed charges,,3914.548,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,4013.86,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3641.44,,,,percent of total billed charges,,3724.2,,,,percent of total billed charges,,2681.424,,,,percent of total billed charges,,3724.2,,,,percent of total billed charges,,2482.8,,,,percent of total billed charges,,4178.1386,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3931.1,,,,percent of total billed charges,,3310.4,,,,percent of total billed charges,,2482.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG NEUROMOD EVALUATION FOR PNE,270,RC,,,,,inpatient,,,2233,,1116.5,1339.8,2254.6601,2099.02,,,,percent of total billed charges,,1786.4,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,1853.39,,,,percent of total billed charges,,2009.7,,,,percent of total billed charges,,2054.36,,,,percent of total billed charges,,2054.36,,,,percent of total billed charges,,2112.418,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,2166.01,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,1965.04,,,,percent of total billed charges,,2009.7,,,,percent of total billed charges,,1446.984,,,,percent of total billed charges,,2009.7,,,,percent of total billed charges,,1339.8,,,,percent of total billed charges,,2254.6601,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,2121.35,,,,percent of total billed charges,,1786.4,,,,percent of total billed charges,,1339.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28825-0510 AMPUTATION, TOE; INTERPHALANGEAL JOINT",510,RC,,,,,inpatient,,,9413,,4706.5,5647.8,9504.3061,8848.22,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7812.79,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8904.698,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,9130.61,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8283.44,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,6099.624,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,9504.3061,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58558-0510 HYSTEROSCOPY, W/BX ENDOMETRIUM &/OR POLYPECTOMY, W/ OR W/O D & C",510,RC,,,,,inpatient,,,8722,,4361,5233.2,8806.6034,8198.68,,,,percent of total billed charges,,6977.6,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,7239.26,,,,percent of total billed charges,,7849.8,,,,percent of total billed charges,,8024.24,,,,percent of total billed charges,,8024.24,,,,percent of total billed charges,,8251.012,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,8460.34,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,7675.36,,,,percent of total billed charges,,7849.8,,,,percent of total billed charges,,5651.856,,,,percent of total billed charges,,7849.8,,,,percent of total billed charges,,5233.2,,,,percent of total billed charges,,8806.6034,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,8285.9,,,,percent of total billed charges,,6977.6,,,,percent of total billed charges,,5233.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 22902-0510 EXCISION, TUMOR,  ABDOMINAL WALL, S.C.; < 3 CM",510,RC,,,,,inpatient,,,4676,,2338,2805.6,4721.3572,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3030.048,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4721.3572,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 32555-0510 THORACENTESIS, ASPIRATE PLEURA W/IMAGING",510,RC,,,,,inpatient,,,3574,,1787,2144.4,3608.6678,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2315.952,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3608.6678,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46050-0510 I&D, PERIANAL ABSCESS, SUPERFICIAL",510,RC,,,,,inpatient,,,2635,,1317.5,1581,2660.5595,2476.9,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2187.05,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2492.71,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2555.95,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2318.8,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,1707.48,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,2660.5595,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26011-0510 DRAINAGE OF FINGER ABSCESS; COMPLICATED,510,RC,,,,,inpatient,,,4676,,2338,2805.6,4721.3572,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3030.048,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4721.3572,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28820-0510 AMPUTATION, TOE; METATARSOPHALANGEAL JOINT",510,RC,,,,,inpatient,,,9413,,4706.5,5647.8,9504.3061,8848.22,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7812.79,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8659.96,,,,percent of total billed charges,,8904.698,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,9130.61,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8283.44,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,6099.624,,,,percent of total billed charges,,8471.7,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,9504.3061,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,8942.35,,,,percent of total billed charges,,7530.4,,,,percent of total billed charges,,5647.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13132-0510 CMPLX RPR F/C/C/M/N/AX/G/H/F; 2.6 CM TO 7.5 CM,510,RC,,,,,inpatient,,,1740,,870,1044,1756.878,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1127.52,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1756.878,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64418-0510 INJECT NERVE BLOCK, SUPRASCAP N.",510,RC,,,,,inpatient,,,2306,,1153,1383.6,2328.3682,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1494.288,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2328.3682,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67902-0510 REPAIR OF BLEPHAROPTOSIS (INCLUDES OBTAINING FASCIA),510,RC,,,,,inpatient,,,7725,,3862.5,4635,7799.9325,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,5005.8,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7799.9325,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96127-0510 BRIEF EMOTIONAL/BEHAVIORAL ASSMT.,510,RC,,,,,inpatient,,,128,,64,76.8,129.2416,120.32,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,106.24,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,117.76,,,,percent of total billed charges,,121.088,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,124.16,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,112.64,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,82.944,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,129.2416,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,121.6,,,,percent of total billed charges,,102.4,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28190-0510 REMOVAL OF FOREIGN BODY, FOOT; SUBQ",510,RC,,,,,inpatient,,,2068,,1034,1240.8,2088.0596,1943.92,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1716.44,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1956.328,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,2005.96,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1819.84,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1340.064,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,2088.0596,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 19020-0510 MASTOTOMY W/EXPLORATION OR DRAINAGE OF ABSCESS, DEEP",510,RC,,,,,inpatient,,,4676,,2338,2805.6,4721.3572,4395.44,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3881.08,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4301.92,,,,percent of total billed charges,,4423.496,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4535.72,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4114.88,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,3030.048,,,,percent of total billed charges,,4208.4,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,4721.3572,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,4442.2,,,,percent of total billed charges,,3740.8,,,,percent of total billed charges,,2805.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 49999-0361 UNLISTED PROC, ABDOMEN, PERITONEUM & OMENTUM",361,RC,,,,,inpatient,,,2662,,1331,1597.2,2687.8214,2502.28,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2209.46,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2449.04,,,,percent of total billed charges,,2518.252,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2582.14,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2342.56,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1724.976,,,,percent of total billed charges,,2395.8,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,2687.8214,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2528.9,,,,percent of total billed charges,,2129.6,,,,percent of total billed charges,,1597.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65222-0510 REM FB EYE, CORNEAL W/SLIT LAMP",510,RC,,,,,inpatient,,,308,,154,184.8,310.9876,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,310.9876,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11760-0510 REPAIR OF NAIL BED,510,RC,,,,,inpatient,,,1740,,870,1044,1756.878,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1127.52,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1756.878,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95927-0922 OR - SSEP - TRUNK OR HEAD,922,RC,,,,,inpatient,,,955,,477.5,573,964.2635,897.7,,,,percent of total billed charges,,764,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,792.65,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,878.6,,,,percent of total billed charges,,903.43,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,926.35,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,840.4,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,618.84,,,,percent of total billed charges,,859.5,,,,percent of total billed charges,,573,,,,percent of total billed charges,,964.2635,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,907.25,,,,percent of total billed charges,,764,,,,percent of total billed charges,,573,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG GRAFT JACKET 5 X 5 CM PER SQ CM; 25 UNITS,636,RC,,,,,inpatient,,,295,,147.5,177,297.8615,277.3,,,,percent of total billed charges,,236,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,244.85,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,271.4,,,,percent of total billed charges,,279.07,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,286.15,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,259.6,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,191.16,,,,percent of total billed charges,,265.5,,,,percent of total billed charges,,177,,,,percent of total billed charges,,297.8615,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,280.25,,,,percent of total billed charges,,236,,,,percent of total billed charges,,177,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64615-0510 CHEMODENERV MUSC MIGRAINE,510,RC,,,,,inpatient,,,966,,483,579.6,975.3702,908.04,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,801.78,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,888.72,,,,percent of total billed charges,,913.836,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,937.02,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,850.08,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,625.968,,,,percent of total billed charges,,869.4,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,975.3702,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,917.7,,,,percent of total billed charges,,772.8,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15823-0510 BLEPHAROPLASTY, UPPER EYELID",510,RC,,,,,inpatient,,,5693,,2846.5,3415.8,5748.2221,5351.42,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4725.19,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5237.56,,,,percent of total billed charges,,5385.578,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5522.21,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5009.84,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,3689.064,,,,percent of total billed charges,,5123.7,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,5748.2221,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,5408.35,,,,percent of total billed charges,,4554.4,,,,percent of total billed charges,,3415.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG AMNIOBAND ALLOGRAF 4 X 2 CM; PER SQ CM (8 UNITS),636,RC,,,,,inpatient,,,466,,233,279.6,470.5202,438.04,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,386.78,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,428.72,,,,percent of total billed charges,,440.836,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,452.02,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,410.08,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,301.968,,,,percent of total billed charges,,419.4,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,470.5202,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,442.7,,,,percent of total billed charges,,372.8,,,,percent of total billed charges,,279.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67908-0510 REPAIR EYELID DEFECT,510,RC,,,,,inpatient,,,5467,,2733.5,3280.2,5520.0299,5138.98,,,,percent of total billed charges,,4373.6,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,4537.61,,,,percent of total billed charges,,4920.3,,,,percent of total billed charges,,5029.64,,,,percent of total billed charges,,5029.64,,,,percent of total billed charges,,5171.782,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,5302.99,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,4810.96,,,,percent of total billed charges,,4920.3,,,,percent of total billed charges,,3542.616,,,,percent of total billed charges,,4920.3,,,,percent of total billed charges,,3280.2,,,,percent of total billed charges,,5520.0299,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,5193.65,,,,percent of total billed charges,,4373.6,,,,percent of total billed charges,,3280.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67710-0510 SEVERING OF TARSORRHAPHY,510,RC,,,,,inpatient,,,2692,,1346,1615.2,2718.1124,2530.48,,,,percent of total billed charges,,2153.6,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2234.36,,,,percent of total billed charges,,2422.8,,,,percent of total billed charges,,2476.64,,,,percent of total billed charges,,2476.64,,,,percent of total billed charges,,2546.632,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2611.24,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2368.96,,,,percent of total billed charges,,2422.8,,,,percent of total billed charges,,1744.416,,,,percent of total billed charges,,2422.8,,,,percent of total billed charges,,1615.2,,,,percent of total billed charges,,2718.1124,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2557.4,,,,percent of total billed charges,,2153.6,,,,percent of total billed charges,,1615.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 44340-0450 REVISION OF COLOSTOMY; SIMPLE,450,RC,,,,,inpatient,,,11581,,5790.5,6948.6,11693.3357,10886.14,,,,percent of total billed charges,,9264.8,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,9612.23,,,,percent of total billed charges,,10422.9,,,,percent of total billed charges,,10654.52,,,,percent of total billed charges,,10654.52,,,,percent of total billed charges,,10955.626,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,11233.57,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,10191.28,,,,percent of total billed charges,,10422.9,,,,percent of total billed charges,,7504.488,,,,percent of total billed charges,,10422.9,,,,percent of total billed charges,,6948.6,,,,percent of total billed charges,,11693.3357,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,11001.95,,,,percent of total billed charges,,9264.8,,,,percent of total billed charges,,6948.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58555-0510 HYSTEROSCOPY, DIAGNOSTIC",510,RC,,,,,inpatient,,,7794,,3897,4676.4,7869.6018,7326.36,,,,percent of total billed charges,,6235.2,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,6469.02,,,,percent of total billed charges,,7014.6,,,,percent of total billed charges,,7170.48,,,,percent of total billed charges,,7170.48,,,,percent of total billed charges,,7373.124,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,7560.18,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,6858.72,,,,percent of total billed charges,,7014.6,,,,percent of total billed charges,,5050.512,,,,percent of total billed charges,,7014.6,,,,percent of total billed charges,,4676.4,,,,percent of total billed charges,,7869.6018,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,7404.3,,,,percent of total billed charges,,6235.2,,,,percent of total billed charges,,4676.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36573-0450 INSJ PICC RS&I 5 YRS+,450,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99188-0510 APPLY TOPICAL FLUORIDE VARNISH - PHYS OR OTH HCP,510,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10180-0510 I & D, COMPLEX, POST -OP ABSCESS",510,RC,,,,,inpatient,,,7883,,3941.5,4729.8,7959.4651,7410.02,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6542.89,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7457.318,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7646.51,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6937.04,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,5108.184,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,7959.4651,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12001-0510 SIMPLE REPAIR SUPF WOUND < 2.5 CM,510,RC,,,,,inpatient,,,597,,298.5,358.2,602.7909,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,386.856,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,602.7909,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12002-0510 SIMPLE REPAIR SUPF WOUND 2.6-7.5 CM,510,RC,,,,,inpatient,,,597,,298.5,358.2,602.7909,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,386.856,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,602.7909,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12032-0510 INTERMEDIATE WOUND REPAIR 2.6-7.5 CM`,510,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12035-0510 INTERMEDIATE WOUND REPAIR 12.6-20 CM,510,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12044-0510 INTERMEDIATE WOUND REPAIR 7.6-12.5 CM,510,RC,,,,,inpatient,,,1740,,870,1044,1756.878,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1127.52,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1756.878,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12051-0510 INTERMEDIATE WOUND REPAIR < 2.5 CM,510,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20612-0510 ASPIRATION &/ OR INJ OF GANGLION CYST(S),510,RC,,,,,inpatient,,,870,,435,522,878.439,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,563.76,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,878.439,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 40830-0510 CLOSURE OF LACERATION, VESTIBULE OF MOUTH 2.5 CM OR <",510,RC,,,,,inpatient,,,704,,352,422.4,710.8288,661.76,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,584.32,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,647.68,,,,percent of total billed charges,,665.984,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,619.52,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,456.192,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,710.8288,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,668.8,,,,percent of total billed charges,,563.2,,,,percent of total billed charges,,422.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46600-0510 ANOSCOPY; DIAGNOSTIC, INCL COLLECTION OF SPECIMEN(S)",510,RC,,,,,inpatient,,,308,,154,184.8,310.9876,289.52,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,255.64,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,283.36,,,,percent of total billed charges,,291.368,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,298.76,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,271.04,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,310.9876,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,292.6,,,,percent of total billed charges,,246.4,,,,percent of total billed charges,,184.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54150-0510 CIRCUMCISION,510,RC,,,,,inpatient,,,5952,,2976,3571.2,6009.7344,5594.88,,,,percent of total billed charges,,4761.6,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,4940.16,,,,percent of total billed charges,,5356.8,,,,percent of total billed charges,,5475.84,,,,percent of total billed charges,,5475.84,,,,percent of total billed charges,,5630.592,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,5773.44,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,5237.76,,,,percent of total billed charges,,5356.8,,,,percent of total billed charges,,3856.896,,,,percent of total billed charges,,5356.8,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,6009.7344,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,5654.4,,,,percent of total billed charges,,4761.6,,,,percent of total billed charges,,3571.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55250-0510 REMOVAL OF SPERM DUCT(S),510,RC,,,,,inpatient,,,5890,,2945,3534,5947.133,5536.6,,,,percent of total billed charges,,4712,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,4888.7,,,,percent of total billed charges,,5301,,,,percent of total billed charges,,5418.8,,,,percent of total billed charges,,5418.8,,,,percent of total billed charges,,5571.94,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,5713.3,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,5183.2,,,,percent of total billed charges,,5301,,,,percent of total billed charges,,3816.72,,,,percent of total billed charges,,5301,,,,percent of total billed charges,,3534,,,,percent of total billed charges,,5947.133,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,5595.5,,,,percent of total billed charges,,4712,,,,percent of total billed charges,,3534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62270-0510 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC W/O GUIDE",510,RC,,,,,inpatient,,,2011,,1005.5,1206.6,2030.5067,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1303.128,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,2030.5067,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64400-0510 INJ TRIGEMINAL NERVE,510,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64405-0510 INJ GREATER OCCIPTAL NERVE,510,RC,,,,,inpatient,,,965,,482.5,579,974.3605,907.1,,,,percent of total billed charges,,772,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,800.95,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,912.89,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,936.05,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,849.2,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,625.32,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,579,,,,percent of total billed charges,,974.3605,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,772,,,,percent of total billed charges,,579,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64447-0510 INJ FEMORAL NERVE, SINGLE",510,RC,,,,,inpatient,,,2306,,1153,1383.6,2328.3682,2167.64,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1913.98,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2121.52,,,,percent of total billed charges,,2181.476,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2236.82,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2029.28,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1494.288,,,,percent of total billed charges,,2075.4,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,2328.3682,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,2190.7,,,,percent of total billed charges,,1844.8,,,,percent of total billed charges,,1383.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76376-0400 3D RENDERING W/ INTERP POSTPROCESSING,400,RC,,,,,inpatient,,,766,,383,459.6,773.4302,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,496.368,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,773.4302,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76377-0400 3D RENDERING W/ INTERP POSTPROCESSING,400,RC,,,,,inpatient,,,766,,383,459.6,773.4302,720.04,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,635.78,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,704.72,,,,percent of total billed charges,,724.636,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,743.02,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,674.08,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,496.368,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,773.4302,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,727.7,,,,percent of total billed charges,,612.8,,,,percent of total billed charges,,459.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96900-0940 ACTINOTHERAPY (UV LIGHT),940,RC,,,,,inpatient,,,96,,48,57.6,96.9312,90.24,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,79.68,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,88.32,,,,percent of total billed charges,,90.816,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,93.12,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,84.48,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,96.9312,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,91.2,,,,percent of total billed charges,,76.8,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36566-0361 INS TUNNEL CVA DEV 2 CATH 2 SITE W/ PORT,361,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51710-0361 COMPLICATED CYSTOSTOMY TUBE CHANGE,361,RC,,,,,inpatient,,,1464,,732,878.4,1478.2008,1376.16,,,,percent of total billed charges,,1171.2,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1215.12,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,1346.88,,,,percent of total billed charges,,1346.88,,,,percent of total billed charges,,1384.944,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1420.08,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1288.32,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,948.672,,,,percent of total billed charges,,1317.6,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,1478.2008,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1390.8,,,,percent of total billed charges,,1171.2,,,,percent of total billed charges,,878.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13120-0510 CMPLX RPR S/A/L 1.1-2.5 CM,510,RC,,,,,inpatient,,,1496,,748,897.6,1510.5112,1406.24,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1241.68,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1376.32,,,,percent of total billed charges,,1415.216,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1451.12,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1316.48,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,969.408,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,1510.5112,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1421.2,,,,percent of total billed charges,,1196.8,,,,percent of total billed charges,,897.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15853-0761 REMOVE SUTURES OR STAPLES XREQ ANES,761,RC,,,,,inpatient,,,524,,262,314.4,529.0828,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,339.552,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,529.0828,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15854-0761 REMOVE SUTURES AND STAPLES XREQ ANES,761,RC,,,,,inpatient,,,524,,262,314.4,529.0828,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,339.552,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,529.0828,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15853-0361 REMOVE SUTURES OR STAPLES XREQ ANES,361,RC,,,,,inpatient,,,524,,262,314.4,529.0828,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,339.552,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,529.0828,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15854-0510 REMOVE SUTURES AND STAPLES XREQ ANES,510,RC,,,,,inpatient,,,524,,262,314.4,529.0828,492.56,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,482.08,,,,percent of total billed charges,,495.704,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,508.28,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,461.12,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,339.552,,,,percent of total billed charges,,471.6,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,529.0828,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,497.8,,,,percent of total billed charges,,419.2,,,,percent of total billed charges,,314.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64633-0510 DESTRUCT CERVICAL/THORAC, SINGLE JT",510,RC,,,,,inpatient,,,5866,,2933,3519.6,5922.9002,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3801.168,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5922.9002,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64634-0510 DESTRUCT CERVICAL/THORAC, EA ADD'L JT",510,RC,,,,,inpatient,,,2292,,1146,1375.2,2314.2324,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1485.216,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2314.2324,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62370-0510 REFILL/REPROGRAM IT PAIN PUMP,510,RC,,,,,inpatient,,,843,,421.5,505.8,851.1771,792.42,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,699.69,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,775.56,,,,percent of total billed charges,,797.478,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,817.71,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,741.84,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,546.264,,,,percent of total billed charges,,758.7,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,851.1771,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,800.85,,,,percent of total billed charges,,674.4,,,,percent of total billed charges,,505.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY AM XT EXTRA FENESTRATED 3 X 4 CM; PER SQ CM (12 UNITS),636,RC,,,,,inpatient,,,361,,180.5,216.6,364.5017,339.34,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,299.63,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,332.12,,,,percent of total billed charges,,341.506,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,350.17,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,317.68,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,233.928,,,,percent of total billed charges,,324.9,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,364.5017,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,342.95,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,216.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY AM XT EXTRA FENESTRATED 4 X 4 CM; PER SQ CM (16 UNITS),636,RC,,,,,inpatient,,,323,,161.5,193.8,326.1331,303.62,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,268.09,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,297.16,,,,percent of total billed charges,,305.558,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,313.31,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,284.24,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,209.304,,,,percent of total billed charges,,290.7,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,326.1331,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,306.85,,,,percent of total billed charges,,258.4,,,,percent of total billed charges,,193.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68440-0510 SNIP INCISION OF LACRIMAL PUNCTUM,510,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68810-0510 PROBE NASOLACRIMAL DUCT,510,RC,,,,,inpatient,,,694,,347,416.4,700.7318,652.36,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,576.02,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,638.48,,,,percent of total billed charges,,656.524,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,673.18,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,610.72,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,449.712,,,,percent of total billed charges,,624.6,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,700.7318,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,659.3,,,,percent of total billed charges,,555.2,,,,percent of total billed charges,,416.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20220-0510 BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL",510,RC,,,,,inpatient,,,3269,,1634.5,1961.4,3300.7093,3072.86,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2713.27,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3007.48,,,,percent of total billed charges,,3092.474,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3170.93,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2876.72,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,2118.312,,,,percent of total billed charges,,2942.1,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,3300.7093,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,3105.55,,,,percent of total billed charges,,2615.2,,,,percent of total billed charges,,1961.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 35875-0361 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT,361,RC,,,,,inpatient,,,10078,,5039,6046.8,10175.7566,9473.32,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8364.74,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9271.76,,,,percent of total billed charges,,9533.788,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9775.66,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8868.64,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6530.544,,,,percent of total billed charges,,9070.2,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,10175.7566,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,9574.1,,,,percent of total billed charges,,8062.4,,,,percent of total billed charges,,6046.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64616-0510 CHEMODENERVATION NECK MUSCLES,510,RC,,,,,inpatient,,,1056,,528,633.6,1066.2432,992.64,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,876.48,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,971.52,,,,percent of total billed charges,,998.976,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1024.32,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,929.28,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,684.288,,,,percent of total billed charges,,950.4,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,1066.2432,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,1003.2,,,,percent of total billed charges,,844.8,,,,percent of total billed charges,,633.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64635-0510 DESTROY LUMB/SAC FACET JNT,510,RC,,,,,inpatient,,,5866,,2933,3519.6,5922.9002,5514.04,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4868.78,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5396.72,,,,percent of total billed charges,,5549.236,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5690.02,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5162.08,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3801.168,,,,percent of total billed charges,,5279.4,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,5922.9002,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,5572.7,,,,percent of total billed charges,,4692.8,,,,percent of total billed charges,,3519.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64636-0510 DESTRUCT LUMBAR/ SACRAL, EACH ADDL.",510,RC,,,,,inpatient,,,2292,,1146,1375.2,2314.2324,2154.48,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1902.36,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2108.64,,,,percent of total billed charges,,2168.232,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2223.24,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2016.96,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1485.216,,,,percent of total billed charges,,2062.8,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,2314.2324,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,2177.4,,,,percent of total billed charges,,1833.6,,,,percent of total billed charges,,1375.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64483-0510 INJ. FORAMEN EPIDURAL L/S,510,RC,,,,,inpatient,,,2930,,1465,1758,2958.421,2754.2,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2431.9,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2695.6,,,,percent of total billed charges,,2771.78,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2842.1,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2578.4,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1898.64,,,,percent of total billed charges,,2637,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,2958.421,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2783.5,,,,percent of total billed charges,,2344,,,,percent of total billed charges,,1758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64492-0510 INJ PARAVERT F JNT C/T 3 LEV,510,RC,,,,,inpatient,,,1811,,905.5,1086.6,1828.5667,1702.34,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1503.13,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1666.12,,,,percent of total billed charges,,1713.206,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1756.67,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1593.68,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1173.528,,,,percent of total billed charges,,1629.9,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,1828.5667,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1720.45,,,,percent of total billed charges,,1448.8,,,,percent of total billed charges,,1086.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58120-0510 DILATION & CURETTAGE, DIAGN &/OR THERAP, NONOBS",510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58120-0361 DILATION & CURETTAGE, DIAGN &/OR THERAP, NONOBS",361,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51785-0510 NEEDLE ELECTROMOGRAPHY; OF ANAL OR URETHRAL SPHINCTER,510,RC,,,,,inpatient,,,985,,492.5,591,994.5545,925.9,,,,percent of total billed charges,,788,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,817.55,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,906.2,,,,percent of total billed charges,,931.81,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,955.45,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,866.8,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,638.28,,,,percent of total billed charges,,886.5,,,,percent of total billed charges,,591,,,,percent of total billed charges,,994.5545,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,935.75,,,,percent of total billed charges,,788,,,,percent of total billed charges,,591,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 53200-0510 BIOPSY OF URETHRA,510,RC,,,,,inpatient,,,5638,,2819,3382.8,5692.6886,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3653.424,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5692.6886,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 54700-0510 INCISION & DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROT",510,RC,,,,,inpatient,,,5638,,2819,3382.8,5692.6886,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3653.424,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5692.6886,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 61070-0510 INJ/ASP SHUNT TUBING,510,RC,,,,,inpatient,,,2288,,1144,1372.8,2310.1936,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1482.624,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2310.1936,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0510 INJECT EPIDURAL PATCH,510,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62320-0510 INJ INTERLAMINAR CERVICAL/THRC,510,RC,,,,,inpatient,,,2525,,1262.5,1515,2549.4925,2373.5,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2095.75,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2323,,,,percent of total billed charges,,2388.65,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2449.25,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2222,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1636.2,,,,percent of total billed charges,,2272.5,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,2549.4925,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2398.75,,,,percent of total billed charges,,2020,,,,percent of total billed charges,,1515,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62321-0510 INJ INTERLAMINAR CERVICAL/THRC W/ GUIDE,510,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63650-0510 PERC IMPLANT NEURO STIM ELECTRODES,510,RC,,,,,inpatient,,,7246,,3623,4347.6,7316.2862,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4695.408,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,7316.2862,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63688-0510 REVISE/REMOVE NEURORECEIVER,510,RC,,,,,inpatient,,,6652,,3326,3991.2,6716.5244,6252.88,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5521.16,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6292.792,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6452.44,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5853.76,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,4310.496,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,6716.5244,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64461-0510 PVB THORACIC SINGLE INJ SITE,510,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64480-0510 INJ FORAMEN EPIDURAL ADD-ON,510,RC,,,,,inpatient,,,2219,,1109.5,1331.4,2240.5243,2085.86,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1841.77,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2041.48,,,,percent of total billed charges,,2099.174,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2152.43,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1952.72,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1437.912,,,,percent of total billed charges,,1997.1,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,2240.5243,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,2108.05,,,,percent of total billed charges,,1775.2,,,,percent of total billed charges,,1331.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64484-0510 INJ FORAMEN EPIDURAL ADD-ON,510,RC,,,,,inpatient,,,1850,,925,1110,1867.945,1739,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1535.5,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1702,,,,percent of total billed charges,,1750.1,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1794.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1628,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1665,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,1867.945,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1757.5,,,,percent of total billed charges,,1480,,,,percent of total billed charges,,1110,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64486-0510 TAP BLOCK UNIL BY INJECTION,510,RC,,,,,inpatient,,,2972,,1486,1783.2,3000.8284,2793.68,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2466.76,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2734.24,,,,percent of total billed charges,,2811.512,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2882.84,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2615.36,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1925.856,,,,percent of total billed charges,,2674.8,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,3000.8284,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2823.4,,,,percent of total billed charges,,2377.6,,,,percent of total billed charges,,1783.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64488-0510 TAP BLOCK BILATERAL INJECTION,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64495-0510 INJ PARAVERT F JNT L/S 3 LEV,510,RC,,,,,inpatient,,,1273,,636.5,763.8,1285.3481,1196.62,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1056.59,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1171.16,,,,percent of total billed charges,,1204.258,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1234.81,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1120.24,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,824.904,,,,percent of total billed charges,,1145.7,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,1285.3481,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1209.35,,,,percent of total billed charges,,1018.4,,,,percent of total billed charges,,763.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64510-0510 N BLOCK STELLATE GANGLION,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64517-0510 N BLOCK INJ HYPOGAS PLEXUS,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64520-0510 N BLOCK LUMBAR/THORACIC,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64530-0510 N BLOCK INJ CELIAC PELUS,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64680-0510 RFA CELIAC PLEXUS,510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64999-0510 UNLISTED PROCEDURE, NERVOUS SYSTEM",510,RC,,,,,inpatient,,,876,,438,525.6,884.4972,823.44,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,727.08,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,805.92,,,,percent of total billed charges,,828.696,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,849.72,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,770.88,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,567.648,,,,percent of total billed charges,,788.4,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,884.4972,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,832.2,,,,percent of total billed charges,,700.8,,,,percent of total billed charges,,525.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0259-0510 INJ SACROILIAC JT FOR ARTHO,510,RC,,,,,inpatient,,,2156,,1078,1293.6,2176.9132,2026.64,,,,percent of total billed charges,,1724.8,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,1789.48,,,,percent of total billed charges,,1940.4,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,1983.52,,,,percent of total billed charges,,2039.576,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,2091.32,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,1897.28,,,,percent of total billed charges,,1940.4,,,,percent of total billed charges,,1397.088,,,,percent of total billed charges,,1940.4,,,,percent of total billed charges,,1293.6,,,,percent of total billed charges,,2176.9132,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,2048.2,,,,percent of total billed charges,,1724.8,,,,percent of total billed charges,,1293.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CHEMO ADM. INTRALESIONAL 1-7 LES.,510,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96416-0510 PROLONGED CHEMO IV INFUSION; > 8 HOURS,510,RC,,,,,inpatient,,,1101,,550.5,660.6,1111.6797,1034.94,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,913.83,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1012.92,,,,percent of total billed charges,,1041.546,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1067.97,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,968.88,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,713.448,,,,percent of total billed charges,,990.9,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,1111.6797,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,1045.95,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,660.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96417-0510 CHEMO,IV INF,EACH ADDITIONAL 1 HOUR",335,RC,,,,,inpatient,,,431,,215.5,258.6,435.1807,405.14,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,357.73,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,396.52,,,,percent of total billed charges,,407.726,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,418.07,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,379.28,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,279.288,,,,percent of total billed charges,,387.9,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,435.1807,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,409.45,,,,percent of total billed charges,,344.8,,,,percent of total billed charges,,258.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96521-0510 REFIL & MAINT. OF PORTABLE PUMP,510,RC,,,,,inpatient,,,816,,408,489.6,823.9152,767.04,,,,percent of total billed charges,,652.8,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,677.28,,,,percent of total billed charges,,734.4,,,,percent of total billed charges,,750.72,,,,percent of total billed charges,,750.72,,,,percent of total billed charges,,771.936,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,791.52,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,718.08,,,,percent of total billed charges,,734.4,,,,percent of total billed charges,,528.768,,,,percent of total billed charges,,734.4,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,823.9152,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,775.2,,,,percent of total billed charges,,652.8,,,,percent of total billed charges,,489.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 87808 RAPID TRICHOMONAS ASSAY TEST W/OPTIC,306,RC,,,,,inpatient,,,48,,24,28.8,48.4656,45.12,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,39.84,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,44.16,,,,percent of total billed charges,,45.408,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,46.56,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,42.24,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,48.4656,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,45.6,,,,percent of total billed charges,,38.4,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 87905 SIALIDASE ENZYME ASSAY - POC TEST,306,RC,,,,,inpatient,,,38,,19,22.8,38.3686,35.72,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,31.54,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,34.96,,,,percent of total billed charges,,35.948,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.86,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,24.624,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,38.3686,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,36.1,,,,percent of total billed charges,,30.4,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10140-0510 I&D HEMATOMA,510,RC,,,,,inpatient,,,2919,,1459.5,1751.4,2947.3143,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1891.512,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2947.3143,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11106-0361 INCISIONAL BIOPSY SKIN; SINGLE LESION,361,RC,,,,,inpatient,,,1332,,666,799.2,1344.9204,1252.08,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1105.56,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1225.44,,,,percent of total billed charges,,1260.072,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1292.04,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1172.16,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,863.136,,,,percent of total billed charges,,1198.8,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,1344.9204,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1265.4,,,,percent of total billed charges,,1065.6,,,,percent of total billed charges,,799.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11107-0361 INCISIONAL BIOPSY SKIN; ADDL LESION,361,RC,,,,,inpatient,,,665,,332.5,399,671.4505,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,430.92,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,671.4505,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12052-0510 REPAIR INTER MED FACE2.6-5CM,510,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13151-0510 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14000-0510 ADJACENT TISSUE TRANSFER, TRUNK; DEFECT 10 SQ CM/<",510,RC,,,,,inpatient,,,5246,,2623,3147.6,5296.8862,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3399.408,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,5296.8862,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14001-0510 ADJACENT TISSUE TRANSFER, TRUNK; DEFECT 10.1-30 SQ CM",510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14021-0510 ADJ TISSUE TRANSFER, SCLP, ARM, LEG; DEFECT 10.1-30 SQ CM",510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14041-0510 TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10.1-30 SQ CM,510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14060-0510 ADJ TISSUE TRANSFER, EYELID, NOSE, EAR, LIP; DEFECT 10 SQ CM/<",510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 14301-0510 ADJ TISSUE TRANSFER, ANY AREA; DEFECT 30.1 TO 60.0 SQ CM",510,RC,,,,,inpatient,,,9792,,4896,5875.2,9886.9824,9204.48,,,,percent of total billed charges,,7833.6,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,8127.36,,,,percent of total billed charges,,8812.8,,,,percent of total billed charges,,9008.64,,,,percent of total billed charges,,9008.64,,,,percent of total billed charges,,9263.232,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,9498.24,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,8616.96,,,,percent of total billed charges,,8812.8,,,,percent of total billed charges,,6345.216,,,,percent of total billed charges,,8812.8,,,,percent of total billed charges,,5875.2,,,,percent of total billed charges,,9886.9824,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,9302.4,,,,percent of total billed charges,,7833.6,,,,percent of total billed charges,,5875.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15240-0510 SKIN FULL GRFT FACE/GENIT/HF, 20 SQCM OR LESS",510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15260-0510 FULL THICKNESS GRAFT; EEN & LIPS; 20 SQ CM OR LESS,510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15760-0510 COMPOSITE GRAFT; INCL PRIM CLOS; DONOR AREA,510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17266-0510 DEST, MALIG LESION, TRUNK/ARMS/LEGS; LESION DIAM > 4.0CM",510,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17311-0510 MOHS MICRO TECHNIQUE, 1ST STAGE, UP TO 5 TISSUE BLOCKS",510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17312-0510 MOHS MICRO TECHNIQUE, EA ADDL STAGE, UP TO 5 TISSUE BLOCKS",510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17313-0510 MOHS MICRO TECHNIQUE, 1ST STAGE, UP TO 5 SPEC OF TRUNK/ARMS/LEGS",510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17314-0510 MOHS MICRO TECHNIQUE, EA ADDL STAGE, UP TO 5 SPEC OF TRUNK/ARMS/LEGS",510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40820-0510 DESTRUCT LESION/SCAR VESTIBULE MOUTH BY PHYSICAL METHODS,510,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54100-0510 BIOPSY OF PENIS,510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64653-0510 CHEMODENERV ECCRINE GLANDS, PER DAY",510,RC,,,,,inpatient,,,827,,413.5,496.2,835.0219,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,535.896,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,835.0219,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96920-0510 LASER TREATMENT FOR PSORIASIS; TOTAL AREA < 250 SQ CM,510,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96999-0510 UNLISTED SPECIAL DERMATOLOGY PROCEDURE,510,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 22899-0510 UNLISTED PROCEDURE, SPINE",510,RC,,,,,inpatient,,,623,,311.5,373.8,629.0431,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,629.0431,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24066-0510 BIOPSY, SOFT TISSUE OF UPPER ARM/ELBOW; DEEP",510,RC,,,,,inpatient,,,7852,,3926,4711.2,7928.1644,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,5088.096,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7928.1644,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24359-0510 TENOTOMY, REPAIR ELBOW DEB/ATTACH OPEN",510,RC,,,,,inpatient,,,8165,,4082.5,4899,8244.2005,7675.1,,,,percent of total billed charges,,6532,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,6776.95,,,,percent of total billed charges,,7348.5,,,,percent of total billed charges,,7511.8,,,,percent of total billed charges,,7511.8,,,,percent of total billed charges,,7724.09,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,7920.05,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,7185.2,,,,percent of total billed charges,,7348.5,,,,percent of total billed charges,,5290.92,,,,percent of total billed charges,,7348.5,,,,percent of total billed charges,,4899,,,,percent of total billed charges,,8244.2005,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,7756.75,,,,percent of total billed charges,,6532,,,,percent of total billed charges,,4899,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24565-0510 CLOSED TREATMENT, BROKEN ELBOW, MEDIAL OR LATERAL, W/ MANIP",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25000-0510 INCISION, EXTENSOR TENDON, WRIST",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25075-0510 EXCISION, TUMOR, SOFT TISSUE OF FOREARM/WRIST < 3CM",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25111-0510 EXCISION OF GANGLION WRIST, PRIMARY",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25112-0510 EXCISION OF GANGLION WRIST, RECURRENT",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26045-0510 FASCIOTOMY, PALMAR; OPEN, PARTIAL",510,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26111-0510 EXC TUM OR VASC MALFORMATION, S.C; 1.5 CM OR GREATER",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26121-0510 FASCIOTOMY, PALM OR FINGER",510,RC,,,,,inpatient,,,8959,,4479.5,5375.4,9045.9023,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5805.432,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,9045.9023,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26210-0510 EXCISION OF BONE CIST/BENIGN TUMOR OF FINGER,510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26236-0510 PARTIAL EXCISION BONE; DISTAL PHALANX FINGER,510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26320-0510 REMOVAL OF IMPLANT, FINGER/HAND",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26418-0510 REPAIR EXTENSOR TENDON FINGER,510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26445-0510 TENOLYSIS, EXTENSOR TENDON, HAND/FINGER, EA TENDON",510,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26951-0510 AMPUTATION, FINGER OR THUMB, W/ DIRECT CLOSURE",510,RC,,,,,inpatient,,,8206,,4103,4923.6,8285.5982,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,5317.488,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,8285.5982,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26952-0510 AMPUTATION, FINGER OR THUMB, W/ LOCAL ADV FLAPS",510,RC,,,,,inpatient,,,8206,,4103,4923.6,8285.5982,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,5317.488,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,8285.5982,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27605-0510 TENOTOMY, PERC, ACHILLES, LOCAL ANES",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27606-0510 TENOTOMY, PERC, ACHILLES, GEN ANES",510,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28039-0510 EXC, TUMOR, SOFT TISS OF FOOT/TOE, SUBQ 1.5 CM>",510,RC,,,,,inpatient,,,7852,,3926,4711.2,7928.1644,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,5088.096,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7928.1644,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28043-0510 EXC FOOT/TOE TUM SC < 1.5 CM,510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29086-0510 APPLICATION CAST, FINGER",510,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29435-0510 APPLICATION CAST, PATELLAR TENDON BEARING (PTB)",510,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29450-0510 APPLICATION CLUBFOOT CAST W/ MOLDING/MANIPULATION,510,RC,,,,,inpatient,,,442,,221,265.2,446.2874,415.48,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,366.86,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,406.64,,,,percent of total billed charges,,418.132,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,428.74,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,388.96,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,286.416,,,,percent of total billed charges,,397.8,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,446.2874,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,419.9,,,,percent of total billed charges,,353.6,,,,percent of total billed charges,,265.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64718-0510 NEUROPLASTY/TRANSPOSITION, ULNAR NERVE ELBOW",510,RC,,,,,inpatient,,,5463,,2731.5,3277.8,5515.9911,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3540.024,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5515.9911,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64721-0510 NEUROPLASTY/TRANSPOSITION, CARPAL TUNNEL",510,RC,,,,,inpatient,,,5463,,2731.5,3277.8,5515.9911,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3540.024,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5515.9911,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG BRONCHOSCOPE FLEX ADULT (NORMAL, LG, EXTRA)",272,RC,,,,,inpatient,,,1076,,538,645.6,1086.4372,1011.44,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,893.08,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,989.92,,,,percent of total billed charges,,1017.896,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1043.72,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,946.88,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,697.248,,,,percent of total billed charges,,968.4,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,1086.4372,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,1022.2,,,,percent of total billed charges,,860.8,,,,percent of total billed charges,,645.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51600-0510 INJECTION FOR BLADDER X-RAY,510,RC,,,,,inpatient,,,1683,,841.5,1009.8,1699.3251,1582.02,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1396.89,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1548.36,,,,percent of total billed charges,,1592.118,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1632.51,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1481.04,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1090.584,,,,percent of total billed charges,,1514.7,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,1699.3251,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1598.85,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1009.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52204-0510 CYSTOURETHROSCOPY W/ BIOPSY,510,RC,,,,,inpatient,,,4637,,2318.5,2782.2,4681.9789,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3004.776,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4681.9789,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52287-0510 CYSTOURETHROSCOPY W/ INJ CHEMODENERVATION,510,RC,,,,,inpatient,,,4637,,2318.5,2782.2,4681.9789,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3004.776,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4681.9789,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56441-0510 LYSIS OF LABIAL ADHESIONS,510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56441-0510 EXCISION OF BARTHOLINS GLAND/CYST,510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57135-0510 EXCISION OF VAGINAL CYST/TUMOR,510,RC,,,,,inpatient,,,8510,,4255,5106,8592.547,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5514.48,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,8592.547,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 58999-0510 UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM",510,RC,,,,,inpatient,,,535,,267.5,321,540.1895,502.9,,,,percent of total billed charges,,428,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,444.05,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,492.2,,,,percent of total billed charges,,506.11,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,518.95,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,470.8,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,346.68,,,,percent of total billed charges,,481.5,,,,percent of total billed charges,,321,,,,percent of total billed charges,,540.1895,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,508.25,,,,percent of total billed charges,,428,,,,percent of total billed charges,,321,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59000-0510 AMNIOCENTESIS, DIAGNOSTIC",510,RC,,,,,inpatient,,,2138,,1069,1282.8,2158.7386,2009.72,,,,percent of total billed charges,,1710.4,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,1774.54,,,,percent of total billed charges,,1924.2,,,,percent of total billed charges,,1966.96,,,,percent of total billed charges,,1966.96,,,,percent of total billed charges,,2022.548,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,2073.86,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,1881.44,,,,percent of total billed charges,,1924.2,,,,percent of total billed charges,,1385.424,,,,percent of total billed charges,,1924.2,,,,percent of total billed charges,,1282.8,,,,percent of total billed charges,,2158.7386,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,2031.1,,,,percent of total billed charges,,1710.4,,,,percent of total billed charges,,1282.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64555-0510 IMPLANT NEUROSTIMULATOR ELECTRODE, PERIPHERAL NERVE",510,RC,,,,,inpatient,,,7246,,3623,4347.6,7316.2862,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4695.408,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,7316.2862,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64561-0510 IMPLANT NEUROSTIMULATOR ELECTRODE, SACRAL NERVE",510,RC,,,,,inpatient,,,7246,,3623,4347.6,7316.2862,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4695.408,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,7316.2862,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76817-0510 TRANSVAGINAL ULTRASOUND,510,RC,,,,,inpatient,,,904,,452,542.4,912.7688,849.76,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,750.32,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,831.68,,,,percent of total billed charges,,855.184,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,876.88,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,795.52,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,585.792,,,,percent of total billed charges,,813.6,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,912.7688,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,858.8,,,,percent of total billed charges,,723.2,,,,percent of total billed charges,,542.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10120-0510 REMV FOREIGN BODY SQ,510,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21450-0510 CLOSED TREATMENT MANDIBULAR FRACTURE, W/O MANIP",510,RC,,,,,inpatient,,,1388,,694,832.8,1401.4636,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,899.424,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1401.4636,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49083-0510 ABD PARACENTESIS W/ IMAGING,510,RC,,,,,inpatient,,,3009,,1504.5,1805.4,3038.1873,2828.46,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2497.47,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2846.514,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2918.73,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2647.92,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1949.832,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,3038.1873,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43999-0510 UNLISTED PROCEDURE, STOMACH",510,RC,,,,,inpatient,,,2485,,1242.5,1491,2509.1045,2335.9,,,,percent of total billed charges,,1988,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2062.55,,,,percent of total billed charges,,2236.5,,,,percent of total billed charges,,2286.2,,,,percent of total billed charges,,2286.2,,,,percent of total billed charges,,2350.81,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2410.45,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2186.8,,,,percent of total billed charges,,2236.5,,,,percent of total billed charges,,1610.28,,,,percent of total billed charges,,2236.5,,,,percent of total billed charges,,1491,,,,percent of total billed charges,,2509.1045,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,2360.75,,,,percent of total billed charges,,1988,,,,percent of total billed charges,,1491,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62252-0510 CSF SHUNT REPROGRAM,510,RC,,,,,inpatient,,,925,,462.5,555,933.9725,869.5,,,,percent of total billed charges,,740,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,767.75,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,851,,,,percent of total billed charges,,851,,,,percent of total billed charges,,875.05,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,897.25,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,814,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,555,,,,percent of total billed charges,,933.9725,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,740,,,,percent of total billed charges,,555,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64605-0510 DESTRUCT NEUROLYTIC AGENT, TRIGEMINAL NERVE",510,RC,,,,,inpatient,,,5463,,2731.5,3277.8,5515.9911,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3540.024,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5515.9911,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64611-0510 CHEMODENERVATION PAROTID/SUB SALIVARY GLANDS, BIL",510,RC,,,,,inpatient,,,819,,409.5,491.4,826.9443,769.86,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,679.77,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,753.48,,,,percent of total billed charges,,774.774,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,794.43,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,720.72,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,530.712,,,,percent of total billed charges,,737.1,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,826.9443,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,778.05,,,,percent of total billed charges,,655.2,,,,percent of total billed charges,,491.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64617-0510 CHEMODENERV MUSCLE LARYNX EMG,510,RC,,,,,inpatient,,,1958,,979,1174.8,1976.9926,1840.52,,,,percent of total billed charges,,1566.4,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1625.14,,,,percent of total billed charges,,1762.2,,,,percent of total billed charges,,1801.36,,,,percent of total billed charges,,1801.36,,,,percent of total billed charges,,1852.268,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1899.26,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1723.04,,,,percent of total billed charges,,1762.2,,,,percent of total billed charges,,1268.784,,,,percent of total billed charges,,1762.2,,,,percent of total billed charges,,1174.8,,,,percent of total billed charges,,1976.9926,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1860.1,,,,percent of total billed charges,,1566.4,,,,percent of total billed charges,,1174.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11980-0510 SUBC HORMONE PELLET IMPLANT,510,RC,,,,,inpatient,,,1148,,574,688.8,1159.1356,1079.12,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,952.84,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1086.008,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1113.56,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1010.24,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,743.904,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,1159.1356,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 19357-0510 TISSUE EXPAND PLCEMNT BREAST RECONSTRUCT W/ SUBSQ EXP,510,RC,,,,,inpatient,,,16712,,8356,10027.2,16874.1064,15709.28,,,,percent of total billed charges,,13369.6,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,13870.96,,,,percent of total billed charges,,15040.8,,,,percent of total billed charges,,15375.04,,,,percent of total billed charges,,15375.04,,,,percent of total billed charges,,15809.552,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,16210.64,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,14706.56,,,,percent of total billed charges,,15040.8,,,,percent of total billed charges,,10829.376,,,,percent of total billed charges,,15040.8,,,,percent of total billed charges,,10027.2,,,,percent of total billed charges,,16874.1064,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,15876.4,,,,percent of total billed charges,,13369.6,,,,percent of total billed charges,,10027.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45303-0510 PROCTOSIGMOIDOSCOPY W/ DILATION,510,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54162-0510 LYSIS/EXCISION PENILE CIRCUM ADHESION,510,RC,,,,,inpatient,,,5638,,2819,3382.8,5692.6886,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3653.424,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5692.6886,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52234-0510 CYSTOURETHROSCOPY W/ FULGURATION,510,RC,,,,,inpatient,,,8013,,4006.5,4807.8,8090.7261,7532.22,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6650.79,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7580.298,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7772.61,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7051.44,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,5192.424,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,8090.7261,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52601-0510 TRANSURETHRAL ELECTROSURG RESECTION PROSTATE,510,RC,,,,,inpatient,,,10096,,5048,6057.6,10193.9312,9490.24,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8379.68,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9288.32,,,,percent of total billed charges,,9550.816,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9793.12,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8884.48,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6542.208,,,,percent of total billed charges,,9086.4,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,10193.9312,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,9591.2,,,,percent of total billed charges,,8076.8,,,,percent of total billed charges,,6057.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10035-0510 PL SOFT TISSUE DEV 1ST,510,RC,,,,,inpatient,,,2521,,1260.5,1512.6,2545.4537,2369.74,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2092.43,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2319.32,,,,percent of total billed charges,,2384.866,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2445.37,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2218.48,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,1633.608,,,,percent of total billed charges,,2268.9,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,2545.4537,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2394.95,,,,percent of total billed charges,,2016.8,,,,percent of total billed charges,,1512.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13160-0510 SECD CLOS SURG WND EXTEN/COMPLIC,510,RC,,,,,inpatient,,,5246,,2623,3147.6,5296.8862,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3399.408,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,5296.8862,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16000-0510 INIT BURN TX 1ST DEG,510,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 19001-0510 ASPRIATION CYST, BREAST ADDIT",510,RC,,,,,inpatient,,,776,,388,465.6,783.5272,729.44,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,644.08,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,713.92,,,,percent of total billed charges,,734.096,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,752.72,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,682.88,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,502.848,,,,percent of total billed charges,,698.4,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,783.5272,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,737.2,,,,percent of total billed charges,,620.8,,,,percent of total billed charges,,465.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20206-0510 NEEDLE BIOPSY, MUSCLE",510,RC,,,,,inpatient,,,2091,,1045.5,1254.6,2111.2827,1965.54,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1735.53,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1923.72,,,,percent of total billed charges,,1978.086,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,2028.27,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1840.08,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1354.968,,,,percent of total billed charges,,1881.9,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,2111.2827,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1986.45,,,,percent of total billed charges,,1672.8,,,,percent of total billed charges,,1254.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32556-0510 PLEURAL DRAINAGE,510,RC,,,,,inpatient,,,3919,,1959.5,2351.4,3957.0143,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2539.512,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3957.0143,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32560-0510 TREAT PLEURODESIS W/AGENT,510,RC,,,,,inpatient,,,1801,,900.5,1080.6,1818.4697,1692.94,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1494.83,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1656.92,,,,percent of total billed charges,,1703.746,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1746.97,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1584.88,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1167.048,,,,percent of total billed charges,,1620.9,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,1818.4697,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1710.95,,,,percent of total billed charges,,1440.8,,,,percent of total billed charges,,1080.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32561-0510 LYSE CHEST FIBRIN; INITIAL DAY,510,RC,,,,,inpatient,,,1265,,632.5,759,1277.2705,1189.1,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1049.95,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1163.8,,,,percent of total billed charges,,1196.69,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1227.05,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1113.2,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,819.72,,,,percent of total billed charges,,1138.5,,,,percent of total billed charges,,759,,,,percent of total billed charges,,1277.2705,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1201.75,,,,percent of total billed charges,,1012,,,,percent of total billed charges,,759,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33208-0510 INSERT PACEMAKER W/ TRANSVEN EL AV SEQ,510,RC,,,,,inpatient,,,10122,,5061,6073.2,10220.1834,9514.68,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8401.26,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9312.24,,,,percent of total billed charges,,9575.412,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9818.34,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8907.36,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6559.056,,,,percent of total billed charges,,9109.8,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,10220.1834,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,9615.9,,,,percent of total billed charges,,8097.6,,,,percent of total billed charges,,6073.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36522-0510 PHOTOPHERESIS,510,RC,,,,,inpatient,,,12520,,6260,7512,12641.444,11768.8,,,,percent of total billed charges,,10016,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,10391.6,,,,percent of total billed charges,,11268,,,,percent of total billed charges,,11518.4,,,,percent of total billed charges,,11518.4,,,,percent of total billed charges,,11843.92,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,12144.4,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,11017.6,,,,percent of total billed charges,,11268,,,,percent of total billed charges,,8112.96,,,,percent of total billed charges,,11268,,,,percent of total billed charges,,7512,,,,percent of total billed charges,,12641.444,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,11894,,,,percent of total billed charges,,10016,,,,percent of total billed charges,,7512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36573-0510 INSJ PICC RS&I 5 YRS+,510,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36593-0510 DECLOT THROMB. AG IMP VAD/CA,510,RC,,,,,inpatient,,,709,,354.5,425.4,715.8773,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,459.432,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,715.8773,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 37799-0510 UNLISTED PROCEDURE, VASCULAR SURGERY",510,RC,,,,,inpatient,,,1663,,831.5,997.8,1679.1311,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1077.624,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1679.1311,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 38221-0510 DIAGNOSTIC BONE MARROW; BIOPSY(IES),510,RC,,,,,inpatient,,,3476,,1738,2085.6,3509.7172,3267.44,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2885.08,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3197.92,,,,percent of total billed charges,,3288.296,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3371.72,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3058.88,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2252.448,,,,percent of total billed charges,,3128.4,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,3509.7172,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,3302.2,,,,percent of total billed charges,,2780.8,,,,percent of total billed charges,,2085.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 38222-0510 BM BX AND ASPIRATION,510,RC,,,,,inpatient,,,4711,,2355.5,2826.6,4756.6967,4428.34,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3910.13,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4334.12,,,,percent of total billed charges,,4456.606,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4569.67,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4145.68,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,3052.728,,,,percent of total billed charges,,4239.9,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,4756.6967,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,4475.45,,,,percent of total billed charges,,3768.8,,,,percent of total billed charges,,2826.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 38505-0510 NEEDLE BX OF LYMPH NODE(S), SUPERFICIAL",510,RC,,,,,inpatient,,,1956,,978,1173.6,1974.9732,1838.64,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1623.48,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1799.52,,,,percent of total billed charges,,1850.376,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1897.32,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1721.28,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1267.488,,,,percent of total billed charges,,1760.4,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,1974.9732,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1858.2,,,,percent of total billed charges,,1564.8,,,,percent of total billed charges,,1173.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40819-0510 FRENUMECTOMY - EXCISION OF FRENUM,510,RC,,,,,inpatient,,,5003,,2501.5,3001.8,5051.5291,4702.82,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4152.49,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4602.76,,,,percent of total billed charges,,4732.838,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4852.91,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4402.64,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,3241.944,,,,percent of total billed charges,,4502.7,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,5051.5291,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4752.85,,,,percent of total billed charges,,4002.4,,,,percent of total billed charges,,3001.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46083-0510 INCISION OF THROMBOSED HEMORRHOID, EXT",510,RC,,,,,inpatient,,,592,,296,355.2,597.7424,556.48,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,491.36,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,544.64,,,,percent of total billed charges,,560.032,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,574.24,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,520.96,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,383.616,,,,percent of total billed charges,,532.8,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,597.7424,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,562.4,,,,percent of total billed charges,,473.6,,,,percent of total billed charges,,355.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46221-0510 HEMORRHOIDECTOMY, INTERNAL, SIMPLE",510,RC,,,,,inpatient,,,3082,,1541,1849.2,3111.8954,2897.08,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2558.06,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2835.44,,,,percent of total billed charges,,2915.572,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2989.54,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2712.16,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,1997.136,,,,percent of total billed charges,,2773.8,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,3111.8954,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2927.9,,,,percent of total billed charges,,2465.6,,,,percent of total billed charges,,1849.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49423-0510 EXCHANGE DRAINAGE CATHETER UNDER RAD GUID,510,RC,,,,,inpatient,,,2281,,1140.5,1368.6,2303.1257,2144.14,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1893.23,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2098.52,,,,percent of total billed charges,,2157.826,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2212.57,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2007.28,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1478.088,,,,percent of total billed charges,,2052.9,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,2303.1257,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,2166.95,,,,percent of total billed charges,,1824.8,,,,percent of total billed charges,,1368.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52005-0510 CYSTOURETHROSCOPY W/ URETERAL CATH,510,RC,,,,,inpatient,,,5021,,2510.5,3012.6,5069.7037,4719.74,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4167.43,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4749.866,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4870.37,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4418.48,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3253.608,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,5069.7037,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54161-0510 CIRCUMCISION > 28 DAYS,510,RC,,,,,inpatient,,,5638,,2819,3382.8,5692.6886,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3653.424,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5692.6886,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57156-0510 INSERT VAG APPLICATOR,510,RC,,,,,inpatient,,,764,,382,458.4,771.4108,718.16,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,634.12,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,702.88,,,,percent of total billed charges,,722.744,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,741.08,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,672.32,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,495.072,,,,percent of total billed charges,,687.6,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,771.4108,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,725.8,,,,percent of total billed charges,,611.2,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58340-0510 CATH FOR HYSTEROGRAPHY,510,RC,,,,,inpatient,,,1601,,800.5,960.6,1616.5297,1504.94,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1328.83,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1472.92,,,,percent of total billed charges,,1514.546,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1552.97,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1408.88,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,1037.448,,,,percent of total billed charges,,1440.9,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,1616.5297,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1520.95,,,,percent of total billed charges,,1280.8,,,,percent of total billed charges,,960.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62272-0510 DRAIN CEREBRO SPINAL FLUID W/O GUIDE,510,RC,,,,,inpatient,,,2472,,1236,1483.2,2495.9784,2323.68,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2051.76,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2274.24,,,,percent of total billed charges,,2338.512,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2397.84,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2175.36,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1601.856,,,,percent of total billed charges,,2224.8,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,2495.9784,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,2348.4,,,,percent of total billed charges,,1977.6,,,,percent of total billed charges,,1483.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64415-0510 INJ BRACHIAL PLEXUS, SINGLE",510,RC,,,,,inpatient,,,3277,,1638.5,1966.2,3308.7869,3080.38,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2719.91,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3014.84,,,,percent of total billed charges,,3100.042,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3178.69,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2883.76,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,2123.496,,,,percent of total billed charges,,2949.3,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,3308.7869,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,3113.15,,,,percent of total billed charges,,2621.6,,,,percent of total billed charges,,1966.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65426-0510 EXCIS PTERYGIUM,W GRAFT",510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65435-0510 CURETTE/TREAT CORNEA,510,RC,,,,,inpatient,,,2182,,1091,1309.2,2203.1654,2051.08,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1811.06,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2064.172,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2116.54,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1920.16,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1413.936,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,2203.1654,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65450-0510 DESTR CORNEAL LESN,CRYO,PHOTO,THERM",510,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65600-0510 MULT PUNC ANTER CORNEA,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65778-0510 COVER EYE W/MEMBRANE,510,RC,,,,,inpatient,,,2182,,1091,1309.2,2203.1654,2051.08,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1811.06,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2064.172,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2116.54,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1920.16,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1413.936,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,2203.1654,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65779-0510 COVER EYE W/MEMBRANE STENT,510,RC,,,,,inpatient,,,7725,,3862.5,4635,7799.9325,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,5005.8,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7799.9325,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65800-0510 DRAINAGE ANTER CHAMBR OF EYE,510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66030-0510 INJECT, ANTERIOR CHAMBER OF EYE; MEDICATION",510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 66250-0510 REVIS/REPAIR OP WOUND ANTER SGMT,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66999-0510 UNLISTED PROCEDURE, ANTERIOR SEGMENT OF EYE",510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67141-0510 PROPHYLAXIS OF RETINAL DETACH WO DRAINAGE, 1 OR MORE SESSIONS",510,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67515-0510 INJ,THER AGENT INTO TENON'S CAPSULE",510,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67700-0510 BLEPHAROTOMY, DRAIN OF ABSCESS, EYELID",510,RC,,,,,inpatient,,,805,,402.5,483,812.8085,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,521.64,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,812.8085,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67801-0510 EXCISION OF CHALAZION; MULTIPLE, SAME LID",510,RC,,,,,inpatient,,,2182,,1091,1309.2,2203.1654,2051.08,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1811.06,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2007.44,,,,percent of total billed charges,,2064.172,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2116.54,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1920.16,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1413.936,,,,percent of total billed charges,,1963.8,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,2203.1654,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,2072.9,,,,percent of total billed charges,,1745.6,,,,percent of total billed charges,,1309.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67825-0510  CORRECTION OF TRICHIASIS; EPILATION BY OTHER THAN FORCEPS,510,RC,,,,,inpatient,,,805,,402.5,483,812.8085,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,521.64,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,812.8085,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67850-0510 DESTRUCT OF LESION OF LID MARGIN (UP TO 1 CM),510,RC,,,,,inpatient,,,2653,,1326.5,1591.8,2678.7341,2493.82,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2201.99,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2509.738,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2573.41,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2334.64,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,1719.144,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,2678.7341,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67875-0510 TEMP CLOSURE EYELID BY SUTURE,510,RC,,,,,inpatient,,,2653,,1326.5,1591.8,2678.7341,2493.82,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2201.99,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2440.76,,,,percent of total billed charges,,2509.738,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2573.41,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2334.64,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,1719.144,,,,percent of total billed charges,,2387.7,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,2678.7341,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2520.35,,,,percent of total billed charges,,2122.4,,,,percent of total billed charges,,1591.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68200-0510 SUBCONJUNCTIVAL INJECTN,510,RC,,,,,inpatient,,,944,,472,566.4,953.1568,887.36,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,783.52,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,868.48,,,,percent of total billed charges,,893.024,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,915.68,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,830.72,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,611.712,,,,percent of total billed charges,,849.6,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,953.1568,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,896.8,,,,percent of total billed charges,,755.2,,,,percent of total billed charges,,566.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68330-0510 REPAIR SYMBLEPHARON,510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68420-0510 INCISE/DRAIN TEAR SAC,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68700-0510 PLASTIC REPAIR OF CANALICULI,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68720-0510 CREATE TEAR SAC-NASAL FISTULA,510,RC,,,,,inpatient,,,7725,,3862.5,4635,7799.9325,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,5005.8,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7799.9325,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68760-0510 CLOSE TEAR DUCT OPENING,510,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68840-0510 EXPLORE LACRIMAL CANALICULI,510,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 68899-0510 UNLISTED PROCEDURE, LACRIMAL SYSTEM",510,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0260-0510 SI JOINT INJECTION,510,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67500-0510 RETROBULBAR INJECTION; (MEDICATION SEP PROC),510,RC,,,,,inpatient,,,595,,297.5,357,600.7715,559.3,,,,percent of total billed charges,,476,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,493.85,,,,percent of total billed charges,,535.5,,,,percent of total billed charges,,547.4,,,,percent of total billed charges,,547.4,,,,percent of total billed charges,,562.87,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,577.15,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,523.6,,,,percent of total billed charges,,535.5,,,,percent of total billed charges,,385.56,,,,percent of total billed charges,,535.5,,,,percent of total billed charges,,357,,,,percent of total billed charges,,600.7715,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,565.25,,,,percent of total billed charges,,476,,,,percent of total billed charges,,357,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11950-0510 S.C. INJECT OF FILLING MATERIAL; 1 CC OR LESS,510,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11951-0510 S.C. INJ. OF FILLING MATERIAL; 1.1 TO 5.0 CC,510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11954-0510 SUBCUT INJECT OF FILLING MATERIAL; OVER 10.0 CC,510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15200-0510 SKIN FULL GRAFT TRUNK; 20 SQ CM OR LESS,510,RC,,,,,inpatient,,,5194,,2597,3116.4,5244.3818,4882.36,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4311.02,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4778.48,,,,percent of total billed charges,,4913.524,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,5038.18,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4570.72,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3365.712,,,,percent of total billed charges,,4674.6,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,5244.3818,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4934.3,,,,percent of total billed charges,,4155.2,,,,percent of total billed charges,,3116.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 15783-0510 DERMABRASION; SUPERFICIAL, ANY SITE",510,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 17380-0510 ELECTROLYSIS EPILATION, EACHÂ30ÂMIN",510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20205-0510 BX, MUSCLE; DEEP",510,RC,,,,,inpatient,,,7852,,3926,4711.2,7928.1644,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,5088.096,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7928.1644,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20690-0510 APPLICATION OF A UNIPLANE,510,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20974-0510 ELECT STIM TO AID BONE HEALING; NONINVAS,510,RC,,,,,inpatient,,,61,,30.5,36.6,61.5917,57.34,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,50.63,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,56.12,,,,percent of total billed charges,,57.706,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,59.17,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,53.68,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,54.9,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,61.5917,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,57.95,,,,percent of total billed charges,,48.8,,,,percent of total billed charges,,36.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21025-0510 EXCISION OF BONE; MANDIBLE,510,RC,,,,,inpatient,,,16071,,8035.5,9642.6,16226.8887,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,10414.008,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,16226.8887,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21282-0510 LATERAL CANTHOPEXY,510,RC,,,,,inpatient,,,8563,,4281.5,5137.8,8646.0611,8049.22,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7107.29,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,8100.598,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8306.11,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7535.44,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,5548.824,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,8646.0611,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21501-0510 I&D, DEEP ABSCESS OR HEMATOMA, SOFT TISS OF NECK OR THORAX",510,RC,,,,,inpatient,,,7852,,3926,4711.2,7928.1644,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,5088.096,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7928.1644,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 23065-0510 BX, SOFT TISSUE OF SHOULDER AREA; SUPERF",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 23075-0510 EXC, TUMOR, SOFT TISS OF SHOULDER AREA, SUBCU; < 3 CM",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24200-0510 REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCU",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 24357-0510 TENOTOMY, ELBOW, LATERAL OR MEDIAL; PERCUT",510,RC,,,,,inpatient,,,8959,,4479.5,5375.4,9045.9023,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5805.432,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,9045.9023,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25065-0510 BX, SOFT TISSUE OF FOREARM AND/OR WRIST; SUPERF",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26020-0510 DRAINAGE OF TENDON SHEATH, DIGIT A/O PALM, EA",510,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26060-0510 TENOTOMY, PERCUT, SINGLE, EA DIGIT",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26116-0510 EXC, TUMOR, SOFT TIS, OR VASC MALFOR, H/F, SUBFAS; < 1.5 CM",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26180-0510 EXC OF TENDON, FINGER/FLEXOR/EXTENSOR, EA",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26433-0510 REPAIR OF FINGER TENDON; W/O GRAFT,510,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26455-0510 TENOTOMY, FLEXOR, FINGER, OPEN, EA",510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26546-0510 REPAIR NON-UNION, METACARPAL OR PHALANX",510,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26591-0510 REPAIR, INTRINSIC MUSCLES OF HAND, EA",510,RC,,,,,inpatient,,,8959,,4479.5,5375.4,9045.9023,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5805.432,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,9045.9023,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27310-0510 EXPLORATION OF KNEE JOINT,510,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27323-0510 BX, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFIC",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27501-0510 CLOSED TX OF SUPRA/TRANSCONDYLAR FEM FX, WO MANIP",510,RC,,,,,inpatient,,,623,,311.5,373.8,629.0431,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,629.0431,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27599-0510 UNLISTED PROCEDURE, FEMUR OR KNEE",510,RC,,,,,inpatient,,,623,,311.5,373.8,629.0431,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,629.0431,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27752-0510 CLOSED TX OF TIBIAL SHAFT FX; W/ MANIP,510,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27827-0510 OPEN TX LOWER LEG FX, W/ INTERNAL FIXAT",510,RC,,,,,inpatient,,,15184,,7592,9110.4,15331.2848,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9839.232,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,15331.2848,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30020-0510 DRAIN ABSCESS OR HEMATOMA, NASAL SEPTUM",510,RC,,,,,inpatient,,,1388,,694,832.8,1401.4636,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,899.424,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1401.4636,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30220-0510 INSERT, NASAL SEPTAL PROSTHESIS (BUTTON)",510,RC,,,,,inpatient,,,4219,,2109.5,2531.4,4259.9243,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2733.912,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,4259.9243,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30430-0510 RHINOPLASTY, 2ND; MINOR REVIS",510,RC,,,,,inpatient,,,16071,,8035.5,9642.6,16226.8887,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,10414.008,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,16226.8887,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31233-0510 NASAL/SINUS ENDO, DIAG; W MAXILL SINUSOSCOPY",510,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31235-0510 NASAL/SINUS ENDO, DIAG; W SPHENOID SINUSOSCOPY",510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31505-0510 LARYNGOSCOPY, INDIRECT; DIAG",510,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31525-0510 LARYNG DIRECT, W OR WO TRACHEOSCOPY; DIAGN, EXCEPT NEWBORN",510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31526-0510 LARYNGO DIRECT, W OR WO TRACHEOSCOPY; DIAGN",510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31570-0510 LARYNGOSCOPY, DIRECT, W INJECT INTO VOCAL CORD(S), THERAP",510,RC,,,,,inpatient,,,8334,,4167,5000.4,8414.8398,7833.96,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6917.22,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7883.964,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,8083.98,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7333.92,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5400.432,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,8414.8398,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31572-0510 LARYNGO, FLEX; W ABLATION/DEST OF LESION(S) W LASER, UNILAT",510,RC,,,,,inpatient,,,8334,,4167,5000.4,8414.8398,7833.96,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6917.22,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7883.964,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,8083.98,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7333.92,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5400.432,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,8414.8398,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31573-0510 LARYNGO, FLEX; W THERA INJECT, UNILAT",510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31574-0510 LARYNGO, FLEX; W INJECT FOR AUGMENTATION, UNILAT",510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31599-0510 UNLISTED LARYNX SURGERY PROCEDURE,510,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31615-0510 TRACHEOBRONCHOSCOPY THRU ESTAB TRACHEOSTOMY INCIS,510,RC,,,,,inpatient,,,1142,,571,685.2,1153.0774,1073.48,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,947.86,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1050.64,,,,percent of total billed charges,,1080.332,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1107.74,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1004.96,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,740.016,,,,percent of total billed charges,,1027.8,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,1153.0774,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,1084.9,,,,percent of total billed charges,,913.6,,,,percent of total billed charges,,685.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31820-0510 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WO PLASTIC REPAIR,510,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36473-0510  ENDOVENOUS ABLATION, FIRST",510,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36475-0510 ENDOVENOUS RF, 1ST VEIN",510,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41112-0510 EXC OF LESION OF TONGUE W CLOSURE; ANTER TWO-THIRDS,510,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41115-0510 EXCISION OF LINGUAL FRENUM,510,RC,,,,,inpatient,,,4219,,2109.5,2531.4,4259.9243,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2733.912,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,4259.9243,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41599-0510 UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH",510,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41825-0510 EXC OF LESION OR TUMOR, DENTOALVEOLAR STRUCT; WO REPAIR",510,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41899-0510 UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES",510,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42335-0510 SIALOLITHOTOMY; SUBMANDIBULAR, COMPLIC, INTRAORAL",510,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42405-0510 BX OF SALIVARY GLAND; INCISIONAL,510,RC,,,,,inpatient,,,4219,,2109.5,2531.4,4259.9243,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2733.912,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,4259.9243,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42960-0510 CONTROL OROPHARYNGEAL HEMORR, PRIM OR SECOND; SIMPLE",510,RC,,,,,inpatient,,,1388,,694,832.8,1401.4636,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,899.424,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1401.4636,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43239-0510 EGD W/ BX,510,RC,,,,,inpatient,,,2064,,1032,1238.4,2084.0208,1940.16,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1713.12,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1952.544,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,2002.08,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1816.32,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1337.472,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,2084.0208,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43247-0510 ESOPHAGOGASTRODUODENOSCOPY, FLEXI, TRANSORAL",510,RC,,,,,inpatient,,,2064,,1032,1238.4,2084.0208,1940.16,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1713.12,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1952.544,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,2002.08,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1816.32,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1337.472,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,2084.0208,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43770-0510 LAP; PLCMT OF ADJUST GASTRIC RESTRICT DEVICE,510,RC,,,,,inpatient,,,20392,,10196,12235.2,20589.8024,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,13214.016,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,20589.8024,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45300-0510 PROCTOSIGMOIDOSCOPY, RIGID; DIAG",510,RC,,,,,inpatient,,,2078,,1039,1246.8,2098.1566,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1346.544,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,2098.1566,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45378-0510 COLONOSCOPY FLEXIBLE,510,RC,,,,,inpatient,,,2078,,1039,1246.8,2098.1566,1953.32,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1724.74,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1911.76,,,,percent of total billed charges,,1965.788,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,2015.66,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1828.64,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1346.544,,,,percent of total billed charges,,1870.2,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,2098.1566,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1974.1,,,,percent of total billed charges,,1662.4,,,,percent of total billed charges,,1246.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45385-0510 COLONOSCOPY COLD SNARE POLY,510,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49422-0510 REM PERM INTRAPERI CAN/CA,510,RC,,,,,inpatient,,,5739,,2869.5,3443.4,5794.6683,5394.66,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4763.37,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5279.88,,,,percent of total billed charges,,5429.094,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5566.83,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5050.32,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3718.872,,,,percent of total billed charges,,5165.1,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,5794.6683,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,5452.05,,,,percent of total billed charges,,4591.2,,,,percent of total billed charges,,3443.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54060-0510 EXCISION OF PENIS LESION(S),510,RC,,,,,inpatient,,,5246,,2623,3147.6,5296.8862,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3399.408,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,5296.8862,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56700-0510 PARTIAL REMOVAL OF HYMEN,510,RC,,,,,inpatient,,,8510,,4255,5106,8592.547,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5514.48,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,8592.547,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 57105-0510 BX OF VAGINAL MUCOSA; EXT, REQ SUTURE, INCL CYSTS",510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57510-0510 CAUTERY OF CERVIX; ELECTRO OR THERMAL,510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 57720-0510 PLASTIC REPAIR OF UTERINE CERVIX, VAG APPROACH",510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57800-0510 DILATION OF CERVICAL CANAL,510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58110-0510 ENDOMETRIAL SAMPLING (BX) PERF IN CONJ W COLPOS,510,RC,,,,,inpatient,,,222,,111,133.2,224.1534,208.68,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,184.26,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,204.24,,,,percent of total billed charges,,210.012,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,215.34,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,195.36,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,143.856,,,,percent of total billed charges,,199.8,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,224.1534,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,210.9,,,,percent of total billed charges,,177.6,,,,percent of total billed charges,,133.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59160-0510 CURETTAGE, POSTPARTUM",510,RC,,,,,inpatient,,,8510,,4255,5106,8592.547,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5514.48,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,8592.547,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59300-0510 EPISIOTOMY OR VAGINAL REPAIR, NOT BY ATTENDING",510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59412-0510 EXTERNAL CEPHALIC VERSION, W OR WO TOCOLYSIS",510,RC,,,,,inpatient,,,8510,,4255,5106,8592.547,7999.4,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7063.3,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,7829.2,,,,percent of total billed charges,,8050.46,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8254.7,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,7488.8,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5514.48,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,8592.547,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,8084.5,,,,percent of total billed charges,,6808,,,,percent of total billed charges,,5106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59840-0510 INDUCED ABORTION, BY DILATION & CURETTAGE",510,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 60500-0510 PARATHYROIDECTOMY OR EXPLOR OF PARATHYROID(S),510,RC,,,,,inpatient,,,16071,,8035.5,9642.6,16226.8887,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,10414.008,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,16226.8887,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62324-0510 NERVE INJECT - NJX INTERLAMINAR CRV/THRC,510,RC,,,,,inpatient,,,2590,,1295,1554,2615.123,2434.6,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2149.7,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2450.14,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2512.3,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2279.2,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,1678.32,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,2615.123,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63661-0510 REMOVE SPINE ELTRD PERQ ARAY,510,RC,,,,,inpatient,,,5410,,2705,3246,5462.477,5085.4,,,,percent of total billed charges,,4328,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,4490.3,,,,percent of total billed charges,,4869,,,,percent of total billed charges,,4977.2,,,,percent of total billed charges,,4977.2,,,,percent of total billed charges,,5117.86,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,5247.7,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,4760.8,,,,percent of total billed charges,,4869,,,,percent of total billed charges,,3505.68,,,,percent of total billed charges,,4869,,,,percent of total billed charges,,3246,,,,percent of total billed charges,,5462.477,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,5139.5,,,,percent of total billed charges,,4328,,,,percent of total billed charges,,3246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64585-0510 REV OR REMOVAL OF PERIP NEUROSTIMULATOR ELECTRODE ARRAY,510,RC,,,,,inpatient,,,6652,,3326,3991.2,6716.5244,6252.88,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5521.16,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6119.84,,,,percent of total billed charges,,6292.792,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6452.44,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5853.76,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,4310.496,,,,percent of total billed charges,,5986.8,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,6716.5244,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,6319.4,,,,percent of total billed charges,,5321.6,,,,percent of total billed charges,,3991.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64590-0510 IMPLANT GASTRIC NEUROSTIM/RECEIVER,510,RC,,,,,inpatient,,,8652,,4326,5191.2,8735.9244,8132.88,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7181.16,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,8184.792,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8392.44,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7613.76,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,5606.496,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,8735.9244,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65436-0510 CURETTE/ TREAT CORNEA, APPLY CHELATE",510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65810-0510 DRAIN ANT CHMBR, REMV VITREOUS",510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65860-0510 SEVERING ADHESIONS OF ANTER SEG, LASER TECHN",510,RC,,,,,inpatient,,,1327,,663.5,796.2,1339.8719,1247.38,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1101.41,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1255.342,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1287.19,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1167.76,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,859.896,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,1339.8719,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66180-0510 AQUEOUS SHUNT TO EXTRAOC EQUATO PLATE RESER, EXT APPR",510,RC,,,,,inpatient,,,7571,,3785.5,4542.6,7644.4387,7116.74,,,,percent of total billed charges,,6056.8,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,6283.93,,,,percent of total billed charges,,6813.9,,,,percent of total billed charges,,6965.32,,,,percent of total billed charges,,6965.32,,,,percent of total billed charges,,7162.166,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,7343.87,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,6662.48,,,,percent of total billed charges,,6813.9,,,,percent of total billed charges,,4906.008,,,,percent of total billed charges,,6813.9,,,,percent of total billed charges,,4542.6,,,,percent of total billed charges,,7644.4387,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,7192.45,,,,percent of total billed charges,,6056.8,,,,percent of total billed charges,,4542.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 66711-0510 CILIARY BODY DESTR; CYCLOPHOTO, ENDO",510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 66940-0510 REMOVAL OF LENS MATERIAL; EXTRACAPSULAR,510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67121-0510 REMOVAL OF IMPLANT MATERIAL, POSTERIOR SEG; INTRAOCULAR",510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67299-0510 UNLISTED PROCEDURE, POSTERIOR SEGMENT",510,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67715-0510 CANTHOTOMY,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67921-0510 REPAIR OF ENTROPION; SUTURE,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67966-0510 EXCISION AND REPAIR OF EYELID,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67975-0510 RECONSTRUCTION OF EYELID, SECOND STAGE",510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69005-0510 DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATO; COMPLIC",510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69020-0510 DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS",510,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69205-0510 REMOVAL FOREIGN BODY FROM EXT AUD CANAL; W GEN ANESTH,510,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69222-0510 DEBRID, MASTOID CAVITY, COMP",510,RC,,,,,inpatient,,,1388,,694,832.8,1401.4636,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,899.424,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1401.4636,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69421-0510 MYRINGOTOMY INCL ASPIRAT A/OR EUSTACH TUBE INFLAT, REQ ANES",510,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69610-0510 TYMPANIC MEMB REPAIR,510,RC,,,,,inpatient,,,4177,,2088.5,2506.2,4217.5169,3926.38,,,,percent of total billed charges,,3341.6,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3466.91,,,,percent of total billed charges,,3759.3,,,,percent of total billed charges,,3842.84,,,,percent of total billed charges,,3842.84,,,,percent of total billed charges,,3951.442,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,4051.69,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3675.76,,,,percent of total billed charges,,3759.3,,,,percent of total billed charges,,2706.696,,,,percent of total billed charges,,3759.3,,,,percent of total billed charges,,2506.2,,,,percent of total billed charges,,4217.5169,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3968.15,,,,percent of total billed charges,,3341.6,,,,percent of total billed charges,,2506.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69631-0510 TYMPANOPLASTY,510,RC,,,,,inpatient,,,16071,,8035.5,9642.6,16226.8887,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,10414.008,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,16226.8887,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69799-0510 UNLISTED PROCEDURE, MIDDLE EAR",510,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0213T-0510 INJECT PARAVERTEBRAL JT W US, CERVI OR THORAC; SING LEVEL",510,RC,,,,,inpatient,,,2590,,1295,1554,2615.123,2434.6,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2149.7,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2382.8,,,,percent of total billed charges,,2450.14,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2512.3,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2279.2,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,1678.32,,,,percent of total billed charges,,2331,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,2615.123,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2460.5,,,,percent of total billed charges,,2072,,,,percent of total billed charges,,1554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0402T-0510 COLLAGEN CROSS-LINKING OF CORNEA,510,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 0479T-0510 FRACTIONAL ABLAT LSR FENEST OF BURN/TRAUMA SCARS, 1ST 100 CM2",510,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40800-0510 DRAINAGE OF MOUTH LESION; SIMPLE,510,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31240-0510 NASAL/SINUS ENDOSCOPY, W/ CONCHA BULLOSA RESECTION",510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31505-0510 LARYNGOSCOPY, INDIRECT; DIAGNOSTIC",510,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31570-0510 LARYNGOSCOPY, DIRECT, W/ INJECTION INTO VOCAL CORDS, THERAPEUTIC",510,RC,,,,,inpatient,,,8334,,4167,5000.4,8414.8398,7833.96,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6917.22,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7667.28,,,,percent of total billed charges,,7883.964,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,8083.98,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7333.92,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5400.432,,,,percent of total billed charges,,7500.6,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,8414.8398,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,7917.3,,,,percent of total billed charges,,6667.2,,,,percent of total billed charges,,5000.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31573-0510 LARYNGOSCOPY, FLEXIBLE; W/ THERAPEUTIC INJ, UNILATERAL",510,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31591-0510 LARYNGOPLASTY, MEDIALIZATION, UNILATERAL",510,RC,,,,,inpatient,,,16071,,8035.5,9642.6,16226.8887,15106.74,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,13338.93,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,14785.32,,,,percent of total billed charges,,15203.166,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15588.87,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,14142.48,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,10414.008,,,,percent of total billed charges,,14463.9,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,16226.8887,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,15267.45,,,,percent of total billed charges,,12856.8,,,,percent of total billed charges,,9642.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42300-0510 DRAINAGE OF ABSCESS; PAROTID, SIMPLE",510,RC,,,,,inpatient,,,4219,,2109.5,2531.4,4259.9243,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2733.912,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,4259.9243,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69436-0510 TYMPANOSTOMY, INSERT EAR TUBES",510,RC,,,,,inpatient,,,4219,,2109.5,2531.4,4259.9243,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2733.912,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,4259.9243,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45100-0510 BX OF ANORECTAL WALL,510,RC,,,,,inpatient,,,7810,,3905,4686,7885.757,7341.4,,,,percent of total billed charges,,6248,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,6482.3,,,,percent of total billed charges,,7029,,,,percent of total billed charges,,7185.2,,,,percent of total billed charges,,7185.2,,,,percent of total billed charges,,7388.26,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,7575.7,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,6872.8,,,,percent of total billed charges,,7029,,,,percent of total billed charges,,5060.88,,,,percent of total billed charges,,7029,,,,percent of total billed charges,,4686,,,,percent of total billed charges,,7885.757,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,7419.5,,,,percent of total billed charges,,6248,,,,percent of total billed charges,,4686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45399-0510 UNLISTED PROCEDURE, COLON",510,RC,,,,,inpatient,,,2502,,1251,1501.2,2526.2694,2351.88,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2076.66,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2366.892,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2426.94,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2201.76,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1621.296,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,2526.2694,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 49450-0510 REPLACE GASTRO/CECO TUBE, PERCUTANEOUS, W/ FLUORO GUIDANCE & CONT INJ",510,RC,,,,,inpatient,,,2510,,1255,1506,2534.347,2359.4,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2083.3,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2309.2,,,,percent of total billed charges,,2374.46,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2434.7,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2208.8,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,1626.48,,,,percent of total billed charges,,2259,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,2534.347,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2384.5,,,,percent of total billed charges,,2008,,,,percent of total billed charges,,1506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45385-0361 COLONOSCOPY COLD SNARE POLY,361,RC,,,,,inpatient,,,2707,,1353.5,1624.2,2733.2579,2544.58,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2246.81,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2490.44,,,,percent of total billed charges,,2560.822,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2625.79,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2382.16,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1754.136,,,,percent of total billed charges,,2436.3,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,2733.2579,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2571.65,,,,percent of total billed charges,,2165.6,,,,percent of total billed charges,,1624.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32550-0510 INS TUNN PLEUR CATH WCUFF,510,RC,,,,,inpatient,,,6665,,3332.5,3999,6729.6505,6265.1,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5531.95,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6131.8,,,,percent of total billed charges,,6305.09,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6465.05,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5865.2,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,4318.92,,,,percent of total billed charges,,5998.5,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,6729.6505,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,6331.75,,,,percent of total billed charges,,5332,,,,percent of total billed charges,,3999,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41800-0510 DRAINAGE OF ABSCESS, CYST",510,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10021-0450 FINE NEEDLE ASPIRATION,450,RC,,,,,inpatient,,,2129,,1064.5,1277.4,2149.6513,2001.26,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1767.07,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,2014.034,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2065.13,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1873.52,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1379.592,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,2149.6513,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10060-0450 I & D ABSCESS; SIMPLE/SINGLE,450,RC,,,,,inpatient,,,563,,281.5,337.8,568.4611,529.22,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,467.29,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,517.96,,,,percent of total billed charges,,532.598,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,546.11,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,495.44,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,364.824,,,,percent of total billed charges,,506.7,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,568.4611,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,534.85,,,,percent of total billed charges,,450.4,,,,percent of total billed charges,,337.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10061-0450 I & D ABSCESS; COMPLICATED OR MULTIPLE,450,RC,,,,,inpatient,,,1032,,516,619.2,1042.0104,970.08,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,856.56,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,949.44,,,,percent of total billed charges,,976.272,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1001.04,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,908.16,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,668.736,,,,percent of total billed charges,,928.8,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,1042.0104,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,825.6,,,,percent of total billed charges,,619.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10080-0450 I&D PILONIDAL CYST,SIMPLE",450,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10081-0450 I&D PILONIDAL CYST COMPLIC,450,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10120-0450 REMV FOREIGN BODY SQ,450,RC,,,,,inpatient,,,773,,386.5,463.8,780.4981,726.62,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,641.59,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,711.16,,,,percent of total billed charges,,731.258,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,749.81,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,680.24,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,500.904,,,,percent of total billed charges,,695.7,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,780.4981,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,734.35,,,,percent of total billed charges,,618.4,,,,percent of total billed charges,,463.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10121-0450 INCIS/REM FB COMPLICATED,450,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10140-0450 INCIS & DRAIN OF HEMATOMA, SEROMA OR FLUID COLLECT",450,RC,,,,,inpatient,,,2919,,1459.5,1751.4,2947.3143,2743.86,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2422.77,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2685.48,,,,percent of total billed charges,,2761.374,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2831.43,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2568.72,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1891.512,,,,percent of total billed charges,,2627.1,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,2947.3143,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2773.05,,,,percent of total billed charges,,2335.2,,,,percent of total billed charges,,1751.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10180-0450 I & D, COMPLEX, POST -OP ABSCESS",450,RC,,,,,inpatient,,,7883,,3941.5,4729.8,7959.4651,7410.02,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6542.89,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7252.36,,,,percent of total billed charges,,7457.318,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7646.51,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6937.04,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,5108.184,,,,percent of total billed charges,,7094.7,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,7959.4651,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,7488.85,,,,percent of total billed charges,,6306.4,,,,percent of total billed charges,,4729.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11012-0450  DEBRIDE INCLUDING REMOVAL OF FOR,450,RC,,,,,inpatient,,,7852,,3926,4711.2,7928.1644,7380.88,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6517.16,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7223.84,,,,percent of total billed charges,,7427.992,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7616.44,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6909.76,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,5088.096,,,,percent of total billed charges,,7066.8,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,7928.1644,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,7459.4,,,,percent of total billed charges,,6281.6,,,,percent of total billed charges,,4711.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11042-0450 DEBRIDE SUBCU,1ST 20SQ CM",450,RC,,,,,inpatient,,,783,,391.5,469.8,790.5951,736.02,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,649.89,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,720.36,,,,percent of total billed charges,,740.718,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,759.51,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,689.04,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,507.384,,,,percent of total billed charges,,704.7,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,790.5951,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,743.85,,,,percent of total billed charges,,626.4,,,,percent of total billed charges,,469.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11043-0450 DEBRIDE M/FAS 1ST 20SQ CM,450,RC,,,,,inpatient,,,1905,,952.5,1143,1923.4785,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1234.44,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1923.4785,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11044-0450 DEBRIDEMENT; BONE (INCLUDES EDIP, DERMIS, ECT.)",450,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11420-0450 EXCISION BENIGN LESION 0.5CM OR <,450,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11732-0450 AVULSION NAIL PLATE EA ADDL,450,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11740-0450 EVAC/SUBUNGUAL HEMATOMA,450,RC,,,,,inpatient,,,353,,176.5,211.8,356.4241,331.82,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,292.99,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,324.76,,,,percent of total billed charges,,333.938,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,342.41,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,310.64,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,228.744,,,,percent of total billed charges,,317.7,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,356.4241,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,335.35,,,,percent of total billed charges,,282.4,,,,percent of total billed charges,,211.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11750-0450 EXC NAIL MATRIX PART/COMP PERM REM,450,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11760-0450 REPAIR OF NAIL BED,450,RC,,,,,inpatient,,,1740,,870,1044,1756.878,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1127.52,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1756.878,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12001-0450 SIMPLE REPAIR SUPF WOUND < 2.5 CM,450,RC,,,,,inpatient,,,597,,298.5,358.2,602.7909,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,386.856,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,602.7909,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12002-0450 SIMPLE REPAIR SUPF WOUND 2.6-7.5 CM,450,RC,,,,,inpatient,,,597,,298.5,358.2,602.7909,561.18,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,495.51,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,549.24,,,,percent of total billed charges,,564.762,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,579.09,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,525.36,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,386.856,,,,percent of total billed charges,,537.3,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,602.7909,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,567.15,,,,percent of total billed charges,,477.6,,,,percent of total billed charges,,358.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12004-0450 RPR S/N/AS/GEN/TRK7.6-12.5CM,450,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12005-0450 LACER SIMP EXT 12.6-20 CM FAC,450,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12006-0450 REPAIR OF SIMPLE LAC 20.1 CM-30.0 CM,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12011-0450 REP WOUND FACE <2.5CM,450,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12013-0450 SREP F/E/N/L/MM;2.6-5CM,450,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12014-0450 RPR F/E/E/N/L/M 5.1-7.5 CM,450,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12015-0450 REPR SUPERF WND FACE 7.6-12.5,450,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12020-0450 TMT OF SUPERFICIAL WND DEHISCENCE SIMP CLOSE,450,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12031-0450 INT REP WND SC/AX/TK/EXT < 2.5CM,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12032-0450 INTERMEDIATE WOUND REPAIR 2.6-7.5 CM,450,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 12034-0450 REPAIR INT LAC 7.6-12.5 CM SCALP, TRUNK",450,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12035-0450 INTERMEDIATE WOUND REPAIR 12.6-20 CM,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12041-0450 INTRM REP NK/HD/FT/EXT GEN<=2.5CM,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12042-0450 REPAIR INTERMEDIATE 2.6-7.5,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12044-0450 INTERMEDIATE WOUND REPAIR 7.6-12.5 CM,450,RC,,,,,inpatient,,,1740,,870,1044,1756.878,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1127.52,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1756.878,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12051-0450 INTERMEDIATE WOUND REPAIR < 2.5 CM,450,RC,,,,,inpatient,,,1149,,574.5,689.4,1160.1453,1080.06,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,953.67,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1057.08,,,,percent of total billed charges,,1086.954,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1114.53,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1011.12,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1034.1,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,1160.1453,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,1091.55,,,,percent of total billed charges,,919.2,,,,percent of total billed charges,,689.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12052-0450 INTMD WOUND REPAIR FACE/OR MM; 2.6 CM TO 5.0 CM,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12053-0450 INTERMED REPAIRS 5.1 CM - 7.5 CM,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12054-0450 REPAIR WOUND FACE EARS ET,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12055-0450 LAYER CLOS FACE EAR 12.6,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13101-0450 REPAIR COMPLEX TRUNK 2.6CM TO 7.5 CM,450,RC,,,,,inpatient,,,1905,,952.5,1143,1923.4785,1790.7,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1581.15,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1752.6,,,,percent of total billed charges,,1802.13,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1847.85,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1676.4,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1234.44,,,,percent of total billed charges,,1714.5,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,1923.4785,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1809.75,,,,percent of total billed charges,,1524,,,,percent of total billed charges,,1143,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13102-0450 REPAIR COMPLEX TRUNK; EA ADD'L 5 CM OR <,450,RC,,,,,inpatient,,,952,,476,571.2,961.2344,894.88,,,,percent of total billed charges,,761.6,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,790.16,,,,percent of total billed charges,,856.8,,,,percent of total billed charges,,875.84,,,,percent of total billed charges,,875.84,,,,percent of total billed charges,,900.592,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,923.44,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,837.76,,,,percent of total billed charges,,856.8,,,,percent of total billed charges,,616.896,,,,percent of total billed charges,,856.8,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,961.2344,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,904.4,,,,percent of total billed charges,,761.6,,,,percent of total billed charges,,571.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13121-0450 CMPLEX RPR S/A/L 2.6-7.5 CM,450,RC,,,,,inpatient,,,1940,,970,1164,1958.818,1823.6,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1610.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1784.8,,,,percent of total billed charges,,1835.24,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1881.8,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1707.2,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1257.12,,,,percent of total billed charges,,1746,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,1958.818,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1552,,,,percent of total billed charges,,1164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13132-0450 CMPLX RPR F/C/C/M/N/AX/G/H/F; 2.6 TO 7.5 CM,450,RC,,,,,inpatient,,,1740,,870,1044,1756.878,1635.6,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1444.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1600.8,,,,percent of total billed charges,,1646.04,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1687.8,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1531.2,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1127.52,,,,percent of total billed charges,,1566,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,1756.878,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1653,,,,percent of total billed charges,,1392,,,,percent of total billed charges,,1044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13133-0450 REPAIR COMPLEX EA ADD'L,450,RC,,,,,inpatient,,,870,,435,522,878.439,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,563.76,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,878.439,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 13151-0450 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",450,RC,,,,,inpatient,,,1765,,882.5,1059,1782.1205,1659.1,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1464.95,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1623.8,,,,percent of total billed charges,,1669.69,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1712.05,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1553.2,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1143.72,,,,percent of total billed charges,,1588.5,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,1782.1205,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1676.75,,,,percent of total billed charges,,1412,,,,percent of total billed charges,,1059,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16000-0450 INIT BURN TX 1ST DEG,450,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16020-0450 DRESSINGS AND/OR DEBRIDE OF B,450,RC,,,,,inpatient,,,706,,353,423.6,712.8482,663.64,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,585.98,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,649.52,,,,percent of total billed charges,,667.876,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,684.82,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,621.28,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,457.488,,,,percent of total billed charges,,635.4,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,712.8482,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,670.7,,,,percent of total billed charges,,564.8,,,,percent of total billed charges,,423.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16025-0450 DEBRIDE AND/OR DSG--MED,450,RC,,,,,inpatient,,,598,,299,358.8,603.8006,562.12,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,496.34,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,550.16,,,,percent of total billed charges,,565.708,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,580.06,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,526.24,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,387.504,,,,percent of total billed charges,,538.2,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,603.8006,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,568.1,,,,percent of total billed charges,,478.4,,,,percent of total billed charges,,358.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 16030-0450 DRESSINGS AND/OR DEBRIDEMENT OF,450,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20102-0450 EXPLORE WOUND ABDOMEN,450,RC,,,,,inpatient,,,5246,,2623,3147.6,5296.8862,4931.24,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4354.18,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4826.32,,,,percent of total billed charges,,4962.716,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,5088.62,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4616.48,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3399.408,,,,percent of total billed charges,,4721.4,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,5296.8862,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4983.7,,,,percent of total billed charges,,4196.8,,,,percent of total billed charges,,3147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20103-0450 EXTREMITY WOUND EXP,450,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20520-0450 REMOVAL FOREIGN BODY MUSC,450,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20552-0450 INJ TRIGGER POINT 1/2 MUSCL,450,RC,,,,,inpatient,,,958,,479,574.8,967.2926,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,620.784,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,967.2926,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20553-0450 INJ SING/MULT TRIG PT(S), 3 OR MORE MUSC",450,RC,,,,,inpatient,,,958,,479,574.8,967.2926,900.52,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,795.14,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,881.36,,,,percent of total billed charges,,906.268,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,929.26,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,843.04,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,620.784,,,,percent of total billed charges,,862.2,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,967.2926,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,910.1,,,,percent of total billed charges,,766.4,,,,percent of total billed charges,,574.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20600-0450 ARTHROCENTESIS S ASP INJ SMALL JNT,450,RC,,,,,inpatient,,,1220,,610,732,1231.834,1146.8,,,,percent of total billed charges,,976,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1012.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1122.4,,,,percent of total billed charges,,1154.12,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1183.4,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1073.6,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,790.56,,,,percent of total billed charges,,1098,,,,percent of total billed charges,,732,,,,percent of total billed charges,,1231.834,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,1159,,,,percent of total billed charges,,976,,,,percent of total billed charges,,732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20605-0450 ARTHROCENTESIS ASP INJ INTERM JT W/O US GUIDE,450,RC,,,,,inpatient,,,1058,,529,634.8,1068.2626,994.52,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,878.14,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,973.36,,,,percent of total billed charges,,1000.868,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1026.26,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,931.04,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,685.584,,,,percent of total billed charges,,952.2,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,1068.2626,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,1005.1,,,,percent of total billed charges,,846.4,,,,percent of total billed charges,,634.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20606-0450 ARTHROCENTESIS ASP INJ INTERM JT WITH US GUIDE,450,RC,,,,,inpatient,,,2289,,1144.5,1373.4,2311.2033,2151.66,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1899.87,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2105.88,,,,percent of total billed charges,,2165.394,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2220.33,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2014.32,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1483.272,,,,percent of total billed charges,,2060.1,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,2311.2033,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,2174.55,,,,percent of total billed charges,,1831.2,,,,percent of total billed charges,,1373.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20610-0450 ARTHROCENTESIS ASP INJ MAJOR JT W/O US,450,RC,,,,,inpatient,,,877,,438.5,526.2,885.5069,824.38,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,727.91,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,806.84,,,,percent of total billed charges,,829.642,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,850.69,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,771.76,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,568.296,,,,percent of total billed charges,,789.3,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,885.5069,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,833.15,,,,percent of total billed charges,,701.6,,,,percent of total billed charges,,526.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20611-0450 ARTHROCENTESIS MAJOR JT W/US,450,RC,,,,,inpatient,,,959,,479.5,575.4,968.3023,901.46,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,795.97,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,882.28,,,,percent of total billed charges,,907.214,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,930.23,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,843.92,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,621.432,,,,percent of total billed charges,,863.1,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,968.3023,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,911.05,,,,percent of total billed charges,,767.2,,,,percent of total billed charges,,575.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20650-0450 INSERT OF WIRE/PIN W APPLIC OF SKEL TRACTION, INCLUD REMOV",450,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20670-0450 REMOVAL OF IMPLANT; SUPERFICIAL,450,RC,,,,,inpatient,,,5211,,2605.5,3126.6,5261.5467,4898.34,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4325.13,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4794.12,,,,percent of total billed charges,,4929.606,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,5054.67,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4585.68,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3376.728,,,,percent of total billed charges,,4689.9,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,5261.5467,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4950.45,,,,percent of total billed charges,,4168.8,,,,percent of total billed charges,,3126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 20999-0450 UNLISTED MUSCULOSKELETAL SYTM, GEN",450,RC,,,,,inpatient,,,623,,311.5,373.8,629.0431,585.62,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,517.09,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,573.16,,,,percent of total billed charges,,589.358,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,604.31,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,548.24,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,403.704,,,,percent of total billed charges,,560.7,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,629.0431,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,591.85,,,,percent of total billed charges,,498.4,,,,percent of total billed charges,,373.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21110-0450 APPL OF HALO TYPE APP FOR MAXILLOFACIAL FIX, INCL REMOVAL",450,RC,,,,,inpatient,,,16229,,8114.5,9737.4,16386.4213,15255.26,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,13470.07,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,14930.68,,,,percent of total billed charges,,15352.634,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15742.13,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,14281.52,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,10516.392,,,,percent of total billed charges,,14606.1,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,16386.4213,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,15417.55,,,,percent of total billed charges,,12983.2,,,,percent of total billed charges,,9737.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21320-0450 NOSE NASAL FX W/STABILIZATION,450,RC,,,,,inpatient,,,8648,,4324,5188.8,8731.8856,8129.12,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7177.84,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,7956.16,,,,percent of total billed charges,,8181.008,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8388.56,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,7610.24,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5603.904,,,,percent of total billed charges,,7783.2,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,8731.8856,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,8215.6,,,,percent of total billed charges,,6918.4,,,,percent of total billed charges,,5188.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21421-0450 CLOSED TRMT OF PALATAL OR MAXILLARY FRACT,450,RC,,,,,inpatient,,,8563,,4281.5,5137.8,8646.0611,8049.22,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7107.29,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,7877.96,,,,percent of total billed charges,,8100.598,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8306.11,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,7535.44,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,5548.824,,,,percent of total billed charges,,7706.7,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,8646.0611,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,8134.85,,,,percent of total billed charges,,6850.4,,,,percent of total billed charges,,5137.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 21480-0450 CLOSED TRTMT OF TEMPOROMANDIB DISLOC; INIT OR SUBSQ,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21497-0450 INTERDENTAL WIRING, FOR COND OTHER THAN FRACTURE",450,RC,,,,,inpatient,,,4219,,2109.5,2531.4,4259.9243,3965.86,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3501.77,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3881.48,,,,percent of total billed charges,,3991.174,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4092.43,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3712.72,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2733.912,,,,percent of total billed charges,,3797.1,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,4259.9243,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,4008.05,,,,percent of total billed charges,,3375.2,,,,percent of total billed charges,,2531.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23600-0450 TREAT HUMERUS FRACTURE,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23650-0450 TREAT SHOULDER DISLOCATION,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23655-0450 CLOSED TRTMT SHOULDER DISLOC; REQ ANEST.,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23665-0450 TREAT DISLOCATION/FRACTURE W/ MANIPU,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24500-0450 TREAT HUMERUS FRACTURE,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24530-0450 CLOSED TREAT HUMERUS FRACTURE,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24600-0450 TX OF ELBOW DISLOCATION; W/O ANESTH,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24605-0450 TREAT ELBOW DISLOC REQ ANES,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24620-0450 CLOSED TRTMT OF MONTEGGIA TYPE OF FRACTURE DISLOC AT ELBOW W MANIP,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24640-0450 TX RAD HD SUB/CH NRSMAID ELB,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24655-0450 CLSD TX W/ MANIP,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24675-0450 CLOSED TX ULNAR FX W/ MANIPU,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25505-0450 SD TX RAD SHAFT FX W/ MANIP,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25535-0450 SD TX ULNAR SHFT FX W/ MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25565-0450 CLOSED;RADIAL,ULNAR SHAFT W/MA",450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 25605-0450 CLOSED RX DIST RAD/ULNA FX,MANIPUL",450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26010-0450 DRAINAGE OF FINGER ABSCESS; SIMPLE,450,RC,,,,,inpatient,,,665,,332.5,399,671.4505,625.1,,,,percent of total billed charges,,532,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,551.95,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,611.8,,,,percent of total billed charges,,629.09,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,645.05,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,585.2,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,430.92,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,399,,,,percent of total billed charges,,671.4505,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,631.75,,,,percent of total billed charges,,532,,,,percent of total billed charges,,399,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26236-0450 PART EXC DISTAL FINGER,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26418-0450 REPAIR EXTENSOR TENDON, W IM",450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26587-0450 RECONSTRUCT OF POLYDACTYLOUS DIGIT, SOFT TISSUE & BONE",450,RC,,,,,inpatient,,,8959,,4479.5,5375.4,9045.9023,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5805.432,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,9045.9023,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26600-0450  CLSD TX METACARPAL FX W/O,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26605-0450 TX METACARP FX W/MANIP EA BN,450,RC,,,,,inpatient,,,791,,395.5,474.6,798.6727,743.54,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,656.53,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,727.72,,,,percent of total billed charges,,748.286,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,767.27,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,696.08,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,512.568,,,,percent of total billed charges,,711.9,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,798.6727,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,751.45,,,,percent of total billed charges,,632.8,,,,percent of total billed charges,,474.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26700-0450 CLOSED TX METCARP DIS SGL W/ MANIP; W/O ANES,450,RC,,,,,inpatient,,,749,,374.5,449.4,756.2653,704.06,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,621.67,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,689.08,,,,percent of total billed charges,,708.554,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,726.53,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,659.12,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,485.352,,,,percent of total billed charges,,674.1,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,756.2653,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,711.55,,,,percent of total billed charges,,599.2,,,,percent of total billed charges,,449.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26720-0450 CLSD TX PHALANGEAL FX,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26725-0450 W MANIP W/WO SKN/SKL TRAC EA,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 26742-0450 CLOSED TX OF ARTICULAR FX, INVOL MCP OR IP JT; W/ MAN, EA",450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26755-0450 TX DIS PHAL FX W/ MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26770-0450 TX INTRPHAL DISL W/MAN NO ANES,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26785-0450 OPEN TMT OF INTERPHALANGEAL JOINT DISLOC SINGLE,450,RC,,,,,inpatient,,,8206,,4103,4923.6,8285.5982,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,5317.488,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,8285.5982,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26951-0450 AMPUTATION FINGER OR THUMB,450,RC,,,,,inpatient,,,8206,,4103,4923.6,8285.5982,7713.64,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6810.98,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7549.52,,,,percent of total billed charges,,7762.876,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7959.82,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7221.28,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,5317.488,,,,percent of total billed charges,,7385.4,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,8285.5982,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,7795.7,,,,percent of total billed charges,,6564.8,,,,percent of total billed charges,,4923.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27250-0450 CLSD TMT OF HIP DISLOC, TRAUMA; W/O ANES",450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27266-0450 TMT OF POST HIP ARTHROPLASTY DISLOC,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27310-0450 EXPLORATION OF KNEE JOINT,450,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27508-0450 DIS FEM FX MED/LAT/CON W/O MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 27510-0450 CLOSED TX OF FEMORAL FX, DISTAL END, MED OR LAT CONDYLE, W MANIP",450,RC,,,,,inpatient,,,4318,,2159,2590.8,4359.8846,4058.92,,,,percent of total billed charges,,3454.4,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,3583.94,,,,percent of total billed charges,,3886.2,,,,percent of total billed charges,,3972.56,,,,percent of total billed charges,,3972.56,,,,percent of total billed charges,,4084.828,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,4188.46,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,3799.84,,,,percent of total billed charges,,3886.2,,,,percent of total billed charges,,2798.064,,,,percent of total billed charges,,3886.2,,,,percent of total billed charges,,2590.8,,,,percent of total billed charges,,4359.8846,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,4102.1,,,,percent of total billed charges,,3454.4,,,,percent of total billed charges,,2590.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27520-0450 TX PAT FX W/O MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27550-0450 TX ACET FX W/O MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27560-0450 CLOSED TX OF PATELLAR DISLOC; W/O ANES,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27750-0450 TX TIB SHFT FX W/O MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27752-0450 CLOSED TX OF TIBIAL SHAFT FX; W/ MANIP,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27760-0450 TX MEDIAL MALLEOLUS FX,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27786-0450 TX DIS FIB FX/LAT MAL W/O MANIP,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27810-0450 TMT OF ANKLE FRACTURE,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27825-0450 CLOSED TMT OF FRACTURE,450,RC,,,,,inpatient,,,4360,,2180,2616,4402.292,4098.4,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3618.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4011.2,,,,percent of total billed charges,,4124.56,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4229.2,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3836.8,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2825.28,,,,percent of total billed charges,,3924,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,4402.292,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,4142,,,,percent of total billed charges,,3488,,,,percent of total billed charges,,2616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27830-0450 CLOSED TMT OF PROXIMAL TIBIOFIBULAR JOINT DISLOC; WO ANES,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27840-0450 TX CL ANKLE DISLO WO ANESTH,450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28190-0450 REMOVAL OF FOREIGN BODY, FOOT; SUBQ",450,RC,,,,,inpatient,,,2068,,1034,1240.8,2088.0596,1943.92,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1716.44,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1956.328,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,2005.96,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1819.84,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1340.064,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,2088.0596,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28208-0450 REPAIR, TENDON, EXTENSOR, FOOT; PRIM OR SEC, EA TENDON",450,RC,,,,,inpatient,,,9048,,4524,5428.8,9135.7656,8505.12,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7509.84,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8324.16,,,,percent of total billed charges,,8559.408,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8776.56,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7962.24,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5863.104,,,,percent of total billed charges,,8143.2,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,9135.7656,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,8595.6,,,,percent of total billed charges,,7238.4,,,,percent of total billed charges,,5428.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28400-0450 CLOSED TMT OF HEEL FRACT, W/O MANIPUL",450,RC,,,,,inpatient,,,571,,285.5,342.6,576.5387,536.74,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,473.93,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,525.32,,,,percent of total billed charges,,540.166,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,553.87,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,502.48,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,370.008,,,,percent of total billed charges,,513.9,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,576.5387,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,542.45,,,,percent of total billed charges,,456.8,,,,percent of total billed charges,,342.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28435-0450 CLOSED TX OF TALUS FX; W/ MANIP,450,RC,,,,,inpatient,,,3954,,1977,2372.4,3992.3538,3716.76,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3281.82,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3637.68,,,,percent of total billed charges,,3740.484,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3835.38,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3479.52,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2562.192,,,,percent of total billed charges,,3558.6,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,3992.3538,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3756.3,,,,percent of total billed charges,,3163.2,,,,percent of total billed charges,,2372.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28515-450 TX OF TOE FX, W/MANIP, EA",450,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 28810-0450  AMPUTATION, METATARSAL, W TOE",450,RC,,,,,inpatient,,,8959,,4479.5,5375.4,9045.9023,8421.46,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7435.97,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8242.28,,,,percent of total billed charges,,8475.214,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8690.23,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7883.92,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5805.432,,,,percent of total billed charges,,8063.1,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,9045.9023,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,8511.05,,,,percent of total billed charges,,7167.2,,,,percent of total billed charges,,5375.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29065-0450 LONG ARM CAST,450,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29075-0450 SHORT ARM CAST,450,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29105-0450 LONG ARM SPLINT,450,RC,,,,,inpatient,,,490,,245,294,494.753,460.6,,,,percent of total billed charges,,392,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,406.7,,,,percent of total billed charges,,441,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,450.8,,,,percent of total billed charges,,463.54,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,475.3,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,431.2,,,,percent of total billed charges,,441,,,,percent of total billed charges,,317.52,,,,percent of total billed charges,,441,,,,percent of total billed charges,,294,,,,percent of total billed charges,,494.753,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,465.5,,,,percent of total billed charges,,392,,,,percent of total billed charges,,294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29125-0450 APPLY FOREARM SPLINT-TECH,450,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29130-0450 FINGER SPLINT,450,RC,,,,,inpatient,,,273,,136.5,163.8,275.6481,256.62,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,226.59,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,251.16,,,,percent of total billed charges,,258.258,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,264.81,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,240.24,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,176.904,,,,percent of total billed charges,,245.7,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,275.6481,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,259.35,,,,percent of total billed charges,,218.4,,,,percent of total billed charges,,163.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29345-0450 LONG LEG CAST,450,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29355-0450 APPLICATION OF LONG LEG CAST,450,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29405-0450 SHORT LEG CAST,450,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29425-0450 APP OF SHORT LEG CAST; WALKING OR AMBUL TYPE,450,RC,,,,,inpatient,,,587,,293.5,352.2,592.6939,551.78,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,487.21,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,540.04,,,,percent of total billed charges,,555.302,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,569.39,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,516.56,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,380.376,,,,percent of total billed charges,,528.3,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,592.6939,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,557.65,,,,percent of total billed charges,,469.6,,,,percent of total billed charges,,352.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29505-0450 LONG LEG SPLINT,450,RC,,,,,inpatient,,,401,,200.5,240.6,404.8897,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,259.848,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,404.8897,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29515-0450 SHORT LEG SPLINT,450,RC,,,,,inpatient,,,401,,200.5,240.6,404.8897,376.94,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,332.83,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,368.92,,,,percent of total billed charges,,379.346,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,388.97,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,352.88,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,259.848,,,,percent of total billed charges,,360.9,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,404.8897,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,380.95,,,,percent of total billed charges,,320.8,,,,percent of total billed charges,,240.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 29705-0450 REMOVAL/REVISION OF CAST,450,RC,,,,,inpatient,,,730,,365,438,737.081,686.2,,,,percent of total billed charges,,584,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,605.9,,,,percent of total billed charges,,657,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,671.6,,,,percent of total billed charges,,690.58,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,708.1,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,642.4,,,,percent of total billed charges,,657,,,,percent of total billed charges,,473.04,,,,percent of total billed charges,,657,,,,percent of total billed charges,,438,,,,percent of total billed charges,,737.081,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,693.5,,,,percent of total billed charges,,584,,,,percent of total billed charges,,438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30020-0450 DRAIN ABSCESS OR HEMATOMA, NASAL SEPTUM",450,RC,,,,,inpatient,,,1388,,694,832.8,1401.4636,1304.72,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1152.04,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1276.96,,,,percent of total billed charges,,1313.048,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1346.36,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1221.44,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,899.424,,,,percent of total billed charges,,1249.2,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,1401.4636,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1318.6,,,,percent of total billed charges,,1110.4,,,,percent of total billed charges,,832.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30901-0450 NOSE CTRL HEMORRHAGE SIMP ANTER,450,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30903-0450 NOSE CTRL HEMORRHAGE COMP ANTER,450,RC,,,,,inpatient,,,320,,160,192,323.104,300.8,,,,percent of total billed charges,,256,,,,percent of total billed charges,,304,,,,percent of total billed charges,,265.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,294.4,,,,percent of total billed charges,,302.72,,,,percent of total billed charges,,304,,,,percent of total billed charges,,310.4,,,,percent of total billed charges,,304,,,,percent of total billed charges,,281.6,,,,percent of total billed charges,,288,,,,percent of total billed charges,,207.36,,,,percent of total billed charges,,288,,,,percent of total billed charges,,192,,,,percent of total billed charges,,323.104,,,,percent of total billed charges,,304,,,,percent of total billed charges,,304,,,,percent of total billed charges,,256,,,,percent of total billed charges,,192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 30999-0450 UNLISTED PROCEDURE, NOSE",450,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31231-0450 NOSE NASAL ENDOSCOPY,450,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31237-0450 NOSE NASAL ENDOSC BX DEBRID 1/2SD,450,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31238-0450 NOSE NASAL ENDOSC W/CTRL NSL HEMM,450,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31502-0450 TRACH TUBE CHANGE PRIOR TO EST OF FISTULA TRACT,450,RC,,,,,inpatient,,,573,,286.5,343.8,578.5581,538.62,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,475.59,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,527.16,,,,percent of total billed charges,,542.058,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,555.81,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,504.24,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,371.304,,,,percent of total billed charges,,515.7,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,578.5581,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,544.35,,,,percent of total billed charges,,458.4,,,,percent of total billed charges,,343.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 31575-0450 FLEXIBLE LARYNGOSCOPY,450,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31622-0450 BRONCHOSCOPY,DIAGNOSTIC",450,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 32555-0450 THORACENTESIS, ASPIRATE PLEURA W/IMAGING",450,RC,,,,,inpatient,,,3574,,1787,2144.4,3608.6678,3359.56,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2966.42,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3288.08,,,,percent of total billed charges,,3381.004,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3466.78,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3145.12,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2315.952,,,,percent of total billed charges,,3216.6,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,3608.6678,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,3395.3,,,,percent of total billed charges,,2859.2,,,,percent of total billed charges,,2144.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36510-0450 UMBILICAL CATH,450,RC,,,,,inpatient,,,607,,303.5,364.2,612.8879,570.58,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,503.81,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,558.44,,,,percent of total billed charges,,574.222,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,588.79,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,534.16,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,393.336,,,,percent of total billed charges,,546.3,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,612.8879,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,576.65,,,,percent of total billed charges,,485.6,,,,percent of total billed charges,,364.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36555-0450 INSERT CENTRAL LINE (< 5 YO),450,RC,,,,,inpatient,,,8211,,4105.5,4926.6,8290.6467,7718.34,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6815.13,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7554.12,,,,percent of total billed charges,,7767.606,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7964.67,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7225.68,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,5320.728,,,,percent of total billed charges,,7389.9,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,8290.6467,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,7800.45,,,,percent of total billed charges,,6568.8,,,,percent of total billed charges,,4926.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36593-0450 DECLOT THROMB. AG IMP VAD/CA,450,RC,,,,,inpatient,,,709,,354.5,425.4,715.8773,666.46,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,588.47,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,652.28,,,,percent of total billed charges,,670.714,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,687.73,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,623.92,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,459.432,,,,percent of total billed charges,,638.1,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,715.8773,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,673.55,,,,percent of total billed charges,,567.2,,,,percent of total billed charges,,425.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 36620-0450 INS ARTERIAL LINE PERCUT,450,RC,,,,,inpatient,,,1954,,977,1172.4,1972.9538,1836.76,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1621.82,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1797.68,,,,percent of total billed charges,,1848.484,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1895.38,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1719.52,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1266.192,,,,percent of total billed charges,,1758.6,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,1972.9538,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1856.3,,,,percent of total billed charges,,1563.2,,,,percent of total billed charges,,1172.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 40800-0450 DRAINAGE OF MOUTH LESION; SIMPLE,450,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41250-0450 REP LACERAT 2.5 CM/<;FLR-MOUTH,450,RC,,,,,inpatient,,,1148,,574,688.8,1159.1356,1079.12,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,952.84,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1056.16,,,,percent of total billed charges,,1086.008,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1113.56,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1010.24,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,743.904,,,,percent of total billed charges,,1033.2,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,1159.1356,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,1090.6,,,,percent of total billed charges,,918.4,,,,percent of total billed charges,,688.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 41251-0450 REP OF LACERATION 2.5 CM OR LESS; POST 1/3 OF TONGUE,450,RC,,,,,inpatient,,,632,,316,379.2,638.1304,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,409.536,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,638.1304,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41252-0450 REPAIR OF LACERATION OF TONGUE, FOM, OVER 2.6 CM",450,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 41899-0450 UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES",450,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 42700-0450 I&D ABCESS PERITONSILLAR,450,RC,,,,,inpatient,,,632,,316,379.2,638.1304,594.08,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,524.56,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,581.44,,,,percent of total billed charges,,597.872,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,613.04,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,556.16,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,409.536,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,638.1304,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,600.4,,,,percent of total billed charges,,505.6,,,,percent of total billed charges,,379.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 42999-0450 UNLISTED PROC, PHARYNX, ADENOIDS, OR TONSILS",450,RC,,,,,inpatient,,,627,,313.5,376.2,633.0819,589.38,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,520.41,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,576.84,,,,percent of total billed charges,,593.142,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,608.19,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,551.76,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,406.296,,,,percent of total billed charges,,564.3,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,633.0819,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,595.65,,,,percent of total billed charges,,501.6,,,,percent of total billed charges,,376.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43247-0450 ESOPHAGOGASTRODUODENOSCOPY, FLEXI, TRANSORAL",450,RC,,,,,inpatient,,,2064,,1032,1238.4,2084.0208,1940.16,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1713.12,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1898.88,,,,percent of total billed charges,,1952.544,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,2002.08,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1816.32,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1337.472,,,,percent of total billed charges,,1857.6,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,2084.0208,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1960.8,,,,percent of total billed charges,,1651.2,,,,percent of total billed charges,,1238.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 43752-0450 NASO/ORO-GASTRIC TUBE PLACE,450,RC,,,,,inpatient,,,989,,494.5,593.4,998.5933,929.66,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,820.87,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,909.88,,,,percent of total billed charges,,935.594,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,959.33,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,870.32,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,640.872,,,,percent of total billed charges,,890.1,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,998.5933,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,939.55,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,593.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 43762-0450 REPLACE G TUBE, PERCUT, INCL. REMVL, W/O IMAGING",450,RC,,,,,inpatient,,,948,,474,568.8,957.1956,891.12,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,786.84,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,872.16,,,,percent of total billed charges,,896.808,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,919.56,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,834.24,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,614.304,,,,percent of total billed charges,,853.2,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,957.1956,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,900.6,,,,percent of total billed charges,,758.4,,,,percent of total billed charges,,568.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45541-0450 CORRECT RECTAL PROLAPSE,450,RC,,,,,inpatient,,,7734,,3867,4640.4,7809.0198,7269.96,,,,percent of total billed charges,,6187.2,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,6419.22,,,,percent of total billed charges,,6960.6,,,,percent of total billed charges,,7115.28,,,,percent of total billed charges,,7115.28,,,,percent of total billed charges,,7316.364,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,7501.98,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,6805.92,,,,percent of total billed charges,,6960.6,,,,percent of total billed charges,,5011.632,,,,percent of total billed charges,,6960.6,,,,percent of total billed charges,,4640.4,,,,percent of total billed charges,,7809.0198,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,7347.3,,,,percent of total billed charges,,6187.2,,,,percent of total billed charges,,4640.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 45999-0450 FISTULOTOMY OF PERNIEAL AREA W/ DEBRIDE,450,RC,,,,,inpatient,,,2502,,1251,1501.2,2526.2694,2351.88,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2076.66,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2301.84,,,,percent of total billed charges,,2366.892,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2426.94,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2201.76,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1621.296,,,,percent of total billed charges,,2251.8,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,2526.2694,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2376.9,,,,percent of total billed charges,,2001.6,,,,percent of total billed charges,,1501.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46040-0450 INCISION OF RECTAL ABSCESS,450,RC,,,,,inpatient,,,4051,,2025.5,2430.6,4090.2947,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2625.048,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,4090.2947,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 46050-0450 I&D, PERIANAL ABSCESS, SUPERFICIAL",450,RC,,,,,inpatient,,,2635,,1317.5,1581,2660.5595,2476.9,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2187.05,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2424.2,,,,percent of total billed charges,,2492.71,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2555.95,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2318.8,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,1707.48,,,,percent of total billed charges,,2371.5,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,2660.5595,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2503.25,,,,percent of total billed charges,,2108,,,,percent of total billed charges,,1581,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46320-0450 EXCISION OF THROMBOSED HEMORRHOID,450,RC,,,,,inpatient,,,4051,,2025.5,2430.6,4090.2947,3807.94,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3362.33,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3726.92,,,,percent of total billed charges,,3832.246,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3929.47,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3564.88,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2625.048,,,,percent of total billed charges,,3645.9,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,4090.2947,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3848.45,,,,percent of total billed charges,,3240.8,,,,percent of total billed charges,,2430.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 49083-0450 ABD PARACENTESIS W/ IMAGING,450,RC,,,,,inpatient,,,3009,,1504.5,1805.4,3038.1873,2828.46,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2497.47,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2768.28,,,,percent of total billed charges,,2846.514,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2918.73,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2647.92,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1949.832,,,,percent of total billed charges,,2708.1,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,3038.1873,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2858.55,,,,percent of total billed charges,,2407.2,,,,percent of total billed charges,,1805.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51040-0450 CYSTOTOMY W/ DRAINAGE,450,RC,,,,,inpatient,,,5088,,2544,3052.8,5137.3536,4782.72,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4223.04,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4680.96,,,,percent of total billed charges,,4813.248,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4935.36,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4477.44,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,3297.024,,,,percent of total billed charges,,4579.2,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,5137.3536,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4833.6,,,,percent of total billed charges,,4070.4,,,,percent of total billed charges,,3052.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51102-0450 DRAIN BLADDER W/ SUP CATH,450,RC,,,,,inpatient,,,5113,,2556.5,3067.8,5162.5961,4806.22,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4243.79,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4703.96,,,,percent of total billed charges,,4836.898,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4959.61,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4499.44,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3313.224,,,,percent of total billed charges,,4601.7,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,5162.5961,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4857.35,,,,percent of total billed charges,,4090.4,,,,percent of total billed charges,,3067.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 51798-0450 PVR VOIDING RESIDUAL URI,450,RC,,,,,inpatient,,,211,,105.5,126.6,213.0467,198.34,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,175.13,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,194.12,,,,percent of total billed charges,,199.606,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,204.67,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,185.68,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,136.728,,,,percent of total billed charges,,189.9,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,213.0467,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,200.45,,,,percent of total billed charges,,168.8,,,,percent of total billed charges,,126.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52000-0450 CYSTOURETHROSCOPY,450,RC,,,,,inpatient,,,1563,,781.5,937.8,1578.1611,1469.22,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1297.29,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1437.96,,,,percent of total billed charges,,1478.598,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1516.11,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1375.44,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,1012.824,,,,percent of total billed charges,,1406.7,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,1578.1611,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1484.85,,,,percent of total billed charges,,1250.4,,,,percent of total billed charges,,937.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52005-0450 CYSTOURETHROSCOPY W/ URETERAL CATH,450,RC,,,,,inpatient,,,5021,,2510.5,3012.6,5069.7037,4719.74,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4167.43,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4619.32,,,,percent of total billed charges,,4749.866,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4870.37,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4418.48,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3253.608,,,,percent of total billed charges,,4518.9,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,5069.7037,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4769.95,,,,percent of total billed charges,,4016.8,,,,percent of total billed charges,,3012.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52281-0450 CYSTO W/DILATION OF URETH,450,RC,,,,,inpatient,,,4637,,2318.5,2782.2,4681.9789,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3004.776,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4681.9789,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52310-0450 CYSTO W/REMOVAL STENT/SIM,450,RC,,,,,inpatient,,,4637,,2318.5,2782.2,4681.9789,4358.78,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3848.71,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4266.04,,,,percent of total billed charges,,4386.602,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4497.89,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4080.56,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,3004.776,,,,percent of total billed charges,,4173.3,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,4681.9789,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,4405.15,,,,percent of total billed charges,,3709.6,,,,percent of total billed charges,,2782.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 52332-0450 CYSTOURETHROSCOPY, W INSERT OF INDWELLING URETERAL STENT",450,RC,,,,,inpatient,,,8013,,4006.5,4807.8,8090.7261,7532.22,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6650.79,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7371.96,,,,percent of total billed charges,,7580.298,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7772.61,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7051.44,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,5192.424,,,,percent of total billed charges,,7211.7,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,8090.7261,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,7612.35,,,,percent of total billed charges,,6410.4,,,,percent of total billed charges,,4807.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 54220-0450 IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM,450,RC,,,,,inpatient,,,653,,326.5,391.8,659.3341,613.82,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,541.99,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,600.76,,,,percent of total billed charges,,617.738,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,633.41,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,574.64,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,423.144,,,,percent of total billed charges,,587.7,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,659.3341,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,620.35,,,,percent of total billed charges,,522.4,,,,percent of total billed charges,,391.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 54700-0450 INCISION & DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROT",450,RC,,,,,inpatient,,,5638,,2819,3382.8,5692.6886,5299.72,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4679.54,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5186.96,,,,percent of total billed charges,,5333.548,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5468.86,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4961.44,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3653.424,,,,percent of total billed charges,,5074.2,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,5692.6886,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,5356.1,,,,percent of total billed charges,,4510.4,,,,percent of total billed charges,,3382.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55100-0450 DRAINAGE OF SCROTAL WALL,450,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56405-0450 I&D PERINEAL ABSCESS,450,RC,,,,,inpatient,,,805,,402.5,483,812.8085,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,521.64,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,812.8085,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 56420-0450 I&D BARTHOLIN'S GLAND ABCSS,450,RC,,,,,inpatient,,,491,,245.5,294.6,495.7627,461.54,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,407.53,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,451.72,,,,percent of total billed charges,,464.486,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,476.27,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,432.08,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,318.168,,,,percent of total billed charges,,441.9,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,495.7627,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,466.45,,,,percent of total billed charges,,392.8,,,,percent of total billed charges,,294.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 58301-0450 REMOVAL IUD,450,RC,,,,,inpatient,,,443,,221.5,265.8,447.2971,416.42,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,367.69,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,407.56,,,,percent of total billed charges,,419.078,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,429.71,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,389.84,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,287.064,,,,percent of total billed charges,,398.7,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,447.2971,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,420.85,,,,percent of total billed charges,,354.4,,,,percent of total billed charges,,265.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59812-0450 TREATMENT OF INCOMPLETE A,450,RC,,,,,inpatient,,,8594,,4297,5156.4,8677.3618,8078.36,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7133.02,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,7906.48,,,,percent of total billed charges,,8129.924,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8336.18,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,7562.72,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5568.912,,,,percent of total billed charges,,7734.6,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,8677.3618,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,8164.3,,,,percent of total billed charges,,6875.2,,,,percent of total billed charges,,5156.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 61070-0450 INJ/ASP SHUNT TUBING,450,RC,,,,,inpatient,,,2288,,1144,1372.8,2310.1936,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1482.624,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2310.1936,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62252-0450 CSF SHUNT REPROGRAM,450,RC,,,,,inpatient,,,925,,462.5,555,933.9725,869.5,,,,percent of total billed charges,,740,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,767.75,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,851,,,,percent of total billed charges,,851,,,,percent of total billed charges,,875.05,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,897.25,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,814,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,599.4,,,,percent of total billed charges,,832.5,,,,percent of total billed charges,,555,,,,percent of total billed charges,,933.9725,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,878.75,,,,percent of total billed charges,,740,,,,percent of total billed charges,,555,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62270-0450 SPINAL PUNCTURE, LUMBAR, DIAG W/O GUIDE",450,RC,,,,,inpatient,,,2011,,1005.5,1206.6,2030.5067,1890.34,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1669.13,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1850.12,,,,percent of total billed charges,,1902.406,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1950.67,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1769.68,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1303.128,,,,percent of total billed charges,,1809.9,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,2030.5067,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1910.45,,,,percent of total billed charges,,1608.8,,,,percent of total billed charges,,1206.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62273-0450 INJECT EPIDURAL PATCH,450,RC,,,,,inpatient,,,2523,,1261.5,1513.8,2547.4731,2371.62,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2094.09,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2321.16,,,,percent of total billed charges,,2386.758,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2447.31,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2220.24,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1634.904,,,,percent of total billed charges,,2270.7,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,2547.4731,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2396.85,,,,percent of total billed charges,,2018.4,,,,percent of total billed charges,,1513.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64405-0450 INJ GREATER OCCIPTAL NERVE,450,RC,,,,,inpatient,,,965,,482.5,579,974.3605,907.1,,,,percent of total billed charges,,772,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,800.95,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,887.8,,,,percent of total billed charges,,912.89,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,936.05,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,849.2,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,625.32,,,,percent of total billed charges,,868.5,,,,percent of total billed charges,,579,,,,percent of total billed charges,,974.3605,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,916.75,,,,percent of total billed charges,,772,,,,percent of total billed charges,,579,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64450-0450 INJ ANESTH; OTHR PERIPHER,450,RC,,,,,inpatient,,,2288,,1144,1372.8,2310.1936,2150.72,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1899.04,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2104.96,,,,percent of total billed charges,,2164.448,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2219.36,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2013.44,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1482.624,,,,percent of total billed charges,,2059.2,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,2310.1936,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,2173.6,,,,percent of total billed charges,,1830.4,,,,percent of total billed charges,,1372.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64831-0450 SUTURE OF DIGITAL NERVE, HAND OR FOOT; 1 NERVE",450,RC,,,,,inpatient,,,5463,,2731.5,3277.8,5515.9911,5135.22,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4534.29,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5025.96,,,,percent of total billed charges,,5167.998,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5299.11,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4807.44,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3540.024,,,,percent of total billed charges,,4916.7,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,5515.9911,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,5189.85,,,,percent of total billed charges,,4370.4,,,,percent of total billed charges,,3277.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65270-0450 REPAIR OF LACERAT; CONJUNCTIVA, W OR WO NONPERF LACERA SCLERA, DIR CLOS",450,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65286-0450 REPAIR LACERATION, APP TISS GLUE, WOUNDS OF CORNEA/SCLERA",450,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 65800-0450 DRAINAGE ANTER CHAMBR OF EYE,450,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67028-0450 INJ. INTRAVITREAL,450,RC,,,,,inpatient,,,832,,416,499.2,840.0704,782.08,,,,percent of total billed charges,,665.6,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,690.56,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,765.44,,,,percent of total billed charges,,765.44,,,,percent of total billed charges,,787.072,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,807.04,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,732.16,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,539.136,,,,percent of total billed charges,,748.8,,,,percent of total billed charges,,499.2,,,,percent of total billed charges,,840.0704,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,790.4,,,,percent of total billed charges,,665.6,,,,percent of total billed charges,,499.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67105-0450 REPAIR-RETINAL DETACHMENT,450,RC,,,,,inpatient,,,1327,,663.5,796.2,1339.8719,1247.38,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1101.41,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1220.84,,,,percent of total billed charges,,1255.342,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1287.19,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1167.76,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,859.896,,,,percent of total billed charges,,1194.3,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,1339.8719,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1260.65,,,,percent of total billed charges,,1061.6,,,,percent of total billed charges,,796.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67110-0450 DEST CYCLOPHOTOCOAGULATI,450,RC,,,,,inpatient,,,5399,,2699.5,3239.4,5451.3703,5075.06,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4481.17,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,4967.08,,,,percent of total billed charges,,5107.454,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5237.03,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4751.12,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3498.552,,,,percent of total billed charges,,4859.1,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,5451.3703,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,5129.05,,,,percent of total billed charges,,4319.2,,,,percent of total billed charges,,3239.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67141-0450 PROPHYLAXIS OF RETINAL DETACH WO DRAINAGE, 1 OR MORE SESSIONS",450,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67560-0450 ORBITAL IMPLANT; REMOVAL OR REVISION,450,RC,,,,,inpatient,,,7725,,3862.5,4635,7799.9325,7261.5,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6411.75,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7107,,,,percent of total billed charges,,7307.85,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7493.25,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6798,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,5005.8,,,,percent of total billed charges,,6952.5,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,7799.9325,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,7338.75,,,,percent of total billed charges,,6180,,,,percent of total billed charges,,4635,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 67700-0450 BLEPHAROTOMY, DRAIN OF ABSCESS, EYELID",450,RC,,,,,inpatient,,,805,,402.5,483,812.8085,756.7,,,,percent of total billed charges,,644,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,668.15,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,740.6,,,,percent of total billed charges,,761.53,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,780.85,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,708.4,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,521.64,,,,percent of total billed charges,,724.5,,,,percent of total billed charges,,483,,,,percent of total billed charges,,812.8085,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,764.75,,,,percent of total billed charges,,644,,,,percent of total billed charges,,483,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67938-0450  REMOVAL FB EYELID,450,RC,,,,,inpatient,,,662,,331,397.2,668.4214,622.28,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,549.46,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,609.04,,,,percent of total billed charges,,626.252,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,642.14,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,582.56,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,428.976,,,,percent of total billed charges,,595.8,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,668.4214,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,628.9,,,,percent of total billed charges,,529.6,,,,percent of total billed charges,,397.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68700-0450 PLASTIC REPAIR OF CANALICULI,450,RC,,,,,inpatient,,,5286,,2643,3171.6,5337.2742,4968.84,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4387.38,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,4863.12,,,,percent of total billed charges,,5000.556,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5127.42,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4651.68,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3425.328,,,,percent of total billed charges,,4757.4,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,5337.2742,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,5021.7,,,,percent of total billed charges,,4228.8,,,,percent of total billed charges,,3171.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69000-0450 EAR DRAIN EXT ABCESS HEMA SIMP,450,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 69020-0450 DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS",450,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69205-0450 REMOVAL FOREIGN BODY FROM EXT AUD CANAL; W GEN ANESTH,450,RC,,,,,inpatient,,,4558,,2279,2734.8,4602.2126,4284.52,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3783.14,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4193.36,,,,percent of total billed charges,,4311.868,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4421.26,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4011.04,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2953.584,,,,percent of total billed charges,,4102.2,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,4602.2126,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,4330.1,,,,percent of total billed charges,,3646.4,,,,percent of total billed charges,,2734.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69220-0450 EAR DEBRIDE MASTOID CAVITY SIMP,450,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92511-0450 NASOPHARYNGOSCOPY,450,RC,,,,,inpatient,,,447,,223.5,268.2,451.3359,420.18,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,371.01,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,411.24,,,,percent of total billed charges,,422.862,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,433.59,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,393.36,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,289.656,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,451.3359,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,424.65,,,,percent of total billed charges,,357.6,,,,percent of total billed charges,,268.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97597-0450 RMVL DEVITAL TIS 20 CM/<,450,RC,,,,,inpatient,,,548,,274,328.8,553.3156,515.12,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,454.84,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,504.16,,,,percent of total billed charges,,518.408,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,531.56,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,482.24,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,355.104,,,,percent of total billed charges,,493.2,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,553.3156,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,520.6,,,,percent of total billed charges,,438.4,,,,percent of total billed charges,,328.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27345-0510 EXCISION PROCEDURES ON THE FEMUR & KNEE JOINT,510,RC,,,,,inpatient,,,9049,,4524.5,5429.4,9136.7753,8506.06,,,,percent of total billed charges,,7239.2,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,7510.67,,,,percent of total billed charges,,8144.1,,,,percent of total billed charges,,8325.08,,,,percent of total billed charges,,8325.08,,,,percent of total billed charges,,8560.354,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,8777.53,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,7963.12,,,,percent of total billed charges,,8144.1,,,,percent of total billed charges,,5863.752,,,,percent of total billed charges,,8144.1,,,,percent of total billed charges,,5429.4,,,,percent of total billed charges,,9136.7753,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,8596.55,,,,percent of total billed charges,,7239.2,,,,percent of total billed charges,,5429.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 33016-0361 PERICARDIOCENTESIS W/ IMAGING,361,RC,,,,,inpatient,,,3348,,1674,2008.8,3380.4756,3147.12,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2778.84,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3080.16,,,,percent of total billed charges,,3167.208,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3247.56,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2946.24,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2169.504,,,,percent of total billed charges,,3013.2,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,3380.4756,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,3180.6,,,,percent of total billed charges,,2678.4,,,,percent of total billed charges,,2008.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 45380-0510 COLONOSCOPY, FLEX; W BX, SING OR MULT",510,RC,,,,,inpatient,,,1624,,812,974.4,1639.7528,1526.56,,,,percent of total billed charges,,1299.2,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1347.92,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,1494.08,,,,percent of total billed charges,,1494.08,,,,percent of total billed charges,,1536.304,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1575.28,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1429.12,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,1052.352,,,,percent of total billed charges,,1461.6,,,,percent of total billed charges,,974.4,,,,percent of total billed charges,,1639.7528,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1542.8,,,,percent of total billed charges,,1299.2,,,,percent of total billed charges,,974.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95970-0450 ANALYZE NEUROSTIM W/O REPROG,450,RC,,,,,inpatient,,,384,,192,230.4,387.7248,360.96,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,318.72,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,353.28,,,,percent of total billed charges,,363.264,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,372.48,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,337.92,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,248.832,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,387.7248,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,364.8,,,,percent of total billed charges,,307.2,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64632-0510 DESTR BY NEUROLYTIC AGENT; PLANTAR COMMON DIGITAL NRV,510,RC,,,,,inpatient,,,827,,413.5,496.2,835.0219,777.38,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,686.41,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,760.84,,,,percent of total billed charges,,782.342,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,802.19,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,727.76,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,535.896,,,,percent of total billed charges,,744.3,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,835.0219,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,785.65,,,,percent of total billed charges,,661.6,,,,percent of total billed charges,,496.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG V5008-0471 HEARING SCREENING,471,RC,,,,,inpatient,,,46,,23,27.6,46.4462,43.24,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,38.18,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,42.32,,,,percent of total billed charges,,43.516,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,44.62,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,40.48,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,46.4462,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,43.7,,,,percent of total billed charges,,36.8,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59430-0510 POST PARTUM CARE ONLY,510,RC,,,,,inpatient,,,100,,50,60,100.97,94,,,,percent of total billed charges,,80,,,,percent of total billed charges,,95,,,,percent of total billed charges,,83,,,,percent of total billed charges,,90,,,,percent of total billed charges,,92,,,,percent of total billed charges,,92,,,,percent of total billed charges,,94.6,,,,percent of total billed charges,,95,,,,percent of total billed charges,,97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,88,,,,percent of total billed charges,,90,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,90,,,,percent of total billed charges,,60,,,,percent of total billed charges,,100.97,,,,percent of total billed charges,,95,,,,percent of total billed charges,,95,,,,percent of total billed charges,,80,,,,percent of total billed charges,,60,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S3005-0900 PERFORM MEASUREMENT, EVAL OF PT SELF ASSESS, DEPRESSION",900,RC,,,,,inpatient,,,11,,5.5,6.6,11.1067,10.34,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.13,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,10.406,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.67,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,11.1067,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,10.45,,,,percent of total billed charges,,8.8,,,,percent of total billed charges,,6.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 32556-0450 INSERT CATH PLEURA W/O IMAGE,450,RC,,,,,inpatient,,,3919,,1959.5,2351.4,3957.0143,3683.86,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3252.77,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3605.48,,,,percent of total billed charges,,3707.374,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3801.43,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3448.72,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2539.512,,,,percent of total billed charges,,3527.1,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,3957.0143,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3723.05,,,,percent of total billed charges,,3135.2,,,,percent of total billed charges,,2351.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG RHC G0323-0900 CARE MGT FOR BEHAVIORAL HEALTH, 20 MIN",900,RC,,,,,inpatient,,,74,,37,44.4,74.7178,69.56,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,61.42,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,68.08,,,,percent of total billed charges,,70.004,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,71.78,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,65.12,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,66.6,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,74.7178,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,70.3,,,,percent of total billed charges,,59.2,,,,percent of total billed charges,,44.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG ADM SARSCOV2 VACCINE, ANY",771,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 31526-0450 LARYNGO DIRECT, W OR WO TRACHEOSCOPY; DIAGN",450,RC,,,,,inpatient,,,3996,,1998,2397.6,4034.7612,3756.24,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3316.68,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3676.32,,,,percent of total billed charges,,3780.216,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3876.12,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3516.48,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2589.408,,,,percent of total billed charges,,3596.4,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,4034.7612,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3796.2,,,,percent of total billed charges,,3196.8,,,,percent of total billed charges,,2397.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG SETUP, MAINT, ADJ & CLEANING, HEARING AID(S), CASH SERVICE",920,RC,,,,,inpatient,,,500,,250,300,504.85,470,,,,percent of total billed charges,,400,,,,percent of total billed charges,,475,,,,percent of total billed charges,,415,,,,percent of total billed charges,,450,,,,percent of total billed charges,,460,,,,percent of total billed charges,,460,,,,percent of total billed charges,,473,,,,percent of total billed charges,,475,,,,percent of total billed charges,,485,,,,percent of total billed charges,,475,,,,percent of total billed charges,,440,,,,percent of total billed charges,,450,,,,percent of total billed charges,,324,,,,percent of total billed charges,,450,,,,percent of total billed charges,,300,,,,percent of total billed charges,,504.85,,,,percent of total billed charges,,475,,,,percent of total billed charges,,475,,,,percent of total billed charges,,400,,,,percent of total billed charges,,300,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEARING AID REPAIR, SINGLE, CASH SERVICE",920,RC,,,,,inpatient,,,25,,12.5,15,25.2425,23.5,,,,percent of total billed charges,,20,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20.75,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23,,,,percent of total billed charges,,23.65,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,24.25,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,22,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,22.5,,,,percent of total billed charges,,15,,,,percent of total billed charges,,25.2425,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,23.75,,,,percent of total billed charges,,20,,,,percent of total billed charges,,15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG HEARING AID REPAIR, BOTH, CASH SERVICE",920,RC,,,,,inpatient,,,50,,25,30,50.485,47,,,,percent of total billed charges,,40,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,41.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,46,,,,percent of total billed charges,,46,,,,percent of total billed charges,,47.3,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,48.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,44,,,,percent of total billed charges,,45,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,45,,,,percent of total billed charges,,30,,,,percent of total billed charges,,50.485,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,47.5,,,,percent of total billed charges,,40,,,,percent of total billed charges,,30,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 20 MG, PER MG (20 UNITS), 314070",636,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 30 MG, PER MG (30 UNITS), 314071",636,RC,,,,,inpatient,,,14,,7,8.4,14.1358,13.16,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.62,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,12.88,,,,percent of total billed charges,,13.244,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.58,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,14.1358,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,13.3,,,,percent of total billed charges,,11.2,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 60 MG, PER MG (60 UNITS), 314072",636,RC,,,,,inpatient,,,15,,7.5,9,15.1455,14.1,,,,percent of total billed charges,,12,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12.45,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,13.8,,,,percent of total billed charges,,14.19,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.55,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,9,,,,percent of total billed charges,,15.1455,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,14.25,,,,percent of total billed charges,,12,,,,percent of total billed charges,,9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 100 MG, PER MG (100 UNITS), 314073",636,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG INTEGRA MICROMATRIX, 200 MG, PER MG (200 UNITS), 314088",636,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11982-0450 REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",450,RC,,,,,inpatient,,,1468,,734,880.8,1482.2396,1379.92,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1218.44,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1388.728,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1423.96,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1291.84,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,951.264,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1482.2396,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADM RSV IM SEASONAL DOSE W/COUNSELING,771,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ADM RSV IM SEASONAL DOSE,771,RC,,,,,inpatient,,,159,,79.5,95.4,160.5423,149.46,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,131.97,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,146.28,,,,percent of total billed charges,,150.414,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,154.23,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,139.92,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,103.032,,,,percent of total billed charges,,143.1,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,160.5423,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,151.05,,,,percent of total billed charges,,127.2,,,,percent of total billed charges,,95.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12021-0510 TREAT SUPRFIC WND DEHISCENCE W/PK,510,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG Q4019 CAST SUPPLIES, LONG ARM SPLINT, PEDIATRIC (0-10ÂYEARS), PLASTER",270,RC,,,,,inpatient,,,20,,10,12,20.194,18.8,,,,percent of total billed charges,,16,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.4,,,,percent of total billed charges,,18.92,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19.4,,,,percent of total billed charges,,19,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,18,,,,percent of total billed charges,,12,,,,percent of total billed charges,,20.194,,,,percent of total billed charges,,19,,,,percent of total billed charges,,19,,,,percent of total billed charges,,16,,,,percent of total billed charges,,12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 36406-0510 VENIPUNCTURE, <3YRS, SKILL OF PHYSICIAN OR OQHCP",510,RC,,,,,inpatient,,,22,,11,13.2,22.2134,20.68,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,18.26,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.24,,,,percent of total billed charges,,20.812,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,21.34,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,19.36,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,22.2134,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,20.9,,,,percent of total billed charges,,17.6,,,,percent of total billed charges,,13.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92015-0510 REFRACTION,510,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67516-0360 SUPRACHOROIDAL SPC NJX RX AGT,360,RC,,,,,inpatient,,,890,,445,534,898.633,836.6,,,,percent of total billed charges,,712,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,738.7,,,,percent of total billed charges,,801,,,,percent of total billed charges,,818.8,,,,percent of total billed charges,,818.8,,,,percent of total billed charges,,841.94,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,863.3,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,783.2,,,,percent of total billed charges,,801,,,,percent of total billed charges,,576.72,,,,percent of total billed charges,,801,,,,percent of total billed charges,,534,,,,percent of total billed charges,,898.633,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,845.5,,,,percent of total billed charges,,712,,,,percent of total billed charges,,534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG-24201-0361 REMOVAL OF ARM FOREIGN BODY,361,RC,,,,,inpatient,,,9359,,4679.5,5615.4,9449.7823,8797.46,,,,percent of total billed charges,,7487.2,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,7767.97,,,,percent of total billed charges,,8423.1,,,,percent of total billed charges,,8610.28,,,,percent of total billed charges,,8610.28,,,,percent of total billed charges,,8853.614,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,9078.23,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,8235.92,,,,percent of total billed charges,,8423.1,,,,percent of total billed charges,,6064.632,,,,percent of total billed charges,,8423.1,,,,percent of total billed charges,,5615.4,,,,percent of total billed charges,,9449.7823,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,8891.05,,,,percent of total billed charges,,7487.2,,,,percent of total billed charges,,5615.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 11982-0361 REMOVAL, NON-BIODEGRAD DRUG DEL IMPLANT",361,RC,,,,,inpatient,,,1468,,734,880.8,1482.2396,1379.92,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1218.44,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1350.56,,,,percent of total billed charges,,1388.728,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1423.96,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1291.84,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,951.264,,,,percent of total billed charges,,1321.2,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,1482.2396,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1394.6,,,,percent of total billed charges,,1174.4,,,,percent of total billed charges,,880.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12053-0510 INTERMED REPAIRS 5.1 CM - 7.5 CM,510,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12054-0510 REPAIR WOUND FACE EARS ET,510,RC,,,,,inpatient,,,1135,,567.5,681,1146.0095,1066.9,,,,percent of total billed charges,,908,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,942.05,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1044.2,,,,percent of total billed charges,,1073.71,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1100.95,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,998.8,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,735.48,,,,percent of total billed charges,,1021.5,,,,percent of total billed charges,,681,,,,percent of total billed charges,,1146.0095,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,1078.25,,,,percent of total billed charges,,908,,,,percent of total billed charges,,681,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 13133-0510 REPAIR COMPLEX EA ADD'L,510,RC,,,,,inpatient,,,870,,435,522,878.439,817.8,,,,percent of total billed charges,,696,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,722.1,,,,percent of total billed charges,,783,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,800.4,,,,percent of total billed charges,,823.02,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,843.9,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,765.6,,,,percent of total billed charges,,783,,,,percent of total billed charges,,563.76,,,,percent of total billed charges,,783,,,,percent of total billed charges,,522,,,,percent of total billed charges,,878.439,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,826.5,,,,percent of total billed charges,,696,,,,percent of total billed charges,,522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97810-0420 ACUPUNCT W/O STIMUL 15 MIN,420,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97813-0420 ACUPUNCT W/STIMUL 15 MIN,420,RC,,,,,inpatient,,,78,,39,46.8,78.7566,73.32,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,64.74,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,71.76,,,,percent of total billed charges,,73.788,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,75.66,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,68.64,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,50.544,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,78.7566,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,74.1,,,,percent of total billed charges,,62.4,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG G0446-0510 INTENSIVE BEHAVIORAL THERAPY CARDIOVAS DX INDIV 15 MIN,510,RC,,,,,inpatient,,,68,,34,40.8,68.6596,63.92,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,56.44,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,64.328,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,65.96,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,59.84,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,68.6596,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,64.6,,,,percent of total billed charges,,54.4,,,,percent of total billed charges,,40.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46601-0510 ANOSCOPY HIGH RESOLUTION,510,RC,,,,,inpatient,,,304,,152,182.4,306.9488,285.76,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,252.32,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,279.68,,,,percent of total billed charges,,287.584,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,294.88,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,267.52,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,306.9488,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,288.8,,,,percent of total billed charges,,243.2,,,,percent of total billed charges,,182.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9784-0510 ENDO SLEEVE GASTRO W/TUBE,510,RC,,,,,inpatient,,,20392,,10196,12235.2,20589.8024,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,13214.016,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,20589.8024,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG C9785-0510 ENDO OUTLET RESTRICT W/TUBE,510,RC,,,,,inpatient,,,20392,,10196,12235.2,20589.8024,19168.48,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16925.36,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,18760.64,,,,percent of total billed charges,,19290.832,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19780.24,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,17944.96,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,13214.016,,,,percent of total billed charges,,18352.8,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,20589.8024,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,19372.4,,,,percent of total billed charges,,16313.6,,,,percent of total billed charges,,12235.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 76998-0360 US GUIDE INTRAOP,360,RC,,,,,inpatient,,,613,,306.5,367.8,618.9461,576.22,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,508.79,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,563.96,,,,percent of total billed charges,,579.898,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,594.61,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,539.44,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,397.224,,,,percent of total billed charges,,551.7,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,618.9461,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,582.35,,,,percent of total billed charges,,490.4,,,,percent of total billed charges,,367.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64590-0360 INS/RPL PRPH SAC/GSTR NPG/R,360,RC,,,,,inpatient,,,8652,,4326,5191.2,8735.9244,8132.88,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7181.16,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,7959.84,,,,percent of total billed charges,,8184.792,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8392.44,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,7613.76,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,5606.496,,,,percent of total billed charges,,7786.8,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,8735.9244,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,8219.4,,,,percent of total billed charges,,6921.6,,,,percent of total billed charges,,5191.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95971-0360 ALYS SMPL SP/PN NPGT W/PRGRM,360,RC,,,,,inpatient,,,362,,181,217.2,365.5114,340.28,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,300.46,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,333.04,,,,percent of total billed charges,,342.452,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,351.14,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,318.56,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,234.576,,,,percent of total billed charges,,325.8,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,365.5114,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,343.9,,,,percent of total billed charges,,289.6,,,,percent of total billed charges,,217.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95972-0360 ALYS CPLX SP/PN NPGT W/PRGRM,360,RC,,,,,inpatient,,,266,,133,159.6,268.5802,250.04,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,220.78,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,244.72,,,,percent of total billed charges,,251.636,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,258.02,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,234.08,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,172.368,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,268.5802,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,252.7,,,,percent of total billed charges,,212.8,,,,percent of total billed charges,,159.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92544-0471 OPTOKINETIC NYSTAGMUS TEST, BIDIRECTIONAL, W REC",471,RC,,,,,inpatient,,,428,,214,256.8,432.1516,402.32,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,355.24,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,393.76,,,,percent of total billed charges,,404.888,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,415.16,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,376.64,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,277.344,,,,percent of total billed charges,,385.2,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,432.1516,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,406.6,,,,percent of total billed charges,,342.4,,,,percent of total billed charges,,256.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 92545-0471 OSCILLATING TRACKING TEST, W REC",471,RC,,,,,inpatient,,,860,,430,516,868.342,808.4,,,,percent of total billed charges,,688,,,,percent of total billed charges,,817,,,,percent of total billed charges,,713.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,791.2,,,,percent of total billed charges,,813.56,,,,percent of total billed charges,,817,,,,percent of total billed charges,,834.2,,,,percent of total billed charges,,817,,,,percent of total billed charges,,756.8,,,,percent of total billed charges,,774,,,,percent of total billed charges,,557.28,,,,percent of total billed charges,,774,,,,percent of total billed charges,,516,,,,percent of total billed charges,,868.342,,,,percent of total billed charges,,817,,,,percent of total billed charges,,817,,,,percent of total billed charges,,688,,,,percent of total billed charges,,516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20600 DRAIN/INJ JOINT/BURSA W/O US,510,RC,,,,,inpatient,,,1219,,609.5,731.4,1230.8243,1145.86,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1011.77,,,,percent of total billed charges,,1097.1,,,,percent of total billed charges,,1121.48,,,,percent of total billed charges,,1121.48,,,,percent of total billed charges,,1153.174,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1182.43,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1072.72,,,,percent of total billed charges,,1097.1,,,,percent of total billed charges,,789.912,,,,percent of total billed charges,,1097.1,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,1230.8243,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,1158.05,,,,percent of total billed charges,,975.2,,,,percent of total billed charges,,731.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 35226-0361 REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY",361,RC,,,,,inpatient,,,1927,,963.5,1156.2,1945.6919,1811.38,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1599.41,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1772.84,,,,percent of total billed charges,,1822.942,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1869.19,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1695.76,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1248.696,,,,percent of total billed charges,,1734.3,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,1945.6919,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1830.65,,,,percent of total billed charges,,1541.6,,,,percent of total billed charges,,1156.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 38206-0819 HARVEST AUTO STEM CELLS, PER COLLECTION",819,RC,,,,,inpatient,,,4030,,2015,2418,4069.091,3788.2,,,,percent of total billed charges,,3224,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3344.9,,,,percent of total billed charges,,3627,,,,percent of total billed charges,,3707.6,,,,percent of total billed charges,,3707.6,,,,percent of total billed charges,,3812.38,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3909.1,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3546.4,,,,percent of total billed charges,,3627,,,,percent of total billed charges,,2611.44,,,,percent of total billed charges,,3627,,,,percent of total billed charges,,2418,,,,percent of total billed charges,,4069.091,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3828.5,,,,percent of total billed charges,,3224,,,,percent of total billed charges,,2418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96040-0510 GENETIC COUNSELING 30 MIN,510,RC,,,,,inpatient,,,146,,73,87.6,147.4162,137.24,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,121.18,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,134.32,,,,percent of total billed charges,,138.116,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,141.62,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,128.48,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,94.608,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,147.4162,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,138.7,,,,percent of total billed charges,,116.8,,,,percent of total billed charges,,87.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0272T-0480 INTERROGATE CRTD SNS DEV,480,RC,,,,,inpatient,,,407,,203.5,244.2,410.9479,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,263.736,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,410.9479,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0273T-0480 INTERROGATE CRTD SNS W/PGRMG,480,RC,,,,,inpatient,,,407,,203.5,244.2,410.9479,382.58,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,337.81,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,374.44,,,,percent of total billed charges,,385.022,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,394.79,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,358.16,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,263.736,,,,percent of total billed charges,,366.3,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,410.9479,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,386.65,,,,percent of total billed charges,,325.6,,,,percent of total billed charges,,244.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S9470-0942 NUTRITIONAL COUNSELING, DIETICIAN VISIT",942,RC,,,,,inpatient,,,92,,46,55.2,92.8924,86.48,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,76.36,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,84.64,,,,percent of total billed charges,,87.032,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,59.616,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,92.8924,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,87.4,,,,percent of total billed charges,,73.6,,,,percent of total billed charges,,55.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93264-0480 REM MNTR WRLS P-ART PRS SNR,480,RC,,,,,inpatient,,,116,,58,69.6,117.1252,109.04,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,96.28,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,106.72,,,,percent of total billed charges,,109.736,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,112.52,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,102.08,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,75.168,,,,percent of total billed charges,,104.4,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,117.1252,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,110.2,,,,percent of total billed charges,,92.8,,,,percent of total billed charges,,69.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96422-0335 CHEMOTHERAPY ADM, INTRA-ARTERIAL INFUS, UP TO 1 HR",335,RC,,,,,inpatient,,,928,,464,556.8,937.0016,872.32,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,770.24,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,877.888,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,900.16,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,816.64,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,601.344,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,937.0016,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96422-0335 CHEMOTHERAPY ADM, INTRA-ARTERIAL INFUS, EA ADD'L HOUR",335,RC,,,,,inpatient,,,130,,65,78,131.261,122.2,,,,percent of total billed charges,,104,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,107.9,,,,percent of total billed charges,,117,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,119.6,,,,percent of total billed charges,,122.98,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,126.1,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,117,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,117,,,,percent of total billed charges,,78,,,,percent of total billed charges,,131.261,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,123.5,,,,percent of total billed charges,,104,,,,percent of total billed charges,,78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96420-0331 CHEMOTHERAPY ADMIN, INTRA-ARTERIAL, PUSH TECH",331,RC,,,,,inpatient,,,928,,464,556.8,937.0016,872.32,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,770.24,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,877.888,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,900.16,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,816.64,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,601.344,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,937.0016,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 96440-331 CHEMOTHERAPY ADM INTO PLEURAL CAVITY, INC THORACENTESIS",331,RC,,,,,inpatient,,,928,,464,556.8,937.0016,872.32,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,770.24,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,853.76,,,,percent of total billed charges,,877.888,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,900.16,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,816.64,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,601.344,,,,percent of total billed charges,,835.2,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,937.0016,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,881.6,,,,percent of total billed charges,,742.4,,,,percent of total billed charges,,556.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95018-0924 PERQ&IC ALLG TEST DRUGS/BIOL,924,RC,,,,,inpatient,,,110,,55,66,111.067,103.4,,,,percent of total billed charges,,88,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,91.3,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,101.2,,,,percent of total billed charges,,104.06,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,106.7,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,96.8,,,,percent of total billed charges,,99,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,99,,,,percent of total billed charges,,66,,,,percent of total billed charges,,111.067,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,104.5,,,,percent of total billed charges,,88,,,,percent of total billed charges,,66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 99459-0510 PELVIC EXAMINATION,510,RC,,,,,inpatient,,,28,,14,16.8,28.2716,26.32,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,23.24,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,25.76,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,27.16,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,24.64,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,28.2716,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,26.6,,,,percent of total billed charges,,22.4,,,,percent of total billed charges,,16.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 10080-0361 INCISION AND DRAINAGE OF PILODONAL CYST, SIMPLE",361,RC,,,,,inpatient,,,1971,,985.5,1182.6,1990.1187,1852.74,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1635.93,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1813.32,,,,percent of total billed charges,,1864.566,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1911.87,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1734.48,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1277.208,,,,percent of total billed charges,,1773.9,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,1990.1187,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1872.45,,,,percent of total billed charges,,1576.8,,,,percent of total billed charges,,1182.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 62270-0361 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC W/O GUIDE",361,RC,,,,,inpatient,,,2427,,1213.5,1456.2,2450.5419,2281.38,,,,percent of total billed charges,,1941.6,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2014.41,,,,percent of total billed charges,,2184.3,,,,percent of total billed charges,,2232.84,,,,percent of total billed charges,,2232.84,,,,percent of total billed charges,,2295.942,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2354.19,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2135.76,,,,percent of total billed charges,,2184.3,,,,percent of total billed charges,,1572.696,,,,percent of total billed charges,,2184.3,,,,percent of total billed charges,,1456.2,,,,percent of total billed charges,,2450.5419,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,2305.65,,,,percent of total billed charges,,1941.6,,,,percent of total billed charges,,1456.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 8 X 8 CM; PER SQ CM (64 UNITS), 330228",636,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 8 X 8 CM;  PER SQ CM (64 UNITS), 330227",636,RC,,,,,inpatient,,,242,,121,145.2,244.3474,227.48,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,200.86,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,222.64,,,,percent of total billed charges,,228.932,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,234.74,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,212.96,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,156.816,,,,percent of total billed charges,,217.8,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,244.3474,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,229.9,,,,percent of total billed charges,,193.6,,,,percent of total billed charges,,145.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG MATRION SOLID 5 X 5 CM; PER SQ CM (25 UNITS),636,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 5 X 5 CM;  PER SQ CM (25 UNITS), 330226",636,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 3 X 4 CM; PER SQ CM (12 UNITS), 330222",636,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 3 X 4 CM;  PER SQ CM (12 UNITS), 330223",636,RC,,,,,inpatient,,,288,,144,172.8,290.7936,270.72,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,239.04,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,264.96,,,,percent of total billed charges,,272.448,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,279.36,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,259.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,290.7936,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,273.6,,,,percent of total billed charges,,230.4,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 2 X 3 CM; PER SQ CM (6 UNITS), 330220",636,RC,,,,,inpatient,,,439,,219.5,263.4,443.2583,412.66,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,364.37,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,415.294,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,425.83,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,386.32,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,284.472,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,443.2583,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION FENESTRATED 2 X 3 CM;  PER SQ CM (6 UNITS), 330221",636,RC,,,,,inpatient,,,439,,219.5,263.4,443.2583,412.66,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,364.37,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,403.88,,,,percent of total billed charges,,415.294,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,425.83,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,386.32,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,284.472,,,,percent of total billed charges,,395.1,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,443.2583,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,417.05,,,,percent of total billed charges,,351.2,,,,percent of total billed charges,,263.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG MATRION SOLID 20 MM DISK, PER SQUARE CENTIMETER (2 UNITS), 330224",636,RC,,,,,inpatient,,,1133,,566.5,679.8,1143.9901,1065.02,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,940.39,,,,percent of total billed charges,,1019.7,,,,percent of total billed charges,,1042.36,,,,percent of total billed charges,,1042.36,,,,percent of total billed charges,,1071.818,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,1099.01,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,997.04,,,,percent of total billed charges,,1019.7,,,,percent of total billed charges,,734.184,,,,percent of total billed charges,,1019.7,,,,percent of total billed charges,,679.8,,,,percent of total billed charges,,1143.9901,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,1076.35,,,,percent of total billed charges,,906.4,,,,percent of total billed charges,,679.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 2 X 2 CM; PER SQ CM (4 UNITS), 330198",636,RC,,,,,inpatient,,,258,,129,154.8,260.5026,242.52,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,214.14,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,237.36,,,,percent of total billed charges,,244.068,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,250.26,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,227.04,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,167.184,,,,percent of total billed charges,,232.2,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,260.5026,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,245.1,,,,percent of total billed charges,,206.4,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 4 X 4 CM; PER SQ CM (16 UNITS), 330199",636,RC,,,,,inpatient,,,216,,108,129.6,218.0952,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,139.968,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,218.0952,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG DERMACELL UNMESHED 5 X 7 CM; PER SQ CM (35 UNITS) 330200,636,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 6 X 7 CM; PER SQ CM (42 UNITS), 330201",636,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL UNMESHED 4 X 8 CM; PER SQ CM (32 UNITS), 330202",636,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 2 X 2 CM; PER SQ CM (4 UNITS), 330203",636,RC,,,,,inpatient,,,259,,129.5,155.4,261.5123,243.46,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,214.97,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,238.28,,,,percent of total billed charges,,245.014,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,251.23,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,227.92,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,167.832,,,,percent of total billed charges,,233.1,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,261.5123,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,246.05,,,,percent of total billed charges,,207.2,,,,percent of total billed charges,,155.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 3 X 3 CM; PER SQ CM (9 UNITS), 330204",636,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 4 X 4 CM; PER SQ CM (16 UNITS), 330205",636,RC,,,,,inpatient,,,217,,108.5,130.2,219.1049,203.98,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,180.11,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,199.64,,,,percent of total billed charges,,205.282,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,210.49,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,190.96,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,140.616,,,,percent of total billed charges,,195.3,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,219.1049,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,206.15,,,,percent of total billed charges,,173.6,,,,percent of total billed charges,,130.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 5 X 7 CM; PER SQ CM (35 UNITS), 330206",636,RC,,,,,inpatient,,,166,,83,99.6,167.6102,156.04,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,137.78,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,152.72,,,,percent of total billed charges,,157.036,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,161.02,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,146.08,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,167.6102,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,157.7,,,,percent of total billed charges,,132.8,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 6 X 7 CM; PER SQ CM (42 UNITS), 330207",636,RC,,,,,inpatient,,,164,,82,98.4,165.5908,154.16,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,136.12,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,150.88,,,,percent of total billed charges,,155.144,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,159.08,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,144.32,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,106.272,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,165.5908,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,155.8,,,,percent of total billed charges,,131.2,,,,percent of total billed charges,,98.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED  4 X 8 CM; PER SQ CM (32 UNITS), 330208",636,RC,,,,,inpatient,,,170,,85,102,171.649,159.8,,,,percent of total billed charges,,136,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,141.1,,,,percent of total billed charges,,153,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,156.4,,,,percent of total billed charges,,160.82,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,164.9,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,149.6,,,,percent of total billed charges,,153,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,153,,,,percent of total billed charges,,102,,,,percent of total billed charges,,171.649,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,161.5,,,,percent of total billed charges,,136,,,,percent of total billed charges,,102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 5 X 9 CM; PER SQ CM (54 UNITS), 330209",636,RC,,,,,inpatient,,,133,,66.5,79.8,134.2901,125.02,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,110.39,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,122.36,,,,percent of total billed charges,,125.818,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,129.01,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,117.04,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,86.184,,,,percent of total billed charges,,119.7,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,134.2901,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,126.35,,,,percent of total billed charges,,106.4,,,,percent of total billed charges,,79.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 4 X 10 CM; PER SQ CM (40 UNITS), 330210",636,RC,,,,,inpatient,,,178,,89,106.8,179.7266,167.32,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,147.74,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,163.76,,,,percent of total billed charges,,168.388,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,172.66,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,156.64,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,179.7266,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,169.1,,,,percent of total billed charges,,142.4,,,,percent of total billed charges,,106.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL MESHED 6 X 10 CM; PER SQ CM (60 UNITS), 330211",636,RC,,,,,inpatient,,,155,,77.5,93,156.5035,145.7,,,,percent of total billed charges,,124,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,128.65,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,142.6,,,,percent of total billed charges,,146.63,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,150.35,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,136.4,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,139.5,,,,percent of total billed charges,,93,,,,percent of total billed charges,,156.5035,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,147.25,,,,percent of total billed charges,,124,,,,percent of total billed charges,,93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL 8 X 10 CM; PER SQ CM (80 UNITS), 330212",636,RC,,,,,inpatient,,,143,,71.5,85.8,144.3871,134.42,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,118.69,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,131.56,,,,percent of total billed charges,,135.278,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,138.71,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,125.84,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,128.7,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,144.3871,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,135.85,,,,percent of total billed charges,,114.4,,,,percent of total billed charges,,85.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG DERMACELL 8 X 12 CM; PER SQ CM (96 UNITS), 330213",636,RC,,,,,inpatient,,,137,,68.5,82.2,138.3289,128.78,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,113.71,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,126.04,,,,percent of total billed charges,,129.602,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,132.89,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,120.56,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,123.3,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,138.3289,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,130.15,,,,percent of total billed charges,,109.6,,,,percent of total billed charges,,82.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG ACTIGRAFF AUTOLOGOUS WOUND MANAGEMENT SYSTEM,383,RC,,,,,inpatient,,,4791,,2395.5,2874.6,4837.4727,4503.54,,,,percent of total billed charges,,3832.8,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,3976.53,,,,percent of total billed charges,,4311.9,,,,percent of total billed charges,,4407.72,,,,percent of total billed charges,,4407.72,,,,percent of total billed charges,,4532.286,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,4647.27,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,4216.08,,,,percent of total billed charges,,4311.9,,,,percent of total billed charges,,3104.568,,,,percent of total billed charges,,4311.9,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,4837.4727,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,4551.45,,,,percent of total billed charges,,3832.8,,,,percent of total billed charges,,2874.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27532-0510 TREAT KNEE FRACTURE,510,RC,,,,,inpatient,,,7651,,3825.5,4590.6,7725.2147,7191.94,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6350.33,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7237.846,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7421.47,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6732.88,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4957.848,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,7725.2147,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46930-0761 DESTRUCTION OF INTERNAL HEMORRHOID(S) BY THERMAL ENERGY,761,RC,,,,,inpatient,,,2776,,1388,1665.6,2802.9272,2609.44,,,,percent of total billed charges,,2220.8,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2304.08,,,,percent of total billed charges,,2498.4,,,,percent of total billed charges,,2553.92,,,,percent of total billed charges,,2553.92,,,,percent of total billed charges,,2626.096,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2692.72,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2442.88,,,,percent of total billed charges,,2498.4,,,,percent of total billed charges,,1798.848,,,,percent of total billed charges,,2498.4,,,,percent of total billed charges,,1665.6,,,,percent of total billed charges,,2802.9272,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2637.2,,,,percent of total billed charges,,2220.8,,,,percent of total billed charges,,1665.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67950-0510 CANTHOPLASTY,510,RC,,,,,inpatient,,,4588,,2294,2752.8,4632.5036,4312.72,,,,percent of total billed charges,,3670.4,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,3808.04,,,,percent of total billed charges,,4129.2,,,,percent of total billed charges,,4220.96,,,,percent of total billed charges,,4220.96,,,,percent of total billed charges,,4340.248,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,4450.36,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,4037.44,,,,percent of total billed charges,,4129.2,,,,percent of total billed charges,,2973.024,,,,percent of total billed charges,,4129.2,,,,percent of total billed charges,,2752.8,,,,percent of total billed charges,,4632.5036,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,4358.6,,,,percent of total billed charges,,3670.4,,,,percent of total billed charges,,2752.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68841-0510 INSJ RX ELUT IMPLT LAC CANAL,510,RC,,,,,inpatient,,,5034,,2517,3020.4,5082.8298,4731.96,,,,percent of total billed charges,,4027.2,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4178.22,,,,percent of total billed charges,,4530.6,,,,percent of total billed charges,,4631.28,,,,percent of total billed charges,,4631.28,,,,percent of total billed charges,,4762.164,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4882.98,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4429.92,,,,percent of total billed charges,,4530.6,,,,percent of total billed charges,,3262.032,,,,percent of total billed charges,,4530.6,,,,percent of total billed charges,,3020.4,,,,percent of total billed charges,,5082.8298,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4782.3,,,,percent of total billed charges,,4027.2,,,,percent of total billed charges,,3020.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 23665-0510 TREAT DISLOCATION/FRACTURE W/ MANIPU,510,RC,,,,,inpatient,,,3635,,1817.5,2181,3670.2595,3416.9,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3017.05,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3438.71,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3525.95,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3198.8,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2355.48,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,3670.2595,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24535-0510 TREAT HUMERUS FRACTURE,510,RC,,,,,inpatient,,,3798,,1899,2278.8,3834.8406,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2461.104,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3834.8406,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15221-0510 FULL THICKNESS GRAFT S/A/L; EA ADDL 20 SQ CM,510,RC,,,,,inpatient,,,1882,,941,1129.2,1900.2554,1769.08,,,,percent of total billed charges,,1505.6,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1562.06,,,,percent of total billed charges,,1693.8,,,,percent of total billed charges,,1731.44,,,,percent of total billed charges,,1731.44,,,,percent of total billed charges,,1780.372,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1825.54,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1656.16,,,,percent of total billed charges,,1693.8,,,,percent of total billed charges,,1219.536,,,,percent of total billed charges,,1693.8,,,,percent of total billed charges,,1129.2,,,,percent of total billed charges,,1900.2554,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1787.9,,,,percent of total billed charges,,1505.6,,,,percent of total billed charges,,1129.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64596-0510 INS/RPLCMT PRQ ELTRD RA PN 1,510,RC,,,,,inpatient,,,20600,,10300,12360,20799.82,19364,,,,percent of total billed charges,,16480,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,17098,,,,percent of total billed charges,,18540,,,,percent of total billed charges,,18952,,,,percent of total billed charges,,18952,,,,percent of total billed charges,,19487.6,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,19982,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,18128,,,,percent of total billed charges,,18540,,,,percent of total billed charges,,13348.8,,,,percent of total billed charges,,18540,,,,percent of total billed charges,,12360,,,,percent of total billed charges,,20799.82,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,19570,,,,percent of total billed charges,,16480,,,,percent of total billed charges,,12360,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 10006-0510 FNA BX W/US GDN EA ADDL,510,RC,,,,,inpatient,,,831,,415.5,498.6,839.0607,781.14,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,689.73,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,764.52,,,,percent of total billed charges,,786.126,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,806.07,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,731.28,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,538.488,,,,percent of total billed charges,,747.9,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,839.0607,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,789.45,,,,percent of total billed charges,,664.8,,,,percent of total billed charges,,498.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 61020-0510 REMOVE BRAIN CAVITY FLUID,510,RC,,,,,inpatient,,,2155,,1077.5,1293,2175.9035,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1396.44,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2175.9035,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0460-0510 AUTOLOGOUS PRP FOR ULCERS, NON-DIABETIC",510,RC,,,,,inpatient,,,4311,,2155.5,2586.6,4352.8167,4052.34,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3578.13,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,3966.12,,,,percent of total billed charges,,4078.206,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4181.67,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3793.68,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2793.528,,,,percent of total billed charges,,3879.9,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,4352.8167,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,4095.45,,,,percent of total billed charges,,3448.8,,,,percent of total billed charges,,2586.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG CRYSTALS, FLUID (QUEST)",309,RC,,,,,inpatient,,,118,,59,70.8,119.1446,110.92,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,97.94,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,108.56,,,,percent of total billed charges,,111.628,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,114.46,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,103.84,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,76.464,,,,percent of total billed charges,,106.2,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,119.1446,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,112.1,,,,percent of total billed charges,,94.4,,,,percent of total billed charges,,70.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG CRYOFIBRINOGEN (MAYO),309,RC,,,,,inpatient,,,216,,108,129.6,218.0952,203.04,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,179.28,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,198.72,,,,percent of total billed charges,,204.336,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,209.52,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,139.968,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,218.0952,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,172.8,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PREDICTR PK (PROMETHEUS),309,RC,,,,,inpatient,,,1287,,643.5,772.2,1299.4839,1209.78,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1068.21,,,,percent of total billed charges,,1158.3,,,,percent of total billed charges,,1184.04,,,,percent of total billed charges,,1184.04,,,,percent of total billed charges,,1217.502,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1248.39,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1132.56,,,,percent of total billed charges,,1158.3,,,,percent of total billed charges,,833.976,,,,percent of total billed charges,,1158.3,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,1299.4839,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1222.65,,,,percent of total billed charges,,1029.6,,,,percent of total billed charges,,772.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55100-0510 DRAINAGE OF SCROTUM ABSCESS,510,RC,,,,,inpatient,,,3833,,1916.5,2299.8,3870.1801,3603.02,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3181.39,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3626.018,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3718.01,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3373.04,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,2483.784,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,3870.1801,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 30802-0510 ABLTJ SOF TISS INF TURBS UNI/BI SUPEF INTRAMURAL,510,RC,,,,,inpatient,,,3604,,1802,2162.4,3638.9588,3387.76,,,,percent of total billed charges,,2883.2,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,2991.32,,,,percent of total billed charges,,3243.6,,,,percent of total billed charges,,3315.68,,,,percent of total billed charges,,3315.68,,,,percent of total billed charges,,3409.384,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,3495.88,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,3171.52,,,,percent of total billed charges,,3243.6,,,,percent of total billed charges,,2335.392,,,,percent of total billed charges,,3243.6,,,,percent of total billed charges,,2162.4,,,,percent of total billed charges,,3638.9588,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,3423.8,,,,percent of total billed charges,,2883.2,,,,percent of total billed charges,,2162.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 60100-0510 BX THYROID PERC NEED CORE,510,RC,,,,,inpatient,,,1663,,831.5,997.8,1679.1311,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1077.624,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1679.1311,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28092-0510 REMOVAL OF TOE LESIONS,510,RC,,,,,inpatient,,,3798,,1899,2278.8,3834.8406,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2461.104,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3834.8406,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27685-0510 Revision of Lower Leg Tendon,510,RC,,,,,inpatient,,,7651,,3825.5,4590.6,7725.2147,7191.94,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6350.33,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7237.846,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7421.47,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6732.88,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4957.848,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,7725.2147,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PURAPLY-COM 3.76 X 3.76 CM; PER SQ CM (15 UNITS),636,RC,,,,,inpatient,,,251,,125.5,150.6,253.4347,235.94,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,208.33,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,230.92,,,,percent of total billed charges,,237.446,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,243.47,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,220.88,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,225.9,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,253.4347,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,238.45,,,,percent of total billed charges,,200.8,,,,percent of total billed charges,,150.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95131-0510 IMMNTX 2 STING INSECTS,510,RC,,,,,inpatient,,,131,,65.5,78.6,132.2707,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,132.2707,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95133-0510 IMMNTX 4 STING INSECTS,510,RC,,,,,inpatient,,,136,,68,81.6,137.3192,127.84,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,112.88,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,125.12,,,,percent of total billed charges,,128.656,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,131.92,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,119.68,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,122.4,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,137.3192,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,129.2,,,,percent of total billed charges,,108.8,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95148-0510 ANITGEN THERAPY SERVICES,510,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG J1566 IMMUNE GLOBULIN, POWDER",636,RC,,,,,inpatient,,,246,,123,147.6,248.3862,231.24,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,204.18,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,226.32,,,,percent of total billed charges,,232.716,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,238.62,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,216.48,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,159.408,,,,percent of total billed charges,,221.4,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,248.3862,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,233.7,,,,percent of total billed charges,,196.8,,,,percent of total billed charges,,147.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG S2083-0510 GASTRIC BAND ADJUSTMENT, PERCUTANEOUS",510,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92622-0471 DX ALY AUD OI SND PRCSR 1ST HOUR,471,RC,,,,,inpatient,,,385,,192.5,231,388.7345,361.9,,,,percent of total billed charges,,308,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,319.55,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,354.2,,,,percent of total billed charges,,364.21,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,373.45,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,338.8,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,249.48,,,,percent of total billed charges,,346.5,,,,percent of total billed charges,,231,,,,percent of total billed charges,,388.7345,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,365.75,,,,percent of total billed charges,,308,,,,percent of total billed charges,,231,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 92623-0471 DX ALY AUD OI SND PRCSR EACH ADDL 15 MINS,471,RC,,,,,inpatient,,,97,,48.5,58.2,97.9409,91.18,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,80.51,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,89.24,,,,percent of total billed charges,,91.762,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,94.09,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,97.9409,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,92.15,,,,percent of total billed charges,,77.6,,,,percent of total billed charges,,58.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 24505-0510 Closed Tx Humerus Fx,510,RC,,,,,inpatient,,,3635,,1817.5,2181,3670.2595,3416.9,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3017.05,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3344.2,,,,percent of total billed charges,,3438.71,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3525.95,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3198.8,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2355.48,,,,percent of total billed charges,,3271.5,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,3670.2595,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,3453.25,,,,percent of total billed charges,,2908,,,,percent of total billed charges,,2181,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 93153-0510 INTERROGATION W/O PROGRAMMING IPNSS,510,RC,,,,,inpatient,,,229,,114.5,137.4,231.2213,215.26,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,190.07,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,210.68,,,,percent of total billed charges,,216.634,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,222.13,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,201.52,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,148.392,,,,percent of total billed charges,,206.1,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,231.2213,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,217.55,,,,percent of total billed charges,,183.2,,,,percent of total billed charges,,137.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG PHOTO PATCH TEST SPECIFY NUMBER TSTS,924,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95145-0510 PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT,510,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20551 INJ SINGLE TENDON ORIGIN/INSERTION,510,RC,,,,,inpatient,,,700,,350,420,706.79,658,,,,percent of total billed charges,,560,,,,percent of total billed charges,,665,,,,percent of total billed charges,,581,,,,percent of total billed charges,,630,,,,percent of total billed charges,,644,,,,percent of total billed charges,,644,,,,percent of total billed charges,,662.2,,,,percent of total billed charges,,665,,,,percent of total billed charges,,679,,,,percent of total billed charges,,665,,,,percent of total billed charges,,616,,,,percent of total billed charges,,630,,,,percent of total billed charges,,453.6,,,,percent of total billed charges,,630,,,,percent of total billed charges,,420,,,,percent of total billed charges,,706.79,,,,percent of total billed charges,,665,,,,percent of total billed charges,,665,,,,percent of total billed charges,,560,,,,percent of total billed charges,,420,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20982 ABLATE BONE TUMOR PERQ,510,RC,,,,,inpatient,,,15184,,7592,9110.4,15331.2848,14272.96,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12602.72,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,13969.28,,,,percent of total billed charges,,14364.064,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14728.48,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,13361.92,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9839.232,,,,percent of total billed charges,,13665.6,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,15331.2848,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,14424.8,,,,percent of total billed charges,,12147.2,,,,percent of total billed charges,,9110.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22510 PERQ CERVICOTHORACIC INJ,510,RC,,,,,inpatient,,,7614,,3807,4568.4,7687.8558,7157.16,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6319.62,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7202.844,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7385.58,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6700.32,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4933.872,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,7687.8558,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22511 PERQ LUMBOSACRAL INJ,510,RC,,,,,inpatient,,,7614,,3807,4568.4,7687.8558,7157.16,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6319.62,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7202.844,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7385.58,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6700.32,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4933.872,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,7687.8558,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22512 VERTEBROPLASTY ADDL INJ,510,RC,,,,,inpatient,,,3807,,1903.5,2284.2,3843.9279,3578.58,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3159.81,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3601.422,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3692.79,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3350.16,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2466.936,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,3843.9279,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22513 PERQ VERTEBRAL AUGMENTATION THORACIC,510,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22514 PERQ VERTEBRAL AUGMENTATION LUMBAR,510,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 22515 PER VERTEBRAL AUGMENTATION EA ADDL,510,RC,,,,,inpatient,,,5896,,2948,3537.6,5953.1912,5542.24,,,,percent of total billed charges,,4716.8,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,4893.68,,,,percent of total billed charges,,5306.4,,,,percent of total billed charges,,5424.32,,,,percent of total billed charges,,5424.32,,,,percent of total billed charges,,5577.616,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,5719.12,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,5188.48,,,,percent of total billed charges,,5306.4,,,,percent of total billed charges,,3820.608,,,,percent of total billed charges,,5306.4,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,5953.1912,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,5601.2,,,,percent of total billed charges,,4716.8,,,,percent of total billed charges,,3537.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27093 INJ HIP X-RAY,510,RC,,,,,inpatient,,,998,,499,598.8,1007.6806,938.12,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,828.34,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,918.16,,,,percent of total billed charges,,944.108,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,968.06,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,878.24,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,646.704,,,,percent of total billed charges,,898.2,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,1007.6806,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,948.1,,,,percent of total billed charges,,798.4,,,,percent of total billed charges,,598.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27570 MANIPULATION KNEE JOINT,510,RC,,,,,inpatient,,,3798,,1899,2278.8,3834.8406,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2461.104,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3834.8406,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62268 DRAIN SPINAL CORD CYST,510,RC,,,,,inpatient,,,2144,,1072,1286.4,2164.7968,2015.36,,,,percent of total billed charges,,1715.2,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1779.52,,,,percent of total billed charges,,1929.6,,,,percent of total billed charges,,1972.48,,,,percent of total billed charges,,1972.48,,,,percent of total billed charges,,2028.224,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2079.68,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1886.72,,,,percent of total billed charges,,1929.6,,,,percent of total billed charges,,1389.312,,,,percent of total billed charges,,1929.6,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,2164.7968,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,2036.8,,,,percent of total billed charges,,1715.2,,,,percent of total billed charges,,1286.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62291 INJ DISC EA LVL CERV/THORAC,510,RC,,,,,inpatient,,,606,,303,363.6,611.8782,569.64,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,502.98,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,557.52,,,,percent of total billed charges,,573.276,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,587.82,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,533.28,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,392.688,,,,percent of total billed charges,,545.4,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,611.8782,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,575.7,,,,percent of total billed charges,,484.8,,,,percent of total billed charges,,363.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 62322 INJ INTERLAMINAR LMBR/SAC,510,RC,,,,,inpatient,,,2155,,1077.5,1293,2175.9035,2025.7,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1788.65,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,1982.6,,,,percent of total billed charges,,2038.63,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2090.35,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1896.4,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1396.44,,,,percent of total billed charges,,1939.5,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,2175.9035,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,2047.25,,,,percent of total billed charges,,1724,,,,percent of total billed charges,,1293,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 63030 LAMNOTMY, 1 INTRSPC LUMBAR",510,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 63663 REVISE SPINE ELECTRODE PERQ ARRAY,510,RC,,,,,inpatient,,,7246,,3623,4347.6,7316.2862,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4695.408,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,7316.2862,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64487 TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION,510,RC,,,,,inpatient,,,2676,,1338,1605.6,2701.9572,2515.44,,,,percent of total billed charges,,2140.8,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2221.08,,,,percent of total billed charges,,2408.4,,,,percent of total billed charges,,2461.92,,,,percent of total billed charges,,2461.92,,,,percent of total billed charges,,2531.496,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2595.72,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2354.88,,,,percent of total billed charges,,2408.4,,,,percent of total billed charges,,1734.048,,,,percent of total billed charges,,2408.4,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,2701.9572,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2542.2,,,,percent of total billed charges,,2140.8,,,,percent of total billed charges,,1605.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64489 TAP BLOCK BILAT BY CONTINUOUS INFUSION,510,RC,,,,,inpatient,,,7339,,3669.5,4403.4,7410.1883,6898.66,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6091.37,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6751.88,,,,percent of total billed charges,,6942.694,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,7118.83,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6458.32,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,4755.672,,,,percent of total billed charges,,6605.1,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,7410.1883,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,6972.05,,,,percent of total billed charges,,5871.2,,,,percent of total billed charges,,4403.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 64555 IMPLANT NEUROSTIMULATOR ELECTRODE, PERIPHERAL NERVE",510,RC,,,,,inpatient,,,7246,,3623,4347.6,7316.2862,6811.24,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6014.18,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6666.32,,,,percent of total billed charges,,6854.716,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,7028.62,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6376.48,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4695.408,,,,percent of total billed charges,,6521.4,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,7316.2862,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,6883.7,,,,percent of total billed charges,,5796.8,,,,percent of total billed charges,,4347.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95990 REFILL/MAINT IMPLANT PUMP, DRUG DELIVERY",510,RC,,,,,inpatient,,,726,,363,435.6,733.0422,682.44,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,602.58,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,686.796,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,704.22,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,638.88,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,470.448,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,733.0422,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 95991 REFILL/MAINT IMPLANT PUMP, PHYS/QHP",510,RC,,,,,inpatient,,,635,,317.5,381,641.1595,596.9,,,,percent of total billed charges,,508,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,527.05,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,600.71,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,615.95,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,558.8,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,411.48,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,381,,,,percent of total billed charges,,641.1595,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,508,,,,percent of total billed charges,,381,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0275T PERQ LAMINO/LAMINECTOMY LUMBAR,510,RC,,,,,inpatient,,,11553,,5776.5,6931.8,11665.0641,10859.82,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9588.99,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10628.76,,,,percent of total billed charges,,10929.138,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,11206.41,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10166.64,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,7486.344,,,,percent of total billed charges,,10397.7,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,11665.0641,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,10975.35,,,,percent of total billed charges,,9242.4,,,,percent of total billed charges,,6931.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0259 INJ SACROILIAC JT, ARTHROGRAPHY",510,RC,,,,,inpatient,,,2129,,1064.5,1277.4,2149.6513,2001.26,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1767.07,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,1958.68,,,,percent of total billed charges,,2014.034,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2065.13,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1873.52,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1379.592,,,,percent of total billed charges,,1916.1,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,2149.6513,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,2022.55,,,,percent of total billed charges,,1703.2,,,,percent of total billed charges,,1277.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0260 INJ SACROILIAC JT, ANESTH",510,RC,,,,,inpatient,,,1634,,817,980.4,1649.8498,1535.96,,,,percent of total billed charges,,1307.2,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1356.22,,,,percent of total billed charges,,1470.6,,,,percent of total billed charges,,1503.28,,,,percent of total billed charges,,1503.28,,,,percent of total billed charges,,1545.764,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1584.98,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1437.92,,,,percent of total billed charges,,1470.6,,,,percent of total billed charges,,1058.832,,,,percent of total billed charges,,1470.6,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,1649.8498,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1552.3,,,,percent of total billed charges,,1307.2,,,,percent of total billed charges,,980.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 11011-0510 Debride Skin Musc At Fx Site,510,RC,,,,,inpatient,,,1663,,831.5,997.8,1679.1311,1563.22,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1380.29,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1529.96,,,,percent of total billed charges,,1573.198,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1613.11,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1463.44,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,1077.624,,,,percent of total billed charges,,1496.7,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,1679.1311,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1579.85,,,,percent of total billed charges,,1330.4,,,,percent of total billed charges,,997.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12045-0510 Intmd Rpr N-Hf/Genit12.6-20,510,RC,,,,,inpatient,,,1484,,742,890.4,1498.3948,1394.96,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1231.72,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1365.28,,,,percent of total billed charges,,1403.864,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1439.48,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1305.92,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,961.632,,,,percent of total billed charges,,1335.6,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,1498.3948,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1409.8,,,,percent of total billed charges,,1187.2,,,,percent of total billed charges,,890.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 12056-0510 Intmd RPR Face/MM 20.1-30.0,510,RC,,,,,inpatient,,,943,,471.5,565.8,952.1471,886.42,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,782.69,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,867.56,,,,percent of total billed charges,,892.078,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,914.71,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,829.84,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,611.064,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,952.1471,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,895.85,,,,percent of total billed charges,,754.4,,,,percent of total billed charges,,565.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14020-0510 Tis Trnfr S/A/L 10 sq cm/<,510,RC,,,,,inpatient,,,4310,,2155,2586,4351.807,4051.4,,,,percent of total billed charges,,3448,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,3577.3,,,,percent of total billed charges,,3879,,,,percent of total billed charges,,3965.2,,,,percent of total billed charges,,3965.2,,,,percent of total billed charges,,4077.26,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,4180.7,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,3792.8,,,,percent of total billed charges,,3879,,,,percent of total billed charges,,2792.88,,,,percent of total billed charges,,3879,,,,percent of total billed charges,,2586,,,,percent of total billed charges,,4351.807,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,4094.5,,,,percent of total billed charges,,3448,,,,percent of total billed charges,,2586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 14302-0510 Tissue Transfer additional 30 sq cm,510,RC,,,,,inpatient,,,4220,,2110,2532,4260.934,3966.8,,,,percent of total billed charges,,3376,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,3502.6,,,,percent of total billed charges,,3798,,,,percent of total billed charges,,3882.4,,,,percent of total billed charges,,3882.4,,,,percent of total billed charges,,3992.12,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,4093.4,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,3713.6,,,,percent of total billed charges,,3798,,,,percent of total billed charges,,2734.56,,,,percent of total billed charges,,3798,,,,percent of total billed charges,,2532,,,,percent of total billed charges,,4260.934,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,4009,,,,percent of total billed charges,,3376,,,,percent of total billed charges,,2532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15201-0510 Skin Full Graft Trunk Aadd-On; EACH Add'l 20 SQ CM,510,RC,,,,,inpatient,,,2145,,1072.5,1287,2165.8065,2016.3,,,,percent of total billed charges,,1716,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,1780.35,,,,percent of total billed charges,,1930.5,,,,percent of total billed charges,,1973.4,,,,percent of total billed charges,,1973.4,,,,percent of total billed charges,,2029.17,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,2080.65,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,1887.6,,,,percent of total billed charges,,1930.5,,,,percent of total billed charges,,1389.96,,,,percent of total billed charges,,1930.5,,,,percent of total billed charges,,1287,,,,percent of total billed charges,,2165.8065,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,2037.75,,,,percent of total billed charges,,1716,,,,percent of total billed charges,,1287,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 15630-0510 Delay of Flap or Sectioning of Flap; at eye/nose/ears/lips,510,RC,,,,,inpatient,,,4289,,2144.5,2573.4,4330.6033,4031.66,,,,percent of total billed charges,,3431.2,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,3559.87,,,,percent of total billed charges,,3860.1,,,,percent of total billed charges,,3945.88,,,,percent of total billed charges,,3945.88,,,,percent of total billed charges,,4057.394,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,4160.33,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,3774.32,,,,percent of total billed charges,,3860.1,,,,percent of total billed charges,,2779.272,,,,percent of total billed charges,,3860.1,,,,percent of total billed charges,,2573.4,,,,percent of total billed charges,,4330.6033,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,4074.55,,,,percent of total billed charges,,3431.2,,,,percent of total billed charges,,2573.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20525-0510 Removal of Foreign Body  Deep/Comp,510,RC,,,,,inpatient,,,6717,,3358.5,4030.2,6782.1549,6313.98,,,,percent of total billed charges,,5373.6,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,5575.11,,,,percent of total billed charges,,6045.3,,,,percent of total billed charges,,6179.64,,,,percent of total billed charges,,6179.64,,,,percent of total billed charges,,6354.282,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,6515.49,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,5910.96,,,,percent of total billed charges,,6045.3,,,,percent of total billed charges,,4352.616,,,,percent of total billed charges,,6045.3,,,,percent of total billed charges,,4030.2,,,,percent of total billed charges,,6782.1549,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,6381.15,,,,percent of total billed charges,,5373.6,,,,percent of total billed charges,,4030.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 21920-0510 BX, Soft Tis Back/Flank Supfic",510,RC,,,,,inpatient,,,3833,,1916.5,2299.8,3870.1801,3603.02,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3181.39,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3526.36,,,,percent of total billed charges,,3626.018,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3718.01,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3373.04,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,2483.784,,,,percent of total billed charges,,3449.7,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,3870.1801,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3641.35,,,,percent of total billed charges,,3066.4,,,,percent of total billed charges,,2299.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 25031-0510 Incision & Drainage Forearm &/Wrist Bursa,510,RC,,,,,inpatient,,,3780,,1890,2268,3816.666,3553.2,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3137.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3575.88,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3666.6,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3326.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,2449.44,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,3816.666,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 26735-0510 Open Tx Finger Fx Each,510,RC,,,,,inpatient,,,7651,,3825.5,4590.6,7725.2147,7191.94,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6350.33,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7038.92,,,,percent of total billed charges,,7237.846,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7421.47,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6732.88,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4957.848,,,,percent of total billed charges,,6885.9,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,7725.2147,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,7268.45,,,,percent of total billed charges,,6120.8,,,,percent of total billed charges,,4590.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27200-0510 Closed Treatment Coccygeal Fracture,510,RC,,,,,inpatient,,,558,,279,334.8,563.4126,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,361.584,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,563.4126,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27503-0510 Treatment of Thigh Fracture,510,RC,,,,,inpatient,,,3780,,1890,2268,3816.666,3553.2,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3137.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3477.6,,,,percent of total billed charges,,3575.88,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3666.6,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3326.4,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,2449.44,,,,percent of total billed charges,,3402,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,3816.666,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3591,,,,percent of total billed charges,,3024,,,,percent of total billed charges,,2268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27604-0510 Incision & Drainage Leg/Ankle Infected Bursa,510,RC,,,,,inpatient,,,7614,,3807,4568.4,7687.8558,7157.16,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6319.62,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7004.88,,,,percent of total billed charges,,7202.844,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7385.58,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6700.32,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4933.872,,,,percent of total billed charges,,6852.6,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,7687.8558,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,7233.3,,,,percent of total billed charges,,6091.2,,,,percent of total billed charges,,4568.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27825-0510 Treat Lower Leg Fracture,510,RC,,,,,inpatient,,,3798,,1899,2278.8,3834.8406,3570.12,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3152.34,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3494.16,,,,percent of total billed charges,,3592.908,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3684.06,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3342.24,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2461.104,,,,percent of total billed charges,,3418.2,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,3834.8406,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3608.1,,,,percent of total billed charges,,3038.4,,,,percent of total billed charges,,2278.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 29700-0510 Removal/Revision Of Cast, Boot or Body",510,RC,,,,,inpatient,,,635,,317.5,381,641.1595,596.9,,,,percent of total billed charges,,508,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,527.05,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,584.2,,,,percent of total billed charges,,600.71,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,615.95,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,558.8,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,411.48,,,,percent of total billed charges,,571.5,,,,percent of total billed charges,,381,,,,percent of total billed charges,,641.1595,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,603.25,,,,percent of total billed charges,,508,,,,percent of total billed charges,,381,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 46946-0510 Ligation of Int Hemorrhoid,510,RC,,,,,inpatient,,,6637,,3318.5,3982.2,6701.3789,6238.78,,,,percent of total billed charges,,5309.6,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,5508.71,,,,percent of total billed charges,,5973.3,,,,percent of total billed charges,,6106.04,,,,percent of total billed charges,,6106.04,,,,percent of total billed charges,,6278.602,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,6437.89,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,5840.56,,,,percent of total billed charges,,5973.3,,,,percent of total billed charges,,4300.776,,,,percent of total billed charges,,5973.3,,,,percent of total billed charges,,3982.2,,,,percent of total billed charges,,6701.3789,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,6305.15,,,,percent of total billed charges,,5309.6,,,,percent of total billed charges,,3982.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 55876 -0510 Plmt Interstitial Dev Radiat Tx Prostate 1/Mult,510,RC,,,,,inpatient,,,3259,,1629.5,1955.4,3290.6123,3063.46,,,,percent of total billed charges,,2607.2,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,2704.97,,,,percent of total billed charges,,2933.1,,,,percent of total billed charges,,2998.28,,,,percent of total billed charges,,2998.28,,,,percent of total billed charges,,3083.014,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,3161.23,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,2867.92,,,,percent of total billed charges,,2933.1,,,,percent of total billed charges,,2111.832,,,,percent of total billed charges,,2933.1,,,,percent of total billed charges,,1955.4,,,,percent of total billed charges,,3290.6123,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,3096.05,,,,percent of total billed charges,,2607.2,,,,percent of total billed charges,,1955.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 59015-0510 Chorionic villus sampling, any method",510,RC,,,,,inpatient,,,1900,,950,1140,1918.43,1786,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1577,,,,percent of total billed charges,,1710,,,,percent of total billed charges,,1748,,,,percent of total billed charges,,1748,,,,percent of total billed charges,,1797.4,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1843,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1672,,,,percent of total billed charges,,1710,,,,percent of total billed charges,,1231.2,,,,percent of total billed charges,,1710,,,,percent of total billed charges,,1140,,,,percent of total billed charges,,1918.43,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1805,,,,percent of total billed charges,,1520,,,,percent of total billed charges,,1140,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65205-0510 REMV F.B.,EYE,SUPERF CONJUNC",510,RC,,,,,inpatient,,,274,,137,164.4,276.6578,257.56,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,227.42,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,252.08,,,,percent of total billed charges,,259.204,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,265.78,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,241.12,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,177.552,,,,percent of total billed charges,,246.6,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,276.6578,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,260.3,,,,percent of total billed charges,,219.2,,,,percent of total billed charges,,164.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 65210-0510 REMV F.B.,EYE,EMBED CONJUNC",510,RC,,,,,inpatient,,,854,,427,512.4,862.2838,802.76,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,708.82,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,785.68,,,,percent of total billed charges,,807.884,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,828.38,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,751.52,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,768.6,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,862.2838,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,811.3,,,,percent of total billed charges,,683.2,,,,percent of total billed charges,,512.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68530-0510 CLEARANCE OF TEAR DUCT,510,RC,,,,,inpatient,,,625,,312.5,375,631.0625,587.5,,,,percent of total billed charges,,500,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,518.75,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,575,,,,percent of total billed charges,,575,,,,percent of total billed charges,,591.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,606.25,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,550,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,405,,,,percent of total billed charges,,562.5,,,,percent of total billed charges,,375,,,,percent of total billed charges,,631.0625,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,593.75,,,,percent of total billed charges,,500,,,,percent of total billed charges,,375,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95146-0510 Prepj & Antigen Allergen ImmunoTherapy 2 Insect,510,RC,,,,,inpatient,,,102,,51,61.2,102.9894,95.88,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,84.66,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,93.84,,,,percent of total billed charges,,96.492,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,98.94,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,89.76,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,102.9894,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,96.9,,,,percent of total billed charges,,81.6,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95147-0510 Prepj & Antigen Allergen ImmunoTherapy 3 Insect,510,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95149-0510 Prepj & Antigen Allergen ImmunoTherapy 5 Insect,510,RC,,,,,inpatient,,,151,,75.5,90.6,152.4647,141.94,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,125.33,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,138.92,,,,percent of total billed charges,,142.846,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,146.47,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,132.88,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,97.848,,,,percent of total billed charges,,135.9,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,152.4647,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,143.45,,,,percent of total billed charges,,120.8,,,,percent of total billed charges,,90.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 0540T-0874 CAR-T Therapy Autolpgous Cell Admin,874,RC,,,,,inpatient,,,726,,363,435.6,733.0422,682.44,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,602.58,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,667.92,,,,percent of total billed charges,,686.796,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,704.22,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,638.88,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,470.448,,,,percent of total billed charges,,653.4,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,733.0422,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,689.7,,,,percent of total billed charges,,580.8,,,,percent of total billed charges,,435.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG G0238-0410 Oth Resp Proc,  Indiv",410,RC,,,,,inpatient,,,71,,35.5,42.6,71.6887,66.74,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,58.93,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,67.166,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,68.87,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,62.48,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,63.9,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,71.6887,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,67.45,,,,percent of total billed charges,,56.8,,,,percent of total billed charges,,42.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG V2510-0274 Contact lens, gas permeable, spherical, per len",274,RC,,,,,inpatient,,,218,,109,130.8,220.1146,204.92,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,180.94,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,200.56,,,,percent of total billed charges,,206.228,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,211.46,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,191.84,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,141.264,,,,percent of total billed charges,,196.2,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,220.1146,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,207.1,,,,percent of total billed charges,,174.4,,,,percent of total billed charges,,130.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27096-0510 SACROILIAC JT INJECTION,510,RC,,,,,inpatient,,,290,,145,174,292.813,272.6,,,,percent of total billed charges,,232,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,240.7,,,,percent of total billed charges,,261,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,266.8,,,,percent of total billed charges,,274.34,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,281.3,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,255.2,,,,percent of total billed charges,,261,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,261,,,,percent of total billed charges,,174,,,,percent of total billed charges,,292.813,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,275.5,,,,percent of total billed charges,,232,,,,percent of total billed charges,,174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 91200-0510 LIVER ELASTOGRAPHY W/O IMAG W/I&R,510,RC,,,,,inpatient,,,383,,191.5,229.8,386.7151,360.02,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,317.89,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,352.36,,,,percent of total billed charges,,362.318,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,371.51,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,337.04,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,248.184,,,,percent of total billed charges,,344.7,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,386.7151,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,363.85,,,,percent of total billed charges,,306.4,,,,percent of total billed charges,,229.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52285-510 Cystourethroscopy & Treatment,510,RC,,,,,inpatient,,,1253,,626.5,751.8,1265.1541,1177.82,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1039.99,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1185.338,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1215.41,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1102.64,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,811.944,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,1265.1541,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 57288-0510 Repair Bladder Defect,510,RC,,,,,inpatient,,,8525,,4262.5,5115,8607.6925,8013.5,,,,percent of total billed charges,,6820,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,7075.75,,,,percent of total billed charges,,7672.5,,,,percent of total billed charges,,7843,,,,percent of total billed charges,,7843,,,,percent of total billed charges,,8064.65,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,8269.25,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,7502,,,,percent of total billed charges,,7672.5,,,,percent of total billed charges,,5524.2,,,,percent of total billed charges,,7672.5,,,,percent of total billed charges,,5115,,,,percent of total billed charges,,8607.6925,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,8098.75,,,,percent of total billed charges,,6820,,,,percent of total billed charges,,5115,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67914-510 Repair Ectropion Suture,510,RC,,,,,inpatient,,,1253,,626.5,751.8,1265.1541,1177.82,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1039.99,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1152.76,,,,percent of total billed charges,,1185.338,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1215.41,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1102.64,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,811.944,,,,percent of total billed charges,,1127.7,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,1265.1541,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1190.35,,,,percent of total billed charges,,1002.4,,,,percent of total billed charges,,751.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 95134-510 Prof Services Allg Immntx w/Prv Xtrc 5 Stings Insect,510,RC,,,,,inpatient,,,235,,117.5,141,237.2795,220.9,,,,percent of total billed charges,,188,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,195.05,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,216.2,,,,percent of total billed charges,,222.31,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,227.95,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,206.8,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,152.28,,,,percent of total billed charges,,211.5,,,,percent of total billed charges,,141,,,,percent of total billed charges,,237.2795,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,223.25,,,,percent of total billed charges,,188,,,,percent of total billed charges,,141,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20703-510 Removal Intramedullary Drug Delivery Device,510,RC,,,,,inpatient,,,6490,,3245,3894,6552.953,6100.6,,,,percent of total billed charges,,5192,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,5386.7,,,,percent of total billed charges,,5841,,,,percent of total billed charges,,5970.8,,,,percent of total billed charges,,5970.8,,,,percent of total billed charges,,6139.54,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,6295.3,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,5711.2,,,,percent of total billed charges,,5841,,,,percent of total billed charges,,4205.52,,,,percent of total billed charges,,5841,,,,percent of total billed charges,,3894,,,,percent of total billed charges,,6552.953,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,6165.5,,,,percent of total billed charges,,5192,,,,percent of total billed charges,,3894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 27198-0510 CLSD TX PELVIC RING FX,510,RC,,,,,inpatient,,,558,,279,334.8,563.4126,524.52,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,463.14,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,513.36,,,,percent of total billed charges,,527.868,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,541.26,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,491.04,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,361.584,,,,percent of total billed charges,,502.2,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,563.4126,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,530.1,,,,percent of total billed charges,,446.4,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 28090-0510 REMOVAL OF FOOT LESION,510,RC,,,,,inpatient,,,2068,,1034,1240.8,2088.0596,1943.92,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1716.44,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1902.56,,,,percent of total billed charges,,1956.328,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,2005.96,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1819.84,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1340.064,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,2088.0596,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1964.6,,,,percent of total billed charges,,1654.4,,,,percent of total billed charges,,1240.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 52260-0510 CYSTOSCOPY AND TREATMENT,510,RC,,,,,inpatient,,,4815,,2407.5,2889,4861.7055,4526.1,,,,percent of total billed charges,,3852,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,3996.45,,,,percent of total billed charges,,4333.5,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,4429.8,,,,percent of total billed charges,,4554.99,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,4670.55,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,4237.2,,,,percent of total billed charges,,4333.5,,,,percent of total billed charges,,3120.12,,,,percent of total billed charges,,4333.5,,,,percent of total billed charges,,2889,,,,percent of total billed charges,,4861.7055,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,4574.25,,,,percent of total billed charges,,3852,,,,percent of total billed charges,,2889,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 68100-0510 BIOPSY OF EYELID LINING,510,RC,,,,,inpatient,,,5523,,2761.5,3313.8,5576.5731,5191.62,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4584.09,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5224.758,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5357.31,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4860.24,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,3578.904,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,5576.5731,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 69620-0510 REPAIR OF EARDRUM,510,RC,,,,,inpatient,,,7610,,3805,4566,7683.817,7153.4,,,,percent of total billed charges,,6088,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,6316.3,,,,percent of total billed charges,,6849,,,,percent of total billed charges,,7001.2,,,,percent of total billed charges,,7001.2,,,,percent of total billed charges,,7199.06,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,7381.7,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,6696.8,,,,percent of total billed charges,,6849,,,,percent of total billed charges,,4931.28,,,,percent of total billed charges,,6849,,,,percent of total billed charges,,4566,,,,percent of total billed charges,,7683.817,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,7229.5,,,,percent of total billed charges,,6088,,,,percent of total billed charges,,4566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 91112-0510 GI WIRELESS CAPSULE MEARSURE,510,RC,,,,,inpatient,,,2142,,1071,1285.2,2162.7774,2013.48,,,,percent of total billed charges,,1713.6,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1777.86,,,,percent of total billed charges,,1927.8,,,,percent of total billed charges,,1970.64,,,,percent of total billed charges,,1970.64,,,,percent of total billed charges,,2026.332,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2077.74,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1884.96,,,,percent of total billed charges,,1927.8,,,,percent of total billed charges,,1388.016,,,,percent of total billed charges,,1927.8,,,,percent of total billed charges,,1285.2,,,,percent of total billed charges,,2162.7774,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,2034.9,,,,percent of total billed charges,,1713.6,,,,percent of total billed charges,,1285.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 96573-0510 PDT DSTR PRMLG LES PHYS/QHP,510,RC,,,,,inpatient,,,473,,236.5,283.8,477.5881,444.62,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,392.59,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,435.16,,,,percent of total billed charges,,447.458,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,458.81,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,416.24,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,306.504,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,477.5881,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,449.35,,,,percent of total billed charges,,378.4,,,,percent of total billed charges,,283.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 67909-0510 REVISE EYELID DEFECT,510,RC,,,,,inpatient,,,5523,,2761.5,3313.8,5576.5731,5191.62,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4584.09,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5081.16,,,,percent of total billed charges,,5224.758,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5357.31,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4860.24,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,3578.904,,,,percent of total billed charges,,4970.7,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,5576.5731,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,5246.85,,,,percent of total billed charges,,4418.4,,,,percent of total billed charges,,3313.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 20701-0510 REMOVAL DEEP DRUG DELIVERY DEVICE,510,RC,,,,,inpatient,,,2734,,1367,1640.4,2760.5198,2569.96,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2269.22,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2515.28,,,,percent of total billed charges,,2586.364,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2651.98,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2405.92,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,1771.632,,,,percent of total billed charges,,2460.6,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,2760.5198,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2597.3,,,,percent of total billed charges,,2187.2,,,,percent of total billed charges,,1640.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 59425-0510 ANTEPARTUM CARE ONLY 4-6 VISITS,510,RC,,,,,inpatient,,,89,,44.5,53.4,89.8633,83.66,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,73.87,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,81.88,,,,percent of total billed charges,,84.194,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,86.33,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,78.32,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,80.1,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,89.8633,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,84.55,,,,percent of total billed charges,,71.2,,,,percent of total billed charges,,53.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 64788-0510 REMOVE SKIN NERVE LESION,510,RC,,,,,inpatient,,,4564,,2282,2738.4,4608.2708,4290.16,,,,percent of total billed charges,,3651.2,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,3788.12,,,,percent of total billed charges,,4107.6,,,,percent of total billed charges,,4198.88,,,,percent of total billed charges,,4198.88,,,,percent of total billed charges,,4317.544,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,4427.08,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,4016.32,,,,percent of total billed charges,,4107.6,,,,percent of total billed charges,,2957.472,,,,percent of total billed charges,,4107.6,,,,percent of total billed charges,,2738.4,,,,percent of total billed charges,,4608.2708,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,4335.8,,,,percent of total billed charges,,3651.2,,,,percent of total billed charges,,2738.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 94642-0410 AEROSOL INHALATION TREATMENT,510,RC,,,,,inpatient,,,88,,44,52.8,88.8536,82.72,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,73.04,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,80.96,,,,percent of total billed charges,,83.248,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,85.36,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,77.44,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,88.8536,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,83.6,,,,percent of total billed charges,,70.4,,,,percent of total billed charges,,52.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HCHG 97811-0940 ACUPUNCTURE, WO STIMUL ADDL 15 MIN",940,RC,,,,,inpatient,,,75,,37.5,45,75.7275,70.5,,,,percent of total billed charges,,60,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,62.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,69,,,,percent of total billed charges,,69,,,,percent of total billed charges,,70.95,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,72.75,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,66,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,45,,,,percent of total billed charges,,75.7275,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,71.25,,,,percent of total billed charges,,60,,,,percent of total billed charges,,45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HCHG 97814-0940 ACUTPUNTURE W/STIMUL ADDL 15 MIN,940,RC,,,,,inpatient,,,58,,29,34.8,58.5626,54.52,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,48.14,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,53.36,,,,percent of total billed charges,,54.868,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,56.26,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,51.04,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,58.5626,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,55.1,,,,percent of total billed charges,,46.4,,,,percent of total billed charges,,34.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [95400],0636,RC,0003-2187-10,NDC,J0129,HCPCS,outpatient,1,EA,4175.6,,2087.8,2505.36,4050.332,3925.064,,,,percent of total billed charges,,3340.48,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3465.748,,,,percent of total billed charges,,3758.04,,,,percent of total billed charges,,3841.552,,,,percent of total billed charges,,3841.552,,,,percent of total billed charges,,3950.1176,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,4050.332,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3674.528,,,,percent of total billed charges,,3758.04,,,,percent of total billed charges,,3344.6556,,,,percent of total billed charges,,3758.04,,,,percent of total billed charges,,2505.36,,,,percent of total billed charges,,3878.71484,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3340.48,,,,percent of total billed charges,,2505.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3345.07316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [95400],0636,RC,0003-2187-13,NDC,J0129,HCPCS,outpatient,1,EA,6201.95,,3100.975,3721.17,6015.8915,5829.833,,,,percent of total billed charges,,4961.56,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,5147.6185,,,,percent of total billed charges,,5581.755,,,,percent of total billed charges,,5705.794,,,,percent of total billed charges,,5705.794,,,,percent of total billed charges,,5867.0447,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,6015.8915,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,5457.716,,,,percent of total billed charges,,5581.755,,,,percent of total billed charges,,4967.76195,,,,percent of total billed charges,,5581.755,,,,percent of total billed charges,,3721.17,,,,percent of total billed charges,,5760.991355,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,4961.56,,,,percent of total billed charges,,3721.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4968.382145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,68462-435-18,NDC,,,outpatient,1,EA,4.95,,2.475,2.97,4.8015,4.653,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.1085,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6827,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.8015,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,3.96495,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,4.598055,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.965445,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,60687-121-25,NDC,,,outpatient,1,EA,9.65,,4.825,5.79,9.3605,9.071,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.0095,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,9.1289,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.3605,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.492,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,7.72965,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,8.963885,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.730615,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,60687-121-95,NDC,,,outpatient,1,EA,9.65,,4.825,5.79,9.3605,9.071,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.0095,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,9.1289,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.3605,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.492,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,7.72965,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,8.963885,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.730615,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,0904-7213-04,NDC,,,outpatient,1,EA,6.8,,3.4,4.08,6.596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,5.4468,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.31652,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.44748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,43825-102-01,NDC,J0131,HCPCS,outpatient,100,ML,194.85,,97.425,116.91,189.0045,183.159,,,,percent of total billed charges,,155.88,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,161.7255,,,,percent of total billed charges,,175.365,,,,percent of total billed charges,,179.262,,,,percent of total billed charges,,179.262,,,,percent of total billed charges,,184.3281,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,189.0045,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,171.468,,,,percent of total billed charges,,175.365,,,,percent of total billed charges,,156.07485,,,,percent of total billed charges,,175.365,,,,percent of total billed charges,,116.91,,,,percent of total billed charges,,180.996165,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,155.88,,,,percent of total billed charges,,116.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,156.094335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,24201-100-01,NDC,J0131,HCPCS,outpatient,100,ML,24.75,,12.375,14.85,24.0075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,19.82475,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,22.990275,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.827225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,24201-100-24,NDC,J0131,HCPCS,outpatient,100,ML,24.75,,12.375,14.85,24.0075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,19.82475,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,22.990275,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.827225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,63323-434-00,NDC,J0134,HCPCS,outpatient,100,ML,24.75,,12.375,14.85,24.0075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,19.82475,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,22.990275,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.827225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,63323-434-41,NDC,J0134,HCPCS,outpatient,100,ML,24.75,,12.375,14.85,24.0075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,19.82475,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,22.990275,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.827225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,0781-3156-06,NDC,J0131,HCPCS,outpatient,100,ML,25.65,,12.825,15.39,24.8805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.54565,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,23.826285,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.548215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,0781-3156-95,NDC,J0131,HCPCS,outpatient,100,ML,25.65,,12.825,15.39,24.8805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.54565,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,23.826285,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.548215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,55150-307-01,NDC,J0131,HCPCS,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,67457-940-10,NDC,J0131,HCPCS,outpatient,100,ML,28.8,,14.4,17.28,27.936,27.072,,,,percent of total billed charges,,23.04,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,26.496,,,,percent of total billed charges,,26.496,,,,percent of total billed charges,,27.2448,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,27.936,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,25.344,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,23.0688,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,26.75232,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,23.04,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.07168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,0264-4100-90,NDC,J0136,HCPCS,outpatient,100,ML,22.95,,11.475,13.77,22.2615,21.573,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,19.0485,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.7107,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,22.2615,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,20.196,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,18.38295,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,21.318255,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.385245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,36000-306-60,NDC,J0131,HCPCS,outpatient,100,ML,38.25,,19.125,22.95,37.1025,35.955,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,31.7475,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,36.1845,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,37.1025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,30.63825,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,35.530425,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.642075,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,0143-9386-01,NDC,J0137,HCPCS,outpatient,100,ML,48.6,,24.3,29.16,47.142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,38.9286,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,45.14454,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.93346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,0143-9386-10,NDC,J0137,HCPCS,outpatient,100,ML,48.6,,24.3,29.16,47.142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,38.9286,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,45.14454,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.93346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 10 MG/ML INTRAVENOUS SOLUTION - PARTIAL PREMIX DOSES [263026],0636,RC,9999-2026-66,NDC,J0131,HCPCS,outpatient,100,ML,38.25,,19.125,22.95,37.1025,35.955,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,31.7475,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,36.1845,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,37.1025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,30.63825,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,35.530425,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.642075,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,45802-732-30,NDC,,,outpatient,1,EA,1.62,,0.81,0.972,1.5714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.29762,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.504818,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.297782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,45802-732-00,NDC,,,outpatient,1,EA,1.62,,0.81,0.972,1.5714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.29762,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.504818,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.297782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,51672-2115-2,NDC,,,outpatient,1,EA,3.09,,1.545,1.854,2.9973,2.9046,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.5647,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.92314,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9973,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.7192,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.47509,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,2.870301,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.475399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,51672-2115-0,NDC,,,outpatient,1,EA,3.09,,1.545,1.854,2.9973,2.9046,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.5647,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.92314,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9973,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.7192,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.47509,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,2.870301,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.475399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,0121-0657-05,NDC,,,outpatient,5,ML,7.14,,3.57,4.284,6.9258,6.7116,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.9262,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.75444,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.9258,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.2832,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,5.71914,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,6.632346,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.719854,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,0121-1781-05,NDC,,,outpatient,5,ML,5.2,,2.6,3.12,5.044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.1652,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,4.83028,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.16572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,0121-0657-00,NDC,,,outpatient,5,ML,7.14,,3.57,4.284,6.9258,6.7116,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.9262,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.75444,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.9258,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.2832,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,5.71914,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,6.632346,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.719854,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,0121-1314-00,NDC,,,outpatient,10.15,ML,5.03,,2.515,3.018,4.8791,4.7282,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.1749,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.75838,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.8791,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.4264,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,4.02903,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,4.672367,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.029533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,0121-1314-11,NDC,,,outpatient,10.15,ML,5.03,,2.515,3.018,4.8791,4.7282,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.1749,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.75838,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.8791,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.4264,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,4.02903,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,4.672367,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.029533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,0121-1781-00,NDC,,,outpatient,5,ML,5.2,,2.6,3.12,5.044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.1652,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,4.83028,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.16572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,68094-030-59,NDC,,,outpatient,20.3,ML,6.13,,3.065,3.678,5.9461,5.7622,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.0879,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.79898,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.9461,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.3944,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,4.91013,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,5.694157,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.910743,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,68094-030-62,NDC,,,outpatient,20.3,ML,6.13,,3.065,3.678,5.9461,5.7622,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.0879,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.79898,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.9461,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.3944,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,4.91013,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,5.694157,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.910743,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,68094-330-59,NDC,,,outpatient,10.15,ML,3.93,,1.965,2.358,3.8121,3.6942,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.2619,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.71778,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.8121,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.4584,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,3.14793,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,3.650577,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.148323,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,68094-231-59,NDC,,,outpatient,5,ML,2.93,,1.465,1.758,2.8421,2.7542,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.4319,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.77178,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.8421,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.5784,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,2.34693,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,2.721677,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.347223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,68094-231-61,NDC,,,outpatient,5,ML,2.93,,1.465,1.758,2.8421,2.7542,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.4319,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.77178,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.8421,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.5784,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,2.34693,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,2.721677,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.347223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,68094-231-62,NDC,,,outpatient,5,ML,3.02,,1.51,1.812,2.9294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.41902,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,2.805278,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.419322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,68094-061-59,NDC,,,outpatient,5,ML,4.8,,2.4,2.88,4.656,4.512,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.5408,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.656,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.224,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.8448,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,4.45872,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.84528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,48433-401-05,NDC,,,outpatient,5,ML,5.49,,2.745,3.294,5.3253,5.1606,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,4.5567,,,,percent of total billed charges,,4.941,,,,percent of total billed charges,,5.0508,,,,percent of total billed charges,,5.0508,,,,percent of total billed charges,,5.19354,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,5.3253,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,4.8312,,,,percent of total billed charges,,4.941,,,,percent of total billed charges,,4.39749,,,,percent of total billed charges,,4.941,,,,percent of total billed charges,,3.294,,,,percent of total billed charges,,5.099661,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,3.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.398039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,0904-7278-41,NDC,,,outpatient,5,ML,4.08,,2.04,2.448,3.9576,3.8352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.3864,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,3.7536,,,,percent of total billed charges,,3.7536,,,,percent of total billed charges,,3.85968,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.9576,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.5904,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,3.26808,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,3.789912,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.268488,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],0637,RC,51672-2116-2,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],0637,RC,51672-2116-0,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG TABLET [101],0637,RC,0904-6773-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG TABLET [101],0637,RC,50580-458-11,NDC,,,outpatient,1,EA,2.06,,1.03,1.236,1.9982,1.9364,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.7098,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.94876,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.9982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.8128,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.65006,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,1.913534,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.650266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG TABLET [101],0637,RC,0536-1327-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 500 MG TABLET [102],0637,RC,50580-451-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 500 MG TABLET [102],0637,RC,50580-412-02,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 500 MG TABLET [102],0637,RC,0904-6730-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0637,RC,45802-730-32,NDC,,,outpatient,1,EA,1.19,,0.595,0.714,1.1543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.95319,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.105391,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.953309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0637,RC,45802-730-00,NDC,,,outpatient,1,EA,1.19,,0.595,0.714,1.1543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.95319,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.105391,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.953309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 80 MG CHEWABLE TABLET [99],0637,RC,0904-5791-46,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY [81889],0637,RC,51672-2114-2,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY [81889],0637,RC,51672-2114-0,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,51672-4023-1,NDC,,,outpatient,1,EA,1.56,,0.78,0.936,1.5132,1.4664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.2948,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.47576,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.5132,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.3728,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.24956,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.449084,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.249716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,68084-541-01,NDC,,,outpatient,1,EA,10.81,,5.405,6.486,10.4857,10.1614,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.9723,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,10.22626,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.4857,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,9.5128,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,8.65881,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,10.041409,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.659891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,68084-541-11,NDC,,,outpatient,1,EA,10.81,,5.405,6.486,10.4857,10.1614,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.9723,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,10.22626,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.4857,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,9.5128,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,8.65881,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,10.041409,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.659891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,0904-6663-61,NDC,,,outpatient,1,EA,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,50268-054-11,NDC,,,outpatient,1,EA,11.82,,5.91,7.092,11.4654,11.1108,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.8106,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,11.18172,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.4654,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,10.4016,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,9.46782,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,10.979598,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.469002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,50268-054-15,NDC,,,outpatient,1,EA,11.82,,5.91,7.092,11.4654,11.1108,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.8106,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,11.18172,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.4654,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,10.4016,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,9.46782,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,10.979598,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.469002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,60687-619-01,NDC,,,outpatient,1,EA,15.71,,7.855,9.426,15.2387,14.7674,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.0393,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.86166,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,15.2387,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.8248,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,12.58371,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,14.593019,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.585281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,60687-619-11,NDC,,,outpatient,1,EA,15.71,,7.855,9.426,15.2387,14.7674,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.0393,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.86166,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,15.2387,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.8248,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,12.58371,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,14.593019,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.585281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],0636,RC,39822-0190-1,NDC,J1120,HCPCS,outpatient,1,EA,120.96,,60.48,72.576,117.3312,113.7024,,,,percent of total billed charges,,96.768,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,100.3968,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,111.2832,,,,percent of total billed charges,,111.2832,,,,percent of total billed charges,,114.42816,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.3312,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,106.4448,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,96.88896,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,112.359744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,96.768,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.901056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],0636,RC,67457-853-50,NDC,J1120,HCPCS,outpatient,1,EA,165.38,,82.69,99.228,160.4186,155.4572,,,,percent of total billed charges,,132.304,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,137.2654,,,,percent of total billed charges,,148.842,,,,percent of total billed charges,,152.1496,,,,percent of total billed charges,,152.1496,,,,percent of total billed charges,,156.44948,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,160.4186,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,145.5344,,,,percent of total billed charges,,148.842,,,,percent of total billed charges,,132.46938,,,,percent of total billed charges,,148.842,,,,percent of total billed charges,,99.228,,,,percent of total billed charges,,153.621482,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,132.304,,,,percent of total billed charges,,99.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.485918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],0636,RC,23155-313-31,NDC,J1120,HCPCS,outpatient,1,EA,46.13,,23.065,27.678,44.7461,43.3622,,,,percent of total billed charges,,36.904,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,38.2879,,,,percent of total billed charges,,41.517,,,,percent of total billed charges,,42.4396,,,,percent of total billed charges,,42.4396,,,,percent of total billed charges,,43.63898,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,44.7461,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,40.5944,,,,percent of total billed charges,,41.517,,,,percent of total billed charges,,36.95013,,,,percent of total billed charges,,41.517,,,,percent of total billed charges,,27.678,,,,percent of total billed charges,,42.850157,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,36.904,,,,percent of total billed charges,,27.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.954743,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETIC ACID 0.25 % IRRIGATION SOLUTION [8963],0250,RC,0264-2304-10,NDC,,,outpatient,500,ML,29.25,,14.625,17.55,28.3725,27.495,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,24.2775,,,,percent of total billed charges,,26.325,,,,percent of total billed charges,,26.91,,,,percent of total billed charges,,26.91,,,,percent of total billed charges,,27.6705,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,28.3725,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,25.74,,,,percent of total billed charges,,26.325,,,,percent of total billed charges,,23.42925,,,,percent of total billed charges,,26.325,,,,percent of total billed charges,,17.55,,,,percent of total billed charges,,27.170325,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,17.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.432175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,0517-7604-25,NDC,J7608,HCPCS,outpatient,4,ML,22.47,,11.235,13.482,21.7959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,17.99847,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,20.872383,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.000717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,63323-694-04,NDC,J7608,HCPCS,outpatient,4,ML,17.12,,8.56,10.272,16.6064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,13.71312,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,15.902768,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.714832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,0517-7604-01,NDC,J7608,HCPCS,outpatient,4,ML,22.47,,11.235,13.482,21.7959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,17.99847,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,20.872383,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.000717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,63323-694-41,NDC,J7608,HCPCS,outpatient,4,ML,17.12,,8.56,10.272,16.6064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,13.71312,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,15.902768,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.714832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,63323-694-44,NDC,J7608,HCPCS,outpatient,4,ML,17.12,,8.56,10.272,16.6064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,13.71312,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,15.902768,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.714832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,66220-207-30,NDC,J0132,HCPCS,outpatient,30,ML,155.12,,77.56,93.072,150.4664,145.8128,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,128.7496,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,146.74352,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,150.4664,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,136.5056,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,124.25112,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,144.090968,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.266632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,63323-963-30,NDC,J0132,HCPCS,outpatient,30,ML,151.34,,75.67,90.804,146.7998,142.2596,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,125.6122,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,143.16764,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,146.7998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,133.1792,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,121.22334,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,140.579726,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.238474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,55150-259-30,NDC,J0132,HCPCS,outpatient,30,ML,134.46,,67.23,80.676,130.4262,126.3924,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,111.6018,,,,percent of total billed charges,,121.014,,,,percent of total billed charges,,123.7032,,,,percent of total billed charges,,123.7032,,,,percent of total billed charges,,127.19916,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,130.4262,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,118.3248,,,,percent of total billed charges,,121.014,,,,percent of total billed charges,,107.70246,,,,percent of total billed charges,,121.014,,,,percent of total billed charges,,80.676,,,,percent of total billed charges,,124.899894,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,80.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.715906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,25021-812-30,NDC,J0132,HCPCS,outpatient,30,ML,248.13,,124.065,148.878,240.6861,233.2422,,,,percent of total billed charges,,198.504,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,205.9479,,,,percent of total billed charges,,223.317,,,,percent of total billed charges,,228.2796,,,,percent of total billed charges,,228.2796,,,,percent of total billed charges,,234.73098,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,240.6861,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,218.3544,,,,percent of total billed charges,,223.317,,,,percent of total billed charges,,198.75213,,,,percent of total billed charges,,223.317,,,,percent of total billed charges,,148.878,,,,percent of total billed charges,,230.487957,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,198.504,,,,percent of total billed charges,,148.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,198.776943,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,63323-963-21,NDC,J0132,HCPCS,outpatient,30,ML,151.34,,75.67,90.804,146.7998,142.2596,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,125.6122,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,143.16764,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,146.7998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,133.1792,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,121.22334,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,140.579726,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.238474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,72611-860-01,NDC,J0132,HCPCS,outpatient,30,ML,154.71,,77.355,92.826,150.0687,145.4274,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,128.4093,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,146.35566,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,150.0687,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,136.1448,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,123.92271,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,143.710119,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.938181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,72611-860-04,NDC,J0132,HCPCS,outpatient,30,ML,154.71,,77.355,92.826,150.0687,145.4274,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,128.4093,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,146.35566,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,150.0687,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,136.1448,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,123.92271,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,143.710119,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.938181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,70594-111-01,NDC,J0132,HCPCS,outpatient,30,ML,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,70594-111-02,NDC,J0132,HCPCS,outpatient,30,ML,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLUTION -ROUNDS TO NEAREST 0.1 ML [7000124],0636,RC,66220-207-30,NDC,J0132,HCPCS,outpatient,30,ML,155.12,,77.56,93.072,150.4664,145.8128,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,128.7496,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,146.74352,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,150.4664,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,136.5056,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,124.25112,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,144.090968,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.266632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLUTION -ROUNDS TO NEAREST 0.1 ML [7000124],0636,RC,63323-963-30,NDC,J0132,HCPCS,outpatient,30,ML,151.34,,75.67,90.804,146.7998,142.2596,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,125.6122,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,143.16764,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,146.7998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,133.1792,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,121.22334,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,140.579726,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,121.238474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,0517-7604-25,NDC,,,outpatient,4,ML,22.47,,11.235,13.482,21.7959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,17.99847,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,20.872383,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.000717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,63323-694-04,NDC,,,outpatient,4,ML,17.12,,8.56,10.272,16.6064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,13.71312,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,15.902768,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.714832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,0517-7604-01,NDC,,,outpatient,4,ML,22.47,,11.235,13.482,21.7959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,17.99847,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,20.872383,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.000717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,63323-694-41,NDC,,,outpatient,4,ML,17.12,,8.56,10.272,16.6064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,13.71312,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,15.902768,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.714832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,63323-694-44,NDC,,,outpatient,4,ML,17.12,,8.56,10.272,16.6064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,13.71312,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,15.902768,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.714832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,72611-860-04,NDC,J0132,HCPCS,outpatient,3380,ME,87.16,,43.58,52.296,84.5452,81.9304,,,,percent of total billed charges,,69.728,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,72.3428,,,,percent of total billed charges,,78.444,,,,percent of total billed charges,,80.1872,,,,percent of total billed charges,,80.1872,,,,percent of total billed charges,,82.45336,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,84.5452,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,76.7008,,,,percent of total billed charges,,78.444,,,,percent of total billed charges,,69.81516,,,,percent of total billed charges,,78.444,,,,percent of total billed charges,,52.296,,,,percent of total billed charges,,80.962924,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,69.728,,,,percent of total billed charges,,52.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.823876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,72611-860-04,NDC,J0132,HCPCS,outpatient,6760,ME,174.31,,87.155,104.586,169.0807,163.8514,,,,percent of total billed charges,,139.448,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,144.6773,,,,percent of total billed charges,,156.879,,,,percent of total billed charges,,160.3652,,,,percent of total billed charges,,160.3652,,,,percent of total billed charges,,164.89726,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,169.0807,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,153.3928,,,,percent of total billed charges,,156.879,,,,percent of total billed charges,,139.62231,,,,percent of total billed charges,,156.879,,,,percent of total billed charges,,104.586,,,,percent of total billed charges,,161.916559,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,139.448,,,,percent of total billed charges,,104.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,139.639741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,200,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,72611-860-04,NDC,J0132,HCPCS,outpatient,10140,ME,261.46,,130.73,156.876,253.6162,245.7724,,,,percent of total billed charges,,209.168,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,217.0118,,,,percent of total billed charges,,235.314,,,,percent of total billed charges,,240.5432,,,,percent of total billed charges,,240.5432,,,,percent of total billed charges,,247.34116,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,253.6162,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,230.0848,,,,percent of total billed charges,,235.314,,,,percent of total billed charges,,209.42946,,,,percent of total billed charges,,235.314,,,,percent of total billed charges,,156.876,,,,percent of total billed charges,,242.870194,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,209.168,,,,percent of total billed charges,,156.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,209.455606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [93286],0250,RC,0574-0121-74,NDC,,,outpatient,120,ML,51.84,,25.92,31.104,50.2848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,41.52384,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,48.154176,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.529024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [93286],0250,RC,66689-202-04,NDC,,,outpatient,120,ML,98.28,,49.14,58.968,95.3316,92.3832,,,,percent of total billed charges,,78.624,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,81.5724,,,,percent of total billed charges,,88.452,,,,percent of total billed charges,,90.4176,,,,percent of total billed charges,,90.4176,,,,percent of total billed charges,,92.97288,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,95.3316,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,86.4864,,,,percent of total billed charges,,88.452,,,,percent of total billed charges,,78.72228,,,,percent of total billed charges,,88.452,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,91.292292,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,78.624,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.732108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [93286],0250,RC,0574-0521-74,NDC,,,outpatient,120,ML,56.7,,28.35,34.02,54.999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,45.4167,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,52.66863,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.42237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION [93282],0250,RC,0574-0120-74,NDC,,,outpatient,120,ML,51.84,,25.92,31.104,50.2848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,41.52384,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,48.154176,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.529024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION [93282],0250,RC,66689-203-04,NDC,,,outpatient,120,ML,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION [93282],0250,RC,0574-0520-74,NDC,,,outpatient,120,ML,56.7,,28.35,34.02,54.999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,45.4167,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,52.66863,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.42237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,0904-5789-61,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,68084-107-01,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,68084-107-11,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,72578-002-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 5 % TOPICAL OINTMENT [80449],0637,RC,51079-550-67,NDC,,,outpatient,5,GR,419.27,,209.635,251.562,406.6919,394.1138,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,347.9941,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,396.62942,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,406.6919,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,368.9576,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,335.83527,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,389.459903,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.877197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 5 % TOPICAL OINTMENT [80449],0637,RC,51079-550-68,NDC,,,outpatient,5,GR,419.27,,209.635,251.562,406.6919,394.1138,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,347.9941,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,396.62942,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,406.6919,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,368.9576,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,335.83527,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,389.459903,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.877197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 5 % TOPICAL OINTMENT [80449],0637,RC,65162-835-94,NDC,,,outpatient,15,GR,61.43,,30.715,36.858,59.5871,57.7442,,,,percent of total billed charges,,49.144,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,50.9869,,,,percent of total billed charges,,55.287,,,,percent of total billed charges,,56.5156,,,,percent of total billed charges,,56.5156,,,,percent of total billed charges,,58.11278,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,59.5871,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,54.0584,,,,percent of total billed charges,,55.287,,,,percent of total billed charges,,49.20543,,,,percent of total billed charges,,55.287,,,,percent of total billed charges,,36.858,,,,percent of total billed charges,,57.062327,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,49.144,,,,percent of total billed charges,,36.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.211573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 7 MG/ML IN D5W IV PEDS DILUTION [1001837],0636,RC,9991-0018-37,NDC,J0133,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 800 MG TABLET [8972],0250,RC,60505-5307-1,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 800 MG TABLET [8972],0250,RC,68084-109-01,NDC,,,outpatient,1,EA,3.88,,1.94,2.328,3.7636,3.6472,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.2204,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.67048,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.7636,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.10788,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,3.604132,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.108268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 800 MG TABLET [8972],0250,RC,68084-109-11,NDC,,,outpatient,1,EA,3.88,,1.94,2.328,3.7636,3.6472,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.2204,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.67048,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.7636,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.10788,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,3.604132,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.108268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,55150-155-20,NDC,J0133,HCPCS,outpatient,676,ME,13.45,,6.725,8.07,13.0465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,10.77345,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,12.493705,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.774795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,55150-155-20,NDC,J0133,HCPCS,outpatient,676,ME,13.45,,6.725,8.07,13.0465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,10.77345,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,12.493705,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.774795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,55150-155-20,NDC,J0133,HCPCS,outpatient,676,ME,13.45,,6.725,8.07,13.0465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,10.77345,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,12.493705,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.774795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,55150-155-20,NDC,J0133,HCPCS,outpatient,676,ME,13.45,,6.725,8.07,13.0465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,10.77345,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,12.493705,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.774795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,63323-325-10,NDC,J0133,HCPCS,outpatient,10,ML,7.74,,3.87,4.644,7.5078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,6.19974,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.189686,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.200514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,63323-325-20,NDC,J0133,HCPCS,outpatient,20,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,55150-154-10,NDC,J0133,HCPCS,outpatient,10,ML,10.31,,5.155,6.186,10.0007,9.6914,,,,percent of total billed charges,,8.248,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,8.5573,,,,percent of total billed charges,,9.279,,,,percent of total billed charges,,9.4852,,,,percent of total billed charges,,9.4852,,,,percent of total billed charges,,9.75326,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,10.0007,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,9.0728,,,,percent of total billed charges,,9.279,,,,percent of total billed charges,,8.25831,,,,percent of total billed charges,,9.279,,,,percent of total billed charges,,6.186,,,,percent of total billed charges,,9.576959,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,8.248,,,,percent of total billed charges,,6.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.259341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,55150-155-20,NDC,J0133,HCPCS,outpatient,20,ML,19.89,,9.945,11.934,19.2933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,15.93189,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,18.475821,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.933879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,63323-325-03,NDC,J0133,HCPCS,outpatient,10,ML,7.74,,3.87,4.644,7.5078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,6.19974,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.189686,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.200514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,63323-325-09,NDC,J0133,HCPCS,outpatient,20,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,63323-325-43,NDC,J0133,HCPCS,outpatient,20,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,0469-0871-30,NDC,J0153,HCPCS,outpatient,30,ML,1383.08,,691.54,829.848,1341.5876,1300.0952,,,,percent of total billed charges,,1106.464,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1147.9564,,,,percent of total billed charges,,1244.772,,,,percent of total billed charges,,1272.4336,,,,percent of total billed charges,,1272.4336,,,,percent of total billed charges,,1308.39368,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1341.5876,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1217.1104,,,,percent of total billed charges,,1244.772,,,,percent of total billed charges,,1107.84708,,,,percent of total billed charges,,1244.772,,,,percent of total billed charges,,829.848,,,,percent of total billed charges,,1284.743012,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1106.464,,,,percent of total billed charges,,829.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1107.985388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,0703-8777-01,NDC,J0153,HCPCS,outpatient,30,ML,210.47,,105.235,126.282,204.1559,197.8418,,,,percent of total billed charges,,168.376,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,174.6901,,,,percent of total billed charges,,189.423,,,,percent of total billed charges,,193.6324,,,,percent of total billed charges,,193.6324,,,,percent of total billed charges,,199.10462,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,204.1559,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,185.2136,,,,percent of total billed charges,,189.423,,,,percent of total billed charges,,168.58647,,,,percent of total billed charges,,189.423,,,,percent of total billed charges,,126.282,,,,percent of total billed charges,,195.505583,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,168.376,,,,percent of total billed charges,,126.282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.607517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,0409-1932-02,NDC,J0153,HCPCS,outpatient,30,ML,514.62,,257.31,308.772,499.1814,483.7428,,,,percent of total billed charges,,411.696,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,427.1346,,,,percent of total billed charges,,463.158,,,,percent of total billed charges,,473.4504,,,,percent of total billed charges,,473.4504,,,,percent of total billed charges,,486.83052,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,499.1814,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,452.8656,,,,percent of total billed charges,,463.158,,,,percent of total billed charges,,412.21062,,,,percent of total billed charges,,463.158,,,,percent of total billed charges,,308.772,,,,percent of total billed charges,,478.030518,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,411.696,,,,percent of total billed charges,,308.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,412.262082,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,63323-651-30,NDC,J0153,HCPCS,outpatient,30,ML,188.19,,94.095,112.914,182.5443,176.8986,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,156.1977,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,178.02774,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,182.5443,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,165.6072,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,150.74019,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,174.809691,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.759009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,55150-193-01,NDC,J0153,HCPCS,outpatient,30,ML,78.57,,39.285,47.142,76.2129,73.8558,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,65.2131,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,74.32722,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,76.2129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,69.1416,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,62.93457,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,72.983673,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.942427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,23155-258-32,NDC,J0153,HCPCS,outpatient,30,ML,105.44,,52.72,63.264,102.2768,99.1136,,,,percent of total billed charges,,84.352,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,87.5152,,,,percent of total billed charges,,94.896,,,,percent of total billed charges,,97.0048,,,,percent of total billed charges,,97.0048,,,,percent of total billed charges,,99.74624,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,102.2768,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,92.7872,,,,percent of total billed charges,,94.896,,,,percent of total billed charges,,84.45744,,,,percent of total billed charges,,94.896,,,,percent of total billed charges,,63.264,,,,percent of total billed charges,,97.943216,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,84.352,,,,percent of total billed charges,,63.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.467984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,63323-651-02,NDC,J0153,HCPCS,outpatient,2,ML,10.8,,5.4,6.48,10.476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,8.6508,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.03212,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.65188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,17478-542-02,NDC,J0153,HCPCS,outpatient,2,ML,6.27,,3.135,3.762,6.0819,5.8938,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.2041,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.7684,,,,percent of total billed charges,,5.7684,,,,percent of total billed charges,,5.93142,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,6.0819,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.5176,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.02227,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,5.824203,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.022897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,17478-542-25,NDC,J0153,HCPCS,outpatient,2,ML,8.46,,4.23,5.076,8.2062,7.9524,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,7.0218,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,7.7832,,,,percent of total billed charges,,7.7832,,,,percent of total billed charges,,8.00316,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,8.2062,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,7.4448,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,6.77646,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,5.076,,,,percent of total billed charges,,7.858494,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,5.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.777306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,67457-855-02,NDC,J0153,HCPCS,outpatient,2,ML,24.77,,12.385,14.862,24.0269,23.2838,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,20.5591,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,23.43242,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,24.0269,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,21.7976,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,19.84077,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,23.008853,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.843247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,67457-855-00,NDC,J0153,HCPCS,outpatient,2,ML,24.77,,12.385,14.862,24.0269,23.2838,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,20.5591,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,23.43242,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,24.0269,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,21.7976,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,19.84077,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,23.008853,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.843247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,25021-318-02,NDC,J0153,HCPCS,outpatient,2,ML,11.38,,5.69,6.828,11.0386,10.6972,,,,percent of total billed charges,,9.104,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,9.4454,,,,percent of total billed charges,,10.242,,,,percent of total billed charges,,10.4696,,,,percent of total billed charges,,10.4696,,,,percent of total billed charges,,10.76548,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,11.0386,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,10.0144,,,,percent of total billed charges,,10.242,,,,percent of total billed charges,,9.11538,,,,percent of total billed charges,,10.242,,,,percent of total billed charges,,6.828,,,,percent of total billed charges,,10.570882,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,9.104,,,,percent of total billed charges,,6.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.116518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 300 MCG/ML IN NS IV PED DILUTION [1000593],0636,RC,WVU1-0005-93,NDC,J0153,HCPCS,outpatient,1,ML,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,15,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,63323-651-30,NDC,J0153,HCPCS,outpatient,90,ME,188.19,,94.095,112.914,182.5443,176.8986,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,156.1977,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,178.02774,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,182.5443,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,165.6072,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,150.74019,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,174.809691,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.759009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [213503],0636,RC,50242-088-01,NDC,J9354,HCPCS,outpatient,1,EA,17512.88,,8756.44,10507.728,16987.4936,16462.1072,,,,percent of total billed charges,,14010.304,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,14535.6904,,,,percent of total billed charges,,15761.592,,,,percent of total billed charges,,16111.8496,,,,percent of total billed charges,,16111.8496,,,,percent of total billed charges,,16567.18448,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,16987.4936,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,15411.3344,,,,percent of total billed charges,,15761.592,,,,percent of total billed charges,,14027.81688,,,,percent of total billed charges,,15761.592,,,,percent of total billed charges,,10507.728,,,,percent of total billed charges,,16267.71423,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,14010.304,,,,percent of total billed charges,,10507.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14029.56817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [213504],0636,RC,50242-087-01,NDC,J9354,HCPCS,outpatient,1,EA,24907.16,,12453.58,14944.296,24159.9452,23412.7304,,,,percent of total billed charges,,19925.728,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,20672.9428,,,,percent of total billed charges,,22416.444,,,,percent of total billed charges,,22914.5872,,,,percent of total billed charges,,22914.5872,,,,percent of total billed charges,,23562.17336,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,24159.9452,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,21918.3008,,,,percent of total billed charges,,22416.444,,,,percent of total billed charges,,19950.63516,,,,percent of total billed charges,,22416.444,,,,percent of total billed charges,,14944.296,,,,percent of total billed charges,,23136.26092,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,19925.728,,,,percent of total billed charges,,14944.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19953.12588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [213503],0636,RC,50242-088-01,NDC,J9354,HCPCS,outpatient,243.36,ME,37883.86,,18941.93,22730.316,36747.3442,35610.8284,,,,percent of total billed charges,,30307.088,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,31443.6038,,,,percent of total billed charges,,34095.474,,,,percent of total billed charges,,34853.1512,,,,percent of total billed charges,,34853.1512,,,,percent of total billed charges,,35838.13156,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,36747.3442,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,33337.7968,,,,percent of total billed charges,,34095.474,,,,percent of total billed charges,,30344.97186,,,,percent of total billed charges,,34095.474,,,,percent of total billed charges,,22730.316,,,,percent of total billed charges,,35190.31755,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,30307.088,,,,percent of total billed charges,,22730.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30348.76025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [254184],0636,RC,64406-101-01,NDC,J0172,HCPCS,outpatient,1.7,ML,2157.3,,1078.65,1294.38,2092.581,2027.862,,,,percent of total billed charges,,1725.84,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,1790.559,,,,percent of total billed charges,,1941.57,,,,percent of total billed charges,,1984.716,,,,percent of total billed charges,,1984.716,,,,percent of total billed charges,,2040.8058,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,2092.581,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,1898.424,,,,percent of total billed charges,,1941.57,,,,percent of total billed charges,,1727.9973,,,,percent of total billed charges,,1941.57,,,,percent of total billed charges,,1294.38,,,,percent of total billed charges,,2003.91597,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,1725.84,,,,percent of total billed charges,,1294.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1728.21303,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [254184],0636,RC,64406-102-02,NDC,J0172,HCPCS,outpatient,3,ML,3807,,1903.5,2284.2,3692.79,3578.58,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3159.81,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3601.422,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3692.79,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3350.16,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3049.407,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,3536.3223,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3049.7877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [254184],0636,RC,64406-101-01,NDC,J0172,HCPCS,outpatient,67.6,ME,857.85,,428.925,514.71,832.1145,806.379,,,,percent of total billed charges,,686.28,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,712.0155,,,,percent of total billed charges,,772.065,,,,percent of total billed charges,,789.222,,,,percent of total billed charges,,789.222,,,,percent of total billed charges,,811.5261,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,832.1145,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,754.908,,,,percent of total billed charges,,772.065,,,,percent of total billed charges,,687.13785,,,,percent of total billed charges,,772.065,,,,percent of total billed charges,,514.71,,,,percent of total billed charges,,796.856865,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,686.28,,,,percent of total billed charges,,514.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,687.223635,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,0517-9305-25,NDC,,,outpatient,1,ML,88.93,,44.465,53.358,86.2621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,71.23293,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,82.607077,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.241823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,0338-1089-04,NDC,,,outpatient,2000,ML,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,0517-9305-25,NDC,,,outpatient,1,ML,88.93,,44.465,53.358,86.2621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,71.23293,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,82.607077,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.241823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,0338-1113-04,NDC,,,outpatient,2000,ML,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,0517-9305-25,NDC,,,outpatient,1,ML,88.93,,44.465,53.358,86.2621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,71.23293,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,82.607077,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.241823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,0338-1089-04,NDC,,,outpatient,2000,ML,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,0517-9305-25,NDC,,,outpatient,1,ML,88.93,,44.465,53.358,86.2621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,71.23293,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,82.607077,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.241823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,0338-1113-04,NDC,,,outpatient,2000,ML,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,0944-0493-01,NDC,P9047,HCPCS,outpatient,50,ML,260.33,,130.165,156.198,252.5201,244.7102,,,,percent of total billed charges,,208.264,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,216.0739,,,,percent of total billed charges,,234.297,,,,percent of total billed charges,,239.5036,,,,percent of total billed charges,,239.5036,,,,percent of total billed charges,,246.27218,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,252.5201,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,229.0904,,,,percent of total billed charges,,234.297,,,,percent of total billed charges,,208.52433,,,,percent of total billed charges,,234.297,,,,percent of total billed charges,,156.198,,,,percent of total billed charges,,241.820537,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,208.264,,,,percent of total billed charges,,156.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.550363,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,0944-0493-02,NDC,P9047,HCPCS,outpatient,100,ML,520.65,,260.325,312.39,505.0305,489.411,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,432.1395,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,492.5349,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,505.0305,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,458.172,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,417.04065,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,483.631785,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,417.092715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,68516-5216-7,NDC,P9047,HCPCS,outpatient,50,ML,209.48,,104.74,125.688,203.1956,196.9112,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,173.8684,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,198.16808,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,203.1956,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,184.3424,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,167.79348,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,194.585972,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.814428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,68516-5216-8,NDC,P9047,HCPCS,outpatient,100,ML,2095.2,,1047.6,1257.12,2032.344,1969.488,,,,percent of total billed charges,,1676.16,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1739.016,,,,percent of total billed charges,,1885.68,,,,percent of total billed charges,,1927.584,,,,percent of total billed charges,,1927.584,,,,percent of total billed charges,,1982.0592,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,2032.344,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1843.776,,,,percent of total billed charges,,1885.68,,,,percent of total billed charges,,1678.2552,,,,percent of total billed charges,,1885.68,,,,percent of total billed charges,,1257.12,,,,percent of total billed charges,,1946.23128,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1676.16,,,,percent of total billed charges,,1257.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1678.46472,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",0636,RC,68516-5214-1,NDC,P9045,HCPCS,outpatient,250,ML,209.25,,104.625,125.55,202.9725,196.695,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,173.6775,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,197.9505,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,202.9725,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,184.14,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,167.60925,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,194.372325,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.630175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",0636,RC,68982-623-02,NDC,P9045,HCPCS,outpatient,250,ML,175.5,,87.75,105.3,170.235,164.97,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,145.665,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,166.023,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,170.235,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,154.44,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,140.5755,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,163.02195,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.59305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],0637,RC,69374-330-05,NDC,,,outpatient,80,ME,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,32,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL CONTINUOUS NEBULIZATION - USING 2.5 MG/3 ML [1001080],0637,RC,0487-9501-01,NDC,,,outpatient,3,ML,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL CONTINUOUS NEBULIZATION - USING 2.5 MG/3 ML [1001080],0637,RC,76204-200-30,NDC,,,outpatient,3,ML,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2 MG TABLET [253],0637,RC,51079-657-20,NDC,,,outpatient,1,EA,19.15,,9.575,11.49,18.5755,18.001,,,,percent of total billed charges,,15.32,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,15.8945,,,,percent of total billed charges,,17.235,,,,percent of total billed charges,,17.618,,,,percent of total billed charges,,17.618,,,,percent of total billed charges,,18.1159,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,18.5755,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,16.852,,,,percent of total billed charges,,17.235,,,,percent of total billed charges,,15.33915,,,,percent of total billed charges,,17.235,,,,percent of total billed charges,,11.49,,,,percent of total billed charges,,17.788435,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,15.32,,,,percent of total billed charges,,11.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.341065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],0637,RC,50383-740-16,NDC,,,outpatient,473,ML,183.06,,91.53,109.836,177.5682,172.0764,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,151.9398,,,,percent of total billed charges,,164.754,,,,percent of total billed charges,,168.4152,,,,percent of total billed charges,,168.4152,,,,percent of total billed charges,,173.17476,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,177.5682,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,161.0928,,,,percent of total billed charges,,164.754,,,,percent of total billed charges,,146.63106,,,,percent of total billed charges,,164.754,,,,percent of total billed charges,,109.836,,,,percent of total billed charges,,170.044434,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,109.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.649366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],0637,RC,9999-0252-05,NDC,,,outpatient,5,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/0.5 ML (0.5 %) NEB SOLUTION - CHI [7000185],0637,RC,0487-9901-30,NDC,,,outpatient,1,EA,1.72,,0.86,1.032,1.6684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.37772,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.597708,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.377892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,0487-9501-01,NDC,,,outpatient,3,ML,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,76204-200-30,NDC,,,outpatient,3,ML,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,60687-395-79,NDC,,,outpatient,3,ML,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,60687-395-83,NDC,,,outpatient,3,ML,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION [93101],0637,RC,0487-9901-30,NDC,,,outpatient,1,EA,1.72,,0.86,1.032,1.6684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.37772,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.597708,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.377892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],0637,RC,69374-330-05,NDC,,,outpatient,5,ML,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,0173-0682-20,NDC,,,outpatient,18,GR,235.88,,117.94,141.528,228.8036,221.7272,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,195.7804,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,223.14248,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,228.8036,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,207.5744,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,188.93988,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,219.108932,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,188.963468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,0173-0682-24,NDC,,,outpatient,8,GR,93.03,,46.515,55.818,90.2391,87.4482,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,77.2149,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,88.00638,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,90.2391,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,81.8664,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,74.51703,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,86.415567,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.526333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,0093-3174-31,NDC,,,outpatient,8.5,GR,118.54,,59.27,71.124,114.9838,111.4276,,,,percent of total billed charges,,94.832,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,98.3882,,,,percent of total billed charges,,106.686,,,,percent of total billed charges,,109.0568,,,,percent of total billed charges,,109.0568,,,,percent of total billed charges,,112.13884,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,114.9838,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,104.3152,,,,percent of total billed charges,,106.686,,,,percent of total billed charges,,94.95054,,,,percent of total billed charges,,106.686,,,,percent of total billed charges,,71.124,,,,percent of total billed charges,,110.111806,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,94.832,,,,percent of total billed charges,,71.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.962394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,0254-1007-52,NDC,,,outpatient,6.7,GR,80.23,,40.115,48.138,77.8231,75.4162,,,,percent of total billed charges,,64.184,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,66.5909,,,,percent of total billed charges,,72.207,,,,percent of total billed charges,,73.8116,,,,percent of total billed charges,,73.8116,,,,percent of total billed charges,,75.89758,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,77.8231,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,70.6024,,,,percent of total billed charges,,72.207,,,,percent of total billed charges,,64.26423,,,,percent of total billed charges,,72.207,,,,percent of total billed charges,,48.138,,,,percent of total billed charges,,74.525647,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,64.184,,,,percent of total billed charges,,48.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.272253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,0781-7296-85,NDC,,,outpatient,6.7,GR,106.43,,53.215,63.858,103.2371,100.0442,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,88.3369,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,100.68278,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,103.2371,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,93.6584,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,85.25043,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,98.862827,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.261073,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,0173-0682-20,NDC,,,outpatient,18,GR,235.88,,117.94,141.528,228.8036,221.7272,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,195.7804,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,223.14248,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,228.8036,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,207.5744,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,188.93988,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,219.108932,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,188.963468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,0173-0682-24,NDC,,,outpatient,8,GR,93.03,,46.515,55.818,90.2391,87.4482,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,77.2149,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,88.00638,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,90.2391,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,81.8664,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,74.51703,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,86.415567,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.526333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,59310-579-22,NDC,,,outpatient,8.5,GR,301.38,,150.69,180.828,292.3386,283.2972,,,,percent of total billed charges,,241.104,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,250.1454,,,,percent of total billed charges,,271.242,,,,percent of total billed charges,,277.2696,,,,percent of total billed charges,,277.2696,,,,percent of total billed charges,,285.10548,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,292.3386,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,265.2144,,,,percent of total billed charges,,271.242,,,,percent of total billed charges,,241.40538,,,,percent of total billed charges,,271.242,,,,percent of total billed charges,,180.828,,,,percent of total billed charges,,279.951882,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,241.104,,,,percent of total billed charges,,180.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,241.435518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,0781-7296-85,NDC,,,outpatient,6.7,GR,106.43,,53.215,63.858,103.2371,100.0442,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,88.3369,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,100.68278,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,103.2371,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,93.6584,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,85.25043,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,98.862827,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.261073,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALL PURPOSE NIPPLE OINTMENT [1000604],0637,RC,9991-0006-04,NDC,,,outpatient,30,GR,1.35,,0.675,0.81,1.3095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.08135,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.254015,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.081485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,51079-205-01,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,51079-205-20,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,53489-156-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,62584-988-01,NDC,,,outpatient,1,EA,0.78,,0.39,0.468,0.7566,0.7332,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6474,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.73788,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.7566,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6864,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.62478,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.724542,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.624858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,0904-7041-61,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,16714-576-01,NDC,,,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,60687-677-01,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,60687-677-11,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [238032]",0636,RC,13533-705-11,NDC,J0256,HCPCS,outpatient,1,EA,1530,,765,918,1484.1,1438.2,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1269.9,,,,percent of total billed charges,,1377,,,,percent of total billed charges,,1407.6,,,,percent of total billed charges,,1407.6,,,,percent of total billed charges,,1447.38,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1377,,,,percent of total billed charges,,1225.53,,,,percent of total billed charges,,1377,,,,percent of total billed charges,,918,,,,percent of total billed charges,,1421.217,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1225.683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION [82289]",0636,RC,0053-7201-02,NDC,J0256,HCPCS,outpatient,1,EA,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION [82289]",0636,RC,0053-7211-01,NDC,J0256,HCPCS,outpatient,1,EA,2115,,1057.5,1269,2051.55,1988.1,,,,percent of total billed charges,,1692,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,1755.45,,,,percent of total billed charges,,1903.5,,,,percent of total billed charges,,1945.8,,,,percent of total billed charges,,1945.8,,,,percent of total billed charges,,2000.79,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,2051.55,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1903.5,,,,percent of total billed charges,,1694.115,,,,percent of total billed charges,,1903.5,,,,percent of total billed charges,,1269,,,,percent of total billed charges,,1964.6235,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,1692,,,,percent of total billed charges,,1269,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1694.3265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.25 MG TABLET [324],0637,RC,0904-5858-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.25 MG TABLET [324],0637,RC,68084-647-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.5 MG TABLET [325],0637,RC,0228-2029-10,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.5 MG TABLET [325],0637,RC,59762-3720-1,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.5 MG TABLET [325],0637,RC,51991-705-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 1 MG TABLET [326],0637,RC,0904-5860-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,0009-3169-06,NDC,J0270,HCPCS,outpatient,1,ML,567.84,,283.92,340.704,550.8048,533.7696,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,471.3072,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,537.17664,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,550.8048,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,499.6992,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,454.83984,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,527.466576,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,454.896624,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,0703-1501-02,NDC,J0270,HCPCS,outpatient,1,ML,444.31,,222.155,266.586,430.9807,417.6514,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,368.7773,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,420.31726,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,430.9807,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,390.9928,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,355.89231,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,412.719559,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,355.936741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,0703-1501-01,NDC,J0270,HCPCS,outpatient,1,ML,444.31,,222.155,266.586,430.9807,417.6514,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,368.7773,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,420.31726,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,430.9807,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,390.9928,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,355.89231,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,412.719559,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,355.936741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,0009-3169-01,NDC,J0270,HCPCS,outpatient,1,ML,567.84,,283.92,340.704,550.8048,533.7696,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,471.3072,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,537.17664,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,550.8048,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,499.6992,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,454.83984,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,527.466576,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,454.896624,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) 100MG INFUSION FOR PE [1001135],0636,RC,50242-085-27,NDC,J2997,HCPCS,outpatient,1,EA,32353.64,,16176.82,19412.184,31383.0308,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,25915.26564,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,30053.2962,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25918.501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) 100MG INFUSION FOR PE [1001135],0636,RC,50242-085-25,NDC,J2997,HCPCS,outpatient,1,EA,32353.64,,16176.82,19412.184,31383.0308,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,25915.26564,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,30053.2962,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25918.501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) BOLUS INFUSION (100 MG VIAL) [7000208],0636,RC,50242-085-27,NDC,J2997,HCPCS,outpatient,1,EA,32353.64,,16176.82,19412.184,31383.0308,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,25915.26564,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,30053.2962,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25918.501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) BOLUS INFUSION (50 MG VIAL) [7000206],0636,RC,50242-044-13,NDC,J2997,HCPCS,outpatient,1,EA,18198.95,,9099.475,10919.37,17652.9815,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,14577.35895,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,16905.00466,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14579.17885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) MAINTENANCE INFUSION FOR STROKE (100 MG VIAL) [7000209],0636,RC,50242-085-27,NDC,J2997,HCPCS,outpatient,1,EA,32353.64,,16176.82,19412.184,31383.0308,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,25915.26564,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,30053.2962,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25918.501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) MAINTENANCE INFUSION FOR STROKE (50 MG VIAL) [7000207],0636,RC,50242-044-13,NDC,J2997,HCPCS,outpatient,1,EA,18198.95,,9099.475,10919.37,17652.9815,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,14577.35895,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,16905.00466,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14579.17885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2MG/2ML SOLUTION FOR CATH CLEARANCE [7000110],0636,RC,50242-041-64,NDC,J2997,HCPCS,outpatient,10,ME,3646.8,,1823.4,2188.08,3537.396,3427.992,,,,percent of total billed charges,,2917.44,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3026.844,,,,percent of total billed charges,,3282.12,,,,percent of total billed charges,,3355.056,,,,percent of total billed charges,,3355.056,,,,percent of total billed charges,,3449.8728,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3537.396,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3209.184,,,,percent of total billed charges,,3282.12,,,,percent of total billed charges,,2921.0868,,,,percent of total billed charges,,3282.12,,,,percent of total billed charges,,2188.08,,,,percent of total billed charges,,3387.51252,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,2917.44,,,,percent of total billed charges,,2188.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2921.45148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 100 MG INTRAVENOUS SOLUTION [79818],0636,RC,50242-085-27,NDC,J2997,HCPCS,outpatient,1,EA,32353.64,,16176.82,19412.184,31383.0308,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,25915.26564,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,30053.2962,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25918.501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 100 MG INTRAVENOUS SOLUTION [79818],0636,RC,50242-085-25,NDC,J2997,HCPCS,outpatient,1,EA,32353.64,,16176.82,19412.184,31383.0308,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,25915.26564,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,30053.2962,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25918.501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,50242-041-64,NDC,J2997,HCPCS,outpatient,1,EA,729.36,,364.68,437.616,707.4792,685.5984,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,605.3688,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,689.97456,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,707.4792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,641.8368,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,584.21736,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,677.502504,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.290296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2MG/2ML SOLUTION FOR CATH CLEARANCE [7000110],0636,RC,50242-041-64,NDC,J2997,HCPCS,outpatient,1,EA,729.36,,364.68,437.616,707.4792,685.5984,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,605.3688,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,689.97456,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,707.4792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,641.8368,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,584.21736,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,677.502504,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.290296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,50242-041-64,NDC,J2997,HCPCS,outpatient,4,ME,1458.72,,729.36,875.232,1414.9584,1371.1968,,,,percent of total billed charges,,1166.976,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1210.7376,,,,percent of total billed charges,,1312.848,,,,percent of total billed charges,,1342.0224,,,,percent of total billed charges,,1342.0224,,,,percent of total billed charges,,1379.94912,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1414.9584,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1283.6736,,,,percent of total billed charges,,1312.848,,,,percent of total billed charges,,1168.43472,,,,percent of total billed charges,,1312.848,,,,percent of total billed charges,,875.232,,,,percent of total billed charges,,1355.005008,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1166.976,,,,percent of total billed charges,,875.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1168.580592,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,0338-0013-04,NDC,,,outpatient,46,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 50 MG INFUSION - PE [1001441],0636,RC,50242-044-13,NDC,J2997,HCPCS,outpatient,1,EA,18198.95,,9099.475,10919.37,17652.9815,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,14577.35895,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,16905.00466,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14579.17885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 50 MG INTRAVENOUS SOLUTION [79451],0636,RC,50242-044-13,NDC,J2997,HCPCS,outpatient,1,EA,18198.95,,9099.475,10919.37,17652.9815,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,14577.35895,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,16905.00466,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14579.17885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 50 MG INTRAVENOUS SOLUTION [79451],0636,RC,50242-044-06,NDC,J2997,HCPCS,outpatient,1,EA,18198.95,,9099.475,10919.37,17652.9815,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,14577.35895,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,16905.00466,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14579.17885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,50242-041-64,NDC,J2997,HCPCS,outpatient,12,ME,4376.16,,2188.08,2625.696,4244.8752,4113.5904,,,,percent of total billed charges,,3500.928,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,3632.2128,,,,percent of total billed charges,,3938.544,,,,percent of total billed charges,,4026.0672,,,,percent of total billed charges,,4026.0672,,,,percent of total billed charges,,4139.84736,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,4244.8752,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,3851.0208,,,,percent of total billed charges,,3938.544,,,,percent of total billed charges,,3505.30416,,,,percent of total billed charges,,3938.544,,,,percent of total billed charges,,2625.696,,,,percent of total billed charges,,4065.015024,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,3500.928,,,,percent of total billed charges,,2625.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3505.741776,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,88,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2MG/2ML SOLUTION FOR CATH CLEARANCE [7000110],0636,RC,50242-041-64,NDC,J2997,HCPCS,outpatient,2,ME,729.36,,364.68,437.616,707.4792,685.5984,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,605.3688,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,689.97456,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,707.4792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,641.8368,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,584.21736,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,677.502504,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,584.290296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,50242-041-64,NDC,J2997,HCPCS,outpatient,2.5,ME,911.7,,455.85,547.02,884.349,856.998,,,,percent of total billed charges,,729.36,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,756.711,,,,percent of total billed charges,,820.53,,,,percent of total billed charges,,838.764,,,,percent of total billed charges,,838.764,,,,percent of total billed charges,,862.4682,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,884.349,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,802.296,,,,percent of total billed charges,,820.53,,,,percent of total billed charges,,730.2717,,,,percent of total billed charges,,820.53,,,,percent of total billed charges,,547.02,,,,percent of total billed charges,,846.87813,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,729.36,,,,percent of total billed charges,,547.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,730.36287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION [77104],0637,RC,0904-7727-14,NDC,,,outpatient,355,ML,19.17,,9.585,11.502,18.5949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,15.35517,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,17.807013,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.357087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION [353],0637,RC,0536-0091-85,NDC,,,outpatient,473,ML,23.42,,11.71,14.052,22.7174,22.0148,,,,percent of total billed charges,,18.736,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,19.4386,,,,percent of total billed charges,,21.078,,,,percent of total billed charges,,21.5464,,,,percent of total billed charges,,21.5464,,,,percent of total billed charges,,22.15532,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,22.7174,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,20.6096,,,,percent of total billed charges,,21.078,,,,percent of total billed charges,,18.75942,,,,percent of total billed charges,,21.078,,,,percent of total billed charges,,14.052,,,,percent of total billed charges,,21.754838,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,18.736,,,,percent of total billed charges,,14.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.761762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,0121-1761-30,NDC,,,outpatient,30,ML,7.97,,3.985,4.782,7.7309,7.4918,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.6151,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.53962,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.7309,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.0136,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,6.38397,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,7.403333,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.384767,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,57896-629-12,NDC,,,outpatient,355,ML,9.59,,4.795,5.754,9.3023,9.0146,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.9597,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,9.07214,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.3023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,8.4392,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,7.68159,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,8.908151,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.682549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,9999-9382-85,NDC,,,outpatient,30,ML,1.89,,0.945,1.134,1.8333,1.7766,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.5687,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.78794,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.8333,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.6632,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.51389,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.755621,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.514079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,46122-433-40,NDC,,,outpatient,355,ML,9.59,,4.795,5.754,9.3023,9.0146,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.9597,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,9.07214,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.3023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,8.4392,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,7.68159,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,8.908151,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.682549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,46122-434-40,NDC,,,outpatient,355,ML,9.59,,4.795,5.754,9.3023,9.0146,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.9597,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,9.07214,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.3023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,8.4392,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,7.68159,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,8.908151,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.682549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,0536-1293-83,NDC,,,outpatient,355,ML,12.78,,6.39,7.668,12.3966,12.0132,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.6074,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,12.08988,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.3966,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,11.2464,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,10.23678,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,11.871342,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.238058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,63739-159-10,NDC,,,outpatient,30,ML,8.51,,4.255,5.106,8.2547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,6.81651,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,7.904939,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.817361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,63739-159-77,NDC,,,outpatient,30,ML,8.51,,4.255,5.106,8.2547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,6.81651,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,7.904939,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.817361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,70677-1063-1,NDC,,,outpatient,355,ML,19.17,,9.585,11.502,18.5949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,15.35517,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,17.807013,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.357087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,67919-020-10,NDC,,,outpatient,1,EA,818.28,,409.14,490.968,793.7316,769.1832,,,,percent of total billed charges,,654.624,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,679.1724,,,,percent of total billed charges,,736.452,,,,percent of total billed charges,,752.8176,,,,percent of total billed charges,,752.8176,,,,percent of total billed charges,,774.09288,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,793.7316,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,720.0864,,,,percent of total billed charges,,736.452,,,,percent of total billed charges,,655.44228,,,,percent of total billed charges,,736.452,,,,percent of total billed charges,,490.968,,,,percent of total billed charges,,760.100292,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,654.624,,,,percent of total billed charges,,490.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,655.524108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,0591-2312-15,NDC,,,outpatient,1,EA,648.73,,324.365,389.238,629.2681,609.8062,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,538.4459,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,613.69858,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,629.2681,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,570.8824,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,519.63273,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,602.605297,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,519.697603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,0591-2312-45,NDC,,,outpatient,1,EA,648.73,,324.365,389.238,629.2681,609.8062,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,538.4459,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,613.69858,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,629.2681,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,570.8824,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,519.63273,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,602.605297,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,519.697603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,0254-3012-55,NDC,,,outpatient,1,EA,519.59,,259.795,311.754,504.0023,488.4146,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,431.2597,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,491.53214,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,504.0023,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,457.2392,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,416.19159,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,482.647151,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,416.243549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,0254-3012-78,NDC,,,outpatient,1,EA,519.59,,259.795,311.754,504.0023,488.4146,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,431.2597,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,491.53214,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,504.0023,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,457.2392,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,416.19159,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,482.647151,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,416.243549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,50268-069-15,NDC,,,outpatient,1,EA,6.8,,3.4,4.08,6.596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,5.4468,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.31652,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.44748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,50268-069-11,NDC,,,outpatient,1,EA,6.8,,3.4,4.08,6.596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,5.4468,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.31652,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.44748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,60687-422-01,NDC,,,outpatient,1,EA,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,60687-422-11,NDC,,,outpatient,1,EA,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,0904-7042-06,NDC,,,outpatient,1,EA,3.38,,1.69,2.028,3.2786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.70738,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.139682,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.707718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0703-9040-01,NDC,J0278,HCPCS,outpatient,4,ML,41.26,,20.63,24.756,40.0222,38.7844,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,34.2458,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,39.03196,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,40.0222,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,36.3088,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,33.04926,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,38.326414,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.053386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0703-9040-03,NDC,J0278,HCPCS,outpatient,4,ML,41.26,,20.63,24.756,40.0222,38.7844,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,34.2458,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,39.03196,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,40.0222,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,36.3088,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,33.04926,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,38.326414,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.053386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,23155-290-32,NDC,J0278,HCPCS,outpatient,4,ML,33.11,,16.555,19.866,32.1167,31.1234,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,27.4813,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,31.32206,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,32.1167,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,29.1368,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,26.52111,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,30.755879,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.524421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,23155-290-42,NDC,J0278,HCPCS,outpatient,4,ML,33.11,,16.555,19.866,32.1167,31.1234,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,27.4813,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,31.32206,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,32.1167,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,29.1368,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,26.52111,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,30.755879,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.524421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0641-6166-01,NDC,J0278,HCPCS,outpatient,4,ML,28.82,,14.41,17.292,27.9554,27.0908,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.9206,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,27.26372,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.9554,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,25.3616,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,23.08482,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,26.770898,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.087702,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0641-6166-10,NDC,J0278,HCPCS,outpatient,4,ML,28.82,,14.41,17.292,27.9554,27.0908,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.9206,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,27.26372,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.9554,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,25.3616,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,23.08482,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,26.770898,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.087702,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,63323-815-04,NDC,J0278,HCPCS,outpatient,4,ML,96.39,,48.195,57.834,93.4983,90.6066,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,80.0037,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,91.18494,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,93.4983,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,84.8232,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,77.20839,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,89.536671,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.218029,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,63323-815-22,NDC,J0278,HCPCS,outpatient,4,ML,96.39,,48.195,57.834,93.4983,90.6066,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,80.0037,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,91.18494,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,93.4983,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,84.8232,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,77.20839,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,89.536671,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.218029,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 5 MG/ML IN D5W IV PEDS DILUTION [1000002],0636,RC,WVU01-000-02,NDC,J0278,HCPCS,outpatient,1,ML,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,0703-9032-01,NDC,J0278,HCPCS,outpatient,2,ML,18.61,,9.305,11.166,18.0517,17.4934,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,15.4463,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.60506,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,18.0517,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,16.3768,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,14.90661,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,17.286829,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.908471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,0703-9032-03,NDC,J0278,HCPCS,outpatient,2,ML,18.61,,9.305,11.166,18.0517,17.4934,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,15.4463,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.60506,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,18.0517,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,16.3768,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,14.90661,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,17.286829,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.908471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,23155-290-31,NDC,J0278,HCPCS,outpatient,2,ML,17.52,,8.76,10.512,16.9944,16.4688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.5416,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.57392,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.9944,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,15.4176,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,14.03352,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,16.274328,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.035272,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,23155-290-41,NDC,J0278,HCPCS,outpatient,2,ML,17.52,,8.76,10.512,16.9944,16.4688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.5416,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.57392,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.9944,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,15.4176,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,14.03352,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,16.274328,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.035272,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0641-6166-10,NDC,J0278,HCPCS,outpatient,507,ME,14.62,,7.31,8.772,14.1814,13.7428,,,,percent of total billed charges,,11.696,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,12.1346,,,,percent of total billed charges,,13.158,,,,percent of total billed charges,,13.4504,,,,percent of total billed charges,,13.4504,,,,percent of total billed charges,,13.83052,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,14.1814,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,12.8656,,,,percent of total billed charges,,13.158,,,,percent of total billed charges,,11.71062,,,,percent of total billed charges,,13.158,,,,percent of total billed charges,,8.772,,,,percent of total billed charges,,13.580518,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,11.696,,,,percent of total billed charges,,8.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.712082,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0641-6166-10,NDC,J0278,HCPCS,outpatient,1014,ME,29.23,,14.615,17.538,28.3531,27.4762,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,24.2609,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,27.65158,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,28.3531,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,25.7224,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,23.41323,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,27.151747,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.416153,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0641-6166-10,NDC,J0278,HCPCS,outpatient,2028,ME,58.45,,29.225,35.07,56.6965,54.943,,,,percent of total billed charges,,46.76,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,48.5135,,,,percent of total billed charges,,52.605,,,,percent of total billed charges,,53.774,,,,percent of total billed charges,,53.774,,,,percent of total billed charges,,55.2937,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,56.6965,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,51.436,,,,percent of total billed charges,,52.605,,,,percent of total billed charges,,46.81845,,,,percent of total billed charges,,52.605,,,,percent of total billed charges,,35.07,,,,percent of total billed charges,,54.294205,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,46.76,,,,percent of total billed charges,,35.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.824295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0641-6166-10,NDC,J0278,HCPCS,outpatient,338,ME,9.75,,4.875,5.85,9.4575,9.165,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.0925,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,9.2235,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.4575,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.58,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,7.80975,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,9.056775,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.810725,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,0641-6166-10,NDC,J0278,HCPCS,outpatient,1014,ME,29.23,,14.615,17.538,28.3531,27.4762,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,24.2609,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,27.65158,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,28.3531,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,25.7224,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,23.41323,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,27.151747,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.416153,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMILORIDE 5 MG TABLET [391],0637,RC,0574-0292-01,NDC,,,outpatient,1,EA,1.04,,0.52,0.624,1.0088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.83304,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.966056,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.833144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMILORIDE 5 MG TABLET [391],0637,RC,50268-071-15,NDC,,,outpatient,1,EA,2.08,,1.04,1.248,2.0176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.66608,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.932112,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.666288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 10 % INTRAVENOUS SOLUTION [77411],0250,RC,0264-9341-55,NDC,,,outpatient,500,ML,175.5,,87.75,105.3,170.235,164.97,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,145.665,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,166.023,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,170.235,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,154.44,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,140.5755,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,163.02195,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.59305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 10 % INTRAVENOUS SOLUTION [77411],0250,RC,0264-1933-10,NDC,,,outpatient,500,ML,182.25,,91.125,109.35,176.7825,171.315,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,151.2675,,,,percent of total billed charges,,164.025,,,,percent of total billed charges,,167.67,,,,percent of total billed charges,,167.67,,,,percent of total billed charges,,172.4085,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,176.7825,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,160.38,,,,percent of total billed charges,,164.025,,,,percent of total billed charges,,145.98225,,,,percent of total billed charges,,164.025,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,169.292025,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.000475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN 10 % DEXTROSE INTRAVENOUS SOLUTION [78507],0250,RC,0338-1091-04,NDC,,,outpatient,2000,ML,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN 10 % DEXTROSE INTRAVENOUS SOLUTION [78507],0250,RC,0338-1134-03,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,0338-1089-04,NDC,,,outpatient,2000,ML,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,0338-1133-03,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,0338-1113-04,NDC,,,outpatient,2000,ML,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,0338-1144-03,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION [251014],0250,RC,0338-0194-01,NDC,,,outpatient,2000,ML,243,,121.5,145.8,235.71,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,194.643,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,225.7227,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,194.6673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION [251014],0250,RC,0338-0194-04,NDC,,,outpatient,2000,ML,243,,121.5,145.8,235.71,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,194.643,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,225.7227,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,194.6673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACIDS 4.25 % WITH LYTES AND CALCIUM IN D10W INTRAVENOUS SOLUTION [78421],0250,RC,0338-1115-04,NDC,,,outpatient,2000,ML,189,,94.5,113.4,183.33,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,151.389,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,175.5621,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.4079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION [251013],0250,RC,0338-0214-01,NDC,,,outpatient,2000,ML,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION [251013],0250,RC,0338-0214-04,NDC,,,outpatient,2000,ML,252,,126,151.2,244.44,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,201.852,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,234.0828,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,201.8772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,0517-9120-25,NDC,S0017,HCPCS,outpatient,20,ML,33.48,,16.74,20.088,32.4756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,26.81748,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,31.099572,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.820828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,0409-4346-73,NDC,S0017,HCPCS,outpatient,20,ML,18.45,,9.225,11.07,17.8965,17.343,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,15.3135,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.4537,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.8965,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,16.236,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,14.77845,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,17.138205,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.780295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,0409-4346-16,NDC,S0017,HCPCS,outpatient,20,ML,18.45,,9.225,11.07,17.8965,17.343,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,15.3135,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.4537,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.8965,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,16.236,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,14.77845,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,17.138205,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.780295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,0517-9120-01,NDC,S0017,HCPCS,outpatient,20,ML,33.48,,16.74,20.088,32.4756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,26.81748,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,31.099572,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.820828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,49411-050-30,NDC,,,outpatient,1,EA,88.37,,44.185,53.022,85.7189,83.0678,,,,percent of total billed charges,,70.696,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,73.3471,,,,percent of total billed charges,,79.533,,,,percent of total billed charges,,81.3004,,,,percent of total billed charges,,81.3004,,,,percent of total billed charges,,83.59802,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,85.7189,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,77.7656,,,,percent of total billed charges,,79.533,,,,percent of total billed charges,,70.78437,,,,percent of total billed charges,,79.533,,,,percent of total billed charges,,53.022,,,,percent of total billed charges,,82.086893,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,70.696,,,,percent of total billed charges,,53.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.793207,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,69680-115-30,NDC,,,outpatient,1,EA,26.86,,13.43,16.116,26.0542,25.2484,,,,percent of total billed charges,,21.488,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,22.2938,,,,percent of total billed charges,,24.174,,,,percent of total billed charges,,24.7112,,,,percent of total billed charges,,24.7112,,,,percent of total billed charges,,25.40956,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,26.0542,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,23.6368,,,,percent of total billed charges,,24.174,,,,percent of total billed charges,,21.51486,,,,percent of total billed charges,,24.174,,,,percent of total billed charges,,16.116,,,,percent of total billed charges,,24.950254,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,21.488,,,,percent of total billed charges,,16.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.517546,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,72205-049-30,NDC,,,outpatient,1,EA,9.31,,4.655,5.586,9.0307,8.7514,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.7273,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.80726,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,9.0307,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.1928,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.45731,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,8.648059,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.458241,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,70377-102-11,NDC,,,outpatient,1,EA,48.26,,24.13,28.956,46.8122,45.3644,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,40.0558,,,,percent of total billed charges,,43.434,,,,percent of total billed charges,,44.3992,,,,percent of total billed charges,,44.3992,,,,percent of total billed charges,,45.65396,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,46.8122,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,42.4688,,,,percent of total billed charges,,43.434,,,,percent of total billed charges,,38.65626,,,,percent of total billed charges,,43.434,,,,percent of total billed charges,,28.956,,,,percent of total billed charges,,44.828714,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,28.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.661086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,24658-798-30,NDC,,,outpatient,1,EA,9.85,,4.925,5.91,9.5545,9.259,,,,percent of total billed charges,,7.88,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,8.1755,,,,percent of total billed charges,,8.865,,,,percent of total billed charges,,9.062,,,,percent of total billed charges,,9.062,,,,percent of total billed charges,,9.3181,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,9.5545,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,8.668,,,,percent of total billed charges,,8.865,,,,percent of total billed charges,,7.88985,,,,percent of total billed charges,,8.865,,,,percent of total billed charges,,5.91,,,,percent of total billed charges,,9.149665,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,7.88,,,,percent of total billed charges,,5.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.890835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,0338-0017-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION [240507],0250,RC,71469-231-01,NDC,,,outpatient,1,EA,12550.5,,6275.25,7530.3,12173.985,11797.47,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,10416.915,,,,percent of total billed charges,,11295.45,,,,percent of total billed charges,,11546.46,,,,percent of total billed charges,,11546.46,,,,percent of total billed charges,,11872.773,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,12173.985,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,11044.44,,,,percent of total billed charges,,11295.45,,,,percent of total billed charges,,10052.9505,,,,percent of total billed charges,,11295.45,,,,percent of total billed charges,,7530.3,,,,percent of total billed charges,,11658.15945,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,7530.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10054.20555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 2.5 MG/ML IN D5W IV PEDS DILUTION [1000003],0636,RC,WVU01-000-03,NDC,J0280,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [88510],0636,RC,0409-5921-01,NDC,J0280,HCPCS,outpatient,10,ML,61.38,,30.69,36.828,59.5386,57.6972,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,50.9454,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,58.06548,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,59.5386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,54.0144,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,49.16538,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,57.015882,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.171518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [88510],0636,RC,0409-5921-16,NDC,J0280,HCPCS,outpatient,10,ML,61.38,,30.69,36.828,59.5386,57.6972,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,50.9454,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,58.06548,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,59.5386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,54.0144,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,49.16538,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,57.015882,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.171518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [88511],0636,RC,0409-5922-01,NDC,J0280,HCPCS,outpatient,20,ML,38.79,,19.395,23.274,37.6263,36.4626,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,32.1957,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,36.69534,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,37.6263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,34.1352,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,31.07079,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,36.032031,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.074669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [88511],0636,RC,0409-5922-16,NDC,J0280,HCPCS,outpatient,20,ML,38.79,,19.395,23.274,37.6263,36.4626,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,32.1957,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,36.69534,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,37.6263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,34.1352,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,31.07079,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,36.032031,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.074669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [88510],0636,RC,0409-5921-01,NDC,J0280,HCPCS,outpatient,405.6,ME,99.59,,49.795,59.754,96.6023,93.6146,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,82.6597,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,94.21214,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,96.6023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,87.6392,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,79.77159,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,92.509151,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.781549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [88511],0636,RC,0409-5922-01,NDC,J0280,HCPCS,outpatient,405.6,ME,31.47,,15.735,18.882,30.5259,29.5818,,,,percent of total billed charges,,25.176,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,26.1201,,,,percent of total billed charges,,28.323,,,,percent of total billed charges,,28.9524,,,,percent of total billed charges,,28.9524,,,,percent of total billed charges,,29.77062,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,30.5259,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,27.6936,,,,percent of total billed charges,,28.323,,,,percent of total billed charges,,25.20747,,,,percent of total billed charges,,28.323,,,,percent of total billed charges,,18.882,,,,percent of total billed charges,,29.232483,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,25.176,,,,percent of total billed charges,,18.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.210617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [205729]",0636,RC,43066-150-10,NDC,J0283,HCPCS,outpatient,100,ML,143.55,,71.775,86.13,139.2435,134.937,,,,percent of total billed charges,,114.84,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,119.1465,,,,percent of total billed charges,,129.195,,,,percent of total billed charges,,132.066,,,,percent of total billed charges,,132.066,,,,percent of total billed charges,,135.7983,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,139.2435,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,126.324,,,,percent of total billed charges,,129.195,,,,percent of total billed charges,,114.98355,,,,percent of total billed charges,,129.195,,,,percent of total billed charges,,86.13,,,,percent of total billed charges,,133.343595,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,114.84,,,,percent of total billed charges,,86.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.997905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,0245-0147-01,NDC,,,outpatient,1,EA,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,0245-0147-89,NDC,,,outpatient,1,EA,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,60687-437-01,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,60687-437-11,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,63739-051-10,NDC,,,outpatient,1,EA,1.27,,0.635,0.762,1.2319,1.1938,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.0541,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.20142,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.1176,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.01727,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,1.179703,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.017397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,0904-6993-61,NDC,,,outpatient,1,EA,1.35,,0.675,0.81,1.3095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.08135,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.254015,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.081485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,63323-616-03,NDC,J0282,HCPCS,outpatient,3,ML,7.16,,3.58,4.296,6.9452,6.7304,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.9428,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.77336,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.9452,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.3008,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,5.73516,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,6.650924,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.735876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,63323-616-09,NDC,J0282,HCPCS,outpatient,9,ML,19.77,,9.885,11.862,19.1769,18.5838,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,16.4091,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.70242,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,19.1769,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,17.3976,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,15.83577,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,18.364353,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.837747,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,67457-153-09,NDC,J0282,HCPCS,outpatient,9,ML,29.12,,14.56,17.472,28.2464,27.3728,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,24.1696,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,27.54752,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,28.2464,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,25.6256,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,23.32512,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,27.049568,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.328032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,67457-153-18,NDC,J0282,HCPCS,outpatient,18,ML,55.73,,27.865,33.438,54.0581,52.3862,,,,percent of total billed charges,,44.584,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,46.2559,,,,percent of total billed charges,,50.157,,,,percent of total billed charges,,51.2716,,,,percent of total billed charges,,51.2716,,,,percent of total billed charges,,52.72058,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,54.0581,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,49.0424,,,,percent of total billed charges,,50.157,,,,percent of total billed charges,,44.63973,,,,percent of total billed charges,,50.157,,,,percent of total billed charges,,33.438,,,,percent of total billed charges,,51.767597,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,44.584,,,,percent of total billed charges,,33.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.645303,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,0143-9875-01,NDC,J0282,HCPCS,outpatient,3,ML,3.12,,1.56,1.872,3.0264,2.9328,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.5896,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.95152,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,3.0264,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.7456,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.49912,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.898168,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.499432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,67457-153-99,NDC,J0282,HCPCS,outpatient,9,ML,29.12,,14.56,17.472,28.2464,27.3728,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,24.1696,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,27.54752,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,28.2464,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,25.6256,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,23.32512,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,27.049568,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.328032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,0143-9875-25,NDC,J0282,HCPCS,outpatient,3,ML,3.12,,1.56,1.872,3.0264,2.9328,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.5896,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.95152,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,3.0264,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.7456,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.49912,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.898168,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.499432,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,63323-616-01,NDC,J0282,HCPCS,outpatient,3,ML,7.16,,3.58,4.296,6.9452,6.7304,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.9428,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.77336,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.9452,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.3008,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,5.73516,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,6.650924,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.735876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,63323-616-02,NDC,J0282,HCPCS,outpatient,9,ML,19.77,,9.885,11.862,19.1769,18.5838,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,16.4091,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.70242,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,19.1769,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,17.3976,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,15.83577,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,18.364353,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.837747,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,0338-0017-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE IN DEXTROSE 360 MG/200 ML PREMIX - CHI [7000140],0636,RC,43066-360-20,NDC,J0283,HCPCS,outpatient,200,ML,190.8,,95.4,114.48,185.076,179.352,,,,percent of total billed charges,,152.64,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,158.364,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,180.4968,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,185.076,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,167.904,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,152.8308,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,114.48,,,,percent of total billed charges,,177.23412,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,152.64,,,,percent of total billed charges,,114.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,152.84988,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 10 MG TABLET [432],0637,RC,16729-171-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 10 MG TABLET [432],0637,RC,29300-419-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 25 MG TABLET [435],0637,RC,0904-0201-61,NDC,,,outpatient,1,EA,1.78,,0.89,1.068,1.7266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.42578,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.653442,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.425958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 25 MG TABLET [435],0637,RC,60687-433-01,NDC,,,outpatient,1,EA,1.87,,0.935,1.122,1.8139,1.7578,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.5521,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.76902,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.8139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.6456,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.49787,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,1.737043,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.498057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 25 MG TABLET [435],0637,RC,60687-433-11,NDC,,,outpatient,1,EA,1.87,,0.935,1.122,1.8139,1.7578,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.5521,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.76902,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.8139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.6456,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.49787,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,1.737043,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.498057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,0904-0202-61,NDC,,,outpatient,1,EA,3.03,,1.515,1.818,2.9391,2.8482,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.5149,,,,percent of total billed charges,,2.727,,,,percent of total billed charges,,2.7876,,,,percent of total billed charges,,2.7876,,,,percent of total billed charges,,2.86638,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.9391,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.6664,,,,percent of total billed charges,,2.727,,,,percent of total billed charges,,2.42703,,,,percent of total billed charges,,2.727,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,2.814567,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.427333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,16729-173-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,60687-444-01,NDC,,,outpatient,1,EA,1.59,,0.795,0.954,1.5423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.27359,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.476951,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.273749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,60687-444-11,NDC,,,outpatient,1,EA,1.59,,0.795,0.954,1.5423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.27359,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.476951,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.273749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,51079-147-20,NDC,,,outpatient,1,EA,2.55,,1.275,1.53,2.4735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.04255,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.368695,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.042805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,16729-174-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,70756-204-11,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,29300-422-01,NDC,,,outpatient,1,EA,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,50268-040-15,NDC,,,outpatient,1,EA,1.62,,0.81,0.972,1.5714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.29762,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.504818,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.297782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [253828],0636,RC,57894-501-00,NDC,J9061,HCPCS,outpatient,7,ML,15671.98,,7835.99,9403.188,15201.8206,14731.6612,,,,percent of total billed charges,,12537.584,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,13007.7434,,,,percent of total billed charges,,14104.782,,,,percent of total billed charges,,14418.2216,,,,percent of total billed charges,,14418.2216,,,,percent of total billed charges,,14825.69308,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,15201.8206,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,13791.3424,,,,percent of total billed charges,,14104.782,,,,percent of total billed charges,,12553.25598,,,,percent of total billed charges,,14104.782,,,,percent of total billed charges,,9403.188,,,,percent of total billed charges,,14557.70222,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,12537.584,,,,percent of total billed charges,,9403.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12554.82318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMLODIPINE 5 MG TABLET [79036],0637,RC,0904-6370-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMLODIPINE 5 MG TABLET [79036],0637,RC,60687-488-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMLODIPINE 5 MG TABLET [79036],0637,RC,60687-488-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,4580252555,NDC,,,outpatient,227,GR,36.78,,18.39,22.068,35.6766,34.5732,,,,percent of total billed charges,,29.424,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,30.5274,,,,percent of total billed charges,,33.102,,,,percent of total billed charges,,33.8376,,,,percent of total billed charges,,33.8376,,,,percent of total billed charges,,34.79388,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,35.6766,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,32.3664,,,,percent of total billed charges,,33.102,,,,percent of total billed charges,,29.46078,,,,percent of total billed charges,,33.102,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,34.164942,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,29.424,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.464458,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,63044-484-09,NDC,,,outpatient,225,GR,29.37,,14.685,17.622,28.4889,27.6078,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,24.3771,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.78402,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,28.4889,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,25.8456,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,23.52537,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,27.281793,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.528307,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,45802-419-54,NDC,,,outpatient,225,GR,91.13,,45.565,54.678,88.3961,85.6622,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,75.6379,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,86.20898,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,88.3961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,80.1944,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,72.99513,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,84.650657,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.004243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,0904598426,NDC,,,outpatient,226,GR,17.29,,8.645,10.374,16.7713,16.2526,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,14.3507,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,16.35634,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.7713,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,15.2152,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,13.84929,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,16.060681,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.851019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,7139901408,NDC,,,outpatient,225,GR,17.22,,8.61,10.332,16.7034,16.1868,,,,percent of total billed charges,,13.776,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,14.2926,,,,percent of total billed charges,,15.498,,,,percent of total billed charges,,15.8424,,,,percent of total billed charges,,15.8424,,,,percent of total billed charges,,16.29012,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,16.7034,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,15.1536,,,,percent of total billed charges,,15.498,,,,percent of total billed charges,,13.79322,,,,percent of total billed charges,,15.498,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,15.995658,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,13.776,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.794942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG CAPSULE [450],0637,RC,0781-2020-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG CAPSULE [450],0637,RC,57237-030-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],0637,RC,42571-160-30,NDC,,,outpatient,1,EA,9.76,,4.88,5.856,9.4672,9.1744,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.1008,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,9.23296,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.4672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.5888,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,7.81776,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,9.066064,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.818736,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,0093-4155-80,NDC,,,outpatient,150,ML,23.63,,11.815,14.178,22.9211,22.2122,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,19.6129,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,22.35398,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.9211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,20.7944,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,18.92763,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,21.949907,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.929993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,0781-6041-55,NDC,,,outpatient,150,ML,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,0143-9889-15,NDC,,,outpatient,150,ML,20.93,,10.465,12.558,20.3021,19.6742,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,17.3719,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.79978,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,20.3021,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,18.4184,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,16.76493,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,19.441877,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.767023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,65862-707-55,NDC,,,outpatient,150,ML,10.8,,5.4,6.48,10.476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,8.6508,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.03212,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.65188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],0637,RC,66685-1012-0,NDC,,,outpatient,50,ML,40.05,,20.025,24.03,38.8485,37.647,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,33.2415,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,37.8873,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.8485,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,32.08005,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,37.202445,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.084055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],0637,RC,0143-9982-50,NDC,,,outpatient,50,ML,16.65,,8.325,9.99,16.1505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,13.33665,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,15.466185,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.338315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],0637,RC,65862-534-50,NDC,,,outpatient,50,ML,48.6,,24.3,29.16,47.142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,38.9286,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,45.14454,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.93346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],0637,RC,0143-9887-50,NDC,,,outpatient,50,ML,14.63,,7.315,8.778,14.1911,13.7522,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.1429,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.83998,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,14.1911,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.8744,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.71863,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,13.589807,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.720093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],0637,RC,0781-6157-52,NDC,,,outpatient,50,ML,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],0637,RC,65862-071-50,NDC,,,outpatient,50,ML,14.4,,7.2,8.64,13.968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,11.5344,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,13.37616,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.53584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,0093-3109-53,NDC,,,outpatient,1,EA,0.84,,0.42,0.504,0.8148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.67284,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.780276,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.672924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,0781-2613-01,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,57237-031-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,81964-205-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],0637,RC,0093-2274-34,NDC,,,outpatient,1,EA,6.35,,3.175,3.81,6.1595,5.969,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.2705,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,6.0071,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.1595,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.588,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,5.08635,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,5.898515,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.086985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],0637,RC,65862-502-20,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,0781-6139-57,NDC,,,outpatient,75,ML,51.64,,25.82,30.984,50.0908,48.5416,,,,percent of total billed charges,,41.312,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,42.8612,,,,percent of total billed charges,,46.476,,,,percent of total billed charges,,47.5088,,,,percent of total billed charges,,47.5088,,,,percent of total billed charges,,48.85144,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,50.0908,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,45.4432,,,,percent of total billed charges,,46.476,,,,percent of total billed charges,,41.36364,,,,percent of total billed charges,,46.476,,,,percent of total billed charges,,30.984,,,,percent of total billed charges,,47.968396,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,41.312,,,,percent of total billed charges,,30.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.368804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,0143-9853-75,NDC,,,outpatient,75,ML,64.13,,32.065,38.478,62.2061,60.2822,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,53.2279,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,60.66698,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,62.2061,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,56.4344,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,51.36813,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,59.570357,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.374543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,65862-535-75,NDC,,,outpatient,75,ML,64.13,,32.065,38.478,62.2061,60.2822,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,53.2279,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,60.66698,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,62.2061,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,56.4344,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,51.36813,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,59.570357,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.374543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,16714-294-01,NDC,,,outpatient,75,ML,14.85,,7.425,8.91,14.4045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,11.89485,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,13.794165,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.896335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,0093-2275-34,NDC,,,outpatient,1,EA,7.6,,3.8,4.56,7.372,7.144,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.372,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.0876,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,7.05964,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.08836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,0781-1852-20,NDC,,,outpatient,1,EA,1.67,,0.835,1.002,1.6199,1.5698,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.3861,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.57982,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.6199,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.4696,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.33767,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,1.551263,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.337837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,65862-503-20,NDC,,,outpatient,1,EA,1.64,,0.82,0.984,1.5908,1.5416,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.3612,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.55144,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.5908,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.4432,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.31364,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.523396,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.313804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,42571-162-42,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,16714-014-01,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,81964-221-14,NDC,,,outpatient,1,EA,0.89,,0.445,0.534,0.8633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.71289,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.826721,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.712979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,39822-1055-5,NDC,J0285,HCPCS,outpatient,1,ME,3.13,,1.565,1.878,3.0361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.50713,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,2.907457,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.507443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,39822-1055-5,NDC,J0285,HCPCS,outpatient,16.9,ME,52.78,,26.39,31.668,51.1966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,42.27678,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,49.027342,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.282058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,39822-1055-5,NDC,J0285,HCPCS,outpatient,16.9,ME,52.78,,26.39,31.668,51.1966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,42.27678,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,49.027342,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.282058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,39822-1055-5,NDC,J0285,HCPCS,outpatient,16.9,ME,52.78,,26.39,31.668,51.1966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,42.27678,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,49.027342,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.282058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,39822-1055-5,NDC,J0285,HCPCS,outpatient,16.9,ME,52.78,,26.39,31.668,51.1966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,42.27678,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,49.027342,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.282058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,39822-1055-5,NDC,J0285,HCPCS,outpatient,16.9,ME,52.78,,26.39,31.668,51.1966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,42.27678,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,49.027342,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.282058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 0.1 MG/ML IN D5W IV PEDS DILUTION - MAINTENANCE [1000004],0636,RC,WVU01-000-04,NDC,J0285,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,39822-1055-5,NDC,J0285,HCPCS,outpatient,1,EA,156.15,,78.075,93.69,151.4655,146.781,,,,percent of total billed charges,,124.92,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,129.6045,,,,percent of total billed charges,,140.535,,,,percent of total billed charges,,143.658,,,,percent of total billed charges,,143.658,,,,percent of total billed charges,,147.7179,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,151.4655,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,137.412,,,,percent of total billed charges,,140.535,,,,percent of total billed charges,,125.07615,,,,percent of total billed charges,,140.535,,,,percent of total billed charges,,93.69,,,,percent of total billed charges,,145.047735,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,124.92,,,,percent of total billed charges,,93.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.091765,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,0.75,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [82327],0636,RC,0469-3051-30,NDC,J0289,HCPCS,outpatient,338,ME,2889.3,,1444.65,1733.58,2802.621,2715.942,,,,percent of total billed charges,,2311.44,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2398.119,,,,percent of total billed charges,,2600.37,,,,percent of total billed charges,,2658.156,,,,percent of total billed charges,,2658.156,,,,percent of total billed charges,,2733.2778,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2802.621,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2542.584,,,,percent of total billed charges,,2600.37,,,,percent of total billed charges,,2314.3293,,,,percent of total billed charges,,2600.37,,,,percent of total billed charges,,1733.58,,,,percent of total billed charges,,2683.87077,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2311.44,,,,percent of total billed charges,,1733.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2314.61823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [82327],0636,RC,0469-3051-30,NDC,J0289,HCPCS,outpatient,1,EA,427.41,,213.705,256.446,414.5877,401.7654,,,,percent of total billed charges,,341.928,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,354.7503,,,,percent of total billed charges,,384.669,,,,percent of total billed charges,,393.2172,,,,percent of total billed charges,,393.2172,,,,percent of total billed charges,,404.32986,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,414.5877,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,376.1208,,,,percent of total billed charges,,384.669,,,,percent of total billed charges,,342.35541,,,,percent of total billed charges,,384.669,,,,percent of total billed charges,,256.446,,,,percent of total billed charges,,397.021149,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,341.928,,,,percent of total billed charges,,256.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,342.398151,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM (250 MG/ML) SOLUTION FOR IM INJECTION MIXTURES [1001657],0636,RC,44567-102-10,NDC,J0290,HCPCS,outpatient,1,GR,8.19,,4.095,4.914,7.9443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,6.56019,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,7.607691,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.561009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM (250 MG/ML) SOLUTION FOR IM INJECTION MIXTURES [1001657],0636,RC,44567-102-10,NDC,J0290,HCPCS,outpatient,1,EA,8.19,,4.095,4.914,7.9443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,6.56019,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,7.607691,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.561009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,63323-389-10,NDC,J0290,HCPCS,outpatient,1,EA,24.28,,12.14,14.568,23.5516,22.8232,,,,percent of total billed charges,,19.424,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,20.1524,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,22.3376,,,,percent of total billed charges,,22.3376,,,,percent of total billed charges,,22.96888,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,23.5516,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,21.3664,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,19.44828,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,14.568,,,,percent of total billed charges,,22.553692,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,19.424,,,,percent of total billed charges,,14.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.450708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,0781-3404-95,NDC,J0290,HCPCS,outpatient,1,EA,5.44,,2.72,3.264,5.2768,5.1136,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.5152,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.14624,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.2768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.7872,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,4.35744,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,5.053216,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.357984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,0781-3404-85,NDC,J0290,HCPCS,outpatient,1,EA,5.44,,2.72,3.264,5.2768,5.1136,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.5152,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.14624,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.2768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.7872,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,4.35744,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,5.053216,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.357984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,44567-102-10,NDC,J0290,HCPCS,outpatient,1,EA,8.19,,4.095,4.914,7.9443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,6.56019,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,7.607691,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.561009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,55150-113-10,NDC,J0290,HCPCS,outpatient,1,EA,5.8,,2.9,3.48,5.626,5.452,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.814,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.4868,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.626,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,4.6458,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,5.38762,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.64638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 10 GRAM SOLUTION FOR INJECTION [470],0636,RC,0781-3409-95,NDC,J0290,HCPCS,outpatient,1,EA,103.41,,51.705,62.046,100.3077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,82.83141,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,96.057549,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.841751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 125 MG SOLUTION FOR INJECTION [471],0636,RC,0781-3400-95,NDC,J0290,HCPCS,outpatient,1,EA,13.82,,6.91,8.292,13.4054,12.9908,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.4706,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,13.07372,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.4054,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,12.1616,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,11.06982,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,12.837398,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.071202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,0781-3404-95,NDC,J0290,HCPCS,outpatient,1,GR,5.44,,2.72,3.264,5.2768,5.1136,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.5152,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.14624,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.2768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.7872,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,4.35744,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,5.053216,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.357984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,44567-103-10,NDC,J0290,HCPCS,outpatient,1,EA,45.46,,22.73,27.276,44.0962,42.7324,,,,percent of total billed charges,,36.368,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,37.7318,,,,percent of total billed charges,,40.914,,,,percent of total billed charges,,41.8232,,,,percent of total billed charges,,41.8232,,,,percent of total billed charges,,43.00516,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,44.0962,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,40.0048,,,,percent of total billed charges,,40.914,,,,percent of total billed charges,,36.41346,,,,percent of total billed charges,,40.914,,,,percent of total billed charges,,27.276,,,,percent of total billed charges,,42.227794,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,36.368,,,,percent of total billed charges,,27.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.418006,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,55150-114-20,NDC,J0290,HCPCS,outpatient,1,EA,12.11,,6.055,7.266,11.7467,11.3834,,,,percent of total billed charges,,9.688,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,10.0513,,,,percent of total billed charges,,10.899,,,,percent of total billed charges,,11.1412,,,,percent of total billed charges,,11.1412,,,,percent of total billed charges,,11.45606,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,11.7467,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,10.6568,,,,percent of total billed charges,,10.899,,,,percent of total billed charges,,9.70011,,,,percent of total billed charges,,10.899,,,,percent of total billed charges,,7.266,,,,percent of total billed charges,,11.248979,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,9.688,,,,percent of total billed charges,,7.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.701321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,67457-352-10,NDC,J0290,HCPCS,outpatient,1,EA,10.02,,5.01,6.012,9.7194,9.4188,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.3166,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.47892,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.7194,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.8176,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,8.02602,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,9.307578,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.027022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,67457-352-02,NDC,J0290,HCPCS,outpatient,1,EA,10.02,,5.01,6.012,9.7194,9.4188,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.3166,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.47892,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.7194,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.8176,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,8.02602,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,9.307578,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.027022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,70594-087-01,NDC,J0290,HCPCS,outpatient,1,EA,29.16,,14.58,17.496,28.2852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,23.35716,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,27.086724,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.360076,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,70594-087-02,NDC,J0290,HCPCS,outpatient,1,EA,29.16,,14.58,17.496,28.2852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,23.35716,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,27.086724,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.360076,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,72485-422-01,NDC,J0290,HCPCS,outpatient,1,EA,18.62,,9.31,11.172,18.0614,17.5028,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,15.4546,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.61452,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,18.0614,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,16.3856,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.91462,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,17.296118,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.916482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,72485-422-10,NDC,J0290,HCPCS,outpatient,1,EA,18.62,,9.31,11.172,18.0614,17.5028,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,15.4546,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.61452,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,18.0614,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,16.3856,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.91462,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,17.296118,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.916482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],0636,RC,63323-387-10,NDC,J0290,HCPCS,outpatient,1,EA,9.21,,4.605,5.526,8.9337,8.6574,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,7.6443,,,,percent of total billed charges,,8.289,,,,percent of total billed charges,,8.4732,,,,percent of total billed charges,,8.4732,,,,percent of total billed charges,,8.71266,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,8.9337,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,8.1048,,,,percent of total billed charges,,8.289,,,,percent of total billed charges,,7.37721,,,,percent of total billed charges,,8.289,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,8.555169,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.378131,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,70594-087-02,NDC,J0290,HCPCS,outpatient,2,GR,29.16,,14.58,17.496,28.2852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,23.35716,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,27.086724,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.360076,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 30 MG/ML IN NS IV PEDS DILUTION [1000006],0636,RC,WVU01-000-06,NDC,J0290,HCPCS,outpatient,2,ML,2.39,,1.195,1.434,2.3183,2.2466,,,,percent of total billed charges,,1.912,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,1.9837,,,,percent of total billed charges,,2.151,,,,percent of total billed charges,,2.1988,,,,percent of total billed charges,,2.1988,,,,percent of total billed charges,,2.26094,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,2.3183,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,2.1032,,,,percent of total billed charges,,2.151,,,,percent of total billed charges,,1.91439,,,,percent of total billed charges,,2.151,,,,percent of total billed charges,,1.434,,,,percent of total billed charges,,2.220071,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,1.912,,,,percent of total billed charges,,1.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.914629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 500 MG CAPSULE [466],0637,RC,0781-2145-01,NDC,,,outpatient,1,EA,2.26,,1.13,1.356,2.1922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.81026,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.099314,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.810486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],0636,RC,63323-388-10,NDC,J0290,HCPCS,outpatient,1,EA,10.07,,5.035,6.042,9.7679,9.4658,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,8.3581,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,9.2644,,,,percent of total billed charges,,9.2644,,,,percent of total billed charges,,9.52622,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,9.7679,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,8.8616,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,8.06607,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,6.042,,,,percent of total billed charges,,9.354023,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.042,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.067077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,70594-087-02,NDC,J0290,HCPCS,outpatient,2,GR,29.16,,14.58,17.496,28.2852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,23.35716,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,27.086724,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.360076,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,70594-087-02,NDC,J0290,HCPCS,outpatient,3380,ME,49.29,,24.645,29.574,47.8113,46.3326,,,,percent of total billed charges,,39.432,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,40.9107,,,,percent of total billed charges,,44.361,,,,percent of total billed charges,,45.3468,,,,percent of total billed charges,,45.3468,,,,percent of total billed charges,,46.62834,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,47.8113,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,43.3752,,,,percent of total billed charges,,44.361,,,,percent of total billed charges,,39.48129,,,,percent of total billed charges,,44.361,,,,percent of total billed charges,,29.574,,,,percent of total billed charges,,45.785481,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,39.432,,,,percent of total billed charges,,29.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.486219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR PEDS IM INJECTIONS [1000656],0636,RC,63323-369-20,NDC,J0295,HCPCS,outpatient,3380,ME,53.52,,26.76,32.112,51.9144,50.3088,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,44.4216,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,50.62992,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,51.9144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,47.0976,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,42.86952,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,49.714728,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.874872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,0049-0013-83,NDC,J0295,HCPCS,outpatient,3,GR,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,63323-369-20,NDC,J0295,HCPCS,outpatient,3,GR,31.67,,15.835,19.002,30.7199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,25.36767,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,29.418263,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.370837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM (250 MG AMPICILLIN/ML) PEDS IV SOLN [1000935],0636,RC,63323-368-20,NDC,J0295,HCPCS,outpatient,1,EA,16.46,,8.23,9.876,15.9662,15.4724,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.6618,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.57116,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.9662,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,14.4848,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,13.18446,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,15.289694,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.186106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,0049-0013-83,NDC,J0295,HCPCS,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,63323-368-20,NDC,J0295,HCPCS,outpatient,1,EA,16.46,,8.23,9.876,15.9662,15.4724,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.6618,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.57116,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.9662,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,14.4848,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,13.18446,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,15.289694,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.186106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,55150-116-20,NDC,J0295,HCPCS,outpatient,1,EA,6.21,,3.105,3.726,6.0237,5.8374,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.1543,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.87466,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,6.0237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,4.97421,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,5.768469,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.974831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,0049-0013-81,NDC,J0295,HCPCS,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,0049-0013-83,NDC,J0295,HCPCS,outpatient,1.5,GR,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,0781-3034-46,NDC,J0295,HCPCS,outpatient,1,EA,291.78,,145.89,175.068,283.0266,274.2732,,,,percent of total billed charges,,233.424,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,242.1774,,,,percent of total billed charges,,262.602,,,,percent of total billed charges,,268.4376,,,,percent of total billed charges,,268.4376,,,,percent of total billed charges,,276.02388,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,283.0266,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,256.7664,,,,percent of total billed charges,,262.602,,,,percent of total billed charges,,233.71578,,,,percent of total billed charges,,262.602,,,,percent of total billed charges,,175.068,,,,percent of total billed charges,,271.034442,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,233.424,,,,percent of total billed charges,,175.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.744958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,55150-118-99,NDC,J0295,HCPCS,outpatient,1,EA,62.06,,31.03,37.236,60.1982,58.3364,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,51.5098,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,58.70876,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,60.1982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,54.6128,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,49.71006,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,57.647534,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.716266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM (250 MG AMPICILLIN/ML) PEDS IV SOLN [1000978],0636,RC,63323-369-20,NDC,J0295,HCPCS,outpatient,1,EA,31.67,,15.835,19.002,30.7199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,25.36767,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,29.418263,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.370837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,0049-0014-83,NDC,J0295,HCPCS,outpatient,1,EA,14.35,,7.175,8.61,13.9195,13.489,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.9105,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.5751,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.9195,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,12.628,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,11.49435,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,13.329715,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.495785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,63323-369-20,NDC,J0295,HCPCS,outpatient,1,EA,31.67,,15.835,19.002,30.7199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,25.36767,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,29.418263,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.370837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,25021-143-30,NDC,J0295,HCPCS,outpatient,1,EA,36.4,,18.2,21.84,35.308,34.216,,,,percent of total billed charges,,29.12,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,30.212,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,34.4344,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,35.308,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,32.032,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,29.1564,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,21.84,,,,percent of total billed charges,,33.81196,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,29.12,,,,percent of total billed charges,,21.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.16004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,0641-6117-01,NDC,J0295,HCPCS,outpatient,1,EA,28.37,,14.185,17.022,27.5189,26.6678,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,23.5471,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.83802,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,27.5189,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,24.9656,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,22.72437,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,26.352893,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.727207,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,0641-6117-10,NDC,J0295,HCPCS,outpatient,1,EA,28.37,,14.185,17.022,27.5189,26.6678,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,23.5471,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.83802,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,27.5189,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,24.9656,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,22.72437,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,26.352893,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.727207,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,55150-117-20,NDC,J0295,HCPCS,outpatient,1,EA,12,,6,7.2,11.64,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,11.1468,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.6132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,44567-211-10,NDC,J0295,HCPCS,outpatient,1,EA,65.97,,32.985,39.582,63.9909,62.0118,,,,percent of total billed charges,,52.776,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,54.7551,,,,percent of total billed charges,,59.373,,,,percent of total billed charges,,60.6924,,,,percent of total billed charges,,60.6924,,,,percent of total billed charges,,62.40762,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,63.9909,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,58.0536,,,,percent of total billed charges,,59.373,,,,percent of total billed charges,,52.84197,,,,percent of total billed charges,,59.373,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,61.279533,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,52.776,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.848567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,0049-0014-81,NDC,J0295,HCPCS,outpatient,1,EA,14.35,,7.175,8.61,13.9195,13.489,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.9105,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.5751,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.9195,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,12.628,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,11.49435,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,13.329715,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.495785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,71288-006-30,NDC,J0295,HCPCS,outpatient,1,EA,33.57,,16.785,20.142,32.5629,31.5558,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,27.8631,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,31.75722,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,32.5629,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,29.5416,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,26.88957,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,31.183173,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.892927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,66794-207-02,NDC,J0295,HCPCS,outpatient,1,EA,16.8,,8.4,10.08,16.296,15.792,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.8928,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,16.296,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,14.784,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,13.4568,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,15.60552,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.45848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,66794-207-41,NDC,J0295,HCPCS,outpatient,1,EA,16.8,,8.4,10.08,16.296,15.792,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.8928,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,16.296,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,14.784,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,13.4568,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,15.60552,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.45848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,71288-006-31,NDC,J0295,HCPCS,outpatient,1,EA,33.57,,16.785,20.142,32.5629,31.5558,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,27.8631,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,31.75722,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,32.5629,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,29.5416,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,26.88957,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,31.183173,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.892927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,72485-417-01,NDC,J0295,HCPCS,outpatient,1,EA,15.72,,7.86,9.432,15.2484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,12.59172,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,14.602308,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.593292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,72485-417-10,NDC,J0295,HCPCS,outpatient,1,EA,15.72,,7.86,9.432,15.2484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,12.59172,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,14.602308,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.593292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR PEDS IM INJECTIONS [1000656],0636,RC,63323-369-20,NDC,J0295,HCPCS,outpatient,1,EA,31.67,,15.835,19.002,30.7199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,25.36767,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,29.418263,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.370837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,63323-369-20,NDC,J0295,HCPCS,outpatient,3,GR,31.67,,15.835,19.002,30.7199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,25.36767,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,29.418263,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.370837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,55150-118-99,NDC,J0295,HCPCS,outpatient,3,GR,12.42,,6.21,7.452,12.0474,11.6748,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.3086,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.74932,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,12.0474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.9296,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,9.94842,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,11.536938,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.949662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,55150-118-99,NDC,J0295,HCPCS,outpatient,1.5,GR,6.21,,3.105,3.726,6.0237,5.8374,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.1543,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.87466,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,6.0237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,4.97421,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,5.768469,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.974831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN/ SULBACTAM 30 MG/ML IN NS IV PEDS DILUTION [1000065],0636,RC,WVU01-000-65,NDC,J0295,HCPCS,outpatient,10,ML,1.89,,0.945,1.134,1.8333,1.7766,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.5687,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.78794,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.8333,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.6632,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.51389,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.755621,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.514079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANASTROZOLE 1 MG TABLET [77197],0637,RC,16729-035-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANASTROZOLE 1 MG TABLET [77197],0637,RC,60687-112-11,NDC,,,outpatient,1,EA,3.49,,1.745,2.094,3.3853,3.2806,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.8967,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.30154,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.0712,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.79549,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,3.241861,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.795839,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANASTROZOLE 1 MG TABLET [77197],0637,RC,60687-112-21,NDC,,,outpatient,1,EA,3.49,,1.745,2.094,3.3853,3.2806,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.8967,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.30154,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.0712,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.79549,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,3.241861,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.795839,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [82142]",0636,RC,0944-2843-10,NDC,J7192,HCPCS,outpatient,1,EA,8550,,4275,5130,8293.5,8037,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7096.5,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,8088.3,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8293.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7524,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,6848.55,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,7942.095,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6849.405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN [163056]",0636,RC,68516-4603-2,NDC,J7186,HCPCS,outpatient,1,EA,3681,,1840.5,2208.6,3570.57,3460.14,,,,percent of total billed charges,,2944.8,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3055.23,,,,percent of total billed charges,,3312.9,,,,percent of total billed charges,,3386.52,,,,percent of total billed charges,,3386.52,,,,percent of total billed charges,,3482.226,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3570.57,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3239.28,,,,percent of total billed charges,,3312.9,,,,percent of total billed charges,,2948.481,,,,percent of total billed charges,,3312.9,,,,percent of total billed charges,,2208.6,,,,percent of total billed charges,,3419.2809,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,2944.8,,,,percent of total billed charges,,2208.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2948.8491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION [163055],0636,RC,68516-4602-1,NDC,J7186,HCPCS,outpatient,1,EA,1840.5,,920.25,1104.3,1785.285,1730.07,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1527.615,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1741.113,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1785.285,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1619.64,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1474.2405,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,1709.64045,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1474.42455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APIXABAN 5 MG TABLET [211815],0637,RC,0003-0894-21,NDC,,,outpatient,1,EA,6.21,,3.105,3.726,6.0237,5.8374,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.1543,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.87466,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,6.0237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,4.97421,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,5.768469,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.974831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APIXABAN 5 MG TABLET [211815],0637,RC,0003-0894-31,NDC,,,outpatient,1,EA,30.74,,15.37,18.444,29.8178,28.8956,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,25.5142,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,29.08004,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.8178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,27.0512,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,24.62274,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,28.554386,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.625814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,0006-0462-06,NDC,J8501,HCPCS,outpatient,1,EA,1403.92,,701.96,842.352,1361.8024,1319.6848,,,,percent of total billed charges,,1123.136,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1165.2536,,,,percent of total billed charges,,1263.528,,,,percent of total billed charges,,1291.6064,,,,percent of total billed charges,,1291.6064,,,,percent of total billed charges,,1328.10832,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1361.8024,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1235.4496,,,,percent of total billed charges,,1263.528,,,,percent of total billed charges,,1124.53992,,,,percent of total billed charges,,1263.528,,,,percent of total billed charges,,842.352,,,,percent of total billed charges,,1304.101288,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1123.136,,,,percent of total billed charges,,842.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1124.680312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,0781-2323-68,NDC,J8501,HCPCS,outpatient,1,EA,655.9,,327.95,393.54,636.223,616.546,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,544.397,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,620.4814,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,636.223,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,577.192,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,525.3759,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,609.26551,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,525.44149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,0781-2323-06,NDC,J8501,HCPCS,outpatient,1,EA,655.9,,327.95,393.54,636.223,616.546,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,544.397,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,620.4814,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,636.223,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,577.192,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,525.3759,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,609.26551,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,525.44149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,13668-593-80,NDC,J8501,HCPCS,outpatient,1,EA,976.91,,488.455,586.146,947.6027,918.2954,,,,percent of total billed charges,,781.528,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,810.8353,,,,percent of total billed charges,,879.219,,,,percent of total billed charges,,898.7572,,,,percent of total billed charges,,898.7572,,,,percent of total billed charges,,924.15686,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,947.6027,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,859.6808,,,,percent of total billed charges,,879.219,,,,percent of total billed charges,,782.50491,,,,percent of total billed charges,,879.219,,,,percent of total billed charges,,586.146,,,,percent of total billed charges,,907.451699,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,781.528,,,,percent of total billed charges,,586.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,782.602601,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION [238649],0636,RC,47426-201-01,NDC,J0185,HCPCS,outpatient,18,ML,1087.83,,543.915,652.698,1055.1951,1022.5602,,,,percent of total billed charges,,870.264,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,902.8989,,,,percent of total billed charges,,979.047,,,,percent of total billed charges,,1000.8036,,,,percent of total billed charges,,1000.8036,,,,percent of total billed charges,,1029.08718,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,1055.1951,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,957.2904,,,,percent of total billed charges,,979.047,,,,percent of total billed charges,,871.35183,,,,percent of total billed charges,,979.047,,,,percent of total billed charges,,652.698,,,,percent of total billed charges,,1010.485287,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,870.264,,,,percent of total billed charges,,652.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,871.460613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,0781-2321-06,NDC,J8501,HCPCS,outpatient,1,EA,109.44,,54.72,65.664,106.1568,102.8736,,,,percent of total billed charges,,87.552,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,90.8352,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,100.6848,,,,percent of total billed charges,,100.6848,,,,percent of total billed charges,,103.53024,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,106.1568,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,96.3072,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,87.66144,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,101.658816,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,87.552,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,87.672384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,0781-2321-51,NDC,J8501,HCPCS,outpatient,1,EA,382.22,,191.11,229.332,370.7534,359.2868,,,,percent of total billed charges,,305.776,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,317.2426,,,,percent of total billed charges,,343.998,,,,percent of total billed charges,,351.6424,,,,percent of total billed charges,,351.6424,,,,percent of total billed charges,,361.58012,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,370.7534,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,336.3536,,,,percent of total billed charges,,343.998,,,,percent of total billed charges,,306.15822,,,,percent of total billed charges,,343.998,,,,percent of total billed charges,,229.332,,,,percent of total billed charges,,355.044158,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,305.776,,,,percent of total billed charges,,229.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.196442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,68462-583-40,NDC,J8501,HCPCS,outpatient,1,EA,162,,81,97.2,157.14,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,150.4818,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.7782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,68462-583-85,NDC,J8501,HCPCS,outpatient,1,EA,359.41,,179.705,215.646,348.6277,337.8454,,,,percent of total billed charges,,287.528,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,298.3103,,,,percent of total billed charges,,323.469,,,,percent of total billed charges,,330.6572,,,,percent of total billed charges,,330.6572,,,,percent of total billed charges,,340.00186,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,348.6277,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,316.2808,,,,percent of total billed charges,,323.469,,,,percent of total billed charges,,287.88741,,,,percent of total billed charges,,323.469,,,,percent of total billed charges,,215.646,,,,percent of total billed charges,,333.855949,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,287.528,,,,percent of total billed charges,,215.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,287.923351,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,13668-591-81,NDC,J8501,HCPCS,outpatient,1,EA,162.23,,81.115,97.338,157.3631,152.4962,,,,percent of total billed charges,,129.784,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,134.6509,,,,percent of total billed charges,,146.007,,,,percent of total billed charges,,149.2516,,,,percent of total billed charges,,149.2516,,,,percent of total billed charges,,153.46958,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,157.3631,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,142.7624,,,,percent of total billed charges,,146.007,,,,percent of total billed charges,,129.94623,,,,percent of total billed charges,,146.007,,,,percent of total billed charges,,97.338,,,,percent of total billed charges,,150.695447,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,129.784,,,,percent of total billed charges,,97.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.962453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,13668-591-80,NDC,J8501,HCPCS,outpatient,1,EA,367.06,,183.53,220.236,356.0482,345.0364,,,,percent of total billed charges,,293.648,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,304.6598,,,,percent of total billed charges,,330.354,,,,percent of total billed charges,,337.6952,,,,percent of total billed charges,,337.6952,,,,percent of total billed charges,,347.23876,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,356.0482,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,323.0128,,,,percent of total billed charges,,330.354,,,,percent of total billed charges,,294.01506,,,,percent of total billed charges,,330.354,,,,percent of total billed charges,,220.236,,,,percent of total billed charges,,340.962034,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,293.648,,,,percent of total billed charges,,220.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,294.051766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 80 MG CAPSULE [87627],0636,RC,0781-2322-06,NDC,J8501,HCPCS,outpatient,1,EA,514.33,,257.165,308.598,498.9001,483.4702,,,,percent of total billed charges,,411.464,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,426.8939,,,,percent of total billed charges,,462.897,,,,percent of total billed charges,,473.1836,,,,percent of total billed charges,,473.1836,,,,percent of total billed charges,,486.55618,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,498.9001,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,452.6104,,,,percent of total billed charges,,462.897,,,,percent of total billed charges,,411.97833,,,,percent of total billed charges,,462.897,,,,percent of total billed charges,,308.598,,,,percent of total billed charges,,477.761137,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,411.464,,,,percent of total billed charges,,308.598,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,412.029763,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 80 MG CAPSULE [87627],0636,RC,13668-592-84,NDC,J8501,HCPCS,outpatient,1,EA,563.16,,281.58,337.896,546.2652,529.3704,,,,percent of total billed charges,,450.528,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,467.4228,,,,percent of total billed charges,,506.844,,,,percent of total billed charges,,518.1072,,,,percent of total billed charges,,518.1072,,,,percent of total billed charges,,532.74936,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,546.2652,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,495.5808,,,,percent of total billed charges,,506.844,,,,percent of total billed charges,,451.09116,,,,percent of total billed charges,,506.844,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,523.119324,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,450.528,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.147476,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,63402-911-30,NDC,,,outpatient,2,ML,18.44,,9.22,11.064,17.8868,17.3336,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,15.3052,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,17.44424,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.8868,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,16.2272,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,14.77044,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,17.128916,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.772284,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,63402-911-01,NDC,,,outpatient,2,ML,18.44,,9.22,11.064,17.8868,17.3336,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,15.3052,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,17.44424,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.8868,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,16.2272,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,14.77044,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,17.128916,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.772284,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,70748-175-30,NDC,,,outpatient,2,ML,32.79,,16.395,19.674,31.8063,30.8226,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,27.2157,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,31.01934,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.8063,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,28.8552,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,26.26479,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,30.458631,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.268069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,62756-277-01,NDC,,,outpatient,2,ML,8.9,,4.45,5.34,8.633,8.366,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.387,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.4194,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.633,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.832,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,7.1289,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,8.26721,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.12979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,62756-277-02,NDC,,,outpatient,2,ML,8.9,,4.45,5.34,8.633,8.366,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.387,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.4194,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.633,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.832,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,7.1289,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,8.26721,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.12979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,70748-175-01,NDC,,,outpatient,2,ML,32.79,,16.395,19.674,31.8063,30.8226,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,27.2157,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,31.01934,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.8063,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,28.8552,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,26.26479,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,30.458631,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.268069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,59148-008-13,NDC,,,outpatient,1,EA,80.49,,40.245,48.294,78.0753,75.6606,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,66.8067,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,76.14354,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,78.0753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,70.8312,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,64.47249,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,74.767161,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.480539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,50268-089-11,NDC,,,outpatient,1,EA,12.57,,6.285,7.542,12.1929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,10.06857,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,11.676273,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.069827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,50268-089-15,NDC,,,outpatient,1,EA,12.57,,6.285,7.542,12.1929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,10.06857,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,11.676273,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.069827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,62332-099-30,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,43598-967-30,NDC,,,outpatient,1,EA,0.94,,0.47,0.564,0.9118,0.8836,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.7802,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.88924,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.9118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.8272,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.75294,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,0.873166,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.753034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,59148-009-13,NDC,,,outpatient,1,EA,80.49,,40.245,48.294,78.0753,75.6606,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,66.8067,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,76.14354,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,78.0753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,70.8312,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,64.47249,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,74.767161,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.480539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,50268-090-11,NDC,,,outpatient,1,EA,10.01,,5.005,6.006,9.7097,9.4094,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.3083,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.46946,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.7097,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.8088,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,8.01801,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,9.298289,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.019011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,50268-090-12,NDC,,,outpatient,1,EA,10.01,,5.005,6.006,9.7097,9.4094,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.3083,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.46946,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.7097,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.8088,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,8.01801,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,9.298289,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.019011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,62332-100-30,NDC,,,outpatient,1,EA,1.45,,0.725,0.87,1.4065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.16145,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.346905,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.161595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,43598-968-30,NDC,,,outpatient,1,EA,1.21,,0.605,0.726,1.1737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.96921,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.123969,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.969331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,59148-006-13,NDC,,,outpatient,1,EA,80.49,,40.245,48.294,78.0753,75.6606,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,66.8067,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,76.14354,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,78.0753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,70.8312,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,64.47249,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,74.767161,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.480539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,50268-087-11,NDC,,,outpatient,1,EA,10.26,,5.13,6.156,9.9522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.21826,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,9.530514,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.219286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,50268-087-12,NDC,,,outpatient,1,EA,10.26,,5.13,6.156,9.9522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.21826,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,9.530514,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.219286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,62332-097-30,NDC,,,outpatient,1,EA,1.45,,0.725,0.87,1.4065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.16145,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.346905,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.161595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE [224378]",0636,RC,59148-045-80,NDC,J0401,HCPCS,outpatient,1,EA,8397.14,,4198.57,5038.284,8145.2258,7893.3116,,,,percent of total billed charges,,6717.712,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,6969.6262,,,,percent of total billed charges,,7557.426,,,,percent of total billed charges,,7725.3688,,,,percent of total billed charges,,7725.3688,,,,percent of total billed charges,,7943.69444,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,8145.2258,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,7389.4832,,,,percent of total billed charges,,7557.426,,,,percent of total billed charges,,6726.10914,,,,percent of total billed charges,,7557.426,,,,percent of total billed charges,,5038.284,,,,percent of total billed charges,,7800.103346,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,6717.712,,,,percent of total billed charges,,5038.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6726.948854,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE VIAL [214039]",0636,RC,59148-019-71,NDC,J0401,HCPCS,outpatient,1,EA,11196.23,,5598.115,6717.738,10860.3431,10524.4562,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9292.8709,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10591.63358,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10860.3431,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9852.6824,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,8968.18023,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,10400.17805,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8969.299853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [224380]",0636,RC,59148-072-80,NDC,J0401,HCPCS,outpatient,1,EA,11196.23,,5598.115,6717.738,10860.3431,10524.4562,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9292.8709,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10591.63358,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10860.3431,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9852.6824,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,8968.18023,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,10400.17805,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8969.299853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [224380]",0636,RC,59148-072-92,NDC,J0401,HCPCS,outpatient,1,EA,11196.23,,5598.115,6717.738,10860.3431,10524.4562,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9292.8709,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10591.63358,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10860.3431,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9852.6824,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,8968.18023,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,10400.17805,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8969.299853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [82904],0636,RC,14789-600-10,NDC,J9017,HCPCS,outpatient,10,ML,2325.38,,1162.69,1395.228,2255.6186,2185.8572,,,,percent of total billed charges,,1860.304,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,1930.0654,,,,percent of total billed charges,,2092.842,,,,percent of total billed charges,,2139.3496,,,,percent of total billed charges,,2139.3496,,,,percent of total billed charges,,2199.80948,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,2255.6186,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,2046.3344,,,,percent of total billed charges,,2092.842,,,,percent of total billed charges,,1862.62938,,,,percent of total billed charges,,2092.842,,,,percent of total billed charges,,1395.228,,,,percent of total billed charges,,2160.045482,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,1860.304,,,,percent of total billed charges,,1395.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1862.861918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [82904],0636,RC,14789-600-10,NDC,J9017,HCPCS,outpatient,10.14,ME,2357.94,,1178.97,1414.764,2287.2018,2216.4636,,,,percent of total billed charges,,1886.352,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,1957.0902,,,,percent of total billed charges,,2122.146,,,,percent of total billed charges,,2169.3048,,,,percent of total billed charges,,2169.3048,,,,percent of total billed charges,,2230.61124,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,2287.2018,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,2074.9872,,,,percent of total billed charges,,2122.146,,,,percent of total billed charges,,1888.70994,,,,percent of total billed charges,,2122.146,,,,percent of total billed charges,,1414.764,,,,percent of total billed charges,,2190.290466,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,1886.352,,,,percent of total billed charges,,1414.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1888.945734,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET [194129],0637,RC,0078-0568-45,NDC,,,outpatient,1,EA,23.23,,11.615,13.938,22.5331,21.8362,,,,percent of total billed charges,,18.584,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,19.2809,,,,percent of total billed charges,,20.907,,,,percent of total billed charges,,21.3716,,,,percent of total billed charges,,21.3716,,,,percent of total billed charges,,21.97558,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,22.5331,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,20.4424,,,,percent of total billed charges,,20.907,,,,percent of total billed charges,,18.60723,,,,percent of total billed charges,,20.907,,,,percent of total billed charges,,13.938,,,,percent of total billed charges,,21.578347,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,18.584,,,,percent of total billed charges,,13.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.609553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS (WHITE PETROLATUM-MINERAL OIL) OPHTH OINTMENT WRAPPER [1000523],0637,RC,0065-0509-35,NDC,,,outpatient,3.5,GR,30.84,,15.42,18.504,29.9148,28.9896,,,,percent of total billed charges,,24.672,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,25.5972,,,,percent of total billed charges,,27.756,,,,percent of total billed charges,,28.3728,,,,percent of total billed charges,,28.3728,,,,percent of total billed charges,,29.17464,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,29.9148,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,27.1392,,,,percent of total billed charges,,27.756,,,,percent of total billed charges,,24.70284,,,,percent of total billed charges,,27.756,,,,percent of total billed charges,,18.504,,,,percent of total billed charges,,28.647276,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,24.672,,,,percent of total billed charges,,18.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.705924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS (WHITE PETROLATUM-MINERAL OIL) OPHTH OINTMENT WRAPPER [1000523],0637,RC,0065-0518-01,NDC,,,outpatient,3.5,GR,32.18,,16.09,19.308,31.2146,30.2492,,,,percent of total billed charges,,25.744,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,26.7094,,,,percent of total billed charges,,28.962,,,,percent of total billed charges,,29.6056,,,,percent of total billed charges,,29.6056,,,,percent of total billed charges,,30.44228,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,31.2146,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,28.3184,,,,percent of total billed charges,,28.962,,,,percent of total billed charges,,25.77618,,,,percent of total billed charges,,28.962,,,,percent of total billed charges,,19.308,,,,percent of total billed charges,,29.892002,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,25.744,,,,percent of total billed charges,,19.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.779398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS [87894],0637,RC,0065-0426-36,NDC,,,outpatient,15,ML,29.77,,14.885,17.862,28.8769,27.9838,,,,percent of total billed charges,,23.816,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,24.7091,,,,percent of total billed charges,,26.793,,,,percent of total billed charges,,27.3884,,,,percent of total billed charges,,27.3884,,,,percent of total billed charges,,28.16242,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,28.8769,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,26.1976,,,,percent of total billed charges,,26.793,,,,percent of total billed charges,,23.84577,,,,percent of total billed charges,,26.793,,,,percent of total billed charges,,17.862,,,,percent of total billed charges,,27.653353,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,23.816,,,,percent of total billed charges,,17.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.848747,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS [87894],0637,RC,0065-0426-37,NDC,,,outpatient,30,ML,23.76,,11.88,14.256,23.0472,22.3344,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,19.7208,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.8592,,,,percent of total billed charges,,21.8592,,,,percent of total billed charges,,22.47696,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.0472,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,20.9088,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,19.03176,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,22.070664,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.034136,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],0637,RC,5026886011,NDC,,,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],0637,RC,5026886015,NDC,,,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0637,RC,0904052361,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0637,RC,5789684101,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0637,RC,6809411361,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,0456-2405-60,NDC,,,outpatient,1,EA,82.74,,41.37,49.644,80.2578,77.7756,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,68.6742,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,78.27204,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,80.2578,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,72.8112,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,66.27474,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,76.857186,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.283014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,0456-2405-11,NDC,,,outpatient,1,EA,82.13,,41.065,49.278,79.6661,77.2022,,,,percent of total billed charges,,65.704,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,68.1679,,,,percent of total billed charges,,73.917,,,,percent of total billed charges,,75.5596,,,,percent of total billed charges,,75.5596,,,,percent of total billed charges,,77.69498,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,79.6661,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,72.2744,,,,percent of total billed charges,,73.917,,,,percent of total billed charges,,65.78613,,,,percent of total billed charges,,73.917,,,,percent of total billed charges,,49.278,,,,percent of total billed charges,,76.290557,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,65.704,,,,percent of total billed charges,,49.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.794343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,0456-2405-06,NDC,,,outpatient,1,EA,82.74,,41.37,49.644,80.2578,77.7756,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,68.6742,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,78.27204,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,80.2578,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,72.8112,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,66.27474,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,76.857186,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.283014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,51991-358-60,NDC,,,outpatient,1,EA,10.88,,5.44,6.528,10.5536,10.2272,,,,percent of total billed charges,,8.704,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,9.0304,,,,percent of total billed charges,,9.792,,,,percent of total billed charges,,10.0096,,,,percent of total billed charges,,10.0096,,,,percent of total billed charges,,10.29248,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,10.5536,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,9.5744,,,,percent of total billed charges,,9.792,,,,percent of total billed charges,,8.71488,,,,percent of total billed charges,,9.792,,,,percent of total billed charges,,6.528,,,,percent of total billed charges,,10.106432,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,8.704,,,,percent of total billed charges,,6.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.715968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 1 MG/ML ORAL LIQUID [1000707],0637,RC,9991-0007-07,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [77233]",0637,RC,0597-0001-60,NDC,,,outpatient,1,EA,38.59,,19.295,23.154,37.4323,36.2746,,,,percent of total billed charges,,30.872,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,32.0297,,,,percent of total billed charges,,34.731,,,,percent of total billed charges,,35.5028,,,,percent of total billed charges,,35.5028,,,,percent of total billed charges,,36.50614,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,37.4323,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,33.9592,,,,percent of total billed charges,,34.731,,,,percent of total billed charges,,30.91059,,,,percent of total billed charges,,34.731,,,,percent of total billed charges,,23.154,,,,percent of total billed charges,,35.846251,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,30.872,,,,percent of total billed charges,,23.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.914449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [77233]",0637,RC,43598-339-60,NDC,,,outpatient,1,EA,4.5,,2.25,2.7,4.365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,3.6045,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.18005,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.60495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [77233]",0637,RC,68462-405-60,NDC,,,outpatient,1,EA,3.33,,1.665,1.998,3.2301,3.1302,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.7639,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.15018,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.2301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.9304,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,2.66733,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,3.093237,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.667663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 300 MG RECTAL SUPPOSITORY [693],0637,RC,0574-7034-12,NDC,,,outpatient,1,EA,4.83,,2.415,2.898,4.6851,4.5402,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.0089,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.56918,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.6851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,3.86883,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,4.486587,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.869313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 325 MG TABLET [681],0637,RC,1284310111,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 325 MG TABLET [681],0637,RC,66553-001-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 325 MG TABLET [681],0637,RC,0536-1054-29,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 325 MG TABLET,DELAYED RELEASE [13654]",0637,RC,57896-921-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 325 MG TABLET,DELAYED RELEASE [13654]",0637,RC,69618-015-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 325 MG TABLET,DELAYED RELEASE [13654]",0637,RC,46122-596-02,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 81 MG CHEWABLE TABLET [680],0637,RC,0904-4040-73,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 81 MG CHEWABLE TABLET [680],0637,RC,66553-002-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 81 MG CHEWABLE TABLET [680],0637,RC,0904-6794-89,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 81 MG TABLET,DELAYED RELEASE [14113]",0637,RC,57896-981-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 81 MG TABLET,DELAYED RELEASE [14113]",0637,RC,46122-598-48,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 81 MG TABLET,DELAYED RELEASE [14113]",0637,RC,63739-212-02,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET [82686],0637,RC,0067-2000-24,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET [82686],0637,RC,0067-2039-24,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 25 MG TABLET [717],0637,RC,51079-759-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 25 MG TABLET [717],0637,RC,51079-759-20,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 50 MG TABLET [718],0637,RC,51079-684-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 50 MG TABLET [718],0637,RC,51079-684-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [230843]",0636,RC,50242-917-01,NDC,J9022,HCPCS,outpatient,1200,ME,42423.68,,21211.84,25454.208,41150.9696,39878.2592,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,35211.6544,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,40132.80128,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,41150.9696,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,37332.8384,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,33981.36768,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,39407.35635,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33985.61005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [230843]",0636,RC,50242-917-01,NDC,J9022,HCPCS,outpatient,20,ML,42423.68,,21211.84,25454.208,41150.9696,39878.2592,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,35211.6544,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,40132.80128,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,41150.9696,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,37332.8384,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,33981.36768,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,39407.35635,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33985.61005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATOMOXETINE 40 MG CAPSULE [86957],0637,RC,55111-521-30,NDC,,,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,0071-0155-40,NDC,,,outpatient,1,EA,47.4,,23.7,28.44,45.978,44.556,,,,percent of total billed charges,,37.92,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,39.342,,,,percent of total billed charges,,42.66,,,,percent of total billed charges,,43.608,,,,percent of total billed charges,,43.608,,,,percent of total billed charges,,44.8404,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,45.978,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,41.712,,,,percent of total billed charges,,42.66,,,,percent of total billed charges,,37.9674,,,,percent of total billed charges,,42.66,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,44.02986,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,37.92,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.97214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,0904-6290-61,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,68084-097-01,NDC,,,outpatient,1,EA,1.54,,0.77,0.924,1.4938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.23354,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.430506,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.233694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,68084-097-11,NDC,,,outpatient,1,EA,1.54,,0.77,0.924,1.4938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.23354,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.430506,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.233694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,51079-208-01,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,51079-208-20,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,0071-0156-40,NDC,,,outpatient,1,EA,35.24,,17.62,21.144,34.1828,33.1256,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,29.2492,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,33.33704,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,34.1828,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,31.0112,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,28.22724,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,32.734436,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.230764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,68084-098-01,NDC,,,outpatient,1,EA,1.78,,0.89,1.068,1.7266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.42578,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.653442,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.425958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,68084-098-11,NDC,,,outpatient,1,EA,1.78,,0.89,1.068,1.7266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.42578,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.653442,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.425958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,51079-209-01,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,51079-209-20,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,0071-0157-40,NDC,,,outpatient,1,EA,64.28,,32.14,38.568,62.3516,60.4232,,,,percent of total billed charges,,51.424,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,53.3524,,,,percent of total billed charges,,57.852,,,,percent of total billed charges,,59.1376,,,,percent of total billed charges,,59.1376,,,,percent of total billed charges,,60.80888,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,62.3516,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,56.5664,,,,percent of total billed charges,,57.852,,,,percent of total billed charges,,51.48828,,,,percent of total billed charges,,57.852,,,,percent of total billed charges,,38.568,,,,percent of total billed charges,,59.709692,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,51.424,,,,percent of total billed charges,,38.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.494708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,60505-2580-9,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,51079-210-01,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,51079-210-20,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,0904-6292-61,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,0409-4910-34,NDC,J0461,HCPCS,outpatient,5,ML,52.47,,26.235,31.482,50.8959,49.3218,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,43.5501,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,49.63662,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,50.8959,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,46.1736,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,42.02847,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,48.739383,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.033717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,0409-4911-34,NDC,J0461,HCPCS,outpatient,10,ML,61.47,,30.735,36.882,59.6259,57.7818,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,51.0201,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,58.15062,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,59.6259,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,54.0936,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,49.23747,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,57.099483,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.243617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,0409-1630-10,NDC,J0461,HCPCS,outpatient,10,ML,34.65,,17.325,20.79,33.6105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,27.75465,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,32.186385,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.758115,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,0409-4910-11,NDC,J0461,HCPCS,outpatient,5,ML,52.47,,26.235,31.482,50.8959,49.3218,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,43.5501,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,49.63662,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,50.8959,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,46.1736,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,42.02847,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,48.739383,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.033717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,0409-4911-11,NDC,J0461,HCPCS,outpatient,10,ML,61.47,,30.735,36.882,59.6259,57.7818,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,51.0201,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,58.15062,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,59.6259,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,54.0936,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,49.23747,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,57.099483,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.243617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,0409-1630-15,NDC,J0461,HCPCS,outpatient,10,ML,34.65,,17.325,20.79,33.6105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,27.75465,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,32.186385,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.758115,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,76329-3340-1,NDC,J0461,HCPCS,outpatient,10,ML,39.11,,19.555,23.466,37.9367,36.7634,,,,percent of total billed charges,,31.288,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,32.4613,,,,percent of total billed charges,,35.199,,,,percent of total billed charges,,35.9812,,,,percent of total billed charges,,35.9812,,,,percent of total billed charges,,36.99806,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,37.9367,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,34.4168,,,,percent of total billed charges,,35.199,,,,percent of total billed charges,,31.32711,,,,percent of total billed charges,,35.199,,,,percent of total billed charges,,23.466,,,,percent of total billed charges,,36.329279,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,31.288,,,,percent of total billed charges,,23.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.331021,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],0636,RC,0517-0401-25,NDC,J0461,HCPCS,outpatient,1,ML,18.76,,9.38,11.256,18.1972,17.6344,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.5708,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.74696,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,18.1972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,16.5088,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,15.02676,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,17.426164,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.028636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],0636,RC,9999-9731-01,NDC,J0461,HCPCS,outpatient,1,ML,13.34,,6.67,8.004,12.9398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,10.68534,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,12.391526,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.686674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],0636,RC,62295-3008-02,NDC,J0461,HCPCS,outpatient,2,ML,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,0517-0401-25,NDC,J0461,HCPCS,outpatient,1,ML,18.76,,9.38,11.256,18.1972,17.6344,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.5708,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.74696,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,18.1972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,16.5088,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,15.02676,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,17.426164,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.028636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,9999-9731-01,NDC,J0461,HCPCS,outpatient,1,ML,13.34,,6.67,8.004,12.9398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,10.68534,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,12.391526,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.686674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,62295-3008-02,NDC,J0461,HCPCS,outpatient,2,ML,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,0517-1004-01,NDC,J0461,HCPCS,outpatient,1,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,0517-1004-25,NDC,J0461,HCPCS,outpatient,1,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [251006],0636,RC,0517-1004-01,NDC,J0461,HCPCS,outpatient,1,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [251006],0636,RC,0517-1004-25,NDC,J0461,HCPCS,outpatient,1,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 1 % EYE DROPS [736],0637,RC,0065-0817-01,NDC,,,outpatient,5,ML,236.93,,118.465,142.158,229.8221,222.7142,,,,percent of total billed charges,,189.544,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,196.6519,,,,percent of total billed charges,,213.237,,,,percent of total billed charges,,217.9756,,,,percent of total billed charges,,217.9756,,,,percent of total billed charges,,224.13578,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,229.8221,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,208.4984,,,,percent of total billed charges,,213.237,,,,percent of total billed charges,,189.78093,,,,percent of total billed charges,,213.237,,,,percent of total billed charges,,142.158,,,,percent of total billed charges,,220.084277,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,189.544,,,,percent of total billed charges,,142.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.804623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,0517-0401-25,NDC,,,outpatient,1,ML,18.76,,9.38,11.256,18.1972,17.6344,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.5708,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.74696,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,18.1972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,16.5088,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,15.02676,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,17.426164,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.028636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,9999-9731-01,NDC,,,outpatient,1,ML,13.34,,6.67,8.004,12.9398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,10.68534,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,12.391526,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.686674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,62295-3008-02,NDC,,,outpatient,2,ML,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,0517-1004-01,NDC,,,outpatient,1,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,0517-1004-25,NDC,,,outpatient,1,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION [254902],0636,RC,58468-0426-1,NDC,J0219,HCPCS,outpatient,1,EA,8346.02,,4173.01,5007.612,8095.6394,7845.2588,,,,percent of total billed charges,,6676.816,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,6927.1966,,,,percent of total billed charges,,7511.418,,,,percent of total billed charges,,7678.3384,,,,percent of total billed charges,,7678.3384,,,,percent of total billed charges,,7895.33492,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,8095.6394,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,7344.4976,,,,percent of total billed charges,,7511.418,,,,percent of total billed charges,,6685.16202,,,,percent of total billed charges,,7511.418,,,,percent of total billed charges,,5007.612,,,,percent of total billed charges,,7752.617978,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,6676.816,,,,percent of total billed charges,,5007.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6685.996622,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [234339],0636,RC,44087-3535-1,NDC,J9023,HCPCS,outpatient,10,ML,8458.43,,4229.215,5075.058,8204.6771,7950.9242,,,,percent of total billed charges,,6766.744,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,7020.4969,,,,percent of total billed charges,,7612.587,,,,percent of total billed charges,,7781.7556,,,,percent of total billed charges,,7781.7556,,,,percent of total billed charges,,8001.67478,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,8204.6771,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,7443.4184,,,,percent of total billed charges,,7612.587,,,,percent of total billed charges,,6775.20243,,,,percent of total billed charges,,7612.587,,,,percent of total billed charges,,5075.058,,,,percent of total billed charges,,7857.035627,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,6766.744,,,,percent of total billed charges,,5075.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6776.048273,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [234339],0636,RC,44087-3535-1,NDC,J9023,HCPCS,outpatient,676,ME,25412.87,,12706.435,15247.722,24650.4839,23888.0978,,,,percent of total billed charges,,20330.296,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,21092.6821,,,,percent of total billed charges,,22871.583,,,,percent of total billed charges,,23379.8404,,,,percent of total billed charges,,23379.8404,,,,percent of total billed charges,,24040.57502,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,24650.4839,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,22363.3256,,,,percent of total billed charges,,22871.583,,,,percent of total billed charges,,20355.70887,,,,percent of total billed charges,,22871.583,,,,percent of total billed charges,,15247.722,,,,percent of total billed charges,,23606.01494,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,20330.296,,,,percent of total billed charges,,15247.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20358.25016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,43598-305-62,NDC,J9025,HCPCS,outpatient,1,EA,103.41,,51.705,62.046,100.3077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,82.83141,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,96.057549,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.841751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,43598-678-11,NDC,J9025,HCPCS,outpatient,1,EA,1638,,819,982.8,1588.86,1539.72,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1359.54,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1549.548,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1588.86,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1441.44,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1312.038,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,1521.5382,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1312.2018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,72485-201-01,NDC,J9025,HCPCS,outpatient,1,EA,186.08,,93.04,111.648,180.4976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,149.05008,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,172.849712,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.068688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,69097-805-40,NDC,J9025,HCPCS,outpatient,1,EA,863.96,,431.98,518.376,838.0412,812.1224,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,717.0868,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,817.30616,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,838.0412,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,760.2848,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,692.03196,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,802.532444,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,692.118356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,55150-393-01,NDC,J9025,HCPCS,outpatient,1,EA,124.38,,62.19,74.628,120.6486,116.9172,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,103.2354,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,117.66348,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,120.6486,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,109.4544,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,99.62838,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,115.536582,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.640818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,43598-305-62,NDC,J9025,HCPCS,outpatient,1,EA,103.41,,51.705,62.046,100.3077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,82.83141,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,96.057549,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.841751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,43598-678-11,NDC,J9025,HCPCS,outpatient,1,EA,1638,,819,982.8,1588.86,1539.72,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1359.54,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1549.548,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1588.86,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1441.44,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1312.038,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,1521.5382,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1312.2018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,72485-201-01,NDC,J9025,HCPCS,outpatient,1,EA,186.08,,93.04,111.648,180.4976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,149.05008,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,172.849712,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.068688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,69097-805-40,NDC,J9025,HCPCS,outpatient,1,EA,863.96,,431.98,518.376,838.0412,812.1224,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,717.0868,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,817.30616,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,838.0412,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,760.2848,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,692.03196,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,802.532444,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,692.118356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZATHIOPRINE 50 MG TABLET [9183],0636,RC,0054-4084-25,NDC,J7500,HCPCS,outpatient,1,EA,0.98,,0.49,0.588,0.9506,0.9212,,,,percent of total billed charges,,0.784,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.8134,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,0.9016,,,,percent of total billed charges,,0.9016,,,,percent of total billed charges,,0.92708,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.9506,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.8624,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,0.78498,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,0.588,,,,percent of total billed charges,,0.910322,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.784,,,,percent of total billed charges,,0.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.785078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZATHIOPRINE 50 MG TABLET [9183],0636,RC,68084-229-01,NDC,J7500,HCPCS,outpatient,1,EA,2.81,,1.405,1.686,2.7257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.25081,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.610209,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.251091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZATHIOPRINE 50 MG TABLET [9183],0636,RC,68084-229-11,NDC,J7500,HCPCS,outpatient,1,EA,2.81,,1.405,1.686,2.7257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.25081,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.610209,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.251091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 2 MG/ML IN NS IV PEDS DILUTION [1000007],0636,RC,WVU01-000-07,NDC,J0456,HCPCS,outpatient,10,ML,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,0069-3140-19,NDC,,,outpatient,30,ML,41.31,,20.655,24.786,40.0707,38.8314,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,34.2873,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,39.07926,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,40.0707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,36.3528,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,33.08931,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,38.372859,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.093441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,59762-3140-1,NDC,,,outpatient,30,ML,51.17,,25.585,30.702,49.6349,48.0998,,,,percent of total billed charges,,40.936,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,42.4711,,,,percent of total billed charges,,46.053,,,,percent of total billed charges,,47.0764,,,,percent of total billed charges,,47.0764,,,,percent of total billed charges,,48.40682,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,49.6349,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,45.0296,,,,percent of total billed charges,,46.053,,,,percent of total billed charges,,40.98717,,,,percent of total billed charges,,46.053,,,,percent of total billed charges,,30.702,,,,percent of total billed charges,,47.531813,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,40.936,,,,percent of total billed charges,,30.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.992287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,0093-2026-31,NDC,,,outpatient,30,ML,50.09,,25.045,30.054,48.5873,47.0846,,,,percent of total billed charges,,40.072,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,41.5747,,,,percent of total billed charges,,45.081,,,,percent of total billed charges,,46.0828,,,,percent of total billed charges,,46.0828,,,,percent of total billed charges,,47.38514,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,48.5873,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,44.0792,,,,percent of total billed charges,,45.081,,,,percent of total billed charges,,40.12209,,,,percent of total billed charges,,45.081,,,,percent of total billed charges,,30.054,,,,percent of total billed charges,,46.528601,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,40.072,,,,percent of total billed charges,,30.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.127099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,42806-151-34,NDC,,,outpatient,30,ML,39.69,,19.845,23.814,38.4993,37.3086,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,32.9427,,,,percent of total billed charges,,35.721,,,,percent of total billed charges,,36.5148,,,,percent of total billed charges,,36.5148,,,,percent of total billed charges,,37.54674,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,38.4993,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,34.9272,,,,percent of total billed charges,,35.721,,,,percent of total billed charges,,31.79169,,,,percent of total billed charges,,35.721,,,,percent of total billed charges,,23.814,,,,percent of total billed charges,,36.868041,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,23.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.795659,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,70710-1460-2,NDC,,,outpatient,30,ML,63.45,,31.725,38.07,61.5465,59.643,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,52.6635,,,,percent of total billed charges,,57.105,,,,percent of total billed charges,,58.374,,,,percent of total billed charges,,58.374,,,,percent of total billed charges,,60.0237,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,61.5465,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.105,,,,percent of total billed charges,,50.82345,,,,percent of total billed charges,,57.105,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,58.938705,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.829795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,68084-278-01,NDC,,,outpatient,1,EA,4.86,,2.43,2.916,4.7142,4.5684,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.0338,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.59756,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7142,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,3.89286,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.514454,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.893346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,60687-282-11,NDC,,,outpatient,1,EA,3.92,,1.96,2.352,3.8024,3.6848,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.2536,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.70832,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.8024,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.4496,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,3.13992,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,3.641288,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.140312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,51224-022-30,NDC,,,outpatient,1,EA,0.71,,0.355,0.426,0.6887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.56871,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.659519,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.568781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,60687-282-65,NDC,,,outpatient,1,EA,2.34,,1.17,1.404,2.2698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.87434,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.173626,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.874574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,0069-4061-89,NDC,,,outpatient,1,EA,14.28,,7.14,8.568,13.8516,13.4232,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,11.8524,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,13.1376,,,,percent of total billed charges,,13.1376,,,,percent of total billed charges,,13.50888,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,13.8516,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,12.5664,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,11.43828,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,13.264692,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.439708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,50268-074-11,NDC,,,outpatient,1,EA,2.35,,1.175,1.41,2.2795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.88235,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.182915,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.882585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,50268-074-15,NDC,,,outpatient,1,EA,2.35,,1.175,1.41,2.2795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.88235,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.182915,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.882585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,60687-742-11,NDC,,,outpatient,1,EA,7.73,,3.865,4.638,7.4981,7.2662,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.4159,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.31258,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.4981,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.8024,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,6.19173,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,7.180397,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.192503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,60687-742-65,NDC,,,outpatient,1,EA,3.79,,1.895,2.274,3.6763,3.5626,,,,percent of total billed charges,,3.032,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.1457,,,,percent of total billed charges,,3.411,,,,percent of total billed charges,,3.4868,,,,percent of total billed charges,,3.4868,,,,percent of total billed charges,,3.58534,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.6763,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.3352,,,,percent of total billed charges,,3.411,,,,percent of total billed charges,,3.03579,,,,percent of total billed charges,,3.411,,,,percent of total billed charges,,2.274,,,,percent of total billed charges,,3.520531,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.032,,,,percent of total billed charges,,2.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.036169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,0904-7350-06,NDC,,,outpatient,1,EA,3.32,,1.66,1.992,3.2204,3.1208,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,2.7556,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.0544,,,,percent of total billed charges,,3.0544,,,,percent of total billed charges,,3.14072,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,3.2204,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,2.65932,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,3.083948,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.659652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,60687-742-01,NDC,,,outpatient,1,EA,7.73,,3.865,4.638,7.4981,7.2662,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.4159,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.31258,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.4981,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.8024,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,6.19173,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,7.180397,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.192503,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,0069-3150-83,NDC,J0456,HCPCS,outpatient,1,EA,24.53,,12.265,14.718,23.7941,23.0582,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,20.3599,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,23.20538,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.7941,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,21.5864,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,19.64853,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,22.785917,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.650983,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,63323-398-10,NDC,J0456,HCPCS,outpatient,1,EA,7.12,,3.56,4.272,6.9064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,5.70312,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,6.613768,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.703832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,50111-794-78,NDC,J0456,HCPCS,outpatient,1,EA,21.03,,10.515,12.618,20.3991,19.7682,,,,percent of total billed charges,,16.824,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,17.4549,,,,percent of total billed charges,,18.927,,,,percent of total billed charges,,19.3476,,,,percent of total billed charges,,19.3476,,,,percent of total billed charges,,19.89438,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,20.3991,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,18.5064,,,,percent of total billed charges,,18.927,,,,percent of total billed charges,,16.84503,,,,percent of total billed charges,,18.927,,,,percent of total billed charges,,12.618,,,,percent of total billed charges,,19.534767,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,16.824,,,,percent of total billed charges,,12.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.847133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,62756-512-40,NDC,J0456,HCPCS,outpatient,1,EA,10.29,,5.145,6.174,9.9813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,8.24229,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,9.558381,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.243319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,62756-512-44,NDC,J0456,HCPCS,outpatient,1,EA,10.29,,5.145,6.174,9.9813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,8.24229,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,9.558381,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.243319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,0069-3150-84,NDC,J0456,HCPCS,outpatient,1,EA,24.53,,12.265,14.718,23.7941,23.0582,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,20.3599,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,23.20538,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.7941,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,21.5864,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,19.64853,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,22.785917,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.650983,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,70860-100-10,NDC,J0456,HCPCS,outpatient,1,EA,12.1,,6.05,7.26,11.737,11.374,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.043,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.4466,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.737,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.648,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,9.6921,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,11.23969,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.69331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,70436-019-82,NDC,J0456,HCPCS,outpatient,1,EA,10.62,,5.31,6.372,10.3014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,8.50662,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,9.864918,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.507682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,70860-100-41,NDC,J0456,HCPCS,outpatient,1,EA,12.1,,6.05,7.26,11.737,11.374,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.043,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.4466,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.737,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.648,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,9.6921,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,11.23969,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.69331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,63323-398-01,NDC,J0456,HCPCS,outpatient,1,EA,7.12,,3.56,4.272,6.9064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,5.70312,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,6.613768,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.703832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,62756-512-44,NDC,J0456,HCPCS,outpatient,250,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,62756-512-44,NDC,J0456,HCPCS,outpatient,250,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,62756-512-44,NDC,J0456,HCPCS,outpatient,338,ME,6.96,,3.48,4.176,6.7512,6.5424,,,,percent of total billed charges,,5.568,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,5.7768,,,,percent of total billed charges,,6.264,,,,percent of total billed charges,,6.4032,,,,percent of total billed charges,,6.4032,,,,percent of total billed charges,,6.58416,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,6.7512,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,6.1248,,,,percent of total billed charges,,6.264,,,,percent of total billed charges,,5.57496,,,,percent of total billed charges,,6.264,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,6.465144,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,5.568,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.575656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM INJECTION - IM [1000940],0250,RC,0003-2560-16,NDC,J0457,HCPCS,outpatient,1,EA,122.94,,61.47,73.764,119.2518,115.5636,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,102.0402,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,116.30124,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,119.2518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,108.1872,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,98.47494,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,114.198966,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.487234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM INJECTION - IM [1000940],0250,RC,63323-401-24,NDC,J0457,HCPCS,outpatient,1,EA,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,63323-401-20,NDC,J0457,HCPCS,outpatient,1,EA,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,0003-2560-16,NDC,J0457,HCPCS,outpatient,1,EA,122.94,,61.47,73.764,119.2518,115.5636,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,102.0402,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,116.30124,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,119.2518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,108.1872,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,98.47494,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,114.198966,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.487234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,63323-401-24,NDC,J0457,HCPCS,outpatient,1,EA,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,63323-401-01,NDC,J0457,HCPCS,outpatient,1,EA,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,0409-0829-01,NDC,J0457,HCPCS,outpatient,1,EA,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,0409-0829-11,NDC,J0457,HCPCS,outpatient,1,EA,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,0409-0829-01,NDC,J0457,HCPCS,outpatient,1,GR,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,63323-402-20,NDC,J0457,HCPCS,outpatient,1,EA,202.67,,101.335,121.602,196.5899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,162.33867,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,188.260163,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.358937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,0003-2570-16,NDC,J0457,HCPCS,outpatient,1,EA,245.88,,122.94,147.528,238.5036,231.1272,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,204.0804,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,232.60248,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,238.5036,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,216.3744,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,196.94988,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,228.397932,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,196.974468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,63323-402-24,NDC,J0457,HCPCS,outpatient,1,EA,202.67,,101.335,121.602,196.5899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,162.33867,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,188.260163,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.358937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,63323-402-01,NDC,J0457,HCPCS,outpatient,1,EA,202.67,,101.335,121.602,196.5899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,162.33867,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,188.260163,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.358937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,63323-402-41,NDC,J0457,HCPCS,outpatient,1,EA,202.67,,101.335,121.602,196.5899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,162.33867,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,188.260163,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.358937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,0409-0830-01,NDC,J0457,HCPCS,outpatient,1,EA,202.67,,101.335,121.602,196.5899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,162.33867,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,188.260163,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.358937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,0409-0830-11,NDC,J0457,HCPCS,outpatient,1,EA,202.67,,101.335,121.602,196.5899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,162.33867,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,188.260163,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.358937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,0003-2570-16,NDC,J0457,HCPCS,outpatient,2,GR,245.88,,122.94,147.528,238.5036,231.1272,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,204.0804,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,232.60248,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,238.5036,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,216.3744,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,196.94988,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,228.397932,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,196.974468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,0409-0829-01,NDC,J0457,HCPCS,outpatient,1,GR,99.27,,49.635,59.562,96.2919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,79.51527,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,92.211903,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.525197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,0003-2570-16,NDC,J0457,HCPCS,outpatient,1,GR,122.94,,61.47,73.764,119.2518,115.5636,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,102.0402,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,116.30124,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,119.2518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,108.1872,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,98.47494,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,114.198966,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.487234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,0409-0829-01,NDC,J0457,HCPCS,outpatient,2028,ME,201.31,,100.655,120.786,195.2707,189.2314,,,,percent of total billed charges,,161.048,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,167.0873,,,,percent of total billed charges,,181.179,,,,percent of total billed charges,,185.2052,,,,percent of total billed charges,,185.2052,,,,percent of total billed charges,,190.43926,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,195.2707,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,177.1528,,,,percent of total billed charges,,181.179,,,,percent of total billed charges,,161.24931,,,,percent of total billed charges,,181.179,,,,percent of total billed charges,,120.786,,,,percent of total billed charges,,186.996859,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,161.048,,,,percent of total billed charges,,120.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,161.269441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/G OINTMENT TUBE [850],0637,RC,45802-060-01,NDC,,,outpatient,14,GR,4.54,,2.27,2.724,4.4038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,3.63654,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.217206,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.636994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/G OINTMENT TUBE [850],0637,RC,45802-060-03,NDC,,,outpatient,28,GR,7.06,,3.53,4.236,6.8482,6.6364,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.8598,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.67876,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.8482,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.2128,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,5.65506,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,6.558034,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.655766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/G OINTMENT TUBE [850],0637,RC,68001-477-46,NDC,,,outpatient,14.2,GR,4.54,,2.27,2.724,4.4038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,3.63654,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.217206,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.636994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,45802-060-70,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,68001-477-45,NDC,,,outpatient,1,EA,0.55,,0.275,0.33,0.5335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.44055,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.510895,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.440605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,68001-477-48,NDC,,,outpatient,1,EA,0.55,,0.275,0.33,0.5335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.44055,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.510895,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.440605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,45802-060-00,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [856]",0637,RC,24208-555-55,NDC,,,outpatient,3.5,GR,32.99,,16.495,19.794,32.0003,31.0106,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,27.3817,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,31.20854,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,32.0003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,29.0312,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,26.42499,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,30.644411,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.428289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,63739-479-10,NDC,,,outpatient,1,EA,1.58,,0.79,0.948,1.5326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.26558,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.467662,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.265738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,68084-855-01,NDC,,,outpatient,1,EA,1.49,,0.745,0.894,1.4453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.19349,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.384061,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.193639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,68084-855-11,NDC,,,outpatient,1,EA,1.49,,0.745,0.894,1.4453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.19349,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.384061,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.193639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,0904-6475-61,NDC,,,outpatient,1,EA,2.54,,1.27,1.524,2.4638,2.3876,,,,percent of total billed charges,,2.032,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.1082,,,,percent of total billed charges,,2.286,,,,percent of total billed charges,,2.3368,,,,percent of total billed charges,,2.3368,,,,percent of total billed charges,,2.40284,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.4638,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.2352,,,,percent of total billed charges,,2.286,,,,percent of total billed charges,,2.03454,,,,percent of total billed charges,,2.286,,,,percent of total billed charges,,1.524,,,,percent of total billed charges,,2.359406,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.032,,,,percent of total billed charges,,1.524,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.034794,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,70710-1285-1,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,50268-106-11,NDC,,,outpatient,1,EA,1.97,,0.985,1.182,1.9109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.57797,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.829933,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.578167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,50268-106-15,NDC,,,outpatient,1,EA,1.97,,0.985,1.182,1.9109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.57797,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.829933,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.578167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION [207550]",0636,RC,25021-680-20,NDC,,,outpatient,20,ML,654.3,,327.15,392.58,634.671,615.042,,,,percent of total billed charges,,523.44,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,543.069,,,,percent of total billed charges,,588.87,,,,percent of total billed charges,,601.956,,,,percent of total billed charges,,601.956,,,,percent of total billed charges,,618.9678,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,634.671,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,575.784,,,,percent of total billed charges,,588.87,,,,percent of total billed charges,,524.0943,,,,percent of total billed charges,,588.87,,,,percent of total billed charges,,392.58,,,,percent of total billed charges,,607.77927,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,523.44,,,,percent of total billed charges,,392.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,524.15973,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION [202618]",0636,RC,25021-679-20,NDC,J0475,HCPCS,outpatient,20,ML,1125,,562.5,675,1091.25,1057.5,,,,percent of total billed charges,,900,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,933.75,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1064.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1091.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,901.125,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,1045.0125,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,900,,,,percent of total billed charges,,675,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,901.2375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE [202616],0636,RC,25021-681-71,NDC,J0475,HCPCS,outpatient,1,ML,71.71,,35.855,43.026,69.5587,67.4074,,,,percent of total billed charges,,57.368,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,59.5193,,,,percent of total billed charges,,64.539,,,,percent of total billed charges,,65.9732,,,,percent of total billed charges,,65.9732,,,,percent of total billed charges,,67.83766,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,69.5587,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,63.1048,,,,percent of total billed charges,,64.539,,,,percent of total billed charges,,57.43971,,,,percent of total billed charges,,64.539,,,,percent of total billed charges,,43.026,,,,percent of total billed charges,,66.611419,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,57.368,,,,percent of total billed charges,,43.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.446881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT + LIDOCAINE + EPINEPHRINE OPHTH INJ [7000193],0250,RC,7335-8545-01,NDC,,,outpatient,1,ML,58.5,,29.25,35.1,56.745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,46.8585,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,54.34065,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.86435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [89631],0637,RC,0065-0800-50,NDC,,,outpatient,500,ML,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [37578],0250,RC,0065-0795-15,NDC,,,outpatient,15,ML,23.43,,11.715,14.058,22.7271,22.0242,,,,percent of total billed charges,,18.744,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,19.4469,,,,percent of total billed charges,,21.087,,,,percent of total billed charges,,21.5556,,,,percent of total billed charges,,21.5556,,,,percent of total billed charges,,22.16478,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,22.7271,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,20.6184,,,,percent of total billed charges,,21.087,,,,percent of total billed charges,,18.76743,,,,percent of total billed charges,,21.087,,,,percent of total billed charges,,14.058,,,,percent of total billed charges,,21.764127,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,18.744,,,,percent of total billed charges,,14.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.769773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION [164271]",0250,RC,32909-926-03,NDC,,,outpatient,450,ML,26.33,,13.165,15.798,25.5401,24.7502,,,,percent of total billed charges,,21.064,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,21.8539,,,,percent of total billed charges,,23.697,,,,percent of total billed charges,,24.2236,,,,percent of total billed charges,,24.2236,,,,percent of total billed charges,,24.90818,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,25.5401,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,23.1704,,,,percent of total billed charges,,23.697,,,,percent of total billed charges,,21.09033,,,,percent of total billed charges,,23.697,,,,percent of total billed charges,,15.798,,,,percent of total billed charges,,24.457937,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,21.064,,,,percent of total billed charges,,15.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.092963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION [164271]",0250,RC,32909-927-03,NDC,,,outpatient,450,ML,28.35,,14.175,17.01,27.4995,26.649,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,23.5305,,,,percent of total billed charges,,25.515,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,26.8191,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,27.4995,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,25.515,,,,percent of total billed charges,,22.70835,,,,percent of total billed charges,,25.515,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,26.334315,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.711185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 2.1 % (W/V), 2.0 % (W/W) ORAL SUSPENSION [83405]",0250,RC,32909-755-03,NDC,,,outpatient,450,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 29 % (W/W) (1,500 CPS) ORAL SUSPENSION [242850]",0250,RC,32909-121-07,NDC,,,outpatient,250,ML,219.38,,109.69,131.628,212.7986,206.2172,,,,percent of total billed charges,,175.504,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,182.0854,,,,percent of total billed charges,,197.442,,,,percent of total billed charges,,201.8296,,,,percent of total billed charges,,201.8296,,,,percent of total billed charges,,207.53348,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,212.7986,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,193.0544,,,,percent of total billed charges,,197.442,,,,percent of total billed charges,,175.72338,,,,percent of total billed charges,,197.442,,,,percent of total billed charges,,131.628,,,,percent of total billed charges,,203.782082,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,175.504,,,,percent of total billed charges,,131.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,175.745318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 29 % (W/W) (1,500 CPS) ORAL SUSPENSION [242850]",0250,RC,9999-1955-36,NDC,,,outpatient,50,ML,56.7,,28.35,34.02,54.999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,45.4167,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,52.66863,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.42237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION [94975]",0250,RC,32909-814-53,NDC,,,outpatient,60,ML,105.3,,52.65,63.18,102.141,98.982,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,87.399,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,99.6138,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,102.141,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,84.3453,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,97.81317,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.35583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE [194743]",0250,RC,32909-125-22,NDC,,,outpatient,230,ML,219.42,,109.71,131.652,212.8374,206.2548,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,182.1186,,,,percent of total billed charges,,197.478,,,,percent of total billed charges,,201.8664,,,,percent of total billed charges,,201.8664,,,,percent of total billed charges,,207.57132,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,212.8374,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,193.0896,,,,percent of total billed charges,,197.478,,,,percent of total billed charges,,175.75542,,,,percent of total billed charges,,197.478,,,,percent of total billed charges,,131.652,,,,percent of total billed charges,,203.819238,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,131.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,175.777362,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE [194743]",0250,RC,9999-1947-43,NDC,,,outpatient,50,ML,49.28,,24.64,29.568,47.8016,46.3232,,,,percent of total billed charges,,39.424,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,40.9024,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,45.3376,,,,percent of total billed charges,,45.3376,,,,percent of total billed charges,,46.61888,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,47.8016,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,43.3664,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,39.47328,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,29.568,,,,percent of total billed charges,,45.776192,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,39.424,,,,percent of total billed charges,,29.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.478208,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40% (W/V), 30% (W/W) ORAL SUSP (VARIBAR NECTAR) [7000120]",0250,RC,32909-115-00,NDC,,,outpatient,240,ML,55.08,,27.54,33.048,53.4276,51.7752,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,45.7164,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,52.10568,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,53.4276,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,48.4704,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,44.11908,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,51.163812,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.124588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40% (W/V), 30% (W/W) ORAL SUSP (VARIBAR NECTAR) [7000120]",0250,RC,9997-0001-20,NDC,,,outpatient,50,ML,12.83,,6.415,7.698,12.4451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,10.27683,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,11.917787,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.278113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40% (W/V), 30% (W/W) ORAL SUSP (VARIBAR NECTAR) [7000120]",0250,RC,9997-4001-20,NDC,,,outpatient,30,ML,7.7,,3.85,4.62,7.469,7.238,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.391,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.2842,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.776,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,6.1677,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,7.15253,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.16847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 60 % ORAL CREAM [163481],0254,RC,32909-770-01,NDC,,,outpatient,454,GR,198.18,,99.09,118.908,192.2346,186.2892,,,,percent of total billed charges,,158.544,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,164.4894,,,,percent of total billed charges,,178.362,,,,percent of total billed charges,,182.3256,,,,percent of total billed charges,,182.3256,,,,percent of total billed charges,,187.47828,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,192.2346,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,174.3984,,,,percent of total billed charges,,178.362,,,,percent of total billed charges,,158.74218,,,,percent of total billed charges,,178.362,,,,percent of total billed charges,,118.908,,,,percent of total billed charges,,184.089402,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,158.544,,,,percent of total billed charges,,118.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.761998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 700 MG TABLET [197702],0250,RC,10361-778-31,NDC,,,outpatient,1,EA,4.27,,2.135,2.562,4.1419,4.0138,,,,percent of total billed charges,,3.416,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,3.5441,,,,percent of total billed charges,,3.843,,,,percent of total billed charges,,3.9284,,,,percent of total billed charges,,3.9284,,,,percent of total billed charges,,4.03942,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,4.1419,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,3.7576,,,,percent of total billed charges,,3.843,,,,percent of total billed charges,,3.42027,,,,percent of total billed charges,,3.843,,,,percent of total billed charges,,2.562,,,,percent of total billed charges,,3.966403,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,3.416,,,,percent of total billed charges,,2.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.420697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 81 % (W/W) ORAL POWDER [195537],0250,RC,32909-105-10,NDC,,,outpatient,148,GR,24.65,,12.325,14.79,23.9105,23.171,,,,percent of total billed charges,,19.72,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,20.4595,,,,percent of total billed charges,,22.185,,,,percent of total billed charges,,22.678,,,,percent of total billed charges,,22.678,,,,percent of total billed charges,,23.3189,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,23.9105,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,21.692,,,,percent of total billed charges,,22.185,,,,percent of total billed charges,,19.74465,,,,percent of total billed charges,,22.185,,,,percent of total billed charges,,14.79,,,,percent of total billed charges,,22.897385,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,19.72,,,,percent of total billed charges,,14.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.747115,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION [188773],0254,RC,32909-750-03,NDC,,,outpatient,176,GR,10.3,,5.15,6.18,9.991,9.682,,,,percent of total billed charges,,8.24,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,8.549,,,,percent of total billed charges,,9.27,,,,percent of total billed charges,,9.476,,,,percent of total billed charges,,9.476,,,,percent of total billed charges,,9.7438,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,9.991,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,9.064,,,,percent of total billed charges,,9.27,,,,percent of total billed charges,,8.2503,,,,percent of total billed charges,,9.27,,,,percent of total billed charges,,6.18,,,,percent of total billed charges,,9.56767,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,8.24,,,,percent of total billed charges,,6.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.25133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION [134884],0250,RC,32909-764-01,NDC,,,outpatient,1,EA,13.4,,6.7,8.04,12.998,12.596,,,,percent of total billed charges,,10.72,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,11.122,,,,percent of total billed charges,,12.06,,,,percent of total billed charges,,12.328,,,,percent of total billed charges,,12.328,,,,percent of total billed charges,,12.6764,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,12.998,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,11.792,,,,percent of total billed charges,,12.06,,,,percent of total billed charges,,10.7334,,,,percent of total billed charges,,12.06,,,,percent of total billed charges,,8.04,,,,percent of total billed charges,,12.44726,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,10.72,,,,percent of total billed charges,,8.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.73474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BCG LIVE 50 MG INTRAVESICAL SUSPENSION [95195],0636,RC,0052-0602-02,NDC,J9030,HCPCS,outpatient,1,EA,649.44,,324.72,389.664,629.9568,610.4736,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,539.0352,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,614.37024,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,629.9568,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,571.5072,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,520.20144,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,603.264816,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,520.266384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BCG LIVE 50 MG INTRAVESICAL SUSPENSION [95195],0636,RC,0052-0602-02,NDC,J9030,HCPCS,outpatient,50,ME,649.44,,324.72,389.664,629.9568,610.4736,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,539.0352,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,614.37024,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,629.9568,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,571.5072,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,520.20144,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,603.264816,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,520.266384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELATACEPT 250 MG INTRAVENOUS SOLUTION [205369],0636,RC,0003-0371-13,NDC,J0485,HCPCS,outpatient,1,EA,4146.26,,2073.13,2487.756,4021.8722,3897.4844,,,,percent of total billed charges,,3317.008,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3441.3958,,,,percent of total billed charges,,3731.634,,,,percent of total billed charges,,3814.5592,,,,percent of total billed charges,,3814.5592,,,,percent of total billed charges,,3922.36196,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,4021.8722,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3648.7088,,,,percent of total billed charges,,3731.634,,,,percent of total billed charges,,3321.15426,,,,percent of total billed charges,,3731.634,,,,percent of total billed charges,,2487.756,,,,percent of total billed charges,,3851.460914,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3317.008,,,,percent of total billed charges,,2487.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3321.568886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELATACEPT 250 MG INTRAVENOUS SOLUTION [205369],0636,RC,0003-0371-13,NDC,J0485,HCPCS,outpatient,338,ME,5605.74,,2802.87,3363.444,5437.5678,5269.3956,,,,percent of total billed charges,,4484.592,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,4652.7642,,,,percent of total billed charges,,5045.166,,,,percent of total billed charges,,5157.2808,,,,percent of total billed charges,,5157.2808,,,,percent of total billed charges,,5303.03004,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,5437.5678,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,4933.0512,,,,percent of total billed charges,,5045.166,,,,percent of total billed charges,,4490.19774,,,,percent of total billed charges,,5045.166,,,,percent of total billed charges,,3363.444,,,,percent of total billed charges,,5207.171886,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,4484.592,,,,percent of total billed charges,,3363.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4490.758314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELIMUMAB 120 MG INTRAVENOUS SOLUTION [203461],0636,RC,49401-101-01,NDC,J0490,HCPCS,outpatient,1,EA,2758.95,,1379.475,1655.37,2676.1815,2593.413,,,,percent of total billed charges,,2207.16,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2289.9285,,,,percent of total billed charges,,2483.055,,,,percent of total billed charges,,2538.234,,,,percent of total billed charges,,2538.234,,,,percent of total billed charges,,2609.9667,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2676.1815,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2427.876,,,,percent of total billed charges,,2483.055,,,,percent of total billed charges,,2209.91895,,,,percent of total billed charges,,2483.055,,,,percent of total billed charges,,1655.37,,,,percent of total billed charges,,2562.788655,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2207.16,,,,percent of total billed charges,,1655.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2210.194845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELIMUMAB 400 MG INTRAVENOUS SOLUTION [203462],0636,RC,49401-102-01,NDC,J0490,HCPCS,outpatient,1,EA,9196.07,,4598.035,5517.642,8920.1879,8644.3058,,,,percent of total billed charges,,7356.856,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,7632.7381,,,,percent of total billed charges,,8276.463,,,,percent of total billed charges,,8460.3844,,,,percent of total billed charges,,8460.3844,,,,percent of total billed charges,,8699.48222,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,8920.1879,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,8092.5416,,,,percent of total billed charges,,8276.463,,,,percent of total billed charges,,7366.05207,,,,percent of total billed charges,,8276.463,,,,percent of total billed charges,,5517.642,,,,percent of total billed charges,,8542.229423,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,7356.856,,,,percent of total billed charges,,5517.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7366.971677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [228434],0636,RC,63459-348-04,NDC,J9034,HCPCS,outpatient,4,ML,8808.84,,4404.42,5285.304,8544.5748,8280.3096,,,,percent of total billed charges,,7047.072,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,7311.3372,,,,percent of total billed charges,,7927.956,,,,percent of total billed charges,,8104.1328,,,,percent of total billed charges,,8104.1328,,,,percent of total billed charges,,8333.16264,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,8544.5748,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,7751.7792,,,,percent of total billed charges,,7927.956,,,,percent of total billed charges,,7055.88084,,,,percent of total billed charges,,7927.956,,,,percent of total billed charges,,5285.304,,,,percent of total billed charges,,8182.531476,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,7047.072,,,,percent of total billed charges,,5285.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7056.761724,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [238657],0636,RC,0310-1730-30,NDC,J0517,HCPCS,outpatient,1,ML,20095.68,,10047.84,12057.408,19492.8096,18889.9392,,,,percent of total billed charges,,16076.544,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,16679.4144,,,,percent of total billed charges,,18086.112,,,,percent of total billed charges,,18488.0256,,,,percent of total billed charges,,18488.0256,,,,percent of total billed charges,,19010.51328,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,19492.8096,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,17684.1984,,,,percent of total billed charges,,18086.112,,,,percent of total billed charges,,16096.63968,,,,percent of total billed charges,,18086.112,,,,percent of total billed charges,,12057.408,,,,percent of total billed charges,,18666.87715,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,16076.544,,,,percent of total billed charges,,12057.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16098.64925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOCAINE 20 % MUCOSAL GEL [510],0637,RC,1031028340,NDC,,,outpatient,7,GR,129.47,,64.735,77.682,125.5859,121.7018,,,,percent of total billed charges,,103.576,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,107.4601,,,,percent of total billed charges,,116.523,,,,percent of total billed charges,,119.1124,,,,percent of total billed charges,,119.1124,,,,percent of total billed charges,,122.47862,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,125.5859,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,113.9336,,,,percent of total billed charges,,116.523,,,,percent of total billed charges,,103.70547,,,,percent of total billed charges,,116.523,,,,percent of total billed charges,,77.682,,,,percent of total billed charges,,120.264683,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,103.576,,,,percent of total billed charges,,77.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,103.718417,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOCAINE 20 % MUCOSAL GEL [510],0637,RC,9999-9995-10,NDC,,,outpatient,7,GR,19.04,,9.52,11.424,18.4688,17.8976,,,,percent of total billed charges,,15.232,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,15.8032,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,17.5168,,,,percent of total billed charges,,17.5168,,,,percent of total billed charges,,18.01184,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,18.4688,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,16.7552,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,15.25104,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,17.686256,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,15.232,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.252944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOCAINE-MENTHOL SORE THROAT LOZENGE WRAPPER [1000626],0637,RC,7811201106,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE [135454],0637,RC,0395-0243-92,NDC,,,outpatient,59,ML,27.62,,13.81,16.572,26.7914,25.9628,,,,percent of total billed charges,,22.096,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,22.9246,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,25.4104,,,,percent of total billed charges,,25.4104,,,,percent of total billed charges,,26.12852,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,26.7914,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,24.3056,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,22.12362,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,16.572,,,,percent of total billed charges,,25.656218,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,22.096,,,,percent of total billed charges,,16.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.126382,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,68084-214-01,NDC,,,outpatient,1,EA,2.82,,1.41,1.692,2.7354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.25882,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.619498,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.259102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,68084-214-11,NDC,,,outpatient,1,EA,2.82,,1.41,1.692,2.7354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.25882,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.619498,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.259102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,0904-6564-61,NDC,,,outpatient,1,EA,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,0904-7153-61,NDC,,,outpatient,1,EA,2.09,,1.045,1.254,2.0273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.67409,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.941401,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.674299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,68084-381-01,NDC,,,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,68084-381-11,NDC,,,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,0603-2437-21,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,60687-356-01,NDC,,,outpatient,1,EA,1.26,,0.63,0.756,1.2222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.00926,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.170414,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.009386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,60687-356-11,NDC,,,outpatient,1,EA,1.26,,0.63,0.756,1.2222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.00926,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.170414,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.009386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,0904-7288-61,NDC,,,outpatient,1,EA,1.27,,0.635,0.762,1.2319,1.1938,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.0541,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.20142,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.1176,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.01727,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,1.179703,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.017397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,68084-388-01,NDC,,,outpatient,1,EA,1.86,,0.93,1.116,1.8042,1.7484,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.5438,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.75956,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.8042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.6368,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.48986,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.727754,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.490046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,68084-388-11,NDC,,,outpatient,1,EA,1.86,,0.93,1.116,1.8042,1.7484,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.5438,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.75956,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.8042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.6368,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.48986,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.727754,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.490046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,60687-368-01,NDC,,,outpatient,1,EA,1.17,,0.585,0.702,1.1349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.93717,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.086813,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.937287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,60687-368-11,NDC,,,outpatient,1,EA,1.17,,0.585,0.702,1.1349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.93717,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.086813,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.937287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,0904-7289-61,NDC,,,outpatient,1,EA,2.13,,1.065,1.278,2.0661,2.0022,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,1.7679,,,,percent of total billed charges,,1.917,,,,percent of total billed charges,,1.9596,,,,percent of total billed charges,,1.9596,,,,percent of total billed charges,,2.01498,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,2.0661,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,1.8744,,,,percent of total billed charges,,1.917,,,,percent of total billed charges,,1.70613,,,,percent of total billed charges,,1.917,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.978557,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.706343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG/ML INJECTION SOLUTION [81453],0636,RC,0143-9729-05,NDC,J0515,HCPCS,outpatient,2,ML,114.67,,57.335,68.802,111.2299,107.7898,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,95.1761,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,108.47782,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,111.2299,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,100.9096,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,91.85067,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,106.516963,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.862137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG/ML INJECTION SOLUTION [81453],0636,RC,63323-970-02,NDC,J0515,HCPCS,outpatient,2,ML,124.09,,62.045,74.454,120.3673,116.6446,,,,percent of total billed charges,,99.272,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,102.9947,,,,percent of total billed charges,,111.681,,,,percent of total billed charges,,114.1628,,,,percent of total billed charges,,114.1628,,,,percent of total billed charges,,117.38914,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,120.3673,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,109.1992,,,,percent of total billed charges,,111.681,,,,percent of total billed charges,,99.39609,,,,percent of total billed charges,,111.681,,,,percent of total billed charges,,74.454,,,,percent of total billed charges,,115.267201,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,99.272,,,,percent of total billed charges,,74.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.408499,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG/ML INJECTION SOLUTION [81453],0636,RC,0143-9729-01,NDC,J0515,HCPCS,outpatient,2,ML,114.67,,57.335,68.802,111.2299,107.7898,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,95.1761,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,108.47782,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,111.2299,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,100.9096,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,91.85067,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,106.516963,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.862137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,0517-0720-01,NDC,J0702,HCPCS,outpatient,5,ML,144.77,,72.385,86.862,140.4269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,115.96077,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,134.476853,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.975247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,0085-4320-01,NDC,J0702,HCPCS,outpatient,5,ML,153.59,,76.795,92.154,148.9823,144.3746,,,,percent of total billed charges,,122.872,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,127.4797,,,,percent of total billed charges,,138.231,,,,percent of total billed charges,,141.3028,,,,percent of total billed charges,,141.3028,,,,percent of total billed charges,,145.29614,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,148.9823,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,135.1592,,,,percent of total billed charges,,138.231,,,,percent of total billed charges,,123.02559,,,,percent of total billed charges,,138.231,,,,percent of total billed charges,,92.154,,,,percent of total billed charges,,142.669751,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,122.872,,,,percent of total billed charges,,92.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123.040949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,51754-5060-1,NDC,J0702,HCPCS,outpatient,5,ML,156.33,,78.165,93.798,151.6401,146.9502,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,129.7539,,,,percent of total billed charges,,140.697,,,,percent of total billed charges,,143.8236,,,,percent of total billed charges,,143.8236,,,,percent of total billed charges,,147.88818,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,151.6401,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,137.5704,,,,percent of total billed charges,,140.697,,,,percent of total billed charges,,125.22033,,,,percent of total billed charges,,140.697,,,,percent of total billed charges,,93.798,,,,percent of total billed charges,,145.214937,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,93.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.235963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,0517-0799-01,NDC,J0702,HCPCS,outpatient,5,ML,144.77,,72.385,86.862,140.4269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,115.96077,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,134.476853,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.975247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,78206-118-01,NDC,J0702,HCPCS,outpatient,5,ML,171.77,,85.885,103.062,166.6169,161.4638,,,,percent of total billed charges,,137.416,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,142.5691,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,158.0284,,,,percent of total billed charges,,158.0284,,,,percent of total billed charges,,162.49442,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,166.6169,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,151.1576,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,137.58777,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,103.062,,,,percent of total billed charges,,159.557153,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,137.416,,,,percent of total billed charges,,103.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.604947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,0832-0512-01,NDC,,,outpatient,1,EA,2.3,,1.15,1.38,2.231,2.162,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,1.909,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.116,,,,percent of total billed charges,,2.116,,,,percent of total billed charges,,2.1758,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,2.231,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,2.024,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,1.8423,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,2.13647,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.84253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,68084-704-01,NDC,,,outpatient,1,EA,3.13,,1.565,1.878,3.0361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.50713,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,2.907457,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.507443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,68084-704-11,NDC,,,outpatient,1,EA,3.13,,1.565,1.878,3.0361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.50713,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,2.907457,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.507443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,53746-573-01,NDC,,,outpatient,1,EA,1.99,,0.995,1.194,1.9303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.59399,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,1.848511,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.594189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,60687-700-01,NDC,,,outpatient,1,EA,4.18,,2.09,2.508,4.0546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.34818,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,3.882802,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.348598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,60687-700-11,NDC,,,outpatient,1,EA,4.18,,2.09,2.508,4.0546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.34818,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,3.882802,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.348598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [89897],0636,RC,50242-061-01,NDC,J9035,HCPCS,outpatient,338,ME,12121.46,,6060.73,7272.876,11757.8162,11394.1724,,,,percent of total billed charges,,9697.168,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,10060.8118,,,,percent of total billed charges,,10909.314,,,,percent of total billed charges,,11151.7432,,,,percent of total billed charges,,11151.7432,,,,percent of total billed charges,,11466.90116,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,11757.8162,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,10666.8848,,,,percent of total billed charges,,10909.314,,,,percent of total billed charges,,9709.28946,,,,percent of total billed charges,,10909.314,,,,percent of total billed charges,,7272.876,,,,percent of total billed charges,,11259.62419,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,9697.168,,,,percent of total billed charges,,7272.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9710.501606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [89897],0636,RC,50242-060-01,NDC,J9035,HCPCS,outpatient,4,ML,3586.23,,1793.115,2151.738,3478.6431,3371.0562,,,,percent of total billed charges,,2868.984,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,2976.5709,,,,percent of total billed charges,,3227.607,,,,percent of total billed charges,,3299.3316,,,,percent of total billed charges,,3299.3316,,,,percent of total billed charges,,3392.57358,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,3478.6431,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,3155.8824,,,,percent of total billed charges,,3227.607,,,,percent of total billed charges,,2872.57023,,,,percent of total billed charges,,3227.607,,,,percent of total billed charges,,2151.738,,,,percent of total billed charges,,3331.249047,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,2868.984,,,,percent of total billed charges,,2151.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2872.928853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [89897],0636,RC,50242-061-01,NDC,J9035,HCPCS,outpatient,16,ML,14344.92,,7172.46,8606.952,13914.5724,13484.2248,,,,percent of total billed charges,,11475.936,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,11906.2836,,,,percent of total billed charges,,12910.428,,,,percent of total billed charges,,13197.3264,,,,percent of total billed charges,,13197.3264,,,,percent of total billed charges,,13570.29432,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,13914.5724,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,12623.5296,,,,percent of total billed charges,,12910.428,,,,percent of total billed charges,,11490.28092,,,,percent of total billed charges,,12910.428,,,,percent of total billed charges,,8606.952,,,,percent of total billed charges,,13324.99619,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,11475.936,,,,percent of total billed charges,,8606.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11491.71541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [237749],0636,RC,55513-207-01,NDC,Q5107,HCPCS,outpatient,338,ME,9174.37,,4587.185,5504.622,8899.1389,8623.9078,,,,percent of total billed charges,,7339.496,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,7614.7271,,,,percent of total billed charges,,8256.933,,,,percent of total billed charges,,8440.4204,,,,percent of total billed charges,,8440.4204,,,,percent of total billed charges,,8678.95402,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,8899.1389,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,8073.4456,,,,percent of total billed charges,,8256.933,,,,percent of total billed charges,,7348.67037,,,,percent of total billed charges,,8256.933,,,,percent of total billed charges,,5504.622,,,,percent of total billed charges,,8522.072293,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,7339.496,,,,percent of total billed charges,,5504.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7349.587807,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [237749],0636,RC,55513-206-01,NDC,Q5107,HCPCS,outpatient,4,ML,2714.31,,1357.155,1628.586,2632.8807,2551.4514,,,,percent of total billed charges,,2171.448,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2252.8773,,,,percent of total billed charges,,2442.879,,,,percent of total billed charges,,2497.1652,,,,percent of total billed charges,,2497.1652,,,,percent of total billed charges,,2567.73726,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2632.8807,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2388.5928,,,,percent of total billed charges,,2442.879,,,,percent of total billed charges,,2174.16231,,,,percent of total billed charges,,2442.879,,,,percent of total billed charges,,1628.586,,,,percent of total billed charges,,2521.322559,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2171.448,,,,percent of total billed charges,,1628.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2174.433741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [237749],0636,RC,55513-207-01,NDC,Q5107,HCPCS,outpatient,16,ML,10857.24,,5428.62,6514.344,10531.5228,10205.8056,,,,percent of total billed charges,,8685.792,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,9011.5092,,,,percent of total billed charges,,9771.516,,,,percent of total billed charges,,9988.6608,,,,percent of total billed charges,,9988.6608,,,,percent of total billed charges,,10270.94904,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,10531.5228,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,9554.3712,,,,percent of total billed charges,,9771.516,,,,percent of total billed charges,,8696.64924,,,,percent of total billed charges,,9771.516,,,,percent of total billed charges,,6514.344,,,,percent of total billed charges,,10085.29024,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,8685.792,,,,percent of total billed charges,,6514.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8697.734964,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [233238],0636,RC,0006-3025-00,NDC,J0565,HCPCS,outpatient,40,ML,17099.82,,8549.91,10259.892,16586.8254,16073.8308,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,14192.8506,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,16176.42972,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16586.8254,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,15047.8416,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,13696.95582,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,15884.0228,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13698.6658,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [233238],0636,RC,0006-3025-01,NDC,J0565,HCPCS,outpatient,40,ML,17099.82,,8549.91,10259.892,16586.8254,16073.8308,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,14192.8506,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,16176.42972,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16586.8254,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,15047.8416,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,13696.95582,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,15884.0228,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13698.6658,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [233238],0636,RC,0006-3025-01,NDC,J0565,HCPCS,outpatient,676,ME,11559.48,,5779.74,6935.688,11212.6956,10865.9112,,,,percent of total billed charges,,9247.584,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,9594.3684,,,,percent of total billed charges,,10403.532,,,,percent of total billed charges,,10634.7216,,,,percent of total billed charges,,10634.7216,,,,percent of total billed charges,,10935.26808,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,11212.6956,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,10172.3424,,,,percent of total billed charges,,10403.532,,,,percent of total billed charges,,9259.14348,,,,percent of total billed charges,,10403.532,,,,percent of total billed charges,,6935.688,,,,percent of total billed charges,,10737.60097,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,9247.584,,,,percent of total billed charges,,6935.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9260.299428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICALUTAMIDE 50 MG TABLET [77221],0637,RC,16729-023-10,NDC,,,outpatient,1,EA,3.35,,1.675,2.01,3.2495,3.149,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.7805,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.1691,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.2495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.948,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.68335,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,3.111815,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.683685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICALUTAMIDE 50 MG TABLET [77221],0637,RC,42291-168-30,NDC,,,outpatient,1,EA,2.09,,1.045,1.254,2.0273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.67409,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.941401,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.674299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICALUTAMIDE 50 MG TABLET [77221],0637,RC,47335-485-83,NDC,,,outpatient,1,EA,1.59,,0.795,0.954,1.5423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.27359,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.476951,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.273749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [239221],0637,RC,61958-2501-1,NDC,,,outpatient,1,EA,576.28,,288.14,345.768,558.9916,541.7032,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,478.3124,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,545.16088,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,558.9916,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,507.1264,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,461.60028,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,535.306492,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,461.657908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [239221],0637,RC,61958-2501-3,NDC,,,outpatient,1,EA,576.28,,288.14,345.768,558.9916,541.7032,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,478.3124,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,545.16088,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,558.9916,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,507.1264,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,461.60028,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,535.306492,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,461.657908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0637,RC,0574-7050-12,NDC,,,outpatient,1,EA,1.1,,0.55,0.66,1.067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.8811,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.02179,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.88121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0637,RC,0574-7050-50,NDC,,,outpatient,1,EA,1.17,,0.585,0.702,1.1349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.93717,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.086813,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.937287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BISACODYL 5 MG TABLET,DELAYED RELEASE [13632]",0637,RC,0904-6407-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [81328],0637,RC,0904-7205-46,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION [80549],0637,RC,0149003904,NDC,,,outpatient,118,ML,9.03,,4.515,5.418,8.7591,8.4882,,,,percent of total billed charges,,7.224,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,7.4949,,,,percent of total billed charges,,8.127,,,,percent of total billed charges,,8.3076,,,,percent of total billed charges,,8.3076,,,,percent of total billed charges,,8.54238,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,8.7591,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,7.9464,,,,percent of total billed charges,,8.127,,,,percent of total billed charges,,7.23303,,,,percent of total billed charges,,8.127,,,,percent of total billed charges,,5.418,,,,percent of total billed charges,,8.387967,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,7.224,,,,percent of total billed charges,,5.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.233933,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION [80549],0637,RC,8770141163,NDC,,,outpatient,118,ML,5.31,,2.655,3.186,5.1507,4.9914,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.4073,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,5.02326,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.1507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.6728,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.25331,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,4.932459,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.253841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION [80549],0637,RC,46122-703-26,NDC,,,outpatient,118,ML,5.85,,2.925,3.51,5.6745,5.499,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.8555,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5341,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.6745,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.148,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,4.68585,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,5.434065,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.686435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,0781-3158-94,NDC,J0583,HCPCS,outpatient,250,ME,310.2,,155.1,186.12,300.894,291.588,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,257.466,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,293.4492,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,300.894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,272.976,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,248.4702,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,288.14478,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.50122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,45,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,65293-001-01,NDC,J0583,HCPCS,outpatient,1,EA,4003.16,,2001.58,2401.896,3883.0652,3762.9704,,,,percent of total billed charges,,3202.528,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3322.6228,,,,percent of total billed charges,,3602.844,,,,percent of total billed charges,,3682.9072,,,,percent of total billed charges,,3682.9072,,,,percent of total billed charges,,3786.98936,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3883.0652,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3522.7808,,,,percent of total billed charges,,3602.844,,,,percent of total billed charges,,3206.53116,,,,percent of total billed charges,,3602.844,,,,percent of total billed charges,,2401.896,,,,percent of total billed charges,,3718.535324,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3202.528,,,,percent of total billed charges,,2401.896,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3206.931476,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,0781-3158-94,NDC,J0583,HCPCS,outpatient,1,EA,310.2,,155.1,186.12,300.894,291.588,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,257.466,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,293.4492,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,300.894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,272.976,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,248.4702,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,288.14478,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.50122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,0781-3158-95,NDC,J0583,HCPCS,outpatient,1,EA,310.2,,155.1,186.12,300.894,291.588,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,257.466,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,293.4492,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,300.894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,272.976,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,248.4702,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,288.14478,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.50122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,70860-403-50,NDC,J0583,HCPCS,outpatient,50,ML,258.98,,129.49,155.388,251.2106,243.4412,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,214.9534,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,244.99508,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,251.2106,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,227.9024,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,207.44298,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,240.566522,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.468878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,70860-403-51,NDC,J0583,HCPCS,outpatient,50,ML,258.98,,129.49,155.388,251.2106,243.4412,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,214.9534,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,244.99508,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,251.2106,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,227.9024,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,207.44298,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,240.566522,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.468878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,42023-622-01,NDC,J0583,HCPCS,outpatient,50,ML,186.08,,93.04,111.648,180.4976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,149.05008,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,172.849712,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.068688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,42023-622-10,NDC,J0583,HCPCS,outpatient,50,ML,186.08,,93.04,111.648,180.4976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,149.05008,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,172.849712,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.068688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,0781-3158-94,NDC,J0583,HCPCS,outpatient,20,ME,24.82,,12.41,14.892,24.0754,23.3308,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,20.6006,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,23.47972,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,24.0754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,21.8416,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,19.88082,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,23.055298,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.883302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,499.6,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],0636,RC,63323-136-10,NDC,J9040,HCPCS,outpatient,1,EA,73.49,,36.745,44.094,71.2853,69.0806,,,,percent of total billed charges,,58.792,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,60.9967,,,,percent of total billed charges,,66.141,,,,percent of total billed charges,,67.6108,,,,percent of total billed charges,,67.6108,,,,percent of total billed charges,,69.52154,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,71.2853,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,64.6712,,,,percent of total billed charges,,66.141,,,,percent of total billed charges,,58.86549,,,,percent of total billed charges,,66.141,,,,percent of total billed charges,,44.094,,,,percent of total billed charges,,68.264861,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,58.792,,,,percent of total billed charges,,44.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.872839,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],0636,RC,71288-106-10,NDC,J9040,HCPCS,outpatient,1,EA,90.59,,45.295,54.354,87.8723,85.1546,,,,percent of total billed charges,,72.472,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,75.1897,,,,percent of total billed charges,,81.531,,,,percent of total billed charges,,83.3428,,,,percent of total billed charges,,83.3428,,,,percent of total billed charges,,85.69814,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,87.8723,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,79.7192,,,,percent of total billed charges,,81.531,,,,percent of total billed charges,,72.56259,,,,percent of total billed charges,,81.531,,,,percent of total billed charges,,54.354,,,,percent of total billed charges,,84.149051,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,72.472,,,,percent of total billed charges,,54.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.571649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],0636,RC,0703-3155-01,NDC,J9040,HCPCS,outpatient,1,EA,436.5,,218.25,261.9,423.405,410.31,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,362.295,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,412.929,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,423.405,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,349.6365,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,405.46485,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,349.68015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],0636,RC,71288-107-20,NDC,J9040,HCPCS,outpatient,1,EA,209.48,,104.74,125.688,203.1956,196.9112,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,173.8684,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,198.16808,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,203.1956,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,184.3424,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,167.79348,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,194.585972,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.814428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],0636,RC,63323-136-10,NDC,J9040,HCPCS,outpatient,16.9,UN,82.8,,41.4,49.68,80.316,77.832,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.316,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,72.864,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,66.3228,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,76.91292,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.33108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,63020-049-01,NDC,J9041,HCPCS,outpatient,1,EA,7213.5,,3606.75,4328.1,6997.095,6780.69,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5987.205,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6823.971,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6997.095,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6347.88,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,5778.0135,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,6700.62015,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5778.73485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,43598-865-60,NDC,J9041,HCPCS,outpatient,1,EA,123.44,,61.72,74.064,119.7368,116.0336,,,,percent of total billed charges,,98.752,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,102.4552,,,,percent of total billed charges,,111.096,,,,percent of total billed charges,,113.5648,,,,percent of total billed charges,,113.5648,,,,percent of total billed charges,,116.77424,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,119.7368,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,108.6272,,,,percent of total billed charges,,111.096,,,,percent of total billed charges,,98.87544,,,,percent of total billed charges,,111.096,,,,percent of total billed charges,,74.064,,,,percent of total billed charges,,114.663416,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,98.752,,,,percent of total billed charges,,74.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.887784,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,9991-0006-40,NDC,J9041,HCPCS,outpatient,2,ML,10305,,5152.5,6183,9995.85,9686.7,,,,percent of total billed charges,,8244,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,8553.15,,,,percent of total billed charges,,9274.5,,,,percent of total billed charges,,9480.6,,,,percent of total billed charges,,9480.6,,,,percent of total billed charges,,9748.53,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,9995.85,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,9068.4,,,,percent of total billed charges,,9274.5,,,,percent of total billed charges,,8254.305,,,,percent of total billed charges,,9274.5,,,,percent of total billed charges,,6183,,,,percent of total billed charges,,9572.3145,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,8244,,,,percent of total billed charges,,6183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8255.3355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,55150-337-01,NDC,J9041,HCPCS,outpatient,1,EA,150.62,,75.31,90.372,146.1014,141.5828,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,125.0146,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,142.48652,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,146.1014,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,132.5456,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,120.64662,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,139.910918,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.661682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [87778],0636,RC,63020-049-01,NDC,J9041,HCPCS,outpatient,1,EA,7213.5,,3606.75,4328.1,6997.095,6780.69,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5987.205,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6823.971,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6997.095,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6347.88,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,5778.0135,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,6700.62015,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5778.73485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [87778],0636,RC,55150-337-01,NDC,J9041,HCPCS,outpatient,1,EA,150.62,,75.31,90.372,146.1014,141.5828,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,125.0146,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,142.48652,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,146.1014,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,132.5456,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,120.64662,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,139.910918,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.661682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [206592],0636,RC,51144-050-01,NDC,J9042,HCPCS,outpatient,121.68,ME,96265.92,,48132.96,57759.552,93377.9424,90489.9648,,,,percent of total billed charges,,77012.736,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,79900.7136,,,,percent of total billed charges,,86639.328,,,,percent of total billed charges,,88564.6464,,,,percent of total billed charges,,88564.6464,,,,percent of total billed charges,,91067.56032,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,93377.9424,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,84714.0096,,,,percent of total billed charges,,86639.328,,,,percent of total billed charges,,77109.00192,,,,percent of total billed charges,,86639.328,,,,percent of total billed charges,,57759.552,,,,percent of total billed charges,,89421.41309,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,77012.736,,,,percent of total billed charges,,57759.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77118.62851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [206592],0636,RC,51144-050-01,NDC,J9042,HCPCS,outpatient,1,EA,45208,,22604,27124.8,43851.76,42495.52,,,,percent of total billed charges,,36166.4,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,37522.64,,,,percent of total billed charges,,40687.2,,,,percent of total billed charges,,41591.36,,,,percent of total billed charges,,41591.36,,,,percent of total billed charges,,42766.768,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,43851.76,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,39783.04,,,,percent of total billed charges,,40687.2,,,,percent of total billed charges,,36211.608,,,,percent of total billed charges,,40687.2,,,,percent of total billed charges,,27124.8,,,,percent of total billed charges,,41993.7112,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,36166.4,,,,percent of total billed charges,,27124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36216.1288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BREXPIPRAZOLE 0.5 MG TABLET [226391],0637,RC,59148-036-13,NDC,,,outpatient,1,EA,202.88,,101.44,121.728,196.7936,190.7072,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,168.3904,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,191.92448,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,196.7936,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,178.5344,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,162.50688,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,188.455232,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.527168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BREXPIPRAZOLE 1 MG TABLET [226392],0637,RC,59148-037-13,NDC,,,outpatient,1,EA,202.88,,101.44,121.728,196.7936,190.7072,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,168.3904,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,191.92448,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,196.7936,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,178.5344,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,162.50688,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,188.455232,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.527168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRIMONIDINE 0.2 % EYE DROPS [17881],0637,RC,61314-143-05,NDC,,,outpatient,5,ML,27.59,,13.795,16.554,26.7623,25.9346,,,,percent of total billed charges,,22.072,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,22.8997,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,25.3828,,,,percent of total billed charges,,25.3828,,,,percent of total billed charges,,26.10014,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,26.7623,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,24.2792,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,22.09959,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,16.554,,,,percent of total billed charges,,25.628351,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,22.072,,,,percent of total billed charges,,16.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.102349,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRIMONIDINE 0.2 % EYE DROPS [17881],0637,RC,70069-231-01,NDC,,,outpatient,5,ML,25.56,,12.78,15.336,24.7932,24.0264,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,21.2148,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,24.17976,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.7932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,22.4928,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,20.47356,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,23.742684,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.476116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,0186-1989-04,NDC,,,outpatient,2,ML,42.39,,21.195,25.434,41.1183,39.8466,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,35.1837,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,40.10094,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,41.1183,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,37.3032,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,33.95439,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,39.376071,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.958629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,0487-9701-01,NDC,,,outpatient,2,ML,15.02,,7.51,9.012,14.5694,14.1188,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.4666,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,14.20892,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.5694,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,13.2176,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,12.03102,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,13.952078,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.032522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,60687-524-79,NDC,,,outpatient,2,ML,38.35,,19.175,23.01,37.1995,36.049,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,31.8305,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,36.2791,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,37.1995,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,33.748,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,30.71835,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,35.623315,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.722185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,60687-524-83,NDC,,,outpatient,2,ML,38.35,,19.175,23.01,37.1995,36.049,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,31.8305,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,36.2791,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,37.1995,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,33.748,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,30.71835,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,35.623315,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.722185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,51079-020-01,NDC,,,outpatient,1,EA,53.52,,26.76,32.112,51.9144,50.3088,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,44.4216,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,50.62992,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,51.9144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,47.0976,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,42.86952,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,49.714728,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.874872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,51079-020-03,NDC,,,outpatient,1,EA,53.52,,26.76,32.112,51.9144,50.3088,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,44.4216,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,50.62992,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,51.9144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,47.0976,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,42.86952,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,49.714728,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.874872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,0574-9855-10,NDC,,,outpatient,1,EA,2.19,,1.095,1.314,2.1243,2.0586,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.8177,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.07174,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.1243,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.9272,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.75419,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,2.034291,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.754409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,60687-596-32,NDC,,,outpatient,1,EA,60.75,,30.375,36.45,58.9275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,48.66075,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,56.430675,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.666825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,60687-596-33,NDC,,,outpatient,1,EA,60.75,,30.375,36.45,58.9275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,48.66075,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,56.430675,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.666825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INFUSION (NON-TITRATABLE TASK) [1001911],0250,RC,0641-6008-10,NDC,J1939,HCPCS,outpatient,4,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,55390-500-10,NDC,J1939,HCPCS,outpatient,10,ML,5.94,,2.97,3.564,5.7618,5.5836,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,4.9302,,,,percent of total billed charges,,5.346,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.61924,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.7618,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.2272,,,,percent of total billed charges,,5.346,,,,percent of total billed charges,,4.75794,,,,percent of total billed charges,,5.346,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,5.517666,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.758534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0409-1412-04,NDC,J1939,HCPCS,outpatient,4,ML,3.98,,1.99,2.388,3.8606,3.7412,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.3034,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.76508,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.8606,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.5024,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,3.18798,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,3.697022,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.188378,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0409-1412-10,NDC,J1939,HCPCS,outpatient,10,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0641-6008-01,NDC,J1939,HCPCS,outpatient,4,ML,12.37,,6.185,7.422,11.9989,11.6278,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.2671,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.70202,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.9989,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.8856,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,9.90837,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,11.490493,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.909607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0641-6007-01,NDC,J1939,HCPCS,outpatient,10,ML,13.41,,6.705,8.046,13.0077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,10.74141,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,12.456549,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.742751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0641-6007-10,NDC,J1939,HCPCS,outpatient,10,ML,13.41,,6.705,8.046,13.0077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,10.74141,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,12.456549,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.742751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0641-6008-10,NDC,J1939,HCPCS,outpatient,4,ML,12.37,,6.185,7.422,11.9989,11.6278,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.2671,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.70202,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.9989,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.8856,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,9.90837,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,11.490493,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.909607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0409-1412-34,NDC,J1939,HCPCS,outpatient,4,ML,3.98,,1.99,2.388,3.8606,3.7412,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.3034,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.76508,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.8606,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.5024,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,3.18798,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,3.697022,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.188378,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,0409-1412-40,NDC,J1939,HCPCS,outpatient,10,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,70860-405-04,NDC,J1939,HCPCS,outpatient,4,ML,9.18,,4.59,5.508,8.9046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,7.35318,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,8.527302,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.354098,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,70860-405-41,NDC,J1939,HCPCS,outpatient,4,ML,9.18,,4.59,5.508,8.9046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,7.35318,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,8.527302,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.354098,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,70860-406-10,NDC,J1939,HCPCS,outpatient,10,ML,9.99,,4.995,5.994,9.6903,9.3906,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.2917,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.45054,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.6903,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.7912,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,8.00199,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,9.279711,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.002989,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,70860-406-41,NDC,J1939,HCPCS,outpatient,10,ML,9.99,,4.995,5.994,9.6903,9.3906,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.2917,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.45054,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.6903,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.7912,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,8.00199,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,9.279711,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.002989,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,72205-101-01,NDC,J1939,HCPCS,outpatient,4,ML,10.77,,5.385,6.462,10.4469,10.1238,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.9391,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,10.18842,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.4469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,9.4776,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,8.62677,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,10.004253,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.627847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,72205-101-07,NDC,J1939,HCPCS,outpatient,4,ML,10.77,,5.385,6.462,10.4469,10.1238,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.9391,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,10.18842,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.4469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,9.4776,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,8.62677,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,10.004253,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.627847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,72205-102-01,NDC,J1939,HCPCS,outpatient,10,ML,12.42,,6.21,7.452,12.0474,11.6748,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.3086,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.74932,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,12.0474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.9296,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,9.94842,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,11.536938,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.949662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,72205-102-07,NDC,J1939,HCPCS,outpatient,10,ML,12.42,,6.21,7.452,12.0474,11.6748,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.3086,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.74932,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,12.0474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.9296,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,9.94842,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,11.536938,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.949662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,65219-570-01,NDC,J1939,HCPCS,outpatient,4,ML,6.99,,3.495,4.194,6.7803,6.5706,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.8017,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.61254,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.7803,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.1512,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,5.59899,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,6.493011,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.599689,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,65219-570-04,NDC,J1939,HCPCS,outpatient,4,ML,6.99,,3.495,4.194,6.7803,6.5706,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.8017,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.61254,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.7803,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.1512,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,5.59899,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,6.493011,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.599689,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,65219-572-01,NDC,J1939,HCPCS,outpatient,10,ML,7.52,,3.76,4.512,7.2944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.02352,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,6.985328,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.024272,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,65219-572-10,NDC,J1939,HCPCS,outpatient,10,ML,7.52,,3.76,4.512,7.2944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.02352,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,6.985328,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.024272,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,68462-469-40,NDC,J1939,HCPCS,outpatient,4,ML,6.81,,3.405,4.086,6.6057,6.4014,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.6523,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.44226,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.6057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.9928,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,5.45481,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,6.325809,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.455491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,68462-469-54,NDC,J1939,HCPCS,outpatient,4,ML,6.81,,3.405,4.086,6.6057,6.4014,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.6523,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.44226,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.6057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.9928,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,5.45481,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,6.325809,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.455491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,68462-470-40,NDC,J1939,HCPCS,outpatient,10,ML,8.19,,4.095,4.914,7.9443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,6.56019,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,7.607691,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.561009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,68462-470-54,NDC,J1939,HCPCS,outpatient,10,ML,8.19,,4.095,4.914,7.9443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,6.56019,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,7.607691,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.561009,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,60687-384-25,NDC,,,outpatient,1,EA,7.11,,3.555,4.266,6.8967,6.6834,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.9013,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.72606,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.8967,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.2568,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,5.69511,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,6.604479,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.695821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,60687-384-95,NDC,,,outpatient,1,EA,7.11,,3.555,4.266,6.8967,6.6834,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.9013,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.72606,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.8967,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.2568,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,5.69511,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,6.604479,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.695821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,50268-131-11,NDC,,,outpatient,1,EA,4.83,,2.415,2.898,4.6851,4.5402,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.0089,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.56918,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.6851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,3.86883,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,4.486587,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.869313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,50268-131-15,NDC,,,outpatient,1,EA,4.83,,2.415,2.898,4.6851,4.5402,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.0089,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.56918,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.6851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,3.86883,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,4.486587,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.869313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,60687-384-01,NDC,,,outpatient,1,EA,4.79,,2.395,2.874,4.6463,4.5026,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.9757,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.53134,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.6463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.2152,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,3.83679,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,4.449431,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.837269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,60687-384-11,NDC,,,outpatient,1,EA,4.79,,2.395,2.874,4.6463,4.5026,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.9757,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.53134,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.6463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.2152,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,3.83679,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,4.449431,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.837269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,0904-7016-06,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,0904-7016-61,NDC,,,outpatient,1,EA,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,0338-0017-04,NDC,,,outpatient,60,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,0409-3613-01,NDC,,,outpatient,2,ML,11.08,,5.54,6.648,10.7476,10.4152,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.1964,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.48168,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.7476,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.7504,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,8.87508,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,10.292212,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.876188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,0409-1761-02,NDC,,,outpatient,2,ML,16.83,,8.415,10.098,16.3251,15.8202,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,13.9689,,,,percent of total billed charges,,15.147,,,,percent of total billed charges,,15.4836,,,,percent of total billed charges,,15.4836,,,,percent of total billed charges,,15.92118,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,16.3251,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,14.8104,,,,percent of total billed charges,,15.147,,,,percent of total billed charges,,13.48083,,,,percent of total billed charges,,15.147,,,,percent of total billed charges,,10.098,,,,percent of total billed charges,,15.633387,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,10.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.482513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,69374-994-02,NDC,,,outpatient,2,ML,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,0409-3613-11,NDC,,,outpatient,2,ML,11.08,,5.54,6.648,10.7476,10.4152,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.1964,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.48168,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.7476,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.7504,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,8.87508,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,10.292212,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.876188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0409-1165-02,NDC,J0665,HCPCS,outpatient,30,ML,14.85,,7.425,8.91,14.4045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,11.89485,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,13.794165,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.896335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0409-1582-10,NDC,J0665,HCPCS,outpatient,10,ML,16.2,,8.1,9.72,15.714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,12.9762,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,15.04818,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.97782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0409-1165-01,NDC,J0665,HCPCS,outpatient,10,ML,8.82,,4.41,5.292,8.5554,8.2908,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.3206,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.34372,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5554,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.7616,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,7.06482,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,8.192898,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.065702,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,63323-472-37,NDC,J0665,HCPCS,outpatient,30,ML,11.07,,5.535,6.642,10.7379,10.4058,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.1881,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.47222,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.7379,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.7416,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,8.86707,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,10.282923,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.868177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,9999-1224-03,NDC,J0665,HCPCS,outpatient,3,ML,0.96,,0.48,0.576,0.9312,0.9024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.7968,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.90816,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.9312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.8448,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.76896,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.891744,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.769056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,9999-1224-04,NDC,J0665,HCPCS,outpatient,4,ML,1.28,,0.64,0.768,1.2416,1.2032,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.0624,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.21088,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.2416,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.1264,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.02528,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,1.188992,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.025408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,55150-171-10,NDC,J0665,HCPCS,outpatient,10,ML,10.85,,5.425,6.51,10.5245,10.199,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.0055,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,10.2641,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.5245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.548,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,8.69085,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,10.078565,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.691935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0409-1582-18,NDC,J0665,HCPCS,outpatient,10,ML,16.2,,8.1,9.72,15.714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,12.9762,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,15.04818,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.97782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0409-1165-18,NDC,J0665,HCPCS,outpatient,10,ML,8.82,,4.41,5.292,8.5554,8.2908,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.3206,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.34372,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5554,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.7616,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,7.06482,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,8.192898,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.065702,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0409-1165-19,NDC,J0665,HCPCS,outpatient,30,ML,14.85,,7.425,8.91,14.4045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,11.89485,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,13.794165,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.896335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0143-9335-01,NDC,J0665,HCPCS,outpatient,30,ML,15.53,,7.765,9.318,15.0641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,12.43953,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,14.425817,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.441083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,0143-9335-10,NDC,J0665,HCPCS,outpatient,30,ML,15.53,,7.765,9.318,15.0641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,12.43953,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,14.425817,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.441083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,71288-728-32,NDC,J0665,HCPCS,outpatient,30,ML,20.66,,10.33,12.396,20.0402,19.4204,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,17.1478,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.54436,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,20.0402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,18.1808,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,16.54866,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,19.191074,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.550726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE 0.25% LOCAL INFILTRATION [231970],0250,RC,0409-1160-01,NDC,J0665,HCPCS,outpatient,50,ML,11.93,,5.965,7.158,11.5721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,9.55593,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,11.081777,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.557123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE 0.5% LOCAL INFILTRATION [244669],0250,RC,0409-1610-50,NDC,J0665,HCPCS,outpatient,50,ML,16.88,,8.44,10.128,16.3736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,13.52088,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,15.679832,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.522568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,60,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,65250-266-20,NDC,J0666,HCPCS,outpatient,20,ML,1511.82,,755.91,907.092,1466.4654,1421.1108,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1254.8106,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1430.18172,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1466.4654,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1330.4016,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,1210.96782,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,1404.329598,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1211.119002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,65250-133-04,NDC,J0666,HCPCS,outpatient,10,ML,889.07,,444.535,533.442,862.3979,835.7258,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,737.9281,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,841.06022,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,862.3979,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,782.3816,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,712.14507,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,825.857123,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,712.233977,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,65250-133-10,NDC,J0666,HCPCS,outpatient,10,ML,889.07,,444.535,533.442,862.3979,835.7258,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,737.9281,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,841.06022,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,862.3979,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,782.3816,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,712.14507,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,825.857123,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,712.233977,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,65250-266-09,NDC,J0666,HCPCS,outpatient,20,ML,1511.82,,755.91,907.092,1466.4654,1421.1108,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1254.8106,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1430.18172,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1466.4654,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1330.4016,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,1210.96782,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,1404.329598,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1211.119002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,12496-1202-3,NDC,J0572,HCPCS,outpatient,1,EA,20.73,,10.365,12.438,20.1081,19.4862,,,,percent of total billed charges,,16.584,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,17.2059,,,,percent of total billed charges,,18.657,,,,percent of total billed charges,,19.0716,,,,percent of total billed charges,,19.0716,,,,percent of total billed charges,,19.61058,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,20.1081,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,18.2424,,,,percent of total billed charges,,18.657,,,,percent of total billed charges,,16.60473,,,,percent of total billed charges,,18.657,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,19.256097,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,16.584,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.606803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,0781-7216-06,NDC,J0572,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,0781-7216-64,NDC,J0572,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,43598-579-01,NDC,J0572,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,43598-579-30,NDC,J0572,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,0378-8765-16,NDC,J0572,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,0378-8765-93,NDC,J0572,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,12496-1204-3,NDC,J0573,HCPCS,outpatient,1,EA,37.15,,18.575,22.29,36.0355,34.921,,,,percent of total billed charges,,29.72,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,30.8345,,,,percent of total billed charges,,33.435,,,,percent of total billed charges,,34.178,,,,percent of total billed charges,,34.178,,,,percent of total billed charges,,35.1439,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,36.0355,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,32.692,,,,percent of total billed charges,,33.435,,,,percent of total billed charges,,29.75715,,,,percent of total billed charges,,33.435,,,,percent of total billed charges,,22.29,,,,percent of total billed charges,,34.508635,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,29.72,,,,percent of total billed charges,,22.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.760865,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,43598-580-01,NDC,J0573,HCPCS,outpatient,1,EA,15.25,,7.625,9.15,14.7925,14.335,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.6575,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.4265,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.7925,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,13.42,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,12.21525,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,14.165725,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.216775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,43598-580-30,NDC,J0573,HCPCS,outpatient,1,EA,15.25,,7.625,9.15,14.7925,14.335,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.6575,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.4265,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.7925,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,13.42,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,12.21525,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,14.165725,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.216775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,0781-7227-64,NDC,J0573,HCPCS,outpatient,1,EA,15.76,,7.88,9.456,15.2872,14.8144,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.0808,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.90896,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,15.2872,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.8688,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,12.62376,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,14.639464,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.625336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,0781-7227-06,NDC,J0573,HCPCS,outpatient,1,EA,15.76,,7.88,9.456,15.2872,14.8144,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.0808,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.90896,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,15.2872,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.8688,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,12.62376,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,14.639464,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.625336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,43598-582-01,NDC,J0574,HCPCS,outpatient,1,EA,12.21,,6.105,7.326,11.8437,11.4774,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.1343,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.55066,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.8437,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.7448,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,9.78021,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,11.341869,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.781431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,43598-582-30,NDC,J0574,HCPCS,outpatient,1,EA,12.21,,6.105,7.326,11.8437,11.4774,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.1343,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.55066,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.8437,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.7448,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,9.78021,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,11.341869,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.781431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,50742-364-01,NDC,J0574,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,50742-364-30,NDC,J0574,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,0054-0176-13,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,50383-924-93,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,42858-501-03,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,60687-481-11,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,60687-481-21,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,0054-0177-13,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,0228-3153-03,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,42858-502-03,NDC,J0571,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,60687-492-11,NDC,J0571,HCPCS,outpatient,1,EA,15.04,,7.52,9.024,14.5888,14.1376,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.4832,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,14.22784,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.5888,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,13.2352,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,12.04704,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,13.970656,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.048544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,60687-492-21,NDC,J0571,HCPCS,outpatient,1,EA,15.04,,7.52,9.024,14.5888,14.1376,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.4832,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,14.22784,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.5888,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,13.2352,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,12.04704,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,13.970656,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.048544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,0904-7155-04,NDC,J0571,HCPCS,outpatient,1,EA,11.52,,5.76,6.912,11.1744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,9.22752,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,10.700928,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.228672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,50268-143-11,NDC,,,outpatient,1,EA,5.66,,2.83,3.396,5.4902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,4.53366,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.257574,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.534226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,50268-143-15,NDC,,,outpatient,1,EA,5.66,,2.83,3.396,5.4902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,4.53366,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.257574,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.534226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,60687-351-01,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,60687-351-11,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,51079-943-01,NDC,,,outpatient,1,EA,3.62,,1.81,2.172,3.5114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.89962,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.362618,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.899982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,51079-943-20,NDC,,,outpatient,1,EA,3.62,,1.81,2.172,3.5114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.89962,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.362618,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.899982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,50268-142-11,NDC,,,outpatient,1,EA,4.04,,2.02,2.424,3.9188,3.7976,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.3532,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.82184,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.9188,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.5552,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,3.23604,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,3.752756,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.236444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,50268-142-15,NDC,,,outpatient,1,EA,4.04,,2.02,2.424,3.9188,3.7976,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.3532,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.82184,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.9188,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.5552,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,3.23604,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,3.752756,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.236444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,60687-340-01,NDC,,,outpatient,1,EA,4.88,,2.44,2.928,4.7336,4.5872,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.0504,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.61648,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.7336,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.2944,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,3.90888,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,4.533032,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.909368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,60687-340-11,NDC,,,outpatient,1,EA,4.88,,2.44,2.928,4.7336,4.5872,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.0504,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.61648,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.7336,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.2944,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,3.90888,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,4.533032,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.909368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,0904-6635-61,NDC,,,outpatient,1,EA,4.82,,2.41,2.892,4.6754,4.5308,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.0006,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.55972,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.6754,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.2416,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,3.86082,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,4.477298,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.861302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,51079-391-01,NDC,,,outpatient,1,EA,2.37,,1.185,1.422,2.2989,2.2278,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.9671,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.24202,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2989,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.0856,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.89837,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,2.201493,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.898607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,51079-391-20,NDC,,,outpatient,1,EA,2.37,,1.185,1.422,2.2989,2.2278,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.9671,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.24202,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2989,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.0856,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.89837,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,2.201493,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.898607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,68084-697-01,NDC,,,outpatient,1,EA,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,68084-697-11,NDC,,,outpatient,1,EA,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,70436-058-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,0591-3541-60,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,68084-708-25,NDC,,,outpatient,1,EA,2.41,,1.205,1.446,2.3377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.93041,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.238649,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.930651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,68084-708-95,NDC,,,outpatient,1,EA,2.41,,1.205,1.446,2.3377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.93041,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.238649,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.930651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,0904-6585-61,NDC,,,outpatient,1,EA,1.62,,0.81,0.972,1.5714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.29762,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.504818,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.297782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,0904-7214-61,NDC,,,outpatient,1,EA,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,60687-312-01,NDC,,,outpatient,1,EA,7.51,,3.755,4.506,7.2847,7.0594,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.2333,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,7.10446,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.2847,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.6088,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,6.01551,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,6.976039,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.016261,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,60687-312-11,NDC,,,outpatient,1,EA,7.51,,3.755,4.506,7.2847,7.0594,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.2333,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,7.10446,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.2847,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.6088,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,6.01551,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,6.976039,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.016261,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,68180-319-09,NDC,,,outpatient,1,EA,0.83,,0.415,0.498,0.8051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.66483,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.770987,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.664913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,50268-140-11,NDC,,,outpatient,1,EA,9.04,,4.52,5.424,8.7688,8.4976,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.5032,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.55184,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.7688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.9552,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,7.24104,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,8.397256,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.241944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,50268-140-13,NDC,,,outpatient,1,EA,9.04,,4.52,5.424,8.7688,8.4976,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.5032,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.55184,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.7688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.9552,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,7.24104,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,8.397256,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.241944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,0904-7084-04,NDC,,,outpatient,1,EA,3.67,,1.835,2.202,3.5599,3.4498,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.0461,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.47182,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.5599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.2296,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.93967,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,3.409063,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.940037,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,0904-7084-61,NDC,,,outpatient,1,EA,4.79,,2.395,2.874,4.6463,4.5026,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.9757,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.53134,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.6463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.2152,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,3.83679,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,4.449431,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.837269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 10 MG TABLET [9323],0637,RC,51079-986-20,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 10 MG TABLET [9323],0637,RC,51079-986-01,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 5 MG TABLET [9324],0637,RC,51079-985-20,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 5 MG TABLET [9324],0637,RC,51079-985-01,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0637,RC,0527-1695-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0637,RC,60687-672-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0637,RC,60687-672-65,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [81157],0637,RC,0527-1552-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [81157],0637,RC,0591-3219-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTAMBEN-TETRACAINE-BENZOCAINE 2%-2%-14% TOPICAL SPRAY - CHI [7000106],0637,RC,10223-0201-3,NDC,,,outpatient,20,GR,467.55,,233.775,280.53,453.5235,439.497,,,,percent of total billed charges,,374.04,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,388.0665,,,,percent of total billed charges,,420.795,,,,percent of total billed charges,,430.146,,,,percent of total billed charges,,430.146,,,,percent of total billed charges,,442.3023,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,453.5235,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,411.444,,,,percent of total billed charges,,420.795,,,,percent of total billed charges,,374.50755,,,,percent of total billed charges,,420.795,,,,percent of total billed charges,,280.53,,,,percent of total billed charges,,434.307195,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,374.04,,,,percent of total billed charges,,280.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,374.554305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTAMBEN-TETRACAINE-BENZOCAINE 2%-2%-14% TOPICAL SPRAY - CHI [7000106],0637,RC,10223-0201-4,NDC,,,outpatient,5,GR,239.67,,119.835,143.802,232.4799,225.2898,,,,percent of total billed charges,,191.736,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,198.9261,,,,percent of total billed charges,,215.703,,,,percent of total billed charges,,220.4964,,,,percent of total billed charges,,220.4964,,,,percent of total billed charges,,226.72782,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,232.4799,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,210.9096,,,,percent of total billed charges,,215.703,,,,percent of total billed charges,,191.97567,,,,percent of total billed charges,,215.703,,,,percent of total billed charges,,143.802,,,,percent of total billed charges,,222.629463,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,191.736,,,,percent of total billed charges,,143.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,191.999637,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 1 MG/ML INJECTION SOLUTION [9333],0636,RC,0409-1623-01,NDC,J0595,HCPCS,outpatient,1,ML,24.69,,12.345,14.814,23.9493,23.2086,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,20.4927,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,23.35674,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.9493,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,21.7272,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,19.77669,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,22.934541,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.779159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 1 MG/ML INJECTION SOLUTION [9333],0636,RC,0409-1623-21,NDC,J0595,HCPCS,outpatient,1,ML,24.69,,12.345,14.814,23.9493,23.2086,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,20.4927,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,23.35674,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.9493,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,21.7272,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,19.77669,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,22.934541,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.779159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],0636,RC,0409-1626-01,NDC,J0595,HCPCS,outpatient,1,ML,30.11,,15.055,18.066,29.2067,28.3034,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.9913,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,28.48406,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,29.2067,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,26.4968,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,24.11811,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,27.969179,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.121121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],0636,RC,0409-1626-21,NDC,J0595,HCPCS,outpatient,1,ML,30.11,,15.055,18.066,29.2067,28.3034,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.9913,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,28.48406,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,29.2067,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,26.4968,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,24.11811,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,27.969179,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.121121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [200352],0636,RC,0024-5824-11,NDC,J9043,HCPCS,outpatient,6,ML,55476.72,,27738.36,33286.032,53812.4184,52148.1168,,,,percent of total billed charges,,44381.376,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,46045.6776,,,,percent of total billed charges,,49929.048,,,,percent of total billed charges,,51038.5824,,,,percent of total billed charges,,51038.5824,,,,percent of total billed charges,,52480.97712,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,53812.4184,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,48819.5136,,,,percent of total billed charges,,49929.048,,,,percent of total billed charges,,44436.85272,,,,percent of total billed charges,,49929.048,,,,percent of total billed charges,,33286.032,,,,percent of total billed charges,,51532.32521,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,44381.376,,,,percent of total billed charges,,33286.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44442.40039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 10 MG/ML IN D5W IV PEDS DILUTION - LOADING DOSE [7000240],0636,RC,9997-0002-40,NDC,J0706,HCPCS,outpatient,1,ML,14.12,,7.06,8.472,13.6964,13.2728,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.7196,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,13.35752,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.6964,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,12.4256,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,11.31012,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,13.116068,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.311532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 10 MG/ML IN D5W IV PEDS DILUTION - MAINTENANCE DOSE [7000241],0636,RC,9997-0002-41,NDC,J0706,HCPCS,outpatient,1,ML,14.12,,7.06,8.472,13.6964,13.2728,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.7196,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,13.35752,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.6964,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,12.4256,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,11.31012,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,13.116068,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.311532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,63323-407-03,NDC,J0706,HCPCS,outpatient,3,ML,20.79,,10.395,12.474,20.1663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,16.65279,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,19.311831,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.654869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,25021-601-03,NDC,J0706,HCPCS,outpatient,3,ML,21.74,,10.87,13.044,21.0878,20.4356,,,,percent of total billed charges,,17.392,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,18.0442,,,,percent of total billed charges,,19.566,,,,percent of total billed charges,,20.0008,,,,percent of total billed charges,,20.0008,,,,percent of total billed charges,,20.56604,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,21.0878,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,19.1312,,,,percent of total billed charges,,19.566,,,,percent of total billed charges,,17.41374,,,,percent of total billed charges,,19.566,,,,percent of total billed charges,,13.044,,,,percent of total billed charges,,20.194286,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,17.392,,,,percent of total billed charges,,13.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.415914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,51754-0500-1,NDC,J0706,HCPCS,outpatient,3,ML,26.87,,13.435,16.122,26.0639,25.2578,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,22.3021,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,25.41902,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,26.0639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,23.6456,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,21.52287,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,24.959543,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.525557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,72485-104-01,NDC,J0706,HCPCS,outpatient,3,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,47335-290-44,NDC,,,outpatient,3,ML,20.16,,10.08,12.096,19.5552,18.9504,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.7328,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,19.07136,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.5552,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,17.7408,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,16.14816,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,18.726624,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.150176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,25021-602-03,NDC,,,outpatient,3,ML,44.18,,22.09,26.508,42.8546,41.5292,,,,percent of total billed charges,,35.344,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,36.6694,,,,percent of total billed charges,,39.762,,,,percent of total billed charges,,40.6456,,,,percent of total billed charges,,40.6456,,,,percent of total billed charges,,41.79428,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,42.8546,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,38.8784,,,,percent of total billed charges,,39.762,,,,percent of total billed charges,,35.38818,,,,percent of total billed charges,,39.762,,,,percent of total billed charges,,26.508,,,,percent of total billed charges,,41.038802,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,35.344,,,,percent of total billed charges,,26.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.392598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,47335-290-40,NDC,,,outpatient,3,ML,20.16,,10.08,12.096,19.5552,18.9504,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.7328,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,19.07136,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.5552,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,17.7408,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,16.14816,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,18.726624,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.150176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,51754-0501-3,NDC,,,outpatient,3,ML,27.63,,13.815,16.578,26.8011,25.9722,,,,percent of total billed charges,,22.104,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,22.9329,,,,percent of total billed charges,,24.867,,,,percent of total billed charges,,25.4196,,,,percent of total billed charges,,25.4196,,,,percent of total billed charges,,26.13798,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,26.8011,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,24.3144,,,,percent of total billed charges,,24.867,,,,percent of total billed charges,,22.13163,,,,percent of total billed charges,,24.867,,,,percent of total billed charges,,16.578,,,,percent of total billed charges,,25.665507,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,22.104,,,,percent of total billed charges,,16.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.134393,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,72485-110-10,NDC,,,outpatient,3,ML,25.24,,12.62,15.144,24.4828,23.7256,,,,percent of total billed charges,,20.192,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,20.9492,,,,percent of total billed charges,,22.716,,,,percent of total billed charges,,23.2208,,,,percent of total billed charges,,23.2208,,,,percent of total billed charges,,23.87704,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,24.4828,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,22.2112,,,,percent of total billed charges,,22.716,,,,percent of total billed charges,,20.21724,,,,percent of total billed charges,,22.716,,,,percent of total billed charges,,15.144,,,,percent of total billed charges,,23.445436,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,20.192,,,,percent of total billed charges,,15.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.219764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],0250,RC,0517-2502-10,NDC,,,outpatient,2,ML,100.68,,50.34,60.408,97.6596,94.6392,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,83.5644,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,95.24328,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,97.6596,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,88.5984,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,80.64468,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,93.521652,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.654748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],0250,RC,0517-2502-01,NDC,,,outpatient,2,ML,100.68,,50.34,60.408,97.6596,94.6392,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,83.5644,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,95.24328,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,97.6596,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,88.5984,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,80.64468,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,93.521652,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.654748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALAMINE 8 %-ZINC OXIDE 8 % LOTION [137145],0637,RC,0904-2533-21,NDC,,,outpatient,177,ML,5.58,,2.79,3.348,5.4126,5.2452,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.6314,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.27868,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.4126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.9104,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,4.46958,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,5.183262,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.470138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [80191],0637,RC,60505-0823-6,NDC,,,outpatient,3.7,ML,232.74,,116.37,139.644,225.7578,218.7756,,,,percent of total billed charges,,186.192,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,193.1742,,,,percent of total billed charges,,209.466,,,,percent of total billed charges,,214.1208,,,,percent of total billed charges,,214.1208,,,,percent of total billed charges,,220.17204,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,225.7578,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,204.8112,,,,percent of total billed charges,,209.466,,,,percent of total billed charges,,186.42474,,,,percent of total billed charges,,209.466,,,,percent of total billed charges,,139.644,,,,percent of total billed charges,,216.192186,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,186.192,,,,percent of total billed charges,,139.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,186.448014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [80191],0637,RC,49884-161-11,NDC,,,outpatient,3.7,ML,207.36,,103.68,124.416,201.1392,194.9184,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,172.1088,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,190.7712,,,,percent of total billed charges,,190.7712,,,,percent of total billed charges,,196.16256,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,201.1392,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,182.4768,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,166.09536,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,192.616704,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.116096,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [83024],0636,RC,67457-675-02,NDC,J0630,HCPCS,outpatient,2,ML,4552.34,,2276.17,2731.404,4415.7698,4279.1996,,,,percent of total billed charges,,3641.872,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,3778.4422,,,,percent of total billed charges,,4097.106,,,,percent of total billed charges,,4188.1528,,,,percent of total billed charges,,4188.1528,,,,percent of total billed charges,,4306.51364,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,4415.7698,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,4006.0592,,,,percent of total billed charges,,4097.106,,,,percent of total billed charges,,3646.42434,,,,percent of total billed charges,,4097.106,,,,percent of total billed charges,,2731.404,,,,percent of total billed charges,,4228.668626,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,3641.872,,,,percent of total billed charges,,2731.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3646.879574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [83024],0636,RC,24201-400-02,NDC,J0630,HCPCS,outpatient,2,ML,4342.77,,2171.385,2605.662,4212.4869,4082.2038,,,,percent of total billed charges,,3474.216,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,3604.4991,,,,percent of total billed charges,,3908.493,,,,percent of total billed charges,,3995.3484,,,,percent of total billed charges,,3995.3484,,,,percent of total billed charges,,4108.26042,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,4212.4869,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,3821.6376,,,,percent of total billed charges,,3908.493,,,,percent of total billed charges,,3478.55877,,,,percent of total billed charges,,3908.493,,,,percent of total billed charges,,2605.662,,,,percent of total billed charges,,4033.999053,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,3474.216,,,,percent of total billed charges,,2605.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3478.993047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [83024],0636,RC,42023-205-01,NDC,J0630,HCPCS,outpatient,2,ML,4446.14,,2223.07,2667.684,4312.7558,4179.3716,,,,percent of total billed charges,,3556.912,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,3690.2962,,,,percent of total billed charges,,4001.526,,,,percent of total billed charges,,4090.4488,,,,percent of total billed charges,,4090.4488,,,,percent of total billed charges,,4206.04844,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,4312.7558,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,3912.6032,,,,percent of total billed charges,,4001.526,,,,percent of total billed charges,,3561.35814,,,,percent of total billed charges,,4001.526,,,,percent of total billed charges,,2667.684,,,,percent of total billed charges,,4130.019446,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,3556.912,,,,percent of total billed charges,,2667.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3561.802754,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,0054-0007-13,NDC,,,outpatient,1,EA,1.58,,0.79,0.948,1.5326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.26558,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.467662,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.265738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,69452-207-13,NDC,,,outpatient,1,EA,1.2,,0.6,0.72,1.164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.9612,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.11468,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.96132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,69452-207-20,NDC,,,outpatient,1,EA,1.25,,0.625,0.75,1.2125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.00125,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.161125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.001375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,60687-345-01,NDC,,,outpatient,1,EA,3.33,,1.665,1.998,3.2301,3.1302,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.7639,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.15018,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.2301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.9304,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,2.66733,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,3.093237,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.667663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,60687-345-11,NDC,,,outpatient,1,EA,3.33,,1.665,1.998,3.2301,3.1302,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.7639,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.15018,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.2301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.9304,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,2.66733,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,3.093237,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.667663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,62756-967-83,NDC,,,outpatient,1,EA,0.91,,0.455,0.546,0.8827,0.8554,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.7553,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.86086,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8008,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.72891,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,0.845299,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.729001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,0135-0070-27,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,0536-1048-15,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,68084-988-32,NDC,,,outpatient,1,EA,3.71,,1.855,2.226,3.5987,3.4874,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.0793,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.50966,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5987,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.2648,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.97171,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,3.446219,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.972081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,68084-988-33,NDC,,,outpatient,1,EA,3.71,,1.855,2.226,3.5987,3.4874,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.0793,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.50966,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5987,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.2648,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.97171,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,3.446219,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.972081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET [40378],0637,RC,0904506260,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET [40378],0637,RC,8068114000,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0637,RC,0904546052,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0637,RC,1000670038,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,0054-0088-26,NDC,J0615,HCPCS,outpatient,1,EA,2.57,,1.285,1.542,2.4929,2.4158,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.1331,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.43122,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.2616,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.05857,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,2.387273,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.058827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,68084-479-01,NDC,J0615,HCPCS,outpatient,1,EA,5.51,,2.755,3.306,5.3447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.41351,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.118239,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.414061,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,68084-479-11,NDC,J0615,HCPCS,outpatient,1,EA,5.51,,2.755,3.306,5.3447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.41351,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.118239,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.414061,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,0904-7119-06,NDC,J0615,HCPCS,outpatient,1,EA,4.46,,2.23,2.676,4.3262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,3.57246,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.142894,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.572906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,0904-7119-61,NDC,J0615,HCPCS,outpatient,1,EA,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1306],0250,RC,0517-2710-25,NDC,,,outpatient,10,ML,32.85,,16.425,19.71,31.8645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,26.31285,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,30.514365,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.316135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,0409-4928-34,NDC,,,outpatient,10,ML,55.98,,27.99,33.588,54.3006,52.6212,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,46.4634,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,52.95708,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,54.3006,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,49.2624,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,44.83998,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,51.999822,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.845578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,76329-3304-1,NDC,,,outpatient,10,ML,39.29,,19.645,23.574,38.1113,36.9326,,,,percent of total billed charges,,31.432,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,32.6107,,,,percent of total billed charges,,35.361,,,,percent of total billed charges,,36.1468,,,,percent of total billed charges,,36.1468,,,,percent of total billed charges,,37.16834,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,38.1113,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,34.5752,,,,percent of total billed charges,,35.361,,,,percent of total billed charges,,31.47129,,,,percent of total billed charges,,35.361,,,,percent of total billed charges,,23.574,,,,percent of total billed charges,,36.496481,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,31.432,,,,percent of total billed charges,,23.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.475219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,0409-4928-11,NDC,,,outpatient,10,ML,55.98,,27.99,33.588,54.3006,52.6212,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,46.4634,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,52.95708,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,54.3006,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,49.2624,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,44.83998,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,51.999822,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.845578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,0409-4928-34,NDC,,,outpatient,333,ME,18.65,,9.325,11.19,18.0905,17.531,,,,percent of total billed charges,,14.92,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,15.4795,,,,percent of total billed charges,,16.785,,,,percent of total billed charges,,17.158,,,,percent of total billed charges,,17.158,,,,percent of total billed charges,,17.6429,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,18.0905,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,16.412,,,,percent of total billed charges,,16.785,,,,percent of total billed charges,,14.93865,,,,percent of total billed charges,,16.785,,,,percent of total billed charges,,11.19,,,,percent of total billed charges,,17.323985,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,14.92,,,,percent of total billed charges,,11.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.940515,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,44567-620-01,NDC,J0613,HCPCS,outpatient,50,ML,35.33,,17.665,21.198,34.2701,33.2102,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,29.3239,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,33.42218,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,34.2701,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,31.0904,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,28.29933,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,32.818037,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.302863,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,44567-620-24,NDC,J0613,HCPCS,outpatient,50,ML,35.33,,17.665,21.198,34.2701,33.2102,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,29.3239,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,33.42218,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,34.2701,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,31.0904,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,28.29933,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,32.818037,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.302863,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,80830-2362-1,NDC,J0613,HCPCS,outpatient,50,ML,33.75,,16.875,20.25,32.7375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,27.03375,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,31.350375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.037125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,80830-2362-9,NDC,J0613,HCPCS,outpatient,50,ML,81.68,,40.84,49.008,79.2296,76.7792,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,67.7944,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,77.26928,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,79.2296,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,71.8784,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,65.42568,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,75.872552,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.433848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,63323-360-01,NDC,J0612,HCPCS,outpatient,10,ML,36.77,,18.385,22.062,35.6669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,29.45277,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,34.155653,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.456447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,63323-360-19,NDC,J0612,HCPCS,outpatient,10,ML,36.77,,18.385,22.062,35.6669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,29.45277,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,34.155653,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.456447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,0143-9180-01,NDC,J0612,HCPCS,outpatient,10,ML,33.8,,16.9,20.28,32.786,31.772,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,28.054,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.9748,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,29.744,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,27.0738,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,31.39682,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.07718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,0143-9180-25,NDC,J0612,HCPCS,outpatient,10,ML,33.8,,16.9,20.28,32.786,31.772,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,28.054,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.9748,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,29.744,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,27.0738,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,31.39682,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.07718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,0.5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,63323-360-19,NDC,J0612,HCPCS,outpatient,6760,ME,248.54,,124.27,149.124,241.0838,233.6276,,,,percent of total billed charges,,198.832,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,206.2882,,,,percent of total billed charges,,223.686,,,,percent of total billed charges,,228.6568,,,,percent of total billed charges,,228.6568,,,,percent of total billed charges,,235.11884,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,241.0838,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,218.7152,,,,percent of total billed charges,,223.686,,,,percent of total billed charges,,199.08054,,,,percent of total billed charges,,223.686,,,,percent of total billed charges,,149.124,,,,percent of total billed charges,,230.868806,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,198.832,,,,percent of total billed charges,,149.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,199.105394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,63323-360-19,NDC,J0612,HCPCS,outpatient,1000,ME,36.77,,18.385,22.062,35.6669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,29.45277,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,34.155653,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.456447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,63323-360-19,NDC,J0612,HCPCS,outpatient,1000,ME,36.77,,18.385,22.062,35.6669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,29.45277,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,34.155653,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.456447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,0005-2500-02,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,0536-4306-08,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,77333-120-25,NDC,,,outpatient,1,EA,1.84,,0.92,1.104,1.7848,1.7296,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.5272,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.74064,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.47384,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.709176,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.474024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,77333-120-50,NDC,,,outpatient,1,EA,1.84,,0.92,1.104,1.7848,1.7296,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.5272,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.74064,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.47384,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.709176,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.474024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALFACTANT 35 MG/ML IN 0.9% SODIUM CHLORIDE INTRATRACHEAL SUSPENSION [76930],0250,RC,61938-456-06,NDC,,,outpatient,6,ML,2933.01,,1466.505,1759.806,2845.0197,2757.0294,,,,percent of total billed charges,,2346.408,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2434.3983,,,,percent of total billed charges,,2639.709,,,,percent of total billed charges,,2698.3692,,,,percent of total billed charges,,2698.3692,,,,percent of total billed charges,,2774.62746,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2845.0197,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2581.0488,,,,percent of total billed charges,,2639.709,,,,percent of total billed charges,,2349.34101,,,,percent of total billed charges,,2639.709,,,,percent of total billed charges,,1759.806,,,,percent of total billed charges,,2724.472989,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2346.408,,,,percent of total billed charges,,1759.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2349.634311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL [93419],0250,RC,59584-138-01,NDC,,,outpatient,1,ML,1224.23,,612.115,734.538,1187.5031,1150.7762,,,,percent of total billed charges,,979.384,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1016.1109,,,,percent of total billed charges,,1101.807,,,,percent of total billed charges,,1126.2916,,,,percent of total billed charges,,1126.2916,,,,percent of total billed charges,,1158.12158,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1187.5031,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1077.3224,,,,percent of total billed charges,,1101.807,,,,percent of total billed charges,,980.60823,,,,percent of total billed charges,,1101.807,,,,percent of total billed charges,,734.538,,,,percent of total billed charges,,1137.187247,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,979.384,,,,percent of total billed charges,,734.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,980.730653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAPSAICIN 0.025 % TOPICAL CREAM [1350],0637,RC,0536-2525-25,NDC,,,outpatient,60,GR,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBACHOL 0.01 % INTRAOCULAR SOLUTION [80793],0637,RC,0065-0023-15,NDC,,,outpatient,1.5,ML,62.62,,31.31,37.572,60.7414,58.8628,,,,percent of total billed charges,,50.096,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,51.9746,,,,percent of total billed charges,,56.358,,,,percent of total billed charges,,57.6104,,,,percent of total billed charges,,57.6104,,,,percent of total billed charges,,59.23852,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,60.7414,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,55.1056,,,,percent of total billed charges,,56.358,,,,percent of total billed charges,,50.15862,,,,percent of total billed charges,,56.358,,,,percent of total billed charges,,37.572,,,,percent of total billed charges,,58.167718,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,50.096,,,,percent of total billed charges,,37.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.164882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0637,RC,51672-4041-1,NDC,,,outpatient,1,EA,1.07,,0.535,0.642,1.0379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.85707,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,0.993923,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.857177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0637,RC,0904-3854-61,NDC,,,outpatient,1,EA,1.44,,0.72,0.864,1.3968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.337616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.153584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION [196336],0637,RC,68094-301-59,NDC,,,outpatient,5,ML,9.54,,4.77,5.724,9.2538,8.9676,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,7.9182,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,8.7768,,,,percent of total billed charges,,8.7768,,,,percent of total billed charges,,9.02484,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,9.2538,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,8.3952,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,7.64154,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,5.724,,,,percent of total billed charges,,8.861706,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.642494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION [196336],0637,RC,68094-301-62,NDC,,,outpatient,5,ML,9.52,,4.76,5.712,9.2344,8.9488,,,,percent of total billed charges,,7.616,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,7.9016,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,8.7584,,,,percent of total billed charges,,8.7584,,,,percent of total billed charges,,9.00592,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,9.2344,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,8.3776,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,7.62552,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,8.843128,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,7.616,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.626472,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,51672-4047-9,NDC,,,outpatient,450,ML,228.83,,114.415,137.298,221.9651,215.1002,,,,percent of total billed charges,,183.064,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,189.9289,,,,percent of total billed charges,,205.947,,,,percent of total billed charges,,210.5236,,,,percent of total billed charges,,210.5236,,,,percent of total billed charges,,216.47318,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,221.9651,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,201.3704,,,,percent of total billed charges,,205.947,,,,percent of total billed charges,,183.29283,,,,percent of total billed charges,,205.947,,,,percent of total billed charges,,137.298,,,,percent of total billed charges,,212.560187,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,183.064,,,,percent of total billed charges,,137.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.315713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,60432-129-16,NDC,,,outpatient,450,ML,115.43,,57.715,69.258,111.9671,108.5042,,,,percent of total billed charges,,92.344,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,95.8069,,,,percent of total billed charges,,103.887,,,,percent of total billed charges,,106.1956,,,,percent of total billed charges,,106.1956,,,,percent of total billed charges,,109.19678,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,111.9671,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,101.5784,,,,percent of total billed charges,,103.887,,,,percent of total billed charges,,92.45943,,,,percent of total billed charges,,103.887,,,,percent of total billed charges,,69.258,,,,percent of total billed charges,,107.222927,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,92.344,,,,percent of total billed charges,,69.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.470973,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,0078-0508-83,NDC,,,outpatient,450,ML,801.9,,400.95,481.14,777.843,753.786,,,,percent of total billed charges,,641.52,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,665.577,,,,percent of total billed charges,,721.71,,,,percent of total billed charges,,737.748,,,,percent of total billed charges,,737.748,,,,percent of total billed charges,,758.5974,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,777.843,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,721.71,,,,percent of total billed charges,,642.3219,,,,percent of total billed charges,,721.71,,,,percent of total billed charges,,481.14,,,,percent of total billed charges,,744.88491,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,641.52,,,,percent of total billed charges,,481.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,642.40209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,70954-240-10,NDC,,,outpatient,450,ML,253.13,,126.565,151.878,245.5361,237.9422,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,210.0979,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,239.46098,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,245.5361,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,222.7544,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,202.75713,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,235.132457,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.782443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,51672-4005-1,NDC,,,outpatient,1,EA,1.53,,0.765,0.918,1.4841,1.4382,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.2699,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.44738,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.3464,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.22553,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,1.421217,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.225683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,0904-6172-61,NDC,,,outpatient,1,EA,2.88,,1.44,1.728,2.7936,2.7072,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.3904,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.72448,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7936,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.5344,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.675232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.307168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,68084-444-11,NDC,,,outpatient,1,EA,2.98,,1.49,1.788,2.8906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.38698,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,2.768122,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.387278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,68084-444-01,NDC,,,outpatient,1,EA,2.98,,1.49,1.788,2.8906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.38698,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,2.768122,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.387278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION [196334],0637,RC,68094-214-62,NDC,,,outpatient,10,ML,12.74,,6.37,7.644,12.3578,11.9756,,,,percent of total billed charges,,10.192,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,10.5742,,,,percent of total billed charges,,11.466,,,,percent of total billed charges,,11.7208,,,,percent of total billed charges,,11.7208,,,,percent of total billed charges,,12.05204,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,12.3578,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,11.2112,,,,percent of total billed charges,,11.466,,,,percent of total billed charges,,10.20474,,,,percent of total billed charges,,11.466,,,,percent of total billed charges,,7.644,,,,percent of total billed charges,,11.834186,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,10.192,,,,percent of total billed charges,,7.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.206014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,29033-020-12,NDC,,,outpatient,1,EA,6.77,,3.385,4.062,6.5669,6.3638,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.6191,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.40442,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.5669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.9576,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,5.42277,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,6.288653,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.423447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,66993-408-32,NDC,,,outpatient,1,EA,6.62,,3.31,3.972,6.4214,6.2228,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.4946,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.26252,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.4214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.8256,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,5.30262,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,6.149318,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.303282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,50268-171-11,NDC,,,outpatient,1,EA,7.1,,3.55,4.26,6.887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,5.6871,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,6.59519,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.68781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,50268-171-13,NDC,,,outpatient,1,EA,7.1,,3.55,4.26,6.887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,5.6871,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,6.59519,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.68781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,54092-173-12,NDC,,,outpatient,1,EA,7.34,,3.67,4.404,7.1198,6.8996,,,,percent of total billed charges,,5.872,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,6.0922,,,,percent of total billed charges,,6.606,,,,percent of total billed charges,,6.7528,,,,percent of total billed charges,,6.7528,,,,percent of total billed charges,,6.94364,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,7.1198,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,6.4592,,,,percent of total billed charges,,6.606,,,,percent of total billed charges,,5.87934,,,,percent of total billed charges,,6.606,,,,percent of total billed charges,,4.404,,,,percent of total billed charges,,6.818126,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,5.872,,,,percent of total billed charges,,4.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.880074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,66993-409-32,NDC,,,outpatient,1,EA,6.73,,3.365,4.038,6.5281,6.3262,,,,percent of total billed charges,,5.384,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,5.5859,,,,percent of total billed charges,,6.057,,,,percent of total billed charges,,6.1916,,,,percent of total billed charges,,6.1916,,,,percent of total billed charges,,6.36658,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,6.5281,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,5.9224,,,,percent of total billed charges,,6.057,,,,percent of total billed charges,,5.39073,,,,percent of total billed charges,,6.057,,,,percent of total billed charges,,4.038,,,,percent of total billed charges,,6.251497,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,5.384,,,,percent of total billed charges,,4.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.391403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,50268-172-11,NDC,,,outpatient,1,EA,7.1,,3.55,4.26,6.887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,5.6871,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,6.59519,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.68781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,50268-172-13,NDC,,,outpatient,1,EA,7.1,,3.55,4.26,6.887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,5.6871,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,6.59519,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.68781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 10 % ORAL RINSE [77650],0637,RC,0904-4062-03,NDC,,,outpatient,60,ML,8.1,,4.05,4.86,7.857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,6.4881,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,7.52409,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.48891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 10 % ORAL RINSE [77650],0637,RC,4203710475,NDC,,,outpatient,15,ML,17.49,,8.745,10.494,16.9653,16.4406,,,,percent of total billed charges,,13.992,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,14.5167,,,,percent of total billed charges,,15.741,,,,percent of total billed charges,,16.0908,,,,percent of total billed charges,,16.0908,,,,percent of total billed charges,,16.54554,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,16.9653,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,15.3912,,,,percent of total billed charges,,15.741,,,,percent of total billed charges,,14.00949,,,,percent of total billed charges,,15.741,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,16.246461,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,13.992,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.011239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,7811273621,NDC,,,outpatient,15,ML,20.59,,10.295,12.354,19.9723,19.3546,,,,percent of total billed charges,,16.472,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,17.0897,,,,percent of total billed charges,,18.531,,,,percent of total billed charges,,18.9428,,,,percent of total billed charges,,18.9428,,,,percent of total billed charges,,19.47814,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,19.9723,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,18.1192,,,,percent of total billed charges,,18.531,,,,percent of total billed charges,,16.49259,,,,percent of total billed charges,,18.531,,,,percent of total billed charges,,12.354,,,,percent of total billed charges,,19.126051,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,16.472,,,,percent of total billed charges,,12.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.494649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,7811273623,NDC,,,outpatient,15,ML,16.34,,8.17,9.804,15.8498,15.3596,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.5622,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.45764,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.8498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,14.3792,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,13.08834,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,15.178226,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.089974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,0904-6627-35,NDC,,,outpatient,15,ML,8.51,,4.255,5.106,8.2547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,6.81651,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,7.904939,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.817361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,46122-557-05,NDC,,,outpatient,15,ML,3.99,,1.995,2.394,3.8703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.19599,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,3.706311,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.196389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,70677-1154-1,NDC,,,outpatient,15,ML,9.25,,4.625,5.55,8.9725,8.695,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.6775,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.7505,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.9725,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.14,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,7.40925,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,8.592325,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.410175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,62756-517-88,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,0093-9701-01,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,72888-106-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,59651-456-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,68084-093-01,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,68084-093-11,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,0093-9702-01,NDC,,,outpatient,1,EA,0.75,,0.375,0.45,0.7275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.60075,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.696675,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.600825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,60687-661-01,NDC,,,outpatient,1,EA,1.51,,0.755,0.906,1.4647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.20951,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.402639,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.209661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,60687-661-11,NDC,,,outpatient,1,EA,1.51,,0.755,0.906,1.4647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.20951,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.402639,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.209661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,0904-7257-61,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,59651-457-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,68084-094-01,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,68084-094-11,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,63739-048-10,NDC,,,outpatient,1,EA,1.83,,0.915,1.098,1.7751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.46583,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.699887,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.466013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,0904-6238-61,NDC,,,outpatient,1,EA,1.08,,0.54,0.648,1.0476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.86508,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.003212,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.865188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,51079-978-20,NDC,,,outpatient,1,EA,1.47,,0.735,0.882,1.4259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.17747,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.365483,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.177617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,51079-978-01,NDC,,,outpatient,1,EA,1.47,,0.735,0.882,1.4259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.17747,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.365483,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.177617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,68084-281-01,NDC,,,outpatient,1,EA,3.11,,1.555,1.866,3.0167,2.9234,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.5813,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.94206,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,3.0167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.7368,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.49111,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,2.888879,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.491421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,68084-281-11,NDC,,,outpatient,1,EA,3.11,,1.555,1.866,3.0167,2.9234,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.5813,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.94206,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,3.0167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.7368,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.49111,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,2.888879,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.491421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,61703-339-18,NDC,J9045,HCPCS,outpatient,5,ML,55.22,,27.61,33.132,53.5634,51.9068,,,,percent of total billed charges,,44.176,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,45.8326,,,,percent of total billed charges,,49.698,,,,percent of total billed charges,,50.8024,,,,percent of total billed charges,,50.8024,,,,percent of total billed charges,,52.23812,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,53.5634,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,48.5936,,,,percent of total billed charges,,49.698,,,,percent of total billed charges,,44.23122,,,,percent of total billed charges,,49.698,,,,percent of total billed charges,,33.132,,,,percent of total billed charges,,51.293858,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,44.176,,,,percent of total billed charges,,33.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.236742,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,61703-339-56,NDC,J9045,HCPCS,outpatient,60,ML,244.35,,122.175,146.61,237.0195,229.689,,,,percent of total billed charges,,195.48,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,202.8105,,,,percent of total billed charges,,219.915,,,,percent of total billed charges,,224.802,,,,percent of total billed charges,,224.802,,,,percent of total billed charges,,231.1551,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,237.0195,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,215.028,,,,percent of total billed charges,,219.915,,,,percent of total billed charges,,195.72435,,,,percent of total billed charges,,219.915,,,,percent of total billed charges,,146.61,,,,percent of total billed charges,,226.976715,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,195.48,,,,percent of total billed charges,,146.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.748785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,0703-4248-01,NDC,J9045,HCPCS,outpatient,45,ML,78.57,,39.285,47.142,76.2129,73.8558,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,65.2131,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,74.32722,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,76.2129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,69.1416,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,62.93457,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,72.983673,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.942427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,0703-4244-01,NDC,J9045,HCPCS,outpatient,5,ML,19.53,,9.765,11.718,18.9441,18.3582,,,,percent of total billed charges,,15.624,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,16.2099,,,,percent of total billed charges,,17.577,,,,percent of total billed charges,,17.9676,,,,percent of total billed charges,,17.9676,,,,percent of total billed charges,,18.47538,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,18.9441,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,17.1864,,,,percent of total billed charges,,17.577,,,,percent of total billed charges,,15.64353,,,,percent of total billed charges,,17.577,,,,percent of total billed charges,,11.718,,,,percent of total billed charges,,18.141417,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,15.624,,,,percent of total billed charges,,11.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.645483,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,0703-4246-01,NDC,J9045,HCPCS,outpatient,15,ML,36.12,,18.06,21.672,35.0364,33.9528,,,,percent of total billed charges,,28.896,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,29.9796,,,,percent of total billed charges,,32.508,,,,percent of total billed charges,,33.2304,,,,percent of total billed charges,,33.2304,,,,percent of total billed charges,,34.16952,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,35.0364,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,31.7856,,,,percent of total billed charges,,32.508,,,,percent of total billed charges,,28.93212,,,,percent of total billed charges,,32.508,,,,percent of total billed charges,,21.672,,,,percent of total billed charges,,33.551868,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,28.896,,,,percent of total billed charges,,21.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.935732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,0703-4239-01,NDC,J9045,HCPCS,outpatient,60,ML,104.49,,52.245,62.694,101.3553,98.2206,,,,percent of total billed charges,,83.592,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,86.7267,,,,percent of total billed charges,,94.041,,,,percent of total billed charges,,96.1308,,,,percent of total billed charges,,96.1308,,,,percent of total billed charges,,98.84754,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,101.3553,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,91.9512,,,,percent of total billed charges,,94.041,,,,percent of total billed charges,,83.69649,,,,percent of total billed charges,,94.041,,,,percent of total billed charges,,62.694,,,,percent of total billed charges,,97.060761,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,83.592,,,,percent of total billed charges,,62.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.706939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,47781-606-94,NDC,J9045,HCPCS,outpatient,60,ML,142.29,,71.145,85.374,138.0213,133.7526,,,,percent of total billed charges,,113.832,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,118.1007,,,,percent of total billed charges,,128.061,,,,percent of total billed charges,,130.9068,,,,percent of total billed charges,,130.9068,,,,percent of total billed charges,,134.60634,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,138.0213,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,125.2152,,,,percent of total billed charges,,128.061,,,,percent of total billed charges,,113.97429,,,,percent of total billed charges,,128.061,,,,percent of total billed charges,,85.374,,,,percent of total billed charges,,132.173181,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,113.832,,,,percent of total billed charges,,85.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.988519,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,0009-0856-08,NDC,,,outpatient,1,ML,321.37,,160.685,192.822,311.7289,302.0878,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,266.7371,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,304.01602,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,311.7289,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,282.8056,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,257.41737,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,298.520593,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,257.449507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,0009-0856-05,NDC,,,outpatient,1,ML,321.37,,160.685,192.822,311.7289,302.0878,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,266.7371,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,304.01602,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,311.7289,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,282.8056,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,257.41737,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,298.520593,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,257.449507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,81298-5010-1,NDC,,,outpatient,1,ML,270.7,,135.35,162.42,262.579,254.458,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,224.681,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,256.0822,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,262.579,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,238.216,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,216.8307,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,251.45323,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.85777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,81298-5010-3,NDC,,,outpatient,1,ML,270.7,,135.35,162.42,262.579,254.458,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,224.681,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,256.0822,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,262.579,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,238.216,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,216.8307,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,251.45323,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.85777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,71839-137-01,NDC,,,outpatient,1,ML,206.8,,103.4,124.08,200.596,194.392,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,171.644,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,195.6328,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,200.596,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,165.6468,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,192.09652,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.66748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,71839-137-10,NDC,,,outpatient,1,ML,206.8,,103.4,124.08,200.596,194.392,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,171.644,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,195.6328,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,200.596,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,165.6468,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,192.09652,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.66748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARFILZOMIB 10 MG INTRAVENOUS SOLUTION [241101],0636,RC,76075-103-01,NDC,J9047,HCPCS,outpatient,1,EA,2345.9,,1172.95,1407.54,2275.523,2205.146,,,,percent of total billed charges,,1876.72,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,1947.097,,,,percent of total billed charges,,2111.31,,,,percent of total billed charges,,2158.228,,,,percent of total billed charges,,2158.228,,,,percent of total billed charges,,2219.2214,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,2275.523,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,2064.392,,,,percent of total billed charges,,2111.31,,,,percent of total billed charges,,1879.0659,,,,percent of total billed charges,,2111.31,,,,percent of total billed charges,,1407.54,,,,percent of total billed charges,,2179.10651,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,1876.72,,,,percent of total billed charges,,1407.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1879.30049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARFILZOMIB 30 MG INTRAVENOUS SOLUTION [231151],0636,RC,76075-102-01,NDC,J9047,HCPCS,outpatient,1,EA,7037.64,,3518.82,4222.584,6826.5108,6615.3816,,,,percent of total billed charges,,5630.112,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,5841.2412,,,,percent of total billed charges,,6333.876,,,,percent of total billed charges,,6474.6288,,,,percent of total billed charges,,6474.6288,,,,percent of total billed charges,,6657.60744,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,6826.5108,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,6193.1232,,,,percent of total billed charges,,6333.876,,,,percent of total billed charges,,5637.14964,,,,percent of total billed charges,,6333.876,,,,percent of total billed charges,,4222.584,,,,percent of total billed charges,,6537.263796,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,5630.112,,,,percent of total billed charges,,4222.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5637.853404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [207744],0636,RC,76075-101-01,NDC,J9047,HCPCS,outpatient,1,EA,14075.33,,7037.665,8445.198,13653.0701,13230.8102,,,,percent of total billed charges,,11260.264,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,11682.5239,,,,percent of total billed charges,,12667.797,,,,percent of total billed charges,,12949.3036,,,,percent of total billed charges,,12949.3036,,,,percent of total billed charges,,13315.26218,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,13653.0701,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,12386.2904,,,,percent of total billed charges,,12667.797,,,,percent of total billed charges,,11274.33933,,,,percent of total billed charges,,12667.797,,,,percent of total billed charges,,8445.198,,,,percent of total billed charges,,13074.57404,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,11260.264,,,,percent of total billed charges,,8445.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11275.74686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARMUSTINE 100 MG INTRAVENOUS SOLUTION [79565],0636,RC,23155-261-41,NDC,J9050,HCPCS,outpatient,1,EA,16567.34,,8283.67,9940.404,16070.3198,15573.2996,,,,percent of total billed charges,,13253.872,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,13750.8922,,,,percent of total billed charges,,14910.606,,,,percent of total billed charges,,15241.9528,,,,percent of total billed charges,,15241.9528,,,,percent of total billed charges,,15672.70364,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,16070.3198,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,14579.2592,,,,percent of total billed charges,,14910.606,,,,percent of total billed charges,,13270.43934,,,,percent of total billed charges,,14910.606,,,,percent of total billed charges,,9940.404,,,,percent of total billed charges,,15389.40213,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,13253.872,,,,percent of total billed charges,,9940.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13272.09607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT [81377],0250,RC,24338-050-08,NDC,,,outpatient,1,EA,135632.93,,67816.465,81379.758,131563.9421,127494.9542,,,,percent of total billed charges,,108506.344,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,112575.3319,,,,percent of total billed charges,,122069.637,,,,percent of total billed charges,,124782.2956,,,,percent of total billed charges,,124782.2956,,,,percent of total billed charges,,128308.7518,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,131563.9421,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,119356.9784,,,,percent of total billed charges,,122069.637,,,,percent of total billed charges,,108641.9769,,,,percent of total billed charges,,122069.637,,,,percent of total billed charges,,81379.758,,,,percent of total billed charges,,125989.4287,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,108506.344,,,,percent of total billed charges,,81379.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108655.5402,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,51079-931-01,NDC,,,outpatient,1,EA,0.57,,0.285,0.342,0.5529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.45657,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.529473,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.456627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,51079-931-20,NDC,,,outpatient,1,EA,0.57,,0.285,0.342,0.5529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.45657,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.529473,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.456627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,0781-5223-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,0904-6302-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,51079-771-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,51079-771-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,0093-0051-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,0904-6300-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 6.25 MG TABLET [77307],0637,RC,51079-930-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 6.25 MG TABLET [77307],0637,RC,51079-930-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 6.25 MG TABLET [77307],0637,RC,0904-6301-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,250,ML,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,60505-6142-5,NDC,J0690,HCPCS,outpatient,1,GR,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,0143-9924-90,NDC,J0690,HCPCS,outpatient,1,EA,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,0781-3451-96,NDC,J0690,HCPCS,outpatient,1,EA,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,25021-101-10,NDC,J0690,HCPCS,outpatient,1,EA,5.8,,2.9,3.48,5.626,5.452,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.814,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.4868,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.626,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,4.6458,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,5.38762,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.64638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,44567-707-25,NDC,J0690,HCPCS,outpatient,1,EA,6.79,,3.395,4.074,6.5863,6.3826,,,,percent of total billed charges,,5.432,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,5.6357,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,6.2468,,,,percent of total billed charges,,6.2468,,,,percent of total billed charges,,6.42334,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.5863,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,5.9752,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,5.43879,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,6.307231,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,5.432,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.439469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,60505-6142-0,NDC,J0690,HCPCS,outpatient,1,EA,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,60505-6142-5,NDC,J0690,HCPCS,outpatient,1,EA,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS DUPLEX [7000022],0636,RC,0264-3103-11,NDC,J0690,HCPCS,outpatient,1,EA,51.3,,25.65,30.78,49.761,48.222,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,42.579,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,48.5298,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,49.761,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,45.144,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,41.0913,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,47.65257,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.09643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],0250,RC,0338-3503-41,NDC,J0689,HCPCS,outpatient,50,ML,23.63,,11.815,14.178,22.9211,22.2122,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,19.6129,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,22.35398,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.9211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,20.7944,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,18.92763,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,21.949907,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.929993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],0636,RC,63323-238-61,NDC,J0690,HCPCS,outpatient,1,EA,51.79,,25.895,31.074,50.2363,48.6826,,,,percent of total billed charges,,41.432,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,42.9857,,,,percent of total billed charges,,46.611,,,,percent of total billed charges,,47.6468,,,,percent of total billed charges,,47.6468,,,,percent of total billed charges,,48.99334,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,50.2363,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,45.5752,,,,percent of total billed charges,,46.611,,,,percent of total billed charges,,41.48379,,,,percent of total billed charges,,46.611,,,,percent of total billed charges,,31.074,,,,percent of total billed charges,,48.107731,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,41.432,,,,percent of total billed charges,,31.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.488969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 100 MG/ML IV PEDS [1000012],0636,RC,WVU01-000-12,NDC,J0690,HCPCS,outpatient,5,ML,1.58,,0.79,0.948,1.5326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.26558,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.467662,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.265738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0250,RC,0338-0117-04,NDC,,,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [257278],0636,RC,60505-6231-0,NDC,J0690,HCPCS,outpatient,1,EA,18.85,,9.425,11.31,18.2845,17.719,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.6455,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.8321,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,18.2845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,16.588,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,15.09885,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,17.509765,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.100735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [257278],0636,RC,60505-6231-5,NDC,J0690,HCPCS,outpatient,1,EA,18.85,,9.425,11.31,18.2845,17.719,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.6455,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.8321,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,18.2845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,16.588,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,15.09885,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,17.509765,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.100735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [228054],0250,RC,0338-3508-41,NDC,J0689,HCPCS,outpatient,100,ML,41.85,,20.925,25.11,40.5945,39.339,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,34.7355,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,39.5901,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,40.5945,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,33.52185,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,38.874465,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.526035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [211448],0250,RC,0264-3105-11,NDC,,,outpatient,1,EA,57.72,,28.86,34.632,55.9884,54.2568,,,,percent of total billed charges,,46.176,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,47.9076,,,,percent of total billed charges,,51.948,,,,percent of total billed charges,,53.1024,,,,percent of total billed charges,,53.1024,,,,percent of total billed charges,,54.60312,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,55.9884,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,50.7936,,,,percent of total billed charges,,51.948,,,,percent of total billed charges,,46.23372,,,,percent of total billed charges,,51.948,,,,percent of total billed charges,,34.632,,,,percent of total billed charges,,53.616108,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,46.176,,,,percent of total billed charges,,34.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.239492,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 20 MG/ML IV PEDS - CHI [7000214],0636,RC,9997-0002-14,NDC,J0690,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [257278],0636,RC,60505-6231-5,NDC,J0690,HCPCS,outpatient,2,GR,18.85,,9.425,11.31,18.2845,17.719,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.6455,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.8321,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,18.2845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,16.588,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,15.09885,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,17.509765,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.100735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],0636,RC,0781-3450-95,NDC,J0690,HCPCS,outpatient,1,EA,9.47,,4.735,5.682,9.1859,8.9018,,,,percent of total billed charges,,7.576,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,7.8601,,,,percent of total billed charges,,8.523,,,,percent of total billed charges,,8.7124,,,,percent of total billed charges,,8.7124,,,,percent of total billed charges,,8.95862,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,9.1859,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,8.3336,,,,percent of total billed charges,,8.523,,,,percent of total billed charges,,7.58547,,,,percent of total billed charges,,8.523,,,,percent of total billed charges,,5.682,,,,percent of total billed charges,,8.796683,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,7.576,,,,percent of total billed charges,,5.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.586417,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-10,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,60505-6142-5,NDC,J0690,HCPCS,outpatient,1000,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-10,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,60505-6142-5,NDC,J0690,HCPCS,outpatient,1690,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,60505-6142-5,NDC,J0690,HCPCS,outpatient,2,GR,5.71,,2.855,3.426,5.5387,5.3674,,,,percent of total billed charges,,4.568,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,4.7393,,,,percent of total billed charges,,5.139,,,,percent of total billed charges,,5.2532,,,,percent of total billed charges,,5.2532,,,,percent of total billed charges,,5.40166,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,5.5387,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,5.0248,,,,percent of total billed charges,,5.139,,,,percent of total billed charges,,4.57371,,,,percent of total billed charges,,5.139,,,,percent of total billed charges,,3.426,,,,percent of total billed charges,,5.304019,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,4.568,,,,percent of total billed charges,,3.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.574281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,0781-6078-61,NDC,,,outpatient,60,ML,33.21,,16.605,19.926,32.2137,31.2174,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,27.5643,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,31.41666,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,32.2137,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,29.2248,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,26.60121,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,30.848769,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.604531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,65862-219-60,NDC,,,outpatient,60,ML,116.37,,58.185,69.822,112.8789,109.3878,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,96.5871,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,110.08602,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,112.8789,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,102.4056,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,93.21237,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,108.096093,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.224007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,68180-723-04,NDC,,,outpatient,60,ML,88.29,,44.145,52.974,85.6413,82.9926,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,73.2807,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,83.52234,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,85.6413,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,77.6952,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,70.72029,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,82.012581,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.729119,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,67877-548-88,NDC,,,outpatient,100,ML,62.1,,31.05,37.26,60.237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,49.7421,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,57.68469,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.74831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,68180-711-60,NDC,,,outpatient,1,EA,3.01,,1.505,1.806,2.9197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.41101,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,2.795989,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.411311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,0093-3160-06,NDC,,,outpatient,1,EA,17.27,,8.635,10.362,16.7519,16.2338,,,,percent of total billed charges,,13.816,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,14.3341,,,,percent of total billed charges,,15.543,,,,percent of total billed charges,,15.8884,,,,percent of total billed charges,,15.8884,,,,percent of total billed charges,,16.33742,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,16.7519,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,15.1976,,,,percent of total billed charges,,15.543,,,,percent of total billed charges,,13.83327,,,,percent of total billed charges,,15.543,,,,percent of total billed charges,,10.362,,,,percent of total billed charges,,16.042103,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,13.816,,,,percent of total billed charges,,10.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.834997,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,65862-177-60,NDC,,,outpatient,1,EA,3.38,,1.69,2.028,3.2786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.70738,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.139682,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.707718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,68001-362-06,NDC,,,outpatient,1,EA,1.81,,0.905,1.086,1.7557,1.7014,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5023,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.71226,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5928,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.44981,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,1.681309,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.449991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM SOLUTION FOR INJECTION [77521],0636,RC,25021-121-20,NDC,J0692,HCPCS,outpatient,1,EA,18.07,,9.035,10.842,17.5279,16.9858,,,,percent of total billed charges,,14.456,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,14.9981,,,,percent of total billed charges,,16.263,,,,percent of total billed charges,,16.6244,,,,percent of total billed charges,,16.6244,,,,percent of total billed charges,,17.09422,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,17.5279,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,15.9016,,,,percent of total billed charges,,16.263,,,,percent of total billed charges,,14.47407,,,,percent of total billed charges,,16.263,,,,percent of total billed charges,,10.842,,,,percent of total billed charges,,16.785223,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,14.456,,,,percent of total billed charges,,10.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.475877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [189353],0636,RC,0338-1301-41,NDC,J0701,HCPCS,outpatient,50,ML,139.95,,69.975,83.97,135.7515,131.553,,,,percent of total billed charges,,111.96,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,116.1585,,,,percent of total billed charges,,125.955,,,,percent of total billed charges,,128.754,,,,percent of total billed charges,,128.754,,,,percent of total billed charges,,132.3927,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,135.7515,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,123.156,,,,percent of total billed charges,,125.955,,,,percent of total billed charges,,112.09995,,,,percent of total billed charges,,125.955,,,,percent of total billed charges,,83.97,,,,percent of total billed charges,,129.999555,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,111.96,,,,percent of total billed charges,,83.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.113945,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,44567-241-10,NDC,J0692,HCPCS,outpatient,2,GR,33.01,,16.505,19.806,32.0197,31.0294,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,27.3983,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,31.22746,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,32.0197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,29.0488,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,26.44101,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,30.662989,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.444311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,25021-122-50,NDC,J0692,HCPCS,outpatient,1,EA,32.4,,16.2,19.44,31.428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,25.9524,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,30.09636,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.95564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,44567-241-10,NDC,J0692,HCPCS,outpatient,1,EA,33.01,,16.505,19.806,32.0197,31.0294,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,27.3983,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,31.22746,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,32.0197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,29.0488,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,26.44101,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,30.662989,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.444311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,25021-122-67,NDC,J0692,HCPCS,outpatient,1,EA,23.47,,11.735,14.082,22.7659,22.0618,,,,percent of total billed charges,,18.776,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,19.4801,,,,percent of total billed charges,,21.123,,,,percent of total billed charges,,21.5924,,,,percent of total billed charges,,21.5924,,,,percent of total billed charges,,22.20262,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,22.7659,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,20.6536,,,,percent of total billed charges,,21.123,,,,percent of total billed charges,,18.79947,,,,percent of total billed charges,,21.123,,,,percent of total billed charges,,14.082,,,,percent of total billed charges,,21.801283,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,18.776,,,,percent of total billed charges,,14.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.801817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,60505-6147-0,NDC,J0692,HCPCS,outpatient,1,EA,34.52,,17.26,20.712,33.4844,32.4488,,,,percent of total billed charges,,27.616,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,28.6516,,,,percent of total billed charges,,31.068,,,,percent of total billed charges,,31.7584,,,,percent of total billed charges,,31.7584,,,,percent of total billed charges,,32.65592,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,33.4844,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,30.3776,,,,percent of total billed charges,,31.068,,,,percent of total billed charges,,27.65052,,,,percent of total billed charges,,31.068,,,,percent of total billed charges,,20.712,,,,percent of total billed charges,,32.065628,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,27.616,,,,percent of total billed charges,,20.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.653972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,60505-6147-4,NDC,J0692,HCPCS,outpatient,1,EA,19.59,,9.795,11.754,19.0023,18.4146,,,,percent of total billed charges,,15.672,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,16.2597,,,,percent of total billed charges,,17.631,,,,percent of total billed charges,,18.0228,,,,percent of total billed charges,,18.0228,,,,percent of total billed charges,,18.53214,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,19.0023,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,17.2392,,,,percent of total billed charges,,17.631,,,,percent of total billed charges,,15.69159,,,,percent of total billed charges,,17.631,,,,percent of total billed charges,,11.754,,,,percent of total billed charges,,18.197151,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,15.672,,,,percent of total billed charges,,11.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.693549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,71288-009-20,NDC,J0692,HCPCS,outpatient,1,EA,24.07,,12.035,14.442,23.3479,22.6258,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.9781,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.77022,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,23.3479,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,21.1816,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,19.28007,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,22.358623,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.282477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,0409-9735-01,NDC,J0692,HCPCS,outpatient,1,EA,25.65,,12.825,15.39,24.8805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.54565,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,23.826285,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.548215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,0409-9735-10,NDC,J0692,HCPCS,outpatient,1,EA,25.65,,12.825,15.39,24.8805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.54565,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,23.826285,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.548215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,71288-009-21,NDC,J0692,HCPCS,outpatient,1,EA,24.07,,12.035,14.442,23.3479,22.6258,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.9781,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.77022,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,23.3479,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,21.1816,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,19.28007,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,22.358623,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.282477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [189354],0636,RC,0338-1301-48,NDC,J0701,HCPCS,outpatient,100,ML,76.05,,38.025,45.63,73.7685,71.487,,,,percent of total billed charges,,60.84,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,63.1215,,,,percent of total billed charges,,68.445,,,,percent of total billed charges,,69.966,,,,percent of total billed charges,,69.966,,,,percent of total billed charges,,71.9433,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,73.7685,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,66.924,,,,percent of total billed charges,,68.445,,,,percent of total billed charges,,60.91605,,,,percent of total billed charges,,68.445,,,,percent of total billed charges,,45.63,,,,percent of total billed charges,,70.642845,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,60.84,,,,percent of total billed charges,,45.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.923655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 40 MG/ML IN D5W IV PEDS [1000013],0636,RC,WVU01-000-13,NDC,J0692,HCPCS,outpatient,5,ML,4.28,,2.14,2.568,4.1516,4.0232,,,,percent of total billed charges,,3.424,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,3.5524,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,3.9376,,,,percent of total billed charges,,3.9376,,,,percent of total billed charges,,4.04888,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,4.1516,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,3.7664,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,3.42828,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,3.975692,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,3.424,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.428708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,44567-241-10,NDC,J0692,HCPCS,outpatient,2,GR,33.01,,16.505,19.806,32.0197,31.0294,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,27.3983,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,31.22746,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,32.0197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,29.0488,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,26.44101,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,30.662989,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.444311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM SOLUTION FOR INJECTION [77521],0636,RC,25021-121-20,NDC,J0692,HCPCS,outpatient,500,ME,9.04,,4.52,5.424,8.7688,8.4976,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.5032,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.55184,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.7688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.9552,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,7.24104,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,8.397256,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.241944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM SOLUTION FOR INJECTION [77521],0636,RC,25021-121-20,NDC,J0692,HCPCS,outpatient,3380,ME,61.07,,30.535,36.642,59.2379,57.4058,,,,percent of total billed charges,,48.856,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,50.6881,,,,percent of total billed charges,,54.963,,,,percent of total billed charges,,56.1844,,,,percent of total billed charges,,56.1844,,,,percent of total billed charges,,57.77222,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,59.2379,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,53.7416,,,,percent of total billed charges,,54.963,,,,percent of total billed charges,,48.91707,,,,percent of total billed charges,,54.963,,,,percent of total billed charges,,36.642,,,,percent of total billed charges,,56.727923,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,48.856,,,,percent of total billed charges,,36.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.923177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 1 GRAM SOLUTION FOR INJECTION [78506],0636,RC,63323-385-10,NDC,S0074,HCPCS,outpatient,1,EA,41.49,,20.745,24.894,40.2453,39.0006,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,34.4367,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,39.24954,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,40.2453,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,36.5112,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,33.23349,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,38.540061,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.237639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 1 GRAM SOLUTION FOR INJECTION [78506],0636,RC,63323-385-01,NDC,S0074,HCPCS,outpatient,1,EA,41.49,,20.745,24.894,40.2453,39.0006,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,34.4367,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,39.24954,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,40.2453,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,36.5112,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,33.23349,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,38.540061,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.237639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CEFOTETAN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK [163627]",0636,RC,0264-3173-11,NDC,S0074,HCPCS,outpatient,1,EA,93.39,,46.695,56.034,90.5883,87.7866,,,,percent of total billed charges,,74.712,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,77.5137,,,,percent of total billed charges,,84.051,,,,percent of total billed charges,,85.9188,,,,percent of total billed charges,,85.9188,,,,percent of total billed charges,,88.34694,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,90.5883,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,82.1832,,,,percent of total billed charges,,84.051,,,,percent of total billed charges,,74.80539,,,,percent of total billed charges,,84.051,,,,percent of total billed charges,,56.034,,,,percent of total billed charges,,86.749971,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,74.712,,,,percent of total billed charges,,56.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.814729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 2 GRAM SOLUTION FOR INJECTION [82452],0636,RC,63323-386-20,NDC,S0074,HCPCS,outpatient,1,EA,83.01,,41.505,49.806,80.5197,78.0294,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,68.8983,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,78.52746,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,80.5197,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,73.0488,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,66.49101,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,77.107989,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.499311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 2 GRAM SOLUTION FOR INJECTION [82452],0636,RC,63323-386-01,NDC,S0074,HCPCS,outpatient,1,EA,83.01,,41.505,49.806,80.5197,78.0294,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,68.8983,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,78.52746,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,80.5197,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,73.0488,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,66.49101,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,77.107989,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.499311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [163628],0636,RC,0264-3175-11,NDC,S0074,HCPCS,outpatient,1,EA,131.33,,65.665,78.798,127.3901,123.4502,,,,percent of total billed charges,,105.064,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,109.0039,,,,percent of total billed charges,,118.197,,,,percent of total billed charges,,120.8236,,,,percent of total billed charges,,120.8236,,,,percent of total billed charges,,124.23818,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,127.3901,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,115.5704,,,,percent of total billed charges,,118.197,,,,percent of total billed charges,,105.19533,,,,percent of total billed charges,,118.197,,,,percent of total billed charges,,78.798,,,,percent of total billed charges,,121.992437,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,105.064,,,,percent of total billed charges,,78.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.208463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,63323-341-25,NDC,J0694,HCPCS,outpatient,1,GR,11.59,,5.795,6.954,11.2423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.28359,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,10.765951,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.284749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,63323-341-25,NDC,J0694,HCPCS,outpatient,2230.8,ME,25.84,,12.92,15.504,25.0648,24.2896,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,21.4472,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,23.7728,,,,percent of total billed charges,,23.7728,,,,percent of total billed charges,,24.44464,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,25.0648,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,22.7392,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,20.69784,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,15.504,,,,percent of total billed charges,,24.002776,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,15.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.700424,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,25021-109-10,NDC,J0694,HCPCS,outpatient,1,EA,14.27,,7.135,8.562,13.8419,13.4138,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.8441,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.49942,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.8419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,12.5576,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,11.43027,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,13.255403,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.431697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,63323-341-25,NDC,J0694,HCPCS,outpatient,1,EA,11.59,,5.795,6.954,11.2423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.28359,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,10.765951,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.284749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,44567-245-25,NDC,J0694,HCPCS,outpatient,1,EA,12.41,,6.205,7.446,12.0377,11.6654,,,,percent of total billed charges,,9.928,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,10.3003,,,,percent of total billed charges,,11.169,,,,percent of total billed charges,,11.4172,,,,percent of total billed charges,,11.4172,,,,percent of total billed charges,,11.73986,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,12.0377,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,10.9208,,,,percent of total billed charges,,11.169,,,,percent of total billed charges,,9.94041,,,,percent of total billed charges,,11.169,,,,percent of total billed charges,,7.446,,,,percent of total billed charges,,11.527649,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,9.928,,,,percent of total billed charges,,7.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.941651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,63323-341-01,NDC,J0694,HCPCS,outpatient,1,EA,11.59,,5.795,6.954,11.2423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.28359,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,10.765951,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.284749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,63323-341-25,NDC,J0694,HCPCS,outpatient,1,GR,11.59,,5.795,6.954,11.2423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.28359,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,10.765951,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.284749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,63323-342-25,NDC,J0694,HCPCS,outpatient,1,EA,24.03,,12.015,14.418,23.3091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,19.24803,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,22.321467,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.250433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,44567-246-25,NDC,J0694,HCPCS,outpatient,1,EA,29.37,,14.685,17.622,28.4889,27.6078,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,24.3771,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.78402,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,28.4889,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,25.8456,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,23.52537,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,27.281793,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.528307,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,63323-342-01,NDC,J0694,HCPCS,outpatient,1,EA,24.03,,12.015,14.418,23.3091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,19.24803,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,22.321467,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.250433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,63323-342-25,NDC,J0694,HCPCS,outpatient,2,GR,24.03,,12.015,14.418,23.3091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,19.24803,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,22.321467,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.250433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,63323-341-25,NDC,J0694,HCPCS,outpatient,1,GR,11.59,,5.795,6.954,11.2423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.28359,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,10.765951,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.284749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFPODOXIME 100 MG TABLET [9468],0637,RC,65862-095-20,NDC,,,outpatient,1,EA,9.42,,4.71,5.652,9.1374,8.8548,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,7.8186,,,,percent of total billed charges,,8.478,,,,percent of total billed charges,,8.6664,,,,percent of total billed charges,,8.6664,,,,percent of total billed charges,,8.91132,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,9.1374,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,8.2896,,,,percent of total billed charges,,8.478,,,,percent of total billed charges,,7.54542,,,,percent of total billed charges,,8.478,,,,percent of total billed charges,,5.652,,,,percent of total billed charges,,8.750238,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,5.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.546362,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFPODOXIME 200 MG TABLET [9469],0637,RC,65862-096-20,NDC,,,outpatient,1,EA,14.61,,7.305,8.766,14.1717,13.7334,,,,percent of total billed charges,,11.688,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,12.1263,,,,percent of total billed charges,,13.149,,,,percent of total billed charges,,13.4412,,,,percent of total billed charges,,13.4412,,,,percent of total billed charges,,13.82106,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,14.1717,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,12.8568,,,,percent of total billed charges,,13.149,,,,percent of total billed charges,,11.70261,,,,percent of total billed charges,,13.149,,,,percent of total billed charges,,8.766,,,,percent of total billed charges,,13.571229,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,11.688,,,,percent of total billed charges,,8.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.704071,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [202205],0636,RC,0456-0600-01,NDC,J0712,HCPCS,outpatient,1,EA,811.31,,405.655,486.786,786.9707,762.6314,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,673.3873,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,767.49926,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,786.9707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,713.9528,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,649.85931,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,753.625859,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,649.940441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [202205],0636,RC,0456-0600-10,NDC,J0712,HCPCS,outpatient,1,EA,811.31,,405.655,486.786,786.9707,762.6314,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,673.3873,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,767.49926,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,786.9707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,713.9528,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,649.85931,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,753.625859,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,649.940441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [202205],0636,RC,0456-0600-10,NDC,J0712,HCPCS,outpatient,600,ME,811.31,,405.655,486.786,786.9707,762.6314,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,673.3873,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,767.49926,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,786.9707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,713.9528,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,649.85931,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,753.625859,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,649.940441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,44567-235-25,NDC,J0713,HCPCS,outpatient,1,GR,12.08,,6.04,7.248,11.7176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,9.67608,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,11.221112,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.677288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,44567-235-25,NDC,J0713,HCPCS,outpatient,2230.8,ME,26.95,,13.475,16.17,26.1415,25.333,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,22.3685,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,25.4947,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,26.1415,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,23.716,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,21.58695,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,25.033855,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.589645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,44567-235-25,NDC,J0713,HCPCS,outpatient,2230.8,ME,26.95,,13.475,16.17,26.1415,25.333,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,22.3685,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,25.4947,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,26.1415,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,23.716,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,21.58695,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,25.033855,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.589645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,0781-3177-96,NDC,J0713,HCPCS,outpatient,1,EA,13.82,,6.91,8.292,13.4054,12.9908,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.4706,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,13.07372,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.4054,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,12.1616,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,11.06982,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,12.837398,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.071202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,44567-235-25,NDC,J0713,HCPCS,outpatient,1,EA,12.08,,6.04,7.248,11.7176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,9.67608,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,11.221112,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.677288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 100 MG/ML IV PEDS [1000016],0636,RC,WVU01-000-16,NDC,J0713,HCPCS,outpatient,5,ML,9.68,,4.84,5.808,9.3896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,7.75368,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,8.991752,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.754648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,44567-235-25,NDC,J0713,HCPCS,outpatient,1,GR,12.08,,6.04,7.248,11.7176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,9.67608,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,11.221112,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.677288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,0409-5084-11,NDC,J0713,HCPCS,outpatient,1,EA,17.33,,8.665,10.398,16.8101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,13.88133,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,16.097837,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.883063,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,25021-128-50,NDC,J0713,HCPCS,outpatient,1,EA,37.23,,18.615,22.338,36.1131,34.9962,,,,percent of total billed charges,,29.784,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,30.9009,,,,percent of total billed charges,,33.507,,,,percent of total billed charges,,34.2516,,,,percent of total billed charges,,34.2516,,,,percent of total billed charges,,35.21958,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,36.1131,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,32.7624,,,,percent of total billed charges,,33.507,,,,percent of total billed charges,,29.82123,,,,percent of total billed charges,,33.507,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,34.582947,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,29.784,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.824953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,44567-236-10,NDC,J0713,HCPCS,outpatient,1,EA,23.66,,11.83,14.196,22.9502,22.2404,,,,percent of total billed charges,,18.928,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,19.6378,,,,percent of total billed charges,,21.294,,,,percent of total billed charges,,21.7672,,,,percent of total billed charges,,21.7672,,,,percent of total billed charges,,22.38236,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,22.9502,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,20.8208,,,,percent of total billed charges,,21.294,,,,percent of total billed charges,,18.95166,,,,percent of total billed charges,,21.294,,,,percent of total billed charges,,14.196,,,,percent of total billed charges,,21.977774,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,18.928,,,,percent of total billed charges,,14.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.954026,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,0409-5084-13,NDC,J0713,HCPCS,outpatient,1,EA,17.33,,8.665,10.398,16.8101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,13.88133,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,16.097837,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.883063,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,0409-5084-11,NDC,J0713,HCPCS,outpatient,2,GR,17.33,,8.665,10.398,16.8101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,13.88133,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,16.097837,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.883063,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 40 MG/ML IV PEDS - CHI [7000215],0636,RC,9997-0002-15,NDC,J0713,HCPCS,outpatient,1,ML,0.57,,0.285,0.342,0.5529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.45657,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.529473,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.456627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 500 MG SOLUTION FOR INJECTION [81532],0636,RC,0173-0377-10,NDC,J0713,HCPCS,outpatient,1,EA,12.86,,6.43,7.716,12.4742,12.0884,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.6738,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,12.16556,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.4742,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,11.3168,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,10.30086,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,11.945654,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.302146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 500 MG SOLUTION FOR INJECTION [81532],0636,RC,24987-377-10,NDC,J0713,HCPCS,outpatient,1,EA,27.03,,13.515,16.218,26.2191,25.4082,,,,percent of total billed charges,,21.624,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,22.4349,,,,percent of total billed charges,,24.327,,,,percent of total billed charges,,24.8676,,,,percent of total billed charges,,24.8676,,,,percent of total billed charges,,25.57038,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,26.2191,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,23.7864,,,,percent of total billed charges,,24.327,,,,percent of total billed charges,,21.65103,,,,percent of total billed charges,,24.327,,,,percent of total billed charges,,16.218,,,,percent of total billed charges,,25.108167,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,21.624,,,,percent of total billed charges,,16.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.653733,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION [79633],0636,RC,0781-3179-86,NDC,J0713,HCPCS,outpatient,1,EA,132.81,,66.405,79.686,128.8257,124.8414,,,,percent of total billed charges,,106.248,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,110.2323,,,,percent of total billed charges,,119.529,,,,percent of total billed charges,,122.1852,,,,percent of total billed charges,,122.1852,,,,percent of total billed charges,,125.63826,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,128.8257,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,116.8728,,,,percent of total billed charges,,119.529,,,,percent of total billed charges,,106.38081,,,,percent of total billed charges,,119.529,,,,percent of total billed charges,,79.686,,,,percent of total billed charges,,123.367209,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,106.248,,,,percent of total billed charges,,79.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.394091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,44567-235-25,NDC,J0713,HCPCS,outpatient,1,GR,12.08,,6.04,7.248,11.7176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,9.67608,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,11.221112,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.677288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,0456-2700-01,NDC,J0714,HCPCS,outpatient,1,EA,1635.31,,817.655,981.186,1586.2507,1537.1914,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1357.3073,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1547.00326,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1586.2507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1439.0728,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1309.88331,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,1519.039459,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1310.046841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,0456-2700-10,NDC,J0714,HCPCS,outpatient,1,EA,1635.31,,817.655,981.186,1586.2507,1537.1914,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1357.3073,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1547.00326,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1586.2507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1439.0728,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1309.88331,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,1519.039459,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1310.046841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,0456-2700-10,NDC,J0714,HCPCS,outpatient,2.5,GR,1635.31,,817.655,981.186,1586.2507,1537.1914,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1357.3073,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1547.00326,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1586.2507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1439.0728,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1309.88331,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,1519.039459,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1310.046841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,0456-2700-10,NDC,J0714,HCPCS,outpatient,0.94,GR,614.88,,307.44,368.928,596.4336,577.9872,,,,percent of total billed charges,,491.904,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,510.3504,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,565.6896,,,,percent of total billed charges,,565.6896,,,,percent of total billed charges,,581.67648,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,596.4336,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,541.0944,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,492.51888,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,368.928,,,,percent of total billed charges,,571.162032,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,491.904,,,,percent of total billed charges,,368.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.580368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,0143-9857-25,NDC,J0696,HCPCS,outpatient,1000,ME,4.55,,2.275,2.73,4.4135,4.277,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.7765,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.3043,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.4135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.004,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,3.64455,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,4.226495,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.645005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,0781-3208-95,NDC,J0696,HCPCS,outpatient,1,EA,5.57,,2.785,3.342,5.4029,5.2358,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.6231,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.26922,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.4029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.9016,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,4.46157,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,5.173973,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.462127,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,0143-9857-25,NDC,J0696,HCPCS,outpatient,1,EA,4.55,,2.275,2.73,4.4135,4.277,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.7765,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.3043,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.4135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.004,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,3.64455,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,4.226495,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.645005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,44567-701-25,NDC,J0696,HCPCS,outpatient,1,EA,4.14,,2.07,2.484,4.0158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.31614,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,3.845646,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.316554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,0143-9857-01,NDC,J0696,HCPCS,outpatient,1,EA,4.55,,2.275,2.73,4.4135,4.277,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.7765,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.3043,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.4135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.004,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,3.64455,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,4.226495,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.645005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,60505-6148-0,NDC,J0696,HCPCS,outpatient,1,EA,5.43,,2.715,3.258,5.2671,5.1042,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,4.5069,,,,percent of total billed charges,,4.887,,,,percent of total billed charges,,4.9956,,,,percent of total billed charges,,4.9956,,,,percent of total billed charges,,5.13678,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,5.2671,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,4.7784,,,,percent of total billed charges,,4.887,,,,percent of total billed charges,,4.34943,,,,percent of total billed charges,,4.887,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,5.043927,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.349973,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,60505-6148-4,NDC,J0696,HCPCS,outpatient,1,EA,3.2,,1.6,1.92,3.104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.5632,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,2.97248,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.56352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) DUPLEX [7000023],0636,RC,0264-3153-11,NDC,J0696,HCPCS,outpatient,1,EA,76.95,,38.475,46.17,74.6415,72.333,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,63.8685,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,72.7947,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,67.716,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,61.63695,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,71.478855,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.644645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],0636,RC,0264-3153-11,NDC,J0696,HCPCS,outpatient,1,EA,76.95,,38.475,46.17,74.6415,72.333,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,63.8685,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,72.7947,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,67.716,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,61.63695,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,71.478855,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.644645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],0636,RC,0338-5002-41,NDC,J0696,HCPCS,outpatient,50,ML,193.5,,96.75,116.1,187.695,181.89,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,160.605,,,,percent of total billed charges,,174.15,,,,percent of total billed charges,,178.02,,,,percent of total billed charges,,178.02,,,,percent of total billed charges,,183.051,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,187.695,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,174.15,,,,percent of total billed charges,,154.9935,,,,percent of total billed charges,,174.15,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,179.74215,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.01285,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION [9491],0636,RC,0781-3210-46,NDC,J0696,HCPCS,outpatient,1,EA,53.06,,26.53,31.836,51.4682,49.8764,,,,percent of total billed charges,,42.448,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,44.0398,,,,percent of total billed charges,,47.754,,,,percent of total billed charges,,48.8152,,,,percent of total billed charges,,48.8152,,,,percent of total billed charges,,50.19476,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,51.4682,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,46.6928,,,,percent of total billed charges,,47.754,,,,percent of total billed charges,,42.50106,,,,percent of total billed charges,,47.754,,,,percent of total billed charges,,31.836,,,,percent of total billed charges,,49.287434,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,42.448,,,,percent of total billed charges,,31.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.506366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,0409-7335-03,NDC,J0696,HCPCS,outpatient,1,EA,11.42,,5.71,6.852,11.0774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,9.14742,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,10.608038,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.148562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,0143-9856-25,NDC,J0696,HCPCS,outpatient,1,EA,7.95,,3.975,4.77,7.7115,7.473,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.5985,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.5207,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.7115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,6.36795,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,7.384755,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.368745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,44567-702-25,NDC,J0696,HCPCS,outpatient,1,EA,7.86,,3.93,4.716,7.6242,7.3884,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.5238,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.43556,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.6242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.9168,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,6.29586,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,7.301154,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.296646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,0143-9856-01,NDC,J0696,HCPCS,outpatient,1,EA,7.95,,3.975,4.77,7.7115,7.473,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.5985,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.5207,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.7115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,6.36795,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,7.384755,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.368745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,60505-6149-0,NDC,J0696,HCPCS,outpatient,1,EA,8.17,,4.085,4.902,7.9249,7.6798,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.7811,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.72882,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.9249,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.54417,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,7.589113,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.544987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,60505-6149-4,NDC,J0696,HCPCS,outpatient,1,EA,8.17,,4.085,4.902,7.9249,7.6798,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.7811,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.72882,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.9249,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.54417,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,7.589113,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.544987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,0409-7335-13,NDC,J0696,HCPCS,outpatient,1,EA,11.42,,5.71,6.852,11.0774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,9.14742,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,10.608038,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.148562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9493],0636,RC,0338-5003-41,NDC,J0696,HCPCS,outpatient,50,ML,77.85,,38.925,46.71,75.5145,73.179,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,64.6155,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,73.6461,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,75.5145,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,68.508,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,62.35785,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,72.314865,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.365635,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],0636,RC,0781-3206-95,NDC,J0696,HCPCS,outpatient,1,EA,5.51,,2.755,3.306,5.3447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.41351,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.118239,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.414061,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],0636,RC,60505-6151-1,NDC,J0696,HCPCS,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],0636,RC,60505-6151-4,NDC,J0696,HCPCS,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION - IV DEFAULT [1002089],0636,RC,0781-3206-95,NDC,J0696,HCPCS,outpatient,1,EA,5.51,,2.755,3.306,5.3447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.41351,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.118239,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.414061,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION - IV DEFAULT [1002089],0636,RC,60505-6151-1,NDC,J0696,HCPCS,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION - IV DEFAULT [1002089],0636,RC,60505-6151-4,NDC,J0696,HCPCS,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,0143-9856-25,NDC,J0696,HCPCS,outpatient,2,GR,7.95,,3.975,4.77,7.7115,7.473,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.5985,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.5207,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.7115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,6.36795,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,7.384755,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.368745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 40 MG/ML IN D5W IV PEDS DILUTION [1000017],0636,RC,9991-0000-17,NDC,J0696,HCPCS,outpatient,5,ML,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,0143-9857-25,NDC,J0696,HCPCS,outpatient,3380,ME,15.38,,7.69,9.228,14.9186,14.4572,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.7654,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.54948,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.9186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,13.5344,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,12.31938,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,14.286482,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.320918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION [9491],0636,RC,0781-3210-46,NDC,J0696,HCPCS,outpatient,1,GR,5.31,,2.655,3.186,5.1507,4.9914,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.4073,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,5.02326,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.1507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.6728,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.25331,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,4.932459,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.253841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME 1 MG/0.1 ML OPHTH INJ [1000814],0250,RC,9991-0008-14,NDC,,,outpatient,0.1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,68180-302-60,NDC,,,outpatient,1,EA,7.6,,3.8,4.56,7.372,7.144,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.372,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.0876,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,7.05964,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.08836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,67877-215-20,NDC,,,outpatient,1,EA,1.92,,0.96,1.152,1.8624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.53792,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.783488,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.538112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,57237-058-20,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,60687-272-11,NDC,,,outpatient,1,EA,15.92,,7.96,9.552,15.4424,14.9648,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,13.2136,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,15.06032,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.4424,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,14.0096,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,12.75192,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,14.788088,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.753512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,60687-272-94,NDC,,,outpatient,1,EA,15.92,,7.96,9.552,15.4424,14.9648,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,13.2136,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,15.06032,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.4424,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,14.0096,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,12.75192,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,14.788088,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.753512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [81897],0636,RC,25021-119-20,NDC,J0697,HCPCS,outpatient,750,ME,7.48,,3.74,4.488,7.2556,7.0312,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,6.2084,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,7.07608,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,7.2556,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,6.5824,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,5.99148,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,6.948172,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.992228,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [81897],0636,RC,0143-9977-22,NDC,J0697,HCPCS,outpatient,1,EA,21.76,,10.88,13.056,21.1072,20.4544,,,,percent of total billed charges,,17.408,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,18.0608,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,20.0192,,,,percent of total billed charges,,20.0192,,,,percent of total billed charges,,20.58496,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,21.1072,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,19.1488,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,17.42976,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,13.056,,,,percent of total billed charges,,20.212864,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,17.408,,,,percent of total billed charges,,13.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.431936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [81897],0636,RC,25021-119-20,NDC,J0697,HCPCS,outpatient,1,EA,14.95,,7.475,8.97,14.5015,14.053,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,12.4085,,,,percent of total billed charges,,13.455,,,,percent of total billed charges,,13.754,,,,percent of total billed charges,,13.754,,,,percent of total billed charges,,14.1427,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,14.5015,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,13.156,,,,percent of total billed charges,,13.455,,,,percent of total billed charges,,11.97495,,,,percent of total billed charges,,13.455,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,13.887055,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.976445,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],0636,RC,0143-9979-22,NDC,J0697,HCPCS,outpatient,1,EA,10.89,,5.445,6.534,10.5633,10.2366,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,9.0387,,,,percent of total billed charges,,9.801,,,,percent of total billed charges,,10.0188,,,,percent of total billed charges,,10.0188,,,,percent of total billed charges,,10.30194,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,10.5633,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,9.5832,,,,percent of total billed charges,,9.801,,,,percent of total billed charges,,8.72289,,,,percent of total billed charges,,9.801,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,10.115721,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.723979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,0025-1520-34,NDC,,,outpatient,1,EA,41.4,,20.7,24.84,40.158,38.916,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.158,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,33.1614,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,38.45646,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.16554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,68084-969-01,NDC,,,outpatient,1,EA,2.88,,1.44,1.728,2.7936,2.7072,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.3904,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.72448,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7936,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.5344,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.675232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.307168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,0904-6502-61,NDC,,,outpatient,1,EA,3.58,,1.79,2.148,3.4726,3.3652,,,,percent of total billed charges,,2.864,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,2.9714,,,,percent of total billed charges,,3.222,,,,percent of total billed charges,,3.2936,,,,percent of total billed charges,,3.2936,,,,percent of total billed charges,,3.38668,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,3.4726,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,3.1504,,,,percent of total billed charges,,3.222,,,,percent of total billed charges,,2.86758,,,,percent of total billed charges,,3.222,,,,percent of total billed charges,,2.148,,,,percent of total billed charges,,3.325462,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,2.864,,,,percent of total billed charges,,2.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.867938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,60687-436-01,NDC,,,outpatient,1,EA,4.18,,2.09,2.508,4.0546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.34818,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,3.882802,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.348598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,60687-436-11,NDC,,,outpatient,1,EA,4.18,,2.09,2.508,4.0546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.34818,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,3.882802,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.348598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,0025-1525-34,NDC,,,outpatient,1,EA,67.91,,33.955,40.746,65.8727,63.8354,,,,percent of total billed charges,,54.328,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,56.3653,,,,percent of total billed charges,,61.119,,,,percent of total billed charges,,62.4772,,,,percent of total billed charges,,62.4772,,,,percent of total billed charges,,64.24286,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,65.8727,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,59.7608,,,,percent of total billed charges,,61.119,,,,percent of total billed charges,,54.39591,,,,percent of total billed charges,,61.119,,,,percent of total billed charges,,40.746,,,,percent of total billed charges,,63.081599,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,54.328,,,,percent of total billed charges,,40.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.402701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,0904-6503-61,NDC,,,outpatient,1,EA,6.01,,3.005,3.606,5.8297,5.6494,,,,percent of total billed charges,,4.808,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,4.9883,,,,percent of total billed charges,,5.409,,,,percent of total billed charges,,5.5292,,,,percent of total billed charges,,5.5292,,,,percent of total billed charges,,5.68546,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,5.8297,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,5.2888,,,,percent of total billed charges,,5.409,,,,percent of total billed charges,,4.81401,,,,percent of total billed charges,,5.409,,,,percent of total billed charges,,3.606,,,,percent of total billed charges,,5.582689,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,4.808,,,,percent of total billed charges,,3.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.814611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,68084-976-01,NDC,,,outpatient,1,EA,4.32,,2.16,2.592,4.1904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.012848,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.460752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,60687-447-01,NDC,,,outpatient,1,EA,9.11,,4.555,5.466,8.8367,8.5634,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.5613,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.61806,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.8367,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.0168,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,7.29711,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,8.462279,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.298021,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,60687-447-11,NDC,,,outpatient,1,EA,9.11,,4.555,5.466,8.8367,8.5634,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.5613,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.61806,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.8367,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.0168,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,7.29711,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,8.462279,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.298021,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,50268-169-11,NDC,,,outpatient,1,EA,5.45,,2.725,3.27,5.2865,5.123,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.5235,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.1557,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.2865,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.796,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,4.36545,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,5.062505,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.365995,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,50268-169-15,NDC,,,outpatient,1,EA,5.45,,2.725,3.27,5.2865,5.123,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.5235,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.1557,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.2865,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.796,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,4.36545,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,5.062505,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.365995,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [241798],0636,RC,61755-008-01,NDC,J9119,HCPCS,outpatient,7,ML,39991.54,,19995.77,23994.924,38791.7938,37592.0476,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,33192.9782,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,37831.99684,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,38791.7938,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,35192.5552,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,32033.22354,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,37148.14151,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32037.22269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [241798],0636,RC,61755-008-01,NDC,J9119,HCPCS,outpatient,350,ME,39991.54,,19995.77,23994.924,38791.7938,37592.0476,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,33192.9782,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,37831.99684,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,38791.7938,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,35192.5552,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,32033.22354,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,37148.14151,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32037.22269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,65862-018-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,50268-151-15,NDC,,,outpatient,1,EA,1.72,,0.86,1.032,1.6684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.37772,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.597708,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.377892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,50268-151-11,NDC,,,outpatient,1,EA,1.72,,0.86,1.032,1.6684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.37772,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.597708,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.377892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,60687-152-01,NDC,,,outpatient,1,EA,1.48,,0.74,0.888,1.4356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.18548,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.374772,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.185628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,60687-152-11,NDC,,,outpatient,1,EA,1.48,,0.74,0.888,1.4356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.18548,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.374772,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.185628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],0637,RC,0093-4177-73,NDC,,,outpatient,100,ML,71.55,,35.775,42.93,69.4035,67.257,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,59.3865,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,67.6863,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,69.4035,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,62.964,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,57.31155,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,66.462795,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.318705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],0637,RC,68180-441-01,NDC,,,outpatient,100,ML,86.4,,43.2,51.84,83.808,81.216,,,,percent of total billed charges,,69.12,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,71.712,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,79.488,,,,percent of total billed charges,,79.488,,,,percent of total billed charges,,81.7344,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,83.808,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,69.2064,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,80.25696,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,69.12,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.21504,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],0637,RC,67877-545-88,NDC,,,outpatient,100,ML,58.5,,29.25,35.1,56.745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,46.8585,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,54.34065,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.86435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,0093-3147-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,68180-122-01,NDC,,,outpatient,1,EA,1.34,,0.67,0.804,1.2998,1.2596,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1122,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.26764,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.2998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1792,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.07334,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,1.244726,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.073474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,50268-152-15,NDC,,,outpatient,1,EA,1.17,,0.585,0.702,1.1349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.93717,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.086813,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.937287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,50268-152-11,NDC,,,outpatient,1,EA,1.17,,0.585,0.702,1.1349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.93717,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.086813,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.937287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,60687-163-01,NDC,,,outpatient,1,EA,1.36,,0.68,0.816,1.3192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.08936,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.263304,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.089496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,60687-163-11,NDC,,,outpatient,1,EA,1.36,,0.68,0.816,1.3192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.08936,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.263304,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.089496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT [194656],0636,RC,50474-710-79,NDC,J0717,HCPCS,outpatient,1,EA,21744.92,,10872.46,13046.952,21092.5724,20440.2248,,,,percent of total billed charges,,17395.936,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,18048.2836,,,,percent of total billed charges,,19570.428,,,,percent of total billed charges,,20005.3264,,,,percent of total billed charges,,20005.3264,,,,percent of total billed charges,,20570.69432,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,21092.5724,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,19135.5296,,,,percent of total billed charges,,19570.428,,,,percent of total billed charges,,17417.68092,,,,percent of total billed charges,,19570.428,,,,percent of total billed charges,,13046.952,,,,percent of total billed charges,,20198.85619,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,17395.936,,,,percent of total billed charges,,13046.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17419.85541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,45802-626-26,NDC,,,outpatient,120,ML,16.74,,8.37,10.044,16.2378,15.7356,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,13.8942,,,,percent of total billed charges,,15.066,,,,percent of total billed charges,,15.4008,,,,percent of total billed charges,,15.4008,,,,percent of total billed charges,,15.83604,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,16.2378,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,14.7312,,,,percent of total billed charges,,15.066,,,,percent of total billed charges,,13.40874,,,,percent of total billed charges,,15.066,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,15.549786,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.410414,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,0045020504,NDC,,,outpatient,118,ML,42.48,,21.24,25.488,41.2056,39.9312,,,,percent of total billed charges,,33.984,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,35.2584,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,39.0816,,,,percent of total billed charges,,39.0816,,,,percent of total billed charges,,40.18608,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,41.2056,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,37.3824,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,34.02648,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,39.459672,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,33.984,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.030728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,51991-837-04,NDC,,,outpatient,120,ML,10.26,,5.13,6.156,9.9522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.21826,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,9.530514,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.219286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,51672-4070-8,NDC,,,outpatient,120,ML,17.82,,8.91,10.692,17.2854,16.7508,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.7906,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.85772,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.2854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,15.6816,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,14.27382,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,16.552998,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.275602,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,50580-730-05,NDC,,,outpatient,118,ML,51.51,,25.755,30.906,49.9647,48.4194,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,42.7533,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,48.72846,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,49.9647,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,45.3288,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,41.25951,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,47.847639,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.264661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,50580-721-05,NDC,,,outpatient,118,ML,51.51,,25.755,30.906,49.9647,48.4194,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,42.7533,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,48.72846,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,49.9647,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,45.3288,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,41.25951,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,47.847639,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.264661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,0904-6765-20,NDC,,,outpatient,118,ML,15.93,,7.965,9.558,15.4521,14.9742,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,13.2219,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,15.06978,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.4521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,14.0184,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,12.75993,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,14.797377,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.761523,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [191638],0636,RC,66733-948-23,NDC,J9055,HCPCS,outpatient,50,ML,3423.38,,1711.69,2054.028,3320.6786,3217.9772,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2841.4054,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3238.51748,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3320.6786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3012.5744,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2742.12738,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,3179.977682,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2742.469718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [191639],0636,RC,66733-958-23,NDC,J9055,HCPCS,outpatient,100,ML,6846.75,,3423.375,4108.05,6641.3475,6435.945,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5682.8025,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6477.0255,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6641.3475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6025.14,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,5484.24675,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,6359.946075,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5484.931425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB [1000202],0636,RC,66733-948-23,NDC,J9055,HCPCS,outpatient,50,ML,3423.38,,1711.69,2054.028,3320.6786,3217.9772,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2841.4054,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3238.51748,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3320.6786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3012.5744,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2742.12738,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,3179.977682,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2742.469718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB [1000202],0636,RC,66733-958-23,NDC,J9055,HCPCS,outpatient,100,ML,6846.75,,3423.375,4108.05,6641.3475,6435.945,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5682.8025,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6477.0255,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6641.3475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6025.14,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,5484.24675,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,6359.946075,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5484.931425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB (OLD) [1000201],0636,RC,66733-948-23,NDC,J9055,HCPCS,outpatient,50,ML,3423.38,,1711.69,2054.028,3320.6786,3217.9772,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2841.4054,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3238.51748,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3320.6786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3012.5744,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2742.12738,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,3179.977682,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2742.469718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB (OLD) [1000201],0636,RC,66733-958-23,NDC,J9055,HCPCS,outpatient,100,ML,6846.75,,3423.375,4108.05,6641.3475,6435.945,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5682.8025,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6477.0255,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6641.3475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6025.14,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,5484.24675,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,6359.946075,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5484.931425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0637,RC,0395266216,NDC,,,outpatient,473,ML,46.83,,23.415,28.098,45.4251,44.0202,,,,percent of total billed charges,,37.464,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,38.8689,,,,percent of total billed charges,,42.147,,,,percent of total billed charges,,43.0836,,,,percent of total billed charges,,43.0836,,,,percent of total billed charges,,44.30118,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,45.4251,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,41.2104,,,,percent of total billed charges,,42.147,,,,percent of total billed charges,,37.51083,,,,percent of total billed charges,,42.147,,,,percent of total billed charges,,28.098,,,,percent of total billed charges,,43.500387,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,37.464,,,,percent of total billed charges,,28.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.515513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0637,RC,9999-0015-62,NDC,,,outpatient,10,ML,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0637,RC,3172293847,NDC,,,outpatient,473,ML,61.73,,30.865,37.038,59.8781,58.0262,,,,percent of total billed charges,,49.384,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,51.2359,,,,percent of total billed charges,,55.557,,,,percent of total billed charges,,56.7916,,,,percent of total billed charges,,56.7916,,,,percent of total billed charges,,58.39658,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,59.8781,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,54.3224,,,,percent of total billed charges,,55.557,,,,percent of total billed charges,,49.44573,,,,percent of total billed charges,,55.557,,,,percent of total billed charges,,37.038,,,,percent of total billed charges,,57.340997,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,49.384,,,,percent of total billed charges,,37.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.451903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],0637,RC,0555-0033-02,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],0637,RC,51079-375-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],0637,RC,51079-375-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0637,RC,0555-0159-02,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0637,RC,51079-141-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0637,RC,51079-141-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],0637,RC,0555-0158-02,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],0637,RC,51079-374-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],0637,RC,51079-374-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,0116-2001-16,NDC,,,outpatient,473,ML,10.65,,5.325,6.39,10.3305,10.011,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.8395,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,10.0749,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.3305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,9.372,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,8.53065,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,9.892785,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.531715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,0116-2001-04,NDC,,,outpatient,118,ML,11.16,,5.58,6.696,10.8252,10.4904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.2628,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.55736,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.8252,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.8208,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,8.93916,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,10.366524,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.940276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,69339-138-15,NDC,,,outpatient,15,ML,8.71,,4.355,5.226,8.4487,8.1874,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.2293,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.23966,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.4487,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.6648,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,6.97671,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,8.090719,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.977581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,69339-138-17,NDC,,,outpatient,15,ML,8.71,,4.355,5.226,8.4487,8.1874,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.2293,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.23966,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.4487,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.6648,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,6.97671,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,8.090719,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.977581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,69339-138-19,NDC,,,outpatient,15,ML,8.04,,4.02,4.824,7.7988,7.5576,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.6732,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.60584,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.7988,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.0752,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,6.44004,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,7.468356,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.440844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,0121-0893-15,NDC,,,outpatient,15,ML,7.77,,3.885,4.662,7.5369,7.3038,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,6.4491,,,,percent of total billed charges,,6.993,,,,percent of total billed charges,,7.1484,,,,percent of total billed charges,,7.1484,,,,percent of total billed charges,,7.35042,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,7.5369,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,6.8376,,,,percent of total billed charges,,6.993,,,,percent of total billed charges,,6.22377,,,,percent of total billed charges,,6.993,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,7.217553,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.224547,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,0121-0893-40,NDC,,,outpatient,15,ML,3.45,,1.725,2.07,3.3465,3.243,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.8635,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.2637,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.3465,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.76345,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,3.204705,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.763795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,0904-7035-88,NDC,,,outpatient,15,ML,3.99,,1.995,2.394,3.8703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.19599,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,3.706311,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.196389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,63323-477-27,NDC,J2401,HCPCS,outpatient,20,ML,79.29,,39.645,47.574,76.9113,74.5326,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,65.8107,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,75.00834,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,76.9113,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,69.7752,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,63.51129,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,73.652481,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.519219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,0143-9209-01,NDC,J2401,HCPCS,outpatient,20,ML,51.48,,25.74,30.888,49.9356,48.3912,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,42.7284,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,48.70008,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,49.9356,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,45.3024,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,41.23548,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,47.819772,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.240628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,0143-9209-10,NDC,J2401,HCPCS,outpatient,20,ML,51.48,,25.74,30.888,49.9356,48.3912,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,42.7284,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,48.70008,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,49.9356,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,45.3024,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,41.23548,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,47.819772,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.240628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,63323-477-01,NDC,J2401,HCPCS,outpatient,20,ML,79.29,,39.645,47.574,76.9113,74.5326,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,65.8107,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,75.00834,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,76.9113,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,69.7752,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,63.51129,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,73.652481,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.519219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [81305],0250,RC,63323-658-20,NDC,,,outpatient,500,ME,110.25,,55.125,66.15,106.9425,103.635,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,91.5075,,,,percent of total billed charges,,99.225,,,,percent of total billed charges,,101.43,,,,percent of total billed charges,,101.43,,,,percent of total billed charges,,104.2965,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,106.9425,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,97.02,,,,percent of total billed charges,,99.225,,,,percent of total billed charges,,88.31025,,,,percent of total billed charges,,99.225,,,,percent of total billed charges,,66.15,,,,percent of total billed charges,,102.411225,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,66.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.321275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [81305],0250,RC,47335-330-40,NDC,,,outpatient,1,EA,148.91,,74.455,89.346,144.4427,139.9754,,,,percent of total billed charges,,119.128,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,123.5953,,,,percent of total billed charges,,134.019,,,,percent of total billed charges,,136.9972,,,,percent of total billed charges,,136.9972,,,,percent of total billed charges,,140.86886,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,144.4427,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,131.0408,,,,percent of total billed charges,,134.019,,,,percent of total billed charges,,119.27691,,,,percent of total billed charges,,134.019,,,,percent of total billed charges,,89.346,,,,percent of total billed charges,,138.322499,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,119.128,,,,percent of total billed charges,,89.346,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.291801,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [81305],0250,RC,25021-305-20,NDC,,,outpatient,1,EA,144.77,,72.385,86.862,140.4269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,115.96077,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,134.476853,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.975247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,51079-519-20,NDC,Q0161,HCPCS,outpatient,1,EA,17.82,,8.91,10.692,17.2854,16.7508,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.7906,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.85772,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.2854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,15.6816,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,14.27382,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,16.552998,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.275602,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,60687-430-01,NDC,Q0161,HCPCS,outpatient,1,EA,26.27,,13.135,15.762,25.4819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,21.04227,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,24.402203,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.044897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,60687-430-11,NDC,Q0161,HCPCS,outpatient,1,EA,26.27,,13.135,15.762,25.4819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,21.04227,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,24.402203,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.044897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,50268-163-11,NDC,Q0161,HCPCS,outpatient,1,EA,18.33,,9.165,10.998,17.7801,17.2302,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,15.2139,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,17.34018,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.7801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,16.1304,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,14.68233,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,17.026737,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.684163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,50268-163-15,NDC,Q0161,HCPCS,outpatient,1,EA,18.33,,9.165,10.998,17.7801,17.2302,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,15.2139,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,17.34018,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.7801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,16.1304,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,14.68233,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,17.026737,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.684163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,0641-1397-35,NDC,J3230,HCPCS,outpatient,1,ML,96.49,,48.245,57.894,93.5953,90.7006,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,80.0867,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,91.27954,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,93.5953,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,84.9112,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,77.28849,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,89.629561,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.298139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,0641-1397-31,NDC,J3230,HCPCS,outpatient,1,ML,96.49,,48.245,57.894,93.5953,90.7006,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,80.0867,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,91.27954,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,93.5953,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,84.9112,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,77.28849,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,89.629561,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.298139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,55150-318-01,NDC,J3230,HCPCS,outpatient,1,ML,65.56,,32.78,39.336,63.5932,61.6264,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,54.4148,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,62.01976,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,63.5932,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,57.6928,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,52.51356,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,60.898684,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.520116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,55150-318-25,NDC,J3230,HCPCS,outpatient,1,ML,65.56,,32.78,39.336,63.5932,61.6264,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,54.4148,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,62.01976,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,63.5932,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,57.6928,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,52.51356,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,60.898684,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.520116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,51079-058-01,NDC,,,outpatient,1,EA,8.83,,4.415,5.298,8.5651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,7.07283,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.202187,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.073713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,51079-058-20,NDC,,,outpatient,1,EA,8.83,,4.415,5.298,8.5651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,7.07283,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.202187,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.073713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,50268-167-11,NDC,,,outpatient,1,EA,3.96,,1.98,2.376,3.8412,3.7224,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.2868,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.74616,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.4848,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.17196,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,3.678444,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.172356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,50268-167-15,NDC,,,outpatient,1,EA,3.96,,1.98,2.376,3.8412,3.7224,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.2868,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.74616,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.4848,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.17196,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,3.678444,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.172356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,60687-317-01,NDC,,,outpatient,1,EA,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,60687-317-11,NDC,,,outpatient,1,EA,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [82540],0637,RC,0904582360,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [82540],0637,RC,5026886311,NDC,,,outpatient,1,EA,1.03,,0.515,0.618,0.9991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.82503,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,0.956767,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.825133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [82540],0637,RC,5026886315,NDC,,,outpatient,1,EA,1.03,,0.515,0.618,0.9991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.82503,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,0.956767,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.825133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [194522],0637,RC,0087086644,NDC,,,outpatient,50,ML,36.9,,18.45,22.14,35.793,34.686,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,30.627,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,34.9074,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.793,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,32.472,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,29.5569,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,34.27641,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.56059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [102354]",0637,RC,4843310401,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [102354]",0637,RC,2055503300,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET [88459],0637,RC,0245-0036-42,NDC,,,outpatient,1,EA,8.51,,4.255,5.106,8.2547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,6.81651,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,7.904939,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.817361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET [88459],0637,RC,0245-0036-89,NDC,,,outpatient,1,EA,3.73,,1.865,2.238,3.6181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.98773,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.464797,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.988103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHONDROITIN-SOD HYALURON 3 %-4 %(0.35 ML)1 %(0.4 ML)INTRAOCULAR SYRING [79235],0250,RC,8065183135,NDC,,,outpatient,0.75,ML,411.53,,205.765,246.918,399.1841,386.8382,,,,percent of total billed charges,,329.224,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,341.5699,,,,percent of total billed charges,,370.377,,,,percent of total billed charges,,378.6076,,,,percent of total billed charges,,378.6076,,,,percent of total billed charges,,389.30738,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,399.1841,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,362.1464,,,,percent of total billed charges,,370.377,,,,percent of total billed charges,,329.63553,,,,percent of total billed charges,,370.377,,,,percent of total billed charges,,246.918,,,,percent of total billed charges,,382.270217,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,329.224,,,,percent of total billed charges,,246.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,329.676683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING [77854],0250,RC,8065183150,NDC,,,outpatient,1.05,ML,432.95,,216.475,259.77,419.9615,406.973,,,,percent of total billed charges,,346.36,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,359.3485,,,,percent of total billed charges,,389.655,,,,percent of total billed charges,,398.314,,,,percent of total billed charges,,398.314,,,,percent of total billed charges,,409.5707,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,419.9615,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,380.996,,,,percent of total billed charges,,389.655,,,,percent of total billed charges,,346.79295,,,,percent of total billed charges,,389.655,,,,percent of total billed charges,,259.77,,,,percent of total billed charges,,402.167255,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,346.36,,,,percent of total billed charges,,259.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,346.836245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 100 MG TABLET [24474],0637,RC,0093-2064-06,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 100 MG TABLET [24474],0637,RC,50268-177-11,NDC,,,outpatient,1,EA,4.74,,2.37,2.844,4.5978,4.4556,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.9342,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.48404,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.5978,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.1712,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,3.79674,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,4.402986,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.797214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 100 MG TABLET [24474],0637,RC,50268-177-15,NDC,,,outpatient,1,EA,4.74,,2.37,2.844,4.5978,4.4556,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.9342,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.48404,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.5978,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.1712,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,3.79674,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,4.402986,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.797214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 50 MG TABLET [24473],0637,RC,0054-0028-21,NDC,,,outpatient,1,EA,1.3,,0.65,0.78,1.261,1.222,,,,percent of total billed charges,,1.04,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.079,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.196,,,,percent of total billed charges,,1.196,,,,percent of total billed charges,,1.2298,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.261,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.144,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.0413,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,0.78,,,,percent of total billed charges,,1.20757,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.04,,,,percent of total billed charges,,0.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.04143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 50 MG TABLET [24473],0637,RC,50268-176-11,NDC,,,outpatient,1,EA,4.13,,2.065,2.478,4.0061,3.8822,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.4279,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.90698,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,4.0061,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.6344,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,3.30813,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,3.836357,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.308543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 50 MG TABLET [24473],0637,RC,50268-176-15,NDC,,,outpatient,1,EA,4.13,,2.065,2.478,4.0061,3.8822,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.4279,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.90698,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,4.0061,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.6344,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,3.30813,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,3.836357,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.308543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,55513-073-30,NDC,,,outpatient,1,EA,75.91,,37.955,45.546,73.6327,71.3554,,,,percent of total billed charges,,60.728,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,63.0053,,,,percent of total billed charges,,68.319,,,,percent of total billed charges,,69.8372,,,,percent of total billed charges,,69.8372,,,,percent of total billed charges,,71.81086,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,73.6327,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,66.8008,,,,percent of total billed charges,,68.319,,,,percent of total billed charges,,60.80391,,,,percent of total billed charges,,68.319,,,,percent of total billed charges,,45.546,,,,percent of total billed charges,,70.512799,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,60.728,,,,percent of total billed charges,,45.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.811501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,69097-410-02,NDC,,,outpatient,1,EA,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,60687-525-11,NDC,,,outpatient,1,EA,111.17,,55.585,66.702,107.8349,104.4998,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,92.2711,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,105.16682,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,107.8349,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,97.8296,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,89.04717,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,103.265813,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.058287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,60687-525-21,NDC,,,outpatient,1,EA,111.17,,55.585,66.702,107.8349,104.4998,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,92.2711,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,105.16682,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,107.8349,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,97.8296,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,89.04717,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,103.265813,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.058287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,16729-440-10,NDC,,,outpatient,1,EA,1.05,,0.525,0.63,1.0185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.84105,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.975345,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.841155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,16729-440-15,NDC,,,outpatient,1,EA,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 0.3 % EYE DROPS [9610],0637,RC,61314-656-05,NDC,,,outpatient,5,ML,34.2,,17.1,20.52,33.174,32.148,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.464,,,,percent of total billed charges,,31.464,,,,percent of total billed charges,,32.3532,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,33.174,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,30.096,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,27.3942,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,31.76838,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.39762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 0.3 % EYE DROPS [9610],0637,RC,69315-308-05,NDC,,,outpatient,5,ML,63,,31.5,37.8,61.11,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,58.5207,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.4693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [88428]",0637,RC,43598-326-75,NDC,,,outpatient,7.5,ML,649.52,,324.76,389.712,630.0344,610.5488,,,,percent of total billed charges,,519.616,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,539.1016,,,,percent of total billed charges,,584.568,,,,percent of total billed charges,,597.5584,,,,percent of total billed charges,,597.5584,,,,percent of total billed charges,,614.44592,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,630.0344,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,571.5776,,,,percent of total billed charges,,584.568,,,,percent of total billed charges,,520.26552,,,,percent of total billed charges,,584.568,,,,percent of total billed charges,,389.712,,,,percent of total billed charges,,603.339128,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,519.616,,,,percent of total billed charges,,389.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,520.330472,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [88428]",0637,RC,62756-427-90,NDC,,,outpatient,7.5,ML,516.95,,258.475,310.17,501.4415,485.933,,,,percent of total billed charges,,413.56,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,429.0685,,,,percent of total billed charges,,465.255,,,,percent of total billed charges,,475.594,,,,percent of total billed charges,,475.594,,,,percent of total billed charges,,489.0347,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,501.4415,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,454.916,,,,percent of total billed charges,,465.255,,,,percent of total billed charges,,414.07695,,,,percent of total billed charges,,465.255,,,,percent of total billed charges,,310.17,,,,percent of total billed charges,,480.194855,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,413.56,,,,percent of total billed charges,,310.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,414.128645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [83047],0636,RC,25021-192-82,NDC,J0744,HCPCS,outpatient,100,ML,10.35,,5.175,6.21,10.0395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,8.29035,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,9.614115,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.291385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 250 MG TABLET [25118],0637,RC,68084-069-01,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 250 MG TABLET [25118],0637,RC,65862-076-01,NDC,,,outpatient,1,EA,0.74,,0.37,0.444,0.7178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.59274,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.687386,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.592814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 250 MG TABLET [25118],0637,RC,58657-675-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,65862-077-01,NDC,,,outpatient,1,EA,1.2,,0.6,0.72,1.164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.9612,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.11468,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.96132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,51079-182-20,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,0904-7083-61,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,51407-165-01,NDC,,,outpatient,1,EA,1.21,,0.605,0.726,1.1737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.96921,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.123969,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.969331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,0904-7243-61,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,25021-114-87,NDC,J0744,HCPCS,outpatient,200,ML,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,36000-009-24,NDC,J0744,HCPCS,outpatient,200,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,0409-4777-02,NDC,J0744,HCPCS,outpatient,200,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,0409-3300-01,NDC,J0744,HCPCS,outpatient,200,ML,12.6,,6.3,7.56,12.222,11.844,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.9196,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,12.222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,10.0926,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,11.70414,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.09386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,0409-3300-24,NDC,J0744,HCPCS,outpatient,200,ML,12.6,,6.3,7.56,12.222,11.844,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.9196,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,12.222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,10.0926,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,11.70414,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.09386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,40,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,70069-151-10,NDC,,,outpatient,100,ME,114.8,,57.4,68.88,111.356,107.912,,,,percent of total billed charges,,91.84,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,95.284,,,,percent of total billed charges,,103.32,,,,percent of total billed charges,,105.616,,,,percent of total billed charges,,105.616,,,,percent of total billed charges,,108.6008,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,111.356,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,101.024,,,,percent of total billed charges,,103.32,,,,percent of total billed charges,,91.9548,,,,percent of total billed charges,,103.32,,,,percent of total billed charges,,68.88,,,,percent of total billed charges,,106.63772,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,91.84,,,,percent of total billed charges,,68.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.96628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,0074-4378-05,NDC,,,outpatient,5,ML,64.85,,32.425,38.91,62.9045,60.959,,,,percent of total billed charges,,51.88,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,53.8255,,,,percent of total billed charges,,58.365,,,,percent of total billed charges,,59.662,,,,percent of total billed charges,,59.662,,,,percent of total billed charges,,61.3481,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,62.9045,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,57.068,,,,percent of total billed charges,,58.365,,,,percent of total billed charges,,51.94485,,,,percent of total billed charges,,58.365,,,,percent of total billed charges,,38.91,,,,percent of total billed charges,,60.239165,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,51.88,,,,percent of total billed charges,,38.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.951335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,0703-2033-01,NDC,,,outpatient,5,ML,12.27,,6.135,7.362,11.9019,11.5338,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.1841,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.60742,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.9019,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.7976,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,9.82827,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,11.397603,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.829497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,0703-2033-03,NDC,,,outpatient,5,ML,12.27,,6.135,7.362,11.9019,11.5338,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.1841,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.60742,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.9019,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.7976,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,9.82827,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,11.397603,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.829497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,70069-141-01,NDC,,,outpatient,5,ML,14.47,,7.235,8.682,14.0359,13.6018,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.0101,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.68862,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,14.0359,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.7336,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,11.59047,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,13.441183,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.591917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,70069-141-10,NDC,,,outpatient,5,ML,14.47,,7.235,8.682,14.0359,13.6018,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.0101,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.68862,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,14.0359,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.7336,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,11.59047,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,13.441183,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.591917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,71288-712-05,NDC,,,outpatient,5,ML,17.13,,8.565,10.278,16.6161,16.1022,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,14.2179,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,16.20498,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.6161,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,15.0744,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,13.72113,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,15.912057,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.722843,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,71288-712-06,NDC,,,outpatient,5,ML,17.13,,8.565,10.278,16.6161,16.1022,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,14.2179,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,16.20498,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.6161,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,15.0744,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,13.72113,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,15.912057,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.722843,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,0409-5547-01,NDC,,,outpatient,5,ML,12.63,,6.315,7.578,12.2511,11.8722,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.4829,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.94798,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,12.2511,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.1144,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,10.11663,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,11.732007,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.117893,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,0409-5547-10,NDC,,,outpatient,5,ML,12.63,,6.315,7.578,12.2511,11.8722,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.4829,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.94798,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,12.2511,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.1144,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,10.11663,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,11.732007,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.117893,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,25021-668-05,NDC,,,outpatient,5,ML,8.49,,4.245,5.094,8.2353,7.9806,,,,percent of total billed charges,,6.792,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,7.0467,,,,percent of total billed charges,,7.641,,,,percent of total billed charges,,7.8108,,,,percent of total billed charges,,7.8108,,,,percent of total billed charges,,8.03154,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,8.2353,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,7.4712,,,,percent of total billed charges,,7.641,,,,percent of total billed charges,,6.80049,,,,percent of total billed charges,,7.641,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,7.886361,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,6.792,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.801339,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,0143-9396-01,NDC,,,outpatient,5,ML,10.35,,5.175,6.21,10.0395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,8.29035,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,9.614115,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.291385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2000 MCG/ML PEDS INFUSION [1001895],0250,RC,9991-0018-95,NDC,,,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,0074-4382-20,NDC,,,outpatient,20,ML,1228.41,,614.205,737.046,1191.5577,1154.7054,,,,percent of total billed charges,,982.728,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1019.5803,,,,percent of total billed charges,,1105.569,,,,percent of total billed charges,,1130.1372,,,,percent of total billed charges,,1130.1372,,,,percent of total billed charges,,1162.07586,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1191.5577,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1081.0008,,,,percent of total billed charges,,1105.569,,,,percent of total billed charges,,983.95641,,,,percent of total billed charges,,1105.569,,,,percent of total billed charges,,737.046,,,,percent of total billed charges,,1141.070049,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,982.728,,,,percent of total billed charges,,737.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,984.079251,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,63323-418-20,NDC,,,outpatient,20,ML,688.95,,344.475,413.37,668.2815,647.613,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,571.8285,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,651.7467,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,668.2815,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,606.276,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,551.84895,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,639.965655,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,551.917845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,0703-2045-01,NDC,,,outpatient,20,ML,262.62,,131.31,157.572,254.7414,246.8628,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,217.9746,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,248.43852,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,254.7414,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,231.1056,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,210.35862,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,243.947718,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,210.384882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,0703-2045-03,NDC,,,outpatient,20,ML,262.62,,131.31,157.572,254.7414,246.8628,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,217.9746,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,248.43852,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,254.7414,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,231.1056,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,210.35862,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,243.947718,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,210.384882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,70069-151-01,NDC,,,outpatient,20,ML,229.59,,114.795,137.754,222.7023,215.8146,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,190.5597,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,217.19214,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,222.7023,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,202.0392,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,183.90159,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,213.266151,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.924549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,70069-151-10,NDC,,,outpatient,20,ML,229.59,,114.795,137.754,222.7023,215.8146,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,190.5597,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,217.19214,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,222.7023,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,202.0392,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,183.90159,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,213.266151,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.924549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,0409-1103-01,NDC,,,outpatient,20,ML,232.11,,116.055,139.266,225.1467,218.1834,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,192.6513,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,219.57606,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,225.1467,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,204.2568,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,185.92011,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,215.606979,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.943321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,0409-1103-11,NDC,,,outpatient,20,ML,232.11,,116.055,139.266,225.1467,218.1834,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,192.6513,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,219.57606,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,225.1467,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,204.2568,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,185.92011,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,215.606979,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.943321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,63323-418-01,NDC,,,outpatient,20,ML,688.95,,344.475,413.37,668.2815,647.613,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,571.8285,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,651.7467,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,668.2815,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,606.276,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,551.84895,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,639.965655,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,551.917845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],0636,RC,0703-5747-11,NDC,J9060,HCPCS,outpatient,50,ML,39.83,,19.915,23.898,38.6351,37.4402,,,,percent of total billed charges,,31.864,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,33.0589,,,,percent of total billed charges,,35.847,,,,percent of total billed charges,,36.6436,,,,percent of total billed charges,,36.6436,,,,percent of total billed charges,,37.67918,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,38.6351,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,35.0504,,,,percent of total billed charges,,35.847,,,,percent of total billed charges,,31.90383,,,,percent of total billed charges,,35.847,,,,percent of total billed charges,,23.898,,,,percent of total billed charges,,36.998087,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,31.864,,,,percent of total billed charges,,23.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.907813,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],0636,RC,0703-5748-11,NDC,J9060,HCPCS,outpatient,100,ML,83.7,,41.85,50.22,81.189,78.678,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,69.471,,,,percent of total billed charges,,75.33,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,79.1802,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,81.189,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,73.656,,,,percent of total billed charges,,75.33,,,,percent of total billed charges,,67.0437,,,,percent of total billed charges,,75.33,,,,percent of total billed charges,,50.22,,,,percent of total billed charges,,77.74893,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,50.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.05207,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CITALOPRAM 20 MG TABLET [21062],0637,RC,0904-6085-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLARITHROMYCIN 500 MG TABLET [9617],0637,RC,0781-1962-60,NDC,,,outpatient,1,EA,3.7,,1.85,2.22,3.589,3.478,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.071,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.5002,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.589,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.9637,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,3.43693,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.96407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLARITHROMYCIN 500 MG TABLET [9617],0637,RC,57237-045-60,NDC,,,outpatient,1,EA,1.53,,0.765,0.918,1.4841,1.4382,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.2699,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.44738,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.3464,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.22553,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,1.421217,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.225683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLARITHROMYCIN 500 MG TABLET [9617],0637,RC,68084-651-25,NDC,,,outpatient,1,EA,15.17,,7.585,9.102,14.7149,14.2598,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.5911,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,14.35082,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.7149,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,13.3496,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,12.15117,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,14.091413,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.152687,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,0009-3329-01,NDC,,,outpatient,60,ML,119.88,,59.94,71.928,116.2836,112.6872,,,,percent of total billed charges,,95.904,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,99.5004,,,,percent of total billed charges,,107.892,,,,percent of total billed charges,,110.2896,,,,percent of total billed charges,,110.2896,,,,percent of total billed charges,,113.40648,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,116.2836,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,105.4944,,,,percent of total billed charges,,107.892,,,,percent of total billed charges,,96.02388,,,,percent of total billed charges,,107.892,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,111.356532,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,95.904,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.035868,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,0168-0203-60,NDC,,,outpatient,60,ML,365.58,,182.79,219.348,354.6126,343.6452,,,,percent of total billed charges,,292.464,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,303.4314,,,,percent of total billed charges,,329.022,,,,percent of total billed charges,,336.3336,,,,percent of total billed charges,,336.3336,,,,percent of total billed charges,,345.83868,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,354.6126,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,321.7104,,,,percent of total billed charges,,329.022,,,,percent of total billed charges,,292.82958,,,,percent of total billed charges,,329.022,,,,percent of total billed charges,,219.348,,,,percent of total billed charges,,339.587262,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,292.464,,,,percent of total billed charges,,219.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,292.866138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,59762-3744-1,NDC,,,outpatient,60,ML,306.45,,153.225,183.87,297.2565,288.063,,,,percent of total billed charges,,245.16,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,254.3535,,,,percent of total billed charges,,275.805,,,,percent of total billed charges,,281.934,,,,percent of total billed charges,,281.934,,,,percent of total billed charges,,289.9017,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,297.2565,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,269.676,,,,percent of total billed charges,,275.805,,,,percent of total billed charges,,245.46645,,,,percent of total billed charges,,275.805,,,,percent of total billed charges,,183.87,,,,percent of total billed charges,,284.661405,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,245.16,,,,percent of total billed charges,,183.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.497095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,45802-128-01,NDC,,,outpatient,60,ML,46.17,,23.085,27.702,44.7849,43.3998,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,38.3211,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,42.4764,,,,percent of total billed charges,,42.4764,,,,percent of total billed charges,,43.67682,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,44.7849,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,40.6296,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,36.98217,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,42.887313,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.986787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0728-09,NDC,J0736,HCPCS,outpatient,60,ML,95.04,,47.52,57.024,92.1888,89.3376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,78.8832,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,89.90784,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,92.1888,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,83.6352,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,76.12704,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,88.282656,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.136544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0870-26,NDC,J0736,HCPCS,outpatient,2,ML,10.28,,5.14,6.168,9.9716,9.6632,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.5324,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.72488,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.9716,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.0464,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,8.23428,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,9.549092,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.235308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0902-11,NDC,J0736,HCPCS,outpatient,6,ML,17.64,,8.82,10.584,17.1108,16.5816,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.6412,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.68744,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1108,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,15.5232,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,14.12964,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,16.385796,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.131404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0902-18,NDC,J0736,HCPCS,outpatient,6,ML,17.64,,8.82,10.584,17.1108,16.5816,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.6412,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.68744,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1108,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,15.5232,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,14.12964,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,16.385796,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.131404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,63323-282-04,NDC,J0736,HCPCS,outpatient,4,ML,8.64,,4.32,5.184,8.3808,8.1216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,7.1712,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,7.9488,,,,percent of total billed charges,,7.9488,,,,percent of total billed charges,,8.17344,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,8.3808,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,7.6032,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,6.92064,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,8.025696,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.921504,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,63323-282-06,NDC,J0736,HCPCS,outpatient,6,ML,11.24,,5.62,6.744,10.9028,10.5656,,,,percent of total billed charges,,8.992,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,9.3292,,,,percent of total billed charges,,10.116,,,,percent of total billed charges,,10.3408,,,,percent of total billed charges,,10.3408,,,,percent of total billed charges,,10.63304,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,10.9028,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,9.8912,,,,percent of total billed charges,,10.116,,,,percent of total billed charges,,9.00324,,,,percent of total billed charges,,10.116,,,,percent of total billed charges,,6.744,,,,percent of total billed charges,,10.440836,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,8.992,,,,percent of total billed charges,,6.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.004364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,25021-115-04,NDC,J0736,HCPCS,outpatient,4,ML,10.93,,5.465,6.558,10.6021,10.2742,,,,percent of total billed charges,,8.744,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,9.0719,,,,percent of total billed charges,,9.837,,,,percent of total billed charges,,10.0556,,,,percent of total billed charges,,10.0556,,,,percent of total billed charges,,10.33978,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,10.6021,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,9.6184,,,,percent of total billed charges,,9.837,,,,percent of total billed charges,,8.75493,,,,percent of total billed charges,,9.837,,,,percent of total billed charges,,6.558,,,,percent of total billed charges,,10.152877,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,8.744,,,,percent of total billed charges,,6.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.756023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,25021-115-06,NDC,J0736,HCPCS,outpatient,6,ML,14.23,,7.115,8.538,13.8031,13.3762,,,,percent of total billed charges,,11.384,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,11.8109,,,,percent of total billed charges,,12.807,,,,percent of total billed charges,,13.0916,,,,percent of total billed charges,,13.0916,,,,percent of total billed charges,,13.46158,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,13.8031,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,12.5224,,,,percent of total billed charges,,12.807,,,,percent of total billed charges,,11.39823,,,,percent of total billed charges,,12.807,,,,percent of total billed charges,,8.538,,,,percent of total billed charges,,13.218247,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,11.384,,,,percent of total billed charges,,8.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.399653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0870-21,NDC,J0736,HCPCS,outpatient,2,ML,10.28,,5.14,6.168,9.9716,9.6632,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.5324,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.72488,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.9716,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.0464,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,8.23428,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,9.549092,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.235308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0602-04,NDC,J0736,HCPCS,outpatient,4,ML,8.59,,4.295,5.154,8.3323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,6.88059,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,7.979251,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.881449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0602-25,NDC,J0736,HCPCS,outpatient,4,ML,8.59,,4.295,5.154,8.3323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,6.88059,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,7.979251,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.881449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0728-05,NDC,J0736,HCPCS,outpatient,60,ML,95.04,,47.52,57.024,92.1888,89.3376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,78.8832,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,89.90784,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,92.1888,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,83.6352,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,76.12704,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,88.282656,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.136544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 6 MG/ML IN D5W IV PEDS DILUTION [1001842],0250,RC,9991-0018-42,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235380],0250,RC,0338-9549-24,NDC,J0737,HCPCS,outpatient,50,ML,17.78,,8.89,10.668,17.2466,16.7132,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.7574,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.81988,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,17.2466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,15.6464,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,14.24178,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,16.515842,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.243558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235380],0250,RC,0338-9549-50,NDC,J0737,HCPCS,outpatient,50,ML,21.15,,10.575,12.69,20.5155,19.881,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,17.5545,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,20.0079,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.5155,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,16.94115,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,19.646235,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.943265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235380],0250,RC,0338-9549-50,NDC,J0737,HCPCS,outpatient,50,ML,17.78,,8.89,10.668,17.2466,16.7132,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.7574,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.81988,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,17.2466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,15.6464,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,14.24178,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,16.515842,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.243558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [79801],0637,RC,0574-0129-01,NDC,,,outpatient,100,ML,58.95,,29.475,35.37,57.1815,55.413,,,,percent of total billed charges,,47.16,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,48.9285,,,,percent of total billed charges,,53.055,,,,percent of total billed charges,,54.234,,,,percent of total billed charges,,54.234,,,,percent of total billed charges,,55.7667,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,57.1815,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,51.876,,,,percent of total billed charges,,53.055,,,,percent of total billed charges,,47.21895,,,,percent of total billed charges,,53.055,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,54.758655,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,47.16,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.224845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [79801],0637,RC,64980-511-10,NDC,,,outpatient,100,ML,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [79801],0637,RC,65862-596-01,NDC,,,outpatient,100,ML,63.9,,31.95,38.34,61.983,60.066,,,,percent of total billed charges,,51.12,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,53.037,,,,percent of total billed charges,,57.51,,,,percent of total billed charges,,58.788,,,,percent of total billed charges,,58.788,,,,percent of total billed charges,,60.4494,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,61.983,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,57.51,,,,percent of total billed charges,,51.1839,,,,percent of total billed charges,,57.51,,,,percent of total billed charges,,38.34,,,,percent of total billed charges,,59.35671,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,51.12,,,,percent of total billed charges,,38.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.19029,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235381],0250,RC,0338-9553-24,NDC,J0737,HCPCS,outpatient,50,ML,22.05,,11.025,13.23,21.3885,20.727,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,18.3015,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.8593,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,21.3885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,19.404,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,17.66205,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,20.482245,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.664255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235381],0250,RC,0338-9553-50,NDC,J0737,HCPCS,outpatient,50,ML,22.05,,11.025,13.23,21.3885,20.727,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,18.3015,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.8593,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,21.3885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,19.404,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,17.66205,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,20.482245,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.664255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],0250,RC,0781-3290-09,NDC,,,outpatient,50,ML,56.93,,28.465,34.158,55.2221,53.5142,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,47.2519,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,53.85578,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,55.2221,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,50.0984,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,45.60093,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,52.882277,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.606623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],0250,RC,0781-3290-91,NDC,,,outpatient,50,ML,56.93,,28.465,34.158,55.2221,53.5142,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,47.2519,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,53.85578,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,55.2221,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,50.0984,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,45.60093,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,52.882277,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.606623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN HCL 150 MG CAPSULE [1740],0637,RC,68084-243-01,NDC,,,outpatient,1,EA,1.41,,0.705,0.846,1.3677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.12941,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.309749,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.129551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN HCL 150 MG CAPSULE [1740],0637,RC,68084-243-11,NDC,,,outpatient,1,EA,1.41,,0.705,0.846,1.3677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.12941,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.309749,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.129551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN HCL 150 MG CAPSULE [1740],0637,RC,0904-5959-61,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,250,ML,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0602-04,NDC,J0736,HCPCS,outpatient,600,ME,8.59,,4.295,5.154,8.3323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,6.88059,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,7.979251,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.881449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0602-04,NDC,J0736,HCPCS,outpatient,600,ME,8.59,,4.295,5.154,8.3323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,6.88059,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,7.979251,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.881449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,0009-0602-04,NDC,J0736,HCPCS,outpatient,600,ME,8.59,,4.295,5.154,8.3323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,6.88059,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,7.979251,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.881449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBAZAM 10 MG TABLET [210398],0637,RC,60687-423-21,NDC,,,outpatient,1,EA,11.93,,5.965,7.158,11.5721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,9.55593,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,11.081777,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.557123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBETASOL 0.05 % TOPICAL CREAM [9630],0637,RC,51672-1258-2,NDC,,,outpatient,30,GR,32.13,,16.065,19.278,31.1661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,25.73613,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,29.845557,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.739343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBETASOL 0.05 % TOPICAL CREAM [9630],0637,RC,42291-076-30,NDC,,,outpatient,30,GR,14.18,,7.09,8.508,13.7546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,11.35818,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,13.171802,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.359598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBETASOL 0.05 % TOPICAL CREAM [9630],0637,RC,13668-569-02,NDC,,,outpatient,30,GR,35.24,,17.62,21.144,34.1828,33.1256,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,29.2492,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,33.33704,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,34.1828,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,31.0112,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,28.22724,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,32.734436,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.230764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 0.5 MG TABLET [9637],0637,RC,60687-544-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 0.5 MG TABLET [9637],0637,RC,60687-544-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 0.5 MG TABLET [9637],0637,RC,0904-7227-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,51079-882-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,60687-555-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,60687-555-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,0904-7728-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,0378-0871-99,NDC,,,outpatient,1,EA,73.31,,36.655,43.986,71.1107,68.9114,,,,percent of total billed charges,,58.648,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,60.8473,,,,percent of total billed charges,,65.979,,,,percent of total billed charges,,67.4452,,,,percent of total billed charges,,67.4452,,,,percent of total billed charges,,69.35126,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,71.1107,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,64.5128,,,,percent of total billed charges,,65.979,,,,percent of total billed charges,,58.72131,,,,percent of total billed charges,,65.979,,,,percent of total billed charges,,43.986,,,,percent of total billed charges,,68.097659,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,58.648,,,,percent of total billed charges,,43.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.728641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,0591-3508-04,NDC,,,outpatient,1,EA,62.97,,31.485,37.782,61.0809,59.1918,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,52.2651,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,59.56962,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,61.0809,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,55.4136,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,50.43897,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,58.492833,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.445267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,0591-3508-54,NDC,,,outpatient,1,EA,62.97,,31.485,37.782,61.0809,59.1918,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,52.2651,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,59.56962,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,61.0809,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,55.4136,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,50.43897,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,58.492833,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.445267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,51862-453-01,NDC,,,outpatient,1,EA,59.56,,29.78,35.736,57.7732,55.9864,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,49.4348,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,56.34376,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,57.7732,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,52.4128,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,47.70756,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,55.325284,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.713516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,51862-453-04,NDC,,,outpatient,1,EA,59.56,,29.78,35.736,57.7732,55.9864,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,49.4348,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,56.34376,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,57.7732,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,52.4128,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,47.70756,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,55.325284,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.713516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,52817-610-04,NDC,,,outpatient,1,EA,37.01,,18.505,22.206,35.8997,34.7894,,,,percent of total billed charges,,29.608,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,30.7183,,,,percent of total billed charges,,33.309,,,,percent of total billed charges,,34.0492,,,,percent of total billed charges,,34.0492,,,,percent of total billed charges,,35.01146,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,35.8997,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,32.5688,,,,percent of total billed charges,,33.309,,,,percent of total billed charges,,29.64501,,,,percent of total billed charges,,33.309,,,,percent of total billed charges,,22.206,,,,percent of total billed charges,,34.378589,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,29.608,,,,percent of total billed charges,,22.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.648711,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,0378-0872-99,NDC,,,outpatient,1,EA,115.33,,57.665,69.198,111.8701,108.4102,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,95.7239,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,109.10218,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,111.8701,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,101.4904,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,92.37933,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,107.130037,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.390863,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,0591-3509-04,NDC,,,outpatient,1,EA,137.12,,68.56,82.272,133.0064,128.8928,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,113.8096,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,129.71552,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,133.0064,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,120.6656,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,109.83312,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,127.370768,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.846832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,0591-3509-54,NDC,,,outpatient,1,EA,137.12,,68.56,82.272,133.0064,128.8928,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,113.8096,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,129.71552,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,133.0064,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,120.6656,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,109.83312,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,127.370768,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.846832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,0378-0872-16,NDC,,,outpatient,1,EA,115.33,,57.665,69.198,111.8701,108.4102,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,95.7239,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,109.10218,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,111.8701,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,101.4904,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,92.37933,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,107.130037,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.390863,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,51862-454-01,NDC,,,outpatient,1,EA,99.59,,49.795,59.754,96.6023,93.6146,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,82.6597,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,94.21214,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,96.6023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,87.6392,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,79.77159,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,92.509151,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.781549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,51862-454-04,NDC,,,outpatient,1,EA,99.59,,49.795,59.754,96.6023,93.6146,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,82.6597,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,94.21214,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,96.6023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,87.6392,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,79.77159,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,92.509151,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.781549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,52817-611-04,NDC,,,outpatient,1,EA,62.31,,31.155,37.386,60.4407,58.5714,,,,percent of total billed charges,,49.848,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,51.7173,,,,percent of total billed charges,,56.079,,,,percent of total billed charges,,57.3252,,,,percent of total billed charges,,57.3252,,,,percent of total billed charges,,58.94526,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,60.4407,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,54.8328,,,,percent of total billed charges,,56.079,,,,percent of total billed charges,,49.91031,,,,percent of total billed charges,,56.079,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,57.879759,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,49.848,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.916541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,0378-0873-99,NDC,,,outpatient,1,EA,150.95,,75.475,90.57,146.4215,141.893,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,125.2885,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,142.7987,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,146.4215,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,132.836,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,120.91095,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,140.217455,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.926045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,0591-3510-04,NDC,,,outpatient,1,EA,122.85,,61.425,73.71,119.1645,115.479,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,101.9655,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,116.2161,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,119.1645,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,108.108,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,98.40285,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,114.115365,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.415135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,0591-3510-54,NDC,,,outpatient,1,EA,122.85,,61.425,73.71,119.1645,115.479,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,101.9655,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,116.2161,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,119.1645,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,108.108,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,98.40285,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,114.115365,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.415135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,0378-0873-16,NDC,,,outpatient,1,EA,150.95,,75.475,90.57,146.4215,141.893,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,125.2885,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,142.7987,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,146.4215,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,132.836,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,120.91095,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,140.217455,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.926045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,52817-612-04,NDC,,,outpatient,1,EA,86.44,,43.22,51.864,83.8468,81.2536,,,,percent of total billed charges,,69.152,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,71.7452,,,,percent of total billed charges,,77.796,,,,percent of total billed charges,,79.5248,,,,percent of total billed charges,,79.5248,,,,percent of total billed charges,,81.77224,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,83.8468,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,76.0672,,,,percent of total billed charges,,77.796,,,,percent of total billed charges,,69.23844,,,,percent of total billed charges,,77.796,,,,percent of total billed charges,,51.864,,,,percent of total billed charges,,80.294116,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,69.152,,,,percent of total billed charges,,51.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.247084,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 10 MCG/ML ORAL LIQUID [1000085],0637,RC,9991-0000-85,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.1 MG TABLET [1755],0637,RC,68001-237-00,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.1 MG TABLET [1755],0637,RC,60687-113-01,NDC,,,outpatient,1,EA,1.37,,0.685,0.822,1.3289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.09737,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.272593,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.097507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.1 MG TABLET [1755],0637,RC,60687-113-11,NDC,,,outpatient,1,EA,1.37,,0.685,0.822,1.3289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.09737,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.272593,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.097507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.2 MG TABLET [1756],0637,RC,60687-124-01,NDC,,,outpatient,1,EA,1.24,,0.62,0.744,1.2028,1.1656,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0292,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.17304,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.2028,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0912,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.99324,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,1.151836,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.993364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.2 MG TABLET [1756],0637,RC,60687-124-11,NDC,,,outpatient,1,EA,1.24,,0.62,0.744,1.2028,1.1656,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0292,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.17304,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.2028,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0912,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.99324,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,1.151836,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.993364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,68084-752-25,NDC,,,outpatient,1,EA,33.78,,16.89,20.268,32.7666,31.7532,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,28.0374,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.95588,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.7666,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,29.7264,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,27.05778,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,31.378242,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.061158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,68084-752-95,NDC,,,outpatient,1,EA,33.78,,16.89,20.268,32.7666,31.7532,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,28.0374,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.95588,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.7666,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,29.7264,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,27.05778,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,31.378242,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.061158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,0904-6467-07,NDC,,,outpatient,1,EA,44.57,,22.285,26.742,43.2329,41.8958,,,,percent of total billed charges,,35.656,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,36.9931,,,,percent of total billed charges,,40.113,,,,percent of total billed charges,,41.0044,,,,percent of total billed charges,,41.0044,,,,percent of total billed charges,,42.16322,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,43.2329,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,39.2216,,,,percent of total billed charges,,40.113,,,,percent of total billed charges,,35.70057,,,,percent of total billed charges,,40.113,,,,percent of total billed charges,,26.742,,,,percent of total billed charges,,41.401073,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,35.656,,,,percent of total billed charges,,26.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.705027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,0904-6467-10,NDC,,,outpatient,1,EA,22.27,,11.135,13.362,21.6019,20.9338,,,,percent of total billed charges,,17.816,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,18.4841,,,,percent of total billed charges,,20.043,,,,percent of total billed charges,,20.4884,,,,percent of total billed charges,,20.4884,,,,percent of total billed charges,,21.06742,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,21.6019,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,19.5976,,,,percent of total billed charges,,20.043,,,,percent of total billed charges,,17.83827,,,,percent of total billed charges,,20.043,,,,percent of total billed charges,,13.362,,,,percent of total billed charges,,20.686603,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,17.816,,,,percent of total billed charges,,13.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.840497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,0904-6294-61,NDC,,,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,68084-536-01,NDC,,,outpatient,1,EA,1.03,,0.515,0.618,0.9991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.82503,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,0.956767,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.825133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,68084-536-11,NDC,,,outpatient,1,EA,1.03,,0.515,0.618,0.9991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.82503,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,0.956767,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.825133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,16714-052-10,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,24385-205-03,NDC,,,outpatient,28.4,GR,8.18,,4.09,4.908,7.9346,7.6892,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.7894,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.73828,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.9346,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.1984,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,6.55218,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,7.598402,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.552998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,45802-434-11,NDC,,,outpatient,30,GR,10.53,,5.265,6.318,10.2141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,8.43453,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,9.781317,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.435583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,51672-1275-7,NDC,,,outpatient,45,GR,83.43,,41.715,50.058,80.9271,78.4242,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,69.2469,,,,percent of total billed charges,,75.087,,,,percent of total billed charges,,76.7556,,,,percent of total billed charges,,76.7556,,,,percent of total billed charges,,78.92478,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,80.9271,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,73.4184,,,,percent of total billed charges,,75.087,,,,percent of total billed charges,,66.82743,,,,percent of total billed charges,,75.087,,,,percent of total billed charges,,50.058,,,,percent of total billed charges,,77.498127,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,50.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.835773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,51672-2002-2,NDC,,,outpatient,30,GR,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,68001-475-47,NDC,,,outpatient,28.4,GR,7.67,,3.835,4.602,7.4399,7.2098,,,,percent of total billed charges,,6.136,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,6.3661,,,,percent of total billed charges,,6.903,,,,percent of total billed charges,,7.0564,,,,percent of total billed charges,,7.0564,,,,percent of total billed charges,,7.25582,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,7.4399,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,6.7496,,,,percent of total billed charges,,6.903,,,,percent of total billed charges,,6.14367,,,,percent of total billed charges,,6.903,,,,percent of total billed charges,,4.602,,,,percent of total billed charges,,7.124663,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,6.136,,,,percent of total billed charges,,4.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.144437,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,0054-4146-22,NDC,,,outpatient,1,EA,3.96,,1.98,2.376,3.8412,3.7224,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.2868,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.74616,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.4848,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.17196,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,3.678444,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.172356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,0054-8146-22,NDC,,,outpatient,1,EA,4.99,,2.495,2.994,4.8403,4.6906,,,,percent of total billed charges,,3.992,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.1417,,,,percent of total billed charges,,4.491,,,,percent of total billed charges,,4.5908,,,,percent of total billed charges,,4.5908,,,,percent of total billed charges,,4.72054,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.8403,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.3912,,,,percent of total billed charges,,4.491,,,,percent of total billed charges,,3.99699,,,,percent of total billed charges,,4.491,,,,percent of total billed charges,,2.994,,,,percent of total billed charges,,4.635211,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,3.992,,,,percent of total billed charges,,2.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.997489,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,0574-0107-70,NDC,,,outpatient,1,EA,3.52,,1.76,2.112,3.4144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.81952,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.269728,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.819872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,0574-0107-77,NDC,,,outpatient,1,EA,4.71,,2.355,2.826,4.5687,4.4274,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.9093,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.45566,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.5687,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.1448,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,3.77271,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,4.375119,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.773181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,51079-922-01,NDC,,,outpatient,1,EA,5.17,,2.585,3.102,5.0149,4.8598,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.2911,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.89082,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,5.0149,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.5496,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,4.14117,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,4.802413,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.141687,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,51079-922-20,NDC,,,outpatient,1,EA,5.17,,2.585,3.102,5.0149,4.8598,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.2911,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.89082,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,5.0149,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.5496,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,4.14117,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,4.802413,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.141687,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,0093-7772-93,NDC,,,outpatient,1,EA,2.72,,1.36,1.632,2.6384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.17872,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.526608,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.178992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,0093-7772-19,NDC,,,outpatient,1,EA,2.72,,1.36,1.632,2.6384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.17872,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.526608,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.178992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,60687-415-01,NDC,,,outpatient,1,EA,2.57,,1.285,1.542,2.4929,2.4158,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.1331,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.43122,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.2616,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.05857,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,2.387273,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.058827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,60687-415-11,NDC,,,outpatient,1,EA,2.57,,1.285,1.542,2.4929,2.4158,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.1331,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.43122,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.2616,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.05857,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,2.387273,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.058827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 25 MG TABLET [9648],0637,RC,0093-4359-93,NDC,,,outpatient,1,EA,1.14,,0.57,0.684,1.1058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.91314,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.058946,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.913254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 25 MG TABLET [9648],0637,RC,60687-404-01,NDC,,,outpatient,1,EA,1.14,,0.57,0.684,1.1058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.91314,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.058946,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.913254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 25 MG TABLET [9648],0637,RC,60687-404-11,NDC,,,outpatient,1,EA,1.14,,0.57,0.684,1.1058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.91314,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.058946,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.913254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [218638]",0636,RC,58394-635-03,NDC,J7195,HCPCS,outpatient,1,EA,4590,,2295,2754,4452.3,4314.6,,,,percent of total billed charges,,3672,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,3809.7,,,,percent of total billed charges,,4131,,,,percent of total billed charges,,4222.8,,,,percent of total billed charges,,4222.8,,,,percent of total billed charges,,4342.14,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4452.3,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4039.2,,,,percent of total billed charges,,4131,,,,percent of total billed charges,,3676.59,,,,percent of total billed charges,,4131,,,,percent of total billed charges,,2754,,,,percent of total billed charges,,4263.651,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,3672,,,,percent of total billed charges,,2754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3677.049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION [218640]",0636,RC,58394-637-03,NDC,J7195,HCPCS,outpatient,1,EA,14045.4,,7022.7,8427.24,13624.038,13202.676,,,,percent of total billed charges,,11236.32,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,11657.682,,,,percent of total billed charges,,12640.86,,,,percent of total billed charges,,12921.768,,,,percent of total billed charges,,12921.768,,,,percent of total billed charges,,13286.9484,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,13624.038,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,12359.952,,,,percent of total billed charges,,12640.86,,,,percent of total billed charges,,11250.3654,,,,percent of total billed charges,,12640.86,,,,percent of total billed charges,,8427.24,,,,percent of total billed charges,,13046.77206,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,11236.32,,,,percent of total billed charges,,8427.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11251.76994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,64950-362-04,NDC,C9143,HCPCS,outpatient,4,ML,1125.54,,562.77,675.324,1091.7738,1058.0076,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,934.1982,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1064.76084,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1091.7738,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,990.4752,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,901.55754,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,1045.514106,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,901.670094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,0527-1971-74,NDC,C9143,HCPCS,outpatient,4,ML,618.9,,309.45,371.34,600.333,581.766,,,,percent of total billed charges,,495.12,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,513.687,,,,percent of total billed charges,,557.01,,,,percent of total billed charges,,569.388,,,,percent of total billed charges,,569.388,,,,percent of total billed charges,,585.4794,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,600.333,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,544.632,,,,percent of total billed charges,,557.01,,,,percent of total billed charges,,495.7389,,,,percent of total billed charges,,557.01,,,,percent of total billed charges,,371.34,,,,percent of total billed charges,,574.89621,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,495.12,,,,percent of total billed charges,,371.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,495.80079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,81665-301-02,NDC,C9143,HCPCS,outpatient,4,ML,1484.82,,742.41,890.892,1440.2754,1395.7308,,,,percent of total billed charges,,1187.856,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1232.4006,,,,percent of total billed charges,,1336.338,,,,percent of total billed charges,,1366.0344,,,,percent of total billed charges,,1366.0344,,,,percent of total billed charges,,1404.63972,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1440.2754,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1306.6416,,,,percent of total billed charges,,1336.338,,,,percent of total billed charges,,1189.34082,,,,percent of total billed charges,,1336.338,,,,percent of total billed charges,,890.892,,,,percent of total billed charges,,1379.249298,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1187.856,,,,percent of total billed charges,,890.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1189.489302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,70839-362-04,NDC,C9143,HCPCS,outpatient,4,ML,1215.99,,607.995,729.594,1179.5103,1143.0306,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1009.2717,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1150.32654,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1179.5103,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1070.0712,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,974.00799,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,1129.533111,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.129589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,64764-119-07,NDC,,,outpatient,1,EA,29.59,,14.795,17.754,28.7023,27.8146,,,,percent of total billed charges,,23.672,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,24.5597,,,,percent of total billed charges,,26.631,,,,percent of total billed charges,,27.2228,,,,percent of total billed charges,,27.2228,,,,percent of total billed charges,,27.99214,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,28.7023,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,26.0392,,,,percent of total billed charges,,26.631,,,,percent of total billed charges,,23.70159,,,,percent of total billed charges,,26.631,,,,percent of total billed charges,,17.754,,,,percent of total billed charges,,27.486151,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,23.672,,,,percent of total billed charges,,17.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.704549,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,60687-389-11,NDC,,,outpatient,1,EA,13.78,,6.89,8.268,13.3666,12.9532,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.4374,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,13.03588,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.3666,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,12.1264,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,11.03778,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,12.800242,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.039158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,60687-389-21,NDC,,,outpatient,1,EA,13.78,,6.89,8.268,13.3666,12.9532,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.4374,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,13.03588,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.3666,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,12.1264,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,11.03778,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,12.800242,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.039158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,42292-054-01,NDC,,,outpatient,1,EA,21.36,,10.68,12.816,20.7192,20.0784,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.7288,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,20.20656,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.7192,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,18.7968,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,17.10936,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,19.841304,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.111496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,42292-054-03,NDC,,,outpatient,1,EA,21.36,,10.68,12.816,20.7192,20.0784,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.7288,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,20.20656,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.7192,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,18.7968,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,17.10936,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,19.841304,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.111496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,0904-7120-04,NDC,,,outpatient,1,EA,12.81,,6.405,7.686,12.4257,12.0414,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,10.6323,,,,percent of total billed charges,,11.529,,,,percent of total billed charges,,11.7852,,,,percent of total billed charges,,11.7852,,,,percent of total billed charges,,12.11826,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,12.4257,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,11.2728,,,,percent of total billed charges,,11.529,,,,percent of total billed charges,,10.26081,,,,percent of total billed charges,,11.529,,,,percent of total billed charges,,7.686,,,,percent of total billed charges,,11.899209,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,7.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.262091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLESEVELAM 625 MG TABLET [80277],0637,RC,65597-701-18,NDC,,,outpatient,1,EA,15.31,,7.655,9.186,14.8507,14.3914,,,,percent of total billed charges,,12.248,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,12.7073,,,,percent of total billed charges,,13.779,,,,percent of total billed charges,,14.0852,,,,percent of total billed charges,,14.0852,,,,percent of total billed charges,,14.48326,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,14.8507,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,13.4728,,,,percent of total billed charges,,13.779,,,,percent of total billed charges,,12.26331,,,,percent of total billed charges,,13.779,,,,percent of total billed charges,,9.186,,,,percent of total billed charges,,14.221459,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,12.248,,,,percent of total billed charges,,9.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.264841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLESEVELAM 625 MG TABLET [80277],0637,RC,68462-433-18,NDC,,,outpatient,1,EA,3.62,,1.81,2.172,3.5114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.89962,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.362618,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.899982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLESEVELAM 625 MG TABLET [80277],0637,RC,72162-1846-2,NDC,,,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],0636,RC,42023-131-06,NDC,J0770,HCPCS,outpatient,1,EA,115.16,,57.58,69.096,111.7052,108.2504,,,,percent of total billed charges,,92.128,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,95.5828,,,,percent of total billed charges,,103.644,,,,percent of total billed charges,,105.9472,,,,percent of total billed charges,,105.9472,,,,percent of total billed charges,,108.94136,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,111.7052,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,101.3408,,,,percent of total billed charges,,103.644,,,,percent of total billed charges,,92.24316,,,,percent of total billed charges,,103.644,,,,percent of total billed charges,,69.096,,,,percent of total billed charges,,106.972124,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,92.128,,,,percent of total billed charges,,69.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.254676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],0636,RC,23155-193-31,NDC,J0770,HCPCS,outpatient,1,EA,44.37,,22.185,26.622,43.0389,41.7078,,,,percent of total billed charges,,35.496,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,36.8271,,,,percent of total billed charges,,39.933,,,,percent of total billed charges,,40.8204,,,,percent of total billed charges,,40.8204,,,,percent of total billed charges,,41.97402,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,43.0389,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,39.0456,,,,percent of total billed charges,,39.933,,,,percent of total billed charges,,35.54037,,,,percent of total billed charges,,39.933,,,,percent of total billed charges,,26.622,,,,percent of total billed charges,,41.215293,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,35.496,,,,percent of total billed charges,,26.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.544807,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT [81910],0637,RC,50484-010-30,NDC,,,outpatient,30,GR,1083.92,,541.96,650.352,1051.4024,1018.8848,,,,percent of total billed charges,,867.136,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,899.6536,,,,percent of total billed charges,,975.528,,,,percent of total billed charges,,997.2064,,,,percent of total billed charges,,997.2064,,,,percent of total billed charges,,1025.38832,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,1051.4024,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,953.8496,,,,percent of total billed charges,,975.528,,,,percent of total billed charges,,868.21992,,,,percent of total billed charges,,975.528,,,,percent of total billed charges,,650.352,,,,percent of total billed charges,,1006.853288,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,867.136,,,,percent of total billed charges,,650.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,868.328312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID [195428],0250,RC,0574030216,NDC,,,outpatient,473,ML,80.89,,40.445,48.534,78.4633,76.0366,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,67.1387,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,76.52194,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,78.4633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,71.1832,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,64.79289,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,75.138721,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.800979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL [228062],0250,RC,0574030316,NDC,,,outpatient,473,ML,80.89,,40.445,48.534,78.4633,76.0366,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,67.1387,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,76.52194,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,78.4633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,71.1832,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,64.79289,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,75.138721,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.800979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONJUGATED ESTROGENS 0.625 MG TABLET [80872],0637,RC,0046-1102-81,NDC,,,outpatient,1,EA,28.57,,14.285,17.142,27.7129,26.8558,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,23.7131,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,27.02722,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.7129,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,25.1416,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,22.88457,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,26.538673,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.887427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONJUGATED ESTROGENS 1.25 MG TABLET [82504],0637,RC,0046-1104-81,NDC,,,outpatient,1,EA,28.57,,14.285,17.142,27.7129,26.8558,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,23.7131,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,27.02722,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.7129,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,25.1416,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,22.88457,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,26.538673,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.887427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [82901],0636,RC,0046-0749-05,NDC,J1410,HCPCS,outpatient,1,EA,1522.22,,761.11,913.332,1476.5534,1430.8868,,,,percent of total billed charges,,1217.776,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1263.4426,,,,percent of total billed charges,,1369.998,,,,percent of total billed charges,,1400.4424,,,,percent of total billed charges,,1400.4424,,,,percent of total billed charges,,1440.02012,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1476.5534,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1339.5536,,,,percent of total billed charges,,1369.998,,,,percent of total billed charges,,1219.29822,,,,percent of total billed charges,,1369.998,,,,percent of total billed charges,,913.332,,,,percent of total billed charges,,1413.990158,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1217.776,,,,percent of total billed charges,,913.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1219.450442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COPPER 380 SQUARE MM INTRAUTERINE DEVICE [218231],0636,RC,51285-204-01,NDC,J7300,HCPCS,outpatient,1,EA,2001.65,,1000.825,1200.99,1941.6005,1881.551,,,,percent of total billed charges,,1601.32,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1661.3695,,,,percent of total billed charges,,1801.485,,,,percent of total billed charges,,1841.518,,,,percent of total billed charges,,1841.518,,,,percent of total billed charges,,1893.5609,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1941.6005,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1761.452,,,,percent of total billed charges,,1801.485,,,,percent of total billed charges,,1603.32165,,,,percent of total billed charges,,1801.485,,,,percent of total billed charges,,1200.99,,,,percent of total billed charges,,1859.332685,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1601.32,,,,percent of total billed charges,,1200.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1603.521815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COPPER 380 SQUARE MM INTRAUTERINE DEVICE [218231],0636,RC,59365-5128-1,NDC,J7300,HCPCS,outpatient,1,EA,1122.08,,561.04,673.248,1088.4176,1054.7552,,,,percent of total billed charges,,897.664,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,931.3264,,,,percent of total billed charges,,1009.872,,,,percent of total billed charges,,1032.3136,,,,percent of total billed charges,,1032.3136,,,,percent of total billed charges,,1061.48768,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,1088.4176,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,987.4304,,,,percent of total billed charges,,1009.872,,,,percent of total billed charges,,898.78608,,,,percent of total billed charges,,1009.872,,,,percent of total billed charges,,673.248,,,,percent of total billed charges,,1042.300112,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,897.664,,,,percent of total billed charges,,673.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,898.898288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COSYNTROPIN 0.25 MG/ML FOR IM INJECTION [1001081],0636,RC,0548-5900-00,NDC,J0834,HCPCS,outpatient,0.25,ME,74.45,,37.225,44.67,72.2165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,59.63445,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,69.156605,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.641895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [78836],0636,RC,0548-5900-00,NDC,J0834,HCPCS,outpatient,1,EA,74.45,,37.225,44.67,72.2165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,59.63445,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,69.156605,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.641895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COSYNTROPIN 0.25 MG/ML FOR IM INJECTION [1001081],0636,RC,0548-5900-00,NDC,J0834,HCPCS,outpatient,1,EA,74.45,,37.225,44.67,72.2165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,59.63445,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,69.156605,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.641895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COVID VACC 2024-2025 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE [269480],0636,RC,0069-2432-10,NDC,91320,CPT,outpatient,0.3,ML,213.32,,106.66,127.992,206.9204,200.5208,,,,percent of total billed charges,,170.656,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,177.0556,,,,percent of total billed charges,,191.988,,,,percent of total billed charges,,196.2544,,,,percent of total billed charges,,196.2544,,,,percent of total billed charges,,201.80072,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,206.9204,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,187.7216,,,,percent of total billed charges,,191.988,,,,percent of total billed charges,,170.86932,,,,percent of total billed charges,,191.988,,,,percent of total billed charges,,127.992,,,,percent of total billed charges,,198.152948,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,170.656,,,,percent of total billed charges,,127.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.890652,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COVID VACC 2024-25 (5-11 YRS)(PFIZER)(PF) 10 MCG/0.3 ML IM SUSP (EUA) [269424],0636,RC,59267-4438-2,NDC,91319,CPT,outpatient,0.3,ML,141.68,,70.84,85.008,137.4296,133.1792,,,,percent of total billed charges,,113.344,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,117.5944,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,130.3456,,,,percent of total billed charges,,130.3456,,,,percent of total billed charges,,134.02928,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,137.4296,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,124.6784,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,113.48568,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,85.008,,,,percent of total billed charges,,131.606552,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,113.344,,,,percent of total billed charges,,85.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.499848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COVID VACC 2024-25 (6MOS-4YRS)(PFIZER)(PF) 3 MCG/0.3 ML IM SUSP (EUA) [269425],0636,RC,59267-4426-2,NDC,91318,CPT,outpatient,0.9,ML,317.4,,158.7,190.44,307.878,298.356,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,263.442,,,,percent of total billed charges,,285.66,,,,percent of total billed charges,,292.008,,,,percent of total billed charges,,292.008,,,,percent of total billed charges,,300.2604,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,307.878,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,279.312,,,,percent of total billed charges,,285.66,,,,percent of total billed charges,,254.2374,,,,percent of total billed charges,,285.66,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,294.83286,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,254.26914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [80543],0636,RC,50633-110-12,NDC,J0840,HCPCS,outpatient,2,EA,13226.76,,6613.38,7936.056,12829.9572,12433.1544,,,,percent of total billed charges,,10581.408,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,10978.2108,,,,percent of total billed charges,,11904.084,,,,percent of total billed charges,,12168.6192,,,,percent of total billed charges,,12168.6192,,,,percent of total billed charges,,12512.51496,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,12829.9572,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,11639.5488,,,,percent of total billed charges,,11904.084,,,,percent of total billed charges,,10594.63476,,,,percent of total billed charges,,11904.084,,,,percent of total billed charges,,7936.056,,,,percent of total billed charges,,12286.33736,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,10581.408,,,,percent of total billed charges,,7936.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10595.95744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [80543],0636,RC,50633-110-12,NDC,J0840,HCPCS,outpatient,1,EA,6613.38,,3306.69,3968.028,6414.9786,6216.5772,,,,percent of total billed charges,,5290.704,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,5489.1054,,,,percent of total billed charges,,5952.042,,,,percent of total billed charges,,6084.3096,,,,percent of total billed charges,,6084.3096,,,,percent of total billed charges,,6256.25748,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,6414.9786,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,5819.7744,,,,percent of total billed charges,,5952.042,,,,percent of total billed charges,,5297.31738,,,,percent of total billed charges,,5952.042,,,,percent of total billed charges,,3968.028,,,,percent of total billed charges,,6143.168682,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,5290.704,,,,percent of total billed charges,,3968.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5297.978718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,5026885515,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,5026885511,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,7733393810,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,7733393825,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,0517-0031-25,NDC,J3420,HCPCS,outpatient,1,ML,10.1,,5.05,6.06,9.797,9.494,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.383,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.5546,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.797,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,8.0901,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,9.38189,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.09111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,63323-044-01,NDC,J3420,HCPCS,outpatient,1,ML,5.38,,2.69,3.228,5.2186,5.0572,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.4654,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,5.08948,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.2186,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.7344,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,4.30938,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,4.997482,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.309918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,0143-9621-01,NDC,J3420,HCPCS,outpatient,1,ML,9.44,,4.72,5.664,9.1568,8.8736,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.8352,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.93024,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,9.1568,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.3072,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,7.56144,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,8.768816,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.562384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,0143-9621-25,NDC,J3420,HCPCS,outpatient,1,ML,9.44,,4.72,5.664,9.1568,8.8736,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.8352,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.93024,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,9.1568,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.3072,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,7.56144,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,8.768816,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.562384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,0517-0031-01,NDC,J3420,HCPCS,outpatient,1,ML,10.1,,5.05,6.06,9.797,9.494,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.383,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.5546,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.797,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,8.0901,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,9.38189,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.09111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,70710-1663-1,NDC,J3420,HCPCS,outpatient,1,ML,12.32,,6.16,7.392,11.9504,11.5808,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.2256,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.65472,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.9504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.8416,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,9.86832,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,11.444048,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.869552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,70710-1663-7,NDC,J3420,HCPCS,outpatient,1,ML,12.32,,6.16,7.392,11.9504,11.5808,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.2256,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.65472,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.9504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.8416,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,9.86832,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,11.444048,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.869552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,71288-303-01,NDC,J3420,HCPCS,outpatient,1,ML,16.02,,8.01,9.612,15.5394,15.0588,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,13.2966,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,15.15492,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.5394,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,14.0976,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,12.83202,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,14.880978,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.833622,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,71288-303-02,NDC,J3420,HCPCS,outpatient,1,ML,16.02,,8.01,9.612,15.5394,15.0588,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,13.2966,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,15.15492,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.5394,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,14.0976,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,12.83202,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,14.880978,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.833622,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,25021-502-01,NDC,J3420,HCPCS,outpatient,1,ML,7.12,,3.56,4.272,6.9064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,5.70312,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,6.613768,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.703832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,59746-177-06,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,69097-846-07,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,43547-400-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,60687-558-01,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,60687-558-11,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,50268-191-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,50268-191-15,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 0.5 % EYE DROPS [82960],0637,RC,0065-0395-15,NDC,,,outpatient,15,ML,374.36,,187.18,224.616,363.1292,351.8984,,,,percent of total billed charges,,299.488,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,310.7188,,,,percent of total billed charges,,336.924,,,,percent of total billed charges,,344.4112,,,,percent of total billed charges,,344.4112,,,,percent of total billed charges,,354.14456,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,363.1292,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,329.4368,,,,percent of total billed charges,,336.924,,,,percent of total billed charges,,299.86236,,,,percent of total billed charges,,336.924,,,,percent of total billed charges,,224.616,,,,percent of total billed charges,,347.743004,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,299.488,,,,percent of total billed charges,,224.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,299.899796,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,0065-0396-02,NDC,,,outpatient,2,ML,131,,65.5,78.6,127.07,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,104.931,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,121.6859,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.9441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,0065-0396-05,NDC,,,outpatient,5,ML,235.53,,117.765,141.318,228.4641,221.3982,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,195.4899,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,222.81138,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,228.4641,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,207.2664,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,188.65953,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,218.783817,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,188.683083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,17478-100-12,NDC,,,outpatient,15,ML,115.09,,57.545,69.054,111.6373,108.1846,,,,percent of total billed charges,,92.072,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,95.5247,,,,percent of total billed charges,,103.581,,,,percent of total billed charges,,105.8828,,,,percent of total billed charges,,105.8828,,,,percent of total billed charges,,108.87514,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,111.6373,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,101.2792,,,,percent of total billed charges,,103.581,,,,percent of total billed charges,,92.18709,,,,percent of total billed charges,,103.581,,,,percent of total billed charges,,69.054,,,,percent of total billed charges,,106.907101,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,92.072,,,,percent of total billed charges,,69.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.198599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,24208-735-01,NDC,,,outpatient,2,ML,47.84,,23.92,28.704,46.4048,44.9696,,,,percent of total billed charges,,38.272,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,39.7072,,,,percent of total billed charges,,43.056,,,,percent of total billed charges,,44.0128,,,,percent of total billed charges,,44.0128,,,,percent of total billed charges,,45.25664,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,46.4048,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,42.0992,,,,percent of total billed charges,,43.056,,,,percent of total billed charges,,38.31984,,,,percent of total billed charges,,43.056,,,,percent of total billed charges,,28.704,,,,percent of total billed charges,,44.438576,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,38.272,,,,percent of total billed charges,,28.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.324624,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,24208-735-06,NDC,,,outpatient,15,ML,123.19,,61.595,73.914,119.4943,115.7986,,,,percent of total billed charges,,98.552,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,102.2477,,,,percent of total billed charges,,110.871,,,,percent of total billed charges,,113.3348,,,,percent of total billed charges,,113.3348,,,,percent of total billed charges,,116.53774,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,119.4943,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,108.4072,,,,percent of total billed charges,,110.871,,,,percent of total billed charges,,98.67519,,,,percent of total billed charges,,110.871,,,,percent of total billed charges,,73.914,,,,percent of total billed charges,,114.431191,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,98.552,,,,percent of total billed charges,,73.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.687509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,61314-396-01,NDC,,,outpatient,2,ML,17.69,,8.845,10.614,17.1593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,14.16969,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,16.432241,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.171459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,61314-396-03,NDC,,,outpatient,15,ML,88.63,,44.315,53.178,85.9711,83.3122,,,,percent of total billed charges,,70.904,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,73.5629,,,,percent of total billed charges,,79.767,,,,percent of total billed charges,,81.5396,,,,percent of total billed charges,,81.5396,,,,percent of total billed charges,,83.84398,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,85.9711,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,77.9944,,,,percent of total billed charges,,79.767,,,,percent of total billed charges,,70.99263,,,,percent of total billed charges,,79.767,,,,percent of total billed charges,,53.178,,,,percent of total billed charges,,82.328407,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,70.904,,,,percent of total billed charges,,53.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.001493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,17478-100-02,NDC,,,outpatient,2,ML,48.65,,24.325,29.19,47.1905,45.731,,,,percent of total billed charges,,38.92,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,40.3795,,,,percent of total billed charges,,43.785,,,,percent of total billed charges,,44.758,,,,percent of total billed charges,,44.758,,,,percent of total billed charges,,46.0229,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,47.1905,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,42.812,,,,percent of total billed charges,,43.785,,,,percent of total billed charges,,38.96865,,,,percent of total billed charges,,43.785,,,,percent of total billed charges,,29.19,,,,percent of total billed charges,,45.190985,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,38.92,,,,percent of total billed charges,,29.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.973515,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 2 % EYE DROPS [80687],0637,RC,0065-0397-02,NDC,,,outpatient,2,ML,171.45,,85.725,102.87,166.3065,161.163,,,,percent of total billed charges,,137.16,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,142.3035,,,,percent of total billed charges,,154.305,,,,percent of total billed charges,,157.734,,,,percent of total billed charges,,157.734,,,,percent of total billed charges,,162.1917,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,166.3065,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,150.876,,,,percent of total billed charges,,154.305,,,,percent of total billed charges,,137.33145,,,,percent of total billed charges,,154.305,,,,percent of total billed charges,,102.87,,,,percent of total billed charges,,159.259905,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,137.16,,,,percent of total billed charges,,102.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.348595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 2 % EYE DROPS [80687],0637,RC,0065-0397-15,NDC,,,outpatient,15,ML,470.75,,235.375,282.45,456.6275,442.505,,,,percent of total billed charges,,376.6,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,390.7225,,,,percent of total billed charges,,423.675,,,,percent of total billed charges,,433.09,,,,percent of total billed charges,,433.09,,,,percent of total billed charges,,445.3295,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,456.6275,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,414.26,,,,percent of total billed charges,,423.675,,,,percent of total billed charges,,377.07075,,,,percent of total billed charges,,423.675,,,,percent of total billed charges,,282.45,,,,percent of total billed charges,,437.279675,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,376.6,,,,percent of total billed charges,,282.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,377.117825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS [81383],0637,RC,0065-0359-02,NDC,,,outpatient,2,ML,136.85,,68.425,82.11,132.7445,128.639,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,113.5855,,,,percent of total billed charges,,123.165,,,,percent of total billed charges,,125.902,,,,percent of total billed charges,,125.902,,,,percent of total billed charges,,129.4601,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,132.7445,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,120.428,,,,percent of total billed charges,,123.165,,,,percent of total billed charges,,109.61685,,,,percent of total billed charges,,123.165,,,,percent of total billed charges,,82.11,,,,percent of total billed charges,,127.119965,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,82.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.630535,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [28918],0636,RC,10019-956-01,NDC,J9075,HCPCS,outpatient,135.2,ME,123.83,,61.915,74.298,120.1151,116.4002,,,,percent of total billed charges,,99.064,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,102.7789,,,,percent of total billed charges,,111.447,,,,percent of total billed charges,,113.9236,,,,percent of total billed charges,,113.9236,,,,percent of total billed charges,,117.14318,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,120.1151,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,108.9704,,,,percent of total billed charges,,111.447,,,,percent of total billed charges,,99.18783,,,,percent of total billed charges,,111.447,,,,percent of total billed charges,,74.298,,,,percent of total billed charges,,115.025687,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,99.064,,,,percent of total billed charges,,74.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.200213,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,150,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [28918],0636,RC,10019-956-01,NDC,J9075,HCPCS,outpatient,1,EA,915.89,,457.945,549.534,888.4133,860.9366,,,,percent of total billed charges,,732.712,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,760.1887,,,,percent of total billed charges,,824.301,,,,percent of total billed charges,,842.6188,,,,percent of total billed charges,,842.6188,,,,percent of total billed charges,,866.43194,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,888.4133,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,805.9832,,,,percent of total billed charges,,824.301,,,,percent of total billed charges,,733.62789,,,,percent of total billed charges,,824.301,,,,percent of total billed charges,,549.534,,,,percent of total billed charges,,850.770221,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,732.712,,,,percent of total billed charges,,549.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,733.719479,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [28918],0636,RC,0781-3244-94,NDC,J9075,HCPCS,outpatient,1,EA,827.19,,413.595,496.314,802.3743,777.5586,,,,percent of total billed charges,,661.752,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,686.5677,,,,percent of total billed charges,,744.471,,,,percent of total billed charges,,761.0148,,,,percent of total billed charges,,761.0148,,,,percent of total billed charges,,782.52174,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,802.3743,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,727.9272,,,,percent of total billed charges,,744.471,,,,percent of total billed charges,,662.57919,,,,percent of total billed charges,,744.471,,,,percent of total billed charges,,496.314,,,,percent of total billed charges,,768.376791,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,661.752,,,,percent of total billed charges,,496.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,662.661909,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [28921],0636,RC,10019-955-01,NDC,J9075,HCPCS,outpatient,1,EA,399.2,,199.6,239.52,387.224,375.248,,,,percent of total billed charges,,319.36,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,331.336,,,,percent of total billed charges,,359.28,,,,percent of total billed charges,,367.264,,,,percent of total billed charges,,367.264,,,,percent of total billed charges,,377.6432,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,387.224,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,351.296,,,,percent of total billed charges,,359.28,,,,percent of total billed charges,,319.7592,,,,percent of total billed charges,,359.28,,,,percent of total billed charges,,239.52,,,,percent of total billed charges,,370.81688,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,319.36,,,,percent of total billed charges,,239.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,319.79912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [28921],0636,RC,0781-3233-94,NDC,J9075,HCPCS,outpatient,1,EA,372.24,,186.12,223.344,361.0728,349.9056,,,,percent of total billed charges,,297.792,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,308.9592,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,342.4608,,,,percent of total billed charges,,342.4608,,,,percent of total billed charges,,352.13904,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,361.0728,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,327.5712,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,298.16424,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,223.344,,,,percent of total billed charges,,345.773736,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,297.792,,,,percent of total billed charges,,223.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.201464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [28921],0636,RC,70121-1238-1,NDC,J9075,HCPCS,outpatient,1,EA,508.73,,254.365,305.238,493.4681,478.2062,,,,percent of total billed charges,,406.984,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,422.2459,,,,percent of total billed charges,,457.857,,,,percent of total billed charges,,468.0316,,,,percent of total billed charges,,468.0316,,,,percent of total billed charges,,481.25858,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,493.4681,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,447.6824,,,,percent of total billed charges,,457.857,,,,percent of total billed charges,,407.49273,,,,percent of total billed charges,,457.857,,,,percent of total billed charges,,305.238,,,,percent of total billed charges,,472.559297,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,406.984,,,,percent of total billed charges,,305.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,407.543603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,0172-7312-46,NDC,J7502,HCPCS,outpatient,1,EA,7.44,,3.72,4.464,7.2168,6.9936,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.1752,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,7.03824,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.2168,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.5472,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,5.95944,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,6.911016,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.960184,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,0591-2223-15,NDC,J7502,HCPCS,outpatient,1,EA,8.07,,4.035,4.842,7.8279,7.5858,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.6981,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.63422,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.8279,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.1016,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,6.46407,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,7.496223,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.464877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,0591-2223-54,NDC,J7502,HCPCS,outpatient,1,EA,8.07,,4.035,4.842,7.8279,7.5858,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.6981,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.63422,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.8279,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.1016,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,6.46407,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,7.496223,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.464877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,60505-4632-3,NDC,J7502,HCPCS,outpatient,1,EA,19.79,,9.895,11.874,19.1963,18.6026,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,16.4257,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.72134,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,19.1963,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,17.4152,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,15.85179,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,18.382931,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.853769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,23155-839-11,NDC,J7502,HCPCS,outpatient,1,EA,9.83,,4.915,5.898,9.5351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,7.87383,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.131087,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.874813,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,23155-839-30,NDC,J7502,HCPCS,outpatient,1,EA,9.83,,4.915,5.898,9.5351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,7.87383,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.131087,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.874813,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,0172-7310-46,NDC,J7515,HCPCS,outpatient,1,EA,2.22,,1.11,1.332,2.1534,2.0868,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,1.8426,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,2.0424,,,,percent of total billed charges,,2.0424,,,,percent of total billed charges,,2.10012,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,2.1534,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,1.9536,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,1.77822,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,2.062158,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.778442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,60505-4630-3,NDC,J7515,HCPCS,outpatient,1,EA,4.53,,2.265,2.718,4.3941,4.2582,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.7599,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.28538,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.9864,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,3.62853,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,4.207917,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.628983,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,0093-9018-19,NDC,J7515,HCPCS,outpatient,1,EA,4.89,,2.445,2.934,4.7433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.91689,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.542321,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.917379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,0093-9018-65,NDC,J7515,HCPCS,outpatient,1,EA,4.89,,2.445,2.934,4.7433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.91689,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.542321,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.917379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,51991-838-01,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,52817-210-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,70710-1110-1,NDC,,,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,0115-1757-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,50268-189-11,NDC,,,outpatient,1,EA,2.87,,1.435,1.722,2.7839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.29887,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.665943,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.299157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,50268-189-15,NDC,,,outpatient,1,EA,2.87,,1.435,1.722,2.7839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.29887,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.665943,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.299157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION [4294],0250,RC,51754-1007-1,NDC,,,outpatient,10,ML,378.14,,189.07,226.884,366.7958,355.4516,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,313.8562,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,357.72044,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,366.7958,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,332.7632,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,302.89014,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,351.254246,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.927954,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION [4294],0250,RC,51754-1007-3,NDC,,,outpatient,10,ML,378.14,,189.07,226.884,366.7958,355.4516,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,313.8562,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,357.72044,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,366.7958,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,332.7632,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,302.89014,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,351.254246,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.927954,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],0636,RC,63323-120-20,NDC,J9100,HCPCS,outpatient,20,ML,50.58,,25.29,30.348,49.0626,47.5452,,,,percent of total billed charges,,40.464,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,41.9814,,,,percent of total billed charges,,45.522,,,,percent of total billed charges,,46.5336,,,,percent of total billed charges,,46.5336,,,,percent of total billed charges,,47.84868,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,49.0626,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,44.5104,,,,percent of total billed charges,,45.522,,,,percent of total billed charges,,40.51458,,,,percent of total billed charges,,45.522,,,,percent of total billed charges,,30.348,,,,percent of total billed charges,,46.983762,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,40.464,,,,percent of total billed charges,,30.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.519638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D12.5W BOLUS [1001290],0258,RC,9991-0012-90,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D15W BOLUS [1001291],0258,RC,9991-0012-91,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D17.5W BOLUS [1001292],0258,RC,9991-0012-92,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D20W BOLUS [1001289],0258,RC,9991-0012-89,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DABIGATRAN ETEXILATE 75 MG CAPSULE [202012],0637,RC,0597-0355-56,NDC,,,outpatient,1,EA,13,,6.5,7.8,12.61,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,12.0757,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.4143,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],0636,RC,63323-127-10,NDC,J9130,HCPCS,outpatient,1,EA,37.48,,18.74,22.488,36.3556,35.2312,,,,percent of total billed charges,,29.984,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,31.1084,,,,percent of total billed charges,,33.732,,,,percent of total billed charges,,34.4816,,,,percent of total billed charges,,34.4816,,,,percent of total billed charges,,35.45608,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,36.3556,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,32.9824,,,,percent of total billed charges,,33.732,,,,percent of total billed charges,,30.02148,,,,percent of total billed charges,,33.732,,,,percent of total billed charges,,22.488,,,,percent of total billed charges,,34.815172,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,29.984,,,,percent of total billed charges,,22.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.025228,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],0636,RC,63323-128-20,NDC,J9130,HCPCS,outpatient,1,EA,26.27,,13.135,15.762,25.4819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,21.04227,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,24.402203,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.044897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],0636,RC,63323-128-00,NDC,J9130,HCPCS,outpatient,1,EA,26.27,,13.135,15.762,25.4819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,21.04227,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,24.402203,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.044897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [221530],0636,RC,57970-100-01,NDC,J0875,HCPCS,outpatient,1,EA,4135.95,,2067.975,2481.57,4011.8715,3887.793,,,,percent of total billed charges,,3308.76,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3432.8385,,,,percent of total billed charges,,3722.355,,,,percent of total billed charges,,3805.074,,,,percent of total billed charges,,3805.074,,,,percent of total billed charges,,3912.6087,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,4011.8715,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3639.636,,,,percent of total billed charges,,3722.355,,,,percent of total billed charges,,3312.89595,,,,percent of total billed charges,,3722.355,,,,percent of total billed charges,,2481.57,,,,percent of total billed charges,,3841.883955,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3308.76,,,,percent of total billed charges,,2481.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3313.309545,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [221530],0636,RC,57970-100-01,NDC,J0875,HCPCS,outpatient,1500,ME,12407.85,,6203.925,7444.71,12035.6145,11663.379,,,,percent of total billed charges,,9926.28,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,10298.5155,,,,percent of total billed charges,,11167.065,,,,percent of total billed charges,,11415.222,,,,percent of total billed charges,,11415.222,,,,percent of total billed charges,,11737.8261,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,12035.6145,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,10918.908,,,,percent of total billed charges,,11167.065,,,,percent of total billed charges,,9938.68785,,,,percent of total billed charges,,11167.065,,,,percent of total billed charges,,7444.71,,,,percent of total billed charges,,11525.65187,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,9926.28,,,,percent of total billed charges,,7444.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9939.928635,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,68084-300-21,NDC,,,outpatient,1,EA,7.01,,3.505,4.206,6.7997,6.5894,,,,percent of total billed charges,,5.608,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,5.8183,,,,percent of total billed charges,,6.309,,,,percent of total billed charges,,6.4492,,,,percent of total billed charges,,6.4492,,,,percent of total billed charges,,6.63146,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,6.7997,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,6.1688,,,,percent of total billed charges,,6.309,,,,percent of total billed charges,,5.61501,,,,percent of total billed charges,,6.309,,,,percent of total billed charges,,4.206,,,,percent of total billed charges,,6.511589,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,5.608,,,,percent of total billed charges,,4.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.615711,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,50268-217-11,NDC,,,outpatient,1,EA,7.41,,3.705,4.446,7.1877,6.9654,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.1503,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,7.00986,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.1877,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.5208,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.93541,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,6.883149,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.936151,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,50268-217-15,NDC,,,outpatient,1,EA,7.41,,3.705,4.446,7.1877,6.9654,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.1503,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,7.00986,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.1877,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.5208,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.93541,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,6.883149,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.936151,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,0904-7211-04,NDC,,,outpatient,1,EA,6.22,,3.11,3.732,6.0334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.98222,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,5.777758,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.982842,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 250 MG INTRAVENOUS SUSPENSION [222079],0636,RC,42367-540-32,NDC,J3490,HCPCS,outpatient,1,EA,10552.77,,5276.385,6331.662,10236.1869,9919.6038,,,,percent of total billed charges,,8442.216,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,8758.7991,,,,percent of total billed charges,,9497.493,,,,percent of total billed charges,,9708.5484,,,,percent of total billed charges,,9708.5484,,,,percent of total billed charges,,9982.92042,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,10236.1869,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,9286.4376,,,,percent of total billed charges,,9497.493,,,,percent of total billed charges,,8452.76877,,,,percent of total billed charges,,9497.493,,,,percent of total billed charges,,6331.662,,,,percent of total billed charges,,9802.468053,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,8442.216,,,,percent of total billed charges,,6331.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8453.824047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [219975],0637,RC,0310-6210-30,NDC,,,outpatient,1,EA,54.47,,27.235,32.682,52.8359,51.2018,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,45.2101,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,51.52862,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,52.8359,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,47.9336,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,43.63047,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,50.597183,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.635917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [219975],0637,RC,0310-6210-39,NDC,,,outpatient,1,EA,46.44,,23.22,27.864,45.0468,43.6536,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,38.5452,,,,percent of total billed charges,,41.796,,,,percent of total billed charges,,42.7248,,,,percent of total billed charges,,42.7248,,,,percent of total billed charges,,43.93224,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,45.0468,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,40.8672,,,,percent of total billed charges,,41.796,,,,percent of total billed charges,,37.19844,,,,percent of total billed charges,,41.796,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,43.138116,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.203084,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET [219974],0637,RC,0310-6205-30,NDC,,,outpatient,1,EA,54.47,,27.235,32.682,52.8359,51.2018,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,45.2101,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,51.52862,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,52.8359,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,47.9336,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,43.63047,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,50.597183,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.635917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET [219974],0637,RC,66993-456-30,NDC,,,outpatient,1,EA,56.25,,28.125,33.75,54.5625,52.875,,,,percent of total billed charges,,45,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,46.6875,,,,percent of total billed charges,,50.625,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,53.2125,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,54.5625,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.625,,,,percent of total billed charges,,45.05625,,,,percent of total billed charges,,50.625,,,,percent of total billed charges,,33.75,,,,percent of total billed charges,,52.250625,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,45,,,,percent of total billed charges,,33.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.061875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,67919-011-01,NDC,J0878,HCPCS,outpatient,1,EA,1832.72,,916.36,1099.632,1777.7384,1722.7568,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1521.1576,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1733.75312,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1777.7384,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1612.7936,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1468.00872,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,1702.413608,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1468.191992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,67919-012-01,NDC,J0878,HCPCS,outpatient,1,EA,1832.72,,916.36,1099.632,1777.7384,1722.7568,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1521.1576,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1733.75312,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1777.7384,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1612.7936,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1468.00872,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,1702.413608,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1468.191992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,70594-034-01,NDC,J0878,HCPCS,outpatient,1,EA,66.2,,33.1,39.72,64.214,62.228,,,,percent of total billed charges,,52.96,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,54.946,,,,percent of total billed charges,,59.58,,,,percent of total billed charges,,60.904,,,,percent of total billed charges,,60.904,,,,percent of total billed charges,,62.6252,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,64.214,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,58.256,,,,percent of total billed charges,,59.58,,,,percent of total billed charges,,53.0262,,,,percent of total billed charges,,59.58,,,,percent of total billed charges,,39.72,,,,percent of total billed charges,,61.49318,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,52.96,,,,percent of total billed charges,,39.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.03282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,71839-107-01,NDC,J0878,HCPCS,outpatient,1,EA,76.5,,38.25,45.9,74.205,71.91,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,63.495,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,72.369,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,74.205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,61.2765,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,71.06085,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.28415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,71288-016-15,NDC,J0878,HCPCS,outpatient,1,EA,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,0409-0122-01,NDC,J0877,HCPCS,outpatient,1,EA,144.59,,72.295,86.754,140.2523,135.9146,,,,percent of total billed charges,,115.672,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,120.0097,,,,percent of total billed charges,,130.131,,,,percent of total billed charges,,133.0228,,,,percent of total billed charges,,133.0228,,,,percent of total billed charges,,136.78214,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,140.2523,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,127.2392,,,,percent of total billed charges,,130.131,,,,percent of total billed charges,,115.81659,,,,percent of total billed charges,,130.131,,,,percent of total billed charges,,86.754,,,,percent of total billed charges,,134.309651,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,115.672,,,,percent of total billed charges,,86.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.831049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,70594-060-01,NDC,J0872,HCPCS,outpatient,1,EA,1840.5,,920.25,1104.3,1785.285,1730.07,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1527.615,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1741.113,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1785.285,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1619.64,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1474.2405,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,1709.64045,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1474.42455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,0409-0122-01,NDC,J0877,HCPCS,outpatient,270.4,ME,78.2,,39.1,46.92,75.854,73.508,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,64.906,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,73.9772,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,75.854,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,68.816,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,62.6382,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,72.63998,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.64602,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,0409-0122-01,NDC,J0877,HCPCS,outpatient,270.4,ME,78.2,,39.1,46.92,75.854,73.508,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,64.906,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,73.9772,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,75.854,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,68.816,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,62.6382,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,72.63998,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.64602,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [249116]",0636,RC,57894-503-01,NDC,J9144,HCPCS,outpatient,15,ML,38578.38,,19289.19,23147.028,37421.0286,36263.6772,,,,percent of total billed charges,,30862.704,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,32020.0554,,,,percent of total billed charges,,34720.542,,,,percent of total billed charges,,35492.1096,,,,percent of total billed charges,,35492.1096,,,,percent of total billed charges,,36495.14748,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,37421.0286,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,33948.9744,,,,percent of total billed charges,,34720.542,,,,percent of total billed charges,,30901.28238,,,,percent of total billed charges,,34720.542,,,,percent of total billed charges,,23147.028,,,,percent of total billed charges,,35835.45718,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,30862.704,,,,percent of total billed charges,,23147.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30905.14022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [228111],0636,RC,57894-502-05,NDC,J9145,HCPCS,outpatient,5,ML,2866.46,,1433.23,1719.876,2780.4662,2694.4724,,,,percent of total billed charges,,2293.168,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2379.1618,,,,percent of total billed charges,,2579.814,,,,percent of total billed charges,,2637.1432,,,,percent of total billed charges,,2637.1432,,,,percent of total billed charges,,2711.67116,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2780.4662,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2522.4848,,,,percent of total billed charges,,2579.814,,,,percent of total billed charges,,2296.03446,,,,percent of total billed charges,,2579.814,,,,percent of total billed charges,,1719.876,,,,percent of total billed charges,,2662.654694,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2293.168,,,,percent of total billed charges,,1719.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2296.321106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [228111],0636,RC,57894-502-20,NDC,J9145,HCPCS,outpatient,20,ML,10482.3,,5241.15,6289.38,10167.831,9853.362,,,,percent of total billed charges,,8385.84,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,8700.309,,,,percent of total billed charges,,9434.07,,,,percent of total billed charges,,9643.716,,,,percent of total billed charges,,9643.716,,,,percent of total billed charges,,9916.2558,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,10167.831,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,9224.424,,,,percent of total billed charges,,9434.07,,,,percent of total billed charges,,8396.3223,,,,percent of total billed charges,,9434.07,,,,percent of total billed charges,,6289.38,,,,percent of total billed charges,,9737.00847,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,8385.84,,,,percent of total billed charges,,6289.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8397.37053,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [101981],0636,RC,55513-025-01,NDC,J0881,HCPCS,outpatient,0.5,ML,3357.74,,1678.87,2014.644,3257.0078,3156.2756,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2786.9242,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3176.42204,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3257.0078,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2954.8112,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2689.54974,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,3119.004686,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2689.885514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [101981],0636,RC,55513-025-04,NDC,J0881,HCPCS,outpatient,0.5,ML,3357.74,,1678.87,2014.644,3257.0078,3156.2756,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2786.9242,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3176.42204,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3257.0078,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2954.8112,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2689.54974,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,3119.004686,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2689.885514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [102073],0636,RC,55513-027-01,NDC,J0881,HCPCS,outpatient,0.3,ML,5036.61,,2518.305,3021.966,4885.5117,4734.4134,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4180.3863,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4764.63306,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4885.5117,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4432.2168,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,4034.32461,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,4678.507029,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4034.828271,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [102073],0636,RC,55513-027-04,NDC,J0881,HCPCS,outpatient,0.3,ML,5036.61,,2518.305,3021.966,4885.5117,4734.4134,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4180.3863,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4764.63306,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4885.5117,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4432.2168,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,4034.32461,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,4678.507029,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4034.828271,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [101971],0636,RC,55513-028-01,NDC,J0881,HCPCS,outpatient,0.4,ML,6715.44,,3357.72,4029.264,6513.9768,6312.5136,,,,percent of total billed charges,,5372.352,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,5573.8152,,,,percent of total billed charges,,6043.896,,,,percent of total billed charges,,6178.2048,,,,percent of total billed charges,,6178.2048,,,,percent of total billed charges,,6352.80624,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,6513.9768,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,5909.5872,,,,percent of total billed charges,,6043.896,,,,percent of total billed charges,,5379.06744,,,,percent of total billed charges,,6043.896,,,,percent of total billed charges,,4029.264,,,,percent of total billed charges,,6237.972216,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,5372.352,,,,percent of total billed charges,,4029.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5379.738984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE [101973],0636,RC,55513-057-01,NDC,J0881,HCPCS,outpatient,0.42,ML,839.45,,419.725,503.67,814.2665,789.083,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,696.7435,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,794.1197,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,814.2665,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,738.716,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,672.39945,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,779.765105,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,672.483395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE [101973],0636,RC,55513-057-04,NDC,J0881,HCPCS,outpatient,0.42,ML,839.45,,419.725,503.67,814.2665,789.083,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,696.7435,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,794.1197,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,814.2665,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,738.716,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,672.39945,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,779.765105,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,672.483395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [101974],0636,RC,55513-111-01,NDC,J0881,HCPCS,outpatient,0.6,ML,10073.21,,5036.605,6043.926,9771.0137,9468.8174,,,,percent of total billed charges,,8058.568,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,8360.7643,,,,percent of total billed charges,,9065.889,,,,percent of total billed charges,,9267.3532,,,,percent of total billed charges,,9267.3532,,,,percent of total billed charges,,9529.25666,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,9771.0137,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,8864.4248,,,,percent of total billed charges,,9065.889,,,,percent of total billed charges,,8068.64121,,,,percent of total billed charges,,9065.889,,,,percent of total billed charges,,6043.926,,,,percent of total billed charges,,9357.004769,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,8058.568,,,,percent of total billed charges,,6043.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8069.648531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [101972],0636,RC,55513-021-01,NDC,J0881,HCPCS,outpatient,0.4,ML,1343.1,,671.55,805.86,1302.807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1075.8231,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1247.60559,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1075.95741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [101972],0636,RC,55513-021-04,NDC,J0881,HCPCS,outpatient,0.4,ML,1343.1,,671.55,805.86,1302.807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1075.8231,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1247.60559,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1075.95741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [102126],0636,RC,55513-003-01,NDC,J0881,HCPCS,outpatient,1,ML,1343.1,,671.55,805.86,1302.807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1075.8231,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1247.60559,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1075.95741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [102126],0636,RC,55513-003-04,NDC,J0881,HCPCS,outpatient,1,ML,1343.1,,671.55,805.86,1302.807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1075.8231,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1247.60559,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1075.95741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [101611],0636,RC,55513-032-01,NDC,J0881,HCPCS,outpatient,1,ML,16788.69,,8394.345,10073.214,16285.0293,15781.3686,,,,percent of total billed charges,,13430.952,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,13934.6127,,,,percent of total billed charges,,15109.821,,,,percent of total billed charges,,15445.5948,,,,percent of total billed charges,,15445.5948,,,,percent of total billed charges,,15882.10074,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,16285.0293,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,14774.0472,,,,percent of total billed charges,,15109.821,,,,percent of total billed charges,,13447.74069,,,,percent of total billed charges,,15109.821,,,,percent of total billed charges,,10073.214,,,,percent of total billed charges,,15595.01414,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,13430.952,,,,percent of total billed charges,,10073.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13449.41956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [101980],0636,RC,55513-023-01,NDC,J0881,HCPCS,outpatient,0.3,ML,2014.64,,1007.32,1208.784,1954.2008,1893.7616,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1672.1512,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1905.84944,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1954.2008,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1772.8832,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1613.72664,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,1871.399096,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1613.928104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [101980],0636,RC,55513-023-04,NDC,J0881,HCPCS,outpatient,0.3,ML,2014.64,,1007.32,1208.784,1954.2008,1893.7616,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1672.1512,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1905.84944,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1954.2008,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1772.8832,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1613.72664,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,1871.399096,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1613.928104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DECITABINE 50 MG (10 MG/ML) SUBCUTANEOUS SOLUTION [1002100],0636,RC,62856-600-01,NDC,J0894,HCPCS,outpatient,1,EA,4444.61,,2222.305,2666.766,4311.2717,4177.9334,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3689.0263,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4204.60106,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4311.2717,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3911.2568,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,3560.13261,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,4128.598229,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3560.577071,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DECITABINE 50 MG INTRAVENOUS SOLUTION [95843],0636,RC,62856-600-01,NDC,J0894,HCPCS,outpatient,1,EA,4444.61,,2222.305,2666.766,4311.2717,4177.9334,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3689.0263,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4204.60106,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4311.2717,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3911.2568,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,3560.13261,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,4128.598229,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3560.577071,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],0636,RC,0409-2337-25,NDC,J0895,HCPCS,outpatient,1,EA,76.75,,38.375,46.05,74.4475,72.145,,,,percent of total billed charges,,61.4,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,63.7025,,,,percent of total billed charges,,69.075,,,,percent of total billed charges,,70.61,,,,percent of total billed charges,,70.61,,,,percent of total billed charges,,72.6055,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,74.4475,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,67.54,,,,percent of total billed charges,,69.075,,,,percent of total billed charges,,61.47675,,,,percent of total billed charges,,69.075,,,,percent of total billed charges,,46.05,,,,percent of total billed charges,,71.293075,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,61.4,,,,percent of total billed charges,,46.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.484425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],0636,RC,63323-597-10,NDC,J0895,HCPCS,outpatient,1,EA,46.22,,23.11,27.732,44.8334,43.4468,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,38.3626,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,43.72412,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,44.8334,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,40.6736,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,37.02222,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,42.933758,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.026842,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500MG SOLUTION FOR IM/SUB-Q INJECTION [1002023],0636,RC,63323-597-10,NDC,J0895,HCPCS,outpatient,1,EA,46.22,,23.11,27.732,44.8334,43.4468,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,38.3626,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,43.72412,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,44.8334,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,40.6736,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,37.02222,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,42.933758,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.026842,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],0636,RC,63323-597-10,NDC,J0895,HCPCS,outpatient,338,ME,31.25,,15.625,18.75,30.3125,29.375,,,,percent of total billed charges,,25,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,25.9375,,,,percent of total billed charges,,28.125,,,,percent of total billed charges,,28.75,,,,percent of total billed charges,,28.75,,,,percent of total billed charges,,29.5625,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,30.3125,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,27.5,,,,percent of total billed charges,,28.125,,,,percent of total billed charges,,25.03125,,,,percent of total billed charges,,28.125,,,,percent of total billed charges,,18.75,,,,percent of total billed charges,,29.028125,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,25,,,,percent of total billed charges,,18.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.034375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],0636,RC,63323-597-10,NDC,J0895,HCPCS,outpatient,1000,ME,92.43,,46.215,55.458,89.6571,86.8842,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,76.7169,,,,percent of total billed charges,,83.187,,,,percent of total billed charges,,85.0356,,,,percent of total billed charges,,85.0356,,,,percent of total billed charges,,87.43878,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,89.6571,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,81.3384,,,,percent of total billed charges,,83.187,,,,percent of total billed charges,,74.03643,,,,percent of total billed charges,,83.187,,,,percent of total billed charges,,55.458,,,,percent of total billed charges,,85.858227,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,55.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.045673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],0636,RC,0409-2337-25,NDC,J0895,HCPCS,outpatient,500,ME,19.19,,9.595,11.514,18.6143,18.0386,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.9277,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,18.15374,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.6143,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,16.8872,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.37119,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,17.825591,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.373109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [193106],0636,RC,55566-8403-1,NDC,J9155,HCPCS,outpatient,1,EA,2151.09,,1075.545,1290.654,2086.5573,2022.0246,,,,percent of total billed charges,,1720.872,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,1785.4047,,,,percent of total billed charges,,1935.981,,,,percent of total billed charges,,1979.0028,,,,percent of total billed charges,,1979.0028,,,,percent of total billed charges,,2034.93114,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,2086.5573,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,1892.9592,,,,percent of total billed charges,,1935.981,,,,percent of total billed charges,,1723.02309,,,,percent of total billed charges,,1935.981,,,,percent of total billed charges,,1290.654,,,,percent of total billed charges,,1998.147501,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,1720.872,,,,percent of total billed charges,,1290.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1723.238199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [193099],0636,RC,55566-8303-1,NDC,J9155,HCPCS,outpatient,1,EA,1378.71,,689.355,827.226,1337.3487,1295.9874,,,,percent of total billed charges,,1102.968,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1144.3293,,,,percent of total billed charges,,1240.839,,,,percent of total billed charges,,1268.4132,,,,percent of total billed charges,,1268.4132,,,,percent of total billed charges,,1304.25966,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1337.3487,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1213.2648,,,,percent of total billed charges,,1240.839,,,,percent of total billed charges,,1104.34671,,,,percent of total billed charges,,1240.839,,,,percent of total billed charges,,827.226,,,,percent of total billed charges,,1280.683719,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1102.968,,,,percent of total billed charges,,827.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1104.484581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEMECLOCYCLINE 150 MG TABLET [9726],0637,RC,62584-159-01,NDC,,,outpatient,1,EA,25.55,,12.775,15.33,24.7835,24.017,,,,percent of total billed charges,,20.44,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,21.2065,,,,percent of total billed charges,,22.995,,,,percent of total billed charges,,23.506,,,,percent of total billed charges,,23.506,,,,percent of total billed charges,,24.1703,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,24.7835,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,22.484,,,,percent of total billed charges,,22.995,,,,percent of total billed charges,,20.46555,,,,percent of total billed charges,,22.995,,,,percent of total billed charges,,15.33,,,,percent of total billed charges,,23.733395,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,20.44,,,,percent of total billed charges,,15.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.468105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [202142],0636,RC,55513-730-01,NDC,J0897,HCPCS,outpatient,1.7,ML,13870.44,,6935.22,8322.264,13454.3268,13038.2136,,,,percent of total billed charges,,11096.352,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,11512.4652,,,,percent of total billed charges,,12483.396,,,,percent of total billed charges,,12760.8048,,,,percent of total billed charges,,12760.8048,,,,percent of total billed charges,,13121.43624,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,13454.3268,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,12205.9872,,,,percent of total billed charges,,12483.396,,,,percent of total billed charges,,11110.22244,,,,percent of total billed charges,,12483.396,,,,percent of total billed charges,,8322.264,,,,percent of total billed charges,,12884.25172,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,11096.352,,,,percent of total billed charges,,8322.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11111.60948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [199604],0636,RC,55513-710-01,NDC,J0897,HCPCS,outpatient,1,ML,7756.25,,3878.125,4653.75,7523.5625,7290.875,,,,percent of total billed charges,,6205,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,6437.6875,,,,percent of total billed charges,,6980.625,,,,percent of total billed charges,,7135.75,,,,percent of total billed charges,,7135.75,,,,percent of total billed charges,,7337.4125,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,7523.5625,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,6825.5,,,,percent of total billed charges,,6980.625,,,,percent of total billed charges,,6212.75625,,,,percent of total billed charges,,6980.625,,,,percent of total billed charges,,4653.75,,,,percent of total billed charges,,7204.780625,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,6205,,,,percent of total billed charges,,4653.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6213.531875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESIPRAMINE 25 MG TABLET [2286],0637,RC,0781-1972-01,NDC,,,outpatient,1,EA,5.58,,2.79,3.348,5.4126,5.2452,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.6314,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.27868,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.4126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.9104,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,4.46958,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,5.183262,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.470138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY [27770],0637,RC,24208-342-05,NDC,,,outpatient,5,ML,866.7,,433.35,520.02,840.699,814.698,,,,percent of total billed charges,,693.36,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,719.361,,,,percent of total billed charges,,780.03,,,,percent of total billed charges,,797.364,,,,percent of total billed charges,,797.364,,,,percent of total billed charges,,819.8982,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,840.699,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,762.696,,,,percent of total billed charges,,780.03,,,,percent of total billed charges,,694.2267,,,,percent of total billed charges,,780.03,,,,percent of total billed charges,,520.02,,,,percent of total billed charges,,805.07763,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,693.36,,,,percent of total billed charges,,520.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,694.31337,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED) [21135],0637,RC,60505-0815-0,NDC,,,outpatient,5,ML,493.43,,246.715,296.058,478.6271,463.8242,,,,percent of total billed charges,,394.744,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,409.5469,,,,percent of total billed charges,,444.087,,,,percent of total billed charges,,453.9556,,,,percent of total billed charges,,453.9556,,,,percent of total billed charges,,466.78478,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,478.6271,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,434.2184,,,,percent of total billed charges,,444.087,,,,percent of total billed charges,,395.23743,,,,percent of total billed charges,,444.087,,,,percent of total billed charges,,296.058,,,,percent of total billed charges,,458.347127,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,394.744,,,,percent of total billed charges,,296.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,395.286773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,0703-5051-03,NDC,J2597,HCPCS,outpatient,1,ML,158.85,,79.425,95.31,154.0845,149.319,,,,percent of total billed charges,,127.08,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,131.8455,,,,percent of total billed charges,,142.965,,,,percent of total billed charges,,146.142,,,,percent of total billed charges,,146.142,,,,percent of total billed charges,,150.2721,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,154.0845,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,139.788,,,,percent of total billed charges,,142.965,,,,percent of total billed charges,,127.23885,,,,percent of total billed charges,,142.965,,,,percent of total billed charges,,95.31,,,,percent of total billed charges,,147.555765,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,127.08,,,,percent of total billed charges,,95.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.254735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,0703-5054-01,NDC,J2597,HCPCS,outpatient,10,ML,1123.11,,561.555,673.866,1089.4167,1055.7234,,,,percent of total billed charges,,898.488,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,932.1813,,,,percent of total billed charges,,1010.799,,,,percent of total billed charges,,1033.2612,,,,percent of total billed charges,,1033.2612,,,,percent of total billed charges,,1062.46206,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,1089.4167,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,988.3368,,,,percent of total billed charges,,1010.799,,,,percent of total billed charges,,899.61111,,,,percent of total billed charges,,1010.799,,,,percent of total billed charges,,673.866,,,,percent of total billed charges,,1043.256879,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,898.488,,,,percent of total billed charges,,673.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,899.723421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,55566-5030-08,NDC,J2597,HCPCS,outpatient,1,ML,83.97,,41.985,50.382,81.4509,78.9318,,,,percent of total billed charges,,67.176,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,69.6951,,,,percent of total billed charges,,75.573,,,,percent of total billed charges,,77.2524,,,,percent of total billed charges,,77.2524,,,,percent of total billed charges,,79.43562,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,81.4509,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,73.8936,,,,percent of total billed charges,,75.573,,,,percent of total billed charges,,67.25997,,,,percent of total billed charges,,75.573,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,77.999733,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,67.176,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.268367,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,55566-2200-0,NDC,J2597,HCPCS,outpatient,1,ML,208.07,,104.035,124.842,201.8279,195.5858,,,,percent of total billed charges,,166.456,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,172.6981,,,,percent of total billed charges,,187.263,,,,percent of total billed charges,,191.4244,,,,percent of total billed charges,,191.4244,,,,percent of total billed charges,,196.83422,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,201.8279,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,183.1016,,,,percent of total billed charges,,187.263,,,,percent of total billed charges,,166.66407,,,,percent of total billed charges,,187.263,,,,percent of total billed charges,,124.842,,,,percent of total billed charges,,193.276223,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,166.456,,,,percent of total billed charges,,124.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,166.684877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,69918-899-10,NDC,J2597,HCPCS,outpatient,1,ML,92.44,,46.22,55.464,89.6668,86.8936,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,76.7252,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,87.44824,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,89.6668,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,81.3472,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,74.04444,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,85.867516,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.053684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,69918-899-01,NDC,J2597,HCPCS,outpatient,1,ML,92.44,,46.22,55.464,89.6668,86.8936,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,76.7252,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,87.44824,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,89.6668,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,81.3472,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,74.04444,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,85.867516,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.053684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,43598-931-09,NDC,J2597,HCPCS,outpatient,1,ML,159.36,,79.68,95.616,154.5792,149.7984,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,132.2688,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,150.75456,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,154.5792,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,140.2368,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,127.64736,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,148.029504,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.663296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,43598-931-11,NDC,J2597,HCPCS,outpatient,1,ML,159.36,,79.68,95.616,154.5792,149.7984,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,132.2688,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,150.75456,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,154.5792,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,140.2368,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,127.64736,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,148.029504,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,127.663296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],0636,RC,0054-3177-63,NDC,J8540,HCPCS,outpatient,500,ML,67.5,,33.75,40.5,65.475,63.45,,,,percent of total billed charges,,54,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,56.025,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.855,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,65.475,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,54.0675,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,62.70075,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,54,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.07425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],0636,RC,0054-3177-57,NDC,J8540,HCPCS,outpatient,240,ML,170.64,,85.32,102.384,165.5208,160.4016,,,,percent of total billed charges,,136.512,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,141.6312,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,156.9888,,,,percent of total billed charges,,156.9888,,,,percent of total billed charges,,161.42544,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,165.5208,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,150.1632,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,136.68264,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,158.507496,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,136.512,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.699704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 1 MG/ML IN D5W IV PEDS DILUTION [1000024],0636,RC,WVU01-000-24,NDC,J1100,HCPCS,outpatient,1,ML,0.7,,0.35,0.42,0.679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.5607,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.65023,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.56077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 1 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [1000993],0637,RC,9991-0009-93,NDC,,,outpatient,10,ML,37.13,,18.565,22.278,36.0161,34.9022,,,,percent of total billed charges,,29.704,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,30.8179,,,,percent of total billed charges,,33.417,,,,percent of total billed charges,,34.1596,,,,percent of total billed charges,,34.1596,,,,percent of total billed charges,,35.12498,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,36.0161,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,32.6744,,,,percent of total billed charges,,33.417,,,,percent of total billed charges,,29.74113,,,,percent of total billed charges,,33.417,,,,percent of total billed charges,,22.278,,,,percent of total billed charges,,34.490057,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,29.704,,,,percent of total billed charges,,22.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.744843,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 10 MG/ML ORAL LIQUID (USING IV) [7000093],0637,RC,0641-0367-25,NDC,,,outpatient,1,ML,5.32,,2.66,3.192,5.1604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.26132,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,4.941748,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.261852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 10 MG/ML ORAL LIQUID (USING IV) [7000093],0637,RC,63323-506-01,NDC,,,outpatient,1,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 10 MG/ML ORAL LIQUID (USING IV) [7000093],0637,RC,63323-506-16,NDC,,,outpatient,1,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 100 MCG/ML ORAL LIQUID [1000088],0637,RC,9991-0000-88,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,0054-4184-25,NDC,J8540,HCPCS,outpatient,1,EA,4.15,,2.075,2.49,4.0255,3.901,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.4445,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.652,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.32415,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,3.854935,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.324565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,0054-8175-25,NDC,J8540,HCPCS,outpatient,1,EA,4.41,,2.205,2.646,4.2777,4.1454,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.6603,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.17186,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.2777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.8808,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,3.53241,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,4.096449,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.532851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,0904-7266-61,NDC,J8540,HCPCS,outpatient,1,EA,4.81,,2.405,2.886,4.6657,4.5214,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.9923,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.55026,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.6657,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.2328,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,3.85281,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,4.468009,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.853291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,66993-730-51,NDC,J8540,HCPCS,outpatient,1,EA,4.52,,2.26,2.712,4.3844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,3.62052,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.198628,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.620972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,66993-730-80,NDC,J8540,HCPCS,outpatient,1,EA,4.52,,2.26,2.712,4.3844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,3.62052,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.198628,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.620972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML ORAL LIQUID [7000253],0637,RC,63323-165-01,NDC,,,outpatient,1,ML,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML ORAL LIQUID [7000253],0637,RC,63323-165-05,NDC,,,outpatient,5,ML,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML TOPICAL FOR IONTOPHORESIS [1000732],0636,RC,63323-165-05,NDC,J1100,HCPCS,outpatient,5,ML,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML TOPICAL FOR IONTOPHORESIS [1000732],0636,RC,0069-4543-02,NDC,J1100,HCPCS,outpatient,5,ML,8.78,,4.39,5.268,8.5166,8.2532,,,,percent of total billed charges,,7.024,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,7.2874,,,,percent of total billed charges,,7.902,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,8.30588,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,8.5166,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,7.7264,,,,percent of total billed charges,,7.902,,,,percent of total billed charges,,7.03278,,,,percent of total billed charges,,7.902,,,,percent of total billed charges,,5.268,,,,percent of total billed charges,,8.155742,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,7.024,,,,percent of total billed charges,,5.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.033658,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],0636,RC,0641-0367-25,NDC,J1100,HCPCS,outpatient,10,ME,5.32,,2.66,3.192,5.1604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.26132,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,4.941748,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.261852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,63323-506-01,NDC,J1100,HCPCS,outpatient,1,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,63323-506-16,NDC,J1100,HCPCS,outpatient,1,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,70069-021-01,NDC,J1100,HCPCS,outpatient,1,ML,8.42,,4.21,5.052,8.1674,7.9148,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.9886,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.96532,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,8.1674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.4096,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,6.74442,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,7.821338,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.745262,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,70069-021-25,NDC,J1100,HCPCS,outpatient,1,ML,8.42,,4.21,5.052,8.1674,7.9148,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.9886,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.96532,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,8.1674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.4096,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,6.74442,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,7.821338,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.745262,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,55150-304-01,NDC,J1100,HCPCS,outpatient,1,ML,7.23,,3.615,4.338,7.0131,6.7962,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.0009,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.83958,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,7.0131,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.3624,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,5.79123,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,6.715947,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.791953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,55150-304-25,NDC,J1100,HCPCS,outpatient,1,ML,7.23,,3.615,4.338,7.0131,6.7962,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.0009,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.83958,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,7.0131,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.3624,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,5.79123,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,6.715947,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.791953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION -OPHTHALMIC USE ONLY [7000243],0636,RC,63323-506-01,NDC,J1100,HCPCS,outpatient,1,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION -OPHTHALMIC USE ONLY [7000243],0636,RC,63323-506-16,NDC,J1100,HCPCS,outpatient,1,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS [2335],0637,RC,24208-720-02,NDC,,,outpatient,5,ML,231.39,,115.695,138.834,224.4483,217.5066,,,,percent of total billed charges,,185.112,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,192.0537,,,,percent of total billed charges,,208.251,,,,percent of total billed charges,,212.8788,,,,percent of total billed charges,,212.8788,,,,percent of total billed charges,,218.89494,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,224.4483,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,203.6232,,,,percent of total billed charges,,208.251,,,,percent of total billed charges,,185.34339,,,,percent of total billed charges,,208.251,,,,percent of total billed charges,,138.834,,,,percent of total billed charges,,214.938171,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,185.112,,,,percent of total billed charges,,138.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.366529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],0636,RC,0641-0367-25,NDC,J1100,HCPCS,outpatient,1,ML,5.32,,2.66,3.192,5.1604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.26132,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,4.941748,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.261852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],0636,RC,0641-0367-21,NDC,J1100,HCPCS,outpatient,1,ML,5.32,,2.66,3.192,5.1604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.26132,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,4.941748,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.261852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,63323-165-01,NDC,J1100,HCPCS,outpatient,1,ML,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,63323-165-05,NDC,J1100,HCPCS,outpatient,5,ML,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,67457-423-00,NDC,J1100,HCPCS,outpatient,1,ML,3.21,,1.605,1.926,3.1137,3.0174,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.6643,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,3.03666,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.1137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.8248,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.57121,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,2.981769,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.571531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,67457-423-12,NDC,J1100,HCPCS,outpatient,1,ML,3.21,,1.605,1.926,3.1137,3.0174,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.6643,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,3.03666,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.1137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.8248,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.57121,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,2.981769,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.571531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,67457-422-00,NDC,J1100,HCPCS,outpatient,5,ML,8.06,,4.03,4.836,7.8182,7.5764,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.6898,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.62476,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.8182,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.0928,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,6.45606,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,7.486934,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.456866,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,67457-422-54,NDC,J1100,HCPCS,outpatient,5,ML,8.06,,4.03,4.836,7.8182,7.5764,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.6898,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.62476,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.8182,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.0928,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,6.45606,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,7.486934,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.456866,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,67457-421-00,NDC,J1100,HCPCS,outpatient,30,ML,40.1,,20.05,24.06,38.897,37.694,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,33.283,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,37.9346,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,35.288,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,32.1201,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,37.24889,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.12411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,67457-421-30,NDC,J1100,HCPCS,outpatient,30,ML,40.1,,20.05,24.06,38.897,37.694,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,33.283,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,37.9346,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,35.288,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,32.1201,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,37.24889,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.12411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,63323-165-16,NDC,J1100,HCPCS,outpatient,1,ML,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,0641-6145-01,NDC,J1100,HCPCS,outpatient,1,ML,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,0641-6145-25,NDC,J1100,HCPCS,outpatient,1,ML,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,63323-165-03,NDC,J1100,HCPCS,outpatient,5,ML,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,63323-165-02,NDC,J1100,HCPCS,outpatient,1,ML,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRANASAL [1000554],0250,RC,0409-1638-02,NDC,,,outpatient,2,ML,23.58,,11.79,14.148,22.8726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,18.88758,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,21.903462,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.889938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,0409-1638-02,NDC,,,outpatient,2,ML,23.58,,11.79,14.148,22.8726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,18.88758,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,21.903462,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.889938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,42023-146-25,NDC,,,outpatient,2,ML,14.06,,7.03,8.436,13.6382,13.2164,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.6698,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,13.30076,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.6382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,12.3728,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,11.26206,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,13.060334,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.263466,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,55150-209-02,NDC,,,outpatient,2,ML,8.92,,4.46,5.352,8.6524,8.3848,,,,percent of total billed charges,,7.136,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,7.4036,,,,percent of total billed charges,,8.028,,,,percent of total billed charges,,8.2064,,,,percent of total billed charges,,8.2064,,,,percent of total billed charges,,8.43832,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,8.6524,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,7.8496,,,,percent of total billed charges,,8.028,,,,percent of total billed charges,,7.14492,,,,percent of total billed charges,,8.028,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,8.285788,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,7.136,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.145812,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,0409-1638-32,NDC,,,outpatient,2,ML,23.58,,11.79,14.148,22.8726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,18.88758,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,21.903462,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.889938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,71288-505-02,NDC,,,outpatient,2,ML,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,71288-505-03,NDC,,,outpatient,2,ML,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG IN NS 50 ML INFUSION - FOR ANES [5000001],0250,RC,9995-0000-01,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,0409-1660-50,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,0409-1660-55,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,43598-976-11,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,43598-976-58,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,71225-132-01,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,71225-132-02,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML INFUSION - ANES [5000240],0250,RC,9995-0002-40,NDC,,,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,0409-1660-50,NDC,,,outpatient,50,ML,42.3,,21.15,25.38,41.031,39.762,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,35.109,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,40.0158,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,41.031,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,33.8823,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,39.29247,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.88653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,9991-0008-53,NDC,,,outpatient,10,ML,9.5,,4.75,5.7,9.215,8.93,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.885,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.987,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,8.36,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,8.82455,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.61045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,63323-671-02,NDC,,,outpatient,20,ML,93.69,,46.845,56.214,90.8793,88.0686,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,77.7627,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,88.63074,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,90.8793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,82.4472,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,75.04569,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,87.028641,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.055059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,71225-126-02,NDC,,,outpatient,50,ML,98.78,,49.39,59.268,95.8166,92.8532,,,,percent of total billed charges,,79.024,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,81.9874,,,,percent of total billed charges,,88.902,,,,percent of total billed charges,,90.8776,,,,percent of total billed charges,,90.8776,,,,percent of total billed charges,,93.44588,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,95.8166,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,86.9264,,,,percent of total billed charges,,88.902,,,,percent of total billed charges,,79.12278,,,,percent of total billed charges,,88.902,,,,percent of total billed charges,,59.268,,,,percent of total billed charges,,91.756742,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,79.024,,,,percent of total billed charges,,59.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.132658,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,0409-1660-55,NDC,,,outpatient,50,ML,42.3,,21.15,25.38,41.031,39.762,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,35.109,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,40.0158,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,41.031,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,33.8823,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,39.29247,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.88653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,0409-1660-22,NDC,,,outpatient,20,ML,52.11,,26.055,31.266,50.5467,48.9834,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,43.2513,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,49.29606,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,50.5467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,45.8568,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,41.74011,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,48.404979,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.745321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,0781-3493-80,NDC,,,outpatient,20,ML,27.99,,13.995,16.794,27.1503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,22.41999,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,25.999911,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.422789,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,0781-3493-95,NDC,,,outpatient,20,ML,27.99,,13.995,16.794,27.1503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,22.41999,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,25.999911,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.422789,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,0143-9526-01,NDC,,,outpatient,50,ML,32.4,,16.2,19.44,31.428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,25.9524,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,30.09636,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.95564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,71225-132-01,NDC,,,outpatient,50,ML,44.1,,22.05,26.46,42.777,41.454,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,36.603,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,41.7186,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,42.777,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,38.808,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,35.3241,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,40.96449,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.32851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,71225-132-02,NDC,,,outpatient,50,ML,44.1,,22.05,26.46,42.777,41.454,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,36.603,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,41.7186,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,42.777,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,38.808,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,35.3241,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,40.96449,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.32851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,0409-1660-20,NDC,,,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,63323-671-02,NDC,,,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,63323-671-20,NDC,,,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,0409-1660-22,NDC,,,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,0781-3493-80,NDC,,,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,0781-3493-95,NDC,,,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,0409-1660-10,NDC,,,outpatient,100,ML,74.7,,37.35,44.82,72.459,70.218,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,62.001,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,70.6662,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,72.459,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,65.736,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,59.8347,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,69.38883,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.84217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,63323-671-00,NDC,,,outpatient,100,ML,157.95,,78.975,94.77,153.2115,148.473,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,131.0985,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,149.4207,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,153.2115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,138.996,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,126.51795,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,146.719755,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.533745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,63323-671-01,NDC,,,outpatient,100,ML,157.95,,78.975,94.77,153.2115,148.473,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,131.0985,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,149.4207,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,153.2115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,138.996,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,126.51795,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,146.719755,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.533745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,71225-126-03,NDC,,,outpatient,100,ML,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,71225-126-06,NDC,,,outpatient,100,ML,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,0409-1660-35,NDC,,,outpatient,100,ML,74.7,,37.35,44.82,72.459,70.218,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,62.001,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,70.6662,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,72.459,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,65.736,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,59.8347,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,69.38883,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.84217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,70121-1389-1,NDC,,,outpatient,100,ML,137.7,,68.85,82.62,133.569,129.438,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,114.291,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,130.2642,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,133.569,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,110.2977,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,127.90953,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.31147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,70121-1389-7,NDC,,,outpatient,100,ML,137.7,,68.85,82.62,133.569,129.438,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,114.291,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,130.2642,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,133.569,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,110.2977,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,127.90953,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.31147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,43598-975-11,NDC,,,outpatient,100,ML,93.15,,46.575,55.89,90.3555,87.561,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,77.3145,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,88.1199,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,90.3555,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,81.972,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,74.61315,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,86.527035,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.622465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,43598-975-58,NDC,,,outpatient,100,ML,93.15,,46.575,55.89,90.3555,87.561,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,77.3145,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,88.1199,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,90.3555,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,81.972,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,74.61315,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,86.527035,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.622465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,0781-3495-46,NDC,,,outpatient,100,ML,89.55,,44.775,53.73,86.8635,84.177,,,,percent of total billed charges,,71.64,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,74.3265,,,,percent of total billed charges,,80.595,,,,percent of total billed charges,,82.386,,,,percent of total billed charges,,82.386,,,,percent of total billed charges,,84.7143,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,86.8635,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,78.804,,,,percent of total billed charges,,80.595,,,,percent of total billed charges,,71.72955,,,,percent of total billed charges,,80.595,,,,percent of total billed charges,,53.73,,,,percent of total billed charges,,83.182995,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,71.64,,,,percent of total billed charges,,53.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.738505,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,42023-187-01,NDC,,,outpatient,100,ML,60.75,,30.375,36.45,58.9275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,48.66075,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,56.430675,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.666825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,42023-187-10,NDC,,,outpatient,100,ML,60.75,,30.375,36.45,58.9275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,48.66075,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,56.430675,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.666825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,66794-235-02,NDC,,,outpatient,100,ML,82.8,,41.4,49.68,80.316,77.832,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.316,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,72.864,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,66.3228,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,76.91292,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.33108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,71225-133-01,NDC,,,outpatient,100,ML,84.6,,42.3,50.76,82.062,79.524,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,70.218,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,80.0316,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,82.062,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,67.7646,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,78.58494,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.77306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,71225-133-02,NDC,,,outpatient,100,ML,84.6,,42.3,50.76,82.062,79.524,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,70.218,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,80.0316,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,82.062,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,67.7646,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,78.58494,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.77306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,0409-1596-01,NDC,,,outpatient,100,ML,75.15,,37.575,45.09,72.8955,70.641,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,62.3745,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,71.0919,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,72.8955,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,66.132,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,60.19515,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,69.806835,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.202665,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,0409-1596-10,NDC,,,outpatient,100,ML,75.15,,37.575,45.09,72.8955,70.641,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,62.3745,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,71.0919,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,72.8955,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,66.132,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,60.19515,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,69.806835,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.202665,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,0409-1660-20,NDC,,,outpatient,20,ML,52.11,,26.055,31.266,50.5467,48.9834,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,43.2513,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,49.29606,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,50.5467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,45.8568,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,41.74011,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,48.404979,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.745321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,63323-671-02,NDC,,,outpatient,20,ML,93.69,,46.845,56.214,90.8793,88.0686,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,77.7627,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,88.63074,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,90.8793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,82.4472,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,75.04569,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,87.028641,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.055059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,63323-671-20,NDC,,,outpatient,20,ML,93.69,,46.845,56.214,90.8793,88.0686,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,77.7627,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,88.63074,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,90.8793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,82.4472,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,75.04569,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,87.028641,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.055059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,0409-1660-22,NDC,,,outpatient,20,ML,52.11,,26.055,31.266,50.5467,48.9834,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,43.2513,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,49.29606,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,50.5467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,45.8568,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,41.74011,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,48.404979,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.745321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,0781-3493-80,NDC,,,outpatient,20,ML,27.99,,13.995,16.794,27.1503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,22.41999,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,25.999911,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.422789,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,0781-3493-95,NDC,,,outpatient,20,ML,27.99,,13.995,16.794,27.1503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,22.41999,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,25.999911,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.422789,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,55150-209-02,NDC,,,outpatient,67.6,ML,3.02,,1.51,1.812,2.9294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.41902,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,2.805278,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.419322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],0636,RC,72611-716-01,NDC,J1190,HCPCS,outpatient,1,EA,596.39,,298.195,357.834,578.4983,560.6066,,,,percent of total billed charges,,477.112,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,495.0037,,,,percent of total billed charges,,536.751,,,,percent of total billed charges,,548.6788,,,,percent of total billed charges,,548.6788,,,,percent of total billed charges,,564.18494,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,578.4983,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,524.8232,,,,percent of total billed charges,,536.751,,,,percent of total billed charges,,477.70839,,,,percent of total billed charges,,536.751,,,,percent of total billed charges,,357.834,,,,percent of total billed charges,,553.986671,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,477.112,,,,percent of total billed charges,,357.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,477.768029,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,54092-383-01,NDC,,,outpatient,1,EA,29.47,,14.735,17.682,28.5859,27.7018,,,,percent of total billed charges,,23.576,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,24.4601,,,,percent of total billed charges,,26.523,,,,percent of total billed charges,,27.1124,,,,percent of total billed charges,,27.1124,,,,percent of total billed charges,,27.87862,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,28.5859,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,25.9336,,,,percent of total billed charges,,26.523,,,,percent of total billed charges,,23.60547,,,,percent of total billed charges,,26.523,,,,percent of total billed charges,,17.682,,,,percent of total billed charges,,27.374683,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,23.576,,,,percent of total billed charges,,17.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.608417,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,0228-3059-11,NDC,,,outpatient,1,EA,17.04,,8.52,10.224,16.5288,16.0176,,,,percent of total billed charges,,13.632,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,14.1432,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,15.6768,,,,percent of total billed charges,,15.6768,,,,percent of total billed charges,,16.11984,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,16.5288,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,14.9952,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,13.64904,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,15.828456,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,13.632,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.650744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,0115-1487-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,0406-8952-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,42858-610-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,0527-5511-37,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,31722-186-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,70010-030-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,61787-062-04,NDC,,,outpatient,118,ML,17,,8.5,10.2,16.49,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,13.617,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,15.7913,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.6187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,6056906204,NDC,,,outpatient,118,ML,17.53,,8.765,10.518,17.0041,16.4782,,,,percent of total billed charges,,14.024,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,14.5499,,,,percent of total billed charges,,15.777,,,,percent of total billed charges,,16.1276,,,,percent of total billed charges,,16.1276,,,,percent of total billed charges,,16.58338,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,17.0041,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,15.4264,,,,percent of total billed charges,,15.777,,,,percent of total billed charges,,14.04153,,,,percent of total billed charges,,15.777,,,,percent of total billed charges,,10.518,,,,percent of total billed charges,,16.283617,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,14.024,,,,percent of total billed charges,,10.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.043283,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,0904-6759-20,NDC,,,outpatient,118,ML,6.38,,3.19,3.828,6.1886,5.9972,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.2954,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,6.03548,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.1886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.6144,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.11038,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,5.926382,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.111018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,9999-9781-83,NDC,,,outpatient,10,ML,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,61787-513-04,NDC,,,outpatient,118,ML,19.12,,9.56,11.472,18.5464,17.9728,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.8696,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,18.08752,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.5464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,16.8256,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,15.31512,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,17.760568,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.317032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,71399-0026-4,NDC,,,outpatient,118,ML,9.56,,4.78,5.736,9.2732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,7.65756,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,8.880284,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.658516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,0121-0638-05,NDC,,,outpatient,5,ML,7.38,,3.69,4.428,7.1586,6.9372,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,6.1254,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,6.7896,,,,percent of total billed charges,,6.7896,,,,percent of total billed charges,,6.98148,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,7.1586,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,6.4944,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,5.91138,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,6.855282,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.912118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,0121-1276-00,NDC,,,outpatient,10,ML,8.1,,4.05,4.86,7.857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,6.4881,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,7.52409,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.48891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,0121-1276-10,NDC,,,outpatient,10,ML,8.1,,4.05,4.86,7.857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,6.4881,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,7.52409,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.48891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,69339-149-05,NDC,,,outpatient,5,ML,5.34,,2.67,3.204,5.1798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.27734,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,4.960326,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.277874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,69339-149-19,NDC,,,outpatient,5,ML,5.34,,2.67,3.204,5.1798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.27734,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,4.960326,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.277874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,6382405640,NDC,,,outpatient,1,EA,1.92,,0.96,1.152,1.8624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.53792,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.783488,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.538112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,63824-056-32,NDC,,,outpatient,1,EA,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,63824-056-34,NDC,,,outpatient,1,EA,1.83,,0.915,1.098,1.7751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.46583,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.699887,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.466013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,0536-1161-34,NDC,,,outpatient,1,EA,2.05,,1.025,1.23,1.9885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.64205,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,1.904245,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.642255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,0536-1161-37,NDC,,,outpatient,1,EA,2.02,,1.01,1.212,1.9594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.61802,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,1.876378,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.618222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,63824-056-89,NDC,,,outpatient,1,EA,1.2,,0.6,0.72,1.164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.9612,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.11468,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.96132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,60687-651-11,NDC,,,outpatient,1,EA,3.39,,1.695,2.034,3.2883,3.1866,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.8137,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.20694,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.9832,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.71539,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,3.148971,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.715729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,60687-651-21,NDC,,,outpatient,1,EA,3.39,,1.695,2.034,3.2883,3.1866,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.8137,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.20694,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.9832,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.71539,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,3.148971,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.715729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15918],0258,RC,0264-7622-00,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) BOLUS [1000425],0258,RC,0338-0023-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) BOLUS [1000425],0258,RC,0338-0023-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) BOLUS [1000425],0258,RC,9998-6254-60,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,0338-0023-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,0338-0023-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,9998-6254-60,NDC,,,outpatient,250,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,9998-6254-70,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% 1/2 NORMAL SALINE [1000229],0258,RC,WVU01-002-29,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% 1/2 NORMAL SALINE [1000229],0258,RC,9991-0002-29,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15918],0258,RC,0264-7622-00,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,10,EA,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% E48 [1000227],0258,RC,9991-0002-27,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% E48 [1000227],0258,RC,9991-0002-27,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,0338-0023-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,0338-0023-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% NORMAL SALINE [1000232],0258,RC,9991-0002-32,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% NORMAL SALINE [1000232],0258,RC,9991-0002-32,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,10,EA,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 12.5% E48 [1000228],0258,RC,WVU01-002-28,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 12.5% E48 [1000228],0258,RC,WVU01-002-28,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 15% E48 [1000540],0258,RC,WVU1-0005-40,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 15% E48 [1000540],0258,RC,WVU1-0005-40,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 17.5% E48 [1000541],0258,RC,WVU1-0005-41,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 17.5% E48 [1000541],0258,RC,WVU1-0005-41,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 20% E48 [1000542],0258,RC,WVU1-0005-42,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 20% E48 [1000542],0258,RC,WVU1-0005-42,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],0250,RC,0409-1775-10,NDC,,,outpatient,10,ML,58.1,,29.05,34.86,56.357,54.614,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,48.223,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,54.9626,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,56.357,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,51.128,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,53.96909,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.54391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],0250,RC,0409-1775-40,NDC,,,outpatient,10,ML,58.1,,29.05,34.86,56.357,54.614,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,48.223,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,54.9626,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,56.357,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,51.128,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,53.96909,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.54391,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 40 % ORAL GEL [78382],0637,RC,0574006930,NDC,,,outpatient,37.5,GR,13.5,,6.75,8.1,13.095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,10.8135,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,12.54015,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.81485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 40 % ORAL GEL [78382],0637,RC,0574007030,NDC,,,outpatient,37.5,GR,13.5,,6.75,8.1,13.095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,10.8135,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,12.54015,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.81485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 40 % ORAL GEL [78382],0637,RC,0574006915,NDC,,,outpatient,37.5,GR,13.34,,6.67,8.004,12.9398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,10.68534,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,12.391526,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.686674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,0338-0077-02,NDC,,,outpatient,250,ML,5.63,,2.815,3.378,5.4611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,4.50963,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.229707,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.510193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,0338-0077-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,0338-0077-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,0338-0085-02,NDC,,,outpatient,250,ML,6.75,,3.375,4.05,6.5475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,5.40675,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.270075,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.407425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,0338-0085-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,0338-0085-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,0338-0089-02,NDC,,,outpatient,250,ML,44.71,,22.355,26.826,43.3687,42.0274,,,,percent of total billed charges,,35.768,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,37.1093,,,,percent of total billed charges,,40.239,,,,percent of total billed charges,,41.1332,,,,percent of total billed charges,,41.1332,,,,percent of total billed charges,,42.29566,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,43.3687,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,39.3448,,,,percent of total billed charges,,40.239,,,,percent of total billed charges,,35.81271,,,,percent of total billed charges,,40.239,,,,percent of total billed charges,,26.826,,,,percent of total billed charges,,41.531119,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,35.768,,,,percent of total billed charges,,26.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.817181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,0338-0089-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,0338-0089-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS BOLUS [1001966],0258,RC,0338-0125-03,NDC,,,outpatient,500,ML,6.75,,3.375,4.05,6.5475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,5.40675,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.270075,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.407425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS BOLUS [1001966],0258,RC,0338-0125-04,NDC,,,outpatient,1000,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],0258,RC,0338-0125-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],0258,RC,0338-0125-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-02,NDC,J7060,HCPCS,outpatient,250,ML,6.75,,3.375,4.05,6.5475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,5.40675,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.270075,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.407425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-03,NDC,J7060,HCPCS,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-11,NDC,J7060,HCPCS,outpatient,50,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-18,NDC,J7060,HCPCS,outpatient,100,ML,6.3,,3.15,3.78,6.111,5.922,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.229,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9598,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.0463,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,5.85207,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.04693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-6346-02,NDC,J7060,HCPCS,outpatient,250,ML,23.63,,11.815,14.178,22.9211,22.2122,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,19.6129,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,22.35398,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.9211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,20.7944,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,18.92763,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,21.949907,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.929993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-6346-03,NDC,J7060,HCPCS,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,0338-0077-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,0338-0085-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,63323-360-19,NDC,J0612,HCPCS,outpatient,1,GR,36.77,,18.385,22.062,35.6669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,29.45277,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,34.155653,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.456447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],0258,RC,0338-0125-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,0338-0089-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION [86243],0250,RC,0409-6648-02,NDC,,,outpatient,50,ML,16.65,,8.325,9.99,16.1505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,13.33665,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,15.466185,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.338315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,0409-4902-34,NDC,,,outpatient,50,ML,59.85,,29.925,35.91,58.0545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.93985,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,55.594665,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.945835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,0409-7517-16,NDC,,,outpatient,50,ML,58.5,,29.25,35.1,56.745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,46.8585,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,54.34065,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.86435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,76329-3301-1,NDC,,,outpatient,50,ML,47.7,,23.85,28.62,46.269,44.838,,,,percent of total billed charges,,38.16,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,39.591,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,43.884,,,,percent of total billed charges,,43.884,,,,percent of total billed charges,,45.1242,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,46.269,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,38.2077,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,28.62,,,,percent of total billed charges,,44.30853,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,38.16,,,,percent of total billed charges,,28.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.21247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,9999-0023-65,NDC,,,outpatient,50,ML,59.85,,29.925,35.91,58.0545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.93985,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,55.594665,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.945835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,0409-4902-64,NDC,,,outpatient,50,ML,59.85,,29.925,35.91,58.0545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.93985,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,55.594665,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.945835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,0409-7517-66,NDC,,,outpatient,50,ML,58.5,,29.25,35.1,56.745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,46.8585,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,54.34065,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.86435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 7.5% E48 [1000422],0258,RC,WVU01-004-22,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 7.5% E48 [1000422],0258,RC,WVU01-004-22,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0250,RC,0338-0719-06,NDC,,,outpatient,2000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0250,RC,0264-7387-50,NDC,,,outpatient,2000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0250,RC,0990-7918-19,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70% IN WATER [1000181],0250,RC,WVU01-001-81,NDC,,,outpatient,50,ML,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION [80287],0250,RC,0270-0149-57,NDC,,,outpatient,300,ML,85.05,,42.525,51.03,82.4985,79.947,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,70.5915,,,,percent of total billed charges,,76.545,,,,percent of total billed charges,,78.246,,,,percent of total billed charges,,78.246,,,,percent of total billed charges,,80.4573,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,82.4985,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,74.844,,,,percent of total billed charges,,76.545,,,,percent of total billed charges,,68.12505,,,,percent of total billed charges,,76.545,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,79.002945,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.133555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,0270-0445-40,NDC,Q9963,HCPCS,outpatient,120,ML,62.64,,31.32,37.584,60.7608,58.8816,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,51.9912,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,59.25744,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,60.7608,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,55.1232,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,50.17464,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,58.186296,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.180904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,0270-0445-35,NDC,Q9963,HCPCS,outpatient,30,ML,40.64,,20.32,24.384,39.4208,38.2016,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,33.7312,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,38.44544,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,39.4208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,35.7632,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,32.55264,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,37.750496,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.556704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,0019-4816-04,NDC,Q9963,HCPCS,outpatient,30,ML,85.32,,42.66,51.192,82.7604,80.2008,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,70.8156,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,80.71272,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,82.7604,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,75.0816,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,68.34132,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,79.253748,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.349852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,9999-9779-43,NDC,Q9963,HCPCS,outpatient,30,ML,15.66,,7.83,9.396,15.1902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,12.54366,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,14.546574,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.545226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,0270-0445-40,NDC,Q9963,HCPCS,outpatient,120,ML,62.64,,31.32,37.584,60.7608,58.8816,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,51.9912,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,59.25744,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,60.7608,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,55.1232,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,50.17464,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,58.186296,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.180904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,0270-0445-35,NDC,Q9963,HCPCS,outpatient,30,ML,40.64,,20.32,24.384,39.4208,38.2016,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,33.7312,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,38.44544,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,39.4208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,35.7632,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,32.55264,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,37.750496,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.556704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,0019-4816-04,NDC,Q9963,HCPCS,outpatient,30,ML,85.32,,42.66,51.192,82.7604,80.2008,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,70.8156,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,80.71272,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,82.7604,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,75.0816,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,68.34132,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,79.253748,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.349852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,9999-9779-43,NDC,Q9963,HCPCS,outpatient,30,ML,15.66,,7.83,9.396,15.1902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,12.54366,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,14.546574,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.545226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 2 MG TABLET [2404],0637,RC,51079-284-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 2.5 MG RECTAL KIT [81715],0637,RC,66490-650-20,NDC,,,outpatient,1,EA,807.17,,403.585,484.302,782.9549,758.7398,,,,percent of total billed charges,,645.736,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,669.9511,,,,percent of total billed charges,,726.453,,,,percent of total billed charges,,742.5964,,,,percent of total billed charges,,742.5964,,,,percent of total billed charges,,763.58282,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,782.9549,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,710.3096,,,,percent of total billed charges,,726.453,,,,percent of total billed charges,,646.54317,,,,percent of total billed charges,,726.453,,,,percent of total billed charges,,484.302,,,,percent of total billed charges,,749.780213,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,645.736,,,,percent of total billed charges,,484.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,646.623887,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG TABLET [2405],0637,RC,51079-285-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG TABLET [2405],0637,RC,51079-285-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT [95044],0637,RC,68682-652-20,NDC,,,outpatient,1,EA,1345.77,,672.885,807.462,1305.3969,1265.0238,,,,percent of total billed charges,,1076.616,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1116.9891,,,,percent of total billed charges,,1211.193,,,,percent of total billed charges,,1238.1084,,,,percent of total billed charges,,1238.1084,,,,percent of total billed charges,,1273.09842,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1305.3969,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1184.2776,,,,percent of total billed charges,,1211.193,,,,percent of total billed charges,,1077.96177,,,,percent of total billed charges,,1211.193,,,,percent of total billed charges,,807.462,,,,percent of total billed charges,,1250.085753,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1076.616,,,,percent of total billed charges,,807.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1078.096347,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION [2402],0637,RC,0054-3188-63,NDC,,,outpatient,500,ML,258.75,,129.375,155.25,250.9875,243.225,,,,percent of total billed charges,,207,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,214.7625,,,,percent of total billed charges,,232.875,,,,percent of total billed charges,,238.05,,,,percent of total billed charges,,238.05,,,,percent of total billed charges,,244.7775,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,250.9875,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.875,,,,percent of total billed charges,,207.25875,,,,percent of total billed charges,,232.875,,,,percent of total billed charges,,155.25,,,,percent of total billed charges,,240.352875,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,207,,,,percent of total billed charges,,155.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.284625,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,0409-1273-32,NDC,J3360,HCPCS,outpatient,2,ML,106.66,,53.33,63.996,103.4602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,85.43466,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,99.076474,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.445326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,0409-1273-03,NDC,J3360,HCPCS,outpatient,2,ML,106.66,,53.33,63.996,103.4602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,85.43466,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,99.076474,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.445326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,9999-9863-41,NDC,J3360,HCPCS,outpatient,2,ML,28.62,,14.31,17.172,27.7614,26.9028,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,23.7546,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,27.07452,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.7614,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,25.1856,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,22.92462,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,26.585118,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.927482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,69374-965-02,NDC,J3360,HCPCS,outpatient,2,ML,74.66,,37.33,44.796,72.4202,70.1804,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,61.9678,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,70.62836,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,72.4202,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,65.7008,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,59.80266,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,69.351674,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.810126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,0409-1273-32,NDC,J3360,HCPCS,outpatient,2,ML,106.66,,53.33,63.996,103.4602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,85.43466,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,99.076474,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.445326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,0409-1273-03,NDC,J3360,HCPCS,outpatient,2,ML,106.66,,53.33,63.996,103.4602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,85.43466,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,99.076474,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.445326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,9999-9863-41,NDC,J3360,HCPCS,outpatient,2,ML,28.62,,14.31,17.172,27.7614,26.9028,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,23.7546,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,27.07452,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.7614,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,25.1856,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,22.92462,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,26.585118,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.927482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,69374-965-02,NDC,J3360,HCPCS,outpatient,2,ML,74.66,,37.33,44.796,72.4202,70.1804,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,61.9678,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,70.62836,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,72.4202,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,65.7008,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,59.80266,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,69.351674,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.810126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,69339-136-03,NDC,J3360,HCPCS,outpatient,2,ML,64.11,,32.055,38.466,62.1867,60.2634,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,53.2113,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,60.64806,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,62.1867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,56.4168,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,51.35211,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,59.551779,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.358521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,69339-136-34,NDC,J3360,HCPCS,outpatient,2,ML,64.11,,32.055,38.466,62.1867,60.2634,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,53.2113,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,60.64806,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,62.1867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,56.4168,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,51.35211,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,59.551779,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.358521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,0641-6244-01,NDC,J3360,HCPCS,outpatient,2,ML,60.81,,30.405,36.486,58.9857,57.1614,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,50.4723,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,57.52626,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,58.9857,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,53.5128,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,48.70881,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,56.486409,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.714891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,0641-6244-10,NDC,J3360,HCPCS,outpatient,2,ML,60.81,,30.405,36.486,58.9857,57.1614,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,50.4723,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,57.52626,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,58.9857,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,53.5128,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,48.70881,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,56.486409,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.714891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,76045-204-00,NDC,J3360,HCPCS,outpatient,2,ML,59.99,,29.995,35.994,58.1903,56.3906,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,49.7917,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,56.75054,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,58.1903,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,52.7912,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,48.05199,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,55.724711,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.057989,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,76045-204-20,NDC,J3360,HCPCS,outpatient,2,ML,59.99,,29.995,35.994,58.1903,56.3906,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,49.7917,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,56.75054,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,58.1903,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,52.7912,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,48.05199,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,55.724711,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.057989,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIBUCAINE 1 % TOPICAL OINTMENT [2412],0637,RC,0536-1211-95,NDC,,,outpatient,28,GR,14.37,,7.185,8.622,13.9389,13.5078,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.9271,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.59402,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.9389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,12.6456,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,11.51037,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,13.348293,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.511807,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIBUCAINE 1 % TOPICAL OINTMENT [2412],0637,RC,71399-2829-1,NDC,,,outpatient,28,GR,12.86,,6.43,7.716,12.4742,12.0884,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.6738,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,12.16556,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.4742,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,11.3168,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,10.30086,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,11.945654,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.302146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,63481-684-47,NDC,,,outpatient,100,GR,211.5,,105.75,126.9,205.155,198.81,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,175.545,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,200.079,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,205.155,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,169.4115,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,196.46235,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.43265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,69097-524-44,NDC,,,outpatient,100,GR,59.85,,29.925,35.91,58.0545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.93985,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,55.594665,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.945835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,21922-009-09,NDC,,,outpatient,100,GR,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,45802-953-01,NDC,,,outpatient,100,GR,41.85,,20.925,25.11,40.5945,39.339,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,34.7355,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,39.5901,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,40.5945,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,33.52185,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,38.874465,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.526035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,0067-8152-03,NDC,,,outpatient,100,GR,59.4,,29.7,35.64,57.618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,47.5794,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,55.17666,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.58534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,43598-977-10,NDC,,,outpatient,100,GR,57.6,,28.8,34.56,55.872,54.144,,,,percent of total billed charges,,46.08,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,47.808,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,52.992,,,,percent of total billed charges,,52.992,,,,percent of total billed charges,,54.4896,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,55.872,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,50.688,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,46.1376,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,53.50464,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,46.08,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.14336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,46122-752-52,NDC,,,outpatient,100,GR,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,58602-604-07,NDC,,,outpatient,100,GR,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE [15339]",0637,RC,16571-203-10,NDC,,,outpatient,1,EA,4.35,,2.175,2.61,4.2195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,3.48435,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.040715,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.484785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE [15339]",0637,RC,68001-279-00,NDC,,,outpatient,1,EA,4.1,,2.05,2.46,3.977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.2841,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,3.80849,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.28451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE [15339]",0637,RC,72888-109-01,NDC,,,outpatient,1,EA,3.85,,1.925,2.31,3.7345,3.619,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.1955,,,,percent of total billed charges,,3.465,,,,percent of total billed charges,,3.542,,,,percent of total billed charges,,3.542,,,,percent of total billed charges,,3.6421,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.7345,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.388,,,,percent of total billed charges,,3.465,,,,percent of total billed charges,,3.08385,,,,percent of total billed charges,,3.465,,,,percent of total billed charges,,2.31,,,,percent of total billed charges,,3.576265,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,2.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.084235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,0228-2551-06,NDC,,,outpatient,1,EA,1.76,,0.88,1.056,1.7072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.40976,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.634864,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.409936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,16571-201-10,NDC,,,outpatient,1,EA,1.1,,0.55,0.66,1.067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.8811,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.02179,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.88121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,60687-658-01,NDC,,,outpatient,1,EA,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,60687-658-11,NDC,,,outpatient,1,EA,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG CAPSULE [2418],0637,RC,51079-118-20,NDC,,,outpatient,1,EA,1.63,,0.815,0.978,1.5811,1.5322,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.3529,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.54198,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.4344,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.30563,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,1.514107,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.305793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG CAPSULE [2418],0637,RC,60687-369-01,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG CAPSULE [2418],0637,RC,60687-369-11,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [217423],0637,RC,0603-1161-58,NDC,,,outpatient,473,ML,483.17,,241.585,289.902,468.6749,454.1798,,,,percent of total billed charges,,386.536,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,401.0311,,,,percent of total billed charges,,434.853,,,,percent of total billed charges,,444.5164,,,,percent of total billed charges,,444.5164,,,,percent of total billed charges,,457.07882,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,468.6749,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,425.1896,,,,percent of total billed charges,,434.853,,,,percent of total billed charges,,387.01917,,,,percent of total billed charges,,434.853,,,,percent of total billed charges,,289.902,,,,percent of total billed charges,,448.816613,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,386.536,,,,percent of total billed charges,,289.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,387.067487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [217423],0637,RC,9999-9421-19,NDC,,,outpatient,10,ML,10.22,,5.11,6.132,9.9134,9.6068,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.4826,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.66812,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.9134,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.9936,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,8.18622,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,9.493358,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.187242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [217423],0637,RC,0054-0622-63,NDC,,,outpatient,473,ML,353.34,,176.67,212.004,342.7398,332.1396,,,,percent of total billed charges,,282.672,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,293.2722,,,,percent of total billed charges,,318.006,,,,percent of total billed charges,,325.0728,,,,percent of total billed charges,,325.0728,,,,percent of total billed charges,,334.25964,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,342.7398,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,310.9392,,,,percent of total billed charges,,318.006,,,,percent of total billed charges,,283.02534,,,,percent of total billed charges,,318.006,,,,percent of total billed charges,,212.004,,,,percent of total billed charges,,328.217526,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,282.672,,,,percent of total billed charges,,212.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,283.060674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,58914-080-52,NDC,J0500,HCPCS,outpatient,2,ML,347.67,,173.835,208.602,337.2399,326.8098,,,,percent of total billed charges,,278.136,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,288.5661,,,,percent of total billed charges,,312.903,,,,percent of total billed charges,,319.8564,,,,percent of total billed charges,,319.8564,,,,percent of total billed charges,,328.89582,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,337.2399,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,305.9496,,,,percent of total billed charges,,312.903,,,,percent of total billed charges,,278.48367,,,,percent of total billed charges,,312.903,,,,percent of total billed charges,,208.602,,,,percent of total billed charges,,322.950663,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,278.136,,,,percent of total billed charges,,208.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,278.518437,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,17478-015-02,NDC,J0500,HCPCS,outpatient,2,ML,149.39,,74.695,89.634,144.9083,140.4266,,,,percent of total billed charges,,119.512,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,123.9937,,,,percent of total billed charges,,134.451,,,,percent of total billed charges,,137.4388,,,,percent of total billed charges,,137.4388,,,,percent of total billed charges,,141.32294,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,144.9083,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,131.4632,,,,percent of total billed charges,,134.451,,,,percent of total billed charges,,119.66139,,,,percent of total billed charges,,134.451,,,,percent of total billed charges,,89.634,,,,percent of total billed charges,,138.768371,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,119.512,,,,percent of total billed charges,,89.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.676329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,72266-127-01,NDC,J0500,HCPCS,outpatient,2,ML,46.87,,23.435,28.122,45.4639,44.0578,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,38.9021,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,44.33902,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,45.4639,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,41.2456,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,37.54287,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,43.537543,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.547557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,72266-127-05,NDC,J0500,HCPCS,outpatient,2,ML,46.87,,23.435,28.122,45.4639,44.0578,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,38.9021,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,44.33902,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,45.4639,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,41.2456,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,37.54287,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,43.537543,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.547557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIETHYL ETHER-NITROCELLULOSE-ETHYL ALCOHOL (COLLODION) SOLU [1000531],0250,RC,WVU1-0005-31,NDC,,,outpatient,500,ML,117,,58.5,70.2,113.49,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,93.717,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,108.6813,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.7287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIETHYL ETHER-NITROCELLULOSE-ETHYL ALCOHOL (COLLODION) SOLU [1000531],0250,RC,9991-0005-31,NDC,,,outpatient,60,ML,14.04,,7.02,8.424,13.6188,13.1976,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.6532,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,13.28184,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.6188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,12.3552,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,11.24604,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,13.041756,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.247444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0637,RC,0904-5921-61,NDC,,,outpatient,1,EA,5.41,,2.705,3.246,5.2477,5.0854,,,,percent of total billed charges,,4.328,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,4.4903,,,,percent of total billed charges,,4.869,,,,percent of total billed charges,,4.9772,,,,percent of total billed charges,,4.9772,,,,percent of total billed charges,,5.11786,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,5.2477,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,4.7608,,,,percent of total billed charges,,4.869,,,,percent of total billed charges,,4.33341,,,,percent of total billed charges,,4.869,,,,percent of total billed charges,,3.246,,,,percent of total billed charges,,5.025349,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,4.328,,,,percent of total billed charges,,3.246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.333951,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0637,RC,60687-540-01,NDC,,,outpatient,1,EA,3.29,,1.645,1.974,3.1913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.63529,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.056081,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.635619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0637,RC,60687-540-11,NDC,,,outpatient,1,EA,3.29,,1.645,1.974,3.1913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.63529,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.056081,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.635619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 20 MCG/ML IV IN D5W PEDS DILUTION [1001843],0636,RC,9991-0018-43,NDC,J1160,HCPCS,outpatient,1,ML,103.97,,51.985,62.382,100.8509,97.7318,,,,percent of total billed charges,,83.176,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,86.2951,,,,percent of total billed charges,,93.573,,,,percent of total billed charges,,95.6524,,,,percent of total billed charges,,95.6524,,,,percent of total billed charges,,98.35562,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,100.8509,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,91.4936,,,,percent of total billed charges,,93.573,,,,percent of total billed charges,,83.27997,,,,percent of total billed charges,,93.573,,,,percent of total billed charges,,62.382,,,,percent of total billed charges,,96.577733,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,83.176,,,,percent of total billed charges,,62.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.290367,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,0641-1410-35,NDC,J1160,HCPCS,outpatient,2,ML,12.73,,6.365,7.638,12.3481,11.9662,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.5659,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,12.04258,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.3481,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,11.2024,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,10.19673,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,11.824897,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.198003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,0781-3059-95,NDC,J1160,HCPCS,outpatient,2,ML,23.5,,11.75,14.1,22.795,22.09,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,19.505,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,22.231,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.795,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,20.68,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,18.8235,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,21.82915,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.82585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,0641-1410-31,NDC,J1160,HCPCS,outpatient,2,ML,12.73,,6.365,7.638,12.3481,11.9662,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.5659,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,12.04258,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.3481,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,11.2024,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,10.19673,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,11.824897,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.198003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,0781-3059-72,NDC,J1160,HCPCS,outpatient,2,ML,23.5,,11.75,14.1,22.795,22.09,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,19.505,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,22.231,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.795,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,20.68,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,18.8235,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,21.82915,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.82585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [2443],0637,RC,66689-327-02,NDC,,,outpatient,60,ML,306.18,,153.09,183.708,296.9946,287.8092,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,254.1294,,,,percent of total billed charges,,275.562,,,,percent of total billed charges,,281.6856,,,,percent of total billed charges,,281.6856,,,,percent of total billed charges,,289.64628,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,296.9946,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,269.4384,,,,percent of total billed charges,,275.562,,,,percent of total billed charges,,245.25018,,,,percent of total billed charges,,275.562,,,,percent of total billed charges,,183.708,,,,percent of total billed charges,,284.410602,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,183.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.280798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [80896],0636,RC,50633-120-11,NDC,J1162,HCPCS,outpatient,1,EA,19021.23,,9510.615,11412.738,18450.5931,17879.9562,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15787.6209,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17994.08358,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18450.5931,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,16738.6824,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,15236.00523,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,17668.82055,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15237.90735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [80896],0636,RC,50633-121-11,NDC,J1162,HCPCS,outpatient,1,EA,19021.23,,9510.615,11412.738,18450.5931,17879.9562,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15787.6209,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17994.08358,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18450.5931,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,16738.6824,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,15236.00523,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,17668.82055,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15237.90735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [80896],0636,RC,50633-120-11,NDC,J1162,HCPCS,outpatient,2,EA,33815.52,,16907.76,20289.312,32801.0544,31786.5888,,,,percent of total billed charges,,27052.416,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,28066.8816,,,,percent of total billed charges,,30433.968,,,,percent of total billed charges,,31110.2784,,,,percent of total billed charges,,31110.2784,,,,percent of total billed charges,,31989.48192,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,32801.0544,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,29757.6576,,,,percent of total billed charges,,30433.968,,,,percent of total billed charges,,27086.23152,,,,percent of total billed charges,,30433.968,,,,percent of total billed charges,,20289.312,,,,percent of total billed charges,,31411.23653,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,27052.416,,,,percent of total billed charges,,20289.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27089.61307,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,0574-0850-05,NDC,J1110,HCPCS,outpatient,1,ML,341.4,,170.7,204.84,331.158,320.916,,,,percent of total billed charges,,273.12,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,283.362,,,,percent of total billed charges,,307.26,,,,percent of total billed charges,,314.088,,,,percent of total billed charges,,314.088,,,,percent of total billed charges,,322.9644,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,331.158,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,300.432,,,,percent of total billed charges,,307.26,,,,percent of total billed charges,,273.4614,,,,percent of total billed charges,,307.26,,,,percent of total billed charges,,204.84,,,,percent of total billed charges,,317.12646,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,273.12,,,,percent of total billed charges,,204.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,273.49554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,0143-9273-01,NDC,J1110,HCPCS,outpatient,1,ML,210.27,,105.135,126.162,203.9619,197.6538,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,174.5241,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,198.91542,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,203.9619,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,185.0376,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,168.42627,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,195.319803,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.447297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,0143-9273-10,NDC,J1110,HCPCS,outpatient,1,ML,210.27,,105.135,126.162,203.9619,197.6538,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,174.5241,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,198.91542,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,203.9619,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,185.0376,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,168.42627,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,195.319803,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.447297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,61990-0411-0,NDC,J1110,HCPCS,outpatient,1,ML,243.55,,121.775,146.13,236.2435,228.937,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,202.1465,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,230.3983,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,236.2435,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,214.324,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,195.08355,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,226.233595,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.107905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,61990-0411-1,NDC,J1110,HCPCS,outpatient,1,ML,243.55,,121.775,146.13,236.2435,228.937,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,202.1465,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,230.3983,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,236.2435,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,214.324,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,195.08355,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,226.233595,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.107905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,81284-411-00,NDC,J1110,HCPCS,outpatient,1,ML,222.26,,111.13,133.356,215.5922,208.9244,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,184.4758,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,210.25796,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,215.5922,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,195.5888,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,178.03026,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,206.457314,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.052486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,81284-411-05,NDC,J1110,HCPCS,outpatient,1,ML,222.26,,111.13,133.356,215.5922,208.9244,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,184.4758,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,210.25796,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,215.5922,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,195.5888,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,178.03026,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,206.457314,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.052486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 100 MG INTRAVENOUS SOLUTION [22156],0250,RC,0409-4350-03,NDC,,,outpatient,1,EA,40.36,,20.18,24.216,39.1492,37.9384,,,,percent of total billed charges,,32.288,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,33.4988,,,,percent of total billed charges,,36.324,,,,percent of total billed charges,,37.1312,,,,percent of total billed charges,,37.1312,,,,percent of total billed charges,,38.18056,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,39.1492,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,35.5168,,,,percent of total billed charges,,36.324,,,,percent of total billed charges,,32.32836,,,,percent of total billed charges,,36.324,,,,percent of total billed charges,,24.216,,,,percent of total billed charges,,37.490404,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,32.288,,,,percent of total billed charges,,24.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.332396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,0093-0318-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,51079-745-01,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,51079-745-20,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,68682-006-10,NDC,,,outpatient,1,EA,3.75,,1.875,2.25,3.6375,3.525,,,,percent of total billed charges,,3,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.1125,,,,percent of total billed charges,,3.375,,,,percent of total billed charges,,3.45,,,,percent of total billed charges,,3.45,,,,percent of total billed charges,,3.5475,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.6375,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.3,,,,percent of total billed charges,,3.375,,,,percent of total billed charges,,3.00375,,,,percent of total billed charges,,3.375,,,,percent of total billed charges,,2.25,,,,percent of total billed charges,,3.483375,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3,,,,percent of total billed charges,,2.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.004125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,55390-565-10,NDC,,,outpatient,10,ML,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,0641-6013-01,NDC,,,outpatient,5,ML,12.49,,6.245,7.494,12.1153,11.7406,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.3667,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.81554,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,12.1153,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.9912,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,10.00449,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,11.601961,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.005739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,0641-6013-10,NDC,,,outpatient,5,ML,12.49,,6.245,7.494,12.1153,11.7406,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.3667,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.81554,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,12.1153,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.9912,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,10.00449,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,11.601961,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.005739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,0641-6014-01,NDC,,,outpatient,10,ML,22.73,,11.365,13.638,22.0481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,18.20673,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,21.113897,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.209003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,0641-6014-10,NDC,,,outpatient,10,ML,22.73,,11.365,13.638,22.0481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,18.20673,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,21.113897,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.209003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,0641-6015-01,NDC,,,outpatient,25,ML,33.19,,16.595,19.914,32.1943,31.1986,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,27.5477,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,31.39774,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,32.1943,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,29.2072,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,26.58519,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,30.830191,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.588509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,0641-6015-10,NDC,,,outpatient,25,ML,33.19,,16.595,19.914,32.1943,31.1986,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,27.5477,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,31.39774,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,32.1943,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,29.2072,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,26.58519,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,30.830191,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.588509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,70860-301-05,NDC,,,outpatient,5,ML,8.89,,4.445,5.334,8.6233,8.3566,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.3787,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.40994,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.6233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.8232,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,7.12089,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,8.257921,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.121779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,70860-301-25,NDC,,,outpatient,25,ML,24.98,,12.49,14.988,24.2306,23.4812,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,20.7334,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,23.63108,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,24.2306,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,21.9824,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,20.00898,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,23.203922,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.011478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,70860-301-41,NDC,,,outpatient,5,ML,8.89,,4.445,5.334,8.6233,8.3566,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.3787,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.40994,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.6233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.8232,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,7.12089,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,8.257921,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.121779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,70860-301-43,NDC,,,outpatient,25,ML,24.98,,12.49,14.988,24.2306,23.4812,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,20.7334,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,23.63108,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,24.2306,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,21.9824,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,20.00898,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,23.203922,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.011478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,55150-425-01,NDC,,,outpatient,5,ML,8.62,,4.31,5.172,8.3614,8.1028,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.1546,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,8.15452,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.3614,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.5856,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,6.90462,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,8.007118,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.905482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,55150-425-10,NDC,,,outpatient,5,ML,8.62,,4.31,5.172,8.3614,8.1028,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.1546,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,8.15452,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.3614,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.5856,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,6.90462,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,8.007118,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.905482,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,55150-427-01,NDC,,,outpatient,25,ML,36.23,,18.115,21.738,35.1431,34.0562,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,30.0709,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,34.27358,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,35.1431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,31.8824,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,29.02023,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,33.654047,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.023853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,55150-427-10,NDC,,,outpatient,25,ML,36.23,,18.115,21.738,35.1431,34.0562,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,30.0709,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,34.27358,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,35.1431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,31.8824,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,29.02023,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,33.654047,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.023853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,55390-565-10,NDC,,,outpatient,10,ML,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,17478-937-05,NDC,,,outpatient,5,ML,11.55,,5.775,6.93,11.2035,10.857,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,9.5865,,,,percent of total billed charges,,10.395,,,,percent of total billed charges,,10.626,,,,percent of total billed charges,,10.626,,,,percent of total billed charges,,10.9263,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,11.2035,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,10.164,,,,percent of total billed charges,,10.395,,,,percent of total billed charges,,9.25155,,,,percent of total billed charges,,10.395,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,10.728795,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.252705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,17478-817-10,NDC,,,outpatient,10,ML,10.35,,5.175,6.21,10.0395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,8.29035,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,9.614115,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.291385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,17478-817-26,NDC,,,outpatient,25,ML,40.62,,20.31,24.372,39.4014,38.1828,,,,percent of total billed charges,,32.496,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,33.7146,,,,percent of total billed charges,,36.558,,,,percent of total billed charges,,37.3704,,,,percent of total billed charges,,37.3704,,,,percent of total billed charges,,38.42652,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,39.4014,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,35.7456,,,,percent of total billed charges,,36.558,,,,percent of total billed charges,,32.53662,,,,percent of total billed charges,,36.558,,,,percent of total billed charges,,24.372,,,,percent of total billed charges,,37.731918,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,32.496,,,,percent of total billed charges,,24.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.540682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,51079-746-01,NDC,,,outpatient,1,EA,1.05,,0.525,0.63,1.0185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.84105,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.975345,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.841155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,51079-746-20,NDC,,,outpatient,1,EA,1.05,,0.525,0.63,1.0185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.84105,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.975345,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.841155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,68682-007-10,NDC,,,outpatient,1,EA,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,50228-482-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,60687-728-01,NDC,,,outpatient,1,EA,1.58,,0.79,0.948,1.5326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.26558,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.467662,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.265738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,60687-728-11,NDC,,,outpatient,1,EA,1.58,,0.79,0.948,1.5326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.26558,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.467662,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.265738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",0637,RC,60687-195-01,NDC,,,outpatient,1,EA,2.02,,1.01,1.212,1.9594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.61802,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,1.876378,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.618222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",0637,RC,60687-195-11,NDC,,,outpatient,1,EA,2.02,,1.01,1.212,1.9594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.61802,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,1.876378,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.618222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0637,RC,60687-206-01,NDC,,,outpatient,1,EA,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0637,RC,60687-206-11,NDC,,,outpatient,1,EA,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0637,RC,0904-7218-61,NDC,,,outpatient,1,EA,1.12,,0.56,0.672,1.0864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.89712,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.040368,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.897232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION [189482],0636,RC,67457-177-50,NDC,J1212,HCPCS,outpatient,50,ML,2874.38,,1437.19,1724.628,2788.1486,2701.9172,,,,percent of total billed charges,,2299.504,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2385.7354,,,,percent of total billed charges,,2586.942,,,,percent of total billed charges,,2644.4296,,,,percent of total billed charges,,2644.4296,,,,percent of total billed charges,,2719.16348,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2788.1486,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2529.4544,,,,percent of total billed charges,,2586.942,,,,percent of total billed charges,,2302.37838,,,,percent of total billed charges,,2586.942,,,,percent of total billed charges,,1724.628,,,,percent of total billed charges,,2670.011582,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2299.504,,,,percent of total billed charges,,1724.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2302.665818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE [81051]",0637,RC,55566-2800-1,NDC,,,outpatient,1,EA,2031.71,,1015.855,1219.026,1970.7587,1909.8074,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1686.3193,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1921.99766,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1970.7587,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1787.9048,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1627.39971,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,1887.255419,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1627.602881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE [81051]",0637,RC,55566-2800-0,NDC,,,outpatient,1,EA,2031.71,,1015.855,1219.026,1970.7587,1909.8074,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1686.3193,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1921.99766,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1970.7587,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1787.9048,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1627.39971,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,1887.255419,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1627.602881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [164080]",0636,RC,58160-810-52,NDC,90700,CPT,outpatient,0.5,ML,41.28,,20.64,24.768,40.0416,38.8032,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,34.2624,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,39.05088,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,40.0416,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,36.3264,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,33.06528,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,38.344992,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.069408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [164080]",0636,RC,58160-810-43,NDC,90700,CPT,outpatient,0.5,ML,41.28,,20.64,24.768,40.0416,38.8032,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,34.2624,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,39.05088,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,40.0416,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,36.3264,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,33.06528,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,38.344992,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.069408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,24385-379-26,NDC,,,outpatient,118,ML,3.19,,1.595,1.914,3.0943,2.9986,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,2.6477,,,,percent of total billed charges,,2.871,,,,percent of total billed charges,,2.9348,,,,percent of total billed charges,,2.9348,,,,percent of total billed charges,,3.01774,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,3.0943,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,2.8072,,,,percent of total billed charges,,2.871,,,,percent of total billed charges,,2.55519,,,,percent of total billed charges,,2.871,,,,percent of total billed charges,,1.914,,,,percent of total billed charges,,2.963191,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,1.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.555509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,8770164954,NDC,,,outpatient,118,ML,14.54,,7.27,8.724,14.1038,13.6676,,,,percent of total billed charges,,11.632,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,12.0682,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,13.3768,,,,percent of total billed charges,,13.3768,,,,percent of total billed charges,,13.75484,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,14.1038,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,12.7952,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,11.64654,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,8.724,,,,percent of total billed charges,,13.506206,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,11.632,,,,percent of total billed charges,,8.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.647994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,50580-534-04,NDC,,,outpatient,118,ML,26.02,,13.01,15.612,25.2394,24.4588,,,,percent of total billed charges,,20.816,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,21.5966,,,,percent of total billed charges,,23.418,,,,percent of total billed charges,,23.9384,,,,percent of total billed charges,,23.9384,,,,percent of total billed charges,,24.61492,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,25.2394,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,22.8976,,,,percent of total billed charges,,23.418,,,,percent of total billed charges,,20.84202,,,,percent of total billed charges,,23.418,,,,percent of total billed charges,,15.612,,,,percent of total billed charges,,24.169978,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,20.816,,,,percent of total billed charges,,15.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.844622,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,99999-125-56,NDC,,,outpatient,5,ML,1.11,,0.555,0.666,1.0767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.88911,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.031079,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.889221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,68094-022-59,NDC,,,outpatient,5,ML,5.36,,2.68,3.216,5.1992,5.0384,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.4488,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,5.07056,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.1992,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.7168,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,4.29336,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,4.978904,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.293896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,68094-022-62,NDC,,,outpatient,5,ML,5.36,,2.68,3.216,5.1992,5.0384,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.4488,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,5.07056,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.1992,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.7168,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,4.29336,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,4.978904,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.293896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,0904-6985-20,NDC,,,outpatient,118,ML,10.62,,5.31,6.372,10.3014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,8.50662,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,9.864918,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.507682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,60687-267-42,NDC,,,outpatient,10,ML,5.76,,2.88,3.456,5.5872,5.4144,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.7808,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,5.2992,,,,percent of total billed charges,,5.2992,,,,percent of total billed charges,,5.44896,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5872,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.0688,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,4.61376,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,5.350464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.614336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,60687-267-56,NDC,,,outpatient,10,ML,4.32,,2.16,2.592,4.1904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.012848,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.460752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,0121-0865-00,NDC,,,outpatient,5,ML,8.94,,4.47,5.364,8.6718,8.4036,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.4202,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.45724,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.6718,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.8672,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,7.16094,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,8.304366,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.161834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,0121-0865-05,NDC,,,outpatient,5,ML,8.94,,4.47,5.364,8.6718,8.4036,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.4202,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.45724,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.6718,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.8672,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,7.16094,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,8.304366,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.161834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,69339-151-05,NDC,,,outpatient,5,ML,8.08,,4.04,4.848,7.8376,7.5952,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.7064,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.64368,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.8376,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.1104,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,6.47208,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,7.505512,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.472888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,69339-151-17,NDC,,,outpatient,5,ML,8.08,,4.04,4.848,7.8376,7.5952,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.7064,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.64368,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.8376,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.1104,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,6.47208,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,7.505512,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.472888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,70677-1012-1,NDC,,,outpatient,118,ML,7.44,,3.72,4.464,7.2168,6.9936,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.1752,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,7.03824,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.2168,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.5472,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,5.95944,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,6.911016,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.960184,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 25 MG CAPSULE [2509],0250,RC,0904-5306-60,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 25 MG CAPSULE [2509],0250,RC,0904-5306-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 25 MG CAPSULE [2509],0250,RC,0904-7237-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG CAPSULE [2510],0250,RC,0904-2056-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG CAPSULE [2510],0250,RC,0904-5307-60,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,0641-0376-25,NDC,J1200,HCPCS,outpatient,1,ML,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,0641-0376-21,NDC,J1200,HCPCS,outpatient,1,ML,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,63323-664-16,NDC,J1200,HCPCS,outpatient,1,ML,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,72485-101-01,NDC,J1200,HCPCS,outpatient,1,ML,4.14,,2.07,2.484,4.0158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.31614,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,3.845646,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.316554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,72485-101-25,NDC,J1200,HCPCS,outpatient,1,ML,4.14,,2.07,2.484,4.0158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.31614,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,3.845646,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.316554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,63323-664-41,NDC,J1200,HCPCS,outpatient,1,ML,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,72485-101-05,NDC,J1200,HCPCS,outpatient,1,ML,5.38,,2.69,3.228,5.2186,5.0572,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.4654,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,5.08948,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.2186,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.7344,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,4.30938,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,4.997482,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.309918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM [78224],0637,RC,1254717162,NDC,,,outpatient,28.3,GR,14.78,,7.39,8.868,14.3366,13.8932,,,,percent of total billed charges,,11.824,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,12.2674,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,13.5976,,,,percent of total billed charges,,13.5976,,,,percent of total billed charges,,13.98188,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,14.3366,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,13.0064,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,11.83878,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,8.868,,,,percent of total billed charges,,13.729142,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,11.824,,,,percent of total billed charges,,8.868,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.840258,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,0025-0061-31,NDC,,,outpatient,1,EA,12.47,,6.235,7.482,12.0959,11.7218,,,,percent of total billed charges,,9.976,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,10.3501,,,,percent of total billed charges,,11.223,,,,percent of total billed charges,,11.4724,,,,percent of total billed charges,,11.4724,,,,percent of total billed charges,,11.79662,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,12.0959,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,10.9736,,,,percent of total billed charges,,11.223,,,,percent of total billed charges,,9.98847,,,,percent of total billed charges,,11.223,,,,percent of total billed charges,,7.482,,,,percent of total billed charges,,11.583383,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,9.976,,,,percent of total billed charges,,7.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.989717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,51079-067-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,59762-1061-1,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,69315-910-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [94501]",0636,RC,58160-842-52,NDC,90715,CPT,outpatient,0.5,ML,71.65,,35.825,42.99,69.5005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,57.39165,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,66.555685,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.398815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [94501]",0636,RC,58160-842-43,NDC,90715,CPT,outpatient,0.5,ML,71.65,,35.825,42.99,69.5005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,57.39165,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,66.555685,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.398815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [94502]",0636,RC,58160-842-11,NDC,90715,CPT,outpatient,0.5,ML,71.65,,35.825,42.99,69.5005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,57.39165,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,66.555685,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.398815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [94502]",0636,RC,58160-842-01,NDC,90715,CPT,outpatient,0.5,ML,71.65,,35.825,42.99,69.5005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,57.39165,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,66.555685,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.398815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPYRIDAMOLE 25 MG TABLET [2528],0637,RC,0115-1070-01,NDC,,,outpatient,1,EA,3.29,,1.645,1.974,3.1913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.63529,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.056081,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.635619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE [2535],0637,RC,0093-3127-01,NDC,,,outpatient,1,EA,8.89,,4.445,5.334,8.6233,8.3566,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.3787,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.40994,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.6233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.8232,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,7.12089,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,8.257921,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.121779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [82491]",0637,RC,68084-313-01,NDC,,,outpatient,1,EA,3.5,,1.75,2.1,3.395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.8035,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.25115,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.80385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [82491]",0637,RC,68084-313-11,NDC,,,outpatient,1,EA,3.5,,1.75,2.1,3.395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.8035,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.25115,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.80385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [82491]",0637,RC,0904-6615-61,NDC,,,outpatient,1,EA,3.65,,1.825,2.19,3.5405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.92365,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.390485,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.924015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,62756-796-88,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,60687-211-11,NDC,,,outpatient,1,EA,3.38,,1.69,2.028,3.2786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.70738,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.139682,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.707718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,60687-211-21,NDC,,,outpatient,1,EA,3.38,,1.69,2.028,3.2786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.70738,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.139682,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.707718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,68001-472-00,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,29300-139-01,NDC,,,outpatient,1,EA,0.73,,0.365,0.438,0.7081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.58473,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.678097,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.584803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,0832-7123-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,0832-7123-89,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,0904-6860-61,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,0832-7124-11,NDC,,,outpatient,1,EA,1.45,,0.725,0.87,1.4065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.16145,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.346905,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.161595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,68084-782-11,NDC,,,outpatient,1,EA,1.25,,0.625,0.75,1.2125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.00125,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.161125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.001375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,68084-782-61,NDC,,,outpatient,1,EA,1.25,,0.625,0.75,1.2125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.00125,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.161125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.001375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,0832-7124-01,NDC,,,outpatient,1,EA,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,0904-6861-90,NDC,,,outpatient,1,EA,1.05,,0.525,0.63,1.0185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.84105,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.975345,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.841155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,0904-6861-61,NDC,,,outpatient,1,EA,0.87,,0.435,0.522,0.8439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.69687,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.808143,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.696957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,51079-766-01,NDC,,,outpatient,1,EA,6.64,,3.32,3.984,6.4408,6.2416,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.5112,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.28144,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.4408,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.8432,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,5.31864,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,6.167896,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.319304,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,51079-766-08,NDC,,,outpatient,1,EA,6.64,,3.32,3.984,6.4408,6.2416,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.5112,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.28144,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.4408,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.8432,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,5.31864,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,6.167896,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.319304,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,68084-310-01,NDC,,,outpatient,1,EA,3.65,,1.825,2.19,3.5405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.92365,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.390485,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.924015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,68084-310-11,NDC,,,outpatient,1,EA,3.65,,1.825,2.19,3.5405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.92365,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.390485,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.924015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,0904-6363-61,NDC,,,outpatient,1,EA,2.84,,1.42,1.704,2.7548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.27484,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.638076,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.275124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,50268-259-11,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,50268-259-15,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,51079-767-01,NDC,,,outpatient,1,EA,7.24,,3.62,4.344,7.0228,6.8056,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.0092,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.84904,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,7.0228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.3712,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,5.79924,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,6.725236,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.799964,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,51079-767-08,NDC,,,outpatient,1,EA,7.24,,3.62,4.344,7.0228,6.8056,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.0092,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.84904,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,7.0228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.3712,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,5.79924,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,6.725236,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.799964,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,68084-415-01,NDC,,,outpatient,1,EA,6.22,,3.11,3.732,6.0334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.98222,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,5.777758,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.982842,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,68084-415-11,NDC,,,outpatient,1,EA,6.22,,3.11,3.732,6.0334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.98222,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,5.777758,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.982842,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,50268-260-11,NDC,,,outpatient,1,EA,5.27,,2.635,3.162,5.1119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.22127,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,4.895303,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.221797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,50268-260-13,NDC,,,outpatient,1,EA,5.27,,2.635,3.162,5.1119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.22127,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,4.895303,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.221797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0250,RC,0409-2344-01,NDC,,,outpatient,250,ME,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0250,RC,0409-2344-01,NDC,,,outpatient,100,ME,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,0409-2344-02,NDC,J1250,HCPCS,outpatient,20,ML,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,0409-2344-01,NDC,J1250,HCPCS,outpatient,20,ML,27.81,,13.905,16.686,26.9757,26.1414,,,,percent of total billed charges,,22.248,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,23.0823,,,,percent of total billed charges,,25.029,,,,percent of total billed charges,,25.5852,,,,percent of total billed charges,,25.5852,,,,percent of total billed charges,,26.30826,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,26.9757,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,24.4728,,,,percent of total billed charges,,25.029,,,,percent of total billed charges,,22.27581,,,,percent of total billed charges,,25.029,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,25.832709,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,22.248,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.278591,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,0143-9141-01,NDC,J1250,HCPCS,outpatient,20,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,0143-9141-10,NDC,J1250,HCPCS,outpatient,20,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,70436-203-80,NDC,J1250,HCPCS,outpatient,20,ML,18.09,,9.045,10.854,17.5473,17.0046,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.0147,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,17.11314,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.5473,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.9192,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,14.49009,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,16.803801,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.491899,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,70436-203-82,NDC,J1250,HCPCS,outpatient,20,ML,18.09,,9.045,10.854,17.5473,17.0046,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.0147,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,17.11314,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.5473,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.9192,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,14.49009,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,16.803801,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.491899,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [191621],0636,RC,0338-1073-02,NDC,J1250,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [191621],0636,RC,0409-2346-32,NDC,J1250,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [191621],0636,RC,0409-2346-31,NDC,J1250,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [15980]",0636,RC,0409-2347-32,NDC,J1250,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [201723],0636,RC,16714-465-01,NDC,J9171,HCPCS,outpatient,1,ML,1096.79,,548.395,658.074,1063.8863,1030.9826,,,,percent of total billed charges,,877.432,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,910.3357,,,,percent of total billed charges,,987.111,,,,percent of total billed charges,,1009.0468,,,,percent of total billed charges,,1009.0468,,,,percent of total billed charges,,1037.56334,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,1063.8863,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,965.1752,,,,percent of total billed charges,,987.111,,,,percent of total billed charges,,878.52879,,,,percent of total billed charges,,987.111,,,,percent of total billed charges,,658.074,,,,percent of total billed charges,,1018.808231,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,877.432,,,,percent of total billed charges,,658.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,878.638469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [201724],0636,RC,47335-895-40,NDC,J9171,HCPCS,outpatient,4,ML,146.4,,73.2,87.84,142.008,137.616,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,121.512,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,138.4944,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,142.008,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,128.832,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,117.2664,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,135.99096,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.28104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCETAXEL 80 MG/4 ML (20 MG/ML) IV SOLUTION - FOR INTRAVESICAL PREP [1001705],0636,RC,47335-895-40,NDC,J9171,HCPCS,outpatient,4,ML,146.4,,73.2,87.84,142.008,137.616,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,121.512,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,138.4944,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,142.008,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,128.832,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,117.2664,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,135.99096,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.28104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,60687-129-01,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,60687-129-11,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,46122-692-78,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,0904-7183-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,0121-0544-10,NDC,,,outpatient,10,ML,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,50383-771-16,NDC,,,outpatient,473,ML,12.78,,6.39,7.668,12.3966,12.0132,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.6074,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,12.08988,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.3966,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,11.2464,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,10.23678,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,11.871342,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.238058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,0536-1304-85,NDC,,,outpatient,473,ML,42.57,,21.285,25.542,41.2929,40.0158,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,35.3331,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,40.27122,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,41.2929,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,37.4616,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,34.09857,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,39.543273,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.102827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,50383-349-10,NDC,,,outpatient,10,ML,2.21,,1.105,1.326,2.1437,2.0774,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.8343,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.09066,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.1437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.9448,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.77021,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,2.052869,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.770431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,50383-349-11,NDC,,,outpatient,10,ML,2.21,,1.105,1.326,2.1437,2.0774,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.8343,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.09066,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.1437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.9448,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.77021,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,2.052869,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.770431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,0121-1870-00,NDC,,,outpatient,10,ML,8.01,,4.005,4.806,7.7697,7.5294,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.6483,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.57746,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.7697,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.0488,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,6.41601,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,7.440489,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.416811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,0121-1870-10,NDC,,,outpatient,10,ML,8.01,,4.005,4.806,7.7697,7.5294,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.6483,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.57746,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.7697,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.0488,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,6.41601,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,7.440489,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.416811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,0904-7279-66,NDC,,,outpatient,10,ML,4.23,,2.115,2.538,4.1031,3.9762,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.5109,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,4.00158,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.1031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.7224,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.38823,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,3.929247,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.388653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,63739-976-01,NDC,,,outpatient,10,ML,462.2,,231.1,277.32,448.334,434.468,,,,percent of total billed charges,,369.76,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,383.626,,,,percent of total billed charges,,415.98,,,,percent of total billed charges,,425.224,,,,percent of total billed charges,,425.224,,,,percent of total billed charges,,437.2412,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,448.334,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,406.736,,,,percent of total billed charges,,415.98,,,,percent of total billed charges,,370.2222,,,,percent of total billed charges,,415.98,,,,percent of total billed charges,,277.32,,,,percent of total billed charges,,429.33758,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,369.76,,,,percent of total billed charges,,277.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,370.26842,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 125 MCG CAPSULE [78674],0637,RC,0069-5800-43,NDC,,,outpatient,1,EA,48.89,,24.445,29.334,47.4233,45.9566,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,40.5787,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,46.24994,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,47.4233,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,43.0232,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,39.16089,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,45.413921,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.165779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 125 MCG CAPSULE [78674],0637,RC,47335-061-86,NDC,,,outpatient,1,EA,0.75,,0.375,0.45,0.7275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.60075,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.696675,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.600825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 125 MCG CAPSULE [78674],0637,RC,72205-039-60,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,0069-5810-43,NDC,,,outpatient,1,EA,48.89,,24.445,29.334,47.4233,45.9566,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,40.5787,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,46.24994,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,47.4233,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,43.0232,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,39.16089,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,45.413921,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.165779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,69452-132-17,NDC,,,outpatient,1,EA,3.36,,1.68,2.016,3.2592,3.1584,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.7888,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.17856,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.2592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.9568,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.69136,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,3.121104,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.691696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,59651-119-60,NDC,,,outpatient,1,EA,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,72205-040-60,NDC,,,outpatient,1,EA,17.18,,8.59,10.308,16.6646,16.1492,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,14.2594,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,16.25228,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.6646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,15.1184,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,13.76118,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,15.958502,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.762898,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,16729-491-12,NDC,,,outpatient,1,EA,6.62,,3.31,3.972,6.4214,6.2228,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.4946,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.26252,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.4214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.8256,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,5.30262,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,6.149318,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.303282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,0904-6682-08,NDC,,,outpatient,1,EA,14.45,,7.225,8.67,14.0165,13.583,,,,percent of total billed charges,,11.56,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,11.9935,,,,percent of total billed charges,,13.005,,,,percent of total billed charges,,13.294,,,,percent of total billed charges,,13.294,,,,percent of total billed charges,,13.6697,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,14.0165,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,12.716,,,,percent of total billed charges,,13.005,,,,percent of total billed charges,,11.57445,,,,percent of total billed charges,,13.005,,,,percent of total billed charges,,8.67,,,,percent of total billed charges,,13.422605,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,11.56,,,,percent of total billed charges,,8.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.575895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DONEPEZIL 5 MG TABLET [77461],0637,RC,60687-292-01,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DONEPEZIL 5 MG TABLET [77461],0637,RC,60687-292-11,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 1,600 MCG/ML PEDS INFUSION [1002092]",0636,RC,9991-0020-92,NDC,J1265,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,0409-9104-20,NDC,J1265,HCPCS,outpatient,10,ML,11.48,,5.74,6.888,11.1356,10.7912,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.5284,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.86008,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,11.1356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.1024,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,9.19548,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,10.663772,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.196628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,0409-9104-21,NDC,J1265,HCPCS,outpatient,10,ML,11.48,,5.74,6.888,11.1356,10.7912,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.5284,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.86008,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,11.1356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.1024,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,9.19548,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,10.663772,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.196628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,0143-9254-01,NDC,J1265,HCPCS,outpatient,10,ML,21.33,,10.665,12.798,20.6901,20.0502,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.7039,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,20.17818,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.6901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,18.7704,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,17.08533,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,19.813437,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.087463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,0143-9254-25,NDC,J1265,HCPCS,outpatient,10,ML,21.33,,10.665,12.798,20.6901,20.0502,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.7039,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,20.17818,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.6901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,18.7704,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,17.08533,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,19.813437,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.087463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191629]",0636,RC,0338-1007-02,NDC,J1265,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191629]",0636,RC,0409-7809-22,NDC,J1265,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191629]",0636,RC,0409-7809-11,NDC,J1265,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191628]",0636,RC,0338-1009-02,NDC,J1265,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,0338-0017-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [80374],0250,RC,50242-100-39,NDC,,,outpatient,2.5,ML,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [80374],0250,RC,50242-100-40,NDC,,,outpatient,2.5,ML,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INTRAPLEURAL/ CHEST TUBE MIXTURES [1001073],0250,RC,50242-100-39,NDC,,,outpatient,2.5,ML,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INTRAPLEURAL/ CHEST TUBE MIXTURES [1001073],0250,RC,50242-100-40,NDC,,,outpatient,2.5,ML,564,,282,338.4,547.08,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,451.764,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,523.8996,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.8204,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,50383-232-10,NDC,,,outpatient,10,ML,41.54,,20.77,24.924,40.2938,39.0476,,,,percent of total billed charges,,33.232,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,34.4782,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,38.2168,,,,percent of total billed charges,,38.2168,,,,percent of total billed charges,,39.29684,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,40.2938,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,36.5552,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,33.27354,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,24.924,,,,percent of total billed charges,,38.586506,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,33.232,,,,percent of total billed charges,,24.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.277694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,61314-019-10,NDC,,,outpatient,10,ML,72.59,,36.295,43.554,70.4123,68.2346,,,,percent of total billed charges,,58.072,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,60.2497,,,,percent of total billed charges,,65.331,,,,percent of total billed charges,,66.7828,,,,percent of total billed charges,,66.7828,,,,percent of total billed charges,,68.67014,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,70.4123,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,63.8792,,,,percent of total billed charges,,65.331,,,,percent of total billed charges,,58.14459,,,,percent of total billed charges,,65.331,,,,percent of total billed charges,,43.554,,,,percent of total billed charges,,67.428851,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,58.072,,,,percent of total billed charges,,43.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.151849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,24208-485-10,NDC,,,outpatient,10,ML,57.51,,28.755,34.506,55.7847,54.0594,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,47.7333,,,,percent of total billed charges,,51.759,,,,percent of total billed charges,,52.9092,,,,percent of total billed charges,,52.9092,,,,percent of total billed charges,,54.40446,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,55.7847,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,50.6088,,,,percent of total billed charges,,51.759,,,,percent of total billed charges,,46.06551,,,,percent of total billed charges,,51.759,,,,percent of total billed charges,,34.506,,,,percent of total billed charges,,53.421039,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,34.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.071261,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,42571-141-26,NDC,,,outpatient,10,ML,48.33,,24.165,28.998,46.8801,45.4302,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,40.1139,,,,percent of total billed charges,,43.497,,,,percent of total billed charges,,44.4636,,,,percent of total billed charges,,44.4636,,,,percent of total billed charges,,45.72018,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,46.8801,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,42.5304,,,,percent of total billed charges,,43.497,,,,percent of total billed charges,,38.71233,,,,percent of total billed charges,,43.497,,,,percent of total billed charges,,28.998,,,,percent of total billed charges,,44.893737,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,28.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.717163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,50383-233-10,NDC,,,outpatient,10,ML,62.28,,31.14,37.368,60.4116,58.5432,,,,percent of total billed charges,,49.824,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,51.6924,,,,percent of total billed charges,,56.052,,,,percent of total billed charges,,57.2976,,,,percent of total billed charges,,57.2976,,,,percent of total billed charges,,58.91688,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,60.4116,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,54.8064,,,,percent of total billed charges,,56.052,,,,percent of total billed charges,,49.88628,,,,percent of total billed charges,,56.052,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,57.851892,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,49.824,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.892508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,61314-030-02,NDC,,,outpatient,10,ML,58.14,,29.07,34.884,56.3958,54.6516,,,,percent of total billed charges,,46.512,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,48.2562,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,53.4888,,,,percent of total billed charges,,53.4888,,,,percent of total billed charges,,55.00044,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,56.3958,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,51.1632,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,46.57014,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,34.884,,,,percent of total billed charges,,54.006246,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,46.512,,,,percent of total billed charges,,34.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.575954,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,70069-051-01,NDC,,,outpatient,10,ML,41.36,,20.68,24.816,40.1192,38.8784,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,34.3288,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,39.12656,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,40.1192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,36.3968,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,33.12936,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,38.419304,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.133496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,42571-147-26,NDC,,,outpatient,10,ML,59.63,,29.815,35.778,57.8411,56.0522,,,,percent of total billed charges,,47.704,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,49.4929,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,54.8596,,,,percent of total billed charges,,54.8596,,,,percent of total billed charges,,56.40998,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,57.8411,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,52.4744,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,47.76363,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,35.778,,,,percent of total billed charges,,55.390307,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,47.704,,,,percent of total billed charges,,35.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.769593,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,65862-946-01,NDC,,,outpatient,10,ML,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,71921-226-10,NDC,,,outpatient,10,ML,157.5,,78.75,94.5,152.775,148.05,,,,percent of total billed charges,,126,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,130.725,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.995,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,152.775,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,126.1575,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,146.30175,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,126,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.17325,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [253438],0636,RC,0173-0898-03,NDC,J9272,HCPCS,outpatient,10,ML,45345.56,,22672.78,27207.336,43985.1932,42624.8264,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,37636.8148,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,42896.89976,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43985.1932,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,39904.0928,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,36321.79356,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,42121.49068,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36326.32812,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [253438],0636,RC,0173-0898-03,NDC,J9272,HCPCS,outpatient,500,ME,45345.56,,22672.78,27207.336,43985.1932,42624.8264,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,37636.8148,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,42896.89976,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43985.1932,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,39904.0928,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,36321.79356,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,42121.49068,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36326.32812,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXEPIN 25 MG CAPSULE [2611],0637,RC,51079-437-01,NDC,,,outpatient,1,EA,3.13,,1.565,1.878,3.0361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.50713,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,2.907457,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.507443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXEPIN 25 MG CAPSULE [2611],0637,RC,51079-437-20,NDC,,,outpatient,1,EA,3.13,,1.565,1.878,3.0361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.50713,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,2.907457,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.507443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXEPIN 25 MG CAPSULE [2611],0637,RC,0904-7053-61,NDC,,,outpatient,1,EA,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],0636,RC,61703-309-06,NDC,J9370,HCPCS,outpatient,2.231,ME,64.06,,32.03,38.436,62.1382,60.2164,,,,percent of total billed charges,,51.248,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,53.1698,,,,percent of total billed charges,,57.654,,,,percent of total billed charges,,58.9352,,,,percent of total billed charges,,58.9352,,,,percent of total billed charges,,60.60076,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,62.1382,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,56.3728,,,,percent of total billed charges,,57.654,,,,percent of total billed charges,,51.31206,,,,percent of total billed charges,,57.654,,,,percent of total billed charges,,38.436,,,,percent of total billed charges,,59.505334,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,51.248,,,,percent of total billed charges,,38.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.318466,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION [189914],0636,RC,0069-3030-20,NDC,J9000,HCPCS,outpatient,5,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],0636,RC,0069-3034-20,NDC,J9000,HCPCS,outpatient,100,ML,142.65,,71.325,85.59,138.3705,134.091,,,,percent of total billed charges,,114.12,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,118.3995,,,,percent of total billed charges,,128.385,,,,percent of total billed charges,,131.238,,,,percent of total billed charges,,131.238,,,,percent of total billed charges,,134.9469,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,138.3705,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,125.532,,,,percent of total billed charges,,128.385,,,,percent of total billed charges,,114.26265,,,,percent of total billed charges,,128.385,,,,percent of total billed charges,,85.59,,,,percent of total billed charges,,132.507585,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,114.12,,,,percent of total billed charges,,85.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.276915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION [189915],0636,RC,0069-3031-20,NDC,J9000,HCPCS,outpatient,10,ML,42.8,,21.4,25.68,41.516,40.232,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,35.524,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,40.4888,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,41.516,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,37.664,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,34.2828,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,39.75692,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.28708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 30 MG / 15 ML INJECTION FOR INTRAHEPATIC EMBOLIZATION [1000205],0636,RC,WVU01-002-05,NDC,J9000,HCPCS,outpatient,15,ML,47.93,,23.965,28.758,46.4921,45.0542,,,,percent of total billed charges,,38.344,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,39.7819,,,,percent of total billed charges,,43.137,,,,percent of total billed charges,,44.0956,,,,percent of total billed charges,,44.0956,,,,percent of total billed charges,,45.34178,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,46.4921,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,42.1784,,,,percent of total billed charges,,43.137,,,,percent of total billed charges,,38.39193,,,,percent of total billed charges,,43.137,,,,percent of total billed charges,,28.758,,,,percent of total billed charges,,44.522177,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,38.344,,,,percent of total billed charges,,28.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.396723,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [189913],0636,RC,63323-883-30,NDC,J9000,HCPCS,outpatient,25,ML,73.58,,36.79,44.148,71.3726,69.1652,,,,percent of total billed charges,,58.864,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,61.0714,,,,percent of total billed charges,,66.222,,,,percent of total billed charges,,67.6936,,,,percent of total billed charges,,67.6936,,,,percent of total billed charges,,69.60668,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,71.3726,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,64.7504,,,,percent of total billed charges,,66.222,,,,percent of total billed charges,,58.93758,,,,percent of total billed charges,,66.222,,,,percent of total billed charges,,44.148,,,,percent of total billed charges,,68.348462,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,58.864,,,,percent of total billed charges,,44.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.944938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [189913],0636,RC,0069-3032-20,NDC,J9000,HCPCS,outpatient,25,ML,54.23,,27.115,32.538,52.6031,50.9762,,,,percent of total billed charges,,43.384,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,45.0109,,,,percent of total billed charges,,48.807,,,,percent of total billed charges,,49.8916,,,,percent of total billed charges,,49.8916,,,,percent of total billed charges,,51.30158,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,52.6031,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,47.7224,,,,percent of total billed charges,,48.807,,,,percent of total billed charges,,43.43823,,,,percent of total billed charges,,48.807,,,,percent of total billed charges,,32.538,,,,percent of total billed charges,,50.374247,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,43.384,,,,percent of total billed charges,,32.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.443653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN PEGYLATED LIPOSOME 2 MG/ML IV [1000666],0636,RC,47335-082-50,NDC,Q2050,HCPCS,outpatient,10,ML,5050.71,,2525.355,3030.426,4899.1887,4747.6674,,,,percent of total billed charges,,4040.568,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4192.0893,,,,percent of total billed charges,,4545.639,,,,percent of total billed charges,,4646.6532,,,,percent of total billed charges,,4646.6532,,,,percent of total billed charges,,4777.97166,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4899.1887,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4444.6248,,,,percent of total billed charges,,4545.639,,,,percent of total billed charges,,4045.61871,,,,percent of total billed charges,,4545.639,,,,percent of total billed charges,,3030.426,,,,percent of total billed charges,,4691.604519,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4040.568,,,,percent of total billed charges,,3030.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4046.123781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN PEGYLATED LIPOSOME 2 MG/ML IV [1000666],0636,RC,43598-283-35,NDC,Q2050,HCPCS,outpatient,10,ML,703.13,,351.565,421.878,682.0361,660.9422,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,583.5979,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,665.16098,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,682.0361,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,618.7544,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,563.20713,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,653.137457,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,563.277443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [77149]",0636,RC,59676-960-01,NDC,Q2050,HCPCS,outpatient,10,ML,5129.69,,2564.845,3077.814,4975.7993,4821.9086,,,,percent of total billed charges,,4103.752,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4257.6427,,,,percent of total billed charges,,4616.721,,,,percent of total billed charges,,4719.3148,,,,percent of total billed charges,,4719.3148,,,,percent of total billed charges,,4852.68674,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4975.7993,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4514.1272,,,,percent of total billed charges,,4616.721,,,,percent of total billed charges,,4108.88169,,,,percent of total billed charges,,4616.721,,,,percent of total billed charges,,3077.814,,,,percent of total billed charges,,4764.969041,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4103.752,,,,percent of total billed charges,,3077.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4109.394659,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [77149]",0636,RC,47335-049-40,NDC,Q2050,HCPCS,outpatient,10,ML,784.08,,392.04,470.448,760.5576,737.0352,,,,percent of total billed charges,,627.264,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,650.7864,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,721.3536,,,,percent of total billed charges,,721.3536,,,,percent of total billed charges,,741.73968,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,760.5576,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,689.9904,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,628.04808,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,470.448,,,,percent of total billed charges,,728.331912,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,627.264,,,,percent of total billed charges,,470.448,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,628.126488,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [77149]",0636,RC,43598-283-35,NDC,Q2050,HCPCS,outpatient,10,ML,703.13,,351.565,421.878,682.0361,660.9422,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,583.5979,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,665.16098,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,682.0361,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,618.7544,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,563.20713,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,653.137457,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,563.277443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,68382-910-10,NDC,,,outpatient,100,ME,50.46,,25.23,30.276,48.9462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,40.41846,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,46.872294,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.423506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 100MG RECON SOLUTION -20MG/ML FOR INTRAPLEURAL SLURRY [1000864],0250,RC,68382-910-10,NDC,,,outpatient,1,EA,50.46,,25.23,30.276,48.9462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,40.41846,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,46.872294,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.423506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 40 MG/ML RECON SOLUTION WITH LIDOCAINE 1% FOR IR INSTILLATION - 10ML [1001521],0250,RC,63323-130-11,NDC,,,outpatient,1,EA,45.91,,22.955,27.546,44.5327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,36.77391,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,42.645799,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.778501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 40 MG/ML RECON SOLUTION WITH LIDOCAINE 1% FOR IR INSTILLATION - 5ML [1001920],0250,RC,63323-130-11,NDC,,,outpatient,1,EA,45.91,,22.955,27.546,44.5327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,36.77391,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,42.645799,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.778501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,63323-130-11,NDC,,,outpatient,1,EA,45.91,,22.955,27.546,44.5327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,36.77391,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,42.645799,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.778501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,67457-437-00,NDC,,,outpatient,1,EA,68.95,,34.475,41.37,66.8815,64.813,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,57.2285,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,65.2267,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,66.8815,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,60.676,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,55.22895,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,64.047655,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.235845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,67457-437-10,NDC,,,outpatient,1,EA,68.95,,34.475,41.37,66.8815,64.813,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,57.2285,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,65.2267,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,66.8815,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,60.676,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,55.22895,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,64.047655,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.235845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,68382-910-01,NDC,,,outpatient,1,EA,50.46,,25.23,30.276,48.9462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,40.41846,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,46.872294,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.423506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,68382-910-10,NDC,,,outpatient,1,EA,50.46,,25.23,30.276,48.9462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,40.41846,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,46.872294,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.423506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,63323-130-02,NDC,,,outpatient,1,EA,45.91,,22.955,27.546,44.5327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,36.77391,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,42.645799,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.778501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,0143-9381-01,NDC,,,outpatient,1,EA,74.04,,37.02,44.424,71.8188,69.5976,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,61.4532,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,70.04184,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,71.8188,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,65.1552,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,59.30604,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,68.775756,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.313444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,0143-9381-10,NDC,,,outpatient,1,EA,74.04,,37.02,44.424,71.8188,69.5976,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,61.4532,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,70.04184,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,71.8188,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,65.1552,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,59.30604,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,68.775756,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.313444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,63323-130-41,NDC,,,outpatient,1,EA,45.91,,22.955,27.546,44.5327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,36.77391,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,42.645799,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.778501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,66794-237-02,NDC,,,outpatient,1,EA,103.82,,51.91,62.292,100.7054,97.5908,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,86.1706,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,98.21372,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,100.7054,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,91.3616,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,83.15982,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,96.438398,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.170202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,66794-237-41,NDC,,,outpatient,1,EA,103.82,,51.91,62.292,100.7054,97.5908,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,86.1706,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,98.21372,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,100.7054,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,91.3616,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,83.15982,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,96.438398,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.170202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,0143-2112-50,NDC,,,outpatient,1,EA,0.93,,0.465,0.558,0.9021,0.8742,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.7719,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.87978,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.9021,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8184,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.74493,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.863877,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.745023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,62584-693-11,NDC,,,outpatient,1,EA,4.87,,2.435,2.922,4.7239,4.5778,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.0421,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.60702,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.7239,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.2856,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,3.90087,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,4.523743,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.901357,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,62584-693-21,NDC,,,outpatient,1,EA,4.87,,2.435,2.922,4.7239,4.5778,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.0421,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.60702,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.7239,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.2856,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,3.90087,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,4.523743,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.901357,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,0904-0430-04,NDC,,,outpatient,1,EA,10.57,,5.285,6.342,10.2529,9.9358,,,,percent of total billed charges,,8.456,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,8.7731,,,,percent of total billed charges,,9.513,,,,percent of total billed charges,,9.7244,,,,percent of total billed charges,,9.7244,,,,percent of total billed charges,,9.99922,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,10.2529,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,9.3016,,,,percent of total billed charges,,9.513,,,,percent of total billed charges,,8.46657,,,,percent of total billed charges,,9.513,,,,percent of total billed charges,,6.342,,,,percent of total billed charges,,9.818473,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,8.456,,,,percent of total billed charges,,6.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.467627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,50268-279-15,NDC,,,outpatient,1,EA,6.75,,3.375,4.05,6.5475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,5.40675,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.270075,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.407425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,50268-279-11,NDC,,,outpatient,1,EA,6.75,,3.375,4.05,6.5475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,5.40675,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.270075,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.407425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,0904-0430-06,NDC,,,outpatient,1,EA,8.56,,4.28,5.136,8.3032,8.0464,,,,percent of total billed charges,,6.848,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,7.1048,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,7.8752,,,,percent of total billed charges,,7.8752,,,,percent of total billed charges,,8.09776,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,8.3032,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,7.5328,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,6.85656,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,7.951384,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,6.848,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.857416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 100MG RECON SOLUTION -20MG/ML FOR INTRAPLEURAL SLURRY [1000864],0250,RC,68382-910-10,NDC,,,outpatient,500,ME,252.3,,126.15,151.38,244.731,237.162,,,,percent of total billed charges,,201.84,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,209.409,,,,percent of total billed charges,,227.07,,,,percent of total billed charges,,232.116,,,,percent of total billed charges,,232.116,,,,percent of total billed charges,,238.6758,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,244.731,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,222.024,,,,percent of total billed charges,,227.07,,,,percent of total billed charges,,202.0923,,,,percent of total billed charges,,227.07,,,,percent of total billed charges,,151.38,,,,percent of total billed charges,,234.36147,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,201.84,,,,percent of total billed charges,,151.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.11753,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,68382-910-10,NDC,,,outpatient,1000,ME,504.59,,252.295,302.754,489.4523,474.3146,,,,percent of total billed charges,,403.672,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,418.8097,,,,percent of total billed charges,,454.131,,,,percent of total billed charges,,464.2228,,,,percent of total billed charges,,464.2228,,,,percent of total billed charges,,477.34214,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,489.4523,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,444.0392,,,,percent of total billed charges,,454.131,,,,percent of total billed charges,,404.17659,,,,percent of total billed charges,,454.131,,,,percent of total billed charges,,302.754,,,,percent of total billed charges,,468.713651,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,403.672,,,,percent of total billed charges,,302.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.227049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,68382-910-10,NDC,,,outpatient,100,ME,50.46,,25.23,30.276,48.9462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,40.41846,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,46.872294,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.423506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,68382-910-10,NDC,,,outpatient,200,ME,100.92,,50.46,60.552,97.8924,94.8648,,,,percent of total billed charges,,80.736,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,83.7636,,,,percent of total billed charges,,90.828,,,,percent of total billed charges,,92.8464,,,,percent of total billed charges,,92.8464,,,,percent of total billed charges,,95.47032,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,97.8924,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,88.8096,,,,percent of total billed charges,,90.828,,,,percent of total billed charges,,80.83692,,,,percent of total billed charges,,90.828,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,93.744588,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,80.736,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.847012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION [77139],0637,RC,68180-657-01,NDC,,,outpatient,60,ML,72.63,,36.315,43.578,70.4511,68.2722,,,,percent of total billed charges,,58.104,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,60.2829,,,,percent of total billed charges,,65.367,,,,percent of total billed charges,,66.8196,,,,percent of total billed charges,,66.8196,,,,percent of total billed charges,,68.70798,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,70.4511,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,63.9144,,,,percent of total billed charges,,65.367,,,,percent of total billed charges,,58.17663,,,,percent of total billed charges,,65.367,,,,percent of total billed charges,,43.578,,,,percent of total billed charges,,67.466007,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,58.104,,,,percent of total billed charges,,43.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.183893,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,42858-868-06,NDC,Q0167,HCPCS,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,60687-386-11,NDC,Q0167,HCPCS,outpatient,1,EA,42.83,,21.415,25.698,41.5451,40.2602,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,35.5489,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,40.51718,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,41.5451,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,37.6904,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,34.30683,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,39.784787,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.311113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,60687-386-21,NDC,Q0167,HCPCS,outpatient,1,EA,42.83,,21.415,25.698,41.5451,40.2602,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,35.5489,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,40.51718,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,41.5451,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,37.6904,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,34.30683,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,39.784787,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.311113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,67877-754-60,NDC,Q0167,HCPCS,outpatient,1,EA,13.99,,6.995,8.394,13.5703,13.1506,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.6117,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,13.23454,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.5703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,12.3112,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,11.20599,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,12.995311,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.207389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONEDARONE 400 MG TABLET [195271],0637,RC,0024-4142-60,NDC,,,outpatient,1,EA,53.91,,26.955,32.346,52.2927,50.6754,,,,percent of total billed charges,,43.128,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,44.7453,,,,percent of total billed charges,,48.519,,,,percent of total billed charges,,49.5972,,,,percent of total billed charges,,49.5972,,,,percent of total billed charges,,50.99886,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,52.2927,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,47.4408,,,,percent of total billed charges,,48.519,,,,percent of total billed charges,,43.18191,,,,percent of total billed charges,,48.519,,,,percent of total billed charges,,32.346,,,,percent of total billed charges,,50.076999,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,43.128,,,,percent of total billed charges,,32.346,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.187301,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],0636,RC,0517-9702-25,NDC,J1790,HCPCS,outpatient,2,ML,31.52,,15.76,18.912,30.5744,29.6288,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,26.1616,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,29.81792,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,30.5744,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,27.7376,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,25.24752,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,29.278928,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.250672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],0636,RC,0517-9702-01,NDC,J1790,HCPCS,outpatient,2,ML,31.52,,15.76,18.912,30.5744,29.6288,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,26.1616,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,29.81792,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,30.5744,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,27.7376,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,25.24752,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,29.278928,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.250672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,0002-3235-60,NDC,,,outpatient,1,EA,34.5,,17.25,20.7,33.465,32.43,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,28.635,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.74,,,,percent of total billed charges,,31.74,,,,percent of total billed charges,,32.637,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,33.465,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,27.6345,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,32.04705,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.63795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,68084-675-11,NDC,,,outpatient,1,EA,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,68084-675-21,NDC,,,outpatient,1,EA,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,60505-2995-6,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,0904-7043-04,NDC,,,outpatient,1,EA,5.77,,2.885,3.462,5.5969,5.4238,,,,percent of total billed charges,,4.616,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,4.7891,,,,percent of total billed charges,,5.193,,,,percent of total billed charges,,5.3084,,,,percent of total billed charges,,5.3084,,,,percent of total billed charges,,5.45842,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,5.5969,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,5.0776,,,,percent of total billed charges,,5.193,,,,percent of total billed charges,,4.62177,,,,percent of total billed charges,,5.193,,,,percent of total billed charges,,3.462,,,,percent of total billed charges,,5.359753,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,4.616,,,,percent of total billed charges,,3.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.622347,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,0904-7043-61,NDC,,,outpatient,1,EA,5.01,,2.505,3.006,4.8597,4.7094,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.1583,,,,percent of total billed charges,,4.509,,,,percent of total billed charges,,4.6092,,,,percent of total billed charges,,4.6092,,,,percent of total billed charges,,4.73946,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.8597,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.4088,,,,percent of total billed charges,,4.509,,,,percent of total billed charges,,4.01301,,,,percent of total billed charges,,4.509,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,4.653789,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.013511,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,68084-683-01,NDC,,,outpatient,1,EA,3.01,,1.505,1.806,2.9197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.41101,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,2.795989,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.411311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,68084-683-11,NDC,,,outpatient,1,EA,3.01,,1.505,1.806,2.9197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.41101,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,2.795989,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.411311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,51991-747-90,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,67877-264-30,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,68001-414-04,NDC,,,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,68001-414-05,NDC,,,outpatient,1,EA,1.08,,0.54,0.648,1.0476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.86508,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.003212,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.865188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,50268-287-11,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,50268-287-13,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,0904-7044-61,NDC,,,outpatient,1,EA,6.45,,3.225,3.87,6.2565,6.063,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.3535,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,6.1017,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.2565,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,5.16645,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,5.991405,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.167095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,60687-734-01,NDC,,,outpatient,1,EA,7.12,,3.56,4.272,6.9064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,5.70312,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,6.613768,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.703832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,60687-734-11,NDC,,,outpatient,1,EA,7.12,,3.56,4.272,6.9064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,5.70312,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,6.613768,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.703832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE [241903],0636,RC,0024-5918-01,NDC,J3490,HCPCS,outpatient,1.14,ML,8257.71,,4128.855,4954.626,8009.9787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,6614.42571,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,7670.586819,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6615.251481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE [241903],0636,RC,0024-5918-00,NDC,J3490,HCPCS,outpatient,1.14,ML,8257.71,,4128.855,4954.626,8009.9787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,6614.42571,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,7670.586819,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6615.251481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [234355],0636,RC,0024-5914-01,NDC,J3490,HCPCS,outpatient,2,ML,8257.71,,4128.855,4954.626,8009.9787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,6614.42571,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,7670.586819,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6615.251481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [234355],0636,RC,0024-5914-00,NDC,J3490,HCPCS,outpatient,2,ML,8257.71,,4128.855,4954.626,8009.9787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,6614.42571,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,7670.586819,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6615.251481,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [235397],0636,RC,0310-4500-12,NDC,J9173,HCPCS,outpatient,2.4,ML,4349.39,,2174.695,2609.634,4218.9083,4088.4266,,,,percent of total billed charges,,3479.512,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,3609.9937,,,,percent of total billed charges,,3914.451,,,,percent of total billed charges,,4001.4388,,,,percent of total billed charges,,4001.4388,,,,percent of total billed charges,,4114.52294,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,4218.9083,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,3827.4632,,,,percent of total billed charges,,3914.451,,,,percent of total billed charges,,3483.86139,,,,percent of total billed charges,,3914.451,,,,percent of total billed charges,,2609.634,,,,percent of total billed charges,,4040.148371,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,3479.512,,,,percent of total billed charges,,2609.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3484.296329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [235397],0636,RC,0310-4611-50,NDC,J9173,HCPCS,outpatient,10,ML,18122.49,,9061.245,10873.494,17578.8153,17035.1406,,,,percent of total billed charges,,14497.992,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,15041.6667,,,,percent of total billed charges,,16310.241,,,,percent of total billed charges,,16672.6908,,,,percent of total billed charges,,16672.6908,,,,percent of total billed charges,,17143.87554,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,17578.8153,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,15947.7912,,,,percent of total billed charges,,16310.241,,,,percent of total billed charges,,14516.11449,,,,percent of total billed charges,,16310.241,,,,percent of total billed charges,,10873.494,,,,percent of total billed charges,,16833.98096,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,14497.992,,,,percent of total billed charges,,10873.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14517.92674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [235397],0636,RC,0310-4500-12,NDC,J9173,HCPCS,outpatient,676,ME,21779.16,,10889.58,13067.496,21125.7852,20472.4104,,,,percent of total billed charges,,17423.328,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,18076.7028,,,,percent of total billed charges,,19601.244,,,,percent of total billed charges,,20036.8272,,,,percent of total billed charges,,20036.8272,,,,percent of total billed charges,,20603.08536,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,21125.7852,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,19165.6608,,,,percent of total billed charges,,19601.244,,,,percent of total billed charges,,17445.10716,,,,percent of total billed charges,,19601.244,,,,percent of total billed charges,,13067.496,,,,percent of total billed charges,,20230.66172,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,17423.328,,,,percent of total billed charges,,13067.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17447.28508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,0.5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [134822],0636,RC,25682-001-01,NDC,J1300,HCPCS,outpatient,300,ME,26091.96,,13045.98,15655.176,25309.2012,24526.4424,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,21656.3268,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24682.99416,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,25309.2012,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,22960.9248,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,20899.65996,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,24236.82164,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20902.26916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [134822],0636,RC,25682-001-01,NDC,J1300,HCPCS,outpatient,30,ML,26091.96,,13045.98,15655.176,25309.2012,24526.4424,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,21656.3268,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24682.99416,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,25309.2012,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,22960.9248,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,20899.65996,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,24236.82164,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20902.26916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION [235442],0636,RC,70510-2171-1,NDC,J1301,HCPCS,outpatient,100,ML,5503.5,,2751.75,3302.1,5338.395,5173.29,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4567.905,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5206.311,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5338.395,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4843.08,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,4408.3035,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,5112.20115,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4408.85385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION [235442],0636,RC,70510-2171-2,NDC,J1301,HCPCS,outpatient,100,ML,5503.5,,2751.75,3302.1,5338.395,5173.29,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4567.905,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5206.311,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5338.395,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4843.08,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,4408.3035,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,5112.20115,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4408.85385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [256226],0636,RC,73475-3041-5,NDC,J9332,HCPCS,outpatient,20,ML,24276,,12138,14565.6,23547.72,22819.44,,,,percent of total billed charges,,19420.8,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,20149.08,,,,percent of total billed charges,,21848.4,,,,percent of total billed charges,,22333.92,,,,percent of total billed charges,,22333.92,,,,percent of total billed charges,,22965.096,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,23547.72,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,21362.88,,,,percent of total billed charges,,21848.4,,,,percent of total billed charges,,19445.076,,,,percent of total billed charges,,21848.4,,,,percent of total billed charges,,14565.6,,,,percent of total billed charges,,22549.9764,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,19420.8,,,,percent of total billed charges,,14565.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19447.5036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELECTROLYTE-R (PH 7.4) BOLUS [1001940],0258,RC,0990-7670-09,NDC,,,outpatient,1000,ML,22.5,,11.25,13.5,21.825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,18.0225,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,20.90025,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.02475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION [80444],0258,RC,0990-7670-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION [80444],0258,RC,0990-7670-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [228395],0636,RC,0003-2291-11,NDC,J9176,HCPCS,outpatient,1,EA,9842.81,,4921.405,5905.686,9547.5257,9252.2414,,,,percent of total billed charges,,7874.248,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,8169.5323,,,,percent of total billed charges,,8858.529,,,,percent of total billed charges,,9055.3852,,,,percent of total billed charges,,9055.3852,,,,percent of total billed charges,,9311.29826,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,9547.5257,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,8661.6728,,,,percent of total billed charges,,8858.529,,,,percent of total billed charges,,7884.09081,,,,percent of total billed charges,,8858.529,,,,percent of total billed charges,,5905.686,,,,percent of total billed charges,,9142.986209,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,7874.248,,,,percent of total billed charges,,5905.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7885.075091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION [228396],0636,RC,0003-4522-11,NDC,J9176,HCPCS,outpatient,1,EA,13123.62,,6561.81,7874.172,12729.9114,12336.2028,,,,percent of total billed charges,,10498.896,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,10892.6046,,,,percent of total billed charges,,11811.258,,,,percent of total billed charges,,12073.7304,,,,percent of total billed charges,,12073.7304,,,,percent of total billed charges,,12414.94452,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,12729.9114,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,11548.7856,,,,percent of total billed charges,,11811.258,,,,percent of total billed charges,,10512.01962,,,,percent of total billed charges,,11811.258,,,,percent of total billed charges,,7874.172,,,,percent of total billed charges,,12190.53062,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,10498.896,,,,percent of total billed charges,,7874.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10513.33198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [228395],0636,RC,0003-2291-11,NDC,J9176,HCPCS,outpatient,676,ME,22179.13,,11089.565,13307.478,21513.7561,20848.3822,,,,percent of total billed charges,,17743.304,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,18408.6779,,,,percent of total billed charges,,19961.217,,,,percent of total billed charges,,20404.7996,,,,percent of total billed charges,,20404.7996,,,,percent of total billed charges,,20981.45698,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,21513.7561,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,19517.6344,,,,percent of total billed charges,,19961.217,,,,percent of total billed charges,,17765.48313,,,,percent of total billed charges,,19961.217,,,,percent of total billed charges,,13307.478,,,,percent of total billed charges,,20602.19386,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,17743.304,,,,percent of total billed charges,,13307.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17767.70104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [93381],0636,RC,61958-0701-1,NDC,J0750,HCPCS,outpatient,1,EA,266.67,,133.335,160.002,258.6699,250.6698,,,,percent of total billed charges,,213.336,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,221.3361,,,,percent of total billed charges,,240.003,,,,percent of total billed charges,,245.3364,,,,percent of total billed charges,,245.3364,,,,percent of total billed charges,,252.26982,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,258.6699,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,234.6696,,,,percent of total billed charges,,240.003,,,,percent of total billed charges,,213.60267,,,,percent of total billed charges,,240.003,,,,percent of total billed charges,,160.002,,,,percent of total billed charges,,247.709763,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,213.336,,,,percent of total billed charges,,160.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.629337,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [93381],0636,RC,68180-287-06,NDC,J0750,HCPCS,outpatient,1,EA,3.52,,1.76,2.112,3.4144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.81952,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.269728,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.819872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [93381],0636,RC,0904-7172-07,NDC,J0750,HCPCS,outpatient,1,EA,5.59,,2.795,3.354,5.4223,5.2546,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.6397,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.28814,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.4223,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,4.47759,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,5.192551,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.478149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,51672-4039-1,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,0904-5610-61,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,43547-547-10,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,51672-4245-1,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 5 MG TABLET [9927],0637,RC,51672-4038-1,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 5 MG TABLET [9927],0637,RC,0904-5502-61,NDC,,,outpatient,1,EA,1.44,,0.72,0.864,1.3968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.337616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.153584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 5 MG TABLET [9927],0637,RC,43547-546-10,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,0143-9786-10,NDC,,,outpatient,2,ML,34.6,,17.3,20.76,33.562,32.524,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,28.718,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,32.7316,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,33.562,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,30.448,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,27.7146,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,32.13994,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.71806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,0143-9787-10,NDC,,,outpatient,1,ML,19.37,,9.685,11.622,18.7889,18.2078,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,16.0771,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,18.32402,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.7889,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,17.0456,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,15.51537,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,17.992793,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.517307,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,0703-8411-04,NDC,,,outpatient,2,ML,8.35,,4.175,5.01,8.0995,7.849,,,,percent of total billed charges,,6.68,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,6.9305,,,,percent of total billed charges,,7.515,,,,percent of total billed charges,,7.682,,,,percent of total billed charges,,7.682,,,,percent of total billed charges,,7.8991,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,8.0995,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,7.348,,,,percent of total billed charges,,7.515,,,,percent of total billed charges,,6.68835,,,,percent of total billed charges,,7.515,,,,percent of total billed charges,,5.01,,,,percent of total billed charges,,7.756315,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,6.68,,,,percent of total billed charges,,5.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.689185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,0143-9786-01,NDC,,,outpatient,2,ML,34.6,,17.3,20.76,33.562,32.524,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,28.718,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,32.7316,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,33.562,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,30.448,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,27.7146,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,32.13994,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.71806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,0143-9787-01,NDC,,,outpatient,1,ML,19.37,,9.685,11.622,18.7889,18.2078,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,16.0771,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,18.32402,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.7889,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,17.0456,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,15.51537,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,17.992793,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.517307,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,43598-078-11,NDC,,,outpatient,1,ML,15.74,,7.87,9.444,15.2678,14.7956,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.0642,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.89004,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,15.2678,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.8512,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,12.60774,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,14.620886,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.609314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,43598-078-58,NDC,,,outpatient,1,ML,15.74,,7.87,9.444,15.2678,14.7956,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.0642,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.89004,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,15.2678,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.8512,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,12.60774,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,14.620886,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.609314,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,43598-169-11,NDC,,,outpatient,2,ML,27.86,,13.93,16.716,27.0242,26.1884,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,23.1238,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,26.35556,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,27.0242,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,24.5168,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,22.31586,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,25.879154,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.318646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,43598-169-58,NDC,,,outpatient,2,ML,27.86,,13.93,16.716,27.0242,26.1884,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,23.1238,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,26.35556,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,27.0242,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,24.5168,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,22.31586,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,25.879154,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.318646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 125 MCG/ML IN D5W IV PEDS DILUTION [1000031],0250,RC,WVU01-000-31,NDC,,,outpatient,1,ML,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [247354],0636,RC,51144-030-01,NDC,J9177,HCPCS,outpatient,84.5,ME,46542.6,,23271.3,27925.56,45146.322,43750.044,,,,percent of total billed charges,,37234.08,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,38630.358,,,,percent of total billed charges,,41888.34,,,,percent of total billed charges,,42819.192,,,,percent of total billed charges,,42819.192,,,,percent of total billed charges,,44029.2996,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,45146.322,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,40957.488,,,,percent of total billed charges,,41888.34,,,,percent of total billed charges,,37280.6226,,,,percent of total billed charges,,41888.34,,,,percent of total billed charges,,27925.56,,,,percent of total billed charges,,43233.42114,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,37234.08,,,,percent of total billed charges,,27925.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37285.27686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [247353],0636,RC,51144-020-01,NDC,J9177,HCPCS,outpatient,1,EA,12393,,6196.5,7435.8,12021.21,11649.42,,,,percent of total billed charges,,9914.4,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,10286.19,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,11401.56,,,,percent of total billed charges,,11401.56,,,,percent of total billed charges,,11723.778,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,12021.21,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,10905.84,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,9926.793,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,7435.8,,,,percent of total billed charges,,11511.8577,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,9914.4,,,,percent of total billed charges,,7435.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9928.0323,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [247354],0636,RC,51144-030-01,NDC,J9177,HCPCS,outpatient,1,EA,18589.5,,9294.75,11153.7,18031.815,17474.13,,,,percent of total billed charges,,14871.6,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,15429.285,,,,percent of total billed charges,,16730.55,,,,percent of total billed charges,,17102.34,,,,percent of total billed charges,,17102.34,,,,percent of total billed charges,,17585.667,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,18031.815,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,16358.76,,,,percent of total billed charges,,16730.55,,,,percent of total billed charges,,14890.1895,,,,percent of total billed charges,,16730.55,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,17267.78655,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,14871.6,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14892.04845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0075-0623-00,NDC,J1650,HCPCS,outpatient,1,ML,34.34,,17.17,20.604,33.3098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,27.50634,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,31.898426,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.509774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0955-1010-10,NDC,J1650,HCPCS,outpatient,1,ML,34.34,,17.17,20.604,33.3098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,27.50634,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,31.898426,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.509774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0703-8580-21,NDC,J1650,HCPCS,outpatient,1,ML,29.09,,14.545,17.454,28.2173,27.3446,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,24.1447,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,27.51914,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,28.2173,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,25.5992,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,23.30109,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,27.021701,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.303999,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0703-8580-23,NDC,J1650,HCPCS,outpatient,1,ML,29.09,,14.545,17.454,28.2173,27.3446,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,24.1447,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,27.51914,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,28.2173,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,25.5992,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,23.30109,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,27.021701,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.303999,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,63323-586-21,NDC,J1650,HCPCS,outpatient,1,ML,38.18,,19.09,22.908,37.0346,35.8892,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,31.6894,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,36.11828,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,37.0346,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,33.5984,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,30.58218,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,35.465402,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.585998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,63323-586-96,NDC,J1650,HCPCS,outpatient,1,ML,38.18,,19.09,22.908,37.0346,35.8892,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,31.6894,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,36.11828,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,37.0346,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,33.5984,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,30.58218,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,35.465402,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.585998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0075-0623-03,NDC,J1650,HCPCS,outpatient,1,ML,34.34,,17.17,20.604,33.3098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,27.50634,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,31.898426,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.509774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0955-1010-01,NDC,J1650,HCPCS,outpatient,1,ML,34.34,,17.17,20.604,33.3098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,27.50634,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,31.898426,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.509774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0781-3268-05,NDC,J1650,HCPCS,outpatient,1,ML,34.46,,17.23,20.676,33.4262,32.3924,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,28.6018,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,32.59916,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,33.4262,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,30.3248,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,27.60246,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,32.009894,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.605906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,0781-3268-69,NDC,J1650,HCPCS,outpatient,1,ML,34.46,,17.23,20.676,33.4262,32.3924,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,28.6018,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,32.59916,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,33.4262,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,30.3248,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,27.60246,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,32.009894,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.605906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,25021-410-71,NDC,J1650,HCPCS,outpatient,1,ML,31.6,,15.8,18.96,30.652,29.704,,,,percent of total billed charges,,25.28,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,26.228,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,29.072,,,,percent of total billed charges,,29.072,,,,percent of total billed charges,,29.8936,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,30.652,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,27.808,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,25.3116,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,18.96,,,,percent of total billed charges,,29.35324,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,25.28,,,,percent of total billed charges,,18.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.31476,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,0075-2912-01,NDC,J1650,HCPCS,outpatient,0.8,ML,41.43,,20.715,24.858,40.1871,38.9442,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,34.3869,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,39.19278,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,40.1871,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,36.4584,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,33.18543,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,38.484327,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.189573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,71288-411-80,NDC,J1650,HCPCS,outpatient,0.8,ML,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,71288-411-81,NDC,J1650,HCPCS,outpatient,0.8,ML,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,0075-2912-00,NDC,J1650,HCPCS,outpatient,0.8,ML,41.43,,20.715,24.858,40.1871,38.9442,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,34.3869,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,39.19278,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,40.1871,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,36.4584,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,33.18543,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,38.484327,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.189573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,0781-3298-04,NDC,J1650,HCPCS,outpatient,0.8,ML,41.29,,20.645,24.774,40.0513,38.8126,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,34.2707,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,39.06034,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,40.0513,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,36.3352,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,33.07329,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,38.354281,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.077419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,0781-3298-68,NDC,J1650,HCPCS,outpatient,0.8,ML,41.29,,20.645,24.774,40.0513,38.8126,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,34.2707,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,39.06034,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,40.0513,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,36.3352,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,33.07329,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,38.354281,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.077419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,25021-411-70,NDC,J1650,HCPCS,outpatient,0.8,ML,33.18,,16.59,19.908,32.1846,31.1892,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,27.5394,,,,percent of total billed charges,,29.862,,,,percent of total billed charges,,30.5256,,,,percent of total billed charges,,30.5256,,,,percent of total billed charges,,31.38828,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,32.1846,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,29.1984,,,,percent of total billed charges,,29.862,,,,percent of total billed charges,,26.57718,,,,percent of total billed charges,,29.862,,,,percent of total billed charges,,19.908,,,,percent of total billed charges,,30.820902,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,19.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.580498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0075-2915-01,NDC,J1650,HCPCS,outpatient,1,ML,51.71,,25.855,31.026,50.1587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,41.41971,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,48.033419,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.424881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0955-1015-10,NDC,J1650,HCPCS,outpatient,1,ML,51.71,,25.855,31.026,50.1587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,41.41971,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,48.033419,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.424881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0703-8510-21,NDC,J1650,HCPCS,outpatient,1,ML,36.66,,18.33,21.996,35.5602,34.4604,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,30.4278,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,34.68036,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,35.5602,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,32.2608,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,29.36466,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,34.053474,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.368326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0703-8510-23,NDC,J1650,HCPCS,outpatient,1,ML,36.66,,18.33,21.996,35.5602,34.4604,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,30.4278,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,34.68036,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,35.5602,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,32.2608,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,29.36466,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,34.053474,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.368326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,60505-0798-0,NDC,J1650,HCPCS,outpatient,1,ML,50.83,,25.415,30.498,49.3051,47.7802,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,42.1889,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,48.08518,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,49.3051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,44.7304,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,40.71483,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,47.215987,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.719913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,60505-0798-4,NDC,J1650,HCPCS,outpatient,1,ML,50.83,,25.415,30.498,49.3051,47.7802,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,42.1889,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,48.08518,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,49.3051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,44.7304,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,40.71483,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,47.215987,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.719913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,63323-589-21,NDC,J1650,HCPCS,outpatient,1,ML,57.37,,28.685,34.422,55.6489,53.9278,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,47.6171,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,54.27202,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,55.6489,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,50.4856,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,45.95337,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,53.290993,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.959107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,63323-589-94,NDC,J1650,HCPCS,outpatient,1,ML,57.37,,28.685,34.422,55.6489,53.9278,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,47.6171,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,54.27202,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,55.6489,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,50.4856,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,45.95337,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,53.290993,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.959107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0955-1015-01,NDC,J1650,HCPCS,outpatient,1,ML,51.71,,25.855,31.026,50.1587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,41.41971,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,48.033419,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.424881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0781-3299-05,NDC,J1650,HCPCS,outpatient,1,ML,54.55,,27.275,32.73,52.9135,51.277,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,45.2765,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,51.6043,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,52.9135,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,48.004,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,43.69455,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,50.671495,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.700005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0781-3299-69,NDC,J1650,HCPCS,outpatient,1,ML,54.55,,27.275,32.73,52.9135,51.277,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,45.2765,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,51.6043,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,52.9135,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,48.004,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,43.69455,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,50.671495,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.700005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,0075-2915-00,NDC,J1650,HCPCS,outpatient,1,ML,51.71,,25.855,31.026,50.1587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,41.41971,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,48.033419,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.424881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,71288-438-95,NDC,J1650,HCPCS,outpatient,1,ML,43.37,,21.685,26.022,42.0689,40.7678,,,,percent of total billed charges,,34.696,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,35.9971,,,,percent of total billed charges,,39.033,,,,percent of total billed charges,,39.9004,,,,percent of total billed charges,,39.9004,,,,percent of total billed charges,,41.02802,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,42.0689,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,38.1656,,,,percent of total billed charges,,39.033,,,,percent of total billed charges,,34.73937,,,,percent of total billed charges,,39.033,,,,percent of total billed charges,,26.022,,,,percent of total billed charges,,40.286393,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,34.696,,,,percent of total billed charges,,26.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.743707,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,25021-411-71,NDC,J1650,HCPCS,outpatient,1,ML,50.46,,25.23,30.276,48.9462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,40.41846,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,46.872294,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.423506,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,0075-0624-30,NDC,J1650,HCPCS,outpatient,0.3,ML,10.2,,5.1,6.12,9.894,9.588,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.6492,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.976,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,8.1702,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,9.47478,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.17122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,0955-1003-10,NDC,J1650,HCPCS,outpatient,0.3,ML,10.2,,5.1,6.12,9.894,9.588,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.6492,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.976,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,8.1702,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,9.47478,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.17122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,0955-1003-01,NDC,J1650,HCPCS,outpatient,0.3,ML,10.2,,5.1,6.12,9.894,9.588,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.6492,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.976,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,8.1702,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,9.47478,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.17122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,0781-3238-01,NDC,J1650,HCPCS,outpatient,0.3,ML,10.21,,5.105,6.126,9.9037,9.5974,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.4743,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.65866,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.9037,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.9848,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,8.17821,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,9.484069,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.179231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,0781-3238-63,NDC,J1650,HCPCS,outpatient,0.3,ML,10.21,,5.105,6.126,9.9037,9.5974,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.4743,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.65866,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.9037,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.9848,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,8.17821,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,9.484069,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.179231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,0075-0620-40,NDC,J1650,HCPCS,outpatient,0.4,ML,13.55,,6.775,8.13,13.1435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,10.85355,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,12.586595,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.854905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,0955-1004-10,NDC,J1650,HCPCS,outpatient,0.4,ML,13.55,,6.775,8.13,13.1435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,10.85355,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,12.586595,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.854905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,0075-8014-01,NDC,J1650,HCPCS,outpatient,0.4,ML,13.55,,6.775,8.13,13.1435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,10.85355,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,12.586595,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.854905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,60505-0792-4,NDC,J1650,HCPCS,outpatient,0.4,ML,14.89,,7.445,8.934,14.4433,13.9966,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,12.3587,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,14.08594,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.4433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,13.1032,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,11.92689,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,13.831321,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.928379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,63323-535-01,NDC,J1650,HCPCS,outpatient,0.4,ML,32.67,,16.335,19.602,31.6899,30.7098,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,27.1161,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.90582,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.6899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,28.7496,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,26.16867,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,30.347163,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.171937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,63323-535-87,NDC,J1650,HCPCS,outpatient,0.4,ML,32.67,,16.335,19.602,31.6899,30.7098,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,27.1161,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.90582,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.6899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,28.7496,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,26.16867,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,30.347163,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.171937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,0075-0620-01,NDC,J1650,HCPCS,outpatient,0.4,ML,13.55,,6.775,8.13,13.1435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,10.85355,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,12.586595,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.854905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,0955-1004-01,NDC,J1650,HCPCS,outpatient,0.4,ML,13.55,,6.775,8.13,13.1435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,10.85355,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,12.586595,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.854905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,0781-3246-02,NDC,J1650,HCPCS,outpatient,0.4,ML,12.53,,6.265,7.518,12.1541,11.7782,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.3999,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.85338,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,12.1541,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.0264,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,10.03653,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,11.639117,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.037783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,0781-3246-64,NDC,J1650,HCPCS,outpatient,0.4,ML,12.53,,6.265,7.518,12.1541,11.7782,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.3999,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.85338,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,12.1541,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.0264,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,10.03653,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,11.639117,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.037783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,71288-433-82,NDC,J1650,HCPCS,outpatient,0.4,ML,9.56,,4.78,5.736,9.2732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,7.65756,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,8.880284,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.658516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,71288-433-83,NDC,J1650,HCPCS,outpatient,0.4,ML,9.56,,4.78,5.736,9.2732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,7.65756,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,8.880284,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.658516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0075-0621-60,NDC,J1650,HCPCS,outpatient,0.6,ML,20.27,,10.135,12.162,19.6619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,16.23627,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,18.828803,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.238297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0781-3356-03,NDC,J1650,HCPCS,outpatient,0.6,ML,118.8,,59.4,71.28,115.236,111.672,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,98.604,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,112.3848,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,115.236,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,95.1588,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,110.35332,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.17068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0781-3356-66,NDC,J1650,HCPCS,outpatient,0.6,ML,118.8,,59.4,71.28,115.236,111.672,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,98.604,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,112.3848,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,115.236,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,95.1588,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,110.35332,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.17068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0955-1006-10,NDC,J1650,HCPCS,outpatient,0.6,ML,20.27,,10.135,12.162,19.6619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,16.23627,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,18.828803,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.238297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0703-8560-21,NDC,J1650,HCPCS,outpatient,0.6,ML,20.29,,10.145,12.174,19.6813,19.0726,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.8407,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,19.19434,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.6813,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,17.8552,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,16.25229,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,18.847381,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.254319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0703-8560-23,NDC,J1650,HCPCS,outpatient,0.6,ML,20.29,,10.145,12.174,19.6813,19.0726,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.8407,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,19.19434,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.6813,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,17.8552,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,16.25229,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,18.847381,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.254319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,63323-566-21,NDC,J1650,HCPCS,outpatient,0.6,ML,21.84,,10.92,13.104,21.1848,20.5296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,18.1272,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.66064,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,21.1848,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,19.2192,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,17.49384,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,20.287176,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.496024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,63323-566-98,NDC,J1650,HCPCS,outpatient,0.6,ML,21.84,,10.92,13.104,21.1848,20.5296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,18.1272,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.66064,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,21.1848,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,19.2192,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,17.49384,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,20.287176,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.496024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0075-0621-01,NDC,J1650,HCPCS,outpatient,0.6,ML,20.27,,10.135,12.162,19.6619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,16.23627,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,18.828803,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.238297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0955-1006-01,NDC,J1650,HCPCS,outpatient,0.6,ML,20.27,,10.135,12.162,19.6619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,16.23627,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,18.828803,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.238297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0781-3256-03,NDC,J1650,HCPCS,outpatient,0.6,ML,21.18,,10.59,12.708,20.5446,19.9092,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,17.5794,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,20.03628,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.5446,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,18.6384,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,16.96518,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,19.674102,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.967298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,0781-3256-66,NDC,J1650,HCPCS,outpatient,0.6,ML,21.18,,10.59,12.708,20.5446,19.9092,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,17.5794,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,20.03628,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.5446,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,18.6384,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,16.96518,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,19.674102,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.967298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,25021-410-77,NDC,J1650,HCPCS,outpatient,0.6,ML,17.01,,8.505,10.206,16.4997,15.9894,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.1183,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,16.09146,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.4997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.9688,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,13.62501,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,15.800589,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.626711,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0075-0622-80,NDC,J1650,HCPCS,outpatient,0.8,ML,26.06,,13.03,15.636,25.2782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,20.87406,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,24.207134,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.876666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0955-1008-10,NDC,J1650,HCPCS,outpatient,0.8,ML,26.06,,13.03,15.636,25.2782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,20.87406,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,24.207134,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.876666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0703-8680-21,NDC,J1650,HCPCS,outpatient,0.8,ML,25.14,,12.57,15.084,24.3858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,20.13714,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,23.352546,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.139654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0703-8680-23,NDC,J1650,HCPCS,outpatient,0.8,ML,25.14,,12.57,15.084,24.3858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,20.13714,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,23.352546,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.139654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0075-0622-01,NDC,J1650,HCPCS,outpatient,0.8,ML,26.06,,13.03,15.636,25.2782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,20.87406,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,24.207134,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.876666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0955-1008-01,NDC,J1650,HCPCS,outpatient,0.8,ML,26.06,,13.03,15.636,25.2782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,20.87406,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,24.207134,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.876666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0781-3262-04,NDC,J1650,HCPCS,outpatient,0.8,ML,27.02,,13.51,16.212,26.2094,25.3988,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,22.4266,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,25.56092,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,26.2094,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,23.7776,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,21.64302,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,25.098878,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.645722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,0781-3262-68,NDC,J1650,HCPCS,outpatient,0.8,ML,27.02,,13.51,16.212,26.2094,25.3988,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,22.4266,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,25.56092,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,26.2094,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,23.7776,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,21.64302,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,25.098878,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.645722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,60505-0798-4,NDC,J1650,HCPCS,outpatient,150,ME,50.83,,25.415,30.498,49.3051,47.7802,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,42.1889,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,48.08518,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,49.3051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,44.7304,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,40.71483,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,47.215987,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.719913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [248788],0250,RC,14789-250-07,NDC,,,outpatient,10,ML,47.34,,23.67,28.404,45.9198,44.4996,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,39.2922,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,44.78364,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,45.9198,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,41.6592,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,37.91934,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,43.974126,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.924074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [248788],0250,RC,14789-250-10,NDC,,,outpatient,10,ML,47.34,,23.67,28.404,45.9198,44.4996,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,39.2922,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,44.78364,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,45.9198,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,41.6592,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,37.91934,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,43.974126,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.924074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [248788],0250,RC,42023-243-01,NDC,,,outpatient,10,ML,47.57,,23.785,28.542,46.1429,44.7158,,,,percent of total billed charges,,38.056,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,39.4831,,,,percent of total billed charges,,42.813,,,,percent of total billed charges,,43.7644,,,,percent of total billed charges,,43.7644,,,,percent of total billed charges,,45.00122,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,46.1429,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,41.8616,,,,percent of total billed charges,,42.813,,,,percent of total billed charges,,38.10357,,,,percent of total billed charges,,42.813,,,,percent of total billed charges,,28.542,,,,percent of total billed charges,,44.187773,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,38.056,,,,percent of total billed charges,,28.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.108327,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,42023-216-01,NDC,,,outpatient,1,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,42023-216-25,NDC,,,outpatient,1,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,0641-6238-01,NDC,,,outpatient,1,ML,41.36,,20.68,24.816,40.1192,38.8784,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,34.3288,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,39.12656,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,40.1192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,36.3968,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,33.12936,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,38.419304,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.133496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,0641-6238-25,NDC,,,outpatient,1,ML,41.36,,20.68,24.816,40.1192,38.8784,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,34.3288,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,39.12656,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,40.1192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,36.3968,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,33.12936,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,38.419304,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.133496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,51754-4200-1,NDC,,,outpatient,1,ML,38.88,,19.44,23.328,37.7136,36.5472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,32.2704,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,36.78048,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,37.7136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,34.2144,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,31.14288,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,36.115632,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.146768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,51754-4200-4,NDC,,,outpatient,1,ML,38.88,,19.44,23.328,37.7136,36.5472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,32.2704,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,36.78048,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,37.7136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,34.2144,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,31.14288,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,36.115632,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.146768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [89631],0637,RC,0065-0800-50,NDC,,,outpatient,500,ML,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,0409-4921-34,NDC,J0171,HCPCS,outpatient,10,ML,20.48,,10.24,12.288,19.8656,19.2512,,,,percent of total billed charges,,16.384,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,16.9984,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,18.8416,,,,percent of total billed charges,,18.8416,,,,percent of total billed charges,,19.37408,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,19.8656,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,18.0224,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,16.40448,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,12.288,,,,percent of total billed charges,,19.023872,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,16.384,,,,percent of total billed charges,,12.288,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.406528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,76329-3316-1,NDC,J0171,HCPCS,outpatient,10,ML,35.55,,17.775,21.33,34.4835,33.417,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,29.5065,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,33.6303,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,34.4835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,31.284,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,28.47555,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,33.022395,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.479105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,0409-4933-01,NDC,J0171,HCPCS,outpatient,10,ML,30.92,,15.46,18.552,29.9924,29.0648,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,25.6636,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,29.25032,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.9924,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,27.2096,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,24.76692,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,28.721588,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.770012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,0409-4933-11,NDC,J0171,HCPCS,outpatient,10,ML,30.92,,15.46,18.552,29.9924,29.0648,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,25.6636,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,29.25032,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.9924,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,27.2096,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,24.76692,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,28.721588,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.770012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,76329-3318-1,NDC,J0171,HCPCS,outpatient,10,ML,38.88,,19.44,23.328,37.7136,36.5472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,32.2704,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,36.78048,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,37.7136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,34.2144,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,31.14288,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,36.115632,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.146768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-01,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0250,RC,0338-0117-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],0636,RC,42023-168-01,NDC,J0171,HCPCS,outpatient,30,ML,703.08,,351.54,421.848,681.9876,660.8952,,,,percent of total billed charges,,562.464,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,583.5564,,,,percent of total billed charges,,632.772,,,,percent of total billed charges,,646.8336,,,,percent of total billed charges,,646.8336,,,,percent of total billed charges,,665.11368,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,681.9876,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,618.7104,,,,percent of total billed charges,,632.772,,,,percent of total billed charges,,563.16708,,,,percent of total billed charges,,632.772,,,,percent of total billed charges,,421.848,,,,percent of total billed charges,,653.091012,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,562.464,,,,percent of total billed charges,,421.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,563.237388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],0636,RC,76329-9060-0,NDC,J0171,HCPCS,outpatient,30,ML,1012.5,,506.25,607.5,982.125,951.75,,,,percent of total billed charges,,810,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,840.375,,,,percent of total billed charges,,911.25,,,,percent of total billed charges,,931.5,,,,percent of total billed charges,,931.5,,,,percent of total billed charges,,957.825,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,982.125,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,891,,,,percent of total billed charges,,911.25,,,,percent of total billed charges,,811.0125,,,,percent of total billed charges,,911.25,,,,percent of total billed charges,,607.5,,,,percent of total billed charges,,940.51125,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,810,,,,percent of total billed charges,,607.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,811.11375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],0636,RC,54288-152-01,NDC,J0171,HCPCS,outpatient,30,ML,746.55,,373.275,447.93,724.1535,701.757,,,,percent of total billed charges,,597.24,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,619.6365,,,,percent of total billed charges,,671.895,,,,percent of total billed charges,,686.826,,,,percent of total billed charges,,686.826,,,,percent of total billed charges,,706.2363,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,724.1535,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,656.964,,,,percent of total billed charges,,671.895,,,,percent of total billed charges,,597.98655,,,,percent of total billed charges,,671.895,,,,percent of total billed charges,,447.93,,,,percent of total billed charges,,693.470295,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,597.24,,,,percent of total billed charges,,447.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,598.061205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 16MG IN NS 250ML INFUSION - ANES [5000241],0636,RC,9995-0002-41,NDC,J0171,HCPCS,outpatient,250,ML,455.63,,227.815,273.378,441.9611,428.2922,,,,percent of total billed charges,,364.504,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,378.1729,,,,percent of total billed charges,,410.067,,,,percent of total billed charges,,419.1796,,,,percent of total billed charges,,419.1796,,,,percent of total billed charges,,431.02598,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,441.9611,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,400.9544,,,,percent of total billed charges,,410.067,,,,percent of total billed charges,,364.95963,,,,percent of total billed charges,,410.067,,,,percent of total billed charges,,273.378,,,,percent of total billed charges,,423.234707,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,364.504,,,,percent of total billed charges,,273.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,365.005193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,19,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,9,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [134219],0636,RC,54288-103-01,NDC,J0173,HCPCS,outpatient,1,ML,36.19,,18.095,21.714,35.1043,34.0186,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,30.0377,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,34.23574,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,35.1043,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,31.8472,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,28.98819,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,33.616891,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.991809,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [134219],0636,RC,54288-103-10,NDC,J0173,HCPCS,outpatient,1,ML,36.19,,18.095,21.714,35.1043,34.0186,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,30.0377,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,34.23574,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,35.1043,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,31.8472,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,28.98819,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,33.616891,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.991809,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE HCL 1 MG/10 ML (100 MCG/ML) IN 0.9% SODIUM CHLOR IV SYR [207594],0636,RC,71019-077-03,NDC,J0171,HCPCS,outpatient,10,ML,110.21,,55.105,66.126,106.9037,103.5974,,,,percent of total billed charges,,88.168,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,91.4743,,,,percent of total billed charges,,99.189,,,,percent of total billed charges,,101.3932,,,,percent of total billed charges,,101.3932,,,,percent of total billed charges,,104.25866,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,106.9037,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,96.9848,,,,percent of total billed charges,,99.189,,,,percent of total billed charges,,88.27821,,,,percent of total billed charges,,99.189,,,,percent of total billed charges,,66.126,,,,percent of total billed charges,,102.374069,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,88.168,,,,percent of total billed charges,,66.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.289231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,3000,ML,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [164673],0636,RC,0009-5091-01,NDC,J9178,HCPCS,outpatient,25,ML,135.12,,67.56,81.072,131.0664,127.0128,,,,percent of total billed charges,,108.096,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,112.1496,,,,percent of total billed charges,,121.608,,,,percent of total billed charges,,124.3104,,,,percent of total billed charges,,124.3104,,,,percent of total billed charges,,127.82352,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,131.0664,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,118.9056,,,,percent of total billed charges,,121.608,,,,percent of total billed charges,,108.23112,,,,percent of total billed charges,,121.608,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,125.512968,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,108.096,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.244632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [164673],0636,RC,66758-042-01,NDC,J9178,HCPCS,outpatient,25,ML,164.25,,82.125,98.55,159.3225,154.395,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,136.3275,,,,percent of total billed charges,,147.825,,,,percent of total billed charges,,151.11,,,,percent of total billed charges,,151.11,,,,percent of total billed charges,,155.3805,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,159.3225,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,144.54,,,,percent of total billed charges,,147.825,,,,percent of total billed charges,,131.56425,,,,percent of total billed charges,,147.825,,,,percent of total billed charges,,98.55,,,,percent of total billed charges,,152.571825,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,98.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,131.580675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPLERENONE 50 MG TABLET [86778],0637,RC,0025-1720-03,NDC,,,outpatient,1,EA,61.16,,30.58,36.696,59.3252,57.4904,,,,percent of total billed charges,,48.928,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,50.7628,,,,percent of total billed charges,,55.044,,,,percent of total billed charges,,56.2672,,,,percent of total billed charges,,56.2672,,,,percent of total billed charges,,57.85736,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,59.3252,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,53.8208,,,,percent of total billed charges,,55.044,,,,percent of total billed charges,,48.98916,,,,percent of total billed charges,,55.044,,,,percent of total billed charges,,36.696,,,,percent of total billed charges,,56.811524,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,48.928,,,,percent of total billed charges,,36.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.995276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPLERENONE 50 MG TABLET [86778],0637,RC,16729-294-10,NDC,,,outpatient,1,EA,1.44,,0.72,0.864,1.3968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.337616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.153584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 10,000 UNIT/ML INJECTION SOLUTION [1001902]",0636,RC,55513-144-01,NDC,Q4081,HCPCS,outpatient,1,ML,316.8,,158.4,190.08,307.296,297.792,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,262.944,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,299.6928,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.296,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,278.784,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,253.7568,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,294.27552,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.78848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 10,000 UNIT/ML INJECTION SOLUTION [1001902]",0636,RC,55513-144-10,NDC,Q4081,HCPCS,outpatient,1,ML,316.8,,158.4,190.08,307.296,297.792,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,262.944,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,299.6928,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.296,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,278.784,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,253.7568,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,294.27552,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,253.78848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 20,000 UNIT/ML INJECTION [1001904]",0636,RC,55513-478-01,NDC,Q4081,HCPCS,outpatient,1,ML,633.59,,316.795,380.154,614.5823,595.5746,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,525.8797,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,599.37614,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,614.5823,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,557.5592,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,507.50559,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,588.541751,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.568949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 20,000 UNIT/ML INJECTION [1001904]",0636,RC,55513-478-10,NDC,Q4081,HCPCS,outpatient,1,ML,633.59,,316.795,380.154,614.5823,595.5746,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,525.8797,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,599.37614,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,614.5823,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,557.5592,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,507.50559,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,588.541751,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.568949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 3,000 UNIT/ML INJECTION SOLUTION [1001906]",0636,RC,55513-267-01,NDC,Q4081,HCPCS,outpatient,1,ML,213.84,,106.92,128.304,207.4248,201.0096,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,177.4872,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,202.29264,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,207.4248,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,188.1792,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,171.28584,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,198.635976,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.307224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 3,000 UNIT/ML INJECTION SOLUTION [1001906]",0636,RC,55513-267-10,NDC,Q4081,HCPCS,outpatient,1,ML,213.84,,106.92,128.304,207.4248,201.0096,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,177.4872,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,202.29264,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,207.4248,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,188.1792,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,171.28584,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,198.635976,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.307224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 4,000 UNIT/ML INJECTION SOLUTION [1001907]",0636,RC,55513-148-01,NDC,Q4081,HCPCS,outpatient,1,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 4,000 UNIT/ML INJECTION SOLUTION [1001907]",0636,RC,55513-148-10,NDC,Q4081,HCPCS,outpatient,1,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [80193]",0636,RC,59676-340-01,NDC,Q4081,HCPCS,outpatient,1,ML,1114.11,,557.055,668.466,1080.6867,1047.2634,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,924.7113,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1053.94806,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1080.6867,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,980.4168,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,892.40211,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,1034.896779,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,892.513521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [80193]",0636,RC,59676-340-00,NDC,Q4081,HCPCS,outpatient,1,ML,1114.11,,557.055,668.466,1080.6867,1047.2634,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,924.7113,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1053.94806,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1080.6867,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,980.4168,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,892.40211,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,1034.896779,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,892.513521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [240147]",0636,RC,0069-1308-01,NDC,Q5105,HCPCS,outpatient,1,ML,178.56,,89.28,107.136,173.2032,167.8464,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,148.2048,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,168.91776,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,173.2032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,157.1328,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,143.02656,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,165.864384,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.044416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [240147]",0636,RC,0069-1308-10,NDC,Q5105,HCPCS,outpatient,1,ML,178.56,,89.28,107.136,173.2032,167.8464,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,148.2048,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,168.91776,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,173.2032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,157.1328,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,143.02656,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,165.864384,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.044416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [240144]",0636,RC,0069-1305-10,NDC,Q5105,HCPCS,outpatient,1,ML,35.71,,17.855,21.426,34.6387,33.5674,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,29.6393,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,33.78166,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,34.6387,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,31.4248,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,28.60371,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,33.171019,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.607281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION [251356]",0636,RC,0069-1318-10,NDC,Q5105,HCPCS,outpatient,2,ML,357.11,,178.555,214.266,346.3967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,286.04511,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,331.719479,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.080821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [251563]",0636,RC,0069-1311-01,NDC,Q5105,HCPCS,outpatient,1,ML,357.11,,178.555,214.266,346.3967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,286.04511,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,331.719479,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.080821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [251563]",0636,RC,0069-1311-10,NDC,Q5105,HCPCS,outpatient,1,ML,357.11,,178.555,214.266,346.3967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,286.04511,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,331.719479,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.080821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [251563]",0636,RC,0069-1311-01,NDC,Q5105,HCPCS,outpatient,20000,UN,357.11,,178.555,214.266,346.3967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,286.04511,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,331.719479,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,286.080821,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [240146]",0636,RC,0069-1307-01,NDC,Q5105,HCPCS,outpatient,1,ML,71.43,,35.715,42.858,69.2871,67.1442,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,59.2869,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,67.57278,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,69.2871,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,62.8584,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,57.21543,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,66.351327,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.222573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [240146]",0636,RC,0069-1307-10,NDC,Q5105,HCPCS,outpatient,1,ML,71.43,,35.715,42.858,69.2871,67.1442,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,59.2869,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,67.57278,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,69.2871,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,62.8584,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,57.21543,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,66.351327,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.222573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [240148]",0636,RC,0069-1309-01,NDC,Q5105,HCPCS,outpatient,1,ML,714.22,,357.11,428.532,692.7934,671.3668,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,592.8026,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,675.65212,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,692.7934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,628.5136,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,572.09022,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,663.438958,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,572.161642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [240148]",0636,RC,0069-1309-04,NDC,Q5105,HCPCS,outpatient,1,ML,714.22,,357.11,428.532,692.7934,671.3668,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,592.8026,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,675.65212,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,692.7934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,628.5136,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,572.09022,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,663.438958,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,572.161642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [240147]",0636,RC,0069-1308-10,NDC,Q5105,HCPCS,outpatient,10000,UN,178.56,,89.28,107.136,173.2032,167.8464,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,148.2048,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,168.91776,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,173.2032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,157.1328,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,143.02656,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,165.864384,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.044416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [240144]",0636,RC,0069-1305-10,NDC,Q5105,HCPCS,outpatient,2000,UN,35.71,,17.855,21.426,34.6387,33.5674,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,29.6393,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,33.78166,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,34.6387,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,31.4248,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,28.60371,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,33.171019,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.607281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [240148]",0636,RC,0069-1309-04,NDC,Q5105,HCPCS,outpatient,40000,UN,714.22,,357.11,428.532,692.7934,671.3668,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,592.8026,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,675.65212,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,692.7934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,628.5136,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,572.09022,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,663.438958,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,572.161642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [248004],0636,RC,67386-130-51,NDC,J3032,HCPCS,outpatient,1,ML,7954.79,,3977.395,4772.874,7716.1463,7477.5026,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6602.4757,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7525.23134,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7716.1463,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7000.2152,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,6371.78679,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,7389.204431,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6372.582269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [248004],0636,RC,67386-130-51,NDC,J3032,HCPCS,outpatient,100,ME,7954.79,,3977.395,4772.874,7716.1463,7477.5026,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6602.4757,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7525.23134,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7716.1463,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7000.2152,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,6371.78679,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,7389.204431,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6372.582269,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [81859]",0637,RC,69452-151-20,NDC,,,outpatient,1,EA,1.32,,0.66,0.792,1.2804,1.2408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.0956,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.24872,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.2804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.1616,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.05732,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,1.226148,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.057452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [202064],0636,RC,62856-389-01,NDC,J9179,HCPCS,outpatient,2,ML,6345,,3172.5,3807,6154.65,5964.3,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,5266.35,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,5837.4,,,,percent of total billed charges,,5837.4,,,,percent of total billed charges,,6002.37,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,6154.65,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,5583.6,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,5082.345,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,3807,,,,percent of total billed charges,,5893.8705,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,3807,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5082.9795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,42023-221-10,NDC,J1335,HCPCS,outpatient,1000,ME,96.05,,48.025,57.63,93.1685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,76.93605,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,89.220845,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.945655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,42023-221-10,NDC,J1335,HCPCS,outpatient,1014,ME,97.39,,48.695,58.434,94.4683,91.5466,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,80.8337,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,92.13094,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,94.4683,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,85.7032,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,78.00939,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,90.465571,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.019129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,0006-3843-71,NDC,J1335,HCPCS,outpatient,1,EA,529.28,,264.64,317.568,513.4016,497.5232,,,,percent of total billed charges,,423.424,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,439.3024,,,,percent of total billed charges,,476.352,,,,percent of total billed charges,,486.9376,,,,percent of total billed charges,,486.9376,,,,percent of total billed charges,,500.69888,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,513.4016,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,465.7664,,,,percent of total billed charges,,476.352,,,,percent of total billed charges,,423.95328,,,,percent of total billed charges,,476.352,,,,percent of total billed charges,,317.568,,,,percent of total billed charges,,491.648192,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,423.424,,,,percent of total billed charges,,317.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,424.006208,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,42023-221-10,NDC,J1335,HCPCS,outpatient,1,EA,96.05,,48.025,57.63,93.1685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,76.93605,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,89.220845,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.945655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,42023-221-01,NDC,J1335,HCPCS,outpatient,1,EA,96.05,,48.025,57.63,93.1685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,76.93605,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,89.220845,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.945655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,63323-823-01,NDC,J1335,HCPCS,outpatient,1,EA,306.02,,153.01,183.612,296.8394,287.6588,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,253.9966,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,289.49492,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,296.8394,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,269.2976,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,245.12202,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,284.261978,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.152622,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,63323-823-20,NDC,J1335,HCPCS,outpatient,1,EA,306.02,,153.01,183.612,296.8394,287.6588,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,253.9966,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,289.49492,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,296.8394,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,269.2976,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,245.12202,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,284.261978,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.152622,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,43598-901-11,NDC,J1335,HCPCS,outpatient,1,EA,101.34,,50.67,60.804,98.2998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,81.17334,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,94.134726,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.183474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,43598-901-58,NDC,J1335,HCPCS,outpatient,1,EA,101.34,,50.67,60.804,98.2998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,81.17334,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,94.134726,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.183474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,0143-9398-01,NDC,J1335,HCPCS,outpatient,1,EA,101.34,,50.67,60.804,98.2998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,81.17334,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,94.134726,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.183474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,0143-9398-10,NDC,J1335,HCPCS,outpatient,1,EA,101.34,,50.67,60.804,98.2998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,81.17334,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,94.134726,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.183474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,16714-889-01,NDC,J1335,HCPCS,outpatient,1,EA,130.6,,65.3,78.36,126.682,122.764,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,108.398,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,123.5476,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,126.682,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,114.928,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,104.6106,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,121.31434,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.62366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,16714-889-10,NDC,J1335,HCPCS,outpatient,1,EA,130.6,,65.3,78.36,126.682,122.764,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,108.398,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,123.5476,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,126.682,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,114.928,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,104.6106,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,121.31434,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.62366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,42023-221-10,NDC,J1335,HCPCS,outpatient,1000,ME,96.05,,48.025,57.63,93.1685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,76.93605,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,89.220845,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.945655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,42023-221-10,NDC,J1335,HCPCS,outpatient,1000,ME,96.05,,48.025,57.63,93.1685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,76.93605,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,89.220845,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.945655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,42023-221-10,NDC,J1335,HCPCS,outpatient,1014,ME,97.39,,48.695,58.434,94.4683,91.5466,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,80.8337,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,92.13094,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,94.4683,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,85.7032,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,78.00939,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,90.465571,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.019129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,24208-910-19,NDC,,,outpatient,1,GR,31.37,,15.685,18.822,30.4289,29.4878,,,,percent of total billed charges,,25.096,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,26.0371,,,,percent of total billed charges,,28.233,,,,percent of total billed charges,,28.8604,,,,percent of total billed charges,,28.8604,,,,percent of total billed charges,,29.67602,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,30.4289,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,27.6056,,,,percent of total billed charges,,28.233,,,,percent of total billed charges,,25.12737,,,,percent of total billed charges,,28.233,,,,percent of total billed charges,,18.822,,,,percent of total billed charges,,29.139593,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,25.096,,,,percent of total billed charges,,18.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.130507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,17478-070-31,NDC,,,outpatient,1,GR,16.05,,8.025,9.63,15.5685,15.087,,,,percent of total billed charges,,12.84,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,13.3215,,,,percent of total billed charges,,14.445,,,,percent of total billed charges,,14.766,,,,percent of total billed charges,,14.766,,,,percent of total billed charges,,15.1833,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,15.5685,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,14.124,,,,percent of total billed charges,,14.445,,,,percent of total billed charges,,12.85605,,,,percent of total billed charges,,14.445,,,,percent of total billed charges,,9.63,,,,percent of total billed charges,,14.908845,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,12.84,,,,percent of total billed charges,,9.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.857655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,0574-4024-11,NDC,,,outpatient,1,GR,24.34,,12.17,14.604,23.6098,22.8796,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,20.2022,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,23.02564,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.6098,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,21.4192,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,19.49634,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,22.609426,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.498774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,0574-4024-50,NDC,,,outpatient,1,GR,24.34,,12.17,14.604,23.6098,22.8796,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,20.2022,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,23.02564,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.6098,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,21.4192,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,19.49634,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,22.609426,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.498774,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,0456-2010-01,NDC,,,outpatient,1,EA,60.57,,30.285,36.342,58.7529,56.9358,,,,percent of total billed charges,,48.456,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,50.2731,,,,percent of total billed charges,,54.513,,,,percent of total billed charges,,55.7244,,,,percent of total billed charges,,55.7244,,,,percent of total billed charges,,57.29922,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,58.7529,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,53.3016,,,,percent of total billed charges,,54.513,,,,percent of total billed charges,,48.51657,,,,percent of total billed charges,,54.513,,,,percent of total billed charges,,36.342,,,,percent of total billed charges,,56.263473,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,48.456,,,,percent of total billed charges,,36.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.522627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,68084-617-01,NDC,,,outpatient,1,EA,1.04,,0.52,0.624,1.0088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.83304,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.966056,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.833144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,68084-617-11,NDC,,,outpatient,1,EA,1.04,,0.52,0.624,1.0088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.83304,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.966056,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.833144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,0904-6426-61,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,68001-455-00,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],0250,RC,10019-120-01,NDC,J1805,HCPCS,outpatient,10,ML,48.83,,24.415,29.298,47.3651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,39.11283,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,45.358187,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.117713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],0250,RC,10019-120-39,NDC,J1805,HCPCS,outpatient,10,ML,48.83,,24.415,29.298,47.3651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,39.11283,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,45.358187,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.117713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],0250,RC,55150-194-10,NDC,J1805,HCPCS,outpatient,10,ML,9.05,,4.525,5.43,8.7785,8.507,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.5115,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.5613,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.7785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.964,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,7.24905,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,8.406545,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.249955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN STERILE WATER INTRAVENOUS SOLN [239188]",0250,RC,44567-811-10,NDC,J1806,HCPCS,outpatient,250,ML,417.38,,208.69,250.428,404.8586,392.3372,,,,percent of total billed charges,,333.904,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,346.4254,,,,percent of total billed charges,,375.642,,,,percent of total billed charges,,383.9896,,,,percent of total billed charges,,383.9896,,,,percent of total billed charges,,394.84148,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,404.8586,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,367.2944,,,,percent of total billed charges,,375.642,,,,percent of total billed charges,,334.32138,,,,percent of total billed charges,,375.642,,,,percent of total billed charges,,250.428,,,,percent of total billed charges,,387.704282,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,333.904,,,,percent of total billed charges,,250.428,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.363118,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,10019-055-61,NDC,J1805,HCPCS,outpatient,250,ML,408.38,,204.19,245.028,396.1286,383.8772,,,,percent of total billed charges,,326.704,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,338.9554,,,,percent of total billed charges,,367.542,,,,percent of total billed charges,,375.7096,,,,percent of total billed charges,,375.7096,,,,percent of total billed charges,,386.32748,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,396.1286,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,359.3744,,,,percent of total billed charges,,367.542,,,,percent of total billed charges,,327.11238,,,,percent of total billed charges,,367.542,,,,percent of total billed charges,,245.028,,,,percent of total billed charges,,379.344182,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,326.704,,,,percent of total billed charges,,245.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.153218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,67457-657-25,NDC,J1805,HCPCS,outpatient,250,ML,412.88,,206.44,247.728,400.4936,388.1072,,,,percent of total billed charges,,330.304,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,342.6904,,,,percent of total billed charges,,371.592,,,,percent of total billed charges,,379.8496,,,,percent of total billed charges,,379.8496,,,,percent of total billed charges,,390.58448,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,400.4936,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,363.3344,,,,percent of total billed charges,,371.592,,,,percent of total billed charges,,330.71688,,,,percent of total billed charges,,371.592,,,,percent of total billed charges,,247.728,,,,percent of total billed charges,,383.524232,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,330.304,,,,percent of total billed charges,,247.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,330.758168,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,25021-308-84,NDC,J1805,HCPCS,outpatient,250,ML,372.38,,186.19,223.428,361.2086,350.0372,,,,percent of total billed charges,,297.904,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,309.0754,,,,percent of total billed charges,,335.142,,,,percent of total billed charges,,342.5896,,,,percent of total billed charges,,342.5896,,,,percent of total billed charges,,352.27148,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,361.2086,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,327.6944,,,,percent of total billed charges,,335.142,,,,percent of total billed charges,,298.27638,,,,percent of total billed charges,,335.142,,,,percent of total billed charges,,223.428,,,,percent of total billed charges,,345.903782,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,297.904,,,,percent of total billed charges,,223.428,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,298.313618,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,44567-450-01,NDC,J1805,HCPCS,outpatient,250,ML,418.5,,209.25,251.1,405.945,393.39,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,347.355,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,395.901,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,405.945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,368.28,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,335.2185,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,388.74465,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.26035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,44567-450-10,NDC,J1805,HCPCS,outpatient,250,ML,418.5,,209.25,251.1,405.945,393.39,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,347.355,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,395.901,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,405.945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,368.28,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,335.2185,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,388.74465,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.26035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESTRADIOL 1 MG TABLET [9967],0637,RC,0555-0886-02,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESTRADIOL 1 MG TABLET [9967],0637,RC,42806-088-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [135076],0636,RC,58406-010-01,NDC,J1438,HCPCS,outpatient,0.5,ML,4017.81,,2008.905,2410.686,3897.2757,3776.7414,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3334.7823,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3800.84826,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3897.2757,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3535.6728,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,3218.26581,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,3732.143709,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3218.667591,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [135076],0636,RC,58406-010-04,NDC,J1438,HCPCS,outpatient,0.5,ML,4017.81,,2008.905,2410.686,3897.2757,3776.7414,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3334.7823,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3800.84826,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3897.2757,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3535.6728,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,3218.26581,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,3732.143709,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3218.667591,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLUTION [232230],0636,RC,60923-363-02,NDC,J1428,HCPCS,outpatient,2,ML,7200,,3600,4320,6984,6768,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5976,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6811.2,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6984,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6336,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,5767.2,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,6688.08,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5767.92,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLUTION [232230],0636,RC,60923-363-02,NDC,J1428,HCPCS,outpatient,2028,ME,113568,,56784,68140.8,110160.96,106753.92,,,,percent of total billed charges,,90854.4,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,94261.44,,,,percent of total billed charges,,102211.2,,,,percent of total billed charges,,104482.56,,,,percent of total billed charges,,104482.56,,,,percent of total billed charges,,107435.328,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,110160.96,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,99939.84,,,,percent of total billed charges,,102211.2,,,,percent of total billed charges,,90967.968,,,,percent of total billed charges,,102211.2,,,,percent of total billed charges,,68140.8,,,,percent of total billed charges,,105493.3152,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,90854.4,,,,percent of total billed charges,,68140.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90979.3248,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [78003],0250,RC,25010-210-27,NDC,,,outpatient,1,EA,20740.37,,10370.185,12444.222,20118.1589,19495.9478,,,,percent of total billed charges,,16592.296,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,17214.5071,,,,percent of total billed charges,,18666.333,,,,percent of total billed charges,,19081.1404,,,,percent of total billed charges,,19081.1404,,,,percent of total billed charges,,19620.39002,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,20118.1589,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,18251.5256,,,,percent of total billed charges,,18666.333,,,,percent of total billed charges,,16613.03637,,,,percent of total billed charges,,18666.333,,,,percent of total billed charges,,12444.222,,,,percent of total billed charges,,19265.72969,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,16592.296,,,,percent of total billed charges,,12444.222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16615.11041,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [78003],0250,RC,42023-157-01,NDC,,,outpatient,1,EA,2535.35,,1267.675,1521.21,2459.2895,2383.229,,,,percent of total billed charges,,2028.28,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2104.3405,,,,percent of total billed charges,,2281.815,,,,percent of total billed charges,,2332.522,,,,percent of total billed charges,,2332.522,,,,percent of total billed charges,,2398.4411,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2459.2895,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2231.108,,,,percent of total billed charges,,2281.815,,,,percent of total billed charges,,2030.81535,,,,percent of total billed charges,,2281.815,,,,percent of total billed charges,,1521.21,,,,percent of total billed charges,,2355.086615,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2028.28,,,,percent of total billed charges,,1521.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2031.068885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [78003],0250,RC,69315-701-50,NDC,,,outpatient,1,EA,8550,,4275,5130,8293.5,8037,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7096.5,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,8088.3,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8293.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7524,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,6848.55,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,7942.095,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6849.405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNIC ACID 25 MG TABLET [78390],0637,RC,25010-215-15,NDC,,,outpatient,1,EA,101.1,,50.55,60.66,98.067,95.034,,,,percent of total billed charges,,80.88,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,83.913,,,,percent of total billed charges,,90.99,,,,percent of total billed charges,,93.012,,,,percent of total billed charges,,93.012,,,,percent of total billed charges,,95.6406,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,98.067,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,88.968,,,,percent of total billed charges,,90.99,,,,percent of total billed charges,,80.9811,,,,percent of total billed charges,,90.99,,,,percent of total billed charges,,60.66,,,,percent of total billed charges,,93.91179,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,80.88,,,,percent of total billed charges,,60.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.99121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNIC ACID 25 MG TABLET [78390],0637,RC,42799-405-01,NDC,,,outpatient,1,EA,5.07,,2.535,3.042,4.9179,4.7658,,,,percent of total billed charges,,4.056,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.2081,,,,percent of total billed charges,,4.563,,,,percent of total billed charges,,4.6644,,,,percent of total billed charges,,4.6644,,,,percent of total billed charges,,4.79622,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.9179,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.4616,,,,percent of total billed charges,,4.563,,,,percent of total billed charges,,4.06107,,,,percent of total billed charges,,4.563,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,4.709523,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.056,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.061577,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNIC ACID 25 MG TABLET [78390],0637,RC,68682-011-10,NDC,,,outpatient,1,EA,9.31,,4.655,5.586,9.0307,8.7514,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.7273,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.80726,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,9.0307,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.1928,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.45731,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,8.648059,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.458241,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHAMBUTOL 400 MG TABLET [9983],0637,RC,68850-012-02,NDC,,,outpatient,1,EA,3.23,,1.615,1.938,3.1331,3.0362,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,2.6809,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9716,,,,percent of total billed charges,,2.9716,,,,percent of total billed charges,,3.05558,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,3.1331,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,2.8424,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.58723,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,3.000347,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.587553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHAMBUTOL 400 MG TABLET [9983],0637,RC,68084-280-01,NDC,,,outpatient,1,EA,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHAMBUTOL 400 MG TABLET [9983],0637,RC,68084-280-11,NDC,,,outpatient,1,EA,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION [257],0250,RC,17478-503-05,NDC,,,outpatient,5,ML,474.33,,237.165,284.598,460.1001,445.8702,,,,percent of total billed charges,,379.464,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,393.6939,,,,percent of total billed charges,,426.897,,,,percent of total billed charges,,436.3836,,,,percent of total billed charges,,436.3836,,,,percent of total billed charges,,448.71618,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,460.1001,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,417.4104,,,,percent of total billed charges,,426.897,,,,percent of total billed charges,,379.93833,,,,percent of total billed charges,,426.897,,,,percent of total billed charges,,284.598,,,,percent of total billed charges,,440.605137,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,379.464,,,,percent of total billed charges,,284.598,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,379.985763,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHYL ALCOHOL 62 % (NOZIN NASAL SANITIZER) NASAL SOLUTION - BULK BOTTLE [1000975],0637,RC,5692-3001-17,NDC,,,outpatient,12,ML,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [240824],0250,RC,54288-105-02,NDC,,,outpatient,5,ML,3391.47,,1695.735,2034.882,3289.7259,3187.9818,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2814.9201,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3208.33062,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3289.7259,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2984.4936,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2716.56747,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,3150.336483,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2716.906617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [240824],0250,RC,54288-105-15,NDC,,,outpatient,5,ML,3391.47,,1695.735,2034.882,3289.7259,3187.9818,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2814.9201,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3208.33062,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3289.7259,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2984.4936,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2716.56747,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,3150.336483,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2716.906617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,0409-6695-01,NDC,,,outpatient,10,ML,22.91,,11.455,13.746,22.2227,21.5354,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,19.0153,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.67286,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,22.2227,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,20.1608,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,18.35091,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,21.281099,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.353201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,0143-9506-01,NDC,,,outpatient,10,ML,25.61,,12.805,15.366,24.8417,24.0734,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,21.2563,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,24.22706,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.8417,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,22.5368,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,20.51361,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,23.789129,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.516171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,0143-9506-10,NDC,,,outpatient,10,ML,25.61,,12.805,15.366,24.8417,24.0734,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,21.2563,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,24.22706,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.8417,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,22.5368,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,20.51361,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,23.789129,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.516171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,55150-221-10,NDC,,,outpatient,10,ML,10.85,,5.425,6.51,10.5245,10.199,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.0055,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,10.2641,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.5245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.548,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,8.69085,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,10.078565,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.691935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,0409-6695-11,NDC,,,outpatient,10,ML,22.91,,11.455,13.746,22.2227,21.5354,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,19.0153,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.67286,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,22.2227,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,20.1608,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,18.35091,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,21.281099,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.353201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,72266-146-01,NDC,,,outpatient,10,ML,11.97,,5.985,7.182,11.6109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.58797,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,11.118933,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.589167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,72266-146-10,NDC,,,outpatient,10,ML,11.97,,5.985,7.182,11.6109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.58797,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,11.118933,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.589167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,65219-445-01,NDC,,,outpatient,10,ML,11.03,,5.515,6.618,10.6991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,8.83503,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,10.245767,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.836133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,65219-445-10,NDC,,,outpatient,10,ML,11.03,,5.515,6.618,10.6991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,8.83503,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,10.245767,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.836133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETONOGESTREL 68 MG SUBDERMAL IMPLANT [101933],0636,RC,78206-145-01,NDC,J7307,HCPCS,outpatient,1,EA,4206.69,,2103.345,2524.014,4080.4893,3954.2886,,,,percent of total billed charges,,3365.352,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3491.5527,,,,percent of total billed charges,,3786.021,,,,percent of total billed charges,,3870.1548,,,,percent of total billed charges,,3870.1548,,,,percent of total billed charges,,3979.52874,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,4080.4893,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3701.8872,,,,percent of total billed charges,,3786.021,,,,percent of total billed charges,,3369.55869,,,,percent of total billed charges,,3786.021,,,,percent of total billed charges,,2524.014,,,,percent of total billed charges,,3907.594341,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3365.352,,,,percent of total billed charges,,2524.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3369.979359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,63323-104-25,NDC,J9181,HCPCS,outpatient,25,ML,166.28,,83.14,99.768,161.2916,156.3032,,,,percent of total billed charges,,133.024,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,138.0124,,,,percent of total billed charges,,149.652,,,,percent of total billed charges,,152.9776,,,,percent of total billed charges,,152.9776,,,,percent of total billed charges,,157.30088,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,161.2916,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,146.3264,,,,percent of total billed charges,,149.652,,,,percent of total billed charges,,133.19028,,,,percent of total billed charges,,149.652,,,,percent of total billed charges,,99.768,,,,percent of total billed charges,,154.457492,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,133.024,,,,percent of total billed charges,,99.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.206908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,16729-114-31,NDC,J9181,HCPCS,outpatient,5,ML,41.72,,20.86,25.032,40.4684,39.2168,,,,percent of total billed charges,,33.376,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,34.6276,,,,percent of total billed charges,,37.548,,,,percent of total billed charges,,38.3824,,,,percent of total billed charges,,38.3824,,,,percent of total billed charges,,39.46712,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,40.4684,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,36.7136,,,,percent of total billed charges,,37.548,,,,percent of total billed charges,,33.41772,,,,percent of total billed charges,,37.548,,,,percent of total billed charges,,25.032,,,,percent of total billed charges,,38.753708,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,33.376,,,,percent of total billed charges,,25.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.421892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,68001-265-22,NDC,J9181,HCPCS,outpatient,5,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,68001-265-25,NDC,J9181,HCPCS,outpatient,5,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,16729-114-08,NDC,J9181,HCPCS,outpatient,25,ML,208.69,,104.345,125.214,202.4293,196.1686,,,,percent of total billed charges,,166.952,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,173.2127,,,,percent of total billed charges,,187.821,,,,percent of total billed charges,,191.9948,,,,percent of total billed charges,,191.9948,,,,percent of total billed charges,,197.42074,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,202.4293,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,183.6472,,,,percent of total billed charges,,187.821,,,,percent of total billed charges,,167.16069,,,,percent of total billed charges,,187.821,,,,percent of total billed charges,,125.214,,,,percent of total billed charges,,193.852141,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,166.952,,,,percent of total billed charges,,125.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.181559,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,0781-5690-31,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,59651-052-90,NDC,,,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,67877-490-90,NDC,,,outpatient,1,EA,1.21,,0.605,0.726,1.1737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.96921,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.123969,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.969331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,60687-373-11,NDC,,,outpatient,1,EA,29.21,,14.605,17.526,28.3337,27.4574,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,24.2443,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,27.63266,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,28.3337,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,25.7048,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,23.39721,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,27.133169,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.400131,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,60687-373-21,NDC,,,outpatient,1,EA,29.21,,14.605,17.526,28.3337,27.4574,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,24.2443,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,27.63266,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,28.3337,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,25.7048,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,23.39721,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,27.133169,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.400131,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,68462-226-90,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [247358],0636,RC,65597-406-01,NDC,J9358,HCPCS,outpatient,1,EA,12158.42,,6079.21,7295.052,11793.6674,11428.9148,,,,percent of total billed charges,,9726.736,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,10091.4886,,,,percent of total billed charges,,10942.578,,,,percent of total billed charges,,11185.7464,,,,percent of total billed charges,,11185.7464,,,,percent of total billed charges,,11501.86532,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,11793.6674,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,10699.4096,,,,percent of total billed charges,,10942.578,,,,percent of total billed charges,,9738.89442,,,,percent of total billed charges,,10942.578,,,,percent of total billed charges,,7295.052,,,,percent of total billed charges,,11293.95634,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,9726.736,,,,percent of total billed charges,,7295.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9740.110262,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [247358],0636,RC,65597-406-01,NDC,J9358,HCPCS,outpatient,365.04,ME,39451.63,,19725.815,23670.978,38268.0811,37084.5322,,,,percent of total billed charges,,31561.304,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,32744.8529,,,,percent of total billed charges,,35506.467,,,,percent of total billed charges,,36295.4996,,,,percent of total billed charges,,36295.4996,,,,percent of total billed charges,,37321.24198,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,38268.0811,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,34717.4344,,,,percent of total billed charges,,35506.467,,,,percent of total billed charges,,31600.75563,,,,percent of total billed charges,,35506.467,,,,percent of total billed charges,,23670.978,,,,percent of total billed charges,,36646.61911,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,31561.304,,,,percent of total billed charges,,23670.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31604.70079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,63323-739-12,NDC,,,outpatient,2,ML,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,0641-6022-01,NDC,,,outpatient,2,ML,2.98,,1.49,1.788,2.8906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.38698,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,2.768122,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.387278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,0641-6022-25,NDC,,,outpatient,2,ML,2.98,,1.49,1.788,2.8906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.38698,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,2.768122,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.387278,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,67457-433-00,NDC,,,outpatient,2,ML,2.18,,1.09,1.308,2.1146,2.0492,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.8094,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.06228,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.1146,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.9184,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.74618,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,2.025002,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.746398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,67457-433-22,NDC,,,outpatient,2,ML,2.18,,1.09,1.308,2.1146,2.0492,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.8094,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.06228,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.1146,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.9184,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.74618,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,2.025002,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.746398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,63323-739-16,NDC,,,outpatient,2,ML,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,63323-739-11,NDC,,,outpatient,2,ML,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,63323-739-41,NDC,,,outpatient,2,ML,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,51079-966-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,51079-966-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,50268-303-15,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,63739-645-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,50268-303-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,60687-595-01,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,60687-595-11,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,0904-7193-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,50268-299-11,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,50268-299-15,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,0904-7193-06,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG/10 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE [94020],0250,RC,9999-9940-20,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,68382-444-05,NDC,,,outpatient,50,ML,53.78,,26.89,32.268,52.1666,50.5532,,,,percent of total billed charges,,43.024,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,44.6374,,,,percent of total billed charges,,48.402,,,,percent of total billed charges,,49.4776,,,,percent of total billed charges,,49.4776,,,,percent of total billed charges,,50.87588,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,52.1666,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,47.3264,,,,percent of total billed charges,,48.402,,,,percent of total billed charges,,43.07778,,,,percent of total billed charges,,48.402,,,,percent of total billed charges,,32.268,,,,percent of total billed charges,,49.956242,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,43.024,,,,percent of total billed charges,,32.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.083158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,68180-150-01,NDC,,,outpatient,50,ML,236.48,,118.24,141.888,229.3856,222.2912,,,,percent of total billed charges,,189.184,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,196.2784,,,,percent of total billed charges,,212.832,,,,percent of total billed charges,,217.5616,,,,percent of total billed charges,,217.5616,,,,percent of total billed charges,,223.71008,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,229.3856,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,208.1024,,,,percent of total billed charges,,212.832,,,,percent of total billed charges,,189.42048,,,,percent of total billed charges,,212.832,,,,percent of total billed charges,,141.888,,,,percent of total billed charges,,219.666272,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,189.184,,,,percent of total billed charges,,141.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.444128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,9999-0819-04,NDC,,,outpatient,1,ML,4.73,,2.365,2.838,4.5881,4.4462,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.47458,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.1624,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,3.78873,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,4.393697,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.789203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,70954-316-10,NDC,,,outpatient,50,ML,118.35,,59.175,71.01,114.7995,111.249,,,,percent of total billed charges,,94.68,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,98.2305,,,,percent of total billed charges,,106.515,,,,percent of total billed charges,,108.882,,,,percent of total billed charges,,108.882,,,,percent of total billed charges,,111.9591,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,114.7995,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,104.148,,,,percent of total billed charges,,106.515,,,,percent of total billed charges,,94.79835,,,,percent of total billed charges,,106.515,,,,percent of total billed charges,,71.01,,,,percent of total billed charges,,109.935315,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,94.68,,,,percent of total billed charges,,71.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,94.810185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,31722-063-31,NDC,,,outpatient,50,ML,99,,49.5,59.4,96.03,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,79.299,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,91.9611,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.3089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FAT EMULSION 20 % IV (SCHEDULED, NO OVERFILL) [7000179]",0250,RC,0338-0519-09,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FAT EMULSION 20 % IV (SCHEDULED, NO OVERFILL) [7000179]",0250,RC,0338-0519-13,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION 20 % IV - LOCAL ANESTHETIC SYTEMIC TOXICITY INFUSION [1001375],0250,RC,0338-0519-09,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION 20 % IV - LOCAL ANESTHETIC SYTEMIC TOXICITY INFUSION [1001375],0250,RC,0338-0519-13,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS [245663],0250,RC,0338-9540-02,NDC,,,outpatient,250,ML,42.75,,21.375,25.65,41.4675,40.185,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,35.4825,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,41.4675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,34.24275,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,39.710475,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.247025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS [245663],0250,RC,0338-9540-06,NDC,,,outpatient,250,ML,42.75,,21.375,25.65,41.4675,40.185,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,35.4825,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,41.4675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,34.24275,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,39.710475,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.247025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [231638],0250,RC,63323-820-00,NDC,,,outpatient,100,ML,84.15,,42.075,50.49,81.6255,79.101,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,69.8445,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,79.6059,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,81.6255,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,74.052,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,67.40415,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,78.166935,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.412565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [231638],0250,RC,63323-820-01,NDC,,,outpatient,100,ML,84.15,,42.075,50.49,81.6255,79.101,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,69.8445,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,79.6059,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,81.6255,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,74.052,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,67.40415,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,78.166935,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.412565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,68462-234-01,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,13668-133-01,NDC,,,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,0603-3582-21,NDC,,,outpatient,1,EA,1.36,,0.68,0.816,1.3192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.08936,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.263304,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.089496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,57237-109-01,NDC,,,outpatient,1,EA,2.45,,1.225,1.47,2.3765,2.303,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.0335,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.3177,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.156,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.96245,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,2.275805,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.962695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [101895],0637,RC,0378-3066-77,NDC,,,outpatient,1,EA,2.43,,1.215,1.458,2.3571,2.2842,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.0169,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.29878,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3571,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.1384,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.94643,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.257227,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.946673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [101895],0637,RC,51079-608-01,NDC,,,outpatient,1,EA,12.31,,6.155,7.386,11.9407,11.5714,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.2173,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.64526,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.9407,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.8328,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,9.86031,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,11.434759,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.861541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [101895],0637,RC,51079-608-20,NDC,,,outpatient,1,EA,12.31,,6.155,7.386,11.9407,11.5714,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.2173,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.64526,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.9407,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.8328,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,9.86031,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,11.434759,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.861541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,0378-3065-77,NDC,,,outpatient,1,EA,1.19,,0.595,0.714,1.1543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.95319,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.105391,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.953309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,69097-459-05,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,68180-388-09,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,60687-618-11,NDC,,,outpatient,1,EA,5.54,,2.77,3.324,5.3738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,4.43754,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.146106,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.438094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,60687-618-21,NDC,,,outpatient,1,EA,5.54,,2.77,3.324,5.3738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,4.43754,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.146106,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.438094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,50268-338-11,NDC,,,outpatient,1,EA,5.06,,2.53,3.036,4.9082,4.7564,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.1998,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.78676,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.9082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.05306,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,4.700234,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.053566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,50268-338-12,NDC,,,outpatient,1,EA,5.06,,2.53,3.036,4.9082,4.7564,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.1998,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.78676,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.9082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.05306,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,4.700234,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.053566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 10 MCG/ML IN NS INTRAVENOUS SYRINGE [1000342],0250,RC,99910-003-42,NDC,,,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-31,NDC,J3010,HCPCS,outpatient,20,ML,32.13,,16.065,19.278,31.1661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,25.73613,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,29.845557,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.739343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9093-35,NDC,J3010,HCPCS,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-22,NDC,J3010,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-25,NDC,J3010,HCPCS,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-61,NDC,J3010,HCPCS,outpatient,50,ML,40.28,,20.14,24.168,39.0716,37.8632,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,33.4324,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,38.10488,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,39.0716,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,35.4464,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,32.26428,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,37.416092,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.268308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-28,NDC,J3010,HCPCS,outpatient,10,ML,14.76,,7.38,8.856,14.3172,13.8744,,,,percent of total billed charges,,11.808,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,12.2508,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,13.5792,,,,percent of total billed charges,,13.5792,,,,percent of total billed charges,,13.96296,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,14.3172,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,12.9888,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,11.82276,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,13.710564,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,11.808,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.824236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0641-6027-01,NDC,J3010,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0641-6027-25,NDC,J3010,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0641-6030-01,NDC,J3010,HCPCS,outpatient,50,ML,68.18,,34.09,40.908,66.1346,64.0892,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,56.5894,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,64.49828,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,66.1346,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,59.9984,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,54.61218,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,63.332402,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.618998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,9999-9930-37,NDC,J3010,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-12,NDC,J3010,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-41,NDC,J3010,HCPCS,outpatient,50,ML,40.28,,20.14,24.168,39.0716,37.8632,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,33.4324,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,38.10488,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,39.0716,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,35.4464,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,32.26428,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,37.416092,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.268308,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-18,NDC,J3010,HCPCS,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9094-16,NDC,J3010,HCPCS,outpatient,20,ML,32.13,,16.065,19.278,31.1661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,25.73613,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,29.845557,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.739343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0409-9093-45,NDC,J3010,HCPCS,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,63323-806-01,NDC,J3010,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,63323-806-02,NDC,J3010,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,63323-806-11,NDC,J3010,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,63323-806-12,NDC,J3010,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,63323-806-50,NDC,J3010,HCPCS,outpatient,50,ML,29.93,,14.965,17.958,29.0321,28.1342,,,,percent of total billed charges,,23.944,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,24.8419,,,,percent of total billed charges,,26.937,,,,percent of total billed charges,,27.5356,,,,percent of total billed charges,,27.5356,,,,percent of total billed charges,,28.31378,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,29.0321,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,26.3384,,,,percent of total billed charges,,26.937,,,,percent of total billed charges,,23.97393,,,,percent of total billed charges,,26.937,,,,percent of total billed charges,,17.958,,,,percent of total billed charges,,27.801977,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,23.944,,,,percent of total billed charges,,17.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.976923,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0641-6247-25,NDC,J3010,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,0641-6247-01,NDC,J3010,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,0378-9124-98,NDC,,,outpatient,1,EA,140.94,,70.47,84.564,136.7118,132.4836,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,116.9802,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,133.32924,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,136.7118,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,124.0272,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,112.89294,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,130.919166,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.907034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,0378-9124-16,NDC,,,outpatient,1,EA,140.94,,70.47,84.564,136.7118,132.4836,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,116.9802,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,133.32924,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,136.7118,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,124.0272,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,112.89294,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,130.919166,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.907034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,47781-428-11,NDC,,,outpatient,1,EA,92.9,,46.45,55.74,90.113,87.326,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,77.107,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,87.8834,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,90.113,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,81.752,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,74.4129,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,86.29481,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.42219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,47781-428-47,NDC,,,outpatient,1,EA,92.9,,46.45,55.74,90.113,87.326,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,77.107,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,87.8834,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,90.113,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,81.752,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,74.4129,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,86.29481,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.42219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,0406-9100-76,NDC,,,outpatient,1,EA,27.57,,13.785,16.542,26.7429,25.9158,,,,percent of total billed charges,,22.056,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,22.8831,,,,percent of total billed charges,,24.813,,,,percent of total billed charges,,25.3644,,,,percent of total billed charges,,25.3644,,,,percent of total billed charges,,26.08122,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,26.7429,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,24.2616,,,,percent of total billed charges,,24.813,,,,percent of total billed charges,,22.08357,,,,percent of total billed charges,,24.813,,,,percent of total billed charges,,16.542,,,,percent of total billed charges,,25.609773,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,22.056,,,,percent of total billed charges,,16.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.086327,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,0406-9012-76,NDC,,,outpatient,1,EA,39.6,,19.8,23.76,38.412,37.224,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,32.868,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,37.4616,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.412,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,34.848,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,31.7196,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,36.78444,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.72356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,47781-423-11,NDC,,,outpatient,1,EA,30.24,,15.12,18.144,29.3328,28.4256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,25.0992,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,28.60704,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,29.3328,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,26.6112,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,24.22224,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,28.089936,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.225264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,47781-423-47,NDC,,,outpatient,1,EA,30.24,,15.12,18.144,29.3328,28.4256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,25.0992,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,28.60704,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,29.3328,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,26.6112,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,24.22224,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,28.089936,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.225264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,0406-9112-76,NDC,,,outpatient,1,EA,53.24,,26.62,31.944,51.6428,50.0456,,,,percent of total billed charges,,42.592,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,44.1892,,,,percent of total billed charges,,47.916,,,,percent of total billed charges,,48.9808,,,,percent of total billed charges,,48.9808,,,,percent of total billed charges,,50.36504,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,51.6428,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,46.8512,,,,percent of total billed charges,,47.916,,,,percent of total billed charges,,42.64524,,,,percent of total billed charges,,47.916,,,,percent of total billed charges,,31.944,,,,percent of total billed charges,,49.454636,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,42.592,,,,percent of total billed charges,,31.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.650564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2 MCG/ML IN NS IV PEDS DILUTION [7000248],0250,RC,9997-0002-48,NDC,,,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0250,RC,0409-9094-25,NDC,,,outpatient,2000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2000MCG IN NS 100ML PREMIX INFUSION -WT BASED [7000037],0250,RC,61553-116-48,NDC,,,outpatient,100,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2000MCG IN NS 100ML PREMIX INFUSION -WT BASED [7000037],0250,RC,9997-0000-37,NDC,,,outpatient,100,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2000MCG IN NS 100ML PREMIX INFUSION -WT BASED [7000037],0250,RC,71266-5040-1,NDC,,,outpatient,100,ML,85.5,,42.75,51.3,82.935,80.37,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,82.935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,75.24,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,79.42095,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.49405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,0378-9121-98,NDC,,,outpatient,1,EA,34.14,,17.07,20.484,33.1158,32.0916,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,28.3362,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,32.29644,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,33.1158,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,30.0432,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,27.34614,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,31.712646,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.349554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,0378-9121-16,NDC,,,outpatient,1,EA,34.14,,17.07,20.484,33.1158,32.0916,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,28.3362,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,32.29644,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,33.1158,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,30.0432,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,27.34614,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,31.712646,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.349554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,47781-424-11,NDC,,,outpatient,1,EA,22.78,,11.39,13.668,22.0966,21.4132,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.9074,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,21.54988,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,22.0966,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,20.0464,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,18.24678,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,21.160342,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.249058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,47781-424-47,NDC,,,outpatient,1,EA,22.78,,11.39,13.668,22.0966,21.4132,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.9074,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,21.54988,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,22.0966,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,20.0464,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,18.24678,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,21.160342,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.249058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,60505-7081-0,NDC,,,outpatient,1,EA,18.8,,9.4,11.28,18.236,17.672,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.604,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.7848,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,18.236,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,15.0588,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,17.46332,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.06068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,60505-7081-2,NDC,,,outpatient,1,EA,18.8,,9.4,11.28,18.236,17.672,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.604,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.7848,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,18.236,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,15.0588,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,17.46332,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.06068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,0406-9125-76,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2MCG/ML + BUPIVACAINE 0.125% IN NS 100ML PCEA [7000145],0250,RC,9993-0862-10,NDC,,,outpatient,100,ML,60.3,,30.15,36.18,58.491,56.682,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,50.049,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,57.0438,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,58.491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,53.064,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,48.3003,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,56.01267,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.30633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2MCG/ML-BUPIVACAINE 0.125% IN NS EPIDURAL INFUSION [1000208],0250,RC,9993-0862-10,NDC,,,outpatient,100,ML,60.3,,30.15,36.18,58.491,56.682,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,50.049,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,57.0438,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,58.491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,53.064,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,48.3003,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,56.01267,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.30633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG /ML PEDS INFUSION [1000192],0636,RC,WVU01-001-92,NDC,J3010,HCPCS,outpatient,10,ML,16.07,,8.035,9.642,15.5879,15.1058,,,,percent of total billed charges,,12.856,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,13.3381,,,,percent of total billed charges,,14.463,,,,percent of total billed charges,,14.7844,,,,percent of total billed charges,,14.7844,,,,percent of total billed charges,,15.20222,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,15.5879,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,14.1416,,,,percent of total billed charges,,14.463,,,,percent of total billed charges,,12.87207,,,,percent of total billed charges,,14.463,,,,percent of total billed charges,,9.642,,,,percent of total billed charges,,14.927423,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,12.856,,,,percent of total billed charges,,9.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.873677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,0378-9122-98,NDC,,,outpatient,1,EA,62.99,,31.495,37.794,61.1003,59.2106,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,52.2817,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,59.58854,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,61.1003,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,55.4312,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,50.45499,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,58.511411,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.461289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,0378-9122-16,NDC,,,outpatient,1,EA,62.99,,31.495,37.794,61.1003,59.2106,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,52.2817,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,59.58854,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,61.1003,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,55.4312,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,50.45499,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,58.511411,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.461289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,0406-9050-76,NDC,,,outpatient,1,EA,22.37,,11.185,13.422,21.6989,21.0278,,,,percent of total billed charges,,17.896,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,18.5671,,,,percent of total billed charges,,20.133,,,,percent of total billed charges,,20.5804,,,,percent of total billed charges,,20.5804,,,,percent of total billed charges,,21.16202,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,21.6989,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,19.6856,,,,percent of total billed charges,,20.133,,,,percent of total billed charges,,17.91837,,,,percent of total billed charges,,20.133,,,,percent of total billed charges,,13.422,,,,percent of total billed charges,,20.779493,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,17.896,,,,percent of total billed charges,,13.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.920607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,47781-426-11,NDC,,,outpatient,1,EA,37.83,,18.915,22.698,36.6951,35.5602,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,31.3989,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,35.78718,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,36.6951,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,33.2904,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,30.30183,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,35.140287,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.305613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,47781-426-47,NDC,,,outpatient,1,EA,37.83,,18.915,22.698,36.6951,35.5602,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,31.3989,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,35.78718,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,36.6951,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,33.2904,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,30.30183,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,35.140287,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.305613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,60505-7082-0,NDC,,,outpatient,1,EA,40.32,,20.16,24.192,39.1104,37.9008,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,33.4656,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,38.14272,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,39.1104,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,35.4816,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,32.29632,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,37.453248,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.300352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,60505-7082-2,NDC,,,outpatient,1,EA,40.32,,20.16,24.192,39.1104,37.9008,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,33.4656,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,38.14272,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,39.1104,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,35.4816,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,32.29632,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,37.453248,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.300352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,0406-9150-76,NDC,,,outpatient,1,EA,11.52,,5.76,6.912,11.1744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,9.22752,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,10.700928,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.228672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,0378-9123-98,NDC,,,outpatient,1,EA,101.83,,50.915,61.098,98.7751,95.7202,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,84.5189,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,96.33118,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,98.7751,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,89.6104,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,81.56583,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,94.589887,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.576013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,0591-3213-72,NDC,,,outpatient,1,EA,21.12,,10.56,12.672,20.4864,19.8528,,,,percent of total billed charges,,16.896,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,17.5296,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,19.4304,,,,percent of total billed charges,,19.4304,,,,percent of total billed charges,,19.97952,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,20.4864,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,18.5856,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,16.91712,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,19.618368,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,16.896,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.919232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,0378-9123-16,NDC,,,outpatient,1,EA,101.83,,50.915,61.098,98.7751,95.7202,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,84.5189,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,96.33118,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,98.7751,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,89.6104,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,81.56583,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,94.589887,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.576013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,47781-427-11,NDC,,,outpatient,1,EA,59.2,,29.6,35.52,57.424,55.648,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,49.136,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,56.0032,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,57.424,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,52.096,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,47.4192,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,54.99088,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.42512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,47781-427-47,NDC,,,outpatient,1,EA,59.2,,29.6,35.52,57.424,55.648,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,49.136,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,56.0032,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,57.424,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,52.096,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,47.4192,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,54.99088,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.42512,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,60505-7083-0,NDC,,,outpatient,1,EA,50.91,,25.455,30.546,49.3827,47.8554,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,42.2553,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,48.16086,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,49.3827,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,44.8008,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,40.77891,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,47.290299,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.784001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,60505-7083-2,NDC,,,outpatient,1,EA,50.91,,25.455,30.546,49.3827,47.8554,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,42.2553,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,48.16086,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,49.3827,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,44.8008,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,40.77891,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,47.290299,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.784001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,0406-9175-76,NDC,,,outpatient,1,EA,19.79,,9.895,11.874,19.1963,18.6026,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,16.4257,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.72134,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,19.1963,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,17.4152,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,15.85179,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,18.382931,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.853769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-BUPIVACAINE 2 MCG/ML-0.125% INJECTION - CHI [7000146],0250,RC,9997-0001-46,NDC,,,outpatient,15,ML,94.73,,47.365,56.838,91.8881,89.0462,,,,percent of total billed charges,,75.784,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,78.6259,,,,percent of total billed charges,,85.257,,,,percent of total billed charges,,87.1516,,,,percent of total billed charges,,87.1516,,,,percent of total billed charges,,89.61458,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,91.8881,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,83.3624,,,,percent of total billed charges,,85.257,,,,percent of total billed charges,,75.87873,,,,percent of total billed charges,,85.257,,,,percent of total billed charges,,56.838,,,,percent of total billed charges,,87.994697,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,75.784,,,,percent of total billed charges,,56.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.888203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE (PF) 5 MCG/ML-0.2% EPIDURAL INFUSION [7000235],0250,RC,61553-849-96,NDC,,,outpatient,100,ML,217.22,,108.61,130.332,210.7034,204.1868,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,180.2926,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,205.49012,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,210.7034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,191.1536,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,173.99322,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,201.775658,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.014942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE (PF) 5 MCG/ML-0.2% EPIDURAL INFUSION - PCEA [7000234],0250,RC,61553-849-96,NDC,,,outpatient,100,ML,217.22,,108.61,130.332,210.7034,204.1868,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,180.2926,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,205.49012,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,210.7034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,191.1536,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,173.99322,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,201.775658,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.014942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE IN NS 2MCG/ML -0.2 % PCEA - CHI [7000041],0250,RC,61553-626-87,NDC,,,outpatient,100,ML,165.6,,82.8,99.36,160.632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,132.6456,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,153.82584,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.66216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION [34272],0250,RC,61553-148-48,NDC,,,outpatient,100,ML,165.6,,82.8,99.36,160.632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,132.6456,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,153.82584,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.66216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION [34272],0250,RC,61553-626-87,NDC,,,outpatient,100,ML,165.6,,82.8,99.36,160.632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,132.6456,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,153.82584,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.66216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [218045],0636,RC,0517-0650-01,NDC,J1439,HCPCS,outpatient,15,ML,4019.29,,2009.645,2411.574,3898.7113,3778.1326,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3336.0107,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3802.24834,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3898.7113,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3536.9752,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,3219.45129,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,3733.518481,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3219.853219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [218045],0636,RC,0517-0650-01,NDC,J1439,HCPCS,outpatient,750,ME,4019.29,,2009.645,2411.574,3898.7113,3778.1326,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3336.0107,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3802.24834,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3898.7113,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3536.9752,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,3219.45129,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,3733.518481,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3219.853219,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [247893],0636,RC,73594-9310-1,NDC,J1437,HCPCS,outpatient,10,ML,12085.61,,6042.805,7251.366,11723.0417,11360.4734,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10031.0563,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11432.98706,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11723.0417,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10635.3368,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,9680.57361,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,11226.32313,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9681.782171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [247893],0636,RC,73594-9310-1,NDC,J1437,HCPCS,outpatient,1000,ME,12085.61,,6042.805,7251.366,11723.0417,11360.4734,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10031.0563,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11432.98706,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11723.0417,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10635.3368,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,9680.57361,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,11226.32313,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9681.782171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR [218230],0250,RC,48783-112-08,NDC,,,outpatient,8,ML,78.74,,39.37,47.244,76.3778,74.0156,,,,percent of total billed charges,,62.992,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,65.3542,,,,percent of total billed charges,,70.866,,,,percent of total billed charges,,72.4408,,,,percent of total billed charges,,72.4408,,,,percent of total billed charges,,74.48804,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,76.3778,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,69.2912,,,,percent of total billed charges,,70.866,,,,percent of total billed charges,,63.07074,,,,percent of total billed charges,,70.866,,,,percent of total billed charges,,47.244,,,,percent of total billed charges,,73.141586,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,62.992,,,,percent of total billed charges,,47.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.078614,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [191684],0637,RC,5038362750,NDC,,,outpatient,50,ML,14.18,,7.09,8.508,13.7546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,11.35818,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,13.171802,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.359598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [191684],0637,RC,5483801150,NDC,,,outpatient,50,ML,20.7,,10.35,12.42,20.079,19.458,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,17.181,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.044,,,,percent of total billed charges,,19.044,,,,percent of total billed charges,,19.5822,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,20.079,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,16.5807,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,19.22823,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.58277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [191684],0637,RC,6961807059,NDC,,,outpatient,50,ML,18.9,,9.45,11.34,18.333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,15.1389,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,17.55621,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.14079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,0121053005,NDC,,,outpatient,5,ML,13.66,,6.83,8.196,13.2502,12.8404,,,,percent of total billed charges,,10.928,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,11.3378,,,,percent of total billed charges,,12.294,,,,percent of total billed charges,,12.5672,,,,percent of total billed charges,,12.5672,,,,percent of total billed charges,,12.92236,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,13.2502,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,12.0208,,,,percent of total billed charges,,12.294,,,,percent of total billed charges,,10.94166,,,,percent of total billed charges,,12.294,,,,percent of total billed charges,,8.196,,,,percent of total billed charges,,12.688774,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,10.928,,,,percent of total billed charges,,8.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.943026,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,5026833624,NDC,,,outpatient,5,ML,16.34,,8.17,9.804,15.8498,15.3596,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.5622,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.45764,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.8498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,14.3792,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,13.08834,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,15.178226,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.089974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,5026833611,NDC,,,outpatient,5,ML,16.34,,8.17,9.804,15.8498,15.3596,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.5622,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.45764,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.8498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,14.3792,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,13.08834,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,15.178226,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.089974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,0904727770,NDC,,,outpatient,5,ML,6.93,,3.465,4.158,6.7221,6.5142,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.7519,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.55578,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.7221,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.0984,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,5.55093,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,6.437277,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.551623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,0904727741,NDC,,,outpatient,5,ML,6.93,,3.465,4.158,6.7221,6.5142,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.7519,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.55578,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.7221,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.0984,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,5.55093,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,6.437277,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.551623,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,0904759161,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,0904759182,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,0904759160,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,2055502101,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [195262],0636,RC,0781-3154-01,NDC,Q0138,HCPCS,outpatient,17,ML,976.07,,488.035,585.642,946.7879,917.5058,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,810.1381,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,923.36222,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,946.7879,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,858.9416,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,781.83207,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,906.671423,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.929677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [195262],0636,RC,0781-3154-01,NDC,Q0138,HCPCS,outpatient,510,ME,976.07,,488.035,585.642,946.7879,917.5058,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,810.1381,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,923.36222,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,946.7879,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,858.9416,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,781.83207,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,906.671423,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.929677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FIBRINOGEN-THROMBIN 2"" X 4"" TOPICAL PATCH [227201]",0250,RC,63713-050-24,NDC,,,outpatient,1,EA,4374,,2187,2624.4,4242.78,4111.56,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3630.42,,,,percent of total billed charges,,3936.6,,,,percent of total billed charges,,4024.08,,,,percent of total billed charges,,4024.08,,,,percent of total billed charges,,4137.804,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4242.78,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3849.12,,,,percent of total billed charges,,3936.6,,,,percent of total billed charges,,3503.574,,,,percent of total billed charges,,3936.6,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,4063.0086,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3504.0114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FIDAXOMICIN 200 MG TABLET [205257],0637,RC,52015-080-01,NDC,,,outpatient,1,EA,504.72,,252.36,302.832,489.5784,474.4368,,,,percent of total billed charges,,403.776,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,418.9176,,,,percent of total billed charges,,454.248,,,,percent of total billed charges,,464.3424,,,,percent of total billed charges,,464.3424,,,,percent of total billed charges,,477.46512,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,489.5784,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,444.1536,,,,percent of total billed charges,,454.248,,,,percent of total billed charges,,404.28072,,,,percent of total billed charges,,454.248,,,,percent of total billed charges,,302.832,,,,percent of total billed charges,,468.834408,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,403.776,,,,percent of total billed charges,,302.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.331192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,55513-546-10,NDC,J1442,HCPCS,outpatient,480,ML,923.06,,461.53,553.836,895.3682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,739.37106,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,857.430434,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,739.463366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,55513-546-10,NDC,J1442,HCPCS,outpatient,960,ML,1846.11,,923.055,1107.666,1790.7267,1735.3434,,,,percent of total billed charges,,1476.888,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1532.2713,,,,percent of total billed charges,,1661.499,,,,percent of total billed charges,,1698.4212,,,,percent of total billed charges,,1698.4212,,,,percent of total billed charges,,1746.42006,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1790.7267,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1624.5768,,,,percent of total billed charges,,1661.499,,,,percent of total billed charges,,1478.73411,,,,percent of total billed charges,,1661.499,,,,percent of total billed charges,,1107.666,,,,percent of total billed charges,,1714.851579,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1476.888,,,,percent of total billed charges,,1107.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1478.918721,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 300 MCG/ML INJECTION SOLUTION [78916],0636,RC,55513-530-01,NDC,J1442,HCPCS,outpatient,1,ML,579.68,,289.84,347.808,562.2896,544.8992,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,481.1344,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,548.37728,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,562.2896,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,510.1184,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,464.32368,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,538.464752,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,464.381648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 300 MCG/ML INJECTION SOLUTION [78916],0636,RC,55513-530-10,NDC,J1442,HCPCS,outpatient,1,ML,579.68,,289.84,347.808,562.2896,544.8992,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,481.1344,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,548.37728,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,562.2896,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,510.1184,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,464.32368,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,538.464752,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,464.381648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,55513-546-01,NDC,J1442,HCPCS,outpatient,1.6,ML,923.06,,461.53,553.836,895.3682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,739.37106,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,857.430434,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,739.463366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,55513-546-10,NDC,J1442,HCPCS,outpatient,1.6,ML,923.06,,461.53,553.836,895.3682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,739.37106,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,857.430434,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,739.463366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,55513-546-10,NDC,J1442,HCPCS,outpatient,480,ML,923.06,,461.53,553.836,895.3682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,739.37106,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,857.430434,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,739.463366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,61314-326-10,NDC,Q5101,HCPCS,outpatient,480,ML,975.86,,487.93,585.516,946.5842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,781.66386,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,906.476354,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.761446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,61314-326-10,NDC,Q5101,HCPCS,outpatient,960,ML,1951.72,,975.86,1171.032,1893.1684,1834.6168,,,,percent of total billed charges,,1561.376,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1619.9276,,,,percent of total billed charges,,1756.548,,,,percent of total billed charges,,1795.5824,,,,percent of total billed charges,,1795.5824,,,,percent of total billed charges,,1846.32712,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1893.1684,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1717.5136,,,,percent of total billed charges,,1756.548,,,,percent of total billed charges,,1563.32772,,,,percent of total billed charges,,1756.548,,,,percent of total billed charges,,1171.032,,,,percent of total billed charges,,1812.952708,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1561.376,,,,percent of total billed charges,,1171.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1563.522892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [225567],0636,RC,61314-318-01,NDC,Q5101,HCPCS,outpatient,0.5,ML,609.93,,304.965,365.958,591.6321,573.3342,,,,percent of total billed charges,,487.944,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,506.2419,,,,percent of total billed charges,,548.937,,,,percent of total billed charges,,561.1356,,,,percent of total billed charges,,561.1356,,,,percent of total billed charges,,576.99378,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,591.6321,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,536.7384,,,,percent of total billed charges,,548.937,,,,percent of total billed charges,,488.55393,,,,percent of total billed charges,,548.937,,,,percent of total billed charges,,365.958,,,,percent of total billed charges,,566.563977,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,487.944,,,,percent of total billed charges,,365.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,488.614923,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [225567],0636,RC,61314-318-10,NDC,Q5101,HCPCS,outpatient,0.5,ML,609.92,,304.96,365.952,591.6224,573.3248,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,506.2336,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,576.98432,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,591.6224,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,536.7296,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,488.54592,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,566.554688,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,488.606912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [225567],0636,RC,61314-318-05,NDC,Q5101,HCPCS,outpatient,0.5,ML,609.92,,304.96,365.952,591.6224,573.3248,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,506.2336,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,576.98432,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,591.6224,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,536.7296,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,488.54592,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,566.554688,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,488.606912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,61314-326-10,NDC,Q5101,HCPCS,outpatient,0.8,ML,975.86,,487.93,585.516,946.5842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,781.66386,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,906.476354,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.761446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,61314-326-05,NDC,Q5101,HCPCS,outpatient,0.8,ML,975.86,,487.93,585.516,946.5842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,781.66386,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,906.476354,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.761446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,61314-326-10,NDC,Q5101,HCPCS,outpatient,480,ML,975.86,,487.93,585.516,946.5842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,781.66386,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,906.476354,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,781.761446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,65862-149-90,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,50268-314-11,NDC,,,outpatient,1,EA,2.84,,1.42,1.704,2.7548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.27484,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.638076,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.275124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,50268-314-15,NDC,,,outpatient,1,EA,2.84,,1.42,1.704,2.7548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.27484,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.638076,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.275124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,0904-6830-06,NDC,,,outpatient,1,EA,3.1,,1.55,1.86,3.007,2.914,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.573,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.9326,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,3.007,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.728,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.4831,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,2.87959,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.48341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,60687-428-01,NDC,,,outpatient,1,EA,1.99,,0.995,1.194,1.9303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.59399,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,1.848511,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.594189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,60687-428-11,NDC,,,outpatient,1,EA,1.99,,0.995,1.194,1.9303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.59399,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,1.848511,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.594189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,60687-428-65,NDC,,,outpatient,1,EA,3.37,,1.685,2.022,3.2689,3.1678,,,,percent of total billed charges,,2.696,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,2.7971,,,,percent of total billed charges,,3.033,,,,percent of total billed charges,,3.1004,,,,percent of total billed charges,,3.1004,,,,percent of total billed charges,,3.18802,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,3.2689,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,2.9656,,,,percent of total billed charges,,3.033,,,,percent of total billed charges,,2.69937,,,,percent of total billed charges,,3.033,,,,percent of total billed charges,,2.022,,,,percent of total billed charges,,3.130393,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,2.696,,,,percent of total billed charges,,2.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.699707,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLECAINIDE 50 MG TABLET [10043],0637,RC,0054-0010-20,NDC,,,outpatient,1,EA,2.24,,1.12,1.344,2.1728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.79424,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.080736,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.794464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLECAINIDE 50 MG TABLET [10043],0637,RC,0054-0010-21,NDC,,,outpatient,1,EA,2.42,,1.21,1.452,2.3474,2.2748,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.0086,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.28932,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.3474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.1296,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.93842,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,2.247938,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.938662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VAC TS 2024(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267153],0636,RC,70461-654-03,NDC,90661,CPT,outpatient,0.5,ML,59.74,,29.87,35.844,57.9478,56.1556,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,49.5842,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,56.51404,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,57.9478,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,52.5712,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,47.85174,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,55.492486,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.857714,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VAC TS 2024(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267153],0636,RC,70461-654-04,NDC,90661,CPT,outpatient,0.5,ML,59.74,,29.87,35.844,57.9478,56.1556,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,49.5842,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,56.51404,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,57.9478,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,52.5712,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,47.85174,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,55.492486,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.857714,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267162],0636,RC,70461-024-03,NDC,90653,CPT,outpatient,0.5,ML,134.92,,67.46,80.952,130.8724,126.8248,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,111.9836,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,127.63432,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,130.8724,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,118.7296,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,108.07092,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,125.327188,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.084412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267162],0636,RC,70461-024-04,NDC,90653,CPT,outpatient,0.5,ML,134.92,,67.46,80.952,130.8724,126.8248,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,111.9836,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,127.63432,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,130.8724,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,118.7296,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,108.07092,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,125.327188,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.084412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [267685],0636,RC,58160-884-41,NDC,90656,CPT,outpatient,0.5,ML,27.78,,13.89,16.668,26.9466,26.1132,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,23.0574,,,,percent of total billed charges,,25.002,,,,percent of total billed charges,,25.5576,,,,percent of total billed charges,,25.5576,,,,percent of total billed charges,,26.27988,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,26.9466,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,24.4464,,,,percent of total billed charges,,25.002,,,,percent of total billed charges,,22.25178,,,,percent of total billed charges,,25.002,,,,percent of total billed charges,,16.668,,,,percent of total billed charges,,25.804842,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,16.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.254558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [14232],0637,RC,0054-0002-85,NDC,,,outpatient,35,ML,88.68,,44.34,53.208,86.0196,83.3592,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,73.6044,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,83.89128,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,86.0196,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,78.0384,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,71.03268,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,82.374852,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.041548,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [14232],0637,RC,59762-5029-1,NDC,,,outpatient,35,ML,39.54,,19.77,23.724,38.3538,37.1676,,,,percent of total billed charges,,31.632,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,32.8182,,,,percent of total billed charges,,35.586,,,,percent of total billed charges,,36.3768,,,,percent of total billed charges,,36.3768,,,,percent of total billed charges,,37.40484,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,38.3538,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,34.7952,,,,percent of total billed charges,,35.586,,,,percent of total billed charges,,31.67154,,,,percent of total billed charges,,35.586,,,,percent of total billed charges,,23.724,,,,percent of total billed charges,,36.728706,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,31.632,,,,percent of total billed charges,,23.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.675494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [14232],0637,RC,57237-149-35,NDC,,,outpatient,35,ML,22.84,,11.42,13.704,22.1548,21.4696,,,,percent of total billed charges,,18.272,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,18.9572,,,,percent of total billed charges,,20.556,,,,percent of total billed charges,,21.0128,,,,percent of total billed charges,,21.0128,,,,percent of total billed charges,,21.60664,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,22.1548,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,20.0992,,,,percent of total billed charges,,20.556,,,,percent of total billed charges,,18.29484,,,,percent of total billed charges,,20.556,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,21.216076,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,18.272,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.297124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG IVPB [1000212],0636,RC,WVU01-002-12,NDC,J1450,HCPCS,outpatient,50,ML,5.63,,2.815,3.378,5.4611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,4.50963,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.229707,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.510193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG TABLET [10044],0637,RC,68084-728-01,NDC,,,outpatient,1,EA,5.39,,2.695,3.234,5.2283,5.0666,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.4737,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,5.09894,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.2283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.7432,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.31739,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,5.006771,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.317929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG TABLET [10044],0637,RC,68084-728-11,NDC,,,outpatient,1,EA,5.39,,2.695,3.234,5.2283,5.0666,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.4737,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,5.09894,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.2283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.7432,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.31739,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,5.006771,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.317929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG TABLET [10044],0637,RC,0904-6500-61,NDC,,,outpatient,1,EA,6.03,,3.015,3.618,5.8491,5.6682,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.0049,,,,percent of total billed charges,,5.427,,,,percent of total billed charges,,5.5476,,,,percent of total billed charges,,5.5476,,,,percent of total billed charges,,5.70438,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.8491,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.3064,,,,percent of total billed charges,,5.427,,,,percent of total billed charges,,4.83003,,,,percent of total billed charges,,5.427,,,,percent of total billed charges,,3.618,,,,percent of total billed charges,,5.601267,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.830633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,0172-5412-11,NDC,,,outpatient,1,EA,11.52,,5.76,6.912,11.1744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,9.22752,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,10.700928,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.228672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,59762-5017-1,NDC,,,outpatient,1,EA,8.51,,4.255,5.106,8.2547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,6.81651,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,7.904939,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.817361,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,0172-5412-79,NDC,,,outpatient,1,EA,11.52,,5.76,6.912,11.1744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,9.22752,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,10.700928,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.228672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,16714-692-10,NDC,,,outpatient,1,EA,7.1,,3.55,4.26,6.887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,5.6871,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,6.59519,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.68781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,16714-692-11,NDC,,,outpatient,1,EA,7.1,,3.55,4.26,6.887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,5.6871,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,6.59519,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.68781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,70710-1139-8,NDC,,,outpatient,1,EA,8.83,,4.415,5.298,8.5651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,7.07283,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.202187,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.073713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,70710-1139-7,NDC,,,outpatient,1,EA,8.83,,4.415,5.298,8.5651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,7.07283,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.202187,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.073713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,68462-119-40,NDC,,,outpatient,1,EA,4.41,,2.205,2.646,4.2777,4.1454,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.6603,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.17186,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.2777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.8808,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,3.53241,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,4.096449,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.532851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,68462-119-44,NDC,,,outpatient,1,EA,4.41,,2.205,2.646,4.2777,4.1454,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.6603,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.17186,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.2777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.8808,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,3.53241,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,4.096449,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.532851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,62559-992-12,NDC,,,outpatient,1,EA,3.45,,1.725,2.07,3.3465,3.243,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.8635,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.2637,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.3465,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.76345,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,3.204705,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.763795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,68001-253-17,NDC,,,outpatient,1,EA,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,68001-253-44,NDC,,,outpatient,1,EA,5,,2.5,3,4.85,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.005,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,4.6445,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.0055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 2 MG/ML IV PEDS [1000036],0636,RC,WVU01-000-36,NDC,J1450,HCPCS,outpatient,10,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0636,RC,0338-6046-48,NDC,J1450,HCPCS,outpatient,100,ML,11.7,,5.85,7.02,11.349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,9.3717,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,10.86813,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.37287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0636,RC,25021-184-82,NDC,J1450,HCPCS,outpatient,100,ML,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0636,RC,69784-002-06,NDC,J1450,HCPCS,outpatient,100,ML,16.2,,8.1,9.72,15.714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,12.9762,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,15.04818,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.97782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0636,RC,25021-184-87,NDC,J1450,HCPCS,outpatient,200,ML,23.4,,11.7,14.04,22.698,21.996,,,,percent of total billed charges,,18.72,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,19.422,,,,percent of total billed charges,,21.06,,,,percent of total billed charges,,21.528,,,,percent of total billed charges,,21.528,,,,percent of total billed charges,,22.1364,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,20.592,,,,percent of total billed charges,,21.06,,,,percent of total billed charges,,18.7434,,,,percent of total billed charges,,21.06,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,21.73626,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,18.72,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.74574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0636,RC,69784-003-06,NDC,J1450,HCPCS,outpatient,200,ML,19.8,,9.9,11.88,19.206,18.612,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,16.434,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,18.7308,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,19.206,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,15.8598,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,18.39222,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.86178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCYTOSINE 500 MG CAPSULE [77516],0637,RC,43386-770-01,NDC,,,outpatient,1,EA,88.07,,44.035,52.842,85.4279,82.7858,,,,percent of total billed charges,,70.456,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,73.0981,,,,percent of total billed charges,,79.263,,,,percent of total billed charges,,81.0244,,,,percent of total billed charges,,81.0244,,,,percent of total billed charges,,83.31422,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,85.4279,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,77.5016,,,,percent of total billed charges,,79.263,,,,percent of total billed charges,,70.54407,,,,percent of total billed charges,,79.263,,,,percent of total billed charges,,52.842,,,,percent of total billed charges,,81.808223,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,70.456,,,,percent of total billed charges,,52.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.552877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],0636,RC,0703-5854-01,NDC,J9185,HCPCS,outpatient,1,EA,425.25,,212.625,255.15,412.4925,399.735,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,352.9575,,,,percent of total billed charges,,382.725,,,,percent of total billed charges,,391.23,,,,percent of total billed charges,,391.23,,,,percent of total billed charges,,402.2865,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,412.4925,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,374.22,,,,percent of total billed charges,,382.725,,,,percent of total billed charges,,340.62525,,,,percent of total billed charges,,382.725,,,,percent of total billed charges,,255.15,,,,percent of total billed charges,,395.014725,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,255.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,340.667775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,68084-288-01,NDC,,,outpatient,1,EA,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,68084-288-11,NDC,,,outpatient,1,EA,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,50268-330-15,NDC,,,outpatient,1,EA,3.53,,1.765,2.118,3.4241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.82753,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.279017,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.827883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,50268-330-11,NDC,,,outpatient,1,EA,3.53,,1.765,2.118,3.4241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.82753,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.279017,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.827883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,63323-424-05,NDC,,,outpatient,5,ML,13.62,,6.81,8.172,13.2114,12.8028,,,,percent of total billed charges,,10.896,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,11.3046,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,12.5304,,,,percent of total billed charges,,12.5304,,,,percent of total billed charges,,12.88452,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,13.2114,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,11.9856,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,10.90962,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,12.651618,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,10.896,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.910982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,63323-424-10,NDC,,,outpatient,10,ML,38.21,,19.105,22.926,37.0637,35.9174,,,,percent of total billed charges,,30.568,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,31.7143,,,,percent of total billed charges,,34.389,,,,percent of total billed charges,,35.1532,,,,percent of total billed charges,,35.1532,,,,percent of total billed charges,,36.14666,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,37.0637,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,33.6248,,,,percent of total billed charges,,34.389,,,,percent of total billed charges,,30.60621,,,,percent of total billed charges,,34.389,,,,percent of total billed charges,,22.926,,,,percent of total billed charges,,35.493269,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,30.568,,,,percent of total billed charges,,22.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.610031,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,0143-9784-10,NDC,,,outpatient,5,ML,11.68,,5.84,7.008,11.3296,10.9792,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.6944,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,11.04928,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.3296,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,10.2784,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,9.35568,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,10.849552,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.356848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,0143-9784-01,NDC,,,outpatient,5,ML,11.68,,5.84,7.008,11.3296,10.9792,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.6944,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,11.04928,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.3296,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,10.2784,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,9.35568,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,10.849552,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.356848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,36000-148-01,NDC,,,outpatient,5,ML,11.3,,5.65,6.78,10.961,10.622,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.379,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.6898,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.944,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,9.0513,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,10.49657,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.05243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,36000-148-10,NDC,,,outpatient,5,ML,11.3,,5.65,6.78,10.961,10.622,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.379,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.6898,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.944,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,9.0513,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,10.49657,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.05243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,17478-404-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,17238-900-11,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,17238-900-99,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,51801-009-40,NDC,,,outpatient,1,EA,0.82,,0.41,0.492,0.7954,0.7708,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.6806,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.77572,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7954,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7216,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.65682,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,0.761698,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.656902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,17478-253-10,NDC,,,outpatient,5,ML,288.86,,144.43,173.316,280.1942,271.5284,,,,percent of total billed charges,,231.088,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,239.7538,,,,percent of total billed charges,,259.974,,,,percent of total billed charges,,265.7512,,,,percent of total billed charges,,265.7512,,,,percent of total billed charges,,273.26156,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,280.1942,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,254.1968,,,,percent of total billed charges,,259.974,,,,percent of total billed charges,,231.37686,,,,percent of total billed charges,,259.974,,,,percent of total billed charges,,173.316,,,,percent of total billed charges,,268.322054,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,231.088,,,,percent of total billed charges,,173.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.405746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,0065-0092-65,NDC,,,outpatient,5,ML,198.39,,99.195,119.034,192.4383,186.4866,,,,percent of total billed charges,,158.712,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,164.6637,,,,percent of total billed charges,,178.551,,,,percent of total billed charges,,182.5188,,,,percent of total billed charges,,182.5188,,,,percent of total billed charges,,187.67694,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,192.4383,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,174.5832,,,,percent of total billed charges,,178.551,,,,percent of total billed charges,,158.91039,,,,percent of total billed charges,,178.551,,,,percent of total billed charges,,119.034,,,,percent of total billed charges,,184.284471,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,158.712,,,,percent of total billed charges,,119.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.930229,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,14789-122-05,NDC,,,outpatient,5,ML,876.83,,438.415,526.098,850.5251,824.2202,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,727.7689,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,829.48118,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,850.5251,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,771.6104,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,702.34083,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,814.487387,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,702.428513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,14789-122-07,NDC,,,outpatient,5,ML,876.83,,438.415,526.098,850.5251,824.2202,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,727.7689,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,829.48118,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,850.5251,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,771.6104,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,702.34083,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,814.487387,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,702.428513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [188579],0636,RC,63323-117-20,NDC,J9190,HCPCS,outpatient,20,ML,19.89,,9.945,11.934,19.2933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,15.93189,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,18.475821,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.933879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [188579],0636,RC,16729-276-67,NDC,J9190,HCPCS,outpatient,20,ML,102.51,,51.255,61.506,99.4347,96.3594,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,85.0833,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,96.97446,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,99.4347,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,90.2088,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,82.11051,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,95.221539,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.120761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [188579],0636,RC,16729-276-05,NDC,J9190,HCPCS,outpatient,20,ML,102.51,,51.255,61.506,99.4347,96.3594,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,85.0833,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,96.97446,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,99.4347,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,90.2088,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,82.11051,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,95.221539,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.120761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [188580],0636,RC,63323-117-51,NDC,J9190,HCPCS,outpatient,50,ML,36.68,,18.34,22.008,35.5796,34.4792,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,30.4444,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,34.69928,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,35.5796,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,32.2784,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,29.38068,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,34.072052,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.384348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [188580],0636,RC,16729-276-11,NDC,J9190,HCPCS,outpatient,50,ML,133.65,,66.825,80.19,129.6405,125.631,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,110.9295,,,,percent of total billed charges,,120.285,,,,percent of total billed charges,,122.958,,,,percent of total billed charges,,122.958,,,,percent of total billed charges,,126.4329,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,129.6405,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,120.285,,,,percent of total billed charges,,107.05365,,,,percent of total billed charges,,120.285,,,,percent of total billed charges,,80.19,,,,percent of total billed charges,,124.147485,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,80.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.067015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [188581],0636,RC,16729-276-38,NDC,J9190,HCPCS,outpatient,100,ML,267.3,,133.65,160.38,259.281,251.262,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,221.859,,,,percent of total billed charges,,240.57,,,,percent of total billed charges,,245.916,,,,percent of total billed charges,,245.916,,,,percent of total billed charges,,252.8658,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,259.281,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,235.224,,,,percent of total billed charges,,240.57,,,,percent of total billed charges,,214.1073,,,,percent of total billed charges,,240.57,,,,percent of total billed charges,,160.38,,,,percent of total billed charges,,248.29497,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,160.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,214.13403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [188578],0636,RC,63323-117-10,NDC,J9190,HCPCS,outpatient,10,ML,10.4,,5.2,6.24,10.088,9.776,,,,percent of total billed charges,,8.32,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,8.632,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,9.568,,,,percent of total billed charges,,9.568,,,,percent of total billed charges,,9.8384,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,10.088,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,9.152,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,8.3304,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,6.24,,,,percent of total billed charges,,9.66056,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,8.32,,,,percent of total billed charges,,6.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.33144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [188580],0636,RC,16729-276-11,NDC,J9190,HCPCS,outpatient,405.6,ME,21.69,,10.845,13.014,21.0393,20.3886,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,18.0027,,,,percent of total billed charges,,19.521,,,,percent of total billed charges,,19.9548,,,,percent of total billed charges,,19.9548,,,,percent of total billed charges,,20.51874,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,21.0393,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,19.0872,,,,percent of total billed charges,,19.521,,,,percent of total billed charges,,17.37369,,,,percent of total billed charges,,19.521,,,,percent of total billed charges,,13.014,,,,percent of total billed charges,,20.147841,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,13.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.375859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 10 MG CAPSULE [10069],0637,RC,0904-5784-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,50111-648-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,0904-5785-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,68084-605-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,68084-605-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,68001-400-00,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,16714-721-02,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0637,RC,0121-0721-04,NDC,,,outpatient,120,ML,117.18,,58.59,70.308,113.6646,110.1492,,,,percent of total billed charges,,93.744,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,97.2594,,,,percent of total billed charges,,105.462,,,,percent of total billed charges,,107.8056,,,,percent of total billed charges,,107.8056,,,,percent of total billed charges,,110.85228,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,113.6646,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,103.1184,,,,percent of total billed charges,,105.462,,,,percent of total billed charges,,93.86118,,,,percent of total billed charges,,105.462,,,,percent of total billed charges,,70.308,,,,percent of total billed charges,,108.848502,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,93.744,,,,percent of total billed charges,,70.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.872898,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0637,RC,54838-523-40,NDC,,,outpatient,120,ML,285.66,,142.83,171.396,277.0902,268.5204,,,,percent of total billed charges,,228.528,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,237.0978,,,,percent of total billed charges,,257.094,,,,percent of total billed charges,,262.8072,,,,percent of total billed charges,,262.8072,,,,percent of total billed charges,,270.23436,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,277.0902,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,251.3808,,,,percent of total billed charges,,257.094,,,,percent of total billed charges,,228.81366,,,,percent of total billed charges,,257.094,,,,percent of total billed charges,,171.396,,,,percent of total billed charges,,265.349574,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,228.528,,,,percent of total billed charges,,171.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,228.842226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0637,RC,65862-306-12,NDC,,,outpatient,120,ML,224.64,,112.32,134.784,217.9008,211.1616,,,,percent of total billed charges,,179.712,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,186.4512,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,206.6688,,,,percent of total billed charges,,206.6688,,,,percent of total billed charges,,212.50944,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,217.9008,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,197.6832,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,179.93664,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,208.668096,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,179.712,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,179.959104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION [3216],0250,RC,63323-281-10,NDC,J1596,HCPCS,outpatient,10,ML,394.47,,197.235,236.682,382.6359,370.8018,,,,percent of total billed charges,,315.576,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,327.4101,,,,percent of total billed charges,,355.023,,,,percent of total billed charges,,362.9124,,,,percent of total billed charges,,362.9124,,,,percent of total billed charges,,373.16862,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,382.6359,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,347.1336,,,,percent of total billed charges,,355.023,,,,percent of total billed charges,,315.97047,,,,percent of total billed charges,,355.023,,,,percent of total billed charges,,236.682,,,,percent of total billed charges,,366.423183,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,315.576,,,,percent of total billed charges,,236.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,316.009917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,51079-487-20,NDC,,,outpatient,1,EA,2.05,,1.025,1.23,1.9885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.64205,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,1.904245,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.642255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,0527-1790-01,NDC,,,outpatient,1,EA,13.96,,6.98,8.376,13.5412,13.1224,,,,percent of total billed charges,,11.168,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,11.5868,,,,percent of total billed charges,,12.564,,,,percent of total billed charges,,12.8432,,,,percent of total billed charges,,12.8432,,,,percent of total billed charges,,13.20616,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,13.5412,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,12.2848,,,,percent of total billed charges,,12.564,,,,percent of total billed charges,,11.18196,,,,percent of total billed charges,,12.564,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,12.967444,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,11.168,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.183356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,69238-1680-1,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,70954-275-10,NDC,,,outpatient,1,EA,2.48,,1.24,1.488,2.4056,2.3312,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.0584,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.34608,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.4056,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.1824,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.98648,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,2.303672,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.986728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,68462-337-01,NDC,,,outpatient,1,EA,1.41,,0.705,0.846,1.3677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.12941,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.309749,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.129551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE [3217],0637,RC,0121-0653-04,NDC,,,outpatient,120,ML,1359.72,,679.86,815.832,1318.9284,1278.1368,,,,percent of total billed charges,,1087.776,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1128.5676,,,,percent of total billed charges,,1223.748,,,,percent of total billed charges,,1250.9424,,,,percent of total billed charges,,1250.9424,,,,percent of total billed charges,,1286.29512,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1318.9284,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1196.5536,,,,percent of total billed charges,,1223.748,,,,percent of total billed charges,,1089.13572,,,,percent of total billed charges,,1223.748,,,,percent of total billed charges,,815.832,,,,percent of total billed charges,,1263.043908,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1087.776,,,,percent of total billed charges,,815.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1089.271692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,63323-272-05,NDC,J2680,HCPCS,outpatient,5,ML,330.8,,165.4,198.48,320.876,310.952,,,,percent of total billed charges,,264.64,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,274.564,,,,percent of total billed charges,,297.72,,,,percent of total billed charges,,304.336,,,,percent of total billed charges,,304.336,,,,percent of total billed charges,,312.9368,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,320.876,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,291.104,,,,percent of total billed charges,,297.72,,,,percent of total billed charges,,264.9708,,,,percent of total billed charges,,297.72,,,,percent of total billed charges,,198.48,,,,percent of total billed charges,,307.28012,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,264.64,,,,percent of total billed charges,,198.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,265.00388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,55150-267-05,NDC,J2680,HCPCS,outpatient,5,ML,185.18,,92.59,111.108,179.6246,174.0692,,,,percent of total billed charges,,148.144,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,153.6994,,,,percent of total billed charges,,166.662,,,,percent of total billed charges,,170.3656,,,,percent of total billed charges,,170.3656,,,,percent of total billed charges,,175.18028,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,179.6246,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,162.9584,,,,percent of total billed charges,,166.662,,,,percent of total billed charges,,148.32918,,,,percent of total billed charges,,166.662,,,,percent of total billed charges,,111.108,,,,percent of total billed charges,,172.013702,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,148.144,,,,percent of total billed charges,,111.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.347698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,67457-359-59,NDC,J2680,HCPCS,outpatient,5,ML,252.18,,126.09,151.308,244.6146,237.0492,,,,percent of total billed charges,,201.744,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,209.3094,,,,percent of total billed charges,,226.962,,,,percent of total billed charges,,232.0056,,,,percent of total billed charges,,232.0056,,,,percent of total billed charges,,238.56228,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,244.6146,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,221.9184,,,,percent of total billed charges,,226.962,,,,percent of total billed charges,,201.99618,,,,percent of total billed charges,,226.962,,,,percent of total billed charges,,151.308,,,,percent of total billed charges,,234.250002,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,201.744,,,,percent of total billed charges,,151.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.021398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,25021-838-05,NDC,J2680,HCPCS,outpatient,5,ML,231.62,,115.81,138.972,224.6714,217.7228,,,,percent of total billed charges,,185.296,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,192.2446,,,,percent of total billed charges,,208.458,,,,percent of total billed charges,,213.0904,,,,percent of total billed charges,,213.0904,,,,percent of total billed charges,,219.11252,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,224.6714,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,203.8256,,,,percent of total billed charges,,208.458,,,,percent of total billed charges,,185.52762,,,,percent of total billed charges,,208.458,,,,percent of total billed charges,,138.972,,,,percent of total billed charges,,215.151818,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,185.296,,,,percent of total billed charges,,138.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.550782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,0054-3270-99,NDC,,,outpatient,16,GR,45.15,,22.575,27.09,43.7955,42.441,,,,percent of total billed charges,,36.12,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,37.4745,,,,percent of total billed charges,,40.635,,,,percent of total billed charges,,41.538,,,,percent of total billed charges,,41.538,,,,percent of total billed charges,,42.7119,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,43.7955,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,40.635,,,,percent of total billed charges,,36.16515,,,,percent of total billed charges,,40.635,,,,percent of total billed charges,,27.09,,,,percent of total billed charges,,41.939835,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,36.12,,,,percent of total billed charges,,27.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.169665,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,60505-0829-1,NDC,,,outpatient,16,GR,25.71,,12.855,15.426,24.9387,24.1674,,,,percent of total billed charges,,20.568,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,21.3393,,,,percent of total billed charges,,23.139,,,,percent of total billed charges,,23.6532,,,,percent of total billed charges,,23.6532,,,,percent of total billed charges,,24.32166,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,24.9387,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,22.6248,,,,percent of total billed charges,,23.139,,,,percent of total billed charges,,20.59371,,,,percent of total billed charges,,23.139,,,,percent of total billed charges,,15.426,,,,percent of total billed charges,,23.882019,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,20.568,,,,percent of total billed charges,,15.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.596281,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,50383-700-16,NDC,,,outpatient,16,GR,12.89,,6.445,7.734,12.5033,12.1166,,,,percent of total billed charges,,10.312,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,10.6987,,,,percent of total billed charges,,11.601,,,,percent of total billed charges,,11.8588,,,,percent of total billed charges,,11.8588,,,,percent of total billed charges,,12.19394,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,12.5033,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,11.3432,,,,percent of total billed charges,,11.601,,,,percent of total billed charges,,10.32489,,,,percent of total billed charges,,11.601,,,,percent of total billed charges,,7.734,,,,percent of total billed charges,,11.973521,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,10.312,,,,percent of total billed charges,,7.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.326179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,0536-1183-99,NDC,,,outpatient,9.9,ML,33.33,,16.665,19.998,32.3301,31.3302,,,,percent of total billed charges,,26.664,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,27.6639,,,,percent of total billed charges,,29.997,,,,percent of total billed charges,,30.6636,,,,percent of total billed charges,,30.6636,,,,percent of total billed charges,,31.53018,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,32.3301,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,29.3304,,,,percent of total billed charges,,29.997,,,,percent of total billed charges,,26.69733,,,,percent of total billed charges,,29.997,,,,percent of total billed charges,,19.998,,,,percent of total billed charges,,30.960237,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,26.664,,,,percent of total billed charges,,19.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.700663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,51079-992-20,NDC,,,outpatient,1,EA,1.59,,0.795,0.954,1.5423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.27359,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.476951,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.273749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,60505-0165-1,NDC,,,outpatient,1,EA,1.75,,0.875,1.05,1.6975,1.645,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4525,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.6555,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6975,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.54,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.40175,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,1.625575,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.401925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,51079-992-01,NDC,,,outpatient,1,EA,1.59,,0.795,0.954,1.5423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.27359,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.476951,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.273749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,62559-159-01,NDC,,,outpatient,1,EA,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 1 MG TABLET [3233],0637,RC,62584-897-01,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 1 MG TABLET [3233],0637,RC,62584-897-11,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 1 MG TABLET [3233],0637,RC,60687-681-01,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 400 MCG TABLET [3234],0637,RC,5026834611,NDC,,,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 400 MCG TABLET [3234],0637,RC,5026834615,NDC,,,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 400 MCG TABLET [3234],0637,RC,8068109900,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],0250,RC,63323-184-10,NDC,,,outpatient,10,ML,95.27,,47.635,57.162,92.4119,89.5538,,,,percent of total billed charges,,76.216,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,79.0741,,,,percent of total billed charges,,85.743,,,,percent of total billed charges,,87.6484,,,,percent of total billed charges,,87.6484,,,,percent of total billed charges,,90.12542,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,92.4119,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,83.8376,,,,percent of total billed charges,,85.743,,,,percent of total billed charges,,76.31127,,,,percent of total billed charges,,85.743,,,,percent of total billed charges,,57.162,,,,percent of total billed charges,,88.496303,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,76.216,,,,percent of total billed charges,,57.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.320797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],0250,RC,39822-1100-1,NDC,,,outpatient,10,ML,78.57,,39.285,47.142,76.2129,73.8558,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,65.2131,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,74.32722,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,76.2129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,69.1416,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,62.93457,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,72.983673,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.942427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,67457-211-02,NDC,J1451,HCPCS,outpatient,1.5,ML,1690.39,,845.195,1014.234,1639.6783,1588.9666,,,,percent of total billed charges,,1352.312,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1403.0237,,,,percent of total billed charges,,1521.351,,,,percent of total billed charges,,1555.1588,,,,percent of total billed charges,,1555.1588,,,,percent of total billed charges,,1599.10894,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1639.6783,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1487.5432,,,,percent of total billed charges,,1521.351,,,,percent of total billed charges,,1354.00239,,,,percent of total billed charges,,1521.351,,,,percent of total billed charges,,1014.234,,,,percent of total billed charges,,1570.203271,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1352.312,,,,percent of total billed charges,,1014.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1354.171429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,70710-1478-1,NDC,J1451,HCPCS,outpatient,1.5,ML,2107.67,,1053.835,1264.602,2044.4399,1981.2098,,,,percent of total billed charges,,1686.136,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,1749.3661,,,,percent of total billed charges,,1896.903,,,,percent of total billed charges,,1939.0564,,,,percent of total billed charges,,1939.0564,,,,percent of total billed charges,,1993.85582,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,2044.4399,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,1854.7496,,,,percent of total billed charges,,1896.903,,,,percent of total billed charges,,1688.24367,,,,percent of total billed charges,,1896.903,,,,percent of total billed charges,,1264.602,,,,percent of total billed charges,,1957.814663,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,1686.136,,,,percent of total billed charges,,1264.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1688.454437,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,0517-0710-01,NDC,J1451,HCPCS,outpatient,1.5,ML,2543.63,,1271.815,1526.178,2467.3211,2391.0122,,,,percent of total billed charges,,2034.904,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2111.2129,,,,percent of total billed charges,,2289.267,,,,percent of total billed charges,,2340.1396,,,,percent of total billed charges,,2340.1396,,,,percent of total billed charges,,2406.27398,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2467.3211,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2238.3944,,,,percent of total billed charges,,2289.267,,,,percent of total billed charges,,2037.44763,,,,percent of total billed charges,,2289.267,,,,percent of total billed charges,,1526.178,,,,percent of total billed charges,,2362.777907,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2034.904,,,,percent of total billed charges,,1526.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2037.701993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,0517-0710-01,NDC,J1451,HCPCS,outpatient,676,ME,1146.33,,573.165,687.798,1111.9401,1077.5502,,,,percent of total billed charges,,917.064,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,951.4539,,,,percent of total billed charges,,1031.697,,,,percent of total billed charges,,1054.6236,,,,percent of total billed charges,,1054.6236,,,,percent of total billed charges,,1084.42818,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,1111.9401,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,1008.7704,,,,percent of total billed charges,,1031.697,,,,percent of total billed charges,,918.21033,,,,percent of total billed charges,,1031.697,,,,percent of total billed charges,,687.798,,,,percent of total billed charges,,1064.825937,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,917.064,,,,percent of total billed charges,,687.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,918.324963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,0143-9384-01,NDC,J1453,HCPCS,outpatient,150,ME,102.11,,51.055,61.266,99.0467,95.9834,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,84.7513,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,96.59606,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,99.0467,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,89.8568,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,81.79011,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,94.849979,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.800321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,145,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,0006-3061-00,NDC,J1453,HCPCS,outpatient,1,EA,1384.02,,692.01,830.412,1342.4994,1300.9788,,,,percent of total billed charges,,1107.216,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1148.7366,,,,percent of total billed charges,,1245.618,,,,percent of total billed charges,,1273.2984,,,,percent of total billed charges,,1273.2984,,,,percent of total billed charges,,1309.28292,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1342.4994,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1217.9376,,,,percent of total billed charges,,1245.618,,,,percent of total billed charges,,1108.60002,,,,percent of total billed charges,,1245.618,,,,percent of total billed charges,,830.412,,,,percent of total billed charges,,1285.616178,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1107.216,,,,percent of total billed charges,,830.412,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1108.738422,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,43598-859-11,NDC,J1453,HCPCS,outpatient,1,EA,98.15,,49.075,58.89,95.2055,92.261,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,81.4645,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,92.8499,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,95.2055,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,86.372,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,78.61815,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,91.171535,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.627965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,63323-972-10,NDC,J1453,HCPCS,outpatient,1,EA,578.97,,289.485,347.382,561.6009,544.2318,,,,percent of total billed charges,,463.176,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,480.5451,,,,percent of total billed charges,,521.073,,,,percent of total billed charges,,532.6524,,,,percent of total billed charges,,532.6524,,,,percent of total billed charges,,547.70562,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,561.6009,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,509.4936,,,,percent of total billed charges,,521.073,,,,percent of total billed charges,,463.75497,,,,percent of total billed charges,,521.073,,,,percent of total billed charges,,347.382,,,,percent of total billed charges,,537.805233,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,463.176,,,,percent of total billed charges,,347.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,463.812867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,71288-418-10,NDC,J1453,HCPCS,outpatient,1,EA,193.19,,96.595,115.914,187.3943,181.5986,,,,percent of total billed charges,,154.552,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,160.3477,,,,percent of total billed charges,,173.871,,,,percent of total billed charges,,177.7348,,,,percent of total billed charges,,177.7348,,,,percent of total billed charges,,182.75774,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,187.3943,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,170.0072,,,,percent of total billed charges,,173.871,,,,percent of total billed charges,,154.74519,,,,percent of total billed charges,,173.871,,,,percent of total billed charges,,115.914,,,,percent of total billed charges,,179.454191,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,154.552,,,,percent of total billed charges,,115.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,154.764509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,70860-780-10,NDC,J1453,HCPCS,outpatient,1,EA,121.37,,60.685,72.822,117.7289,114.0878,,,,percent of total billed charges,,97.096,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,100.7371,,,,percent of total billed charges,,109.233,,,,percent of total billed charges,,111.6604,,,,percent of total billed charges,,111.6604,,,,percent of total billed charges,,114.81602,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,117.7289,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,106.8056,,,,percent of total billed charges,,109.233,,,,percent of total billed charges,,97.21737,,,,percent of total billed charges,,109.233,,,,percent of total billed charges,,72.822,,,,percent of total billed charges,,112.740593,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,97.096,,,,percent of total billed charges,,72.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.229507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,72205-054-01,NDC,J1453,HCPCS,outpatient,1,EA,77.99,,38.995,46.794,75.6503,73.3106,,,,percent of total billed charges,,62.392,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,64.7317,,,,percent of total billed charges,,70.191,,,,percent of total billed charges,,71.7508,,,,percent of total billed charges,,71.7508,,,,percent of total billed charges,,73.77854,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,75.6503,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,68.6312,,,,percent of total billed charges,,70.191,,,,percent of total billed charges,,62.46999,,,,percent of total billed charges,,70.191,,,,percent of total billed charges,,46.794,,,,percent of total billed charges,,72.444911,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,62.392,,,,percent of total billed charges,,46.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.477789,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,43598-948-11,NDC,J1453,HCPCS,outpatient,1,EA,98.64,,49.32,59.184,95.6808,92.7216,,,,percent of total billed charges,,78.912,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,81.8712,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,90.7488,,,,percent of total billed charges,,90.7488,,,,percent of total billed charges,,93.31344,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,95.6808,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,86.8032,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,79.01064,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,59.184,,,,percent of total billed charges,,91.626696,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,78.912,,,,percent of total billed charges,,59.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.020504,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,0143-9384-01,NDC,J1453,HCPCS,outpatient,1,EA,102.11,,51.055,61.266,99.0467,95.9834,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,84.7513,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,96.59606,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,99.0467,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,89.8568,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,81.79011,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,94.849979,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.800321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,0456-4300-08,NDC,,,outpatient,1,EA,289.13,,144.565,173.478,280.4561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,231.59313,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,268.572857,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.622043,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,0456-4300-01,NDC,,,outpatient,1,EA,289.13,,144.565,173.478,280.4561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,231.59313,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,268.572857,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.622043,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,70700-268-94,NDC,,,outpatient,1,EA,215.87,,107.935,129.522,209.3939,202.9178,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,179.1721,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,204.21302,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,209.3939,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,189.9656,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,172.91187,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,200.521643,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.933457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,70700-268-99,NDC,,,outpatient,1,EA,215.87,,107.935,129.522,209.3939,202.9178,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,179.1721,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,204.21302,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,209.3939,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,189.9656,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,172.91187,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,200.521643,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.933457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,67877-749-57,NDC,,,outpatient,1,EA,258.26,,129.13,154.956,250.5122,242.7644,,,,percent of total billed charges,,206.608,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,214.3558,,,,percent of total billed charges,,232.434,,,,percent of total billed charges,,237.5992,,,,percent of total billed charges,,237.5992,,,,percent of total billed charges,,244.31396,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,250.5122,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,227.2688,,,,percent of total billed charges,,232.434,,,,percent of total billed charges,,206.86626,,,,percent of total billed charges,,232.434,,,,percent of total billed charges,,154.956,,,,percent of total billed charges,,239.897714,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,206.608,,,,percent of total billed charges,,154.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,206.892086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,69097-579-67,NDC,,,outpatient,1,EA,206.64,,103.32,123.984,200.4408,194.2416,,,,percent of total billed charges,,165.312,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,171.5112,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,190.1088,,,,percent of total billed charges,,190.1088,,,,percent of total billed charges,,195.48144,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,200.4408,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,181.8432,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,165.51864,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,123.984,,,,percent of total billed charges,,191.947896,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,165.312,,,,percent of total billed charges,,123.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.539304,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,63323-403-02,NDC,Q2009,HCPCS,outpatient,2,ML,19.86,,9.93,11.916,19.2642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,15.90786,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,18.447954,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.909846,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,0641-6136-01,NDC,Q2009,HCPCS,outpatient,2,ML,55.09,,27.545,33.054,53.4373,51.7846,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,45.7247,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,52.11514,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,53.4373,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,48.4792,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,44.12709,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,51.173101,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.132599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,0641-6136-25,NDC,Q2009,HCPCS,outpatient,2,ML,55.09,,27.545,33.054,53.4373,51.7846,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,45.7247,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,52.11514,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,53.4373,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,48.4792,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,44.12709,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,51.173101,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.132599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,0069-6001-02,NDC,Q2009,HCPCS,outpatient,2,ML,14.83,,7.415,8.898,14.3851,13.9402,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,12.3089,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,14.02918,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.3851,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,13.0504,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,11.87883,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,13.775587,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.880313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,0069-6001-25,NDC,Q2009,HCPCS,outpatient,2,ML,14.83,,7.415,8.898,14.3851,13.9402,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,12.3089,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,14.02918,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.3851,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,13.0504,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,11.87883,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,13.775587,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.880313,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,63323-403-01,NDC,Q2009,HCPCS,outpatient,2,ML,19.86,,9.93,11.916,19.2642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,15.90786,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,18.447954,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.909846,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,68462-621-02,NDC,Q2009,HCPCS,outpatient,2,ML,11.42,,5.71,6.852,11.0774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,9.14742,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,10.608038,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.148562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,68462-621-54,NDC,Q2009,HCPCS,outpatient,2,ML,11.42,,5.71,6.852,11.0774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,9.14742,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,10.608038,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.148562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 5 MG/ML IN NS IV PEDS DILUTION [1000038],0250,RC,WVU01-000-38,NDC,,,outpatient,10,ML,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,63323-403-10,NDC,Q2009,HCPCS,outpatient,10,ML,93.06,,46.53,55.836,90.2682,87.4764,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,77.2398,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,88.03476,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,90.2682,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,81.8928,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,74.54106,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,86.443434,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.550366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,0069-6001-10,NDC,Q2009,HCPCS,outpatient,10,ML,78.35,,39.175,47.01,75.9995,73.649,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,65.0305,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,74.1191,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,75.9995,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,68.948,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,62.75835,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,72.779315,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.766185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,0069-6001-21,NDC,Q2009,HCPCS,outpatient,10,ML,78.35,,39.175,47.01,75.9995,73.649,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,65.0305,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,74.1191,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,75.9995,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,68.948,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,62.75835,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,72.779315,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.766185,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,67457-517-01,NDC,Q2009,HCPCS,outpatient,10,ML,62.96,,31.48,37.776,61.0712,59.1824,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,52.2568,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,59.56016,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,61.0712,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,55.4048,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,50.43096,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,58.483544,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.437256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,67457-517-00,NDC,Q2009,HCPCS,outpatient,10,ML,62.96,,31.48,37.776,61.0712,59.1824,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,52.2568,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,59.56016,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,61.0712,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,55.4048,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,50.43096,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,58.483544,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.437256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,63323-403-04,NDC,Q2009,HCPCS,outpatient,10,ML,93.06,,46.53,55.836,90.2682,87.4764,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,77.2398,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,88.03476,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,90.2682,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,81.8928,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,74.54106,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,86.443434,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.550366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,67457-517-01,NDC,Q2009,HCPCS,outpatient,1014,ME,127.68,,63.84,76.608,123.8496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,102.27168,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,118.601952,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.284448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,67457-517-01,NDC,Q2009,HCPCS,outpatient,1014,ME,127.68,,63.84,76.608,123.8496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,102.27168,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,118.601952,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.284448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,67457-517-01,NDC,Q2009,HCPCS,outpatient,1014,ME,127.68,,63.84,76.608,123.8496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,102.27168,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,118.601952,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.284448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,67457-517-01,NDC,Q2009,HCPCS,outpatient,1014,ME,127.68,,63.84,76.608,123.8496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,102.27168,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,118.601952,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.284448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,63323-403-02,NDC,Q2009,HCPCS,outpatient,100,ME,19.86,,9.93,11.916,19.2642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,15.90786,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,18.447954,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.909846,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,67457-517-01,NDC,Q2009,HCPCS,outpatient,1352,ME,170.24,,85.12,102.144,165.1328,160.0256,,,,percent of total billed charges,,136.192,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,141.2992,,,,percent of total billed charges,,153.216,,,,percent of total billed charges,,156.6208,,,,percent of total billed charges,,156.6208,,,,percent of total billed charges,,161.04704,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,165.1328,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,149.8112,,,,percent of total billed charges,,153.216,,,,percent of total billed charges,,136.36224,,,,percent of total billed charges,,153.216,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,158.135936,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,136.192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.379264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,0310-0720-10,NDC,J9395,HCPCS,outpatient,5,ML,4210.16,,2105.08,2526.096,4083.8552,3957.5504,,,,percent of total billed charges,,3368.128,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3494.4328,,,,percent of total billed charges,,3789.144,,,,percent of total billed charges,,3873.3472,,,,percent of total billed charges,,3873.3472,,,,percent of total billed charges,,3982.81136,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,4083.8552,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3704.9408,,,,percent of total billed charges,,3789.144,,,,percent of total billed charges,,3372.33816,,,,percent of total billed charges,,3789.144,,,,percent of total billed charges,,2526.096,,,,percent of total billed charges,,3910.817624,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3368.128,,,,percent of total billed charges,,2526.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3372.759176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,63323-715-05,NDC,J9394,HCPCS,outpatient,5,ML,260.53,,130.265,156.318,252.7141,244.8982,,,,percent of total billed charges,,208.424,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,216.2399,,,,percent of total billed charges,,234.477,,,,percent of total billed charges,,239.6876,,,,percent of total billed charges,,239.6876,,,,percent of total billed charges,,246.46138,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,252.7141,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,229.2664,,,,percent of total billed charges,,234.477,,,,percent of total billed charges,,208.68453,,,,percent of total billed charges,,234.477,,,,percent of total billed charges,,156.318,,,,percent of total billed charges,,242.006317,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,208.424,,,,percent of total billed charges,,156.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.710583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,70121-1463-2,NDC,J9395,HCPCS,outpatient,5,ML,155.46,,77.73,93.276,150.7962,146.1324,,,,percent of total billed charges,,124.368,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,129.0318,,,,percent of total billed charges,,139.914,,,,percent of total billed charges,,143.0232,,,,percent of total billed charges,,143.0232,,,,percent of total billed charges,,147.06516,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,150.7962,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,136.8048,,,,percent of total billed charges,,139.914,,,,percent of total billed charges,,124.52346,,,,percent of total billed charges,,139.914,,,,percent of total billed charges,,93.276,,,,percent of total billed charges,,144.406794,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,124.368,,,,percent of total billed charges,,93.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.539006,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,43598-262-02,NDC,J9395,HCPCS,outpatient,5,ML,217.15,,108.575,130.29,210.6355,204.121,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,180.2345,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,205.4239,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,210.6355,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,173.93715,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,201.710635,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.958865,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,43598-262-11,NDC,J9395,HCPCS,outpatient,5,ML,217.15,,108.575,130.29,210.6355,204.121,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,180.2345,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,205.4239,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,210.6355,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,173.93715,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,201.710635,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.958865,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG /ML PEDS INFUSION [1000193],0636,RC,WVU01-001-93,NDC,J1940,HCPCS,outpatient,4,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,63323-280-02,NDC,J1940,HCPCS,outpatient,2,ML,2.24,,1.12,1.344,2.1728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.79424,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.080736,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.794464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,63323-280-04,NDC,J1940,HCPCS,outpatient,4,ML,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,63323-280-10,NDC,J1940,HCPCS,outpatient,10,ML,4.1,,2.05,2.46,3.977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.2841,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,3.80849,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.28451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,0409-6102-02,NDC,J1940,HCPCS,outpatient,2,ML,13.41,,6.705,8.046,13.0077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,10.74141,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,12.456549,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.742751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,0409-6102-04,NDC,J1940,HCPCS,outpatient,4,ML,8.05,,4.025,4.83,7.8085,7.567,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.6815,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.6153,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.8085,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,6.44805,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,7.477645,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.448855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,0409-6102-10,NDC,J1940,HCPCS,outpatient,10,ML,22.32,,11.16,13.392,21.6504,20.9808,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,18.5256,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,21.11472,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.6504,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,19.6416,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,17.87832,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,20.733048,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.880552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,36000-282-25,NDC,J1940,HCPCS,outpatient,2,ML,4.47,,2.235,2.682,4.3359,4.2018,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.7101,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.22862,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.3359,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.9336,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,3.58047,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,4.152183,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.580917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,36000-283-25,NDC,J1940,HCPCS,outpatient,4,ML,4.72,,2.36,2.832,4.5784,4.4368,,,,percent of total billed charges,,3.776,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,3.9176,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,4.3424,,,,percent of total billed charges,,4.3424,,,,percent of total billed charges,,4.46512,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,4.5784,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,4.1536,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.78072,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,4.384408,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,3.776,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.781192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,36000-284-25,NDC,J1940,HCPCS,outpatient,10,ML,7.25,,3.625,4.35,7.0325,6.815,,,,percent of total billed charges,,5.8,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,6.0175,,,,percent of total billed charges,,6.525,,,,percent of total billed charges,,6.67,,,,percent of total billed charges,,6.67,,,,percent of total billed charges,,6.8585,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,7.0325,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,6.38,,,,percent of total billed charges,,6.525,,,,percent of total billed charges,,5.80725,,,,percent of total billed charges,,6.525,,,,percent of total billed charges,,4.35,,,,percent of total billed charges,,6.734525,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,5.8,,,,percent of total billed charges,,4.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.807975,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,63323-280-26,NDC,J1940,HCPCS,outpatient,4,ML,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,0409-6102-18,NDC,J1940,HCPCS,outpatient,4,ML,8.05,,4.025,4.83,7.8085,7.567,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.6815,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.6153,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.8085,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,6.44805,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,7.477645,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.448855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,0409-6102-19,NDC,J1940,HCPCS,outpatient,2,ML,13.41,,6.705,8.046,13.0077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,10.74141,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,12.456549,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.742751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,0409-6102-20,NDC,J1940,HCPCS,outpatient,10,ML,22.32,,11.16,13.392,21.6504,20.9808,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,18.5256,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,21.11472,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.6504,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,19.6416,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,17.87832,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,20.733048,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.880552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,63323-280-01,NDC,J1940,HCPCS,outpatient,2,ML,2.24,,1.12,1.344,2.1728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.79424,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.080736,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.794464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,63323-280-03,NDC,J1940,HCPCS,outpatient,4,ML,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,63323-280-05,NDC,J1940,HCPCS,outpatient,10,ML,4.1,,2.05,2.46,3.977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.2841,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,3.80849,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.28451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,25021-311-04,NDC,J1940,HCPCS,outpatient,4,ML,3.57,,1.785,2.142,3.4629,3.3558,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,2.9631,,,,percent of total billed charges,,3.213,,,,percent of total billed charges,,3.2844,,,,percent of total billed charges,,3.2844,,,,percent of total billed charges,,3.37722,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,3.4629,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,3.1416,,,,percent of total billed charges,,3.213,,,,percent of total billed charges,,2.85957,,,,percent of total billed charges,,3.213,,,,percent of total billed charges,,2.142,,,,percent of total billed charges,,3.316173,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,2.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.859927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,25021-311-10,NDC,J1940,HCPCS,outpatient,10,ML,5.31,,2.655,3.186,5.1507,4.9914,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.4073,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,5.02326,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.1507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.6728,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.25331,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,4.932459,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.253841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,16729-501-43,NDC,J1940,HCPCS,outpatient,4,ML,11.99,,5.995,7.194,11.6303,11.2706,,,,percent of total billed charges,,9.592,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,9.9517,,,,percent of total billed charges,,10.791,,,,percent of total billed charges,,11.0308,,,,percent of total billed charges,,11.0308,,,,percent of total billed charges,,11.34254,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,11.6303,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,10.5512,,,,percent of total billed charges,,10.791,,,,percent of total billed charges,,9.60399,,,,percent of total billed charges,,10.791,,,,percent of total billed charges,,7.194,,,,percent of total billed charges,,11.137511,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,9.592,,,,percent of total billed charges,,7.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.605189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,16729-502-03,NDC,J1940,HCPCS,outpatient,10,ML,13.46,,6.73,8.076,13.0562,12.6524,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.1718,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.73316,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,13.0562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.8448,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,10.78146,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,12.502994,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.782806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,71288-203-02,NDC,J1940,HCPCS,outpatient,2,ML,1.95,,0.975,1.17,1.8915,1.833,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.6185,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.8447,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.56195,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.811355,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.562145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,71288-203-03,NDC,J1940,HCPCS,outpatient,2,ML,1.95,,0.975,1.17,1.8915,1.833,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.6185,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.8447,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.56195,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.811355,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.562145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,71288-203-04,NDC,J1940,HCPCS,outpatient,4,ML,2.27,,1.135,1.362,2.2019,2.1338,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.8841,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.14742,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.2019,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.9976,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.81827,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,2.108603,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.818497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,71288-203-05,NDC,J1940,HCPCS,outpatient,4,ML,2.27,,1.135,1.362,2.2019,2.1338,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.8841,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.14742,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.2019,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.9976,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.81827,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,2.108603,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.818497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,71288-203-10,NDC,J1940,HCPCS,outpatient,10,ML,4.14,,2.07,2.484,4.0158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.31614,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,3.845646,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.316554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,71288-203-11,NDC,J1940,HCPCS,outpatient,10,ML,4.14,,2.07,2.484,4.0158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.31614,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,3.845646,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.316554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0250,RC,63323-280-04,NDC,,,outpatient,100,ME,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 2 MG/ML IN D5W IV PEDS DILUTION [1001844],0636,RC,9991-0018-44,NDC,J1940,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 2 MG/ML ORAL LIQUID [1000096],0637,RC,9991-0000-96,NDC,,,outpatient,30,ML,2.84,,1.42,1.704,2.7548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.27484,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.638076,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.275124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,0054-8297-25,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,51079-072-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,51079-072-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,0904-7177-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,0054-8299-25,NDC,,,outpatient,1,EA,0.66,,0.33,0.396,0.6402,0.6204,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5478,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.62436,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.6402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5808,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.52866,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,0.613074,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.528726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,51079-073-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,51079-073-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,69315-117-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,0904-7178-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG/4 ML ORAL SOLUTION [194726],0637,RC,68094-756-59,NDC,,,outpatient,4,ML,7.26,,3.63,4.356,7.0422,6.8244,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,6.0258,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,6.6792,,,,percent of total billed charges,,6.6792,,,,percent of total billed charges,,6.86796,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,7.0422,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,6.3888,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,5.81526,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,6.743814,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.815986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG/4 ML ORAL SOLUTION [194726],0637,RC,68094-756-62,NDC,,,outpatient,4,ML,7.08,,3.54,4.248,6.8676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,5.67108,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,6.576612,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.671788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (NON-TITRATABLE TASK) [1001910],0636,RC,9999-2426-92,NDC,,,outpatient,50,ML,138.6,,69.3,83.16,134.442,130.284,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,115.038,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,131.1156,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,134.442,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,121.968,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,111.0186,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,128.74554,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.03246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,65162-101-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,0904-6665-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,60687-580-01,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,60687-580-11,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,0904-6666-61,NDC,,,outpatient,1,EA,0.64,,0.32,0.384,0.6208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.51264,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.594496,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.512704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,60687-591-01,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,60687-591-11,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,63739-903-10,NDC,,,outpatient,1,EA,0.57,,0.285,0.342,0.5529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.45657,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.529473,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.456627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 400 MG CAPSULE [18307],0637,RC,0904-6667-61,NDC,,,outpatient,1,EA,0.75,,0.375,0.45,0.7275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.60075,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.696675,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.600825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 400 MG CAPSULE [18307],0637,RC,63739-904-10,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION [204087],0636,RC,50419-325-09,NDC,A9585,HCPCS,outpatient,65,ML,803.79,,401.895,482.274,779.6763,755.5626,,,,percent of total billed charges,,643.032,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,667.1457,,,,percent of total billed charges,,723.411,,,,percent of total billed charges,,739.4868,,,,percent of total billed charges,,739.4868,,,,percent of total billed charges,,760.38534,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,779.6763,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,707.3352,,,,percent of total billed charges,,723.411,,,,percent of total billed charges,,643.83579,,,,percent of total billed charges,,723.411,,,,percent of total billed charges,,482.274,,,,percent of total billed charges,,746.640531,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,643.032,,,,percent of total billed charges,,482.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,643.916169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [204092],0254,RC,50419-325-12,NDC,A9585,HCPCS,outpatient,10,ML,123.66,,61.83,74.196,119.9502,116.2404,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,102.6378,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,116.98236,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,119.9502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,108.8208,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,99.05166,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,114.867774,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.064026,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [204092],0254,RC,50419-325-02,NDC,A9585,HCPCS,outpatient,10,ML,123.66,,61.83,74.196,119.9502,116.2404,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,102.6378,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,116.98236,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,119.9502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,108.8208,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,99.05166,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,114.867774,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.064026,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN [188259],0254,RC,50419-188-02,NDC,Q9967,HCPCS,outpatient,20,ML,263.43,,131.715,158.058,255.5271,247.6242,,,,percent of total billed charges,,210.744,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,218.6469,,,,percent of total billed charges,,237.087,,,,percent of total billed charges,,242.3556,,,,percent of total billed charges,,242.3556,,,,percent of total billed charges,,249.20478,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,255.5271,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,231.8184,,,,percent of total billed charges,,237.087,,,,percent of total billed charges,,211.00743,,,,percent of total billed charges,,237.087,,,,percent of total billed charges,,158.058,,,,percent of total billed charges,,244.700127,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,210.744,,,,percent of total billed charges,,158.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,211.033773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN [188257],0254,RC,50419-188-82,NDC,Q9967,HCPCS,outpatient,10,ML,80.01,,40.005,48.006,77.6097,75.2094,,,,percent of total billed charges,,64.008,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,66.4083,,,,percent of total billed charges,,72.009,,,,percent of total billed charges,,73.6092,,,,percent of total billed charges,,73.6092,,,,percent of total billed charges,,75.68946,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,77.6097,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,70.4088,,,,percent of total billed charges,,72.009,,,,percent of total billed charges,,64.08801,,,,percent of total billed charges,,72.009,,,,percent of total billed charges,,48.006,,,,percent of total billed charges,,74.321289,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,64.008,,,,percent of total billed charges,,48.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.096011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION [81804],0254,RC,0270-1111-04,NDC,A9576,HCPCS,outpatient,5,ML,29.39,,14.695,17.634,28.5083,27.6266,,,,percent of total billed charges,,23.512,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,24.3937,,,,percent of total billed charges,,26.451,,,,percent of total billed charges,,27.0388,,,,percent of total billed charges,,27.0388,,,,percent of total billed charges,,27.80294,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,28.5083,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,25.8632,,,,percent of total billed charges,,26.451,,,,percent of total billed charges,,23.54139,,,,percent of total billed charges,,26.451,,,,percent of total billed charges,,17.634,,,,percent of total billed charges,,27.300371,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,23.512,,,,percent of total billed charges,,17.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.544329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION [81804],0254,RC,0270-1111-70,NDC,A9576,HCPCS,outpatient,50,ML,292.5,,146.25,175.5,283.725,274.95,,,,percent of total billed charges,,234,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,242.775,,,,percent of total billed charges,,263.25,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,276.705,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,283.725,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.25,,,,percent of total billed charges,,234.2925,,,,percent of total billed charges,,263.25,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,271.70325,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,234,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,234.32175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [189039],0636,RC,50419-320-05,NDC,A9581,HCPCS,outpatient,10,ML,587.12,,293.56,352.272,569.5064,551.8928,,,,percent of total billed charges,,469.696,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,487.3096,,,,percent of total billed charges,,528.408,,,,percent of total billed charges,,540.1504,,,,percent of total billed charges,,540.1504,,,,percent of total billed charges,,555.41552,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,569.5064,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,516.6656,,,,percent of total billed charges,,528.408,,,,percent of total billed charges,,470.28312,,,,percent of total billed charges,,528.408,,,,percent of total billed charges,,352.272,,,,percent of total billed charges,,545.375768,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,469.696,,,,percent of total billed charges,,352.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,470.341832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [189039],0636,RC,50419-320-15,NDC,A9581,HCPCS,outpatient,15,ML,1048.41,,524.205,629.046,1016.9577,985.5054,,,,percent of total billed charges,,838.728,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,870.1803,,,,percent of total billed charges,,943.569,,,,percent of total billed charges,,964.5372,,,,percent of total billed charges,,964.5372,,,,percent of total billed charges,,991.79586,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,1016.9577,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,922.6008,,,,percent of total billed charges,,943.569,,,,percent of total billed charges,,839.77641,,,,percent of total billed charges,,943.569,,,,percent of total billed charges,,629.046,,,,percent of total billed charges,,973.868049,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,838.728,,,,percent of total billed charges,,629.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,839.881251,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR 10 MG/ML IN D5W IV PEDS DILUTION [1000040],0250,RC,WVU01-000-40,NDC,,,outpatient,1,ML,6.39,,3.195,3.834,6.1983,6.0066,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,5.3037,,,,percent of total billed charges,,5.751,,,,percent of total billed charges,,5.8788,,,,percent of total billed charges,,5.8788,,,,percent of total billed charges,,6.04494,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,6.1983,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,5.6232,,,,percent of total billed charges,,5.751,,,,percent of total billed charges,,5.11839,,,,percent of total billed charges,,5.751,,,,percent of total billed charges,,3.834,,,,percent of total billed charges,,5.935671,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,3.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.119029,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [77057],0636,RC,63323-315-10,NDC,J1570,HCPCS,outpatient,1,EA,169.7,,84.85,101.82,164.609,159.518,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,140.851,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,160.5362,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,164.609,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,149.336,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,135.9297,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,157.63433,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.94667,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [77057],0636,RC,70436-089-55,NDC,J1570,HCPCS,outpatient,1,EA,167.72,,83.86,100.632,162.6884,157.6568,,,,percent of total billed charges,,134.176,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,139.2076,,,,percent of total billed charges,,150.948,,,,percent of total billed charges,,154.3024,,,,percent of total billed charges,,154.3024,,,,percent of total billed charges,,158.66312,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,162.6884,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,147.5936,,,,percent of total billed charges,,150.948,,,,percent of total billed charges,,134.34372,,,,percent of total billed charges,,150.948,,,,percent of total billed charges,,100.632,,,,percent of total billed charges,,155.795108,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,134.176,,,,percent of total billed charges,,100.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.360492,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [77057],0636,RC,63323-315-01,NDC,J1570,HCPCS,outpatient,1,EA,169.7,,84.85,101.82,164.609,159.518,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,140.851,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,160.5362,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,164.609,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,149.336,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,135.9297,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,157.63433,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.94667,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GELATIN MATRIX SEALANT (FLOSEAL) 10 ML KIT [1000571],0250,RC,99910-005-71,NDC,,,outpatient,10,ML,1302.93,,651.465,781.758,1263.8421,1224.7542,,,,percent of total billed charges,,1042.344,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1081.4319,,,,percent of total billed charges,,1172.637,,,,percent of total billed charges,,1198.6956,,,,percent of total billed charges,,1198.6956,,,,percent of total billed charges,,1232.57178,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1263.8421,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1146.5784,,,,percent of total billed charges,,1172.637,,,,percent of total billed charges,,1043.64693,,,,percent of total billed charges,,1172.637,,,,percent of total billed charges,,781.758,,,,percent of total billed charges,,1210.291677,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1042.344,,,,percent of total billed charges,,781.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1043.777223,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GELATIN MATRIX SEALANT (FLOSEAL) 5 ML KIT [1000566],0250,RC,99910-005-66,NDC,,,outpatient,5,ML,712.15,,356.075,427.29,690.7855,669.421,,,,percent of total billed charges,,569.72,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,591.0845,,,,percent of total billed charges,,640.935,,,,percent of total billed charges,,655.178,,,,percent of total billed charges,,655.178,,,,percent of total billed charges,,673.6939,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,690.7855,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,626.692,,,,percent of total billed charges,,640.935,,,,percent of total billed charges,,570.43215,,,,percent of total billed charges,,640.935,,,,percent of total billed charges,,427.29,,,,percent of total billed charges,,661.516135,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,569.72,,,,percent of total billed charges,,427.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,570.503365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [209932],0636,RC,0409-0181-01,NDC,J9201,HCPCS,outpatient,26.3,ML,78.71,,39.355,47.226,76.3487,73.9874,,,,percent of total billed charges,,62.968,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,65.3293,,,,percent of total billed charges,,70.839,,,,percent of total billed charges,,72.4132,,,,percent of total billed charges,,72.4132,,,,percent of total billed charges,,74.45966,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,76.3487,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,69.2648,,,,percent of total billed charges,,70.839,,,,percent of total billed charges,,63.04671,,,,percent of total billed charges,,70.839,,,,percent of total billed charges,,47.226,,,,percent of total billed charges,,73.113719,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,62.968,,,,percent of total billed charges,,47.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.054581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [209932],0636,RC,67457-617-30,NDC,J9201,HCPCS,outpatient,26.3,ML,54.8,,27.4,32.88,53.156,51.512,,,,percent of total billed charges,,43.84,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,45.484,,,,percent of total billed charges,,49.32,,,,percent of total billed charges,,50.416,,,,percent of total billed charges,,50.416,,,,percent of total billed charges,,51.8408,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,53.156,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,48.224,,,,percent of total billed charges,,49.32,,,,percent of total billed charges,,43.8948,,,,percent of total billed charges,,49.32,,,,percent of total billed charges,,32.88,,,,percent of total billed charges,,50.90372,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,43.84,,,,percent of total billed charges,,32.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.90028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [209932],0636,RC,60505-6114-0,NDC,J9201,HCPCS,outpatient,26.3,ML,71.96,,35.98,43.176,69.8012,67.6424,,,,percent of total billed charges,,57.568,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,59.7268,,,,percent of total billed charges,,64.764,,,,percent of total billed charges,,66.2032,,,,percent of total billed charges,,66.2032,,,,percent of total billed charges,,68.07416,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,69.8012,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,63.3248,,,,percent of total billed charges,,64.764,,,,percent of total billed charges,,57.63996,,,,percent of total billed charges,,64.764,,,,percent of total billed charges,,43.176,,,,percent of total billed charges,,66.843644,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,57.568,,,,percent of total billed charges,,43.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.647156,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION [209933],0636,RC,0409-0182-01,NDC,J9201,HCPCS,outpatient,52.6,ML,120.72,,60.36,72.432,117.0984,113.4768,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,100.1976,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,114.20112,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,117.0984,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,106.2336,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,96.69672,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,112.136808,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.708792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION [209933],0636,RC,71288-117-54,NDC,J9201,HCPCS,outpatient,52.6,ML,200.25,,100.125,120.15,194.2425,188.235,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,166.2075,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,189.4365,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,194.2425,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,160.40025,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,186.012225,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.420275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION [209934],0636,RC,0409-0183-01,NDC,J9201,HCPCS,outpatient,5.26,ML,18.54,,9.27,11.124,17.9838,17.4276,,,,percent of total billed charges,,14.832,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,15.3882,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,17.0568,,,,percent of total billed charges,,17.0568,,,,percent of total billed charges,,17.53884,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,17.9838,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,16.3152,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,14.85054,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,17.221806,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,14.832,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.852394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 38 MG/ML IN (PF) NS INTRAVESICAL [1000545],0636,RC,0409-0182-01,NDC,J9201,HCPCS,outpatient,52.6,ML,120.72,,60.36,72.432,117.0984,113.4768,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,100.1976,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,114.20112,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,117.0984,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,106.2336,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,96.69672,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,112.136808,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.708792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 38 MG/ML IN (PF) NS INTRAVESICAL [1000545],0636,RC,71288-117-54,NDC,J9201,HCPCS,outpatient,52.6,ML,200.25,,100.125,120.15,194.2425,188.235,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,166.2075,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,189.4365,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,194.2425,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,160.40025,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,186.012225,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.420275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,50268-350-15,NDC,,,outpatient,1,EA,1.26,,0.63,0.756,1.2222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.00926,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.170414,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.009386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,50268-350-11,NDC,,,outpatient,1,EA,1.26,,0.63,0.756,1.2222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.00926,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.170414,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.009386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,60687-224-01,NDC,,,outpatient,1,EA,1.01,,0.505,0.606,0.9797,0.9494,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8383,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.95546,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8888,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.80901,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,0.938189,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.809111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,60687-224-11,NDC,,,outpatient,1,EA,1.01,,0.505,0.606,0.9797,0.9494,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8383,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.95546,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8888,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.80901,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,0.938189,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.809111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENT VIOLET-BRLNT GRN-PROFLAV 2.29 MG-2.29 MG-1.14 MG/ML TOPICAL SWAB [94384],0637,RC,66689-710-06,NDC,,,outpatient,1,EA,20.69,,10.345,12.414,20.0693,19.4486,,,,percent of total billed charges,,16.552,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,17.1727,,,,percent of total billed charges,,18.621,,,,percent of total billed charges,,19.0348,,,,percent of total billed charges,,19.0348,,,,percent of total billed charges,,19.57274,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,20.0693,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,18.2072,,,,percent of total billed charges,,18.621,,,,percent of total billed charges,,16.57269,,,,percent of total billed charges,,18.621,,,,percent of total billed charges,,12.414,,,,percent of total billed charges,,19.218941,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,16.552,,,,percent of total billed charges,,12.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.574759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL CREAM [3423],0637,RC,45802-056-35,NDC,,,outpatient,15,GR,171.93,,85.965,103.158,166.7721,161.6142,,,,percent of total billed charges,,137.544,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,142.7019,,,,percent of total billed charges,,154.737,,,,percent of total billed charges,,158.1756,,,,percent of total billed charges,,158.1756,,,,percent of total billed charges,,162.64578,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,166.7721,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,151.2984,,,,percent of total billed charges,,154.737,,,,percent of total billed charges,,137.71593,,,,percent of total billed charges,,154.737,,,,percent of total billed charges,,103.158,,,,percent of total billed charges,,159.705777,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,137.544,,,,percent of total billed charges,,103.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,137.733123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL CREAM [3423],0637,RC,0713-0683-15,NDC,,,outpatient,15,GR,87.89,,43.945,52.734,85.2533,82.6166,,,,percent of total billed charges,,70.312,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,72.9487,,,,percent of total billed charges,,79.101,,,,percent of total billed charges,,80.8588,,,,percent of total billed charges,,80.8588,,,,percent of total billed charges,,83.14394,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,85.2533,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,77.3432,,,,percent of total billed charges,,79.101,,,,percent of total billed charges,,70.39989,,,,percent of total billed charges,,79.101,,,,percent of total billed charges,,52.734,,,,percent of total billed charges,,81.641021,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,70.312,,,,percent of total billed charges,,52.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.408679,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],0637,RC,45802-046-35,NDC,,,outpatient,15,GR,142.09,,71.045,85.254,137.8273,133.5646,,,,percent of total billed charges,,113.672,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,117.9347,,,,percent of total billed charges,,127.881,,,,percent of total billed charges,,130.7228,,,,percent of total billed charges,,130.7228,,,,percent of total billed charges,,134.41714,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,137.8273,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,125.0392,,,,percent of total billed charges,,127.881,,,,percent of total billed charges,,113.81409,,,,percent of total billed charges,,127.881,,,,percent of total billed charges,,85.254,,,,percent of total billed charges,,131.987401,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,113.672,,,,percent of total billed charges,,85.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.828299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],0637,RC,0713-0682-15,NDC,,,outpatient,15,GR,168.42,,84.21,101.052,163.3674,158.3148,,,,percent of total billed charges,,134.736,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,139.7886,,,,percent of total billed charges,,151.578,,,,percent of total billed charges,,154.9464,,,,percent of total billed charges,,154.9464,,,,percent of total billed charges,,159.32532,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,163.3674,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,148.2096,,,,percent of total billed charges,,151.578,,,,percent of total billed charges,,134.90442,,,,percent of total billed charges,,151.578,,,,percent of total billed charges,,101.052,,,,percent of total billed charges,,156.445338,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,134.736,,,,percent of total billed charges,,101.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,134.921262,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.3 % EYE DROPS [3428],0637,RC,24208-580-60,NDC,,,outpatient,5,ML,61.38,,30.69,36.828,59.5386,57.6972,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,50.9454,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,58.06548,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,59.5386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,54.0144,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,49.16538,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,57.015882,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.171518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.3 % EYE DROPS [3428],0637,RC,61314-633-05,NDC,,,outpatient,5,ML,22.23,,11.115,13.338,21.5631,20.8962,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,18.4509,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,21.02958,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.5631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,19.5624,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,17.80623,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,20.649447,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.808453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.3 % EYE DROPS [3428],0637,RC,17478-826-05,NDC,,,outpatient,5,ML,22.23,,11.115,13.338,21.5631,20.8962,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,18.4509,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,21.02958,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.5631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,19.5624,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,17.80623,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,20.649447,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.808453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 2 MG/ML IN NS IV PEDS DILUTION - NICU [1001853],0636,RC,9911-0018-53,NDC,J1580,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-02,NDC,J1580,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-20,NDC,J1580,HCPCS,outpatient,20,ML,103.23,,51.615,61.938,100.1331,97.0362,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,85.6809,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,97.65558,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,100.1331,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,90.8424,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,82.68723,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,95.890347,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.697553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-94,NDC,J1580,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-03,NDC,J1580,HCPCS,outpatient,20,ML,103.23,,51.615,61.938,100.1331,97.0362,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,85.6809,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,97.65558,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,100.1331,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,90.8424,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,82.68723,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,95.890347,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.697553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-01,NDC,J1580,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-41,NDC,J1580,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,0143-9128-01,NDC,J1580,HCPCS,outpatient,2,ML,6.12,,3.06,3.672,5.9364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,4.90212,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,5.684868,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.902732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,0143-9128-25,NDC,J1580,HCPCS,outpatient,2,ML,6.12,,3.06,3.672,5.9364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,4.90212,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,5.684868,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.902732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.01 ML [192599],0636,RC,63323-010-02,NDC,J1580,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION FOR OSTEOBEADS [7000177],0636,RC,63323-010-02,NDC,J1580,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40MG/ML IM INJECTION [1000603],0636,RC,63323-010-02,NDC,J1580,HCPCS,outpatient,2,ML,3.21,,1.605,1.926,3.1137,3.0174,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.6643,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,3.03666,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.1137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.8248,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.57121,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,2.981769,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.571531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [134222],0636,RC,0338-0509-41,NDC,J1580,HCPCS,outpatient,50,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-94,NDC,J1580,HCPCS,outpatient,80,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,48,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-94,NDC,J1580,HCPCS,outpatient,135.2,ME,8.11,,4.055,4.866,7.8667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,6.49611,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,7.533379,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.496921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-94,NDC,J1580,HCPCS,outpatient,473.2,ME,28.38,,14.19,17.028,27.5286,26.6772,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,23.5554,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.84748,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,24.9744,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,26.362182,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.735218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-94,NDC,J1580,HCPCS,outpatient,169,ME,10.14,,5.07,6.084,9.8358,9.5316,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.4162,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.59244,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.8358,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.9232,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,8.12214,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,9.419046,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.123154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-94,NDC,J1580,HCPCS,outpatient,473.2,ME,28.38,,14.19,17.028,27.5286,26.6772,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,23.5554,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.84748,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,24.9744,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,26.362182,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.735218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [162842],0636,RC,63323-173-02,NDC,J1580,HCPCS,outpatient,2,ML,8.61,,4.305,5.166,8.3517,8.0934,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.1463,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,8.14506,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.3517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.5768,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,6.89661,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,7.997829,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.897471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [162842],0636,RC,63323-173-94,NDC,J1580,HCPCS,outpatient,2,ML,8.61,,4.305,5.166,8.3517,8.0934,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.1463,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,8.14506,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.3517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.5768,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,6.89661,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,7.997829,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.897471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [162842],0636,RC,63323-173-01,NDC,J1580,HCPCS,outpatient,2,ML,8.61,,4.305,5.166,8.3517,8.0934,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.1463,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,8.14506,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.3517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.5768,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,6.89661,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,7.997829,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.897471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTIAN VIOLET 1 % TOPICAL SOLUTION [3430],0250,RC,0395-1003-92,NDC,,,outpatient,59,ML,24.17,,12.085,14.502,23.4449,22.7198,,,,percent of total billed charges,,19.336,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,20.0611,,,,percent of total billed charges,,21.753,,,,percent of total billed charges,,22.2364,,,,percent of total billed charges,,22.2364,,,,percent of total billed charges,,22.86482,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,23.4449,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,21.2696,,,,percent of total billed charges,,21.753,,,,percent of total billed charges,,19.36017,,,,percent of total billed charges,,21.753,,,,percent of total billed charges,,14.502,,,,percent of total billed charges,,22.451513,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,19.336,,,,percent of total billed charges,,14.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.362587,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTIAN VIOLET 1 % TOPICAL SOLUTION [3430],0250,RC,24385-003-46,NDC,,,outpatient,59,ML,10.36,,5.18,6.216,10.0492,9.7384,,,,percent of total billed charges,,8.288,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,8.5988,,,,percent of total billed charges,,9.324,,,,percent of total billed charges,,9.5312,,,,percent of total billed charges,,9.5312,,,,percent of total billed charges,,9.80056,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,10.0492,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,9.1168,,,,percent of total billed charges,,9.324,,,,percent of total billed charges,,8.29836,,,,percent of total billed charges,,9.324,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,9.623404,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,8.288,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.299396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GI COCKTAIL (ANTACID SUSP, HYOSCYAMINE, LIDOCAINE) [7000262]",0637,RC,9997-0002-62,NDC,,,outpatient,55,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,51079-425-20,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,51079-425-01,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,68084-326-01,NDC,,,outpatient,1,EA,1.99,,0.995,1.194,1.9303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.59399,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,1.848511,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.594189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,68084-326-11,NDC,,,outpatient,1,EA,1.99,,0.995,1.194,1.9303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.59399,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,1.848511,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.594189,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,50268-359-11,NDC,,,outpatient,1,EA,2.66,,1.33,1.596,2.5802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.13066,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.470874,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.130926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,50268-359-15,NDC,,,outpatient,1,EA,2.66,,1.33,1.596,2.5802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.13066,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.470874,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.130926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,51079-811-01,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,51079-811-20,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,60505-0142-0,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,60687-701-01,NDC,,,outpatient,1,EA,3.01,,1.505,1.806,2.9197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.41101,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,2.795989,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.411311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,60687-701-11,NDC,,,outpatient,1,EA,3.01,,1.505,1.806,2.9197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.41101,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,2.795989,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.411311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,51079-810-01,NDC,,,outpatient,1,EA,0.89,,0.445,0.534,0.8633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.71289,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.826721,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.712979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,51079-810-20,NDC,,,outpatient,1,EA,0.89,,0.445,0.534,0.8633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.71289,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.826721,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.712979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,0904-6637-61,NDC,,,outpatient,1,EA,1.19,,0.595,0.714,1.1543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.95319,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.105391,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.953309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,50268-361-11,NDC,,,outpatient,1,EA,1.65,,0.825,0.99,1.6005,1.551,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.3695,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.5609,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.6005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.32165,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.532685,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.321815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,50268-361-15,NDC,,,outpatient,1,EA,1.65,,0.825,0.99,1.6005,1.551,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.3695,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.5609,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.6005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.32165,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.532685,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.321815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,0597-0053-01,NDC,J1610,HCPCS,outpatient,1,EA,337.23,,168.615,202.338,327.1131,316.9962,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,279.9009,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,319.01958,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,327.1131,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,296.7624,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,270.12123,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,313.252947,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,270.154953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,0597-0053-45,NDC,J1610,HCPCS,outpatient,1,EA,337.22,,168.61,202.332,327.1034,316.9868,,,,percent of total billed charges,,269.776,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,279.8926,,,,percent of total billed charges,,303.498,,,,percent of total billed charges,,310.2424,,,,percent of total billed charges,,310.2424,,,,percent of total billed charges,,319.01012,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,327.1034,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,296.7536,,,,percent of total billed charges,,303.498,,,,percent of total billed charges,,270.11322,,,,percent of total billed charges,,303.498,,,,percent of total billed charges,,202.332,,,,percent of total billed charges,,313.243658,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,269.776,,,,percent of total billed charges,,202.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,270.146942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,0597-0260-10,NDC,J1610,HCPCS,outpatient,1,EA,337.23,,168.615,202.338,327.1131,316.9962,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,279.9009,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,319.01958,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,327.1131,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,296.7624,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,270.12123,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,313.252947,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,270.154953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,0597-0053-45,NDC,J1610,HCPCS,outpatient,10,ME,3372.17,,1686.085,2023.302,3271.0049,3169.8398,,,,percent of total billed charges,,2697.736,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,2798.9011,,,,percent of total billed charges,,3034.953,,,,percent of total billed charges,,3102.3964,,,,percent of total billed charges,,3102.3964,,,,percent of total billed charges,,3190.07282,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,3271.0049,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,2967.5096,,,,percent of total billed charges,,3034.953,,,,percent of total billed charges,,2701.10817,,,,percent of total billed charges,,3034.953,,,,percent of total billed charges,,2023.302,,,,percent of total billed charges,,3132.408713,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,2697.736,,,,percent of total billed charges,,2023.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2701.445387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,63323-596-13,NDC,J1610,HCPCS,outpatient,1,EA,601.74,,300.87,361.044,583.6878,565.6356,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,499.4442,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,569.24604,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,583.6878,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,529.5312,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,481.99374,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,558.956286,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,482.053914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,63323-593-03,NDC,J1610,HCPCS,outpatient,1,EA,614.16,,307.08,368.496,595.7352,577.3104,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,509.7528,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,580.99536,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,595.7352,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,540.4608,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,491.94216,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,570.493224,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.003576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,63323-596-11,NDC,J1610,HCPCS,outpatient,1,EA,601.74,,300.87,361.044,583.6878,565.6356,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,499.4442,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,569.24604,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,583.6878,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,529.5312,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,481.99374,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,558.956286,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,482.053914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,63323-596-03,NDC,J1610,HCPCS,outpatient,1,EA,614.16,,307.08,368.496,595.7352,577.3104,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,509.7528,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,580.99536,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,595.7352,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,540.4608,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,491.94216,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,570.493224,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,492.003576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (ADULT) RECTAL SUPPOSITORY [15053],0637,RC,0713-0101-09,NDC,,,outpatient,1,EA,2.58,,1.29,1.548,2.5026,2.4252,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.1414,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.44068,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.5026,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.2704,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,2.06658,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,2.396562,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.066838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (ADULT) RECTAL SUPPOSITORY [15053],0637,RC,58980-410-12,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,0132-0081-12,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,46122-222-63,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,58980-409-12,NDC,,,outpatient,1,EA,2.05,,1.025,1.23,1.9885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.64205,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,1.904245,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.642255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,9999-0034-92,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION [3493],0250,RC,0338-0289-47,NDC,,,outpatient,3000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,0517-4601-25,NDC,,,outpatient,1,ML,6.58,,3.29,3.948,6.3826,6.1852,,,,percent of total billed charges,,5.264,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,5.4614,,,,percent of total billed charges,,5.922,,,,percent of total billed charges,,6.0536,,,,percent of total billed charges,,6.0536,,,,percent of total billed charges,,6.22468,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,6.3826,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,5.7904,,,,percent of total billed charges,,5.922,,,,percent of total billed charges,,5.27058,,,,percent of total billed charges,,5.922,,,,percent of total billed charges,,3.948,,,,percent of total billed charges,,6.112162,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,5.264,,,,percent of total billed charges,,3.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.271238,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,0143-9682-01,NDC,,,outpatient,1,ML,2.65,,1.325,1.59,2.5705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.12265,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.461585,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.122915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,0143-9682-25,NDC,,,outpatient,1,ML,2.65,,1.325,1.59,2.5705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.12265,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.461585,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.122915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,70069-011-01,NDC,,,outpatient,1,ML,4.05,,2.025,2.43,3.9285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.24405,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,3.762045,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.244455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,70069-011-25,NDC,,,outpatient,1,ML,4.05,,2.025,2.43,3.9285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.24405,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,3.762045,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.244455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,63323-578-01,NDC,,,outpatient,1,ML,8.11,,4.055,4.866,7.8667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,6.49611,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,7.533379,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.496921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,63323-578-03,NDC,,,outpatient,1,ML,8.11,,4.055,4.866,7.8667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,6.49611,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,7.533379,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.496921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,66794-202-02,NDC,,,outpatient,1,ML,4.64,,2.32,2.784,4.5008,4.3616,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.8512,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.38944,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.5008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.0832,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.71664,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,4.310096,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.717104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,66794-202-42,NDC,,,outpatient,1,ML,4.64,,2.32,2.784,4.5008,4.3616,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.8512,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.38944,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.5008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.0832,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.71664,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,4.310096,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.717104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,70860-781-01,NDC,,,outpatient,1,ML,2.65,,1.325,1.59,2.5705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.12265,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.461585,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.122915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,70860-781-41,NDC,,,outpatient,1,ML,2.65,,1.325,1.59,2.5705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.12265,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.461585,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.122915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION [217993],0636,RC,57894-350-01,NDC,J1602,HCPCS,outpatient,4,ML,8677.14,,4338.57,5206.284,8416.8258,8156.5116,,,,percent of total billed charges,,6941.712,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,7202.0262,,,,percent of total billed charges,,7809.426,,,,percent of total billed charges,,7982.9688,,,,percent of total billed charges,,7982.9688,,,,percent of total billed charges,,8208.57444,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,8416.8258,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,7635.8832,,,,percent of total billed charges,,7809.426,,,,percent of total billed charges,,6950.38914,,,,percent of total billed charges,,7809.426,,,,percent of total billed charges,,5206.284,,,,percent of total billed charges,,8060.195346,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,6941.712,,,,percent of total billed charges,,5206.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6951.256854,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION [217993],0636,RC,57894-350-01,NDC,J1602,HCPCS,outpatient,135.2,ME,20855.98,,10427.99,12513.588,20230.3006,19604.6212,,,,percent of total billed charges,,16684.784,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,17310.4634,,,,percent of total billed charges,,18770.382,,,,percent of total billed charges,,19187.5016,,,,percent of total billed charges,,19187.5016,,,,percent of total billed charges,,19729.75708,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,20230.3006,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,18353.2624,,,,percent of total billed charges,,18770.382,,,,percent of total billed charges,,16705.63998,,,,percent of total billed charges,,18770.382,,,,percent of total billed charges,,12513.588,,,,percent of total billed charges,,19373.11982,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,16684.784,,,,percent of total billed charges,,12513.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16707.72558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [77747],0636,RC,0310-0950-36,NDC,J9202,HCPCS,outpatient,1,EA,2074.91,,1037.455,1244.946,2012.6627,1950.4154,,,,percent of total billed charges,,1659.928,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1722.1753,,,,percent of total billed charges,,1867.419,,,,percent of total billed charges,,1908.9172,,,,percent of total billed charges,,1908.9172,,,,percent of total billed charges,,1962.86486,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,2012.6627,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1825.9208,,,,percent of total billed charges,,1867.419,,,,percent of total billed charges,,1662.00291,,,,percent of total billed charges,,1867.419,,,,percent of total billed charges,,1244.946,,,,percent of total billed charges,,1927.383899,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1659.928,,,,percent of total billed charges,,1244.946,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1662.210401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUAIFENESIN 100 MG/5 ML ORAL LIQUID [79215],0637,RC,0121-1744-05,NDC,,,outpatient,5,ML,6.6,,3.3,3.96,6.402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,5.2866,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.13074,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.28726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUAIFENESIN 100 MG/5 ML ORAL LIQUID [79215],0637,RC,0121-1744-00,NDC,,,outpatient,5,ML,6.6,,3.3,3.96,6.402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,5.2866,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.13074,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.28726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUAIFENESIN 200 MG TABLET [10144],0637,RC,0904-5154-60,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,63824-008-15,NDC,,,outpatient,1,EA,1.55,,0.775,0.93,1.5035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.24155,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.439795,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.241705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,68084-572-01,NDC,,,outpatient,1,EA,3.67,,1.835,2.202,3.5599,3.4498,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.0461,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.47182,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.5599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.2296,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.93967,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,3.409063,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.940037,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,68084-572-11,NDC,,,outpatient,1,EA,3.67,,1.835,2.202,3.5599,3.4498,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.0461,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.47182,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.5599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.2296,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.93967,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,3.409063,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.940037,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,0536-1163-61,NDC,,,outpatient,1,EA,1.51,,0.755,0.906,1.4647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.20951,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.402639,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.209661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,0904-6718-39,NDC,,,outpatient,1,EA,3.08,,1.54,1.848,2.9876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.46708,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.861012,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.467388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,0378-1160-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,0591-0444-01,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,68094-065-59,NDC,,,outpatient,1,EA,8.95,,4.475,5.37,8.6815,8.413,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.4285,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.4667,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.6815,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.876,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,7.16895,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,8.313655,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.169845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,68094-065-62,NDC,,,outpatient,1,EA,8.95,,4.475,5.37,8.6815,8.413,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.4285,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.4667,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.6815,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.876,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,7.16895,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,8.313655,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.169845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,0904-7140-04,NDC,,,outpatient,1,EA,4.71,,2.355,2.826,4.5687,4.4274,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.9093,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.45566,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.5687,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.1448,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,3.77271,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,4.375119,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.773181,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [164329],0636,RC,0006-4897-00,NDC,90647,CPT,outpatient,0.5,ML,52.08,,26.04,31.248,50.5176,48.9552,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,43.2264,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,49.26768,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,50.5176,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,45.8304,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,41.71608,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,48.377112,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.721288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [164329],0636,RC,0006-4897-01,NDC,90647,CPT,outpatient,0.5,ML,52.08,,26.04,31.248,50.5176,48.9552,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,43.2264,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,49.26768,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,50.5176,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,45.8304,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,41.71608,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,48.377112,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.721288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [164234],0636,RC,49281-547-58,NDC,90648,CPT,outpatient,1,EA,23.44,,11.72,14.064,22.7368,22.0336,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,19.4552,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,22.17424,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.7368,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,20.6272,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,18.77544,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,21.773416,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.777784,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [164234],0636,RC,49281-545-03,NDC,90648,CPT,outpatient,1,EA,23.44,,11.72,14.064,22.7368,22.0336,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,19.4552,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,22.17424,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.7368,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,20.6272,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,18.77544,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,21.773416,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.777784,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 1 MG TABLET [3579],0637,RC,51079-734-20,NDC,,,outpatient,1,EA,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 1 MG TABLET [3579],0637,RC,51079-734-01,NDC,,,outpatient,1,EA,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 1 MG TABLET [3579],0637,RC,0904-7390-61,NDC,,,outpatient,1,EA,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,51079-736-20,NDC,,,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,51079-736-01,NDC,,,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,60687-161-01,NDC,,,outpatient,1,EA,3.53,,1.765,2.118,3.4241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.82753,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.279017,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.827883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,60687-161-11,NDC,,,outpatient,1,EA,3.53,,1.765,2.118,3.4241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.82753,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.279017,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.827883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],0636,RC,63323-469-01,NDC,J1631,HCPCS,outpatient,1,ML,31.01,,15.505,18.606,30.0797,29.1494,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,25.7383,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,29.33546,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,30.0797,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,27.2888,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,24.83901,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,28.805189,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.842111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],0636,RC,70069-030-01,NDC,J1631,HCPCS,outpatient,1,ML,72.22,,36.11,43.332,70.0534,67.8868,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,59.9426,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,68.32012,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,70.0534,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,63.5536,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,57.84822,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,67.085158,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.855442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],0636,RC,70069-030-03,NDC,J1631,HCPCS,outpatient,1,ML,72.22,,36.11,43.332,70.0534,67.8868,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,59.9426,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,68.32012,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,70.0534,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,63.5536,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,57.84822,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,67.085158,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.855442,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],0637,RC,0121-0581-04,NDC,,,outpatient,120,ML,107.46,,53.73,64.476,104.2362,101.0124,,,,percent of total billed charges,,85.968,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,89.1918,,,,percent of total billed charges,,96.714,,,,percent of total billed charges,,98.8632,,,,percent of total billed charges,,98.8632,,,,percent of total billed charges,,101.65716,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,104.2362,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,94.5648,,,,percent of total billed charges,,96.714,,,,percent of total billed charges,,86.07546,,,,percent of total billed charges,,96.714,,,,percent of total billed charges,,64.476,,,,percent of total billed charges,,99.819594,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,85.968,,,,percent of total billed charges,,64.476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.086206,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],0637,RC,54838-501-40,NDC,,,outpatient,120,ML,113.94,,56.97,68.364,110.5218,107.1036,,,,percent of total billed charges,,91.152,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,94.5702,,,,percent of total billed charges,,102.546,,,,percent of total billed charges,,104.8248,,,,percent of total billed charges,,104.8248,,,,percent of total billed charges,,107.78724,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,110.5218,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,100.2672,,,,percent of total billed charges,,102.546,,,,percent of total billed charges,,91.26594,,,,percent of total billed charges,,102.546,,,,percent of total billed charges,,68.364,,,,percent of total billed charges,,105.838866,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,91.152,,,,percent of total billed charges,,68.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.277334,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,63323-474-01,NDC,J1630,HCPCS,outpatient,1,ML,3.27,,1.635,1.962,3.1719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.61927,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.037503,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.619597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,10147-0911-1,NDC,J1630,HCPCS,outpatient,1,ML,22.99,,11.495,13.794,22.3003,21.6106,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,19.0817,,,,percent of total billed charges,,20.691,,,,percent of total billed charges,,21.1508,,,,percent of total billed charges,,21.1508,,,,percent of total billed charges,,21.74854,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,22.3003,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,20.2312,,,,percent of total billed charges,,20.691,,,,percent of total billed charges,,18.41499,,,,percent of total billed charges,,20.691,,,,percent of total billed charges,,13.794,,,,percent of total billed charges,,21.355411,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,13.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.417289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,67457-426-00,NDC,J1630,HCPCS,outpatient,1,ML,2.79,,1.395,1.674,2.7063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.23479,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.591631,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.235069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,67457-426-12,NDC,J1630,HCPCS,outpatient,1,ML,2.79,,1.395,1.674,2.7063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.23479,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.591631,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.235069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,63323-474-00,NDC,J1630,HCPCS,outpatient,1,ML,3.27,,1.635,1.962,3.1719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.61927,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.037503,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.619597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [135421],0636,RC,58160-811-52,NDC,90723,CPT,outpatient,0.5,ML,122.06,,61.03,73.236,118.3982,114.7364,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,101.3098,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,115.46876,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,118.3982,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,107.4128,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,97.77006,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,113.381534,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.782266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [135421],0636,RC,58160-811-43,NDC,90723,CPT,outpatient,0.5,ML,122.06,,61.03,73.236,118.3982,114.7364,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,101.3098,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,115.46876,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,118.3982,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,107.4128,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,97.77006,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,113.381534,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.782266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,0264-9872-10,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,0409-7620-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,0409-7620-13,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,9999-1887-64,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,0338-0424-18,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,63323-519-02,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,63323-519-77,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,0409-1005-01,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,0409-1005-20,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPARIN (PORCINE) (PF) 100 UNITS/ML DILUTION [1000408],0636,RC,WVU01-004-08,NDC,J1642,HCPCS,outpatient,1,ML,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,0338-0433-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,0409-7620-59,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,0409-7620-49,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,63323-519-01,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,63323-519-10,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,0409-2222-01,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,0409-2222-12,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,0264-9872-00,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,63323-540-11,NDC,J1644,HCPCS,outpatient,10,ML,29.88,,14.94,17.928,28.9836,28.0872,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,24.8004,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,28.26648,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.9836,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,26.2944,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,23.93388,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,27.755532,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.936868,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,25021-400-10,NDC,J1644,HCPCS,outpatient,10,ML,14.81,,7.405,8.886,14.3657,13.9214,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,12.2923,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,14.01026,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.3657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,13.0328,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,11.86281,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,13.757009,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.864291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,25021-400-01,NDC,J1644,HCPCS,outpatient,1,ML,9.68,,4.84,5.808,9.3896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,7.75368,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,8.991752,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.754648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION FOR DIALYSIS [7000227]",0636,RC,25021-400-10,NDC,J1644,HCPCS,outpatient,10,ML,14.81,,7.405,8.886,14.3657,13.9214,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,12.2923,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,14.01026,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.3657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,13.0328,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,11.86281,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,13.757009,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.864291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,63323-540-11,NDC,J1644,HCPCS,outpatient,10,ML,29.88,,14.94,17.928,28.9836,28.0872,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,24.8004,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,28.26648,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.9836,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,26.2944,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,23.93388,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,27.755532,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.936868,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,0409-2720-01,NDC,J1644,HCPCS,outpatient,1,ML,4.52,,2.26,2.712,4.3844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,3.62052,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.198628,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.620972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,0409-2720-02,NDC,J1644,HCPCS,outpatient,10,ML,13.95,,6.975,8.37,13.5315,13.113,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.5785,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1967,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.5315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,11.17395,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,12.958155,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.175345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,25021-400-01,NDC,J1644,HCPCS,outpatient,1,ML,9.68,,4.84,5.808,9.3896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,7.75368,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,8.991752,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.754648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,0641-0391-12,NDC,J1644,HCPCS,outpatient,1,ML,10.67,,5.335,6.402,10.3499,10.0298,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.8561,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,10.09382,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.3499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,8.54667,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,9.911363,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.547737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,0641-0391-37,NDC,J1644,HCPCS,outpatient,1,ML,10.67,,5.335,6.402,10.3499,10.0298,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.8561,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,10.09382,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.3499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,8.54667,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,9.911363,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.547737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,0409-2720-30,NDC,J1644,HCPCS,outpatient,1,ML,4.52,,2.26,2.712,4.3844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,3.62052,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.198628,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.620972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,0409-2720-31,NDC,J1644,HCPCS,outpatient,10,ML,13.95,,6.975,8.37,13.5315,13.113,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.5785,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1967,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.5315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,11.17395,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,12.958155,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.175345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,67457-372-12,NDC,J1644,HCPCS,outpatient,1,ML,11.42,,5.71,6.852,11.0774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,9.14742,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,10.608038,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.148562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,67457-372-99,NDC,J1644,HCPCS,outpatient,1,ML,11.42,,5.71,6.852,11.0774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,9.14742,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,10.608038,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.148562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,67457-385-10,NDC,J1644,HCPCS,outpatient,10,ML,17.1,,8.55,10.26,16.587,16.074,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,14.193,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.1766,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.6971,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,15.88419,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.69881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,67457-385-99,NDC,J1644,HCPCS,outpatient,10,ML,17.1,,8.55,10.26,16.587,16.074,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,14.193,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.1766,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.6971,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,15.88419,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.69881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,71288-402-01,NDC,J1644,HCPCS,outpatient,1,ML,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,71288-402-02,NDC,J1644,HCPCS,outpatient,1,ML,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,71288-402-10,NDC,J1644,HCPCS,outpatient,10,ML,8.96,,4.48,5.376,8.6912,8.4224,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.4368,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.47616,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.6912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.8848,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,7.17696,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,8.322944,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.177856,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,71288-402-11,NDC,J1644,HCPCS,outpatient,10,ML,8.96,,4.48,5.376,8.6912,8.4224,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.4368,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.47616,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.6912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.8848,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,7.17696,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,8.322944,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.177856,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,63323-540-05,NDC,J1644,HCPCS,outpatient,10,ML,16.11,,8.055,9.666,15.6267,15.1434,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,13.3713,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,15.24006,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.6267,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,14.1768,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,12.90411,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,14.964579,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.905721,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,63323-540-15,NDC,J1644,HCPCS,outpatient,10,ML,16.11,,8.055,9.666,15.6267,15.1434,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,13.3713,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,15.24006,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.6267,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,14.1768,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,12.90411,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,14.964579,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.905721,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,71288-420-95,NDC,J1644,HCPCS,outpatient,10,ML,8.96,,4.48,5.376,8.6912,8.4224,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.4368,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.47616,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.6912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.8848,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,7.17696,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,8.322944,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.177856,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,81952-112-04,NDC,J1644,HCPCS,outpatient,10,ML,14.49,,7.245,8.694,14.0553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,11.60649,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,13.459761,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.607939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,81952-112-09,NDC,J1644,HCPCS,outpatient,10,ML,14.49,,7.245,8.694,14.0553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,11.60649,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,13.459761,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.607939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,0409-2721-01,NDC,J1644,HCPCS,outpatient,1,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,25021-403-01,NDC,J1644,HCPCS,outpatient,1,ML,10.26,,5.13,6.156,9.9522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.21826,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,9.530514,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.219286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,0641-0410-12,NDC,J1644,HCPCS,outpatient,1,ML,19.26,,9.63,11.556,18.6822,18.1044,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.9858,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,18.21996,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.6822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,16.9488,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,15.42726,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,17.890614,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.429186,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,0641-0410-37,NDC,J1644,HCPCS,outpatient,1,ML,19.26,,9.63,11.556,18.6822,18.1044,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.9858,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,18.21996,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.6822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,16.9488,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,15.42726,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,17.890614,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.429186,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,0409-2721-30,NDC,J1644,HCPCS,outpatient,1,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,71288-404-01,NDC,J1644,HCPCS,outpatient,1,ML,6.46,,3.23,3.876,6.2662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.17446,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.000694,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.175106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,71288-404-02,NDC,J1644,HCPCS,outpatient,1,ML,6.46,,3.23,3.876,6.2662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.17446,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.000694,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.175106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE (NON-TITRATABLE TASK) [234135]",0636,RC,0409-7650-52,NDC,J1644,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE (NON-TITRATABLE TASK) [234135]",0636,RC,63323-517-74,NDC,J1644,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,0409-7650-62,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,0409-7650-52,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,63323-517-74,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,63323-517-01,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250ML IN 0.45 % SODIUM CHLORIDE (PROCEDURAL AREA) [1001392]",0636,RC,0409-7650-52,NDC,J1644,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250ML IN 0.45 % SODIUM CHLORIDE (PROCEDURAL AREA) [1001392]",0636,RC,63323-517-74,NDC,J1644,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [207211]",0250,RC,61553-911-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [207211]",0250,RC,71019-127-03,NDC,,,outpatient,1005,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,63323-047-10,NDC,J1644,HCPCS,outpatient,10,ML,32.99,,16.495,19.794,32.0003,31.0106,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,27.3817,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,31.20854,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,32.0003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,29.0312,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,26.42499,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,30.644411,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.428289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,0409-2723-01,NDC,J1644,HCPCS,outpatient,1,ML,6.31,,3.155,3.786,6.1207,5.9314,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.2373,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.96926,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,6.1207,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.5528,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,5.05431,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,5.861359,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.054941,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,0409-2723-02,NDC,J1644,HCPCS,outpatient,10,ML,34.74,,17.37,20.844,33.6978,32.6556,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,28.8342,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,32.86404,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.6978,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,30.5712,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,27.82674,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,32.269986,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.830214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,25021-402-01,NDC,J1644,HCPCS,outpatient,1,ML,5.18,,2.59,3.108,5.0246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.14918,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,4.811702,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.149698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,0641-0400-12,NDC,J1644,HCPCS,outpatient,1,ML,9.55,,4.775,5.73,9.2635,8.977,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.9265,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,9.0343,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.2635,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,8.404,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,7.64955,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,8.870995,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.650505,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,0641-0400-37,NDC,J1644,HCPCS,outpatient,1,ML,9.55,,4.775,5.73,9.2635,8.977,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.9265,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,9.0343,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.2635,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,8.404,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,7.64955,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,8.870995,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.650505,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,63739-953-11,NDC,J1644,HCPCS,outpatient,1,ML,5.57,,2.785,3.342,5.4029,5.2358,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.6231,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.26922,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.4029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.9016,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,4.46157,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,5.173973,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.462127,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,63739-953-25,NDC,J1644,HCPCS,outpatient,1,ML,5.57,,2.785,3.342,5.4029,5.2358,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.6231,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.26922,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.4029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.9016,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,4.46157,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,5.173973,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.462127,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,0409-2723-30,NDC,J1644,HCPCS,outpatient,1,ML,6.31,,3.155,3.786,6.1207,5.9314,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.2373,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.96926,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,6.1207,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.5528,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,5.05431,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,5.861359,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.054941,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,0409-2723-31,NDC,J1644,HCPCS,outpatient,10,ML,34.74,,17.37,20.844,33.6978,32.6556,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,28.8342,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,32.86404,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.6978,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,30.5712,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,27.82674,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,32.269986,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.830214,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,71288-403-01,NDC,J1644,HCPCS,outpatient,1,ML,2.9,,1.45,1.74,2.813,2.726,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.407,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.7434,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.813,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,2.3229,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,2.69381,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.32319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,71288-403-02,NDC,J1644,HCPCS,outpatient,1,ML,3.73,,1.865,2.238,3.6181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.98773,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.464797,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.988103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,71288-403-10,NDC,J1644,HCPCS,outpatient,10,ML,27.72,,13.86,16.632,26.8884,26.0568,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,23.0076,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,26.22312,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.8884,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,24.3936,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,22.20372,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,25.749108,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.206492,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,71288-403-11,NDC,J1644,HCPCS,outpatient,10,ML,27.72,,13.86,16.632,26.8884,26.0568,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,23.0076,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,26.22312,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.8884,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,24.3936,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,22.20372,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,25.749108,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.206492,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,63323-047-01,NDC,J1644,HCPCS,outpatient,10,ML,32.99,,16.495,19.794,32.0003,31.0106,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,27.3817,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,31.20854,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,32.0003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,29.0312,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,26.42499,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,30.644411,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.428289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,81952-111-01,NDC,J1644,HCPCS,outpatient,1,ML,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,81952-111-06,NDC,J1644,HCPCS,outpatient,1,ML,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION FOR DIALYSIS [7000226]",0636,RC,63323-262-01,NDC,J1644,HCPCS,outpatient,1,ML,17.08,,8.54,10.248,16.5676,16.0552,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,14.1764,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,16.15768,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.5676,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,15.0304,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,13.68108,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,15.865612,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.682788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION FOR DIALYSIS [7000226]",0636,RC,25021-402-01,NDC,J1644,HCPCS,outpatient,1,ML,5.18,,2.59,3.108,5.0246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.14918,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,4.811702,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.149698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS [1000346]",0636,RC,25021-402-01,NDC,J1644,HCPCS,outpatient,1,ML,5.18,,2.59,3.108,5.0246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.14918,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,4.811702,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.149698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS - CHI [7000047]",0636,RC,63323-262-01,NDC,J1644,HCPCS,outpatient,1,ML,17.08,,8.54,10.248,16.5676,16.0552,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,14.1764,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,16.15768,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.5676,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,15.0304,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,13.68108,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,15.865612,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.682788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS - CHI [7000047]",0636,RC,25021-402-01,NDC,J1644,HCPCS,outpatient,1,ML,5.18,,2.59,3.108,5.0246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.14918,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,4.811702,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.149698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS FOR DOSE ADJUSTMENT [1000653]",0636,RC,25021-402-01,NDC,J1644,HCPCS,outpatient,1,ML,5.18,,2.59,3.108,5.0246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.14918,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,4.811702,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.149698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN 10,000 UNIT/ML FOR ANTIBIOTIC LOCK [1000557]",0636,RC,9991-0005-57,NDC,J1644,HCPCS,outpatient,10,ML,29.66,,14.83,17.796,28.7702,27.8804,,,,percent of total billed charges,,23.728,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,24.6178,,,,percent of total billed charges,,26.694,,,,percent of total billed charges,,27.2872,,,,percent of total billed charges,,27.2872,,,,percent of total billed charges,,28.05836,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,28.7702,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,26.1008,,,,percent of total billed charges,,26.694,,,,percent of total billed charges,,23.75766,,,,percent of total billed charges,,26.694,,,,percent of total billed charges,,17.796,,,,percent of total billed charges,,27.551174,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,23.728,,,,percent of total billed charges,,17.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.760626,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0250,RC,67457-385-99,NDC,,,outpatient,12500,UN,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN 25,000 UNIT/250 ML (100 UNIT/ML) IN NS IV SOLN [1001739]",0250,RC,9990-2558-34,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-20,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,67457-385-99,NDC,J1644,HCPCS,outpatient,1000,UN,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,25021-400-01,NDC,J1644,HCPCS,outpatient,1000,UN,9.68,,4.84,5.808,9.3896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,7.75368,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,8.991752,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.754648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,6425322235,NDC,J1642,HCPCS,outpatient,5,ML,2.1,,1.05,1.26,2.037,1.974,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.743,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.9866,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,2.037,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.6821,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.95069,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.68231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,6380750055,NDC,J1642,HCPCS,outpatient,5,ML,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,8290306413,NDC,J1642,HCPCS,outpatient,3,ML,2.89,,1.445,1.734,2.8033,2.7166,,,,percent of total billed charges,,2.312,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.3987,,,,percent of total billed charges,,2.601,,,,percent of total billed charges,,2.6588,,,,percent of total billed charges,,2.6588,,,,percent of total billed charges,,2.73394,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.8033,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.5432,,,,percent of total billed charges,,2.601,,,,percent of total billed charges,,2.31489,,,,percent of total billed charges,,2.601,,,,percent of total billed charges,,1.734,,,,percent of total billed charges,,2.684521,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.312,,,,percent of total billed charges,,1.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.315179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,8290306414,NDC,J1642,HCPCS,outpatient,5,ML,2.77,,1.385,1.662,2.6869,2.6038,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.2991,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.62042,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.4376,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.21877,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,2.573053,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.219047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,8290306521,NDC,J1642,HCPCS,outpatient,3,ML,2.41,,1.205,1.446,2.3377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.93041,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.238649,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.930651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,6425333333,NDC,J1642,HCPCS,outpatient,3,ML,2.41,,1.205,1.446,2.3377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.93041,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.238649,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.930651,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,6425333335,NDC,J1642,HCPCS,outpatient,5,ML,2.32,,1.16,1.392,2.2504,2.1808,,,,percent of total billed charges,,1.856,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,1.9256,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.1344,,,,percent of total billed charges,,2.1344,,,,percent of total billed charges,,2.19472,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,2.2504,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,2.0416,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.85832,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,2.155048,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,1.856,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.858552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,6380760055,NDC,J1642,HCPCS,outpatient,5,ML,1.87,,0.935,1.122,1.8139,1.7578,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.5521,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.76902,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.8139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.6456,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.49787,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,1.737043,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.498057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,8290306423,NDC,J1642,HCPCS,outpatient,3,ML,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,8290306424,NDC,J1642,HCPCS,outpatient,5,ML,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,8290306513,NDC,J1642,HCPCS,outpatient,5,ML,1.83,,0.915,1.098,1.7751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.46583,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.699887,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.466013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,8290306514,NDC,J1642,HCPCS,outpatient,3,ML,1.84,,0.92,1.104,1.7848,1.7296,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.5272,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.74064,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.47384,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.709176,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.474024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,8290306517,NDC,J1642,HCPCS,outpatient,3,ML,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [135450]",0636,RC,58160-826-52,NDC,90632,CPT,outpatient,1,ML,132.36,,66.18,79.416,128.3892,124.4184,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,109.8588,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,125.21256,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,128.3892,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,116.4768,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,106.02036,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,122.949204,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.033596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [135450]",0636,RC,58160-826-43,NDC,90632,CPT,outpatient,1,ML,132.36,,66.18,79.416,128.3892,124.4184,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,109.8588,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,125.21256,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,128.3892,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,116.4768,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,106.02036,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,122.949204,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.033596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [134401],0636,RC,13533-636-03,NDC,J1571,HCPCS,outpatient,0.5,ML,398.03,,199.015,238.818,386.0891,374.1482,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,330.3649,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,376.53638,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,386.0891,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,350.2664,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,318.82203,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,369.730067,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,318.861833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [134401],0636,RC,13533-636-30,NDC,J1571,HCPCS,outpatient,0.5,ML,398.03,,199.015,238.818,386.0891,374.1482,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,330.3649,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,376.53638,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,386.0891,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,350.2664,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,318.82203,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,369.730067,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,318.861833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION [134792]",0636,RC,69800-4203-1,NDC,J1571,HCPCS,outpatient,5,ML,2214.05,,1107.025,1328.43,2147.6285,2081.207,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1837.6615,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2094.4913,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2147.6285,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1948.364,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1773.45405,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,2056.631045,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1773.675455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION [134792]",0636,RC,69800-4203-2,NDC,J1571,HCPCS,outpatient,5,ML,2214.05,,1107.025,1328.43,2147.6285,2081.207,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1837.6615,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2094.4913,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2147.6285,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1948.364,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1773.45405,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,2056.631045,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1773.675455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [135284],0636,RC,58160-820-52,NDC,90744,CPT,outpatient,0.5,ML,36.64,,18.32,21.984,35.5408,34.4416,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,30.4112,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,34.66144,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,35.5408,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,32.2432,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,29.34864,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,34.034896,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.352304,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [135284],0636,RC,58160-820-43,NDC,90744,CPT,outpatient,0.5,ML,36.64,,18.32,21.984,35.5408,34.4416,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,30.4112,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,34.66144,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,35.5408,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,32.2432,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,29.34864,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,34.034896,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.352304,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 100 % TOPICAL PASTE [215277],0637,RC,0995803360,NDC,,,outpatient,44,ML,57.23,,28.615,34.338,55.5131,53.7962,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,47.5009,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,54.13958,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,55.5131,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,50.3624,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,45.84123,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,53.160947,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.846953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 100 % TOPICAL PASTE [215277],0637,RC,0995803361,NDC,,,outpatient,44,ML,57.23,,28.615,34.338,55.5131,53.7962,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,47.5009,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,54.13958,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,55.5131,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,50.3624,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,45.84123,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,53.160947,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.846953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 80 % TOPICAL GEL [211267],0637,RC,0995803471,NDC,,,outpatient,44,ML,56.43,,28.215,33.858,54.7371,53.0442,,,,percent of total billed charges,,45.144,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,46.8369,,,,percent of total billed charges,,50.787,,,,percent of total billed charges,,51.9156,,,,percent of total billed charges,,51.9156,,,,percent of total billed charges,,53.38278,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,54.7371,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,49.6584,,,,percent of total billed charges,,50.787,,,,percent of total billed charges,,45.20043,,,,percent of total billed charges,,50.787,,,,percent of total billed charges,,33.858,,,,percent of total billed charges,,52.417827,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,45.144,,,,percent of total billed charges,,33.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.206073,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 80 % TOPICAL GEL [211267],0637,RC,0995803470,NDC,,,outpatient,44,ML,44.95,,22.475,26.97,43.6015,42.253,,,,percent of total billed charges,,35.96,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,37.3085,,,,percent of total billed charges,,40.455,,,,percent of total billed charges,,41.354,,,,percent of total billed charges,,41.354,,,,percent of total billed charges,,42.5227,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,43.6015,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,39.556,,,,percent of total billed charges,,40.455,,,,percent of total billed charges,,36.00495,,,,percent of total billed charges,,40.455,,,,percent of total billed charges,,26.97,,,,percent of total billed charges,,41.754055,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,35.96,,,,percent of total billed charges,,26.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.009445,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [221327],0636,RC,63833-386-02,NDC,J7168,HCPCS,outpatient,1,EA,4162.5,,2081.25,2497.5,4037.625,3912.75,,,,percent of total billed charges,,3330,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3454.875,,,,percent of total billed charges,,3746.25,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,3937.725,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,4037.625,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3663,,,,percent of total billed charges,,3746.25,,,,percent of total billed charges,,3334.1625,,,,percent of total billed charges,,3746.25,,,,percent of total billed charges,,2497.5,,,,percent of total billed charges,,3866.54625,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3330,,,,percent of total billed charges,,2497.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3334.57875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION [221650]",0636,RC,63833-387-02,NDC,J7168,HCPCS,outpatient,1,EA,8325,,4162.5,4995,8075.25,7825.5,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,6909.75,,,,percent of total billed charges,,7492.5,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7875.45,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,8075.25,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,7326,,,,percent of total billed charges,,7492.5,,,,percent of total billed charges,,6668.325,,,,percent of total billed charges,,7492.5,,,,percent of total billed charges,,4995,,,,percent of total billed charges,,7733.0925,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,4995,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6669.1575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYALURONIDASE (AMPHADASE) 150 UNIT/ML INJECTION - EXTRAVASATION [1001878],0636,RC,0548-9090-10,NDC,J3470,HCPCS,outpatient,1,ML,139.1,,69.55,83.46,134.927,130.754,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,115.453,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,131.5886,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,134.927,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,122.408,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,111.4191,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,129.20999,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.43301,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYALURONIDASE 150 UNIT/ML INJECTION SOLUTION [78037],0636,RC,0548-9090-10,NDC,J3470,HCPCS,outpatient,1,ML,139.1,,69.55,83.46,134.927,130.754,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,115.453,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,131.5886,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,134.927,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,122.408,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,111.4191,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,129.20999,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.43301,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,51079-074-01,NDC,,,outpatient,1,EA,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,51079-074-20,NDC,,,outpatient,1,EA,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,68084-447-01,NDC,,,outpatient,1,EA,0.64,,0.32,0.384,0.6208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.51264,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.594496,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.512704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,68084-447-11,NDC,,,outpatient,1,EA,0.64,,0.32,0.384,0.6208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.51264,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.594496,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.512704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,0904-6440-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 2 MG/ML IN NS IV PEDS DILUTION [1000042],0636,RC,WVU01-000-42,NDC,J0360,HCPCS,outpatient,1,ML,1.85,,0.925,1.11,1.7945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.48185,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.718465,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.482035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,0517-0901-25,NDC,J0360,HCPCS,outpatient,1,ML,14.27,,7.135,8.562,13.8419,13.4138,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.8441,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.49942,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.8419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,12.5576,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,11.43027,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,13.255403,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.431697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,63323-614-01,NDC,J0360,HCPCS,outpatient,1,ML,12.62,,6.31,7.572,12.2414,11.8628,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.4746,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.93852,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,12.2414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.1056,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,10.10862,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,11.722718,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.109882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,17478-934-01,NDC,J0360,HCPCS,outpatient,1,ML,168.89,,84.445,101.334,163.8233,158.7566,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,140.1787,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,159.76994,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,163.8233,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,148.6232,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,135.28089,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,156.881921,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.297779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,17478-934-15,NDC,J0360,HCPCS,outpatient,1,ML,168.89,,84.445,101.334,163.8233,158.7566,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,140.1787,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,159.76994,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,163.8233,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,148.6232,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,135.28089,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,156.881921,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,135.297779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,63323-614-16,NDC,J0360,HCPCS,outpatient,1,ML,12.62,,6.31,7.572,12.2414,11.8628,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.4746,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.93852,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,12.2414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.1056,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,10.10862,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,11.722718,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.109882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,63323-614-00,NDC,J0360,HCPCS,outpatient,1,ML,12.62,,6.31,7.572,12.2414,11.8628,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.4746,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.93852,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,12.2414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.1056,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,10.10862,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,11.722718,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.109882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,0517-0901-01,NDC,J0360,HCPCS,outpatient,1,ML,14.27,,7.135,8.562,13.8419,13.4138,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.8441,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.49942,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.8419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,12.5576,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,11.43027,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,13.255403,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.431697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,0641-6231-01,NDC,J0360,HCPCS,outpatient,1,ML,25.02,,12.51,15.012,24.2694,23.5188,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.7666,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.66892,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,24.2694,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,22.0176,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,20.04102,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,23.241078,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.043522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,0641-6231-25,NDC,J0360,HCPCS,outpatient,1,ML,25.02,,12.51,15.012,24.2694,23.5188,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.7666,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.66892,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,24.2694,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,22.0176,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,20.04102,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,23.241078,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.043522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,55150-400-01,NDC,J0360,HCPCS,outpatient,1,ML,12.82,,6.41,7.692,12.4354,12.0508,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.6406,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,12.12772,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.4354,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,11.2816,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,10.26882,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,11.908498,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.270102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,55150-400-25,NDC,J0360,HCPCS,outpatient,1,ML,12.82,,6.41,7.692,12.4354,12.0508,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.6406,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,12.12772,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.4354,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,11.2816,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,10.26882,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,11.908498,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.270102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,62584-733-01,NDC,,,outpatient,1,EA,0.62,,0.31,0.372,0.6014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.49662,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.575918,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.496682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,62584-733-11,NDC,,,outpatient,1,EA,0.62,,0.31,0.372,0.6014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.49662,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.575918,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.496682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,0904-6441-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,63739-327-10,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,62584-734-01,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,62584-734-11,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,64380-735-06,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,0904-6442-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,63739-328-10,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 12.5 MG TABLET [134394],0637,RC,0228-2820-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 12.5 MG TABLET [134394],0637,RC,16729-182-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 12.5 MG TABLET [134394],0637,RC,69315-155-01,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0637,RC,60687-593-01,NDC,,,outpatient,1,EA,0.7,,0.35,0.42,0.679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.5607,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.65023,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.56077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0637,RC,60687-593-11,NDC,,,outpatient,1,EA,0.7,,0.35,0.42,0.679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.5607,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.65023,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.56077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,0406-0125-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,50268-402-15,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,60687-418-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,60687-418-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,0904-6825-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,0406-0123-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,0406-0123-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,50268-401-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,50268-401-15,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,68084-895-09,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,68084-895-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,68084-895-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,0406-0124-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,0406-0124-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,60687-407-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,60687-407-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,66689-023-01,NDC,,,outpatient,15,ML,14.38,,7.19,8.628,13.9486,13.5172,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.9354,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.60348,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.9486,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,12.6544,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,11.51838,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,13.357582,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.519818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,66689-023-50,NDC,,,outpatient,15,ML,14.38,,7.19,8.628,13.9486,13.5172,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.9354,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.60348,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.9486,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,12.6544,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,11.51838,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,13.357582,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.519818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,9919-3168-10,NDC,,,outpatient,10,ML,10.67,,5.335,6.402,10.3499,10.0298,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.8561,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,10.09382,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.3499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,8.54667,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,9.911363,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.547737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,0121-2316-15,NDC,,,outpatient,15,ML,20.79,,10.395,12.474,20.1663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,16.65279,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,19.311831,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.654869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,0121-2316-40,NDC,,,outpatient,15,ML,23.09,,11.545,13.854,22.3973,21.7046,,,,percent of total billed charges,,18.472,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,19.1647,,,,percent of total billed charges,,20.781,,,,percent of total billed charges,,21.2428,,,,percent of total billed charges,,21.2428,,,,percent of total billed charges,,21.84314,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,22.3973,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,20.3192,,,,percent of total billed charges,,20.781,,,,percent of total billed charges,,18.49509,,,,percent of total billed charges,,20.781,,,,percent of total billed charges,,13.854,,,,percent of total billed charges,,21.448301,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,18.472,,,,percent of total billed charges,,13.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.497399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,60687-417-44,NDC,,,outpatient,15,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,60687-417-71,NDC,,,outpatient,15,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 % TOPICAL CREAM [3726],0637,RC,0168-0015-31,NDC,,,outpatient,28.35,GR,10.98,,5.49,6.588,10.6506,10.3212,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.1134,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,10.1016,,,,percent of total billed charges,,10.1016,,,,percent of total billed charges,,10.38708,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6506,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.6624,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,8.79498,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,6.588,,,,percent of total billed charges,,10.199322,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,6.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.796078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 % TOPICAL CREAM [3726],0637,RC,45802-438-03,NDC,,,outpatient,28,GR,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 % TOPICAL CREAM [3726],0637,RC,68001-476-46,NDC,,,outpatient,30,GR,5.13,,2.565,3.078,4.9761,4.8222,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.2579,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.85298,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.9761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.5144,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.10913,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,4.765257,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.109643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 MG/ML IN D5W PEDS DILUTION [7000216],0636,RC,9997-0002-16,NDC,J1720,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 10 MG TABLET [81860],0637,RC,59762-0074-1,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 10 MG TABLET [81860],0637,RC,0115-1697-01,NDC,,,outpatient,1,EA,1.97,,0.985,1.182,1.9109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.57797,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.829933,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.578167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 100 MG/60 ML ENEMA [10210],0637,RC,51991-728-67,NDC,,,outpatient,60,ML,17.28,,8.64,10.368,16.7616,16.2432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,14.3424,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,16.34688,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.7616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,15.2064,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,13.84128,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,16.051392,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.843008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 100 MG/60 ML ENEMA [10210],0637,RC,62559-138-07,NDC,,,outpatient,60,ML,88.56,,44.28,53.136,85.9032,83.2464,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,73.5048,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,83.77776,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,85.9032,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,77.9328,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,70.93656,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,82.263384,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.945416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 100 MG/60 ML ENEMA [10210],0637,RC,62559-138-11,NDC,,,outpatient,60,ML,88.56,,44.28,53.136,85.9032,83.2464,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,73.5048,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,83.77776,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,85.9032,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,77.9328,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,70.93656,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,82.263384,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.945416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,64980-301-30,NDC,,,outpatient,30,GR,240.17,,120.085,144.102,232.9649,225.7598,,,,percent of total billed charges,,192.136,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,199.3411,,,,percent of total billed charges,,216.153,,,,percent of total billed charges,,220.9564,,,,percent of total billed charges,,220.9564,,,,percent of total billed charges,,227.20082,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,232.9649,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,211.3496,,,,percent of total billed charges,,216.153,,,,percent of total billed charges,,192.37617,,,,percent of total billed charges,,216.153,,,,percent of total billed charges,,144.102,,,,percent of total billed charges,,223.093913,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,192.136,,,,percent of total billed charges,,144.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,192.400187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,10631-407-01,NDC,,,outpatient,28.35,GR,39.68,,19.84,23.808,38.4896,37.2992,,,,percent of total billed charges,,31.744,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,32.9344,,,,percent of total billed charges,,35.712,,,,percent of total billed charges,,36.5056,,,,percent of total billed charges,,36.5056,,,,percent of total billed charges,,37.53728,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,38.4896,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,34.9184,,,,percent of total billed charges,,35.712,,,,percent of total billed charges,,31.78368,,,,percent of total billed charges,,35.712,,,,percent of total billed charges,,23.808,,,,percent of total billed charges,,36.858752,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,31.744,,,,percent of total billed charges,,23.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.787648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,64980-324-30,NDC,,,outpatient,30,GR,25.79,,12.895,15.474,25.0163,24.2426,,,,percent of total billed charges,,20.632,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,21.4057,,,,percent of total billed charges,,23.211,,,,percent of total billed charges,,23.7268,,,,percent of total billed charges,,23.7268,,,,percent of total billed charges,,24.39734,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,25.0163,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,22.6952,,,,percent of total billed charges,,23.211,,,,percent of total billed charges,,20.65779,,,,percent of total billed charges,,23.211,,,,percent of total billed charges,,15.474,,,,percent of total billed charges,,23.956331,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,20.632,,,,percent of total billed charges,,15.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.660369,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,62559-431-30,NDC,,,outpatient,30,GR,77.36,,38.68,46.416,75.0392,72.7184,,,,percent of total billed charges,,61.888,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,64.2088,,,,percent of total billed charges,,69.624,,,,percent of total billed charges,,71.1712,,,,percent of total billed charges,,71.1712,,,,percent of total billed charges,,73.18256,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,75.0392,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,68.0768,,,,percent of total billed charges,,69.624,,,,percent of total billed charges,,61.96536,,,,percent of total billed charges,,69.624,,,,percent of total billed charges,,46.416,,,,percent of total billed charges,,71.859704,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,61.888,,,,percent of total billed charges,,46.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.973096,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,0574-7090-12,NDC,,,outpatient,1,EA,21.65,,10.825,12.99,21.0005,20.351,,,,percent of total billed charges,,17.32,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,17.9695,,,,percent of total billed charges,,19.485,,,,percent of total billed charges,,19.918,,,,percent of total billed charges,,19.918,,,,percent of total billed charges,,20.4809,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,21.0005,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,19.052,,,,percent of total billed charges,,19.485,,,,percent of total billed charges,,17.34165,,,,percent of total billed charges,,19.485,,,,percent of total billed charges,,12.99,,,,percent of total billed charges,,20.110685,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,17.32,,,,percent of total billed charges,,12.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.343815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,0713-0503-12,NDC,,,outpatient,1,EA,14.16,,7.08,8.496,13.7352,13.3104,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.7528,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.39536,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.7352,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,12.4608,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,11.34216,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,13.153224,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.343576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,0713-0503-06,NDC,,,outpatient,1,EA,14.16,,7.08,8.496,13.7352,13.3104,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.7528,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.39536,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.7352,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,12.4608,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,11.34216,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,13.153224,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.343576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,50268-411-11,NDC,,,outpatient,1,EA,5.78,,2.89,3.468,5.6066,5.4332,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.7974,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.46788,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.6066,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.0864,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,4.62978,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,5.369042,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.630358,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,50268-411-12,NDC,,,outpatient,1,EA,5.78,,2.89,3.468,5.6066,5.4332,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.7974,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.46788,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.6066,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.0864,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,4.62978,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,5.369042,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.630358,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION [199010],0636,RC,0009-0016-12,NDC,J1720,HCPCS,outpatient,500,ME,310.55,,155.275,186.33,301.2335,291.917,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,257.7565,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,293.7803,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,301.2335,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,273.284,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,248.75055,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,288.469895,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.781605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [199012],0636,RC,0009-0011-03,NDC,J1720,HCPCS,outpatient,1,EA,82.67,,41.335,49.602,80.1899,77.7098,,,,percent of total billed charges,,66.136,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,68.6161,,,,percent of total billed charges,,74.403,,,,percent of total billed charges,,76.0564,,,,percent of total billed charges,,76.0564,,,,percent of total billed charges,,78.20582,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,80.1899,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,72.7496,,,,percent of total billed charges,,74.403,,,,percent of total billed charges,,66.21867,,,,percent of total billed charges,,74.403,,,,percent of total billed charges,,49.602,,,,percent of total billed charges,,76.792163,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,66.136,,,,percent of total billed charges,,49.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.226937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [199012],0636,RC,0009-0011-04,NDC,J1720,HCPCS,outpatient,1,EA,84.19,,42.095,50.514,81.6643,79.1386,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,69.8777,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,79.64374,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,81.6643,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,74.0872,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,67.43619,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,78.204091,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.444609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION [199010],0636,RC,0009-0016-12,NDC,J1720,HCPCS,outpatient,1,EA,310.55,,155.275,186.33,301.2335,291.917,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,257.7565,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,293.7803,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,301.2335,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,273.284,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,248.75055,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,288.469895,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.781605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE 100 MG/2 ML VIAL WRAPPER [1000489],0636,RC,0009-0825-01,NDC,J1720,HCPCS,outpatient,1,EA,60.8,,30.4,36.48,58.976,57.152,,,,percent of total billed charges,,48.64,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,50.464,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,55.936,,,,percent of total billed charges,,55.936,,,,percent of total billed charges,,57.5168,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,58.976,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,53.504,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,48.7008,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,36.48,,,,percent of total billed charges,,56.47712,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,48.64,,,,percent of total billed charges,,36.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.70688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE 100 MG/2 ML VIAL WRAPPER [1000489],0636,RC,0009-0011-04,NDC,J1720,HCPCS,outpatient,1,EA,84.19,,42.095,50.514,81.6643,79.1386,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,69.8777,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,79.64374,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,81.6643,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,74.0872,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,67.43619,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,78.204091,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,67.444609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,76045-009-05,NDC,J1171,HCPCS,outpatient,0.5,ML,14.77,,7.385,8.862,14.3269,13.8838,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.2591,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.97242,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.3269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.9976,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,11.83077,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,13.719853,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.832247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,76045-009-96,NDC,J1171,HCPCS,outpatient,0.5,ML,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,76045-009-06,NDC,J1171,HCPCS,outpatient,0.5,ML,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,76045-009-03,NDC,J1171,HCPCS,outpatient,0.5,ML,14.77,,7.385,8.862,14.3269,13.8838,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.2591,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.97242,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.3269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.9976,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,11.83077,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,13.719853,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.832247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,17478-540-50,NDC,J1171,HCPCS,outpatient,50,ML,243.45,,121.725,146.07,236.1465,228.843,,,,percent of total billed charges,,194.76,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,202.0635,,,,percent of total billed charges,,219.105,,,,percent of total billed charges,,223.974,,,,percent of total billed charges,,223.974,,,,percent of total billed charges,,230.3037,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,236.1465,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,214.236,,,,percent of total billed charges,,219.105,,,,percent of total billed charges,,195.00345,,,,percent of total billed charges,,219.105,,,,percent of total billed charges,,146.07,,,,percent of total billed charges,,226.140705,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,194.76,,,,percent of total billed charges,,146.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,195.027795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,0409-2634-05,NDC,J1171,HCPCS,outpatient,5,ML,36.03,,18.015,21.618,34.9491,33.8682,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,29.9049,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,34.08438,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.9491,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,31.7064,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,28.86003,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,33.468267,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.863633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,0409-2634-50,NDC,J1171,HCPCS,outpatient,50,ML,418.05,,209.025,250.83,405.5085,392.967,,,,percent of total billed charges,,334.44,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,346.9815,,,,percent of total billed charges,,376.245,,,,percent of total billed charges,,384.606,,,,percent of total billed charges,,384.606,,,,percent of total billed charges,,395.4753,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,405.5085,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,367.884,,,,percent of total billed charges,,376.245,,,,percent of total billed charges,,334.85805,,,,percent of total billed charges,,376.245,,,,percent of total billed charges,,250.83,,,,percent of total billed charges,,388.326645,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,334.44,,,,percent of total billed charges,,250.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.899855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,0703-0018-01,NDC,J1171,HCPCS,outpatient,50,ML,245.7,,122.85,147.42,238.329,230.958,,,,percent of total billed charges,,196.56,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,203.931,,,,percent of total billed charges,,221.13,,,,percent of total billed charges,,226.044,,,,percent of total billed charges,,226.044,,,,percent of total billed charges,,232.4322,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,238.329,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,216.216,,,,percent of total billed charges,,221.13,,,,percent of total billed charges,,196.8057,,,,percent of total billed charges,,221.13,,,,percent of total billed charges,,147.42,,,,percent of total billed charges,,228.23073,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,196.56,,,,percent of total billed charges,,147.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,196.83027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,63323-851-03,NDC,J1171,HCPCS,outpatient,1,ML,14.11,,7.055,8.466,13.6867,13.2634,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.7113,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,13.34806,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.6867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,12.4168,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,11.30211,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,13.106779,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.303521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,63323-851-10,NDC,J1171,HCPCS,outpatient,1,ML,14.11,,7.055,8.466,13.6867,13.2634,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.7113,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,13.34806,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.6867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,12.4168,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,11.30211,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,13.106779,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.303521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,0409-2634-25,NDC,J1171,HCPCS,outpatient,5,ML,36.03,,18.015,21.618,34.9491,33.8682,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,29.9049,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,34.08438,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.9491,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,31.7064,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,28.86003,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,33.468267,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.863633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,63323-853-03,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,63323-853-25,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,0641-6151-01,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,0641-6151-25,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE [136472],0636,RC,76045-010-10,NDC,J1171,HCPCS,outpatient,1,ML,14.77,,7.385,8.862,14.3269,13.8838,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.2591,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.97242,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.3269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.9976,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,11.83077,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,13.719853,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.832247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,63323-852-03,NDC,J1171,HCPCS,outpatient,400,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,0.6,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [217420],0636,RC,0409-4264-01,NDC,J1171,HCPCS,outpatient,0.5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [217420],0636,RC,0409-4264-11,NDC,J1171,HCPCS,outpatient,0.5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,61553-165-41,NDC,,,outpatient,50,ML,86.18,,43.09,51.708,83.5946,81.0092,,,,percent of total billed charges,,68.944,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,71.5294,,,,percent of total billed charges,,77.562,,,,percent of total billed charges,,79.2856,,,,percent of total billed charges,,79.2856,,,,percent of total billed charges,,81.52628,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,83.5946,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,75.8384,,,,percent of total billed charges,,77.562,,,,percent of total billed charges,,69.03018,,,,percent of total billed charges,,77.562,,,,percent of total billed charges,,51.708,,,,percent of total billed charges,,80.052602,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,68.944,,,,percent of total billed charges,,51.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.038798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,61553-242-48,NDC,,,outpatient,100,ML,121.05,,60.525,72.63,117.4185,113.787,,,,percent of total billed charges,,96.84,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,100.4715,,,,percent of total billed charges,,108.945,,,,percent of total billed charges,,111.366,,,,percent of total billed charges,,111.366,,,,percent of total billed charges,,114.5133,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,117.4185,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,106.524,,,,percent of total billed charges,,108.945,,,,percent of total billed charges,,96.96105,,,,percent of total billed charges,,108.945,,,,percent of total billed charges,,72.63,,,,percent of total billed charges,,112.443345,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,96.84,,,,percent of total billed charges,,72.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.973155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,70092-1546-35,NDC,,,outpatient,50,ML,199.8,,99.9,119.88,193.806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,160.0398,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,185.59422,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.05978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,70092-9546-35,NDC,,,outpatient,50,ML,155.48,,77.74,93.288,150.8156,146.1512,,,,percent of total billed charges,,124.384,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,129.0484,,,,percent of total billed charges,,139.932,,,,percent of total billed charges,,143.0416,,,,percent of total billed charges,,143.0416,,,,percent of total billed charges,,147.08408,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,150.8156,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,136.8224,,,,percent of total billed charges,,139.932,,,,percent of total billed charges,,124.53948,,,,percent of total billed charges,,139.932,,,,percent of total billed charges,,93.288,,,,percent of total billed charges,,144.425372,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,124.384,,,,percent of total billed charges,,93.288,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.555028,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,9991-0009-43,NDC,,,outpatient,50,ML,199.8,,99.9,119.88,193.806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,160.0398,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,185.59422,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.05978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,71266-5055-2,NDC,,,outpatient,50,ML,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,63323-852-03,NDC,J1171,HCPCS,outpatient,1,ML,12.83,,6.415,7.698,12.4451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,10.27683,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,11.917787,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.278113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,63323-852-25,NDC,J1171,HCPCS,outpatient,1,ML,12.83,,6.415,7.698,12.4451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,10.27683,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,11.917787,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.278113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,76045-009-01,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,76045-009-11,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,0409-1283-17,NDC,J1171,HCPCS,outpatient,1,ML,11.66,,5.83,6.996,11.3102,10.9604,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.6778,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,11.03036,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.3102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,10.2608,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,9.33966,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,10.830974,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.340826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,0409-1283-37,NDC,J1171,HCPCS,outpatient,1,ML,11.66,,5.83,6.996,11.3102,10.9604,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.6778,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,11.03036,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.3102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,10.2608,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,9.33966,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,10.830974,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.340826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG TABLET [3760],0637,RC,42858-301-25,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG TABLET [3760],0637,RC,60687-579-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG TABLET [3760],0637,RC,60687-579-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,0641-2341-41,NDC,J1171,HCPCS,outpatient,20,ML,87.66,,43.83,52.596,85.0302,82.4004,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,72.7578,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,82.92636,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,85.0302,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,77.1408,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,70.21566,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,81.427374,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.224426,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,0641-2341-39,NDC,J1171,HCPCS,outpatient,20,ML,87.66,,43.83,52.596,85.0302,82.4004,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,72.7578,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,82.92636,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,85.0302,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,77.1408,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,70.21566,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,81.427374,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.224426,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,0409-3365-11,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,0409-3365-10,NDC,J1171,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [85011],0636,RC,0409-1312-30,NDC,J1171,HCPCS,outpatient,1,ML,11.72,,5.86,7.032,11.3684,11.0168,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.7276,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,11.08712,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.3684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,10.3136,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,9.38772,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,10.886708,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.388892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [85011],0636,RC,0409-1312-03,NDC,J1171,HCPCS,outpatient,1,ML,11.72,,5.86,7.032,11.3684,11.0168,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.7276,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,11.08712,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.3684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,10.3136,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,9.38772,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,10.886708,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.388892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [85011],0636,RC,9999-9850-11,NDC,J1171,HCPCS,outpatient,1,ML,11.72,,5.86,7.032,11.3684,11.0168,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.7276,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,11.08712,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.3684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,10.3136,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,9.38772,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,10.886708,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.388892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,0.8,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,17478-540-50,NDC,J1171,HCPCS,outpatient,80,ME,38.96,,19.48,23.376,37.7912,36.6224,,,,percent of total billed charges,,31.168,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,32.3368,,,,percent of total billed charges,,35.064,,,,percent of total billed charges,,35.8432,,,,percent of total billed charges,,35.8432,,,,percent of total billed charges,,36.85616,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,37.7912,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,34.2848,,,,percent of total billed charges,,35.064,,,,percent of total billed charges,,31.20696,,,,percent of total billed charges,,35.064,,,,percent of total billed charges,,23.376,,,,percent of total billed charges,,36.189944,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,31.168,,,,percent of total billed charges,,23.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.210856,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 4 MG TABLET [3761],0637,RC,68084-472-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 4 MG/ML INJECTION SYRINGE [86474],0636,RC,0409-1304-31,NDC,J1171,HCPCS,outpatient,1,ML,10.96,,5.48,6.576,10.6312,10.3024,,,,percent of total billed charges,,8.768,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,9.0968,,,,percent of total billed charges,,9.864,,,,percent of total billed charges,,10.0832,,,,percent of total billed charges,,10.0832,,,,percent of total billed charges,,10.36816,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,10.6312,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,9.6448,,,,percent of total billed charges,,9.864,,,,percent of total billed charges,,8.77896,,,,percent of total billed charges,,9.864,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,10.180744,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,8.768,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.780056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [208930],0636,RC,50633-310-11,NDC,J3424,HCPCS,outpatient,1,EA,4007.75,,2003.875,2404.65,3887.5175,3767.285,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3326.4325,,,,percent of total billed charges,,3606.975,,,,percent of total billed charges,,3687.13,,,,percent of total billed charges,,3687.13,,,,percent of total billed charges,,3791.3315,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3887.5175,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3526.82,,,,percent of total billed charges,,3606.975,,,,percent of total billed charges,,3210.20775,,,,percent of total billed charges,,3606.975,,,,percent of total billed charges,,2404.65,,,,percent of total billed charges,,3722.798975,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,2404.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3210.608525,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,68382-096-01,NDC,,,outpatient,1,EA,3.1,,1.55,1.86,3.007,2.914,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.573,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.9326,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,3.007,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.728,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.4831,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,2.87959,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.48341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,68084-269-01,NDC,,,outpatient,1,EA,13.42,,6.71,8.052,13.0174,12.6148,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,11.1386,,,,percent of total billed charges,,12.078,,,,percent of total billed charges,,12.3464,,,,percent of total billed charges,,12.3464,,,,percent of total billed charges,,12.69532,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,13.0174,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,11.8096,,,,percent of total billed charges,,12.078,,,,percent of total billed charges,,10.74942,,,,percent of total billed charges,,12.078,,,,percent of total billed charges,,8.052,,,,percent of total billed charges,,12.465838,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,8.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.750762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,0781-5994-01,NDC,,,outpatient,1,EA,1.32,,0.66,0.792,1.2804,1.2408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.0956,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.24872,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.2804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.1616,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.05732,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,1.226148,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.057452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,16714-110-01,NDC,,,outpatient,1,EA,0.83,,0.415,0.498,0.8051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.66483,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.770987,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.664913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYUREA 500 MG CAPSULE [10236],0637,RC,68084-284-01,NDC,,,outpatient,1,EA,4.07,,2.035,2.442,3.9479,3.8258,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.3781,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.85022,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.9479,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.5816,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,3.26007,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,3.780623,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.260477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYUREA 500 MG CAPSULE [10236],0637,RC,68084-284-11,NDC,,,outpatient,1,EA,4.07,,2.035,2.442,3.9479,3.8258,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.3781,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.85022,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.9479,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.5816,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,3.26007,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,3.780623,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.260477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYUREA 500 MG CAPSULE [10236],0637,RC,0904-6939-61,NDC,,,outpatient,1,EA,3.11,,1.555,1.866,3.0167,2.9234,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.5813,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.94206,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,3.0167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.7368,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.49111,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,2.888879,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.491421,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,60432-150-04,NDC,,,outpatient,118,ML,32.4,,16.2,19.44,31.428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,25.9524,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,30.09636,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.95564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,9999-3771-60,NDC,,,outpatient,60,ML,24.03,,12.015,14.418,23.3091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,19.24803,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,22.321467,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.250433,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,54838-502-80,NDC,,,outpatient,473,ML,142.61,,71.305,85.566,138.3317,134.0534,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,118.3663,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,134.90906,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,138.3317,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,125.4968,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,114.23061,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,132.470429,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.244871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,9999-3771-05,NDC,,,outpatient,5,ML,0.84,,0.42,0.504,0.8148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.67284,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.780276,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.672924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,68084-254-01,NDC,Q0177,HCPCS,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,68084-254-11,NDC,Q0177,HCPCS,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,63739-486-10,NDC,Q0177,HCPCS,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,0093-5061-01,NDC,Q0177,HCPCS,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,23155-501-01,NDC,Q0177,HCPCS,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,0904-6617-61,NDC,Q0177,HCPCS,outpatient,1,EA,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,60687-675-01,NDC,Q0177,HCPCS,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION [3770],0636,RC,0517-5601-25,NDC,J3410,HCPCS,outpatient,1,ML,82.52,,41.26,49.512,80.0444,77.5688,,,,percent of total billed charges,,66.016,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,68.4916,,,,percent of total billed charges,,74.268,,,,percent of total billed charges,,75.9184,,,,percent of total billed charges,,75.9184,,,,percent of total billed charges,,78.06392,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,80.0444,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,72.6176,,,,percent of total billed charges,,74.268,,,,percent of total billed charges,,66.09852,,,,percent of total billed charges,,74.268,,,,percent of total billed charges,,49.512,,,,percent of total billed charges,,76.652828,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,66.016,,,,percent of total billed charges,,49.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.106772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,0185-0674-01,NDC,Q0177,HCPCS,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,68084-847-01,NDC,Q0177,HCPCS,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,68084-847-11,NDC,Q0177,HCPCS,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,0904-7065-61,NDC,Q0177,HCPCS,outpatient,1,EA,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,60687-696-01,NDC,Q0177,HCPCS,outpatient,1,EA,1.83,,0.915,1.098,1.7751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.46583,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.699887,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.466013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,60687-696-11,NDC,Q0177,HCPCS,outpatient,1,EA,1.83,,0.915,1.098,1.7751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.46583,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.699887,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.466013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,51079-078-20,NDC,Q0177,HCPCS,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,50268-399-11,NDC,Q0177,HCPCS,outpatient,1,EA,2.06,,1.03,1.236,1.9982,1.9364,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.7098,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.94876,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.9982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.8128,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.65006,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,1.913534,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.650266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,50268-399-50,NDC,Q0177,HCPCS,outpatient,1,EA,2.06,,1.03,1.236,1.9982,1.9364,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.7098,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.94876,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.9982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.8128,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.65006,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,1.913534,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.650266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,0185-0676-01,NDC,Q0177,HCPCS,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,60687-707-11,NDC,Q0177,HCPCS,outpatient,1,EA,1.92,,0.96,1.152,1.8624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.53792,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.783488,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.538112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,60687-707-65,NDC,Q0177,HCPCS,outpatient,1,EA,1.32,,0.66,0.792,1.2804,1.2408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.0956,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.24872,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.2804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.1616,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.05732,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,1.226148,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.057452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],0637,RC,0574-0250-01,NDC,,,outpatient,1,EA,2.26,,1.13,1.356,2.1922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.81026,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.099314,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.810486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],0637,RC,42192-339-01,NDC,,,outpatient,1,EA,1.05,,0.525,0.63,1.0185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.84105,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.975345,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.841155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],0637,RC,51525-0113-1,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],0637,RC,54838-511-80,NDC,,,outpatient,473,ML,87.27,,43.635,52.362,84.6519,82.0338,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,72.4341,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,82.55742,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,84.6519,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,76.7976,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,69.90327,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,81.065103,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.911997,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],0637,RC,9999-9937-81,NDC,,,outpatient,10,ML,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],0637,RC,62135-511-47,NDC,,,outpatient,473,ML,1034.46,,517.23,620.676,1003.4262,972.3924,,,,percent of total billed charges,,827.568,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,858.6018,,,,percent of total billed charges,,931.014,,,,percent of total billed charges,,951.7032,,,,percent of total billed charges,,951.7032,,,,percent of total billed charges,,978.59916,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,1003.4262,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,910.3248,,,,percent of total billed charges,,931.014,,,,percent of total billed charges,,828.60246,,,,percent of total billed charges,,931.014,,,,percent of total billed charges,,620.676,,,,percent of total billed charges,,960.909894,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,827.568,,,,percent of total billed charges,,620.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,828.705906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG CHEWABLE TABLET [38004],0637,RC,0573-0179-20,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG CHEWABLE TABLET [38004],0637,RC,50580-932-01,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG CHEWABLE TABLET [38004],0637,RC,46122-632-62,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,0904-5309-20,NDC,,,outpatient,120,ML,12.96,,6.48,7.776,12.5712,12.1824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.7568,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,12.26016,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,11.4048,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,10.38096,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,12.038544,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.382256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-494-61,NDC,,,outpatient,5,ML,2.77,,1.385,1.662,2.6869,2.6038,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.2991,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.62042,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.4376,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.21877,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,2.573053,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.219047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-494-62,NDC,,,outpatient,5,ML,2.82,,1.41,1.692,2.7354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.25882,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.619498,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.259102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-494-59,NDC,,,outpatient,5,ML,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-503-59,NDC,,,outpatient,10,ML,4.19,,2.095,2.514,4.0643,3.9386,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.4777,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.96374,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,4.0643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.6872,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.35619,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,3.892091,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.356609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-503-61,NDC,,,outpatient,10,ML,4.82,,2.41,2.892,4.6754,4.5308,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.0006,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.55972,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.6754,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.2416,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,3.86082,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,4.477298,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.861302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-503-62,NDC,,,outpatient,10,ML,4.95,,2.475,2.97,4.8015,4.653,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.1085,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6827,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.8015,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,3.96495,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,4.598055,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.965445,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,45802-952-26,NDC,,,outpatient,120,ML,31.32,,15.66,18.792,30.3804,29.4408,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,25.9956,,,,percent of total billed charges,,28.188,,,,percent of total billed charges,,28.8144,,,,percent of total billed charges,,28.8144,,,,percent of total billed charges,,29.62872,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,30.3804,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,27.5616,,,,percent of total billed charges,,28.188,,,,percent of total billed charges,,25.08732,,,,percent of total billed charges,,28.188,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,29.093148,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.090452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,9999-9102-46,NDC,,,outpatient,10,ML,2.21,,1.105,1.326,2.1437,2.0774,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.8343,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.09066,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.1437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.9448,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.77021,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,2.052869,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.770431,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-600-59,NDC,,,outpatient,5,ML,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,68094-600-61,NDC,,,outpatient,5,ML,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,0121-1828-10,NDC,,,outpatient,10,ML,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,0121-0918-05,NDC,,,outpatient,5,ML,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,0121-0918-40,NDC,,,outpatient,5,ML,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,0121-1022-05,NDC,,,outpatient,5,ML,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 200 MG TABLET [3841],0637,RC,0904-7914-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,0904-5853-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,68084-658-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,68084-658-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,60687-446-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,60687-446-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 600 MG TABLET [3844],0637,RC,0904-5854-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 600 MG TABLET [3844],0637,RC,60687-457-01,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 600 MG TABLET [3844],0637,RC,60687-457-11,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 800 MG TABLET [3845],0637,RC,0904-5855-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 800 MG TABLET [3845],0637,RC,60687-468-01,NDC,,,outpatient,1,EA,0.87,,0.435,0.522,0.8439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.69687,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.808143,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.696957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 800 MG TABLET [3845],0637,RC,60687-468-11,NDC,,,outpatient,1,EA,0.87,,0.435,0.522,0.8439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.69687,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.808143,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.696957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [82218],0636,RC,0009-3794-01,NDC,J1742,HCPCS,outpatient,10,ML,382.5,,191.25,229.5,371.025,359.55,,,,percent of total billed charges,,306,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,317.475,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,361.845,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,371.025,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,306.3825,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,355.30425,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,306,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.42075,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [82218],0636,RC,0009-3794-01,NDC,J1742,HCPCS,outpatient,0.676,ME,258.57,,129.285,155.142,250.8129,243.0558,,,,percent of total billed charges,,206.856,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,214.6131,,,,percent of total billed charges,,232.713,,,,percent of total billed charges,,237.8844,,,,percent of total billed charges,,237.8844,,,,percent of total billed charges,,244.60722,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,250.8129,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,227.5416,,,,percent of total billed charges,,232.713,,,,percent of total billed charges,,207.11457,,,,percent of total billed charges,,232.713,,,,percent of total billed charges,,155.142,,,,percent of total billed charges,,240.185673,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,206.856,,,,percent of total billed charges,,155.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,207.140427,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [227700],0636,RC,0597-0197-05,NDC,J3490,HCPCS,outpatient,50,ML,10983.6,,5491.8,6590.16,10654.092,10324.584,,,,percent of total billed charges,,8786.88,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,9116.388,,,,percent of total billed charges,,9885.24,,,,percent of total billed charges,,10104.912,,,,percent of total billed charges,,10104.912,,,,percent of total billed charges,,10390.4856,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,10654.092,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,9665.568,,,,percent of total billed charges,,9885.24,,,,percent of total billed charges,,8797.8636,,,,percent of total billed charges,,9885.24,,,,percent of total billed charges,,6590.16,,,,percent of total billed charges,,10202.66604,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,8786.88,,,,percent of total billed charges,,6590.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8798.96196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],0636,RC,10019-925-01,NDC,J9208,HCPCS,outpatient,1,EA,116.33,,58.165,69.798,112.8401,109.3502,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,96.5539,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,110.04818,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,112.8401,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,102.3704,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,93.18033,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,108.058937,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.191963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION [137052],0636,RC,0703-3427-11,NDC,J9208,HCPCS,outpatient,20,ML,130.68,,65.34,78.408,126.7596,122.8392,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,108.4644,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,120.2256,,,,percent of total billed charges,,120.2256,,,,percent of total billed charges,,123.62328,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,126.7596,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,114.9984,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,104.67468,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,121.388652,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,104.687748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],0636,RC,10019-926-02,NDC,J9208,HCPCS,outpatient,1,EA,355.68,,177.84,213.408,345.0096,334.3392,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,295.2144,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,336.47328,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,345.0096,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,312.9984,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,284.89968,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,330.391152,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,284.935248,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,0781-1764-13,NDC,,,outpatient,1,EA,1.72,,0.86,1.032,1.6684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.37772,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.597708,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.377892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,49884-055-01,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,69315-134-01,NDC,,,outpatient,1,EA,0.94,,0.47,0.564,0.9118,0.8836,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.7802,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.88924,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.9118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.8272,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.75294,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,0.873166,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.753034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,69584-426-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-436-05,NDC,J1459,HCPCS,outpatient,50,ML,1642.5,,821.25,985.5,1593.225,1543.95,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1363.275,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1553.805,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1593.225,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1315.6425,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,1525.71825,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1315.80675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-437-10,NDC,J1459,HCPCS,outpatient,100,ML,3285,,1642.5,1971,3186.45,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2631.285,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3051.4365,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2631.6135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-438-20,NDC,J1459,HCPCS,outpatient,200,ML,6570,,3285,3942,6372.9,6175.8,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5453.1,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6215.22,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6372.9,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5781.6,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,5262.57,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,6102.873,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5263.227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-439-40,NDC,J1459,HCPCS,outpatient,400,ML,13140,,6570,7884,12745.8,12351.6,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10906.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12430.44,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12745.8,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,11563.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,10525.14,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,12205.746,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10526.454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-436-90,NDC,J1459,HCPCS,outpatient,50,ML,1642.5,,821.25,985.5,1593.225,1543.95,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1363.275,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1553.805,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1593.225,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1315.6425,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,1525.71825,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1315.80675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-437-91,NDC,J1459,HCPCS,outpatient,100,ML,3285,,1642.5,1971,3186.45,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2631.285,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3051.4365,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2631.6135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-438-92,NDC,J1459,HCPCS,outpatient,200,ML,6570,,3285,3942,6372.9,6175.8,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5453.1,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6215.22,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6372.9,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5781.6,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,5262.57,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,6102.873,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5263.227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,44206-439-93,NDC,J1459,HCPCS,outpatient,400,ML,13140,,6570,7884,12745.8,12351.6,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10906.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12430.44,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12745.8,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,11563.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,10525.14,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,12205.746,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10526.454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5001-5,NDC,,,outpatient,25,EA,11.37,,5.685,6.822,11.0289,10.6878,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.4371,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.75602,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,11.0289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.0056,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,9.10737,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,10.561593,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.108507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,975,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE [256114],0636,RC,0078-1000-60,NDC,J1306,HCPCS,outpatient,1.5,ML,15028.56,,7514.28,9017.136,14577.7032,14126.8464,,,,percent of total billed charges,,12022.848,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,12473.7048,,,,percent of total billed charges,,13525.704,,,,percent of total billed charges,,13826.2752,,,,percent of total billed charges,,13826.2752,,,,percent of total billed charges,,14217.01776,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,14577.7032,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,13225.1328,,,,percent of total billed charges,,13525.704,,,,percent of total billed charges,,12037.87656,,,,percent of total billed charges,,13525.704,,,,percent of total billed charges,,9017.136,,,,percent of total billed charges,,13960.02938,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,12022.848,,,,percent of total billed charges,,9017.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12039.37942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDAPAMIDE 2.5 MG TABLET [3879],0637,RC,51079-868-20,NDC,,,outpatient,1,EA,2.01,,1.005,1.206,1.9497,1.8894,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.6683,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.90146,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9497,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.7688,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.61001,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.867089,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.610211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDAPAMIDE 2.5 MG TABLET [3879],0637,RC,62559-511-01,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,17238-424-06,NDC,,,outpatient,1,EA,256.06,,128.03,153.636,248.3782,240.6964,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,212.5298,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,242.23276,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,248.3782,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,225.3328,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,205.10406,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,237.854134,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.129666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,17238-424-25,NDC,,,outpatient,1,EA,256.06,,128.03,153.636,248.3782,240.6964,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,212.5298,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,242.23276,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,248.3782,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,225.3328,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,205.10406,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,237.854134,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.129666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,70100-424-02,NDC,,,outpatient,1,EA,504.92,,252.46,302.952,489.7724,474.6248,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,419.0836,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,477.65432,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,489.7724,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,444.3296,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,404.44092,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,469.020188,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.491412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,70100-424-01,NDC,,,outpatient,1,EA,504.92,,252.46,302.952,489.7724,474.6248,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,419.0836,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,477.65432,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,489.7724,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,444.3296,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,404.44092,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,469.020188,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,404.491412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 1 MG INTRAVENOUS SOLUTION [82201],0250,RC,63323-659-03,NDC,,,outpatient,1,EA,1199.43,,599.715,719.658,1163.4471,1127.4642,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,995.5269,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1134.66078,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1163.4471,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1055.4984,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,960.74343,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,1114.150527,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,960.863373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 1 MG INTRAVENOUS SOLUTION [82201],0250,RC,63323-659-94,NDC,,,outpatient,1,EA,1199.43,,599.715,719.658,1163.4471,1127.4642,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,995.5269,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1134.66078,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1163.4471,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1055.4984,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,960.74343,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,1114.150527,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,960.863373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 25 MG CAPSULE [3897],0637,RC,68462-406-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 25 MG CAPSULE [3897],0637,RC,50268-430-11,NDC,,,outpatient,1,EA,1.37,,0.685,0.822,1.3289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.09737,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.272593,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.097507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 25 MG CAPSULE [3897],0637,RC,50268-430-15,NDC,,,outpatient,1,EA,1.37,,0.685,0.822,1.3289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.09737,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.272593,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.097507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 50 MCG/ML IV DILUTION [1000503],0250,RC,WVU1-0005-03,NDC,,,outpatient,1,ME,1193.04,,596.52,715.824,1157.2488,1121.4576,,,,percent of total billed charges,,954.432,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,990.2232,,,,percent of total billed charges,,1073.736,,,,percent of total billed charges,,1097.5968,,,,percent of total billed charges,,1097.5968,,,,percent of total billed charges,,1128.61584,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,1157.2488,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,1049.8752,,,,percent of total billed charges,,1073.736,,,,percent of total billed charges,,955.62504,,,,percent of total billed charges,,1073.736,,,,percent of total billed charges,,715.824,,,,percent of total billed charges,,1108.214856,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,954.432,,,,percent of total billed charges,,715.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,955.744344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 50 MG RECTAL SUPPOSITORY [77749],0637,RC,42211-102-43,NDC,,,outpatient,1,EA,698.22,,349.11,418.932,677.2734,656.3268,,,,percent of total billed charges,,558.576,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,579.5226,,,,percent of total billed charges,,628.398,,,,percent of total billed charges,,642.3624,,,,percent of total billed charges,,642.3624,,,,percent of total billed charges,,660.51612,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,677.2734,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,614.4336,,,,percent of total billed charges,,628.398,,,,percent of total billed charges,,559.27422,,,,percent of total billed charges,,628.398,,,,percent of total billed charges,,418.932,,,,percent of total billed charges,,648.576558,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,558.576,,,,percent of total billed charges,,418.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,559.344042,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 50 MG RECTAL SUPPOSITORY [77749],0637,RC,70710-1852-7,NDC,,,outpatient,1,EA,878.21,,439.105,526.926,851.8637,825.5174,,,,percent of total billed charges,,702.568,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,728.9143,,,,percent of total billed charges,,790.389,,,,percent of total billed charges,,807.9532,,,,percent of total billed charges,,807.9532,,,,percent of total billed charges,,830.78666,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,851.8637,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,772.8248,,,,percent of total billed charges,,790.389,,,,percent of total billed charges,,703.44621,,,,percent of total billed charges,,790.389,,,,percent of total billed charges,,526.926,,,,percent of total billed charges,,815.769269,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,702.568,,,,percent of total billed charges,,526.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,703.534031,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [80717],0636,RC,57894-030-01,NDC,J1745,HCPCS,outpatient,202.8,ME,10279.44,,5139.72,6167.664,9971.0568,9662.6736,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8531.9352,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9724.35024,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9971.0568,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9045.9072,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,8233.83144,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,9548.571816,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8234.859384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [80717],0636,RC,57894-030-01,NDC,J1745,HCPCS,outpatient,202.8,ME,10279.44,,5139.72,6167.664,9971.0568,9662.6736,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8531.9352,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9724.35024,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9971.0568,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9045.9072,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,8233.83144,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,9548.571816,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8234.859384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [80717],0636,RC,57894-030-01,NDC,J1745,HCPCS,outpatient,1,EA,5068.76,,2534.38,3041.256,4916.6972,4764.6344,,,,percent of total billed charges,,4055.008,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4207.0708,,,,percent of total billed charges,,4561.884,,,,percent of total billed charges,,4663.2592,,,,percent of total billed charges,,4663.2592,,,,percent of total billed charges,,4795.04696,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4916.6972,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4460.5088,,,,percent of total billed charges,,4561.884,,,,percent of total billed charges,,4060.07676,,,,percent of total billed charges,,4561.884,,,,percent of total billed charges,,3041.256,,,,percent of total billed charges,,4708.371164,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4055.008,,,,percent of total billed charges,,3041.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4060.583636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,0006-4305-02,NDC,Q5104,HCPCS,outpatient,202.8,ME,3962.97,,1981.485,2377.782,3844.0809,3725.1918,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3289.2651,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3748.96962,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3844.0809,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3487.4136,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,3174.33897,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,3681.202833,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3174.735267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,0006-4305-02,NDC,Q5104,HCPCS,outpatient,202.8,ME,3962.97,,1981.485,2377.782,3844.0809,3725.1918,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3289.2651,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3748.96962,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3844.0809,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3487.4136,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,3174.33897,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,3681.202833,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3174.735267,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,0006-4305-01,NDC,Q5104,HCPCS,outpatient,1,EA,1954.13,,977.065,1172.478,1895.5061,1836.8822,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1621.9279,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1848.60698,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1895.5061,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1719.6344,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1565.25813,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,1815.191357,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1565.453543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,0006-4305-02,NDC,Q5104,HCPCS,outpatient,1,EA,1954.13,,977.065,1172.478,1895.5061,1836.8822,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1621.9279,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1848.60698,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1895.5061,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1719.6344,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1565.25813,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,1815.191357,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1565.453543,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [247299],0636,RC,55513-670-01,NDC,Q5121,HCPCS,outpatient,202.8,ME,4204.81,,2102.405,2522.886,4078.6657,3952.5214,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3489.9923,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3977.75026,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,4078.6657,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3700.2328,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,3368.05281,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,3905.848009,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3368.473291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [247299],0636,RC,55513-670-01,NDC,Q5121,HCPCS,outpatient,202.8,ME,4204.81,,2102.405,2522.886,4078.6657,3952.5214,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3489.9923,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3977.75026,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,4078.6657,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3700.2328,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,3368.05281,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,3905.848009,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3368.473291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [247299],0636,RC,55513-670-01,NDC,Q5121,HCPCS,outpatient,1,EA,2073.38,,1036.69,1244.028,2011.1786,1948.9772,,,,percent of total billed charges,,1658.704,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1720.9054,,,,percent of total billed charges,,1866.042,,,,percent of total billed charges,,1907.5096,,,,percent of total billed charges,,1907.5096,,,,percent of total billed charges,,1961.41748,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,2011.1786,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1824.5744,,,,percent of total billed charges,,1866.042,,,,percent of total billed charges,,1660.77738,,,,percent of total billed charges,,1866.042,,,,percent of total billed charges,,1244.028,,,,percent of total billed charges,,1925.962682,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1658.704,,,,percent of total billed charges,,1244.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1660.984718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [232641],0636,RC,0069-0809-01,NDC,Q5103,HCPCS,outpatient,202.8,ME,5054.44,,2527.22,3032.664,4902.8068,4751.1736,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4195.1852,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4781.50024,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4902.8068,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4447.9072,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,4048.60644,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,4695.069316,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4049.111884,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [232641],0636,RC,0069-0809-01,NDC,Q5103,HCPCS,outpatient,202.8,ME,5054.44,,2527.22,3032.664,4902.8068,4751.1736,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4195.1852,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4781.50024,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4902.8068,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4447.9072,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,4048.60644,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,4695.069316,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4049.111884,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [232641],0636,RC,0069-0809-01,NDC,Q5103,HCPCS,outpatient,1,EA,2492.33,,1246.165,1495.398,2417.5601,2342.7902,,,,percent of total billed charges,,1993.864,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2068.6339,,,,percent of total billed charges,,2243.097,,,,percent of total billed charges,,2292.9436,,,,percent of total billed charges,,2292.9436,,,,percent of total billed charges,,2357.74418,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2417.5601,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2193.2504,,,,percent of total billed charges,,2243.097,,,,percent of total billed charges,,1996.35633,,,,percent of total billed charges,,2243.097,,,,percent of total billed charges,,1495.398,,,,percent of total billed charges,,2315.125337,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,1993.864,,,,percent of total billed charges,,1495.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1996.605563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,49502-394-71,NDC,S5553,HCPCS,outpatient,3,ML,88.9,,44.45,53.34,86.233,83.566,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,73.787,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,84.0994,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,86.233,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,78.232,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,71.2089,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,82.57921,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.21779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,49502-394-75,NDC,S5553,HCPCS,outpatient,3,ML,88.9,,44.45,53.34,86.233,83.566,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,73.787,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,84.0994,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,86.233,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,78.232,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,71.2089,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,82.57921,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.21779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,83257-015-31,NDC,S5553,HCPCS,outpatient,3,ML,76.1,,38.05,45.66,73.817,71.534,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,63.163,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,71.9906,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,73.817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,66.968,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,60.9561,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,70.68929,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.96371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,83257-015-32,NDC,S5553,HCPCS,outpatient,3,ML,76.1,,38.05,45.66,73.817,71.534,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,63.163,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,71.9906,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,73.817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,66.968,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,60.9561,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,70.68929,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.96371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN [237015],0637,RC,0002-7714-59,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN [85526],0637,RC,0002-8799-59,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN [85526],0637,RC,0002-8799-01,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q - CHARGE BY DOSE [1000699],0637,RC,0002-7510-01,NDC,J1815,HCPCS,outpatient,10,ML,213.03,,106.515,127.818,206.6391,200.2482,,,,percent of total billed charges,,170.424,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,176.8149,,,,percent of total billed charges,,191.727,,,,percent of total billed charges,,195.9876,,,,percent of total billed charges,,195.9876,,,,percent of total billed charges,,201.52638,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,206.6391,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,187.4664,,,,percent of total billed charges,,191.727,,,,percent of total billed charges,,170.63703,,,,percent of total billed charges,,191.727,,,,percent of total billed charges,,127.818,,,,percent of total billed charges,,197.883567,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,170.424,,,,percent of total billed charges,,127.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,170.658333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q SSIP - PEDS PEN [1001987],0636,RC,0002-7714-59,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q SSIP PEN [1001979],0637,RC,0002-8799-59,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q SSIP PEN [1001979],0637,RC,0002-8799-01,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO FOR CARB COUNTING [1000435],0637,RC,0002-8799-59,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO FOR CARB COUNTING [1000435],0637,RC,0002-7510-17,NDC,J1815,HCPCS,outpatient,3,ML,55.67,,27.835,33.402,53.9999,52.3298,,,,percent of total billed charges,,44.536,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,46.2061,,,,percent of total billed charges,,50.103,,,,percent of total billed charges,,51.2164,,,,percent of total billed charges,,51.2164,,,,percent of total billed charges,,52.66382,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,53.9999,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,48.9896,,,,percent of total billed charges,,50.103,,,,percent of total billed charges,,44.59167,,,,percent of total billed charges,,50.103,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,51.711863,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,44.536,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.597237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO FOR CARB COUNTING [1000435],0637,RC,0002-8799-01,NDC,J1815,HCPCS,outpatient,3,ML,80.53,,40.265,48.318,78.1141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,64.50453,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,74.804317,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.512583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [86951],0637,RC,0002-8805-01,NDC,J1815,HCPCS,outpatient,3,ML,60.23,,30.115,36.138,58.4231,56.6162,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,49.9909,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,56.97758,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,58.4231,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,53.0024,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,48.24423,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,55.947647,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.250253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [86951],0637,RC,0002-8805-59,NDC,J1815,HCPCS,outpatient,3,ML,60.23,,30.115,36.138,58.4231,56.6162,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,49.9909,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,56.97758,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,58.4231,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,53.0024,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,48.24423,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,55.947647,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.250253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [80971],0637,RC,0002-8315-01,NDC,J1815,HCPCS,outpatient,10,ML,67.32,,33.66,40.392,65.3004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,53.92332,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,62.533548,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.930052,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION [245473],0250,RC,0338-0126-12,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION - ICU/FLUID RESTRICTED [1001589],0250,RC,0338-0126-12,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION - PEDS DKA [1001643],0250,RC,0338-0126-12,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION -ADULT DKA [1001498],0250,RC,0338-0126-12,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR FOR CARB COUNTING [7000265],0637,RC,0002-8215-17,NDC,J1815,HCPCS,outpatient,3,ML,19.89,,9.945,11.934,19.2933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,15.93189,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,18.475821,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.933879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN 10 UNIT/ML IN NS PEDS DILUTION [1000622],0637,RC,9991-0006-22,NDC,J1815,HCPCS,outpatient,10,ML,5.18,,2.59,3.108,5.0246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.14918,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,4.811702,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.149698,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN 100 UNIT/ML INJ FOR MIXTURES -RX ADMIN UNIT ROUNDS TO NEAREST 0.01 ML [1000528],0637,RC,0002-8215-01,NDC,J1815,HCPCS,outpatient,10,ML,67.32,,33.66,40.392,65.3004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,53.92332,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,62.533548,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.930052,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION - CHARGE BY DOSE [1000698],0637,RC,0002-8215-01,NDC,J1815,HCPCS,outpatient,10,ML,67.32,,33.66,40.392,65.3004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,53.92332,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,62.533548,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.930052,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN [229795],0637,RC,0002-8824-01,NDC,j1815,HCPCS,outpatient,3,ML,1175.56,,587.78,705.336,1140.2932,1105.0264,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,975.7148,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1112.07976,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1140.2932,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1034.4928,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,941.62356,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,1091.977684,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,941.741116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN [229795],0637,RC,0002-8824-27,NDC,j1815,HCPCS,outpatient,3,ML,1175.56,,587.78,705.336,1140.2932,1105.0264,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,975.7148,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1112.07976,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1140.2932,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1034.4928,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,941.62356,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,1091.977684,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,941.741116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [80707],0637,RC,0002-8215-01,NDC,J1815,HCPCS,outpatient,10,ML,67.32,,33.66,40.392,65.3004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,53.92332,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,62.533548,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.930052,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [80707],0637,RC,0002-8215-17,NDC,J1815,HCPCS,outpatient,3,ML,19.89,,9.945,11.934,19.2933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,15.93189,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,18.475821,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.933879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODINE STRONG (LUGOLS) 5 % ORAL SOLN [77391],0250,RC,0395-2775-16,NDC,,,outpatient,473,ML,270.32,,135.16,162.192,262.2104,254.1008,,,,percent of total billed charges,,216.256,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,224.3656,,,,percent of total billed charges,,243.288,,,,percent of total billed charges,,248.6944,,,,percent of total billed charges,,248.6944,,,,percent of total billed charges,,255.72272,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,262.2104,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,237.8816,,,,percent of total billed charges,,243.288,,,,percent of total billed charges,,216.52632,,,,percent of total billed charges,,243.288,,,,percent of total billed charges,,162.192,,,,percent of total billed charges,,251.100248,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,216.256,,,,percent of total billed charges,,162.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.553352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODINE STRONG (LUGOLS) 5 % ORAL SOLN [77391],0250,RC,48433-230-15,NDC,,,outpatient,14,ML,133.38,,66.69,80.028,129.3786,125.3772,,,,percent of total billed charges,,106.704,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,110.7054,,,,percent of total billed charges,,120.042,,,,percent of total billed charges,,122.7096,,,,percent of total billed charges,,122.7096,,,,percent of total billed charges,,126.17748,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,129.3786,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,117.3744,,,,percent of total billed charges,,120.042,,,,percent of total billed charges,,106.83738,,,,percent of total billed charges,,120.042,,,,percent of total billed charges,,80.028,,,,percent of total billed charges,,123.896682,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,106.704,,,,percent of total billed charges,,80.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.850718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODINE STRONG (LUGOLS) 5 % ORAL SOLN [77391],0250,RC,10481-111-08,NDC,,,outpatient,8,ML,38.16,,19.08,22.896,37.0152,35.8704,,,,percent of total billed charges,,30.528,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,31.6728,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,35.1072,,,,percent of total billed charges,,35.1072,,,,percent of total billed charges,,36.09936,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,37.0152,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,33.5808,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,30.56616,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,35.446824,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,30.528,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.569976,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,0407-2223-19,NDC,Q9967,HCPCS,outpatient,150,ML,616.95,,308.475,370.17,598.4415,579.933,,,,percent of total billed charges,,493.56,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,512.0685,,,,percent of total billed charges,,555.255,,,,percent of total billed charges,,567.594,,,,percent of total billed charges,,567.594,,,,percent of total billed charges,,583.6347,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,598.4415,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,542.916,,,,percent of total billed charges,,555.255,,,,percent of total billed charges,,494.17695,,,,percent of total billed charges,,555.255,,,,percent of total billed charges,,370.17,,,,percent of total billed charges,,573.084855,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,493.56,,,,percent of total billed charges,,370.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,494.238645,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,0407-2223-17,NDC,Q9967,HCPCS,outpatient,100,ML,438.3,,219.15,262.98,425.151,412.002,,,,percent of total billed charges,,350.64,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,363.789,,,,percent of total billed charges,,394.47,,,,percent of total billed charges,,403.236,,,,percent of total billed charges,,403.236,,,,percent of total billed charges,,414.6318,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,425.151,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,385.704,,,,percent of total billed charges,,394.47,,,,percent of total billed charges,,351.0783,,,,percent of total billed charges,,394.47,,,,percent of total billed charges,,262.98,,,,percent of total billed charges,,407.13687,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,350.64,,,,percent of total billed charges,,262.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,351.12213,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,0407-2223-16,NDC,Q9967,HCPCS,outpatient,50,ML,219.15,,109.575,131.49,212.5755,206.001,,,,percent of total billed charges,,175.32,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,181.8945,,,,percent of total billed charges,,197.235,,,,percent of total billed charges,,201.618,,,,percent of total billed charges,,201.618,,,,percent of total billed charges,,207.3159,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,212.5755,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,192.852,,,,percent of total billed charges,,197.235,,,,percent of total billed charges,,175.53915,,,,percent of total billed charges,,197.235,,,,percent of total billed charges,,131.49,,,,percent of total billed charges,,203.568435,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,175.32,,,,percent of total billed charges,,131.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,175.561065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,65219-383-02,NDC,Q9967,HCPCS,outpatient,50,ML,62.1,,31.05,37.26,60.237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,49.7421,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,57.68469,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.74831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,65219-383-05,NDC,Q9967,HCPCS,outpatient,50,ML,62.1,,31.05,37.26,60.237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,49.7421,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,57.68469,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.74831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,65219-383-04,NDC,Q9967,HCPCS,outpatient,100,ML,124.2,,62.1,74.52,120.474,116.748,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,103.086,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,117.4932,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,99.4842,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,115.36938,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.49662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,65219-383-10,NDC,Q9967,HCPCS,outpatient,100,ML,124.2,,62.1,74.52,120.474,116.748,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,103.086,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,117.4932,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,99.4842,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,115.36938,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.49662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,0407-1413-10,NDC,Q9966,HCPCS,outpatient,10,ML,107.15,,53.575,64.29,103.9355,100.721,,,,percent of total billed charges,,85.72,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,88.9345,,,,percent of total billed charges,,96.435,,,,percent of total billed charges,,98.578,,,,percent of total billed charges,,98.578,,,,percent of total billed charges,,101.3639,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,103.9355,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,94.292,,,,percent of total billed charges,,96.435,,,,percent of total billed charges,,85.82715,,,,percent of total billed charges,,96.435,,,,percent of total billed charges,,64.29,,,,percent of total billed charges,,99.531635,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,85.72,,,,percent of total billed charges,,64.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,85.837865,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,0407-1413-61,NDC,Q9966,HCPCS,outpatient,50,ML,191.7,,95.85,115.02,185.949,180.198,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,159.111,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,181.3482,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,185.949,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,168.696,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,153.5517,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,178.07013,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.57087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,0407-1413-65,NDC,Q9966,HCPCS,outpatient,150,ML,90.45,,45.225,54.27,87.7365,85.023,,,,percent of total billed charges,,72.36,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,75.0735,,,,percent of total billed charges,,81.405,,,,percent of total billed charges,,83.214,,,,percent of total billed charges,,83.214,,,,percent of total billed charges,,85.5657,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,87.7365,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,79.596,,,,percent of total billed charges,,81.405,,,,percent of total billed charges,,72.45045,,,,percent of total billed charges,,81.405,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,84.019005,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,72.36,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.459495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,0407-1413-08,NDC,Q9966,HCPCS,outpatient,50,ML,191.7,,95.85,115.02,185.949,180.198,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,159.111,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,181.3482,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,185.949,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,168.696,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,153.5517,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,178.07013,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.57087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [81197],0254,RC,0407-1414-89,NDC,Q9967,HCPCS,outpatient,50,ML,208.8,,104.4,125.28,202.536,196.272,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,173.304,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,197.5248,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,202.536,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,183.744,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,167.2488,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,193.95432,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.26968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [81197],0254,RC,0407-1414-91,NDC,Q9967,HCPCS,outpatient,100,ML,417.15,,208.575,250.29,404.6355,392.121,,,,percent of total billed charges,,333.72,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,346.2345,,,,percent of total billed charges,,375.435,,,,percent of total billed charges,,383.778,,,,percent of total billed charges,,383.778,,,,percent of total billed charges,,394.6239,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,404.6355,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,367.092,,,,percent of total billed charges,,375.435,,,,percent of total billed charges,,334.13715,,,,percent of total billed charges,,375.435,,,,percent of total billed charges,,250.29,,,,percent of total billed charges,,387.490635,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,333.72,,,,percent of total billed charges,,250.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,334.178865,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [81197],0254,RC,0407-1414-08,NDC,Q9967,HCPCS,outpatient,50,ML,208.8,,104.4,125.28,202.536,196.272,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,173.304,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,197.5248,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,202.536,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,183.744,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,167.2488,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,193.95432,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.26968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION [95362],0254,RC,0270-1411-11,NDC,Q9960,HCPCS,outpatient,10,ML,61.56,,30.78,36.936,59.7132,57.8664,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,51.0948,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,56.6352,,,,percent of total billed charges,,56.6352,,,,percent of total billed charges,,58.23576,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,59.7132,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,54.1728,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,49.30956,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,57.183084,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.315716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION [95362],0254,RC,0270-1411-25,NDC,Q9960,HCPCS,outpatient,20,ML,366.21,,183.105,219.726,355.2237,344.2374,,,,percent of total billed charges,,292.968,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,303.9543,,,,percent of total billed charges,,329.589,,,,percent of total billed charges,,336.9132,,,,percent of total billed charges,,336.9132,,,,percent of total billed charges,,346.43466,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,355.2237,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,322.2648,,,,percent of total billed charges,,329.589,,,,percent of total billed charges,,293.33421,,,,percent of total billed charges,,329.589,,,,percent of total billed charges,,219.726,,,,percent of total billed charges,,340.172469,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,292.968,,,,percent of total billed charges,,219.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,293.370831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION [95363],0254,RC,0270-1412-15,NDC,Q9967,HCPCS,outpatient,15,ML,81.81,,40.905,49.086,79.3557,76.9014,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,67.9023,,,,percent of total billed charges,,73.629,,,,percent of total billed charges,,75.2652,,,,percent of total billed charges,,75.2652,,,,percent of total billed charges,,77.39226,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,79.3557,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,71.9928,,,,percent of total billed charges,,73.629,,,,percent of total billed charges,,65.52981,,,,percent of total billed charges,,73.629,,,,percent of total billed charges,,49.086,,,,percent of total billed charges,,75.993309,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,49.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.537991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,0270-1315-25,NDC,Q9967,HCPCS,outpatient,30,ML,18.77,,9.385,11.262,18.2069,17.6438,,,,percent of total billed charges,,15.016,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,15.5791,,,,percent of total billed charges,,16.893,,,,percent of total billed charges,,17.2684,,,,percent of total billed charges,,17.2684,,,,percent of total billed charges,,17.75642,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,18.2069,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,16.5176,,,,percent of total billed charges,,16.893,,,,percent of total billed charges,,15.03477,,,,percent of total billed charges,,16.893,,,,percent of total billed charges,,11.262,,,,percent of total billed charges,,17.435453,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,15.016,,,,percent of total billed charges,,11.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.036647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,0270-1315-30,NDC,Q9967,HCPCS,outpatient,50,ML,96.98,,48.49,58.188,94.0706,91.1612,,,,percent of total billed charges,,77.584,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,80.4934,,,,percent of total billed charges,,87.282,,,,percent of total billed charges,,89.2216,,,,percent of total billed charges,,89.2216,,,,percent of total billed charges,,91.74308,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,94.0706,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,85.3424,,,,percent of total billed charges,,87.282,,,,percent of total billed charges,,77.68098,,,,percent of total billed charges,,87.282,,,,percent of total billed charges,,58.188,,,,percent of total billed charges,,90.084722,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,77.584,,,,percent of total billed charges,,58.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,77.690678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,0270-1315-35,NDC,Q9967,HCPCS,outpatient,100,ML,39.15,,19.575,23.49,37.9755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,31.35915,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,36.366435,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.363065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,0270-1315-47,NDC,Q9967,HCPCS,outpatient,75,ML,157.28,,78.64,94.368,152.5616,147.8432,,,,percent of total billed charges,,125.824,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,130.5424,,,,percent of total billed charges,,141.552,,,,percent of total billed charges,,144.6976,,,,percent of total billed charges,,144.6976,,,,percent of total billed charges,,148.78688,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,152.5616,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,138.4064,,,,percent of total billed charges,,141.552,,,,percent of total billed charges,,125.98128,,,,percent of total billed charges,,141.552,,,,percent of total billed charges,,94.368,,,,percent of total billed charges,,146.097392,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,125.824,,,,percent of total billed charges,,94.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.997008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,0270-1315-50,NDC,Q9967,HCPCS,outpatient,150,ML,276.08,,138.04,165.648,267.7976,259.5152,,,,percent of total billed charges,,220.864,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,229.1464,,,,percent of total billed charges,,248.472,,,,percent of total billed charges,,253.9936,,,,percent of total billed charges,,253.9936,,,,percent of total billed charges,,261.17168,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,267.7976,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,242.9504,,,,percent of total billed charges,,248.472,,,,percent of total billed charges,,221.14008,,,,percent of total billed charges,,248.472,,,,percent of total billed charges,,165.648,,,,percent of total billed charges,,256.450712,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,220.864,,,,percent of total billed charges,,165.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,221.167688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,0270-1316-30,NDC,Q9967,HCPCS,outpatient,50,ML,105.3,,52.65,63.18,102.141,98.982,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,87.399,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,99.6138,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,102.141,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,84.3453,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,97.81317,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.35583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,0270-1316-35,NDC,Q9967,HCPCS,outpatient,100,ML,43.2,,21.6,25.92,41.904,40.608,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,35.856,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,40.8672,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.904,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,38.016,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,34.6032,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,40.12848,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.60752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,0270-1316-37,NDC,Q9967,HCPCS,outpatient,150,ML,290.93,,145.465,174.558,282.2021,273.4742,,,,percent of total billed charges,,232.744,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,241.4719,,,,percent of total billed charges,,261.837,,,,percent of total billed charges,,267.6556,,,,percent of total billed charges,,267.6556,,,,percent of total billed charges,,275.21978,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,282.2021,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,256.0184,,,,percent of total billed charges,,261.837,,,,percent of total billed charges,,233.03493,,,,percent of total billed charges,,261.837,,,,percent of total billed charges,,174.558,,,,percent of total billed charges,,270.244877,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,232.744,,,,percent of total billed charges,,174.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,233.064023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,0270-1316-52,NDC,Q9967,HCPCS,outpatient,75,ML,157.95,,78.975,94.77,153.2115,148.473,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,131.0985,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,149.4207,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,153.2115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,138.996,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,126.51795,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,146.719755,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.533745,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,0270-1316-95,NDC,Q9967,HCPCS,outpatient,500,ML,209.25,,104.625,125.55,202.9725,196.695,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,173.6775,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,197.9505,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,202.9725,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,184.14,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,167.60925,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,194.372325,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.630175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION [78252],0636,RC,0019-0862-07,NDC,Q9960,HCPCS,outpatient,250,ML,74.25,,37.125,44.55,72.0225,69.795,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,61.6275,,,,percent of total billed charges,,66.825,,,,percent of total billed charges,,68.31,,,,percent of total billed charges,,68.31,,,,percent of total billed charges,,70.2405,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,72.0225,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,65.34,,,,percent of total billed charges,,66.825,,,,percent of total billed charges,,59.47425,,,,percent of total billed charges,,66.825,,,,percent of total billed charges,,44.55,,,,percent of total billed charges,,68.970825,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,44.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.481675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION [78252],0636,RC,0019-0862-50,NDC,Q9960,HCPCS,outpatient,250,ML,123.75,,61.875,74.25,120.0375,116.325,,,,percent of total billed charges,,99,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,102.7125,,,,percent of total billed charges,,111.375,,,,percent of total billed charges,,113.85,,,,percent of total billed charges,,113.85,,,,percent of total billed charges,,117.0675,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,120.0375,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.375,,,,percent of total billed charges,,99.12375,,,,percent of total billed charges,,111.375,,,,percent of total billed charges,,74.25,,,,percent of total billed charges,,114.951375,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,99,,,,percent of total billed charges,,74.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.136125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [88440],0254,RC,0019-1332-11,NDC,Q9967,HCPCS,outpatient,100,ML,148.95,,74.475,89.37,144.4815,140.013,,,,percent of total billed charges,,119.16,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,123.6285,,,,percent of total billed charges,,134.055,,,,percent of total billed charges,,137.034,,,,percent of total billed charges,,137.034,,,,percent of total billed charges,,140.9067,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,144.4815,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,131.076,,,,percent of total billed charges,,134.055,,,,percent of total billed charges,,119.30895,,,,percent of total billed charges,,134.055,,,,percent of total billed charges,,89.37,,,,percent of total billed charges,,138.359655,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,119.16,,,,percent of total billed charges,,89.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.323845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 320 MG/ML IV - EAST [7000031],0254,RC,0019-1323-02,NDC,Q9967,HCPCS,outpatient,20,ML,43.47,,21.735,26.082,42.1659,40.8618,,,,percent of total billed charges,,34.776,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,36.0801,,,,percent of total billed charges,,39.123,,,,percent of total billed charges,,39.9924,,,,percent of total billed charges,,39.9924,,,,percent of total billed charges,,41.12262,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,42.1659,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,38.2536,,,,percent of total billed charges,,39.123,,,,percent of total billed charges,,34.81947,,,,percent of total billed charges,,39.123,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,40.379283,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,34.776,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.823817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 320 MG/ML IV - EAST [7000031],0254,RC,0019-1323-06,NDC,Q9967,HCPCS,outpatient,50,ML,72.45,,36.225,43.47,70.2765,68.103,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,60.1335,,,,percent of total billed charges,,65.205,,,,percent of total billed charges,,66.654,,,,percent of total billed charges,,66.654,,,,percent of total billed charges,,68.5377,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,70.2765,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,63.756,,,,percent of total billed charges,,65.205,,,,percent of total billed charges,,58.03245,,,,percent of total billed charges,,65.205,,,,percent of total billed charges,,43.47,,,,percent of total billed charges,,67.298805,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,43.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.039695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 320 MG/ML IV - EAST [7000031],0254,RC,0019-1323-11,NDC,Q9967,HCPCS,outpatient,100,ML,144,,72,86.4,139.68,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,115.344,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,133.7616,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.3584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,0019-1333-61,NDC,Q9967,HCPCS,outpatient,500,ML,256.5,,128.25,153.9,248.805,241.11,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,212.895,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.98,,,,percent of total billed charges,,235.98,,,,percent of total billed charges,,242.649,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,248.805,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,225.72,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,205.4565,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,238.26285,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,205.48215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,0019-1333-06,NDC,Q9967,HCPCS,outpatient,50,ML,78.53,,39.265,47.118,76.1741,73.8182,,,,percent of total billed charges,,62.824,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,65.1799,,,,percent of total billed charges,,70.677,,,,percent of total billed charges,,72.2476,,,,percent of total billed charges,,72.2476,,,,percent of total billed charges,,74.28938,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,76.1741,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,69.1064,,,,percent of total billed charges,,70.677,,,,percent of total billed charges,,62.90253,,,,percent of total billed charges,,70.677,,,,percent of total billed charges,,47.118,,,,percent of total billed charges,,72.946517,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,62.824,,,,percent of total billed charges,,47.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.910383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,0019-1333-11,NDC,Q9967,HCPCS,outpatient,100,ML,157.05,,78.525,94.23,152.3385,147.627,,,,percent of total billed charges,,125.64,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,130.3515,,,,percent of total billed charges,,141.345,,,,percent of total billed charges,,144.486,,,,percent of total billed charges,,144.486,,,,percent of total billed charges,,148.5693,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,152.3385,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,138.204,,,,percent of total billed charges,,141.345,,,,percent of total billed charges,,125.79705,,,,percent of total billed charges,,141.345,,,,percent of total billed charges,,94.23,,,,percent of total billed charges,,145.883745,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,125.64,,,,percent of total billed charges,,94.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.812755,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,0019-1333-16,NDC,Q9967,HCPCS,outpatient,150,ML,220.05,,110.025,132.03,213.4485,206.847,,,,percent of total billed charges,,176.04,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,182.6415,,,,percent of total billed charges,,198.045,,,,percent of total billed charges,,202.446,,,,percent of total billed charges,,202.446,,,,percent of total billed charges,,208.1673,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,213.4485,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,193.644,,,,percent of total billed charges,,198.045,,,,percent of total billed charges,,176.26005,,,,percent of total billed charges,,198.045,,,,percent of total billed charges,,132.03,,,,percent of total billed charges,,204.404445,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,176.04,,,,percent of total billed charges,,132.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,176.282055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,0019-1333-21,NDC,Q9967,HCPCS,outpatient,200,ML,279,,139.5,167.4,270.63,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,223.479,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,259.1631,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,223.5069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,0003-2328-22,NDC,J9228,HCPCS,outpatient,40,ML,119454.58,,59727.29,71672.748,115870.9426,112287.3052,,,,percent of total billed charges,,95563.664,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,99147.3014,,,,percent of total billed charges,,107509.122,,,,percent of total billed charges,,109898.2136,,,,percent of total billed charges,,109898.2136,,,,percent of total billed charges,,113004.0327,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,115870.9426,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,105120.0304,,,,percent of total billed charges,,107509.122,,,,percent of total billed charges,,95683.11858,,,,percent of total billed charges,,107509.122,,,,percent of total billed charges,,71672.748,,,,percent of total billed charges,,110961.3594,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,95563.664,,,,percent of total billed charges,,71672.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95695.06404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [203998],0636,RC,0003-2327-11,NDC,J9228,HCPCS,outpatient,10,ML,34129.96,,17064.98,20477.976,33106.0612,32082.1624,,,,percent of total billed charges,,27303.968,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,28327.8668,,,,percent of total billed charges,,30716.964,,,,percent of total billed charges,,31399.5632,,,,percent of total billed charges,,31399.5632,,,,percent of total billed charges,,32286.94216,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,33106.0612,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,30034.3648,,,,percent of total billed charges,,30716.964,,,,percent of total billed charges,,27338.09796,,,,percent of total billed charges,,30716.964,,,,percent of total billed charges,,20477.976,,,,percent of total billed charges,,31703.31984,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,27303.968,,,,percent of total billed charges,,20477.976,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27341.51096,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,0003-2328-22,NDC,J9228,HCPCS,outpatient,202.8,ME,121126.95,,60563.475,72676.17,117493.1415,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,97022.68695,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,112514.8239,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97034.79965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,150,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,0003-2328-22,NDC,J9228,HCPCS,outpatient,202.8,ME,121126.95,,60563.475,72676.17,117493.1415,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,97022.68695,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,112514.8239,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97034.79965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,0003-2328-22,NDC,J9228,HCPCS,outpatient,202.8,ME,121126.95,,60563.475,72676.17,117493.1415,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,97022.68695,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,112514.8239,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97034.79965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,0003-2328-22,NDC,J9228,HCPCS,outpatient,202.8,ME,121126.95,,60563.475,72676.17,117493.1415,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,97022.68695,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,112514.8239,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97034.79965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,0003-2328-22,NDC,J9228,HCPCS,outpatient,202.8,ME,121126.95,,60563.475,72676.17,117493.1415,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,97022.68695,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,112514.8239,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97034.79965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [203998],0636,RC,0003-2327-11,NDC,J9228,HCPCS,outpatient,202.8,ME,121127.23,,60563.615,72676.338,117493.4131,113859.5962,,,,percent of total billed charges,,96901.784,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,100535.6009,,,,percent of total billed charges,,109014.507,,,,percent of total billed charges,,111437.0516,,,,percent of total billed charges,,111437.0516,,,,percent of total billed charges,,114586.3596,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,117493.4131,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,106591.9624,,,,percent of total billed charges,,109014.507,,,,percent of total billed charges,,97022.91123,,,,percent of total billed charges,,109014.507,,,,percent of total billed charges,,72676.338,,,,percent of total billed charges,,112515.0839,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,96901.784,,,,percent of total billed charges,,72676.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97035.02395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,0378-9671-93,NDC,,,outpatient,3,ML,2.08,,1.04,1.248,2.0176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.66608,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.932112,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.666288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,0378-9671-31,NDC,,,outpatient,3,ML,2.08,,1.04,1.248,2.0176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.66608,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.932112,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.666288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,60687-405-79,NDC,,,outpatient,3,ML,2.66,,1.33,1.596,2.5802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.13066,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.470874,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.130926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,60687-405-83,NDC,,,outpatient,3,ML,2.66,,1.33,1.596,2.5802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.13066,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.470874,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.130926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION [223206],0637,RC,0597-0024-02,NDC,,,outpatient,4,GR,1720.32,,860.16,1032.192,1668.7104,1617.1008,,,,percent of total billed charges,,1376.256,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1427.8656,,,,percent of total billed charges,,1548.288,,,,percent of total billed charges,,1582.6944,,,,percent of total billed charges,,1582.6944,,,,percent of total billed charges,,1627.42272,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1668.7104,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1513.8816,,,,percent of total billed charges,,1548.288,,,,percent of total billed charges,,1377.97632,,,,percent of total billed charges,,1548.288,,,,percent of total billed charges,,1032.192,,,,percent of total billed charges,,1598.005248,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1376.256,,,,percent of total billed charges,,1032.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1378.148352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],0637,RC,0487-9801-01,NDC,,,outpatient,2.5,ML,1.75,,0.875,1.05,1.6975,1.645,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4525,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.6555,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6975,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.54,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.40175,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,1.625575,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.401925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],0637,RC,60687-394-79,NDC,,,outpatient,2.5,ML,0.92,,0.46,0.552,0.8924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.73692,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.854588,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.737012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],0637,RC,60687-394-83,NDC,,,outpatient,2.5,ML,0.92,,0.46,0.552,0.8924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.73692,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.854588,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.737012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER [94500],0637,RC,0597-0087-17,NDC,,,outpatient,12.9,GR,1952.4,,976.2,1171.44,1893.828,1835.256,,,,percent of total billed charges,,1561.92,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1620.492,,,,percent of total billed charges,,1757.16,,,,percent of total billed charges,,1796.208,,,,percent of total billed charges,,1796.208,,,,percent of total billed charges,,1846.9704,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1893.828,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1718.112,,,,percent of total billed charges,,1757.16,,,,percent of total billed charges,,1563.8724,,,,percent of total billed charges,,1757.16,,,,percent of total billed charges,,1171.44,,,,percent of total billed charges,,1813.58436,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1561.92,,,,percent of total billed charges,,1171.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1564.06764,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INJECTION FOR INTRAHEPATIC EMBOLIZATION - CHI [7000108],0636,RC,0703-4434-11,NDC,J9206,HCPCS,outpatient,5,ML,55.49,,27.745,33.294,53.8253,52.1606,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,46.0567,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,52.49354,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,53.8253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,48.8312,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,44.44749,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,51.544661,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.453039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [164369],0636,RC,0703-4434-11,NDC,J9206,HCPCS,outpatient,5,ML,55.49,,27.745,33.294,53.8253,52.1606,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,46.0567,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,52.49354,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,53.8253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,48.8312,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,44.44749,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,51.544661,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.453039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [164369],0636,RC,0143-9701-01,NDC,J9206,HCPCS,outpatient,5,ML,57.92,,28.96,34.752,56.1824,54.4448,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,48.0736,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,54.79232,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,56.1824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,50.9696,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,46.39392,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,53.801888,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.399712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [164369],0636,RC,60505-6128-1,NDC,J9206,HCPCS,outpatient,5,ML,32.45,,16.225,19.47,31.4765,30.503,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,26.9335,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,30.6977,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,31.4765,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,28.556,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,25.99245,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,30.142805,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.995695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,63323-193-02,NDC,J9206,HCPCS,outpatient,2,ML,33.53,,16.765,20.118,32.5241,31.5182,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,27.8299,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,31.71938,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,32.5241,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,29.5064,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,26.85753,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,31.146017,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.860883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,0703-4432-11,NDC,J9206,HCPCS,outpatient,2,ML,28.94,,14.47,17.364,28.0718,27.2036,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,24.0202,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,27.37724,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,28.0718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,25.4672,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,23.18094,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,26.882366,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.183834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,0143-9702-01,NDC,J9206,HCPCS,outpatient,2,ML,29.79,,14.895,17.874,28.8963,28.0026,,,,percent of total billed charges,,23.832,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,24.7257,,,,percent of total billed charges,,26.811,,,,percent of total billed charges,,27.4068,,,,percent of total billed charges,,27.4068,,,,percent of total billed charges,,28.18134,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,28.8963,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,26.2152,,,,percent of total billed charges,,26.811,,,,percent of total billed charges,,23.86179,,,,percent of total billed charges,,26.811,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,27.671931,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,23.832,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.864769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,63323-193-52,NDC,J9206,HCPCS,outpatient,2,ML,66.11,,33.055,39.666,64.1267,62.1434,,,,percent of total billed charges,,52.888,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,54.8713,,,,percent of total billed charges,,59.499,,,,percent of total billed charges,,60.8212,,,,percent of total billed charges,,60.8212,,,,percent of total billed charges,,62.54006,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,64.1267,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,58.1768,,,,percent of total billed charges,,59.499,,,,percent of total billed charges,,52.95411,,,,percent of total billed charges,,59.499,,,,percent of total billed charges,,39.666,,,,percent of total billed charges,,61.409579,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,52.888,,,,percent of total billed charges,,39.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.960721,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,16714-027-01,NDC,J9206,HCPCS,outpatient,2,ML,16.88,,8.44,10.128,16.3736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,13.52088,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,15.679832,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.522568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [227718],0636,RC,69171-398-01,NDC,J9205,HCPCS,outpatient,10,ML,7290,,3645,4374,7071.3,6852.6,,,,percent of total billed charges,,5832,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,6050.7,,,,percent of total billed charges,,6561,,,,percent of total billed charges,,6706.8,,,,percent of total billed charges,,6706.8,,,,percent of total billed charges,,6896.34,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,7071.3,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,6415.2,,,,percent of total billed charges,,6561,,,,percent of total billed charges,,5839.29,,,,percent of total billed charges,,6561,,,,percent of total billed charges,,4374,,,,percent of total billed charges,,6771.681,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,5832,,,,percent of total billed charges,,4374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5840.019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [227718],0636,RC,15054-0043-1,NDC,J9205,HCPCS,outpatient,10,ML,12447,,6223.5,7468.2,12073.59,11700.18,,,,percent of total billed charges,,9957.6,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,10331.01,,,,percent of total billed charges,,11202.3,,,,percent of total billed charges,,11451.24,,,,percent of total billed charges,,11451.24,,,,percent of total billed charges,,11774.862,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,12073.59,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,10953.36,,,,percent of total billed charges,,11202.3,,,,percent of total billed charges,,9970.047,,,,percent of total billed charges,,11202.3,,,,percent of total billed charges,,7468.2,,,,percent of total billed charges,,11562.0183,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,9957.6,,,,percent of total billed charges,,7468.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9971.2917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,0023-6082-01,NDC,J1750,HCPCS,outpatient,2,ML,146.79,,73.395,88.074,142.3863,137.9826,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,121.8357,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,138.86334,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,142.3863,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,129.1752,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,117.57879,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,136.353231,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.593469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,0023-6082-10,NDC,J1750,HCPCS,outpatient,2,ML,146.79,,73.395,88.074,142.3863,137.9826,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,121.8357,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,138.86334,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,142.3863,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,129.1752,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,117.57879,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,136.353231,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.593469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,0023-6082-10,NDC,J1750,HCPCS,outpatient,50,ME,73.4,,36.7,44.04,71.198,68.996,,,,percent of total billed charges,,58.72,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,60.922,,,,percent of total billed charges,,66.06,,,,percent of total billed charges,,67.528,,,,percent of total billed charges,,67.528,,,,percent of total billed charges,,69.4364,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,71.198,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,64.592,,,,percent of total billed charges,,66.06,,,,percent of total billed charges,,58.7934,,,,percent of total billed charges,,66.06,,,,percent of total billed charges,,44.04,,,,percent of total billed charges,,68.18126,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,58.72,,,,percent of total billed charges,,44.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.80074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,0023-6082-10,NDC,J1750,HCPCS,outpatient,25,ME,36.7,,18.35,22.02,35.599,34.498,,,,percent of total billed charges,,29.36,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,30.461,,,,percent of total billed charges,,33.03,,,,percent of total billed charges,,33.764,,,,percent of total billed charges,,33.764,,,,percent of total billed charges,,34.7182,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,35.599,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,32.296,,,,percent of total billed charges,,33.03,,,,percent of total billed charges,,29.3967,,,,percent of total billed charges,,33.03,,,,percent of total billed charges,,22.02,,,,percent of total billed charges,,34.09063,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,29.36,,,,percent of total billed charges,,22.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.40037,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-10,NDC,J1756,HCPCS,outpatient,5,ML,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-25,NDC,J1756,HCPCS,outpatient,5,ML,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-99,NDC,J1756,HCPCS,outpatient,5,ML,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-01,NDC,J1756,HCPCS,outpatient,5,ML,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,0517-2310-05,NDC,J1756,HCPCS,outpatient,10,ML,280.58,,140.29,168.348,272.1626,263.7452,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,232.8814,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,265.42868,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,272.1626,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,246.9104,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,224.74458,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,260.630762,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,224.772638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,0517-2310-01,NDC,J1756,HCPCS,outpatient,10,ML,280.58,,140.29,168.348,272.1626,263.7452,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,232.8814,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,265.42868,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,272.1626,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,246.9104,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,224.74458,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,260.630762,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,224.772638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-10,NDC,J1756,HCPCS,outpatient,100,ME,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,0517-2310-05,NDC,J1756,HCPCS,outpatient,100,ME,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-10,NDC,J1756,HCPCS,outpatient,300,ME,420.87,,210.435,252.522,408.2439,395.6178,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,349.3221,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,398.14302,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,408.2439,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,370.3656,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,337.11687,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,390.946143,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,337.158957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,0517-2310-05,NDC,J1756,HCPCS,outpatient,300,ME,420.87,,210.435,252.522,408.2439,395.6178,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,349.3221,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,398.14302,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,408.2439,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,370.3656,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,337.11687,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,390.946143,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,337.158957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-10,NDC,J1756,HCPCS,outpatient,400,ME,561.15,,280.575,336.69,544.3155,527.481,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,465.7545,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,530.8479,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,544.3155,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,493.812,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,449.48115,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,521.252235,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,449.537265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,0517-2310-05,NDC,J1756,HCPCS,outpatient,400,ME,561.15,,280.575,336.69,544.3155,527.481,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,465.7545,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,530.8479,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,544.3155,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,493.812,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,449.48115,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,521.252235,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,449.537265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-10,NDC,J1756,HCPCS,outpatient,500,ME,701.44,,350.72,420.864,680.3968,659.3536,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,582.1952,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,663.56224,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,680.3968,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,617.2672,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,561.85344,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,651.567616,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,561.923584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,0517-2310-05,NDC,J1756,HCPCS,outpatient,500,ME,701.44,,350.72,420.864,680.3968,659.3536,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,582.1952,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,663.56224,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,680.3968,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,617.2672,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,561.85344,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,651.567616,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,561.923584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,0517-2340-10,NDC,J1756,HCPCS,outpatient,100,ME,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,0517-2310-05,NDC,J1756,HCPCS,outpatient,100,ME,140.29,,70.145,84.174,136.0813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,112.37229,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,130.315381,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.386319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,0555-0071-01,NDC,,,outpatient,1,EA,1.83,,0.915,1.098,1.7751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.46583,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.699887,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.466013,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,0555-0071-02,NDC,,,outpatient,1,EA,1.12,,0.56,0.672,1.0864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.89712,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.040368,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.897232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,51079-083-20,NDC,,,outpatient,1,EA,4.59,,2.295,2.754,4.4523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,3.67659,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.263651,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.677049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,51079-083-01,NDC,,,outpatient,1,EA,4.59,,2.295,2.754,4.4523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,3.67659,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.263651,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.677049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 10 MG TABLET [4064],0637,RC,68084-082-01,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 10 MG TABLET [4064],0637,RC,68084-082-11,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 10 MG TABLET [4064],0637,RC,0904-6619-61,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 20 MG TABLET [4065],0637,RC,0781-1695-13,NDC,,,outpatient,1,EA,2.78,,1.39,1.668,2.6966,2.6132,,,,percent of total billed charges,,2.224,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.3074,,,,percent of total billed charges,,2.502,,,,percent of total billed charges,,2.5576,,,,percent of total billed charges,,2.5576,,,,percent of total billed charges,,2.62988,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.6966,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.4464,,,,percent of total billed charges,,2.502,,,,percent of total billed charges,,2.22678,,,,percent of total billed charges,,2.502,,,,percent of total billed charges,,1.668,,,,percent of total billed charges,,2.582342,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.224,,,,percent of total billed charges,,1.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.227058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 20 MG TABLET [4065],0637,RC,68084-083-01,NDC,,,outpatient,1,EA,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 20 MG TABLET [4065],0637,RC,68084-083-11,NDC,,,outpatient,1,EA,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,50268-451-15,NDC,,,outpatient,1,EA,1.36,,0.68,0.816,1.3192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.08936,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.263304,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.089496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,68084-591-01,NDC,,,outpatient,1,EA,1.34,,0.67,0.804,1.2998,1.2596,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1122,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.26764,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.2998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1792,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.07334,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,1.244726,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.073474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,68084-591-11,NDC,,,outpatient,1,EA,1.34,,0.67,0.804,1.2998,1.2596,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1122,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.26764,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.2998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1792,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.07334,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,1.244726,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.073474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,0904-6449-61,NDC,,,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,50268-451-11,NDC,,,outpatient,1,EA,1.36,,0.68,0.816,1.3192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.08936,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.263304,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.089496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,68084-592-01,NDC,,,outpatient,1,EA,1.19,,0.595,0.714,1.1543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.95319,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.105391,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.953309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,68084-592-11,NDC,,,outpatient,1,EA,1.19,,0.595,0.714,1.1543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.95319,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.105391,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.953309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,50268-452-11,NDC,,,outpatient,1,EA,2.08,,1.04,1.248,2.0176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.66608,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.932112,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.666288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,0904-6450-61,NDC,,,outpatient,1,EA,1.85,,0.925,1.11,1.7945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.48185,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.718465,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.482035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,50742-176-01,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,60687-794-01,NDC,,,outpatient,1,EA,2.09,,1.045,1.254,2.0273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.67409,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.941401,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.674299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,60687-794-11,NDC,,,outpatient,1,EA,2.09,,1.045,1.254,2.0273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.67409,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.941401,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.674299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [80769],0250,RC,67457-220-05,NDC,,,outpatient,5,ML,4607.19,,2303.595,2764.314,4468.9743,4330.7586,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3823.9677,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4358.40174,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4468.9743,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4054.3272,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,3690.35919,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,4279.618791,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3690.819909,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [80769],0250,RC,67457-220-00,NDC,,,outpatient,5,ML,4607.19,,2303.595,2764.314,4468.9743,4330.7586,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3823.9677,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4358.40174,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4468.9743,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4054.3272,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,3690.35919,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,4279.618791,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3690.819909,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 1 MG/ML IN NS INFUSION - ANES [5000242],0250,RC,9995-0002-42,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,55150-439-10,NDC,,,outpatient,500,ME,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,40,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,42023-113-10,NDC,,,outpatient,20,ML,41.76,,20.88,25.056,40.5072,39.2544,,,,percent of total billed charges,,33.408,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,34.6608,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,38.4192,,,,percent of total billed charges,,38.4192,,,,percent of total billed charges,,39.50496,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,40.5072,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,36.7488,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,33.44976,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,38.790864,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,33.408,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.453936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,61553-320-33,NDC,,,outpatient,5,ML,22.01,,11.005,13.206,21.3497,20.6894,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,18.2683,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.82146,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,21.3497,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,19.3688,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,17.63001,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,20.445089,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.632211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,69374-982-55,NDC,,,outpatient,5,ML,22.5,,11.25,13.5,21.825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,18.0225,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,20.90025,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.02475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,71266-9080-2,NDC,,,outpatient,5,ML,22.86,,11.43,13.716,22.1742,21.4884,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.9738,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.62556,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,22.1742,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,20.1168,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,18.31086,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,21.234654,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.313146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,25021-682-20,NDC,,,outpatient,20,ML,100.26,,50.13,60.156,97.2522,94.2444,,,,percent of total billed charges,,80.208,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,83.2158,,,,percent of total billed charges,,90.234,,,,percent of total billed charges,,92.2392,,,,percent of total billed charges,,92.2392,,,,percent of total billed charges,,94.84596,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,97.2522,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,88.2288,,,,percent of total billed charges,,90.234,,,,percent of total billed charges,,80.30826,,,,percent of total billed charges,,90.234,,,,percent of total billed charges,,60.156,,,,percent of total billed charges,,93.131514,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,80.208,,,,percent of total billed charges,,60.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.318286,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 5 MG/ML IN SW IV PEDS DILUTION [1000450],0250,RC,99910-004-50,NDC,,,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE [192482],0250,RC,61553-320-33,NDC,,,outpatient,5,ML,22.01,,11.005,13.206,21.3497,20.6894,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,18.2683,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.82146,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,21.3497,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,19.3688,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,17.63001,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,20.445089,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.632211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE [192482],0250,RC,70092-1119-44,NDC,,,outpatient,5,ML,16.88,,8.44,10.128,16.3736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,13.52088,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,15.679832,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.522568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE [241517]",0250,RC,69374-982-55,NDC,,,outpatient,5,ML,22.5,,11.25,13.5,21.825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,18.0225,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,20.90025,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.02475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE [241517]",0250,RC,71266-9080-2,NDC,,,outpatient,5,ML,22.86,,11.43,13.716,22.1742,21.4884,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.9738,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.62556,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,22.1742,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,20.1168,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,18.31086,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,21.234654,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.313146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,0409-2053-10,NDC,,,outpatient,10,ML,14.67,,7.335,8.802,14.2299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,11.75067,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,13.626963,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.752137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,42023-114-10,NDC,,,outpatient,10,ML,28.53,,14.265,17.118,27.6741,26.8182,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,23.6799,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.98938,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.6741,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,25.1064,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,22.85253,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,26.501517,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.855383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,0143-9508-01,NDC,,,outpatient,10,ML,23.36,,11.68,14.016,22.6592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,18.71136,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,21.699104,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.713696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,0143-9508-10,NDC,,,outpatient,10,ML,23.36,,11.68,14.016,22.6592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,18.71136,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,21.699104,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.713696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,0409-2053-20,NDC,,,outpatient,10,ML,14.67,,7.335,8.802,14.2299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,11.75067,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,13.626963,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.752137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,55150-439-01,NDC,,,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,55150-439-10,NDC,,,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,0409-2053-10,NDC,,,outpatient,10,ML,14.67,,7.335,8.802,14.2299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,11.75067,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,13.626963,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.752137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,42023-114-10,NDC,,,outpatient,10,ML,28.53,,14.265,17.118,27.6741,26.8182,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,23.6799,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.98938,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.6741,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,25.1064,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,22.85253,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,26.501517,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.855383,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,0143-9508-01,NDC,,,outpatient,10,ML,23.36,,11.68,14.016,22.6592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,18.71136,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,21.699104,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.713696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,0143-9508-10,NDC,,,outpatient,10,ML,23.36,,11.68,14.016,22.6592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,18.71136,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,21.699104,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.713696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,0409-2053-20,NDC,,,outpatient,10,ML,14.67,,7.335,8.802,14.2299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,11.75067,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,13.626963,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.752137,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,55150-439-01,NDC,,,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,55150-439-10,NDC,,,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INTRANASAL [1000984],0250,RC,67457-001-10,NDC,,,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,55150-439-10,NDC,,,outpatient,6.76,ME,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 0.5 % EYE DROPS [79470],0637,RC,17478-209-19,NDC,,,outpatient,3,ML,60.17,,30.085,36.102,58.3649,56.5598,,,,percent of total billed charges,,48.136,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,49.9411,,,,percent of total billed charges,,54.153,,,,percent of total billed charges,,55.3564,,,,percent of total billed charges,,55.3564,,,,percent of total billed charges,,56.92082,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,58.3649,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,52.9496,,,,percent of total billed charges,,54.153,,,,percent of total billed charges,,48.19617,,,,percent of total billed charges,,54.153,,,,percent of total billed charges,,36.102,,,,percent of total billed charges,,55.891913,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,48.136,,,,percent of total billed charges,,36.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.202187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 0.5 % EYE DROPS [79470],0637,RC,60505-1003-1,NDC,,,outpatient,5,ML,22.5,,11.25,13.5,21.825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,18.0225,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,20.90025,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.02475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 0.5 % EYE DROPS [79470],0637,RC,61314-126-05,NDC,,,outpatient,5,ML,51.62,,25.81,30.972,50.0714,48.5228,,,,percent of total billed charges,,41.296,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,42.8446,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,47.4904,,,,percent of total billed charges,,47.4904,,,,percent of total billed charges,,48.83252,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,50.0714,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,45.4256,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,41.34762,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,30.972,,,,percent of total billed charges,,47.949818,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,41.296,,,,percent of total billed charges,,30.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.352782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,0378-1134-01,NDC,,,outpatient,1,EA,6.75,,3.375,4.05,6.5475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,5.40675,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.270075,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.407425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,69543-388-10,NDC,,,outpatient,1,EA,2.19,,1.095,1.314,2.1243,2.0586,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.8177,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.07174,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.1243,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.9272,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.75419,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,2.034291,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.754409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,60687-104-11,NDC,,,outpatient,1,EA,25.42,,12.71,15.252,24.6574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,20.36142,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,23.612638,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.363962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,60687-104-21,NDC,,,outpatient,1,EA,25.42,,12.71,15.252,24.6574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,20.36142,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,23.612638,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.363962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,69452-275-20,NDC,,,outpatient,1,EA,2.55,,1.275,1.53,2.4735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.04255,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.368695,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.042805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,10019-029-02,NDC,J1885,HCPCS,outpatient,1,ML,2.24,,1.12,1.344,2.1728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.79424,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.080736,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.794464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,0409-3793-01,NDC,J1885,HCPCS,outpatient,1,ML,12.44,,6.22,7.464,12.0668,11.6936,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.3252,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.76824,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,12.0668,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.9472,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,9.96444,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,11.555516,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.965684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,25021-700-01,NDC,J1885,HCPCS,outpatient,1,ML,6.04,,3.02,3.624,5.8588,5.6776,,,,percent of total billed charges,,4.832,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.0132,,,,percent of total billed charges,,5.436,,,,percent of total billed charges,,5.5568,,,,percent of total billed charges,,5.5568,,,,percent of total billed charges,,5.71384,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.8588,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.3152,,,,percent of total billed charges,,5.436,,,,percent of total billed charges,,4.83804,,,,percent of total billed charges,,5.436,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,5.610556,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,4.832,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.838644,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,0409-3793-19,NDC,J1885,HCPCS,outpatient,1,ML,12.44,,6.22,7.464,12.0668,11.6936,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.3252,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.76824,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,12.0668,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.9472,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,9.96444,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,11.555516,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.965684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,0338-0069-10,NDC,J1885,HCPCS,outpatient,1,ML,3.82,,1.91,2.292,3.7054,3.5908,,,,percent of total billed charges,,3.056,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.1706,,,,percent of total billed charges,,3.438,,,,percent of total billed charges,,3.5144,,,,percent of total billed charges,,3.5144,,,,percent of total billed charges,,3.61372,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.7054,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.3616,,,,percent of total billed charges,,3.438,,,,percent of total billed charges,,3.05982,,,,percent of total billed charges,,3.438,,,,percent of total billed charges,,2.292,,,,percent of total billed charges,,3.548398,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.056,,,,percent of total billed charges,,2.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.060202,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,72266-234-01,NDC,J1885,HCPCS,outpatient,1,ML,3.31,,1.655,1.986,3.2107,3.1114,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.7473,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.13126,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.2107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.9128,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,2.65131,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,3.074659,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.651641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,72266-234-25,NDC,J1885,HCPCS,outpatient,1,ML,3.31,,1.655,1.986,3.2107,3.1114,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.7473,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.13126,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.2107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.9128,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,2.65131,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,3.074659,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.651641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,63323-162-01,NDC,J1885,HCPCS,outpatient,1,ML,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,0409-3795-01,NDC,J1885,HCPCS,outpatient,1,ML,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,25021-701-01,NDC,J1885,HCPCS,outpatient,1,ML,7.03,,3.515,4.218,6.8191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.63103,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,6.530167,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.631733,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,0409-3795-19,NDC,J1885,HCPCS,outpatient,1,ML,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,63323-162-16,NDC,J1885,HCPCS,outpatient,1,ML,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,0338-0072-25,NDC,J1885,HCPCS,outpatient,1,ML,4.64,,2.32,2.784,4.5008,4.3616,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.8512,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.38944,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.5008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.0832,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.71664,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,4.310096,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.717104,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,72266-118-01,NDC,J1885,HCPCS,outpatient,1,ML,6.82,,3.41,4.092,6.6154,6.4108,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.6606,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.45172,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.6154,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.0016,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,5.46282,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,6.335098,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.463502,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,72266-118-25,NDC,J1885,HCPCS,outpatient,1,ML,6.82,,3.41,4.092,6.6154,6.4108,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.6606,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.45172,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.6154,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.0016,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,5.46282,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,6.335098,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.463502,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,70860-701-41,NDC,J1885,HCPCS,outpatient,1,ML,7.81,,3.905,4.686,7.5757,7.3414,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,6.4823,,,,percent of total billed charges,,7.029,,,,percent of total billed charges,,7.1852,,,,percent of total billed charges,,7.1852,,,,percent of total billed charges,,7.38826,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,7.5757,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,6.8728,,,,percent of total billed charges,,7.029,,,,percent of total billed charges,,6.25581,,,,percent of total billed charges,,7.029,,,,percent of total billed charges,,4.686,,,,percent of total billed charges,,7.254709,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,4.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.256591,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,72611-722-01,NDC,J1885,HCPCS,outpatient,1,ML,4.12,,2.06,2.472,3.9964,3.8728,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.4196,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.89752,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.9964,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.6256,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,3.30012,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,3.827068,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.300532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,72611-722-25,NDC,J1885,HCPCS,outpatient,1,ML,4.12,,2.06,2.472,3.9964,3.8728,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.4196,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.89752,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.9964,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.6256,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,3.30012,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,3.827068,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.300532,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,63323-162-00,NDC,J1885,HCPCS,outpatient,1,ML,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,63323-162-43,NDC,J1885,HCPCS,outpatient,1,ML,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,63323-162-02,NDC,J1885,HCPCS,outpatient,2,ML,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,0409-3796-01,NDC,J1885,HCPCS,outpatient,2,ML,13.52,,6.76,8.112,13.1144,12.7088,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.2216,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.78992,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,13.1144,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.8976,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,10.82952,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,12.558728,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.830872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,0409-3796-19,NDC,J1885,HCPCS,outpatient,2,ML,13.52,,6.76,8.112,13.1144,12.7088,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.2216,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.78992,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,13.1144,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.8976,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,10.82952,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,12.558728,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.830872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,70860-701-04,NDC,J1885,HCPCS,outpatient,2,ML,8.22,,4.11,4.932,7.9734,7.7268,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.8226,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.77612,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.9734,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.2336,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,6.58422,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,7.635558,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.585042,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,72266-119-01,NDC,J1885,HCPCS,outpatient,2,ML,5.91,,2.955,3.546,5.7327,5.5554,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.9053,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.59086,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.7327,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.2008,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,4.73391,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,5.489799,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.734501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,72266-119-25,NDC,J1885,HCPCS,outpatient,2,ML,5.91,,2.955,3.546,5.7327,5.5554,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.9053,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.59086,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.7327,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.2008,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,4.73391,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,5.489799,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.734501,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,70860-701-42,NDC,J1885,HCPCS,outpatient,2,ML,8.22,,4.11,4.932,7.9734,7.7268,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.8226,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.77612,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.9734,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.2336,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,6.58422,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,7.635558,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.585042,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,72611-725-01,NDC,J1885,HCPCS,outpatient,2,ML,4.53,,2.265,2.718,4.3941,4.2582,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.7599,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.28538,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.9864,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,3.62853,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,4.207917,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.628983,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,72611-725-25,NDC,J1885,HCPCS,outpatient,2,ML,4.53,,2.265,2.718,4.3941,4.2582,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.7599,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.28538,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.9864,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,3.62853,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,4.207917,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.628983,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,63323-162-03,NDC,J1885,HCPCS,outpatient,2,ML,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,63323-162-45,NDC,J1885,HCPCS,outpatient,2,ML,3.56,,1.78,2.136,3.4532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.85156,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.306884,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.851916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,62332-601-02,NDC,J1885,HCPCS,outpatient,2,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,62332-601-25,NDC,J1885,HCPCS,outpatient,2,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 100 MG TABLET [10373],0637,RC,60687-439-01,NDC,,,outpatient,1,EA,1.07,,0.535,0.642,1.0379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.85707,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,0.993923,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.857177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 100 MG TABLET [10373],0637,RC,60687-439-11,NDC,,,outpatient,1,EA,1.07,,0.535,0.642,1.0379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.85707,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,0.993923,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.857177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [210026],0250,RC,0409-2339-34,NDC,J1920,HCPCS,outpatient,4,ML,35.5,,17.75,21.3,34.435,33.37,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,29.465,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,33.583,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,34.435,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,31.24,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,28.4355,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,32.97595,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.43905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [210026],0250,RC,0409-2339-24,NDC,J1920,HCPCS,outpatient,4,ML,35.5,,17.75,21.3,34.435,33.37,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,29.465,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,33.583,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,34.435,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,31.24,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,28.4355,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,32.97595,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.43905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 200 MG TABLET [10374],0637,RC,0904-7110-61,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,240,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,17478-420-20,NDC,J1920,HCPCS,outpatient,20,ML,93.51,,46.755,56.106,90.7047,87.8994,,,,percent of total billed charges,,74.808,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,77.6133,,,,percent of total billed charges,,84.159,,,,percent of total billed charges,,86.0292,,,,percent of total billed charges,,86.0292,,,,percent of total billed charges,,88.46046,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,90.7047,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,82.2888,,,,percent of total billed charges,,84.159,,,,percent of total billed charges,,74.90151,,,,percent of total billed charges,,84.159,,,,percent of total billed charges,,56.106,,,,percent of total billed charges,,86.861439,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,74.808,,,,percent of total billed charges,,56.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.910861,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,0409-2267-20,NDC,J1920,HCPCS,outpatient,20,ML,13.59,,6.795,8.154,13.1823,12.7746,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.2797,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.85614,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,13.1823,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.9592,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,10.88559,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,12.623751,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.886949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,0143-9622-01,NDC,J1920,HCPCS,outpatient,20,ML,7.74,,3.87,4.644,7.5078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,6.19974,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.189686,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.200514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,51991-934-98,NDC,J1920,HCPCS,outpatient,20,ML,11.34,,5.67,6.804,10.9998,10.6596,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.4122,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,10.4328,,,,percent of total billed charges,,10.4328,,,,percent of total billed charges,,10.72764,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,10.9998,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.9792,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,9.08334,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,10.533726,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.084474,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,47781-586-29,NDC,J1920,HCPCS,outpatient,20,ML,38.07,,19.035,22.842,36.9279,35.7858,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,31.5981,,,,percent of total billed charges,,34.263,,,,percent of total billed charges,,35.0244,,,,percent of total billed charges,,35.0244,,,,percent of total billed charges,,36.01422,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,36.9279,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,33.5016,,,,percent of total billed charges,,34.263,,,,percent of total billed charges,,30.49407,,,,percent of total billed charges,,34.263,,,,percent of total billed charges,,22.842,,,,percent of total billed charges,,35.363223,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,22.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.497877,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,0143-9623-01,NDC,J1920,HCPCS,outpatient,40,ML,18.9,,9.45,11.34,18.333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,15.1389,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,17.55621,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.14079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,0143-9320-01,NDC,J1920,HCPCS,outpatient,20,ML,7.74,,3.87,4.644,7.5078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,6.19974,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.189686,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.200514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,72266-102-01,NDC,J1920,HCPCS,outpatient,20,ML,13.23,,6.615,7.938,12.8331,12.4362,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.9809,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.51558,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.8331,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,11.6424,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,10.59723,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,12.289347,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.598553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,72266-103-01,NDC,J1920,HCPCS,outpatient,40,ML,18.18,,9.09,10.908,17.6346,17.0892,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.0894,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,17.19828,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6346,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.9984,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,14.56218,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,16.887402,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.563998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,36000-320-01,NDC,J1920,HCPCS,outpatient,4,ML,14.06,,7.03,8.436,13.6382,13.2164,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.6698,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,13.30076,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.6382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,12.3728,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,11.26206,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,13.060334,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.263466,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,36000-320-10,NDC,J1920,HCPCS,outpatient,4,ML,14.06,,7.03,8.436,13.6382,13.2164,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.6698,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,13.30076,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.6382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,12.3728,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,11.26206,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,13.060334,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.263466,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,36000-322-01,NDC,J1920,HCPCS,outpatient,20,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,36000-322-02,NDC,J1920,HCPCS,outpatient,20,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,70710-1359-6,NDC,,,outpatient,100,ME,135.5,,67.75,81.3,131.435,127.37,,,,percent of total billed charges,,108.4,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,112.465,,,,percent of total billed charges,,121.95,,,,percent of total billed charges,,124.66,,,,percent of total billed charges,,124.66,,,,percent of total billed charges,,128.183,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,131.435,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,119.24,,,,percent of total billed charges,,121.95,,,,percent of total billed charges,,108.5355,,,,percent of total billed charges,,121.95,,,,percent of total billed charges,,81.3,,,,percent of total billed charges,,125.86595,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,108.4,,,,percent of total billed charges,,81.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.54905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,0131-1810-67,NDC,,,outpatient,20,ML,279.9,,139.95,167.94,271.503,263.106,,,,percent of total billed charges,,223.92,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,232.317,,,,percent of total billed charges,,251.91,,,,percent of total billed charges,,257.508,,,,percent of total billed charges,,257.508,,,,percent of total billed charges,,264.7854,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,271.503,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,246.312,,,,percent of total billed charges,,251.91,,,,percent of total billed charges,,224.1999,,,,percent of total billed charges,,251.91,,,,percent of total billed charges,,167.94,,,,percent of total billed charges,,259.99911,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,223.92,,,,percent of total billed charges,,167.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,224.22789,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,25021-791-20,NDC,,,outpatient,20,ML,94.32,,47.16,56.592,91.4904,88.6608,,,,percent of total billed charges,,75.456,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,78.2856,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,86.7744,,,,percent of total billed charges,,86.7744,,,,percent of total billed charges,,89.22672,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,91.4904,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,83.0016,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,75.55032,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,87.613848,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,75.456,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.559752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,70710-1359-6,NDC,,,outpatient,20,ML,270.99,,135.495,162.594,262.8603,254.7306,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,224.9217,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,256.35654,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,262.8603,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,238.4712,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,217.06299,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,251.722611,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.090089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,70710-1359-1,NDC,,,outpatient,20,ML,270.99,,135.495,162.594,262.8603,254.7306,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,224.9217,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,256.35654,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,262.8603,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,238.4712,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,217.06299,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,251.722611,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,217.090089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,31722-203-20,NDC,,,outpatient,20,ML,65.34,,32.67,39.204,63.3798,61.4196,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,54.2322,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,61.81164,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,63.3798,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,57.4992,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,52.33734,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,60.694326,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.343874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,31722-203-31,NDC,,,outpatient,20,ML,65.34,,32.67,39.204,63.3798,61.4196,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,54.2322,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,61.81164,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,63.3798,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,57.4992,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,52.33734,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,60.694326,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.343874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,0131-2477-35,NDC,,,outpatient,1,EA,48.72,,24.36,29.232,47.2584,45.7968,,,,percent of total billed charges,,38.976,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,40.4376,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,44.8224,,,,percent of total billed charges,,44.8224,,,,percent of total billed charges,,46.08912,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,47.2584,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,42.8736,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,39.02472,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,29.232,,,,percent of total billed charges,,45.256008,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,38.976,,,,percent of total billed charges,,29.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.029592,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,0131-2477-60,NDC,,,outpatient,1,EA,53.59,,26.795,32.154,51.9823,50.3746,,,,percent of total billed charges,,42.872,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,44.4797,,,,percent of total billed charges,,48.231,,,,percent of total billed charges,,49.3028,,,,percent of total billed charges,,49.3028,,,,percent of total billed charges,,50.69614,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,51.9823,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,47.1592,,,,percent of total billed charges,,48.231,,,,percent of total billed charges,,42.92559,,,,percent of total billed charges,,48.231,,,,percent of total billed charges,,32.154,,,,percent of total billed charges,,49.779751,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,42.872,,,,percent of total billed charges,,32.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.930949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,47335-918-86,NDC,,,outpatient,1,EA,1.54,,0.77,0.924,1.4938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.23354,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.430506,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.233694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,67877-733-60,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,60687-676-11,NDC,,,outpatient,1,EA,3.35,,1.675,2.01,3.2495,3.149,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.7805,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.1691,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.2495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.948,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.68335,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,3.111815,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.683685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,60687-676-57,NDC,,,outpatient,1,EA,3.35,,1.675,2.01,3.2495,3.149,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.7805,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.1691,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.2495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.948,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.68335,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,3.111815,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.683685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,0904-7244-68,NDC,,,outpatient,1,EA,5.54,,2.77,3.324,5.3738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,4.43754,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.146106,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.438094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,0338-0117-03,NDC,J7120,HCPCS,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,0338-0117-04,NDC,J7120,HCPCS,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS IV BOLUS [1000321],0258,RC,0338-0117-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,0338-0117-04,NDC,J7120,HCPCS,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,6498012950,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,8068104700,NDC,,,outpatient,1,EA,0.71,,0.355,0.426,0.6887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.56871,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.659519,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.568781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,7733344110,NDC,,,outpatient,1,EA,0.92,,0.46,0.552,0.8924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.73692,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.854588,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.737012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,7733344125,NDC,,,outpatient,1,EA,0.92,,0.46,0.552,0.8924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.73692,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.854588,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.737012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS RHAMNOSUS GG 5 BILLION CELL ORAL POWDER PACKET [220878],0637,RC,4910040008,NDC,,,outpatient,1,EA,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,50383-779-31,NDC,,,outpatient,30,ML,1.62,,0.81,0.972,1.5714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.29762,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.504818,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.297782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,50383-779-30,NDC,,,outpatient,30,ML,1.62,,0.81,0.972,1.5714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.29762,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.504818,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.297782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,0121-1154-00,NDC,,,outpatient,30,ML,5.13,,2.565,3.078,4.9761,4.8222,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.2579,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.85298,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.9761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.5144,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.10913,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,4.765257,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.109643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,0121-1154-30,NDC,,,outpatient,30,ML,5.13,,2.565,3.078,4.9761,4.8222,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.2579,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.85298,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.9761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.5144,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.10913,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,4.765257,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.109643,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,0121-1154-40,NDC,,,outpatient,30,ML,5.4,,2.7,3.24,5.238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.3254,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.01606,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.32594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE LIQ 200GM/300ML RETENTION ENEMA [1000249],0637,RC,WVU01-002-49,NDC,,,outpatient,300,ML,6.75,,3.375,4.05,6.5475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,5.40675,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.270075,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.407425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMIVUDINE 10 MG/ML ORAL SOLUTION [81645],0637,RC,49702-205-48,NDC,,,outpatient,240,ML,481.68,,240.84,289.008,467.2296,452.7792,,,,percent of total billed charges,,385.344,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,399.7944,,,,percent of total billed charges,,433.512,,,,percent of total billed charges,,443.1456,,,,percent of total billed charges,,443.1456,,,,percent of total billed charges,,455.66928,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,467.2296,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,423.8784,,,,percent of total billed charges,,433.512,,,,percent of total billed charges,,385.82568,,,,percent of total billed charges,,433.512,,,,percent of total billed charges,,289.008,,,,percent of total billed charges,,447.432552,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,385.344,,,,percent of total billed charges,,289.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,385.873848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMIVUDINE 10 MG/ML ORAL SOLUTION [81645],0637,RC,57237-274-24,NDC,,,outpatient,240,ML,359.64,,179.82,215.784,348.8508,338.0616,,,,percent of total billed charges,,287.712,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,298.5012,,,,percent of total billed charges,,323.676,,,,percent of total billed charges,,330.8688,,,,percent of total billed charges,,330.8688,,,,percent of total billed charges,,340.21944,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,348.8508,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,316.4832,,,,percent of total billed charges,,323.676,,,,percent of total billed charges,,288.07164,,,,percent of total billed charges,,323.676,,,,percent of total billed charges,,215.784,,,,percent of total billed charges,,334.069596,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,287.712,,,,percent of total billed charges,,215.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,288.107604,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,51079-499-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,51079-499-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,68084-319-01,NDC,,,outpatient,1,EA,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,68084-319-11,NDC,,,outpatient,1,EA,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,0904-7008-61,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 25 MG TABLET [79381],0637,RC,68084-318-01,NDC,,,outpatient,1,EA,0.75,,0.375,0.45,0.7275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.60075,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.696675,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.600825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 25 MG TABLET [79381],0637,RC,68084-318-11,NDC,,,outpatient,1,EA,0.75,,0.375,0.45,0.7275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.60075,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.696675,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.600825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM [189186],0637,RC,7214003868,NDC,,,outpatient,57,GR,21.81,,10.905,13.086,21.1557,20.5014,,,,percent of total billed charges,,17.448,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,18.1023,,,,percent of total billed charges,,19.629,,,,percent of total billed charges,,20.0652,,,,percent of total billed charges,,20.0652,,,,percent of total billed charges,,20.63226,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,21.1557,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,19.1928,,,,percent of total billed charges,,19.629,,,,percent of total billed charges,,17.46981,,,,percent of total billed charges,,19.629,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,20.259309,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,17.448,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.471991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LANOLIN-OXYQUIN-PET, HYDROPHIL TOPICAL OINTMENT [89257]",0637,RC,23778-1210-64,NDC,,,outpatient,1,EA,16.52,,8.26,9.912,16.0244,15.5288,,,,percent of total billed charges,,13.216,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,13.7116,,,,percent of total billed charges,,14.868,,,,percent of total billed charges,,15.1984,,,,percent of total billed charges,,15.1984,,,,percent of total billed charges,,15.62792,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,16.0244,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,14.5376,,,,percent of total billed charges,,14.868,,,,percent of total billed charges,,13.23252,,,,percent of total billed charges,,14.868,,,,percent of total billed charges,,9.912,,,,percent of total billed charges,,15.345428,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,13.216,,,,percent of total billed charges,,9.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.234172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LANOLIN-OXYQUIN-PET, HYDROPHIL TOPICAL OINTMENT [89257]",0637,RC,098193-000174,NDC,,,outpatient,8,GR,21.17,,10.585,12.702,20.5349,19.8998,,,,percent of total billed charges,,16.936,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,17.5711,,,,percent of total billed charges,,19.053,,,,percent of total billed charges,,19.4764,,,,percent of total billed charges,,19.4764,,,,percent of total billed charges,,20.02682,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,20.5349,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,18.6296,,,,percent of total billed charges,,19.053,,,,percent of total billed charges,,16.95717,,,,percent of total billed charges,,19.053,,,,percent of total billed charges,,12.702,,,,percent of total billed charges,,19.664813,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,16.936,,,,percent of total billed charges,,12.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.959287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANREOTIDE (SOMATULINE DEPOT) 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [1002026],0636,RC,15054-1120-4,NDC,J1930,HCPCS,outpatient,0.5,ML,38248,,19124,22948.8,37100.56,35953.12,,,,percent of total billed charges,,30598.4,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,31745.84,,,,percent of total billed charges,,34423.2,,,,percent of total billed charges,,35188.16,,,,percent of total billed charges,,35188.16,,,,percent of total billed charges,,36182.608,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,37100.56,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,33658.24,,,,percent of total billed charges,,34423.2,,,,percent of total billed charges,,30636.648,,,,percent of total billed charges,,34423.2,,,,percent of total billed charges,,22948.8,,,,percent of total billed charges,,35528.5672,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,30598.4,,,,percent of total billed charges,,22948.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30640.4728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT [210850],0637,RC,9999-2108-50,NDC,,,outpatient,10,ML,11.48,,5.74,6.888,11.1356,10.7912,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.5284,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.86008,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,11.1356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.1024,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,9.19548,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,10.663772,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.196628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT [210850],0637,RC,65628-0080-10,NDC,,,outpatient,300,ML,344.25,,172.125,206.55,333.9225,323.595,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,285.7275,,,,percent of total billed charges,,309.825,,,,percent of total billed charges,,316.71,,,,percent of total billed charges,,316.71,,,,percent of total billed charges,,325.6605,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,333.9225,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,302.94,,,,percent of total billed charges,,309.825,,,,percent of total billed charges,,275.74425,,,,percent of total billed charges,,309.825,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,319.773825,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,275.778675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT [210850],0637,RC,9921-0850-90,NDC,,,outpatient,90,ML,166.46,,83.23,99.876,161.4662,156.4724,,,,percent of total billed charges,,133.168,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,138.1618,,,,percent of total billed charges,,149.814,,,,percent of total billed charges,,153.1432,,,,percent of total billed charges,,153.1432,,,,percent of total billed charges,,157.47116,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,161.4662,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,146.4848,,,,percent of total billed charges,,149.814,,,,percent of total billed charges,,133.33446,,,,percent of total billed charges,,149.814,,,,percent of total billed charges,,99.876,,,,percent of total billed charges,,154.624694,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,133.168,,,,percent of total billed charges,,99.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.351106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,59762-0333-2,NDC,,,outpatient,2.5,ML,43.74,,21.87,26.244,42.4278,41.1156,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,36.3042,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,41.37804,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,42.4278,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,38.4912,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,35.03574,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,40.630086,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.040114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,61314-547-01,NDC,,,outpatient,2.5,ML,46.89,,23.445,28.134,45.4833,44.0766,,,,percent of total billed charges,,37.512,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,38.9187,,,,percent of total billed charges,,42.201,,,,percent of total billed charges,,43.1388,,,,percent of total billed charges,,43.1388,,,,percent of total billed charges,,44.35794,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,45.4833,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,41.2632,,,,percent of total billed charges,,42.201,,,,percent of total billed charges,,37.55889,,,,percent of total billed charges,,42.201,,,,percent of total billed charges,,28.134,,,,percent of total billed charges,,43.556121,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,37.512,,,,percent of total billed charges,,28.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.563579,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,0517-0830-01,NDC,,,outpatient,2.5,ML,50.81,,25.405,30.486,49.2857,47.7614,,,,percent of total billed charges,,40.648,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,42.1723,,,,percent of total billed charges,,45.729,,,,percent of total billed charges,,46.7452,,,,percent of total billed charges,,46.7452,,,,percent of total billed charges,,48.06626,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,49.2857,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,44.7128,,,,percent of total billed charges,,45.729,,,,percent of total billed charges,,40.69881,,,,percent of total billed charges,,45.729,,,,percent of total billed charges,,30.486,,,,percent of total billed charges,,47.197409,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,40.648,,,,percent of total billed charges,,30.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.703891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,70069-421-01,NDC,,,outpatient,2.5,ML,20.12,,10.06,12.072,19.5164,18.9128,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.6996,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,19.03352,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.5164,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,17.7056,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,16.11612,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,18.689468,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.118132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [261045],0636,RC,62856-212-01,NDC,J0174,HCPCS,outpatient,2,ML,1146.65,,573.325,687.99,1112.2505,1077.851,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,951.7195,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1084.7309,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1112.2505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1009.052,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,918.46665,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,1065.123185,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,918.581315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [261045],0636,RC,62856-215-01,NDC,J0174,HCPCS,outpatient,5,ML,2866.59,,1433.295,1719.954,2780.5923,2694.5946,,,,percent of total billed charges,,2293.272,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2379.2697,,,,percent of total billed charges,,2579.931,,,,percent of total billed charges,,2637.2628,,,,percent of total billed charges,,2637.2628,,,,percent of total billed charges,,2711.79414,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2780.5923,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2522.5992,,,,percent of total billed charges,,2579.931,,,,percent of total billed charges,,2296.13859,,,,percent of total billed charges,,2579.931,,,,percent of total billed charges,,1719.954,,,,percent of total billed charges,,2662.775451,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2293.272,,,,percent of total billed charges,,1719.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2296.425249,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [261045],0636,RC,62856-215-01,NDC,J0174,HCPCS,outpatient,676,ME,3875.63,,1937.815,2325.378,3759.3611,3643.0922,,,,percent of total billed charges,,3100.504,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3216.7729,,,,percent of total billed charges,,3488.067,,,,percent of total billed charges,,3565.5796,,,,percent of total billed charges,,3565.5796,,,,percent of total billed charges,,3666.34598,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3759.3611,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3410.5544,,,,percent of total billed charges,,3488.067,,,,percent of total billed charges,,3104.37963,,,,percent of total billed charges,,3488.067,,,,percent of total billed charges,,2325.378,,,,percent of total billed charges,,3600.072707,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3100.504,,,,percent of total billed charges,,2325.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3104.767193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,9970-0303-56,NDC,,,outpatient,3,ML,3.7,,1.85,2.22,3.589,3.478,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.071,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.5002,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.589,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.9637,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,3.43693,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.96407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,99995-3843-53,NDC,,,outpatient,3,ML,31.5,,15.75,18.9,30.555,29.61,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,26.145,,,,percent of total billed charges,,28.35,,,,percent of total billed charges,,28.98,,,,percent of total billed charges,,28.98,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,30.555,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,28.35,,,,percent of total billed charges,,25.2315,,,,percent of total billed charges,,28.35,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,29.26035,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.23465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,62295-5013-3,NDC,,,outpatient,3,ML,17.78,,8.89,10.668,17.2466,16.7132,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.7574,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.81988,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,17.2466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,15.6464,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,14.24178,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,16.515842,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.243558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,71266-6276-3,NDC,,,outpatient,3,ML,56.7,,28.35,34.02,54.999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,45.4167,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,52.66863,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.42237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,5446-0607-01,NDC,,,outpatient,3,ML,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,62756-511-83,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,0093-7620-56,NDC,,,outpatient,1,EA,0.64,,0.32,0.384,0.6208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.51264,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.594496,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.512704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,50268-476-11,NDC,,,outpatient,1,EA,3.38,,1.69,2.028,3.2786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.70738,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.139682,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.707718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,50268-476-15,NDC,,,outpatient,1,EA,3.38,,1.69,2.028,3.2786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.70738,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.139682,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.707718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION [15370],0636,RC,63323-631-50,NDC,J0640,HCPCS,outpatient,50,ML,289.58,,144.79,173.748,280.8926,272.2052,,,,percent of total billed charges,,231.664,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,240.3514,,,,percent of total billed charges,,260.622,,,,percent of total billed charges,,266.4136,,,,percent of total billed charges,,266.4136,,,,percent of total billed charges,,273.94268,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,280.8926,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,254.8304,,,,percent of total billed charges,,260.622,,,,percent of total billed charges,,231.95358,,,,percent of total billed charges,,260.622,,,,percent of total billed charges,,173.748,,,,percent of total billed charges,,268.990862,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,231.664,,,,percent of total billed charges,,173.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.982538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],0636,RC,0703-5145-01,NDC,J0640,HCPCS,outpatient,1,EA,74.07,,37.035,44.442,71.8479,69.6258,,,,percent of total billed charges,,59.256,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,61.4781,,,,percent of total billed charges,,66.663,,,,percent of total billed charges,,68.1444,,,,percent of total billed charges,,68.1444,,,,percent of total billed charges,,70.07022,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,71.8479,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,65.1816,,,,percent of total billed charges,,66.663,,,,percent of total billed charges,,59.33007,,,,percent of total billed charges,,66.663,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,68.803623,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,59.256,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.337477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],0636,RC,67457-530-35,NDC,J0640,HCPCS,outpatient,1,EA,49.73,,24.865,29.838,48.2381,46.7462,,,,percent of total billed charges,,39.784,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,41.2759,,,,percent of total billed charges,,44.757,,,,percent of total billed charges,,45.7516,,,,percent of total billed charges,,45.7516,,,,percent of total billed charges,,47.04458,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,48.2381,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,43.7624,,,,percent of total billed charges,,44.757,,,,percent of total billed charges,,39.83373,,,,percent of total billed charges,,44.757,,,,percent of total billed charges,,29.838,,,,percent of total billed charges,,46.194197,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,39.784,,,,percent of total billed charges,,29.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.838703,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION [23617],0636,RC,63323-711-00,NDC,J0640,HCPCS,outpatient,1,EA,218.66,,109.33,131.196,212.1002,205.5404,,,,percent of total billed charges,,174.928,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,181.4878,,,,percent of total billed charges,,196.794,,,,percent of total billed charges,,201.1672,,,,percent of total billed charges,,201.1672,,,,percent of total billed charges,,206.85236,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,212.1002,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,192.4208,,,,percent of total billed charges,,196.794,,,,percent of total billed charges,,175.14666,,,,percent of total billed charges,,196.794,,,,percent of total billed charges,,131.196,,,,percent of total billed charges,,203.113274,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,174.928,,,,percent of total billed charges,,131.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,175.168526,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION [23617],0636,RC,25021-828-50,NDC,J0640,HCPCS,outpatient,1,EA,142.7,,71.35,85.62,138.419,134.138,,,,percent of total billed charges,,114.16,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,118.441,,,,percent of total billed charges,,128.43,,,,percent of total billed charges,,131.284,,,,percent of total billed charges,,131.284,,,,percent of total billed charges,,134.9942,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,138.419,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,125.576,,,,percent of total billed charges,,128.43,,,,percent of total billed charges,,114.3027,,,,percent of total billed charges,,128.43,,,,percent of total billed charges,,85.62,,,,percent of total billed charges,,132.55403,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,114.16,,,,percent of total billed charges,,85.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.31697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [77453],0636,RC,0074-3663-03,NDC,J1950,HCPCS,outpatient,1,EA,22346.82,,11173.41,13408.092,21676.4154,21006.0108,,,,percent of total billed charges,,17877.456,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,18547.8606,,,,percent of total billed charges,,20112.138,,,,percent of total billed charges,,20559.0744,,,,percent of total billed charges,,20559.0744,,,,percent of total billed charges,,21140.09172,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,21676.4154,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,19665.2016,,,,percent of total billed charges,,20112.138,,,,percent of total billed charges,,17899.80282,,,,percent of total billed charges,,20112.138,,,,percent of total billed charges,,13408.092,,,,percent of total billed charges,,20757.9611,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,17877.456,,,,percent of total billed charges,,13408.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17902.0375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [80531],0636,RC,0074-3346-03,NDC,J9217,HCPCS,outpatient,1,EA,2196.9,,1098.45,1318.14,2130.993,2065.086,,,,percent of total billed charges,,1757.52,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,1823.427,,,,percent of total billed charges,,1977.21,,,,percent of total billed charges,,2021.148,,,,percent of total billed charges,,2021.148,,,,percent of total billed charges,,2078.2674,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,2130.993,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,1933.272,,,,percent of total billed charges,,1977.21,,,,percent of total billed charges,,1759.7169,,,,percent of total billed charges,,1977.21,,,,percent of total billed charges,,1318.14,,,,percent of total billed charges,,2040.70041,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,1757.52,,,,percent of total billed charges,,1318.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1759.93659,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [77464],0636,RC,0074-3641-03,NDC,J1950,HCPCS,outpatient,1,EA,7448.85,,3724.425,4469.31,7225.3845,7001.919,,,,percent of total billed charges,,5959.08,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,6182.5455,,,,percent of total billed charges,,6703.965,,,,percent of total billed charges,,6852.942,,,,percent of total billed charges,,6852.942,,,,percent of total billed charges,,7046.6121,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,7225.3845,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,6554.988,,,,percent of total billed charges,,6703.965,,,,percent of total billed charges,,5966.52885,,,,percent of total billed charges,,6703.965,,,,percent of total billed charges,,4469.31,,,,percent of total billed charges,,6919.236765,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,5959.08,,,,percent of total billed charges,,4469.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5967.273735,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT [81214],0636,RC,0074-3683-03,NDC,J9217,HCPCS,outpatient,1,EA,2929.23,,1464.615,1757.538,2841.3531,2753.4762,,,,percent of total billed charges,,2343.384,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2431.2609,,,,percent of total billed charges,,2636.307,,,,percent of total billed charges,,2694.8916,,,,percent of total billed charges,,2694.8916,,,,percent of total billed charges,,2771.05158,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2841.3531,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2577.7224,,,,percent of total billed charges,,2636.307,,,,percent of total billed charges,,2346.31323,,,,percent of total billed charges,,2636.307,,,,percent of total billed charges,,1757.538,,,,percent of total billed charges,,2720.961747,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2343.384,,,,percent of total billed charges,,1757.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2346.606153,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [206352],0636,RC,0074-3642-03,NDC,J9217,HCPCS,outpatient,1,EA,732.33,,366.165,439.398,710.3601,688.3902,,,,percent of total billed charges,,585.864,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,607.8339,,,,percent of total billed charges,,659.097,,,,percent of total billed charges,,673.7436,,,,percent of total billed charges,,673.7436,,,,percent of total billed charges,,692.78418,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,710.3601,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,644.4504,,,,percent of total billed charges,,659.097,,,,percent of total billed charges,,586.59633,,,,percent of total billed charges,,659.097,,,,percent of total billed charges,,439.398,,,,percent of total billed charges,,680.261337,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,585.864,,,,percent of total billed charges,,439.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,586.669563,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT [205343],0636,RC,0074-3473-03,NDC,J9217,HCPCS,outpatient,1,EA,4393.94,,2196.97,2636.364,4262.1218,4130.3036,,,,percent of total billed charges,,3515.152,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,3646.9702,,,,percent of total billed charges,,3954.546,,,,percent of total billed charges,,4042.4248,,,,percent of total billed charges,,4042.4248,,,,percent of total billed charges,,4156.66724,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,4262.1218,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,3866.6672,,,,percent of total billed charges,,3954.546,,,,percent of total billed charges,,3519.54594,,,,percent of total billed charges,,3954.546,,,,percent of total billed charges,,2636.364,,,,percent of total billed charges,,4081.530866,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,3515.152,,,,percent of total billed charges,,2636.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3519.985334,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVALBUTEROL 1.25 MG/3ML NEB SOLUTION - EAST [7000021],0637,RC,66993-023-27,NDC,,,outpatient,3,ML,3.08,,1.54,1.848,2.9876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.46708,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.861012,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.467388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVALBUTEROL 1.25 MG/3ML NEB SOLUTION - EAST [7000021],0637,RC,76204-900-01,NDC,,,outpatient,3,ML,6.48,,3.24,3.888,6.2856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.19048,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.019272,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.191128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVALBUTEROL 1.25 MG/3ML NEB SOLUTION - EAST [7000021],0637,RC,76204-900-11,NDC,,,outpatient,3,ML,6.48,,3.24,3.888,6.2856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.19048,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.019272,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.191128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,67457-265-00,NDC,J1953,HCPCS,outpatient,100,ML,48.6,,24.3,29.16,47.142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,38.9286,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,45.14454,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.93346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,55150-247-47,NDC,J1953,HCPCS,outpatient,100,ML,39.15,,19.575,23.49,37.9755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,31.35915,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,36.366435,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.363065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,14789-220-08,NDC,J1953,HCPCS,outpatient,100,ML,32.85,,16.425,19.71,31.8645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,26.31285,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,30.514365,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.316135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,14789-220-10,NDC,J1953,HCPCS,outpatient,100,ML,32.85,,16.425,19.71,31.8645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,26.31285,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,30.514365,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.316135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,44567-502-01,NDC,J1953,HCPCS,outpatient,100,ML,33.3,,16.65,19.98,32.301,31.302,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,27.639,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,31.5018,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,32.301,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,29.304,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,26.6733,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,30.93237,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.67663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,44567-502-10,NDC,J1953,HCPCS,outpatient,100,ML,33.3,,16.65,19.98,32.301,31.302,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,27.639,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,31.5018,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,32.301,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,29.304,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,26.6733,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,30.93237,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.67663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 100 MG/ML ORAL SOLUTION [88604],0637,RC,0054-0224-63,NDC,,,outpatient,500,ML,94.5,,47.25,56.7,91.665,88.83,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,78.435,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,86.94,,,,percent of total billed charges,,86.94,,,,percent of total billed charges,,89.397,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,91.665,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,75.6945,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,87.78105,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.70395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 100 MG/ML ORAL SOLUTION [88604],0637,RC,31722-574-47,NDC,,,outpatient,473,ML,80.89,,40.445,48.534,78.4633,76.0366,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,67.1387,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,76.52194,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,78.4633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,71.1832,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,64.79289,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,75.138721,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.800979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 15MG/ML PEDS IV DILUTION [1000549],0636,RC,99910-005-49,NDC,J1953,HCPCS,outpatient,5,ML,3.27,,1.635,1.962,3.1719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.61927,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.037503,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.619597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 250 MG TABLET [80079],0637,RC,51079-820-20,NDC,,,outpatient,1,EA,0.62,,0.31,0.372,0.6014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.49662,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.575918,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.496682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 250 MG TABLET [80079],0637,RC,68084-859-01,NDC,,,outpatient,1,EA,0.83,,0.415,0.498,0.8051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.66483,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.770987,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.664913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 250 MG TABLET [80079],0637,RC,68084-859-11,NDC,,,outpatient,1,EA,0.83,,0.415,0.498,0.8051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.66483,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.770987,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.664913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,51079-821-01,NDC,,,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,51079-821-20,NDC,,,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,68084-870-01,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,68084-870-11,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,68001-403-07,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,0904-7124-61,NDC,,,outpatient,1,EA,0.94,,0.47,0.564,0.9118,0.8836,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.7802,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.88924,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.9118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.8272,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.75294,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,0.873166,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.753034,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,60687-657-01,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,60687-657-11,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,67457-255-00,NDC,J1953,HCPCS,outpatient,100,ML,39.15,,19.575,23.49,37.9755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,31.35915,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,36.366435,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.363065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,67457-255-10,NDC,J1953,HCPCS,outpatient,100,ML,39.15,,19.575,23.49,37.9755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,31.35915,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,36.366435,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.363065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,55150-246-47,NDC,J1953,HCPCS,outpatient,100,ML,30.15,,15.075,18.09,29.2455,28.341,,,,percent of total billed charges,,24.12,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,25.0245,,,,percent of total billed charges,,27.135,,,,percent of total billed charges,,27.738,,,,percent of total billed charges,,27.738,,,,percent of total billed charges,,28.5219,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,29.2455,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,26.532,,,,percent of total billed charges,,27.135,,,,percent of total billed charges,,24.15015,,,,percent of total billed charges,,27.135,,,,percent of total billed charges,,18.09,,,,percent of total billed charges,,28.006335,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,24.12,,,,percent of total billed charges,,18.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.153165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,70860-602-82,NDC,J1953,HCPCS,outpatient,100,ML,34.65,,17.325,20.79,33.6105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,27.75465,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,32.186385,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.758115,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,70860-602-41,NDC,J1953,HCPCS,outpatient,100,ML,34.65,,17.325,20.79,33.6105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,27.75465,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,32.186385,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.758115,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,14789-110-05,NDC,J1953,HCPCS,outpatient,100,ML,58.05,,29.025,34.83,56.3085,54.567,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,48.1815,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,54.9153,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,56.3085,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,46.49805,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,53.922645,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.503855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,14789-110-08,NDC,J1953,HCPCS,outpatient,100,ML,58.05,,29.025,34.83,56.3085,54.567,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,48.1815,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,54.9153,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,56.3085,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,46.49805,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,53.922645,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.503855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,44567-501-10,NDC,J1953,HCPCS,outpatient,100,ML,25.65,,12.825,15.39,24.8805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.54565,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,23.826285,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.548215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,44567-501-01,NDC,J1953,HCPCS,outpatient,100,ML,25.65,,12.825,15.39,24.8805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.54565,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,23.826285,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.548215,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,0121-4799-05,NDC,,,outpatient,5,ML,10.29,,5.145,6.174,9.9813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,8.24229,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,9.558381,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.243319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,60687-249-40,NDC,,,outpatient,5,ML,22.08,,11.04,13.248,21.4176,20.7552,,,,percent of total billed charges,,17.664,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,18.3264,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,20.3136,,,,percent of total billed charges,,20.3136,,,,percent of total billed charges,,20.88768,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,21.4176,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,19.4304,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,17.68608,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,20.510112,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,17.664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.688288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,60687-249-77,NDC,,,outpatient,5,ML,14.07,,7.035,8.442,13.6479,13.2258,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,11.6781,,,,percent of total billed charges,,12.663,,,,percent of total billed charges,,12.9444,,,,percent of total billed charges,,12.9444,,,,percent of total billed charges,,13.31022,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,13.6479,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,12.3816,,,,percent of total billed charges,,12.663,,,,percent of total billed charges,,11.27007,,,,percent of total billed charges,,12.663,,,,percent of total billed charges,,8.442,,,,percent of total billed charges,,13.069623,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,8.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.271477,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,63739-158-70,NDC,,,outpatient,5,ML,11.28,,5.64,6.768,10.9416,10.6032,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,9.3624,,,,percent of total billed charges,,10.152,,,,percent of total billed charges,,10.3776,,,,percent of total billed charges,,10.3776,,,,percent of total billed charges,,10.67088,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,10.9416,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,9.9264,,,,percent of total billed charges,,10.152,,,,percent of total billed charges,,9.03528,,,,percent of total billed charges,,10.152,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,10.477992,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.036408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,0904-7265-41,NDC,,,outpatient,5,ML,9.9,,4.95,5.94,9.603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,7.9299,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.19611,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.93089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,0904-7265-93,NDC,,,outpatient,5,ML,9.43,,4.715,5.658,9.1471,8.8642,,,,percent of total billed charges,,7.544,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,7.8269,,,,percent of total billed charges,,8.487,,,,percent of total billed charges,,8.6756,,,,percent of total billed charges,,8.6756,,,,percent of total billed charges,,8.92078,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,9.1471,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,8.2984,,,,percent of total billed charges,,8.487,,,,percent of total billed charges,,7.55343,,,,percent of total billed charges,,8.487,,,,percent of total billed charges,,5.658,,,,percent of total billed charges,,8.759527,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,7.544,,,,percent of total billed charges,,5.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.554373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,62756-513-44,NDC,J1953,HCPCS,outpatient,5,ML,149.49,,74.745,89.694,145.0053,140.5206,,,,percent of total billed charges,,119.592,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,124.0767,,,,percent of total billed charges,,134.541,,,,percent of total billed charges,,137.5308,,,,percent of total billed charges,,137.5308,,,,percent of total billed charges,,141.41754,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,145.0053,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,131.5512,,,,percent of total billed charges,,134.541,,,,percent of total billed charges,,119.74149,,,,percent of total billed charges,,134.541,,,,percent of total billed charges,,89.694,,,,percent of total billed charges,,138.861261,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,119.592,,,,percent of total billed charges,,89.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.756439,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,39822-4000-1,NDC,J1953,HCPCS,outpatient,5,ML,10.29,,5.145,6.174,9.9813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,8.24229,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,9.558381,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.243319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,63323-400-05,NDC,J1953,HCPCS,outpatient,5,ML,7.02,,3.51,4.212,6.8094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,5.62302,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,6.520878,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.623722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,55150-177-05,NDC,J1953,HCPCS,outpatient,5,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,67457-790-00,NDC,J1953,HCPCS,outpatient,5,ML,9.32,,4.66,5.592,9.0404,8.7608,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.7356,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.81672,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,9.0404,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.2016,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,7.46532,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,8.657348,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.466252,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,67457-790-05,NDC,J1953,HCPCS,outpatient,5,ML,9.32,,4.66,5.592,9.0404,8.7608,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.7356,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.81672,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,9.0404,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.2016,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,7.46532,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,8.657348,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.466252,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,72485-106-01,NDC,J1953,HCPCS,outpatient,5,ML,5.79,,2.895,3.474,5.6163,5.4426,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.8057,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.47734,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.6163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.0952,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,4.63779,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,5.378331,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.638369,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,72485-106-10,NDC,J1953,HCPCS,outpatient,5,ML,5.79,,2.895,3.474,5.6163,5.4426,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.8057,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.47734,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.6163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.0952,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,4.63779,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,5.378331,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.638369,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,72205-120-01,NDC,J1953,HCPCS,outpatient,5,ML,12.4,,6.2,7.44,12.028,11.656,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.292,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.7304,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,12.028,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,9.9324,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,11.51836,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.93364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,72205-120-07,NDC,J1953,HCPCS,outpatient,5,ML,12.4,,6.2,7.44,12.028,11.656,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.292,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.7304,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,12.028,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,9.9324,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,11.51836,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.93364,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,72485-106-10,NDC,J1953,HCPCS,outpatient,500,ME,5.79,,2.895,3.474,5.6163,5.4426,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.8057,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.47734,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.6163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.0952,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,4.63779,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,5.378331,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.638369,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,72485-106-10,NDC,J1953,HCPCS,outpatient,676,ME,7.82,,3.91,4.692,7.5854,7.3508,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.4906,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.39772,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.5854,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,6.26382,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,7.263998,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.264602,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],0250,RC,54482-147-01,NDC,,,outpatient,5,ML,100.08,,50.04,60.048,97.0776,94.0752,,,,percent of total billed charges,,80.064,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,83.0664,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,92.0736,,,,percent of total billed charges,,92.0736,,,,percent of total billed charges,,94.67568,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,97.0776,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,88.0704,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,80.16408,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,60.048,,,,percent of total billed charges,,92.964312,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,80.064,,,,percent of total billed charges,,60.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.174088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [81901],0636,RC,50458-164-20,NDC,J1956,HCPCS,outpatient,20,ML,57.78,,28.89,34.668,56.0466,54.3132,,,,percent of total billed charges,,46.224,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,47.9574,,,,percent of total billed charges,,52.002,,,,percent of total billed charges,,53.1576,,,,percent of total billed charges,,53.1576,,,,percent of total billed charges,,54.65988,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,56.0466,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,50.8464,,,,percent of total billed charges,,52.002,,,,percent of total billed charges,,46.28178,,,,percent of total billed charges,,52.002,,,,percent of total billed charges,,34.668,,,,percent of total billed charges,,53.671842,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,46.224,,,,percent of total billed charges,,34.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.287558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [81901],0636,RC,17478-107-30,NDC,J1956,HCPCS,outpatient,30,ML,100.85,,50.425,60.51,97.8245,94.799,,,,percent of total billed charges,,80.68,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,83.7055,,,,percent of total billed charges,,90.765,,,,percent of total billed charges,,92.782,,,,percent of total billed charges,,92.782,,,,percent of total billed charges,,95.4041,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,97.8245,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,88.748,,,,percent of total billed charges,,90.765,,,,percent of total billed charges,,80.78085,,,,percent of total billed charges,,90.765,,,,percent of total billed charges,,60.51,,,,percent of total billed charges,,93.679565,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,80.68,,,,percent of total billed charges,,60.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,80.790935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 250 MG TABLET [79011],0637,RC,65862-536-50,NDC,,,outpatient,1,EA,1.44,,0.72,0.864,1.3968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.337616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.153584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 250 MG TABLET [79011],0637,RC,0904-6351-61,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,25021-132-83,NDC,J1956,HCPCS,outpatient,150,ML,15.53,,7.765,9.318,15.0641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,12.43953,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,14.425817,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.441083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,0143-9720-01,NDC,J1956,HCPCS,outpatient,150,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,0143-9720-24,NDC,J1956,HCPCS,outpatient,150,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,44567-437-24,NDC,J1956,HCPCS,outpatient,150,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 250MG/50ML IV PIGGY BACK [7000101],0636,RC,9999-9878-26,NDC,J1956,HCPCS,outpatient,50,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,25021-132-82,NDC,J1956,HCPCS,outpatient,100,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,0143-9721-01,NDC,J1956,HCPCS,outpatient,100,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,0143-9721-24,NDC,J1956,HCPCS,outpatient,100,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,36000-047-24,NDC,J1956,HCPCS,outpatient,100,ML,10.35,,5.175,6.21,10.0395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,8.29035,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,9.614115,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.291385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE [212448],0636,RC,50419-422-01,NDC,J7301,HCPCS,outpatient,1,EA,4334.49,,2167.245,2600.694,4204.4553,4074.4206,,,,percent of total billed charges,,3467.592,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,3597.6267,,,,percent of total billed charges,,3901.041,,,,percent of total billed charges,,3987.7308,,,,percent of total billed charges,,3987.7308,,,,percent of total billed charges,,4100.42754,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,4204.4553,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,3814.3512,,,,percent of total billed charges,,3901.041,,,,percent of total billed charges,,3471.92649,,,,percent of total billed charges,,3901.041,,,,percent of total billed charges,,2600.694,,,,percent of total billed charges,,4026.307761,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,3467.592,,,,percent of total billed charges,,2600.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3472.359939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE [232659],0636,RC,50419-424-01,NDC,J7296,HCPCS,outpatient,1,EA,5205.56,,2602.78,3123.336,5049.3932,4893.2264,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4320.6148,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4924.45976,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,5049.3932,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4580.8928,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,4169.65356,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,4835.444684,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.174116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE [77254],0636,RC,50419-423-01,NDC,J7298,HCPCS,outpatient,1,EA,5205.56,,2602.78,3123.336,5049.3932,4893.2264,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4320.6148,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4924.45976,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,5049.3932,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4580.8928,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,4169.65356,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,4835.444684,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4170.174116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [210118],0636,RC,63323-649-07,NDC,J0650,HCPCS,outpatient,1,EA,281.12,,140.56,168.672,272.6864,264.2528,,,,percent of total billed charges,,224.896,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,233.3296,,,,percent of total billed charges,,253.008,,,,percent of total billed charges,,258.6304,,,,percent of total billed charges,,258.6304,,,,percent of total billed charges,,265.93952,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,272.6864,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,247.3856,,,,percent of total billed charges,,253.008,,,,percent of total billed charges,,225.17712,,,,percent of total billed charges,,253.008,,,,percent of total billed charges,,168.672,,,,percent of total billed charges,,261.132368,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,224.896,,,,percent of total billed charges,,168.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,225.205232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [210118],0636,RC,42023-201-01,NDC,J0650,HCPCS,outpatient,1,EA,436.68,,218.34,262.008,423.5796,410.4792,,,,percent of total billed charges,,349.344,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,362.4444,,,,percent of total billed charges,,393.012,,,,percent of total billed charges,,401.7456,,,,percent of total billed charges,,401.7456,,,,percent of total billed charges,,413.09928,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,423.5796,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,384.2784,,,,percent of total billed charges,,393.012,,,,percent of total billed charges,,349.78068,,,,percent of total billed charges,,393.012,,,,percent of total billed charges,,262.008,,,,percent of total billed charges,,405.632052,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,349.344,,,,percent of total billed charges,,262.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,349.824348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [210118],0636,RC,70860-451-10,NDC,J0650,HCPCS,outpatient,1,EA,235.53,,117.765,141.318,228.4641,221.3982,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,195.4899,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,222.81138,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,228.4641,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,207.2664,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,188.65953,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,218.783817,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,188.683083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG TABLET [4423],0637,RC,0074-6624-11,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG TABLET [4423],0637,RC,0074-6624-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 112 MCG TABLET [10404],0637,RC,0074-9296-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 125 MCG TABLET [4424],0637,RC,0074-7068-11,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 125 MCG TABLET [4424],0637,RC,0074-7068-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 137 MCG TABLET [10405],0637,RC,0074-3727-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 150 MCG TABLET [4425],0637,RC,0074-7069-11,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 150 MCG TABLET [4425],0637,RC,0074-7069-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 175 MCG TABLET [10406],0637,RC,0074-7070-90,NDC,,,outpatient,1,EA,6.52,,3.26,3.912,6.3244,6.1288,,,,percent of total billed charges,,5.216,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,5.4116,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,5.9984,,,,percent of total billed charges,,5.9984,,,,percent of total billed charges,,6.16792,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,6.3244,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,5.7376,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,5.22252,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,6.056428,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,5.216,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.223172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [244039],0250,RC,63323-885-10,NDC,J0651,HCPCS,outpatient,5,ML,295.16,,147.58,177.096,286.3052,277.4504,,,,percent of total billed charges,,236.128,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,244.9828,,,,percent of total billed charges,,265.644,,,,percent of total billed charges,,271.5472,,,,percent of total billed charges,,271.5472,,,,percent of total billed charges,,279.22136,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,286.3052,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,259.7408,,,,percent of total billed charges,,265.644,,,,percent of total billed charges,,236.42316,,,,percent of total billed charges,,265.644,,,,percent of total billed charges,,177.096,,,,percent of total billed charges,,274.174124,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,236.128,,,,percent of total billed charges,,177.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,236.452676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [244039],0250,RC,63323-885-10,NDC,J0651,HCPCS,outpatient,200,ML,590.31,,295.155,354.186,572.6007,554.8914,,,,percent of total billed charges,,472.248,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,489.9573,,,,percent of total billed charges,,531.279,,,,percent of total billed charges,,543.0852,,,,percent of total billed charges,,543.0852,,,,percent of total billed charges,,558.43326,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,572.6007,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,519.4728,,,,percent of total billed charges,,531.279,,,,percent of total billed charges,,472.83831,,,,percent of total billed charges,,531.279,,,,percent of total billed charges,,354.186,,,,percent of total billed charges,,548.338959,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,472.248,,,,percent of total billed charges,,354.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,472.897341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 25 MCG TABLET [4420],0637,RC,0074-4341-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 50 MCG TABLET [4421],0637,RC,0074-4552-11,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 50 MCG TABLET [4421],0637,RC,0074-4552-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 75 MCG TABLET [4422],0637,RC,0074-5182-11,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 75 MCG TABLET [4422],0637,RC,0074-5182-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 88 MCG TABLET [10403],0637,RC,0074-6594-90,NDC,,,outpatient,1,EA,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (BULK) POWDER [12855],0250,RC,62991-1094-1,NDC,,,outpatient,25,GR,148.5,,74.25,89.1,144.045,139.59,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,123.255,,,,percent of total billed charges,,133.65,,,,percent of total billed charges,,136.62,,,,percent of total billed charges,,136.62,,,,percent of total billed charges,,140.481,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,144.045,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,130.68,,,,percent of total billed charges,,133.65,,,,percent of total billed charges,,118.9485,,,,percent of total billed charges,,133.65,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,137.94165,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,118.96335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 10 MG/ML (1%) INFUSION [5000243],0636,RC,9995-0002-43,NDC,J2001,HCPCS,outpatient,30,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,0409-1323-05,NDC,J2003,HCPCS,outpatient,5,ML,19.74,,9.87,11.844,19.1478,18.5556,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,16.3842,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.67404,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,19.1478,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,17.3712,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,15.81174,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,18.336486,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.813714,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,0409-4903-34,NDC,J2003,HCPCS,outpatient,5,ML,18.03,,9.015,10.818,17.4891,16.9482,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.9649,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,17.05638,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.4891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,15.8664,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,14.44203,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,16.748067,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.443833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,76329-3390-1,NDC,J2003,HCPCS,outpatient,5,ML,24.82,,12.41,14.892,24.0754,23.3308,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,20.6006,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,23.47972,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,24.0754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,21.8416,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,19.88082,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,23.055298,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.883302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,0409-1323-15,NDC,J2003,HCPCS,outpatient,5,ML,19.74,,9.87,11.844,19.1478,18.5556,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,16.3842,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.67404,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,19.1478,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,17.3712,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,15.81174,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,18.336486,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.813714,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,0409-4903-11,NDC,J2003,HCPCS,outpatient,5,ML,18.03,,9.015,10.818,17.4891,16.9482,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.9649,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,17.05638,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.4891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,15.8664,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,14.44203,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,16.748067,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.443833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [95804],0636,RC,0338-0409-03,NDC,J2002,HCPCS,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION (NON RT CONFIG) [7000109],0250,RC,0409-4283-01,NDC,,,outpatient,5,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION (RT USE CONFIG) [4455],0250,RC,0409-4283-01,NDC,,,outpatient,5,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION (RT USE CONFIG) [4455],0250,RC,0409-4283-11,NDC,,,outpatient,5,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION (RT USE CONFIG) [4455],0250,RC,0409-4283-25,NDC,,,outpatient,5,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,7.75,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5001-5,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [86407],0250,RC,0409-5534-14,NDC,,,outpatient,2,ML,11.67,,5.835,7.002,11.3199,10.9698,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,9.6861,,,,percent of total billed charges,,10.503,,,,percent of total billed charges,,10.7364,,,,percent of total billed charges,,10.7364,,,,percent of total billed charges,,11.03982,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,11.3199,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,10.2696,,,,percent of total billed charges,,10.503,,,,percent of total billed charges,,9.34767,,,,percent of total billed charges,,10.503,,,,percent of total billed charges,,7.002,,,,percent of total billed charges,,10.840263,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,7.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.348837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5001-5,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 1 %-PHENYLEPHRINE 1.5 % IN STERILE WATER INTRAOCULAR SOLN [237643],0250,RC,7335-6350-01,NDC,,,outpatient,1,ML,60.75,,30.375,36.45,58.9275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,48.66075,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,56.430675,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.666825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 1 %-PHENYLEPHRINE 1.5 % IN STERILE WATER INTRAOCULAR SOLN [237643],0250,RC,05446-1118-01,NDC,,,outpatient,0.8,ML,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,0409-5555-02,NDC,,,outpatient,4,ML,15.66,,7.83,9.396,15.1902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,12.54366,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,14.546574,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.545226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,0548-9701-00,NDC,J2598,HCPCS,outpatient,1,ML,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [189120],0250,RC,76329-3012-5,NDC,,,outpatient,5,ML,18.41,,9.205,11.046,17.8577,17.3054,,,,percent of total billed charges,,14.728,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,15.2803,,,,percent of total billed charges,,16.569,,,,percent of total billed charges,,16.9372,,,,percent of total billed charges,,16.9372,,,,percent of total billed charges,,17.41586,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,17.8577,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,16.2008,,,,percent of total billed charges,,16.569,,,,percent of total billed charges,,14.74641,,,,percent of total billed charges,,16.569,,,,percent of total billed charges,,11.046,,,,percent of total billed charges,,17.101049,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,14.728,,,,percent of total billed charges,,11.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.748251,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [189120],0250,RC,76329-3013-5,NDC,,,outpatient,10,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,0409-5555-02,NDC,,,outpatient,4,ML,15.66,,7.83,9.396,15.1902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,12.54366,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,14.546574,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.545226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,0338-0117-04,NDC,J7120,HCPCS,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,1,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-10,NDC,,,outpatient,22.2,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5001-5,NDC,,,outpatient,2,ML,0.91,,0.455,0.546,0.8827,0.8554,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.7553,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.86086,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8008,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.72891,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,0.845299,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.729001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,0409-5555-02,NDC,,,outpatient,4,ML,15.66,,7.83,9.396,15.1902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,12.54366,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,14.546574,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.545226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 20 MG/ML (2%) INJECTION - RESPIRATORY [1001282],0250,RC,63323-486-17,NDC,,,outpatient,10,ML,14.18,,7.09,8.508,13.7546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,11.35818,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,13.171802,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.359598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 20 MG/ML (2%) INJECTION - RESPIRATORY [1001282],0250,RC,0409-4277-16,NDC,,,outpatient,20,ML,4.5,,2.25,2.7,4.365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,3.6045,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.18005,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.60495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,4116705840,NDC,,,outpatient,1,EA,5.52,,2.76,3.312,5.3544,5.1888,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,4.5816,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.0784,,,,percent of total billed charges,,5.0784,,,,percent of total billed charges,,5.22192,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,5.3544,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,4.8576,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.42152,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,5.127528,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.422072,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,0536-1202-15,NDC,,,outpatient,1,EA,5.58,,2.79,3.348,5.4126,5.2452,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.6314,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.27868,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.4126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.9104,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,4.46958,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,5.183262,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.470138,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,71399-4456-5,NDC,,,outpatient,1,EA,4.59,,2.295,2.754,4.4523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,3.67659,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.263651,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.677049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,0536-1202-07,NDC,,,outpatient,1,EA,4.68,,2.34,2.808,4.5396,4.3992,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,3.8844,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,4.3056,,,,percent of total billed charges,,4.3056,,,,percent of total billed charges,,4.42728,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.5396,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.1184,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,3.74868,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,4.347252,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.749148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,71399-4456-1,NDC,,,outpatient,1,EA,4.59,,2.295,2.754,4.4523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,3.67659,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.263651,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.677049,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,0121-0970-01,NDC,,,outpatient,1,EA,5.4,,2.7,3.24,5.238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.3254,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.01606,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.32594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,0121-0970-05,NDC,,,outpatient,1,EA,5.4,,2.7,3.24,5.238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.3254,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.01606,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.32594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,70512-812-01,NDC,,,outpatient,1,EA,31.16,,15.58,18.696,30.2252,29.2904,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,25.8628,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,29.47736,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,30.2252,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,27.4208,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,24.95916,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,28.944524,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.962276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,70512-812-30,NDC,,,outpatient,1,EA,31.16,,15.58,18.696,30.2252,29.2904,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,25.8628,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,29.47736,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,30.2252,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,27.4208,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,24.95916,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,28.944524,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.962276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,0168-0204-37,NDC,,,outpatient,35.44,GR,429.64,,214.82,257.784,416.7508,403.8616,,,,percent of total billed charges,,343.712,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,356.6012,,,,percent of total billed charges,,386.676,,,,percent of total billed charges,,395.2688,,,,percent of total billed charges,,395.2688,,,,percent of total billed charges,,406.43944,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,416.7508,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,378.0832,,,,percent of total billed charges,,386.676,,,,percent of total billed charges,,344.14164,,,,percent of total billed charges,,386.676,,,,percent of total billed charges,,257.784,,,,percent of total billed charges,,399.092596,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,343.712,,,,percent of total billed charges,,257.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,344.184604,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,51672-3020-9,NDC,,,outpatient,35.44,GR,58.69,,29.345,35.214,56.9293,55.1686,,,,percent of total billed charges,,46.952,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,48.7127,,,,percent of total billed charges,,52.821,,,,percent of total billed charges,,53.9948,,,,percent of total billed charges,,53.9948,,,,percent of total billed charges,,55.52074,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,56.9293,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,51.6472,,,,percent of total billed charges,,52.821,,,,percent of total billed charges,,47.01069,,,,percent of total billed charges,,52.821,,,,percent of total billed charges,,35.214,,,,percent of total billed charges,,54.517141,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,46.952,,,,percent of total billed charges,,35.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.016559,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,65162-918-38,NDC,,,outpatient,35.44,GR,50.56,,25.28,30.336,49.0432,47.5264,,,,percent of total billed charges,,40.448,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,41.9648,,,,percent of total billed charges,,45.504,,,,percent of total billed charges,,46.5152,,,,percent of total billed charges,,46.5152,,,,percent of total billed charges,,47.82976,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,49.0432,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,44.4928,,,,percent of total billed charges,,45.504,,,,percent of total billed charges,,40.49856,,,,percent of total billed charges,,45.504,,,,percent of total billed charges,,30.336,,,,percent of total billed charges,,46.965184,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,40.448,,,,percent of total billed charges,,30.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.503616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,68462-418-20,NDC,,,outpatient,35.44,GR,65.87,,32.935,39.522,63.8939,61.9178,,,,percent of total billed charges,,52.696,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,54.6721,,,,percent of total billed charges,,59.283,,,,percent of total billed charges,,60.6004,,,,percent of total billed charges,,60.6004,,,,percent of total billed charges,,62.31302,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,63.8939,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,57.9656,,,,percent of total billed charges,,59.283,,,,percent of total billed charges,,52.76187,,,,percent of total billed charges,,59.283,,,,percent of total billed charges,,39.522,,,,percent of total billed charges,,61.186643,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,52.696,,,,percent of total billed charges,,39.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.768457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,64380-789-32,NDC,,,outpatient,35.44,GR,62.04,,31.02,37.224,60.1788,58.3176,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,51.4932,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,58.68984,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,60.1788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,54.5952,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,49.69404,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,57.628956,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.700244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,70752-113-03,NDC,,,outpatient,35.44,GR,42.11,,21.055,25.266,40.8467,39.5834,,,,percent of total billed charges,,33.688,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,34.9513,,,,percent of total billed charges,,37.899,,,,percent of total billed charges,,38.7412,,,,percent of total billed charges,,38.7412,,,,percent of total billed charges,,39.83606,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,40.8467,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,37.0568,,,,percent of total billed charges,,37.899,,,,percent of total billed charges,,33.73011,,,,percent of total billed charges,,37.899,,,,percent of total billed charges,,25.266,,,,percent of total billed charges,,39.115979,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,33.688,,,,percent of total billed charges,,25.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.734321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,0054-3500-49,NDC,,,outpatient,100,ML,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,50383-775-04,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,60432-464-00,NDC,,,outpatient,100,ML,32.85,,16.425,19.71,31.8645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,26.31285,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,30.514365,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.316135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,9999-9813-22,NDC,,,outpatient,15,ML,5.2,,2.6,3.12,5.044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.1652,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,4.83028,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.16572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,50383-775-17,NDC,,,outpatient,15,ML,3.04,,1.52,1.824,2.9488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.43504,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.823856,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.435344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,50383-775-15,NDC,,,outpatient,15,ML,3.04,,1.52,1.824,2.9488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.43504,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.823856,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.435344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,50383-363-15,NDC,,,outpatient,15,ML,3.04,,1.52,1.824,2.9488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.43504,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.823856,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.435344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,50383-363-17,NDC,,,outpatient,15,ML,3.04,,1.52,1.824,2.9488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.43504,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.823856,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.435344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,72888-125-26,NDC,,,outpatient,100,ML,45.45,,22.725,27.27,44.0865,42.723,,,,percent of total billed charges,,36.36,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,37.7235,,,,percent of total billed charges,,40.905,,,,percent of total billed charges,,41.814,,,,percent of total billed charges,,41.814,,,,percent of total billed charges,,42.9957,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,44.0865,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,39.996,,,,percent of total billed charges,,40.905,,,,percent of total billed charges,,36.40545,,,,percent of total billed charges,,40.905,,,,percent of total billed charges,,27.27,,,,percent of total billed charges,,42.218505,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,36.36,,,,percent of total billed charges,,27.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.409995,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],0637,RC,0054-3505-47,NDC,,,outpatient,50,ML,107.78,,53.89,64.668,104.5466,101.3132,,,,percent of total billed charges,,86.224,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,89.4574,,,,percent of total billed charges,,97.002,,,,percent of total billed charges,,99.1576,,,,percent of total billed charges,,99.1576,,,,percent of total billed charges,,101.95988,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,104.5466,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,94.8464,,,,percent of total billed charges,,97.002,,,,percent of total billed charges,,86.33178,,,,percent of total billed charges,,97.002,,,,percent of total billed charges,,64.668,,,,percent of total billed charges,,100.116842,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,86.224,,,,percent of total billed charges,,64.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.342558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],0637,RC,0168-0357-55,NDC,,,outpatient,5,GR,29.1,,14.55,17.46,28.227,27.354,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,24.153,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,28.227,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,25.608,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,27.03099,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.31201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],0637,RC,0168-0357-05,NDC,,,outpatient,5,GR,29.1,,14.55,17.46,28.227,27.354,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,24.153,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,28.227,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,25.608,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,27.03099,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.31201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],0637,RC,62332-582-04,NDC,,,outpatient,5,GR,24.82,,12.41,14.892,24.0754,23.3308,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,20.6006,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,23.47972,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,24.0754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,21.8416,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,19.88082,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,23.055298,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.883302,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINACLOTIDE 145 MCG CAPSULE [216337],0637,RC,0456-1201-30,NDC,,,outpatient,1,EA,74.54,,37.27,44.724,72.3038,70.0676,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,61.8682,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,70.51484,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,72.3038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,65.5952,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,59.70654,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,69.240206,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.713994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,0904-6553-04,NDC,,,outpatient,1,EA,20.32,,10.16,12.192,19.7104,19.1008,,,,percent of total billed charges,,16.256,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,16.8656,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,18.6944,,,,percent of total billed charges,,18.6944,,,,percent of total billed charges,,19.22272,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,19.7104,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,17.8816,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,16.27632,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,12.192,,,,percent of total billed charges,,18.875248,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,16.256,,,,percent of total billed charges,,12.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.278352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,67877-419-84,NDC,,,outpatient,1,EA,15.61,,7.805,9.366,15.1417,14.6734,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.9563,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.76706,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,15.1417,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,13.7368,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,12.50361,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,14.500129,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.505171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,67877-419-33,NDC,,,outpatient,1,EA,15.61,,7.805,9.366,15.1417,14.6734,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.9563,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.76706,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,15.1417,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,13.7368,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,12.50361,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,14.500129,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.505171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,60687-309-11,NDC,,,outpatient,1,EA,7.64,,3.82,4.584,7.4108,7.1816,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.3412,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.22744,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.4108,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.7232,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,6.11964,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,7.096796,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.120404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,60687-309-21,NDC,,,outpatient,1,EA,7.64,,3.82,4.584,7.4108,7.1816,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.3412,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.22744,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.4108,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.7232,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,6.11964,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,7.096796,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.120404,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,0009-5140-01,NDC,J2020,HCPCS,outpatient,300,ML,33.75,,16.875,20.25,32.7375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,27.03375,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,31.350375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.037125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,0703-9060-31,NDC,J2020,HCPCS,outpatient,300,ML,554.85,,277.425,332.91,538.2045,521.559,,,,percent of total billed charges,,443.88,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,460.5255,,,,percent of total billed charges,,499.365,,,,percent of total billed charges,,510.462,,,,percent of total billed charges,,510.462,,,,percent of total billed charges,,524.8881,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,538.2045,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,488.268,,,,percent of total billed charges,,499.365,,,,percent of total billed charges,,444.43485,,,,percent of total billed charges,,499.365,,,,percent of total billed charges,,332.91,,,,percent of total billed charges,,515.400165,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,443.88,,,,percent of total billed charges,,332.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,444.490335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,0009-5140-04,NDC,J2020,HCPCS,outpatient,300,ML,33.75,,16.875,20.25,32.7375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,27.03375,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,31.350375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.037125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,55150-242-51,NDC,J2020,HCPCS,outpatient,300,ML,39.15,,19.575,23.49,37.9755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,31.35915,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,36.366435,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.363065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,57664-683-31,NDC,J2020,HCPCS,outpatient,300,ML,33.75,,16.875,20.25,32.7375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,27.03375,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,31.350375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.037125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,57664-683-57,NDC,J2020,HCPCS,outpatient,300,ML,33.75,,16.875,20.25,32.7375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,27.03375,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,31.350375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.037125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,67457-843-00,NDC,J2020,HCPCS,outpatient,300,ML,78.3,,39.15,46.98,75.951,73.602,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,64.989,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,74.0718,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,75.951,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,68.904,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,62.7183,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,72.73287,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.72613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,67457-843-30,NDC,J2020,HCPCS,outpatient,300,ML,78.3,,39.15,46.98,75.951,73.602,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,64.989,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,74.0718,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,75.951,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,68.904,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,62.7183,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,72.73287,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.72613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,66794-219-63,NDC,J2020,HCPCS,outpatient,300,ML,44.55,,22.275,26.73,43.2135,41.877,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,36.9765,,,,percent of total billed charges,,40.095,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,42.1443,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,43.2135,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,40.095,,,,percent of total billed charges,,35.68455,,,,percent of total billed charges,,40.095,,,,percent of total billed charges,,26.73,,,,percent of total billed charges,,41.382495,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,26.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.689005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,0143-9534-01,NDC,J2020,HCPCS,outpatient,300,ML,31.05,,15.525,18.63,30.1185,29.187,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,25.7715,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,29.3733,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,30.1185,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,24.87105,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,28.842345,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.874155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 25 MCG TABLET [77937],0637,RC,0574-0222-01,NDC,,,outpatient,1,EA,1.95,,0.975,1.17,1.8915,1.833,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.6185,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.8447,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.56195,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.811355,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.562145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 25 MCG TABLET [77937],0637,RC,51862-321-01,NDC,,,outpatient,1,EA,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 25 MCG TABLET [77937],0637,RC,42794-019-12,NDC,,,outpatient,1,EA,3.65,,1.825,2.19,3.5405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.92365,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.390485,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.924015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,60793-115-01,NDC,,,outpatient,1,EA,1.6,,0.8,0.96,1.552,1.504,,,,percent of total billed charges,,1.28,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.328,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.2816,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.48624,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.28,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.28176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,0574-0220-01,NDC,,,outpatient,1,EA,2.28,,1.14,1.368,2.2116,2.1432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.8924,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.15688,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.2116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.0064,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.82628,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,2.117892,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.826508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,42794-018-12,NDC,,,outpatient,1,EA,2.82,,1.41,1.692,2.7354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.25882,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.619498,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.259102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,0093-2179-01,NDC,,,outpatient,1,EA,2.48,,1.24,1.488,2.4056,2.3312,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.0584,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.34608,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.4056,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.1824,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.98648,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,2.303672,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.986728,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [195089]",0637,RC,0032-1212-01,NDC,,,outpatient,1,EA,17.18,,8.59,10.308,16.6646,16.1492,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,14.2594,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,16.25228,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.6646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,15.1184,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,13.76118,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,15.958502,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.762898,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [195089]",0637,RC,0032-0047-70,NDC,,,outpatient,1,EA,17.18,,8.59,10.308,16.6646,16.1492,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,14.2594,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,16.25228,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.6646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,15.1184,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,13.76118,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,15.958502,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.762898,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL [195088]",0637,RC,0032-1206-01,NDC,,,outpatient,1,EA,8.6,,4.3,5.16,8.342,8.084,,,,percent of total billed charges,,6.88,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,7.138,,,,percent of total billed charges,,7.74,,,,percent of total billed charges,,7.912,,,,percent of total billed charges,,7.912,,,,percent of total billed charges,,8.1356,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,8.342,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.74,,,,percent of total billed charges,,6.8886,,,,percent of total billed charges,,7.74,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,7.98854,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,6.88,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.88946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 10 MG TABLET [10449],0637,RC,60687-325-01,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 10 MG TABLET [10449],0637,RC,60687-325-11,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 10 MG TABLET [10449],0637,RC,0904-6798-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,68180-981-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,60687-333-01,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,60687-333-11,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,0904-6799-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,68084-199-01,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,68084-199-11,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,0904-6800-61,NDC,,,outpatient,1,EA,0.58,,0.29,0.348,0.5626,0.5452,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.4814,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.54868,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5626,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5104,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.46458,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,0.538762,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.464638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,0904-7200-61,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 5 MG TABLET [10451],0637,RC,68084-196-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 5 MG TABLET [10451],0637,RC,68084-196-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LITHIUM CARBONATE 300 MG CAPSULE [4529],0637,RC,0054-8527-25,NDC,,,outpatient,1,EA,1.04,,0.52,0.624,1.0088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.83304,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.966056,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.833144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0637,RC,0054-0021-25,NDC,,,outpatient,1,EA,1.4,,0.7,0.84,1.358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.1214,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.30046,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.12154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0637,RC,68084-640-01,NDC,,,outpatient,1,EA,1.74,,0.87,1.044,1.6878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.39374,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.616286,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.393914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0637,RC,68084-640-11,NDC,,,outpatient,1,EA,1.74,,0.87,1.044,1.6878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.39374,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.616286,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.393914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOMUSTINE 10 MG CAPSULE [79799],0636,RC,58181-3040-5,NDC,S0178,HCPCS,outpatient,1,EA,465.26,,232.63,279.156,451.3022,437.3444,,,,percent of total billed charges,,372.208,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,386.1658,,,,percent of total billed charges,,418.734,,,,percent of total billed charges,,428.0392,,,,percent of total billed charges,,428.0392,,,,percent of total billed charges,,440.13596,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,451.3022,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,409.4288,,,,percent of total billed charges,,418.734,,,,percent of total billed charges,,372.67326,,,,percent of total billed charges,,418.734,,,,percent of total billed charges,,279.156,,,,percent of total billed charges,,432.180014,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,372.208,,,,percent of total billed charges,,279.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,372.719786,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOMUSTINE 100 MG CAPSULE [77820],0636,RC,58181-3042-5,NDC,S0178,HCPCS,outpatient,1,EA,5137.22,,2568.61,3082.332,4983.1034,4828.9868,,,,percent of total billed charges,,4109.776,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4263.8926,,,,percent of total billed charges,,4623.498,,,,percent of total billed charges,,4726.2424,,,,percent of total billed charges,,4726.2424,,,,percent of total billed charges,,4859.81012,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4983.1034,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4520.7536,,,,percent of total billed charges,,4623.498,,,,percent of total billed charges,,4114.91322,,,,percent of total billed charges,,4623.498,,,,percent of total billed charges,,3082.332,,,,percent of total billed charges,,4771.963658,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4109.776,,,,percent of total billed charges,,3082.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4115.426942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOMUSTINE 40 MG CAPSULE [79396],0636,RC,58181-3041-5,NDC,S0178,HCPCS,outpatient,1,EA,1860.98,,930.49,1116.588,1805.1506,1749.3212,,,,percent of total billed charges,,1488.784,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1544.6134,,,,percent of total billed charges,,1674.882,,,,percent of total billed charges,,1712.1016,,,,percent of total billed charges,,1712.1016,,,,percent of total billed charges,,1760.48708,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1805.1506,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1637.6624,,,,percent of total billed charges,,1674.882,,,,percent of total billed charges,,1490.64498,,,,percent of total billed charges,,1674.882,,,,percent of total billed charges,,1116.588,,,,percent of total billed charges,,1728.664322,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1488.784,,,,percent of total billed charges,,1116.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1490.831078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [253430],0636,RC,79952-110-01,NDC,J9359,HCPCS,outpatient,1,EA,92050.04,,46025.02,55230.024,89288.5388,86527.0376,,,,percent of total billed charges,,73640.032,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,76401.5332,,,,percent of total billed charges,,82845.036,,,,percent of total billed charges,,84686.0368,,,,percent of total billed charges,,84686.0368,,,,percent of total billed charges,,87079.33784,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,89288.5388,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,81004.0352,,,,percent of total billed charges,,82845.036,,,,percent of total billed charges,,73732.08204,,,,percent of total billed charges,,82845.036,,,,percent of total billed charges,,55230.024,,,,percent of total billed charges,,85505.28216,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,73640.032,,,,percent of total billed charges,,55230.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73741.28704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [253430],0636,RC,79952-110-01,NDC,J9359,HCPCS,outpatient,5.07,ME,53336.43,,26668.215,32001.858,51736.3371,50136.2442,,,,percent of total billed charges,,42669.144,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,44269.2369,,,,percent of total billed charges,,48002.787,,,,percent of total billed charges,,49069.5156,,,,percent of total billed charges,,49069.5156,,,,percent of total billed charges,,50456.26278,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,51736.3371,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,46936.0584,,,,percent of total billed charges,,48002.787,,,,percent of total billed charges,,42722.48043,,,,percent of total billed charges,,48002.787,,,,percent of total billed charges,,32001.858,,,,percent of total billed charges,,49544.20983,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,42669.144,,,,percent of total billed charges,,32001.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42727.81407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [94773],0637,RC,8770141126,NDC,,,outpatient,120,ML,9.72,,4.86,5.832,9.4284,9.1368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.0676,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.5536,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,7.78572,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,9.028908,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.786692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [94773],0637,RC,0904-6836-20,NDC,,,outpatient,120,ML,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,51079-690-20,NDC,,,outpatient,1,EA,3.36,,1.68,2.016,3.2592,3.1584,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.7888,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.17856,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.2592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.9568,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.69136,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,3.121104,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.691696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,51079-690-01,NDC,,,outpatient,1,EA,3.36,,1.68,2.016,3.2592,3.1584,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.7888,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.17856,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.2592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.9568,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.69136,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,3.121104,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.691696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,60687-229-01,NDC,,,outpatient,1,EA,3.05,,1.525,1.83,2.9585,2.867,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.5315,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.8853,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.9585,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.684,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,2.44305,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,2.833145,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.443355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,60687-229-11,NDC,,,outpatient,1,EA,3.05,,1.525,1.83,2.9585,2.867,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.5315,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.8853,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.9585,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.684,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,2.44305,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,2.833145,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.443355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,42799-605-01,NDC,,,outpatient,1,EA,1.18,,0.59,0.708,1.1446,1.1092,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.9794,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.11628,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.1446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.0384,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.94518,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,1.096102,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.945298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG TABLET [4562],0637,RC,0904-7725-12,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,68084-248-01,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,68084-248-11,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,51079-246-01,NDC,,,outpatient,1,EA,0.66,,0.33,0.396,0.6402,0.6204,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5478,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.62436,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.6402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5808,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.52866,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,0.613074,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.528726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,51079-246-20,NDC,,,outpatient,1,EA,0.66,,0.33,0.396,0.6402,0.6204,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5478,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.62436,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.6402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5808,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.52866,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,0.613074,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.528726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 0.5 MG TABLET [4572],0637,RC,51079-417-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,51079-386-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,69315-905-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,0904-6008-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,60687-355-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,60687-355-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,60687-638-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,60687-638-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,51079-387-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,0904-6009-60,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,69315-906-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,0904-6009-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,60687-649-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,60687-649-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,17478-040-01,NDC,J2060,HCPCS,outpatient,1,ML,11.03,,5.515,6.618,10.6991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,8.83503,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,10.245767,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.836133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6001-01,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6001-25,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6044-01,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6044-25,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6046-01,NDC,J2060,HCPCS,outpatient,10,ML,38.84,,19.42,23.304,37.6748,36.5096,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,32.2372,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,36.74264,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,37.6748,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,34.1792,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,31.11084,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,36.078476,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.114724,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6046-10,NDC,J2060,HCPCS,outpatient,10,ML,38.84,,19.42,23.304,37.6748,36.5096,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,32.2372,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,36.74264,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,37.6748,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,34.1792,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,31.11084,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,36.078476,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.114724,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,76329-8261-1,NDC,J2060,HCPCS,outpatient,10,ML,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,76329-8261-0,NDC,J2060,HCPCS,outpatient,10,ML,45,,22.5,27,43.65,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,41.8005,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.0495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,9999-9104-67,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6207-25,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,0641-6207-01,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,17478-040-01,NDC,J2060,HCPCS,outpatient,1,ML,11.03,,5.515,6.618,10.6991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,8.83503,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,10.245767,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.836133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,0409-1985-30,NDC,J2060,HCPCS,outpatient,1,ML,13.99,,6.995,8.394,13.5703,13.1506,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.6117,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,13.23454,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.5703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,12.3112,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,11.20599,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,12.995311,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.207389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,0641-6044-01,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,0641-6044-25,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,9999-9104-67,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,0641-6207-25,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,0641-6207-01,NDC,J2060,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,0409-1985-03,NDC,J2060,HCPCS,outpatient,1,ML,13.99,,6.995,8.394,13.5703,13.1506,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.6117,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,13.23454,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.5703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,12.3112,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,11.20599,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,12.995311,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.207389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,0054-3532-44,NDC,,,outpatient,30,ML,101.39,,50.695,60.834,98.3483,95.3066,,,,percent of total billed charges,,81.112,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,84.1537,,,,percent of total billed charges,,91.251,,,,percent of total billed charges,,93.2788,,,,percent of total billed charges,,93.2788,,,,percent of total billed charges,,95.91494,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,98.3483,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,89.2232,,,,percent of total billed charges,,91.251,,,,percent of total billed charges,,81.21339,,,,percent of total billed charges,,91.251,,,,percent of total billed charges,,60.834,,,,percent of total billed charges,,94.181171,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,81.112,,,,percent of total billed charges,,60.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.223529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,0121-0770-01,NDC,,,outpatient,30,ML,33.35,,16.675,20.01,32.3495,31.349,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,27.6805,,,,percent of total billed charges,,30.015,,,,percent of total billed charges,,30.682,,,,percent of total billed charges,,30.682,,,,percent of total billed charges,,31.5491,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,32.3495,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,29.348,,,,percent of total billed charges,,30.015,,,,percent of total billed charges,,26.71335,,,,percent of total billed charges,,30.015,,,,percent of total billed charges,,20.01,,,,percent of total billed charges,,30.978815,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,20.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.716685,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,9998-2577-01,NDC,,,outpatient,0.5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,9998-2577-25,NDC,,,outpatient,0.25,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,68084-348-01,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,68084-348-11,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,31722-702-90,NDC,,,outpatient,1,EA,0.62,,0.31,0.372,0.6014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.49662,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.575918,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.496682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,0904-7049-61,NDC,,,outpatient,1,EA,1.49,,0.745,0.894,1.4453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.19349,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.384061,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.193639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,68382-135-16,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,68084-346-01,NDC,,,outpatient,1,EA,1.85,,0.925,1.11,1.7945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.48185,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.718465,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.482035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,68084-346-11,NDC,,,outpatient,1,EA,1.85,,0.925,1.11,1.7945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.48185,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.718465,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.482035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,63739-673-10,NDC,,,outpatient,1,EA,1.49,,0.745,0.894,1.4453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.19349,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.384061,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.193639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,50268-504-11,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,50268-504-15,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,0904-7047-61,NDC,,,outpatient,1,EA,1.2,,0.6,0.72,1.164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.9612,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.11468,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.96132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURASIDONE 40 MG TABLET [202451],0637,RC,63402-304-30,NDC,,,outpatient,1,EA,166.26,,83.13,99.756,161.2722,156.2844,,,,percent of total billed charges,,133.008,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,137.9958,,,,percent of total billed charges,,149.634,,,,percent of total billed charges,,152.9592,,,,percent of total billed charges,,152.9592,,,,percent of total billed charges,,157.28196,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,161.2722,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,146.3088,,,,percent of total billed charges,,149.634,,,,percent of total billed charges,,133.17426,,,,percent of total billed charges,,149.634,,,,percent of total billed charges,,99.756,,,,percent of total billed charges,,154.438914,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,133.008,,,,percent of total billed charges,,99.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.190886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURASIDONE 40 MG TABLET [202451],0637,RC,47335-684-83,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURASIDONE 40 MG TABLET [202451],0637,RC,65162-880-03,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [249586],0636,RC,68727-712-01,NDC,J9223,HCPCS,outpatient,1,EA,31800,,15900,19080,30846,29892,,,,percent of total billed charges,,25440,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,26394,,,,percent of total billed charges,,28620,,,,percent of total billed charges,,29256,,,,percent of total billed charges,,29256,,,,percent of total billed charges,,30082.8,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,30846,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,27984,,,,percent of total billed charges,,28620,,,,percent of total billed charges,,25471.8,,,,percent of total billed charges,,28620,,,,percent of total billed charges,,19080,,,,percent of total billed charges,,29539.02,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,25440,,,,percent of total billed charges,,19080,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25474.98,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [246951],0636,RC,59572-711-01,NDC,J0896,HCPCS,outpatient,1,EA,17441.55,,8720.775,10464.93,16918.3035,16395.057,,,,percent of total billed charges,,13953.24,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,14476.4865,,,,percent of total billed charges,,15697.395,,,,percent of total billed charges,,16046.226,,,,percent of total billed charges,,16046.226,,,,percent of total billed charges,,16499.7063,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,16918.3035,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,15348.564,,,,percent of total billed charges,,15697.395,,,,percent of total billed charges,,13970.68155,,,,percent of total billed charges,,15697.395,,,,percent of total billed charges,,10464.93,,,,percent of total billed charges,,16201.4558,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,13953.24,,,,percent of total billed charges,,10464.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13972.42571,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [246952],0636,RC,59572-775-01,NDC,J0896,HCPCS,outpatient,1,EA,46510.68,,23255.34,27906.408,45115.3596,43720.0392,,,,percent of total billed charges,,37208.544,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,38603.8644,,,,percent of total billed charges,,41859.612,,,,percent of total billed charges,,42789.8256,,,,percent of total billed charges,,42789.8256,,,,percent of total billed charges,,43999.10328,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,45115.3596,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,40929.3984,,,,percent of total billed charges,,41859.612,,,,percent of total billed charges,,37255.05468,,,,percent of total billed charges,,41859.612,,,,percent of total billed charges,,27906.408,,,,percent of total billed charges,,43203.77065,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,37208.544,,,,percent of total billed charges,,27906.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37259.70575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAFENIDE 85 MG/G TOPICAL CREAM [79266],0637,RC,51079-623-82,NDC,,,outpatient,113.4,GR,361.3,,180.65,216.78,350.461,339.622,,,,percent of total billed charges,,289.04,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,299.879,,,,percent of total billed charges,,325.17,,,,percent of total billed charges,,332.396,,,,percent of total billed charges,,332.396,,,,percent of total billed charges,,341.7898,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,350.461,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,317.944,,,,percent of total billed charges,,325.17,,,,percent of total billed charges,,289.4013,,,,percent of total billed charges,,325.17,,,,percent of total billed charges,,216.78,,,,percent of total billed charges,,335.61157,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,289.04,,,,percent of total billed charges,,216.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,289.43743,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAFENIDE 85 MG/G TOPICAL CREAM [79266],0637,RC,16571-723-60,NDC,,,outpatient,56.7,GR,284.5,,142.25,170.7,275.965,267.43,,,,percent of total billed charges,,227.6,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,236.135,,,,percent of total billed charges,,256.05,,,,percent of total billed charges,,261.74,,,,percent of total billed charges,,261.74,,,,percent of total billed charges,,269.137,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,275.965,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,250.36,,,,percent of total billed charges,,256.05,,,,percent of total billed charges,,227.8845,,,,percent of total billed charges,,256.05,,,,percent of total billed charges,,170.7,,,,percent of total billed charges,,264.27205,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,227.6,,,,percent of total billed charges,,170.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,227.91295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,9997-0000-16,NDC,,,outpatient,180,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,9999-7030-16,NDC,,,outpatient,30,ML,4.05,,2.025,2.43,3.9285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.24405,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,3.762045,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.244455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,9999-9911-22,NDC,,,outpatient,10,ML,1.35,,0.675,0.81,1.3095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.08135,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.254015,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.081485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,9997-0000-30,NDC,,,outpatient,30,ML,4.05,,2.025,2.43,3.9285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.24405,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,3.762045,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.244455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,63323-360-19,NDC,J0612,HCPCS,outpatient,1,GR,36.77,,18.385,22.062,35.6669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,29.45277,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,34.155653,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.456447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CHLORIDE 200 MG/ML (20 %) INJECTION SOLUTION [4709],0250,RC,67457-134-50,NDC,,,outpatient,1600,ME,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CHLORIDE 200 MG/ML (20 %) INJECTION SOLUTION [4709],0250,RC,67457-134-50,NDC,,,outpatient,50,ML,52.2,,26.1,31.32,50.634,49.068,,,,percent of total billed charges,,41.76,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,43.326,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,48.024,,,,percent of total billed charges,,48.024,,,,percent of total billed charges,,49.3812,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,50.634,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,45.936,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,41.8122,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,48.48858,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,41.76,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.81742,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CITRATE ORAL SOLUTION [4711],0637,RC,69452-389-98,NDC,,,outpatient,296,ML,6.66,,3.33,3.996,6.4602,6.2604,,,,percent of total billed charges,,5.328,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.5278,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,6.1272,,,,percent of total billed charges,,6.1272,,,,percent of total billed charges,,6.30036,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4602,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.8608,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,5.33466,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,3.996,,,,percent of total billed charges,,6.186474,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.328,,,,percent of total billed charges,,3.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.335326,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CITRATE ORAL SOLUTION [4711],0637,RC,70677-1111-1,NDC,,,outpatient,296,ML,8,,4,4.8,7.76,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,7.4312,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.4088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [79936],0637,RC,0121-0431-30,NDC,,,outpatient,30,ML,7.97,,3.985,4.782,7.7309,7.4918,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.6151,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.53962,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.7309,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.0136,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,6.38397,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,7.403333,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.384767,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [79936],0637,RC,9999-9799-36,NDC,,,outpatient,30,ML,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE [92559]",0637,RC,7132180010,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,6025817101,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,1000670028,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,6498033901,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,6498033990,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE (BULK) 495 MG/5 GRAM GRANULES [1000981],0637,RC,70677-0038-1,NDC,,,outpatient,454,GR,10.22,,5.11,6.132,9.9134,9.6068,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.4826,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.66812,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.9134,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.9936,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,8.18622,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,9.493358,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.187242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE (BULK) 495 MG/5 GRAM GRANULES [1000981],0637,RC,70677-1210-1,NDC,,,outpatient,454,GR,8.18,,4.09,4.908,7.9346,7.6892,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.7894,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.73828,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.9346,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.1984,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,6.55218,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,7.598402,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.552998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,0409-6727-23,NDC,J3475,HCPCS,outpatient,100,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,9999-1641-21,NDC,J3475,HCPCS,outpatient,100,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,63323-108-01,NDC,J3475,HCPCS,outpatient,100,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,44567-410-24,NDC,J3475,HCPCS,outpatient,100,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,63323-108-00,NDC,J3475,HCPCS,outpatient,100,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,0409-6727-11,NDC,J3475,HCPCS,outpatient,100,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,0338-1709-40,NDC,J3475,HCPCS,outpatient,100,ML,5.4,,2.7,3.24,5.238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.3254,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.01606,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.32594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,0264-4400-54,NDC,J3475,HCPCS,outpatient,100,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-02,NDC,J3475,HCPCS,outpatient,2,GR,12.91,,6.455,7.746,12.5227,12.1354,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.7153,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,12.21286,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.5227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,11.3608,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,10.34091,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,11.992099,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.342201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,0409-6729-24,NDC,J3475,HCPCS,outpatient,50,ML,15.98,,7.99,9.588,15.5006,15.0212,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,13.2634,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,15.11708,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.5006,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,14.0624,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,12.79998,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,14.843822,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.801578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,9999-1636-04,NDC,J3475,HCPCS,outpatient,50,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,63323-106-05,NDC,J3475,HCPCS,outpatient,50,ML,14.4,,7.2,8.64,13.968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,11.5344,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,13.37616,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.53584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,44567-420-00,NDC,J3475,HCPCS,outpatient,50,ML,17.55,,8.775,10.53,17.0235,16.497,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.5665,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.6023,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,17.0235,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,15.444,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,14.05755,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,16.302195,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.059305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,44567-420-24,NDC,J3475,HCPCS,outpatient,50,ML,17.55,,8.775,10.53,17.0235,16.497,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.5665,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.6023,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,17.0235,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,15.444,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,14.05755,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,16.302195,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.059305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,63323-106-02,NDC,J3475,HCPCS,outpatient,50,ML,14.4,,7.2,8.64,13.968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,11.5344,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,13.37616,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.53584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,0409-6729-11,NDC,J3475,HCPCS,outpatient,50,ML,15.98,,7.99,9.588,15.5006,15.0212,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,13.2634,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,15.11708,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.5006,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,14.0624,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,12.79998,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,14.843822,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.801578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,67457-553-00,NDC,J3475,HCPCS,outpatient,50,ML,15.53,,7.765,9.318,15.0641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,12.43953,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,14.425817,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.441083,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,25021-612-81,NDC,J3475,HCPCS,outpatient,50,ML,7.65,,3.825,4.59,7.4205,7.191,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.3495,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.2369,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.4205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,6.12765,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,7.106085,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.128415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,0264-4204-52,NDC,J3475,HCPCS,outpatient,50,ML,14.4,,7.2,8.64,13.968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,11.5344,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,13.37616,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.53584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,0409-6729-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,63323-106-15,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,0409-6729-21,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,0409-2050-01,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [164008],0250,RC,9999-1640-08,NDC,,,outpatient,100,ML,5.4,,2.7,3.24,5.238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.3254,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.01606,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.32594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [164008],0250,RC,67457-554-00,NDC,,,outpatient,100,ML,14.85,,7.425,8.91,14.4045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,11.89485,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,13.794165,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.896335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [164008],0250,RC,25021-612-82,NDC,,,outpatient,100,ML,14.85,,7.425,8.91,14.4045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,11.89485,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,13.794165,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.896335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,0409-6730-13,NDC,J3475,HCPCS,outpatient,50,ML,30.83,,15.415,18.498,29.9051,28.9802,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,25.5889,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,29.16518,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.9051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,27.1304,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,24.69483,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,28.637987,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.697913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,63323-107-05,NDC,J3475,HCPCS,outpatient,50,ML,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,0409-6730-11,NDC,J3475,HCPCS,outpatient,50,ML,30.83,,15.415,18.498,29.9051,28.9802,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,25.5889,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,29.16518,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.9051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,27.1304,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,24.69483,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,28.637987,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.697913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,63323-107-01,NDC,J3475,HCPCS,outpatient,50,ML,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,0338-1719-40,NDC,J3475,HCPCS,outpatient,50,ML,7.65,,3.825,4.59,7.4205,7.191,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.3495,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.2369,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.4205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,6.12765,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,7.106085,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.128415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,44567-424-24,NDC,J3475,HCPCS,outpatient,50,ML,13.95,,6.975,8.37,13.5315,13.113,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.5785,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1967,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.5315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,11.17395,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,12.958155,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.175345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-02,NDC,J3475,HCPCS,outpatient,2,ML,6.46,,3.23,3.876,6.2662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.17446,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.000694,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.175106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-10,NDC,J3475,HCPCS,outpatient,10,ML,7.07,,3.535,4.242,6.8579,6.6458,,,,percent of total billed charges,,5.656,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,5.8681,,,,percent of total billed charges,,6.363,,,,percent of total billed charges,,6.5044,,,,percent of total billed charges,,6.5044,,,,percent of total billed charges,,6.68822,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,6.8579,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,6.2216,,,,percent of total billed charges,,6.363,,,,percent of total billed charges,,5.66307,,,,percent of total billed charges,,6.363,,,,percent of total billed charges,,4.242,,,,percent of total billed charges,,6.567323,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,5.656,,,,percent of total billed charges,,4.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.663777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-642-20,NDC,J3475,HCPCS,outpatient,20,ML,19.17,,9.585,11.502,18.5949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,15.35517,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,17.807013,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.357087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-01,NDC,J3475,HCPCS,outpatient,2,ML,4.76,,2.38,2.856,4.6172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.81276,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.421564,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.813236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-03,NDC,J3475,HCPCS,outpatient,2,ML,4.76,,2.38,2.856,4.6172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.81276,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.421564,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.813236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-04,NDC,J3475,HCPCS,outpatient,10,ML,5.67,,2.835,3.402,5.4999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,4.54167,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.266863,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.542237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-11,NDC,J3475,HCPCS,outpatient,10,ML,5.67,,2.835,3.402,5.4999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,4.54167,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.266863,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.542237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,51754-1000-4,NDC,J3475,HCPCS,outpatient,10,ML,22.14,,11.07,13.284,21.4758,20.8116,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,18.3762,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.94444,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.4758,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,19.4832,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,17.73414,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,20.565846,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.736354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,51754-1000-1,NDC,J3475,HCPCS,outpatient,10,ML,22.14,,11.07,13.284,21.4758,20.8116,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,18.3762,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.94444,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.4758,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,19.4832,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,17.73414,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,20.565846,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.736354,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,0409-2168-17,NDC,J3475,HCPCS,outpatient,20,ML,16.56,,8.28,9.936,16.0632,15.5664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.7448,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.66576,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,14.5728,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,13.26456,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,15.382584,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.266216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,0409-2168-77,NDC,J3475,HCPCS,outpatient,20,ML,16.56,,8.28,9.936,16.0632,15.5664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.7448,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.66576,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,14.5728,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,13.26456,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,15.382584,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.266216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-642-01,NDC,J3475,HCPCS,outpatient,20,ML,19.17,,9.585,11.502,18.5949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,15.35517,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,17.807013,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.357087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-02,NDC,J3475,HCPCS,outpatient,1690,ME,10.91,,5.455,6.546,10.5827,10.2554,,,,percent of total billed charges,,8.728,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,9.0553,,,,percent of total billed charges,,9.819,,,,percent of total billed charges,,10.0372,,,,percent of total billed charges,,10.0372,,,,percent of total billed charges,,10.32086,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,10.5827,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,9.6008,,,,percent of total billed charges,,9.819,,,,percent of total billed charges,,8.73891,,,,percent of total billed charges,,9.819,,,,percent of total billed charges,,6.546,,,,percent of total billed charges,,10.134299,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,8.728,,,,percent of total billed charges,,6.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.740001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INJECTION - URETERAL PATENCY [1001560],0250,RC,0409-7715-02,NDC,,,outpatient,250,ML,85.5,,42.75,51.3,82.935,80.37,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,82.935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,75.24,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,79.42095,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.49405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INJECTION - URETERAL PATENCY [1001560],0250,RC,0990-7715-12,NDC,,,outpatient,250,ML,91.13,,45.565,54.678,88.3961,85.6622,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,75.6379,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,86.20898,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,88.3961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,80.1944,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,72.99513,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,84.650657,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.004243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,0990-7715-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,0990-7715-13,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,0990-7715-02,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,0990-7715-12,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % IV INJECTION [1000663],0250,RC,0409-7715-02,NDC,,,outpatient,250,ML,85.5,,42.75,51.3,82.935,80.37,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,82.935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,75.24,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,79.42095,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.49405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % IV INJECTION [1000663],0250,RC,0990-7715-13,NDC,,,outpatient,500,ML,78.75,,39.375,47.25,76.3875,74.025,,,,percent of total billed charges,,63,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,65.3625,,,,percent of total billed charges,,70.875,,,,percent of total billed charges,,72.45,,,,percent of total billed charges,,72.45,,,,percent of total billed charges,,74.4975,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,76.3875,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.875,,,,percent of total billed charges,,63.07875,,,,percent of total billed charges,,70.875,,,,percent of total billed charges,,47.25,,,,percent of total billed charges,,73.150875,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,63,,,,percent of total billed charges,,47.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.086625,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % IV INJECTION [1000663],0250,RC,0990-7715-12,NDC,,,outpatient,250,ML,91.13,,45.565,54.678,88.3961,85.6622,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,75.6379,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,86.20898,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,88.3961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,80.1944,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,72.99513,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,84.650657,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.004243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20% INTERMITTENT INFUSION [1000815],0250,RC,0409-7715-02,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20% INTERMITTENT INFUSION [1000815],0250,RC,0990-7715-13,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20% INTERMITTENT INFUSION [1000815],0250,RC,0990-7715-12,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,74527-022-01,NDC,J9353,HCPCS,outpatient,10,ML,10369.62,,5184.81,6221.772,10058.5314,9747.4428,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8606.7846,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9809.66052,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,10058.5314,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9125.2656,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,8306.06562,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,9632.340018,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8307.102582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,74527-022-02,NDC,J9353,HCPCS,outpatient,10,ML,10369.62,,5184.81,6221.772,10058.5314,9747.4428,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8606.7846,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9809.66052,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,10058.5314,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9125.2656,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,8306.06562,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,9632.340018,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8307.102582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,74527-022-03,NDC,J9353,HCPCS,outpatient,10,ML,10369.62,,5184.81,6221.772,10058.5314,9747.4428,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8606.7846,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9809.66052,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,10058.5314,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9125.2656,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,8306.06562,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,9632.340018,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8307.102582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,74527-022-02,NDC,J9353,HCPCS,outpatient,1014,ME,37385.94,,18692.97,22431.564,36264.3618,35142.7836,,,,percent of total billed charges,,29908.752,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,31030.3302,,,,percent of total billed charges,,33647.346,,,,percent of total billed charges,,34395.0648,,,,percent of total billed charges,,34395.0648,,,,percent of total billed charges,,35367.09924,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,36264.3618,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,32899.6272,,,,percent of total billed charges,,33647.346,,,,percent of total billed charges,,29946.13794,,,,percent of total billed charges,,33647.346,,,,percent of total billed charges,,22431.564,,,,percent of total billed charges,,34727.79967,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,29908.752,,,,percent of total billed charges,,22431.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29949.87653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [164760]",0636,RC,0006-4681-00,NDC,90707,CPT,outpatient,1,EA,162.1,,81.05,97.26,157.237,152.374,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,134.543,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,153.3466,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,157.237,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,142.648,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,129.8421,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,150.57469,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.85831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [164760]",0636,RC,0006-4681-01,NDC,90707,CPT,outpatient,1,EA,162.1,,81.05,97.26,157.237,152.374,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,134.543,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,153.3466,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,157.237,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,142.648,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,129.8421,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,150.57469,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.85831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,50268-522-15,NDC,,,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,50268-522-11,NDC,,,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,0904-6516-61,NDC,,,outpatient,1,EA,1.49,,0.745,0.894,1.4453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.19349,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.384061,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.193639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,53746-441-01,NDC,,,outpatient,1,EA,0.71,,0.355,0.426,0.6887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.56871,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.659519,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.568781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,0904-7375-61,NDC,,,outpatient,1,EA,1.97,,0.985,1.182,1.9109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.57797,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.829933,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.578167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 25 MG TABLET [12025],0637,RC,68084-491-01,NDC,,,outpatient,1,EA,1.69,,0.845,1.014,1.6393,1.5886,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4027,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.59874,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4872,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.35369,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,1.569841,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.353859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 25 MG TABLET [12025],0637,RC,68084-491-11,NDC,,,outpatient,1,EA,1.69,,0.845,1.014,1.6393,1.5886,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4027,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.59874,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4872,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.35369,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,1.569841,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.353859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 25 MG TABLET [12025],0637,RC,0904-7376-61,NDC,,,outpatient,1,EA,2.26,,1.13,1.356,2.1922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.81026,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.099314,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.810486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL [82420],0637,RC,4167936513,NDC,,,outpatient,946,ML,51.09,,25.545,30.654,49.5573,48.0246,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,42.4047,,,,percent of total billed charges,,45.981,,,,percent of total billed charges,,47.0028,,,,percent of total billed charges,,47.0028,,,,percent of total billed charges,,48.33114,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,49.5573,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,44.9592,,,,percent of total billed charges,,45.981,,,,percent of total billed charges,,40.92309,,,,percent of total billed charges,,45.981,,,,percent of total billed charges,,30.654,,,,percent of total billed charges,,47.457501,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,30.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.928199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,59762-3742-2,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,60687-105-11,NDC,,,outpatient,1,EA,8.75,,4.375,5.25,8.4875,8.225,,,,percent of total billed charges,,7,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.2625,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.2775,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.4875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.7,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,7.00875,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,8.127875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.009625,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,60687-105-21,NDC,,,outpatient,1,EA,8.75,,4.375,5.25,8.4875,8.225,,,,percent of total billed charges,,7,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.2625,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.2775,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.4875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.7,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,7.00875,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,8.127875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.009625,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,59762-0056-1,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,59762-4537-1,NDC,J1050,HCPCS,outpatient,1,ML,199.89,,99.945,119.934,193.8933,187.8966,,,,percent of total billed charges,,159.912,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,165.9087,,,,percent of total billed charges,,179.901,,,,percent of total billed charges,,183.8988,,,,percent of total billed charges,,183.8988,,,,percent of total billed charges,,189.09594,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,193.8933,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,175.9032,,,,percent of total billed charges,,179.901,,,,percent of total billed charges,,160.11189,,,,percent of total billed charges,,179.901,,,,percent of total billed charges,,119.934,,,,percent of total billed charges,,185.677821,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,159.912,,,,percent of total billed charges,,119.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.131879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,0548-5400-00,NDC,J1050,HCPCS,outpatient,1,ML,76.1,,38.05,45.66,73.817,71.534,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,63.163,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,71.9906,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,73.817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,66.968,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,60.9561,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,70.68929,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.96371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,67457-887-00,NDC,J1050,HCPCS,outpatient,1,ML,36.5,,18.25,21.9,35.405,34.31,,,,percent of total billed charges,,29.2,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,30.295,,,,percent of total billed charges,,32.85,,,,percent of total billed charges,,33.58,,,,percent of total billed charges,,33.58,,,,percent of total billed charges,,34.529,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,35.405,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,32.12,,,,percent of total billed charges,,32.85,,,,percent of total billed charges,,29.2365,,,,percent of total billed charges,,32.85,,,,percent of total billed charges,,21.9,,,,percent of total billed charges,,33.90485,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,29.2,,,,percent of total billed charges,,21.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.24015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,67457-887-99,NDC,J1050,HCPCS,outpatient,1,ML,36.23,,18.115,21.738,35.1431,34.0562,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,30.0709,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,34.27358,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,35.1431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,31.8824,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,29.02023,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,33.654047,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.023853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,66993-370-83,NDC,J1050,HCPCS,outpatient,1,ML,177.75,,88.875,106.65,172.4175,167.085,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,147.5325,,,,percent of total billed charges,,159.975,,,,percent of total billed charges,,163.53,,,,percent of total billed charges,,163.53,,,,percent of total billed charges,,168.1515,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,172.4175,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,156.42,,,,percent of total billed charges,,159.975,,,,percent of total billed charges,,142.37775,,,,percent of total billed charges,,159.975,,,,percent of total billed charges,,106.65,,,,percent of total billed charges,,165.111975,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,106.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,142.395525,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,55150-329-01,NDC,J1050,HCPCS,outpatient,1,ML,99.23,,49.615,59.538,96.2531,93.2762,,,,percent of total billed charges,,79.384,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,82.3609,,,,percent of total billed charges,,89.307,,,,percent of total billed charges,,91.2916,,,,percent of total billed charges,,91.2916,,,,percent of total billed charges,,93.87158,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,96.2531,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,87.3224,,,,percent of total billed charges,,89.307,,,,percent of total billed charges,,79.48323,,,,percent of total billed charges,,89.307,,,,percent of total billed charges,,59.538,,,,percent of total billed charges,,92.174747,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,79.384,,,,percent of total billed charges,,59.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.493153,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 2.5 MG TABLET [4855],0637,RC,0555-0872-02,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 2.5 MG TABLET [4855],0637,RC,59762-3740-1,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,68094-528-59,NDC,,,outpatient,10,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,66689-020-01,NDC,,,outpatient,10,ML,11.93,,5.965,7.158,11.5721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,9.55593,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,11.081777,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.557123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,66689-020-50,NDC,,,outpatient,10,ML,11.93,,5.965,7.158,11.5721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,9.55593,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,11.081777,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.557123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,63739-549-72,NDC,,,outpatient,10,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,63739-549-73,NDC,,,outpatient,10,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,68094-063-59,NDC,,,outpatient,10,ML,11.3,,5.65,6.78,10.961,10.622,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.379,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.6898,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.944,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,9.0513,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,10.49657,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.05243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,68094-063-62,NDC,,,outpatient,10,ML,11.43,,5.715,6.858,11.0871,10.7442,,,,percent of total billed charges,,9.144,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,9.4869,,,,percent of total billed charges,,10.287,,,,percent of total billed charges,,10.5156,,,,percent of total billed charges,,10.5156,,,,percent of total billed charges,,10.81278,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,11.0871,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,10.0584,,,,percent of total billed charges,,10.287,,,,percent of total billed charges,,9.15543,,,,percent of total billed charges,,10.287,,,,percent of total billed charges,,6.858,,,,percent of total billed charges,,10.617327,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,9.144,,,,percent of total billed charges,,6.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.156573,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION [10521],0637,RC,0054-3542-58,NDC,,,outpatient,240,ML,147.96,,73.98,88.776,143.5212,139.0824,,,,percent of total billed charges,,118.368,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,122.8068,,,,percent of total billed charges,,133.164,,,,percent of total billed charges,,136.1232,,,,percent of total billed charges,,136.1232,,,,percent of total billed charges,,139.97016,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,143.5212,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,130.2048,,,,percent of total billed charges,,133.164,,,,percent of total billed charges,,118.51596,,,,percent of total billed charges,,133.164,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,137.440044,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,118.368,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,118.530756,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,3160402742,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,3160402741,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,5026852415,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,6809411059,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,2055503601,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,2055503600,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELOXICAM 7.5 MG TABLET [79588],0637,RC,68382-050-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELOXICAM 7.5 MG TABLET [79588],0637,RC,50268-525-15,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELOXICAM 7.5 MG TABLET [79588],0637,RC,50268-525-11,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,0456-3210-60,NDC,,,outpatient,1,EA,30.5,,15.25,18.3,29.585,28.67,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,25.315,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.853,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,29.585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,24.4305,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,28.33145,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.43355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,0456-3210-63,NDC,,,outpatient,1,EA,30.5,,15.25,18.3,29.585,28.67,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,25.315,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.853,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,29.585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,24.4305,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,28.33145,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.43355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,60687-184-11,NDC,,,outpatient,1,EA,1.7,,0.85,1.02,1.649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.3617,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.57913,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.36187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,60687-184-57,NDC,,,outpatient,1,EA,1.7,,0.85,1.02,1.649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.3617,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.57913,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.36187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,0904-6506-06,NDC,,,outpatient,1,EA,1.26,,0.63,0.756,1.2222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.00926,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.170414,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.009386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,0456-3205-60,NDC,,,outpatient,1,EA,30.5,,15.25,18.3,29.585,28.67,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,25.315,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.853,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,29.585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,24.4305,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,28.33145,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.43355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,0591-3870-44,NDC,,,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,0591-3870-45,NDC,,,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,0904-6505-61,NDC,,,outpatient,1,EA,1.51,,0.755,0.906,1.4647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.20951,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.402639,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.209661,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,60687-173-11,NDC,,,outpatient,1,EA,1.7,,0.85,1.02,1.649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.3617,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.57913,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.36187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,60687-173-57,NDC,,,outpatient,1,EA,1.7,,0.85,1.02,1.649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.3617,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.57913,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.36187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,0904-6505-06,NDC,,,outpatient,1,EA,1.42,,0.71,0.852,1.3774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.13742,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.319038,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.137562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) [198310]",0636,RC,58160-955-09,NDC,90734,CPT,outpatient,1,EA,206.43,,103.215,123.858,200.2371,194.0442,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,171.3369,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,195.28278,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,200.2371,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,181.6584,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,165.35043,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,191.752827,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.371073,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION [225270],0250,RC,58160-958-01,NDC,,,outpatient,1,EA,206.43,,103.215,123.858,200.2371,194.0442,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,171.3369,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,195.28278,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,200.2371,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,181.6584,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,165.35043,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,191.752827,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.371073,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [224315]",0636,RC,58160-976-02,NDC,90620,CPT,outpatient,0.5,ML,312.57,,156.285,187.542,303.1929,293.8158,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,259.4331,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,295.69122,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,303.1929,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,275.0616,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,250.36857,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,290.346273,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,250.399827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [224315]",0636,RC,58160-976-20,NDC,90620,CPT,outpatient,0.5,ML,312.57,,156.285,187.542,303.1929,293.8158,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,259.4331,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,295.69122,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,303.1929,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,275.0616,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,250.36857,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,290.346273,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,250.399827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MENTHOL 7.5 MG LOZENGES [218671],0637,RC,1254662869,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [95059],0636,RC,0641-6052-01,NDC,J2175,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [95059],0636,RC,0641-6052-25,NDC,J2175,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE [95060],0636,RC,0409-1176-30,NDC,J2175,HCPCS,outpatient,1,ML,24.55,,12.275,14.73,23.8135,23.077,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,20.3765,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,23.2243,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.8135,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,21.604,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,19.66455,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,22.804495,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.667005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE [95060],0636,RC,0409-1176-03,NDC,J2175,HCPCS,outpatient,1,ML,24.55,,12.275,14.73,23.8135,23.077,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,20.3765,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,23.2243,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.8135,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,21.604,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,19.66455,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,22.804495,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.667005,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [95055],0636,RC,0641-6053-01,NDC,J2175,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [95055],0636,RC,0641-6053-25,NDC,J2175,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [187920],0636,RC,63323-260-30,NDC,J0670,HCPCS,outpatient,30,ML,15.26,,7.63,9.156,14.8022,14.3444,,,,percent of total billed charges,,12.208,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,12.6658,,,,percent of total billed charges,,13.734,,,,percent of total billed charges,,14.0392,,,,percent of total billed charges,,14.0392,,,,percent of total billed charges,,14.43596,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,14.8022,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,13.4288,,,,percent of total billed charges,,13.734,,,,percent of total billed charges,,12.22326,,,,percent of total billed charges,,13.734,,,,percent of total billed charges,,9.156,,,,percent of total billed charges,,14.175014,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,12.208,,,,percent of total billed charges,,9.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.224786,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [187918],0636,RC,0409-1067-20,NDC,J0670,HCPCS,outpatient,20,ML,19.98,,9.99,11.988,19.3806,18.7812,,,,percent of total billed charges,,15.984,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,16.5834,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,18.3816,,,,percent of total billed charges,,18.3816,,,,percent of total billed charges,,18.90108,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,19.3806,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,17.5824,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,16.00398,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,11.988,,,,percent of total billed charges,,18.559422,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,15.984,,,,percent of total billed charges,,11.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.005978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [228040],0636,RC,0173-0881-01,NDC,J2182,HCPCS,outpatient,1,EA,13280.22,,6640.11,7968.132,12881.8134,12483.4068,,,,percent of total billed charges,,10624.176,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,11022.5826,,,,percent of total billed charges,,11952.198,,,,percent of total billed charges,,12217.8024,,,,percent of total billed charges,,12217.8024,,,,percent of total billed charges,,12563.08812,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,12881.8134,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,11686.5936,,,,percent of total billed charges,,11952.198,,,,percent of total billed charges,,10637.45622,,,,percent of total billed charges,,11952.198,,,,percent of total billed charges,,7968.132,,,,percent of total billed charges,,12335.99636,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,10624.176,,,,percent of total billed charges,,7968.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10638.78424,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE [244798],0636,RC,0173-0892-42,NDC,J2182,HCPCS,outpatient,1,ML,16599.74,,8299.87,9959.844,16101.7478,15603.7556,,,,percent of total billed charges,,13279.792,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,13777.7842,,,,percent of total billed charges,,14939.766,,,,percent of total billed charges,,15271.7608,,,,percent of total billed charges,,15271.7608,,,,percent of total billed charges,,15703.35404,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,16101.7478,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,14607.7712,,,,percent of total billed charges,,14939.766,,,,percent of total billed charges,,13296.39174,,,,percent of total billed charges,,14939.766,,,,percent of total billed charges,,9959.844,,,,percent of total billed charges,,15419.49849,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,13279.792,,,,percent of total billed charges,,9959.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13298.05171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,63323-508-30,NDC,J2185,HCPCS,outpatient,1,EA,24.41,,12.205,14.646,23.6777,22.9454,,,,percent of total billed charges,,19.528,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,20.2603,,,,percent of total billed charges,,21.969,,,,percent of total billed charges,,22.4572,,,,percent of total billed charges,,22.4572,,,,percent of total billed charges,,23.09186,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,23.6777,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,21.4808,,,,percent of total billed charges,,21.969,,,,percent of total billed charges,,19.55241,,,,percent of total billed charges,,21.969,,,,percent of total billed charges,,14.646,,,,percent of total billed charges,,22.674449,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,19.528,,,,percent of total billed charges,,14.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.554851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,0781-3098-94,NDC,J2185,HCPCS,outpatient,1,EA,23.17,,11.585,13.902,22.4749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,18.55917,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,21.522613,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.561487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,0781-3098-95,NDC,J2185,HCPCS,outpatient,1,EA,23.17,,11.585,13.902,22.4749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,18.55917,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,21.522613,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.561487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,55150-208-30,NDC,J2185,HCPCS,outpatient,1,EA,15.47,,7.735,9.282,15.0059,14.5418,,,,percent of total billed charges,,12.376,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,12.8401,,,,percent of total billed charges,,13.923,,,,percent of total billed charges,,14.2324,,,,percent of total billed charges,,14.2324,,,,percent of total billed charges,,14.63462,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,15.0059,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,13.6136,,,,percent of total billed charges,,13.923,,,,percent of total billed charges,,12.39147,,,,percent of total billed charges,,13.923,,,,percent of total billed charges,,9.282,,,,percent of total billed charges,,14.370083,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,12.376,,,,percent of total billed charges,,9.282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.393017,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,0409-1391-21,NDC,J2185,HCPCS,outpatient,1,EA,17.43,,8.715,10.458,16.9071,16.3842,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,14.4669,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.48878,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.9071,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,15.3384,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,13.96143,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,16.190727,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.963173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,0409-1391-22,NDC,J2185,HCPCS,outpatient,1,EA,17.43,,8.715,10.458,16.9071,16.3842,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,14.4669,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.48878,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.9071,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,15.3384,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,13.96143,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,16.190727,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.963173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,44567-401-01,NDC,J2185,HCPCS,outpatient,1,EA,35.08,,17.54,21.048,34.0276,32.9752,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,29.1164,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,33.18568,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,34.0276,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,30.8704,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,28.09908,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,32.585812,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.102588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,44567-401-10,NDC,J2185,HCPCS,outpatient,1,EA,35.08,,17.54,21.048,34.0276,32.9752,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,29.1164,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,33.18568,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,34.0276,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,30.8704,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,28.09908,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,32.585812,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.102588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,72485-412-01,NDC,J2185,HCPCS,outpatient,1,EA,15.72,,7.86,9.432,15.2484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,12.59172,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,14.602308,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.593292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,72485-412-10,NDC,J2185,HCPCS,outpatient,1,EA,15.72,,7.86,9.432,15.2484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,12.59172,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,14.602308,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.593292,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [227561],0636,RC,0264-3185-11,NDC,J2184,HCPCS,outpatient,1,EA,112.23,,56.115,67.338,108.8631,105.4962,,,,percent of total billed charges,,89.784,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,93.1509,,,,percent of total billed charges,,101.007,,,,percent of total billed charges,,103.2516,,,,percent of total billed charges,,103.2516,,,,percent of total billed charges,,106.16958,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,108.8631,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,98.7624,,,,percent of total billed charges,,101.007,,,,percent of total billed charges,,89.89623,,,,percent of total billed charges,,101.007,,,,percent of total billed charges,,67.338,,,,percent of total billed charges,,104.250447,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,89.784,,,,percent of total billed charges,,67.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.907453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,0781-3098-95,NDC,J2185,HCPCS,outpatient,1,GR,23.17,,11.585,13.902,22.4749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,18.55917,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,21.522613,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.561487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,0781-3098-95,NDC,J2185,HCPCS,outpatient,1,GR,23.17,,11.585,13.902,22.4749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,18.55917,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,21.522613,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.561487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [102855]",0637,RC,0591-2245-22,NDC,,,outpatient,1,EA,20.01,,10.005,12.006,19.4097,18.8094,,,,percent of total billed charges,,16.008,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,16.6083,,,,percent of total billed charges,,18.009,,,,percent of total billed charges,,18.4092,,,,percent of total billed charges,,18.4092,,,,percent of total billed charges,,18.92946,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,19.4097,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,17.6088,,,,percent of total billed charges,,18.009,,,,percent of total billed charges,,16.02801,,,,percent of total billed charges,,18.009,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,18.587289,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,16.008,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.030011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [102855]",0637,RC,0378-7401-78,NDC,,,outpatient,1,EA,9.15,,4.575,5.49,8.8755,8.601,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,7.5945,,,,percent of total billed charges,,8.235,,,,percent of total billed charges,,8.418,,,,percent of total billed charges,,8.418,,,,percent of total billed charges,,8.6559,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,8.8755,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,8.052,,,,percent of total billed charges,,8.235,,,,percent of total billed charges,,7.32915,,,,percent of total billed charges,,8.235,,,,percent of total billed charges,,5.49,,,,percent of total billed charges,,8.499435,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,5.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.330065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [102855]",0637,RC,63304-175-13,NDC,,,outpatient,1,EA,8.42,,4.21,5.052,8.1674,7.9148,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.9886,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.96532,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,8.1674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.4096,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,6.74442,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,7.821338,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.745262,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 4 GRAM/60 ML ENEMA [10535],0637,RC,45802-098-51,NDC,,,outpatient,60,ML,33.48,,16.74,20.088,32.4756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,26.81748,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,31.099572,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.820828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 4 GRAM/60 ML ENEMA [10535],0637,RC,45802-098-46,NDC,,,outpatient,60,ML,49.41,,24.705,29.646,47.9277,46.4454,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,41.0103,,,,percent of total billed charges,,44.469,,,,percent of total billed charges,,45.4572,,,,percent of total billed charges,,45.4572,,,,percent of total billed charges,,46.74186,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,47.9277,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,43.4808,,,,percent of total billed charges,,44.469,,,,percent of total billed charges,,39.57741,,,,percent of total billed charges,,44.469,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,45.896949,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.582351,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,59762-0117-1,NDC,,,outpatient,1,EA,7.91,,3.955,4.746,7.6727,7.4354,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.5653,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.48286,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.6727,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.9608,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,6.33591,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,7.347599,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.336701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,0093-5907-86,NDC,,,outpatient,1,EA,8.86,,4.43,5.316,8.5942,8.3284,,,,percent of total billed charges,,7.088,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,7.3538,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,8.1512,,,,percent of total billed charges,,8.1512,,,,percent of total billed charges,,8.38156,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,8.5942,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,7.7968,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,7.09686,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,5.316,,,,percent of total billed charges,,8.230054,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,7.088,,,,percent of total billed charges,,5.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.097746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,60687-556-32,NDC,,,outpatient,1,EA,21.94,,10.97,13.164,21.2818,20.6236,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,18.2102,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.75524,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,21.2818,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,19.3072,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,17.57394,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,20.380066,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.576134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,60687-556-33,NDC,,,outpatient,1,EA,21.94,,10.97,13.164,21.2818,20.6236,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,18.2102,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.75524,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,21.2818,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,19.3072,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,17.57394,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,20.380066,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.576134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE [77200]",0637,RC,54092-189-81,NDC,,,outpatient,1,EA,12.56,,6.28,7.536,12.1832,11.8064,,,,percent of total billed charges,,10.048,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,10.4248,,,,percent of total billed charges,,11.304,,,,percent of total billed charges,,11.5552,,,,percent of total billed charges,,11.5552,,,,percent of total billed charges,,11.88176,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,12.1832,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,11.0528,,,,percent of total billed charges,,11.304,,,,percent of total billed charges,,10.06056,,,,percent of total billed charges,,11.304,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,11.666984,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,10.048,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.061816,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,25021-201-10,NDC,J9209,HCPCS,outpatient,10,ML,33.75,,16.875,20.25,32.7375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,27.03375,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,31.350375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.037125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,47781-622-22,NDC,J9209,HCPCS,outpatient,10,ML,32.27,,16.135,19.362,31.3019,30.3338,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,26.7841,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,30.52742,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,31.3019,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,28.3976,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,25.84827,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,29.975603,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.851497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,47781-622-91,NDC,J9209,HCPCS,outpatient,10,ML,32.27,,16.135,19.362,31.3019,30.3338,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,26.7841,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,30.52742,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,31.3019,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,28.3976,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,25.84827,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,29.975603,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.851497,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,70860-209-10,NDC,J9209,HCPCS,outpatient,10,ML,32.94,,16.47,19.764,31.9518,30.9636,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,27.3402,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,31.16124,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.9518,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,28.9872,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,26.38494,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,30.597966,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.388234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,65862-008-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,60687-155-01,NDC,,,outpatient,1,EA,0.55,,0.275,0.33,0.5335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.44055,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.510895,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.440605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,60687-155-11,NDC,,,outpatient,1,EA,0.55,,0.275,0.33,0.5335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.44055,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.510895,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.440605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,0904-7162-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,62584-332-01,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,60687-143-01,NDC,,,outpatient,1,EA,0.96,,0.48,0.576,0.9312,0.9024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.7968,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.90816,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.9312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.8448,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.76896,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.891744,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.769056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,60687-143-11,NDC,,,outpatient,1,EA,0.96,,0.48,0.576,0.9312,0.9024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.7968,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.90816,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.9312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.8448,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.76896,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.891744,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.769056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,0904-7163-61,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,67877-159-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,70010-491-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,60687-640-01,NDC,,,outpatient,1,EA,2.04,,1.02,1.224,1.9788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.63404,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.894956,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.634244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,60687-640-11,NDC,,,outpatient,1,EA,2.04,,1.02,1.224,1.9788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.63404,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.894956,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.634244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,50268-550-11,NDC,,,outpatient,1,EA,2.04,,1.02,1.224,1.9788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.63404,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.894956,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.634244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,50268-550-15,NDC,,,outpatient,1,EA,2.04,,1.02,1.224,1.9788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.63404,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.894956,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.634244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [250255],0636,RC,64281-110-05,NDC,J7674,HCPCS,outpatient,18,ML,558.09,,279.045,334.854,541.3473,524.6046,,,,percent of total billed charges,,446.472,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,463.2147,,,,percent of total billed charges,,502.281,,,,percent of total billed charges,,513.4428,,,,percent of total billed charges,,513.4428,,,,percent of total billed charges,,527.95314,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,541.3473,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,491.1192,,,,percent of total billed charges,,502.281,,,,percent of total billed charges,,447.03009,,,,percent of total billed charges,,502.281,,,,percent of total billed charges,,334.854,,,,percent of total billed charges,,518.409801,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,446.472,,,,percent of total billed charges,,334.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,447.085899,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,0406-5771-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,0406-5771-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,68084-738-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,0904-6530-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,0054-0710-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG/ML ORAL CONCENTRATE [15996],0637,RC,0406-0527-10,NDC,,,outpatient,1000,ML,270,,135,162,261.9,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,216.27,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,250.803,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,216.297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG/ML ORAL CONCENTRATE [15996],0637,RC,0054-0392-68,NDC,,,outpatient,1000,ML,229.5,,114.75,137.7,222.615,215.73,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,190.485,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,211.14,,,,percent of total billed charges,,211.14,,,,percent of total billed charges,,217.107,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,222.615,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,201.96,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,183.8295,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,213.18255,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,183.85245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,0406-5755-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,0406-5755-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,0406-5755-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,0054-0709-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 10 MG TABLET [10552],0637,RC,68084-276-01,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 10 MG TABLET [10552],0637,RC,60687-680-01,NDC,,,outpatient,1,EA,3.26,,1.63,1.956,3.1622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.61126,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.028214,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.611586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 10 MG TABLET [10552],0637,RC,60687-680-11,NDC,,,outpatient,1,EA,3.26,,1.63,1.956,3.1622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.61126,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.028214,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.611586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,60687-357-11,NDC,,,outpatient,1,EA,1.61,,0.805,0.966,1.5617,1.5134,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.3363,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.52306,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5617,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.28961,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,1.495529,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.289771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,64380-212-01,NDC,,,outpatient,1,EA,1.08,,0.54,0.648,1.0476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.86508,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.003212,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.865188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,60687-669-01,NDC,,,outpatient,1,EA,2.35,,1.175,1.41,2.2795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.88235,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.182915,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.882585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,60687-669-11,NDC,,,outpatient,1,EA,2.35,,1.175,1.41,2.2795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.88235,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.182915,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.882585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,70069-101-01,NDC,J2800,HCPCS,outpatient,10,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,70069-101-05,NDC,J2800,HCPCS,outpatient,10,ML,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,70069-101-25,NDC,J2800,HCPCS,outpatient,10,ML,19.26,,9.63,11.556,18.6822,18.1044,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.9858,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,18.21996,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.6822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,16.9488,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,15.42726,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,17.890614,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.429186,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 500 MG TABLET [4971],0637,RC,60687-559-01,NDC,,,outpatient,1,EA,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 500 MG TABLET [4971],0637,RC,60687-559-11,NDC,,,outpatient,1,EA,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 500 MG TABLET [4971],0637,RC,63739-991-10,NDC,,,outpatient,1,EA,1.07,,0.535,0.642,1.0379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.85707,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,0.993923,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.857177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,70069-101-05,NDC,J2800,HCPCS,outpatient,1000,ME,18.86,,9.43,11.316,18.2942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,15.10686,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,17.519054,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.108746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [87503],0636,RC,0703-3671-01,NDC,J9260,HCPCS,outpatient,2,ML,29.97,,14.985,17.982,29.0709,28.1718,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,24.8751,,,,percent of total billed charges,,26.973,,,,percent of total billed charges,,27.5724,,,,percent of total billed charges,,27.5724,,,,percent of total billed charges,,28.35162,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,29.0709,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,26.3736,,,,percent of total billed charges,,26.973,,,,percent of total billed charges,,24.00597,,,,percent of total billed charges,,26.973,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,27.839133,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.008967,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [87503],0636,RC,16729-277-30,NDC,J9260,HCPCS,outpatient,2,ML,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [87503],0636,RC,0143-9519-10,NDC,J9260,HCPCS,outpatient,2,ML,8.11,,4.055,4.866,7.8667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,6.49611,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,7.533379,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.496921,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,51079-670-05,NDC,J8610,HCPCS,outpatient,1,EA,11.35,,5.675,6.81,11.0095,10.669,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.4205,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.7371,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,11.0095,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.988,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,9.09135,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,10.543015,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.092485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,51079-670-01,NDC,J8610,HCPCS,outpatient,1,EA,11.35,,5.675,6.81,11.0095,10.669,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.4205,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.7371,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,11.0095,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.988,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,9.09135,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,10.543015,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.092485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,50268-527-11,NDC,J8610,HCPCS,outpatient,1,EA,5.08,,2.54,3.048,4.9276,4.7752,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.2164,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.80568,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.9276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.4704,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.06908,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,4.718812,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.069588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,50268-527-15,NDC,J8610,HCPCS,outpatient,1,EA,5.08,,2.54,3.048,4.9276,4.7752,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.2164,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.80568,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.9276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.4704,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.06908,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,4.718812,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.069588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION [4974],0636,RC,61703-350-38,NDC,J9260,HCPCS,outpatient,2,ML,16.75,,8.375,10.05,16.2475,15.745,,,,percent of total billed charges,,13.4,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,13.9025,,,,percent of total billed charges,,15.075,,,,percent of total billed charges,,15.41,,,,percent of total billed charges,,15.41,,,,percent of total billed charges,,15.8455,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,16.2475,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,14.74,,,,percent of total billed charges,,15.075,,,,percent of total billed charges,,13.41675,,,,percent of total billed charges,,15.075,,,,percent of total billed charges,,10.05,,,,percent of total billed charges,,15.559075,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,13.4,,,,percent of total billed charges,,10.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.418425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE 100 MG/2 ML VIAL WRAPPER [1000489],0636,RC,0009-0011-04,NDC,J1720,HCPCS,outpatient,50,ME,42.1,,21.05,25.26,40.837,39.574,,,,percent of total billed charges,,33.68,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,34.943,,,,percent of total billed charges,,37.89,,,,percent of total billed charges,,38.732,,,,percent of total billed charges,,38.732,,,,percent of total billed charges,,39.8266,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,40.837,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,37.048,,,,percent of total billed charges,,37.89,,,,percent of total billed charges,,33.7221,,,,percent of total billed charges,,37.89,,,,percent of total billed charges,,25.26,,,,percent of total billed charges,,39.10669,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,33.68,,,,percent of total billed charges,,25.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.72631,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,45802-174-53,NDC,,,outpatient,85,GR,9.18,,4.59,5.508,8.9046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,7.35318,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,8.527302,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.354098,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,4116706003,NDC,,,outpatient,85,GR,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,57896-116-03,NDC,,,outpatient,85,GR,13.01,,6.505,7.806,12.6197,12.2294,,,,percent of total billed charges,,10.408,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,10.7983,,,,percent of total billed charges,,11.709,,,,percent of total billed charges,,11.9692,,,,percent of total billed charges,,11.9692,,,,percent of total billed charges,,12.30746,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,12.6197,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,11.4488,,,,percent of total billed charges,,11.709,,,,percent of total billed charges,,10.42101,,,,percent of total billed charges,,11.709,,,,percent of total billed charges,,7.806,,,,percent of total billed charges,,12.084989,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,10.408,,,,percent of total billed charges,,7.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.422311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,0536-1349-57,NDC,,,outpatient,85,GR,11.1,,5.55,6.66,10.767,10.434,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.213,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.5006,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.767,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,8.8911,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,10.31079,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.89221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE TOPICAL LIQUID [28829],0637,RC,0395166792,NDC,,,outpatient,59,ML,26.29,,13.145,15.774,25.5013,24.7126,,,,percent of total billed charges,,21.032,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,21.8207,,,,percent of total billed charges,,23.661,,,,percent of total billed charges,,24.1868,,,,percent of total billed charges,,24.1868,,,,percent of total billed charges,,24.87034,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,25.5013,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,23.1352,,,,percent of total billed charges,,23.661,,,,percent of total billed charges,,21.05829,,,,percent of total billed charges,,23.661,,,,percent of total billed charges,,15.774,,,,percent of total billed charges,,24.420781,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,21.032,,,,percent of total billed charges,,15.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.060919,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,100,ML,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,0517-0374-05,NDC,Q9968,HCPCS,outpatient,1,ME,11.75,,5.875,7.05,11.3975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,9.41175,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,10.914575,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.412925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION [4985],0636,RC,0517-0301-10,NDC,Q9968,HCPCS,outpatient,1,ML,17.17,,8.585,10.302,16.6549,16.1398,,,,percent of total billed charges,,13.736,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,14.2511,,,,percent of total billed charges,,15.453,,,,percent of total billed charges,,15.7964,,,,percent of total billed charges,,15.7964,,,,percent of total billed charges,,16.24282,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,16.6549,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,15.1096,,,,percent of total billed charges,,15.453,,,,percent of total billed charges,,13.75317,,,,percent of total billed charges,,15.453,,,,percent of total billed charges,,10.302,,,,percent of total billed charges,,15.949213,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,13.736,,,,percent of total billed charges,,10.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.754887,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION [4985],0636,RC,17478-504-10,NDC,Q9968,HCPCS,outpatient,10,ML,736.29,,368.145,441.774,714.2013,692.1126,,,,percent of total billed charges,,589.032,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,611.1207,,,,percent of total billed charges,,662.661,,,,percent of total billed charges,,677.3868,,,,percent of total billed charges,,677.3868,,,,percent of total billed charges,,696.53034,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,714.2013,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,647.9352,,,,percent of total billed charges,,662.661,,,,percent of total billed charges,,589.76829,,,,percent of total billed charges,,662.661,,,,percent of total billed charges,,441.774,,,,percent of total billed charges,,683.939781,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,589.032,,,,percent of total billed charges,,441.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,589.841919,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION [4985],0636,RC,17478-504-01,NDC,Q9968,HCPCS,outpatient,1,ML,56.67,,28.335,34.002,54.9699,53.2698,,,,percent of total billed charges,,45.336,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,47.0361,,,,percent of total billed charges,,51.003,,,,percent of total billed charges,,52.1364,,,,percent of total billed charges,,52.1364,,,,percent of total billed charges,,53.60982,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,54.9699,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,49.8696,,,,percent of total billed charges,,51.003,,,,percent of total billed charges,,45.39267,,,,percent of total billed charges,,51.003,,,,percent of total billed charges,,34.002,,,,percent of total billed charges,,52.640763,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,45.336,,,,percent of total billed charges,,34.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.398337,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,0517-0374-01,NDC,Q9968,HCPCS,outpatient,10,ML,587.3,,293.65,352.38,569.681,552.062,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,487.459,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,555.5858,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,569.681,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,516.824,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,470.4273,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,545.54297,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,470.48603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,0517-0374-05,NDC,Q9968,HCPCS,outpatient,10,ML,587.3,,293.65,352.38,569.681,552.062,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,487.459,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,555.5858,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,569.681,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,516.824,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,470.4273,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,545.54297,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,470.48603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,70710-1838-1,NDC,Q9968,HCPCS,outpatient,10,ML,969.44,,484.72,581.664,940.3568,911.2736,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,804.6352,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,917.09024,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,940.3568,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,853.1072,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,776.52144,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,900.512816,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,776.618384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,70710-1838-5,NDC,Q9968,HCPCS,outpatient,10,ML,969.44,,484.72,581.664,940.3568,911.2736,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,804.6352,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,917.09024,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,940.3568,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,853.1072,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,776.52144,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,900.512816,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,776.618384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,0054-0639-13,NDC,,,outpatient,1,EA,60.22,,30.11,36.132,58.4134,56.6068,,,,percent of total billed charges,,48.176,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,49.9826,,,,percent of total billed charges,,54.198,,,,percent of total billed charges,,55.4024,,,,percent of total billed charges,,55.4024,,,,percent of total billed charges,,56.96812,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,58.4134,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,52.9936,,,,percent of total billed charges,,54.198,,,,percent of total billed charges,,48.23622,,,,percent of total billed charges,,54.198,,,,percent of total billed charges,,36.132,,,,percent of total billed charges,,55.938358,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,48.176,,,,percent of total billed charges,,36.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.242242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,69238-1605-2,NDC,,,outpatient,1,EA,82.16,,41.08,49.296,79.6952,77.2304,,,,percent of total billed charges,,65.728,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,68.1928,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,75.5872,,,,percent of total billed charges,,75.5872,,,,percent of total billed charges,,77.72336,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,79.6952,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,72.3008,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,65.81016,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,49.296,,,,percent of total billed charges,,76.318424,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,65.728,,,,percent of total billed charges,,49.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.818376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,69238-1605-8,NDC,,,outpatient,1,EA,72.77,,36.385,43.662,70.5869,68.4038,,,,percent of total billed charges,,58.216,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,60.3991,,,,percent of total billed charges,,65.493,,,,percent of total billed charges,,66.9484,,,,percent of total billed charges,,66.9484,,,,percent of total billed charges,,68.84042,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,70.5869,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,64.0376,,,,percent of total billed charges,,65.493,,,,percent of total billed charges,,58.28877,,,,percent of total billed charges,,65.493,,,,percent of total billed charges,,43.662,,,,percent of total billed charges,,67.596053,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,58.216,,,,percent of total billed charges,,43.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.296047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,60687-410-11,NDC,,,outpatient,1,EA,191.72,,95.86,115.032,185.9684,180.2168,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,159.1276,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,181.36712,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,185.9684,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,168.7136,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,153.56772,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,178.088708,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.586892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,60687-410-94,NDC,,,outpatient,1,EA,191.72,,95.86,115.032,185.9684,180.2168,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,159.1276,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,181.36712,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,185.9684,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,168.7136,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,153.56772,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,178.088708,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,153.586892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,16571-735-21,NDC,,,outpatient,1,EA,53.81,,26.905,32.286,52.1957,50.5814,,,,percent of total billed charges,,43.048,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,44.6623,,,,percent of total billed charges,,48.429,,,,percent of total billed charges,,49.5052,,,,percent of total billed charges,,49.5052,,,,percent of total billed charges,,50.90426,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,52.1957,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,47.3528,,,,percent of total billed charges,,48.429,,,,percent of total billed charges,,43.10181,,,,percent of total billed charges,,48.429,,,,percent of total billed charges,,32.286,,,,percent of total billed charges,,49.984109,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,43.048,,,,percent of total billed charges,,32.286,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.107191,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,0517-0740-20,NDC,J2210,HCPCS,outpatient,1,ML,87.07,,43.535,52.242,84.4579,81.8458,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,72.2681,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,82.36822,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,84.4579,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,76.6216,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,69.74307,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,80.879323,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.751777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,0517-0740-01,NDC,J2210,HCPCS,outpatient,1,ML,87.07,,43.535,52.242,84.4579,81.8458,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,72.2681,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,82.36822,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,84.4579,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,76.6216,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,69.74307,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,80.879323,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.751777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,51991-144-17,NDC,J2210,HCPCS,outpatient,1,ML,68.04,,34.02,40.824,65.9988,63.9576,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,56.4732,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,64.36584,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,65.9988,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,59.8752,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,54.50004,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,63.202356,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.506844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,51991-144-99,NDC,J2210,HCPCS,outpatient,1,ML,68.04,,34.02,40.824,65.9988,63.9576,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,56.4732,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,64.36584,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,65.9988,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,59.8752,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,54.50004,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,63.202356,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.506844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [170129],0636,RC,65649-551-02,NDC,J2212,HCPCS,outpatient,0.6,ML,662.99,,331.495,397.794,643.1003,623.2106,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,550.2817,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,627.18854,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,643.1003,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,583.4312,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,531.05499,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,615.851411,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,531.121289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE [211029],0636,RC,65649-551-07,NDC,J2212,HCPCS,outpatient,0.6,ML,662.99,,331.495,397.794,643.1003,623.2106,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,550.2817,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,627.18854,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,643.1003,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,583.4312,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,531.05499,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,615.851411,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,531.121289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,0591-5883-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,0406-1144-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,57664-229-88,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,68084-823-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,68084-823-21,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,31722-174-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,10702-101-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,0009-0018-20,NDC,J2919,HCPCS,outpatient,1000,ME,236.52,,118.26,141.912,229.4244,222.3288,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,196.3116,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,223.74792,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,229.4244,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,208.1376,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,189.45252,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,219.703428,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.476172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,92,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,0603-4593-21,NDC,J7509,HCPCS,outpatient,1,EA,1.69,,0.845,1.014,1.6393,1.5886,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4027,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.59874,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4872,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.35369,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,1.569841,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.353859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,59746-001-06,NDC,J7509,HCPCS,outpatient,1,EA,1.45,,0.725,0.87,1.4065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.16145,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.346905,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.161595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,68084-149-01,NDC,J7509,HCPCS,outpatient,1,EA,7.52,,3.76,4.512,7.2944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.02352,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,6.985328,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.024272,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,68084-149-11,NDC,J7509,HCPCS,outpatient,1,EA,7.52,,3.76,4.512,7.2944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.02352,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,6.985328,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.024272,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,68382-916-01,NDC,J7509,HCPCS,outpatient,1,EA,1.82,,0.91,1.092,1.7654,1.7108,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.5106,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.72172,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.7654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.6016,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.45782,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,1.690598,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.458002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,0904-6914-61,NDC,J7509,HCPCS,outpatient,1,EA,6.24,,3.12,3.744,6.0528,5.8656,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.1792,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.90304,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,6.0528,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.4912,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.99824,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,5.796336,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.998864,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG/ML IN D5W IV PEDS DILUTION - DOSES <40MG [1001310],0636,RC,9991-0013-10,NDC,J2919,HCPCS,outpatient,10,ML,6.44,,3.22,3.864,6.2468,6.0536,,,,percent of total billed charges,,5.152,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,5.3452,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9248,,,,percent of total billed charges,,5.9248,,,,percent of total billed charges,,6.09224,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.2468,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,5.6672,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.15844,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,5.982116,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,5.152,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.159084,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,0009-3073-01,NDC,J1010,HCPCS,outpatient,1,ML,22.77,,11.385,13.662,22.0869,21.4038,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.8991,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,21.54042,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,22.0869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,20.0376,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,18.23877,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,21.151053,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.241047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,0009-3073-03,NDC,J1010,HCPCS,outpatient,1,ML,22.75,,11.375,13.65,22.0675,21.385,,,,percent of total billed charges,,18.2,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,18.8825,,,,percent of total billed charges,,20.475,,,,percent of total billed charges,,20.93,,,,percent of total billed charges,,20.93,,,,percent of total billed charges,,21.5215,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,22.0675,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,20.02,,,,percent of total billed charges,,20.475,,,,percent of total billed charges,,18.22275,,,,percent of total billed charges,,20.475,,,,percent of total billed charges,,13.65,,,,percent of total billed charges,,21.132475,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,18.2,,,,percent of total billed charges,,13.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.225025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,0703-0031-01,NDC,J1010,HCPCS,outpatient,1,ML,22.23,,11.115,13.338,21.5631,20.8962,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,18.4509,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,21.02958,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.5631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,19.5624,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,17.80623,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,20.649447,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.808453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,0703-0031-04,NDC,J1010,HCPCS,outpatient,1,ML,24.89,,12.445,14.934,24.1433,23.3966,,,,percent of total billed charges,,19.912,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,20.6587,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8988,,,,percent of total billed charges,,22.8988,,,,percent of total billed charges,,23.54594,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,24.1433,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,21.9032,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.93689,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,23.120321,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,19.912,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.939379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,70121-1573-1,NDC,J1010,HCPCS,outpatient,1,ML,17.28,,8.64,10.368,16.7616,16.2432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,14.3424,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,16.34688,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.7616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,15.2064,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,13.84128,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,16.051392,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.843008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,70121-1573-5,NDC,J1010,HCPCS,outpatient,1,ML,17.29,,8.645,10.374,16.7713,16.2526,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,14.3507,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,16.35634,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.7713,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,15.2152,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,13.84929,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,16.060681,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.851019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,0009-3475-01,NDC,J1010,HCPCS,outpatient,1,ML,35.15,,17.575,21.09,34.0955,33.041,,,,percent of total billed charges,,28.12,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,29.1745,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,33.2519,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,34.0955,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,30.932,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,28.15515,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,21.09,,,,percent of total billed charges,,32.650835,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,28.12,,,,percent of total billed charges,,21.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.158665,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,0009-3475-03,NDC,J1010,HCPCS,outpatient,1,ML,35.16,,17.58,21.096,34.1052,33.0504,,,,percent of total billed charges,,28.128,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,29.1828,,,,percent of total billed charges,,31.644,,,,percent of total billed charges,,32.3472,,,,percent of total billed charges,,32.3472,,,,percent of total billed charges,,33.26136,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,34.1052,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,30.9408,,,,percent of total billed charges,,31.644,,,,percent of total billed charges,,28.16316,,,,percent of total billed charges,,31.644,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,32.660124,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,28.128,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.166676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,0703-0051-01,NDC,J1010,HCPCS,outpatient,1,ML,42.17,,21.085,25.302,40.9049,39.6398,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,35.0011,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,39.89282,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.9049,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,37.1096,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,33.77817,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,39.171713,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.782387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,70121-1574-1,NDC,J1010,HCPCS,outpatient,1,ML,26.1,,13.05,15.66,25.317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,20.9061,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,24.24429,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.90871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,70121-1574-5,NDC,J1010,HCPCS,outpatient,1,ML,26.1,,13.05,15.66,25.317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,20.9061,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,24.24429,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.90871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,150,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,0009-0018-20,NDC,J2919,HCPCS,outpatient,2028,ME,479.67,,239.835,287.802,465.2799,450.8898,,,,percent of total billed charges,,383.736,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,398.1261,,,,percent of total billed charges,,431.703,,,,percent of total billed charges,,441.2964,,,,percent of total billed charges,,441.2964,,,,percent of total billed charges,,453.76782,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,465.2799,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,422.1096,,,,percent of total billed charges,,431.703,,,,percent of total billed charges,,384.21567,,,,percent of total billed charges,,431.703,,,,percent of total billed charges,,287.802,,,,percent of total billed charges,,445.565463,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,383.736,,,,percent of total billed charges,,287.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,384.263637,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,0009-0039-28,NDC,J2920,HCPCS,outpatient,250,ME,125.89,,62.945,75.534,122.1133,118.3366,,,,percent of total billed charges,,100.712,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,104.4887,,,,percent of total billed charges,,113.301,,,,percent of total billed charges,,115.8188,,,,percent of total billed charges,,115.8188,,,,percent of total billed charges,,119.09194,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,122.1133,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,110.7832,,,,percent of total billed charges,,113.301,,,,percent of total billed charges,,100.83789,,,,percent of total billed charges,,113.301,,,,percent of total billed charges,,75.534,,,,percent of total billed charges,,116.939221,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,100.712,,,,percent of total billed charges,,75.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.850479,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,0009-0047-22,NDC,J2930,HCPCS,outpatient,250,ME,64.11,,32.055,38.466,62.1867,60.2634,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,53.2113,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,60.64806,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,62.1867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,56.4168,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,51.35211,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,59.551779,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.358521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,0009-0018-20,NDC,J2919,HCPCS,outpatient,250,ME,59.13,,29.565,35.478,57.3561,55.5822,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,49.0779,,,,percent of total billed charges,,53.217,,,,percent of total billed charges,,54.3996,,,,percent of total billed charges,,54.3996,,,,percent of total billed charges,,55.93698,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,57.3561,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,52.0344,,,,percent of total billed charges,,53.217,,,,percent of total billed charges,,47.36313,,,,percent of total billed charges,,53.217,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,54.925857,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.369043,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,0009-0039-28,NDC,J2920,HCPCS,outpatient,67.6,ME,34.04,,17.02,20.424,33.0188,31.9976,,,,percent of total billed charges,,27.232,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,28.2532,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,31.3168,,,,percent of total billed charges,,31.3168,,,,percent of total billed charges,,32.20184,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,33.0188,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,29.9552,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,27.26604,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,20.424,,,,percent of total billed charges,,31.619756,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,27.232,,,,percent of total billed charges,,20.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.269444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,0009-0018-20,NDC,J2919,HCPCS,outpatient,1,EA,236.52,,118.26,141.912,229.4244,222.3288,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,196.3116,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,223.74792,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,229.4244,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,208.1376,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,189.45252,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,219.703428,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.476172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION [197827],0636,RC,0009-0003-02,NDC,J2919,HCPCS,outpatient,1,EA,181.89,,90.945,109.134,176.4333,170.9766,,,,percent of total billed charges,,145.512,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,150.9687,,,,percent of total billed charges,,163.701,,,,percent of total billed charges,,167.3388,,,,percent of total billed charges,,167.3388,,,,percent of total billed charges,,172.06794,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,176.4333,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,160.0632,,,,percent of total billed charges,,163.701,,,,percent of total billed charges,,145.69389,,,,percent of total billed charges,,163.701,,,,percent of total billed charges,,109.134,,,,percent of total billed charges,,168.957621,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,145.512,,,,percent of total billed charges,,109.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.712079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,63323-258-03,NDC,J2930,HCPCS,outpatient,1,EA,12.2,,6.1,7.32,11.834,11.468,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.126,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.5412,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,9.7722,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,11.33258,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.77342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,0009-0047-22,NDC,J2930,HCPCS,outpatient,1,EA,32.06,,16.03,19.236,31.0982,30.1364,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,26.6098,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,30.32876,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,31.0982,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,28.2128,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,25.68006,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,29.780534,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.683266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,0009-0047-25,NDC,J2930,HCPCS,outpatient,1,EA,32.06,,16.03,19.236,31.0982,30.1364,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,26.6098,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,30.32876,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,31.0982,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,28.2128,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,25.68006,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,29.780534,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.683266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,70121-1001-1,NDC,J2930,HCPCS,outpatient,1,EA,38.17,,19.085,22.902,37.0249,35.8798,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,31.6811,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,36.10882,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,37.0249,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,33.5896,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,30.57417,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,35.456113,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.577987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,70121-1001-5,NDC,J2930,HCPCS,outpatient,1,EA,38.17,,19.085,22.902,37.0249,35.8798,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,31.6811,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,36.10882,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,37.0249,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,33.5896,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,30.57417,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,35.456113,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.577987,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,43598-129-01,NDC,J2930,HCPCS,outpatient,1,EA,9.27,,4.635,5.562,8.9919,8.7138,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.6941,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.76942,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.9919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.1576,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,7.42527,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,8.610903,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.426197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,43598-129-25,NDC,J2930,HCPCS,outpatient,1,EA,9.27,,4.635,5.562,8.9919,8.7138,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.6941,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.76942,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.9919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.1576,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,7.42527,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,8.610903,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.426197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,63323-255-03,NDC,J2920,HCPCS,outpatient,1,EA,10.55,,5.275,6.33,10.2335,9.917,,,,percent of total billed charges,,8.44,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,8.7565,,,,percent of total billed charges,,9.495,,,,percent of total billed charges,,9.706,,,,percent of total billed charges,,9.706,,,,percent of total billed charges,,9.9803,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,10.2335,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,9.284,,,,percent of total billed charges,,9.495,,,,percent of total billed charges,,8.45055,,,,percent of total billed charges,,9.495,,,,percent of total billed charges,,6.33,,,,percent of total billed charges,,9.799895,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,8.44,,,,percent of total billed charges,,6.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.451605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,0009-0039-28,NDC,J2920,HCPCS,outpatient,1,EA,20.15,,10.075,12.09,19.5455,18.941,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.7245,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,19.0619,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.5455,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,17.732,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,16.14015,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,18.717335,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.142165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,0009-0039-30,NDC,J2920,HCPCS,outpatient,1,EA,20.15,,10.075,12.09,19.5455,18.941,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.7245,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,19.0619,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.5455,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,17.732,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,16.14015,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,18.717335,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.142165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,70121-1000-1,NDC,J2920,HCPCS,outpatient,1,EA,22.51,,11.255,13.506,21.8347,21.1594,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.6833,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,21.29446,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.8347,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,19.8088,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,18.03051,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,20.909539,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.032761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,70121-1000-5,NDC,J2920,HCPCS,outpatient,1,EA,22.51,,11.255,13.506,21.8347,21.1594,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.6833,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,21.29446,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.8347,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,19.8088,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,18.03051,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,20.909539,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.032761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,51079-888-01,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,51079-888-20,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,68084-676-01,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,68084-676-11,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 100 MCG/ML IN D5W IV PEDS DILUTION [1000050],0636,RC,WVU01-000-50,NDC,J2765,HCPCS,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,51079-886-01,NDC,,,outpatient,1,EA,2.02,,1.01,1.212,1.9594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.61802,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,1.876378,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.618222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,51079-886-20,NDC,,,outpatient,1,EA,2.02,,1.01,1.212,1.9594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.61802,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,1.876378,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.618222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,60687-620-01,NDC,,,outpatient,1,EA,3.18,,1.59,1.908,3.0846,2.9892,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.6394,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,3.00828,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.0846,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.7984,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.54718,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,2.953902,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.547498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,60687-620-11,NDC,,,outpatient,1,EA,3.18,,1.59,1.908,3.0846,2.9892,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.6394,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,3.00828,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.0846,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.7984,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.54718,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,2.953902,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.547498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,0121-0576-16,NDC,,,outpatient,473,ML,72.37,,36.185,43.422,70.1989,68.0278,,,,percent of total billed charges,,57.896,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,60.0671,,,,percent of total billed charges,,65.133,,,,percent of total billed charges,,66.5804,,,,percent of total billed charges,,66.5804,,,,percent of total billed charges,,68.46202,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,70.1989,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,63.6856,,,,percent of total billed charges,,65.133,,,,percent of total billed charges,,57.96837,,,,percent of total billed charges,,65.133,,,,percent of total billed charges,,43.422,,,,percent of total billed charges,,67.224493,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,57.896,,,,percent of total billed charges,,43.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.975607,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,0121-1576-10,NDC,,,outpatient,10,ML,17.06,,8.53,10.236,16.5482,16.0364,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,14.1598,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,16.13876,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.5482,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,15.0128,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,13.66506,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,15.847034,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.666766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,66689-031-01,NDC,,,outpatient,10,ML,9.5,,4.75,5.7,9.215,8.93,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.885,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.987,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,8.36,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,8.82455,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.61045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,66689-031-50,NDC,,,outpatient,10,ML,9.5,,4.75,5.7,9.215,8.93,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.885,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.987,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,8.36,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,8.82455,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.61045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,62559-190-16,NDC,,,outpatient,473,ML,85.14,,42.57,51.084,82.5858,80.0316,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,70.6662,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,80.54244,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,82.5858,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,74.9232,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,68.19714,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,79.086546,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.205654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,0409-3414-01,NDC,J2765,HCPCS,outpatient,2,ML,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,23155-240-31,NDC,J2765,HCPCS,outpatient,2,ML,4.2,,2.1,2.52,4.074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.3642,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,3.90138,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.36462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,23155-240-41,NDC,J2765,HCPCS,outpatient,2,ML,4.2,,2.1,2.52,4.074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.3642,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,3.90138,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.36462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,0409-3414-18,NDC,J2765,HCPCS,outpatient,2,ML,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 2.5 MG TABLET [10587],0637,RC,51079-023-20,NDC,,,outpatient,1,EA,12.05,,6.025,7.23,11.6885,11.327,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.0015,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.3993,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.6885,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.604,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,9.65205,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,11.193245,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.653255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 2.5 MG TABLET [10587],0637,RC,51079-023-01,NDC,,,outpatient,1,EA,12.05,,6.025,7.23,11.6885,11.327,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.0015,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.3993,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.6885,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.604,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,9.65205,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,11.193245,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.653255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,0185-0055-01,NDC,,,outpatient,1,EA,2.73,,1.365,1.638,2.6481,2.5662,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.2659,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.58258,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.6481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.4024,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.18673,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,2.535897,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.187003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,51079-024-20,NDC,,,outpatient,1,EA,13.84,,6.92,8.304,13.4248,13.0096,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.4872,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,13.09264,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.4248,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,12.1792,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,11.08584,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,12.855976,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.087224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,51079-024-01,NDC,,,outpatient,1,EA,13.84,,6.92,8.304,13.4248,13.0096,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.4872,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,13.09264,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.4248,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,12.1792,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,11.08584,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,12.855976,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.087224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,60687-547-01,NDC,,,outpatient,1,EA,14.11,,7.055,8.466,13.6867,13.2634,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.7113,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,13.34806,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.6867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,12.4168,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,11.30211,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,13.106779,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.303521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,72888-053-01,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,51079-169-01,NDC,,,outpatient,1,EA,3.9,,1.95,2.34,3.783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.1239,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.62271,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.12429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,51079-169-20,NDC,,,outpatient,1,EA,3.9,,1.95,2.34,3.783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.1239,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.62271,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.12429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,0904-6322-61,NDC,,,outpatient,1,EA,3.2,,1.6,1.92,3.104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.5632,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,2.97248,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.56352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,50268-540-11,NDC,,,outpatient,1,EA,1.15,,0.575,0.69,1.1155,1.081,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.9545,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.0879,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.1155,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.92115,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,1.068235,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.921265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,50268-540-15,NDC,,,outpatient,1,EA,1.15,,0.575,0.69,1.1155,1.081,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.9545,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.0879,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.1155,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.92115,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,1.068235,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.921265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,60687-390-01,NDC,,,outpatient,1,EA,3.73,,1.865,2.238,3.6181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.98773,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.464797,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.988103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,60687-390-11,NDC,,,outpatient,1,EA,3.73,,1.865,2.238,3.6181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.98773,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.464797,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.988103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,0904-6322-06,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,0904-6323-61,NDC,,,outpatient,1,EA,4.31,,2.155,2.586,4.1807,4.0514,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.5773,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,4.07726,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.1807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.7928,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.45231,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,4.003559,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.452741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,60687-402-01,NDC,,,outpatient,1,EA,4.54,,2.27,2.724,4.4038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,3.63654,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.217206,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.636994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,60687-402-11,NDC,,,outpatient,1,EA,4.54,,2.27,2.724,4.4038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,3.63654,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.217206,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.636994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,50268-541-11,NDC,,,outpatient,1,EA,3.14,,1.57,1.884,3.0458,2.9516,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.6062,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.97044,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,3.0458,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.7632,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.51514,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,2.916746,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.515454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,50268-541-15,NDC,,,outpatient,1,EA,3.14,,1.57,1.884,3.0458,2.9516,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.6062,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.97044,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,3.0458,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.7632,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.51514,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,2.916746,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.515454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,51079-802-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,51079-802-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,62584-267-01,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,62584-267-11,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,51079-255-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,51079-255-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,62584-265-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,62584-265-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,0409-1778-05,NDC,,,outpatient,5,ML,3.02,,1.51,1.812,2.9294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.41902,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,2.805278,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.419322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,63323-660-05,NDC,,,outpatient,5,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,36000-033-10,NDC,,,outpatient,5,ML,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,0143-9873-25,NDC,,,outpatient,5,ML,2.23,,1.115,1.338,2.1631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.78623,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.071447,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.786453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,0409-1778-15,NDC,,,outpatient,5,ML,3.02,,1.51,1.812,2.9294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.41902,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,2.805278,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.419322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,0143-9873-01,NDC,,,outpatient,5,ML,2.23,,1.115,1.338,2.1631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.78623,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.071447,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.786453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,72266-122-01,NDC,,,outpatient,5,ML,2.79,,1.395,1.674,2.7063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.23479,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.591631,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.235069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,72266-122-25,NDC,,,outpatient,5,ML,3.2,,1.6,1.92,3.104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.5632,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,2.97248,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.56352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,72611-740-01,NDC,,,outpatient,5,ML,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,72611-740-10,NDC,,,outpatient,5,ML,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,72266-122-05,NDC,,,outpatient,5,ML,2.79,,1.395,1.674,2.7063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.23479,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.591631,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.235069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,51079-801-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,51079-801-20,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,62584-266-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,62584-266-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG IN NS 50 ML IVPB [1000222],0250,RC,WVU01-002-22,NDC,,,outpatient,50,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,0904-1453-61,NDC,,,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,50268-534-11,NDC,,,outpatient,1,EA,1.4,,0.7,0.84,1.358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.1214,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.30046,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.12154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,50268-534-15,NDC,,,outpatient,1,EA,1.4,,0.7,0.84,1.358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.1214,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.30046,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.12154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,60687-526-01,NDC,,,outpatient,1,EA,1.78,,0.89,1.068,1.7266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.42578,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.653442,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.425958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,60687-526-11,NDC,,,outpatient,1,EA,1.78,,0.89,1.068,1.7266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.42578,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.653442,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.425958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,0904-7156-61,NDC,,,outpatient,1,EA,1.73,,0.865,1.038,1.6781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.38573,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.606997,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.385903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET-TOPICAL USE [262245],0637,RC,60687-526-01,NDC,,,outpatient,1,EA,1.78,,0.89,1.068,1.7266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.42578,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.653442,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.425958,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 5 MG/ML IV PEDS [1000052],0250,RC,WVU01-000-52,NDC,,,outpatient,25,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,50268-535-11,NDC,,,outpatient,1,EA,2.75,,1.375,1.65,2.6675,2.585,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2825,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.6015,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6675,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.42,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,2.20275,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,2.554475,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.203025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,50268-535-15,NDC,,,outpatient,1,EA,2.75,,1.375,1.65,2.6675,2.585,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2825,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.6015,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6675,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.42,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,2.20275,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,2.554475,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.203025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,60687-550-01,NDC,,,outpatient,1,EA,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,60687-550-11,NDC,,,outpatient,1,EA,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET-TOPICAL USE [1001938],0637,RC,60687-550-01,NDC,,,outpatient,1,EA,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,0264-5535-32,NDC,,,outpatient,100,ML,13.5,,6.75,8.1,13.095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,10.8135,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,12.54015,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.81485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,0338-1055-48,NDC,,,outpatient,100,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,0409-7811-24,NDC,,,outpatient,100,ML,7.65,,3.825,4.59,7.4205,7.191,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.3495,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.2369,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.4205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,6.12765,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,7.106085,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.128415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,25021-131-82,NDC,,,outpatient,100,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,0338-9541-24,NDC,,,outpatient,100,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,47335-993-01,NDC,,,outpatient,100,ML,5.85,,2.925,3.51,5.6745,5.499,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.8555,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5341,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.6745,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.148,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,4.68585,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,5.434065,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.686435,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,0409-0152-01,NDC,,,outpatient,100,ML,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,0409-0152-24,NDC,,,outpatient,100,ML,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEXILETINE 150 MG CAPSULE [10595],0637,RC,0093-8739-01,NDC,,,outpatient,1,EA,4.75,,2.375,2.85,4.6075,4.465,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.18,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.80475,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,4.412275,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.805225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEXILETINE 150 MG CAPSULE [10595],0637,RC,50742-239-01,NDC,,,outpatient,1,EA,4.86,,2.43,2.916,4.7142,4.5684,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.0338,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.59756,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7142,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,3.89286,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.514454,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.893346,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEXILETINE 150 MG CAPSULE [10595],0637,RC,62756-955-01,NDC,,,outpatient,1,EA,1.27,,0.635,0.762,1.2319,1.1938,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.0541,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.20142,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.1176,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.01727,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,1.179703,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.017397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 1 MG/ML IN NS IV PEDS DILUTION [1001385],0636,RC,9991-0013-85,NDC,J2248,HCPCS,outpatient,1,ML,2.81,,1.405,1.686,2.7257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.25081,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.610209,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.251091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,0469-3211-10,NDC,J2248,HCPCS,outpatient,1,EA,773.42,,386.71,464.052,750.2174,727.0148,,,,percent of total billed charges,,618.736,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,641.9386,,,,percent of total billed charges,,696.078,,,,percent of total billed charges,,711.5464,,,,percent of total billed charges,,711.5464,,,,percent of total billed charges,,731.65532,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,750.2174,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,680.6096,,,,percent of total billed charges,,696.078,,,,percent of total billed charges,,619.50942,,,,percent of total billed charges,,696.078,,,,percent of total billed charges,,464.052,,,,percent of total billed charges,,718.429838,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,618.736,,,,percent of total billed charges,,464.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,619.586762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,63323-729-01,NDC,J2248,HCPCS,outpatient,1,EA,140.63,,70.315,84.378,136.4111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,112.64463,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,130.631207,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.658693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,63323-729-10,NDC,J2248,HCPCS,outpatient,1,EA,140.63,,70.315,84.378,136.4111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,112.64463,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,130.631207,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.658693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,60505-6120-0,NDC,J2248,HCPCS,outpatient,1,EA,216.81,,108.405,130.086,210.3057,203.8014,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,179.9523,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,205.10226,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,210.3057,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,190.7928,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,173.66481,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,201.394809,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.686491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,60505-6120-6,NDC,J2248,HCPCS,outpatient,1,EA,216.81,,108.405,130.086,210.3057,203.8014,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,179.9523,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,205.10226,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,210.3057,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,190.7928,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,173.66481,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,201.394809,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.686491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,25021-191-10,NDC,J2248,HCPCS,outpatient,1,EA,136.49,,68.245,81.894,132.3953,128.3006,,,,percent of total billed charges,,109.192,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,113.2867,,,,percent of total billed charges,,122.841,,,,percent of total billed charges,,125.5708,,,,percent of total billed charges,,125.5708,,,,percent of total billed charges,,129.11954,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,132.3953,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,120.1112,,,,percent of total billed charges,,122.841,,,,percent of total billed charges,,109.32849,,,,percent of total billed charges,,122.841,,,,percent of total billed charges,,81.894,,,,percent of total billed charges,,126.785561,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,109.192,,,,percent of total billed charges,,81.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.342139,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,42023-230-01,NDC,J2247,HCPCS,outpatient,1,EA,140.63,,70.315,84.378,136.4111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,112.64463,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,130.631207,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.658693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,42023-230-10,NDC,J2247,HCPCS,outpatient,1,EA,140.63,,70.315,84.378,136.4111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,112.64463,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,130.631207,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.658693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,25021-191-11,NDC,J2248,HCPCS,outpatient,1,EA,138.97,,69.485,83.382,134.8009,130.6318,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,115.3451,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,131.46562,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,134.8009,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,122.2936,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,111.31497,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,129.089233,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.328867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [94304],0636,RC,0469-3250-10,NDC,J2248,HCPCS,outpatient,1,EA,386.73,,193.365,232.038,375.1281,363.5262,,,,percent of total billed charges,,309.384,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,320.9859,,,,percent of total billed charges,,348.057,,,,percent of total billed charges,,355.7916,,,,percent of total billed charges,,355.7916,,,,percent of total billed charges,,365.84658,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,375.1281,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,340.3224,,,,percent of total billed charges,,348.057,,,,percent of total billed charges,,309.77073,,,,percent of total billed charges,,348.057,,,,percent of total billed charges,,232.038,,,,percent of total billed charges,,359.233497,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,309.384,,,,percent of total billed charges,,232.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,309.809403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [94304],0636,RC,25021-190-10,NDC,J2248,HCPCS,outpatient,1,EA,70.29,,35.145,42.174,68.1813,66.0726,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,58.3407,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,66.49434,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,68.1813,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,61.8552,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,56.30229,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,65.292381,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.309319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,25021-191-11,NDC,J2248,HCPCS,outpatient,100,ME,138.97,,69.485,83.382,134.8009,130.6318,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,115.3451,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,131.46562,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,134.8009,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,122.2936,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,111.31497,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,129.089233,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,111.328867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % TOPICAL OINTMENT [80232],0637,RC,53329-167-10,NDC,,,outpatient,71,GR,17.58,,8.79,10.548,17.0526,16.5252,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.5914,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.63068,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,17.0526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,15.4704,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,14.08158,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,16.330062,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.083338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,0472-0730-41,NDC,,,outpatient,45,GR,24.51,,12.255,14.706,23.7747,23.0394,,,,percent of total billed charges,,19.608,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,20.3433,,,,percent of total billed charges,,22.059,,,,percent of total billed charges,,22.5492,,,,percent of total billed charges,,22.5492,,,,percent of total billed charges,,23.18646,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,23.7747,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,21.5688,,,,percent of total billed charges,,22.059,,,,percent of total billed charges,,19.63251,,,,percent of total billed charges,,22.059,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,22.767339,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,19.608,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.634961,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,0904-7734-45,NDC,,,outpatient,45,GR,14.99,,7.495,8.994,14.5403,14.0906,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,12.4417,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,14.18054,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.5403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,13.1912,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,12.00699,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,13.924211,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.008489,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,24385-590-29,NDC,,,outpatient,45,GR,16.2,,8.1,9.72,15.714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,12.9762,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,15.04818,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.97782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,49348-872-77,NDC,,,outpatient,45,GR,30.99,,15.495,18.594,30.0603,29.1306,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,25.7217,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,29.31654,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,30.0603,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,27.2712,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,24.82299,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,28.786611,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.826089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,70677-1225-1,NDC,,,outpatient,45,GR,30.99,,15.495,18.594,30.0603,29.1306,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,25.7217,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,29.31654,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,30.0603,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,27.2712,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,24.82299,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,28.786611,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.826089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER [78006],0250,RC,53276-1010-02,NDC,,,outpatient,1,GR,852.63,,426.315,511.578,827.0511,801.4722,,,,percent of total billed charges,,682.104,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,707.6829,,,,percent of total billed charges,,767.367,,,,percent of total billed charges,,784.4196,,,,percent of total billed charges,,784.4196,,,,percent of total billed charges,,806.58798,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,827.0511,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,750.3144,,,,percent of total billed charges,,767.367,,,,percent of total billed charges,,682.95663,,,,percent of total billed charges,,767.367,,,,percent of total billed charges,,511.578,,,,percent of total billed charges,,792.008007,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,682.104,,,,percent of total billed charges,,511.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,683.041893,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER [78006],0250,RC,0998-1010-02,NDC,,,outpatient,1,GR,718.38,,359.19,431.028,696.8286,675.2772,,,,percent of total billed charges,,574.704,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,596.2554,,,,percent of total billed charges,,646.542,,,,percent of total billed charges,,660.9096,,,,percent of total billed charges,,660.9096,,,,percent of total billed charges,,679.58748,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,696.8286,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,632.1744,,,,percent of total billed charges,,646.542,,,,percent of total billed charges,,575.42238,,,,percent of total billed charges,,646.542,,,,percent of total billed charges,,431.028,,,,percent of total billed charges,,667.303182,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,574.704,,,,percent of total billed charges,,431.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,575.494218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [219393],0636,RC,0409-2305-17,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM (PF) 200 MCG/ML PEDS DILUTION - CHI [7000242],0636,RC,9997-0002-42,NDC,J2250,HCPCS,outpatient,1,ML,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [219392],0636,RC,0409-2308-01,NDC,J2250,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,63323-411-12,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,0641-6057-01,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,0641-6057-25,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,23155-600-31,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,23155-600-41,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,70860-600-02,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,63323-411-15,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,70860-600-41,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,72611-741-01,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,72611-741-25,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,63323-411-12,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,0409-2305-17,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,0641-6057-01,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,0641-6057-25,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,63323-411-15,NDC,J2250,HCPCS,outpatient,2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,51754-9131-1,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,70324-102-02,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,44567-611-01,NDC,J2251,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,44567-611-10,NDC,J2251,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,0143-9380-01,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,0143-9380-10,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,0054-3566-99,NDC,,,outpatient,118,ML,320.73,,160.365,192.438,311.1081,301.4862,,,,percent of total billed charges,,256.584,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,266.2059,,,,percent of total billed charges,,288.657,,,,percent of total billed charges,,295.0716,,,,percent of total billed charges,,295.0716,,,,percent of total billed charges,,303.41058,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,311.1081,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,282.2424,,,,percent of total billed charges,,288.657,,,,percent of total billed charges,,256.90473,,,,percent of total billed charges,,288.657,,,,percent of total billed charges,,192.438,,,,percent of total billed charges,,297.926097,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,256.584,,,,percent of total billed charges,,192.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,256.936803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,0574-0150-04,NDC,,,outpatient,118,ML,236.83,,118.415,142.098,229.7251,222.6202,,,,percent of total billed charges,,189.464,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,196.5689,,,,percent of total billed charges,,213.147,,,,percent of total billed charges,,217.8836,,,,percent of total billed charges,,217.8836,,,,percent of total billed charges,,224.04118,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,229.7251,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,208.4104,,,,percent of total billed charges,,213.147,,,,percent of total billed charges,,189.70083,,,,percent of total billed charges,,213.147,,,,percent of total billed charges,,142.098,,,,percent of total billed charges,,219.991387,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,189.464,,,,percent of total billed charges,,142.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.724513,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,9999-2471-62,NDC,,,outpatient,2.5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,68094-762-59,NDC,,,outpatient,2.5,ML,18.49,,9.245,11.094,17.9353,17.3806,,,,percent of total billed charges,,14.792,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,15.3467,,,,percent of total billed charges,,16.641,,,,percent of total billed charges,,17.0108,,,,percent of total billed charges,,17.0108,,,,percent of total billed charges,,17.49154,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,17.9353,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,16.2712,,,,percent of total billed charges,,16.641,,,,percent of total billed charges,,14.81049,,,,percent of total billed charges,,16.641,,,,percent of total billed charges,,11.094,,,,percent of total billed charges,,17.175361,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,14.792,,,,percent of total billed charges,,11.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.812339,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,60687-576-03,NDC,,,outpatient,2.5,ML,22.59,,11.295,13.554,21.9123,21.2346,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.7497,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,21.37014,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.9123,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,19.8792,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,18.09459,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,20.983851,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.096849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,60687-576-10,NDC,,,outpatient,2.5,ML,22.59,,11.295,13.554,21.9123,21.2346,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.7497,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,21.37014,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.9123,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,19.8792,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,18.09459,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,20.983851,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.096849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,63323-412-25,NDC,J2250,HCPCS,outpatient,1,ML,11.75,,5.875,7.05,11.3975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,9.41175,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,10.914575,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.412925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,17478-524-10,NDC,J2250,HCPCS,outpatient,10,ML,45.54,,22.77,27.324,44.1738,42.8076,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,37.7982,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,43.08084,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,44.1738,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,40.0752,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,36.47754,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,42.302106,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.482094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,0641-6061-01,NDC,J2250,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,0641-6061-25,NDC,J2250,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,70860-601-10,NDC,J2250,HCPCS,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,0641-6211-01,NDC,J2250,HCPCS,outpatient,10,ML,70.11,,35.055,42.066,68.0067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,56.15811,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,65.125179,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.165121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,0641-6211-10,NDC,J2250,HCPCS,outpatient,10,ML,70.11,,35.055,42.066,68.0067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,56.15811,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,65.125179,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.165121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,70860-601-42,NDC,J2250,HCPCS,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,63323-412-18,NDC,J2250,HCPCS,outpatient,1,ML,11.75,,5.875,7.05,11.3975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,9.41175,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,10.914575,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.412925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,72611-749-01,NDC,J2250,HCPCS,outpatient,10,ML,16.25,,8.125,9.75,15.7625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,13.01625,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,15.094625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.017875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,72611-749-10,NDC,J2250,HCPCS,outpatient,10,ML,16.25,,8.125,9.75,15.7625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,13.01625,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,15.094625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.017875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,0409-2308-01,NDC,J2250,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,17478-524-10,NDC,J2250,HCPCS,outpatient,10,ML,45.54,,22.77,27.324,44.1738,42.8076,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,37.7982,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,43.08084,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,44.1738,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,40.0752,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,36.47754,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,42.302106,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.482094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,0641-6061-01,NDC,J2250,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,0641-6061-25,NDC,J2250,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,70860-601-10,NDC,J2250,HCPCS,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,0641-6211-01,NDC,J2250,HCPCS,outpatient,10,ML,70.11,,35.055,42.066,68.0067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,56.15811,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,65.125179,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.165121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,0641-6211-10,NDC,J2250,HCPCS,outpatient,10,ML,70.11,,35.055,42.066,68.0067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,56.15811,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,65.125179,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.165121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,70860-601-42,NDC,J2250,HCPCS,outpatient,10,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,72611-749-01,NDC,J2250,HCPCS,outpatient,10,ML,16.25,,8.125,9.75,15.7625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,13.01625,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,15.094625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.017875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,72611-749-10,NDC,J2250,HCPCS,outpatient,10,ML,16.25,,8.125,9.75,15.7625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,13.01625,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,15.094625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.017875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 10 MG TABLET [33083],0637,RC,0904-6819-07,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,0115-4211-01,NDC,,,outpatient,1,EA,4.19,,2.095,2.514,4.0643,3.9386,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.4777,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.96374,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,4.0643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.6872,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.35619,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,3.892091,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.356609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,60687-387-01,NDC,,,outpatient,1,EA,3.02,,1.51,1.812,2.9294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.41902,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,2.805278,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.419322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,60687-387-11,NDC,,,outpatient,1,EA,3.02,,1.51,1.812,2.9294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.41902,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,2.805278,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.419322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,0904-6817-61,NDC,,,outpatient,1,EA,2.24,,1.12,1.344,2.1728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.79424,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.080736,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.794464,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,68382-737-01,NDC,,,outpatient,1,EA,1.35,,0.675,0.81,1.3095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.08135,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.254015,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.081485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,0143-9709-10,NDC,J2260,HCPCS,outpatient,20,ML,20.43,,10.215,12.258,19.8171,19.2042,,,,percent of total billed charges,,16.344,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,16.9569,,,,percent of total billed charges,,18.387,,,,percent of total billed charges,,18.7956,,,,percent of total billed charges,,18.7956,,,,percent of total billed charges,,19.32678,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,19.8171,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,17.9784,,,,percent of total billed charges,,18.387,,,,percent of total billed charges,,16.36443,,,,percent of total billed charges,,18.387,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,18.977427,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,16.344,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.366473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,0143-9710-10,NDC,J2260,HCPCS,outpatient,10,ML,14.31,,7.155,8.586,13.8807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,11.46231,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,13.292559,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.463741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,0143-9709-01,NDC,J2260,HCPCS,outpatient,20,ML,20.34,,10.17,12.204,19.7298,19.1196,,,,percent of total billed charges,,16.272,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,16.8822,,,,percent of total billed charges,,18.306,,,,percent of total billed charges,,18.7128,,,,percent of total billed charges,,18.7128,,,,percent of total billed charges,,19.24164,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,19.7298,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,17.8992,,,,percent of total billed charges,,18.306,,,,percent of total billed charges,,16.29234,,,,percent of total billed charges,,18.306,,,,percent of total billed charges,,12.204,,,,percent of total billed charges,,18.893826,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,16.272,,,,percent of total billed charges,,12.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.294374,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,0143-9710-01,NDC,J2260,HCPCS,outpatient,10,ML,14.31,,7.155,8.586,13.8807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,11.46231,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,13.292559,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.463741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,0409-0212-02,NDC,J2260,HCPCS,outpatient,20,ML,19.89,,9.945,11.934,19.2933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,15.93189,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,18.475821,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.933879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,0409-0212-11,NDC,J2260,HCPCS,outpatient,20,ML,19.89,,9.945,11.934,19.2933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,15.93189,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,18.475821,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.933879,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,72485-502-10,NDC,J2260,HCPCS,outpatient,20,ML,19.62,,9.81,11.772,19.0314,18.4428,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,16.2846,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.56052,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,19.0314,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,17.2656,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,15.71562,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,18.225018,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.717582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,72485-502-01,NDC,J2260,HCPCS,outpatient,20,ML,19.62,,9.81,11.772,19.0314,18.4428,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,16.2846,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.56052,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,19.0314,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,17.2656,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,15.71562,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,18.225018,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.717582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,0338-0017-04,NDC,,,outpatient,80,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINERAL OIL ORAL [5086],0637,RC,54162-190-16,NDC,,,outpatient,472,ML,19.12,,9.56,11.472,18.5464,17.9728,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.8696,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,18.08752,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.5464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,16.8256,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,15.31512,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,17.760568,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.317032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINERAL OIL ORAL [5086],0637,RC,0869-0831-43,NDC,,,outpatient,473,ML,14.9,,7.45,8.94,14.453,14.006,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,12.367,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,14.0954,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,13.112,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,11.9349,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,13.84061,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.93639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINERAL OIL ORAL [5086],0637,RC,48433-202-30,NDC,,,outpatient,30,ML,5.54,,2.77,3.324,5.3738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,4.43754,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.146106,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.438094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 10 MG TABLET [5114],0637,RC,49884-257-01,NDC,,,outpatient,1,EA,1.03,,0.515,0.618,0.9991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.82503,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,0.956767,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.825133,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 10 MG TABLET [5114],0637,RC,68084-205-01,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 10 MG TABLET [5114],0637,RC,68084-205-11,NDC,,,outpatient,1,EA,2.7,,1.35,1.62,2.619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.1627,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.50803,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.16297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 2.5 MG TABLET [5115],0637,RC,49884-256-01,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 2.5 MG TABLET [5115],0637,RC,68084-204-01,NDC,,,outpatient,1,EA,2.34,,1.17,1.404,2.2698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.87434,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.173626,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.874574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 2.5 MG TABLET [5115],0637,RC,68084-204-11,NDC,,,outpatient,1,EA,2.34,,1.17,1.404,2.2698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.87434,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.173626,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.874574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],0637,RC,65862-021-06,NDC,,,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,51079-086-20,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,57664-499-83,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,68084-119-01,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,51079-086-01,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,68084-119-11,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,0904-6519-61,NDC,,,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,63739-098-10,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,0025-1451-34,NDC,,,outpatient,1,EA,17.34,,8.67,10.404,16.8198,16.2996,,,,percent of total billed charges,,13.872,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,14.3922,,,,percent of total billed charges,,15.606,,,,percent of total billed charges,,15.9528,,,,percent of total billed charges,,15.9528,,,,percent of total billed charges,,16.40364,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,16.8198,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,15.2592,,,,percent of total billed charges,,15.606,,,,percent of total billed charges,,13.88934,,,,percent of total billed charges,,15.606,,,,percent of total billed charges,,10.404,,,,percent of total billed charges,,16.107126,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,13.872,,,,percent of total billed charges,,10.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.891074,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,59762-5007-1,NDC,,,outpatient,1,EA,1.81,,0.905,1.086,1.7557,1.7014,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5023,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.71226,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5928,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.44981,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,1.681309,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.449991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,43386-160-12,NDC,,,outpatient,1,EA,1.72,,0.86,1.032,1.6684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.37772,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.597708,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.377892,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,70954-443-10,NDC,,,outpatient,1,EA,1.81,,0.905,1.086,1.7557,1.7014,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5023,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.71226,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5928,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.44981,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,1.681309,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.449991,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,59762-5008-1,NDC,,,outpatient,1,EA,3.28,,1.64,1.968,3.1816,3.0832,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.7224,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.10288,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.1816,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.8864,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,2.62728,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,3.046792,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.627608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,59762-5008-2,NDC,,,outpatient,1,EA,3.28,,1.64,1.968,3.1816,3.0832,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.7224,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.10288,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.1816,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.8864,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,2.62728,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,3.046792,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.627608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,68084-041-01,NDC,,,outpatient,1,EA,6.42,,3.21,3.852,6.2274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.14242,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,5.963538,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.143062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,68084-041-11,NDC,,,outpatient,1,EA,6.42,,3.21,3.852,6.2274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.14242,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,5.963538,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.143062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 25 MCG QUARTER TABLET [1000318],0250,RC,9991-0003-18,NDC,,,outpatient,0.25,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.2 MG OPHTHALMIC KIT [207633],0250,RC,49771-002-01,NDC,,,outpatient,1,EA,670.5,,335.25,402.3,650.385,630.27,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,556.515,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,634.293,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,650.385,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,590.04,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,537.0705,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,622.82745,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,537.13755,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.2 MG/ML IN (PF)SW DILUTION [1000053],0636,RC,WVU01-000-53,NDC,J7315,HCPCS,outpatient,1,ML,3.92,,1.96,2.352,3.8024,3.6848,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.2536,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.70832,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.8024,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.4496,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,3.13992,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,3.641288,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.140312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.5 MG OPHTHALMIC KIT [239483],0250,RC,49771-002-01,NDC,,,outpatient,1,EA,670.5,,335.25,402.3,650.385,630.27,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,556.515,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,634.293,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,650.385,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,590.04,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,537.0705,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,622.82745,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,537.13755,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.5 MG/ML IN (PF)SW DILUTION [1000138],0636,RC,WVU01-001-38,NDC,J7315,HCPCS,outpatient,1,ML,9.78,,4.89,5.868,9.4866,9.1932,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,8.1174,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,8.9976,,,,percent of total billed charges,,8.9976,,,,percent of total billed charges,,9.25188,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,9.4866,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,8.6064,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,7.83378,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,9.084642,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.834758,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],0636,RC,16729-108-11,NDC,J9280,HCPCS,outpatient,1,EA,834.98,,417.49,500.988,809.9306,784.8812,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,693.0334,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,789.89108,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,809.9306,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,734.7824,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,668.81898,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,775.612922,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,668.902478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],0636,RC,67457-519-20,NDC,J9280,HCPCS,outpatient,1,EA,296.01,,148.005,177.606,287.1297,278.2494,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,245.6883,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,280.02546,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,287.1297,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,260.4888,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,237.10401,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,274.963689,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.133611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],0636,RC,0143-9279-01,NDC,J9280,HCPCS,outpatient,1,EA,775.49,,387.745,465.294,752.2253,728.9606,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,643.6567,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,733.61354,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,752.2253,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,682.4312,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,621.16749,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,720.352661,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,621.245039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,16729-108-11,NDC,J9280,HCPCS,outpatient,1,EA,834.98,,417.49,500.988,809.9306,784.8812,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,693.0334,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,789.89108,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,809.9306,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,734.7824,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,668.81898,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,775.612922,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,668.902478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,67457-519-20,NDC,J9280,HCPCS,outpatient,1,EA,296.01,,148.005,177.606,287.1297,278.2494,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,245.6883,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,280.02546,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,287.1297,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,260.4888,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,237.10401,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,274.963689,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,237.133611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,0143-9279-01,NDC,J9280,HCPCS,outpatient,1,EA,775.49,,387.745,465.294,752.2253,728.9606,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,643.6567,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,733.61354,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,752.2253,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,682.4312,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,621.16749,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,720.352661,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,621.245039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],0636,RC,16729-116-38,NDC,J9280,HCPCS,outpatient,1,EA,1479.38,,739.69,887.628,1434.9986,1390.6172,,,,percent of total billed charges,,1183.504,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1227.8854,,,,percent of total billed charges,,1331.442,,,,percent of total billed charges,,1361.0296,,,,percent of total billed charges,,1361.0296,,,,percent of total billed charges,,1399.49348,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1434.9986,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1301.8544,,,,percent of total billed charges,,1331.442,,,,percent of total billed charges,,1184.98338,,,,percent of total billed charges,,1331.442,,,,percent of total billed charges,,887.628,,,,percent of total billed charges,,1374.196082,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1183.504,,,,percent of total billed charges,,887.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1185.131318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],0636,RC,0143-9280-01,NDC,J9280,HCPCS,outpatient,1,EA,1550.97,,775.485,930.582,1504.4409,1457.9118,,,,percent of total billed charges,,1240.776,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1287.3051,,,,percent of total billed charges,,1395.873,,,,percent of total billed charges,,1426.8924,,,,percent of total billed charges,,1426.8924,,,,percent of total billed charges,,1467.21762,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1504.4409,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1364.8536,,,,percent of total billed charges,,1395.873,,,,percent of total billed charges,,1242.32697,,,,percent of total billed charges,,1395.873,,,,percent of total billed charges,,930.582,,,,percent of total billed charges,,1440.696033,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1240.776,,,,percent of total billed charges,,930.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1242.482067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],0636,RC,16729-115-05,NDC,J9280,HCPCS,outpatient,1,EA,905.54,,452.77,543.324,878.3738,851.2076,,,,percent of total billed charges,,724.432,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,751.5982,,,,percent of total billed charges,,814.986,,,,percent of total billed charges,,833.0968,,,,percent of total billed charges,,833.0968,,,,percent of total billed charges,,856.64084,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,878.3738,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,796.8752,,,,percent of total billed charges,,814.986,,,,percent of total billed charges,,725.33754,,,,percent of total billed charges,,814.986,,,,percent of total billed charges,,543.324,,,,percent of total billed charges,,841.156106,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,724.432,,,,percent of total billed charges,,543.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,725.428094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-10,NDC,,,outpatient,40,ML,12.6,,6.3,7.56,12.222,11.844,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.9196,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,12.222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,10.0926,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,11.70414,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.09386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,67457-519-20,NDC,J9280,HCPCS,outpatient,40,ME,592.02,,296.01,355.212,574.2594,556.4988,,,,percent of total billed charges,,473.616,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,491.3766,,,,percent of total billed charges,,532.818,,,,percent of total billed charges,,544.6584,,,,percent of total billed charges,,544.6584,,,,percent of total billed charges,,560.05092,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,574.2594,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,520.9776,,,,percent of total billed charges,,532.818,,,,percent of total billed charges,,474.20802,,,,percent of total billed charges,,532.818,,,,percent of total billed charges,,355.212,,,,percent of total billed charges,,549.927378,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,473.616,,,,percent of total billed charges,,355.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,474.267222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",0636,RC,63323-132-10,NDC,J9293,HCPCS,outpatient,10,ML,527.4,,263.7,316.44,511.578,495.756,,,,percent of total billed charges,,421.92,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,437.742,,,,percent of total billed charges,,474.66,,,,percent of total billed charges,,485.208,,,,percent of total billed charges,,485.208,,,,percent of total billed charges,,498.9204,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,511.578,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,464.112,,,,percent of total billed charges,,474.66,,,,percent of total billed charges,,422.4474,,,,percent of total billed charges,,474.66,,,,percent of total billed charges,,316.44,,,,percent of total billed charges,,489.90186,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,421.92,,,,percent of total billed charges,,316.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,422.50014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MODAFINIL 100 MG TABLET [82984],0637,RC,60505-2526-3,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [241165],0636,RC,42747-761-01,NDC,J9204,HCPCS,outpatient,5,ML,20279.7,,10139.85,12167.82,19671.309,19062.918,,,,percent of total billed charges,,16223.76,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,16832.151,,,,percent of total billed charges,,18251.73,,,,percent of total billed charges,,18657.324,,,,percent of total billed charges,,18657.324,,,,percent of total billed charges,,19184.5962,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,19671.309,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,17846.136,,,,percent of total billed charges,,18251.73,,,,percent of total billed charges,,16244.0397,,,,percent of total billed charges,,18251.73,,,,percent of total billed charges,,12167.82,,,,percent of total billed charges,,18837.81333,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,16223.76,,,,percent of total billed charges,,12167.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16246.06767,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [241165],0636,RC,42747-761-01,NDC,J9204,HCPCS,outpatient,67.6,ME,60929.24,,30464.62,36557.544,59101.3628,57273.4856,,,,percent of total billed charges,,48743.392,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,50571.2692,,,,percent of total billed charges,,54836.316,,,,percent of total billed charges,,56054.9008,,,,percent of total billed charges,,56054.9008,,,,percent of total billed charges,,57639.06104,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,59101.3628,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,53617.7312,,,,percent of total billed charges,,54836.316,,,,percent of total billed charges,,48804.32124,,,,percent of total billed charges,,54836.316,,,,percent of total billed charges,,36557.544,,,,percent of total billed charges,,56597.17104,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,48743.392,,,,percent of total billed charges,,36557.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48810.41416,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,33342-102-07,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,68084-875-01,NDC,,,outpatient,1,EA,1.85,,0.925,1.11,1.7945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.48185,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.718465,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.482035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,68084-875-11,NDC,,,outpatient,1,EA,1.85,,0.925,1.11,1.7945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.48185,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.718465,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.482035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,27241-018-03,NDC,,,outpatient,1,EA,1.65,,0.825,0.99,1.6005,1.551,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.3695,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.5609,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.6005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.32165,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.532685,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.321815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,0904-6808-61,NDC,,,outpatient,1,EA,1.38,,0.69,0.828,1.3386,1.2972,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.1454,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.30548,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.3386,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.10538,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,1.281882,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.105518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,0904-6808-06,NDC,,,outpatient,1,EA,1.49,,0.745,0.894,1.4453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.19349,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.384061,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.193639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,50268-573-11,NDC,,,outpatient,1,EA,3.63,,1.815,2.178,3.5211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.90763,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.371907,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.907993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,50268-573-15,NDC,,,outpatient,1,EA,3.63,,1.815,2.178,3.5211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.90763,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.371907,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.907993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,31722-727-30,NDC,,,outpatient,1,EA,1.28,,0.64,0.768,1.2416,1.2032,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.0624,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.21088,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.2416,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.1264,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.02528,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,1.188992,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.025408,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,57237-212-30,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 5 MG CHEWABLE TABLET [77102],0637,RC,0006-0275-31,NDC,,,outpatient,1,EA,19.36,,9.68,11.616,18.7792,18.1984,,,,percent of total billed charges,,15.488,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,16.0688,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,17.8112,,,,percent of total billed charges,,17.8112,,,,percent of total billed charges,,18.31456,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,18.7792,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,17.0368,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,15.50736,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,11.616,,,,percent of total billed charges,,17.983504,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,15.488,,,,percent of total billed charges,,11.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.509296,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 5 MG CHEWABLE TABLET [77102],0637,RC,50268-574-11,NDC,,,outpatient,1,EA,3.26,,1.63,1.956,3.1622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.61126,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.028214,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.611586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 5 MG CHEWABLE TABLET [77102],0637,RC,50268-574-15,NDC,,,outpatient,1,EA,3.26,,1.63,1.956,3.1622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.61126,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.028214,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.611586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],0636,RC,0641-6020-01,NDC,J2274,HCPCS,outpatient,10,ML,105.66,,52.83,63.396,102.4902,99.3204,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,87.6978,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,99.95436,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,102.4902,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,92.9808,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,84.63366,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,98.147574,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.644226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],0636,RC,0641-6020-10,NDC,J2274,HCPCS,outpatient,10,ML,105.66,,52.83,63.396,102.4902,99.3204,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,87.6978,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,99.95436,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,102.4902,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,92.9808,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,84.63366,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,98.147574,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.644226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,0409-3815-12,NDC,J2274,HCPCS,outpatient,10,ML,30.74,,15.37,18.444,29.8178,28.8956,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,25.5142,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,29.08004,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.8178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,27.0512,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,24.62274,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,28.554386,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.625814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,0641-6019-01,NDC,J2274,HCPCS,outpatient,10,ML,82.58,,41.29,49.548,80.1026,77.6252,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,68.5414,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,78.12068,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,80.1026,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,72.6704,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,66.14658,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,76.708562,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.154838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,0641-6019-10,NDC,J2274,HCPCS,outpatient,10,ML,82.58,,41.29,49.548,80.1026,77.6252,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,68.5414,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,78.12068,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,80.1026,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,72.6704,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,66.14658,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,76.708562,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.154838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,0409-3815-11,NDC,J2274,HCPCS,outpatient,10,ML,30.74,,15.37,18.444,29.8178,28.8956,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,25.5142,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,29.08004,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.8178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,27.0512,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,24.62274,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,28.554386,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.625814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 10 MG/ML INJECTION SOLUTION [87853],0636,RC,0641-6039-01,NDC,J2274,HCPCS,outpatient,20,ML,699.48,,349.74,419.688,678.4956,657.5112,,,,percent of total billed charges,,559.584,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,580.5684,,,,percent of total billed charges,,629.532,,,,percent of total billed charges,,643.5216,,,,percent of total billed charges,,643.5216,,,,percent of total billed charges,,661.70808,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,678.4956,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,615.5424,,,,percent of total billed charges,,629.532,,,,percent of total billed charges,,560.28348,,,,percent of total billed charges,,629.532,,,,percent of total billed charges,,419.688,,,,percent of total billed charges,,649.746972,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,559.584,,,,percent of total billed charges,,419.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,560.353428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 0.2 MG/ML IN NS IV PEDS DILUTION [1000429],0636,RC,99910-004-29,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 0.4 MG/ML ORAL LIQUID [1000119],0637,RC,99910-001-19,NDC,,,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],0637,RC,0054-0237-49,NDC,,,outpatient,100,ML,40.5,,20.25,24.3,39.285,38.07,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,33.615,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,32.4405,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,37.62045,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.44455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],0637,RC,68094-001-59,NDC,,,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],0637,RC,68094-001-62,NDC,,,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],0636,RC,0641-6127-25,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/ML INTRAVENOUS SYRINGE [223298],0636,RC,0409-1893-03,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],0637,RC,0054-0235-24,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 2 MG/ML INJECTION WRAPPER [1000731],0636,RC,76045-004-10,NDC,J2270,HCPCS,outpatient,1,ML,11.77,,5.885,7.062,11.4169,11.0638,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.7691,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,11.13442,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.4169,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,10.3576,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,9.42777,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,10.933153,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.428947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [220545],0636,RC,0409-1890-01,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [220545],0636,RC,0409-1890-03,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,0409-1891-01,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,76045-005-10,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,0409-1891-03,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,63323-454-00,NDC,J2272,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,63323-454-01,NDC,J2272,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [227587],0636,RC,0641-6125-01,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [227587],0636,RC,0641-6125-25,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [220546],0636,RC,0409-1891-01,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [220546],0636,RC,0409-1891-03,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 5 MG/ML INJECTION SYRINGE [86513],0636,RC,76045-006-10,NDC,J2270,HCPCS,outpatient,1,ML,11.77,,5.885,7.062,11.4169,11.0638,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.7691,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,11.13442,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.4169,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,10.3576,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,9.42777,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,10.933153,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.428947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 5 MG/ML INJECTION SYRINGE [86513],0636,RC,9999-8651-31,NDC,J2270,HCPCS,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,0406-8003-30,NDC,,,outpatient,30,ML,54.81,,27.405,32.886,53.1657,51.5214,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,45.4923,,,,percent of total billed charges,,49.329,,,,percent of total billed charges,,50.4252,,,,percent of total billed charges,,50.4252,,,,percent of total billed charges,,51.85026,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,53.1657,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,48.2328,,,,percent of total billed charges,,49.329,,,,percent of total billed charges,,43.90281,,,,percent of total billed charges,,49.329,,,,percent of total billed charges,,32.886,,,,percent of total billed charges,,50.913009,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,32.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.908291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,99999-106-55,NDC,,,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,9991-0655-25,NDC,,,outpatient,0.25,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,9991-0655-02,NDC,,,outpatient,0.2,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,0406-8315-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,0406-8315-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,68084-157-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,68084-157-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,0406-8330-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,0406-8330-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,68084-158-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,68084-158-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE IN NS 1MG/ML PREMIX INFUSION [7000035],0636,RC,9997-0000-35,NDC,J2270,HCPCS,outpatient,100,ML,41.63,,20.815,24.978,40.3811,39.1322,,,,percent of total billed charges,,33.304,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,34.5529,,,,percent of total billed charges,,37.467,,,,percent of total billed charges,,38.2996,,,,percent of total billed charges,,38.2996,,,,percent of total billed charges,,39.38198,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,40.3811,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,36.6344,,,,percent of total billed charges,,37.467,,,,percent of total billed charges,,33.34563,,,,percent of total billed charges,,37.467,,,,percent of total billed charges,,24.978,,,,percent of total billed charges,,38.670107,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,33.304,,,,percent of total billed charges,,24.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.349793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE IN NS 1MG/ML PREMIX INFUSION [7000035],0636,RC,9999-9308-51,NDC,J2270,HCPCS,outpatient,50,ML,36.68,,18.34,22.008,35.5796,34.4792,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,30.4444,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,34.69928,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,35.5796,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,32.2784,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,29.38068,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,34.072052,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.384348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE IN NS 1MG/ML PREMIX INFUSION [7000035],0636,RC,70092-1380-36,NDC,J2270,HCPCS,outpatient,100,ML,59.4,,29.7,35.64,57.618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,47.5794,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,55.17666,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.58534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,42023-159-25,NDC,J0171,HCPCS,outpatient,0.025,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID [215966],0637,RC,6809412059,NDC,,,outpatient,15,ML,8.44,,4.22,5.064,8.1868,7.9336,,,,percent of total billed charges,,6.752,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,7.0052,,,,percent of total billed charges,,7.596,,,,percent of total billed charges,,7.7648,,,,percent of total billed charges,,7.7648,,,,percent of total billed charges,,7.98424,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,8.1868,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,7.4272,,,,percent of total billed charges,,7.596,,,,percent of total billed charges,,6.76044,,,,percent of total billed charges,,7.596,,,,percent of total billed charges,,5.064,,,,percent of total billed charges,,7.839916,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,6.752,,,,percent of total billed charges,,5.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.761284,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [207638],0637,RC,0904053061,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN 2 % TOPICAL OINTMENT [10674],0637,RC,45802-112-22,NDC,,,outpatient,22,GR,30.2,,15.1,18.12,29.294,28.388,,,,percent of total billed charges,,24.16,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,25.066,,,,percent of total billed charges,,27.18,,,,percent of total billed charges,,27.784,,,,percent of total billed charges,,27.784,,,,percent of total billed charges,,28.5692,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,29.294,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,26.576,,,,percent of total billed charges,,27.18,,,,percent of total billed charges,,24.1902,,,,percent of total billed charges,,27.18,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,28.05278,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,24.16,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.19322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN 2 % TOPICAL OINTMENT [10674],0637,RC,68462-180-22,NDC,,,outpatient,22,GR,18.81,,9.405,11.286,18.2457,17.6814,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,15.6123,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.3052,,,,percent of total billed charges,,17.3052,,,,percent of total billed charges,,17.79426,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,18.2457,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,16.5528,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,15.06681,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,11.286,,,,percent of total billed charges,,17.472609,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,11.286,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.068691,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN CALCIUM 2 % NASAL OINTMENT [82951],0637,RC,0029-1526-11,NDC,,,outpatient,1,GR,68.69,,34.345,41.214,66.6293,64.5686,,,,percent of total billed charges,,54.952,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,57.0127,,,,percent of total billed charges,,61.821,,,,percent of total billed charges,,63.1948,,,,percent of total billed charges,,63.1948,,,,percent of total billed charges,,64.98074,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,66.6293,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,60.4472,,,,percent of total billed charges,,61.821,,,,percent of total billed charges,,55.02069,,,,percent of total billed charges,,61.821,,,,percent of total billed charges,,41.214,,,,percent of total billed charges,,63.806141,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,54.952,,,,percent of total billed charges,,41.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.027559,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN OINT IN NS NASAL SPRAY [1000591],0637,RC,99910-005-91,NDC,,,outpatient,45,ML,43.25,,21.625,25.95,41.9525,40.655,,,,percent of total billed charges,,34.6,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,35.8975,,,,percent of total billed charges,,38.925,,,,percent of total billed charges,,39.79,,,,percent of total billed charges,,39.79,,,,percent of total billed charges,,40.9145,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,41.9525,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,38.06,,,,percent of total billed charges,,38.925,,,,percent of total billed charges,,34.64325,,,,percent of total billed charges,,38.925,,,,percent of total billed charges,,25.95,,,,percent of total billed charges,,40.174925,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,34.6,,,,percent of total billed charges,,25.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.647575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN [93681]",0250,RC,54643-5646-1,NDC,,,outpatient,5,ML,3.42,,1.71,2.052,3.3174,3.2148,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.8386,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.23532,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.3174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.0096,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.73942,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,3.176838,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.739762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN [93681]",0250,RC,54643-5647-0,NDC,,,outpatient,50,ML,57.83,,28.915,34.698,56.0951,54.3602,,,,percent of total billed charges,,46.264,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,47.9989,,,,percent of total billed charges,,52.047,,,,percent of total billed charges,,53.2036,,,,percent of total billed charges,,53.2036,,,,percent of total billed charges,,54.70718,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,56.0951,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,50.8904,,,,percent of total billed charges,,52.047,,,,percent of total billed charges,,46.32183,,,,percent of total billed charges,,52.047,,,,percent of total billed charges,,34.698,,,,percent of total billed charges,,53.718287,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,46.264,,,,percent of total billed charges,,34.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.327613,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [215696]",0250,RC,54643-5649-1,NDC,,,outpatient,10,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 50 MG/ML ORAL LIQUID - BMC [7000267],0636,RC,9997-0002-67,NDC,J7517,HCPCS,outpatient,120,ML,540,,270,324,523.8,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,432.54,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,501.606,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,0004-0298-09,NDC,J7518,HCPCS,outpatient,1,EA,300.1,,150.05,180.06,291.097,282.094,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,249.083,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,283.8946,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,291.097,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,264.088,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,240.3801,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,278.76289,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.41011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,0004-0298-30,NDC,J7518,HCPCS,outpatient,1,EA,300.1,,150.05,180.06,291.097,282.094,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,249.083,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,283.8946,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,291.097,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,264.088,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,240.3801,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,278.76289,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,240.41011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,67457-386-00,NDC,J7518,HCPCS,outpatient,1,EA,99.57,,49.785,59.742,96.5829,93.5958,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,82.6431,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,94.19322,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,96.5829,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,87.6216,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,79.75557,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,92.490573,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.765527,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,67457-386-81,NDC,J7518,HCPCS,outpatient,1,EA,99.57,,49.785,59.742,96.5829,93.5958,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,82.6431,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,94.19322,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,96.5829,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,87.6216,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,79.75557,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,92.490573,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.765527,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,71288-803-20,NDC,J7518,HCPCS,outpatient,1,EA,89.79,,44.895,53.874,87.0963,84.4026,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,74.5257,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,84.94134,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,87.0963,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,79.0152,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,71.92179,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,83.405931,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.930769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,71288-803-21,NDC,J7518,HCPCS,outpatient,1,EA,89.79,,44.895,53.874,87.0963,84.4026,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,74.5257,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,84.94134,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,87.0963,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,79.0152,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,71.92179,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,83.405931,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.930769,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,0.82,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,0004-0298-09,NDC,J7518,HCPCS,outpatient,1,GR,600.2,,300.1,360.12,582.194,564.188,,,,percent of total billed charges,,480.16,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,498.166,,,,percent of total billed charges,,540.18,,,,percent of total billed charges,,552.184,,,,percent of total billed charges,,552.184,,,,percent of total billed charges,,567.7892,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,582.194,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,528.176,,,,percent of total billed charges,,540.18,,,,percent of total billed charges,,480.7602,,,,percent of total billed charges,,540.18,,,,percent of total billed charges,,360.12,,,,percent of total billed charges,,557.52578,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,480.16,,,,percent of total billed charges,,360.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,480.82022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,16729-094-01,NDC,J7517,HCPCS,outpatient,1,EA,0.57,,0.285,0.342,0.5529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.45657,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.529473,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.456627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,51079-721-20,NDC,J7517,HCPCS,outpatient,1,EA,1.91,,0.955,1.146,1.8527,1.7954,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.5853,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.80686,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.6808,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.52991,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,1.774199,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.530101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,60687-494-01,NDC,J7517,HCPCS,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,60687-494-11,NDC,J7517,HCPCS,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,68462-358-01,NDC,,,outpatient,1,EA,1.04,,0.52,0.624,1.0088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.83304,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.966056,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.833144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,50228-465-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,60687-630-11,NDC,,,outpatient,1,EA,3.87,,1.935,2.322,3.7539,3.6378,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.2121,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.66102,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.7539,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,3.09987,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,3.594843,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.100257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,60687-630-21,NDC,,,outpatient,1,EA,3.87,,1.935,2.322,3.7539,3.6378,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.2121,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.66102,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.7539,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,3.09987,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,3.594843,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.100257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],0636,RC,0409-1463-01,NDC,J2300,HCPCS,outpatient,1,ML,15.5,,7.75,9.3,15.035,14.57,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.865,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.663,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,15.035,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,13.64,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,12.4155,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,14.39795,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.41705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],0636,RC,0409-1463-71,NDC,J2300,HCPCS,outpatient,1,ML,15.5,,7.75,9.3,15.035,14.57,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.865,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.663,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,15.035,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,13.64,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,12.4155,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,14.39795,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.41705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,0409-1215-01,NDC,J2310,HCPCS,outpatient,1,ML,63.53,,31.765,38.118,61.6241,59.7182,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,52.7299,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,60.09938,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,61.6241,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,55.9064,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,50.88753,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,59.013017,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.893883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,67457-292-00,NDC,J2310,HCPCS,outpatient,1,ML,13.45,,6.725,8.07,13.0465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,10.77345,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,12.493705,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.774795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,67457-292-02,NDC,J2310,HCPCS,outpatient,1,ML,13.45,,6.725,8.07,13.0465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,10.77345,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,12.493705,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.774795,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,0641-6132-01,NDC,J2310,HCPCS,outpatient,1,ML,13.21,,6.605,7.926,12.8137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,10.58121,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,12.270769,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.582531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,0641-6132-25,NDC,J2310,HCPCS,outpatient,1,ML,13.21,,6.605,7.926,12.8137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,10.58121,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,12.270769,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.582531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,70069-071-01,NDC,J2310,HCPCS,outpatient,1,ML,16.65,,8.325,9.99,16.1505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,13.33665,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,15.466185,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.338315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,70069-071-10,NDC,J2310,HCPCS,outpatient,1,ML,16.65,,8.325,9.99,16.1505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,13.33665,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,15.466185,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.338315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,0409-1215-21,NDC,J2310,HCPCS,outpatient,1,ML,63.53,,31.765,38.118,61.6241,59.7182,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,52.7299,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,60.09938,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,61.6241,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,55.9064,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,50.88753,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,59.013017,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.893883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,36000-308-01,NDC,J2310,HCPCS,outpatient,1,ML,11.75,,5.875,7.05,11.3975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,9.41175,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,10.914575,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.412925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,36000-308-10,NDC,J2310,HCPCS,outpatient,1,ML,11.75,,5.875,7.05,11.3975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,9.41175,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,10.914575,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.412925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,76329-3369-1,NDC,J2310,HCPCS,outpatient,2,ML,42.31,,21.155,25.386,41.0407,39.7714,,,,percent of total billed charges,,33.848,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,35.1173,,,,percent of total billed charges,,38.079,,,,percent of total billed charges,,38.9252,,,,percent of total billed charges,,38.9252,,,,percent of total billed charges,,40.02526,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,41.0407,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,37.2328,,,,percent of total billed charges,,38.079,,,,percent of total billed charges,,33.89031,,,,percent of total billed charges,,38.079,,,,percent of total billed charges,,25.386,,,,percent of total billed charges,,39.301759,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,33.848,,,,percent of total billed charges,,25.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.894541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,43598-750-11,NDC,J2310,HCPCS,outpatient,2,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,43598-750-58,NDC,J2310,HCPCS,outpatient,2,ML,57.91,,28.955,34.746,56.1727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,46.38591,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,53.792599,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.391701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,55150-345-01,NDC,J2310,HCPCS,outpatient,2,ML,56.17,,28.085,33.702,54.4849,52.7998,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,46.6211,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,53.13682,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,54.4849,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,49.4296,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,44.99217,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,52.176313,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.997787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,55150-345-10,NDC,J2310,HCPCS,outpatient,2,ML,56.17,,28.085,33.702,54.4849,52.7998,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,46.6211,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,53.13682,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,54.4849,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,49.4296,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,44.99217,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,52.176313,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.997787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,0641-6205-01,NDC,J2310,HCPCS,outpatient,2,ML,49.58,,24.79,29.748,48.0926,46.6052,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,41.1514,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,46.90268,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,48.0926,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,43.6304,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,39.71358,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,46.054862,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.718538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,0641-6205-10,NDC,J2310,HCPCS,outpatient,2,ML,49.58,,24.79,29.748,48.0926,46.6052,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,41.1514,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,46.90268,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,48.0926,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,43.6304,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,39.71358,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,46.054862,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.718538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,36000-308-10,NDC,J2310,HCPCS,outpatient,0.2,ME,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,0406-1170-03,NDC,,,outpatient,1,EA,6.35,,3.175,3.81,6.1595,5.969,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.2705,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,6.0071,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.1595,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.588,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,5.08635,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,5.898515,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.086985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,68084-291-21,NDC,,,outpatient,1,EA,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,68084-291-11,NDC,,,outpatient,1,EA,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,68094-853-62,NDC,,,outpatient,1,EA,7.82,,3.91,4.692,7.5854,7.3508,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.4906,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.39772,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.5854,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,6.26382,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,7.263998,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.264602,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,0904-7036-04,NDC,,,outpatient,1,EA,7.02,,3.51,4.212,6.8094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,5.62302,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,6.520878,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.623722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [95888]",0636,RC,65757-300-01,NDC,J2315,HCPCS,outpatient,1,EA,7126.52,,3563.26,4275.912,6912.7244,6698.9288,,,,percent of total billed charges,,5701.216,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,5915.0116,,,,percent of total billed charges,,6413.868,,,,percent of total billed charges,,6556.3984,,,,percent of total billed charges,,6556.3984,,,,percent of total billed charges,,6741.68792,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,6912.7244,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,6271.3376,,,,percent of total billed charges,,6413.868,,,,percent of total billed charges,,5708.34252,,,,percent of total billed charges,,6413.868,,,,percent of total billed charges,,4275.912,,,,percent of total billed charges,,6619.824428,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,5701.216,,,,percent of total billed charges,,4275.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5709.055172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPHAZOLINE 0.025 %-PHENIRAMINE 0.3 % EYE DROPS [82531],0637,RC,0065-0085-15,NDC,,,outpatient,15,ML,35.31,,17.655,21.186,34.2507,33.1914,,,,percent of total billed charges,,28.248,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,29.3073,,,,percent of total billed charges,,31.779,,,,percent of total billed charges,,32.4852,,,,percent of total billed charges,,32.4852,,,,percent of total billed charges,,33.40326,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,34.2507,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,31.0728,,,,percent of total billed charges,,31.779,,,,percent of total billed charges,,28.28331,,,,percent of total billed charges,,31.779,,,,percent of total billed charges,,21.186,,,,percent of total billed charges,,32.799459,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,28.248,,,,percent of total billed charges,,21.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.286841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPROXEN 250 MG TABLET [5391],0637,RC,50268-594-11,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPROXEN 250 MG TABLET [5391],0637,RC,50268-594-15,NDC,,,outpatient,1,EA,0.97,,0.485,0.582,0.9409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.77697,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.901033,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.777067,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPROXEN 250 MG TABLET [5391],0637,RC,70010-137-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [93813],0636,RC,64406-008-01,NDC,J2323,HCPCS,outpatient,300,ME,32837.4,,16418.7,19702.44,31852.278,30867.156,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,27255.042,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,31064.1804,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31852.278,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,28896.912,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,26302.7574,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,30502.66086,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26306.04114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [93813],0636,RC,59075-730-15,NDC,J2323,HCPCS,outpatient,15,ML,14303.05,,7151.525,8581.83,13873.9585,13444.867,,,,percent of total billed charges,,11442.44,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,11871.5315,,,,percent of total billed charges,,12872.745,,,,percent of total billed charges,,13158.806,,,,percent of total billed charges,,13158.806,,,,percent of total billed charges,,13530.6853,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,13873.9585,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,12586.684,,,,percent of total billed charges,,12872.745,,,,percent of total billed charges,,11456.74305,,,,percent of total billed charges,,12872.745,,,,percent of total billed charges,,8581.83,,,,percent of total billed charges,,13286.10315,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,11442.44,,,,percent of total billed charges,,8581.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11458.17336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [93813],0636,RC,64406-008-01,NDC,J2323,HCPCS,outpatient,15,ML,32837.4,,16418.7,19702.44,31852.278,30867.156,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,27255.042,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,31064.1804,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31852.278,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,28896.912,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,26302.7574,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,30502.66086,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26306.04114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,0456-1405-30,NDC,,,outpatient,1,EA,22.74,,11.37,13.644,22.0578,21.3756,,,,percent of total billed charges,,18.192,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,18.8742,,,,percent of total billed charges,,20.466,,,,percent of total billed charges,,20.9208,,,,percent of total billed charges,,20.9208,,,,percent of total billed charges,,21.51204,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,22.0578,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,20.0112,,,,percent of total billed charges,,20.466,,,,percent of total billed charges,,18.21474,,,,percent of total billed charges,,20.466,,,,percent of total billed charges,,13.644,,,,percent of total billed charges,,21.123186,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,18.192,,,,percent of total billed charges,,13.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.217014,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,62559-276-30,NDC,,,outpatient,1,EA,1.91,,0.955,1.146,1.8527,1.7954,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.5853,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.80686,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.6808,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.52991,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,1.774199,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.530101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,0904-7189-04,NDC,,,outpatient,1,EA,10.23,,5.115,6.138,9.9231,9.6162,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,8.4909,,,,percent of total billed charges,,9.207,,,,percent of total billed charges,,9.4116,,,,percent of total billed charges,,9.4116,,,,percent of total billed charges,,9.67758,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,9.9231,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,9.0024,,,,percent of total billed charges,,9.207,,,,percent of total billed charges,,8.19423,,,,percent of total billed charges,,9.207,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,9.502647,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.195253,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,60687-641-11,NDC,,,outpatient,1,EA,7.47,,3.735,4.482,7.2459,7.0218,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.2001,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.06662,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.5736,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,5.98347,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,6.938883,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.984217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,60687-641-21,NDC,,,outpatient,1,EA,7.47,,3.735,4.482,7.2459,7.0218,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.2001,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.06662,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.5736,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,5.98347,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,6.938883,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.984217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS [135298]",0637,RC,24208-790-62,NDC,,,outpatient,10,ML,211.68,,105.84,127.008,205.3296,198.9792,,,,percent of total billed charges,,169.344,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,175.6944,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,194.7456,,,,percent of total billed charges,,194.7456,,,,percent of total billed charges,,200.24928,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,205.3296,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,186.2784,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,169.55568,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,196.629552,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,169.344,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.576848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP [35126]",0637,RC,61314-641-75,NDC,,,outpatient,7.5,ML,563.09,,281.545,337.854,546.1973,529.3046,,,,percent of total billed charges,,450.472,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,467.3647,,,,percent of total billed charges,,506.781,,,,percent of total billed charges,,518.0428,,,,percent of total billed charges,,518.0428,,,,percent of total billed charges,,532.68314,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,546.1973,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,495.5192,,,,percent of total billed charges,,506.781,,,,percent of total billed charges,,451.03509,,,,percent of total billed charges,,506.781,,,,percent of total billed charges,,337.854,,,,percent of total billed charges,,523.054301,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,450.472,,,,percent of total billed charges,,337.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,451.091399,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [19495]",0637,RC,24208-795-35,NDC,,,outpatient,3.5,GR,82.08,,41.04,49.248,79.6176,77.1552,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,68.1264,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,75.5136,,,,percent of total billed charges,,75.5136,,,,percent of total billed charges,,77.64768,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,79.6176,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,72.2304,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,65.74608,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,76.244112,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.754288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOMYCIN 500 MG TABLET [5472],0637,RC,0093-1177-01,NDC,,,outpatient,1,EA,4.35,,2.175,2.61,4.2195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,3.48435,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.040715,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.484785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOMYCIN 500 MG TABLET [5472],0637,RC,51079-015-20,NDC,,,outpatient,1,EA,3.39,,1.695,2.034,3.2883,3.1866,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.8137,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.20694,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.9832,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.71539,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,3.148971,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.715729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",0637,RC,0168-0027-38,NDC,,,outpatient,3.5,GR,17.69,,8.845,10.614,17.1593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,14.16969,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,16.432241,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.171459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",0637,RC,24208-780-55,NDC,,,outpatient,3.5,GR,57.92,,28.96,34.752,56.1824,54.4448,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,48.0736,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,54.79232,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,56.1824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,50.9696,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,46.39392,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,53.801888,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.399712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",0637,RC,24208-635-62,NDC,,,outpatient,10,ML,355.68,,177.84,213.408,345.0096,334.3392,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,295.2144,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,336.47328,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,345.0096,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,312.9984,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,284.89968,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,330.391152,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,284.935248,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",0637,RC,61314-645-11,NDC,,,outpatient,10,ML,369.09,,184.545,221.454,358.0173,346.9446,,,,percent of total billed charges,,295.272,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,306.3447,,,,percent of total billed charges,,332.181,,,,percent of total billed charges,,339.5628,,,,percent of total billed charges,,339.5628,,,,percent of total billed charges,,349.15914,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,358.0173,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,324.7992,,,,percent of total billed charges,,332.181,,,,percent of total billed charges,,295.64109,,,,percent of total billed charges,,332.181,,,,percent of total billed charges,,221.454,,,,percent of total billed charges,,342.847701,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,295.272,,,,percent of total billed charges,,221.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,295.677999,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-POLYMYXIN-PRAMOXINE 3.5 MG-10,000 UNIT-10 MG/GRAM TOP CREAM [87766]",0637,RC,0081073794,NDC,,,outpatient,14.2,GR,16.17,,8.085,9.702,15.6849,15.1998,,,,percent of total billed charges,,12.936,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,13.4211,,,,percent of total billed charges,,14.553,,,,percent of total billed charges,,14.8764,,,,percent of total billed charges,,14.8764,,,,percent of total billed charges,,15.29682,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,15.6849,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,14.2296,,,,percent of total billed charges,,14.553,,,,percent of total billed charges,,12.95217,,,,percent of total billed charges,,14.553,,,,percent of total billed charges,,9.702,,,,percent of total billed charges,,15.020313,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,12.936,,,,percent of total billed charges,,9.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.953787,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,76014-003-33,NDC,J2710,HCPCS,outpatient,10,ML,22.64,,11.32,13.584,21.9608,21.2816,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.7912,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,21.41744,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.9608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,19.9232,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,18.13464,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,21.030296,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.136904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,76014-003-10,NDC,J2710,HCPCS,outpatient,10,ML,22.64,,11.32,13.584,21.9608,21.2816,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.7912,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,21.41744,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.9608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,19.9232,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,18.13464,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,21.030296,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.136904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,0641-6149-01,NDC,J2710,HCPCS,outpatient,10,ML,8.28,,4.14,4.968,8.0316,7.7832,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.83288,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.2864,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,6.63228,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,7.691292,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.633108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,0641-6149-10,NDC,J2710,HCPCS,outpatient,10,ML,8.28,,4.14,4.968,8.0316,7.7832,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.83288,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.2864,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,6.63228,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,7.691292,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.633108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,42023-189-01,NDC,J2710,HCPCS,outpatient,10,ML,24.39,,12.195,14.634,23.6583,22.9266,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,20.2437,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,23.07294,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.6583,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,21.4632,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,19.53639,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,22.655871,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.538829,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,42023-189-10,NDC,J2710,HCPCS,outpatient,10,ML,24.39,,12.195,14.634,23.6583,22.9266,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,20.2437,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,23.07294,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.6583,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,21.4632,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,19.53639,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,22.655871,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.538829,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,43598-529-11,NDC,J2710,HCPCS,outpatient,10,ML,73.71,,36.855,44.226,71.4987,69.2874,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,61.1793,,,,percent of total billed charges,,66.339,,,,percent of total billed charges,,67.8132,,,,percent of total billed charges,,67.8132,,,,percent of total billed charges,,69.72966,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,71.4987,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,64.8648,,,,percent of total billed charges,,66.339,,,,percent of total billed charges,,59.04171,,,,percent of total billed charges,,66.339,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,68.469219,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.049081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,43598-529-36,NDC,J2710,HCPCS,outpatient,10,ML,14.49,,7.245,8.694,14.0553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,11.60649,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,13.459761,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.607939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,70069-806-01,NDC,J2710,HCPCS,outpatient,10,ML,14.99,,7.495,8.994,14.5403,14.0906,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,12.4417,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,14.18054,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.5403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,13.1912,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,12.00699,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,13.924211,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.008489,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,70069-806-10,NDC,J2710,HCPCS,outpatient,10,ML,14.99,,7.495,8.994,14.5403,14.0906,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,12.4417,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,14.18054,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.5403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,13.1912,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,12.00699,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,13.924211,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.008489,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,25021-611-10,NDC,J2710,HCPCS,outpatient,10,ML,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,0074-3074-90,NDC,,,outpatient,1,EA,12.03,,6.015,7.218,11.6691,11.3082,,,,percent of total billed charges,,9.624,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,9.9849,,,,percent of total billed charges,,10.827,,,,percent of total billed charges,,11.0676,,,,percent of total billed charges,,11.0676,,,,percent of total billed charges,,11.38038,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,11.6691,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,10.5864,,,,percent of total billed charges,,10.827,,,,percent of total billed charges,,9.63603,,,,percent of total billed charges,,10.827,,,,percent of total billed charges,,7.218,,,,percent of total billed charges,,11.174667,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,9.624,,,,percent of total billed charges,,7.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.637233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,0093-7392-98,NDC,,,outpatient,1,EA,12.58,,6.29,7.548,12.2026,11.8252,,,,percent of total billed charges,,10.064,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,10.4414,,,,percent of total billed charges,,11.322,,,,percent of total billed charges,,11.5736,,,,percent of total billed charges,,11.5736,,,,percent of total billed charges,,11.90068,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,12.2026,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,11.0704,,,,percent of total billed charges,,11.322,,,,percent of total billed charges,,10.07658,,,,percent of total billed charges,,11.322,,,,percent of total billed charges,,7.548,,,,percent of total billed charges,,11.685562,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,10.064,,,,percent of total billed charges,,7.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.077838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,47335-539-81,NDC,,,outpatient,1,EA,1.67,,0.835,1.002,1.6199,1.5698,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.3861,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.57982,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.6199,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.4696,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.33767,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,1.551263,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.337837,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,65162-321-09,NDC,,,outpatient,1,EA,1.47,,0.735,0.882,1.4259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.17747,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.365483,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.177617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,50268-584-11,NDC,,,outpatient,1,EA,4.73,,2.365,2.838,4.5881,4.4462,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.47458,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.1624,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,3.78873,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,4.393697,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.789203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,50268-584-13,NDC,,,outpatient,1,EA,4.73,,2.365,2.838,4.5881,4.4462,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.47458,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.1624,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,3.78873,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,4.393697,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.789203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 12.5MG IN NS 250ML (FOR BOLUS) [7000233],0250,RC,9997-0002-33,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [188961],0250,RC,10122-313-01,NDC,J2404,HCPCS,outpatient,200,ML,185.4,,92.7,111.24,179.838,174.276,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,153.882,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,175.3884,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,179.838,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,163.152,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,148.5054,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,172.21806,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.52394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [188961],0250,RC,10122-313-10,NDC,J2404,HCPCS,outpatient,200,ML,185.4,,92.7,111.24,179.838,174.276,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,153.882,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,175.3884,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,179.838,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,163.152,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,148.5054,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,172.21806,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,148.52394,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 200 MCG/ML IN NS INJECTION [1000934],0250,RC,9991-0009-34,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,0143-9689-10,NDC,J2404,HCPCS,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,0143-9689-01,NDC,J2404,HCPCS,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,0517-0735-01,NDC,J2404,HCPCS,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,0517-0735-10,NDC,J2404,HCPCS,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,240,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,0517-0735-10,NDC,J2404,HCPCS,outpatient,25,ME,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE (POLACRILEX) 2 MG GUM [10717],0637,RC,0536-1362-23,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE (POLACRILEX) 2 MG GUM [10717],0637,RC,0536-3112-01,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE (POLACRILEX) 2 MG GUM [10717],0637,RC,46122-171-25,NDC,,,outpatient,1,EA,0.55,,0.275,0.33,0.5335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.44055,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.510895,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.440605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],0637,RC,43598-447-74,NDC,,,outpatient,1,EA,6.62,,3.31,3.972,6.4214,6.2228,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.4946,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.26252,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.4214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.8256,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,5.30262,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,6.149318,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.303282,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],0637,RC,43598-447-71,NDC,,,outpatient,1,EA,5.59,,2.795,3.354,5.4223,5.2546,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.6397,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.28814,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.4223,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,4.47759,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,5.192551,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.478149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],0637,RC,43598-448-28,NDC,,,outpatient,1,EA,5.34,,2.67,3.204,5.1798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.27734,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,4.960326,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.277874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],0637,RC,43598-448-74,NDC,,,outpatient,1,EA,5.02,,2.51,3.012,4.8694,4.7188,,,,percent of total billed charges,,4.016,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.1666,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,4.6184,,,,percent of total billed charges,,4.6184,,,,percent of total billed charges,,4.74892,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.8694,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.4176,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,4.02102,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,3.012,,,,percent of total billed charges,,4.663078,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.016,,,,percent of total billed charges,,3.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.021522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],0637,RC,43598-448-71,NDC,,,outpatient,1,EA,5.34,,2.67,3.204,5.1798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.27734,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,4.960326,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.277874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],0637,RC,43598-446-74,NDC,,,outpatient,1,EA,7.06,,3.53,4.236,6.8482,6.6364,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.8598,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.67876,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.8482,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.2128,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,5.65506,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,6.558034,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.655766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],0637,RC,43598-446-71,NDC,,,outpatient,1,EA,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,0228-2497-10,NDC,,,outpatient,1,EA,3.54,,1.77,2.124,3.4338,3.3276,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.9382,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.34884,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.4338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.1152,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.83554,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,3.288306,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.835894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,43386-440-24,NDC,,,outpatient,1,EA,1.92,,0.96,1.152,1.8624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.53792,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.783488,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.538112,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,69315-211-01,NDC,,,outpatient,1,EA,2.43,,1.215,1.458,2.3571,2.2842,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.0169,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.29878,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3571,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.1384,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.94643,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.257227,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.946673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,0904-7229-61,NDC,,,outpatient,1,EA,4.7,,2.35,2.82,4.559,4.418,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.901,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.4462,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.559,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,3.7647,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,4.36583,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.76517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,50268-597-15,NDC,,,outpatient,1,EA,4.62,,2.31,2.772,4.4814,4.3428,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.8346,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.37052,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.4814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.0656,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,3.70062,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,4.291518,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.701082,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,68084-597-01,NDC,,,outpatient,1,EA,6.38,,3.19,3.828,6.1886,5.9972,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.2954,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,6.03548,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.1886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.6144,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.11038,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,5.926382,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.111018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,68084-597-11,NDC,,,outpatient,1,EA,6.38,,3.19,3.828,6.1886,5.9972,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.2954,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,6.03548,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.1886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.6144,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.11038,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,5.926382,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.111018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,50268-597-11,NDC,,,outpatient,1,EA,4.62,,2.31,2.772,4.4814,4.3428,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.8346,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.37052,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.4814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.0656,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,3.70062,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,4.291518,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.701082,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,0904-7208-06,NDC,,,outpatient,1,EA,5.09,,2.545,3.054,4.9373,4.7846,,,,percent of total billed charges,,4.072,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.2247,,,,percent of total billed charges,,4.581,,,,percent of total billed charges,,4.6828,,,,percent of total billed charges,,4.6828,,,,percent of total billed charges,,4.81514,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.9373,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.4792,,,,percent of total billed charges,,4.581,,,,percent of total billed charges,,4.07709,,,,percent of total billed charges,,4.581,,,,percent of total billed charges,,3.054,,,,percent of total billed charges,,4.728101,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.072,,,,percent of total billed charges,,3.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.077599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,0904-7208-61,NDC,,,outpatient,1,EA,4.24,,2.12,2.544,4.1128,3.9856,,,,percent of total billed charges,,3.392,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,3.5192,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,3.9008,,,,percent of total billed charges,,3.9008,,,,percent of total billed charges,,4.01104,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,4.1128,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,3.7312,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,3.39624,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,3.938536,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,3.392,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.396664,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,57664-135-64,NDC,,,outpatient,1,EA,17.57,,8.785,10.542,17.0429,16.5158,,,,percent of total billed charges,,14.056,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,14.5831,,,,percent of total billed charges,,15.813,,,,percent of total billed charges,,16.1644,,,,percent of total billed charges,,16.1644,,,,percent of total billed charges,,16.62122,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,17.0429,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,15.4616,,,,percent of total billed charges,,15.813,,,,percent of total billed charges,,14.07357,,,,percent of total billed charges,,15.813,,,,percent of total billed charges,,10.542,,,,percent of total billed charges,,16.320773,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,14.056,,,,percent of total billed charges,,10.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.075327,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,69452-209-07,NDC,,,outpatient,1,EA,4.2,,2.1,2.52,4.074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.3642,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,3.90138,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.36462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,69452-209-13,NDC,,,outpatient,1,EA,4.2,,2.1,2.52,4.074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.3642,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,3.90138,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.36462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,23155-512-00,NDC,,,outpatient,1,EA,4.89,,2.445,2.934,4.7433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.91689,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.542321,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.917379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,23155-512-11,NDC,,,outpatient,1,EA,4.89,,2.445,2.934,4.7433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.91689,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.542321,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.917379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIPPLE OINTMENT  [1001484],0637,RC,9991-0014-84,NDC,,,outpatient,30,GR,1.35,,0.675,0.81,1.3095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.08135,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.254015,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.081485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRMATRELVIR 150 MG-RITONAVIR 100 MG TABLETS IN A DOSE PACK [257876],0637,RC,0069-5317-02,NDC,,,outpatient,2,EA,5749.02,,2874.51,3449.412,5576.5494,5404.0788,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4771.6866,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5438.57292,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5576.5494,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5059.1376,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,4604.96502,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,5340.264678,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4605.539922,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRMATRELVIR 150 MG-RITONAVIR 100 MG TABLETS IN A DOSE PACK [257876],0637,RC,0069-5317-20,NDC,,,outpatient,20,EA,5749.02,,2874.51,3449.412,5576.5494,5404.0788,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4771.6866,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5438.57292,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5576.5494,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5059.1376,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,4604.96502,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,5340.264678,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4605.539922,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK [256232]",0637,RC,0069-5321-03,NDC,,,outpatient,3,EA,5748.98,,2874.49,3449.388,5576.5106,5404.0412,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4771.6534,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5438.53508,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5576.5106,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5059.1024,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,4604.93298,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,5340.227522,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4605.507878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK [256232]",0637,RC,0069-5321-30,NDC,,,outpatient,30,EA,5748.98,,2874.49,3449.388,5576.5106,5404.0412,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4771.6534,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5438.53508,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5576.5106,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5059.1024,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,4604.93298,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,5340.227522,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4605.507878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [263738],0636,RC,49281-574-88,NDC,90381,CPT,outpatient,1,ML,2106.55,,1053.275,1263.93,2043.3535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1687.34655,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,1956.774295,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1687.557205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [263738],0636,RC,49281-574-15,NDC,90381,CPT,outpatient,1,ML,2106.55,,1053.275,1263.93,2043.3535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1687.34655,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,1956.774295,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1687.557205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [263737],0636,RC,49281-575-00,NDC,90380,CPT,outpatient,0.5,ML,2106.55,,1053.275,1263.93,2043.3535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1687.34655,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,1956.774295,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1687.557205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [263737],0636,RC,49281-575-15,NDC,90380,CPT,outpatient,0.5,ML,2106.55,,1053.275,1263.93,2043.3535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1687.34655,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,1956.774295,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1687.557205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,51079-348-01,NDC,,,outpatient,1,EA,8.73,,4.365,5.238,8.4681,8.2062,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.25858,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.4681,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.6824,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,6.99273,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,8.109297,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.993603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,51079-348-20,NDC,,,outpatient,1,EA,8.73,,4.365,5.238,8.4681,8.2062,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.25858,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.4681,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.6824,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,6.99273,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,8.109297,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.993603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,68001-423-00,NDC,,,outpatient,1,EA,2.47,,1.235,1.482,2.3959,2.3218,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.0501,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.33662,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3959,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.1736,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.97847,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,2.294383,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.978717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,0904-7137-61,NDC,,,outpatient,1,EA,9.08,,4.54,5.448,8.8076,8.5352,,,,percent of total billed charges,,7.264,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,7.5364,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,8.3536,,,,percent of total billed charges,,8.3536,,,,percent of total billed charges,,8.58968,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,8.8076,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,7.9904,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,7.27308,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,8.434412,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,7.264,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.273988,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],0637,RC,0378-9102-93,NDC,,,outpatient,1,EA,2.55,,1.275,1.53,2.4735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.04255,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.368695,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.042805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],0637,RC,0378-9102-16,NDC,,,outpatient,1,EA,2.55,,1.275,1.53,2.4735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.04255,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.368695,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.042805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,0378-9104-93,NDC,,,outpatient,1,EA,2.87,,1.435,1.722,2.7839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.29887,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.665943,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.299157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,0378-9104-16,NDC,,,outpatient,1,EA,2.87,,1.435,1.722,2.7839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.29887,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.665943,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.299157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,68382-309-30,NDC,,,outpatient,1,EA,2.91,,1.455,1.746,2.8227,2.7354,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.75286,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.8227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.5608,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.33091,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,2.703099,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.331201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,68382-309-01,NDC,,,outpatient,1,EA,2.91,,1.455,1.746,2.8227,2.7354,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.75286,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.8227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.5608,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.33091,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,2.703099,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.331201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,0071-0418-13,NDC,,,outpatient,1,EA,6.69,,3.345,4.014,6.4893,6.2886,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,5.5527,,,,percent of total billed charges,,6.021,,,,percent of total billed charges,,6.1548,,,,percent of total billed charges,,6.1548,,,,percent of total billed charges,,6.32874,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,6.4893,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,5.8872,,,,percent of total billed charges,,6.021,,,,percent of total billed charges,,5.35869,,,,percent of total billed charges,,6.021,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,6.214341,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.359359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,59762-3304-3,NDC,,,outpatient,1,EA,1.52,,0.76,0.912,1.4744,1.4288,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.2616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.43792,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.4744,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.3376,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.21752,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.411928,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.217672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,68462-639-25,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,68462-639-45,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,69339-174-02,NDC,,,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,69339-174-41,NDC,,,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],0637,RC,0378-9112-93,NDC,,,outpatient,1,EA,2.81,,1.405,1.686,2.7257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.25081,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.610209,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.251091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],0637,RC,0904-5496-46,NDC,,,outpatient,1,EA,1.76,,0.88,1.056,1.7072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.40976,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.634864,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.409936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],0637,RC,0378-9112-16,NDC,,,outpatient,1,EA,2.81,,1.405,1.686,2.7257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.25081,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.610209,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.251091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],0637,RC,0378-9116-93,NDC,,,outpatient,1,EA,4.31,,2.155,2.586,4.1807,4.0514,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.5773,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,4.07726,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.1807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.7928,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.45231,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,4.003559,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.452741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],0637,RC,0378-9116-16,NDC,,,outpatient,1,EA,4.31,,2.155,2.586,4.1807,4.0514,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.5773,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,4.07726,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.1807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.7928,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.45231,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,4.003559,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.452741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 2 % TRANSDERMAL OINTMENT - PACKET [81551],0637,RC,0281-0326-08,NDC,,,outpatient,1,GR,9.12,,4.56,5.472,8.8464,8.5728,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,7.5696,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,8.3904,,,,percent of total billed charges,,8.3904,,,,percent of total billed charges,,8.62752,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,8.8464,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,8.0256,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,7.30512,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,8.471568,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.306032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 2 % TRANSDERMAL OINTMENT - PACKET [81551],0637,RC,0281-0326-30,NDC,,,outpatient,30,GR,140.81,,70.405,84.486,136.5857,132.3614,,,,percent of total billed charges,,112.648,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,116.8723,,,,percent of total billed charges,,126.729,,,,percent of total billed charges,,129.5452,,,,percent of total billed charges,,129.5452,,,,percent of total billed charges,,133.20626,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,136.5857,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,123.9128,,,,percent of total billed charges,,126.729,,,,percent of total billed charges,,112.78881,,,,percent of total billed charges,,126.729,,,,percent of total billed charges,,84.486,,,,percent of total billed charges,,130.798409,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,112.648,,,,percent of total billed charges,,84.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,112.802891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 200 MCG/ML IN D5W INJECTION - BMC [7000217],0250,RC,0338-1049-02,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MCG/ML INJECTION [1001301],0250,RC,9991-0013-01,NDC,,,outpatient,30,ML,14.04,,7.02,8.424,13.6188,13.1976,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.6532,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,13.28184,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.6188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,12.3552,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,11.24604,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,13.041756,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.247444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [194382],0250,RC,0517-4810-25,NDC,J2305,HCPCS,outpatient,10,ML,49.46,,24.73,29.676,47.9762,46.4924,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,41.0518,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,46.78916,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,47.9762,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,43.5248,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,39.61746,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,45.943394,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.622406,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],0250,RC,0338-1049-02,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],0250,RC,9999-9158-59,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 500 MCG IN NS 0.5 ML (TOT VOL) SUBQ INJECTION [1001571],0250,RC,0517-4810-25,NDC,J2305,HCPCS,outpatient,10,ML,49.46,,24.73,29.676,47.9762,46.4924,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,41.0518,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,46.78916,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,47.9762,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,43.5248,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,39.61746,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,45.943394,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.622406,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROPRUSSIDE 50 MCG/ML IN NS INJECTION - EAST [7000147],0250,RC,9997-0147-10,NDC,,,outpatient,100,ML,923.4,,461.7,554.04,895.698,867.996,,,,percent of total billed charges,,738.72,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,766.422,,,,percent of total billed charges,,831.06,,,,percent of total billed charges,,849.528,,,,percent of total billed charges,,849.528,,,,percent of total billed charges,,873.5364,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,895.698,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,812.592,,,,percent of total billed charges,,831.06,,,,percent of total billed charges,,739.6434,,,,percent of total billed charges,,831.06,,,,percent of total billed charges,,554.04,,,,percent of total billed charges,,857.74626,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,738.72,,,,percent of total billed charges,,554.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,739.73574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROPRUSSIDE 5000MCG IN D5W 50 ML (100 MCG/ML) INJECTION - EAST [218935],0250,RC,9999-2189-35,NDC,,,outpatient,50,ML,922.5,,461.25,553.5,894.825,867.15,,,,percent of total billed charges,,738,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,765.675,,,,percent of total billed charges,,830.25,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,872.685,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,894.825,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,811.8,,,,percent of total billed charges,,830.25,,,,percent of total billed charges,,738.9225,,,,percent of total billed charges,,830.25,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,856.91025,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,738,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,739.01475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,67457-839-02,NDC,,,outpatient,50,ME,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,0003-3774-12,NDC,J9299,HCPCS,outpatient,10,ML,14034.24,,7017.12,8420.544,13613.2128,13192.1856,,,,percent of total billed charges,,11227.392,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,11648.4192,,,,percent of total billed charges,,12630.816,,,,percent of total billed charges,,12911.5008,,,,percent of total billed charges,,12911.5008,,,,percent of total billed charges,,13276.39104,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,13613.2128,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,12350.1312,,,,percent of total billed charges,,12630.816,,,,percent of total billed charges,,11241.42624,,,,percent of total billed charges,,12630.816,,,,percent of total billed charges,,8420.544,,,,percent of total billed charges,,13036.40554,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,11227.392,,,,percent of total billed charges,,8420.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11242.82966,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [257450],0636,RC,0003-7125-11,NDC,J9298,HCPCS,outpatient,20,ML,58129.92,,29064.96,34877.952,56386.0224,54642.1248,,,,percent of total billed charges,,46503.936,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,48247.8336,,,,percent of total billed charges,,52316.928,,,,percent of total billed charges,,53479.5264,,,,percent of total billed charges,,53479.5264,,,,percent of total billed charges,,54990.90432,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,56386.0224,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,51154.3296,,,,percent of total billed charges,,52316.928,,,,percent of total billed charges,,46562.06592,,,,percent of total billed charges,,52316.928,,,,percent of total billed charges,,34877.952,,,,percent of total billed charges,,53996.88269,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,46503.936,,,,percent of total billed charges,,34877.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46567.87891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [238003],0636,RC,0003-3734-13,NDC,J9299,HCPCS,outpatient,24,ML,29939.81,,14969.905,17963.886,29041.6157,28143.4214,,,,percent of total billed charges,,23951.848,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,24850.0423,,,,percent of total billed charges,,26945.829,,,,percent of total billed charges,,27544.6252,,,,percent of total billed charges,,27544.6252,,,,percent of total billed charges,,28323.06026,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,29041.6157,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,26347.0328,,,,percent of total billed charges,,26945.829,,,,percent of total billed charges,,23981.78781,,,,percent of total billed charges,,26945.829,,,,percent of total billed charges,,17963.886,,,,percent of total billed charges,,27811.08951,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,23951.848,,,,percent of total billed charges,,17963.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23984.78179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [223969],0636,RC,0003-3772-11,NDC,J9299,HCPCS,outpatient,4,ML,5613.72,,2806.86,3368.232,5445.3084,5276.8968,,,,percent of total billed charges,,4490.976,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,4659.3876,,,,percent of total billed charges,,5052.348,,,,percent of total billed charges,,5164.6224,,,,percent of total billed charges,,5164.6224,,,,percent of total billed charges,,5310.57912,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,5445.3084,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,4940.0736,,,,percent of total billed charges,,5052.348,,,,percent of total billed charges,,4496.58972,,,,percent of total billed charges,,5052.348,,,,percent of total billed charges,,3368.232,,,,percent of total billed charges,,5214.584508,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,4490.976,,,,percent of total billed charges,,3368.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4497.151092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,0003-3774-12,NDC,J9299,HCPCS,outpatient,202.8,ME,25299.06,,12649.53,15179.436,24540.0882,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,20264.54706,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,23500.29683,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20267.07697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [223969],0636,RC,0003-3772-11,NDC,J9299,HCPCS,outpatient,202.8,ME,25299.14,,12649.57,15179.484,24540.1658,23781.1916,,,,percent of total billed charges,,20239.312,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,20998.2862,,,,percent of total billed charges,,22769.226,,,,percent of total billed charges,,23275.2088,,,,percent of total billed charges,,23275.2088,,,,percent of total billed charges,,23932.98644,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,24540.1658,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,22263.2432,,,,percent of total billed charges,,22769.226,,,,percent of total billed charges,,20264.61114,,,,percent of total billed charges,,22769.226,,,,percent of total billed charges,,15179.484,,,,percent of total billed charges,,23500.37115,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,20239.312,,,,percent of total billed charges,,15179.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20267.14105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,0003-3774-12,NDC,J9299,HCPCS,outpatient,202.8,ME,25299.06,,12649.53,15179.436,24540.0882,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,20264.54706,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,23500.29683,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20267.07697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,0003-3774-12,NDC,J9299,HCPCS,outpatient,202.8,ME,25299.06,,12649.53,15179.436,24540.0882,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,20264.54706,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,23500.29683,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20267.07697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,0003-3774-12,NDC,J9299,HCPCS,outpatient,202.8,ME,25299.06,,12649.53,15179.436,24540.0882,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,20264.54706,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,23500.29683,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20267.07697,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [257450],0636,RC,0003-7125-11,NDC,J9298,HCPCS,outpatient,480,ME,101727.36,,50863.68,61036.416,98675.5392,95623.7184,,,,percent of total billed charges,,81381.888,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,84433.7088,,,,percent of total billed charges,,91554.624,,,,percent of total billed charges,,93589.1712,,,,percent of total billed charges,,93589.1712,,,,percent of total billed charges,,96234.08256,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,98675.5392,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,89520.0768,,,,percent of total billed charges,,91554.624,,,,percent of total billed charges,,81483.61536,,,,percent of total billed charges,,91554.624,,,,percent of total billed charges,,61036.416,,,,percent of total billed charges,,94494.5447,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,81381.888,,,,percent of total billed charges,,61036.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81493.7881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,0338-0017-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE 10 MCG/ML IV DILUTION [1000881],0250,RC,9991-0008-81,NDC,,,outpatient,10,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0409-3375-04,NDC,,,outpatient,4,ML,101.15,,50.575,60.69,98.1155,95.081,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,83.9545,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,95.6879,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,98.1155,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,89.012,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,81.02115,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,93.958235,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.031265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,67457-852-00,NDC,,,outpatient,4,ML,24.52,,12.26,14.712,23.7844,23.0488,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,20.3516,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,23.19592,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.7844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,21.5776,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,19.64052,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,22.776628,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.642972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,67457-852-04,NDC,,,outpatient,4,ML,24.52,,12.26,14.712,23.7844,23.0488,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,20.3516,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,23.19592,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.7844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,21.5776,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,19.64052,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,22.776628,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.642972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0143-9318-01,NDC,,,outpatient,4,ML,25.44,,12.72,15.264,24.6768,23.9136,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,21.1152,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,24.06624,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.6768,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,22.3872,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,20.37744,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,23.631216,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.379984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0143-9318-10,NDC,,,outpatient,4,ML,25.44,,12.72,15.264,24.6768,23.9136,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,21.1152,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,24.06624,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.6768,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,22.3872,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,20.37744,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,23.631216,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.379984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0781-3755-75,NDC,,,outpatient,4,ML,14.48,,7.24,8.688,14.0456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,11.59848,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,13.450472,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.599928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0781-3755-95,NDC,,,outpatient,4,ML,14.48,,7.24,8.688,14.0456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,11.59848,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,13.450472,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.599928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,70121-1576-1,NDC,,,outpatient,4,ML,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,70121-1576-7,NDC,,,outpatient,4,ML,24,,12,14.4,23.28,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,22.2936,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.2264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0409-3375-14,NDC,,,outpatient,4,ML,101.15,,50.575,60.69,98.1155,95.081,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,83.9545,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,95.6879,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,98.1155,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,89.012,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,81.02115,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,93.958235,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.031265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0703-1153-81,NDC,,,outpatient,4,ML,74.54,,37.27,44.724,72.3038,70.0676,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,61.8682,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,70.51484,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,72.3038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,65.5952,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,59.70654,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,69.240206,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.713994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,0703-1153-83,NDC,,,outpatient,4,ML,74.54,,37.27,44.724,72.3038,70.0676,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,61.8682,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,70.51484,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,72.3038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,65.5952,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,59.70654,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,69.240206,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.713994,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,47335-615-40,NDC,,,outpatient,4,ML,18.9,,9.45,11.34,18.333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,15.1389,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,17.55621,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.14079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,47335-615-44,NDC,,,outpatient,4,ML,18.9,,9.45,11.34,18.333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,15.1389,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,17.55621,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.14079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,72603-180-01,NDC,,,outpatient,4,ML,14.66,,7.33,8.796,14.2202,13.7804,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.1678,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.86836,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,14.2202,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.9008,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,11.74266,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,13.617674,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.744126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,72603-180-10,NDC,,,outpatient,4,ML,14.66,,7.33,8.796,14.2202,13.7804,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.1678,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.86836,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,14.2202,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.9008,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,11.74266,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,13.617674,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.744126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,69374-315-25,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,71266-5025-2,NDC,,,outpatient,250,ML,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,44567-642-01,NDC,,,outpatient,250,ML,289.13,,144.565,173.478,280.4561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,231.59313,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,268.572857,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.622043,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,44567-642-10,NDC,,,outpatient,250,ML,289.13,,144.565,173.478,280.4561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,231.59313,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,268.572857,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,231.622043,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,69374-528-25,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,9999-1947-55,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,44567-640-01,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,44567-640-10,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,61553-115-61,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,9999-1947-56,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,71019-220-04,NDC,,,outpatient,254,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,70324-451-01,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY [93726],0637,RC,0386000804,NDC,,,outpatient,30,ML,50.49,,25.245,30.294,48.9753,47.4606,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,41.9067,,,,percent of total billed charges,,45.441,,,,percent of total billed charges,,46.4508,,,,percent of total billed charges,,46.4508,,,,percent of total billed charges,,47.76354,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,48.9753,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,44.4312,,,,percent of total billed charges,,45.441,,,,percent of total billed charges,,40.44249,,,,percent of total billed charges,,45.441,,,,percent of total billed charges,,30.294,,,,percent of total billed charges,,46.900161,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,30.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.447539,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,0093-0810-01,NDC,,,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,68084-031-01,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,50268-603-11,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,50268-603-15,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,60687-281-01,NDC,,,outpatient,1,EA,1.59,,0.795,0.954,1.5423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.27359,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.476951,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.273749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,60687-281-11,NDC,,,outpatient,1,EA,1.59,,0.795,0.954,1.5423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.27359,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.476951,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.273749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 25 MG CAPSULE [5675],0637,RC,0093-0811-01,NDC,,,outpatient,1,EA,0.56,,0.28,0.336,0.5432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.44856,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.520184,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.448616,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 25 MG CAPSULE [5675],0637,RC,60687-293-01,NDC,,,outpatient,1,EA,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 25 MG CAPSULE [5675],0637,RC,60687-293-11,NDC,,,outpatient,1,EA,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIPERSLIDE LUBRICANT [7000126],0250,RC,9997-0001-26,NDC,,,outpatient,20,ML,30.6,,15.3,18.36,29.682,28.764,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,25.398,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.9476,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.682,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,26.928,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,24.5106,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,28.42434,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.51366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,45802-059-11,NDC,,,outpatient,30,GR,55.49,,27.745,33.294,53.8253,52.1606,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,46.0567,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,52.49354,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,53.8253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,48.8312,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,44.44749,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,51.544661,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.453039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,51672-1289-2,NDC,,,outpatient,30,GR,57.92,,28.96,34.752,56.1824,54.4448,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,48.0736,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,54.79232,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,56.1824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,50.9696,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,46.39392,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,53.801888,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.399712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,0713-0678-31,NDC,,,outpatient,30,GR,82.62,,41.31,49.572,80.1414,77.6628,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,68.5746,,,,percent of total billed charges,,74.358,,,,percent of total billed charges,,76.0104,,,,percent of total billed charges,,76.0104,,,,percent of total billed charges,,78.15852,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,80.1414,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,72.7056,,,,percent of total billed charges,,74.358,,,,percent of total billed charges,,66.17862,,,,percent of total billed charges,,74.358,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,76.745718,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.186882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,13668-595-02,NDC,,,outpatient,30,GR,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",0637,RC,45802-048-11,NDC,,,outpatient,30,GR,76.01,,38.005,45.606,73.7297,71.4494,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,63.0883,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,71.90546,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,73.7297,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,66.8888,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,60.88401,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,70.605689,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.891611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",0637,RC,33342-481-30,NDC,,,outpatient,30,GR,46.85,,23.425,28.11,45.4445,44.039,,,,percent of total billed charges,,37.48,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,38.8855,,,,percent of total billed charges,,42.165,,,,percent of total billed charges,,43.102,,,,percent of total billed charges,,43.102,,,,percent of total billed charges,,44.3201,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,45.4445,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,41.228,,,,percent of total billed charges,,42.165,,,,percent of total billed charges,,37.52685,,,,percent of total billed charges,,42.165,,,,percent of total billed charges,,28.11,,,,percent of total billed charges,,43.518965,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,37.48,,,,percent of total billed charges,,28.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.531535,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,0574-2008-02,NDC,,,outpatient,60,GR,53.73,,26.865,32.238,52.1181,50.5062,,,,percent of total billed charges,,42.984,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,44.5959,,,,percent of total billed charges,,48.357,,,,percent of total billed charges,,49.4316,,,,percent of total billed charges,,49.4316,,,,percent of total billed charges,,50.82858,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,52.1181,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,47.2824,,,,percent of total billed charges,,48.357,,,,percent of total billed charges,,43.03773,,,,percent of total billed charges,,48.357,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,49.909797,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,42.984,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.043103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,0574-2008-15,NDC,,,outpatient,15,GR,86.61,,43.305,51.966,84.0117,81.4134,,,,percent of total billed charges,,69.288,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,71.8863,,,,percent of total billed charges,,77.949,,,,percent of total billed charges,,79.6812,,,,percent of total billed charges,,79.6812,,,,percent of total billed charges,,81.93306,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,84.0117,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,76.2168,,,,percent of total billed charges,,77.949,,,,percent of total billed charges,,69.37461,,,,percent of total billed charges,,77.949,,,,percent of total billed charges,,51.966,,,,percent of total billed charges,,80.452029,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,69.288,,,,percent of total billed charges,,51.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.383271,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,0574-2008-30,NDC,,,outpatient,30,GR,82.76,,41.38,49.656,80.2772,77.7944,,,,percent of total billed charges,,66.208,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,68.6908,,,,percent of total billed charges,,74.484,,,,percent of total billed charges,,76.1392,,,,percent of total billed charges,,76.1392,,,,percent of total billed charges,,78.29096,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,80.2772,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,72.8288,,,,percent of total billed charges,,74.484,,,,percent of total billed charges,,66.29076,,,,percent of total billed charges,,74.484,,,,percent of total billed charges,,49.656,,,,percent of total billed charges,,76.875764,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,66.208,,,,percent of total billed charges,,49.656,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.299036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,0832-0465-15,NDC,,,outpatient,15,GR,37.74,,18.87,22.644,36.6078,35.4756,,,,percent of total billed charges,,30.192,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,31.3242,,,,percent of total billed charges,,33.966,,,,percent of total billed charges,,34.7208,,,,percent of total billed charges,,34.7208,,,,percent of total billed charges,,35.70204,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,36.6078,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,33.2112,,,,percent of total billed charges,,33.966,,,,percent of total billed charges,,30.22974,,,,percent of total billed charges,,33.966,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,35.056686,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,30.192,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.233514,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,68308-152-15,NDC,,,outpatient,15,GR,73.24,,36.62,43.944,71.0428,68.8456,,,,percent of total billed charges,,58.592,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,60.7892,,,,percent of total billed charges,,65.916,,,,percent of total billed charges,,67.3808,,,,percent of total billed charges,,67.3808,,,,percent of total billed charges,,69.28504,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,71.0428,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,64.4512,,,,percent of total billed charges,,65.916,,,,percent of total billed charges,,58.66524,,,,percent of total billed charges,,65.916,,,,percent of total billed charges,,43.944,,,,percent of total billed charges,,68.032636,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,58.592,,,,percent of total billed charges,,43.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.672564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,69315-306-15,NDC,,,outpatient,15,GR,30.31,,15.155,18.186,29.4007,28.4914,,,,percent of total billed charges,,24.248,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,25.1573,,,,percent of total billed charges,,27.279,,,,percent of total billed charges,,27.8852,,,,percent of total billed charges,,27.8852,,,,percent of total billed charges,,28.67326,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,29.4007,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,26.6728,,,,percent of total billed charges,,27.279,,,,percent of total billed charges,,24.27831,,,,percent of total billed charges,,27.279,,,,percent of total billed charges,,18.186,,,,percent of total billed charges,,28.154959,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,24.248,,,,percent of total billed charges,,18.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.281341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,68382-370-01,NDC,,,outpatient,15,GR,31.53,,15.765,18.918,30.5841,29.6382,,,,percent of total billed charges,,25.224,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,26.1699,,,,percent of total billed charges,,28.377,,,,percent of total billed charges,,29.0076,,,,percent of total billed charges,,29.0076,,,,percent of total billed charges,,29.82738,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,30.5841,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,27.7464,,,,percent of total billed charges,,28.377,,,,percent of total billed charges,,25.25553,,,,percent of total billed charges,,28.377,,,,percent of total billed charges,,18.918,,,,percent of total billed charges,,29.288217,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,25.224,,,,percent of total billed charges,,18.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.258683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,68094-599-61,NDC,,,outpatient,5,ML,3.42,,1.71,2.052,3.3174,3.2148,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.8386,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.23532,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.3174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.0096,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.73942,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,3.176838,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.739762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,68094-599-62,NDC,,,outpatient,5,ML,3.49,,1.745,2.094,3.3853,3.2806,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.8967,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.30154,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.0712,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.79549,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,3.241861,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.795839,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,68094-599-59,NDC,,,outpatient,5,ML,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,66689-037-01,NDC,,,outpatient,5,ML,3.51,,1.755,2.106,3.4047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.81151,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.260439,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.811861,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,66689-037-99,NDC,,,outpatient,5,ML,2.59,,1.295,1.554,2.5123,2.4346,,,,percent of total billed charges,,2.072,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.1497,,,,percent of total billed charges,,2.331,,,,percent of total billed charges,,2.3828,,,,percent of total billed charges,,2.3828,,,,percent of total billed charges,,2.45014,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.5123,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.2792,,,,percent of total billed charges,,2.331,,,,percent of total billed charges,,2.07459,,,,percent of total billed charges,,2.331,,,,percent of total billed charges,,1.554,,,,percent of total billed charges,,2.405851,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.072,,,,percent of total billed charges,,1.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.074849,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,0121-0868-00,NDC,,,outpatient,5,ML,4.75,,2.375,2.85,4.6075,4.465,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.18,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.80475,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,4.412275,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.805225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,0121-0868-05,NDC,,,outpatient,5,ML,4.75,,2.375,2.85,4.6075,4.465,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.18,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.80475,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,4.412275,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.805225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,0904-7276-41,NDC,,,outpatient,5,ML,2.86,,1.43,1.716,2.7742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.29086,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.656654,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.291146,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,69315-504-47,NDC,,,outpatient,473,ML,142.61,,71.305,85.566,138.3317,134.0534,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,118.3663,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,134.90906,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,138.3317,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,125.4968,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,114.23061,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,132.470429,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.244871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [219413]",0636,RC,50242-070-01,NDC,J9301,HCPCS,outpatient,40,ML,32967.36,,16483.68,19780.416,31978.3392,30989.3184,,,,percent of total billed charges,,26373.888,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,27362.9088,,,,percent of total billed charges,,29670.624,,,,percent of total billed charges,,30329.9712,,,,percent of total billed charges,,30329.9712,,,,percent of total billed charges,,31187.12256,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,31978.3392,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,29011.2768,,,,percent of total billed charges,,29670.624,,,,percent of total billed charges,,26406.85536,,,,percent of total billed charges,,29670.624,,,,percent of total billed charges,,19780.416,,,,percent of total billed charges,,30623.3807,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,26373.888,,,,percent of total billed charges,,19780.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26410.1521,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [219413]",0636,RC,50242-070-01,NDC,J9301,HCPCS,outpatient,100,ME,3708.83,,1854.415,2225.298,3597.5651,3486.3002,,,,percent of total billed charges,,2967.064,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3078.3289,,,,percent of total billed charges,,3337.947,,,,percent of total billed charges,,3412.1236,,,,percent of total billed charges,,3412.1236,,,,percent of total billed charges,,3508.55318,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3597.5651,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3263.7704,,,,percent of total billed charges,,3337.947,,,,percent of total billed charges,,2970.77283,,,,percent of total billed charges,,3337.947,,,,percent of total billed charges,,2225.298,,,,percent of total billed charges,,3445.132187,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,2967.064,,,,percent of total billed charges,,2225.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2971.143713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [234354],0636,RC,50242-150-01,NDC,J2350,HCPCS,outpatient,10,ML,78857.52,,39428.76,47314.512,76491.7944,74126.0688,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,65451.7416,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,74599.21392,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,76491.7944,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,69394.6176,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,63164.87352,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,73250.75033,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63172.75927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,2.5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [234354],0636,RC,50242-150-01,NDC,J2350,HCPCS,outpatient,300,ME,78857.52,,39428.76,47314.512,76491.7944,74126.0688,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,65451.7416,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,74599.21392,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,76491.7944,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,69394.6176,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,63164.87352,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,73250.75033,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63172.75927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,63323-376-01,NDC,J2354,HCPCS,outpatient,1,ML,10.39,,5.195,6.234,10.0783,9.7666,,,,percent of total billed charges,,8.312,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,8.6237,,,,percent of total billed charges,,9.351,,,,percent of total billed charges,,9.5588,,,,percent of total billed charges,,9.5588,,,,percent of total billed charges,,9.82894,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,10.0783,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,9.1432,,,,percent of total billed charges,,9.351,,,,percent of total billed charges,,8.32239,,,,percent of total billed charges,,9.351,,,,percent of total billed charges,,6.234,,,,percent of total billed charges,,9.651271,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,8.312,,,,percent of total billed charges,,6.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.323429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,0641-6175-01,NDC,J2354,HCPCS,outpatient,1,ML,7.29,,3.645,4.374,7.0713,6.8526,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.0507,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.89634,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,7.0713,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,5.83929,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.771681,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.840019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,0641-6175-10,NDC,J2354,HCPCS,outpatient,1,ML,7.29,,3.645,4.374,7.0713,6.8526,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.0507,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.89634,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,7.0713,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,5.83929,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.771681,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.840019,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,68462-896-01,NDC,J2354,HCPCS,outpatient,1,ML,7.55,,3.775,4.53,7.3235,7.097,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.2665,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,7.1423,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.3235,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.644,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,6.04755,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,7.013195,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.048305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,68462-896-10,NDC,J2354,HCPCS,outpatient,1,ML,7.55,,3.775,4.53,7.3235,7.097,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.2665,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,7.1423,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.3235,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.644,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,6.04755,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,7.013195,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.048305,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,0703-3333-01,NDC,J2354,HCPCS,outpatient,5,ML,133.29,,66.645,79.974,129.2913,125.2926,,,,percent of total billed charges,,106.632,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,110.6307,,,,percent of total billed charges,,119.961,,,,percent of total billed charges,,122.6268,,,,percent of total billed charges,,122.6268,,,,percent of total billed charges,,126.09234,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,129.2913,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,117.2952,,,,percent of total billed charges,,119.961,,,,percent of total billed charges,,106.76529,,,,percent of total billed charges,,119.961,,,,percent of total billed charges,,79.974,,,,percent of total billed charges,,123.813081,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,106.632,,,,percent of total billed charges,,79.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.778619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,63323-378-05,NDC,J2354,HCPCS,outpatient,5,ML,99.63,,49.815,59.778,96.6411,93.6522,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,82.6929,,,,percent of total billed charges,,89.667,,,,percent of total billed charges,,91.6596,,,,percent of total billed charges,,91.6596,,,,percent of total billed charges,,94.24998,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,96.6411,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,87.6744,,,,percent of total billed charges,,89.667,,,,percent of total billed charges,,79.80363,,,,percent of total billed charges,,89.667,,,,percent of total billed charges,,59.778,,,,percent of total billed charges,,92.546307,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,59.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.813593,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,0641-6177-01,NDC,J2354,HCPCS,outpatient,5,ML,253.13,,126.565,151.878,245.5361,237.9422,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,210.0979,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,239.46098,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,245.5361,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,222.7544,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,202.75713,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,235.132457,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.782443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,23155-685-31,NDC,J2354,HCPCS,outpatient,5,ML,154.85,,77.425,92.91,150.2045,145.559,,,,percent of total billed charges,,123.88,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,128.5255,,,,percent of total billed charges,,139.365,,,,percent of total billed charges,,142.462,,,,percent of total billed charges,,142.462,,,,percent of total billed charges,,146.4881,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,150.2045,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,136.268,,,,percent of total billed charges,,139.365,,,,percent of total billed charges,,124.03485,,,,percent of total billed charges,,139.365,,,,percent of total billed charges,,92.91,,,,percent of total billed charges,,143.840165,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,123.88,,,,percent of total billed charges,,92.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.050335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE MICROSPHERES ER 10 MG INTRAMUSCULAR KIT [1001151],0636,RC,0078-0811-81,NDC,J2353,HCPCS,outpatient,1,EA,14850.5,,7425.25,8910.3,14404.985,13959.47,,,,percent of total billed charges,,11880.4,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,12325.915,,,,percent of total billed charges,,13365.45,,,,percent of total billed charges,,13662.46,,,,percent of total billed charges,,13662.46,,,,percent of total billed charges,,14048.573,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,14404.985,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,13068.44,,,,percent of total billed charges,,13365.45,,,,percent of total billed charges,,11895.2505,,,,percent of total billed charges,,13365.45,,,,percent of total billed charges,,8910.3,,,,percent of total billed charges,,13794.62945,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,11880.4,,,,percent of total billed charges,,8910.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11896.73555,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE MICROSPHERES ER 20 MG INTRAMUSCULAR KIT [1001152],0636,RC,0078-0341-61,NDC,J2353,HCPCS,outpatient,1,EA,11779.92,,5889.96,7067.952,11426.5224,11073.1248,,,,percent of total billed charges,,9423.936,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,9777.3336,,,,percent of total billed charges,,10601.928,,,,percent of total billed charges,,10837.5264,,,,percent of total billed charges,,10837.5264,,,,percent of total billed charges,,11143.80432,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,11426.5224,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,10366.3296,,,,percent of total billed charges,,10601.928,,,,percent of total billed charges,,9435.71592,,,,percent of total billed charges,,10601.928,,,,percent of total billed charges,,7067.952,,,,percent of total billed charges,,10942.36769,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,9423.936,,,,percent of total billed charges,,7067.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9436.893912,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE MICROSPHERES ER 30 MG INTRAMUSCULAR KIT [1001153],0636,RC,0078-0342-61,NDC,J2353,HCPCS,outpatient,1,EA,17639.6,,8819.8,10583.76,17110.412,16581.224,,,,percent of total billed charges,,14111.68,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,14640.868,,,,percent of total billed charges,,15875.64,,,,percent of total billed charges,,16228.432,,,,percent of total billed charges,,16228.432,,,,percent of total billed charges,,16687.0616,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,17110.412,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,15522.848,,,,percent of total billed charges,,15875.64,,,,percent of total billed charges,,14129.3196,,,,percent of total billed charges,,15875.64,,,,percent of total billed charges,,10583.76,,,,percent of total billed charges,,16385.42444,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,14111.68,,,,percent of total billed charges,,10583.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14131.08356,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,60505-0363-1,NDC,,,outpatient,5,ML,33.48,,16.74,20.088,32.4756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,26.81748,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,31.099572,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.820828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,60505-0363-2,NDC,,,outpatient,10,ML,64.44,,32.22,38.664,62.5068,60.5736,,,,percent of total billed charges,,51.552,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,53.4852,,,,percent of total billed charges,,57.996,,,,percent of total billed charges,,59.2848,,,,percent of total billed charges,,59.2848,,,,percent of total billed charges,,60.96024,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,62.5068,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,56.7072,,,,percent of total billed charges,,57.996,,,,percent of total billed charges,,51.61644,,,,percent of total billed charges,,57.996,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,59.858316,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,51.552,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.622884,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,24208-410-05,NDC,,,outpatient,5,ML,216.9,,108.45,130.14,210.393,203.886,,,,percent of total billed charges,,173.52,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,180.027,,,,percent of total billed charges,,195.21,,,,percent of total billed charges,,199.548,,,,percent of total billed charges,,199.548,,,,percent of total billed charges,,205.1874,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,210.393,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,190.872,,,,percent of total billed charges,,195.21,,,,percent of total billed charges,,173.7369,,,,percent of total billed charges,,195.21,,,,percent of total billed charges,,130.14,,,,percent of total billed charges,,201.47841,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,173.52,,,,percent of total billed charges,,130.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,173.75859,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,24208-410-10,NDC,,,outpatient,10,ML,551.75,,275.875,331.05,535.1975,518.645,,,,percent of total billed charges,,441.4,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,457.9525,,,,percent of total billed charges,,496.575,,,,percent of total billed charges,,507.61,,,,percent of total billed charges,,507.61,,,,percent of total billed charges,,521.9555,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,535.1975,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,485.54,,,,percent of total billed charges,,496.575,,,,percent of total billed charges,,441.95175,,,,percent of total billed charges,,496.575,,,,percent of total billed charges,,331.05,,,,percent of total billed charges,,512.520575,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,441.4,,,,percent of total billed charges,,331.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,442.006925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,50383-025-05,NDC,,,outpatient,5,ML,31.14,,15.57,18.684,30.2058,29.2716,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,25.8462,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,28.6488,,,,percent of total billed charges,,28.6488,,,,percent of total billed charges,,29.45844,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,30.2058,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,27.4032,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,24.94314,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,18.684,,,,percent of total billed charges,,28.925946,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,18.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.946254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,69238-1615-3,NDC,,,outpatient,5,ML,67.5,,33.75,40.5,65.475,63.45,,,,percent of total billed charges,,54,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,56.025,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.855,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,65.475,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,54.0675,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,62.70075,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,54,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.07425,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,70756-609-15,NDC,,,outpatient,5,ML,32.67,,16.335,19.602,31.6899,30.7098,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,27.1161,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.90582,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.6899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,28.7496,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,26.16867,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,30.347163,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.171937,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,60505-0560-0,NDC,,,outpatient,5,ML,32.45,,16.225,19.47,31.4765,30.503,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,26.9335,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,30.6977,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,31.4765,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,28.556,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,25.99245,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,30.142805,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.995695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,17478-713-10,NDC,,,outpatient,5,ML,28.26,,14.13,16.956,27.4122,26.5644,,,,percent of total billed charges,,22.608,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,23.4558,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,25.9992,,,,percent of total billed charges,,25.9992,,,,percent of total billed charges,,26.73396,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,27.4122,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,24.8688,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,22.63626,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,16.956,,,,percent of total billed charges,,26.250714,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,22.608,,,,percent of total billed charges,,16.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.639086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,64980-515-05,NDC,,,outpatient,5,ML,88.29,,44.145,52.974,85.6413,82.9926,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,73.2807,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,83.52234,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,85.6413,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,77.6952,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,70.72029,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,82.012581,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.729119,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,70756-607-30,NDC,,,outpatient,5,ML,67.28,,33.64,40.368,65.2616,63.2432,,,,percent of total billed charges,,53.824,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,55.8424,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,61.8976,,,,percent of total billed charges,,61.8976,,,,percent of total billed charges,,63.64688,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,65.2616,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,59.2064,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,53.89128,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,62.496392,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,53.824,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.898008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,0002-4454-01,NDC,,,outpatient,1,EA,102.2,,51.1,61.32,99.134,96.068,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,84.826,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,96.6812,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,99.134,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,89.936,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,81.8622,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,94.93358,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.87242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,0002-4454-85,NDC,,,outpatient,1,EA,102.2,,51.1,61.32,99.134,96.068,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,84.826,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,96.6812,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,99.134,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,89.936,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,81.8622,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,94.93358,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.87242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,55111-263-81,NDC,,,outpatient,1,EA,4.2,,2.1,2.52,4.074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.3642,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,3.90138,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.36462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,59746-307-32,NDC,,,outpatient,1,EA,5.66,,2.83,3.396,5.4902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,4.53366,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.257574,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.534226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,55111-263-79,NDC,,,outpatient,1,EA,4.2,,2.1,2.52,4.074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.3642,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,3.90138,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.36462,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,59746-307-12,NDC,,,outpatient,1,EA,5.66,,2.83,3.396,5.4902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,4.53366,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.257574,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.534226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,64380-173-01,NDC,,,outpatient,1,EA,5.2,,2.6,3.12,5.044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.1652,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,4.83028,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.16572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,64380-173-02,NDC,,,outpatient,1,EA,5.2,,2.6,3.12,5.044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.1652,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,4.83028,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.16572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,0002-7597-01,NDC,J2359,HCPCS,outpatient,1,EA,200.79,,100.395,120.474,194.7663,188.7426,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,166.6557,,,,percent of total billed charges,,180.711,,,,percent of total billed charges,,184.7268,,,,percent of total billed charges,,184.7268,,,,percent of total billed charges,,189.94734,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,194.7663,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,176.6952,,,,percent of total billed charges,,180.711,,,,percent of total billed charges,,160.83279,,,,percent of total billed charges,,180.711,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,186.513831,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.852869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,0781-3159-72,NDC,J2359,HCPCS,outpatient,1,EA,62.78,,31.39,37.668,60.8966,59.0132,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,52.1074,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,59.38988,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,60.8966,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,55.2464,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,50.28678,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,58.316342,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.293058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,0517-0955-01,NDC,J2359,HCPCS,outpatient,1,EA,116.33,,58.165,69.798,112.8401,109.3502,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,96.5539,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,110.04818,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,112.8401,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,102.3704,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,93.18033,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,108.058937,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.191963,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,0781-9105-72,NDC,J2359,HCPCS,outpatient,1,EA,62.78,,31.39,37.668,60.8966,59.0132,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,52.1074,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,59.38988,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,60.8966,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,55.2464,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,50.28678,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,58.316342,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.293058,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,55150-308-01,NDC,J2359,HCPCS,outpatient,1,EA,77.85,,38.925,46.71,75.5145,73.179,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,64.6155,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,73.6461,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,75.5145,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,68.508,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,62.35785,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,72.314865,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.365635,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,0002-4117-30,NDC,,,outpatient,1,EA,98.15,,49.075,58.89,95.2055,92.261,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,81.4645,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,92.8499,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,95.2055,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,86.372,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,78.61815,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,91.171535,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.627965,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,60505-3113-0,NDC,,,outpatient,1,EA,1.5,,0.75,0.9,1.455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.2015,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.39335,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.20165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,68084-740-01,NDC,,,outpatient,1,EA,3.5,,1.75,2.1,3.395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.8035,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.25115,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.80385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,68084-740-11,NDC,,,outpatient,1,EA,3.5,,1.75,2.1,3.395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.8035,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.25115,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.80385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,0002-4453-01,NDC,,,outpatient,1,EA,69.2,,34.6,41.52,67.124,65.048,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,57.436,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,65.4632,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,67.124,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,60.896,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,55.4292,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,64.27988,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.43612,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,0002-4453-85,NDC,,,outpatient,1,EA,69.2,,34.6,41.52,67.124,65.048,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,57.436,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,65.4632,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,67.124,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,60.896,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,55.4292,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,64.27988,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,55.43612,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,55111-262-81,NDC,,,outpatient,1,EA,3.08,,1.54,1.848,2.9876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.46708,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.861012,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.467388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,55111-262-79,NDC,,,outpatient,1,EA,3.08,,1.54,1.848,2.9876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.46708,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.861012,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.467388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,64380-172-01,NDC,,,outpatient,1,EA,3.54,,1.77,2.124,3.4338,3.3276,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.9382,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.34884,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.4338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.1152,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.83554,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,3.288306,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.835894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,64380-172-02,NDC,,,outpatient,1,EA,3.54,,1.77,2.124,3.4338,3.3276,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.9382,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.34884,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.4338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.1152,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.83554,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,3.288306,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.835894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,0002-4115-30,NDC,,,outpatient,1,EA,65.15,,32.575,39.09,63.1955,61.241,,,,percent of total billed charges,,52.12,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,54.0745,,,,percent of total billed charges,,58.635,,,,percent of total billed charges,,59.938,,,,percent of total billed charges,,59.938,,,,percent of total billed charges,,61.6319,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,63.1955,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,57.332,,,,percent of total billed charges,,58.635,,,,percent of total billed charges,,52.18515,,,,percent of total billed charges,,58.635,,,,percent of total billed charges,,39.09,,,,percent of total billed charges,,60.517835,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,52.12,,,,percent of total billed charges,,39.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.191665,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,60505-3111-0,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,68084-723-01,NDC,,,outpatient,1,EA,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,68084-723-11,NDC,,,outpatient,1,EA,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,17478-105-05,NDC,,,outpatient,5,ML,19.76,,9.88,11.856,19.1672,18.5744,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,16.4008,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,18.1792,,,,percent of total billed charges,,18.1792,,,,percent of total billed charges,,18.69296,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,19.1672,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,17.3888,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,15.82776,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,11.856,,,,percent of total billed charges,,18.355064,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,11.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.829736,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,58602-006-40,NDC,,,outpatient,5,ML,40.1,,20.05,24.06,38.897,37.694,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,33.283,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,37.9346,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,35.288,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,32.1201,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,37.24889,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.12411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,46122-672-64,NDC,,,outpatient,5,ML,18.95,,9.475,11.37,18.3815,17.813,,,,percent of total billed charges,,15.16,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,15.7285,,,,percent of total billed charges,,17.055,,,,percent of total billed charges,,17.434,,,,percent of total billed charges,,17.434,,,,percent of total billed charges,,17.9267,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,18.3815,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,16.676,,,,percent of total billed charges,,17.055,,,,percent of total billed charges,,15.17895,,,,percent of total billed charges,,17.055,,,,percent of total billed charges,,11.37,,,,percent of total billed charges,,17.602655,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,15.16,,,,percent of total billed charges,,11.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.180845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,70677-1156-1,NDC,,,outpatient,5,ML,31.23,,15.615,18.738,30.2931,29.3562,,,,percent of total billed charges,,24.984,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,25.9209,,,,percent of total billed charges,,28.107,,,,percent of total billed charges,,28.7316,,,,percent of total billed charges,,28.7316,,,,percent of total billed charges,,29.54358,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,30.2931,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,27.4824,,,,percent of total billed charges,,28.107,,,,percent of total billed charges,,25.01523,,,,percent of total billed charges,,28.107,,,,percent of total billed charges,,18.738,,,,percent of total billed charges,,29.009547,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,24.984,,,,percent of total billed charges,,18.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.018353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMALIZUMAB 150 MG (125 MG/ML) SUBCUTANEOUS SOLUTION [88091],0636,RC,50242-040-62,NDC,J2357,HCPCS,outpatient,1,EA,6232.32,,3116.16,3739.392,6045.3504,5858.3808,,,,percent of total billed charges,,4985.856,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,5172.8256,,,,percent of total billed charges,,5609.088,,,,percent of total billed charges,,5733.7344,,,,percent of total billed charges,,5733.7344,,,,percent of total billed charges,,5895.77472,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,6045.3504,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,5484.4416,,,,percent of total billed charges,,5609.088,,,,percent of total billed charges,,4992.08832,,,,percent of total billed charges,,5609.088,,,,percent of total billed charges,,3739.392,,,,percent of total billed charges,,5789.202048,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,4985.856,,,,percent of total billed charges,,3739.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4992.711552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE [197448]",0637,RC,7985400893,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE [197448]",0637,RC,4843311001,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,60505-3170-7,NDC,,,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,60687-127-11,NDC,,,outpatient,1,EA,13.46,,6.73,8.076,13.0562,12.6524,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.1718,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.73316,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,13.0562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.8448,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,10.78146,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,12.502994,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.782806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,60687-127-65,NDC,,,outpatient,1,EA,13.46,,6.73,8.076,13.0562,12.6524,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.1718,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.73316,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,13.0562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.8448,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,10.78146,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,12.502994,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.782806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,42806-552-12,NDC,,,outpatient,1,EA,0.74,,0.37,0.444,0.7178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.59274,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.687386,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.592814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,50268-676-11,NDC,,,outpatient,1,EA,14.37,,7.185,8.622,13.9389,13.5078,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.9271,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.59402,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.9389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,12.6456,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,11.51037,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,13.348293,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.511807,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,50268-676-12,NDC,,,outpatient,1,EA,14.37,,7.185,8.622,13.9389,13.5078,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.9271,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.59402,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.9389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,12.6456,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,11.51037,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,13.348293,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.511807,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-20,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION [197713],0636,RC,0023-3921-02,NDC,J0585,HCPCS,outpatient,200,UN,2536,,1268,1521.6,2459.92,2383.84,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2104.88,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2399.056,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2459.92,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2231.68,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2031.336,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,2355.6904,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2031.5896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-20,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [77981],0636,RC,0023-1145-01,NDC,J0585,HCPCS,outpatient,100,UN,1268,,634,760.8,1229.96,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1015.668,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1177.8452,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1015.7948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [77981],0636,RC,0023-1145-01,NDC,J0585,HCPCS,outpatient,1,EA,1268,,634,760.8,1229.96,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1015.668,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1177.8452,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1015.7948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION [197713],0636,RC,0023-3921-02,NDC,J0585,HCPCS,outpatient,1,EA,2536,,1268,1521.6,2459.92,2383.84,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2104.88,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2399.056,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2459.92,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2231.68,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2031.336,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,2355.6904,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2031.5896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,68462-157-13,NDC,Q0162,HCPCS,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,62756-240-64,NDC,Q0162,HCPCS,outpatient,1,EA,1.12,,0.56,0.672,1.0864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.89712,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.040368,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.897232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,0781-5238-64,NDC,Q0162,HCPCS,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,0781-5238-06,NDC,Q0162,HCPCS,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,68462-157-40,NDC,Q0162,HCPCS,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,65862-390-10,NDC,Q0162,HCPCS,outpatient,1,EA,1.11,,0.555,0.666,1.0767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.88911,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.031079,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.889221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,62756-240-60,NDC,Q0162,HCPCS,outpatient,1,EA,1.12,,0.56,0.672,1.0864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.89712,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.040368,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.897232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,68001-246-17,NDC,Q0162,HCPCS,outpatient,1,EA,1.12,,0.56,0.672,1.0864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.89712,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.040368,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.897232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,57237-077-10,NDC,Q0162,HCPCS,outpatient,1,EA,1.17,,0.585,0.702,1.1349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.93717,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.086813,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.937287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,68462-158-13,NDC,Q0162,HCPCS,outpatient,1,EA,1.33,,0.665,0.798,1.2901,1.2502,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.1039,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2236,,,,percent of total billed charges,,1.2236,,,,percent of total billed charges,,1.25818,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.2901,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.1704,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.06533,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,1.235437,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.065463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,62756-356-64,NDC,Q0162,HCPCS,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,65862-391-10,NDC,Q0162,HCPCS,outpatient,1,EA,3.72,,1.86,2.232,3.6084,3.4968,,,,percent of total billed charges,,2.976,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.0876,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,3.4224,,,,percent of total billed charges,,3.4224,,,,percent of total billed charges,,3.51912,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.6084,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.2736,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,2.97972,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,3.455508,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,2.976,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.980092,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,68462-158-40,NDC,Q0162,HCPCS,outpatient,1,EA,1.5,,0.75,0.9,1.455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.2015,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.39335,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.20165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,62756-356-60,NDC,Q0162,HCPCS,outpatient,1,EA,0.84,,0.42,0.504,0.8148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.67284,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.780276,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.672924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,0641-6078-01,NDC,J2405,HCPCS,outpatient,2,ML,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,0641-6078-25,NDC,J2405,HCPCS,outpatient,2,ML,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,23155-547-42,NDC,J2405,HCPCS,outpatient,2,ML,1.63,,0.815,0.978,1.5811,1.5322,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.3529,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.54198,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.4344,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.30563,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,1.514107,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.305793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,23155-547-31,NDC,J2405,HCPCS,outpatient,2,ML,1.63,,0.815,0.978,1.5811,1.5322,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.3529,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.54198,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.4344,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.30563,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,1.514107,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.305793,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,60505-6130-0,NDC,J2405,HCPCS,outpatient,2,ML,1.25,,0.625,0.75,1.2125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.00125,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.161125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.001375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,60505-6130-5,NDC,J2405,HCPCS,outpatient,2,ML,1.25,,0.625,0.75,1.2125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.00125,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.161125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.001375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [78131],0636,RC,0143-9890-01,NDC,J2405,HCPCS,outpatient,20,ML,32.31,,16.155,19.386,31.3407,30.3714,,,,percent of total billed charges,,25.848,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,26.8173,,,,percent of total billed charges,,29.079,,,,percent of total billed charges,,29.7252,,,,percent of total billed charges,,29.7252,,,,percent of total billed charges,,30.56526,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,31.3407,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,28.4328,,,,percent of total billed charges,,29.079,,,,percent of total billed charges,,25.88031,,,,percent of total billed charges,,29.079,,,,percent of total billed charges,,19.386,,,,percent of total billed charges,,30.012759,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,25.848,,,,percent of total billed charges,,19.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.883541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [78131],0636,RC,23155-549-31,NDC,J2405,HCPCS,outpatient,20,ML,15.75,,7.875,9.45,15.2775,14.805,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.0725,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.8995,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,15.2775,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,12.61575,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,14.630175,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.617325,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG TABLET [78230],0636,RC,0904-6551-61,NDC,Q0162,HCPCS,outpatient,1,EA,2.47,,1.235,1.482,2.3959,2.3218,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.0501,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.33662,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3959,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.1736,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.97847,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,2.294383,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.978717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [79890],0636,RC,0054-0064-47,NDC,Q0162,HCPCS,outpatient,50,ML,377.78,,188.89,226.668,366.4466,355.1132,,,,percent of total billed charges,,302.224,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,313.5574,,,,percent of total billed charges,,340.002,,,,percent of total billed charges,,347.5576,,,,percent of total billed charges,,347.5576,,,,percent of total billed charges,,357.37988,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,366.4466,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,332.4464,,,,percent of total billed charges,,340.002,,,,percent of total billed charges,,302.60178,,,,percent of total billed charges,,340.002,,,,percent of total billed charges,,226.668,,,,percent of total billed charges,,350.919842,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,302.224,,,,percent of total billed charges,,226.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,302.639558,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [79890],0636,RC,54838-555-50,NDC,Q0162,HCPCS,outpatient,50,ML,112.5,,56.25,67.5,109.125,105.75,,,,percent of total billed charges,,90,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,93.375,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,106.425,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,109.125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,90.1125,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,104.50125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,90,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.12375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [79890],0636,RC,65162-691-79,NDC,Q0162,HCPCS,outpatient,50,ML,110.93,,55.465,66.558,107.6021,104.2742,,,,percent of total billed charges,,88.744,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,92.0719,,,,percent of total billed charges,,99.837,,,,percent of total billed charges,,102.0556,,,,percent of total billed charges,,102.0556,,,,percent of total billed charges,,104.93978,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,107.6021,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,97.6184,,,,percent of total billed charges,,99.837,,,,percent of total billed charges,,88.85493,,,,percent of total billed charges,,99.837,,,,percent of total billed charges,,66.558,,,,percent of total billed charges,,103.042877,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,88.744,,,,percent of total billed charges,,66.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,88.866023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 8 MG TABLET [78130],0636,RC,68084-221-01,NDC,Q0162,HCPCS,outpatient,1,EA,2.26,,1.13,1.356,2.1922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.81026,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.099314,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.810486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 8 MG TABLET [78130],0636,RC,68084-221-11,NDC,Q0162,HCPCS,outpatient,1,EA,2.26,,1.13,1.356,2.1922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.81026,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.099314,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.810486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 8 MG TABLET [78130],0636,RC,0904-6552-61,NDC,Q0162,HCPCS,outpatient,1,EA,2.03,,1.015,1.218,1.9691,1.9082,,,,percent of total billed charges,,1.624,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.6849,,,,percent of total billed charges,,1.827,,,,percent of total billed charges,,1.8676,,,,percent of total billed charges,,1.8676,,,,percent of total billed charges,,1.92038,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.9691,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.7864,,,,percent of total billed charges,,1.827,,,,percent of total billed charges,,1.62603,,,,percent of total billed charges,,1.827,,,,percent of total billed charges,,1.218,,,,percent of total billed charges,,1.885667,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.624,,,,percent of total billed charges,,1.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.626233,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [78131],0636,RC,0143-9890-01,NDC,J2405,HCPCS,outpatient,4,ME,3.24,,1.62,1.944,3.1428,3.0456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.6892,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,2.9808,,,,percent of total billed charges,,2.9808,,,,percent of total billed charges,,3.06504,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1428,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.8512,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,2.59524,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,3.009636,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.595564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,67457-423-12,NDC,J1100,HCPCS,outpatient,10,ME,8.03,,4.015,4.818,7.7891,7.5482,,,,percent of total billed charges,,6.424,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,6.6649,,,,percent of total billed charges,,7.227,,,,percent of total billed charges,,7.3876,,,,percent of total billed charges,,7.3876,,,,percent of total billed charges,,7.59638,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,7.7891,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,7.0664,,,,percent of total billed charges,,7.227,,,,percent of total billed charges,,6.43203,,,,percent of total billed charges,,7.227,,,,percent of total billed charges,,4.818,,,,percent of total billed charges,,7.459067,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,6.424,,,,percent of total billed charges,,4.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.432833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,17478-538-02,NDC,J2360,HCPCS,outpatient,2,ML,14.26,,7.13,8.556,13.8322,13.4044,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,11.8358,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1192,,,,percent of total billed charges,,13.1192,,,,percent of total billed charges,,13.48996,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,13.8322,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,11.42226,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,8.556,,,,percent of total billed charges,,13.246114,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,8.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.423686,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,25021-651-02,NDC,J2360,HCPCS,outpatient,2,ML,49.14,,24.57,29.484,47.6658,46.1916,,,,percent of total billed charges,,39.312,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,40.7862,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,45.2088,,,,percent of total billed charges,,45.2088,,,,percent of total billed charges,,46.48644,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,47.6658,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,43.2432,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,39.36114,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,29.484,,,,percent of total billed charges,,45.646146,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,39.312,,,,percent of total billed charges,,29.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.366054,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,0641-6182-01,NDC,J2360,HCPCS,outpatient,2,ML,15.38,,7.69,9.228,14.9186,14.4572,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.7654,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.54948,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.9186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,13.5344,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,12.31938,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,14.286482,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.320918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,0641-6182-10,NDC,J2360,HCPCS,outpatient,2,ML,15.38,,7.69,9.228,14.9186,14.4572,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.7654,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.54948,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.9186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,13.5344,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,12.31938,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,14.286482,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.320918,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE [38213]",0637,RC,0185-0022-01,NDC,,,outpatient,1,EA,4.15,,2.075,2.49,4.0255,3.901,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.4445,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.652,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.32415,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,3.854935,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.324565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE [38213]",0637,RC,43386-480-24,NDC,,,outpatient,1,EA,3.13,,1.565,1.878,3.0361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.50713,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,2.907457,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.507443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,47781-468-13,NDC,,,outpatient,1,EA,11.47,,5.735,6.882,11.1259,10.7818,,,,percent of total billed charges,,9.176,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,9.5201,,,,percent of total billed charges,,10.323,,,,percent of total billed charges,,10.5524,,,,percent of total billed charges,,10.5524,,,,percent of total billed charges,,10.85062,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,11.1259,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,10.0936,,,,percent of total billed charges,,10.323,,,,percent of total billed charges,,9.18747,,,,percent of total billed charges,,10.323,,,,percent of total billed charges,,6.882,,,,percent of total billed charges,,10.654483,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,9.176,,,,percent of total billed charges,,6.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.188617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,68180-675-11,NDC,,,outpatient,1,EA,2.92,,1.46,1.752,2.8324,2.7448,,,,percent of total billed charges,,2.336,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.4236,,,,percent of total billed charges,,2.628,,,,percent of total billed charges,,2.6864,,,,percent of total billed charges,,2.6864,,,,percent of total billed charges,,2.76232,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.8324,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.5696,,,,percent of total billed charges,,2.628,,,,percent of total billed charges,,2.33892,,,,percent of total billed charges,,2.628,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,2.712388,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.336,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.339212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,31722-630-31,NDC,,,outpatient,1,EA,3.99,,1.995,2.394,3.8703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.19599,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,3.706311,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.196389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,33342-256-66,NDC,,,outpatient,1,EA,6.57,,3.285,3.942,6.3729,6.1758,,,,percent of total billed charges,,5.256,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,5.4531,,,,percent of total billed charges,,5.913,,,,percent of total billed charges,,6.0444,,,,percent of total billed charges,,6.0444,,,,percent of total billed charges,,6.21522,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,6.3729,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,5.7816,,,,percent of total billed charges,,5.913,,,,percent of total billed charges,,5.26257,,,,percent of total billed charges,,5.913,,,,percent of total billed charges,,3.942,,,,percent of total billed charges,,6.102873,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,5.256,,,,percent of total billed charges,,3.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.263227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [205852],0637,RC,69238-1273-6,NDC,,,outpatient,60,ML,254.88,,127.44,152.928,247.2336,239.5872,,,,percent of total billed charges,,203.904,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,211.5504,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,234.4896,,,,percent of total billed charges,,234.4896,,,,percent of total billed charges,,241.11648,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,247.2336,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,224.2944,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,204.15888,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,236.758032,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,203.904,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,204.184368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [205852],0637,RC,27241-139-09,NDC,,,outpatient,60,ML,134.73,,67.365,80.838,130.6881,126.6462,,,,percent of total billed charges,,107.784,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,111.8259,,,,percent of total billed charges,,121.257,,,,percent of total billed charges,,123.9516,,,,percent of total billed charges,,123.9516,,,,percent of total billed charges,,127.45458,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,130.6881,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,118.5624,,,,percent of total billed charges,,121.257,,,,percent of total billed charges,,107.91873,,,,percent of total billed charges,,121.257,,,,percent of total billed charges,,80.838,,,,percent of total billed charges,,125.150697,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,107.784,,,,percent of total billed charges,,80.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.932203,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [205852],0637,RC,72205-060-78,NDC,,,outpatient,60,ML,41.31,,20.655,24.786,40.0707,38.8314,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,34.2873,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,39.07926,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,40.0707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,36.3528,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,33.08931,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,38.372859,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.093441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,47781-470-13,NDC,,,outpatient,1,EA,10.71,,5.355,6.426,10.3887,10.0674,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,8.8893,,,,percent of total billed charges,,9.639,,,,percent of total billed charges,,9.8532,,,,percent of total billed charges,,9.8532,,,,percent of total billed charges,,10.13166,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,10.3887,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,9.4248,,,,percent of total billed charges,,9.639,,,,percent of total billed charges,,8.57871,,,,percent of total billed charges,,9.639,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,9.948519,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.579781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,68180-677-11,NDC,,,outpatient,1,EA,4.25,,2.125,2.55,4.1225,3.995,,,,percent of total billed charges,,3.4,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,3.5275,,,,percent of total billed charges,,3.825,,,,percent of total billed charges,,3.91,,,,percent of total billed charges,,3.91,,,,percent of total billed charges,,4.0205,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,4.1225,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,3.74,,,,percent of total billed charges,,3.825,,,,percent of total billed charges,,3.40425,,,,percent of total billed charges,,3.825,,,,percent of total billed charges,,2.55,,,,percent of total billed charges,,3.947825,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,3.4,,,,percent of total billed charges,,2.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.404675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,31722-632-31,NDC,,,outpatient,1,EA,4.35,,2.175,2.61,4.2195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,3.48435,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.040715,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.484785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,64380-799-01,NDC,,,outpatient,1,EA,8.33,,4.165,4.998,8.0801,7.8302,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.9139,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.88018,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,8.0801,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.3304,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,6.67233,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,7.737737,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.673163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,72205-044-11,NDC,,,outpatient,1,EA,3.34,,1.67,2.004,3.2398,3.1396,,,,percent of total billed charges,,2.672,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,2.7722,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,3.0728,,,,percent of total billed charges,,3.0728,,,,percent of total billed charges,,3.15964,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,3.2398,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,2.9392,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,2.67534,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,2.004,,,,percent of total billed charges,,3.102526,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,2.672,,,,percent of total billed charges,,2.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.675674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 1 GRAM SOLUTION FOR INJECTION [5924],0636,RC,55150-127-15,NDC,J2700,HCPCS,outpatient,1,EA,16.65,,8.325,9.99,16.1505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,13.33665,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,15.466185,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.338315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 100 MG/ML IV PEDS [1001605],0250,RC,9991-0016-05,NDC,,,outpatient,10,ML,44.24,,22.12,26.544,42.9128,41.5856,,,,percent of total billed charges,,35.392,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,36.7192,,,,percent of total billed charges,,39.816,,,,percent of total billed charges,,40.7008,,,,percent of total billed charges,,40.7008,,,,percent of total billed charges,,41.85104,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,42.9128,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,38.9312,,,,percent of total billed charges,,39.816,,,,percent of total billed charges,,35.43624,,,,percent of total billed charges,,39.816,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,41.094536,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,35.392,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.440664,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,0781-3101-95,NDC,J2700,HCPCS,outpatient,1,EA,87.81,,43.905,52.686,85.1757,82.5414,,,,percent of total billed charges,,70.248,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,72.8823,,,,percent of total billed charges,,79.029,,,,percent of total billed charges,,80.7852,,,,percent of total billed charges,,80.7852,,,,percent of total billed charges,,83.06826,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,85.1757,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,77.2728,,,,percent of total billed charges,,79.029,,,,percent of total billed charges,,70.33581,,,,percent of total billed charges,,79.029,,,,percent of total billed charges,,52.686,,,,percent of total billed charges,,81.566709,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,70.248,,,,percent of total billed charges,,52.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.344591,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,25021-162-24,NDC,J2700,HCPCS,outpatient,1,EA,101.25,,50.625,60.75,98.2125,95.175,,,,percent of total billed charges,,81,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,84.0375,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.7825,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,98.2125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,81.10125,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,94.051125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,81,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.111375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,55150-128-24,NDC,J2700,HCPCS,outpatient,1,EA,24.76,,12.38,14.856,24.0172,23.2744,,,,percent of total billed charges,,19.808,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,20.5508,,,,percent of total billed charges,,22.284,,,,percent of total billed charges,,22.7792,,,,percent of total billed charges,,22.7792,,,,percent of total billed charges,,23.42296,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,24.0172,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,21.7888,,,,percent of total billed charges,,22.284,,,,percent of total billed charges,,19.83276,,,,percent of total billed charges,,22.284,,,,percent of total billed charges,,14.856,,,,percent of total billed charges,,22.999564,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,19.808,,,,percent of total billed charges,,14.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.835236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,63323-812-01,NDC,J2700,HCPCS,outpatient,1,EA,22.79,,11.395,13.674,22.1063,21.4226,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.9157,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,21.55934,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,22.1063,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,20.0552,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,18.25479,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,21.169631,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.257069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,63323-812-20,NDC,J2700,HCPCS,outpatient,1,EA,22.79,,11.395,13.674,22.1063,21.4226,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.9157,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,21.55934,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,22.1063,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,20.0552,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,18.25479,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,21.169631,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.257069,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [15946],0636,RC,0338-1015-41,NDC,J2700,HCPCS,outpatient,50,ML,22.28,,11.14,13.368,21.6116,20.9432,,,,percent of total billed charges,,17.824,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,18.4924,,,,percent of total billed charges,,20.052,,,,percent of total billed charges,,20.4976,,,,percent of total billed charges,,20.4976,,,,percent of total billed charges,,21.07688,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,21.6116,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,19.6064,,,,percent of total billed charges,,20.052,,,,percent of total billed charges,,17.84628,,,,percent of total billed charges,,20.052,,,,percent of total billed charges,,13.368,,,,percent of total billed charges,,20.695892,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,17.824,,,,percent of total billed charges,,13.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.848508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,25021-162-24,NDC,J2700,HCPCS,outpatient,2,GR,101.25,,50.625,60.75,98.2125,95.175,,,,percent of total billed charges,,81,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,84.0375,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.7825,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,98.2125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,81.10125,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,94.051125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,81,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.111375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,25021-162-24,NDC,J2700,HCPCS,outpatient,1690,ME,85.56,,42.78,51.336,82.9932,80.4264,,,,percent of total billed charges,,68.448,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,71.0148,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,78.7152,,,,percent of total billed charges,,78.7152,,,,percent of total billed charges,,80.93976,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,82.9932,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,75.2928,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,68.53356,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,51.336,,,,percent of total billed charges,,79.476684,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,68.448,,,,percent of total billed charges,,51.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.542116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,25021-162-24,NDC,J2700,HCPCS,outpatient,2000,ME,101.25,,50.625,60.75,98.2125,95.175,,,,percent of total billed charges,,81,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,84.0375,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.7825,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,98.2125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,81.10125,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,94.051125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,81,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,81.111375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,25021-162-24,NDC,J2700,HCPCS,outpatient,500,ME,25.32,,12.66,15.192,24.5604,23.8008,,,,percent of total billed charges,,20.256,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,21.0156,,,,percent of total billed charges,,22.788,,,,percent of total billed charges,,23.2944,,,,percent of total billed charges,,23.2944,,,,percent of total billed charges,,23.95272,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,24.5604,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,22.2816,,,,percent of total billed charges,,22.788,,,,percent of total billed charges,,20.28132,,,,percent of total billed charges,,22.788,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,23.519748,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,20.256,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.283852,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,61703-363-22,NDC,J9263,HCPCS,outpatient,20,ML,375.39,,187.695,225.234,364.1283,352.8666,,,,percent of total billed charges,,300.312,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,311.5737,,,,percent of total billed charges,,337.851,,,,percent of total billed charges,,345.3588,,,,percent of total billed charges,,345.3588,,,,percent of total billed charges,,355.11894,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,364.1283,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,330.3432,,,,percent of total billed charges,,337.851,,,,percent of total billed charges,,300.68739,,,,percent of total billed charges,,337.851,,,,percent of total billed charges,,225.234,,,,percent of total billed charges,,348.699771,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,300.312,,,,percent of total billed charges,,225.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,300.724929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,0703-3986-01,NDC,J9263,HCPCS,outpatient,20,ML,267.12,,133.56,160.272,259.1064,251.0928,,,,percent of total billed charges,,213.696,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,221.7096,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,245.7504,,,,percent of total billed charges,,245.7504,,,,percent of total billed charges,,252.69552,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,259.1064,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,235.0656,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,213.96312,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,160.272,,,,percent of total billed charges,,248.127768,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,213.696,,,,percent of total billed charges,,160.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.989832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,0069-0070-01,NDC,J9263,HCPCS,outpatient,20,ML,576,,288,345.6,558.72,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,461.376,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,535.0464,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,461.4336,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,71288-101-20,NDC,J9263,HCPCS,outpatient,20,ML,49.68,,24.84,29.808,48.1896,46.6992,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,41.2344,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,46.99728,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,48.1896,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,43.7184,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,39.79368,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,46.147752,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.798648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,61703-363-18,NDC,J9263,HCPCS,outpatient,10,ML,187.7,,93.85,112.62,182.069,176.438,,,,percent of total billed charges,,150.16,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,155.791,,,,percent of total billed charges,,168.93,,,,percent of total billed charges,,172.684,,,,percent of total billed charges,,172.684,,,,percent of total billed charges,,177.5642,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,182.069,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,165.176,,,,percent of total billed charges,,168.93,,,,percent of total billed charges,,150.3477,,,,percent of total billed charges,,168.93,,,,percent of total billed charges,,112.62,,,,percent of total billed charges,,174.35453,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,150.16,,,,percent of total billed charges,,112.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,150.36647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,0703-3985-01,NDC,J9263,HCPCS,outpatient,10,ML,133.56,,66.78,80.136,129.5532,125.5464,,,,percent of total billed charges,,106.848,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,110.8548,,,,percent of total billed charges,,120.204,,,,percent of total billed charges,,122.8752,,,,percent of total billed charges,,122.8752,,,,percent of total billed charges,,126.34776,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,129.5532,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,117.5328,,,,percent of total billed charges,,120.204,,,,percent of total billed charges,,106.98156,,,,percent of total billed charges,,120.204,,,,percent of total billed charges,,80.136,,,,percent of total billed charges,,124.063884,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,106.848,,,,percent of total billed charges,,80.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,106.994916,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,0069-0074-01,NDC,J9263,HCPCS,outpatient,10,ML,543.65,,271.825,326.19,527.3405,511.031,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,451.2295,,,,percent of total billed charges,,489.285,,,,percent of total billed charges,,500.158,,,,percent of total billed charges,,500.158,,,,percent of total billed charges,,514.2929,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,527.3405,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,478.412,,,,percent of total billed charges,,489.285,,,,percent of total billed charges,,435.46365,,,,percent of total billed charges,,489.285,,,,percent of total billed charges,,326.19,,,,percent of total billed charges,,504.996485,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,326.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,435.518015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,67457-469-10,NDC,J9263,HCPCS,outpatient,10,ML,62.06,,31.03,37.236,60.1982,58.3364,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,51.5098,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,58.70876,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,60.1982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,54.6128,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,49.71006,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,57.647534,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.716266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,25021-233-10,NDC,J9263,HCPCS,outpatient,10,ML,85.55,,42.775,51.33,82.9835,80.417,,,,percent of total billed charges,,68.44,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,71.0065,,,,percent of total billed charges,,76.995,,,,percent of total billed charges,,78.706,,,,percent of total billed charges,,78.706,,,,percent of total billed charges,,80.9303,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,82.9835,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,75.284,,,,percent of total billed charges,,76.995,,,,percent of total billed charges,,68.52555,,,,percent of total billed charges,,76.995,,,,percent of total billed charges,,51.33,,,,percent of total billed charges,,79.467395,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,68.44,,,,percent of total billed charges,,51.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.534105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,68462-137-01,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,68084-845-01,NDC,,,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,68084-845-11,NDC,,,outpatient,1,EA,1.71,,0.855,1.026,1.6587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.36971,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.588419,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.369881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,0904-7262-61,NDC,,,outpatient,1,EA,1.64,,0.82,0.984,1.5908,1.5416,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.3612,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.55144,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.5908,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.4432,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.31364,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.523396,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.313804,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,68084-867-01,NDC,,,outpatient,1,EA,4.92,,2.46,2.952,4.7724,4.6248,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.0836,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.65432,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.7724,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.3296,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,3.94092,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,4.570188,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.941412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,68084-867-11,NDC,,,outpatient,1,EA,4.92,,2.46,2.952,4.7724,4.6248,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.0836,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.65432,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.7724,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.3296,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,3.94092,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,4.570188,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.941412,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,60687-733-01,NDC,,,outpatient,1,EA,5.98,,2.99,3.588,5.8006,5.6212,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.9634,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.65708,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.8006,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.2624,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,4.78998,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,5.554822,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.790578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,60687-733-11,NDC,,,outpatient,1,EA,5.98,,2.99,3.588,5.8006,5.6212,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.9634,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.65708,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.8006,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.2624,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,4.78998,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,5.554822,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.790578,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,0904-2821-61,NDC,,,outpatient,1,EA,1.35,,0.675,0.81,1.3095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.08135,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.254015,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.081485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,68084-400-01,NDC,,,outpatient,1,EA,1.36,,0.68,0.816,1.3192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.08936,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.263304,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.089496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,68084-400-11,NDC,,,outpatient,1,EA,1.36,,0.68,0.816,1.3192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.08936,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.263304,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.089496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,0904-7027-61,NDC,,,outpatient,1,EA,1.47,,0.735,0.882,1.4259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.17747,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.365483,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.177617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,51079-722-20,NDC,,,outpatient,1,EA,11.11,,5.555,6.666,10.7767,10.4434,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,9.2213,,,,percent of total billed charges,,9.999,,,,percent of total billed charges,,10.2212,,,,percent of total billed charges,,10.2212,,,,percent of total billed charges,,10.51006,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,10.7767,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,9.7768,,,,percent of total billed charges,,9.999,,,,percent of total billed charges,,8.89911,,,,percent of total billed charges,,9.999,,,,percent of total billed charges,,6.666,,,,percent of total billed charges,,10.320079,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,6.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.900221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,68084-480-01,NDC,,,outpatient,1,EA,6.8,,3.4,4.08,6.596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,5.4468,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.31652,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.44748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,68084-480-11,NDC,,,outpatient,1,EA,6.8,,3.4,4.08,6.596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,5.4468,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.31652,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.44748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,0904-6570-61,NDC,,,outpatient,1,EA,5.11,,2.555,3.066,4.9567,4.8034,,,,percent of total billed charges,,4.088,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.2413,,,,percent of total billed charges,,4.599,,,,percent of total billed charges,,4.7012,,,,percent of total billed charges,,4.7012,,,,percent of total billed charges,,4.83406,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.9567,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.4968,,,,percent of total billed charges,,4.599,,,,percent of total billed charges,,4.09311,,,,percent of total billed charges,,4.599,,,,percent of total billed charges,,3.066,,,,percent of total billed charges,,4.746679,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.088,,,,percent of total billed charges,,3.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.093621,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 15 MG TABLET [28899],0637,RC,68084-184-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 15 MG TABLET [28899],0637,RC,0406-8515-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 15 MG TABLET [28899],0637,RC,0406-8515-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,99999-108-12,NDC,,,outpatient,1,ML,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,9991-0812-01,NDC,,,outpatient,0.25,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,9991-0812-05,NDC,,,outpatient,0.5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,66689-025-30,NDC,,,outpatient,30,ML,391.5,,195.75,234.9,379.755,368.01,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,324.945,,,,percent of total billed charges,,352.35,,,,percent of total billed charges,,360.18,,,,percent of total billed charges,,360.18,,,,percent of total billed charges,,370.359,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,379.755,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,344.52,,,,percent of total billed charges,,352.35,,,,percent of total billed charges,,313.5915,,,,percent of total billed charges,,352.35,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,363.66435,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,313.63065,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,0406-8557-30,NDC,,,outpatient,30,ML,231.93,,115.965,139.158,224.9721,218.0142,,,,percent of total billed charges,,185.544,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,192.5019,,,,percent of total billed charges,,208.737,,,,percent of total billed charges,,213.3756,,,,percent of total billed charges,,213.3756,,,,percent of total billed charges,,219.40578,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,224.9721,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,204.0984,,,,percent of total billed charges,,208.737,,,,percent of total billed charges,,185.77593,,,,percent of total billed charges,,208.737,,,,percent of total billed charges,,139.158,,,,percent of total billed charges,,215.439777,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,185.544,,,,percent of total billed charges,,139.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,185.799123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,0406-0552-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,68084-354-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,68084-354-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,0406-0552-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,42858-001-10,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,0904-6966-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,66689-401-01,NDC,,,outpatient,5,ML,21.87,,10.935,13.122,21.2139,20.5578,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,18.1521,,,,percent of total billed charges,,19.683,,,,percent of total billed charges,,20.1204,,,,percent of total billed charges,,20.1204,,,,percent of total billed charges,,20.68902,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,21.2139,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,19.2456,,,,percent of total billed charges,,19.683,,,,percent of total billed charges,,17.51787,,,,percent of total billed charges,,19.683,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,20.315043,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.520057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,66689-401-50,NDC,,,outpatient,5,ML,16.27,,8.135,9.762,15.7819,15.2938,,,,percent of total billed charges,,13.016,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,13.5041,,,,percent of total billed charges,,14.643,,,,percent of total billed charges,,14.9684,,,,percent of total billed charges,,14.9684,,,,percent of total billed charges,,15.39142,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,15.7819,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,14.3176,,,,percent of total billed charges,,14.643,,,,percent of total billed charges,,13.03227,,,,percent of total billed charges,,14.643,,,,percent of total billed charges,,9.762,,,,percent of total billed charges,,15.113203,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,13.016,,,,percent of total billed charges,,9.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.033897,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,60687-406-40,NDC,,,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,60687-406-77,NDC,,,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,0121-4827-05,NDC,,,outpatient,5,ML,25.14,,12.57,15.084,24.3858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,20.13714,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,23.352546,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.139654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,0121-4827-40,NDC,,,outpatient,5,ML,25.14,,12.57,15.084,24.3858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,20.13714,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,23.352546,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.139654,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [224317]",0637,RC,59011-410-20,NDC,,,outpatient,1,EA,22.65,,11.325,13.59,21.9705,21.291,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,18.7995,,,,percent of total billed charges,,20.385,,,,percent of total billed charges,,20.838,,,,percent of total billed charges,,20.838,,,,percent of total billed charges,,21.4269,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,21.9705,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,19.932,,,,percent of total billed charges,,20.385,,,,percent of total billed charges,,18.14265,,,,percent of total billed charges,,20.385,,,,percent of total billed charges,,13.59,,,,percent of total billed charges,,21.039585,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,13.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.144915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [224319]",0637,RC,59011-420-20,NDC,,,outpatient,1,EA,42.19,,21.095,25.314,40.9243,39.6586,,,,percent of total billed charges,,33.752,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,35.0177,,,,percent of total billed charges,,37.971,,,,percent of total billed charges,,38.8148,,,,percent of total billed charges,,38.8148,,,,percent of total billed charges,,39.91174,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,40.9243,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,37.1272,,,,percent of total billed charges,,37.971,,,,percent of total billed charges,,33.79419,,,,percent of total billed charges,,37.971,,,,percent of total billed charges,,25.314,,,,percent of total billed charges,,39.190291,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,33.752,,,,percent of total billed charges,,25.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.798409,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,0406-0523-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,0406-0523-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,68084-710-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,68084-710-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,0406-0512-62,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,68084-355-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,68084-355-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,0406-0512-23,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,50268-644-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,50268-644-15,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,0904-7093-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,60687-642-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,60687-642-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,45802-410-59,NDC,,,outpatient,30,ML,8.37,,4.185,5.022,8.1189,7.8678,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,6.9471,,,,percent of total billed charges,,7.533,,,,percent of total billed charges,,7.7004,,,,percent of total billed charges,,7.7004,,,,percent of total billed charges,,7.91802,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,8.1189,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,7.3656,,,,percent of total billed charges,,7.533,,,,percent of total billed charges,,6.70437,,,,percent of total billed charges,,7.533,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,7.774893,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.705207,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,46122-165-10,NDC,,,outpatient,30,ML,4.32,,2.16,2.592,4.1904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.012848,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.460752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,4110081123,NDC,,,outpatient,15,ML,18.03,,9.015,10.818,17.4891,16.9482,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.9649,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,17.05638,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.4891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,15.8664,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,14.44203,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,16.748067,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.443833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,4110081127,NDC,,,outpatient,15,ML,20.93,,10.465,12.558,20.3021,19.6742,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,17.3719,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.79978,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,20.3021,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,18.4184,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,16.76493,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,19.441877,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.767023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,0904-6761-30,NDC,,,outpatient,30,ML,8.24,,4.12,4.944,7.9928,7.7456,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.8392,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.79504,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.9928,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.2512,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,6.60024,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,7.654136,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.601064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,0904-7006-35,NDC,,,outpatient,15,ML,7.02,,3.51,4.212,6.8094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,5.62302,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,6.520878,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.623722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,5002443100,NDC,,,outpatient,15,ML,16.41,,8.205,9.846,15.9177,15.4254,,,,percent of total billed charges,,13.128,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,13.6203,,,,percent of total billed charges,,14.769,,,,percent of total billed charges,,15.0972,,,,percent of total billed charges,,15.0972,,,,percent of total billed charges,,15.52386,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,15.9177,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,14.4408,,,,percent of total billed charges,,14.769,,,,percent of total billed charges,,13.14441,,,,percent of total billed charges,,14.769,,,,percent of total billed charges,,9.846,,,,percent of total billed charges,,15.243249,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,13.128,,,,percent of total billed charges,,9.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.146051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,4110081123,NDC,,,outpatient,4,ML,4.81,,2.405,2.886,4.6657,4.5214,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.9923,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.55026,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.6657,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.2328,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,3.85281,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,4.468009,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.853291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,64950-362-04,NDC,C9143,HCPCS,outpatient,4,ML,1125.54,,562.77,675.324,1091.7738,1058.0076,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,934.1982,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1064.76084,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1091.7738,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,990.4752,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,901.55754,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,1045.514106,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,901.670094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,63323-012-10,NDC,J2590,HCPCS,outpatient,10,ML,37.04,,18.52,22.224,35.9288,34.8176,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,30.7432,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,35.03984,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.9288,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,32.5952,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,29.66904,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,34.406456,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.672744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,42023-116-25,NDC,J2590,HCPCS,outpatient,1,ML,6.46,,3.23,3.876,6.2662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.17446,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.000694,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.175106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,42023-116-02,NDC,J2590,HCPCS,outpatient,10,ML,25.16,,12.58,15.096,24.4052,23.6504,,,,percent of total billed charges,,20.128,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,20.8828,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,23.1472,,,,percent of total billed charges,,23.1472,,,,percent of total billed charges,,23.80136,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,24.4052,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,22.1408,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,20.15316,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,15.096,,,,percent of total billed charges,,23.371124,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,20.128,,,,percent of total billed charges,,15.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.155676,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,9999-9959-44,NDC,J2590,HCPCS,outpatient,1,ML,6.22,,3.11,3.732,6.0334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.98222,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,5.777758,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.982842,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,63323-012-03,NDC,J2590,HCPCS,outpatient,1,ML,14.19,,7.095,8.514,13.7643,13.3386,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.7777,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.42374,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.7643,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,12.4872,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,11.36619,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,13.181091,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.367609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,63323-012-11,NDC,J2590,HCPCS,outpatient,1,ML,14.19,,7.095,8.514,13.7643,13.3386,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.7777,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.42374,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.7643,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,12.4872,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,11.36619,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,13.181091,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.367609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,63323-012-06,NDC,J2590,HCPCS,outpatient,10,ML,37.04,,18.52,22.224,35.9288,34.8176,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,30.7432,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,35.03984,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.9288,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,32.5952,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,29.66904,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,34.406456,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.672744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [93982],0250,RC,9999-9939-82,NDC,,,outpatient,500,ML,141.75,,70.875,85.05,137.4975,133.245,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,117.6525,,,,percent of total billed charges,,127.575,,,,percent of total billed charges,,130.41,,,,percent of total billed charges,,130.41,,,,percent of total billed charges,,134.0955,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,137.4975,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,127.575,,,,percent of total billed charges,,113.54175,,,,percent of total billed charges,,127.575,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,131.671575,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,113.555925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [93982],0250,RC,70092-1068-07,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [93982],0250,RC,71266-5100-1,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNITS IN D5W 500 ML - FOR ANES [5000214],0250,RC,61553-723-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNITS IN D5W 500 ML - FOR ANES [5000214],0250,RC,9999-9939-74,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNITS IN NS 500 ML - FOR ANES [5000235],0250,RC,70092-1068-07,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,61703-342-09,NDC,J9267,HCPCS,outpatient,5,ML,37.49,,18.745,22.494,36.3653,35.2406,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,31.1167,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,35.46554,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,36.3653,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,32.9912,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,30.02949,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,34.824461,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.033239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,61703-342-22,NDC,J9267,HCPCS,outpatient,16.7,ML,115.59,,57.795,69.354,112.1223,108.6546,,,,percent of total billed charges,,92.472,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,95.9397,,,,percent of total billed charges,,104.031,,,,percent of total billed charges,,106.3428,,,,percent of total billed charges,,106.3428,,,,percent of total billed charges,,109.34814,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,112.1223,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,101.7192,,,,percent of total billed charges,,104.031,,,,percent of total billed charges,,92.58759,,,,percent of total billed charges,,104.031,,,,percent of total billed charges,,69.354,,,,percent of total billed charges,,107.371551,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,92.472,,,,percent of total billed charges,,69.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,92.599149,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,61703-342-50,NDC,J9267,HCPCS,outpatient,50,ML,293.85,,146.925,176.31,285.0345,276.219,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,243.8955,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,277.9821,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,285.0345,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,258.588,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,235.37385,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,272.957265,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,235.403235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,45963-613-56,NDC,J9267,HCPCS,outpatient,5,ML,31.01,,15.505,18.606,30.0797,29.1494,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,25.7383,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,29.33546,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,30.0797,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,27.2888,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,24.83901,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,28.805189,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.842111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,47781-595-07,NDC,J9267,HCPCS,outpatient,50,ML,161.1,,80.55,96.66,156.267,151.434,,,,percent of total billed charges,,128.88,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,133.713,,,,percent of total billed charges,,144.99,,,,percent of total billed charges,,148.212,,,,percent of total billed charges,,148.212,,,,percent of total billed charges,,152.4006,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,156.267,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,141.768,,,,percent of total billed charges,,144.99,,,,percent of total billed charges,,129.0411,,,,percent of total billed charges,,144.99,,,,percent of total billed charges,,96.66,,,,percent of total billed charges,,149.64579,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,128.88,,,,percent of total billed charges,,96.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,129.05721,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [94058],0636,RC,68817-134-50,NDC,J9264,HCPCS,outpatient,1,EA,6861.42,,3430.71,4116.852,6655.5774,6449.7348,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5694.9786,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6490.90332,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6655.5774,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6038.0496,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,5495.99742,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,6373.573038,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5496.683562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [94058],0636,RC,24979-710-51,NDC,J9264,HCPCS,outpatient,1,EA,4002.84,,2001.42,2401.704,3882.7548,3762.6696,,,,percent of total billed charges,,3202.272,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3322.3572,,,,percent of total billed charges,,3602.556,,,,percent of total billed charges,,3682.6128,,,,percent of total billed charges,,3682.6128,,,,percent of total billed charges,,3786.68664,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3882.7548,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3522.4992,,,,percent of total billed charges,,3602.556,,,,percent of total billed charges,,3206.27484,,,,percent of total billed charges,,3602.556,,,,percent of total billed charges,,2401.704,,,,percent of total billed charges,,3718.238076,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3202.272,,,,percent of total billed charges,,2401.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3206.675124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [94058],0636,RC,60505-6230-4,NDC,J9264,HCPCS,outpatient,1,EA,5959.94,,2979.97,3575.964,5781.1418,5602.3436,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4946.7502,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5638.10324,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5781.1418,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5244.7472,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,4773.91194,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,5536.188266,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4774.507934,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL-PROTEIN BOUND IVPB [1000226],0636,RC,68817-134-50,NDC,J9264,HCPCS,outpatient,1,EA,6861.42,,3430.71,4116.852,6655.5774,6449.7348,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5694.9786,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6490.90332,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6655.5774,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6038.0496,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,5495.99742,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,6373.573038,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5496.683562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL-PROTEIN BOUND IVPB [1000226],0636,RC,60505-6230-4,NDC,J9264,HCPCS,outpatient,1,EA,5959.94,,2979.97,3575.964,5781.1418,5602.3436,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4946.7502,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5638.10324,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5781.1418,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5244.7472,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,4773.91194,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,5536.188266,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4774.507934,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,50458-550-01,NDC,,,outpatient,1,EA,50.72,,25.36,30.432,49.1984,47.6768,,,,percent of total billed charges,,40.576,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,42.0976,,,,percent of total billed charges,,45.648,,,,percent of total billed charges,,46.6624,,,,percent of total billed charges,,46.6624,,,,percent of total billed charges,,47.98112,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,49.1984,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,44.6336,,,,percent of total billed charges,,45.648,,,,percent of total billed charges,,40.62672,,,,percent of total billed charges,,45.648,,,,percent of total billed charges,,30.432,,,,percent of total billed charges,,47.113808,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,40.576,,,,percent of total billed charges,,30.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.631792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,47335-765-83,NDC,,,outpatient,1,EA,4.94,,2.47,2.964,4.7918,4.6436,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.1002,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.5448,,,,percent of total billed charges,,4.5448,,,,percent of total billed charges,,4.67324,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.7918,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.3472,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,3.95694,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,4.588766,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.957434,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,43975-350-03,NDC,,,outpatient,1,EA,9.76,,4.88,5.856,9.4672,9.1744,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.1008,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,9.23296,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.4672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.5888,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,7.81776,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,9.066064,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.818736,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,27808-223-01,NDC,,,outpatient,1,EA,9.76,,4.88,5.856,9.4672,9.1744,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.1008,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,9.23296,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.4672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.5888,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,7.81776,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,9.066064,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.818736,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE [195663],0636,RC,50458-562-01,NDC,J3490,HCPCS,outpatient,0.75,ML,6785.28,,3392.64,4071.168,6581.7216,6378.1632,,,,percent of total billed charges,,5428.224,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,5631.7824,,,,percent of total billed charges,,6106.752,,,,percent of total billed charges,,6242.4576,,,,percent of total billed charges,,6242.4576,,,,percent of total billed charges,,6418.87488,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,6581.7216,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,5971.0464,,,,percent of total billed charges,,6106.752,,,,percent of total billed charges,,5435.00928,,,,percent of total billed charges,,6106.752,,,,percent of total billed charges,,4071.168,,,,percent of total billed charges,,6302.846592,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,5428.224,,,,percent of total billed charges,,4071.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5435.687808,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE [195664],0636,RC,50458-563-01,NDC,J3490,HCPCS,outpatient,1,ML,9047.39,,4523.695,5428.434,8775.9683,8504.5466,,,,percent of total billed charges,,7237.912,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,7509.3337,,,,percent of total billed charges,,8142.651,,,,percent of total billed charges,,8323.5988,,,,percent of total billed charges,,8323.5988,,,,percent of total billed charges,,8558.83094,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,8775.9683,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,7961.7032,,,,percent of total billed charges,,8142.651,,,,percent of total billed charges,,7246.95939,,,,percent of total billed charges,,8142.651,,,,percent of total billed charges,,5428.434,,,,percent of total billed charges,,8404.120571,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,7237.912,,,,percent of total billed charges,,5428.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7247.864129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE [195665],0636,RC,50458-564-01,NDC,J3490,HCPCS,outpatient,1.5,ML,13570.7,,6785.35,8142.42,13163.579,12756.458,,,,percent of total billed charges,,10856.56,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,11263.681,,,,percent of total billed charges,,12213.63,,,,percent of total billed charges,,12485.044,,,,percent of total billed charges,,12485.044,,,,percent of total billed charges,,12837.8822,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,13163.579,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,11942.216,,,,percent of total billed charges,,12213.63,,,,percent of total billed charges,,10870.1307,,,,percent of total billed charges,,12213.63,,,,percent of total billed charges,,8142.42,,,,percent of total billed charges,,12605.82323,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,10856.56,,,,percent of total billed charges,,8142.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10871.48777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,69097-927-35,NDC,J2469,HCPCS,outpatient,5,ML,533.97,,266.985,320.382,517.9509,501.9318,,,,percent of total billed charges,,427.176,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,443.1951,,,,percent of total billed charges,,480.573,,,,percent of total billed charges,,491.2524,,,,percent of total billed charges,,491.2524,,,,percent of total billed charges,,505.13562,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,517.9509,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,469.8936,,,,percent of total billed charges,,480.573,,,,percent of total billed charges,,427.70997,,,,percent of total billed charges,,480.573,,,,percent of total billed charges,,320.382,,,,percent of total billed charges,,496.004733,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,427.176,,,,percent of total billed charges,,320.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,427.763367,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,0703-4094-01,NDC,J2469,HCPCS,outpatient,5,ML,54.63,,27.315,32.778,52.9911,51.3522,,,,percent of total billed charges,,43.704,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,45.3429,,,,percent of total billed charges,,49.167,,,,percent of total billed charges,,50.2596,,,,percent of total billed charges,,50.2596,,,,percent of total billed charges,,51.67998,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,52.9911,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,48.0744,,,,percent of total billed charges,,49.167,,,,percent of total billed charges,,43.75863,,,,percent of total billed charges,,49.167,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,50.745807,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,43.704,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.764093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,63323-673-05,NDC,J2469,HCPCS,outpatient,5,ML,90.95,,45.475,54.57,88.2215,85.493,,,,percent of total billed charges,,72.76,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,75.4885,,,,percent of total billed charges,,81.855,,,,percent of total billed charges,,83.674,,,,percent of total billed charges,,83.674,,,,percent of total billed charges,,86.0387,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,88.2215,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,80.036,,,,percent of total billed charges,,81.855,,,,percent of total billed charges,,72.85095,,,,percent of total billed charges,,81.855,,,,percent of total billed charges,,54.57,,,,percent of total billed charges,,84.483455,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,72.76,,,,percent of total billed charges,,54.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.860045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,71288-409-05,NDC,J2469,HCPCS,outpatient,5,ML,40.5,,20.25,24.3,39.285,38.07,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,33.615,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,32.4405,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,37.62045,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.44455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],0636,RC,61703-324-18,NDC,J2430,HCPCS,outpatient,10,ML,46.71,,23.355,28.026,45.3087,43.9074,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,38.7693,,,,percent of total billed charges,,42.039,,,,percent of total billed charges,,42.9732,,,,percent of total billed charges,,42.9732,,,,percent of total billed charges,,44.18766,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,45.3087,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,41.1048,,,,percent of total billed charges,,42.039,,,,percent of total billed charges,,37.41471,,,,percent of total billed charges,,42.039,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,43.388919,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.419381,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],0636,RC,67457-430-10,NDC,J2430,HCPCS,outpatient,10,ML,36.59,,18.295,21.954,35.4923,34.3946,,,,percent of total billed charges,,29.272,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,30.3697,,,,percent of total billed charges,,32.931,,,,percent of total billed charges,,33.6628,,,,percent of total billed charges,,33.6628,,,,percent of total billed charges,,34.61414,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,35.4923,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,32.1992,,,,percent of total billed charges,,32.931,,,,percent of total billed charges,,29.30859,,,,percent of total billed charges,,32.931,,,,percent of total billed charges,,21.954,,,,percent of total billed charges,,33.988451,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,29.272,,,,percent of total billed charges,,21.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.312249,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],0636,RC,61703-326-18,NDC,J2430,HCPCS,outpatient,10,ML,127.58,,63.79,76.548,123.7526,119.9252,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,105.8914,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,120.69068,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,123.7526,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,112.2704,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,102.19158,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,118.509062,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.204338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],0636,RC,61703-326-18,NDC,J2430,HCPCS,outpatient,90,ME,127.58,,63.79,76.548,123.7526,119.9252,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,105.8914,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,120.69068,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,123.7526,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,112.2704,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,102.19158,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,118.509062,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,102.204338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],0636,RC,61703-326-18,NDC,J2430,HCPCS,outpatient,30,ME,42.53,,21.265,25.518,41.2541,39.9782,,,,percent of total billed charges,,34.024,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,35.2999,,,,percent of total billed charges,,38.277,,,,percent of total billed charges,,39.1276,,,,percent of total billed charges,,39.1276,,,,percent of total billed charges,,40.23338,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,41.2541,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,37.4264,,,,percent of total billed charges,,38.277,,,,percent of total billed charges,,34.06653,,,,percent of total billed charges,,38.277,,,,percent of total billed charges,,25.518,,,,percent of total billed charges,,39.506117,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,34.024,,,,percent of total billed charges,,25.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.070783,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [189484],0636,RC,55513-954-01,NDC,J9303,HCPCS,outpatient,5,ML,7155.45,,3577.725,4293.27,6940.7865,6726.123,,,,percent of total billed charges,,5724.36,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,5939.0235,,,,percent of total billed charges,,6439.905,,,,percent of total billed charges,,6583.014,,,,percent of total billed charges,,6583.014,,,,percent of total billed charges,,6769.0557,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,6940.7865,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,6296.796,,,,percent of total billed charges,,6439.905,,,,percent of total billed charges,,5731.51545,,,,percent of total billed charges,,6439.905,,,,percent of total billed charges,,4293.27,,,,percent of total billed charges,,6646.697505,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,5724.36,,,,percent of total billed charges,,4293.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5732.230995,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [189486],0636,RC,55513-956-01,NDC,J9303,HCPCS,outpatient,20,ML,25441.44,,12720.72,15264.864,24678.1968,23914.9536,,,,percent of total billed charges,,20353.152,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,21116.3952,,,,percent of total billed charges,,22897.296,,,,percent of total billed charges,,23406.1248,,,,percent of total billed charges,,23406.1248,,,,percent of total billed charges,,24067.60224,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,24678.1968,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,22388.4672,,,,percent of total billed charges,,22897.296,,,,percent of total billed charges,,20378.59344,,,,percent of total billed charges,,22897.296,,,,percent of total billed charges,,15264.864,,,,percent of total billed charges,,23632.55362,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,20353.152,,,,percent of total billed charges,,15264.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20381.13758,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [189484],0636,RC,55513-954-01,NDC,J9303,HCPCS,outpatient,405.6,ME,25797.79,,12898.895,15478.674,25023.8563,24249.9226,,,,percent of total billed charges,,20638.232,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,21412.1657,,,,percent of total billed charges,,23218.011,,,,percent of total billed charges,,23733.9668,,,,percent of total billed charges,,23733.9668,,,,percent of total billed charges,,24404.70934,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,25023.8563,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,22702.0552,,,,percent of total billed charges,,23218.011,,,,percent of total billed charges,,20664.02979,,,,percent of total billed charges,,23218.011,,,,percent of total billed charges,,15478.674,,,,percent of total billed charges,,23963.56713,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,20638.232,,,,percent of total billed charges,,15478.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20666.60957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [79458]",0637,RC,68084-643-11,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [79458]",0637,RC,60687-585-01,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [79458]",0637,RC,60687-585-11,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0008-0923-55,NDC,J2470,HCPCS,outpatient,40,ME,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0008-0923-51,NDC,J2470,HCPCS,outpatient,1,EA,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0008-0923-55,NDC,J2470,HCPCS,outpatient,1,EA,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0008-0923-60,NDC,J2470,HCPCS,outpatient,1,EA,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0008-4001-25,NDC,J2470,HCPCS,outpatient,1,EA,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0008-4001-01,NDC,J2470,HCPCS,outpatient,1,EA,7.45,,3.725,4.47,7.2265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,5.96745,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,6.920305,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.968195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,55150-202-00,NDC,J2470,HCPCS,outpatient,1,EA,6.77,,3.385,4.062,6.5669,6.3638,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.6191,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.40442,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.5669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.9576,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,5.42277,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,6.288653,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.423447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,55150-202-10,NDC,J2470,HCPCS,outpatient,1,EA,6.77,,3.385,4.062,6.5669,6.3638,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.6191,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.40442,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.5669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.9576,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,5.42277,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,6.288653,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.423447,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0781-3232-95,NDC,J2470,HCPCS,outpatient,1,EA,7.03,,3.515,4.218,6.8191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.63103,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,6.530167,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.631733,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0781-3232-94,NDC,J2470,HCPCS,outpatient,1,EA,7.03,,3.515,4.218,6.8191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.63103,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,6.530167,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.631733,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,0008-0841-81,NDC,,,outpatient,1,EA,59.87,,29.935,35.922,58.0739,56.2778,,,,percent of total billed charges,,47.896,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,49.6921,,,,percent of total billed charges,,53.883,,,,percent of total billed charges,,55.0804,,,,percent of total billed charges,,55.0804,,,,percent of total billed charges,,56.63702,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,58.0739,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,52.6856,,,,percent of total billed charges,,53.883,,,,percent of total billed charges,,47.95587,,,,percent of total billed charges,,53.883,,,,percent of total billed charges,,35.922,,,,percent of total billed charges,,55.613243,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,47.896,,,,percent of total billed charges,,35.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.961857,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,51079-051-01,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,51079-051-20,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,68084-813-09,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,68084-813-11,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,50268-639-11,NDC,,,outpatient,1,EA,1.48,,0.74,0.888,1.4356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.18548,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.374772,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.185628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,50268-639-15,NDC,,,outpatient,1,EA,1.48,,0.74,0.888,1.4356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.18548,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.374772,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.185628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,0904-6870-45,NDC,,,outpatient,1,EA,0.89,,0.445,0.534,0.8633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.71289,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.826721,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.712979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,35573-428-51,NDC,,,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,35573-428-80,NDC,,,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40MG IN NS 50ML CONTINUOUS INFUSION (MBP) [252346],0250,RC,9999-2523-46,NDC,,,outpatient,50,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,80,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,0008-0923-55,NDC,J2470,HCPCS,outpatient,80,ME,14.89,,7.445,8.934,14.4433,13.9966,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,12.3587,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,14.08594,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.4433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,13.1032,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,11.92689,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,13.831321,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.928379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,0517-4002-25,NDC,J2440,HCPCS,outpatient,2,ML,104.45,,52.225,62.67,101.3165,98.183,,,,percent of total billed charges,,83.56,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,86.6935,,,,percent of total billed charges,,94.005,,,,percent of total billed charges,,96.094,,,,percent of total billed charges,,96.094,,,,percent of total billed charges,,98.8097,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,101.3165,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,91.916,,,,percent of total billed charges,,94.005,,,,percent of total billed charges,,83.66445,,,,percent of total billed charges,,94.005,,,,percent of total billed charges,,62.67,,,,percent of total billed charges,,97.023605,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,83.56,,,,percent of total billed charges,,62.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.674895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,14789-121-05,NDC,J2440,HCPCS,outpatient,2,ML,74.45,,37.225,44.67,72.2165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,59.63445,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,69.156605,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.641895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,14789-121-07,NDC,J2440,HCPCS,outpatient,2,ML,74.45,,37.225,44.67,72.2165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,59.63445,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,69.156605,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,59.641895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,54288-142-01,NDC,J2440,HCPCS,outpatient,2,ML,70.32,,35.16,42.192,68.2104,66.1008,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,58.3656,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,66.52272,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,68.2104,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,61.8816,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,56.32632,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,65.320248,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.333352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,54288-142-10,NDC,J2440,HCPCS,outpatient,2,ML,70.32,,35.16,42.192,68.2104,66.1008,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,58.3656,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,66.52272,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,68.2104,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,61.8816,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,56.32632,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,65.320248,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.333352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,30,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,0517-4002-25,NDC,J2440,HCPCS,outpatient,30,ME,52.23,,26.115,31.338,50.6631,49.0962,,,,percent of total billed charges,,41.784,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,43.3509,,,,percent of total billed charges,,47.007,,,,percent of total billed charges,,48.0516,,,,percent of total billed charges,,48.0516,,,,percent of total billed charges,,49.40958,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,50.6631,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,45.9624,,,,percent of total billed charges,,47.007,,,,percent of total billed charges,,41.83623,,,,percent of total billed charges,,47.007,,,,percent of total billed charges,,31.338,,,,percent of total billed charges,,48.516447,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,41.784,,,,percent of total billed charges,,31.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.841453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION [164249],0250,RC,0338-0644-06,NDC,,,outpatient,2000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PARICALCITOL 1 MCG CAPSULE [94589],0637,RC,0074-4317-30,NDC,,,outpatient,1,EA,53.28,,26.64,31.968,51.6816,50.0832,,,,percent of total billed charges,,42.624,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,44.2224,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,49.0176,,,,percent of total billed charges,,49.0176,,,,percent of total billed charges,,50.40288,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,51.6816,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,46.8864,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,42.67728,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,31.968,,,,percent of total billed charges,,49.491792,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,42.624,,,,percent of total billed charges,,31.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.682608,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [78749],0636,RC,0074-1658-01,NDC,J2501,HCPCS,outpatient,1,ML,40.95,,20.475,24.57,39.7215,38.493,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,33.9885,,,,percent of total billed charges,,36.855,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,38.7387,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,39.7215,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,36.036,,,,percent of total billed charges,,36.855,,,,percent of total billed charges,,32.80095,,,,percent of total billed charges,,36.855,,,,percent of total billed charges,,24.57,,,,percent of total billed charges,,38.038455,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,24.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.805045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAROXETINE 20 MG TABLET [10855],0637,RC,68084-045-01,NDC,,,outpatient,1,EA,1.44,,0.72,0.864,1.3968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.337616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.153584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAROXETINE 20 MG TABLET [10855],0637,RC,68084-045-11,NDC,,,outpatient,1,EA,1.44,,0.72,0.864,1.3968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.337616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.153584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAROXETINE 20 MG TABLET [10855],0637,RC,68382-098-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - FENTANYL (PF) 20 MCG/ML IN NS [1000950],0250,RC,61553-116-48,NDC,,,outpatient,100,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - FENTANYL (PF) 20 MCG/ML IN NS [1000950],0250,RC,9997-0000-37,NDC,,,outpatient,100,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - HYDROMORPHONE (PF) 1 MG/ML IN NS [1001526],0250,RC,70092-1546-35,NDC,,,outpatient,50,ML,199.8,,99.9,119.88,193.806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,160.0398,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,185.59422,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.05978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - HYDROMORPHONE (PF) 1 MG/ML IN NS [1001526],0250,RC,9991-0009-43,NDC,,,outpatient,50,ML,199.8,,99.9,119.88,193.806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,160.0398,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,185.59422,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.05978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - HYDROMORPHONE (PF) 1 MG/ML IN NS SUBCUTANEOUS PCA [1001466],0250,RC,70092-1546-35,NDC,,,outpatient,50,ML,199.8,,99.9,119.88,193.806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,160.0398,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,185.59422,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.05978,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS  [1001531],0250,RC,70092-1380-36,NDC,,,outpatient,100,ML,59.4,,29.7,35.64,57.618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,47.5794,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,55.17666,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.58534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS FOR SUBCUTANEOUS [1002027],0250,RC,70092-1380-36,NDC,,,outpatient,100,ML,59.4,,29.7,35.64,57.618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,47.5794,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,55.17666,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.58534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 % IN NS [1000952],0250,RC,9993-0862-10,NDC,,,outpatient,100,ML,60.3,,30.15,36.18,58.491,56.682,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,50.049,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,57.0438,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,58.491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,53.064,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,48.3003,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,56.01267,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.30633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL 2 MCG/ML-ROPIVACAINE 0.2 % (PF) IN NS [1000954],0250,RC,61553-148-48,NDC,,,outpatient,100,ML,165.6,,82.8,99.36,160.632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,132.6456,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,153.82584,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.66216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL 2 MCG/ML-ROPIVACAINE 0.2 % (PF) IN NS [1000954],0250,RC,61553-626-87,NDC,,,outpatient,100,ML,165.6,,82.8,99.36,160.632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,132.6456,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,153.82584,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.66216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL 5 MCG/ML-ROPIVACAINE 0.2 % (PF) IN NS [1000955],0250,RC,61553-849-96,NDC,,,outpatient,100,ML,217.22,,108.61,130.332,210.7034,204.1868,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,180.2926,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,205.49012,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,210.7034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,191.1536,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,173.99322,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,201.775658,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,174.014942,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC BUTTOCKS PASTE - EAST [7000018],0637,RC,9997-0000-18,NDC,,,outpatient,90,GR,21.47,,10.735,12.882,20.8259,20.1818,,,,percent of total billed charges,,17.176,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,17.8201,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,19.7524,,,,percent of total billed charges,,19.7524,,,,percent of total billed charges,,20.31062,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,20.8259,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,18.8936,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,17.19747,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,12.882,,,,percent of total billed charges,,19.943483,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,17.176,,,,percent of total billed charges,,12.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.199617,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MAGIC MOUTHWASH - EAST [7000017],0637,RC,9997-0000-17,NDC,,,outpatient,120,ML,16.2,,8.1,9.72,15.714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,12.9762,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,15.04818,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.97782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MAGIC MOUTHWASH - EAST [7000017],0637,RC,9999-7010-17,NDC,,,outpatient,10,ML,1.35,,0.675,0.81,1.3095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.08135,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.254015,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.081485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [249209],0637,RC,0087040501,NDC,,,outpatient,50,ML,36.9,,18.45,22.14,35.793,34.686,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,30.627,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,34.9074,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.793,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,32.472,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,29.5569,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,34.27641,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.56059,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [249209],0637,RC,9999-2223-87,NDC,,,outpatient,0.5,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [249209],0637,RC,9999-2492-09,NDC,,,outpatient,1,ML,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10-MCG-5 MG/ML ORAL DROPS [252764],0637,RC,7139974405,NDC,,,outpatient,50,ML,12.83,,6.415,7.698,12.4451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,10.27683,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,11.917787,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.278113,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS [252748],0637,RC,7139974205,NDC,,,outpatient,50,ML,14.63,,7.315,8.778,14.1911,13.7522,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.1429,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.83998,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,14.1911,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.8744,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.71863,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,13.589807,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.720093,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS [252748],0637,RC,9999-2527-48,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [135270],0637,RC,52268-100-01,NDC,,,outpatient,4000,ML,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [77053],0636,RC,54482-301-01,NDC,J9266,HCPCS,outpatient,5577,UN,75394.8,,37697.4,45236.88,73132.956,70871.112,,,,percent of total billed charges,,60315.84,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,62577.684,,,,percent of total billed charges,,67855.32,,,,percent of total billed charges,,69363.216,,,,percent of total billed charges,,69363.216,,,,percent of total billed charges,,71323.4808,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,73132.956,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,66347.424,,,,percent of total billed charges,,67855.32,,,,percent of total billed charges,,60391.2348,,,,percent of total billed charges,,67855.32,,,,percent of total billed charges,,45236.88,,,,percent of total billed charges,,70034.22972,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,60315.84,,,,percent of total billed charges,,45236.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60398.77428,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [77053],0636,RC,54482-301-01,NDC,J9266,HCPCS,outpatient,5,ML,50695.8,,25347.9,30417.48,49174.926,47654.052,,,,percent of total billed charges,,40556.64,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,42077.514,,,,percent of total billed charges,,45626.22,,,,percent of total billed charges,,46640.136,,,,percent of total billed charges,,46640.136,,,,percent of total billed charges,,47958.2268,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,49174.926,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,44612.304,,,,percent of total billed charges,,45626.22,,,,percent of total billed charges,,40607.3358,,,,percent of total billed charges,,45626.22,,,,percent of total billed charges,,30417.48,,,,percent of total billed charges,,47091.32862,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,40556.64,,,,percent of total billed charges,,30417.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40612.40538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [224417],0636,RC,55513-192-01,NDC,J2506,HCPCS,outpatient,0.6,ML,18504,,9252,11102.4,17948.88,17393.76,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,15358.32,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17504.784,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17948.88,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,16283.52,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,14821.704,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,17188.3656,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14823.5544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [83031],0636,RC,55513-190-01,NDC,J2506,HCPCS,outpatient,0.6,ML,18504,,9252,11102.4,17948.88,17393.76,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,15358.32,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17504.784,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17948.88,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,16283.52,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,14821.704,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,17188.3656,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14823.5544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [242433],0636,RC,70114-101-01,NDC,Q5111,HCPCS,outpatient,0.6,ML,7267.51,,3633.755,4360.506,7049.4847,6831.4594,,,,percent of total billed charges,,5814.008,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,6032.0333,,,,percent of total billed charges,,6540.759,,,,percent of total billed charges,,6686.1092,,,,percent of total billed charges,,6686.1092,,,,percent of total billed charges,,6875.06446,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,7049.4847,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,6395.4088,,,,percent of total billed charges,,6540.759,,,,percent of total billed charges,,5821.27551,,,,percent of total billed charges,,6540.759,,,,percent of total billed charges,,4360.506,,,,percent of total billed charges,,6750.790039,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,5814.008,,,,percent of total billed charges,,4360.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5822.002261,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [202295],0636,RC,54396-801-01,NDC,J2507,HCPCS,outpatient,8,ME,17325,,8662.5,10395,16805.25,16285.5,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,14379.75,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,16389.45,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16805.25,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,15246,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,13877.325,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,16093.1925,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13879.0575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [202295],0636,RC,54396-801-01,NDC,J2507,HCPCS,outpatient,1,ML,17325,,8662.5,10395,16805.25,16285.5,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,14379.75,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,16389.45,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16805.25,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,15246,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,13877.325,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,16093.1925,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13879.0575,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [224448],0636,RC,0006-3026-02,NDC,J9271,HCPCS,outpatient,4,ML,22230.08,,11115.04,13338.048,21563.1776,20896.2752,,,,percent of total billed charges,,17784.064,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,18450.9664,,,,percent of total billed charges,,20007.072,,,,percent of total billed charges,,20451.6736,,,,percent of total billed charges,,20451.6736,,,,percent of total billed charges,,21029.65568,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,21563.1776,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,19562.4704,,,,percent of total billed charges,,20007.072,,,,percent of total billed charges,,17806.29408,,,,percent of total billed charges,,20007.072,,,,percent of total billed charges,,13338.048,,,,percent of total billed charges,,20649.52131,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,17784.064,,,,percent of total billed charges,,13338.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17808.51709,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [224448],0636,RC,0006-3026-02,NDC,J9271,HCPCS,outpatient,200,ME,44460.16,,22230.08,26676.096,43126.3552,41792.5504,,,,percent of total billed charges,,35568.128,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,36901.9328,,,,percent of total billed charges,,40014.144,,,,percent of total billed charges,,40903.3472,,,,percent of total billed charges,,40903.3472,,,,percent of total billed charges,,42059.31136,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,43126.3552,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,39124.9408,,,,percent of total billed charges,,40014.144,,,,percent of total billed charges,,35612.58816,,,,percent of total billed charges,,40014.144,,,,percent of total billed charges,,26676.096,,,,percent of total billed charges,,41299.04262,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,35568.128,,,,percent of total billed charges,,26676.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35617.03418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [164203],0636,RC,0002-7640-01,NDC,J9305,HCPCS,outpatient,1,EA,3511.35,,1755.675,2106.81,3406.0095,3300.669,,,,percent of total billed charges,,2809.08,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,2914.4205,,,,percent of total billed charges,,3160.215,,,,percent of total billed charges,,3230.442,,,,percent of total billed charges,,3230.442,,,,percent of total billed charges,,3321.7371,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,3406.0095,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,3089.988,,,,percent of total billed charges,,3160.215,,,,percent of total billed charges,,2812.59135,,,,percent of total billed charges,,3160.215,,,,percent of total billed charges,,2106.81,,,,percent of total billed charges,,3261.693015,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,2809.08,,,,percent of total billed charges,,2106.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2812.942485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [164203],0636,RC,43598-386-62,NDC,J9305,HCPCS,outpatient,1,EA,62.06,,31.03,37.236,60.1982,58.3364,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,51.5098,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,58.70876,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,60.1982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,54.6128,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,49.71006,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,57.647534,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.716266,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [164203],0636,RC,70860-202-10,NDC,J9305,HCPCS,outpatient,1,EA,246.87,,123.435,148.122,239.4639,232.0578,,,,percent of total billed charges,,197.496,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,204.9021,,,,percent of total billed charges,,222.183,,,,percent of total billed charges,,227.1204,,,,percent of total billed charges,,227.1204,,,,percent of total billed charges,,233.53902,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,239.4639,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,217.2456,,,,percent of total billed charges,,222.183,,,,percent of total billed charges,,197.74287,,,,percent of total billed charges,,222.183,,,,percent of total billed charges,,148.122,,,,percent of total billed charges,,229.317543,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,197.496,,,,percent of total billed charges,,148.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.767557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [89834],0636,RC,0002-7623-01,NDC,J9305,HCPCS,outpatient,1,EA,17556.75,,8778.375,10534.05,17030.0475,16503.345,,,,percent of total billed charges,,14045.4,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,14572.1025,,,,percent of total billed charges,,15801.075,,,,percent of total billed charges,,16152.21,,,,percent of total billed charges,,16152.21,,,,percent of total billed charges,,16608.6855,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,17030.0475,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,15449.94,,,,percent of total billed charges,,15801.075,,,,percent of total billed charges,,14062.95675,,,,percent of total billed charges,,15801.075,,,,percent of total billed charges,,10534.05,,,,percent of total billed charges,,16308.46508,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,14045.4,,,,percent of total billed charges,,10534.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14064.71243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [89834],0636,RC,43598-387-11,NDC,J9305,HCPCS,outpatient,1,EA,310.19,,155.095,186.114,300.8843,291.5786,,,,percent of total billed charges,,248.152,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,257.4577,,,,percent of total billed charges,,279.171,,,,percent of total billed charges,,285.3748,,,,percent of total billed charges,,285.3748,,,,percent of total billed charges,,293.43974,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,300.8843,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,272.9672,,,,percent of total billed charges,,279.171,,,,percent of total billed charges,,248.46219,,,,percent of total billed charges,,279.171,,,,percent of total billed charges,,186.114,,,,percent of total billed charges,,288.135491,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,248.152,,,,percent of total billed charges,,186.114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,248.493209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [89834],0636,RC,70860-203-50,NDC,J9305,HCPCS,outpatient,1,EA,1024.38,,512.19,614.628,993.6486,962.9172,,,,percent of total billed charges,,819.504,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,850.2354,,,,percent of total billed charges,,921.942,,,,percent of total billed charges,,942.4296,,,,percent of total billed charges,,942.4296,,,,percent of total billed charges,,969.06348,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,993.6486,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,901.4544,,,,percent of total billed charges,,921.942,,,,percent of total billed charges,,820.52838,,,,percent of total billed charges,,921.942,,,,percent of total billed charges,,614.628,,,,percent of total billed charges,,951.546582,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,819.504,,,,percent of total billed charges,,614.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,820.630818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENICILLIN G 50,000 UNITS/ML IN D5W IV PEDS DILUTION [1000055]",0636,RC,WVU01-000-55,NDC,J2540,HCPCS,outpatient,5,ML,1.74,,0.87,1.044,1.6878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.39374,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.616286,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.393914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [86485]",0636,RC,60793-701-10,NDC,J0561,HCPCS,outpatient,2,ML,1146.65,,573.325,687.99,1112.2505,1077.851,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,951.7195,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1084.7309,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1112.2505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1009.052,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,918.46665,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,1065.123185,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,918.581315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [86485]",0636,RC,60793-701-02,NDC,J0561,HCPCS,outpatient,2,ML,1146.65,,573.325,687.99,1112.2505,1077.851,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,951.7195,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1084.7309,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1112.2505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1009.052,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,918.46665,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,1065.123185,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,918.581315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],0636,RC,44567-312-01,NDC,J2540,HCPCS,outpatient,1,EA,97.61,,48.805,58.566,94.6817,91.7534,,,,percent of total billed charges,,78.088,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,81.0163,,,,percent of total billed charges,,87.849,,,,percent of total billed charges,,89.8012,,,,percent of total billed charges,,89.8012,,,,percent of total billed charges,,92.33906,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,94.6817,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,85.8968,,,,percent of total billed charges,,87.849,,,,percent of total billed charges,,78.18561,,,,percent of total billed charges,,87.849,,,,percent of total billed charges,,58.566,,,,percent of total billed charges,,90.669929,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,78.088,,,,percent of total billed charges,,58.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.195371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,0049-0520-83,NDC,J2540,HCPCS,outpatient,1,EA,16.57,,8.285,9.942,16.0729,15.5758,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.7531,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.67522,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,16.0729,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,14.5816,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,13.27257,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,15.391873,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.274227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,44567-311-10,NDC,J2540,HCPCS,outpatient,1,EA,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,0049-0520-84,NDC,J2540,HCPCS,outpatient,1,EA,16.57,,8.285,9.942,16.0729,15.5758,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.7531,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.67522,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,16.0729,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,14.5816,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,13.27257,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,15.391873,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.274227,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,70860-126-20,NDC,J2540,HCPCS,outpatient,1,EA,23.99,,11.995,14.394,23.2703,22.5506,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.9117,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.69454,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,23.2703,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,21.1112,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,19.21599,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,22.284311,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.218389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,70860-126-41,NDC,J2540,HCPCS,outpatient,1,EA,23.99,,11.995,14.394,23.2703,22.5506,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.9117,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.69454,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,23.2703,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,21.1112,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,19.21599,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,22.284311,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.218389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,100,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,44567-311-10,NDC,J2540,HCPCS,outpatient,5,EA,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,44567-311-10,NDC,J2540,HCPCS,outpatient,2,EA,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],0636,RC,44567-312-01,NDC,J2540,HCPCS,outpatient,18,EA,87.85,,43.925,52.71,85.2145,82.579,,,,percent of total billed charges,,70.28,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,72.9155,,,,percent of total billed charges,,79.065,,,,percent of total billed charges,,80.822,,,,percent of total billed charges,,80.822,,,,percent of total billed charges,,83.1061,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,85.2145,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,77.308,,,,percent of total billed charges,,79.065,,,,percent of total billed charges,,70.36785,,,,percent of total billed charges,,79.065,,,,percent of total billed charges,,52.71,,,,percent of total billed charges,,81.603865,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,70.28,,,,percent of total billed charges,,52.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.376635,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,0781-1205-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,16714-234-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,57237-040-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,0143-9837-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],0637,RC,0093-4127-73,NDC,,,outpatient,100,ML,33.75,,16.875,20.25,32.7375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,27.03375,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,31.350375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.037125,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],0637,RC,67253-203-10,NDC,,,outpatient,100,ML,19.35,,9.675,11.61,18.7695,18.189,,,,percent of total billed charges,,15.48,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,16.0605,,,,percent of total billed charges,,17.415,,,,percent of total billed charges,,17.802,,,,percent of total billed charges,,17.802,,,,percent of total billed charges,,18.3051,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,18.7695,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.415,,,,percent of total billed charges,,15.49935,,,,percent of total billed charges,,17.415,,,,percent of total billed charges,,11.61,,,,percent of total billed charges,,17.974215,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,15.48,,,,percent of total billed charges,,11.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.501285,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 500 MG TABLET [6093],0637,RC,0093-1174-01,NDC,,,outpatient,1,EA,1.46,,0.73,0.876,1.4162,1.3724,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2118,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.38116,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.4162,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2848,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,1.16946,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,1.356194,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.169606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 500 MG TABLET [6093],0637,RC,57237-041-01,NDC,,,outpatient,1,EA,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,63323-113-10,NDC,S0080,HCPCS,outpatient,1,EA,690.17,,345.085,414.102,669.4649,648.7598,,,,percent of total billed charges,,552.136,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,572.8411,,,,percent of total billed charges,,621.153,,,,percent of total billed charges,,634.9564,,,,percent of total billed charges,,634.9564,,,,percent of total billed charges,,652.90082,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,669.4649,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,607.3496,,,,percent of total billed charges,,621.153,,,,percent of total billed charges,,552.82617,,,,percent of total billed charges,,621.153,,,,percent of total billed charges,,414.102,,,,percent of total billed charges,,641.098913,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,552.136,,,,percent of total billed charges,,414.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,552.895187,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,63323-113-10,NDC,S0080,HCPCS,outpatient,270.4,ME,622.07,,311.035,373.242,603.4079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,498.27807,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,577.840823,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,498.340277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,63323-113-10,NDC,S0080,HCPCS,outpatient,270.4,ME,622.07,,311.035,373.242,603.4079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,498.27807,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,577.840823,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,498.340277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,63323-113-10,NDC,S0080,HCPCS,outpatient,270.4,ME,622.07,,311.035,373.242,603.4079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,498.27807,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,577.840823,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,498.340277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,63323-113-10,NDC,S0080,HCPCS,outpatient,270.4,ME,622.07,,311.035,373.242,603.4079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,498.27807,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,577.840823,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,498.340277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,63323-113-10,NDC,S0080,HCPCS,outpatient,270.4,ME,622.07,,311.035,373.242,603.4079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,498.27807,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,577.840823,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,498.340277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,63323-113-10,NDC,S0080,HCPCS,outpatient,270.4,ME,622.07,,311.035,373.242,603.4079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,498.27807,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,577.840823,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,498.340277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [77519],0636,RC,0409-0801-01,NDC,J9268,HCPCS,outpatient,1,EA,10875.29,,5437.645,6525.174,10549.0313,10222.7726,,,,percent of total billed charges,,8700.232,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,9026.4907,,,,percent of total billed charges,,9787.761,,,,percent of total billed charges,,10005.2668,,,,percent of total billed charges,,10005.2668,,,,percent of total billed charges,,10288.02434,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,10549.0313,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,9570.2552,,,,percent of total billed charges,,9787.761,,,,percent of total billed charges,,8711.10729,,,,percent of total billed charges,,9787.761,,,,percent of total billed charges,,6525.174,,,,percent of total billed charges,,10102.05688,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,8700.232,,,,percent of total billed charges,,6525.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8712.194819,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [21300]",0637,RC,0904-5448-61,NDC,,,outpatient,1,EA,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [79173],0254,RC,11994-011-04,NDC,Q9957,HCPCS,outpatient,2,ML,510.75,,255.375,306.45,495.4275,480.105,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,423.9225,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,483.1695,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,495.4275,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,449.46,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,409.11075,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,474.435675,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,409.161825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [79173],0254,RC,11994-011-01,NDC,Q9957,HCPCS,outpatient,2,ML,510.75,,255.375,306.45,495.4275,480.105,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,423.9225,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,483.1695,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,495.4275,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,449.46,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,409.11075,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,474.435675,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,409.161825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [189939],0254,RC,0407-2707-03,NDC,Q9957,HCPCS,outpatient,3,ML,631.8,,315.9,379.08,612.846,593.892,,,,percent of total billed charges,,505.44,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,524.394,,,,percent of total billed charges,,568.62,,,,percent of total billed charges,,581.256,,,,percent of total billed charges,,581.256,,,,percent of total billed charges,,597.6828,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,612.846,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,555.984,,,,percent of total billed charges,,568.62,,,,percent of total billed charges,,506.0718,,,,percent of total billed charges,,568.62,,,,percent of total billed charges,,379.08,,,,percent of total billed charges,,586.87902,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,505.44,,,,percent of total billed charges,,379.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,506.13498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [102408],0250,RC,49230-212-94,NDC,,,outpatient,2500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [102511],0250,RC,49230-206-94,NDC,,,outpatient,2500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [102429],0250,RC,49230-209-94,NDC,,,outpatient,2500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 1 % TOPICAL LIQUID [10918],0637,RC,0472-5242-67,NDC,,,outpatient,59,ML,24.7,,12.35,14.82,23.959,23.218,,,,percent of total billed charges,,19.76,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,20.501,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,22.724,,,,percent of total billed charges,,22.724,,,,percent of total billed charges,,23.3662,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,23.959,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,21.736,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,19.7847,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,14.82,,,,percent of total billed charges,,22.94383,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,19.76,,,,percent of total billed charges,,14.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.78717,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 1 % TOPICAL LIQUID [10918],0637,RC,0472-5242-69,NDC,,,outpatient,59,ML,18.32,,9.16,10.992,17.7704,17.2208,,,,percent of total billed charges,,14.656,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,15.2056,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,16.8544,,,,percent of total billed charges,,16.8544,,,,percent of total billed charges,,17.33072,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,17.7704,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,16.1216,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,14.67432,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,10.992,,,,percent of total billed charges,,17.017448,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,14.656,,,,percent of total billed charges,,10.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.676152,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 1 % TOPICAL LIQUID [10918],0637,RC,6373612002,NDC,,,outpatient,59,ML,32.4,,16.2,19.44,31.428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,25.9524,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,30.09636,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.95564,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 5 % TOPICAL CREAM [10917],0637,RC,45802-269-37,NDC,,,outpatient,60,GR,77.76,,38.88,46.656,75.4272,73.0944,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,64.5408,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,71.5392,,,,percent of total billed charges,,71.5392,,,,percent of total billed charges,,73.56096,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,75.4272,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,68.4288,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,62.28576,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,72.231264,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.293536,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 5 % TOPICAL CREAM [10917],0637,RC,21922-021-07,NDC,,,outpatient,60,GR,135,,67.5,81,130.95,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,108.135,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,125.4015,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,108.1485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERPHENAZINE 2 MG TABLET [6157],0636,RC,0904-6599-61,NDC,Q0175,HCPCS,outpatient,1,EA,2.76,,1.38,1.656,2.6772,2.5944,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5392,,,,percent of total billed charges,,2.5392,,,,percent of total billed charges,,2.61096,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.4288,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.21076,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,2.563764,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.211036,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERPHENAZINE 2 MG TABLET [6157],0636,RC,64980-290-01,NDC,Q0175,HCPCS,outpatient,1,EA,1.23,,0.615,0.738,1.1931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.98523,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.142547,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.985353,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERPHENAZINE 2 MG TABLET [6157],0636,RC,0781-8046-01,NDC,Q0175,HCPCS,outpatient,1,EA,0.69,,0.345,0.414,0.6693,0.6486,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.5727,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.65274,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.55269,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,0.640941,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.552759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [249865]",0636,RC,50242-245-01,NDC,J9316,HCPCS,outpatient,15,ML,52352.82,,26176.41,31411.692,50782.2354,49211.6508,,,,percent of total billed charges,,41882.256,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,43452.8406,,,,percent of total billed charges,,47117.538,,,,percent of total billed charges,,48164.5944,,,,percent of total billed charges,,48164.5944,,,,percent of total billed charges,,49525.76772,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,50782.2354,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,46070.4816,,,,percent of total billed charges,,47117.538,,,,percent of total billed charges,,41934.60882,,,,percent of total billed charges,,47117.538,,,,percent of total billed charges,,31411.692,,,,percent of total billed charges,,48630.5345,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,41882.256,,,,percent of total billed charges,,31411.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41939.8441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [207655],0636,RC,50242-145-01,NDC,J9306,HCPCS,outpatient,14,ML,82107.2,,41053.6,49264.32,79643.984,77180.768,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,68148.976,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,77673.4112,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,79643.984,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,72254.336,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,65767.8672,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,76269.37808,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65776.07792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [249866],0636,RC,50242-260-01,NDC,J9316,HCPCS,outpatient,10,ML,34900.52,,17450.26,20940.312,33853.5044,32806.4888,,,,percent of total billed charges,,27920.416,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,28967.4316,,,,percent of total billed charges,,31410.468,,,,percent of total billed charges,,32108.4784,,,,percent of total billed charges,,32108.4784,,,,percent of total billed charges,,33015.89192,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,33853.5044,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,30712.4576,,,,percent of total billed charges,,31410.468,,,,percent of total billed charges,,27955.31652,,,,percent of total billed charges,,31410.468,,,,percent of total billed charges,,20940.312,,,,percent of total billed charges,,32419.09303,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,27920.416,,,,percent of total billed charges,,20940.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27958.80657,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [207655],0636,RC,50242-145-01,NDC,J9306,HCPCS,outpatient,420,ME,82107.2,,41053.6,49264.32,79643.984,77180.768,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,68148.976,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,77673.4112,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,79643.984,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,72254.336,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,65767.8672,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,76269.37808,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65776.07792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENAZOPYRIDINE 100 MG TABLET [6193],0637,RC,65162-681-10,NDC,,,outpatient,1,EA,1.41,,0.705,0.846,1.3677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.12941,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.309749,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.129551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 10 MG/ML IN D5W IV PEDS DILUTION [1001845],0636,RC,9991-0018-45,NDC,J2560,HCPCS,outpatient,1,ML,12.65,,6.325,7.59,12.2705,11.891,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.4995,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.9669,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.2705,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,10.13265,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,11.750585,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.133915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 10 MG/ML IN NS IV PEDS DILUTION [1001852],0636,RC,9991-0018-52,NDC,J2560,HCPCS,outpatient,1,ML,12.65,,6.325,7.59,12.2705,11.891,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.4995,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.9669,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.2705,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,10.13265,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,11.750585,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.133915,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 10 MG/ML ORAL LIQUID [1001325],0637,RC,9991-0013-25,NDC,,,outpatient,1,ML,1.5,,0.75,0.9,1.455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.2015,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.39335,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.20165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,0121-0531-05,NDC,,,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,0603-1508-58,NDC,,,outpatient,473,ML,214.98,,107.49,128.988,208.5306,202.0812,,,,percent of total billed charges,,171.984,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,178.4334,,,,percent of total billed charges,,193.482,,,,percent of total billed charges,,197.7816,,,,percent of total billed charges,,197.7816,,,,percent of total billed charges,,203.37108,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,208.5306,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,189.1824,,,,percent of total billed charges,,193.482,,,,percent of total billed charges,,172.19898,,,,percent of total billed charges,,193.482,,,,percent of total billed charges,,128.988,,,,percent of total billed charges,,199.694922,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,171.984,,,,percent of total billed charges,,128.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,172.220478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,9999-9962-12,NDC,,,outpatient,5,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,16571-675-16,NDC,,,outpatient,473,ML,83.02,,41.51,49.812,80.5294,78.0388,,,,percent of total billed charges,,66.416,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,68.9066,,,,percent of total billed charges,,74.718,,,,percent of total billed charges,,76.3784,,,,percent of total billed charges,,76.3784,,,,percent of total billed charges,,78.53692,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,80.5294,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,73.0576,,,,percent of total billed charges,,74.718,,,,percent of total billed charges,,66.49902,,,,percent of total billed charges,,74.718,,,,percent of total billed charges,,49.812,,,,percent of total billed charges,,77.117278,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,66.416,,,,percent of total billed charges,,49.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.507322,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,0121-0942-16,NDC,,,outpatient,473,ML,136.23,,68.115,81.738,132.1431,128.0562,,,,percent of total billed charges,,108.984,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,113.0709,,,,percent of total billed charges,,122.607,,,,percent of total billed charges,,125.3316,,,,percent of total billed charges,,125.3316,,,,percent of total billed charges,,128.87358,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,132.1431,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,119.8824,,,,percent of total billed charges,,122.607,,,,percent of total billed charges,,109.12023,,,,percent of total billed charges,,122.607,,,,percent of total billed charges,,81.738,,,,percent of total billed charges,,126.544047,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,108.984,,,,percent of total billed charges,,81.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109.133853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,64380-166-01,NDC,,,outpatient,473,ML,146.87,,73.435,88.122,142.4639,138.0578,,,,percent of total billed charges,,117.496,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,121.9021,,,,percent of total billed charges,,132.183,,,,percent of total billed charges,,135.1204,,,,percent of total billed charges,,135.1204,,,,percent of total billed charges,,138.93902,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,142.4639,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,129.2456,,,,percent of total billed charges,,132.183,,,,percent of total billed charges,,117.64287,,,,percent of total billed charges,,132.183,,,,percent of total billed charges,,88.122,,,,percent of total billed charges,,136.427543,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,117.496,,,,percent of total billed charges,,88.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,117.657557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 32.4 MG TABLET [6217],0637,RC,63739-201-10,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 32.4 MG TABLET [6217],0637,RC,0904-6575-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 64.8 MG TABLET [6219],0637,RC,0603-5167-21,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 64.8 MG TABLET [6219],0637,RC,75826-141-10,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 64.8 MG TABLET [6219],0637,RC,16571-667-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,0641-0477-25,NDC,J2560,HCPCS,outpatient,1,ML,183.13,,91.565,109.878,177.6361,172.1422,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,151.9979,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,173.24098,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,177.6361,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,161.1544,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,146.68713,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,170.109457,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.705443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,0641-0477-21,NDC,J2560,HCPCS,outpatient,1,ML,183.13,,91.565,109.878,177.6361,172.1422,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,151.9979,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,173.24098,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,177.6361,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,161.1544,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,146.68713,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,170.109457,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,146.705443,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,42494-416-25,NDC,J2560,HCPCS,outpatient,1,ML,164.87,,82.435,98.922,159.9239,154.9778,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,136.8421,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,155.96702,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,159.9239,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,145.0856,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,132.06087,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,153.147743,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.077357,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,42494-416-01,NDC,J2560,HCPCS,outpatient,1,ML,164.87,,82.435,98.922,159.9239,154.9778,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,136.8421,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,155.96702,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,159.9239,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,145.0856,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,132.06087,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,153.147743,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.077357,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,54288-137-01,NDC,J2560,HCPCS,outpatient,1,ML,186.12,,93.06,111.672,180.5364,174.9528,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,154.4796,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,176.06952,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,180.5364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,163.7856,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,149.08212,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,172.886868,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.100732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,54288-137-10,NDC,J2560,HCPCS,outpatient,1,ML,186.12,,93.06,111.672,180.5364,174.9528,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,154.4796,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,176.06952,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,180.5364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,163.7856,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,149.08212,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,172.886868,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.100732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,54288-137-25,NDC,J2560,HCPCS,outpatient,1,ML,157.5,,78.75,94.5,152.775,148.05,,,,percent of total billed charges,,126,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,130.725,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.995,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,152.775,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,126.1575,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,146.30175,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,126,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,126.17325,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,14789-128-05,NDC,J2560,HCPCS,outpatient,1,ML,111.88,,55.94,67.128,108.5236,105.1672,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,92.8604,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,105.83848,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,108.5236,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,98.4544,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,89.61588,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,103.925332,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.627068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,14789-128-07,NDC,J2560,HCPCS,outpatient,1,ML,111.88,,55.94,67.128,108.5236,105.1672,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,92.8604,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,105.83848,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,108.5236,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,98.4544,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,89.61588,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,103.925332,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.627068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],0636,RC,0641-0476-25,NDC,J2560,HCPCS,outpatient,1,ML,66.96,,33.48,40.176,64.9512,62.9424,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,55.5768,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,63.34416,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,64.9512,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,58.9248,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,53.63496,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,62.199144,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.641656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],0636,RC,0641-0476-21,NDC,J2560,HCPCS,outpatient,1,ML,66.96,,33.48,40.176,64.9512,62.9424,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,55.5768,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,63.34416,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,64.9512,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,58.9248,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,53.63496,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,62.199144,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.641656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,7811201103,NDC,,,outpatient,177,ML,19.12,,9.56,11.472,18.5464,17.9728,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.8696,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,18.08752,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.5464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,16.8256,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,15.31512,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,17.760568,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.317032,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,46122-265-30,NDC,,,outpatient,177,ML,7.17,,3.585,4.302,6.9549,6.7398,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,5.9511,,,,percent of total billed charges,,6.453,,,,percent of total billed charges,,6.5964,,,,percent of total billed charges,,6.5964,,,,percent of total billed charges,,6.78282,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,6.9549,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,6.3096,,,,percent of total billed charges,,6.453,,,,percent of total billed charges,,5.74317,,,,percent of total billed charges,,6.453,,,,percent of total billed charges,,4.302,,,,percent of total billed charges,,6.660213,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,4.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.743887,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,8770142581,NDC,,,outpatient,177,ML,602.96,,301.48,361.776,584.8712,566.7824,,,,percent of total billed charges,,482.368,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,500.4568,,,,percent of total billed charges,,542.664,,,,percent of total billed charges,,554.7232,,,,percent of total billed charges,,554.7232,,,,percent of total billed charges,,570.40016,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,584.8712,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,530.6048,,,,percent of total billed charges,,542.664,,,,percent of total billed charges,,482.97096,,,,percent of total billed charges,,542.664,,,,percent of total billed charges,,361.776,,,,percent of total billed charges,,560.089544,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,482.368,,,,percent of total billed charges,,361.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,483.031256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,7811201255,NDC,,,outpatient,177,ML,16.73,,8.365,10.038,16.2281,15.7262,,,,percent of total billed charges,,13.384,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,13.8859,,,,percent of total billed charges,,15.057,,,,percent of total billed charges,,15.3916,,,,percent of total billed charges,,15.3916,,,,percent of total billed charges,,15.82658,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,16.2281,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,14.7224,,,,percent of total billed charges,,15.057,,,,percent of total billed charges,,13.40073,,,,percent of total billed charges,,15.057,,,,percent of total billed charges,,10.038,,,,percent of total billed charges,,15.540497,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,13.384,,,,percent of total billed charges,,10.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.402403,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,0536-1228-58,NDC,,,outpatient,177,ML,9.56,,4.78,5.736,9.2732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,7.65756,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,8.880284,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.658516,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENTOLAMINE 5 MG INJECTION SOLUTION FOR EXTRAVASATION [1001076],0636,RC,0143-9564-01,NDC,J2760,HCPCS,outpatient,1,EA,1215.99,,607.995,729.594,1179.5103,1143.0306,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1009.2717,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1150.32654,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1179.5103,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1070.0712,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,974.00799,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,1129.533111,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,974.129589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENTOLAMINE 5 MG INJECTION SOLUTION FOR EXTRAVASATION [1001076],0636,RC,0143-9564-10,NDC,J2760,HCPCS,outpatient,1,EA,1240.79,,620.395,744.474,1203.5663,1166.3426,,,,percent of total billed charges,,992.632,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1029.8557,,,,percent of total billed charges,,1116.711,,,,percent of total billed charges,,1141.5268,,,,percent of total billed charges,,1141.5268,,,,percent of total billed charges,,1173.78734,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1203.5663,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1091.8952,,,,percent of total billed charges,,1116.711,,,,percent of total billed charges,,993.87279,,,,percent of total billed charges,,1116.711,,,,percent of total billed charges,,744.474,,,,percent of total billed charges,,1152.569831,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,992.632,,,,percent of total billed charges,,744.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,993.996869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,71288-807-02,NDC,J2371,HCPCS,outpatient,20,ME,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 0.25 % NASAL SPRAY [87900],0637,RC,0225-0800-47,NDC,,,outpatient,15,ML,14.72,,7.36,8.832,14.2784,13.8368,,,,percent of total billed charges,,11.776,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,12.2176,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.5424,,,,percent of total billed charges,,13.5424,,,,percent of total billed charges,,13.92512,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,14.2784,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,12.9536,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,11.79072,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,8.832,,,,percent of total billed charges,,13.673408,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,11.776,,,,percent of total billed charges,,8.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.792192,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [218277],0637,RC,0536-1288-06,NDC,,,outpatient,57,GR,9.75,,4.875,5.85,9.4575,9.165,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.0925,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,9.2235,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.4575,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.58,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,7.80975,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,9.056775,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.810725,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [218277],0637,RC,46122-677-46,NDC,,,outpatient,57,GR,7.96,,3.98,4.776,7.7212,7.4824,,,,percent of total billed charges,,6.368,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,6.6068,,,,percent of total billed charges,,7.164,,,,percent of total billed charges,,7.3232,,,,percent of total billed charges,,7.3232,,,,percent of total billed charges,,7.53016,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,7.7212,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,7.0048,,,,percent of total billed charges,,7.164,,,,percent of total billed charges,,6.37596,,,,percent of total billed charges,,7.164,,,,percent of total billed charges,,4.776,,,,percent of total billed charges,,7.394044,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,6.368,,,,percent of total billed charges,,4.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.376756,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 % NASAL SPRAY [80370],0637,RC,0024-1352-02,NDC,,,outpatient,15,ML,16,,8,9.6,15.52,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,14.8624,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.8176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 % NASAL SPRAY [80370],0637,RC,0225-0810-47,NDC,,,outpatient,15,ML,16.54,,8.27,9.924,16.0438,15.5476,,,,percent of total billed charges,,13.232,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,13.7282,,,,percent of total billed charges,,14.886,,,,percent of total billed charges,,15.2168,,,,percent of total billed charges,,15.2168,,,,percent of total billed charges,,15.64684,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,16.0438,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,14.5552,,,,percent of total billed charges,,14.886,,,,percent of total billed charges,,13.24854,,,,percent of total billed charges,,14.886,,,,percent of total billed charges,,9.924,,,,percent of total billed charges,,15.364006,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,13.232,,,,percent of total billed charges,,9.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.250194,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,9991-0010-27,NDC,,,outpatient,10,ML,2.34,,1.17,1.404,2.2698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.87434,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.173626,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.874574,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,69374-957-10,NDC,,,outpatient,10,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,71266-9010-1,NDC,,,outpatient,10,ML,37.49,,18.745,22.494,36.3653,35.2406,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,31.1167,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,35.46554,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,36.3653,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,32.9912,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,30.02949,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,34.824461,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.033239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,71266-9011-1,NDC,,,outpatient,10,ML,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [249912],0250,RC,69374-302-10,NDC,,,outpatient,10,ML,17.33,,8.665,10.398,16.8101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,13.88133,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,16.097837,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.883063,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG IN NS 100 ML INFUSION - FOR ANES [5000202],0636,RC,9995-0002-02,NDC,J2371,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0641-6142-01,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0641-6142-25,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,42023-214-01,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,42023-214-10,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0641-6188-01,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0641-6188-10,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0641-6189-01,NDC,J2371,HCPCS,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0641-6189-10,NDC,J2371,HCPCS,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0781-3422-71,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,0781-3422-92,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,71288-807-01,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,71288-807-02,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,71288-808-75,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,71288-808-76,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,61990-0211-0,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,61990-0211-3,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,61990-0212-0,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,61990-0212-2,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,25021-315-01,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,51754-4000-1,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,51754-4000-3,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,70069-801-01,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,70069-801-25,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,70756-621-82,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,70756-622-10,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,70756-622-85,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,81284-212-00,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,81284-212-10,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,72485-504-01,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,72485-504-25,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,72485-505-01,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,72485-505-10,NDC,J2371,HCPCS,outpatient,5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,23155-620-31,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,23155-620-41,NDC,J2371,HCPCS,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 100 MCG/ML IN NS INTRACAVERNOSAL INJECTION [1001598],0250,RC,69374-957-10,NDC,,,outpatient,10,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 100 MCG/ML IV DILUTION - FOR ANES [5000017],0636,RC,9995-0000-17,NDC,J2371,HCPCS,outpatient,20,ML,1.08,,0.54,0.648,1.0476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.86508,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.003212,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.865188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 100 MCG/ML IV DILUTION - FOR ANES [5000017],0636,RC,9950-0001-70,NDC,J2371,HCPCS,outpatient,10,ML,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,71288-807-02,NDC,J2371,HCPCS,outpatient,100,ME,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0250,RC,71288-807-02,NDC,,,outpatient,10,ME,10.47,,5.235,6.282,10.1559,9.8418,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,8.6901,,,,percent of total billed charges,,9.423,,,,percent of total billed charges,,9.6324,,,,percent of total billed charges,,9.6324,,,,percent of total billed charges,,9.90462,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,10.1559,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,9.2136,,,,percent of total billed charges,,9.423,,,,percent of total billed charges,,8.38647,,,,percent of total billed charges,,9.423,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,9.725583,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.387517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,42702-102-15,NDC,,,outpatient,15,ML,370.11,,185.055,222.066,359.0067,347.9034,,,,percent of total billed charges,,296.088,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,307.1913,,,,percent of total billed charges,,333.099,,,,percent of total billed charges,,340.5012,,,,percent of total billed charges,,340.5012,,,,percent of total billed charges,,350.12406,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,359.0067,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,325.6968,,,,percent of total billed charges,,333.099,,,,percent of total billed charges,,296.45811,,,,percent of total billed charges,,333.099,,,,percent of total billed charges,,222.066,,,,percent of total billed charges,,343.795179,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,296.088,,,,percent of total billed charges,,222.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,296.495121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,9999-6246-05,NDC,,,outpatient,0.5,ML,12.28,,6.14,7.368,11.9116,11.5432,,,,percent of total billed charges,,9.824,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,10.1924,,,,percent of total billed charges,,11.052,,,,percent of total billed charges,,11.2976,,,,percent of total billed charges,,11.2976,,,,percent of total billed charges,,11.61688,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,11.9116,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,10.8064,,,,percent of total billed charges,,11.052,,,,percent of total billed charges,,9.83628,,,,percent of total billed charges,,11.052,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,11.406892,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,9.824,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.837508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,17478-201-02,NDC,,,outpatient,2,ML,124.38,,62.19,74.628,120.6486,116.9172,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,103.2354,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,117.66348,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,120.6486,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,109.4544,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,99.62838,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,115.536582,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.640818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,17478-201-15,NDC,,,outpatient,15,ML,324.21,,162.105,194.526,314.4837,304.7574,,,,percent of total billed charges,,259.368,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,269.0943,,,,percent of total billed charges,,291.789,,,,percent of total billed charges,,298.2732,,,,percent of total billed charges,,298.2732,,,,percent of total billed charges,,306.70266,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,314.4837,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,285.3048,,,,percent of total billed charges,,291.789,,,,percent of total billed charges,,259.69221,,,,percent of total billed charges,,291.789,,,,percent of total billed charges,,194.526,,,,percent of total billed charges,,301.158669,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,259.368,,,,percent of total billed charges,,194.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,259.724631,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [209399],0250,RC,70092-9042-05,NDC,,,outpatient,250,ML,93.38,,46.69,56.028,90.5786,87.7772,,,,percent of total billed charges,,74.704,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,77.5054,,,,percent of total billed charges,,84.042,,,,percent of total billed charges,,85.9096,,,,percent of total billed charges,,85.9096,,,,percent of total billed charges,,88.33748,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,90.5786,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,82.1744,,,,percent of total billed charges,,84.042,,,,percent of total billed charges,,74.79738,,,,percent of total billed charges,,84.042,,,,percent of total billed charges,,56.028,,,,percent of total billed charges,,86.740682,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,74.704,,,,percent of total billed charges,,56.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.806718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE IN NS INTRACAVERNOSAL DILUTION - CHI [7000202],0636,RC,9997-0002-02,NDC,J2371,HCPCS,outpatient,10,ML,3.65,,1.825,2.19,3.5405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.92365,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.390485,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.924015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,66689-036-01,NDC,,,outpatient,4,ML,28.59,,14.295,17.154,27.7323,26.8746,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,23.7297,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,27.04614,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.7323,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,25.1592,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,22.90059,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,26.557251,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.903449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,66689-036-50,NDC,,,outpatient,4,ML,28.59,,14.295,17.154,27.7323,26.8746,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,23.7297,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,27.04614,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.7323,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,25.1592,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,22.90059,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,26.557251,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.903449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,9999-1647-37,NDC,,,outpatient,4,ML,3.65,,1.825,2.19,3.5405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.92365,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.390485,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.924015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,60687-275-62,NDC,,,outpatient,4,ML,25.42,,12.71,15.252,24.6574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,20.36142,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,23.612638,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.363962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,60687-275-66,NDC,,,outpatient,4,ML,25.42,,12.71,15.252,24.6574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,20.36142,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,23.612638,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.363962,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 50 MG CHEWABLE TABLET [78954],0637,RC,0071-0007-40,NDC,,,outpatient,1,EA,9.25,,4.625,5.55,8.9725,8.695,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.6775,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.7505,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.9725,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.14,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,7.40925,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,8.592325,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.410175,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 50 MG CHEWABLE TABLET [78954],0637,RC,60687-156-25,NDC,,,outpatient,1,EA,6.6,,3.3,3.96,6.402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,5.2866,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.13074,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.28726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 50 MG CHEWABLE TABLET [78954],0637,RC,60687-156-95,NDC,,,outpatient,1,EA,6.6,,3.3,3.96,6.402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,5.2866,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.13074,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.28726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,0641-0493-25,NDC,J1165,HCPCS,outpatient,1500,ME,76.01,,38.005,45.606,73.7297,71.4494,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,63.0883,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,71.90546,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,73.7297,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,66.8888,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,60.88401,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,70.605689,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60.891611,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,0641-0493-25,NDC,J1165,HCPCS,outpatient,500,ME,25.34,,12.67,15.204,24.5798,23.8196,,,,percent of total billed charges,,20.272,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,21.0322,,,,percent of total billed charges,,22.806,,,,percent of total billed charges,,23.3128,,,,percent of total billed charges,,23.3128,,,,percent of total billed charges,,23.97164,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,24.5798,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,22.2992,,,,percent of total billed charges,,22.806,,,,percent of total billed charges,,20.29734,,,,percent of total billed charges,,22.806,,,,percent of total billed charges,,15.204,,,,percent of total billed charges,,23.538326,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,20.272,,,,percent of total billed charges,,15.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.299874,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,150,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,0641-0493-25,NDC,J1165,HCPCS,outpatient,1000,ME,50.67,,25.335,30.402,49.1499,47.6298,,,,percent of total billed charges,,40.536,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,42.0561,,,,percent of total billed charges,,45.603,,,,percent of total billed charges,,46.6164,,,,percent of total billed charges,,46.6164,,,,percent of total billed charges,,47.93382,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,49.1499,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,44.5896,,,,percent of total billed charges,,45.603,,,,percent of total billed charges,,40.58667,,,,percent of total billed charges,,45.603,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,47.067363,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,40.536,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.591737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,0641-0493-25,NDC,J1165,HCPCS,outpatient,150,ME,7.61,,3.805,4.566,7.3817,7.1534,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.3163,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.19906,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.3817,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.6968,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,6.09561,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,7.068929,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.096371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,0641-0493-25,NDC,J1165,HCPCS,outpatient,1750,ME,88.68,,44.34,53.208,86.0196,83.3592,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,73.6044,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,83.89128,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,86.0196,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,78.0384,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,71.03268,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,82.374852,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.041548,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,0641-0493-25,NDC,J1165,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,0641-0493-21,NDC,J1165,HCPCS,outpatient,2,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,51079-905-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,51079-905-20,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,51672-4111-1,NDC,,,outpatient,1,EA,0.91,,0.455,0.546,0.8827,0.8554,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.7553,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.86086,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8008,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.72891,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,0.845299,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.729001,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,0071-0369-40,NDC,,,outpatient,1,EA,7.68,,3.84,4.608,7.4496,7.2192,,,,percent of total billed charges,,6.144,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,6.3744,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,7.0656,,,,percent of total billed charges,,7.0656,,,,percent of total billed charges,,7.26528,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,7.4496,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,6.7584,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,6.15168,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,7.133952,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,6.144,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.152448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,68084-376-01,NDC,,,outpatient,1,EA,1.54,,0.77,0.924,1.4938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.23354,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.430506,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.233694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,68084-376-11,NDC,,,outpatient,1,EA,1.54,,0.77,0.924,1.4938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.23354,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.430506,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.233694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,65862-692-01,NDC,,,outpatient,1,EA,1.53,,0.765,0.918,1.4841,1.4382,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.2699,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.44738,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.3464,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.22553,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,1.421217,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.225683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,0904-6187-61,NDC,,,outpatient,1,EA,2.4,,1.2,1.44,2.328,2.256,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,2.2704,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.9224,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,2.22936,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.92264,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYSOSTIGMINE 1 MG/ML INJECTION SOLUTION [6270],0250,RC,17478-510-02,NDC,,,outpatient,2,ML,322.07,,161.035,193.242,312.4079,302.7458,,,,percent of total billed charges,,257.656,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,267.3181,,,,percent of total billed charges,,289.863,,,,percent of total billed charges,,296.3044,,,,percent of total billed charges,,296.3044,,,,percent of total billed charges,,304.67822,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,312.4079,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,283.4216,,,,percent of total billed charges,,289.863,,,,percent of total billed charges,,257.97807,,,,percent of total billed charges,,289.863,,,,percent of total billed charges,,193.242,,,,percent of total billed charges,,299.170823,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,257.656,,,,percent of total billed charges,,193.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,258.010277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE [6271],0636,RC,76329-1240-1,NDC,J3430,HCPCS,outpatient,0.5,ML,98.73,,49.365,59.238,95.7681,92.8062,,,,percent of total billed charges,,78.984,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,81.9459,,,,percent of total billed charges,,88.857,,,,percent of total billed charges,,90.8316,,,,percent of total billed charges,,90.8316,,,,percent of total billed charges,,93.39858,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,95.7681,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,86.8824,,,,percent of total billed charges,,88.857,,,,percent of total billed charges,,79.08273,,,,percent of total billed charges,,88.857,,,,percent of total billed charges,,59.238,,,,percent of total billed charges,,91.710297,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,78.984,,,,percent of total billed charges,,59.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.092603,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,0409-9158-01,NDC,J3430,HCPCS,outpatient,1,ML,86.03,,43.015,51.618,83.4491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,68.91003,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,79.913267,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.918633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,43598-405-11,NDC,J3430,HCPCS,outpatient,1,ML,79.44,,39.72,47.664,77.0568,74.6736,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,65.9352,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,75.15024,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,77.0568,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,69.9072,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,63.63144,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,73.791816,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.639384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,43598-405-16,NDC,J3430,HCPCS,outpatient,1,ML,79.44,,39.72,47.664,77.0568,74.6736,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,65.9352,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,75.15024,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,77.0568,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,69.9072,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,63.63144,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,73.791816,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.639384,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,0409-9158-31,NDC,J3430,HCPCS,outpatient,1,ML,86.03,,43.015,51.618,83.4491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,68.91003,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,79.913267,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.918633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,0409-9158-50,NDC,J3430,HCPCS,outpatient,1,ML,86.03,,43.015,51.618,83.4491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,68.91003,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,79.913267,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.918633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,69097-708-31,NDC,J3430,HCPCS,outpatient,1,ML,83.19,,41.595,49.914,80.6943,78.1986,,,,percent of total billed charges,,66.552,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,69.0477,,,,percent of total billed charges,,74.871,,,,percent of total billed charges,,76.5348,,,,percent of total billed charges,,76.5348,,,,percent of total billed charges,,78.69774,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,80.6943,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,73.2072,,,,percent of total billed charges,,74.871,,,,percent of total billed charges,,66.63519,,,,percent of total billed charges,,74.871,,,,percent of total billed charges,,49.914,,,,percent of total billed charges,,77.275191,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,66.552,,,,percent of total billed charges,,49.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.643509,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,60687-381-11,NDC,,,outpatient,1,EA,287.12,,143.56,172.272,278.5064,269.8928,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,238.3096,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,271.61552,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,278.5064,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,252.6656,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,229.98312,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,266.705768,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.011832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,60687-381-94,NDC,,,outpatient,1,EA,287.12,,143.56,172.272,278.5064,269.8928,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,238.3096,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,271.61552,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,278.5064,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,252.6656,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,229.98312,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,266.705768,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,230.011832,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,68682-170-30,NDC,,,outpatient,1,EA,221.65,,110.825,132.99,215.0005,208.351,,,,percent of total billed charges,,177.32,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,183.9695,,,,percent of total billed charges,,199.485,,,,percent of total billed charges,,203.918,,,,percent of total billed charges,,203.918,,,,percent of total billed charges,,209.6809,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,215.0005,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,195.052,,,,percent of total billed charges,,199.485,,,,percent of total billed charges,,177.54165,,,,percent of total billed charges,,199.485,,,,percent of total billed charges,,132.99,,,,percent of total billed charges,,205.890685,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,177.32,,,,percent of total billed charges,,132.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.563815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,69238-1051-3,NDC,,,outpatient,1,EA,143.01,,71.505,85.806,138.7197,134.4294,,,,percent of total billed charges,,114.408,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,118.6983,,,,percent of total billed charges,,128.709,,,,percent of total billed charges,,131.5692,,,,percent of total billed charges,,131.5692,,,,percent of total billed charges,,135.28746,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,138.7197,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,125.8488,,,,percent of total billed charges,,128.709,,,,percent of total billed charges,,114.55101,,,,percent of total billed charges,,128.709,,,,percent of total billed charges,,85.806,,,,percent of total billed charges,,132.841989,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,114.408,,,,percent of total billed charges,,85.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,114.565311,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,70710-1014-3,NDC,,,outpatient,1,EA,116.37,,58.185,69.822,112.8789,109.3878,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,96.5871,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,110.08602,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,112.8789,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,102.4056,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,93.21237,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,108.096093,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,93.224007,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,76282-740-30,NDC,,,outpatient,1,EA,29.61,,14.805,17.766,28.7217,27.8334,,,,percent of total billed charges,,23.688,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,24.5763,,,,percent of total billed charges,,26.649,,,,percent of total billed charges,,27.2412,,,,percent of total billed charges,,27.2412,,,,percent of total billed charges,,28.01106,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,28.7217,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,26.0568,,,,percent of total billed charges,,26.649,,,,percent of total billed charges,,23.71761,,,,percent of total billed charges,,26.649,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,27.504729,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,23.688,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.720571,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE 10 MG/ML INJECTION - EAST [7000155],0636,RC,0409-9158-01,NDC,J3430,HCPCS,outpatient,1,ML,86.03,,43.015,51.618,83.4491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,68.91003,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,79.913267,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.918633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE 10 MG/ML ORAL LIQUID [7000263],0637,RC,0409-9158-01,NDC,,,outpatient,1,ML,86.03,,43.015,51.618,83.4491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,68.91003,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,79.913267,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,68.918633,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,43598-405-16,NDC,J3430,HCPCS,outpatient,1.25,ME,9.93,,4.965,5.958,9.6321,9.3342,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.2419,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.39378,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.6321,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.7384,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,7.95393,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,9.223977,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.954923,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE 10 MG/ML INJECTION - EAST [7000155],0636,RC,0409-9158-01,NDC,J3430,HCPCS,outpatient,1.25,ME,10.76,,5.38,6.456,10.4372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,8.61876,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,9.994964,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.619836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 1 % EYE DROPS [6279],0637,RC,61314-203-15,NDC,,,outpatient,15,ML,345.87,,172.935,207.522,335.4939,325.1178,,,,percent of total billed charges,,276.696,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,287.0721,,,,percent of total billed charges,,311.283,,,,percent of total billed charges,,318.2004,,,,percent of total billed charges,,318.2004,,,,percent of total billed charges,,327.19302,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,335.4939,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,304.3656,,,,percent of total billed charges,,311.283,,,,percent of total billed charges,,277.04187,,,,percent of total billed charges,,311.283,,,,percent of total billed charges,,207.522,,,,percent of total billed charges,,321.278643,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,276.696,,,,percent of total billed charges,,207.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,277.076457,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 1 % EYE DROPS [6279],0637,RC,17478-223-12,NDC,,,outpatient,15,ML,192.45,,96.225,115.47,186.6765,180.903,,,,percent of total billed charges,,153.96,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,159.7335,,,,percent of total billed charges,,173.205,,,,percent of total billed charges,,177.054,,,,percent of total billed charges,,177.054,,,,percent of total billed charges,,182.0577,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,186.6765,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,169.356,,,,percent of total billed charges,,173.205,,,,percent of total billed charges,,154.15245,,,,percent of total billed charges,,173.205,,,,percent of total billed charges,,115.47,,,,percent of total billed charges,,178.766805,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,153.96,,,,percent of total billed charges,,115.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,154.171695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 1 % EYE DROPS [6279],0637,RC,70069-181-01,NDC,,,outpatient,15,ML,259.68,,129.84,155.808,251.8896,244.0992,,,,percent of total billed charges,,207.744,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,215.5344,,,,percent of total billed charges,,233.712,,,,percent of total billed charges,,238.9056,,,,percent of total billed charges,,238.9056,,,,percent of total billed charges,,245.65728,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,251.8896,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,228.5184,,,,percent of total billed charges,,233.712,,,,percent of total billed charges,,208.00368,,,,percent of total billed charges,,233.712,,,,percent of total billed charges,,155.808,,,,percent of total billed charges,,241.216752,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,207.744,,,,percent of total billed charges,,155.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,208.029648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 2 % EYE DROPS [6280],0637,RC,70069-191-01,NDC,,,outpatient,15,ML,339.73,,169.865,203.838,329.5381,319.3462,,,,percent of total billed charges,,271.784,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,281.9759,,,,percent of total billed charges,,305.757,,,,percent of total billed charges,,312.5516,,,,percent of total billed charges,,312.5516,,,,percent of total billed charges,,321.38458,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,329.5381,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,298.9624,,,,percent of total billed charges,,305.757,,,,percent of total billed charges,,272.12373,,,,percent of total billed charges,,305.757,,,,percent of total billed charges,,203.838,,,,percent of total billed charges,,315.575197,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,271.784,,,,percent of total billed charges,,203.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,272.157703,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 4 % EYE DROPS [6282],0637,RC,61314-206-15,NDC,,,outpatient,15,ML,330.35,,165.175,198.21,320.4395,310.529,,,,percent of total billed charges,,264.28,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,274.1905,,,,percent of total billed charges,,297.315,,,,percent of total billed charges,,303.922,,,,percent of total billed charges,,303.922,,,,percent of total billed charges,,312.5111,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,320.4395,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,290.708,,,,percent of total billed charges,,297.315,,,,percent of total billed charges,,264.61035,,,,percent of total billed charges,,297.315,,,,percent of total billed charges,,198.21,,,,percent of total billed charges,,306.862115,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,264.28,,,,percent of total billed charges,,198.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,264.643385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 4 % EYE DROPS [6282],0637,RC,70069-201-01,NDC,,,outpatient,15,ML,297.61,,148.805,178.566,288.6817,279.7534,,,,percent of total billed charges,,238.088,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,247.0163,,,,percent of total billed charges,,267.849,,,,percent of total billed charges,,273.8012,,,,percent of total billed charges,,273.8012,,,,percent of total billed charges,,281.53906,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,288.6817,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,261.8968,,,,percent of total billed charges,,267.849,,,,percent of total billed charges,,238.38561,,,,percent of total billed charges,,267.849,,,,percent of total billed charges,,178.566,,,,percent of total billed charges,,276.449929,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,238.088,,,,percent of total billed charges,,178.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,238.415371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 15 MG TABLET [77106],0637,RC,64764-151-04,NDC,,,outpatient,1,EA,53.57,,26.785,32.142,51.9629,50.3558,,,,percent of total billed charges,,42.856,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,44.4631,,,,percent of total billed charges,,48.213,,,,percent of total billed charges,,49.2844,,,,percent of total billed charges,,49.2844,,,,percent of total billed charges,,50.67722,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,51.9629,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,47.1416,,,,percent of total billed charges,,48.213,,,,percent of total billed charges,,42.90957,,,,percent of total billed charges,,48.213,,,,percent of total billed charges,,32.142,,,,percent of total billed charges,,49.761173,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,42.856,,,,percent of total billed charges,,32.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.914927,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 15 MG TABLET [77106],0637,RC,33342-054-07,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 15 MG TABLET [77106],0637,RC,57237-219-30,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 30 MG TABLET [82236],0637,RC,64764-301-14,NDC,,,outpatient,1,EA,81.87,,40.935,49.122,79.4139,76.9578,,,,percent of total billed charges,,65.496,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,67.9521,,,,percent of total billed charges,,73.683,,,,percent of total billed charges,,75.3204,,,,percent of total billed charges,,75.3204,,,,percent of total billed charges,,77.44902,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,79.4139,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,72.0456,,,,percent of total billed charges,,73.683,,,,percent of total billed charges,,65.57787,,,,percent of total billed charges,,73.683,,,,percent of total billed charges,,49.122,,,,percent of total billed charges,,76.049043,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,65.496,,,,percent of total billed charges,,49.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.586057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 30 MG TABLET [82236],0637,RC,33342-055-07,NDC,,,outpatient,1,EA,0.83,,0.415,0.498,0.8051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.66483,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.770987,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.664913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 45 MG TABLET [78750],0637,RC,64764-451-24,NDC,,,outpatient,1,EA,88.8,,44.4,53.28,86.136,83.472,,,,percent of total billed charges,,71.04,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,73.704,,,,percent of total billed charges,,79.92,,,,percent of total billed charges,,81.696,,,,percent of total billed charges,,81.696,,,,percent of total billed charges,,84.0048,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,86.136,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,78.144,,,,percent of total billed charges,,79.92,,,,percent of total billed charges,,71.1288,,,,percent of total billed charges,,79.92,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,82.48632,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,71.04,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.13768,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 45 MG TABLET [78750],0637,RC,33342-056-07,NDC,,,outpatient,1,EA,0.87,,0.435,0.522,0.8439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.69687,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.808143,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.696957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 2.25 GRAM (180 MG PIPERACILLIN/ML) PEDS IV SOLN [1000894],0636,RC,9991-0008-94,NDC,J2543,HCPCS,outpatient,1,EA,17.06,,8.53,10.236,16.5482,16.0364,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,14.1598,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,16.13876,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.5482,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,15.0128,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,13.66506,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,15.847034,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.666766,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,0206-8859-10,NDC,J2543,HCPCS,outpatient,4.5,GR,37.69,,18.845,22.614,36.5593,35.4286,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,31.2827,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,35.65474,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,36.5593,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,33.1672,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,30.18969,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,35.010241,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.193459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,0206-8855-16,NDC,J2543,HCPCS,outpatient,1,EA,50.18,,25.09,30.108,48.6746,47.1692,,,,percent of total billed charges,,40.144,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,41.6494,,,,percent of total billed charges,,45.162,,,,percent of total billed charges,,46.1656,,,,percent of total billed charges,,46.1656,,,,percent of total billed charges,,47.47028,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,48.6746,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,44.1584,,,,percent of total billed charges,,45.162,,,,percent of total billed charges,,40.19418,,,,percent of total billed charges,,45.162,,,,percent of total billed charges,,30.108,,,,percent of total billed charges,,46.612202,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,40.144,,,,percent of total billed charges,,30.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.199198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,60505-6159-0,NDC,J2543,HCPCS,outpatient,1,EA,12.68,,6.34,7.608,12.2996,11.9192,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.5244,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.99528,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.2996,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,11.1584,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,10.15668,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,11.778452,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.157948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,60505-6159-4,NDC,J2543,HCPCS,outpatient,1,EA,12.68,,6.34,7.608,12.2996,11.9192,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.5244,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.99528,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.2996,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,11.1584,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,10.15668,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,11.778452,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.157948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,81284-153-00,NDC,J2543,HCPCS,outpatient,1,EA,18.2,,9.1,10.92,17.654,17.108,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,15.106,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,17.2172,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,16.016,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,14.5782,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,16.90598,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.58002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,81284-153-10,NDC,J2543,HCPCS,outpatient,1,EA,18.2,,9.1,10.92,17.654,17.108,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,15.106,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,17.2172,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,16.016,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,14.5782,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,16.90598,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.58002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [83432],0636,RC,0206-8862-02,NDC,J2543,HCPCS,outpatient,100,ML,55.35,,27.675,33.21,53.6895,52.029,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,45.9405,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,52.3611,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,53.6895,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,48.708,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,44.33535,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,51.414615,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.340885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [83432],0636,RC,0206-8862-01,NDC,J2543,HCPCS,outpatient,100,ML,55.35,,27.675,33.21,53.6895,52.029,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,45.9405,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,52.3611,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,53.6895,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,48.708,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,44.33535,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,51.414615,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.340885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40 MG/ML IN D5W PEDS IVPB [1001179],0636,RC,9991-0011-79,NDC,J2543,HCPCS,outpatient,50,ML,31.05,,15.525,18.63,30.1185,29.187,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,25.7715,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,29.3733,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,30.1185,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,24.87105,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,28.842345,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.874155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,0206-8859-10,NDC,J2543,HCPCS,outpatient,1,EA,339.17,,169.585,203.502,328.9949,318.8198,,,,percent of total billed charges,,271.336,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,281.5111,,,,percent of total billed charges,,305.253,,,,percent of total billed charges,,312.0364,,,,percent of total billed charges,,312.0364,,,,percent of total billed charges,,320.85482,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,328.9949,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,298.4696,,,,percent of total billed charges,,305.253,,,,percent of total billed charges,,271.67517,,,,percent of total billed charges,,305.253,,,,percent of total billed charges,,203.502,,,,percent of total billed charges,,315.055013,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,271.336,,,,percent of total billed charges,,203.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,271.709087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,0781-3180-94,NDC,J2543,HCPCS,outpatient,1,EA,186.12,,93.06,111.672,180.5364,174.9528,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,154.4796,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,176.06952,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,180.5364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,163.7856,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,149.08212,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,172.886868,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,149.100732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,0206-8859-10,NDC,J2543,HCPCS,outpatient,4.5,GR,37.69,,18.845,22.614,36.5593,35.4286,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,31.2827,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,35.65474,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,36.5593,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,33.1672,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,30.18969,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,35.010241,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.193459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,81284-153-10,NDC,J2543,HCPCS,outpatient,4.5,GR,18.2,,9.1,10.92,17.654,17.108,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,15.106,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,17.2172,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,16.016,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,14.5782,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,16.90598,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.58002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [254928],0636,RC,0006-4329-02,NDC,90671,CPT,outpatient,0.5,ML,387.28,,193.64,232.368,375.6616,364.0432,,,,percent of total billed charges,,309.824,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,321.4424,,,,percent of total billed charges,,348.552,,,,percent of total billed charges,,356.2976,,,,percent of total billed charges,,356.2976,,,,percent of total billed charges,,366.36688,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,375.6616,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,340.8064,,,,percent of total billed charges,,348.552,,,,percent of total billed charges,,310.21128,,,,percent of total billed charges,,348.552,,,,percent of total billed charges,,232.368,,,,percent of total billed charges,,359.744392,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,309.824,,,,percent of total billed charges,,232.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.250008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [82724],0636,RC,0006-4943-00,NDC,90732,CPT,outpatient,0.5,ML,208.77,,104.385,125.262,202.5069,196.2438,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,173.2791,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,197.49642,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,202.5069,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,183.7176,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,167.22477,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,193.926453,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.245647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [86180],0636,RC,0006-4837-03,NDC,90670,CPT,outpatient,0.5,ML,208.77,,104.385,125.262,202.5069,196.2438,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,173.2791,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,197.49642,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,202.5069,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,183.7176,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,167.22477,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,193.926453,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,167.245647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [244808],0636,RC,50242-105-01,NDC,J9309,HCPCS,outpatient,121.68,ME,60989.64,,30494.82,36593.784,59159.9508,57330.2616,,,,percent of total billed charges,,48791.712,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,50621.4012,,,,percent of total billed charges,,54890.676,,,,percent of total billed charges,,56110.4688,,,,percent of total billed charges,,56110.4688,,,,percent of total billed charges,,57696.19944,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,59159.9508,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,53670.8832,,,,percent of total billed charges,,54890.676,,,,percent of total billed charges,,48852.70164,,,,percent of total billed charges,,54890.676,,,,percent of total billed charges,,36593.784,,,,percent of total billed charges,,56653.2766,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,48791.712,,,,percent of total billed charges,,36593.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48858.8006,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [244808],0636,RC,50242-105-01,NDC,J9309,HCPCS,outpatient,1,EA,70172.16,,35086.08,42103.296,68066.9952,65961.8304,,,,percent of total billed charges,,56137.728,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,58242.8928,,,,percent of total billed charges,,63154.944,,,,percent of total billed charges,,64558.3872,,,,percent of total billed charges,,64558.3872,,,,percent of total billed charges,,66382.86336,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,68066.9952,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,61751.5008,,,,percent of total billed charges,,63154.944,,,,percent of total billed charges,,56207.90016,,,,percent of total billed charges,,63154.944,,,,percent of total billed charges,,42103.296,,,,percent of total billed charges,,65182.91942,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,56137.728,,,,percent of total billed charges,,42103.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56214.91738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION [210368],0250,RC,67850-140-05,NDC,,,outpatient,2,ML,81.48,,40.74,48.888,79.0356,76.5912,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,67.6284,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,77.08008,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,79.0356,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,71.7024,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,65.26548,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,75.686772,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.273628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION [210368],0250,RC,67850-140-00,NDC,,,outpatient,2,ML,81.48,,40.74,48.888,79.0356,76.5912,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,67.6284,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,77.08008,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,79.0356,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,71.7024,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,65.26548,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,75.686772,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.273628,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION [210369],0250,RC,67850-141-05,NDC,,,outpatient,2,ML,93.48,,46.74,56.088,90.6756,87.8712,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,77.5884,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,88.43208,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,90.6756,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,82.2624,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,74.87748,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,86.833572,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.886828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION [210369],0250,RC,67850-141-00,NDC,,,outpatient,2,ML,93.48,,46.74,56.088,90.6756,87.8712,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,77.5884,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,88.43208,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,90.6756,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,82.2624,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,74.87748,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,86.833572,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.886828,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,11523-7268-8,NDC,,,outpatient,1,EA,5.08,,2.54,3.048,4.9276,4.7752,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.2164,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.80568,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.9276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.4704,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.06908,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,4.718812,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.069588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,68084-430-98,NDC,,,outpatient,1,EA,4.46,,2.23,2.676,4.3262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,3.57246,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.142894,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.572906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,68084-430-99,NDC,,,outpatient,1,EA,4.46,,2.23,2.676,4.3262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,3.57246,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.142894,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.572906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,45802-868-00,NDC,,,outpatient,1,EA,5.35,,2.675,3.21,5.1895,5.029,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.4405,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,5.0611,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.1895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.708,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.28535,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,4.969615,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.285885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,45802-868-66,NDC,,,outpatient,1,EA,5.35,,2.675,3.21,5.1895,5.029,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.4405,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,5.0611,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.1895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.708,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.28535,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,4.969615,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.285885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,60687-431-99,NDC,,,outpatient,1,EA,6.98,,3.49,4.188,6.7706,6.5612,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.7934,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.60308,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.7706,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.1424,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,5.59098,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,6.483722,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.591678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,60687-431-98,NDC,,,outpatient,1,EA,8.59,,4.295,5.154,8.3323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,6.88059,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,7.979251,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.881449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,0904-6931-86,NDC,,,outpatient,1,EA,7.02,,3.51,4.212,6.8094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,5.62302,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,6.520878,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.623722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,0904-6931-26,NDC,,,outpatient,1,EA,7.02,,3.51,4.212,6.8094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,5.62302,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,6.520878,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.623722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,57896-490-01,NDC,,,outpatient,1,EA,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,57896-490-03,NDC,,,outpatient,1,EA,3,,1.5,1.8,2.91,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.403,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.7867,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.4033,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,0574-0412-07,NDC,,,outpatient,1,EA,4.7,,2.35,2.82,4.559,4.418,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.901,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.4462,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.559,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,3.7647,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,4.36583,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.76517,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,68084-430-98,NDC,,,outpatient,1,EA,4.46,,2.23,2.676,4.3262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,3.57246,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.142894,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.572906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,68084-430-99,NDC,,,outpatient,1,EA,4.46,,2.23,2.676,4.3262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,3.57246,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.142894,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.572906,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,60687-431-99,NDC,,,outpatient,1,EA,6.98,,3.49,4.188,6.7706,6.5612,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.7934,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.60308,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.7706,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.1424,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,5.59098,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,6.483722,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.591678,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,60687-431-98,NDC,,,outpatient,1,EA,8.59,,4.295,5.154,8.3323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,6.88059,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,7.979251,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.881449,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,4110082073,NDC,,,outpatient,238,GR,36.42,,18.21,21.852,35.3274,34.2348,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,30.2286,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,34.45332,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,35.3274,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,32.0496,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,29.17242,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,33.830538,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.176062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,43386-312-08,NDC,,,outpatient,238,GR,33.21,,16.605,19.926,32.2137,31.2174,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,27.5643,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,31.41666,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,32.2137,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,29.2248,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,26.60121,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,30.848769,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.604531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,45802-868-02,NDC,,,outpatient,238,GR,19.28,,9.64,11.568,18.7016,18.1232,,,,percent of total billed charges,,15.424,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,16.0024,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,17.7376,,,,percent of total billed charges,,17.7376,,,,percent of total billed charges,,18.23888,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,18.7016,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,16.9664,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,15.44328,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,11.568,,,,percent of total billed charges,,17.909192,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,15.424,,,,percent of total billed charges,,11.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.445208,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,46122-014-33,NDC,,,outpatient,238,GR,13.93,,6.965,8.358,13.5121,13.0942,,,,percent of total billed charges,,11.144,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,11.5619,,,,percent of total billed charges,,12.537,,,,percent of total billed charges,,12.8156,,,,percent of total billed charges,,12.8156,,,,percent of total billed charges,,13.17778,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,13.5121,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,12.2584,,,,percent of total billed charges,,12.537,,,,percent of total billed charges,,11.15793,,,,percent of total billed charges,,12.537,,,,percent of total billed charges,,8.358,,,,percent of total billed charges,,12.939577,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,11.144,,,,percent of total billed charges,,8.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.159323,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,57896-489-14,NDC,,,outpatient,238,GR,21.42,,10.71,12.852,20.7774,20.1348,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.7786,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,20.26332,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.7774,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,18.8496,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,17.15742,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,19.897038,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.159562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,68001-505-55,NDC,,,outpatient,238,GR,21.42,,10.71,12.852,20.7774,20.1348,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.7786,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,20.26332,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.7774,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,18.8496,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,17.15742,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,19.897038,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.159562,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER - BOWEL PREP [7000125],0637,RC,4110082073,NDC,,,outpatient,238,GR,36.42,,18.21,21.852,35.3274,34.2348,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,30.2286,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,34.45332,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,35.3274,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,32.0496,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,29.17242,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,33.830538,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.176062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL ELECTROLYTE (GOLYTELY) CONTINUOUS INFUSION VIA NG [1000884],0637,RC,52268-100-01,NDC,,,outpatient,4000,ML,90,,45,54,87.3,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,72.09,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,83.601,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,1,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",0250,RC,39822-0166-5,NDC,,,outpatient,10,ML,26.69,,13.345,16.014,25.8893,25.0886,,,,percent of total billed charges,,21.352,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,22.1527,,,,percent of total billed charges,,24.021,,,,percent of total billed charges,,24.5548,,,,percent of total billed charges,,24.5548,,,,percent of total billed charges,,25.24874,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,25.8893,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,23.4872,,,,percent of total billed charges,,24.021,,,,percent of total billed charges,,21.37869,,,,percent of total billed charges,,24.021,,,,percent of total billed charges,,16.014,,,,percent of total billed charges,,24.792341,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,21.352,,,,percent of total billed charges,,16.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.381359,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0637,RC,0904539561,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0637,RC,5199120311,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0637,RC,5199120399,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYVINYL ALCOHOL 1.4 % EYE DROPS [27994],0637,RC,0536-1084-94,NDC,,,outpatient,15,ML,5.61,,2.805,3.366,5.4417,5.2734,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.6563,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.30706,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.4417,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.9368,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,4.49361,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,5.211129,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.494171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION [95230],0250,RC,10122-510-01,NDC,,,outpatient,1.5,ML,2202.17,,1101.085,1321.302,2136.1049,2070.0398,,,,percent of total billed charges,,1761.736,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,1827.8011,,,,percent of total billed charges,,1981.953,,,,percent of total billed charges,,2025.9964,,,,percent of total billed charges,,2025.9964,,,,percent of total billed charges,,2083.25282,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,2136.1049,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,1937.9096,,,,percent of total billed charges,,1981.953,,,,percent of total billed charges,,1763.93817,,,,percent of total billed charges,,1981.953,,,,percent of total billed charges,,1321.302,,,,percent of total billed charges,,2045.595713,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,1761.736,,,,percent of total billed charges,,1321.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1764.158387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [77972],0637,RC,0121067716,NDC,,,outpatient,473,ML,70.25,,35.125,42.15,68.1425,66.035,,,,percent of total billed charges,,56.2,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,58.3075,,,,percent of total billed charges,,63.225,,,,percent of total billed charges,,64.63,,,,percent of total billed charges,,64.63,,,,percent of total billed charges,,66.4565,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,68.1425,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,61.82,,,,percent of total billed charges,,63.225,,,,percent of total billed charges,,56.27025,,,,percent of total billed charges,,63.225,,,,percent of total billed charges,,42.15,,,,percent of total billed charges,,65.255225,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,56.2,,,,percent of total billed charges,,42.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.277275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [77972],0637,RC,6025800216,NDC,,,outpatient,473,ML,225.63,,112.815,135.378,218.8611,212.0922,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,187.2729,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,213.44598,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,218.8611,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,198.5544,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,180.72963,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,209.587707,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.752193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [77972],0637,RC,6213543847,NDC,,,outpatient,473,ML,1240.92,,620.46,744.552,1203.6924,1166.4648,,,,percent of total billed charges,,992.736,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1029.9636,,,,percent of total billed charges,,1116.828,,,,percent of total billed charges,,1141.6464,,,,percent of total billed charges,,1141.6464,,,,percent of total billed charges,,1173.91032,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1203.6924,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1092.0096,,,,percent of total billed charges,,1116.828,,,,percent of total billed charges,,993.97692,,,,percent of total billed charges,,1116.828,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1152.690588,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,992.736,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,994.101012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,0409-3294-51,NDC,J3480,HCPCS,outpatient,50,ML,43.88,,21.94,26.328,42.5636,41.2472,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,36.4204,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,41.51048,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,42.5636,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,38.6144,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,35.14788,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,40.760132,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.152268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,0409-8183-01,NDC,J3480,HCPCS,outpatient,20,ML,14.22,,7.11,8.532,13.7934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,11.39022,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,13.208958,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.391642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,51754-2001-4,NDC,J3480,HCPCS,outpatient,20,ML,18.18,,9.09,10.908,17.6346,17.0892,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.0894,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,17.19828,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6346,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.9984,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,14.56218,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,16.887402,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.563998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,0409-3294-61,NDC,J3480,HCPCS,outpatient,50,ML,43.88,,21.94,26.328,42.5636,41.2472,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,36.4204,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,41.51048,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,42.5636,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,38.6144,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,35.14788,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,40.760132,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.152268,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,0409-8183-11,NDC,J3480,HCPCS,outpatient,20,ML,14.22,,7.11,8.532,13.7934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,11.39022,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,13.208958,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.391642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET [162984],0637,RC,51801-013-30,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET [162987],0637,RC,51801-011-30,NDC,,,outpatient,1,EA,2.28,,1.14,1.368,2.2116,2.1432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.8924,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.15688,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.2116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.0064,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.82628,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,2.117892,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.826508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET [162987],0637,RC,51801-011-01,NDC,,,outpatient,1,EA,2.28,,1.14,1.368,2.2116,2.1432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.8924,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.15688,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.2116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.0064,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.82628,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,2.117892,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.826508,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100 ML IN NS IVPB [233633],0636,RC,9999-2336-33,NDC,J3480,HCPCS,outpatient,100,ML,9.9,,4.95,5.94,9.603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,7.9299,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.19611,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.93089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,0338-0709-48,NDC,J3480,HCPCS,outpatient,100,ML,9.9,,4.95,5.94,9.603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,7.9299,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.19611,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.93089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,0990-7074-26,NDC,J3480,HCPCS,outpatient,100,ML,21.15,,10.575,12.69,20.5155,19.881,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,17.5545,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,20.0079,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.5155,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,16.94115,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,19.646235,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.943265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,14789-109-10,NDC,J3480,HCPCS,outpatient,100,ML,103.5,,51.75,62.1,100.395,97.29,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,85.905,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,97.911,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,100.395,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,82.9035,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,96.14115,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.91385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,14789-109-16,NDC,J3480,HCPCS,outpatient,100,ML,103.5,,51.75,62.1,100.395,97.29,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,85.905,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,97.911,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,100.395,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,82.9035,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,96.14115,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.91385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,5,ML,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-10,NDC,J3480,HCPCS,outpatient,10,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-20,NDC,J3480,HCPCS,outpatient,20,ML,5.67,,2.835,3.402,5.4999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,4.54167,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.266863,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.542237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,0409-6653-05,NDC,J3480,HCPCS,outpatient,20,ML,13.68,,6.84,8.208,13.2696,12.8592,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,11.3544,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.94128,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,13.2696,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.0384,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.95768,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,12.707352,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.959048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,0409-6651-06,NDC,J3480,HCPCS,outpatient,10,ML,11.52,,5.76,6.912,11.1744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,9.22752,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,10.700928,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.228672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,0409-6635-18,NDC,J3480,HCPCS,outpatient,5,ML,17.28,,8.64,10.368,16.7616,16.2432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,14.3424,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,16.34688,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.7616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,15.2064,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,13.84128,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,16.051392,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.843008,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,0409-6651-19,NDC,J3480,HCPCS,outpatient,10,ML,11.52,,5.76,6.912,11.1744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,9.22752,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,10.700928,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.228672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,0409-6653-18,NDC,J3480,HCPCS,outpatient,20,ML,13.68,,6.84,8.208,13.2696,12.8592,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,11.3544,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.94128,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,13.2696,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.0384,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.95768,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,12.707352,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.959048,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-02,NDC,J3480,HCPCS,outpatient,20,ML,5.67,,2.835,3.402,5.4999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,4.54167,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.266863,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.542237,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-01,NDC,J3480,HCPCS,outpatient,5,ML,7.56,,3.78,4.536,7.3332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.05556,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.022484,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.056316,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-03,NDC,J3480,HCPCS,outpatient,10,ML,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-967-01,NDC,J3480,HCPCS,outpatient,30,ML,8.24,,4.12,4.944,7.9928,7.7456,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.8392,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.79504,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.9928,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.2512,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,6.60024,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,7.654136,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.601064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11076],0636,RC,0338-0705-48,NDC,J3480,HCPCS,outpatient,100,ML,10.35,,5.175,6.21,10.0395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,8.29035,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,9.614115,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.291385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11076],0636,RC,0990-7075-26,NDC,J3480,HCPCS,outpatient,100,ML,21.6,,10.8,12.96,20.952,20.304,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,20.4336,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,20.952,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,17.3016,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,20.06424,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.30376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,9999-9964-32,NDC,,,outpatient,15,ML,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,66689-047-80,NDC,,,outpatient,15,ML,16.47,,8.235,9.882,15.9759,15.4818,,,,percent of total billed charges,,13.176,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,13.6701,,,,percent of total billed charges,,14.823,,,,percent of total billed charges,,15.1524,,,,percent of total billed charges,,15.1524,,,,percent of total billed charges,,15.58062,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,15.9759,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,14.4936,,,,percent of total billed charges,,14.823,,,,percent of total billed charges,,13.19247,,,,percent of total billed charges,,14.823,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,15.298983,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,13.176,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.194117,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,69238-1459-2,NDC,,,outpatient,473,ML,238.4,,119.2,143.04,231.248,224.096,,,,percent of total billed charges,,190.72,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,197.872,,,,percent of total billed charges,,214.56,,,,percent of total billed charges,,219.328,,,,percent of total billed charges,,219.328,,,,percent of total billed charges,,225.5264,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,231.248,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,209.792,,,,percent of total billed charges,,214.56,,,,percent of total billed charges,,190.9584,,,,percent of total billed charges,,214.56,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,221.44976,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,190.72,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,190.98224,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,72888-041-13,NDC,,,outpatient,473,ML,68.12,,34.06,40.872,66.0764,64.0328,,,,percent of total billed charges,,54.496,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,56.5396,,,,percent of total billed charges,,61.308,,,,percent of total billed charges,,62.6704,,,,percent of total billed charges,,62.6704,,,,percent of total billed charges,,64.44152,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,66.0764,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,59.9456,,,,percent of total billed charges,,61.308,,,,percent of total billed charges,,54.56412,,,,percent of total billed charges,,61.308,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,63.276668,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,54.496,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.570932,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,0121-0948-16,NDC,,,outpatient,473,ML,323.54,,161.77,194.124,313.8338,304.1276,,,,percent of total billed charges,,258.832,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,268.5382,,,,percent of total billed charges,,291.186,,,,percent of total billed charges,,297.6568,,,,percent of total billed charges,,297.6568,,,,percent of total billed charges,,306.06884,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,313.8338,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,284.7152,,,,percent of total billed charges,,291.186,,,,percent of total billed charges,,259.15554,,,,percent of total billed charges,,291.186,,,,percent of total billed charges,,194.124,,,,percent of total billed charges,,300.536306,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,258.832,,,,percent of total billed charges,,194.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,259.187894,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,0338-0704-34,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,9999-9360-63,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,63323-683-01,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,63323-683-10,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,0264-7865-00,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,0338-0691-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,9999-9164-26,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,0990-7115-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14903],0258,RC,0338-0683-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14858],0258,RC,0264-7652-00,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14858],0258,RC,0338-0803-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV [14862],0258,RC,0338-0663-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,0264-7635-00,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,0338-0671-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,9999-9148-63,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,0990-7902-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,0338-0695-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,0990-7116-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,63323-688-01,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,63323-688-10,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14859],0258,RC,0338-0807-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14859],0258,RC,0990-7109-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14866],0258,RC,0264-7638-00,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14866],0258,RC,0338-0675-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14866],0258,RC,0990-7904-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,68462-357-01,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,50268-671-11,NDC,,,outpatient,1,EA,3.43,,1.715,2.058,3.3271,3.2242,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.8469,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.24478,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.3271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.0184,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.74743,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,3.186127,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.747773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,50268-671-13,NDC,,,outpatient,1,EA,3.43,,1.715,2.058,3.3271,3.2242,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.8469,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.24478,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.3271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.0184,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.74743,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,3.186127,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.747773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,0904-6930-61,NDC,,,outpatient,1,EA,3.73,,1.865,2.238,3.6181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.98773,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.464797,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.988103,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,60687-653-01,NDC,,,outpatient,1,EA,2.11,,1.055,1.266,2.0467,1.9834,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.7513,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.99606,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0467,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.8568,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.69011,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,1.959979,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.690321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,60687-653-11,NDC,,,outpatient,1,EA,2.11,,1.055,1.266,2.0467,1.9834,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.7513,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.99606,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0467,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.8568,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.69011,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,1.959979,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.690321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0637,RC,0245-5317-01,NDC,,,outpatient,1,EA,2.81,,1.405,1.686,2.7257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.25081,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.610209,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.251091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0637,RC,0245-5317-89,NDC,,,outpatient,1,EA,2.81,,1.405,1.686,2.7257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.25081,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.610209,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.251091,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,68084-360-11,NDC,,,outpatient,1,EA,2.23,,1.115,1.338,2.1631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.78623,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.071447,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.786453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,68084-360-09,NDC,,,outpatient,1,EA,2.23,,1.115,1.338,2.1631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.78623,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.071447,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.786453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,0245-5319-01,NDC,,,outpatient,1,EA,3.52,,1.76,2.112,3.4144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.81952,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.269728,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.819872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,0245-5319-11,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,0245-5319-89,NDC,,,outpatient,1,EA,3.52,,1.76,2.112,3.4144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.81952,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.269728,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.819872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,63739-973-10,NDC,,,outpatient,1,EA,2.69,,1.345,1.614,2.6093,2.5286,,,,percent of total billed charges,,2.152,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.2327,,,,percent of total billed charges,,2.421,,,,percent of total billed charges,,2.4748,,,,percent of total billed charges,,2.4748,,,,percent of total billed charges,,2.54474,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.6093,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.3672,,,,percent of total billed charges,,2.421,,,,percent of total billed charges,,2.15469,,,,percent of total billed charges,,2.421,,,,percent of total billed charges,,1.614,,,,percent of total billed charges,,2.498741,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.152,,,,percent of total billed charges,,1.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.154959,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,0904-7293-61,NDC,,,outpatient,1,EA,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,60687-756-09,NDC,,,outpatient,1,EA,1.4,,0.7,0.84,1.358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.1214,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.30046,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.12154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,60687-756-11,NDC,,,outpatient,1,EA,1.4,,0.7,0.84,1.358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.1214,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.30046,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.12154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,0245-0071-11,NDC,,,outpatient,1,EA,3.31,,1.655,1.986,3.2107,3.1114,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.7473,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.13126,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.2107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.9128,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,2.65131,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,3.074659,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.651641,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,68084-850-32,NDC,,,outpatient,1,EA,8.52,,4.26,5.112,8.2644,8.0088,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.0716,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,8.05992,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.2644,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.4976,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,6.82452,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,7.914228,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.825372,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,68084-850-33,NDC,,,outpatient,1,EA,8.52,,4.26,5.112,8.2644,8.0088,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.0716,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,8.05992,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.2644,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.4976,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,6.82452,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,7.914228,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.825372,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,62559-291-01,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,51407-450-01,NDC,,,outpatient,1,EA,1.07,,0.535,0.642,1.0379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.85707,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,0.993923,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.857177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,0409-7295-01,NDC,,,outpatient,15,EA,19.94,,9.97,11.964,19.3418,18.7436,,,,percent of total billed charges,,15.952,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,16.5502,,,,percent of total billed charges,,17.946,,,,percent of total billed charges,,18.3448,,,,percent of total billed charges,,18.3448,,,,percent of total billed charges,,18.86324,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,19.3418,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,17.5472,,,,percent of total billed charges,,17.946,,,,percent of total billed charges,,15.97194,,,,percent of total billed charges,,17.946,,,,percent of total billed charges,,11.964,,,,percent of total billed charges,,18.522266,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,15.952,,,,percent of total billed charges,,11.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.973934,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,0409-7295-01,NDC,,,outpatient,10,EA,13.29,,6.645,7.974,12.8913,12.4926,,,,percent of total billed charges,,10.632,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,11.0307,,,,percent of total billed charges,,11.961,,,,percent of total billed charges,,12.2268,,,,percent of total billed charges,,12.2268,,,,percent of total billed charges,,12.57234,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,12.8913,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,11.6952,,,,percent of total billed charges,,11.961,,,,percent of total billed charges,,10.64529,,,,percent of total billed charges,,11.961,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,12.345081,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,10.632,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.646619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,0409-7295-01,NDC,,,outpatient,5.408,EA,7.19,,3.595,4.314,6.9743,6.7586,,,,percent of total billed charges,,5.752,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,5.9677,,,,percent of total billed charges,,6.471,,,,percent of total billed charges,,6.6148,,,,percent of total billed charges,,6.6148,,,,percent of total billed charges,,6.80174,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,6.9743,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,6.3272,,,,percent of total billed charges,,6.471,,,,percent of total billed charges,,5.75919,,,,percent of total billed charges,,6.471,,,,percent of total billed charges,,4.314,,,,percent of total billed charges,,6.678791,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,5.752,,,,percent of total billed charges,,4.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.759909,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET [85109]",0637,RC,0486-1111-01,NDC,,,outpatient,1,EA,2.2,,1.1,1.32,2.134,2.068,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,1.826,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.024,,,,percent of total billed charges,,2.024,,,,percent of total billed charges,,2.0812,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,2.134,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,1.7622,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,2.04358,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.76242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,63323-086-05,NDC,,,outpatient,5,ML,35.55,,17.775,21.33,34.4835,33.417,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,29.5065,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,33.6303,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,34.4835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,31.284,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,28.47555,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,33.022395,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.479105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,0409-7295-01,NDC,,,outpatient,15,ML,59.81,,29.905,35.886,58.0157,56.2214,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,49.6423,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,56.58026,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,58.0157,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,52.6328,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,47.90781,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,55.557509,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.913791,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,0409-7295-11,NDC,,,outpatient,15,ML,59.81,,29.905,35.886,58.0157,56.2214,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,49.6423,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,56.58026,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,58.0157,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,52.6328,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,47.90781,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,55.557509,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.913791,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,65219-052-09,NDC,,,outpatient,5,ML,94.19,,47.095,56.514,91.3643,88.5386,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,78.1777,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,89.10374,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,91.3643,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,82.8872,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,75.44619,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,87.493091,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.455609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,65219-052-29,NDC,,,outpatient,5,ML,94.19,,47.095,56.514,91.3643,88.5386,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,78.1777,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,89.10374,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,91.3643,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,82.8872,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,75.44619,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,87.493091,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.455609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,6025800601,NDC,,,outpatient,1,EA,1.9,,0.95,1.14,1.843,1.786,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.577,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7974,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.5219,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.76491,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.52209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,6025800615,NDC,,,outpatient,1,EA,1.9,,0.95,1.14,1.843,1.786,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.577,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7974,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.5219,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.76491,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.52209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,8068117200,NDC,,,outpatient,1,EA,1.11,,0.555,0.666,1.0767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.88911,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.031079,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.889221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,5789684401,NDC,,,outpatient,1,EA,0.89,,0.445,0.534,0.8633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.71289,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.826721,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.712979,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],0637,RC,0536-1271-80,NDC,,,outpatient,28.4,GR,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POVIDONE-IODINE 10 % TOPICAL SOLUTION [6458],0637,RC,67618-150-05,NDC,,,outpatient,14.8,ML,6.4,,3.2,3.84,6.208,6.016,,,,percent of total billed charges,,5.12,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,5.888,,,,percent of total billed charges,,5.888,,,,percent of total billed charges,,6.0544,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,6.208,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,5.632,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,5.1264,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,5.94496,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,5.12,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.12704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POVIDONE-IODINE 5 % EYE SOLUTION [80766],0637,RC,0065-0411-30,NDC,,,outpatient,30,ML,43.2,,21.6,25.92,41.904,40.608,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,35.856,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,40.8672,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.904,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,38.016,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,34.6032,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,40.12848,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.60752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [196285],0636,RC,48818-001-02,NDC,J9307,HCPCS,outpatient,2,ML,47044.16,,23522.08,28226.496,45632.8352,44221.5104,,,,percent of total billed charges,,37635.328,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,39046.6528,,,,percent of total billed charges,,42339.744,,,,percent of total billed charges,,43280.6272,,,,percent of total billed charges,,43280.6272,,,,percent of total billed charges,,44503.77536,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,45632.8352,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,41398.8608,,,,percent of total billed charges,,42339.744,,,,percent of total billed charges,,37682.37216,,,,percent of total billed charges,,42339.744,,,,percent of total billed charges,,28226.496,,,,percent of total billed charges,,43699.32022,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,37635.328,,,,percent of total billed charges,,28226.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37687.07658,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,60977-141-01,NDC,J2730,HCPCS,outpatient,1,EA,358.6,,179.3,215.16,347.842,337.084,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,297.638,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,339.2356,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,347.842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,315.568,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,287.2386,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,333.10354,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,287.27446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,60977-141-27,NDC,J2730,HCPCS,outpatient,1,EA,358.6,,179.3,215.16,347.842,337.084,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,297.638,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,339.2356,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,347.842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,315.568,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,287.2386,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,333.10354,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,287.27446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,120,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,60977-141-01,NDC,J2730,HCPCS,outpatient,6,GR,2151.55,,1075.775,1290.93,2087.0035,2022.457,,,,percent of total billed charges,,1721.24,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,1785.7865,,,,percent of total billed charges,,1936.395,,,,percent of total billed charges,,1979.426,,,,percent of total billed charges,,1979.426,,,,percent of total billed charges,,2035.3663,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,2087.0035,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,1893.364,,,,percent of total billed charges,,1936.395,,,,percent of total billed charges,,1723.39155,,,,percent of total billed charges,,1936.395,,,,percent of total billed charges,,1290.93,,,,percent of total billed charges,,1998.574795,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,1721.24,,,,percent of total billed charges,,1290.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1723.606705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,60977-141-01,NDC,J2730,HCPCS,outpatient,250,ME,358.6,,179.3,215.16,347.842,337.084,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,297.638,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,339.2356,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,347.842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,315.568,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,287.2386,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,333.10354,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,287.27446,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,13668-092-90,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,68084-440-01,NDC,,,outpatient,1,EA,0.82,,0.41,0.492,0.7954,0.7708,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.6806,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.77572,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7954,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7216,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.65682,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,0.761698,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.656902,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,60687-570-01,NDC,,,outpatient,1,EA,1.18,,0.59,0.708,1.1446,1.1092,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.9794,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.11628,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.1446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.0384,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.94518,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,1.096102,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.945298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,60687-570-11,NDC,,,outpatient,1,EA,1.18,,0.59,0.708,1.1446,1.1092,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.9794,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.11628,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.1446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.0384,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.94518,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,1.096102,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.945298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.5 MG TABLET [79525],0637,RC,13668-093-90,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.5 MG TABLET [79525],0637,RC,60687-581-11,NDC,,,outpatient,1,EA,2.72,,1.36,1.632,2.6384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.17872,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.526608,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.178992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.5 MG TABLET [79525],0637,RC,60687-581-21,NDC,,,outpatient,1,EA,2.72,,1.36,1.632,2.6384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.17872,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.526608,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.178992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMOXINE-CAMPHOR-ZINC ACETATE LOTION [77898],0637,RC,0904-7760-21,NDC,,,outpatient,177,ML,11.16,,5.58,6.696,10.8252,10.4904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.2628,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.55736,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.8252,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.8208,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,8.93916,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,10.366524,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.940276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,60505-4643-3,NDC,,,outpatient,1,EA,4.47,,2.235,2.682,4.3359,4.2018,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.7101,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.22862,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.3359,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.9336,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,3.58047,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,4.152183,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.580917,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,67877-605-30,NDC,,,outpatient,1,EA,1.02,,0.51,0.612,0.9894,0.9588,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.8466,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,0.9384,,,,percent of total billed charges,,0.9384,,,,percent of total billed charges,,0.96492,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.9894,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.8976,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,0.81702,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.947478,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.817122,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,65862-830-30,NDC,,,outpatient,1,EA,3.65,,1.825,2.19,3.5405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.92365,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.390485,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.924015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,16729-273-10,NDC,,,outpatient,1,EA,3.42,,1.71,2.052,3.3174,3.2148,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.8386,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.23532,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.3174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.0096,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.73942,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,3.176838,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.739762,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,0093-0771-98,NDC,,,outpatient,1,EA,1.09,,0.545,0.654,1.0573,1.0246,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9047,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.03114,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9592,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.87309,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,1.012501,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.873199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,0904-5891-61,NDC,,,outpatient,1,EA,1.73,,0.865,1.038,1.6781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.38573,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.606997,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.385903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,60687-169-01,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,60687-169-11,NDC,,,outpatient,1,EA,2.95,,1.475,1.77,2.8615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.36295,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.740255,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.363245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,51079-782-01,NDC,,,outpatient,1,EA,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,51079-782-20,NDC,,,outpatient,1,EA,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,60687-190-01,NDC,,,outpatient,1,EA,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,60687-190-11,NDC,,,outpatient,1,EA,3.06,,1.53,1.836,2.9682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.45106,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,2.842434,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.451366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,50268-667-11,NDC,,,outpatient,1,EA,2.04,,1.02,1.224,1.9788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.63404,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.894956,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.634244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,50268-667-15,NDC,,,outpatient,1,EA,2.04,,1.02,1.224,1.9788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.63404,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.894956,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.634244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,51079-630-01,NDC,,,outpatient,1,EA,6.65,,3.325,3.99,6.4505,6.251,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.5195,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.2909,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.852,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.32665,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,6.177185,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.327315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,51079-630-20,NDC,,,outpatient,1,EA,6.65,,3.325,3.99,6.4505,6.251,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.5195,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.2909,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.852,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.32665,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,6.177185,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.327315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,68084-996-01,NDC,,,outpatient,1,EA,6.72,,3.36,4.032,6.5184,6.3168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.5776,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.35712,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.5184,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.9136,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,5.38272,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,6.242208,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.383392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,68084-996-11,NDC,,,outpatient,1,EA,6.72,,3.36,4.032,6.5184,6.3168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.5776,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.35712,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.5184,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.9136,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,5.38272,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,6.242208,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.383392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,0904-7020-61,NDC,,,outpatient,1,EA,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 5 MG CAPSULE [6470],0637,RC,10135-668-01,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",0637,RC,60758-119-05,NDC,,,outpatient,5,ML,175.1,,87.55,105.06,169.847,164.594,,,,percent of total billed charges,,140.08,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,145.333,,,,percent of total billed charges,,157.59,,,,percent of total billed charges,,161.092,,,,percent of total billed charges,,161.092,,,,percent of total billed charges,,165.6446,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,169.847,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,154.088,,,,percent of total billed charges,,157.59,,,,percent of total billed charges,,140.2551,,,,percent of total billed charges,,157.59,,,,percent of total billed charges,,105.06,,,,percent of total billed charges,,162.65039,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,140.08,,,,percent of total billed charges,,105.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,140.27261,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",0637,RC,61314-637-05,NDC,,,outpatient,5,ML,114.75,,57.375,68.85,111.3075,107.865,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,95.2425,,,,percent of total billed charges,,103.275,,,,percent of total billed charges,,105.57,,,,percent of total billed charges,,105.57,,,,percent of total billed charges,,108.5535,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,111.3075,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,100.98,,,,percent of total billed charges,,103.275,,,,percent of total billed charges,,91.91475,,,,percent of total billed charges,,103.275,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,106.591275,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,91.926225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],0636,RC,0121-0759-08,NDC,J7510,HCPCS,outpatient,237,ML,188.78,,94.39,113.268,183.1166,177.4532,,,,percent of total billed charges,,151.024,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,156.6874,,,,percent of total billed charges,,169.902,,,,percent of total billed charges,,173.6776,,,,percent of total billed charges,,173.6776,,,,percent of total billed charges,,178.58588,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,183.1166,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,166.1264,,,,percent of total billed charges,,169.902,,,,percent of total billed charges,,151.21278,,,,percent of total billed charges,,169.902,,,,percent of total billed charges,,113.268,,,,percent of total billed charges,,175.357742,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,151.024,,,,percent of total billed charges,,113.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,151.231658,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],0636,RC,59630-710-08,NDC,J7510,HCPCS,outpatient,237,ML,988.65,,494.325,593.19,958.9905,929.331,,,,percent of total billed charges,,790.92,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,820.5795,,,,percent of total billed charges,,889.785,,,,percent of total billed charges,,909.558,,,,percent of total billed charges,,909.558,,,,percent of total billed charges,,935.2629,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,958.9905,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,870.012,,,,percent of total billed charges,,889.785,,,,percent of total billed charges,,791.90865,,,,percent of total billed charges,,889.785,,,,percent of total billed charges,,593.19,,,,percent of total billed charges,,918.356985,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,790.92,,,,percent of total billed charges,,593.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,792.007515,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],0636,RC,9999-9293-02,NDC,J7510,HCPCS,outpatient,5,ML,3.99,,1.995,2.394,3.8703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.19599,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,3.706311,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.196389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,50383-040-04,NDC,J7510,HCPCS,outpatient,120,ML,253.26,,126.63,151.956,245.6622,238.0644,,,,percent of total billed charges,,202.608,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,210.2058,,,,percent of total billed charges,,227.934,,,,percent of total billed charges,,232.9992,,,,percent of total billed charges,,232.9992,,,,percent of total billed charges,,239.58396,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,245.6622,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,222.8688,,,,percent of total billed charges,,227.934,,,,percent of total billed charges,,202.86126,,,,percent of total billed charges,,227.934,,,,percent of total billed charges,,151.956,,,,percent of total billed charges,,235.253214,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,202.608,,,,percent of total billed charges,,151.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,202.886586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,9999-9111-18,NDC,J7510,HCPCS,outpatient,10,ML,21.33,,10.665,12.798,20.6901,20.0502,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.7039,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,20.17818,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.6901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,18.7704,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,17.08533,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,19.813437,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.087463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,13925-166-04,NDC,J7510,HCPCS,outpatient,120,ML,301.86,,150.93,181.116,292.8042,283.7484,,,,percent of total billed charges,,241.488,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,250.5438,,,,percent of total billed charges,,271.674,,,,percent of total billed charges,,277.7112,,,,percent of total billed charges,,277.7112,,,,percent of total billed charges,,285.55956,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,292.8042,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,265.6368,,,,percent of total billed charges,,271.674,,,,percent of total billed charges,,241.78986,,,,percent of total billed charges,,271.674,,,,percent of total billed charges,,181.116,,,,percent of total billed charges,,280.397754,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,241.488,,,,percent of total billed charges,,181.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,241.820046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,9991-1118-05,NDC,J7510,HCPCS,outpatient,5,ML,10.85,,5.425,6.51,10.5245,10.199,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.0055,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,10.2641,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.5245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.548,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,8.69085,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,10.078565,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.691935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,62135-330-41,NDC,J7510,HCPCS,outpatient,120,ML,1034.1,,517.05,620.46,1003.077,972.054,,,,percent of total billed charges,,827.28,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,858.303,,,,percent of total billed charges,,930.69,,,,percent of total billed charges,,951.372,,,,percent of total billed charges,,951.372,,,,percent of total billed charges,,978.2586,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,1003.077,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,910.008,,,,percent of total billed charges,,930.69,,,,percent of total billed charges,,828.3141,,,,percent of total billed charges,,930.69,,,,percent of total billed charges,,620.46,,,,percent of total billed charges,,960.57549,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,827.28,,,,percent of total billed charges,,620.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,828.41751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 1 MG TABLET [6493],0636,RC,0054-8739-25,NDC,J7512,HCPCS,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 1 MG TABLET [6493],0636,RC,64380-782-06,NDC,J7512,HCPCS,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,0054-0017-20,NDC,J7512,HCPCS,outpatient,1,EA,0.57,,0.285,0.342,0.5529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.45657,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.529473,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.456627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,60687-134-01,NDC,J7512,HCPCS,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,60687-134-11,NDC,J7512,HCPCS,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,0378-0641-01,NDC,J7512,HCPCS,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,0591-5443-01,NDC,J7512,HCPCS,outpatient,1,EA,0.92,,0.46,0.552,0.8924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.73692,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.854588,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.737012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,0054-0018-20,NDC,J7512,HCPCS,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,60687-145-01,NDC,J7512,HCPCS,outpatient,1,EA,1.08,,0.54,0.648,1.0476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.86508,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.003212,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.865188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,60687-145-11,NDC,J7512,HCPCS,outpatient,1,EA,1.08,,0.54,0.648,1.0476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.86508,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.003212,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.865188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,0904-7127-61,NDC,J7512,HCPCS,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 5 MG TABLET [6497],0636,RC,0054-8724-25,NDC,J7512,HCPCS,outpatient,1,EA,0.83,,0.415,0.498,0.8051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.66483,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.770987,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.664913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,0071-1015-41,NDC,,,outpatient,1,EA,46.04,,23.02,27.624,44.6588,43.2776,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,38.2132,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,43.55384,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,44.6588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,40.5152,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,36.87804,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,42.766556,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.882644,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,60687-506-01,NDC,,,outpatient,1,EA,2.31,,1.155,1.386,2.2407,2.1714,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.9173,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.18526,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.2407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.0328,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.85031,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,2.145759,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.850541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,60687-506-11,NDC,,,outpatient,1,EA,2.31,,1.155,1.386,2.2407,2.1714,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.9173,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.18526,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.2407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.0328,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.85031,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,2.145759,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.850541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,72205-014-90,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,0904-7001-61,NDC,,,outpatient,1,EA,2.15,,1.075,1.29,2.0855,2.021,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.7845,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,2.0339,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0855,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.72215,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,1.997135,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.722365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,69097-681-05,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,0071-1012-68,NDC,,,outpatient,1,EA,41.86,,20.93,25.116,40.6042,39.3484,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,34.7438,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,38.5112,,,,percent of total billed charges,,38.5112,,,,percent of total billed charges,,39.59956,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,40.6042,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,36.8368,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,33.52986,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,25.116,,,,percent of total billed charges,,38.883754,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,25.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.534046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,60687-473-01,NDC,,,outpatient,1,EA,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,60687-473-11,NDC,,,outpatient,1,EA,2.44,,1.22,1.464,2.3668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.95444,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.266516,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.954684,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,0904-6991-61,NDC,,,outpatient,1,EA,2.42,,1.21,1.452,2.3474,2.2748,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.0086,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.28932,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.3474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.1296,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.93842,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,2.247938,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.938662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 50 MG CAPSULE [94864],0637,RC,0071-1013-41,NDC,,,outpatient,1,EA,46.04,,23.02,27.624,44.6588,43.2776,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,38.2132,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,43.55384,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,44.6588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,40.5152,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,36.87804,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,42.766556,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.882644,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 50 MG CAPSULE [94864],0637,RC,60687-484-01,NDC,,,outpatient,1,EA,2.26,,1.13,1.356,2.1922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.81026,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.099314,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.810486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 50 MG CAPSULE [94864],0637,RC,60687-484-11,NDC,,,outpatient,1,EA,2.26,,1.13,1.356,2.1922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.81026,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.099314,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.810486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,0071-1014-41,NDC,,,outpatient,1,EA,46.04,,23.02,27.624,44.6588,43.2776,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,38.2132,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,43.55384,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,44.6588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,40.5152,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,36.87804,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,42.766556,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.882644,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,60687-495-01,NDC,,,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,60687-495-11,NDC,,,outpatient,1,EA,1.93,,0.965,1.158,1.8721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.54593,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.792777,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.546123,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,0904-7000-61,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,0536408501,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,0904531346,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,0904531360,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,9991-0005-21,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,8770140799,NDC,,,outpatient,1,EA,16.65,,8.325,9.99,16.1505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,13.33665,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,15.466185,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.338315,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,0527-1301-01,NDC,,,outpatient,1,EA,0.72,,0.36,0.432,0.6984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.668808,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.576792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,68084-202-01,NDC,,,outpatient,1,EA,3.27,,1.635,1.962,3.1719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.61927,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.037503,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.619597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,68084-202-11,NDC,,,outpatient,1,EA,3.27,,1.635,1.962,3.1719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.61927,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.037503,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.619597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,50268-686-15,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,50268-686-11,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,14789-900-02,NDC,J2690,HCPCS,outpatient,1,GR,2171.38,,1085.69,1302.828,2106.2386,2041.0972,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1802.2454,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,2054.12548,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2106.2386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1910.8144,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1739.27538,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,2016.994882,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1739.492518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,0409-1903-01,NDC,J2690,HCPCS,outpatient,2,ML,202.61,,101.305,121.566,196.5317,190.4534,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,168.1663,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,191.66906,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,196.5317,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,178.2968,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,162.29061,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,188.204429,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.310871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,14789-900-02,NDC,J2690,HCPCS,outpatient,2,ML,2171.38,,1085.69,1302.828,2106.2386,2041.0972,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1802.2454,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,2054.12548,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2106.2386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1910.8144,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1739.27538,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,2016.994882,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1739.492518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,14789-900-07,NDC,J2690,HCPCS,outpatient,2,ML,2171.38,,1085.69,1302.828,2106.2386,2041.0972,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1802.2454,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,2054.12548,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2106.2386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1910.8144,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1739.27538,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,2016.994882,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1739.492518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,0409-1903-41,NDC,J2690,HCPCS,outpatient,2,ML,202.61,,101.305,121.566,196.5317,190.4534,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,168.1663,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,191.66906,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,196.5317,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,178.2968,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,162.29061,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,188.204429,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,162.310871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,14789-900-02,NDC,J2690,HCPCS,outpatient,676,ME,1467.86,,733.93,880.716,1423.8242,1379.7884,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1218.3238,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1388.59556,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1423.8242,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1291.7168,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,1175.75586,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,1363.495154,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1175.902646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,14789-900-02,NDC,J2690,HCPCS,outpatient,676,ME,1467.86,,733.93,880.716,1423.8242,1379.7884,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1218.3238,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1388.59556,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1423.8242,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1291.7168,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,1175.75586,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,1363.495154,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1175.902646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],0637,RC,0713-0135-12,NDC,,,outpatient,1,EA,35.84,,17.92,21.504,34.7648,33.6896,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,29.7472,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,33.90464,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.7648,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,31.5392,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,28.70784,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,33.291776,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.711424,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],0637,RC,0713-0135-06,NDC,,,outpatient,1,EA,35.84,,17.92,21.504,34.7648,33.6896,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,29.7472,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,33.90464,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.7648,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,31.5392,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,28.70784,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,33.291776,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.711424,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,55390-077-10,NDC,J0780,HCPCS,outpatient,2,ML,7.61,,3.805,4.566,7.3817,7.1534,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.3163,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.19906,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.3817,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.6968,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,6.09561,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,7.068929,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.096371,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,23155-294-31,NDC,J0780,HCPCS,outpatient,2,ML,10.53,,5.265,6.318,10.2141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,8.43453,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,9.781317,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.435583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,23155-294-42,NDC,J0780,HCPCS,outpatient,2,ML,10.53,,5.265,6.318,10.2141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,8.43453,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,9.781317,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.435583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,23155-523-31,NDC,J0780,HCPCS,outpatient,2,ML,10.53,,5.265,6.318,10.2141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,8.43453,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,9.781317,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.435583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,23155-523-41,NDC,J0780,HCPCS,outpatient,2,ML,10.53,,5.265,6.318,10.2141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,8.43453,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,9.781317,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.435583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,70860-778-02,NDC,J0780,HCPCS,outpatient,2,ML,9.83,,4.915,5.898,9.5351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,7.87383,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.131087,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.874813,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,70860-778-41,NDC,J0780,HCPCS,outpatient,2,ML,9.83,,4.915,5.898,9.5351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,7.87383,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.131087,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.874813,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,14789-700-02,NDC,J0780,HCPCS,outpatient,2,ML,13.04,,6.52,7.824,12.6488,12.2576,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.8232,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,12.33584,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.6488,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,11.4752,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,10.44504,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,12.112856,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.446344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,14789-700-07,NDC,J0780,HCPCS,outpatient,2,ML,13.04,,6.52,7.824,12.6488,12.2576,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.8232,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,12.33584,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.6488,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,11.4752,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,10.44504,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,12.112856,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.446344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,67457-640-00,NDC,J0780,HCPCS,outpatient,2,ML,17.68,,8.84,10.608,17.1496,16.6192,,,,percent of total billed charges,,14.144,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,14.6744,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,16.2656,,,,percent of total billed charges,,16.2656,,,,percent of total billed charges,,16.72528,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,17.1496,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,15.5584,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,14.16168,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,10.608,,,,percent of total billed charges,,16.422952,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,14.144,,,,percent of total billed charges,,10.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.163448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,67457-640-99,NDC,J0780,HCPCS,outpatient,2,ML,17.69,,8.845,10.614,17.1593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,14.16969,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,16.432241,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.171459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,25021-790-02,NDC,J0780,HCPCS,outpatient,2,ML,9.93,,4.965,5.958,9.6321,9.3342,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.2419,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.39378,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.6321,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.7384,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,7.95393,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,9.223977,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.954923,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,0713-0351-02,NDC,J0780,HCPCS,outpatient,2,ML,13.71,,6.855,8.226,13.2987,12.8874,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,11.3793,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.96966,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.2987,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,12.0648,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,10.98171,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,12.735219,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.983081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,0713-0351-09,NDC,J0780,HCPCS,outpatient,2,ML,13.71,,6.855,8.226,13.2987,12.8874,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,11.3793,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.96966,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.2987,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,12.0648,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,10.98171,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,12.735219,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.983081,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 5 MG/ML INJECTION SOLUTION [6580],0636,RC,55390-077-01,NDC,J0780,HCPCS,outpatient,10,ML,38.03,,19.015,22.818,36.8891,35.7482,,,,percent of total billed charges,,30.424,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,31.5649,,,,percent of total billed charges,,34.227,,,,percent of total billed charges,,34.9876,,,,percent of total billed charges,,34.9876,,,,percent of total billed charges,,35.97638,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,36.8891,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,33.4664,,,,percent of total billed charges,,34.227,,,,percent of total billed charges,,30.46203,,,,percent of total billed charges,,34.227,,,,percent of total billed charges,,22.818,,,,percent of total billed charges,,35.326067,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,30.424,,,,percent of total billed charges,,22.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.465833,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,51079-542-01,NDC,Q0164,HCPCS,outpatient,1,EA,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,51079-542-20,NDC,Q0164,HCPCS,outpatient,1,EA,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,59746-115-06,NDC,Q0164,HCPCS,outpatient,1,EA,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,50268-685-11,NDC,Q0164,HCPCS,outpatient,1,EA,5.66,,2.83,3.396,5.4902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,4.53366,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.257574,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.534226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,50268-685-15,NDC,Q0164,HCPCS,outpatient,1,EA,5.66,,2.83,3.396,5.4902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,4.53366,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.257574,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.534226,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,0713-0536-12,NDC,,,outpatient,1,EA,43.87,,21.935,26.322,42.5539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,35.13987,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,40.750843,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.144257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,45802-758-30,NDC,,,outpatient,1,EA,33.17,,16.585,19.902,32.1749,31.1798,,,,percent of total billed charges,,26.536,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,27.5311,,,,percent of total billed charges,,29.853,,,,percent of total billed charges,,30.5164,,,,percent of total billed charges,,30.5164,,,,percent of total billed charges,,31.37882,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,32.1749,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,29.1896,,,,percent of total billed charges,,29.853,,,,percent of total billed charges,,26.56917,,,,percent of total billed charges,,29.853,,,,percent of total billed charges,,19.902,,,,percent of total billed charges,,30.811613,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,26.536,,,,percent of total billed charges,,19.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.572487,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,0713-0536-06,NDC,,,outpatient,1,EA,43.87,,21.935,26.322,42.5539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,35.13987,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,40.750843,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.144257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,0713-0536-06,NDC,,,outpatient,1,EA,43.87,,21.935,26.322,42.5539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,35.13987,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,40.750843,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.144257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG TABLET [6621],0636,RC,60687-660-01,NDC,Q0169,HCPCS,outpatient,1,EA,2.36,,1.18,1.416,2.2892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.89036,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.192204,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.890596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG TABLET [6621],0636,RC,60687-660-11,NDC,Q0169,HCPCS,outpatient,1,EA,2.36,,1.18,1.416,2.2892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.89036,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.192204,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.890596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,0574-7234-12,NDC,,,outpatient,1,EA,2.58,,1.29,1.548,2.5026,2.4252,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.1414,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.44068,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.5026,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.2704,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,2.06658,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,2.396562,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.066838,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,0713-0526-12,NDC,,,outpatient,1,EA,43.87,,21.935,26.322,42.5539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,35.13987,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,40.750843,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.144257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,45802-759-30,NDC,,,outpatient,1,EA,25.31,,12.655,15.186,24.5507,23.7914,,,,percent of total billed charges,,20.248,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,21.0073,,,,percent of total billed charges,,22.779,,,,percent of total billed charges,,23.2852,,,,percent of total billed charges,,23.2852,,,,percent of total billed charges,,23.94326,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,24.5507,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,22.2728,,,,percent of total billed charges,,22.779,,,,percent of total billed charges,,20.27331,,,,percent of total billed charges,,22.779,,,,percent of total billed charges,,15.186,,,,percent of total billed charges,,23.510459,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,20.248,,,,percent of total billed charges,,15.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.275841,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,51672-5297-1,NDC,,,outpatient,1,EA,14.41,,7.205,8.646,13.9777,13.5454,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.9603,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.63186,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.9777,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,12.6808,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,11.54241,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,13.385449,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.543851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,0713-0526-06,NDC,,,outpatient,1,EA,43.87,,21.935,26.322,42.5539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,35.13987,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,40.750843,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.144257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,51672-5297-4,NDC,,,outpatient,1,EA,14.41,,7.205,8.646,13.9777,13.5454,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.9603,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.63186,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.9777,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,12.6808,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,11.54241,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,13.385449,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.543851,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,68084-155-01,NDC,Q0169,HCPCS,outpatient,1,EA,0.7,,0.35,0.42,0.679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.5607,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.65023,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.56077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,68084-155-11,NDC,Q0169,HCPCS,outpatient,1,EA,0.7,,0.35,0.42,0.679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.5607,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.65023,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.56077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,63739-213-10,NDC,Q0169,HCPCS,outpatient,1,EA,0.71,,0.355,0.426,0.6887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.56871,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.659519,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.568781,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,0904-6461-61,NDC,Q0169,HCPCS,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,0904-7304-61,NDC,Q0169,HCPCS,outpatient,1,EA,0.63,,0.315,0.378,0.6111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.50463,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.585207,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.504693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,60432-608-16,NDC,Q0169,HCPCS,outpatient,473,ML,97.92,,48.96,58.752,94.9824,92.0448,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,81.2736,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,92.63232,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,94.9824,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,86.1696,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,78.43392,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,90.957888,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.443712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,9999-6620-05,NDC,Q0169,HCPCS,outpatient,5,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,70408-146-34,NDC,Q0169,HCPCS,outpatient,473,ML,153.26,,76.63,91.956,148.6622,144.0644,,,,percent of total billed charges,,122.608,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,127.2058,,,,percent of total billed charges,,137.934,,,,percent of total billed charges,,140.9992,,,,percent of total billed charges,,140.9992,,,,percent of total billed charges,,144.98396,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,148.6622,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,134.8688,,,,percent of total billed charges,,137.934,,,,percent of total billed charges,,122.76126,,,,percent of total billed charges,,137.934,,,,percent of total billed charges,,91.956,,,,percent of total billed charges,,142.363214,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,122.608,,,,percent of total billed charges,,91.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,122.776586,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,0121-0927-16,NDC,Q0169,HCPCS,outpatient,473,ML,87.27,,43.635,52.362,84.6519,82.0338,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,72.4341,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,82.55742,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,84.6519,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,76.7976,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,69.90327,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,81.065103,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.911997,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,27808-051-02,NDC,Q0169,HCPCS,outpatient,473,ML,121.33,,60.665,72.798,117.6901,114.0502,,,,percent of total billed charges,,97.064,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,100.7039,,,,percent of total billed charges,,109.197,,,,percent of total billed charges,,111.6236,,,,percent of total billed charges,,111.6236,,,,percent of total billed charges,,114.77818,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,117.6901,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,106.7704,,,,percent of total billed charges,,109.197,,,,percent of total billed charges,,97.18533,,,,percent of total billed charges,,109.197,,,,percent of total billed charges,,72.798,,,,percent of total billed charges,,112.703437,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,97.064,,,,percent of total billed charges,,72.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.197463,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,60432-604-16,NDC,,,outpatient,473,ML,97.92,,48.96,58.752,94.9824,92.0448,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,81.2736,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,92.63232,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,94.9824,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,86.1696,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,78.43392,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,90.957888,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,78.443712,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,0603-1586-54,NDC,,,outpatient,118,ML,6.91,,3.455,4.146,6.7027,6.4954,,,,percent of total billed charges,,5.528,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,5.7353,,,,percent of total billed charges,,6.219,,,,percent of total billed charges,,6.3572,,,,percent of total billed charges,,6.3572,,,,percent of total billed charges,,6.53686,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,6.7027,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,6.0808,,,,percent of total billed charges,,6.219,,,,percent of total billed charges,,5.53491,,,,percent of total billed charges,,6.219,,,,percent of total billed charges,,4.146,,,,percent of total billed charges,,6.418699,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,5.528,,,,percent of total billed charges,,4.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.535601,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,9991-1145-05,NDC,,,outpatient,5,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,70436-155-42,NDC,,,outpatient,473,ML,138.36,,69.18,83.016,134.2092,130.0584,,,,percent of total billed charges,,110.688,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,114.8388,,,,percent of total billed charges,,124.524,,,,percent of total billed charges,,127.2912,,,,percent of total billed charges,,127.2912,,,,percent of total billed charges,,130.88856,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,134.2092,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,121.7568,,,,percent of total billed charges,,124.524,,,,percent of total billed charges,,110.82636,,,,percent of total billed charges,,124.524,,,,percent of total billed charges,,83.016,,,,percent of total billed charges,,128.522604,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,110.688,,,,percent of total billed charges,,83.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,110.840196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPARACAINE 0.5 % EYE DROPS [6644],0637,RC,24208-730-06,NDC,,,outpatient,15,ML,150.19,,75.095,90.114,145.6843,141.1786,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,124.6577,,,,percent of total billed charges,,135.171,,,,percent of total billed charges,,138.1748,,,,percent of total billed charges,,138.1748,,,,percent of total billed charges,,142.07974,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,145.6843,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,132.1672,,,,percent of total billed charges,,135.171,,,,percent of total billed charges,,120.30219,,,,percent of total billed charges,,135.171,,,,percent of total billed charges,,90.114,,,,percent of total billed charges,,139.511491,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,90.114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.317209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPARACAINE 0.5 % EYE DROPS [6644],0637,RC,61314-016-01,NDC,,,outpatient,15,ML,111.85,,55.925,67.11,108.4945,105.139,,,,percent of total billed charges,,89.48,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,92.8355,,,,percent of total billed charges,,100.665,,,,percent of total billed charges,,102.902,,,,percent of total billed charges,,102.902,,,,percent of total billed charges,,105.8101,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,108.4945,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,98.428,,,,percent of total billed charges,,100.665,,,,percent of total billed charges,,89.59185,,,,percent of total billed charges,,100.665,,,,percent of total billed charges,,67.11,,,,percent of total billed charges,,103.897465,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,89.48,,,,percent of total billed charges,,67.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.603035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0409-4699-30,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0409-4699-33,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,63323-269-65,NDC,J2704,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,63323-269-94,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,63323-269-59,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,63323-269-69,NDC,J2704,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,25021-608-20,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0409-4699-53,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0409-4699-50,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,43598-265-20,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,43598-265-25,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0641-6194-01,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0641-6194-10,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0641-6195-01,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0641-6195-20,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0069-0209-01,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0069-0209-10,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0069-0234-01,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0069-0234-20,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0069-0248-01,NDC,J2704,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0069-0248-10,NDC,J2704,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,23155-345-31,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,23155-345-32,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,23155-345-42,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,23155-345-44,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0409-6010-02,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,0409-6010-25,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,16714-690-01,NDC,J2704,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,16714-690-10,NDC,J2704,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,16714-977-01,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,16714-977-20,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV - CHI [7000200],0636,RC,63323-269-94,NDC,J2704,HCPCS,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV - CHI [7000200],0636,RC,63323-269-59,NDC,J2704,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV - CHI [7000200],0636,RC,63323-269-69,NDC,J2704,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV BOLUS [1000254],0636,RC,63323-269-94,NDC,J2704,HCPCS,outpatient,20,ML,9.27,,4.635,5.562,8.9919,8.7138,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.6941,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.76942,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.9919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.1576,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,7.42527,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,8.610903,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.426197,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV BOLUS [1000254],0636,RC,63323-269-59,NDC,J2704,HCPCS,outpatient,50,ML,23.18,,11.59,13.908,22.4846,21.7892,,,,percent of total billed charges,,18.544,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,19.2394,,,,percent of total billed charges,,20.862,,,,percent of total billed charges,,21.3256,,,,percent of total billed charges,,21.3256,,,,percent of total billed charges,,21.92828,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,22.4846,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,20.3984,,,,percent of total billed charges,,20.862,,,,percent of total billed charges,,18.56718,,,,percent of total billed charges,,20.862,,,,percent of total billed charges,,13.908,,,,percent of total billed charges,,21.531902,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,18.544,,,,percent of total billed charges,,13.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.569498,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV BOLUS [1000254],0636,RC,63323-269-69,NDC,J2704,HCPCS,outpatient,100,ML,46.35,,23.175,27.81,44.9595,43.569,,,,percent of total billed charges,,37.08,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,38.4705,,,,percent of total billed charges,,41.715,,,,percent of total billed charges,,42.642,,,,percent of total billed charges,,42.642,,,,percent of total billed charges,,43.8471,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,44.9595,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,40.788,,,,percent of total billed charges,,41.715,,,,percent of total billed charges,,37.12635,,,,percent of total billed charges,,41.715,,,,percent of total billed charges,,27.81,,,,percent of total billed charges,,43.054515,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,37.08,,,,percent of total billed charges,,27.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.130985,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,63323-604-01,NDC,J1800,HCPCS,outpatient,1,ML,7.08,,3.54,4.248,6.8676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,5.67108,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,6.576612,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.671788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,0781-3777-95,NDC,J1800,HCPCS,outpatient,1,ML,7.39,,3.695,4.434,7.1683,6.9466,,,,percent of total billed charges,,5.912,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,6.1337,,,,percent of total billed charges,,6.651,,,,percent of total billed charges,,6.7988,,,,percent of total billed charges,,6.7988,,,,percent of total billed charges,,6.99094,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,7.1683,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,6.5032,,,,percent of total billed charges,,6.651,,,,percent of total billed charges,,5.91939,,,,percent of total billed charges,,6.651,,,,percent of total billed charges,,4.434,,,,percent of total billed charges,,6.864571,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,5.912,,,,percent of total billed charges,,4.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.920129,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,0143-9872-01,NDC,J1800,HCPCS,outpatient,1,ML,19.86,,9.93,11.916,19.2642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,15.90786,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,18.447954,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.909846,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,0143-9872-10,NDC,J1800,HCPCS,outpatient,1,ML,19.86,,9.93,11.916,19.2642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,15.90786,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,18.447954,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.909846,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,63323-604-00,NDC,J1800,HCPCS,outpatient,1,ML,7.08,,3.54,4.248,6.8676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,5.67108,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,6.576612,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.671788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 10 MG TABLET [6656],0637,RC,0904-6550-61,NDC,,,outpatient,1,EA,0.93,,0.465,0.558,0.9021,0.8742,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.7719,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.87978,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.9021,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8184,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.74493,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.863877,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.745023,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,0904-6705-06,NDC,,,outpatient,1,EA,1.79,,0.895,1.074,1.7363,1.6826,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.4857,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.69334,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.5752,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.43379,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,1.662731,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.433969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,60687-598-01,NDC,,,outpatient,1,EA,2.08,,1.04,1.248,2.0176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.66608,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.932112,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.666288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,60687-598-11,NDC,,,outpatient,1,EA,2.08,,1.04,1.248,2.0176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.66608,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.932112,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.666288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,69238-2078-1,NDC,,,outpatient,1,EA,0.9,,0.45,0.54,0.873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.7209,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.83601,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.72099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],0637,RC,0054-3727-63,NDC,,,outpatient,500,ML,211.5,,105.75,126.9,205.155,198.81,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,175.545,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,200.079,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,205.155,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,169.4115,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,196.46235,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.43265,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 40 MG TABLET [6658],0637,RC,60687-609-01,NDC,,,outpatient,1,EA,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 40 MG TABLET [6658],0637,RC,60687-609-11,NDC,,,outpatient,1,EA,2.49,,1.245,1.494,2.4153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.99449,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.312961,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.994739,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPYLTHIOURACIL 50 MG TABLET [6662],0637,RC,67253-651-10,NDC,,,outpatient,1,EA,2.9,,1.45,1.74,2.813,2.726,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.407,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.7434,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.813,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,2.3229,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,2.69381,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.32319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPYLTHIOURACIL 50 MG TABLET [6662],0637,RC,68084-964-25,NDC,,,outpatient,1,EA,11.19,,5.595,6.714,10.8543,10.5186,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.2877,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.58574,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.8543,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.8472,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,8.96319,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,10.394391,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.964309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPYLTHIOURACIL 50 MG TABLET [6662],0637,RC,68084-964-95,NDC,,,outpatient,1,EA,11.19,,5.595,6.714,10.8543,10.5186,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.2877,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.58574,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.8543,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.8472,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,8.96319,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,10.394391,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.964309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],0636,RC,63323-229-05,NDC,J2720,HCPCS,outpatient,5,ML,45.09,,22.545,27.054,43.7373,42.3846,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,37.4247,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,42.65514,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,43.7373,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,39.6792,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,36.11709,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,41.884101,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.121599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],0636,RC,63323-229-01,NDC,J2720,HCPCS,outpatient,5,ML,45.09,,22.545,27.054,43.7373,42.3846,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,37.4247,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,42.65514,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,43.7373,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,39.6792,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,36.11709,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,41.884101,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.121599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],0636,RC,63323-229-05,NDC,J2720,HCPCS,outpatient,25,ME,22.55,,11.275,13.53,21.8735,21.197,,,,percent of total billed charges,,18.04,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,18.7165,,,,percent of total billed charges,,20.295,,,,percent of total billed charges,,20.746,,,,percent of total billed charges,,20.746,,,,percent of total billed charges,,21.3323,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,21.8735,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,19.844,,,,percent of total billed charges,,20.295,,,,percent of total billed charges,,18.06255,,,,percent of total billed charges,,20.295,,,,percent of total billed charges,,13.53,,,,percent of total billed charges,,20.946695,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,18.04,,,,percent of total billed charges,,13.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.064805,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSEUDOEPHEDRINE 30 MG TABLET [6714],0637,RC,0904-5053-59,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSEUDOEPHEDRINE 30 MG TABLET [6714],0637,RC,0904-6990-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM HUSK 6 GRAM ORAL POWDER PACKET [217954],0637,RC,1085800186,NDC,,,outpatient,1,EA,1.76,,0.88,1.056,1.7072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.40976,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.634864,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.409936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM HUSK 6 GRAM ORAL POWDER PACKET [217954],0637,RC,0224-1901-00,NDC,,,outpatient,1,EA,1.76,,0.88,1.056,1.7072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.40976,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.634864,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.409936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,37000-023-04,NDC,,,outpatient,1,EA,2.07,,1.035,1.242,2.0079,1.9458,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.7181,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.95822,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,2.0079,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.65807,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.922823,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.658277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,37000-024-04,NDC,,,outpatient,1,EA,1.73,,0.865,1.038,1.6781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.38573,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.606997,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.385903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,3700074087,NDC,,,outpatient,1,EA,1.13,,0.565,0.678,1.0961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.90513,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.049657,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.905243,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,3700025445,NDC,,,outpatient,1,EA,1.46,,0.73,0.876,1.4162,1.3724,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2118,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.38116,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.4162,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2848,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,1.16946,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,1.356194,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.169606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,0224-1852-81,NDC,,,outpatient,1,EA,1.61,,0.805,0.966,1.5617,1.5134,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.3363,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.52306,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5617,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.28961,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,1.495529,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.289771,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,37000-024-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRAZINAMIDE 500 MG TABLET [6738],0637,RC,61748-012-06,NDC,,,outpatient,1,EA,18.33,,9.165,10.998,17.7801,17.2302,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,15.2139,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,17.34018,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.7801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,16.1304,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,14.68233,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,17.026737,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.684163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRAZINAMIDE 500 MG TABLET [6738],0637,RC,61748-012-11,NDC,,,outpatient,1,EA,16.64,,8.32,9.984,16.1408,15.6416,,,,percent of total billed charges,,13.312,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,13.8112,,,,percent of total billed charges,,14.976,,,,percent of total billed charges,,15.3088,,,,percent of total billed charges,,15.3088,,,,percent of total billed charges,,15.74144,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,16.1408,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,14.6432,,,,percent of total billed charges,,14.976,,,,percent of total billed charges,,13.32864,,,,percent of total billed charges,,14.976,,,,percent of total billed charges,,9.984,,,,percent of total billed charges,,15.456896,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,13.312,,,,percent of total billed charges,,9.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.330304,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRAZINAMIDE 500 MG TABLET [6738],0637,RC,10135-735-60,NDC,,,outpatient,1,EA,15.17,,7.585,9.102,14.7149,14.2598,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.5911,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,14.35082,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.7149,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,13.3496,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,12.15117,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,14.091413,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.152687,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,0115-3511-01,NDC,,,outpatient,1,EA,2.72,,1.36,1.632,2.6384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.17872,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.526608,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.178992,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,68382-659-06,NDC,,,outpatient,1,EA,1.38,,0.69,0.828,1.3386,1.2972,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.1454,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.30548,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.3386,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.10538,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,1.281882,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.105518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,0904-6622-61,NDC,,,outpatient,1,EA,4.52,,2.26,2.712,4.3844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,3.62052,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.198628,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.620972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,60687-502-01,NDC,,,outpatient,1,EA,3.63,,1.815,2.178,3.5211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.90763,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.371907,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.907993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,60687-502-11,NDC,,,outpatient,1,EA,3.63,,1.815,2.178,3.5211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.90763,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.371907,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.907993,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,5026885811,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,5026885815,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,7733394010,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,7733394025,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 100 MG TABLET [79193],0637,RC,0904-6640-61,NDC,,,outpatient,1,EA,1.91,,0.955,1.146,1.8527,1.7954,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.5853,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.80686,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.6808,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.52991,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,1.774199,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.530101,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 100 MG TABLET [79193],0637,RC,60687-349-01,NDC,,,outpatient,1,EA,0.73,,0.365,0.438,0.7081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.58473,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.678097,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.584803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 100 MG TABLET [79193],0637,RC,60687-349-11,NDC,,,outpatient,1,EA,0.73,,0.365,0.438,0.7081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.58473,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.678097,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.584803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 200 MG TABLET [78430],0637,RC,60687-360-01,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 200 MG TABLET [78430],0637,RC,60687-360-11,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,47335-902-88,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,0904-6638-61,NDC,,,outpatient,1,EA,0.76,,0.38,0.456,0.7372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.60876,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.705964,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.608836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,60687-327-01,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,60687-327-11,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,0310-0282-60,NDC,,,outpatient,1,EA,63.1,,31.55,37.86,61.207,59.314,,,,percent of total billed charges,,50.48,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,52.373,,,,percent of total billed charges,,56.79,,,,percent of total billed charges,,58.052,,,,percent of total billed charges,,58.052,,,,percent of total billed charges,,59.6926,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,61.207,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,55.528,,,,percent of total billed charges,,56.79,,,,percent of total billed charges,,50.5431,,,,percent of total billed charges,,56.79,,,,percent of total billed charges,,37.86,,,,percent of total billed charges,,58.61359,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,50.48,,,,percent of total billed charges,,37.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.54941,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,16729-095-12,NDC,,,outpatient,1,EA,1.17,,0.585,0.702,1.1349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.93717,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.086813,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.937287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,50228-382-60,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,68001-513-06,NDC,,,outpatient,1,EA,1.06,,0.53,0.636,1.0282,0.9964,,,,percent of total billed charges,,0.848,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,0.8798,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,0.9752,,,,percent of total billed charges,,0.9752,,,,percent of total billed charges,,1.00276,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,1.0282,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,0.9328,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,0.84906,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,0.636,,,,percent of total billed charges,,0.984634,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,0.848,,,,percent of total billed charges,,0.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.849166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [136261]",0637,RC,16729-096-12,NDC,,,outpatient,1,EA,1.56,,0.78,0.936,1.5132,1.4664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.2948,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.47576,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.5132,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.3728,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.24956,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.449084,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.249716,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [136261]",0637,RC,50228-383-60,NDC,,,outpatient,1,EA,0.75,,0.375,0.45,0.7275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.60075,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.696675,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.600825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [136261]",0637,RC,68001-514-06,NDC,,,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [192263]",0637,RC,0310-0280-60,NDC,,,outpatient,1,EA,33.8,,16.9,20.28,32.786,31.772,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,28.054,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.9748,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,29.744,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,27.0738,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,31.39682,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27.07718,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [192263]",0637,RC,16729-132-12,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [192263]",0637,RC,0904-6801-61,NDC,,,outpatient,1,EA,2.17,,1.085,1.302,2.1049,2.0398,,,,percent of total billed charges,,1.736,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,1.8011,,,,percent of total billed charges,,1.953,,,,percent of total billed charges,,1.9964,,,,percent of total billed charges,,1.9964,,,,percent of total billed charges,,2.05282,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,2.1049,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,1.9096,,,,percent of total billed charges,,1.953,,,,percent of total billed charges,,1.73817,,,,percent of total billed charges,,1.953,,,,percent of total billed charges,,1.302,,,,percent of total billed charges,,2.015713,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,1.736,,,,percent of total billed charges,,1.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.738387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,13533-318-01,NDC,90375,CPT,outpatient,1,ML,3062.25,,1531.125,1837.35,2970.3825,2878.515,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2541.6675,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2896.8885,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2970.3825,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2694.78,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,2452.86225,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,2844.524025,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2453.168475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,13533-318-05,NDC,90375,CPT,outpatient,5,ML,15311.12,,7655.56,9186.672,14851.7864,14392.4528,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12708.2296,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14484.31952,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14851.7864,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,13473.7856,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,12264.20712,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,14222.49937,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12265.73823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,13533-318-10,NDC,90375,CPT,outpatient,1,ML,3062.25,,1531.125,1837.35,2970.3825,2878.515,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2541.6675,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2896.8885,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2970.3825,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2694.78,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,2452.86225,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,2844.524025,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2453.168475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,13533-318-50,NDC,90375,CPT,outpatient,5,ML,15311.12,,7655.56,9186.672,14851.7864,14392.4528,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12708.2296,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14484.31952,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14851.7864,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,13473.7856,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,12264.20712,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,14222.49937,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12265.73823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [85731]",0636,RC,50632-010-01,NDC,90675,CPT,outpatient,1,EA,652.92,,326.46,391.752,633.3324,613.7448,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,541.9236,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,617.66232,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,633.3324,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,574.5696,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,522.98892,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,606.497388,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,523.054212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [85731]",0636,RC,50632-013-01,NDC,90675,CPT,outpatient,1,EA,652.92,,326.46,391.752,633.3324,613.7448,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,541.9236,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,617.66232,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,633.3324,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,574.5696,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,522.98892,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,606.497388,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,523.054212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION [164723]",0636,RC,49281-250-51,NDC,90675,CPT,outpatient,1,EA,651.36,,325.68,390.816,631.8192,612.2784,,,,percent of total billed charges,,521.088,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,540.6288,,,,percent of total billed charges,,586.224,,,,percent of total billed charges,,599.2512,,,,percent of total billed charges,,599.2512,,,,percent of total billed charges,,616.18656,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,631.8192,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,573.1968,,,,percent of total billed charges,,586.224,,,,percent of total billed charges,,521.73936,,,,percent of total billed charges,,586.224,,,,percent of total billed charges,,390.816,,,,percent of total billed charges,,605.048304,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,521.088,,,,percent of total billed charges,,390.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,521.804496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [93100],0637,RC,0487-5901-99,NDC,,,outpatient,1,EA,6.34,,3.17,3.804,6.1498,5.9596,,,,percent of total billed charges,,5.072,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,5.2622,,,,percent of total billed charges,,5.706,,,,percent of total billed charges,,5.8328,,,,percent of total billed charges,,5.8328,,,,percent of total billed charges,,5.99764,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,6.1498,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,5.5792,,,,percent of total billed charges,,5.706,,,,percent of total billed charges,,5.07834,,,,percent of total billed charges,,5.706,,,,percent of total billed charges,,3.804,,,,percent of total billed charges,,5.889226,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,5.072,,,,percent of total billed charges,,3.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.078974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [93100],0637,RC,0487-2784-01,NDC,,,outpatient,1,EA,3.74,,1.87,2.244,3.6278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.99574,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.474086,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.996114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE [189187],0250,RC,1085808110,NDC,,,outpatient,1,EA,413.6,,206.8,248.16,401.192,388.784,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,343.288,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,391.2656,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,401.192,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,363.968,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,331.2936,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,384.19304,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,331.33496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE [189187],0250,RC,1085808107,NDC,,,outpatient,1,EA,413.6,,206.8,248.16,401.192,388.784,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,343.288,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,391.2656,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,401.192,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,363.968,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,331.2936,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,384.19304,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,331.33496,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,0093-7290-01,NDC,,,outpatient,1,EA,17.46,,8.73,10.476,16.9362,16.4124,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,14.4918,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,16.51716,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.9362,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,15.3648,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,13.98546,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,16.218594,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.987206,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,0093-7290-56,NDC,,,outpatient,1,EA,17.41,,8.705,10.446,16.8877,16.3654,,,,percent of total billed charges,,13.928,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,14.4503,,,,percent of total billed charges,,15.669,,,,percent of total billed charges,,16.0172,,,,percent of total billed charges,,16.0172,,,,percent of total billed charges,,16.46986,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,16.8877,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,15.3208,,,,percent of total billed charges,,15.669,,,,percent of total billed charges,,13.94541,,,,percent of total billed charges,,15.669,,,,percent of total billed charges,,10.446,,,,percent of total billed charges,,16.172149,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,13.928,,,,percent of total billed charges,,10.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.947151,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,65862-709-30,NDC,,,outpatient,1,EA,5.2,,2.6,3.12,5.044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.1652,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,4.83028,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.16572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,72241-010-22,NDC,,,outpatient,1,EA,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALTEGRAVIR + EMTRICITABINE-TENOFOVIR KIT [1000846],0637,RC,9991-0008-46,NDC,,,outpatient,1,EA,1517.94,,758.97,910.764,1472.4018,1426.8636,,,,percent of total billed charges,,1214.352,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1259.8902,,,,percent of total billed charges,,1366.146,,,,percent of total billed charges,,1396.5048,,,,percent of total billed charges,,1396.5048,,,,percent of total billed charges,,1435.97124,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1472.4018,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1335.7872,,,,percent of total billed charges,,1366.146,,,,percent of total billed charges,,1215.86994,,,,percent of total billed charges,,1366.146,,,,percent of total billed charges,,910.764,,,,percent of total billed charges,,1410.014466,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1214.352,,,,percent of total billed charges,,910.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1216.021734,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALTEGRAVIR 400 MG TABLET [163376],0637,RC,0006-0227-61,NDC,,,outpatient,1,EA,144.52,,72.26,86.712,140.1844,135.8488,,,,percent of total billed charges,,115.616,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,119.9516,,,,percent of total billed charges,,130.068,,,,percent of total billed charges,,132.9584,,,,percent of total billed charges,,132.9584,,,,percent of total billed charges,,136.71592,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,140.1844,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,127.1776,,,,percent of total billed charges,,130.068,,,,percent of total billed charges,,115.76052,,,,percent of total billed charges,,130.068,,,,percent of total billed charges,,86.712,,,,percent of total billed charges,,134.244628,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,115.616,,,,percent of total billed charges,,86.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.774972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [220983],0636,RC,0002-7669-01,NDC,J9308,HCPCS,outpatient,10,ML,6427.04,,3213.52,3856.224,6234.2288,6041.4176,,,,percent of total billed charges,,5141.632,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,5334.4432,,,,percent of total billed charges,,5784.336,,,,percent of total billed charges,,5912.8768,,,,percent of total billed charges,,5912.8768,,,,percent of total billed charges,,6079.97984,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,6234.2288,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,5655.7952,,,,percent of total billed charges,,5784.336,,,,percent of total billed charges,,5148.05904,,,,percent of total billed charges,,5784.336,,,,percent of total billed charges,,3856.224,,,,percent of total billed charges,,5970.077456,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,5141.632,,,,percent of total billed charges,,3856.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5148.701744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [220983],0636,RC,0002-7678-01,NDC,J9308,HCPCS,outpatient,50,ML,28564.6,,14282.3,17138.76,27707.662,26850.724,,,,percent of total billed charges,,22851.68,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,23708.618,,,,percent of total billed charges,,25708.14,,,,percent of total billed charges,,26279.432,,,,percent of total billed charges,,26279.432,,,,percent of total billed charges,,27022.1116,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,27707.662,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,25136.848,,,,percent of total billed charges,,25708.14,,,,percent of total billed charges,,22880.2446,,,,percent of total billed charges,,25708.14,,,,percent of total billed charges,,17138.76,,,,percent of total billed charges,,26533.65694,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,22851.68,,,,percent of total billed charges,,17138.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22883.10106,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,27241-125-02,NDC,,,outpatient,1,EA,2.07,,1.035,1.242,2.0079,1.9458,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.7181,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.95822,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,2.0079,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.65807,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.922823,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.658277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,60687-549-11,NDC,,,outpatient,1,EA,6.25,,3.125,3.75,6.0625,5.875,,,,percent of total billed charges,,5,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.1875,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.9125,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,6.0625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.5,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,5.00625,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,5.805625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.006875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,60687-549-21,NDC,,,outpatient,1,EA,6.25,,3.125,3.75,6.0625,5.875,,,,percent of total billed charges,,5,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.1875,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.9125,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,6.0625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.5,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,5.00625,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,5.805625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.006875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,50268-722-11,NDC,,,outpatient,1,EA,7.09,,3.545,4.254,6.8773,6.6646,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.8847,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.70714,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.8773,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.2392,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,5.67909,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,6.585901,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.679799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,50268-722-15,NDC,,,outpatient,1,EA,7.09,,3.545,4.254,6.8773,6.6646,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.8847,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.70714,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.8773,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.2392,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,5.67909,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,6.585901,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.679799,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [86672],0636,RC,0024-5150-10,NDC,J2783,HCPCS,outpatient,1,EA,4835.33,,2417.665,2901.198,4690.2701,4545.2102,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4013.3239,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4574.22218,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4690.2701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4255.0904,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,3873.09933,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,4491.538037,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3873.582863,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [86672],0636,RC,0024-5150-11,NDC,J2783,HCPCS,outpatient,1,EA,4835.33,,2417.665,2901.198,4690.2701,4545.2102,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4013.3239,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4574.22218,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4690.2701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4255.0904,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,3873.09933,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,4491.538037,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3873.582863,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [86672],0636,RC,0024-5154-11,NDC,J2783,HCPCS,outpatient,1,EA,4835.33,,2417.665,2901.198,4690.2701,4545.2102,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4013.3239,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4574.22218,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4690.2701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4255.0904,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,3873.09933,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,4491.538037,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3873.582863,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,25682-025-01,NDC,J1303,HCPCS,outpatient,3,ML,25616.01,,12808.005,15369.606,24847.5297,24079.0494,,,,percent of total billed charges,,20492.808,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,21261.2883,,,,percent of total billed charges,,23054.409,,,,percent of total billed charges,,23566.7292,,,,percent of total billed charges,,23566.7292,,,,percent of total billed charges,,24232.74546,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,24847.5297,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,22542.0888,,,,percent of total billed charges,,23054.409,,,,percent of total billed charges,,20518.42401,,,,percent of total billed charges,,23054.409,,,,percent of total billed charges,,15369.606,,,,percent of total billed charges,,23794.71169,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,20492.808,,,,percent of total billed charges,,15369.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20520.98561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,25682-028-01,NDC,J1303,HCPCS,outpatient,11,ML,93925.31,,46962.655,56355.186,91107.5507,88289.7914,,,,percent of total billed charges,,75140.248,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,77958.0073,,,,percent of total billed charges,,84532.779,,,,percent of total billed charges,,86411.2852,,,,percent of total billed charges,,86411.2852,,,,percent of total billed charges,,88853.34326,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,91107.5507,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,82654.2728,,,,percent of total billed charges,,84532.779,,,,percent of total billed charges,,75234.17331,,,,percent of total billed charges,,84532.779,,,,percent of total billed charges,,56355.186,,,,percent of total billed charges,,87247.22046,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,75140.248,,,,percent of total billed charges,,56355.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75243.56584,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,0.5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,25682-025-01,NDC,J1303,HCPCS,outpatient,2400,ME,153696.03,,76848.015,92217.618,149085.1491,144474.2682,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,127567.7049,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,145396.4444,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,149085.1491,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,135252.5064,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,123110.52,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,142768.2423,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123125.8896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,0.5,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,25682-025-01,NDC,J1303,HCPCS,outpatient,2400,ME,153696.03,,76848.015,92217.618,149085.1491,144474.2682,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,127567.7049,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,145396.4444,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,149085.1491,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,135252.5064,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,123110.52,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,142768.2423,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,123125.8896,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,0469-6501-89,NDC,J2785,HCPCS,outpatient,5,ML,597.02,,298.51,358.212,579.1094,561.1988,,,,percent of total billed charges,,477.616,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,495.5266,,,,percent of total billed charges,,537.318,,,,percent of total billed charges,,549.2584,,,,percent of total billed charges,,549.2584,,,,percent of total billed charges,,564.78092,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,579.1094,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,525.3776,,,,percent of total billed charges,,537.318,,,,percent of total billed charges,,478.21302,,,,percent of total billed charges,,537.318,,,,percent of total billed charges,,358.212,,,,percent of total billed charges,,554.571878,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,477.616,,,,percent of total billed charges,,358.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,478.272722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,71288-201-85,NDC,J2785,HCPCS,outpatient,5,ML,31.86,,15.93,19.116,30.9042,29.9484,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,26.4438,,,,percent of total billed charges,,28.674,,,,percent of total billed charges,,29.3112,,,,percent of total billed charges,,29.3112,,,,percent of total billed charges,,30.13956,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,30.9042,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,28.0368,,,,percent of total billed charges,,28.674,,,,percent of total billed charges,,25.51986,,,,percent of total billed charges,,28.674,,,,percent of total billed charges,,19.116,,,,percent of total billed charges,,29.594754,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,19.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.523046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,43598-616-11,NDC,J2785,HCPCS,outpatient,5,ML,90.99,,45.495,54.594,88.2603,85.5306,,,,percent of total billed charges,,72.792,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,75.5217,,,,percent of total billed charges,,81.891,,,,percent of total billed charges,,83.7108,,,,percent of total billed charges,,83.7108,,,,percent of total billed charges,,86.07654,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,88.2603,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,80.0712,,,,percent of total billed charges,,81.891,,,,percent of total billed charges,,72.88299,,,,percent of total billed charges,,81.891,,,,percent of total billed charges,,54.594,,,,percent of total billed charges,,84.520611,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,72.792,,,,percent of total billed charges,,54.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.892089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,67457-994-05,NDC,J2785,HCPCS,outpatient,5,ML,42.17,,21.085,25.302,40.9049,39.6398,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,35.0011,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,39.89282,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.9049,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,37.1096,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,33.77817,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,39.171713,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.782387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [248291],0636,RC,61958-2901-2,NDC,J0248,HCPCS,outpatient,1,EA,2697.66,,1348.83,1618.596,2616.7302,2535.8004,,,,percent of total billed charges,,2158.128,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2239.0578,,,,percent of total billed charges,,2427.894,,,,percent of total billed charges,,2481.8472,,,,percent of total billed charges,,2481.8472,,,,percent of total billed charges,,2551.98636,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2616.7302,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2373.9408,,,,percent of total billed charges,,2427.894,,,,percent of total billed charges,,2160.82566,,,,percent of total billed charges,,2427.894,,,,percent of total billed charges,,1618.596,,,,percent of total billed charges,,2505.856374,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2158.128,,,,percent of total billed charges,,1618.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2161.095426,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,63323-723-01,NDC,,,outpatient,1,EA,165.44,,82.72,99.264,160.4768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,132.51744,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,153.677216,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.533984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,63323-723-03,NDC,,,outpatient,1,EA,165.44,,82.72,99.264,160.4768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,132.51744,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,153.677216,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.533984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,63323-723-04,NDC,,,outpatient,1,EA,165.44,,82.72,99.264,160.4768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,132.51744,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,153.677216,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.533984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,63323-723-06,NDC,,,outpatient,1,EA,165.44,,82.72,99.264,160.4768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,132.51744,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,153.677216,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.533984,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,0143-9391-01,NDC,,,outpatient,1,EA,165.03,,82.515,99.018,160.0791,155.1282,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,136.9749,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,156.11838,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,160.0791,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,145.2264,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,132.18903,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,153.296367,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.205533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,0143-9391-10,NDC,,,outpatient,1,EA,165.03,,82.515,99.018,160.0791,155.1282,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,136.9749,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,156.11838,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,160.0791,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,145.2264,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,132.18903,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,153.296367,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,132.205533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 50 MCG/ML INFUSION - FOR ANES [5000039],0250,RC,9995-1000-39,NDC,,,outpatient,20,ML,236.16,,118.08,141.696,229.0752,221.9904,,,,percent of total billed charges,,188.928,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,196.0128,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,217.2672,,,,percent of total billed charges,,217.2672,,,,percent of total billed charges,,223.40736,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,229.0752,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,207.8208,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,189.16416,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,141.696,,,,percent of total billed charges,,219.369024,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,188.928,,,,percent of total billed charges,,141.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,189.187776,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION [263320]",0636,RC,0069-0344-01,NDC,90678,CPT,outpatient,1,EA,493.46,,246.73,296.076,478.6562,463.8524,,,,percent of total billed charges,,394.768,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,409.5718,,,,percent of total billed charges,,444.114,,,,percent of total billed charges,,453.9832,,,,percent of total billed charges,,453.9832,,,,percent of total billed charges,,466.81316,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,478.6562,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,434.2448,,,,percent of total billed charges,,444.114,,,,percent of total billed charges,,395.26146,,,,percent of total billed charges,,444.114,,,,percent of total billed charges,,296.076,,,,percent of total billed charges,,458.374994,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,394.768,,,,percent of total billed charges,,296.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,395.310806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION [263320]",0636,RC,0069-0344-05,NDC,90678,CPT,outpatient,1,EA,493.47,,246.735,296.082,478.6659,463.8618,,,,percent of total billed charges,,394.776,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,409.5801,,,,percent of total billed charges,,444.123,,,,percent of total billed charges,,453.9924,,,,percent of total billed charges,,453.9924,,,,percent of total billed charges,,466.82262,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,478.6659,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,434.2536,,,,percent of total billed charges,,444.123,,,,percent of total billed charges,,395.26947,,,,percent of total billed charges,,444.123,,,,percent of total billed charges,,296.082,,,,percent of total billed charges,,458.384283,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,394.776,,,,percent of total billed charges,,296.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,395.318817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [242492],0636,RC,49502-806-32,NDC,J7677,HCPCS,outpatient,3,ML,28.41,,14.205,17.046,27.5577,26.7054,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,23.5803,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.87586,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,27.5577,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,25.0008,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,22.75641,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,26.390049,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.759251,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [242492],0636,RC,49502-806-93,NDC,J7677,HCPCS,outpatient,3,ML,28.41,,14.205,17.046,27.5577,26.7054,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,23.5803,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.87586,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,27.5577,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,25.0008,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,22.75641,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,26.390049,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.759251,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN [95582]",0636,RC,49591-330-51,NDC,J2792,HCPCS,outpatient,1.3,ML,2429.24,,1214.62,1457.544,2356.3628,2283.4856,,,,percent of total billed charges,,1943.392,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2016.2692,,,,percent of total billed charges,,2186.316,,,,percent of total billed charges,,2234.9008,,,,percent of total billed charges,,2234.9008,,,,percent of total billed charges,,2298.06104,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2356.3628,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2137.7312,,,,percent of total billed charges,,2186.316,,,,percent of total billed charges,,1945.82124,,,,percent of total billed charges,,2186.316,,,,percent of total billed charges,,1457.544,,,,percent of total billed charges,,2256.521036,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,1943.392,,,,percent of total billed charges,,1457.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1946.064164,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RHO(D) IMMUNE GLOBULIN-MALTOSE 2,500 UNIT (500 MCG)/2.2 ML INJECT.SOLN [95583]",0636,RC,70257-350-51,NDC,J2792,HCPCS,outpatient,2.2,ML,4073.94,,2036.97,2444.364,3951.7218,3829.5036,,,,percent of total billed charges,,3259.152,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3381.3702,,,,percent of total billed charges,,3666.546,,,,percent of total billed charges,,3748.0248,,,,percent of total billed charges,,3748.0248,,,,percent of total billed charges,,3853.94724,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3951.7218,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3585.0672,,,,percent of total billed charges,,3666.546,,,,percent of total billed charges,,3263.22594,,,,percent of total billed charges,,3666.546,,,,percent of total billed charges,,2444.364,,,,percent of total billed charges,,3784.282866,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3259.152,,,,percent of total billed charges,,2444.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3263.633334,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 150 MG CAPSULE [11292],0637,RC,60687-575-21,NDC,,,outpatient,1,EA,9.84,,4.92,5.904,9.5448,9.2496,,,,percent of total billed charges,,7.872,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,8.1672,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,9.0528,,,,percent of total billed charges,,9.0528,,,,percent of total billed charges,,9.30864,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,9.5448,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,8.6592,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,7.88184,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,9.140376,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,7.872,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.882824,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,250,ML,2.25,,1.125,1.35,2.1825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.80225,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.090025,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.802475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,63323-010-94,NDC,J1580,HCPCS,outpatient,80,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,1000,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,0068-0597-01,NDC,,,outpatient,600,ME,362.61,,181.305,217.566,351.7317,340.8534,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,300.9663,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,343.02906,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,351.7317,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,319.0968,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,290.45061,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,336.828429,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,290.486871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,0068-0597-01,NDC,,,outpatient,1,EA,362.61,,181.305,217.566,351.7317,340.8534,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,300.9663,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,343.02906,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,351.7317,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,319.0968,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,290.45061,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,336.828429,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,290.486871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,55390-123-01,NDC,,,outpatient,1,EA,126.05,,63.025,75.63,122.2685,118.487,,,,percent of total billed charges,,100.84,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,104.6215,,,,percent of total billed charges,,113.445,,,,percent of total billed charges,,115.966,,,,percent of total billed charges,,115.966,,,,percent of total billed charges,,119.2433,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,122.2685,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,110.924,,,,percent of total billed charges,,113.445,,,,percent of total billed charges,,100.96605,,,,percent of total billed charges,,113.445,,,,percent of total billed charges,,75.63,,,,percent of total billed charges,,117.087845,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,100.84,,,,percent of total billed charges,,75.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,100.978655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,67457-445-60,NDC,,,outpatient,1,EA,243.36,,121.68,146.016,236.0592,228.7584,,,,percent of total billed charges,,194.688,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,201.9888,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,223.8912,,,,percent of total billed charges,,223.8912,,,,percent of total billed charges,,230.21856,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,236.0592,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,214.1568,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,194.93136,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,146.016,,,,percent of total billed charges,,226.057104,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,194.688,,,,percent of total billed charges,,146.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,194.955696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,63323-351-20,NDC,,,outpatient,1,EA,223.34,,111.67,134.004,216.6398,209.9396,,,,percent of total billed charges,,178.672,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,185.3722,,,,percent of total billed charges,,201.006,,,,percent of total billed charges,,205.4728,,,,percent of total billed charges,,205.4728,,,,percent of total billed charges,,211.27964,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,216.6398,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,196.5392,,,,percent of total billed charges,,201.006,,,,percent of total billed charges,,178.89534,,,,percent of total billed charges,,201.006,,,,percent of total billed charges,,134.004,,,,percent of total billed charges,,207.460526,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,178.672,,,,percent of total billed charges,,134.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,178.917674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,0068-0597-01,NDC,,,outpatient,676,ME,408.55,,204.275,245.13,396.2935,384.037,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,339.0965,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,386.4883,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,396.2935,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,359.524,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,327.24855,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,379.502095,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.289405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,0068-0597-01,NDC,,,outpatient,676,ME,408.55,,204.275,245.13,396.2935,384.037,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,339.0965,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,386.4883,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,396.2935,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,359.524,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,327.24855,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,379.502095,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,327.289405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAXIMIN 550 MG TABLET [199127],0637,RC,65649-303-03,NDC,,,outpatient,1,EA,225.22,,112.61,135.132,218.4634,211.7068,,,,percent of total billed charges,,180.176,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,186.9326,,,,percent of total billed charges,,202.698,,,,percent of total billed charges,,207.2024,,,,percent of total billed charges,,207.2024,,,,percent of total billed charges,,213.05812,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,218.4634,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,198.1936,,,,percent of total billed charges,,202.698,,,,percent of total billed charges,,180.40122,,,,percent of total billed charges,,202.698,,,,percent of total billed charges,,135.132,,,,percent of total billed charges,,209.206858,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,180.176,,,,percent of total billed charges,,135.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.423742,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [258505],0636,RC,0074-5015-01,NDC,J2327,HCPCS,outpatient,10,ML,37850.84,,18925.42,22710.504,36715.3148,35579.7896,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,31416.1972,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,35806.89464,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,36715.3148,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,33308.7392,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,30318.52284,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,35159.64528,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30322.30792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [258505],0636,RC,0074-5015-01,NDC,J2327,HCPCS,outpatient,600,ME,37850.84,,18925.42,22710.504,36715.3148,35579.7896,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,31416.1972,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,35806.89464,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,36715.3148,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,33308.7392,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,30318.52284,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,35159.64528,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30322.30792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [258505],0636,RC,0074-5015-01,NDC,J2327,HCPCS,outpatient,1200,ME,75701.68,,37850.84,45421.008,73430.6296,71159.5792,,,,percent of total billed charges,,60561.344,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,62832.3944,,,,percent of total billed charges,,68131.512,,,,percent of total billed charges,,69645.5456,,,,percent of total billed charges,,69645.5456,,,,percent of total billed charges,,71613.78928,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,73430.6296,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,66617.4784,,,,percent of total billed charges,,68131.512,,,,percent of total billed charges,,60637.04568,,,,percent of total billed charges,,68131.512,,,,percent of total billed charges,,45421.008,,,,percent of total billed charges,,70319.29055,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,60561.344,,,,percent of total billed charges,,45421.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,60644.61585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,68382-112-14,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,68084-270-01,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,68084-270-11,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,0904-6357-61,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,0904-7360-61,NDC,,,outpatient,1,EA,1,,0.5,0.6,0.97,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.9289,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.8011,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG DISINTEGRATING TABLET [87733],0637,RC,49884-311-91,NDC,,,outpatient,1,EA,2.12,,1.06,1.272,2.0564,1.9928,,,,percent of total billed charges,,1.696,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,1.7596,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,1.9504,,,,percent of total billed charges,,1.9504,,,,percent of total billed charges,,2.00552,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,2.0564,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,1.8656,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,1.69812,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.969268,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,1.696,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.698332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG DISINTEGRATING TABLET [87733],0637,RC,49884-311-52,NDC,,,outpatient,1,EA,5.22,,2.61,3.132,5.0634,4.9068,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.3326,,,,percent of total billed charges,,4.698,,,,percent of total billed charges,,4.8024,,,,percent of total billed charges,,4.8024,,,,percent of total billed charges,,4.93812,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0634,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.5936,,,,percent of total billed charges,,4.698,,,,percent of total billed charges,,4.18122,,,,percent of total billed charges,,4.698,,,,percent of total billed charges,,3.132,,,,percent of total billed charges,,4.848858,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.181742,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG DISINTEGRATING TABLET [87733],0637,RC,59746-010-32,NDC,,,outpatient,1,EA,4.15,,2.075,2.49,4.0255,3.901,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.4445,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.652,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.32415,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,3.854935,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.324565,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,51079-461-20,NDC,,,outpatient,1,EA,0.68,,0.34,0.408,0.6596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.54468,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.631652,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.544748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,68084-271-01,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,68084-271-11,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,0904-6358-61,NDC,,,outpatient,1,EA,0.88,,0.44,0.528,0.8536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.70488,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.817432,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.704968,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,0904-7361-61,NDC,,,outpatient,1,EA,1.01,,0.505,0.606,0.9797,0.9494,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8383,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.95546,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8888,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.80901,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,0.938189,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.809111,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,49884-315-55,NDC,,,outpatient,1,EA,12.57,,6.285,7.542,12.1929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,10.06857,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,11.676273,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.069827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,49884-315-91,NDC,,,outpatient,1,EA,14.53,,7.265,8.718,14.0941,13.6582,,,,percent of total billed charges,,11.624,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,12.0599,,,,percent of total billed charges,,13.077,,,,percent of total billed charges,,13.3676,,,,percent of total billed charges,,13.3676,,,,percent of total billed charges,,13.74538,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,14.0941,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,12.7864,,,,percent of total billed charges,,13.077,,,,percent of total billed charges,,11.63853,,,,percent of total billed charges,,13.077,,,,percent of total billed charges,,8.718,,,,percent of total billed charges,,13.496917,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,11.624,,,,percent of total billed charges,,8.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.639983,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,49884-315-52,NDC,,,outpatient,1,EA,12.57,,6.285,7.542,12.1929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,10.06857,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,11.676273,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.069827,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,59746-020-22,NDC,,,outpatient,1,EA,5.39,,2.695,3.234,5.2283,5.0666,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.4737,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,5.09894,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.2283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.7432,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.31739,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,5.006771,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.317929,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG TABLET [82519],0637,RC,68084-272-11,NDC,,,outpatient,1,EA,0.73,,0.365,0.438,0.7081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.58473,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.678097,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.584803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG TABLET [82519],0637,RC,0904-6359-61,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG TABLET [82519],0637,RC,0904-7362-61,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG/ML ORAL SOLUTION [80163],0637,RC,50458-596-01,NDC,,,outpatient,30,ML,62.1,,31.05,37.26,60.237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,49.7421,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,57.68469,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.74831,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG/ML ORAL SOLUTION [80163],0637,RC,0054-0063-44,NDC,,,outpatient,30,ML,50.76,,25.38,30.456,49.2372,47.7144,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,42.1308,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,48.01896,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,49.2372,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,44.6688,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,40.65876,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,47.150964,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.663836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG/ML ORAL SOLUTION [80163],0637,RC,27808-002-01,NDC,,,outpatient,30,ML,68.45,,34.225,41.07,66.3965,64.343,,,,percent of total billed charges,,54.76,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,56.8135,,,,percent of total billed charges,,61.605,,,,percent of total billed charges,,62.974,,,,percent of total billed charges,,62.974,,,,percent of total billed charges,,64.7537,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,66.3965,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,60.236,,,,percent of total billed charges,,61.605,,,,percent of total billed charges,,54.82845,,,,percent of total billed charges,,61.605,,,,percent of total billed charges,,41.07,,,,percent of total billed charges,,63.583205,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,54.76,,,,percent of total billed charges,,41.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.835295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,68084-273-01,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,68084-273-11,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,0904-6360-61,NDC,,,outpatient,1,EA,0.61,,0.305,0.366,0.5917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.48861,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.566629,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.488671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,0904-7363-61,NDC,,,outpatient,1,EA,0.7,,0.35,0.42,0.679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.5607,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.65023,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.56077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [135106]",0636,RC,50458-309-11,NDC,J2794,HCPCS,outpatient,1,EA,1245.6,,622.8,747.36,1208.232,1170.864,,,,percent of total billed charges,,996.48,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1033.848,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,1145.952,,,,percent of total billed charges,,1145.952,,,,percent of total billed charges,,1178.3376,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1208.232,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1096.128,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,997.7256,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,747.36,,,,percent of total billed charges,,1157.03784,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,996.48,,,,percent of total billed charges,,747.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,997.85016,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [89534]",0636,RC,50458-306-11,NDC,J2801,HCPCS,outpatient,1,EA,2490.98,,1245.49,1494.588,2416.2506,2341.5212,,,,percent of total billed charges,,1992.784,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2067.5134,,,,percent of total billed charges,,2241.882,,,,percent of total billed charges,,2291.7016,,,,percent of total billed charges,,2291.7016,,,,percent of total billed charges,,2356.46708,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2416.2506,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2192.0624,,,,percent of total billed charges,,2241.882,,,,percent of total billed charges,,1995.27498,,,,percent of total billed charges,,2241.882,,,,percent of total billed charges,,1494.588,,,,percent of total billed charges,,2313.871322,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,1992.784,,,,percent of total billed charges,,1494.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1995.524078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [89535]",0636,RC,50458-307-11,NDC,J2801,HCPCS,outpatient,1,EA,3736.58,,1868.29,2241.948,3624.4826,3512.3852,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3101.3614,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3534.80468,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3624.4826,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3288.1904,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2993.00058,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,3470.909162,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2993.374238,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [89535]",0636,RC,50458-307-01,NDC,J2801,HCPCS,outpatient,1,EA,3736.58,,1868.29,2241.948,3624.4826,3512.3852,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3101.3614,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3534.80468,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3624.4826,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3288.1904,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2993.00058,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,3470.909162,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2993.374238,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [89536]",0636,RC,50458-308-11,NDC,J2801,HCPCS,outpatient,1,EA,4982.31,,2491.155,2989.386,4832.8407,4683.3714,,,,percent of total billed charges,,3985.848,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4135.3173,,,,percent of total billed charges,,4484.079,,,,percent of total billed charges,,4583.7252,,,,percent of total billed charges,,4583.7252,,,,percent of total billed charges,,4713.26526,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4832.8407,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4384.4328,,,,percent of total billed charges,,4484.079,,,,percent of total billed charges,,3990.83031,,,,percent of total billed charges,,4484.079,,,,percent of total billed charges,,2989.386,,,,percent of total billed charges,,4628.067759,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,3985.848,,,,percent of total billed charges,,2989.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3991.328541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITONAVIR 100 MG TABLET [198133],0637,RC,0054-0407-13,NDC,,,outpatient,1,EA,6.81,,3.405,4.086,6.6057,6.4014,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.6523,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.44226,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.6057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.9928,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,5.45481,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,6.325809,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.455491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITONAVIR 100 MG TABLET [198133],0637,RC,31722-597-30,NDC,,,outpatient,1,EA,12.01,,6.005,7.206,11.6497,11.2894,,,,percent of total billed charges,,9.608,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,9.9683,,,,percent of total billed charges,,10.809,,,,percent of total billed charges,,11.0492,,,,percent of total billed charges,,11.0492,,,,percent of total billed charges,,11.36146,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,11.6497,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,10.5688,,,,percent of total billed charges,,10.809,,,,percent of total billed charges,,9.62001,,,,percent of total billed charges,,10.809,,,,percent of total billed charges,,7.206,,,,percent of total billed charges,,11.156089,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,9.608,,,,percent of total billed charges,,7.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.621211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITONAVIR 100 MG TABLET [198133],0637,RC,65862-687-30,NDC,,,outpatient,1,EA,9.62,,4.81,5.772,9.3314,9.0428,,,,percent of total billed charges,,7.696,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,7.9846,,,,percent of total billed charges,,8.658,,,,percent of total billed charges,,8.8504,,,,percent of total billed charges,,8.8504,,,,percent of total billed charges,,9.10052,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,9.3314,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,8.4656,,,,percent of total billed charges,,8.658,,,,percent of total billed charges,,7.70562,,,,percent of total billed charges,,8.658,,,,percent of total billed charges,,5.772,,,,percent of total billed charges,,8.936018,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,7.696,,,,percent of total billed charges,,5.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.706582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [235810]",0636,RC,50242-108-01,NDC,J9311,HCPCS,outpatient,11.7,ML,26306.33,,13153.165,15783.798,25517.1401,24727.9502,,,,percent of total billed charges,,21045.064,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,21834.2539,,,,percent of total billed charges,,23675.697,,,,percent of total billed charges,,24201.8236,,,,percent of total billed charges,,24201.8236,,,,percent of total billed charges,,24885.78818,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,25517.1401,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,23149.5704,,,,percent of total billed charges,,23675.697,,,,percent of total billed charges,,21071.37033,,,,percent of total billed charges,,23675.697,,,,percent of total billed charges,,15783.798,,,,percent of total billed charges,,24435.94994,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,21045.064,,,,percent of total billed charges,,15783.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21074.00096,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [235888]",0636,RC,50242-109-01,NDC,J9311,HCPCS,outpatient,13.4,ML,30064.35,,15032.175,18038.61,29162.4195,28260.489,,,,percent of total billed charges,,24051.48,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,24953.4105,,,,percent of total billed charges,,27057.915,,,,percent of total billed charges,,27659.202,,,,percent of total billed charges,,27659.202,,,,percent of total billed charges,,28440.8751,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,29162.4195,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,26456.628,,,,percent of total billed charges,,27057.915,,,,percent of total billed charges,,24081.54435,,,,percent of total billed charges,,27057.915,,,,percent of total billed charges,,18038.61,,,,percent of total billed charges,,27926.77472,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,24051.48,,,,percent of total billed charges,,18038.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24084.55079,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [82518]",0636,RC,50242-051-21,NDC,J9312,HCPCS,outpatient,10,ML,4227.84,,2113.92,2536.704,4101.0048,3974.1696,,,,percent of total billed charges,,3382.272,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,3509.1072,,,,percent of total billed charges,,3805.056,,,,percent of total billed charges,,3889.6128,,,,percent of total billed charges,,3889.6128,,,,percent of total billed charges,,3999.53664,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,4101.0048,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,3720.4992,,,,percent of total billed charges,,3805.056,,,,percent of total billed charges,,3386.49984,,,,percent of total billed charges,,3805.056,,,,percent of total billed charges,,2536.704,,,,percent of total billed charges,,3927.240576,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,3382.272,,,,percent of total billed charges,,2536.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3386.922624,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [82518]",0636,RC,50242-053-06,NDC,J9312,HCPCS,outpatient,50,ML,21139.2,,10569.6,12683.52,20505.024,19870.848,,,,percent of total billed charges,,16911.36,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,17545.536,,,,percent of total billed charges,,19025.28,,,,percent of total billed charges,,19448.064,,,,percent of total billed charges,,19448.064,,,,percent of total billed charges,,19997.6832,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,20505.024,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,18602.496,,,,percent of total billed charges,,19025.28,,,,percent of total billed charges,,16932.4992,,,,percent of total billed charges,,19025.28,,,,percent of total billed charges,,12683.52,,,,percent of total billed charges,,19636.20288,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,16911.36,,,,percent of total billed charges,,12683.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16934.61312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [245596],0636,RC,0069-0249-01,NDC,Q5119,HCPCS,outpatient,50,ML,11114.33,,5557.165,6668.598,10780.9001,10447.4702,,,,percent of total billed charges,,8891.464,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,9224.8939,,,,percent of total billed charges,,10002.897,,,,percent of total billed charges,,10225.1836,,,,percent of total billed charges,,10225.1836,,,,percent of total billed charges,,10514.15618,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,10780.9001,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,9780.6104,,,,percent of total billed charges,,10002.897,,,,percent of total billed charges,,8902.57833,,,,percent of total billed charges,,10002.897,,,,percent of total billed charges,,6668.598,,,,percent of total billed charges,,10324.10114,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,8891.464,,,,percent of total billed charges,,6668.598,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8903.689763,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 10 MG TABLET [205744],0637,RC,50458-580-10,NDC,,,outpatient,1,EA,56.07,,28.035,33.642,54.3879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,44.91207,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,52.083423,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.917677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 10 MG TABLET [205744],0637,RC,50458-580-30,NDC,,,outpatient,1,EA,56.1,,28.05,33.66,54.417,52.734,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,46.563,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,51.612,,,,percent of total billed charges,,51.612,,,,percent of total billed charges,,53.0706,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,54.417,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,49.368,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,44.9361,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,52.11129,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.94171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 10 MG TABLET [205744],0637,RC,50458-580-01,NDC,,,outpatient,1,EA,56.07,,28.035,33.642,54.3879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,44.91207,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,52.083423,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.917677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 15 MG TABLET [209971],0637,RC,50458-578-10,NDC,,,outpatient,1,EA,56.07,,28.035,33.642,54.3879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,44.91207,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,52.083423,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.917677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 15 MG TABLET [209971],0637,RC,50458-578-01,NDC,,,outpatient,1,EA,56.07,,28.035,33.642,54.3879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,44.91207,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,52.083423,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.917677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 2.5 MG TABLET [241774],0637,RC,50458-577-10,NDC,,,outpatient,1,EA,28.05,,14.025,16.83,27.2085,26.367,,,,percent of total billed charges,,22.44,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,23.2815,,,,percent of total billed charges,,25.245,,,,percent of total billed charges,,25.806,,,,percent of total billed charges,,25.806,,,,percent of total billed charges,,26.5353,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,27.2085,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,24.684,,,,percent of total billed charges,,25.245,,,,percent of total billed charges,,22.46805,,,,percent of total billed charges,,25.245,,,,percent of total billed charges,,16.83,,,,percent of total billed charges,,26.055645,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,22.44,,,,percent of total billed charges,,16.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.470855,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 20 MG TABLET [209972],0637,RC,50458-579-10,NDC,,,outpatient,1,EA,56.07,,28.035,33.642,54.3879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,44.91207,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,52.083423,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.917677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 20 MG TABLET [209972],0637,RC,50458-579-01,NDC,,,outpatient,1,EA,56.07,,28.035,33.642,54.3879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,44.91207,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,52.083423,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.917677,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,0078-0501-15,NDC,,,outpatient,1,EA,94.49,,47.245,56.694,91.6553,88.8206,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,78.4267,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,89.38754,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,91.6553,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,83.1512,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,75.68649,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,87.771761,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.695939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,0078-0501-61,NDC,,,outpatient,1,EA,94.49,,47.245,56.694,91.6553,88.8206,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,78.4267,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,89.38754,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,91.6553,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,83.1512,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,75.68649,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,87.771761,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.695939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,0781-7304-31,NDC,,,outpatient,1,EA,24.04,,12.02,14.424,23.3188,22.5976,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.9532,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.74184,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,23.3188,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,21.1552,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,19.25604,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,22.330756,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.258444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,0781-7304-58,NDC,,,outpatient,1,EA,24.04,,12.02,14.424,23.3188,22.5976,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.9532,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.74184,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,23.3188,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,21.1552,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,19.25604,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,22.330756,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.258444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,0378-9070-93,NDC,,,outpatient,1,EA,6.9,,3.45,4.14,6.693,6.486,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.727,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.5274,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.693,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,5.5269,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,6.40941,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.52759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,0378-9070-16,NDC,,,outpatient,1,EA,6.9,,3.45,4.14,6.693,6.486,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.727,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.5274,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.693,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,5.5269,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,6.40941,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.52759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,51991-897-30,NDC,,,outpatient,1,EA,6.68,,3.34,4.008,6.4796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,5.35068,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.205052,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.351348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,51991-897-99,NDC,,,outpatient,1,EA,6.68,,3.34,4.008,6.4796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,5.35068,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.205052,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.351348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,63323-426-05,NDC,,,outpatient,5,ML,6.12,,3.06,3.672,5.9364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,4.90212,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,5.684868,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.902732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0409-9558-49,NDC,,,outpatient,5,ML,11.66,,5.83,6.996,11.3102,10.9604,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.6778,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,11.03036,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.3102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,10.2608,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,9.33966,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,10.830974,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.340826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0781-3220-70,NDC,,,outpatient,10,ML,36.09,,18.045,21.654,35.0073,33.9246,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,29.9547,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,34.14114,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,35.0073,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,31.7592,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,28.90809,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,33.524001,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.911699,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0781-3220-75,NDC,,,outpatient,5,ML,31.12,,15.56,18.672,30.1864,29.2528,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,25.8296,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,29.43952,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,30.1864,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,27.3856,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,24.92712,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,28.907368,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.930232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0781-3220-92,NDC,,,outpatient,10,ML,36.09,,18.045,21.654,35.0073,33.9246,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,29.9547,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,34.14114,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,35.0073,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,31.7592,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,28.90809,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,33.524001,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.911699,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0781-3220-95,NDC,,,outpatient,5,ML,31.12,,15.56,18.672,30.1864,29.2528,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,25.8296,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,29.43952,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,30.1864,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,27.3856,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,24.92712,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,28.907368,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.930232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0409-9558-05,NDC,,,outpatient,5,ML,12.36,,6.18,7.416,11.9892,11.6184,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.2588,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.69256,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.9892,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.8768,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,9.90036,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,11.481204,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.901596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0409-9558-10,NDC,,,outpatient,10,ML,29.07,,14.535,17.442,28.1979,27.3258,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,24.1281,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,27.50022,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,28.1979,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,25.5816,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,23.28507,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,27.003123,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.287977,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,67457-228-10,NDC,,,outpatient,10,ML,28.08,,14.04,16.848,27.2376,26.3952,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,23.3064,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,26.56368,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,27.2376,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,24.7104,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,22.49208,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,26.083512,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.494888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,67457-228-99,NDC,,,outpatient,10,ML,28.08,,14.04,16.848,27.2376,26.3952,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,23.3064,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,26.56368,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,27.2376,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,24.7104,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,22.49208,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,26.083512,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.494888,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,39822-4200-5,NDC,,,outpatient,10,ML,22.77,,11.385,13.662,22.0869,21.4038,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.8991,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,21.54042,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,22.0869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,20.0376,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,18.23877,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,21.151053,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.241047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,39822-4200-6,NDC,,,outpatient,10,ML,22.77,,11.385,13.662,22.0869,21.4038,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.8991,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,21.54042,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,22.0869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,20.0376,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,18.23877,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,21.151053,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.241047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,55150-226-10,NDC,,,outpatient,10,ML,16.56,,8.28,9.936,16.0632,15.5664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.7448,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.66576,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,14.5728,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,13.26456,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,15.382584,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.266216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0143-9250-01,NDC,,,outpatient,5,ML,20.61,,10.305,12.366,19.9917,19.3734,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,17.1063,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,19.49706,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.9917,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,18.1368,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,16.50861,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,19.144629,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.510671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,43066-007-10,NDC,,,outpatient,5,ML,10.35,,5.175,6.21,10.0395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,8.29035,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,9.614115,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.291385,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0143-9250-10,NDC,,,outpatient,5,ML,20.61,,10.305,12.366,19.9917,19.3734,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,17.1063,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,19.49706,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.9917,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,18.1368,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,16.50861,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,19.144629,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.510671,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0143-9251-01,NDC,,,outpatient,10,ML,28.94,,14.47,17.364,28.0718,27.2036,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,24.0202,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,27.37724,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,28.0718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,25.4672,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,23.18094,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,26.882366,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.183834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0143-9251-10,NDC,,,outpatient,10,ML,28.94,,14.47,17.364,28.0718,27.2036,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,24.0202,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,27.37724,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,28.0718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,25.4672,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,23.18094,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,26.882366,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.183834,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,63323-426-01,NDC,,,outpatient,10,ML,13.59,,6.795,8.154,13.1823,12.7746,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.2797,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.85614,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,13.1823,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.9592,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,10.88559,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,12.623751,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.886949,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0409-9558-11,NDC,,,outpatient,5,ML,12.36,,6.18,7.416,11.9892,11.6184,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.2588,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.69256,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.9892,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.8768,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,9.90036,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,11.481204,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.901596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,63323-426-02,NDC,,,outpatient,5,ML,6.12,,3.06,3.672,5.9364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,4.90212,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,5.684868,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.902732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,0409-9558-31,NDC,,,outpatient,10,ML,29.07,,14.535,17.442,28.1979,27.3258,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,24.1281,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,27.50022,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,28.1979,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,25.5816,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,23.28507,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,27.003123,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.287977,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,72611-756-01,NDC,,,outpatient,5,ML,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,72611-756-10,NDC,,,outpatient,5,ML,7,,3.5,4.2,6.79,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,5.607,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,6.5023,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.6077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,66794-228-02,NDC,,,outpatient,5,ML,8.31,,4.155,4.986,8.0607,7.8114,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.8973,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.86126,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,8.0607,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.3128,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,6.65631,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,7.719159,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.657141,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,66794-228-41,NDC,,,outpatient,5,ML,8.31,,4.155,4.986,8.0607,7.8114,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.8973,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.86126,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,8.0607,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.3128,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,6.65631,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,7.719159,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.657141,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,66794-229-02,NDC,,,outpatient,10,ML,15.93,,7.965,9.558,15.4521,14.9742,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,13.2219,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,15.06978,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.4521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,14.0184,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,12.75993,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,14.797377,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.761523,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,66794-229-41,NDC,,,outpatient,10,ML,15.93,,7.965,9.558,15.4521,14.9742,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,13.2219,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,15.06978,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.4521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,14.0184,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,12.75993,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,14.797377,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.761523,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,71288-700-05,NDC,,,outpatient,5,ML,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,71288-700-06,NDC,,,outpatient,5,ML,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,71839-141-01,NDC,,,outpatient,5,ML,9.09,,4.545,5.454,8.8173,8.5446,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.5447,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.59914,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.8173,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.9992,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,7.28109,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,8.443701,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.281999,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,71839-141-10,NDC,,,outpatient,5,ML,9.09,,4.545,5.454,8.8173,8.5446,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.5447,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.59914,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.8173,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.9992,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,7.28109,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,8.443701,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.281999,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,71839-142-01,NDC,,,outpatient,10,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,71839-142-10,NDC,,,outpatient,10,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 500 MG/50 ML (10 MG/ML) INFUSION [1001390],0250,RC,9991-0013-90,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,0310-0095-30,NDC,,,outpatient,1,EA,55.08,,27.54,33.048,53.4276,51.7752,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,45.7164,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,52.10568,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,53.4276,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,48.4704,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,44.11908,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,51.163812,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.124588,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,68382-969-06,NDC,,,outpatient,1,EA,5.99,,2.995,3.594,5.8103,5.6306,,,,percent of total billed charges,,4.792,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,4.9717,,,,percent of total billed charges,,5.391,,,,percent of total billed charges,,5.5108,,,,percent of total billed charges,,5.5108,,,,percent of total billed charges,,5.66654,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,5.8103,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,5.2712,,,,percent of total billed charges,,5.391,,,,percent of total billed charges,,4.79799,,,,percent of total billed charges,,5.391,,,,percent of total billed charges,,3.594,,,,percent of total billed charges,,5.564111,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,4.792,,,,percent of total billed charges,,3.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.798589,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,72205-200-30,NDC,,,outpatient,1,EA,2.15,,1.075,1.29,2.0855,2.021,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.7845,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,2.0339,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0855,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.72215,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,1.997135,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.722365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,59651-275-90,NDC,,,outpatient,1,EA,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [246993],0636,RC,55513-223-01,NDC,J2802,HCPCS,outpatient,1,EA,5634,,2817,3380.4,5464.98,5295.96,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4676.22,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5329.764,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5464.98,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4957.92,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,4512.834,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,5233.4226,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4513.3974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 125 MCG VIAL (125 MCG/ML CONCENTRATION) SUBQ SOLUTION [1002108],0636,RC,55513-223-01,NDC,J2802,HCPCS,outpatient,1,EA,5634,,2817,3380.4,5464.98,5295.96,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4676.22,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5329.764,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5464.98,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4957.92,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,4512.834,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,5233.4226,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4513.3974,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [189043],0636,RC,55513-221-01,NDC,J2802,HCPCS,outpatient,1,EA,11267.87,,5633.935,6760.722,10929.8339,10591.7978,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9352.3321,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10659.40502,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10929.8339,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9915.7256,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,9025.56387,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,10466.72444,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9026.690657,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 250 MCG VIAL (125 MCG/ML CONCENTRATION) SUBQ SOLUTION [1002106],0636,RC,55513-221-01,NDC,J2802,HCPCS,outpatient,1,EA,11267.87,,5633.935,6760.722,10929.8339,10591.7978,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9352.3321,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10659.40502,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10929.8339,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9915.7256,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,9025.56387,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,10466.72444,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9026.690657,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [189042],0636,RC,55513-222-01,NDC,J2802,HCPCS,outpatient,1,EA,20031.72,,10015.86,12019.032,19430.7684,18829.8168,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16626.3276,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18950.00712,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19430.7684,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,17627.9136,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,16045.40772,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,18607.46471,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16047.41089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 500 MCG VIAL (125 MCG/ML CONCENTRATION) SUBQ SOLUTION [1002107],0636,RC,55513-222-01,NDC,J2802,HCPCS,outpatient,1,EA,20031.72,,10015.86,12019.032,19430.7684,18829.8168,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16626.3276,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18950.00712,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19430.7684,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,17627.9136,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,16045.40772,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,18607.46471,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16047.41089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE [243995],0636,RC,55513-880-02,NDC,J3111,HCPCS,outpatient,1.17,ML,5477.32,,2738.66,3286.392,5313.0004,5148.6808,,,,percent of total billed charges,,4381.856,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,4546.1756,,,,percent of total billed charges,,4929.588,,,,percent of total billed charges,,5039.1344,,,,percent of total billed charges,,5039.1344,,,,percent of total billed charges,,5181.54472,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,5313.0004,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,4820.0416,,,,percent of total billed charges,,4929.588,,,,percent of total billed charges,,4387.33332,,,,percent of total billed charges,,4929.588,,,,percent of total billed charges,,3286.392,,,,percent of total billed charges,,5087.882548,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,4381.856,,,,percent of total billed charges,,3286.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4387.881052,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,68462-253-01,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,60687-577-01,NDC,,,outpatient,1,EA,1.79,,0.895,1.074,1.7363,1.6826,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.4857,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.69334,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.5752,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.43379,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,1.662731,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.433969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,60687-577-11,NDC,,,outpatient,1,EA,1.79,,0.895,1.074,1.7363,1.6826,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.4857,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.69334,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.5752,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.43379,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,1.662731,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.433969,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,50268-741-11,NDC,,,outpatient,1,EA,1.09,,0.545,0.654,1.0573,1.0246,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9047,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.03114,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9592,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.87309,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,1.012501,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.873199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,50268-741-15,NDC,,,outpatient,1,EA,1.09,,0.545,0.654,1.0573,1.0246,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9047,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.03114,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9592,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.87309,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,1.012501,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.873199,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,68084-306-21,NDC,,,outpatient,1,EA,2.46,,1.23,1.476,2.3862,2.3124,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.0418,,,,percent of total billed charges,,2.214,,,,percent of total billed charges,,2.2632,,,,percent of total billed charges,,2.2632,,,,percent of total billed charges,,2.32716,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.3862,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.1648,,,,percent of total billed charges,,2.214,,,,percent of total billed charges,,1.97046,,,,percent of total billed charges,,2.214,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,2.285094,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.970706,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,43547-269-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,50268-742-11,NDC,,,outpatient,1,EA,1.26,,0.63,0.756,1.2222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.00926,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.170414,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.009386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,50268-742-15,NDC,,,outpatient,1,EA,1.26,,0.63,0.756,1.2222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.00926,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.170414,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.009386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,0904-6374-61,NDC,,,outpatient,1,EA,1.76,,0.88,1.056,1.7072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.40976,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.634864,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.409936,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,16729-234-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,60687-588-01,NDC,,,outpatient,1,EA,1.55,,0.775,0.93,1.5035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.24155,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.439795,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.241705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,60687-588-11,NDC,,,outpatient,1,EA,1.55,,0.775,0.93,1.5035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.24155,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.439795,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.241705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,50268-743-11,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,50268-743-15,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG [238048],0250,RC,70092-1433-50,NDC,,,outpatient,50,ML,221.18,,110.59,132.708,214.5446,207.9092,,,,percent of total billed charges,,176.944,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,183.5794,,,,percent of total billed charges,,199.062,,,,percent of total billed charges,,203.4856,,,,percent of total billed charges,,203.4856,,,,percent of total billed charges,,209.23628,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,214.5446,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,194.6384,,,,percent of total billed charges,,199.062,,,,percent of total billed charges,,177.16518,,,,percent of total billed charges,,199.062,,,,percent of total billed charges,,132.708,,,,percent of total billed charges,,205.454102,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,176.944,,,,percent of total billed charges,,132.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,177.187298,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,63323-285-20,NDC,J2795,HCPCS,outpatient,20,ML,40.05,,20.025,24.03,38.8485,37.647,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,33.2415,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,37.8873,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.8485,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,32.08005,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,37.202445,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.084055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,0409-9300-20,NDC,J2795,HCPCS,outpatient,20,ML,14.31,,7.155,8.586,13.8807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,11.46231,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,13.292559,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.463741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,0409-9300-21,NDC,J2795,HCPCS,outpatient,20,ML,14.31,,7.155,8.586,13.8807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,11.46231,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,13.292559,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.463741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,43066-015-01,NDC,J2795,HCPCS,outpatient,20,ML,15.03,,7.515,9.018,14.5791,14.1282,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.4749,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,14.21838,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.5791,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,13.2264,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,12.03903,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,13.961367,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.040533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,43066-015-10,NDC,J2795,HCPCS,outpatient,20,ML,15.03,,7.515,9.018,14.5791,14.1282,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.4749,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,14.21838,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.5791,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,13.2264,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,12.03903,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,13.961367,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.040533,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,63323-286-20,NDC,J2795,HCPCS,outpatient,20,ML,59.85,,29.925,35.91,58.0545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.93985,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,55.594665,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.945835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,63323-286-23,NDC,J2795,HCPCS,outpatient,20,ML,14.22,,7.11,8.532,13.7934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,11.39022,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,13.208958,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.391642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,63323-286-38,NDC,J2795,HCPCS,outpatient,30,ML,20.66,,10.33,12.396,20.0402,19.4204,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,17.1478,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.54436,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,20.0402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,18.1808,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,16.54866,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,19.191074,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.550726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,55150-197-20,NDC,J2795,HCPCS,outpatient,20,ML,9.9,,4.95,5.94,9.603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,7.9299,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.19611,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.93089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,70069-064-01,NDC,J2795,HCPCS,outpatient,30,ML,18.5,,9.25,11.1,17.945,17.39,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,15.355,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.501,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.945,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,16.28,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,14.8185,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,17.18465,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.82035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,63323-286-05,NDC,J2795,HCPCS,outpatient,20,ML,14.22,,7.11,8.532,13.7934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,11.39022,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,13.208958,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.391642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,43066-023-01,NDC,J2795,HCPCS,outpatient,30,ML,13.64,,6.82,8.184,13.2308,12.8216,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,11.3212,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.90344,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,13.2308,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.0032,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,10.92564,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,12.670196,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.927004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,43066-023-10,NDC,J2795,HCPCS,outpatient,30,ML,13.64,,6.82,8.184,13.2308,12.8216,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,11.3212,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.90344,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,13.2308,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.0032,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,10.92564,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,12.670196,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.927004,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,43066-019-01,NDC,J2795,HCPCS,outpatient,20,ML,10.62,,5.31,6.372,10.3014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,8.50662,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,9.864918,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.507682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,43066-019-10,NDC,J2795,HCPCS,outpatient,20,ML,10.62,,5.31,6.372,10.3014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,8.50662,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,9.864918,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.507682,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,63323-286-43,NDC,J2795,HCPCS,outpatient,30,ML,20.66,,10.33,12.396,20.0402,19.4204,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,17.1478,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.54436,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,20.0402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,18.1808,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,16.54866,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,19.191074,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.550726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,63323-286-01,NDC,J2795,HCPCS,outpatient,20,ML,59.85,,29.925,35.91,58.0545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.93985,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,55.594665,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.945835,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,70069-064-10,NDC,J2795,HCPCS,outpatient,30,ML,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,70069-064-25,NDC,J2795,HCPCS,outpatient,30,ML,18.5,,9.25,11.1,17.945,17.39,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,15.355,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.501,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.945,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,16.28,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,14.8185,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,17.18465,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.82035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,60687-245-01,NDC,,,outpatient,1,EA,5.26,,2.63,3.156,5.1022,4.9444,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.3658,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.97596,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,5.1022,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.6288,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,4.21326,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,4.886014,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.213786,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,60687-245-11,NDC,,,outpatient,1,EA,5.26,,2.63,3.156,5.1022,4.9444,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.3658,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.97596,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,5.1022,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.6288,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,4.21326,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,4.886014,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.213786,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,50268-709-11,NDC,,,outpatient,1,EA,3.74,,1.87,2.244,3.6278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.99574,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.474086,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.996114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,50268-709-15,NDC,,,outpatient,1,EA,3.74,,1.87,2.244,3.6278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.99574,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.474086,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.996114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,60687-256-01,NDC,,,outpatient,1,EA,6.18,,3.09,3.708,5.9946,5.8092,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.1294,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.84628,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.9946,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.4384,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,4.95018,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,5.740602,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.950798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,60687-256-11,NDC,,,outpatient,1,EA,6.18,,3.09,3.708,5.9946,5.8092,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.1294,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.84628,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.9946,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.4384,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,4.95018,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,5.740602,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.950798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,0904-6780-61,NDC,,,outpatient,1,EA,5.4,,2.7,3.24,5.238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.3254,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.01606,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.32594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,50268-710-11,NDC,,,outpatient,1,EA,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,50268-710-15,NDC,,,outpatient,1,EA,4,,2,2.4,3.88,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,3.7156,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.2044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT [262681]",0636,RC,58160-848-11,NDC,90679,CPT,outpatient,1,EA,473.52,,236.76,284.112,459.3144,445.1088,,,,percent of total billed charges,,378.816,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,393.0216,,,,percent of total billed charges,,426.168,,,,percent of total billed charges,,435.6384,,,,percent of total billed charges,,435.6384,,,,percent of total billed charges,,447.94992,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,459.3144,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,416.6976,,,,percent of total billed charges,,426.168,,,,percent of total billed charges,,379.28952,,,,percent of total billed charges,,426.168,,,,percent of total billed charges,,284.112,,,,percent of total billed charges,,439.852728,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,378.816,,,,percent of total billed charges,,284.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,379.336872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACCHAROMYCES BOULARDII 250 MG CAPSULE [89585],0637,RC,7733380025,NDC,,,outpatient,1,EA,2.96,,1.48,1.776,2.8712,2.7824,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.4568,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.80016,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.8712,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.6048,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,2.37096,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,2.749544,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.371256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACCHAROMYCES BOULARDII 250 MG CAPSULE [89585],0637,RC,7733380050,NDC,,,outpatient,1,EA,2.96,,1.48,1.776,2.8712,2.7824,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.4568,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.80016,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.8712,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.6048,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,2.37096,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,2.749544,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.371256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACCHAROMYCES BOULARDII 250 MG CAPSULE [89585],0637,RC,0904723006,NDC,,,outpatient,1,EA,2.77,,1.385,1.662,2.6869,2.6038,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.2991,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.62042,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.4376,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.21877,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,2.573053,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.219047,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [248789],0636,RC,55135-132-01,NDC,J9317,HCPCS,outpatient,1,EA,10817.37,,5408.685,6490.422,10492.8489,10168.3278,,,,percent of total billed charges,,8653.896,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,8978.4171,,,,percent of total billed charges,,9735.633,,,,percent of total billed charges,,9951.9804,,,,percent of total billed charges,,9951.9804,,,,percent of total billed charges,,10233.23202,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,10492.8489,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,9519.2856,,,,percent of total billed charges,,9735.633,,,,percent of total billed charges,,8664.71337,,,,percent of total billed charges,,9735.633,,,,percent of total billed charges,,6490.422,,,,percent of total billed charges,,10048.25499,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,8653.896,,,,percent of total billed charges,,6490.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8665.795107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [248789],0636,RC,55135-132-01,NDC,J9317,HCPCS,outpatient,676,ME,36111.32,,18055.66,21666.792,35027.9804,33944.6408,,,,percent of total billed charges,,28889.056,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,29972.3956,,,,percent of total billed charges,,32500.188,,,,percent of total billed charges,,33222.4144,,,,percent of total billed charges,,33222.4144,,,,percent of total billed charges,,34161.30872,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,35027.9804,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,31777.9616,,,,percent of total billed charges,,32500.188,,,,percent of total billed charges,,28925.16732,,,,percent of total billed charges,,32500.188,,,,percent of total billed charges,,21666.792,,,,percent of total billed charges,,33543.80515,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,28889.056,,,,percent of total billed charges,,21666.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28928.77845,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [226365],0637,RC,0078-0659-20,NDC,,,outpatient,1,EA,46.96,,23.48,28.176,45.5512,44.1424,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,38.9768,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,44.42416,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,45.5512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,41.3248,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,37.61496,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,43.621144,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.619656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [226366],0637,RC,0078-0777-20,NDC,,,outpatient,1,EA,46.96,,23.48,28.176,45.5512,44.1424,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,38.9768,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,44.42416,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,45.5512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,41.3248,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,37.61496,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,43.621144,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.619656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [226366],0637,RC,0078-0777-67,NDC,,,outpatient,1,EA,46.96,,23.48,28.176,45.5512,44.1424,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,38.9768,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,44.42416,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,45.5512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,41.3248,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,37.61496,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,43.621144,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.619656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY [189053],0637,RC,4858200155,NDC,,,outpatient,44.3,ML,20.14,,10.07,12.084,19.5358,18.9316,,,,percent of total billed charges,,16.112,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,16.7162,,,,percent of total billed charges,,18.126,,,,percent of total billed charges,,18.5288,,,,percent of total billed charges,,18.5288,,,,percent of total billed charges,,19.05244,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,19.5358,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,17.7232,,,,percent of total billed charges,,18.126,,,,percent of total billed charges,,16.13214,,,,percent of total billed charges,,18.126,,,,percent of total billed charges,,12.084,,,,percent of total billed charges,,18.708046,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,16.112,,,,percent of total billed charges,,12.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.134154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SAXAGLIPTIN 2.5 MG TABLET [195559],0637,RC,65862-825-30,NDC,,,outpatient,1,EA,7.91,,3.955,4.746,7.6727,7.4354,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.5653,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.48286,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.6727,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.9608,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,6.33591,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,7.347599,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.336701,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,10019-553-03,NDC,,,outpatient,1,EA,22.17,,11.085,13.302,21.5049,20.8398,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,18.4011,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.97282,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.5049,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,19.5096,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,17.75817,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,20.593713,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.760387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,10019-553-90,NDC,,,outpatient,1,EA,22.17,,11.085,13.302,21.5049,20.8398,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,18.4011,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.97282,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.5049,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,19.5096,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,17.75817,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,20.593713,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.760387,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,45802-580-01,NDC,,,outpatient,1,EA,86.25,,43.125,51.75,83.6625,81.075,,,,percent of total billed charges,,69,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,71.5875,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,81.5925,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,83.6625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,75.9,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,69.08625,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,80.117625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,69,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.094875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,45802-580-46,NDC,,,outpatient,1,EA,86.25,,43.125,51.75,83.6625,81.075,,,,percent of total billed charges,,69,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,71.5875,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,81.5925,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,83.6625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,75.9,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,69.08625,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,80.117625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,69,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.094875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,0378-6470-16,NDC,,,outpatient,1,EA,82.71,,41.355,49.626,80.2287,77.7474,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,68.6493,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,78.24366,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,80.2287,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,72.7848,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,66.25071,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,76.829319,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.258981,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,0378-6470-97,NDC,,,outpatient,1,EA,82.71,,41.355,49.626,80.2287,77.7474,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,68.6493,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,78.24366,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,80.2287,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,72.7848,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,66.25071,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,76.829319,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.258981,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,50742-505-10,NDC,,,outpatient,1,EA,62.51,,31.255,37.506,60.6347,58.7594,,,,percent of total billed charges,,50.008,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,51.8833,,,,percent of total billed charges,,56.259,,,,percent of total billed charges,,57.5092,,,,percent of total billed charges,,57.5092,,,,percent of total billed charges,,59.13446,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,60.6347,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,55.0088,,,,percent of total billed charges,,56.259,,,,percent of total billed charges,,50.07051,,,,percent of total billed charges,,56.259,,,,percent of total billed charges,,37.506,,,,percent of total billed charges,,58.065539,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,50.008,,,,percent of total billed charges,,37.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.076761,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,50742-505-01,NDC,,,outpatient,1,EA,42.75,,21.375,25.65,41.4675,40.185,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,35.4825,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,41.4675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,34.24275,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,39.710475,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.247025,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [265219],0636,RC,0078-1168-61,NDC,J3247,HCPCS,outpatient,5,ML,9517.5,,4758.75,5710.5,9231.975,8946.45,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,7899.525,,,,percent of total billed charges,,8565.75,,,,percent of total billed charges,,8756.1,,,,percent of total billed charges,,8756.1,,,,percent of total billed charges,,9003.555,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,9231.975,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,8375.4,,,,percent of total billed charges,,8565.75,,,,percent of total billed charges,,7623.5175,,,,percent of total billed charges,,8565.75,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,8840.80575,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7624.46925,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [265219],0636,RC,0078-1168-61,NDC,J3247,HCPCS,outpatient,118.3,ME,9007.37,,4503.685,5404.422,8737.1489,8466.9278,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7476.1171,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8520.97202,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8737.1489,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7926.4856,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,7214.90337,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,8366.945993,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7215.804107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [265219],0636,RC,0078-1168-61,NDC,J3247,HCPCS,outpatient,118.3,ME,9007.37,,4503.685,5404.422,8737.1489,8466.9278,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7476.1171,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8520.97202,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8737.1489,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7926.4856,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,7214.90337,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,8366.945993,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7215.804107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELEGILINE 5 MG CAPSULE [17280],0637,RC,60505-0055-1,NDC,,,outpatient,1,EA,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELEGILINE 5 MG CAPSULE [17280],0637,RC,67253-700-06,NDC,,,outpatient,1,EA,3.43,,1.715,2.058,3.3271,3.2242,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.8469,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.24478,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.3271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.0184,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.74743,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,3.186127,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.747773,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION [7137],0250,RC,0517-6510-25,NDC,,,outpatient,10,ML,58.46,,29.23,35.076,56.7062,54.9524,,,,percent of total billed charges,,46.768,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,48.5218,,,,percent of total billed charges,,52.614,,,,percent of total billed charges,,53.7832,,,,percent of total billed charges,,53.7832,,,,percent of total billed charges,,55.30316,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,56.7062,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,51.4448,,,,percent of total billed charges,,52.614,,,,percent of total billed charges,,46.82646,,,,percent of total billed charges,,52.614,,,,percent of total billed charges,,35.076,,,,percent of total billed charges,,54.303494,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,46.768,,,,percent of total billed charges,,35.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.832306,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELENIUM SULFIDE 1 % SHAMPOO [38961],0637,RC,0536-1995-53,NDC,,,outpatient,207,ML,10.25,,5.125,6.15,9.9425,9.635,,,,percent of total billed charges,,8.2,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,8.5075,,,,percent of total billed charges,,9.225,,,,percent of total billed charges,,9.43,,,,percent of total billed charges,,9.43,,,,percent of total billed charges,,9.6965,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,9.9425,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,9.02,,,,percent of total billed charges,,9.225,,,,percent of total billed charges,,8.21025,,,,percent of total billed charges,,9.225,,,,percent of total billed charges,,6.15,,,,percent of total billed charges,,9.521225,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,8.2,,,,percent of total billed charges,,6.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.211275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,0904-6522-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,46122-575-78,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,69618-064-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,0904-7252-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [40926],0637,RC,0536-1248-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [40926],0637,RC,60687-622-01,NDC,,,outpatient,1,EA,0.69,,0.345,0.414,0.6693,0.6486,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.5727,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.65274,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.55269,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,0.640941,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.552759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [40926],0637,RC,60687-622-11,NDC,,,outpatient,1,EA,0.69,,0.345,0.414,0.6693,0.6486,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.5727,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.65274,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.55269,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,0.640941,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.552759,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,68180-353-06,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,68180-353-09,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,16729-217-15,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,60687-253-01,NDC,,,outpatient,1,EA,2.05,,1.025,1.23,1.9885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.64205,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,1.904245,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.642255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,60687-253-11,NDC,,,outpatient,1,EA,2.05,,1.025,1.23,1.9885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.64205,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,1.904245,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.642255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,0904-6926-61,NDC,,,outpatient,1,EA,2.01,,1.005,1.206,1.9497,1.8894,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.6683,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.90146,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9497,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.7688,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.61001,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.867089,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.610211,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 50 MG TABLET [82488],0637,RC,65862-012-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 50 MG TABLET [82488],0637,RC,60687-242-01,NDC,,,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 50 MG TABLET [82488],0637,RC,60687-242-11,NDC,,,outpatient,1,EA,1.31,,0.655,0.786,1.2707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.04931,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.216859,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.049441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,58468-0130-1,NDC,J0601,HCPCS,outpatient,1,EA,24.48,,12.24,14.688,23.7456,23.0112,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,20.3184,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,22.5216,,,,percent of total billed charges,,22.5216,,,,percent of total billed charges,,23.15808,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,23.7456,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,21.5424,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,19.60848,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,14.688,,,,percent of total billed charges,,22.739472,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,14.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.610928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,65162-058-27,NDC,J0601,HCPCS,outpatient,1,EA,1.52,,0.76,0.912,1.4744,1.4288,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.2616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.43792,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.4744,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.3376,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.21752,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.411928,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.217672,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,50268-720-11,NDC,J0601,HCPCS,outpatient,1,EA,3.29,,1.645,1.974,3.1913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.63529,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.056081,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.635619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,50268-720-15,NDC,J0601,HCPCS,outpatient,1,EA,3.29,,1.645,1.974,3.1913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.63529,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.056081,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.635619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,60687-328-11,NDC,J0601,HCPCS,outpatient,1,EA,12.2,,6.1,7.32,11.834,11.468,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.126,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.5412,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,9.7722,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,11.33258,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.77342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,60687-328-65,NDC,J0601,HCPCS,outpatient,1,EA,12.2,,6.1,7.32,11.834,11.468,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.126,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.5412,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,9.7722,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,11.33258,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.77342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,0904-6707-06,NDC,J0601,HCPCS,outpatient,1,EA,11.1,,5.55,6.66,10.767,10.434,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.213,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.5006,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.767,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,8.8911,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,10.31079,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.89221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,0904-6707-82,NDC,J0601,HCPCS,outpatient,1,EA,21.77,,10.885,13.062,21.1169,20.4638,,,,percent of total billed charges,,17.416,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,18.0691,,,,percent of total billed charges,,19.593,,,,percent of total billed charges,,20.0284,,,,percent of total billed charges,,20.0284,,,,percent of total billed charges,,20.59442,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,21.1169,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,19.1576,,,,percent of total billed charges,,19.593,,,,percent of total billed charges,,17.43777,,,,percent of total billed charges,,19.593,,,,percent of total billed charges,,13.062,,,,percent of total billed charges,,20.222153,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,17.416,,,,percent of total billed charges,,13.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.439947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,68094-034-59,NDC,J0601,HCPCS,outpatient,1,EA,6.42,,3.21,3.852,6.2274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.14242,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,5.963538,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.143062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,68094-034-64,NDC,J0601,HCPCS,outpatient,1,EA,6.42,,3.21,3.852,6.2274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.14242,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,5.963538,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.143062,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 400 MG TABLET [82502],0636,RC,68462-446-26,NDC,J0603,HCPCS,outpatient,1,EA,11.6,,5.8,6.96,11.252,10.904,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.628,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.9736,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.252,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,10.208,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,9.2916,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,10.77524,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.29276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,58468-0021-1,NDC,J0603,HCPCS,outpatient,1,EA,30.6,,15.3,18.36,29.682,28.764,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,25.398,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.9476,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.682,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,26.928,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,24.5106,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,28.42434,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.51366,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,68462-447-18,NDC,J0603,HCPCS,outpatient,1,EA,11.26,,5.63,6.756,10.9222,10.5844,,,,percent of total billed charges,,9.008,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,9.3458,,,,percent of total billed charges,,10.134,,,,percent of total billed charges,,10.3592,,,,percent of total billed charges,,10.3592,,,,percent of total billed charges,,10.65196,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,10.9222,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,9.9088,,,,percent of total billed charges,,10.134,,,,percent of total billed charges,,9.01926,,,,percent of total billed charges,,10.134,,,,percent of total billed charges,,6.756,,,,percent of total billed charges,,10.459414,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,9.008,,,,percent of total billed charges,,6.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.020386,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,60687-449-01,NDC,J0603,HCPCS,outpatient,1,EA,44.75,,22.375,26.85,43.4075,42.065,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,37.1425,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,42.3335,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,43.4075,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,39.38,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,35.84475,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,41.568275,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.849225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,60687-449-11,NDC,J0603,HCPCS,outpatient,1,EA,44.75,,22.375,26.85,43.4075,42.065,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,37.1425,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,42.3335,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,43.4075,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,39.38,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,35.84475,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,41.568275,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.849225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,0069-4190-68,NDC,,,outpatient,1,EA,268.61,,134.305,161.166,260.5517,252.4934,,,,percent of total billed charges,,214.888,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,222.9463,,,,percent of total billed charges,,241.749,,,,percent of total billed charges,,247.1212,,,,percent of total billed charges,,247.1212,,,,percent of total billed charges,,254.10506,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,260.5517,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,236.3768,,,,percent of total billed charges,,241.749,,,,percent of total billed charges,,215.15661,,,,percent of total billed charges,,241.749,,,,percent of total billed charges,,161.166,,,,percent of total billed charges,,249.511829,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,214.888,,,,percent of total billed charges,,161.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,215.183471,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,50268-717-11,NDC,,,outpatient,1,EA,3.77,,1.885,2.262,3.6569,3.5438,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.1291,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.56642,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.6569,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.3176,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,3.01977,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,3.501953,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.020147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,50268-717-15,NDC,,,outpatient,1,EA,3.77,,1.885,2.262,3.6569,3.5438,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.1291,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.56642,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.6569,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.3176,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,3.01977,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,3.501953,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.020147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,63739-072-33,NDC,,,outpatient,1,EA,3.62,,1.81,2.172,3.5114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.89962,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.362618,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.899982,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [102850],0250,RC,12870-0001-1,NDC,,,outpatient,1,EA,2.85,,1.425,1.71,2.7645,2.679,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.6961,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.28285,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,2.647365,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.283135,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [102850],0250,RC,12870-0001-2,NDC,,,outpatient,1,EA,2.62,,1.31,1.572,2.5414,2.4628,,,,percent of total billed charges,,2.096,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.1746,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,2.4104,,,,percent of total billed charges,,2.4104,,,,percent of total billed charges,,2.47852,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.5414,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.3056,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,2.09862,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,1.572,,,,percent of total billed charges,,2.433718,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.096,,,,percent of total billed charges,,1.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.098882,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,61570-131-40,NDC,,,outpatient,400,GR,131.4,,65.7,78.84,127.458,123.516,,,,percent of total billed charges,,105.12,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,109.062,,,,percent of total billed charges,,118.26,,,,percent of total billed charges,,120.888,,,,percent of total billed charges,,120.888,,,,percent of total billed charges,,124.3044,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,127.458,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,115.632,,,,percent of total billed charges,,118.26,,,,percent of total billed charges,,105.2514,,,,percent of total billed charges,,118.26,,,,percent of total billed charges,,78.84,,,,percent of total billed charges,,122.05746,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,105.12,,,,percent of total billed charges,,78.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,105.26454,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,67877-124-25,NDC,,,outpatient,25,GR,33.53,,16.765,20.118,32.5241,31.5182,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,27.8299,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,31.71938,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,32.5241,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,29.5064,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,26.85753,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,31.146017,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.860883,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,43598-210-25,NDC,,,outpatient,25,GR,22.05,,11.025,13.23,21.3885,20.727,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,18.3015,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.8593,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,21.3885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,19.404,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,17.66205,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,20.482245,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.664255,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,43598-210-50,NDC,,,outpatient,50,GR,36.45,,18.225,21.87,35.3565,34.263,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,30.2535,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.4817,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,35.3565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,32.076,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,29.19645,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,33.858405,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.200095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,43598-210-55,NDC,,,outpatient,50,GR,28.13,,14.065,16.878,27.2861,26.4422,,,,percent of total billed charges,,22.504,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,23.3479,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,25.8796,,,,percent of total billed charges,,25.8796,,,,percent of total billed charges,,26.61098,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,27.2861,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,24.7544,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,22.53213,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,16.878,,,,percent of total billed charges,,26.129957,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,22.504,,,,percent of total billed charges,,16.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.534943,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,61570-131-25,NDC,,,outpatient,25,GR,10.58,,5.29,6.348,10.2626,9.9452,,,,percent of total billed charges,,8.464,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,8.7814,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7336,,,,percent of total billed charges,,9.7336,,,,percent of total billed charges,,10.00868,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,10.2626,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,9.3104,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,8.47458,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,9.827762,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,8.464,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.475638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,59762-0131-4,NDC,,,outpatient,400,GR,147.6,,73.8,88.56,143.172,138.744,,,,percent of total billed charges,,118.08,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,122.508,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,135.792,,,,percent of total billed charges,,135.792,,,,percent of total billed charges,,139.6296,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,143.172,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,129.888,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,118.2276,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,88.56,,,,percent of total billed charges,,137.10564,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,118.08,,,,percent of total billed charges,,88.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,118.24236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,59762-0131-2,NDC,,,outpatient,25,GR,30.83,,15.415,18.498,29.9051,28.9802,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,25.5889,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,29.16518,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.9051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,27.1304,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,24.69483,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,28.637987,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.697913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,5618412041,NDC,,,outpatient,30,ML,20.39,,10.195,12.234,19.7783,19.1666,,,,percent of total billed charges,,16.312,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,16.9237,,,,percent of total billed charges,,18.351,,,,percent of total billed charges,,18.7588,,,,percent of total billed charges,,18.7588,,,,percent of total billed charges,,19.28894,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,19.7783,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,17.9432,,,,percent of total billed charges,,18.351,,,,percent of total billed charges,,16.33239,,,,percent of total billed charges,,18.351,,,,percent of total billed charges,,12.234,,,,percent of total billed charges,,18.940271,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,16.312,,,,percent of total billed charges,,12.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.334429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,19903-01024,NDC,,,outpatient,36,ML,40.02,,20.01,24.012,38.8194,37.6188,,,,percent of total billed charges,,32.016,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,33.2166,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.8184,,,,percent of total billed charges,,36.8184,,,,percent of total billed charges,,37.85892,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,38.8194,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,35.2176,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,32.05602,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,37.174578,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,32.016,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.060022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,46122-547-03,NDC,,,outpatient,30,ML,7.43,,3.715,4.458,7.2071,6.9842,,,,percent of total billed charges,,5.944,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,6.1669,,,,percent of total billed charges,,6.687,,,,percent of total billed charges,,6.8356,,,,percent of total billed charges,,6.8356,,,,percent of total billed charges,,7.02878,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,7.2071,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,6.5384,,,,percent of total billed charges,,6.687,,,,percent of total billed charges,,5.95143,,,,percent of total billed charges,,6.687,,,,percent of total billed charges,,4.458,,,,percent of total billed charges,,6.901727,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,5.944,,,,percent of total billed charges,,4.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.952173,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,69618-059-51,NDC,,,outpatient,30,ML,14.18,,7.09,8.508,13.7546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,11.35818,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,13.171802,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.359598,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,9999-7228-03,NDC,,,outpatient,0.3,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,0536-1303-75,NDC,,,outpatient,30,ML,9.05,,4.525,5.43,8.7785,8.507,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.5115,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.5613,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.7785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.964,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,7.24905,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,8.406545,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.249955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMETHICONE 80 MG CHEWABLE TABLET [7227],0637,RC,24385-118-78,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMETHICONE 80 MG CHEWABLE TABLET [7227],0637,RC,77333-812-10,NDC,,,outpatient,1,EA,0.84,,0.42,0.504,0.8148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.67284,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.780276,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.672924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMETHICONE 80 MG CHEWABLE TABLET [7227],0637,RC,77333-812-25,NDC,,,outpatient,1,EA,0.84,,0.42,0.504,0.8148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.67284,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.780276,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.672924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,30,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,0536-1303-75,NDC,,,outpatient,30,ML,9.05,,4.525,5.43,8.7785,8.507,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.5115,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.5613,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.7785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.964,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,7.24905,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,8.406545,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.249955,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,0270-0556-15,NDC,J2805,HCPCS,outpatient,1,EA,508.01,,254.005,304.806,492.7697,477.5294,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,421.6483,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,480.57746,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,492.7697,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,447.0488,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,406.91601,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,471.890489,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,406.966811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,63323-579-01,NDC,J2805,HCPCS,outpatient,1,EA,285.97,,142.985,171.582,277.3909,268.8118,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,237.3551,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,270.52762,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,277.3909,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,251.6536,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,229.06197,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,265.637533,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.090567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,63323-579-05,NDC,J2805,HCPCS,outpatient,1,EA,285.97,,142.985,171.582,277.3909,268.8118,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,237.3551,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,270.52762,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,277.3909,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,251.6536,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,229.06197,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,265.637533,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.090567,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,72266-248-01,NDC,J2805,HCPCS,outpatient,1,EA,343.29,,171.645,205.974,332.9913,322.6926,,,,percent of total billed charges,,274.632,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,284.9307,,,,percent of total billed charges,,308.961,,,,percent of total billed charges,,315.8268,,,,percent of total billed charges,,315.8268,,,,percent of total billed charges,,324.75234,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,332.9913,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,302.0952,,,,percent of total billed charges,,308.961,,,,percent of total billed charges,,274.97529,,,,percent of total billed charges,,308.961,,,,percent of total billed charges,,205.974,,,,percent of total billed charges,,318.882081,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,274.632,,,,percent of total billed charges,,205.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,275.009619,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,72266-248-05,NDC,J2805,HCPCS,outpatient,1,EA,332.99,,166.495,199.794,323.0003,313.0106,,,,percent of total billed charges,,266.392,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,276.3817,,,,percent of total billed charges,,299.691,,,,percent of total billed charges,,306.3508,,,,percent of total billed charges,,306.3508,,,,percent of total billed charges,,315.00854,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,323.0003,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,293.0312,,,,percent of total billed charges,,299.691,,,,percent of total billed charges,,266.72499,,,,percent of total billed charges,,299.691,,,,percent of total billed charges,,199.794,,,,percent of total billed charges,,309.314411,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,266.392,,,,percent of total billed charges,,199.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,266.758289,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,30,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,0270-0556-15,NDC,J2805,HCPCS,outpatient,1.352,ML,508.01,,254.005,304.806,492.7697,477.5294,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,421.6483,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,480.57746,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,492.7697,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,447.0488,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,406.91601,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,471.890489,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,406.966811,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOD BICARB-CITRIC AC-SIMETH 2.21 GRAM-1.53 GRAM/4 GRAM GRANULES EFFERV [215346],0637,RC,10361-793-01,NDC,,,outpatient,1,EA,5.15,,2.575,3.09,4.9955,4.841,,,,percent of total billed charges,,4.12,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.2745,,,,percent of total billed charges,,4.635,,,,percent of total billed charges,,4.738,,,,percent of total billed charges,,4.738,,,,percent of total billed charges,,4.8719,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.9955,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.532,,,,percent of total billed charges,,4.635,,,,percent of total billed charges,,4.12515,,,,percent of total billed charges,,4.635,,,,percent of total billed charges,,3.09,,,,percent of total billed charges,,4.783835,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.12,,,,percent of total billed charges,,3.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.125665,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM 35 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV [136244],0637,RC,0517-2020-25,NDC,,,outpatient,20,ML,6.12,,3.06,3.672,5.9364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,4.90212,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,5.684868,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.902732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,0409-7299-73,NDC,,,outpatient,20,ML,12.96,,6.48,7.776,12.5712,12.1824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.7568,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,12.26016,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,11.4048,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,10.38096,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,12.038544,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.382256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,0409-3299-06,NDC,,,outpatient,100,ML,26.1,,13.05,15.66,25.317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,20.9061,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,24.24429,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.90871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,0409-7299-83,NDC,,,outpatient,20,ML,12.96,,6.48,7.776,12.5712,12.1824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.7568,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,12.26016,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,11.4048,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,10.38096,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,12.038544,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.382256,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,0409-3299-16,NDC,,,outpatient,100,ML,26.1,,13.05,15.66,25.317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,20.9061,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,24.24429,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.90871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,69784-230-20,NDC,,,outpatient,50,ML,48.83,,24.415,29.298,47.3651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,39.11283,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,45.358187,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.117713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,69784-231-20,NDC,,,outpatient,100,ML,67.05,,33.525,40.23,65.0385,63.027,,,,percent of total billed charges,,53.64,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,55.6515,,,,percent of total billed charges,,60.345,,,,percent of total billed charges,,61.686,,,,percent of total billed charges,,61.686,,,,percent of total billed charges,,63.4293,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,65.0385,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,60.345,,,,percent of total billed charges,,53.70705,,,,percent of total billed charges,,60.345,,,,percent of total billed charges,,40.23,,,,percent of total billed charges,,62.282745,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,53.64,,,,percent of total billed charges,,40.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.713755,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,69784-230-10,NDC,,,outpatient,50,ML,48.83,,24.415,29.298,47.3651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,39.11283,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,45.358187,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.117713,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,0409-6625-02,NDC,,,outpatient,50,ML,35.78,,17.89,21.468,34.7066,33.6332,,,,percent of total billed charges,,28.624,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,29.6974,,,,percent of total billed charges,,32.202,,,,percent of total billed charges,,32.9176,,,,percent of total billed charges,,32.9176,,,,percent of total billed charges,,33.84788,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,34.7066,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,31.4864,,,,percent of total billed charges,,32.202,,,,percent of total billed charges,,28.65978,,,,percent of total billed charges,,32.202,,,,percent of total billed charges,,21.468,,,,percent of total billed charges,,33.236042,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,28.624,,,,percent of total billed charges,,21.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.663358,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,63323-089-50,NDC,,,outpatient,50,ML,24.75,,12.375,14.85,24.0075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,19.82475,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,22.990275,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.827225,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5001-1,NDC,,,outpatient,50,ML,22.73,,11.365,13.638,22.0481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,18.20673,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,21.113897,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.209003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5001-5,NDC,,,outpatient,50,ML,22.73,,11.365,13.638,22.0481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,18.20673,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,21.113897,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.209003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5011-1,NDC,,,outpatient,10,ML,33.08,,16.54,19.848,32.0876,31.0952,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,27.4564,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,31.29368,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,32.0876,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,29.1104,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,26.49708,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,30.728012,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.500388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5011-4,NDC,,,outpatient,10,ML,33.08,,16.54,19.848,32.0876,31.0952,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,27.4564,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,31.29368,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,32.0876,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,29.1104,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,26.49708,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,30.728012,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.500388,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,0409-6625-14,NDC,,,outpatient,50,ML,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,0409-6625-22,NDC,,,outpatient,50,ML,36,,18,21.6,34.92,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,28.836,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,33.4404,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.8396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML PEDS INFUSION [1000406],0258,RC,WVU01-004-06,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE [214462],0250,RC,0409-4900-34,NDC,,,outpatient,10,ML,49.68,,24.84,29.808,48.1896,46.6992,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,41.2344,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,46.99728,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,48.1896,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,43.7184,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,39.79368,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,46.147752,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.798648,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE [214462],0250,RC,0409-4900-14,NDC,,,outpatient,10,ML,72.18,,36.09,43.308,70.0146,67.8492,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,59.9094,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,68.28228,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,70.0146,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,63.5184,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,57.81618,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,67.048002,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.823398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE [214462],0250,RC,0409-4900-24,NDC,,,outpatient,10,ML,72.18,,36.09,43.308,70.0146,67.8492,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,59.9094,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,68.28228,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,70.0146,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,63.5184,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,57.81618,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,67.048002,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.823398,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 2% IN NS NEB SOLUTION [7000028],0250,RC,9997-0000-28,NDC,,,outpatient,30,ML,35.51,,17.755,21.306,34.4447,33.3794,,,,percent of total billed charges,,28.408,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,29.4733,,,,percent of total billed charges,,31.959,,,,percent of total billed charges,,32.6692,,,,percent of total billed charges,,32.6692,,,,percent of total billed charges,,33.59246,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,34.4447,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,31.2488,,,,percent of total billed charges,,31.959,,,,percent of total billed charges,,28.44351,,,,percent of total billed charges,,31.959,,,,percent of total billed charges,,21.306,,,,percent of total billed charges,,32.985239,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,28.408,,,,percent of total billed charges,,21.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.447061,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [86407],0250,RC,0409-5534-14,NDC,,,outpatient,10,ML,58.32,,29.16,34.992,56.5704,54.8208,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,48.4056,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,55.17072,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,56.5704,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,51.3216,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,46.71432,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,54.173448,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.720152,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [86407],0250,RC,0409-5534-24,NDC,,,outpatient,10,ML,58.32,,29.16,34.992,56.5704,54.8208,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,48.4056,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,55.17072,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,56.5704,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,51.3216,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,46.71432,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,54.173448,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.720152,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRINGE - CHI [7000107],0250,RC,63323-026-05,NDC,,,outpatient,5,ML,8.98,,4.49,5.388,8.7106,8.4412,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.4534,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.49508,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.7106,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.9024,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,7.19298,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,8.341522,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.193878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRINGE - CHI [7000107],0250,RC,9999-7306-02,NDC,,,outpatient,2,ML,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,63323-026-05,NDC,,,outpatient,5,ML,8.98,,4.49,5.388,8.7106,8.4412,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.4534,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.49508,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.7106,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.9024,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,7.19298,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,8.341522,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.193878,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,9999-7306-02,NDC,,,outpatient,2,ML,3.6,,1.8,2.16,3.492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.8836,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.34404,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.88396,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,0409-5555-02,NDC,,,outpatient,5,ML,19.58,,9.79,11.748,18.9926,18.4052,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,16.2514,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.52268,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.9926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,17.2304,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,15.68358,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,18.187862,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.685538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,0409-5555-12,NDC,,,outpatient,5,ML,19.58,,9.79,11.748,18.9926,18.4052,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,16.2514,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.52268,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.9926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,17.2304,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,15.68358,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,18.187862,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.685538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,7733383110,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,7733383125,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,0904-7261-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,77333-827-10,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,77333-827-25,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 7.5 % (0.9 MEQ/ML) INTRAVENOUS SYRINGE [86161],0250,RC,0409-4916-34,NDC,,,outpatient,50,ML,57.15,,28.575,34.29,55.4355,53.721,,,,percent of total billed charges,,45.72,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,47.4345,,,,percent of total billed charges,,51.435,,,,percent of total billed charges,,52.578,,,,percent of total billed charges,,52.578,,,,percent of total billed charges,,54.0639,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,55.4355,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,50.292,,,,percent of total billed charges,,51.435,,,,percent of total billed charges,,45.77715,,,,percent of total billed charges,,51.435,,,,percent of total billed charges,,34.29,,,,percent of total billed charges,,53.086635,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,45.72,,,,percent of total billed charges,,34.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.782865,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [86408],0250,RC,76329-3352-1,NDC,,,outpatient,50,ML,61.2,,30.6,36.72,59.364,57.528,,,,percent of total billed charges,,48.96,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,50.796,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,56.304,,,,percent of total billed charges,,56.304,,,,percent of total billed charges,,57.8952,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,59.364,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,49.0212,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,36.72,,,,percent of total billed charges,,56.84868,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,48.96,,,,percent of total billed charges,,36.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.02732,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [86408],0250,RC,0409-6637-14,NDC,,,outpatient,50,ML,54.9,,27.45,32.94,53.253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,43.9749,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,50.99661,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.98039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [86408],0250,RC,0409-6637-24,NDC,,,outpatient,50,ML,54.9,,27.45,32.94,53.253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,43.9749,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,50.99661,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.98039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0258,RC,0338-0043-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.45 % IV BOLUS [1000407],0258,RC,0338-0043-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0258,RC,0338-0043-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0637,RC,0904-3865-75,NDC,,,outpatient,44,ML,4.16,,2.08,2.496,4.0352,3.9104,,,,percent of total billed charges,,3.328,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.4528,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,3.8272,,,,percent of total billed charges,,3.8272,,,,percent of total billed charges,,3.93536,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,4.0352,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.6608,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,3.33216,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,3.864224,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.328,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.332576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0637,RC,8770155205,NDC,,,outpatient,44,ML,9.9,,4.95,5.94,9.603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,7.9299,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.19611,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.93089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0637,RC,6961805153,NDC,,,outpatient,45,ML,4.66,,2.33,2.796,4.5202,4.3804,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.8678,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.40836,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.5202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.1008,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,3.73266,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,4.328674,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.733126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,63323-186-10,NDC,,,outpatient,10,ML,3.2,,1.6,1.92,3.104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.5632,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,2.97248,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.56352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,63323-186-20,NDC,,,outpatient,20,ML,6.48,,3.24,3.888,6.2856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.19048,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.019272,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.191128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-20,NDC,,,outpatient,20,ML,4.77,,2.385,2.862,4.6269,4.4838,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.9591,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.51242,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.6269,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.1976,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,3.82077,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,4.430853,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.821247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-50,NDC,,,outpatient,50,ML,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-10,NDC,,,outpatient,10,ML,1.94,,0.97,1.164,1.8818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.55394,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.802066,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.554134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-12,NDC,,,outpatient,10,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-02,NDC,,,outpatient,10,ML,1.94,,0.97,1.164,1.8818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.55394,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.802066,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.554134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-01,NDC,,,outpatient,10,ML,8.55,,4.275,5.13,8.2935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.84855,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,7.942095,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.849405,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-03,NDC,,,outpatient,20,ML,4.77,,2.385,2.862,4.6269,4.4838,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.9591,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.51242,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.6269,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.1976,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,3.82077,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,4.430853,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.821247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,0409-4888-06,NDC,,,outpatient,50,ML,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,63323-186-01,NDC,,,outpatient,10,ML,3.2,,1.6,1.92,3.104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.5632,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,2.97248,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.56352,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,63323-186-03,NDC,,,outpatient,20,ML,6.48,,3.24,3.888,6.2856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.19048,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.019272,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.191128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-11,NDC,,,outpatient,50,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-0553-18,NDC,,,outpatient,100,ML,12.15,,6.075,7.29,11.7855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,9.73215,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,11.286135,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.733365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,0338-9159-30,NDC,,,outpatient,100,ML,13.05,,6.525,7.83,12.6585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,10.45305,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,12.122145,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.454355,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0264-1800-31,NDC,,,outpatient,50,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0264-1800-36,NDC,,,outpatient,25,ML,11.37,,5.685,6.822,11.0289,10.6878,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.4371,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.75602,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,11.0289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.0056,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,9.10737,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,10.561593,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.108507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-02,NDC,,,outpatient,250,ML,5.63,,2.815,3.378,5.4611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,4.50963,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.229707,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.510193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-10,NDC,,,outpatient,25,ML,6.53,,3.265,3.918,6.3341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,5.23053,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.065717,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.231183,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-11,NDC,,,outpatient,50,ML,6.08,,3.04,3.648,5.8976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.87008,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,5.647712,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.870688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-18,NDC,,,outpatient,100,ML,6.3,,3.15,3.78,6.111,5.922,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.229,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9598,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.0463,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,5.85207,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.04693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0409-7984-37,NDC,,,outpatient,100,ML,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0264-7800-09,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,63323-623-61,NDC,,,outpatient,100,ML,7.2,,3.6,4.32,6.984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,6.68808,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.76792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,63323-623-76,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0990-7983-61,NDC,,,outpatient,150,ML,22.95,,11.475,13.77,22.2615,21.573,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,19.0485,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.7107,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,22.2615,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,20.196,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,18.38295,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,21.318255,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.385245,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,3000,ML,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0048-04,NDC,,,outpatient,1000,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,9999-1114-03,NDC,,,outpatient,500,ML,4.5,,2.25,2.7,4.365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,3.6045,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.18005,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.60495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,9999-2114-03,NDC,,,outpatient,1000,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,0338-0049-02,NDC,,,outpatient,250,ML,5.63,,2.815,3.378,5.4611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,4.50963,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.229707,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.510193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,0338-0049-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,0338-0049-18,NDC,,,outpatient,100,ML,6.3,,3.15,3.78,6.111,5.922,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.229,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9598,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.0463,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,5.85207,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.04693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,63323-064-02,NDC,J3475,HCPCS,outpatient,2,GR,12.91,,6.455,7.746,12.5227,12.1354,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.7153,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,12.21286,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.5227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,11.3608,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,10.34091,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,11.992099,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.342201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,1000,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,63323-965-05,NDC,J3480,HCPCS,outpatient,20,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,63323-924-10,NDC,,,outpatient,10,ML,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,63323-924-30,NDC,,,outpatient,30,ML,9.18,,4.59,5.508,8.9046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,7.35318,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,8.527302,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.354098,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,0409-1966-07,NDC,,,outpatient,30,ML,3.51,,1.755,2.106,3.4047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.81151,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.260439,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.811861,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,0409-1966-12,NDC,,,outpatient,10,ML,7.7,,3.85,4.62,7.469,7.238,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.391,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.2842,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.776,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,6.1677,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,7.15253,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.16847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,0409-1966-02,NDC,,,outpatient,30,ML,3.51,,1.755,2.106,3.4047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.81151,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.260439,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.811861,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,0409-1966-06,NDC,,,outpatient,10,ML,7.7,,3.85,4.62,7.469,7.238,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.391,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.2842,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.776,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,6.1677,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,7.15253,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.16847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,63323-924-01,NDC,,,outpatient,10,ML,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,63323-924-03,NDC,,,outpatient,30,ML,9.18,,4.59,5.508,8.9046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,7.35318,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,8.527302,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.354098,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9% INTRAVENOUS BAG/VIAL WRAPPER FOR MIXTURES [1001955],0250,RC,0264-1800-36,NDC,,,outpatient,25,ML,11.37,,5.685,6.822,11.0289,10.6878,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.4371,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.75602,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,11.0289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.0056,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,9.10737,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,10.561593,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.108507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9% INTRAVENOUS BAG/VIAL WRAPPER FOR MIXTURES [1001955],0250,RC,0409-4888-02,NDC,,,outpatient,10,ML,1.94,,0.97,1.164,1.8818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.55394,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.802066,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.554134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,7733383510,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,7733383525,NDC,,,outpatient,1,EA,0.85,,0.425,0.51,0.8245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.68085,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.789565,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.680935,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,77333-844-10,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,77333-844-25,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 10% IN SW NEB SOLUTION [7000029],0250,RC,9997-0000-29,NDC,,,outpatient,30,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,63323-139-40,NDC,,,outpatient,40,ML,22.68,,11.34,13.608,21.9996,21.3192,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,18.8244,,,,percent of total billed charges,,20.412,,,,percent of total billed charges,,20.8656,,,,percent of total billed charges,,20.8656,,,,percent of total billed charges,,21.45528,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,21.9996,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,19.9584,,,,percent of total billed charges,,20.412,,,,percent of total billed charges,,18.16668,,,,percent of total billed charges,,20.412,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,21.067452,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.168948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,63323-090-02,NDC,,,outpatient,20,ML,14.31,,7.155,8.586,13.8807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,11.46231,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,13.292559,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.463741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,63323-090-20,NDC,,,outpatient,20,ML,14.31,,7.155,8.586,13.8807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,11.46231,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,13.292559,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.463741,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,63323-090-40,NDC,,,outpatient,40,ML,14.04,,7.02,8.424,13.6188,13.1976,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.6532,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,13.28184,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.6188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,12.3552,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,11.24604,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,13.041756,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.247444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML ORAL LIQUID [192078],0637,RC,9991-0003-43,NDC,,,outpatient,30,ML,2.84,,1.42,1.704,2.7548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.27484,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.638076,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.275124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],0637,RC,0378699789,NDC,,,outpatient,15,ML,2.91,,1.455,1.746,2.8227,2.7354,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.75286,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.8227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.5608,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.33091,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,2.703099,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.331201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,0264-7805-10,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,0338-0054-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,63323-530-21,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,63323-530-75,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC IV BOLUS [1000704],0250,RC,0338-0054-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3% HYPTERTONIC INJECTION [7000141],0250,RC,0338-0054-03,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,0409-1141-02,NDC,,,outpatient,100,ML,15.3,,7.65,9.18,14.841,14.382,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.4738,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.841,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,12.2553,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,14.21217,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.25683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,0409-1141-12,NDC,,,outpatient,100,ML,15.3,,7.65,9.18,14.841,14.382,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.4738,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.841,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,12.2553,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,14.21217,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.25683,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,63323-093-01,NDC,,,outpatient,30,ML,13.37,,6.685,8.022,12.9689,12.5678,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.0971,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.64802,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.9689,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.7656,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,10.70937,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,12.419393,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.710707,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,63323-093-30,NDC,,,outpatient,30,ML,13.37,,6.685,8.022,12.9689,12.5678,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.0971,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.64802,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.9689,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.7656,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,10.70937,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,12.419393,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.710707,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,63323-095-02,NDC,,,outpatient,100,ML,50.4,,25.2,30.24,48.888,47.376,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,41.832,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,47.6784,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,40.3704,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,46.81656,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.37544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,63323-095-61,NDC,,,outpatient,100,ML,50.4,,25.2,30.24,48.888,47.376,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,41.832,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,47.6784,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,40.3704,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,46.81656,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.37544,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE [197628],0250,RC,70092-1148-43,NDC,,,outpatient,3,ML,41.31,,20.655,24.786,40.0707,38.8314,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,34.2873,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,39.07926,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,40.0707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,36.3528,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,33.08931,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,38.372859,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.093441,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION [164713],0250,RC,0942-9504-10,NDC,,,outpatient,500,ML,418.5,,209.25,251.1,405.945,393.39,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,347.355,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,395.901,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,405.945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,368.28,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,335.2185,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,388.74465,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,335.26035,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION [164713],0250,RC,9999-1647-13,NDC,,,outpatient,2.5,ML,2.1,,1.05,1.26,2.037,1.974,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.743,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.9866,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,2.037,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.6821,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.95069,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.68231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,0121059515,NDC,,,outpatient,15,ML,19.17,,9.585,11.502,18.5949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,15.35517,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,17.807013,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.357087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,0121059516,NDC,,,outpatient,473,ML,53.22,,26.61,31.932,51.6234,50.0268,,,,percent of total billed charges,,42.576,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,44.1726,,,,percent of total billed charges,,47.898,,,,percent of total billed charges,,48.9624,,,,percent of total billed charges,,48.9624,,,,percent of total billed charges,,50.34612,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,51.6234,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,46.8336,,,,percent of total billed charges,,47.898,,,,percent of total billed charges,,42.62922,,,,percent of total billed charges,,47.898,,,,percent of total billed charges,,31.932,,,,percent of total billed charges,,49.436058,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,42.576,,,,percent of total billed charges,,31.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.634542,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,0121059530,NDC,,,outpatient,30,ML,5.54,,2.77,3.324,5.3738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,4.43754,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.146106,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.438094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,0121059500,NDC,,,outpatient,15,ML,19.17,,9.585,11.502,18.5949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,15.35517,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,17.807013,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.357087,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,0121119000,NDC,,,outpatient,30,ML,20.79,,10.395,12.474,20.1663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,16.65279,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,19.311831,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.654869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,0121119030,NDC,,,outpatient,30,ML,20.79,,10.395,12.474,20.1663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,16.65279,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,19.311831,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.654869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,0024-2792-10,NDC,J2916,HCPCS,outpatient,5,ML,36.05,,18.025,21.63,34.9685,33.887,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,29.9215,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,34.1033,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.9685,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,31.724,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,28.87605,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,33.486845,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.879655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,0143-9570-01,NDC,J2916,HCPCS,outpatient,5,ML,62.04,,31.02,37.224,60.1788,58.3176,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,51.4932,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,58.68984,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,60.1788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,54.5952,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,49.69404,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,57.628956,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.700244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,0143-9570-10,NDC,J2916,HCPCS,outpatient,5,ML,62.04,,31.02,37.224,60.1788,58.3176,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,51.4932,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,58.68984,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,60.1788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,54.5952,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,49.69404,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,57.628956,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,49.700244,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,0024-2792-01,NDC,J2916,HCPCS,outpatient,5,ML,36.05,,18.025,21.63,34.9685,33.887,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,29.9215,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,34.1033,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.9685,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,31.724,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,28.87605,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,33.486845,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.879655,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,0024-2792-10,NDC,J2916,HCPCS,outpatient,125,ME,72.09,,36.045,43.254,69.9273,67.7646,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,59.8347,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,66.3228,,,,percent of total billed charges,,66.3228,,,,percent of total billed charges,,68.19714,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,69.9273,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,63.4392,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,57.74409,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,66.964401,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.751299,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,0024-2792-10,NDC,J2916,HCPCS,outpatient,25,ME,14.42,,7.21,8.652,13.9874,13.5548,,,,percent of total billed charges,,11.536,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,11.9686,,,,percent of total billed charges,,12.978,,,,percent of total billed charges,,13.2664,,,,percent of total billed charges,,13.2664,,,,percent of total billed charges,,13.64132,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,13.9874,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,12.6896,,,,percent of total billed charges,,12.978,,,,percent of total billed charges,,11.55042,,,,percent of total billed charges,,12.978,,,,percent of total billed charges,,8.652,,,,percent of total billed charges,,13.394738,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,11.536,,,,percent of total billed charges,,8.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.551862,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM GLYCEROPHOSPHATE 1 MMOL/ML INTRAVENOUS SOLUTION [216888],0250,RC,63323-241-20,NDC,,,outpatient,20,ML,47.16,,23.58,28.296,45.7452,44.3304,,,,percent of total billed charges,,37.728,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,39.1428,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,43.3872,,,,percent of total billed charges,,43.3872,,,,percent of total billed charges,,44.61336,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,45.7452,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,41.5008,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,37.77516,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,28.296,,,,percent of total billed charges,,43.806924,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,37.728,,,,percent of total billed charges,,28.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,37.779876,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM GLYCEROPHOSPHATE 1 MMOL/ML INTRAVENOUS SOLUTION [216888],0250,RC,63323-241-20,NDC,,,outpatient,10,EA,23.58,,11.79,14.148,22.8726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,18.88758,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,21.903462,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.889938,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.125 % SOLUTION [102280],0250,RC,0436-0672-16,NDC,,,outpatient,473,ML,57.47,,28.735,34.482,55.7459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,46.03347,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,53.383883,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.039217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.25 % SOLUTION [83461],0250,RC,0436-0936-16,NDC,,,outpatient,473,ML,57.47,,28.735,34.482,55.7459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,46.03347,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,53.383883,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.039217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.25 % SOLUTION [83461],0250,RC,39328-063-25,NDC,,,outpatient,473,ML,40.45,,20.225,24.27,39.2365,38.023,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,33.5735,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,38.2657,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,39.2365,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,35.596,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,32.40045,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,37.574005,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.404495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.5 % SOLUTION [83462],0250,RC,0436-0946-16,NDC,,,outpatient,473,ML,57.47,,28.735,34.482,55.7459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,46.03347,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,53.383883,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.039217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.5% SOLUTION FOR WOUND VAC [1000872],0250,RC,0436-0946-16,NDC,,,outpatient,473,ML,57.47,,28.735,34.482,55.7459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,46.03347,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,53.383883,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.039217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.5% SOLUTION FOR WOUND VAC [1000872],0250,RC,39328-062-50,NDC,,,outpatient,473,ML,40.45,,20.225,24.27,39.2365,38.023,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,33.5735,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,38.2657,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,39.2365,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,35.596,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,32.40045,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,37.574005,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.404495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.125% (QUARTER STRENGTH) FOR WOUND VAC [1000874],0250,RC,0436-0672-16,NDC,,,outpatient,473,ML,57.47,,28.735,34.482,55.7459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,46.03347,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,53.383883,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.039217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.125% (QUARTER STRENGTH) FOR WOUND VAC [1000874],0250,RC,9910-0087-41,NDC,,,outpatient,1000,ML,76.5,,38.25,45.9,74.205,71.91,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,63.495,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,72.369,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,74.205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,61.2765,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,71.06085,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.28415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.25% (HALF STRENGTH) FOR WOUND VAC [1000873],0250,RC,0436-0936-16,NDC,,,outpatient,473,ML,57.47,,28.735,34.482,55.7459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,46.03347,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,53.383883,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.039217,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.25% (HALF STRENGTH) FOR WOUND VAC [1000873],0250,RC,9910-0087-31,NDC,,,outpatient,1000,ML,76.5,,38.25,45.9,74.205,71.91,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,63.495,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,72.369,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,74.205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,61.2765,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,71.06085,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,61.28415,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN [203582],0636,RC,60267-812-00,NDC,J0211,HCPCS,outpatient,60,ML,855.09,,427.545,513.054,829.4373,803.7846,,,,percent of total billed charges,,684.072,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,709.7247,,,,percent of total billed charges,,769.581,,,,percent of total billed charges,,786.6828,,,,percent of total billed charges,,786.6828,,,,percent of total billed charges,,808.91514,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,829.4373,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,752.4792,,,,percent of total billed charges,,769.581,,,,percent of total billed charges,,684.92709,,,,percent of total billed charges,,769.581,,,,percent of total billed charges,,513.054,,,,percent of total billed charges,,794.293101,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,684.072,,,,percent of total billed charges,,513.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,685.012599,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,0409-3024-01,NDC,,,outpatient,2,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,67457-839-02,NDC,,,outpatient,2,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,70069-261-01,NDC,,,outpatient,2,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,72485-105-01,NDC,,,outpatient,2,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-170-15,NDC,,,outpatient,15,EA,29.14,,14.57,17.484,28.2658,27.3916,,,,percent of total billed charges,,23.312,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,24.1862,,,,percent of total billed charges,,26.226,,,,percent of total billed charges,,26.8088,,,,percent of total billed charges,,26.8088,,,,percent of total billed charges,,27.56644,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,28.2658,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,25.6432,,,,percent of total billed charges,,26.226,,,,percent of total billed charges,,23.34114,,,,percent of total billed charges,,26.226,,,,percent of total billed charges,,17.484,,,,percent of total billed charges,,27.068146,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,23.312,,,,percent of total billed charges,,17.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23.344054,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-170-05,NDC,,,outpatient,5,ML,35.55,,17.775,21.33,34.4835,33.417,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,29.5065,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,33.6303,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,34.4835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,31.284,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,28.47555,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,33.022395,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.479105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-170-15,NDC,,,outpatient,15,ML,87.42,,43.71,52.452,84.7974,82.1748,,,,percent of total billed charges,,69.936,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,72.5586,,,,percent of total billed charges,,78.678,,,,percent of total billed charges,,80.4264,,,,percent of total billed charges,,80.4264,,,,percent of total billed charges,,82.69932,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,84.7974,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,76.9296,,,,percent of total billed charges,,78.678,,,,percent of total billed charges,,70.02342,,,,percent of total billed charges,,78.678,,,,percent of total billed charges,,52.452,,,,percent of total billed charges,,81.204438,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,69.936,,,,percent of total billed charges,,52.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.032162,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,0409-7391-72,NDC,,,outpatient,15,ML,63.79,,31.895,38.274,61.8763,59.9626,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,52.9457,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,60.34534,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,61.8763,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,56.1352,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,51.09579,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,59.254531,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.102169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,0409-7391-82,NDC,,,outpatient,15,ML,63.79,,31.895,38.274,61.8763,59.9626,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,52.9457,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,60.34534,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,61.8763,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,56.1352,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,51.09579,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,59.254531,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.102169,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-886-01,NDC,,,outpatient,50,ML,498.38,,249.19,299.028,483.4286,468.4772,,,,percent of total billed charges,,398.704,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,413.6554,,,,percent of total billed charges,,448.542,,,,percent of total billed charges,,458.5096,,,,percent of total billed charges,,458.5096,,,,percent of total billed charges,,471.46748,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,483.4286,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,438.5744,,,,percent of total billed charges,,448.542,,,,percent of total billed charges,,399.20238,,,,percent of total billed charges,,448.542,,,,percent of total billed charges,,299.028,,,,percent of total billed charges,,462.945182,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,398.704,,,,percent of total billed charges,,299.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,399.252218,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-881-01,NDC,,,outpatient,15,ML,149.45,,74.725,89.67,144.9665,140.483,,,,percent of total billed charges,,119.56,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,124.0435,,,,percent of total billed charges,,134.505,,,,percent of total billed charges,,137.494,,,,percent of total billed charges,,137.494,,,,percent of total billed charges,,141.3797,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,144.9665,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,131.516,,,,percent of total billed charges,,134.505,,,,percent of total billed charges,,119.70945,,,,percent of total billed charges,,134.505,,,,percent of total billed charges,,89.67,,,,percent of total billed charges,,138.824105,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,119.56,,,,percent of total billed charges,,89.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.724395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-884-01,NDC,,,outpatient,5,ML,70.43,,35.215,42.258,68.3171,66.2042,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,58.4569,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,66.62678,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,68.3171,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,61.9784,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,56.41443,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,65.422427,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.421473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-884-06,NDC,,,outpatient,5,ML,70.43,,35.215,42.258,68.3171,66.2042,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,58.4569,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,66.62678,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,68.3171,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,61.9784,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,56.41443,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,65.422427,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.421473,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-170-15,NDC,,,outpatient,5.408,EA,10.51,,5.255,6.306,10.1947,9.8794,,,,percent of total billed charges,,8.408,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,8.7233,,,,percent of total billed charges,,9.459,,,,percent of total billed charges,,9.6692,,,,percent of total billed charges,,9.6692,,,,percent of total billed charges,,9.94246,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,10.1947,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,9.2488,,,,percent of total billed charges,,9.459,,,,percent of total billed charges,,8.41851,,,,percent of total billed charges,,9.459,,,,percent of total billed charges,,6.306,,,,percent of total billed charges,,9.762739,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,8.408,,,,percent of total billed charges,,6.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.419561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,63323-170-15,NDC,,,outpatient,10,EA,19.43,,9.715,11.658,18.8471,18.2642,,,,percent of total billed charges,,15.544,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,16.1269,,,,percent of total billed charges,,17.487,,,,percent of total billed charges,,17.8756,,,,percent of total billed charges,,17.8756,,,,percent of total billed charges,,18.38078,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,18.8471,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,17.0984,,,,percent of total billed charges,,17.487,,,,percent of total billed charges,,15.56343,,,,percent of total billed charges,,17.487,,,,percent of total billed charges,,11.658,,,,percent of total billed charges,,18.048527,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,15.544,,,,percent of total billed charges,,11.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.565373,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [81125],0637,RC,12462-0201-2,NDC,,,outpatient,133,ML,7.03,,3.515,4.218,6.8191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.63103,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,6.530167,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.631733,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA [134857],0637,RC,0132-0202-20,NDC,,,outpatient,66,ML,5.35,,2.675,3.21,5.1895,5.029,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.4405,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,5.0611,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.1895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.708,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.28535,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,4.969615,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.285885,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM POLYSTYRENE SULFONATE ORAL POWDER [7356],0637,RC,11534-166-15,NDC,,,outpatient,15,GR,33.55,,16.775,20.13,32.5435,31.537,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,27.8465,,,,percent of total billed charges,,30.195,,,,percent of total billed charges,,30.866,,,,percent of total billed charges,,30.866,,,,percent of total billed charges,,31.7383,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,32.5435,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,29.524,,,,percent of total billed charges,,30.195,,,,percent of total billed charges,,26.87355,,,,percent of total billed charges,,30.195,,,,percent of total billed charges,,20.13,,,,percent of total billed charges,,31.164595,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,20.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.876905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM POLYSTYRENE SULFONATE ORAL POWDER [7356],0637,RC,11534-166-16,NDC,,,outpatient,15,GR,51.71,,25.855,31.026,50.1587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,41.41971,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,48.033419,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.424881,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION [79542],0250,RC,67457-162-02,NDC,,,outpatient,2,ML,306.81,,153.405,184.086,297.6057,288.4014,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,254.6523,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,290.24226,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,297.6057,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,269.9928,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,245.75481,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,284.995809,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.785491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION [79542],0250,RC,67457-162-00,NDC,,,outpatient,2,ML,306.81,,153.405,184.086,297.6057,288.4014,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,254.6523,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,290.24226,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,297.6057,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,269.9928,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,245.75481,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,284.995809,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,245.785491,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,67457-163-02,NDC,,,outpatient,2,ML,234.01,,117.005,140.406,226.9897,219.9694,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,194.2283,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,221.37346,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,226.9897,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,205.9288,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,187.44201,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,217.371889,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.465411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,67457-163-00,NDC,,,outpatient,2,ML,234.01,,117.005,140.406,226.9897,219.9694,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,194.2283,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,221.37346,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,226.9897,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,205.9288,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,187.44201,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,217.371889,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.465411,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,24201-201-01,NDC,,,outpatient,2,ML,233.47,,116.735,140.082,226.4659,219.4618,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,193.7801,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,220.86262,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,226.4659,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,205.4536,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,187.00947,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,216.870283,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.032817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,24201-201-05,NDC,,,outpatient,2,ML,233.47,,116.735,140.082,226.4659,219.4618,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,193.7801,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,220.86262,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,226.4659,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,205.4536,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,187.00947,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,216.870283,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,187.032817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],0250,RC,0517-5019-01,NDC,,,outpatient,50,ML,65.25,,32.625,39.15,63.2925,61.335,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,54.1575,,,,percent of total billed charges,,58.725,,,,percent of total billed charges,,60.03,,,,percent of total billed charges,,60.03,,,,percent of total billed charges,,61.7265,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,63.2925,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,57.42,,,,percent of total billed charges,,58.725,,,,percent of total billed charges,,52.26525,,,,percent of total billed charges,,58.725,,,,percent of total billed charges,,39.15,,,,percent of total billed charges,,60.610725,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,39.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,52.271775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],0250,RC,60267-705-50,NDC,J0209,HCPCS,outpatient,50,ML,436.5,,218.25,261.9,423.405,410.31,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,362.295,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,412.929,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,423.405,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,349.6365,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,405.46485,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,349.68015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [240165],0250,RC,0310-1110-01,NDC,,,outpatient,1,EA,81.45,,40.725,48.87,79.0065,76.563,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,67.6035,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,77.0517,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,79.0065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,71.676,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,65.24145,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,75.658905,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.249595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [240165],0250,RC,0310-1110-30,NDC,,,outpatient,1,EA,81.45,,40.725,48.87,79.0065,76.563,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,67.6035,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,77.0517,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,79.0065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,71.676,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,65.24145,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,75.658905,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.249595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [240161],0250,RC,0310-1105-30,NDC,,,outpatient,1,EA,81.45,,40.725,48.87,79.0065,76.563,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,67.6035,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,77.0517,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,79.0065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,71.676,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,65.24145,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,75.658905,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.249595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,52268-012-01,NDC,,,outpatient,354,ML,211.87,,105.935,127.122,205.5139,199.1578,,,,percent of total billed charges,,169.496,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,175.8521,,,,percent of total billed charges,,190.683,,,,percent of total billed charges,,194.9204,,,,percent of total billed charges,,194.9204,,,,percent of total billed charges,,200.42902,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,205.5139,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,186.4456,,,,percent of total billed charges,,190.683,,,,percent of total billed charges,,169.70787,,,,percent of total billed charges,,190.683,,,,percent of total billed charges,,127.122,,,,percent of total billed charges,,196.806043,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,169.496,,,,percent of total billed charges,,127.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,169.729057,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,52268-011-01,NDC,,,outpatient,177,ML,105.94,,52.97,63.564,102.7618,99.5836,,,,percent of total billed charges,,84.752,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,87.9302,,,,percent of total billed charges,,95.346,,,,percent of total billed charges,,97.4648,,,,percent of total billed charges,,97.4648,,,,percent of total billed charges,,100.21924,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,102.7618,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,93.2272,,,,percent of total billed charges,,95.346,,,,percent of total billed charges,,84.85794,,,,percent of total billed charges,,95.346,,,,percent of total billed charges,,63.564,,,,percent of total billed charges,,98.407666,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,84.752,,,,percent of total billed charges,,63.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,84.868534,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,10572-011-01,NDC,,,outpatient,177,ML,193.55,,96.775,116.13,187.7435,181.937,,,,percent of total billed charges,,154.84,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,160.6465,,,,percent of total billed charges,,174.195,,,,percent of total billed charges,,178.066,,,,percent of total billed charges,,178.066,,,,percent of total billed charges,,183.0983,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,187.7435,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,170.324,,,,percent of total billed charges,,174.195,,,,percent of total billed charges,,155.03355,,,,percent of total billed charges,,174.195,,,,percent of total billed charges,,116.13,,,,percent of total billed charges,,179.788595,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,154.84,,,,percent of total billed charges,,116.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.052905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,10572-012-01,NDC,,,outpatient,354,ML,387.1,,193.55,232.26,375.487,363.874,,,,percent of total billed charges,,309.68,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,321.293,,,,percent of total billed charges,,348.39,,,,percent of total billed charges,,356.132,,,,percent of total billed charges,,356.132,,,,percent of total billed charges,,366.1966,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,375.487,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,340.648,,,,percent of total billed charges,,348.39,,,,percent of total billed charges,,310.0671,,,,percent of total billed charges,,348.39,,,,percent of total billed charges,,232.26,,,,percent of total billed charges,,359.57719,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,309.68,,,,percent of total billed charges,,232.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,310.10581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,0185-0171-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,68084-654-01,NDC,,,outpatient,1,EA,4.84,,2.42,2.904,4.6948,4.5496,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.0172,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.57864,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.6948,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.2592,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,3.87684,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,4.495876,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.877324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,68084-654-11,NDC,,,outpatient,1,EA,4.84,,2.42,2.904,4.6948,4.5496,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.0172,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.57864,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.6948,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.2592,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,3.87684,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,4.495876,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.877324,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,50268-724-11,NDC,,,outpatient,1,EA,1.41,,0.705,0.846,1.3677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.12941,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.309749,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.129551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,50268-724-15,NDC,,,outpatient,1,EA,1.41,,0.705,0.846,1.3677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.12941,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.309749,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.129551,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,51079-103-01,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,51079-103-20,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,63739-544-10,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,60687-465-01,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,60687-465-11,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,0904-6927-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 5 MG/ML ORAL LIQUID [1000130],0637,RC,9991-0001-30,NDC,,,outpatient,30,ML,2.84,,1.42,1.704,2.7548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.27484,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.638076,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.275124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION [239574],0250,RC,62327-222-02,NDC,,,outpatient,1,EA,315,,157.5,189,305.55,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,252.315,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,292.6035,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,252.3465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION [239574],0250,RC,62327-222-42,NDC,,,outpatient,1,EA,315,,157.5,189,305.55,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,252.315,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,292.6035,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,252.3465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION [239576],0250,RC,62327-444-04,NDC,,,outpatient,1,EA,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION [239576],0250,RC,62327-444-44,NDC,,,outpatient,1,EA,630,,315,378,611.1,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,504.63,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,585.207,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,504.693,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,0338-0013-04,NDC,,,outpatient,1000,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,51754-5001-5,NDC,,,outpatient,150,EA,68.18,,34.09,40.908,66.1346,64.0892,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,56.5894,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,64.49828,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,66.1346,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,59.9984,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,54.61218,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,63.332402,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.618998,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCIMER 100 MG CAPSULE [77597],0637,RC,55292-201-11,NDC,,,outpatient,1,EA,99.16,,49.58,59.496,96.1852,93.2104,,,,percent of total billed charges,,79.328,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,82.3028,,,,percent of total billed charges,,89.244,,,,percent of total billed charges,,91.2272,,,,percent of total billed charges,,91.2272,,,,percent of total billed charges,,93.80536,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,96.1852,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,87.2608,,,,percent of total billed charges,,89.244,,,,percent of total billed charges,,79.42716,,,,percent of total billed charges,,89.244,,,,percent of total billed charges,,59.496,,,,percent of total billed charges,,92.109724,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,79.328,,,,percent of total billed charges,,59.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.437076,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,0781-3411-70,NDC,J0330,HCPCS,outpatient,10,ML,26.87,,13.435,16.122,26.0639,25.2578,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,22.3021,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,25.41902,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,26.0639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,23.6456,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,21.52287,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,24.959543,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.525557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,0781-3411-95,NDC,J0330,HCPCS,outpatient,10,ML,26.87,,13.435,16.122,26.0639,25.2578,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,22.3021,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,25.41902,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,26.0639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,23.6456,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,21.52287,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,24.959543,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.525557,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,70710-1377-1,NDC,J0330,HCPCS,outpatient,10,ML,14.9,,7.45,8.94,14.453,14.006,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,12.367,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,14.0954,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,13.112,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,11.9349,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,13.84061,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.93639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,70710-1377-2,NDC,J0330,HCPCS,outpatient,10,ML,14.9,,7.45,8.94,14.453,14.006,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,12.367,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,14.0954,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,13.112,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,11.9349,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,13.84061,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.93639,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,69918-700-01,NDC,J0330,HCPCS,outpatient,10,ML,16.88,,8.44,10.128,16.3736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,13.52088,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,15.679832,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.522568,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,70069-301-01,NDC,J0330,HCPCS,outpatient,10,ML,33.39,,16.695,20.034,32.3883,31.3866,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,27.7137,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,31.58694,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,32.3883,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,29.3832,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,26.74539,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,31.015971,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.748729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,70069-301-25,NDC,J0330,HCPCS,outpatient,10,ML,24.3,,12.15,14.58,23.571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,19.4643,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,22.57227,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.46673,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,70069-301-10,NDC,J0330,HCPCS,outpatient,10,ML,33.39,,16.695,20.034,32.3883,31.3866,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,27.7137,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,31.58694,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,32.3883,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,29.3832,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,26.74539,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,31.015971,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.748729,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,69918-700-10,NDC,J0330,HCPCS,outpatient,10,ML,21.38,,10.69,12.828,20.7386,20.0972,,,,percent of total billed charges,,17.104,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,17.7454,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,19.6696,,,,percent of total billed charges,,19.6696,,,,percent of total billed charges,,20.22548,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,20.7386,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,18.8144,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,17.12538,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,12.828,,,,percent of total billed charges,,19.859882,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,17.104,,,,percent of total billed charges,,12.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.127518,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,14789-104-05,NDC,J0330,HCPCS,outpatient,10,ML,51.84,,25.92,31.104,50.2848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,41.52384,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,48.154176,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.529024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,14789-104-07,NDC,J0330,HCPCS,outpatient,10,ML,51.84,,25.92,31.104,50.2848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,41.52384,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,48.154176,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.529024,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,31722-981-10,NDC,J0330,HCPCS,outpatient,10,ML,10.8,,5.4,6.48,10.476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,8.6508,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.03212,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.65188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,31722-981-31,NDC,J0330,HCPCS,outpatient,10,ML,10.8,,5.4,6.48,10.476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,8.6508,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.03212,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.65188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,16729-493-45,NDC,J0330,HCPCS,outpatient,10,ML,36.41,,18.205,21.846,35.3177,34.2254,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,30.2203,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,34.44386,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,35.3177,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,32.0408,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,29.16441,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,33.821249,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.168051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,16729-493-03,NDC,J0330,HCPCS,outpatient,10,ML,36.41,,18.205,21.846,35.3177,34.2254,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,30.2203,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,34.44386,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,35.3177,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,32.0408,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,29.16441,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,33.821249,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.168051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,71288-719-10,NDC,J0330,HCPCS,outpatient,10,ML,13.86,,6.93,8.316,13.4442,13.0284,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.5038,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.11156,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,12.1968,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,11.10186,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,12.874554,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.103246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,71288-719-11,NDC,J0330,HCPCS,outpatient,10,ML,13.86,,6.93,8.316,13.4442,13.0284,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.5038,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.11156,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,12.1968,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,11.10186,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,12.874554,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.103246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 1 GRAM TABLET [11442],0637,RC,51079-753-01,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 1 GRAM TABLET [11442],0637,RC,51079-753-20,NDC,,,outpatient,1,EA,1.29,,0.645,0.774,1.2513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.03329,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.198281,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.033419,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,68094-043-59,NDC,,,outpatient,10,ML,22.73,,11.365,13.638,22.0481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,18.20673,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,21.113897,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.209003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,68094-043-61,NDC,,,outpatient,10,ML,22.73,,11.365,13.638,22.0481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,18.20673,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,21.113897,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.209003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,68094-043-62,NDC,,,outpatient,10,ML,26.06,,13.03,15.636,25.2782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,20.87406,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,24.207134,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.876666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,50268-732-11,NDC,,,outpatient,10,ML,23.04,,11.52,13.824,22.3488,21.6576,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,19.1232,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.79584,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,22.3488,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,20.2752,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,18.45504,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,21.401856,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.457344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,50268-732-12,NDC,,,outpatient,10,ML,23.04,,11.52,13.824,22.3488,21.6576,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,19.1232,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.79584,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,22.3488,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,20.2752,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,18.45504,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,21.401856,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.457344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,0121-0974-10,NDC,,,outpatient,10,ML,37.26,,18.63,22.356,36.1422,35.0244,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,30.9258,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.2792,,,,percent of total billed charges,,34.2792,,,,percent of total billed charges,,35.24796,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,36.1422,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,32.7888,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,29.84526,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,34.610814,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.848986,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,0121-0974-94,NDC,,,outpatient,10,ML,40.37,,20.185,24.222,39.1589,37.9478,,,,percent of total billed charges,,32.296,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,33.5071,,,,percent of total billed charges,,36.333,,,,percent of total billed charges,,37.1404,,,,percent of total billed charges,,37.1404,,,,percent of total billed charges,,38.19002,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,39.1589,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,35.5256,,,,percent of total billed charges,,36.333,,,,percent of total billed charges,,32.33637,,,,percent of total billed charges,,36.333,,,,percent of total billed charges,,24.222,,,,percent of total billed charges,,37.499693,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,32.296,,,,percent of total billed charges,,24.222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.340407,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,0904-7269-66,NDC,,,outpatient,10,ML,20.57,,10.285,12.342,19.9529,19.3358,,,,percent of total billed charges,,16.456,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,17.0731,,,,percent of total billed charges,,18.513,,,,percent of total billed charges,,18.9244,,,,percent of total billed charges,,18.9244,,,,percent of total billed charges,,19.45922,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,19.9529,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,18.1016,,,,percent of total billed charges,,18.513,,,,percent of total billed charges,,16.47657,,,,percent of total billed charges,,18.513,,,,percent of total billed charges,,12.342,,,,percent of total billed charges,,19.107473,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,16.456,,,,percent of total billed charges,,12.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.478627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,60687-738-08,NDC,,,outpatient,10,ML,40.86,,20.43,24.516,39.6342,38.4084,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,33.9138,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,38.65356,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,39.6342,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,35.9568,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,32.72886,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,37.954854,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.732946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,60687-738-23,NDC,,,outpatient,10,ML,42.84,,21.42,25.704,41.5548,40.2696,,,,percent of total billed charges,,34.272,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,35.5572,,,,percent of total billed charges,,38.556,,,,percent of total billed charges,,39.4128,,,,percent of total billed charges,,39.4128,,,,percent of total billed charges,,40.52664,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,41.5548,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,37.6992,,,,percent of total billed charges,,38.556,,,,percent of total billed charges,,34.31484,,,,percent of total billed charges,,38.556,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,39.794076,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,34.272,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.319124,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,60687-738-42,NDC,,,outpatient,10,ML,40.86,,20.43,24.516,39.6342,38.4084,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,33.9138,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,38.65356,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,39.6342,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,35.9568,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,32.72886,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,37.954854,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.732946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCROSE 24% ORAL SOLUTION [1000330],0637,RC,11743-02234,NDC,,,outpatient,1,ML,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCROSE 24% ORAL SOLUTION [1000330],0637,RC,11743-02237,NDC,,,outpatient,1,ML,2.16,,1.08,1.296,2.0952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.73016,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.006424,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.730376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCROSE 24% ORAL SOLUTION [1000330],0637,RC,9991-0003-30,NDC,,,outpatient,15,ML,2.23,,1.115,1.338,2.1631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.78623,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.071447,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.786453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,10019-050-43,NDC,,,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,0409-3382-21,NDC,,,outpatient,1,ML,10.65,,5.325,6.39,10.3305,10.011,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.8395,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,10.0749,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.3305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,9.372,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,8.53065,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,9.892785,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.531715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,17478-050-01,NDC,,,outpatient,1,ML,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,0409-3382-11,NDC,,,outpatient,1,ML,10.65,,5.325,6.39,10.3305,10.011,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.8395,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,10.0749,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.3305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,9.372,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,8.53065,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,9.892785,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.531715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,0006-5423-02,NDC,,,outpatient,2,ML,536.25,,268.125,321.75,520.1625,504.075,,,,percent of total billed charges,,429,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,445.0875,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,507.2925,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,520.1625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,471.9,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,429.53625,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,498.122625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,429,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,429.589875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,0006-5423-12,NDC,,,outpatient,2,ML,536.25,,268.125,321.75,520.1625,504.075,,,,percent of total billed charges,,429,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,445.0875,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,507.2925,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,520.1625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,471.9,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,429.53625,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,498.122625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,429,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,429.589875,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,0006-5425-15,NDC,,,outpatient,5,ML,982.26,,491.13,589.356,952.7922,923.3244,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,815.2758,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,929.21796,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,952.7922,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,864.3888,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,786.79026,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,912.421314,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,786.888486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,0006-5425-05,NDC,,,outpatient,5,ML,982.26,,491.13,589.356,952.7922,923.3244,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,815.2758,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,929.21796,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,952.7922,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,864.3888,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,786.79026,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,912.421314,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,786.888486,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],0637,RC,50383-823-16,NDC,,,outpatient,473,ML,78.76,,39.38,47.256,76.3972,74.0344,,,,percent of total billed charges,,63.008,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,65.3708,,,,percent of total billed charges,,70.884,,,,percent of total billed charges,,72.4592,,,,percent of total billed charges,,72.4592,,,,percent of total billed charges,,74.50696,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,76.3972,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,69.3088,,,,percent of total billed charges,,70.884,,,,percent of total billed charges,,63.08676,,,,percent of total billed charges,,70.884,,,,percent of total billed charges,,47.256,,,,percent of total billed charges,,73.160164,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,63.008,,,,percent of total billed charges,,47.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,63.094636,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],0637,RC,65862-496-47,NDC,,,outpatient,473,ML,193.7,,96.85,116.22,187.889,182.078,,,,percent of total billed charges,,154.96,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,160.771,,,,percent of total billed charges,,174.33,,,,percent of total billed charges,,178.204,,,,percent of total billed charges,,178.204,,,,percent of total billed charges,,183.2402,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,187.889,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,170.456,,,,percent of total billed charges,,174.33,,,,percent of total billed charges,,155.1537,,,,percent of total billed charges,,174.33,,,,percent of total billed charges,,116.22,,,,percent of total billed charges,,179.92793,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,154.96,,,,percent of total billed charges,,116.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,155.17307,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],0637,RC,66993-727-57,NDC,,,outpatient,473,ML,178.8,,89.4,107.28,173.436,168.072,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,148.404,,,,percent of total billed charges,,160.92,,,,percent of total billed charges,,164.496,,,,percent of total billed charges,,164.496,,,,percent of total billed charges,,169.1448,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,173.436,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,157.344,,,,percent of total billed charges,,160.92,,,,percent of total billed charges,,143.2188,,,,percent of total billed charges,,160.92,,,,percent of total billed charges,,107.28,,,,percent of total billed charges,,166.08732,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,107.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,143.23668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,0703-9514-01,NDC,,,outpatient,10,ML,28.44,,14.22,17.064,27.5868,26.7336,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,23.6052,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.90424,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.5868,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,25.0272,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,22.78044,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,26.417916,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.783284,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,0703-9514-03,NDC,,,outpatient,10,ML,28.44,,14.22,17.064,27.5868,26.7336,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,23.6052,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.90424,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.5868,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,25.0272,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,22.78044,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,26.417916,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.783284,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,0703-9526-01,NDC,,,outpatient,30,ML,77.49,,38.745,46.494,75.1653,72.8406,,,,percent of total billed charges,,61.992,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,64.3167,,,,percent of total billed charges,,69.741,,,,percent of total billed charges,,71.2908,,,,percent of total billed charges,,71.2908,,,,percent of total billed charges,,73.30554,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,75.1653,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,68.1912,,,,percent of total billed charges,,69.741,,,,percent of total billed charges,,62.06949,,,,percent of total billed charges,,69.741,,,,percent of total billed charges,,46.494,,,,percent of total billed charges,,71.980461,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,61.992,,,,percent of total billed charges,,46.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,62.077239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,70069-362-01,NDC,,,outpatient,10,ML,27.68,,13.84,16.608,26.8496,26.0192,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.9744,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,26.18528,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.8496,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,24.3584,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,22.17168,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,25.711952,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.174448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,70069-362-10,NDC,,,outpatient,10,ML,27.68,,13.84,16.608,26.8496,26.0192,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.9744,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,26.18528,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.8496,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,24.3584,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,22.17168,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,25.711952,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.174448,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,0904-2725-61,NDC,,,outpatient,1,EA,0.7,,0.35,0.42,0.679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.5607,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.65023,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.56077,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,60687-531-01,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,60687-531-11,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,60687-614-01,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,60687-614-11,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFASALAZINE 500 MG TABLET [7562],0637,RC,0591-0796-01,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFASALAZINE 500 MG TABLET [7562],0637,RC,59762-5000-5,NDC,,,outpatient,1,EA,0.84,,0.42,0.504,0.8148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.67284,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.780276,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.672924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFASALAZINE 500 MG TABLET [7562],0637,RC,0093-3234-01,NDC,,,outpatient,1,EA,0.77,,0.385,0.462,0.7469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.61677,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.715253,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.616847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 25 MG TABLET [78203],0637,RC,65862-146-36,NDC,,,outpatient,1,EA,1.5,,0.75,0.9,1.455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.2015,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.39335,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.20165,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 25 MG TABLET [78203],0637,RC,69452-344-60,NDC,,,outpatient,1,EA,1.39,,0.695,0.834,1.3483,1.3066,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.1537,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.31494,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3483,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.2232,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,1.11339,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,1.291171,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.113529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 25 MG TABLET [78203],0637,RC,69452-344-72,NDC,,,outpatient,1,EA,1.39,,0.695,0.834,1.3483,1.3066,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.1537,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.31494,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3483,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.2232,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,1.11339,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,1.291171,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.113529,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 50 MG TABLET [78648],0637,RC,62756-521-69,NDC,,,outpatient,1,EA,1.77,,0.885,1.062,1.7169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.41777,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.644153,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.417947,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 50 MG TABLET [78648],0637,RC,65862-147-36,NDC,,,outpatient,1,EA,2,,1,1.2,1.94,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.8578,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.6022,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,0173-0449-02,NDC,J3030,HCPCS,outpatient,0.5,ML,797.32,,398.66,478.392,773.4004,749.4808,,,,percent of total billed charges,,637.856,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,661.7756,,,,percent of total billed charges,,717.588,,,,percent of total billed charges,,733.5344,,,,percent of total billed charges,,733.5344,,,,percent of total billed charges,,754.26472,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,773.4004,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,701.6416,,,,percent of total billed charges,,717.588,,,,percent of total billed charges,,638.65332,,,,percent of total billed charges,,717.588,,,,percent of total billed charges,,478.392,,,,percent of total billed charges,,740.630548,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,637.856,,,,percent of total billed charges,,478.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,638.733052,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,0781-3174-14,NDC,J3030,HCPCS,outpatient,0.5,ML,56.28,,28.14,33.768,54.5916,52.9032,,,,percent of total billed charges,,45.024,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,46.7124,,,,percent of total billed charges,,50.652,,,,percent of total billed charges,,51.7776,,,,percent of total billed charges,,51.7776,,,,percent of total billed charges,,53.24088,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,54.5916,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,49.5264,,,,percent of total billed charges,,50.652,,,,percent of total billed charges,,45.08028,,,,percent of total billed charges,,50.652,,,,percent of total billed charges,,33.768,,,,percent of total billed charges,,52.278492,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,45.024,,,,percent of total billed charges,,33.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,45.085908,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,64679-728-01,NDC,J3030,HCPCS,outpatient,0.5,ML,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,55150-173-01,NDC,J3030,HCPCS,outpatient,0.5,ML,15.4,,7.7,9.24,14.938,14.476,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.782,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.5684,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.938,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,13.552,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,12.3354,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,14.30506,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.33694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,0143-9638-01,NDC,J3030,HCPCS,outpatient,0.5,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,0143-9638-05,NDC,J3030,HCPCS,outpatient,0.5,ML,16.79,,8.395,10.074,16.2863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,13.44879,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,15.596231,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.450469,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,64679-728-08,NDC,J3030,HCPCS,outpatient,0.5,ML,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,70594-068-01,NDC,J3030,HCPCS,outpatient,0.5,ML,103.41,,51.705,62.046,100.3077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,82.83141,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,96.057549,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.841751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,70594-068-02,NDC,J3030,HCPCS,outpatient,0.5,ML,103.41,,51.705,62.046,100.3077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,82.83141,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,96.057549,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,82.841751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,68084-449-01,NDC,,,outpatient,1,EA,4.85,,2.425,2.91,4.7045,4.559,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.462,,,,percent of total billed charges,,4.462,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.7045,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.268,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,3.88485,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,4.505165,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.885335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,16729-041-01,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,0904-6623-61,NDC,,,outpatient,1,EA,4.1,,2.05,2.46,3.977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.2841,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,3.80849,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.28451,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,68462-685-01,NDC,,,outpatient,1,EA,0.58,,0.29,0.348,0.5626,0.5452,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.4814,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.54868,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5626,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5104,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.46458,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,0.538762,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.464638,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [82549]",0636,RC,68084-450-01,NDC,J7507,HCPCS,outpatient,1,EA,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [82549]",0636,RC,68084-450-11,NDC,J7507,HCPCS,outpatient,1,EA,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [82549]",0636,RC,51079-818-20,NDC,J7507,HCPCS,outpatient,1,EA,5.5,,2.75,3.3,5.335,5.17,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,4.565,,,,percent of total billed charges,,4.95,,,,percent of total billed charges,,5.06,,,,percent of total billed charges,,5.06,,,,percent of total billed charges,,5.203,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,5.335,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,4.84,,,,percent of total billed charges,,4.95,,,,percent of total billed charges,,4.4055,,,,percent of total billed charges,,4.95,,,,percent of total billed charges,,3.3,,,,percent of total billed charges,,5.10895,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,3.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.40605,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMOXIFEN 10 MG TABLET [7711],0637,RC,63739-269-10,NDC,,,outpatient,1,EA,1.55,,0.775,0.93,1.5035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.24155,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.439795,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.241705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMOXIFEN 10 MG TABLET [7711],0637,RC,59651-299-60,NDC,,,outpatient,1,EA,0.84,,0.42,0.504,0.8148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.67284,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.780276,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.672924,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,0781-2076-01,NDC,,,outpatient,1,EA,0.92,,0.46,0.552,0.8924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.73692,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.854588,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.737012,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,63739-567-10,NDC,,,outpatient,1,EA,1.25,,0.625,0.75,1.2125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.00125,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.161125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.001375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,68084-299-11,NDC,,,outpatient,1,EA,1.74,,0.87,1.044,1.6878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.39374,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.616286,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.393914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,68084-299-01,NDC,,,outpatient,1,EA,1.74,,0.87,1.044,1.6878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.39374,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.616286,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.393914,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,0904-6401-61,NDC,,,outpatient,1,EA,0.78,,0.39,0.468,0.7566,0.7332,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6474,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.73788,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.7566,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6864,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.62478,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.724542,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.624858,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,50268-740-11,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,50268-740-15,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,0904-7383-61,NDC,,,outpatient,1,EA,0.75,,0.375,0.45,0.7275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.60075,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.696675,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.600825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAPENTADOL 50 MG TABLET [195027],0637,RC,50458-820-02,NDC,,,outpatient,1,EA,26.06,,13.03,15.636,25.2782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,20.87406,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,24.207134,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.876666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAPENTADOL 50 MG TABLET [195027],0637,RC,24510-050-10,NDC,,,outpatient,1,EA,43.78,,21.89,26.268,42.4666,41.1532,,,,percent of total billed charges,,35.024,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,36.3374,,,,percent of total billed charges,,39.402,,,,percent of total billed charges,,40.2776,,,,percent of total billed charges,,40.2776,,,,percent of total billed charges,,41.41588,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,42.4666,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,38.5264,,,,percent of total billed charges,,39.402,,,,percent of total billed charges,,35.06778,,,,percent of total billed charges,,39.402,,,,percent of total billed charges,,26.268,,,,percent of total billed charges,,40.667242,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,35.024,,,,percent of total billed charges,,26.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.072158,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [136475],0636,RC,0008-1179-01,NDC,J9330,HCPCS,outpatient,1,ML,8686.4,,4343.2,5211.84,8425.808,8165.216,,,,percent of total billed charges,,6949.12,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,7209.712,,,,percent of total billed charges,,7817.76,,,,percent of total billed charges,,7991.488,,,,percent of total billed charges,,7991.488,,,,percent of total billed charges,,8217.3344,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,8425.808,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,7644.032,,,,percent of total billed charges,,7817.76,,,,percent of total billed charges,,6957.8064,,,,percent of total billed charges,,7817.76,,,,percent of total billed charges,,5211.84,,,,percent of total billed charges,,8068.79696,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,6949.12,,,,percent of total billed charges,,5211.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6958.67504,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [136475],0636,RC,16729-223-61,NDC,J9330,HCPCS,outpatient,1,ML,2950.2,,1475.1,1770.12,2861.694,2773.188,,,,percent of total billed charges,,2360.16,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2448.666,,,,percent of total billed charges,,2655.18,,,,percent of total billed charges,,2714.184,,,,percent of total billed charges,,2714.184,,,,percent of total billed charges,,2790.8892,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2861.694,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2596.176,,,,percent of total billed charges,,2655.18,,,,percent of total billed charges,,2363.1102,,,,percent of total billed charges,,2655.18,,,,percent of total billed charges,,1770.12,,,,percent of total billed charges,,2740.44078,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2360.16,,,,percent of total billed charges,,1770.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2363.40522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [136475],0636,RC,0008-1179-01,NDC,J9330,HCPCS,outpatient,12.5,ME,10858,,5429,6514.8,10532.26,10206.52,,,,percent of total billed charges,,8686.4,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,9012.14,,,,percent of total billed charges,,9772.2,,,,percent of total billed charges,,9989.36,,,,percent of total billed charges,,9989.36,,,,percent of total billed charges,,10271.668,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,10532.26,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,9555.04,,,,percent of total billed charges,,9772.2,,,,percent of total billed charges,,8697.258,,,,percent of total billed charges,,9772.2,,,,percent of total billed charges,,6514.8,,,,percent of total billed charges,,10085.9962,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,8686.4,,,,percent of total billed charges,,6514.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8698.3438,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [239511],0636,RC,50242-037-06,NDC,J3101,HCPCS,outpatient,1,EA,27939.2,,13969.6,16763.52,27101.024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,22379.2992,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,25952.72288,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22382.09312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [239511],0636,RC,50242-120-47,NDC,J3101,HCPCS,outpatient,1,EA,27939.2,,13969.6,16763.52,27101.024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,22379.2992,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,25952.72288,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22382.09312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE [1001573],0636,RC,50242-037-06,NDC,J3101,HCPCS,outpatient,1,EA,27939.2,,13969.6,16763.52,27101.024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,22379.2992,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,25952.72288,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22382.09312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE [1001573],0636,RC,50242-120-47,NDC,J3101,HCPCS,outpatient,1,EA,27939.2,,13969.6,16763.52,27101.024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,22379.2992,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,25952.72288,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22382.09312,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,61958-0401-1,NDC,,,outpatient,1,EA,181.45,,90.725,108.87,176.0065,170.563,,,,percent of total billed charges,,145.16,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,150.6035,,,,percent of total billed charges,,163.305,,,,percent of total billed charges,,166.934,,,,percent of total billed charges,,166.934,,,,percent of total billed charges,,171.6517,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,176.0065,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,159.676,,,,percent of total billed charges,,163.305,,,,percent of total billed charges,,145.34145,,,,percent of total billed charges,,163.305,,,,percent of total billed charges,,108.87,,,,percent of total billed charges,,168.548905,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,145.16,,,,percent of total billed charges,,108.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.359595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,69097-533-02,NDC,,,outpatient,1,EA,3.97,,1.985,2.382,3.8509,3.7318,,,,percent of total billed charges,,3.176,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.2951,,,,percent of total billed charges,,3.573,,,,percent of total billed charges,,3.6524,,,,percent of total billed charges,,3.6524,,,,percent of total billed charges,,3.75562,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.8509,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.4936,,,,percent of total billed charges,,3.573,,,,percent of total billed charges,,3.17997,,,,percent of total billed charges,,3.573,,,,percent of total billed charges,,2.382,,,,percent of total billed charges,,3.687733,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.176,,,,percent of total billed charges,,2.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.180367,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,50268-758-11,NDC,,,outpatient,1,EA,6.68,,3.34,4.008,6.4796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,5.35068,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.205052,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.351348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,50268-758-12,NDC,,,outpatient,1,EA,6.68,,3.34,4.008,6.4796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,5.35068,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.205052,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.351348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION [247680],0636,RC,75987-130-15,NDC,J3241,HCPCS,outpatient,1,EA,63681.2,,31840.6,38208.72,61770.764,59860.328,,,,percent of total billed charges,,50944.96,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,52855.396,,,,percent of total billed charges,,57313.08,,,,percent of total billed charges,,58586.704,,,,percent of total billed charges,,58586.704,,,,percent of total billed charges,,60242.4152,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,61770.764,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,56039.456,,,,percent of total billed charges,,57313.08,,,,percent of total billed charges,,51008.6412,,,,percent of total billed charges,,57313.08,,,,percent of total billed charges,,38208.72,,,,percent of total billed charges,,59153.46668,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,50944.96,,,,percent of total billed charges,,38208.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51015.00932,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,59746-383-06,NDC,,,outpatient,1,EA,0.54,,0.27,0.324,0.5238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.43254,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.501606,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.432594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,0904-6126-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,50268-764-11,NDC,,,outpatient,1,EA,3.04,,1.52,1.824,2.9488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.43504,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.823856,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.435344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,50268-764-15,NDC,,,outpatient,1,EA,3.04,,1.52,1.824,2.9488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.43504,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.823856,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.435344,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,59746-385-06,NDC,,,outpatient,1,EA,0.81,,0.405,0.486,0.7857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.64881,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.752409,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.648891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,50268-766-11,NDC,,,outpatient,1,EA,3.07,,1.535,1.842,2.9779,2.8858,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.5481,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.90422,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9779,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.7016,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,2.45907,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,2.851723,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.459377,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,50268-766-15,NDC,,,outpatient,1,EA,3.07,,1.535,1.842,2.9779,2.8858,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.5481,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.90422,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9779,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.7016,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,2.45907,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,2.851723,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.459377,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,24689-882-01,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBINAFINE HCL 1 % TOPICAL CREAM [77126],0637,RC,0067-3998-30,NDC,,,outpatient,30,GR,26.6,,13.3,15.96,25.802,25.004,,,,percent of total billed charges,,21.28,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,22.078,,,,percent of total billed charges,,23.94,,,,percent of total billed charges,,24.472,,,,percent of total billed charges,,24.472,,,,percent of total billed charges,,25.1636,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,25.802,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,23.408,,,,percent of total billed charges,,23.94,,,,percent of total billed charges,,21.3066,,,,percent of total billed charges,,23.94,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,24.70874,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,21.28,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.30926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBINAFINE HCL 1 % TOPICAL CREAM [77126],0637,RC,24385-524-03,NDC,,,outpatient,28.4,GR,24.16,,12.08,14.496,23.4352,22.7104,,,,percent of total billed charges,,19.328,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,20.0528,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,22.2272,,,,percent of total billed charges,,22.2272,,,,percent of total billed charges,,22.85536,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,23.4352,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,21.2608,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,19.35216,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,14.496,,,,percent of total billed charges,,22.442224,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,19.328,,,,percent of total billed charges,,14.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.354576,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBINAFINE HCL 1 % TOPICAL CREAM [77126],0637,RC,51672-2080-2,NDC,,,outpatient,30,GR,42.8,,21.4,25.68,41.516,40.232,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,35.524,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,40.4888,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,41.516,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,37.664,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,34.2828,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,39.75692,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,34.28708,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML PEDS INFUSION [1002099],0636,RC,9991-0020-99,NDC,,,outpatient,10,ML,52.7,,26.35,31.62,51.119,49.538,,,,percent of total billed charges,,42.16,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,43.741,,,,percent of total billed charges,,47.43,,,,percent of total billed charges,,48.484,,,,percent of total billed charges,,48.484,,,,percent of total billed charges,,49.8542,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,51.119,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,46.376,,,,percent of total billed charges,,47.43,,,,percent of total billed charges,,42.2127,,,,percent of total billed charges,,47.43,,,,percent of total billed charges,,31.62,,,,percent of total billed charges,,48.95303,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,42.16,,,,percent of total billed charges,,31.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.21797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,63323-665-01,NDC,J3105,HCPCS,outpatient,1,ML,5.55,,2.775,3.33,5.3835,5.217,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.6065,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.2503,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.3835,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.884,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,4.44555,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,5.155395,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.446105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,0143-9746-10,NDC,J3105,HCPCS,outpatient,1,ML,5.27,,2.635,3.162,5.1119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.22127,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,4.895303,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.221797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,0143-9746-01,NDC,J3105,HCPCS,outpatient,1,ML,5.27,,2.635,3.162,5.1119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.22127,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,4.895303,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.221797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,63323-665-00,NDC,J3105,HCPCS,outpatient,1,ML,5.55,,2.775,3.33,5.3835,5.217,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.6065,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.2503,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.3835,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.884,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,4.44555,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,5.155395,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.446105,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 5 MG TABLET [11509],0637,RC,0527-1311-01,NDC,,,outpatient,1,EA,23.93,,11.965,14.358,23.2121,22.4942,,,,percent of total billed charges,,19.144,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,19.8619,,,,percent of total billed charges,,21.537,,,,percent of total billed charges,,22.0156,,,,percent of total billed charges,,22.0156,,,,percent of total billed charges,,22.63778,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,23.2121,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,21.0584,,,,percent of total billed charges,,21.537,,,,percent of total billed charges,,19.16793,,,,percent of total billed charges,,21.537,,,,percent of total billed charges,,14.358,,,,percent of total billed charges,,22.228577,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,19.144,,,,percent of total billed charges,,14.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.170323,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 5 MG TABLET [11509],0637,RC,62559-722-01,NDC,,,outpatient,1,EA,13.41,,6.705,8.046,13.0077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,10.74141,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,12.456549,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.742751,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TESTOSTERONE UNDECANOATE 750 MG/3 ML (250MG/ML) INTRAMUSCULAR SOLUTION [220531],0636,RC,67979-511-43,NDC,J3145,HCPCS,outpatient,3,ML,8087.04,,4043.52,4852.224,7844.4288,7601.8176,,,,percent of total billed charges,,6469.632,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,6712.2432,,,,percent of total billed charges,,7278.336,,,,percent of total billed charges,,7440.0768,,,,percent of total billed charges,,7440.0768,,,,percent of total billed charges,,7650.33984,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,7844.4288,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,7116.5952,,,,percent of total billed charges,,7278.336,,,,percent of total billed charges,,6477.71904,,,,percent of total billed charges,,7278.336,,,,percent of total billed charges,,4852.224,,,,percent of total billed charges,,7512.051456,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,6469.632,,,,percent of total billed charges,,4852.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6478.527744,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [164474],0636,RC,49281-215-15,NDC,90714,CPT,outpatient,0.5,ML,68.43,,34.215,41.058,66.3771,64.3242,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,56.7969,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,64.73478,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,66.3771,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,60.2184,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,54.81243,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,63.564627,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.819273,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [164474],0636,RC,49281-215-88,NDC,90714,CPT,outpatient,0.5,ML,68.43,,34.215,41.058,66.3771,64.3242,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,56.7969,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,64.73478,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,66.3771,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,60.2184,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,54.81243,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,63.564627,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.819273,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [187777],0636,RC,13533-634-02,NDC,J1670,HCPCS,outpatient,1,ML,2921.27,,1460.635,1752.762,2833.6319,2745.9938,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2424.6541,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2763.52142,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2833.6319,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2570.7176,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,2339.93727,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,2713.567703,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2340.229397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [187777],0636,RC,13533-634-20,NDC,J1670,HCPCS,outpatient,1,ML,2921.27,,1460.635,1752.762,2833.6319,2745.9938,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2424.6541,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2763.52142,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2833.6319,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2570.7176,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,2339.93727,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,2713.567703,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2340.229397,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,09999-9977-95,NDC,,,outpatient,2,ML,4.62,,2.31,2.772,4.4814,4.3428,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.8346,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.37052,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.4814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.0656,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,3.70062,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,4.291518,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.701082,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,9999-9177-95,NDC,,,outpatient,1,ML,2.31,,1.155,1.386,2.2407,2.1714,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.9173,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.18526,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.2407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.0328,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.85031,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,2.145759,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.850541,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,68682-920-64,NDC,,,outpatient,15,ML,376.52,,188.26,225.912,365.2244,353.9288,,,,percent of total billed charges,,301.216,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,312.5116,,,,percent of total billed charges,,338.868,,,,percent of total billed charges,,346.3984,,,,percent of total billed charges,,346.3984,,,,percent of total billed charges,,356.18792,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,365.2244,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,331.3376,,,,percent of total billed charges,,338.868,,,,percent of total billed charges,,301.59252,,,,percent of total billed charges,,338.868,,,,percent of total billed charges,,225.912,,,,percent of total billed charges,,349.749428,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,301.216,,,,percent of total billed charges,,225.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,301.630172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,68682-920-05,NDC,,,outpatient,5,ML,119.57,,59.785,71.742,115.9829,112.3958,,,,percent of total billed charges,,95.656,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,99.2431,,,,percent of total billed charges,,107.613,,,,percent of total billed charges,,110.0044,,,,percent of total billed charges,,110.0044,,,,percent of total billed charges,,113.11322,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,115.9829,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,105.2216,,,,percent of total billed charges,,107.613,,,,percent of total billed charges,,95.77557,,,,percent of total billed charges,,107.613,,,,percent of total billed charges,,71.742,,,,percent of total billed charges,,111.068573,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,95.656,,,,percent of total billed charges,,71.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.787527,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE HCL (PF) 0.5 % EYE DROPS [202976],0250,RC,0065-0741-12,NDC,,,outpatient,2,ML,17.79,,8.895,10.674,17.2563,16.7226,,,,percent of total billed charges,,14.232,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,14.7657,,,,percent of total billed charges,,16.011,,,,percent of total billed charges,,16.3668,,,,percent of total billed charges,,16.3668,,,,percent of total billed charges,,16.82934,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,17.2563,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,15.6552,,,,percent of total billed charges,,16.011,,,,percent of total billed charges,,14.24979,,,,percent of total billed charges,,16.011,,,,percent of total billed charges,,10.674,,,,percent of total billed charges,,16.525131,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,14.232,,,,percent of total billed charges,,10.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.251569,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE HCL (PF) 0.5 % EYE DROPS [202976],0250,RC,0065-0741-14,NDC,,,outpatient,4,ML,51.32,,25.66,30.792,49.7804,48.2408,,,,percent of total billed charges,,41.056,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,42.5956,,,,percent of total billed charges,,46.188,,,,percent of total billed charges,,47.2144,,,,percent of total billed charges,,47.2144,,,,percent of total billed charges,,48.54872,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,49.7804,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,45.1616,,,,percent of total billed charges,,46.188,,,,percent of total billed charges,,41.10732,,,,percent of total billed charges,,46.188,,,,percent of total billed charges,,30.792,,,,percent of total billed charges,,47.671148,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,41.056,,,,percent of total billed charges,,30.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,41.112452,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACYCLINE 500 MG CAPSULE [7797],0637,RC,23155-767-01,NDC,,,outpatient,1,EA,5.06,,2.53,3.036,4.9082,4.7564,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.1998,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.78676,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.9082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.05306,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,4.700234,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.053566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0637,RC,8770114975,NDC,,,outpatient,15,ML,11.7,,5.85,7.02,11.349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,9.3717,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,10.86813,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.37287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0637,RC,24385-075-05,NDC,,,outpatient,15,ML,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0637,RC,0536-1217-94,NDC,,,outpatient,15,ML,4.8,,2.4,2.88,4.656,4.512,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.5408,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.656,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.224,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.8448,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,4.45872,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.84528,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE [256588],0636,RC,55513-112-01,NDC,J2356,HCPCS,outpatient,1.91,ML,18176.94,,9088.47,10906.164,17631.6318,17086.3236,,,,percent of total billed charges,,14541.552,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,15086.8602,,,,percent of total billed charges,,16359.246,,,,percent of total billed charges,,16722.7848,,,,percent of total billed charges,,16722.7848,,,,percent of total billed charges,,17195.38524,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,17631.6318,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,15995.7072,,,,percent of total billed charges,,16359.246,,,,percent of total billed charges,,14559.72894,,,,percent of total billed charges,,16359.246,,,,percent of total billed charges,,10906.164,,,,percent of total billed charges,,16884.55957,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,14541.552,,,,percent of total billed charges,,10906.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14561.54663,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION [81857],0637,RC,54838-556-80,NDC,,,outpatient,473,ML,302.25,,151.125,181.35,293.1825,284.115,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,250.8675,,,,percent of total billed charges,,272.025,,,,percent of total billed charges,,278.07,,,,percent of total billed charges,,278.07,,,,percent of total billed charges,,285.9285,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,293.1825,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,265.98,,,,percent of total billed charges,,272.025,,,,percent of total billed charges,,242.10225,,,,percent of total billed charges,,272.025,,,,percent of total billed charges,,181.35,,,,percent of total billed charges,,280.760025,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,181.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,242.132475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION [81857],0637,RC,27808-033-01,NDC,,,outpatient,473,ML,246.91,,123.455,148.146,239.5027,232.0954,,,,percent of total billed charges,,197.528,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,204.9353,,,,percent of total billed charges,,222.219,,,,percent of total billed charges,,227.1572,,,,percent of total billed charges,,227.1572,,,,percent of total billed charges,,233.57686,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,239.5027,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,217.2808,,,,percent of total billed charges,,222.219,,,,percent of total billed charges,,197.77491,,,,percent of total billed charges,,222.219,,,,percent of total billed charges,,148.146,,,,percent of total billed charges,,229.354699,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,197.528,,,,percent of total billed charges,,148.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,197.799601,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR [12098]",0637,RC,62332-025-31,NDC,,,outpatient,1,EA,15.02,,7.51,9.012,14.5694,14.1188,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.4666,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,14.20892,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.5694,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,13.2176,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,12.03102,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,13.952078,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.032522,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR [12098]",0637,RC,68462-721-01,NDC,,,outpatient,1,EA,15.12,,7.56,9.072,14.6664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,12.11112,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,14.044968,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.112632,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [77918]",0637,RC,29033-001-01,NDC,,,outpatient,1,EA,3.51,,1.755,2.106,3.4047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.81151,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.260439,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.811861,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [77918]",0637,RC,68462-380-01,NDC,,,outpatient,1,EA,5.54,,2.77,3.324,5.3738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,4.43754,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.146106,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.438094,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [77918]",0637,RC,42858-701-01,NDC,,,outpatient,1,EA,3.93,,1.965,2.358,3.8121,3.6942,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.2619,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.71778,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.8121,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.4584,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,3.14793,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,3.650577,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.148323,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,63323-013-02,NDC,J3411,HCPCS,outpatient,2,ML,17.01,,8.505,10.206,16.4997,15.9894,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.1183,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,16.09146,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.4997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.9688,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,13.62501,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,15.800589,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.626711,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,63323-013-01,NDC,J3411,HCPCS,outpatient,2,ML,17.01,,8.505,10.206,16.4997,15.9894,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.1183,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,16.09146,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.4997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.9688,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,13.62501,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,15.800589,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.626711,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,25021-500-02,NDC,J3411,HCPCS,outpatient,2,ML,16.55,,8.275,9.93,16.0535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,13.25655,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,15.373295,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.258205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,0641-6228-25,NDC,J3411,HCPCS,outpatient,2,ML,16.55,,8.275,9.93,16.0535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,13.25655,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,15.373295,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.258205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,0641-6228-01,NDC,J3411,HCPCS,outpatient,2,ML,16.55,,8.275,9.93,16.0535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,13.25655,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,15.373295,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.258205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,43598-050-25,NDC,J3411,HCPCS,outpatient,2,ML,14.89,,7.445,8.934,14.4433,13.9966,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,12.3587,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,14.08594,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.4433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,13.1032,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,11.92689,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,13.831321,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.928379,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,72485-507-01,NDC,J3411,HCPCS,outpatient,2,ML,15.56,,7.78,9.336,15.0932,14.6264,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.9148,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.71976,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,15.0932,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,13.6928,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,12.46356,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,14.453684,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.465116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,72485-507-25,NDC,J3411,HCPCS,outpatient,2,ML,15.56,,7.78,9.336,15.0932,14.6264,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.9148,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.71976,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,15.0932,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,13.6928,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,12.46356,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,14.453684,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.465116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,0641-6228-25,NDC,J3411,HCPCS,outpatient,100,ME,8.28,,4.14,4.968,8.0316,7.7832,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.83288,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.2864,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,6.63228,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,7.691292,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.633108,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [200773],0637,RC,7733393410,NDC,,,outpatient,1,EA,0.64,,0.32,0.384,0.6208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.51264,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.594496,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.512704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [163188]",0250,RC,60793-215-05,NDC,,,outpatient,1,EA,232.7,,116.35,139.62,225.719,218.738,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,193.141,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,220.1342,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,225.719,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,204.776,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,186.3927,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,216.15503,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,186.41597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [163188]",0250,RC,60793-315-01,NDC,,,outpatient,1,EA,232.7,,116.35,139.62,225.719,218.738,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,193.141,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,220.1342,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,225.719,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,204.776,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,186.3927,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,216.15503,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,186.41597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,43825-006-41,NDC,,,outpatient,1,EA,199.58,,99.79,119.748,193.5926,187.6052,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,165.6514,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,188.80268,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,193.5926,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,175.6304,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,159.86358,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,185.389862,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.883538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,43825-606-41,NDC,,,outpatient,1,EA,199.58,,99.79,119.748,193.5926,187.6052,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,165.6514,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,188.80268,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,193.5926,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,175.6304,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,159.86358,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,185.389862,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,159.883538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,0338-0322-01,NDC,,,outpatient,1,EA,200.66,,100.33,120.396,194.6402,188.6204,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,166.5478,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,189.82436,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,194.6402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,176.5808,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,160.72866,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,186.393074,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.748726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,0338-0324-01,NDC,,,outpatient,1,EA,200.66,,100.33,120.396,194.6402,188.6204,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,166.5478,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,189.82436,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,194.6402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,176.5808,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,160.72866,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,186.393074,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.748726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 10 ML TOPICAL SYRINGE [239550],0250,RC,0338-9568-01,NDC,,,outpatient,10,ML,3080.66,,1540.33,1848.396,2988.2402,2895.8204,,,,percent of total billed charges,,2464.528,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2556.9478,,,,percent of total billed charges,,2772.594,,,,percent of total billed charges,,2834.2072,,,,percent of total billed charges,,2834.2072,,,,percent of total billed charges,,2914.30436,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2988.2402,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2710.9808,,,,percent of total billed charges,,2772.594,,,,percent of total billed charges,,2467.60866,,,,percent of total billed charges,,2772.594,,,,percent of total billed charges,,1848.396,,,,percent of total billed charges,,2861.625074,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2464.528,,,,percent of total billed charges,,1848.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2467.916726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE [239549],0250,RC,0338-9564-01,NDC,,,outpatient,4,ML,809.52,,404.76,485.712,785.2344,760.9488,,,,percent of total billed charges,,647.616,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,671.9016,,,,percent of total billed charges,,728.568,,,,percent of total billed charges,,744.7584,,,,percent of total billed charges,,744.7584,,,,percent of total billed charges,,765.80592,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,785.2344,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,712.3776,,,,percent of total billed charges,,728.568,,,,percent of total billed charges,,648.42552,,,,percent of total billed charges,,728.568,,,,percent of total billed charges,,485.712,,,,percent of total billed charges,,751.963128,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,647.616,,,,percent of total billed charges,,485.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,648.506472,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THYROID (PORK) 60 MG TABLET [196395],0637,RC,0456-0459-01,NDC,,,outpatient,1,EA,4.43,,2.215,2.658,4.2971,4.1642,,,,percent of total billed charges,,3.544,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,3.6769,,,,percent of total billed charges,,3.987,,,,percent of total billed charges,,4.0756,,,,percent of total billed charges,,4.0756,,,,percent of total billed charges,,4.19078,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,4.2971,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,3.8984,,,,percent of total billed charges,,3.987,,,,percent of total billed charges,,3.54843,,,,percent of total billed charges,,3.987,,,,percent of total billed charges,,2.658,,,,percent of total billed charges,,4.115027,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,3.544,,,,percent of total billed charges,,2.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.548873,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION [253294],0636,RC,58468-0030-1,NDC,J3240,HCPCS,outpatient,1,EA,8897.58,,4448.79,5338.548,8630.6526,8363.7252,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7384.9914,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8417.11068,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8630.6526,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7829.8704,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,7126.96158,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,8264.962062,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7127.851338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION [253294],0636,RC,58468-0030-2,NDC,J3240,HCPCS,outpatient,1,EA,8897.58,,4448.79,5338.548,8630.6526,8363.7252,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7384.9914,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8417.11068,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8630.6526,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7829.8704,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,7126.96158,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,8264.962062,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7127.851338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TICAGRELOR 90 MG TABLET [205960],0637,RC,0186-0777-39,NDC,,,outpatient,1,EA,30.95,,15.475,18.57,30.0215,29.093,,,,percent of total billed charges,,24.76,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,25.6885,,,,percent of total billed charges,,27.855,,,,percent of total billed charges,,28.474,,,,percent of total billed charges,,28.474,,,,percent of total billed charges,,29.2787,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,30.0215,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,27.236,,,,percent of total billed charges,,27.855,,,,percent of total billed charges,,24.79095,,,,percent of total billed charges,,27.855,,,,percent of total billed charges,,18.57,,,,percent of total billed charges,,28.749455,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,24.76,,,,percent of total billed charges,,18.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.794045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.25 % EYE DROPS [11561],0637,RC,60758-802-10,NDC,,,outpatient,10,ML,86.36,,43.18,51.816,83.7692,81.1784,,,,percent of total billed charges,,69.088,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,71.6788,,,,percent of total billed charges,,77.724,,,,percent of total billed charges,,79.4512,,,,percent of total billed charges,,79.4512,,,,percent of total billed charges,,81.69656,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,83.7692,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,75.9968,,,,percent of total billed charges,,77.724,,,,percent of total billed charges,,69.17436,,,,percent of total billed charges,,77.724,,,,percent of total billed charges,,51.816,,,,percent of total billed charges,,80.219804,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,69.088,,,,percent of total billed charges,,51.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.182996,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.25 % EYE DROPS [11561],0637,RC,61314-226-05,NDC,,,outpatient,5,ML,10.53,,5.265,6.318,10.2141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,8.43453,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,9.781317,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.435583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,17478-288-10,NDC,,,outpatient,5,ML,19.58,,9.79,11.748,18.9926,18.4052,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,16.2514,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.52268,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.9926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,17.2304,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,15.68358,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,18.187862,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.685538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,60758-801-05,NDC,,,outpatient,5,ML,22.64,,11.32,13.584,21.9608,21.2816,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.7912,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,21.41744,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.9608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,19.9232,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,18.13464,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,21.030296,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.136904,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,61314-227-05,NDC,,,outpatient,5,ML,20.12,,10.06,12.072,19.5164,18.9128,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.6996,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,19.03352,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.5164,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,17.7056,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,16.11612,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,18.689468,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.118132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,64980-514-05,NDC,,,outpatient,5,ML,27.18,,13.59,16.308,26.3646,25.5492,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,22.5594,,,,percent of total billed charges,,24.462,,,,percent of total billed charges,,25.0056,,,,percent of total billed charges,,25.0056,,,,percent of total billed charges,,25.71228,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,26.3646,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,23.9184,,,,percent of total billed charges,,24.462,,,,percent of total billed charges,,21.77118,,,,percent of total billed charges,,24.462,,,,percent of total billed charges,,16.308,,,,percent of total billed charges,,25.247502,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,16.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.773898,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TIROFIBAN 250 MCG/ML CONCENTRATE,INTRAVENOUS [77185]",0636,RC,25208-001-04,NDC,J3246,HCPCS,outpatient,15,ML,172.87,,86.435,103.722,167.6839,162.4978,,,,percent of total billed charges,,138.296,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,143.4821,,,,percent of total billed charges,,155.583,,,,percent of total billed charges,,159.0404,,,,percent of total billed charges,,159.0404,,,,percent of total billed charges,,163.53502,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,167.6839,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,152.1256,,,,percent of total billed charges,,155.583,,,,percent of total billed charges,,138.46887,,,,percent of total billed charges,,155.583,,,,percent of total billed charges,,103.722,,,,percent of total billed charges,,160.578943,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,138.296,,,,percent of total billed charges,,103.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,138.486157,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS [194219],0636,RC,25208-002-01,NDC,J3246,HCPCS,outpatient,100,ML,287.1,,143.55,172.26,278.487,269.874,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,238.293,,,,percent of total billed charges,,258.39,,,,percent of total billed charges,,264.132,,,,percent of total billed charges,,264.132,,,,percent of total billed charges,,271.5966,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,278.487,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,252.648,,,,percent of total billed charges,,258.39,,,,percent of total billed charges,,229.9671,,,,percent of total billed charges,,258.39,,,,percent of total billed charges,,172.26,,,,percent of total billed charges,,266.68719,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,172.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,229.99581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS [194219],0636,RC,25208-002-03,NDC,J3246,HCPCS,outpatient,100,ML,198.45,,99.225,119.07,192.4965,186.543,,,,percent of total billed charges,,158.76,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,164.7135,,,,percent of total billed charges,,178.605,,,,percent of total billed charges,,182.574,,,,percent of total billed charges,,182.574,,,,percent of total billed charges,,187.7337,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,192.4965,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,174.636,,,,percent of total billed charges,,178.605,,,,percent of total billed charges,,158.95845,,,,percent of total billed charges,,178.605,,,,percent of total billed charges,,119.07,,,,percent of total billed charges,,184.340205,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,158.76,,,,percent of total billed charges,,119.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,158.978295,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,51079-998-20,NDC,,,outpatient,1,EA,1.9,,0.95,1.14,1.843,1.786,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.577,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7974,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.5219,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.76491,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.52209,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,68084-645-01,NDC,,,outpatient,1,EA,2.36,,1.18,1.416,2.2892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.89036,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.192204,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.890596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,68084-645-11,NDC,,,outpatient,1,EA,2.36,,1.18,1.416,2.2892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.89036,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.192204,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.890596,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,0904-6418-61,NDC,,,outpatient,1,EA,2.61,,1.305,1.566,2.5317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.09061,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.424429,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.090871,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 0.3 % EYE DROPS [7995],0637,RC,24208-290-05,NDC,,,outpatient,5,ML,38.79,,19.395,23.274,37.6263,36.4626,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,32.1957,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,36.69534,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,37.6263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,34.1352,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,31.07079,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,36.032031,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.074669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 0.3 % EYE DROPS [7995],0637,RC,61314-643-05,NDC,,,outpatient,5,ML,42.39,,21.195,25.434,41.1183,39.8466,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,35.1837,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,40.10094,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,41.1183,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,37.3032,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,33.95439,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,39.376071,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.958629,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 0.3 % EYE DROPS [7995],0637,RC,70069-131-01,NDC,,,outpatient,5,ML,35.82,,17.91,21.492,34.7454,33.6708,,,,percent of total billed charges,,28.656,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,29.7306,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,32.9544,,,,percent of total billed charges,,32.9544,,,,percent of total billed charges,,33.88572,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,34.7454,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,31.5216,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,28.69182,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,21.492,,,,percent of total billed charges,,33.273198,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,28.656,,,,percent of total billed charges,,21.492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.695402,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,0065-0647-25,NDC,,,outpatient,2.5,ML,343.85,,171.925,206.31,333.5345,323.219,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,285.3955,,,,percent of total billed charges,,309.465,,,,percent of total billed charges,,316.342,,,,percent of total billed charges,,316.342,,,,percent of total billed charges,,325.2821,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,333.5345,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,302.588,,,,percent of total billed charges,,309.465,,,,percent of total billed charges,,275.42385,,,,percent of total billed charges,,309.465,,,,percent of total billed charges,,206.31,,,,percent of total billed charges,,319.402265,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,206.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,275.458235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,61314-647-25,NDC,,,outpatient,2.5,ML,167.27,,83.635,100.362,162.2519,157.2338,,,,percent of total billed charges,,133.816,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,138.8341,,,,percent of total billed charges,,150.543,,,,percent of total billed charges,,153.8884,,,,percent of total billed charges,,153.8884,,,,percent of total billed charges,,158.23742,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,162.2519,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,147.1976,,,,percent of total billed charges,,150.543,,,,percent of total billed charges,,133.98327,,,,percent of total billed charges,,150.543,,,,percent of total billed charges,,100.362,,,,percent of total billed charges,,155.377103,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,133.816,,,,percent of total billed charges,,100.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,133.999997,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,24208-295-25,NDC,,,outpatient,2.5,ML,225.63,,112.815,135.378,218.8611,212.0922,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,187.2729,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,213.44598,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,218.8611,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,198.5544,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,180.72963,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,209.587707,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.752193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,69238-1373-2,NDC,,,outpatient,2.5,ML,156.06,,78.03,93.636,151.3782,146.6964,,,,percent of total billed charges,,124.848,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,129.5298,,,,percent of total billed charges,,140.454,,,,percent of total billed charges,,143.5752,,,,percent of total billed charges,,143.5752,,,,percent of total billed charges,,147.63276,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,151.3782,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,137.3328,,,,percent of total billed charges,,140.454,,,,percent of total billed charges,,125.00406,,,,percent of total billed charges,,140.454,,,,percent of total billed charges,,93.636,,,,percent of total billed charges,,144.964134,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,124.848,,,,percent of total billed charges,,93.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,125.019666,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,0574-4031-25,NDC,,,outpatient,2.5,ML,39.42,,19.71,23.652,38.2374,37.0548,,,,percent of total billed charges,,31.536,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,32.7186,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,36.2664,,,,percent of total billed charges,,36.2664,,,,percent of total billed charges,,37.29132,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,38.2374,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,34.6896,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,31.57542,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,23.652,,,,percent of total billed charges,,36.617238,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,31.536,,,,percent of total billed charges,,23.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.579362,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 1.2 GRAM POWDER - FOR OR [1002020],0636,RC,39822-0412-6,NDC,J3260,HCPCS,outpatient,1,EA,155.62,,77.81,93.372,150.9514,146.2828,,,,percent of total billed charges,,124.496,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,129.1646,,,,percent of total billed charges,,140.058,,,,percent of total billed charges,,143.1704,,,,percent of total billed charges,,143.1704,,,,percent of total billed charges,,147.21652,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,150.9514,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,136.9456,,,,percent of total billed charges,,140.058,,,,percent of total billed charges,,124.65162,,,,percent of total billed charges,,140.058,,,,percent of total billed charges,,93.372,,,,percent of total billed charges,,144.555418,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,124.496,,,,percent of total billed charges,,93.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,124.667182,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,0078-0494-71,NDC,J7682,HCPCS,outpatient,300,ME,28749.6,,14374.8,17249.76,27887.112,27024.624,,,,percent of total billed charges,,22999.68,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,23862.168,,,,percent of total billed charges,,25874.64,,,,percent of total billed charges,,26449.632,,,,percent of total billed charges,,26449.632,,,,percent of total billed charges,,27197.1216,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,27887.112,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,25299.648,,,,percent of total billed charges,,25874.64,,,,percent of total billed charges,,23028.4296,,,,percent of total billed charges,,25874.64,,,,percent of total billed charges,,17249.76,,,,percent of total billed charges,,26705.50344,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,22999.68,,,,percent of total billed charges,,17249.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,23031.30456,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,0093-4085-63,NDC,J7682,HCPCS,outpatient,5,ML,81.66,,40.83,48.996,79.2102,76.7604,,,,percent of total billed charges,,65.328,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,67.7778,,,,percent of total billed charges,,73.494,,,,percent of total billed charges,,75.1272,,,,percent of total billed charges,,75.1272,,,,percent of total billed charges,,77.25036,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,79.2102,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,71.8608,,,,percent of total billed charges,,73.494,,,,percent of total billed charges,,65.40966,,,,percent of total billed charges,,73.494,,,,percent of total billed charges,,48.996,,,,percent of total billed charges,,75.853974,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,65.328,,,,percent of total billed charges,,48.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.417826,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,65162-914-46,NDC,J7682,HCPCS,outpatient,5,ML,81.95,,40.975,49.17,79.4915,77.033,,,,percent of total billed charges,,65.56,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,68.0185,,,,percent of total billed charges,,73.755,,,,percent of total billed charges,,75.394,,,,percent of total billed charges,,75.394,,,,percent of total billed charges,,77.5247,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,79.4915,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,72.116,,,,percent of total billed charges,,73.755,,,,percent of total billed charges,,65.64195,,,,percent of total billed charges,,73.755,,,,percent of total billed charges,,49.17,,,,percent of total billed charges,,76.123355,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,65.56,,,,percent of total billed charges,,49.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.650145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,43598-605-04,NDC,J7682,HCPCS,outpatient,5,ML,44.91,,22.455,26.946,43.5627,42.2154,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,37.2753,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,42.48486,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,43.5627,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,39.5208,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,35.97291,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,41.716899,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.977401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,43598-605-56,NDC,J7682,HCPCS,outpatient,5,ML,44.91,,22.455,26.946,43.5627,42.2154,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,37.2753,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,42.48486,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,43.5627,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,39.5208,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,35.97291,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,41.716899,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.977401,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,0409-3578-01,NDC,J3260,HCPCS,outpatient,2,ML,11.97,,5.985,7.182,11.6109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.58797,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,11.118933,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.589167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,67457-428-00,NDC,J3260,HCPCS,outpatient,30,ML,45.63,,22.815,27.378,44.2611,42.8922,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,37.8729,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,43.16598,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,44.2611,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,40.1544,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,36.54963,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,42.385707,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.554193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,67457-428-30,NDC,J3260,HCPCS,outpatient,30,ML,45.63,,22.815,27.378,44.2611,42.8922,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,37.8729,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,43.16598,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,44.2611,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,40.1544,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,36.54963,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,42.385707,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,36.554193,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,67457-473-00,NDC,J3260,HCPCS,outpatient,2,ML,3.9,,1.95,2.34,3.783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.1239,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.62271,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.12429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,67457-473-22,NDC,J3260,HCPCS,outpatient,2,ML,3.9,,1.95,2.34,3.783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.1239,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.62271,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.12429,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,0409-3578-11,NDC,J3260,HCPCS,outpatient,2,ML,11.97,,5.985,7.182,11.6109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.58797,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,11.118933,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.589167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,0703-9416-01,NDC,J3260,HCPCS,outpatient,30,ML,108,,54,64.8,104.76,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,86.508,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,100.3212,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.5188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,0409-3578-01,NDC,J3260,HCPCS,outpatient,2,ML,11.97,,5.985,7.182,11.6109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.58797,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,11.118933,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.589167,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,0409-3578-01,NDC,J3260,HCPCS,outpatient,135.2,ME,20.22,,10.11,12.132,19.6134,19.0068,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.7826,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,19.12812,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.6134,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,17.7936,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,16.19622,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,18.782358,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.198242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,0409-3578-01,NDC,J3260,HCPCS,outpatient,135.2,ME,20.22,,10.11,12.132,19.6134,19.0068,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.7826,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,19.12812,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.6134,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,17.7936,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,16.19622,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,18.782358,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.198242,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,0409-3578-01,NDC,J3260,HCPCS,outpatient,169,ME,25.27,,12.635,15.162,24.5119,23.7538,,,,percent of total billed charges,,20.216,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,20.9741,,,,percent of total billed charges,,22.743,,,,percent of total billed charges,,23.2484,,,,percent of total billed charges,,23.2484,,,,percent of total billed charges,,23.90542,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,24.5119,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,22.2376,,,,percent of total billed charges,,22.743,,,,percent of total billed charges,,20.24127,,,,percent of total billed charges,,22.743,,,,percent of total billed charges,,15.162,,,,percent of total billed charges,,23.473303,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,20.216,,,,percent of total billed charges,,15.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.243797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,0409-3578-01,NDC,J3260,HCPCS,outpatient,473.2,ME,70.75,,35.375,42.45,68.6275,66.505,,,,percent of total billed charges,,56.6,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,58.7225,,,,percent of total billed charges,,63.675,,,,percent of total billed charges,,65.09,,,,percent of total billed charges,,65.09,,,,percent of total billed charges,,66.9295,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,68.6275,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,62.26,,,,percent of total billed charges,,63.675,,,,percent of total billed charges,,56.67075,,,,percent of total billed charges,,63.675,,,,percent of total billed charges,,42.45,,,,percent of total billed charges,,65.719675,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,56.6,,,,percent of total billed charges,,42.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.677825,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [197820],0636,RC,50242-136-01,NDC,Q0249,HCPCS,outpatient,10,ML,5766.44,,2883.22,3459.864,5593.4468,5420.4536,,,,percent of total billed charges,,4613.152,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,4786.1452,,,,percent of total billed charges,,5189.796,,,,percent of total billed charges,,5305.1248,,,,percent of total billed charges,,5305.1248,,,,percent of total billed charges,,5455.05224,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,5593.4468,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,5074.4672,,,,percent of total billed charges,,5189.796,,,,percent of total billed charges,,4618.91844,,,,percent of total billed charges,,5189.796,,,,percent of total billed charges,,3459.864,,,,percent of total billed charges,,5356.446116,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,4613.152,,,,percent of total billed charges,,3459.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4619.495084,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [197822],0636,RC,50242-137-01,NDC,Q0249,HCPCS,outpatient,20,ML,11951.19,,5975.595,7170.714,11592.6543,11234.1186,,,,percent of total billed charges,,9560.952,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,9919.4877,,,,percent of total billed charges,,10756.071,,,,percent of total billed charges,,10995.0948,,,,percent of total billed charges,,10995.0948,,,,percent of total billed charges,,11305.82574,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,11592.6543,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,10517.0472,,,,percent of total billed charges,,10756.071,,,,percent of total billed charges,,9572.90319,,,,percent of total billed charges,,10756.071,,,,percent of total billed charges,,7170.714,,,,percent of total billed charges,,11101.46039,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,9560.952,,,,percent of total billed charges,,7170.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9574.098309,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [197819],0636,RC,50242-135-01,NDC,Q0249,HCPCS,outpatient,4,ML,2306.58,,1153.29,1383.948,2237.3826,2168.1852,,,,percent of total billed charges,,1845.264,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,1914.4614,,,,percent of total billed charges,,2075.922,,,,percent of total billed charges,,2122.0536,,,,percent of total billed charges,,2122.0536,,,,percent of total billed charges,,2182.02468,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,2237.3826,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,2029.7904,,,,percent of total billed charges,,2075.922,,,,percent of total billed charges,,1847.57058,,,,percent of total billed charges,,2075.922,,,,percent of total billed charges,,1383.948,,,,percent of total billed charges,,2142.582162,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,1845.264,,,,percent of total billed charges,,1383.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1847.801238,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [197819],0636,RC,50242-135-01,NDC,Q0249,HCPCS,outpatient,270.4,ME,7796.23,,3898.115,4677.738,7562.3431,7328.4562,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6470.8709,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7375.23358,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7562.3431,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6860.6824,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,6244.78023,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,7241.918047,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6245.559853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [197819],0636,RC,50242-135-01,NDC,Q0249,HCPCS,outpatient,270.4,ME,7796.23,,3898.115,4677.738,7562.3431,7328.4562,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6470.8709,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7375.23358,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7562.3431,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6860.6824,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,6244.78023,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,7241.918047,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6245.559853,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,59148-021-50,NDC,,,outpatient,1,EA,2416.26,,1208.13,1449.756,2343.7722,2271.2844,,,,percent of total billed charges,,1933.008,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2005.4958,,,,percent of total billed charges,,2174.634,,,,percent of total billed charges,,2222.9592,,,,percent of total billed charges,,2222.9592,,,,percent of total billed charges,,2285.78196,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2343.7722,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2126.3088,,,,percent of total billed charges,,2174.634,,,,percent of total billed charges,,1935.42426,,,,percent of total billed charges,,2174.634,,,,percent of total billed charges,,1449.756,,,,percent of total billed charges,,2244.463914,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,1933.008,,,,percent of total billed charges,,1449.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1935.665886,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,67877-636-02,NDC,,,outpatient,1,EA,1416.41,,708.205,849.846,1373.9177,1331.4254,,,,percent of total billed charges,,1133.128,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1175.6203,,,,percent of total billed charges,,1274.769,,,,percent of total billed charges,,1303.0972,,,,percent of total billed charges,,1303.0972,,,,percent of total billed charges,,1339.92386,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1373.9177,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1246.4408,,,,percent of total billed charges,,1274.769,,,,percent of total billed charges,,1134.54441,,,,percent of total billed charges,,1274.769,,,,percent of total billed charges,,849.846,,,,percent of total billed charges,,1315.703249,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1133.128,,,,percent of total billed charges,,849.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1134.686051,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,31722-869-01,NDC,,,outpatient,1,EA,539.54,,269.77,323.724,523.3538,507.1676,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,447.8182,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,510.40484,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,523.3538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,474.7952,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,432.17154,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,501.178706,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.225494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,31722-869-03,NDC,,,outpatient,1,EA,539.54,,269.77,323.724,523.3538,507.1676,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,447.8182,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,510.40484,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,523.3538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,474.7952,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,432.17154,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,501.178706,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.225494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,31722-869-31,NDC,,,outpatient,1,EA,539.54,,269.77,323.724,523.3538,507.1676,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,447.8182,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,510.40484,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,523.3538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,474.7952,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,432.17154,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,501.178706,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,432.225494,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 100 MG TABLET [82397],0637,RC,68084-344-01,NDC,,,outpatient,1,EA,1.73,,0.865,1.038,1.6781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.38573,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.606997,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.385903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 100 MG TABLET [82397],0637,RC,68084-344-11,NDC,,,outpatient,1,EA,1.73,,0.865,1.038,1.6781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.38573,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.606997,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.385903,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 100 MG TABLET [82397],0637,RC,0904-6929-61,NDC,,,outpatient,1,EA,1.98,,0.99,1.188,1.9206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.58598,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.839222,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.586178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 25 MG TABLET [78819],0637,RC,68084-342-01,NDC,,,outpatient,1,EA,1.11,,0.555,0.666,1.0767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.88911,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.031079,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.889221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 25 MG TABLET [78819],0637,RC,68084-342-11,NDC,,,outpatient,1,EA,1.11,,0.555,0.666,1.0767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.88911,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.031079,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.889221,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 25 MG TABLET [78819],0637,RC,0904-6928-61,NDC,,,outpatient,1,EA,1.21,,0.605,0.726,1.1737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.96921,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.123969,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.969331,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPOTECAN 4 MG INTRAVENOUS SOLUTION [79929],0636,RC,0007-4201-01,NDC,J9351,HCPCS,outpatient,1,EA,4901.94,,2450.97,2941.164,4754.8818,4607.8236,,,,percent of total billed charges,,3921.552,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4068.6102,,,,percent of total billed charges,,4411.746,,,,percent of total billed charges,,4509.7848,,,,percent of total billed charges,,4509.7848,,,,percent of total billed charges,,4637.23524,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4754.8818,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4313.7072,,,,percent of total billed charges,,4411.746,,,,percent of total billed charges,,3926.45394,,,,percent of total billed charges,,4411.746,,,,percent of total billed charges,,2941.164,,,,percent of total billed charges,,4553.412066,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,3921.552,,,,percent of total billed charges,,2941.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3926.944134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPOTECAN 4 MG INTRAVENOUS SOLUTION [79929],0636,RC,16729-151-31,NDC,J9351,HCPCS,outpatient,1,EA,324.68,,162.34,194.808,314.9396,305.1992,,,,percent of total billed charges,,259.744,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,269.4844,,,,percent of total billed charges,,292.212,,,,percent of total billed charges,,298.7056,,,,percent of total billed charges,,298.7056,,,,percent of total billed charges,,307.14728,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,314.9396,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,285.7184,,,,percent of total billed charges,,292.212,,,,percent of total billed charges,,260.06868,,,,percent of total billed charges,,292.212,,,,percent of total billed charges,,194.808,,,,percent of total billed charges,,301.595252,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,259.744,,,,percent of total billed charges,,194.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,260.101148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [203109],0636,RC,67457-662-05,NDC,J9351,HCPCS,outpatient,4,ML,148.77,,74.385,89.262,144.3069,139.8438,,,,percent of total billed charges,,119.016,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,123.4791,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,136.8684,,,,percent of total billed charges,,136.8684,,,,percent of total billed charges,,140.73642,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,144.3069,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,130.9176,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,119.16477,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,89.262,,,,percent of total billed charges,,138.192453,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,119.016,,,,percent of total billed charges,,89.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.179647,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,31722-531-01,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,68084-539-01,NDC,,,outpatient,1,EA,1.55,,0.775,0.93,1.5035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.24155,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.439795,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.241705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,68084-539-11,NDC,,,outpatient,1,EA,1.55,,0.775,0.93,1.5035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.24155,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.439795,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.241705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,0904-7283-06,NDC,,,outpatient,1,EA,1.86,,0.93,1.116,1.8042,1.7484,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.5438,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.75956,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.8042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.6368,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.48986,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.727754,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.490046,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60 MCG-5MG/ML IV SOLN [79379],0250,RC,0517-8201-25,NDC,,,outpatient,1,ML,49.38,,24.69,29.628,47.8986,46.4172,,,,percent of total billed charges,,39.504,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,40.9854,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,45.4296,,,,percent of total billed charges,,45.4296,,,,percent of total billed charges,,46.71348,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,47.8986,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,43.4544,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,39.55338,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,29.628,,,,percent of total billed charges,,45.869082,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,39.504,,,,percent of total billed charges,,29.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.558318,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS [80740],0250,RC,0517-6202-25,NDC,,,outpatient,2,ML,43.98,,21.99,26.388,42.6606,41.3412,,,,percent of total billed charges,,35.184,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,36.5034,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,40.4616,,,,percent of total billed charges,,40.4616,,,,percent of total billed charges,,41.60508,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,42.6606,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,38.7024,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,35.22798,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,26.388,,,,percent of total billed charges,,40.853022,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,35.184,,,,percent of total billed charges,,26.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,35.232378,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN [77054],0250,RC,0517-7201-25,NDC,,,outpatient,1,ML,48.29,,24.145,28.974,46.8413,45.3926,,,,percent of total billed charges,,38.632,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,40.0807,,,,percent of total billed charges,,43.461,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,45.68234,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,46.8413,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,42.4952,,,,percent of total billed charges,,43.461,,,,percent of total billed charges,,38.68029,,,,percent of total billed charges,,43.461,,,,percent of total billed charges,,28.974,,,,percent of total billed charges,,44.856581,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,38.632,,,,percent of total billed charges,,28.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.685119,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS PEDI ZN-CU-MN-SE-F-I 521 MCG-53.7 MCG-3.6 MCG/ML IV [216898],0250,RC,63323-147-10,NDC,,,outpatient,10,ML,50.76,,25.38,30.456,49.2372,47.7144,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,42.1308,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,48.01896,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,49.2372,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,44.6688,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,40.65876,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,47.150964,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.663836,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN [254973]",0250,RC,0517-9302-01,NDC,,,outpatient,1,ML,73.34,,36.67,44.004,71.1398,68.9396,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,60.8722,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,69.37964,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,71.1398,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,64.5392,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,58.74534,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,68.125526,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.752674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN [254973]",0250,RC,0517-9302-25,NDC,,,outpatient,1,ML,73.34,,36.67,44.004,71.1398,68.9396,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,60.8722,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,69.37964,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,71.1398,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,64.5392,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,58.74534,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,68.125526,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,58.752674,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,0517-9305-01,NDC,,,outpatient,1,ML,88.93,,44.465,53.358,86.2621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,71.23293,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,82.607077,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.241823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,0517-9305-25,NDC,,,outpatient,1,ML,88.93,,44.465,53.358,86.2621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,71.23293,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,82.607077,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.241823,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,51079-991-20,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,51079-991-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,68084-808-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,68084-808-11,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,0904-7179-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,0517-0960-10,NDC,,,outpatient,10,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,0517-0960-01,NDC,,,outpatient,10,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,23155-166-31,NDC,,,outpatient,10,ML,9.63,,4.815,5.778,9.3411,9.0522,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.9929,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,9.10998,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.3411,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,8.4744,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,7.71363,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,8.945307,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.714593,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,23155-166-41,NDC,,,outpatient,10,ML,9.63,,4.815,5.778,9.3411,9.0522,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.9929,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,9.10998,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.3411,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,8.4744,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,7.71363,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,8.945307,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.714593,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,72485-107-01,NDC,,,outpatient,10,ML,14.49,,7.245,8.694,14.0553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,11.60649,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,13.459761,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.607939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,72485-107-10,NDC,,,outpatient,10,ML,14.49,,7.245,8.694,14.0553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,11.60649,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,13.459761,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.607939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,81284-611-00,NDC,,,outpatient,10,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,81284-611-10,NDC,,,outpatient,10,ML,9.45,,4.725,5.67,9.1665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,7.56945,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,8.778105,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.570395,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR TOPICAL FOR IRRIGATION [1002049]",0250,RC,51754-0108-1,NDC,,,outpatient,100,ML,36.45,,18.225,21.87,35.3565,34.263,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,30.2535,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.4817,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,35.3565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,32.076,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,29.19645,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,33.858405,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.200095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK [244467]",0250,RC,51754-0108-1,NDC,,,outpatient,100,ML,36.45,,18.225,21.87,35.3565,34.263,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,30.2535,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.4817,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,35.3565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,32.076,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,29.19645,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,33.858405,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.200095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,72485-107-10,NDC,,,outpatient,676,ME,9.8,,4.9,5.88,9.506,9.212,,,,percent of total billed charges,,7.84,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,8.134,,,,percent of total billed charges,,8.82,,,,percent of total billed charges,,9.016,,,,percent of total billed charges,,9.016,,,,percent of total billed charges,,9.2708,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,9.506,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,8.624,,,,percent of total billed charges,,8.82,,,,percent of total billed charges,,7.8498,,,,percent of total billed charges,,8.82,,,,percent of total billed charges,,5.88,,,,percent of total billed charges,,9.10322,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,7.84,,,,percent of total billed charges,,5.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.85078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID INTRANASAL SOLUTION [7000254],0250,RC,0517-0960-10,NDC,,,outpatient,10,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID INTRANASAL SOLUTION [7000254],0250,RC,0517-0960-01,NDC,,,outpatient,10,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID NEBULIZED SOLUTION  [1001377],0250,RC,0517-0960-10,NDC,,,outpatient,10,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID NEBULIZED SOLUTION  [1001377],0250,RC,0517-0960-01,NDC,,,outpatient,10,ML,30.87,,15.435,18.522,29.9439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,24.72687,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,28.675143,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,24.729957,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID TOPICAL SOLUTION [1001389],0250,RC,55150-188-10,NDC,,,outpatient,10,ML,11.57,,5.785,6.942,11.2229,10.8758,,,,percent of total billed charges,,9.256,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,9.6031,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,10.6444,,,,percent of total billed charges,,10.6444,,,,percent of total billed charges,,10.94522,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,11.2229,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,10.1816,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,9.26757,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,6.942,,,,percent of total billed charges,,10.747373,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,9.256,,,,percent of total billed charges,,6.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.268727,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [235330],0636,RC,50242-132-01,NDC,J9355,HCPCS,outpatient,270.4,ME,12641.91,,6320.955,7585.146,12262.6527,11883.3954,,,,percent of total billed charges,,10113.528,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,10492.7853,,,,percent of total billed charges,,11377.719,,,,percent of total billed charges,,11630.5572,,,,percent of total billed charges,,11630.5572,,,,percent of total billed charges,,11959.24686,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,12262.6527,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,11124.8808,,,,percent of total billed charges,,11377.719,,,,percent of total billed charges,,10126.16991,,,,percent of total billed charges,,11377.719,,,,percent of total billed charges,,7585.146,,,,percent of total billed charges,,11743.0702,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,10113.528,,,,percent of total billed charges,,7585.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10127.4341,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [235330],0636,RC,50242-132-01,NDC,J9355,HCPCS,outpatient,135.2,ME,6320.96,,3160.48,3792.576,6131.3312,5941.7024,,,,percent of total billed charges,,5056.768,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,5246.3968,,,,percent of total billed charges,,5688.864,,,,percent of total billed charges,,5815.2832,,,,percent of total billed charges,,5815.2832,,,,percent of total billed charges,,5979.62816,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,6131.3312,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,5562.4448,,,,percent of total billed charges,,5688.864,,,,percent of total billed charges,,5063.08896,,,,percent of total billed charges,,5688.864,,,,percent of total billed charges,,3792.576,,,,percent of total billed charges,,5871.539744,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,5056.768,,,,percent of total billed charges,,3792.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5063.721056,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [235330],0636,RC,50242-132-01,NDC,J9355,HCPCS,outpatient,1,EA,7012.89,,3506.445,4207.734,6802.5033,6592.1166,,,,percent of total billed charges,,5610.312,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,5820.6987,,,,percent of total billed charges,,6311.601,,,,percent of total billed charges,,6451.8588,,,,percent of total billed charges,,6451.8588,,,,percent of total billed charges,,6634.19394,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,6802.5033,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,6171.3432,,,,percent of total billed charges,,6311.601,,,,percent of total billed charges,,5617.32489,,,,percent of total billed charges,,6311.601,,,,percent of total billed charges,,4207.734,,,,percent of total billed charges,,6514.273521,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,5610.312,,,,percent of total billed charges,,4207.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5618.026179,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [244831],0636,RC,55513-132-01,NDC,Q5117,HCPCS,outpatient,270.4,ME,9688.49,,4844.245,5813.094,9397.8353,9107.1806,,,,percent of total billed charges,,7750.792,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,8041.4467,,,,percent of total billed charges,,8719.641,,,,percent of total billed charges,,8913.4108,,,,percent of total billed charges,,8913.4108,,,,percent of total billed charges,,9165.31154,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,9397.8353,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,8525.8712,,,,percent of total billed charges,,8719.641,,,,percent of total billed charges,,7760.48049,,,,percent of total billed charges,,8719.641,,,,percent of total billed charges,,5813.094,,,,percent of total billed charges,,8999.638361,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,7750.792,,,,percent of total billed charges,,5813.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7761.449339,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [244831],0636,RC,55513-132-01,NDC,Q5117,HCPCS,outpatient,135.2,ME,4844.25,,2422.125,2906.55,4698.9225,4553.595,,,,percent of total billed charges,,3875.4,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4020.7275,,,,percent of total billed charges,,4359.825,,,,percent of total billed charges,,4456.71,,,,percent of total billed charges,,4456.71,,,,percent of total billed charges,,4582.6605,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4698.9225,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4262.94,,,,percent of total billed charges,,4359.825,,,,percent of total billed charges,,3880.24425,,,,percent of total billed charges,,4359.825,,,,percent of total billed charges,,2906.55,,,,percent of total billed charges,,4499.823825,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,3875.4,,,,percent of total billed charges,,2906.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3880.728675,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [246645],0636,RC,55513-141-01,NDC,Q5117,HCPCS,outpatient,1,EA,5639.9,,2819.95,3383.94,5470.703,5301.506,,,,percent of total billed charges,,4511.92,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,4681.117,,,,percent of total billed charges,,5075.91,,,,percent of total billed charges,,5188.708,,,,percent of total billed charges,,5188.708,,,,percent of total billed charges,,5335.3454,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,5470.703,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,4963.112,,,,percent of total billed charges,,5075.91,,,,percent of total billed charges,,4517.5599,,,,percent of total billed charges,,5075.91,,,,percent of total billed charges,,3383.94,,,,percent of total billed charges,,5238.90311,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,4511.92,,,,percent of total billed charges,,3383.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4518.12389,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [244831],0636,RC,55513-132-01,NDC,Q5117,HCPCS,outpatient,1,EA,15048.68,,7524.34,9029.208,14597.2196,14145.7592,,,,percent of total billed charges,,12038.944,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,12490.4044,,,,percent of total billed charges,,13543.812,,,,percent of total billed charges,,13844.7856,,,,percent of total billed charges,,13844.7856,,,,percent of total billed charges,,14236.05128,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,14597.2196,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,13242.8384,,,,percent of total billed charges,,13543.812,,,,percent of total billed charges,,12053.99268,,,,percent of total billed charges,,13543.812,,,,percent of total billed charges,,9029.208,,,,percent of total billed charges,,13978.71885,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,12038.944,,,,percent of total billed charges,,9029.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12055.49755,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 100 MG TABLET [8083],0637,RC,60687-454-01,NDC,,,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 100 MG TABLET [8083],0637,RC,60687-454-11,NDC,,,outpatient,1,EA,0.8,,0.4,0.48,0.776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.6408,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.74312,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.64088,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 100 MG TABLET [8083],0637,RC,0904-6869-61,NDC,,,outpatient,1,EA,0.79,,0.395,0.474,0.7663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.63279,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.733831,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.632869,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,68382-805-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,60687-443-01,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,60687-443-11,NDC,,,outpatient,1,EA,0.59,,0.295,0.354,0.5723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.47259,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.548051,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.472649,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,0904-6868-61,NDC,,,outpatient,1,EA,0.53,,0.265,0.318,0.5141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.42453,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.492317,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.424583,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,50111-560-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [260141],0636,RC,0310-4535-30,NDC,J9347,HCPCS,outpatient,15,ML,136500,,68250,81900,132405,128310,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,113295,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,129129,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,132405,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,120120,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,109336.5,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,126794.85,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109350.15,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [260141],0636,RC,0310-4535-30,NDC,J9347,HCPCS,outpatient,300,ME,136500,,68250,81900,132405,128310,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,113295,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,129129,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,132405,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,120120,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,109336.5,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,126794.85,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,109350.15,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRI-MOXI-VANC OPHTH INJ [7000238],0250,RC,9997-0002-38,NDC,,,outpatient,1,ML,112.5,,56.25,67.5,109.125,105.75,,,,percent of total billed charges,,90,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,93.375,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,106.425,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,109.125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,90.1125,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,104.50125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,90,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,90.12375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,0168-0004-16,NDC,,,outpatient,453.6,GR,81.65,,40.825,48.99,79.2005,76.751,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,67.7695,,,,percent of total billed charges,,73.485,,,,percent of total billed charges,,75.118,,,,percent of total billed charges,,75.118,,,,percent of total billed charges,,77.2409,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,79.2005,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,71.852,,,,percent of total billed charges,,73.485,,,,percent of total billed charges,,65.40165,,,,percent of total billed charges,,73.485,,,,percent of total billed charges,,48.99,,,,percent of total billed charges,,75.844685,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,48.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.409815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,0168-0004-80,NDC,,,outpatient,80,GR,25.56,,12.78,15.336,24.7932,24.0264,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,21.2148,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,24.17976,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.7932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,22.4928,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,20.47356,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,23.742684,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.476116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,45802-064-35,NDC,,,outpatient,15,GR,5.61,,2.805,3.366,5.4417,5.2734,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.6563,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.30706,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.4417,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.9368,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,4.49361,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,5.211129,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.494171,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,45802-064-36,NDC,,,outpatient,80,GR,36.36,,18.18,21.816,35.2692,34.1784,,,,percent of total billed charges,,29.088,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,30.1788,,,,percent of total billed charges,,32.724,,,,percent of total billed charges,,33.4512,,,,percent of total billed charges,,33.4512,,,,percent of total billed charges,,34.39656,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,35.2692,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,31.9968,,,,percent of total billed charges,,32.724,,,,percent of total billed charges,,29.12436,,,,percent of total billed charges,,32.724,,,,percent of total billed charges,,21.816,,,,percent of total billed charges,,33.774804,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,29.088,,,,percent of total billed charges,,21.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,29.127996,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,45802-064-05,NDC,,,outpatient,454,GR,93.98,,46.99,56.388,91.1606,88.3412,,,,percent of total billed charges,,75.184,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,78.0034,,,,percent of total billed charges,,84.582,,,,percent of total billed charges,,86.4616,,,,percent of total billed charges,,86.4616,,,,percent of total billed charges,,88.90508,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,91.1606,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,82.7024,,,,percent of total billed charges,,84.582,,,,percent of total billed charges,,75.27798,,,,percent of total billed charges,,84.582,,,,percent of total billed charges,,56.388,,,,percent of total billed charges,,87.298022,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,75.184,,,,percent of total billed charges,,56.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,75.287378,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,33342-329-15,NDC,,,outpatient,15,GR,16.2,,8.1,9.72,15.714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,12.9762,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,15.04818,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.97782,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [8114],0637,RC,0168-0002-15,NDC,,,outpatient,15,GR,40.98,,20.49,24.588,39.7506,38.5212,,,,percent of total billed charges,,32.784,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,34.0134,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,37.7016,,,,percent of total billed charges,,37.7016,,,,percent of total billed charges,,38.76708,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,39.7506,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,36.0624,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,32.82498,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,24.588,,,,percent of total billed charges,,38.066322,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,32.784,,,,percent of total billed charges,,24.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.829078,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,0003-0293-05,NDC,J3301,HCPCS,outpatient,1,ML,38.7,,19.35,23.22,37.539,36.378,,,,percent of total billed charges,,30.96,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,32.121,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,35.604,,,,percent of total billed charges,,35.604,,,,percent of total billed charges,,36.6102,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,37.539,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,30.9987,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,23.22,,,,percent of total billed charges,,35.94843,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,30.96,,,,percent of total billed charges,,23.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.00257,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,0003-0293-20,NDC,J3301,HCPCS,outpatient,5,ML,196.52,,98.26,117.912,190.6244,184.7288,,,,percent of total billed charges,,157.216,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,163.1116,,,,percent of total billed charges,,176.868,,,,percent of total billed charges,,180.7984,,,,percent of total billed charges,,180.7984,,,,percent of total billed charges,,185.90792,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,190.6244,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,172.9376,,,,percent of total billed charges,,176.868,,,,percent of total billed charges,,157.41252,,,,percent of total billed charges,,176.868,,,,percent of total billed charges,,117.912,,,,percent of total billed charges,,182.547428,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,157.216,,,,percent of total billed charges,,117.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,157.432172,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,70121-1049-1,NDC,J3301,HCPCS,outpatient,1,ML,14.81,,7.405,8.886,14.3657,13.9214,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,12.2923,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,14.01026,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.3657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,13.0328,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,11.86281,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,13.757009,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.864291,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,70121-1049-5,NDC,J3301,HCPCS,outpatient,1,ML,11.59,,5.795,6.954,11.2423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.28359,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,10.765951,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.284749,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,0703-0241-01,NDC,J3301,HCPCS,outpatient,1,ML,13.23,,6.615,7.938,12.8331,12.4362,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.9809,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.51558,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.8331,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,11.6424,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,10.59723,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,12.289347,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.598553,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,0703-0243-01,NDC,J3301,HCPCS,outpatient,5,ML,71.55,,35.775,42.93,69.4035,67.257,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,59.3865,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,67.6863,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,69.4035,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,62.964,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,57.31155,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,66.462795,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.318705,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,81298-5785-3,NDC,J3301,HCPCS,outpatient,5,ML,67.01,,33.505,40.206,64.9997,62.9894,,,,percent of total billed charges,,53.608,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,55.6183,,,,percent of total billed charges,,60.309,,,,percent of total billed charges,,61.6492,,,,percent of total billed charges,,61.6492,,,,percent of total billed charges,,63.39146,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,64.9997,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,58.9688,,,,percent of total billed charges,,60.309,,,,percent of total billed charges,,53.67501,,,,percent of total billed charges,,60.309,,,,percent of total billed charges,,40.206,,,,percent of total billed charges,,62.245589,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,53.608,,,,percent of total billed charges,,40.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.681711,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,0781-2074-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,51079-935-01,NDC,,,outpatient,1,EA,1.1,,0.55,0.66,1.067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.8811,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.02179,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.88121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,51079-935-20,NDC,,,outpatient,1,EA,1.1,,0.55,0.66,1.067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.8811,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.02179,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.88121,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,72578-090-01,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0637,RC,68001-328-00,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0637,RC,68382-857-01,NDC,,,outpatient,1,EA,0.95,,0.475,0.57,0.9215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.76095,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.882455,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.761045,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIFLURIDINE 1 % EYE DROPS [11595],0637,RC,61314-044-75,NDC,,,outpatient,7.5,ML,861.54,,430.77,516.924,835.6938,809.8476,,,,percent of total billed charges,,689.232,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,715.0782,,,,percent of total billed charges,,775.386,,,,percent of total billed charges,,792.6168,,,,percent of total billed charges,,792.6168,,,,percent of total billed charges,,815.01684,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,835.6938,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,758.1552,,,,percent of total billed charges,,775.386,,,,percent of total billed charges,,690.09354,,,,percent of total billed charges,,775.386,,,,percent of total billed charges,,516.924,,,,percent of total billed charges,,800.284506,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,689.232,,,,percent of total billed charges,,516.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,690.179694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIHEXYPHENIDYL 2 MG TABLET [8166],0637,RC,0591-5335-01,NDC,,,outpatient,1,EA,0.67,,0.335,0.402,0.6499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.53667,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.622363,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.536737,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRILACICLIB 300 MG INTRAVENOUS SOLUTION [252450],0636,RC,73462-101-01,NDC,J1448,HCPCS,outpatient,1,EA,6849,,3424.5,4109.4,6643.53,6438.06,,,,percent of total billed charges,,5479.2,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,5684.67,,,,percent of total billed charges,,6164.1,,,,percent of total billed charges,,6301.08,,,,percent of total billed charges,,6301.08,,,,percent of total billed charges,,6479.154,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,6643.53,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,6027.12,,,,percent of total billed charges,,6164.1,,,,percent of total billed charges,,5486.049,,,,percent of total billed charges,,6164.1,,,,percent of total billed charges,,4109.4,,,,percent of total billed charges,,6362.0361,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,5479.2,,,,percent of total billed charges,,4109.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5486.7339,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIMETHOPRIM 100 MG TABLET [8182],0637,RC,51862-486-01,NDC,,,outpatient,1,EA,8.39,,4.195,5.034,8.1383,7.8866,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.9637,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.93694,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,8.1383,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.3832,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,6.72039,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,7.793471,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.721229,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIMETHOPRIM 100 MG TABLET [8182],0637,RC,70954-541-10,NDC,,,outpatient,1,EA,8.39,,4.195,5.034,8.1383,7.8866,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.9637,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.93694,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,8.1383,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.3832,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,6.72039,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,7.793471,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.721229,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,0338-0017-04,NDC,J7060,HCPCS,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,70069-362-10,NDC,,,outpatient,405.6,ME,70.16,,35.08,42.096,68.0552,65.9504,,,,percent of total billed charges,,56.128,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,58.2328,,,,percent of total billed charges,,63.144,,,,percent of total billed charges,,64.5472,,,,percent of total billed charges,,64.5472,,,,percent of total billed charges,,66.37136,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,68.0552,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,61.7408,,,,percent of total billed charges,,63.144,,,,percent of total billed charges,,56.19816,,,,percent of total billed charges,,63.144,,,,percent of total billed charges,,42.096,,,,percent of total billed charges,,65.171624,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,56.128,,,,percent of total billed charges,,42.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.205176,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,70069-362-10,NDC,,,outpatient,480,ME,83.03,,41.515,49.818,80.5391,78.0482,,,,percent of total billed charges,,66.424,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,68.9149,,,,percent of total billed charges,,74.727,,,,percent of total billed charges,,76.3876,,,,percent of total billed charges,,76.3876,,,,percent of total billed charges,,78.54638,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,80.5391,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,73.0664,,,,percent of total billed charges,,74.727,,,,percent of total billed charges,,66.50703,,,,percent of total billed charges,,74.727,,,,percent of total billed charges,,49.818,,,,percent of total billed charges,,77.126567,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,66.424,,,,percent of total billed charges,,49.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,66.515333,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROLAMINE SALICYLATE 10 % TOPICAL CREAM [27680],0637,RC,41167-0570-3,NDC,,,outpatient,88,GR,17.82,,8.91,10.692,17.2854,16.7508,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.7906,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.85772,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.2854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,15.6816,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,14.27382,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,16.552998,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.275602,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,17478-102-12,NDC,,,outpatient,15,ML,27.07,,13.535,16.242,26.2579,25.4458,,,,percent of total billed charges,,21.656,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,22.4681,,,,percent of total billed charges,,24.363,,,,percent of total billed charges,,24.9044,,,,percent of total billed charges,,24.9044,,,,percent of total billed charges,,25.60822,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,26.2579,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,23.8216,,,,percent of total billed charges,,24.363,,,,percent of total billed charges,,21.68307,,,,percent of total billed charges,,24.363,,,,percent of total billed charges,,16.242,,,,percent of total billed charges,,25.145323,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,21.656,,,,percent of total billed charges,,16.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.685777,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,24208-585-59,NDC,,,outpatient,2,ML,32.94,,16.47,19.764,31.9518,30.9636,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,27.3402,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,31.16124,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.9518,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,28.9872,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,26.38494,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,30.597966,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,26.388234,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,24208-585-64,NDC,,,outpatient,15,ML,123.46,,61.73,74.076,119.7562,116.0524,,,,percent of total billed charges,,98.768,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,102.4718,,,,percent of total billed charges,,111.114,,,,percent of total billed charges,,113.5832,,,,percent of total billed charges,,113.5832,,,,percent of total billed charges,,116.79316,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,119.7562,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,108.6448,,,,percent of total billed charges,,111.114,,,,percent of total billed charges,,98.89146,,,,percent of total billed charges,,111.114,,,,percent of total billed charges,,74.076,,,,percent of total billed charges,,114.681994,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,98.768,,,,percent of total billed charges,,74.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,98.903806,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,61314-355-01,NDC,,,outpatient,3,ML,15.49,,7.745,9.294,15.0253,14.5606,,,,percent of total billed charges,,12.392,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,12.8567,,,,percent of total billed charges,,13.941,,,,percent of total billed charges,,14.2508,,,,percent of total billed charges,,14.2508,,,,percent of total billed charges,,14.65354,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,15.0253,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,13.6312,,,,percent of total billed charges,,13.941,,,,percent of total billed charges,,12.40749,,,,percent of total billed charges,,13.941,,,,percent of total billed charges,,9.294,,,,percent of total billed charges,,14.388661,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,12.392,,,,percent of total billed charges,,9.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.409039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,61314-355-02,NDC,,,outpatient,15,ML,82.15,,41.075,49.29,79.6855,77.221,,,,percent of total billed charges,,65.72,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,68.1845,,,,percent of total billed charges,,73.935,,,,percent of total billed charges,,75.578,,,,percent of total billed charges,,75.578,,,,percent of total billed charges,,77.7139,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,79.6855,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,72.292,,,,percent of total billed charges,,73.935,,,,percent of total billed charges,,65.80215,,,,percent of total billed charges,,73.935,,,,percent of total billed charges,,49.29,,,,percent of total billed charges,,76.309135,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,65.72,,,,percent of total billed charges,,49.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.810365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,70069-121-01,NDC,,,outpatient,15,ML,32.07,,16.035,19.242,31.1079,30.1458,,,,percent of total billed charges,,25.656,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,26.6181,,,,percent of total billed charges,,28.863,,,,percent of total billed charges,,29.5044,,,,percent of total billed charges,,29.5044,,,,percent of total billed charges,,30.33822,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,31.1079,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,28.2216,,,,percent of total billed charges,,28.863,,,,percent of total billed charges,,25.68807,,,,percent of total billed charges,,28.863,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,29.789823,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,25.656,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.691277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE [95040],0250,RC,68803-612-10,NDC,,,outpatient,0.5,ML,207,,103.5,124.2,200.79,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,165.807,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,192.2823,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,165.8277,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [77192],0250,RC,49281-752-21,NDC,,,outpatient,1,ML,397.89,,198.945,238.734,385.9533,374.0166,,,,percent of total billed charges,,318.312,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,330.2487,,,,percent of total billed charges,,358.101,,,,percent of total billed charges,,366.0588,,,,percent of total billed charges,,366.0588,,,,percent of total billed charges,,376.40394,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,385.9533,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,350.1432,,,,percent of total billed charges,,358.101,,,,percent of total billed charges,,318.70989,,,,percent of total billed charges,,358.101,,,,percent of total billed charges,,238.734,,,,percent of total billed charges,,369.600021,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,318.312,,,,percent of total billed charges,,238.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,318.749679,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,450,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ULIPRISTAL 30 MG TABLET [202147],0636,RC,73302-456-01,NDC,J3490,HCPCS,outpatient,1,EA,160.29,,80.145,96.174,155.4813,150.6726,,,,percent of total billed charges,,128.232,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,133.0407,,,,percent of total billed charges,,144.261,,,,percent of total billed charges,,147.4668,,,,percent of total billed charges,,147.4668,,,,percent of total billed charges,,151.63434,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,155.4813,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,141.0552,,,,percent of total billed charges,,144.261,,,,percent of total billed charges,,128.39229,,,,percent of total billed charges,,144.261,,,,percent of total billed charges,,96.174,,,,percent of total billed charges,,148.893381,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,128.232,,,,percent of total billed charges,,96.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,128.408319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UREA 10 % LOTION [78580],0637,RC,3848598018,NDC,,,outpatient,237,ML,35.2,,17.6,21.12,34.144,33.088,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,29.216,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.384,,,,percent of total billed charges,,32.384,,,,percent of total billed charges,,33.2992,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.144,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,30.976,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,28.1952,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,32.69728,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.19872,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UREA 10 % LOTION [78580],0637,RC,5898060880,NDC,,,outpatient,236,ML,36.11,,18.055,21.666,35.0267,33.9434,,,,percent of total billed charges,,28.888,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,29.9713,,,,percent of total billed charges,,32.499,,,,percent of total billed charges,,33.2212,,,,percent of total billed charges,,33.2212,,,,percent of total billed charges,,34.16006,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,35.0267,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,31.7768,,,,percent of total billed charges,,32.499,,,,percent of total billed charges,,28.92411,,,,percent of total billed charges,,32.499,,,,percent of total billed charges,,21.666,,,,percent of total billed charges,,33.542579,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,28.888,,,,percent of total billed charges,,21.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,28.927721,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 300 MG CAPSULE [11624],0637,RC,9999-0116-24,NDC,,,outpatient,1,EA,11.6,,5.8,6.96,11.252,10.904,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.628,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.9736,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.252,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,10.208,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,9.2916,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,10.77524,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.29276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 300 MG CAPSULE [11624],0637,RC,70710-1483-1,NDC,,,outpatient,1,EA,4.35,,2.175,2.61,4.2195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,3.48435,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.040715,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.484785,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 300 MG CAPSULE [11624],0637,RC,59651-421-01,NDC,,,outpatient,1,EA,3.27,,1.635,1.962,3.1719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.61927,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.037503,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.619597,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 60 MG/ML ORAL LIQUID [1000133],0637,RC,9991-0001-33,NDC,,,outpatient,5,ML,1.8,,0.9,1.08,1.746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.4418,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.67202,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.44198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [232275],0636,RC,57894-054-27,NDC,J3358,HCPCS,outpatient,26,ML,8672.16,,4336.08,5203.296,8411.9952,8151.8304,,,,percent of total billed charges,,6937.728,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,7197.8928,,,,percent of total billed charges,,7804.944,,,,percent of total billed charges,,7978.3872,,,,percent of total billed charges,,7978.3872,,,,percent of total billed charges,,8203.86336,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,8411.9952,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,7631.5008,,,,percent of total billed charges,,7804.944,,,,percent of total billed charges,,6946.40016,,,,percent of total billed charges,,7804.944,,,,percent of total billed charges,,5203.296,,,,percent of total billed charges,,8055.569424,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,6937.728,,,,percent of total billed charges,,5203.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6947.267376,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [232275],0636,RC,57894-054-27,NDC,J3358,HCPCS,outpatient,260,ME,17344.32,,8672.16,10406.592,16823.9904,16303.6608,,,,percent of total billed charges,,13875.456,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,14395.7856,,,,percent of total billed charges,,15609.888,,,,percent of total billed charges,,15956.7744,,,,percent of total billed charges,,15956.7744,,,,percent of total billed charges,,16407.72672,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,16823.9904,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,15263.0016,,,,percent of total billed charges,,15609.888,,,,percent of total billed charges,,13892.80032,,,,percent of total billed charges,,15609.888,,,,percent of total billed charges,,10406.592,,,,percent of total billed charges,,16111.13885,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,13875.456,,,,percent of total billed charges,,10406.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13894.53475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,0173-0933-08,NDC,,,outpatient,1,EA,54.98,,27.49,32.988,53.3306,51.6812,,,,percent of total billed charges,,43.984,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,45.6334,,,,percent of total billed charges,,49.482,,,,percent of total billed charges,,50.5816,,,,percent of total billed charges,,50.5816,,,,percent of total billed charges,,52.01108,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,53.3306,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,48.3824,,,,percent of total billed charges,,49.482,,,,percent of total billed charges,,44.03898,,,,percent of total billed charges,,49.482,,,,percent of total billed charges,,32.988,,,,percent of total billed charges,,51.070922,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,43.984,,,,percent of total billed charges,,32.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.044478,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,68084-215-01,NDC,,,outpatient,1,EA,4.32,,2.16,2.592,4.1904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.012848,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.460752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,68084-215-11,NDC,,,outpatient,1,EA,4.32,,2.16,2.592,4.1904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.012848,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.460752,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,0904-6565-61,NDC,,,outpatient,1,EA,4.19,,2.095,2.514,4.0643,3.9386,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.4777,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.96374,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,4.0643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.6872,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.35619,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,3.892091,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.356609,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,31722-832-60,NDC,,,outpatient,1,EA,19.19,,9.595,11.514,18.6143,18.0386,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.9277,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,18.15374,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.6143,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,16.8872,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.37119,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,17.825591,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.373109,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,50268-787-11,NDC,,,outpatient,1,EA,87.88,,43.94,52.728,85.2436,82.6072,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,72.9404,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,83.13448,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,85.2436,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,77.3344,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,70.39188,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,81.631732,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.400668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,50268-787-12,NDC,,,outpatient,1,EA,87.88,,43.94,52.728,85.2436,82.6072,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,72.9404,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,83.13448,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,85.2436,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,77.3344,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,70.39188,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,81.631732,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,70.400668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,0904-6796-10,NDC,,,outpatient,1,EA,58.26,,29.13,34.956,56.5122,54.7644,,,,percent of total billed charges,,46.608,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,48.3558,,,,percent of total billed charges,,52.434,,,,percent of total billed charges,,53.5992,,,,percent of total billed charges,,53.5992,,,,percent of total billed charges,,55.11396,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,56.5122,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,51.2688,,,,percent of total billed charges,,52.434,,,,percent of total billed charges,,46.66626,,,,percent of total billed charges,,52.434,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,54.117714,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,46.608,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.672086,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [197941],0637,RC,0004-0039-09,NDC,,,outpatient,100,ML,3861.45,,1930.725,2316.87,3745.6065,3629.763,,,,percent of total billed charges,,3089.16,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3205.0035,,,,percent of total billed charges,,3475.305,,,,percent of total billed charges,,3552.534,,,,percent of total billed charges,,3552.534,,,,percent of total billed charges,,3652.9317,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3745.6065,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3398.076,,,,percent of total billed charges,,3475.305,,,,percent of total billed charges,,3093.02145,,,,percent of total billed charges,,3475.305,,,,percent of total billed charges,,2316.87,,,,percent of total billed charges,,3586.900905,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3089.16,,,,percent of total billed charges,,2316.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3093.407595,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,63323-494-05,NDC,,,outpatient,250,ME,5.25,,2.625,3.15,5.0925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.20525,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,4.876725,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.205775,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,63323-494-05,NDC,,,outpatient,5,ML,8.1,,4.05,4.86,7.857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,6.4881,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,7.52409,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.48891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,0143-9785-10,NDC,,,outpatient,5,ML,20.68,,10.34,12.408,20.0596,19.4392,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,17.1644,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.56328,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,20.0596,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,18.1984,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,16.56468,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,19.209652,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.566748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,0143-9785-01,NDC,,,outpatient,5,ML,20.68,,10.34,12.408,20.0596,19.4392,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,17.1644,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.56328,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,20.0596,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,18.1984,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,16.56468,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,19.209652,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.566748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,63323-494-16,NDC,,,outpatient,5,ML,8.1,,4.05,4.86,7.857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,6.4881,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,7.52409,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.48891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,63323-494-01,NDC,,,outpatient,5,ML,8.1,,4.05,4.86,7.857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,6.4881,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,7.52409,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.48891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,63323-494-41,NDC,,,outpatient,5,ML,8.1,,4.05,4.86,7.857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,6.4881,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,7.52409,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.48891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,70860-784-05,NDC,,,outpatient,5,ML,14.88,,7.44,8.928,14.4336,13.9872,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,12.3504,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,14.07648,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.4336,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,13.0944,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,11.91888,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,13.822032,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.920368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,70860-784-41,NDC,,,outpatient,5,ML,14.88,,7.44,8.928,14.4336,13.9872,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,12.3504,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,14.07648,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.4336,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,13.0944,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,11.91888,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,13.822032,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.920368,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,68094-193-61,NDC,,,outpatient,5,ML,1.94,,0.97,1.164,1.8818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.55394,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.802066,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.554134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,68094-193-62,NDC,,,outpatient,5,ML,1.94,,0.97,1.164,1.8818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.55394,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.802066,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.554134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,0121-4675-05,NDC,,,outpatient,5,ML,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,0121-4675-00,NDC,,,outpatient,5,ML,5.88,,2.94,3.528,5.7036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,4.70988,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.461932,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.710468,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,0121-4675-40,NDC,,,outpatient,5,ML,8.33,,4.165,4.998,8.0801,7.8302,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.9139,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.88018,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,8.0801,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.3304,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,6.67233,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,7.737737,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.673163,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID 250 MG CAPSULE [8429],0637,RC,0832-0310-11,NDC,,,outpatient,1,EA,0.65,,0.325,0.39,0.6305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.52065,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.603785,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.520715,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID 250 MG CAPSULE [8429],0637,RC,63739-086-10,NDC,,,outpatient,1,EA,1.22,,0.61,0.732,1.1834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.97722,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.133258,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.977342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,0078-0358-34,NDC,,,outpatient,1,EA,38.24,,19.12,22.944,37.0928,35.9456,,,,percent of total billed charges,,30.592,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,31.7392,,,,percent of total billed charges,,34.416,,,,percent of total billed charges,,35.1808,,,,percent of total billed charges,,35.1808,,,,percent of total billed charges,,36.17504,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,37.0928,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,33.6512,,,,percent of total billed charges,,34.416,,,,percent of total billed charges,,30.63024,,,,percent of total billed charges,,34.416,,,,percent of total billed charges,,22.944,,,,percent of total billed charges,,35.521136,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,30.592,,,,percent of total billed charges,,22.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.634064,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,59746-361-90,NDC,,,outpatient,1,EA,0.99,,0.495,0.594,0.9603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.79299,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.919611,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.793089,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,42291-857-90,NDC,,,outpatient,1,EA,0.51,,0.255,0.306,0.4947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.40851,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.473739,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.408561,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,55111-732-90,NDC,,,outpatient,1,EA,1.08,,0.54,0.648,1.0476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.86508,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.003212,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.865188,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [93683],0636,RC,0338-3552-48,NDC,J3370,HCPCS,outpatient,200,ML,121.5,,60.75,72.9,117.855,114.21,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,100.845,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.939,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,117.855,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,97.3215,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,112.86135,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.33365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK - 60 MIN INFUSION [1001513],0636,RC,0338-3552-48,NDC,J3370,HCPCS,outpatient,200,ML,121.5,,60.75,72.9,117.855,114.21,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,100.845,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.939,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,117.855,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,97.3215,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,112.86135,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,97.33365,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK [243345],0636,RC,70594-042-01,NDC,J3372,HCPCS,outpatient,200,ML,54.9,,27.45,32.94,53.253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,43.9749,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,50.99661,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.98039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK [243345],0636,RC,70594-042-03,NDC,J3372,HCPCS,outpatient,200,ML,54.9,,27.45,32.94,53.253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,43.9749,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,50.99661,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.98039,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-26,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-01,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,67457-340-00,NDC,J3370,HCPCS,outpatient,1,EA,14.48,,7.24,8.688,14.0456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,11.59848,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,13.450472,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.599928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,67457-340-01,NDC,J3370,HCPCS,outpatient,1,EA,14.48,,7.24,8.688,14.0456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,11.59848,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,13.450472,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.599928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,63323-284-26,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,63323-284-21,NDC,J3370,HCPCS,outpatient,1,EA,55.06,,27.53,33.036,53.4082,51.7564,,,,percent of total billed charges,,44.048,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,45.6998,,,,percent of total billed charges,,49.554,,,,percent of total billed charges,,50.6552,,,,percent of total billed charges,,50.6552,,,,percent of total billed charges,,52.08676,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,53.4082,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,48.4528,,,,percent of total billed charges,,49.554,,,,percent of total billed charges,,44.10306,,,,percent of total billed charges,,49.554,,,,percent of total billed charges,,33.036,,,,percent of total billed charges,,51.145234,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,44.048,,,,percent of total billed charges,,33.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,44.108566,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,63323-284-41,NDC,J3370,HCPCS,outpatient,1,EA,10.29,,5.145,6.174,9.9813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,8.24229,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,9.558381,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.243319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,63323-284-45,NDC,J3370,HCPCS,outpatient,1,EA,10.29,,5.145,6.174,9.9813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,8.24229,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,9.558381,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.243319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,72611-765-01,NDC,J3370,HCPCS,outpatient,1,EA,26.96,,13.48,16.176,26.1512,25.3424,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,22.3768,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,25.50416,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,26.1512,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,23.7248,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,21.59496,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,25.043144,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.597656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,72611-765-10,NDC,J3370,HCPCS,outpatient,1,EA,26.96,,13.48,16.176,26.1512,25.3424,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,22.3768,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,25.50416,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,26.1512,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,23.7248,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,21.59496,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,25.043144,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.597656,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,63323-284-01,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,0143-9162-01,NDC,J3370,HCPCS,outpatient,1,EA,7.08,,3.54,4.248,6.8676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,5.67108,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,6.576612,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.671788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,0143-9162-10,NDC,J3370,HCPCS,outpatient,1,EA,7.08,,3.54,4.248,6.8676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,5.67108,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,6.576612,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.671788,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,0069-2589-10,NDC,J3370,HCPCS,outpatient,1,EA,19.01,,9.505,11.406,18.4397,17.8694,,,,percent of total billed charges,,15.208,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,15.7783,,,,percent of total billed charges,,17.109,,,,percent of total billed charges,,17.4892,,,,percent of total billed charges,,17.4892,,,,percent of total billed charges,,17.98346,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,18.4397,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,16.7288,,,,percent of total billed charges,,17.109,,,,percent of total billed charges,,15.22701,,,,percent of total billed charges,,17.109,,,,percent of total billed charges,,11.406,,,,percent of total billed charges,,17.658389,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,15.208,,,,percent of total billed charges,,11.406,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.228911,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,0069-2589-03,NDC,J3370,HCPCS,outpatient,1,EA,11.07,,5.535,6.642,10.7379,10.4058,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.1881,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.47222,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.7379,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.7416,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,8.86707,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,10.282923,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.868177,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,67457-340-00,NDC,J3370,HCPCS,outpatient,1,EA,14.48,,7.24,8.688,14.0456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,11.59848,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,13.450472,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.599928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,67457-340-01,NDC,J3370,HCPCS,outpatient,1,EA,14.48,,7.24,8.688,14.0456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,11.59848,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,13.450472,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.599928,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,63323-284-26,NDC,J3370,HCPCS,outpatient,1,EA,8.36,,4.18,5.016,8.1092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,6.69636,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,7.765604,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.697196,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK [250295],0636,RC,70594-057-01,NDC,J3372,HCPCS,outpatient,250,ML,68.63,,34.315,41.178,66.5711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,54.97263,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,63.750407,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.979493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK [250295],0636,RC,70594-057-02,NDC,J3372,HCPCS,outpatient,250,ML,68.63,,34.315,41.178,66.5711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,54.97263,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,63.750407,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.979493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.25 GRAM/250 ML-WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000275]",0636,RC,70594-057-01,NDC,J3372,HCPCS,outpatient,250,ML,68.63,,34.315,41.178,66.5711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,54.97263,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,63.750407,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.979493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.25 GRAM/250 ML-WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000275]",0636,RC,70594-057-02,NDC,J3372,HCPCS,outpatient,250,ML,68.63,,34.315,41.178,66.5711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,54.97263,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,63.750407,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,54.979493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK [243346],0636,RC,70594-043-01,NDC,J3372,HCPCS,outpatient,300,ML,82.35,,41.175,49.41,79.8795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,65.96235,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,76.494915,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.970585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK [243346],0636,RC,70594-043-02,NDC,J3372,HCPCS,outpatient,300,ML,82.35,,41.175,49.41,79.8795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,65.96235,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,76.494915,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.970585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.5 GRAM/300 ML-WATER FOR INJECTION (PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000276]",0636,RC,70594-043-01,NDC,J3372,HCPCS,outpatient,300,ML,82.35,,41.175,49.41,79.8795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,65.96235,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,76.494915,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.970585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.5 GRAM/300 ML-WATER FOR INJECTION (PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000276]",0636,RC,70594-043-02,NDC,J3372,HCPCS,outpatient,300,ML,82.35,,41.175,49.41,79.8795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,65.96235,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,76.494915,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.970585,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK [250310],0636,RC,70594-058-01,NDC,J3372,HCPCS,outpatient,350,ML,96.08,,48.04,57.648,93.1976,90.3152,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,79.7464,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,90.89168,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,93.1976,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,84.5504,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,76.96008,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,89.248712,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.969688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK [250310],0636,RC,70594-058-02,NDC,J3372,HCPCS,outpatient,350,ML,96.08,,48.04,57.648,93.1976,90.3152,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,79.7464,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,90.89168,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,93.1976,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,84.5504,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,76.96008,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,89.248712,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,76.969688,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,63323-314-61,NDC,J3370,HCPCS,outpatient,1,EA,107.96,,53.98,64.776,104.7212,101.4824,,,,percent of total billed charges,,86.368,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,89.6068,,,,percent of total billed charges,,97.164,,,,percent of total billed charges,,99.3232,,,,percent of total billed charges,,99.3232,,,,percent of total billed charges,,102.13016,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,104.7212,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,95.0048,,,,percent of total billed charges,,97.164,,,,percent of total billed charges,,86.47596,,,,percent of total billed charges,,97.164,,,,percent of total billed charges,,64.776,,,,percent of total billed charges,,100.284044,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,86.368,,,,percent of total billed charges,,64.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,86.486756,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,0409-6510-01,NDC,J3370,HCPCS,outpatient,1,EA,879.39,,439.695,527.634,853.0083,826.6266,,,,percent of total billed charges,,703.512,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,729.8937,,,,percent of total billed charges,,791.451,,,,percent of total billed charges,,809.0388,,,,percent of total billed charges,,809.0388,,,,percent of total billed charges,,831.90294,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,853.0083,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,773.8632,,,,percent of total billed charges,,791.451,,,,percent of total billed charges,,704.39139,,,,percent of total billed charges,,791.451,,,,percent of total billed charges,,527.634,,,,percent of total billed charges,,816.865371,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,703.512,,,,percent of total billed charges,,527.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,704.479329,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,25021-158-99,NDC,J3370,HCPCS,outpatient,1,EA,150.57,,75.285,90.342,146.0529,141.5358,,,,percent of total billed charges,,120.456,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,124.9731,,,,percent of total billed charges,,135.513,,,,percent of total billed charges,,138.5244,,,,percent of total billed charges,,138.5244,,,,percent of total billed charges,,142.43922,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,146.0529,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,132.5016,,,,percent of total billed charges,,135.513,,,,percent of total billed charges,,120.60657,,,,percent of total billed charges,,135.513,,,,percent of total billed charges,,90.342,,,,percent of total billed charges,,139.864473,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,120.456,,,,percent of total billed charges,,90.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,120.621627,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,68180-166-11,NDC,,,outpatient,1,EA,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,68180-166-13,NDC,,,outpatient,1,EA,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,62559-390-20,NDC,,,outpatient,1,EA,10.18,,5.09,6.108,9.8746,9.5692,,,,percent of total billed charges,,8.144,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,8.4494,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,9.3656,,,,percent of total billed charges,,9.3656,,,,percent of total billed charges,,9.63028,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,9.8746,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,8.9584,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,8.15418,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,6.108,,,,percent of total billed charges,,9.456202,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,8.144,,,,percent of total billed charges,,6.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.155198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,0121-0867-20,NDC,,,outpatient,1,EA,3.55,,1.775,2.13,3.4435,3.337,,,,percent of total billed charges,,2.84,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,2.9465,,,,percent of total billed charges,,3.195,,,,percent of total billed charges,,3.266,,,,percent of total billed charges,,3.266,,,,percent of total billed charges,,3.3583,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,3.4435,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,3.124,,,,percent of total billed charges,,3.195,,,,percent of total billed charges,,2.84355,,,,percent of total billed charges,,3.195,,,,percent of total billed charges,,2.13,,,,percent of total billed charges,,3.297595,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,2.84,,,,percent of total billed charges,,2.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.843905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID [7000098],0637,RC,9997-0000-98,NDC,,,outpatient,120,ML,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID [7000098],0637,RC,9970-0009-81,NDC,,,outpatient,10,ML,4.5,,2.25,2.7,4.365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,3.6045,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.18005,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.60495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [7000097],0637,RC,9997-0000-97,NDC,,,outpatient,120,ML,54,,27,32.4,52.38,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,50.1606,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.2594,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [7000097],0637,RC,9997-4000-98,NDC,,,outpatient,40,ML,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [7000097],0637,RC,9970-0009-71,NDC,,,outpatient,10,ML,4.5,,2.25,2.7,4.365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,3.6045,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.18005,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.60495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,68180-167-11,NDC,,,outpatient,1,EA,22.5,,11.25,13.5,21.825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,18.0225,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,20.90025,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.02475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,68180-167-13,NDC,,,outpatient,1,EA,22.5,,11.25,13.5,21.825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,18.0225,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,20.90025,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.02475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,0121-0890-20,NDC,,,outpatient,1,EA,7.49,,3.745,4.494,7.2653,7.0406,,,,percent of total billed charges,,5.992,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,6.2167,,,,percent of total billed charges,,6.741,,,,percent of total billed charges,,6.8908,,,,percent of total billed charges,,6.8908,,,,percent of total billed charges,,7.08554,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,7.2653,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,6.5912,,,,percent of total billed charges,,6.741,,,,percent of total billed charges,,5.99949,,,,percent of total billed charges,,6.741,,,,percent of total billed charges,,4.494,,,,percent of total billed charges,,6.957461,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,5.992,,,,percent of total billed charges,,4.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.000239,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,0121-0890-50,NDC,,,outpatient,1,EA,9.37,,4.685,5.622,9.0889,8.8078,,,,percent of total billed charges,,7.496,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,7.7771,,,,percent of total billed charges,,8.433,,,,percent of total billed charges,,8.6204,,,,percent of total billed charges,,8.6204,,,,percent of total billed charges,,8.86402,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,9.0889,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,8.2456,,,,percent of total billed charges,,8.433,,,,percent of total billed charges,,7.50537,,,,percent of total billed charges,,8.433,,,,percent of total billed charges,,5.622,,,,percent of total billed charges,,8.703793,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,7.496,,,,percent of total billed charges,,5.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.506307,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,23155-859-78,NDC,,,outpatient,1,EA,39.3,,19.65,23.58,38.121,36.942,,,,percent of total billed charges,,31.44,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,32.619,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,36.156,,,,percent of total billed charges,,36.156,,,,percent of total billed charges,,37.1778,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,38.121,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,34.584,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,31.4793,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,23.58,,,,percent of total billed charges,,36.50577,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,31.44,,,,percent of total billed charges,,23.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.48323,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,63323-295-61,NDC,J3370,HCPCS,outpatient,1,EA,70.29,,35.145,42.174,68.1813,66.0726,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,58.3407,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,66.49434,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,68.1813,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,61.8552,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,56.30229,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,65.292381,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.309319,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,0409-6509-01,NDC,J3370,HCPCS,outpatient,1,EA,366.8,,183.4,220.08,355.796,344.792,,,,percent of total billed charges,,293.44,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,304.444,,,,percent of total billed charges,,330.12,,,,percent of total billed charges,,337.456,,,,percent of total billed charges,,337.456,,,,percent of total billed charges,,346.9928,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,355.796,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,322.784,,,,percent of total billed charges,,330.12,,,,percent of total billed charges,,293.8068,,,,percent of total billed charges,,330.12,,,,percent of total billed charges,,220.08,,,,percent of total billed charges,,340.72052,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,293.44,,,,percent of total billed charges,,220.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,293.84348,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,25021-157-99,NDC,J3370,HCPCS,outpatient,1,EA,81.68,,40.84,49.008,79.2296,76.7792,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,67.7944,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,77.26928,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,79.2296,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,71.8784,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,65.42568,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,75.872552,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,65.433848,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,70594-047-01,NDC,J3370,HCPCS,outpatient,1,EA,134.69,,67.345,80.814,130.6493,126.6086,,,,percent of total billed charges,,107.752,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,111.7927,,,,percent of total billed charges,,121.221,,,,percent of total billed charges,,123.9148,,,,percent of total billed charges,,123.9148,,,,percent of total billed charges,,127.41674,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,130.6493,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,118.5272,,,,percent of total billed charges,,121.221,,,,percent of total billed charges,,107.88669,,,,percent of total billed charges,,121.221,,,,percent of total billed charges,,80.814,,,,percent of total billed charges,,125.113541,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,107.752,,,,percent of total billed charges,,80.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,107.900159,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,16714-517-01,NDC,J3370,HCPCS,outpatient,1,EA,72,,36,43.2,69.84,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,66.8808,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,57.6792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 MG/ML IN D5W IV PEDS DILUTION [1000067],0636,RC,WVU01-000-67,NDC,J3370,HCPCS,outpatient,50,ML,11.25,,5.625,6.75,10.9125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,9.01125,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,10.450125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.012375,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG (50 MG/ML) INTRAVENOUS INJECTION [7000171],0636,RC,0069-2587-10,NDC,J3370,HCPCS,outpatient,1,EA,9.71,,4.855,5.826,9.4187,9.1274,,,,percent of total billed charges,,7.768,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,8.0593,,,,percent of total billed charges,,8.739,,,,percent of total billed charges,,8.9332,,,,percent of total billed charges,,8.9332,,,,percent of total billed charges,,9.18566,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,9.4187,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,8.5448,,,,percent of total billed charges,,8.739,,,,percent of total billed charges,,7.77771,,,,percent of total billed charges,,8.739,,,,percent of total billed charges,,5.826,,,,percent of total billed charges,,9.019619,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,7.768,,,,percent of total billed charges,,5.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.778681,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,0409-4332-01,NDC,J3370,HCPCS,outpatient,1,EA,9.72,,4.86,5.832,9.4284,9.1368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.0676,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.5536,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,7.78572,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,9.028908,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.786692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,67457-339-00,NDC,J3370,HCPCS,outpatient,1,EA,7.88,,3.94,4.728,7.6436,7.4072,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.5404,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.45448,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.6436,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.9344,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,6.31188,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,7.319732,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.312668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,67457-339-50,NDC,J3370,HCPCS,outpatient,1,EA,7.88,,3.94,4.728,7.6436,7.4072,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.5404,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.45448,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.6436,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.9344,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,6.31188,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,7.319732,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.312668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,63323-221-33,NDC,J3370,HCPCS,outpatient,1,EA,9.26,,4.63,5.556,8.9822,8.7044,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.6858,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.75996,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.9822,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.1488,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,7.41726,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,8.601614,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.418186,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,63323-221-38,NDC,J3370,HCPCS,outpatient,1,EA,9.26,,4.63,5.556,8.9822,8.7044,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.6858,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.75996,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.9822,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.1488,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,7.41726,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,8.601614,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.418186,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,0409-4332-11,NDC,J3370,HCPCS,outpatient,1,EA,9.72,,4.86,5.832,9.4284,9.1368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.0676,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.5536,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,7.78572,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,9.028908,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.786692,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,72611-761-01,NDC,J3370,HCPCS,outpatient,1,EA,13.5,,6.75,8.1,13.095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,10.8135,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,12.54015,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.81485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,72611-761-10,NDC,J3370,HCPCS,outpatient,1,EA,13.5,,6.75,8.1,13.095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,10.8135,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,12.54015,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.81485,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG/100 ML IN DILUENT COMBINATION IV PIGGYBACK [243550],0636,RC,70594-041-01,NDC,J3372,HCPCS,outpatient,100,ML,27.45,,13.725,16.47,26.6265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,21.98745,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,25.498305,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.990195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG/100 ML IN DILUENT COMBINATION IV PIGGYBACK [243550],0636,RC,70594-041-03,NDC,J3372,HCPCS,outpatient,100,ML,27.45,,13.725,16.47,26.6265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,21.98745,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,25.498305,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.990195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 500 MG/100 ML IN WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 30 MIN INF [7000274]",0636,RC,70594-041-01,NDC,J3372,HCPCS,outpatient,100,ML,27.45,,13.725,16.47,26.6265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,21.98745,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,25.498305,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.990195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 500 MG/100 ML IN WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 30 MIN INF [7000274]",0636,RC,70594-041-03,NDC,J3372,HCPCS,outpatient,100,ML,27.45,,13.725,16.47,26.6265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,21.98745,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,25.498305,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.990195,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [203400],0636,RC,0338-3580-48,NDC,J3370,HCPCS,outpatient,150,ML,54.68,,27.34,32.808,53.0396,51.3992,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,45.3844,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,51.72728,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,53.0396,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,48.1184,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,43.79868,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,50.792252,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.804148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK - 60 MIN INFUSION [1001512],0636,RC,0338-3580-48,NDC,J3370,HCPCS,outpatient,150,ML,54.68,,27.34,32.808,53.0396,51.3992,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,45.3844,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,51.72728,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,53.0396,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,48.1184,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,43.79868,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,50.792252,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,43.804148,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,0338-0047-47,NDC,,,outpatient,500,ML,4.5,,2.25,2.7,4.365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,3.6045,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.18005,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.60495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,25021-158-99,NDC,J3370,HCPCS,outpatient,500,ME,7.53,,3.765,4.518,7.3041,7.0782,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,6.2499,,,,percent of total billed charges,,6.777,,,,percent of total billed charges,,6.9276,,,,percent of total billed charges,,6.9276,,,,percent of total billed charges,,7.12338,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,7.3041,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,6.6264,,,,percent of total billed charges,,6.777,,,,percent of total billed charges,,6.03153,,,,percent of total billed charges,,6.777,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,6.994617,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.032283,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,25021-158-99,NDC,J3370,HCPCS,outpatient,1014,ME,15.27,,7.635,9.162,14.8119,14.3538,,,,percent of total billed charges,,12.216,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,12.6741,,,,percent of total billed charges,,13.743,,,,percent of total billed charges,,14.0484,,,,percent of total billed charges,,14.0484,,,,percent of total billed charges,,14.44542,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,14.8119,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,13.4376,,,,percent of total billed charges,,13.743,,,,percent of total billed charges,,12.23127,,,,percent of total billed charges,,13.743,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,14.184303,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,12.216,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.232797,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,500,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,63323-284-20,NDC,J3370,HCPCS,outpatient,1014,ME,8.48,,4.24,5.088,8.2256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,6.79248,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,7.877072,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.793328,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,42023-164-01,NDC,J2598,HCPCS,outpatient,1,ML,87.35,,43.675,52.41,84.7295,82.109,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,72.5005,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,82.6331,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,84.7295,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,76.868,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,69.96735,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,81.139415,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.976085,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,42023-164-25,NDC,J2598,HCPCS,outpatient,1,ML,51.12,,25.56,30.672,49.5864,48.0528,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,42.4296,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,48.35952,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,49.5864,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,44.9856,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,40.94712,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,47.485368,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.952232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,42023-164-10,NDC,J2598,HCPCS,outpatient,1,ML,87.35,,43.675,52.41,84.7295,82.109,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,72.5005,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,82.6331,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,84.7295,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,76.868,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,69.96735,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,81.139415,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,69.976085,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,0548-9701-00,NDC,J2598,HCPCS,outpatient,1,ML,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,42023-164-89,NDC,J2598,HCPCS,outpatient,1,ML,51.12,,25.56,30.672,49.5864,48.0528,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,42.4296,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,48.35952,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,49.5864,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,44.9856,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,40.94712,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,47.485368,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,40.952232,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,63323-930-01,NDC,J2598,HCPCS,outpatient,1,ML,53.65,,26.825,32.19,52.0405,50.431,,,,percent of total billed charges,,42.92,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,44.5295,,,,percent of total billed charges,,48.285,,,,percent of total billed charges,,49.358,,,,percent of total billed charges,,49.358,,,,percent of total billed charges,,50.7529,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,52.0405,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,47.212,,,,percent of total billed charges,,48.285,,,,percent of total billed charges,,42.97365,,,,percent of total billed charges,,48.285,,,,percent of total billed charges,,32.19,,,,percent of total billed charges,,49.835485,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,42.92,,,,percent of total billed charges,,32.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.979015,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,65219-039-00,NDC,J2598,HCPCS,outpatient,1,ML,89.51,,44.755,53.706,86.8247,84.1394,,,,percent of total billed charges,,71.608,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,74.2933,,,,percent of total billed charges,,80.559,,,,percent of total billed charges,,82.3492,,,,percent of total billed charges,,82.3492,,,,percent of total billed charges,,84.67646,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,86.8247,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,78.7688,,,,percent of total billed charges,,80.559,,,,percent of total billed charges,,71.69751,,,,percent of total billed charges,,80.559,,,,percent of total billed charges,,53.706,,,,percent of total billed charges,,83.145839,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,71.608,,,,percent of total billed charges,,53.706,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,71.706461,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNITS IN 20 ML INFUSION - ANES [5000236],0250,RC,9995-0002-36,NDC,,,outpatient,20,ML,644.49,,322.245,386.694,625.1553,605.8206,,,,percent of total billed charges,,515.592,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,534.9267,,,,percent of total billed charges,,580.041,,,,percent of total billed charges,,592.9308,,,,percent of total billed charges,,592.9308,,,,percent of total billed charges,,609.68754,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,625.1553,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,567.1512,,,,percent of total billed charges,,580.041,,,,percent of total billed charges,,516.23649,,,,percent of total billed charges,,580.041,,,,percent of total billed charges,,386.694,,,,percent of total billed charges,,598.666761,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,515.592,,,,percent of total billed charges,,386.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,516.300939,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,50,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,0548-9701-00,NDC,J2598,HCPCS,outpatient,20,UN,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (CORE) [1001757],0250,RC,42023-219-01,NDC,,,outpatient,100,ML,661.95,,330.975,397.17,642.0915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,530.22195,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,614.885355,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.288145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (CORE) [1001757],0250,RC,42023-219-10,NDC,,,outpatient,100,ML,661.95,,330.975,397.17,642.0915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,530.22195,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,614.885355,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.288145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (GI) [1001756],0250,RC,42023-219-01,NDC,J2598,HCPCS,outpatient,100,ML,661.95,,330.975,397.17,642.0915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,530.22195,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,614.885355,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.288145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (GI) [1001756],0250,RC,42023-219-10,NDC,J2598,HCPCS,outpatient,100,ML,661.95,,330.975,397.17,642.0915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,530.22195,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,614.885355,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.288145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (SHOCK) [1001755],0250,RC,42023-219-01,NDC,J2598,HCPCS,outpatient,100,ML,661.95,,330.975,397.17,642.0915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,530.22195,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,614.885355,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.288145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (SHOCK) [1001755],0250,RC,42023-219-10,NDC,J2598,HCPCS,outpatient,100,ML,661.95,,330.975,397.17,642.0915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,530.22195,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,614.885355,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,530.288145,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,0338-0017-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,20,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,0548-9701-00,NDC,J2598,HCPCS,outpatient,10,UN,225,,112.5,135,218.25,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,209.0025,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,180.2475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM 1 MG /ML PEDS INFUSION [1000199],0250,RC,WVU01-001-99,NDC,,,outpatient,10,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-10,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,0409-1632-01,NDC,,,outpatient,1,EA,17.58,,8.79,10.548,17.0526,16.5252,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.5914,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.63068,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,17.0526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,15.4704,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,14.08158,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,16.330062,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.083338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,41616-931-44,NDC,,,outpatient,1,EA,11.06,,5.53,6.636,10.7282,10.3964,,,,percent of total billed charges,,8.848,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,9.1798,,,,percent of total billed charges,,9.954,,,,percent of total billed charges,,10.1752,,,,percent of total billed charges,,10.1752,,,,percent of total billed charges,,10.46276,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,10.7282,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,9.7328,,,,percent of total billed charges,,9.954,,,,percent of total billed charges,,8.85906,,,,percent of total billed charges,,9.954,,,,percent of total billed charges,,6.636,,,,percent of total billed charges,,10.273634,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,8.848,,,,percent of total billed charges,,6.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.860166,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,67457-438-00,NDC,,,outpatient,1,EA,20.27,,10.135,12.162,19.6619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,16.23627,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,18.828803,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.238297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,67457-438-10,NDC,,,outpatient,1,EA,20.27,,10.135,12.162,19.6619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,16.23627,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,18.828803,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.238297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,47335-931-40,NDC,,,outpatient,1,EA,16.55,,8.275,9.93,16.0535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,13.25655,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,15.373295,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.258205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,47335-931-44,NDC,,,outpatient,1,EA,16.55,,8.275,9.93,16.0535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,13.25655,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,15.373295,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.258205,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,63323-781-10,NDC,,,outpatient,1,EA,17.69,,8.845,10.614,17.1593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,14.16969,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,16.432241,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.171459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,55150-235-01,NDC,,,outpatient,1,EA,10.04,,5.02,6.024,9.7388,9.4376,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.3332,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.49784,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.7388,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.8352,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,8.04204,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,9.326156,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.043044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,55150-235-10,NDC,,,outpatient,1,EA,10.04,,5.02,6.024,9.7388,9.4376,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.3332,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.49784,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.7388,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.8352,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,8.04204,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,9.326156,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.043044,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,0409-1632-21,NDC,,,outpatient,1,EA,17.58,,8.79,10.548,17.0526,16.5252,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.5914,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.63068,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,17.0526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,15.4704,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,14.08158,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,16.330062,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.083338,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,63323-781-21,NDC,,,outpatient,1,EA,17.69,,8.845,10.614,17.1593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,14.16969,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,16.432241,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.171459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,63323-781-41,NDC,,,outpatient,1,EA,17.69,,8.845,10.614,17.1593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,14.16969,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,16.432241,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.171459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,63323-781-44,NDC,,,outpatient,1,EA,17.69,,8.845,10.614,17.1593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,14.16969,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,16.432241,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.171459,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION [11635],0250,RC,41616-932-44,NDC,,,outpatient,1,EA,22.11,,11.055,13.266,21.4467,20.7834,,,,percent of total billed charges,,17.688,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,18.3513,,,,percent of total billed charges,,19.899,,,,percent of total billed charges,,20.3412,,,,percent of total billed charges,,20.3412,,,,percent of total billed charges,,20.91606,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,21.4467,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,19.4568,,,,percent of total billed charges,,19.899,,,,percent of total billed charges,,17.71011,,,,percent of total billed charges,,19.899,,,,percent of total billed charges,,13.266,,,,percent of total billed charges,,20.537979,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,17.688,,,,percent of total billed charges,,13.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,17.712321,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [221353],0636,RC,64764-300-20,NDC,J3380,HCPCS,outpatient,300,ME,34666.32,,17333.16,20799.792,33626.3304,32586.3408,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,28773.0456,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,32794.33872,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,33626.3304,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,30506.3616,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,27767.72232,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,32201.54465,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27771.18895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [221353],0636,RC,64764-300-20,NDC,J3380,HCPCS,outpatient,1,EA,34666.32,,17333.16,20799.792,33626.3304,32586.3408,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,28773.0456,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,32794.33872,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,33626.3304,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,30506.3616,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,27767.72232,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,32201.54465,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,27771.18895,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,51079-480-01,NDC,,,outpatient,1,EA,1.88,,0.94,1.128,1.8236,1.7672,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.5604,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.77848,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.8236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.6544,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.50588,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.746332,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.506068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,51079-480-20,NDC,,,outpatient,1,EA,1.88,,0.94,1.128,1.8236,1.7672,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.5604,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.77848,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.8236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.6544,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.50588,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.746332,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.506068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,68084-844-01,NDC,,,outpatient,1,EA,2.73,,1.365,1.638,2.6481,2.5662,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.2659,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.58258,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.6481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.4024,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.18673,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,2.535897,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.187003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,68084-844-11,NDC,,,outpatient,1,EA,2.73,,1.365,1.638,2.6481,2.5662,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.2659,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.58258,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.6481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.4024,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.18673,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,2.535897,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.187003,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [77279]",0637,RC,0008-0837-21,NDC,,,outpatient,1,EA,70.74,,35.37,42.444,68.6178,66.4956,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,58.7142,,,,percent of total billed charges,,63.666,,,,percent of total billed charges,,65.0808,,,,percent of total billed charges,,65.0808,,,,percent of total billed charges,,66.92004,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,68.6178,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,62.2512,,,,percent of total billed charges,,63.666,,,,percent of total billed charges,,56.66274,,,,percent of total billed charges,,63.666,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,65.710386,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,56.669814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [77279]",0637,RC,68084-698-01,NDC,,,outpatient,1,EA,2.23,,1.115,1.338,2.1631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.78623,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.071447,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.786453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [77279]",0637,RC,68084-698-11,NDC,,,outpatient,1,EA,2.23,,1.115,1.338,2.1631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.78623,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.071447,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.786453,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [77313]",0637,RC,68084-709-01,NDC,,,outpatient,1,EA,1.82,,0.91,1.092,1.7654,1.7108,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.5106,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.72172,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.7654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.6016,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.45782,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,1.690598,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.458002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [77313]",0637,RC,68084-709-11,NDC,,,outpatient,1,EA,1.82,,0.91,1.092,1.7654,1.7108,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.5106,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.72172,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.7654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.6016,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.45782,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,1.690598,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.458002,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,0409-4011-01,NDC,,,outpatient,2,ML,41.37,,20.685,24.822,40.1289,38.8878,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,34.3371,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,39.13602,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,40.1289,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,36.4056,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,33.13737,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,38.428593,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.141507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,0409-1144-02,NDC,,,outpatient,4,ML,23.21,,11.605,13.926,22.5137,21.8174,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,19.2643,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.95666,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.5137,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,20.4248,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,18.59121,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,21.559769,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.593531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70069-271-01,NDC,,,outpatient,2,ML,14.85,,7.425,8.91,14.4045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,11.89485,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,13.794165,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.896335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70069-271-05,NDC,,,outpatient,2,ML,14.85,,7.425,8.91,14.4045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,11.89485,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,13.794165,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.896335,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70069-271-25,NDC,,,outpatient,2,ML,14.22,,7.11,8.532,13.7934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,11.39022,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,13.208958,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.391642,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,0409-1144-62,NDC,,,outpatient,4,ML,23.21,,11.605,13.926,22.5137,21.8174,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,19.2643,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.95666,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.5137,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,20.4248,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,18.59121,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,21.559769,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.593531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,0409-4011-61,NDC,,,outpatient,2,ML,41.37,,20.685,24.822,40.1289,38.8878,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,34.3371,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,39.13602,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,40.1289,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,36.4056,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,33.13737,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,38.428593,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.141507,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70710-1643-1,NDC,,,outpatient,2,ML,14.57,,7.285,8.742,14.1329,13.6958,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.0931,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.78322,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,14.1329,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.8216,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,11.67057,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,13.534073,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.672027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70710-1643-7,NDC,,,outpatient,2,ML,14.57,,7.285,8.742,14.1329,13.6958,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.0931,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.78322,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,14.1329,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.8216,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,11.67057,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,13.534073,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.672027,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70756-605-25,NDC,,,outpatient,2,ML,12.91,,6.455,7.746,12.5227,12.1354,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.7153,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,12.21286,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.5227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,11.3608,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,10.34091,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,11.992099,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.342201,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70756-605-82,NDC,,,outpatient,2,ML,13.77,,6.885,8.262,13.3569,12.9438,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,11.4291,,,,percent of total billed charges,,12.393,,,,percent of total billed charges,,12.6684,,,,percent of total billed charges,,12.6684,,,,percent of total billed charges,,13.02642,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,13.3569,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,12.1176,,,,percent of total billed charges,,12.393,,,,percent of total billed charges,,11.02977,,,,percent of total billed charges,,12.393,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,12.790953,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.031147,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70710-1643-7,NDC,,,outpatient,50,ME,145.62,,72.81,87.372,141.2514,136.8828,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,120.8646,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,137.75652,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,141.2514,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,128.1456,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,116.64162,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,135.266418,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.656182,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,250,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,70710-1643-7,NDC,,,outpatient,50,ME,145.62,,72.81,87.372,141.2514,136.8828,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,120.8646,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,137.75652,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,141.2514,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,128.1456,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,116.64162,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,135.266418,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,116.656182,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 80 MG TABLET [8530],0637,RC,0591-0343-01,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 80 MG TABLET [8530],0637,RC,0904-2920-61,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",0637,RC,51079-894-20,NDC,,,outpatient,1,EA,6.32,,3.16,3.792,6.1304,5.9408,,,,percent of total billed charges,,5.056,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,5.2456,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,5.8144,,,,percent of total billed charges,,5.8144,,,,percent of total billed charges,,5.97872,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,6.1304,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,5.5616,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,5.06232,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,5.870648,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,5.056,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.062952,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",0637,RC,0378-2120-01,NDC,,,outpatient,1,EA,6.14,,3.07,3.684,5.9558,5.7716,,,,percent of total billed charges,,4.912,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.0962,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,5.6488,,,,percent of total billed charges,,5.6488,,,,percent of total billed charges,,5.80844,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.9558,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.4032,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,4.91814,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,3.684,,,,percent of total billed charges,,5.703446,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,4.912,,,,percent of total billed charges,,3.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.918754,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",0637,RC,68462-292-01,NDC,,,outpatient,1,EA,1.04,,0.52,0.624,1.0088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.83304,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.966056,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.833144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,51079-899-20,NDC,,,outpatient,1,EA,6.8,,3.4,4.08,6.596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,5.4468,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.31652,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.44748,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,75834-158-01,NDC,,,outpatient,1,EA,0.83,,0.415,0.498,0.8051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.66483,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.770987,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.664913,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,60687-504-01,NDC,,,outpatient,1,EA,4.76,,2.38,2.856,4.6172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.81276,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.421564,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.813236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,60687-504-11,NDC,,,outpatient,1,EA,4.76,,2.38,2.856,4.6172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.81276,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.421564,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.813236,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MCG/ML INJECTION [1001301],0250,RC,9991-0013-01,NDC,,,outpatient,200,ML,1.88,,0.94,1.128,1.8236,1.7672,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.5604,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.77848,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.8236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.6544,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.50588,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.746332,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.506068,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 10 MG TABLET [204636],0637,RC,0456-1110-30,NDC,,,outpatient,1,EA,47.88,,23.94,28.728,46.4436,45.0072,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,39.7404,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,45.29448,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,46.4436,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,42.1344,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,38.35188,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,44.475732,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.356668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 10 MG TABLET [204636],0637,RC,60505-4772-3,NDC,,,outpatient,1,EA,4.66,,2.33,2.796,4.5202,4.3804,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.8678,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.40836,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.5202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.1008,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,3.73266,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,4.328674,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.733126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 10 MG TABLET [204636],0637,RC,72205-260-30,NDC,,,outpatient,1,EA,5.21,,2.605,3.126,5.0537,4.8974,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.3243,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.92866,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,5.0537,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.5848,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,4.17321,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,4.839569,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.173731,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,0456-1120-30,NDC,,,outpatient,1,EA,47.88,,23.94,28.728,46.4436,45.0072,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,39.7404,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,45.29448,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,46.4436,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,42.1344,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,38.35188,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,44.475732,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,38.356668,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,60505-4773-3,NDC,,,outpatient,1,EA,4.66,,2.33,2.796,4.5202,4.3804,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.8678,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.40836,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.5202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.1008,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,3.73266,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,4.328674,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.733126,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,60505-4373-3,NDC,,,outpatient,1,EA,6.45,,3.225,3.87,6.2565,6.063,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.3535,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,6.1017,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.2565,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,5.16645,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,5.991405,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.167095,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,72205-261-30,NDC,,,outpatient,1,EA,5.21,,2.605,3.126,5.0537,4.8974,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.3243,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.92866,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,5.0537,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.5848,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,4.17321,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,4.839569,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.173731,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],0636,RC,63323-278-10,NDC,J9360,HCPCS,outpatient,10,ML,213.98,,106.99,128.388,207.5606,201.1412,,,,percent of total billed charges,,171.184,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,177.6034,,,,percent of total billed charges,,192.582,,,,percent of total billed charges,,196.8616,,,,percent of total billed charges,,196.8616,,,,percent of total billed charges,,202.42508,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,207.5606,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,188.3024,,,,percent of total billed charges,,192.582,,,,percent of total billed charges,,171.39798,,,,percent of total billed charges,,192.582,,,,percent of total billed charges,,128.388,,,,percent of total billed charges,,198.766022,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,171.184,,,,percent of total billed charges,,128.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,171.419378,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],0636,RC,61703-309-06,NDC,J9370,HCPCS,outpatient,1,ML,28.71,,14.355,17.226,27.8487,26.9874,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,23.8293,,,,percent of total billed charges,,25.839,,,,percent of total billed charges,,26.4132,,,,percent of total billed charges,,26.4132,,,,percent of total billed charges,,27.15966,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,27.8487,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,25.2648,,,,percent of total billed charges,,25.839,,,,percent of total billed charges,,22.99671,,,,percent of total billed charges,,25.839,,,,percent of total billed charges,,17.226,,,,percent of total billed charges,,26.668719,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,17.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.999581,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [189483],0636,RC,61703-309-16,NDC,J9370,HCPCS,outpatient,2,ML,53.55,,26.775,32.13,51.9435,50.337,,,,percent of total billed charges,,42.84,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,44.4465,,,,percent of total billed charges,,48.195,,,,percent of total billed charges,,49.266,,,,percent of total billed charges,,49.266,,,,percent of total billed charges,,50.6583,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,51.9435,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,47.124,,,,percent of total billed charges,,48.195,,,,percent of total billed charges,,42.89355,,,,percent of total billed charges,,48.195,,,,percent of total billed charges,,32.13,,,,percent of total billed charges,,49.742595,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,42.84,,,,percent of total billed charges,,32.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.898905,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],0636,RC,66758-045-01,NDC,J9390,HCPCS,outpatient,1,ML,39.24,,19.62,23.544,38.0628,36.8856,,,,percent of total billed charges,,31.392,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,32.5692,,,,percent of total billed charges,,35.316,,,,percent of total billed charges,,36.1008,,,,percent of total billed charges,,36.1008,,,,percent of total billed charges,,37.12104,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,38.0628,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,34.5312,,,,percent of total billed charges,,35.316,,,,percent of total billed charges,,31.43124,,,,percent of total billed charges,,35.316,,,,percent of total billed charges,,23.544,,,,percent of total billed charges,,36.450036,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,31.392,,,,percent of total billed charges,,23.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,31.435164,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],0636,RC,64370-532-01,NDC,J9390,HCPCS,outpatient,1,ML,40.64,,20.32,24.384,39.4208,38.2016,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,33.7312,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,38.44544,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,39.4208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,35.7632,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,32.55264,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,37.750496,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.556704,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],0636,RC,25021-204-01,NDC,J9390,HCPCS,outpatient,1,ML,58.41,,29.205,35.046,56.6577,54.9054,,,,percent of total billed charges,,46.728,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,48.4803,,,,percent of total billed charges,,52.569,,,,percent of total billed charges,,53.7372,,,,percent of total billed charges,,53.7372,,,,percent of total billed charges,,55.25586,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,56.6577,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,51.4008,,,,percent of total billed charges,,52.569,,,,percent of total billed charges,,46.78641,,,,percent of total billed charges,,52.569,,,,percent of total billed charges,,35.046,,,,percent of total billed charges,,54.257049,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,46.728,,,,percent of total billed charges,,35.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,46.792251,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [189037],0636,RC,0703-4183-01,NDC,J9390,HCPCS,outpatient,5,ML,226.8,,113.4,136.08,219.996,213.192,,,,percent of total billed charges,,181.44,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,188.244,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,208.656,,,,percent of total billed charges,,208.656,,,,percent of total billed charges,,214.5528,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,219.996,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,181.6668,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,210.67452,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,181.44,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,181.68948,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [189037],0636,RC,64370-532-02,NDC,J9390,HCPCS,outpatient,5,ML,148.86,,74.43,89.316,144.3942,139.9284,,,,percent of total billed charges,,119.088,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,123.5538,,,,percent of total billed charges,,133.974,,,,percent of total billed charges,,136.9512,,,,percent of total billed charges,,136.9512,,,,percent of total billed charges,,140.82156,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,144.3942,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,130.9968,,,,percent of total billed charges,,133.974,,,,percent of total billed charges,,119.23686,,,,percent of total billed charges,,133.974,,,,percent of total billed charges,,89.316,,,,percent of total billed charges,,138.276054,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,119.088,,,,percent of total billed charges,,89.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.251746,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [189037],0636,RC,25021-204-05,NDC,J9390,HCPCS,outpatient,5,ML,210.38,,105.19,126.228,204.0686,197.7572,,,,percent of total billed charges,,168.304,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,174.6154,,,,percent of total billed charges,,189.342,,,,percent of total billed charges,,193.5496,,,,percent of total billed charges,,193.5496,,,,percent of total billed charges,,199.01948,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,204.0686,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,185.1344,,,,percent of total billed charges,,189.342,,,,percent of total billed charges,,168.51438,,,,percent of total billed charges,,189.342,,,,percent of total billed charges,,126.228,,,,percent of total billed charges,,195.421982,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,168.304,,,,percent of total billed charges,,126.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,168.535418,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,0338-0049-04,NDC,,,outpatient,980,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIPERSLIDE LUBRICANT [7000126],0250,RC,9997-0001-26,NDC,,,outpatient,250,ML,382.5,,191.25,229.5,371.025,359.55,,,,percent of total billed charges,,306,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,317.475,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,361.845,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,371.025,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,306.3825,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,355.30425,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,306,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,306.42075,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE [8639]",0637,RC,0904208560,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET [81661],0637,RC,0536730001,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,8770140754,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,4098521245,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,7733395110,NDC,,,outpatient,1,EA,0.74,,0.37,0.444,0.7178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.59274,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.687386,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.592814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,7733395125,NDC,,,outpatient,1,EA,0.74,,0.37,0.444,0.7178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.59274,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.687386,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.592814,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [192610],0637,RC,4110081122,NDC,,,outpatient,42.5,GR,10.14,,5.07,6.084,9.8358,9.5316,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.4162,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.59244,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.8358,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.9232,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,8.12214,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,9.419046,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.123154,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [192610],0637,RC,71399-0122-2,NDC,,,outpatient,56,GR,9.58,,4.79,5.748,9.2926,9.0052,,,,percent of total billed charges,,7.664,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,7.9514,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,8.8136,,,,percent of total billed charges,,8.8136,,,,percent of total billed charges,,9.06268,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,9.2926,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,8.4304,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,7.67358,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,5.748,,,,percent of total billed charges,,8.898862,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,7.664,,,,percent of total billed charges,,5.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.674538,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,0049-3190-28,NDC,J3465,HCPCS,outpatient,1,EA,59.49,,29.745,35.694,57.7053,55.9206,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,49.3767,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,56.27754,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,57.7053,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,52.3512,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,47.65149,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,55.260261,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.657439,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,0049-4190-01,NDC,J3465,HCPCS,outpatient,1,EA,59.49,,29.745,35.694,57.7053,55.9206,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,49.3767,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,56.27754,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,57.7053,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,52.3512,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,47.65149,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,55.260261,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,47.657439,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,39822-1077-1,NDC,J3465,HCPCS,outpatient,1,EA,89.96,,44.98,53.976,87.2612,84.5624,,,,percent of total billed charges,,71.968,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,74.6668,,,,percent of total billed charges,,80.964,,,,percent of total billed charges,,82.7632,,,,percent of total billed charges,,82.7632,,,,percent of total billed charges,,85.10216,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,87.2612,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,79.1648,,,,percent of total billed charges,,80.964,,,,percent of total billed charges,,72.05796,,,,percent of total billed charges,,80.964,,,,percent of total billed charges,,53.976,,,,percent of total billed charges,,83.563844,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,71.968,,,,percent of total billed charges,,53.976,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,72.066956,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,72266-131-01,NDC,J3465,HCPCS,outpatient,1,EA,62.82,,31.41,37.692,60.9354,59.0508,,,,percent of total billed charges,,50.256,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,52.1406,,,,percent of total billed charges,,56.538,,,,percent of total billed charges,,57.7944,,,,percent of total billed charges,,57.7944,,,,percent of total billed charges,,59.42772,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,60.9354,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,55.2816,,,,percent of total billed charges,,56.538,,,,percent of total billed charges,,50.31882,,,,percent of total billed charges,,56.538,,,,percent of total billed charges,,37.692,,,,percent of total billed charges,,58.353498,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,50.256,,,,percent of total billed charges,,37.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,50.325102,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,70594-067-01,NDC,J3465,HCPCS,outpatient,1,EA,180,,90,108,174.6,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,144.18,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,167.202,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG TABLET [85223],0637,RC,0049-3180-30,NDC,,,outpatient,1,EA,15.4,,7.7,9.24,14.938,14.476,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.782,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.5684,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.938,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,13.552,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,12.3354,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,14.30506,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.33694,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG TABLET [85223],0637,RC,0781-5668-31,NDC,,,outpatient,1,EA,6.24,,3.12,3.744,6.0528,5.8656,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.1792,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.90304,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,6.0528,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.4912,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.99824,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,5.796336,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4.998864,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG TABLET [85223],0637,RC,68462-573-30,NDC,,,outpatient,1,EA,16.38,,8.19,9.828,15.8886,15.3972,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,13.5954,,,,percent of total billed charges,,14.742,,,,percent of total billed charges,,15.0696,,,,percent of total billed charges,,15.0696,,,,percent of total billed charges,,15.49548,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.8886,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,14.4144,,,,percent of total billed charges,,14.742,,,,percent of total billed charges,,13.12038,,,,percent of total billed charges,,14.742,,,,percent of total billed charges,,9.828,,,,percent of total billed charges,,15.215382,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,9.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,13.122018,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,25,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,39822-1077-1,NDC,J3465,HCPCS,outpatient,202.8,ME,91.22,,45.61,54.732,88.4834,85.7468,,,,percent of total billed charges,,72.976,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,75.7126,,,,percent of total billed charges,,82.098,,,,percent of total billed charges,,83.9224,,,,percent of total billed charges,,83.9224,,,,percent of total billed charges,,86.29412,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,88.4834,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,80.2736,,,,percent of total billed charges,,82.098,,,,percent of total billed charges,,73.06722,,,,percent of total billed charges,,82.098,,,,percent of total billed charges,,54.732,,,,percent of total billed charges,,84.734258,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,72.976,,,,percent of total billed charges,,54.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,73.076342,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 1 MG TABLET [11664],0637,RC,0832-1211-00,NDC,,,outpatient,1,EA,1.04,,0.52,0.624,1.0088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.83304,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.966056,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.833144,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 1 MG TABLET [11664],0637,RC,0832-1211-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 1 MG TABLET [11664],0637,RC,0832-1211-89,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 10 MG TABLET [8748],0637,RC,0056-0174-75,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2 MG TABLET [8749],0637,RC,0056-0170-75,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2 MG TABLET [8749],0637,RC,0832-1212-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2 MG TABLET [8749],0637,RC,0832-1212-89,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2.5 MG TABLET [8750],0637,RC,0056-0176-75,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2.5 MG TABLET [8750],0637,RC,0832-1213-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2.5 MG TABLET [8750],0637,RC,0832-1213-89,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 5 MG TABLET [8751],0637,RC,0832-1216-01,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 5 MG TABLET [8751],0637,RC,0832-1216-89,NDC,,,outpatient,1,EA,0.52,,0.26,0.312,0.5044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.41652,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.483028,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.416572,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,0056-0173-75,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,0832-1218-00,NDC,,,outpatient,1,EA,1.14,,0.57,0.684,1.1058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.91314,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.058946,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.913254,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,0832-1218-01,NDC,,,outpatient,1,EA,0.73,,0.365,0.438,0.7081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.58473,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.678097,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.584803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,0832-1218-89,NDC,,,outpatient,1,EA,0.73,,0.365,0.438,0.7081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.58473,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.678097,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.584803,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION [864]",0250,RC,0409-3977-03,NDC,,,outpatient,30,ML,7.02,,3.51,4.212,6.8094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,5.62302,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,6.520878,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.623722,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,63323-185-10,NDC,,,outpatient,10,ML,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-20,NDC,,,outpatient,20,ML,4.23,,2.115,2.538,4.1031,3.9762,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.5109,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,4.00158,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.1031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.7224,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.38823,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,3.929247,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.388653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-10,NDC,,,outpatient,10,ML,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-99,NDC,,,outpatient,100,ML,11.7,,5.85,7.02,11.349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,9.3717,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,10.86813,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.37287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-17,NDC,,,outpatient,10,ML,3.15,,1.575,1.89,3.0555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.52315,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,2.926035,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.523465,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-25,NDC,,,outpatient,100,ML,11.7,,5.85,7.02,11.349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,9.3717,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,10.86813,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.37287,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0409-4887-23,NDC,,,outpatient,20,ML,4.23,,2.115,2.538,4.1031,3.9762,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.5109,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,4.00158,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.1031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.7224,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.38823,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,3.929247,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,3.388653,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,0641-6147-01,NDC,,,outpatient,10,ML,3.74,,1.87,2.244,3.6278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.99574,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.474086,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.996114,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,63323-185-07,NDC,,,outpatient,10,ML,3.47,,1.735,2.082,3.3659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.77947,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.223283,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.779817,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,0264-7850-00,NDC,,,outpatient,1000,ML,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,0264-7850-10,NDC,,,outpatient,500,ML,15.75,,7.875,9.45,15.2775,14.805,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.0725,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.8995,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,15.2775,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,12.61575,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,14.630175,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,12.617325,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,0338-0013-04,NDC,,,outpatient,1000,ML,9,,4.5,5.4,8.73,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,8.3601,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.2099,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,0338-0013-06,NDC,,,outpatient,2000,ML,18,,9,10.8,17.46,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,16.7202,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.4198,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,0990-7990-09,NDC,,,outpatient,1000,ML,22.5,,11.25,13.5,21.825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,18.0225,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,20.90025,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,18.02475,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,0338-0003-46,NDC,,,outpatient,2000,ML,81,,40.5,48.6,78.57,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,75.2409,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,64.8891,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,0338-0003-47,NDC,,,outpatient,3000,ML,27,,13.5,16.2,26.19,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,25.0803,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,21.6297,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,9999-7485-01,NDC,,,outpatient,500,ML,20.25,,10.125,12.15,19.6425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,16.22025,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,18.810225,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,16.222275,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,9999-7485-02,NDC,,,outpatient,1000,ML,40.5,,20.25,24.3,39.285,38.07,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,33.615,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,32.4405,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,37.62045,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,32.44455,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM 41 % TOPICAL OINTMENT [88861],0637,RC,7214003263,NDC,,,outpatient,99,GR,32.08,,16.04,19.248,31.1176,30.1552,,,,percent of total billed charges,,25.664,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,26.6264,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,29.5136,,,,percent of total billed charges,,29.5136,,,,percent of total billed charges,,30.34768,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,31.1176,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,28.2304,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,25.69608,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,19.248,,,,percent of total billed charges,,29.799112,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,25.664,,,,percent of total billed charges,,19.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.699288,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM 41 % TOPICAL OINTMENT [88861],0637,RC,7214063377,NDC,,,outpatient,85,GR,32.13,,16.065,19.278,31.1661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,25.73613,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,29.845557,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,25.739343,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM 41 % TOPICAL OINTMENT [88861],0637,RC,72140-63386,NDC,,,outpatient,420,GR,52.92,,26.46,31.752,51.3324,49.7448,,,,percent of total billed charges,,42.336,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,43.9236,,,,percent of total billed charges,,47.628,,,,percent of total billed charges,,48.6864,,,,percent of total billed charges,,48.6864,,,,percent of total billed charges,,50.06232,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,51.3324,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,46.5696,,,,percent of total billed charges,,47.628,,,,percent of total billed charges,,42.38892,,,,percent of total billed charges,,47.628,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,49.157388,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,42.336,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,42.394212,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM TOPICAL OINTMENT [80680],0637,RC,0168-0053-21,NDC,,,outpatient,28.35,GR,8.04,,4.02,4.824,7.7988,7.5576,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.6732,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.60584,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.7988,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.0752,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,6.44004,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,7.468356,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.440844,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM TOPICAL OINTMENT [80680],0637,RC,05210-04179,NDC,,,outpatient,2.89,GR,8.97,,4.485,5.382,8.7009,8.4318,,,,percent of total billed charges,,7.176,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,7.4451,,,,percent of total billed charges,,8.073,,,,percent of total billed charges,,8.2524,,,,percent of total billed charges,,8.2524,,,,percent of total billed charges,,8.48562,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,8.7009,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,7.8936,,,,percent of total billed charges,,8.073,,,,percent of total billed charges,,7.18497,,,,percent of total billed charges,,8.073,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,8.332233,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,7.176,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,7.185867,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP [187778],0636,RC,49281-915-01,NDC,90717,CPT,outpatient,1,EA,170.12,,85.06,102.072,165.0164,159.9128,,,,percent of total billed charges,,136.096,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,141.1996,,,,percent of total billed charges,,153.108,,,,percent of total billed charges,,156.5104,,,,percent of total billed charges,,156.5104,,,,percent of total billed charges,,160.93352,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,165.0164,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,149.7056,,,,percent of total billed charges,,153.108,,,,percent of total billed charges,,136.26612,,,,percent of total billed charges,,153.108,,,,percent of total billed charges,,102.072,,,,percent of total billed charges,,158.024468,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,136.096,,,,percent of total billed charges,,102.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,136.283132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,0173-0107-93,NDC,J3485,HCPCS,outpatient,20,ML,118.89,,59.445,71.334,115.3233,111.7566,,,,percent of total billed charges,,95.112,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,98.6787,,,,percent of total billed charges,,107.001,,,,percent of total billed charges,,109.3788,,,,percent of total billed charges,,109.3788,,,,percent of total billed charges,,112.46994,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,115.3233,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,104.6232,,,,percent of total billed charges,,107.001,,,,percent of total billed charges,,95.23089,,,,percent of total billed charges,,107.001,,,,percent of total billed charges,,71.334,,,,percent of total billed charges,,110.436921,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,95.112,,,,percent of total billed charges,,71.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,95.242779,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,49702-213-05,NDC,J3485,HCPCS,outpatient,20,ML,123.66,,61.83,74.196,119.9502,116.2404,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,102.6378,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,116.98236,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,119.9502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,108.8208,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,99.05166,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,114.867774,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,99.064026,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,49702-213-01,NDC,J3485,HCPCS,outpatient,20,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,49702-213-26,NDC,J3485,HCPCS,outpatient,20,ML,126.72,,63.36,76.032,122.9184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,101.50272,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,117.710208,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,101.515392,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML ORAL SYRUP [42918],0637,RC,65862-048-24,NDC,,,outpatient,240,ML,149.04,,74.52,89.424,144.5688,140.0976,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,123.7032,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,137.1168,,,,percent of total billed charges,,137.1168,,,,percent of total billed charges,,140.99184,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,144.5688,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,131.1552,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,119.38104,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,138.443256,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,119.395944,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML ORAL SYRUP [42918],0637,RC,49702-212-48,NDC,,,outpatient,240,ML,266.76,,133.38,160.056,258.7572,250.7544,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,221.4108,,,,percent of total billed charges,,240.084,,,,percent of total billed charges,,245.4192,,,,percent of total billed charges,,245.4192,,,,percent of total billed charges,,252.35496,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,258.7572,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,234.7488,,,,percent of total billed charges,,240.084,,,,percent of total billed charges,,213.67476,,,,percent of total billed charges,,240.084,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,247.793364,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.701436,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML ORAL SYRUP [42918],0637,RC,9999-9429-18,NDC,,,outpatient,30,ML,18.63,,9.315,11.178,18.0711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,14.92263,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,17.305407,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,14.924493,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,49702-213-26,NDC,J3485,HCPCS,outpatient,1,GR,633.6,,316.8,380.16,614.592,595.584,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,525.888,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,582.912,,,,percent of total billed charges,,582.912,,,,percent of total billed charges,,599.3856,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,614.592,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,557.568,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,507.5136,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,588.55104,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,507.57696,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,150,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 4 MG/ML IN D5W IV PEDS DILUTION [1000068],0636,RC,WVU01-000-68,NDC,J3485,HCPCS,outpatient,20,ML,41.4,,20.7,24.84,40.158,38.916,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.158,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,33.1614,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,38.45646,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,33.16554,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION [8886],0250,RC,0409-4090-01,NDC,,,outpatient,10,ML,64.04,,32.02,38.424,62.1188,60.1976,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,53.1532,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,60.58184,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,62.1188,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,56.3552,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,51.29604,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,59.486756,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.302444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION [8886],0250,RC,0409-4090-11,NDC,,,outpatient,10,ML,64.04,,32.02,38.424,62.1188,60.1976,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,53.1532,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,60.58184,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,62.1188,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,56.3552,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,51.29604,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,59.486756,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,51.302444,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC GLUCONATE 50 MG TABLET [8872],0637,RC,7431202060,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC GLUCONATE 50 MG TABLET [8872],0637,RC,7985450075,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE 16 % TOPICAL OINTMENT [93697],0637,RC,6210333302,NDC,,,outpatient,57,GR,13.86,,6.93,8.316,13.4442,13.0284,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.5038,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.11156,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,12.1968,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,11.10186,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,12.874554,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,11.103246,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0637,RC,75834-170-01,NDC,,,outpatient,28.4,GR,18.79,,9.395,11.274,18.2263,17.6626,,,,percent of total billed charges,,15.032,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,15.5957,,,,percent of total billed charges,,16.911,,,,percent of total billed charges,,17.2868,,,,percent of total billed charges,,17.2868,,,,percent of total billed charges,,17.77534,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,18.2263,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,16.5352,,,,percent of total billed charges,,16.911,,,,percent of total billed charges,,15.05079,,,,percent of total billed charges,,16.911,,,,percent of total billed charges,,11.274,,,,percent of total billed charges,,17.454031,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,15.032,,,,percent of total billed charges,,11.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,15.052669,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0637,RC,0536-1316-98,NDC,,,outpatient,454,GR,24.52,,12.26,14.712,23.7844,23.0488,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,20.3516,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,23.19592,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.7844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,21.5776,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,19.64052,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,22.776628,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,19.642972,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE [198159],0637,RC,7430000070,NDC,,,outpatient,57,GR,12.32,,6.16,7.392,11.9504,11.5808,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.2256,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.65472,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.9504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.8416,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,9.86832,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,11.444048,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.869552,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [102141],0637,RC,0073140106,NDC,,,outpatient,1,EA,0.6,,0.3,0.36,0.582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.4806,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.55734,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.48066,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [102141],0637,RC,6858500801,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,68084-103-09,NDC,,,outpatient,1,EA,11.46,,5.73,6.876,11.1162,10.7724,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.5118,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.84116,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,11.1162,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.0848,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,9.17946,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,10.645194,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.180606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,68084-103-11,NDC,,,outpatient,1,EA,11.46,,5.73,6.876,11.1162,10.7724,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.5118,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.84116,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,11.1162,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.0848,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,9.17946,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,10.645194,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.180606,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,63739-988-32,NDC,,,outpatient,1,EA,10.77,,5.385,6.462,10.4469,10.1238,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.9391,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,10.18842,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.4469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,9.4776,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,8.62677,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,10.004253,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.627847,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,50268-811-11,NDC,,,outpatient,1,EA,13.21,,6.605,7.926,12.8137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,10.58121,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,12.270769,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.582531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,50268-811-12,NDC,,,outpatient,1,EA,13.21,,6.605,7.926,12.8137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,10.58121,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,12.270769,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,10.582531,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,0049-3920-83,NDC,J3486,HCPCS,outpatient,1,EA,266.48,,133.24,159.888,258.4856,250.4912,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,221.1784,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,252.09008,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,258.4856,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,234.5024,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,213.45048,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,247.533272,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.477128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,0049-3920-20,NDC,J3486,HCPCS,outpatient,1,EA,266.48,,133.24,159.888,258.4856,250.4912,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,221.1784,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,252.09008,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,258.4856,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,234.5024,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,213.45048,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,247.533272,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,213.477128,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,43598-848-11,NDC,J3486,HCPCS,outpatient,1,EA,66.18,,33.09,39.708,64.1946,62.2092,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,54.9294,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,62.60628,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,64.1946,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,58.2384,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,53.01018,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,61.474602,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.016798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,43598-848-58,NDC,J3486,HCPCS,outpatient,1,EA,66.18,,33.09,39.708,64.1946,62.2092,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,54.9294,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,62.60628,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,64.1946,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,58.2384,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,53.01018,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,61.474602,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.016798,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,72266-160-01,NDC,J3486,HCPCS,outpatient,1,EA,66.56,,33.28,39.936,64.5632,62.5664,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,55.2448,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,62.96576,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,64.5632,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,58.5728,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,53.31456,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,61.827584,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.321216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,72266-160-10,NDC,J3486,HCPCS,outpatient,1,EA,66.56,,33.28,39.936,64.5632,62.5664,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,55.2448,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,62.96576,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,64.5632,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,58.5728,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,53.31456,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,61.827584,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,53.321216,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,0049-3970-41,NDC,,,outpatient,1,EA,49.62,,24.81,29.772,48.1314,46.6428,,,,percent of total billed charges,,39.696,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,41.1846,,,,percent of total billed charges,,44.658,,,,percent of total billed charges,,45.6504,,,,percent of total billed charges,,45.6504,,,,percent of total billed charges,,46.94052,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,48.1314,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,43.6656,,,,percent of total billed charges,,44.658,,,,percent of total billed charges,,39.74562,,,,percent of total billed charges,,44.658,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,46.092018,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,39.696,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,39.750582,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,55111-257-60,NDC,,,outpatient,1,EA,1.58,,0.79,0.948,1.5326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.26558,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.467662,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.265738,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,63739-005-32,NDC,,,outpatient,1,EA,11.98,,5.99,7.188,11.6206,11.2612,,,,percent of total billed charges,,9.584,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,9.9434,,,,percent of total billed charges,,10.782,,,,percent of total billed charges,,11.0216,,,,percent of total billed charges,,11.0216,,,,percent of total billed charges,,11.33308,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,11.6206,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,10.5424,,,,percent of total billed charges,,10.782,,,,percent of total billed charges,,9.59598,,,,percent of total billed charges,,10.782,,,,percent of total billed charges,,7.188,,,,percent of total billed charges,,11.128222,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,9.584,,,,percent of total billed charges,,7.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.597178,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,0904-6270-45,NDC,,,outpatient,1,EA,7.24,,3.62,4.344,7.0228,6.8056,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.0092,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.84904,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,7.0228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.3712,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,5.79924,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,6.725236,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,5.799964,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,50268-812-11,NDC,,,outpatient,1,EA,12.12,,6.06,7.272,11.7564,11.3928,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.0596,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.46552,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.7564,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.6656,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,9.70812,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,11.258268,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.709332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,50268-812-12,NDC,,,outpatient,1,EA,12.12,,6.06,7.272,11.7564,11.3928,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.0596,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.46552,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.7564,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.6656,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,9.70812,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,11.258268,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.709332,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,0049-3980-41,NDC,,,outpatient,1,EA,60.21,,30.105,36.126,58.4037,56.5974,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,49.9743,,,,percent of total billed charges,,54.189,,,,percent of total billed charges,,55.3932,,,,percent of total billed charges,,55.3932,,,,percent of total billed charges,,56.95866,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,58.4037,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,52.9848,,,,percent of total billed charges,,54.189,,,,percent of total billed charges,,48.22821,,,,percent of total billed charges,,54.189,,,,percent of total billed charges,,36.126,,,,percent of total billed charges,,55.929069,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,36.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,48.234231,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,68084-105-09,NDC,,,outpatient,1,EA,7.86,,3.93,4.716,7.6242,7.3884,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.5238,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.43556,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.6242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.9168,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,6.29586,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,7.301154,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.296646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,68084-105-11,NDC,,,outpatient,1,EA,7.86,,3.93,4.716,7.6242,7.3884,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.5238,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.43556,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.6242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.9168,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,6.29586,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,7.301154,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,6.296646,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,33342-146-09,NDC,,,outpatient,1,EA,2.42,,1.21,1.452,2.3474,2.2748,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.0086,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.28932,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.3474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.1296,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.93842,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,2.247938,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.938662,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,50268-813-11,NDC,,,outpatient,1,EA,11.65,,5.825,6.99,11.3005,10.951,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.6695,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,11.0209,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.3005,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,10.252,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,9.33165,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,10.821685,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.332815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,50268-813-12,NDC,,,outpatient,1,EA,11.65,,5.825,6.99,11.3005,10.951,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.6695,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,11.0209,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.3005,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,10.252,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,9.33165,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,10.821685,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,9.332815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [208938],0250,RC,70860-210-51,NDC,,,outpatient,100,ML,38.25,,19.125,22.95,37.1025,35.955,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,31.7475,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,36.1845,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,37.1025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,30.63825,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,35.530425,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,30.642075,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK [218227],0636,RC,25021-826-82,NDC,J3489,HCPCS,outpatient,100,ML,103.95,,51.975,62.37,100.8315,97.713,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,86.2785,,,,percent of total billed charges,,93.555,,,,percent of total billed charges,,95.634,,,,percent of total billed charges,,95.634,,,,percent of total billed charges,,98.3367,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,100.8315,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,91.476,,,,percent of total billed charges,,93.555,,,,percent of total billed charges,,83.26395,,,,percent of total billed charges,,93.555,,,,percent of total billed charges,,62.37,,,,percent of total billed charges,,96.559155,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,62.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,83.274345,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,25021-801-66,NDC,J3489,HCPCS,outpatient,5,ML,227.48,,113.74,136.488,220.6556,213.8312,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,188.8084,,,,percent of total billed charges,,204.732,,,,percent of total billed charges,,209.2816,,,,percent of total billed charges,,209.2816,,,,percent of total billed charges,,215.19608,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,220.6556,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,200.1824,,,,percent of total billed charges,,204.732,,,,percent of total billed charges,,182.21148,,,,percent of total billed charges,,204.732,,,,percent of total billed charges,,136.488,,,,percent of total billed charges,,211.306172,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,136.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,182.234228,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,55111-685-07,NDC,J3489,HCPCS,outpatient,5,ML,25.56,,12.78,15.336,24.7932,24.0264,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,21.2148,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,24.17976,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.7932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,22.4928,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,20.47356,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,23.742684,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,20.476116,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,67457-390-54,NDC,J3489,HCPCS,outpatient,5,ML,144.77,,72.385,86.862,140.4269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,115.96077,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,134.476853,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,115.975247,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,0409-4215-01,NDC,J3489,HCPCS,outpatient,5,ML,27.77,,13.885,16.662,26.9369,26.1038,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,23.0491,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,26.27042,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.9369,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,24.4376,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,22.24377,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,25.795553,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.246547,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,16729-242-31,NDC,J3489,HCPCS,outpatient,5,ML,181.94,,90.97,109.164,176.4818,171.0236,,,,percent of total billed charges,,145.552,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,151.0102,,,,percent of total billed charges,,163.746,,,,percent of total billed charges,,167.3848,,,,percent of total billed charges,,167.3848,,,,percent of total billed charges,,172.11524,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,176.4818,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,160.1072,,,,percent of total billed charges,,163.746,,,,percent of total billed charges,,145.73394,,,,percent of total billed charges,,163.746,,,,percent of total billed charges,,109.164,,,,percent of total billed charges,,169.004066,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,145.552,,,,percent of total billed charges,,109.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,145.752134,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,55150-266-05,NDC,J3489,HCPCS,outpatient,5,ML,180.72,,90.36,108.432,175.2984,169.8768,,,,percent of total billed charges,,144.576,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,149.9976,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,166.2624,,,,percent of total billed charges,,166.2624,,,,percent of total billed charges,,170.96112,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,175.2984,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,159.0336,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,144.75672,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,108.432,,,,percent of total billed charges,,167.870808,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,144.576,,,,percent of total billed charges,,108.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,144.774792,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,54288-100-01,NDC,J3489,HCPCS,outpatient,5,ML,99.81,,49.905,59.886,96.8157,93.8214,,,,percent of total billed charges,,79.848,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,82.8423,,,,percent of total billed charges,,89.829,,,,percent of total billed charges,,91.8252,,,,percent of total billed charges,,91.8252,,,,percent of total billed charges,,94.42026,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,96.8157,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,87.8328,,,,percent of total billed charges,,89.829,,,,percent of total billed charges,,79.94781,,,,percent of total billed charges,,89.829,,,,percent of total billed charges,,59.886,,,,percent of total billed charges,,92.713509,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,79.848,,,,percent of total billed charges,,59.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,79.957791,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,68001-437-25,NDC,J3489,HCPCS,outpatient,5,ML,92.52,,46.26,55.512,89.7444,86.9688,,,,percent of total billed charges,,74.016,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,76.7916,,,,percent of total billed charges,,83.268,,,,percent of total billed charges,,85.1184,,,,percent of total billed charges,,85.1184,,,,percent of total billed charges,,87.52392,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,89.7444,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,81.4176,,,,percent of total billed charges,,83.268,,,,percent of total billed charges,,74.10852,,,,percent of total billed charges,,83.268,,,,percent of total billed charges,,55.512,,,,percent of total billed charges,,85.941828,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,74.016,,,,percent of total billed charges,,55.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,74.117772,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,69367-190-50,NDC,J3489,HCPCS,outpatient,5,ML,200.66,,100.33,120.396,194.6402,188.6204,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,166.5478,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,189.82436,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,194.6402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,176.5808,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,160.72866,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,186.393074,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,160.748726,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,72603-198-01,NDC,J3489,HCPCS,outpatient,5,ML,304.38,,152.19,182.628,295.2486,286.1172,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,252.6354,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,280.0296,,,,percent of total billed charges,,280.0296,,,,percent of total billed charges,,287.94348,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,295.2486,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,267.8544,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,243.80838,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,282.738582,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,243.838818,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,0078-0435-61,NDC,J3489,HCPCS,outpatient,100,ML,5172.3,,2586.15,3103.38,5017.131,4861.962,,,,percent of total billed charges,,4137.84,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4293.009,,,,percent of total billed charges,,4655.07,,,,percent of total billed charges,,4758.516,,,,percent of total billed charges,,4758.516,,,,percent of total billed charges,,4892.9958,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,5017.131,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4551.624,,,,percent of total billed charges,,4655.07,,,,percent of total billed charges,,4143.0123,,,,percent of total billed charges,,4655.07,,,,percent of total billed charges,,3103.38,,,,percent of total billed charges,,4804.54947,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4137.84,,,,percent of total billed charges,,3103.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,4143.52953,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,23155-186-31,NDC,J3489,HCPCS,outpatient,100,ML,1231.65,,615.825,738.99,1194.7005,1157.751,,,,percent of total billed charges,,985.32,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1022.2695,,,,percent of total billed charges,,1108.485,,,,percent of total billed charges,,1133.118,,,,percent of total billed charges,,1133.118,,,,percent of total billed charges,,1165.1409,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1194.7005,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1083.852,,,,percent of total billed charges,,1108.485,,,,percent of total billed charges,,986.55165,,,,percent of total billed charges,,1108.485,,,,percent of total billed charges,,738.99,,,,percent of total billed charges,,1144.079685,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,985.32,,,,percent of total billed charges,,738.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,986.674815,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,55111-688-52,NDC,J3489,HCPCS,outpatient,100,ML,111.6,,55.8,66.96,108.252,104.904,,,,percent of total billed charges,,89.28,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,92.628,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,102.672,,,,percent of total billed charges,,102.672,,,,percent of total billed charges,,105.5736,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,108.252,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,98.208,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,89.3916,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,103.66524,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,89.28,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,89.40276,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,25021-830-82,NDC,J3489,HCPCS,outpatient,100,ML,173.7,,86.85,104.22,168.489,163.278,,,,percent of total billed charges,,138.96,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,144.171,,,,percent of total billed charges,,156.33,,,,percent of total billed charges,,159.804,,,,percent of total billed charges,,159.804,,,,percent of total billed charges,,164.3202,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,168.489,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,152.856,,,,percent of total billed charges,,156.33,,,,percent of total billed charges,,139.1337,,,,percent of total billed charges,,156.33,,,,percent of total billed charges,,104.22,,,,percent of total billed charges,,161.34993,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,138.96,,,,percent of total billed charges,,104.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,139.15107,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,63323-966-00,NDC,J3489,HCPCS,outpatient,100,ML,293.85,,146.925,176.31,285.0345,276.219,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,243.8955,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,277.9821,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,285.0345,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,258.588,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,235.37385,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,272.957265,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,235.403235,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,71288-806-51,NDC,J3489,HCPCS,outpatient,100,ML,450,,225,270,436.5,423,,,,percent of total billed charges,,360,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,405,,,,percent of total billed charges,,414,,,,percent of total billed charges,,414,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,396,,,,percent of total billed charges,,405,,,,percent of total billed charges,,360.45,,,,percent of total billed charges,,405,,,,percent of total billed charges,,270,,,,percent of total billed charges,,418.005,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,360,,,,percent of total billed charges,,270,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,360.495,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,0338-0049-04,NDC,,,outpatient,100,ML,120,,60,72,116.4,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,96.12,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,111.468,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,96.132,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,0409-4215-01,NDC,J3489,HCPCS,outpatient,4,ME,27.77,,13.885,16.662,26.9369,26.1038,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,23.0491,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,26.27042,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.9369,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,24.4376,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,22.24377,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,25.795553,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,22.246547,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLPIDEM 5 MG TABLET [81787],0637,RC,0781-5317-01,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLPIDEM 5 MG TABLET [81787],0637,RC,0904-6082-61,NDC,,,outpatient,1,EA,10.5,,5.25,6.3,10.185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,8.4105,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,9.75345,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,8.41155,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,62756-260-02,NDC,,,outpatient,1,EA,2.02,,1.01,1.212,1.9594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.61802,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,1.876378,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.618222,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,68001-244-00,NDC,,,outpatient,1,EA,0.5,,0.25,0.3,0.485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.4005,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.46445,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.40055,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,50268-816-15,NDC,,,outpatient,1,EA,2.66,,1.33,1.596,2.5802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.13066,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.470874,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.130926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,50268-816-11,NDC,,,outpatient,1,EA,2.66,,1.33,1.596,2.5802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.13066,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.470874,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,2.130926,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,60687-230-11,NDC,,,outpatient,1,EA,2.45,,1.225,1.47,2.3765,2.303,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.0335,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.3177,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.156,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.96245,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,2.275805,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.962695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,60687-230-01,NDC,,,outpatient,1,EA,2.45,,1.225,1.47,2.3765,2.303,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.0335,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.3177,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.156,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.96245,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,2.275805,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,1.962695,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 25 MG CAPSULE [36987],0637,RC,62756-258-02,NDC,,,outpatient,1,EA,0.86,,0.43,0.516,0.8342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.68886,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.798854,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,0.688946,,,,percent of total billed charges,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [95400],0636,RC,,,,,inpatient,,,4175.6,,2087.8,2505.36,4216.10332,3925.064,,,,percent of total billed charges,,3340.48,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3465.748,,,,percent of total billed charges,,3758.04,,,,percent of total billed charges,,3841.552,,,,percent of total billed charges,,3841.552,,,,percent of total billed charges,,3950.1176,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,4050.332,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3674.528,,,,percent of total billed charges,,3758.04,,,,percent of total billed charges,,2705.7888,,,,percent of total billed charges,,3758.04,,,,percent of total billed charges,,2505.36,,,,percent of total billed charges,,4216.10332,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3966.82,,,,percent of total billed charges,,3340.48,,,,percent of total billed charges,,2505.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [95400],0636,RC,,,,,inpatient,,,6201.95,,3100.975,3721.17,6262.108915,5829.833,,,,percent of total billed charges,,4961.56,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,5147.6185,,,,percent of total billed charges,,5581.755,,,,percent of total billed charges,,5705.794,,,,percent of total billed charges,,5705.794,,,,percent of total billed charges,,5867.0447,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,6015.8915,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,5457.716,,,,percent of total billed charges,,5581.755,,,,percent of total billed charges,,4018.8636,,,,percent of total billed charges,,5581.755,,,,percent of total billed charges,,3721.17,,,,percent of total billed charges,,6262.108915,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,5891.8525,,,,percent of total billed charges,,4961.56,,,,percent of total billed charges,,3721.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,,,,,inpatient,,,4.95,,2.475,2.97,4.998015,4.653,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.1085,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6827,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.8015,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,3.2076,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,4.998015,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,,,,,inpatient,,,9.65,,4.825,5.79,9.743605,9.071,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.0095,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,9.1289,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.3605,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.492,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,6.2532,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,9.743605,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,,,,,inpatient,,,9.65,,4.825,5.79,9.743605,9.071,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.0095,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,8.878,,,,percent of total billed charges,,9.1289,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.3605,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,8.492,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,6.2532,,,,percent of total billed charges,,8.685,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,9.743605,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,9.1675,,,,percent of total billed charges,,7.72,,,,percent of total billed charges,,5.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE [93384]",0637,RC,,,,,inpatient,,,6.8,,3.4,4.08,6.86596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.4064,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.86596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,194.85,,97.425,116.91,196.740045,183.159,,,,percent of total billed charges,,155.88,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,161.7255,,,,percent of total billed charges,,175.365,,,,percent of total billed charges,,179.262,,,,percent of total billed charges,,179.262,,,,percent of total billed charges,,184.3281,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,189.0045,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,171.468,,,,percent of total billed charges,,175.365,,,,percent of total billed charges,,126.2628,,,,percent of total billed charges,,175.365,,,,percent of total billed charges,,116.91,,,,percent of total billed charges,,196.740045,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,185.1075,,,,percent of total billed charges,,155.88,,,,percent of total billed charges,,116.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,24.75,,12.375,14.85,24.990075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,24.990075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,24.75,,12.375,14.85,24.990075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,24.990075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,24.75,,12.375,14.85,24.990075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,24.990075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,24.75,,12.375,14.85,24.990075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,24.990075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,25.65,,12.825,15.39,25.898805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,16.6212,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,25.898805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,25.65,,12.825,15.39,25.898805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,16.6212,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,25.898805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,28.8,,14.4,17.28,29.07936,27.072,,,,percent of total billed charges,,23.04,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,26.496,,,,percent of total billed charges,,26.496,,,,percent of total billed charges,,27.2448,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,27.936,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,25.344,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,18.6624,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,29.07936,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,23.04,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,22.95,,11.475,13.77,23.172615,21.573,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,19.0485,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.7107,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,22.2615,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,20.196,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,14.8716,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,23.172615,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,38.25,,19.125,22.95,38.621025,35.955,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,31.7475,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,36.1845,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,37.1025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,38.621025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,48.6,,24.3,29.16,49.07142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,31.4928,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,49.07142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION [202666]",0636,RC,,,,,inpatient,,,48.6,,24.3,29.16,49.07142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,31.4928,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,49.07142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 10 MG/ML INTRAVENOUS SOLUTION - PARTIAL PREMIX DOSES [263026],0636,RC,,,,,inpatient,,,38.25,,19.125,22.95,38.621025,35.955,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,31.7475,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,36.1845,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,37.1025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,38.621025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,,,,,inpatient,,,1.62,,0.81,0.972,1.635714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.04976,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.635714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,,,,,inpatient,,,1.62,,0.81,0.972,1.635714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.04976,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.635714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,,,,,inpatient,,,3.09,,1.545,1.854,3.119973,2.9046,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.5647,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.92314,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9973,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.7192,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.00232,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,3.119973,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [103],0637,RC,,,,,inpatient,,,3.09,,1.545,1.854,3.119973,2.9046,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.5647,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.8428,,,,percent of total billed charges,,2.92314,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9973,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.7192,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,2.00232,,,,percent of total billed charges,,2.781,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,3.119973,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.9355,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,7.14,,3.57,4.284,7.209258,6.7116,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.9262,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.75444,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.9258,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.2832,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,4.62672,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,7.209258,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,5.2,,2.6,3.12,5.25044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.3696,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,5.25044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,7.14,,3.57,4.284,7.209258,6.7116,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.9262,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.5688,,,,percent of total billed charges,,6.75444,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.9258,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.2832,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,4.62672,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,7.209258,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,6.783,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,5.03,,2.515,3.018,5.078791,4.7282,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.1749,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.75838,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.8791,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.4264,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,3.25944,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,5.078791,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,5.03,,2.515,3.018,5.078791,4.7282,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.1749,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.6276,,,,percent of total billed charges,,4.75838,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.8791,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.4264,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,3.25944,,,,percent of total billed charges,,4.527,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,5.078791,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.7785,,,,percent of total billed charges,,4.024,,,,percent of total billed charges,,3.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,5.2,,2.6,3.12,5.25044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.3696,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,5.25044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,6.13,,3.065,3.678,6.189461,5.7622,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.0879,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.79898,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.9461,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.3944,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,3.97224,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,6.189461,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,6.13,,3.065,3.678,6.189461,5.7622,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.0879,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.6396,,,,percent of total billed charges,,5.79898,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.9461,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.3944,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,3.97224,,,,percent of total billed charges,,5.517,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,6.189461,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,5.8235,,,,percent of total billed charges,,4.904,,,,percent of total billed charges,,3.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,3.93,,1.965,2.358,3.968121,3.6942,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.2619,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.71778,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.8121,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.4584,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,2.54664,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,3.968121,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,2.93,,1.465,1.758,2.958421,2.7542,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.4319,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.77178,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.8421,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.5784,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,1.89864,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,2.958421,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,2.93,,1.465,1.758,2.958421,2.7542,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.4319,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.6956,,,,percent of total billed charges,,2.77178,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.8421,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.5784,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,1.89864,,,,percent of total billed charges,,2.637,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,2.958421,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.7835,,,,percent of total billed charges,,2.344,,,,percent of total billed charges,,1.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,3.02,,1.51,1.812,3.049294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.95696,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,3.049294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,4.8,,2.4,2.88,4.84656,4.512,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.5408,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.656,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.224,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.1104,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,4.84656,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,5.49,,2.745,3.294,5.543253,5.1606,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,4.5567,,,,percent of total billed charges,,4.941,,,,percent of total billed charges,,5.0508,,,,percent of total billed charges,,5.0508,,,,percent of total billed charges,,5.19354,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,5.3253,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,4.8312,,,,percent of total billed charges,,4.941,,,,percent of total billed charges,,3.55752,,,,percent of total billed charges,,4.941,,,,percent of total billed charges,,3.294,,,,percent of total billed charges,,5.543253,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,5.2155,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,3.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID WRAPPER [206954],0637,RC,,,,,inpatient,,,4.08,,2.04,2.448,4.119576,3.8352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.3864,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,3.7536,,,,percent of total billed charges,,3.7536,,,,percent of total billed charges,,3.85968,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.9576,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.5904,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.64384,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,4.119576,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [104],0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG TABLET [101],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG TABLET [101],0637,RC,,,,,inpatient,,,2.06,,1.03,1.236,2.079982,1.9364,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.7098,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.94876,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.9982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.8128,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.33488,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,2.079982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 325 MG TABLET [101],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 500 MG TABLET [102],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 500 MG TABLET [102],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 500 MG TABLET [102],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0637,RC,,,,,inpatient,,,1.19,,0.595,0.714,1.201543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.77112,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.201543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [105],0637,RC,,,,,inpatient,,,1.19,,0.595,0.714,1.201543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.77112,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.201543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 80 MG CHEWABLE TABLET [99],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY [81889],0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY [81889],0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,1.56,,0.78,0.936,1.575132,1.4664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.2948,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.47576,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.5132,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.3728,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.01088,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.575132,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,10.81,,5.405,6.486,10.914857,10.1614,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.9723,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,10.22626,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.4857,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,9.5128,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,7.00488,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,10.914857,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,10.81,,5.405,6.486,10.914857,10.1614,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.9723,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,9.9452,,,,percent of total billed charges,,10.22626,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.4857,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,9.5128,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,7.00488,,,,percent of total billed charges,,9.729,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,10.914857,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,10.2695,,,,percent of total billed charges,,8.648,,,,percent of total billed charges,,6.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,11.82,,5.91,7.092,11.934654,11.1108,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.8106,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,11.18172,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.4654,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,10.4016,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,7.65936,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,11.934654,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,11.82,,5.91,7.092,11.934654,11.1108,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.8106,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,10.8744,,,,percent of total billed charges,,11.18172,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.4654,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,10.4016,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,7.65936,,,,percent of total billed charges,,10.638,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,11.934654,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,11.229,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,15.71,,7.855,9.426,15.862387,14.7674,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.0393,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.86166,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,15.2387,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.8248,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,10.18008,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,15.862387,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 250 MG TABLET [113],0637,RC,,,,,inpatient,,,15.71,,7.855,9.426,15.862387,14.7674,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.0393,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.4532,,,,percent of total billed charges,,14.86166,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,15.2387,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,13.8248,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,10.18008,,,,percent of total billed charges,,14.139,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,15.862387,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,14.9245,,,,percent of total billed charges,,12.568,,,,percent of total billed charges,,9.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],0636,RC,,,,,inpatient,,,120.96,,60.48,72.576,122.133312,113.7024,,,,percent of total billed charges,,96.768,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,100.3968,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,111.2832,,,,percent of total billed charges,,111.2832,,,,percent of total billed charges,,114.42816,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.3312,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,106.4448,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,78.38208,,,,percent of total billed charges,,108.864,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,122.133312,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,96.768,,,,percent of total billed charges,,72.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],0636,RC,,,,,inpatient,,,165.38,,82.69,99.228,166.984186,155.4572,,,,percent of total billed charges,,132.304,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,137.2654,,,,percent of total billed charges,,148.842,,,,percent of total billed charges,,152.1496,,,,percent of total billed charges,,152.1496,,,,percent of total billed charges,,156.44948,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,160.4186,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,145.5344,,,,percent of total billed charges,,148.842,,,,percent of total billed charges,,107.16624,,,,percent of total billed charges,,148.842,,,,percent of total billed charges,,99.228,,,,percent of total billed charges,,166.984186,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,157.111,,,,percent of total billed charges,,132.304,,,,percent of total billed charges,,99.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION [114],0636,RC,,,,,inpatient,,,46.13,,23.065,27.678,46.577461,43.3622,,,,percent of total billed charges,,36.904,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,38.2879,,,,percent of total billed charges,,41.517,,,,percent of total billed charges,,42.4396,,,,percent of total billed charges,,42.4396,,,,percent of total billed charges,,43.63898,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,44.7461,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,40.5944,,,,percent of total billed charges,,41.517,,,,percent of total billed charges,,29.89224,,,,percent of total billed charges,,41.517,,,,percent of total billed charges,,27.678,,,,percent of total billed charges,,46.577461,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,43.8235,,,,percent of total billed charges,,36.904,,,,percent of total billed charges,,27.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETIC ACID 0.25 % IRRIGATION SOLUTION [8963],0250,RC,,,,,inpatient,,,29.25,,14.625,17.55,29.533725,27.495,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,24.2775,,,,percent of total billed charges,,26.325,,,,percent of total billed charges,,26.91,,,,percent of total billed charges,,26.91,,,,percent of total billed charges,,27.6705,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,28.3725,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,25.74,,,,percent of total billed charges,,26.325,,,,percent of total billed charges,,18.954,,,,percent of total billed charges,,26.325,,,,percent of total billed charges,,17.55,,,,percent of total billed charges,,29.533725,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,27.7875,,,,percent of total billed charges,,23.4,,,,percent of total billed charges,,17.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,,,,,inpatient,,,22.47,,11.235,13.482,22.687959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,14.56056,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,22.687959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,,,,,inpatient,,,17.12,,8.56,10.272,17.286064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.09376,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,17.286064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,,,,,inpatient,,,22.47,,11.235,13.482,22.687959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,14.56056,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,22.687959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,,,,,inpatient,,,17.12,,8.56,10.272,17.286064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.09376,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,17.286064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 20% ORAL SOLN [1000349],0636,RC,,,,,inpatient,,,17.12,,8.56,10.272,17.286064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.09376,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,17.286064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,155.12,,77.56,93.072,156.624664,145.8128,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,128.7496,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,146.74352,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,150.4664,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,136.5056,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,100.51776,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,156.624664,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,151.34,,75.67,90.804,152.807998,142.2596,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,125.6122,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,143.16764,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,146.7998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,133.1792,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,98.06832,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,152.807998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,134.46,,67.23,80.676,135.764262,126.3924,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,111.6018,,,,percent of total billed charges,,121.014,,,,percent of total billed charges,,123.7032,,,,percent of total billed charges,,123.7032,,,,percent of total billed charges,,127.19916,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,130.4262,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,118.3248,,,,percent of total billed charges,,121.014,,,,percent of total billed charges,,87.13008,,,,percent of total billed charges,,121.014,,,,percent of total billed charges,,80.676,,,,percent of total billed charges,,135.764262,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,127.737,,,,percent of total billed charges,,107.568,,,,percent of total billed charges,,80.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,248.13,,124.065,148.878,250.536861,233.2422,,,,percent of total billed charges,,198.504,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,205.9479,,,,percent of total billed charges,,223.317,,,,percent of total billed charges,,228.2796,,,,percent of total billed charges,,228.2796,,,,percent of total billed charges,,234.73098,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,240.6861,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,218.3544,,,,percent of total billed charges,,223.317,,,,percent of total billed charges,,160.78824,,,,percent of total billed charges,,223.317,,,,percent of total billed charges,,148.878,,,,percent of total billed charges,,250.536861,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,235.7235,,,,percent of total billed charges,,198.504,,,,percent of total billed charges,,148.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,151.34,,75.67,90.804,152.807998,142.2596,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,125.6122,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,143.16764,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,146.7998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,133.1792,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,98.06832,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,152.807998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,154.71,,77.355,92.826,156.210687,145.4274,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,128.4093,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,146.35566,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,150.0687,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,136.1448,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,100.25208,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,156.210687,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,154.71,,77.355,92.826,156.210687,145.4274,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,128.4093,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,142.3332,,,,percent of total billed charges,,146.35566,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,150.0687,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,136.1448,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,100.25208,,,,percent of total billed charges,,139.239,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,156.210687,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,146.9745,,,,percent of total billed charges,,123.768,,,,percent of total billed charges,,92.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLUTION -ROUNDS TO NEAREST 0.1 ML [7000124],0636,RC,,,,,inpatient,,,155.12,,77.56,93.072,156.624664,145.8128,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,128.7496,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,142.7104,,,,percent of total billed charges,,146.74352,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,150.4664,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,136.5056,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,100.51776,,,,percent of total billed charges,,139.608,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,156.624664,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,147.364,,,,percent of total billed charges,,124.096,,,,percent of total billed charges,,93.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLUTION -ROUNDS TO NEAREST 0.1 ML [7000124],0636,RC,,,,,inpatient,,,151.34,,75.67,90.804,152.807998,142.2596,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,125.6122,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,139.2328,,,,percent of total billed charges,,143.16764,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,146.7998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,133.1792,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,98.06832,,,,percent of total billed charges,,136.206,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,152.807998,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,143.773,,,,percent of total billed charges,,121.072,,,,percent of total billed charges,,90.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,,,,,inpatient,,,22.47,,11.235,13.482,22.687959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,14.56056,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,22.687959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,,,,,inpatient,,,17.12,,8.56,10.272,17.286064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.09376,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,17.286064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,,,,,inpatient,,,22.47,,11.235,13.482,22.687959,21.1218,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,18.6501,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,20.6724,,,,percent of total billed charges,,21.25662,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.7959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,19.7736,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,14.56056,,,,percent of total billed charges,,20.223,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,22.687959,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,21.3465,,,,percent of total billed charges,,17.976,,,,percent of total billed charges,,13.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,,,,,inpatient,,,17.12,,8.56,10.272,17.286064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.09376,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,17.286064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION (RT USE CONFIG) [123],0637,RC,,,,,inpatient,,,17.12,,8.56,10.272,17.286064,16.0928,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,14.2096,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,15.7504,,,,percent of total billed charges,,16.19552,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.6064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,15.0656,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.09376,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,17.286064,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,16.264,,,,percent of total billed charges,,13.696,,,,percent of total billed charges,,10.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,87.16,,43.58,52.296,88.005452,81.9304,,,,percent of total billed charges,,69.728,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,72.3428,,,,percent of total billed charges,,78.444,,,,percent of total billed charges,,80.1872,,,,percent of total billed charges,,80.1872,,,,percent of total billed charges,,82.45336,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,84.5452,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,76.7008,,,,percent of total billed charges,,78.444,,,,percent of total billed charges,,56.47968,,,,percent of total billed charges,,78.444,,,,percent of total billed charges,,52.296,,,,percent of total billed charges,,88.005452,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,82.802,,,,percent of total billed charges,,69.728,,,,percent of total billed charges,,52.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,174.31,,87.155,104.586,176.000807,163.8514,,,,percent of total billed charges,,139.448,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,144.6773,,,,percent of total billed charges,,156.879,,,,percent of total billed charges,,160.3652,,,,percent of total billed charges,,160.3652,,,,percent of total billed charges,,164.89726,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,169.0807,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,153.3928,,,,percent of total billed charges,,156.879,,,,percent of total billed charges,,112.95288,,,,percent of total billed charges,,156.879,,,,percent of total billed charges,,104.586,,,,percent of total billed charges,,176.000807,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,165.5945,,,,percent of total billed charges,,139.448,,,,percent of total billed charges,,104.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [92490],0636,RC,,,,,inpatient,,,261.46,,130.73,156.876,263.996162,245.7724,,,,percent of total billed charges,,209.168,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,217.0118,,,,percent of total billed charges,,235.314,,,,percent of total billed charges,,240.5432,,,,percent of total billed charges,,240.5432,,,,percent of total billed charges,,247.34116,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,253.6162,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,230.0848,,,,percent of total billed charges,,235.314,,,,percent of total billed charges,,169.42608,,,,percent of total billed charges,,235.314,,,,percent of total billed charges,,156.876,,,,percent of total billed charges,,263.996162,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,248.387,,,,percent of total billed charges,,209.168,,,,percent of total billed charges,,156.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [93286],0250,RC,,,,,inpatient,,,51.84,,25.92,31.104,52.342848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,33.59232,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,52.342848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [93286],0250,RC,,,,,inpatient,,,98.28,,49.14,58.968,99.233316,92.3832,,,,percent of total billed charges,,78.624,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,81.5724,,,,percent of total billed charges,,88.452,,,,percent of total billed charges,,90.4176,,,,percent of total billed charges,,90.4176,,,,percent of total billed charges,,92.97288,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,95.3316,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,86.4864,,,,percent of total billed charges,,88.452,,,,percent of total billed charges,,63.68544,,,,percent of total billed charges,,88.452,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,99.233316,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,93.366,,,,percent of total billed charges,,78.624,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [93286],0250,RC,,,,,inpatient,,,56.7,,28.35,34.02,57.24999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,36.7416,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,57.24999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION [93282],0250,RC,,,,,inpatient,,,51.84,,25.92,31.104,52.342848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,33.59232,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,52.342848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION [93282],0250,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION [93282],0250,RC,,,,,inpatient,,,56.7,,28.35,34.02,57.24999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,36.7416,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,57.24999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 200 MG CAPSULE [8969],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 5 % TOPICAL OINTMENT [80449],0637,RC,,,,,inpatient,,,419.27,,209.635,251.562,423.336919,394.1138,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,347.9941,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,396.62942,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,406.6919,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,368.9576,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,271.68696,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,423.336919,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 5 % TOPICAL OINTMENT [80449],0637,RC,,,,,inpatient,,,419.27,,209.635,251.562,423.336919,394.1138,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,347.9941,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,385.7284,,,,percent of total billed charges,,396.62942,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,406.6919,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,368.9576,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,271.68696,,,,percent of total billed charges,,377.343,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,423.336919,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,398.3065,,,,percent of total billed charges,,335.416,,,,percent of total billed charges,,251.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 5 % TOPICAL OINTMENT [80449],0637,RC,,,,,inpatient,,,61.43,,30.715,36.858,62.025871,57.7442,,,,percent of total billed charges,,49.144,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,50.9869,,,,percent of total billed charges,,55.287,,,,percent of total billed charges,,56.5156,,,,percent of total billed charges,,56.5156,,,,percent of total billed charges,,58.11278,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,59.5871,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,54.0584,,,,percent of total billed charges,,55.287,,,,percent of total billed charges,,39.80664,,,,percent of total billed charges,,55.287,,,,percent of total billed charges,,36.858,,,,percent of total billed charges,,62.025871,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,58.3585,,,,percent of total billed charges,,49.144,,,,percent of total billed charges,,36.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 7 MG/ML IN D5W IV PEDS DILUTION [1001837],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 800 MG TABLET [8972],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 800 MG TABLET [8972],0250,RC,,,,,inpatient,,,3.88,,1.94,2.328,3.917636,3.6472,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.2204,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.67048,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.7636,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,2.51424,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,3.917636,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR 800 MG TABLET [8972],0250,RC,,,,,inpatient,,,3.88,,1.94,2.328,3.917636,3.6472,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.2204,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.5696,,,,percent of total billed charges,,3.67048,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.7636,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,2.51424,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,3.917636,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.686,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,13.45,,6.725,8.07,13.580465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.7156,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,13.580465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,13.45,,6.725,8.07,13.580465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.7156,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,13.580465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,13.45,,6.725,8.07,13.580465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.7156,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,13.580465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,13.45,,6.725,8.07,13.580465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.7156,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,13.580465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,7.74,,3.87,4.644,7.815078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,5.01552,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.815078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,10.31,,5.155,6.186,10.410007,9.6914,,,,percent of total billed charges,,8.248,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,8.5573,,,,percent of total billed charges,,9.279,,,,percent of total billed charges,,9.4852,,,,percent of total billed charges,,9.4852,,,,percent of total billed charges,,9.75326,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,10.0007,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,9.0728,,,,percent of total billed charges,,9.279,,,,percent of total billed charges,,6.68088,,,,percent of total billed charges,,9.279,,,,percent of total billed charges,,6.186,,,,percent of total billed charges,,10.410007,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,9.7945,,,,percent of total billed charges,,8.248,,,,percent of total billed charges,,6.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,19.89,,9.945,11.934,20.082933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,12.88872,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,20.082933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,7.74,,3.87,4.644,7.815078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,5.01552,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.815078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [23128],0636,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,,,,,inpatient,,,1383.08,,691.54,829.848,1396.495876,1300.0952,,,,percent of total billed charges,,1106.464,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1147.9564,,,,percent of total billed charges,,1244.772,,,,percent of total billed charges,,1272.4336,,,,percent of total billed charges,,1272.4336,,,,percent of total billed charges,,1308.39368,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1341.5876,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1217.1104,,,,percent of total billed charges,,1244.772,,,,percent of total billed charges,,896.23584,,,,percent of total billed charges,,1244.772,,,,percent of total billed charges,,829.848,,,,percent of total billed charges,,1396.495876,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1313.926,,,,percent of total billed charges,,1106.464,,,,percent of total billed charges,,829.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,,,,,inpatient,,,210.47,,105.235,126.282,212.511559,197.8418,,,,percent of total billed charges,,168.376,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,174.6901,,,,percent of total billed charges,,189.423,,,,percent of total billed charges,,193.6324,,,,percent of total billed charges,,193.6324,,,,percent of total billed charges,,199.10462,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,204.1559,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,185.2136,,,,percent of total billed charges,,189.423,,,,percent of total billed charges,,136.38456,,,,percent of total billed charges,,189.423,,,,percent of total billed charges,,126.282,,,,percent of total billed charges,,212.511559,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,199.9465,,,,percent of total billed charges,,168.376,,,,percent of total billed charges,,126.282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,,,,,inpatient,,,514.62,,257.31,308.772,519.611814,483.7428,,,,percent of total billed charges,,411.696,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,427.1346,,,,percent of total billed charges,,463.158,,,,percent of total billed charges,,473.4504,,,,percent of total billed charges,,473.4504,,,,percent of total billed charges,,486.83052,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,499.1814,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,452.8656,,,,percent of total billed charges,,463.158,,,,percent of total billed charges,,333.47376,,,,percent of total billed charges,,463.158,,,,percent of total billed charges,,308.772,,,,percent of total billed charges,,519.611814,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,488.889,,,,percent of total billed charges,,411.696,,,,percent of total billed charges,,308.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,,,,,inpatient,,,188.19,,94.095,112.914,190.015443,176.8986,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,156.1977,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,178.02774,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,182.5443,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,165.6072,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,121.94712,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,190.015443,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,,,,,inpatient,,,78.57,,39.285,47.142,79.332129,73.8558,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,65.2131,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,74.32722,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,76.2129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,69.1416,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,50.91336,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,79.332129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,,,,,inpatient,,,105.44,,52.72,63.264,106.462768,99.1136,,,,percent of total billed charges,,84.352,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,87.5152,,,,percent of total billed charges,,94.896,,,,percent of total billed charges,,97.0048,,,,percent of total billed charges,,97.0048,,,,percent of total billed charges,,99.74624,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,102.2768,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,92.7872,,,,percent of total billed charges,,94.896,,,,percent of total billed charges,,68.32512,,,,percent of total billed charges,,94.896,,,,percent of total billed charges,,63.264,,,,percent of total billed charges,,106.462768,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,100.168,,,,percent of total billed charges,,84.352,,,,percent of total billed charges,,63.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,,,,,inpatient,,,10.8,,5.4,6.48,10.90476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.9984,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.90476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,,,,,inpatient,,,6.27,,3.135,3.762,6.330819,5.8938,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.2041,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.7684,,,,percent of total billed charges,,5.7684,,,,percent of total billed charges,,5.93142,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,6.0819,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.5176,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,4.06296,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,6.330819,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.9565,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,,,,,inpatient,,,8.46,,4.23,5.076,8.542062,7.9524,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,7.0218,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,7.7832,,,,percent of total billed charges,,7.7832,,,,percent of total billed charges,,8.00316,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,8.2062,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,7.4448,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,5.48208,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,5.076,,,,percent of total billed charges,,8.542062,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,8.037,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,5.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,,,,,inpatient,,,24.77,,12.385,14.862,25.010269,23.2838,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,20.5591,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,23.43242,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,24.0269,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,21.7976,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,16.05096,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,25.010269,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,,,,,inpatient,,,24.77,,12.385,14.862,25.010269,23.2838,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,20.5591,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,22.7884,,,,percent of total billed charges,,23.43242,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,24.0269,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,21.7976,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,16.05096,,,,percent of total billed charges,,22.293,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,25.010269,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,23.5315,,,,percent of total billed charges,,19.816,,,,percent of total billed charges,,14.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [8975],0636,RC,,,,,inpatient,,,11.38,,5.69,6.828,11.490386,10.6972,,,,percent of total billed charges,,9.104,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,9.4454,,,,percent of total billed charges,,10.242,,,,percent of total billed charges,,10.4696,,,,percent of total billed charges,,10.4696,,,,percent of total billed charges,,10.76548,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,11.0386,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,10.0144,,,,percent of total billed charges,,10.242,,,,percent of total billed charges,,7.37424,,,,percent of total billed charges,,10.242,,,,percent of total billed charges,,6.828,,,,percent of total billed charges,,11.490386,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,10.811,,,,percent of total billed charges,,9.104,,,,percent of total billed charges,,6.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE 300 MCG/ML IN NS IV PED DILUTION [1000593],0636,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION [78688],0636,RC,,,,,inpatient,,,188.19,,94.095,112.914,190.015443,176.8986,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,156.1977,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,173.1348,,,,percent of total billed charges,,178.02774,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,182.5443,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,165.6072,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,121.94712,,,,percent of total billed charges,,169.371,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,190.015443,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,178.7805,,,,percent of total billed charges,,150.552,,,,percent of total billed charges,,112.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [213503],0636,RC,,,,,inpatient,,,17512.88,,8756.44,10507.728,17682.75494,16462.1072,,,,percent of total billed charges,,14010.304,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,14535.6904,,,,percent of total billed charges,,15761.592,,,,percent of total billed charges,,16111.8496,,,,percent of total billed charges,,16111.8496,,,,percent of total billed charges,,16567.18448,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,16987.4936,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,15411.3344,,,,percent of total billed charges,,15761.592,,,,percent of total billed charges,,11348.34624,,,,percent of total billed charges,,15761.592,,,,percent of total billed charges,,10507.728,,,,percent of total billed charges,,17682.75494,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,16637.236,,,,percent of total billed charges,,14010.304,,,,percent of total billed charges,,10507.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION [213504],0636,RC,,,,,inpatient,,,24907.16,,12453.58,14944.296,25148.75945,23412.7304,,,,percent of total billed charges,,19925.728,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,20672.9428,,,,percent of total billed charges,,22416.444,,,,percent of total billed charges,,22914.5872,,,,percent of total billed charges,,22914.5872,,,,percent of total billed charges,,23562.17336,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,24159.9452,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,21918.3008,,,,percent of total billed charges,,22416.444,,,,percent of total billed charges,,16139.83968,,,,percent of total billed charges,,22416.444,,,,percent of total billed charges,,14944.296,,,,percent of total billed charges,,25148.75945,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,23661.802,,,,percent of total billed charges,,19925.728,,,,percent of total billed charges,,14944.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [213503],0636,RC,,,,,inpatient,,,37883.86,,18941.93,22730.316,38251.33344,35610.8284,,,,percent of total billed charges,,30307.088,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,31443.6038,,,,percent of total billed charges,,34095.474,,,,percent of total billed charges,,34853.1512,,,,percent of total billed charges,,34853.1512,,,,percent of total billed charges,,35838.13156,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,36747.3442,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,33337.7968,,,,percent of total billed charges,,34095.474,,,,percent of total billed charges,,24548.74128,,,,percent of total billed charges,,34095.474,,,,percent of total billed charges,,22730.316,,,,percent of total billed charges,,38251.33344,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,35989.667,,,,percent of total billed charges,,30307.088,,,,percent of total billed charges,,22730.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [254184],0636,RC,,,,,inpatient,,,2157.3,,1078.65,1294.38,2178.22581,2027.862,,,,percent of total billed charges,,1725.84,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,1790.559,,,,percent of total billed charges,,1941.57,,,,percent of total billed charges,,1984.716,,,,percent of total billed charges,,1984.716,,,,percent of total billed charges,,2040.8058,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,2092.581,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,1898.424,,,,percent of total billed charges,,1941.57,,,,percent of total billed charges,,1397.9304,,,,percent of total billed charges,,1941.57,,,,percent of total billed charges,,1294.38,,,,percent of total billed charges,,2178.22581,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,2049.435,,,,percent of total billed charges,,1725.84,,,,percent of total billed charges,,1294.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [254184],0636,RC,,,,,inpatient,,,3807,,1903.5,2284.2,3843.9279,3578.58,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3159.81,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3502.44,,,,percent of total billed charges,,3601.422,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3692.79,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3350.16,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2466.936,,,,percent of total billed charges,,3426.3,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,3843.9279,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3616.65,,,,percent of total billed charges,,3045.6,,,,percent of total billed charges,,2284.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADUCANUMAB-AVWA 100 MG/ML INTRAVENOUS SOLUTION [254184],0636,RC,,,,,inpatient,,,857.85,,428.925,514.71,866.171145,806.379,,,,percent of total billed charges,,686.28,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,712.0155,,,,percent of total billed charges,,772.065,,,,percent of total billed charges,,789.222,,,,percent of total billed charges,,789.222,,,,percent of total billed charges,,811.5261,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,832.1145,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,754.908,,,,percent of total billed charges,,772.065,,,,percent of total billed charges,,555.8868,,,,percent of total billed charges,,772.065,,,,percent of total billed charges,,514.71,,,,percent of total billed charges,,866.171145,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,814.9575,,,,percent of total billed charges,,686.28,,,,percent of total billed charges,,514.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,,,,,inpatient,,,88.93,,44.465,53.358,89.792621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,57.62664,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,89.792621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,,,,,inpatient,,,88.93,,44.465,53.358,89.792621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,57.62664,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,89.792621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,,,,,inpatient,,,88.93,,44.465,53.358,89.792621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,57.62664,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,89.792621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,,,,,inpatient,,,88.93,,44.465,53.358,89.792621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,57.62664,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,89.792621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,,,,,inpatient,,,260.33,,130.165,156.198,262.855201,244.7102,,,,percent of total billed charges,,208.264,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,216.0739,,,,percent of total billed charges,,234.297,,,,percent of total billed charges,,239.5036,,,,percent of total billed charges,,239.5036,,,,percent of total billed charges,,246.27218,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,252.5201,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,229.0904,,,,percent of total billed charges,,234.297,,,,percent of total billed charges,,168.69384,,,,percent of total billed charges,,234.297,,,,percent of total billed charges,,156.198,,,,percent of total billed charges,,262.855201,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,247.3135,,,,percent of total billed charges,,208.264,,,,percent of total billed charges,,156.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,,,,,inpatient,,,520.65,,260.325,312.39,525.700305,489.411,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,432.1395,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,478.998,,,,percent of total billed charges,,492.5349,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,505.0305,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,458.172,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,337.3812,,,,percent of total billed charges,,468.585,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,525.700305,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,494.6175,,,,percent of total billed charges,,416.52,,,,percent of total billed charges,,312.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,,,,,inpatient,,,209.48,,104.74,125.688,211.511956,196.9112,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,173.8684,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,198.16808,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,203.1956,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,184.3424,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,135.74304,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,211.511956,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [8981]",0636,RC,,,,,inpatient,,,2095.2,,1047.6,1257.12,2115.52344,1969.488,,,,percent of total billed charges,,1676.16,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1739.016,,,,percent of total billed charges,,1885.68,,,,percent of total billed charges,,1927.584,,,,percent of total billed charges,,1927.584,,,,percent of total billed charges,,1982.0592,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,2032.344,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1843.776,,,,percent of total billed charges,,1885.68,,,,percent of total billed charges,,1357.6896,,,,percent of total billed charges,,1885.68,,,,percent of total billed charges,,1257.12,,,,percent of total billed charges,,2115.52344,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1990.44,,,,percent of total billed charges,,1676.16,,,,percent of total billed charges,,1257.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",0636,RC,,,,,inpatient,,,209.25,,104.625,125.55,211.279725,196.695,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,173.6775,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,197.9505,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,202.9725,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,184.14,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,135.594,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,211.279725,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION [8982]",0636,RC,,,,,inpatient,,,175.5,,87.75,105.3,177.20235,164.97,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,145.665,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,166.023,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,170.235,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,154.44,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,113.724,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,177.20235,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],0637,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL CONTINUOUS NEBULIZATION - USING 2.5 MG/3 ML [1001080],0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL CONTINUOUS NEBULIZATION - USING 2.5 MG/3 ML [1001080],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2 MG TABLET [253],0637,RC,,,,,inpatient,,,19.15,,9.575,11.49,19.335755,18.001,,,,percent of total billed charges,,15.32,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,15.8945,,,,percent of total billed charges,,17.235,,,,percent of total billed charges,,17.618,,,,percent of total billed charges,,17.618,,,,percent of total billed charges,,18.1159,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,18.5755,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,16.852,,,,percent of total billed charges,,17.235,,,,percent of total billed charges,,12.4092,,,,percent of total billed charges,,17.235,,,,percent of total billed charges,,11.49,,,,percent of total billed charges,,19.335755,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,18.1925,,,,percent of total billed charges,,15.32,,,,percent of total billed charges,,11.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],0637,RC,,,,,inpatient,,,183.06,,91.53,109.836,184.835682,172.0764,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,151.9398,,,,percent of total billed charges,,164.754,,,,percent of total billed charges,,168.4152,,,,percent of total billed charges,,168.4152,,,,percent of total billed charges,,173.17476,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,177.5682,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,161.0928,,,,percent of total billed charges,,164.754,,,,percent of total billed charges,,118.62288,,,,percent of total billed charges,,164.754,,,,percent of total billed charges,,109.836,,,,percent of total billed charges,,184.835682,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,173.907,,,,percent of total billed charges,,146.448,,,,percent of total billed charges,,109.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP [252],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/0.5 ML (0.5 %) NEB SOLUTION - CHI [7000185],0637,RC,,,,,inpatient,,,1.72,,0.86,1.032,1.736684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.11456,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.736684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION [250],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION [93101],0637,RC,,,,,inpatient,,,1.72,,0.86,1.032,1.736684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.11456,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.736684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251],0637,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,,,,,inpatient,,,235.88,,117.94,141.528,238.168036,221.7272,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,195.7804,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,223.14248,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,228.8036,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,207.5744,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,152.85024,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,238.168036,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,,,,,inpatient,,,93.03,,46.515,55.818,93.932391,87.4482,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,77.2149,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,88.00638,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,90.2391,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,81.8664,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,60.28344,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,93.932391,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,,,,,inpatient,,,118.54,,59.27,71.124,119.689838,111.4276,,,,percent of total billed charges,,94.832,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,98.3882,,,,percent of total billed charges,,106.686,,,,percent of total billed charges,,109.0568,,,,percent of total billed charges,,109.0568,,,,percent of total billed charges,,112.13884,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,114.9838,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,104.3152,,,,percent of total billed charges,,106.686,,,,percent of total billed charges,,76.81392,,,,percent of total billed charges,,106.686,,,,percent of total billed charges,,71.124,,,,percent of total billed charges,,119.689838,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,112.613,,,,percent of total billed charges,,94.832,,,,percent of total billed charges,,71.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,,,,,inpatient,,,80.23,,40.115,48.138,81.008231,75.4162,,,,percent of total billed charges,,64.184,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,66.5909,,,,percent of total billed charges,,72.207,,,,percent of total billed charges,,73.8116,,,,percent of total billed charges,,73.8116,,,,percent of total billed charges,,75.89758,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,77.8231,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,70.6024,,,,percent of total billed charges,,72.207,,,,percent of total billed charges,,51.98904,,,,percent of total billed charges,,72.207,,,,percent of total billed charges,,48.138,,,,percent of total billed charges,,81.008231,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,76.2185,,,,percent of total billed charges,,64.184,,,,percent of total billed charges,,48.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [40196],0637,RC,,,,,inpatient,,,106.43,,53.215,63.858,107.462371,100.0442,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,88.3369,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,100.68278,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,103.2371,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,93.6584,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,68.96664,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,107.462371,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,,,,,inpatient,,,235.88,,117.94,141.528,238.168036,221.7272,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,195.7804,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,217.0096,,,,percent of total billed charges,,223.14248,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,228.8036,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,207.5744,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,152.85024,,,,percent of total billed charges,,212.292,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,238.168036,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,224.086,,,,percent of total billed charges,,188.704,,,,percent of total billed charges,,141.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,,,,,inpatient,,,93.03,,46.515,55.818,93.932391,87.4482,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,77.2149,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,85.5876,,,,percent of total billed charges,,88.00638,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,90.2391,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,81.8664,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,60.28344,,,,percent of total billed charges,,83.727,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,93.932391,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,88.3785,,,,percent of total billed charges,,74.424,,,,percent of total billed charges,,55.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,,,,,inpatient,,,301.38,,150.69,180.828,304.303386,283.2972,,,,percent of total billed charges,,241.104,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,250.1454,,,,percent of total billed charges,,271.242,,,,percent of total billed charges,,277.2696,,,,percent of total billed charges,,277.2696,,,,percent of total billed charges,,285.10548,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,292.3386,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,265.2144,,,,percent of total billed charges,,271.242,,,,percent of total billed charges,,195.29424,,,,percent of total billed charges,,271.242,,,,percent of total billed charges,,180.828,,,,percent of total billed charges,,304.303386,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,286.311,,,,percent of total billed charges,,241.104,,,,percent of total billed charges,,180.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER - RN [1000164],0637,RC,,,,,inpatient,,,106.43,,53.215,63.858,107.462371,100.0442,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,88.3369,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,97.9156,,,,percent of total billed charges,,100.68278,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,103.2371,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,93.6584,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,68.96664,,,,percent of total billed charges,,95.787,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,107.462371,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,101.1085,,,,percent of total billed charges,,85.144,,,,percent of total billed charges,,63.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALL PURPOSE NIPPLE OINTMENT [1000604],0637,RC,,,,,inpatient,,,1.35,,0.675,0.81,1.363095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.8748,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.363095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,0.78,,0.39,0.468,0.787566,0.7332,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6474,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.73788,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.7566,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6864,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.50544,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.787566,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOPURINOL 100 MG TABLET [310],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [238032]",0636,RC,,,,,inpatient,,,1530,,765,918,1544.841,1438.2,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1269.9,,,,percent of total billed charges,,1377,,,,percent of total billed charges,,1407.6,,,,percent of total billed charges,,1407.6,,,,percent of total billed charges,,1447.38,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1484.1,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1346.4,,,,percent of total billed charges,,1377,,,,percent of total billed charges,,991.44,,,,percent of total billed charges,,1377,,,,percent of total billed charges,,918,,,,percent of total billed charges,,1544.841,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1453.5,,,,percent of total billed charges,,1224,,,,percent of total billed charges,,918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION [82289]",0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION [82289]",0636,RC,,,,,inpatient,,,2115,,1057.5,1269,2135.5155,1988.1,,,,percent of total billed charges,,1692,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,1755.45,,,,percent of total billed charges,,1903.5,,,,percent of total billed charges,,1945.8,,,,percent of total billed charges,,1945.8,,,,percent of total billed charges,,2000.79,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,2051.55,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,1861.2,,,,percent of total billed charges,,1903.5,,,,percent of total billed charges,,1370.52,,,,percent of total billed charges,,1903.5,,,,percent of total billed charges,,1269,,,,percent of total billed charges,,2135.5155,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,2009.25,,,,percent of total billed charges,,1692,,,,percent of total billed charges,,1269,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.25 MG TABLET [324],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.25 MG TABLET [324],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.5 MG TABLET [325],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.5 MG TABLET [325],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 0.5 MG TABLET [325],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPRAZOLAM 1 MG TABLET [326],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,,,,,inpatient,,,567.84,,283.92,340.704,573.348048,533.7696,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,471.3072,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,537.17664,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,550.8048,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,499.6992,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,367.96032,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,573.348048,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,,,,,inpatient,,,444.31,,222.155,266.586,448.619807,417.6514,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,368.7773,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,420.31726,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,430.9807,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,390.9928,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,287.91288,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,448.619807,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,,,,,inpatient,,,444.31,,222.155,266.586,448.619807,417.6514,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,368.7773,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,408.7652,,,,percent of total billed charges,,420.31726,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,430.9807,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,390.9928,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,287.91288,,,,percent of total billed charges,,399.879,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,448.619807,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,422.0945,,,,percent of total billed charges,,355.448,,,,percent of total billed charges,,266.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALPROSTADIL 500 MCG/ML INJECTION SOLUTION [9001],0636,RC,,,,,inpatient,,,567.84,,283.92,340.704,573.348048,533.7696,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,471.3072,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,522.4128,,,,percent of total billed charges,,537.17664,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,550.8048,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,499.6992,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,367.96032,,,,percent of total billed charges,,511.056,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,573.348048,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,539.448,,,,percent of total billed charges,,454.272,,,,percent of total billed charges,,340.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) 100MG INFUSION FOR PE [1001135],0636,RC,,,,,inpatient,,,32353.64,,16176.82,19412.184,32667.47031,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,20965.15872,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,32667.47031,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) 100MG INFUSION FOR PE [1001135],0636,RC,,,,,inpatient,,,32353.64,,16176.82,19412.184,32667.47031,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,20965.15872,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,32667.47031,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) BOLUS INFUSION (100 MG VIAL) [7000208],0636,RC,,,,,inpatient,,,32353.64,,16176.82,19412.184,32667.47031,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,20965.15872,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,32667.47031,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) BOLUS INFUSION (50 MG VIAL) [7000206],0636,RC,,,,,inpatient,,,18198.95,,9099.475,10919.37,18375.47982,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,11792.9196,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,18375.47982,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) MAINTENANCE INFUSION FOR STROKE (100 MG VIAL) [7000209],0636,RC,,,,,inpatient,,,32353.64,,16176.82,19412.184,32667.47031,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,20965.15872,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,32667.47031,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE (ACTIVASE) MAINTENANCE INFUSION FOR STROKE (50 MG VIAL) [7000207],0636,RC,,,,,inpatient,,,18198.95,,9099.475,10919.37,18375.47982,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,11792.9196,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,18375.47982,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2MG/2ML SOLUTION FOR CATH CLEARANCE [7000110],0636,RC,,,,,inpatient,,,3646.8,,1823.4,2188.08,3682.17396,3427.992,,,,percent of total billed charges,,2917.44,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3026.844,,,,percent of total billed charges,,3282.12,,,,percent of total billed charges,,3355.056,,,,percent of total billed charges,,3355.056,,,,percent of total billed charges,,3449.8728,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3537.396,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3209.184,,,,percent of total billed charges,,3282.12,,,,percent of total billed charges,,2363.1264,,,,percent of total billed charges,,3282.12,,,,percent of total billed charges,,2188.08,,,,percent of total billed charges,,3682.17396,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,3464.46,,,,percent of total billed charges,,2917.44,,,,percent of total billed charges,,2188.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 100 MG INTRAVENOUS SOLUTION [79818],0636,RC,,,,,inpatient,,,32353.64,,16176.82,19412.184,32667.47031,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,20965.15872,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,32667.47031,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 100 MG INTRAVENOUS SOLUTION [79818],0636,RC,,,,,inpatient,,,32353.64,,16176.82,19412.184,32667.47031,30412.4216,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,26853.5212,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,29765.3488,,,,percent of total billed charges,,30606.54344,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,31383.0308,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,28471.2032,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,20965.15872,,,,percent of total billed charges,,29118.276,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,32667.47031,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,30735.958,,,,percent of total billed charges,,25882.912,,,,percent of total billed charges,,19412.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,,,,,inpatient,,,729.36,,364.68,437.616,736.434792,685.5984,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,605.3688,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,689.97456,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,707.4792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,641.8368,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,472.62528,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,736.434792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2MG/2ML SOLUTION FOR CATH CLEARANCE [7000110],0636,RC,,,,,inpatient,,,729.36,,364.68,437.616,736.434792,685.5984,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,605.3688,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,689.97456,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,707.4792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,641.8368,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,472.62528,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,736.434792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,,,,,inpatient,,,1458.72,,729.36,875.232,1472.869584,1371.1968,,,,percent of total billed charges,,1166.976,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1210.7376,,,,percent of total billed charges,,1312.848,,,,percent of total billed charges,,1342.0224,,,,percent of total billed charges,,1342.0224,,,,percent of total billed charges,,1379.94912,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1414.9584,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1283.6736,,,,percent of total billed charges,,1312.848,,,,percent of total billed charges,,945.25056,,,,percent of total billed charges,,1312.848,,,,percent of total billed charges,,875.232,,,,percent of total billed charges,,1472.869584,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1385.784,,,,percent of total billed charges,,1166.976,,,,percent of total billed charges,,875.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 50 MG INFUSION - PE [1001441],0636,RC,,,,,inpatient,,,18198.95,,9099.475,10919.37,18375.47982,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,11792.9196,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,18375.47982,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 50 MG INTRAVENOUS SOLUTION [79451],0636,RC,,,,,inpatient,,,18198.95,,9099.475,10919.37,18375.47982,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,11792.9196,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,18375.47982,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 50 MG INTRAVENOUS SOLUTION [79451],0636,RC,,,,,inpatient,,,18198.95,,9099.475,10919.37,18375.47982,17107.013,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,15105.1285,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,16743.034,,,,percent of total billed charges,,17216.2067,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17652.9815,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,16015.076,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,11792.9196,,,,percent of total billed charges,,16379.055,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,18375.47982,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,17289.0025,,,,percent of total billed charges,,14559.16,,,,percent of total billed charges,,10919.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,,,,,inpatient,,,4376.16,,2188.08,2625.696,4418.608752,4113.5904,,,,percent of total billed charges,,3500.928,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,3632.2128,,,,percent of total billed charges,,3938.544,,,,percent of total billed charges,,4026.0672,,,,percent of total billed charges,,4026.0672,,,,percent of total billed charges,,4139.84736,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,4244.8752,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,3851.0208,,,,percent of total billed charges,,3938.544,,,,percent of total billed charges,,2835.75168,,,,percent of total billed charges,,3938.544,,,,percent of total billed charges,,2625.696,,,,percent of total billed charges,,4418.608752,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,4157.352,,,,percent of total billed charges,,3500.928,,,,percent of total billed charges,,2625.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2MG/2ML SOLUTION FOR CATH CLEARANCE [7000110],0636,RC,,,,,inpatient,,,729.36,,364.68,437.616,736.434792,685.5984,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,605.3688,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,671.0112,,,,percent of total billed charges,,689.97456,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,707.4792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,641.8368,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,472.62528,,,,percent of total billed charges,,656.424,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,736.434792,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,692.892,,,,percent of total billed charges,,583.488,,,,percent of total billed charges,,437.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [82530],0636,RC,,,,,inpatient,,,911.7,,455.85,547.02,920.54349,856.998,,,,percent of total billed charges,,729.36,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,756.711,,,,percent of total billed charges,,820.53,,,,percent of total billed charges,,838.764,,,,percent of total billed charges,,838.764,,,,percent of total billed charges,,862.4682,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,884.349,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,802.296,,,,percent of total billed charges,,820.53,,,,percent of total billed charges,,590.7816,,,,percent of total billed charges,,820.53,,,,percent of total billed charges,,547.02,,,,percent of total billed charges,,920.54349,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,866.115,,,,percent of total billed charges,,729.36,,,,percent of total billed charges,,547.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION [77104],0637,RC,,,,,inpatient,,,19.17,,9.585,11.502,19.355949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,12.42216,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,19.355949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION [353],0637,RC,,,,,inpatient,,,23.42,,11.71,14.052,23.647174,22.0148,,,,percent of total billed charges,,18.736,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,19.4386,,,,percent of total billed charges,,21.078,,,,percent of total billed charges,,21.5464,,,,percent of total billed charges,,21.5464,,,,percent of total billed charges,,22.15532,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,22.7174,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,20.6096,,,,percent of total billed charges,,21.078,,,,percent of total billed charges,,15.17616,,,,percent of total billed charges,,21.078,,,,percent of total billed charges,,14.052,,,,percent of total billed charges,,23.647174,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,22.249,,,,percent of total billed charges,,18.736,,,,percent of total billed charges,,14.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,7.97,,3.985,4.782,8.047309,7.4918,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.6151,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.53962,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.7309,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.0136,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,5.16456,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,8.047309,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,9.59,,4.795,5.754,9.683023,9.0146,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.9597,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,9.07214,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.3023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,8.4392,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,6.21432,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,9.683023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,1.89,,0.945,1.134,1.908333,1.7766,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.5687,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.78794,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.8333,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.6632,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.22472,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.908333,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,9.59,,4.795,5.754,9.683023,9.0146,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.9597,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,9.07214,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.3023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,8.4392,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,6.21432,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,9.683023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,9.59,,4.795,5.754,9.683023,9.0146,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.9597,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,8.8228,,,,percent of total billed charges,,9.07214,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.3023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,8.4392,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,6.21432,,,,percent of total billed charges,,8.631,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,9.683023,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,9.1105,,,,percent of total billed charges,,7.672,,,,percent of total billed charges,,5.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,12.78,,6.39,7.668,12.903966,12.0132,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.6074,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,12.08988,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.3966,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,11.2464,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,8.28144,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,12.903966,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,8.51,,4.255,5.106,8.592547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.51448,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,8.592547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,8.51,,4.255,5.106,8.592547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.51448,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,8.592547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [38285],0637,RC,,,,,inpatient,,,19.17,,9.585,11.502,19.355949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,12.42216,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,19.355949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,,,,,inpatient,,,818.28,,409.14,490.968,826.217316,769.1832,,,,percent of total billed charges,,654.624,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,679.1724,,,,percent of total billed charges,,736.452,,,,percent of total billed charges,,752.8176,,,,percent of total billed charges,,752.8176,,,,percent of total billed charges,,774.09288,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,793.7316,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,720.0864,,,,percent of total billed charges,,736.452,,,,percent of total billed charges,,530.24544,,,,percent of total billed charges,,736.452,,,,percent of total billed charges,,490.968,,,,percent of total billed charges,,826.217316,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,777.366,,,,percent of total billed charges,,654.624,,,,percent of total billed charges,,490.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,,,,,inpatient,,,648.73,,324.365,389.238,655.022681,609.8062,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,538.4459,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,613.69858,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,629.2681,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,570.8824,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,420.37704,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,655.022681,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,,,,,inpatient,,,648.73,,324.365,389.238,655.022681,609.8062,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,538.4459,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,596.8316,,,,percent of total billed charges,,613.69858,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,629.2681,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,570.8824,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,420.37704,,,,percent of total billed charges,,583.857,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,655.022681,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,616.2935,,,,percent of total billed charges,,518.984,,,,percent of total billed charges,,389.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,,,,,inpatient,,,519.59,,259.795,311.754,524.630023,488.4146,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,431.2597,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,491.53214,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,504.0023,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,457.2392,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,336.69432,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,524.630023,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALVIMOPAN 12 MG CAPSULE [189035],0637,RC,,,,,inpatient,,,519.59,,259.795,311.754,524.630023,488.4146,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,431.2597,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,478.0228,,,,percent of total billed charges,,491.53214,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,504.0023,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,457.2392,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,336.69432,,,,percent of total billed charges,,467.631,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,524.630023,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,493.6105,,,,percent of total billed charges,,415.672,,,,percent of total billed charges,,311.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,,,,,inpatient,,,6.8,,3.4,4.08,6.86596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.4064,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.86596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,,,,,inpatient,,,6.8,,3.4,4.08,6.86596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.4064,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.86596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMANTADINE HCL 100 MG CAPSULE [364],0637,RC,,,,,inpatient,,,3.38,,1.69,2.028,3.412786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.19024,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.412786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,41.26,,20.63,24.756,41.660222,38.7844,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,34.2458,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,39.03196,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,40.0222,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,36.3088,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,26.73648,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,41.660222,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,41.26,,20.63,24.756,41.660222,38.7844,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,34.2458,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,37.9592,,,,percent of total billed charges,,39.03196,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,40.0222,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,36.3088,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,26.73648,,,,percent of total billed charges,,37.134,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,41.660222,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,39.197,,,,percent of total billed charges,,33.008,,,,percent of total billed charges,,24.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,33.11,,16.555,19.866,33.431167,31.1234,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,27.4813,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,31.32206,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,32.1167,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,29.1368,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,21.45528,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,33.431167,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,33.11,,16.555,19.866,33.431167,31.1234,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,27.4813,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,30.4612,,,,percent of total billed charges,,31.32206,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,32.1167,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,29.1368,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,21.45528,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,33.431167,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,31.4545,,,,percent of total billed charges,,26.488,,,,percent of total billed charges,,19.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,28.82,,14.41,17.292,29.099554,27.0908,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.9206,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,27.26372,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.9554,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,25.3616,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,18.67536,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,29.099554,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,28.82,,14.41,17.292,29.099554,27.0908,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.9206,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,26.5144,,,,percent of total billed charges,,27.26372,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.9554,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,25.3616,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,18.67536,,,,percent of total billed charges,,25.938,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,29.099554,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,27.379,,,,percent of total billed charges,,23.056,,,,percent of total billed charges,,17.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,96.39,,48.195,57.834,97.324983,90.6066,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,80.0037,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,91.18494,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,93.4983,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,84.8232,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,62.46072,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,97.324983,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,96.39,,48.195,57.834,97.324983,90.6066,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,80.0037,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,91.18494,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,93.4983,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,84.8232,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,62.46072,,,,percent of total billed charges,,86.751,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,97.324983,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,91.5705,,,,percent of total billed charges,,77.112,,,,percent of total billed charges,,57.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 5 MG/ML IN D5W IV PEDS DILUTION [1000002],0636,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,,,,,inpatient,,,18.61,,9.305,11.166,18.790517,17.4934,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,15.4463,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.60506,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,18.0517,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,16.3768,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,12.05928,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,18.790517,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,,,,,inpatient,,,18.61,,9.305,11.166,18.790517,17.4934,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,15.4463,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.1212,,,,percent of total billed charges,,17.60506,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,18.0517,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,16.3768,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,12.05928,,,,percent of total billed charges,,16.749,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,18.790517,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,17.6795,,,,percent of total billed charges,,14.888,,,,percent of total billed charges,,11.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,,,,,inpatient,,,17.52,,8.76,10.512,17.689944,16.4688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.5416,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.57392,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.9944,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,15.4176,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,11.35296,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,17.689944,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIKACIN 500 MG/2 ML INJECTION SOLUTION [200670],0636,RC,,,,,inpatient,,,17.52,,8.76,10.512,17.689944,16.4688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.5416,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.1184,,,,percent of total billed charges,,16.57392,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.9944,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,15.4176,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,11.35296,,,,percent of total billed charges,,15.768,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,17.689944,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,16.644,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,14.62,,7.31,8.772,14.761814,13.7428,,,,percent of total billed charges,,11.696,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,12.1346,,,,percent of total billed charges,,13.158,,,,percent of total billed charges,,13.4504,,,,percent of total billed charges,,13.4504,,,,percent of total billed charges,,13.83052,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,14.1814,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,12.8656,,,,percent of total billed charges,,13.158,,,,percent of total billed charges,,9.47376,,,,percent of total billed charges,,13.158,,,,percent of total billed charges,,8.772,,,,percent of total billed charges,,14.761814,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,13.889,,,,percent of total billed charges,,11.696,,,,percent of total billed charges,,8.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,29.23,,14.615,17.538,29.513531,27.4762,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,24.2609,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,27.65158,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,28.3531,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,25.7224,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,18.94104,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,29.513531,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,58.45,,29.225,35.07,59.016965,54.943,,,,percent of total billed charges,,46.76,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,48.5135,,,,percent of total billed charges,,52.605,,,,percent of total billed charges,,53.774,,,,percent of total billed charges,,53.774,,,,percent of total billed charges,,55.2937,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,56.6965,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,51.436,,,,percent of total billed charges,,52.605,,,,percent of total billed charges,,37.8756,,,,percent of total billed charges,,52.605,,,,percent of total billed charges,,35.07,,,,percent of total billed charges,,59.016965,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,55.5275,,,,percent of total billed charges,,46.76,,,,percent of total billed charges,,35.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,9.75,,4.875,5.85,9.844575,9.165,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.0925,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,9.2235,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.4575,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.58,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,9.844575,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION [200671]",0636,RC,,,,,inpatient,,,29.23,,14.615,17.538,29.513531,27.4762,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,24.2609,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,26.8916,,,,percent of total billed charges,,27.65158,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,28.3531,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,25.7224,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,18.94104,,,,percent of total billed charges,,26.307,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,29.513531,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,27.7685,,,,percent of total billed charges,,23.384,,,,percent of total billed charges,,17.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMILORIDE 5 MG TABLET [391],0637,RC,,,,,inpatient,,,1.04,,0.52,0.624,1.050088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.67392,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,1.050088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMILORIDE 5 MG TABLET [391],0637,RC,,,,,inpatient,,,2.08,,1.04,1.248,2.100176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.34784,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,2.100176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 10 % INTRAVENOUS SOLUTION [77411],0250,RC,,,,,inpatient,,,175.5,,87.75,105.3,177.20235,164.97,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,145.665,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,161.46,,,,percent of total billed charges,,166.023,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,170.235,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,154.44,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,113.724,,,,percent of total billed charges,,157.95,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,177.20235,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,166.725,,,,percent of total billed charges,,140.4,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 10 % INTRAVENOUS SOLUTION [77411],0250,RC,,,,,inpatient,,,182.25,,91.125,109.35,184.017825,171.315,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,151.2675,,,,percent of total billed charges,,164.025,,,,percent of total billed charges,,167.67,,,,percent of total billed charges,,167.67,,,,percent of total billed charges,,172.4085,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,176.7825,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,160.38,,,,percent of total billed charges,,164.025,,,,percent of total billed charges,,118.098,,,,percent of total billed charges,,164.025,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,184.017825,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,173.1375,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN 10 % DEXTROSE INTRAVENOUS SOLUTION [78507],0250,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN 10 % DEXTROSE INTRAVENOUS SOLUTION [78507],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [81302],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION [258081],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION [251014],0250,RC,,,,,inpatient,,,243,,121.5,145.8,245.3571,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,157.464,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,245.3571,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION [251014],0250,RC,,,,,inpatient,,,243,,121.5,145.8,245.3571,228.42,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,201.69,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,223.56,,,,percent of total billed charges,,229.878,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.71,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,157.464,,,,percent of total billed charges,,218.7,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,245.3571,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,194.4,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACIDS 4.25 % WITH LYTES AND CALCIUM IN D10W INTRAVENOUS SOLUTION [78421],0250,RC,,,,,inpatient,,,189,,94.5,113.4,190.8333,177.66,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,156.87,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,173.88,,,,percent of total billed charges,,178.794,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,183.33,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,166.32,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,122.472,,,,percent of total billed charges,,170.1,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,190.8333,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,179.55,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION [251013],0250,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION [251013],0250,RC,,,,,inpatient,,,252,,126,151.2,254.4444,236.88,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,209.16,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,231.84,,,,percent of total billed charges,,238.392,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,244.44,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,221.76,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,163.296,,,,percent of total billed charges,,226.8,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,254.4444,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,239.4,,,,percent of total billed charges,,201.6,,,,percent of total billed charges,,151.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,,,,,inpatient,,,33.48,,16.74,20.088,33.804756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,21.69504,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,33.804756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,,,,,inpatient,,,18.45,,9.225,11.07,18.628965,17.343,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,15.3135,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.4537,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.8965,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,16.236,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,11.9556,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,18.628965,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,,,,,inpatient,,,18.45,,9.225,11.07,18.628965,17.343,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,15.3135,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.4537,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.8965,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,16.236,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,11.9556,,,,percent of total billed charges,,16.605,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,18.628965,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,17.5275,,,,percent of total billed charges,,14.76,,,,percent of total billed charges,,11.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [403],0636,RC,,,,,inpatient,,,33.48,,16.74,20.088,33.804756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,21.69504,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,33.804756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,,,,,inpatient,,,88.37,,44.185,53.022,89.227189,83.0678,,,,percent of total billed charges,,70.696,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,73.3471,,,,percent of total billed charges,,79.533,,,,percent of total billed charges,,81.3004,,,,percent of total billed charges,,81.3004,,,,percent of total billed charges,,83.59802,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,85.7189,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,77.7656,,,,percent of total billed charges,,79.533,,,,percent of total billed charges,,57.26376,,,,percent of total billed charges,,79.533,,,,percent of total billed charges,,53.022,,,,percent of total billed charges,,89.227189,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,83.9515,,,,percent of total billed charges,,70.696,,,,percent of total billed charges,,53.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,,,,,inpatient,,,26.86,,13.43,16.116,27.120542,25.2484,,,,percent of total billed charges,,21.488,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,22.2938,,,,percent of total billed charges,,24.174,,,,percent of total billed charges,,24.7112,,,,percent of total billed charges,,24.7112,,,,percent of total billed charges,,25.40956,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,26.0542,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,23.6368,,,,percent of total billed charges,,24.174,,,,percent of total billed charges,,17.40528,,,,percent of total billed charges,,24.174,,,,percent of total billed charges,,16.116,,,,percent of total billed charges,,27.120542,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,25.517,,,,percent of total billed charges,,21.488,,,,percent of total billed charges,,16.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,,,,,inpatient,,,9.31,,4.655,5.586,9.400307,8.7514,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.7273,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.80726,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,9.0307,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.1928,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,6.03288,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,9.400307,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,,,,,inpatient,,,48.26,,24.13,28.956,48.728122,45.3644,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,40.0558,,,,percent of total billed charges,,43.434,,,,percent of total billed charges,,44.3992,,,,percent of total billed charges,,44.3992,,,,percent of total billed charges,,45.65396,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,46.8122,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,42.4688,,,,percent of total billed charges,,43.434,,,,percent of total billed charges,,31.27248,,,,percent of total billed charges,,43.434,,,,percent of total billed charges,,28.956,,,,percent of total billed charges,,48.728122,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,45.847,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,28.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOCAPROIC ACID 500 MG TABLET [9063],0637,RC,,,,,inpatient,,,9.85,,4.925,5.91,9.945545,9.259,,,,percent of total billed charges,,7.88,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,8.1755,,,,percent of total billed charges,,8.865,,,,percent of total billed charges,,9.062,,,,percent of total billed charges,,9.062,,,,percent of total billed charges,,9.3181,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,9.5545,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,8.668,,,,percent of total billed charges,,8.865,,,,percent of total billed charges,,6.3828,,,,percent of total billed charges,,8.865,,,,percent of total billed charges,,5.91,,,,percent of total billed charges,,9.945545,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,9.3575,,,,percent of total billed charges,,7.88,,,,percent of total billed charges,,5.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION [240507],0250,RC,,,,,inpatient,,,12550.5,,6275.25,7530.3,12672.23985,11797.47,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,10416.915,,,,percent of total billed charges,,11295.45,,,,percent of total billed charges,,11546.46,,,,percent of total billed charges,,11546.46,,,,percent of total billed charges,,11872.773,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,12173.985,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,11044.44,,,,percent of total billed charges,,11295.45,,,,percent of total billed charges,,8132.724,,,,percent of total billed charges,,11295.45,,,,percent of total billed charges,,7530.3,,,,percent of total billed charges,,12672.23985,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,11922.975,,,,percent of total billed charges,,10040.4,,,,percent of total billed charges,,7530.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 2.5 MG/ML IN D5W IV PEDS DILUTION [1000003],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [88510],0636,RC,,,,,inpatient,,,61.38,,30.69,36.828,61.975386,57.6972,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,50.9454,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,58.06548,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,59.5386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,54.0144,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,39.77424,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,61.975386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [88510],0636,RC,,,,,inpatient,,,61.38,,30.69,36.828,61.975386,57.6972,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,50.9454,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,58.06548,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,59.5386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,54.0144,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,39.77424,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,61.975386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [88511],0636,RC,,,,,inpatient,,,38.79,,19.395,23.274,39.166263,36.4626,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,32.1957,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,36.69534,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,37.6263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,34.1352,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,25.13592,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,39.166263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [88511],0636,RC,,,,,inpatient,,,38.79,,19.395,23.274,39.166263,36.4626,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,32.1957,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,36.69534,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,37.6263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,34.1352,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,25.13592,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,39.166263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION [88510],0636,RC,,,,,inpatient,,,99.59,,49.795,59.754,100.556023,93.6146,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,82.6597,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,94.21214,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,96.6023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,87.6392,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,64.53432,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,100.556023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [88511],0636,RC,,,,,inpatient,,,31.47,,15.735,18.882,31.775259,29.5818,,,,percent of total billed charges,,25.176,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,26.1201,,,,percent of total billed charges,,28.323,,,,percent of total billed charges,,28.9524,,,,percent of total billed charges,,28.9524,,,,percent of total billed charges,,29.77062,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,30.5259,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,27.6936,,,,percent of total billed charges,,28.323,,,,percent of total billed charges,,20.39256,,,,percent of total billed charges,,28.323,,,,percent of total billed charges,,18.882,,,,percent of total billed charges,,31.775259,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,29.8965,,,,percent of total billed charges,,25.176,,,,percent of total billed charges,,18.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [205729]",0636,RC,,,,,inpatient,,,143.55,,71.775,86.13,144.942435,134.937,,,,percent of total billed charges,,114.84,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,119.1465,,,,percent of total billed charges,,129.195,,,,percent of total billed charges,,132.066,,,,percent of total billed charges,,132.066,,,,percent of total billed charges,,135.7983,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,139.2435,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,126.324,,,,percent of total billed charges,,129.195,,,,percent of total billed charges,,93.0204,,,,percent of total billed charges,,129.195,,,,percent of total billed charges,,86.13,,,,percent of total billed charges,,144.942435,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,136.3725,,,,percent of total billed charges,,114.84,,,,percent of total billed charges,,86.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,,,,,inpatient,,,1.27,,0.635,0.762,1.282319,1.1938,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.0541,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.20142,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.1176,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.82296,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,1.282319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 200 MG TABLET [9066],0637,RC,,,,,inpatient,,,1.35,,0.675,0.81,1.363095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.8748,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.363095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,7.16,,3.58,4.296,7.229452,6.7304,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.9428,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.77336,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.9452,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.3008,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,4.63968,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,7.229452,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,19.77,,9.885,11.862,19.961769,18.5838,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,16.4091,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.70242,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,19.1769,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,17.3976,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,12.81096,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,19.961769,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,29.12,,14.56,17.472,29.402464,27.3728,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,24.1696,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,27.54752,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,28.2464,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,25.6256,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,18.86976,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,29.402464,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,55.73,,27.865,33.438,56.270581,52.3862,,,,percent of total billed charges,,44.584,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,46.2559,,,,percent of total billed charges,,50.157,,,,percent of total billed charges,,51.2716,,,,percent of total billed charges,,51.2716,,,,percent of total billed charges,,52.72058,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,54.0581,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,49.0424,,,,percent of total billed charges,,50.157,,,,percent of total billed charges,,36.11304,,,,percent of total billed charges,,50.157,,,,percent of total billed charges,,33.438,,,,percent of total billed charges,,56.270581,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,52.9435,,,,percent of total billed charges,,44.584,,,,percent of total billed charges,,33.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,3.12,,1.56,1.872,3.150264,2.9328,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.5896,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.95152,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,3.0264,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.7456,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.02176,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,3.150264,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,29.12,,14.56,17.472,29.402464,27.3728,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,24.1696,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,26.7904,,,,percent of total billed charges,,27.54752,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,28.2464,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,25.6256,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,18.86976,,,,percent of total billed charges,,26.208,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,29.402464,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,27.664,,,,percent of total billed charges,,23.296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,3.12,,1.56,1.872,3.150264,2.9328,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.5896,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.8704,,,,percent of total billed charges,,2.95152,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,3.0264,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.7456,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.02176,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,3.150264,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,7.16,,3.58,4.296,7.229452,6.7304,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.9428,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.5872,,,,percent of total billed charges,,6.77336,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.9452,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.3008,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,4.63968,,,,percent of total billed charges,,6.444,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,7.229452,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,6.802,,,,percent of total billed charges,,5.728,,,,percent of total billed charges,,4.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [9065],0636,RC,,,,,inpatient,,,19.77,,9.885,11.862,19.961769,18.5838,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,16.4091,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.1884,,,,percent of total billed charges,,18.70242,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,19.1769,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,17.3976,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,12.81096,,,,percent of total billed charges,,17.793,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,19.961769,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,18.7815,,,,percent of total billed charges,,15.816,,,,percent of total billed charges,,11.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIODARONE IN DEXTROSE 360 MG/200 ML PREMIX - CHI [7000140],0636,RC,,,,,inpatient,,,190.8,,95.4,114.48,192.65076,179.352,,,,percent of total billed charges,,152.64,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,158.364,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,180.4968,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,185.076,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,167.904,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,123.6384,,,,percent of total billed charges,,171.72,,,,percent of total billed charges,,114.48,,,,percent of total billed charges,,192.65076,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,181.26,,,,percent of total billed charges,,152.64,,,,percent of total billed charges,,114.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 10 MG TABLET [432],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 10 MG TABLET [432],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 25 MG TABLET [435],0637,RC,,,,,inpatient,,,1.78,,0.89,1.068,1.797266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.797266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 25 MG TABLET [435],0637,RC,,,,,inpatient,,,1.87,,0.935,1.122,1.888139,1.7578,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.5521,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.76902,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.8139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.6456,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.21176,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,1.888139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 25 MG TABLET [435],0637,RC,,,,,inpatient,,,1.87,,0.935,1.122,1.888139,1.7578,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.5521,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.76902,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.8139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.6456,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.21176,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,1.888139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,,,,,inpatient,,,3.03,,1.515,1.818,3.059391,2.8482,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.5149,,,,percent of total billed charges,,2.727,,,,percent of total billed charges,,2.7876,,,,percent of total billed charges,,2.7876,,,,percent of total billed charges,,2.86638,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.9391,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.6664,,,,percent of total billed charges,,2.727,,,,percent of total billed charges,,1.96344,,,,percent of total billed charges,,2.727,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,3.059391,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.8785,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,,,,,inpatient,,,1.59,,0.795,0.954,1.605423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.03032,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.605423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 50 MG TABLET [436],0637,RC,,,,,inpatient,,,1.59,,0.795,0.954,1.605423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.03032,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.605423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,,,,,inpatient,,,2.55,,1.275,1.53,2.574735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.6524,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.574735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMITRIPTYLINE 75 MG TABLET [437],0637,RC,,,,,inpatient,,,1.62,,0.81,0.972,1.635714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.04976,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.635714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION [253828],0636,RC,,,,,inpatient,,,15671.98,,7835.99,9403.188,15823.99821,14731.6612,,,,percent of total billed charges,,12537.584,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,13007.7434,,,,percent of total billed charges,,14104.782,,,,percent of total billed charges,,14418.2216,,,,percent of total billed charges,,14418.2216,,,,percent of total billed charges,,14825.69308,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,15201.8206,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,13791.3424,,,,percent of total billed charges,,14104.782,,,,percent of total billed charges,,10155.44304,,,,percent of total billed charges,,14104.782,,,,percent of total billed charges,,9403.188,,,,percent of total billed charges,,15823.99821,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,14888.381,,,,percent of total billed charges,,12537.584,,,,percent of total billed charges,,9403.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMLODIPINE 5 MG TABLET [79036],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMLODIPINE 5 MG TABLET [79036],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMLODIPINE 5 MG TABLET [79036],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,,,,,inpatient,,,36.78,,18.39,22.068,37.136766,34.5732,,,,percent of total billed charges,,29.424,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,30.5274,,,,percent of total billed charges,,33.102,,,,percent of total billed charges,,33.8376,,,,percent of total billed charges,,33.8376,,,,percent of total billed charges,,34.79388,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,35.6766,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,32.3664,,,,percent of total billed charges,,33.102,,,,percent of total billed charges,,23.83344,,,,percent of total billed charges,,33.102,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,37.136766,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,34.941,,,,percent of total billed charges,,29.424,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,,,,,inpatient,,,29.37,,14.685,17.622,29.654889,27.6078,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,24.3771,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.78402,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,28.4889,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,25.8456,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,19.03176,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,29.654889,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,,,,,inpatient,,,91.13,,45.565,54.678,92.013961,85.6622,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,75.6379,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,86.20898,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,88.3961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,80.1944,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,59.05224,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,92.013961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,,,,,inpatient,,,17.29,,8.645,10.374,17.457713,16.2526,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,14.3507,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,16.35634,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.7713,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,15.2152,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,11.20392,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,17.457713,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMMONIUM LACTATE 12 % LOTION [10380],0637,RC,,,,,inpatient,,,17.22,,8.61,10.332,17.387034,16.1868,,,,percent of total billed charges,,13.776,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,14.2926,,,,percent of total billed charges,,15.498,,,,percent of total billed charges,,15.8424,,,,percent of total billed charges,,15.8424,,,,percent of total billed charges,,16.29012,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,16.7034,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,15.1536,,,,percent of total billed charges,,15.498,,,,percent of total billed charges,,11.15856,,,,percent of total billed charges,,15.498,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,17.387034,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,16.359,,,,percent of total billed charges,,13.776,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG CAPSULE [450],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG CAPSULE [450],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [22992],0637,RC,,,,,inpatient,,,9.76,,4.88,5.856,9.854672,9.1744,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.1008,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,9.23296,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.4672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.5888,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,6.32448,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,9.854672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,,,,,inpatient,,,23.63,,11.815,14.178,23.859211,22.2122,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,19.6129,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,22.35398,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.9211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,20.7944,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,15.31224,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,23.859211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,,,,,inpatient,,,20.93,,10.465,12.558,21.133021,19.6742,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,17.3719,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.79978,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,20.3021,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,18.4184,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,13.56264,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,21.133021,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [454],0637,RC,,,,,inpatient,,,10.8,,5.4,6.48,10.90476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.9984,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.90476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],0637,RC,,,,,inpatient,,,40.05,,20.025,24.03,40.438485,37.647,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,33.2415,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,37.8873,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.8485,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,25.9524,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,40.438485,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],0637,RC,,,,,inpatient,,,16.65,,8.325,9.99,16.811505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,10.7892,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,16.811505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION [33230],0637,RC,,,,,inpatient,,,48.6,,24.3,29.16,49.07142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,31.4928,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,49.07142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],0637,RC,,,,,inpatient,,,14.63,,7.315,8.778,14.771911,13.7522,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.1429,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.83998,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,14.1911,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.8744,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,9.48024,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,14.771911,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],0637,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [25246],0637,RC,,,,,inpatient,,,14.4,,7.2,8.64,14.53968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.3312,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,14.53968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,,,,,inpatient,,,0.84,,0.42,0.504,0.848148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.54432,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.848148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG CAPSULE [451],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],0637,RC,,,,,inpatient,,,6.35,,3.175,3.81,6.411595,5.969,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.2705,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,6.0071,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.1595,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.588,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,4.1148,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,6.411595,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33227],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,,,,,inpatient,,,51.64,,25.82,30.984,52.140908,48.5416,,,,percent of total billed charges,,41.312,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,42.8612,,,,percent of total billed charges,,46.476,,,,percent of total billed charges,,47.5088,,,,percent of total billed charges,,47.5088,,,,percent of total billed charges,,48.85144,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,50.0908,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,45.4432,,,,percent of total billed charges,,46.476,,,,percent of total billed charges,,33.46272,,,,percent of total billed charges,,46.476,,,,percent of total billed charges,,30.984,,,,percent of total billed charges,,52.140908,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,49.058,,,,percent of total billed charges,,41.312,,,,percent of total billed charges,,30.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,,,,,inpatient,,,64.13,,32.065,38.478,64.752061,60.2822,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,53.2279,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,60.66698,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,62.2061,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,56.4344,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,41.55624,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,64.752061,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,,,,,inpatient,,,64.13,,32.065,38.478,64.752061,60.2822,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,53.2279,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,58.9996,,,,percent of total billed charges,,60.66698,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,62.2061,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,56.4344,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,41.55624,,,,percent of total billed charges,,57.717,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,64.752061,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,60.9235,,,,percent of total billed charges,,51.304,,,,percent of total billed charges,,38.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION [31177],0637,RC,,,,,inpatient,,,14.85,,7.425,8.91,14.994045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,9.6228,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,14.994045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,,,,,inpatient,,,7.6,,3.8,4.56,7.67372,7.144,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.372,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,4.9248,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,7.67372,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,,,,,inpatient,,,1.67,,0.835,1.002,1.686199,1.5698,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.3861,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.57982,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.6199,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.4696,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.08216,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,1.686199,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,,,,,inpatient,,,1.64,,0.82,0.984,1.655908,1.5416,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.3612,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.55144,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.5908,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.4432,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.06272,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.655908,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [33228],0637,RC,,,,,inpatient,,,0.89,,0.445,0.534,0.898633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.898633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,,,,,inpatient,,,3.13,,1.565,1.878,3.160361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.02824,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,3.160361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,,,,,inpatient,,,52.78,,26.39,31.668,53.291966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,34.20144,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,53.291966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,,,,,inpatient,,,52.78,,26.39,31.668,53.291966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,34.20144,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,53.291966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,,,,,inpatient,,,52.78,,26.39,31.668,53.291966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,34.20144,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,53.291966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,,,,,inpatient,,,52.78,,26.39,31.668,53.291966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,34.20144,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,53.291966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,,,,,inpatient,,,52.78,,26.39,31.668,53.291966,49.6132,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,43.8074,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,48.5576,,,,percent of total billed charges,,49.92988,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,51.1966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,46.4464,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,34.20144,,,,percent of total billed charges,,47.502,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,53.291966,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,50.141,,,,percent of total billed charges,,42.224,,,,percent of total billed charges,,31.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 0.1 MG/ML IN D5W IV PEDS DILUTION - MAINTENANCE [1000004],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION [464],0636,RC,,,,,inpatient,,,156.15,,78.075,93.69,157.664655,146.781,,,,percent of total billed charges,,124.92,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,129.6045,,,,percent of total billed charges,,140.535,,,,percent of total billed charges,,143.658,,,,percent of total billed charges,,143.658,,,,percent of total billed charges,,147.7179,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,151.4655,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,137.412,,,,percent of total billed charges,,140.535,,,,percent of total billed charges,,101.1852,,,,percent of total billed charges,,140.535,,,,percent of total billed charges,,93.69,,,,percent of total billed charges,,157.664655,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,148.3425,,,,percent of total billed charges,,124.92,,,,percent of total billed charges,,93.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [82327],0636,RC,,,,,inpatient,,,2889.3,,1444.65,1733.58,2917.32621,2715.942,,,,percent of total billed charges,,2311.44,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2398.119,,,,percent of total billed charges,,2600.37,,,,percent of total billed charges,,2658.156,,,,percent of total billed charges,,2658.156,,,,percent of total billed charges,,2733.2778,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2802.621,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2542.584,,,,percent of total billed charges,,2600.37,,,,percent of total billed charges,,1872.2664,,,,percent of total billed charges,,2600.37,,,,percent of total billed charges,,1733.58,,,,percent of total billed charges,,2917.32621,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2744.835,,,,percent of total billed charges,,2311.44,,,,percent of total billed charges,,1733.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION [82327],0636,RC,,,,,inpatient,,,427.41,,213.705,256.446,431.555877,401.7654,,,,percent of total billed charges,,341.928,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,354.7503,,,,percent of total billed charges,,384.669,,,,percent of total billed charges,,393.2172,,,,percent of total billed charges,,393.2172,,,,percent of total billed charges,,404.32986,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,414.5877,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,376.1208,,,,percent of total billed charges,,384.669,,,,percent of total billed charges,,276.96168,,,,percent of total billed charges,,384.669,,,,percent of total billed charges,,256.446,,,,percent of total billed charges,,431.555877,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,406.0395,,,,percent of total billed charges,,341.928,,,,percent of total billed charges,,256.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM (250 MG/ML) SOLUTION FOR IM INJECTION MIXTURES [1001657],0636,RC,,,,,inpatient,,,8.19,,4.095,4.914,8.269443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,5.30712,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,8.269443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM (250 MG/ML) SOLUTION FOR IM INJECTION MIXTURES [1001657],0636,RC,,,,,inpatient,,,8.19,,4.095,4.914,8.269443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,5.30712,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,8.269443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,,,,,inpatient,,,24.28,,12.14,14.568,24.515516,22.8232,,,,percent of total billed charges,,19.424,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,20.1524,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,22.3376,,,,percent of total billed charges,,22.3376,,,,percent of total billed charges,,22.96888,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,23.5516,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,21.3664,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,15.73344,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,14.568,,,,percent of total billed charges,,24.515516,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,23.066,,,,percent of total billed charges,,19.424,,,,percent of total billed charges,,14.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,,,,,inpatient,,,5.44,,2.72,3.264,5.492768,5.1136,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.5152,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.14624,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.2768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.7872,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.52512,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,5.492768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,,,,,inpatient,,,5.44,,2.72,3.264,5.492768,5.1136,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.5152,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.14624,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.2768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.7872,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.52512,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,5.492768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,,,,,inpatient,,,8.19,,4.095,4.914,8.269443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,5.30712,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,8.269443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,,,,,inpatient,,,5.8,,2.9,3.48,5.85626,5.452,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.814,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.4868,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.626,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,3.7584,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,5.85626,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 10 GRAM SOLUTION FOR INJECTION [470],0636,RC,,,,,inpatient,,,103.41,,51.705,62.046,104.413077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,67.00968,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,104.413077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 125 MG SOLUTION FOR INJECTION [471],0636,RC,,,,,inpatient,,,13.82,,6.91,8.292,13.954054,12.9908,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.4706,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,13.07372,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.4054,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,12.1616,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,8.95536,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,13.954054,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [469],0636,RC,,,,,inpatient,,,5.44,,2.72,3.264,5.492768,5.1136,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.5152,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.0048,,,,percent of total billed charges,,5.14624,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.2768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.7872,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.52512,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,5.492768,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,4.352,,,,percent of total billed charges,,3.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,45.46,,22.73,27.276,45.900962,42.7324,,,,percent of total billed charges,,36.368,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,37.7318,,,,percent of total billed charges,,40.914,,,,percent of total billed charges,,41.8232,,,,percent of total billed charges,,41.8232,,,,percent of total billed charges,,43.00516,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,44.0962,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,40.0048,,,,percent of total billed charges,,40.914,,,,percent of total billed charges,,29.45808,,,,percent of total billed charges,,40.914,,,,percent of total billed charges,,27.276,,,,percent of total billed charges,,45.900962,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,43.187,,,,percent of total billed charges,,36.368,,,,percent of total billed charges,,27.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,12.11,,6.055,7.266,12.227467,11.3834,,,,percent of total billed charges,,9.688,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,10.0513,,,,percent of total billed charges,,10.899,,,,percent of total billed charges,,11.1412,,,,percent of total billed charges,,11.1412,,,,percent of total billed charges,,11.45606,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,11.7467,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,10.6568,,,,percent of total billed charges,,10.899,,,,percent of total billed charges,,7.84728,,,,percent of total billed charges,,10.899,,,,percent of total billed charges,,7.266,,,,percent of total billed charges,,12.227467,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,11.5045,,,,percent of total billed charges,,9.688,,,,percent of total billed charges,,7.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,10.02,,5.01,6.012,10.117194,9.4188,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.3166,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.47892,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.7194,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.8176,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,6.49296,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,10.117194,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,10.02,,5.01,6.012,10.117194,9.4188,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.3166,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.2184,,,,percent of total billed charges,,9.47892,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.7194,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.8176,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,6.49296,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,10.117194,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,9.519,,,,percent of total billed charges,,8.016,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,29.16,,14.58,17.496,29.442852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,18.89568,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,29.442852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,29.16,,14.58,17.496,29.442852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,18.89568,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,29.442852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,18.62,,9.31,11.172,18.800614,17.5028,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,15.4546,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.61452,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,18.0614,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,16.3856,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,12.06576,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,18.800614,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,18.62,,9.31,11.172,18.800614,17.5028,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,15.4546,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.1304,,,,percent of total billed charges,,17.61452,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,18.0614,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,16.3856,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,12.06576,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,18.800614,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,17.689,,,,percent of total billed charges,,14.896,,,,percent of total billed charges,,11.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 250 MG SOLUTION FOR INJECTION [473],0636,RC,,,,,inpatient,,,9.21,,4.605,5.526,9.299337,8.6574,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,7.6443,,,,percent of total billed charges,,8.289,,,,percent of total billed charges,,8.4732,,,,percent of total billed charges,,8.4732,,,,percent of total billed charges,,8.71266,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,8.9337,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,8.1048,,,,percent of total billed charges,,8.289,,,,percent of total billed charges,,5.96808,,,,percent of total billed charges,,8.289,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,9.299337,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,8.7495,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,29.16,,14.58,17.496,29.442852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,18.89568,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,29.442852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 30 MG/ML IN NS IV PEDS DILUTION [1000006],0636,RC,,,,,inpatient,,,2.39,,1.195,1.434,2.413183,2.2466,,,,percent of total billed charges,,1.912,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,1.9837,,,,percent of total billed charges,,2.151,,,,percent of total billed charges,,2.1988,,,,percent of total billed charges,,2.1988,,,,percent of total billed charges,,2.26094,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,2.3183,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,2.1032,,,,percent of total billed charges,,2.151,,,,percent of total billed charges,,1.54872,,,,percent of total billed charges,,2.151,,,,percent of total billed charges,,1.434,,,,percent of total billed charges,,2.413183,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,2.2705,,,,percent of total billed charges,,1.912,,,,percent of total billed charges,,1.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 500 MG CAPSULE [466],0637,RC,,,,,inpatient,,,2.26,,1.13,1.356,2.281922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.46448,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.281922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 500 MG SOLUTION FOR INJECTION [474],0636,RC,,,,,inpatient,,,10.07,,5.035,6.042,10.167679,9.4658,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,8.3581,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,9.2644,,,,percent of total billed charges,,9.2644,,,,percent of total billed charges,,9.52622,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,9.7679,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,8.8616,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,6.52536,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,6.042,,,,percent of total billed charges,,10.167679,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,9.5665,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.042,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,29.16,,14.58,17.496,29.442852,27.4104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,24.2028,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,28.2852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,18.89568,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,29.442852,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [472],0636,RC,,,,,inpatient,,,49.29,,24.645,29.574,49.768113,46.3326,,,,percent of total billed charges,,39.432,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,40.9107,,,,percent of total billed charges,,44.361,,,,percent of total billed charges,,45.3468,,,,percent of total billed charges,,45.3468,,,,percent of total billed charges,,46.62834,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,47.8113,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,43.3752,,,,percent of total billed charges,,44.361,,,,percent of total billed charges,,31.93992,,,,percent of total billed charges,,44.361,,,,percent of total billed charges,,29.574,,,,percent of total billed charges,,49.768113,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,46.8255,,,,percent of total billed charges,,39.432,,,,percent of total billed charges,,29.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR PEDS IM INJECTIONS [1000656],0636,RC,,,,,inpatient,,,53.52,,26.76,32.112,54.039144,50.3088,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,44.4216,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,50.62992,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,51.9144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,47.0976,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,34.68096,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,54.039144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,31.67,,15.835,19.002,31.977199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,20.52216,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,31.977199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM (250 MG AMPICILLIN/ML) PEDS IV SOLN [1000935],0636,RC,,,,,inpatient,,,16.46,,8.23,9.876,16.619662,15.4724,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.6618,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.57116,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.9662,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,14.4848,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,10.66608,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,16.619662,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,,,,,inpatient,,,16.46,,8.23,9.876,16.619662,15.4724,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.6618,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.1432,,,,percent of total billed charges,,15.57116,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.9662,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,14.4848,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,10.66608,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,16.619662,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,15.637,,,,percent of total billed charges,,13.168,,,,percent of total billed charges,,9.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,,,,,inpatient,,,6.21,,3.105,3.726,6.270237,5.8374,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.1543,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.87466,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,6.0237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,4.02408,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,6.270237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [32470],0636,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,,,,,inpatient,,,291.78,,145.89,175.068,294.610266,274.2732,,,,percent of total billed charges,,233.424,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,242.1774,,,,percent of total billed charges,,262.602,,,,percent of total billed charges,,268.4376,,,,percent of total billed charges,,268.4376,,,,percent of total billed charges,,276.02388,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,283.0266,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,256.7664,,,,percent of total billed charges,,262.602,,,,percent of total billed charges,,189.07344,,,,percent of total billed charges,,262.602,,,,percent of total billed charges,,175.068,,,,percent of total billed charges,,294.610266,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,277.191,,,,percent of total billed charges,,233.424,,,,percent of total billed charges,,175.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,,,,,inpatient,,,62.06,,31.03,37.236,62.661982,58.3364,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,51.5098,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,58.70876,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,60.1982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,54.6128,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,40.21488,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,62.661982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM (250 MG AMPICILLIN/ML) PEDS IV SOLN [1000978],0636,RC,,,,,inpatient,,,31.67,,15.835,19.002,31.977199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,20.52216,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,31.977199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,14.35,,7.175,8.61,14.489195,13.489,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.9105,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.5751,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.9195,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,12.628,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,9.2988,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,14.489195,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,31.67,,15.835,19.002,31.977199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,20.52216,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,31.977199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,36.4,,18.2,21.84,36.75308,34.216,,,,percent of total billed charges,,29.12,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,30.212,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,34.4344,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,35.308,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,32.032,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,23.5872,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,21.84,,,,percent of total billed charges,,36.75308,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,34.58,,,,percent of total billed charges,,29.12,,,,percent of total billed charges,,21.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,28.37,,14.185,17.022,28.645189,26.6678,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,23.5471,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.83802,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,27.5189,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,24.9656,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,18.38376,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,28.645189,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,28.37,,14.185,17.022,28.645189,26.6678,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,23.5471,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.1004,,,,percent of total billed charges,,26.83802,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,27.5189,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,24.9656,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,18.38376,,,,percent of total billed charges,,25.533,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,28.645189,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,26.9515,,,,percent of total billed charges,,22.696,,,,percent of total billed charges,,17.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,12,,6,7.2,12.1164,11.28,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.96,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.04,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.64,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,10.56,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,12.1164,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,11.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,65.97,,32.985,39.582,66.609909,62.0118,,,,percent of total billed charges,,52.776,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,54.7551,,,,percent of total billed charges,,59.373,,,,percent of total billed charges,,60.6924,,,,percent of total billed charges,,60.6924,,,,percent of total billed charges,,62.40762,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,63.9909,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,58.0536,,,,percent of total billed charges,,59.373,,,,percent of total billed charges,,42.74856,,,,percent of total billed charges,,59.373,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,66.609909,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,62.6715,,,,percent of total billed charges,,52.776,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,14.35,,7.175,8.61,14.489195,13.489,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.9105,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.202,,,,percent of total billed charges,,13.5751,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.9195,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,12.628,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,9.2988,,,,percent of total billed charges,,12.915,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,14.489195,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,13.6325,,,,percent of total billed charges,,11.48,,,,percent of total billed charges,,8.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,33.57,,16.785,20.142,33.895629,31.5558,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,27.8631,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,31.75722,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,32.5629,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,29.5416,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,21.75336,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,33.895629,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,16.8,,8.4,10.08,16.96296,15.792,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.8928,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,16.296,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,14.784,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,10.8864,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,16.96296,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,16.8,,8.4,10.08,16.96296,15.792,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.456,,,,percent of total billed charges,,15.8928,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,16.296,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,14.784,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,10.8864,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,16.96296,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,13.44,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,33.57,,16.785,20.142,33.895629,31.5558,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,27.8631,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,30.8844,,,,percent of total billed charges,,31.75722,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,32.5629,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,29.5416,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,21.75336,,,,percent of total billed charges,,30.213,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,33.895629,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,31.8915,,,,percent of total billed charges,,26.856,,,,percent of total billed charges,,20.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,15.72,,7.86,9.432,15.872484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,10.18656,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,15.872484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,15.72,,7.86,9.432,15.872484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,10.18656,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,15.872484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR PEDS IM INJECTIONS [1000656],0636,RC,,,,,inpatient,,,31.67,,15.835,19.002,31.977199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,20.52216,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,31.977199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [32471],0636,RC,,,,,inpatient,,,31.67,,15.835,19.002,31.977199,29.7698,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,26.2861,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.1364,,,,percent of total billed charges,,29.95982,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.7199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,27.8696,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,20.52216,,,,percent of total billed charges,,28.503,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,31.977199,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,30.0865,,,,percent of total billed charges,,25.336,,,,percent of total billed charges,,19.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,,,,,inpatient,,,12.42,,6.21,7.452,12.540474,11.6748,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.3086,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.74932,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,12.0474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.9296,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,8.04816,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,12.540474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION [32469],0636,RC,,,,,inpatient,,,6.21,,3.105,3.726,6.270237,5.8374,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.1543,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.87466,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,6.0237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,4.02408,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,6.270237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPICILLIN/ SULBACTAM 30 MG/ML IN NS IV PEDS DILUTION [1000065],0636,RC,,,,,inpatient,,,1.89,,0.945,1.134,1.908333,1.7766,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.5687,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.7388,,,,percent of total billed charges,,1.78794,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.8333,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.6632,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.22472,,,,percent of total billed charges,,1.701,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.908333,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.7955,,,,percent of total billed charges,,1.512,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANASTROZOLE 1 MG TABLET [77197],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANASTROZOLE 1 MG TABLET [77197],0637,RC,,,,,inpatient,,,3.49,,1.745,2.094,3.523853,3.2806,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.8967,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.30154,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.0712,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.26152,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,3.523853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANASTROZOLE 1 MG TABLET [77197],0637,RC,,,,,inpatient,,,3.49,,1.745,2.094,3.523853,3.2806,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.8967,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.30154,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.0712,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.26152,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,3.523853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION [82142]",0636,RC,,,,,inpatient,,,8550,,4275,5130,8632.935,8037,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7096.5,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,8088.3,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8293.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7524,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,8632.935,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN [163056]",0636,RC,,,,,inpatient,,,3681,,1840.5,2208.6,3716.7057,3460.14,,,,percent of total billed charges,,2944.8,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3055.23,,,,percent of total billed charges,,3312.9,,,,percent of total billed charges,,3386.52,,,,percent of total billed charges,,3386.52,,,,percent of total billed charges,,3482.226,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3570.57,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3239.28,,,,percent of total billed charges,,3312.9,,,,percent of total billed charges,,2385.288,,,,percent of total billed charges,,3312.9,,,,percent of total billed charges,,2208.6,,,,percent of total billed charges,,3716.7057,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,3496.95,,,,percent of total billed charges,,2944.8,,,,percent of total billed charges,,2208.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION [163055],0636,RC,,,,,inpatient,,,1840.5,,920.25,1104.3,1858.35285,1730.07,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1527.615,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1741.113,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1785.285,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1619.64,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1192.644,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,1858.35285,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APIXABAN 5 MG TABLET [211815],0637,RC,,,,,inpatient,,,6.21,,3.105,3.726,6.270237,5.8374,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.1543,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.7132,,,,percent of total billed charges,,5.87466,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,6.0237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,4.02408,,,,percent of total billed charges,,5.589,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,6.270237,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,5.8995,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APIXABAN 5 MG TABLET [211815],0637,RC,,,,,inpatient,,,30.74,,15.37,18.444,31.038178,28.8956,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,25.5142,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,29.08004,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.8178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,27.0512,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,19.91952,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,31.038178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,,,,,inpatient,,,1403.92,,701.96,842.352,1417.538024,1319.6848,,,,percent of total billed charges,,1123.136,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1165.2536,,,,percent of total billed charges,,1263.528,,,,percent of total billed charges,,1291.6064,,,,percent of total billed charges,,1291.6064,,,,percent of total billed charges,,1328.10832,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1361.8024,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1235.4496,,,,percent of total billed charges,,1263.528,,,,percent of total billed charges,,909.74016,,,,percent of total billed charges,,1263.528,,,,percent of total billed charges,,842.352,,,,percent of total billed charges,,1417.538024,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1333.724,,,,percent of total billed charges,,1123.136,,,,percent of total billed charges,,842.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,,,,,inpatient,,,655.9,,327.95,393.54,662.26223,616.546,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,544.397,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,620.4814,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,636.223,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,577.192,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,425.0232,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,662.26223,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,,,,,inpatient,,,655.9,,327.95,393.54,662.26223,616.546,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,544.397,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,603.428,,,,percent of total billed charges,,620.4814,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,636.223,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,577.192,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,425.0232,,,,percent of total billed charges,,590.31,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,662.26223,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,623.105,,,,percent of total billed charges,,524.72,,,,percent of total billed charges,,393.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 125 MG CAPSULE [87628],0636,RC,,,,,inpatient,,,976.91,,488.455,586.146,986.386027,918.2954,,,,percent of total billed charges,,781.528,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,810.8353,,,,percent of total billed charges,,879.219,,,,percent of total billed charges,,898.7572,,,,percent of total billed charges,,898.7572,,,,percent of total billed charges,,924.15686,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,947.6027,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,859.6808,,,,percent of total billed charges,,879.219,,,,percent of total billed charges,,633.03768,,,,percent of total billed charges,,879.219,,,,percent of total billed charges,,586.146,,,,percent of total billed charges,,986.386027,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,928.0645,,,,percent of total billed charges,,781.528,,,,percent of total billed charges,,586.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION [238649],0636,RC,,,,,inpatient,,,1087.83,,543.915,652.698,1098.381951,1022.5602,,,,percent of total billed charges,,870.264,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,902.8989,,,,percent of total billed charges,,979.047,,,,percent of total billed charges,,1000.8036,,,,percent of total billed charges,,1000.8036,,,,percent of total billed charges,,1029.08718,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,1055.1951,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,957.2904,,,,percent of total billed charges,,979.047,,,,percent of total billed charges,,704.91384,,,,percent of total billed charges,,979.047,,,,percent of total billed charges,,652.698,,,,percent of total billed charges,,1098.381951,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,1033.4385,,,,percent of total billed charges,,870.264,,,,percent of total billed charges,,652.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,,,,,inpatient,,,109.44,,54.72,65.664,110.501568,102.8736,,,,percent of total billed charges,,87.552,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,90.8352,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,100.6848,,,,percent of total billed charges,,100.6848,,,,percent of total billed charges,,103.53024,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,106.1568,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,96.3072,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,70.91712,,,,percent of total billed charges,,98.496,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,110.501568,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,103.968,,,,percent of total billed charges,,87.552,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,,,,,inpatient,,,382.22,,191.11,229.332,385.927534,359.2868,,,,percent of total billed charges,,305.776,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,317.2426,,,,percent of total billed charges,,343.998,,,,percent of total billed charges,,351.6424,,,,percent of total billed charges,,351.6424,,,,percent of total billed charges,,361.58012,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,370.7534,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,336.3536,,,,percent of total billed charges,,343.998,,,,percent of total billed charges,,247.67856,,,,percent of total billed charges,,343.998,,,,percent of total billed charges,,229.332,,,,percent of total billed charges,,385.927534,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,363.109,,,,percent of total billed charges,,305.776,,,,percent of total billed charges,,229.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,,,,,inpatient,,,162,,81,97.2,163.5714,152.28,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,134.46,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,153.252,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,157.14,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,142.56,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,104.976,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,163.5714,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,,,,,inpatient,,,359.41,,179.705,215.646,362.896277,337.8454,,,,percent of total billed charges,,287.528,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,298.3103,,,,percent of total billed charges,,323.469,,,,percent of total billed charges,,330.6572,,,,percent of total billed charges,,330.6572,,,,percent of total billed charges,,340.00186,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,348.6277,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,316.2808,,,,percent of total billed charges,,323.469,,,,percent of total billed charges,,232.89768,,,,percent of total billed charges,,323.469,,,,percent of total billed charges,,215.646,,,,percent of total billed charges,,362.896277,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,341.4395,,,,percent of total billed charges,,287.528,,,,percent of total billed charges,,215.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,,,,,inpatient,,,162.23,,81.115,97.338,163.803631,152.4962,,,,percent of total billed charges,,129.784,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,134.6509,,,,percent of total billed charges,,146.007,,,,percent of total billed charges,,149.2516,,,,percent of total billed charges,,149.2516,,,,percent of total billed charges,,153.46958,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,157.3631,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,142.7624,,,,percent of total billed charges,,146.007,,,,percent of total billed charges,,105.12504,,,,percent of total billed charges,,146.007,,,,percent of total billed charges,,97.338,,,,percent of total billed charges,,163.803631,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,154.1185,,,,percent of total billed charges,,129.784,,,,percent of total billed charges,,97.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 40 MG CAPSULE [101784],0636,RC,,,,,inpatient,,,367.06,,183.53,220.236,370.620482,345.0364,,,,percent of total billed charges,,293.648,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,304.6598,,,,percent of total billed charges,,330.354,,,,percent of total billed charges,,337.6952,,,,percent of total billed charges,,337.6952,,,,percent of total billed charges,,347.23876,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,356.0482,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,323.0128,,,,percent of total billed charges,,330.354,,,,percent of total billed charges,,237.85488,,,,percent of total billed charges,,330.354,,,,percent of total billed charges,,220.236,,,,percent of total billed charges,,370.620482,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,348.707,,,,percent of total billed charges,,293.648,,,,percent of total billed charges,,220.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 80 MG CAPSULE [87627],0636,RC,,,,,inpatient,,,514.33,,257.165,308.598,519.319001,483.4702,,,,percent of total billed charges,,411.464,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,426.8939,,,,percent of total billed charges,,462.897,,,,percent of total billed charges,,473.1836,,,,percent of total billed charges,,473.1836,,,,percent of total billed charges,,486.55618,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,498.9001,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,452.6104,,,,percent of total billed charges,,462.897,,,,percent of total billed charges,,333.28584,,,,percent of total billed charges,,462.897,,,,percent of total billed charges,,308.598,,,,percent of total billed charges,,519.319001,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,488.6135,,,,percent of total billed charges,,411.464,,,,percent of total billed charges,,308.598,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APREPITANT 80 MG CAPSULE [87627],0636,RC,,,,,inpatient,,,563.16,,281.58,337.896,568.622652,529.3704,,,,percent of total billed charges,,450.528,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,467.4228,,,,percent of total billed charges,,506.844,,,,percent of total billed charges,,518.1072,,,,percent of total billed charges,,518.1072,,,,percent of total billed charges,,532.74936,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,546.2652,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,495.5808,,,,percent of total billed charges,,506.844,,,,percent of total billed charges,,364.92768,,,,percent of total billed charges,,506.844,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,568.622652,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,535.002,,,,percent of total billed charges,,450.528,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,,,,,inpatient,,,18.44,,9.22,11.064,18.618868,17.3336,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,15.3052,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,17.44424,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.8868,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,16.2272,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,11.94912,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,18.618868,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,,,,,inpatient,,,18.44,,9.22,11.064,18.618868,17.3336,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,15.3052,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,16.9648,,,,percent of total billed charges,,17.44424,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.8868,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,16.2272,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,11.94912,,,,percent of total billed charges,,16.596,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,18.618868,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,17.518,,,,percent of total billed charges,,14.752,,,,percent of total billed charges,,11.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,,,,,inpatient,,,32.79,,16.395,19.674,33.108063,30.8226,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,27.2157,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,31.01934,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.8063,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,28.8552,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,21.24792,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,33.108063,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,,,,,inpatient,,,8.9,,4.45,5.34,8.98633,8.366,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.387,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.4194,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.633,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.832,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,8.98633,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,,,,,inpatient,,,8.9,,4.45,5.34,8.98633,8.366,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.387,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.188,,,,percent of total billed charges,,8.4194,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.633,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.832,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,5.7672,,,,percent of total billed charges,,8.01,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,8.98633,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,8.455,,,,percent of total billed charges,,7.12,,,,percent of total billed charges,,5.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [134206],0250,RC,,,,,inpatient,,,32.79,,16.395,19.674,33.108063,30.8226,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,27.2157,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,30.1668,,,,percent of total billed charges,,31.01934,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.8063,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,28.8552,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,21.24792,,,,percent of total billed charges,,29.511,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,33.108063,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,31.1505,,,,percent of total billed charges,,26.232,,,,percent of total billed charges,,19.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,,,,,inpatient,,,80.49,,40.245,48.294,81.270753,75.6606,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,66.8067,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,76.14354,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,78.0753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,70.8312,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,52.15752,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,81.270753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,,,,,inpatient,,,12.57,,6.285,7.542,12.691929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,8.14536,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,12.691929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,,,,,inpatient,,,12.57,,6.285,7.542,12.691929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,8.14536,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,12.691929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 10 MG TABLET [86939],0637,RC,,,,,inpatient,,,0.94,,0.47,0.564,0.949118,0.8836,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.7802,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.88924,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.9118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.8272,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.60912,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,0.949118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,,,,,inpatient,,,80.49,,40.245,48.294,81.270753,75.6606,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,66.8067,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,76.14354,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,78.0753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,70.8312,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,52.15752,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,81.270753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,,,,,inpatient,,,10.01,,5.005,6.006,10.107097,9.4094,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.3083,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.46946,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.7097,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.8088,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,6.48648,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,10.107097,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,,,,,inpatient,,,10.01,,5.005,6.006,10.107097,9.4094,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.3083,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.2092,,,,percent of total billed charges,,9.46946,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.7097,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.8088,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,6.48648,,,,percent of total billed charges,,9.009,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,10.107097,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,9.5095,,,,percent of total billed charges,,8.008,,,,percent of total billed charges,,6.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,,,,,inpatient,,,1.45,,0.725,0.87,1.464065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.9396,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.464065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 15 MG TABLET [86940],0637,RC,,,,,inpatient,,,1.21,,0.605,0.726,1.221737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.78408,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.221737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,,,,,inpatient,,,80.49,,40.245,48.294,81.270753,75.6606,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,66.8067,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,74.0508,,,,percent of total billed charges,,76.14354,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,78.0753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,70.8312,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,52.15752,,,,percent of total billed charges,,72.441,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,81.270753,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,76.4655,,,,percent of total billed charges,,64.392,,,,percent of total billed charges,,48.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,,,,,inpatient,,,10.26,,5.13,6.156,10.359522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.64848,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,10.359522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,,,,,inpatient,,,10.26,,5.13,6.156,10.359522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.64848,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,10.359522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARIPIPRAZOLE 2 MG TABLET [95399],0637,RC,,,,,inpatient,,,1.45,,0.725,0.87,1.464065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.9396,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.464065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE [224378]",0636,RC,,,,,inpatient,,,8397.14,,4198.57,5038.284,8478.592258,7893.3116,,,,percent of total billed charges,,6717.712,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,6969.6262,,,,percent of total billed charges,,7557.426,,,,percent of total billed charges,,7725.3688,,,,percent of total billed charges,,7725.3688,,,,percent of total billed charges,,7943.69444,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,8145.2258,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,7389.4832,,,,percent of total billed charges,,7557.426,,,,percent of total billed charges,,5441.34672,,,,percent of total billed charges,,7557.426,,,,percent of total billed charges,,5038.284,,,,percent of total billed charges,,8478.592258,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,7977.283,,,,percent of total billed charges,,6717.712,,,,percent of total billed charges,,5038.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE VIAL [214039]",0636,RC,,,,,inpatient,,,11196.23,,5598.115,6717.738,11304.83343,10524.4562,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9292.8709,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10591.63358,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10860.3431,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9852.6824,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,7255.15704,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,11304.83343,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [224380]",0636,RC,,,,,inpatient,,,11196.23,,5598.115,6717.738,11304.83343,10524.4562,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9292.8709,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10591.63358,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10860.3431,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9852.6824,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,7255.15704,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,11304.83343,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [224380]",0636,RC,,,,,inpatient,,,11196.23,,5598.115,6717.738,11304.83343,10524.4562,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9292.8709,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10300.5316,,,,percent of total billed charges,,10591.63358,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10860.3431,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,9852.6824,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,7255.15704,,,,percent of total billed charges,,10076.607,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,11304.83343,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,10636.4185,,,,percent of total billed charges,,8956.984,,,,percent of total billed charges,,6717.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [82904],0636,RC,,,,,inpatient,,,2325.38,,1162.69,1395.228,2347.936186,2185.8572,,,,percent of total billed charges,,1860.304,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,1930.0654,,,,percent of total billed charges,,2092.842,,,,percent of total billed charges,,2139.3496,,,,percent of total billed charges,,2139.3496,,,,percent of total billed charges,,2199.80948,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,2255.6186,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,2046.3344,,,,percent of total billed charges,,2092.842,,,,percent of total billed charges,,1506.84624,,,,percent of total billed charges,,2092.842,,,,percent of total billed charges,,1395.228,,,,percent of total billed charges,,2347.936186,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,2209.111,,,,percent of total billed charges,,1860.304,,,,percent of total billed charges,,1395.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION [82904],0636,RC,,,,,inpatient,,,2357.94,,1178.97,1414.764,2380.812018,2216.4636,,,,percent of total billed charges,,1886.352,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,1957.0902,,,,percent of total billed charges,,2122.146,,,,percent of total billed charges,,2169.3048,,,,percent of total billed charges,,2169.3048,,,,percent of total billed charges,,2230.61124,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,2287.2018,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,2074.9872,,,,percent of total billed charges,,2122.146,,,,percent of total billed charges,,1527.94512,,,,percent of total billed charges,,2122.146,,,,percent of total billed charges,,1414.764,,,,percent of total billed charges,,2380.812018,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,2240.043,,,,percent of total billed charges,,1886.352,,,,percent of total billed charges,,1414.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET [194129],0637,RC,,,,,inpatient,,,23.23,,11.615,13.938,23.455331,21.8362,,,,percent of total billed charges,,18.584,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,19.2809,,,,percent of total billed charges,,20.907,,,,percent of total billed charges,,21.3716,,,,percent of total billed charges,,21.3716,,,,percent of total billed charges,,21.97558,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,22.5331,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,20.4424,,,,percent of total billed charges,,20.907,,,,percent of total billed charges,,15.05304,,,,percent of total billed charges,,20.907,,,,percent of total billed charges,,13.938,,,,percent of total billed charges,,23.455331,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,22.0685,,,,percent of total billed charges,,18.584,,,,percent of total billed charges,,13.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS (WHITE PETROLATUM-MINERAL OIL) OPHTH OINTMENT WRAPPER [1000523],0637,RC,,,,,inpatient,,,30.84,,15.42,18.504,31.139148,28.9896,,,,percent of total billed charges,,24.672,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,25.5972,,,,percent of total billed charges,,27.756,,,,percent of total billed charges,,28.3728,,,,percent of total billed charges,,28.3728,,,,percent of total billed charges,,29.17464,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,29.9148,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,27.1392,,,,percent of total billed charges,,27.756,,,,percent of total billed charges,,19.98432,,,,percent of total billed charges,,27.756,,,,percent of total billed charges,,18.504,,,,percent of total billed charges,,31.139148,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,24.672,,,,percent of total billed charges,,18.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS (WHITE PETROLATUM-MINERAL OIL) OPHTH OINTMENT WRAPPER [1000523],0637,RC,,,,,inpatient,,,32.18,,16.09,19.308,32.492146,30.2492,,,,percent of total billed charges,,25.744,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,26.7094,,,,percent of total billed charges,,28.962,,,,percent of total billed charges,,29.6056,,,,percent of total billed charges,,29.6056,,,,percent of total billed charges,,30.44228,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,31.2146,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,28.3184,,,,percent of total billed charges,,28.962,,,,percent of total billed charges,,20.85264,,,,percent of total billed charges,,28.962,,,,percent of total billed charges,,19.308,,,,percent of total billed charges,,32.492146,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,30.571,,,,percent of total billed charges,,25.744,,,,percent of total billed charges,,19.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS [87894],0637,RC,,,,,inpatient,,,29.77,,14.885,17.862,30.058769,27.9838,,,,percent of total billed charges,,23.816,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,24.7091,,,,percent of total billed charges,,26.793,,,,percent of total billed charges,,27.3884,,,,percent of total billed charges,,27.3884,,,,percent of total billed charges,,28.16242,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,28.8769,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,26.1976,,,,percent of total billed charges,,26.793,,,,percent of total billed charges,,19.29096,,,,percent of total billed charges,,26.793,,,,percent of total billed charges,,17.862,,,,percent of total billed charges,,30.058769,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,28.2815,,,,percent of total billed charges,,23.816,,,,percent of total billed charges,,17.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS [87894],0637,RC,,,,,inpatient,,,23.76,,11.88,14.256,23.990472,22.3344,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,19.7208,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.8592,,,,percent of total billed charges,,21.8592,,,,percent of total billed charges,,22.47696,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.0472,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,20.9088,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,15.39648,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,23.990472,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],0637,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 250 MG TABLET [663],0637,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASCORBIC ACID (VITAMIN C) 500 MG TABLET [664],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,,,,,inpatient,,,82.74,,41.37,49.644,83.542578,77.7756,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,68.6742,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,78.27204,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,80.2578,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,72.8112,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,53.61552,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,83.542578,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,,,,,inpatient,,,82.13,,41.065,49.278,82.926661,77.2022,,,,percent of total billed charges,,65.704,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,68.1679,,,,percent of total billed charges,,73.917,,,,percent of total billed charges,,75.5596,,,,percent of total billed charges,,75.5596,,,,percent of total billed charges,,77.69498,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,79.6661,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,72.2744,,,,percent of total billed charges,,73.917,,,,percent of total billed charges,,53.22024,,,,percent of total billed charges,,73.917,,,,percent of total billed charges,,49.278,,,,percent of total billed charges,,82.926661,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,78.0235,,,,percent of total billed charges,,65.704,,,,percent of total billed charges,,49.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,,,,,inpatient,,,82.74,,41.37,49.644,83.542578,77.7756,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,68.6742,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,76.1208,,,,percent of total billed charges,,78.27204,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,80.2578,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,72.8112,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,53.61552,,,,percent of total billed charges,,74.466,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,83.542578,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,78.603,,,,percent of total billed charges,,66.192,,,,percent of total billed charges,,49.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASENAPINE 5 MG SUBLINGUAL TABLET [195935],0637,RC,,,,,inpatient,,,10.88,,5.44,6.528,10.985536,10.2272,,,,percent of total billed charges,,8.704,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,9.0304,,,,percent of total billed charges,,9.792,,,,percent of total billed charges,,10.0096,,,,percent of total billed charges,,10.0096,,,,percent of total billed charges,,10.29248,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,10.5536,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,9.5744,,,,percent of total billed charges,,9.792,,,,percent of total billed charges,,7.05024,,,,percent of total billed charges,,9.792,,,,percent of total billed charges,,6.528,,,,percent of total billed charges,,10.985536,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,10.336,,,,percent of total billed charges,,8.704,,,,percent of total billed charges,,6.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 1 MG/ML ORAL LIQUID [1000707],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [77233]",0637,RC,,,,,inpatient,,,38.59,,19.295,23.154,38.964323,36.2746,,,,percent of total billed charges,,30.872,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,32.0297,,,,percent of total billed charges,,34.731,,,,percent of total billed charges,,35.5028,,,,percent of total billed charges,,35.5028,,,,percent of total billed charges,,36.50614,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,37.4323,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,33.9592,,,,percent of total billed charges,,34.731,,,,percent of total billed charges,,25.00632,,,,percent of total billed charges,,34.731,,,,percent of total billed charges,,23.154,,,,percent of total billed charges,,38.964323,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,36.6605,,,,percent of total billed charges,,30.872,,,,percent of total billed charges,,23.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [77233]",0637,RC,,,,,inpatient,,,4.5,,2.25,2.7,4.54365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.54365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [77233]",0637,RC,,,,,inpatient,,,3.33,,1.665,1.998,3.362301,3.1302,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.7639,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.15018,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.2301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.9304,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,2.15784,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,3.362301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 300 MG RECTAL SUPPOSITORY [693],0637,RC,,,,,inpatient,,,4.83,,2.415,2.898,4.876851,4.5402,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.0089,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.56918,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.6851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,3.12984,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,4.876851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 325 MG TABLET [681],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 325 MG TABLET [681],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 325 MG TABLET [681],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 325 MG TABLET,DELAYED RELEASE [13654]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 325 MG TABLET,DELAYED RELEASE [13654]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 325 MG TABLET,DELAYED RELEASE [13654]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 81 MG CHEWABLE TABLET [680],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 81 MG CHEWABLE TABLET [680],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN 81 MG CHEWABLE TABLET [680],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 81 MG TABLET,DELAYED RELEASE [14113]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 81 MG TABLET,DELAYED RELEASE [14113]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ASPIRIN 81 MG TABLET,DELAYED RELEASE [14113]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET [82686],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET [82686],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 25 MG TABLET [717],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 25 MG TABLET [717],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 50 MG TABLET [718],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATENOLOL 50 MG TABLET [718],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [230843]",0636,RC,,,,,inpatient,,,42423.68,,21211.84,25454.208,42835.1897,39878.2592,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,35211.6544,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,40132.80128,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,41150.9696,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,37332.8384,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,27490.54464,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,42835.1897,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [230843]",0636,RC,,,,,inpatient,,,42423.68,,21211.84,25454.208,42835.1897,39878.2592,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,35211.6544,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,39029.7856,,,,percent of total billed charges,,40132.80128,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,41150.9696,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,37332.8384,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,27490.54464,,,,percent of total billed charges,,38181.312,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,42835.1897,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,40302.496,,,,percent of total billed charges,,33938.944,,,,percent of total billed charges,,25454.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATOMOXETINE 40 MG CAPSULE [86957],0637,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,,,,,inpatient,,,47.4,,23.7,28.44,47.85978,44.556,,,,percent of total billed charges,,37.92,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,39.342,,,,percent of total billed charges,,42.66,,,,percent of total billed charges,,43.608,,,,percent of total billed charges,,43.608,,,,percent of total billed charges,,44.8404,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,45.978,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,41.712,,,,percent of total billed charges,,42.66,,,,percent of total billed charges,,30.7152,,,,percent of total billed charges,,42.66,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,47.85978,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,45.03,,,,percent of total billed charges,,37.92,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,,,,,inpatient,,,1.54,,0.77,0.924,1.554938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.99792,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.554938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,,,,,inpatient,,,1.54,,0.77,0.924,1.554938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.99792,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.554938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 10 MG TABLET [77734],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,,,,,inpatient,,,35.24,,17.62,21.144,35.581828,33.1256,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,29.2492,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,33.33704,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,34.1828,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,31.0112,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,22.83552,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,35.581828,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,,,,,inpatient,,,1.78,,0.89,1.068,1.797266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.797266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,,,,,inpatient,,,1.78,,0.89,1.068,1.797266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.797266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 20 MG TABLET [77410],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,,,,,inpatient,,,64.28,,32.14,38.568,64.903516,60.4232,,,,percent of total billed charges,,51.424,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,53.3524,,,,percent of total billed charges,,57.852,,,,percent of total billed charges,,59.1376,,,,percent of total billed charges,,59.1376,,,,percent of total billed charges,,60.80888,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,62.3516,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,56.5664,,,,percent of total billed charges,,57.852,,,,percent of total billed charges,,41.65344,,,,percent of total billed charges,,57.852,,,,percent of total billed charges,,38.568,,,,percent of total billed charges,,64.903516,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,61.066,,,,percent of total billed charges,,51.424,,,,percent of total billed charges,,38.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATORVASTATIN 40 MG TABLET [77113],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,,,,,inpatient,,,52.47,,26.235,31.482,52.978959,49.3218,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,43.5501,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,49.63662,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,50.8959,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,46.1736,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,34.00056,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,52.978959,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,,,,,inpatient,,,61.47,,30.735,36.882,62.066259,57.7818,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,51.0201,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,58.15062,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,59.6259,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,54.0936,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,39.83256,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,62.066259,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,,,,,inpatient,,,34.65,,17.325,20.79,34.986105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,22.4532,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,34.986105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,,,,,inpatient,,,52.47,,26.235,31.482,52.978959,49.3218,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,43.5501,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,48.2724,,,,percent of total billed charges,,49.63662,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,50.8959,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,46.1736,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,34.00056,,,,percent of total billed charges,,47.223,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,52.978959,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,49.8465,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,31.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,,,,,inpatient,,,61.47,,30.735,36.882,62.066259,57.7818,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,51.0201,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,56.5524,,,,percent of total billed charges,,58.15062,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,59.6259,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,54.0936,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,39.83256,,,,percent of total billed charges,,55.323,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,62.066259,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,58.3965,,,,percent of total billed charges,,49.176,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,,,,,inpatient,,,34.65,,17.325,20.79,34.986105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,22.4532,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,34.986105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.1 MG/ML INJECTION SYRINGE [730],0636,RC,,,,,inpatient,,,39.11,,19.555,23.466,39.489367,36.7634,,,,percent of total billed charges,,31.288,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,32.4613,,,,percent of total billed charges,,35.199,,,,percent of total billed charges,,35.9812,,,,percent of total billed charges,,35.9812,,,,percent of total billed charges,,36.99806,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,37.9367,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,34.4168,,,,percent of total billed charges,,35.199,,,,percent of total billed charges,,25.34328,,,,percent of total billed charges,,35.199,,,,percent of total billed charges,,23.466,,,,percent of total billed charges,,39.489367,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,37.1545,,,,percent of total billed charges,,31.288,,,,percent of total billed charges,,23.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],0636,RC,,,,,inpatient,,,18.76,,9.38,11.256,18.941972,17.6344,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.5708,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.74696,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,18.1972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,16.5088,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,12.15648,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,18.941972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],0636,RC,,,,,inpatient,,,13.34,,6.67,8.004,13.469398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.64432,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,13.469398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION SOLUTION [731],0636,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,,,,,inpatient,,,18.76,,9.38,11.256,18.941972,17.6344,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.5708,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.74696,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,18.1972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,16.5088,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,12.15648,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,18.941972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,,,,,inpatient,,,13.34,,6.67,8.004,13.469398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.64432,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,13.469398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INJECTION WRAPPER [1002022],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [251006],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION [251006],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 1 % EYE DROPS [736],0637,RC,,,,,inpatient,,,236.93,,118.465,142.158,239.228221,222.7142,,,,percent of total billed charges,,189.544,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,196.6519,,,,percent of total billed charges,,213.237,,,,percent of total billed charges,,217.9756,,,,percent of total billed charges,,217.9756,,,,percent of total billed charges,,224.13578,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,229.8221,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,208.4984,,,,percent of total billed charges,,213.237,,,,percent of total billed charges,,153.53064,,,,percent of total billed charges,,213.237,,,,percent of total billed charges,,142.158,,,,percent of total billed charges,,239.228221,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,225.0835,,,,percent of total billed charges,,189.544,,,,percent of total billed charges,,142.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,,,,,inpatient,,,18.76,,9.38,11.256,18.941972,17.6344,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.5708,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.2592,,,,percent of total billed charges,,17.74696,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,18.1972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,16.5088,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,12.15648,,,,percent of total billed charges,,16.884,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,18.941972,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,17.822,,,,percent of total billed charges,,15.008,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,,,,,inpatient,,,13.34,,6.67,8.004,13.469398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.64432,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,13.469398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATROPINE 40 MG/100 ML INFUSION [1001722],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION [254902],0636,RC,,,,,inpatient,,,8346.02,,4173.01,5007.612,8426.976394,7845.2588,,,,percent of total billed charges,,6676.816,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,6927.1966,,,,percent of total billed charges,,7511.418,,,,percent of total billed charges,,7678.3384,,,,percent of total billed charges,,7678.3384,,,,percent of total billed charges,,7895.33492,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,8095.6394,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,7344.4976,,,,percent of total billed charges,,7511.418,,,,percent of total billed charges,,5408.22096,,,,percent of total billed charges,,7511.418,,,,percent of total billed charges,,5007.612,,,,percent of total billed charges,,8426.976394,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,7928.719,,,,percent of total billed charges,,6676.816,,,,percent of total billed charges,,5007.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [234339],0636,RC,,,,,inpatient,,,8458.43,,4229.215,5075.058,8540.476771,7950.9242,,,,percent of total billed charges,,6766.744,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,7020.4969,,,,percent of total billed charges,,7612.587,,,,percent of total billed charges,,7781.7556,,,,percent of total billed charges,,7781.7556,,,,percent of total billed charges,,8001.67478,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,8204.6771,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,7443.4184,,,,percent of total billed charges,,7612.587,,,,percent of total billed charges,,5481.06264,,,,percent of total billed charges,,7612.587,,,,percent of total billed charges,,5075.058,,,,percent of total billed charges,,8540.476771,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,8035.5085,,,,percent of total billed charges,,6766.744,,,,percent of total billed charges,,5075.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION [234339],0636,RC,,,,,inpatient,,,25412.87,,12706.435,15247.722,25659.37484,23888.0978,,,,percent of total billed charges,,20330.296,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,21092.6821,,,,percent of total billed charges,,22871.583,,,,percent of total billed charges,,23379.8404,,,,percent of total billed charges,,23379.8404,,,,percent of total billed charges,,24040.57502,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,24650.4839,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,22363.3256,,,,percent of total billed charges,,22871.583,,,,percent of total billed charges,,16467.53976,,,,percent of total billed charges,,22871.583,,,,percent of total billed charges,,15247.722,,,,percent of total billed charges,,25659.37484,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,24142.2265,,,,percent of total billed charges,,20330.296,,,,percent of total billed charges,,15247.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,,,,,inpatient,,,103.41,,51.705,62.046,104.413077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,67.00968,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,104.413077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,,,,,inpatient,,,1638,,819,982.8,1653.8886,1539.72,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1359.54,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1549.548,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1588.86,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1441.44,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1061.424,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,1653.8886,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,,,,,inpatient,,,186.08,,93.04,111.648,187.884976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,120.57984,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,187.884976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,,,,,inpatient,,,863.96,,431.98,518.376,872.340412,812.1224,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,717.0868,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,817.30616,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,838.0412,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,760.2848,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,559.84608,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,872.340412,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 10 MG/ML FOR MIXTURE ONLY [1000322],0636,RC,,,,,inpatient,,,124.38,,62.19,74.628,125.586486,116.9172,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,103.2354,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,117.66348,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,120.6486,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,109.4544,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,80.59824,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,125.586486,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,,,,,inpatient,,,103.41,,51.705,62.046,104.413077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,67.00968,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,104.413077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,,,,,inpatient,,,1638,,819,982.8,1653.8886,1539.72,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1359.54,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1506.96,,,,percent of total billed charges,,1549.548,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1588.86,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1441.44,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,1061.424,,,,percent of total billed charges,,1474.2,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,1653.8886,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1556.1,,,,percent of total billed charges,,1310.4,,,,percent of total billed charges,,982.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,,,,,inpatient,,,186.08,,93.04,111.648,187.884976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,120.57984,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,187.884976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZACITIDINE 100 MG SOLUTION FOR INJECTION [92932],0636,RC,,,,,inpatient,,,863.96,,431.98,518.376,872.340412,812.1224,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,717.0868,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,794.8432,,,,percent of total billed charges,,817.30616,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,838.0412,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,760.2848,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,559.84608,,,,percent of total billed charges,,777.564,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,872.340412,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,820.762,,,,percent of total billed charges,,691.168,,,,percent of total billed charges,,518.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZATHIOPRINE 50 MG TABLET [9183],0636,RC,,,,,inpatient,,,0.98,,0.49,0.588,0.989506,0.9212,,,,percent of total billed charges,,0.784,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.8134,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,0.9016,,,,percent of total billed charges,,0.9016,,,,percent of total billed charges,,0.92708,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.9506,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.8624,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,0.63504,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,0.588,,,,percent of total billed charges,,0.989506,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.931,,,,percent of total billed charges,,0.784,,,,percent of total billed charges,,0.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZATHIOPRINE 50 MG TABLET [9183],0636,RC,,,,,inpatient,,,2.81,,1.405,1.686,2.837257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.82088,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.837257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZATHIOPRINE 50 MG TABLET [9183],0636,RC,,,,,inpatient,,,2.81,,1.405,1.686,2.837257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.82088,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.837257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 2 MG/ML IN NS IV PEDS DILUTION [1000007],0636,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,,,,,inpatient,,,41.31,,20.655,24.786,41.710707,38.8314,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,34.2873,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,39.07926,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,40.0707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,36.3528,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,26.76888,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,41.710707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,,,,,inpatient,,,51.17,,25.585,30.702,51.666349,48.0998,,,,percent of total billed charges,,40.936,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,42.4711,,,,percent of total billed charges,,46.053,,,,percent of total billed charges,,47.0764,,,,percent of total billed charges,,47.0764,,,,percent of total billed charges,,48.40682,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,49.6349,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,45.0296,,,,percent of total billed charges,,46.053,,,,percent of total billed charges,,33.15816,,,,percent of total billed charges,,46.053,,,,percent of total billed charges,,30.702,,,,percent of total billed charges,,51.666349,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,48.6115,,,,percent of total billed charges,,40.936,,,,percent of total billed charges,,30.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,,,,,inpatient,,,50.09,,25.045,30.054,50.575873,47.0846,,,,percent of total billed charges,,40.072,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,41.5747,,,,percent of total billed charges,,45.081,,,,percent of total billed charges,,46.0828,,,,percent of total billed charges,,46.0828,,,,percent of total billed charges,,47.38514,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,48.5873,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,44.0792,,,,percent of total billed charges,,45.081,,,,percent of total billed charges,,32.45832,,,,percent of total billed charges,,45.081,,,,percent of total billed charges,,30.054,,,,percent of total billed charges,,50.575873,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,47.5855,,,,percent of total billed charges,,40.072,,,,percent of total billed charges,,30.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,,,,,inpatient,,,39.69,,19.845,23.814,40.074993,37.3086,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,32.9427,,,,percent of total billed charges,,35.721,,,,percent of total billed charges,,36.5148,,,,percent of total billed charges,,36.5148,,,,percent of total billed charges,,37.54674,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,38.4993,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,34.9272,,,,percent of total billed charges,,35.721,,,,percent of total billed charges,,25.71912,,,,percent of total billed charges,,35.721,,,,percent of total billed charges,,23.814,,,,percent of total billed charges,,40.074993,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,37.7055,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,23.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [82049],0637,RC,,,,,inpatient,,,63.45,,31.725,38.07,64.065465,59.643,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,52.6635,,,,percent of total billed charges,,57.105,,,,percent of total billed charges,,58.374,,,,percent of total billed charges,,58.374,,,,percent of total billed charges,,60.0237,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,61.5465,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.105,,,,percent of total billed charges,,41.1156,,,,percent of total billed charges,,57.105,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,64.065465,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,60.2775,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,4.86,,2.43,2.916,4.907142,4.5684,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.0338,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.59756,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7142,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,3.14928,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.907142,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,3.92,,1.96,2.352,3.958024,3.6848,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.2536,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.70832,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.8024,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.4496,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.54016,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,3.958024,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,0.71,,0.355,0.426,0.716887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.46008,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.716887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,2.34,,1.17,1.404,2.362698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.51632,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.362698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,14.28,,7.14,8.568,14.418516,13.4232,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,11.8524,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,13.1376,,,,percent of total billed charges,,13.1376,,,,percent of total billed charges,,13.50888,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,13.8516,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,12.5664,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,9.25344,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,14.418516,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,13.566,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,2.35,,1.175,1.41,2.372795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.5228,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.372795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,2.35,,1.175,1.41,2.372795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.5228,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.372795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,7.73,,3.865,4.638,7.804981,7.2662,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.4159,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.31258,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.4981,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.8024,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,5.00904,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,7.804981,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,3.79,,1.895,2.274,3.826763,3.5626,,,,percent of total billed charges,,3.032,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.1457,,,,percent of total billed charges,,3.411,,,,percent of total billed charges,,3.4868,,,,percent of total billed charges,,3.4868,,,,percent of total billed charges,,3.58534,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.6763,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.3352,,,,percent of total billed charges,,3.411,,,,percent of total billed charges,,2.45592,,,,percent of total billed charges,,3.411,,,,percent of total billed charges,,2.274,,,,percent of total billed charges,,3.826763,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.6005,,,,percent of total billed charges,,3.032,,,,percent of total billed charges,,2.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,3.32,,1.66,1.992,3.352204,3.1208,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,2.7556,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.0544,,,,percent of total billed charges,,3.0544,,,,percent of total billed charges,,3.14072,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,3.2204,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,2.15136,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,3.352204,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,3.154,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 250 MG TABLET [20943],0637,RC,,,,,inpatient,,,7.73,,3.865,4.638,7.804981,7.2662,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.4159,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.1116,,,,percent of total billed charges,,7.31258,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.4981,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.8024,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,5.00904,,,,percent of total billed charges,,6.957,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,7.804981,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,7.3435,,,,percent of total billed charges,,6.184,,,,percent of total billed charges,,4.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,24.53,,12.265,14.718,24.767941,23.0582,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,20.3599,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,23.20538,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.7941,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,21.5864,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,15.89544,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,24.767941,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,7.12,,3.56,4.272,7.189064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.61376,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,7.189064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,21.03,,10.515,12.618,21.233991,19.7682,,,,percent of total billed charges,,16.824,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,17.4549,,,,percent of total billed charges,,18.927,,,,percent of total billed charges,,19.3476,,,,percent of total billed charges,,19.3476,,,,percent of total billed charges,,19.89438,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,20.3991,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,18.5064,,,,percent of total billed charges,,18.927,,,,percent of total billed charges,,13.62744,,,,percent of total billed charges,,18.927,,,,percent of total billed charges,,12.618,,,,percent of total billed charges,,21.233991,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,19.9785,,,,percent of total billed charges,,16.824,,,,percent of total billed charges,,12.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,10.29,,5.145,6.174,10.389813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.66792,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,10.389813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,10.29,,5.145,6.174,10.389813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.66792,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,10.389813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,24.53,,12.265,14.718,24.767941,23.0582,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,20.3599,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,22.5676,,,,percent of total billed charges,,23.20538,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.7941,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,21.5864,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,15.89544,,,,percent of total billed charges,,22.077,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,24.767941,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,23.3035,,,,percent of total billed charges,,19.624,,,,percent of total billed charges,,14.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,12.1,,6.05,7.26,12.21737,11.374,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.043,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.4466,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.737,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.648,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,7.8408,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,12.21737,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,10.62,,5.31,6.372,10.723014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.88176,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,10.723014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,12.1,,6.05,7.26,12.21737,11.374,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.043,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.4466,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.737,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,10.648,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,7.8408,,,,percent of total billed charges,,10.89,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,12.21737,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,11.495,,,,percent of total billed charges,,9.68,,,,percent of total billed charges,,7.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,7.12,,3.56,4.272,7.189064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.61376,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,7.189064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063],0636,RC,,,,,inpatient,,,6.96,,3.48,4.176,7.027512,6.5424,,,,percent of total billed charges,,5.568,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,5.7768,,,,percent of total billed charges,,6.264,,,,percent of total billed charges,,6.4032,,,,percent of total billed charges,,6.4032,,,,percent of total billed charges,,6.58416,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,6.7512,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,6.1248,,,,percent of total billed charges,,6.264,,,,percent of total billed charges,,4.51008,,,,percent of total billed charges,,6.264,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,7.027512,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,6.612,,,,percent of total billed charges,,5.568,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM INJECTION - IM [1000940],0250,RC,,,,,inpatient,,,122.94,,61.47,73.764,124.132518,115.5636,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,102.0402,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,116.30124,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,119.2518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,108.1872,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,79.66512,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,124.132518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM INJECTION - IM [1000940],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,122.94,,61.47,73.764,124.132518,115.5636,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,102.0402,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,116.30124,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,119.2518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,108.1872,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,79.66512,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,124.132518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,202.67,,101.335,121.602,204.635899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,131.33016,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,204.635899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,245.88,,122.94,147.528,248.265036,231.1272,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,204.0804,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,232.60248,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,238.5036,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,216.3744,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,159.33024,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,248.265036,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,202.67,,101.335,121.602,204.635899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,131.33016,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,204.635899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,202.67,,101.335,121.602,204.635899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,131.33016,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,204.635899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,202.67,,101.335,121.602,204.635899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,131.33016,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,204.635899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,202.67,,101.335,121.602,204.635899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,131.33016,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,204.635899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,202.67,,101.335,121.602,204.635899,190.5098,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,168.2161,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,186.4564,,,,percent of total billed charges,,191.72582,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,196.5899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,178.3496,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,131.33016,,,,percent of total billed charges,,182.403,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,204.635899,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,192.5365,,,,percent of total billed charges,,162.136,,,,percent of total billed charges,,121.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,245.88,,122.94,147.528,248.265036,231.1272,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,204.0804,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,226.2096,,,,percent of total billed charges,,232.60248,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,238.5036,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,216.3744,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,159.33024,,,,percent of total billed charges,,221.292,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,248.265036,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,233.586,,,,percent of total billed charges,,196.704,,,,percent of total billed charges,,147.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,99.27,,49.635,59.562,100.232919,93.3138,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,82.3941,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,91.3284,,,,percent of total billed charges,,93.90942,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,96.2919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,87.3576,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,64.32696,,,,percent of total billed charges,,89.343,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,100.232919,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,94.3065,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 2 GRAM SOLUTION FOR INJECTION [80574],0250,RC,,,,,inpatient,,,122.94,,61.47,73.764,124.132518,115.5636,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,102.0402,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,113.1048,,,,percent of total billed charges,,116.30124,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,119.2518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,108.1872,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,79.66512,,,,percent of total billed charges,,110.646,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,124.132518,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,116.793,,,,percent of total billed charges,,98.352,,,,percent of total billed charges,,73.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AZTREONAM 1 GRAM SOLUTION FOR INJECTION [81953],0250,RC,,,,,inpatient,,,201.31,,100.655,120.786,203.262707,189.2314,,,,percent of total billed charges,,161.048,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,167.0873,,,,percent of total billed charges,,181.179,,,,percent of total billed charges,,185.2052,,,,percent of total billed charges,,185.2052,,,,percent of total billed charges,,190.43926,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,195.2707,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,177.1528,,,,percent of total billed charges,,181.179,,,,percent of total billed charges,,130.44888,,,,percent of total billed charges,,181.179,,,,percent of total billed charges,,120.786,,,,percent of total billed charges,,203.262707,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,191.2445,,,,percent of total billed charges,,161.048,,,,percent of total billed charges,,120.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/G OINTMENT TUBE [850],0637,RC,,,,,inpatient,,,4.54,,2.27,2.724,4.584038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.94192,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.584038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/G OINTMENT TUBE [850],0637,RC,,,,,inpatient,,,7.06,,3.53,4.236,7.128482,6.6364,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.8598,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.67876,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.8482,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.2128,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,4.57488,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,7.128482,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/G OINTMENT TUBE [850],0637,RC,,,,,inpatient,,,4.54,,2.27,2.724,4.584038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.94192,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.584038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,,,,,inpatient,,,0.55,,0.275,0.33,0.555335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.3564,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.555335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,,,,,inpatient,,,0.55,,0.275,0.33,0.555335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.3564,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.555335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACITRACIN 500 UNIT/GRAM TOPICAL PACKET [88183],0250,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [856]",0637,RC,,,,,inpatient,,,32.99,,16.495,19.794,33.310003,31.0106,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,27.3817,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,31.20854,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,32.0003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,29.0312,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,21.37752,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,33.310003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,,,,,inpatient,,,1.58,,0.79,0.948,1.595326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.02384,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.595326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,,,,,inpatient,,,1.49,,0.745,0.894,1.504453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.96552,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.504453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,,,,,inpatient,,,1.49,,0.745,0.894,1.504453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.96552,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.504453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,,,,,inpatient,,,2.54,,1.27,1.524,2.564638,2.3876,,,,percent of total billed charges,,2.032,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.1082,,,,percent of total billed charges,,2.286,,,,percent of total billed charges,,2.3368,,,,percent of total billed charges,,2.3368,,,,percent of total billed charges,,2.40284,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.4638,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.2352,,,,percent of total billed charges,,2.286,,,,percent of total billed charges,,1.64592,,,,percent of total billed charges,,2.286,,,,percent of total billed charges,,1.524,,,,percent of total billed charges,,2.564638,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.413,,,,percent of total billed charges,,2.032,,,,percent of total billed charges,,1.524,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,,,,,inpatient,,,1.97,,0.985,1.182,1.989109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.27656,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.989109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 10 MG TABLET [860],0637,RC,,,,,inpatient,,,1.97,,0.985,1.182,1.989109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.27656,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.989109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION [207550]",0636,RC,,,,,inpatient,,,654.3,,327.15,392.58,660.64671,615.042,,,,percent of total billed charges,,523.44,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,543.069,,,,percent of total billed charges,,588.87,,,,percent of total billed charges,,601.956,,,,percent of total billed charges,,601.956,,,,percent of total billed charges,,618.9678,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,634.671,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,575.784,,,,percent of total billed charges,,588.87,,,,percent of total billed charges,,423.9864,,,,percent of total billed charges,,588.87,,,,percent of total billed charges,,392.58,,,,percent of total billed charges,,660.64671,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,621.585,,,,percent of total billed charges,,523.44,,,,percent of total billed charges,,392.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION [202618]",0636,RC,,,,,inpatient,,,1125,,562.5,675,1135.9125,1057.5,,,,percent of total billed charges,,900,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,933.75,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1035,,,,percent of total billed charges,,1064.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1091.25,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,990,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,729,,,,percent of total billed charges,,1012.5,,,,percent of total billed charges,,675,,,,percent of total billed charges,,1135.9125,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,1068.75,,,,percent of total billed charges,,900,,,,percent of total billed charges,,675,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE [202616],0636,RC,,,,,inpatient,,,71.71,,35.855,43.026,72.405587,67.4074,,,,percent of total billed charges,,57.368,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,59.5193,,,,percent of total billed charges,,64.539,,,,percent of total billed charges,,65.9732,,,,percent of total billed charges,,65.9732,,,,percent of total billed charges,,67.83766,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,69.5587,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,63.1048,,,,percent of total billed charges,,64.539,,,,percent of total billed charges,,46.46808,,,,percent of total billed charges,,64.539,,,,percent of total billed charges,,43.026,,,,percent of total billed charges,,72.405587,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,68.1245,,,,percent of total billed charges,,57.368,,,,percent of total billed charges,,43.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT + LIDOCAINE + EPINEPHRINE OPHTH INJ [7000193],0250,RC,,,,,inpatient,,,58.5,,29.25,35.1,59.06745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,37.908,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,59.06745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [89631],0637,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [37578],0250,RC,,,,,inpatient,,,23.43,,11.715,14.058,23.657271,22.0242,,,,percent of total billed charges,,18.744,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,19.4469,,,,percent of total billed charges,,21.087,,,,percent of total billed charges,,21.5556,,,,percent of total billed charges,,21.5556,,,,percent of total billed charges,,22.16478,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,22.7271,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,20.6184,,,,percent of total billed charges,,21.087,,,,percent of total billed charges,,15.18264,,,,percent of total billed charges,,21.087,,,,percent of total billed charges,,14.058,,,,percent of total billed charges,,23.657271,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,22.2585,,,,percent of total billed charges,,18.744,,,,percent of total billed charges,,14.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION [164271]",0250,RC,,,,,inpatient,,,26.33,,13.165,15.798,26.585401,24.7502,,,,percent of total billed charges,,21.064,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,21.8539,,,,percent of total billed charges,,23.697,,,,percent of total billed charges,,24.2236,,,,percent of total billed charges,,24.2236,,,,percent of total billed charges,,24.90818,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,25.5401,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,23.1704,,,,percent of total billed charges,,23.697,,,,percent of total billed charges,,17.06184,,,,percent of total billed charges,,23.697,,,,percent of total billed charges,,15.798,,,,percent of total billed charges,,26.585401,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,25.0135,,,,percent of total billed charges,,21.064,,,,percent of total billed charges,,15.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION [164271]",0250,RC,,,,,inpatient,,,28.35,,14.175,17.01,28.624995,26.649,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,23.5305,,,,percent of total billed charges,,25.515,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,26.8191,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,27.4995,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,25.515,,,,percent of total billed charges,,18.3708,,,,percent of total billed charges,,25.515,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,28.624995,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,26.9325,,,,percent of total billed charges,,22.68,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 2.1 % (W/V), 2.0 % (W/W) ORAL SUSPENSION [83405]",0250,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 29 % (W/W) (1,500 CPS) ORAL SUSPENSION [242850]",0250,RC,,,,,inpatient,,,219.38,,109.69,131.628,221.507986,206.2172,,,,percent of total billed charges,,175.504,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,182.0854,,,,percent of total billed charges,,197.442,,,,percent of total billed charges,,201.8296,,,,percent of total billed charges,,201.8296,,,,percent of total billed charges,,207.53348,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,212.7986,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,193.0544,,,,percent of total billed charges,,197.442,,,,percent of total billed charges,,142.15824,,,,percent of total billed charges,,197.442,,,,percent of total billed charges,,131.628,,,,percent of total billed charges,,221.507986,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,208.411,,,,percent of total billed charges,,175.504,,,,percent of total billed charges,,131.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 29 % (W/W) (1,500 CPS) ORAL SUSPENSION [242850]",0250,RC,,,,,inpatient,,,56.7,,28.35,34.02,57.24999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,36.7416,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,57.24999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION [94975]",0250,RC,,,,,inpatient,,,105.3,,52.65,63.18,106.32141,98.982,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,87.399,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,99.6138,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,102.141,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,68.2344,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,106.32141,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE [194743]",0250,RC,,,,,inpatient,,,219.42,,109.71,131.652,221.548374,206.2548,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,182.1186,,,,percent of total billed charges,,197.478,,,,percent of total billed charges,,201.8664,,,,percent of total billed charges,,201.8664,,,,percent of total billed charges,,207.57132,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,212.8374,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,193.0896,,,,percent of total billed charges,,197.478,,,,percent of total billed charges,,142.18416,,,,percent of total billed charges,,197.478,,,,percent of total billed charges,,131.652,,,,percent of total billed charges,,221.548374,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,208.449,,,,percent of total billed charges,,175.536,,,,percent of total billed charges,,131.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE [194743]",0250,RC,,,,,inpatient,,,49.28,,24.64,29.568,49.758016,46.3232,,,,percent of total billed charges,,39.424,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,40.9024,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,45.3376,,,,percent of total billed charges,,45.3376,,,,percent of total billed charges,,46.61888,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,47.8016,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,43.3664,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,31.93344,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,29.568,,,,percent of total billed charges,,49.758016,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,46.816,,,,percent of total billed charges,,39.424,,,,percent of total billed charges,,29.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40% (W/V), 30% (W/W) ORAL SUSP (VARIBAR NECTAR) [7000120]",0250,RC,,,,,inpatient,,,55.08,,27.54,33.048,55.614276,51.7752,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,45.7164,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,52.10568,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,53.4276,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,48.4704,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,35.69184,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,55.614276,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40% (W/V), 30% (W/W) ORAL SUSP (VARIBAR NECTAR) [7000120]",0250,RC,,,,,inpatient,,,12.83,,6.415,7.698,12.954451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,8.31384,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,12.954451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BARIUM SULFATE 40% (W/V), 30% (W/W) ORAL SUSP (VARIBAR NECTAR) [7000120]",0250,RC,,,,,inpatient,,,7.7,,3.85,4.62,7.77469,7.238,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.391,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.2842,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.776,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,7.77469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 60 % ORAL CREAM [163481],0254,RC,,,,,inpatient,,,198.18,,99.09,118.908,200.102346,186.2892,,,,percent of total billed charges,,158.544,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,164.4894,,,,percent of total billed charges,,178.362,,,,percent of total billed charges,,182.3256,,,,percent of total billed charges,,182.3256,,,,percent of total billed charges,,187.47828,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,192.2346,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,174.3984,,,,percent of total billed charges,,178.362,,,,percent of total billed charges,,128.42064,,,,percent of total billed charges,,178.362,,,,percent of total billed charges,,118.908,,,,percent of total billed charges,,200.102346,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,188.271,,,,percent of total billed charges,,158.544,,,,percent of total billed charges,,118.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 700 MG TABLET [197702],0250,RC,,,,,inpatient,,,4.27,,2.135,2.562,4.311419,4.0138,,,,percent of total billed charges,,3.416,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,3.5441,,,,percent of total billed charges,,3.843,,,,percent of total billed charges,,3.9284,,,,percent of total billed charges,,3.9284,,,,percent of total billed charges,,4.03942,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,4.1419,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,3.7576,,,,percent of total billed charges,,3.843,,,,percent of total billed charges,,2.76696,,,,percent of total billed charges,,3.843,,,,percent of total billed charges,,2.562,,,,percent of total billed charges,,4.311419,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,4.0565,,,,percent of total billed charges,,3.416,,,,percent of total billed charges,,2.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 81 % (W/W) ORAL POWDER [195537],0250,RC,,,,,inpatient,,,24.65,,12.325,14.79,24.889105,23.171,,,,percent of total billed charges,,19.72,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,20.4595,,,,percent of total billed charges,,22.185,,,,percent of total billed charges,,22.678,,,,percent of total billed charges,,22.678,,,,percent of total billed charges,,23.3189,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,23.9105,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,21.692,,,,percent of total billed charges,,22.185,,,,percent of total billed charges,,15.9732,,,,percent of total billed charges,,22.185,,,,percent of total billed charges,,14.79,,,,percent of total billed charges,,24.889105,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,23.4175,,,,percent of total billed charges,,19.72,,,,percent of total billed charges,,14.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION [188773],0254,RC,,,,,inpatient,,,10.3,,5.15,6.18,10.39991,9.682,,,,percent of total billed charges,,8.24,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,8.549,,,,percent of total billed charges,,9.27,,,,percent of total billed charges,,9.476,,,,percent of total billed charges,,9.476,,,,percent of total billed charges,,9.7438,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,9.991,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,9.064,,,,percent of total billed charges,,9.27,,,,percent of total billed charges,,6.6744,,,,percent of total billed charges,,9.27,,,,percent of total billed charges,,6.18,,,,percent of total billed charges,,10.39991,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,9.785,,,,percent of total billed charges,,8.24,,,,percent of total billed charges,,6.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION [134884],0250,RC,,,,,inpatient,,,13.4,,6.7,8.04,13.52998,12.596,,,,percent of total billed charges,,10.72,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,11.122,,,,percent of total billed charges,,12.06,,,,percent of total billed charges,,12.328,,,,percent of total billed charges,,12.328,,,,percent of total billed charges,,12.6764,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,12.998,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,11.792,,,,percent of total billed charges,,12.06,,,,percent of total billed charges,,8.6832,,,,percent of total billed charges,,12.06,,,,percent of total billed charges,,8.04,,,,percent of total billed charges,,13.52998,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,12.73,,,,percent of total billed charges,,10.72,,,,percent of total billed charges,,8.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BCG LIVE 50 MG INTRAVESICAL SUSPENSION [95195],0636,RC,,,,,inpatient,,,649.44,,324.72,389.664,655.739568,610.4736,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,539.0352,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,614.37024,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,629.9568,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,571.5072,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,420.83712,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,655.739568,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BCG LIVE 50 MG INTRAVESICAL SUSPENSION [95195],0636,RC,,,,,inpatient,,,649.44,,324.72,389.664,655.739568,610.4736,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,539.0352,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,597.4848,,,,percent of total billed charges,,614.37024,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,629.9568,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,571.5072,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,420.83712,,,,percent of total billed charges,,584.496,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,655.739568,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,616.968,,,,percent of total billed charges,,519.552,,,,percent of total billed charges,,389.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELATACEPT 250 MG INTRAVENOUS SOLUTION [205369],0636,RC,,,,,inpatient,,,4146.26,,2073.13,2487.756,4186.478722,3897.4844,,,,percent of total billed charges,,3317.008,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3441.3958,,,,percent of total billed charges,,3731.634,,,,percent of total billed charges,,3814.5592,,,,percent of total billed charges,,3814.5592,,,,percent of total billed charges,,3922.36196,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,4021.8722,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3648.7088,,,,percent of total billed charges,,3731.634,,,,percent of total billed charges,,2686.77648,,,,percent of total billed charges,,3731.634,,,,percent of total billed charges,,2487.756,,,,percent of total billed charges,,4186.478722,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3938.947,,,,percent of total billed charges,,3317.008,,,,percent of total billed charges,,2487.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELATACEPT 250 MG INTRAVENOUS SOLUTION [205369],0636,RC,,,,,inpatient,,,5605.74,,2802.87,3363.444,5660.115678,5269.3956,,,,percent of total billed charges,,4484.592,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,4652.7642,,,,percent of total billed charges,,5045.166,,,,percent of total billed charges,,5157.2808,,,,percent of total billed charges,,5157.2808,,,,percent of total billed charges,,5303.03004,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,5437.5678,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,4933.0512,,,,percent of total billed charges,,5045.166,,,,percent of total billed charges,,3632.51952,,,,percent of total billed charges,,5045.166,,,,percent of total billed charges,,3363.444,,,,percent of total billed charges,,5660.115678,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,5325.453,,,,percent of total billed charges,,4484.592,,,,percent of total billed charges,,3363.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELIMUMAB 120 MG INTRAVENOUS SOLUTION [203461],0636,RC,,,,,inpatient,,,2758.95,,1379.475,1655.37,2785.711815,2593.413,,,,percent of total billed charges,,2207.16,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2289.9285,,,,percent of total billed charges,,2483.055,,,,percent of total billed charges,,2538.234,,,,percent of total billed charges,,2538.234,,,,percent of total billed charges,,2609.9667,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2676.1815,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2427.876,,,,percent of total billed charges,,2483.055,,,,percent of total billed charges,,1787.7996,,,,percent of total billed charges,,2483.055,,,,percent of total billed charges,,1655.37,,,,percent of total billed charges,,2785.711815,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2621.0025,,,,percent of total billed charges,,2207.16,,,,percent of total billed charges,,1655.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BELIMUMAB 400 MG INTRAVENOUS SOLUTION [203462],0636,RC,,,,,inpatient,,,9196.07,,4598.035,5517.642,9285.271879,8644.3058,,,,percent of total billed charges,,7356.856,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,7632.7381,,,,percent of total billed charges,,8276.463,,,,percent of total billed charges,,8460.3844,,,,percent of total billed charges,,8460.3844,,,,percent of total billed charges,,8699.48222,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,8920.1879,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,8092.5416,,,,percent of total billed charges,,8276.463,,,,percent of total billed charges,,5959.05336,,,,percent of total billed charges,,8276.463,,,,percent of total billed charges,,5517.642,,,,percent of total billed charges,,9285.271879,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,8736.2665,,,,percent of total billed charges,,7356.856,,,,percent of total billed charges,,5517.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [228434],0636,RC,,,,,inpatient,,,8808.84,,4404.42,5285.304,8894.285748,8280.3096,,,,percent of total billed charges,,7047.072,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,7311.3372,,,,percent of total billed charges,,7927.956,,,,percent of total billed charges,,8104.1328,,,,percent of total billed charges,,8104.1328,,,,percent of total billed charges,,8333.16264,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,8544.5748,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,7751.7792,,,,percent of total billed charges,,7927.956,,,,percent of total billed charges,,5708.12832,,,,percent of total billed charges,,7927.956,,,,percent of total billed charges,,5285.304,,,,percent of total billed charges,,8894.285748,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,8368.398,,,,percent of total billed charges,,7047.072,,,,percent of total billed charges,,5285.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE [238657],0636,RC,,,,,inpatient,,,20095.68,,10047.84,12057.408,20290.6081,18889.9392,,,,percent of total billed charges,,16076.544,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,16679.4144,,,,percent of total billed charges,,18086.112,,,,percent of total billed charges,,18488.0256,,,,percent of total billed charges,,18488.0256,,,,percent of total billed charges,,19010.51328,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,19492.8096,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,17684.1984,,,,percent of total billed charges,,18086.112,,,,percent of total billed charges,,13022.00064,,,,percent of total billed charges,,18086.112,,,,percent of total billed charges,,12057.408,,,,percent of total billed charges,,20290.6081,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,19090.896,,,,percent of total billed charges,,16076.544,,,,percent of total billed charges,,12057.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOCAINE 20 % MUCOSAL GEL [510],0637,RC,,,,,inpatient,,,129.47,,64.735,77.682,130.725859,121.7018,,,,percent of total billed charges,,103.576,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,107.4601,,,,percent of total billed charges,,116.523,,,,percent of total billed charges,,119.1124,,,,percent of total billed charges,,119.1124,,,,percent of total billed charges,,122.47862,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,125.5859,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,113.9336,,,,percent of total billed charges,,116.523,,,,percent of total billed charges,,83.89656,,,,percent of total billed charges,,116.523,,,,percent of total billed charges,,77.682,,,,percent of total billed charges,,130.725859,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,122.9965,,,,percent of total billed charges,,103.576,,,,percent of total billed charges,,77.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOCAINE 20 % MUCOSAL GEL [510],0637,RC,,,,,inpatient,,,19.04,,9.52,11.424,19.224688,17.8976,,,,percent of total billed charges,,15.232,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,15.8032,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,17.5168,,,,percent of total billed charges,,17.5168,,,,percent of total billed charges,,18.01184,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,18.4688,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,16.7552,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,12.33792,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,19.224688,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,18.088,,,,percent of total billed charges,,15.232,,,,percent of total billed charges,,11.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOCAINE-MENTHOL SORE THROAT LOZENGE WRAPPER [1000626],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE [135454],0637,RC,,,,,inpatient,,,27.62,,13.81,16.572,27.887914,25.9628,,,,percent of total billed charges,,22.096,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,22.9246,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,25.4104,,,,percent of total billed charges,,25.4104,,,,percent of total billed charges,,26.12852,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,26.7914,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,24.3056,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,17.89776,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,16.572,,,,percent of total billed charges,,27.887914,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,26.239,,,,percent of total billed charges,,22.096,,,,percent of total billed charges,,16.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,,,,,inpatient,,,2.82,,1.41,1.692,2.847354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.82736,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.847354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,,,,,inpatient,,,2.82,,1.41,1.692,2.847354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.82736,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.847354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZONATATE 100 MG CAPSULE [988],0637,RC,,,,,inpatient,,,2.09,,1.045,1.254,2.110273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.35432,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,2.110273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,,,,,inpatient,,,1.26,,0.63,0.756,1.272222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.81648,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.272222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,,,,,inpatient,,,1.26,,0.63,0.756,1.272222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.81648,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.272222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 0.5 MG TABLET [998],0637,RC,,,,,inpatient,,,1.27,,0.635,0.762,1.282319,1.1938,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.0541,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.20142,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.1176,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.82296,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,1.282319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,,,,,inpatient,,,1.86,,0.93,1.116,1.878042,1.7484,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.5438,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.75956,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.8042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.6368,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.20528,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.878042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,,,,,inpatient,,,1.86,,0.93,1.116,1.878042,1.7484,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.5438,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.75956,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.8042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.6368,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.20528,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.878042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,,,,,inpatient,,,1.17,,0.585,0.702,1.181349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.75816,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.181349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,,,,,inpatient,,,1.17,,0.585,0.702,1.181349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.75816,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.181349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG TABLET [999],0250,RC,,,,,inpatient,,,2.13,,1.065,1.278,2.150661,2.0022,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,1.7679,,,,percent of total billed charges,,1.917,,,,percent of total billed charges,,1.9596,,,,percent of total billed charges,,1.9596,,,,percent of total billed charges,,2.01498,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,2.0661,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,1.8744,,,,percent of total billed charges,,1.917,,,,percent of total billed charges,,1.38024,,,,percent of total billed charges,,1.917,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,2.150661,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,2.0235,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG/ML INJECTION SOLUTION [81453],0636,RC,,,,,inpatient,,,114.67,,57.335,68.802,115.782299,107.7898,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,95.1761,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,108.47782,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,111.2299,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,100.9096,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,74.30616,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,115.782299,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG/ML INJECTION SOLUTION [81453],0636,RC,,,,,inpatient,,,124.09,,62.045,74.454,125.293673,116.6446,,,,percent of total billed charges,,99.272,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,102.9947,,,,percent of total billed charges,,111.681,,,,percent of total billed charges,,114.1628,,,,percent of total billed charges,,114.1628,,,,percent of total billed charges,,117.38914,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,120.3673,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,109.1992,,,,percent of total billed charges,,111.681,,,,percent of total billed charges,,80.41032,,,,percent of total billed charges,,111.681,,,,percent of total billed charges,,74.454,,,,percent of total billed charges,,125.293673,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,117.8855,,,,percent of total billed charges,,99.272,,,,percent of total billed charges,,74.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENZTROPINE 1 MG/ML INJECTION SOLUTION [81453],0636,RC,,,,,inpatient,,,114.67,,57.335,68.802,115.782299,107.7898,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,95.1761,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,105.4964,,,,percent of total billed charges,,108.47782,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,111.2299,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,100.9096,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,74.30616,,,,percent of total billed charges,,103.203,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,115.782299,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,108.9365,,,,percent of total billed charges,,91.736,,,,percent of total billed charges,,68.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,,,,,inpatient,,,144.77,,72.385,86.862,146.174269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,93.81096,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,146.174269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,,,,,inpatient,,,153.59,,76.795,92.154,155.079823,144.3746,,,,percent of total billed charges,,122.872,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,127.4797,,,,percent of total billed charges,,138.231,,,,percent of total billed charges,,141.3028,,,,percent of total billed charges,,141.3028,,,,percent of total billed charges,,145.29614,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,148.9823,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,135.1592,,,,percent of total billed charges,,138.231,,,,percent of total billed charges,,99.52632,,,,percent of total billed charges,,138.231,,,,percent of total billed charges,,92.154,,,,percent of total billed charges,,155.079823,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,145.9105,,,,percent of total billed charges,,122.872,,,,percent of total billed charges,,92.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,,,,,inpatient,,,156.33,,78.165,93.798,157.846401,146.9502,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,129.7539,,,,percent of total billed charges,,140.697,,,,percent of total billed charges,,143.8236,,,,percent of total billed charges,,143.8236,,,,percent of total billed charges,,147.88818,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,151.6401,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,137.5704,,,,percent of total billed charges,,140.697,,,,percent of total billed charges,,101.30184,,,,percent of total billed charges,,140.697,,,,percent of total billed charges,,93.798,,,,percent of total billed charges,,157.846401,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,148.5135,,,,percent of total billed charges,,125.064,,,,percent of total billed charges,,93.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,,,,,inpatient,,,144.77,,72.385,86.862,146.174269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,93.81096,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,146.174269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [79645],0636,RC,,,,,inpatient,,,171.77,,85.885,103.062,173.436169,161.4638,,,,percent of total billed charges,,137.416,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,142.5691,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,158.0284,,,,percent of total billed charges,,158.0284,,,,percent of total billed charges,,162.49442,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,166.6169,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,151.1576,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,111.30696,,,,percent of total billed charges,,154.593,,,,percent of total billed charges,,103.062,,,,percent of total billed charges,,173.436169,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,163.1815,,,,percent of total billed charges,,137.416,,,,percent of total billed charges,,103.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,,,,,inpatient,,,2.3,,1.15,1.38,2.32231,2.162,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,1.909,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.116,,,,percent of total billed charges,,2.116,,,,percent of total billed charges,,2.1758,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,2.231,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,2.024,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,2.32231,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,2.185,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,,,,,inpatient,,,3.13,,1.565,1.878,3.160361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.02824,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,3.160361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,,,,,inpatient,,,3.13,,1.565,1.878,3.160361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.02824,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,3.160361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,,,,,inpatient,,,1.99,,0.995,1.194,2.009303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.28952,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,2.009303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,,,,,inpatient,,,4.18,,2.09,2.508,4.220546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.70864,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,4.220546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BETHANECHOL CHLORIDE 25 MG TABLET [1044],0637,RC,,,,,inpatient,,,4.18,,2.09,2.508,4.220546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.70864,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,4.220546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [89897],0636,RC,,,,,inpatient,,,12121.46,,6060.73,7272.876,12239.03816,11394.1724,,,,percent of total billed charges,,9697.168,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,10060.8118,,,,percent of total billed charges,,10909.314,,,,percent of total billed charges,,11151.7432,,,,percent of total billed charges,,11151.7432,,,,percent of total billed charges,,11466.90116,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,11757.8162,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,10666.8848,,,,percent of total billed charges,,10909.314,,,,percent of total billed charges,,7854.70608,,,,percent of total billed charges,,10909.314,,,,percent of total billed charges,,7272.876,,,,percent of total billed charges,,12239.03816,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,11515.387,,,,percent of total billed charges,,9697.168,,,,percent of total billed charges,,7272.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [89897],0636,RC,,,,,inpatient,,,3586.23,,1793.115,2151.738,3621.016431,3371.0562,,,,percent of total billed charges,,2868.984,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,2976.5709,,,,percent of total billed charges,,3227.607,,,,percent of total billed charges,,3299.3316,,,,percent of total billed charges,,3299.3316,,,,percent of total billed charges,,3392.57358,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,3478.6431,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,3155.8824,,,,percent of total billed charges,,3227.607,,,,percent of total billed charges,,2323.87704,,,,percent of total billed charges,,3227.607,,,,percent of total billed charges,,2151.738,,,,percent of total billed charges,,3621.016431,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,3406.9185,,,,percent of total billed charges,,2868.984,,,,percent of total billed charges,,2151.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [89897],0636,RC,,,,,inpatient,,,14344.92,,7172.46,8606.952,14484.06572,13484.2248,,,,percent of total billed charges,,11475.936,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,11906.2836,,,,percent of total billed charges,,12910.428,,,,percent of total billed charges,,13197.3264,,,,percent of total billed charges,,13197.3264,,,,percent of total billed charges,,13570.29432,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,13914.5724,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,12623.5296,,,,percent of total billed charges,,12910.428,,,,percent of total billed charges,,9295.50816,,,,percent of total billed charges,,12910.428,,,,percent of total billed charges,,8606.952,,,,percent of total billed charges,,14484.06572,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,13627.674,,,,percent of total billed charges,,11475.936,,,,percent of total billed charges,,8606.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [237749],0636,RC,,,,,inpatient,,,9174.37,,4587.185,5504.622,9263.361389,8623.9078,,,,percent of total billed charges,,7339.496,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,7614.7271,,,,percent of total billed charges,,8256.933,,,,percent of total billed charges,,8440.4204,,,,percent of total billed charges,,8440.4204,,,,percent of total billed charges,,8678.95402,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,8899.1389,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,8073.4456,,,,percent of total billed charges,,8256.933,,,,percent of total billed charges,,5944.99176,,,,percent of total billed charges,,8256.933,,,,percent of total billed charges,,5504.622,,,,percent of total billed charges,,9263.361389,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,8715.6515,,,,percent of total billed charges,,7339.496,,,,percent of total billed charges,,5504.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [237749],0636,RC,,,,,inpatient,,,2714.31,,1357.155,1628.586,2740.638807,2551.4514,,,,percent of total billed charges,,2171.448,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2252.8773,,,,percent of total billed charges,,2442.879,,,,percent of total billed charges,,2497.1652,,,,percent of total billed charges,,2497.1652,,,,percent of total billed charges,,2567.73726,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2632.8807,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2388.5928,,,,percent of total billed charges,,2442.879,,,,percent of total billed charges,,1758.87288,,,,percent of total billed charges,,2442.879,,,,percent of total billed charges,,1628.586,,,,percent of total billed charges,,2740.638807,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2578.5945,,,,percent of total billed charges,,2171.448,,,,percent of total billed charges,,1628.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [237749],0636,RC,,,,,inpatient,,,10857.24,,5428.62,6514.344,10962.55523,10205.8056,,,,percent of total billed charges,,8685.792,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,9011.5092,,,,percent of total billed charges,,9771.516,,,,percent of total billed charges,,9988.6608,,,,percent of total billed charges,,9988.6608,,,,percent of total billed charges,,10270.94904,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,10531.5228,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,9554.3712,,,,percent of total billed charges,,9771.516,,,,percent of total billed charges,,7035.49152,,,,percent of total billed charges,,9771.516,,,,percent of total billed charges,,6514.344,,,,percent of total billed charges,,10962.55523,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,10314.378,,,,percent of total billed charges,,8685.792,,,,percent of total billed charges,,6514.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [233238],0636,RC,,,,,inpatient,,,17099.82,,8549.91,10259.892,17265.68825,16073.8308,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,14192.8506,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,16176.42972,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16586.8254,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,15047.8416,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,11080.68336,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,17265.68825,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [233238],0636,RC,,,,,inpatient,,,17099.82,,8549.91,10259.892,17265.68825,16073.8308,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,14192.8506,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,15731.8344,,,,percent of total billed charges,,16176.42972,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16586.8254,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,15047.8416,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,11080.68336,,,,percent of total billed charges,,15389.838,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,17265.68825,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,16244.829,,,,percent of total billed charges,,13679.856,,,,percent of total billed charges,,10259.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION [233238],0636,RC,,,,,inpatient,,,11559.48,,5779.74,6935.688,11671.60696,10865.9112,,,,percent of total billed charges,,9247.584,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,9594.3684,,,,percent of total billed charges,,10403.532,,,,percent of total billed charges,,10634.7216,,,,percent of total billed charges,,10634.7216,,,,percent of total billed charges,,10935.26808,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,11212.6956,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,10172.3424,,,,percent of total billed charges,,10403.532,,,,percent of total billed charges,,7490.54304,,,,percent of total billed charges,,10403.532,,,,percent of total billed charges,,6935.688,,,,percent of total billed charges,,11671.60696,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,10981.506,,,,percent of total billed charges,,9247.584,,,,percent of total billed charges,,6935.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICALUTAMIDE 50 MG TABLET [77221],0637,RC,,,,,inpatient,,,3.35,,1.675,2.01,3.382495,3.149,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.7805,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.1691,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.2495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.948,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.1708,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,3.382495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICALUTAMIDE 50 MG TABLET [77221],0637,RC,,,,,inpatient,,,2.09,,1.045,1.254,2.110273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.35432,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,2.110273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICALUTAMIDE 50 MG TABLET [77221],0637,RC,,,,,inpatient,,,1.59,,0.795,0.954,1.605423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.03032,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.605423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [239221],0637,RC,,,,,inpatient,,,576.28,,288.14,345.768,581.869916,541.7032,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,478.3124,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,545.16088,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,558.9916,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,507.1264,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,373.42944,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,581.869916,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET [239221],0637,RC,,,,,inpatient,,,576.28,,288.14,345.768,581.869916,541.7032,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,478.3124,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,530.1776,,,,percent of total billed charges,,545.16088,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,558.9916,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,507.1264,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,373.42944,,,,percent of total billed charges,,518.652,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,581.869916,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,547.466,,,,percent of total billed charges,,461.024,,,,percent of total billed charges,,345.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0637,RC,,,,,inpatient,,,1.1,,0.55,0.66,1.11067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.11067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISACODYL 10 MG RECTAL SUPPOSITORY [1080],0637,RC,,,,,inpatient,,,1.17,,0.585,0.702,1.181349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.75816,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.181349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BISACODYL 5 MG TABLET,DELAYED RELEASE [13632]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET [81328],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION [80549],0637,RC,,,,,inpatient,,,9.03,,4.515,5.418,9.117591,8.4882,,,,percent of total billed charges,,7.224,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,7.4949,,,,percent of total billed charges,,8.127,,,,percent of total billed charges,,8.3076,,,,percent of total billed charges,,8.3076,,,,percent of total billed charges,,8.54238,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,8.7591,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,7.9464,,,,percent of total billed charges,,8.127,,,,percent of total billed charges,,5.85144,,,,percent of total billed charges,,8.127,,,,percent of total billed charges,,5.418,,,,percent of total billed charges,,9.117591,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,8.5785,,,,percent of total billed charges,,7.224,,,,percent of total billed charges,,5.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION [80549],0637,RC,,,,,inpatient,,,5.31,,2.655,3.186,5.361507,4.9914,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.4073,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,5.02326,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.1507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.6728,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.44088,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,5.361507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION [80549],0637,RC,,,,,inpatient,,,5.85,,2.925,3.51,5.906745,5.499,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.8555,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5341,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.6745,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.148,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,3.7908,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,5.906745,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,,,,,inpatient,,,310.2,,155.1,186.12,313.20894,291.588,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,257.466,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,293.4492,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,300.894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,272.976,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,201.0096,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,313.20894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,,,,,inpatient,,,4003.16,,2001.58,2401.896,4041.990652,3762.9704,,,,percent of total billed charges,,3202.528,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3322.6228,,,,percent of total billed charges,,3602.844,,,,percent of total billed charges,,3682.9072,,,,percent of total billed charges,,3682.9072,,,,percent of total billed charges,,3786.98936,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3883.0652,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3522.7808,,,,percent of total billed charges,,3602.844,,,,percent of total billed charges,,2594.04768,,,,percent of total billed charges,,3602.844,,,,percent of total billed charges,,2401.896,,,,percent of total billed charges,,4041.990652,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3803.002,,,,percent of total billed charges,,3202.528,,,,percent of total billed charges,,2401.896,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,,,,,inpatient,,,310.2,,155.1,186.12,313.20894,291.588,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,257.466,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,293.4492,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,300.894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,272.976,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,201.0096,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,313.20894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,,,,,inpatient,,,310.2,,155.1,186.12,313.20894,291.588,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,257.466,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,285.384,,,,percent of total billed charges,,293.4492,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,300.894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,272.976,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,201.0096,,,,percent of total billed charges,,279.18,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,313.20894,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,294.69,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,,,,,inpatient,,,258.98,,129.49,155.388,261.492106,243.4412,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,214.9534,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,244.99508,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,251.2106,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,227.9024,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,167.81904,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,261.492106,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,,,,,inpatient,,,258.98,,129.49,155.388,261.492106,243.4412,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,214.9534,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,238.2616,,,,percent of total billed charges,,244.99508,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,251.2106,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,227.9024,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,167.81904,,,,percent of total billed charges,,233.082,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,261.492106,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,246.031,,,,percent of total billed charges,,207.184,,,,percent of total billed charges,,155.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,,,,,inpatient,,,186.08,,93.04,111.648,187.884976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,120.57984,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,187.884976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION [245619],0636,RC,,,,,inpatient,,,186.08,,93.04,111.648,187.884976,174.9152,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,154.4464,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,171.1936,,,,percent of total billed charges,,176.03168,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,180.4976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,163.7504,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,120.57984,,,,percent of total billed charges,,167.472,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,187.884976,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,176.776,,,,percent of total billed charges,,148.864,,,,percent of total billed charges,,111.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION [80313],0636,RC,,,,,inpatient,,,24.82,,12.41,14.892,25.060754,23.3308,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,20.6006,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,23.47972,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,24.0754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,21.8416,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,16.08336,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,25.060754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],0636,RC,,,,,inpatient,,,73.49,,36.745,44.094,74.202853,69.0806,,,,percent of total billed charges,,58.792,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,60.9967,,,,percent of total billed charges,,66.141,,,,percent of total billed charges,,67.6108,,,,percent of total billed charges,,67.6108,,,,percent of total billed charges,,69.52154,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,71.2853,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,64.6712,,,,percent of total billed charges,,66.141,,,,percent of total billed charges,,47.62152,,,,percent of total billed charges,,66.141,,,,percent of total billed charges,,44.094,,,,percent of total billed charges,,74.202853,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,69.8155,,,,percent of total billed charges,,58.792,,,,percent of total billed charges,,44.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],0636,RC,,,,,inpatient,,,90.59,,45.295,54.354,91.468723,85.1546,,,,percent of total billed charges,,72.472,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,75.1897,,,,percent of total billed charges,,81.531,,,,percent of total billed charges,,83.3428,,,,percent of total billed charges,,83.3428,,,,percent of total billed charges,,85.69814,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,87.8723,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,79.7192,,,,percent of total billed charges,,81.531,,,,percent of total billed charges,,58.70232,,,,percent of total billed charges,,81.531,,,,percent of total billed charges,,54.354,,,,percent of total billed charges,,91.468723,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,86.0605,,,,percent of total billed charges,,72.472,,,,percent of total billed charges,,54.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],0636,RC,,,,,inpatient,,,436.5,,218.25,261.9,440.73405,410.31,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,362.295,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,412.929,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,423.405,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,282.852,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,440.73405,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [17012],0636,RC,,,,,inpatient,,,209.48,,104.74,125.688,211.511956,196.9112,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,173.8684,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,192.7216,,,,percent of total billed charges,,198.16808,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,203.1956,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,184.3424,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,135.74304,,,,percent of total billed charges,,188.532,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,211.511956,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,199.006,,,,percent of total billed charges,,167.584,,,,percent of total billed charges,,125.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION [9289],0636,RC,,,,,inpatient,,,82.8,,41.4,49.68,83.60316,77.832,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.316,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,72.864,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,83.60316,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,,,,,inpatient,,,7213.5,,3606.75,4328.1,7283.47095,6780.69,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5987.205,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6823.971,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6997.095,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6347.88,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,4674.348,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,7283.47095,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,,,,,inpatient,,,123.44,,61.72,74.064,124.637368,116.0336,,,,percent of total billed charges,,98.752,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,102.4552,,,,percent of total billed charges,,111.096,,,,percent of total billed charges,,113.5648,,,,percent of total billed charges,,113.5648,,,,percent of total billed charges,,116.77424,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,119.7368,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,108.6272,,,,percent of total billed charges,,111.096,,,,percent of total billed charges,,79.98912,,,,percent of total billed charges,,111.096,,,,percent of total billed charges,,74.064,,,,percent of total billed charges,,124.637368,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,117.268,,,,percent of total billed charges,,98.752,,,,percent of total billed charges,,74.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,,,,,inpatient,,,10305,,5152.5,6183,10404.9585,9686.7,,,,percent of total billed charges,,8244,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,8553.15,,,,percent of total billed charges,,9274.5,,,,percent of total billed charges,,9480.6,,,,percent of total billed charges,,9480.6,,,,percent of total billed charges,,9748.53,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,9995.85,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,9068.4,,,,percent of total billed charges,,9274.5,,,,percent of total billed charges,,6677.64,,,,percent of total billed charges,,9274.5,,,,percent of total billed charges,,6183,,,,percent of total billed charges,,10404.9585,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,9789.75,,,,percent of total billed charges,,8244,,,,percent of total billed charges,,6183,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 2.5 MG/ML SUBQ INJECTION (USING 3.5 MG VIAL) [1000640],0636,RC,,,,,inpatient,,,150.62,,75.31,90.372,152.081014,141.5828,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,125.0146,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,142.48652,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,146.1014,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,132.5456,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,97.60176,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,152.081014,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [87778],0636,RC,,,,,inpatient,,,7213.5,,3606.75,4328.1,7283.47095,6780.69,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5987.205,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6636.42,,,,percent of total billed charges,,6823.971,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6997.095,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6347.88,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,4674.348,,,,percent of total billed charges,,6492.15,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,7283.47095,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,6852.825,,,,percent of total billed charges,,5770.8,,,,percent of total billed charges,,4328.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION [87778],0636,RC,,,,,inpatient,,,150.62,,75.31,90.372,152.081014,141.5828,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,125.0146,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,138.5704,,,,percent of total billed charges,,142.48652,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,146.1014,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,132.5456,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,97.60176,,,,percent of total billed charges,,135.558,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,152.081014,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,143.089,,,,percent of total billed charges,,120.496,,,,percent of total billed charges,,90.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [206592],0636,RC,,,,,inpatient,,,96265.92,,48132.96,57759.552,97199.69942,90489.9648,,,,percent of total billed charges,,77012.736,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,79900.7136,,,,percent of total billed charges,,86639.328,,,,percent of total billed charges,,88564.6464,,,,percent of total billed charges,,88564.6464,,,,percent of total billed charges,,91067.56032,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,93377.9424,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,84714.0096,,,,percent of total billed charges,,86639.328,,,,percent of total billed charges,,62380.31616,,,,percent of total billed charges,,86639.328,,,,percent of total billed charges,,57759.552,,,,percent of total billed charges,,97199.69942,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,91452.624,,,,percent of total billed charges,,77012.736,,,,percent of total billed charges,,57759.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [206592],0636,RC,,,,,inpatient,,,45208,,22604,27124.8,45646.5176,42495.52,,,,percent of total billed charges,,36166.4,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,37522.64,,,,percent of total billed charges,,40687.2,,,,percent of total billed charges,,41591.36,,,,percent of total billed charges,,41591.36,,,,percent of total billed charges,,42766.768,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,43851.76,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,39783.04,,,,percent of total billed charges,,40687.2,,,,percent of total billed charges,,29294.784,,,,percent of total billed charges,,40687.2,,,,percent of total billed charges,,27124.8,,,,percent of total billed charges,,45646.5176,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,42947.6,,,,percent of total billed charges,,36166.4,,,,percent of total billed charges,,27124.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BREXPIPRAZOLE 0.5 MG TABLET [226391],0637,RC,,,,,inpatient,,,202.88,,101.44,121.728,204.847936,190.7072,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,168.3904,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,191.92448,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,196.7936,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,178.5344,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,131.46624,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,204.847936,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BREXPIPRAZOLE 1 MG TABLET [226392],0637,RC,,,,,inpatient,,,202.88,,101.44,121.728,204.847936,190.7072,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,168.3904,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,186.6496,,,,percent of total billed charges,,191.92448,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,196.7936,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,178.5344,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,131.46624,,,,percent of total billed charges,,182.592,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,204.847936,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,192.736,,,,percent of total billed charges,,162.304,,,,percent of total billed charges,,121.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRIMONIDINE 0.2 % EYE DROPS [17881],0637,RC,,,,,inpatient,,,27.59,,13.795,16.554,27.857623,25.9346,,,,percent of total billed charges,,22.072,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,22.8997,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,25.3828,,,,percent of total billed charges,,25.3828,,,,percent of total billed charges,,26.10014,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,26.7623,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,24.2792,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,17.87832,,,,percent of total billed charges,,24.831,,,,percent of total billed charges,,16.554,,,,percent of total billed charges,,27.857623,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,26.2105,,,,percent of total billed charges,,22.072,,,,percent of total billed charges,,16.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRIMONIDINE 0.2 % EYE DROPS [17881],0637,RC,,,,,inpatient,,,25.56,,12.78,15.336,25.807932,24.0264,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,21.2148,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,24.17976,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.7932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,22.4928,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,16.56288,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,25.807932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,,,,,inpatient,,,42.39,,21.195,25.434,42.801183,39.8466,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,35.1837,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,40.10094,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,41.1183,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,37.3032,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,27.46872,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,42.801183,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,,,,,inpatient,,,15.02,,7.51,9.012,15.165694,14.1188,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.4666,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,14.20892,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.5694,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,13.2176,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,9.73296,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,15.165694,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,,,,,inpatient,,,38.35,,19.175,23.01,38.721995,36.049,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,31.8305,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,36.2791,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,37.1995,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,33.748,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,24.8508,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,38.721995,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [81364],0637,RC,,,,,inpatient,,,38.35,,19.175,23.01,38.721995,36.049,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,31.8305,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,35.282,,,,percent of total billed charges,,36.2791,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,37.1995,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,33.748,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,24.8508,,,,percent of total billed charges,,34.515,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,38.721995,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,36.4325,,,,percent of total billed charges,,30.68,,,,percent of total billed charges,,23.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,,,,,inpatient,,,53.52,,26.76,32.112,54.039144,50.3088,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,44.4216,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,50.62992,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,51.9144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,47.0976,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,34.68096,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,54.039144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,,,,,inpatient,,,53.52,,26.76,32.112,54.039144,50.3088,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,44.4216,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,49.2384,,,,percent of total billed charges,,50.62992,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,51.9144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,47.0976,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,34.68096,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,54.039144,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,50.844,,,,percent of total billed charges,,42.816,,,,percent of total billed charges,,32.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,,,,,inpatient,,,2.19,,1.095,1.314,2.211243,2.0586,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.8177,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.07174,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.1243,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.9272,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.41912,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,2.211243,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,,,,,inpatient,,,60.75,,30.375,36.45,61.339275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,61.339275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [81983]",0637,RC,,,,,inpatient,,,60.75,,30.375,36.45,61.339275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,61.339275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INFUSION (NON-TITRATABLE TASK) [1001911],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,5.94,,2.97,3.564,5.997618,5.5836,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,4.9302,,,,percent of total billed charges,,5.346,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.4648,,,,percent of total billed charges,,5.61924,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.7618,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.2272,,,,percent of total billed charges,,5.346,,,,percent of total billed charges,,3.84912,,,,percent of total billed charges,,5.346,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,5.997618,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,5.643,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,3.98,,1.99,2.388,4.018606,3.7412,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.3034,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.76508,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.8606,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.5024,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,2.57904,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,4.018606,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,12.37,,6.185,7.422,12.489989,11.6278,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.2671,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.70202,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.9989,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.8856,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,8.01576,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,12.489989,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,13.41,,6.705,8.046,13.540077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.68968,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,13.540077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,13.41,,6.705,8.046,13.540077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.68968,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,13.540077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,12.37,,6.185,7.422,12.489989,11.6278,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.2671,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.3804,,,,percent of total billed charges,,11.70202,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.9989,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,10.8856,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,8.01576,,,,percent of total billed charges,,11.133,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,12.489989,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,11.7515,,,,percent of total billed charges,,9.896,,,,percent of total billed charges,,7.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,3.98,,1.99,2.388,4.018606,3.7412,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.3034,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.6616,,,,percent of total billed charges,,3.76508,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.8606,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.5024,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,2.57904,,,,percent of total billed charges,,3.582,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,4.018606,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.781,,,,percent of total billed charges,,3.184,,,,percent of total billed charges,,2.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,9.18,,4.59,5.508,9.269046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.94864,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,9.269046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,9.18,,4.59,5.508,9.269046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.94864,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,9.269046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,9.99,,4.995,5.994,10.086903,9.3906,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.2917,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.45054,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.6903,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.7912,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,6.47352,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,10.086903,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,9.99,,4.995,5.994,10.086903,9.3906,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.2917,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.1908,,,,percent of total billed charges,,9.45054,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.6903,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,8.7912,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,6.47352,,,,percent of total billed charges,,8.991,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,10.086903,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,9.4905,,,,percent of total billed charges,,7.992,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,10.77,,5.385,6.462,10.874469,10.1238,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.9391,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,10.18842,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.4469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,9.4776,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.97896,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,10.874469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,10.77,,5.385,6.462,10.874469,10.1238,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.9391,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,10.18842,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.4469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,9.4776,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.97896,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,10.874469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,12.42,,6.21,7.452,12.540474,11.6748,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.3086,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.74932,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,12.0474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.9296,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,8.04816,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,12.540474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,12.42,,6.21,7.452,12.540474,11.6748,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.3086,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.4264,,,,percent of total billed charges,,11.74932,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,12.0474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,10.9296,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,8.04816,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,12.540474,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,11.799,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,6.99,,3.495,4.194,7.057803,6.5706,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.8017,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.61254,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.7803,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.1512,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,4.52952,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,7.057803,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,6.99,,3.495,4.194,7.057803,6.5706,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.8017,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.4308,,,,percent of total billed charges,,6.61254,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.7803,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.1512,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,4.52952,,,,percent of total billed charges,,6.291,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,7.057803,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,6.6405,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,7.52,,3.76,4.512,7.592944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.87296,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,7.592944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,7.52,,3.76,4.512,7.592944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.87296,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,7.592944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,6.81,,3.405,4.086,6.876057,6.4014,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.6523,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.44226,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.6057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.9928,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.41288,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,6.876057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,6.81,,3.405,4.086,6.876057,6.4014,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.6523,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.44226,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.6057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.9928,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.41288,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,6.876057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,8.19,,4.095,4.914,8.269443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,5.30712,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,8.269443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [9308],0250,RC,,,,,inpatient,,,8.19,,4.095,4.914,8.269443,7.6986,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.7977,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.5348,,,,percent of total billed charges,,7.74774,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.9443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.2072,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,5.30712,,,,percent of total billed charges,,7.371,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,8.269443,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,7.7805,,,,percent of total billed charges,,6.552,,,,percent of total billed charges,,4.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,7.11,,3.555,4.266,7.178967,6.6834,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.9013,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.72606,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.8967,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.2568,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,4.60728,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,7.178967,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,7.11,,3.555,4.266,7.178967,6.6834,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.9013,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.5412,,,,percent of total billed charges,,6.72606,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.8967,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.2568,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,4.60728,,,,percent of total billed charges,,6.399,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,7.178967,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,6.7545,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,4.83,,2.415,2.898,4.876851,4.5402,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.0089,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.56918,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.6851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,3.12984,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,4.876851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,4.83,,2.415,2.898,4.876851,4.5402,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.0089,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.4436,,,,percent of total billed charges,,4.56918,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.6851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,3.12984,,,,percent of total billed charges,,4.347,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,4.876851,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,4.5885,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,4.79,,2.395,2.874,4.836463,4.5026,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.9757,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.53134,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.6463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.2152,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,3.10392,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,4.836463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,4.79,,2.395,2.874,4.836463,4.5026,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.9757,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.53134,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.6463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.2152,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,3.10392,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,4.836463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUMETANIDE 1 MG TABLET [9310],0637,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,,,,,inpatient,,,11.08,,5.54,6.648,11.187476,10.4152,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.1964,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.48168,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.7476,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.7504,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,7.17984,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,11.187476,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,,,,,inpatient,,,16.83,,8.415,10.098,16.993251,15.8202,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,13.9689,,,,percent of total billed charges,,15.147,,,,percent of total billed charges,,15.4836,,,,percent of total billed charges,,15.4836,,,,percent of total billed charges,,15.92118,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,16.3251,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,14.8104,,,,percent of total billed charges,,15.147,,,,percent of total billed charges,,10.90584,,,,percent of total billed charges,,15.147,,,,percent of total billed charges,,10.098,,,,percent of total billed charges,,16.993251,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,15.9885,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,10.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [9316],0250,RC,,,,,inpatient,,,11.08,,5.54,6.648,11.187476,10.4152,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.1964,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.1936,,,,percent of total billed charges,,10.48168,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.7476,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,9.7504,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,7.17984,,,,percent of total billed charges,,9.972,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,11.187476,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,10.526,,,,percent of total billed charges,,8.864,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,14.85,,7.425,8.91,14.994045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,9.6228,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,14.994045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,16.2,,8.1,9.72,16.35714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,10.4976,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,16.35714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,8.82,,4.41,5.292,8.905554,8.2908,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.3206,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.34372,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5554,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.7616,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,5.71536,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,8.905554,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,11.07,,5.535,6.642,11.177379,10.4058,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.1881,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.47222,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.7379,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.7416,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,7.17336,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,11.177379,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,0.96,,0.48,0.576,0.969312,0.9024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.7968,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.90816,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.9312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.8448,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.62208,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.969312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,1.28,,0.64,0.768,1.292416,1.2032,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.0624,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.21088,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.2416,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.1264,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.82944,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,1.292416,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,10.85,,5.425,6.51,10.955245,10.199,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.0055,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,10.2641,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.5245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.548,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,7.0308,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,10.955245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,16.2,,8.1,9.72,16.35714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,10.4976,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,16.35714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,8.82,,4.41,5.292,8.905554,8.2908,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.3206,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.1144,,,,percent of total billed charges,,8.34372,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5554,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.7616,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,5.71536,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,8.905554,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,7.056,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,14.85,,7.425,8.91,14.994045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,9.6228,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,14.994045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,15.53,,7.765,9.318,15.680641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,10.06344,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,15.680641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,15.53,,7.765,9.318,15.680641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,10.06344,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,15.680641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [1224],0250,RC,,,,,inpatient,,,20.66,,10.33,12.396,20.860402,19.4204,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,17.1478,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.54436,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,20.0402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,18.1808,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,13.38768,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,20.860402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE 0.25% LOCAL INFILTRATION [231970],0250,RC,,,,,inpatient,,,11.93,,5.965,7.158,12.045721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.73064,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,12.045721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE 0.5% LOCAL INFILTRATION [244669],0250,RC,,,,,inpatient,,,16.88,,8.44,10.128,17.043736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.93824,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,17.043736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,,,,,inpatient,,,1511.82,,755.91,907.092,1526.484654,1421.1108,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1254.8106,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1430.18172,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1466.4654,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1330.4016,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,979.65936,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,1526.484654,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,,,,,inpatient,,,889.07,,444.535,533.442,897.693979,835.7258,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,737.9281,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,841.06022,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,862.3979,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,782.3816,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,576.11736,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,897.693979,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,,,,,inpatient,,,889.07,,444.535,533.442,897.693979,835.7258,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,737.9281,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,817.9444,,,,percent of total billed charges,,841.06022,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,862.3979,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,782.3816,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,576.11736,,,,percent of total billed charges,,800.163,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,897.693979,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,844.6165,,,,percent of total billed charges,,711.256,,,,percent of total billed charges,,533.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [209929],0636,RC,,,,,inpatient,,,1511.82,,755.91,907.092,1526.484654,1421.1108,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1254.8106,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1390.8744,,,,percent of total billed charges,,1430.18172,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1466.4654,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1330.4016,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,979.65936,,,,percent of total billed charges,,1360.638,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,1526.484654,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1436.229,,,,percent of total billed charges,,1209.456,,,,percent of total billed charges,,907.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,,,,,inpatient,,,20.73,,10.365,12.438,20.931081,19.4862,,,,percent of total billed charges,,16.584,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,17.2059,,,,percent of total billed charges,,18.657,,,,percent of total billed charges,,19.0716,,,,percent of total billed charges,,19.0716,,,,percent of total billed charges,,19.61058,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,20.1081,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,18.2424,,,,percent of total billed charges,,18.657,,,,percent of total billed charges,,13.43304,,,,percent of total billed charges,,18.657,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,20.931081,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,19.6935,,,,percent of total billed charges,,16.584,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [201165],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,,,,,inpatient,,,37.15,,18.575,22.29,37.510355,34.921,,,,percent of total billed charges,,29.72,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,30.8345,,,,percent of total billed charges,,33.435,,,,percent of total billed charges,,34.178,,,,percent of total billed charges,,34.178,,,,percent of total billed charges,,35.1439,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,36.0355,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,32.692,,,,percent of total billed charges,,33.435,,,,percent of total billed charges,,24.0732,,,,percent of total billed charges,,33.435,,,,percent of total billed charges,,22.29,,,,percent of total billed charges,,37.510355,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,35.2925,,,,percent of total billed charges,,29.72,,,,percent of total billed charges,,22.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,,,,,inpatient,,,15.25,,7.625,9.15,15.397925,14.335,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.6575,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.4265,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.7925,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,13.42,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,15.397925,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,,,,,inpatient,,,15.25,,7.625,9.15,15.397925,14.335,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.6575,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.03,,,,percent of total billed charges,,14.4265,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.7925,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,13.42,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,13.725,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,15.397925,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,14.4875,,,,percent of total billed charges,,12.2,,,,percent of total billed charges,,9.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,,,,,inpatient,,,15.76,,7.88,9.456,15.912872,14.8144,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.0808,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.90896,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,15.2872,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.8688,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,10.21248,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,15.912872,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM [216462],0637,RC,,,,,inpatient,,,15.76,,7.88,9.456,15.912872,14.8144,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.0808,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.4992,,,,percent of total billed charges,,14.90896,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,15.2872,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,13.8688,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,10.21248,,,,percent of total billed charges,,14.184,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,15.912872,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,14.972,,,,percent of total billed charges,,12.608,,,,percent of total billed charges,,9.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,,,,,inpatient,,,12.21,,6.105,7.326,12.328437,11.4774,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.1343,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.55066,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.8437,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.7448,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,7.91208,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,12.328437,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,,,,,inpatient,,,12.21,,6.105,7.326,12.328437,11.4774,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.1343,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.2332,,,,percent of total billed charges,,11.55066,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.8437,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,10.7448,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,7.91208,,,,percent of total billed charges,,10.989,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,12.328437,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,11.5995,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,7.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM [201166],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [87408],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,,,,,inpatient,,,15.04,,7.52,9.024,15.185888,14.1376,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.4832,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,14.22784,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.5888,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,13.2352,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,9.74592,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,15.185888,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,,,,,inpatient,,,15.04,,7.52,9.024,15.185888,14.1376,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.4832,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,13.8368,,,,percent of total billed charges,,14.22784,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.5888,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,13.2352,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,9.74592,,,,percent of total billed charges,,13.536,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,15.185888,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,14.288,,,,percent of total billed charges,,12.032,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET [87409],0636,RC,,,,,inpatient,,,11.52,,5.76,6.912,11.631744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.46496,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,11.631744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,,,,,inpatient,,,5.66,,2.83,3.396,5.714902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.66768,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.714902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,,,,,inpatient,,,5.66,,2.83,3.396,5.714902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.66768,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.714902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 100 MG TABLET [9321],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,,,,,inpatient,,,3.62,,1.81,2.172,3.655114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.34576,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.655114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,,,,,inpatient,,,3.62,,1.81,2.172,3.655114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.34576,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.655114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,,,,,inpatient,,,4.04,,2.02,2.424,4.079188,3.7976,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.3532,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.82184,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.9188,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.5552,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,2.61792,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,4.079188,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,,,,,inpatient,,,4.04,,2.02,2.424,4.079188,3.7976,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.3532,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.7168,,,,percent of total billed charges,,3.82184,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.9188,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.5552,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,2.61792,,,,percent of total billed charges,,3.636,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,4.079188,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.838,,,,percent of total billed charges,,3.232,,,,percent of total billed charges,,2.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,,,,,inpatient,,,4.88,,2.44,2.928,4.927336,4.5872,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.0504,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.61648,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.7336,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.2944,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,3.16224,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,4.927336,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,,,,,inpatient,,,4.88,,2.44,2.928,4.927336,4.5872,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.0504,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.4896,,,,percent of total billed charges,,4.61648,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.7336,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.2944,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,3.16224,,,,percent of total billed charges,,4.392,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,4.927336,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,4.636,,,,percent of total billed charges,,3.904,,,,percent of total billed charges,,2.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUPROPION HCL 75 MG TABLET [9322],0637,RC,,,,,inpatient,,,4.82,,2.41,2.892,4.866754,4.5308,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.0006,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.55972,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.6754,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.2416,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,3.12336,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,4.866754,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,,,,,inpatient,,,2.37,,1.185,1.422,2.392989,2.2278,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.9671,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.24202,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2989,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.0856,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.53576,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,2.392989,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,,,,,inpatient,,,2.37,,1.185,1.422,2.392989,2.2278,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.9671,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.1804,,,,percent of total billed charges,,2.24202,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2989,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.0856,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.53576,,,,percent of total billed charges,,2.133,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,2.392989,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,2.2515,,,,percent of total billed charges,,1.896,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [18385]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,,,,,inpatient,,,2.41,,1.205,1.446,2.433377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.56168,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.433377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,,,,,inpatient,,,2.41,,1.205,1.446,2.433377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.56168,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.433377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,,,,,inpatient,,,1.62,,0.81,0.972,1.635714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.04976,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.635714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [18386]",0637,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,,,,,inpatient,,,7.51,,3.755,4.506,7.582847,7.0594,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.2333,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,7.10446,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.2847,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.6088,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,4.86648,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,7.582847,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,,,,,inpatient,,,7.51,,3.755,4.506,7.582847,7.0594,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.2333,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,6.9092,,,,percent of total billed charges,,7.10446,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.2847,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.6088,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,4.86648,,,,percent of total billed charges,,6.759,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,7.582847,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,7.1345,,,,percent of total billed charges,,6.008,,,,percent of total billed charges,,4.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,,,,,inpatient,,,0.83,,0.415,0.498,0.838051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.53784,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.838051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,,,,,inpatient,,,9.04,,4.52,5.424,9.127688,8.4976,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.5032,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.55184,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.7688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.9552,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.85792,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,9.127688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,,,,,inpatient,,,9.04,,4.52,5.424,9.127688,8.4976,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.5032,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.55184,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.7688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.9552,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.85792,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,9.127688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,,,,,inpatient,,,3.67,,1.835,2.202,3.705599,3.4498,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.0461,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.47182,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.5599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.2296,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.37816,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,3.705599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE [88589]",0637,RC,,,,,inpatient,,,4.79,,2.395,2.874,4.836463,4.5026,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.9757,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.4068,,,,percent of total billed charges,,4.53134,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.6463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.2152,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,3.10392,,,,percent of total billed charges,,4.311,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,4.836463,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,4.5505,,,,percent of total billed charges,,3.832,,,,percent of total billed charges,,2.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 10 MG TABLET [9323],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 10 MG TABLET [9323],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 5 MG TABLET [9324],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUSPIRONE 5 MG TABLET [9324],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [8958],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [81157],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [81157],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTAMBEN-TETRACAINE-BENZOCAINE 2%-2%-14% TOPICAL SPRAY - CHI [7000106],0637,RC,,,,,inpatient,,,467.55,,233.775,280.53,472.085235,439.497,,,,percent of total billed charges,,374.04,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,388.0665,,,,percent of total billed charges,,420.795,,,,percent of total billed charges,,430.146,,,,percent of total billed charges,,430.146,,,,percent of total billed charges,,442.3023,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,453.5235,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,411.444,,,,percent of total billed charges,,420.795,,,,percent of total billed charges,,302.9724,,,,percent of total billed charges,,420.795,,,,percent of total billed charges,,280.53,,,,percent of total billed charges,,472.085235,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,444.1725,,,,percent of total billed charges,,374.04,,,,percent of total billed charges,,280.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTAMBEN-TETRACAINE-BENZOCAINE 2%-2%-14% TOPICAL SPRAY - CHI [7000106],0637,RC,,,,,inpatient,,,239.67,,119.835,143.802,241.994799,225.2898,,,,percent of total billed charges,,191.736,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,198.9261,,,,percent of total billed charges,,215.703,,,,percent of total billed charges,,220.4964,,,,percent of total billed charges,,220.4964,,,,percent of total billed charges,,226.72782,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,232.4799,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,210.9096,,,,percent of total billed charges,,215.703,,,,percent of total billed charges,,155.30616,,,,percent of total billed charges,,215.703,,,,percent of total billed charges,,143.802,,,,percent of total billed charges,,241.994799,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,227.6865,,,,percent of total billed charges,,191.736,,,,percent of total billed charges,,143.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 1 MG/ML INJECTION SOLUTION [9333],0636,RC,,,,,inpatient,,,24.69,,12.345,14.814,24.929493,23.2086,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,20.4927,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,23.35674,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.9493,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,21.7272,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,15.99912,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,24.929493,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 1 MG/ML INJECTION SOLUTION [9333],0636,RC,,,,,inpatient,,,24.69,,12.345,14.814,24.929493,23.2086,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,20.4927,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,22.7148,,,,percent of total billed charges,,23.35674,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.9493,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,21.7272,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,15.99912,,,,percent of total billed charges,,22.221,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,24.929493,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,23.4555,,,,percent of total billed charges,,19.752,,,,percent of total billed charges,,14.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],0636,RC,,,,,inpatient,,,30.11,,15.055,18.066,30.402067,28.3034,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.9913,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,28.48406,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,29.2067,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,26.4968,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,19.51128,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,30.402067,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BUTORPHANOL 2 MG/ML INJECTION SOLUTION [9334],0636,RC,,,,,inpatient,,,30.11,,15.055,18.066,30.402067,28.3034,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.9913,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,27.7012,,,,percent of total billed charges,,28.48406,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,29.2067,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,26.4968,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,19.51128,,,,percent of total billed charges,,27.099,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,30.402067,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,28.6045,,,,percent of total billed charges,,24.088,,,,percent of total billed charges,,18.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [200352],0636,RC,,,,,inpatient,,,55476.72,,27738.36,33286.032,56014.84418,52148.1168,,,,percent of total billed charges,,44381.376,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,46045.6776,,,,percent of total billed charges,,49929.048,,,,percent of total billed charges,,51038.5824,,,,percent of total billed charges,,51038.5824,,,,percent of total billed charges,,52480.97712,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,53812.4184,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,48819.5136,,,,percent of total billed charges,,49929.048,,,,percent of total billed charges,,35948.91456,,,,percent of total billed charges,,49929.048,,,,percent of total billed charges,,33286.032,,,,percent of total billed charges,,56014.84418,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,52702.884,,,,percent of total billed charges,,44381.376,,,,percent of total billed charges,,33286.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 10 MG/ML IN D5W IV PEDS DILUTION - LOADING DOSE [7000240],0636,RC,,,,,inpatient,,,14.12,,7.06,8.472,14.256964,13.2728,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.7196,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,13.35752,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.6964,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,12.4256,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,9.14976,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,14.256964,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 10 MG/ML IN D5W IV PEDS DILUTION - MAINTENANCE DOSE [7000241],0636,RC,,,,,inpatient,,,14.12,,7.06,8.472,14.256964,13.2728,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.7196,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,12.9904,,,,percent of total billed charges,,13.35752,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.6964,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,12.4256,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,9.14976,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,14.256964,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,13.414,,,,percent of total billed charges,,11.296,,,,percent of total billed charges,,8.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,,,,,inpatient,,,20.79,,10.395,12.474,20.991663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,13.47192,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,20.991663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,,,,,inpatient,,,21.74,,10.87,13.044,21.950878,20.4356,,,,percent of total billed charges,,17.392,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,18.0442,,,,percent of total billed charges,,19.566,,,,percent of total billed charges,,20.0008,,,,percent of total billed charges,,20.0008,,,,percent of total billed charges,,20.56604,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,21.0878,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,19.1312,,,,percent of total billed charges,,19.566,,,,percent of total billed charges,,14.08752,,,,percent of total billed charges,,19.566,,,,percent of total billed charges,,13.044,,,,percent of total billed charges,,21.950878,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,20.653,,,,percent of total billed charges,,17.392,,,,percent of total billed charges,,13.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,,,,,inpatient,,,26.87,,13.435,16.122,27.130639,25.2578,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,22.3021,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,25.41902,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,26.0639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,23.6456,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,17.41176,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,27.130639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION [81312],0636,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,,,,,inpatient,,,20.16,,10.08,12.096,20.355552,18.9504,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.7328,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,19.07136,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.5552,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,17.7408,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,13.06368,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,20.355552,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,,,,,inpatient,,,44.18,,22.09,26.508,44.608546,41.5292,,,,percent of total billed charges,,35.344,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,36.6694,,,,percent of total billed charges,,39.762,,,,percent of total billed charges,,40.6456,,,,percent of total billed charges,,40.6456,,,,percent of total billed charges,,41.79428,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,42.8546,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,38.8784,,,,percent of total billed charges,,39.762,,,,percent of total billed charges,,28.62864,,,,percent of total billed charges,,39.762,,,,percent of total billed charges,,26.508,,,,percent of total billed charges,,44.608546,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,41.971,,,,percent of total billed charges,,35.344,,,,percent of total billed charges,,26.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,,,,,inpatient,,,20.16,,10.08,12.096,20.355552,18.9504,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.7328,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,18.5472,,,,percent of total billed charges,,19.07136,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.5552,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,17.7408,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,13.06368,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,20.355552,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,19.152,,,,percent of total billed charges,,16.128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,,,,,inpatient,,,27.63,,13.815,16.578,27.898011,25.9722,,,,percent of total billed charges,,22.104,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,22.9329,,,,percent of total billed charges,,24.867,,,,percent of total billed charges,,25.4196,,,,percent of total billed charges,,25.4196,,,,percent of total billed charges,,26.13798,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,26.8011,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,24.3144,,,,percent of total billed charges,,24.867,,,,percent of total billed charges,,17.90424,,,,percent of total billed charges,,24.867,,,,percent of total billed charges,,16.578,,,,percent of total billed charges,,27.898011,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,26.2485,,,,percent of total billed charges,,22.104,,,,percent of total billed charges,,16.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION [81354],0637,RC,,,,,inpatient,,,25.24,,12.62,15.144,25.484828,23.7256,,,,percent of total billed charges,,20.192,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,20.9492,,,,percent of total billed charges,,22.716,,,,percent of total billed charges,,23.2208,,,,percent of total billed charges,,23.2208,,,,percent of total billed charges,,23.87704,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,24.4828,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,22.2112,,,,percent of total billed charges,,22.716,,,,percent of total billed charges,,16.35552,,,,percent of total billed charges,,22.716,,,,percent of total billed charges,,15.144,,,,percent of total billed charges,,25.484828,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,23.978,,,,percent of total billed charges,,20.192,,,,percent of total billed charges,,15.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],0250,RC,,,,,inpatient,,,100.68,,50.34,60.408,101.656596,94.6392,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,83.5644,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,95.24328,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,97.6596,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,88.5984,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,65.24064,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,101.656596,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [1262],0250,RC,,,,,inpatient,,,100.68,,50.34,60.408,101.656596,94.6392,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,83.5644,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,92.6256,,,,percent of total billed charges,,95.24328,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,97.6596,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,88.5984,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,65.24064,,,,percent of total billed charges,,90.612,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,101.656596,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,95.646,,,,percent of total billed charges,,80.544,,,,percent of total billed charges,,60.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALAMINE 8 %-ZINC OXIDE 8 % LOTION [137145],0637,RC,,,,,inpatient,,,5.58,,2.79,3.348,5.634126,5.2452,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.6314,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.27868,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.4126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.9104,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.61584,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,5.634126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [80191],0637,RC,,,,,inpatient,,,232.74,,116.37,139.644,234.997578,218.7756,,,,percent of total billed charges,,186.192,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,193.1742,,,,percent of total billed charges,,209.466,,,,percent of total billed charges,,214.1208,,,,percent of total billed charges,,214.1208,,,,percent of total billed charges,,220.17204,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,225.7578,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,204.8112,,,,percent of total billed charges,,209.466,,,,percent of total billed charges,,150.81552,,,,percent of total billed charges,,209.466,,,,percent of total billed charges,,139.644,,,,percent of total billed charges,,234.997578,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,221.103,,,,percent of total billed charges,,186.192,,,,percent of total billed charges,,139.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY [80191],0637,RC,,,,,inpatient,,,207.36,,103.68,124.416,209.371392,194.9184,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,172.1088,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,190.7712,,,,percent of total billed charges,,190.7712,,,,percent of total billed charges,,196.16256,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,201.1392,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,182.4768,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,134.36928,,,,percent of total billed charges,,186.624,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,209.371392,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,196.992,,,,percent of total billed charges,,165.888,,,,percent of total billed charges,,124.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [83024],0636,RC,,,,,inpatient,,,4552.34,,2276.17,2731.404,4596.497698,4279.1996,,,,percent of total billed charges,,3641.872,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,3778.4422,,,,percent of total billed charges,,4097.106,,,,percent of total billed charges,,4188.1528,,,,percent of total billed charges,,4188.1528,,,,percent of total billed charges,,4306.51364,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,4415.7698,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,4006.0592,,,,percent of total billed charges,,4097.106,,,,percent of total billed charges,,2949.91632,,,,percent of total billed charges,,4097.106,,,,percent of total billed charges,,2731.404,,,,percent of total billed charges,,4596.497698,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,4324.723,,,,percent of total billed charges,,3641.872,,,,percent of total billed charges,,2731.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [83024],0636,RC,,,,,inpatient,,,4342.77,,2171.385,2605.662,4384.894869,4082.2038,,,,percent of total billed charges,,3474.216,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,3604.4991,,,,percent of total billed charges,,3908.493,,,,percent of total billed charges,,3995.3484,,,,percent of total billed charges,,3995.3484,,,,percent of total billed charges,,4108.26042,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,4212.4869,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,3821.6376,,,,percent of total billed charges,,3908.493,,,,percent of total billed charges,,2814.11496,,,,percent of total billed charges,,3908.493,,,,percent of total billed charges,,2605.662,,,,percent of total billed charges,,4384.894869,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,4125.6315,,,,percent of total billed charges,,3474.216,,,,percent of total billed charges,,2605.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [83024],0636,RC,,,,,inpatient,,,4446.14,,2223.07,2667.684,4489.267558,4179.3716,,,,percent of total billed charges,,3556.912,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,3690.2962,,,,percent of total billed charges,,4001.526,,,,percent of total billed charges,,4090.4488,,,,percent of total billed charges,,4090.4488,,,,percent of total billed charges,,4206.04844,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,4312.7558,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,3912.6032,,,,percent of total billed charges,,4001.526,,,,percent of total billed charges,,2881.09872,,,,percent of total billed charges,,4001.526,,,,percent of total billed charges,,2667.684,,,,percent of total billed charges,,4489.267558,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,4223.833,,,,percent of total billed charges,,3556.912,,,,percent of total billed charges,,2667.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,,,,,inpatient,,,1.58,,0.79,0.948,1.595326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.02384,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.595326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,,,,,inpatient,,,1.2,,0.6,0.72,1.21164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.7776,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.21164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,,,,,inpatient,,,1.25,,0.625,0.75,1.262125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.262125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,,,,,inpatient,,,3.33,,1.665,1.998,3.362301,3.1302,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.7639,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.15018,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.2301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.9304,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,2.15784,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,3.362301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,,,,,inpatient,,,3.33,,1.665,1.998,3.362301,3.1302,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.7639,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.0636,,,,percent of total billed charges,,3.15018,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.2301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.9304,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,2.15784,,,,percent of total billed charges,,2.997,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,3.362301,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,3.1635,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCITRIOL 0.25 MCG CAPSULE [9350],0637,RC,,,,,inpatient,,,0.91,,0.455,0.546,0.918827,0.8554,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.7553,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.86086,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8008,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.58968,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,0.918827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,,,,,inpatient,,,3.71,,1.855,2.226,3.745987,3.4874,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.0793,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.50966,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5987,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.2648,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.40408,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,3.745987,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET [9385],0637,RC,,,,,inpatient,,,3.71,,1.855,2.226,3.745987,3.4874,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.0793,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.4132,,,,percent of total billed charges,,3.50966,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5987,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.2648,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.40408,,,,percent of total billed charges,,3.339,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,3.745987,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,3.5245,,,,percent of total billed charges,,2.968,,,,percent of total billed charges,,2.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET [40378],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET [40378],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET [19483],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,,,,,inpatient,,,2.57,,1.285,1.542,2.594929,2.4158,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.1331,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.43122,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.2616,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.66536,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,2.594929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,,,,,inpatient,,,5.51,,2.755,3.306,5.563447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.57048,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.563447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,,,,,inpatient,,,5.51,,2.755,3.306,5.563447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.57048,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.563447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,,,,,inpatient,,,4.46,,2.23,2.676,4.503262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.89008,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.503262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE [93323],0636,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1306],0250,RC,,,,,inpatient,,,32.85,,16.425,19.71,33.168645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,21.2868,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,33.168645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,,,,,inpatient,,,55.98,,27.99,33.588,56.523006,52.6212,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,46.4634,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,52.95708,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,54.3006,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,49.2624,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,36.27504,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,56.523006,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,,,,,inpatient,,,39.29,,19.645,23.574,39.671113,36.9326,,,,percent of total billed charges,,31.432,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,32.6107,,,,percent of total billed charges,,35.361,,,,percent of total billed charges,,36.1468,,,,percent of total billed charges,,36.1468,,,,percent of total billed charges,,37.16834,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,38.1113,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,34.5752,,,,percent of total billed charges,,35.361,,,,percent of total billed charges,,25.45992,,,,percent of total billed charges,,35.361,,,,percent of total billed charges,,23.574,,,,percent of total billed charges,,39.671113,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,37.3255,,,,percent of total billed charges,,31.432,,,,percent of total billed charges,,23.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,,,,,inpatient,,,55.98,,27.99,33.588,56.523006,52.6212,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,46.4634,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,51.5016,,,,percent of total billed charges,,52.95708,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,54.3006,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,49.2624,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,36.27504,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,56.523006,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,53.181,,,,percent of total billed charges,,44.784,,,,percent of total billed charges,,33.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [85703],0250,RC,,,,,inpatient,,,18.65,,9.325,11.19,18.830905,17.531,,,,percent of total billed charges,,14.92,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,15.4795,,,,percent of total billed charges,,16.785,,,,percent of total billed charges,,17.158,,,,percent of total billed charges,,17.158,,,,percent of total billed charges,,17.6429,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,18.0905,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,16.412,,,,percent of total billed charges,,16.785,,,,percent of total billed charges,,12.0852,,,,percent of total billed charges,,16.785,,,,percent of total billed charges,,11.19,,,,percent of total billed charges,,18.830905,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,17.7175,,,,percent of total billed charges,,14.92,,,,percent of total billed charges,,11.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,,,,,inpatient,,,35.33,,17.665,21.198,35.672701,33.2102,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,29.3239,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,33.42218,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,34.2701,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,31.0904,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,22.89384,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,35.672701,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,,,,,inpatient,,,35.33,,17.665,21.198,35.672701,33.2102,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,29.3239,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,32.5036,,,,percent of total billed charges,,33.42218,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,34.2701,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,31.0904,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,22.89384,,,,percent of total billed charges,,31.797,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,35.672701,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,33.5635,,,,percent of total billed charges,,28.264,,,,percent of total billed charges,,21.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,,,,,inpatient,,,33.75,,16.875,20.25,34.077375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,34.077375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION [242502]",0636,RC,,,,,inpatient,,,81.68,,40.84,49.008,82.472296,76.7792,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,67.7944,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,77.26928,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,79.2296,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,71.8784,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,52.92864,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,82.472296,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,36.77,,18.385,22.062,37.126669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,23.82696,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,37.126669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,36.77,,18.385,22.062,37.126669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,23.82696,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,37.126669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,33.8,,16.9,20.28,34.12786,31.772,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,28.054,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.9748,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,29.744,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,21.9024,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,34.12786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,33.8,,16.9,20.28,34.12786,31.772,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,28.054,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.9748,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,29.744,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,21.9024,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,34.12786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,248.54,,124.27,149.124,250.950838,233.6276,,,,percent of total billed charges,,198.832,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,206.2882,,,,percent of total billed charges,,223.686,,,,percent of total billed charges,,228.6568,,,,percent of total billed charges,,228.6568,,,,percent of total billed charges,,235.11884,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,241.0838,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,218.7152,,,,percent of total billed charges,,223.686,,,,percent of total billed charges,,161.05392,,,,percent of total billed charges,,223.686,,,,percent of total billed charges,,149.124,,,,percent of total billed charges,,250.950838,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,236.113,,,,percent of total billed charges,,198.832,,,,percent of total billed charges,,149.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,36.77,,18.385,22.062,37.126669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,23.82696,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,37.126669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,36.77,,18.385,22.062,37.126669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,23.82696,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,37.126669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,,,,,inpatient,,,1.84,,0.92,1.104,1.857848,1.7296,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.5272,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.74064,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.19232,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.857848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM POLYCARBOPHIL 625 MG TABLET [80930],0637,RC,,,,,inpatient,,,1.84,,0.92,1.104,1.857848,1.7296,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.5272,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.74064,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.19232,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.857848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALFACTANT 35 MG/ML IN 0.9% SODIUM CHLORIDE INTRATRACHEAL SUSPENSION [76930],0250,RC,,,,,inpatient,,,2933.01,,1466.505,1759.806,2961.460197,2757.0294,,,,percent of total billed charges,,2346.408,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2434.3983,,,,percent of total billed charges,,2639.709,,,,percent of total billed charges,,2698.3692,,,,percent of total billed charges,,2698.3692,,,,percent of total billed charges,,2774.62746,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2845.0197,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2581.0488,,,,percent of total billed charges,,2639.709,,,,percent of total billed charges,,1900.59048,,,,percent of total billed charges,,2639.709,,,,percent of total billed charges,,1759.806,,,,percent of total billed charges,,2961.460197,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2786.3595,,,,percent of total billed charges,,2346.408,,,,percent of total billed charges,,1759.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL [93419],0250,RC,,,,,inpatient,,,1224.23,,612.115,734.538,1236.105031,1150.7762,,,,percent of total billed charges,,979.384,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1016.1109,,,,percent of total billed charges,,1101.807,,,,percent of total billed charges,,1126.2916,,,,percent of total billed charges,,1126.2916,,,,percent of total billed charges,,1158.12158,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1187.5031,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1077.3224,,,,percent of total billed charges,,1101.807,,,,percent of total billed charges,,793.30104,,,,percent of total billed charges,,1101.807,,,,percent of total billed charges,,734.538,,,,percent of total billed charges,,1236.105031,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,1163.0185,,,,percent of total billed charges,,979.384,,,,percent of total billed charges,,734.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAPSAICIN 0.025 % TOPICAL CREAM [1350],0637,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBACHOL 0.01 % INTRAOCULAR SOLUTION [80793],0637,RC,,,,,inpatient,,,62.62,,31.31,37.572,63.227414,58.8628,,,,percent of total billed charges,,50.096,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,51.9746,,,,percent of total billed charges,,56.358,,,,percent of total billed charges,,57.6104,,,,percent of total billed charges,,57.6104,,,,percent of total billed charges,,59.23852,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,60.7414,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,55.1056,,,,percent of total billed charges,,56.358,,,,percent of total billed charges,,40.57776,,,,percent of total billed charges,,56.358,,,,percent of total billed charges,,37.572,,,,percent of total billed charges,,63.227414,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,59.489,,,,percent of total billed charges,,50.096,,,,percent of total billed charges,,37.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0637,RC,,,,,inpatient,,,1.07,,0.535,0.642,1.080379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.69336,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,1.080379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG CHEWABLE TABLET [1355],0637,RC,,,,,inpatient,,,1.44,,0.72,0.864,1.453968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.93312,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.453968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION [196336],0637,RC,,,,,inpatient,,,9.54,,4.77,5.724,9.632538,8.9676,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,7.9182,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,8.7768,,,,percent of total billed charges,,8.7768,,,,percent of total billed charges,,9.02484,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,9.2538,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,8.3952,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,6.18192,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,5.724,,,,percent of total billed charges,,9.632538,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,9.063,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION [196336],0637,RC,,,,,inpatient,,,9.52,,4.76,5.712,9.612344,8.9488,,,,percent of total billed charges,,7.616,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,7.9016,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,8.7584,,,,percent of total billed charges,,8.7584,,,,percent of total billed charges,,9.00592,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,9.2344,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,8.3776,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,6.16896,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,9.612344,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,9.044,,,,percent of total billed charges,,7.616,,,,percent of total billed charges,,5.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,,,,,inpatient,,,228.83,,114.415,137.298,231.049651,215.1002,,,,percent of total billed charges,,183.064,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,189.9289,,,,percent of total billed charges,,205.947,,,,percent of total billed charges,,210.5236,,,,percent of total billed charges,,210.5236,,,,percent of total billed charges,,216.47318,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,221.9651,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,201.3704,,,,percent of total billed charges,,205.947,,,,percent of total billed charges,,148.28184,,,,percent of total billed charges,,205.947,,,,percent of total billed charges,,137.298,,,,percent of total billed charges,,231.049651,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,217.3885,,,,percent of total billed charges,,183.064,,,,percent of total billed charges,,137.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,,,,,inpatient,,,115.43,,57.715,69.258,116.549671,108.5042,,,,percent of total billed charges,,92.344,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,95.8069,,,,percent of total billed charges,,103.887,,,,percent of total billed charges,,106.1956,,,,percent of total billed charges,,106.1956,,,,percent of total billed charges,,109.19678,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,111.9671,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,101.5784,,,,percent of total billed charges,,103.887,,,,percent of total billed charges,,74.79864,,,,percent of total billed charges,,103.887,,,,percent of total billed charges,,69.258,,,,percent of total billed charges,,116.549671,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,109.6585,,,,percent of total billed charges,,92.344,,,,percent of total billed charges,,69.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,,,,,inpatient,,,801.9,,400.95,481.14,809.67843,753.786,,,,percent of total billed charges,,641.52,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,665.577,,,,percent of total billed charges,,721.71,,,,percent of total billed charges,,737.748,,,,percent of total billed charges,,737.748,,,,percent of total billed charges,,758.5974,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,777.843,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,721.71,,,,percent of total billed charges,,519.6312,,,,percent of total billed charges,,721.71,,,,percent of total billed charges,,481.14,,,,percent of total billed charges,,809.67843,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,761.805,,,,percent of total billed charges,,641.52,,,,percent of total billed charges,,481.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION [1356],0637,RC,,,,,inpatient,,,253.13,,126.565,151.878,255.585361,237.9422,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,210.0979,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,239.46098,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,245.5361,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,222.7544,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,164.02824,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,255.585361,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,,,,,inpatient,,,1.53,,0.765,0.918,1.544841,1.4382,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.2699,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.44738,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.3464,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.99144,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,1.544841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,,,,,inpatient,,,2.88,,1.44,1.728,2.907936,2.7072,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.3904,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.72448,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7936,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.5344,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.86624,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.907936,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,,,,,inpatient,,,2.98,,1.49,1.788,3.008906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.93104,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,3.008906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG TABLET [1357],0637,RC,,,,,inpatient,,,2.98,,1.49,1.788,3.008906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.93104,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,3.008906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION [196334],0637,RC,,,,,inpatient,,,12.74,,6.37,7.644,12.863578,11.9756,,,,percent of total billed charges,,10.192,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,10.5742,,,,percent of total billed charges,,11.466,,,,percent of total billed charges,,11.7208,,,,percent of total billed charges,,11.7208,,,,percent of total billed charges,,12.05204,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,12.3578,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,11.2112,,,,percent of total billed charges,,11.466,,,,percent of total billed charges,,8.25552,,,,percent of total billed charges,,11.466,,,,percent of total billed charges,,7.644,,,,percent of total billed charges,,12.863578,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,12.103,,,,percent of total billed charges,,10.192,,,,percent of total billed charges,,7.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,,,,,inpatient,,,6.77,,3.385,4.062,6.835669,6.3638,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.6191,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.40442,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.5669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.9576,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.38696,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,6.835669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,,,,,inpatient,,,6.62,,3.31,3.972,6.684214,6.2228,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.4946,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.26252,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.4214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.8256,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,4.28976,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,6.684214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,,,,,inpatient,,,7.1,,3.55,4.26,7.16887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.6008,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,7.16887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93945]",0637,RC,,,,,inpatient,,,7.1,,3.55,4.26,7.16887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.6008,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,7.16887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,,,,,inpatient,,,7.34,,3.67,4.404,7.411198,6.8996,,,,percent of total billed charges,,5.872,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,6.0922,,,,percent of total billed charges,,6.606,,,,percent of total billed charges,,6.7528,,,,percent of total billed charges,,6.7528,,,,percent of total billed charges,,6.94364,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,7.1198,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,6.4592,,,,percent of total billed charges,,6.606,,,,percent of total billed charges,,4.75632,,,,percent of total billed charges,,6.606,,,,percent of total billed charges,,4.404,,,,percent of total billed charges,,7.411198,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,6.973,,,,percent of total billed charges,,5.872,,,,percent of total billed charges,,4.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,,,,,inpatient,,,6.73,,3.365,4.038,6.795281,6.3262,,,,percent of total billed charges,,5.384,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,5.5859,,,,percent of total billed charges,,6.057,,,,percent of total billed charges,,6.1916,,,,percent of total billed charges,,6.1916,,,,percent of total billed charges,,6.36658,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,6.5281,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,5.9224,,,,percent of total billed charges,,6.057,,,,percent of total billed charges,,4.36104,,,,percent of total billed charges,,6.057,,,,percent of total billed charges,,4.038,,,,percent of total billed charges,,6.795281,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,6.3935,,,,percent of total billed charges,,5.384,,,,percent of total billed charges,,4.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,,,,,inpatient,,,7.1,,3.55,4.26,7.16887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.6008,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,7.16887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR [93946]",0637,RC,,,,,inpatient,,,7.1,,3.55,4.26,7.16887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.6008,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,7.16887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 10 % ORAL RINSE [77650],0637,RC,,,,,inpatient,,,8.1,,4.05,4.86,8.17857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,5.2488,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,8.17857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 10 % ORAL RINSE [77650],0637,RC,,,,,inpatient,,,17.49,,8.745,10.494,17.659653,16.4406,,,,percent of total billed charges,,13.992,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,14.5167,,,,percent of total billed charges,,15.741,,,,percent of total billed charges,,16.0908,,,,percent of total billed charges,,16.0908,,,,percent of total billed charges,,16.54554,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,16.9653,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,15.3912,,,,percent of total billed charges,,15.741,,,,percent of total billed charges,,11.33352,,,,percent of total billed charges,,15.741,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,17.659653,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,16.6155,,,,percent of total billed charges,,13.992,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,,,,,inpatient,,,20.59,,10.295,12.354,20.789723,19.3546,,,,percent of total billed charges,,16.472,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,17.0897,,,,percent of total billed charges,,18.531,,,,percent of total billed charges,,18.9428,,,,percent of total billed charges,,18.9428,,,,percent of total billed charges,,19.47814,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,19.9723,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,18.1192,,,,percent of total billed charges,,18.531,,,,percent of total billed charges,,13.34232,,,,percent of total billed charges,,18.531,,,,percent of total billed charges,,12.354,,,,percent of total billed charges,,20.789723,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,19.5605,,,,percent of total billed charges,,16.472,,,,percent of total billed charges,,12.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,,,,,inpatient,,,16.34,,8.17,9.804,16.498498,15.3596,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.5622,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.45764,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.8498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,14.3792,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,10.58832,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,16.498498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,,,,,inpatient,,,8.51,,4.255,5.106,8.592547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.51448,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,8.592547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,,,,,inpatient,,,3.99,,1.995,2.394,4.028703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.58552,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,4.028703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBAMIDE PEROXIDE 6.5 % EAR DROPS [1359],0637,RC,,,,,inpatient,,,9.25,,4.625,5.55,9.339725,8.695,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.6775,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.7505,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.9725,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.14,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,9.339725,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [9406],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,,,,,inpatient,,,0.75,,0.375,0.45,0.757275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.757275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,,,,,inpatient,,,1.51,,0.755,0.906,1.524647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.97848,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.524647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,,,,,inpatient,,,1.51,,0.755,0.906,1.524647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.97848,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.524647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [9407],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,,,,,inpatient,,,1.83,,0.915,1.098,1.847751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.18584,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.847751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [9408],0637,RC,,,,,inpatient,,,1.08,,0.54,0.648,1.090476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.69984,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.090476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,,,,,inpatient,,,1.47,,0.735,0.882,1.484259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.95256,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.484259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,,,,,inpatient,,,1.47,,0.735,0.882,1.484259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.95256,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.484259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,,,,,inpatient,,,3.11,,1.555,1.866,3.140167,2.9234,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.5813,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.94206,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,3.0167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.7368,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.01528,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,3.140167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [28264]",0637,RC,,,,,inpatient,,,3.11,,1.555,1.866,3.140167,2.9234,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.5813,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.94206,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,3.0167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.7368,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.01528,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,3.140167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,,,,,inpatient,,,55.22,,27.61,33.132,55.755634,51.9068,,,,percent of total billed charges,,44.176,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,45.8326,,,,percent of total billed charges,,49.698,,,,percent of total billed charges,,50.8024,,,,percent of total billed charges,,50.8024,,,,percent of total billed charges,,52.23812,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,53.5634,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,48.5936,,,,percent of total billed charges,,49.698,,,,percent of total billed charges,,35.78256,,,,percent of total billed charges,,49.698,,,,percent of total billed charges,,33.132,,,,percent of total billed charges,,55.755634,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,52.459,,,,percent of total billed charges,,44.176,,,,percent of total billed charges,,33.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,,,,,inpatient,,,244.35,,122.175,146.61,246.720195,229.689,,,,percent of total billed charges,,195.48,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,202.8105,,,,percent of total billed charges,,219.915,,,,percent of total billed charges,,224.802,,,,percent of total billed charges,,224.802,,,,percent of total billed charges,,231.1551,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,237.0195,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,215.028,,,,percent of total billed charges,,219.915,,,,percent of total billed charges,,158.3388,,,,percent of total billed charges,,219.915,,,,percent of total billed charges,,146.61,,,,percent of total billed charges,,246.720195,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,232.1325,,,,percent of total billed charges,,195.48,,,,percent of total billed charges,,146.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,,,,,inpatient,,,78.57,,39.285,47.142,79.332129,73.8558,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,65.2131,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,74.32722,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,76.2129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,69.1416,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,50.91336,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,79.332129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,,,,,inpatient,,,19.53,,9.765,11.718,19.719441,18.3582,,,,percent of total billed charges,,15.624,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,16.2099,,,,percent of total billed charges,,17.577,,,,percent of total billed charges,,17.9676,,,,percent of total billed charges,,17.9676,,,,percent of total billed charges,,18.47538,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,18.9441,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,17.1864,,,,percent of total billed charges,,17.577,,,,percent of total billed charges,,12.65544,,,,percent of total billed charges,,17.577,,,,percent of total billed charges,,11.718,,,,percent of total billed charges,,19.719441,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,18.5535,,,,percent of total billed charges,,15.624,,,,percent of total billed charges,,11.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,,,,,inpatient,,,36.12,,18.06,21.672,36.470364,33.9528,,,,percent of total billed charges,,28.896,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,29.9796,,,,percent of total billed charges,,32.508,,,,percent of total billed charges,,33.2304,,,,percent of total billed charges,,33.2304,,,,percent of total billed charges,,34.16952,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,35.0364,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,31.7856,,,,percent of total billed charges,,32.508,,,,percent of total billed charges,,23.40576,,,,percent of total billed charges,,32.508,,,,percent of total billed charges,,21.672,,,,percent of total billed charges,,36.470364,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,34.314,,,,percent of total billed charges,,28.896,,,,percent of total billed charges,,21.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,,,,,inpatient,,,104.49,,52.245,62.694,105.503553,98.2206,,,,percent of total billed charges,,83.592,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,86.7267,,,,percent of total billed charges,,94.041,,,,percent of total billed charges,,96.1308,,,,percent of total billed charges,,96.1308,,,,percent of total billed charges,,98.84754,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,101.3553,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,91.9512,,,,percent of total billed charges,,94.041,,,,percent of total billed charges,,67.70952,,,,percent of total billed charges,,94.041,,,,percent of total billed charges,,62.694,,,,percent of total billed charges,,105.503553,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,99.2655,,,,percent of total billed charges,,83.592,,,,percent of total billed charges,,62.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [39267],0636,RC,,,,,inpatient,,,142.29,,71.145,85.374,143.670213,133.7526,,,,percent of total billed charges,,113.832,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,118.1007,,,,percent of total billed charges,,128.061,,,,percent of total billed charges,,130.9068,,,,percent of total billed charges,,130.9068,,,,percent of total billed charges,,134.60634,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,138.0213,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,125.2152,,,,percent of total billed charges,,128.061,,,,percent of total billed charges,,92.20392,,,,percent of total billed charges,,128.061,,,,percent of total billed charges,,85.374,,,,percent of total billed charges,,143.670213,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,135.1755,,,,percent of total billed charges,,113.832,,,,percent of total billed charges,,85.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,,,,,inpatient,,,321.37,,160.685,192.822,324.487289,302.0878,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,266.7371,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,304.01602,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,311.7289,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,282.8056,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,208.24776,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,324.487289,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,,,,,inpatient,,,321.37,,160.685,192.822,324.487289,302.0878,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,266.7371,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,295.6604,,,,percent of total billed charges,,304.01602,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,311.7289,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,282.8056,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,208.24776,,,,percent of total billed charges,,289.233,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,324.487289,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,305.3015,,,,percent of total billed charges,,257.096,,,,percent of total billed charges,,192.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,,,,,inpatient,,,270.7,,135.35,162.42,273.32579,254.458,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,224.681,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,256.0822,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,262.579,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,238.216,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,175.4136,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,273.32579,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,,,,,inpatient,,,270.7,,135.35,162.42,273.32579,254.458,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,224.681,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,249.044,,,,percent of total billed charges,,256.0822,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,262.579,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,238.216,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,175.4136,,,,percent of total billed charges,,243.63,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,273.32579,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,257.165,,,,percent of total billed charges,,216.56,,,,percent of total billed charges,,162.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,,,,,inpatient,,,206.8,,103.4,124.08,208.80596,194.392,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,171.644,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,195.6328,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,200.596,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,134.0064,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,208.80596,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [82941],0250,RC,,,,,inpatient,,,206.8,,103.4,124.08,208.80596,194.392,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,171.644,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,190.256,,,,percent of total billed charges,,195.6328,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,200.596,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,134.0064,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,208.80596,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,196.46,,,,percent of total billed charges,,165.44,,,,percent of total billed charges,,124.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARFILZOMIB 10 MG INTRAVENOUS SOLUTION [241101],0636,RC,,,,,inpatient,,,2345.9,,1172.95,1407.54,2368.65523,2205.146,,,,percent of total billed charges,,1876.72,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,1947.097,,,,percent of total billed charges,,2111.31,,,,percent of total billed charges,,2158.228,,,,percent of total billed charges,,2158.228,,,,percent of total billed charges,,2219.2214,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,2275.523,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,2064.392,,,,percent of total billed charges,,2111.31,,,,percent of total billed charges,,1520.1432,,,,percent of total billed charges,,2111.31,,,,percent of total billed charges,,1407.54,,,,percent of total billed charges,,2368.65523,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,2228.605,,,,percent of total billed charges,,1876.72,,,,percent of total billed charges,,1407.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARFILZOMIB 30 MG INTRAVENOUS SOLUTION [231151],0636,RC,,,,,inpatient,,,7037.64,,3518.82,4222.584,7105.905108,6615.3816,,,,percent of total billed charges,,5630.112,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,5841.2412,,,,percent of total billed charges,,6333.876,,,,percent of total billed charges,,6474.6288,,,,percent of total billed charges,,6474.6288,,,,percent of total billed charges,,6657.60744,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,6826.5108,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,6193.1232,,,,percent of total billed charges,,6333.876,,,,percent of total billed charges,,4560.39072,,,,percent of total billed charges,,6333.876,,,,percent of total billed charges,,4222.584,,,,percent of total billed charges,,7105.905108,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,6685.758,,,,percent of total billed charges,,5630.112,,,,percent of total billed charges,,4222.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [207744],0636,RC,,,,,inpatient,,,14075.33,,7037.665,8445.198,14211.8607,13230.8102,,,,percent of total billed charges,,11260.264,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,11682.5239,,,,percent of total billed charges,,12667.797,,,,percent of total billed charges,,12949.3036,,,,percent of total billed charges,,12949.3036,,,,percent of total billed charges,,13315.26218,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,13653.0701,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,12386.2904,,,,percent of total billed charges,,12667.797,,,,percent of total billed charges,,9120.81384,,,,percent of total billed charges,,12667.797,,,,percent of total billed charges,,8445.198,,,,percent of total billed charges,,14211.8607,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,13371.5635,,,,percent of total billed charges,,11260.264,,,,percent of total billed charges,,8445.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARMUSTINE 100 MG INTRAVENOUS SOLUTION [79565],0636,RC,,,,,inpatient,,,16567.34,,8283.67,9940.404,16728.0432,15573.2996,,,,percent of total billed charges,,13253.872,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,13750.8922,,,,percent of total billed charges,,14910.606,,,,percent of total billed charges,,15241.9528,,,,percent of total billed charges,,15241.9528,,,,percent of total billed charges,,15672.70364,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,16070.3198,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,14579.2592,,,,percent of total billed charges,,14910.606,,,,percent of total billed charges,,10735.63632,,,,percent of total billed charges,,14910.606,,,,percent of total billed charges,,9940.404,,,,percent of total billed charges,,16728.0432,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,15738.973,,,,percent of total billed charges,,13253.872,,,,percent of total billed charges,,9940.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT [81377],0250,RC,,,,,inpatient,,,135632.93,,67816.465,81379.758,136948.5694,127494.9542,,,,percent of total billed charges,,108506.344,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,112575.3319,,,,percent of total billed charges,,122069.637,,,,percent of total billed charges,,124782.2956,,,,percent of total billed charges,,124782.2956,,,,percent of total billed charges,,128308.7518,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,131563.9421,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,119356.9784,,,,percent of total billed charges,,122069.637,,,,percent of total billed charges,,87890.13864,,,,percent of total billed charges,,122069.637,,,,percent of total billed charges,,81379.758,,,,percent of total billed charges,,136948.5694,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,128851.2835,,,,percent of total billed charges,,108506.344,,,,percent of total billed charges,,81379.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,,,,,inpatient,,,0.57,,0.285,0.342,0.575529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.36936,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.575529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,,,,,inpatient,,,0.57,,0.285,0.342,0.575529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.36936,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.575529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 12.5 MG TABLET [77422],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 3.125 MG TABLET [79312],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 6.25 MG TABLET [77307],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 6.25 MG TABLET [77307],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARVEDILOL 6.25 MG TABLET [77307],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.8,,2.9,3.48,5.85626,5.452,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.814,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.336,,,,percent of total billed charges,,5.4868,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.626,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,3.7584,,,,percent of total billed charges,,5.22,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,5.85626,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,5.51,,,,percent of total billed charges,,4.64,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,6.79,,3.395,4.074,6.855863,6.3826,,,,percent of total billed charges,,5.432,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,5.6357,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,6.2468,,,,percent of total billed charges,,6.2468,,,,percent of total billed charges,,6.42334,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.5863,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,5.9752,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,4.39992,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,6.855863,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,5.432,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS DUPLEX [7000022],0636,RC,,,,,inpatient,,,51.3,,25.65,30.78,51.79761,48.222,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,42.579,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,48.5298,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,49.761,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,45.144,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,33.2424,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,51.79761,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,48.735,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [25365],0250,RC,,,,,inpatient,,,23.63,,11.815,14.178,23.859211,22.2122,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,19.6129,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,22.35398,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.9211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,20.7944,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,15.31224,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,23.859211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1446],0636,RC,,,,,inpatient,,,51.79,,25.895,31.074,52.292363,48.6826,,,,percent of total billed charges,,41.432,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,42.9857,,,,percent of total billed charges,,46.611,,,,percent of total billed charges,,47.6468,,,,percent of total billed charges,,47.6468,,,,percent of total billed charges,,48.99334,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,50.2363,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,45.5752,,,,percent of total billed charges,,46.611,,,,percent of total billed charges,,33.55992,,,,percent of total billed charges,,46.611,,,,percent of total billed charges,,31.074,,,,percent of total billed charges,,52.292363,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,49.2005,,,,percent of total billed charges,,41.432,,,,percent of total billed charges,,31.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 100 MG/ML IV PEDS [1000012],0636,RC,,,,,inpatient,,,1.58,,0.79,0.948,1.595326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.02384,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.595326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [257278],0636,RC,,,,,inpatient,,,18.85,,9.425,11.31,19.032845,17.719,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.6455,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.8321,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,18.2845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,16.588,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,12.2148,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,19.032845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [257278],0636,RC,,,,,inpatient,,,18.85,,9.425,11.31,19.032845,17.719,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.6455,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.8321,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,18.2845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,16.588,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,12.2148,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,19.032845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [228054],0250,RC,,,,,inpatient,,,41.85,,20.925,25.11,42.255945,39.339,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,34.7355,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,39.5901,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,40.5945,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,27.1188,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,42.255945,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [211448],0250,RC,,,,,inpatient,,,57.72,,28.86,34.632,58.279884,54.2568,,,,percent of total billed charges,,46.176,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,47.9076,,,,percent of total billed charges,,51.948,,,,percent of total billed charges,,53.1024,,,,percent of total billed charges,,53.1024,,,,percent of total billed charges,,54.60312,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,55.9884,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,50.7936,,,,percent of total billed charges,,51.948,,,,percent of total billed charges,,37.40256,,,,percent of total billed charges,,51.948,,,,percent of total billed charges,,34.632,,,,percent of total billed charges,,58.279884,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,54.834,,,,percent of total billed charges,,46.176,,,,percent of total billed charges,,34.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 20 MG/ML IV PEDS - CHI [7000214],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION [257278],0636,RC,,,,,inpatient,,,18.85,,9.425,11.31,19.032845,17.719,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.6455,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.342,,,,percent of total billed charges,,17.8321,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,18.2845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,16.588,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,12.2148,,,,percent of total billed charges,,16.965,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,19.032845,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,17.9075,,,,percent of total billed charges,,15.08,,,,percent of total billed charges,,11.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1448],0636,RC,,,,,inpatient,,,9.47,,4.735,5.682,9.561859,8.9018,,,,percent of total billed charges,,7.576,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,7.8601,,,,percent of total billed charges,,8.523,,,,percent of total billed charges,,8.7124,,,,percent of total billed charges,,8.7124,,,,percent of total billed charges,,8.95862,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,9.1859,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,8.3336,,,,percent of total billed charges,,8.523,,,,percent of total billed charges,,6.13656,,,,percent of total billed charges,,8.523,,,,percent of total billed charges,,5.682,,,,percent of total billed charges,,9.561859,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,8.9965,,,,percent of total billed charges,,7.576,,,,percent of total billed charges,,5.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1445],0636,RC,,,,,inpatient,,,5.71,,2.855,3.426,5.765387,5.3674,,,,percent of total billed charges,,4.568,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,4.7393,,,,percent of total billed charges,,5.139,,,,percent of total billed charges,,5.2532,,,,percent of total billed charges,,5.2532,,,,percent of total billed charges,,5.40166,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,5.5387,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,5.0248,,,,percent of total billed charges,,5.139,,,,percent of total billed charges,,3.70008,,,,percent of total billed charges,,5.139,,,,percent of total billed charges,,3.426,,,,percent of total billed charges,,5.765387,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,5.4245,,,,percent of total billed charges,,4.568,,,,percent of total billed charges,,3.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,,,,,inpatient,,,33.21,,16.605,19.926,33.532137,31.2174,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,27.5643,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,31.41666,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,32.2137,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,29.2248,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,21.52008,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,33.532137,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,,,,,inpatient,,,116.37,,58.185,69.822,117.498789,109.3878,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,96.5871,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,110.08602,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,112.8789,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,102.4056,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,75.40776,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,117.498789,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,,,,,inpatient,,,88.29,,44.145,52.974,89.146413,82.9926,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,73.2807,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,83.52234,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,85.6413,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,77.6952,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,57.21192,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,89.146413,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [93519],0637,RC,,,,,inpatient,,,62.1,,31.05,37.26,62.70237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,62.70237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,,,,,inpatient,,,3.01,,1.505,1.806,3.039197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.95048,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,3.039197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,,,,,inpatient,,,17.27,,8.635,10.362,17.437519,16.2338,,,,percent of total billed charges,,13.816,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,14.3341,,,,percent of total billed charges,,15.543,,,,percent of total billed charges,,15.8884,,,,percent of total billed charges,,15.8884,,,,percent of total billed charges,,16.33742,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,16.7519,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,15.1976,,,,percent of total billed charges,,15.543,,,,percent of total billed charges,,11.19096,,,,percent of total billed charges,,15.543,,,,percent of total billed charges,,10.362,,,,percent of total billed charges,,17.437519,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,16.4065,,,,percent of total billed charges,,13.816,,,,percent of total billed charges,,10.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,,,,,inpatient,,,3.38,,1.69,2.028,3.412786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.19024,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.412786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFDINIR 300 MG CAPSULE [82385],0637,RC,,,,,inpatient,,,1.81,,0.905,1.086,1.827557,1.7014,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5023,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.71226,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5928,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.17288,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,1.827557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM SOLUTION FOR INJECTION [77521],0636,RC,,,,,inpatient,,,18.07,,9.035,10.842,18.245279,16.9858,,,,percent of total billed charges,,14.456,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,14.9981,,,,percent of total billed charges,,16.263,,,,percent of total billed charges,,16.6244,,,,percent of total billed charges,,16.6244,,,,percent of total billed charges,,17.09422,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,17.5279,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,15.9016,,,,percent of total billed charges,,16.263,,,,percent of total billed charges,,11.70936,,,,percent of total billed charges,,16.263,,,,percent of total billed charges,,10.842,,,,percent of total billed charges,,18.245279,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,17.1665,,,,percent of total billed charges,,14.456,,,,percent of total billed charges,,10.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [189353],0636,RC,,,,,inpatient,,,139.95,,69.975,83.97,141.307515,131.553,,,,percent of total billed charges,,111.96,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,116.1585,,,,percent of total billed charges,,125.955,,,,percent of total billed charges,,128.754,,,,percent of total billed charges,,128.754,,,,percent of total billed charges,,132.3927,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,135.7515,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,123.156,,,,percent of total billed charges,,125.955,,,,percent of total billed charges,,90.6876,,,,percent of total billed charges,,125.955,,,,percent of total billed charges,,83.97,,,,percent of total billed charges,,141.307515,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,132.9525,,,,percent of total billed charges,,111.96,,,,percent of total billed charges,,83.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,33.01,,16.505,19.806,33.330197,31.0294,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,27.3983,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,31.22746,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,32.0197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,29.0488,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,21.39048,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,33.330197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,32.4,,16.2,19.44,32.71428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,20.9952,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,32.71428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,33.01,,16.505,19.806,33.330197,31.0294,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,27.3983,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,31.22746,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,32.0197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,29.0488,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,21.39048,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,33.330197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,23.47,,11.735,14.082,23.697659,22.0618,,,,percent of total billed charges,,18.776,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,19.4801,,,,percent of total billed charges,,21.123,,,,percent of total billed charges,,21.5924,,,,percent of total billed charges,,21.5924,,,,percent of total billed charges,,22.20262,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,22.7659,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,20.6536,,,,percent of total billed charges,,21.123,,,,percent of total billed charges,,15.20856,,,,percent of total billed charges,,21.123,,,,percent of total billed charges,,14.082,,,,percent of total billed charges,,23.697659,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,22.2965,,,,percent of total billed charges,,18.776,,,,percent of total billed charges,,14.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,34.52,,17.26,20.712,34.854844,32.4488,,,,percent of total billed charges,,27.616,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,28.6516,,,,percent of total billed charges,,31.068,,,,percent of total billed charges,,31.7584,,,,percent of total billed charges,,31.7584,,,,percent of total billed charges,,32.65592,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,33.4844,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,30.3776,,,,percent of total billed charges,,31.068,,,,percent of total billed charges,,22.36896,,,,percent of total billed charges,,31.068,,,,percent of total billed charges,,20.712,,,,percent of total billed charges,,34.854844,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,32.794,,,,percent of total billed charges,,27.616,,,,percent of total billed charges,,20.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,19.59,,9.795,11.754,19.780023,18.4146,,,,percent of total billed charges,,15.672,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,16.2597,,,,percent of total billed charges,,17.631,,,,percent of total billed charges,,18.0228,,,,percent of total billed charges,,18.0228,,,,percent of total billed charges,,18.53214,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,19.0023,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,17.2392,,,,percent of total billed charges,,17.631,,,,percent of total billed charges,,12.69432,,,,percent of total billed charges,,17.631,,,,percent of total billed charges,,11.754,,,,percent of total billed charges,,19.780023,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,18.6105,,,,percent of total billed charges,,15.672,,,,percent of total billed charges,,11.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,24.07,,12.035,14.442,24.303479,22.6258,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.9781,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.77022,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,23.3479,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,21.1816,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,15.59736,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,24.303479,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,25.65,,12.825,15.39,25.898805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,16.6212,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,25.898805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,25.65,,12.825,15.39,25.898805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,16.6212,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,25.898805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,24.07,,12.035,14.442,24.303479,22.6258,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.9781,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.1444,,,,percent of total billed charges,,22.77022,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,23.3479,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,21.1816,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,15.59736,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,24.303479,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,22.8665,,,,percent of total billed charges,,19.256,,,,percent of total billed charges,,14.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [189354],0636,RC,,,,,inpatient,,,76.05,,38.025,45.63,76.787685,71.487,,,,percent of total billed charges,,60.84,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,63.1215,,,,percent of total billed charges,,68.445,,,,percent of total billed charges,,69.966,,,,percent of total billed charges,,69.966,,,,percent of total billed charges,,71.9433,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,73.7685,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,66.924,,,,percent of total billed charges,,68.445,,,,percent of total billed charges,,49.2804,,,,percent of total billed charges,,68.445,,,,percent of total billed charges,,45.63,,,,percent of total billed charges,,76.787685,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,72.2475,,,,percent of total billed charges,,60.84,,,,percent of total billed charges,,45.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 40 MG/ML IN D5W IV PEDS [1000013],0636,RC,,,,,inpatient,,,4.28,,2.14,2.568,4.321516,4.0232,,,,percent of total billed charges,,3.424,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,3.5524,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,3.9376,,,,percent of total billed charges,,3.9376,,,,percent of total billed charges,,4.04888,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,4.1516,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,3.7664,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,2.77344,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,4.321516,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,4.066,,,,percent of total billed charges,,3.424,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 2 GRAM SOLUTION FOR INJECTION [78193],0636,RC,,,,,inpatient,,,33.01,,16.505,19.806,33.330197,31.0294,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,27.3983,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,30.3692,,,,percent of total billed charges,,31.22746,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,32.0197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,29.0488,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,21.39048,,,,percent of total billed charges,,29.709,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,33.330197,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,31.3595,,,,percent of total billed charges,,26.408,,,,percent of total billed charges,,19.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM SOLUTION FOR INJECTION [77521],0636,RC,,,,,inpatient,,,9.04,,4.52,5.424,9.127688,8.4976,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.5032,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.3168,,,,percent of total billed charges,,8.55184,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.7688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.9552,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.85792,,,,percent of total billed charges,,8.136,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,9.127688,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,8.588,,,,percent of total billed charges,,7.232,,,,percent of total billed charges,,5.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFEPIME 1 GRAM SOLUTION FOR INJECTION [77521],0636,RC,,,,,inpatient,,,61.07,,30.535,36.642,61.662379,57.4058,,,,percent of total billed charges,,48.856,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,50.6881,,,,percent of total billed charges,,54.963,,,,percent of total billed charges,,56.1844,,,,percent of total billed charges,,56.1844,,,,percent of total billed charges,,57.77222,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,59.2379,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,53.7416,,,,percent of total billed charges,,54.963,,,,percent of total billed charges,,39.57336,,,,percent of total billed charges,,54.963,,,,percent of total billed charges,,36.642,,,,percent of total billed charges,,61.662379,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,58.0165,,,,percent of total billed charges,,48.856,,,,percent of total billed charges,,36.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 1 GRAM SOLUTION FOR INJECTION [78506],0636,RC,,,,,inpatient,,,41.49,,20.745,24.894,41.892453,39.0006,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,34.4367,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,39.24954,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,40.2453,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,36.5112,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,26.88552,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,41.892453,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 1 GRAM SOLUTION FOR INJECTION [78506],0636,RC,,,,,inpatient,,,41.49,,20.745,24.894,41.892453,39.0006,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,34.4367,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,38.1708,,,,percent of total billed charges,,39.24954,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,40.2453,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,36.5112,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,26.88552,,,,percent of total billed charges,,37.341,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,41.892453,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,39.4155,,,,percent of total billed charges,,33.192,,,,percent of total billed charges,,24.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CEFOTETAN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK [163627]",0636,RC,,,,,inpatient,,,93.39,,46.695,56.034,94.295883,87.7866,,,,percent of total billed charges,,74.712,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,77.5137,,,,percent of total billed charges,,84.051,,,,percent of total billed charges,,85.9188,,,,percent of total billed charges,,85.9188,,,,percent of total billed charges,,88.34694,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,90.5883,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,82.1832,,,,percent of total billed charges,,84.051,,,,percent of total billed charges,,60.51672,,,,percent of total billed charges,,84.051,,,,percent of total billed charges,,56.034,,,,percent of total billed charges,,94.295883,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,88.7205,,,,percent of total billed charges,,74.712,,,,percent of total billed charges,,56.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 2 GRAM SOLUTION FOR INJECTION [82452],0636,RC,,,,,inpatient,,,83.01,,41.505,49.806,83.815197,78.0294,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,68.8983,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,78.52746,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,80.5197,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,73.0488,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,53.79048,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,83.815197,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 2 GRAM SOLUTION FOR INJECTION [82452],0636,RC,,,,,inpatient,,,83.01,,41.505,49.806,83.815197,78.0294,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,68.8983,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,76.3692,,,,percent of total billed charges,,78.52746,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,80.5197,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,73.0488,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,53.79048,,,,percent of total billed charges,,74.709,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,83.815197,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,78.8595,,,,percent of total billed charges,,66.408,,,,percent of total billed charges,,49.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOTETAN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [163628],0636,RC,,,,,inpatient,,,131.33,,65.665,78.798,132.603901,123.4502,,,,percent of total billed charges,,105.064,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,109.0039,,,,percent of total billed charges,,118.197,,,,percent of total billed charges,,120.8236,,,,percent of total billed charges,,120.8236,,,,percent of total billed charges,,124.23818,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,127.3901,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,115.5704,,,,percent of total billed charges,,118.197,,,,percent of total billed charges,,85.10184,,,,percent of total billed charges,,118.197,,,,percent of total billed charges,,78.798,,,,percent of total billed charges,,132.603901,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,124.7635,,,,percent of total billed charges,,105.064,,,,percent of total billed charges,,78.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,11.59,,5.795,6.954,11.702423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,7.51032,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,11.702423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,25.84,,12.92,15.504,26.090648,24.2896,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,21.4472,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,23.7728,,,,percent of total billed charges,,23.7728,,,,percent of total billed charges,,24.44464,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,25.0648,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,22.7392,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,16.74432,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,15.504,,,,percent of total billed charges,,26.090648,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,24.548,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,15.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,14.27,,7.135,8.562,14.408419,13.4138,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.8441,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.49942,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.8419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,12.5576,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,9.24696,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,14.408419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,11.59,,5.795,6.954,11.702423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,7.51032,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,11.702423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,12.41,,6.205,7.446,12.530377,11.6654,,,,percent of total billed charges,,9.928,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,10.3003,,,,percent of total billed charges,,11.169,,,,percent of total billed charges,,11.4172,,,,percent of total billed charges,,11.4172,,,,percent of total billed charges,,11.73986,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,12.0377,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,10.9208,,,,percent of total billed charges,,11.169,,,,percent of total billed charges,,8.04168,,,,percent of total billed charges,,11.169,,,,percent of total billed charges,,7.446,,,,percent of total billed charges,,12.530377,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,11.7895,,,,percent of total billed charges,,9.928,,,,percent of total billed charges,,7.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,11.59,,5.795,6.954,11.702423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,7.51032,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,11.702423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,11.59,,5.795,6.954,11.702423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,7.51032,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,11.702423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,,,,,inpatient,,,24.03,,12.015,14.418,24.263091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,15.57144,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,24.263091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,,,,,inpatient,,,29.37,,14.685,17.622,29.654889,27.6078,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,24.3771,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.0204,,,,percent of total billed charges,,27.78402,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,28.4889,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,25.8456,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,19.03176,,,,percent of total billed charges,,26.433,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,29.654889,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,27.9015,,,,percent of total billed charges,,23.496,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,,,,,inpatient,,,24.03,,12.015,14.418,24.263091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,15.57144,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,24.263091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION [9463],0636,RC,,,,,inpatient,,,24.03,,12.015,14.418,24.263091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,15.57144,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,24.263091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [9461],0636,RC,,,,,inpatient,,,11.59,,5.795,6.954,11.702423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,7.51032,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,11.702423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFPODOXIME 100 MG TABLET [9468],0637,RC,,,,,inpatient,,,9.42,,4.71,5.652,9.511374,8.8548,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,7.8186,,,,percent of total billed charges,,8.478,,,,percent of total billed charges,,8.6664,,,,percent of total billed charges,,8.6664,,,,percent of total billed charges,,8.91132,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,9.1374,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,8.2896,,,,percent of total billed charges,,8.478,,,,percent of total billed charges,,6.10416,,,,percent of total billed charges,,8.478,,,,percent of total billed charges,,5.652,,,,percent of total billed charges,,9.511374,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,8.949,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,5.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFPODOXIME 200 MG TABLET [9469],0637,RC,,,,,inpatient,,,14.61,,7.305,8.766,14.751717,13.7334,,,,percent of total billed charges,,11.688,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,12.1263,,,,percent of total billed charges,,13.149,,,,percent of total billed charges,,13.4412,,,,percent of total billed charges,,13.4412,,,,percent of total billed charges,,13.82106,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,14.1717,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,12.8568,,,,percent of total billed charges,,13.149,,,,percent of total billed charges,,9.46728,,,,percent of total billed charges,,13.149,,,,percent of total billed charges,,8.766,,,,percent of total billed charges,,14.751717,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,13.8795,,,,percent of total billed charges,,11.688,,,,percent of total billed charges,,8.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [202205],0636,RC,,,,,inpatient,,,811.31,,405.655,486.786,819.179707,762.6314,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,673.3873,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,767.49926,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,786.9707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,713.9528,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,525.72888,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,819.179707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [202205],0636,RC,,,,,inpatient,,,811.31,,405.655,486.786,819.179707,762.6314,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,673.3873,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,767.49926,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,786.9707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,713.9528,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,525.72888,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,819.179707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [202205],0636,RC,,,,,inpatient,,,811.31,,405.655,486.786,819.179707,762.6314,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,673.3873,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,746.4052,,,,percent of total billed charges,,767.49926,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,786.9707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,713.9528,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,525.72888,,,,percent of total billed charges,,730.179,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,819.179707,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,770.7445,,,,percent of total billed charges,,649.048,,,,percent of total billed charges,,486.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,,,,,inpatient,,,12.08,,6.04,7.248,12.197176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.82784,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,12.197176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,,,,,inpatient,,,26.95,,13.475,16.17,27.211415,25.333,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,22.3685,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,25.4947,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,26.1415,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,23.716,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,17.4636,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,27.211415,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,,,,,inpatient,,,26.95,,13.475,16.17,27.211415,25.333,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,22.3685,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,24.794,,,,percent of total billed charges,,25.4947,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,26.1415,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,23.716,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,17.4636,,,,percent of total billed charges,,24.255,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,27.211415,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,25.6025,,,,percent of total billed charges,,21.56,,,,percent of total billed charges,,16.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,,,,,inpatient,,,13.82,,6.91,8.292,13.954054,12.9908,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.4706,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,12.7144,,,,percent of total billed charges,,13.07372,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.4054,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,12.1616,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,8.95536,,,,percent of total billed charges,,12.438,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,13.954054,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,13.129,,,,percent of total billed charges,,11.056,,,,percent of total billed charges,,8.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,,,,,inpatient,,,12.08,,6.04,7.248,12.197176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.82784,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,12.197176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 100 MG/ML IV PEDS [1000016],0636,RC,,,,,inpatient,,,9.68,,4.84,5.808,9.773896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,6.27264,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,9.773896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,,,,,inpatient,,,12.08,,6.04,7.248,12.197176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.82784,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,12.197176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,,,,,inpatient,,,17.33,,8.665,10.398,17.498101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,11.22984,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,17.498101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,,,,,inpatient,,,37.23,,18.615,22.338,37.591131,34.9962,,,,percent of total billed charges,,29.784,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,30.9009,,,,percent of total billed charges,,33.507,,,,percent of total billed charges,,34.2516,,,,percent of total billed charges,,34.2516,,,,percent of total billed charges,,35.21958,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,36.1131,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,32.7624,,,,percent of total billed charges,,33.507,,,,percent of total billed charges,,24.12504,,,,percent of total billed charges,,33.507,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,37.591131,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,35.3685,,,,percent of total billed charges,,29.784,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,,,,,inpatient,,,23.66,,11.83,14.196,23.889502,22.2404,,,,percent of total billed charges,,18.928,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,19.6378,,,,percent of total billed charges,,21.294,,,,percent of total billed charges,,21.7672,,,,percent of total billed charges,,21.7672,,,,percent of total billed charges,,22.38236,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,22.9502,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,20.8208,,,,percent of total billed charges,,21.294,,,,percent of total billed charges,,15.33168,,,,percent of total billed charges,,21.294,,,,percent of total billed charges,,14.196,,,,percent of total billed charges,,23.889502,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,22.477,,,,percent of total billed charges,,18.928,,,,percent of total billed charges,,14.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,,,,,inpatient,,,17.33,,8.665,10.398,17.498101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,11.22984,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,17.498101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [78297],0636,RC,,,,,inpatient,,,17.33,,8.665,10.398,17.498101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,11.22984,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,17.498101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 40 MG/ML IV PEDS - CHI [7000215],0636,RC,,,,,inpatient,,,0.57,,0.285,0.342,0.575529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.36936,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.575529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 500 MG SOLUTION FOR INJECTION [81532],0636,RC,,,,,inpatient,,,12.86,,6.43,7.716,12.984742,12.0884,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.6738,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,12.16556,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.4742,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,11.3168,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,8.33328,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,12.984742,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 500 MG SOLUTION FOR INJECTION [81532],0636,RC,,,,,inpatient,,,27.03,,13.515,16.218,27.292191,25.4082,,,,percent of total billed charges,,21.624,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,22.4349,,,,percent of total billed charges,,24.327,,,,percent of total billed charges,,24.8676,,,,percent of total billed charges,,24.8676,,,,percent of total billed charges,,25.57038,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,26.2191,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,23.7864,,,,percent of total billed charges,,24.327,,,,percent of total billed charges,,17.51544,,,,percent of total billed charges,,24.327,,,,percent of total billed charges,,16.218,,,,percent of total billed charges,,27.292191,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,25.6785,,,,percent of total billed charges,,21.624,,,,percent of total billed charges,,16.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION [79633],0636,RC,,,,,inpatient,,,132.81,,66.405,79.686,134.098257,124.8414,,,,percent of total billed charges,,106.248,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,110.2323,,,,percent of total billed charges,,119.529,,,,percent of total billed charges,,122.1852,,,,percent of total billed charges,,122.1852,,,,percent of total billed charges,,125.63826,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,128.8257,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,116.8728,,,,percent of total billed charges,,119.529,,,,percent of total billed charges,,86.06088,,,,percent of total billed charges,,119.529,,,,percent of total billed charges,,79.686,,,,percent of total billed charges,,134.098257,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,126.1695,,,,percent of total billed charges,,106.248,,,,percent of total billed charges,,79.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [82016],0636,RC,,,,,inpatient,,,12.08,,6.04,7.248,12.197176,11.3552,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.0264,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.1136,,,,percent of total billed charges,,11.42768,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.7176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,10.6304,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.82784,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,12.197176,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,11.476,,,,percent of total billed charges,,9.664,,,,percent of total billed charges,,7.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,,,,,inpatient,,,1635.31,,817.655,981.186,1651.172507,1537.1914,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1357.3073,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1547.00326,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1586.2507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1439.0728,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1059.68088,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,1651.172507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,,,,,inpatient,,,1635.31,,817.655,981.186,1651.172507,1537.1914,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1357.3073,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1547.00326,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1586.2507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1439.0728,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1059.68088,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,1651.172507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,,,,,inpatient,,,1635.31,,817.655,981.186,1651.172507,1537.1914,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1357.3073,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1504.4852,,,,percent of total billed charges,,1547.00326,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1586.2507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1439.0728,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,1059.68088,,,,percent of total billed charges,,1471.779,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,1651.172507,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1553.5445,,,,percent of total billed charges,,1308.248,,,,percent of total billed charges,,981.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [225267],0636,RC,,,,,inpatient,,,614.88,,307.44,368.928,620.844336,577.9872,,,,percent of total billed charges,,491.904,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,510.3504,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,565.6896,,,,percent of total billed charges,,565.6896,,,,percent of total billed charges,,581.67648,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,596.4336,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,541.0944,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,398.44224,,,,percent of total billed charges,,553.392,,,,percent of total billed charges,,368.928,,,,percent of total billed charges,,620.844336,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,584.136,,,,percent of total billed charges,,491.904,,,,percent of total billed charges,,368.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,4.55,,2.275,2.73,4.594135,4.277,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.7765,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.3043,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.4135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.004,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.9484,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,4.594135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,5.57,,2.785,3.342,5.624029,5.2358,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.6231,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.26922,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.4029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.9016,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.60936,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,5.624029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,4.55,,2.275,2.73,4.594135,4.277,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.7765,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.3043,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.4135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.004,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.9484,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,4.594135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,4.14,,2.07,2.484,4.180158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.68272,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,4.180158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,4.55,,2.275,2.73,4.594135,4.277,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.7765,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.186,,,,percent of total billed charges,,4.3043,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.4135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.004,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.9484,,,,percent of total billed charges,,4.095,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,4.594135,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,4.3225,,,,percent of total billed charges,,3.64,,,,percent of total billed charges,,2.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,5.43,,2.715,3.258,5.482671,5.1042,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,4.5069,,,,percent of total billed charges,,4.887,,,,percent of total billed charges,,4.9956,,,,percent of total billed charges,,4.9956,,,,percent of total billed charges,,5.13678,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,5.2671,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,4.7784,,,,percent of total billed charges,,4.887,,,,percent of total billed charges,,3.51864,,,,percent of total billed charges,,4.887,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,5.482671,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,5.1585,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,3.2,,1.6,1.92,3.23104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.0736,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,3.23104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) DUPLEX [7000023],0636,RC,,,,,inpatient,,,76.95,,38.475,46.17,77.696415,72.333,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,63.8685,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,72.7947,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,67.716,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,49.8636,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,77.696415,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],0636,RC,,,,,inpatient,,,76.95,,38.475,46.17,77.696415,72.333,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,63.8685,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,70.794,,,,percent of total billed charges,,72.7947,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,67.716,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,49.8636,,,,percent of total billed charges,,69.255,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,77.696415,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,73.1025,,,,percent of total billed charges,,61.56,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK [9492],0636,RC,,,,,inpatient,,,193.5,,96.75,116.1,195.37695,181.89,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,160.605,,,,percent of total billed charges,,174.15,,,,percent of total billed charges,,178.02,,,,percent of total billed charges,,178.02,,,,percent of total billed charges,,183.051,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,187.695,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,174.15,,,,percent of total billed charges,,125.388,,,,percent of total billed charges,,174.15,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,195.37695,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,183.825,,,,percent of total billed charges,,154.8,,,,percent of total billed charges,,116.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION [9491],0636,RC,,,,,inpatient,,,53.06,,26.53,31.836,53.574682,49.8764,,,,percent of total billed charges,,42.448,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,44.0398,,,,percent of total billed charges,,47.754,,,,percent of total billed charges,,48.8152,,,,percent of total billed charges,,48.8152,,,,percent of total billed charges,,50.19476,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,51.4682,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,46.6928,,,,percent of total billed charges,,47.754,,,,percent of total billed charges,,34.38288,,,,percent of total billed charges,,47.754,,,,percent of total billed charges,,31.836,,,,percent of total billed charges,,53.574682,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,50.407,,,,percent of total billed charges,,42.448,,,,percent of total billed charges,,31.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,11.42,,5.71,6.852,11.530774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,7.40016,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,11.530774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,7.95,,3.975,4.77,8.027115,7.473,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.5985,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.5207,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.7115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,5.1516,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,8.027115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,7.86,,3.93,4.716,7.936242,7.3884,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.5238,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.43556,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.6242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.9168,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,5.09328,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,7.936242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,7.95,,3.975,4.77,8.027115,7.473,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.5985,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.5207,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.7115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,5.1516,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,8.027115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,8.17,,4.085,4.902,8.249249,7.6798,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.7811,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.72882,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.9249,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,5.29416,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,8.249249,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,8.17,,4.085,4.902,8.249249,7.6798,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.7811,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.5164,,,,percent of total billed charges,,7.72882,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.9249,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,5.29416,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,8.249249,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,7.7615,,,,percent of total billed charges,,6.536,,,,percent of total billed charges,,4.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,11.42,,5.71,6.852,11.530774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,7.40016,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,11.530774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK [9493],0636,RC,,,,,inpatient,,,77.85,,38.925,46.71,78.605145,73.179,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,64.6155,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,73.6461,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,75.5145,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,68.508,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,50.4468,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,78.605145,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],0636,RC,,,,,inpatient,,,5.51,,2.755,3.306,5.563447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.57048,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.563447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],0636,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [9489],0636,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION - IV DEFAULT [1002089],0636,RC,,,,,inpatient,,,5.51,,2.755,3.306,5.563447,5.1794,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.5733,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.0692,,,,percent of total billed charges,,5.21246,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.3447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.8488,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.57048,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,5.563447,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,5.2345,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION - IV DEFAULT [1002089],0636,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 250 MG SOLUTION FOR INJECTION - IV DEFAULT [1002089],0636,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [82914],0636,RC,,,,,inpatient,,,7.95,,3.975,4.77,8.027115,7.473,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.5985,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.314,,,,percent of total billed charges,,7.5207,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.7115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,5.1516,,,,percent of total billed charges,,7.155,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,8.027115,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,7.5525,,,,percent of total billed charges,,6.36,,,,percent of total billed charges,,4.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 40 MG/ML IN D5W IV PEDS DILUTION [1000017],0636,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [79735],0636,RC,,,,,inpatient,,,15.38,,7.69,9.228,15.529186,14.4572,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.7654,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.54948,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.9186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,13.5344,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.96624,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,15.529186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION [9491],0636,RC,,,,,inpatient,,,5.31,,2.655,3.186,5.361507,4.9914,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.4073,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,5.02326,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.1507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.6728,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.44088,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,5.361507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME 1 MG/0.1 ML OPHTH INJ [1000814],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,,,,,inpatient,,,7.6,,3.8,4.56,7.67372,7.144,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,6.992,,,,percent of total billed charges,,7.1896,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.372,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,4.9248,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,7.67372,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,7.22,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,,,,,inpatient,,,1.92,,0.96,1.152,1.938624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.24416,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.938624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,,,,,inpatient,,,15.92,,7.96,9.552,16.074424,14.9648,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,13.2136,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,15.06032,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.4424,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,14.0096,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,10.31616,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,16.074424,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME AXETIL 250 MG TABLET [9495],0637,RC,,,,,inpatient,,,15.92,,7.96,9.552,16.074424,14.9648,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,13.2136,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,14.6464,,,,percent of total billed charges,,15.06032,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.4424,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,14.0096,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,10.31616,,,,percent of total billed charges,,14.328,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,16.074424,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,15.124,,,,percent of total billed charges,,12.736,,,,percent of total billed charges,,9.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [81897],0636,RC,,,,,inpatient,,,7.48,,3.74,4.488,7.552556,7.0312,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,6.2084,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,7.07608,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,7.2556,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,6.5824,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,4.84704,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,7.552556,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,7.106,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [81897],0636,RC,,,,,inpatient,,,21.76,,10.88,13.056,21.971072,20.4544,,,,percent of total billed charges,,17.408,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,18.0608,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,20.0192,,,,percent of total billed charges,,20.0192,,,,percent of total billed charges,,20.58496,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,21.1072,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,19.1488,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,14.10048,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,13.056,,,,percent of total billed charges,,21.971072,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,20.672,,,,percent of total billed charges,,17.408,,,,percent of total billed charges,,13.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION [81897],0636,RC,,,,,inpatient,,,14.95,,7.475,8.97,15.095015,14.053,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,12.4085,,,,percent of total billed charges,,13.455,,,,percent of total billed charges,,13.754,,,,percent of total billed charges,,13.754,,,,percent of total billed charges,,14.1427,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,14.5015,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,13.156,,,,percent of total billed charges,,13.455,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,13.455,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,15.095015,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,14.2025,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION [1465],0636,RC,,,,,inpatient,,,10.89,,5.445,6.534,10.995633,10.2366,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,9.0387,,,,percent of total billed charges,,9.801,,,,percent of total billed charges,,10.0188,,,,percent of total billed charges,,10.0188,,,,percent of total billed charges,,10.30194,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,10.5633,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,9.5832,,,,percent of total billed charges,,9.801,,,,percent of total billed charges,,7.05672,,,,percent of total billed charges,,9.801,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,10.995633,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,10.3455,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,,,,,inpatient,,,41.4,,20.7,24.84,41.80158,38.916,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.158,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,41.80158,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,,,,,inpatient,,,2.88,,1.44,1.728,2.907936,2.7072,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.3904,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.6496,,,,percent of total billed charges,,2.72448,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7936,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.5344,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.86624,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.907936,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,,,,,inpatient,,,3.58,,1.79,2.148,3.614726,3.3652,,,,percent of total billed charges,,2.864,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,2.9714,,,,percent of total billed charges,,3.222,,,,percent of total billed charges,,3.2936,,,,percent of total billed charges,,3.2936,,,,percent of total billed charges,,3.38668,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,3.4726,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,3.1504,,,,percent of total billed charges,,3.222,,,,percent of total billed charges,,2.31984,,,,percent of total billed charges,,3.222,,,,percent of total billed charges,,2.148,,,,percent of total billed charges,,3.614726,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,3.401,,,,percent of total billed charges,,2.864,,,,percent of total billed charges,,2.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,,,,,inpatient,,,4.18,,2.09,2.508,4.220546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.70864,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,4.220546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 100 MG CAPSULE [82243],0637,RC,,,,,inpatient,,,4.18,,2.09,2.508,4.220546,3.9292,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.4694,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.8456,,,,percent of total billed charges,,3.95428,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,4.0546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.6784,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.70864,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,4.220546,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.971,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,,,,,inpatient,,,67.91,,33.955,40.746,68.568727,63.8354,,,,percent of total billed charges,,54.328,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,56.3653,,,,percent of total billed charges,,61.119,,,,percent of total billed charges,,62.4772,,,,percent of total billed charges,,62.4772,,,,percent of total billed charges,,64.24286,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,65.8727,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,59.7608,,,,percent of total billed charges,,61.119,,,,percent of total billed charges,,44.00568,,,,percent of total billed charges,,61.119,,,,percent of total billed charges,,40.746,,,,percent of total billed charges,,68.568727,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,64.5145,,,,percent of total billed charges,,54.328,,,,percent of total billed charges,,40.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,,,,,inpatient,,,6.01,,3.005,3.606,6.068297,5.6494,,,,percent of total billed charges,,4.808,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,4.9883,,,,percent of total billed charges,,5.409,,,,percent of total billed charges,,5.5292,,,,percent of total billed charges,,5.5292,,,,percent of total billed charges,,5.68546,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,5.8297,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,5.2888,,,,percent of total billed charges,,5.409,,,,percent of total billed charges,,3.89448,,,,percent of total billed charges,,5.409,,,,percent of total billed charges,,3.606,,,,percent of total billed charges,,6.068297,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,5.7095,,,,percent of total billed charges,,4.808,,,,percent of total billed charges,,3.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,,,,,inpatient,,,4.32,,2.16,2.592,4.361904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.79936,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.361904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,,,,,inpatient,,,9.11,,4.555,5.466,9.198367,8.5634,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.5613,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.61806,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.8367,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.0168,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,5.90328,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,9.198367,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,,,,,inpatient,,,9.11,,4.555,5.466,9.198367,8.5634,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.5613,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.3812,,,,percent of total billed charges,,8.61806,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.8367,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.0168,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,5.90328,,,,percent of total billed charges,,8.199,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,9.198367,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,8.6545,,,,percent of total billed charges,,7.288,,,,percent of total billed charges,,5.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,,,,,inpatient,,,5.45,,2.725,3.27,5.502865,5.123,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.5235,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.1557,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.2865,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.796,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,3.5316,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,5.502865,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELECOXIB 200 MG CAPSULE [76958],0637,RC,,,,,inpatient,,,5.45,,2.725,3.27,5.502865,5.123,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.5235,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.014,,,,percent of total billed charges,,5.1557,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.2865,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.796,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,3.5316,,,,percent of total billed charges,,4.905,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,5.502865,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,5.1775,,,,percent of total billed charges,,4.36,,,,percent of total billed charges,,3.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [241798],0636,RC,,,,,inpatient,,,39991.54,,19995.77,23994.924,40379.45794,37592.0476,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,33192.9782,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,37831.99684,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,38791.7938,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,35192.5552,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,25914.51792,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,40379.45794,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION [241798],0636,RC,,,,,inpatient,,,39991.54,,19995.77,23994.924,40379.45794,37592.0476,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,33192.9782,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,36792.2168,,,,percent of total billed charges,,37831.99684,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,38791.7938,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,35192.5552,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,25914.51792,,,,percent of total billed charges,,35992.386,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,40379.45794,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,37991.963,,,,percent of total billed charges,,31993.232,,,,percent of total billed charges,,23994.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,,,,,inpatient,,,1.72,,0.86,1.032,1.736684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.11456,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.736684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,,,,,inpatient,,,1.72,,0.86,1.032,1.736684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.11456,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.736684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,,,,,inpatient,,,1.48,,0.74,0.888,1.494356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.95904,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.494356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG CAPSULE [9499],0637,RC,,,,,inpatient,,,1.48,,0.74,0.888,1.494356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.95904,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.494356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],0637,RC,,,,,inpatient,,,71.55,,35.775,42.93,72.244035,67.257,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,59.3865,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,67.6863,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,69.4035,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,62.964,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,46.3644,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,72.244035,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],0637,RC,,,,,inpatient,,,86.4,,43.2,51.84,87.23808,81.216,,,,percent of total billed charges,,69.12,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,71.712,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,79.488,,,,percent of total billed charges,,79.488,,,,percent of total billed charges,,81.7344,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,83.808,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,55.9872,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,87.23808,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,82.08,,,,percent of total billed charges,,69.12,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [9502],0637,RC,,,,,inpatient,,,58.5,,29.25,35.1,59.06745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,37.908,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,59.06745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,,,,,inpatient,,,1.34,,0.67,0.804,1.352998,1.2596,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1122,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.26764,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.2998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1792,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.86832,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,1.352998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,,,,,inpatient,,,1.17,,0.585,0.702,1.181349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.75816,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.181349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,,,,,inpatient,,,1.17,,0.585,0.702,1.181349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.75816,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.181349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,,,,,inpatient,,,1.36,,0.68,0.816,1.373192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.88128,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.373192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CEPHALEXIN 500 MG CAPSULE [9500],0637,RC,,,,,inpatient,,,1.36,,0.68,0.816,1.373192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.88128,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.373192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT [194656],0636,RC,,,,,inpatient,,,21744.92,,10872.46,13046.952,21955.84572,20440.2248,,,,percent of total billed charges,,17395.936,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,18048.2836,,,,percent of total billed charges,,19570.428,,,,percent of total billed charges,,20005.3264,,,,percent of total billed charges,,20005.3264,,,,percent of total billed charges,,20570.69432,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,21092.5724,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,19135.5296,,,,percent of total billed charges,,19570.428,,,,percent of total billed charges,,14090.70816,,,,percent of total billed charges,,19570.428,,,,percent of total billed charges,,13046.952,,,,percent of total billed charges,,21955.84572,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,20657.674,,,,percent of total billed charges,,17395.936,,,,percent of total billed charges,,13046.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,,,,,inpatient,,,16.74,,8.37,10.044,16.902378,15.7356,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,13.8942,,,,percent of total billed charges,,15.066,,,,percent of total billed charges,,15.4008,,,,percent of total billed charges,,15.4008,,,,percent of total billed charges,,15.83604,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,16.2378,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,14.7312,,,,percent of total billed charges,,15.066,,,,percent of total billed charges,,10.84752,,,,percent of total billed charges,,15.066,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,16.902378,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,15.903,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,,,,,inpatient,,,42.48,,21.24,25.488,42.892056,39.9312,,,,percent of total billed charges,,33.984,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,35.2584,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,39.0816,,,,percent of total billed charges,,39.0816,,,,percent of total billed charges,,40.18608,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,41.2056,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,37.3824,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,27.52704,,,,percent of total billed charges,,38.232,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,42.892056,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,40.356,,,,percent of total billed charges,,33.984,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,,,,,inpatient,,,10.26,,5.13,6.156,10.359522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.64848,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,10.359522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,,,,,inpatient,,,17.82,,8.91,10.692,17.992854,16.7508,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.7906,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.85772,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.2854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,15.6816,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,11.54736,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,17.992854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,,,,,inpatient,,,51.51,,25.755,30.906,52.009647,48.4194,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,42.7533,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,48.72846,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,49.9647,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,45.3288,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,33.37848,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,52.009647,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,,,,,inpatient,,,51.51,,25.755,30.906,52.009647,48.4194,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,42.7533,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,47.3892,,,,percent of total billed charges,,48.72846,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,49.9647,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,45.3288,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,33.37848,,,,percent of total billed charges,,46.359,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,52.009647,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,48.9345,,,,percent of total billed charges,,41.208,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETIRIZINE 1 MG/ML ORAL SOLUTION [164834],0637,RC,,,,,inpatient,,,15.93,,7.965,9.558,16.084521,14.9742,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,13.2219,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,15.06978,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.4521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,14.0184,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,10.32264,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,16.084521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [191638],0636,RC,,,,,inpatient,,,3423.38,,1711.69,2054.028,3456.586786,3217.9772,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2841.4054,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3238.51748,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3320.6786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3012.5744,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2218.35024,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,3456.586786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [191639],0636,RC,,,,,inpatient,,,6846.75,,3423.375,4108.05,6913.163475,6435.945,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5682.8025,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6477.0255,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6641.3475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6025.14,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4436.694,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,6913.163475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB [1000202],0636,RC,,,,,inpatient,,,3423.38,,1711.69,2054.028,3456.586786,3217.9772,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2841.4054,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3238.51748,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3320.6786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3012.5744,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2218.35024,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,3456.586786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB [1000202],0636,RC,,,,,inpatient,,,6846.75,,3423.375,4108.05,6913.163475,6435.945,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5682.8025,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6477.0255,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6641.3475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6025.14,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4436.694,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,6913.163475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB (OLD) [1000201],0636,RC,,,,,inpatient,,,3423.38,,1711.69,2054.028,3456.586786,3217.9772,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2841.4054,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3149.5096,,,,percent of total billed charges,,3238.51748,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3320.6786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3012.5744,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2218.35024,,,,percent of total billed charges,,3081.042,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,3456.586786,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,3252.211,,,,percent of total billed charges,,2738.704,,,,percent of total billed charges,,2054.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CETUXIMAB IVPB (OLD) [1000201],0636,RC,,,,,inpatient,,,6846.75,,3423.375,4108.05,6913.163475,6435.945,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5682.8025,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6299.01,,,,percent of total billed charges,,6477.0255,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6641.3475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6025.14,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4436.694,,,,percent of total billed charges,,6162.075,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,6913.163475,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,6504.4125,,,,percent of total billed charges,,5477.4,,,,percent of total billed charges,,4108.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0637,RC,,,,,inpatient,,,46.83,,23.415,28.098,47.284251,44.0202,,,,percent of total billed charges,,37.464,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,38.8689,,,,percent of total billed charges,,42.147,,,,percent of total billed charges,,43.0836,,,,percent of total billed charges,,43.0836,,,,percent of total billed charges,,44.30118,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,45.4251,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,41.2104,,,,percent of total billed charges,,42.147,,,,percent of total billed charges,,30.34584,,,,percent of total billed charges,,42.147,,,,percent of total billed charges,,28.098,,,,percent of total billed charges,,47.284251,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,44.4885,,,,percent of total billed charges,,37.464,,,,percent of total billed charges,,28.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHERRY FLAVOR (BULK) ORAL LIQUID [1562],0637,RC,,,,,inpatient,,,61.73,,30.865,37.038,62.328781,58.0262,,,,percent of total billed charges,,49.384,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,51.2359,,,,percent of total billed charges,,55.557,,,,percent of total billed charges,,56.7916,,,,percent of total billed charges,,56.7916,,,,percent of total billed charges,,58.39658,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,59.8781,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,54.3224,,,,percent of total billed charges,,55.557,,,,percent of total billed charges,,40.00104,,,,percent of total billed charges,,55.557,,,,percent of total billed charges,,37.038,,,,percent of total billed charges,,62.328781,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,58.6435,,,,percent of total billed charges,,49.384,,,,percent of total billed charges,,37.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 10 MG CAPSULE [1622],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 25 MG CAPSULE [1623],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORDIAZEPOXIDE 5 MG CAPSULE [1624],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,10.65,,5.325,6.39,10.753305,10.011,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.8395,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,10.0749,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.3305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,9.372,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.9012,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,10.753305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,11.16,,5.58,6.696,11.268252,10.4904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.2628,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.55736,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.8252,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.8208,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,7.23168,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,11.268252,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,8.71,,4.355,5.226,8.794487,8.1874,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.2293,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.23966,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.4487,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.6648,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,5.64408,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,8.794487,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,8.71,,4.355,5.226,8.794487,8.1874,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.2293,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.0132,,,,percent of total billed charges,,8.23966,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.4487,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,7.6648,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,5.64408,,,,percent of total billed charges,,7.839,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,8.794487,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,8.2745,,,,percent of total billed charges,,6.968,,,,percent of total billed charges,,5.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,8.04,,4.02,4.824,8.117988,7.5576,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.6732,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.60584,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.7988,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.0752,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,5.20992,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,8.117988,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,7.77,,3.885,4.662,7.845369,7.3038,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,6.4491,,,,percent of total billed charges,,6.993,,,,percent of total billed charges,,7.1484,,,,percent of total billed charges,,7.1484,,,,percent of total billed charges,,7.35042,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,7.5369,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,6.8376,,,,percent of total billed charges,,6.993,,,,percent of total billed charges,,5.03496,,,,percent of total billed charges,,6.993,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,7.845369,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,7.3815,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,3.45,,1.725,2.07,3.483465,3.243,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.8635,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.2637,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.3465,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,3.483465,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [9516],0637,RC,,,,,inpatient,,,3.99,,1.995,2.394,4.028703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.58552,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,4.028703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,,,,,inpatient,,,79.29,,39.645,47.574,80.059113,74.5326,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,65.8107,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,75.00834,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,76.9113,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,69.7752,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,51.37992,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,80.059113,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,,,,,inpatient,,,51.48,,25.74,30.888,51.979356,48.3912,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,42.7284,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,48.70008,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,49.9356,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,45.3024,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,33.35904,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,51.979356,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,,,,,inpatient,,,51.48,,25.74,30.888,51.979356,48.3912,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,42.7284,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,47.3616,,,,percent of total billed charges,,48.70008,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,49.9356,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,45.3024,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,33.35904,,,,percent of total billed charges,,46.332,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,51.979356,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,48.906,,,,percent of total billed charges,,41.184,,,,percent of total billed charges,,30.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [203023],0636,RC,,,,,inpatient,,,79.29,,39.645,47.574,80.059113,74.5326,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,65.8107,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,72.9468,,,,percent of total billed charges,,75.00834,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,76.9113,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,69.7752,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,51.37992,,,,percent of total billed charges,,71.361,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,80.059113,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,75.3255,,,,percent of total billed charges,,63.432,,,,percent of total billed charges,,47.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [81305],0250,RC,,,,,inpatient,,,110.25,,55.125,66.15,111.319425,103.635,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,91.5075,,,,percent of total billed charges,,99.225,,,,percent of total billed charges,,101.43,,,,percent of total billed charges,,101.43,,,,percent of total billed charges,,104.2965,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,106.9425,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,97.02,,,,percent of total billed charges,,99.225,,,,percent of total billed charges,,71.442,,,,percent of total billed charges,,99.225,,,,percent of total billed charges,,66.15,,,,percent of total billed charges,,111.319425,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,104.7375,,,,percent of total billed charges,,88.2,,,,percent of total billed charges,,66.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [81305],0250,RC,,,,,inpatient,,,148.91,,74.455,89.346,150.354427,139.9754,,,,percent of total billed charges,,119.128,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,123.5953,,,,percent of total billed charges,,134.019,,,,percent of total billed charges,,136.9972,,,,percent of total billed charges,,136.9972,,,,percent of total billed charges,,140.86886,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,144.4427,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,131.0408,,,,percent of total billed charges,,134.019,,,,percent of total billed charges,,96.49368,,,,percent of total billed charges,,134.019,,,,percent of total billed charges,,89.346,,,,percent of total billed charges,,150.354427,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,141.4645,,,,percent of total billed charges,,119.128,,,,percent of total billed charges,,89.346,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION [81305],0250,RC,,,,,inpatient,,,144.77,,72.385,86.862,146.174269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,93.81096,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,146.174269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,,,,,inpatient,,,17.82,,8.91,10.692,17.992854,16.7508,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.7906,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.85772,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.2854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,15.6816,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,11.54736,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,17.992854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,,,,,inpatient,,,26.27,,13.135,15.762,26.524819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,17.02296,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,26.524819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,,,,,inpatient,,,26.27,,13.135,15.762,26.524819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,17.02296,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,26.524819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,,,,,inpatient,,,18.33,,9.165,10.998,18.507801,17.2302,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,15.2139,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,17.34018,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.7801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,16.1304,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,11.87784,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,18.507801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG TABLET [1656],0636,RC,,,,,inpatient,,,18.33,,9.165,10.998,18.507801,17.2302,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,15.2139,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,17.34018,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.7801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,16.1304,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,11.87784,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,18.507801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,,,,,inpatient,,,96.49,,48.245,57.894,97.425953,90.7006,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,80.0867,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,91.27954,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,93.5953,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,84.9112,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,62.52552,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,97.425953,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,,,,,inpatient,,,96.49,,48.245,57.894,97.425953,90.7006,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,80.0867,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,88.7708,,,,percent of total billed charges,,91.27954,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,93.5953,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,84.9112,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,62.52552,,,,percent of total billed charges,,86.841,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,97.425953,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,91.6655,,,,percent of total billed charges,,77.192,,,,percent of total billed charges,,57.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,,,,,inpatient,,,65.56,,32.78,39.336,66.195932,61.6264,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,54.4148,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,62.01976,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,63.5932,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,57.6928,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,42.48288,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,66.195932,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION [1649],0636,RC,,,,,inpatient,,,65.56,,32.78,39.336,66.195932,61.6264,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,54.4148,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,60.3152,,,,percent of total billed charges,,62.01976,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,63.5932,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,57.6928,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,42.48288,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,66.195932,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,62.282,,,,percent of total billed charges,,52.448,,,,percent of total billed charges,,39.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,,,,,inpatient,,,8.83,,4.415,5.298,8.915651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.72184,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.915651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,,,,,inpatient,,,8.83,,4.415,5.298,8.915651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.72184,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.915651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,,,,,inpatient,,,3.96,,1.98,2.376,3.998412,3.7224,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.2868,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.74616,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.4848,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.56608,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,3.998412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,,,,,inpatient,,,3.96,,1.98,2.376,3.998412,3.7224,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.2868,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.74616,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.4848,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.56608,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,3.998412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHLORTHALIDONE 25 MG TABLET [1661],0637,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [82540],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [82540],0637,RC,,,,,inpatient,,,1.03,,0.515,0.618,1.039991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.66744,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,1.039991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [82540],0637,RC,,,,,inpatient,,,1.03,,0.515,0.618,1.039991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.66744,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,1.039991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS [194522],0637,RC,,,,,inpatient,,,36.9,,18.45,22.14,37.25793,34.686,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,30.627,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,34.9074,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.793,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,32.472,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,23.9112,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,37.25793,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [102354]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [102354]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET [88459],0637,RC,,,,,inpatient,,,8.51,,4.255,5.106,8.592547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.51448,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,8.592547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET [88459],0637,RC,,,,,inpatient,,,3.73,,1.865,2.238,3.766181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.41704,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.766181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHONDROITIN-SOD HYALURON 3 %-4 %(0.35 ML)1 %(0.4 ML)INTRAOCULAR SYRING [79235],0250,RC,,,,,inpatient,,,411.53,,205.765,246.918,415.521841,386.8382,,,,percent of total billed charges,,329.224,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,341.5699,,,,percent of total billed charges,,370.377,,,,percent of total billed charges,,378.6076,,,,percent of total billed charges,,378.6076,,,,percent of total billed charges,,389.30738,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,399.1841,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,362.1464,,,,percent of total billed charges,,370.377,,,,percent of total billed charges,,266.67144,,,,percent of total billed charges,,370.377,,,,percent of total billed charges,,246.918,,,,percent of total billed charges,,415.521841,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,390.9535,,,,percent of total billed charges,,329.224,,,,percent of total billed charges,,246.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING [77854],0250,RC,,,,,inpatient,,,432.95,,216.475,259.77,437.149615,406.973,,,,percent of total billed charges,,346.36,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,359.3485,,,,percent of total billed charges,,389.655,,,,percent of total billed charges,,398.314,,,,percent of total billed charges,,398.314,,,,percent of total billed charges,,409.5707,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,419.9615,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,380.996,,,,percent of total billed charges,,389.655,,,,percent of total billed charges,,280.5516,,,,percent of total billed charges,,389.655,,,,percent of total billed charges,,259.77,,,,percent of total billed charges,,437.149615,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,411.3025,,,,percent of total billed charges,,346.36,,,,percent of total billed charges,,259.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 100 MG TABLET [24474],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 100 MG TABLET [24474],0637,RC,,,,,inpatient,,,4.74,,2.37,2.844,4.785978,4.4556,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.9342,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.48404,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.5978,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.1712,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,3.07152,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,4.785978,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 100 MG TABLET [24474],0637,RC,,,,,inpatient,,,4.74,,2.37,2.844,4.785978,4.4556,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.9342,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.3608,,,,percent of total billed charges,,4.48404,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.5978,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.1712,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,3.07152,,,,percent of total billed charges,,4.266,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,4.785978,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,4.503,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,2.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 50 MG TABLET [24473],0637,RC,,,,,inpatient,,,1.3,,0.65,0.78,1.31261,1.222,,,,percent of total billed charges,,1.04,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.079,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.196,,,,percent of total billed charges,,1.196,,,,percent of total billed charges,,1.2298,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.261,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.144,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,0.8424,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,0.78,,,,percent of total billed charges,,1.31261,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.235,,,,percent of total billed charges,,1.04,,,,percent of total billed charges,,0.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 50 MG TABLET [24473],0637,RC,,,,,inpatient,,,4.13,,2.065,2.478,4.170061,3.8822,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.4279,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.90698,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,4.0061,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.6344,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,2.67624,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,4.170061,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CILOSTAZOL 50 MG TABLET [24473],0637,RC,,,,,inpatient,,,4.13,,2.065,2.478,4.170061,3.8822,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.4279,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.7996,,,,percent of total billed charges,,3.90698,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,4.0061,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.6344,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,2.67624,,,,percent of total billed charges,,3.717,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,4.170061,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.9235,,,,percent of total billed charges,,3.304,,,,percent of total billed charges,,2.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,,,,,inpatient,,,75.91,,37.955,45.546,76.646327,71.3554,,,,percent of total billed charges,,60.728,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,63.0053,,,,percent of total billed charges,,68.319,,,,percent of total billed charges,,69.8372,,,,percent of total billed charges,,69.8372,,,,percent of total billed charges,,71.81086,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,73.6327,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,66.8008,,,,percent of total billed charges,,68.319,,,,percent of total billed charges,,49.18968,,,,percent of total billed charges,,68.319,,,,percent of total billed charges,,45.546,,,,percent of total billed charges,,76.646327,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,72.1145,,,,percent of total billed charges,,60.728,,,,percent of total billed charges,,45.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,,,,,inpatient,,,111.17,,55.585,66.702,112.248349,104.4998,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,92.2711,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,105.16682,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,107.8349,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,97.8296,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,72.03816,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,112.248349,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,,,,,inpatient,,,111.17,,55.585,66.702,112.248349,104.4998,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,92.2711,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,102.2764,,,,percent of total billed charges,,105.16682,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,107.8349,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,97.8296,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,72.03816,,,,percent of total billed charges,,100.053,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,112.248349,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,105.6115,,,,percent of total billed charges,,88.936,,,,percent of total billed charges,,66.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,,,,,inpatient,,,1.05,,0.525,0.63,1.060185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.6804,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,1.060185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CINACALCET 30 MG TABLET [92230],0637,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 0.3 % EYE DROPS [9610],0637,RC,,,,,inpatient,,,34.2,,17.1,20.52,34.53174,32.148,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.464,,,,percent of total billed charges,,31.464,,,,percent of total billed charges,,32.3532,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,33.174,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,30.096,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,22.1616,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,34.53174,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,32.49,,,,percent of total billed charges,,27.36,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 0.3 % EYE DROPS [9610],0637,RC,,,,,inpatient,,,63,,31.5,37.8,63.6111,59.22,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,59.598,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,61.11,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,55.44,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,63.6111,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,59.85,,,,percent of total billed charges,,50.4,,,,percent of total billed charges,,37.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [88428]",0637,RC,,,,,inpatient,,,649.52,,324.76,389.712,655.820344,610.5488,,,,percent of total billed charges,,519.616,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,539.1016,,,,percent of total billed charges,,584.568,,,,percent of total billed charges,,597.5584,,,,percent of total billed charges,,597.5584,,,,percent of total billed charges,,614.44592,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,630.0344,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,571.5776,,,,percent of total billed charges,,584.568,,,,percent of total billed charges,,420.88896,,,,percent of total billed charges,,584.568,,,,percent of total billed charges,,389.712,,,,percent of total billed charges,,655.820344,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,617.044,,,,percent of total billed charges,,519.616,,,,percent of total billed charges,,389.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [88428]",0637,RC,,,,,inpatient,,,516.95,,258.475,310.17,521.964415,485.933,,,,percent of total billed charges,,413.56,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,429.0685,,,,percent of total billed charges,,465.255,,,,percent of total billed charges,,475.594,,,,percent of total billed charges,,475.594,,,,percent of total billed charges,,489.0347,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,501.4415,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,454.916,,,,percent of total billed charges,,465.255,,,,percent of total billed charges,,334.9836,,,,percent of total billed charges,,465.255,,,,percent of total billed charges,,310.17,,,,percent of total billed charges,,521.964415,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,491.1025,,,,percent of total billed charges,,413.56,,,,percent of total billed charges,,310.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [83047],0636,RC,,,,,inpatient,,,10.35,,5.175,6.21,10.450395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,10.450395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 250 MG TABLET [25118],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 250 MG TABLET [25118],0637,RC,,,,,inpatient,,,0.74,,0.37,0.444,0.747178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.47952,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.747178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 250 MG TABLET [25118],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,,,,,inpatient,,,1.2,,0.6,0.72,1.21164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.7776,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.21164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,,,,,inpatient,,,1.21,,0.605,0.726,1.221737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.78408,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.221737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN 500 MG TABLET [25119],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,,,,,inpatient,,,12.6,,6.3,7.56,12.72222,11.844,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.9196,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,12.222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,8.1648,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,12.72222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIPROFLOXACIN IN D5W 400 MG/200 ML IV PIGGY BACK - EAST [7000051],0636,RC,,,,,inpatient,,,12.6,,6.3,7.56,12.72222,11.844,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.9196,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,12.222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,8.1648,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,12.72222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,114.8,,57.4,68.88,115.91356,107.912,,,,percent of total billed charges,,91.84,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,95.284,,,,percent of total billed charges,,103.32,,,,percent of total billed charges,,105.616,,,,percent of total billed charges,,105.616,,,,percent of total billed charges,,108.6008,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,111.356,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,101.024,,,,percent of total billed charges,,103.32,,,,percent of total billed charges,,74.3904,,,,percent of total billed charges,,103.32,,,,percent of total billed charges,,68.88,,,,percent of total billed charges,,115.91356,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,109.06,,,,percent of total billed charges,,91.84,,,,percent of total billed charges,,68.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,64.85,,32.425,38.91,65.479045,60.959,,,,percent of total billed charges,,51.88,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,53.8255,,,,percent of total billed charges,,58.365,,,,percent of total billed charges,,59.662,,,,percent of total billed charges,,59.662,,,,percent of total billed charges,,61.3481,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,62.9045,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,57.068,,,,percent of total billed charges,,58.365,,,,percent of total billed charges,,42.0228,,,,percent of total billed charges,,58.365,,,,percent of total billed charges,,38.91,,,,percent of total billed charges,,65.479045,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,61.6075,,,,percent of total billed charges,,51.88,,,,percent of total billed charges,,38.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,12.27,,6.135,7.362,12.389019,11.5338,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.1841,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.60742,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.9019,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.7976,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,7.95096,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,12.389019,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,12.27,,6.135,7.362,12.389019,11.5338,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.1841,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.2884,,,,percent of total billed charges,,11.60742,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.9019,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,10.7976,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,7.95096,,,,percent of total billed charges,,11.043,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,12.389019,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,11.6565,,,,percent of total billed charges,,9.816,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,14.47,,7.235,8.682,14.610359,13.6018,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.0101,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.68862,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,14.0359,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.7336,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,9.37656,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,14.610359,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,14.47,,7.235,8.682,14.610359,13.6018,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.0101,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.3124,,,,percent of total billed charges,,13.68862,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,14.0359,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,12.7336,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,9.37656,,,,percent of total billed charges,,13.023,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,14.610359,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,13.7465,,,,percent of total billed charges,,11.576,,,,percent of total billed charges,,8.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,17.13,,8.565,10.278,17.296161,16.1022,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,14.2179,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,16.20498,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.6161,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,15.0744,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,11.10024,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,17.296161,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,17.13,,8.565,10.278,17.296161,16.1022,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,14.2179,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,15.7596,,,,percent of total billed charges,,16.20498,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.6161,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,15.0744,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,11.10024,,,,percent of total billed charges,,15.417,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,17.296161,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,16.2735,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,12.63,,6.315,7.578,12.752511,11.8722,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.4829,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.94798,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,12.2511,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.1144,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,8.18424,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,12.752511,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,12.63,,6.315,7.578,12.752511,11.8722,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.4829,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.6196,,,,percent of total billed charges,,11.94798,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,12.2511,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.1144,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,8.18424,,,,percent of total billed charges,,11.367,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,12.752511,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,11.9985,,,,percent of total billed charges,,10.104,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,8.49,,4.245,5.094,8.572353,7.9806,,,,percent of total billed charges,,6.792,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,7.0467,,,,percent of total billed charges,,7.641,,,,percent of total billed charges,,7.8108,,,,percent of total billed charges,,7.8108,,,,percent of total billed charges,,8.03154,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,8.2353,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,7.4712,,,,percent of total billed charges,,7.641,,,,percent of total billed charges,,5.50152,,,,percent of total billed charges,,7.641,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,8.572353,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,8.0655,,,,percent of total billed charges,,6.792,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [80581],0250,RC,,,,,inpatient,,,10.35,,5.175,6.21,10.450395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,10.450395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM 2000 MCG/ML PEDS INFUSION [1001895],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,1228.41,,614.205,737.046,1240.325577,1154.7054,,,,percent of total billed charges,,982.728,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1019.5803,,,,percent of total billed charges,,1105.569,,,,percent of total billed charges,,1130.1372,,,,percent of total billed charges,,1130.1372,,,,percent of total billed charges,,1162.07586,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1191.5577,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1081.0008,,,,percent of total billed charges,,1105.569,,,,percent of total billed charges,,796.00968,,,,percent of total billed charges,,1105.569,,,,percent of total billed charges,,737.046,,,,percent of total billed charges,,1240.325577,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,1166.9895,,,,percent of total billed charges,,982.728,,,,percent of total billed charges,,737.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,688.95,,344.475,413.37,695.632815,647.613,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,571.8285,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,651.7467,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,668.2815,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,606.276,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,446.4396,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,695.632815,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,262.62,,131.31,157.572,265.167414,246.8628,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,217.9746,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,248.43852,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,254.7414,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,231.1056,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,170.17776,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,265.167414,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,262.62,,131.31,157.572,265.167414,246.8628,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,217.9746,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,241.6104,,,,percent of total billed charges,,248.43852,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,254.7414,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,231.1056,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,170.17776,,,,percent of total billed charges,,236.358,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,265.167414,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,249.489,,,,percent of total billed charges,,210.096,,,,percent of total billed charges,,157.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,229.59,,114.795,137.754,231.817023,215.8146,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,190.5597,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,217.19214,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,222.7023,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,202.0392,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,148.77432,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,231.817023,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,229.59,,114.795,137.754,231.817023,215.8146,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,190.5597,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,211.2228,,,,percent of total billed charges,,217.19214,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,222.7023,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,202.0392,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,148.77432,,,,percent of total billed charges,,206.631,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,231.817023,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,218.1105,,,,percent of total billed charges,,183.672,,,,percent of total billed charges,,137.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,232.11,,116.055,139.266,234.361467,218.1834,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,192.6513,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,219.57606,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,225.1467,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,204.2568,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,150.40728,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,234.361467,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,232.11,,116.055,139.266,234.361467,218.1834,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,192.6513,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,213.5412,,,,percent of total billed charges,,219.57606,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,225.1467,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,204.2568,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,150.40728,,,,percent of total billed charges,,208.899,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,234.361467,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,220.5045,,,,percent of total billed charges,,185.688,,,,percent of total billed charges,,139.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION [78425],0250,RC,,,,,inpatient,,,688.95,,344.475,413.37,695.632815,647.613,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,571.8285,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,633.834,,,,percent of total billed charges,,651.7467,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,668.2815,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,606.276,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,446.4396,,,,percent of total billed charges,,620.055,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,695.632815,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,654.5025,,,,percent of total billed charges,,551.16,,,,percent of total billed charges,,413.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],0636,RC,,,,,inpatient,,,39.83,,19.915,23.898,40.216351,37.4402,,,,percent of total billed charges,,31.864,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,33.0589,,,,percent of total billed charges,,35.847,,,,percent of total billed charges,,36.6436,,,,percent of total billed charges,,36.6436,,,,percent of total billed charges,,37.67918,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,38.6351,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,35.0504,,,,percent of total billed charges,,35.847,,,,percent of total billed charges,,25.80984,,,,percent of total billed charges,,35.847,,,,percent of total billed charges,,23.898,,,,percent of total billed charges,,40.216351,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,37.8385,,,,percent of total billed charges,,31.864,,,,percent of total billed charges,,23.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [9612],0636,RC,,,,,inpatient,,,83.7,,41.85,50.22,84.51189,78.678,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,69.471,,,,percent of total billed charges,,75.33,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,79.1802,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,81.189,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,73.656,,,,percent of total billed charges,,75.33,,,,percent of total billed charges,,54.2376,,,,percent of total billed charges,,75.33,,,,percent of total billed charges,,50.22,,,,percent of total billed charges,,84.51189,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,79.515,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,50.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CITALOPRAM 20 MG TABLET [21062],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLARITHROMYCIN 500 MG TABLET [9617],0637,RC,,,,,inpatient,,,3.7,,1.85,2.22,3.73589,3.478,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.071,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.5002,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.589,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.3976,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,3.73589,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLARITHROMYCIN 500 MG TABLET [9617],0637,RC,,,,,inpatient,,,1.53,,0.765,0.918,1.544841,1.4382,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.2699,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.44738,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.3464,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.99144,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,1.544841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLARITHROMYCIN 500 MG TABLET [9617],0637,RC,,,,,inpatient,,,15.17,,7.585,9.102,15.317149,14.2598,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.5911,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,14.35082,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.7149,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,13.3496,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,9.83016,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,15.317149,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,,,,,inpatient,,,119.88,,59.94,71.928,121.042836,112.6872,,,,percent of total billed charges,,95.904,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,99.5004,,,,percent of total billed charges,,107.892,,,,percent of total billed charges,,110.2896,,,,percent of total billed charges,,110.2896,,,,percent of total billed charges,,113.40648,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,116.2836,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,105.4944,,,,percent of total billed charges,,107.892,,,,percent of total billed charges,,77.68224,,,,percent of total billed charges,,107.892,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,121.042836,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,113.886,,,,percent of total billed charges,,95.904,,,,percent of total billed charges,,71.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,,,,,inpatient,,,365.58,,182.79,219.348,369.126126,343.6452,,,,percent of total billed charges,,292.464,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,303.4314,,,,percent of total billed charges,,329.022,,,,percent of total billed charges,,336.3336,,,,percent of total billed charges,,336.3336,,,,percent of total billed charges,,345.83868,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,354.6126,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,321.7104,,,,percent of total billed charges,,329.022,,,,percent of total billed charges,,236.89584,,,,percent of total billed charges,,329.022,,,,percent of total billed charges,,219.348,,,,percent of total billed charges,,369.126126,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,347.301,,,,percent of total billed charges,,292.464,,,,percent of total billed charges,,219.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,,,,,inpatient,,,306.45,,153.225,183.87,309.422565,288.063,,,,percent of total billed charges,,245.16,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,254.3535,,,,percent of total billed charges,,275.805,,,,percent of total billed charges,,281.934,,,,percent of total billed charges,,281.934,,,,percent of total billed charges,,289.9017,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,297.2565,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,269.676,,,,percent of total billed charges,,275.805,,,,percent of total billed charges,,198.5796,,,,percent of total billed charges,,275.805,,,,percent of total billed charges,,183.87,,,,percent of total billed charges,,309.422565,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,291.1275,,,,percent of total billed charges,,245.16,,,,percent of total billed charges,,183.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 1 % LOTION [19711],0637,RC,,,,,inpatient,,,46.17,,23.085,27.702,46.617849,43.3998,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,38.3211,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,42.4764,,,,percent of total billed charges,,42.4764,,,,percent of total billed charges,,43.67682,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,44.7849,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,40.6296,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,29.91816,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,46.617849,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,43.8615,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,95.04,,47.52,57.024,95.961888,89.3376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,78.8832,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,89.90784,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,92.1888,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,83.6352,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,61.58592,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,95.961888,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,10.28,,5.14,6.168,10.379716,9.6632,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.5324,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.72488,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.9716,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.0464,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,6.66144,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,10.379716,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,17.64,,8.82,10.584,17.811108,16.5816,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.6412,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.68744,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1108,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,15.5232,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,11.43072,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,17.811108,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,17.64,,8.82,10.584,17.811108,16.5816,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.6412,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.2288,,,,percent of total billed charges,,16.68744,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,17.1108,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,15.5232,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,11.43072,,,,percent of total billed charges,,15.876,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,17.811108,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,16.758,,,,percent of total billed charges,,14.112,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,8.64,,4.32,5.184,8.723808,8.1216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,7.1712,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,7.9488,,,,percent of total billed charges,,7.9488,,,,percent of total billed charges,,8.17344,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,8.3808,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,7.6032,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.59872,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,8.723808,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,11.24,,5.62,6.744,11.349028,10.5656,,,,percent of total billed charges,,8.992,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,9.3292,,,,percent of total billed charges,,10.116,,,,percent of total billed charges,,10.3408,,,,percent of total billed charges,,10.3408,,,,percent of total billed charges,,10.63304,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,10.9028,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,9.8912,,,,percent of total billed charges,,10.116,,,,percent of total billed charges,,7.28352,,,,percent of total billed charges,,10.116,,,,percent of total billed charges,,6.744,,,,percent of total billed charges,,11.349028,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,10.678,,,,percent of total billed charges,,8.992,,,,percent of total billed charges,,6.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,10.93,,5.465,6.558,11.036021,10.2742,,,,percent of total billed charges,,8.744,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,9.0719,,,,percent of total billed charges,,9.837,,,,percent of total billed charges,,10.0556,,,,percent of total billed charges,,10.0556,,,,percent of total billed charges,,10.33978,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,10.6021,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,9.6184,,,,percent of total billed charges,,9.837,,,,percent of total billed charges,,7.08264,,,,percent of total billed charges,,9.837,,,,percent of total billed charges,,6.558,,,,percent of total billed charges,,11.036021,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,10.3835,,,,percent of total billed charges,,8.744,,,,percent of total billed charges,,6.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,14.23,,7.115,8.538,14.368031,13.3762,,,,percent of total billed charges,,11.384,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,11.8109,,,,percent of total billed charges,,12.807,,,,percent of total billed charges,,13.0916,,,,percent of total billed charges,,13.0916,,,,percent of total billed charges,,13.46158,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,13.8031,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,12.5224,,,,percent of total billed charges,,12.807,,,,percent of total billed charges,,9.22104,,,,percent of total billed charges,,12.807,,,,percent of total billed charges,,8.538,,,,percent of total billed charges,,14.368031,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,13.5185,,,,percent of total billed charges,,11.384,,,,percent of total billed charges,,8.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,10.28,,5.14,6.168,10.379716,9.6632,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.5324,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.4576,,,,percent of total billed charges,,9.72488,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.9716,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.0464,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,6.66144,,,,percent of total billed charges,,9.252,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,10.379716,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,9.766,,,,percent of total billed charges,,8.224,,,,percent of total billed charges,,6.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,8.59,,4.295,5.154,8.673323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.56632,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,8.673323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,8.59,,4.295,5.154,8.673323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.56632,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,8.673323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,95.04,,47.52,57.024,95.961888,89.3376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,78.8832,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,87.4368,,,,percent of total billed charges,,89.90784,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,92.1888,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,83.6352,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,61.58592,,,,percent of total billed charges,,85.536,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,95.961888,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,90.288,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,57.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 6 MG/ML IN D5W IV PEDS DILUTION [1001842],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235380],0250,RC,,,,,inpatient,,,17.78,,8.89,10.668,17.952466,16.7132,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.7574,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.81988,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,17.2466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,15.6464,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,11.52144,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,17.952466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235380],0250,RC,,,,,inpatient,,,21.15,,10.575,12.69,21.355155,19.881,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,17.5545,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,20.0079,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.5155,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,13.7052,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,21.355155,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235380],0250,RC,,,,,inpatient,,,17.78,,8.89,10.668,17.952466,16.7132,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.7574,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.81988,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,17.2466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,15.6464,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,11.52144,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,17.952466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [79801],0637,RC,,,,,inpatient,,,58.95,,29.475,35.37,59.521815,55.413,,,,percent of total billed charges,,47.16,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,48.9285,,,,percent of total billed charges,,53.055,,,,percent of total billed charges,,54.234,,,,percent of total billed charges,,54.234,,,,percent of total billed charges,,55.7667,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,57.1815,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,51.876,,,,percent of total billed charges,,53.055,,,,percent of total billed charges,,38.1996,,,,percent of total billed charges,,53.055,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,59.521815,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,56.0025,,,,percent of total billed charges,,47.16,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [79801],0637,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [79801],0637,RC,,,,,inpatient,,,63.9,,31.95,38.34,64.51983,60.066,,,,percent of total billed charges,,51.12,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,53.037,,,,percent of total billed charges,,57.51,,,,percent of total billed charges,,58.788,,,,percent of total billed charges,,58.788,,,,percent of total billed charges,,60.4494,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,61.983,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,57.51,,,,percent of total billed charges,,41.4072,,,,percent of total billed charges,,57.51,,,,percent of total billed charges,,38.34,,,,percent of total billed charges,,64.51983,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,60.705,,,,percent of total billed charges,,51.12,,,,percent of total billed charges,,38.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235381],0250,RC,,,,,inpatient,,,22.05,,11.025,13.23,22.263885,20.727,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,18.3015,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.8593,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,21.3885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,19.404,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,14.2884,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,22.263885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [235381],0250,RC,,,,,inpatient,,,22.05,,11.025,13.23,22.263885,20.727,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,18.3015,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.8593,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,21.3885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,19.404,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,14.2884,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,22.263885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],0250,RC,,,,,inpatient,,,56.93,,28.465,34.158,57.482221,53.5142,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,47.2519,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,53.85578,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,55.2221,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,50.0984,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,36.89064,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,57.482221,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9627],0250,RC,,,,,inpatient,,,56.93,,28.465,34.158,57.482221,53.5142,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,47.2519,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,52.3756,,,,percent of total billed charges,,53.85578,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,55.2221,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,50.0984,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,36.89064,,,,percent of total billed charges,,51.237,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,57.482221,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,54.0835,,,,percent of total billed charges,,45.544,,,,percent of total billed charges,,34.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN HCL 150 MG CAPSULE [1740],0637,RC,,,,,inpatient,,,1.41,,0.705,0.846,1.423677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.91368,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.423677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN HCL 150 MG CAPSULE [1740],0637,RC,,,,,inpatient,,,1.41,,0.705,0.846,1.423677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.91368,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.423677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN HCL 150 MG CAPSULE [1740],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,8.59,,4.295,5.154,8.673323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.56632,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,8.673323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,8.59,,4.295,5.154,8.673323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.56632,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,8.673323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743],0250,RC,,,,,inpatient,,,8.59,,4.295,5.154,8.673323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.56632,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,8.673323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBAZAM 10 MG TABLET [210398],0637,RC,,,,,inpatient,,,11.93,,5.965,7.158,12.045721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.73064,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,12.045721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBETASOL 0.05 % TOPICAL CREAM [9630],0637,RC,,,,,inpatient,,,32.13,,16.065,19.278,32.441661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,20.82024,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,32.441661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBETASOL 0.05 % TOPICAL CREAM [9630],0637,RC,,,,,inpatient,,,14.18,,7.09,8.508,14.317546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,9.18864,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,14.317546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOBETASOL 0.05 % TOPICAL CREAM [9630],0637,RC,,,,,inpatient,,,35.24,,17.62,21.144,35.581828,33.1256,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,29.2492,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,32.4208,,,,percent of total billed charges,,33.33704,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,34.1828,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,31.0112,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,22.83552,,,,percent of total billed charges,,31.716,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,35.581828,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,33.478,,,,percent of total billed charges,,28.192,,,,percent of total billed charges,,21.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 0.5 MG TABLET [9637],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 0.5 MG TABLET [9637],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 0.5 MG TABLET [9637],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONAZEPAM 1 MG TABLET [9638],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,,,,,inpatient,,,73.31,,36.655,43.986,74.021107,68.9114,,,,percent of total billed charges,,58.648,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,60.8473,,,,percent of total billed charges,,65.979,,,,percent of total billed charges,,67.4452,,,,percent of total billed charges,,67.4452,,,,percent of total billed charges,,69.35126,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,71.1107,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,64.5128,,,,percent of total billed charges,,65.979,,,,percent of total billed charges,,47.50488,,,,percent of total billed charges,,65.979,,,,percent of total billed charges,,43.986,,,,percent of total billed charges,,74.021107,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,69.6445,,,,percent of total billed charges,,58.648,,,,percent of total billed charges,,43.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,,,,,inpatient,,,62.97,,31.485,37.782,63.580809,59.1918,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,52.2651,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,59.56962,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,61.0809,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,55.4136,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,40.80456,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,63.580809,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,,,,,inpatient,,,62.97,,31.485,37.782,63.580809,59.1918,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,52.2651,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,57.9324,,,,percent of total billed charges,,59.56962,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,61.0809,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,55.4136,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,40.80456,,,,percent of total billed charges,,56.673,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,63.580809,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,59.8215,,,,percent of total billed charges,,50.376,,,,percent of total billed charges,,37.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,,,,,inpatient,,,59.56,,29.78,35.736,60.137732,55.9864,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,49.4348,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,56.34376,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,57.7732,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,52.4128,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,38.59488,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,60.137732,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,,,,,inpatient,,,59.56,,29.78,35.736,60.137732,55.9864,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,49.4348,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,54.7952,,,,percent of total billed charges,,56.34376,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,57.7732,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,52.4128,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,38.59488,,,,percent of total billed charges,,53.604,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,60.137732,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,56.582,,,,percent of total billed charges,,47.648,,,,percent of total billed charges,,35.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [77524],0637,RC,,,,,inpatient,,,37.01,,18.505,22.206,37.368997,34.7894,,,,percent of total billed charges,,29.608,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,30.7183,,,,percent of total billed charges,,33.309,,,,percent of total billed charges,,34.0492,,,,percent of total billed charges,,34.0492,,,,percent of total billed charges,,35.01146,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,35.8997,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,32.5688,,,,percent of total billed charges,,33.309,,,,percent of total billed charges,,23.98248,,,,percent of total billed charges,,33.309,,,,percent of total billed charges,,22.206,,,,percent of total billed charges,,37.368997,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,35.1595,,,,percent of total billed charges,,29.608,,,,percent of total billed charges,,22.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,,,,,inpatient,,,115.33,,57.665,69.198,116.448701,108.4102,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,95.7239,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,109.10218,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,111.8701,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,101.4904,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,74.73384,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,116.448701,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,,,,,inpatient,,,137.12,,68.56,82.272,138.450064,128.8928,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,113.8096,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,129.71552,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,133.0064,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,120.6656,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,88.85376,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,138.450064,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,,,,,inpatient,,,137.12,,68.56,82.272,138.450064,128.8928,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,113.8096,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,126.1504,,,,percent of total billed charges,,129.71552,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,133.0064,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,120.6656,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,88.85376,,,,percent of total billed charges,,123.408,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,138.450064,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,130.264,,,,percent of total billed charges,,109.696,,,,percent of total billed charges,,82.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,,,,,inpatient,,,115.33,,57.665,69.198,116.448701,108.4102,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,95.7239,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,106.1036,,,,percent of total billed charges,,109.10218,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,111.8701,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,101.4904,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,74.73384,,,,percent of total billed charges,,103.797,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,116.448701,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,109.5635,,,,percent of total billed charges,,92.264,,,,percent of total billed charges,,69.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,,,,,inpatient,,,99.59,,49.795,59.754,100.556023,93.6146,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,82.6597,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,94.21214,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,96.6023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,87.6392,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,64.53432,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,100.556023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,,,,,inpatient,,,99.59,,49.795,59.754,100.556023,93.6146,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,82.6597,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,91.6228,,,,percent of total billed charges,,94.21214,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,96.6023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,87.6392,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,64.53432,,,,percent of total billed charges,,89.631,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,100.556023,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,94.6105,,,,percent of total billed charges,,79.672,,,,percent of total billed charges,,59.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [77806],0637,RC,,,,,inpatient,,,62.31,,31.155,37.386,62.914407,58.5714,,,,percent of total billed charges,,49.848,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,51.7173,,,,percent of total billed charges,,56.079,,,,percent of total billed charges,,57.3252,,,,percent of total billed charges,,57.3252,,,,percent of total billed charges,,58.94526,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,60.4407,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,54.8328,,,,percent of total billed charges,,56.079,,,,percent of total billed charges,,40.37688,,,,percent of total billed charges,,56.079,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,62.914407,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,59.1945,,,,percent of total billed charges,,49.848,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,,,,,inpatient,,,150.95,,75.475,90.57,152.414215,141.893,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,125.2885,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,142.7987,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,146.4215,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,132.836,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,97.8156,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,152.414215,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,,,,,inpatient,,,122.85,,61.425,73.71,124.041645,115.479,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,101.9655,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,116.2161,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,119.1645,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,108.108,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,79.6068,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,124.041645,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,,,,,inpatient,,,122.85,,61.425,73.71,124.041645,115.479,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,101.9655,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,113.022,,,,percent of total billed charges,,116.2161,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,119.1645,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,108.108,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,79.6068,,,,percent of total billed charges,,110.565,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,124.041645,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,116.7075,,,,percent of total billed charges,,98.28,,,,percent of total billed charges,,73.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,,,,,inpatient,,,150.95,,75.475,90.57,152.414215,141.893,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,125.2885,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,138.874,,,,percent of total billed charges,,142.7987,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,146.4215,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,132.836,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,97.8156,,,,percent of total billed charges,,135.855,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,152.414215,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,143.4025,,,,percent of total billed charges,,120.76,,,,percent of total billed charges,,90.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [81718],0637,RC,,,,,inpatient,,,86.44,,43.22,51.864,87.278468,81.2536,,,,percent of total billed charges,,69.152,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,71.7452,,,,percent of total billed charges,,77.796,,,,percent of total billed charges,,79.5248,,,,percent of total billed charges,,79.5248,,,,percent of total billed charges,,81.77224,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,83.8468,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,76.0672,,,,percent of total billed charges,,77.796,,,,percent of total billed charges,,56.01312,,,,percent of total billed charges,,77.796,,,,percent of total billed charges,,51.864,,,,percent of total billed charges,,87.278468,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,82.118,,,,percent of total billed charges,,69.152,,,,percent of total billed charges,,51.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE 10 MCG/ML ORAL LIQUID [1000085],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.1 MG TABLET [1755],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.1 MG TABLET [1755],0637,RC,,,,,inpatient,,,1.37,,0.685,0.822,1.383289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.88776,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.383289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.1 MG TABLET [1755],0637,RC,,,,,inpatient,,,1.37,,0.685,0.822,1.383289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.88776,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.383289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.2 MG TABLET [1756],0637,RC,,,,,inpatient,,,1.24,,0.62,0.744,1.252028,1.1656,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0292,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.17304,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.2028,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0912,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.80352,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,1.252028,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLONIDINE HCL 0.2 MG TABLET [1756],0637,RC,,,,,inpatient,,,1.24,,0.62,0.744,1.252028,1.1656,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0292,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.1408,,,,percent of total billed charges,,1.17304,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.2028,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.0912,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.80352,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,1.252028,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,1.178,,,,percent of total billed charges,,0.992,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,,,,,inpatient,,,33.78,,16.89,20.268,34.107666,31.7532,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,28.0374,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.95588,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.7666,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,29.7264,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,21.88944,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,34.107666,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,,,,,inpatient,,,33.78,,16.89,20.268,34.107666,31.7532,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,28.0374,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.0776,,,,percent of total billed charges,,31.95588,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.7666,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,29.7264,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,21.88944,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,34.107666,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,32.091,,,,percent of total billed charges,,27.024,,,,percent of total billed charges,,20.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,,,,,inpatient,,,44.57,,22.285,26.742,45.002329,41.8958,,,,percent of total billed charges,,35.656,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,36.9931,,,,percent of total billed charges,,40.113,,,,percent of total billed charges,,41.0044,,,,percent of total billed charges,,41.0044,,,,percent of total billed charges,,42.16322,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,43.2329,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,39.2216,,,,percent of total billed charges,,40.113,,,,percent of total billed charges,,28.88136,,,,percent of total billed charges,,40.113,,,,percent of total billed charges,,26.742,,,,percent of total billed charges,,45.002329,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,42.3415,,,,percent of total billed charges,,35.656,,,,percent of total billed charges,,26.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 300 MG TABLET [164199],0637,RC,,,,,inpatient,,,22.27,,11.135,13.362,22.486019,20.9338,,,,percent of total billed charges,,17.816,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,18.4841,,,,percent of total billed charges,,20.043,,,,percent of total billed charges,,20.4884,,,,percent of total billed charges,,20.4884,,,,percent of total billed charges,,21.06742,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,21.6019,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,19.5976,,,,percent of total billed charges,,20.043,,,,percent of total billed charges,,14.43096,,,,percent of total billed charges,,20.043,,,,percent of total billed charges,,13.362,,,,percent of total billed charges,,22.486019,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,21.1565,,,,percent of total billed charges,,17.816,,,,percent of total billed charges,,13.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,,,,,inpatient,,,1.03,,0.515,0.618,1.039991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.66744,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,1.039991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,,,,,inpatient,,,1.03,,0.515,0.618,1.039991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.66744,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,1.039991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOPIDOGREL 75 MG TABLET [78962],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,,,,,inpatient,,,8.18,,4.09,4.908,8.259346,7.6892,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.7894,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.73828,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.9346,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.1984,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,5.30064,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,8.259346,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,,,,,inpatient,,,10.53,,5.265,6.318,10.632141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.82344,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,10.632141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,,,,,inpatient,,,83.43,,41.715,50.058,84.239271,78.4242,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,69.2469,,,,percent of total billed charges,,75.087,,,,percent of total billed charges,,76.7556,,,,percent of total billed charges,,76.7556,,,,percent of total billed charges,,78.92478,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,80.9271,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,73.4184,,,,percent of total billed charges,,75.087,,,,percent of total billed charges,,54.06264,,,,percent of total billed charges,,75.087,,,,percent of total billed charges,,50.058,,,,percent of total billed charges,,84.239271,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,79.2585,,,,percent of total billed charges,,66.744,,,,percent of total billed charges,,50.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 1 % TOPICAL CREAM [1767],0637,RC,,,,,inpatient,,,7.67,,3.835,4.602,7.744399,7.2098,,,,percent of total billed charges,,6.136,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,6.3661,,,,percent of total billed charges,,6.903,,,,percent of total billed charges,,7.0564,,,,percent of total billed charges,,7.0564,,,,percent of total billed charges,,7.25582,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,7.4399,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,6.7496,,,,percent of total billed charges,,6.903,,,,percent of total billed charges,,4.97016,,,,percent of total billed charges,,6.903,,,,percent of total billed charges,,4.602,,,,percent of total billed charges,,7.744399,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,7.2865,,,,percent of total billed charges,,6.136,,,,percent of total billed charges,,4.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,,,,,inpatient,,,3.96,,1.98,2.376,3.998412,3.7224,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.2868,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.74616,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.8412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.4848,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.56608,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,3.998412,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.762,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,,,,,inpatient,,,4.99,,2.495,2.994,5.038403,4.6906,,,,percent of total billed charges,,3.992,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.1417,,,,percent of total billed charges,,4.491,,,,percent of total billed charges,,4.5908,,,,percent of total billed charges,,4.5908,,,,percent of total billed charges,,4.72054,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.8403,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.3912,,,,percent of total billed charges,,4.491,,,,percent of total billed charges,,3.23352,,,,percent of total billed charges,,4.491,,,,percent of total billed charges,,2.994,,,,percent of total billed charges,,5.038403,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,4.7405,,,,percent of total billed charges,,3.992,,,,percent of total billed charges,,2.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,,,,,inpatient,,,3.52,,1.76,2.112,3.554144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.28096,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.554144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOTRIMAZOLE 10 MG TROCHE [9644],0637,RC,,,,,inpatient,,,4.71,,2.355,2.826,4.755687,4.4274,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.9093,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.45566,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.5687,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.1448,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,3.05208,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,4.755687,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,,,,,inpatient,,,5.17,,2.585,3.102,5.220149,4.8598,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.2911,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.89082,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,5.0149,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.5496,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,3.35016,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,5.220149,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,,,,,inpatient,,,5.17,,2.585,3.102,5.220149,4.8598,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.2911,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.7564,,,,percent of total billed charges,,4.89082,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,5.0149,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.5496,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,3.35016,,,,percent of total billed charges,,4.653,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,5.220149,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.9115,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,3.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,,,,,inpatient,,,2.72,,1.36,1.632,2.746384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.76256,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.746384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,,,,,inpatient,,,2.72,,1.36,1.632,2.746384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.76256,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.746384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,,,,,inpatient,,,2.57,,1.285,1.542,2.594929,2.4158,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.1331,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.43122,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.2616,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.66536,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,2.594929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 100 MG TABLET [9647],0637,RC,,,,,inpatient,,,2.57,,1.285,1.542,2.594929,2.4158,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.1331,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.3644,,,,percent of total billed charges,,2.43122,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.2616,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.66536,,,,percent of total billed charges,,2.313,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,2.594929,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.4415,,,,percent of total billed charges,,2.056,,,,percent of total billed charges,,1.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 25 MG TABLET [9648],0637,RC,,,,,inpatient,,,1.14,,0.57,0.684,1.151058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.73872,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.151058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 25 MG TABLET [9648],0637,RC,,,,,inpatient,,,1.14,,0.57,0.684,1.151058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.73872,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.151058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CLOZAPINE 25 MG TABLET [9648],0637,RC,,,,,inpatient,,,1.14,,0.57,0.684,1.151058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.73872,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.151058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION [218638]",0636,RC,,,,,inpatient,,,4590,,2295,2754,4634.523,4314.6,,,,percent of total billed charges,,3672,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,3809.7,,,,percent of total billed charges,,4131,,,,percent of total billed charges,,4222.8,,,,percent of total billed charges,,4222.8,,,,percent of total billed charges,,4342.14,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4452.3,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4039.2,,,,percent of total billed charges,,4131,,,,percent of total billed charges,,2974.32,,,,percent of total billed charges,,4131,,,,percent of total billed charges,,2754,,,,percent of total billed charges,,4634.523,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,4360.5,,,,percent of total billed charges,,3672,,,,percent of total billed charges,,2754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION [218640]",0636,RC,,,,,inpatient,,,14045.4,,7022.7,8427.24,14181.64038,13202.676,,,,percent of total billed charges,,11236.32,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,11657.682,,,,percent of total billed charges,,12640.86,,,,percent of total billed charges,,12921.768,,,,percent of total billed charges,,12921.768,,,,percent of total billed charges,,13286.9484,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,13624.038,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,12359.952,,,,percent of total billed charges,,12640.86,,,,percent of total billed charges,,9101.4192,,,,percent of total billed charges,,12640.86,,,,percent of total billed charges,,8427.24,,,,percent of total billed charges,,14181.64038,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,13343.13,,,,percent of total billed charges,,11236.32,,,,percent of total billed charges,,8427.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,,,,,inpatient,,,1125.54,,562.77,675.324,1136.457738,1058.0076,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,934.1982,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1064.76084,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1091.7738,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,990.4752,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,729.34992,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,1136.457738,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,,,,,inpatient,,,618.9,,309.45,371.34,624.90333,581.766,,,,percent of total billed charges,,495.12,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,513.687,,,,percent of total billed charges,,557.01,,,,percent of total billed charges,,569.388,,,,percent of total billed charges,,569.388,,,,percent of total billed charges,,585.4794,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,600.333,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,544.632,,,,percent of total billed charges,,557.01,,,,percent of total billed charges,,401.0472,,,,percent of total billed charges,,557.01,,,,percent of total billed charges,,371.34,,,,percent of total billed charges,,624.90333,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,587.955,,,,percent of total billed charges,,495.12,,,,percent of total billed charges,,371.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,,,,,inpatient,,,1484.82,,742.41,890.892,1499.222754,1395.7308,,,,percent of total billed charges,,1187.856,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1232.4006,,,,percent of total billed charges,,1336.338,,,,percent of total billed charges,,1366.0344,,,,percent of total billed charges,,1366.0344,,,,percent of total billed charges,,1404.63972,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1440.2754,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1306.6416,,,,percent of total billed charges,,1336.338,,,,percent of total billed charges,,962.16336,,,,percent of total billed charges,,1336.338,,,,percent of total billed charges,,890.892,,,,percent of total billed charges,,1499.222754,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1410.579,,,,percent of total billed charges,,1187.856,,,,percent of total billed charges,,890.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,,,,,inpatient,,,1215.99,,607.995,729.594,1227.785103,1143.0306,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1009.2717,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1150.32654,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1179.5103,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1070.0712,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,787.96152,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,1227.785103,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,,,,,inpatient,,,29.59,,14.795,17.754,29.877023,27.8146,,,,percent of total billed charges,,23.672,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,24.5597,,,,percent of total billed charges,,26.631,,,,percent of total billed charges,,27.2228,,,,percent of total billed charges,,27.2228,,,,percent of total billed charges,,27.99214,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,28.7023,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,26.0392,,,,percent of total billed charges,,26.631,,,,percent of total billed charges,,19.17432,,,,percent of total billed charges,,26.631,,,,percent of total billed charges,,17.754,,,,percent of total billed charges,,29.877023,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,28.1105,,,,percent of total billed charges,,23.672,,,,percent of total billed charges,,17.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,,,,,inpatient,,,13.78,,6.89,8.268,13.913666,12.9532,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.4374,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,13.03588,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.3666,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,12.1264,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,8.92944,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,13.913666,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,,,,,inpatient,,,13.78,,6.89,8.268,13.913666,12.9532,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.4374,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,12.6776,,,,percent of total billed charges,,13.03588,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.3666,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,12.1264,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,8.92944,,,,percent of total billed charges,,12.402,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,13.913666,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,13.091,,,,percent of total billed charges,,11.024,,,,percent of total billed charges,,8.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,,,,,inpatient,,,21.36,,10.68,12.816,21.567192,20.0784,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.7288,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,20.20656,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.7192,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,18.7968,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,13.84128,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,21.567192,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,,,,,inpatient,,,21.36,,10.68,12.816,21.567192,20.0784,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.7288,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,19.6512,,,,percent of total billed charges,,20.20656,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.7192,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,18.7968,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,13.84128,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,21.567192,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,20.292,,,,percent of total billed charges,,17.088,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLCHICINE 0.6 MG TABLET [1821],0637,RC,,,,,inpatient,,,12.81,,6.405,7.686,12.934257,12.0414,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,10.6323,,,,percent of total billed charges,,11.529,,,,percent of total billed charges,,11.7852,,,,percent of total billed charges,,11.7852,,,,percent of total billed charges,,12.11826,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,12.4257,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,11.2728,,,,percent of total billed charges,,11.529,,,,percent of total billed charges,,8.30088,,,,percent of total billed charges,,11.529,,,,percent of total billed charges,,7.686,,,,percent of total billed charges,,12.934257,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,12.1695,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,7.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLESEVELAM 625 MG TABLET [80277],0637,RC,,,,,inpatient,,,15.31,,7.655,9.186,15.458507,14.3914,,,,percent of total billed charges,,12.248,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,12.7073,,,,percent of total billed charges,,13.779,,,,percent of total billed charges,,14.0852,,,,percent of total billed charges,,14.0852,,,,percent of total billed charges,,14.48326,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,14.8507,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,13.4728,,,,percent of total billed charges,,13.779,,,,percent of total billed charges,,9.92088,,,,percent of total billed charges,,13.779,,,,percent of total billed charges,,9.186,,,,percent of total billed charges,,15.458507,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,14.5445,,,,percent of total billed charges,,12.248,,,,percent of total billed charges,,9.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLESEVELAM 625 MG TABLET [80277],0637,RC,,,,,inpatient,,,3.62,,1.81,2.172,3.655114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.34576,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.655114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLESEVELAM 625 MG TABLET [80277],0637,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],0636,RC,,,,,inpatient,,,115.16,,57.58,69.096,116.277052,108.2504,,,,percent of total billed charges,,92.128,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,95.5828,,,,percent of total billed charges,,103.644,,,,percent of total billed charges,,105.9472,,,,percent of total billed charges,,105.9472,,,,percent of total billed charges,,108.94136,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,111.7052,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,101.3408,,,,percent of total billed charges,,103.644,,,,percent of total billed charges,,74.62368,,,,percent of total billed charges,,103.644,,,,percent of total billed charges,,69.096,,,,percent of total billed charges,,116.277052,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,109.402,,,,percent of total billed charges,,92.128,,,,percent of total billed charges,,69.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [9681],0636,RC,,,,,inpatient,,,44.37,,22.185,26.622,44.800389,41.7078,,,,percent of total billed charges,,35.496,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,36.8271,,,,percent of total billed charges,,39.933,,,,percent of total billed charges,,40.8204,,,,percent of total billed charges,,40.8204,,,,percent of total billed charges,,41.97402,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,43.0389,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,39.0456,,,,percent of total billed charges,,39.933,,,,percent of total billed charges,,28.75176,,,,percent of total billed charges,,39.933,,,,percent of total billed charges,,26.622,,,,percent of total billed charges,,44.800389,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,42.1515,,,,percent of total billed charges,,35.496,,,,percent of total billed charges,,26.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT [81910],0637,RC,,,,,inpatient,,,1083.92,,541.96,650.352,1094.434024,1018.8848,,,,percent of total billed charges,,867.136,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,899.6536,,,,percent of total billed charges,,975.528,,,,percent of total billed charges,,997.2064,,,,percent of total billed charges,,997.2064,,,,percent of total billed charges,,1025.38832,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,1051.4024,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,953.8496,,,,percent of total billed charges,,975.528,,,,percent of total billed charges,,702.38016,,,,percent of total billed charges,,975.528,,,,percent of total billed charges,,650.352,,,,percent of total billed charges,,1094.434024,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,1029.724,,,,percent of total billed charges,,867.136,,,,percent of total billed charges,,650.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID [195428],0250,RC,,,,,inpatient,,,80.89,,40.445,48.534,81.674633,76.0366,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,67.1387,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,76.52194,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,78.4633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,71.1832,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,52.41672,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,81.674633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL [228062],0250,RC,,,,,inpatient,,,80.89,,40.445,48.534,81.674633,76.0366,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,67.1387,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,76.52194,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,78.4633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,71.1832,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,52.41672,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,81.674633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONJUGATED ESTROGENS 0.625 MG TABLET [80872],0637,RC,,,,,inpatient,,,28.57,,14.285,17.142,28.847129,26.8558,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,23.7131,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,27.02722,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.7129,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,25.1416,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,18.51336,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,28.847129,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONJUGATED ESTROGENS 1.25 MG TABLET [82504],0637,RC,,,,,inpatient,,,28.57,,14.285,17.142,28.847129,26.8558,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,23.7131,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,26.2844,,,,percent of total billed charges,,27.02722,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.7129,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,25.1416,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,18.51336,,,,percent of total billed charges,,25.713,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,28.847129,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,27.1415,,,,percent of total billed charges,,22.856,,,,percent of total billed charges,,17.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [82901],0636,RC,,,,,inpatient,,,1522.22,,761.11,913.332,1536.985534,1430.8868,,,,percent of total billed charges,,1217.776,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1263.4426,,,,percent of total billed charges,,1369.998,,,,percent of total billed charges,,1400.4424,,,,percent of total billed charges,,1400.4424,,,,percent of total billed charges,,1440.02012,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1476.5534,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1339.5536,,,,percent of total billed charges,,1369.998,,,,percent of total billed charges,,986.39856,,,,percent of total billed charges,,1369.998,,,,percent of total billed charges,,913.332,,,,percent of total billed charges,,1536.985534,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1446.109,,,,percent of total billed charges,,1217.776,,,,percent of total billed charges,,913.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COPPER 380 SQUARE MM INTRAUTERINE DEVICE [218231],0636,RC,,,,,inpatient,,,2001.65,,1000.825,1200.99,2021.066005,1881.551,,,,percent of total billed charges,,1601.32,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1661.3695,,,,percent of total billed charges,,1801.485,,,,percent of total billed charges,,1841.518,,,,percent of total billed charges,,1841.518,,,,percent of total billed charges,,1893.5609,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1941.6005,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1761.452,,,,percent of total billed charges,,1801.485,,,,percent of total billed charges,,1297.0692,,,,percent of total billed charges,,1801.485,,,,percent of total billed charges,,1200.99,,,,percent of total billed charges,,2021.066005,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1901.5675,,,,percent of total billed charges,,1601.32,,,,percent of total billed charges,,1200.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COPPER 380 SQUARE MM INTRAUTERINE DEVICE [218231],0636,RC,,,,,inpatient,,,1122.08,,561.04,673.248,1132.964176,1054.7552,,,,percent of total billed charges,,897.664,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,931.3264,,,,percent of total billed charges,,1009.872,,,,percent of total billed charges,,1032.3136,,,,percent of total billed charges,,1032.3136,,,,percent of total billed charges,,1061.48768,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,1088.4176,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,987.4304,,,,percent of total billed charges,,1009.872,,,,percent of total billed charges,,727.10784,,,,percent of total billed charges,,1009.872,,,,percent of total billed charges,,673.248,,,,percent of total billed charges,,1132.964176,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,1065.976,,,,percent of total billed charges,,897.664,,,,percent of total billed charges,,673.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COSYNTROPIN 0.25 MG/ML FOR IM INJECTION [1001081],0636,RC,,,,,inpatient,,,74.45,,37.225,44.67,75.172165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,48.2436,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,75.172165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [78836],0636,RC,,,,,inpatient,,,74.45,,37.225,44.67,75.172165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,48.2436,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,75.172165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COSYNTROPIN 0.25 MG/ML FOR IM INJECTION [1001081],0636,RC,,,,,inpatient,,,74.45,,37.225,44.67,75.172165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,48.2436,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,75.172165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COVID VACC 2024-2025 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE [269480],0636,RC,,,,,inpatient,,,213.32,,106.66,127.992,215.389204,200.5208,,,,percent of total billed charges,,170.656,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,177.0556,,,,percent of total billed charges,,191.988,,,,percent of total billed charges,,196.2544,,,,percent of total billed charges,,196.2544,,,,percent of total billed charges,,201.80072,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,206.9204,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,187.7216,,,,percent of total billed charges,,191.988,,,,percent of total billed charges,,138.23136,,,,percent of total billed charges,,191.988,,,,percent of total billed charges,,127.992,,,,percent of total billed charges,,215.389204,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,202.654,,,,percent of total billed charges,,170.656,,,,percent of total billed charges,,127.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COVID VACC 2024-25 (5-11 YRS)(PFIZER)(PF) 10 MCG/0.3 ML IM SUSP (EUA) [269424],0636,RC,,,,,inpatient,,,141.68,,70.84,85.008,143.054296,133.1792,,,,percent of total billed charges,,113.344,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,117.5944,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,130.3456,,,,percent of total billed charges,,130.3456,,,,percent of total billed charges,,134.02928,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,137.4296,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,124.6784,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,91.80864,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,85.008,,,,percent of total billed charges,,143.054296,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,134.596,,,,percent of total billed charges,,113.344,,,,percent of total billed charges,,85.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COVID VACC 2024-25 (6MOS-4YRS)(PFIZER)(PF) 3 MCG/0.3 ML IM SUSP (EUA) [269425],0636,RC,,,,,inpatient,,,317.4,,158.7,190.44,320.47878,298.356,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,263.442,,,,percent of total billed charges,,285.66,,,,percent of total billed charges,,292.008,,,,percent of total billed charges,,292.008,,,,percent of total billed charges,,300.2604,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,307.878,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,279.312,,,,percent of total billed charges,,285.66,,,,percent of total billed charges,,205.6752,,,,percent of total billed charges,,285.66,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,320.47878,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,301.53,,,,percent of total billed charges,,253.92,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [80543],0636,RC,,,,,inpatient,,,13226.76,,6613.38,7936.056,13355.05957,12433.1544,,,,percent of total billed charges,,10581.408,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,10978.2108,,,,percent of total billed charges,,11904.084,,,,percent of total billed charges,,12168.6192,,,,percent of total billed charges,,12168.6192,,,,percent of total billed charges,,12512.51496,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,12829.9572,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,11639.5488,,,,percent of total billed charges,,11904.084,,,,percent of total billed charges,,8570.94048,,,,percent of total billed charges,,11904.084,,,,percent of total billed charges,,7936.056,,,,percent of total billed charges,,13355.05957,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,12565.422,,,,percent of total billed charges,,10581.408,,,,percent of total billed charges,,7936.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [80543],0636,RC,,,,,inpatient,,,6613.38,,3306.69,3968.028,6677.529786,6216.5772,,,,percent of total billed charges,,5290.704,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,5489.1054,,,,percent of total billed charges,,5952.042,,,,percent of total billed charges,,6084.3096,,,,percent of total billed charges,,6084.3096,,,,percent of total billed charges,,6256.25748,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,6414.9786,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,5819.7744,,,,percent of total billed charges,,5952.042,,,,percent of total billed charges,,4285.47024,,,,percent of total billed charges,,5952.042,,,,percent of total billed charges,,3968.028,,,,percent of total billed charges,,6677.529786,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,6282.711,,,,percent of total billed charges,,5290.704,,,,percent of total billed charges,,3968.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [2009]",0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,10.1,,5.05,6.06,10.19797,9.494,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.383,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.5546,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.797,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,6.5448,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,10.19797,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,5.38,,2.69,3.228,5.432186,5.0572,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.4654,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,5.08948,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.2186,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.7344,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,3.48624,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,5.432186,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,9.44,,4.72,5.664,9.531568,8.8736,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.8352,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.93024,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,9.1568,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.3072,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.11712,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,9.531568,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,9.44,,4.72,5.664,9.531568,8.8736,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.8352,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.6848,,,,percent of total billed charges,,8.93024,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,9.1568,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.3072,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.11712,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,9.531568,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,8.968,,,,percent of total billed charges,,7.552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,10.1,,5.05,6.06,10.19797,9.494,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.383,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.292,,,,percent of total billed charges,,9.5546,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.797,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,6.5448,,,,percent of total billed charges,,9.09,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,10.19797,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,9.595,,,,percent of total billed charges,,8.08,,,,percent of total billed charges,,6.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,12.32,,6.16,7.392,12.439504,11.5808,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.2256,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.65472,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.9504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.8416,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.98336,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,12.439504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,12.32,,6.16,7.392,12.439504,11.5808,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.2256,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.65472,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.9504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.8416,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.98336,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,12.439504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,16.02,,8.01,9.612,16.175394,15.0588,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,13.2966,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,15.15492,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.5394,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,14.0976,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,10.38096,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,16.175394,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,16.02,,8.01,9.612,16.175394,15.0588,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,13.2966,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,14.7384,,,,percent of total billed charges,,15.15492,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.5394,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,14.0976,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,10.38096,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,16.175394,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,15.219,,,,percent of total billed charges,,12.816,,,,percent of total billed charges,,9.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [2007]",0636,RC,,,,,inpatient,,,7.12,,3.56,4.272,7.189064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.61376,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,7.189064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOBENZAPRINE 10 MG TABLET [2017],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 0.5 % EYE DROPS [82960],0637,RC,,,,,inpatient,,,374.36,,187.18,224.616,377.991292,351.8984,,,,percent of total billed charges,,299.488,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,310.7188,,,,percent of total billed charges,,336.924,,,,percent of total billed charges,,344.4112,,,,percent of total billed charges,,344.4112,,,,percent of total billed charges,,354.14456,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,363.1292,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,329.4368,,,,percent of total billed charges,,336.924,,,,percent of total billed charges,,242.58528,,,,percent of total billed charges,,336.924,,,,percent of total billed charges,,224.616,,,,percent of total billed charges,,377.991292,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,355.642,,,,percent of total billed charges,,299.488,,,,percent of total billed charges,,224.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,131,,65.5,78.6,132.2707,123.14,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,108.73,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,120.52,,,,percent of total billed charges,,123.926,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,127.07,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,115.28,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,117.9,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,132.2707,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,124.45,,,,percent of total billed charges,,104.8,,,,percent of total billed charges,,78.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,235.53,,117.765,141.318,237.814641,221.3982,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,195.4899,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,222.81138,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,228.4641,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,207.2664,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,152.62344,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,237.814641,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,115.09,,57.545,69.054,116.206373,108.1846,,,,percent of total billed charges,,92.072,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,95.5247,,,,percent of total billed charges,,103.581,,,,percent of total billed charges,,105.8828,,,,percent of total billed charges,,105.8828,,,,percent of total billed charges,,108.87514,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,111.6373,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,101.2792,,,,percent of total billed charges,,103.581,,,,percent of total billed charges,,74.57832,,,,percent of total billed charges,,103.581,,,,percent of total billed charges,,69.054,,,,percent of total billed charges,,116.206373,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,109.3355,,,,percent of total billed charges,,92.072,,,,percent of total billed charges,,69.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,47.84,,23.92,28.704,48.304048,44.9696,,,,percent of total billed charges,,38.272,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,39.7072,,,,percent of total billed charges,,43.056,,,,percent of total billed charges,,44.0128,,,,percent of total billed charges,,44.0128,,,,percent of total billed charges,,45.25664,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,46.4048,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,42.0992,,,,percent of total billed charges,,43.056,,,,percent of total billed charges,,31.00032,,,,percent of total billed charges,,43.056,,,,percent of total billed charges,,28.704,,,,percent of total billed charges,,48.304048,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,45.448,,,,percent of total billed charges,,38.272,,,,percent of total billed charges,,28.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,123.19,,61.595,73.914,124.384943,115.7986,,,,percent of total billed charges,,98.552,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,102.2477,,,,percent of total billed charges,,110.871,,,,percent of total billed charges,,113.3348,,,,percent of total billed charges,,113.3348,,,,percent of total billed charges,,116.53774,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,119.4943,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,108.4072,,,,percent of total billed charges,,110.871,,,,percent of total billed charges,,79.82712,,,,percent of total billed charges,,110.871,,,,percent of total billed charges,,73.914,,,,percent of total billed charges,,124.384943,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,117.0305,,,,percent of total billed charges,,98.552,,,,percent of total billed charges,,73.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,17.69,,8.845,10.614,17.861593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,11.46312,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,17.861593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,88.63,,44.315,53.178,89.489711,83.3122,,,,percent of total billed charges,,70.904,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,73.5629,,,,percent of total billed charges,,79.767,,,,percent of total billed charges,,81.5396,,,,percent of total billed charges,,81.5396,,,,percent of total billed charges,,83.84398,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,85.9711,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,77.9944,,,,percent of total billed charges,,79.767,,,,percent of total billed charges,,57.43224,,,,percent of total billed charges,,79.767,,,,percent of total billed charges,,53.178,,,,percent of total billed charges,,89.489711,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,84.1985,,,,percent of total billed charges,,70.904,,,,percent of total billed charges,,53.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 1 % EYE DROPS [2025],0637,RC,,,,,inpatient,,,48.65,,24.325,29.19,49.121905,45.731,,,,percent of total billed charges,,38.92,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,40.3795,,,,percent of total billed charges,,43.785,,,,percent of total billed charges,,44.758,,,,percent of total billed charges,,44.758,,,,percent of total billed charges,,46.0229,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,47.1905,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,42.812,,,,percent of total billed charges,,43.785,,,,percent of total billed charges,,31.5252,,,,percent of total billed charges,,43.785,,,,percent of total billed charges,,29.19,,,,percent of total billed charges,,49.121905,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,46.2175,,,,percent of total billed charges,,38.92,,,,percent of total billed charges,,29.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 2 % EYE DROPS [80687],0637,RC,,,,,inpatient,,,171.45,,85.725,102.87,173.113065,161.163,,,,percent of total billed charges,,137.16,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,142.3035,,,,percent of total billed charges,,154.305,,,,percent of total billed charges,,157.734,,,,percent of total billed charges,,157.734,,,,percent of total billed charges,,162.1917,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,166.3065,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,150.876,,,,percent of total billed charges,,154.305,,,,percent of total billed charges,,111.0996,,,,percent of total billed charges,,154.305,,,,percent of total billed charges,,102.87,,,,percent of total billed charges,,173.113065,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,162.8775,,,,percent of total billed charges,,137.16,,,,percent of total billed charges,,102.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE 2 % EYE DROPS [80687],0637,RC,,,,,inpatient,,,470.75,,235.375,282.45,475.316275,442.505,,,,percent of total billed charges,,376.6,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,390.7225,,,,percent of total billed charges,,423.675,,,,percent of total billed charges,,433.09,,,,percent of total billed charges,,433.09,,,,percent of total billed charges,,445.3295,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,456.6275,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,414.26,,,,percent of total billed charges,,423.675,,,,percent of total billed charges,,305.046,,,,percent of total billed charges,,423.675,,,,percent of total billed charges,,282.45,,,,percent of total billed charges,,475.316275,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,447.2125,,,,percent of total billed charges,,376.6,,,,percent of total billed charges,,282.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS [81383],0637,RC,,,,,inpatient,,,136.85,,68.425,82.11,138.177445,128.639,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,113.5855,,,,percent of total billed charges,,123.165,,,,percent of total billed charges,,125.902,,,,percent of total billed charges,,125.902,,,,percent of total billed charges,,129.4601,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,132.7445,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,120.428,,,,percent of total billed charges,,123.165,,,,percent of total billed charges,,88.6788,,,,percent of total billed charges,,123.165,,,,percent of total billed charges,,82.11,,,,percent of total billed charges,,138.177445,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,130.0075,,,,percent of total billed charges,,109.48,,,,percent of total billed charges,,82.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [28918],0636,RC,,,,,inpatient,,,123.83,,61.915,74.298,125.031151,116.4002,,,,percent of total billed charges,,99.064,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,102.7789,,,,percent of total billed charges,,111.447,,,,percent of total billed charges,,113.9236,,,,percent of total billed charges,,113.9236,,,,percent of total billed charges,,117.14318,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,120.1151,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,108.9704,,,,percent of total billed charges,,111.447,,,,percent of total billed charges,,80.24184,,,,percent of total billed charges,,111.447,,,,percent of total billed charges,,74.298,,,,percent of total billed charges,,125.031151,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,117.6385,,,,percent of total billed charges,,99.064,,,,percent of total billed charges,,74.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [28918],0636,RC,,,,,inpatient,,,915.89,,457.945,549.534,924.774133,860.9366,,,,percent of total billed charges,,732.712,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,760.1887,,,,percent of total billed charges,,824.301,,,,percent of total billed charges,,842.6188,,,,percent of total billed charges,,842.6188,,,,percent of total billed charges,,866.43194,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,888.4133,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,805.9832,,,,percent of total billed charges,,824.301,,,,percent of total billed charges,,593.49672,,,,percent of total billed charges,,824.301,,,,percent of total billed charges,,549.534,,,,percent of total billed charges,,924.774133,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,870.0955,,,,percent of total billed charges,,732.712,,,,percent of total billed charges,,549.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION [28918],0636,RC,,,,,inpatient,,,827.19,,413.595,496.314,835.213743,777.5586,,,,percent of total billed charges,,661.752,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,686.5677,,,,percent of total billed charges,,744.471,,,,percent of total billed charges,,761.0148,,,,percent of total billed charges,,761.0148,,,,percent of total billed charges,,782.52174,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,802.3743,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,727.9272,,,,percent of total billed charges,,744.471,,,,percent of total billed charges,,536.01912,,,,percent of total billed charges,,744.471,,,,percent of total billed charges,,496.314,,,,percent of total billed charges,,835.213743,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,785.8305,,,,percent of total billed charges,,661.752,,,,percent of total billed charges,,496.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [28921],0636,RC,,,,,inpatient,,,399.2,,199.6,239.52,403.07224,375.248,,,,percent of total billed charges,,319.36,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,331.336,,,,percent of total billed charges,,359.28,,,,percent of total billed charges,,367.264,,,,percent of total billed charges,,367.264,,,,percent of total billed charges,,377.6432,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,387.224,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,351.296,,,,percent of total billed charges,,359.28,,,,percent of total billed charges,,258.6816,,,,percent of total billed charges,,359.28,,,,percent of total billed charges,,239.52,,,,percent of total billed charges,,403.07224,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,379.24,,,,percent of total billed charges,,319.36,,,,percent of total billed charges,,239.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [28921],0636,RC,,,,,inpatient,,,372.24,,186.12,223.344,375.850728,349.9056,,,,percent of total billed charges,,297.792,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,308.9592,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,342.4608,,,,percent of total billed charges,,342.4608,,,,percent of total billed charges,,352.13904,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,361.0728,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,327.5712,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,241.21152,,,,percent of total billed charges,,335.016,,,,percent of total billed charges,,223.344,,,,percent of total billed charges,,375.850728,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,353.628,,,,percent of total billed charges,,297.792,,,,percent of total billed charges,,223.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION [28921],0636,RC,,,,,inpatient,,,508.73,,254.365,305.238,513.664681,478.2062,,,,percent of total billed charges,,406.984,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,422.2459,,,,percent of total billed charges,,457.857,,,,percent of total billed charges,,468.0316,,,,percent of total billed charges,,468.0316,,,,percent of total billed charges,,481.25858,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,493.4681,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,447.6824,,,,percent of total billed charges,,457.857,,,,percent of total billed charges,,329.65704,,,,percent of total billed charges,,457.857,,,,percent of total billed charges,,305.238,,,,percent of total billed charges,,513.664681,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,483.2935,,,,percent of total billed charges,,406.984,,,,percent of total billed charges,,305.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,,,,,inpatient,,,7.44,,3.72,4.464,7.512168,6.9936,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.1752,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,7.03824,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.2168,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.5472,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,4.82112,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,7.512168,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,,,,,inpatient,,,8.07,,4.035,4.842,8.148279,7.5858,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.6981,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.63422,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.8279,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.1016,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,5.22936,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,8.148279,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,,,,,inpatient,,,8.07,,4.035,4.842,8.148279,7.5858,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.6981,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.4244,,,,percent of total billed charges,,7.63422,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.8279,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.1016,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,5.22936,,,,percent of total billed charges,,7.263,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,8.148279,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,7.6665,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,,,,,inpatient,,,19.79,,9.895,11.874,19.981963,18.6026,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,16.4257,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.72134,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,19.1963,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,17.4152,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,12.82392,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,19.981963,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,,,,,inpatient,,,9.83,,4.915,5.898,9.925351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,6.36984,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.925351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 100 MG CAPSULE [28843],0636,RC,,,,,inpatient,,,9.83,,4.915,5.898,9.925351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,6.36984,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.925351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,,,,,inpatient,,,2.22,,1.11,1.332,2.241534,2.0868,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,1.8426,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,2.0424,,,,percent of total billed charges,,2.0424,,,,percent of total billed charges,,2.10012,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,2.1534,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,1.9536,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,1.43856,,,,percent of total billed charges,,1.998,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,2.241534,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,2.109,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,,,,,inpatient,,,4.53,,2.265,2.718,4.573941,4.2582,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.7599,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.28538,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.9864,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.93544,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,4.573941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,,,,,inpatient,,,4.89,,2.445,2.934,4.937433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.16872,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.937433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYCLOSPORINE MODIFIED 25 MG CAPSULE [28842],0636,RC,,,,,inpatient,,,4.89,,2.445,2.934,4.937433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.16872,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.937433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,,,,,inpatient,,,2.87,,1.435,1.722,2.897839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.85976,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.897839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYPROHEPTADINE 4 MG TABLET [2033],0637,RC,,,,,inpatient,,,2.87,,1.435,1.722,2.897839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.85976,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.897839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION [4294],0250,RC,,,,,inpatient,,,378.14,,189.07,226.884,381.807958,355.4516,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,313.8562,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,357.72044,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,366.7958,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,332.7632,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,245.03472,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,381.807958,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION [4294],0250,RC,,,,,inpatient,,,378.14,,189.07,226.884,381.807958,355.4516,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,313.8562,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,347.8888,,,,percent of total billed charges,,357.72044,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,366.7958,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,332.7632,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,245.03472,,,,percent of total billed charges,,340.326,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,381.807958,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,359.233,,,,percent of total billed charges,,302.512,,,,percent of total billed charges,,226.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION [20156],0636,RC,,,,,inpatient,,,50.58,,25.29,30.348,51.070626,47.5452,,,,percent of total billed charges,,40.464,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,41.9814,,,,percent of total billed charges,,45.522,,,,percent of total billed charges,,46.5336,,,,percent of total billed charges,,46.5336,,,,percent of total billed charges,,47.84868,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,49.0626,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,44.5104,,,,percent of total billed charges,,45.522,,,,percent of total billed charges,,32.77584,,,,percent of total billed charges,,45.522,,,,percent of total billed charges,,30.348,,,,percent of total billed charges,,51.070626,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,48.051,,,,percent of total billed charges,,40.464,,,,percent of total billed charges,,30.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D12.5W BOLUS [1001290],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D15W BOLUS [1001291],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D17.5W BOLUS [1001292],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
D20W BOLUS [1001289],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DABIGATRAN ETEXILATE 75 MG CAPSULE [202012],0637,RC,,,,,inpatient,,,13,,6.5,7.8,13.1261,12.22,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.79,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,11.96,,,,percent of total billed charges,,12.298,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.61,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,11.44,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,11.7,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,13.1261,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,12.35,,,,percent of total billed charges,,10.4,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DACARBAZINE 100 MG INTRAVENOUS SOLUTION [2090],0636,RC,,,,,inpatient,,,37.48,,18.74,22.488,37.843556,35.2312,,,,percent of total billed charges,,29.984,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,31.1084,,,,percent of total billed charges,,33.732,,,,percent of total billed charges,,34.4816,,,,percent of total billed charges,,34.4816,,,,percent of total billed charges,,35.45608,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,36.3556,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,32.9824,,,,percent of total billed charges,,33.732,,,,percent of total billed charges,,24.28704,,,,percent of total billed charges,,33.732,,,,percent of total billed charges,,22.488,,,,percent of total billed charges,,37.843556,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,35.606,,,,percent of total billed charges,,29.984,,,,percent of total billed charges,,22.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],0636,RC,,,,,inpatient,,,26.27,,13.135,15.762,26.524819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,17.02296,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,26.524819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DACARBAZINE 200 MG INTRAVENOUS SOLUTION [2091],0636,RC,,,,,inpatient,,,26.27,,13.135,15.762,26.524819,24.6938,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.8041,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.1684,,,,percent of total billed charges,,24.85142,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,25.4819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,23.1176,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,17.02296,,,,percent of total billed charges,,23.643,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,26.524819,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,24.9565,,,,percent of total billed charges,,21.016,,,,percent of total billed charges,,15.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [221530],0636,RC,,,,,inpatient,,,4135.95,,2067.975,2481.57,4176.068715,3887.793,,,,percent of total billed charges,,3308.76,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3432.8385,,,,percent of total billed charges,,3722.355,,,,percent of total billed charges,,3805.074,,,,percent of total billed charges,,3805.074,,,,percent of total billed charges,,3912.6087,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,4011.8715,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3639.636,,,,percent of total billed charges,,3722.355,,,,percent of total billed charges,,2680.0956,,,,percent of total billed charges,,3722.355,,,,percent of total billed charges,,2481.57,,,,percent of total billed charges,,4176.068715,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3929.1525,,,,percent of total billed charges,,3308.76,,,,percent of total billed charges,,2481.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [221530],0636,RC,,,,,inpatient,,,12407.85,,6203.925,7444.71,12528.20615,11663.379,,,,percent of total billed charges,,9926.28,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,10298.5155,,,,percent of total billed charges,,11167.065,,,,percent of total billed charges,,11415.222,,,,percent of total billed charges,,11415.222,,,,percent of total billed charges,,11737.8261,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,12035.6145,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,10918.908,,,,percent of total billed charges,,11167.065,,,,percent of total billed charges,,8040.2868,,,,percent of total billed charges,,11167.065,,,,percent of total billed charges,,7444.71,,,,percent of total billed charges,,12528.20615,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,11787.4575,,,,percent of total billed charges,,9926.28,,,,percent of total billed charges,,7444.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,,,,,inpatient,,,7.01,,3.505,4.206,7.077997,6.5894,,,,percent of total billed charges,,5.608,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,5.8183,,,,percent of total billed charges,,6.309,,,,percent of total billed charges,,6.4492,,,,percent of total billed charges,,6.4492,,,,percent of total billed charges,,6.63146,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,6.7997,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,6.1688,,,,percent of total billed charges,,6.309,,,,percent of total billed charges,,4.54248,,,,percent of total billed charges,,6.309,,,,percent of total billed charges,,4.206,,,,percent of total billed charges,,7.077997,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,6.6595,,,,percent of total billed charges,,5.608,,,,percent of total billed charges,,4.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,,,,,inpatient,,,7.41,,3.705,4.446,7.481877,6.9654,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.1503,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,7.00986,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.1877,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.5208,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,4.80168,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,7.481877,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,,,,,inpatient,,,7.41,,3.705,4.446,7.481877,6.9654,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.1503,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,6.8172,,,,percent of total billed charges,,7.00986,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.1877,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,6.5208,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,4.80168,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,7.481877,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,7.0395,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 25 MG CAPSULE [9718],0637,RC,,,,,inpatient,,,6.22,,3.11,3.732,6.280334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.03056,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,6.280334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DANTROLENE 250 MG INTRAVENOUS SUSPENSION [222079],0636,RC,,,,,inpatient,,,10552.77,,5276.385,6331.662,10655.13187,9919.6038,,,,percent of total billed charges,,8442.216,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,8758.7991,,,,percent of total billed charges,,9497.493,,,,percent of total billed charges,,9708.5484,,,,percent of total billed charges,,9708.5484,,,,percent of total billed charges,,9982.92042,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,10236.1869,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,9286.4376,,,,percent of total billed charges,,9497.493,,,,percent of total billed charges,,6838.19496,,,,percent of total billed charges,,9497.493,,,,percent of total billed charges,,6331.662,,,,percent of total billed charges,,10655.13187,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,10025.1315,,,,percent of total billed charges,,8442.216,,,,percent of total billed charges,,6331.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [219975],0637,RC,,,,,inpatient,,,54.47,,27.235,32.682,54.998359,51.2018,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,45.2101,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,51.52862,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,52.8359,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,47.9336,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,35.29656,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,54.998359,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET [219975],0637,RC,,,,,inpatient,,,46.44,,23.22,27.864,46.890468,43.6536,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,38.5452,,,,percent of total billed charges,,41.796,,,,percent of total billed charges,,42.7248,,,,percent of total billed charges,,42.7248,,,,percent of total billed charges,,43.93224,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,45.0468,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,40.8672,,,,percent of total billed charges,,41.796,,,,percent of total billed charges,,30.09312,,,,percent of total billed charges,,41.796,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,46.890468,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,44.118,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,27.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET [219974],0637,RC,,,,,inpatient,,,54.47,,27.235,32.682,54.998359,51.2018,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,45.2101,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,50.1124,,,,percent of total billed charges,,51.52862,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,52.8359,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,47.9336,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,35.29656,,,,percent of total billed charges,,49.023,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,54.998359,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,51.7465,,,,percent of total billed charges,,43.576,,,,percent of total billed charges,,32.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET [219974],0637,RC,,,,,inpatient,,,56.25,,28.125,33.75,56.795625,52.875,,,,percent of total billed charges,,45,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,46.6875,,,,percent of total billed charges,,50.625,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,53.2125,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,54.5625,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,49.5,,,,percent of total billed charges,,50.625,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,50.625,,,,percent of total billed charges,,33.75,,,,percent of total billed charges,,56.795625,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,53.4375,,,,percent of total billed charges,,45,,,,percent of total billed charges,,33.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,1832.72,,916.36,1099.632,1850.497384,1722.7568,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1521.1576,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1733.75312,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1777.7384,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1612.7936,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1187.60256,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,1850.497384,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,1832.72,,916.36,1099.632,1850.497384,1722.7568,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1521.1576,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1686.1024,,,,percent of total billed charges,,1733.75312,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1777.7384,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1612.7936,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1187.60256,,,,percent of total billed charges,,1649.448,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,1850.497384,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1741.084,,,,percent of total billed charges,,1466.176,,,,percent of total billed charges,,1099.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,66.2,,33.1,39.72,66.84214,62.228,,,,percent of total billed charges,,52.96,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,54.946,,,,percent of total billed charges,,59.58,,,,percent of total billed charges,,60.904,,,,percent of total billed charges,,60.904,,,,percent of total billed charges,,62.6252,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,64.214,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,58.256,,,,percent of total billed charges,,59.58,,,,percent of total billed charges,,42.8976,,,,percent of total billed charges,,59.58,,,,percent of total billed charges,,39.72,,,,percent of total billed charges,,66.84214,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,62.89,,,,percent of total billed charges,,52.96,,,,percent of total billed charges,,39.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,76.5,,38.25,45.9,77.24205,71.91,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,63.495,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,72.369,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,74.205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,77.24205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,144.59,,72.295,86.754,145.992523,135.9146,,,,percent of total billed charges,,115.672,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,120.0097,,,,percent of total billed charges,,130.131,,,,percent of total billed charges,,133.0228,,,,percent of total billed charges,,133.0228,,,,percent of total billed charges,,136.78214,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,140.2523,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,127.2392,,,,percent of total billed charges,,130.131,,,,percent of total billed charges,,93.69432,,,,percent of total billed charges,,130.131,,,,percent of total billed charges,,86.754,,,,percent of total billed charges,,145.992523,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,137.3605,,,,percent of total billed charges,,115.672,,,,percent of total billed charges,,86.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,1840.5,,920.25,1104.3,1858.35285,1730.07,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1527.615,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1693.26,,,,percent of total billed charges,,1741.113,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1785.285,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1619.64,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1192.644,,,,percent of total billed charges,,1656.45,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,1858.35285,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1748.475,,,,percent of total billed charges,,1472.4,,,,percent of total billed charges,,1104.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,78.2,,39.1,46.92,78.95854,73.508,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,64.906,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,73.9772,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,75.854,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,68.816,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,78.95854,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [89497],0636,RC,,,,,inpatient,,,78.2,,39.1,46.92,78.95854,73.508,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,64.906,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,71.944,,,,percent of total billed charges,,73.9772,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,75.854,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,68.816,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,78.95854,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,74.29,,,,percent of total billed charges,,62.56,,,,percent of total billed charges,,46.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN [249116]",0636,RC,,,,,inpatient,,,38578.38,,19289.19,23147.028,38952.59029,36263.6772,,,,percent of total billed charges,,30862.704,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,32020.0554,,,,percent of total billed charges,,34720.542,,,,percent of total billed charges,,35492.1096,,,,percent of total billed charges,,35492.1096,,,,percent of total billed charges,,36495.14748,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,37421.0286,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,33948.9744,,,,percent of total billed charges,,34720.542,,,,percent of total billed charges,,24998.79024,,,,percent of total billed charges,,34720.542,,,,percent of total billed charges,,23147.028,,,,percent of total billed charges,,38952.59029,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,36649.461,,,,percent of total billed charges,,30862.704,,,,percent of total billed charges,,23147.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [228111],0636,RC,,,,,inpatient,,,2866.46,,1433.23,1719.876,2894.264662,2694.4724,,,,percent of total billed charges,,2293.168,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2379.1618,,,,percent of total billed charges,,2579.814,,,,percent of total billed charges,,2637.1432,,,,percent of total billed charges,,2637.1432,,,,percent of total billed charges,,2711.67116,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2780.4662,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2522.4848,,,,percent of total billed charges,,2579.814,,,,percent of total billed charges,,1857.46608,,,,percent of total billed charges,,2579.814,,,,percent of total billed charges,,1719.876,,,,percent of total billed charges,,2894.264662,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2723.137,,,,percent of total billed charges,,2293.168,,,,percent of total billed charges,,1719.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [228111],0636,RC,,,,,inpatient,,,10482.3,,5241.15,6289.38,10583.97831,9853.362,,,,percent of total billed charges,,8385.84,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,8700.309,,,,percent of total billed charges,,9434.07,,,,percent of total billed charges,,9643.716,,,,percent of total billed charges,,9643.716,,,,percent of total billed charges,,9916.2558,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,10167.831,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,9224.424,,,,percent of total billed charges,,9434.07,,,,percent of total billed charges,,6792.5304,,,,percent of total billed charges,,9434.07,,,,percent of total billed charges,,6289.38,,,,percent of total billed charges,,10583.97831,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,9958.185,,,,percent of total billed charges,,8385.84,,,,percent of total billed charges,,6289.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [101981],0636,RC,,,,,inpatient,,,3357.74,,1678.87,2014.644,3390.310078,3156.2756,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2786.9242,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3176.42204,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3257.0078,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2954.8112,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2175.81552,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,3390.310078,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [101981],0636,RC,,,,,inpatient,,,3357.74,,1678.87,2014.644,3390.310078,3156.2756,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2786.9242,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3089.1208,,,,percent of total billed charges,,3176.42204,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3257.0078,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2954.8112,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2175.81552,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,3390.310078,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,3189.853,,,,percent of total billed charges,,2686.192,,,,percent of total billed charges,,2014.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [102073],0636,RC,,,,,inpatient,,,5036.61,,2518.305,3021.966,5085.465117,4734.4134,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4180.3863,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4764.63306,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4885.5117,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4432.2168,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,3263.72328,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,5085.465117,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [102073],0636,RC,,,,,inpatient,,,5036.61,,2518.305,3021.966,5085.465117,4734.4134,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4180.3863,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4633.6812,,,,percent of total billed charges,,4764.63306,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4885.5117,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4432.2168,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,3263.72328,,,,percent of total billed charges,,4532.949,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,5085.465117,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4784.7795,,,,percent of total billed charges,,4029.288,,,,percent of total billed charges,,3021.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [101971],0636,RC,,,,,inpatient,,,6715.44,,3357.72,4029.264,6780.579768,6312.5136,,,,percent of total billed charges,,5372.352,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,5573.8152,,,,percent of total billed charges,,6043.896,,,,percent of total billed charges,,6178.2048,,,,percent of total billed charges,,6178.2048,,,,percent of total billed charges,,6352.80624,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,6513.9768,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,5909.5872,,,,percent of total billed charges,,6043.896,,,,percent of total billed charges,,4351.60512,,,,percent of total billed charges,,6043.896,,,,percent of total billed charges,,4029.264,,,,percent of total billed charges,,6780.579768,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,6379.668,,,,percent of total billed charges,,5372.352,,,,percent of total billed charges,,4029.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE [101973],0636,RC,,,,,inpatient,,,839.45,,419.725,503.67,847.592665,789.083,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,696.7435,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,794.1197,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,814.2665,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,738.716,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,543.9636,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,847.592665,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE [101973],0636,RC,,,,,inpatient,,,839.45,,419.725,503.67,847.592665,789.083,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,696.7435,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,772.294,,,,percent of total billed charges,,794.1197,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,814.2665,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,738.716,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,543.9636,,,,percent of total billed charges,,755.505,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,847.592665,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,797.4775,,,,percent of total billed charges,,671.56,,,,percent of total billed charges,,503.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [101974],0636,RC,,,,,inpatient,,,10073.21,,5036.605,6043.926,10170.92014,9468.8174,,,,percent of total billed charges,,8058.568,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,8360.7643,,,,percent of total billed charges,,9065.889,,,,percent of total billed charges,,9267.3532,,,,percent of total billed charges,,9267.3532,,,,percent of total billed charges,,9529.25666,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,9771.0137,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,8864.4248,,,,percent of total billed charges,,9065.889,,,,percent of total billed charges,,6527.44008,,,,percent of total billed charges,,9065.889,,,,percent of total billed charges,,6043.926,,,,percent of total billed charges,,10170.92014,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,9569.5495,,,,percent of total billed charges,,8058.568,,,,percent of total billed charges,,6043.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [101972],0636,RC,,,,,inpatient,,,1343.1,,671.55,805.86,1356.12807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,870.3288,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1356.12807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [101972],0636,RC,,,,,inpatient,,,1343.1,,671.55,805.86,1356.12807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,870.3288,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1356.12807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [102126],0636,RC,,,,,inpatient,,,1343.1,,671.55,805.86,1356.12807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,870.3288,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1356.12807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION [102126],0636,RC,,,,,inpatient,,,1343.1,,671.55,805.86,1356.12807,1262.514,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1114.773,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1235.652,,,,percent of total billed charges,,1270.5726,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1302.807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1181.928,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,870.3288,,,,percent of total billed charges,,1208.79,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,1356.12807,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1275.945,,,,percent of total billed charges,,1074.48,,,,percent of total billed charges,,805.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [101611],0636,RC,,,,,inpatient,,,16788.69,,8394.345,10073.214,16951.54029,15781.3686,,,,percent of total billed charges,,13430.952,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,13934.6127,,,,percent of total billed charges,,15109.821,,,,percent of total billed charges,,15445.5948,,,,percent of total billed charges,,15445.5948,,,,percent of total billed charges,,15882.10074,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,16285.0293,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,14774.0472,,,,percent of total billed charges,,15109.821,,,,percent of total billed charges,,10879.07112,,,,percent of total billed charges,,15109.821,,,,percent of total billed charges,,10073.214,,,,percent of total billed charges,,16951.54029,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,15949.2555,,,,percent of total billed charges,,13430.952,,,,percent of total billed charges,,10073.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [101980],0636,RC,,,,,inpatient,,,2014.64,,1007.32,1208.784,2034.182008,1893.7616,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1672.1512,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1905.84944,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1954.2008,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1772.8832,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1305.48672,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,2034.182008,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [101980],0636,RC,,,,,inpatient,,,2014.64,,1007.32,1208.784,2034.182008,1893.7616,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1672.1512,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1853.4688,,,,percent of total billed charges,,1905.84944,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1954.2008,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1772.8832,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1305.48672,,,,percent of total billed charges,,1813.176,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,2034.182008,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1913.908,,,,percent of total billed charges,,1611.712,,,,percent of total billed charges,,1208.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DECITABINE 50 MG (10 MG/ML) SUBCUTANEOUS SOLUTION [1002100],0636,RC,,,,,inpatient,,,4444.61,,2222.305,2666.766,4487.722717,4177.9334,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3689.0263,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4204.60106,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4311.2717,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3911.2568,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,2880.10728,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,4487.722717,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DECITABINE 50 MG INTRAVENOUS SOLUTION [95843],0636,RC,,,,,inpatient,,,4444.61,,2222.305,2666.766,4487.722717,4177.9334,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3689.0263,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4089.0412,,,,percent of total billed charges,,4204.60106,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4311.2717,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3911.2568,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,2880.10728,,,,percent of total billed charges,,4000.149,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,4487.722717,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,4222.3795,,,,percent of total billed charges,,3555.688,,,,percent of total billed charges,,2666.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],0636,RC,,,,,inpatient,,,76.75,,38.375,46.05,77.494475,72.145,,,,percent of total billed charges,,61.4,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,63.7025,,,,percent of total billed charges,,69.075,,,,percent of total billed charges,,70.61,,,,percent of total billed charges,,70.61,,,,percent of total billed charges,,72.6055,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,74.4475,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,67.54,,,,percent of total billed charges,,69.075,,,,percent of total billed charges,,49.734,,,,percent of total billed charges,,69.075,,,,percent of total billed charges,,46.05,,,,percent of total billed charges,,77.494475,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,72.9125,,,,percent of total billed charges,,61.4,,,,percent of total billed charges,,46.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],0636,RC,,,,,inpatient,,,46.22,,23.11,27.732,46.668334,43.4468,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,38.3626,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,43.72412,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,44.8334,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,40.6736,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,29.95056,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,46.668334,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500MG SOLUTION FOR IM/SUB-Q INJECTION [1002023],0636,RC,,,,,inpatient,,,46.22,,23.11,27.732,46.668334,43.4468,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,38.3626,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,42.5224,,,,percent of total billed charges,,43.72412,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,44.8334,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,40.6736,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,29.95056,,,,percent of total billed charges,,41.598,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,46.668334,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,43.909,,,,percent of total billed charges,,36.976,,,,percent of total billed charges,,27.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],0636,RC,,,,,inpatient,,,31.25,,15.625,18.75,31.553125,29.375,,,,percent of total billed charges,,25,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,25.9375,,,,percent of total billed charges,,28.125,,,,percent of total billed charges,,28.75,,,,percent of total billed charges,,28.75,,,,percent of total billed charges,,29.5625,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,30.3125,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,27.5,,,,percent of total billed charges,,28.125,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,28.125,,,,percent of total billed charges,,18.75,,,,percent of total billed charges,,31.553125,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,29.6875,,,,percent of total billed charges,,25,,,,percent of total billed charges,,18.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [9723],0636,RC,,,,,inpatient,,,92.43,,46.215,55.458,93.326571,86.8842,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,76.7169,,,,percent of total billed charges,,83.187,,,,percent of total billed charges,,85.0356,,,,percent of total billed charges,,85.0356,,,,percent of total billed charges,,87.43878,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,89.6571,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,81.3384,,,,percent of total billed charges,,83.187,,,,percent of total billed charges,,59.89464,,,,percent of total billed charges,,83.187,,,,percent of total billed charges,,55.458,,,,percent of total billed charges,,93.326571,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,87.8085,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,55.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION [9722],0636,RC,,,,,inpatient,,,19.19,,9.595,11.514,19.376143,18.0386,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.9277,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,18.15374,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.6143,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,16.8872,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,12.43512,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,19.376143,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [193106],0636,RC,,,,,inpatient,,,2151.09,,1075.545,1290.654,2171.955573,2022.0246,,,,percent of total billed charges,,1720.872,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,1785.4047,,,,percent of total billed charges,,1935.981,,,,percent of total billed charges,,1979.0028,,,,percent of total billed charges,,1979.0028,,,,percent of total billed charges,,2034.93114,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,2086.5573,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,1892.9592,,,,percent of total billed charges,,1935.981,,,,percent of total billed charges,,1393.90632,,,,percent of total billed charges,,1935.981,,,,percent of total billed charges,,1290.654,,,,percent of total billed charges,,2171.955573,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,2043.5355,,,,percent of total billed charges,,1720.872,,,,percent of total billed charges,,1290.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [193099],0636,RC,,,,,inpatient,,,1378.71,,689.355,827.226,1392.083487,1295.9874,,,,percent of total billed charges,,1102.968,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1144.3293,,,,percent of total billed charges,,1240.839,,,,percent of total billed charges,,1268.4132,,,,percent of total billed charges,,1268.4132,,,,percent of total billed charges,,1304.25966,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1337.3487,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1213.2648,,,,percent of total billed charges,,1240.839,,,,percent of total billed charges,,893.40408,,,,percent of total billed charges,,1240.839,,,,percent of total billed charges,,827.226,,,,percent of total billed charges,,1392.083487,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1309.7745,,,,percent of total billed charges,,1102.968,,,,percent of total billed charges,,827.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEMECLOCYCLINE 150 MG TABLET [9726],0637,RC,,,,,inpatient,,,25.55,,12.775,15.33,25.797835,24.017,,,,percent of total billed charges,,20.44,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,21.2065,,,,percent of total billed charges,,22.995,,,,percent of total billed charges,,23.506,,,,percent of total billed charges,,23.506,,,,percent of total billed charges,,24.1703,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,24.7835,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,22.484,,,,percent of total billed charges,,22.995,,,,percent of total billed charges,,16.5564,,,,percent of total billed charges,,22.995,,,,percent of total billed charges,,15.33,,,,percent of total billed charges,,25.797835,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,24.2725,,,,percent of total billed charges,,20.44,,,,percent of total billed charges,,15.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [202142],0636,RC,,,,,inpatient,,,13870.44,,6935.22,8322.264,14004.98327,13038.2136,,,,percent of total billed charges,,11096.352,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,11512.4652,,,,percent of total billed charges,,12483.396,,,,percent of total billed charges,,12760.8048,,,,percent of total billed charges,,12760.8048,,,,percent of total billed charges,,13121.43624,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,13454.3268,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,12205.9872,,,,percent of total billed charges,,12483.396,,,,percent of total billed charges,,8988.04512,,,,percent of total billed charges,,12483.396,,,,percent of total billed charges,,8322.264,,,,percent of total billed charges,,14004.98327,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,13176.918,,,,percent of total billed charges,,11096.352,,,,percent of total billed charges,,8322.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [199604],0636,RC,,,,,inpatient,,,7756.25,,3878.125,4653.75,7831.485625,7290.875,,,,percent of total billed charges,,6205,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,6437.6875,,,,percent of total billed charges,,6980.625,,,,percent of total billed charges,,7135.75,,,,percent of total billed charges,,7135.75,,,,percent of total billed charges,,7337.4125,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,7523.5625,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,6825.5,,,,percent of total billed charges,,6980.625,,,,percent of total billed charges,,5026.05,,,,percent of total billed charges,,6980.625,,,,percent of total billed charges,,4653.75,,,,percent of total billed charges,,7831.485625,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,7368.4375,,,,percent of total billed charges,,6205,,,,percent of total billed charges,,4653.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESIPRAMINE 25 MG TABLET [2286],0637,RC,,,,,inpatient,,,5.58,,2.79,3.348,5.634126,5.2452,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.6314,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.27868,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.4126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.9104,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.61584,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,5.634126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY [27770],0637,RC,,,,,inpatient,,,866.7,,433.35,520.02,875.10699,814.698,,,,percent of total billed charges,,693.36,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,719.361,,,,percent of total billed charges,,780.03,,,,percent of total billed charges,,797.364,,,,percent of total billed charges,,797.364,,,,percent of total billed charges,,819.8982,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,840.699,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,762.696,,,,percent of total billed charges,,780.03,,,,percent of total billed charges,,561.6216,,,,percent of total billed charges,,780.03,,,,percent of total billed charges,,520.02,,,,percent of total billed charges,,875.10699,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,823.365,,,,percent of total billed charges,,693.36,,,,percent of total billed charges,,520.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED) [21135],0637,RC,,,,,inpatient,,,493.43,,246.715,296.058,498.216271,463.8242,,,,percent of total billed charges,,394.744,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,409.5469,,,,percent of total billed charges,,444.087,,,,percent of total billed charges,,453.9556,,,,percent of total billed charges,,453.9556,,,,percent of total billed charges,,466.78478,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,478.6271,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,434.2184,,,,percent of total billed charges,,444.087,,,,percent of total billed charges,,319.74264,,,,percent of total billed charges,,444.087,,,,percent of total billed charges,,296.058,,,,percent of total billed charges,,498.216271,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,468.7585,,,,percent of total billed charges,,394.744,,,,percent of total billed charges,,296.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,158.85,,79.425,95.31,160.390845,149.319,,,,percent of total billed charges,,127.08,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,131.8455,,,,percent of total billed charges,,142.965,,,,percent of total billed charges,,146.142,,,,percent of total billed charges,,146.142,,,,percent of total billed charges,,150.2721,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,154.0845,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,139.788,,,,percent of total billed charges,,142.965,,,,percent of total billed charges,,102.9348,,,,percent of total billed charges,,142.965,,,,percent of total billed charges,,95.31,,,,percent of total billed charges,,160.390845,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,150.9075,,,,percent of total billed charges,,127.08,,,,percent of total billed charges,,95.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,1123.11,,561.555,673.866,1134.004167,1055.7234,,,,percent of total billed charges,,898.488,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,932.1813,,,,percent of total billed charges,,1010.799,,,,percent of total billed charges,,1033.2612,,,,percent of total billed charges,,1033.2612,,,,percent of total billed charges,,1062.46206,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,1089.4167,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,988.3368,,,,percent of total billed charges,,1010.799,,,,percent of total billed charges,,727.77528,,,,percent of total billed charges,,1010.799,,,,percent of total billed charges,,673.866,,,,percent of total billed charges,,1134.004167,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,1066.9545,,,,percent of total billed charges,,898.488,,,,percent of total billed charges,,673.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,83.97,,41.985,50.382,84.784509,78.9318,,,,percent of total billed charges,,67.176,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,69.6951,,,,percent of total billed charges,,75.573,,,,percent of total billed charges,,77.2524,,,,percent of total billed charges,,77.2524,,,,percent of total billed charges,,79.43562,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,81.4509,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,73.8936,,,,percent of total billed charges,,75.573,,,,percent of total billed charges,,54.41256,,,,percent of total billed charges,,75.573,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,84.784509,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,79.7715,,,,percent of total billed charges,,67.176,,,,percent of total billed charges,,50.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,208.07,,104.035,124.842,210.088279,195.5858,,,,percent of total billed charges,,166.456,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,172.6981,,,,percent of total billed charges,,187.263,,,,percent of total billed charges,,191.4244,,,,percent of total billed charges,,191.4244,,,,percent of total billed charges,,196.83422,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,201.8279,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,183.1016,,,,percent of total billed charges,,187.263,,,,percent of total billed charges,,134.82936,,,,percent of total billed charges,,187.263,,,,percent of total billed charges,,124.842,,,,percent of total billed charges,,210.088279,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,197.6665,,,,percent of total billed charges,,166.456,,,,percent of total billed charges,,124.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,92.44,,46.22,55.464,93.336668,86.8936,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,76.7252,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,87.44824,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,89.6668,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,81.3472,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,59.90112,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,93.336668,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,92.44,,46.22,55.464,93.336668,86.8936,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,76.7252,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,85.0448,,,,percent of total billed charges,,87.44824,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,89.6668,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,81.3472,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,59.90112,,,,percent of total billed charges,,83.196,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,93.336668,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,87.818,,,,percent of total billed charges,,73.952,,,,percent of total billed charges,,55.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,159.36,,79.68,95.616,160.905792,149.7984,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,132.2688,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,150.75456,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,154.5792,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,140.2368,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,103.26528,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,160.905792,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [9748],0636,RC,,,,,inpatient,,,159.36,,79.68,95.616,160.905792,149.7984,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,132.2688,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,146.6112,,,,percent of total billed charges,,150.75456,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,154.5792,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,140.2368,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,103.26528,,,,percent of total billed charges,,143.424,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,160.905792,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,151.392,,,,percent of total billed charges,,127.488,,,,percent of total billed charges,,95.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],0636,RC,,,,,inpatient,,,67.5,,33.75,40.5,68.15475,63.45,,,,percent of total billed charges,,54,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,56.025,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.855,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,65.475,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,68.15475,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,54,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION [2320],0636,RC,,,,,inpatient,,,170.64,,85.32,102.384,172.295208,160.4016,,,,percent of total billed charges,,136.512,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,141.6312,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,156.9888,,,,percent of total billed charges,,156.9888,,,,percent of total billed charges,,161.42544,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,165.5208,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,150.1632,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,110.57472,,,,percent of total billed charges,,153.576,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,172.295208,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,162.108,,,,percent of total billed charges,,136.512,,,,percent of total billed charges,,102.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 1 MG/ML IN D5W IV PEDS DILUTION [1000024],0636,RC,,,,,inpatient,,,0.7,,0.35,0.42,0.70679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.4536,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.70679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 1 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [1000993],0637,RC,,,,,inpatient,,,37.13,,18.565,22.278,37.490161,34.9022,,,,percent of total billed charges,,29.704,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,30.8179,,,,percent of total billed charges,,33.417,,,,percent of total billed charges,,34.1596,,,,percent of total billed charges,,34.1596,,,,percent of total billed charges,,35.12498,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,36.0161,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,32.6744,,,,percent of total billed charges,,33.417,,,,percent of total billed charges,,24.06024,,,,percent of total billed charges,,33.417,,,,percent of total billed charges,,22.278,,,,percent of total billed charges,,37.490161,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,35.2735,,,,percent of total billed charges,,29.704,,,,percent of total billed charges,,22.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 10 MG/ML ORAL LIQUID (USING IV) [7000093],0637,RC,,,,,inpatient,,,5.32,,2.66,3.192,5.371604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.44736,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,5.371604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 10 MG/ML ORAL LIQUID (USING IV) [7000093],0637,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 10 MG/ML ORAL LIQUID (USING IV) [7000093],0637,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 100 MCG/ML ORAL LIQUID [1000088],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,,,,,inpatient,,,4.15,,2.075,2.49,4.190255,3.901,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.4445,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.652,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.6892,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,4.190255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,,,,,inpatient,,,4.41,,2.205,2.646,4.452777,4.1454,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.6603,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.17186,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.2777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.8808,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.85768,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,4.452777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,,,,,inpatient,,,4.81,,2.405,2.886,4.856657,4.5214,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.9923,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.55026,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.6657,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.2328,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,3.11688,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,4.856657,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,,,,,inpatient,,,4.52,,2.26,2.712,4.563844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.92896,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.563844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG TABLET [2327],0636,RC,,,,,inpatient,,,4.52,,2.26,2.712,4.563844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.92896,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.563844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML ORAL LIQUID [7000253],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML ORAL LIQUID [7000253],0637,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML TOPICAL FOR IONTOPHORESIS [1000732],0636,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE 4 MG/ML TOPICAL FOR IONTOPHORESIS [1000732],0636,RC,,,,,inpatient,,,8.78,,4.39,5.268,8.865166,8.2532,,,,percent of total billed charges,,7.024,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,7.2874,,,,percent of total billed charges,,7.902,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,8.30588,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,8.5166,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,7.7264,,,,percent of total billed charges,,7.902,,,,percent of total billed charges,,5.68944,,,,percent of total billed charges,,7.902,,,,percent of total billed charges,,5.268,,,,percent of total billed charges,,8.865166,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,8.341,,,,percent of total billed charges,,7.024,,,,percent of total billed charges,,5.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],0636,RC,,,,,inpatient,,,5.32,,2.66,3.192,5.371604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.44736,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,5.371604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,,,,,inpatient,,,8.42,,4.21,5.052,8.501674,7.9148,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.9886,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.96532,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,8.1674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.4096,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.45616,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,8.501674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,,,,,inpatient,,,8.42,,4.21,5.052,8.501674,7.9148,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.9886,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.96532,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,8.1674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.4096,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.45616,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,8.501674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,,,,,inpatient,,,7.23,,3.615,4.338,7.300131,6.7962,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.0009,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.83958,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,7.0131,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.3624,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,4.68504,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,7.300131,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION [134237],0636,RC,,,,,inpatient,,,7.23,,3.615,4.338,7.300131,6.7962,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.0009,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.6516,,,,percent of total billed charges,,6.83958,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,7.0131,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.3624,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,4.68504,,,,percent of total billed charges,,6.507,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,7.300131,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,6.8685,,,,percent of total billed charges,,5.784,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION -OPHTHALMIC USE ONLY [7000243],0636,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION -OPHTHALMIC USE ONLY [7000243],0636,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS [2335],0637,RC,,,,,inpatient,,,231.39,,115.695,138.834,233.634483,217.5066,,,,percent of total billed charges,,185.112,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,192.0537,,,,percent of total billed charges,,208.251,,,,percent of total billed charges,,212.8788,,,,percent of total billed charges,,212.8788,,,,percent of total billed charges,,218.89494,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,224.4483,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,203.6232,,,,percent of total billed charges,,208.251,,,,percent of total billed charges,,149.94072,,,,percent of total billed charges,,208.251,,,,percent of total billed charges,,138.834,,,,percent of total billed charges,,233.634483,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,219.8205,,,,percent of total billed charges,,185.112,,,,percent of total billed charges,,138.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],0636,RC,,,,,inpatient,,,5.32,,2.66,3.192,5.371604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.44736,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,5.371604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [2331],0636,RC,,,,,inpatient,,,5.32,,2.66,3.192,5.371604,5.0008,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.4156,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,4.8944,,,,percent of total billed charges,,5.03272,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.1604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.6816,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.44736,,,,percent of total billed charges,,4.788,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,5.371604,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,5.054,,,,percent of total billed charges,,4.256,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,3.21,,1.605,1.926,3.241137,3.0174,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.6643,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,3.03666,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.1137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.8248,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.08008,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,3.241137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,3.21,,1.605,1.926,3.241137,3.0174,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.6643,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,3.03666,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.1137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.8248,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.08008,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,3.241137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,8.06,,4.03,4.836,8.138182,7.5764,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.6898,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.62476,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.8182,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.0928,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,5.22288,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,8.138182,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,8.06,,4.03,4.836,8.138182,7.5764,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.6898,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.4152,,,,percent of total billed charges,,7.62476,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.8182,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.0928,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,5.22288,,,,percent of total billed charges,,7.254,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,8.138182,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,7.657,,,,percent of total billed charges,,6.448,,,,percent of total billed charges,,4.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,40.1,,20.05,24.06,40.48897,37.694,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,33.283,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,37.9346,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,35.288,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,25.9848,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,40.48897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,40.1,,20.05,24.06,40.48897,37.694,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,33.283,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,37.9346,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,35.288,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,25.9848,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,40.48897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRANASAL [1000554],0250,RC,,,,,inpatient,,,23.58,,11.79,14.148,23.808726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,15.27984,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,23.808726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,,,,,inpatient,,,23.58,,11.79,14.148,23.808726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,15.27984,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,23.808726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,,,,,inpatient,,,14.06,,7.03,8.436,14.196382,13.2164,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.6698,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,13.30076,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.6382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,12.3728,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,9.11088,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,14.196382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,,,,,inpatient,,,8.92,,4.46,5.352,9.006524,8.3848,,,,percent of total billed charges,,7.136,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,7.4036,,,,percent of total billed charges,,8.028,,,,percent of total billed charges,,8.2064,,,,percent of total billed charges,,8.2064,,,,percent of total billed charges,,8.43832,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,8.6524,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,7.8496,,,,percent of total billed charges,,8.028,,,,percent of total billed charges,,5.78016,,,,percent of total billed charges,,8.028,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,9.006524,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,8.474,,,,percent of total billed charges,,7.136,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,,,,,inpatient,,,23.58,,11.79,14.148,23.808726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,15.27984,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,23.808726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG IN NS 50 ML INFUSION - FOR ANES [5000001],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215239],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML INFUSION - ANES [5000240],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,42.3,,21.15,25.38,42.71031,39.762,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,35.109,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,40.0158,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,41.031,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,27.4104,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,42.71031,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,9.5,,4.75,5.7,9.59215,8.93,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.885,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.987,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,8.36,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,9.59215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,93.69,,46.845,56.214,94.598793,88.0686,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,77.7627,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,88.63074,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,90.8793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,82.4472,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,60.71112,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,94.598793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,98.78,,49.39,59.268,99.738166,92.8532,,,,percent of total billed charges,,79.024,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,81.9874,,,,percent of total billed charges,,88.902,,,,percent of total billed charges,,90.8776,,,,percent of total billed charges,,90.8776,,,,percent of total billed charges,,93.44588,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,95.8166,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,86.9264,,,,percent of total billed charges,,88.902,,,,percent of total billed charges,,64.00944,,,,percent of total billed charges,,88.902,,,,percent of total billed charges,,59.268,,,,percent of total billed charges,,99.738166,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,93.841,,,,percent of total billed charges,,79.024,,,,percent of total billed charges,,59.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,42.3,,21.15,25.38,42.71031,39.762,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,35.109,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,38.916,,,,percent of total billed charges,,40.0158,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,41.031,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,27.4104,,,,percent of total billed charges,,38.07,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,42.71031,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,40.185,,,,percent of total billed charges,,33.84,,,,percent of total billed charges,,25.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,52.11,,26.055,31.266,52.615467,48.9834,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,43.2513,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,49.29606,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,50.5467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,45.8568,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,33.76728,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,52.615467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,27.99,,13.995,16.794,28.261503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,18.13752,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,28.261503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,27.99,,13.995,16.794,28.261503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,18.13752,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,28.261503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,32.4,,16.2,19.44,32.71428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,20.9952,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,32.71428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,44.1,,22.05,26.46,44.52777,41.454,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,36.603,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,41.7186,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,42.777,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,38.808,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,28.5768,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,44.52777,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML IV DILUTION [1000853],0250,RC,,,,,inpatient,,,44.1,,22.05,26.46,44.52777,41.454,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,36.603,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,40.572,,,,percent of total billed charges,,41.7186,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,42.777,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,38.808,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,28.5768,,,,percent of total billed charges,,39.69,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,44.52777,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,41.895,,,,percent of total billed charges,,35.28,,,,percent of total billed charges,,26.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 4 MCG/ML PEDS INFUSION [1002038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,74.7,,37.35,44.82,75.42459,70.218,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,62.001,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,70.6662,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,72.459,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,65.736,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,48.4056,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,75.42459,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,157.95,,78.975,94.77,159.482115,148.473,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,131.0985,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,149.4207,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,153.2115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,138.996,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,102.3516,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,159.482115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,157.95,,78.975,94.77,159.482115,148.473,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,131.0985,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,149.4207,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,153.2115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,138.996,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,102.3516,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,159.482115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,74.7,,37.35,44.82,75.42459,70.218,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,62.001,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,70.6662,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,72.459,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,65.736,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,48.4056,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,75.42459,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,137.7,,68.85,82.62,139.03569,129.438,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,114.291,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,130.2642,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,133.569,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,89.2296,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,139.03569,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,137.7,,68.85,82.62,139.03569,129.438,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,114.291,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,126.684,,,,percent of total billed charges,,130.2642,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,133.569,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,121.176,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,89.2296,,,,percent of total billed charges,,123.93,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,139.03569,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,130.815,,,,percent of total billed charges,,110.16,,,,percent of total billed charges,,82.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,93.15,,46.575,55.89,94.053555,87.561,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,77.3145,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,88.1199,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,90.3555,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,81.972,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,60.3612,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,94.053555,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,93.15,,46.575,55.89,94.053555,87.561,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,77.3145,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,85.698,,,,percent of total billed charges,,88.1199,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,90.3555,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,81.972,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,60.3612,,,,percent of total billed charges,,83.835,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,94.053555,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,88.4925,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,89.55,,44.775,53.73,90.418635,84.177,,,,percent of total billed charges,,71.64,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,74.3265,,,,percent of total billed charges,,80.595,,,,percent of total billed charges,,82.386,,,,percent of total billed charges,,82.386,,,,percent of total billed charges,,84.7143,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,86.8635,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,78.804,,,,percent of total billed charges,,80.595,,,,percent of total billed charges,,58.0284,,,,percent of total billed charges,,80.595,,,,percent of total billed charges,,53.73,,,,percent of total billed charges,,90.418635,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,85.0725,,,,percent of total billed charges,,71.64,,,,percent of total billed charges,,53.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,60.75,,30.375,36.45,61.339275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,61.339275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,60.75,,30.375,36.45,61.339275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,61.339275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,82.8,,41.4,49.68,83.60316,77.832,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,68.724,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,76.176,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.316,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,72.864,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,83.60316,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,84.6,,42.3,50.76,85.42062,79.524,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,70.218,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,80.0316,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,82.062,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,54.8208,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,85.42062,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,84.6,,42.3,50.76,85.42062,79.524,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,70.218,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,77.832,,,,percent of total billed charges,,80.0316,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,82.062,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,54.8208,,,,percent of total billed charges,,76.14,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,85.42062,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,80.37,,,,percent of total billed charges,,67.68,,,,percent of total billed charges,,50.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,75.15,,37.575,45.09,75.878955,70.641,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,62.3745,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,71.0919,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,72.8955,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,66.132,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,48.6972,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,75.878955,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [215241],0250,RC,,,,,inpatient,,,75.15,,37.575,45.09,75.878955,70.641,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,62.3745,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,69.138,,,,percent of total billed charges,,71.0919,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,72.8955,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,66.132,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,48.6972,,,,percent of total billed charges,,67.635,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,75.878955,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,71.3925,,,,percent of total billed charges,,60.12,,,,percent of total billed charges,,45.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,,,,,inpatient,,,52.11,,26.055,31.266,52.615467,48.9834,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,43.2513,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,49.29606,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,50.5467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,45.8568,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,33.76728,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,52.615467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,,,,,inpatient,,,93.69,,46.845,56.214,94.598793,88.0686,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,77.7627,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,88.63074,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,90.8793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,82.4472,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,60.71112,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,94.598793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,,,,,inpatient,,,93.69,,46.845,56.214,94.598793,88.0686,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,77.7627,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,86.1948,,,,percent of total billed charges,,88.63074,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,90.8793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,82.4472,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,60.71112,,,,percent of total billed charges,,84.321,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,94.598793,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,89.0055,,,,percent of total billed charges,,74.952,,,,percent of total billed charges,,56.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,,,,,inpatient,,,52.11,,26.055,31.266,52.615467,48.9834,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,43.2513,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,47.9412,,,,percent of total billed charges,,49.29606,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,50.5467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,45.8568,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,33.76728,,,,percent of total billed charges,,46.899,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,52.615467,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,49.5045,,,,percent of total billed charges,,41.688,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,,,,,inpatient,,,27.99,,13.995,16.794,28.261503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,18.13752,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,28.261503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [224663],0250,RC,,,,,inpatient,,,27.99,,13.995,16.794,28.261503,26.3106,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,23.2317,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,25.7508,,,,percent of total billed charges,,26.47854,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,27.1503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,24.6312,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,18.13752,,,,percent of total billed charges,,25.191,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,28.261503,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,26.5905,,,,percent of total billed charges,,22.392,,,,percent of total billed charges,,16.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION [80831],0250,RC,,,,,inpatient,,,3.02,,1.51,1.812,3.049294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.95696,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,3.049294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION [15157],0636,RC,,,,,inpatient,,,596.39,,298.195,357.834,602.174983,560.6066,,,,percent of total billed charges,,477.112,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,495.0037,,,,percent of total billed charges,,536.751,,,,percent of total billed charges,,548.6788,,,,percent of total billed charges,,548.6788,,,,percent of total billed charges,,564.18494,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,578.4983,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,524.8232,,,,percent of total billed charges,,536.751,,,,percent of total billed charges,,386.46072,,,,percent of total billed charges,,536.751,,,,percent of total billed charges,,357.834,,,,percent of total billed charges,,602.174983,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,566.5705,,,,percent of total billed charges,,477.112,,,,percent of total billed charges,,357.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,29.47,,14.735,17.682,29.755859,27.7018,,,,percent of total billed charges,,23.576,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,24.4601,,,,percent of total billed charges,,26.523,,,,percent of total billed charges,,27.1124,,,,percent of total billed charges,,27.1124,,,,percent of total billed charges,,27.87862,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,28.5859,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,25.9336,,,,percent of total billed charges,,26.523,,,,percent of total billed charges,,19.09656,,,,percent of total billed charges,,26.523,,,,percent of total billed charges,,17.682,,,,percent of total billed charges,,29.755859,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,27.9965,,,,percent of total billed charges,,23.576,,,,percent of total billed charges,,17.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,17.04,,8.52,10.224,17.205288,16.0176,,,,percent of total billed charges,,13.632,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,14.1432,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,15.6768,,,,percent of total billed charges,,15.6768,,,,percent of total billed charges,,16.11984,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,16.5288,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,14.9952,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.04192,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,17.205288,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,16.188,,,,percent of total billed charges,,13.632,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE [81592]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,,,,,inpatient,,,17,,8.5,10.2,17.1649,15.98,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.11,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,15.64,,,,percent of total billed charges,,16.082,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.49,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,14.96,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,15.3,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,17.1649,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,16.15,,,,percent of total billed charges,,13.6,,,,percent of total billed charges,,10.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,,,,,inpatient,,,17.53,,8.765,10.518,17.700041,16.4782,,,,percent of total billed charges,,14.024,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,14.5499,,,,percent of total billed charges,,15.777,,,,percent of total billed charges,,16.1276,,,,percent of total billed charges,,16.1276,,,,percent of total billed charges,,16.58338,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,17.0041,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,15.4264,,,,percent of total billed charges,,15.777,,,,percent of total billed charges,,11.35944,,,,percent of total billed charges,,15.777,,,,percent of total billed charges,,10.518,,,,percent of total billed charges,,17.700041,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,16.6535,,,,percent of total billed charges,,14.024,,,,percent of total billed charges,,10.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,,,,,inpatient,,,6.38,,3.19,3.828,6.441886,5.9972,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.2954,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,6.03548,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.1886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.6144,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,4.13424,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,6.441886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,,,,,inpatient,,,19.12,,9.56,11.472,19.305464,17.9728,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.8696,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,18.08752,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.5464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,16.8256,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,12.38976,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,19.305464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID [78183],0637,RC,,,,,inpatient,,,9.56,,4.78,5.736,9.652732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,6.19488,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,9.652732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,,,,,inpatient,,,7.38,,3.69,4.428,7.451586,6.9372,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,6.1254,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,6.7896,,,,percent of total billed charges,,6.7896,,,,percent of total billed charges,,6.98148,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,7.1586,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,6.4944,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,4.78224,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,7.451586,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,7.011,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,,,,,inpatient,,,8.1,,4.05,4.86,8.17857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,5.2488,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,8.17857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,,,,,inpatient,,,8.1,,4.05,4.86,8.17857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,5.2488,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,8.17857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,,,,,inpatient,,,5.34,,2.67,3.204,5.391798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,5.391798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [15816],0637,RC,,,,,inpatient,,,5.34,,2.67,3.204,5.391798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,5.391798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,1.92,,0.96,1.152,1.938624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.24416,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.938624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,1.83,,0.915,1.098,1.847751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.18584,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.847751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,2.05,,1.025,1.23,2.069885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.3284,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,2.069885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,2.02,,1.01,1.212,2.039594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.30896,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,2.039594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,1.2,,0.6,0.72,1.21164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.7776,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.21164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,3.39,,1.695,2.034,3.422883,3.1866,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.8137,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.20694,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.9832,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.19672,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,3.422883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [15133],0637,RC,,,,,inpatient,,,3.39,,1.695,2.034,3.422883,3.1866,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.8137,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.20694,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.9832,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.19672,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,3.422883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15918],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) BOLUS [1000425],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) BOLUS [1000425],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) BOLUS [1000425],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% 1/2 NORMAL SALINE [1000229],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% 1/2 NORMAL SALINE [1000229],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15918],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% E48 [1000227],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% E48 [1000227],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [86254],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% NORMAL SALINE [1000232],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 10% NORMAL SALINE [1000232],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 12.5% E48 [1000228],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 12.5% E48 [1000228],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 15% E48 [1000540],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 15% E48 [1000540],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 17.5% E48 [1000541],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 17.5% E48 [1000541],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 20% E48 [1000542],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 20% E48 [1000542],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],0250,RC,,,,,inpatient,,,58.1,,29.05,34.86,58.66357,54.614,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,48.223,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,54.9626,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,56.357,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,51.128,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,37.6488,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,58.66357,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE [2361],0250,RC,,,,,inpatient,,,58.1,,29.05,34.86,58.66357,54.614,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,48.223,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,53.452,,,,percent of total billed charges,,54.9626,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,56.357,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,51.128,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,37.6488,,,,percent of total billed charges,,52.29,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,58.66357,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,55.195,,,,percent of total billed charges,,46.48,,,,percent of total billed charges,,34.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 40 % ORAL GEL [78382],0637,RC,,,,,inpatient,,,13.5,,6.75,8.1,13.63095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,13.63095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 40 % ORAL GEL [78382],0637,RC,,,,,inpatient,,,13.5,,6.75,8.1,13.63095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,13.63095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 40 % ORAL GEL [78382],0637,RC,,,,,inpatient,,,13.34,,6.67,8.004,13.469398,12.5396,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.0722,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.2728,,,,percent of total billed charges,,12.61964,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.9398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,11.7392,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.64432,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,13.469398,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,12.673,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,8.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,,,,,inpatient,,,5.63,,2.815,3.378,5.684611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.64824,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.684611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,,,,,inpatient,,,6.75,,3.375,4.05,6.815475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.815475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,,,,,inpatient,,,44.71,,22.355,26.826,45.143687,42.0274,,,,percent of total billed charges,,35.768,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,37.1093,,,,percent of total billed charges,,40.239,,,,percent of total billed charges,,41.1332,,,,percent of total billed charges,,41.1332,,,,percent of total billed charges,,42.29566,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,43.3687,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,39.3448,,,,percent of total billed charges,,40.239,,,,percent of total billed charges,,28.97208,,,,percent of total billed charges,,40.239,,,,percent of total billed charges,,26.826,,,,percent of total billed charges,,45.143687,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,42.4745,,,,percent of total billed charges,,35.768,,,,percent of total billed charges,,26.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS BOLUS [1001966],0258,RC,,,,,inpatient,,,6.75,,3.375,4.05,6.815475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.815475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS BOLUS [1001966],0258,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,6.75,,3.375,4.05,6.815475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.815475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,6.3,,3.15,3.78,6.36111,5.922,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.229,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9598,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,4.0824,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,6.36111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,23.63,,11.815,14.178,23.859211,22.2122,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,19.6129,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,21.7396,,,,percent of total billed charges,,22.35398,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.9211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,20.7944,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,15.31224,,,,percent of total billed charges,,21.267,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,23.859211,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,22.4485,,,,percent of total billed charges,,18.904,,,,percent of total billed charges,,14.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15863],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15861],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,36.77,,18.385,22.062,37.126669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,23.82696,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,37.126669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [9788],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [15882],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION [86243],0250,RC,,,,,inpatient,,,16.65,,8.325,9.99,16.811505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,10.7892,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,16.811505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,,,,,inpatient,,,59.85,,29.925,35.91,60.430545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,38.7828,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,60.430545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,,,,,inpatient,,,58.5,,29.25,35.1,59.06745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,37.908,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,59.06745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,,,,,inpatient,,,47.7,,23.85,28.62,48.16269,44.838,,,,percent of total billed charges,,38.16,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,39.591,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,43.884,,,,percent of total billed charges,,43.884,,,,percent of total billed charges,,45.1242,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,46.269,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,41.976,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,30.9096,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,28.62,,,,percent of total billed charges,,48.16269,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,45.315,,,,percent of total billed charges,,38.16,,,,percent of total billed charges,,28.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,,,,,inpatient,,,59.85,,29.925,35.91,60.430545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,38.7828,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,60.430545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,,,,,inpatient,,,59.85,,29.925,35.91,60.430545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,38.7828,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,60.430545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [2365],0250,RC,,,,,inpatient,,,58.5,,29.25,35.1,59.06745,54.99,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,48.555,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,53.82,,,,percent of total billed charges,,55.341,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,56.745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,51.48,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,37.908,,,,percent of total billed charges,,52.65,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,59.06745,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,55.575,,,,percent of total billed charges,,46.8,,,,percent of total billed charges,,35.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 7.5% E48 [1000422],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 7.5% E48 [1000422],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION [2367],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 70% IN WATER [1000181],0250,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION [80287],0250,RC,,,,,inpatient,,,85.05,,42.525,51.03,85.874985,79.947,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,70.5915,,,,percent of total billed charges,,76.545,,,,percent of total billed charges,,78.246,,,,percent of total billed charges,,78.246,,,,percent of total billed charges,,80.4573,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,82.4985,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,74.844,,,,percent of total billed charges,,76.545,,,,percent of total billed charges,,55.1124,,,,percent of total billed charges,,76.545,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,85.874985,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,80.7975,,,,percent of total billed charges,,68.04,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,,,,,inpatient,,,62.64,,31.32,37.584,63.247608,58.8816,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,51.9912,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,59.25744,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,60.7608,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,55.1232,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,40.59072,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,63.247608,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,,,,,inpatient,,,40.64,,20.32,24.384,41.034208,38.2016,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,33.7312,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,38.44544,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,39.4208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,35.7632,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,26.33472,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,41.034208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,,,,,inpatient,,,85.32,,42.66,51.192,86.147604,80.2008,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,70.8156,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,80.71272,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,82.7604,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,75.0816,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,55.28736,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,86.147604,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [77943],0254,RC,,,,,inpatient,,,15.66,,7.83,9.396,15.811902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,10.14768,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,15.811902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,,,,,inpatient,,,62.64,,31.32,37.584,63.247608,58.8816,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,51.9912,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,57.6288,,,,percent of total billed charges,,59.25744,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,60.7608,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,55.1232,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,40.59072,,,,percent of total billed charges,,56.376,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,63.247608,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,59.508,,,,percent of total billed charges,,50.112,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,,,,,inpatient,,,40.64,,20.32,24.384,41.034208,38.2016,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,33.7312,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,38.44544,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,39.4208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,35.7632,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,26.33472,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,41.034208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,,,,,inpatient,,,85.32,,42.66,51.192,86.147604,80.2008,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,70.8156,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,78.4944,,,,percent of total billed charges,,80.71272,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,82.7604,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,75.0816,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,55.28736,,,,percent of total billed charges,,76.788,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,86.147604,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,81.054,,,,percent of total billed charges,,68.256,,,,percent of total billed charges,,51.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION (UNDILUTED) [1001894],0254,RC,,,,,inpatient,,,15.66,,7.83,9.396,15.811902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,10.14768,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,15.811902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 2 MG TABLET [2404],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 2.5 MG RECTAL KIT [81715],0637,RC,,,,,inpatient,,,807.17,,403.585,484.302,814.999549,758.7398,,,,percent of total billed charges,,645.736,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,669.9511,,,,percent of total billed charges,,726.453,,,,percent of total billed charges,,742.5964,,,,percent of total billed charges,,742.5964,,,,percent of total billed charges,,763.58282,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,782.9549,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,710.3096,,,,percent of total billed charges,,726.453,,,,percent of total billed charges,,523.04616,,,,percent of total billed charges,,726.453,,,,percent of total billed charges,,484.302,,,,percent of total billed charges,,814.999549,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,766.8115,,,,percent of total billed charges,,645.736,,,,percent of total billed charges,,484.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG TABLET [2405],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG TABLET [2405],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT [95044],0637,RC,,,,,inpatient,,,1345.77,,672.885,807.462,1358.823969,1265.0238,,,,percent of total billed charges,,1076.616,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1116.9891,,,,percent of total billed charges,,1211.193,,,,percent of total billed charges,,1238.1084,,,,percent of total billed charges,,1238.1084,,,,percent of total billed charges,,1273.09842,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1305.3969,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1184.2776,,,,percent of total billed charges,,1211.193,,,,percent of total billed charges,,872.05896,,,,percent of total billed charges,,1211.193,,,,percent of total billed charges,,807.462,,,,percent of total billed charges,,1358.823969,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1278.4815,,,,percent of total billed charges,,1076.616,,,,percent of total billed charges,,807.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION [2402],0637,RC,,,,,inpatient,,,258.75,,129.375,155.25,261.259875,243.225,,,,percent of total billed charges,,207,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,214.7625,,,,percent of total billed charges,,232.875,,,,percent of total billed charges,,238.05,,,,percent of total billed charges,,238.05,,,,percent of total billed charges,,244.7775,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,250.9875,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,227.7,,,,percent of total billed charges,,232.875,,,,percent of total billed charges,,167.67,,,,percent of total billed charges,,232.875,,,,percent of total billed charges,,155.25,,,,percent of total billed charges,,261.259875,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,245.8125,,,,percent of total billed charges,,207,,,,percent of total billed charges,,155.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,,,,,inpatient,,,106.66,,53.33,63.996,107.694602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,69.11568,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,107.694602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,,,,,inpatient,,,106.66,,53.33,63.996,107.694602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,69.11568,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,107.694602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,,,,,inpatient,,,28.62,,14.31,17.172,28.897614,26.9028,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,23.7546,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,27.07452,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.7614,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,25.1856,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,18.54576,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,28.897614,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION - RECTAL USE [1001370],0636,RC,,,,,inpatient,,,74.66,,37.33,44.796,75.384202,70.1804,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,61.9678,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,70.62836,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,72.4202,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,65.7008,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,48.37968,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,75.384202,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,106.66,,53.33,63.996,107.694602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,69.11568,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,107.694602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,106.66,,53.33,63.996,107.694602,100.2604,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,88.5278,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,98.1272,,,,percent of total billed charges,,100.90036,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,103.4602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,93.8608,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,69.11568,,,,percent of total billed charges,,95.994,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,107.694602,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,101.327,,,,percent of total billed charges,,85.328,,,,percent of total billed charges,,63.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,28.62,,14.31,17.172,28.897614,26.9028,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,23.7546,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,26.3304,,,,percent of total billed charges,,27.07452,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.7614,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,25.1856,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,18.54576,,,,percent of total billed charges,,25.758,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,28.897614,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,27.189,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,17.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,74.66,,37.33,44.796,75.384202,70.1804,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,61.9678,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,68.6872,,,,percent of total billed charges,,70.62836,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,72.4202,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,65.7008,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,48.37968,,,,percent of total billed charges,,67.194,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,75.384202,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,70.927,,,,percent of total billed charges,,59.728,,,,percent of total billed charges,,44.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,64.11,,32.055,38.466,64.731867,60.2634,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,53.2113,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,60.64806,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,62.1867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,56.4168,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,41.54328,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,64.731867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,64.11,,32.055,38.466,64.731867,60.2634,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,53.2113,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,60.64806,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,62.1867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,56.4168,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,41.54328,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,64.731867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,60.81,,30.405,36.486,61.399857,57.1614,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,50.4723,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,57.52626,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,58.9857,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,53.5128,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,39.40488,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,61.399857,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,60.81,,30.405,36.486,61.399857,57.1614,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,50.4723,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,55.9452,,,,percent of total billed charges,,57.52626,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,58.9857,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,53.5128,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,39.40488,,,,percent of total billed charges,,54.729,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,61.399857,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,57.7695,,,,percent of total billed charges,,48.648,,,,percent of total billed charges,,36.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,59.99,,29.995,35.994,60.571903,56.3906,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,49.7917,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,56.75054,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,58.1903,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,52.7912,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,38.87352,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,60.571903,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIAZEPAM 5 MG/ML INJECTION SYRINGE [86341],0636,RC,,,,,inpatient,,,59.99,,29.995,35.994,60.571903,56.3906,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,49.7917,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,55.1908,,,,percent of total billed charges,,56.75054,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,58.1903,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,52.7912,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,38.87352,,,,percent of total billed charges,,53.991,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,60.571903,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,56.9905,,,,percent of total billed charges,,47.992,,,,percent of total billed charges,,35.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIBUCAINE 1 % TOPICAL OINTMENT [2412],0637,RC,,,,,inpatient,,,14.37,,7.185,8.622,14.509389,13.5078,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.9271,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.59402,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.9389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,12.6456,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,9.31176,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,14.509389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIBUCAINE 1 % TOPICAL OINTMENT [2412],0637,RC,,,,,inpatient,,,12.86,,6.43,7.716,12.984742,12.0884,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.6738,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,11.8312,,,,percent of total billed charges,,12.16556,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.4742,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,11.3168,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,8.33328,,,,percent of total billed charges,,11.574,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,12.984742,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,12.217,,,,percent of total billed charges,,10.288,,,,percent of total billed charges,,7.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,211.5,,105.75,126.9,213.55155,198.81,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,175.545,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,200.079,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,205.155,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,137.052,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,213.55155,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,59.85,,29.925,35.91,60.430545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,38.7828,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,60.430545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,41.85,,20.925,25.11,42.255945,39.339,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,34.7355,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,38.502,,,,percent of total billed charges,,39.5901,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,40.5945,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,27.1188,,,,percent of total billed charges,,37.665,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,42.255945,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,39.7575,,,,percent of total billed charges,,33.48,,,,percent of total billed charges,,25.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,59.4,,29.7,35.64,59.97618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,38.4912,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,59.97618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,57.6,,28.8,34.56,58.15872,54.144,,,,percent of total billed charges,,46.08,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,47.808,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,52.992,,,,percent of total billed charges,,52.992,,,,percent of total billed charges,,54.4896,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,55.872,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,50.688,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,37.3248,,,,percent of total billed charges,,51.84,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,58.15872,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,46.08,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICLOFENAC 1 % TOPICAL GEL [164117],0637,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE [15339]",0637,RC,,,,,inpatient,,,4.35,,2.175,2.61,4.392195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.8188,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.392195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE [15339]",0637,RC,,,,,inpatient,,,4.1,,2.05,2.46,4.13977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.6568,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,4.13977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE [15339]",0637,RC,,,,,inpatient,,,3.85,,1.925,2.31,3.887345,3.619,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.1955,,,,percent of total billed charges,,3.465,,,,percent of total billed charges,,3.542,,,,percent of total billed charges,,3.542,,,,percent of total billed charges,,3.6421,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.7345,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.388,,,,percent of total billed charges,,3.465,,,,percent of total billed charges,,2.4948,,,,percent of total billed charges,,3.465,,,,percent of total billed charges,,2.31,,,,percent of total billed charges,,3.887345,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.6575,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,2.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,,,,,inpatient,,,1.76,,0.88,1.056,1.777072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.14048,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.777072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,,,,,inpatient,,,1.1,,0.55,0.66,1.11067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.11067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [15341]",0637,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG CAPSULE [2418],0637,RC,,,,,inpatient,,,1.63,,0.815,0.978,1.645811,1.5322,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.3529,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.54198,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.4344,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.05624,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,1.645811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG CAPSULE [2418],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG CAPSULE [2418],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [217423],0637,RC,,,,,inpatient,,,483.17,,241.585,289.902,487.856749,454.1798,,,,percent of total billed charges,,386.536,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,401.0311,,,,percent of total billed charges,,434.853,,,,percent of total billed charges,,444.5164,,,,percent of total billed charges,,444.5164,,,,percent of total billed charges,,457.07882,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,468.6749,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,425.1896,,,,percent of total billed charges,,434.853,,,,percent of total billed charges,,313.09416,,,,percent of total billed charges,,434.853,,,,percent of total billed charges,,289.902,,,,percent of total billed charges,,487.856749,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,459.0115,,,,percent of total billed charges,,386.536,,,,percent of total billed charges,,289.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [217423],0637,RC,,,,,inpatient,,,10.22,,5.11,6.132,10.319134,9.6068,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.4826,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.66812,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.9134,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.9936,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,6.62256,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,10.319134,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/5 ML ORAL SOLUTION [217423],0637,RC,,,,,inpatient,,,353.34,,176.67,212.004,356.767398,332.1396,,,,percent of total billed charges,,282.672,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,293.2722,,,,percent of total billed charges,,318.006,,,,percent of total billed charges,,325.0728,,,,percent of total billed charges,,325.0728,,,,percent of total billed charges,,334.25964,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,342.7398,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,310.9392,,,,percent of total billed charges,,318.006,,,,percent of total billed charges,,228.96432,,,,percent of total billed charges,,318.006,,,,percent of total billed charges,,212.004,,,,percent of total billed charges,,356.767398,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,335.673,,,,percent of total billed charges,,282.672,,,,percent of total billed charges,,212.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,,,,,inpatient,,,347.67,,173.835,208.602,351.042399,326.8098,,,,percent of total billed charges,,278.136,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,288.5661,,,,percent of total billed charges,,312.903,,,,percent of total billed charges,,319.8564,,,,percent of total billed charges,,319.8564,,,,percent of total billed charges,,328.89582,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,337.2399,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,305.9496,,,,percent of total billed charges,,312.903,,,,percent of total billed charges,,225.29016,,,,percent of total billed charges,,312.903,,,,percent of total billed charges,,208.602,,,,percent of total billed charges,,351.042399,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,330.2865,,,,percent of total billed charges,,278.136,,,,percent of total billed charges,,208.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,,,,,inpatient,,,149.39,,74.695,89.634,150.839083,140.4266,,,,percent of total billed charges,,119.512,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,123.9937,,,,percent of total billed charges,,134.451,,,,percent of total billed charges,,137.4388,,,,percent of total billed charges,,137.4388,,,,percent of total billed charges,,141.32294,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,144.9083,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,131.4632,,,,percent of total billed charges,,134.451,,,,percent of total billed charges,,96.80472,,,,percent of total billed charges,,134.451,,,,percent of total billed charges,,89.634,,,,percent of total billed charges,,150.839083,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,141.9205,,,,percent of total billed charges,,119.512,,,,percent of total billed charges,,89.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,,,,,inpatient,,,46.87,,23.435,28.122,47.324639,44.0578,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,38.9021,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,44.33902,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,45.4639,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,41.2456,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,30.37176,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,47.324639,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [2417],0636,RC,,,,,inpatient,,,46.87,,23.435,28.122,47.324639,44.0578,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,38.9021,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,43.1204,,,,percent of total billed charges,,44.33902,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,45.4639,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,41.2456,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,30.37176,,,,percent of total billed charges,,42.183,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,47.324639,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,44.5265,,,,percent of total billed charges,,37.496,,,,percent of total billed charges,,28.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIETHYL ETHER-NITROCELLULOSE-ETHYL ALCOHOL (COLLODION) SOLU [1000531],0250,RC,,,,,inpatient,,,117,,58.5,70.2,118.1349,109.98,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,97.11,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,107.64,,,,percent of total billed charges,,110.682,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,113.49,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,102.96,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,75.816,,,,percent of total billed charges,,105.3,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,118.1349,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,111.15,,,,percent of total billed charges,,93.6,,,,percent of total billed charges,,70.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIETHYL ETHER-NITROCELLULOSE-ETHYL ALCOHOL (COLLODION) SOLU [1000531],0250,RC,,,,,inpatient,,,14.04,,7.02,8.424,14.176188,13.1976,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.6532,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,13.28184,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.6188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,12.3552,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,9.09792,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,14.176188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0637,RC,,,,,inpatient,,,5.41,,2.705,3.246,5.462477,5.0854,,,,percent of total billed charges,,4.328,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,4.4903,,,,percent of total billed charges,,4.869,,,,percent of total billed charges,,4.9772,,,,percent of total billed charges,,4.9772,,,,percent of total billed charges,,5.11786,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,5.2477,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,4.7608,,,,percent of total billed charges,,4.869,,,,percent of total billed charges,,3.50568,,,,percent of total billed charges,,4.869,,,,percent of total billed charges,,3.246,,,,percent of total billed charges,,5.462477,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,5.1395,,,,percent of total billed charges,,4.328,,,,percent of total billed charges,,3.246,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0637,RC,,,,,inpatient,,,3.29,,1.645,1.974,3.321913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.13192,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.321913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 125 MCG (0.125 MG) TABLET [2444],0637,RC,,,,,inpatient,,,3.29,,1.645,1.974,3.321913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.13192,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.321913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 20 MCG/ML IV IN D5W PEDS DILUTION [1001843],0636,RC,,,,,inpatient,,,103.97,,51.985,62.382,104.978509,97.7318,,,,percent of total billed charges,,83.176,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,86.2951,,,,percent of total billed charges,,93.573,,,,percent of total billed charges,,95.6524,,,,percent of total billed charges,,95.6524,,,,percent of total billed charges,,98.35562,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,100.8509,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,91.4936,,,,percent of total billed charges,,93.573,,,,percent of total billed charges,,67.37256,,,,percent of total billed charges,,93.573,,,,percent of total billed charges,,62.382,,,,percent of total billed charges,,104.978509,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,98.7715,,,,percent of total billed charges,,83.176,,,,percent of total billed charges,,62.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,,,,,inpatient,,,12.73,,6.365,7.638,12.853481,11.9662,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.5659,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,12.04258,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.3481,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,11.2024,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,8.24904,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,12.853481,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,,,,,inpatient,,,23.5,,11.75,14.1,23.72795,22.09,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,19.505,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,22.231,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.795,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,20.68,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,15.228,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,23.72795,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,,,,,inpatient,,,12.73,,6.365,7.638,12.853481,11.9662,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.5659,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,11.7116,,,,percent of total billed charges,,12.04258,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.3481,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,11.2024,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,8.24904,,,,percent of total billed charges,,11.457,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,12.853481,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,12.0935,,,,percent of total billed charges,,10.184,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [2442],0636,RC,,,,,inpatient,,,23.5,,11.75,14.1,23.72795,22.09,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,19.505,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,21.62,,,,percent of total billed charges,,22.231,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.795,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,20.68,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,15.228,,,,percent of total billed charges,,21.15,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,23.72795,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,22.325,,,,percent of total billed charges,,18.8,,,,percent of total billed charges,,14.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION [2443],0637,RC,,,,,inpatient,,,306.18,,153.09,183.708,309.149946,287.8092,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,254.1294,,,,percent of total billed charges,,275.562,,,,percent of total billed charges,,281.6856,,,,percent of total billed charges,,281.6856,,,,percent of total billed charges,,289.64628,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,296.9946,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,269.4384,,,,percent of total billed charges,,275.562,,,,percent of total billed charges,,198.40464,,,,percent of total billed charges,,275.562,,,,percent of total billed charges,,183.708,,,,percent of total billed charges,,309.149946,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,290.871,,,,percent of total billed charges,,244.944,,,,percent of total billed charges,,183.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [80896],0636,RC,,,,,inpatient,,,19021.23,,9510.615,11412.738,19205.73593,17879.9562,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15787.6209,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17994.08358,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18450.5931,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,16738.6824,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,12325.75704,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,19205.73593,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [80896],0636,RC,,,,,inpatient,,,19021.23,,9510.615,11412.738,19205.73593,17879.9562,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15787.6209,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17499.5316,,,,percent of total billed charges,,17994.08358,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18450.5931,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,16738.6824,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,12325.75704,,,,percent of total billed charges,,17119.107,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,19205.73593,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,18070.1685,,,,percent of total billed charges,,15216.984,,,,percent of total billed charges,,11412.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION [80896],0636,RC,,,,,inpatient,,,33815.52,,16907.76,20289.312,34143.53054,31786.5888,,,,percent of total billed charges,,27052.416,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,28066.8816,,,,percent of total billed charges,,30433.968,,,,percent of total billed charges,,31110.2784,,,,percent of total billed charges,,31110.2784,,,,percent of total billed charges,,31989.48192,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,32801.0544,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,29757.6576,,,,percent of total billed charges,,30433.968,,,,percent of total billed charges,,21912.45696,,,,percent of total billed charges,,30433.968,,,,percent of total billed charges,,20289.312,,,,percent of total billed charges,,34143.53054,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,32124.744,,,,percent of total billed charges,,27052.416,,,,percent of total billed charges,,20289.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,,,,,inpatient,,,341.4,,170.7,204.84,344.71158,320.916,,,,percent of total billed charges,,273.12,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,283.362,,,,percent of total billed charges,,307.26,,,,percent of total billed charges,,314.088,,,,percent of total billed charges,,314.088,,,,percent of total billed charges,,322.9644,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,331.158,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,300.432,,,,percent of total billed charges,,307.26,,,,percent of total billed charges,,221.2272,,,,percent of total billed charges,,307.26,,,,percent of total billed charges,,204.84,,,,percent of total billed charges,,344.71158,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,324.33,,,,percent of total billed charges,,273.12,,,,percent of total billed charges,,204.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,,,,,inpatient,,,210.27,,105.135,126.162,212.309619,197.6538,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,174.5241,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,198.91542,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,203.9619,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,185.0376,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,136.25496,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,212.309619,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,,,,,inpatient,,,210.27,,105.135,126.162,212.309619,197.6538,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,174.5241,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,193.4484,,,,percent of total billed charges,,198.91542,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,203.9619,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,185.0376,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,136.25496,,,,percent of total billed charges,,189.243,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,212.309619,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,199.7565,,,,percent of total billed charges,,168.216,,,,percent of total billed charges,,126.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,,,,,inpatient,,,243.55,,121.775,146.13,245.912435,228.937,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,202.1465,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,230.3983,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,236.2435,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,214.324,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,157.8204,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,245.912435,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,,,,,inpatient,,,243.55,,121.775,146.13,245.912435,228.937,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,202.1465,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,224.066,,,,percent of total billed charges,,230.3983,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,236.2435,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,214.324,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,157.8204,,,,percent of total billed charges,,219.195,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,245.912435,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,231.3725,,,,percent of total billed charges,,194.84,,,,percent of total billed charges,,146.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,,,,,inpatient,,,222.26,,111.13,133.356,224.415922,208.9244,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,184.4758,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,210.25796,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,215.5922,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,195.5888,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,144.02448,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,224.415922,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIHYDROERGOTAMINE 1 MG/ML INJECTION - CHI [1000692],0636,RC,,,,,inpatient,,,222.26,,111.13,133.356,224.415922,208.9244,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,184.4758,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,204.4792,,,,percent of total billed charges,,210.25796,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,215.5922,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,195.5888,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,144.02448,,,,percent of total billed charges,,200.034,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,224.415922,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,211.147,,,,percent of total billed charges,,177.808,,,,percent of total billed charges,,133.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 100 MG INTRAVENOUS SOLUTION [22156],0250,RC,,,,,inpatient,,,40.36,,20.18,24.216,40.751492,37.9384,,,,percent of total billed charges,,32.288,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,33.4988,,,,percent of total billed charges,,36.324,,,,percent of total billed charges,,37.1312,,,,percent of total billed charges,,37.1312,,,,percent of total billed charges,,38.18056,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,39.1492,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,35.5168,,,,percent of total billed charges,,36.324,,,,percent of total billed charges,,26.15328,,,,percent of total billed charges,,36.324,,,,percent of total billed charges,,24.216,,,,percent of total billed charges,,40.751492,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,38.342,,,,percent of total billed charges,,32.288,,,,percent of total billed charges,,24.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 30 MG TABLET [2475],0637,RC,,,,,inpatient,,,3.75,,1.875,2.25,3.786375,3.525,,,,percent of total billed charges,,3,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.1125,,,,percent of total billed charges,,3.375,,,,percent of total billed charges,,3.45,,,,percent of total billed charges,,3.45,,,,percent of total billed charges,,3.5475,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.6375,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.3,,,,percent of total billed charges,,3.375,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,3.375,,,,percent of total billed charges,,2.25,,,,percent of total billed charges,,3.786375,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3.5625,,,,percent of total billed charges,,3,,,,percent of total billed charges,,2.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,12.49,,6.245,7.494,12.611153,11.7406,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.3667,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.81554,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,12.1153,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.9912,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,8.09352,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,12.611153,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,12.49,,6.245,7.494,12.611153,11.7406,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.3667,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.4908,,,,percent of total billed charges,,11.81554,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,12.1153,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,10.9912,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,8.09352,,,,percent of total billed charges,,11.241,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,12.611153,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,11.8655,,,,percent of total billed charges,,9.992,,,,percent of total billed charges,,7.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,22.73,,11.365,13.638,22.950481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,14.72904,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,22.950481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,22.73,,11.365,13.638,22.950481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,14.72904,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,22.950481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,33.19,,16.595,19.914,33.511943,31.1986,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,27.5477,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,31.39774,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,32.1943,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,29.2072,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,21.50712,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,33.511943,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,33.19,,16.595,19.914,33.511943,31.1986,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,27.5477,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,30.5348,,,,percent of total billed charges,,31.39774,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,32.1943,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,29.2072,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,21.50712,,,,percent of total billed charges,,29.871,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,33.511943,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,31.5305,,,,percent of total billed charges,,26.552,,,,percent of total billed charges,,19.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,8.89,,4.445,5.334,8.976233,8.3566,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.3787,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.40994,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.6233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.8232,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.76072,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,8.976233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,24.98,,12.49,14.988,25.222306,23.4812,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,20.7334,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,23.63108,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,24.2306,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,21.9824,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,16.18704,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,25.222306,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,8.89,,4.445,5.334,8.976233,8.3566,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.3787,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.40994,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.6233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.8232,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.76072,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,8.976233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,24.98,,12.49,14.988,25.222306,23.4812,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,20.7334,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,22.9816,,,,percent of total billed charges,,23.63108,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,24.2306,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,21.9824,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,16.18704,,,,percent of total billed charges,,22.482,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,25.222306,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,23.731,,,,percent of total billed charges,,19.984,,,,percent of total billed charges,,14.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,8.62,,4.31,5.172,8.703614,8.1028,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.1546,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,8.15452,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.3614,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.5856,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,5.58576,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,8.703614,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,8.62,,4.31,5.172,8.703614,8.1028,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.1546,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,7.9304,,,,percent of total billed charges,,8.15452,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.3614,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,7.5856,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,5.58576,,,,percent of total billed charges,,7.758,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,8.703614,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,8.189,,,,percent of total billed charges,,6.896,,,,percent of total billed charges,,5.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,36.23,,18.115,21.738,36.581431,34.0562,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,30.0709,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,34.27358,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,35.1431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,31.8824,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,23.47704,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,36.581431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [9869],0250,RC,,,,,inpatient,,,36.23,,18.115,21.738,36.581431,34.0562,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,30.0709,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,34.27358,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,35.1431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,31.8824,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,23.47704,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,36.581431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,,,,,inpatient,,,11.55,,5.775,6.93,11.662035,10.857,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,9.5865,,,,percent of total billed charges,,10.395,,,,percent of total billed charges,,10.626,,,,percent of total billed charges,,10.626,,,,percent of total billed charges,,10.9263,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,11.2035,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,10.164,,,,percent of total billed charges,,10.395,,,,percent of total billed charges,,7.4844,,,,percent of total billed charges,,10.395,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,11.662035,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,10.9725,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,,,,,inpatient,,,10.35,,5.175,6.21,10.450395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,10.450395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION - CHI CATH LAB [7000203],0250,RC,,,,,inpatient,,,40.62,,20.31,24.372,41.014014,38.1828,,,,percent of total billed charges,,32.496,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,33.7146,,,,percent of total billed charges,,36.558,,,,percent of total billed charges,,37.3704,,,,percent of total billed charges,,37.3704,,,,percent of total billed charges,,38.42652,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,39.4014,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,35.7456,,,,percent of total billed charges,,36.558,,,,percent of total billed charges,,26.32176,,,,percent of total billed charges,,36.558,,,,percent of total billed charges,,24.372,,,,percent of total billed charges,,41.014014,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,38.589,,,,percent of total billed charges,,32.496,,,,percent of total billed charges,,24.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,,,,,inpatient,,,1.05,,0.525,0.63,1.060185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.6804,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,1.060185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,,,,,inpatient,,,1.05,,0.525,0.63,1.060185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.6804,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,1.060185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,,,,,inpatient,,,1.58,,0.79,0.948,1.595326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.02384,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.595326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DILTIAZEM 60 MG TABLET [2476],0637,RC,,,,,inpatient,,,1.58,,0.79,0.948,1.595326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.02384,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.595326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",0637,RC,,,,,inpatient,,,2.02,,1.01,1.212,2.039594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.30896,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,2.039594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR [29270]",0637,RC,,,,,inpatient,,,2.02,,1.01,1.212,2.039594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.30896,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,2.039594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR [29272]",0637,RC,,,,,inpatient,,,1.12,,0.56,0.672,1.130864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.72576,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.130864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION [189482],0636,RC,,,,,inpatient,,,2874.38,,1437.19,1724.628,2902.261486,2701.9172,,,,percent of total billed charges,,2299.504,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2385.7354,,,,percent of total billed charges,,2586.942,,,,percent of total billed charges,,2644.4296,,,,percent of total billed charges,,2644.4296,,,,percent of total billed charges,,2719.16348,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2788.1486,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2529.4544,,,,percent of total billed charges,,2586.942,,,,percent of total billed charges,,1862.59824,,,,percent of total billed charges,,2586.942,,,,percent of total billed charges,,1724.628,,,,percent of total billed charges,,2902.261486,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2730.661,,,,percent of total billed charges,,2299.504,,,,percent of total billed charges,,1724.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE [81051]",0637,RC,,,,,inpatient,,,2031.71,,1015.855,1219.026,2051.417587,1909.8074,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1686.3193,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1921.99766,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1970.7587,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1787.9048,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1316.54808,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,2051.417587,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE [81051]",0637,RC,,,,,inpatient,,,2031.71,,1015.855,1219.026,2051.417587,1909.8074,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1686.3193,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1869.1732,,,,percent of total billed charges,,1921.99766,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1970.7587,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1787.9048,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1316.54808,,,,percent of total billed charges,,1828.539,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,2051.417587,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1930.1245,,,,percent of total billed charges,,1625.368,,,,percent of total billed charges,,1219.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [164080]",0636,RC,,,,,inpatient,,,41.28,,20.64,24.768,41.680416,38.8032,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,34.2624,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,39.05088,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,40.0416,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,36.3264,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,26.74944,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,41.680416,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [164080]",0636,RC,,,,,inpatient,,,41.28,,20.64,24.768,41.680416,38.8032,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,34.2624,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,37.9776,,,,percent of total billed charges,,39.05088,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,40.0416,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,36.3264,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,26.74944,,,,percent of total billed charges,,37.152,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,41.680416,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,39.216,,,,percent of total billed charges,,33.024,,,,percent of total billed charges,,24.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,3.19,,1.595,1.914,3.220943,2.9986,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,2.6477,,,,percent of total billed charges,,2.871,,,,percent of total billed charges,,2.9348,,,,percent of total billed charges,,2.9348,,,,percent of total billed charges,,3.01774,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,3.0943,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,2.8072,,,,percent of total billed charges,,2.871,,,,percent of total billed charges,,2.06712,,,,percent of total billed charges,,2.871,,,,percent of total billed charges,,1.914,,,,percent of total billed charges,,3.220943,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,3.0305,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,1.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,14.54,,7.27,8.724,14.681038,13.6676,,,,percent of total billed charges,,11.632,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,12.0682,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,13.3768,,,,percent of total billed charges,,13.3768,,,,percent of total billed charges,,13.75484,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,14.1038,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,12.7952,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,9.42192,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,8.724,,,,percent of total billed charges,,14.681038,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,13.813,,,,percent of total billed charges,,11.632,,,,percent of total billed charges,,8.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,26.02,,13.01,15.612,26.272394,24.4588,,,,percent of total billed charges,,20.816,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,21.5966,,,,percent of total billed charges,,23.418,,,,percent of total billed charges,,23.9384,,,,percent of total billed charges,,23.9384,,,,percent of total billed charges,,24.61492,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,25.2394,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,22.8976,,,,percent of total billed charges,,23.418,,,,percent of total billed charges,,16.86096,,,,percent of total billed charges,,23.418,,,,percent of total billed charges,,15.612,,,,percent of total billed charges,,26.272394,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,24.719,,,,percent of total billed charges,,20.816,,,,percent of total billed charges,,15.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,1.11,,0.555,0.666,1.120767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.71928,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.120767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,5.36,,2.68,3.216,5.411992,5.0384,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.4488,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,5.07056,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.1992,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.7168,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.47328,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,5.411992,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,5.36,,2.68,3.216,5.411992,5.0384,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.4488,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,4.9312,,,,percent of total billed charges,,5.07056,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.1992,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.7168,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.47328,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,5.411992,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,5.092,,,,percent of total billed charges,,4.288,,,,percent of total billed charges,,3.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,10.62,,5.31,6.372,10.723014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.88176,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,10.723014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,5.76,,2.88,3.456,5.815872,5.4144,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.7808,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,5.2992,,,,percent of total billed charges,,5.2992,,,,percent of total billed charges,,5.44896,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5872,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.0688,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.73248,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,5.815872,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,4.32,,2.16,2.592,4.361904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.79936,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.361904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,8.94,,4.47,5.364,9.026718,8.4036,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.4202,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.45724,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.6718,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.8672,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,5.79312,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,9.026718,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,8.94,,4.47,5.364,9.026718,8.4036,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.4202,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.2248,,,,percent of total billed charges,,8.45724,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.6718,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.8672,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,5.79312,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,9.026718,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,8.493,,,,percent of total billed charges,,7.152,,,,percent of total billed charges,,5.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,8.08,,4.04,4.848,8.158376,7.5952,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.7064,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.64368,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.8376,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.1104,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,5.23584,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,8.158376,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,8.08,,4.04,4.848,8.158376,7.5952,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.7064,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.4336,,,,percent of total billed charges,,7.64368,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.8376,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.1104,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,5.23584,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,8.158376,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,7.676,,,,percent of total billed charges,,6.464,,,,percent of total billed charges,,4.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [12556],0250,RC,,,,,inpatient,,,7.44,,3.72,4.464,7.512168,6.9936,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.1752,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,6.8448,,,,percent of total billed charges,,7.03824,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.2168,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,6.5472,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,4.82112,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,7.512168,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,7.068,,,,percent of total billed charges,,5.952,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 25 MG CAPSULE [2509],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 25 MG CAPSULE [2509],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 25 MG CAPSULE [2509],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG CAPSULE [2510],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG CAPSULE [2510],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,,,,,inpatient,,,4.14,,2.07,2.484,4.180158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.68272,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,4.180158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,,,,,inpatient,,,4.14,,2.07,2.484,4.180158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.68272,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,4.180158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [2508],0636,RC,,,,,inpatient,,,5.38,,2.69,3.228,5.432186,5.0572,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.4654,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,4.9496,,,,percent of total billed charges,,5.08948,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.2186,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.7344,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,3.48624,,,,percent of total billed charges,,4.842,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,5.432186,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,5.111,,,,percent of total billed charges,,4.304,,,,percent of total billed charges,,3.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM [78224],0637,RC,,,,,inpatient,,,14.78,,7.39,8.868,14.923366,13.8932,,,,percent of total billed charges,,11.824,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,12.2674,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,13.5976,,,,percent of total billed charges,,13.5976,,,,percent of total billed charges,,13.98188,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,14.3366,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,13.0064,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,9.57744,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,8.868,,,,percent of total billed charges,,14.923366,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,14.041,,,,percent of total billed charges,,11.824,,,,percent of total billed charges,,8.868,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,,,,,inpatient,,,12.47,,6.235,7.482,12.590959,11.7218,,,,percent of total billed charges,,9.976,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,10.3501,,,,percent of total billed charges,,11.223,,,,percent of total billed charges,,11.4724,,,,percent of total billed charges,,11.4724,,,,percent of total billed charges,,11.79662,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,12.0959,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,10.9736,,,,percent of total billed charges,,11.223,,,,percent of total billed charges,,8.08056,,,,percent of total billed charges,,11.223,,,,percent of total billed charges,,7.482,,,,percent of total billed charges,,12.590959,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,11.8465,,,,percent of total billed charges,,9.976,,,,percent of total billed charges,,7.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [2516],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [94501]",0636,RC,,,,,inpatient,,,71.65,,35.825,42.99,72.345005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,46.4292,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,72.345005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [94501]",0636,RC,,,,,inpatient,,,71.65,,35.825,42.99,72.345005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,46.4292,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,72.345005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [94502]",0636,RC,,,,,inpatient,,,71.65,,35.825,42.99,72.345005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,46.4292,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,72.345005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [94502]",0636,RC,,,,,inpatient,,,71.65,,35.825,42.99,72.345005,67.351,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,59.4695,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,65.918,,,,percent of total billed charges,,67.7809,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,69.5005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,63.052,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,46.4292,,,,percent of total billed charges,,64.485,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,72.345005,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,68.0675,,,,percent of total billed charges,,57.32,,,,percent of total billed charges,,42.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIPYRIDAMOLE 25 MG TABLET [2528],0637,RC,,,,,inpatient,,,3.29,,1.645,1.974,3.321913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.13192,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.321913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE [2535],0637,RC,,,,,inpatient,,,8.89,,4.445,5.334,8.976233,8.3566,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.3787,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.1788,,,,percent of total billed charges,,8.40994,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.6233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.8232,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.76072,,,,percent of total billed charges,,8.001,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,8.976233,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,8.4455,,,,percent of total billed charges,,7.112,,,,percent of total billed charges,,5.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [82491]",0637,RC,,,,,inpatient,,,3.5,,1.75,2.1,3.53395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.268,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.53395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [82491]",0637,RC,,,,,inpatient,,,3.5,,1.75,2.1,3.53395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.268,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.53395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [82491]",0637,RC,,,,,inpatient,,,3.65,,1.825,2.19,3.685405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.3652,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.685405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,,,,,inpatient,,,3.38,,1.69,2.028,3.412786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.19024,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.412786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,,,,,inpatient,,,3.38,,1.69,2.028,3.412786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.19024,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.412786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE [80901]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,,,,,inpatient,,,0.73,,0.365,0.438,0.737081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.47304,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.737081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE [77656]",0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,,,,,inpatient,,,1.45,,0.725,0.87,1.464065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.9396,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.464065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,,,,,inpatient,,,1.25,,0.625,0.75,1.262125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.262125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,,,,,inpatient,,,1.25,,0.625,0.75,1.262125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.262125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,,,,,inpatient,,,1.05,,0.525,0.63,1.060185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.6804,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,1.060185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE [79082]",0637,RC,,,,,inpatient,,,0.87,,0.435,0.522,0.878439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.56376,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.878439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,,,,,inpatient,,,6.64,,3.32,3.984,6.704408,6.2416,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.5112,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.28144,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.4408,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.8432,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,4.30272,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,6.704408,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,,,,,inpatient,,,6.64,,3.32,3.984,6.704408,6.2416,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.5112,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.1088,,,,percent of total billed charges,,6.28144,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.4408,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.8432,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,4.30272,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,6.704408,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,6.308,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,,,,,inpatient,,,3.65,,1.825,2.19,3.685405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.3652,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.685405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,,,,,inpatient,,,3.65,,1.825,2.19,3.685405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.3652,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.685405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,,,,,inpatient,,,2.84,,1.42,1.704,2.867548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.84032,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.867548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [86948]",0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,,,,,inpatient,,,7.24,,3.62,4.344,7.310228,6.8056,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.0092,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.84904,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,7.0228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.3712,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.69152,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,7.310228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,,,,,inpatient,,,7.24,,3.62,4.344,7.310228,6.8056,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.0092,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.84904,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,7.0228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.3712,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.69152,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,7.310228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,,,,,inpatient,,,6.22,,3.11,3.732,6.280334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.03056,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,6.280334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,,,,,inpatient,,,6.22,,3.11,3.732,6.280334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.03056,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,6.280334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,,,,,inpatient,,,5.27,,2.635,3.162,5.321119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.41496,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,5.321119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [80744]",0637,RC,,,,,inpatient,,,5.27,,2.635,3.162,5.321119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.41496,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,5.321119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,,,,,inpatient,,,27.81,,13.905,16.686,28.079757,26.1414,,,,percent of total billed charges,,22.248,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,23.0823,,,,percent of total billed charges,,25.029,,,,percent of total billed charges,,25.5852,,,,percent of total billed charges,,25.5852,,,,percent of total billed charges,,26.30826,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,26.9757,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,24.4728,,,,percent of total billed charges,,25.029,,,,percent of total billed charges,,18.02088,,,,percent of total billed charges,,25.029,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,28.079757,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,26.4195,,,,percent of total billed charges,,22.248,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,,,,,inpatient,,,18.09,,9.045,10.854,18.265473,17.0046,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.0147,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,17.11314,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.5473,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.9192,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,11.72232,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,18.265473,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION [191618],0636,RC,,,,,inpatient,,,18.09,,9.045,10.854,18.265473,17.0046,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.0147,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,16.6428,,,,percent of total billed charges,,17.11314,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.5473,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,15.9192,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,11.72232,,,,percent of total billed charges,,16.281,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,18.265473,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,17.1855,,,,percent of total billed charges,,14.472,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [191621],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [191621],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS [191621],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV [15980]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [201723],0636,RC,,,,,inpatient,,,1096.79,,548.395,658.074,1107.428863,1030.9826,,,,percent of total billed charges,,877.432,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,910.3357,,,,percent of total billed charges,,987.111,,,,percent of total billed charges,,1009.0468,,,,percent of total billed charges,,1009.0468,,,,percent of total billed charges,,1037.56334,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,1063.8863,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,965.1752,,,,percent of total billed charges,,987.111,,,,percent of total billed charges,,710.71992,,,,percent of total billed charges,,987.111,,,,percent of total billed charges,,658.074,,,,percent of total billed charges,,1107.428863,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,1041.9505,,,,percent of total billed charges,,877.432,,,,percent of total billed charges,,658.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [201724],0636,RC,,,,,inpatient,,,146.4,,73.2,87.84,147.82008,137.616,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,121.512,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,138.4944,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,142.008,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,128.832,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,94.8672,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,147.82008,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCETAXEL 80 MG/4 ML (20 MG/ML) IV SOLUTION - FOR INTRAVESICAL PREP [1001705],0636,RC,,,,,inpatient,,,146.4,,73.2,87.84,147.82008,137.616,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,121.512,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,134.688,,,,percent of total billed charges,,138.4944,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,142.008,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,128.832,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,94.8672,,,,percent of total billed charges,,131.76,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,147.82008,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,139.08,,,,percent of total billed charges,,117.12,,,,percent of total billed charges,,87.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 100 MG CAPSULE [2566],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,12.78,,6.39,7.668,12.903966,12.0132,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.6074,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,11.7576,,,,percent of total billed charges,,12.08988,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.3966,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,11.2464,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,8.28144,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,12.903966,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,12.141,,,,percent of total billed charges,,10.224,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,42.57,,21.285,25.542,42.982929,40.0158,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,35.3331,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,40.27122,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,41.2929,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,37.4616,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,27.58536,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,42.982929,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,2.21,,1.105,1.326,2.231437,2.0774,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.8343,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.09066,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.1437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.9448,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.43208,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,2.231437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,2.21,,1.105,1.326,2.231437,2.0774,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.8343,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.09066,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.1437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.9448,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.43208,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,2.231437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,8.01,,4.005,4.806,8.087697,7.5294,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.6483,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.57746,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.7697,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.0488,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,5.19048,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,8.087697,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,8.01,,4.005,4.806,8.087697,7.5294,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.6483,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.3692,,,,percent of total billed charges,,7.57746,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.7697,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.0488,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,5.19048,,,,percent of total billed charges,,7.209,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,8.087697,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,7.6095,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,4.23,,2.115,2.538,4.271031,3.9762,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.5109,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,4.00158,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.1031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.7224,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.74104,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,4.271031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [2569],0637,RC,,,,,inpatient,,,462.2,,231.1,277.32,466.68334,434.468,,,,percent of total billed charges,,369.76,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,383.626,,,,percent of total billed charges,,415.98,,,,percent of total billed charges,,425.224,,,,percent of total billed charges,,425.224,,,,percent of total billed charges,,437.2412,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,448.334,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,406.736,,,,percent of total billed charges,,415.98,,,,percent of total billed charges,,299.5056,,,,percent of total billed charges,,415.98,,,,percent of total billed charges,,277.32,,,,percent of total billed charges,,466.68334,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,439.09,,,,percent of total billed charges,,369.76,,,,percent of total billed charges,,277.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 125 MCG CAPSULE [78674],0637,RC,,,,,inpatient,,,48.89,,24.445,29.334,49.364233,45.9566,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,40.5787,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,46.24994,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,47.4233,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,43.0232,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,31.68072,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,49.364233,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 125 MCG CAPSULE [78674],0637,RC,,,,,inpatient,,,0.75,,0.375,0.45,0.757275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.757275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 125 MCG CAPSULE [78674],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,,,,,inpatient,,,48.89,,24.445,29.334,49.364233,45.9566,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,40.5787,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,44.9788,,,,percent of total billed charges,,46.24994,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,47.4233,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,43.0232,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,31.68072,,,,percent of total billed charges,,44.001,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,49.364233,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,46.4455,,,,percent of total billed charges,,39.112,,,,percent of total billed charges,,29.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,,,,,inpatient,,,3.36,,1.68,2.016,3.392592,3.1584,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.7888,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.17856,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.2592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.9568,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.17728,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,3.392592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,,,,,inpatient,,,17.18,,8.59,10.308,17.346646,16.1492,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,14.2594,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,16.25228,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.6646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,15.1184,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,11.13264,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,17.346646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,,,,,inpatient,,,6.62,,3.31,3.972,6.684214,6.2228,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.4946,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.26252,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.4214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.8256,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,4.28976,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,6.684214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOFETILIDE 250 MCG CAPSULE [78541],0637,RC,,,,,inpatient,,,14.45,,7.225,8.67,14.590165,13.583,,,,percent of total billed charges,,11.56,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,11.9935,,,,percent of total billed charges,,13.005,,,,percent of total billed charges,,13.294,,,,percent of total billed charges,,13.294,,,,percent of total billed charges,,13.6697,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,14.0165,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,12.716,,,,percent of total billed charges,,13.005,,,,percent of total billed charges,,9.3636,,,,percent of total billed charges,,13.005,,,,percent of total billed charges,,8.67,,,,percent of total billed charges,,14.590165,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,13.7275,,,,percent of total billed charges,,11.56,,,,percent of total billed charges,,8.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DONEPEZIL 5 MG TABLET [77461],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DONEPEZIL 5 MG TABLET [77461],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 1,600 MCG/ML PEDS INFUSION [1002092]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,,,,,inpatient,,,11.48,,5.74,6.888,11.591356,10.7912,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.5284,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.86008,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,11.1356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.1024,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,7.43904,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,11.591356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,,,,,inpatient,,,11.48,,5.74,6.888,11.591356,10.7912,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.5284,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.86008,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,11.1356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.1024,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,7.43904,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,11.591356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,,,,,inpatient,,,21.33,,10.665,12.798,21.536901,20.0502,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.7039,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,20.17818,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.6901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,18.7704,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,13.82184,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,21.536901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION [191625],0636,RC,,,,,inpatient,,,21.33,,10.665,12.798,21.536901,20.0502,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.7039,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,20.17818,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.6901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,18.7704,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,13.82184,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,21.536901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191629]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191629]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191629]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [191628]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [80374],0250,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION [80374],0250,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INTRAPLEURAL/ CHEST TUBE MIXTURES [1001073],0250,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORNASE ALFA 1 MG/ML SOLUTION FOR INTRAPLEURAL/ CHEST TUBE MIXTURES [1001073],0250,RC,,,,,inpatient,,,564,,282,338.4,569.4708,530.16,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,468.12,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,518.88,,,,percent of total billed charges,,533.544,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,547.08,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,496.32,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,365.472,,,,percent of total billed charges,,507.6,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,569.4708,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,535.8,,,,percent of total billed charges,,451.2,,,,percent of total billed charges,,338.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,,,,,inpatient,,,41.54,,20.77,24.924,41.942938,39.0476,,,,percent of total billed charges,,33.232,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,34.4782,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,38.2168,,,,percent of total billed charges,,38.2168,,,,percent of total billed charges,,39.29684,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,40.2938,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,36.5552,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,26.91792,,,,percent of total billed charges,,37.386,,,,percent of total billed charges,,24.924,,,,percent of total billed charges,,41.942938,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,39.463,,,,percent of total billed charges,,33.232,,,,percent of total billed charges,,24.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,,,,,inpatient,,,72.59,,36.295,43.554,73.294123,68.2346,,,,percent of total billed charges,,58.072,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,60.2497,,,,percent of total billed charges,,65.331,,,,percent of total billed charges,,66.7828,,,,percent of total billed charges,,66.7828,,,,percent of total billed charges,,68.67014,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,70.4123,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,63.8792,,,,percent of total billed charges,,65.331,,,,percent of total billed charges,,47.03832,,,,percent of total billed charges,,65.331,,,,percent of total billed charges,,43.554,,,,percent of total billed charges,,73.294123,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,68.9605,,,,percent of total billed charges,,58.072,,,,percent of total billed charges,,43.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,,,,,inpatient,,,57.51,,28.755,34.506,58.067847,54.0594,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,47.7333,,,,percent of total billed charges,,51.759,,,,percent of total billed charges,,52.9092,,,,percent of total billed charges,,52.9092,,,,percent of total billed charges,,54.40446,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,55.7847,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,50.6088,,,,percent of total billed charges,,51.759,,,,percent of total billed charges,,37.26648,,,,percent of total billed charges,,51.759,,,,percent of total billed charges,,34.506,,,,percent of total billed charges,,58.067847,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,54.6345,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,34.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 2 % EYE DROPS [82906],0637,RC,,,,,inpatient,,,48.33,,24.165,28.998,48.798801,45.4302,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,40.1139,,,,percent of total billed charges,,43.497,,,,percent of total billed charges,,44.4636,,,,percent of total billed charges,,44.4636,,,,percent of total billed charges,,45.72018,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,46.8801,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,42.5304,,,,percent of total billed charges,,43.497,,,,percent of total billed charges,,31.31784,,,,percent of total billed charges,,43.497,,,,percent of total billed charges,,28.998,,,,percent of total billed charges,,48.798801,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,45.9135,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,28.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,,,,,inpatient,,,62.28,,31.14,37.368,62.884116,58.5432,,,,percent of total billed charges,,49.824,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,51.6924,,,,percent of total billed charges,,56.052,,,,percent of total billed charges,,57.2976,,,,percent of total billed charges,,57.2976,,,,percent of total billed charges,,58.91688,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,60.4116,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,54.8064,,,,percent of total billed charges,,56.052,,,,percent of total billed charges,,40.35744,,,,percent of total billed charges,,56.052,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,62.884116,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,59.166,,,,percent of total billed charges,,49.824,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,,,,,inpatient,,,58.14,,29.07,34.884,58.703958,54.6516,,,,percent of total billed charges,,46.512,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,48.2562,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,53.4888,,,,percent of total billed charges,,53.4888,,,,percent of total billed charges,,55.00044,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,56.3958,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,51.1632,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,37.67472,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,34.884,,,,percent of total billed charges,,58.703958,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,55.233,,,,percent of total billed charges,,46.512,,,,percent of total billed charges,,34.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,,,,,inpatient,,,41.36,,20.68,24.816,41.761192,38.8784,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,34.3288,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,39.12656,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,40.1192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,36.3968,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,26.80128,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,41.761192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,,,,,inpatient,,,59.63,,29.815,35.778,60.208411,56.0522,,,,percent of total billed charges,,47.704,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,49.4929,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,54.8596,,,,percent of total billed charges,,54.8596,,,,percent of total billed charges,,56.40998,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,57.8411,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,52.4744,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,38.64024,,,,percent of total billed charges,,53.667,,,,percent of total billed charges,,35.778,,,,percent of total billed charges,,60.208411,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,56.6485,,,,percent of total billed charges,,47.704,,,,percent of total billed charges,,35.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [81583],0637,RC,,,,,inpatient,,,157.5,,78.75,94.5,159.02775,148.05,,,,percent of total billed charges,,126,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,130.725,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.995,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,152.775,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,102.06,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,159.02775,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,126,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [253438],0636,RC,,,,,inpatient,,,45345.56,,22672.78,27207.336,45785.41193,42624.8264,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,37636.8148,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,42896.89976,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43985.1932,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,39904.0928,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,29383.92288,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,45785.41193,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION [253438],0636,RC,,,,,inpatient,,,45345.56,,22672.78,27207.336,45785.41193,42624.8264,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,37636.8148,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,41717.9152,,,,percent of total billed charges,,42896.89976,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43985.1932,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,39904.0928,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,29383.92288,,,,percent of total billed charges,,40811.004,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,45785.41193,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,43078.282,,,,percent of total billed charges,,36276.448,,,,percent of total billed charges,,27207.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXEPIN 25 MG CAPSULE [2611],0637,RC,,,,,inpatient,,,3.13,,1.565,1.878,3.160361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.02824,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,3.160361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXEPIN 25 MG CAPSULE [2611],0637,RC,,,,,inpatient,,,3.13,,1.565,1.878,3.160361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.02824,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,3.160361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXEPIN 25 MG CAPSULE [2611],0637,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],0636,RC,,,,,inpatient,,,64.06,,32.03,38.436,64.681382,60.2164,,,,percent of total billed charges,,51.248,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,53.1698,,,,percent of total billed charges,,57.654,,,,percent of total billed charges,,58.9352,,,,percent of total billed charges,,58.9352,,,,percent of total billed charges,,60.60076,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,62.1382,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,56.3728,,,,percent of total billed charges,,57.654,,,,percent of total billed charges,,41.51088,,,,percent of total billed charges,,57.654,,,,percent of total billed charges,,38.436,,,,percent of total billed charges,,64.681382,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,60.857,,,,percent of total billed charges,,51.248,,,,percent of total billed charges,,38.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION [189914],0636,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION [2616],0636,RC,,,,,inpatient,,,142.65,,71.325,85.59,144.033705,134.091,,,,percent of total billed charges,,114.12,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,118.3995,,,,percent of total billed charges,,128.385,,,,percent of total billed charges,,131.238,,,,percent of total billed charges,,131.238,,,,percent of total billed charges,,134.9469,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,138.3705,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,125.532,,,,percent of total billed charges,,128.385,,,,percent of total billed charges,,92.4372,,,,percent of total billed charges,,128.385,,,,percent of total billed charges,,85.59,,,,percent of total billed charges,,144.033705,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,135.5175,,,,percent of total billed charges,,114.12,,,,percent of total billed charges,,85.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION [189915],0636,RC,,,,,inpatient,,,42.8,,21.4,25.68,43.21516,40.232,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,35.524,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,40.4888,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,41.516,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,37.664,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,27.7344,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,43.21516,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 30 MG / 15 ML INJECTION FOR INTRAHEPATIC EMBOLIZATION [1000205],0636,RC,,,,,inpatient,,,47.93,,23.965,28.758,48.394921,45.0542,,,,percent of total billed charges,,38.344,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,39.7819,,,,percent of total billed charges,,43.137,,,,percent of total billed charges,,44.0956,,,,percent of total billed charges,,44.0956,,,,percent of total billed charges,,45.34178,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,46.4921,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,42.1784,,,,percent of total billed charges,,43.137,,,,percent of total billed charges,,31.05864,,,,percent of total billed charges,,43.137,,,,percent of total billed charges,,28.758,,,,percent of total billed charges,,48.394921,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,45.5335,,,,percent of total billed charges,,38.344,,,,percent of total billed charges,,28.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [189913],0636,RC,,,,,inpatient,,,73.58,,36.79,44.148,74.293726,69.1652,,,,percent of total billed charges,,58.864,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,61.0714,,,,percent of total billed charges,,66.222,,,,percent of total billed charges,,67.6936,,,,percent of total billed charges,,67.6936,,,,percent of total billed charges,,69.60668,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,71.3726,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,64.7504,,,,percent of total billed charges,,66.222,,,,percent of total billed charges,,47.67984,,,,percent of total billed charges,,66.222,,,,percent of total billed charges,,44.148,,,,percent of total billed charges,,74.293726,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,69.901,,,,percent of total billed charges,,58.864,,,,percent of total billed charges,,44.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [189913],0636,RC,,,,,inpatient,,,54.23,,27.115,32.538,54.756031,50.9762,,,,percent of total billed charges,,43.384,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,45.0109,,,,percent of total billed charges,,48.807,,,,percent of total billed charges,,49.8916,,,,percent of total billed charges,,49.8916,,,,percent of total billed charges,,51.30158,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,52.6031,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,47.7224,,,,percent of total billed charges,,48.807,,,,percent of total billed charges,,35.14104,,,,percent of total billed charges,,48.807,,,,percent of total billed charges,,32.538,,,,percent of total billed charges,,54.756031,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,51.5185,,,,percent of total billed charges,,43.384,,,,percent of total billed charges,,32.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN PEGYLATED LIPOSOME 2 MG/ML IV [1000666],0636,RC,,,,,inpatient,,,5050.71,,2525.355,3030.426,5099.701887,4747.6674,,,,percent of total billed charges,,4040.568,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4192.0893,,,,percent of total billed charges,,4545.639,,,,percent of total billed charges,,4646.6532,,,,percent of total billed charges,,4646.6532,,,,percent of total billed charges,,4777.97166,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4899.1887,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4444.6248,,,,percent of total billed charges,,4545.639,,,,percent of total billed charges,,3272.86008,,,,percent of total billed charges,,4545.639,,,,percent of total billed charges,,3030.426,,,,percent of total billed charges,,5099.701887,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4798.1745,,,,percent of total billed charges,,4040.568,,,,percent of total billed charges,,3030.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXORUBICIN PEGYLATED LIPOSOME 2 MG/ML IV [1000666],0636,RC,,,,,inpatient,,,703.13,,351.565,421.878,709.950361,660.9422,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,583.5979,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,665.16098,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,682.0361,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,618.7544,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,455.62824,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,709.950361,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [77149]",0636,RC,,,,,inpatient,,,5129.69,,2564.845,3077.814,5179.447993,4821.9086,,,,percent of total billed charges,,4103.752,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4257.6427,,,,percent of total billed charges,,4616.721,,,,percent of total billed charges,,4719.3148,,,,percent of total billed charges,,4719.3148,,,,percent of total billed charges,,4852.68674,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4975.7993,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4514.1272,,,,percent of total billed charges,,4616.721,,,,percent of total billed charges,,3324.03912,,,,percent of total billed charges,,4616.721,,,,percent of total billed charges,,3077.814,,,,percent of total billed charges,,5179.447993,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4873.2055,,,,percent of total billed charges,,4103.752,,,,percent of total billed charges,,3077.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [77149]",0636,RC,,,,,inpatient,,,784.08,,392.04,470.448,791.685576,737.0352,,,,percent of total billed charges,,627.264,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,650.7864,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,721.3536,,,,percent of total billed charges,,721.3536,,,,percent of total billed charges,,741.73968,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,760.5576,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,689.9904,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,508.08384,,,,percent of total billed charges,,705.672,,,,percent of total billed charges,,470.448,,,,percent of total billed charges,,791.685576,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,744.876,,,,percent of total billed charges,,627.264,,,,percent of total billed charges,,470.448,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [77149]",0636,RC,,,,,inpatient,,,703.13,,351.565,421.878,709.950361,660.9422,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,583.5979,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,646.8796,,,,percent of total billed charges,,665.16098,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,682.0361,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,618.7544,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,455.62824,,,,percent of total billed charges,,632.817,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,709.950361,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,667.9735,,,,percent of total billed charges,,562.504,,,,percent of total billed charges,,421.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,50.46,,25.23,30.276,50.949462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,32.69808,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,50.949462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 100MG RECON SOLUTION -20MG/ML FOR INTRAPLEURAL SLURRY [1000864],0250,RC,,,,,inpatient,,,50.46,,25.23,30.276,50.949462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,32.69808,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,50.949462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 40 MG/ML RECON SOLUTION WITH LIDOCAINE 1% FOR IR INSTILLATION - 10ML [1001521],0250,RC,,,,,inpatient,,,45.91,,22.955,27.546,46.355327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,29.74968,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,46.355327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 40 MG/ML RECON SOLUTION WITH LIDOCAINE 1% FOR IR INSTILLATION - 5ML [1001920],0250,RC,,,,,inpatient,,,45.91,,22.955,27.546,46.355327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,29.74968,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,46.355327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,45.91,,22.955,27.546,46.355327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,29.74968,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,46.355327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,68.95,,34.475,41.37,69.618815,64.813,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,57.2285,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,65.2267,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,66.8815,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,60.676,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,44.6796,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,69.618815,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,68.95,,34.475,41.37,69.618815,64.813,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,57.2285,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,63.434,,,,percent of total billed charges,,65.2267,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,66.8815,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,60.676,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,44.6796,,,,percent of total billed charges,,62.055,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,69.618815,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,65.5025,,,,percent of total billed charges,,55.16,,,,percent of total billed charges,,41.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,50.46,,25.23,30.276,50.949462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,32.69808,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,50.949462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,50.46,,25.23,30.276,50.949462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,32.69808,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,50.949462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,45.91,,22.955,27.546,46.355327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,29.74968,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,46.355327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,74.04,,37.02,44.424,74.758188,69.5976,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,61.4532,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,70.04184,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,71.8188,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,65.1552,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,47.97792,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,74.758188,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,74.04,,37.02,44.424,74.758188,69.5976,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,61.4532,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,68.1168,,,,percent of total billed charges,,70.04184,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,71.8188,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,65.1552,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,47.97792,,,,percent of total billed charges,,66.636,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,74.758188,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,70.338,,,,percent of total billed charges,,59.232,,,,percent of total billed charges,,44.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,45.91,,22.955,27.546,46.355327,43.1554,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,38.1053,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,42.2372,,,,percent of total billed charges,,43.43086,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,44.5327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,40.4008,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,29.74968,,,,percent of total billed charges,,41.319,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,46.355327,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,43.6145,,,,percent of total billed charges,,36.728,,,,percent of total billed charges,,27.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,103.82,,51.91,62.292,104.827054,97.5908,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,86.1706,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,98.21372,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,100.7054,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,91.3616,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,67.27536,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,104.827054,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,103.82,,51.91,62.292,104.827054,97.5908,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,86.1706,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,95.5144,,,,percent of total billed charges,,98.21372,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,100.7054,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,91.3616,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,67.27536,,,,percent of total billed charges,,93.438,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,104.827054,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,98.629,,,,percent of total billed charges,,83.056,,,,percent of total billed charges,,62.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,,,,,inpatient,,,0.93,,0.465,0.558,0.939021,0.8742,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.7719,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.87978,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.9021,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8184,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.60264,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.939021,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,,,,,inpatient,,,4.87,,2.435,2.922,4.917239,4.5778,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.0421,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.60702,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.7239,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.2856,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,3.15576,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,4.917239,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,,,,,inpatient,,,4.87,,2.435,2.922,4.917239,4.5778,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.0421,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.4804,,,,percent of total billed charges,,4.60702,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.7239,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.2856,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,3.15576,,,,percent of total billed charges,,4.383,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,4.917239,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,4.6265,,,,percent of total billed charges,,3.896,,,,percent of total billed charges,,2.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,,,,,inpatient,,,10.57,,5.285,6.342,10.672529,9.9358,,,,percent of total billed charges,,8.456,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,8.7731,,,,percent of total billed charges,,9.513,,,,percent of total billed charges,,9.7244,,,,percent of total billed charges,,9.7244,,,,percent of total billed charges,,9.99922,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,10.2529,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,9.3016,,,,percent of total billed charges,,9.513,,,,percent of total billed charges,,6.84936,,,,percent of total billed charges,,9.513,,,,percent of total billed charges,,6.342,,,,percent of total billed charges,,10.672529,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,10.0415,,,,percent of total billed charges,,8.456,,,,percent of total billed charges,,6.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,,,,,inpatient,,,6.75,,3.375,4.05,6.815475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.815475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,,,,,inpatient,,,6.75,,3.375,4.05,6.815475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.815475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG TABLET [2625],0637,RC,,,,,inpatient,,,8.56,,4.28,5.136,8.643032,8.0464,,,,percent of total billed charges,,6.848,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,7.1048,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,7.8752,,,,percent of total billed charges,,7.8752,,,,percent of total billed charges,,8.09776,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,8.3032,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,7.5328,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,5.54688,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,8.643032,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,8.132,,,,percent of total billed charges,,6.848,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE 100MG RECON SOLUTION -20MG/ML FOR INTRAPLEURAL SLURRY [1000864],0250,RC,,,,,inpatient,,,252.3,,126.15,151.38,254.74731,237.162,,,,percent of total billed charges,,201.84,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,209.409,,,,percent of total billed charges,,227.07,,,,percent of total billed charges,,232.116,,,,percent of total billed charges,,232.116,,,,percent of total billed charges,,238.6758,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,244.731,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,222.024,,,,percent of total billed charges,,227.07,,,,percent of total billed charges,,163.4904,,,,percent of total billed charges,,227.07,,,,percent of total billed charges,,151.38,,,,percent of total billed charges,,254.74731,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,239.685,,,,percent of total billed charges,,201.84,,,,percent of total billed charges,,151.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,504.59,,252.295,302.754,509.484523,474.3146,,,,percent of total billed charges,,403.672,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,418.8097,,,,percent of total billed charges,,454.131,,,,percent of total billed charges,,464.2228,,,,percent of total billed charges,,464.2228,,,,percent of total billed charges,,477.34214,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,489.4523,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,444.0392,,,,percent of total billed charges,,454.131,,,,percent of total billed charges,,326.97432,,,,percent of total billed charges,,454.131,,,,percent of total billed charges,,302.754,,,,percent of total billed charges,,509.484523,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,479.3605,,,,percent of total billed charges,,403.672,,,,percent of total billed charges,,302.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,50.46,,25.23,30.276,50.949462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,32.69808,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,50.949462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [2622],0250,RC,,,,,inpatient,,,100.92,,50.46,60.552,101.898924,94.8648,,,,percent of total billed charges,,80.736,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,83.7636,,,,percent of total billed charges,,90.828,,,,percent of total billed charges,,92.8464,,,,percent of total billed charges,,92.8464,,,,percent of total billed charges,,95.47032,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,97.8924,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,88.8096,,,,percent of total billed charges,,90.828,,,,percent of total billed charges,,65.39616,,,,percent of total billed charges,,90.828,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,101.898924,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,95.874,,,,percent of total billed charges,,80.736,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION [77139],0637,RC,,,,,inpatient,,,72.63,,36.315,43.578,73.334511,68.2722,,,,percent of total billed charges,,58.104,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,60.2829,,,,percent of total billed charges,,65.367,,,,percent of total billed charges,,66.8196,,,,percent of total billed charges,,66.8196,,,,percent of total billed charges,,68.70798,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,70.4511,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,63.9144,,,,percent of total billed charges,,65.367,,,,percent of total billed charges,,47.06424,,,,percent of total billed charges,,65.367,,,,percent of total billed charges,,43.578,,,,percent of total billed charges,,73.334511,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,68.9985,,,,percent of total billed charges,,58.104,,,,percent of total billed charges,,43.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,,,,,inpatient,,,42.83,,21.415,25.698,43.245451,40.2602,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,35.5489,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,40.51718,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,41.5451,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,37.6904,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,27.75384,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,43.245451,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,,,,,inpatient,,,42.83,,21.415,25.698,43.245451,40.2602,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,35.5489,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,39.4036,,,,percent of total billed charges,,40.51718,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,41.5451,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,37.6904,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,27.75384,,,,percent of total billed charges,,38.547,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,43.245451,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,40.6885,,,,percent of total billed charges,,34.264,,,,percent of total billed charges,,25.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONABINOL 5 MG CAPSULE [77966],0636,RC,,,,,inpatient,,,13.99,,6.995,8.394,14.125703,13.1506,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.6117,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,13.23454,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.5703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,12.3112,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,9.06552,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,14.125703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DRONEDARONE 400 MG TABLET [195271],0637,RC,,,,,inpatient,,,53.91,,26.955,32.346,54.432927,50.6754,,,,percent of total billed charges,,43.128,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,44.7453,,,,percent of total billed charges,,48.519,,,,percent of total billed charges,,49.5972,,,,percent of total billed charges,,49.5972,,,,percent of total billed charges,,50.99886,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,52.2927,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,47.4408,,,,percent of total billed charges,,48.519,,,,percent of total billed charges,,34.93368,,,,percent of total billed charges,,48.519,,,,percent of total billed charges,,32.346,,,,percent of total billed charges,,54.432927,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,51.2145,,,,percent of total billed charges,,43.128,,,,percent of total billed charges,,32.346,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],0636,RC,,,,,inpatient,,,31.52,,15.76,18.912,31.825744,29.6288,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,26.1616,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,29.81792,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,30.5744,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,27.7376,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,20.42496,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,31.825744,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DROPERIDOL 2.5 MG/ML INJECTION SOLUTION [2654],0636,RC,,,,,inpatient,,,31.52,,15.76,18.912,31.825744,29.6288,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,26.1616,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,28.9984,,,,percent of total billed charges,,29.81792,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,30.5744,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,27.7376,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,20.42496,,,,percent of total billed charges,,28.368,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,31.825744,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,29.944,,,,percent of total billed charges,,25.216,,,,percent of total billed charges,,18.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,,,,,inpatient,,,34.5,,17.25,20.7,34.83465,32.43,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,28.635,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.74,,,,percent of total billed charges,,31.74,,,,percent of total billed charges,,32.637,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,33.465,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,30.36,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,34.83465,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,32.775,,,,percent of total billed charges,,27.6,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,,,,,inpatient,,,5.77,,2.885,3.462,5.825969,5.4238,,,,percent of total billed charges,,4.616,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,4.7891,,,,percent of total billed charges,,5.193,,,,percent of total billed charges,,5.3084,,,,percent of total billed charges,,5.3084,,,,percent of total billed charges,,5.45842,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,5.5969,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,5.0776,,,,percent of total billed charges,,5.193,,,,percent of total billed charges,,3.73896,,,,percent of total billed charges,,5.193,,,,percent of total billed charges,,3.462,,,,percent of total billed charges,,5.825969,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,5.4815,,,,percent of total billed charges,,4.616,,,,percent of total billed charges,,3.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [93385]",0637,RC,,,,,inpatient,,,5.01,,2.505,3.006,5.058597,4.7094,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.1583,,,,percent of total billed charges,,4.509,,,,percent of total billed charges,,4.6092,,,,percent of total billed charges,,4.6092,,,,percent of total billed charges,,4.73946,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.8597,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.4088,,,,percent of total billed charges,,4.509,,,,percent of total billed charges,,3.24648,,,,percent of total billed charges,,4.509,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,5.058597,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.7595,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,3.01,,1.505,1.806,3.039197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.95048,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,3.039197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,3.01,,1.505,1.806,3.039197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.95048,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,3.039197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,1.08,,0.54,0.648,1.090476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.69984,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.090476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,6.45,,3.225,3.87,6.512565,6.063,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.3535,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,6.1017,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.2565,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,4.1796,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,6.512565,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,7.12,,3.56,4.272,7.189064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.61376,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,7.189064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [93386]",0637,RC,,,,,inpatient,,,7.12,,3.56,4.272,7.189064,6.6928,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.9096,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.5504,,,,percent of total billed charges,,6.73552,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.9064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.2656,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.61376,,,,percent of total billed charges,,6.408,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,7.189064,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,6.764,,,,percent of total billed charges,,5.696,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE [241903],0636,RC,,,,,inpatient,,,8257.71,,4128.855,4954.626,8337.809787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,5350.99608,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,8337.809787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE [241903],0636,RC,,,,,inpatient,,,8257.71,,4128.855,4954.626,8337.809787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,5350.99608,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,8337.809787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [234355],0636,RC,,,,,inpatient,,,8257.71,,4128.855,4954.626,8337.809787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,5350.99608,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,8337.809787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE [234355],0636,RC,,,,,inpatient,,,8257.71,,4128.855,4954.626,8337.809787,7762.2474,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6853.8993,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7597.0932,,,,percent of total billed charges,,7811.79366,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,8009.9787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7266.7848,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,5350.99608,,,,percent of total billed charges,,7431.939,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,8337.809787,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,7844.8245,,,,percent of total billed charges,,6606.168,,,,percent of total billed charges,,4954.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [235397],0636,RC,,,,,inpatient,,,4349.39,,2174.695,2609.634,4391.579083,4088.4266,,,,percent of total billed charges,,3479.512,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,3609.9937,,,,percent of total billed charges,,3914.451,,,,percent of total billed charges,,4001.4388,,,,percent of total billed charges,,4001.4388,,,,percent of total billed charges,,4114.52294,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,4218.9083,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,3827.4632,,,,percent of total billed charges,,3914.451,,,,percent of total billed charges,,2818.40472,,,,percent of total billed charges,,3914.451,,,,percent of total billed charges,,2609.634,,,,percent of total billed charges,,4391.579083,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,4131.9205,,,,percent of total billed charges,,3479.512,,,,percent of total billed charges,,2609.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [235397],0636,RC,,,,,inpatient,,,18122.49,,9061.245,10873.494,18298.27815,17035.1406,,,,percent of total billed charges,,14497.992,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,15041.6667,,,,percent of total billed charges,,16310.241,,,,percent of total billed charges,,16672.6908,,,,percent of total billed charges,,16672.6908,,,,percent of total billed charges,,17143.87554,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,17578.8153,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,15947.7912,,,,percent of total billed charges,,16310.241,,,,percent of total billed charges,,11743.37352,,,,percent of total billed charges,,16310.241,,,,percent of total billed charges,,10873.494,,,,percent of total billed charges,,18298.27815,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,17216.3655,,,,percent of total billed charges,,14497.992,,,,percent of total billed charges,,10873.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [235397],0636,RC,,,,,inpatient,,,21779.16,,10889.58,13067.496,21990.41785,20472.4104,,,,percent of total billed charges,,17423.328,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,18076.7028,,,,percent of total billed charges,,19601.244,,,,percent of total billed charges,,20036.8272,,,,percent of total billed charges,,20036.8272,,,,percent of total billed charges,,20603.08536,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,21125.7852,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,19165.6608,,,,percent of total billed charges,,19601.244,,,,percent of total billed charges,,14112.89568,,,,percent of total billed charges,,19601.244,,,,percent of total billed charges,,13067.496,,,,percent of total billed charges,,21990.41785,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,20690.202,,,,percent of total billed charges,,17423.328,,,,percent of total billed charges,,13067.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [134822],0636,RC,,,,,inpatient,,,26091.96,,13045.98,15655.176,26345.05201,24526.4424,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,21656.3268,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24682.99416,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,25309.2012,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,22960.9248,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,16907.59008,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,26345.05201,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION [134822],0636,RC,,,,,inpatient,,,26091.96,,13045.98,15655.176,26345.05201,24526.4424,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,21656.3268,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24004.6032,,,,percent of total billed charges,,24682.99416,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,25309.2012,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,22960.9248,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,16907.59008,,,,percent of total billed charges,,23482.764,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,26345.05201,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,24787.362,,,,percent of total billed charges,,20873.568,,,,percent of total billed charges,,15655.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION [235442],0636,RC,,,,,inpatient,,,5503.5,,2751.75,3302.1,5556.88395,5173.29,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4567.905,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5206.311,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5338.395,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4843.08,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,3566.268,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,5556.88395,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION [235442],0636,RC,,,,,inpatient,,,5503.5,,2751.75,3302.1,5556.88395,5173.29,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4567.905,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5063.22,,,,percent of total billed charges,,5206.311,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5338.395,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4843.08,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,3566.268,,,,percent of total billed charges,,4953.15,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,5556.88395,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,5228.325,,,,percent of total billed charges,,4402.8,,,,percent of total billed charges,,3302.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION [256226],0636,RC,,,,,inpatient,,,24276,,12138,14565.6,24511.4772,22819.44,,,,percent of total billed charges,,19420.8,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,20149.08,,,,percent of total billed charges,,21848.4,,,,percent of total billed charges,,22333.92,,,,percent of total billed charges,,22333.92,,,,percent of total billed charges,,22965.096,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,23547.72,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,21362.88,,,,percent of total billed charges,,21848.4,,,,percent of total billed charges,,15730.848,,,,percent of total billed charges,,21848.4,,,,percent of total billed charges,,14565.6,,,,percent of total billed charges,,24511.4772,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,23062.2,,,,percent of total billed charges,,19420.8,,,,percent of total billed charges,,14565.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELECTROLYTE-R (PH 7.4) BOLUS [1001940],0258,RC,,,,,inpatient,,,22.5,,11.25,13.5,22.71825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,22.71825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION [80444],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION [80444],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [228395],0636,RC,,,,,inpatient,,,9842.81,,4921.405,5905.686,9938.285257,9252.2414,,,,percent of total billed charges,,7874.248,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,8169.5323,,,,percent of total billed charges,,8858.529,,,,percent of total billed charges,,9055.3852,,,,percent of total billed charges,,9055.3852,,,,percent of total billed charges,,9311.29826,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,9547.5257,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,8661.6728,,,,percent of total billed charges,,8858.529,,,,percent of total billed charges,,6378.14088,,,,percent of total billed charges,,8858.529,,,,percent of total billed charges,,5905.686,,,,percent of total billed charges,,9938.285257,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,9350.6695,,,,percent of total billed charges,,7874.248,,,,percent of total billed charges,,5905.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION [228396],0636,RC,,,,,inpatient,,,13123.62,,6561.81,7874.172,13250.91911,12336.2028,,,,percent of total billed charges,,10498.896,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,10892.6046,,,,percent of total billed charges,,11811.258,,,,percent of total billed charges,,12073.7304,,,,percent of total billed charges,,12073.7304,,,,percent of total billed charges,,12414.94452,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,12729.9114,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,11548.7856,,,,percent of total billed charges,,11811.258,,,,percent of total billed charges,,8504.10576,,,,percent of total billed charges,,11811.258,,,,percent of total billed charges,,7874.172,,,,percent of total billed charges,,13250.91911,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,12467.439,,,,percent of total billed charges,,10498.896,,,,percent of total billed charges,,7874.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [228395],0636,RC,,,,,inpatient,,,22179.13,,11089.565,13307.478,22394.26756,20848.3822,,,,percent of total billed charges,,17743.304,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,18408.6779,,,,percent of total billed charges,,19961.217,,,,percent of total billed charges,,20404.7996,,,,percent of total billed charges,,20404.7996,,,,percent of total billed charges,,20981.45698,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,21513.7561,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,19517.6344,,,,percent of total billed charges,,19961.217,,,,percent of total billed charges,,14372.07624,,,,percent of total billed charges,,19961.217,,,,percent of total billed charges,,13307.478,,,,percent of total billed charges,,22394.26756,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,21070.1735,,,,percent of total billed charges,,17743.304,,,,percent of total billed charges,,13307.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [93381],0636,RC,,,,,inpatient,,,266.67,,133.335,160.002,269.256699,250.6698,,,,percent of total billed charges,,213.336,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,221.3361,,,,percent of total billed charges,,240.003,,,,percent of total billed charges,,245.3364,,,,percent of total billed charges,,245.3364,,,,percent of total billed charges,,252.26982,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,258.6699,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,234.6696,,,,percent of total billed charges,,240.003,,,,percent of total billed charges,,172.80216,,,,percent of total billed charges,,240.003,,,,percent of total billed charges,,160.002,,,,percent of total billed charges,,269.256699,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,253.3365,,,,percent of total billed charges,,213.336,,,,percent of total billed charges,,160.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [93381],0636,RC,,,,,inpatient,,,3.52,,1.76,2.112,3.554144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.28096,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.554144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [93381],0636,RC,,,,,inpatient,,,5.59,,2.795,3.354,5.644223,5.2546,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.6397,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.28814,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.4223,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,3.62232,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,5.644223,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 10 MG TABLET [9924],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 5 MG TABLET [9927],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 5 MG TABLET [9927],0637,RC,,,,,inpatient,,,1.44,,0.72,0.864,1.453968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.93312,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.453968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRIL MALEATE 5 MG TABLET [9927],0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,34.6,,17.3,20.76,34.93562,32.524,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,28.718,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,32.7316,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,33.562,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,30.448,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,22.4208,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,34.93562,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,19.37,,9.685,11.622,19.557889,18.2078,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,16.0771,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,18.32402,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.7889,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,17.0456,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,12.55176,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,19.557889,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,8.35,,4.175,5.01,8.430995,7.849,,,,percent of total billed charges,,6.68,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,6.9305,,,,percent of total billed charges,,7.515,,,,percent of total billed charges,,7.682,,,,percent of total billed charges,,7.682,,,,percent of total billed charges,,7.8991,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,8.0995,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,7.348,,,,percent of total billed charges,,7.515,,,,percent of total billed charges,,5.4108,,,,percent of total billed charges,,7.515,,,,percent of total billed charges,,5.01,,,,percent of total billed charges,,8.430995,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,7.9325,,,,percent of total billed charges,,6.68,,,,percent of total billed charges,,5.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,34.6,,17.3,20.76,34.93562,32.524,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,28.718,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,31.832,,,,percent of total billed charges,,32.7316,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,33.562,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,30.448,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,22.4208,,,,percent of total billed charges,,31.14,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,34.93562,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,32.87,,,,percent of total billed charges,,27.68,,,,percent of total billed charges,,20.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,19.37,,9.685,11.622,19.557889,18.2078,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,16.0771,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,17.8204,,,,percent of total billed charges,,18.32402,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.7889,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,17.0456,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,12.55176,,,,percent of total billed charges,,17.433,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,19.557889,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,18.4015,,,,percent of total billed charges,,15.496,,,,percent of total billed charges,,11.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,15.74,,7.87,9.444,15.892678,14.7956,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.0642,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.89004,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,15.2678,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.8512,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,10.19952,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,15.892678,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,15.74,,7.87,9.444,15.892678,14.7956,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.0642,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.4808,,,,percent of total billed charges,,14.89004,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,15.2678,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,13.8512,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,10.19952,,,,percent of total billed charges,,14.166,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,15.892678,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,14.953,,,,percent of total billed charges,,12.592,,,,percent of total billed charges,,9.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,27.86,,13.93,16.716,28.130242,26.1884,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,23.1238,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,26.35556,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,27.0242,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,24.5168,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,18.05328,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,28.130242,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [9929],0250,RC,,,,,inpatient,,,27.86,,13.93,16.716,28.130242,26.1884,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,23.1238,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,25.6312,,,,percent of total billed charges,,26.35556,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,27.0242,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,24.5168,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,18.05328,,,,percent of total billed charges,,25.074,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,28.130242,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,26.467,,,,percent of total billed charges,,22.288,,,,percent of total billed charges,,16.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENALAPRILAT 125 MCG/ML IN D5W IV PEDS DILUTION [1000031],0250,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [247354],0636,RC,,,,,inpatient,,,46542.6,,23271.3,27925.56,46994.06322,43750.044,,,,percent of total billed charges,,37234.08,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,38630.358,,,,percent of total billed charges,,41888.34,,,,percent of total billed charges,,42819.192,,,,percent of total billed charges,,42819.192,,,,percent of total billed charges,,44029.2996,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,45146.322,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,40957.488,,,,percent of total billed charges,,41888.34,,,,percent of total billed charges,,30159.6048,,,,percent of total billed charges,,41888.34,,,,percent of total billed charges,,27925.56,,,,percent of total billed charges,,46994.06322,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,44215.47,,,,percent of total billed charges,,37234.08,,,,percent of total billed charges,,27925.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION [247353],0636,RC,,,,,inpatient,,,12393,,6196.5,7435.8,12513.2121,11649.42,,,,percent of total billed charges,,9914.4,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,10286.19,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,11401.56,,,,percent of total billed charges,,11401.56,,,,percent of total billed charges,,11723.778,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,12021.21,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,10905.84,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,8030.664,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,7435.8,,,,percent of total billed charges,,12513.2121,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,11773.35,,,,percent of total billed charges,,9914.4,,,,percent of total billed charges,,7435.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION [247354],0636,RC,,,,,inpatient,,,18589.5,,9294.75,11153.7,18769.81815,17474.13,,,,percent of total billed charges,,14871.6,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,15429.285,,,,percent of total billed charges,,16730.55,,,,percent of total billed charges,,17102.34,,,,percent of total billed charges,,17102.34,,,,percent of total billed charges,,17585.667,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,18031.815,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,16358.76,,,,percent of total billed charges,,16730.55,,,,percent of total billed charges,,12045.996,,,,percent of total billed charges,,16730.55,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,18769.81815,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,17660.025,,,,percent of total billed charges,,14871.6,,,,percent of total billed charges,,11153.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,34.34,,17.17,20.604,34.673098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,22.25232,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,34.673098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,34.34,,17.17,20.604,34.673098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,22.25232,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,34.673098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,29.09,,14.545,17.454,29.372173,27.3446,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,24.1447,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,27.51914,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,28.2173,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,25.5992,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,18.85032,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,29.372173,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,29.09,,14.545,17.454,29.372173,27.3446,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,24.1447,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,26.7628,,,,percent of total billed charges,,27.51914,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,28.2173,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,25.5992,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,18.85032,,,,percent of total billed charges,,26.181,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,29.372173,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,27.6355,,,,percent of total billed charges,,23.272,,,,percent of total billed charges,,17.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,38.18,,19.09,22.908,38.550346,35.8892,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,31.6894,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,36.11828,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,37.0346,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,33.5984,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,24.74064,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,38.550346,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,38.18,,19.09,22.908,38.550346,35.8892,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,31.6894,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,35.1256,,,,percent of total billed charges,,36.11828,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,37.0346,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,33.5984,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,24.74064,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,38.550346,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,36.271,,,,percent of total billed charges,,30.544,,,,percent of total billed charges,,22.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,34.34,,17.17,20.604,34.673098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,22.25232,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,34.673098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,34.34,,17.17,20.604,34.673098,32.2796,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,28.5022,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,31.5928,,,,percent of total billed charges,,32.48564,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,33.3098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,30.2192,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,22.25232,,,,percent of total billed charges,,30.906,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,34.673098,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,32.623,,,,percent of total billed charges,,27.472,,,,percent of total billed charges,,20.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,34.46,,17.23,20.676,34.794262,32.3924,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,28.6018,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,32.59916,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,33.4262,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,30.3248,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,22.33008,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,34.794262,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,34.46,,17.23,20.676,34.794262,32.3924,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,28.6018,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,31.7032,,,,percent of total billed charges,,32.59916,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,33.4262,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,30.3248,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,22.33008,,,,percent of total billed charges,,31.014,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,34.794262,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,32.737,,,,percent of total billed charges,,27.568,,,,percent of total billed charges,,20.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 100 MG/ML SUB-Q SYRINGE - EAST [7000077],0636,RC,,,,,inpatient,,,31.6,,15.8,18.96,31.90652,29.704,,,,percent of total billed charges,,25.28,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,26.228,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,29.072,,,,percent of total billed charges,,29.072,,,,percent of total billed charges,,29.8936,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,30.652,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,27.808,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,20.4768,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,18.96,,,,percent of total billed charges,,31.90652,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,30.02,,,,percent of total billed charges,,25.28,,,,percent of total billed charges,,18.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,,,,,inpatient,,,41.43,,20.715,24.858,41.831871,38.9442,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,34.3869,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,39.19278,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,40.1871,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,36.4584,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,26.84664,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,41.831871,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,,,,,inpatient,,,41.43,,20.715,24.858,41.831871,38.9442,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,34.3869,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,38.1156,,,,percent of total billed charges,,39.19278,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,40.1871,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,36.4584,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,26.84664,,,,percent of total billed charges,,37.287,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,41.831871,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,39.3585,,,,percent of total billed charges,,33.144,,,,percent of total billed charges,,24.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,,,,,inpatient,,,41.29,,20.645,24.774,41.690513,38.8126,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,34.2707,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,39.06034,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,40.0513,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,36.3352,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,26.75592,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,41.690513,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,,,,,inpatient,,,41.29,,20.645,24.774,41.690513,38.8126,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,34.2707,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,37.9868,,,,percent of total billed charges,,39.06034,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,40.0513,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,36.3352,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,26.75592,,,,percent of total billed charges,,37.161,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,41.690513,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,39.2255,,,,percent of total billed charges,,33.032,,,,percent of total billed charges,,24.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE - EAST [7000078],0636,RC,,,,,inpatient,,,33.18,,16.59,19.908,33.501846,31.1892,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,27.5394,,,,percent of total billed charges,,29.862,,,,percent of total billed charges,,30.5256,,,,percent of total billed charges,,30.5256,,,,percent of total billed charges,,31.38828,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,32.1846,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,29.1984,,,,percent of total billed charges,,29.862,,,,percent of total billed charges,,21.50064,,,,percent of total billed charges,,29.862,,,,percent of total billed charges,,19.908,,,,percent of total billed charges,,33.501846,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,31.521,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,19.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,51.71,,25.855,31.026,52.211587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,33.50808,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,52.211587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,51.71,,25.855,31.026,52.211587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,33.50808,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,52.211587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,36.66,,18.33,21.996,37.015602,34.4604,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,30.4278,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,34.68036,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,35.5602,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,32.2608,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,23.75568,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,37.015602,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,36.66,,18.33,21.996,37.015602,34.4604,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,30.4278,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,33.7272,,,,percent of total billed charges,,34.68036,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,35.5602,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,32.2608,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,23.75568,,,,percent of total billed charges,,32.994,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,37.015602,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,34.827,,,,percent of total billed charges,,29.328,,,,percent of total billed charges,,21.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,50.83,,25.415,30.498,51.323051,47.7802,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,42.1889,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,48.08518,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,49.3051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,44.7304,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,32.93784,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,51.323051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,50.83,,25.415,30.498,51.323051,47.7802,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,42.1889,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,48.08518,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,49.3051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,44.7304,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,32.93784,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,51.323051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,57.37,,28.685,34.422,57.926489,53.9278,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,47.6171,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,54.27202,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,55.6489,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,50.4856,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,37.17576,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,57.926489,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,57.37,,28.685,34.422,57.926489,53.9278,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,47.6171,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,52.7804,,,,percent of total billed charges,,54.27202,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,55.6489,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,50.4856,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,37.17576,,,,percent of total billed charges,,51.633,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,57.926489,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,54.5015,,,,percent of total billed charges,,45.896,,,,percent of total billed charges,,34.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,51.71,,25.855,31.026,52.211587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,33.50808,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,52.211587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,54.55,,27.275,32.73,55.079135,51.277,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,45.2765,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,51.6043,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,52.9135,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,48.004,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,35.3484,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,55.079135,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,54.55,,27.275,32.73,55.079135,51.277,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,45.2765,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,50.186,,,,percent of total billed charges,,51.6043,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,52.9135,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,48.004,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,35.3484,,,,percent of total billed charges,,49.095,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,55.079135,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,51.8225,,,,percent of total billed charges,,43.64,,,,percent of total billed charges,,32.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,51.71,,25.855,31.026,52.211587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,33.50808,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,52.211587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,43.37,,21.685,26.022,43.790689,40.7678,,,,percent of total billed charges,,34.696,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,35.9971,,,,percent of total billed charges,,39.033,,,,percent of total billed charges,,39.9004,,,,percent of total billed charges,,39.9004,,,,percent of total billed charges,,41.02802,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,42.0689,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,38.1656,,,,percent of total billed charges,,39.033,,,,percent of total billed charges,,28.10376,,,,percent of total billed charges,,39.033,,,,percent of total billed charges,,26.022,,,,percent of total billed charges,,43.790689,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,41.2015,,,,percent of total billed charges,,34.696,,,,percent of total billed charges,,26.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,50.46,,25.23,30.276,50.949462,47.4324,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,41.8818,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,46.4232,,,,percent of total billed charges,,47.73516,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,48.9462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,44.4048,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,32.69808,,,,percent of total billed charges,,45.414,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,50.949462,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,47.937,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,30.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,,,,,inpatient,,,10.2,,5.1,6.12,10.29894,9.588,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.6492,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.976,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.6096,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,10.29894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,,,,,inpatient,,,10.2,,5.1,6.12,10.29894,9.588,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.6492,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.976,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.6096,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,10.29894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,,,,,inpatient,,,10.2,,5.1,6.12,10.29894,9.588,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.384,,,,percent of total billed charges,,9.6492,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.976,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.6096,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,10.29894,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,9.69,,,,percent of total billed charges,,8.16,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,,,,,inpatient,,,10.21,,5.105,6.126,10.309037,9.5974,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.4743,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.65866,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.9037,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.9848,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,6.61608,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,10.309037,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE - EAST [7000073],0636,RC,,,,,inpatient,,,10.21,,5.105,6.126,10.309037,9.5974,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.4743,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.3932,,,,percent of total billed charges,,9.65866,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.9037,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.9848,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,6.61608,,,,percent of total billed charges,,9.189,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,10.309037,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,9.6995,,,,percent of total billed charges,,8.168,,,,percent of total billed charges,,6.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,13.55,,6.775,8.13,13.681435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.7804,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,13.681435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,13.55,,6.775,8.13,13.681435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.7804,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,13.681435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,13.55,,6.775,8.13,13.681435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.7804,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,13.681435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,14.89,,7.445,8.934,15.034433,13.9966,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,12.3587,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,14.08594,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.4433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,13.1032,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,9.64872,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,15.034433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,32.67,,16.335,19.602,32.986899,30.7098,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,27.1161,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.90582,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.6899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,28.7496,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,21.17016,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,32.986899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,32.67,,16.335,19.602,32.986899,30.7098,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,27.1161,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.90582,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.6899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,28.7496,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,21.17016,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,32.986899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,13.55,,6.775,8.13,13.681435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.7804,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,13.681435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,13.55,,6.775,8.13,13.681435,12.737,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.2465,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.466,,,,percent of total billed charges,,12.8183,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,13.1435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,11.924,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.7804,,,,percent of total billed charges,,12.195,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,13.681435,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,12.8725,,,,percent of total billed charges,,10.84,,,,percent of total billed charges,,8.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,12.53,,6.265,7.518,12.651541,11.7782,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.3999,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.85338,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,12.1541,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.0264,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,8.11944,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,12.651541,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,12.53,,6.265,7.518,12.651541,11.7782,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.3999,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.5276,,,,percent of total billed charges,,11.85338,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,12.1541,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.0264,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,8.11944,,,,percent of total billed charges,,11.277,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,12.651541,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,11.9035,,,,percent of total billed charges,,10.024,,,,percent of total billed charges,,7.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,9.56,,4.78,5.736,9.652732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,6.19488,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,9.652732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE - EAST [7000074],0636,RC,,,,,inpatient,,,9.56,,4.78,5.736,9.652732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,6.19488,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,9.652732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,20.27,,10.135,12.162,20.466619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,13.13496,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,20.466619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,118.8,,59.4,71.28,119.95236,111.672,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,98.604,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,112.3848,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,115.236,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,76.9824,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,119.95236,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,118.8,,59.4,71.28,119.95236,111.672,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,98.604,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,112.3848,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,115.236,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,76.9824,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,119.95236,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,112.86,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,20.27,,10.135,12.162,20.466619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,13.13496,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,20.466619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,20.29,,10.145,12.174,20.486813,19.0726,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.8407,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,19.19434,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.6813,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,17.8552,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,13.14792,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,20.486813,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,20.29,,10.145,12.174,20.486813,19.0726,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.8407,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,18.6668,,,,percent of total billed charges,,19.19434,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.6813,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,17.8552,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,13.14792,,,,percent of total billed charges,,18.261,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,20.486813,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,19.2755,,,,percent of total billed charges,,16.232,,,,percent of total billed charges,,12.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,21.84,,10.92,13.104,22.051848,20.5296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,18.1272,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.66064,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,21.1848,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,19.2192,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,14.15232,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,22.051848,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,21.84,,10.92,13.104,22.051848,20.5296,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,18.1272,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.0928,,,,percent of total billed charges,,20.66064,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,21.1848,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,19.2192,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,14.15232,,,,percent of total billed charges,,19.656,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,22.051848,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,20.748,,,,percent of total billed charges,,17.472,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,20.27,,10.135,12.162,20.466619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,13.13496,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,20.466619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,20.27,,10.135,12.162,20.466619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,13.13496,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,20.466619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,21.18,,10.59,12.708,21.385446,19.9092,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,17.5794,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,20.03628,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.5446,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,18.6384,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,13.72464,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,21.385446,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,21.18,,10.59,12.708,21.385446,19.9092,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,17.5794,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,19.4856,,,,percent of total billed charges,,20.03628,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.5446,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,18.6384,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,13.72464,,,,percent of total billed charges,,19.062,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,21.385446,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,20.121,,,,percent of total billed charges,,16.944,,,,percent of total billed charges,,12.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE - EAST [7000075],0636,RC,,,,,inpatient,,,17.01,,8.505,10.206,17.174997,15.9894,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.1183,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,16.09146,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.4997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.9688,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,11.02248,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,17.174997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,26.06,,13.03,15.636,26.312782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,16.88688,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,26.312782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,26.06,,13.03,15.636,26.312782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,16.88688,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,26.312782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,25.14,,12.57,15.084,25.383858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,16.29072,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,25.383858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,25.14,,12.57,15.084,25.383858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,16.29072,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,25.383858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,26.06,,13.03,15.636,26.312782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,16.88688,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,26.312782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,26.06,,13.03,15.636,26.312782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,16.88688,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,26.312782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,27.02,,13.51,16.212,27.282094,25.3988,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,22.4266,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,25.56092,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,26.2094,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,23.7776,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,17.50896,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,27.282094,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE - EAST [7000076],0636,RC,,,,,inpatient,,,27.02,,13.51,16.212,27.282094,25.3988,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,22.4266,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,24.8584,,,,percent of total billed charges,,25.56092,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,26.2094,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,23.7776,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,17.50896,,,,percent of total billed charges,,24.318,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,27.282094,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,25.669,,,,percent of total billed charges,,21.616,,,,percent of total billed charges,,16.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENOXAPARIN 150 MG/ML SUB-Q SYRINGE - EAST [7000079],0636,RC,,,,,inpatient,,,50.83,,25.415,30.498,51.323051,47.7802,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,42.1889,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,46.7636,,,,percent of total billed charges,,48.08518,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,49.3051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,44.7304,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,32.93784,,,,percent of total billed charges,,45.747,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,51.323051,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,48.2885,,,,percent of total billed charges,,40.664,,,,percent of total billed charges,,30.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [248788],0250,RC,,,,,inpatient,,,47.34,,23.67,28.404,47.799198,44.4996,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,39.2922,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,44.78364,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,45.9198,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,41.6592,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,30.67632,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,47.799198,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [248788],0250,RC,,,,,inpatient,,,47.34,,23.67,28.404,47.799198,44.4996,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,39.2922,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,43.5528,,,,percent of total billed charges,,44.78364,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,45.9198,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,41.6592,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,30.67632,,,,percent of total billed charges,,42.606,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,47.799198,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,44.973,,,,percent of total billed charges,,37.872,,,,percent of total billed charges,,28.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION [248788],0250,RC,,,,,inpatient,,,47.57,,23.785,28.542,48.031429,44.7158,,,,percent of total billed charges,,38.056,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,39.4831,,,,percent of total billed charges,,42.813,,,,percent of total billed charges,,43.7644,,,,percent of total billed charges,,43.7644,,,,percent of total billed charges,,45.00122,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,46.1429,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,41.8616,,,,percent of total billed charges,,42.813,,,,percent of total billed charges,,30.82536,,,,percent of total billed charges,,42.813,,,,percent of total billed charges,,28.542,,,,percent of total billed charges,,48.031429,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,45.1915,,,,percent of total billed charges,,38.056,,,,percent of total billed charges,,28.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,,,,,inpatient,,,41.36,,20.68,24.816,41.761192,38.8784,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,34.3288,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,39.12656,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,40.1192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,36.3968,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,26.80128,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,41.761192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,,,,,inpatient,,,41.36,,20.68,24.816,41.761192,38.8784,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,34.3288,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,38.0512,,,,percent of total billed charges,,39.12656,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,40.1192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,36.3968,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,26.80128,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,41.761192,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,39.292,,,,percent of total billed charges,,33.088,,,,percent of total billed charges,,24.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,,,,,inpatient,,,38.88,,19.44,23.328,39.257136,36.5472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,32.2704,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,36.78048,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,37.7136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,34.2144,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,25.19424,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,39.257136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [230832],0250,RC,,,,,inpatient,,,38.88,,19.44,23.328,39.257136,36.5472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,32.2704,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,36.78048,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,37.7136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,34.2144,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,25.19424,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,39.257136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION [89631],0637,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,,,,,inpatient,,,20.48,,10.24,12.288,20.678656,19.2512,,,,percent of total billed charges,,16.384,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,16.9984,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,18.8416,,,,percent of total billed charges,,18.8416,,,,percent of total billed charges,,19.37408,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,19.8656,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,18.0224,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,13.27104,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,12.288,,,,percent of total billed charges,,20.678656,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,19.456,,,,percent of total billed charges,,16.384,,,,percent of total billed charges,,12.288,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,,,,,inpatient,,,35.55,,17.775,21.33,35.894835,33.417,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,29.5065,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,33.6303,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,34.4835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,31.284,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,23.0364,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,35.894835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,,,,,inpatient,,,30.92,,15.46,18.552,31.219924,29.0648,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,25.6636,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,29.25032,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.9924,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,27.2096,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,20.03616,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,31.219924,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,,,,,inpatient,,,30.92,,15.46,18.552,31.219924,29.0648,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,25.6636,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,28.4464,,,,percent of total billed charges,,29.25032,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.9924,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,27.2096,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,20.03616,,,,percent of total billed charges,,27.828,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,31.219924,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,29.374,,,,percent of total billed charges,,24.736,,,,percent of total billed charges,,18.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [2848],0636,RC,,,,,inpatient,,,38.88,,19.44,23.328,39.257136,36.5472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,32.2704,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,35.7696,,,,percent of total billed charges,,36.78048,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,37.7136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,34.2144,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,25.19424,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,39.257136,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],0636,RC,,,,,inpatient,,,703.08,,351.54,421.848,709.899876,660.8952,,,,percent of total billed charges,,562.464,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,583.5564,,,,percent of total billed charges,,632.772,,,,percent of total billed charges,,646.8336,,,,percent of total billed charges,,646.8336,,,,percent of total billed charges,,665.11368,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,681.9876,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,618.7104,,,,percent of total billed charges,,632.772,,,,percent of total billed charges,,455.59584,,,,percent of total billed charges,,632.772,,,,percent of total billed charges,,421.848,,,,percent of total billed charges,,709.899876,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,667.926,,,,percent of total billed charges,,562.464,,,,percent of total billed charges,,421.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],0636,RC,,,,,inpatient,,,1012.5,,506.25,607.5,1022.32125,951.75,,,,percent of total billed charges,,810,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,840.375,,,,percent of total billed charges,,911.25,,,,percent of total billed charges,,931.5,,,,percent of total billed charges,,931.5,,,,percent of total billed charges,,957.825,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,982.125,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,891,,,,percent of total billed charges,,911.25,,,,percent of total billed charges,,656.1,,,,percent of total billed charges,,911.25,,,,percent of total billed charges,,607.5,,,,percent of total billed charges,,1022.32125,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,961.875,,,,percent of total billed charges,,810,,,,percent of total billed charges,,607.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML INJECTION SOLUTION [2850],0636,RC,,,,,inpatient,,,746.55,,373.275,447.93,753.791535,701.757,,,,percent of total billed charges,,597.24,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,619.6365,,,,percent of total billed charges,,671.895,,,,percent of total billed charges,,686.826,,,,percent of total billed charges,,686.826,,,,percent of total billed charges,,706.2363,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,724.1535,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,656.964,,,,percent of total billed charges,,671.895,,,,percent of total billed charges,,483.7644,,,,percent of total billed charges,,671.895,,,,percent of total billed charges,,447.93,,,,percent of total billed charges,,753.791535,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,709.2225,,,,percent of total billed charges,,597.24,,,,percent of total billed charges,,447.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 16MG IN NS 250ML INFUSION - ANES [5000241],0636,RC,,,,,inpatient,,,455.63,,227.815,273.378,460.049611,428.2922,,,,percent of total billed charges,,364.504,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,378.1729,,,,percent of total billed charges,,410.067,,,,percent of total billed charges,,419.1796,,,,percent of total billed charges,,419.1796,,,,percent of total billed charges,,431.02598,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,441.9611,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,400.9544,,,,percent of total billed charges,,410.067,,,,percent of total billed charges,,295.24824,,,,percent of total billed charges,,410.067,,,,percent of total billed charges,,273.378,,,,percent of total billed charges,,460.049611,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,432.8485,,,,percent of total billed charges,,364.504,,,,percent of total billed charges,,273.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [134219],0636,RC,,,,,inpatient,,,36.19,,18.095,21.714,36.541043,34.0186,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,30.0377,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,34.23574,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,35.1043,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,31.8472,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,23.45112,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,36.541043,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION [134219],0636,RC,,,,,inpatient,,,36.19,,18.095,21.714,36.541043,34.0186,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,30.0377,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,33.2948,,,,percent of total billed charges,,34.23574,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,35.1043,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,31.8472,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,23.45112,,,,percent of total billed charges,,32.571,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,36.541043,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,34.3805,,,,percent of total billed charges,,28.952,,,,percent of total billed charges,,21.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE HCL 1 MG/10 ML (100 MCG/ML) IN 0.9% SODIUM CHLOR IV SYR [207594],0636,RC,,,,,inpatient,,,110.21,,55.105,66.126,111.279037,103.5974,,,,percent of total billed charges,,88.168,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,91.4743,,,,percent of total billed charges,,99.189,,,,percent of total billed charges,,101.3932,,,,percent of total billed charges,,101.3932,,,,percent of total billed charges,,104.25866,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,106.9037,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,96.9848,,,,percent of total billed charges,,99.189,,,,percent of total billed charges,,71.41608,,,,percent of total billed charges,,99.189,,,,percent of total billed charges,,66.126,,,,percent of total billed charges,,111.279037,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,104.6995,,,,percent of total billed charges,,88.168,,,,percent of total billed charges,,66.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [164673],0636,RC,,,,,inpatient,,,135.12,,67.56,81.072,136.430664,127.0128,,,,percent of total billed charges,,108.096,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,112.1496,,,,percent of total billed charges,,121.608,,,,percent of total billed charges,,124.3104,,,,percent of total billed charges,,124.3104,,,,percent of total billed charges,,127.82352,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,131.0664,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,118.9056,,,,percent of total billed charges,,121.608,,,,percent of total billed charges,,87.55776,,,,percent of total billed charges,,121.608,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,136.430664,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,128.364,,,,percent of total billed charges,,108.096,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [164673],0636,RC,,,,,inpatient,,,164.25,,82.125,98.55,165.843225,154.395,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,136.3275,,,,percent of total billed charges,,147.825,,,,percent of total billed charges,,151.11,,,,percent of total billed charges,,151.11,,,,percent of total billed charges,,155.3805,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,159.3225,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,144.54,,,,percent of total billed charges,,147.825,,,,percent of total billed charges,,106.434,,,,percent of total billed charges,,147.825,,,,percent of total billed charges,,98.55,,,,percent of total billed charges,,165.843225,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,156.0375,,,,percent of total billed charges,,131.4,,,,percent of total billed charges,,98.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPLERENONE 50 MG TABLET [86778],0637,RC,,,,,inpatient,,,61.16,,30.58,36.696,61.753252,57.4904,,,,percent of total billed charges,,48.928,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,50.7628,,,,percent of total billed charges,,55.044,,,,percent of total billed charges,,56.2672,,,,percent of total billed charges,,56.2672,,,,percent of total billed charges,,57.85736,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,59.3252,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,53.8208,,,,percent of total billed charges,,55.044,,,,percent of total billed charges,,39.63168,,,,percent of total billed charges,,55.044,,,,percent of total billed charges,,36.696,,,,percent of total billed charges,,61.753252,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,58.102,,,,percent of total billed charges,,48.928,,,,percent of total billed charges,,36.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPLERENONE 50 MG TABLET [86778],0637,RC,,,,,inpatient,,,1.44,,0.72,0.864,1.453968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.93312,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.453968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 10,000 UNIT/ML INJECTION SOLUTION [1001902]",0636,RC,,,,,inpatient,,,316.8,,158.4,190.08,319.87296,297.792,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,262.944,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,299.6928,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.296,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,278.784,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,205.2864,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,319.87296,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 10,000 UNIT/ML INJECTION SOLUTION [1001902]",0636,RC,,,,,inpatient,,,316.8,,158.4,190.08,319.87296,297.792,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,262.944,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,291.456,,,,percent of total billed charges,,299.6928,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,307.296,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,278.784,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,205.2864,,,,percent of total billed charges,,285.12,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,319.87296,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,300.96,,,,percent of total billed charges,,253.44,,,,percent of total billed charges,,190.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 20,000 UNIT/ML INJECTION [1001904]",0636,RC,,,,,inpatient,,,633.59,,316.795,380.154,639.735823,595.5746,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,525.8797,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,599.37614,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,614.5823,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,557.5592,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,410.56632,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,639.735823,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 20,000 UNIT/ML INJECTION [1001904]",0636,RC,,,,,inpatient,,,633.59,,316.795,380.154,639.735823,595.5746,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,525.8797,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,582.9028,,,,percent of total billed charges,,599.37614,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,614.5823,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,557.5592,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,410.56632,,,,percent of total billed charges,,570.231,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,639.735823,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,601.9105,,,,percent of total billed charges,,506.872,,,,percent of total billed charges,,380.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 3,000 UNIT/ML INJECTION SOLUTION [1001906]",0636,RC,,,,,inpatient,,,213.84,,106.92,128.304,215.914248,201.0096,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,177.4872,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,202.29264,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,207.4248,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,188.1792,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,138.56832,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,215.914248,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 3,000 UNIT/ML INJECTION SOLUTION [1001906]",0636,RC,,,,,inpatient,,,213.84,,106.92,128.304,215.914248,201.0096,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,177.4872,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,196.7328,,,,percent of total billed charges,,202.29264,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,207.4248,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,188.1792,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,138.56832,,,,percent of total billed charges,,192.456,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,215.914248,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,203.148,,,,percent of total billed charges,,171.072,,,,percent of total billed charges,,128.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 4,000 UNIT/ML INJECTION SOLUTION [1001907]",0636,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA (EPOGEN) 4,000 UNIT/ML INJECTION SOLUTION [1001907]",0636,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [80193]",0636,RC,,,,,inpatient,,,1114.11,,557.055,668.466,1124.916867,1047.2634,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,924.7113,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1053.94806,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1080.6867,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,980.4168,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,721.94328,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,1124.916867,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [80193]",0636,RC,,,,,inpatient,,,1114.11,,557.055,668.466,1124.916867,1047.2634,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,924.7113,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1024.9812,,,,percent of total billed charges,,1053.94806,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1080.6867,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,980.4168,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,721.94328,,,,percent of total billed charges,,1002.699,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,1124.916867,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,1058.4045,,,,percent of total billed charges,,891.288,,,,percent of total billed charges,,668.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [240147]",0636,RC,,,,,inpatient,,,178.56,,89.28,107.136,180.292032,167.8464,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,148.2048,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,168.91776,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,173.2032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,157.1328,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,115.70688,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,180.292032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [240147]",0636,RC,,,,,inpatient,,,178.56,,89.28,107.136,180.292032,167.8464,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,148.2048,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,168.91776,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,173.2032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,157.1328,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,115.70688,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,180.292032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [240144]",0636,RC,,,,,inpatient,,,35.71,,17.855,21.426,36.056387,33.5674,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,29.6393,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,33.78166,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,34.6387,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,31.4248,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,23.14008,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,36.056387,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION [251356]",0636,RC,,,,,inpatient,,,357.11,,178.555,214.266,360.573967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,231.40728,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,360.573967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [251563]",0636,RC,,,,,inpatient,,,357.11,,178.555,214.266,360.573967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,231.40728,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,360.573967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [251563]",0636,RC,,,,,inpatient,,,357.11,,178.555,214.266,360.573967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,231.40728,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,360.573967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION [251563]",0636,RC,,,,,inpatient,,,357.11,,178.555,214.266,360.573967,335.6834,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,296.4013,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,328.5412,,,,percent of total billed charges,,337.82606,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,346.3967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,314.2568,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,231.40728,,,,percent of total billed charges,,321.399,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,360.573967,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,339.2545,,,,percent of total billed charges,,285.688,,,,percent of total billed charges,,214.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [240146]",0636,RC,,,,,inpatient,,,71.43,,35.715,42.858,72.122871,67.1442,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,59.2869,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,67.57278,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,69.2871,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,62.8584,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,46.28664,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,72.122871,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION [240146]",0636,RC,,,,,inpatient,,,71.43,,35.715,42.858,72.122871,67.1442,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,59.2869,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,65.7156,,,,percent of total billed charges,,67.57278,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,69.2871,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,62.8584,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,46.28664,,,,percent of total billed charges,,64.287,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,72.122871,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,67.8585,,,,percent of total billed charges,,57.144,,,,percent of total billed charges,,42.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [240148]",0636,RC,,,,,inpatient,,,714.22,,357.11,428.532,721.147934,671.3668,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,592.8026,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,675.65212,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,692.7934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,628.5136,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,462.81456,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,721.147934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [240148]",0636,RC,,,,,inpatient,,,714.22,,357.11,428.532,721.147934,671.3668,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,592.8026,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,675.65212,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,692.7934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,628.5136,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,462.81456,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,721.147934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [240147]",0636,RC,,,,,inpatient,,,178.56,,89.28,107.136,180.292032,167.8464,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,148.2048,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,164.2752,,,,percent of total billed charges,,168.91776,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,173.2032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,157.1328,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,115.70688,,,,percent of total billed charges,,160.704,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,180.292032,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,169.632,,,,percent of total billed charges,,142.848,,,,percent of total billed charges,,107.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION [240144]",0636,RC,,,,,inpatient,,,35.71,,17.855,21.426,36.056387,33.5674,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,29.6393,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,32.8532,,,,percent of total billed charges,,33.78166,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,34.6387,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,31.4248,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,23.14008,,,,percent of total billed charges,,32.139,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,36.056387,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,33.9245,,,,percent of total billed charges,,28.568,,,,percent of total billed charges,,21.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [240148]",0636,RC,,,,,inpatient,,,714.22,,357.11,428.532,721.147934,671.3668,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,592.8026,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,657.0824,,,,percent of total billed charges,,675.65212,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,692.7934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,628.5136,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,462.81456,,,,percent of total billed charges,,642.798,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,721.147934,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,678.509,,,,percent of total billed charges,,571.376,,,,percent of total billed charges,,428.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [248004],0636,RC,,,,,inpatient,,,7954.79,,3977.395,4772.874,8031.951463,7477.5026,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6602.4757,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7525.23134,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7716.1463,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7000.2152,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,5154.70392,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,8031.951463,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION [248004],0636,RC,,,,,inpatient,,,7954.79,,3977.395,4772.874,8031.951463,7477.5026,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6602.4757,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7318.4068,,,,percent of total billed charges,,7525.23134,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7716.1463,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7000.2152,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,5154.70392,,,,percent of total billed charges,,7159.311,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,8031.951463,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,7557.0505,,,,percent of total billed charges,,6363.832,,,,percent of total billed charges,,4772.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [81859]",0637,RC,,,,,inpatient,,,1.32,,0.66,0.792,1.332804,1.2408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.0956,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.24872,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.2804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.1616,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.85536,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,1.332804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION [202064],0636,RC,,,,,inpatient,,,6345,,3172.5,3807,6406.5465,5964.3,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,5266.35,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,5837.4,,,,percent of total billed charges,,5837.4,,,,percent of total billed charges,,6002.37,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,6154.65,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,5583.6,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,4111.56,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,3807,,,,percent of total billed charges,,6406.5465,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,6027.75,,,,percent of total billed charges,,5076,,,,percent of total billed charges,,3807,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,96.05,,48.025,57.63,96.981685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,62.2404,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,96.981685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,97.39,,48.695,58.434,98.334683,91.5466,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,80.8337,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,92.13094,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,94.4683,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,85.7032,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,63.10872,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,98.334683,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,529.28,,264.64,317.568,534.414016,497.5232,,,,percent of total billed charges,,423.424,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,439.3024,,,,percent of total billed charges,,476.352,,,,percent of total billed charges,,486.9376,,,,percent of total billed charges,,486.9376,,,,percent of total billed charges,,500.69888,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,513.4016,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,465.7664,,,,percent of total billed charges,,476.352,,,,percent of total billed charges,,342.97344,,,,percent of total billed charges,,476.352,,,,percent of total billed charges,,317.568,,,,percent of total billed charges,,534.414016,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,502.816,,,,percent of total billed charges,,423.424,,,,percent of total billed charges,,317.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,96.05,,48.025,57.63,96.981685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,62.2404,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,96.981685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,96.05,,48.025,57.63,96.981685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,62.2404,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,96.981685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,306.02,,153.01,183.612,308.988394,287.6588,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,253.9966,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,289.49492,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,296.8394,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,269.2976,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,198.30096,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,308.988394,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,306.02,,153.01,183.612,308.988394,287.6588,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,253.9966,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,281.5384,,,,percent of total billed charges,,289.49492,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,296.8394,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,269.2976,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,198.30096,,,,percent of total billed charges,,275.418,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,308.988394,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,290.719,,,,percent of total billed charges,,244.816,,,,percent of total billed charges,,183.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,101.34,,50.67,60.804,102.322998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,65.66832,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,102.322998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,101.34,,50.67,60.804,102.322998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,65.66832,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,102.322998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,101.34,,50.67,60.804,102.322998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,65.66832,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,102.322998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,101.34,,50.67,60.804,102.322998,95.2596,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,84.1122,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,93.2328,,,,percent of total billed charges,,95.86764,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,98.2998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,89.1792,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,65.66832,,,,percent of total billed charges,,91.206,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,102.322998,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,96.273,,,,percent of total billed charges,,81.072,,,,percent of total billed charges,,60.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,130.6,,65.3,78.36,131.86682,122.764,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,108.398,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,123.5476,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,126.682,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,114.928,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,84.6288,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,131.86682,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,130.6,,65.3,78.36,131.86682,122.764,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,108.398,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,123.5476,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,126.682,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,114.928,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,84.6288,,,,percent of total billed charges,,117.54,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,131.86682,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,124.07,,,,percent of total billed charges,,104.48,,,,percent of total billed charges,,78.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,96.05,,48.025,57.63,96.981685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,62.2404,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,96.981685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,96.05,,48.025,57.63,96.981685,90.287,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,79.7215,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,88.366,,,,percent of total billed charges,,90.8633,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,93.1685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,84.524,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,62.2404,,,,percent of total billed charges,,86.445,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,96.981685,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,91.2475,,,,percent of total billed charges,,76.84,,,,percent of total billed charges,,57.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [83053],0636,RC,,,,,inpatient,,,97.39,,48.695,58.434,98.334683,91.5466,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,80.8337,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,89.5988,,,,percent of total billed charges,,92.13094,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,94.4683,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,85.7032,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,63.10872,,,,percent of total billed charges,,87.651,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,98.334683,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,92.5205,,,,percent of total billed charges,,77.912,,,,percent of total billed charges,,58.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,,,,,inpatient,,,31.37,,15.685,18.822,31.674289,29.4878,,,,percent of total billed charges,,25.096,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,26.0371,,,,percent of total billed charges,,28.233,,,,percent of total billed charges,,28.8604,,,,percent of total billed charges,,28.8604,,,,percent of total billed charges,,29.67602,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,30.4289,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,27.6056,,,,percent of total billed charges,,28.233,,,,percent of total billed charges,,20.32776,,,,percent of total billed charges,,28.233,,,,percent of total billed charges,,18.822,,,,percent of total billed charges,,31.674289,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,29.8015,,,,percent of total billed charges,,25.096,,,,percent of total billed charges,,18.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,,,,,inpatient,,,16.05,,8.025,9.63,16.205685,15.087,,,,percent of total billed charges,,12.84,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,13.3215,,,,percent of total billed charges,,14.445,,,,percent of total billed charges,,14.766,,,,percent of total billed charges,,14.766,,,,percent of total billed charges,,15.1833,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,15.5685,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,14.124,,,,percent of total billed charges,,14.445,,,,percent of total billed charges,,10.4004,,,,percent of total billed charges,,14.445,,,,percent of total billed charges,,9.63,,,,percent of total billed charges,,16.205685,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,15.2475,,,,percent of total billed charges,,12.84,,,,percent of total billed charges,,9.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,,,,,inpatient,,,24.34,,12.17,14.604,24.576098,22.8796,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,20.2022,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,23.02564,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.6098,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,21.4192,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,15.77232,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,24.576098,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [2888],0637,RC,,,,,inpatient,,,24.34,,12.17,14.604,24.576098,22.8796,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,20.2022,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,22.3928,,,,percent of total billed charges,,23.02564,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.6098,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,21.4192,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,15.77232,,,,percent of total billed charges,,21.906,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,24.576098,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,23.123,,,,percent of total billed charges,,19.472,,,,percent of total billed charges,,14.604,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,,,,,inpatient,,,60.57,,30.285,36.342,61.157529,56.9358,,,,percent of total billed charges,,48.456,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,50.2731,,,,percent of total billed charges,,54.513,,,,percent of total billed charges,,55.7244,,,,percent of total billed charges,,55.7244,,,,percent of total billed charges,,57.29922,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,58.7529,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,53.3016,,,,percent of total billed charges,,54.513,,,,percent of total billed charges,,39.24936,,,,percent of total billed charges,,54.513,,,,percent of total billed charges,,36.342,,,,percent of total billed charges,,61.157529,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,57.5415,,,,percent of total billed charges,,48.456,,,,percent of total billed charges,,36.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,,,,,inpatient,,,1.04,,0.52,0.624,1.050088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.67392,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,1.050088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,,,,,inpatient,,,1.04,,0.52,0.624,1.050088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.67392,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,1.050088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESCITALOPRAM 10 MG TABLET [86662],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],0250,RC,,,,,inpatient,,,48.83,,24.415,29.298,49.303651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,31.64184,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,49.303651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],0250,RC,,,,,inpatient,,,48.83,,24.415,29.298,49.303651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,31.64184,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,49.303651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [9957],0250,RC,,,,,inpatient,,,9.05,,4.525,5.43,9.137785,8.507,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.5115,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.5613,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.7785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.964,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.8644,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,9.137785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN STERILE WATER INTRAVENOUS SOLN [239188]",0250,RC,,,,,inpatient,,,417.38,,208.69,250.428,421.428586,392.3372,,,,percent of total billed charges,,333.904,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,346.4254,,,,percent of total billed charges,,375.642,,,,percent of total billed charges,,383.9896,,,,percent of total billed charges,,383.9896,,,,percent of total billed charges,,394.84148,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,404.8586,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,367.2944,,,,percent of total billed charges,,375.642,,,,percent of total billed charges,,270.46224,,,,percent of total billed charges,,375.642,,,,percent of total billed charges,,250.428,,,,percent of total billed charges,,421.428586,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,396.511,,,,percent of total billed charges,,333.904,,,,percent of total billed charges,,250.428,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,,,,,inpatient,,,408.38,,204.19,245.028,412.341286,383.8772,,,,percent of total billed charges,,326.704,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,338.9554,,,,percent of total billed charges,,367.542,,,,percent of total billed charges,,375.7096,,,,percent of total billed charges,,375.7096,,,,percent of total billed charges,,386.32748,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,396.1286,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,359.3744,,,,percent of total billed charges,,367.542,,,,percent of total billed charges,,264.63024,,,,percent of total billed charges,,367.542,,,,percent of total billed charges,,245.028,,,,percent of total billed charges,,412.341286,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,387.961,,,,percent of total billed charges,,326.704,,,,percent of total billed charges,,245.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,,,,,inpatient,,,412.88,,206.44,247.728,416.884936,388.1072,,,,percent of total billed charges,,330.304,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,342.6904,,,,percent of total billed charges,,371.592,,,,percent of total billed charges,,379.8496,,,,percent of total billed charges,,379.8496,,,,percent of total billed charges,,390.58448,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,400.4936,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,363.3344,,,,percent of total billed charges,,371.592,,,,percent of total billed charges,,267.54624,,,,percent of total billed charges,,371.592,,,,percent of total billed charges,,247.728,,,,percent of total billed charges,,416.884936,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,392.236,,,,percent of total billed charges,,330.304,,,,percent of total billed charges,,247.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,,,,,inpatient,,,372.38,,186.19,223.428,375.992086,350.0372,,,,percent of total billed charges,,297.904,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,309.0754,,,,percent of total billed charges,,335.142,,,,percent of total billed charges,,342.5896,,,,percent of total billed charges,,342.5896,,,,percent of total billed charges,,352.27148,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,361.2086,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,327.6944,,,,percent of total billed charges,,335.142,,,,percent of total billed charges,,241.30224,,,,percent of total billed charges,,335.142,,,,percent of total billed charges,,223.428,,,,percent of total billed charges,,375.992086,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,353.761,,,,percent of total billed charges,,297.904,,,,percent of total billed charges,,223.428,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,,,,,inpatient,,,418.5,,209.25,251.1,422.55945,393.39,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,347.355,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,395.901,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,405.945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,368.28,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,271.188,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,422.55945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESMOLOL IN SODIUM CHLORIDE (ISO-OSMOTIC) 2,500 MG/250 ML - CHI [7000066]",0250,RC,,,,,inpatient,,,418.5,,209.25,251.1,422.55945,393.39,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,347.355,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,395.901,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,405.945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,368.28,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,271.188,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,422.55945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESTRADIOL 1 MG TABLET [9967],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ESTRADIOL 1 MG TABLET [9967],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [135076],0636,RC,,,,,inpatient,,,4017.81,,2008.905,2410.686,4056.782757,3776.7414,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3334.7823,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3800.84826,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3897.2757,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3535.6728,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,2603.54088,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,4056.782757,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE [135076],0636,RC,,,,,inpatient,,,4017.81,,2008.905,2410.686,4056.782757,3776.7414,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3334.7823,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3696.3852,,,,percent of total billed charges,,3800.84826,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3897.2757,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3535.6728,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,2603.54088,,,,percent of total billed charges,,3616.029,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,4056.782757,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3816.9195,,,,percent of total billed charges,,3214.248,,,,percent of total billed charges,,2410.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLUTION [232230],0636,RC,,,,,inpatient,,,7200,,3600,4320,7269.84,6768,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5976,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6624,,,,percent of total billed charges,,6811.2,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6984,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6336,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4665.6,,,,percent of total billed charges,,6480,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,7269.84,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5760,,,,percent of total billed charges,,4320,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLUTION [232230],0636,RC,,,,,inpatient,,,113568,,56784,68140.8,114669.6096,106753.92,,,,percent of total billed charges,,90854.4,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,94261.44,,,,percent of total billed charges,,102211.2,,,,percent of total billed charges,,104482.56,,,,percent of total billed charges,,104482.56,,,,percent of total billed charges,,107435.328,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,110160.96,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,99939.84,,,,percent of total billed charges,,102211.2,,,,percent of total billed charges,,73592.064,,,,percent of total billed charges,,102211.2,,,,percent of total billed charges,,68140.8,,,,percent of total billed charges,,114669.6096,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,107889.6,,,,percent of total billed charges,,90854.4,,,,percent of total billed charges,,68140.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [78003],0250,RC,,,,,inpatient,,,20740.37,,10370.185,12444.222,20941.55159,19495.9478,,,,percent of total billed charges,,16592.296,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,17214.5071,,,,percent of total billed charges,,18666.333,,,,percent of total billed charges,,19081.1404,,,,percent of total billed charges,,19081.1404,,,,percent of total billed charges,,19620.39002,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,20118.1589,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,18251.5256,,,,percent of total billed charges,,18666.333,,,,percent of total billed charges,,13439.75976,,,,percent of total billed charges,,18666.333,,,,percent of total billed charges,,12444.222,,,,percent of total billed charges,,20941.55159,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,19703.3515,,,,percent of total billed charges,,16592.296,,,,percent of total billed charges,,12444.222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [78003],0250,RC,,,,,inpatient,,,2535.35,,1267.675,1521.21,2559.942895,2383.229,,,,percent of total billed charges,,2028.28,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2104.3405,,,,percent of total billed charges,,2281.815,,,,percent of total billed charges,,2332.522,,,,percent of total billed charges,,2332.522,,,,percent of total billed charges,,2398.4411,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2459.2895,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2231.108,,,,percent of total billed charges,,2281.815,,,,percent of total billed charges,,1642.9068,,,,percent of total billed charges,,2281.815,,,,percent of total billed charges,,1521.21,,,,percent of total billed charges,,2559.942895,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2408.5825,,,,percent of total billed charges,,2028.28,,,,percent of total billed charges,,1521.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION [78003],0250,RC,,,,,inpatient,,,8550,,4275,5130,8632.935,8037,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7096.5,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,7866,,,,percent of total billed charges,,8088.3,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8293.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,7524,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,5540.4,,,,percent of total billed charges,,7695,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,8632.935,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,8122.5,,,,percent of total billed charges,,6840,,,,percent of total billed charges,,5130,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNIC ACID 25 MG TABLET [78390],0637,RC,,,,,inpatient,,,101.1,,50.55,60.66,102.08067,95.034,,,,percent of total billed charges,,80.88,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,83.913,,,,percent of total billed charges,,90.99,,,,percent of total billed charges,,93.012,,,,percent of total billed charges,,93.012,,,,percent of total billed charges,,95.6406,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,98.067,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,88.968,,,,percent of total billed charges,,90.99,,,,percent of total billed charges,,65.5128,,,,percent of total billed charges,,90.99,,,,percent of total billed charges,,60.66,,,,percent of total billed charges,,102.08067,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,96.045,,,,percent of total billed charges,,80.88,,,,percent of total billed charges,,60.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNIC ACID 25 MG TABLET [78390],0637,RC,,,,,inpatient,,,5.07,,2.535,3.042,5.119179,4.7658,,,,percent of total billed charges,,4.056,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.2081,,,,percent of total billed charges,,4.563,,,,percent of total billed charges,,4.6644,,,,percent of total billed charges,,4.6644,,,,percent of total billed charges,,4.79622,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.9179,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.4616,,,,percent of total billed charges,,4.563,,,,percent of total billed charges,,3.28536,,,,percent of total billed charges,,4.563,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,5.119179,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.8165,,,,percent of total billed charges,,4.056,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHACRYNIC ACID 25 MG TABLET [78390],0637,RC,,,,,inpatient,,,9.31,,4.655,5.586,9.400307,8.7514,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.7273,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.5652,,,,percent of total billed charges,,8.80726,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,9.0307,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.1928,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,6.03288,,,,percent of total billed charges,,8.379,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,9.400307,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,8.8445,,,,percent of total billed charges,,7.448,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHAMBUTOL 400 MG TABLET [9983],0637,RC,,,,,inpatient,,,3.23,,1.615,1.938,3.261331,3.0362,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,2.6809,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9716,,,,percent of total billed charges,,2.9716,,,,percent of total billed charges,,3.05558,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,3.1331,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,2.8424,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.09304,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,3.261331,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,3.0685,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHAMBUTOL 400 MG TABLET [9983],0637,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHAMBUTOL 400 MG TABLET [9983],0637,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION [257],0250,RC,,,,,inpatient,,,474.33,,237.165,284.598,478.931001,445.8702,,,,percent of total billed charges,,379.464,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,393.6939,,,,percent of total billed charges,,426.897,,,,percent of total billed charges,,436.3836,,,,percent of total billed charges,,436.3836,,,,percent of total billed charges,,448.71618,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,460.1001,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,417.4104,,,,percent of total billed charges,,426.897,,,,percent of total billed charges,,307.36584,,,,percent of total billed charges,,426.897,,,,percent of total billed charges,,284.598,,,,percent of total billed charges,,478.931001,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,450.6135,,,,percent of total billed charges,,379.464,,,,percent of total billed charges,,284.598,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHYL ALCOHOL 62 % (NOZIN NASAL SANITIZER) NASAL SOLUTION - BULK BOTTLE [1000975],0637,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [240824],0250,RC,,,,,inpatient,,,3391.47,,1695.735,2034.882,3424.367259,3187.9818,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2814.9201,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3208.33062,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3289.7259,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2984.4936,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2197.67256,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,3424.367259,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION [240824],0250,RC,,,,,inpatient,,,3391.47,,1695.735,2034.882,3424.367259,3187.9818,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2814.9201,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3120.1524,,,,percent of total billed charges,,3208.33062,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3289.7259,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2984.4936,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2197.67256,,,,percent of total billed charges,,3052.323,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,3424.367259,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,3221.8965,,,,percent of total billed charges,,2713.176,,,,percent of total billed charges,,2034.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,22.91,,11.455,13.746,23.132227,21.5354,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,19.0153,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.67286,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,22.2227,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,20.1608,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,14.84568,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,23.132227,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,25.61,,12.805,15.366,25.858417,24.0734,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,21.2563,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,24.22706,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.8417,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,22.5368,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,16.59528,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,25.858417,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,25.61,,12.805,15.366,25.858417,24.0734,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,21.2563,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,23.5612,,,,percent of total billed charges,,24.22706,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.8417,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,22.5368,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,16.59528,,,,percent of total billed charges,,23.049,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,25.858417,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,24.3295,,,,percent of total billed charges,,20.488,,,,percent of total billed charges,,15.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,10.85,,5.425,6.51,10.955245,10.199,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.0055,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,10.2641,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.5245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.548,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,7.0308,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,10.955245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,22.91,,11.455,13.746,23.132227,21.5354,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,19.0153,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.0772,,,,percent of total billed charges,,21.67286,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,22.2227,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,20.1608,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,14.84568,,,,percent of total billed charges,,20.619,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,23.132227,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,21.7645,,,,percent of total billed charges,,18.328,,,,percent of total billed charges,,13.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,11.97,,5.985,7.182,12.086109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.75656,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,12.086109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,11.97,,5.985,7.182,12.086109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.75656,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,12.086109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,11.03,,5.515,6.618,11.136991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,7.14744,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,11.136991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [20472],0250,RC,,,,,inpatient,,,11.03,,5.515,6.618,11.136991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,7.14744,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,11.136991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETONOGESTREL 68 MG SUBDERMAL IMPLANT [101933],0636,RC,,,,,inpatient,,,4206.69,,2103.345,2524.014,4247.494893,3954.2886,,,,percent of total billed charges,,3365.352,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3491.5527,,,,percent of total billed charges,,3786.021,,,,percent of total billed charges,,3870.1548,,,,percent of total billed charges,,3870.1548,,,,percent of total billed charges,,3979.52874,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,4080.4893,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3701.8872,,,,percent of total billed charges,,3786.021,,,,percent of total billed charges,,2725.93512,,,,percent of total billed charges,,3786.021,,,,percent of total billed charges,,2524.014,,,,percent of total billed charges,,4247.494893,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3996.3555,,,,percent of total billed charges,,3365.352,,,,percent of total billed charges,,2524.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,,,,,inpatient,,,166.28,,83.14,99.768,167.892916,156.3032,,,,percent of total billed charges,,133.024,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,138.0124,,,,percent of total billed charges,,149.652,,,,percent of total billed charges,,152.9776,,,,percent of total billed charges,,152.9776,,,,percent of total billed charges,,157.30088,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,161.2916,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,146.3264,,,,percent of total billed charges,,149.652,,,,percent of total billed charges,,107.74944,,,,percent of total billed charges,,149.652,,,,percent of total billed charges,,99.768,,,,percent of total billed charges,,167.892916,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,157.966,,,,percent of total billed charges,,133.024,,,,percent of total billed charges,,99.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,,,,,inpatient,,,41.72,,20.86,25.032,42.124684,39.2168,,,,percent of total billed charges,,33.376,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,34.6276,,,,percent of total billed charges,,37.548,,,,percent of total billed charges,,38.3824,,,,percent of total billed charges,,38.3824,,,,percent of total billed charges,,39.46712,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,40.4684,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,36.7136,,,,percent of total billed charges,,37.548,,,,percent of total billed charges,,27.03456,,,,percent of total billed charges,,37.548,,,,percent of total billed charges,,25.032,,,,percent of total billed charges,,42.124684,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,39.634,,,,percent of total billed charges,,33.376,,,,percent of total billed charges,,25.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [10000],0636,RC,,,,,inpatient,,,208.69,,104.345,125.214,210.714293,196.1686,,,,percent of total billed charges,,166.952,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,173.2127,,,,percent of total billed charges,,187.821,,,,percent of total billed charges,,191.9948,,,,percent of total billed charges,,191.9948,,,,percent of total billed charges,,197.42074,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,202.4293,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,183.6472,,,,percent of total billed charges,,187.821,,,,percent of total billed charges,,135.23112,,,,percent of total billed charges,,187.821,,,,percent of total billed charges,,125.214,,,,percent of total billed charges,,210.714293,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,198.2555,,,,percent of total billed charges,,166.952,,,,percent of total billed charges,,125.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,,,,,inpatient,,,1.21,,0.605,0.726,1.221737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.78408,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.221737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,,,,,inpatient,,,29.21,,14.605,17.526,29.493337,27.4574,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,24.2443,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,27.63266,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,28.3337,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,25.7048,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,18.92808,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,29.493337,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,,,,,inpatient,,,29.21,,14.605,17.526,29.493337,27.4574,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,24.2443,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,26.8732,,,,percent of total billed charges,,27.63266,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,28.3337,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,25.7048,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,18.92808,,,,percent of total billed charges,,26.289,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,29.493337,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,27.7495,,,,percent of total billed charges,,23.368,,,,percent of total billed charges,,17.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EZETIMIBE 10 MG TABLET [86860],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [247358],0636,RC,,,,,inpatient,,,12158.42,,6079.21,7295.052,12276.35667,11428.9148,,,,percent of total billed charges,,9726.736,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,10091.4886,,,,percent of total billed charges,,10942.578,,,,percent of total billed charges,,11185.7464,,,,percent of total billed charges,,11185.7464,,,,percent of total billed charges,,11501.86532,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,11793.6674,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,10699.4096,,,,percent of total billed charges,,10942.578,,,,percent of total billed charges,,7878.65616,,,,percent of total billed charges,,10942.578,,,,percent of total billed charges,,7295.052,,,,percent of total billed charges,,12276.35667,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,11550.499,,,,percent of total billed charges,,9726.736,,,,percent of total billed charges,,7295.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION [247358],0636,RC,,,,,inpatient,,,39451.63,,19725.815,23670.978,39834.31081,37084.5322,,,,percent of total billed charges,,31561.304,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,32744.8529,,,,percent of total billed charges,,35506.467,,,,percent of total billed charges,,36295.4996,,,,percent of total billed charges,,36295.4996,,,,percent of total billed charges,,37321.24198,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,38268.0811,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,34717.4344,,,,percent of total billed charges,,35506.467,,,,percent of total billed charges,,25564.65624,,,,percent of total billed charges,,35506.467,,,,percent of total billed charges,,23670.978,,,,percent of total billed charges,,39834.31081,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,37479.0485,,,,percent of total billed charges,,31561.304,,,,percent of total billed charges,,23670.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.98,,1.49,1.788,3.008906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.93104,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,3.008906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.98,,1.49,1.788,3.008906,2.8012,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.4734,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.7416,,,,percent of total billed charges,,2.81908,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.8906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.6224,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.93104,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,3.008906,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.831,,,,percent of total billed charges,,2.384,,,,percent of total billed charges,,1.788,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.18,,1.09,1.308,2.201146,2.0492,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.8094,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.06228,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.1146,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.9184,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.41264,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,2.201146,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.18,,1.09,1.308,2.201146,2.0492,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.8094,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.0056,,,,percent of total billed charges,,2.06228,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.1146,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.9184,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.41264,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,2.201146,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,2.071,,,,percent of total billed charges,,1.744,,,,percent of total billed charges,,1.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [163417],0250,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG TABLET [10011],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 20 MG/10 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE [94020],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,,,,,inpatient,,,53.78,,26.89,32.268,54.301666,50.5532,,,,percent of total billed charges,,43.024,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,44.6374,,,,percent of total billed charges,,48.402,,,,percent of total billed charges,,49.4776,,,,percent of total billed charges,,49.4776,,,,percent of total billed charges,,50.87588,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,52.1666,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,47.3264,,,,percent of total billed charges,,48.402,,,,percent of total billed charges,,34.84944,,,,percent of total billed charges,,48.402,,,,percent of total billed charges,,32.268,,,,percent of total billed charges,,54.301666,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,51.091,,,,percent of total billed charges,,43.024,,,,percent of total billed charges,,32.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,,,,,inpatient,,,236.48,,118.24,141.888,238.773856,222.2912,,,,percent of total billed charges,,189.184,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,196.2784,,,,percent of total billed charges,,212.832,,,,percent of total billed charges,,217.5616,,,,percent of total billed charges,,217.5616,,,,percent of total billed charges,,223.71008,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,229.3856,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,208.1024,,,,percent of total billed charges,,212.832,,,,percent of total billed charges,,153.23904,,,,percent of total billed charges,,212.832,,,,percent of total billed charges,,141.888,,,,percent of total billed charges,,238.773856,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,224.656,,,,percent of total billed charges,,189.184,,,,percent of total billed charges,,141.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,,,,,inpatient,,,4.73,,2.365,2.838,4.775881,4.4462,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.47458,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.1624,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,3.06504,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,4.775881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,,,,,inpatient,,,118.35,,59.175,71.01,119.497995,111.249,,,,percent of total billed charges,,94.68,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,98.2305,,,,percent of total billed charges,,106.515,,,,percent of total billed charges,,108.882,,,,percent of total billed charges,,108.882,,,,percent of total billed charges,,111.9591,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,114.7995,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,104.148,,,,percent of total billed charges,,106.515,,,,percent of total billed charges,,76.6908,,,,percent of total billed charges,,106.515,,,,percent of total billed charges,,71.01,,,,percent of total billed charges,,119.497995,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,112.4325,,,,percent of total billed charges,,94.68,,,,percent of total billed charges,,71.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION [81904],0637,RC,,,,,inpatient,,,99,,49.5,59.4,99.9603,93.06,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,82.17,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.654,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,96.03,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,87.12,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,64.152,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,99.9603,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,94.05,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FAT EMULSION 20 % IV (SCHEDULED, NO OVERFILL) [7000179]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FAT EMULSION 20 % IV (SCHEDULED, NO OVERFILL) [7000179]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION 20 % IV - LOCAL ANESTHETIC SYTEMIC TOXICITY INFUSION [1001375],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION 20 % IV - LOCAL ANESTHETIC SYTEMIC TOXICITY INFUSION [1001375],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS [245663],0250,RC,,,,,inpatient,,,42.75,,21.375,25.65,43.164675,40.185,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,35.4825,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,41.4675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,43.164675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS [245663],0250,RC,,,,,inpatient,,,42.75,,21.375,25.65,43.164675,40.185,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,35.4825,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,41.4675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,43.164675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [231638],0250,RC,,,,,inpatient,,,84.15,,42.075,50.49,84.966255,79.101,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,69.8445,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,79.6059,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,81.6255,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,74.052,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,54.5292,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,84.966255,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS [231638],0250,RC,,,,,inpatient,,,84.15,,42.075,50.49,84.966255,79.101,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,69.8445,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,77.418,,,,percent of total billed charges,,79.6059,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,81.6255,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,74.052,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,54.5292,,,,percent of total billed charges,,75.735,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,84.966255,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,79.9425,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,,,,,inpatient,,,1.36,,0.68,0.816,1.373192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.88128,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.373192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [27490]",0637,RC,,,,,inpatient,,,2.45,,1.225,1.47,2.473765,2.303,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.0335,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.3177,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.156,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.5876,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,2.473765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [101895],0637,RC,,,,,inpatient,,,2.43,,1.215,1.458,2.453571,2.2842,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.0169,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.29878,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3571,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.1384,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.57464,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.453571,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [101895],0637,RC,,,,,inpatient,,,12.31,,6.155,7.386,12.429407,11.5714,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.2173,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.64526,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.9407,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.8328,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,7.97688,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,12.429407,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET [101895],0637,RC,,,,,inpatient,,,12.31,,6.155,7.386,12.429407,11.5714,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.2173,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.3252,,,,percent of total billed charges,,11.64526,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.9407,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,10.8328,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,7.97688,,,,percent of total billed charges,,11.079,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,12.429407,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,11.6945,,,,percent of total billed charges,,9.848,,,,percent of total billed charges,,7.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,,,,,inpatient,,,1.19,,0.595,0.714,1.201543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.77112,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.201543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,,,,,inpatient,,,5.54,,2.77,3.324,5.593738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.58992,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.593738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,,,,,inpatient,,,5.54,,2.77,3.324,5.593738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.58992,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.593738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,,,,,inpatient,,,5.06,,2.53,3.036,5.109082,4.7564,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.1998,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.78676,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.9082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.27888,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,5.109082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET [101894],0637,RC,,,,,inpatient,,,5.06,,2.53,3.036,5.109082,4.7564,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.1998,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.78676,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.9082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.27888,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,5.109082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 10 MCG/ML IN NS INTRAVENOUS SYRINGE [1000342],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,32.13,,16.065,19.278,32.441661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,20.82024,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,32.441661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,40.28,,20.14,24.168,40.670716,37.8632,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,33.4324,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,38.10488,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,39.0716,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,35.4464,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,26.10144,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,40.670716,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,14.76,,7.38,8.856,14.903172,13.8744,,,,percent of total billed charges,,11.808,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,12.2508,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,13.5792,,,,percent of total billed charges,,13.5792,,,,percent of total billed charges,,13.96296,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,14.3172,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,12.9888,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,9.56448,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,14.903172,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,14.022,,,,percent of total billed charges,,11.808,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,68.18,,34.09,40.908,68.841346,64.0892,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,56.5894,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,64.49828,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,66.1346,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,59.9984,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,44.18064,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,68.841346,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,40.28,,20.14,24.168,40.670716,37.8632,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,33.4324,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,37.0576,,,,percent of total billed charges,,38.10488,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,39.0716,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,35.4464,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,26.10144,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,40.670716,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,38.266,,,,percent of total billed charges,,32.224,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,32.13,,16.065,19.278,32.441661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,20.82024,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,32.441661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,29.93,,14.965,17.958,30.220321,28.1342,,,,percent of total billed charges,,23.944,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,24.8419,,,,percent of total billed charges,,26.937,,,,percent of total billed charges,,27.5356,,,,percent of total billed charges,,27.5356,,,,percent of total billed charges,,28.31378,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,29.0321,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,26.3384,,,,percent of total billed charges,,26.937,,,,percent of total billed charges,,19.39464,,,,percent of total billed charges,,26.937,,,,percent of total billed charges,,17.958,,,,percent of total billed charges,,30.220321,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,28.4335,,,,percent of total billed charges,,23.944,,,,percent of total billed charges,,17.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,,,,,inpatient,,,140.94,,70.47,84.564,142.307118,132.4836,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,116.9802,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,133.32924,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,136.7118,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,124.0272,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,91.32912,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,142.307118,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,,,,,inpatient,,,140.94,,70.47,84.564,142.307118,132.4836,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,116.9802,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,129.6648,,,,percent of total billed charges,,133.32924,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,136.7118,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,124.0272,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,91.32912,,,,percent of total billed charges,,126.846,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,142.307118,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,112.752,,,,percent of total billed charges,,84.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,,,,,inpatient,,,92.9,,46.45,55.74,93.80113,87.326,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,77.107,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,87.8834,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,90.113,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,81.752,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,60.1992,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,93.80113,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,,,,,inpatient,,,92.9,,46.45,55.74,93.80113,87.326,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,77.107,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,85.468,,,,percent of total billed charges,,87.8834,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,90.113,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,81.752,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,60.1992,,,,percent of total billed charges,,83.61,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,93.80113,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,88.255,,,,percent of total billed charges,,74.32,,,,percent of total billed charges,,55.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 100 MCG/HR TRANSDERMAL PATCH [27908],0637,RC,,,,,inpatient,,,27.57,,13.785,16.542,27.837429,25.9158,,,,percent of total billed charges,,22.056,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,22.8831,,,,percent of total billed charges,,24.813,,,,percent of total billed charges,,25.3644,,,,percent of total billed charges,,25.3644,,,,percent of total billed charges,,26.08122,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,26.7429,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,24.2616,,,,percent of total billed charges,,24.813,,,,percent of total billed charges,,17.86536,,,,percent of total billed charges,,24.813,,,,percent of total billed charges,,16.542,,,,percent of total billed charges,,27.837429,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,26.1915,,,,percent of total billed charges,,22.056,,,,percent of total billed charges,,16.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,,,,,inpatient,,,39.6,,19.8,23.76,39.98412,37.224,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,32.868,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,37.4616,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.412,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,34.848,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,25.6608,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,39.98412,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,,,,,inpatient,,,30.24,,15.12,18.144,30.533328,28.4256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,25.0992,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,28.60704,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,29.3328,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,26.6112,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,19.59552,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,30.533328,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,,,,,inpatient,,,30.24,,15.12,18.144,30.533328,28.4256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,25.0992,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,27.8208,,,,percent of total billed charges,,28.60704,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,29.3328,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,26.6112,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,19.59552,,,,percent of total billed charges,,27.216,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,30.533328,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 12 MCG/HR TRANSDERMAL PATCH [94523],0637,RC,,,,,inpatient,,,53.24,,26.62,31.944,53.756428,50.0456,,,,percent of total billed charges,,42.592,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,44.1892,,,,percent of total billed charges,,47.916,,,,percent of total billed charges,,48.9808,,,,percent of total billed charges,,48.9808,,,,percent of total billed charges,,50.36504,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,51.6428,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,46.8512,,,,percent of total billed charges,,47.916,,,,percent of total billed charges,,34.49952,,,,percent of total billed charges,,47.916,,,,percent of total billed charges,,31.944,,,,percent of total billed charges,,53.756428,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,50.578,,,,percent of total billed charges,,42.592,,,,percent of total billed charges,,31.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2 MCG/ML IN NS IV PEDS DILUTION [7000248],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [3037],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2000MCG IN NS 100ML PREMIX INFUSION -WT BASED [7000037],0250,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2000MCG IN NS 100ML PREMIX INFUSION -WT BASED [7000037],0250,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2000MCG IN NS 100ML PREMIX INFUSION -WT BASED [7000037],0250,RC,,,,,inpatient,,,85.5,,42.75,51.3,86.32935,80.37,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,82.935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,75.24,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,86.32935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,,,,,inpatient,,,34.14,,17.07,20.484,34.471158,32.0916,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,28.3362,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,32.29644,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,33.1158,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,30.0432,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,22.12272,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,34.471158,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,,,,,inpatient,,,34.14,,17.07,20.484,34.471158,32.0916,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,28.3362,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,31.4088,,,,percent of total billed charges,,32.29644,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,33.1158,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,30.0432,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,22.12272,,,,percent of total billed charges,,30.726,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,34.471158,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,32.433,,,,percent of total billed charges,,27.312,,,,percent of total billed charges,,20.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,,,,,inpatient,,,22.78,,11.39,13.668,23.000966,21.4132,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.9074,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,21.54988,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,22.0966,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,20.0464,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,14.76144,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,23.000966,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,,,,,inpatient,,,22.78,,11.39,13.668,23.000966,21.4132,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.9074,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,20.9576,,,,percent of total billed charges,,21.54988,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,22.0966,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,20.0464,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,14.76144,,,,percent of total billed charges,,20.502,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,23.000966,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,21.641,,,,percent of total billed charges,,18.224,,,,percent of total billed charges,,13.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,,,,,inpatient,,,18.8,,9.4,11.28,18.98236,17.672,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.604,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.7848,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,18.236,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,12.1824,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,18.98236,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,,,,,inpatient,,,18.8,,9.4,11.28,18.98236,17.672,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.604,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.296,,,,percent of total billed charges,,17.7848,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,18.236,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,12.1824,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,18.98236,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,17.86,,,,percent of total billed charges,,15.04,,,,percent of total billed charges,,11.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 25 MCG/HR TRANSDERMAL PATCH [27905],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2MCG/ML + BUPIVACAINE 0.125% IN NS 100ML PCEA [7000145],0250,RC,,,,,inpatient,,,60.3,,30.15,36.18,60.88491,56.682,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,50.049,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,57.0438,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,58.491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,53.064,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,39.0744,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,60.88491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 2MCG/ML-BUPIVACAINE 0.125% IN NS EPIDURAL INFUSION [1000208],0250,RC,,,,,inpatient,,,60.3,,30.15,36.18,60.88491,56.682,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,50.049,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,57.0438,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,58.491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,53.064,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,39.0744,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,60.88491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG /ML PEDS INFUSION [1000192],0636,RC,,,,,inpatient,,,16.07,,8.035,9.642,16.225879,15.1058,,,,percent of total billed charges,,12.856,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,13.3381,,,,percent of total billed charges,,14.463,,,,percent of total billed charges,,14.7844,,,,percent of total billed charges,,14.7844,,,,percent of total billed charges,,15.20222,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,15.5879,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,14.1416,,,,percent of total billed charges,,14.463,,,,percent of total billed charges,,10.41336,,,,percent of total billed charges,,14.463,,,,percent of total billed charges,,9.642,,,,percent of total billed charges,,16.225879,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,15.2665,,,,percent of total billed charges,,12.856,,,,percent of total billed charges,,9.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,62.99,,31.495,37.794,63.601003,59.2106,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,52.2817,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,59.58854,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,61.1003,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,55.4312,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,40.81752,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,63.601003,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,62.99,,31.495,37.794,63.601003,59.2106,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,52.2817,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,57.9508,,,,percent of total billed charges,,59.58854,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,61.1003,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,55.4312,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,40.81752,,,,percent of total billed charges,,56.691,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,63.601003,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,59.8405,,,,percent of total billed charges,,50.392,,,,percent of total billed charges,,37.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,22.37,,11.185,13.422,22.586989,21.0278,,,,percent of total billed charges,,17.896,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,18.5671,,,,percent of total billed charges,,20.133,,,,percent of total billed charges,,20.5804,,,,percent of total billed charges,,20.5804,,,,percent of total billed charges,,21.16202,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,21.6989,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,19.6856,,,,percent of total billed charges,,20.133,,,,percent of total billed charges,,14.49576,,,,percent of total billed charges,,20.133,,,,percent of total billed charges,,13.422,,,,percent of total billed charges,,22.586989,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,21.2515,,,,percent of total billed charges,,17.896,,,,percent of total billed charges,,13.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,37.83,,18.915,22.698,38.196951,35.5602,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,31.3989,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,35.78718,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,36.6951,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,33.2904,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,24.51384,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,38.196951,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,37.83,,18.915,22.698,38.196951,35.5602,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,31.3989,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,34.8036,,,,percent of total billed charges,,35.78718,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,36.6951,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,33.2904,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,24.51384,,,,percent of total billed charges,,34.047,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,38.196951,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,35.9385,,,,percent of total billed charges,,30.264,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,40.32,,20.16,24.192,40.711104,37.9008,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,33.4656,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,38.14272,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,39.1104,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,35.4816,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,26.12736,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,40.711104,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,40.32,,20.16,24.192,40.711104,37.9008,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,33.4656,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,37.0944,,,,percent of total billed charges,,38.14272,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,39.1104,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,35.4816,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,26.12736,,,,percent of total billed charges,,36.288,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,40.711104,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,24.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 50 MCG/HR TRANSDERMAL PATCH [27906],0637,RC,,,,,inpatient,,,11.52,,5.76,6.912,11.631744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.46496,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,11.631744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,101.83,,50.915,61.098,102.817751,95.7202,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,84.5189,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,96.33118,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,98.7751,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,89.6104,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,65.98584,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,102.817751,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,21.12,,10.56,12.672,21.324864,19.8528,,,,percent of total billed charges,,16.896,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,17.5296,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,19.4304,,,,percent of total billed charges,,19.4304,,,,percent of total billed charges,,19.97952,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,20.4864,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,18.5856,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,13.68576,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,21.324864,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,20.064,,,,percent of total billed charges,,16.896,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,101.83,,50.915,61.098,102.817751,95.7202,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,84.5189,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,93.6836,,,,percent of total billed charges,,96.33118,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,98.7751,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,89.6104,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,65.98584,,,,percent of total billed charges,,91.647,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,102.817751,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,96.7385,,,,percent of total billed charges,,81.464,,,,percent of total billed charges,,61.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,59.2,,29.6,35.52,59.77424,55.648,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,49.136,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,56.0032,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,57.424,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,52.096,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,38.3616,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,59.77424,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,59.2,,29.6,35.52,59.77424,55.648,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,49.136,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,54.464,,,,percent of total billed charges,,56.0032,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,57.424,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,52.096,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,38.3616,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,59.77424,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,56.24,,,,percent of total billed charges,,47.36,,,,percent of total billed charges,,35.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,50.91,,25.455,30.546,51.403827,47.8554,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,42.2553,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,48.16086,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,49.3827,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,44.8008,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,32.98968,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,51.403827,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,50.91,,25.455,30.546,51.403827,47.8554,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,42.2553,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,46.8372,,,,percent of total billed charges,,48.16086,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,49.3827,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,44.8008,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,32.98968,,,,percent of total billed charges,,45.819,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,51.403827,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,48.3645,,,,percent of total billed charges,,40.728,,,,percent of total billed charges,,30.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL 75 MCG/HR TRANSDERMAL PATCH [27907],0637,RC,,,,,inpatient,,,19.79,,9.895,11.874,19.981963,18.6026,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,16.4257,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.2068,,,,percent of total billed charges,,18.72134,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,19.1963,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,17.4152,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,12.82392,,,,percent of total billed charges,,17.811,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,19.981963,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,18.8005,,,,percent of total billed charges,,15.832,,,,percent of total billed charges,,11.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-BUPIVACAINE 2 MCG/ML-0.125% INJECTION - CHI [7000146],0250,RC,,,,,inpatient,,,94.73,,47.365,56.838,95.648881,89.0462,,,,percent of total billed charges,,75.784,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,78.6259,,,,percent of total billed charges,,85.257,,,,percent of total billed charges,,87.1516,,,,percent of total billed charges,,87.1516,,,,percent of total billed charges,,89.61458,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,91.8881,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,83.3624,,,,percent of total billed charges,,85.257,,,,percent of total billed charges,,61.38504,,,,percent of total billed charges,,85.257,,,,percent of total billed charges,,56.838,,,,percent of total billed charges,,95.648881,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,89.9935,,,,percent of total billed charges,,75.784,,,,percent of total billed charges,,56.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE (PF) 5 MCG/ML-0.2% EPIDURAL INFUSION [7000235],0250,RC,,,,,inpatient,,,217.22,,108.61,130.332,219.327034,204.1868,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,180.2926,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,205.49012,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,210.7034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,191.1536,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,140.75856,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,219.327034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE (PF) 5 MCG/ML-0.2% EPIDURAL INFUSION - PCEA [7000234],0250,RC,,,,,inpatient,,,217.22,,108.61,130.332,219.327034,204.1868,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,180.2926,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,205.49012,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,210.7034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,191.1536,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,140.75856,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,219.327034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE IN NS 2MCG/ML -0.2 % PCEA - CHI [7000041],0250,RC,,,,,inpatient,,,165.6,,82.8,99.36,167.20632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,107.3088,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,167.20632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION [34272],0250,RC,,,,,inpatient,,,165.6,,82.8,99.36,167.20632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,107.3088,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,167.20632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION [34272],0250,RC,,,,,inpatient,,,165.6,,82.8,99.36,167.20632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,107.3088,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,167.20632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [218045],0636,RC,,,,,inpatient,,,4019.29,,2009.645,2411.574,4058.277113,3778.1326,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3336.0107,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3802.24834,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3898.7113,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3536.9752,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,2604.49992,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,4058.277113,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [218045],0636,RC,,,,,inpatient,,,4019.29,,2009.645,2411.574,4058.277113,3778.1326,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3336.0107,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3697.7468,,,,percent of total billed charges,,3802.24834,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3898.7113,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3536.9752,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,2604.49992,,,,percent of total billed charges,,3617.361,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,4058.277113,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3818.3255,,,,percent of total billed charges,,3215.432,,,,percent of total billed charges,,2411.574,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [247893],0636,RC,,,,,inpatient,,,12085.61,,6042.805,7251.366,12202.84042,11360.4734,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10031.0563,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11432.98706,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11723.0417,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10635.3368,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,7831.47528,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,12202.84042,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION [247893],0636,RC,,,,,inpatient,,,12085.61,,6042.805,7251.366,12202.84042,11360.4734,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10031.0563,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11118.7612,,,,percent of total billed charges,,11432.98706,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11723.0417,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,10635.3368,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,7831.47528,,,,percent of total billed charges,,10877.049,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,12202.84042,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,11481.3295,,,,percent of total billed charges,,9668.488,,,,percent of total billed charges,,7251.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR [218230],0250,RC,,,,,inpatient,,,78.74,,39.37,47.244,79.503778,74.0156,,,,percent of total billed charges,,62.992,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,65.3542,,,,percent of total billed charges,,70.866,,,,percent of total billed charges,,72.4408,,,,percent of total billed charges,,72.4408,,,,percent of total billed charges,,74.48804,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,76.3778,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,69.2912,,,,percent of total billed charges,,70.866,,,,percent of total billed charges,,51.02352,,,,percent of total billed charges,,70.866,,,,percent of total billed charges,,47.244,,,,percent of total billed charges,,79.503778,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,74.803,,,,percent of total billed charges,,62.992,,,,percent of total billed charges,,47.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [191684],0637,RC,,,,,inpatient,,,14.18,,7.09,8.508,14.317546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,9.18864,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,14.317546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [191684],0637,RC,,,,,inpatient,,,20.7,,10.35,12.42,20.90079,19.458,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,17.181,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.044,,,,percent of total billed charges,,19.044,,,,percent of total billed charges,,19.5822,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,20.079,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,13.4136,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,20.90079,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,19.665,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS [191684],0637,RC,,,,,inpatient,,,18.9,,9.45,11.34,19.08333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,12.2472,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,19.08333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,,,,,inpatient,,,13.66,,6.83,8.196,13.792502,12.8404,,,,percent of total billed charges,,10.928,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,11.3378,,,,percent of total billed charges,,12.294,,,,percent of total billed charges,,12.5672,,,,percent of total billed charges,,12.5672,,,,percent of total billed charges,,12.92236,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,13.2502,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,12.0208,,,,percent of total billed charges,,12.294,,,,percent of total billed charges,,8.85168,,,,percent of total billed charges,,12.294,,,,percent of total billed charges,,8.196,,,,percent of total billed charges,,13.792502,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,12.977,,,,percent of total billed charges,,10.928,,,,percent of total billed charges,,8.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,,,,,inpatient,,,16.34,,8.17,9.804,16.498498,15.3596,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.5622,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.45764,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.8498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,14.3792,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,10.58832,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,16.498498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,,,,,inpatient,,,16.34,,8.17,9.804,16.498498,15.3596,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.5622,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.0328,,,,percent of total billed charges,,15.45764,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.8498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,14.3792,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,10.58832,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,16.498498,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,15.523,,,,percent of total billed charges,,13.072,,,,percent of total billed charges,,9.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,,,,,inpatient,,,6.93,,3.465,4.158,6.997221,6.5142,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.7519,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.55578,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.7221,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.0984,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,4.49064,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,6.997221,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID [3071],0637,RC,,,,,inpatient,,,6.93,,3.465,4.158,6.997221,6.5142,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.7519,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.3756,,,,percent of total billed charges,,6.55578,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.7221,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.0984,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,4.49064,,,,percent of total billed charges,,6.237,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,6.997221,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,6.5835,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERROUS SULFATE 325 MG (65 MG IRON) TABLET [3074],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [195262],0636,RC,,,,,inpatient,,,976.07,,488.035,585.642,985.537879,917.5058,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,810.1381,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,923.36222,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,946.7879,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,858.9416,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,632.49336,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,985.537879,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION [195262],0636,RC,,,,,inpatient,,,976.07,,488.035,585.642,985.537879,917.5058,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,810.1381,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,897.9844,,,,percent of total billed charges,,923.36222,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,946.7879,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,858.9416,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,632.49336,,,,percent of total billed charges,,878.463,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,985.537879,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,927.2665,,,,percent of total billed charges,,780.856,,,,percent of total billed charges,,585.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FIBRINOGEN-THROMBIN 2"" X 4"" TOPICAL PATCH [227201]",0250,RC,,,,,inpatient,,,4374,,2187,2624.4,4416.4278,4111.56,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3630.42,,,,percent of total billed charges,,3936.6,,,,percent of total billed charges,,4024.08,,,,percent of total billed charges,,4024.08,,,,percent of total billed charges,,4137.804,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4242.78,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3849.12,,,,percent of total billed charges,,3936.6,,,,percent of total billed charges,,2834.352,,,,percent of total billed charges,,3936.6,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,4416.4278,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,4155.3,,,,percent of total billed charges,,3499.2,,,,percent of total billed charges,,2624.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FIDAXOMICIN 200 MG TABLET [205257],0637,RC,,,,,inpatient,,,504.72,,252.36,302.832,509.615784,474.4368,,,,percent of total billed charges,,403.776,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,418.9176,,,,percent of total billed charges,,454.248,,,,percent of total billed charges,,464.3424,,,,percent of total billed charges,,464.3424,,,,percent of total billed charges,,477.46512,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,489.5784,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,444.1536,,,,percent of total billed charges,,454.248,,,,percent of total billed charges,,327.05856,,,,percent of total billed charges,,454.248,,,,percent of total billed charges,,302.832,,,,percent of total billed charges,,509.615784,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,479.484,,,,percent of total billed charges,,403.776,,,,percent of total billed charges,,302.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,,,,,inpatient,,,923.06,,461.53,553.836,932.013682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,598.14288,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,932.013682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,,,,,inpatient,,,1846.11,,923.055,1107.666,1864.017267,1735.3434,,,,percent of total billed charges,,1476.888,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1532.2713,,,,percent of total billed charges,,1661.499,,,,percent of total billed charges,,1698.4212,,,,percent of total billed charges,,1698.4212,,,,percent of total billed charges,,1746.42006,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1790.7267,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1624.5768,,,,percent of total billed charges,,1661.499,,,,percent of total billed charges,,1196.27928,,,,percent of total billed charges,,1661.499,,,,percent of total billed charges,,1107.666,,,,percent of total billed charges,,1864.017267,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1753.8045,,,,percent of total billed charges,,1476.888,,,,percent of total billed charges,,1107.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 300 MCG/ML INJECTION SOLUTION [78916],0636,RC,,,,,inpatient,,,579.68,,289.84,347.808,585.302896,544.8992,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,481.1344,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,548.37728,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,562.2896,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,510.1184,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,375.63264,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,585.302896,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 300 MCG/ML INJECTION SOLUTION [78916],0636,RC,,,,,inpatient,,,579.68,,289.84,347.808,585.302896,544.8992,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,481.1344,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,533.3056,,,,percent of total billed charges,,548.37728,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,562.2896,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,510.1184,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,375.63264,,,,percent of total billed charges,,521.712,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,585.302896,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,550.696,,,,percent of total billed charges,,463.744,,,,percent of total billed charges,,347.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,,,,,inpatient,,,923.06,,461.53,553.836,932.013682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,598.14288,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,932.013682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,,,,,inpatient,,,923.06,,461.53,553.836,932.013682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,598.14288,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,932.013682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [87477],0636,RC,,,,,inpatient,,,923.06,,461.53,553.836,932.013682,867.6764,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,766.1398,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,849.2152,,,,percent of total billed charges,,873.21476,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,895.3682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,812.2928,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,598.14288,,,,percent of total billed charges,,830.754,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,932.013682,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,876.907,,,,percent of total billed charges,,738.448,,,,percent of total billed charges,,553.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,,,,,inpatient,,,975.86,,487.93,585.516,985.325842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,632.35728,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,985.325842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,,,,,inpatient,,,1951.72,,975.86,1171.032,1970.651684,1834.6168,,,,percent of total billed charges,,1561.376,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1619.9276,,,,percent of total billed charges,,1756.548,,,,percent of total billed charges,,1795.5824,,,,percent of total billed charges,,1795.5824,,,,percent of total billed charges,,1846.32712,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1893.1684,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1717.5136,,,,percent of total billed charges,,1756.548,,,,percent of total billed charges,,1264.71456,,,,percent of total billed charges,,1756.548,,,,percent of total billed charges,,1171.032,,,,percent of total billed charges,,1970.651684,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1854.134,,,,percent of total billed charges,,1561.376,,,,percent of total billed charges,,1171.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [225567],0636,RC,,,,,inpatient,,,609.93,,304.965,365.958,615.846321,573.3342,,,,percent of total billed charges,,487.944,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,506.2419,,,,percent of total billed charges,,548.937,,,,percent of total billed charges,,561.1356,,,,percent of total billed charges,,561.1356,,,,percent of total billed charges,,576.99378,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,591.6321,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,536.7384,,,,percent of total billed charges,,548.937,,,,percent of total billed charges,,395.23464,,,,percent of total billed charges,,548.937,,,,percent of total billed charges,,365.958,,,,percent of total billed charges,,615.846321,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,579.4335,,,,percent of total billed charges,,487.944,,,,percent of total billed charges,,365.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [225567],0636,RC,,,,,inpatient,,,609.92,,304.96,365.952,615.836224,573.3248,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,506.2336,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,576.98432,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,591.6224,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,536.7296,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,395.22816,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,615.836224,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [225567],0636,RC,,,,,inpatient,,,609.92,,304.96,365.952,615.836224,573.3248,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,506.2336,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,561.1264,,,,percent of total billed charges,,576.98432,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,591.6224,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,536.7296,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,395.22816,,,,percent of total billed charges,,548.928,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,615.836224,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,579.424,,,,percent of total billed charges,,487.936,,,,percent of total billed charges,,365.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,,,,,inpatient,,,975.86,,487.93,585.516,985.325842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,632.35728,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,985.325842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,,,,,inpatient,,,975.86,,487.93,585.516,985.325842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,632.35728,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,985.325842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE [225566],0636,RC,,,,,inpatient,,,975.86,,487.93,585.516,985.325842,917.3084,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,809.9638,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,897.7912,,,,percent of total billed charges,,923.16356,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,946.5842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,858.7568,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,632.35728,,,,percent of total billed charges,,878.274,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,985.325842,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,927.067,,,,percent of total billed charges,,780.688,,,,percent of total billed charges,,585.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,,,,,inpatient,,,2.84,,1.42,1.704,2.867548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.84032,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.867548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,,,,,inpatient,,,2.84,,1.42,1.704,2.867548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.84032,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.867548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,,,,,inpatient,,,3.1,,1.55,1.86,3.13007,2.914,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.573,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.9326,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,3.007,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.728,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.0088,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,3.13007,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,,,,,inpatient,,,1.99,,0.995,1.194,2.009303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.28952,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,2.009303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,,,,,inpatient,,,1.99,,0.995,1.194,2.009303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.28952,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,2.009303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FINASTERIDE 5 MG TABLET [82658],0637,RC,,,,,inpatient,,,3.37,,1.685,2.022,3.402689,3.1678,,,,percent of total billed charges,,2.696,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,2.7971,,,,percent of total billed charges,,3.033,,,,percent of total billed charges,,3.1004,,,,percent of total billed charges,,3.1004,,,,percent of total billed charges,,3.18802,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,3.2689,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,2.9656,,,,percent of total billed charges,,3.033,,,,percent of total billed charges,,2.18376,,,,percent of total billed charges,,3.033,,,,percent of total billed charges,,2.022,,,,percent of total billed charges,,3.402689,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,3.2015,,,,percent of total billed charges,,2.696,,,,percent of total billed charges,,2.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLECAINIDE 50 MG TABLET [10043],0637,RC,,,,,inpatient,,,2.24,,1.12,1.344,2.261728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.45152,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.261728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLECAINIDE 50 MG TABLET [10043],0637,RC,,,,,inpatient,,,2.42,,1.21,1.452,2.443474,2.2748,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.0086,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.28932,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.3474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.1296,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.56816,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,2.443474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VAC TS 2024(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267153],0636,RC,,,,,inpatient,,,59.74,,29.87,35.844,60.319478,56.1556,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,49.5842,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,56.51404,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,57.9478,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,52.5712,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,38.71152,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,60.319478,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VAC TS 2024(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267153],0636,RC,,,,,inpatient,,,59.74,,29.87,35.844,60.319478,56.1556,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,49.5842,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,54.9608,,,,percent of total billed charges,,56.51404,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,57.9478,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,52.5712,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,38.71152,,,,percent of total billed charges,,53.766,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,60.319478,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,56.753,,,,percent of total billed charges,,47.792,,,,percent of total billed charges,,35.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267162],0636,RC,,,,,inpatient,,,134.92,,67.46,80.952,136.228724,126.8248,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,111.9836,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,127.63432,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,130.8724,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,118.7296,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,87.42816,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,136.228724,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE [267162],0636,RC,,,,,inpatient,,,134.92,,67.46,80.952,136.228724,126.8248,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,111.9836,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,124.1264,,,,percent of total billed charges,,127.63432,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,130.8724,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,118.7296,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,87.42816,,,,percent of total billed charges,,121.428,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,136.228724,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,128.174,,,,percent of total billed charges,,107.936,,,,percent of total billed charges,,80.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [267685],0636,RC,,,,,inpatient,,,27.78,,13.89,16.668,28.049466,26.1132,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,23.0574,,,,percent of total billed charges,,25.002,,,,percent of total billed charges,,25.5576,,,,percent of total billed charges,,25.5576,,,,percent of total billed charges,,26.27988,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,26.9466,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,24.4464,,,,percent of total billed charges,,25.002,,,,percent of total billed charges,,18.00144,,,,percent of total billed charges,,25.002,,,,percent of total billed charges,,16.668,,,,percent of total billed charges,,28.049466,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,26.391,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,16.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [14232],0637,RC,,,,,inpatient,,,88.68,,44.34,53.208,89.540196,83.3592,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,73.6044,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,83.89128,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,86.0196,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,78.0384,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,57.46464,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,89.540196,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [14232],0637,RC,,,,,inpatient,,,39.54,,19.77,23.724,39.923538,37.1676,,,,percent of total billed charges,,31.632,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,32.8182,,,,percent of total billed charges,,35.586,,,,percent of total billed charges,,36.3768,,,,percent of total billed charges,,36.3768,,,,percent of total billed charges,,37.40484,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,38.3538,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,34.7952,,,,percent of total billed charges,,35.586,,,,percent of total billed charges,,25.62192,,,,percent of total billed charges,,35.586,,,,percent of total billed charges,,23.724,,,,percent of total billed charges,,39.923538,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,37.563,,,,percent of total billed charges,,31.632,,,,percent of total billed charges,,23.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [14232],0637,RC,,,,,inpatient,,,22.84,,11.42,13.704,23.061548,21.4696,,,,percent of total billed charges,,18.272,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,18.9572,,,,percent of total billed charges,,20.556,,,,percent of total billed charges,,21.0128,,,,percent of total billed charges,,21.0128,,,,percent of total billed charges,,21.60664,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,22.1548,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,20.0992,,,,percent of total billed charges,,20.556,,,,percent of total billed charges,,14.80032,,,,percent of total billed charges,,20.556,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,23.061548,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,21.698,,,,percent of total billed charges,,18.272,,,,percent of total billed charges,,13.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG IVPB [1000212],0636,RC,,,,,inpatient,,,5.63,,2.815,3.378,5.684611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.64824,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.684611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG TABLET [10044],0637,RC,,,,,inpatient,,,5.39,,2.695,3.234,5.442283,5.0666,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.4737,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,5.09894,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.2283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.7432,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.49272,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,5.442283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG TABLET [10044],0637,RC,,,,,inpatient,,,5.39,,2.695,3.234,5.442283,5.0666,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.4737,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,5.09894,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.2283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.7432,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.49272,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,5.442283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 100 MG TABLET [10044],0637,RC,,,,,inpatient,,,6.03,,3.015,3.618,6.088491,5.6682,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.0049,,,,percent of total billed charges,,5.427,,,,percent of total billed charges,,5.5476,,,,percent of total billed charges,,5.5476,,,,percent of total billed charges,,5.70438,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.8491,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.3064,,,,percent of total billed charges,,5.427,,,,percent of total billed charges,,3.90744,,,,percent of total billed charges,,5.427,,,,percent of total billed charges,,3.618,,,,percent of total billed charges,,6.088491,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,5.7285,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,3.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,11.52,,5.76,6.912,11.631744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.46496,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,11.631744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,8.51,,4.255,5.106,8.592547,7.9994,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.0633,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,7.8292,,,,percent of total billed charges,,8.05046,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.2547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,7.4888,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.51448,,,,percent of total billed charges,,7.659,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,8.592547,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,8.0845,,,,percent of total billed charges,,6.808,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,11.52,,5.76,6.912,11.631744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.46496,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,11.631744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,7.1,,3.55,4.26,7.16887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.6008,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,7.16887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,7.1,,3.55,4.26,7.16887,6.674,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.893,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.532,,,,percent of total billed charges,,6.7166,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.6008,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,7.16887,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,6.745,,,,percent of total billed charges,,5.68,,,,percent of total billed charges,,4.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,8.83,,4.415,5.298,8.915651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.72184,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.915651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,8.83,,4.415,5.298,8.915651,8.3002,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.3289,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.1236,,,,percent of total billed charges,,8.35318,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.5651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.7704,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.72184,,,,percent of total billed charges,,7.947,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,8.915651,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,8.3885,,,,percent of total billed charges,,7.064,,,,percent of total billed charges,,5.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,4.41,,2.205,2.646,4.452777,4.1454,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.6603,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.17186,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.2777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.8808,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.85768,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,4.452777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,4.41,,2.205,2.646,4.452777,4.1454,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.6603,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.0572,,,,percent of total billed charges,,4.17186,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.2777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.8808,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.85768,,,,percent of total billed charges,,3.969,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,4.452777,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,4.1895,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,3.45,,1.725,2.07,3.483465,3.243,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.8635,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.174,,,,percent of total billed charges,,3.2637,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.3465,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,3.105,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,3.483465,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,3.2775,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 150 MG TABLET [13577],0637,RC,,,,,inpatient,,,5,,2.5,3,5.0485,4.7,,,,percent of total billed charges,,4,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.15,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.6,,,,percent of total billed charges,,4.73,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.85,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,4.5,,,,percent of total billed charges,,3,,,,percent of total billed charges,,5.0485,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4.75,,,,percent of total billed charges,,4,,,,percent of total billed charges,,3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 2 MG/ML IV PEDS [1000036],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0636,RC,,,,,inpatient,,,11.7,,5.85,7.02,11.81349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.5816,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,11.81349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0636,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [10049],0636,RC,,,,,inpatient,,,16.2,,8.1,9.72,16.35714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,10.4976,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,16.35714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0636,RC,,,,,inpatient,,,23.4,,11.7,14.04,23.62698,21.996,,,,percent of total billed charges,,18.72,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,19.422,,,,percent of total billed charges,,21.06,,,,percent of total billed charges,,21.528,,,,percent of total billed charges,,21.528,,,,percent of total billed charges,,22.1364,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,22.698,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,20.592,,,,percent of total billed charges,,21.06,,,,percent of total billed charges,,15.1632,,,,percent of total billed charges,,21.06,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,23.62698,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,18.72,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [10050],0636,RC,,,,,inpatient,,,19.8,,9.9,11.88,19.99206,18.612,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,16.434,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,18.7308,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,19.206,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,12.8304,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,19.99206,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,18.81,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUCYTOSINE 500 MG CAPSULE [77516],0637,RC,,,,,inpatient,,,88.07,,44.035,52.842,88.924279,82.7858,,,,percent of total billed charges,,70.456,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,73.0981,,,,percent of total billed charges,,79.263,,,,percent of total billed charges,,81.0244,,,,percent of total billed charges,,81.0244,,,,percent of total billed charges,,83.31422,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,85.4279,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,77.5016,,,,percent of total billed charges,,79.263,,,,percent of total billed charges,,57.06936,,,,percent of total billed charges,,79.263,,,,percent of total billed charges,,52.842,,,,percent of total billed charges,,88.924279,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,83.6665,,,,percent of total billed charges,,70.456,,,,percent of total billed charges,,52.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDARABINE 50 MG INTRAVENOUS SOLUTION [10053],0636,RC,,,,,inpatient,,,425.25,,212.625,255.15,429.374925,399.735,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,352.9575,,,,percent of total billed charges,,382.725,,,,percent of total billed charges,,391.23,,,,percent of total billed charges,,391.23,,,,percent of total billed charges,,402.2865,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,412.4925,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,374.22,,,,percent of total billed charges,,382.725,,,,percent of total billed charges,,275.562,,,,percent of total billed charges,,382.725,,,,percent of total billed charges,,255.15,,,,percent of total billed charges,,429.374925,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,403.9875,,,,percent of total billed charges,,340.2,,,,percent of total billed charges,,255.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,,,,,inpatient,,,3.53,,1.765,2.118,3.564241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.28744,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.564241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUDROCORTISONE 0.1 MG TABLET [10054],0637,RC,,,,,inpatient,,,3.53,,1.765,2.118,3.564241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.28744,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.564241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,,,,,inpatient,,,13.62,,6.81,8.172,13.752114,12.8028,,,,percent of total billed charges,,10.896,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,11.3046,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,12.5304,,,,percent of total billed charges,,12.5304,,,,percent of total billed charges,,12.88452,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,13.2114,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,11.9856,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,8.82576,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,13.752114,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,12.939,,,,percent of total billed charges,,10.896,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,,,,,inpatient,,,38.21,,19.105,22.926,38.580637,35.9174,,,,percent of total billed charges,,30.568,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,31.7143,,,,percent of total billed charges,,34.389,,,,percent of total billed charges,,35.1532,,,,percent of total billed charges,,35.1532,,,,percent of total billed charges,,36.14666,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,37.0637,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,33.6248,,,,percent of total billed charges,,34.389,,,,percent of total billed charges,,24.76008,,,,percent of total billed charges,,34.389,,,,percent of total billed charges,,22.926,,,,percent of total billed charges,,38.580637,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,36.2995,,,,percent of total billed charges,,30.568,,,,percent of total billed charges,,22.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,,,,,inpatient,,,11.68,,5.84,7.008,11.793296,10.9792,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.6944,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,11.04928,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.3296,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,10.2784,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,7.56864,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,11.793296,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,,,,,inpatient,,,11.68,,5.84,7.008,11.793296,10.9792,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.6944,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,10.7456,,,,percent of total billed charges,,11.04928,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.3296,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,10.2784,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,7.56864,,,,percent of total billed charges,,10.512,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,11.793296,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,11.096,,,,percent of total billed charges,,9.344,,,,percent of total billed charges,,7.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,,,,,inpatient,,,11.3,,5.65,6.78,11.40961,10.622,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.379,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.6898,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.944,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,7.3224,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,11.40961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [10055],0250,RC,,,,,inpatient,,,11.3,,5.65,6.78,11.40961,10.622,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.379,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.6898,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.944,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,7.3224,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,11.40961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 1 MG EYE STRIPS [79366],0250,RC,,,,,inpatient,,,0.82,,0.41,0.492,0.827954,0.7708,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.6806,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.77572,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7954,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7216,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.53136,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,0.827954,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,,,,,inpatient,,,288.86,,144.43,173.316,291.661942,271.5284,,,,percent of total billed charges,,231.088,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,239.7538,,,,percent of total billed charges,,259.974,,,,percent of total billed charges,,265.7512,,,,percent of total billed charges,,265.7512,,,,percent of total billed charges,,273.26156,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,280.1942,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,254.1968,,,,percent of total billed charges,,259.974,,,,percent of total billed charges,,187.18128,,,,percent of total billed charges,,259.974,,,,percent of total billed charges,,173.316,,,,percent of total billed charges,,291.661942,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,274.417,,,,percent of total billed charges,,231.088,,,,percent of total billed charges,,173.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,,,,,inpatient,,,198.39,,99.195,119.034,200.314383,186.4866,,,,percent of total billed charges,,158.712,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,164.6637,,,,percent of total billed charges,,178.551,,,,percent of total billed charges,,182.5188,,,,percent of total billed charges,,182.5188,,,,percent of total billed charges,,187.67694,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,192.4383,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,174.5832,,,,percent of total billed charges,,178.551,,,,percent of total billed charges,,128.55672,,,,percent of total billed charges,,178.551,,,,percent of total billed charges,,119.034,,,,percent of total billed charges,,200.314383,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,188.4705,,,,percent of total billed charges,,158.712,,,,percent of total billed charges,,119.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,,,,,inpatient,,,876.83,,438.415,526.098,885.335251,824.2202,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,727.7689,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,829.48118,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,850.5251,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,771.6104,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,568.18584,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,885.335251,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [78567],0250,RC,,,,,inpatient,,,876.83,,438.415,526.098,885.335251,824.2202,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,727.7689,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,806.6836,,,,percent of total billed charges,,829.48118,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,850.5251,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,771.6104,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,568.18584,,,,percent of total billed charges,,789.147,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,885.335251,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,832.9885,,,,percent of total billed charges,,701.464,,,,percent of total billed charges,,526.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [188579],0636,RC,,,,,inpatient,,,19.89,,9.945,11.934,20.082933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,12.88872,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,20.082933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [188579],0636,RC,,,,,inpatient,,,102.51,,51.255,61.506,103.504347,96.3594,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,85.0833,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,96.97446,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,99.4347,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,90.2088,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,66.42648,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,103.504347,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [188579],0636,RC,,,,,inpatient,,,102.51,,51.255,61.506,103.504347,96.3594,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,85.0833,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,94.3092,,,,percent of total billed charges,,96.97446,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,99.4347,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,90.2088,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,66.42648,,,,percent of total billed charges,,92.259,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,103.504347,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,97.3845,,,,percent of total billed charges,,82.008,,,,percent of total billed charges,,61.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [188580],0636,RC,,,,,inpatient,,,36.68,,18.34,22.008,37.035796,34.4792,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,30.4444,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,34.69928,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,35.5796,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,32.2784,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,23.76864,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,37.035796,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [188580],0636,RC,,,,,inpatient,,,133.65,,66.825,80.19,134.946405,125.631,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,110.9295,,,,percent of total billed charges,,120.285,,,,percent of total billed charges,,122.958,,,,percent of total billed charges,,122.958,,,,percent of total billed charges,,126.4329,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,129.6405,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,120.285,,,,percent of total billed charges,,86.6052,,,,percent of total billed charges,,120.285,,,,percent of total billed charges,,80.19,,,,percent of total billed charges,,134.946405,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,126.9675,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,80.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [188581],0636,RC,,,,,inpatient,,,267.3,,133.65,160.38,269.89281,251.262,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,221.859,,,,percent of total billed charges,,240.57,,,,percent of total billed charges,,245.916,,,,percent of total billed charges,,245.916,,,,percent of total billed charges,,252.8658,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,259.281,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,235.224,,,,percent of total billed charges,,240.57,,,,percent of total billed charges,,173.2104,,,,percent of total billed charges,,240.57,,,,percent of total billed charges,,160.38,,,,percent of total billed charges,,269.89281,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,253.935,,,,percent of total billed charges,,213.84,,,,percent of total billed charges,,160.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [188578],0636,RC,,,,,inpatient,,,10.4,,5.2,6.24,10.50088,9.776,,,,percent of total billed charges,,8.32,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,8.632,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,9.568,,,,percent of total billed charges,,9.568,,,,percent of total billed charges,,9.8384,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,10.088,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,9.152,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,6.7392,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,6.24,,,,percent of total billed charges,,10.50088,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,9.88,,,,percent of total billed charges,,8.32,,,,percent of total billed charges,,6.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [188580],0636,RC,,,,,inpatient,,,21.69,,10.845,13.014,21.900393,20.3886,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,18.0027,,,,percent of total billed charges,,19.521,,,,percent of total billed charges,,19.9548,,,,percent of total billed charges,,19.9548,,,,percent of total billed charges,,20.51874,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,21.0393,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,19.0872,,,,percent of total billed charges,,19.521,,,,percent of total billed charges,,14.05512,,,,percent of total billed charges,,19.521,,,,percent of total billed charges,,13.014,,,,percent of total billed charges,,21.900393,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,20.6055,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,13.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 10 MG CAPSULE [10069],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG CAPSULE [10070],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0637,RC,,,,,inpatient,,,117.18,,58.59,70.308,118.316646,110.1492,,,,percent of total billed charges,,93.744,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,97.2594,,,,percent of total billed charges,,105.462,,,,percent of total billed charges,,107.8056,,,,percent of total billed charges,,107.8056,,,,percent of total billed charges,,110.85228,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,113.6646,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,103.1184,,,,percent of total billed charges,,105.462,,,,percent of total billed charges,,75.93264,,,,percent of total billed charges,,105.462,,,,percent of total billed charges,,70.308,,,,percent of total billed charges,,118.316646,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,111.321,,,,percent of total billed charges,,93.744,,,,percent of total billed charges,,70.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0637,RC,,,,,inpatient,,,285.66,,142.83,171.396,288.430902,268.5204,,,,percent of total billed charges,,228.528,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,237.0978,,,,percent of total billed charges,,257.094,,,,percent of total billed charges,,262.8072,,,,percent of total billed charges,,262.8072,,,,percent of total billed charges,,270.23436,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,277.0902,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,251.3808,,,,percent of total billed charges,,257.094,,,,percent of total billed charges,,185.10768,,,,percent of total billed charges,,257.094,,,,percent of total billed charges,,171.396,,,,percent of total billed charges,,288.430902,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,271.377,,,,percent of total billed charges,,228.528,,,,percent of total billed charges,,171.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [38488],0637,RC,,,,,inpatient,,,224.64,,112.32,134.784,226.819008,211.1616,,,,percent of total billed charges,,179.712,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,186.4512,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,206.6688,,,,percent of total billed charges,,206.6688,,,,percent of total billed charges,,212.50944,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,217.9008,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,197.6832,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,145.56672,,,,percent of total billed charges,,202.176,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,226.819008,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,179.712,,,,percent of total billed charges,,134.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION [3216],0250,RC,,,,,inpatient,,,394.47,,197.235,236.682,398.296359,370.8018,,,,percent of total billed charges,,315.576,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,327.4101,,,,percent of total billed charges,,355.023,,,,percent of total billed charges,,362.9124,,,,percent of total billed charges,,362.9124,,,,percent of total billed charges,,373.16862,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,382.6359,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,347.1336,,,,percent of total billed charges,,355.023,,,,percent of total billed charges,,255.61656,,,,percent of total billed charges,,355.023,,,,percent of total billed charges,,236.682,,,,percent of total billed charges,,398.296359,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,374.7465,,,,percent of total billed charges,,315.576,,,,percent of total billed charges,,236.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,,,,,inpatient,,,2.05,,1.025,1.23,2.069885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.3284,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,2.069885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,,,,,inpatient,,,13.96,,6.98,8.376,14.095412,13.1224,,,,percent of total billed charges,,11.168,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,11.5868,,,,percent of total billed charges,,12.564,,,,percent of total billed charges,,12.8432,,,,percent of total billed charges,,12.8432,,,,percent of total billed charges,,13.20616,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,13.5412,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,12.2848,,,,percent of total billed charges,,12.564,,,,percent of total billed charges,,9.04608,,,,percent of total billed charges,,12.564,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,14.095412,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,13.262,,,,percent of total billed charges,,11.168,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,,,,,inpatient,,,2.48,,1.24,1.488,2.504056,2.3312,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.0584,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.34608,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.4056,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.1824,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.60704,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,2.504056,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG TABLET [3221],0637,RC,,,,,inpatient,,,1.41,,0.705,0.846,1.423677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.91368,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.423677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE [3217],0637,RC,,,,,inpatient,,,1359.72,,679.86,815.832,1372.909284,1278.1368,,,,percent of total billed charges,,1087.776,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1128.5676,,,,percent of total billed charges,,1223.748,,,,percent of total billed charges,,1250.9424,,,,percent of total billed charges,,1250.9424,,,,percent of total billed charges,,1286.29512,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1318.9284,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1196.5536,,,,percent of total billed charges,,1223.748,,,,percent of total billed charges,,881.09856,,,,percent of total billed charges,,1223.748,,,,percent of total billed charges,,815.832,,,,percent of total billed charges,,1372.909284,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1291.734,,,,percent of total billed charges,,1087.776,,,,percent of total billed charges,,815.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,,,,,inpatient,,,330.8,,165.4,198.48,334.00876,310.952,,,,percent of total billed charges,,264.64,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,274.564,,,,percent of total billed charges,,297.72,,,,percent of total billed charges,,304.336,,,,percent of total billed charges,,304.336,,,,percent of total billed charges,,312.9368,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,320.876,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,291.104,,,,percent of total billed charges,,297.72,,,,percent of total billed charges,,214.3584,,,,percent of total billed charges,,297.72,,,,percent of total billed charges,,198.48,,,,percent of total billed charges,,334.00876,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,314.26,,,,percent of total billed charges,,264.64,,,,percent of total billed charges,,198.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,,,,,inpatient,,,185.18,,92.59,111.108,186.976246,174.0692,,,,percent of total billed charges,,148.144,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,153.6994,,,,percent of total billed charges,,166.662,,,,percent of total billed charges,,170.3656,,,,percent of total billed charges,,170.3656,,,,percent of total billed charges,,175.18028,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,179.6246,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,162.9584,,,,percent of total billed charges,,166.662,,,,percent of total billed charges,,119.99664,,,,percent of total billed charges,,166.662,,,,percent of total billed charges,,111.108,,,,percent of total billed charges,,186.976246,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,175.921,,,,percent of total billed charges,,148.144,,,,percent of total billed charges,,111.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,,,,,inpatient,,,252.18,,126.09,151.308,254.626146,237.0492,,,,percent of total billed charges,,201.744,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,209.3094,,,,percent of total billed charges,,226.962,,,,percent of total billed charges,,232.0056,,,,percent of total billed charges,,232.0056,,,,percent of total billed charges,,238.56228,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,244.6146,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,221.9184,,,,percent of total billed charges,,226.962,,,,percent of total billed charges,,163.41264,,,,percent of total billed charges,,226.962,,,,percent of total billed charges,,151.308,,,,percent of total billed charges,,254.626146,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,239.571,,,,percent of total billed charges,,201.744,,,,percent of total billed charges,,151.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION [3215],0636,RC,,,,,inpatient,,,231.62,,115.81,138.972,233.866714,217.7228,,,,percent of total billed charges,,185.296,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,192.2446,,,,percent of total billed charges,,208.458,,,,percent of total billed charges,,213.0904,,,,percent of total billed charges,,213.0904,,,,percent of total billed charges,,219.11252,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,224.6714,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,203.8256,,,,percent of total billed charges,,208.458,,,,percent of total billed charges,,150.08976,,,,percent of total billed charges,,208.458,,,,percent of total billed charges,,138.972,,,,percent of total billed charges,,233.866714,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,220.039,,,,percent of total billed charges,,185.296,,,,percent of total billed charges,,138.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,,,,,inpatient,,,45.15,,22.575,27.09,45.587955,42.441,,,,percent of total billed charges,,36.12,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,37.4745,,,,percent of total billed charges,,40.635,,,,percent of total billed charges,,41.538,,,,percent of total billed charges,,41.538,,,,percent of total billed charges,,42.7119,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,43.7955,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,39.732,,,,percent of total billed charges,,40.635,,,,percent of total billed charges,,29.2572,,,,percent of total billed charges,,40.635,,,,percent of total billed charges,,27.09,,,,percent of total billed charges,,45.587955,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,42.8925,,,,percent of total billed charges,,36.12,,,,percent of total billed charges,,27.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,,,,,inpatient,,,25.71,,12.855,15.426,25.959387,24.1674,,,,percent of total billed charges,,20.568,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,21.3393,,,,percent of total billed charges,,23.139,,,,percent of total billed charges,,23.6532,,,,percent of total billed charges,,23.6532,,,,percent of total billed charges,,24.32166,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,24.9387,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,22.6248,,,,percent of total billed charges,,23.139,,,,percent of total billed charges,,16.66008,,,,percent of total billed charges,,23.139,,,,percent of total billed charges,,15.426,,,,percent of total billed charges,,25.959387,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,24.4245,,,,percent of total billed charges,,20.568,,,,percent of total billed charges,,15.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,,,,,inpatient,,,12.89,,6.445,7.734,13.015033,12.1166,,,,percent of total billed charges,,10.312,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,10.6987,,,,percent of total billed charges,,11.601,,,,percent of total billed charges,,11.8588,,,,percent of total billed charges,,11.8588,,,,percent of total billed charges,,12.19394,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,12.5033,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,11.3432,,,,percent of total billed charges,,11.601,,,,percent of total billed charges,,8.35272,,,,percent of total billed charges,,11.601,,,,percent of total billed charges,,7.734,,,,percent of total billed charges,,13.015033,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,12.2455,,,,percent of total billed charges,,10.312,,,,percent of total billed charges,,7.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [70536]",0637,RC,,,,,inpatient,,,33.33,,16.665,19.998,33.653301,31.3302,,,,percent of total billed charges,,26.664,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,27.6639,,,,percent of total billed charges,,29.997,,,,percent of total billed charges,,30.6636,,,,percent of total billed charges,,30.6636,,,,percent of total billed charges,,31.53018,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,32.3301,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,29.3304,,,,percent of total billed charges,,29.997,,,,percent of total billed charges,,21.59784,,,,percent of total billed charges,,29.997,,,,percent of total billed charges,,19.998,,,,percent of total billed charges,,33.653301,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,31.6635,,,,percent of total billed charges,,26.664,,,,percent of total billed charges,,19.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,,,,,inpatient,,,1.59,,0.795,0.954,1.605423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.03032,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.605423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,,,,,inpatient,,,1.75,,0.875,1.05,1.766975,1.645,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4525,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.6555,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6975,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.54,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,1.766975,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,,,,,inpatient,,,1.59,,0.795,0.954,1.605423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.03032,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.605423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FLUVOXAMINE 50 MG TABLET [10085],0637,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 1 MG TABLET [3233],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 1 MG TABLET [3233],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 1 MG TABLET [3233],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 400 MCG TABLET [3234],0637,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 400 MCG TABLET [3234],0637,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 400 MCG TABLET [3234],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],0250,RC,,,,,inpatient,,,95.27,,47.635,57.162,96.194119,89.5538,,,,percent of total billed charges,,76.216,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,79.0741,,,,percent of total billed charges,,85.743,,,,percent of total billed charges,,87.6484,,,,percent of total billed charges,,87.6484,,,,percent of total billed charges,,90.12542,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,92.4119,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,83.8376,,,,percent of total billed charges,,85.743,,,,percent of total billed charges,,61.73496,,,,percent of total billed charges,,85.743,,,,percent of total billed charges,,57.162,,,,percent of total billed charges,,96.194119,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,90.5065,,,,percent of total billed charges,,76.216,,,,percent of total billed charges,,57.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOLIC ACID 5 MG/ML INJECTION SOLUTION [3232],0250,RC,,,,,inpatient,,,78.57,,39.285,47.142,79.332129,73.8558,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,65.2131,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,72.2844,,,,percent of total billed charges,,74.32722,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,76.2129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,69.1416,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,50.91336,,,,percent of total billed charges,,70.713,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,79.332129,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,74.6415,,,,percent of total billed charges,,62.856,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,,,,,inpatient,,,1690.39,,845.195,1014.234,1706.786783,1588.9666,,,,percent of total billed charges,,1352.312,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1403.0237,,,,percent of total billed charges,,1521.351,,,,percent of total billed charges,,1555.1588,,,,percent of total billed charges,,1555.1588,,,,percent of total billed charges,,1599.10894,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1639.6783,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1487.5432,,,,percent of total billed charges,,1521.351,,,,percent of total billed charges,,1095.37272,,,,percent of total billed charges,,1521.351,,,,percent of total billed charges,,1014.234,,,,percent of total billed charges,,1706.786783,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1605.8705,,,,percent of total billed charges,,1352.312,,,,percent of total billed charges,,1014.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,,,,,inpatient,,,2107.67,,1053.835,1264.602,2128.114399,1981.2098,,,,percent of total billed charges,,1686.136,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,1749.3661,,,,percent of total billed charges,,1896.903,,,,percent of total billed charges,,1939.0564,,,,percent of total billed charges,,1939.0564,,,,percent of total billed charges,,1993.85582,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,2044.4399,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,1854.7496,,,,percent of total billed charges,,1896.903,,,,percent of total billed charges,,1365.77016,,,,percent of total billed charges,,1896.903,,,,percent of total billed charges,,1264.602,,,,percent of total billed charges,,2128.114399,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,2002.2865,,,,percent of total billed charges,,1686.136,,,,percent of total billed charges,,1264.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,,,,,inpatient,,,2543.63,,1271.815,1526.178,2568.303211,2391.0122,,,,percent of total billed charges,,2034.904,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2111.2129,,,,percent of total billed charges,,2289.267,,,,percent of total billed charges,,2340.1396,,,,percent of total billed charges,,2340.1396,,,,percent of total billed charges,,2406.27398,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2467.3211,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2238.3944,,,,percent of total billed charges,,2289.267,,,,percent of total billed charges,,1648.27224,,,,percent of total billed charges,,2289.267,,,,percent of total billed charges,,1526.178,,,,percent of total billed charges,,2568.303211,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2416.4485,,,,percent of total billed charges,,2034.904,,,,percent of total billed charges,,1526.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION [80243],0636,RC,,,,,inpatient,,,1146.33,,573.165,687.798,1157.449401,1077.5502,,,,percent of total billed charges,,917.064,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,951.4539,,,,percent of total billed charges,,1031.697,,,,percent of total billed charges,,1054.6236,,,,percent of total billed charges,,1054.6236,,,,percent of total billed charges,,1084.42818,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,1111.9401,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,1008.7704,,,,percent of total billed charges,,1031.697,,,,percent of total billed charges,,742.82184,,,,percent of total billed charges,,1031.697,,,,percent of total billed charges,,687.798,,,,percent of total billed charges,,1157.449401,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,1089.0135,,,,percent of total billed charges,,917.064,,,,percent of total billed charges,,687.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,102.11,,51.055,61.266,103.100467,95.9834,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,84.7513,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,96.59606,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,99.0467,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,89.8568,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,66.16728,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,103.100467,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,1384.02,,692.01,830.412,1397.444994,1300.9788,,,,percent of total billed charges,,1107.216,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1148.7366,,,,percent of total billed charges,,1245.618,,,,percent of total billed charges,,1273.2984,,,,percent of total billed charges,,1273.2984,,,,percent of total billed charges,,1309.28292,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1342.4994,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1217.9376,,,,percent of total billed charges,,1245.618,,,,percent of total billed charges,,896.84496,,,,percent of total billed charges,,1245.618,,,,percent of total billed charges,,830.412,,,,percent of total billed charges,,1397.444994,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1314.819,,,,percent of total billed charges,,1107.216,,,,percent of total billed charges,,830.412,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,98.15,,49.075,58.89,99.102055,92.261,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,81.4645,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,92.8499,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,95.2055,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,86.372,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,63.6012,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,99.102055,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,578.97,,289.485,347.382,584.586009,544.2318,,,,percent of total billed charges,,463.176,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,480.5451,,,,percent of total billed charges,,521.073,,,,percent of total billed charges,,532.6524,,,,percent of total billed charges,,532.6524,,,,percent of total billed charges,,547.70562,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,561.6009,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,509.4936,,,,percent of total billed charges,,521.073,,,,percent of total billed charges,,375.17256,,,,percent of total billed charges,,521.073,,,,percent of total billed charges,,347.382,,,,percent of total billed charges,,584.586009,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,550.0215,,,,percent of total billed charges,,463.176,,,,percent of total billed charges,,347.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,193.19,,96.595,115.914,195.063943,181.5986,,,,percent of total billed charges,,154.552,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,160.3477,,,,percent of total billed charges,,173.871,,,,percent of total billed charges,,177.7348,,,,percent of total billed charges,,177.7348,,,,percent of total billed charges,,182.75774,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,187.3943,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,170.0072,,,,percent of total billed charges,,173.871,,,,percent of total billed charges,,125.18712,,,,percent of total billed charges,,173.871,,,,percent of total billed charges,,115.914,,,,percent of total billed charges,,195.063943,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,183.5305,,,,percent of total billed charges,,154.552,,,,percent of total billed charges,,115.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,121.37,,60.685,72.822,122.547289,114.0878,,,,percent of total billed charges,,97.096,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,100.7371,,,,percent of total billed charges,,109.233,,,,percent of total billed charges,,111.6604,,,,percent of total billed charges,,111.6604,,,,percent of total billed charges,,114.81602,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,117.7289,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,106.8056,,,,percent of total billed charges,,109.233,,,,percent of total billed charges,,78.64776,,,,percent of total billed charges,,109.233,,,,percent of total billed charges,,72.822,,,,percent of total billed charges,,122.547289,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,115.3015,,,,percent of total billed charges,,97.096,,,,percent of total billed charges,,72.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,77.99,,38.995,46.794,78.746503,73.3106,,,,percent of total billed charges,,62.392,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,64.7317,,,,percent of total billed charges,,70.191,,,,percent of total billed charges,,71.7508,,,,percent of total billed charges,,71.7508,,,,percent of total billed charges,,73.77854,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,75.6503,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,68.6312,,,,percent of total billed charges,,70.191,,,,percent of total billed charges,,50.53752,,,,percent of total billed charges,,70.191,,,,percent of total billed charges,,46.794,,,,percent of total billed charges,,78.746503,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,74.0905,,,,percent of total billed charges,,62.392,,,,percent of total billed charges,,46.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,98.64,,49.32,59.184,99.596808,92.7216,,,,percent of total billed charges,,78.912,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,81.8712,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,90.7488,,,,percent of total billed charges,,90.7488,,,,percent of total billed charges,,93.31344,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,95.6808,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,86.8032,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,63.91872,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,59.184,,,,percent of total billed charges,,99.596808,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,93.708,,,,percent of total billed charges,,78.912,,,,percent of total billed charges,,59.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION [202062],0636,RC,,,,,inpatient,,,102.11,,51.055,61.266,103.100467,95.9834,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,84.7513,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,93.9412,,,,percent of total billed charges,,96.59606,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,99.0467,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,89.8568,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,66.16728,,,,percent of total billed charges,,91.899,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,103.100467,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,97.0045,,,,percent of total billed charges,,81.688,,,,percent of total billed charges,,61.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,,,,,inpatient,,,289.13,,144.565,173.478,291.934561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,187.35624,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,291.934561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,,,,,inpatient,,,289.13,,144.565,173.478,291.934561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,187.35624,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,291.934561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,,,,,inpatient,,,215.87,,107.935,129.522,217.963939,202.9178,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,179.1721,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,204.21302,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,209.3939,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,189.9656,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,139.88376,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,217.963939,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,,,,,inpatient,,,215.87,,107.935,129.522,217.963939,202.9178,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,179.1721,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,198.6004,,,,percent of total billed charges,,204.21302,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,209.3939,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,189.9656,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,139.88376,,,,percent of total billed charges,,194.283,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,217.963939,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,205.0765,,,,percent of total billed charges,,172.696,,,,percent of total billed charges,,129.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,,,,,inpatient,,,258.26,,129.13,154.956,260.765122,242.7644,,,,percent of total billed charges,,206.608,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,214.3558,,,,percent of total billed charges,,232.434,,,,percent of total billed charges,,237.5992,,,,percent of total billed charges,,237.5992,,,,percent of total billed charges,,244.31396,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,250.5122,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,227.2688,,,,percent of total billed charges,,232.434,,,,percent of total billed charges,,167.35248,,,,percent of total billed charges,,232.434,,,,percent of total billed charges,,154.956,,,,percent of total billed charges,,260.765122,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,245.347,,,,percent of total billed charges,,206.608,,,,percent of total billed charges,,154.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET [77809],0637,RC,,,,,inpatient,,,206.64,,103.32,123.984,208.644408,194.2416,,,,percent of total billed charges,,165.312,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,171.5112,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,190.1088,,,,percent of total billed charges,,190.1088,,,,percent of total billed charges,,195.48144,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,200.4408,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,181.8432,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,133.90272,,,,percent of total billed charges,,185.976,,,,percent of total billed charges,,123.984,,,,percent of total billed charges,,208.644408,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,196.308,,,,percent of total billed charges,,165.312,,,,percent of total billed charges,,123.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,19.86,,9.93,11.916,20.052642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,12.86928,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,20.052642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,55.09,,27.545,33.054,55.624373,51.7846,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,45.7247,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,52.11514,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,53.4373,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,48.4792,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,35.69832,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,55.624373,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,55.09,,27.545,33.054,55.624373,51.7846,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,45.7247,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,50.6828,,,,percent of total billed charges,,52.11514,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,53.4373,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,48.4792,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,35.69832,,,,percent of total billed charges,,49.581,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,55.624373,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,52.3355,,,,percent of total billed charges,,44.072,,,,percent of total billed charges,,33.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,14.83,,7.415,8.898,14.973851,13.9402,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,12.3089,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,14.02918,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.3851,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,13.0504,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,9.60984,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,14.973851,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,14.83,,7.415,8.898,14.973851,13.9402,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,12.3089,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,13.6436,,,,percent of total billed charges,,14.02918,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.3851,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,13.0504,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,9.60984,,,,percent of total billed charges,,13.347,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,14.973851,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,14.0885,,,,percent of total billed charges,,11.864,,,,percent of total billed charges,,8.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,19.86,,9.93,11.916,20.052642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,12.86928,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,20.052642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,11.42,,5.71,6.852,11.530774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,7.40016,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,11.530774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,11.42,,5.71,6.852,11.530774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,7.40016,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,11.530774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 5 MG/ML IN NS IV PEDS DILUTION [1000038],0250,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,93.06,,46.53,55.836,93.962682,87.4764,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,77.2398,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,88.03476,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,90.2682,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,81.8928,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,60.30288,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,93.962682,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,78.35,,39.175,47.01,79.109995,73.649,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,65.0305,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,74.1191,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,75.9995,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,68.948,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,50.7708,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,79.109995,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,78.35,,39.175,47.01,79.109995,73.649,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,65.0305,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,72.082,,,,percent of total billed charges,,74.1191,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,75.9995,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,68.948,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,50.7708,,,,percent of total billed charges,,70.515,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,79.109995,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,74.4325,,,,percent of total billed charges,,62.68,,,,percent of total billed charges,,47.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,62.96,,31.48,37.776,63.570712,59.1824,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,52.2568,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,59.56016,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,61.0712,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,55.4048,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,40.79808,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,63.570712,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,62.96,,31.48,37.776,63.570712,59.1824,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,52.2568,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,57.9232,,,,percent of total billed charges,,59.56016,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,61.0712,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,55.4048,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,40.79808,,,,percent of total billed charges,,56.664,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,63.570712,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,59.812,,,,percent of total billed charges,,50.368,,,,percent of total billed charges,,37.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,93.06,,46.53,55.836,93.962682,87.4764,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,77.2398,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,85.6152,,,,percent of total billed charges,,88.03476,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,90.2682,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,81.8928,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,60.30288,,,,percent of total billed charges,,83.754,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,93.962682,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,88.407,,,,percent of total billed charges,,74.448,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,127.68,,63.84,76.608,128.918496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,82.73664,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,128.918496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,127.68,,63.84,76.608,128.918496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,82.73664,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,128.918496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,127.68,,63.84,76.608,128.918496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,82.73664,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,128.918496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,127.68,,63.84,76.608,128.918496,120.0192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,105.9744,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,117.4656,,,,percent of total billed charges,,120.78528,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,123.8496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,112.3584,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,82.73664,,,,percent of total billed charges,,114.912,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,128.918496,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,121.296,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,76.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [164408],0636,RC,,,,,inpatient,,,19.86,,9.93,11.916,20.052642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,12.86928,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,20.052642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [164409],0636,RC,,,,,inpatient,,,170.24,,85.12,102.144,171.891328,160.0256,,,,percent of total billed charges,,136.192,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,141.2992,,,,percent of total billed charges,,153.216,,,,percent of total billed charges,,156.6208,,,,percent of total billed charges,,156.6208,,,,percent of total billed charges,,161.04704,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,165.1328,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,149.8112,,,,percent of total billed charges,,153.216,,,,percent of total billed charges,,110.31552,,,,percent of total billed charges,,153.216,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,171.891328,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,161.728,,,,percent of total billed charges,,136.192,,,,percent of total billed charges,,102.144,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,,,,,inpatient,,,4210.16,,2105.08,2526.096,4250.998552,3957.5504,,,,percent of total billed charges,,3368.128,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3494.4328,,,,percent of total billed charges,,3789.144,,,,percent of total billed charges,,3873.3472,,,,percent of total billed charges,,3873.3472,,,,percent of total billed charges,,3982.81136,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,4083.8552,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3704.9408,,,,percent of total billed charges,,3789.144,,,,percent of total billed charges,,2728.18368,,,,percent of total billed charges,,3789.144,,,,percent of total billed charges,,2526.096,,,,percent of total billed charges,,4250.998552,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3999.652,,,,percent of total billed charges,,3368.128,,,,percent of total billed charges,,2526.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,,,,,inpatient,,,260.53,,130.265,156.318,263.057141,244.8982,,,,percent of total billed charges,,208.424,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,216.2399,,,,percent of total billed charges,,234.477,,,,percent of total billed charges,,239.6876,,,,percent of total billed charges,,239.6876,,,,percent of total billed charges,,246.46138,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,252.7141,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,229.2664,,,,percent of total billed charges,,234.477,,,,percent of total billed charges,,168.82344,,,,percent of total billed charges,,234.477,,,,percent of total billed charges,,156.318,,,,percent of total billed charges,,263.057141,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,247.5035,,,,percent of total billed charges,,208.424,,,,percent of total billed charges,,156.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,,,,,inpatient,,,155.46,,77.73,93.276,156.967962,146.1324,,,,percent of total billed charges,,124.368,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,129.0318,,,,percent of total billed charges,,139.914,,,,percent of total billed charges,,143.0232,,,,percent of total billed charges,,143.0232,,,,percent of total billed charges,,147.06516,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,150.7962,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,136.8048,,,,percent of total billed charges,,139.914,,,,percent of total billed charges,,100.73808,,,,percent of total billed charges,,139.914,,,,percent of total billed charges,,93.276,,,,percent of total billed charges,,156.967962,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,147.687,,,,percent of total billed charges,,124.368,,,,percent of total billed charges,,93.276,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,,,,,inpatient,,,217.15,,108.575,130.29,219.256355,204.121,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,180.2345,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,205.4239,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,210.6355,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,140.7132,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,219.256355,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [84958],0636,RC,,,,,inpatient,,,217.15,,108.575,130.29,219.256355,204.121,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,180.2345,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,199.778,,,,percent of total billed charges,,205.4239,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,210.6355,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,191.092,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,140.7132,,,,percent of total billed charges,,195.435,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,219.256355,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,206.2925,,,,percent of total billed charges,,173.72,,,,percent of total billed charges,,130.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG /ML PEDS INFUSION [1000193],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,2.24,,1.12,1.344,2.261728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.45152,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.261728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,4.1,,2.05,2.46,4.13977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.6568,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,4.13977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,13.41,,6.705,8.046,13.540077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.68968,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,13.540077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,8.05,,4.025,4.83,8.128085,7.567,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.6815,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.6153,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.8085,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,8.128085,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,22.32,,11.16,13.392,22.536504,20.9808,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,18.5256,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,21.11472,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.6504,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,19.6416,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,14.46336,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,22.536504,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,4.47,,2.235,2.682,4.513359,4.2018,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.7101,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.22862,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.3359,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.9336,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,2.89656,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,4.513359,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,4.72,,2.36,2.832,4.765784,4.4368,,,,percent of total billed charges,,3.776,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,3.9176,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,4.3424,,,,percent of total billed charges,,4.3424,,,,percent of total billed charges,,4.46512,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,4.5784,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,4.1536,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.05856,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,4.765784,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,4.484,,,,percent of total billed charges,,3.776,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,7.25,,3.625,4.35,7.320325,6.815,,,,percent of total billed charges,,5.8,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,6.0175,,,,percent of total billed charges,,6.525,,,,percent of total billed charges,,6.67,,,,percent of total billed charges,,6.67,,,,percent of total billed charges,,6.8585,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,7.0325,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,6.38,,,,percent of total billed charges,,6.525,,,,percent of total billed charges,,4.698,,,,percent of total billed charges,,6.525,,,,percent of total billed charges,,4.35,,,,percent of total billed charges,,7.320325,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,6.8875,,,,percent of total billed charges,,5.8,,,,percent of total billed charges,,4.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,8.05,,4.025,4.83,8.128085,7.567,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.6815,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.406,,,,percent of total billed charges,,7.6153,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.8085,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,7.245,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,8.128085,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,7.6475,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,13.41,,6.705,8.046,13.540077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.68968,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,13.540077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,22.32,,11.16,13.392,22.536504,20.9808,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,18.5256,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,20.5344,,,,percent of total billed charges,,21.11472,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.6504,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,19.6416,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,14.46336,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,22.536504,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,21.204,,,,percent of total billed charges,,17.856,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,2.24,,1.12,1.344,2.261728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.45152,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.261728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,4.1,,2.05,2.46,4.13977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.6568,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,4.13977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,3.57,,1.785,2.142,3.604629,3.3558,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,2.9631,,,,percent of total billed charges,,3.213,,,,percent of total billed charges,,3.2844,,,,percent of total billed charges,,3.2844,,,,percent of total billed charges,,3.37722,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,3.4629,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,3.1416,,,,percent of total billed charges,,3.213,,,,percent of total billed charges,,2.31336,,,,percent of total billed charges,,3.213,,,,percent of total billed charges,,2.142,,,,percent of total billed charges,,3.604629,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,3.3915,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,2.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,5.31,,2.655,3.186,5.361507,4.9914,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.4073,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,4.8852,,,,percent of total billed charges,,5.02326,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.1507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.6728,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.44088,,,,percent of total billed charges,,4.779,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,5.361507,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,5.0445,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,11.99,,5.995,7.194,12.106303,11.2706,,,,percent of total billed charges,,9.592,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,9.9517,,,,percent of total billed charges,,10.791,,,,percent of total billed charges,,11.0308,,,,percent of total billed charges,,11.0308,,,,percent of total billed charges,,11.34254,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,11.6303,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,10.5512,,,,percent of total billed charges,,10.791,,,,percent of total billed charges,,7.76952,,,,percent of total billed charges,,10.791,,,,percent of total billed charges,,7.194,,,,percent of total billed charges,,12.106303,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,11.3905,,,,percent of total billed charges,,9.592,,,,percent of total billed charges,,7.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,13.46,,6.73,8.076,13.590562,12.6524,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.1718,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.73316,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,13.0562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.8448,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.72208,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,13.590562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,1.95,,0.975,1.17,1.968915,1.833,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.6185,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.8447,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.2636,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.968915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,1.95,,0.975,1.17,1.968915,1.833,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.6185,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.8447,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.2636,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.968915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,2.27,,1.135,1.362,2.292019,2.1338,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.8841,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.14742,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.2019,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.9976,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.47096,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,2.292019,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,2.27,,1.135,1.362,2.292019,2.1338,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.8841,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.0884,,,,percent of total billed charges,,2.14742,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.2019,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.9976,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.47096,,,,percent of total billed charges,,2.043,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,2.292019,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,2.1565,,,,percent of total billed charges,,1.816,,,,percent of total billed charges,,1.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,4.14,,2.07,2.484,4.180158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.68272,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,4.180158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0636,RC,,,,,inpatient,,,4.14,,2.07,2.484,4.180158,3.8916,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.4362,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.8088,,,,percent of total billed charges,,3.91644,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,4.0158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.6432,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.68272,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,4.180158,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.933,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 10 MG/ML INJECTION SOLUTION [3291],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 2 MG/ML IN D5W IV PEDS DILUTION [1001844],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 2 MG/ML ORAL LIQUID [1000096],0637,RC,,,,,inpatient,,,2.84,,1.42,1.704,2.867548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.84032,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.867548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 20 MG TABLET [3294],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,,,,,inpatient,,,0.66,,0.33,0.396,0.666402,0.6204,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5478,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.62436,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.6402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5808,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.42768,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,0.666402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG TABLET [3295],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG/4 ML ORAL SOLUTION [194726],0637,RC,,,,,inpatient,,,7.26,,3.63,4.356,7.330422,6.8244,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,6.0258,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,6.6792,,,,percent of total billed charges,,6.6792,,,,percent of total billed charges,,6.86796,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,7.0422,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,6.3888,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,4.70448,,,,percent of total billed charges,,6.534,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,7.330422,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,6.897,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 40 MG/4 ML ORAL SOLUTION [194726],0637,RC,,,,,inpatient,,,7.08,,3.54,4.248,7.148676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.58784,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,7.148676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (NON-TITRATABLE TASK) [1001910],0636,RC,,,,,inpatient,,,138.6,,69.3,83.16,139.94442,130.284,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,115.038,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,127.512,,,,percent of total billed charges,,131.1156,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,134.442,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,121.968,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,89.8128,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,139.94442,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,131.67,,,,percent of total billed charges,,110.88,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 100 MG CAPSULE [18309],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,,,,,inpatient,,,0.64,,0.32,0.384,0.646208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.41472,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.646208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 300 MG CAPSULE [18308],0637,RC,,,,,inpatient,,,0.57,,0.285,0.342,0.575529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.36936,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.575529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 400 MG CAPSULE [18307],0637,RC,,,,,inpatient,,,0.75,,0.375,0.45,0.757275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.757275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GABAPENTIN 400 MG CAPSULE [18307],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION [204087],0636,RC,,,,,inpatient,,,803.79,,401.895,482.274,811.586763,755.5626,,,,percent of total billed charges,,643.032,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,667.1457,,,,percent of total billed charges,,723.411,,,,percent of total billed charges,,739.4868,,,,percent of total billed charges,,739.4868,,,,percent of total billed charges,,760.38534,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,779.6763,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,707.3352,,,,percent of total billed charges,,723.411,,,,percent of total billed charges,,520.85592,,,,percent of total billed charges,,723.411,,,,percent of total billed charges,,482.274,,,,percent of total billed charges,,811.586763,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,763.6005,,,,percent of total billed charges,,643.032,,,,percent of total billed charges,,482.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [204092],0254,RC,,,,,inpatient,,,123.66,,61.83,74.196,124.859502,116.2404,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,102.6378,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,116.98236,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,119.9502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,108.8208,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,80.13168,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,124.859502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION [204092],0254,RC,,,,,inpatient,,,123.66,,61.83,74.196,124.859502,116.2404,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,102.6378,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,116.98236,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,119.9502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,108.8208,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,80.13168,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,124.859502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN [188259],0254,RC,,,,,inpatient,,,263.43,,131.715,158.058,265.985271,247.6242,,,,percent of total billed charges,,210.744,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,218.6469,,,,percent of total billed charges,,237.087,,,,percent of total billed charges,,242.3556,,,,percent of total billed charges,,242.3556,,,,percent of total billed charges,,249.20478,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,255.5271,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,231.8184,,,,percent of total billed charges,,237.087,,,,percent of total billed charges,,170.70264,,,,percent of total billed charges,,237.087,,,,percent of total billed charges,,158.058,,,,percent of total billed charges,,265.985271,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,250.2585,,,,percent of total billed charges,,210.744,,,,percent of total billed charges,,158.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN [188257],0254,RC,,,,,inpatient,,,80.01,,40.005,48.006,80.786097,75.2094,,,,percent of total billed charges,,64.008,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,66.4083,,,,percent of total billed charges,,72.009,,,,percent of total billed charges,,73.6092,,,,percent of total billed charges,,73.6092,,,,percent of total billed charges,,75.68946,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,77.6097,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,70.4088,,,,percent of total billed charges,,72.009,,,,percent of total billed charges,,51.84648,,,,percent of total billed charges,,72.009,,,,percent of total billed charges,,48.006,,,,percent of total billed charges,,80.786097,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,76.0095,,,,percent of total billed charges,,64.008,,,,percent of total billed charges,,48.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION [81804],0254,RC,,,,,inpatient,,,29.39,,14.695,17.634,29.675083,27.6266,,,,percent of total billed charges,,23.512,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,24.3937,,,,percent of total billed charges,,26.451,,,,percent of total billed charges,,27.0388,,,,percent of total billed charges,,27.0388,,,,percent of total billed charges,,27.80294,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,28.5083,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,25.8632,,,,percent of total billed charges,,26.451,,,,percent of total billed charges,,19.04472,,,,percent of total billed charges,,26.451,,,,percent of total billed charges,,17.634,,,,percent of total billed charges,,29.675083,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,27.9205,,,,percent of total billed charges,,23.512,,,,percent of total billed charges,,17.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION [81804],0254,RC,,,,,inpatient,,,292.5,,146.25,175.5,295.33725,274.95,,,,percent of total billed charges,,234,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,242.775,,,,percent of total billed charges,,263.25,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,269.1,,,,percent of total billed charges,,276.705,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,283.725,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,257.4,,,,percent of total billed charges,,263.25,,,,percent of total billed charges,,189.54,,,,percent of total billed charges,,263.25,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,295.33725,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,277.875,,,,percent of total billed charges,,234,,,,percent of total billed charges,,175.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [189039],0636,RC,,,,,inpatient,,,587.12,,293.56,352.272,592.815064,551.8928,,,,percent of total billed charges,,469.696,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,487.3096,,,,percent of total billed charges,,528.408,,,,percent of total billed charges,,540.1504,,,,percent of total billed charges,,540.1504,,,,percent of total billed charges,,555.41552,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,569.5064,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,516.6656,,,,percent of total billed charges,,528.408,,,,percent of total billed charges,,380.45376,,,,percent of total billed charges,,528.408,,,,percent of total billed charges,,352.272,,,,percent of total billed charges,,592.815064,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,557.764,,,,percent of total billed charges,,469.696,,,,percent of total billed charges,,352.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION [189039],0636,RC,,,,,inpatient,,,1048.41,,524.205,629.046,1058.579577,985.5054,,,,percent of total billed charges,,838.728,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,870.1803,,,,percent of total billed charges,,943.569,,,,percent of total billed charges,,964.5372,,,,percent of total billed charges,,964.5372,,,,percent of total billed charges,,991.79586,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,1016.9577,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,922.6008,,,,percent of total billed charges,,943.569,,,,percent of total billed charges,,679.36968,,,,percent of total billed charges,,943.569,,,,percent of total billed charges,,629.046,,,,percent of total billed charges,,1058.579577,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,995.9895,,,,percent of total billed charges,,838.728,,,,percent of total billed charges,,629.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR 10 MG/ML IN D5W IV PEDS DILUTION [1000040],0250,RC,,,,,inpatient,,,6.39,,3.195,3.834,6.451983,6.0066,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,5.3037,,,,percent of total billed charges,,5.751,,,,percent of total billed charges,,5.8788,,,,percent of total billed charges,,5.8788,,,,percent of total billed charges,,6.04494,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,6.1983,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,5.6232,,,,percent of total billed charges,,5.751,,,,percent of total billed charges,,4.14072,,,,percent of total billed charges,,5.751,,,,percent of total billed charges,,3.834,,,,percent of total billed charges,,6.451983,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,6.0705,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,3.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [77057],0636,RC,,,,,inpatient,,,169.7,,84.85,101.82,171.34609,159.518,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,140.851,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,160.5362,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,164.609,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,149.336,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,109.9656,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,171.34609,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [77057],0636,RC,,,,,inpatient,,,167.72,,83.86,100.632,169.346884,157.6568,,,,percent of total billed charges,,134.176,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,139.2076,,,,percent of total billed charges,,150.948,,,,percent of total billed charges,,154.3024,,,,percent of total billed charges,,154.3024,,,,percent of total billed charges,,158.66312,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,162.6884,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,147.5936,,,,percent of total billed charges,,150.948,,,,percent of total billed charges,,108.68256,,,,percent of total billed charges,,150.948,,,,percent of total billed charges,,100.632,,,,percent of total billed charges,,169.346884,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,159.334,,,,percent of total billed charges,,134.176,,,,percent of total billed charges,,100.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION [77057],0636,RC,,,,,inpatient,,,169.7,,84.85,101.82,171.34609,159.518,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,140.851,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,156.124,,,,percent of total billed charges,,160.5362,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,164.609,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,149.336,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,109.9656,,,,percent of total billed charges,,152.73,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,171.34609,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,161.215,,,,percent of total billed charges,,135.76,,,,percent of total billed charges,,101.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GELATIN MATRIX SEALANT (FLOSEAL) 10 ML KIT [1000571],0250,RC,,,,,inpatient,,,1302.93,,651.465,781.758,1315.568421,1224.7542,,,,percent of total billed charges,,1042.344,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1081.4319,,,,percent of total billed charges,,1172.637,,,,percent of total billed charges,,1198.6956,,,,percent of total billed charges,,1198.6956,,,,percent of total billed charges,,1232.57178,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1263.8421,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1146.5784,,,,percent of total billed charges,,1172.637,,,,percent of total billed charges,,844.29864,,,,percent of total billed charges,,1172.637,,,,percent of total billed charges,,781.758,,,,percent of total billed charges,,1315.568421,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1237.7835,,,,percent of total billed charges,,1042.344,,,,percent of total billed charges,,781.758,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GELATIN MATRIX SEALANT (FLOSEAL) 5 ML KIT [1000566],0250,RC,,,,,inpatient,,,712.15,,356.075,427.29,719.057855,669.421,,,,percent of total billed charges,,569.72,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,591.0845,,,,percent of total billed charges,,640.935,,,,percent of total billed charges,,655.178,,,,percent of total billed charges,,655.178,,,,percent of total billed charges,,673.6939,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,690.7855,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,626.692,,,,percent of total billed charges,,640.935,,,,percent of total billed charges,,461.4732,,,,percent of total billed charges,,640.935,,,,percent of total billed charges,,427.29,,,,percent of total billed charges,,719.057855,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,676.5425,,,,percent of total billed charges,,569.72,,,,percent of total billed charges,,427.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [209932],0636,RC,,,,,inpatient,,,78.71,,39.355,47.226,79.473487,73.9874,,,,percent of total billed charges,,62.968,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,65.3293,,,,percent of total billed charges,,70.839,,,,percent of total billed charges,,72.4132,,,,percent of total billed charges,,72.4132,,,,percent of total billed charges,,74.45966,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,76.3487,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,69.2648,,,,percent of total billed charges,,70.839,,,,percent of total billed charges,,51.00408,,,,percent of total billed charges,,70.839,,,,percent of total billed charges,,47.226,,,,percent of total billed charges,,79.473487,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,74.7745,,,,percent of total billed charges,,62.968,,,,percent of total billed charges,,47.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [209932],0636,RC,,,,,inpatient,,,54.8,,27.4,32.88,55.33156,51.512,,,,percent of total billed charges,,43.84,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,45.484,,,,percent of total billed charges,,49.32,,,,percent of total billed charges,,50.416,,,,percent of total billed charges,,50.416,,,,percent of total billed charges,,51.8408,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,53.156,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,48.224,,,,percent of total billed charges,,49.32,,,,percent of total billed charges,,35.5104,,,,percent of total billed charges,,49.32,,,,percent of total billed charges,,32.88,,,,percent of total billed charges,,55.33156,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,52.06,,,,percent of total billed charges,,43.84,,,,percent of total billed charges,,32.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [209932],0636,RC,,,,,inpatient,,,71.96,,35.98,43.176,72.658012,67.6424,,,,percent of total billed charges,,57.568,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,59.7268,,,,percent of total billed charges,,64.764,,,,percent of total billed charges,,66.2032,,,,percent of total billed charges,,66.2032,,,,percent of total billed charges,,68.07416,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,69.8012,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,63.3248,,,,percent of total billed charges,,64.764,,,,percent of total billed charges,,46.63008,,,,percent of total billed charges,,64.764,,,,percent of total billed charges,,43.176,,,,percent of total billed charges,,72.658012,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,68.362,,,,percent of total billed charges,,57.568,,,,percent of total billed charges,,43.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION [209933],0636,RC,,,,,inpatient,,,120.72,,60.36,72.432,121.890984,113.4768,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,100.1976,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,114.20112,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,117.0984,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,106.2336,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,78.22656,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,121.890984,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION [209933],0636,RC,,,,,inpatient,,,200.25,,100.125,120.15,202.192425,188.235,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,166.2075,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,189.4365,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,194.2425,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,202.192425,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION [209934],0636,RC,,,,,inpatient,,,18.54,,9.27,11.124,18.719838,17.4276,,,,percent of total billed charges,,14.832,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,15.3882,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,17.0568,,,,percent of total billed charges,,17.0568,,,,percent of total billed charges,,17.53884,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,17.9838,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,16.3152,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,12.01392,,,,percent of total billed charges,,16.686,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,18.719838,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,17.613,,,,percent of total billed charges,,14.832,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 38 MG/ML IN (PF) NS INTRAVESICAL [1000545],0636,RC,,,,,inpatient,,,120.72,,60.36,72.432,121.890984,113.4768,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,100.1976,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,111.0624,,,,percent of total billed charges,,114.20112,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,117.0984,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,106.2336,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,78.22656,,,,percent of total billed charges,,108.648,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,121.890984,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,114.684,,,,percent of total billed charges,,96.576,,,,percent of total billed charges,,72.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMCITABINE 38 MG/ML IN (PF) NS INTRAVESICAL [1000545],0636,RC,,,,,inpatient,,,200.25,,100.125,120.15,202.192425,188.235,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,166.2075,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,184.23,,,,percent of total billed charges,,189.4365,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,194.2425,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,176.22,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,129.762,,,,percent of total billed charges,,180.225,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,202.192425,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,190.2375,,,,percent of total billed charges,,160.2,,,,percent of total billed charges,,120.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,,,,,inpatient,,,1.26,,0.63,0.756,1.272222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.81648,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.272222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,,,,,inpatient,,,1.26,,0.63,0.756,1.272222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.81648,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.272222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,,,,,inpatient,,,1.01,,0.505,0.606,1.019797,0.9494,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8383,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.95546,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8888,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.65448,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,1.019797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GEMFIBROZIL 600 MG TABLET [3378],0637,RC,,,,,inpatient,,,1.01,,0.505,0.606,1.019797,0.9494,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8383,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.95546,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8888,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.65448,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,1.019797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENT VIOLET-BRLNT GRN-PROFLAV 2.29 MG-2.29 MG-1.14 MG/ML TOPICAL SWAB [94384],0637,RC,,,,,inpatient,,,20.69,,10.345,12.414,20.890693,19.4486,,,,percent of total billed charges,,16.552,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,17.1727,,,,percent of total billed charges,,18.621,,,,percent of total billed charges,,19.0348,,,,percent of total billed charges,,19.0348,,,,percent of total billed charges,,19.57274,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,20.0693,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,18.2072,,,,percent of total billed charges,,18.621,,,,percent of total billed charges,,13.40712,,,,percent of total billed charges,,18.621,,,,percent of total billed charges,,12.414,,,,percent of total billed charges,,20.890693,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,19.6555,,,,percent of total billed charges,,16.552,,,,percent of total billed charges,,12.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL CREAM [3423],0637,RC,,,,,inpatient,,,171.93,,85.965,103.158,173.597721,161.6142,,,,percent of total billed charges,,137.544,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,142.7019,,,,percent of total billed charges,,154.737,,,,percent of total billed charges,,158.1756,,,,percent of total billed charges,,158.1756,,,,percent of total billed charges,,162.64578,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,166.7721,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,151.2984,,,,percent of total billed charges,,154.737,,,,percent of total billed charges,,111.41064,,,,percent of total billed charges,,154.737,,,,percent of total billed charges,,103.158,,,,percent of total billed charges,,173.597721,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,163.3335,,,,percent of total billed charges,,137.544,,,,percent of total billed charges,,103.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL CREAM [3423],0637,RC,,,,,inpatient,,,87.89,,43.945,52.734,88.742533,82.6166,,,,percent of total billed charges,,70.312,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,72.9487,,,,percent of total billed charges,,79.101,,,,percent of total billed charges,,80.8588,,,,percent of total billed charges,,80.8588,,,,percent of total billed charges,,83.14394,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,85.2533,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,77.3432,,,,percent of total billed charges,,79.101,,,,percent of total billed charges,,56.95272,,,,percent of total billed charges,,79.101,,,,percent of total billed charges,,52.734,,,,percent of total billed charges,,88.742533,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,83.4955,,,,percent of total billed charges,,70.312,,,,percent of total billed charges,,52.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],0637,RC,,,,,inpatient,,,142.09,,71.045,85.254,143.468273,133.5646,,,,percent of total billed charges,,113.672,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,117.9347,,,,percent of total billed charges,,127.881,,,,percent of total billed charges,,130.7228,,,,percent of total billed charges,,130.7228,,,,percent of total billed charges,,134.41714,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,137.8273,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,125.0392,,,,percent of total billed charges,,127.881,,,,percent of total billed charges,,92.07432,,,,percent of total billed charges,,127.881,,,,percent of total billed charges,,85.254,,,,percent of total billed charges,,143.468273,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,134.9855,,,,percent of total billed charges,,113.672,,,,percent of total billed charges,,85.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.1 % TOPICAL OINTMENT [3424],0637,RC,,,,,inpatient,,,168.42,,84.21,101.052,170.053674,158.3148,,,,percent of total billed charges,,134.736,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,139.7886,,,,percent of total billed charges,,151.578,,,,percent of total billed charges,,154.9464,,,,percent of total billed charges,,154.9464,,,,percent of total billed charges,,159.32532,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,163.3674,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,148.2096,,,,percent of total billed charges,,151.578,,,,percent of total billed charges,,109.13616,,,,percent of total billed charges,,151.578,,,,percent of total billed charges,,101.052,,,,percent of total billed charges,,170.053674,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,159.999,,,,percent of total billed charges,,134.736,,,,percent of total billed charges,,101.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.3 % EYE DROPS [3428],0637,RC,,,,,inpatient,,,61.38,,30.69,36.828,61.975386,57.6972,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,50.9454,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,56.4696,,,,percent of total billed charges,,58.06548,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,59.5386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,54.0144,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,39.77424,,,,percent of total billed charges,,55.242,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,61.975386,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,58.311,,,,percent of total billed charges,,49.104,,,,percent of total billed charges,,36.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.3 % EYE DROPS [3428],0637,RC,,,,,inpatient,,,22.23,,11.115,13.338,22.445631,20.8962,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,18.4509,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,21.02958,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.5631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,19.5624,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,14.40504,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,22.445631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 0.3 % EYE DROPS [3428],0637,RC,,,,,inpatient,,,22.23,,11.115,13.338,22.445631,20.8962,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,18.4509,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,21.02958,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.5631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,19.5624,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,14.40504,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,22.445631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 2 MG/ML IN NS IV PEDS DILUTION - NICU [1001853],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,103.23,,51.615,61.938,104.231331,97.0362,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,85.6809,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,97.65558,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,100.1331,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,90.8424,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,66.89304,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,104.231331,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,103.23,,51.615,61.938,104.231331,97.0362,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,85.6809,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,94.9716,,,,percent of total billed charges,,97.65558,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,100.1331,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,90.8424,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,66.89304,,,,percent of total billed charges,,92.907,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,104.231331,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,98.0685,,,,percent of total billed charges,,82.584,,,,percent of total billed charges,,61.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,6.12,,3.06,3.672,6.179364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.96576,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,6.179364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,6.12,,3.06,3.672,6.179364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.96576,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,6.179364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.01 ML [192599],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION FOR OSTEOBEADS [7000177],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40MG/ML IM INJECTION [1000603],0636,RC,,,,,inpatient,,,3.21,,1.605,1.926,3.241137,3.0174,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.6643,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,2.9532,,,,percent of total billed charges,,3.03666,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.1137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.8248,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,2.08008,,,,percent of total billed charges,,2.889,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,3.241137,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,3.0495,,,,percent of total billed charges,,2.568,,,,percent of total billed charges,,1.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [134222],0636,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,8.11,,4.055,4.866,8.188667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,5.25528,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,8.188667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,28.38,,14.19,17.028,28.655286,26.6772,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,23.5554,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.84748,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,24.9744,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,18.39024,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,28.655286,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,10.14,,5.07,6.084,10.238358,9.5316,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.4162,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.59244,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.8358,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.9232,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,6.57072,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,10.238358,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,28.38,,14.19,17.028,28.655286,26.6772,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,23.5554,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.1096,,,,percent of total billed charges,,26.84748,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,24.9744,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,18.39024,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,28.655286,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,26.961,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [162842],0636,RC,,,,,inpatient,,,8.61,,4.305,5.166,8.693517,8.0934,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.1463,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,8.14506,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.3517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.5768,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.57928,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,8.693517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [162842],0636,RC,,,,,inpatient,,,8.61,,4.305,5.166,8.693517,8.0934,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.1463,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,8.14506,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.3517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.5768,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.57928,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,8.693517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [162842],0636,RC,,,,,inpatient,,,8.61,,4.305,5.166,8.693517,8.0934,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.1463,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,7.9212,,,,percent of total billed charges,,8.14506,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.3517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,7.5768,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.57928,,,,percent of total billed charges,,7.749,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,8.693517,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,8.1795,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,5.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTIAN VIOLET 1 % TOPICAL SOLUTION [3430],0250,RC,,,,,inpatient,,,24.17,,12.085,14.502,24.404449,22.7198,,,,percent of total billed charges,,19.336,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,20.0611,,,,percent of total billed charges,,21.753,,,,percent of total billed charges,,22.2364,,,,percent of total billed charges,,22.2364,,,,percent of total billed charges,,22.86482,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,23.4449,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,21.2696,,,,percent of total billed charges,,21.753,,,,percent of total billed charges,,15.66216,,,,percent of total billed charges,,21.753,,,,percent of total billed charges,,14.502,,,,percent of total billed charges,,24.404449,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,22.9615,,,,percent of total billed charges,,19.336,,,,percent of total billed charges,,14.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTIAN VIOLET 1 % TOPICAL SOLUTION [3430],0250,RC,,,,,inpatient,,,10.36,,5.18,6.216,10.460492,9.7384,,,,percent of total billed charges,,8.288,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,8.5988,,,,percent of total billed charges,,9.324,,,,percent of total billed charges,,9.5312,,,,percent of total billed charges,,9.5312,,,,percent of total billed charges,,9.80056,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,10.0492,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,9.1168,,,,percent of total billed charges,,9.324,,,,percent of total billed charges,,6.71328,,,,percent of total billed charges,,9.324,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,10.460492,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,9.842,,,,percent of total billed charges,,8.288,,,,percent of total billed charges,,6.216,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GI COCKTAIL (ANTACID SUSP, HYOSCYAMINE, LIDOCAINE) [7000262]",0637,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,,,,,inpatient,,,1.99,,0.995,1.194,2.009303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.28952,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,2.009303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,,,,,inpatient,,,1.99,,0.995,1.194,2.009303,1.8706,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.6517,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.8308,,,,percent of total billed charges,,1.88254,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.9303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.7512,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.28952,,,,percent of total billed charges,,1.791,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,2.009303,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.8905,,,,percent of total billed charges,,1.592,,,,percent of total billed charges,,1.194,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,,,,,inpatient,,,2.66,,1.33,1.596,2.685802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.72368,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.685802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIMEPIRIDE 2 MG TABLET [16356],0637,RC,,,,,inpatient,,,2.66,,1.33,1.596,2.685802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.72368,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.685802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,,,,,inpatient,,,3.01,,1.505,1.806,3.039197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.95048,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,3.039197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 10 MG TABLET [10116],0637,RC,,,,,inpatient,,,3.01,,1.505,1.806,3.039197,2.8294,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.4983,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.7692,,,,percent of total billed charges,,2.84746,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.9197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.6488,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.95048,,,,percent of total billed charges,,2.709,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,3.039197,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.8595,,,,percent of total billed charges,,2.408,,,,percent of total billed charges,,1.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,,,,,inpatient,,,0.89,,0.445,0.534,0.898633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.898633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,,,,,inpatient,,,0.89,,0.445,0.534,0.898633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.898633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,,,,,inpatient,,,1.19,,0.595,0.714,1.201543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.77112,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.201543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,,,,,inpatient,,,1.65,,0.825,0.99,1.666005,1.551,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.3695,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.5609,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.6005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.0692,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.666005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLIPIZIDE 5 MG TABLET [10117],0637,RC,,,,,inpatient,,,1.65,,0.825,0.99,1.666005,1.551,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.3695,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.5609,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.6005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.0692,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.666005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,,,,,inpatient,,,337.23,,168.615,202.338,340.501131,316.9962,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,279.9009,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,319.01958,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,327.1131,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,296.7624,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,218.52504,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,340.501131,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,,,,,inpatient,,,337.22,,168.61,202.332,340.491034,316.9868,,,,percent of total billed charges,,269.776,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,279.8926,,,,percent of total billed charges,,303.498,,,,percent of total billed charges,,310.2424,,,,percent of total billed charges,,310.2424,,,,percent of total billed charges,,319.01012,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,327.1034,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,296.7536,,,,percent of total billed charges,,303.498,,,,percent of total billed charges,,218.51856,,,,percent of total billed charges,,303.498,,,,percent of total billed charges,,202.332,,,,percent of total billed charges,,340.491034,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,320.359,,,,percent of total billed charges,,269.776,,,,percent of total billed charges,,202.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,,,,,inpatient,,,337.23,,168.615,202.338,340.501131,316.9962,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,279.9009,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,310.2516,,,,percent of total billed charges,,319.01958,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,327.1131,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,296.7624,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,218.52504,,,,percent of total billed charges,,303.507,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,340.501131,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,320.3685,,,,percent of total billed charges,,269.784,,,,percent of total billed charges,,202.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON 1 MG/ML SOLUTION FOR INJECTION [200896],0636,RC,,,,,inpatient,,,3372.17,,1686.085,2023.302,3404.880049,3169.8398,,,,percent of total billed charges,,2697.736,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,2798.9011,,,,percent of total billed charges,,3034.953,,,,percent of total billed charges,,3102.3964,,,,percent of total billed charges,,3102.3964,,,,percent of total billed charges,,3190.07282,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,3271.0049,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,2967.5096,,,,percent of total billed charges,,3034.953,,,,percent of total billed charges,,2185.16616,,,,percent of total billed charges,,3034.953,,,,percent of total billed charges,,2023.302,,,,percent of total billed charges,,3404.880049,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,3203.5615,,,,percent of total billed charges,,2697.736,,,,percent of total billed charges,,2023.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,,,,,inpatient,,,601.74,,300.87,361.044,607.576878,565.6356,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,499.4442,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,569.24604,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,583.6878,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,529.5312,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,389.92752,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,607.576878,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,,,,,inpatient,,,614.16,,307.08,368.496,620.117352,577.3104,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,509.7528,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,580.99536,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,595.7352,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,540.4608,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,397.97568,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,620.117352,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,,,,,inpatient,,,601.74,,300.87,361.044,607.576878,565.6356,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,499.4442,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,553.6008,,,,percent of total billed charges,,569.24604,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,583.6878,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,529.5312,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,389.92752,,,,percent of total billed charges,,541.566,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,607.576878,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,571.653,,,,percent of total billed charges,,481.392,,,,percent of total billed charges,,361.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION [225618],0636,RC,,,,,inpatient,,,614.16,,307.08,368.496,620.117352,577.3104,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,509.7528,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,565.0272,,,,percent of total billed charges,,580.99536,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,595.7352,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,540.4608,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,397.97568,,,,percent of total billed charges,,552.744,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,620.117352,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,583.452,,,,percent of total billed charges,,491.328,,,,percent of total billed charges,,368.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (ADULT) RECTAL SUPPOSITORY [15053],0637,RC,,,,,inpatient,,,2.58,,1.29,1.548,2.605026,2.4252,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.1414,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.44068,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.5026,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.2704,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,1.67184,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,2.605026,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (ADULT) RECTAL SUPPOSITORY [15053],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,,,,,inpatient,,,2.05,,1.025,1.23,2.069885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.3284,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,2.069885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCERIN (CHILD) RECTAL SUPPOSITORY [3492],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION [3493],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,6.58,,3.29,3.948,6.643826,6.1852,,,,percent of total billed charges,,5.264,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,5.4614,,,,percent of total billed charges,,5.922,,,,percent of total billed charges,,6.0536,,,,percent of total billed charges,,6.0536,,,,percent of total billed charges,,6.22468,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,6.3826,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,5.7904,,,,percent of total billed charges,,5.922,,,,percent of total billed charges,,4.26384,,,,percent of total billed charges,,5.922,,,,percent of total billed charges,,3.948,,,,percent of total billed charges,,6.643826,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,6.251,,,,percent of total billed charges,,5.264,,,,percent of total billed charges,,3.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,2.65,,1.325,1.59,2.675705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.7172,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.675705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,2.65,,1.325,1.59,2.675705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.7172,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.675705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,4.05,,2.025,2.43,4.089285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.6244,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,4.089285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,4.05,,2.025,2.43,4.089285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.6244,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,4.089285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,8.11,,4.055,4.866,8.188667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,5.25528,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,8.188667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,8.11,,4.055,4.866,8.188667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,5.25528,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,8.188667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,4.64,,2.32,2.784,4.685008,4.3616,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.8512,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.38944,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.5008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.0832,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.00672,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,4.685008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,4.64,,2.32,2.784,4.685008,4.3616,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.8512,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.38944,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.5008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.0832,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.00672,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,4.685008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,2.65,,1.325,1.59,2.675705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.7172,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.675705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [3497],0250,RC,,,,,inpatient,,,2.65,,1.325,1.59,2.675705,2.491,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.1995,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.438,,,,percent of total billed charges,,2.5069,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.332,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.7172,,,,percent of total billed charges,,2.385,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,2.675705,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.5175,,,,percent of total billed charges,,2.12,,,,percent of total billed charges,,1.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION [217993],0636,RC,,,,,inpatient,,,8677.14,,4338.57,5206.284,8761.308258,8156.5116,,,,percent of total billed charges,,6941.712,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,7202.0262,,,,percent of total billed charges,,7809.426,,,,percent of total billed charges,,7982.9688,,,,percent of total billed charges,,7982.9688,,,,percent of total billed charges,,8208.57444,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,8416.8258,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,7635.8832,,,,percent of total billed charges,,7809.426,,,,percent of total billed charges,,5622.78672,,,,percent of total billed charges,,7809.426,,,,percent of total billed charges,,5206.284,,,,percent of total billed charges,,8761.308258,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,8243.283,,,,percent of total billed charges,,6941.712,,,,percent of total billed charges,,5206.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION [217993],0636,RC,,,,,inpatient,,,20855.98,,10427.99,12513.588,21058.28301,19604.6212,,,,percent of total billed charges,,16684.784,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,17310.4634,,,,percent of total billed charges,,18770.382,,,,percent of total billed charges,,19187.5016,,,,percent of total billed charges,,19187.5016,,,,percent of total billed charges,,19729.75708,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,20230.3006,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,18353.2624,,,,percent of total billed charges,,18770.382,,,,percent of total billed charges,,13514.67504,,,,percent of total billed charges,,18770.382,,,,percent of total billed charges,,12513.588,,,,percent of total billed charges,,21058.28301,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,19813.181,,,,percent of total billed charges,,16684.784,,,,percent of total billed charges,,12513.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [77747],0636,RC,,,,,inpatient,,,2074.91,,1037.455,1244.946,2095.036627,1950.4154,,,,percent of total billed charges,,1659.928,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1722.1753,,,,percent of total billed charges,,1867.419,,,,percent of total billed charges,,1908.9172,,,,percent of total billed charges,,1908.9172,,,,percent of total billed charges,,1962.86486,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,2012.6627,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1825.9208,,,,percent of total billed charges,,1867.419,,,,percent of total billed charges,,1344.54168,,,,percent of total billed charges,,1867.419,,,,percent of total billed charges,,1244.946,,,,percent of total billed charges,,2095.036627,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1971.1645,,,,percent of total billed charges,,1659.928,,,,percent of total billed charges,,1244.946,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUAIFENESIN 100 MG/5 ML ORAL LIQUID [79215],0637,RC,,,,,inpatient,,,6.6,,3.3,3.96,6.66402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.66402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUAIFENESIN 100 MG/5 ML ORAL LIQUID [79215],0637,RC,,,,,inpatient,,,6.6,,3.3,3.96,6.66402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.66402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUAIFENESIN 200 MG TABLET [10144],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,,,,,inpatient,,,1.55,,0.775,0.93,1.565035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.0044,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.565035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,,,,,inpatient,,,3.67,,1.835,2.202,3.705599,3.4498,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.0461,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.47182,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.5599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.2296,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.37816,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,3.705599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,,,,,inpatient,,,3.67,,1.835,2.202,3.705599,3.4498,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.0461,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.3764,,,,percent of total billed charges,,3.47182,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.5599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.2296,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.37816,,,,percent of total billed charges,,3.303,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,3.705599,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,3.4865,,,,percent of total billed charges,,2.936,,,,percent of total billed charges,,2.202,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,,,,,inpatient,,,1.51,,0.755,0.906,1.524647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.97848,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.524647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR [221248]",0637,RC,,,,,inpatient,,,3.08,,1.54,1.848,3.109876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.99584,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,3.109876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,,,,,inpatient,,,8.95,,4.475,5.37,9.036815,8.413,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.4285,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.4667,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.6815,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.876,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,5.7996,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,9.036815,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,,,,,inpatient,,,8.95,,4.475,5.37,9.036815,8.413,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.4285,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.234,,,,percent of total billed charges,,8.4667,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.6815,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.876,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,5.7996,,,,percent of total billed charges,,8.055,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,9.036815,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,8.5025,,,,percent of total billed charges,,7.16,,,,percent of total billed charges,,5.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GUANFACINE 1 MG TABLET [10149],0637,RC,,,,,inpatient,,,4.71,,2.355,2.826,4.755687,4.4274,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.9093,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.3332,,,,percent of total billed charges,,4.45566,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.5687,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.1448,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,3.05208,,,,percent of total billed charges,,4.239,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,4.755687,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,4.4745,,,,percent of total billed charges,,3.768,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [164329],0636,RC,,,,,inpatient,,,52.08,,26.04,31.248,52.585176,48.9552,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,43.2264,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,49.26768,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,50.5176,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,45.8304,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,33.74784,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,52.585176,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN [164329],0636,RC,,,,,inpatient,,,52.08,,26.04,31.248,52.585176,48.9552,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,43.2264,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,47.9136,,,,percent of total billed charges,,49.26768,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,50.5176,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,45.8304,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,33.74784,,,,percent of total billed charges,,46.872,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,52.585176,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,49.476,,,,percent of total billed charges,,41.664,,,,percent of total billed charges,,31.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [164234],0636,RC,,,,,inpatient,,,23.44,,11.72,14.064,23.667368,22.0336,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,19.4552,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,22.17424,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.7368,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,20.6272,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,15.18912,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,23.667368,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [164234],0636,RC,,,,,inpatient,,,23.44,,11.72,14.064,23.667368,22.0336,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,19.4552,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,21.5648,,,,percent of total billed charges,,22.17424,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.7368,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,20.6272,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,15.18912,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,23.667368,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,22.268,,,,percent of total billed charges,,18.752,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 1 MG TABLET [3579],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 1 MG TABLET [3579],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 1 MG TABLET [3579],0637,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,,,,,inpatient,,,3.53,,1.765,2.118,3.564241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.28744,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.564241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL 5 MG TABLET [3583],0637,RC,,,,,inpatient,,,3.53,,1.765,2.118,3.564241,3.3182,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.9299,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.2476,,,,percent of total billed charges,,3.33938,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.4241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.1064,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.28744,,,,percent of total billed charges,,3.177,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,3.564241,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,3.3535,,,,percent of total billed charges,,2.824,,,,percent of total billed charges,,2.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],0636,RC,,,,,inpatient,,,31.01,,15.505,18.606,31.310797,29.1494,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,25.7383,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,29.33546,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,30.0797,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,27.2888,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,20.09448,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,31.310797,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],0636,RC,,,,,inpatient,,,72.22,,36.11,43.332,72.920534,67.8868,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,59.9426,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,68.32012,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,70.0534,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,63.5536,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,46.79856,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,72.920534,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [10163],0636,RC,,,,,inpatient,,,72.22,,36.11,43.332,72.920534,67.8868,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,59.9426,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,66.4424,,,,percent of total billed charges,,68.32012,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,70.0534,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,63.5536,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,46.79856,,,,percent of total billed charges,,64.998,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,72.920534,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,68.609,,,,percent of total billed charges,,57.776,,,,percent of total billed charges,,43.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],0637,RC,,,,,inpatient,,,107.46,,53.73,64.476,108.502362,101.0124,,,,percent of total billed charges,,85.968,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,89.1918,,,,percent of total billed charges,,96.714,,,,percent of total billed charges,,98.8632,,,,percent of total billed charges,,98.8632,,,,percent of total billed charges,,101.65716,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,104.2362,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,94.5648,,,,percent of total billed charges,,96.714,,,,percent of total billed charges,,69.63408,,,,percent of total billed charges,,96.714,,,,percent of total billed charges,,64.476,,,,percent of total billed charges,,108.502362,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,102.087,,,,percent of total billed charges,,85.968,,,,percent of total billed charges,,64.476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [3585],0637,RC,,,,,inpatient,,,113.94,,56.97,68.364,115.045218,107.1036,,,,percent of total billed charges,,91.152,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,94.5702,,,,percent of total billed charges,,102.546,,,,percent of total billed charges,,104.8248,,,,percent of total billed charges,,104.8248,,,,percent of total billed charges,,107.78724,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,110.5218,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,100.2672,,,,percent of total billed charges,,102.546,,,,percent of total billed charges,,73.83312,,,,percent of total billed charges,,102.546,,,,percent of total billed charges,,68.364,,,,percent of total billed charges,,115.045218,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,108.243,,,,percent of total billed charges,,91.152,,,,percent of total billed charges,,68.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,,,,,inpatient,,,3.27,,1.635,1.962,3.301719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.11896,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.301719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,,,,,inpatient,,,22.99,,11.495,13.794,23.213003,21.6106,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,19.0817,,,,percent of total billed charges,,20.691,,,,percent of total billed charges,,21.1508,,,,percent of total billed charges,,21.1508,,,,percent of total billed charges,,21.74854,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,22.3003,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,20.2312,,,,percent of total billed charges,,20.691,,,,percent of total billed charges,,14.89752,,,,percent of total billed charges,,20.691,,,,percent of total billed charges,,13.794,,,,percent of total billed charges,,23.213003,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,21.8405,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,13.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,,,,,inpatient,,,2.79,,1.395,1.674,2.817063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.80792,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.817063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,,,,,inpatient,,,2.79,,1.395,1.674,2.817063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.80792,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.817063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [3584],0636,RC,,,,,inpatient,,,3.27,,1.635,1.962,3.301719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.11896,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.301719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [135421],0636,RC,,,,,inpatient,,,122.06,,61.03,73.236,123.243982,114.7364,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,101.3098,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,115.46876,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,118.3982,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,107.4128,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,79.09488,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,123.243982,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [135421],0636,RC,,,,,inpatient,,,122.06,,61.03,73.236,123.243982,114.7364,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,101.3098,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,112.2952,,,,percent of total billed charges,,115.46876,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,118.3982,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,107.4128,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,79.09488,,,,percent of total billed charges,,109.854,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,123.243982,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,115.957,,,,percent of total billed charges,,97.648,,,,percent of total billed charges,,73.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV [188764]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPARIN (PORCINE) (PF) 100 UNITS/ML DILUTION [1000408],0636,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV [188765]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,,,,,inpatient,,,29.88,,14.94,17.928,30.169836,28.0872,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,24.8004,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,28.26648,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.9836,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,26.2944,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,19.36224,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,30.169836,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,,,,,inpatient,,,14.81,,7.405,8.886,14.953657,13.9214,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,12.2923,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,14.01026,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.3657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,13.0328,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,9.59688,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,14.953657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,,,,,inpatient,,,9.68,,4.84,5.808,9.773896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,6.27264,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,9.773896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION FOR DIALYSIS [7000227]",0636,RC,,,,,inpatient,,,14.81,,7.405,8.886,14.953657,13.9214,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,12.2923,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,14.01026,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.3657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,13.0328,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,9.59688,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,14.953657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,29.88,,14.94,17.928,30.169836,28.0872,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,24.8004,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,27.4896,,,,percent of total billed charges,,28.26648,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.9836,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,26.2944,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,19.36224,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,30.169836,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,28.386,,,,percent of total billed charges,,23.904,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,4.52,,2.26,2.712,4.563844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.92896,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.563844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,13.95,,6.975,8.37,14.085315,13.113,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.5785,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1967,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.5315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,9.0396,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,14.085315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,9.68,,4.84,5.808,9.773896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,6.27264,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,9.773896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,10.67,,5.335,6.402,10.773499,10.0298,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.8561,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,10.09382,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.3499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.91416,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,10.773499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,10.67,,5.335,6.402,10.773499,10.0298,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.8561,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,10.09382,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.3499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.91416,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,10.773499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,4.52,,2.26,2.712,4.563844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.92896,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.563844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,13.95,,6.975,8.37,14.085315,13.113,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.5785,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1967,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.5315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,9.0396,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,14.085315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,11.42,,5.71,6.852,11.530774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,7.40016,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,11.530774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,11.42,,5.71,6.852,11.530774,10.7348,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.4786,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.5064,,,,percent of total billed charges,,10.80332,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,11.0774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.0496,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,7.40016,,,,percent of total billed charges,,10.278,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,11.530774,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,10.849,,,,percent of total billed charges,,9.136,,,,percent of total billed charges,,6.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,17.1,,8.55,10.26,17.26587,16.074,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,14.193,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.1766,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,11.0808,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,17.26587,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,17.1,,8.55,10.26,17.26587,16.074,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,14.193,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.1766,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,11.0808,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,17.26587,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,16.245,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,8.96,,4.48,5.376,9.046912,8.4224,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.4368,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.47616,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.6912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.8848,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.80608,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,9.046912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,8.96,,4.48,5.376,9.046912,8.4224,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.4368,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.47616,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.6912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.8848,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.80608,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,9.046912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,16.11,,8.055,9.666,16.266267,15.1434,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,13.3713,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,15.24006,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.6267,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,14.1768,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,10.43928,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,16.266267,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,16.11,,8.055,9.666,16.266267,15.1434,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,13.3713,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,14.8212,,,,percent of total billed charges,,15.24006,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.6267,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,14.1768,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,10.43928,,,,percent of total billed charges,,14.499,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,16.266267,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,15.3045,,,,percent of total billed charges,,12.888,,,,percent of total billed charges,,9.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,8.96,,4.48,5.376,9.046912,8.4224,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.4368,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.2432,,,,percent of total billed charges,,8.47616,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.6912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.8848,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.80608,,,,percent of total billed charges,,8.064,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,9.046912,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,8.512,,,,percent of total billed charges,,7.168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,14.49,,7.245,8.694,14.630553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,9.38952,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,14.630553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,14.49,,7.245,8.694,14.630553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,9.38952,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,14.630553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,,,,,inpatient,,,10.26,,5.13,6.156,10.359522,9.6444,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.5158,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.4392,,,,percent of total billed charges,,9.70596,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.9522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.0288,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.64848,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,10.359522,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,9.747,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,,,,,inpatient,,,19.26,,9.63,11.556,19.446822,18.1044,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.9858,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,18.21996,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.6822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,16.9488,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,12.48048,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,19.446822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,,,,,inpatient,,,19.26,,9.63,11.556,19.446822,18.1044,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.9858,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,18.21996,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.6822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,16.9488,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,12.48048,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,19.446822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,,,,,inpatient,,,6.46,,3.23,3.876,6.522662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.18608,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.522662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [10177]",0636,RC,,,,,inpatient,,,6.46,,3.23,3.876,6.522662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.18608,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.522662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE (NON-TITRATABLE TASK) [234135]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE (NON-TITRATABLE TASK) [234135]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [15849]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250ML IN 0.45 % SODIUM CHLORIDE (PROCEDURAL AREA) [1001392]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 25,000 UNIT/250ML IN 0.45 % SODIUM CHLORIDE (PROCEDURAL AREA) [1001392]",0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [207211]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV SOLN [207211]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,32.99,,16.495,19.794,33.310003,31.0106,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,27.3817,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,31.20854,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,32.0003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,29.0312,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,21.37752,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,33.310003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,6.31,,3.155,3.786,6.371207,5.9314,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.2373,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.96926,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,6.1207,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.5528,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,4.08888,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,6.371207,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,34.74,,17.37,20.844,35.076978,32.6556,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,28.8342,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,32.86404,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.6978,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,30.5712,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,22.51152,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,35.076978,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,5.18,,2.59,3.108,5.230246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.35664,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,5.230246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,9.55,,4.775,5.73,9.642635,8.977,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.9265,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,9.0343,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.2635,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,8.404,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,6.1884,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,9.642635,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,9.55,,4.775,5.73,9.642635,8.977,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.9265,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,8.786,,,,percent of total billed charges,,9.0343,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.2635,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,8.404,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,6.1884,,,,percent of total billed charges,,8.595,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,9.642635,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,9.0725,,,,percent of total billed charges,,7.64,,,,percent of total billed charges,,5.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,5.57,,2.785,3.342,5.624029,5.2358,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.6231,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.26922,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.4029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.9016,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.60936,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,5.624029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,5.57,,2.785,3.342,5.624029,5.2358,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.6231,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.1244,,,,percent of total billed charges,,5.26922,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.4029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.9016,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.60936,,,,percent of total billed charges,,5.013,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,5.624029,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,5.2915,,,,percent of total billed charges,,4.456,,,,percent of total billed charges,,3.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,6.31,,3.155,3.786,6.371207,5.9314,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.2373,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.8052,,,,percent of total billed charges,,5.96926,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,6.1207,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.5528,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,4.08888,,,,percent of total billed charges,,5.679,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,6.371207,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.9945,,,,percent of total billed charges,,5.048,,,,percent of total billed charges,,3.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,34.74,,17.37,20.844,35.076978,32.6556,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,28.8342,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,31.9608,,,,percent of total billed charges,,32.86404,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.6978,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,30.5712,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,22.51152,,,,percent of total billed charges,,31.266,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,35.076978,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,33.003,,,,percent of total billed charges,,27.792,,,,percent of total billed charges,,20.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,2.9,,1.45,1.74,2.92813,2.726,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.407,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.7434,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.813,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,1.8792,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,2.92813,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,3.73,,1.865,2.238,3.766181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.41704,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.766181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,27.72,,13.86,16.632,27.988884,26.0568,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,23.0076,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,26.22312,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.8884,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,24.3936,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,17.96256,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,27.988884,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,27.72,,13.86,16.632,27.988884,26.0568,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,23.0076,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,25.5024,,,,percent of total billed charges,,26.22312,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.8884,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,24.3936,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,17.96256,,,,percent of total billed charges,,24.948,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,27.988884,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,26.334,,,,percent of total billed charges,,22.176,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,32.99,,16.495,19.794,33.310003,31.0106,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,27.3817,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,30.3508,,,,percent of total billed charges,,31.20854,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,32.0003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,29.0312,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,21.37752,,,,percent of total billed charges,,29.691,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,33.310003,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,31.3405,,,,percent of total billed charges,,26.392,,,,percent of total billed charges,,19.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [10181]",0636,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION FOR DIALYSIS [7000226]",0636,RC,,,,,inpatient,,,17.08,,8.54,10.248,17.245676,16.0552,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,14.1764,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,16.15768,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.5676,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,15.0304,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,11.06784,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,17.245676,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION FOR DIALYSIS [7000226]",0636,RC,,,,,inpatient,,,5.18,,2.59,3.108,5.230246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.35664,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,5.230246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS [1000346]",0636,RC,,,,,inpatient,,,5.18,,2.59,3.108,5.230246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.35664,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,5.230246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS - CHI [7000047]",0636,RC,,,,,inpatient,,,17.08,,8.54,10.248,17.245676,16.0552,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,14.1764,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,15.7136,,,,percent of total billed charges,,16.15768,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.5676,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,15.0304,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,11.06784,,,,percent of total billed charges,,15.372,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,17.245676,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,16.226,,,,percent of total billed charges,,13.664,,,,percent of total billed charges,,10.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS - CHI [7000047]",0636,RC,,,,,inpatient,,,5.18,,2.59,3.108,5.230246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.35664,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,5.230246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 5,000 UNITS/ML BOLUS FOR DOSE ADJUSTMENT [1000653]",0636,RC,,,,,inpatient,,,5.18,,2.59,3.108,5.230246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.35664,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,5.230246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN 10,000 UNIT/ML FOR ANTIBIOTIC LOCK [1000557]",0636,RC,,,,,inpatient,,,29.66,,14.83,17.796,29.947702,27.8804,,,,percent of total billed charges,,23.728,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,24.6178,,,,percent of total billed charges,,26.694,,,,percent of total billed charges,,27.2872,,,,percent of total billed charges,,27.2872,,,,percent of total billed charges,,28.05836,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,28.7702,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,26.1008,,,,percent of total billed charges,,26.694,,,,percent of total billed charges,,19.21968,,,,percent of total billed charges,,26.694,,,,percent of total billed charges,,17.796,,,,percent of total billed charges,,29.947702,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,28.177,,,,percent of total billed charges,,23.728,,,,percent of total billed charges,,17.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN 25,000 UNIT/250 ML (100 UNIT/ML) IN NS IV SOLN [1001739]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]",0636,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION - EAST [7000094]",0636,RC,,,,,inpatient,,,9.68,,4.84,5.808,9.773896,9.0992,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.0344,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,8.9056,,,,percent of total billed charges,,9.15728,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,8.5184,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,6.27264,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,9.773896,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,9.196,,,,percent of total billed charges,,7.744,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,,,,,inpatient,,,2.1,,1.05,1.26,2.12037,1.974,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.743,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.9866,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,2.037,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.3608,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,2.12037,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,,,,,inpatient,,,2.89,,1.445,1.734,2.918033,2.7166,,,,percent of total billed charges,,2.312,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.3987,,,,percent of total billed charges,,2.601,,,,percent of total billed charges,,2.6588,,,,percent of total billed charges,,2.6588,,,,percent of total billed charges,,2.73394,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.8033,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.5432,,,,percent of total billed charges,,2.601,,,,percent of total billed charges,,1.87272,,,,percent of total billed charges,,2.601,,,,percent of total billed charges,,1.734,,,,percent of total billed charges,,2.918033,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.7455,,,,percent of total billed charges,,2.312,,,,percent of total billed charges,,1.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,,,,,inpatient,,,2.77,,1.385,1.662,2.796869,2.6038,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.2991,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.62042,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.4376,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.79496,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,2.796869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE [19548]",0636,RC,,,,,inpatient,,,2.41,,1.205,1.446,2.433377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.56168,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.433377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,2.41,,1.205,1.446,2.433377,2.2654,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.0003,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.2172,,,,percent of total billed charges,,2.27986,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.3377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.1208,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.56168,,,,percent of total billed charges,,2.169,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,2.433377,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,2.2895,,,,percent of total billed charges,,1.928,,,,percent of total billed charges,,1.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,2.32,,1.16,1.392,2.342504,2.1808,,,,percent of total billed charges,,1.856,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,1.9256,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.1344,,,,percent of total billed charges,,2.1344,,,,percent of total billed charges,,2.19472,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,2.2504,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,2.0416,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.50336,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,2.342504,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,2.204,,,,percent of total billed charges,,1.856,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,1.87,,0.935,1.122,1.888139,1.7578,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.5521,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.7204,,,,percent of total billed charges,,1.76902,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.8139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.6456,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.21176,,,,percent of total billed charges,,1.683,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,1.888139,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.7765,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,1.83,,0.915,1.098,1.847751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.18584,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.847751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,1.84,,0.92,1.104,1.857848,1.7296,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.5272,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.6928,,,,percent of total billed charges,,1.74064,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.19232,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.857848,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [17362]",0636,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [135450]",0636,RC,,,,,inpatient,,,132.36,,66.18,79.416,133.643892,124.4184,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,109.8588,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,125.21256,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,128.3892,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,116.4768,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,85.76928,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,133.643892,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [135450]",0636,RC,,,,,inpatient,,,132.36,,66.18,79.416,133.643892,124.4184,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,109.8588,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,121.7712,,,,percent of total billed charges,,125.21256,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,128.3892,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,116.4768,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,85.76928,,,,percent of total billed charges,,119.124,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,133.643892,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,125.742,,,,percent of total billed charges,,105.888,,,,percent of total billed charges,,79.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [134401],0636,RC,,,,,inpatient,,,398.03,,199.015,238.818,401.890891,374.1482,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,330.3649,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,376.53638,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,386.0891,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,350.2664,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,257.92344,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,401.890891,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE [134401],0636,RC,,,,,inpatient,,,398.03,,199.015,238.818,401.890891,374.1482,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,330.3649,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,366.1876,,,,percent of total billed charges,,376.53638,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,386.0891,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,350.2664,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,257.92344,,,,percent of total billed charges,,358.227,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,401.890891,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,378.1285,,,,percent of total billed charges,,318.424,,,,percent of total billed charges,,238.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION [134792]",0636,RC,,,,,inpatient,,,2214.05,,1107.025,1328.43,2235.526285,2081.207,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1837.6615,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2094.4913,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2147.6285,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1948.364,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1434.7044,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,2235.526285,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION [134792]",0636,RC,,,,,inpatient,,,2214.05,,1107.025,1328.43,2235.526285,2081.207,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1837.6615,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2036.926,,,,percent of total billed charges,,2094.4913,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2147.6285,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1948.364,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1434.7044,,,,percent of total billed charges,,1992.645,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,2235.526285,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,2103.3475,,,,percent of total billed charges,,1771.24,,,,percent of total billed charges,,1328.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [135284],0636,RC,,,,,inpatient,,,36.64,,18.32,21.984,36.995408,34.4416,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,30.4112,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,34.66144,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,35.5408,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,32.2432,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,23.74272,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,36.995408,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [135284],0636,RC,,,,,inpatient,,,36.64,,18.32,21.984,36.995408,34.4416,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,30.4112,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,33.7088,,,,percent of total billed charges,,34.66144,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,35.5408,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,32.2432,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,23.74272,,,,percent of total billed charges,,32.976,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,36.995408,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,34.808,,,,percent of total billed charges,,29.312,,,,percent of total billed charges,,21.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 100 % TOPICAL PASTE [215277],0637,RC,,,,,inpatient,,,57.23,,28.615,34.338,57.785131,53.7962,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,47.5009,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,54.13958,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,55.5131,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,50.3624,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,37.08504,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,57.785131,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 100 % TOPICAL PASTE [215277],0637,RC,,,,,inpatient,,,57.23,,28.615,34.338,57.785131,53.7962,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,47.5009,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,52.6516,,,,percent of total billed charges,,54.13958,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,55.5131,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,50.3624,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,37.08504,,,,percent of total billed charges,,51.507,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,57.785131,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,54.3685,,,,percent of total billed charges,,45.784,,,,percent of total billed charges,,34.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 80 % TOPICAL GEL [211267],0637,RC,,,,,inpatient,,,56.43,,28.215,33.858,56.977371,53.0442,,,,percent of total billed charges,,45.144,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,46.8369,,,,percent of total billed charges,,50.787,,,,percent of total billed charges,,51.9156,,,,percent of total billed charges,,51.9156,,,,percent of total billed charges,,53.38278,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,54.7371,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,49.6584,,,,percent of total billed charges,,50.787,,,,percent of total billed charges,,36.56664,,,,percent of total billed charges,,50.787,,,,percent of total billed charges,,33.858,,,,percent of total billed charges,,56.977371,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,53.6085,,,,percent of total billed charges,,45.144,,,,percent of total billed charges,,33.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HONEY 80 % TOPICAL GEL [211267],0637,RC,,,,,inpatient,,,44.95,,22.475,26.97,45.386015,42.253,,,,percent of total billed charges,,35.96,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,37.3085,,,,percent of total billed charges,,40.455,,,,percent of total billed charges,,41.354,,,,percent of total billed charges,,41.354,,,,percent of total billed charges,,42.5227,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,43.6015,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,39.556,,,,percent of total billed charges,,40.455,,,,percent of total billed charges,,29.1276,,,,percent of total billed charges,,40.455,,,,percent of total billed charges,,26.97,,,,percent of total billed charges,,45.386015,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,42.7025,,,,percent of total billed charges,,35.96,,,,percent of total billed charges,,26.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [221327],0636,RC,,,,,inpatient,,,4162.5,,2081.25,2497.5,4202.87625,3912.75,,,,percent of total billed charges,,3330,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3454.875,,,,percent of total billed charges,,3746.25,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,3829.5,,,,percent of total billed charges,,3937.725,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,4037.625,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3663,,,,percent of total billed charges,,3746.25,,,,percent of total billed charges,,2697.3,,,,percent of total billed charges,,3746.25,,,,percent of total billed charges,,2497.5,,,,percent of total billed charges,,4202.87625,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3954.375,,,,percent of total billed charges,,3330,,,,percent of total billed charges,,2497.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION [221650]",0636,RC,,,,,inpatient,,,8325,,4162.5,4995,8405.7525,7825.5,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,6909.75,,,,percent of total billed charges,,7492.5,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7659,,,,percent of total billed charges,,7875.45,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,8075.25,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,7326,,,,percent of total billed charges,,7492.5,,,,percent of total billed charges,,5394.6,,,,percent of total billed charges,,7492.5,,,,percent of total billed charges,,4995,,,,percent of total billed charges,,8405.7525,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,7908.75,,,,percent of total billed charges,,6660,,,,percent of total billed charges,,4995,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYALURONIDASE (AMPHADASE) 150 UNIT/ML INJECTION - EXTRAVASATION [1001878],0636,RC,,,,,inpatient,,,139.1,,69.55,83.46,140.44927,130.754,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,115.453,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,131.5886,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,134.927,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,122.408,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,90.1368,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,140.44927,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYALURONIDASE 150 UNIT/ML INJECTION SOLUTION [78037],0636,RC,,,,,inpatient,,,139.1,,69.55,83.46,140.44927,130.754,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,115.453,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,127.972,,,,percent of total billed charges,,131.5886,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,134.927,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,122.408,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,90.1368,,,,percent of total billed charges,,125.19,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,140.44927,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,132.145,,,,percent of total billed charges,,111.28,,,,percent of total billed charges,,83.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,,,,,inpatient,,,0.64,,0.32,0.384,0.646208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.41472,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.646208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,,,,,inpatient,,,0.64,,0.32,0.384,0.646208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.41472,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.646208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 10 MG TABLET [3698],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 2 MG/ML IN NS IV PEDS DILUTION [1000042],0636,RC,,,,,inpatient,,,1.85,,0.925,1.11,1.867945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.1988,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.867945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,14.27,,7.135,8.562,14.408419,13.4138,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.8441,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.49942,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.8419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,12.5576,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,9.24696,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,14.408419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,12.62,,6.31,7.572,12.742414,11.8628,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.4746,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.93852,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,12.2414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.1056,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,8.17776,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,12.742414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,168.89,,84.445,101.334,170.528233,158.7566,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,140.1787,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,159.76994,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,163.8233,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,148.6232,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,109.44072,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,170.528233,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,168.89,,84.445,101.334,170.528233,158.7566,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,140.1787,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,155.3788,,,,percent of total billed charges,,159.76994,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,163.8233,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,148.6232,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,109.44072,,,,percent of total billed charges,,152.001,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,170.528233,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,160.4455,,,,percent of total billed charges,,135.112,,,,percent of total billed charges,,101.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,12.62,,6.31,7.572,12.742414,11.8628,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.4746,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.93852,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,12.2414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.1056,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,8.17776,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,12.742414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,12.62,,6.31,7.572,12.742414,11.8628,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.4746,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.6104,,,,percent of total billed charges,,11.93852,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,12.2414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.1056,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,8.17776,,,,percent of total billed charges,,11.358,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,12.742414,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,11.989,,,,percent of total billed charges,,10.096,,,,percent of total billed charges,,7.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,14.27,,7.135,8.562,14.408419,13.4138,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.8441,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.1284,,,,percent of total billed charges,,13.49942,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.8419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,12.5576,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,9.24696,,,,percent of total billed charges,,12.843,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,14.408419,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,13.5565,,,,percent of total billed charges,,11.416,,,,percent of total billed charges,,8.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,25.02,,12.51,15.012,25.262694,23.5188,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.7666,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.66892,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,24.2694,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,22.0176,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,16.21296,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,25.262694,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,25.02,,12.51,15.012,25.262694,23.5188,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.7666,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.0184,,,,percent of total billed charges,,23.66892,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,24.2694,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,22.0176,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,16.21296,,,,percent of total billed charges,,22.518,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,25.262694,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,23.769,,,,percent of total billed charges,,20.016,,,,percent of total billed charges,,15.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,12.82,,6.41,7.692,12.944354,12.0508,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.6406,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,12.12772,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.4354,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,11.2816,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,8.30736,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,12.944354,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 20 MG/ML INJECTION SOLUTION [3697],0636,RC,,,,,inpatient,,,12.82,,6.41,7.692,12.944354,12.0508,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.6406,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,11.7944,,,,percent of total billed charges,,12.12772,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.4354,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,11.2816,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,8.30736,,,,percent of total billed charges,,11.538,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,12.944354,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,12.179,,,,percent of total billed charges,,10.256,,,,percent of total billed charges,,7.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,,,,,inpatient,,,0.62,,0.31,0.372,0.626014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.40176,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.626014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,,,,,inpatient,,,0.62,,0.31,0.372,0.626014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.40176,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.626014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 25 MG TABLET [3700],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDRALAZINE 50 MG TABLET [3701],0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 12.5 MG TABLET [134394],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 12.5 MG TABLET [134394],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 12.5 MG TABLET [134394],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0637,RC,,,,,inpatient,,,0.7,,0.35,0.42,0.70679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.4536,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.70679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCHLOROTHIAZIDE 25 MG TABLET [3720],0637,RC,,,,,inpatient,,,0.7,,0.35,0.42,0.70679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.4536,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.70679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [28384],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [34505],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [34544],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,,,,,inpatient,,,14.38,,7.19,8.628,14.519486,13.5172,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.9354,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.60348,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.9486,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,12.6544,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,9.31824,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,14.519486,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,,,,,inpatient,,,14.38,,7.19,8.628,14.519486,13.5172,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.9354,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.2296,,,,percent of total billed charges,,13.60348,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.9486,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,12.6544,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,9.31824,,,,percent of total billed charges,,12.942,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,14.519486,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,13.661,,,,percent of total billed charges,,11.504,,,,percent of total billed charges,,8.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,,,,,inpatient,,,10.67,,5.335,6.402,10.773499,10.0298,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.8561,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,9.8164,,,,percent of total billed charges,,10.09382,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.3499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,9.3896,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.91416,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,10.773499,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,10.1365,,,,percent of total billed charges,,8.536,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,,,,,inpatient,,,20.79,,10.395,12.474,20.991663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,13.47192,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,20.991663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,,,,,inpatient,,,23.09,,11.545,13.854,23.313973,21.7046,,,,percent of total billed charges,,18.472,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,19.1647,,,,percent of total billed charges,,20.781,,,,percent of total billed charges,,21.2428,,,,percent of total billed charges,,21.2428,,,,percent of total billed charges,,21.84314,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,22.3973,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,20.3192,,,,percent of total billed charges,,20.781,,,,percent of total billed charges,,14.96232,,,,percent of total billed charges,,20.781,,,,percent of total billed charges,,13.854,,,,percent of total billed charges,,23.313973,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,21.9355,,,,percent of total billed charges,,18.472,,,,percent of total billed charges,,13.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION [89829],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 % TOPICAL CREAM [3726],0637,RC,,,,,inpatient,,,10.98,,5.49,6.588,11.086506,10.3212,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.1134,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,10.1016,,,,percent of total billed charges,,10.1016,,,,percent of total billed charges,,10.38708,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6506,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,9.6624,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,7.11504,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,6.588,,,,percent of total billed charges,,11.086506,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,6.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 % TOPICAL CREAM [3726],0637,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 % TOPICAL CREAM [3726],0637,RC,,,,,inpatient,,,5.13,,2.565,3.078,5.179761,4.8222,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.2579,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.85298,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.9761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.5144,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.32424,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,5.179761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 1 MG/ML IN D5W PEDS DILUTION [7000216],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 10 MG TABLET [81860],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 10 MG TABLET [81860],0637,RC,,,,,inpatient,,,1.97,,0.985,1.182,1.989109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.27656,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.989109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 100 MG/60 ML ENEMA [10210],0637,RC,,,,,inpatient,,,17.28,,8.64,10.368,17.447616,16.2432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,14.3424,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,16.34688,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.7616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,15.2064,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,11.19744,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,17.447616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 100 MG/60 ML ENEMA [10210],0637,RC,,,,,inpatient,,,88.56,,44.28,53.136,89.419032,83.2464,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,73.5048,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,83.77776,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,85.9032,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,77.9328,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,57.38688,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,89.419032,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 100 MG/60 ML ENEMA [10210],0637,RC,,,,,inpatient,,,88.56,,44.28,53.136,89.419032,83.2464,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,73.5048,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,81.4752,,,,percent of total billed charges,,83.77776,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,85.9032,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,77.9328,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,57.38688,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,89.419032,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,70.848,,,,percent of total billed charges,,53.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,,,,,inpatient,,,240.17,,120.085,144.102,242.499649,225.7598,,,,percent of total billed charges,,192.136,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,199.3411,,,,percent of total billed charges,,216.153,,,,percent of total billed charges,,220.9564,,,,percent of total billed charges,,220.9564,,,,percent of total billed charges,,227.20082,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,232.9649,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,211.3496,,,,percent of total billed charges,,216.153,,,,percent of total billed charges,,155.63016,,,,percent of total billed charges,,216.153,,,,percent of total billed charges,,144.102,,,,percent of total billed charges,,242.499649,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,228.1615,,,,percent of total billed charges,,192.136,,,,percent of total billed charges,,144.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,,,,,inpatient,,,39.68,,19.84,23.808,40.064896,37.2992,,,,percent of total billed charges,,31.744,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,32.9344,,,,percent of total billed charges,,35.712,,,,percent of total billed charges,,36.5056,,,,percent of total billed charges,,36.5056,,,,percent of total billed charges,,37.53728,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,38.4896,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,34.9184,,,,percent of total billed charges,,35.712,,,,percent of total billed charges,,25.71264,,,,percent of total billed charges,,35.712,,,,percent of total billed charges,,23.808,,,,percent of total billed charges,,40.064896,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,37.696,,,,percent of total billed charges,,31.744,,,,percent of total billed charges,,23.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,,,,,inpatient,,,25.79,,12.895,15.474,26.040163,24.2426,,,,percent of total billed charges,,20.632,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,21.4057,,,,percent of total billed charges,,23.211,,,,percent of total billed charges,,23.7268,,,,percent of total billed charges,,23.7268,,,,percent of total billed charges,,24.39734,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,25.0163,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,22.6952,,,,percent of total billed charges,,23.211,,,,percent of total billed charges,,16.71192,,,,percent of total billed charges,,23.211,,,,percent of total billed charges,,15.474,,,,percent of total billed charges,,26.040163,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,24.5005,,,,percent of total billed charges,,20.632,,,,percent of total billed charges,,15.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [28824],0637,RC,,,,,inpatient,,,77.36,,38.68,46.416,78.110392,72.7184,,,,percent of total billed charges,,61.888,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,64.2088,,,,percent of total billed charges,,69.624,,,,percent of total billed charges,,71.1712,,,,percent of total billed charges,,71.1712,,,,percent of total billed charges,,73.18256,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,75.0392,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,68.0768,,,,percent of total billed charges,,69.624,,,,percent of total billed charges,,50.12928,,,,percent of total billed charges,,69.624,,,,percent of total billed charges,,46.416,,,,percent of total billed charges,,78.110392,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,73.492,,,,percent of total billed charges,,61.888,,,,percent of total billed charges,,46.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,,,,,inpatient,,,21.65,,10.825,12.99,21.860005,20.351,,,,percent of total billed charges,,17.32,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,17.9695,,,,percent of total billed charges,,19.485,,,,percent of total billed charges,,19.918,,,,percent of total billed charges,,19.918,,,,percent of total billed charges,,20.4809,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,21.0005,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,19.052,,,,percent of total billed charges,,19.485,,,,percent of total billed charges,,14.0292,,,,percent of total billed charges,,19.485,,,,percent of total billed charges,,12.99,,,,percent of total billed charges,,21.860005,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,20.5675,,,,percent of total billed charges,,17.32,,,,percent of total billed charges,,12.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,,,,,inpatient,,,14.16,,7.08,8.496,14.297352,13.3104,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.7528,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.39536,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.7352,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,12.4608,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.17568,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,14.297352,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,,,,,inpatient,,,14.16,,7.08,8.496,14.297352,13.3104,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.7528,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.0272,,,,percent of total billed charges,,13.39536,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.7352,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,12.4608,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.17568,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,14.297352,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,13.452,,,,percent of total billed charges,,11.328,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,,,,,inpatient,,,5.78,,2.89,3.468,5.836066,5.4332,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.7974,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.46788,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.6066,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.0864,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,3.74544,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,5.836066,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [3738],0637,RC,,,,,inpatient,,,5.78,,2.89,3.468,5.836066,5.4332,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.7974,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.3176,,,,percent of total billed charges,,5.46788,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.6066,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.0864,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,3.74544,,,,percent of total billed charges,,5.202,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,5.836066,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,5.491,,,,percent of total billed charges,,4.624,,,,percent of total billed charges,,3.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION [199010],0636,RC,,,,,inpatient,,,310.55,,155.275,186.33,313.562335,291.917,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,257.7565,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,293.7803,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,301.2335,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,273.284,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,201.2364,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,313.562335,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [199012],0636,RC,,,,,inpatient,,,82.67,,41.335,49.602,83.471899,77.7098,,,,percent of total billed charges,,66.136,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,68.6161,,,,percent of total billed charges,,74.403,,,,percent of total billed charges,,76.0564,,,,percent of total billed charges,,76.0564,,,,percent of total billed charges,,78.20582,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,80.1899,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,72.7496,,,,percent of total billed charges,,74.403,,,,percent of total billed charges,,53.57016,,,,percent of total billed charges,,74.403,,,,percent of total billed charges,,49.602,,,,percent of total billed charges,,83.471899,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,78.5365,,,,percent of total billed charges,,66.136,,,,percent of total billed charges,,49.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [199012],0636,RC,,,,,inpatient,,,84.19,,42.095,50.514,85.006643,79.1386,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,69.8777,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,79.64374,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,81.6643,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,74.0872,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,54.55512,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,85.006643,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION [199010],0636,RC,,,,,inpatient,,,310.55,,155.275,186.33,313.562335,291.917,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,257.7565,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,285.706,,,,percent of total billed charges,,293.7803,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,301.2335,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,273.284,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,201.2364,,,,percent of total billed charges,,279.495,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,313.562335,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,295.0225,,,,percent of total billed charges,,248.44,,,,percent of total billed charges,,186.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE 100 MG/2 ML VIAL WRAPPER [1000489],0636,RC,,,,,inpatient,,,60.8,,30.4,36.48,61.38976,57.152,,,,percent of total billed charges,,48.64,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,50.464,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,55.936,,,,percent of total billed charges,,55.936,,,,percent of total billed charges,,57.5168,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,58.976,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,53.504,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,39.3984,,,,percent of total billed charges,,54.72,,,,percent of total billed charges,,36.48,,,,percent of total billed charges,,61.38976,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,57.76,,,,percent of total billed charges,,48.64,,,,percent of total billed charges,,36.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE 100 MG/2 ML VIAL WRAPPER [1000489],0636,RC,,,,,inpatient,,,84.19,,42.095,50.514,85.006643,79.1386,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,69.8777,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,77.4548,,,,percent of total billed charges,,79.64374,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,81.6643,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,74.0872,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,54.55512,,,,percent of total billed charges,,75.771,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,85.006643,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,79.9805,,,,percent of total billed charges,,67.352,,,,percent of total billed charges,,50.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,,,,,inpatient,,,14.77,,7.385,8.862,14.913269,13.8838,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.2591,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.97242,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.3269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.9976,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,9.57096,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,14.913269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE [233912],0636,RC,,,,,inpatient,,,14.77,,7.385,8.862,14.913269,13.8838,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.2591,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.97242,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.3269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.9976,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,9.57096,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,14.913269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,243.45,,121.725,146.07,245.811465,228.843,,,,percent of total billed charges,,194.76,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,202.0635,,,,percent of total billed charges,,219.105,,,,percent of total billed charges,,223.974,,,,percent of total billed charges,,223.974,,,,percent of total billed charges,,230.3037,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,236.1465,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,214.236,,,,percent of total billed charges,,219.105,,,,percent of total billed charges,,157.7556,,,,percent of total billed charges,,219.105,,,,percent of total billed charges,,146.07,,,,percent of total billed charges,,245.811465,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,231.2775,,,,percent of total billed charges,,194.76,,,,percent of total billed charges,,146.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,36.03,,18.015,21.618,36.379491,33.8682,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,29.9049,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,34.08438,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.9491,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,31.7064,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,23.34744,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,36.379491,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,418.05,,209.025,250.83,422.105085,392.967,,,,percent of total billed charges,,334.44,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,346.9815,,,,percent of total billed charges,,376.245,,,,percent of total billed charges,,384.606,,,,percent of total billed charges,,384.606,,,,percent of total billed charges,,395.4753,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,405.5085,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,367.884,,,,percent of total billed charges,,376.245,,,,percent of total billed charges,,270.8964,,,,percent of total billed charges,,376.245,,,,percent of total billed charges,,250.83,,,,percent of total billed charges,,422.105085,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,397.1475,,,,percent of total billed charges,,334.44,,,,percent of total billed charges,,250.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,245.7,,122.85,147.42,248.08329,230.958,,,,percent of total billed charges,,196.56,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,203.931,,,,percent of total billed charges,,221.13,,,,percent of total billed charges,,226.044,,,,percent of total billed charges,,226.044,,,,percent of total billed charges,,232.4322,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,238.329,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,216.216,,,,percent of total billed charges,,221.13,,,,percent of total billed charges,,159.2136,,,,percent of total billed charges,,221.13,,,,percent of total billed charges,,147.42,,,,percent of total billed charges,,248.08329,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,233.415,,,,percent of total billed charges,,196.56,,,,percent of total billed charges,,147.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,14.11,,7.055,8.466,14.246867,13.2634,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.7113,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,13.34806,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.6867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,12.4168,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,9.14328,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,14.246867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,14.11,,7.055,8.466,14.246867,13.2634,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.7113,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,13.34806,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.6867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,12.4168,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,9.14328,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,14.246867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,36.03,,18.015,21.618,36.379491,33.8682,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,29.9049,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,33.1476,,,,percent of total billed charges,,34.08438,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.9491,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,31.7064,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,23.34744,,,,percent of total billed charges,,32.427,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,36.379491,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,34.2285,,,,percent of total billed charges,,28.824,,,,percent of total billed charges,,21.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION [136257],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE [136472],0636,RC,,,,,inpatient,,,14.77,,7.385,8.862,14.913269,13.8838,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.2591,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.5884,,,,percent of total billed charges,,13.97242,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.3269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,12.9976,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,9.57096,,,,percent of total billed charges,,13.293,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,14.913269,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,14.0315,,,,percent of total billed charges,,11.816,,,,percent of total billed charges,,8.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [217420],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [217420],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,,,,,inpatient,,,86.18,,43.09,51.708,87.015946,81.0092,,,,percent of total billed charges,,68.944,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,71.5294,,,,percent of total billed charges,,77.562,,,,percent of total billed charges,,79.2856,,,,percent of total billed charges,,79.2856,,,,percent of total billed charges,,81.52628,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,83.5946,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,75.8384,,,,percent of total billed charges,,77.562,,,,percent of total billed charges,,55.84464,,,,percent of total billed charges,,77.562,,,,percent of total billed charges,,51.708,,,,percent of total billed charges,,87.015946,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,81.871,,,,percent of total billed charges,,68.944,,,,percent of total billed charges,,51.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,,,,,inpatient,,,121.05,,60.525,72.63,122.224185,113.787,,,,percent of total billed charges,,96.84,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,100.4715,,,,percent of total billed charges,,108.945,,,,percent of total billed charges,,111.366,,,,percent of total billed charges,,111.366,,,,percent of total billed charges,,114.5133,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,117.4185,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,106.524,,,,percent of total billed charges,,108.945,,,,percent of total billed charges,,78.4404,,,,percent of total billed charges,,108.945,,,,percent of total billed charges,,72.63,,,,percent of total billed charges,,122.224185,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,114.9975,,,,percent of total billed charges,,96.84,,,,percent of total billed charges,,72.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,,,,,inpatient,,,199.8,,99.9,119.88,201.73806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,129.4704,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,201.73806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,,,,,inpatient,,,155.48,,77.74,93.288,156.988156,146.1512,,,,percent of total billed charges,,124.384,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,129.0484,,,,percent of total billed charges,,139.932,,,,percent of total billed charges,,143.0416,,,,percent of total billed charges,,143.0416,,,,percent of total billed charges,,147.08408,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,150.8156,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,136.8224,,,,percent of total billed charges,,139.932,,,,percent of total billed charges,,100.75104,,,,percent of total billed charges,,139.932,,,,percent of total billed charges,,93.288,,,,percent of total billed charges,,156.988156,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,147.706,,,,percent of total billed charges,,124.384,,,,percent of total billed charges,,93.288,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,,,,,inpatient,,,199.8,,99.9,119.88,201.73806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,129.4704,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,201.73806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML IN 0.9 % NS INFUSION [7000261],0250,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,,,,,inpatient,,,12.83,,6.415,7.698,12.954451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,8.31384,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,12.954451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,,,,,inpatient,,,12.83,,6.415,7.698,12.954451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,8.31384,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,12.954451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,,,,,inpatient,,,11.66,,5.83,6.996,11.773102,10.9604,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.6778,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,11.03036,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.3102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,10.2608,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,7.55568,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,11.773102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 1 MG/ML INJECTION WRAPPER [1000697],0636,RC,,,,,inpatient,,,11.66,,5.83,6.996,11.773102,10.9604,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.6778,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,11.03036,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.3102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,10.2608,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,7.55568,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,11.773102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG TABLET [3760],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG TABLET [3760],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG TABLET [3760],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,,,,,inpatient,,,87.66,,43.83,52.596,88.510302,82.4004,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,72.7578,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,82.92636,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,85.0302,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,77.1408,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,56.80368,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,88.510302,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,,,,,inpatient,,,87.66,,43.83,52.596,88.510302,82.4004,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,72.7578,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,80.6472,,,,percent of total billed charges,,82.92636,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,85.0302,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,77.1408,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,56.80368,,,,percent of total billed charges,,78.894,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,88.510302,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,83.277,,,,percent of total billed charges,,70.128,,,,percent of total billed charges,,52.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SOLUTION [3758],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [85011],0636,RC,,,,,inpatient,,,11.72,,5.86,7.032,11.833684,11.0168,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.7276,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,11.08712,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.3684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,10.3136,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.59456,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,11.833684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [85011],0636,RC,,,,,inpatient,,,11.72,,5.86,7.032,11.833684,11.0168,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.7276,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,11.08712,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.3684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,10.3136,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.59456,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,11.833684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [85011],0636,RC,,,,,inpatient,,,11.72,,5.86,7.032,11.833684,11.0168,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.7276,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,10.7824,,,,percent of total billed charges,,11.08712,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.3684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,10.3136,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.59456,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,11.833684,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,11.134,,,,percent of total billed charges,,9.376,,,,percent of total billed charges,,7.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION [136474],0636,RC,,,,,inpatient,,,38.96,,19.48,23.376,39.337912,36.6224,,,,percent of total billed charges,,31.168,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,32.3368,,,,percent of total billed charges,,35.064,,,,percent of total billed charges,,35.8432,,,,percent of total billed charges,,35.8432,,,,percent of total billed charges,,36.85616,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,37.7912,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,34.2848,,,,percent of total billed charges,,35.064,,,,percent of total billed charges,,25.24608,,,,percent of total billed charges,,35.064,,,,percent of total billed charges,,23.376,,,,percent of total billed charges,,39.337912,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,37.012,,,,percent of total billed charges,,31.168,,,,percent of total billed charges,,23.376,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 4 MG TABLET [3761],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROMORPHONE 4 MG/ML INJECTION SYRINGE [86474],0636,RC,,,,,inpatient,,,10.96,,5.48,6.576,11.066312,10.3024,,,,percent of total billed charges,,8.768,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,9.0968,,,,percent of total billed charges,,9.864,,,,percent of total billed charges,,10.0832,,,,percent of total billed charges,,10.0832,,,,percent of total billed charges,,10.36816,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,10.6312,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,9.6448,,,,percent of total billed charges,,9.864,,,,percent of total billed charges,,7.10208,,,,percent of total billed charges,,9.864,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,11.066312,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,10.412,,,,percent of total billed charges,,8.768,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION [208930],0636,RC,,,,,inpatient,,,4007.75,,2003.875,2404.65,4046.625175,3767.285,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3326.4325,,,,percent of total billed charges,,3606.975,,,,percent of total billed charges,,3687.13,,,,percent of total billed charges,,3687.13,,,,percent of total billed charges,,3791.3315,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3887.5175,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3526.82,,,,percent of total billed charges,,3606.975,,,,percent of total billed charges,,2597.022,,,,percent of total billed charges,,3606.975,,,,percent of total billed charges,,2404.65,,,,percent of total billed charges,,4046.625175,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3807.3625,,,,percent of total billed charges,,3206.2,,,,percent of total billed charges,,2404.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,,,,,inpatient,,,3.1,,1.55,1.86,3.13007,2.914,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.573,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.852,,,,percent of total billed charges,,2.9326,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,3.007,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.728,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,2.0088,,,,percent of total billed charges,,2.79,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,3.13007,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.945,,,,percent of total billed charges,,2.48,,,,percent of total billed charges,,1.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,,,,,inpatient,,,13.42,,6.71,8.052,13.550174,12.6148,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,11.1386,,,,percent of total billed charges,,12.078,,,,percent of total billed charges,,12.3464,,,,percent of total billed charges,,12.3464,,,,percent of total billed charges,,12.69532,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,13.0174,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,11.8096,,,,percent of total billed charges,,12.078,,,,percent of total billed charges,,8.69616,,,,percent of total billed charges,,12.078,,,,percent of total billed charges,,8.052,,,,percent of total billed charges,,13.550174,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,12.749,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,8.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,,,,,inpatient,,,1.32,,0.66,0.792,1.332804,1.2408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.0956,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.24872,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.2804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.1616,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.85536,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,1.332804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYCHLOROQUINE 200 MG TABLET [10235],0637,RC,,,,,inpatient,,,0.83,,0.415,0.498,0.838051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.53784,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.838051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYUREA 500 MG CAPSULE [10236],0637,RC,,,,,inpatient,,,4.07,,2.035,2.442,4.109479,3.8258,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.3781,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.85022,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.9479,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.5816,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,2.63736,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,4.109479,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYUREA 500 MG CAPSULE [10236],0637,RC,,,,,inpatient,,,4.07,,2.035,2.442,4.109479,3.8258,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.3781,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.7444,,,,percent of total billed charges,,3.85022,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.9479,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.5816,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,2.63736,,,,percent of total billed charges,,3.663,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,4.109479,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.8665,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,2.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYUREA 500 MG CAPSULE [10236],0637,RC,,,,,inpatient,,,3.11,,1.555,1.866,3.140167,2.9234,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.5813,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.8612,,,,percent of total billed charges,,2.94206,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,3.0167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.7368,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,2.01528,,,,percent of total billed charges,,2.799,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,3.140167,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.9545,,,,percent of total billed charges,,2.488,,,,percent of total billed charges,,1.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,,,,,inpatient,,,32.4,,16.2,19.44,32.71428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,20.9952,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,32.71428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,,,,,inpatient,,,24.03,,12.015,14.418,24.263091,22.5882,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.9449,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.1076,,,,percent of total billed charges,,22.73238,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,23.3091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,21.1464,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,15.57144,,,,percent of total billed charges,,21.627,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,24.263091,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,22.8285,,,,percent of total billed charges,,19.224,,,,percent of total billed charges,,14.418,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,,,,,inpatient,,,142.61,,71.305,85.566,143.993317,134.0534,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,118.3663,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,134.90906,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,138.3317,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,125.4968,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,92.41128,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,143.993317,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION [3771],0637,RC,,,,,inpatient,,,0.84,,0.42,0.504,0.848148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.54432,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.848148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 25 MG TABLET [3774],0636,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION [3770],0636,RC,,,,,inpatient,,,82.52,,41.26,49.512,83.320444,77.5688,,,,percent of total billed charges,,66.016,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,68.4916,,,,percent of total billed charges,,74.268,,,,percent of total billed charges,,75.9184,,,,percent of total billed charges,,75.9184,,,,percent of total billed charges,,78.06392,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,80.0444,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,72.6176,,,,percent of total billed charges,,74.268,,,,percent of total billed charges,,53.47296,,,,percent of total billed charges,,74.268,,,,percent of total billed charges,,49.512,,,,percent of total billed charges,,83.320444,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,78.394,,,,percent of total billed charges,,66.016,,,,percent of total billed charges,,49.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,,,,,inpatient,,,1.83,,0.915,1.098,1.847751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.18584,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.847751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 25 MG CAPSULE [3777],0636,RC,,,,,inpatient,,,1.83,,0.915,1.098,1.847751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.18584,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.847751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,,,,,inpatient,,,2.06,,1.03,1.236,2.079982,1.9364,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.7098,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.94876,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.9982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.8128,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.33488,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,2.079982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,,,,,inpatient,,,2.06,,1.03,1.236,2.079982,1.9364,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.7098,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.8952,,,,percent of total billed charges,,1.94876,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.9982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.8128,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.33488,,,,percent of total billed charges,,1.854,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,2.079982,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.957,,,,percent of total billed charges,,1.648,,,,percent of total billed charges,,1.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,,,,,inpatient,,,1.92,,0.96,1.152,1.938624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.24416,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.938624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROXYZINE PAMOATE 50 MG CAPSULE [3778],0636,RC,,,,,inpatient,,,1.32,,0.66,0.792,1.332804,1.2408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.0956,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.24872,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.2804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.1616,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.85536,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,1.332804,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],0637,RC,,,,,inpatient,,,2.26,,1.13,1.356,2.281922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.46448,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.281922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],0637,RC,,,,,inpatient,,,1.05,,0.525,0.63,1.060185,0.987,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.8715,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,0.9933,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,1.0185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.6804,,,,percent of total billed charges,,0.945,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,1.060185,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.9975,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [17023],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],0637,RC,,,,,inpatient,,,87.27,,43.635,52.362,88.116519,82.0338,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,72.4341,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,82.55742,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,84.6519,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,76.7976,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,56.55096,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,88.116519,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],0637,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR [3781],0637,RC,,,,,inpatient,,,1034.46,,517.23,620.676,1044.494262,972.3924,,,,percent of total billed charges,,827.568,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,858.6018,,,,percent of total billed charges,,931.014,,,,percent of total billed charges,,951.7032,,,,percent of total billed charges,,951.7032,,,,percent of total billed charges,,978.59916,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,1003.4262,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,910.3248,,,,percent of total billed charges,,931.014,,,,percent of total billed charges,,670.33008,,,,percent of total billed charges,,931.014,,,,percent of total billed charges,,620.676,,,,percent of total billed charges,,1044.494262,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,982.737,,,,percent of total billed charges,,827.568,,,,percent of total billed charges,,620.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG CHEWABLE TABLET [38004],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG CHEWABLE TABLET [38004],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG CHEWABLE TABLET [38004],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,12.96,,6.48,7.776,13.085712,12.1824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.7568,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,12.26016,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,11.4048,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,8.39808,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,13.085712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,2.77,,1.385,1.662,2.796869,2.6038,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.2991,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.62042,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.4376,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.79496,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,2.796869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,2.82,,1.41,1.692,2.847354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.82736,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.847354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,4.19,,2.095,2.514,4.230643,3.9386,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.4777,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.96374,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,4.0643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.6872,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.71512,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,4.230643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,4.82,,2.41,2.892,4.866754,4.5308,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.0006,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.4344,,,,percent of total billed charges,,4.55972,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.6754,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.2416,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,3.12336,,,,percent of total billed charges,,4.338,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,4.866754,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,4.579,,,,percent of total billed charges,,3.856,,,,percent of total billed charges,,2.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,4.95,,2.475,2.97,4.998015,4.653,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.1085,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6827,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.8015,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,3.2076,,,,percent of total billed charges,,4.455,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,4.998015,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,4.7025,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,2.97,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,31.32,,15.66,18.792,31.623804,29.4408,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,25.9956,,,,percent of total billed charges,,28.188,,,,percent of total billed charges,,28.8144,,,,percent of total billed charges,,28.8144,,,,percent of total billed charges,,29.62872,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,30.3804,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,27.5616,,,,percent of total billed charges,,28.188,,,,percent of total billed charges,,20.29536,,,,percent of total billed charges,,28.188,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,31.623804,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,29.754,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,18.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,2.21,,1.105,1.326,2.231437,2.0774,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.8343,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.0332,,,,percent of total billed charges,,2.09066,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.1437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.9448,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.43208,,,,percent of total billed charges,,1.989,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,2.231437,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,2.0995,,,,percent of total billed charges,,1.768,,,,percent of total billed charges,,1.326,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [10246],0637,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 200 MG TABLET [3841],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 400 MG TABLET [3843],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 600 MG TABLET [3844],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 600 MG TABLET [3844],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 600 MG TABLET [3844],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 800 MG TABLET [3845],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 800 MG TABLET [3845],0637,RC,,,,,inpatient,,,0.87,,0.435,0.522,0.878439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.56376,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.878439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUPROFEN 800 MG TABLET [3845],0637,RC,,,,,inpatient,,,0.87,,0.435,0.522,0.878439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.56376,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.878439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [82218],0636,RC,,,,,inpatient,,,382.5,,191.25,229.5,386.21025,359.55,,,,percent of total billed charges,,306,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,317.475,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,361.845,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,371.025,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,247.86,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,386.21025,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,306,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION [82218],0636,RC,,,,,inpatient,,,258.57,,129.285,155.142,261.078129,243.0558,,,,percent of total billed charges,,206.856,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,214.6131,,,,percent of total billed charges,,232.713,,,,percent of total billed charges,,237.8844,,,,percent of total billed charges,,237.8844,,,,percent of total billed charges,,244.60722,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,250.8129,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,227.5416,,,,percent of total billed charges,,232.713,,,,percent of total billed charges,,167.55336,,,,percent of total billed charges,,232.713,,,,percent of total billed charges,,155.142,,,,percent of total billed charges,,261.078129,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,245.6415,,,,percent of total billed charges,,206.856,,,,percent of total billed charges,,155.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [227700],0636,RC,,,,,inpatient,,,10983.6,,5491.8,6590.16,11090.14092,10324.584,,,,percent of total billed charges,,8786.88,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,9116.388,,,,percent of total billed charges,,9885.24,,,,percent of total billed charges,,10104.912,,,,percent of total billed charges,,10104.912,,,,percent of total billed charges,,10390.4856,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,10654.092,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,9665.568,,,,percent of total billed charges,,9885.24,,,,percent of total billed charges,,7117.3728,,,,percent of total billed charges,,9885.24,,,,percent of total billed charges,,6590.16,,,,percent of total billed charges,,11090.14092,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,10434.42,,,,percent of total billed charges,,8786.88,,,,percent of total billed charges,,6590.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION [10248],0636,RC,,,,,inpatient,,,116.33,,58.165,69.798,117.458401,109.3502,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,96.5539,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,110.04818,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,112.8401,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,102.3704,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,75.38184,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,117.458401,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION [137052],0636,RC,,,,,inpatient,,,130.68,,65.34,78.408,131.947596,122.8392,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,108.4644,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,120.2256,,,,percent of total billed charges,,120.2256,,,,percent of total billed charges,,123.62328,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,126.7596,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,114.9984,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,84.68064,,,,percent of total billed charges,,117.612,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,131.947596,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,124.146,,,,percent of total billed charges,,104.544,,,,percent of total billed charges,,78.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION [10249],0636,RC,,,,,inpatient,,,355.68,,177.84,213.408,359.130096,334.3392,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,295.2144,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,336.47328,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,345.0096,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,312.9984,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,230.48064,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,359.130096,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,,,,,inpatient,,,1.72,,0.86,1.032,1.736684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.11456,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.736684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,,,,,inpatient,,,0.94,,0.47,0.564,0.949118,0.8836,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.7802,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.88924,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.9118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.8272,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.60912,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,0.949118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IMIPRAMINE 25 MG TABLET [3861],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,1642.5,,821.25,985.5,1658.43225,1543.95,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1363.275,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1553.805,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1593.225,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1064.34,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,1658.43225,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,3285,,1642.5,1971,3316.8645,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2128.68,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3316.8645,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,6570,,3285,3942,6633.729,6175.8,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5453.1,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6215.22,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6372.9,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5781.6,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,4257.36,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,6633.729,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,13140,,6570,7884,13267.458,12351.6,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10906.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12430.44,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12745.8,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,11563.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,8514.72,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,13267.458,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,1642.5,,821.25,985.5,1658.43225,1543.95,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1363.275,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1511.1,,,,percent of total billed charges,,1553.805,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1593.225,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1445.4,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,1064.34,,,,percent of total billed charges,,1478.25,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,1658.43225,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1560.375,,,,percent of total billed charges,,1314,,,,percent of total billed charges,,985.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,3285,,1642.5,1971,3316.8645,3087.9,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2726.55,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3022.2,,,,percent of total billed charges,,3107.61,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3186.45,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2890.8,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,2128.68,,,,percent of total billed charges,,2956.5,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,3316.8645,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,3120.75,,,,percent of total billed charges,,2628,,,,percent of total billed charges,,1971,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,6570,,3285,3942,6633.729,6175.8,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5453.1,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6044.4,,,,percent of total billed charges,,6215.22,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6372.9,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5781.6,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,4257.36,,,,percent of total billed charges,,5913,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,6633.729,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,6241.5,,,,percent of total billed charges,,5256,,,,percent of total billed charges,,3942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION [224995]",0636,RC,,,,,inpatient,,,13140,,6570,7884,13267.458,12351.6,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10906.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12088.8,,,,percent of total billed charges,,12430.44,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12745.8,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,11563.2,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,8514.72,,,,percent of total billed charges,,11826,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,13267.458,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,12483,,,,percent of total billed charges,,10512,,,,percent of total billed charges,,7884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,11.37,,5.685,6.822,11.480289,10.6878,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.4371,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.75602,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,11.0289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.0056,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,7.36776,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,11.480289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE [256114],0636,RC,,,,,inpatient,,,15028.56,,7514.28,9017.136,15174.33703,14126.8464,,,,percent of total billed charges,,12022.848,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,12473.7048,,,,percent of total billed charges,,13525.704,,,,percent of total billed charges,,13826.2752,,,,percent of total billed charges,,13826.2752,,,,percent of total billed charges,,14217.01776,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,14577.7032,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,13225.1328,,,,percent of total billed charges,,13525.704,,,,percent of total billed charges,,9738.50688,,,,percent of total billed charges,,13525.704,,,,percent of total billed charges,,9017.136,,,,percent of total billed charges,,15174.33703,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,14277.132,,,,percent of total billed charges,,12022.848,,,,percent of total billed charges,,9017.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDAPAMIDE 2.5 MG TABLET [3879],0637,RC,,,,,inpatient,,,2.01,,1.005,1.206,2.029497,1.8894,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.6683,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.90146,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9497,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.7688,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.30248,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,2.029497,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDAPAMIDE 2.5 MG TABLET [3879],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,,,,,inpatient,,,256.06,,128.03,153.636,258.543782,240.6964,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,212.5298,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,242.23276,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,248.3782,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,225.3328,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,165.92688,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,258.543782,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,,,,,inpatient,,,256.06,,128.03,153.636,258.543782,240.6964,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,212.5298,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,235.5752,,,,percent of total billed charges,,242.23276,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,248.3782,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,225.3328,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,165.92688,,,,percent of total billed charges,,230.454,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,258.543782,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,243.257,,,,percent of total billed charges,,204.848,,,,percent of total billed charges,,153.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,,,,,inpatient,,,504.92,,252.46,302.952,509.817724,474.6248,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,419.0836,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,477.65432,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,489.7724,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,444.3296,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,327.18816,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,509.817724,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION [82528],0250,RC,,,,,inpatient,,,504.92,,252.46,302.952,509.817724,474.6248,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,419.0836,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,464.5264,,,,percent of total billed charges,,477.65432,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,489.7724,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,444.3296,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,327.18816,,,,percent of total billed charges,,454.428,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,509.817724,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,479.674,,,,percent of total billed charges,,403.936,,,,percent of total billed charges,,302.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 1 MG INTRAVENOUS SOLUTION [82201],0250,RC,,,,,inpatient,,,1199.43,,599.715,719.658,1211.064471,1127.4642,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,995.5269,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1134.66078,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1163.4471,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1055.4984,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,777.23064,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,1211.064471,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 1 MG INTRAVENOUS SOLUTION [82201],0250,RC,,,,,inpatient,,,1199.43,,599.715,719.658,1211.064471,1127.4642,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,995.5269,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1103.4756,,,,percent of total billed charges,,1134.66078,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1163.4471,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1055.4984,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,777.23064,,,,percent of total billed charges,,1079.487,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,1211.064471,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,1139.4585,,,,percent of total billed charges,,959.544,,,,percent of total billed charges,,719.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 25 MG CAPSULE [3897],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 25 MG CAPSULE [3897],0637,RC,,,,,inpatient,,,1.37,,0.685,0.822,1.383289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.88776,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.383289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 25 MG CAPSULE [3897],0637,RC,,,,,inpatient,,,1.37,,0.685,0.822,1.383289,1.2878,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.1371,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.2604,,,,percent of total billed charges,,1.29602,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.2056,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.88776,,,,percent of total billed charges,,1.233,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,1.383289,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.3015,,,,percent of total billed charges,,1.096,,,,percent of total billed charges,,0.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 50 MCG/ML IV DILUTION [1000503],0250,RC,,,,,inpatient,,,1193.04,,596.52,715.824,1204.612488,1121.4576,,,,percent of total billed charges,,954.432,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,990.2232,,,,percent of total billed charges,,1073.736,,,,percent of total billed charges,,1097.5968,,,,percent of total billed charges,,1097.5968,,,,percent of total billed charges,,1128.61584,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,1157.2488,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,1049.8752,,,,percent of total billed charges,,1073.736,,,,percent of total billed charges,,773.08992,,,,percent of total billed charges,,1073.736,,,,percent of total billed charges,,715.824,,,,percent of total billed charges,,1204.612488,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,1133.388,,,,percent of total billed charges,,954.432,,,,percent of total billed charges,,715.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 50 MG RECTAL SUPPOSITORY [77749],0637,RC,,,,,inpatient,,,698.22,,349.11,418.932,704.992734,656.3268,,,,percent of total billed charges,,558.576,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,579.5226,,,,percent of total billed charges,,628.398,,,,percent of total billed charges,,642.3624,,,,percent of total billed charges,,642.3624,,,,percent of total billed charges,,660.51612,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,677.2734,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,614.4336,,,,percent of total billed charges,,628.398,,,,percent of total billed charges,,452.44656,,,,percent of total billed charges,,628.398,,,,percent of total billed charges,,418.932,,,,percent of total billed charges,,704.992734,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,663.309,,,,percent of total billed charges,,558.576,,,,percent of total billed charges,,418.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INDOMETHACIN 50 MG RECTAL SUPPOSITORY [77749],0637,RC,,,,,inpatient,,,878.21,,439.105,526.926,886.728637,825.5174,,,,percent of total billed charges,,702.568,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,728.9143,,,,percent of total billed charges,,790.389,,,,percent of total billed charges,,807.9532,,,,percent of total billed charges,,807.9532,,,,percent of total billed charges,,830.78666,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,851.8637,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,772.8248,,,,percent of total billed charges,,790.389,,,,percent of total billed charges,,569.08008,,,,percent of total billed charges,,790.389,,,,percent of total billed charges,,526.926,,,,percent of total billed charges,,886.728637,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,834.2995,,,,percent of total billed charges,,702.568,,,,percent of total billed charges,,526.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [80717],0636,RC,,,,,inpatient,,,10279.44,,5139.72,6167.664,10379.15057,9662.6736,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8531.9352,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9724.35024,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9971.0568,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9045.9072,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,6661.07712,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,10379.15057,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [80717],0636,RC,,,,,inpatient,,,10279.44,,5139.72,6167.664,10379.15057,9662.6736,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8531.9352,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9457.0848,,,,percent of total billed charges,,9724.35024,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9971.0568,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9045.9072,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,6661.07712,,,,percent of total billed charges,,9251.496,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,10379.15057,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,9765.468,,,,percent of total billed charges,,8223.552,,,,percent of total billed charges,,6167.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [80717],0636,RC,,,,,inpatient,,,5068.76,,2534.38,3041.256,5117.926972,4764.6344,,,,percent of total billed charges,,4055.008,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4207.0708,,,,percent of total billed charges,,4561.884,,,,percent of total billed charges,,4663.2592,,,,percent of total billed charges,,4663.2592,,,,percent of total billed charges,,4795.04696,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4916.6972,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4460.5088,,,,percent of total billed charges,,4561.884,,,,percent of total billed charges,,3284.55648,,,,percent of total billed charges,,4561.884,,,,percent of total billed charges,,3041.256,,,,percent of total billed charges,,5117.926972,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4815.322,,,,percent of total billed charges,,4055.008,,,,percent of total billed charges,,3041.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,,,,,inpatient,,,3962.97,,1981.485,2377.782,4001.410809,3725.1918,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3289.2651,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3748.96962,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3844.0809,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3487.4136,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,2568.00456,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,4001.410809,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,,,,,inpatient,,,3962.97,,1981.485,2377.782,4001.410809,3725.1918,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3289.2651,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3645.9324,,,,percent of total billed charges,,3748.96962,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3844.0809,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3487.4136,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,2568.00456,,,,percent of total billed charges,,3566.673,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,4001.410809,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3764.8215,,,,percent of total billed charges,,3170.376,,,,percent of total billed charges,,2377.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,,,,,inpatient,,,1954.13,,977.065,1172.478,1973.085061,1836.8822,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1621.9279,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1848.60698,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1895.5061,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1719.6344,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1266.27624,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,1973.085061,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [236604],0636,RC,,,,,inpatient,,,1954.13,,977.065,1172.478,1973.085061,1836.8822,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1621.9279,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1797.7996,,,,percent of total billed charges,,1848.60698,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1895.5061,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1719.6344,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1266.27624,,,,percent of total billed charges,,1758.717,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,1973.085061,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1856.4235,,,,percent of total billed charges,,1563.304,,,,percent of total billed charges,,1172.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [247299],0636,RC,,,,,inpatient,,,4204.81,,2102.405,2522.886,4245.596657,3952.5214,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3489.9923,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3977.75026,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,4078.6657,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3700.2328,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,2724.71688,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,4245.596657,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [247299],0636,RC,,,,,inpatient,,,4204.81,,2102.405,2522.886,4245.596657,3952.5214,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3489.9923,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3868.4252,,,,percent of total billed charges,,3977.75026,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,4078.6657,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3700.2328,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,2724.71688,,,,percent of total billed charges,,3784.329,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,4245.596657,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3994.5695,,,,percent of total billed charges,,3363.848,,,,percent of total billed charges,,2522.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION [247299],0636,RC,,,,,inpatient,,,2073.38,,1036.69,1244.028,2093.491786,1948.9772,,,,percent of total billed charges,,1658.704,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1720.9054,,,,percent of total billed charges,,1866.042,,,,percent of total billed charges,,1907.5096,,,,percent of total billed charges,,1907.5096,,,,percent of total billed charges,,1961.41748,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,2011.1786,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1824.5744,,,,percent of total billed charges,,1866.042,,,,percent of total billed charges,,1343.55024,,,,percent of total billed charges,,1866.042,,,,percent of total billed charges,,1244.028,,,,percent of total billed charges,,2093.491786,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1969.711,,,,percent of total billed charges,,1658.704,,,,percent of total billed charges,,1244.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [232641],0636,RC,,,,,inpatient,,,5054.44,,2527.22,3032.664,5103.468068,4751.1736,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4195.1852,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4781.50024,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4902.8068,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4447.9072,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,3275.27712,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,5103.468068,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [232641],0636,RC,,,,,inpatient,,,5054.44,,2527.22,3032.664,5103.468068,4751.1736,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4195.1852,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4650.0848,,,,percent of total billed charges,,4781.50024,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4902.8068,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4447.9072,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,3275.27712,,,,percent of total billed charges,,4548.996,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,5103.468068,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4801.718,,,,percent of total billed charges,,4043.552,,,,percent of total billed charges,,3032.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION [232641],0636,RC,,,,,inpatient,,,2492.33,,1246.165,1495.398,2516.505601,2342.7902,,,,percent of total billed charges,,1993.864,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2068.6339,,,,percent of total billed charges,,2243.097,,,,percent of total billed charges,,2292.9436,,,,percent of total billed charges,,2292.9436,,,,percent of total billed charges,,2357.74418,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2417.5601,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2193.2504,,,,percent of total billed charges,,2243.097,,,,percent of total billed charges,,1615.02984,,,,percent of total billed charges,,2243.097,,,,percent of total billed charges,,1495.398,,,,percent of total billed charges,,2516.505601,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,2367.7135,,,,percent of total billed charges,,1993.864,,,,percent of total billed charges,,1495.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,,,,,inpatient,,,88.9,,44.45,53.34,89.76233,83.566,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,73.787,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,84.0994,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,86.233,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,78.232,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,57.6072,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,89.76233,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,,,,,inpatient,,,88.9,,44.45,53.34,89.76233,83.566,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,73.787,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,81.788,,,,percent of total billed charges,,84.0994,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,86.233,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,78.232,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,57.6072,,,,percent of total billed charges,,80.01,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,89.76233,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,84.455,,,,percent of total billed charges,,71.12,,,,percent of total billed charges,,53.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,,,,,inpatient,,,76.1,,38.05,45.66,76.83817,71.534,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,63.163,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,71.9906,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,73.817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,66.968,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,49.3128,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,76.83817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [254875],0637,RC,,,,,inpatient,,,76.1,,38.05,45.66,76.83817,71.534,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,63.163,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,71.9906,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,73.817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,66.968,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,49.3128,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,76.83817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN [237015],0637,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN [85526],0637,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN [85526],0637,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q - CHARGE BY DOSE [1000699],0637,RC,,,,,inpatient,,,213.03,,106.515,127.818,215.096391,200.2482,,,,percent of total billed charges,,170.424,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,176.8149,,,,percent of total billed charges,,191.727,,,,percent of total billed charges,,195.9876,,,,percent of total billed charges,,195.9876,,,,percent of total billed charges,,201.52638,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,206.6391,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,187.4664,,,,percent of total billed charges,,191.727,,,,percent of total billed charges,,138.04344,,,,percent of total billed charges,,191.727,,,,percent of total billed charges,,127.818,,,,percent of total billed charges,,215.096391,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,202.3785,,,,percent of total billed charges,,170.424,,,,percent of total billed charges,,127.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q SSIP - PEDS PEN [1001987],0636,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q SSIP PEN [1001979],0637,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO 100 UNIT/ML SUB-Q SSIP PEN [1001979],0637,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO FOR CARB COUNTING [1000435],0637,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO FOR CARB COUNTING [1000435],0637,RC,,,,,inpatient,,,55.67,,27.835,33.402,56.209999,52.3298,,,,percent of total billed charges,,44.536,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,46.2061,,,,percent of total billed charges,,50.103,,,,percent of total billed charges,,51.2164,,,,percent of total billed charges,,51.2164,,,,percent of total billed charges,,52.66382,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,53.9999,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,48.9896,,,,percent of total billed charges,,50.103,,,,percent of total billed charges,,36.07416,,,,percent of total billed charges,,50.103,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,56.209999,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,52.8865,,,,percent of total billed charges,,44.536,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN LISPRO FOR CARB COUNTING [1000435],0637,RC,,,,,inpatient,,,80.53,,40.265,48.318,81.311141,75.6982,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,66.8399,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,74.0876,,,,percent of total billed charges,,76.18138,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,78.1141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,70.8664,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,52.18344,,,,percent of total billed charges,,72.477,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,81.311141,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,76.5035,,,,percent of total billed charges,,64.424,,,,percent of total billed charges,,48.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [86951],0637,RC,,,,,inpatient,,,60.23,,30.115,36.138,60.814231,56.6162,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,49.9909,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,56.97758,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,58.4231,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,53.0024,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,39.02904,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,60.814231,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [86951],0637,RC,,,,,inpatient,,,60.23,,30.115,36.138,60.814231,56.6162,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,49.9909,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,55.4116,,,,percent of total billed charges,,56.97758,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,58.4231,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,53.0024,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,39.02904,,,,percent of total billed charges,,54.207,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,60.814231,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,57.2185,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,36.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [80971],0637,RC,,,,,inpatient,,,67.32,,33.66,40.392,67.973004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,43.62336,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,67.973004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION [245473],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION - ICU/FLUID RESTRICTED [1001589],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION - PEDS DKA [1001643],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION -ADULT DKA [1001498],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR FOR CARB COUNTING [7000265],0637,RC,,,,,inpatient,,,19.89,,9.945,11.934,20.082933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,12.88872,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,20.082933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN 10 UNIT/ML IN NS PEDS DILUTION [1000622],0637,RC,,,,,inpatient,,,5.18,,2.59,3.108,5.230246,4.8692,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.2994,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.7656,,,,percent of total billed charges,,4.90028,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,5.0246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.5584,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.35664,,,,percent of total billed charges,,4.662,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,5.230246,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.921,,,,percent of total billed charges,,4.144,,,,percent of total billed charges,,3.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN 100 UNIT/ML INJ FOR MIXTURES -RX ADMIN UNIT ROUNDS TO NEAREST 0.01 ML [1000528],0637,RC,,,,,inpatient,,,67.32,,33.66,40.392,67.973004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,43.62336,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,67.973004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION - CHARGE BY DOSE [1000698],0637,RC,,,,,inpatient,,,67.32,,33.66,40.392,67.973004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,43.62336,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,67.973004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN [229795],0637,RC,,,,,inpatient,,,1175.56,,587.78,705.336,1186.962932,1105.0264,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,975.7148,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1112.07976,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1140.2932,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1034.4928,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,761.76288,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,1186.962932,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN [229795],0637,RC,,,,,inpatient,,,1175.56,,587.78,705.336,1186.962932,1105.0264,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,975.7148,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1081.5152,,,,percent of total billed charges,,1112.07976,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1140.2932,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1034.4928,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,761.76288,,,,percent of total billed charges,,1058.004,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,1186.962932,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,1116.782,,,,percent of total billed charges,,940.448,,,,percent of total billed charges,,705.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [80707],0637,RC,,,,,inpatient,,,67.32,,33.66,40.392,67.973004,63.2808,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,55.8756,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,61.9344,,,,percent of total billed charges,,63.68472,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,65.3004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,59.2416,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,43.62336,,,,percent of total billed charges,,60.588,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,67.973004,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,63.954,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [80707],0637,RC,,,,,inpatient,,,19.89,,9.945,11.934,20.082933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,12.88872,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,20.082933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODINE STRONG (LUGOLS) 5 % ORAL SOLN [77391],0250,RC,,,,,inpatient,,,270.32,,135.16,162.192,272.942104,254.1008,,,,percent of total billed charges,,216.256,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,224.3656,,,,percent of total billed charges,,243.288,,,,percent of total billed charges,,248.6944,,,,percent of total billed charges,,248.6944,,,,percent of total billed charges,,255.72272,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,262.2104,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,237.8816,,,,percent of total billed charges,,243.288,,,,percent of total billed charges,,175.16736,,,,percent of total billed charges,,243.288,,,,percent of total billed charges,,162.192,,,,percent of total billed charges,,272.942104,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,256.804,,,,percent of total billed charges,,216.256,,,,percent of total billed charges,,162.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODINE STRONG (LUGOLS) 5 % ORAL SOLN [77391],0250,RC,,,,,inpatient,,,133.38,,66.69,80.028,134.673786,125.3772,,,,percent of total billed charges,,106.704,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,110.7054,,,,percent of total billed charges,,120.042,,,,percent of total billed charges,,122.7096,,,,percent of total billed charges,,122.7096,,,,percent of total billed charges,,126.17748,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,129.3786,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,117.3744,,,,percent of total billed charges,,120.042,,,,percent of total billed charges,,86.43024,,,,percent of total billed charges,,120.042,,,,percent of total billed charges,,80.028,,,,percent of total billed charges,,134.673786,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,126.711,,,,percent of total billed charges,,106.704,,,,percent of total billed charges,,80.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODINE STRONG (LUGOLS) 5 % ORAL SOLN [77391],0250,RC,,,,,inpatient,,,38.16,,19.08,22.896,38.530152,35.8704,,,,percent of total billed charges,,30.528,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,31.6728,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,35.1072,,,,percent of total billed charges,,35.1072,,,,percent of total billed charges,,36.09936,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,37.0152,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,33.5808,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,24.72768,,,,percent of total billed charges,,34.344,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,38.530152,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,36.252,,,,percent of total billed charges,,30.528,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,,,,,inpatient,,,616.95,,308.475,370.17,622.934415,579.933,,,,percent of total billed charges,,493.56,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,512.0685,,,,percent of total billed charges,,555.255,,,,percent of total billed charges,,567.594,,,,percent of total billed charges,,567.594,,,,percent of total billed charges,,583.6347,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,598.4415,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,542.916,,,,percent of total billed charges,,555.255,,,,percent of total billed charges,,399.7836,,,,percent of total billed charges,,555.255,,,,percent of total billed charges,,370.17,,,,percent of total billed charges,,622.934415,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,586.1025,,,,percent of total billed charges,,493.56,,,,percent of total billed charges,,370.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,,,,,inpatient,,,438.3,,219.15,262.98,442.55151,412.002,,,,percent of total billed charges,,350.64,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,363.789,,,,percent of total billed charges,,394.47,,,,percent of total billed charges,,403.236,,,,percent of total billed charges,,403.236,,,,percent of total billed charges,,414.6318,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,425.151,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,385.704,,,,percent of total billed charges,,394.47,,,,percent of total billed charges,,284.0184,,,,percent of total billed charges,,394.47,,,,percent of total billed charges,,262.98,,,,percent of total billed charges,,442.55151,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,416.385,,,,percent of total billed charges,,350.64,,,,percent of total billed charges,,262.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,,,,,inpatient,,,219.15,,109.575,131.49,221.275755,206.001,,,,percent of total billed charges,,175.32,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,181.8945,,,,percent of total billed charges,,197.235,,,,percent of total billed charges,,201.618,,,,percent of total billed charges,,201.618,,,,percent of total billed charges,,207.3159,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,212.5755,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,192.852,,,,percent of total billed charges,,197.235,,,,percent of total billed charges,,142.0092,,,,percent of total billed charges,,197.235,,,,percent of total billed charges,,131.49,,,,percent of total billed charges,,221.275755,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,208.1925,,,,percent of total billed charges,,175.32,,,,percent of total billed charges,,131.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,,,,,inpatient,,,62.1,,31.05,37.26,62.70237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,62.70237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,,,,,inpatient,,,62.1,,31.05,37.26,62.70237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,62.70237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,,,,,inpatient,,,124.2,,62.1,74.52,125.40474,116.748,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,103.086,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,117.4932,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,80.4816,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,125.40474,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION [78196],0254,RC,,,,,inpatient,,,124.2,,62.1,74.52,125.40474,116.748,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,103.086,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,114.264,,,,percent of total billed charges,,117.4932,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,109.296,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,80.4816,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,125.40474,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,117.99,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,,,,,inpatient,,,107.15,,53.575,64.29,108.189355,100.721,,,,percent of total billed charges,,85.72,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,88.9345,,,,percent of total billed charges,,96.435,,,,percent of total billed charges,,98.578,,,,percent of total billed charges,,98.578,,,,percent of total billed charges,,101.3639,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,103.9355,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,94.292,,,,percent of total billed charges,,96.435,,,,percent of total billed charges,,69.4332,,,,percent of total billed charges,,96.435,,,,percent of total billed charges,,64.29,,,,percent of total billed charges,,108.189355,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,101.7925,,,,percent of total billed charges,,85.72,,,,percent of total billed charges,,64.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,,,,,inpatient,,,191.7,,95.85,115.02,193.55949,180.198,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,159.111,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,181.3482,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,185.949,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,168.696,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,124.2216,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,193.55949,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,,,,,inpatient,,,90.45,,45.225,54.27,91.327365,85.023,,,,percent of total billed charges,,72.36,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,75.0735,,,,percent of total billed charges,,81.405,,,,percent of total billed charges,,83.214,,,,percent of total billed charges,,83.214,,,,percent of total billed charges,,85.5657,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,87.7365,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,79.596,,,,percent of total billed charges,,81.405,,,,percent of total billed charges,,58.6116,,,,percent of total billed charges,,81.405,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,91.327365,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,85.9275,,,,percent of total billed charges,,72.36,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [79151],0254,RC,,,,,inpatient,,,191.7,,95.85,115.02,193.55949,180.198,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,159.111,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,176.364,,,,percent of total billed charges,,181.3482,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,185.949,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,168.696,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,124.2216,,,,percent of total billed charges,,172.53,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,193.55949,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,182.115,,,,percent of total billed charges,,153.36,,,,percent of total billed charges,,115.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [81197],0254,RC,,,,,inpatient,,,208.8,,104.4,125.28,210.82536,196.272,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,173.304,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,197.5248,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,202.536,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,183.744,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,135.3024,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,210.82536,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [81197],0254,RC,,,,,inpatient,,,417.15,,208.575,250.29,421.196355,392.121,,,,percent of total billed charges,,333.72,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,346.2345,,,,percent of total billed charges,,375.435,,,,percent of total billed charges,,383.778,,,,percent of total billed charges,,383.778,,,,percent of total billed charges,,394.6239,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,404.6355,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,367.092,,,,percent of total billed charges,,375.435,,,,percent of total billed charges,,270.3132,,,,percent of total billed charges,,375.435,,,,percent of total billed charges,,250.29,,,,percent of total billed charges,,421.196355,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,396.2925,,,,percent of total billed charges,,333.72,,,,percent of total billed charges,,250.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [81197],0254,RC,,,,,inpatient,,,208.8,,104.4,125.28,210.82536,196.272,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,173.304,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,192.096,,,,percent of total billed charges,,197.5248,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,202.536,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,183.744,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,135.3024,,,,percent of total billed charges,,187.92,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,210.82536,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,198.36,,,,percent of total billed charges,,167.04,,,,percent of total billed charges,,125.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION [95362],0254,RC,,,,,inpatient,,,61.56,,30.78,36.936,62.157132,57.8664,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,51.0948,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,56.6352,,,,percent of total billed charges,,56.6352,,,,percent of total billed charges,,58.23576,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,59.7132,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,54.1728,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,39.89088,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,62.157132,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,58.482,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,36.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION [95362],0254,RC,,,,,inpatient,,,366.21,,183.105,219.726,369.762237,344.2374,,,,percent of total billed charges,,292.968,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,303.9543,,,,percent of total billed charges,,329.589,,,,percent of total billed charges,,336.9132,,,,percent of total billed charges,,336.9132,,,,percent of total billed charges,,346.43466,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,355.2237,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,322.2648,,,,percent of total billed charges,,329.589,,,,percent of total billed charges,,237.30408,,,,percent of total billed charges,,329.589,,,,percent of total billed charges,,219.726,,,,percent of total billed charges,,369.762237,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,347.8995,,,,percent of total billed charges,,292.968,,,,percent of total billed charges,,219.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION [95363],0254,RC,,,,,inpatient,,,81.81,,40.905,49.086,82.603557,76.9014,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,67.9023,,,,percent of total billed charges,,73.629,,,,percent of total billed charges,,75.2652,,,,percent of total billed charges,,75.2652,,,,percent of total billed charges,,77.39226,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,79.3557,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,71.9928,,,,percent of total billed charges,,73.629,,,,percent of total billed charges,,53.01288,,,,percent of total billed charges,,73.629,,,,percent of total billed charges,,49.086,,,,percent of total billed charges,,82.603557,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,77.7195,,,,percent of total billed charges,,65.448,,,,percent of total billed charges,,49.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,,,,,inpatient,,,18.77,,9.385,11.262,18.952069,17.6438,,,,percent of total billed charges,,15.016,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,15.5791,,,,percent of total billed charges,,16.893,,,,percent of total billed charges,,17.2684,,,,percent of total billed charges,,17.2684,,,,percent of total billed charges,,17.75642,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,18.2069,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,16.5176,,,,percent of total billed charges,,16.893,,,,percent of total billed charges,,12.16296,,,,percent of total billed charges,,16.893,,,,percent of total billed charges,,11.262,,,,percent of total billed charges,,18.952069,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,17.8315,,,,percent of total billed charges,,15.016,,,,percent of total billed charges,,11.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,,,,,inpatient,,,96.98,,48.49,58.188,97.920706,91.1612,,,,percent of total billed charges,,77.584,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,80.4934,,,,percent of total billed charges,,87.282,,,,percent of total billed charges,,89.2216,,,,percent of total billed charges,,89.2216,,,,percent of total billed charges,,91.74308,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,94.0706,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,85.3424,,,,percent of total billed charges,,87.282,,,,percent of total billed charges,,62.84304,,,,percent of total billed charges,,87.282,,,,percent of total billed charges,,58.188,,,,percent of total billed charges,,97.920706,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,92.131,,,,percent of total billed charges,,77.584,,,,percent of total billed charges,,58.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,,,,,inpatient,,,39.15,,19.575,23.49,39.529755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,25.3692,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,39.529755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,,,,,inpatient,,,157.28,,78.64,94.368,158.805616,147.8432,,,,percent of total billed charges,,125.824,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,130.5424,,,,percent of total billed charges,,141.552,,,,percent of total billed charges,,144.6976,,,,percent of total billed charges,,144.6976,,,,percent of total billed charges,,148.78688,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,152.5616,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,138.4064,,,,percent of total billed charges,,141.552,,,,percent of total billed charges,,101.91744,,,,percent of total billed charges,,141.552,,,,percent of total billed charges,,94.368,,,,percent of total billed charges,,158.805616,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,149.416,,,,percent of total billed charges,,125.824,,,,percent of total billed charges,,94.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION [77709],0254,RC,,,,,inpatient,,,276.08,,138.04,165.648,278.757976,259.5152,,,,percent of total billed charges,,220.864,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,229.1464,,,,percent of total billed charges,,248.472,,,,percent of total billed charges,,253.9936,,,,percent of total billed charges,,253.9936,,,,percent of total billed charges,,261.17168,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,267.7976,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,242.9504,,,,percent of total billed charges,,248.472,,,,percent of total billed charges,,178.89984,,,,percent of total billed charges,,248.472,,,,percent of total billed charges,,165.648,,,,percent of total billed charges,,278.757976,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,262.276,,,,percent of total billed charges,,220.864,,,,percent of total billed charges,,165.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,,,,,inpatient,,,105.3,,52.65,63.18,106.32141,98.982,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,87.399,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,96.876,,,,percent of total billed charges,,99.6138,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,102.141,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,92.664,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,68.2344,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,106.32141,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,100.035,,,,percent of total billed charges,,84.24,,,,percent of total billed charges,,63.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,,,,,inpatient,,,43.2,,21.6,25.92,43.61904,40.608,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,35.856,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,40.8672,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.904,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,38.016,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,27.9936,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,43.61904,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,,,,,inpatient,,,290.93,,145.465,174.558,293.752021,273.4742,,,,percent of total billed charges,,232.744,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,241.4719,,,,percent of total billed charges,,261.837,,,,percent of total billed charges,,267.6556,,,,percent of total billed charges,,267.6556,,,,percent of total billed charges,,275.21978,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,282.2021,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,256.0184,,,,percent of total billed charges,,261.837,,,,percent of total billed charges,,188.52264,,,,percent of total billed charges,,261.837,,,,percent of total billed charges,,174.558,,,,percent of total billed charges,,293.752021,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,276.3835,,,,percent of total billed charges,,232.744,,,,percent of total billed charges,,174.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,,,,,inpatient,,,157.95,,78.975,94.77,159.482115,148.473,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,131.0985,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,145.314,,,,percent of total billed charges,,149.4207,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,153.2115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,138.996,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,102.3516,,,,percent of total billed charges,,142.155,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,159.482115,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,150.0525,,,,percent of total billed charges,,126.36,,,,percent of total billed charges,,94.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION [81911],0254,RC,,,,,inpatient,,,209.25,,104.625,125.55,211.279725,196.695,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,173.6775,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,192.51,,,,percent of total billed charges,,197.9505,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,202.9725,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,184.14,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,135.594,,,,percent of total billed charges,,188.325,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,211.279725,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,198.7875,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,125.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION [78252],0636,RC,,,,,inpatient,,,74.25,,37.125,44.55,74.970225,69.795,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,61.6275,,,,percent of total billed charges,,66.825,,,,percent of total billed charges,,68.31,,,,percent of total billed charges,,68.31,,,,percent of total billed charges,,70.2405,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,72.0225,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,65.34,,,,percent of total billed charges,,66.825,,,,percent of total billed charges,,48.114,,,,percent of total billed charges,,66.825,,,,percent of total billed charges,,44.55,,,,percent of total billed charges,,74.970225,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,70.5375,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,44.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION [78252],0636,RC,,,,,inpatient,,,123.75,,61.875,74.25,124.950375,116.325,,,,percent of total billed charges,,99,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,102.7125,,,,percent of total billed charges,,111.375,,,,percent of total billed charges,,113.85,,,,percent of total billed charges,,113.85,,,,percent of total billed charges,,117.0675,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,120.0375,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,108.9,,,,percent of total billed charges,,111.375,,,,percent of total billed charges,,80.19,,,,percent of total billed charges,,111.375,,,,percent of total billed charges,,74.25,,,,percent of total billed charges,,124.950375,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,117.5625,,,,percent of total billed charges,,99,,,,percent of total billed charges,,74.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 300 MG IODINE/ML INTRAVENOUS SOLUTION [88440],0254,RC,,,,,inpatient,,,148.95,,74.475,89.37,150.394815,140.013,,,,percent of total billed charges,,119.16,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,123.6285,,,,percent of total billed charges,,134.055,,,,percent of total billed charges,,137.034,,,,percent of total billed charges,,137.034,,,,percent of total billed charges,,140.9067,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,144.4815,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,131.076,,,,percent of total billed charges,,134.055,,,,percent of total billed charges,,96.5196,,,,percent of total billed charges,,134.055,,,,percent of total billed charges,,89.37,,,,percent of total billed charges,,150.394815,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,141.5025,,,,percent of total billed charges,,119.16,,,,percent of total billed charges,,89.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 320 MG/ML IV - EAST [7000031],0254,RC,,,,,inpatient,,,43.47,,21.735,26.082,43.891659,40.8618,,,,percent of total billed charges,,34.776,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,36.0801,,,,percent of total billed charges,,39.123,,,,percent of total billed charges,,39.9924,,,,percent of total billed charges,,39.9924,,,,percent of total billed charges,,41.12262,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,42.1659,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,38.2536,,,,percent of total billed charges,,39.123,,,,percent of total billed charges,,28.16856,,,,percent of total billed charges,,39.123,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,43.891659,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,41.2965,,,,percent of total billed charges,,34.776,,,,percent of total billed charges,,26.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 320 MG/ML IV - EAST [7000031],0254,RC,,,,,inpatient,,,72.45,,36.225,43.47,73.152765,68.103,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,60.1335,,,,percent of total billed charges,,65.205,,,,percent of total billed charges,,66.654,,,,percent of total billed charges,,66.654,,,,percent of total billed charges,,68.5377,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,70.2765,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,63.756,,,,percent of total billed charges,,65.205,,,,percent of total billed charges,,46.9476,,,,percent of total billed charges,,65.205,,,,percent of total billed charges,,43.47,,,,percent of total billed charges,,73.152765,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,68.8275,,,,percent of total billed charges,,57.96,,,,percent of total billed charges,,43.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 320 MG/ML IV - EAST [7000031],0254,RC,,,,,inpatient,,,144,,72,86.4,145.3968,135.36,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,119.52,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,136.224,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,139.68,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,126.72,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,93.312,,,,percent of total billed charges,,129.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,145.3968,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,136.8,,,,percent of total billed charges,,115.2,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,,,,,inpatient,,,256.5,,128.25,153.9,258.98805,241.11,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,212.895,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,235.98,,,,percent of total billed charges,,235.98,,,,percent of total billed charges,,242.649,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,248.805,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,225.72,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,166.212,,,,percent of total billed charges,,230.85,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,258.98805,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,243.675,,,,percent of total billed charges,,205.2,,,,percent of total billed charges,,153.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,,,,,inpatient,,,78.53,,39.265,47.118,79.291741,73.8182,,,,percent of total billed charges,,62.824,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,65.1799,,,,percent of total billed charges,,70.677,,,,percent of total billed charges,,72.2476,,,,percent of total billed charges,,72.2476,,,,percent of total billed charges,,74.28938,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,76.1741,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,69.1064,,,,percent of total billed charges,,70.677,,,,percent of total billed charges,,50.88744,,,,percent of total billed charges,,70.677,,,,percent of total billed charges,,47.118,,,,percent of total billed charges,,79.291741,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,74.6035,,,,percent of total billed charges,,62.824,,,,percent of total billed charges,,47.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,,,,,inpatient,,,157.05,,78.525,94.23,158.573385,147.627,,,,percent of total billed charges,,125.64,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,130.3515,,,,percent of total billed charges,,141.345,,,,percent of total billed charges,,144.486,,,,percent of total billed charges,,144.486,,,,percent of total billed charges,,148.5693,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,152.3385,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,138.204,,,,percent of total billed charges,,141.345,,,,percent of total billed charges,,101.7684,,,,percent of total billed charges,,141.345,,,,percent of total billed charges,,94.23,,,,percent of total billed charges,,158.573385,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,149.1975,,,,percent of total billed charges,,125.64,,,,percent of total billed charges,,94.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,,,,,inpatient,,,220.05,,110.025,132.03,222.184485,206.847,,,,percent of total billed charges,,176.04,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,182.6415,,,,percent of total billed charges,,198.045,,,,percent of total billed charges,,202.446,,,,percent of total billed charges,,202.446,,,,percent of total billed charges,,208.1673,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,213.4485,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,193.644,,,,percent of total billed charges,,198.045,,,,percent of total billed charges,,142.5924,,,,percent of total billed charges,,198.045,,,,percent of total billed charges,,132.03,,,,percent of total billed charges,,222.184485,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,209.0475,,,,percent of total billed charges,,176.04,,,,percent of total billed charges,,132.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION [80514],0254,RC,,,,,inpatient,,,279,,139.5,167.4,281.7063,262.26,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,231.57,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,256.68,,,,percent of total billed charges,,263.934,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,270.63,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,245.52,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,180.792,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,281.7063,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,265.05,,,,percent of total billed charges,,223.2,,,,percent of total billed charges,,167.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,,,,,inpatient,,,119454.58,,59727.29,71672.748,120613.2894,112287.3052,,,,percent of total billed charges,,95563.664,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,99147.3014,,,,percent of total billed charges,,107509.122,,,,percent of total billed charges,,109898.2136,,,,percent of total billed charges,,109898.2136,,,,percent of total billed charges,,113004.0327,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,115870.9426,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,105120.0304,,,,percent of total billed charges,,107509.122,,,,percent of total billed charges,,77406.56784,,,,percent of total billed charges,,107509.122,,,,percent of total billed charges,,71672.748,,,,percent of total billed charges,,120613.2894,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,113481.851,,,,percent of total billed charges,,95563.664,,,,percent of total billed charges,,71672.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [203998],0636,RC,,,,,inpatient,,,34129.96,,17064.98,20477.976,34461.02061,32082.1624,,,,percent of total billed charges,,27303.968,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,28327.8668,,,,percent of total billed charges,,30716.964,,,,percent of total billed charges,,31399.5632,,,,percent of total billed charges,,31399.5632,,,,percent of total billed charges,,32286.94216,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,33106.0612,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,30034.3648,,,,percent of total billed charges,,30716.964,,,,percent of total billed charges,,22116.21408,,,,percent of total billed charges,,30716.964,,,,percent of total billed charges,,20477.976,,,,percent of total billed charges,,34461.02061,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,32423.462,,,,percent of total billed charges,,27303.968,,,,percent of total billed charges,,20477.976,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,,,,,inpatient,,,121126.95,,60563.475,72676.17,122301.8814,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,78490.2636,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,122301.8814,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,,,,,inpatient,,,121126.95,,60563.475,72676.17,122301.8814,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,78490.2636,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,122301.8814,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,,,,,inpatient,,,121126.95,,60563.475,72676.17,122301.8814,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,78490.2636,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,122301.8814,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,,,,,inpatient,,,121126.95,,60563.475,72676.17,122301.8814,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,78490.2636,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,122301.8814,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [203999],0636,RC,,,,,inpatient,,,121126.95,,60563.475,72676.17,122301.8814,113859.333,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,100535.3685,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,111436.794,,,,percent of total billed charges,,114586.0947,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,117493.1415,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,106591.716,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,78490.2636,,,,percent of total billed charges,,109014.255,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,122301.8814,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,115070.6025,,,,percent of total billed charges,,96901.56,,,,percent of total billed charges,,72676.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [203998],0636,RC,,,,,inpatient,,,121127.23,,60563.615,72676.338,122302.1641,113859.5962,,,,percent of total billed charges,,96901.784,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,100535.6009,,,,percent of total billed charges,,109014.507,,,,percent of total billed charges,,111437.0516,,,,percent of total billed charges,,111437.0516,,,,percent of total billed charges,,114586.3596,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,117493.4131,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,106591.9624,,,,percent of total billed charges,,109014.507,,,,percent of total billed charges,,78490.44504,,,,percent of total billed charges,,109014.507,,,,percent of total billed charges,,72676.338,,,,percent of total billed charges,,122302.1641,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,115070.8685,,,,percent of total billed charges,,96901.784,,,,percent of total billed charges,,72676.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,,,,,inpatient,,,2.08,,1.04,1.248,2.100176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.34784,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,2.100176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,,,,,inpatient,,,2.08,,1.04,1.248,2.100176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.34784,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,2.100176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,,,,,inpatient,,,2.66,,1.33,1.596,2.685802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.72368,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.685802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [77457],0637,RC,,,,,inpatient,,,2.66,,1.33,1.596,2.685802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.72368,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.685802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION [223206],0637,RC,,,,,inpatient,,,1720.32,,860.16,1032.192,1737.007104,1617.1008,,,,percent of total billed charges,,1376.256,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1427.8656,,,,percent of total billed charges,,1548.288,,,,percent of total billed charges,,1582.6944,,,,percent of total billed charges,,1582.6944,,,,percent of total billed charges,,1627.42272,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1668.7104,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1513.8816,,,,percent of total billed charges,,1548.288,,,,percent of total billed charges,,1114.76736,,,,percent of total billed charges,,1548.288,,,,percent of total billed charges,,1032.192,,,,percent of total billed charges,,1737.007104,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1634.304,,,,percent of total billed charges,,1376.256,,,,percent of total billed charges,,1032.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],0637,RC,,,,,inpatient,,,1.75,,0.875,1.05,1.766975,1.645,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4525,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.61,,,,percent of total billed charges,,1.6555,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6975,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.54,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.575,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,1.766975,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.6625,,,,percent of total billed charges,,1.4,,,,percent of total billed charges,,1.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],0637,RC,,,,,inpatient,,,0.92,,0.46,0.552,0.928924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.59616,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.928924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [12580],0637,RC,,,,,inpatient,,,0.92,,0.46,0.552,0.928924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.59616,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.928924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER [94500],0637,RC,,,,,inpatient,,,1952.4,,976.2,1171.44,1971.33828,1835.256,,,,percent of total billed charges,,1561.92,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1620.492,,,,percent of total billed charges,,1757.16,,,,percent of total billed charges,,1796.208,,,,percent of total billed charges,,1796.208,,,,percent of total billed charges,,1846.9704,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1893.828,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1718.112,,,,percent of total billed charges,,1757.16,,,,percent of total billed charges,,1265.1552,,,,percent of total billed charges,,1757.16,,,,percent of total billed charges,,1171.44,,,,percent of total billed charges,,1971.33828,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1854.78,,,,percent of total billed charges,,1561.92,,,,percent of total billed charges,,1171.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INJECTION FOR INTRAHEPATIC EMBOLIZATION - CHI [7000108],0636,RC,,,,,inpatient,,,55.49,,27.745,33.294,56.028253,52.1606,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,46.0567,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,52.49354,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,53.8253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,48.8312,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,35.95752,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,56.028253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [164369],0636,RC,,,,,inpatient,,,55.49,,27.745,33.294,56.028253,52.1606,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,46.0567,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,52.49354,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,53.8253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,48.8312,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,35.95752,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,56.028253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [164369],0636,RC,,,,,inpatient,,,57.92,,28.96,34.752,58.481824,54.4448,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,48.0736,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,54.79232,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,56.1824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,50.9696,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,37.53216,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,58.481824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [164369],0636,RC,,,,,inpatient,,,32.45,,16.225,19.47,32.764765,30.503,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,26.9335,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,30.6977,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,31.4765,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,28.556,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,21.0276,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,32.764765,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,,,,,inpatient,,,33.53,,16.765,20.118,33.855241,31.5182,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,27.8299,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,31.71938,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,32.5241,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,29.5064,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,21.72744,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,33.855241,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,,,,,inpatient,,,28.94,,14.47,17.364,29.220718,27.2036,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,24.0202,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,27.37724,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,28.0718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,25.4672,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,18.75312,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,29.220718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,,,,,inpatient,,,29.79,,14.895,17.874,30.078963,28.0026,,,,percent of total billed charges,,23.832,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,24.7257,,,,percent of total billed charges,,26.811,,,,percent of total billed charges,,27.4068,,,,percent of total billed charges,,27.4068,,,,percent of total billed charges,,28.18134,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,28.8963,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,26.2152,,,,percent of total billed charges,,26.811,,,,percent of total billed charges,,19.30392,,,,percent of total billed charges,,26.811,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,30.078963,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,28.3005,,,,percent of total billed charges,,23.832,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,,,,,inpatient,,,66.11,,33.055,39.666,66.751267,62.1434,,,,percent of total billed charges,,52.888,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,54.8713,,,,percent of total billed charges,,59.499,,,,percent of total billed charges,,60.8212,,,,percent of total billed charges,,60.8212,,,,percent of total billed charges,,62.54006,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,64.1267,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,58.1768,,,,percent of total billed charges,,59.499,,,,percent of total billed charges,,42.83928,,,,percent of total billed charges,,59.499,,,,percent of total billed charges,,39.666,,,,percent of total billed charges,,66.751267,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,62.8045,,,,percent of total billed charges,,52.888,,,,percent of total billed charges,,39.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [164370],0636,RC,,,,,inpatient,,,16.88,,8.44,10.128,17.043736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.93824,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,17.043736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [227718],0636,RC,,,,,inpatient,,,7290,,3645,4374,7360.713,6852.6,,,,percent of total billed charges,,5832,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,6050.7,,,,percent of total billed charges,,6561,,,,percent of total billed charges,,6706.8,,,,percent of total billed charges,,6706.8,,,,percent of total billed charges,,6896.34,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,7071.3,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,6415.2,,,,percent of total billed charges,,6561,,,,percent of total billed charges,,4723.92,,,,percent of total billed charges,,6561,,,,percent of total billed charges,,4374,,,,percent of total billed charges,,7360.713,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,6925.5,,,,percent of total billed charges,,5832,,,,percent of total billed charges,,4374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS [227718],0636,RC,,,,,inpatient,,,12447,,6223.5,7468.2,12567.7359,11700.18,,,,percent of total billed charges,,9957.6,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,10331.01,,,,percent of total billed charges,,11202.3,,,,percent of total billed charges,,11451.24,,,,percent of total billed charges,,11451.24,,,,percent of total billed charges,,11774.862,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,12073.59,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,10953.36,,,,percent of total billed charges,,11202.3,,,,percent of total billed charges,,8065.656,,,,percent of total billed charges,,11202.3,,,,percent of total billed charges,,7468.2,,,,percent of total billed charges,,12567.7359,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,11824.65,,,,percent of total billed charges,,9957.6,,,,percent of total billed charges,,7468.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,,,,,inpatient,,,146.79,,73.395,88.074,148.213863,137.9826,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,121.8357,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,138.86334,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,142.3863,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,129.1752,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,95.11992,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,148.213863,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,,,,,inpatient,,,146.79,,73.395,88.074,148.213863,137.9826,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,121.8357,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,135.0468,,,,percent of total billed charges,,138.86334,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,142.3863,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,129.1752,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,95.11992,,,,percent of total billed charges,,132.111,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,148.213863,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,139.4505,,,,percent of total billed charges,,117.432,,,,percent of total billed charges,,88.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,,,,,inpatient,,,73.4,,36.7,44.04,74.11198,68.996,,,,percent of total billed charges,,58.72,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,60.922,,,,percent of total billed charges,,66.06,,,,percent of total billed charges,,67.528,,,,percent of total billed charges,,67.528,,,,percent of total billed charges,,69.4364,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,71.198,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,64.592,,,,percent of total billed charges,,66.06,,,,percent of total billed charges,,47.5632,,,,percent of total billed charges,,66.06,,,,percent of total billed charges,,44.04,,,,percent of total billed charges,,74.11198,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,69.73,,,,percent of total billed charges,,58.72,,,,percent of total billed charges,,44.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [239897],0636,RC,,,,,inpatient,,,36.7,,18.35,22.02,37.05599,34.498,,,,percent of total billed charges,,29.36,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,30.461,,,,percent of total billed charges,,33.03,,,,percent of total billed charges,,33.764,,,,percent of total billed charges,,33.764,,,,percent of total billed charges,,34.7182,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,35.599,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,32.296,,,,percent of total billed charges,,33.03,,,,percent of total billed charges,,23.7816,,,,percent of total billed charges,,33.03,,,,percent of total billed charges,,22.02,,,,percent of total billed charges,,37.05599,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,34.865,,,,percent of total billed charges,,29.36,,,,percent of total billed charges,,22.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,,,,,inpatient,,,280.58,,140.29,168.348,283.301626,263.7452,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,232.8814,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,265.42868,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,272.1626,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,246.9104,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,181.81584,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,283.301626,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,,,,,inpatient,,,280.58,,140.29,168.348,283.301626,263.7452,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,232.8814,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,258.1336,,,,percent of total billed charges,,265.42868,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,272.1626,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,246.9104,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,181.81584,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,283.301626,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,266.551,,,,percent of total billed charges,,224.464,,,,percent of total billed charges,,168.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,420.87,,210.435,252.522,424.952439,395.6178,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,349.3221,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,398.14302,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,408.2439,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,370.3656,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,272.72376,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,424.952439,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,,,,,inpatient,,,420.87,,210.435,252.522,424.952439,395.6178,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,349.3221,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,387.2004,,,,percent of total billed charges,,398.14302,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,408.2439,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,370.3656,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,272.72376,,,,percent of total billed charges,,378.783,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,424.952439,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,399.8265,,,,percent of total billed charges,,336.696,,,,percent of total billed charges,,252.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,561.15,,280.575,336.69,566.593155,527.481,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,465.7545,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,530.8479,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,544.3155,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,493.812,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,363.6252,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,566.593155,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,,,,,inpatient,,,561.15,,280.575,336.69,566.593155,527.481,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,465.7545,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,516.258,,,,percent of total billed charges,,530.8479,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,544.3155,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,493.812,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,363.6252,,,,percent of total billed charges,,505.035,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,566.593155,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,533.0925,,,,percent of total billed charges,,448.92,,,,percent of total billed charges,,336.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,701.44,,350.72,420.864,708.243968,659.3536,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,582.1952,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,663.56224,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,680.3968,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,617.2672,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,454.53312,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,708.243968,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,,,,,inpatient,,,701.44,,350.72,420.864,708.243968,659.3536,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,582.1952,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,645.3248,,,,percent of total billed charges,,663.56224,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,680.3968,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,617.2672,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,454.53312,,,,percent of total billed charges,,631.296,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,708.243968,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,666.368,,,,percent of total billed charges,,561.152,,,,percent of total billed charges,,420.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [80842],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION [205137],0636,RC,,,,,inpatient,,,140.29,,70.145,84.174,141.650813,131.8726,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,116.4407,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,129.0668,,,,percent of total billed charges,,132.71434,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,136.0813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,123.4552,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,90.90792,,,,percent of total billed charges,,126.261,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,141.650813,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,133.2755,,,,percent of total billed charges,,112.232,,,,percent of total billed charges,,84.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,,,,,inpatient,,,1.83,,0.915,1.098,1.847751,1.7202,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.5189,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.6836,,,,percent of total billed charges,,1.73118,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.6104,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.18584,,,,percent of total billed charges,,1.647,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.847751,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.7385,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,,,,,inpatient,,,1.12,,0.56,0.672,1.130864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.72576,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.130864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,,,,,inpatient,,,4.59,,2.295,2.754,4.634523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.97432,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.634523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISONIAZID 300 MG TABLET [4027],0637,RC,,,,,inpatient,,,4.59,,2.295,2.754,4.634523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.97432,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.634523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 10 MG TABLET [4064],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 10 MG TABLET [4064],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 10 MG TABLET [4064],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 20 MG TABLET [4065],0637,RC,,,,,inpatient,,,2.78,,1.39,1.668,2.806966,2.6132,,,,percent of total billed charges,,2.224,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.3074,,,,percent of total billed charges,,2.502,,,,percent of total billed charges,,2.5576,,,,percent of total billed charges,,2.5576,,,,percent of total billed charges,,2.62988,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.6966,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.4464,,,,percent of total billed charges,,2.502,,,,percent of total billed charges,,1.80144,,,,percent of total billed charges,,2.502,,,,percent of total billed charges,,1.668,,,,percent of total billed charges,,2.806966,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.641,,,,percent of total billed charges,,2.224,,,,percent of total billed charges,,1.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 20 MG TABLET [4065],0637,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSORBIDE DINITRATE 20 MG TABLET [4065],0637,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,,,,,inpatient,,,1.36,,0.68,0.816,1.373192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.88128,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.373192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,,,,,inpatient,,,1.34,,0.67,0.804,1.352998,1.2596,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1122,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.26764,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.2998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1792,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.86832,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,1.352998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,,,,,inpatient,,,1.34,,0.67,0.804,1.352998,1.2596,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1122,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.2328,,,,percent of total billed charges,,1.26764,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.2998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.1792,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.86832,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,1.352998,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.273,,,,percent of total billed charges,,1.072,,,,percent of total billed charges,,0.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [24521]",0637,RC,,,,,inpatient,,,1.36,,0.68,0.816,1.373192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.88128,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.373192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,,,,,inpatient,,,1.19,,0.595,0.714,1.201543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.77112,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.201543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,,,,,inpatient,,,1.19,,0.595,0.714,1.201543,1.1186,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.9877,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.0948,,,,percent of total billed charges,,1.12574,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.0472,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.77112,,,,percent of total billed charges,,1.071,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,1.201543,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,1.1305,,,,percent of total billed charges,,0.952,,,,percent of total billed charges,,0.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,,,,,inpatient,,,2.08,,1.04,1.248,2.100176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.34784,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,2.100176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,,,,,inpatient,,,1.85,,0.925,1.11,1.867945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.1988,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.867945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,,,,,inpatient,,,2.09,,1.045,1.254,2.110273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.35432,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,2.110273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [24268]",0637,RC,,,,,inpatient,,,2.09,,1.045,1.254,2.110273,1.9646,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.7347,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.9228,,,,percent of total billed charges,,1.97714,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,2.0273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.8392,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.35432,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,2.110273,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.9855,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [80769],0250,RC,,,,,inpatient,,,4607.19,,2303.595,2764.314,4651.879743,4330.7586,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3823.9677,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4358.40174,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4468.9743,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4054.3272,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,2985.45912,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,4651.879743,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION [80769],0250,RC,,,,,inpatient,,,4607.19,,2303.595,2764.314,4651.879743,4330.7586,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3823.9677,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4238.6148,,,,percent of total billed charges,,4358.40174,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4468.9743,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4054.3272,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,2985.45912,,,,percent of total billed charges,,4146.471,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,4651.879743,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,4376.8305,,,,percent of total billed charges,,3685.752,,,,percent of total billed charges,,2764.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 1 MG/ML IN NS INFUSION - ANES [5000242],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,,,,,inpatient,,,41.76,,20.88,25.056,42.165072,39.2544,,,,percent of total billed charges,,33.408,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,34.6608,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,38.4192,,,,percent of total billed charges,,38.4192,,,,percent of total billed charges,,39.50496,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,40.5072,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,36.7488,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,27.06048,,,,percent of total billed charges,,37.584,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,42.165072,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,39.672,,,,percent of total billed charges,,33.408,,,,percent of total billed charges,,25.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,,,,,inpatient,,,22.01,,11.005,13.206,22.223497,20.6894,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,18.2683,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.82146,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,21.3497,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,19.3688,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,14.26248,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,22.223497,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,,,,,inpatient,,,22.5,,11.25,13.5,22.71825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,22.71825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,,,,,inpatient,,,22.86,,11.43,13.716,23.081742,21.4884,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.9738,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.62556,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,22.1742,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,20.1168,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,14.81328,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,23.081742,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 10 MG/ML INJECTION WRAPPER [1000985],0250,RC,,,,,inpatient,,,100.26,,50.13,60.156,101.232522,94.2444,,,,percent of total billed charges,,80.208,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,83.2158,,,,percent of total billed charges,,90.234,,,,percent of total billed charges,,92.2392,,,,percent of total billed charges,,92.2392,,,,percent of total billed charges,,94.84596,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,97.2522,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,88.2288,,,,percent of total billed charges,,90.234,,,,percent of total billed charges,,64.96848,,,,percent of total billed charges,,90.234,,,,percent of total billed charges,,60.156,,,,percent of total billed charges,,101.232522,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,95.247,,,,percent of total billed charges,,80.208,,,,percent of total billed charges,,60.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 5 MG/ML IN SW IV PEDS DILUTION [1000450],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE [192482],0250,RC,,,,,inpatient,,,22.01,,11.005,13.206,22.223497,20.6894,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,18.2683,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.2492,,,,percent of total billed charges,,20.82146,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,21.3497,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,19.3688,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,14.26248,,,,percent of total billed charges,,19.809,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,22.223497,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,20.9095,,,,percent of total billed charges,,17.608,,,,percent of total billed charges,,13.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE [192482],0250,RC,,,,,inpatient,,,16.88,,8.44,10.128,17.043736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.93824,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,17.043736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE [241517]",0250,RC,,,,,inpatient,,,22.5,,11.25,13.5,22.71825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,22.71825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE [241517]",0250,RC,,,,,inpatient,,,22.86,,11.43,13.716,23.081742,21.4884,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.9738,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.0312,,,,percent of total billed charges,,21.62556,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,22.1742,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,20.1168,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,14.81328,,,,percent of total billed charges,,20.574,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,23.081742,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,21.717,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,13.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,14.67,,7.335,8.802,14.812299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,9.50616,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,14.812299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,28.53,,14.265,17.118,28.806741,26.8182,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,23.6799,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.98938,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.6741,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,25.1064,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,18.48744,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,28.806741,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,23.36,,11.68,14.016,23.586592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,15.13728,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,23.586592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,23.36,,11.68,14.016,23.586592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,15.13728,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,23.586592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,14.67,,7.335,8.802,14.812299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,9.50616,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,14.812299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,,,,,inpatient,,,14.67,,7.335,8.802,14.812299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,9.50616,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,14.812299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,,,,,inpatient,,,28.53,,14.265,17.118,28.806741,26.8182,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,23.6799,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.2476,,,,percent of total billed charges,,26.98938,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.6741,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,25.1064,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,18.48744,,,,percent of total billed charges,,25.677,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,28.806741,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,27.1035,,,,percent of total billed charges,,22.824,,,,percent of total billed charges,,17.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,,,,,inpatient,,,23.36,,11.68,14.016,23.586592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,15.13728,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,23.586592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,,,,,inpatient,,,23.36,,11.68,14.016,23.586592,21.9584,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,19.3888,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,21.4912,,,,percent of total billed charges,,22.09856,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.6592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,20.5568,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,15.13728,,,,percent of total billed charges,,21.024,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,23.586592,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,22.192,,,,percent of total billed charges,,18.688,,,,percent of total billed charges,,14.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,,,,,inpatient,,,14.67,,7.335,8.802,14.812299,13.7898,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.1761,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.4964,,,,percent of total billed charges,,13.87782,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,14.2299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,12.9096,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,9.50616,,,,percent of total billed charges,,13.203,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,14.812299,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,13.9365,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION WRAPPER [1001935],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INTRANASAL [1000984],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETAMINE 50 MG/ML INJECTION SOLUTION [4238],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 0.5 % EYE DROPS [79470],0637,RC,,,,,inpatient,,,60.17,,30.085,36.102,60.753649,56.5598,,,,percent of total billed charges,,48.136,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,49.9411,,,,percent of total billed charges,,54.153,,,,percent of total billed charges,,55.3564,,,,percent of total billed charges,,55.3564,,,,percent of total billed charges,,56.92082,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,58.3649,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,52.9496,,,,percent of total billed charges,,54.153,,,,percent of total billed charges,,38.99016,,,,percent of total billed charges,,54.153,,,,percent of total billed charges,,36.102,,,,percent of total billed charges,,60.753649,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,57.1615,,,,percent of total billed charges,,48.136,,,,percent of total billed charges,,36.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 0.5 % EYE DROPS [79470],0637,RC,,,,,inpatient,,,22.5,,11.25,13.5,22.71825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,22.71825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 0.5 % EYE DROPS [79470],0637,RC,,,,,inpatient,,,51.62,,25.81,30.972,52.120714,48.5228,,,,percent of total billed charges,,41.296,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,42.8446,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,47.4904,,,,percent of total billed charges,,47.4904,,,,percent of total billed charges,,48.83252,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,50.0714,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,45.4256,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,33.44976,,,,percent of total billed charges,,46.458,,,,percent of total billed charges,,30.972,,,,percent of total billed charges,,52.120714,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,49.039,,,,percent of total billed charges,,41.296,,,,percent of total billed charges,,30.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,,,,,inpatient,,,6.75,,3.375,4.05,6.815475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.815475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,,,,,inpatient,,,2.19,,1.095,1.314,2.211243,2.0586,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.8177,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.0148,,,,percent of total billed charges,,2.07174,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.1243,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.9272,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.41912,,,,percent of total billed charges,,1.971,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,2.211243,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,2.0805,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,,,,,inpatient,,,25.42,,12.71,15.252,25.666574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,16.47216,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,25.666574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,,,,,inpatient,,,25.42,,12.71,15.252,25.666574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,16.47216,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,25.666574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 10 MG TABLET [10371],0637,RC,,,,,inpatient,,,2.55,,1.275,1.53,2.574735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.6524,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.574735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,,,,,inpatient,,,2.24,,1.12,1.344,2.261728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.45152,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.261728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,,,,,inpatient,,,12.44,,6.22,7.464,12.560668,11.6936,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.3252,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.76824,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,12.0668,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.9472,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,8.06112,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,12.560668,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,,,,,inpatient,,,6.04,,3.02,3.624,6.098588,5.6776,,,,percent of total billed charges,,4.832,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.0132,,,,percent of total billed charges,,5.436,,,,percent of total billed charges,,5.5568,,,,percent of total billed charges,,5.5568,,,,percent of total billed charges,,5.71384,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.8588,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.3152,,,,percent of total billed charges,,5.436,,,,percent of total billed charges,,3.91392,,,,percent of total billed charges,,5.436,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,6.098588,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,5.738,,,,percent of total billed charges,,4.832,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,,,,,inpatient,,,12.44,,6.22,7.464,12.560668,11.6936,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.3252,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.4448,,,,percent of total billed charges,,11.76824,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,12.0668,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,10.9472,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,8.06112,,,,percent of total billed charges,,11.196,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,12.560668,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,11.818,,,,percent of total billed charges,,9.952,,,,percent of total billed charges,,7.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,,,,,inpatient,,,3.82,,1.91,2.292,3.857054,3.5908,,,,percent of total billed charges,,3.056,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.1706,,,,percent of total billed charges,,3.438,,,,percent of total billed charges,,3.5144,,,,percent of total billed charges,,3.5144,,,,percent of total billed charges,,3.61372,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.7054,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.3616,,,,percent of total billed charges,,3.438,,,,percent of total billed charges,,2.47536,,,,percent of total billed charges,,3.438,,,,percent of total billed charges,,2.292,,,,percent of total billed charges,,3.857054,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.629,,,,percent of total billed charges,,3.056,,,,percent of total billed charges,,2.292,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,,,,,inpatient,,,3.31,,1.655,1.986,3.342107,3.1114,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.7473,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.13126,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.2107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.9128,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,2.14488,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,3.342107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 15 MG/ML INJECTION SOLUTION [22472],0636,RC,,,,,inpatient,,,3.31,,1.655,1.986,3.342107,3.1114,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.7473,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.13126,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.2107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.9128,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,2.14488,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,3.342107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,7.03,,3.515,4.218,7.098191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.55544,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,7.098191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,4.64,,2.32,2.784,4.685008,4.3616,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.8512,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.2688,,,,percent of total billed charges,,4.38944,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.5008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.0832,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.00672,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,4.685008,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,4.408,,,,percent of total billed charges,,3.712,,,,percent of total billed charges,,2.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,6.82,,3.41,4.092,6.886154,6.4108,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.6606,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.45172,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.6154,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.0016,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,4.41936,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,6.886154,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,6.82,,3.41,4.092,6.886154,6.4108,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.6606,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.2744,,,,percent of total billed charges,,6.45172,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.6154,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.0016,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,4.41936,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,6.886154,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,6.479,,,,percent of total billed charges,,5.456,,,,percent of total billed charges,,4.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,7.81,,3.905,4.686,7.885757,7.3414,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,6.4823,,,,percent of total billed charges,,7.029,,,,percent of total billed charges,,7.1852,,,,percent of total billed charges,,7.1852,,,,percent of total billed charges,,7.38826,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,7.5757,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,6.8728,,,,percent of total billed charges,,7.029,,,,percent of total billed charges,,5.06088,,,,percent of total billed charges,,7.029,,,,percent of total billed charges,,4.686,,,,percent of total billed charges,,7.885757,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,7.4195,,,,percent of total billed charges,,6.248,,,,percent of total billed charges,,4.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,4.12,,2.06,2.472,4.159964,3.8728,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.4196,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.89752,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.9964,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.6256,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,2.66976,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,4.159964,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,4.12,,2.06,2.472,4.159964,3.8728,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.4196,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.7904,,,,percent of total billed charges,,3.89752,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.9964,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.6256,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,2.66976,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,4.159964,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.914,,,,percent of total billed charges,,3.296,,,,percent of total billed charges,,2.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [22473],0636,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,13.52,,6.76,8.112,13.651144,12.7088,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.2216,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.78992,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,13.1144,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.8976,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,8.76096,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,13.651144,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,13.52,,6.76,8.112,13.651144,12.7088,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.2216,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.4384,,,,percent of total billed charges,,12.78992,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,13.1144,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,11.8976,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,8.76096,,,,percent of total billed charges,,12.168,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,13.651144,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,12.844,,,,percent of total billed charges,,10.816,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,8.22,,4.11,4.932,8.299734,7.7268,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.8226,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.77612,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.9734,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.2336,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,5.32656,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,8.299734,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,5.91,,2.955,3.546,5.967327,5.5554,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.9053,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.59086,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.7327,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.2008,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,3.82968,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,5.967327,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,5.91,,2.955,3.546,5.967327,5.5554,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.9053,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.4372,,,,percent of total billed charges,,5.59086,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.7327,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.2008,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,3.82968,,,,percent of total billed charges,,5.319,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,5.967327,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,5.6145,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,3.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,8.22,,4.11,4.932,8.299734,7.7268,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.8226,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.5624,,,,percent of total billed charges,,7.77612,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.9734,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.2336,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,5.32656,,,,percent of total billed charges,,7.398,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,8.299734,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,7.809,,,,percent of total billed charges,,6.576,,,,percent of total billed charges,,4.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,4.53,,2.265,2.718,4.573941,4.2582,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.7599,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.28538,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.9864,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.93544,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,4.573941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,4.53,,2.265,2.718,4.573941,4.2582,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.7599,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.1676,,,,percent of total billed charges,,4.28538,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.9864,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.93544,,,,percent of total billed charges,,4.077,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,4.573941,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,4.3035,,,,percent of total billed charges,,3.624,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,3.56,,1.78,2.136,3.594532,3.3464,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.9548,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.2752,,,,percent of total billed charges,,3.36776,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.4532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.1328,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.30688,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,3.594532,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,3.382,,,,percent of total billed charges,,2.848,,,,percent of total billed charges,,2.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [10370],0636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 100 MG TABLET [10373],0637,RC,,,,,inpatient,,,1.07,,0.535,0.642,1.080379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.69336,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,1.080379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 100 MG TABLET [10373],0637,RC,,,,,inpatient,,,1.07,,0.535,0.642,1.080379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.69336,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,1.080379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [210026],0250,RC,,,,,inpatient,,,35.5,,17.75,21.3,35.84435,33.37,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,29.465,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,33.583,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,34.435,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,31.24,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,35.84435,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE [210026],0250,RC,,,,,inpatient,,,35.5,,17.75,21.3,35.84435,33.37,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,29.465,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,32.66,,,,percent of total billed charges,,33.583,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,34.435,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,31.24,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,31.95,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,35.84435,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,33.725,,,,percent of total billed charges,,28.4,,,,percent of total billed charges,,21.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 200 MG TABLET [10374],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,93.51,,46.755,56.106,94.417047,87.8994,,,,percent of total billed charges,,74.808,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,77.6133,,,,percent of total billed charges,,84.159,,,,percent of total billed charges,,86.0292,,,,percent of total billed charges,,86.0292,,,,percent of total billed charges,,88.46046,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,90.7047,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,82.2888,,,,percent of total billed charges,,84.159,,,,percent of total billed charges,,60.59448,,,,percent of total billed charges,,84.159,,,,percent of total billed charges,,56.106,,,,percent of total billed charges,,94.417047,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,88.8345,,,,percent of total billed charges,,74.808,,,,percent of total billed charges,,56.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,13.59,,6.795,8.154,13.721823,12.7746,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.2797,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.85614,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,13.1823,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.9592,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,8.80632,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,13.721823,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,7.74,,3.87,4.644,7.815078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,5.01552,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.815078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,11.34,,5.67,6.804,11.449998,10.6596,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.4122,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,10.4328,,,,percent of total billed charges,,10.4328,,,,percent of total billed charges,,10.72764,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,10.9998,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.9792,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,7.34832,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,11.449998,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,38.07,,19.035,22.842,38.439279,35.7858,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,31.5981,,,,percent of total billed charges,,34.263,,,,percent of total billed charges,,35.0244,,,,percent of total billed charges,,35.0244,,,,percent of total billed charges,,36.01422,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,36.9279,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,33.5016,,,,percent of total billed charges,,34.263,,,,percent of total billed charges,,24.66936,,,,percent of total billed charges,,34.263,,,,percent of total billed charges,,22.842,,,,percent of total billed charges,,38.439279,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,36.1665,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,22.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,18.9,,9.45,11.34,19.08333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,12.2472,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,19.08333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,7.74,,3.87,4.644,7.815078,7.2756,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.4242,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.1208,,,,percent of total billed charges,,7.32204,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.5078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,5.01552,,,,percent of total billed charges,,6.966,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,7.815078,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,7.353,,,,percent of total billed charges,,6.192,,,,percent of total billed charges,,4.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,13.23,,6.615,7.938,13.358331,12.4362,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.9809,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.51558,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.8331,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,11.6424,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,8.57304,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,13.358331,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,18.18,,9.09,10.908,18.356346,17.0892,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.0894,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,17.19828,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6346,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.9984,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,11.78064,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,18.356346,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,14.06,,7.03,8.436,14.196382,13.2164,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.6698,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,13.30076,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.6382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,12.3728,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,9.11088,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,14.196382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,14.06,,7.03,8.436,14.196382,13.2164,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.6698,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,12.9352,,,,percent of total billed charges,,13.30076,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.6382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,12.3728,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,9.11088,,,,percent of total billed charges,,12.654,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,14.196382,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,13.357,,,,percent of total billed charges,,11.248,,,,percent of total billed charges,,8.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [10372],0250,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,,,,,inpatient,,,135.5,,67.75,81.3,136.81435,127.37,,,,percent of total billed charges,,108.4,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,112.465,,,,percent of total billed charges,,121.95,,,,percent of total billed charges,,124.66,,,,percent of total billed charges,,124.66,,,,percent of total billed charges,,128.183,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,131.435,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,119.24,,,,percent of total billed charges,,121.95,,,,percent of total billed charges,,87.804,,,,percent of total billed charges,,121.95,,,,percent of total billed charges,,81.3,,,,percent of total billed charges,,136.81435,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,128.725,,,,percent of total billed charges,,108.4,,,,percent of total billed charges,,81.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,,,,,inpatient,,,279.9,,139.95,167.94,282.61503,263.106,,,,percent of total billed charges,,223.92,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,232.317,,,,percent of total billed charges,,251.91,,,,percent of total billed charges,,257.508,,,,percent of total billed charges,,257.508,,,,percent of total billed charges,,264.7854,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,271.503,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,246.312,,,,percent of total billed charges,,251.91,,,,percent of total billed charges,,181.3752,,,,percent of total billed charges,,251.91,,,,percent of total billed charges,,167.94,,,,percent of total billed charges,,282.61503,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,265.905,,,,percent of total billed charges,,223.92,,,,percent of total billed charges,,167.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,,,,,inpatient,,,94.32,,47.16,56.592,95.234904,88.6608,,,,percent of total billed charges,,75.456,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,78.2856,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,86.7744,,,,percent of total billed charges,,86.7744,,,,percent of total billed charges,,89.22672,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,91.4904,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,83.0016,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,61.11936,,,,percent of total billed charges,,84.888,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,95.234904,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,89.604,,,,percent of total billed charges,,75.456,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,,,,,inpatient,,,270.99,,135.495,162.594,273.618603,254.7306,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,224.9217,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,256.35654,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,262.8603,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,238.4712,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,175.60152,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,273.618603,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,,,,,inpatient,,,270.99,,135.495,162.594,273.618603,254.7306,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,224.9217,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,249.3108,,,,percent of total billed charges,,256.35654,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,262.8603,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,238.4712,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,175.60152,,,,percent of total billed charges,,243.891,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,273.618603,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,257.4405,,,,percent of total billed charges,,216.792,,,,percent of total billed charges,,162.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,,,,,inpatient,,,65.34,,32.67,39.204,65.973798,61.4196,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,54.2322,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,61.81164,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,63.3798,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,57.4992,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,42.34032,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,65.973798,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [194229],0250,RC,,,,,inpatient,,,65.34,,32.67,39.204,65.973798,61.4196,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,54.2322,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,60.1128,,,,percent of total billed charges,,61.81164,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,63.3798,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,57.4992,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,42.34032,,,,percent of total billed charges,,58.806,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,65.973798,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,62.073,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,,,,,inpatient,,,48.72,,24.36,29.232,49.192584,45.7968,,,,percent of total billed charges,,38.976,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,40.4376,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,44.8224,,,,percent of total billed charges,,44.8224,,,,percent of total billed charges,,46.08912,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,47.2584,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,42.8736,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,31.57056,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,29.232,,,,percent of total billed charges,,49.192584,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,46.284,,,,percent of total billed charges,,38.976,,,,percent of total billed charges,,29.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,,,,,inpatient,,,53.59,,26.795,32.154,54.109823,50.3746,,,,percent of total billed charges,,42.872,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,44.4797,,,,percent of total billed charges,,48.231,,,,percent of total billed charges,,49.3028,,,,percent of total billed charges,,49.3028,,,,percent of total billed charges,,50.69614,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,51.9823,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,47.1592,,,,percent of total billed charges,,48.231,,,,percent of total billed charges,,34.72632,,,,percent of total billed charges,,48.231,,,,percent of total billed charges,,32.154,,,,percent of total billed charges,,54.109823,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,50.9105,,,,percent of total billed charges,,42.872,,,,percent of total billed charges,,32.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,,,,,inpatient,,,1.54,,0.77,0.924,1.554938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.99792,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.554938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,,,,,inpatient,,,3.35,,1.675,2.01,3.382495,3.149,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.7805,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.1691,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.2495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.948,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.1708,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,3.382495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,,,,,inpatient,,,3.35,,1.675,2.01,3.382495,3.149,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.7805,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.082,,,,percent of total billed charges,,3.1691,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.2495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.948,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.1708,,,,percent of total billed charges,,3.015,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,3.382495,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,3.1825,,,,percent of total billed charges,,2.68,,,,percent of total billed charges,,2.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACOSAMIDE 50 MG TABLET [193189],0637,RC,,,,,inpatient,,,5.54,,2.77,3.324,5.593738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.58992,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.593738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS IV BOLUS [1000321],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,,,,,inpatient,,,0.71,,0.355,0.426,0.716887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.46008,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.716887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,,,,,inpatient,,,0.92,,0.46,0.552,0.928924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.59616,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.928924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET [196138],0637,RC,,,,,inpatient,,,0.92,,0.46,0.552,0.928924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.59616,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.928924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTOBACILLUS RHAMNOSUS GG 5 BILLION CELL ORAL POWDER PACKET [220878],0637,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,,,,,inpatient,,,1.62,,0.81,0.972,1.635714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.04976,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.635714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,,,,,inpatient,,,1.62,,0.81,0.972,1.635714,1.5228,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.3446,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.4904,,,,percent of total billed charges,,1.53252,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,1.04976,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.635714,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,,,,,inpatient,,,5.13,,2.565,3.078,5.179761,4.8222,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.2579,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.85298,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.9761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.5144,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.32424,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,5.179761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,,,,,inpatient,,,5.13,,2.565,3.078,5.179761,4.8222,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.2579,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.7196,,,,percent of total billed charges,,4.85298,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.9761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.5144,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.32424,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,5.179761,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.8735,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [210381],0637,RC,,,,,inpatient,,,5.4,,2.7,3.24,5.45238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.4992,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.45238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTULOSE LIQ 200GM/300ML RETENTION ENEMA [1000249],0637,RC,,,,,inpatient,,,6.75,,3.375,4.05,6.815475,6.345,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.6025,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.3855,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.5475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,6.075,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,6.815475,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,6.4125,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMIVUDINE 10 MG/ML ORAL SOLUTION [81645],0637,RC,,,,,inpatient,,,481.68,,240.84,289.008,486.352296,452.7792,,,,percent of total billed charges,,385.344,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,399.7944,,,,percent of total billed charges,,433.512,,,,percent of total billed charges,,443.1456,,,,percent of total billed charges,,443.1456,,,,percent of total billed charges,,455.66928,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,467.2296,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,423.8784,,,,percent of total billed charges,,433.512,,,,percent of total billed charges,,312.12864,,,,percent of total billed charges,,433.512,,,,percent of total billed charges,,289.008,,,,percent of total billed charges,,486.352296,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,457.596,,,,percent of total billed charges,,385.344,,,,percent of total billed charges,,289.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMIVUDINE 10 MG/ML ORAL SOLUTION [81645],0637,RC,,,,,inpatient,,,359.64,,179.82,215.784,363.128508,338.0616,,,,percent of total billed charges,,287.712,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,298.5012,,,,percent of total billed charges,,323.676,,,,percent of total billed charges,,330.8688,,,,percent of total billed charges,,330.8688,,,,percent of total billed charges,,340.21944,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,348.8508,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,316.4832,,,,percent of total billed charges,,323.676,,,,percent of total billed charges,,233.04672,,,,percent of total billed charges,,323.676,,,,percent of total billed charges,,215.784,,,,percent of total billed charges,,363.128508,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,341.658,,,,percent of total billed charges,,287.712,,,,percent of total billed charges,,215.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 100 MG TABLET [82638],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 25 MG TABLET [79381],0637,RC,,,,,inpatient,,,0.75,,0.375,0.45,0.757275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.757275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAMOTRIGINE 25 MG TABLET [79381],0637,RC,,,,,inpatient,,,0.75,,0.375,0.45,0.757275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.757275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM [189186],0637,RC,,,,,inpatient,,,21.81,,10.905,13.086,22.021557,20.5014,,,,percent of total billed charges,,17.448,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,18.1023,,,,percent of total billed charges,,19.629,,,,percent of total billed charges,,20.0652,,,,percent of total billed charges,,20.0652,,,,percent of total billed charges,,20.63226,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,21.1557,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,19.1928,,,,percent of total billed charges,,19.629,,,,percent of total billed charges,,14.13288,,,,percent of total billed charges,,19.629,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,22.021557,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,20.7195,,,,percent of total billed charges,,17.448,,,,percent of total billed charges,,13.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LANOLIN-OXYQUIN-PET, HYDROPHIL TOPICAL OINTMENT [89257]",0637,RC,,,,,inpatient,,,16.52,,8.26,9.912,16.680244,15.5288,,,,percent of total billed charges,,13.216,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,13.7116,,,,percent of total billed charges,,14.868,,,,percent of total billed charges,,15.1984,,,,percent of total billed charges,,15.1984,,,,percent of total billed charges,,15.62792,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,16.0244,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,14.5376,,,,percent of total billed charges,,14.868,,,,percent of total billed charges,,10.70496,,,,percent of total billed charges,,14.868,,,,percent of total billed charges,,9.912,,,,percent of total billed charges,,16.680244,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,15.694,,,,percent of total billed charges,,13.216,,,,percent of total billed charges,,9.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LANOLIN-OXYQUIN-PET, HYDROPHIL TOPICAL OINTMENT [89257]",0637,RC,,,,,inpatient,,,21.17,,10.585,12.702,21.375349,19.8998,,,,percent of total billed charges,,16.936,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,17.5711,,,,percent of total billed charges,,19.053,,,,percent of total billed charges,,19.4764,,,,percent of total billed charges,,19.4764,,,,percent of total billed charges,,20.02682,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,20.5349,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,18.6296,,,,percent of total billed charges,,19.053,,,,percent of total billed charges,,13.71816,,,,percent of total billed charges,,19.053,,,,percent of total billed charges,,12.702,,,,percent of total billed charges,,21.375349,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,20.1115,,,,percent of total billed charges,,16.936,,,,percent of total billed charges,,12.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANREOTIDE (SOMATULINE DEPOT) 120 MG/0.5 ML SUBCUTANEOUS SYRINGE [1002026],0636,RC,,,,,inpatient,,,38248,,19124,22948.8,38619.0056,35953.12,,,,percent of total billed charges,,30598.4,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,31745.84,,,,percent of total billed charges,,34423.2,,,,percent of total billed charges,,35188.16,,,,percent of total billed charges,,35188.16,,,,percent of total billed charges,,36182.608,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,37100.56,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,33658.24,,,,percent of total billed charges,,34423.2,,,,percent of total billed charges,,24784.704,,,,percent of total billed charges,,34423.2,,,,percent of total billed charges,,22948.8,,,,percent of total billed charges,,38619.0056,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,36335.6,,,,percent of total billed charges,,30598.4,,,,percent of total billed charges,,22948.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT [210850],0637,RC,,,,,inpatient,,,11.48,,5.74,6.888,11.591356,10.7912,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.5284,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.5616,,,,percent of total billed charges,,10.86008,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,11.1356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.1024,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,7.43904,,,,percent of total billed charges,,10.332,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,11.591356,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,10.906,,,,percent of total billed charges,,9.184,,,,percent of total billed charges,,6.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT [210850],0637,RC,,,,,inpatient,,,344.25,,172.125,206.55,347.589225,323.595,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,285.7275,,,,percent of total billed charges,,309.825,,,,percent of total billed charges,,316.71,,,,percent of total billed charges,,316.71,,,,percent of total billed charges,,325.6605,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,333.9225,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,302.94,,,,percent of total billed charges,,309.825,,,,percent of total billed charges,,223.074,,,,percent of total billed charges,,309.825,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,347.589225,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,327.0375,,,,percent of total billed charges,,275.4,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT [210850],0637,RC,,,,,inpatient,,,166.46,,83.23,99.876,168.074662,156.4724,,,,percent of total billed charges,,133.168,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,138.1618,,,,percent of total billed charges,,149.814,,,,percent of total billed charges,,153.1432,,,,percent of total billed charges,,153.1432,,,,percent of total billed charges,,157.47116,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,161.4662,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,146.4848,,,,percent of total billed charges,,149.814,,,,percent of total billed charges,,107.86608,,,,percent of total billed charges,,149.814,,,,percent of total billed charges,,99.876,,,,percent of total billed charges,,168.074662,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,158.137,,,,percent of total billed charges,,133.168,,,,percent of total billed charges,,99.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,,,,,inpatient,,,43.74,,21.87,26.244,44.164278,41.1156,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,36.3042,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,41.37804,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,42.4278,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,38.4912,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,28.34352,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,44.164278,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,41.553,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,,,,,inpatient,,,46.89,,23.445,28.134,47.344833,44.0766,,,,percent of total billed charges,,37.512,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,38.9187,,,,percent of total billed charges,,42.201,,,,percent of total billed charges,,43.1388,,,,percent of total billed charges,,43.1388,,,,percent of total billed charges,,44.35794,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,45.4833,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,41.2632,,,,percent of total billed charges,,42.201,,,,percent of total billed charges,,30.38472,,,,percent of total billed charges,,42.201,,,,percent of total billed charges,,28.134,,,,percent of total billed charges,,47.344833,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,44.5455,,,,percent of total billed charges,,37.512,,,,percent of total billed charges,,28.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,,,,,inpatient,,,50.81,,25.405,30.486,51.302857,47.7614,,,,percent of total billed charges,,40.648,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,42.1723,,,,percent of total billed charges,,45.729,,,,percent of total billed charges,,46.7452,,,,percent of total billed charges,,46.7452,,,,percent of total billed charges,,48.06626,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,49.2857,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,44.7128,,,,percent of total billed charges,,45.729,,,,percent of total billed charges,,32.92488,,,,percent of total billed charges,,45.729,,,,percent of total billed charges,,30.486,,,,percent of total billed charges,,51.302857,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,48.2695,,,,percent of total billed charges,,40.648,,,,percent of total billed charges,,30.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LATANOPROST 0.005 % EYE DROPS [77052],0637,RC,,,,,inpatient,,,20.12,,10.06,12.072,20.315164,18.9128,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.6996,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,19.03352,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.5164,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,17.7056,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,13.03776,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,20.315164,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [261045],0636,RC,,,,,inpatient,,,1146.65,,573.325,687.99,1157.772505,1077.851,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,951.7195,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1084.7309,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1112.2505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1009.052,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,743.0292,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,1157.772505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [261045],0636,RC,,,,,inpatient,,,2866.59,,1433.295,1719.954,2894.395923,2694.5946,,,,percent of total billed charges,,2293.272,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2379.2697,,,,percent of total billed charges,,2579.931,,,,percent of total billed charges,,2637.2628,,,,percent of total billed charges,,2637.2628,,,,percent of total billed charges,,2711.79414,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2780.5923,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2522.5992,,,,percent of total billed charges,,2579.931,,,,percent of total billed charges,,1857.55032,,,,percent of total billed charges,,2579.931,,,,percent of total billed charges,,1719.954,,,,percent of total billed charges,,2894.395923,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2723.2605,,,,percent of total billed charges,,2293.272,,,,percent of total billed charges,,1719.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION [261045],0636,RC,,,,,inpatient,,,3875.63,,1937.815,2325.378,3913.223611,3643.0922,,,,percent of total billed charges,,3100.504,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3216.7729,,,,percent of total billed charges,,3488.067,,,,percent of total billed charges,,3565.5796,,,,percent of total billed charges,,3565.5796,,,,percent of total billed charges,,3666.34598,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3759.3611,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3410.5544,,,,percent of total billed charges,,3488.067,,,,percent of total billed charges,,2511.40824,,,,percent of total billed charges,,3488.067,,,,percent of total billed charges,,2325.378,,,,percent of total billed charges,,3913.223611,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3681.8485,,,,percent of total billed charges,,3100.504,,,,percent of total billed charges,,2325.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,,,,,inpatient,,,3.7,,1.85,2.22,3.73589,3.478,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.071,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.404,,,,percent of total billed charges,,3.5002,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.589,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.256,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.3976,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,3.73589,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,3.515,,,,percent of total billed charges,,2.96,,,,percent of total billed charges,,2.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,,,,,inpatient,,,31.5,,15.75,18.9,31.80555,29.61,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,26.145,,,,percent of total billed charges,,28.35,,,,percent of total billed charges,,28.98,,,,percent of total billed charges,,28.98,,,,percent of total billed charges,,29.799,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,30.555,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,28.35,,,,percent of total billed charges,,20.412,,,,percent of total billed charges,,28.35,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,31.80555,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,29.925,,,,percent of total billed charges,,25.2,,,,percent of total billed charges,,18.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,,,,,inpatient,,,17.78,,8.89,10.668,17.952466,16.7132,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.7574,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.3576,,,,percent of total billed charges,,16.81988,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,17.2466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,15.6464,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,11.52144,,,,percent of total billed charges,,16.002,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,17.952466,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,16.891,,,,percent of total billed charges,,14.224,,,,percent of total billed charges,,10.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,,,,,inpatient,,,56.7,,28.35,34.02,57.24999,53.298,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,47.061,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,52.164,,,,percent of total billed charges,,53.6382,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,54.999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,49.896,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,36.7416,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,57.24999,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,34.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LET SOLUTION [1000252],0250,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,,,,,inpatient,,,0.64,,0.32,0.384,0.646208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.41472,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.646208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,,,,,inpatient,,,3.38,,1.69,2.028,3.412786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.19024,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.412786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LETROZOLE 2.5 MG TABLET [82107],0637,RC,,,,,inpatient,,,3.38,,1.69,2.028,3.412786,3.1772,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.8054,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.1096,,,,percent of total billed charges,,3.19748,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.2786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.9744,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.19024,,,,percent of total billed charges,,3.042,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,3.412786,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,3.211,,,,percent of total billed charges,,2.704,,,,percent of total billed charges,,2.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION [15370],0636,RC,,,,,inpatient,,,289.58,,144.79,173.748,292.388926,272.2052,,,,percent of total billed charges,,231.664,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,240.3514,,,,percent of total billed charges,,260.622,,,,percent of total billed charges,,266.4136,,,,percent of total billed charges,,266.4136,,,,percent of total billed charges,,273.94268,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,280.8926,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,254.8304,,,,percent of total billed charges,,260.622,,,,percent of total billed charges,,187.64784,,,,percent of total billed charges,,260.622,,,,percent of total billed charges,,173.748,,,,percent of total billed charges,,292.388926,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,275.101,,,,percent of total billed charges,,231.664,,,,percent of total billed charges,,173.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],0636,RC,,,,,inpatient,,,74.07,,37.035,44.442,74.788479,69.6258,,,,percent of total billed charges,,59.256,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,61.4781,,,,percent of total billed charges,,66.663,,,,percent of total billed charges,,68.1444,,,,percent of total billed charges,,68.1444,,,,percent of total billed charges,,70.07022,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,71.8479,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,65.1816,,,,percent of total billed charges,,66.663,,,,percent of total billed charges,,47.99736,,,,percent of total billed charges,,66.663,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,74.788479,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,70.3665,,,,percent of total billed charges,,59.256,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [4393],0636,RC,,,,,inpatient,,,49.73,,24.865,29.838,50.212381,46.7462,,,,percent of total billed charges,,39.784,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,41.2759,,,,percent of total billed charges,,44.757,,,,percent of total billed charges,,45.7516,,,,percent of total billed charges,,45.7516,,,,percent of total billed charges,,47.04458,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,48.2381,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,43.7624,,,,percent of total billed charges,,44.757,,,,percent of total billed charges,,32.22504,,,,percent of total billed charges,,44.757,,,,percent of total billed charges,,29.838,,,,percent of total billed charges,,50.212381,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,47.2435,,,,percent of total billed charges,,39.784,,,,percent of total billed charges,,29.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION [23617],0636,RC,,,,,inpatient,,,218.66,,109.33,131.196,220.781002,205.5404,,,,percent of total billed charges,,174.928,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,181.4878,,,,percent of total billed charges,,196.794,,,,percent of total billed charges,,201.1672,,,,percent of total billed charges,,201.1672,,,,percent of total billed charges,,206.85236,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,212.1002,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,192.4208,,,,percent of total billed charges,,196.794,,,,percent of total billed charges,,141.69168,,,,percent of total billed charges,,196.794,,,,percent of total billed charges,,131.196,,,,percent of total billed charges,,220.781002,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,207.727,,,,percent of total billed charges,,174.928,,,,percent of total billed charges,,131.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION [23617],0636,RC,,,,,inpatient,,,142.7,,71.35,85.62,144.08419,134.138,,,,percent of total billed charges,,114.16,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,118.441,,,,percent of total billed charges,,128.43,,,,percent of total billed charges,,131.284,,,,percent of total billed charges,,131.284,,,,percent of total billed charges,,134.9942,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,138.419,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,125.576,,,,percent of total billed charges,,128.43,,,,percent of total billed charges,,92.4696,,,,percent of total billed charges,,128.43,,,,percent of total billed charges,,85.62,,,,percent of total billed charges,,144.08419,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,135.565,,,,percent of total billed charges,,114.16,,,,percent of total billed charges,,85.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [77453],0636,RC,,,,,inpatient,,,22346.82,,11173.41,13408.092,22563.58415,21006.0108,,,,percent of total billed charges,,17877.456,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,18547.8606,,,,percent of total billed charges,,20112.138,,,,percent of total billed charges,,20559.0744,,,,percent of total billed charges,,20559.0744,,,,percent of total billed charges,,21140.09172,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,21676.4154,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,19665.2016,,,,percent of total billed charges,,20112.138,,,,percent of total billed charges,,14480.73936,,,,percent of total billed charges,,20112.138,,,,percent of total billed charges,,13408.092,,,,percent of total billed charges,,22563.58415,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,21229.479,,,,percent of total billed charges,,17877.456,,,,percent of total billed charges,,13408.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [80531],0636,RC,,,,,inpatient,,,2196.9,,1098.45,1318.14,2218.20993,2065.086,,,,percent of total billed charges,,1757.52,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,1823.427,,,,percent of total billed charges,,1977.21,,,,percent of total billed charges,,2021.148,,,,percent of total billed charges,,2021.148,,,,percent of total billed charges,,2078.2674,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,2130.993,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,1933.272,,,,percent of total billed charges,,1977.21,,,,percent of total billed charges,,1423.5912,,,,percent of total billed charges,,1977.21,,,,percent of total billed charges,,1318.14,,,,percent of total billed charges,,2218.20993,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,2087.055,,,,percent of total billed charges,,1757.52,,,,percent of total billed charges,,1318.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT [77464],0636,RC,,,,,inpatient,,,7448.85,,3724.425,4469.31,7521.103845,7001.919,,,,percent of total billed charges,,5959.08,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,6182.5455,,,,percent of total billed charges,,6703.965,,,,percent of total billed charges,,6852.942,,,,percent of total billed charges,,6852.942,,,,percent of total billed charges,,7046.6121,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,7225.3845,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,6554.988,,,,percent of total billed charges,,6703.965,,,,percent of total billed charges,,4826.8548,,,,percent of total billed charges,,6703.965,,,,percent of total billed charges,,4469.31,,,,percent of total billed charges,,7521.103845,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,7076.4075,,,,percent of total billed charges,,5959.08,,,,percent of total billed charges,,4469.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT [81214],0636,RC,,,,,inpatient,,,2929.23,,1464.615,1757.538,2957.643531,2753.4762,,,,percent of total billed charges,,2343.384,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2431.2609,,,,percent of total billed charges,,2636.307,,,,percent of total billed charges,,2694.8916,,,,percent of total billed charges,,2694.8916,,,,percent of total billed charges,,2771.05158,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2841.3531,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2577.7224,,,,percent of total billed charges,,2636.307,,,,percent of total billed charges,,1898.14104,,,,percent of total billed charges,,2636.307,,,,percent of total billed charges,,1757.538,,,,percent of total billed charges,,2957.643531,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2782.7685,,,,percent of total billed charges,,2343.384,,,,percent of total billed charges,,1757.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [206352],0636,RC,,,,,inpatient,,,732.33,,366.165,439.398,739.433601,688.3902,,,,percent of total billed charges,,585.864,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,607.8339,,,,percent of total billed charges,,659.097,,,,percent of total billed charges,,673.7436,,,,percent of total billed charges,,673.7436,,,,percent of total billed charges,,692.78418,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,710.3601,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,644.4504,,,,percent of total billed charges,,659.097,,,,percent of total billed charges,,474.54984,,,,percent of total billed charges,,659.097,,,,percent of total billed charges,,439.398,,,,percent of total billed charges,,739.433601,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,695.7135,,,,percent of total billed charges,,585.864,,,,percent of total billed charges,,439.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT [205343],0636,RC,,,,,inpatient,,,4393.94,,2196.97,2636.364,4436.561218,4130.3036,,,,percent of total billed charges,,3515.152,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,3646.9702,,,,percent of total billed charges,,3954.546,,,,percent of total billed charges,,4042.4248,,,,percent of total billed charges,,4042.4248,,,,percent of total billed charges,,4156.66724,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,4262.1218,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,3866.6672,,,,percent of total billed charges,,3954.546,,,,percent of total billed charges,,2847.27312,,,,percent of total billed charges,,3954.546,,,,percent of total billed charges,,2636.364,,,,percent of total billed charges,,4436.561218,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,4174.243,,,,percent of total billed charges,,3515.152,,,,percent of total billed charges,,2636.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVALBUTEROL 1.25 MG/3ML NEB SOLUTION - EAST [7000021],0637,RC,,,,,inpatient,,,3.08,,1.54,1.848,3.109876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.99584,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,3.109876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVALBUTEROL 1.25 MG/3ML NEB SOLUTION - EAST [7000021],0637,RC,,,,,inpatient,,,6.48,,3.24,3.888,6.542856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.19904,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.542856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVALBUTEROL 1.25 MG/3ML NEB SOLUTION - EAST [7000021],0637,RC,,,,,inpatient,,,6.48,,3.24,3.888,6.542856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.19904,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.542856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,,,,,inpatient,,,48.6,,24.3,29.16,49.07142,45.684,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,40.338,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.9756,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,47.142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,42.768,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,31.4928,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,49.07142,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,46.17,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,,,,,inpatient,,,39.15,,19.575,23.49,39.529755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,25.3692,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,39.529755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,,,,,inpatient,,,32.85,,16.425,19.71,33.168645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,21.2868,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,33.168645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,,,,,inpatient,,,32.85,,16.425,19.71,33.168645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,21.2868,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,33.168645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,,,,,inpatient,,,33.3,,16.65,19.98,33.62301,31.302,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,27.639,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,31.5018,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,32.301,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,29.304,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,21.5784,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,33.62301,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK [210901]",0636,RC,,,,,inpatient,,,33.3,,16.65,19.98,33.62301,31.302,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,27.639,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,31.5018,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,32.301,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,29.304,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,21.5784,,,,percent of total billed charges,,29.97,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,33.62301,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,26.64,,,,percent of total billed charges,,19.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 100 MG/ML ORAL SOLUTION [88604],0637,RC,,,,,inpatient,,,94.5,,47.25,56.7,95.41665,88.83,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,78.435,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,86.94,,,,percent of total billed charges,,86.94,,,,percent of total billed charges,,89.397,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,91.665,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,95.41665,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,89.775,,,,percent of total billed charges,,75.6,,,,percent of total billed charges,,56.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 100 MG/ML ORAL SOLUTION [88604],0637,RC,,,,,inpatient,,,80.89,,40.445,48.534,81.674633,76.0366,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,67.1387,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,74.4188,,,,percent of total billed charges,,76.52194,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,78.4633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,71.1832,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,52.41672,,,,percent of total billed charges,,72.801,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,81.674633,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,76.8455,,,,percent of total billed charges,,64.712,,,,percent of total billed charges,,48.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 15MG/ML PEDS IV DILUTION [1000549],0636,RC,,,,,inpatient,,,3.27,,1.635,1.962,3.301719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.11896,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.301719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 250 MG TABLET [80079],0637,RC,,,,,inpatient,,,0.62,,0.31,0.372,0.626014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.40176,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.626014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 250 MG TABLET [80079],0637,RC,,,,,inpatient,,,0.83,,0.415,0.498,0.838051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.53784,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.838051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 250 MG TABLET [80079],0637,RC,,,,,inpatient,,,0.83,,0.415,0.498,0.838051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.53784,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.838051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.94,,0.47,0.564,0.949118,0.8836,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.7802,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.8648,,,,percent of total billed charges,,0.88924,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.9118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.8272,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.60912,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,0.949118,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.893,,,,percent of total billed charges,,0.752,,,,percent of total billed charges,,0.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG TABLET [77941],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,39.15,,19.575,23.49,39.529755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,25.3692,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,39.529755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,39.15,,19.575,23.49,39.529755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,25.3692,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,39.529755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,30.15,,15.075,18.09,30.442455,28.341,,,,percent of total billed charges,,24.12,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,25.0245,,,,percent of total billed charges,,27.135,,,,percent of total billed charges,,27.738,,,,percent of total billed charges,,27.738,,,,percent of total billed charges,,28.5219,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,29.2455,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,26.532,,,,percent of total billed charges,,27.135,,,,percent of total billed charges,,19.5372,,,,percent of total billed charges,,27.135,,,,percent of total billed charges,,18.09,,,,percent of total billed charges,,30.442455,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,28.6425,,,,percent of total billed charges,,24.12,,,,percent of total billed charges,,18.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,34.65,,17.325,20.79,34.986105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,22.4532,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,34.986105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,34.65,,17.325,20.79,34.986105,32.571,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,28.7595,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,31.878,,,,percent of total billed charges,,32.7789,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,33.6105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,30.492,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,22.4532,,,,percent of total billed charges,,31.185,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,34.986105,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,32.9175,,,,percent of total billed charges,,27.72,,,,percent of total billed charges,,20.79,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,58.05,,29.025,34.83,58.613085,54.567,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,48.1815,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,54.9153,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,56.3085,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,37.6164,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,58.613085,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,58.05,,29.025,34.83,58.613085,54.567,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,48.1815,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,53.406,,,,percent of total billed charges,,54.9153,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,56.3085,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,37.6164,,,,percent of total billed charges,,52.245,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,58.613085,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,55.1475,,,,percent of total billed charges,,46.44,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,25.65,,12.825,15.39,25.898805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,16.6212,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,25.898805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK [210900],0636,RC,,,,,inpatient,,,25.65,,12.825,15.39,25.898805,24.111,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,21.2895,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,23.598,,,,percent of total billed charges,,24.2649,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.8805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,22.572,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,16.6212,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,25.898805,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,24.3675,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,,,,,inpatient,,,10.29,,5.145,6.174,10.389813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.66792,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,10.389813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,,,,,inpatient,,,22.08,,11.04,13.248,22.294176,20.7552,,,,percent of total billed charges,,17.664,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,18.3264,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,20.3136,,,,percent of total billed charges,,20.3136,,,,percent of total billed charges,,20.88768,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,21.4176,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,19.4304,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,14.30784,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,22.294176,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,20.976,,,,percent of total billed charges,,17.664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,,,,,inpatient,,,14.07,,7.035,8.442,14.206479,13.2258,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,11.6781,,,,percent of total billed charges,,12.663,,,,percent of total billed charges,,12.9444,,,,percent of total billed charges,,12.9444,,,,percent of total billed charges,,13.31022,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,13.6479,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,12.3816,,,,percent of total billed charges,,12.663,,,,percent of total billed charges,,9.11736,,,,percent of total billed charges,,12.663,,,,percent of total billed charges,,8.442,,,,percent of total billed charges,,14.206479,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,13.3665,,,,percent of total billed charges,,11.256,,,,percent of total billed charges,,8.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,,,,,inpatient,,,11.28,,5.64,6.768,11.389416,10.6032,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,9.3624,,,,percent of total billed charges,,10.152,,,,percent of total billed charges,,10.3776,,,,percent of total billed charges,,10.3776,,,,percent of total billed charges,,10.67088,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,10.9416,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,9.9264,,,,percent of total billed charges,,10.152,,,,percent of total billed charges,,7.30944,,,,percent of total billed charges,,10.152,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,11.389416,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,10.716,,,,percent of total billed charges,,9.024,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,,,,,inpatient,,,9.9,,4.95,5.94,9.99603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.99603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION [192664],0637,RC,,,,,inpatient,,,9.43,,4.715,5.658,9.521471,8.8642,,,,percent of total billed charges,,7.544,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,7.8269,,,,percent of total billed charges,,8.487,,,,percent of total billed charges,,8.6756,,,,percent of total billed charges,,8.6756,,,,percent of total billed charges,,8.92078,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,9.1471,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,8.2984,,,,percent of total billed charges,,8.487,,,,percent of total billed charges,,6.11064,,,,percent of total billed charges,,8.487,,,,percent of total billed charges,,5.658,,,,percent of total billed charges,,9.521471,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,8.9585,,,,percent of total billed charges,,7.544,,,,percent of total billed charges,,5.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,149.49,,74.745,89.694,150.940053,140.5206,,,,percent of total billed charges,,119.592,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,124.0767,,,,percent of total billed charges,,134.541,,,,percent of total billed charges,,137.5308,,,,percent of total billed charges,,137.5308,,,,percent of total billed charges,,141.41754,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,145.0053,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,131.5512,,,,percent of total billed charges,,134.541,,,,percent of total billed charges,,96.86952,,,,percent of total billed charges,,134.541,,,,percent of total billed charges,,89.694,,,,percent of total billed charges,,150.940053,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,142.0155,,,,percent of total billed charges,,119.592,,,,percent of total billed charges,,89.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,10.29,,5.145,6.174,10.389813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.66792,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,10.389813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,7.02,,3.51,4.212,7.088094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.54896,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,7.088094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,9.32,,4.66,5.592,9.410404,8.7608,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.7356,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.81672,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,9.0404,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.2016,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,6.03936,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,9.410404,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,9.32,,4.66,5.592,9.410404,8.7608,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.7356,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.5744,,,,percent of total billed charges,,8.81672,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,9.0404,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.2016,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,6.03936,,,,percent of total billed charges,,8.388,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,9.410404,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,8.854,,,,percent of total billed charges,,7.456,,,,percent of total billed charges,,5.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,5.79,,2.895,3.474,5.846163,5.4426,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.8057,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.47734,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.6163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.0952,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.75192,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,5.846163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,5.79,,2.895,3.474,5.846163,5.4426,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.8057,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.47734,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.6163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.0952,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.75192,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,5.846163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,12.4,,6.2,7.44,12.52028,11.656,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.292,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.7304,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,12.028,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.0352,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,12.52028,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,12.4,,6.2,7.44,12.52028,11.656,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.292,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,11.7304,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,12.028,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.0352,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,12.52028,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,11.78,,,,percent of total billed charges,,9.92,,,,percent of total billed charges,,7.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,5.79,,2.895,3.474,5.846163,5.4426,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.8057,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.3268,,,,percent of total billed charges,,5.47734,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.6163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.0952,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.75192,,,,percent of total billed charges,,5.211,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,5.846163,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,5.5005,,,,percent of total billed charges,,4.632,,,,percent of total billed charges,,3.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [102109],0636,RC,,,,,inpatient,,,7.82,,3.91,4.692,7.895854,7.3508,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.4906,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.39772,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.5854,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,5.06736,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,7.895854,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION [20954],0250,RC,,,,,inpatient,,,100.08,,50.04,60.048,101.050776,94.0752,,,,percent of total billed charges,,80.064,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,83.0664,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,92.0736,,,,percent of total billed charges,,92.0736,,,,percent of total billed charges,,94.67568,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,97.0776,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,88.0704,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,64.85184,,,,percent of total billed charges,,90.072,,,,percent of total billed charges,,60.048,,,,percent of total billed charges,,101.050776,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,95.076,,,,percent of total billed charges,,80.064,,,,percent of total billed charges,,60.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [81901],0636,RC,,,,,inpatient,,,57.78,,28.89,34.668,58.340466,54.3132,,,,percent of total billed charges,,46.224,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,47.9574,,,,percent of total billed charges,,52.002,,,,percent of total billed charges,,53.1576,,,,percent of total billed charges,,53.1576,,,,percent of total billed charges,,54.65988,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,56.0466,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,50.8464,,,,percent of total billed charges,,52.002,,,,percent of total billed charges,,37.44144,,,,percent of total billed charges,,52.002,,,,percent of total billed charges,,34.668,,,,percent of total billed charges,,58.340466,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,54.891,,,,percent of total billed charges,,46.224,,,,percent of total billed charges,,34.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION [81901],0636,RC,,,,,inpatient,,,100.85,,50.425,60.51,101.828245,94.799,,,,percent of total billed charges,,80.68,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,83.7055,,,,percent of total billed charges,,90.765,,,,percent of total billed charges,,92.782,,,,percent of total billed charges,,92.782,,,,percent of total billed charges,,95.4041,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,97.8245,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,88.748,,,,percent of total billed charges,,90.765,,,,percent of total billed charges,,65.3508,,,,percent of total billed charges,,90.765,,,,percent of total billed charges,,60.51,,,,percent of total billed charges,,101.828245,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,95.8075,,,,percent of total billed charges,,80.68,,,,percent of total billed charges,,60.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 250 MG TABLET [79011],0637,RC,,,,,inpatient,,,1.44,,0.72,0.864,1.453968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.93312,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.453968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 250 MG TABLET [79011],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,,,,,inpatient,,,15.53,,7.765,9.318,15.680641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,10.06344,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,15.680641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [87825],0636,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 250MG/50ML IV PIGGY BACK [7000101],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOFLOXACIN IN D5W 500 MG/100 ML IV PIGGY BACK [7000055],0636,RC,,,,,inpatient,,,10.35,,5.175,6.21,10.450395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,10.450395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE [212448],0636,RC,,,,,inpatient,,,4334.49,,2167.245,2600.694,4376.534553,4074.4206,,,,percent of total billed charges,,3467.592,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,3597.6267,,,,percent of total billed charges,,3901.041,,,,percent of total billed charges,,3987.7308,,,,percent of total billed charges,,3987.7308,,,,percent of total billed charges,,4100.42754,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,4204.4553,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,3814.3512,,,,percent of total billed charges,,3901.041,,,,percent of total billed charges,,2808.74952,,,,percent of total billed charges,,3901.041,,,,percent of total billed charges,,2600.694,,,,percent of total billed charges,,4376.534553,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,4117.7655,,,,percent of total billed charges,,3467.592,,,,percent of total billed charges,,2600.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE [232659],0636,RC,,,,,inpatient,,,5205.56,,2602.78,3123.336,5256.053932,4893.2264,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4320.6148,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4924.45976,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,5049.3932,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4580.8928,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,3373.20288,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,5256.053932,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE [77254],0636,RC,,,,,inpatient,,,5205.56,,2602.78,3123.336,5256.053932,4893.2264,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4320.6148,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4789.1152,,,,percent of total billed charges,,4924.45976,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,5049.3932,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4580.8928,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,3373.20288,,,,percent of total billed charges,,4685.004,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,5256.053932,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4945.282,,,,percent of total billed charges,,4164.448,,,,percent of total billed charges,,3123.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [210118],0636,RC,,,,,inpatient,,,281.12,,140.56,168.672,283.846864,264.2528,,,,percent of total billed charges,,224.896,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,233.3296,,,,percent of total billed charges,,253.008,,,,percent of total billed charges,,258.6304,,,,percent of total billed charges,,258.6304,,,,percent of total billed charges,,265.93952,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,272.6864,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,247.3856,,,,percent of total billed charges,,253.008,,,,percent of total billed charges,,182.16576,,,,percent of total billed charges,,253.008,,,,percent of total billed charges,,168.672,,,,percent of total billed charges,,283.846864,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,267.064,,,,percent of total billed charges,,224.896,,,,percent of total billed charges,,168.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [210118],0636,RC,,,,,inpatient,,,436.68,,218.34,262.008,440.915796,410.4792,,,,percent of total billed charges,,349.344,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,362.4444,,,,percent of total billed charges,,393.012,,,,percent of total billed charges,,401.7456,,,,percent of total billed charges,,401.7456,,,,percent of total billed charges,,413.09928,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,423.5796,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,384.2784,,,,percent of total billed charges,,393.012,,,,percent of total billed charges,,282.96864,,,,percent of total billed charges,,393.012,,,,percent of total billed charges,,262.008,,,,percent of total billed charges,,440.915796,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,414.846,,,,percent of total billed charges,,349.344,,,,percent of total billed charges,,262.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [210118],0636,RC,,,,,inpatient,,,235.53,,117.765,141.318,237.814641,221.3982,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,195.4899,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,216.6876,,,,percent of total billed charges,,222.81138,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,228.4641,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,207.2664,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,152.62344,,,,percent of total billed charges,,211.977,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,237.814641,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,223.7535,,,,percent of total billed charges,,188.424,,,,percent of total billed charges,,141.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG TABLET [4423],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 100 MCG TABLET [4423],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 112 MCG TABLET [10404],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 125 MCG TABLET [4424],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 125 MCG TABLET [4424],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 137 MCG TABLET [10405],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 150 MCG TABLET [4425],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 150 MCG TABLET [4425],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 175 MCG TABLET [10406],0637,RC,,,,,inpatient,,,6.52,,3.26,3.912,6.583244,6.1288,,,,percent of total billed charges,,5.216,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,5.4116,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,5.9984,,,,percent of total billed charges,,5.9984,,,,percent of total billed charges,,6.16792,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,6.3244,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,5.7376,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,4.22496,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,6.583244,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,6.194,,,,percent of total billed charges,,5.216,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [244039],0250,RC,,,,,inpatient,,,295.16,,147.58,177.096,298.023052,277.4504,,,,percent of total billed charges,,236.128,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,244.9828,,,,percent of total billed charges,,265.644,,,,percent of total billed charges,,271.5472,,,,percent of total billed charges,,271.5472,,,,percent of total billed charges,,279.22136,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,286.3052,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,259.7408,,,,percent of total billed charges,,265.644,,,,percent of total billed charges,,191.26368,,,,percent of total billed charges,,265.644,,,,percent of total billed charges,,177.096,,,,percent of total billed charges,,298.023052,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,280.402,,,,percent of total billed charges,,236.128,,,,percent of total billed charges,,177.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION [244039],0250,RC,,,,,inpatient,,,590.31,,295.155,354.186,596.036007,554.8914,,,,percent of total billed charges,,472.248,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,489.9573,,,,percent of total billed charges,,531.279,,,,percent of total billed charges,,543.0852,,,,percent of total billed charges,,543.0852,,,,percent of total billed charges,,558.43326,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,572.6007,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,519.4728,,,,percent of total billed charges,,531.279,,,,percent of total billed charges,,382.52088,,,,percent of total billed charges,,531.279,,,,percent of total billed charges,,354.186,,,,percent of total billed charges,,596.036007,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,560.7945,,,,percent of total billed charges,,472.248,,,,percent of total billed charges,,354.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 25 MCG TABLET [4420],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 50 MCG TABLET [4421],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 50 MCG TABLET [4421],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 75 MCG TABLET [4422],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 75 MCG TABLET [4422],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LEVOTHYROXINE 88 MCG TABLET [10403],0637,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (BULK) POWDER [12855],0250,RC,,,,,inpatient,,,148.5,,74.25,89.1,149.94045,139.59,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,123.255,,,,percent of total billed charges,,133.65,,,,percent of total billed charges,,136.62,,,,percent of total billed charges,,136.62,,,,percent of total billed charges,,140.481,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,144.045,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,130.68,,,,percent of total billed charges,,133.65,,,,percent of total billed charges,,96.228,,,,percent of total billed charges,,133.65,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,149.94045,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,141.075,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 10 MG/ML (1%) INFUSION [5000243],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,,,,,inpatient,,,19.74,,9.87,11.844,19.931478,18.5556,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,16.3842,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.67404,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,19.1478,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,17.3712,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,12.79152,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,19.931478,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,,,,,inpatient,,,18.03,,9.015,10.818,18.204891,16.9482,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.9649,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,17.05638,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.4891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,15.8664,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,11.68344,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,18.204891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,,,,,inpatient,,,24.82,,12.41,14.892,25.060754,23.3308,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,20.6006,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,23.47972,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,24.0754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,21.8416,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,16.08336,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,25.060754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,,,,,inpatient,,,19.74,,9.87,11.844,19.931478,18.5556,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,16.3842,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.1608,,,,percent of total billed charges,,18.67404,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,19.1478,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,17.3712,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,12.79152,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,19.931478,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,18.753,,,,percent of total billed charges,,15.792,,,,percent of total billed charges,,11.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [21378],0636,RC,,,,,inpatient,,,18.03,,9.015,10.818,18.204891,16.9482,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.9649,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,17.05638,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.4891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,15.8664,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,11.68344,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,18.204891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [95804],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION (NON RT CONFIG) [7000109],0250,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION (RT USE CONFIG) [4455],0250,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION (RT USE CONFIG) [4455],0250,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION (RT USE CONFIG) [4455],0250,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [86407],0250,RC,,,,,inpatient,,,11.67,,5.835,7.002,11.783199,10.9698,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,9.6861,,,,percent of total billed charges,,10.503,,,,percent of total billed charges,,10.7364,,,,percent of total billed charges,,10.7364,,,,percent of total billed charges,,11.03982,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,11.3199,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,10.2696,,,,percent of total billed charges,,10.503,,,,percent of total billed charges,,7.56216,,,,percent of total billed charges,,10.503,,,,percent of total billed charges,,7.002,,,,percent of total billed charges,,11.783199,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,11.0865,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,7.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 1 %-PHENYLEPHRINE 1.5 % IN STERILE WATER INTRAOCULAR SOLN [237643],0250,RC,,,,,inpatient,,,60.75,,30.375,36.45,61.339275,57.105,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,50.4225,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.4695,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,58.9275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,39.366,,,,percent of total billed charges,,54.675,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,61.339275,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,57.7125,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 1 %-PHENYLEPHRINE 1.5 % IN STERILE WATER INTRAOCULAR SOLN [237643],0250,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,,,,,inpatient,,,15.66,,7.83,9.396,15.811902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,10.14768,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,15.811902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [189120],0250,RC,,,,,inpatient,,,18.41,,9.205,11.046,18.588577,17.3054,,,,percent of total billed charges,,14.728,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,15.2803,,,,percent of total billed charges,,16.569,,,,percent of total billed charges,,16.9372,,,,percent of total billed charges,,16.9372,,,,percent of total billed charges,,17.41586,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,17.8577,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,16.2008,,,,percent of total billed charges,,16.569,,,,percent of total billed charges,,11.92968,,,,percent of total billed charges,,16.569,,,,percent of total billed charges,,11.046,,,,percent of total billed charges,,18.588577,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,17.4895,,,,percent of total billed charges,,14.728,,,,percent of total billed charges,,11.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [189120],0250,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,,,,,inpatient,,,15.66,,7.83,9.396,15.811902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,10.14768,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,15.811902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LACTATED RINGERS INTRAVENOUS SOLUTION [4318],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,0.91,,0.455,0.546,0.918827,0.8554,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.7553,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.86086,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8008,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.58968,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,0.918827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,,,,,inpatient,,,15.66,,7.83,9.396,15.811902,14.7204,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.9978,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.4072,,,,percent of total billed charges,,14.81436,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,15.1902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,13.7808,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,10.14768,,,,percent of total billed charges,,14.094,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,15.811902,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,14.877,,,,percent of total billed charges,,12.528,,,,percent of total billed charges,,9.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 20 MG/ML (2%) INJECTION - RESPIRATORY [1001282],0250,RC,,,,,inpatient,,,14.18,,7.09,8.508,14.317546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,9.18864,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,14.317546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 20 MG/ML (2%) INJECTION - RESPIRATORY [1001282],0250,RC,,,,,inpatient,,,4.5,,2.25,2.7,4.54365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.54365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,5.52,,2.76,3.312,5.573544,5.1888,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,4.5816,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.0784,,,,percent of total billed charges,,5.0784,,,,percent of total billed charges,,5.22192,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,5.3544,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,4.8576,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.57696,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,5.573544,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,5.244,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,5.58,,2.79,3.348,5.634126,5.2452,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.6314,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.1336,,,,percent of total billed charges,,5.27868,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.4126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.9104,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.61584,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,5.634126,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,5.301,,,,percent of total billed charges,,4.464,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,4.59,,2.295,2.754,4.634523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.97432,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.634523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,4.68,,2.34,2.808,4.725396,4.3992,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,3.8844,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,4.3056,,,,percent of total billed charges,,4.3056,,,,percent of total billed charges,,4.42728,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.5396,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.1184,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,3.03264,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,4.725396,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,4.59,,2.295,2.754,4.634523,4.3146,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.8097,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.2228,,,,percent of total billed charges,,4.34214,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.4523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.0392,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.97432,,,,percent of total billed charges,,4.131,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,4.634523,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,4.3605,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,5.4,,2.7,3.24,5.45238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.4992,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.45238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,5.4,,2.7,3.24,5.45238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.4992,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.45238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,31.16,,15.58,18.696,31.462252,29.2904,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,25.8628,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,29.47736,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,30.2252,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,27.4208,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,20.19168,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,31.462252,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 4 % TOPICAL PATCH [77569],0637,RC,,,,,inpatient,,,31.16,,15.58,18.696,31.462252,29.2904,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,25.8628,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,28.6672,,,,percent of total billed charges,,29.47736,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,30.2252,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,27.4208,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,20.19168,,,,percent of total billed charges,,28.044,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,31.462252,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,29.602,,,,percent of total billed charges,,24.928,,,,percent of total billed charges,,18.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,,,,,inpatient,,,429.64,,214.82,257.784,433.807508,403.8616,,,,percent of total billed charges,,343.712,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,356.6012,,,,percent of total billed charges,,386.676,,,,percent of total billed charges,,395.2688,,,,percent of total billed charges,,395.2688,,,,percent of total billed charges,,406.43944,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,416.7508,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,378.0832,,,,percent of total billed charges,,386.676,,,,percent of total billed charges,,278.40672,,,,percent of total billed charges,,386.676,,,,percent of total billed charges,,257.784,,,,percent of total billed charges,,433.807508,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,408.158,,,,percent of total billed charges,,343.712,,,,percent of total billed charges,,257.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,,,,,inpatient,,,58.69,,29.345,35.214,59.259293,55.1686,,,,percent of total billed charges,,46.952,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,48.7127,,,,percent of total billed charges,,52.821,,,,percent of total billed charges,,53.9948,,,,percent of total billed charges,,53.9948,,,,percent of total billed charges,,55.52074,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,56.9293,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,51.6472,,,,percent of total billed charges,,52.821,,,,percent of total billed charges,,38.03112,,,,percent of total billed charges,,52.821,,,,percent of total billed charges,,35.214,,,,percent of total billed charges,,59.259293,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,55.7555,,,,percent of total billed charges,,46.952,,,,percent of total billed charges,,35.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,,,,,inpatient,,,50.56,,25.28,30.336,51.050432,47.5264,,,,percent of total billed charges,,40.448,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,41.9648,,,,percent of total billed charges,,45.504,,,,percent of total billed charges,,46.5152,,,,percent of total billed charges,,46.5152,,,,percent of total billed charges,,47.82976,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,49.0432,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,44.4928,,,,percent of total billed charges,,45.504,,,,percent of total billed charges,,32.76288,,,,percent of total billed charges,,45.504,,,,percent of total billed charges,,30.336,,,,percent of total billed charges,,51.050432,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,48.032,,,,percent of total billed charges,,40.448,,,,percent of total billed charges,,30.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,,,,,inpatient,,,65.87,,32.935,39.522,66.508939,61.9178,,,,percent of total billed charges,,52.696,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,54.6721,,,,percent of total billed charges,,59.283,,,,percent of total billed charges,,60.6004,,,,percent of total billed charges,,60.6004,,,,percent of total billed charges,,62.31302,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,63.8939,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,57.9656,,,,percent of total billed charges,,59.283,,,,percent of total billed charges,,42.68376,,,,percent of total billed charges,,59.283,,,,percent of total billed charges,,39.522,,,,percent of total billed charges,,66.508939,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,62.5765,,,,percent of total billed charges,,52.696,,,,percent of total billed charges,,39.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,,,,,inpatient,,,62.04,,31.02,37.224,62.641788,58.3176,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,51.4932,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,58.68984,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,60.1788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,54.5952,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,40.20192,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,62.641788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE 5 % TOPICAL OINTMENT [211833],0637,RC,,,,,inpatient,,,42.11,,21.055,25.266,42.518467,39.5834,,,,percent of total billed charges,,33.688,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,34.9513,,,,percent of total billed charges,,37.899,,,,percent of total billed charges,,38.7412,,,,percent of total billed charges,,38.7412,,,,percent of total billed charges,,39.83606,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,40.8467,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,37.0568,,,,percent of total billed charges,,37.899,,,,percent of total billed charges,,27.28728,,,,percent of total billed charges,,37.899,,,,percent of total billed charges,,25.266,,,,percent of total billed charges,,42.518467,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,40.0045,,,,percent of total billed charges,,33.688,,,,percent of total billed charges,,25.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,32.85,,16.425,19.71,33.168645,30.879,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,27.2655,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,30.222,,,,percent of total billed charges,,31.0761,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.8645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,28.908,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,21.2868,,,,percent of total billed charges,,29.565,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,33.168645,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,31.2075,,,,percent of total billed charges,,26.28,,,,percent of total billed charges,,19.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,5.2,,2.6,3.12,5.25044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.3696,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,5.25044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,3.04,,1.52,1.824,3.069488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.96992,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,3.069488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,3.04,,1.52,1.824,3.069488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.96992,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,3.069488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,3.04,,1.52,1.824,3.069488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.96992,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,3.069488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,3.04,,1.52,1.824,3.069488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.96992,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,3.069488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 2 % MUCOSAL SOLUTION [81322],0637,RC,,,,,inpatient,,,45.45,,22.725,27.27,45.890865,42.723,,,,percent of total billed charges,,36.36,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,37.7235,,,,percent of total billed charges,,40.905,,,,percent of total billed charges,,41.814,,,,percent of total billed charges,,41.814,,,,percent of total billed charges,,42.9957,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,44.0865,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,39.996,,,,percent of total billed charges,,40.905,,,,percent of total billed charges,,29.4516,,,,percent of total billed charges,,40.905,,,,percent of total billed charges,,27.27,,,,percent of total billed charges,,45.890865,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,43.1775,,,,percent of total billed charges,,36.36,,,,percent of total billed charges,,27.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION [4450],0637,RC,,,,,inpatient,,,107.78,,53.89,64.668,108.825466,101.3132,,,,percent of total billed charges,,86.224,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,89.4574,,,,percent of total billed charges,,97.002,,,,percent of total billed charges,,99.1576,,,,percent of total billed charges,,99.1576,,,,percent of total billed charges,,101.95988,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,104.5466,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,94.8464,,,,percent of total billed charges,,97.002,,,,percent of total billed charges,,69.84144,,,,percent of total billed charges,,97.002,,,,percent of total billed charges,,64.668,,,,percent of total billed charges,,108.825466,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,102.391,,,,percent of total billed charges,,86.224,,,,percent of total billed charges,,64.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],0637,RC,,,,,inpatient,,,29.1,,14.55,17.46,29.38227,27.354,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,24.153,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,28.227,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,25.608,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,18.8568,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,29.38227,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],0637,RC,,,,,inpatient,,,29.1,,14.55,17.46,29.38227,27.354,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,24.153,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,26.772,,,,percent of total billed charges,,27.5286,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,28.227,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,25.608,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,18.8568,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,29.38227,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,27.645,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM [10434],0637,RC,,,,,inpatient,,,24.82,,12.41,14.892,25.060754,23.3308,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,20.6006,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,22.8344,,,,percent of total billed charges,,23.47972,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,24.0754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,21.8416,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,16.08336,,,,percent of total billed charges,,22.338,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,25.060754,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,23.579,,,,percent of total billed charges,,19.856,,,,percent of total billed charges,,14.892,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINACLOTIDE 145 MCG CAPSULE [216337],0637,RC,,,,,inpatient,,,74.54,,37.27,44.724,75.263038,70.0676,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,61.8682,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,70.51484,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,72.3038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,65.5952,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,48.30192,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,75.263038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,,,,,inpatient,,,20.32,,10.16,12.192,20.517104,19.1008,,,,percent of total billed charges,,16.256,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,16.8656,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,18.6944,,,,percent of total billed charges,,18.6944,,,,percent of total billed charges,,19.22272,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,19.7104,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,17.8816,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,13.16736,,,,percent of total billed charges,,18.288,,,,percent of total billed charges,,12.192,,,,percent of total billed charges,,20.517104,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,19.304,,,,percent of total billed charges,,16.256,,,,percent of total billed charges,,12.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,,,,,inpatient,,,15.61,,7.805,9.366,15.761417,14.6734,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.9563,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.76706,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,15.1417,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,13.7368,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,10.11528,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,15.761417,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,,,,,inpatient,,,15.61,,7.805,9.366,15.761417,14.6734,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.9563,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.3612,,,,percent of total billed charges,,14.76706,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,15.1417,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,13.7368,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,10.11528,,,,percent of total billed charges,,14.049,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,15.761417,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,14.8295,,,,percent of total billed charges,,12.488,,,,percent of total billed charges,,9.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,,,,,inpatient,,,7.64,,3.82,4.584,7.714108,7.1816,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.3412,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.22744,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.4108,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.7232,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,4.95072,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,7.714108,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID 600 MG TABLET [80074],0637,RC,,,,,inpatient,,,7.64,,3.82,4.584,7.714108,7.1816,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.3412,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.0288,,,,percent of total billed charges,,7.22744,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.4108,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.7232,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,4.95072,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,7.714108,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,7.258,,,,percent of total billed charges,,6.112,,,,percent of total billed charges,,4.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,33.75,,16.875,20.25,34.077375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,34.077375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,554.85,,277.425,332.91,560.232045,521.559,,,,percent of total billed charges,,443.88,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,460.5255,,,,percent of total billed charges,,499.365,,,,percent of total billed charges,,510.462,,,,percent of total billed charges,,510.462,,,,percent of total billed charges,,524.8881,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,538.2045,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,488.268,,,,percent of total billed charges,,499.365,,,,percent of total billed charges,,359.5428,,,,percent of total billed charges,,499.365,,,,percent of total billed charges,,332.91,,,,percent of total billed charges,,560.232045,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,527.1075,,,,percent of total billed charges,,443.88,,,,percent of total billed charges,,332.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,33.75,,16.875,20.25,34.077375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,34.077375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,39.15,,19.575,23.49,39.529755,36.801,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,32.4945,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,37.0359,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.9755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,34.452,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,25.3692,,,,percent of total billed charges,,35.235,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,39.529755,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,37.1925,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,33.75,,16.875,20.25,34.077375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,34.077375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,33.75,,16.875,20.25,34.077375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,34.077375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,78.3,,39.15,46.98,79.05951,73.602,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,64.989,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,74.0718,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,75.951,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,68.904,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,50.7384,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,79.05951,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,78.3,,39.15,46.98,79.05951,73.602,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,64.989,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,72.036,,,,percent of total billed charges,,74.0718,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,75.951,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,68.904,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,50.7384,,,,percent of total billed charges,,70.47,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,79.05951,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,74.385,,,,percent of total billed charges,,62.64,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,44.55,,22.275,26.73,44.982135,41.877,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,36.9765,,,,percent of total billed charges,,40.095,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,42.1443,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,43.2135,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,39.204,,,,percent of total billed charges,,40.095,,,,percent of total billed charges,,28.8684,,,,percent of total billed charges,,40.095,,,,percent of total billed charges,,26.73,,,,percent of total billed charges,,44.982135,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,42.3225,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,26.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [86256],0636,RC,,,,,inpatient,,,31.05,,15.525,18.63,31.351185,29.187,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,25.7715,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,29.3733,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,30.1185,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,20.1204,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,31.351185,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 25 MCG TABLET [77937],0637,RC,,,,,inpatient,,,1.95,,0.975,1.17,1.968915,1.833,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.6185,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.794,,,,percent of total billed charges,,1.8447,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.2636,,,,percent of total billed charges,,1.755,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,1.968915,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.8525,,,,percent of total billed charges,,1.56,,,,percent of total billed charges,,1.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 25 MCG TABLET [77937],0637,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 25 MCG TABLET [77937],0637,RC,,,,,inpatient,,,3.65,,1.825,2.19,3.685405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.3652,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.685405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,,,,,inpatient,,,1.6,,0.8,0.96,1.61552,1.504,,,,percent of total billed charges,,1.28,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.328,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.472,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.0368,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.61552,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.28,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,,,,,inpatient,,,2.28,,1.14,1.368,2.302116,2.1432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.8924,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.15688,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.2116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.0064,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.47744,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,2.302116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,,,,,inpatient,,,2.82,,1.41,1.692,2.847354,2.6508,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.3406,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.5944,,,,percent of total billed charges,,2.66772,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.7354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.4816,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.82736,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,2.847354,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.679,,,,percent of total billed charges,,2.256,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIOTHYRONINE 5 MCG TABLET [79158],0637,RC,,,,,inpatient,,,2.48,,1.24,1.488,2.504056,2.3312,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.0584,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.2816,,,,percent of total billed charges,,2.34608,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.4056,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.1824,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.60704,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,2.504056,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,2.356,,,,percent of total billed charges,,1.984,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [195089]",0637,RC,,,,,inpatient,,,17.18,,8.59,10.308,17.346646,16.1492,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,14.2594,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,16.25228,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.6646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,15.1184,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,11.13264,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,17.346646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [195089]",0637,RC,,,,,inpatient,,,17.18,,8.59,10.308,17.346646,16.1492,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,14.2594,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,15.8056,,,,percent of total billed charges,,16.25228,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.6646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,15.1184,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,11.13264,,,,percent of total billed charges,,15.462,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,17.346646,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,16.321,,,,percent of total billed charges,,13.744,,,,percent of total billed charges,,10.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL [195088]",0637,RC,,,,,inpatient,,,8.6,,4.3,5.16,8.68342,8.084,,,,percent of total billed charges,,6.88,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,7.138,,,,percent of total billed charges,,7.74,,,,percent of total billed charges,,7.912,,,,percent of total billed charges,,7.912,,,,percent of total billed charges,,8.1356,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,8.342,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.74,,,,percent of total billed charges,,5.5728,,,,percent of total billed charges,,7.74,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,8.68342,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,8.17,,,,percent of total billed charges,,6.88,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 10 MG TABLET [10449],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 10 MG TABLET [10449],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 10 MG TABLET [10449],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 20 MG TABLET [4526],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,,,,,inpatient,,,0.58,,0.29,0.348,0.585626,0.5452,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.4814,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.54868,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5626,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5104,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.37584,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,0.585626,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 40 MG TABLET [10450],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 5 MG TABLET [10451],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LISINOPRIL 5 MG TABLET [10451],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LITHIUM CARBONATE 300 MG CAPSULE [4529],0637,RC,,,,,inpatient,,,1.04,,0.52,0.624,1.050088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.67392,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,1.050088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0637,RC,,,,,inpatient,,,1.4,,0.7,0.84,1.41358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.9072,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.41358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0637,RC,,,,,inpatient,,,1.74,,0.87,1.044,1.756878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.12752,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.756878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [10454]",0637,RC,,,,,inpatient,,,1.74,,0.87,1.044,1.756878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.12752,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.756878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOMUSTINE 10 MG CAPSULE [79799],0636,RC,,,,,inpatient,,,465.26,,232.63,279.156,469.773022,437.3444,,,,percent of total billed charges,,372.208,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,386.1658,,,,percent of total billed charges,,418.734,,,,percent of total billed charges,,428.0392,,,,percent of total billed charges,,428.0392,,,,percent of total billed charges,,440.13596,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,451.3022,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,409.4288,,,,percent of total billed charges,,418.734,,,,percent of total billed charges,,301.48848,,,,percent of total billed charges,,418.734,,,,percent of total billed charges,,279.156,,,,percent of total billed charges,,469.773022,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,441.997,,,,percent of total billed charges,,372.208,,,,percent of total billed charges,,279.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOMUSTINE 100 MG CAPSULE [77820],0636,RC,,,,,inpatient,,,5137.22,,2568.61,3082.332,5187.051034,4828.9868,,,,percent of total billed charges,,4109.776,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4263.8926,,,,percent of total billed charges,,4623.498,,,,percent of total billed charges,,4726.2424,,,,percent of total billed charges,,4726.2424,,,,percent of total billed charges,,4859.81012,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4983.1034,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4520.7536,,,,percent of total billed charges,,4623.498,,,,percent of total billed charges,,3328.91856,,,,percent of total billed charges,,4623.498,,,,percent of total billed charges,,3082.332,,,,percent of total billed charges,,5187.051034,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4880.359,,,,percent of total billed charges,,4109.776,,,,percent of total billed charges,,3082.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOMUSTINE 40 MG CAPSULE [79396],0636,RC,,,,,inpatient,,,1860.98,,930.49,1116.588,1879.031506,1749.3212,,,,percent of total billed charges,,1488.784,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1544.6134,,,,percent of total billed charges,,1674.882,,,,percent of total billed charges,,1712.1016,,,,percent of total billed charges,,1712.1016,,,,percent of total billed charges,,1760.48708,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1805.1506,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1637.6624,,,,percent of total billed charges,,1674.882,,,,percent of total billed charges,,1205.91504,,,,percent of total billed charges,,1674.882,,,,percent of total billed charges,,1116.588,,,,percent of total billed charges,,1879.031506,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1767.931,,,,percent of total billed charges,,1488.784,,,,percent of total billed charges,,1116.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [253430],0636,RC,,,,,inpatient,,,92050.04,,46025.02,55230.024,92942.92539,86527.0376,,,,percent of total billed charges,,73640.032,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,76401.5332,,,,percent of total billed charges,,82845.036,,,,percent of total billed charges,,84686.0368,,,,percent of total billed charges,,84686.0368,,,,percent of total billed charges,,87079.33784,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,89288.5388,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,81004.0352,,,,percent of total billed charges,,82845.036,,,,percent of total billed charges,,59648.42592,,,,percent of total billed charges,,82845.036,,,,percent of total billed charges,,55230.024,,,,percent of total billed charges,,92942.92539,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,87447.538,,,,percent of total billed charges,,73640.032,,,,percent of total billed charges,,55230.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION [253430],0636,RC,,,,,inpatient,,,53336.43,,26668.215,32001.858,53853.79337,50136.2442,,,,percent of total billed charges,,42669.144,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,44269.2369,,,,percent of total billed charges,,48002.787,,,,percent of total billed charges,,49069.5156,,,,percent of total billed charges,,49069.5156,,,,percent of total billed charges,,50456.26278,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,51736.3371,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,46936.0584,,,,percent of total billed charges,,48002.787,,,,percent of total billed charges,,34562.00664,,,,percent of total billed charges,,48002.787,,,,percent of total billed charges,,32001.858,,,,percent of total billed charges,,53853.79337,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,50669.6085,,,,percent of total billed charges,,42669.144,,,,percent of total billed charges,,32001.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [94773],0637,RC,,,,,inpatient,,,9.72,,4.86,5.832,9.814284,9.1368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.0676,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.5536,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,6.29856,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,9.814284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [94773],0637,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,,,,,inpatient,,,3.36,,1.68,2.016,3.392592,3.1584,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.7888,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.17856,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.2592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.9568,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.17728,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,3.392592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,,,,,inpatient,,,3.36,,1.68,2.016,3.392592,3.1584,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.7888,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.0912,,,,percent of total billed charges,,3.17856,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.2592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.9568,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.17728,,,,percent of total billed charges,,3.024,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,3.392592,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.688,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,,,,,inpatient,,,3.05,,1.525,1.83,3.079585,2.867,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.5315,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.8853,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.9585,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.684,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,1.9764,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,3.079585,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,,,,,inpatient,,,3.05,,1.525,1.83,3.079585,2.867,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.5315,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.806,,,,percent of total billed charges,,2.8853,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.9585,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.684,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,1.9764,,,,percent of total billed charges,,2.745,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,3.079585,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.8975,,,,percent of total billed charges,,2.44,,,,percent of total billed charges,,1.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG CAPSULE [4560],0637,RC,,,,,inpatient,,,1.18,,0.59,0.708,1.191446,1.1092,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.9794,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.11628,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.1446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.0384,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.76464,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,1.191446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOPERAMIDE 2 MG TABLET [4562],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,,,,,inpatient,,,0.66,,0.33,0.396,0.666402,0.6204,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5478,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.62436,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.6402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5808,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.42768,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,0.666402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORATADINE 10 MG TABLET [10466],0637,RC,,,,,inpatient,,,0.66,,0.33,0.396,0.666402,0.6204,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5478,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.62436,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.6402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.5808,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.42768,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,0.666402,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.627,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 0.5 MG TABLET [4572],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 1 MG TABLET [4573],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG TABLET [4574],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,11.03,,5.515,6.618,11.136991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,7.14744,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,11.136991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,38.84,,19.42,23.304,39.216748,36.5096,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,32.2372,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,36.74264,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,37.6748,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,34.1792,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,25.16832,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,39.216748,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,38.84,,19.42,23.304,39.216748,36.5096,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,32.2372,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,35.7328,,,,percent of total billed charges,,36.74264,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,37.6748,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,34.1792,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,25.16832,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,39.216748,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,36.898,,,,percent of total billed charges,,31.072,,,,percent of total billed charges,,23.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,45,,22.5,27,45.4365,42.3,,,,percent of total billed charges,,36,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,37.35,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,41.4,,,,percent of total billed charges,,42.57,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,43.65,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,39.6,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,27,,,,percent of total billed charges,,45.4365,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,42.75,,,,percent of total billed charges,,36,,,,percent of total billed charges,,27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION SOLUTION [10467],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,11.03,,5.515,6.618,11.136991,10.3682,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.1549,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.1476,,,,percent of total billed charges,,10.43438,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.6991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,9.7064,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,7.14744,,,,percent of total billed charges,,9.927,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,11.136991,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,10.4785,,,,percent of total billed charges,,8.824,,,,percent of total billed charges,,6.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,13.99,,6.995,8.394,14.125703,13.1506,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.6117,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,13.23454,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.5703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,12.3112,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,9.06552,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,14.125703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML INJECTION WRAPPER [1001829],0636,RC,,,,,inpatient,,,13.99,,6.995,8.394,14.125703,13.1506,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.6117,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,12.8708,,,,percent of total billed charges,,13.23454,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.5703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,12.3112,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,9.06552,,,,percent of total billed charges,,12.591,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,14.125703,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,13.2905,,,,percent of total billed charges,,11.192,,,,percent of total billed charges,,8.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,,,,,inpatient,,,101.39,,50.695,60.834,102.373483,95.3066,,,,percent of total billed charges,,81.112,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,84.1537,,,,percent of total billed charges,,91.251,,,,percent of total billed charges,,93.2788,,,,percent of total billed charges,,93.2788,,,,percent of total billed charges,,95.91494,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,98.3483,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,89.2232,,,,percent of total billed charges,,91.251,,,,percent of total billed charges,,65.70072,,,,percent of total billed charges,,91.251,,,,percent of total billed charges,,60.834,,,,percent of total billed charges,,102.373483,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,96.3205,,,,percent of total billed charges,,81.112,,,,percent of total billed charges,,60.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,,,,,inpatient,,,33.35,,16.675,20.01,33.673495,31.349,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,27.6805,,,,percent of total billed charges,,30.015,,,,percent of total billed charges,,30.682,,,,percent of total billed charges,,30.682,,,,percent of total billed charges,,31.5491,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,32.3495,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,29.348,,,,percent of total billed charges,,30.015,,,,percent of total billed charges,,21.6108,,,,percent of total billed charges,,30.015,,,,percent of total billed charges,,20.01,,,,percent of total billed charges,,33.673495,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,31.6825,,,,percent of total billed charges,,26.68,,,,percent of total billed charges,,20.01,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LORAZEPAM 2 MG/ML ORAL CONCENTRATE [82577],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,,,,,inpatient,,,0.62,,0.31,0.372,0.626014,0.5828,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5146,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.5704,,,,percent of total billed charges,,0.58652,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.6014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.5456,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.40176,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,0.626014,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.589,,,,percent of total billed charges,,0.496,,,,percent of total billed charges,,0.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 100 MG TABLET [82415],0637,RC,,,,,inpatient,,,1.49,,0.745,0.894,1.504453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.96552,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.504453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,,,,,inpatient,,,1.85,,0.925,1.11,1.867945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.1988,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.867945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,,,,,inpatient,,,1.85,,0.925,1.11,1.867945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.1988,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.867945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,,,,,inpatient,,,1.49,,0.745,0.894,1.504453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.96552,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.504453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOSARTAN 25 MG TABLET [80874],0637,RC,,,,,inpatient,,,1.2,,0.6,0.72,1.21164,1.128,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.996,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.7776,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,1.21164,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,0.96,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURASIDONE 40 MG TABLET [202451],0637,RC,,,,,inpatient,,,166.26,,83.13,99.756,167.872722,156.2844,,,,percent of total billed charges,,133.008,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,137.9958,,,,percent of total billed charges,,149.634,,,,percent of total billed charges,,152.9592,,,,percent of total billed charges,,152.9592,,,,percent of total billed charges,,157.28196,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,161.2722,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,146.3088,,,,percent of total billed charges,,149.634,,,,percent of total billed charges,,107.73648,,,,percent of total billed charges,,149.634,,,,percent of total billed charges,,99.756,,,,percent of total billed charges,,167.872722,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,157.947,,,,percent of total billed charges,,133.008,,,,percent of total billed charges,,99.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURASIDONE 40 MG TABLET [202451],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURASIDONE 40 MG TABLET [202451],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION [249586],0636,RC,,,,,inpatient,,,31800,,15900,19080,32108.46,29892,,,,percent of total billed charges,,25440,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,26394,,,,percent of total billed charges,,28620,,,,percent of total billed charges,,29256,,,,percent of total billed charges,,29256,,,,percent of total billed charges,,30082.8,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,30846,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,27984,,,,percent of total billed charges,,28620,,,,percent of total billed charges,,20606.4,,,,percent of total billed charges,,28620,,,,percent of total billed charges,,19080,,,,percent of total billed charges,,32108.46,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,30210,,,,percent of total billed charges,,25440,,,,percent of total billed charges,,19080,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION [246951],0636,RC,,,,,inpatient,,,17441.55,,8720.775,10464.93,17610.73304,16395.057,,,,percent of total billed charges,,13953.24,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,14476.4865,,,,percent of total billed charges,,15697.395,,,,percent of total billed charges,,16046.226,,,,percent of total billed charges,,16046.226,,,,percent of total billed charges,,16499.7063,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,16918.3035,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,15348.564,,,,percent of total billed charges,,15697.395,,,,percent of total billed charges,,11302.1244,,,,percent of total billed charges,,15697.395,,,,percent of total billed charges,,10464.93,,,,percent of total billed charges,,17610.73304,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,16569.4725,,,,percent of total billed charges,,13953.24,,,,percent of total billed charges,,10464.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION [246952],0636,RC,,,,,inpatient,,,46510.68,,23255.34,27906.408,46961.8336,43720.0392,,,,percent of total billed charges,,37208.544,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,38603.8644,,,,percent of total billed charges,,41859.612,,,,percent of total billed charges,,42789.8256,,,,percent of total billed charges,,42789.8256,,,,percent of total billed charges,,43999.10328,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,45115.3596,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,40929.3984,,,,percent of total billed charges,,41859.612,,,,percent of total billed charges,,30138.92064,,,,percent of total billed charges,,41859.612,,,,percent of total billed charges,,27906.408,,,,percent of total billed charges,,46961.8336,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,44185.146,,,,percent of total billed charges,,37208.544,,,,percent of total billed charges,,27906.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAFENIDE 85 MG/G TOPICAL CREAM [79266],0637,RC,,,,,inpatient,,,361.3,,180.65,216.78,364.80461,339.622,,,,percent of total billed charges,,289.04,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,299.879,,,,percent of total billed charges,,325.17,,,,percent of total billed charges,,332.396,,,,percent of total billed charges,,332.396,,,,percent of total billed charges,,341.7898,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,350.461,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,317.944,,,,percent of total billed charges,,325.17,,,,percent of total billed charges,,234.1224,,,,percent of total billed charges,,325.17,,,,percent of total billed charges,,216.78,,,,percent of total billed charges,,364.80461,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,343.235,,,,percent of total billed charges,,289.04,,,,percent of total billed charges,,216.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAFENIDE 85 MG/G TOPICAL CREAM [79266],0637,RC,,,,,inpatient,,,284.5,,142.25,170.7,287.25965,267.43,,,,percent of total billed charges,,227.6,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,236.135,,,,percent of total billed charges,,256.05,,,,percent of total billed charges,,261.74,,,,percent of total billed charges,,261.74,,,,percent of total billed charges,,269.137,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,275.965,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,250.36,,,,percent of total billed charges,,256.05,,,,percent of total billed charges,,184.356,,,,percent of total billed charges,,256.05,,,,percent of total billed charges,,170.7,,,,percent of total billed charges,,287.25965,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,270.275,,,,percent of total billed charges,,227.6,,,,percent of total billed charges,,170.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,,,,,inpatient,,,4.05,,2.025,2.43,4.089285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.6244,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,4.089285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,,,,,inpatient,,,1.35,,0.675,0.81,1.363095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.8748,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.363095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGIC MOUTHWASH [7000016],0637,RC,,,,,inpatient,,,4.05,,2.025,2.43,4.089285,3.807,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.3615,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.726,,,,percent of total billed charges,,3.8313,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.9285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.6244,,,,percent of total billed charges,,3.645,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,4.089285,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.8475,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [1312],0636,RC,,,,,inpatient,,,36.77,,18.385,22.062,37.126669,34.5638,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,30.5191,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,33.8284,,,,percent of total billed charges,,34.78442,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,35.6669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,32.3576,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,23.82696,,,,percent of total billed charges,,33.093,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,37.126669,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,34.9315,,,,percent of total billed charges,,29.416,,,,percent of total billed charges,,22.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CHLORIDE 200 MG/ML (20 %) INJECTION SOLUTION [4709],0250,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CHLORIDE 200 MG/ML (20 %) INJECTION SOLUTION [4709],0250,RC,,,,,inpatient,,,52.2,,26.1,31.32,52.70634,49.068,,,,percent of total billed charges,,41.76,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,43.326,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,48.024,,,,percent of total billed charges,,48.024,,,,percent of total billed charges,,49.3812,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,50.634,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,45.936,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,33.8256,,,,percent of total billed charges,,46.98,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,52.70634,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,49.59,,,,percent of total billed charges,,41.76,,,,percent of total billed charges,,31.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CITRATE ORAL SOLUTION [4711],0637,RC,,,,,inpatient,,,6.66,,3.33,3.996,6.724602,6.2604,,,,percent of total billed charges,,5.328,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.5278,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,6.1272,,,,percent of total billed charges,,6.1272,,,,percent of total billed charges,,6.30036,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4602,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.8608,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,4.31568,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,3.996,,,,percent of total billed charges,,6.724602,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,5.328,,,,percent of total billed charges,,3.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM CITRATE ORAL SOLUTION [4711],0637,RC,,,,,inpatient,,,8,,4,4.8,8.0776,7.52,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.64,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.36,,,,percent of total billed charges,,7.568,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.76,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.04,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,8.0776,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,6.4,,,,percent of total billed charges,,4.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [79936],0637,RC,,,,,inpatient,,,7.97,,3.985,4.782,8.047309,7.4918,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.6151,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.3324,,,,percent of total billed charges,,7.53962,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.7309,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.0136,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,5.16456,,,,percent of total billed charges,,7.173,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,8.047309,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,7.5715,,,,percent of total billed charges,,6.376,,,,percent of total billed charges,,4.782,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [79936],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE [92559]",0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [10491],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE (BULK) 495 MG/5 GRAM GRANULES [1000981],0637,RC,,,,,inpatient,,,10.22,,5.11,6.132,10.319134,9.6068,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.4826,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.4024,,,,percent of total billed charges,,9.66812,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.9134,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.9936,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,6.62256,,,,percent of total billed charges,,9.198,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,10.319134,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,9.709,,,,percent of total billed charges,,8.176,,,,percent of total billed charges,,6.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE (BULK) 495 MG/5 GRAM GRANULES [1000981],0637,RC,,,,,inpatient,,,8.18,,4.09,4.908,8.259346,7.6892,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.7894,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.5256,,,,percent of total billed charges,,7.73828,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.9346,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.1984,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,5.30064,,,,percent of total billed charges,,7.362,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,8.259346,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,7.771,,,,percent of total billed charges,,6.544,,,,percent of total billed charges,,4.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,5.4,,2.7,3.24,5.45238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.4992,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.45238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [164121],0636,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,12.91,,6.455,7.746,13.035227,12.1354,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.7153,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,12.21286,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.5227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,11.3608,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,8.36568,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,13.035227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,15.98,,7.99,9.588,16.135006,15.0212,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,13.2634,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,15.11708,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.5006,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,14.0624,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,10.35504,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,16.135006,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,14.4,,7.2,8.64,14.53968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.3312,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,14.53968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,17.55,,8.775,10.53,17.720235,16.497,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.5665,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.6023,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,17.0235,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,15.444,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,11.3724,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,17.720235,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,17.55,,8.775,10.53,17.720235,16.497,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.5665,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.146,,,,percent of total billed charges,,16.6023,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,17.0235,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,15.444,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,11.3724,,,,percent of total billed charges,,15.795,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,17.720235,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,16.6725,,,,percent of total billed charges,,14.04,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,14.4,,7.2,8.64,14.53968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.3312,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,14.53968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,15.98,,7.99,9.588,16.135006,15.0212,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,13.2634,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,14.7016,,,,percent of total billed charges,,15.11708,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.5006,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,14.0624,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,10.35504,,,,percent of total billed charges,,14.382,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,16.135006,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,15.181,,,,percent of total billed charges,,12.784,,,,percent of total billed charges,,9.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,15.53,,7.765,9.318,15.680641,14.5982,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.8899,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.2876,,,,percent of total billed charges,,14.69138,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,15.0641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,13.6664,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,10.06344,,,,percent of total billed charges,,13.977,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,15.680641,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,14.7535,,,,percent of total billed charges,,12.424,,,,percent of total billed charges,,9.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,7.65,,3.825,4.59,7.724205,7.191,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.3495,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.2369,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.4205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.9572,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,7.724205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [163604],0636,RC,,,,,inpatient,,,14.4,,7.2,8.64,14.53968,13.536,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.952,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.6224,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,12.672,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.3312,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,14.53968,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,13.68,,,,percent of total billed charges,,11.52,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [164122],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [164008],0250,RC,,,,,inpatient,,,5.4,,2.7,3.24,5.45238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.4992,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.45238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [164008],0250,RC,,,,,inpatient,,,14.85,,7.425,8.91,14.994045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,9.6228,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,14.994045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [164008],0250,RC,,,,,inpatient,,,14.85,,7.425,8.91,14.994045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,9.6228,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,14.994045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,,,,,inpatient,,,30.83,,15.415,18.498,31.129051,28.9802,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,25.5889,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,29.16518,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.9051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,27.1304,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,19.97784,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,31.129051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,,,,,inpatient,,,30.83,,15.415,18.498,31.129051,28.9802,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,25.5889,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,29.16518,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.9051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,27.1304,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,19.97784,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,31.129051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,,,,,inpatient,,,7.65,,3.825,4.59,7.724205,7.191,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.3495,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.2369,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.4205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.9572,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,7.724205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK [164104],0636,RC,,,,,inpatient,,,13.95,,6.975,8.37,14.085315,13.113,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.5785,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1967,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.5315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,9.0396,,,,percent of total billed charges,,12.555,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,14.085315,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,13.2525,,,,percent of total billed charges,,11.16,,,,percent of total billed charges,,8.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,6.46,,3.23,3.876,6.522662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.18608,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.522662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,7.07,,3.535,4.242,7.138579,6.6458,,,,percent of total billed charges,,5.656,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,5.8681,,,,percent of total billed charges,,6.363,,,,percent of total billed charges,,6.5044,,,,percent of total billed charges,,6.5044,,,,percent of total billed charges,,6.68822,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,6.8579,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,6.2216,,,,percent of total billed charges,,6.363,,,,percent of total billed charges,,4.58136,,,,percent of total billed charges,,6.363,,,,percent of total billed charges,,4.242,,,,percent of total billed charges,,7.138579,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,6.7165,,,,percent of total billed charges,,5.656,,,,percent of total billed charges,,4.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,19.17,,9.585,11.502,19.355949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,12.42216,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,19.355949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,4.76,,2.38,2.856,4.806172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.08448,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.806172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,4.76,,2.38,2.856,4.806172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.08448,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.806172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,5.67,,2.835,3.402,5.724999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.67416,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.724999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,5.67,,2.835,3.402,5.724999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.67416,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.724999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,22.14,,11.07,13.284,22.354758,20.8116,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,18.3762,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.94444,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.4758,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,19.4832,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,14.34672,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,22.354758,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,22.14,,11.07,13.284,22.354758,20.8116,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,18.3762,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.3688,,,,percent of total billed charges,,20.94444,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.4758,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,19.4832,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,14.34672,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,22.354758,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,21.033,,,,percent of total billed charges,,17.712,,,,percent of total billed charges,,13.284,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,16.56,,8.28,9.936,16.720632,15.5664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.7448,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.66576,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,14.5728,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,10.73088,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,16.720632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,16.56,,8.28,9.936,16.720632,15.5664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.7448,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.66576,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,14.5728,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,10.73088,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,16.720632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,19.17,,9.585,11.502,19.355949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,12.42216,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,19.355949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,10.91,,5.455,6.546,11.015827,10.2554,,,,percent of total billed charges,,8.728,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,9.0553,,,,percent of total billed charges,,9.819,,,,percent of total billed charges,,10.0372,,,,percent of total billed charges,,10.0372,,,,percent of total billed charges,,10.32086,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,10.5827,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,9.6008,,,,percent of total billed charges,,9.819,,,,percent of total billed charges,,7.06968,,,,percent of total billed charges,,9.819,,,,percent of total billed charges,,6.546,,,,percent of total billed charges,,11.015827,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,10.3645,,,,percent of total billed charges,,8.728,,,,percent of total billed charges,,6.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INJECTION - URETERAL PATENCY [1001560],0250,RC,,,,,inpatient,,,85.5,,42.75,51.3,86.32935,80.37,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,82.935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,75.24,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,86.32935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INJECTION - URETERAL PATENCY [1001560],0250,RC,,,,,inpatient,,,91.13,,45.565,54.678,92.013961,85.6622,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,75.6379,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,86.20898,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,88.3961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,80.1944,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,59.05224,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,92.013961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % INTRAVENOUS SOLUTION [4749],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % IV INJECTION [1000663],0250,RC,,,,,inpatient,,,85.5,,42.75,51.3,86.32935,80.37,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,70.965,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,78.66,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,82.935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,75.24,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,86.32935,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,81.225,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % IV INJECTION [1000663],0250,RC,,,,,inpatient,,,78.75,,39.375,47.25,79.513875,74.025,,,,percent of total billed charges,,63,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,65.3625,,,,percent of total billed charges,,70.875,,,,percent of total billed charges,,72.45,,,,percent of total billed charges,,72.45,,,,percent of total billed charges,,74.4975,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,76.3875,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,69.3,,,,percent of total billed charges,,70.875,,,,percent of total billed charges,,51.03,,,,percent of total billed charges,,70.875,,,,percent of total billed charges,,47.25,,,,percent of total billed charges,,79.513875,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,74.8125,,,,percent of total billed charges,,63,,,,percent of total billed charges,,47.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20 % IV INJECTION [1000663],0250,RC,,,,,inpatient,,,91.13,,45.565,54.678,92.013961,85.6622,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,75.6379,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,83.8396,,,,percent of total billed charges,,86.20898,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,88.3961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,80.1944,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,59.05224,,,,percent of total billed charges,,82.017,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,92.013961,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,86.5735,,,,percent of total billed charges,,72.904,,,,percent of total billed charges,,54.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20% INTERMITTENT INFUSION [1000815],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20% INTERMITTENT INFUSION [1000815],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MANNITOL 20% INTERMITTENT INFUSION [1000815],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,,,,,inpatient,,,10369.62,,5184.81,6221.772,10470.20531,9747.4428,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8606.7846,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9809.66052,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,10058.5314,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9125.2656,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6719.51376,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,10470.20531,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,,,,,inpatient,,,10369.62,,5184.81,6221.772,10470.20531,9747.4428,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8606.7846,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9809.66052,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,10058.5314,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9125.2656,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6719.51376,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,10470.20531,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,,,,,inpatient,,,10369.62,,5184.81,6221.772,10470.20531,9747.4428,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8606.7846,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9540.0504,,,,percent of total billed charges,,9809.66052,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,10058.5314,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9125.2656,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6719.51376,,,,percent of total billed charges,,9332.658,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,10470.20531,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,9851.139,,,,percent of total billed charges,,8295.696,,,,percent of total billed charges,,6221.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION [251982],0636,RC,,,,,inpatient,,,37385.94,,18692.97,22431.564,37748.58362,35142.7836,,,,percent of total billed charges,,29908.752,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,31030.3302,,,,percent of total billed charges,,33647.346,,,,percent of total billed charges,,34395.0648,,,,percent of total billed charges,,34395.0648,,,,percent of total billed charges,,35367.09924,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,36264.3618,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,32899.6272,,,,percent of total billed charges,,33647.346,,,,percent of total billed charges,,24226.08912,,,,percent of total billed charges,,33647.346,,,,percent of total billed charges,,22431.564,,,,percent of total billed charges,,37748.58362,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,35516.643,,,,percent of total billed charges,,29908.752,,,,percent of total billed charges,,22431.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [164760]",0636,RC,,,,,inpatient,,,162.1,,81.05,97.26,163.67237,152.374,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,134.543,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,153.3466,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,157.237,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,142.648,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,105.0408,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,163.67237,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [164760]",0636,RC,,,,,inpatient,,,162.1,,81.05,97.26,163.67237,152.374,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,134.543,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,149.132,,,,percent of total billed charges,,153.3466,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,157.237,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,142.648,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,105.0408,,,,percent of total billed charges,,145.89,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,163.67237,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,153.995,,,,percent of total billed charges,,129.68,,,,percent of total billed charges,,97.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,,,,,inpatient,,,1.49,,0.745,0.894,1.504453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.96552,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.504453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,,,,,inpatient,,,0.71,,0.355,0.426,0.716887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.46008,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.716887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 12.5 MG TABLET [12024],0637,RC,,,,,inpatient,,,1.97,,0.985,1.182,1.989109,1.8518,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.6351,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.8124,,,,percent of total billed charges,,1.86362,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.9109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.7336,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.27656,,,,percent of total billed charges,,1.773,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,1.989109,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.8715,,,,percent of total billed charges,,1.576,,,,percent of total billed charges,,1.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 25 MG TABLET [12025],0637,RC,,,,,inpatient,,,1.69,,0.845,1.014,1.706393,1.5886,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4027,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.59874,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4872,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.09512,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,1.706393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 25 MG TABLET [12025],0637,RC,,,,,inpatient,,,1.69,,0.845,1.014,1.706393,1.5886,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4027,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.59874,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4872,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.09512,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,1.706393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MECLIZINE 25 MG TABLET [12025],0637,RC,,,,,inpatient,,,2.26,,1.13,1.356,2.281922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.46448,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.281922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL [82420],0637,RC,,,,,inpatient,,,51.09,,25.545,30.654,51.585573,48.0246,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,42.4047,,,,percent of total billed charges,,45.981,,,,percent of total billed charges,,47.0028,,,,percent of total billed charges,,47.0028,,,,percent of total billed charges,,48.33114,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,49.5573,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,44.9592,,,,percent of total billed charges,,45.981,,,,percent of total billed charges,,33.10632,,,,percent of total billed charges,,45.981,,,,percent of total billed charges,,30.654,,,,percent of total billed charges,,51.585573,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,48.5355,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,30.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,,,,,inpatient,,,8.75,,4.375,5.25,8.834875,8.225,,,,percent of total billed charges,,7,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.2625,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.2775,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.4875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.7,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,8.834875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,,,,,inpatient,,,8.75,,4.375,5.25,8.834875,8.225,,,,percent of total billed charges,,7,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.2625,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.05,,,,percent of total billed charges,,8.2775,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.4875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7.7,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,7.875,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,8.834875,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,8.3125,,,,percent of total billed charges,,7,,,,percent of total billed charges,,5.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 10 MG TABLET [4854],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,,,,,inpatient,,,199.89,,99.945,119.934,201.828933,187.8966,,,,percent of total billed charges,,159.912,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,165.9087,,,,percent of total billed charges,,179.901,,,,percent of total billed charges,,183.8988,,,,percent of total billed charges,,183.8988,,,,percent of total billed charges,,189.09594,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,193.8933,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,175.9032,,,,percent of total billed charges,,179.901,,,,percent of total billed charges,,129.52872,,,,percent of total billed charges,,179.901,,,,percent of total billed charges,,119.934,,,,percent of total billed charges,,201.828933,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,189.8955,,,,percent of total billed charges,,159.912,,,,percent of total billed charges,,119.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,,,,,inpatient,,,76.1,,38.05,45.66,76.83817,71.534,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,63.163,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,70.012,,,,percent of total billed charges,,71.9906,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,73.817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,66.968,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,49.3128,,,,percent of total billed charges,,68.49,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,76.83817,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,72.295,,,,percent of total billed charges,,60.88,,,,percent of total billed charges,,45.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,,,,,inpatient,,,36.5,,18.25,21.9,36.85405,34.31,,,,percent of total billed charges,,29.2,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,30.295,,,,percent of total billed charges,,32.85,,,,percent of total billed charges,,33.58,,,,percent of total billed charges,,33.58,,,,percent of total billed charges,,34.529,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,35.405,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,32.12,,,,percent of total billed charges,,32.85,,,,percent of total billed charges,,23.652,,,,percent of total billed charges,,32.85,,,,percent of total billed charges,,21.9,,,,percent of total billed charges,,36.85405,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,34.675,,,,percent of total billed charges,,29.2,,,,percent of total billed charges,,21.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,,,,,inpatient,,,36.23,,18.115,21.738,36.581431,34.0562,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,30.0709,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,33.3316,,,,percent of total billed charges,,34.27358,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,35.1431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,31.8824,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,23.47704,,,,percent of total billed charges,,32.607,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,36.581431,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,34.4185,,,,percent of total billed charges,,28.984,,,,percent of total billed charges,,21.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,,,,,inpatient,,,177.75,,88.875,106.65,179.474175,167.085,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,147.5325,,,,percent of total billed charges,,159.975,,,,percent of total billed charges,,163.53,,,,percent of total billed charges,,163.53,,,,percent of total billed charges,,168.1515,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,172.4175,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,156.42,,,,percent of total billed charges,,159.975,,,,percent of total billed charges,,115.182,,,,percent of total billed charges,,159.975,,,,percent of total billed charges,,106.65,,,,percent of total billed charges,,179.474175,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,168.8625,,,,percent of total billed charges,,142.2,,,,percent of total billed charges,,106.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [19736],0636,RC,,,,,inpatient,,,99.23,,49.615,59.538,100.192531,93.2762,,,,percent of total billed charges,,79.384,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,82.3609,,,,percent of total billed charges,,89.307,,,,percent of total billed charges,,91.2916,,,,percent of total billed charges,,91.2916,,,,percent of total billed charges,,93.87158,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,96.2531,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,87.3224,,,,percent of total billed charges,,89.307,,,,percent of total billed charges,,64.30104,,,,percent of total billed charges,,89.307,,,,percent of total billed charges,,59.538,,,,percent of total billed charges,,100.192531,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,94.2685,,,,percent of total billed charges,,79.384,,,,percent of total billed charges,,59.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 2.5 MG TABLET [4855],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDROXYPROGESTERONE 2.5 MG TABLET [4855],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,,,,,inpatient,,,11.93,,5.965,7.158,12.045721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.73064,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,12.045721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,,,,,inpatient,,,11.93,,5.965,7.158,12.045721,11.2142,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.9019,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,10.9756,,,,percent of total billed charges,,11.28578,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.5721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,10.4984,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.73064,,,,percent of total billed charges,,10.737,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,12.045721,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,11.3335,,,,percent of total billed charges,,9.544,,,,percent of total billed charges,,7.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,,,,,inpatient,,,11.3,,5.65,6.78,11.40961,10.622,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.379,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.396,,,,percent of total billed charges,,10.6898,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.944,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,7.3224,,,,percent of total billed charges,,10.17,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,11.40961,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,10.735,,,,percent of total billed charges,,9.04,,,,percent of total billed charges,,6.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [215968],0637,RC,,,,,inpatient,,,11.43,,5.715,6.858,11.540871,10.7442,,,,percent of total billed charges,,9.144,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,9.4869,,,,percent of total billed charges,,10.287,,,,percent of total billed charges,,10.5156,,,,percent of total billed charges,,10.5156,,,,percent of total billed charges,,10.81278,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,11.0871,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,10.0584,,,,percent of total billed charges,,10.287,,,,percent of total billed charges,,7.40664,,,,percent of total billed charges,,10.287,,,,percent of total billed charges,,6.858,,,,percent of total billed charges,,11.540871,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,10.8585,,,,percent of total billed charges,,9.144,,,,percent of total billed charges,,6.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION [10521],0637,RC,,,,,inpatient,,,147.96,,73.98,88.776,149.395212,139.0824,,,,percent of total billed charges,,118.368,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,122.8068,,,,percent of total billed charges,,133.164,,,,percent of total billed charges,,136.1232,,,,percent of total billed charges,,136.1232,,,,percent of total billed charges,,139.97016,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,143.5212,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,130.2048,,,,percent of total billed charges,,133.164,,,,percent of total billed charges,,95.87808,,,,percent of total billed charges,,133.164,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,149.395212,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,140.562,,,,percent of total billed charges,,118.368,,,,percent of total billed charges,,88.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELATONIN 3 MG TABLET [16830],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELOXICAM 7.5 MG TABLET [79588],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELOXICAM 7.5 MG TABLET [79588],0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MELOXICAM 7.5 MG TABLET [79588],0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,,,,,inpatient,,,30.5,,15.25,18.3,30.79585,28.67,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,25.315,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.853,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,29.585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,30.79585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,,,,,inpatient,,,30.5,,15.25,18.3,30.79585,28.67,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,25.315,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.853,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,29.585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,30.79585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,,,,,inpatient,,,1.7,,0.85,1.02,1.71649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.1016,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.71649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,,,,,inpatient,,,1.7,,0.85,1.02,1.71649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.1016,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.71649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 10 MG TABLET [89622],0637,RC,,,,,inpatient,,,1.26,,0.63,0.756,1.272222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.81648,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.272222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,,,,,inpatient,,,30.5,,15.25,18.3,30.79585,28.67,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,25.315,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.06,,,,percent of total billed charges,,28.853,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,29.585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,27.45,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,30.79585,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,28.975,,,,percent of total billed charges,,24.4,,,,percent of total billed charges,,18.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,,,,,inpatient,,,1.51,,0.755,0.906,1.524647,1.4194,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.2533,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.3892,,,,percent of total billed charges,,1.42846,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.3288,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.97848,,,,percent of total billed charges,,1.359,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,1.524647,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.4345,,,,percent of total billed charges,,1.208,,,,percent of total billed charges,,0.906,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,,,,,inpatient,,,1.7,,0.85,1.02,1.71649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.1016,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.71649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,,,,,inpatient,,,1.7,,0.85,1.02,1.71649,1.598,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.411,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.564,,,,percent of total billed charges,,1.6082,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.496,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.1016,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,1.71649,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.615,,,,percent of total billed charges,,1.36,,,,percent of total billed charges,,1.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEMANTINE 5 MG TABLET [89625],0637,RC,,,,,inpatient,,,1.42,,0.71,0.852,1.433774,1.3348,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.1786,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.3064,,,,percent of total billed charges,,1.34332,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.3774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.2496,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.92016,,,,percent of total billed charges,,1.278,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,1.433774,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.349,,,,percent of total billed charges,,1.136,,,,percent of total billed charges,,0.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) [198310]",0636,RC,,,,,inpatient,,,206.43,,103.215,123.858,208.432371,194.0442,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,171.3369,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,195.28278,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,200.2371,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,181.6584,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,133.76664,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,208.432371,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION [225270],0250,RC,,,,,inpatient,,,206.43,,103.215,123.858,208.432371,194.0442,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,171.3369,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,189.9156,,,,percent of total billed charges,,195.28278,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,200.2371,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,181.6584,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,133.76664,,,,percent of total billed charges,,185.787,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,208.432371,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,196.1085,,,,percent of total billed charges,,165.144,,,,percent of total billed charges,,123.858,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [224315]",0636,RC,,,,,inpatient,,,312.57,,156.285,187.542,315.601929,293.8158,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,259.4331,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,295.69122,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,303.1929,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,275.0616,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,202.54536,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,315.601929,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [224315]",0636,RC,,,,,inpatient,,,312.57,,156.285,187.542,315.601929,293.8158,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,259.4331,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,287.5644,,,,percent of total billed charges,,295.69122,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,303.1929,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,275.0616,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,202.54536,,,,percent of total billed charges,,281.313,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,315.601929,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,296.9415,,,,percent of total billed charges,,250.056,,,,percent of total billed charges,,187.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MENTHOL 7.5 MG LOZENGES [218671],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [95059],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION [95059],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE [95060],0636,RC,,,,,inpatient,,,24.55,,12.275,14.73,24.788135,23.077,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,20.3765,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,23.2243,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.8135,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,21.604,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,15.9084,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,24.788135,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE [95060],0636,RC,,,,,inpatient,,,24.55,,12.275,14.73,24.788135,23.077,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,20.3765,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,22.586,,,,percent of total billed charges,,23.2243,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.8135,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,21.604,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,15.9084,,,,percent of total billed charges,,22.095,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,24.788135,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,23.3225,,,,percent of total billed charges,,19.64,,,,percent of total billed charges,,14.73,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [95055],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [95055],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [187920],0636,RC,,,,,inpatient,,,15.26,,7.63,9.156,15.408022,14.3444,,,,percent of total billed charges,,12.208,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,12.6658,,,,percent of total billed charges,,13.734,,,,percent of total billed charges,,14.0392,,,,percent of total billed charges,,14.0392,,,,percent of total billed charges,,14.43596,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,14.8022,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,13.4288,,,,percent of total billed charges,,13.734,,,,percent of total billed charges,,9.88848,,,,percent of total billed charges,,13.734,,,,percent of total billed charges,,9.156,,,,percent of total billed charges,,15.408022,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,14.497,,,,percent of total billed charges,,12.208,,,,percent of total billed charges,,9.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [187918],0636,RC,,,,,inpatient,,,19.98,,9.99,11.988,20.173806,18.7812,,,,percent of total billed charges,,15.984,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,16.5834,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,18.3816,,,,percent of total billed charges,,18.3816,,,,percent of total billed charges,,18.90108,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,19.3806,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,17.5824,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,12.94704,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,11.988,,,,percent of total billed charges,,20.173806,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,18.981,,,,percent of total billed charges,,15.984,,,,percent of total billed charges,,11.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [228040],0636,RC,,,,,inpatient,,,13280.22,,6640.11,7968.132,13409.03813,12483.4068,,,,percent of total billed charges,,10624.176,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,11022.5826,,,,percent of total billed charges,,11952.198,,,,percent of total billed charges,,12217.8024,,,,percent of total billed charges,,12217.8024,,,,percent of total billed charges,,12563.08812,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,12881.8134,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,11686.5936,,,,percent of total billed charges,,11952.198,,,,percent of total billed charges,,8605.58256,,,,percent of total billed charges,,11952.198,,,,percent of total billed charges,,7968.132,,,,percent of total billed charges,,13409.03813,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,12616.209,,,,percent of total billed charges,,10624.176,,,,percent of total billed charges,,7968.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE [244798],0636,RC,,,,,inpatient,,,16599.74,,8299.87,9959.844,16760.75748,15603.7556,,,,percent of total billed charges,,13279.792,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,13777.7842,,,,percent of total billed charges,,14939.766,,,,percent of total billed charges,,15271.7608,,,,percent of total billed charges,,15271.7608,,,,percent of total billed charges,,15703.35404,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,16101.7478,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,14607.7712,,,,percent of total billed charges,,14939.766,,,,percent of total billed charges,,10756.63152,,,,percent of total billed charges,,14939.766,,,,percent of total billed charges,,9959.844,,,,percent of total billed charges,,16760.75748,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,15769.753,,,,percent of total billed charges,,13279.792,,,,percent of total billed charges,,9959.844,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,24.41,,12.205,14.646,24.646777,22.9454,,,,percent of total billed charges,,19.528,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,20.2603,,,,percent of total billed charges,,21.969,,,,percent of total billed charges,,22.4572,,,,percent of total billed charges,,22.4572,,,,percent of total billed charges,,23.09186,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,23.6777,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,21.4808,,,,percent of total billed charges,,21.969,,,,percent of total billed charges,,15.81768,,,,percent of total billed charges,,21.969,,,,percent of total billed charges,,14.646,,,,percent of total billed charges,,24.646777,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,23.1895,,,,percent of total billed charges,,19.528,,,,percent of total billed charges,,14.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,23.17,,11.585,13.902,23.394749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,15.01416,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,23.394749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,23.17,,11.585,13.902,23.394749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,15.01416,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,23.394749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,15.47,,7.735,9.282,15.620059,14.5418,,,,percent of total billed charges,,12.376,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,12.8401,,,,percent of total billed charges,,13.923,,,,percent of total billed charges,,14.2324,,,,percent of total billed charges,,14.2324,,,,percent of total billed charges,,14.63462,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,15.0059,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,13.6136,,,,percent of total billed charges,,13.923,,,,percent of total billed charges,,10.02456,,,,percent of total billed charges,,13.923,,,,percent of total billed charges,,9.282,,,,percent of total billed charges,,15.620059,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,14.6965,,,,percent of total billed charges,,12.376,,,,percent of total billed charges,,9.282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,17.43,,8.715,10.458,17.599071,16.3842,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,14.4669,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.48878,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.9071,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,15.3384,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,11.29464,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,17.599071,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,17.43,,8.715,10.458,17.599071,16.3842,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,14.4669,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.0356,,,,percent of total billed charges,,16.48878,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.9071,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,15.3384,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,11.29464,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,17.599071,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,16.5585,,,,percent of total billed charges,,13.944,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,35.08,,17.54,21.048,35.420276,32.9752,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,29.1164,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,33.18568,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,34.0276,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,30.8704,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,22.73184,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,35.420276,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,35.08,,17.54,21.048,35.420276,32.9752,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,29.1164,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,32.2736,,,,percent of total billed charges,,33.18568,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,34.0276,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,30.8704,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,22.73184,,,,percent of total billed charges,,31.572,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,35.420276,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,33.326,,,,percent of total billed charges,,28.064,,,,percent of total billed charges,,21.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,15.72,,7.86,9.432,15.872484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,10.18656,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,15.872484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,15.72,,7.86,9.432,15.872484,14.7768,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.0476,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.4624,,,,percent of total billed charges,,14.87112,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,15.2484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,13.8336,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,10.18656,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,15.872484,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,12.576,,,,percent of total billed charges,,9.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [227561],0636,RC,,,,,inpatient,,,112.23,,56.115,67.338,113.318631,105.4962,,,,percent of total billed charges,,89.784,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,93.1509,,,,percent of total billed charges,,101.007,,,,percent of total billed charges,,103.2516,,,,percent of total billed charges,,103.2516,,,,percent of total billed charges,,106.16958,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,108.8631,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,98.7624,,,,percent of total billed charges,,101.007,,,,percent of total billed charges,,72.72504,,,,percent of total billed charges,,101.007,,,,percent of total billed charges,,67.338,,,,percent of total billed charges,,113.318631,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,106.6185,,,,percent of total billed charges,,89.784,,,,percent of total billed charges,,67.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,23.17,,11.585,13.902,23.394749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,15.01416,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,23.394749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [80701],0636,RC,,,,,inpatient,,,23.17,,11.585,13.902,23.394749,21.7798,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,19.2311,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.3164,,,,percent of total billed charges,,21.91882,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.4749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,20.3896,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,15.01416,,,,percent of total billed charges,,20.853,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,23.394749,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,22.0115,,,,percent of total billed charges,,18.536,,,,percent of total billed charges,,13.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [102855]",0637,RC,,,,,inpatient,,,20.01,,10.005,12.006,20.204097,18.8094,,,,percent of total billed charges,,16.008,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,16.6083,,,,percent of total billed charges,,18.009,,,,percent of total billed charges,,18.4092,,,,percent of total billed charges,,18.4092,,,,percent of total billed charges,,18.92946,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,19.4097,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,17.6088,,,,percent of total billed charges,,18.009,,,,percent of total billed charges,,12.96648,,,,percent of total billed charges,,18.009,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,20.204097,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,19.0095,,,,percent of total billed charges,,16.008,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [102855]",0637,RC,,,,,inpatient,,,9.15,,4.575,5.49,9.238755,8.601,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,7.5945,,,,percent of total billed charges,,8.235,,,,percent of total billed charges,,8.418,,,,percent of total billed charges,,8.418,,,,percent of total billed charges,,8.6559,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,8.8755,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,8.052,,,,percent of total billed charges,,8.235,,,,percent of total billed charges,,5.9292,,,,percent of total billed charges,,8.235,,,,percent of total billed charges,,5.49,,,,percent of total billed charges,,9.238755,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,8.6925,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,5.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE [102855]",0637,RC,,,,,inpatient,,,8.42,,4.21,5.052,8.501674,7.9148,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.9886,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.7464,,,,percent of total billed charges,,7.96532,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,8.1674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.4096,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.45616,,,,percent of total billed charges,,7.578,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,8.501674,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,7.999,,,,percent of total billed charges,,6.736,,,,percent of total billed charges,,5.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 4 GRAM/60 ML ENEMA [10535],0637,RC,,,,,inpatient,,,33.48,,16.74,20.088,33.804756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,21.69504,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,33.804756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 4 GRAM/60 ML ENEMA [10535],0637,RC,,,,,inpatient,,,49.41,,24.705,29.646,49.889277,46.4454,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,41.0103,,,,percent of total billed charges,,44.469,,,,percent of total billed charges,,45.4572,,,,percent of total billed charges,,45.4572,,,,percent of total billed charges,,46.74186,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,47.9277,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,43.4808,,,,percent of total billed charges,,44.469,,,,percent of total billed charges,,32.01768,,,,percent of total billed charges,,44.469,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,49.889277,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,46.9395,,,,percent of total billed charges,,39.528,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,,,,,inpatient,,,7.91,,3.955,4.746,7.986727,7.4354,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.5653,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.48286,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.6727,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.9608,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,5.12568,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,7.986727,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,,,,,inpatient,,,8.86,,4.43,5.316,8.945942,8.3284,,,,percent of total billed charges,,7.088,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,7.3538,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,8.1512,,,,percent of total billed charges,,8.1512,,,,percent of total billed charges,,8.38156,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,8.5942,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,7.7968,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,5.74128,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,5.316,,,,percent of total billed charges,,8.945942,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,8.417,,,,percent of total billed charges,,7.088,,,,percent of total billed charges,,5.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,,,,,inpatient,,,21.94,,10.97,13.164,22.152818,20.6236,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,18.2102,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.75524,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,21.2818,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,19.3072,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,14.21712,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,22.152818,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) [231064],0637,RC,,,,,inpatient,,,21.94,,10.97,13.164,22.152818,20.6236,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,18.2102,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.1848,,,,percent of total billed charges,,20.75524,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,21.2818,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,19.3072,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,14.21712,,,,percent of total billed charges,,19.746,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,22.152818,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,20.843,,,,percent of total billed charges,,17.552,,,,percent of total billed charges,,13.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE [77200]",0637,RC,,,,,inpatient,,,12.56,,6.28,7.536,12.681832,11.8064,,,,percent of total billed charges,,10.048,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,10.4248,,,,percent of total billed charges,,11.304,,,,percent of total billed charges,,11.5552,,,,percent of total billed charges,,11.5552,,,,percent of total billed charges,,11.88176,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,12.1832,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,11.0528,,,,percent of total billed charges,,11.304,,,,percent of total billed charges,,8.13888,,,,percent of total billed charges,,11.304,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,12.681832,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,11.932,,,,percent of total billed charges,,10.048,,,,percent of total billed charges,,7.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,,,,,inpatient,,,33.75,,16.875,20.25,34.077375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,34.077375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,,,,,inpatient,,,32.27,,16.135,19.362,32.583019,30.3338,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,26.7841,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,30.52742,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,31.3019,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,28.3976,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,20.91096,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,32.583019,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,,,,,inpatient,,,32.27,,16.135,19.362,32.583019,30.3338,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,26.7841,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,29.6884,,,,percent of total billed charges,,30.52742,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,31.3019,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,28.3976,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,20.91096,,,,percent of total billed charges,,29.043,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,32.583019,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,30.6565,,,,percent of total billed charges,,25.816,,,,percent of total billed charges,,19.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MESNA 100 MG/ML INTRAVENOUS SOLUTION [10537],0636,RC,,,,,inpatient,,,32.94,,16.47,19.764,33.259518,30.9636,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,27.3402,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,31.16124,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.9518,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,28.9872,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,21.34512,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,33.259518,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,,,,,inpatient,,,0.55,,0.275,0.33,0.555335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.3564,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.555335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,,,,,inpatient,,,0.55,,0.275,0.33,0.555335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.3564,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.555335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 500 MG TABLET [10544],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,,,,,inpatient,,,0.96,,0.48,0.576,0.969312,0.9024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.7968,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.90816,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.9312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.8448,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.62208,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.969312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,,,,,inpatient,,,0.96,,0.48,0.576,0.969312,0.9024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.7968,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.8832,,,,percent of total billed charges,,0.90816,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.9312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.8448,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.62208,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.969312,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METFORMIN 850 MG TABLET [14719],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,,,,,inpatient,,,2.04,,1.02,1.224,2.059788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.32192,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,2.059788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,,,,,inpatient,,,2.04,,1.02,1.224,2.059788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.32192,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,2.059788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,,,,,inpatient,,,2.04,,1.02,1.224,2.059788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.32192,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,2.059788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [28995]",0637,RC,,,,,inpatient,,,2.04,,1.02,1.224,2.059788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.32192,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,2.059788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN [250255],0636,RC,,,,,inpatient,,,558.09,,279.045,334.854,563.503473,524.6046,,,,percent of total billed charges,,446.472,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,463.2147,,,,percent of total billed charges,,502.281,,,,percent of total billed charges,,513.4428,,,,percent of total billed charges,,513.4428,,,,percent of total billed charges,,527.95314,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,541.3473,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,491.1192,,,,percent of total billed charges,,502.281,,,,percent of total billed charges,,361.64232,,,,percent of total billed charges,,502.281,,,,percent of total billed charges,,334.854,,,,percent of total billed charges,,563.503473,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,530.1855,,,,percent of total billed charges,,446.472,,,,percent of total billed charges,,334.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG TABLET [4953],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG/ML ORAL CONCENTRATE [15996],0637,RC,,,,,inpatient,,,270,,135,162,272.619,253.8,,,,percent of total billed charges,,216,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,224.1,,,,percent of total billed charges,,243,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,248.4,,,,percent of total billed charges,,255.42,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,237.6,,,,percent of total billed charges,,243,,,,percent of total billed charges,,174.96,,,,percent of total billed charges,,243,,,,percent of total billed charges,,162,,,,percent of total billed charges,,272.619,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,256.5,,,,percent of total billed charges,,216,,,,percent of total billed charges,,162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 10 MG/ML ORAL CONCENTRATE [15996],0637,RC,,,,,inpatient,,,229.5,,114.75,137.7,231.72615,215.73,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,190.485,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,211.14,,,,percent of total billed charges,,211.14,,,,percent of total billed charges,,217.107,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,222.615,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,201.96,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,148.716,,,,percent of total billed charges,,206.55,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,231.72615,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,218.025,,,,percent of total billed charges,,183.6,,,,percent of total billed charges,,137.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHADONE 5 MG TABLET [4954],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 10 MG TABLET [10552],0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 10 MG TABLET [10552],0637,RC,,,,,inpatient,,,3.26,,1.63,1.956,3.291622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.11248,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.291622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 10 MG TABLET [10552],0637,RC,,,,,inpatient,,,3.26,,1.63,1.956,3.291622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.11248,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.291622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,,,,,inpatient,,,1.61,,0.805,0.966,1.625617,1.5134,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.3363,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.52306,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5617,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.04328,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,1.625617,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,,,,,inpatient,,,1.08,,0.54,0.648,1.090476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.69984,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.090476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,,,,,inpatient,,,2.35,,1.175,1.41,2.372795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.5228,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.372795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHIMAZOLE 5 MG TABLET [10553],0637,RC,,,,,inpatient,,,2.35,,1.175,1.41,2.372795,2.209,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.9505,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.162,,,,percent of total billed charges,,2.2231,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.068,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.5228,,,,percent of total billed charges,,2.115,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,2.372795,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,2.2325,,,,percent of total billed charges,,1.88,,,,percent of total billed charges,,1.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,,,,,inpatient,,,19.26,,9.63,11.556,19.446822,18.1044,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.9858,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,17.7192,,,,percent of total billed charges,,18.21996,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.6822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,16.9488,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,12.48048,,,,percent of total billed charges,,17.334,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,19.446822,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,18.297,,,,percent of total billed charges,,15.408,,,,percent of total billed charges,,11.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 500 MG TABLET [4971],0637,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 500 MG TABLET [4971],0637,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 500 MG TABLET [4971],0637,RC,,,,,inpatient,,,1.07,,0.535,0.642,1.080379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.69336,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,1.080379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOCARBAMOL 100 MG/ML INJECTION SOLUTION [4970],0636,RC,,,,,inpatient,,,18.86,,9.43,11.316,19.042942,17.7284,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.6538,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.3512,,,,percent of total billed charges,,17.84156,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,18.2942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,16.5968,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,12.22128,,,,percent of total billed charges,,16.974,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,19.042942,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,17.917,,,,percent of total billed charges,,15.088,,,,percent of total billed charges,,11.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [87503],0636,RC,,,,,inpatient,,,29.97,,14.985,17.982,30.260709,28.1718,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,24.8751,,,,percent of total billed charges,,26.973,,,,percent of total billed charges,,27.5724,,,,percent of total billed charges,,27.5724,,,,percent of total billed charges,,28.35162,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,29.0709,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,26.3736,,,,percent of total billed charges,,26.973,,,,percent of total billed charges,,19.42056,,,,percent of total billed charges,,26.973,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,30.260709,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,28.4715,,,,percent of total billed charges,,23.976,,,,percent of total billed charges,,17.982,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [87503],0636,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION [87503],0636,RC,,,,,inpatient,,,8.11,,4.055,4.866,8.188667,7.6234,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.7313,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.4612,,,,percent of total billed charges,,7.67206,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.8667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.1368,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,5.25528,,,,percent of total billed charges,,7.299,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,8.188667,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,7.7045,,,,percent of total billed charges,,6.488,,,,percent of total billed charges,,4.866,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,,,,,inpatient,,,11.35,,5.675,6.81,11.460095,10.669,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.4205,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.7371,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,11.0095,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.988,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,7.3548,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,11.460095,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,,,,,inpatient,,,11.35,,5.675,6.81,11.460095,10.669,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.4205,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.442,,,,percent of total billed charges,,10.7371,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,11.0095,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.988,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,7.3548,,,,percent of total billed charges,,10.215,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,11.460095,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,10.7825,,,,percent of total billed charges,,9.08,,,,percent of total billed charges,,6.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,,,,,inpatient,,,5.08,,2.54,3.048,5.129276,4.7752,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.2164,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.80568,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.9276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.4704,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.29184,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,5.129276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 2.5 MG TABLET [4973],0636,RC,,,,,inpatient,,,5.08,,2.54,3.048,5.129276,4.7752,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.2164,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.80568,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.9276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.4704,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.29184,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,5.129276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION [4974],0636,RC,,,,,inpatient,,,16.75,,8.375,10.05,16.912475,15.745,,,,percent of total billed charges,,13.4,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,13.9025,,,,percent of total billed charges,,15.075,,,,percent of total billed charges,,15.41,,,,percent of total billed charges,,15.41,,,,percent of total billed charges,,15.8455,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,16.2475,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,14.74,,,,percent of total billed charges,,15.075,,,,percent of total billed charges,,10.854,,,,percent of total billed charges,,15.075,,,,percent of total billed charges,,10.05,,,,percent of total billed charges,,16.912475,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,15.9125,,,,percent of total billed charges,,13.4,,,,percent of total billed charges,,10.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYDROCORTISONE SOD SUCCINATE 100 MG/2 ML VIAL WRAPPER [1000489],0636,RC,,,,,inpatient,,,42.1,,21.05,25.26,42.50837,39.574,,,,percent of total billed charges,,33.68,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,34.943,,,,percent of total billed charges,,37.89,,,,percent of total billed charges,,38.732,,,,percent of total billed charges,,38.732,,,,percent of total billed charges,,39.8266,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,40.837,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,37.048,,,,percent of total billed charges,,37.89,,,,percent of total billed charges,,27.2808,,,,percent of total billed charges,,37.89,,,,percent of total billed charges,,25.26,,,,percent of total billed charges,,42.50837,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,39.995,,,,percent of total billed charges,,33.68,,,,percent of total billed charges,,25.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,,,,,inpatient,,,9.18,,4.59,5.508,9.269046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.94864,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,9.269046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,,,,,inpatient,,,13.01,,6.505,7.806,13.136197,12.2294,,,,percent of total billed charges,,10.408,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,10.7983,,,,percent of total billed charges,,11.709,,,,percent of total billed charges,,11.9692,,,,percent of total billed charges,,11.9692,,,,percent of total billed charges,,12.30746,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,12.6197,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,11.4488,,,,percent of total billed charges,,11.709,,,,percent of total billed charges,,8.43048,,,,percent of total billed charges,,11.709,,,,percent of total billed charges,,7.806,,,,percent of total billed charges,,13.136197,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,12.3595,,,,percent of total billed charges,,10.408,,,,percent of total billed charges,,7.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM [102620],0637,RC,,,,,inpatient,,,11.1,,5.55,6.66,11.20767,10.434,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.213,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.5006,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.767,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,7.1928,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,11.20767,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYL SALICYLATE TOPICAL LIQUID [28829],0637,RC,,,,,inpatient,,,26.29,,13.145,15.774,26.545013,24.7126,,,,percent of total billed charges,,21.032,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,21.8207,,,,percent of total billed charges,,23.661,,,,percent of total billed charges,,24.1868,,,,percent of total billed charges,,24.1868,,,,percent of total billed charges,,24.87034,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,25.5013,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,23.1352,,,,percent of total billed charges,,23.661,,,,percent of total billed charges,,17.03592,,,,percent of total billed charges,,23.661,,,,percent of total billed charges,,15.774,,,,percent of total billed charges,,26.545013,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,24.9755,,,,percent of total billed charges,,21.032,,,,percent of total billed charges,,15.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,,,,,inpatient,,,11.75,,5.875,7.05,11.863975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,11.863975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION [4985],0636,RC,,,,,inpatient,,,17.17,,8.585,10.302,17.336549,16.1398,,,,percent of total billed charges,,13.736,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,14.2511,,,,percent of total billed charges,,15.453,,,,percent of total billed charges,,15.7964,,,,percent of total billed charges,,15.7964,,,,percent of total billed charges,,16.24282,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,16.6549,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,15.1096,,,,percent of total billed charges,,15.453,,,,percent of total billed charges,,11.12616,,,,percent of total billed charges,,15.453,,,,percent of total billed charges,,10.302,,,,percent of total billed charges,,17.336549,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,16.3115,,,,percent of total billed charges,,13.736,,,,percent of total billed charges,,10.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION [4985],0636,RC,,,,,inpatient,,,736.29,,368.145,441.774,743.432013,692.1126,,,,percent of total billed charges,,589.032,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,611.1207,,,,percent of total billed charges,,662.661,,,,percent of total billed charges,,677.3868,,,,percent of total billed charges,,677.3868,,,,percent of total billed charges,,696.53034,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,714.2013,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,647.9352,,,,percent of total billed charges,,662.661,,,,percent of total billed charges,,477.11592,,,,percent of total billed charges,,662.661,,,,percent of total billed charges,,441.774,,,,percent of total billed charges,,743.432013,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,699.4755,,,,percent of total billed charges,,589.032,,,,percent of total billed charges,,441.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION [4985],0636,RC,,,,,inpatient,,,56.67,,28.335,34.002,57.219699,53.2698,,,,percent of total billed charges,,45.336,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,47.0361,,,,percent of total billed charges,,51.003,,,,percent of total billed charges,,52.1364,,,,percent of total billed charges,,52.1364,,,,percent of total billed charges,,53.60982,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,54.9699,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,49.8696,,,,percent of total billed charges,,51.003,,,,percent of total billed charges,,36.72216,,,,percent of total billed charges,,51.003,,,,percent of total billed charges,,34.002,,,,percent of total billed charges,,57.219699,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,53.8365,,,,percent of total billed charges,,45.336,,,,percent of total billed charges,,34.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,,,,,inpatient,,,587.3,,293.65,352.38,592.99681,552.062,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,487.459,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,555.5858,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,569.681,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,516.824,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,380.5704,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,592.99681,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,,,,,inpatient,,,587.3,,293.65,352.38,592.99681,552.062,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,487.459,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,540.316,,,,percent of total billed charges,,555.5858,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,569.681,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,516.824,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,380.5704,,,,percent of total billed charges,,528.57,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,592.99681,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,557.935,,,,percent of total billed charges,,469.84,,,,percent of total billed charges,,352.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,,,,,inpatient,,,969.44,,484.72,581.664,978.843568,911.2736,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,804.6352,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,917.09024,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,940.3568,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,853.1072,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,628.19712,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,978.843568,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION [232145],0636,RC,,,,,inpatient,,,969.44,,484.72,581.664,978.843568,911.2736,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,804.6352,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,891.8848,,,,percent of total billed charges,,917.09024,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,940.3568,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,853.1072,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,628.19712,,,,percent of total billed charges,,872.496,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,978.843568,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,920.968,,,,percent of total billed charges,,775.552,,,,percent of total billed charges,,581.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,,,,,inpatient,,,60.22,,30.11,36.132,60.804134,56.6068,,,,percent of total billed charges,,48.176,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,49.9826,,,,percent of total billed charges,,54.198,,,,percent of total billed charges,,55.4024,,,,percent of total billed charges,,55.4024,,,,percent of total billed charges,,56.96812,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,58.4134,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,52.9936,,,,percent of total billed charges,,54.198,,,,percent of total billed charges,,39.02256,,,,percent of total billed charges,,54.198,,,,percent of total billed charges,,36.132,,,,percent of total billed charges,,60.804134,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,57.209,,,,percent of total billed charges,,48.176,,,,percent of total billed charges,,36.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,,,,,inpatient,,,82.16,,41.08,49.296,82.956952,77.2304,,,,percent of total billed charges,,65.728,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,68.1928,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,75.5872,,,,percent of total billed charges,,75.5872,,,,percent of total billed charges,,77.72336,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,79.6952,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,72.3008,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,53.23968,,,,percent of total billed charges,,73.944,,,,percent of total billed charges,,49.296,,,,percent of total billed charges,,82.956952,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,78.052,,,,percent of total billed charges,,65.728,,,,percent of total billed charges,,49.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,,,,,inpatient,,,72.77,,36.385,43.662,73.475869,68.4038,,,,percent of total billed charges,,58.216,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,60.3991,,,,percent of total billed charges,,65.493,,,,percent of total billed charges,,66.9484,,,,percent of total billed charges,,66.9484,,,,percent of total billed charges,,68.84042,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,70.5869,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,64.0376,,,,percent of total billed charges,,65.493,,,,percent of total billed charges,,47.15496,,,,percent of total billed charges,,65.493,,,,percent of total billed charges,,43.662,,,,percent of total billed charges,,73.475869,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,69.1315,,,,percent of total billed charges,,58.216,,,,percent of total billed charges,,43.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,,,,,inpatient,,,191.72,,95.86,115.032,193.579684,180.2168,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,159.1276,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,181.36712,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,185.9684,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,168.7136,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,124.23456,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,193.579684,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,,,,,inpatient,,,191.72,,95.86,115.032,193.579684,180.2168,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,159.1276,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,176.3824,,,,percent of total billed charges,,181.36712,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,185.9684,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,168.7136,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,124.23456,,,,percent of total billed charges,,172.548,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,193.579684,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,182.134,,,,percent of total billed charges,,153.376,,,,percent of total billed charges,,115.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG TABLET [78733],0637,RC,,,,,inpatient,,,53.81,,26.905,32.286,54.331957,50.5814,,,,percent of total billed charges,,43.048,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,44.6623,,,,percent of total billed charges,,48.429,,,,percent of total billed charges,,49.5052,,,,percent of total billed charges,,49.5052,,,,percent of total billed charges,,50.90426,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,52.1957,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,47.3528,,,,percent of total billed charges,,48.429,,,,percent of total billed charges,,34.86888,,,,percent of total billed charges,,48.429,,,,percent of total billed charges,,32.286,,,,percent of total billed charges,,54.331957,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,51.1195,,,,percent of total billed charges,,43.048,,,,percent of total billed charges,,32.286,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,,,,,inpatient,,,87.07,,43.535,52.242,87.914579,81.8458,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,72.2681,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,82.36822,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,84.4579,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,76.6216,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,56.42136,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,87.914579,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,,,,,inpatient,,,87.07,,43.535,52.242,87.914579,81.8458,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,72.2681,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,80.1044,,,,percent of total billed charges,,82.36822,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,84.4579,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,76.6216,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,56.42136,,,,percent of total billed charges,,78.363,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,87.914579,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,82.7165,,,,percent of total billed charges,,69.656,,,,percent of total billed charges,,52.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,,,,,inpatient,,,68.04,,34.02,40.824,68.699988,63.9576,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,56.4732,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,64.36584,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,65.9988,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,59.8752,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,44.08992,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,68.699988,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [79626],0636,RC,,,,,inpatient,,,68.04,,34.02,40.824,68.699988,63.9576,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,56.4732,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,62.5968,,,,percent of total billed charges,,64.36584,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,65.9988,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,59.8752,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,44.08992,,,,percent of total billed charges,,61.236,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,68.699988,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,64.638,,,,percent of total billed charges,,54.432,,,,percent of total billed charges,,40.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [170129],0636,RC,,,,,inpatient,,,662.99,,331.495,397.794,669.421003,623.2106,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,550.2817,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,627.18854,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,643.1003,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,583.4312,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,429.61752,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,669.421003,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE [211029],0636,RC,,,,,inpatient,,,662.99,,331.495,397.794,669.421003,623.2106,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,550.2817,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,609.9508,,,,percent of total billed charges,,627.18854,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,643.1003,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,583.4312,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,429.61752,,,,percent of total billed charges,,596.691,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,669.421003,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,629.8405,,,,percent of total billed charges,,530.392,,,,percent of total billed charges,,397.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPHENIDATE 10 MG TABLET [4986],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,,,,,inpatient,,,236.52,,118.26,141.912,238.814244,222.3288,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,196.3116,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,223.74792,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,229.4244,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,208.1376,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,153.26496,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,238.814244,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,,,,,inpatient,,,1.69,,0.845,1.014,1.706393,1.5886,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4027,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.5548,,,,percent of total billed charges,,1.59874,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.4872,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.09512,,,,percent of total billed charges,,1.521,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,1.706393,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.6055,,,,percent of total billed charges,,1.352,,,,percent of total billed charges,,1.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,,,,,inpatient,,,1.45,,0.725,0.87,1.464065,1.363,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.2035,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.334,,,,percent of total billed charges,,1.3717,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.4065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.276,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.9396,,,,percent of total billed charges,,1.305,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,1.464065,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.3775,,,,percent of total billed charges,,1.16,,,,percent of total billed charges,,0.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,,,,,inpatient,,,7.52,,3.76,4.512,7.592944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.87296,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,7.592944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,,,,,inpatient,,,7.52,,3.76,4.512,7.592944,7.0688,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.2416,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,6.9184,,,,percent of total billed charges,,7.11392,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.2944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.6176,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.87296,,,,percent of total billed charges,,6.768,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,7.592944,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,7.144,,,,percent of total billed charges,,6.016,,,,percent of total billed charges,,4.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,,,,,inpatient,,,1.82,,0.91,1.092,1.837654,1.7108,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.5106,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.72172,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.7654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.6016,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.17936,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,1.837654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG TABLET [4993],0636,RC,,,,,inpatient,,,6.24,,3.12,3.744,6.300528,5.8656,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.1792,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.90304,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,6.0528,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.4912,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.04352,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,6.300528,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE 4 MG/ML IN D5W IV PEDS DILUTION - DOSES <40MG [1001310],0636,RC,,,,,inpatient,,,6.44,,3.22,3.864,6.502468,6.0536,,,,percent of total billed charges,,5.152,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,5.3452,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9248,,,,percent of total billed charges,,5.9248,,,,percent of total billed charges,,6.09224,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.2468,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,5.6672,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,4.17312,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,6.502468,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,5.152,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,,,,,inpatient,,,22.77,,11.385,13.662,22.990869,21.4038,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.8991,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,21.54042,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,22.0869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,20.0376,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,14.75496,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,22.990869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,,,,,inpatient,,,22.75,,11.375,13.65,22.970675,21.385,,,,percent of total billed charges,,18.2,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,18.8825,,,,percent of total billed charges,,20.475,,,,percent of total billed charges,,20.93,,,,percent of total billed charges,,20.93,,,,percent of total billed charges,,21.5215,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,22.0675,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,20.02,,,,percent of total billed charges,,20.475,,,,percent of total billed charges,,14.742,,,,percent of total billed charges,,20.475,,,,percent of total billed charges,,13.65,,,,percent of total billed charges,,22.970675,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,21.6125,,,,percent of total billed charges,,18.2,,,,percent of total billed charges,,13.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,,,,,inpatient,,,22.23,,11.115,13.338,22.445631,20.8962,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,18.4509,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,20.4516,,,,percent of total billed charges,,21.02958,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.5631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,19.5624,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,14.40504,,,,percent of total billed charges,,20.007,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,22.445631,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,21.1185,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,,,,,inpatient,,,24.89,,12.445,14.934,25.131433,23.3966,,,,percent of total billed charges,,19.912,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,20.6587,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8988,,,,percent of total billed charges,,22.8988,,,,percent of total billed charges,,23.54594,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,24.1433,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,21.9032,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,16.12872,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,25.131433,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,23.6455,,,,percent of total billed charges,,19.912,,,,percent of total billed charges,,14.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,,,,,inpatient,,,17.28,,8.64,10.368,17.447616,16.2432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,14.3424,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,16.34688,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.7616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,15.2064,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,11.19744,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,17.447616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995],0636,RC,,,,,inpatient,,,17.29,,8.645,10.374,17.457713,16.2526,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,14.3507,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,15.9068,,,,percent of total billed charges,,16.35634,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.7713,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,15.2152,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,11.20392,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,17.457713,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,16.4255,,,,percent of total billed charges,,13.832,,,,percent of total billed charges,,10.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,,,,,inpatient,,,35.15,,17.575,21.09,35.490955,33.041,,,,percent of total billed charges,,28.12,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,29.1745,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,33.2519,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,34.0955,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,30.932,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,22.7772,,,,percent of total billed charges,,31.635,,,,percent of total billed charges,,21.09,,,,percent of total billed charges,,35.490955,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,33.3925,,,,percent of total billed charges,,28.12,,,,percent of total billed charges,,21.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,,,,,inpatient,,,35.16,,17.58,21.096,35.501052,33.0504,,,,percent of total billed charges,,28.128,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,29.1828,,,,percent of total billed charges,,31.644,,,,percent of total billed charges,,32.3472,,,,percent of total billed charges,,32.3472,,,,percent of total billed charges,,33.26136,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,34.1052,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,30.9408,,,,percent of total billed charges,,31.644,,,,percent of total billed charges,,22.78368,,,,percent of total billed charges,,31.644,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,35.501052,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,33.402,,,,percent of total billed charges,,28.128,,,,percent of total billed charges,,21.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,,,,,inpatient,,,42.17,,21.085,25.302,42.579049,39.6398,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,35.0011,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,39.89282,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.9049,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,37.1096,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,27.32616,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,42.579049,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,,,,,inpatient,,,26.1,,13.05,15.66,26.35317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,16.9128,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,26.35317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996],0636,RC,,,,,inpatient,,,26.1,,13.05,15.66,26.35317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,16.9128,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,26.35317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,,,,,inpatient,,,479.67,,239.835,287.802,484.322799,450.8898,,,,percent of total billed charges,,383.736,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,398.1261,,,,percent of total billed charges,,431.703,,,,percent of total billed charges,,441.2964,,,,percent of total billed charges,,441.2964,,,,percent of total billed charges,,453.76782,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,465.2799,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,422.1096,,,,percent of total billed charges,,431.703,,,,percent of total billed charges,,310.82616,,,,percent of total billed charges,,431.703,,,,percent of total billed charges,,287.802,,,,percent of total billed charges,,484.322799,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,455.6865,,,,percent of total billed charges,,383.736,,,,percent of total billed charges,,287.802,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,,,,,inpatient,,,125.89,,62.945,75.534,127.111133,118.3366,,,,percent of total billed charges,,100.712,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,104.4887,,,,percent of total billed charges,,113.301,,,,percent of total billed charges,,115.8188,,,,percent of total billed charges,,115.8188,,,,percent of total billed charges,,119.09194,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,122.1133,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,110.7832,,,,percent of total billed charges,,113.301,,,,percent of total billed charges,,81.57672,,,,percent of total billed charges,,113.301,,,,percent of total billed charges,,75.534,,,,percent of total billed charges,,127.111133,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,119.5955,,,,percent of total billed charges,,100.712,,,,percent of total billed charges,,75.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,64.11,,32.055,38.466,64.731867,60.2634,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,53.2113,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,58.9812,,,,percent of total billed charges,,60.64806,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,62.1867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,56.4168,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,41.54328,,,,percent of total billed charges,,57.699,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,64.731867,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,60.9045,,,,percent of total billed charges,,51.288,,,,percent of total billed charges,,38.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,,,,,inpatient,,,59.13,,29.565,35.478,59.703561,55.5822,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,49.0779,,,,percent of total billed charges,,53.217,,,,percent of total billed charges,,54.3996,,,,percent of total billed charges,,54.3996,,,,percent of total billed charges,,55.93698,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,57.3561,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,52.0344,,,,percent of total billed charges,,53.217,,,,percent of total billed charges,,38.31624,,,,percent of total billed charges,,53.217,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,59.703561,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,56.1735,,,,percent of total billed charges,,47.304,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,,,,,inpatient,,,34.04,,17.02,20.424,34.370188,31.9976,,,,percent of total billed charges,,27.232,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,28.2532,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,31.3168,,,,percent of total billed charges,,31.3168,,,,percent of total billed charges,,32.20184,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,33.0188,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,29.9552,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,22.05792,,,,percent of total billed charges,,30.636,,,,percent of total billed charges,,20.424,,,,percent of total billed charges,,34.370188,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,32.338,,,,percent of total billed charges,,27.232,,,,percent of total billed charges,,20.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION [197828]",0636,RC,,,,,inpatient,,,236.52,,118.26,141.912,238.814244,222.3288,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,196.3116,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,217.5984,,,,percent of total billed charges,,223.74792,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,229.4244,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,208.1376,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,153.26496,,,,percent of total billed charges,,212.868,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,238.814244,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,224.694,,,,percent of total billed charges,,189.216,,,,percent of total billed charges,,141.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION [197827],0636,RC,,,,,inpatient,,,181.89,,90.945,109.134,183.654333,170.9766,,,,percent of total billed charges,,145.512,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,150.9687,,,,percent of total billed charges,,163.701,,,,percent of total billed charges,,167.3388,,,,percent of total billed charges,,167.3388,,,,percent of total billed charges,,172.06794,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,176.4333,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,160.0632,,,,percent of total billed charges,,163.701,,,,percent of total billed charges,,117.86472,,,,percent of total billed charges,,163.701,,,,percent of total billed charges,,109.134,,,,percent of total billed charges,,183.654333,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,172.7955,,,,percent of total billed charges,,145.512,,,,percent of total billed charges,,109.134,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,12.2,,6.1,7.32,12.31834,11.468,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.126,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.5412,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.9056,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,12.31834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,32.06,,16.03,19.236,32.370982,30.1364,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,26.6098,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,30.32876,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,31.0982,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,28.2128,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,20.77488,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,32.370982,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,32.06,,16.03,19.236,32.370982,30.1364,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,26.6098,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,29.4952,,,,percent of total billed charges,,30.32876,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,31.0982,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,28.2128,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,20.77488,,,,percent of total billed charges,,28.854,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,32.370982,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,30.457,,,,percent of total billed charges,,25.648,,,,percent of total billed charges,,19.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,38.17,,19.085,22.902,38.540249,35.8798,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,31.6811,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,36.10882,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,37.0249,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,33.5896,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,24.73416,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,38.540249,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,38.17,,19.085,22.902,38.540249,35.8798,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,31.6811,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,35.1164,,,,percent of total billed charges,,36.10882,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,37.0249,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,33.5896,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,24.73416,,,,percent of total billed charges,,34.353,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,38.540249,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,36.2615,,,,percent of total billed charges,,30.536,,,,percent of total billed charges,,22.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,9.27,,4.635,5.562,9.359919,8.7138,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.6941,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.76942,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.9919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.1576,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,6.00696,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,9.359919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCC 125 MG SOLUTION FOR INJECTION WRAPPER [1000550],0636,RC,,,,,inpatient,,,9.27,,4.635,5.562,9.359919,8.7138,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.6941,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.76942,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.9919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.1576,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,6.00696,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,9.359919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,,,,,inpatient,,,10.55,,5.275,6.33,10.652335,9.917,,,,percent of total billed charges,,8.44,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,8.7565,,,,percent of total billed charges,,9.495,,,,percent of total billed charges,,9.706,,,,percent of total billed charges,,9.706,,,,percent of total billed charges,,9.9803,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,10.2335,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,9.284,,,,percent of total billed charges,,9.495,,,,percent of total billed charges,,6.8364,,,,percent of total billed charges,,9.495,,,,percent of total billed charges,,6.33,,,,percent of total billed charges,,10.652335,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,10.0225,,,,percent of total billed charges,,8.44,,,,percent of total billed charges,,6.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,,,,,inpatient,,,20.15,,10.075,12.09,20.345455,18.941,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.7245,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,19.0619,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.5455,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,17.732,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,13.0572,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,20.345455,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,,,,,inpatient,,,20.15,,10.075,12.09,20.345455,18.941,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.7245,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,18.538,,,,percent of total billed charges,,19.0619,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.5455,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,17.732,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,13.0572,,,,percent of total billed charges,,18.135,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,20.345455,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,19.1425,,,,percent of total billed charges,,16.12,,,,percent of total billed charges,,12.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,,,,,inpatient,,,22.51,,11.255,13.506,22.728347,21.1594,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.6833,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,21.29446,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.8347,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,19.8088,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,14.58648,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,22.728347,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METHYLPREDNISOLONE SOD SUCCINATE 40 MG/ML SOLUTION FOR INJ. WRAPPER [1000488],0636,RC,,,,,inpatient,,,22.51,,11.255,13.506,22.728347,21.1594,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.6833,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,20.7092,,,,percent of total billed charges,,21.29446,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.8347,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,19.8088,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,14.58648,,,,percent of total billed charges,,20.259,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,22.728347,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,21.3845,,,,percent of total billed charges,,18.008,,,,percent of total billed charges,,13.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 10 MG TABLET [5005],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 100 MCG/ML IN D5W IV PEDS DILUTION [1000050],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,,,,,inpatient,,,2.02,,1.01,1.212,2.039594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.30896,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,2.039594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,,,,,inpatient,,,2.02,,1.01,1.212,2.039594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.30896,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,2.039594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,,,,,inpatient,,,3.18,,1.59,1.908,3.210846,2.9892,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.6394,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,3.00828,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.0846,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.7984,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.06064,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,3.210846,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG TABLET [5006],0637,RC,,,,,inpatient,,,3.18,,1.59,1.908,3.210846,2.9892,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.6394,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,2.9256,,,,percent of total billed charges,,3.00828,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.0846,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.7984,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,2.06064,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,3.210846,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,3.021,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,,,,,inpatient,,,72.37,,36.185,43.422,73.071989,68.0278,,,,percent of total billed charges,,57.896,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,60.0671,,,,percent of total billed charges,,65.133,,,,percent of total billed charges,,66.5804,,,,percent of total billed charges,,66.5804,,,,percent of total billed charges,,68.46202,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,70.1989,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,63.6856,,,,percent of total billed charges,,65.133,,,,percent of total billed charges,,46.89576,,,,percent of total billed charges,,65.133,,,,percent of total billed charges,,43.422,,,,percent of total billed charges,,73.071989,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,68.7515,,,,percent of total billed charges,,57.896,,,,percent of total billed charges,,43.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,,,,,inpatient,,,17.06,,8.53,10.236,17.225482,16.0364,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,14.1598,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,16.13876,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.5482,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,15.0128,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,11.05488,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,17.225482,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,,,,,inpatient,,,9.5,,4.75,5.7,9.59215,8.93,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.885,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.987,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,8.36,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,9.59215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,,,,,inpatient,,,9.5,,4.75,5.7,9.59215,8.93,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.885,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.74,,,,percent of total billed charges,,8.987,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,8.36,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,9.59215,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,9.025,,,,percent of total billed charges,,7.6,,,,percent of total billed charges,,5.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [5004],0637,RC,,,,,inpatient,,,85.14,,42.57,51.084,85.965858,80.0316,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,70.6662,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,78.3288,,,,percent of total billed charges,,80.54244,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,82.5858,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,74.9232,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,55.17072,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,85.965858,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,80.883,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,,,,,inpatient,,,4.2,,2.1,2.52,4.24074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.7216,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,4.24074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,,,,,inpatient,,,4.2,,2.1,2.52,4.24074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.7216,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,4.24074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002],0636,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 2.5 MG TABLET [10587],0637,RC,,,,,inpatient,,,12.05,,6.025,7.23,12.166885,11.327,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.0015,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.3993,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.6885,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.604,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,7.8084,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,12.166885,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 2.5 MG TABLET [10587],0637,RC,,,,,inpatient,,,12.05,,6.025,7.23,12.166885,11.327,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.0015,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.086,,,,percent of total billed charges,,11.3993,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.6885,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,10.604,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,7.8084,,,,percent of total billed charges,,10.845,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,12.166885,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,11.4475,,,,percent of total billed charges,,9.64,,,,percent of total billed charges,,7.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,,,,,inpatient,,,2.73,,1.365,1.638,2.756481,2.5662,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.2659,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.58258,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.6481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.4024,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.76904,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,2.756481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,,,,,inpatient,,,13.84,,6.92,8.304,13.974248,13.0096,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.4872,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,13.09264,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.4248,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,12.1792,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,8.96832,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,13.974248,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,,,,,inpatient,,,13.84,,6.92,8.304,13.974248,13.0096,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.4872,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,12.7328,,,,percent of total billed charges,,13.09264,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.4248,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,12.1792,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,8.96832,,,,percent of total billed charges,,12.456,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,13.974248,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,13.148,,,,percent of total billed charges,,11.072,,,,percent of total billed charges,,8.304,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,,,,,inpatient,,,14.11,,7.055,8.466,14.246867,13.2634,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.7113,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,12.9812,,,,percent of total billed charges,,13.34806,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.6867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,12.4168,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,9.14328,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,14.246867,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,13.4045,,,,percent of total billed charges,,11.288,,,,percent of total billed charges,,8.466,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOLAZONE 5 MG TABLET [10588],0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,3.9,,1.95,2.34,3.93783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.5272,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.93783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,3.9,,1.95,2.34,3.93783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.5272,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.93783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,3.2,,1.6,1.92,3.23104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.0736,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,3.23104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,1.15,,0.575,0.69,1.161155,1.081,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.9545,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.0879,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.1155,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,1.161155,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,1.15,,0.575,0.69,1.161155,1.081,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.9545,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.058,,,,percent of total billed charges,,1.0879,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.1155,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,1.035,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,1.161155,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,1.0925,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,3.73,,1.865,2.238,3.766181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.41704,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.766181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,3.73,,1.865,2.238,3.766181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.41704,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.766181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [81849]",0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,,,,,inpatient,,,4.31,,2.155,2.586,4.351807,4.0514,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.5773,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,4.07726,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.1807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.7928,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.79288,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,4.351807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,,,,,inpatient,,,4.54,,2.27,2.724,4.584038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.94192,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.584038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,,,,,inpatient,,,4.54,,2.27,2.724,4.584038,4.2676,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.7682,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.1768,,,,percent of total billed charges,,4.29484,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.4038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.9952,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.94192,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,4.584038,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,4.313,,,,percent of total billed charges,,3.632,,,,percent of total billed charges,,2.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,,,,,inpatient,,,3.14,,1.57,1.884,3.170458,2.9516,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.6062,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.97044,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,3.0458,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.7632,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.03472,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,3.170458,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [77929]",0637,RC,,,,,inpatient,,,3.14,,1.57,1.884,3.170458,2.9516,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.6062,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.8888,,,,percent of total billed charges,,2.97044,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,3.0458,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.7632,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,2.03472,,,,percent of total billed charges,,2.826,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,3.170458,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.983,,,,percent of total billed charges,,2.512,,,,percent of total billed charges,,1.884,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 100 MG TABLET [5008],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 25 MG TABLET [37637],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,3.02,,1.51,1.812,3.049294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.95696,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,3.049294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,2.23,,1.115,1.338,2.251631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.44504,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.251631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,3.02,,1.51,1.812,3.049294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.95696,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,3.049294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,2.23,,1.115,1.338,2.251631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.44504,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.251631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,2.79,,1.395,1.674,2.817063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.80792,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.817063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,3.2,,1.6,1.92,3.23104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.0736,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,3.23104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [5007],0250,RC,,,,,inpatient,,,2.79,,1.395,1.674,2.817063,2.6226,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.3157,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.5668,,,,percent of total billed charges,,2.63934,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.7063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.4552,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.80792,,,,percent of total billed charges,,2.511,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,2.817063,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.6505,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METOPROLOL TARTRATE 50 MG TABLET [5009],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG IN NS 50 ML IVPB [1000222],0250,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,,,,,inpatient,,,1.4,,0.7,0.84,1.41358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.9072,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.41358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,,,,,inpatient,,,1.4,,0.7,0.84,1.41358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.9072,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.41358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,,,,,inpatient,,,1.78,,0.89,1.068,1.797266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.797266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,,,,,inpatient,,,1.78,,0.89,1.068,1.797266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.797266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET [5015],0637,RC,,,,,inpatient,,,1.73,,0.865,1.038,1.746781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.12104,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.746781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 250 MG TABLET-TOPICAL USE [262245],0637,RC,,,,,inpatient,,,1.78,,0.89,1.068,1.797266,1.6732,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.4774,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.6376,,,,percent of total billed charges,,1.68388,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.7266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.5664,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.15344,,,,percent of total billed charges,,1.602,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,1.797266,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.691,,,,percent of total billed charges,,1.424,,,,percent of total billed charges,,1.068,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 5 MG/ML IV PEDS [1000052],0250,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,,,,,inpatient,,,2.75,,1.375,1.65,2.776675,2.585,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2825,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.6015,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6675,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.42,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,2.776675,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,,,,,inpatient,,,2.75,,1.375,1.65,2.776675,2.585,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2825,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.53,,,,percent of total billed charges,,2.6015,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6675,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.42,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,2.475,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,2.776675,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.6125,,,,percent of total billed charges,,2.2,,,,percent of total billed charges,,1.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET [5016],0637,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG TABLET-TOPICAL USE [1001938],0637,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,13.5,,6.75,8.1,13.63095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,13.63095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,7.65,,3.825,4.59,7.724205,7.191,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.3495,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.2369,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.4205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.732,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.9572,,,,percent of total billed charges,,6.885,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,7.724205,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,7.2675,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,5.85,,2.925,3.51,5.906745,5.499,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.8555,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5341,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.6745,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.148,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,3.7908,,,,percent of total billed charges,,5.265,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,5.906745,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,5.5575,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK [5018],0250,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEXILETINE 150 MG CAPSULE [10595],0637,RC,,,,,inpatient,,,4.75,,2.375,2.85,4.796075,4.465,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.18,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,4.796075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEXILETINE 150 MG CAPSULE [10595],0637,RC,,,,,inpatient,,,4.86,,2.43,2.916,4.907142,4.5684,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.0338,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,4.59756,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.7142,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,3.14928,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.907142,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,4.617,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEXILETINE 150 MG CAPSULE [10595],0637,RC,,,,,inpatient,,,1.27,,0.635,0.762,1.282319,1.1938,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.0541,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.1684,,,,percent of total billed charges,,1.20142,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.1176,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.82296,,,,percent of total billed charges,,1.143,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,1.282319,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.2065,,,,percent of total billed charges,,1.016,,,,percent of total billed charges,,0.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 1 MG/ML IN NS IV PEDS DILUTION [1001385],0636,RC,,,,,inpatient,,,2.81,,1.405,1.686,2.837257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.82088,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.837257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,773.42,,386.71,464.052,780.922174,727.0148,,,,percent of total billed charges,,618.736,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,641.9386,,,,percent of total billed charges,,696.078,,,,percent of total billed charges,,711.5464,,,,percent of total billed charges,,711.5464,,,,percent of total billed charges,,731.65532,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,750.2174,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,680.6096,,,,percent of total billed charges,,696.078,,,,percent of total billed charges,,501.17616,,,,percent of total billed charges,,696.078,,,,percent of total billed charges,,464.052,,,,percent of total billed charges,,780.922174,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,734.749,,,,percent of total billed charges,,618.736,,,,percent of total billed charges,,464.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,140.63,,70.315,84.378,141.994111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,91.12824,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,141.994111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,140.63,,70.315,84.378,141.994111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,91.12824,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,141.994111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,216.81,,108.405,130.086,218.913057,203.8014,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,179.9523,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,205.10226,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,210.3057,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,190.7928,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,140.49288,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,218.913057,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,216.81,,108.405,130.086,218.913057,203.8014,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,179.9523,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,199.4652,,,,percent of total billed charges,,205.10226,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,210.3057,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,190.7928,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,140.49288,,,,percent of total billed charges,,195.129,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,218.913057,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,205.9695,,,,percent of total billed charges,,173.448,,,,percent of total billed charges,,130.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,136.49,,68.245,81.894,137.813953,128.3006,,,,percent of total billed charges,,109.192,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,113.2867,,,,percent of total billed charges,,122.841,,,,percent of total billed charges,,125.5708,,,,percent of total billed charges,,125.5708,,,,percent of total billed charges,,129.11954,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,132.3953,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,120.1112,,,,percent of total billed charges,,122.841,,,,percent of total billed charges,,88.44552,,,,percent of total billed charges,,122.841,,,,percent of total billed charges,,81.894,,,,percent of total billed charges,,137.813953,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,129.6655,,,,percent of total billed charges,,109.192,,,,percent of total billed charges,,81.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,140.63,,70.315,84.378,141.994111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,91.12824,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,141.994111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,140.63,,70.315,84.378,141.994111,132.1922,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,116.7229,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,129.3796,,,,percent of total billed charges,,133.03598,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,136.4111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,123.7544,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,91.12824,,,,percent of total billed charges,,126.567,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,141.994111,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,133.5985,,,,percent of total billed charges,,112.504,,,,percent of total billed charges,,84.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,138.97,,69.485,83.382,140.318009,130.6318,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,115.3451,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,131.46562,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,134.8009,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,122.2936,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,90.05256,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,140.318009,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [94304],0636,RC,,,,,inpatient,,,386.73,,193.365,232.038,390.481281,363.5262,,,,percent of total billed charges,,309.384,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,320.9859,,,,percent of total billed charges,,348.057,,,,percent of total billed charges,,355.7916,,,,percent of total billed charges,,355.7916,,,,percent of total billed charges,,365.84658,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,375.1281,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,340.3224,,,,percent of total billed charges,,348.057,,,,percent of total billed charges,,250.60104,,,,percent of total billed charges,,348.057,,,,percent of total billed charges,,232.038,,,,percent of total billed charges,,390.481281,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,367.3935,,,,percent of total billed charges,,309.384,,,,percent of total billed charges,,232.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 50 MG INTRAVENOUS SOLUTION [94304],0636,RC,,,,,inpatient,,,70.29,,35.145,42.174,70.971813,66.0726,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,58.3407,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,66.49434,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,68.1813,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,61.8552,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,45.54792,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,70.971813,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [102529],0636,RC,,,,,inpatient,,,138.97,,69.485,83.382,140.318009,130.6318,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,115.3451,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,127.8524,,,,percent of total billed charges,,131.46562,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,134.8009,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,122.2936,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,90.05256,,,,percent of total billed charges,,125.073,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,140.318009,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,132.0215,,,,percent of total billed charges,,111.176,,,,percent of total billed charges,,83.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % TOPICAL OINTMENT [80232],0637,RC,,,,,inpatient,,,17.58,,8.79,10.548,17.750526,16.5252,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.5914,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.63068,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,17.0526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,15.4704,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,11.39184,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,17.750526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,,,,,inpatient,,,24.51,,12.255,14.706,24.747747,23.0394,,,,percent of total billed charges,,19.608,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,20.3433,,,,percent of total billed charges,,22.059,,,,percent of total billed charges,,22.5492,,,,percent of total billed charges,,22.5492,,,,percent of total billed charges,,23.18646,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,23.7747,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,21.5688,,,,percent of total billed charges,,22.059,,,,percent of total billed charges,,15.88248,,,,percent of total billed charges,,22.059,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,24.747747,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,23.2845,,,,percent of total billed charges,,19.608,,,,percent of total billed charges,,14.706,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,,,,,inpatient,,,14.99,,7.495,8.994,15.135403,14.0906,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,12.4417,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,14.18054,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.5403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,13.1912,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,9.71352,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,15.135403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,,,,,inpatient,,,16.2,,8.1,9.72,16.35714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,10.4976,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,16.35714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,,,,,inpatient,,,30.99,,15.495,18.594,31.290603,29.1306,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,25.7217,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,29.31654,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,30.0603,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,27.2712,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,20.08152,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,31.290603,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICONAZOLE NITRATE 2 % VAGINAL CREAM [5040],0637,RC,,,,,inpatient,,,30.99,,15.495,18.594,31.290603,29.1306,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,25.7217,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,28.5108,,,,percent of total billed charges,,29.31654,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,30.0603,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,27.2712,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,20.08152,,,,percent of total billed charges,,27.891,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,31.290603,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,29.4405,,,,percent of total billed charges,,24.792,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER [78006],0250,RC,,,,,inpatient,,,852.63,,426.315,511.578,860.900511,801.4722,,,,percent of total billed charges,,682.104,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,707.6829,,,,percent of total billed charges,,767.367,,,,percent of total billed charges,,784.4196,,,,percent of total billed charges,,784.4196,,,,percent of total billed charges,,806.58798,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,827.0511,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,750.3144,,,,percent of total billed charges,,767.367,,,,percent of total billed charges,,552.50424,,,,percent of total billed charges,,767.367,,,,percent of total billed charges,,511.578,,,,percent of total billed charges,,860.900511,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,809.9985,,,,percent of total billed charges,,682.104,,,,percent of total billed charges,,511.578,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER [78006],0250,RC,,,,,inpatient,,,718.38,,359.19,431.028,725.348286,675.2772,,,,percent of total billed charges,,574.704,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,596.2554,,,,percent of total billed charges,,646.542,,,,percent of total billed charges,,660.9096,,,,percent of total billed charges,,660.9096,,,,percent of total billed charges,,679.58748,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,696.8286,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,632.1744,,,,percent of total billed charges,,646.542,,,,percent of total billed charges,,465.51024,,,,percent of total billed charges,,646.542,,,,percent of total billed charges,,431.028,,,,percent of total billed charges,,725.348286,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,682.461,,,,percent of total billed charges,,574.704,,,,percent of total billed charges,,431.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [219393],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM (PF) 200 MCG/ML PEDS DILUTION - CHI [7000242],0636,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [219392],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION SOLUTION [10607],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1 MG/ML INJECTION WRAPPER [1001725],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 1MG/ML IN NS 100ML INFUSION - CHI [7000038],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,,,,,inpatient,,,320.73,,160.365,192.438,323.841081,301.4862,,,,percent of total billed charges,,256.584,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,266.2059,,,,percent of total billed charges,,288.657,,,,percent of total billed charges,,295.0716,,,,percent of total billed charges,,295.0716,,,,percent of total billed charges,,303.41058,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,311.1081,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,282.2424,,,,percent of total billed charges,,288.657,,,,percent of total billed charges,,207.83304,,,,percent of total billed charges,,288.657,,,,percent of total billed charges,,192.438,,,,percent of total billed charges,,323.841081,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,304.6935,,,,percent of total billed charges,,256.584,,,,percent of total billed charges,,192.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,,,,,inpatient,,,236.83,,118.415,142.098,239.127251,222.6202,,,,percent of total billed charges,,189.464,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,196.5689,,,,percent of total billed charges,,213.147,,,,percent of total billed charges,,217.8836,,,,percent of total billed charges,,217.8836,,,,percent of total billed charges,,224.04118,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,229.7251,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,208.4104,,,,percent of total billed charges,,213.147,,,,percent of total billed charges,,153.46584,,,,percent of total billed charges,,213.147,,,,percent of total billed charges,,142.098,,,,percent of total billed charges,,239.127251,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,224.9885,,,,percent of total billed charges,,189.464,,,,percent of total billed charges,,142.098,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,,,,,inpatient,,,18.49,,9.245,11.094,18.669353,17.3806,,,,percent of total billed charges,,14.792,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,15.3467,,,,percent of total billed charges,,16.641,,,,percent of total billed charges,,17.0108,,,,percent of total billed charges,,17.0108,,,,percent of total billed charges,,17.49154,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,17.9353,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,16.2712,,,,percent of total billed charges,,16.641,,,,percent of total billed charges,,11.98152,,,,percent of total billed charges,,16.641,,,,percent of total billed charges,,11.094,,,,percent of total billed charges,,18.669353,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,17.5655,,,,percent of total billed charges,,14.792,,,,percent of total billed charges,,11.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,,,,,inpatient,,,22.59,,11.295,13.554,22.809123,21.2346,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.7497,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,21.37014,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.9123,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,19.8792,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,14.63832,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,22.809123,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 2 MG/ML ORAL SYRUP [24176],0637,RC,,,,,inpatient,,,22.59,,11.295,13.554,22.809123,21.2346,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.7497,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,20.7828,,,,percent of total billed charges,,21.37014,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.9123,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,19.8792,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,14.63832,,,,percent of total billed charges,,20.331,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,22.809123,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,21.4605,,,,percent of total billed charges,,18.072,,,,percent of total billed charges,,13.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,11.75,,5.875,7.05,11.863975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,11.863975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,45.54,,22.77,27.324,45.981738,42.8076,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,37.7982,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,43.08084,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,44.1738,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,40.0752,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,29.50992,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,45.981738,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,70.11,,35.055,42.066,70.790067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,45.43128,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,70.790067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,70.11,,35.055,42.066,70.790067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,45.43128,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,70.790067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,11.75,,5.875,7.05,11.863975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,11.863975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,16.25,,8.125,9.75,16.407625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,16.407625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION SOLUTION [10608],0636,RC,,,,,inpatient,,,16.25,,8.125,9.75,16.407625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,16.407625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,45.54,,22.77,27.324,45.981738,42.8076,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,37.7982,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,41.8968,,,,percent of total billed charges,,43.08084,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,44.1738,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,40.0752,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,29.50992,,,,percent of total billed charges,,40.986,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,45.981738,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,43.263,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,70.11,,35.055,42.066,70.790067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,45.43128,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,70.790067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,70.11,,35.055,42.066,70.790067,65.9034,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,58.1913,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,64.5012,,,,percent of total billed charges,,66.32406,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,68.0067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,61.6968,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,45.43128,,,,percent of total billed charges,,63.099,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,70.790067,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,66.6045,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,42.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,16.25,,8.125,9.75,16.407625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,16.407625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDAZOLAM 5 MG/ML INJECTION WRAPPER [1001726],0636,RC,,,,,inpatient,,,16.25,,8.125,9.75,16.407625,15.275,,,,percent of total billed charges,,13,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13.4875,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,14.95,,,,percent of total billed charges,,15.3725,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.7625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,14.3,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,14.625,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,16.407625,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,15.4375,,,,percent of total billed charges,,13,,,,percent of total billed charges,,9.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 10 MG TABLET [33083],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,,,,,inpatient,,,4.19,,2.095,2.514,4.230643,3.9386,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.4777,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.96374,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,4.0643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.6872,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.71512,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,4.230643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,,,,,inpatient,,,3.02,,1.51,1.812,3.049294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.95696,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,3.049294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,,,,,inpatient,,,3.02,,1.51,1.812,3.049294,2.8388,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.5066,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.7784,,,,percent of total billed charges,,2.85692,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.9294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.6576,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.95696,,,,percent of total billed charges,,2.718,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,3.049294,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.869,,,,percent of total billed charges,,2.416,,,,percent of total billed charges,,1.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,,,,,inpatient,,,2.24,,1.12,1.344,2.261728,2.1056,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.8592,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.0608,,,,percent of total billed charges,,2.11904,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.1728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.9712,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.45152,,,,percent of total billed charges,,2.016,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,2.261728,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.792,,,,percent of total billed charges,,1.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIDODRINE 2.5 MG TABLET [10609],0637,RC,,,,,inpatient,,,1.35,,0.675,0.81,1.363095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.8748,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.363095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,20.43,,10.215,12.258,20.628171,19.2042,,,,percent of total billed charges,,16.344,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,16.9569,,,,percent of total billed charges,,18.387,,,,percent of total billed charges,,18.7956,,,,percent of total billed charges,,18.7956,,,,percent of total billed charges,,19.32678,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,19.8171,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,17.9784,,,,percent of total billed charges,,18.387,,,,percent of total billed charges,,13.23864,,,,percent of total billed charges,,18.387,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,20.628171,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,19.4085,,,,percent of total billed charges,,16.344,,,,percent of total billed charges,,12.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,14.31,,7.155,8.586,14.448807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,9.27288,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,14.448807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,20.34,,10.17,12.204,20.537298,19.1196,,,,percent of total billed charges,,16.272,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,16.8822,,,,percent of total billed charges,,18.306,,,,percent of total billed charges,,18.7128,,,,percent of total billed charges,,18.7128,,,,percent of total billed charges,,19.24164,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,19.7298,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,17.8992,,,,percent of total billed charges,,18.306,,,,percent of total billed charges,,13.18032,,,,percent of total billed charges,,18.306,,,,percent of total billed charges,,12.204,,,,percent of total billed charges,,20.537298,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,16.272,,,,percent of total billed charges,,12.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,14.31,,7.155,8.586,14.448807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,9.27288,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,14.448807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,19.89,,9.945,11.934,20.082933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,12.88872,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,20.082933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,19.89,,9.945,11.934,20.082933,18.6966,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,16.5087,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.2988,,,,percent of total billed charges,,18.81594,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,19.2933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,17.5032,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,12.88872,,,,percent of total billed charges,,17.901,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,20.082933,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,18.8955,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,19.62,,9.81,11.772,19.810314,18.4428,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,16.2846,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.56052,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,19.0314,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,17.2656,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,12.71376,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,19.810314,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [27327],0636,RC,,,,,inpatient,,,19.62,,9.81,11.772,19.810314,18.4428,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,16.2846,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.0504,,,,percent of total billed charges,,18.56052,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,19.0314,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,17.2656,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,12.71376,,,,percent of total billed charges,,17.658,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,19.810314,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,18.639,,,,percent of total billed charges,,15.696,,,,percent of total billed charges,,11.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINERAL OIL ORAL [5086],0637,RC,,,,,inpatient,,,19.12,,9.56,11.472,19.305464,17.9728,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.8696,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,18.08752,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.5464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,16.8256,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,12.38976,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,19.305464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINERAL OIL ORAL [5086],0637,RC,,,,,inpatient,,,14.9,,7.45,8.94,15.04453,14.006,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,12.367,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,14.0954,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,13.112,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,9.6552,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,15.04453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINERAL OIL ORAL [5086],0637,RC,,,,,inpatient,,,5.54,,2.77,3.324,5.593738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.58992,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.593738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 10 MG TABLET [5114],0637,RC,,,,,inpatient,,,1.03,,0.515,0.618,1.039991,0.9682,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.8549,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.9476,,,,percent of total billed charges,,0.97438,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9064,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.66744,,,,percent of total billed charges,,0.927,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,1.039991,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.9785,,,,percent of total billed charges,,0.824,,,,percent of total billed charges,,0.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 10 MG TABLET [5114],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 10 MG TABLET [5114],0637,RC,,,,,inpatient,,,2.7,,1.35,1.62,2.72619,2.538,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5542,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.376,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.7496,,,,percent of total billed charges,,2.43,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,2.72619,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 2.5 MG TABLET [5115],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 2.5 MG TABLET [5115],0637,RC,,,,,inpatient,,,2.34,,1.17,1.404,2.362698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.51632,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.362698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOXIDIL 2.5 MG TABLET [5115],0637,RC,,,,,inpatient,,,2.34,,1.17,1.404,2.362698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.51632,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.362698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG DISINTEGRATING TABLET [29531],0637,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MIRTAZAPINE 15 MG TABLET [17466],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,,,,,inpatient,,,17.34,,8.67,10.404,17.508198,16.2996,,,,percent of total billed charges,,13.872,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,14.3922,,,,percent of total billed charges,,15.606,,,,percent of total billed charges,,15.9528,,,,percent of total billed charges,,15.9528,,,,percent of total billed charges,,16.40364,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,16.8198,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,15.2592,,,,percent of total billed charges,,15.606,,,,percent of total billed charges,,11.23632,,,,percent of total billed charges,,15.606,,,,percent of total billed charges,,10.404,,,,percent of total billed charges,,17.508198,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,16.473,,,,percent of total billed charges,,13.872,,,,percent of total billed charges,,10.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,,,,,inpatient,,,1.81,,0.905,1.086,1.827557,1.7014,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5023,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.71226,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5928,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.17288,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,1.827557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,,,,,inpatient,,,1.72,,0.86,1.032,1.736684,1.6168,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.4276,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.5824,,,,percent of total billed charges,,1.62712,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.6684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.5136,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.11456,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.736684,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.634,,,,percent of total billed charges,,1.376,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 100 MCG TABLET [10628],0637,RC,,,,,inpatient,,,1.81,,0.905,1.086,1.827557,1.7014,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5023,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.6652,,,,percent of total billed charges,,1.71226,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.5928,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.17288,,,,percent of total billed charges,,1.629,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,1.827557,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.7195,,,,percent of total billed charges,,1.448,,,,percent of total billed charges,,1.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,,,,,inpatient,,,3.28,,1.64,1.968,3.311816,3.0832,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.7224,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.10288,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.1816,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.8864,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,2.12544,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,3.311816,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,,,,,inpatient,,,3.28,,1.64,1.968,3.311816,3.0832,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.7224,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.0176,,,,percent of total billed charges,,3.10288,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.1816,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.8864,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,2.12544,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,3.311816,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,3.116,,,,percent of total billed charges,,2.624,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,,,,,inpatient,,,6.42,,3.21,3.852,6.482274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,4.16016,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,6.482274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 200 MCG TABLET [10629],0637,RC,,,,,inpatient,,,6.42,,3.21,3.852,6.482274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,4.16016,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,6.482274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MISOPROSTOL 25 MCG QUARTER TABLET [1000318],0250,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.2 MG OPHTHALMIC KIT [207633],0250,RC,,,,,inpatient,,,670.5,,335.25,402.3,677.00385,630.27,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,556.515,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,634.293,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,650.385,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,590.04,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,434.484,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,677.00385,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.2 MG/ML IN (PF)SW DILUTION [1000053],0636,RC,,,,,inpatient,,,3.92,,1.96,2.352,3.958024,3.6848,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.2536,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.6064,,,,percent of total billed charges,,3.70832,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.8024,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.4496,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.54016,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,3.958024,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.724,,,,percent of total billed charges,,3.136,,,,percent of total billed charges,,2.352,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.5 MG OPHTHALMIC KIT [239483],0250,RC,,,,,inpatient,,,670.5,,335.25,402.3,677.00385,630.27,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,556.515,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,616.86,,,,percent of total billed charges,,634.293,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,650.385,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,590.04,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,434.484,,,,percent of total billed charges,,603.45,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,677.00385,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,636.975,,,,percent of total billed charges,,536.4,,,,percent of total billed charges,,402.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 0.5 MG/ML IN (PF)SW DILUTION [1000138],0636,RC,,,,,inpatient,,,9.78,,4.89,5.868,9.874866,9.1932,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,8.1174,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,8.9976,,,,percent of total billed charges,,8.9976,,,,percent of total billed charges,,9.25188,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,9.4866,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,8.6064,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,6.33744,,,,percent of total billed charges,,8.802,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,9.874866,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,9.291,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,5.868,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],0636,RC,,,,,inpatient,,,834.98,,417.49,500.988,843.079306,784.8812,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,693.0334,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,789.89108,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,809.9306,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,734.7824,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,541.06704,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,843.079306,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],0636,RC,,,,,inpatient,,,296.01,,148.005,177.606,298.881297,278.2494,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,245.6883,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,280.02546,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,287.1297,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,260.4888,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,191.81448,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,298.881297,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG INTRAVENOUS SOLUTION [10630],0636,RC,,,,,inpatient,,,775.49,,387.745,465.294,783.012253,728.9606,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,643.6567,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,733.61354,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,752.2253,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,682.4312,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,502.51752,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,783.012253,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,,,,,inpatient,,,834.98,,417.49,500.988,843.079306,784.8812,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,693.0334,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,768.1816,,,,percent of total billed charges,,789.89108,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,809.9306,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,734.7824,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,541.06704,,,,percent of total billed charges,,751.482,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,843.079306,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,793.231,,,,percent of total billed charges,,667.984,,,,percent of total billed charges,,500.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,,,,,inpatient,,,296.01,,148.005,177.606,298.881297,278.2494,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,245.6883,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,272.3292,,,,percent of total billed charges,,280.02546,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,287.1297,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,260.4888,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,191.81448,,,,percent of total billed charges,,266.409,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,298.881297,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,281.2095,,,,percent of total billed charges,,236.808,,,,percent of total billed charges,,177.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,,,,,inpatient,,,775.49,,387.745,465.294,783.012253,728.9606,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,643.6567,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,713.4508,,,,percent of total billed charges,,733.61354,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,752.2253,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,682.4312,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,502.51752,,,,percent of total billed charges,,697.941,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,783.012253,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,736.7155,,,,percent of total billed charges,,620.392,,,,percent of total billed charges,,465.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],0636,RC,,,,,inpatient,,,1479.38,,739.69,887.628,1493.729986,1390.6172,,,,percent of total billed charges,,1183.504,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1227.8854,,,,percent of total billed charges,,1331.442,,,,percent of total billed charges,,1361.0296,,,,percent of total billed charges,,1361.0296,,,,percent of total billed charges,,1399.49348,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1434.9986,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1301.8544,,,,percent of total billed charges,,1331.442,,,,percent of total billed charges,,958.63824,,,,percent of total billed charges,,1331.442,,,,percent of total billed charges,,887.628,,,,percent of total billed charges,,1493.729986,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1405.411,,,,percent of total billed charges,,1183.504,,,,percent of total billed charges,,887.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 40 MG INTRAVENOUS SOLUTION [10631],0636,RC,,,,,inpatient,,,1550.97,,775.485,930.582,1566.014409,1457.9118,,,,percent of total billed charges,,1240.776,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1287.3051,,,,percent of total billed charges,,1395.873,,,,percent of total billed charges,,1426.8924,,,,percent of total billed charges,,1426.8924,,,,percent of total billed charges,,1467.21762,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1504.4409,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1364.8536,,,,percent of total billed charges,,1395.873,,,,percent of total billed charges,,1005.02856,,,,percent of total billed charges,,1395.873,,,,percent of total billed charges,,930.582,,,,percent of total billed charges,,1566.014409,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1473.4215,,,,percent of total billed charges,,1240.776,,,,percent of total billed charges,,930.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 5 MG INTRAVENOUS SOLUTION [10632],0636,RC,,,,,inpatient,,,905.54,,452.77,543.324,914.323738,851.2076,,,,percent of total billed charges,,724.432,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,751.5982,,,,percent of total billed charges,,814.986,,,,percent of total billed charges,,833.0968,,,,percent of total billed charges,,833.0968,,,,percent of total billed charges,,856.64084,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,878.3738,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,796.8752,,,,percent of total billed charges,,814.986,,,,percent of total billed charges,,586.78992,,,,percent of total billed charges,,814.986,,,,percent of total billed charges,,543.324,,,,percent of total billed charges,,914.323738,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,860.263,,,,percent of total billed charges,,724.432,,,,percent of total billed charges,,543.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,12.6,,6.3,7.56,12.72222,11.844,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.458,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,11.9196,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,12.222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,8.1648,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,12.72222,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,11.97,,,,percent of total billed charges,,10.08,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MITOMYCIN 20 MG IV SOLUTION (FOR BLADDER - NO LIFETIME TRACKING) [1001854],0636,RC,,,,,inpatient,,,592.02,,296.01,355.212,597.762594,556.4988,,,,percent of total billed charges,,473.616,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,491.3766,,,,percent of total billed charges,,532.818,,,,percent of total billed charges,,544.6584,,,,percent of total billed charges,,544.6584,,,,percent of total billed charges,,560.05092,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,574.2594,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,520.9776,,,,percent of total billed charges,,532.818,,,,percent of total billed charges,,383.62896,,,,percent of total billed charges,,532.818,,,,percent of total billed charges,,355.212,,,,percent of total billed charges,,597.762594,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,562.419,,,,percent of total billed charges,,473.616,,,,percent of total billed charges,,355.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS [10634]",0636,RC,,,,,inpatient,,,527.4,,263.7,316.44,532.51578,495.756,,,,percent of total billed charges,,421.92,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,437.742,,,,percent of total billed charges,,474.66,,,,percent of total billed charges,,485.208,,,,percent of total billed charges,,485.208,,,,percent of total billed charges,,498.9204,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,511.578,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,464.112,,,,percent of total billed charges,,474.66,,,,percent of total billed charges,,341.7552,,,,percent of total billed charges,,474.66,,,,percent of total billed charges,,316.44,,,,percent of total billed charges,,532.51578,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,501.03,,,,percent of total billed charges,,421.92,,,,percent of total billed charges,,316.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MODAFINIL 100 MG TABLET [82984],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [241165],0636,RC,,,,,inpatient,,,20279.7,,10139.85,12167.82,20476.41309,19062.918,,,,percent of total billed charges,,16223.76,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,16832.151,,,,percent of total billed charges,,18251.73,,,,percent of total billed charges,,18657.324,,,,percent of total billed charges,,18657.324,,,,percent of total billed charges,,19184.5962,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,19671.309,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,17846.136,,,,percent of total billed charges,,18251.73,,,,percent of total billed charges,,13141.2456,,,,percent of total billed charges,,18251.73,,,,percent of total billed charges,,12167.82,,,,percent of total billed charges,,20476.41309,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,19265.715,,,,percent of total billed charges,,16223.76,,,,percent of total billed charges,,12167.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION [241165],0636,RC,,,,,inpatient,,,60929.24,,30464.62,36557.544,61520.25363,57273.4856,,,,percent of total billed charges,,48743.392,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,50571.2692,,,,percent of total billed charges,,54836.316,,,,percent of total billed charges,,56054.9008,,,,percent of total billed charges,,56054.9008,,,,percent of total billed charges,,57639.06104,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,59101.3628,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,53617.7312,,,,percent of total billed charges,,54836.316,,,,percent of total billed charges,,39482.14752,,,,percent of total billed charges,,54836.316,,,,percent of total billed charges,,36557.544,,,,percent of total billed charges,,61520.25363,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,57882.778,,,,percent of total billed charges,,48743.392,,,,percent of total billed charges,,36557.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,,,,,inpatient,,,1.85,,0.925,1.11,1.867945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.1988,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.867945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,,,,,inpatient,,,1.85,,0.925,1.11,1.867945,1.739,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.5355,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.702,,,,percent of total billed charges,,1.7501,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.628,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.1988,,,,percent of total billed charges,,1.665,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,1.867945,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.7575,,,,percent of total billed charges,,1.48,,,,percent of total billed charges,,1.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,,,,,inpatient,,,1.65,,0.825,0.99,1.666005,1.551,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.3695,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.518,,,,percent of total billed charges,,1.5609,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.6005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,1.0692,,,,percent of total billed charges,,1.485,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.666005,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.5675,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,,,,,inpatient,,,1.38,,0.69,0.828,1.393386,1.2972,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.1454,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.30548,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.3386,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,0.89424,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,1.393386,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 10 MG TABLET [81611],0637,RC,,,,,inpatient,,,1.49,,0.745,0.894,1.504453,1.4006,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.2367,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.3708,,,,percent of total billed charges,,1.40954,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.3112,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.96552,,,,percent of total billed charges,,1.341,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,1.504453,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.4155,,,,percent of total billed charges,,1.192,,,,percent of total billed charges,,0.894,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,,,,,inpatient,,,3.63,,1.815,2.178,3.665211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.35224,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.665211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,,,,,inpatient,,,3.63,,1.815,2.178,3.665211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.35224,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.665211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,,,,,inpatient,,,1.28,,0.64,0.768,1.292416,1.2032,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.0624,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.1776,,,,percent of total billed charges,,1.21088,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.2416,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.1264,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.82944,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,1.292416,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.024,,,,percent of total billed charges,,0.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 4 MG CHEWABLE TABLET [78655],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 5 MG CHEWABLE TABLET [77102],0637,RC,,,,,inpatient,,,19.36,,9.68,11.616,19.547792,18.1984,,,,percent of total billed charges,,15.488,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,16.0688,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,17.8112,,,,percent of total billed charges,,17.8112,,,,percent of total billed charges,,18.31456,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,18.7792,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,17.0368,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,12.54528,,,,percent of total billed charges,,17.424,,,,percent of total billed charges,,11.616,,,,percent of total billed charges,,19.547792,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,18.392,,,,percent of total billed charges,,15.488,,,,percent of total billed charges,,11.616,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 5 MG CHEWABLE TABLET [77102],0637,RC,,,,,inpatient,,,3.26,,1.63,1.956,3.291622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.11248,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.291622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MONTELUKAST 5 MG CHEWABLE TABLET [77102],0637,RC,,,,,inpatient,,,3.26,,1.63,1.956,3.291622,3.0644,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.7058,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,2.9992,,,,percent of total billed charges,,3.08396,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.1622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.8688,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,2.11248,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,3.291622,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,3.097,,,,percent of total billed charges,,2.608,,,,percent of total billed charges,,1.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],0636,RC,,,,,inpatient,,,105.66,,52.83,63.396,106.684902,99.3204,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,87.6978,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,99.95436,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,102.4902,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,92.9808,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,68.46768,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,106.684902,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION [29464],0636,RC,,,,,inpatient,,,105.66,,52.83,63.396,106.684902,99.3204,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,87.6978,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,97.2072,,,,percent of total billed charges,,99.95436,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,102.4902,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,92.9808,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,68.46768,,,,percent of total billed charges,,95.094,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,106.684902,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,100.377,,,,percent of total billed charges,,84.528,,,,percent of total billed charges,,63.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,,,,,inpatient,,,30.74,,15.37,18.444,31.038178,28.8956,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,25.5142,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,29.08004,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.8178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,27.0512,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,19.91952,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,31.038178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,,,,,inpatient,,,82.58,,41.29,49.548,83.381026,77.6252,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,68.5414,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,78.12068,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,80.1026,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,72.6704,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,53.51184,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,83.381026,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,,,,,inpatient,,,82.58,,41.29,49.548,83.381026,77.6252,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,68.5414,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,75.9736,,,,percent of total billed charges,,78.12068,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,80.1026,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,72.6704,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,53.51184,,,,percent of total billed charges,,74.322,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,83.381026,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,78.451,,,,percent of total billed charges,,66.064,,,,percent of total billed charges,,49.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852],0636,RC,,,,,inpatient,,,30.74,,15.37,18.444,31.038178,28.8956,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,25.5142,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,28.2808,,,,percent of total billed charges,,29.08004,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.8178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,27.0512,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,19.91952,,,,percent of total billed charges,,27.666,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,31.038178,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,29.203,,,,percent of total billed charges,,24.592,,,,percent of total billed charges,,18.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE (PF) 10 MG/ML INJECTION SOLUTION [87853],0636,RC,,,,,inpatient,,,699.48,,349.74,419.688,706.264956,657.5112,,,,percent of total billed charges,,559.584,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,580.5684,,,,percent of total billed charges,,629.532,,,,percent of total billed charges,,643.5216,,,,percent of total billed charges,,643.5216,,,,percent of total billed charges,,661.70808,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,678.4956,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,615.5424,,,,percent of total billed charges,,629.532,,,,percent of total billed charges,,453.26304,,,,percent of total billed charges,,629.532,,,,percent of total billed charges,,419.688,,,,percent of total billed charges,,706.264956,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,664.506,,,,percent of total billed charges,,559.584,,,,percent of total billed charges,,419.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 0.2 MG/ML IN NS IV PEDS DILUTION [1000429],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 0.4 MG/ML ORAL LIQUID [1000119],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],0637,RC,,,,,inpatient,,,40.5,,20.25,24.3,40.89285,38.07,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,33.615,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,40.89285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/5 ML ORAL SOLUTION [5176],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 10 MG/ML INTRAVENOUS SYRINGE [223298],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 2 MG/ML INJECTION WRAPPER [1000731],0636,RC,,,,,inpatient,,,11.77,,5.885,7.062,11.884169,11.0638,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.7691,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,11.13442,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.4169,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,10.3576,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,7.62696,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,11.884169,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [220545],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [220545],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INJECTION WRAPPER [1001178],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [227587],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [227587],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [220546],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [220546],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 5 MG/ML INJECTION SYRINGE [86513],0636,RC,,,,,inpatient,,,11.77,,5.885,7.062,11.884169,11.0638,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.7691,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,10.8284,,,,percent of total billed charges,,11.13442,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.4169,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,10.3576,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,7.62696,,,,percent of total billed charges,,10.593,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,11.884169,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,11.1815,,,,percent of total billed charges,,9.416,,,,percent of total billed charges,,7.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE 5 MG/ML INJECTION SYRINGE [86513],0636,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,,,,,inpatient,,,54.81,,27.405,32.886,55.341657,51.5214,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,45.4923,,,,percent of total billed charges,,49.329,,,,percent of total billed charges,,50.4252,,,,percent of total billed charges,,50.4252,,,,percent of total billed charges,,51.85026,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,53.1657,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,48.2328,,,,percent of total billed charges,,49.329,,,,percent of total billed charges,,35.51688,,,,percent of total billed charges,,49.329,,,,percent of total billed charges,,32.886,,,,percent of total billed charges,,55.341657,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,52.0695,,,,percent of total billed charges,,43.848,,,,percent of total billed charges,,32.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [10655],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [20920]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]",0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE IN NS 1MG/ML PREMIX INFUSION [7000035],0636,RC,,,,,inpatient,,,41.63,,20.815,24.978,42.033811,39.1322,,,,percent of total billed charges,,33.304,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,34.5529,,,,percent of total billed charges,,37.467,,,,percent of total billed charges,,38.2996,,,,percent of total billed charges,,38.2996,,,,percent of total billed charges,,39.38198,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,40.3811,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,36.6344,,,,percent of total billed charges,,37.467,,,,percent of total billed charges,,26.97624,,,,percent of total billed charges,,37.467,,,,percent of total billed charges,,24.978,,,,percent of total billed charges,,42.033811,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,39.5485,,,,percent of total billed charges,,33.304,,,,percent of total billed charges,,24.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE IN NS 1MG/ML PREMIX INFUSION [7000035],0636,RC,,,,,inpatient,,,36.68,,18.34,22.008,37.035796,34.4792,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,30.4444,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,33.7456,,,,percent of total billed charges,,34.69928,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,35.5796,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,32.2784,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,23.76864,,,,percent of total billed charges,,33.012,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,37.035796,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,34.846,,,,percent of total billed charges,,29.344,,,,percent of total billed charges,,22.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MORPHINE IN NS 1MG/ML PREMIX INFUSION [7000035],0636,RC,,,,,inpatient,,,59.4,,29.7,35.64,59.97618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,38.4912,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,59.97618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [205140],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID [215966],0637,RC,,,,,inpatient,,,8.44,,4.22,5.064,8.521868,7.9336,,,,percent of total billed charges,,6.752,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,7.0052,,,,percent of total billed charges,,7.596,,,,percent of total billed charges,,7.7648,,,,percent of total billed charges,,7.7648,,,,percent of total billed charges,,7.98424,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,8.1868,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,7.4272,,,,percent of total billed charges,,7.596,,,,percent of total billed charges,,5.46912,,,,percent of total billed charges,,7.596,,,,percent of total billed charges,,5.064,,,,percent of total billed charges,,8.521868,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,8.018,,,,percent of total billed charges,,6.752,,,,percent of total billed charges,,5.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET [207638],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN 2 % TOPICAL OINTMENT [10674],0637,RC,,,,,inpatient,,,30.2,,15.1,18.12,30.49294,28.388,,,,percent of total billed charges,,24.16,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,25.066,,,,percent of total billed charges,,27.18,,,,percent of total billed charges,,27.784,,,,percent of total billed charges,,27.784,,,,percent of total billed charges,,28.5692,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,29.294,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,26.576,,,,percent of total billed charges,,27.18,,,,percent of total billed charges,,19.5696,,,,percent of total billed charges,,27.18,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,30.49294,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,28.69,,,,percent of total billed charges,,24.16,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN 2 % TOPICAL OINTMENT [10674],0637,RC,,,,,inpatient,,,18.81,,9.405,11.286,18.992457,17.6814,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,15.6123,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.3052,,,,percent of total billed charges,,17.3052,,,,percent of total billed charges,,17.79426,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,18.2457,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,16.5528,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,12.18888,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,11.286,,,,percent of total billed charges,,18.992457,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,17.8695,,,,percent of total billed charges,,15.048,,,,percent of total billed charges,,11.286,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN CALCIUM 2 % NASAL OINTMENT [82951],0637,RC,,,,,inpatient,,,68.69,,34.345,41.214,69.356293,64.5686,,,,percent of total billed charges,,54.952,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,57.0127,,,,percent of total billed charges,,61.821,,,,percent of total billed charges,,63.1948,,,,percent of total billed charges,,63.1948,,,,percent of total billed charges,,64.98074,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,66.6293,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,60.4472,,,,percent of total billed charges,,61.821,,,,percent of total billed charges,,44.51112,,,,percent of total billed charges,,61.821,,,,percent of total billed charges,,41.214,,,,percent of total billed charges,,69.356293,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,65.2555,,,,percent of total billed charges,,54.952,,,,percent of total billed charges,,41.214,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MUPIROCIN OINT IN NS NASAL SPRAY [1000591],0637,RC,,,,,inpatient,,,43.25,,21.625,25.95,43.669525,40.655,,,,percent of total billed charges,,34.6,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,35.8975,,,,percent of total billed charges,,38.925,,,,percent of total billed charges,,39.79,,,,percent of total billed charges,,39.79,,,,percent of total billed charges,,40.9145,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,41.9525,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,38.06,,,,percent of total billed charges,,38.925,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,38.925,,,,percent of total billed charges,,25.95,,,,percent of total billed charges,,43.669525,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,41.0875,,,,percent of total billed charges,,34.6,,,,percent of total billed charges,,25.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN [93681]",0250,RC,,,,,inpatient,,,3.42,,1.71,2.052,3.453174,3.2148,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.8386,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.23532,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.3174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.0096,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.21616,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,3.453174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN [93681]",0250,RC,,,,,inpatient,,,57.83,,28.915,34.698,58.390951,54.3602,,,,percent of total billed charges,,46.264,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,47.9989,,,,percent of total billed charges,,52.047,,,,percent of total billed charges,,53.2036,,,,percent of total billed charges,,53.2036,,,,percent of total billed charges,,54.70718,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,56.0951,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,50.8904,,,,percent of total billed charges,,52.047,,,,percent of total billed charges,,37.47384,,,,percent of total billed charges,,52.047,,,,percent of total billed charges,,34.698,,,,percent of total billed charges,,58.390951,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,54.9385,,,,percent of total billed charges,,46.264,,,,percent of total billed charges,,34.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [215696]",0250,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 50 MG/ML ORAL LIQUID - BMC [7000267],0636,RC,,,,,inpatient,,,540,,270,324,545.238,507.6,,,,percent of total billed charges,,432,,,,percent of total billed charges,,513,,,,percent of total billed charges,,448.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,496.8,,,,percent of total billed charges,,510.84,,,,percent of total billed charges,,513,,,,percent of total billed charges,,523.8,,,,percent of total billed charges,,513,,,,percent of total billed charges,,475.2,,,,percent of total billed charges,,486,,,,percent of total billed charges,,349.92,,,,percent of total billed charges,,486,,,,percent of total billed charges,,324,,,,percent of total billed charges,,545.238,,,,percent of total billed charges,,513,,,,percent of total billed charges,,513,,,,percent of total billed charges,,432,,,,percent of total billed charges,,324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,,,,,inpatient,,,300.1,,150.05,180.06,303.01097,282.094,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,249.083,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,283.8946,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,291.097,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,264.088,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,194.4648,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,303.01097,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,,,,,inpatient,,,300.1,,150.05,180.06,303.01097,282.094,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,249.083,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,276.092,,,,percent of total billed charges,,283.8946,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,291.097,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,264.088,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,194.4648,,,,percent of total billed charges,,270.09,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,303.01097,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,285.095,,,,percent of total billed charges,,240.08,,,,percent of total billed charges,,180.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,,,,,inpatient,,,99.57,,49.785,59.742,100.535829,93.5958,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,82.6431,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,94.19322,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,96.5829,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,87.6216,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,64.52136,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,100.535829,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,,,,,inpatient,,,99.57,,49.785,59.742,100.535829,93.5958,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,82.6431,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,91.6044,,,,percent of total billed charges,,94.19322,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,96.5829,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,87.6216,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,64.52136,,,,percent of total billed charges,,89.613,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,100.535829,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,94.5915,,,,percent of total billed charges,,79.656,,,,percent of total billed charges,,59.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,,,,,inpatient,,,89.79,,44.895,53.874,90.660963,84.4026,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,74.5257,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,84.94134,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,87.0963,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,79.0152,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,58.18392,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,90.660963,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,,,,,inpatient,,,89.79,,44.895,53.874,90.660963,84.4026,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,74.5257,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,82.6068,,,,percent of total billed charges,,84.94134,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,87.0963,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,79.0152,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,58.18392,,,,percent of total billed charges,,80.811,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,90.660963,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,85.3005,,,,percent of total billed charges,,71.832,,,,percent of total billed charges,,53.874,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION [82205],0636,RC,,,,,inpatient,,,600.2,,300.1,360.12,606.02194,564.188,,,,percent of total billed charges,,480.16,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,498.166,,,,percent of total billed charges,,540.18,,,,percent of total billed charges,,552.184,,,,percent of total billed charges,,552.184,,,,percent of total billed charges,,567.7892,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,582.194,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,528.176,,,,percent of total billed charges,,540.18,,,,percent of total billed charges,,388.9296,,,,percent of total billed charges,,540.18,,,,percent of total billed charges,,360.12,,,,percent of total billed charges,,606.02194,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,570.19,,,,percent of total billed charges,,480.16,,,,percent of total billed charges,,360.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,,,,,inpatient,,,0.57,,0.285,0.342,0.575529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.36936,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.575529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,,,,,inpatient,,,1.91,,0.955,1.146,1.928527,1.7954,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.5853,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.80686,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.6808,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.23768,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,1.928527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYCOPHENOLATE MOFETIL 250 MG CAPSULE [78046],0636,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,,,,,inpatient,,,1.04,,0.52,0.624,1.050088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.67392,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,1.050088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,,,,,inpatient,,,3.87,,1.935,2.322,3.907539,3.6378,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.2121,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.66102,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.7539,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,2.50776,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,3.907539,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NABUMETONE 500 MG TABLET [10676],0637,RC,,,,,inpatient,,,3.87,,1.935,2.322,3.907539,3.6378,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.2121,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.5604,,,,percent of total billed charges,,3.66102,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.7539,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,2.50776,,,,percent of total billed charges,,3.483,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,3.907539,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.6765,,,,percent of total billed charges,,3.096,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],0636,RC,,,,,inpatient,,,15.5,,7.75,9.3,15.65035,14.57,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.865,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.663,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,15.035,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,13.64,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,15.65035,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALBUPHINE 10 MG/ML INJECTION SOLUTION [5339],0636,RC,,,,,inpatient,,,15.5,,7.75,9.3,15.65035,14.57,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.865,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.26,,,,percent of total billed charges,,14.663,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,15.035,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,13.64,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,13.95,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,15.65035,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,14.725,,,,percent of total billed charges,,12.4,,,,percent of total billed charges,,9.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,63.53,,31.765,38.118,64.146241,59.7182,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,52.7299,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,60.09938,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,61.6241,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,55.9064,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,41.16744,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,64.146241,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,13.45,,6.725,8.07,13.580465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.7156,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,13.580465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,13.45,,6.725,8.07,13.580465,12.643,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.1635,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.374,,,,percent of total billed charges,,12.7237,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,13.0465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,11.836,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.7156,,,,percent of total billed charges,,12.105,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,13.580465,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,12.7775,,,,percent of total billed charges,,10.76,,,,percent of total billed charges,,8.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,13.21,,6.605,7.926,13.338137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,8.56008,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,13.338137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,13.21,,6.605,7.926,13.338137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,8.56008,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,13.338137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,16.65,,8.325,9.99,16.811505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,10.7892,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,16.811505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,16.65,,8.325,9.99,16.811505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,10.7892,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,16.811505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,63.53,,31.765,38.118,64.146241,59.7182,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,52.7299,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,58.4476,,,,percent of total billed charges,,60.09938,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,61.6241,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,55.9064,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,41.16744,,,,percent of total billed charges,,57.177,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,64.146241,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,60.3535,,,,percent of total billed charges,,50.824,,,,percent of total billed charges,,38.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,11.75,,5.875,7.05,11.863975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,11.863975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,11.75,,5.875,7.05,11.863975,11.045,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.7525,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,10.81,,,,percent of total billed charges,,11.1155,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.3975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,10.34,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.614,,,,percent of total billed charges,,10.575,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,11.863975,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,11.1625,,,,percent of total billed charges,,9.4,,,,percent of total billed charges,,7.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,,,,,inpatient,,,42.31,,21.155,25.386,42.720407,39.7714,,,,percent of total billed charges,,33.848,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,35.1173,,,,percent of total billed charges,,38.079,,,,percent of total billed charges,,38.9252,,,,percent of total billed charges,,38.9252,,,,percent of total billed charges,,40.02526,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,41.0407,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,37.2328,,,,percent of total billed charges,,38.079,,,,percent of total billed charges,,27.41688,,,,percent of total billed charges,,38.079,,,,percent of total billed charges,,25.386,,,,percent of total billed charges,,42.720407,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,40.1945,,,,percent of total billed charges,,33.848,,,,percent of total billed charges,,25.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,,,,,inpatient,,,57.91,,28.955,34.746,58.471727,54.4354,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,48.0653,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,53.2772,,,,percent of total billed charges,,54.78286,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,56.1727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,50.9608,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,37.52568,,,,percent of total billed charges,,52.119,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,58.471727,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,55.0145,,,,percent of total billed charges,,46.328,,,,percent of total billed charges,,34.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,,,,,inpatient,,,56.17,,28.085,33.702,56.714849,52.7998,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,46.6211,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,53.13682,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,54.4849,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,49.4296,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,36.39816,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,56.714849,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,,,,,inpatient,,,56.17,,28.085,33.702,56.714849,52.7998,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,46.6211,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,51.6764,,,,percent of total billed charges,,53.13682,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,54.4849,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,49.4296,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,36.39816,,,,percent of total billed charges,,50.553,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,56.714849,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,53.3615,,,,percent of total billed charges,,44.936,,,,percent of total billed charges,,33.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,,,,,inpatient,,,49.58,,24.79,29.748,50.060926,46.6052,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,41.1514,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,46.90268,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,48.0926,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,43.6304,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,32.12784,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,50.060926,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 1 MG/ML INJECTION SYRINGE [5374],0636,RC,,,,,inpatient,,,49.58,,24.79,29.748,50.060926,46.6052,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,41.1514,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,45.6136,,,,percent of total billed charges,,46.90268,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,48.0926,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,43.6304,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,32.12784,,,,percent of total billed charges,,44.622,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,50.060926,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,47.101,,,,percent of total billed charges,,39.664,,,,percent of total billed charges,,29.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALOXONE 0.4 MG/ML INJECTION SOLUTION [5373],0636,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,,,,,inpatient,,,6.35,,3.175,3.81,6.411595,5.969,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.2705,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,5.842,,,,percent of total billed charges,,6.0071,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.1595,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.588,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,4.1148,,,,percent of total billed charges,,5.715,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,6.411595,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,6.0325,,,,percent of total billed charges,,5.08,,,,percent of total billed charges,,3.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,,,,,inpatient,,,7.82,,3.91,4.692,7.895854,7.3508,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.4906,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.1944,,,,percent of total billed charges,,7.39772,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.5854,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.8816,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,5.06736,,,,percent of total billed charges,,7.038,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,7.895854,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,7.429,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,4.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NALTREXONE 50 MG TABLET [10685],0637,RC,,,,,inpatient,,,7.02,,3.51,4.212,7.088094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.54896,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,7.088094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [95888]",0636,RC,,,,,inpatient,,,7126.52,,3563.26,4275.912,7195.647244,6698.9288,,,,percent of total billed charges,,5701.216,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,5915.0116,,,,percent of total billed charges,,6413.868,,,,percent of total billed charges,,6556.3984,,,,percent of total billed charges,,6556.3984,,,,percent of total billed charges,,6741.68792,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,6912.7244,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,6271.3376,,,,percent of total billed charges,,6413.868,,,,percent of total billed charges,,4617.98496,,,,percent of total billed charges,,6413.868,,,,percent of total billed charges,,4275.912,,,,percent of total billed charges,,7195.647244,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,6770.194,,,,percent of total billed charges,,5701.216,,,,percent of total billed charges,,4275.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPHAZOLINE 0.025 %-PHENIRAMINE 0.3 % EYE DROPS [82531],0637,RC,,,,,inpatient,,,35.31,,17.655,21.186,35.652507,33.1914,,,,percent of total billed charges,,28.248,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,29.3073,,,,percent of total billed charges,,31.779,,,,percent of total billed charges,,32.4852,,,,percent of total billed charges,,32.4852,,,,percent of total billed charges,,33.40326,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,34.2507,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,31.0728,,,,percent of total billed charges,,31.779,,,,percent of total billed charges,,22.88088,,,,percent of total billed charges,,31.779,,,,percent of total billed charges,,21.186,,,,percent of total billed charges,,35.652507,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,33.5445,,,,percent of total billed charges,,28.248,,,,percent of total billed charges,,21.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPROXEN 250 MG TABLET [5391],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPROXEN 250 MG TABLET [5391],0637,RC,,,,,inpatient,,,0.97,,0.485,0.582,0.979409,0.9118,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.91762,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.62856,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.979409,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NAPROXEN 250 MG TABLET [5391],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [93813],0636,RC,,,,,inpatient,,,32837.4,,16418.7,19702.44,33155.92278,30867.156,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,27255.042,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,31064.1804,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31852.278,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,28896.912,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,21278.6352,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,33155.92278,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [93813],0636,RC,,,,,inpatient,,,14303.05,,7151.525,8581.83,14441.78959,13444.867,,,,percent of total billed charges,,11442.44,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,11871.5315,,,,percent of total billed charges,,12872.745,,,,percent of total billed charges,,13158.806,,,,percent of total billed charges,,13158.806,,,,percent of total billed charges,,13530.6853,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,13873.9585,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,12586.684,,,,percent of total billed charges,,12872.745,,,,percent of total billed charges,,9268.3764,,,,percent of total billed charges,,12872.745,,,,percent of total billed charges,,8581.83,,,,percent of total billed charges,,14441.78959,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,13587.8975,,,,percent of total billed charges,,11442.44,,,,percent of total billed charges,,8581.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [93813],0636,RC,,,,,inpatient,,,32837.4,,16418.7,19702.44,33155.92278,30867.156,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,27255.042,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,30210.408,,,,percent of total billed charges,,31064.1804,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31852.278,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,28896.912,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,21278.6352,,,,percent of total billed charges,,29553.66,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,33155.92278,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,31195.53,,,,percent of total billed charges,,26269.92,,,,percent of total billed charges,,19702.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,,,,,inpatient,,,22.74,,11.37,13.644,22.960578,21.3756,,,,percent of total billed charges,,18.192,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,18.8742,,,,percent of total billed charges,,20.466,,,,percent of total billed charges,,20.9208,,,,percent of total billed charges,,20.9208,,,,percent of total billed charges,,21.51204,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,22.0578,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,20.0112,,,,percent of total billed charges,,20.466,,,,percent of total billed charges,,14.73552,,,,percent of total billed charges,,20.466,,,,percent of total billed charges,,13.644,,,,percent of total billed charges,,22.960578,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,21.603,,,,percent of total billed charges,,18.192,,,,percent of total billed charges,,13.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,,,,,inpatient,,,1.91,,0.955,1.146,1.928527,1.7954,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.5853,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.80686,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.6808,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.23768,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,1.928527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,,,,,inpatient,,,10.23,,5.115,6.138,10.329231,9.6162,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,8.4909,,,,percent of total billed charges,,9.207,,,,percent of total billed charges,,9.4116,,,,percent of total billed charges,,9.4116,,,,percent of total billed charges,,9.67758,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,9.9231,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,9.0024,,,,percent of total billed charges,,9.207,,,,percent of total billed charges,,6.62904,,,,percent of total billed charges,,9.207,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,10.329231,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,9.7185,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,6.138,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,,,,,inpatient,,,7.47,,3.735,4.482,7.542459,7.0218,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.2001,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.06662,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.5736,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,4.84056,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,7.542459,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEBIVOLOL 5 MG TABLET [164131],0637,RC,,,,,inpatient,,,7.47,,3.735,4.482,7.542459,7.0218,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.2001,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.06662,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,6.5736,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,4.84056,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,7.542459,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS [135298]",0637,RC,,,,,inpatient,,,211.68,,105.84,127.008,213.733296,198.9792,,,,percent of total billed charges,,169.344,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,175.6944,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,194.7456,,,,percent of total billed charges,,194.7456,,,,percent of total billed charges,,200.24928,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,205.3296,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,186.2784,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,137.16864,,,,percent of total billed charges,,190.512,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,213.733296,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,201.096,,,,percent of total billed charges,,169.344,,,,percent of total billed charges,,127.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP [35126]",0637,RC,,,,,inpatient,,,563.09,,281.545,337.854,568.551973,529.3046,,,,percent of total billed charges,,450.472,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,467.3647,,,,percent of total billed charges,,506.781,,,,percent of total billed charges,,518.0428,,,,percent of total billed charges,,518.0428,,,,percent of total billed charges,,532.68314,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,546.1973,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,495.5192,,,,percent of total billed charges,,506.781,,,,percent of total billed charges,,364.88232,,,,percent of total billed charges,,506.781,,,,percent of total billed charges,,337.854,,,,percent of total billed charges,,568.551973,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,534.9355,,,,percent of total billed charges,,450.472,,,,percent of total billed charges,,337.854,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [19495]",0637,RC,,,,,inpatient,,,82.08,,41.04,49.248,82.876176,77.1552,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,68.1264,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,75.5136,,,,percent of total billed charges,,75.5136,,,,percent of total billed charges,,77.64768,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,79.6176,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,72.2304,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,53.18784,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,82.876176,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,77.976,,,,percent of total billed charges,,65.664,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOMYCIN 500 MG TABLET [5472],0637,RC,,,,,inpatient,,,4.35,,2.175,2.61,4.392195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.8188,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.392195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOMYCIN 500 MG TABLET [5472],0637,RC,,,,,inpatient,,,3.39,,1.695,2.034,3.422883,3.1866,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.8137,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.1188,,,,percent of total billed charges,,3.20694,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.9832,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.19672,,,,percent of total billed charges,,3.051,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,3.422883,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,3.2205,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",0637,RC,,,,,inpatient,,,17.69,,8.845,10.614,17.861593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,11.46312,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,17.861593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [38701]",0637,RC,,,,,inpatient,,,57.92,,28.96,34.752,58.481824,54.4448,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,48.0736,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,54.79232,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,56.1824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,50.9696,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,37.53216,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,58.481824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",0637,RC,,,,,inpatient,,,355.68,,177.84,213.408,359.130096,334.3392,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,295.2144,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,327.2256,,,,percent of total billed charges,,336.47328,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,345.0096,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,312.9984,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,230.48064,,,,percent of total billed charges,,320.112,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,359.130096,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,337.896,,,,percent of total billed charges,,284.544,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [28810]",0637,RC,,,,,inpatient,,,369.09,,184.545,221.454,372.670173,346.9446,,,,percent of total billed charges,,295.272,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,306.3447,,,,percent of total billed charges,,332.181,,,,percent of total billed charges,,339.5628,,,,percent of total billed charges,,339.5628,,,,percent of total billed charges,,349.15914,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,358.0173,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,324.7992,,,,percent of total billed charges,,332.181,,,,percent of total billed charges,,239.17032,,,,percent of total billed charges,,332.181,,,,percent of total billed charges,,221.454,,,,percent of total billed charges,,372.670173,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,350.6355,,,,percent of total billed charges,,295.272,,,,percent of total billed charges,,221.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEOMYCIN-POLYMYXIN-PRAMOXINE 3.5 MG-10,000 UNIT-10 MG/GRAM TOP CREAM [87766]",0637,RC,,,,,inpatient,,,16.17,,8.085,9.702,16.326849,15.1998,,,,percent of total billed charges,,12.936,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,13.4211,,,,percent of total billed charges,,14.553,,,,percent of total billed charges,,14.8764,,,,percent of total billed charges,,14.8764,,,,percent of total billed charges,,15.29682,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,15.6849,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,14.2296,,,,percent of total billed charges,,14.553,,,,percent of total billed charges,,10.47816,,,,percent of total billed charges,,14.553,,,,percent of total billed charges,,9.702,,,,percent of total billed charges,,16.326849,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,15.3615,,,,percent of total billed charges,,12.936,,,,percent of total billed charges,,9.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,22.64,,11.32,13.584,22.859608,21.2816,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.7912,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,21.41744,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.9608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,19.9232,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,14.67072,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,22.859608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,22.64,,11.32,13.584,22.859608,21.2816,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.7912,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,21.41744,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.9608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,19.9232,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,14.67072,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,22.859608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,8.28,,4.14,4.968,8.360316,7.7832,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.83288,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.2864,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,5.36544,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,8.360316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,8.28,,4.14,4.968,8.360316,7.7832,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.83288,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.2864,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,5.36544,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,8.360316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,24.39,,12.195,14.634,24.626583,22.9266,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,20.2437,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,23.07294,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.6583,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,21.4632,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,15.80472,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,24.626583,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,24.39,,12.195,14.634,24.626583,22.9266,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,20.2437,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,22.4388,,,,percent of total billed charges,,23.07294,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.6583,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,21.4632,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,15.80472,,,,percent of total billed charges,,21.951,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,24.626583,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,23.1705,,,,percent of total billed charges,,19.512,,,,percent of total billed charges,,14.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,73.71,,36.855,44.226,74.424987,69.2874,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,61.1793,,,,percent of total billed charges,,66.339,,,,percent of total billed charges,,67.8132,,,,percent of total billed charges,,67.8132,,,,percent of total billed charges,,69.72966,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,71.4987,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,64.8648,,,,percent of total billed charges,,66.339,,,,percent of total billed charges,,47.76408,,,,percent of total billed charges,,66.339,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,74.424987,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,70.0245,,,,percent of total billed charges,,58.968,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,14.49,,7.245,8.694,14.630553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,9.38952,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,14.630553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,14.99,,7.495,8.994,15.135403,14.0906,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,12.4417,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,14.18054,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.5403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,13.1912,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,9.71352,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,15.135403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,14.99,,7.495,8.994,15.135403,14.0906,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,12.4417,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,13.7908,,,,percent of total billed charges,,14.18054,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.5403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,13.1912,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,9.71352,,,,percent of total billed charges,,13.491,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,15.135403,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,14.2405,,,,percent of total billed charges,,11.992,,,,percent of total billed charges,,8.994,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [217850],0636,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,,,,,inpatient,,,12.03,,6.015,7.218,12.146691,11.3082,,,,percent of total billed charges,,9.624,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,9.9849,,,,percent of total billed charges,,10.827,,,,percent of total billed charges,,11.0676,,,,percent of total billed charges,,11.0676,,,,percent of total billed charges,,11.38038,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,11.6691,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,10.5864,,,,percent of total billed charges,,10.827,,,,percent of total billed charges,,7.79544,,,,percent of total billed charges,,10.827,,,,percent of total billed charges,,7.218,,,,percent of total billed charges,,12.146691,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,11.4285,,,,percent of total billed charges,,9.624,,,,percent of total billed charges,,7.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,,,,,inpatient,,,12.58,,6.29,7.548,12.702026,11.8252,,,,percent of total billed charges,,10.064,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,10.4414,,,,percent of total billed charges,,11.322,,,,percent of total billed charges,,11.5736,,,,percent of total billed charges,,11.5736,,,,percent of total billed charges,,11.90068,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,12.2026,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,11.0704,,,,percent of total billed charges,,11.322,,,,percent of total billed charges,,8.15184,,,,percent of total billed charges,,11.322,,,,percent of total billed charges,,7.548,,,,percent of total billed charges,,12.702026,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,11.951,,,,percent of total billed charges,,10.064,,,,percent of total billed charges,,7.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,,,,,inpatient,,,1.67,,0.835,1.002,1.686199,1.5698,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.3861,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.5364,,,,percent of total billed charges,,1.57982,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.6199,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.4696,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.08216,,,,percent of total billed charges,,1.503,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,1.686199,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.5865,,,,percent of total billed charges,,1.336,,,,percent of total billed charges,,1.002,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,,,,,inpatient,,,1.47,,0.735,0.882,1.484259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.95256,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.484259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,,,,,inpatient,,,4.73,,2.365,2.838,4.775881,4.4462,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.47458,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.1624,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,3.06504,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,4.775881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [5545]",0637,RC,,,,,inpatient,,,4.73,,2.365,2.838,4.775881,4.4462,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.3516,,,,percent of total billed charges,,4.47458,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.1624,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,3.06504,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,4.775881,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 12.5MG IN NS 250ML (FOR BOLUS) [7000233],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [188961],0250,RC,,,,,inpatient,,,185.4,,92.7,111.24,187.19838,174.276,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,153.882,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,175.3884,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,179.838,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,163.152,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,120.1392,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,187.19838,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN [188961],0250,RC,,,,,inpatient,,,185.4,,92.7,111.24,187.19838,174.276,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,153.882,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,170.568,,,,percent of total billed charges,,175.3884,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,179.838,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,163.152,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,120.1392,,,,percent of total billed charges,,166.86,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,187.19838,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,176.13,,,,percent of total billed charges,,148.32,,,,percent of total billed charges,,111.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 200 MCG/ML IN NS INJECTION [1000934],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [79101],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE (POLACRILEX) 2 MG GUM [10717],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE (POLACRILEX) 2 MG GUM [10717],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE (POLACRILEX) 2 MG GUM [10717],0637,RC,,,,,inpatient,,,0.55,,0.275,0.33,0.555335,0.517,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.4565,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.506,,,,percent of total billed charges,,0.5203,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.484,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.3564,,,,percent of total billed charges,,0.495,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,0.555335,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.5225,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],0637,RC,,,,,inpatient,,,6.62,,3.31,3.972,6.684214,6.2228,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.4946,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.0904,,,,percent of total billed charges,,6.26252,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.4214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.8256,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,4.28976,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,6.684214,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,6.289,,,,percent of total billed charges,,5.296,,,,percent of total billed charges,,3.972,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [27862],0637,RC,,,,,inpatient,,,5.59,,2.795,3.354,5.644223,5.2546,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.6397,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.1428,,,,percent of total billed charges,,5.28814,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.4223,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,3.62232,,,,percent of total billed charges,,5.031,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,5.644223,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,5.3105,,,,percent of total billed charges,,4.472,,,,percent of total billed charges,,3.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],0637,RC,,,,,inpatient,,,5.34,,2.67,3.204,5.391798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,5.391798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],0637,RC,,,,,inpatient,,,5.02,,2.51,3.012,5.068694,4.7188,,,,percent of total billed charges,,4.016,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.1666,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,4.6184,,,,percent of total billed charges,,4.6184,,,,percent of total billed charges,,4.74892,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.8694,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.4176,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,3.25296,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,3.012,,,,percent of total billed charges,,5.068694,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.769,,,,percent of total billed charges,,4.016,,,,percent of total billed charges,,3.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [27863],0637,RC,,,,,inpatient,,,5.34,,2.67,3.204,5.391798,5.0196,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.4322,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,4.9128,,,,percent of total billed charges,,5.05164,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.1798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.6992,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.46032,,,,percent of total billed charges,,4.806,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,5.391798,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,5.073,,,,percent of total billed charges,,4.272,,,,percent of total billed charges,,3.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],0637,RC,,,,,inpatient,,,7.06,,3.53,4.236,7.128482,6.6364,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.8598,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.4952,,,,percent of total billed charges,,6.67876,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.8482,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.2128,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,4.57488,,,,percent of total billed charges,,6.354,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,7.128482,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,6.707,,,,percent of total billed charges,,5.648,,,,percent of total billed charges,,4.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [27860],0637,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,,,,,inpatient,,,3.54,,1.77,2.124,3.574338,3.3276,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.9382,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.34884,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.4338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.1152,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.29392,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,3.574338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,,,,,inpatient,,,1.92,,0.96,1.152,1.938624,1.8048,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.5936,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.7664,,,,percent of total billed charges,,1.81632,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.8624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.6896,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.24416,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.938624,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,,,,,inpatient,,,2.43,,1.215,1.458,2.453571,2.2842,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.0169,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.2356,,,,percent of total billed charges,,2.29878,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3571,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.1384,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.57464,,,,percent of total billed charges,,2.187,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.453571,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,2.3085,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIFEDIPINE 10 MG CAPSULE [5558],0637,RC,,,,,inpatient,,,4.7,,2.35,2.82,4.74559,4.418,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.901,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.4462,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.559,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,3.0456,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,4.74559,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,,,,,inpatient,,,4.62,,2.31,2.772,4.664814,4.3428,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.8346,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.37052,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.4814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.0656,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.99376,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,4.664814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,,,,,inpatient,,,6.38,,3.19,3.828,6.441886,5.9972,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.2954,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,6.03548,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.1886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.6144,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,4.13424,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,6.441886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,,,,,inpatient,,,6.38,,3.19,3.828,6.441886,5.9972,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.2954,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,5.8696,,,,percent of total billed charges,,6.03548,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.1886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.6144,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,4.13424,,,,percent of total billed charges,,5.742,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,6.441886,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,6.061,,,,percent of total billed charges,,5.104,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,,,,,inpatient,,,4.62,,2.31,2.772,4.664814,4.3428,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.8346,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.37052,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.4814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.0656,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.99376,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,4.664814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,,,,,inpatient,,,5.09,,2.545,3.054,5.139373,4.7846,,,,percent of total billed charges,,4.072,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.2247,,,,percent of total billed charges,,4.581,,,,percent of total billed charges,,4.6828,,,,percent of total billed charges,,4.6828,,,,percent of total billed charges,,4.81514,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.9373,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.4792,,,,percent of total billed charges,,4.581,,,,percent of total billed charges,,3.29832,,,,percent of total billed charges,,4.581,,,,percent of total billed charges,,3.054,,,,percent of total billed charges,,5.139373,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.8355,,,,percent of total billed charges,,4.072,,,,percent of total billed charges,,3.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [28643]",0637,RC,,,,,inpatient,,,4.24,,2.12,2.544,4.281128,3.9856,,,,percent of total billed charges,,3.392,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,3.5192,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,3.9008,,,,percent of total billed charges,,3.9008,,,,percent of total billed charges,,4.01104,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,4.1128,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,3.7312,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,2.74752,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,4.281128,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,4.028,,,,percent of total billed charges,,3.392,,,,percent of total billed charges,,2.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,,,,,inpatient,,,17.57,,8.785,10.542,17.740429,16.5158,,,,percent of total billed charges,,14.056,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,14.5831,,,,percent of total billed charges,,15.813,,,,percent of total billed charges,,16.1644,,,,percent of total billed charges,,16.1644,,,,percent of total billed charges,,16.62122,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,17.0429,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,15.4616,,,,percent of total billed charges,,15.813,,,,percent of total billed charges,,11.38536,,,,percent of total billed charges,,15.813,,,,percent of total billed charges,,10.542,,,,percent of total billed charges,,17.740429,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,16.6915,,,,percent of total billed charges,,14.056,,,,percent of total billed charges,,10.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,,,,,inpatient,,,4.2,,2.1,2.52,4.24074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.7216,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,4.24074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,,,,,inpatient,,,4.2,,2.1,2.52,4.24074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.7216,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,4.24074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,,,,,inpatient,,,4.89,,2.445,2.934,4.937433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.16872,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.937433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIMODIPINE 30 MG CAPSULE [78478],0637,RC,,,,,inpatient,,,4.89,,2.445,2.934,4.937433,4.5966,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.0587,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.4988,,,,percent of total billed charges,,4.62594,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.7433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.3032,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,3.16872,,,,percent of total billed charges,,4.401,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,4.937433,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,4.6455,,,,percent of total billed charges,,3.912,,,,percent of total billed charges,,2.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIPPLE OINTMENT  [1001484],0637,RC,,,,,inpatient,,,1.35,,0.675,0.81,1.363095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.8748,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.363095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRMATRELVIR 150 MG-RITONAVIR 100 MG TABLETS IN A DOSE PACK [257876],0637,RC,,,,,inpatient,,,5749.02,,2874.51,3449.412,5804.785494,5404.0788,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4771.6866,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5438.57292,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5576.5494,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5059.1376,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,3725.36496,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,5804.785494,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRMATRELVIR 150 MG-RITONAVIR 100 MG TABLETS IN A DOSE PACK [257876],0637,RC,,,,,inpatient,,,5749.02,,2874.51,3449.412,5804.785494,5404.0788,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4771.6866,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5289.0984,,,,percent of total billed charges,,5438.57292,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5576.5494,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5059.1376,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,3725.36496,,,,percent of total billed charges,,5174.118,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,5804.785494,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,5461.569,,,,percent of total billed charges,,4599.216,,,,percent of total billed charges,,3449.412,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK [256232]",0637,RC,,,,,inpatient,,,5748.98,,2874.49,3449.388,5804.745106,5404.0412,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4771.6534,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5438.53508,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5576.5106,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5059.1024,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,3725.33904,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,5804.745106,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK [256232]",0637,RC,,,,,inpatient,,,5748.98,,2874.49,3449.388,5804.745106,5404.0412,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4771.6534,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5289.0616,,,,percent of total billed charges,,5438.53508,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5576.5106,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5059.1024,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,3725.33904,,,,percent of total billed charges,,5174.082,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,5804.745106,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,5461.531,,,,percent of total billed charges,,4599.184,,,,percent of total billed charges,,3449.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [263738],0636,RC,,,,,inpatient,,,2106.55,,1053.275,1263.93,2126.983535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1365.0444,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,2126.983535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [263738],0636,RC,,,,,inpatient,,,2106.55,,1053.275,1263.93,2126.983535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1365.0444,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,2126.983535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [263737],0636,RC,,,,,inpatient,,,2106.55,,1053.275,1263.93,2126.983535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1365.0444,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,2126.983535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [263737],0636,RC,,,,,inpatient,,,2106.55,,1053.275,1263.93,2126.983535,1980.157,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1748.4365,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1938.026,,,,percent of total billed charges,,1992.7963,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2043.3535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1853.764,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1365.0444,,,,percent of total billed charges,,1895.895,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,2126.983535,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,2001.2225,,,,percent of total billed charges,,1685.24,,,,percent of total billed charges,,1263.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,,,,,inpatient,,,8.73,,4.365,5.238,8.814681,8.2062,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.25858,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.4681,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.6824,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,5.65704,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,8.814681,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,,,,,inpatient,,,8.73,,4.365,5.238,8.814681,8.2062,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.2459,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,8.25858,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.4681,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,7.6824,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,5.65704,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,8.814681,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,,,,,inpatient,,,2.47,,1.235,1.482,2.493959,2.3218,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.0501,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.33662,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3959,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.1736,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.60056,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,2.493959,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE [10724],0637,RC,,,,,inpatient,,,9.08,,4.54,5.448,9.168076,8.5352,,,,percent of total billed charges,,7.264,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,7.5364,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,8.3536,,,,percent of total billed charges,,8.3536,,,,percent of total billed charges,,8.58968,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,8.8076,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,7.9904,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,5.88384,,,,percent of total billed charges,,8.172,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,9.168076,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,8.626,,,,percent of total billed charges,,7.264,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],0637,RC,,,,,inpatient,,,2.55,,1.275,1.53,2.574735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.6524,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.574735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [27471],0637,RC,,,,,inpatient,,,2.55,,1.275,1.53,2.574735,2.397,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.1165,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.346,,,,percent of total billed charges,,2.4123,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.6524,,,,percent of total billed charges,,2.295,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,2.574735,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.4225,,,,percent of total billed charges,,2.04,,,,percent of total billed charges,,1.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,,,,,inpatient,,,2.87,,1.435,1.722,2.897839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.85976,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.897839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,,,,,inpatient,,,2.87,,1.435,1.722,2.897839,2.6978,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.3821,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.6404,,,,percent of total billed charges,,2.71502,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.5256,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.85976,,,,percent of total billed charges,,2.583,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,2.897839,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.7265,,,,percent of total billed charges,,2.296,,,,percent of total billed charges,,1.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,,,,,inpatient,,,2.91,,1.455,1.746,2.938227,2.7354,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.75286,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.8227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.5608,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.88568,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,2.938227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [27472],0637,RC,,,,,inpatient,,,2.91,,1.455,1.746,2.938227,2.7354,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.75286,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.8227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.5608,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.88568,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,2.938227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,,,,,inpatient,,,6.69,,3.345,4.014,6.754893,6.2886,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,5.5527,,,,percent of total billed charges,,6.021,,,,percent of total billed charges,,6.1548,,,,percent of total billed charges,,6.1548,,,,percent of total billed charges,,6.32874,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,6.4893,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,5.8872,,,,percent of total billed charges,,6.021,,,,percent of total billed charges,,4.33512,,,,percent of total billed charges,,6.021,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,6.754893,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,6.3555,,,,percent of total billed charges,,5.352,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,,,,,inpatient,,,1.52,,0.76,0.912,1.534744,1.4288,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.2616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.43792,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.4744,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.3376,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,0.98496,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.534744,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [5604],0637,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],0637,RC,,,,,inpatient,,,2.81,,1.405,1.686,2.837257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.82088,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.837257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],0637,RC,,,,,inpatient,,,1.76,,0.88,1.056,1.777072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.14048,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.777072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [27474],0637,RC,,,,,inpatient,,,2.81,,1.405,1.686,2.837257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.82088,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.837257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],0637,RC,,,,,inpatient,,,4.31,,2.155,2.586,4.351807,4.0514,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.5773,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,4.07726,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.1807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.7928,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.79288,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,4.351807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [27475],0637,RC,,,,,inpatient,,,4.31,,2.155,2.586,4.351807,4.0514,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.5773,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,3.9652,,,,percent of total billed charges,,4.07726,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.1807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.7928,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.79288,,,,percent of total billed charges,,3.879,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,4.351807,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,4.0945,,,,percent of total billed charges,,3.448,,,,percent of total billed charges,,2.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 2 % TRANSDERMAL OINTMENT - PACKET [81551],0637,RC,,,,,inpatient,,,9.12,,4.56,5.472,9.208464,8.5728,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,7.5696,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,8.3904,,,,percent of total billed charges,,8.3904,,,,percent of total billed charges,,8.62752,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,8.8464,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,8.0256,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,5.90976,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,9.208464,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,8.664,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 2 % TRANSDERMAL OINTMENT - PACKET [81551],0637,RC,,,,,inpatient,,,140.81,,70.405,84.486,142.175857,132.3614,,,,percent of total billed charges,,112.648,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,116.8723,,,,percent of total billed charges,,126.729,,,,percent of total billed charges,,129.5452,,,,percent of total billed charges,,129.5452,,,,percent of total billed charges,,133.20626,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,136.5857,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,123.9128,,,,percent of total billed charges,,126.729,,,,percent of total billed charges,,91.24488,,,,percent of total billed charges,,126.729,,,,percent of total billed charges,,84.486,,,,percent of total billed charges,,142.175857,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,133.7695,,,,percent of total billed charges,,112.648,,,,percent of total billed charges,,84.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 200 MCG/ML IN D5W INJECTION - BMC [7000217],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MCG/ML INJECTION [1001301],0250,RC,,,,,inpatient,,,14.04,,7.02,8.424,14.176188,13.1976,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.6532,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,13.28184,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.6188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,12.3552,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,9.09792,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,14.176188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [194382],0250,RC,,,,,inpatient,,,49.46,,24.73,29.676,49.939762,46.4924,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,41.0518,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,46.78916,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,47.9762,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,43.5248,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,32.05008,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,49.939762,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [15859],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 500 MCG IN NS 0.5 ML (TOT VOL) SUBQ INJECTION [1001571],0250,RC,,,,,inpatient,,,49.46,,24.73,29.676,49.939762,46.4924,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,41.0518,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,45.5032,,,,percent of total billed charges,,46.78916,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,47.9762,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,43.5248,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,32.05008,,,,percent of total billed charges,,44.514,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,49.939762,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,46.987,,,,percent of total billed charges,,39.568,,,,percent of total billed charges,,29.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROPRUSSIDE 50 MCG/ML IN NS INJECTION - EAST [7000147],0250,RC,,,,,inpatient,,,923.4,,461.7,554.04,932.35698,867.996,,,,percent of total billed charges,,738.72,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,766.422,,,,percent of total billed charges,,831.06,,,,percent of total billed charges,,849.528,,,,percent of total billed charges,,849.528,,,,percent of total billed charges,,873.5364,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,895.698,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,812.592,,,,percent of total billed charges,,831.06,,,,percent of total billed charges,,598.3632,,,,percent of total billed charges,,831.06,,,,percent of total billed charges,,554.04,,,,percent of total billed charges,,932.35698,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,877.23,,,,percent of total billed charges,,738.72,,,,percent of total billed charges,,554.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROPRUSSIDE 5000MCG IN D5W 50 ML (100 MCG/ML) INJECTION - EAST [218935],0250,RC,,,,,inpatient,,,922.5,,461.25,553.5,931.44825,867.15,,,,percent of total billed charges,,738,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,765.675,,,,percent of total billed charges,,830.25,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,848.7,,,,percent of total billed charges,,872.685,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,894.825,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,811.8,,,,percent of total billed charges,,830.25,,,,percent of total billed charges,,597.78,,,,percent of total billed charges,,830.25,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,931.44825,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,876.375,,,,percent of total billed charges,,738,,,,percent of total billed charges,,553.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,,,,,inpatient,,,14034.24,,7017.12,8420.544,14170.37213,13192.1856,,,,percent of total billed charges,,11227.392,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,11648.4192,,,,percent of total billed charges,,12630.816,,,,percent of total billed charges,,12911.5008,,,,percent of total billed charges,,12911.5008,,,,percent of total billed charges,,13276.39104,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,13613.2128,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,12350.1312,,,,percent of total billed charges,,12630.816,,,,percent of total billed charges,,9094.18752,,,,percent of total billed charges,,12630.816,,,,percent of total billed charges,,8420.544,,,,percent of total billed charges,,14170.37213,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,13332.528,,,,percent of total billed charges,,11227.392,,,,percent of total billed charges,,8420.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [257450],0636,RC,,,,,inpatient,,,58129.92,,29064.96,34877.952,58693.78022,54642.1248,,,,percent of total billed charges,,46503.936,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,48247.8336,,,,percent of total billed charges,,52316.928,,,,percent of total billed charges,,53479.5264,,,,percent of total billed charges,,53479.5264,,,,percent of total billed charges,,54990.90432,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,56386.0224,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,51154.3296,,,,percent of total billed charges,,52316.928,,,,percent of total billed charges,,37668.18816,,,,percent of total billed charges,,52316.928,,,,percent of total billed charges,,34877.952,,,,percent of total billed charges,,58693.78022,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,55223.424,,,,percent of total billed charges,,46503.936,,,,percent of total billed charges,,34877.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [238003],0636,RC,,,,,inpatient,,,29939.81,,14969.905,17963.886,30230.22616,28143.4214,,,,percent of total billed charges,,23951.848,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,24850.0423,,,,percent of total billed charges,,26945.829,,,,percent of total billed charges,,27544.6252,,,,percent of total billed charges,,27544.6252,,,,percent of total billed charges,,28323.06026,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,29041.6157,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,26347.0328,,,,percent of total billed charges,,26945.829,,,,percent of total billed charges,,19400.99688,,,,percent of total billed charges,,26945.829,,,,percent of total billed charges,,17963.886,,,,percent of total billed charges,,30230.22616,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,28442.8195,,,,percent of total billed charges,,23951.848,,,,percent of total billed charges,,17963.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [223969],0636,RC,,,,,inpatient,,,5613.72,,2806.86,3368.232,5668.173084,5276.8968,,,,percent of total billed charges,,4490.976,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,4659.3876,,,,percent of total billed charges,,5052.348,,,,percent of total billed charges,,5164.6224,,,,percent of total billed charges,,5164.6224,,,,percent of total billed charges,,5310.57912,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,5445.3084,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,4940.0736,,,,percent of total billed charges,,5052.348,,,,percent of total billed charges,,3637.69056,,,,percent of total billed charges,,5052.348,,,,percent of total billed charges,,3368.232,,,,percent of total billed charges,,5668.173084,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,5333.034,,,,percent of total billed charges,,4490.976,,,,percent of total billed charges,,3368.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,,,,,inpatient,,,25299.06,,12649.53,15179.436,25544.46088,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,16393.79088,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,25544.46088,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [223969],0636,RC,,,,,inpatient,,,25299.14,,12649.57,15179.484,25544.54166,23781.1916,,,,percent of total billed charges,,20239.312,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,20998.2862,,,,percent of total billed charges,,22769.226,,,,percent of total billed charges,,23275.2088,,,,percent of total billed charges,,23275.2088,,,,percent of total billed charges,,23932.98644,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,24540.1658,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,22263.2432,,,,percent of total billed charges,,22769.226,,,,percent of total billed charges,,16393.84272,,,,percent of total billed charges,,22769.226,,,,percent of total billed charges,,15179.484,,,,percent of total billed charges,,25544.54166,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,24034.183,,,,percent of total billed charges,,20239.312,,,,percent of total billed charges,,15179.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,,,,,inpatient,,,25299.06,,12649.53,15179.436,25544.46088,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,16393.79088,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,25544.46088,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,,,,,inpatient,,,25299.06,,12649.53,15179.436,25544.46088,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,16393.79088,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,25544.46088,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [223970],0636,RC,,,,,inpatient,,,25299.06,,12649.53,15179.436,25544.46088,23781.1164,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20998.2198,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23275.1352,,,,percent of total billed charges,,23932.91076,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24540.0882,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,22263.1728,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,16393.79088,,,,percent of total billed charges,,22769.154,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,25544.46088,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,24034.107,,,,percent of total billed charges,,20239.248,,,,percent of total billed charges,,15179.436,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION [257450],0636,RC,,,,,inpatient,,,101727.36,,50863.68,61036.416,102714.1154,95623.7184,,,,percent of total billed charges,,81381.888,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,84433.7088,,,,percent of total billed charges,,91554.624,,,,percent of total billed charges,,93589.1712,,,,percent of total billed charges,,93589.1712,,,,percent of total billed charges,,96234.08256,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,98675.5392,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,89520.0768,,,,percent of total billed charges,,91554.624,,,,percent of total billed charges,,65919.32928,,,,percent of total billed charges,,91554.624,,,,percent of total billed charges,,61036.416,,,,percent of total billed charges,,102714.1154,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,96640.992,,,,percent of total billed charges,,81381.888,,,,percent of total billed charges,,61036.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE 10 MCG/ML IV DILUTION [1000881],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,101.15,,50.575,60.69,102.131155,95.081,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,83.9545,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,95.6879,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,98.1155,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,89.012,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,65.5452,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,102.131155,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,24.52,,12.26,14.712,24.757844,23.0488,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,20.3516,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,23.19592,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.7844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,21.5776,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,15.88896,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,24.757844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,24.52,,12.26,14.712,24.757844,23.0488,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,20.3516,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,23.19592,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.7844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,21.5776,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,15.88896,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,24.757844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,25.44,,12.72,15.264,25.686768,23.9136,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,21.1152,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,24.06624,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.6768,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,22.3872,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,16.48512,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,25.686768,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,25.44,,12.72,15.264,25.686768,23.9136,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,21.1152,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,23.4048,,,,percent of total billed charges,,24.06624,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.6768,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,22.3872,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,16.48512,,,,percent of total billed charges,,22.896,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,25.686768,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,24.168,,,,percent of total billed charges,,20.352,,,,percent of total billed charges,,15.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,14.48,,7.24,8.688,14.620456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,9.38304,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,14.620456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,14.48,,7.24,8.688,14.620456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,9.38304,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,14.620456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,24,,12,14.4,24.2328,22.56,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.92,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.08,,,,percent of total billed charges,,22.704,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,23.28,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,24.2328,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,22.8,,,,percent of total billed charges,,19.2,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,101.15,,50.575,60.69,102.131155,95.081,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,83.9545,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,93.058,,,,percent of total billed charges,,95.6879,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,98.1155,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,89.012,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,65.5452,,,,percent of total billed charges,,91.035,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,102.131155,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,96.0925,,,,percent of total billed charges,,80.92,,,,percent of total billed charges,,60.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,74.54,,37.27,44.724,75.263038,70.0676,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,61.8682,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,70.51484,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,72.3038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,65.5952,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,48.30192,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,75.263038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,74.54,,37.27,44.724,75.263038,70.0676,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,61.8682,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,68.5768,,,,percent of total billed charges,,70.51484,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,72.3038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,65.5952,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,48.30192,,,,percent of total billed charges,,67.086,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,75.263038,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,70.813,,,,percent of total billed charges,,59.632,,,,percent of total billed charges,,44.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,18.9,,9.45,11.34,19.08333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,12.2472,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,19.08333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,18.9,,9.45,11.34,19.08333,17.766,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.687,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.388,,,,percent of total billed charges,,17.8794,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,18.333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,12.2472,,,,percent of total billed charges,,17.01,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,19.08333,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,17.955,,,,percent of total billed charges,,15.12,,,,percent of total billed charges,,11.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,14.66,,7.33,8.796,14.802202,13.7804,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.1678,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.86836,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,14.2202,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.9008,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,9.49968,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,14.802202,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [10734],0250,RC,,,,,inpatient,,,14.66,,7.33,8.796,14.802202,13.7804,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.1678,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.4872,,,,percent of total billed charges,,13.86836,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,14.2202,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,12.9008,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,9.49968,,,,percent of total billed charges,,13.194,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,14.802202,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,13.927,,,,percent of total billed charges,,11.728,,,,percent of total billed charges,,8.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,,,,,inpatient,,,289.13,,144.565,173.478,291.934561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,187.35624,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,291.934561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV [209961],0250,RC,,,,,inpatient,,,289.13,,144.565,173.478,291.934561,271.7822,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,239.9779,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,265.9996,,,,percent of total billed charges,,273.51698,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,280.4561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,254.4344,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,187.35624,,,,percent of total billed charges,,260.217,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,291.934561,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,274.6735,,,,percent of total billed charges,,231.304,,,,percent of total billed charges,,173.478,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV [194755],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV [194756],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY [93726],0637,RC,,,,,inpatient,,,50.49,,25.245,30.294,50.979753,47.4606,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,41.9067,,,,percent of total billed charges,,45.441,,,,percent of total billed charges,,46.4508,,,,percent of total billed charges,,46.4508,,,,percent of total billed charges,,47.76354,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,48.9753,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,44.4312,,,,percent of total billed charges,,45.441,,,,percent of total billed charges,,32.71752,,,,percent of total billed charges,,45.441,,,,percent of total billed charges,,30.294,,,,percent of total billed charges,,50.979753,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,47.9655,,,,percent of total billed charges,,40.392,,,,percent of total billed charges,,30.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,,,,,inpatient,,,1.59,,0.795,0.954,1.605423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.03032,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.605423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 10 MG CAPSULE [5674],0637,RC,,,,,inpatient,,,1.59,,0.795,0.954,1.605423,1.4946,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3197,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.4628,,,,percent of total billed charges,,1.50414,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.3992,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,1.03032,,,,percent of total billed charges,,1.431,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,1.605423,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.5105,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 25 MG CAPSULE [5675],0637,RC,,,,,inpatient,,,0.56,,0.28,0.336,0.565432,0.5264,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4648,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.5152,,,,percent of total billed charges,,0.52976,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.5432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.4928,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.36288,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,0.565432,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.532,,,,percent of total billed charges,,0.448,,,,percent of total billed charges,,0.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 25 MG CAPSULE [5675],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORTRIPTYLINE 25 MG CAPSULE [5675],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIPERSLIDE LUBRICANT [7000126],0250,RC,,,,,inpatient,,,30.6,,15.3,18.36,30.89682,28.764,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,25.398,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.9476,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.682,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,26.928,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,19.8288,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,30.89682,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,,,,,inpatient,,,55.49,,27.745,33.294,56.028253,52.1606,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,46.0567,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,51.0508,,,,percent of total billed charges,,52.49354,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,53.8253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,48.8312,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,35.95752,,,,percent of total billed charges,,49.941,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,56.028253,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,52.7155,,,,percent of total billed charges,,44.392,,,,percent of total billed charges,,33.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,,,,,inpatient,,,57.92,,28.96,34.752,58.481824,54.4448,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,48.0736,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,53.2864,,,,percent of total billed charges,,54.79232,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,56.1824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,50.9696,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,37.53216,,,,percent of total billed charges,,52.128,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,58.481824,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,55.024,,,,percent of total billed charges,,46.336,,,,percent of total billed charges,,34.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,,,,,inpatient,,,82.62,,41.31,49.572,83.421414,77.6628,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,68.5746,,,,percent of total billed charges,,74.358,,,,percent of total billed charges,,76.0104,,,,percent of total billed charges,,76.0104,,,,percent of total billed charges,,78.15852,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,80.1414,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,72.7056,,,,percent of total billed charges,,74.358,,,,percent of total billed charges,,53.53776,,,,percent of total billed charges,,74.358,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,83.421414,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,78.489,,,,percent of total billed charges,,66.096,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5749]",0637,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",0637,RC,,,,,inpatient,,,76.01,,38.005,45.606,76.747297,71.4494,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,63.0883,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,71.90546,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,73.7297,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,66.8888,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,49.25448,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,76.747297,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT [5750]",0637,RC,,,,,inpatient,,,46.85,,23.425,28.11,47.304445,44.039,,,,percent of total billed charges,,37.48,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,38.8855,,,,percent of total billed charges,,42.165,,,,percent of total billed charges,,43.102,,,,percent of total billed charges,,43.102,,,,percent of total billed charges,,44.3201,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,45.4445,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,41.228,,,,percent of total billed charges,,42.165,,,,percent of total billed charges,,30.3588,,,,percent of total billed charges,,42.165,,,,percent of total billed charges,,28.11,,,,percent of total billed charges,,47.304445,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,44.5075,,,,percent of total billed charges,,37.48,,,,percent of total billed charges,,28.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,,,,,inpatient,,,53.73,,26.865,32.238,54.251181,50.5062,,,,percent of total billed charges,,42.984,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,44.5959,,,,percent of total billed charges,,48.357,,,,percent of total billed charges,,49.4316,,,,percent of total billed charges,,49.4316,,,,percent of total billed charges,,50.82858,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,52.1181,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,47.2824,,,,percent of total billed charges,,48.357,,,,percent of total billed charges,,34.81704,,,,percent of total billed charges,,48.357,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,54.251181,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,51.0435,,,,percent of total billed charges,,42.984,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,,,,,inpatient,,,86.61,,43.305,51.966,87.450117,81.4134,,,,percent of total billed charges,,69.288,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,71.8863,,,,percent of total billed charges,,77.949,,,,percent of total billed charges,,79.6812,,,,percent of total billed charges,,79.6812,,,,percent of total billed charges,,81.93306,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,84.0117,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,76.2168,,,,percent of total billed charges,,77.949,,,,percent of total billed charges,,56.12328,,,,percent of total billed charges,,77.949,,,,percent of total billed charges,,51.966,,,,percent of total billed charges,,87.450117,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,82.2795,,,,percent of total billed charges,,69.288,,,,percent of total billed charges,,51.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,,,,,inpatient,,,82.76,,41.38,49.656,83.562772,77.7944,,,,percent of total billed charges,,66.208,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,68.6908,,,,percent of total billed charges,,74.484,,,,percent of total billed charges,,76.1392,,,,percent of total billed charges,,76.1392,,,,percent of total billed charges,,78.29096,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,80.2772,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,72.8288,,,,percent of total billed charges,,74.484,,,,percent of total billed charges,,53.62848,,,,percent of total billed charges,,74.484,,,,percent of total billed charges,,49.656,,,,percent of total billed charges,,83.562772,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,78.622,,,,percent of total billed charges,,66.208,,,,percent of total billed charges,,49.656,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,,,,,inpatient,,,37.74,,18.87,22.644,38.106078,35.4756,,,,percent of total billed charges,,30.192,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,31.3242,,,,percent of total billed charges,,33.966,,,,percent of total billed charges,,34.7208,,,,percent of total billed charges,,34.7208,,,,percent of total billed charges,,35.70204,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,36.6078,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,33.2112,,,,percent of total billed charges,,33.966,,,,percent of total billed charges,,24.45552,,,,percent of total billed charges,,33.966,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,38.106078,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,35.853,,,,percent of total billed charges,,30.192,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,,,,,inpatient,,,73.24,,36.62,43.944,73.950428,68.8456,,,,percent of total billed charges,,58.592,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,60.7892,,,,percent of total billed charges,,65.916,,,,percent of total billed charges,,67.3808,,,,percent of total billed charges,,67.3808,,,,percent of total billed charges,,69.28504,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,71.0428,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,64.4512,,,,percent of total billed charges,,65.916,,,,percent of total billed charges,,47.45952,,,,percent of total billed charges,,65.916,,,,percent of total billed charges,,43.944,,,,percent of total billed charges,,73.950428,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,69.578,,,,percent of total billed charges,,58.592,,,,percent of total billed charges,,43.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,,,,,inpatient,,,30.31,,15.155,18.186,30.604007,28.4914,,,,percent of total billed charges,,24.248,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,25.1573,,,,percent of total billed charges,,27.279,,,,percent of total billed charges,,27.8852,,,,percent of total billed charges,,27.8852,,,,percent of total billed charges,,28.67326,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,29.4007,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,26.6728,,,,percent of total billed charges,,27.279,,,,percent of total billed charges,,19.64088,,,,percent of total billed charges,,27.279,,,,percent of total billed charges,,18.186,,,,percent of total billed charges,,30.604007,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,28.7945,,,,percent of total billed charges,,24.248,,,,percent of total billed charges,,18.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER [39136]",0637,RC,,,,,inpatient,,,31.53,,15.765,18.918,31.835841,29.6382,,,,percent of total billed charges,,25.224,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,26.1699,,,,percent of total billed charges,,28.377,,,,percent of total billed charges,,29.0076,,,,percent of total billed charges,,29.0076,,,,percent of total billed charges,,29.82738,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,30.5841,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,27.7464,,,,percent of total billed charges,,28.377,,,,percent of total billed charges,,20.43144,,,,percent of total billed charges,,28.377,,,,percent of total billed charges,,18.918,,,,percent of total billed charges,,31.835841,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,29.9535,,,,percent of total billed charges,,25.224,,,,percent of total billed charges,,18.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,3.42,,1.71,2.052,3.453174,3.2148,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.8386,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.23532,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.3174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.0096,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.21616,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,3.453174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,3.49,,1.745,2.094,3.523853,3.2806,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.8967,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.2108,,,,percent of total billed charges,,3.30154,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.0712,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.26152,,,,percent of total billed charges,,3.141,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,3.523853,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,3.3155,,,,percent of total billed charges,,2.792,,,,percent of total billed charges,,2.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,3.51,,1.755,2.106,3.544047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.27448,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.544047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,2.59,,1.295,1.554,2.615123,2.4346,,,,percent of total billed charges,,2.072,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.1497,,,,percent of total billed charges,,2.331,,,,percent of total billed charges,,2.3828,,,,percent of total billed charges,,2.3828,,,,percent of total billed charges,,2.45014,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.5123,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.2792,,,,percent of total billed charges,,2.331,,,,percent of total billed charges,,1.67832,,,,percent of total billed charges,,2.331,,,,percent of total billed charges,,1.554,,,,percent of total billed charges,,2.615123,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.4605,,,,percent of total billed charges,,2.072,,,,percent of total billed charges,,1.554,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,4.75,,2.375,2.85,4.796075,4.465,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.18,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,4.796075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,4.75,,2.375,2.85,4.796075,4.465,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.37,,,,percent of total billed charges,,4.4935,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.18,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,4.796075,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,4.5125,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,2.86,,1.43,1.716,2.887742,2.6884,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.3738,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.6312,,,,percent of total billed charges,,2.70556,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.7742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.5168,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.85328,,,,percent of total billed charges,,2.574,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,2.887742,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.717,,,,percent of total billed charges,,2.288,,,,percent of total billed charges,,1.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION [5751]",0637,RC,,,,,inpatient,,,142.61,,71.305,85.566,143.993317,134.0534,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,118.3663,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,131.2012,,,,percent of total billed charges,,134.90906,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,138.3317,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,125.4968,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,92.41128,,,,percent of total billed charges,,128.349,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,143.993317,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,135.4795,,,,percent of total billed charges,,114.088,,,,percent of total billed charges,,85.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [219413]",0636,RC,,,,,inpatient,,,32967.36,,16483.68,19780.416,33287.14339,30989.3184,,,,percent of total billed charges,,26373.888,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,27362.9088,,,,percent of total billed charges,,29670.624,,,,percent of total billed charges,,30329.9712,,,,percent of total billed charges,,30329.9712,,,,percent of total billed charges,,31187.12256,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,31978.3392,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,29011.2768,,,,percent of total billed charges,,29670.624,,,,percent of total billed charges,,21362.84928,,,,percent of total billed charges,,29670.624,,,,percent of total billed charges,,19780.416,,,,percent of total billed charges,,33287.14339,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,31318.992,,,,percent of total billed charges,,26373.888,,,,percent of total billed charges,,19780.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [219413]",0636,RC,,,,,inpatient,,,3708.83,,1854.415,2225.298,3744.805651,3486.3002,,,,percent of total billed charges,,2967.064,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3078.3289,,,,percent of total billed charges,,3337.947,,,,percent of total billed charges,,3412.1236,,,,percent of total billed charges,,3412.1236,,,,percent of total billed charges,,3508.55318,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3597.5651,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3263.7704,,,,percent of total billed charges,,3337.947,,,,percent of total billed charges,,2403.32184,,,,percent of total billed charges,,3337.947,,,,percent of total billed charges,,2225.298,,,,percent of total billed charges,,3744.805651,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,3523.3885,,,,percent of total billed charges,,2967.064,,,,percent of total billed charges,,2225.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [234354],0636,RC,,,,,inpatient,,,78857.52,,39428.76,47314.512,79622.43794,74126.0688,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,65451.7416,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,74599.21392,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,76491.7944,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,69394.6176,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,51099.67296,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,79622.43794,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION [234354],0636,RC,,,,,inpatient,,,78857.52,,39428.76,47314.512,79622.43794,74126.0688,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,65451.7416,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,72548.9184,,,,percent of total billed charges,,74599.21392,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,76491.7944,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,69394.6176,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,51099.67296,,,,percent of total billed charges,,70971.768,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,79622.43794,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,74914.644,,,,percent of total billed charges,,63086.016,,,,percent of total billed charges,,47314.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,,,,,inpatient,,,10.39,,5.195,6.234,10.490783,9.7666,,,,percent of total billed charges,,8.312,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,8.6237,,,,percent of total billed charges,,9.351,,,,percent of total billed charges,,9.5588,,,,percent of total billed charges,,9.5588,,,,percent of total billed charges,,9.82894,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,10.0783,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,9.1432,,,,percent of total billed charges,,9.351,,,,percent of total billed charges,,6.73272,,,,percent of total billed charges,,9.351,,,,percent of total billed charges,,6.234,,,,percent of total billed charges,,10.490783,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,9.8705,,,,percent of total billed charges,,8.312,,,,percent of total billed charges,,6.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,,,,,inpatient,,,7.29,,3.645,4.374,7.360713,6.8526,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.0507,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.89634,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,7.0713,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,4.72392,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,7.360713,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,,,,,inpatient,,,7.29,,3.645,4.374,7.360713,6.8526,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.0507,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,6.89634,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,7.0713,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,4.72392,,,,percent of total billed charges,,6.561,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,7.360713,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,6.9255,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.374,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,,,,,inpatient,,,7.55,,3.775,4.53,7.623235,7.097,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.2665,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,7.1423,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.3235,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.644,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,4.8924,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,7.623235,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [25122],0636,RC,,,,,inpatient,,,7.55,,3.775,4.53,7.623235,7.097,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.2665,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,6.946,,,,percent of total billed charges,,7.1423,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.3235,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.644,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,4.8924,,,,percent of total billed charges,,6.795,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,7.623235,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,7.1725,,,,percent of total billed charges,,6.04,,,,percent of total billed charges,,4.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,,,,,inpatient,,,133.29,,66.645,79.974,134.582913,125.2926,,,,percent of total billed charges,,106.632,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,110.6307,,,,percent of total billed charges,,119.961,,,,percent of total billed charges,,122.6268,,,,percent of total billed charges,,122.6268,,,,percent of total billed charges,,126.09234,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,129.2913,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,117.2952,,,,percent of total billed charges,,119.961,,,,percent of total billed charges,,86.37192,,,,percent of total billed charges,,119.961,,,,percent of total billed charges,,79.974,,,,percent of total billed charges,,134.582913,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,126.6255,,,,percent of total billed charges,,106.632,,,,percent of total billed charges,,79.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,,,,,inpatient,,,99.63,,49.815,59.778,100.596411,93.6522,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,82.6929,,,,percent of total billed charges,,89.667,,,,percent of total billed charges,,91.6596,,,,percent of total billed charges,,91.6596,,,,percent of total billed charges,,94.24998,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,96.6411,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,87.6744,,,,percent of total billed charges,,89.667,,,,percent of total billed charges,,64.56024,,,,percent of total billed charges,,89.667,,,,percent of total billed charges,,59.778,,,,percent of total billed charges,,100.596411,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,94.6485,,,,percent of total billed charges,,79.704,,,,percent of total billed charges,,59.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,,,,,inpatient,,,253.13,,126.565,151.878,255.585361,237.9422,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,210.0979,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,232.8796,,,,percent of total billed charges,,239.46098,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,245.5361,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,222.7544,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,164.02824,,,,percent of total billed charges,,227.817,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,255.585361,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,240.4735,,,,percent of total billed charges,,202.504,,,,percent of total billed charges,,151.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION [25123],0636,RC,,,,,inpatient,,,154.85,,77.425,92.91,156.352045,145.559,,,,percent of total billed charges,,123.88,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,128.5255,,,,percent of total billed charges,,139.365,,,,percent of total billed charges,,142.462,,,,percent of total billed charges,,142.462,,,,percent of total billed charges,,146.4881,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,150.2045,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,136.268,,,,percent of total billed charges,,139.365,,,,percent of total billed charges,,100.3428,,,,percent of total billed charges,,139.365,,,,percent of total billed charges,,92.91,,,,percent of total billed charges,,156.352045,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,147.1075,,,,percent of total billed charges,,123.88,,,,percent of total billed charges,,92.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE MICROSPHERES ER 10 MG INTRAMUSCULAR KIT [1001151],0636,RC,,,,,inpatient,,,14850.5,,7425.25,8910.3,14994.54985,13959.47,,,,percent of total billed charges,,11880.4,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,12325.915,,,,percent of total billed charges,,13365.45,,,,percent of total billed charges,,13662.46,,,,percent of total billed charges,,13662.46,,,,percent of total billed charges,,14048.573,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,14404.985,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,13068.44,,,,percent of total billed charges,,13365.45,,,,percent of total billed charges,,9623.124,,,,percent of total billed charges,,13365.45,,,,percent of total billed charges,,8910.3,,,,percent of total billed charges,,14994.54985,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,14107.975,,,,percent of total billed charges,,11880.4,,,,percent of total billed charges,,8910.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE MICROSPHERES ER 20 MG INTRAMUSCULAR KIT [1001152],0636,RC,,,,,inpatient,,,11779.92,,5889.96,7067.952,11894.18522,11073.1248,,,,percent of total billed charges,,9423.936,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,9777.3336,,,,percent of total billed charges,,10601.928,,,,percent of total billed charges,,10837.5264,,,,percent of total billed charges,,10837.5264,,,,percent of total billed charges,,11143.80432,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,11426.5224,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,10366.3296,,,,percent of total billed charges,,10601.928,,,,percent of total billed charges,,7633.38816,,,,percent of total billed charges,,10601.928,,,,percent of total billed charges,,7067.952,,,,percent of total billed charges,,11894.18522,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,11190.924,,,,percent of total billed charges,,9423.936,,,,percent of total billed charges,,7067.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OCTREOTIDE MICROSPHERES ER 30 MG INTRAMUSCULAR KIT [1001153],0636,RC,,,,,inpatient,,,17639.6,,8819.8,10583.76,17810.70412,16581.224,,,,percent of total billed charges,,14111.68,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,14640.868,,,,percent of total billed charges,,15875.64,,,,percent of total billed charges,,16228.432,,,,percent of total billed charges,,16228.432,,,,percent of total billed charges,,16687.0616,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,17110.412,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,15522.848,,,,percent of total billed charges,,15875.64,,,,percent of total billed charges,,11430.4608,,,,percent of total billed charges,,15875.64,,,,percent of total billed charges,,10583.76,,,,percent of total billed charges,,17810.70412,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,16757.62,,,,percent of total billed charges,,14111.68,,,,percent of total billed charges,,10583.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,,,,,inpatient,,,33.48,,16.74,20.088,33.804756,31.4712,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,27.7884,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,30.8016,,,,percent of total billed charges,,31.67208,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,32.4756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,29.4624,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,21.69504,,,,percent of total billed charges,,30.132,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,33.804756,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,31.806,,,,percent of total billed charges,,26.784,,,,percent of total billed charges,,20.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,,,,,inpatient,,,64.44,,32.22,38.664,65.065068,60.5736,,,,percent of total billed charges,,51.552,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,53.4852,,,,percent of total billed charges,,57.996,,,,percent of total billed charges,,59.2848,,,,percent of total billed charges,,59.2848,,,,percent of total billed charges,,60.96024,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,62.5068,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,56.7072,,,,percent of total billed charges,,57.996,,,,percent of total billed charges,,41.75712,,,,percent of total billed charges,,57.996,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,65.065068,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,61.218,,,,percent of total billed charges,,51.552,,,,percent of total billed charges,,38.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,,,,,inpatient,,,216.9,,108.45,130.14,219.00393,203.886,,,,percent of total billed charges,,173.52,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,180.027,,,,percent of total billed charges,,195.21,,,,percent of total billed charges,,199.548,,,,percent of total billed charges,,199.548,,,,percent of total billed charges,,205.1874,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,210.393,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,190.872,,,,percent of total billed charges,,195.21,,,,percent of total billed charges,,140.5512,,,,percent of total billed charges,,195.21,,,,percent of total billed charges,,130.14,,,,percent of total billed charges,,219.00393,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,206.055,,,,percent of total billed charges,,173.52,,,,percent of total billed charges,,130.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,,,,,inpatient,,,551.75,,275.875,331.05,557.101975,518.645,,,,percent of total billed charges,,441.4,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,457.9525,,,,percent of total billed charges,,496.575,,,,percent of total billed charges,,507.61,,,,percent of total billed charges,,507.61,,,,percent of total billed charges,,521.9555,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,535.1975,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,485.54,,,,percent of total billed charges,,496.575,,,,percent of total billed charges,,357.534,,,,percent of total billed charges,,496.575,,,,percent of total billed charges,,331.05,,,,percent of total billed charges,,557.101975,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,524.1625,,,,percent of total billed charges,,441.4,,,,percent of total billed charges,,331.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,,,,,inpatient,,,31.14,,15.57,18.684,31.442058,29.2716,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,25.8462,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,28.6488,,,,percent of total billed charges,,28.6488,,,,percent of total billed charges,,29.45844,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,30.2058,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,27.4032,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,20.17872,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,18.684,,,,percent of total billed charges,,31.442058,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,29.583,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,18.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,,,,,inpatient,,,67.5,,33.75,40.5,68.15475,63.45,,,,percent of total billed charges,,54,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,56.025,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,63.855,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,65.475,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,59.4,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,43.74,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,68.15475,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,64.125,,,,percent of total billed charges,,54,,,,percent of total billed charges,,40.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EAR DROPS [79743],0637,RC,,,,,inpatient,,,32.67,,16.335,19.602,32.986899,30.7098,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,27.1161,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.0564,,,,percent of total billed charges,,30.90582,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.6899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,28.7496,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,21.17016,,,,percent of total billed charges,,29.403,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,32.986899,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,31.0365,,,,percent of total billed charges,,26.136,,,,percent of total billed charges,,19.602,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,,,,,inpatient,,,32.45,,16.225,19.47,32.764765,30.503,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,26.9335,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,29.854,,,,percent of total billed charges,,30.6977,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,31.4765,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,28.556,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,21.0276,,,,percent of total billed charges,,29.205,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,32.764765,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,30.8275,,,,percent of total billed charges,,25.96,,,,percent of total billed charges,,19.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,,,,,inpatient,,,28.26,,14.13,16.956,28.534122,26.5644,,,,percent of total billed charges,,22.608,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,23.4558,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,25.9992,,,,percent of total billed charges,,25.9992,,,,percent of total billed charges,,26.73396,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,27.4122,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,24.8688,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,18.31248,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,16.956,,,,percent of total billed charges,,28.534122,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,26.847,,,,percent of total billed charges,,22.608,,,,percent of total billed charges,,16.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,,,,,inpatient,,,88.29,,44.145,52.974,89.146413,82.9926,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,73.2807,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,81.2268,,,,percent of total billed charges,,83.52234,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,85.6413,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,77.6952,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,57.21192,,,,percent of total billed charges,,79.461,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,89.146413,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,83.8755,,,,percent of total billed charges,,70.632,,,,percent of total billed charges,,52.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OFLOXACIN 0.3 % EYE DROPS [19746],0637,RC,,,,,inpatient,,,67.28,,33.64,40.368,67.932616,63.2432,,,,percent of total billed charges,,53.824,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,55.8424,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,61.8976,,,,percent of total billed charges,,61.8976,,,,percent of total billed charges,,63.64688,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,65.2616,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,59.2064,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,43.59744,,,,percent of total billed charges,,60.552,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,67.932616,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,63.916,,,,percent of total billed charges,,53.824,,,,percent of total billed charges,,40.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,102.2,,51.1,61.32,103.19134,96.068,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,84.826,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,96.6812,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,99.134,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,89.936,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,66.2256,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,103.19134,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,102.2,,51.1,61.32,103.19134,96.068,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,84.826,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,94.024,,,,percent of total billed charges,,96.6812,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,99.134,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,89.936,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,66.2256,,,,percent of total billed charges,,91.98,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,103.19134,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,97.09,,,,percent of total billed charges,,81.76,,,,percent of total billed charges,,61.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,4.2,,2.1,2.52,4.24074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.7216,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,4.24074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,5.66,,2.83,3.396,5.714902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.66768,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.714902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,4.2,,2.1,2.52,4.24074,3.948,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.486,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.864,,,,percent of total billed charges,,3.9732,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,4.074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.7216,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,4.24074,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,3.36,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,5.66,,2.83,3.396,5.714902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.66768,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.714902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,5.2,,2.6,3.12,5.25044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.3696,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,5.25044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG DISINTEGRATING TABLET [81047],0637,RC,,,,,inpatient,,,5.2,,2.6,3.12,5.25044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.3696,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,5.25044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,,,,,inpatient,,,200.79,,100.395,120.474,202.737663,188.7426,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,166.6557,,,,percent of total billed charges,,180.711,,,,percent of total billed charges,,184.7268,,,,percent of total billed charges,,184.7268,,,,percent of total billed charges,,189.94734,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,194.7663,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,176.6952,,,,percent of total billed charges,,180.711,,,,percent of total billed charges,,130.11192,,,,percent of total billed charges,,180.711,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,202.737663,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,190.7505,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,120.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,,,,,inpatient,,,62.78,,31.39,37.668,63.388966,59.0132,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,52.1074,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,59.38988,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,60.8966,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,55.2464,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,40.68144,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,63.388966,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,,,,,inpatient,,,116.33,,58.165,69.798,117.458401,109.3502,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,96.5539,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,107.0236,,,,percent of total billed charges,,110.04818,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,112.8401,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,102.3704,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,75.38184,,,,percent of total billed charges,,104.697,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,117.458401,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,110.5135,,,,percent of total billed charges,,93.064,,,,percent of total billed charges,,69.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,,,,,inpatient,,,62.78,,31.39,37.668,63.388966,59.0132,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,52.1074,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,57.7576,,,,percent of total billed charges,,59.38988,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,60.8966,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,55.2464,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,40.68144,,,,percent of total billed charges,,56.502,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,63.388966,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,59.641,,,,percent of total billed charges,,50.224,,,,percent of total billed charges,,37.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [92290],0636,RC,,,,,inpatient,,,77.85,,38.925,46.71,78.605145,73.179,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,64.6155,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,71.622,,,,percent of total billed charges,,73.6461,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,75.5145,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,68.508,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,50.4468,,,,percent of total billed charges,,70.065,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,78.605145,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,73.9575,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,46.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,,,,,inpatient,,,98.15,,49.075,58.89,99.102055,92.261,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,81.4645,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,90.298,,,,percent of total billed charges,,92.8499,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,95.2055,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,86.372,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,63.6012,,,,percent of total billed charges,,88.335,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,99.102055,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,93.2425,,,,percent of total billed charges,,78.52,,,,percent of total billed charges,,58.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,,,,,inpatient,,,1.5,,0.75,0.9,1.51455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.51455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,,,,,inpatient,,,3.5,,1.75,2.1,3.53395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.268,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.53395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 10 MG TABLET [78781],0637,RC,,,,,inpatient,,,3.5,,1.75,2.1,3.53395,3.29,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.905,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.22,,,,percent of total billed charges,,3.311,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.08,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.268,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,3.53395,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,3.325,,,,percent of total billed charges,,2.8,,,,percent of total billed charges,,2.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,,,,,inpatient,,,69.2,,34.6,41.52,69.87124,65.048,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,57.436,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,65.4632,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,67.124,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,60.896,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,44.8416,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,69.87124,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,,,,,inpatient,,,69.2,,34.6,41.52,69.87124,65.048,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,57.436,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,63.664,,,,percent of total billed charges,,65.4632,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,67.124,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,60.896,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,44.8416,,,,percent of total billed charges,,62.28,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,69.87124,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,65.74,,,,percent of total billed charges,,55.36,,,,percent of total billed charges,,41.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,,,,,inpatient,,,3.08,,1.54,1.848,3.109876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.99584,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,3.109876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,,,,,inpatient,,,3.08,,1.54,1.848,3.109876,2.8952,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.5564,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.8336,,,,percent of total billed charges,,2.91368,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.9876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.7104,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.99584,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,3.109876,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.926,,,,percent of total billed charges,,2.464,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,,,,,inpatient,,,3.54,,1.77,2.124,3.574338,3.3276,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.9382,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.34884,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.4338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.1152,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.29392,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,3.574338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG DISINTEGRATING TABLET [82983],0637,RC,,,,,inpatient,,,3.54,,1.77,2.124,3.574338,3.3276,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.9382,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.2568,,,,percent of total billed charges,,3.34884,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.4338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.1152,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.29392,,,,percent of total billed charges,,3.186,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,3.574338,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,3.363,,,,percent of total billed charges,,2.832,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,,,,,inpatient,,,65.15,,32.575,39.09,65.781955,61.241,,,,percent of total billed charges,,52.12,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,54.0745,,,,percent of total billed charges,,58.635,,,,percent of total billed charges,,59.938,,,,percent of total billed charges,,59.938,,,,percent of total billed charges,,61.6319,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,63.1955,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,57.332,,,,percent of total billed charges,,58.635,,,,percent of total billed charges,,42.2172,,,,percent of total billed charges,,58.635,,,,percent of total billed charges,,39.09,,,,percent of total billed charges,,65.781955,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,61.8925,,,,percent of total billed charges,,52.12,,,,percent of total billed charges,,39.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLANZAPINE 5 MG TABLET [78455],0637,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,,,,,inpatient,,,19.76,,9.88,11.856,19.951672,18.5744,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,16.4008,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,18.1792,,,,percent of total billed charges,,18.1792,,,,percent of total billed charges,,18.69296,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,19.1672,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,17.3888,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,12.80448,,,,percent of total billed charges,,17.784,,,,percent of total billed charges,,11.856,,,,percent of total billed charges,,19.951672,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,18.772,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,11.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,,,,,inpatient,,,40.1,,20.05,24.06,40.48897,37.694,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,33.283,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,36.892,,,,percent of total billed charges,,37.9346,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,35.288,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,25.9848,,,,percent of total billed charges,,36.09,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,40.48897,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,38.095,,,,percent of total billed charges,,32.08,,,,percent of total billed charges,,24.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,,,,,inpatient,,,18.95,,9.475,11.37,19.133815,17.813,,,,percent of total billed charges,,15.16,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,15.7285,,,,percent of total billed charges,,17.055,,,,percent of total billed charges,,17.434,,,,percent of total billed charges,,17.434,,,,percent of total billed charges,,17.9267,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,18.3815,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,16.676,,,,percent of total billed charges,,17.055,,,,percent of total billed charges,,12.2796,,,,percent of total billed charges,,17.055,,,,percent of total billed charges,,11.37,,,,percent of total billed charges,,19.133815,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,18.0025,,,,percent of total billed charges,,15.16,,,,percent of total billed charges,,11.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OLOPATADINE 0.1 % EYE DROPS [80659],0637,RC,,,,,inpatient,,,31.23,,15.615,18.738,31.532931,29.3562,,,,percent of total billed charges,,24.984,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,25.9209,,,,percent of total billed charges,,28.107,,,,percent of total billed charges,,28.7316,,,,percent of total billed charges,,28.7316,,,,percent of total billed charges,,29.54358,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,30.2931,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,27.4824,,,,percent of total billed charges,,28.107,,,,percent of total billed charges,,20.23704,,,,percent of total billed charges,,28.107,,,,percent of total billed charges,,18.738,,,,percent of total billed charges,,31.532931,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,29.6685,,,,percent of total billed charges,,24.984,,,,percent of total billed charges,,18.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMALIZUMAB 150 MG (125 MG/ML) SUBCUTANEOUS SOLUTION [88091],0636,RC,,,,,inpatient,,,6232.32,,3116.16,3739.392,6292.773504,5858.3808,,,,percent of total billed charges,,4985.856,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,5172.8256,,,,percent of total billed charges,,5609.088,,,,percent of total billed charges,,5733.7344,,,,percent of total billed charges,,5733.7344,,,,percent of total billed charges,,5895.77472,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,6045.3504,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,5484.4416,,,,percent of total billed charges,,5609.088,,,,percent of total billed charges,,4038.54336,,,,percent of total billed charges,,5609.088,,,,percent of total billed charges,,3739.392,,,,percent of total billed charges,,6292.773504,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,5920.704,,,,percent of total billed charges,,4985.856,,,,percent of total billed charges,,3739.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE [197448]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE [197448]",0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,,,,,inpatient,,,13.46,,6.73,8.076,13.590562,12.6524,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.1718,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.73316,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,13.0562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.8448,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.72208,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,13.590562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,,,,,inpatient,,,13.46,,6.73,8.076,13.590562,12.6524,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.1718,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.3832,,,,percent of total billed charges,,12.73316,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,13.0562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,11.8448,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.72208,,,,percent of total billed charges,,12.114,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,13.590562,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,12.787,,,,percent of total billed charges,,10.768,,,,percent of total billed charges,,8.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,,,,,inpatient,,,0.74,,0.37,0.444,0.747178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.47952,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.747178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,,,,,inpatient,,,14.37,,7.185,8.622,14.509389,13.5078,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.9271,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.59402,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.9389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,12.6456,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,9.31176,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,14.509389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE [93908],0637,RC,,,,,inpatient,,,14.37,,7.185,8.622,14.509389,13.5078,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.9271,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.2204,,,,percent of total billed charges,,13.59402,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.9389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,12.6456,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,9.31176,,,,percent of total billed charges,,12.933,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,14.509389,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,13.6515,,,,percent of total billed charges,,11.496,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION [197713],0636,RC,,,,,inpatient,,,2536,,1268,1521.6,2560.5992,2383.84,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2104.88,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2399.056,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2459.92,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2231.68,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1643.328,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,2560.5992,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [77981],0636,RC,,,,,inpatient,,,1268,,634,760.8,1280.2996,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,821.664,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1280.2996,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [77981],0636,RC,,,,,inpatient,,,1268,,634,760.8,1280.2996,1191.92,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1052.44,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1166.56,,,,percent of total billed charges,,1199.528,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1229.96,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1115.84,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,821.664,,,,percent of total billed charges,,1141.2,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,1280.2996,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1204.6,,,,percent of total billed charges,,1014.4,,,,percent of total billed charges,,760.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION [197713],0636,RC,,,,,inpatient,,,2536,,1268,1521.6,2560.5992,2383.84,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2104.88,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2333.12,,,,percent of total billed charges,,2399.056,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2459.92,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2231.68,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1643.328,,,,percent of total billed charges,,2282.4,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,2560.5992,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2409.2,,,,percent of total billed charges,,2028.8,,,,percent of total billed charges,,1521.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,1.12,,0.56,0.672,1.130864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.72576,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.130864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,1.11,,0.555,0.666,1.120767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.71928,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.120767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,1.12,,0.56,0.672,1.130864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.72576,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.130864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,1.12,,0.56,0.672,1.130864,1.0528,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9296,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.0304,,,,percent of total billed charges,,1.05952,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.0864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.9856,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.72576,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,1.130864,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 4 MG DISINTEGRATING TABLET [82373],0636,RC,,,,,inpatient,,,1.17,,0.585,0.702,1.181349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.75816,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.181349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,,,,,inpatient,,,1.33,,0.665,0.798,1.342901,1.2502,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.1039,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2236,,,,percent of total billed charges,,1.2236,,,,percent of total billed charges,,1.25818,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.2901,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.1704,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,0.86184,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,1.342901,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.2635,,,,percent of total billed charges,,1.064,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,,,,,inpatient,,,3.72,,1.86,2.232,3.756084,3.4968,,,,percent of total billed charges,,2.976,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.0876,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,3.4224,,,,percent of total billed charges,,3.4224,,,,percent of total billed charges,,3.51912,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.6084,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.2736,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,2.41056,,,,percent of total billed charges,,3.348,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,3.756084,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,3.534,,,,percent of total billed charges,,2.976,,,,percent of total billed charges,,2.232,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,,,,,inpatient,,,1.5,,0.75,0.9,1.51455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.51455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON 8 MG DISINTEGRATING TABLET [79327],0636,RC,,,,,inpatient,,,0.84,,0.42,0.504,0.848148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.54432,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.848148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,,,,,inpatient,,,1.63,,0.815,0.978,1.645811,1.5322,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.3529,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.54198,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.4344,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.05624,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,1.645811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,,,,,inpatient,,,1.63,,0.815,0.978,1.645811,1.5322,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.3529,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.4996,,,,percent of total billed charges,,1.54198,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.4344,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,1.05624,,,,percent of total billed charges,,1.467,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,1.645811,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.5485,,,,percent of total billed charges,,1.304,,,,percent of total billed charges,,0.978,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,,,,,inpatient,,,1.25,,0.625,0.75,1.262125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.262125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [102552],0636,RC,,,,,inpatient,,,1.25,,0.625,0.75,1.262125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.262125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [78131],0636,RC,,,,,inpatient,,,32.31,,16.155,19.386,32.623407,30.3714,,,,percent of total billed charges,,25.848,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,26.8173,,,,percent of total billed charges,,29.079,,,,percent of total billed charges,,29.7252,,,,percent of total billed charges,,29.7252,,,,percent of total billed charges,,30.56526,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,31.3407,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,28.4328,,,,percent of total billed charges,,29.079,,,,percent of total billed charges,,20.93688,,,,percent of total billed charges,,29.079,,,,percent of total billed charges,,19.386,,,,percent of total billed charges,,32.623407,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,30.6945,,,,percent of total billed charges,,25.848,,,,percent of total billed charges,,19.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [78131],0636,RC,,,,,inpatient,,,15.75,,7.875,9.45,15.902775,14.805,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.0725,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.8995,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,15.2775,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,15.902775,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG TABLET [78230],0636,RC,,,,,inpatient,,,2.47,,1.235,1.482,2.493959,2.3218,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.0501,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.2724,,,,percent of total billed charges,,2.33662,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3959,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.1736,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.60056,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,2.493959,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,2.3465,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [79890],0636,RC,,,,,inpatient,,,377.78,,188.89,226.668,381.444466,355.1132,,,,percent of total billed charges,,302.224,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,313.5574,,,,percent of total billed charges,,340.002,,,,percent of total billed charges,,347.5576,,,,percent of total billed charges,,347.5576,,,,percent of total billed charges,,357.37988,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,366.4466,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,332.4464,,,,percent of total billed charges,,340.002,,,,percent of total billed charges,,244.80144,,,,percent of total billed charges,,340.002,,,,percent of total billed charges,,226.668,,,,percent of total billed charges,,381.444466,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,358.891,,,,percent of total billed charges,,302.224,,,,percent of total billed charges,,226.668,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [79890],0636,RC,,,,,inpatient,,,112.5,,56.25,67.5,113.59125,105.75,,,,percent of total billed charges,,90,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,93.375,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,106.425,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,109.125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,113.59125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,90,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION [79890],0636,RC,,,,,inpatient,,,110.93,,55.465,66.558,112.006021,104.2742,,,,percent of total billed charges,,88.744,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,92.0719,,,,percent of total billed charges,,99.837,,,,percent of total billed charges,,102.0556,,,,percent of total billed charges,,102.0556,,,,percent of total billed charges,,104.93978,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,107.6021,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,97.6184,,,,percent of total billed charges,,99.837,,,,percent of total billed charges,,71.88264,,,,percent of total billed charges,,99.837,,,,percent of total billed charges,,66.558,,,,percent of total billed charges,,112.006021,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,105.3835,,,,percent of total billed charges,,88.744,,,,percent of total billed charges,,66.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 8 MG TABLET [78130],0636,RC,,,,,inpatient,,,2.26,,1.13,1.356,2.281922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.46448,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.281922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 8 MG TABLET [78130],0636,RC,,,,,inpatient,,,2.26,,1.13,1.356,2.281922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.46448,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.281922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 8 MG TABLET [78130],0636,RC,,,,,inpatient,,,2.03,,1.015,1.218,2.049691,1.9082,,,,percent of total billed charges,,1.624,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.6849,,,,percent of total billed charges,,1.827,,,,percent of total billed charges,,1.8676,,,,percent of total billed charges,,1.8676,,,,percent of total billed charges,,1.92038,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.9691,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.7864,,,,percent of total billed charges,,1.827,,,,percent of total billed charges,,1.31544,,,,percent of total billed charges,,1.827,,,,percent of total billed charges,,1.218,,,,percent of total billed charges,,2.049691,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.9285,,,,percent of total billed charges,,1.624,,,,percent of total billed charges,,1.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [78131],0636,RC,,,,,inpatient,,,3.24,,1.62,1.944,3.271428,3.0456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.6892,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,2.9808,,,,percent of total billed charges,,2.9808,,,,percent of total billed charges,,3.06504,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1428,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.8512,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,2.09952,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,3.271428,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [2332],0636,RC,,,,,inpatient,,,8.03,,4.015,4.818,8.107891,7.5482,,,,percent of total billed charges,,6.424,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,6.6649,,,,percent of total billed charges,,7.227,,,,percent of total billed charges,,7.3876,,,,percent of total billed charges,,7.3876,,,,percent of total billed charges,,7.59638,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,7.7891,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,7.0664,,,,percent of total billed charges,,7.227,,,,percent of total billed charges,,5.20344,,,,percent of total billed charges,,7.227,,,,percent of total billed charges,,4.818,,,,percent of total billed charges,,8.107891,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,7.6285,,,,percent of total billed charges,,6.424,,,,percent of total billed charges,,4.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,,,,,inpatient,,,14.26,,7.13,8.556,14.398322,13.4044,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,11.8358,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,13.1192,,,,percent of total billed charges,,13.1192,,,,percent of total billed charges,,13.48996,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,13.8322,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,9.24048,,,,percent of total billed charges,,12.834,,,,percent of total billed charges,,8.556,,,,percent of total billed charges,,14.398322,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,13.547,,,,percent of total billed charges,,11.408,,,,percent of total billed charges,,8.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,,,,,inpatient,,,49.14,,24.57,29.484,49.616658,46.1916,,,,percent of total billed charges,,39.312,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,40.7862,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,45.2088,,,,percent of total billed charges,,45.2088,,,,percent of total billed charges,,46.48644,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,47.6658,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,43.2432,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,31.84272,,,,percent of total billed charges,,44.226,,,,percent of total billed charges,,29.484,,,,percent of total billed charges,,49.616658,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,46.683,,,,percent of total billed charges,,39.312,,,,percent of total billed charges,,29.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,,,,,inpatient,,,15.38,,7.69,9.228,15.529186,14.4572,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.7654,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.54948,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.9186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,13.5344,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.96624,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,15.529186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [5886],0636,RC,,,,,inpatient,,,15.38,,7.69,9.228,15.529186,14.4572,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.7654,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.1496,,,,percent of total billed charges,,14.54948,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.9186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,13.5344,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.96624,,,,percent of total billed charges,,13.842,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,15.529186,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,14.611,,,,percent of total billed charges,,12.304,,,,percent of total billed charges,,9.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE [38213]",0637,RC,,,,,inpatient,,,4.15,,2.075,2.49,4.190255,3.901,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.4445,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.652,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.6892,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,4.190255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE [38213]",0637,RC,,,,,inpatient,,,3.13,,1.565,1.878,3.160361,2.9422,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.5979,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.8796,,,,percent of total billed charges,,2.96098,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,3.0361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.7544,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,2.02824,,,,percent of total billed charges,,2.817,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,3.160361,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.9735,,,,percent of total billed charges,,2.504,,,,percent of total billed charges,,1.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,,,,,inpatient,,,11.47,,5.735,6.882,11.581259,10.7818,,,,percent of total billed charges,,9.176,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,9.5201,,,,percent of total billed charges,,10.323,,,,percent of total billed charges,,10.5524,,,,percent of total billed charges,,10.5524,,,,percent of total billed charges,,10.85062,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,11.1259,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,10.0936,,,,percent of total billed charges,,10.323,,,,percent of total billed charges,,7.43256,,,,percent of total billed charges,,10.323,,,,percent of total billed charges,,6.882,,,,percent of total billed charges,,11.581259,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,10.8965,,,,percent of total billed charges,,9.176,,,,percent of total billed charges,,6.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,,,,,inpatient,,,2.92,,1.46,1.752,2.948324,2.7448,,,,percent of total billed charges,,2.336,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.4236,,,,percent of total billed charges,,2.628,,,,percent of total billed charges,,2.6864,,,,percent of total billed charges,,2.6864,,,,percent of total billed charges,,2.76232,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.8324,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.5696,,,,percent of total billed charges,,2.628,,,,percent of total billed charges,,1.89216,,,,percent of total billed charges,,2.628,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,2.948324,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.774,,,,percent of total billed charges,,2.336,,,,percent of total billed charges,,1.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,,,,,inpatient,,,3.99,,1.995,2.394,4.028703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.58552,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,4.028703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 30 MG CAPSULE [163358],0637,RC,,,,,inpatient,,,6.57,,3.285,3.942,6.633729,6.1758,,,,percent of total billed charges,,5.256,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,5.4531,,,,percent of total billed charges,,5.913,,,,percent of total billed charges,,6.0444,,,,percent of total billed charges,,6.0444,,,,percent of total billed charges,,6.21522,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,6.3729,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,5.7816,,,,percent of total billed charges,,5.913,,,,percent of total billed charges,,4.25736,,,,percent of total billed charges,,5.913,,,,percent of total billed charges,,3.942,,,,percent of total billed charges,,6.633729,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,6.2415,,,,percent of total billed charges,,5.256,,,,percent of total billed charges,,3.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [205852],0637,RC,,,,,inpatient,,,254.88,,127.44,152.928,257.352336,239.5872,,,,percent of total billed charges,,203.904,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,211.5504,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,234.4896,,,,percent of total billed charges,,234.4896,,,,percent of total billed charges,,241.11648,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,247.2336,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,224.2944,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,165.16224,,,,percent of total billed charges,,229.392,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,257.352336,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,242.136,,,,percent of total billed charges,,203.904,,,,percent of total billed charges,,152.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [205852],0637,RC,,,,,inpatient,,,134.73,,67.365,80.838,136.036881,126.6462,,,,percent of total billed charges,,107.784,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,111.8259,,,,percent of total billed charges,,121.257,,,,percent of total billed charges,,123.9516,,,,percent of total billed charges,,123.9516,,,,percent of total billed charges,,127.45458,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,130.6881,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,118.5624,,,,percent of total billed charges,,121.257,,,,percent of total billed charges,,87.30504,,,,percent of total billed charges,,121.257,,,,percent of total billed charges,,80.838,,,,percent of total billed charges,,136.036881,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,127.9935,,,,percent of total billed charges,,107.784,,,,percent of total billed charges,,80.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [205852],0637,RC,,,,,inpatient,,,41.31,,20.655,24.786,41.710707,38.8314,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,34.2873,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,39.07926,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,40.0707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,36.3528,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,26.76888,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,41.710707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,,,,,inpatient,,,10.71,,5.355,6.426,10.813887,10.0674,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,8.8893,,,,percent of total billed charges,,9.639,,,,percent of total billed charges,,9.8532,,,,percent of total billed charges,,9.8532,,,,percent of total billed charges,,10.13166,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,10.3887,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,9.4248,,,,percent of total billed charges,,9.639,,,,percent of total billed charges,,6.94008,,,,percent of total billed charges,,9.639,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,10.813887,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,10.1745,,,,percent of total billed charges,,8.568,,,,percent of total billed charges,,6.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,,,,,inpatient,,,4.25,,2.125,2.55,4.291225,3.995,,,,percent of total billed charges,,3.4,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,3.5275,,,,percent of total billed charges,,3.825,,,,percent of total billed charges,,3.91,,,,percent of total billed charges,,3.91,,,,percent of total billed charges,,4.0205,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,4.1225,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,3.74,,,,percent of total billed charges,,3.825,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,3.825,,,,percent of total billed charges,,2.55,,,,percent of total billed charges,,4.291225,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,4.0375,,,,percent of total billed charges,,3.4,,,,percent of total billed charges,,2.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,,,,,inpatient,,,4.35,,2.175,2.61,4.392195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.8188,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.392195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,,,,,inpatient,,,8.33,,4.165,4.998,8.410801,7.8302,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.9139,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.88018,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,8.0801,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.3304,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,5.39784,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,8.410801,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSELTAMIVIR 75 MG CAPSULE [80471],0637,RC,,,,,inpatient,,,3.34,,1.67,2.004,3.372398,3.1396,,,,percent of total billed charges,,2.672,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,2.7722,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,3.0728,,,,percent of total billed charges,,3.0728,,,,percent of total billed charges,,3.15964,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,3.2398,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,2.9392,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,2.16432,,,,percent of total billed charges,,3.006,,,,percent of total billed charges,,2.004,,,,percent of total billed charges,,3.372398,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,3.173,,,,percent of total billed charges,,2.672,,,,percent of total billed charges,,2.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 1 GRAM SOLUTION FOR INJECTION [5924],0636,RC,,,,,inpatient,,,16.65,,8.325,9.99,16.811505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,10.7892,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,16.811505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 100 MG/ML IV PEDS [1001605],0250,RC,,,,,inpatient,,,44.24,,22.12,26.544,44.669128,41.5856,,,,percent of total billed charges,,35.392,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,36.7192,,,,percent of total billed charges,,39.816,,,,percent of total billed charges,,40.7008,,,,percent of total billed charges,,40.7008,,,,percent of total billed charges,,41.85104,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,42.9128,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,38.9312,,,,percent of total billed charges,,39.816,,,,percent of total billed charges,,28.66752,,,,percent of total billed charges,,39.816,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,44.669128,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,42.028,,,,percent of total billed charges,,35.392,,,,percent of total billed charges,,26.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,87.81,,43.905,52.686,88.661757,82.5414,,,,percent of total billed charges,,70.248,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,72.8823,,,,percent of total billed charges,,79.029,,,,percent of total billed charges,,80.7852,,,,percent of total billed charges,,80.7852,,,,percent of total billed charges,,83.06826,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,85.1757,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,77.2728,,,,percent of total billed charges,,79.029,,,,percent of total billed charges,,56.90088,,,,percent of total billed charges,,79.029,,,,percent of total billed charges,,52.686,,,,percent of total billed charges,,88.661757,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,83.4195,,,,percent of total billed charges,,70.248,,,,percent of total billed charges,,52.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,101.25,,50.625,60.75,102.232125,95.175,,,,percent of total billed charges,,81,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,84.0375,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.7825,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,98.2125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,65.61,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,102.232125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,81,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,24.76,,12.38,14.856,25.000172,23.2744,,,,percent of total billed charges,,19.808,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,20.5508,,,,percent of total billed charges,,22.284,,,,percent of total billed charges,,22.7792,,,,percent of total billed charges,,22.7792,,,,percent of total billed charges,,23.42296,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,24.0172,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,21.7888,,,,percent of total billed charges,,22.284,,,,percent of total billed charges,,16.04448,,,,percent of total billed charges,,22.284,,,,percent of total billed charges,,14.856,,,,percent of total billed charges,,25.000172,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,23.522,,,,percent of total billed charges,,19.808,,,,percent of total billed charges,,14.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,22.79,,11.395,13.674,23.011063,21.4226,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.9157,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,21.55934,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,22.1063,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,20.0552,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,14.76792,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,23.011063,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,22.79,,11.395,13.674,23.011063,21.4226,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.9157,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,20.9668,,,,percent of total billed charges,,21.55934,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,22.1063,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,20.0552,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,14.76792,,,,percent of total billed charges,,20.511,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,23.011063,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,21.6505,,,,percent of total billed charges,,18.232,,,,percent of total billed charges,,13.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK [15946],0636,RC,,,,,inpatient,,,22.28,,11.14,13.368,22.496116,20.9432,,,,percent of total billed charges,,17.824,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,18.4924,,,,percent of total billed charges,,20.052,,,,percent of total billed charges,,20.4976,,,,percent of total billed charges,,20.4976,,,,percent of total billed charges,,21.07688,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,21.6116,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,19.6064,,,,percent of total billed charges,,20.052,,,,percent of total billed charges,,14.43744,,,,percent of total billed charges,,20.052,,,,percent of total billed charges,,13.368,,,,percent of total billed charges,,22.496116,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,21.166,,,,percent of total billed charges,,17.824,,,,percent of total billed charges,,13.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,101.25,,50.625,60.75,102.232125,95.175,,,,percent of total billed charges,,81,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,84.0375,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.7825,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,98.2125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,65.61,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,102.232125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,81,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,85.56,,42.78,51.336,86.389932,80.4264,,,,percent of total billed charges,,68.448,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,71.0148,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,78.7152,,,,percent of total billed charges,,78.7152,,,,percent of total billed charges,,80.93976,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,82.9932,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,75.2928,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,55.44288,,,,percent of total billed charges,,77.004,,,,percent of total billed charges,,51.336,,,,percent of total billed charges,,86.389932,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,81.282,,,,percent of total billed charges,,68.448,,,,percent of total billed charges,,51.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,101.25,,50.625,60.75,102.232125,95.175,,,,percent of total billed charges,,81,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,84.0375,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.7825,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,98.2125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,89.1,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,65.61,,,,percent of total billed charges,,91.125,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,102.232125,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,96.1875,,,,percent of total billed charges,,81,,,,percent of total billed charges,,60.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXACILLIN 2 GRAM SOLUTION FOR INJECTION [5926],0636,RC,,,,,inpatient,,,25.32,,12.66,15.192,25.565604,23.8008,,,,percent of total billed charges,,20.256,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,21.0156,,,,percent of total billed charges,,22.788,,,,percent of total billed charges,,23.2944,,,,percent of total billed charges,,23.2944,,,,percent of total billed charges,,23.95272,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,24.5604,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,22.2816,,,,percent of total billed charges,,22.788,,,,percent of total billed charges,,16.40736,,,,percent of total billed charges,,22.788,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,25.565604,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,24.054,,,,percent of total billed charges,,20.256,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,,,,,inpatient,,,375.39,,187.695,225.234,379.031283,352.8666,,,,percent of total billed charges,,300.312,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,311.5737,,,,percent of total billed charges,,337.851,,,,percent of total billed charges,,345.3588,,,,percent of total billed charges,,345.3588,,,,percent of total billed charges,,355.11894,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,364.1283,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,330.3432,,,,percent of total billed charges,,337.851,,,,percent of total billed charges,,243.25272,,,,percent of total billed charges,,337.851,,,,percent of total billed charges,,225.234,,,,percent of total billed charges,,379.031283,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,356.6205,,,,percent of total billed charges,,300.312,,,,percent of total billed charges,,225.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,,,,,inpatient,,,267.12,,133.56,160.272,269.711064,251.0928,,,,percent of total billed charges,,213.696,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,221.7096,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,245.7504,,,,percent of total billed charges,,245.7504,,,,percent of total billed charges,,252.69552,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,259.1064,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,235.0656,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,173.09376,,,,percent of total billed charges,,240.408,,,,percent of total billed charges,,160.272,,,,percent of total billed charges,,269.711064,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,253.764,,,,percent of total billed charges,,213.696,,,,percent of total billed charges,,160.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,,,,,inpatient,,,576,,288,345.6,581.5872,541.44,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,478.08,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,529.92,,,,percent of total billed charges,,544.896,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,558.72,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,373.248,,,,percent of total billed charges,,518.4,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,581.5872,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,547.2,,,,percent of total billed charges,,460.8,,,,percent of total billed charges,,345.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION [94570],0636,RC,,,,,inpatient,,,49.68,,24.84,29.808,50.161896,46.6992,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,41.2344,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,46.99728,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,48.1896,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,43.7184,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,32.19264,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,50.161896,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,,,,,inpatient,,,187.7,,93.85,112.62,189.52069,176.438,,,,percent of total billed charges,,150.16,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,155.791,,,,percent of total billed charges,,168.93,,,,percent of total billed charges,,172.684,,,,percent of total billed charges,,172.684,,,,percent of total billed charges,,177.5642,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,182.069,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,165.176,,,,percent of total billed charges,,168.93,,,,percent of total billed charges,,121.6296,,,,percent of total billed charges,,168.93,,,,percent of total billed charges,,112.62,,,,percent of total billed charges,,189.52069,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,178.315,,,,percent of total billed charges,,150.16,,,,percent of total billed charges,,112.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,,,,,inpatient,,,133.56,,66.78,80.136,134.855532,125.5464,,,,percent of total billed charges,,106.848,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,110.8548,,,,percent of total billed charges,,120.204,,,,percent of total billed charges,,122.8752,,,,percent of total billed charges,,122.8752,,,,percent of total billed charges,,126.34776,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,129.5532,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,117.5328,,,,percent of total billed charges,,120.204,,,,percent of total billed charges,,86.54688,,,,percent of total billed charges,,120.204,,,,percent of total billed charges,,80.136,,,,percent of total billed charges,,134.855532,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,126.882,,,,percent of total billed charges,,106.848,,,,percent of total billed charges,,80.136,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,,,,,inpatient,,,543.65,,271.825,326.19,548.923405,511.031,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,451.2295,,,,percent of total billed charges,,489.285,,,,percent of total billed charges,,500.158,,,,percent of total billed charges,,500.158,,,,percent of total billed charges,,514.2929,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,527.3405,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,478.412,,,,percent of total billed charges,,489.285,,,,percent of total billed charges,,352.2852,,,,percent of total billed charges,,489.285,,,,percent of total billed charges,,326.19,,,,percent of total billed charges,,548.923405,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,516.4675,,,,percent of total billed charges,,434.92,,,,percent of total billed charges,,326.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,,,,,inpatient,,,62.06,,31.03,37.236,62.661982,58.3364,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,51.5098,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,58.70876,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,60.1982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,54.6128,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,40.21488,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,62.661982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [94569],0636,RC,,,,,inpatient,,,85.55,,42.775,51.33,86.379835,80.417,,,,percent of total billed charges,,68.44,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,71.0065,,,,percent of total billed charges,,76.995,,,,percent of total billed charges,,78.706,,,,percent of total billed charges,,78.706,,,,percent of total billed charges,,80.9303,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,82.9835,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,75.284,,,,percent of total billed charges,,76.995,,,,percent of total billed charges,,55.4364,,,,percent of total billed charges,,76.995,,,,percent of total billed charges,,51.33,,,,percent of total billed charges,,86.379835,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,81.2725,,,,percent of total billed charges,,68.44,,,,percent of total billed charges,,51.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,,,,,inpatient,,,1.71,,0.855,1.026,1.726587,1.6074,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.4193,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.5732,,,,percent of total billed charges,,1.61766,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.5048,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.10808,,,,percent of total billed charges,,1.539,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.726587,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.6245,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 150 MG TABLET [77248],0637,RC,,,,,inpatient,,,1.64,,0.82,0.984,1.655908,1.5416,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.3612,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.5088,,,,percent of total billed charges,,1.55144,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.5908,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.4432,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,1.06272,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.655908,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.558,,,,percent of total billed charges,,1.312,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,,,,,inpatient,,,4.92,,2.46,2.952,4.967724,4.6248,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.0836,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.65432,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.7724,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.3296,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,3.18816,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,4.967724,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,,,,,inpatient,,,4.92,,2.46,2.952,4.967724,4.6248,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.0836,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.5264,,,,percent of total billed charges,,4.65432,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.7724,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.3296,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,3.18816,,,,percent of total billed charges,,4.428,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,4.967724,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,4.674,,,,percent of total billed charges,,3.936,,,,percent of total billed charges,,2.952,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,,,,,inpatient,,,5.98,,2.99,3.588,6.038006,5.6212,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.9634,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.65708,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.8006,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.2624,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,3.87504,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,6.038006,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXCARBAZEPINE 600 MG TABLET [81421],0637,RC,,,,,inpatient,,,5.98,,2.99,3.588,6.038006,5.6212,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.9634,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.5016,,,,percent of total billed charges,,5.65708,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.8006,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.2624,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,3.87504,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,6.038006,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,5.681,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,,,,,inpatient,,,1.35,,0.675,0.81,1.363095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.8748,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.363095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,,,,,inpatient,,,1.36,,0.68,0.816,1.373192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.88128,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.373192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,,,,,inpatient,,,1.36,,0.68,0.816,1.373192,1.2784,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1288,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.2512,,,,percent of total billed charges,,1.28656,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.3192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.1968,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.88128,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,1.373192,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.292,,,,percent of total billed charges,,1.088,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYBUTYNIN CHLORIDE 5 MG TABLET [5938],0637,RC,,,,,inpatient,,,1.47,,0.735,0.882,1.484259,1.3818,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2201,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.3524,,,,percent of total billed charges,,1.39062,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.4259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.2936,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.95256,,,,percent of total billed charges,,1.323,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,1.484259,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.3965,,,,percent of total billed charges,,1.176,,,,percent of total billed charges,,0.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,,,,,inpatient,,,11.11,,5.555,6.666,11.217767,10.4434,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,9.2213,,,,percent of total billed charges,,9.999,,,,percent of total billed charges,,10.2212,,,,percent of total billed charges,,10.2212,,,,percent of total billed charges,,10.51006,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,10.7767,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,9.7768,,,,percent of total billed charges,,9.999,,,,percent of total billed charges,,7.19928,,,,percent of total billed charges,,9.999,,,,percent of total billed charges,,6.666,,,,percent of total billed charges,,11.217767,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,10.5545,,,,percent of total billed charges,,8.888,,,,percent of total billed charges,,6.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,,,,,inpatient,,,6.8,,3.4,4.08,6.86596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.4064,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.86596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,,,,,inpatient,,,6.8,,3.4,4.08,6.86596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.4064,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.86596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR [81268]",0637,RC,,,,,inpatient,,,5.11,,2.555,3.066,5.159567,4.8034,,,,percent of total billed charges,,4.088,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.2413,,,,percent of total billed charges,,4.599,,,,percent of total billed charges,,4.7012,,,,percent of total billed charges,,4.7012,,,,percent of total billed charges,,4.83406,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.9567,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.4968,,,,percent of total billed charges,,4.599,,,,percent of total billed charges,,3.31128,,,,percent of total billed charges,,4.599,,,,percent of total billed charges,,3.066,,,,percent of total billed charges,,5.159567,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.8545,,,,percent of total billed charges,,4.088,,,,percent of total billed charges,,3.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 15 MG TABLET [28899],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 15 MG TABLET [28899],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 15 MG TABLET [28899],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,,,,,inpatient,,,391.5,,195.75,234.9,395.29755,368.01,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,324.945,,,,percent of total billed charges,,352.35,,,,percent of total billed charges,,360.18,,,,percent of total billed charges,,360.18,,,,percent of total billed charges,,370.359,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,379.755,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,344.52,,,,percent of total billed charges,,352.35,,,,percent of total billed charges,,253.692,,,,percent of total billed charges,,352.35,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,395.29755,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,371.925,,,,percent of total billed charges,,313.2,,,,percent of total billed charges,,234.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 20 MG/ML ORAL CONCENTRATE [10812],0637,RC,,,,,inpatient,,,231.93,,115.965,139.158,234.179721,218.0142,,,,percent of total billed charges,,185.544,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,192.5019,,,,percent of total billed charges,,208.737,,,,percent of total billed charges,,213.3756,,,,percent of total billed charges,,213.3756,,,,percent of total billed charges,,219.40578,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,224.9721,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,204.0984,,,,percent of total billed charges,,208.737,,,,percent of total billed charges,,150.29064,,,,percent of total billed charges,,208.737,,,,percent of total billed charges,,139.158,,,,percent of total billed charges,,234.179721,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,220.3335,,,,percent of total billed charges,,185.544,,,,percent of total billed charges,,139.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG TABLET [10814],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,,,,,inpatient,,,21.87,,10.935,13.122,22.082139,20.5578,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,18.1521,,,,percent of total billed charges,,19.683,,,,percent of total billed charges,,20.1204,,,,percent of total billed charges,,20.1204,,,,percent of total billed charges,,20.68902,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,21.2139,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,19.2456,,,,percent of total billed charges,,19.683,,,,percent of total billed charges,,14.17176,,,,percent of total billed charges,,19.683,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,22.082139,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,20.7765,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,,,,,inpatient,,,16.27,,8.135,9.762,16.427819,15.2938,,,,percent of total billed charges,,13.016,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,13.5041,,,,percent of total billed charges,,14.643,,,,percent of total billed charges,,14.9684,,,,percent of total billed charges,,14.9684,,,,percent of total billed charges,,15.39142,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,15.7819,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,14.3176,,,,percent of total billed charges,,14.643,,,,percent of total billed charges,,10.54296,,,,percent of total billed charges,,14.643,,,,percent of total billed charges,,9.762,,,,percent of total billed charges,,16.427819,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,15.4565,,,,percent of total billed charges,,13.016,,,,percent of total billed charges,,9.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,,,,,inpatient,,,25.14,,12.57,15.084,25.383858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,16.29072,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,25.383858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE 5 MG/5 ML ORAL SOLUTION [10813],0637,RC,,,,,inpatient,,,25.14,,12.57,15.084,25.383858,23.6316,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.8662,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.1288,,,,percent of total billed charges,,23.78244,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,24.3858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,22.1232,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,16.29072,,,,percent of total billed charges,,22.626,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,25.383858,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,23.883,,,,percent of total billed charges,,20.112,,,,percent of total billed charges,,15.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [224317]",0637,RC,,,,,inpatient,,,22.65,,11.325,13.59,22.869705,21.291,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,18.7995,,,,percent of total billed charges,,20.385,,,,percent of total billed charges,,20.838,,,,percent of total billed charges,,20.838,,,,percent of total billed charges,,21.4269,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,21.9705,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,19.932,,,,percent of total billed charges,,20.385,,,,percent of total billed charges,,14.6772,,,,percent of total billed charges,,20.385,,,,percent of total billed charges,,13.59,,,,percent of total billed charges,,22.869705,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,21.5175,,,,percent of total billed charges,,18.12,,,,percent of total billed charges,,13.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [224319]",0637,RC,,,,,inpatient,,,42.19,,21.095,25.314,42.599243,39.6586,,,,percent of total billed charges,,33.752,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,35.0177,,,,percent of total billed charges,,37.971,,,,percent of total billed charges,,38.8148,,,,percent of total billed charges,,38.8148,,,,percent of total billed charges,,39.91174,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,40.9243,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,37.1272,,,,percent of total billed charges,,37.971,,,,percent of total billed charges,,27.33912,,,,percent of total billed charges,,37.971,,,,percent of total billed charges,,25.314,,,,percent of total billed charges,,42.599243,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,40.0805,,,,percent of total billed charges,,33.752,,,,percent of total billed charges,,25.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET [31864],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [5940],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,8.37,,4.185,5.022,8.451189,7.8678,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,6.9471,,,,percent of total billed charges,,7.533,,,,percent of total billed charges,,7.7004,,,,percent of total billed charges,,7.7004,,,,percent of total billed charges,,7.91802,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,8.1189,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,7.3656,,,,percent of total billed charges,,7.533,,,,percent of total billed charges,,5.42376,,,,percent of total billed charges,,7.533,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,8.451189,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,7.9515,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,5.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,4.32,,2.16,2.592,4.361904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.79936,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.361904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,18.03,,9.015,10.818,18.204891,16.9482,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.9649,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,16.5876,,,,percent of total billed charges,,17.05638,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.4891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,15.8664,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,11.68344,,,,percent of total billed charges,,16.227,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,18.204891,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,17.1285,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,10.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,20.93,,10.465,12.558,21.133021,19.6742,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,17.3719,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.2556,,,,percent of total billed charges,,19.79978,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,20.3021,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,18.4184,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,13.56264,,,,percent of total billed charges,,18.837,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,21.133021,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,19.8835,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,12.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,8.24,,4.12,4.944,8.319928,7.7456,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.8392,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.79504,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.9928,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.2512,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.33952,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,8.319928,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,7.02,,3.51,4.212,7.088094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.54896,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,7.088094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,16.41,,8.205,9.846,16.569177,15.4254,,,,percent of total billed charges,,13.128,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,13.6203,,,,percent of total billed charges,,14.769,,,,percent of total billed charges,,15.0972,,,,percent of total billed charges,,15.0972,,,,percent of total billed charges,,15.52386,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,15.9177,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,14.4408,,,,percent of total billed charges,,14.769,,,,percent of total billed charges,,10.63368,,,,percent of total billed charges,,14.769,,,,percent of total billed charges,,9.846,,,,percent of total billed charges,,16.569177,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,15.5895,,,,percent of total billed charges,,13.128,,,,percent of total billed charges,,9.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYMETAZOLINE 0.05 % NASAL SPRAY [5943],0637,RC,,,,,inpatient,,,4.81,,2.405,2.886,4.856657,4.5214,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.9923,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.4252,,,,percent of total billed charges,,4.55026,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.6657,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.2328,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,3.11688,,,,percent of total billed charges,,4.329,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,4.856657,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,4.5695,,,,percent of total billed charges,,3.848,,,,percent of total billed charges,,2.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COCAINE 4 % NASAL SOLUTION [238099],0636,RC,,,,,inpatient,,,1125.54,,562.77,675.324,1136.457738,1058.0076,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,934.1982,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1035.4968,,,,percent of total billed charges,,1064.76084,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1091.7738,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,990.4752,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,729.34992,,,,percent of total billed charges,,1012.986,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,1136.457738,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,1069.263,,,,percent of total billed charges,,900.432,,,,percent of total billed charges,,675.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,,,,,inpatient,,,37.04,,18.52,22.224,37.399288,34.8176,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,30.7432,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,35.03984,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.9288,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,32.5952,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,24.00192,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,37.399288,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,,,,,inpatient,,,6.46,,3.23,3.876,6.522662,6.0724,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.3618,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,5.9432,,,,percent of total billed charges,,6.11116,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.2662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.6848,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.18608,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,6.522662,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,6.137,,,,percent of total billed charges,,5.168,,,,percent of total billed charges,,3.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,,,,,inpatient,,,25.16,,12.58,15.096,25.404052,23.6504,,,,percent of total billed charges,,20.128,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,20.8828,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,23.1472,,,,percent of total billed charges,,23.1472,,,,percent of total billed charges,,23.80136,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,24.4052,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,22.1408,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,16.30368,,,,percent of total billed charges,,22.644,,,,percent of total billed charges,,15.096,,,,percent of total billed charges,,25.404052,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,23.902,,,,percent of total billed charges,,20.128,,,,percent of total billed charges,,15.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,,,,,inpatient,,,6.22,,3.11,3.732,6.280334,5.8468,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.1626,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.7224,,,,percent of total billed charges,,5.88412,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,6.0334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.4736,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,4.03056,,,,percent of total billed charges,,5.598,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,6.280334,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,5.909,,,,percent of total billed charges,,4.976,,,,percent of total billed charges,,3.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,,,,,inpatient,,,14.19,,7.095,8.514,14.327643,13.3386,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.7777,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.42374,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.7643,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,12.4872,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,14.327643,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,,,,,inpatient,,,14.19,,7.095,8.514,14.327643,13.3386,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.7777,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.0548,,,,percent of total billed charges,,13.42374,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.7643,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,12.4872,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,14.327643,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,13.4805,,,,percent of total billed charges,,11.352,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [5944],0636,RC,,,,,inpatient,,,37.04,,18.52,22.224,37.399288,34.8176,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,30.7432,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,34.0768,,,,percent of total billed charges,,35.03984,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.9288,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,32.5952,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,24.00192,,,,percent of total billed charges,,33.336,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,37.399288,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,35.188,,,,percent of total billed charges,,29.632,,,,percent of total billed charges,,22.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [93982],0250,RC,,,,,inpatient,,,141.75,,70.875,85.05,143.124975,133.245,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,117.6525,,,,percent of total billed charges,,127.575,,,,percent of total billed charges,,130.41,,,,percent of total billed charges,,130.41,,,,percent of total billed charges,,134.0955,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,137.4975,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,124.74,,,,percent of total billed charges,,127.575,,,,percent of total billed charges,,91.854,,,,percent of total billed charges,,127.575,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,143.124975,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,134.6625,,,,percent of total billed charges,,113.4,,,,percent of total billed charges,,85.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [93982],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [93982],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNITS IN D5W 500 ML - FOR ANES [5000214],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNITS IN D5W 500 ML - FOR ANES [5000214],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OXYTOCIN 30 UNITS IN NS 500 ML - FOR ANES [5000235],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,,,,,inpatient,,,37.49,,18.745,22.494,37.853653,35.2406,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,31.1167,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,35.46554,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,36.3653,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,32.9912,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,24.29352,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,37.853653,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,,,,,inpatient,,,115.59,,57.795,69.354,116.711223,108.6546,,,,percent of total billed charges,,92.472,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,95.9397,,,,percent of total billed charges,,104.031,,,,percent of total billed charges,,106.3428,,,,percent of total billed charges,,106.3428,,,,percent of total billed charges,,109.34814,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,112.1223,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,101.7192,,,,percent of total billed charges,,104.031,,,,percent of total billed charges,,74.90232,,,,percent of total billed charges,,104.031,,,,percent of total billed charges,,69.354,,,,percent of total billed charges,,116.711223,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,109.8105,,,,percent of total billed charges,,92.472,,,,percent of total billed charges,,69.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,,,,,inpatient,,,293.85,,146.925,176.31,296.700345,276.219,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,243.8955,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,277.9821,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,285.0345,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,258.588,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,190.4148,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,296.700345,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,,,,,inpatient,,,31.01,,15.505,18.606,31.310797,29.1494,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,25.7383,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,28.5292,,,,percent of total billed charges,,29.33546,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,30.0797,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,27.2888,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,20.09448,,,,percent of total billed charges,,27.909,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,31.310797,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,29.4595,,,,percent of total billed charges,,24.808,,,,percent of total billed charges,,18.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [31025]",0636,RC,,,,,inpatient,,,161.1,,80.55,96.66,162.66267,151.434,,,,percent of total billed charges,,128.88,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,133.713,,,,percent of total billed charges,,144.99,,,,percent of total billed charges,,148.212,,,,percent of total billed charges,,148.212,,,,percent of total billed charges,,152.4006,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,156.267,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,141.768,,,,percent of total billed charges,,144.99,,,,percent of total billed charges,,104.3928,,,,percent of total billed charges,,144.99,,,,percent of total billed charges,,96.66,,,,percent of total billed charges,,162.66267,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,153.045,,,,percent of total billed charges,,128.88,,,,percent of total billed charges,,96.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [94058],0636,RC,,,,,inpatient,,,6861.42,,3430.71,4116.852,6927.975774,6449.7348,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5694.9786,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6490.90332,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6655.5774,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6038.0496,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,4446.20016,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,6927.975774,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [94058],0636,RC,,,,,inpatient,,,4002.84,,2001.42,2401.704,4041.667548,3762.6696,,,,percent of total billed charges,,3202.272,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3322.3572,,,,percent of total billed charges,,3602.556,,,,percent of total billed charges,,3682.6128,,,,percent of total billed charges,,3682.6128,,,,percent of total billed charges,,3786.68664,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3882.7548,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3522.4992,,,,percent of total billed charges,,3602.556,,,,percent of total billed charges,,2593.84032,,,,percent of total billed charges,,3602.556,,,,percent of total billed charges,,2401.704,,,,percent of total billed charges,,4041.667548,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3802.698,,,,percent of total billed charges,,3202.272,,,,percent of total billed charges,,2401.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION [94058],0636,RC,,,,,inpatient,,,5959.94,,2979.97,3575.964,6017.751418,5602.3436,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4946.7502,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5638.10324,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5781.1418,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5244.7472,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,3862.04112,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,6017.751418,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL-PROTEIN BOUND IVPB [1000226],0636,RC,,,,,inpatient,,,6861.42,,3430.71,4116.852,6927.975774,6449.7348,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5694.9786,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6312.5064,,,,percent of total billed charges,,6490.90332,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6655.5774,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6038.0496,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,4446.20016,,,,percent of total billed charges,,6175.278,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,6927.975774,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,6518.349,,,,percent of total billed charges,,5489.136,,,,percent of total billed charges,,4116.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PACLITAXEL-PROTEIN BOUND IVPB [1000226],0636,RC,,,,,inpatient,,,5959.94,,2979.97,3575.964,6017.751418,5602.3436,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4946.7502,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5483.1448,,,,percent of total billed charges,,5638.10324,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5781.1418,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5244.7472,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,3862.04112,,,,percent of total billed charges,,5363.946,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,6017.751418,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,5661.943,,,,percent of total billed charges,,4767.952,,,,percent of total billed charges,,3575.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,,,,,inpatient,,,50.72,,25.36,30.432,51.211984,47.6768,,,,percent of total billed charges,,40.576,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,42.0976,,,,percent of total billed charges,,45.648,,,,percent of total billed charges,,46.6624,,,,percent of total billed charges,,46.6624,,,,percent of total billed charges,,47.98112,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,49.1984,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,44.6336,,,,percent of total billed charges,,45.648,,,,percent of total billed charges,,32.86656,,,,percent of total billed charges,,45.648,,,,percent of total billed charges,,30.432,,,,percent of total billed charges,,51.211984,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,48.184,,,,percent of total billed charges,,40.576,,,,percent of total billed charges,,30.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,,,,,inpatient,,,4.94,,2.47,2.964,4.987918,4.6436,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.1002,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,4.5448,,,,percent of total billed charges,,4.5448,,,,percent of total billed charges,,4.67324,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.7918,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.3472,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,3.20112,,,,percent of total billed charges,,4.446,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,4.987918,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,4.693,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,2.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,,,,,inpatient,,,9.76,,4.88,5.856,9.854672,9.1744,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.1008,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,9.23296,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.4672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.5888,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,6.32448,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,9.854672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [102747]",0637,RC,,,,,inpatient,,,9.76,,4.88,5.856,9.854672,9.1744,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.1008,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,8.9792,,,,percent of total billed charges,,9.23296,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.4672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,8.5888,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,6.32448,,,,percent of total billed charges,,8.784,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,9.854672,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,7.808,,,,percent of total billed charges,,5.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE [195663],0636,RC,,,,,inpatient,,,6785.28,,3392.64,4071.168,6851.097216,6378.1632,,,,percent of total billed charges,,5428.224,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,5631.7824,,,,percent of total billed charges,,6106.752,,,,percent of total billed charges,,6242.4576,,,,percent of total billed charges,,6242.4576,,,,percent of total billed charges,,6418.87488,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,6581.7216,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,5971.0464,,,,percent of total billed charges,,6106.752,,,,percent of total billed charges,,4396.86144,,,,percent of total billed charges,,6106.752,,,,percent of total billed charges,,4071.168,,,,percent of total billed charges,,6851.097216,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,6446.016,,,,percent of total billed charges,,5428.224,,,,percent of total billed charges,,4071.168,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE [195664],0636,RC,,,,,inpatient,,,9047.39,,4523.695,5428.434,9135.149683,8504.5466,,,,percent of total billed charges,,7237.912,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,7509.3337,,,,percent of total billed charges,,8142.651,,,,percent of total billed charges,,8323.5988,,,,percent of total billed charges,,8323.5988,,,,percent of total billed charges,,8558.83094,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,8775.9683,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,7961.7032,,,,percent of total billed charges,,8142.651,,,,percent of total billed charges,,5862.70872,,,,percent of total billed charges,,8142.651,,,,percent of total billed charges,,5428.434,,,,percent of total billed charges,,9135.149683,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,8595.0205,,,,percent of total billed charges,,7237.912,,,,percent of total billed charges,,5428.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE [195665],0636,RC,,,,,inpatient,,,13570.7,,6785.35,8142.42,13702.33579,12756.458,,,,percent of total billed charges,,10856.56,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,11263.681,,,,percent of total billed charges,,12213.63,,,,percent of total billed charges,,12485.044,,,,percent of total billed charges,,12485.044,,,,percent of total billed charges,,12837.8822,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,13163.579,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,11942.216,,,,percent of total billed charges,,12213.63,,,,percent of total billed charges,,8793.8136,,,,percent of total billed charges,,12213.63,,,,percent of total billed charges,,8142.42,,,,percent of total billed charges,,13702.33579,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,12892.165,,,,percent of total billed charges,,10856.56,,,,percent of total billed charges,,8142.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,,,,,inpatient,,,533.97,,266.985,320.382,539.149509,501.9318,,,,percent of total billed charges,,427.176,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,443.1951,,,,percent of total billed charges,,480.573,,,,percent of total billed charges,,491.2524,,,,percent of total billed charges,,491.2524,,,,percent of total billed charges,,505.13562,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,517.9509,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,469.8936,,,,percent of total billed charges,,480.573,,,,percent of total billed charges,,346.01256,,,,percent of total billed charges,,480.573,,,,percent of total billed charges,,320.382,,,,percent of total billed charges,,539.149509,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,507.2715,,,,percent of total billed charges,,427.176,,,,percent of total billed charges,,320.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,,,,,inpatient,,,54.63,,27.315,32.778,55.159911,51.3522,,,,percent of total billed charges,,43.704,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,45.3429,,,,percent of total billed charges,,49.167,,,,percent of total billed charges,,50.2596,,,,percent of total billed charges,,50.2596,,,,percent of total billed charges,,51.67998,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,52.9911,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,48.0744,,,,percent of total billed charges,,49.167,,,,percent of total billed charges,,35.40024,,,,percent of total billed charges,,49.167,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,55.159911,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,51.8985,,,,percent of total billed charges,,43.704,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,,,,,inpatient,,,90.95,,45.475,54.57,91.832215,85.493,,,,percent of total billed charges,,72.76,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,75.4885,,,,percent of total billed charges,,81.855,,,,percent of total billed charges,,83.674,,,,percent of total billed charges,,83.674,,,,percent of total billed charges,,86.0387,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,88.2215,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,80.036,,,,percent of total billed charges,,81.855,,,,percent of total billed charges,,58.9356,,,,percent of total billed charges,,81.855,,,,percent of total billed charges,,54.57,,,,percent of total billed charges,,91.832215,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,86.4025,,,,percent of total billed charges,,72.76,,,,percent of total billed charges,,54.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION [88471],0636,RC,,,,,inpatient,,,40.5,,20.25,24.3,40.89285,38.07,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,33.615,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,40.89285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],0636,RC,,,,,inpatient,,,46.71,,23.355,28.026,47.163087,43.9074,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,38.7693,,,,percent of total billed charges,,42.039,,,,percent of total billed charges,,42.9732,,,,percent of total billed charges,,42.9732,,,,percent of total billed charges,,44.18766,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,45.3087,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,41.1048,,,,percent of total billed charges,,42.039,,,,percent of total billed charges,,30.26808,,,,percent of total billed charges,,42.039,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,47.163087,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,44.3745,,,,percent of total billed charges,,37.368,,,,percent of total billed charges,,28.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [32589],0636,RC,,,,,inpatient,,,36.59,,18.295,21.954,36.944923,34.3946,,,,percent of total billed charges,,29.272,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,30.3697,,,,percent of total billed charges,,32.931,,,,percent of total billed charges,,33.6628,,,,percent of total billed charges,,33.6628,,,,percent of total billed charges,,34.61414,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,35.4923,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,32.1992,,,,percent of total billed charges,,32.931,,,,percent of total billed charges,,23.71032,,,,percent of total billed charges,,32.931,,,,percent of total billed charges,,21.954,,,,percent of total billed charges,,36.944923,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,34.7605,,,,percent of total billed charges,,29.272,,,,percent of total billed charges,,21.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],0636,RC,,,,,inpatient,,,127.58,,63.79,76.548,128.817526,119.9252,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,105.8914,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,120.69068,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,123.7526,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,112.2704,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,82.67184,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,128.817526,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],0636,RC,,,,,inpatient,,,127.58,,63.79,76.548,128.817526,119.9252,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,105.8914,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,117.3736,,,,percent of total billed charges,,120.69068,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,123.7526,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,112.2704,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,82.67184,,,,percent of total billed charges,,114.822,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,128.817526,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,121.201,,,,percent of total billed charges,,102.064,,,,percent of total billed charges,,76.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION [32855],0636,RC,,,,,inpatient,,,42.53,,21.265,25.518,42.942541,39.9782,,,,percent of total billed charges,,34.024,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,35.2999,,,,percent of total billed charges,,38.277,,,,percent of total billed charges,,39.1276,,,,percent of total billed charges,,39.1276,,,,percent of total billed charges,,40.23338,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,41.2541,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,37.4264,,,,percent of total billed charges,,38.277,,,,percent of total billed charges,,27.55944,,,,percent of total billed charges,,38.277,,,,percent of total billed charges,,25.518,,,,percent of total billed charges,,42.942541,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,40.4035,,,,percent of total billed charges,,34.024,,,,percent of total billed charges,,25.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [189484],0636,RC,,,,,inpatient,,,7155.45,,3577.725,4293.27,7224.857865,6726.123,,,,percent of total billed charges,,5724.36,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,5939.0235,,,,percent of total billed charges,,6439.905,,,,percent of total billed charges,,6583.014,,,,percent of total billed charges,,6583.014,,,,percent of total billed charges,,6769.0557,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,6940.7865,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,6296.796,,,,percent of total billed charges,,6439.905,,,,percent of total billed charges,,4636.7316,,,,percent of total billed charges,,6439.905,,,,percent of total billed charges,,4293.27,,,,percent of total billed charges,,7224.857865,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,6797.6775,,,,percent of total billed charges,,5724.36,,,,percent of total billed charges,,4293.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [189486],0636,RC,,,,,inpatient,,,25441.44,,12720.72,15264.864,25688.22197,23914.9536,,,,percent of total billed charges,,20353.152,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,21116.3952,,,,percent of total billed charges,,22897.296,,,,percent of total billed charges,,23406.1248,,,,percent of total billed charges,,23406.1248,,,,percent of total billed charges,,24067.60224,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,24678.1968,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,22388.4672,,,,percent of total billed charges,,22897.296,,,,percent of total billed charges,,16486.05312,,,,percent of total billed charges,,22897.296,,,,percent of total billed charges,,15264.864,,,,percent of total billed charges,,25688.22197,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,24169.368,,,,percent of total billed charges,,20353.152,,,,percent of total billed charges,,15264.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [189484],0636,RC,,,,,inpatient,,,25797.79,,12898.895,15478.674,26048.02856,24249.9226,,,,percent of total billed charges,,20638.232,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,21412.1657,,,,percent of total billed charges,,23218.011,,,,percent of total billed charges,,23733.9668,,,,percent of total billed charges,,23733.9668,,,,percent of total billed charges,,24404.70934,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,25023.8563,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,22702.0552,,,,percent of total billed charges,,23218.011,,,,percent of total billed charges,,16716.96792,,,,percent of total billed charges,,23218.011,,,,percent of total billed charges,,15478.674,,,,percent of total billed charges,,26048.02856,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,24507.9005,,,,percent of total billed charges,,20638.232,,,,percent of total billed charges,,15478.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [79458]",0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [79458]",0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [79458]",0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.45,,3.725,4.47,7.522265,7.003,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.1835,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,6.854,,,,percent of total billed charges,,7.0477,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.2265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,6.556,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.8276,,,,percent of total billed charges,,6.705,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,7.522265,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,7.0775,,,,percent of total billed charges,,5.96,,,,percent of total billed charges,,4.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,6.77,,3.385,4.062,6.835669,6.3638,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.6191,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.40442,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.5669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.9576,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.38696,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,6.835669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,6.77,,3.385,4.062,6.835669,6.3638,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.6191,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.2284,,,,percent of total billed charges,,6.40442,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.5669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.9576,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.38696,,,,percent of total billed charges,,6.093,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,6.835669,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,6.4315,,,,percent of total billed charges,,5.416,,,,percent of total billed charges,,4.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.03,,3.515,4.218,7.098191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.55544,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,7.098191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,7.03,,3.515,4.218,7.098191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.55544,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,7.098191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,59.87,,29.935,35.922,60.450739,56.2778,,,,percent of total billed charges,,47.896,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,49.6921,,,,percent of total billed charges,,53.883,,,,percent of total billed charges,,55.0804,,,,percent of total billed charges,,55.0804,,,,percent of total billed charges,,56.63702,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,58.0739,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,52.6856,,,,percent of total billed charges,,53.883,,,,percent of total billed charges,,38.79576,,,,percent of total billed charges,,53.883,,,,percent of total billed charges,,35.922,,,,percent of total billed charges,,60.450739,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,56.8765,,,,percent of total billed charges,,47.896,,,,percent of total billed charges,,35.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,1.48,,0.74,0.888,1.494356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.95904,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.494356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,1.48,,0.74,0.888,1.494356,1.3912,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.2284,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.3616,,,,percent of total billed charges,,1.40008,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.4356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.3024,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.95904,,,,percent of total billed charges,,1.332,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.494356,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.406,,,,percent of total billed charges,,1.184,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,0.89,,0.445,0.534,0.898633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.898633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [80425]",0637,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40MG IN NS 50ML CONTINUOUS INFUSION (MBP) [252346],0250,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [78617],0636,RC,,,,,inpatient,,,14.89,,7.445,8.934,15.034433,13.9966,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,12.3587,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,14.08594,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.4433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,13.1032,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,9.64872,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,15.034433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,,,,,inpatient,,,104.45,,52.225,62.67,105.463165,98.183,,,,percent of total billed charges,,83.56,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,86.6935,,,,percent of total billed charges,,94.005,,,,percent of total billed charges,,96.094,,,,percent of total billed charges,,96.094,,,,percent of total billed charges,,98.8097,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,101.3165,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,91.916,,,,percent of total billed charges,,94.005,,,,percent of total billed charges,,67.6836,,,,percent of total billed charges,,94.005,,,,percent of total billed charges,,62.67,,,,percent of total billed charges,,105.463165,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,99.2275,,,,percent of total billed charges,,83.56,,,,percent of total billed charges,,62.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,,,,,inpatient,,,74.45,,37.225,44.67,75.172165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,48.2436,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,75.172165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,,,,,inpatient,,,74.45,,37.225,44.67,75.172165,69.983,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,61.7935,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,68.494,,,,percent of total billed charges,,70.4297,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,72.2165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,65.516,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,48.2436,,,,percent of total billed charges,,67.005,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,75.172165,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,70.7275,,,,percent of total billed charges,,59.56,,,,percent of total billed charges,,44.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,,,,,inpatient,,,70.32,,35.16,42.192,71.002104,66.1008,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,58.3656,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,66.52272,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,68.2104,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,61.8816,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,45.56736,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,71.002104,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,,,,,inpatient,,,70.32,,35.16,42.192,71.002104,66.1008,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,58.3656,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,64.6944,,,,percent of total billed charges,,66.52272,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,68.2104,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,61.8816,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,45.56736,,,,percent of total billed charges,,63.288,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,71.002104,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,66.804,,,,percent of total billed charges,,56.256,,,,percent of total billed charges,,42.192,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAPAVERINE 30 MG/ML INJECTION SOLUTION [6030],0636,RC,,,,,inpatient,,,52.23,,26.115,31.338,52.736631,49.0962,,,,percent of total billed charges,,41.784,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,43.3509,,,,percent of total billed charges,,47.007,,,,percent of total billed charges,,48.0516,,,,percent of total billed charges,,48.0516,,,,percent of total billed charges,,49.40958,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,50.6631,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,45.9624,,,,percent of total billed charges,,47.007,,,,percent of total billed charges,,33.84504,,,,percent of total billed charges,,47.007,,,,percent of total billed charges,,31.338,,,,percent of total billed charges,,52.736631,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,49.6185,,,,percent of total billed charges,,41.784,,,,percent of total billed charges,,31.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION [164249],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PARICALCITOL 1 MCG CAPSULE [94589],0637,RC,,,,,inpatient,,,53.28,,26.64,31.968,53.796816,50.0832,,,,percent of total billed charges,,42.624,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,44.2224,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,49.0176,,,,percent of total billed charges,,49.0176,,,,percent of total billed charges,,50.40288,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,51.6816,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,46.8864,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,34.52544,,,,percent of total billed charges,,47.952,,,,percent of total billed charges,,31.968,,,,percent of total billed charges,,53.796816,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,50.616,,,,percent of total billed charges,,42.624,,,,percent of total billed charges,,31.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION [78749],0636,RC,,,,,inpatient,,,40.95,,20.475,24.57,41.347215,38.493,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,33.9885,,,,percent of total billed charges,,36.855,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,38.7387,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,39.7215,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,36.036,,,,percent of total billed charges,,36.855,,,,percent of total billed charges,,26.5356,,,,percent of total billed charges,,36.855,,,,percent of total billed charges,,24.57,,,,percent of total billed charges,,41.347215,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,38.9025,,,,percent of total billed charges,,32.76,,,,percent of total billed charges,,24.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAROXETINE 20 MG TABLET [10855],0637,RC,,,,,inpatient,,,1.44,,0.72,0.864,1.453968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.93312,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.453968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAROXETINE 20 MG TABLET [10855],0637,RC,,,,,inpatient,,,1.44,,0.72,0.864,1.453968,1.3536,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.1952,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.3248,,,,percent of total billed charges,,1.36224,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.2672,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.93312,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.453968,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PAROXETINE 20 MG TABLET [10855],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - FENTANYL (PF) 20 MCG/ML IN NS [1000950],0250,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - FENTANYL (PF) 20 MCG/ML IN NS [1000950],0250,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - HYDROMORPHONE (PF) 1 MG/ML IN NS [1001526],0250,RC,,,,,inpatient,,,199.8,,99.9,119.88,201.73806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,129.4704,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,201.73806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - HYDROMORPHONE (PF) 1 MG/ML IN NS [1001526],0250,RC,,,,,inpatient,,,199.8,,99.9,119.88,201.73806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,129.4704,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,201.73806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - HYDROMORPHONE (PF) 1 MG/ML IN NS SUBCUTANEOUS PCA [1001466],0250,RC,,,,,inpatient,,,199.8,,99.9,119.88,201.73806,187.812,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,165.834,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,183.816,,,,percent of total billed charges,,189.0108,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,193.806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,175.824,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,129.4704,,,,percent of total billed charges,,179.82,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,201.73806,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,189.81,,,,percent of total billed charges,,159.84,,,,percent of total billed charges,,119.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS  [1001531],0250,RC,,,,,inpatient,,,59.4,,29.7,35.64,59.97618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,38.4912,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,59.97618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCA - MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS FOR SUBCUTANEOUS [1002027],0250,RC,,,,,inpatient,,,59.4,,29.7,35.64,59.97618,55.836,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,49.302,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,56.1924,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,57.618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,52.272,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,38.4912,,,,percent of total billed charges,,53.46,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,59.97618,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,56.43,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 % IN NS [1000952],0250,RC,,,,,inpatient,,,60.3,,30.15,36.18,60.88491,56.682,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,50.049,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,55.476,,,,percent of total billed charges,,57.0438,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,58.491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,53.064,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,39.0744,,,,percent of total billed charges,,54.27,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,60.88491,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,57.285,,,,percent of total billed charges,,48.24,,,,percent of total billed charges,,36.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL 2 MCG/ML-ROPIVACAINE 0.2 % (PF) IN NS [1000954],0250,RC,,,,,inpatient,,,165.6,,82.8,99.36,167.20632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,107.3088,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,167.20632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL 2 MCG/ML-ROPIVACAINE 0.2 % (PF) IN NS [1000954],0250,RC,,,,,inpatient,,,165.6,,82.8,99.36,167.20632,155.664,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,137.448,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,152.352,,,,percent of total billed charges,,156.6576,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,160.632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,145.728,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,107.3088,,,,percent of total billed charges,,149.04,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,167.20632,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,157.32,,,,percent of total billed charges,,132.48,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PCEA - FENTANYL 5 MCG/ML-ROPIVACAINE 0.2 % (PF) IN NS [1000955],0250,RC,,,,,inpatient,,,217.22,,108.61,130.332,219.327034,204.1868,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,180.2926,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,199.8424,,,,percent of total billed charges,,205.49012,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,210.7034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,191.1536,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,140.75856,,,,percent of total billed charges,,195.498,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,219.327034,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,206.359,,,,percent of total billed charges,,173.776,,,,percent of total billed charges,,130.332,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC BUTTOCKS PASTE - EAST [7000018],0637,RC,,,,,inpatient,,,21.47,,10.735,12.882,21.678259,20.1818,,,,percent of total billed charges,,17.176,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,17.8201,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,19.7524,,,,percent of total billed charges,,19.7524,,,,percent of total billed charges,,20.31062,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,20.8259,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,18.8936,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,13.91256,,,,percent of total billed charges,,19.323,,,,percent of total billed charges,,12.882,,,,percent of total billed charges,,21.678259,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,20.3965,,,,percent of total billed charges,,17.176,,,,percent of total billed charges,,12.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MAGIC MOUTHWASH - EAST [7000017],0637,RC,,,,,inpatient,,,16.2,,8.1,9.72,16.35714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,10.4976,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,16.35714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MAGIC MOUTHWASH - EAST [7000017],0637,RC,,,,,inpatient,,,1.35,,0.675,0.81,1.363095,1.269,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.1205,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2771,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.3095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.8748,,,,percent of total billed charges,,1.215,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.363095,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.2825,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [249209],0637,RC,,,,,inpatient,,,36.9,,18.45,22.14,37.25793,34.686,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,30.627,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,33.948,,,,percent of total billed charges,,34.9074,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.793,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,32.472,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,23.9112,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,37.25793,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,35.055,,,,percent of total billed charges,,29.52,,,,percent of total billed charges,,22.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [249209],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS [249209],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10-MCG-5 MG/ML ORAL DROPS [252764],0637,RC,,,,,inpatient,,,12.83,,6.415,7.698,12.954451,12.0602,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.6489,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,11.8036,,,,percent of total billed charges,,12.13718,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.4451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,11.2904,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,8.31384,,,,percent of total billed charges,,11.547,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,12.954451,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,12.1885,,,,percent of total billed charges,,10.264,,,,percent of total billed charges,,7.698,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS [252748],0637,RC,,,,,inpatient,,,14.63,,7.315,8.778,14.771911,13.7522,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.1429,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.4596,,,,percent of total billed charges,,13.83998,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,14.1911,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,12.8744,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,9.48024,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,14.771911,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,13.8985,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,8.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS [252748],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION [135270],0637,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [77053],0636,RC,,,,,inpatient,,,75394.8,,37697.4,45236.88,76126.12956,70871.112,,,,percent of total billed charges,,60315.84,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,62577.684,,,,percent of total billed charges,,67855.32,,,,percent of total billed charges,,69363.216,,,,percent of total billed charges,,69363.216,,,,percent of total billed charges,,71323.4808,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,73132.956,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,66347.424,,,,percent of total billed charges,,67855.32,,,,percent of total billed charges,,48855.8304,,,,percent of total billed charges,,67855.32,,,,percent of total billed charges,,45236.88,,,,percent of total billed charges,,76126.12956,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,71625.06,,,,percent of total billed charges,,60315.84,,,,percent of total billed charges,,45236.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [77053],0636,RC,,,,,inpatient,,,50695.8,,25347.9,30417.48,51187.54926,47654.052,,,,percent of total billed charges,,40556.64,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,42077.514,,,,percent of total billed charges,,45626.22,,,,percent of total billed charges,,46640.136,,,,percent of total billed charges,,46640.136,,,,percent of total billed charges,,47958.2268,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,49174.926,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,44612.304,,,,percent of total billed charges,,45626.22,,,,percent of total billed charges,,32850.8784,,,,percent of total billed charges,,45626.22,,,,percent of total billed charges,,30417.48,,,,percent of total billed charges,,51187.54926,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,48161.01,,,,percent of total billed charges,,40556.64,,,,percent of total billed charges,,30417.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [224417],0636,RC,,,,,inpatient,,,18504,,9252,11102.4,18683.4888,17393.76,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,15358.32,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17504.784,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17948.88,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,16283.52,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,11990.592,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,18683.4888,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [83031],0636,RC,,,,,inpatient,,,18504,,9252,11102.4,18683.4888,17393.76,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,15358.32,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17023.68,,,,percent of total billed charges,,17504.784,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17948.88,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,16283.52,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,11990.592,,,,percent of total billed charges,,16653.6,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,18683.4888,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,17578.8,,,,percent of total billed charges,,14803.2,,,,percent of total billed charges,,11102.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [242433],0636,RC,,,,,inpatient,,,7267.51,,3633.755,4360.506,7338.004847,6831.4594,,,,percent of total billed charges,,5814.008,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,6032.0333,,,,percent of total billed charges,,6540.759,,,,percent of total billed charges,,6686.1092,,,,percent of total billed charges,,6686.1092,,,,percent of total billed charges,,6875.06446,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,7049.4847,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,6395.4088,,,,percent of total billed charges,,6540.759,,,,percent of total billed charges,,4709.34648,,,,percent of total billed charges,,6540.759,,,,percent of total billed charges,,4360.506,,,,percent of total billed charges,,7338.004847,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,6904.1345,,,,percent of total billed charges,,5814.008,,,,percent of total billed charges,,4360.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [202295],0636,RC,,,,,inpatient,,,17325,,8662.5,10395,17493.0525,16285.5,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,14379.75,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,16389.45,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16805.25,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,15246,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,11226.6,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,17493.0525,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [202295],0636,RC,,,,,inpatient,,,17325,,8662.5,10395,17493.0525,16285.5,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,14379.75,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,15939,,,,percent of total billed charges,,16389.45,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16805.25,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,15246,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,11226.6,,,,percent of total billed charges,,15592.5,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,17493.0525,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,16458.75,,,,percent of total billed charges,,13860,,,,percent of total billed charges,,10395,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [224448],0636,RC,,,,,inpatient,,,22230.08,,11115.04,13338.048,22445.71178,20896.2752,,,,percent of total billed charges,,17784.064,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,18450.9664,,,,percent of total billed charges,,20007.072,,,,percent of total billed charges,,20451.6736,,,,percent of total billed charges,,20451.6736,,,,percent of total billed charges,,21029.65568,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,21563.1776,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,19562.4704,,,,percent of total billed charges,,20007.072,,,,percent of total billed charges,,14405.09184,,,,percent of total billed charges,,20007.072,,,,percent of total billed charges,,13338.048,,,,percent of total billed charges,,22445.71178,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,21118.576,,,,percent of total billed charges,,17784.064,,,,percent of total billed charges,,13338.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [224448],0636,RC,,,,,inpatient,,,44460.16,,22230.08,26676.096,44891.42355,41792.5504,,,,percent of total billed charges,,35568.128,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,36901.9328,,,,percent of total billed charges,,40014.144,,,,percent of total billed charges,,40903.3472,,,,percent of total billed charges,,40903.3472,,,,percent of total billed charges,,42059.31136,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,43126.3552,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,39124.9408,,,,percent of total billed charges,,40014.144,,,,percent of total billed charges,,28810.18368,,,,percent of total billed charges,,40014.144,,,,percent of total billed charges,,26676.096,,,,percent of total billed charges,,44891.42355,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,42237.152,,,,percent of total billed charges,,35568.128,,,,percent of total billed charges,,26676.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [164203],0636,RC,,,,,inpatient,,,3511.35,,1755.675,2106.81,3545.410095,3300.669,,,,percent of total billed charges,,2809.08,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,2914.4205,,,,percent of total billed charges,,3160.215,,,,percent of total billed charges,,3230.442,,,,percent of total billed charges,,3230.442,,,,percent of total billed charges,,3321.7371,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,3406.0095,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,3089.988,,,,percent of total billed charges,,3160.215,,,,percent of total billed charges,,2275.3548,,,,percent of total billed charges,,3160.215,,,,percent of total billed charges,,2106.81,,,,percent of total billed charges,,3545.410095,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,3335.7825,,,,percent of total billed charges,,2809.08,,,,percent of total billed charges,,2106.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [164203],0636,RC,,,,,inpatient,,,62.06,,31.03,37.236,62.661982,58.3364,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,51.5098,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,57.0952,,,,percent of total billed charges,,58.70876,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,60.1982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,54.6128,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,40.21488,,,,percent of total billed charges,,55.854,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,62.661982,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,58.957,,,,percent of total billed charges,,49.648,,,,percent of total billed charges,,37.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION [164203],0636,RC,,,,,inpatient,,,246.87,,123.435,148.122,249.264639,232.0578,,,,percent of total billed charges,,197.496,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,204.9021,,,,percent of total billed charges,,222.183,,,,percent of total billed charges,,227.1204,,,,percent of total billed charges,,227.1204,,,,percent of total billed charges,,233.53902,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,239.4639,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,217.2456,,,,percent of total billed charges,,222.183,,,,percent of total billed charges,,159.97176,,,,percent of total billed charges,,222.183,,,,percent of total billed charges,,148.122,,,,percent of total billed charges,,249.264639,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,234.5265,,,,percent of total billed charges,,197.496,,,,percent of total billed charges,,148.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [89834],0636,RC,,,,,inpatient,,,17556.75,,8778.375,10534.05,17727.05048,16503.345,,,,percent of total billed charges,,14045.4,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,14572.1025,,,,percent of total billed charges,,15801.075,,,,percent of total billed charges,,16152.21,,,,percent of total billed charges,,16152.21,,,,percent of total billed charges,,16608.6855,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,17030.0475,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,15449.94,,,,percent of total billed charges,,15801.075,,,,percent of total billed charges,,11376.774,,,,percent of total billed charges,,15801.075,,,,percent of total billed charges,,10534.05,,,,percent of total billed charges,,17727.05048,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,16678.9125,,,,percent of total billed charges,,14045.4,,,,percent of total billed charges,,10534.05,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [89834],0636,RC,,,,,inpatient,,,310.19,,155.095,186.114,313.198843,291.5786,,,,percent of total billed charges,,248.152,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,257.4577,,,,percent of total billed charges,,279.171,,,,percent of total billed charges,,285.3748,,,,percent of total billed charges,,285.3748,,,,percent of total billed charges,,293.43974,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,300.8843,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,272.9672,,,,percent of total billed charges,,279.171,,,,percent of total billed charges,,201.00312,,,,percent of total billed charges,,279.171,,,,percent of total billed charges,,186.114,,,,percent of total billed charges,,313.198843,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,294.6805,,,,percent of total billed charges,,248.152,,,,percent of total billed charges,,186.114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [89834],0636,RC,,,,,inpatient,,,1024.38,,512.19,614.628,1034.316486,962.9172,,,,percent of total billed charges,,819.504,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,850.2354,,,,percent of total billed charges,,921.942,,,,percent of total billed charges,,942.4296,,,,percent of total billed charges,,942.4296,,,,percent of total billed charges,,969.06348,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,993.6486,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,901.4544,,,,percent of total billed charges,,921.942,,,,percent of total billed charges,,663.79824,,,,percent of total billed charges,,921.942,,,,percent of total billed charges,,614.628,,,,percent of total billed charges,,1034.316486,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,973.161,,,,percent of total billed charges,,819.504,,,,percent of total billed charges,,614.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENICILLIN G 50,000 UNITS/ML IN D5W IV PEDS DILUTION [1000055]",0636,RC,,,,,inpatient,,,1.74,,0.87,1.044,1.756878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.12752,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.756878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [86485]",0636,RC,,,,,inpatient,,,1146.65,,573.325,687.99,1157.772505,1077.851,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,951.7195,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1084.7309,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1112.2505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1009.052,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,743.0292,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,1157.772505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [86485]",0636,RC,,,,,inpatient,,,1146.65,,573.325,687.99,1157.772505,1077.851,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,951.7195,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1054.918,,,,percent of total billed charges,,1084.7309,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1112.2505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1009.052,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,743.0292,,,,percent of total billed charges,,1031.985,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,1157.772505,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,1089.3175,,,,percent of total billed charges,,917.32,,,,percent of total billed charges,,687.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],0636,RC,,,,,inpatient,,,97.61,,48.805,58.566,98.556817,91.7534,,,,percent of total billed charges,,78.088,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,81.0163,,,,percent of total billed charges,,87.849,,,,percent of total billed charges,,89.8012,,,,percent of total billed charges,,89.8012,,,,percent of total billed charges,,92.33906,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,94.6817,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,85.8968,,,,percent of total billed charges,,87.849,,,,percent of total billed charges,,63.25128,,,,percent of total billed charges,,87.849,,,,percent of total billed charges,,58.566,,,,percent of total billed charges,,98.556817,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,92.7295,,,,percent of total billed charges,,78.088,,,,percent of total billed charges,,58.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,,,,,inpatient,,,16.57,,8.285,9.942,16.730729,15.5758,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.7531,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.67522,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,16.0729,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,14.5816,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,10.73736,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,16.730729,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,,,,,inpatient,,,16.57,,8.285,9.942,16.730729,15.5758,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.7531,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.2444,,,,percent of total billed charges,,15.67522,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,16.0729,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,14.5816,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,10.73736,,,,percent of total billed charges,,14.913,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,16.730729,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,15.7415,,,,percent of total billed charges,,13.256,,,,percent of total billed charges,,9.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,,,,,inpatient,,,23.99,,11.995,14.394,24.222703,22.5506,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.9117,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.69454,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,23.2703,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,21.1112,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,15.54552,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,24.222703,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,,,,,inpatient,,,23.99,,11.995,14.394,24.222703,22.5506,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.9117,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.0708,,,,percent of total billed charges,,22.69454,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,23.2703,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,21.1112,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,15.54552,,,,percent of total billed charges,,21.591,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,24.222703,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,22.7905,,,,percent of total billed charges,,19.192,,,,percent of total billed charges,,14.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [6086],0636,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION [6085],0636,RC,,,,,inpatient,,,87.85,,43.925,52.71,88.702145,82.579,,,,percent of total billed charges,,70.28,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,72.9155,,,,percent of total billed charges,,79.065,,,,percent of total billed charges,,80.822,,,,percent of total billed charges,,80.822,,,,percent of total billed charges,,83.1061,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,85.2145,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,77.308,,,,percent of total billed charges,,79.065,,,,percent of total billed charges,,56.9268,,,,percent of total billed charges,,79.065,,,,percent of total billed charges,,52.71,,,,percent of total billed charges,,88.702145,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,83.4575,,,,percent of total billed charges,,70.28,,,,percent of total billed charges,,52.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG TABLET [6092],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],0637,RC,,,,,inpatient,,,33.75,,16.875,20.25,34.077375,31.725,,,,percent of total billed charges,,27,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,28.0125,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.05,,,,percent of total billed charges,,31.9275,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.7375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,29.7,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,30.375,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,34.077375,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,32.0625,,,,percent of total billed charges,,27,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION [6091],0637,RC,,,,,inpatient,,,19.35,,9.675,11.61,19.537695,18.189,,,,percent of total billed charges,,15.48,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,16.0605,,,,percent of total billed charges,,17.415,,,,percent of total billed charges,,17.802,,,,percent of total billed charges,,17.802,,,,percent of total billed charges,,18.3051,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,18.7695,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.415,,,,percent of total billed charges,,12.5388,,,,percent of total billed charges,,17.415,,,,percent of total billed charges,,11.61,,,,percent of total billed charges,,19.537695,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,18.3825,,,,percent of total billed charges,,15.48,,,,percent of total billed charges,,11.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 500 MG TABLET [6093],0637,RC,,,,,inpatient,,,1.46,,0.73,0.876,1.474162,1.3724,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2118,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.38116,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.4162,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2848,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,0.94608,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,1.474162,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENICILLIN V POTASSIUM 500 MG TABLET [6093],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,,,,,inpatient,,,690.17,,345.085,414.102,696.864649,648.7598,,,,percent of total billed charges,,552.136,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,572.8411,,,,percent of total billed charges,,621.153,,,,percent of total billed charges,,634.9564,,,,percent of total billed charges,,634.9564,,,,percent of total billed charges,,652.90082,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,669.4649,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,607.3496,,,,percent of total billed charges,,621.153,,,,percent of total billed charges,,447.23016,,,,percent of total billed charges,,621.153,,,,percent of total billed charges,,414.102,,,,percent of total billed charges,,696.864649,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,655.6615,,,,percent of total billed charges,,552.136,,,,percent of total billed charges,,414.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,,,,,inpatient,,,622.07,,311.035,373.242,628.104079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,403.10136,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,628.104079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,,,,,inpatient,,,622.07,,311.035,373.242,628.104079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,403.10136,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,628.104079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,,,,,inpatient,,,622.07,,311.035,373.242,628.104079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,403.10136,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,628.104079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,,,,,inpatient,,,622.07,,311.035,373.242,628.104079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,403.10136,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,628.104079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,,,,,inpatient,,,622.07,,311.035,373.242,628.104079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,403.10136,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,628.104079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTAMIDINE 300 MG SOLUTION FOR INJECTION [27430],0250,RC,,,,,inpatient,,,622.07,,311.035,373.242,628.104079,584.7458,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,516.3181,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,572.3044,,,,percent of total billed charges,,588.47822,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,603.4079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,547.4216,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,403.10136,,,,percent of total billed charges,,559.863,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,628.104079,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,590.9665,,,,percent of total billed charges,,497.656,,,,percent of total billed charges,,373.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENTOSTATIN 10 MG INTRAVENOUS SOLUTION [77519],0636,RC,,,,,inpatient,,,10875.29,,5437.645,6525.174,10980.78031,10222.7726,,,,percent of total billed charges,,8700.232,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,9026.4907,,,,percent of total billed charges,,9787.761,,,,percent of total billed charges,,10005.2668,,,,percent of total billed charges,,10005.2668,,,,percent of total billed charges,,10288.02434,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,10549.0313,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,9570.2552,,,,percent of total billed charges,,9787.761,,,,percent of total billed charges,,7047.18792,,,,percent of total billed charges,,9787.761,,,,percent of total billed charges,,6525.174,,,,percent of total billed charges,,10980.78031,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,10331.5255,,,,percent of total billed charges,,8700.232,,,,percent of total billed charges,,6525.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [21300]",0637,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [79173],0254,RC,,,,,inpatient,,,510.75,,255.375,306.45,515.704275,480.105,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,423.9225,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,483.1695,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,495.4275,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,449.46,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,330.966,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,515.704275,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION [79173],0254,RC,,,,,inpatient,,,510.75,,255.375,306.45,515.704275,480.105,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,423.9225,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,469.89,,,,percent of total billed charges,,483.1695,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,495.4275,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,449.46,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,330.966,,,,percent of total billed charges,,459.675,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,515.704275,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,485.2125,,,,percent of total billed charges,,408.6,,,,percent of total billed charges,,306.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [189939],0254,RC,,,,,inpatient,,,631.8,,315.9,379.08,637.92846,593.892,,,,percent of total billed charges,,505.44,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,524.394,,,,percent of total billed charges,,568.62,,,,percent of total billed charges,,581.256,,,,percent of total billed charges,,581.256,,,,percent of total billed charges,,597.6828,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,612.846,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,555.984,,,,percent of total billed charges,,568.62,,,,percent of total billed charges,,409.4064,,,,percent of total billed charges,,568.62,,,,percent of total billed charges,,379.08,,,,percent of total billed charges,,637.92846,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,600.21,,,,percent of total billed charges,,505.44,,,,percent of total billed charges,,379.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [102408],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [102511],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [102429],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 1 % TOPICAL LIQUID [10918],0637,RC,,,,,inpatient,,,24.7,,12.35,14.82,24.93959,23.218,,,,percent of total billed charges,,19.76,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,20.501,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,22.724,,,,percent of total billed charges,,22.724,,,,percent of total billed charges,,23.3662,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,23.959,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,21.736,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,16.0056,,,,percent of total billed charges,,22.23,,,,percent of total billed charges,,14.82,,,,percent of total billed charges,,24.93959,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,23.465,,,,percent of total billed charges,,19.76,,,,percent of total billed charges,,14.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 1 % TOPICAL LIQUID [10918],0637,RC,,,,,inpatient,,,18.32,,9.16,10.992,18.497704,17.2208,,,,percent of total billed charges,,14.656,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,15.2056,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,16.8544,,,,percent of total billed charges,,16.8544,,,,percent of total billed charges,,17.33072,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,17.7704,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,16.1216,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,11.87136,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,10.992,,,,percent of total billed charges,,18.497704,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,17.404,,,,percent of total billed charges,,14.656,,,,percent of total billed charges,,10.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 1 % TOPICAL LIQUID [10918],0637,RC,,,,,inpatient,,,32.4,,16.2,19.44,32.71428,30.456,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,26.892,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,30.6504,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,31.428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,28.512,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,20.9952,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,32.71428,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,30.78,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 5 % TOPICAL CREAM [10917],0637,RC,,,,,inpatient,,,77.76,,38.88,46.656,78.514272,73.0944,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,64.5408,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,71.5392,,,,percent of total billed charges,,71.5392,,,,percent of total billed charges,,73.56096,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,75.4272,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,68.4288,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,50.38848,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,78.514272,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,73.872,,,,percent of total billed charges,,62.208,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMETHRIN 5 % TOPICAL CREAM [10917],0637,RC,,,,,inpatient,,,135,,67.5,81,136.3095,126.9,,,,percent of total billed charges,,108,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,112.05,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,127.71,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,130.95,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,118.8,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,87.48,,,,percent of total billed charges,,121.5,,,,percent of total billed charges,,81,,,,percent of total billed charges,,136.3095,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,128.25,,,,percent of total billed charges,,108,,,,percent of total billed charges,,81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERPHENAZINE 2 MG TABLET [6157],0636,RC,,,,,inpatient,,,2.76,,1.38,1.656,2.786772,2.5944,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,2.5392,,,,percent of total billed charges,,2.5392,,,,percent of total billed charges,,2.61096,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.4288,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,1.78848,,,,percent of total billed charges,,2.484,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,2.786772,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERPHENAZINE 2 MG TABLET [6157],0636,RC,,,,,inpatient,,,1.23,,0.615,0.738,1.241931,1.1562,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0209,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.1316,,,,percent of total billed charges,,1.16358,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.0824,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.79704,,,,percent of total billed charges,,1.107,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,1.241931,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,1.1685,,,,percent of total billed charges,,0.984,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERPHENAZINE 2 MG TABLET [6157],0636,RC,,,,,inpatient,,,0.69,,0.345,0.414,0.696693,0.6486,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.5727,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.65274,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.44712,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,0.696693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN [249865]",0636,RC,,,,,inpatient,,,52352.82,,26176.41,31411.692,52860.64235,49211.6508,,,,percent of total billed charges,,41882.256,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,43452.8406,,,,percent of total billed charges,,47117.538,,,,percent of total billed charges,,48164.5944,,,,percent of total billed charges,,48164.5944,,,,percent of total billed charges,,49525.76772,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,50782.2354,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,46070.4816,,,,percent of total billed charges,,47117.538,,,,percent of total billed charges,,33924.62736,,,,percent of total billed charges,,47117.538,,,,percent of total billed charges,,31411.692,,,,percent of total billed charges,,52860.64235,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,49735.179,,,,percent of total billed charges,,41882.256,,,,percent of total billed charges,,31411.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [207655],0636,RC,,,,,inpatient,,,82107.2,,41053.6,49264.32,82903.63984,77180.768,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,68148.976,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,77673.4112,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,79643.984,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,72254.336,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,53205.4656,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,82903.63984,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN [249866],0636,RC,,,,,inpatient,,,34900.52,,17450.26,20940.312,35239.05504,32806.4888,,,,percent of total billed charges,,27920.416,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,28967.4316,,,,percent of total billed charges,,31410.468,,,,percent of total billed charges,,32108.4784,,,,percent of total billed charges,,32108.4784,,,,percent of total billed charges,,33015.89192,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,33853.5044,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,30712.4576,,,,percent of total billed charges,,31410.468,,,,percent of total billed charges,,22615.53696,,,,percent of total billed charges,,31410.468,,,,percent of total billed charges,,20940.312,,,,percent of total billed charges,,35239.05504,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,33155.494,,,,percent of total billed charges,,27920.416,,,,percent of total billed charges,,20940.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [207655],0636,RC,,,,,inpatient,,,82107.2,,41053.6,49264.32,82903.63984,77180.768,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,68148.976,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,75538.624,,,,percent of total billed charges,,77673.4112,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,79643.984,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,72254.336,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,53205.4656,,,,percent of total billed charges,,73896.48,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,82903.63984,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,78001.84,,,,percent of total billed charges,,65685.76,,,,percent of total billed charges,,49264.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENAZOPYRIDINE 100 MG TABLET [6193],0637,RC,,,,,inpatient,,,1.41,,0.705,0.846,1.423677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.91368,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.423677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 10 MG/ML IN D5W IV PEDS DILUTION [1001845],0636,RC,,,,,inpatient,,,12.65,,6.325,7.59,12.772705,11.891,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.4995,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.9669,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.2705,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,8.1972,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,12.772705,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 10 MG/ML IN NS IV PEDS DILUTION [1001852],0636,RC,,,,,inpatient,,,12.65,,6.325,7.59,12.772705,11.891,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.4995,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.638,,,,percent of total billed charges,,11.9669,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.2705,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,11.132,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,8.1972,,,,percent of total billed charges,,11.385,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,12.772705,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,12.0175,,,,percent of total billed charges,,10.12,,,,percent of total billed charges,,7.59,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 10 MG/ML ORAL LIQUID [1001325],0637,RC,,,,,inpatient,,,1.5,,0.75,0.9,1.51455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.51455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,,,,,inpatient,,,214.98,,107.49,128.988,217.065306,202.0812,,,,percent of total billed charges,,171.984,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,178.4334,,,,percent of total billed charges,,193.482,,,,percent of total billed charges,,197.7816,,,,percent of total billed charges,,197.7816,,,,percent of total billed charges,,203.37108,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,208.5306,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,189.1824,,,,percent of total billed charges,,193.482,,,,percent of total billed charges,,139.30704,,,,percent of total billed charges,,193.482,,,,percent of total billed charges,,128.988,,,,percent of total billed charges,,217.065306,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,204.231,,,,percent of total billed charges,,171.984,,,,percent of total billed charges,,128.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,,,,,inpatient,,,83.02,,41.51,49.812,83.825294,78.0388,,,,percent of total billed charges,,66.416,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,68.9066,,,,percent of total billed charges,,74.718,,,,percent of total billed charges,,76.3784,,,,percent of total billed charges,,76.3784,,,,percent of total billed charges,,78.53692,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,80.5294,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,73.0576,,,,percent of total billed charges,,74.718,,,,percent of total billed charges,,53.79696,,,,percent of total billed charges,,74.718,,,,percent of total billed charges,,49.812,,,,percent of total billed charges,,83.825294,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,78.869,,,,percent of total billed charges,,66.416,,,,percent of total billed charges,,49.812,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,,,,,inpatient,,,136.23,,68.115,81.738,137.551431,128.0562,,,,percent of total billed charges,,108.984,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,113.0709,,,,percent of total billed charges,,122.607,,,,percent of total billed charges,,125.3316,,,,percent of total billed charges,,125.3316,,,,percent of total billed charges,,128.87358,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,132.1431,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,119.8824,,,,percent of total billed charges,,122.607,,,,percent of total billed charges,,88.27704,,,,percent of total billed charges,,122.607,,,,percent of total billed charges,,81.738,,,,percent of total billed charges,,137.551431,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,129.4185,,,,percent of total billed charges,,108.984,,,,percent of total billed charges,,81.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR [6212],0637,RC,,,,,inpatient,,,146.87,,73.435,88.122,148.294639,138.0578,,,,percent of total billed charges,,117.496,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,121.9021,,,,percent of total billed charges,,132.183,,,,percent of total billed charges,,135.1204,,,,percent of total billed charges,,135.1204,,,,percent of total billed charges,,138.93902,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,142.4639,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,129.2456,,,,percent of total billed charges,,132.183,,,,percent of total billed charges,,95.17176,,,,percent of total billed charges,,132.183,,,,percent of total billed charges,,88.122,,,,percent of total billed charges,,148.294639,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,139.5265,,,,percent of total billed charges,,117.496,,,,percent of total billed charges,,88.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 32.4 MG TABLET [6217],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 32.4 MG TABLET [6217],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 64.8 MG TABLET [6219],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 64.8 MG TABLET [6219],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL 64.8 MG TABLET [6219],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,183.13,,91.565,109.878,184.906361,172.1422,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,151.9979,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,173.24098,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,177.6361,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,161.1544,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,118.66824,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,184.906361,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,183.13,,91.565,109.878,184.906361,172.1422,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,151.9979,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,168.4796,,,,percent of total billed charges,,173.24098,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,177.6361,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,161.1544,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,118.66824,,,,percent of total billed charges,,164.817,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,184.906361,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,173.9735,,,,percent of total billed charges,,146.504,,,,percent of total billed charges,,109.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,164.87,,82.435,98.922,166.469239,154.9778,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,136.8421,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,155.96702,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,159.9239,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,145.0856,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,106.83576,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,166.469239,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,164.87,,82.435,98.922,166.469239,154.9778,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,136.8421,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,151.6804,,,,percent of total billed charges,,155.96702,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,159.9239,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,145.0856,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,106.83576,,,,percent of total billed charges,,148.383,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,166.469239,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,156.6265,,,,percent of total billed charges,,131.896,,,,percent of total billed charges,,98.922,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,186.12,,93.06,111.672,187.925364,174.9528,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,154.4796,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,176.06952,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,180.5364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,163.7856,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,120.60576,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,187.925364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,186.12,,93.06,111.672,187.925364,174.9528,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,154.4796,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,176.06952,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,180.5364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,163.7856,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,120.60576,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,187.925364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,157.5,,78.75,94.5,159.02775,148.05,,,,percent of total billed charges,,126,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,130.725,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,144.9,,,,percent of total billed charges,,148.995,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,152.775,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,138.6,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,102.06,,,,percent of total billed charges,,141.75,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,159.02775,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,149.625,,,,percent of total billed charges,,126,,,,percent of total billed charges,,94.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,111.88,,55.94,67.128,112.965236,105.1672,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,92.8604,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,105.83848,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,108.5236,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,98.4544,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,72.49824,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,112.965236,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION [6221],0636,RC,,,,,inpatient,,,111.88,,55.94,67.128,112.965236,105.1672,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,92.8604,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,102.9296,,,,percent of total billed charges,,105.83848,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,108.5236,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,98.4544,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,72.49824,,,,percent of total billed charges,,100.692,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,112.965236,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,106.286,,,,percent of total billed charges,,89.504,,,,percent of total billed charges,,67.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],0636,RC,,,,,inpatient,,,66.96,,33.48,40.176,67.609512,62.9424,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,55.5768,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,63.34416,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,64.9512,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,58.9248,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,43.39008,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,67.609512,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [6224],0636,RC,,,,,inpatient,,,66.96,,33.48,40.176,67.609512,62.9424,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,55.5768,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,61.6032,,,,percent of total billed charges,,63.34416,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,64.9512,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,58.9248,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,43.39008,,,,percent of total billed charges,,60.264,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,67.609512,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,63.612,,,,percent of total billed charges,,53.568,,,,percent of total billed charges,,40.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,,,,,inpatient,,,19.12,,9.56,11.472,19.305464,17.9728,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.8696,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,17.5904,,,,percent of total billed charges,,18.08752,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.5464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,16.8256,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,12.38976,,,,percent of total billed charges,,17.208,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,19.305464,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,18.164,,,,percent of total billed charges,,15.296,,,,percent of total billed charges,,11.472,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,,,,,inpatient,,,7.17,,3.585,4.302,7.239549,6.7398,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,5.9511,,,,percent of total billed charges,,6.453,,,,percent of total billed charges,,6.5964,,,,percent of total billed charges,,6.5964,,,,percent of total billed charges,,6.78282,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,6.9549,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,6.3096,,,,percent of total billed charges,,6.453,,,,percent of total billed charges,,4.64616,,,,percent of total billed charges,,6.453,,,,percent of total billed charges,,4.302,,,,percent of total billed charges,,7.239549,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,6.8115,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,4.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,,,,,inpatient,,,602.96,,301.48,361.776,608.808712,566.7824,,,,percent of total billed charges,,482.368,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,500.4568,,,,percent of total billed charges,,542.664,,,,percent of total billed charges,,554.7232,,,,percent of total billed charges,,554.7232,,,,percent of total billed charges,,570.40016,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,584.8712,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,530.6048,,,,percent of total billed charges,,542.664,,,,percent of total billed charges,,390.71808,,,,percent of total billed charges,,542.664,,,,percent of total billed charges,,361.776,,,,percent of total billed charges,,608.808712,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,572.812,,,,percent of total billed charges,,482.368,,,,percent of total billed charges,,361.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,,,,,inpatient,,,16.73,,8.365,10.038,16.892281,15.7262,,,,percent of total billed charges,,13.384,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,13.8859,,,,percent of total billed charges,,15.057,,,,percent of total billed charges,,15.3916,,,,percent of total billed charges,,15.3916,,,,percent of total billed charges,,15.82658,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,16.2281,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,14.7224,,,,percent of total billed charges,,15.057,,,,percent of total billed charges,,10.84104,,,,percent of total billed charges,,15.057,,,,percent of total billed charges,,10.038,,,,percent of total billed charges,,16.892281,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,15.8935,,,,percent of total billed charges,,13.384,,,,percent of total billed charges,,10.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [82871],0637,RC,,,,,inpatient,,,9.56,,4.78,5.736,9.652732,8.9864,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.9348,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,8.7952,,,,percent of total billed charges,,9.04376,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.2732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,8.4128,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,6.19488,,,,percent of total billed charges,,8.604,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,9.652732,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,9.082,,,,percent of total billed charges,,7.648,,,,percent of total billed charges,,5.736,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENTOLAMINE 5 MG INJECTION SOLUTION FOR EXTRAVASATION [1001076],0636,RC,,,,,inpatient,,,1215.99,,607.995,729.594,1227.785103,1143.0306,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1009.2717,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1118.7108,,,,percent of total billed charges,,1150.32654,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1179.5103,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1070.0712,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,787.96152,,,,percent of total billed charges,,1094.391,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,1227.785103,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,1155.1905,,,,percent of total billed charges,,972.792,,,,percent of total billed charges,,729.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENTOLAMINE 5 MG INJECTION SOLUTION FOR EXTRAVASATION [1001076],0636,RC,,,,,inpatient,,,1240.79,,620.395,744.474,1252.825663,1166.3426,,,,percent of total billed charges,,992.632,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1029.8557,,,,percent of total billed charges,,1116.711,,,,percent of total billed charges,,1141.5268,,,,percent of total billed charges,,1141.5268,,,,percent of total billed charges,,1173.78734,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1203.5663,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1091.8952,,,,percent of total billed charges,,1116.711,,,,percent of total billed charges,,804.03192,,,,percent of total billed charges,,1116.711,,,,percent of total billed charges,,744.474,,,,percent of total billed charges,,1252.825663,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,1178.7505,,,,percent of total billed charges,,992.632,,,,percent of total billed charges,,744.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 0.25 % NASAL SPRAY [87900],0637,RC,,,,,inpatient,,,14.72,,7.36,8.832,14.862784,13.8368,,,,percent of total billed charges,,11.776,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,12.2176,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,13.5424,,,,percent of total billed charges,,13.5424,,,,percent of total billed charges,,13.92512,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,14.2784,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,12.9536,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,9.53856,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,8.832,,,,percent of total billed charges,,14.862784,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,13.984,,,,percent of total billed charges,,11.776,,,,percent of total billed charges,,8.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [218277],0637,RC,,,,,inpatient,,,9.75,,4.875,5.85,9.844575,9.165,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.0925,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,8.97,,,,percent of total billed charges,,9.2235,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.4575,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,8.58,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,8.775,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,9.844575,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,9.2625,,,,percent of total billed charges,,7.8,,,,percent of total billed charges,,5.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT [218277],0637,RC,,,,,inpatient,,,7.96,,3.98,4.776,8.037212,7.4824,,,,percent of total billed charges,,6.368,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,6.6068,,,,percent of total billed charges,,7.164,,,,percent of total billed charges,,7.3232,,,,percent of total billed charges,,7.3232,,,,percent of total billed charges,,7.53016,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,7.7212,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,7.0048,,,,percent of total billed charges,,7.164,,,,percent of total billed charges,,5.15808,,,,percent of total billed charges,,7.164,,,,percent of total billed charges,,4.776,,,,percent of total billed charges,,8.037212,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,7.562,,,,percent of total billed charges,,6.368,,,,percent of total billed charges,,4.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 % NASAL SPRAY [80370],0637,RC,,,,,inpatient,,,16,,8,9.6,16.1552,15.04,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,13.28,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,14.72,,,,percent of total billed charges,,15.136,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.52,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,14.08,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,16.1552,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,15.2,,,,percent of total billed charges,,12.8,,,,percent of total billed charges,,9.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 % NASAL SPRAY [80370],0637,RC,,,,,inpatient,,,16.54,,8.27,9.924,16.700438,15.5476,,,,percent of total billed charges,,13.232,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,13.7282,,,,percent of total billed charges,,14.886,,,,percent of total billed charges,,15.2168,,,,percent of total billed charges,,15.2168,,,,percent of total billed charges,,15.64684,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,16.0438,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,14.5552,,,,percent of total billed charges,,14.886,,,,percent of total billed charges,,10.71792,,,,percent of total billed charges,,14.886,,,,percent of total billed charges,,9.924,,,,percent of total billed charges,,16.700438,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,15.713,,,,percent of total billed charges,,13.232,,,,percent of total billed charges,,9.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,,,,,inpatient,,,2.34,,1.17,1.404,2.362698,2.1996,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.9422,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.1528,,,,percent of total billed charges,,2.21364,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.2698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.0592,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.51632,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,2.362698,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,2.223,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,,,,,inpatient,,,37.49,,18.745,22.494,37.853653,35.2406,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,31.1167,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,34.4908,,,,percent of total billed charges,,35.46554,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,36.3653,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,32.9912,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,24.29352,,,,percent of total billed charges,,33.741,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,37.853653,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,35.6155,,,,percent of total billed charges,,29.992,,,,percent of total billed charges,,22.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE [200356],0250,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [249912],0250,RC,,,,,inpatient,,,17.33,,8.665,10.398,17.498101,16.2902,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,14.3839,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,15.9436,,,,percent of total billed charges,,16.39418,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.8101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,15.2504,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,11.22984,,,,percent of total billed charges,,15.597,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,17.498101,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,16.4635,,,,percent of total billed charges,,13.864,,,,percent of total billed charges,,10.398,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG IN NS 100 ML INFUSION - FOR ANES [5000202],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 100 MCG/ML IN NS INTRACAVERNOSAL INJECTION [1001598],0250,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 100 MCG/ML IV DILUTION - FOR ANES [5000017],0636,RC,,,,,inpatient,,,1.08,,0.54,0.648,1.090476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.69984,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.090476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 100 MCG/ML IV DILUTION - FOR ANES [5000017],0636,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [6242],0250,RC,,,,,inpatient,,,10.47,,5.235,6.282,10.571559,9.8418,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,8.6901,,,,percent of total billed charges,,9.423,,,,percent of total billed charges,,9.6324,,,,percent of total billed charges,,9.6324,,,,percent of total billed charges,,9.90462,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,10.1559,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,9.2136,,,,percent of total billed charges,,9.423,,,,percent of total billed charges,,6.78456,,,,percent of total billed charges,,9.423,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,10.571559,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,9.9465,,,,percent of total billed charges,,8.376,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,,,,,inpatient,,,370.11,,185.055,222.066,373.700067,347.9034,,,,percent of total billed charges,,296.088,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,307.1913,,,,percent of total billed charges,,333.099,,,,percent of total billed charges,,340.5012,,,,percent of total billed charges,,340.5012,,,,percent of total billed charges,,350.12406,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,359.0067,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,325.6968,,,,percent of total billed charges,,333.099,,,,percent of total billed charges,,239.83128,,,,percent of total billed charges,,333.099,,,,percent of total billed charges,,222.066,,,,percent of total billed charges,,373.700067,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,351.6045,,,,percent of total billed charges,,296.088,,,,percent of total billed charges,,222.066,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,,,,,inpatient,,,12.28,,6.14,7.368,12.399116,11.5432,,,,percent of total billed charges,,9.824,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,10.1924,,,,percent of total billed charges,,11.052,,,,percent of total billed charges,,11.2976,,,,percent of total billed charges,,11.2976,,,,percent of total billed charges,,11.61688,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,11.9116,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,10.8064,,,,percent of total billed charges,,11.052,,,,percent of total billed charges,,7.95744,,,,percent of total billed charges,,11.052,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,12.399116,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,11.666,,,,percent of total billed charges,,9.824,,,,percent of total billed charges,,7.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,,,,,inpatient,,,124.38,,62.19,74.628,125.586486,116.9172,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,103.2354,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,114.4296,,,,percent of total billed charges,,117.66348,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,120.6486,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,109.4544,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,80.59824,,,,percent of total billed charges,,111.942,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,125.586486,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,118.161,,,,percent of total billed charges,,99.504,,,,percent of total billed charges,,74.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 2.5 % EYE DROPS [6246],0637,RC,,,,,inpatient,,,324.21,,162.105,194.526,327.354837,304.7574,,,,percent of total billed charges,,259.368,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,269.0943,,,,percent of total billed charges,,291.789,,,,percent of total billed charges,,298.2732,,,,percent of total billed charges,,298.2732,,,,percent of total billed charges,,306.70266,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,314.4837,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,285.3048,,,,percent of total billed charges,,291.789,,,,percent of total billed charges,,210.08808,,,,percent of total billed charges,,291.789,,,,percent of total billed charges,,194.526,,,,percent of total billed charges,,327.354837,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,307.9995,,,,percent of total billed charges,,259.368,,,,percent of total billed charges,,194.526,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [209399],0250,RC,,,,,inpatient,,,93.38,,46.69,56.028,94.285786,87.7772,,,,percent of total billed charges,,74.704,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,77.5054,,,,percent of total billed charges,,84.042,,,,percent of total billed charges,,85.9096,,,,percent of total billed charges,,85.9096,,,,percent of total billed charges,,88.33748,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,90.5786,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,82.1744,,,,percent of total billed charges,,84.042,,,,percent of total billed charges,,60.51024,,,,percent of total billed charges,,84.042,,,,percent of total billed charges,,56.028,,,,percent of total billed charges,,94.285786,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,88.711,,,,percent of total billed charges,,74.704,,,,percent of total billed charges,,56.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYLEPHRINE IN NS INTRACAVERNOSAL DILUTION - CHI [7000202],0636,RC,,,,,inpatient,,,3.65,,1.825,2.19,3.685405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.3652,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.685405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,,,,,inpatient,,,28.59,,14.295,17.154,28.867323,26.8746,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,23.7297,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,27.04614,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.7323,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,25.1592,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,18.52632,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,28.867323,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,,,,,inpatient,,,28.59,,14.295,17.154,28.867323,26.8746,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,23.7297,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,26.3028,,,,percent of total billed charges,,27.04614,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.7323,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,25.1592,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,18.52632,,,,percent of total billed charges,,25.731,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,28.867323,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,27.1605,,,,percent of total billed charges,,22.872,,,,percent of total billed charges,,17.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,,,,,inpatient,,,3.65,,1.825,2.19,3.685405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.3652,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.685405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,,,,,inpatient,,,25.42,,12.71,15.252,25.666574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,16.47216,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,25.666574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [164737],0637,RC,,,,,inpatient,,,25.42,,12.71,15.252,25.666574,23.8948,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,21.0986,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,23.3864,,,,percent of total billed charges,,24.04732,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.6574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,22.3696,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,16.47216,,,,percent of total billed charges,,22.878,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,25.666574,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,24.149,,,,percent of total billed charges,,20.336,,,,percent of total billed charges,,15.252,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 50 MG CHEWABLE TABLET [78954],0637,RC,,,,,inpatient,,,9.25,,4.625,5.55,9.339725,8.695,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.6775,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.51,,,,percent of total billed charges,,8.7505,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.9725,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.14,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,5.994,,,,percent of total billed charges,,8.325,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,9.339725,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,8.7875,,,,percent of total billed charges,,7.4,,,,percent of total billed charges,,5.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 50 MG CHEWABLE TABLET [78954],0637,RC,,,,,inpatient,,,6.6,,3.3,3.96,6.66402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.66402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN 50 MG CHEWABLE TABLET [78954],0637,RC,,,,,inpatient,,,6.6,,3.3,3.96,6.66402,6.204,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.478,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.2436,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.808,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,4.2768,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,6.66402,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,6.27,,,,percent of total billed charges,,5.28,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,,,,,inpatient,,,76.01,,38.005,45.606,76.747297,71.4494,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,63.0883,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,69.9292,,,,percent of total billed charges,,71.90546,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,73.7297,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,66.8888,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,49.25448,,,,percent of total billed charges,,68.409,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,76.747297,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,72.2095,,,,percent of total billed charges,,60.808,,,,percent of total billed charges,,45.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,,,,,inpatient,,,25.34,,12.67,15.204,25.585798,23.8196,,,,percent of total billed charges,,20.272,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,21.0322,,,,percent of total billed charges,,22.806,,,,percent of total billed charges,,23.3128,,,,percent of total billed charges,,23.3128,,,,percent of total billed charges,,23.97164,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,24.5798,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,22.2992,,,,percent of total billed charges,,22.806,,,,percent of total billed charges,,16.42032,,,,percent of total billed charges,,22.806,,,,percent of total billed charges,,15.204,,,,percent of total billed charges,,25.585798,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,24.073,,,,percent of total billed charges,,20.272,,,,percent of total billed charges,,15.204,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,,,,,inpatient,,,50.67,,25.335,30.402,51.161499,47.6298,,,,percent of total billed charges,,40.536,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,42.0561,,,,percent of total billed charges,,45.603,,,,percent of total billed charges,,46.6164,,,,percent of total billed charges,,46.6164,,,,percent of total billed charges,,47.93382,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,49.1499,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,44.5896,,,,percent of total billed charges,,45.603,,,,percent of total billed charges,,32.83416,,,,percent of total billed charges,,45.603,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,51.161499,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,48.1365,,,,percent of total billed charges,,40.536,,,,percent of total billed charges,,30.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,,,,,inpatient,,,7.61,,3.805,4.566,7.683817,7.1534,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.3163,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.19906,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.3817,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.6968,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,4.93128,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,7.683817,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,,,,,inpatient,,,88.68,,44.34,53.208,89.540196,83.3592,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,73.6044,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,81.5856,,,,percent of total billed charges,,83.89128,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,86.0196,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,78.0384,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,57.46464,,,,percent of total billed charges,,79.812,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,89.540196,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,84.246,,,,percent of total billed charges,,70.944,,,,percent of total billed charges,,53.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [6256],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,0.91,,0.455,0.546,0.918827,0.8554,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.7553,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.8372,,,,percent of total billed charges,,0.86086,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8008,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.58968,,,,percent of total billed charges,,0.819,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,0.918827,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.8645,,,,percent of total billed charges,,0.728,,,,percent of total billed charges,,0.546,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,7.68,,3.84,4.608,7.754496,7.2192,,,,percent of total billed charges,,6.144,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,6.3744,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,7.0656,,,,percent of total billed charges,,7.0656,,,,percent of total billed charges,,7.26528,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,7.4496,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,6.7584,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,4.97664,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,7.754496,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,7.296,,,,percent of total billed charges,,6.144,,,,percent of total billed charges,,4.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,1.54,,0.77,0.924,1.554938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.99792,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.554938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,1.54,,0.77,0.924,1.554938,1.4476,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.2782,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.45684,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.4938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.3552,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.99792,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,1.554938,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.463,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,0.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,1.53,,0.765,0.918,1.544841,1.4382,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.2699,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.4076,,,,percent of total billed charges,,1.44738,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.3464,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.99144,,,,percent of total billed charges,,1.377,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,1.544841,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.4535,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [78921],0637,RC,,,,,inpatient,,,2.4,,1.2,1.44,2.42328,2.256,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,2.208,,,,percent of total billed charges,,2.2704,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.5552,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,2.42328,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYSOSTIGMINE 1 MG/ML INJECTION SOLUTION [6270],0250,RC,,,,,inpatient,,,322.07,,161.035,193.242,325.194079,302.7458,,,,percent of total billed charges,,257.656,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,267.3181,,,,percent of total billed charges,,289.863,,,,percent of total billed charges,,296.3044,,,,percent of total billed charges,,296.3044,,,,percent of total billed charges,,304.67822,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,312.4079,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,283.4216,,,,percent of total billed charges,,289.863,,,,percent of total billed charges,,208.70136,,,,percent of total billed charges,,289.863,,,,percent of total billed charges,,193.242,,,,percent of total billed charges,,325.194079,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,305.9665,,,,percent of total billed charges,,257.656,,,,percent of total billed charges,,193.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE [6271],0636,RC,,,,,inpatient,,,98.73,,49.365,59.238,99.687681,92.8062,,,,percent of total billed charges,,78.984,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,81.9459,,,,percent of total billed charges,,88.857,,,,percent of total billed charges,,90.8316,,,,percent of total billed charges,,90.8316,,,,percent of total billed charges,,93.39858,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,95.7681,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,86.8824,,,,percent of total billed charges,,88.857,,,,percent of total billed charges,,63.97704,,,,percent of total billed charges,,88.857,,,,percent of total billed charges,,59.238,,,,percent of total billed charges,,99.687681,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,93.7935,,,,percent of total billed charges,,78.984,,,,percent of total billed charges,,59.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,,,,,inpatient,,,86.03,,43.015,51.618,86.864491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,55.74744,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,86.864491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,,,,,inpatient,,,79.44,,39.72,47.664,80.210568,74.6736,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,65.9352,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,75.15024,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,77.0568,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,69.9072,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,51.47712,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,80.210568,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,,,,,inpatient,,,79.44,,39.72,47.664,80.210568,74.6736,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,65.9352,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,73.0848,,,,percent of total billed charges,,75.15024,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,77.0568,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,69.9072,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,51.47712,,,,percent of total billed charges,,71.496,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,80.210568,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,75.468,,,,percent of total billed charges,,63.552,,,,percent of total billed charges,,47.664,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,,,,,inpatient,,,86.03,,43.015,51.618,86.864491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,55.74744,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,86.864491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,,,,,inpatient,,,86.03,,43.015,51.618,86.864491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,55.74744,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,86.864491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,,,,,inpatient,,,83.19,,41.595,49.914,83.996943,78.1986,,,,percent of total billed charges,,66.552,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,69.0477,,,,percent of total billed charges,,74.871,,,,percent of total billed charges,,76.5348,,,,percent of total billed charges,,76.5348,,,,percent of total billed charges,,78.69774,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,80.6943,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,73.2072,,,,percent of total billed charges,,74.871,,,,percent of total billed charges,,53.90712,,,,percent of total billed charges,,74.871,,,,percent of total billed charges,,49.914,,,,percent of total billed charges,,83.996943,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,79.0305,,,,percent of total billed charges,,66.552,,,,percent of total billed charges,,49.914,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,,,,,inpatient,,,287.12,,143.56,172.272,289.905064,269.8928,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,238.3096,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,271.61552,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,278.5064,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,252.6656,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,186.05376,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,289.905064,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,,,,,inpatient,,,287.12,,143.56,172.272,289.905064,269.8928,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,238.3096,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,264.1504,,,,percent of total billed charges,,271.61552,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,278.5064,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,252.6656,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,186.05376,,,,percent of total billed charges,,258.408,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,289.905064,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,272.764,,,,percent of total billed charges,,229.696,,,,percent of total billed charges,,172.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,,,,,inpatient,,,221.65,,110.825,132.99,223.800005,208.351,,,,percent of total billed charges,,177.32,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,183.9695,,,,percent of total billed charges,,199.485,,,,percent of total billed charges,,203.918,,,,percent of total billed charges,,203.918,,,,percent of total billed charges,,209.6809,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,215.0005,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,195.052,,,,percent of total billed charges,,199.485,,,,percent of total billed charges,,143.6292,,,,percent of total billed charges,,199.485,,,,percent of total billed charges,,132.99,,,,percent of total billed charges,,223.800005,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,210.5675,,,,percent of total billed charges,,177.32,,,,percent of total billed charges,,132.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,,,,,inpatient,,,143.01,,71.505,85.806,144.397197,134.4294,,,,percent of total billed charges,,114.408,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,118.6983,,,,percent of total billed charges,,128.709,,,,percent of total billed charges,,131.5692,,,,percent of total billed charges,,131.5692,,,,percent of total billed charges,,135.28746,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,138.7197,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,125.8488,,,,percent of total billed charges,,128.709,,,,percent of total billed charges,,92.67048,,,,percent of total billed charges,,128.709,,,,percent of total billed charges,,85.806,,,,percent of total billed charges,,144.397197,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,135.8595,,,,percent of total billed charges,,114.408,,,,percent of total billed charges,,85.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,,,,,inpatient,,,116.37,,58.185,69.822,117.498789,109.3878,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,96.5871,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,107.0604,,,,percent of total billed charges,,110.08602,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,112.8789,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,102.4056,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,75.40776,,,,percent of total billed charges,,104.733,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,117.498789,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,110.5515,,,,percent of total billed charges,,93.096,,,,percent of total billed charges,,69.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 5 MG TABLET [82966],0637,RC,,,,,inpatient,,,29.61,,14.805,17.766,29.897217,27.8334,,,,percent of total billed charges,,23.688,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,24.5763,,,,percent of total billed charges,,26.649,,,,percent of total billed charges,,27.2412,,,,percent of total billed charges,,27.2412,,,,percent of total billed charges,,28.01106,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,28.7217,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,26.0568,,,,percent of total billed charges,,26.649,,,,percent of total billed charges,,19.18728,,,,percent of total billed charges,,26.649,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,29.897217,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,28.1295,,,,percent of total billed charges,,23.688,,,,percent of total billed charges,,17.766,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE 10 MG/ML INJECTION - EAST [7000155],0636,RC,,,,,inpatient,,,86.03,,43.015,51.618,86.864491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,55.74744,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,86.864491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE 10 MG/ML ORAL LIQUID [7000263],0637,RC,,,,,inpatient,,,86.03,,43.015,51.618,86.864491,80.8682,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,71.4049,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,79.1476,,,,percent of total billed charges,,81.38438,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,83.4491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,75.7064,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,55.74744,,,,percent of total billed charges,,77.427,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,86.864491,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,81.7285,,,,percent of total billed charges,,68.824,,,,percent of total billed charges,,51.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [77691],0636,RC,,,,,inpatient,,,9.93,,4.965,5.958,10.026321,9.3342,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.2419,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.39378,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.6321,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.7384,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,6.43464,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,10.026321,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PHYTONADIONE 10 MG/ML INJECTION - EAST [7000155],0636,RC,,,,,inpatient,,,10.76,,5.38,6.456,10.864372,10.1144,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.9308,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,9.8992,,,,percent of total billed charges,,10.17896,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.4372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,9.4688,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.97248,,,,percent of total billed charges,,9.684,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,10.864372,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,10.222,,,,percent of total billed charges,,8.608,,,,percent of total billed charges,,6.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 1 % EYE DROPS [6279],0637,RC,,,,,inpatient,,,345.87,,172.935,207.522,349.224939,325.1178,,,,percent of total billed charges,,276.696,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,287.0721,,,,percent of total billed charges,,311.283,,,,percent of total billed charges,,318.2004,,,,percent of total billed charges,,318.2004,,,,percent of total billed charges,,327.19302,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,335.4939,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,304.3656,,,,percent of total billed charges,,311.283,,,,percent of total billed charges,,224.12376,,,,percent of total billed charges,,311.283,,,,percent of total billed charges,,207.522,,,,percent of total billed charges,,349.224939,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,328.5765,,,,percent of total billed charges,,276.696,,,,percent of total billed charges,,207.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 1 % EYE DROPS [6279],0637,RC,,,,,inpatient,,,192.45,,96.225,115.47,194.316765,180.903,,,,percent of total billed charges,,153.96,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,159.7335,,,,percent of total billed charges,,173.205,,,,percent of total billed charges,,177.054,,,,percent of total billed charges,,177.054,,,,percent of total billed charges,,182.0577,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,186.6765,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,169.356,,,,percent of total billed charges,,173.205,,,,percent of total billed charges,,124.7076,,,,percent of total billed charges,,173.205,,,,percent of total billed charges,,115.47,,,,percent of total billed charges,,194.316765,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,182.8275,,,,percent of total billed charges,,153.96,,,,percent of total billed charges,,115.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 1 % EYE DROPS [6279],0637,RC,,,,,inpatient,,,259.68,,129.84,155.808,262.198896,244.0992,,,,percent of total billed charges,,207.744,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,215.5344,,,,percent of total billed charges,,233.712,,,,percent of total billed charges,,238.9056,,,,percent of total billed charges,,238.9056,,,,percent of total billed charges,,245.65728,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,251.8896,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,228.5184,,,,percent of total billed charges,,233.712,,,,percent of total billed charges,,168.27264,,,,percent of total billed charges,,233.712,,,,percent of total billed charges,,155.808,,,,percent of total billed charges,,262.198896,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,246.696,,,,percent of total billed charges,,207.744,,,,percent of total billed charges,,155.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 2 % EYE DROPS [6280],0637,RC,,,,,inpatient,,,339.73,,169.865,203.838,343.025381,319.3462,,,,percent of total billed charges,,271.784,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,281.9759,,,,percent of total billed charges,,305.757,,,,percent of total billed charges,,312.5516,,,,percent of total billed charges,,312.5516,,,,percent of total billed charges,,321.38458,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,329.5381,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,298.9624,,,,percent of total billed charges,,305.757,,,,percent of total billed charges,,220.14504,,,,percent of total billed charges,,305.757,,,,percent of total billed charges,,203.838,,,,percent of total billed charges,,343.025381,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,322.7435,,,,percent of total billed charges,,271.784,,,,percent of total billed charges,,203.838,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 4 % EYE DROPS [6282],0637,RC,,,,,inpatient,,,330.35,,165.175,198.21,333.554395,310.529,,,,percent of total billed charges,,264.28,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,274.1905,,,,percent of total billed charges,,297.315,,,,percent of total billed charges,,303.922,,,,percent of total billed charges,,303.922,,,,percent of total billed charges,,312.5111,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,320.4395,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,290.708,,,,percent of total billed charges,,297.315,,,,percent of total billed charges,,214.0668,,,,percent of total billed charges,,297.315,,,,percent of total billed charges,,198.21,,,,percent of total billed charges,,333.554395,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,313.8325,,,,percent of total billed charges,,264.28,,,,percent of total billed charges,,198.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PILOCARPINE 4 % EYE DROPS [6282],0637,RC,,,,,inpatient,,,297.61,,148.805,178.566,300.496817,279.7534,,,,percent of total billed charges,,238.088,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,247.0163,,,,percent of total billed charges,,267.849,,,,percent of total billed charges,,273.8012,,,,percent of total billed charges,,273.8012,,,,percent of total billed charges,,281.53906,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,288.6817,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,261.8968,,,,percent of total billed charges,,267.849,,,,percent of total billed charges,,192.85128,,,,percent of total billed charges,,267.849,,,,percent of total billed charges,,178.566,,,,percent of total billed charges,,300.496817,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,282.7295,,,,percent of total billed charges,,238.088,,,,percent of total billed charges,,178.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 15 MG TABLET [77106],0637,RC,,,,,inpatient,,,53.57,,26.785,32.142,54.089629,50.3558,,,,percent of total billed charges,,42.856,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,44.4631,,,,percent of total billed charges,,48.213,,,,percent of total billed charges,,49.2844,,,,percent of total billed charges,,49.2844,,,,percent of total billed charges,,50.67722,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,51.9629,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,47.1416,,,,percent of total billed charges,,48.213,,,,percent of total billed charges,,34.71336,,,,percent of total billed charges,,48.213,,,,percent of total billed charges,,32.142,,,,percent of total billed charges,,54.089629,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,50.8915,,,,percent of total billed charges,,42.856,,,,percent of total billed charges,,32.142,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 15 MG TABLET [77106],0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 15 MG TABLET [77106],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 30 MG TABLET [82236],0637,RC,,,,,inpatient,,,81.87,,40.935,49.122,82.664139,76.9578,,,,percent of total billed charges,,65.496,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,67.9521,,,,percent of total billed charges,,73.683,,,,percent of total billed charges,,75.3204,,,,percent of total billed charges,,75.3204,,,,percent of total billed charges,,77.44902,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,79.4139,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,72.0456,,,,percent of total billed charges,,73.683,,,,percent of total billed charges,,53.05176,,,,percent of total billed charges,,73.683,,,,percent of total billed charges,,49.122,,,,percent of total billed charges,,82.664139,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,77.7765,,,,percent of total billed charges,,65.496,,,,percent of total billed charges,,49.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 30 MG TABLET [82236],0637,RC,,,,,inpatient,,,0.83,,0.415,0.498,0.838051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.53784,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.838051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 45 MG TABLET [78750],0637,RC,,,,,inpatient,,,88.8,,44.4,53.28,89.66136,83.472,,,,percent of total billed charges,,71.04,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,73.704,,,,percent of total billed charges,,79.92,,,,percent of total billed charges,,81.696,,,,percent of total billed charges,,81.696,,,,percent of total billed charges,,84.0048,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,86.136,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,78.144,,,,percent of total billed charges,,79.92,,,,percent of total billed charges,,57.5424,,,,percent of total billed charges,,79.92,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,89.66136,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,84.36,,,,percent of total billed charges,,71.04,,,,percent of total billed charges,,53.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIOGLITAZONE 45 MG TABLET [78750],0637,RC,,,,,inpatient,,,0.87,,0.435,0.522,0.878439,0.8178,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7221,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.8004,,,,percent of total billed charges,,0.82302,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.7656,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.56376,,,,percent of total billed charges,,0.783,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.878439,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.8265,,,,percent of total billed charges,,0.696,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 2.25 GRAM (180 MG PIPERACILLIN/ML) PEDS IV SOLN [1000894],0636,RC,,,,,inpatient,,,17.06,,8.53,10.236,17.225482,16.0364,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,14.1598,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,15.6952,,,,percent of total billed charges,,16.13876,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.5482,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,15.0128,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,11.05488,,,,percent of total billed charges,,15.354,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,17.225482,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,16.207,,,,percent of total billed charges,,13.648,,,,percent of total billed charges,,10.236,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,,,,,inpatient,,,37.69,,18.845,22.614,38.055593,35.4286,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,31.2827,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,35.65474,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,36.5593,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,33.1672,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,24.42312,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,38.055593,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,,,,,inpatient,,,50.18,,25.09,30.108,50.666746,47.1692,,,,percent of total billed charges,,40.144,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,41.6494,,,,percent of total billed charges,,45.162,,,,percent of total billed charges,,46.1656,,,,percent of total billed charges,,46.1656,,,,percent of total billed charges,,47.47028,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,48.6746,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,44.1584,,,,percent of total billed charges,,45.162,,,,percent of total billed charges,,32.51664,,,,percent of total billed charges,,45.162,,,,percent of total billed charges,,30.108,,,,percent of total billed charges,,50.666746,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,47.671,,,,percent of total billed charges,,40.144,,,,percent of total billed charges,,30.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,,,,,inpatient,,,12.68,,6.34,7.608,12.802996,11.9192,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.5244,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.99528,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.2996,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,11.1584,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,8.21664,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,12.802996,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,,,,,inpatient,,,12.68,,6.34,7.608,12.802996,11.9192,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.5244,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.6656,,,,percent of total billed charges,,11.99528,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.2996,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,11.1584,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,8.21664,,,,percent of total billed charges,,11.412,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,12.802996,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,12.046,,,,percent of total billed charges,,10.144,,,,percent of total billed charges,,7.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,,,,,inpatient,,,18.2,,9.1,10.92,18.37654,17.108,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,15.106,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,17.2172,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,16.016,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,11.7936,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,18.37654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,,,,,inpatient,,,18.2,,9.1,10.92,18.37654,17.108,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,15.106,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,17.2172,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,16.016,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,11.7936,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,18.37654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [83432],0636,RC,,,,,inpatient,,,55.35,,27.675,33.21,55.886895,52.029,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,45.9405,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,52.3611,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,53.6895,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,48.708,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,35.8668,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,55.886895,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK [83432],0636,RC,,,,,inpatient,,,55.35,,27.675,33.21,55.886895,52.029,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,45.9405,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,50.922,,,,percent of total billed charges,,52.3611,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,53.6895,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,48.708,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,35.8668,,,,percent of total billed charges,,49.815,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,55.886895,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,52.5825,,,,percent of total billed charges,,44.28,,,,percent of total billed charges,,33.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40 MG/ML IN D5W PEDS IVPB [1001179],0636,RC,,,,,inpatient,,,31.05,,15.525,18.63,31.351185,29.187,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,25.7715,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,28.566,,,,percent of total billed charges,,29.3733,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,30.1185,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,27.324,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,20.1204,,,,percent of total billed charges,,27.945,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,31.351185,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,29.4975,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,,,,,inpatient,,,339.17,,169.585,203.502,342.459949,318.8198,,,,percent of total billed charges,,271.336,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,281.5111,,,,percent of total billed charges,,305.253,,,,percent of total billed charges,,312.0364,,,,percent of total billed charges,,312.0364,,,,percent of total billed charges,,320.85482,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,328.9949,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,298.4696,,,,percent of total billed charges,,305.253,,,,percent of total billed charges,,219.78216,,,,percent of total billed charges,,305.253,,,,percent of total billed charges,,203.502,,,,percent of total billed charges,,342.459949,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,322.2115,,,,percent of total billed charges,,271.336,,,,percent of total billed charges,,203.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,,,,,inpatient,,,186.12,,93.06,111.672,187.925364,174.9528,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,154.4796,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,171.2304,,,,percent of total billed charges,,176.06952,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,180.5364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,163.7856,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,120.60576,,,,percent of total billed charges,,167.508,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,187.925364,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,176.814,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,111.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION [77408],0636,RC,,,,,inpatient,,,37.69,,18.845,22.614,38.055593,35.4286,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,31.2827,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,34.6748,,,,percent of total billed charges,,35.65474,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,36.5593,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,33.1672,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,24.42312,,,,percent of total billed charges,,33.921,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,38.055593,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,35.8055,,,,percent of total billed charges,,30.152,,,,percent of total billed charges,,22.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [80408],0636,RC,,,,,inpatient,,,18.2,,9.1,10.92,18.37654,17.108,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,15.106,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,16.744,,,,percent of total billed charges,,17.2172,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,16.016,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,11.7936,,,,percent of total billed charges,,16.38,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,18.37654,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,17.29,,,,percent of total billed charges,,14.56,,,,percent of total billed charges,,10.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [254928],0636,RC,,,,,inpatient,,,387.28,,193.64,232.368,391.036616,364.0432,,,,percent of total billed charges,,309.824,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,321.4424,,,,percent of total billed charges,,348.552,,,,percent of total billed charges,,356.2976,,,,percent of total billed charges,,356.2976,,,,percent of total billed charges,,366.36688,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,375.6616,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,340.8064,,,,percent of total billed charges,,348.552,,,,percent of total billed charges,,250.95744,,,,percent of total billed charges,,348.552,,,,percent of total billed charges,,232.368,,,,percent of total billed charges,,391.036616,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,367.916,,,,percent of total billed charges,,309.824,,,,percent of total billed charges,,232.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [82724],0636,RC,,,,,inpatient,,,208.77,,104.385,125.262,210.795069,196.2438,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,173.2791,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,197.49642,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,202.5069,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,183.7176,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,135.28296,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,210.795069,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [86180],0636,RC,,,,,inpatient,,,208.77,,104.385,125.262,210.795069,196.2438,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,173.2791,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,192.0684,,,,percent of total billed charges,,197.49642,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,202.5069,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,183.7176,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,135.28296,,,,percent of total billed charges,,187.893,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,210.795069,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,198.3315,,,,percent of total billed charges,,167.016,,,,percent of total billed charges,,125.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [244808],0636,RC,,,,,inpatient,,,60989.64,,30494.82,36593.784,61581.23951,57330.2616,,,,percent of total billed charges,,48791.712,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,50621.4012,,,,percent of total billed charges,,54890.676,,,,percent of total billed charges,,56110.4688,,,,percent of total billed charges,,56110.4688,,,,percent of total billed charges,,57696.19944,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,59159.9508,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,53670.8832,,,,percent of total billed charges,,54890.676,,,,percent of total billed charges,,39521.28672,,,,percent of total billed charges,,54890.676,,,,percent of total billed charges,,36593.784,,,,percent of total billed charges,,61581.23951,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,57940.158,,,,percent of total billed charges,,48791.712,,,,percent of total billed charges,,36593.784,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION [244808],0636,RC,,,,,inpatient,,,70172.16,,35086.08,42103.296,70852.82995,65961.8304,,,,percent of total billed charges,,56137.728,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,58242.8928,,,,percent of total billed charges,,63154.944,,,,percent of total billed charges,,64558.3872,,,,percent of total billed charges,,64558.3872,,,,percent of total billed charges,,66382.86336,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,68066.9952,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,61751.5008,,,,percent of total billed charges,,63154.944,,,,percent of total billed charges,,45471.55968,,,,percent of total billed charges,,63154.944,,,,percent of total billed charges,,42103.296,,,,percent of total billed charges,,70852.82995,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,66663.552,,,,percent of total billed charges,,56137.728,,,,percent of total billed charges,,42103.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION [210368],0250,RC,,,,,inpatient,,,81.48,,40.74,48.888,82.270356,76.5912,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,67.6284,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,77.08008,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,79.0356,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,71.7024,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,52.79904,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,82.270356,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION [210368],0250,RC,,,,,inpatient,,,81.48,,40.74,48.888,82.270356,76.5912,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,67.6284,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,74.9616,,,,percent of total billed charges,,77.08008,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,79.0356,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,71.7024,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,52.79904,,,,percent of total billed charges,,73.332,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,82.270356,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,77.406,,,,percent of total billed charges,,65.184,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION [210369],0250,RC,,,,,inpatient,,,93.48,,46.74,56.088,94.386756,87.8712,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,77.5884,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,88.43208,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,90.6756,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,82.2624,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,60.57504,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,94.386756,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION [210369],0250,RC,,,,,inpatient,,,93.48,,46.74,56.088,94.386756,87.8712,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,77.5884,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,86.0016,,,,percent of total billed charges,,88.43208,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,90.6756,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,82.2624,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,60.57504,,,,percent of total billed charges,,84.132,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,94.386756,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,88.806,,,,percent of total billed charges,,74.784,,,,percent of total billed charges,,56.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,5.08,,2.54,3.048,5.129276,4.7752,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.2164,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.6736,,,,percent of total billed charges,,4.80568,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.9276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.4704,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.29184,,,,percent of total billed charges,,4.572,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,5.129276,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.826,,,,percent of total billed charges,,4.064,,,,percent of total billed charges,,3.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,4.46,,2.23,2.676,4.503262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.89008,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.503262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,4.46,,2.23,2.676,4.503262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.89008,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.503262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,5.35,,2.675,3.21,5.401895,5.029,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.4405,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,5.0611,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.1895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.708,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.4668,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,5.401895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,5.35,,2.675,3.21,5.401895,5.029,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.4405,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,5.0611,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.1895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.708,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.4668,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,5.401895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,6.98,,3.49,4.188,7.047706,6.5612,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.7934,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.60308,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.7706,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.1424,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,4.52304,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,7.047706,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,8.59,,4.295,5.154,8.673323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.56632,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,8.673323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,7.02,,3.51,4.212,7.088094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.54896,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,7.088094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,7.02,,3.51,4.212,7.088094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.54896,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,7.088094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [25424],0637,RC,,,,,inpatient,,,3,,1.5,1.8,3.0291,2.82,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.76,,,,percent of total billed charges,,2.838,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.64,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,3.0291,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.85,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,,,,,inpatient,,,4.7,,2.35,2.82,4.74559,4.418,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.901,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.324,,,,percent of total billed charges,,4.4462,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.559,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.136,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,3.0456,,,,percent of total billed charges,,4.23,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,4.74559,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,4.465,,,,percent of total billed charges,,3.76,,,,percent of total billed charges,,2.82,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,,,,,inpatient,,,4.46,,2.23,2.676,4.503262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.89008,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.503262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,,,,,inpatient,,,4.46,,2.23,2.676,4.503262,4.1924,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.7018,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.1032,,,,percent of total billed charges,,4.21916,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.3262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.9248,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.89008,,,,percent of total billed charges,,4.014,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,4.503262,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,4.237,,,,percent of total billed charges,,3.568,,,,percent of total billed charges,,2.676,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,,,,,inpatient,,,6.98,,3.49,4.188,7.047706,6.5612,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.7934,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.4216,,,,percent of total billed charges,,6.60308,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.7706,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.1424,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,4.52304,,,,percent of total billed charges,,6.282,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,7.047706,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,6.631,,,,percent of total billed charges,,5.584,,,,percent of total billed charges,,4.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET PEDS [1001333],0637,RC,,,,,inpatient,,,8.59,,4.295,5.154,8.673323,8.0746,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.1297,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,7.9028,,,,percent of total billed charges,,8.12614,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.3323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,7.5592,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.56632,,,,percent of total billed charges,,7.731,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,8.673323,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,8.1605,,,,percent of total billed charges,,6.872,,,,percent of total billed charges,,5.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,,,,,inpatient,,,36.42,,18.21,21.852,36.773274,34.2348,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,30.2286,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,34.45332,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,35.3274,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,32.0496,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,23.60016,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,36.773274,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,,,,,inpatient,,,33.21,,16.605,19.926,33.532137,31.2174,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,27.5643,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,30.5532,,,,percent of total billed charges,,31.41666,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,32.2137,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,29.2248,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,21.52008,,,,percent of total billed charges,,29.889,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,33.532137,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,31.5495,,,,percent of total billed charges,,26.568,,,,percent of total billed charges,,19.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,,,,,inpatient,,,19.28,,9.64,11.568,19.467016,18.1232,,,,percent of total billed charges,,15.424,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,16.0024,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,17.7376,,,,percent of total billed charges,,17.7376,,,,percent of total billed charges,,18.23888,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,18.7016,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,16.9664,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,12.49344,,,,percent of total billed charges,,17.352,,,,percent of total billed charges,,11.568,,,,percent of total billed charges,,19.467016,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,18.316,,,,percent of total billed charges,,15.424,,,,percent of total billed charges,,11.568,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,,,,,inpatient,,,13.93,,6.965,8.358,14.065121,13.0942,,,,percent of total billed charges,,11.144,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,11.5619,,,,percent of total billed charges,,12.537,,,,percent of total billed charges,,12.8156,,,,percent of total billed charges,,12.8156,,,,percent of total billed charges,,13.17778,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,13.5121,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,12.2584,,,,percent of total billed charges,,12.537,,,,percent of total billed charges,,9.02664,,,,percent of total billed charges,,12.537,,,,percent of total billed charges,,8.358,,,,percent of total billed charges,,14.065121,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,13.2335,,,,percent of total billed charges,,11.144,,,,percent of total billed charges,,8.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,,,,,inpatient,,,21.42,,10.71,12.852,21.627774,20.1348,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.7786,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,20.26332,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.7774,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,18.8496,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,13.88016,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,21.627774,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER [24984],0637,RC,,,,,inpatient,,,21.42,,10.71,12.852,21.627774,20.1348,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.7786,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,19.7064,,,,percent of total billed charges,,20.26332,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.7774,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,18.8496,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,13.88016,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,21.627774,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,20.349,,,,percent of total billed charges,,17.136,,,,percent of total billed charges,,12.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER - BOWEL PREP [7000125],0637,RC,,,,,inpatient,,,36.42,,18.21,21.852,36.773274,34.2348,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,30.2286,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,33.5064,,,,percent of total billed charges,,34.45332,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,35.3274,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,32.0496,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,23.60016,,,,percent of total billed charges,,32.778,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,36.773274,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,34.599,,,,percent of total billed charges,,29.136,,,,percent of total billed charges,,21.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYETHYLENE GLYCOL ELECTROLYTE (GOLYTELY) CONTINUOUS INFUSION VIA NG [1000884],0637,RC,,,,,inpatient,,,90,,45,54,90.873,84.6,,,,percent of total billed charges,,72,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,74.7,,,,percent of total billed charges,,81,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,85.14,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,87.3,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,79.2,,,,percent of total billed charges,,81,,,,percent of total billed charges,,58.32,,,,percent of total billed charges,,81,,,,percent of total billed charges,,54,,,,percent of total billed charges,,90.873,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,85.5,,,,percent of total billed charges,,72,,,,percent of total billed charges,,54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [6393]",0250,RC,,,,,inpatient,,,26.69,,13.345,16.014,26.948893,25.0886,,,,percent of total billed charges,,21.352,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,22.1527,,,,percent of total billed charges,,24.021,,,,percent of total billed charges,,24.5548,,,,percent of total billed charges,,24.5548,,,,percent of total billed charges,,25.24874,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,25.8893,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,23.4872,,,,percent of total billed charges,,24.021,,,,percent of total billed charges,,17.29512,,,,percent of total billed charges,,24.021,,,,percent of total billed charges,,16.014,,,,percent of total billed charges,,26.948893,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,25.3555,,,,percent of total billed charges,,21.352,,,,percent of total billed charges,,16.014,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [11050],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POLYVINYL ALCOHOL 1.4 % EYE DROPS [27994],0637,RC,,,,,inpatient,,,5.61,,2.805,3.366,5.664417,5.2734,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.6563,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.30706,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.4417,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.9368,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,3.63528,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,5.664417,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION [95230],0250,RC,,,,,inpatient,,,2202.17,,1101.085,1321.302,2223.531049,2070.0398,,,,percent of total billed charges,,1761.736,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,1827.8011,,,,percent of total billed charges,,1981.953,,,,percent of total billed charges,,2025.9964,,,,percent of total billed charges,,2025.9964,,,,percent of total billed charges,,2083.25282,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,2136.1049,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,1937.9096,,,,percent of total billed charges,,1981.953,,,,percent of total billed charges,,1427.00616,,,,percent of total billed charges,,1981.953,,,,percent of total billed charges,,1321.302,,,,percent of total billed charges,,2223.531049,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,2092.0615,,,,percent of total billed charges,,1761.736,,,,percent of total billed charges,,1321.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [77972],0637,RC,,,,,inpatient,,,70.25,,35.125,42.15,70.931425,66.035,,,,percent of total billed charges,,56.2,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,58.3075,,,,percent of total billed charges,,63.225,,,,percent of total billed charges,,64.63,,,,percent of total billed charges,,64.63,,,,percent of total billed charges,,66.4565,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,68.1425,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,61.82,,,,percent of total billed charges,,63.225,,,,percent of total billed charges,,45.522,,,,percent of total billed charges,,63.225,,,,percent of total billed charges,,42.15,,,,percent of total billed charges,,70.931425,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,66.7375,,,,percent of total billed charges,,56.2,,,,percent of total billed charges,,42.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [77972],0637,RC,,,,,inpatient,,,225.63,,112.815,135.378,227.818611,212.0922,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,187.2729,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,213.44598,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,218.8611,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,198.5544,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,146.20824,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,227.818611,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN [77972],0637,RC,,,,,inpatient,,,1240.92,,620.46,744.552,1252.956924,1166.4648,,,,percent of total billed charges,,992.736,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1029.9636,,,,percent of total billed charges,,1116.828,,,,percent of total billed charges,,1141.6464,,,,percent of total billed charges,,1141.6464,,,,percent of total billed charges,,1173.91032,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1203.6924,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1092.0096,,,,percent of total billed charges,,1116.828,,,,percent of total billed charges,,804.11616,,,,percent of total billed charges,,1116.828,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,1252.956924,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,1178.874,,,,percent of total billed charges,,992.736,,,,percent of total billed charges,,744.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,,,,,inpatient,,,43.88,,21.94,26.328,44.305636,41.2472,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,36.4204,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,41.51048,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,42.5636,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,38.6144,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,28.43424,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,44.305636,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,,,,,inpatient,,,14.22,,7.11,8.532,14.357934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,9.21456,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,14.357934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,,,,,inpatient,,,18.18,,9.09,10.908,18.356346,17.0892,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.0894,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,16.7256,,,,percent of total billed charges,,17.19828,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6346,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,15.9984,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,11.78064,,,,percent of total billed charges,,16.362,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,18.356346,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,14.544,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,,,,,inpatient,,,43.88,,21.94,26.328,44.305636,41.2472,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,36.4204,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,40.3696,,,,percent of total billed charges,,41.51048,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,42.5636,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,38.6144,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,28.43424,,,,percent of total billed charges,,39.492,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,44.305636,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,41.686,,,,percent of total billed charges,,35.104,,,,percent of total billed charges,,26.328,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [6420],0636,RC,,,,,inpatient,,,14.22,,7.11,8.532,14.357934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,9.21456,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,14.357934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET [162984],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET [162987],0637,RC,,,,,inpatient,,,2.28,,1.14,1.368,2.302116,2.1432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.8924,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.15688,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.2116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.0064,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.47744,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,2.302116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET [162987],0637,RC,,,,,inpatient,,,2.28,,1.14,1.368,2.302116,2.1432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.8924,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.0976,,,,percent of total billed charges,,2.15688,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.2116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.0064,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.47744,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,2.302116,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,2.166,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100 ML IN NS IVPB [233633],0636,RC,,,,,inpatient,,,9.9,,4.95,5.94,9.99603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.99603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,,,,,inpatient,,,9.9,,4.95,5.94,9.99603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.99603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,,,,,inpatient,,,21.15,,10.575,12.69,21.355155,19.881,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,17.5545,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,19.458,,,,percent of total billed charges,,20.0079,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.5155,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,13.7052,,,,percent of total billed charges,,19.035,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,21.355155,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,20.0925,,,,percent of total billed charges,,16.92,,,,percent of total billed charges,,12.69,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,,,,,inpatient,,,103.5,,51.75,62.1,104.50395,97.29,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,85.905,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,97.911,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,100.395,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,67.068,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,104.50395,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [6427],0636,RC,,,,,inpatient,,,103.5,,51.75,62.1,104.50395,97.29,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,85.905,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,95.22,,,,percent of total billed charges,,97.911,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,100.395,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,91.08,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,67.068,,,,percent of total billed charges,,93.15,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,104.50395,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,98.325,,,,percent of total billed charges,,82.8,,,,percent of total billed charges,,62.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,5.67,,2.835,3.402,5.724999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.67416,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.724999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,13.68,,6.84,8.208,13.812696,12.8592,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,11.3544,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.94128,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,13.2696,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.0384,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,8.86464,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,13.812696,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,11.52,,5.76,6.912,11.631744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.46496,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,11.631744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,17.28,,8.64,10.368,17.447616,16.2432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,14.3424,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,15.8976,,,,percent of total billed charges,,16.34688,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.7616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,15.2064,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,11.19744,,,,percent of total billed charges,,15.552,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,17.447616,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,16.416,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,11.52,,5.76,6.912,11.631744,10.8288,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.5616,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.5984,,,,percent of total billed charges,,10.89792,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,11.1744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.1376,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.46496,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,11.631744,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,9.216,,,,percent of total billed charges,,6.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,13.68,,6.84,8.208,13.812696,12.8592,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,11.3544,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.5856,,,,percent of total billed charges,,12.94128,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,13.2696,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.0384,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,8.86464,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,13.812696,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,12.996,,,,percent of total billed charges,,10.944,,,,percent of total billed charges,,8.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,5.67,,2.835,3.402,5.724999,5.3298,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.7061,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.2164,,,,percent of total billed charges,,5.36382,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.4999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.67416,,,,percent of total billed charges,,5.103,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,5.724999,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,5.3865,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,7.56,,3.78,4.536,7.633332,7.1064,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.2748,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,6.9552,,,,percent of total billed charges,,7.15176,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.3332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.6528,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.89888,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,7.633332,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,8.24,,4.12,4.944,8.319928,7.7456,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.8392,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.5808,,,,percent of total billed charges,,7.79504,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.9928,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.2512,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.33952,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,8.319928,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,7.828,,,,percent of total billed charges,,6.592,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11076],0636,RC,,,,,inpatient,,,10.35,,5.175,6.21,10.450395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,10.450395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [11076],0636,RC,,,,,inpatient,,,21.6,,10.8,12.96,21.80952,20.304,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,17.928,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,19.872,,,,percent of total billed charges,,20.4336,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,20.952,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,19.008,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,13.9968,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,21.80952,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,20.52,,,,percent of total billed charges,,17.28,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,,,,,inpatient,,,16.47,,8.235,9.882,16.629759,15.4818,,,,percent of total billed charges,,13.176,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,13.6701,,,,percent of total billed charges,,14.823,,,,percent of total billed charges,,15.1524,,,,percent of total billed charges,,15.1524,,,,percent of total billed charges,,15.58062,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,15.9759,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,14.4936,,,,percent of total billed charges,,14.823,,,,percent of total billed charges,,10.67256,,,,percent of total billed charges,,14.823,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,16.629759,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,15.6465,,,,percent of total billed charges,,13.176,,,,percent of total billed charges,,9.882,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,,,,,inpatient,,,238.4,,119.2,143.04,240.71248,224.096,,,,percent of total billed charges,,190.72,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,197.872,,,,percent of total billed charges,,214.56,,,,percent of total billed charges,,219.328,,,,percent of total billed charges,,219.328,,,,percent of total billed charges,,225.5264,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,231.248,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,209.792,,,,percent of total billed charges,,214.56,,,,percent of total billed charges,,154.4832,,,,percent of total billed charges,,214.56,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,240.71248,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,226.48,,,,percent of total billed charges,,190.72,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,,,,,inpatient,,,68.12,,34.06,40.872,68.780764,64.0328,,,,percent of total billed charges,,54.496,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,56.5396,,,,percent of total billed charges,,61.308,,,,percent of total billed charges,,62.6704,,,,percent of total billed charges,,62.6704,,,,percent of total billed charges,,64.44152,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,66.0764,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,59.9456,,,,percent of total billed charges,,61.308,,,,percent of total billed charges,,44.14176,,,,percent of total billed charges,,61.308,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,68.780764,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,64.714,,,,percent of total billed charges,,54.496,,,,percent of total billed charges,,40.872,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [6432],0637,RC,,,,,inpatient,,,323.54,,161.77,194.124,326.678338,304.1276,,,,percent of total billed charges,,258.832,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,268.5382,,,,percent of total billed charges,,291.186,,,,percent of total billed charges,,297.6568,,,,percent of total billed charges,,297.6568,,,,percent of total billed charges,,306.06884,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,313.8338,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,284.7152,,,,percent of total billed charges,,291.186,,,,percent of total billed charges,,209.65392,,,,percent of total billed charges,,291.186,,,,percent of total billed charges,,194.124,,,,percent of total billed charges,,326.678338,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,307.363,,,,percent of total billed charges,,258.832,,,,percent of total billed charges,,194.124,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN [36063],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16426],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION [14903],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14858],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14858],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV [14862],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14863],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS [16427],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14859],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [14859],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14866],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14866],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [14866],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,,,,,inpatient,,,3.43,,1.715,2.058,3.463271,3.2242,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.8469,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.24478,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.3271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.0184,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.22264,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,3.463271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,,,,,inpatient,,,3.43,,1.715,2.058,3.463271,3.2242,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.8469,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.24478,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.3271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.0184,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.22264,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,3.463271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,,,,,inpatient,,,3.73,,1.865,2.238,3.766181,3.5062,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.0959,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.4316,,,,percent of total billed charges,,3.52858,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.6181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.2824,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.41704,,,,percent of total billed charges,,3.357,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,3.766181,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,3.5435,,,,percent of total billed charges,,2.984,,,,percent of total billed charges,,2.238,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,,,,,inpatient,,,2.11,,1.055,1.266,2.130467,1.9834,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.7513,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.99606,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0467,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.8568,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.36728,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,2.130467,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE [13644]",0637,RC,,,,,inpatient,,,2.11,,1.055,1.266,2.130467,1.9834,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.7513,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.9412,,,,percent of total billed charges,,1.99606,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0467,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.8568,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.36728,,,,percent of total billed charges,,1.899,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,2.130467,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,2.0045,,,,percent of total billed charges,,1.688,,,,percent of total billed charges,,1.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0637,RC,,,,,inpatient,,,2.81,,1.405,1.686,2.837257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.82088,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.837257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35942]",0637,RC,,,,,inpatient,,,2.81,,1.405,1.686,2.837257,2.6414,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.3323,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.5852,,,,percent of total billed charges,,2.65826,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.7257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.4728,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.82088,,,,percent of total billed charges,,2.529,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,2.837257,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.6695,,,,percent of total billed charges,,2.248,,,,percent of total billed charges,,1.686,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,2.23,,1.115,1.338,2.251631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.44504,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.251631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,2.23,,1.115,1.338,2.251631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.44504,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.251631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,3.52,,1.76,2.112,3.554144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.28096,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.554144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,3.52,,1.76,2.112,3.554144,3.3088,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.9216,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.2384,,,,percent of total billed charges,,3.32992,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.4144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.0976,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.28096,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,3.554144,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,3.344,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,2.69,,1.345,1.614,2.716093,2.5286,,,,percent of total billed charges,,2.152,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.2327,,,,percent of total billed charges,,2.421,,,,percent of total billed charges,,2.4748,,,,percent of total billed charges,,2.4748,,,,percent of total billed charges,,2.54474,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.6093,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.3672,,,,percent of total billed charges,,2.421,,,,percent of total billed charges,,1.74312,,,,percent of total billed charges,,2.421,,,,percent of total billed charges,,1.614,,,,percent of total billed charges,,2.716093,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.5555,,,,percent of total billed charges,,2.152,,,,percent of total billed charges,,1.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,1.4,,0.7,0.84,1.41358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.9072,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.41358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [35943]",0637,RC,,,,,inpatient,,,1.4,,0.7,0.84,1.41358,1.316,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.162,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.3244,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.232,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.9072,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,1.41358,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.33,,,,percent of total billed charges,,1.12,,,,percent of total billed charges,,0.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,,,,,inpatient,,,3.31,,1.655,1.986,3.342107,3.1114,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.7473,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.0452,,,,percent of total billed charges,,3.13126,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.2107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.9128,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,2.14488,,,,percent of total billed charges,,2.979,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,3.342107,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,3.1445,,,,percent of total billed charges,,2.648,,,,percent of total billed charges,,1.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,,,,,inpatient,,,8.52,,4.26,5.112,8.602644,8.0088,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.0716,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,8.05992,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.2644,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.4976,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,5.52096,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,8.602644,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,,,,,inpatient,,,8.52,,4.26,5.112,8.602644,8.0088,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.0716,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,7.8384,,,,percent of total billed charges,,8.05992,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.2644,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,7.4976,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,5.52096,,,,percent of total billed charges,,7.668,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,8.602644,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,8.094,,,,percent of total billed charges,,6.816,,,,percent of total billed charges,,5.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [80296]",0637,RC,,,,,inpatient,,,1.07,,0.535,0.642,1.080379,1.0058,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.8881,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,0.9844,,,,percent of total billed charges,,1.01222,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.9416,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.69336,,,,percent of total billed charges,,0.963,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,1.080379,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,1.0165,,,,percent of total billed charges,,0.856,,,,percent of total billed charges,,0.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,19.94,,9.97,11.964,20.133418,18.7436,,,,percent of total billed charges,,15.952,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,16.5502,,,,percent of total billed charges,,17.946,,,,percent of total billed charges,,18.3448,,,,percent of total billed charges,,18.3448,,,,percent of total billed charges,,18.86324,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,19.3418,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,17.5472,,,,percent of total billed charges,,17.946,,,,percent of total billed charges,,12.92112,,,,percent of total billed charges,,17.946,,,,percent of total billed charges,,11.964,,,,percent of total billed charges,,20.133418,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,18.943,,,,percent of total billed charges,,15.952,,,,percent of total billed charges,,11.964,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,13.29,,6.645,7.974,13.418913,12.4926,,,,percent of total billed charges,,10.632,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,11.0307,,,,percent of total billed charges,,11.961,,,,percent of total billed charges,,12.2268,,,,percent of total billed charges,,12.2268,,,,percent of total billed charges,,12.57234,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,12.8913,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,11.6952,,,,percent of total billed charges,,11.961,,,,percent of total billed charges,,8.61192,,,,percent of total billed charges,,11.961,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,13.418913,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,12.6255,,,,percent of total billed charges,,10.632,,,,percent of total billed charges,,7.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,7.19,,3.595,4.314,7.259743,6.7586,,,,percent of total billed charges,,5.752,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,5.9677,,,,percent of total billed charges,,6.471,,,,percent of total billed charges,,6.6148,,,,percent of total billed charges,,6.6148,,,,percent of total billed charges,,6.80174,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,6.9743,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,6.3272,,,,percent of total billed charges,,6.471,,,,percent of total billed charges,,4.65912,,,,percent of total billed charges,,6.471,,,,percent of total billed charges,,4.314,,,,percent of total billed charges,,7.259743,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,6.8305,,,,percent of total billed charges,,5.752,,,,percent of total billed charges,,4.314,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET [85109]",0637,RC,,,,,inpatient,,,2.2,,1.1,1.32,2.22134,2.068,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,1.826,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.024,,,,percent of total billed charges,,2.024,,,,percent of total billed charges,,2.0812,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,2.134,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,1.4256,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,2.22134,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,2.09,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,35.55,,17.775,21.33,35.894835,33.417,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,29.5065,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,33.6303,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,34.4835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,31.284,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,23.0364,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,35.894835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,59.81,,29.905,35.886,60.390157,56.2214,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,49.6423,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,56.58026,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,58.0157,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,52.6328,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,38.75688,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,60.390157,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,59.81,,29.905,35.886,60.390157,56.2214,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,49.6423,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,55.0252,,,,percent of total billed charges,,56.58026,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,58.0157,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,52.6328,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,38.75688,,,,percent of total billed charges,,53.829,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,60.390157,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,56.8195,,,,percent of total billed charges,,47.848,,,,percent of total billed charges,,35.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,94.19,,47.095,56.514,95.103643,88.5386,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,78.1777,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,89.10374,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,91.3643,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,82.8872,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,61.03512,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,95.103643,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [6451],0250,RC,,,,,inpatient,,,94.19,,47.095,56.514,95.103643,88.5386,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,78.1777,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,86.6548,,,,percent of total billed charges,,89.10374,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,91.3643,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,82.8872,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,61.03512,,,,percent of total billed charges,,84.771,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,95.103643,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,89.4805,,,,percent of total billed charges,,75.352,,,,percent of total billed charges,,56.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,,,,,inpatient,,,1.9,,0.95,1.14,1.91843,1.786,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.577,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7974,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.2312,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.91843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,,,,,inpatient,,,1.9,,0.95,1.14,1.91843,1.786,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.577,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7974,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.2312,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.91843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,,,,,inpatient,,,1.11,,0.555,0.666,1.120767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.71928,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.120767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [163581]",0637,RC,,,,,inpatient,,,0.89,,0.445,0.534,0.898633,0.8366,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7387,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.8188,,,,percent of total billed charges,,0.84194,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.7832,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.57672,,,,percent of total billed charges,,0.801,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,0.898633,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.8455,,,,percent of total billed charges,,0.712,,,,percent of total billed charges,,0.534,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POVIDONE-IODINE 10 % TOPICAL OINTMENT [6455],0637,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POVIDONE-IODINE 10 % TOPICAL SOLUTION [6458],0637,RC,,,,,inpatient,,,6.4,,3.2,3.84,6.46208,6.016,,,,percent of total billed charges,,5.12,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,5.312,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,5.888,,,,percent of total billed charges,,5.888,,,,percent of total billed charges,,6.0544,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,6.208,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,5.632,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.1472,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,6.46208,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,6.08,,,,percent of total billed charges,,5.12,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POVIDONE-IODINE 5 % EYE SOLUTION [80766],0637,RC,,,,,inpatient,,,43.2,,21.6,25.92,43.61904,40.608,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,35.856,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,40.8672,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.904,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,38.016,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,27.9936,,,,percent of total billed charges,,38.88,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,43.61904,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,41.04,,,,percent of total billed charges,,34.56,,,,percent of total billed charges,,25.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [196285],0636,RC,,,,,inpatient,,,47044.16,,23522.08,28226.496,47500.48835,44221.5104,,,,percent of total billed charges,,37635.328,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,39046.6528,,,,percent of total billed charges,,42339.744,,,,percent of total billed charges,,43280.6272,,,,percent of total billed charges,,43280.6272,,,,percent of total billed charges,,44503.77536,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,45632.8352,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,41398.8608,,,,percent of total billed charges,,42339.744,,,,percent of total billed charges,,30484.61568,,,,percent of total billed charges,,42339.744,,,,percent of total billed charges,,28226.496,,,,percent of total billed charges,,47500.48835,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,44691.952,,,,percent of total billed charges,,37635.328,,,,percent of total billed charges,,28226.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,,,,,inpatient,,,358.6,,179.3,215.16,362.07842,337.084,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,297.638,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,339.2356,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,347.842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,315.568,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,232.3728,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,362.07842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,,,,,inpatient,,,358.6,,179.3,215.16,362.07842,337.084,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,297.638,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,339.2356,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,347.842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,315.568,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,232.3728,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,362.07842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,,,,,inpatient,,,2151.55,,1075.775,1290.93,2172.420035,2022.457,,,,percent of total billed charges,,1721.24,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,1785.7865,,,,percent of total billed charges,,1936.395,,,,percent of total billed charges,,1979.426,,,,percent of total billed charges,,1979.426,,,,percent of total billed charges,,2035.3663,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,2087.0035,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,1893.364,,,,percent of total billed charges,,1936.395,,,,percent of total billed charges,,1394.2044,,,,percent of total billed charges,,1936.395,,,,percent of total billed charges,,1290.93,,,,percent of total billed charges,,2172.420035,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,2043.9725,,,,percent of total billed charges,,1721.24,,,,percent of total billed charges,,1290.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION [81079],0636,RC,,,,,inpatient,,,358.6,,179.3,215.16,362.07842,337.084,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,297.638,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,329.912,,,,percent of total billed charges,,339.2356,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,347.842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,315.568,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,232.3728,,,,percent of total billed charges,,322.74,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,362.07842,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,340.67,,,,percent of total billed charges,,286.88,,,,percent of total billed charges,,215.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,,,,,inpatient,,,0.82,,0.41,0.492,0.827954,0.7708,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.6806,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.7544,,,,percent of total billed charges,,0.77572,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7954,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.7216,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.53136,,,,percent of total billed charges,,0.738,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,0.827954,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.779,,,,percent of total billed charges,,0.656,,,,percent of total billed charges,,0.492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,,,,,inpatient,,,1.18,,0.59,0.708,1.191446,1.1092,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.9794,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.11628,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.1446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.0384,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.76464,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,1.191446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.25 MG TABLET [81271],0637,RC,,,,,inpatient,,,1.18,,0.59,0.708,1.191446,1.1092,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.9794,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.0856,,,,percent of total billed charges,,1.11628,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.1446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.0384,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.76464,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,1.191446,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,1.121,,,,percent of total billed charges,,0.944,,,,percent of total billed charges,,0.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.5 MG TABLET [79525],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.5 MG TABLET [79525],0637,RC,,,,,inpatient,,,2.72,,1.36,1.632,2.746384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.76256,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.746384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMIPEXOLE 0.5 MG TABLET [79525],0637,RC,,,,,inpatient,,,2.72,,1.36,1.632,2.746384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.76256,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.746384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAMOXINE-CAMPHOR-ZINC ACETATE LOTION [77898],0637,RC,,,,,inpatient,,,11.16,,5.58,6.696,11.268252,10.4904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.2628,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.2672,,,,percent of total billed charges,,10.55736,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.8252,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,9.8208,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,7.23168,,,,percent of total billed charges,,10.044,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,11.268252,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,10.602,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,6.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,,,,,inpatient,,,4.47,,2.235,2.682,4.513359,4.2018,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.7101,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.1124,,,,percent of total billed charges,,4.22862,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.3359,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.9336,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,2.89656,,,,percent of total billed charges,,4.023,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,4.513359,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,4.2465,,,,percent of total billed charges,,3.576,,,,percent of total billed charges,,2.682,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,,,,,inpatient,,,1.02,,0.51,0.612,1.029894,0.9588,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.8466,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,0.9384,,,,percent of total billed charges,,0.9384,,,,percent of total billed charges,,0.96492,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.9894,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.8976,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,0.66096,,,,percent of total billed charges,,0.918,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,1.029894,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.969,,,,percent of total billed charges,,0.816,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,,,,,inpatient,,,3.65,,1.825,2.19,3.685405,3.431,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.0295,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.358,,,,percent of total billed charges,,3.4529,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.5405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.212,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.3652,,,,percent of total billed charges,,3.285,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,3.685405,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,3.4675,,,,percent of total billed charges,,2.92,,,,percent of total billed charges,,2.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRASUGREL 10 MG TABLET [195297],0637,RC,,,,,inpatient,,,3.42,,1.71,2.052,3.453174,3.2148,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.8386,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.1464,,,,percent of total billed charges,,3.23532,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.3174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.0096,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.21616,,,,percent of total billed charges,,3.078,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,3.453174,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,3.249,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,,,,,inpatient,,,1.09,,0.545,0.654,1.100573,1.0246,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9047,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.03114,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9592,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.70632,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,1.100573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,,,,,inpatient,,,1.73,,0.865,1.038,1.746781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.12104,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.746781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 10 MG TABLET [11110],0637,RC,,,,,inpatient,,,2.95,,1.475,1.77,2.978615,2.773,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.4485,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.714,,,,percent of total billed charges,,2.7907,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.596,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.9116,,,,percent of total billed charges,,2.655,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,2.978615,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.8025,,,,percent of total billed charges,,2.36,,,,percent of total billed charges,,1.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,,,,,inpatient,,,3.06,,1.53,1.836,3.089682,2.8764,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.5398,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.8152,,,,percent of total billed charges,,2.89476,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.9682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.6928,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.98288,,,,percent of total billed charges,,2.754,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,3.089682,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.907,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,,,,,inpatient,,,2.04,,1.02,1.224,2.059788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.32192,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,2.059788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAVASTATIN 40 MG TABLET [11112],0637,RC,,,,,inpatient,,,2.04,,1.02,1.224,2.059788,1.9176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.6932,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.8768,,,,percent of total billed charges,,1.92984,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.9788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.7952,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.32192,,,,percent of total billed charges,,1.836,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,2.059788,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.938,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,1.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,,,,,inpatient,,,6.65,,3.325,3.99,6.714505,6.251,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.5195,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.2909,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.852,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,4.3092,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,6.714505,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,,,,,inpatient,,,6.65,,3.325,3.99,6.714505,6.251,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.5195,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.118,,,,percent of total billed charges,,6.2909,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.4505,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.852,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,4.3092,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,6.714505,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,6.3175,,,,percent of total billed charges,,5.32,,,,percent of total billed charges,,3.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,,,,,inpatient,,,6.72,,3.36,4.032,6.785184,6.3168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.5776,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.35712,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.5184,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.9136,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.35456,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,6.785184,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,,,,,inpatient,,,6.72,,3.36,4.032,6.785184,6.3168,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.5776,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.1824,,,,percent of total billed charges,,6.35712,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.5184,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.9136,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.35456,,,,percent of total billed charges,,6.048,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,6.785184,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,6.384,,,,percent of total billed charges,,5.376,,,,percent of total billed charges,,4.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 1 MG CAPSULE [6468],0637,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRAZOSIN 5 MG CAPSULE [6470],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",0637,RC,,,,,inpatient,,,175.1,,87.55,105.06,176.79847,164.594,,,,percent of total billed charges,,140.08,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,145.333,,,,percent of total billed charges,,157.59,,,,percent of total billed charges,,161.092,,,,percent of total billed charges,,161.092,,,,percent of total billed charges,,165.6446,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,169.847,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,154.088,,,,percent of total billed charges,,157.59,,,,percent of total billed charges,,113.4648,,,,percent of total billed charges,,157.59,,,,percent of total billed charges,,105.06,,,,percent of total billed charges,,176.79847,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,166.345,,,,percent of total billed charges,,140.08,,,,percent of total billed charges,,105.06,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]",0637,RC,,,,,inpatient,,,114.75,,57.375,68.85,115.863075,107.865,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,95.2425,,,,percent of total billed charges,,103.275,,,,percent of total billed charges,,105.57,,,,percent of total billed charges,,105.57,,,,percent of total billed charges,,108.5535,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,111.3075,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,100.98,,,,percent of total billed charges,,103.275,,,,percent of total billed charges,,74.358,,,,percent of total billed charges,,103.275,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,115.863075,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,109.0125,,,,percent of total billed charges,,91.8,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],0636,RC,,,,,inpatient,,,188.78,,94.39,113.268,190.611166,177.4532,,,,percent of total billed charges,,151.024,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,156.6874,,,,percent of total billed charges,,169.902,,,,percent of total billed charges,,173.6776,,,,percent of total billed charges,,173.6776,,,,percent of total billed charges,,178.58588,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,183.1166,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,166.1264,,,,percent of total billed charges,,169.902,,,,percent of total billed charges,,122.32944,,,,percent of total billed charges,,169.902,,,,percent of total billed charges,,113.268,,,,percent of total billed charges,,190.611166,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,179.341,,,,percent of total billed charges,,151.024,,,,percent of total billed charges,,113.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],0636,RC,,,,,inpatient,,,988.65,,494.325,593.19,998.239905,929.331,,,,percent of total billed charges,,790.92,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,820.5795,,,,percent of total billed charges,,889.785,,,,percent of total billed charges,,909.558,,,,percent of total billed charges,,909.558,,,,percent of total billed charges,,935.2629,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,958.9905,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,870.012,,,,percent of total billed charges,,889.785,,,,percent of total billed charges,,640.6452,,,,percent of total billed charges,,889.785,,,,percent of total billed charges,,593.19,,,,percent of total billed charges,,998.239905,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,939.2175,,,,percent of total billed charges,,790.92,,,,percent of total billed charges,,593.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302],0636,RC,,,,,inpatient,,,3.99,,1.995,2.394,4.028703,3.7506,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.3117,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.6708,,,,percent of total billed charges,,3.77454,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.8703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.5112,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.58552,,,,percent of total billed charges,,3.591,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,4.028703,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.7905,,,,percent of total billed charges,,3.192,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,,,,,inpatient,,,253.26,,126.63,151.956,255.716622,238.0644,,,,percent of total billed charges,,202.608,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,210.2058,,,,percent of total billed charges,,227.934,,,,percent of total billed charges,,232.9992,,,,percent of total billed charges,,232.9992,,,,percent of total billed charges,,239.58396,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,245.6622,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,222.8688,,,,percent of total billed charges,,227.934,,,,percent of total billed charges,,164.11248,,,,percent of total billed charges,,227.934,,,,percent of total billed charges,,151.956,,,,percent of total billed charges,,255.716622,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,240.597,,,,percent of total billed charges,,202.608,,,,percent of total billed charges,,151.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,,,,,inpatient,,,21.33,,10.665,12.798,21.536901,20.0502,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.7039,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,19.6236,,,,percent of total billed charges,,20.17818,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.6901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,18.7704,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,13.82184,,,,percent of total billed charges,,19.197,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,21.536901,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,20.2635,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,,,,,inpatient,,,301.86,,150.93,181.116,304.788042,283.7484,,,,percent of total billed charges,,241.488,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,250.5438,,,,percent of total billed charges,,271.674,,,,percent of total billed charges,,277.7112,,,,percent of total billed charges,,277.7112,,,,percent of total billed charges,,285.55956,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,292.8042,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,265.6368,,,,percent of total billed charges,,271.674,,,,percent of total billed charges,,195.60528,,,,percent of total billed charges,,271.674,,,,percent of total billed charges,,181.116,,,,percent of total billed charges,,304.788042,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,286.767,,,,percent of total billed charges,,241.488,,,,percent of total billed charges,,181.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,,,,,inpatient,,,10.85,,5.425,6.51,10.955245,10.199,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.0055,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,9.982,,,,percent of total billed charges,,10.2641,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.5245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,9.548,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,7.0308,,,,percent of total billed charges,,9.765,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,10.955245,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,10.3075,,,,percent of total billed charges,,8.68,,,,percent of total billed charges,,6.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN [11118],0636,RC,,,,,inpatient,,,1034.1,,517.05,620.46,1044.13077,972.054,,,,percent of total billed charges,,827.28,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,858.303,,,,percent of total billed charges,,930.69,,,,percent of total billed charges,,951.372,,,,percent of total billed charges,,951.372,,,,percent of total billed charges,,978.2586,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,1003.077,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,910.008,,,,percent of total billed charges,,930.69,,,,percent of total billed charges,,670.0968,,,,percent of total billed charges,,930.69,,,,percent of total billed charges,,620.46,,,,percent of total billed charges,,1044.13077,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,982.395,,,,percent of total billed charges,,827.28,,,,percent of total billed charges,,620.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 1 MG TABLET [6493],0636,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 1 MG TABLET [6493],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,,,,,inpatient,,,0.57,,0.285,0.342,0.575529,0.5358,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.4731,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.5244,,,,percent of total billed charges,,0.53922,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5016,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.36936,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,0.575529,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.5415,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 10 MG TABLET [6494],0636,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,,,,,inpatient,,,0.92,,0.46,0.552,0.928924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.59616,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.928924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,,,,,inpatient,,,1.08,,0.54,0.648,1.090476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.69984,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.090476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,,,,,inpatient,,,1.08,,0.54,0.648,1.090476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.69984,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.090476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 20 MG TABLET [6496],0636,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREDNISONE 5 MG TABLET [6497],0636,RC,,,,,inpatient,,,0.83,,0.415,0.498,0.838051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.53784,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.838051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,,,,,inpatient,,,46.04,,23.02,27.624,46.486588,43.2776,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,38.2132,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,43.55384,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,44.6588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,40.5152,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,29.83392,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,46.486588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,,,,,inpatient,,,2.31,,1.155,1.386,2.332407,2.1714,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.9173,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.18526,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.2407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.0328,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.49688,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,2.332407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,,,,,inpatient,,,2.31,,1.155,1.386,2.332407,2.1714,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.9173,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.18526,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.2407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.0328,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.49688,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,2.332407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,,,,,inpatient,,,2.15,,1.075,1.29,2.170855,2.021,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.7845,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,2.0339,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0855,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.3932,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,2.170855,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 100 MG CAPSULE [94866],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,,,,,inpatient,,,41.86,,20.93,25.116,42.266042,39.3484,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,34.7438,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,38.5112,,,,percent of total billed charges,,38.5112,,,,percent of total billed charges,,39.59956,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,40.6042,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,36.8368,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,27.12528,,,,percent of total billed charges,,37.674,,,,percent of total billed charges,,25.116,,,,percent of total billed charges,,42.266042,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,39.767,,,,percent of total billed charges,,33.488,,,,percent of total billed charges,,25.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,,,,,inpatient,,,2.44,,1.22,1.464,2.463668,2.2936,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.0252,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.2448,,,,percent of total billed charges,,2.30824,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.3668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.1472,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.58112,,,,percent of total billed charges,,2.196,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,2.463668,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,2.318,,,,percent of total billed charges,,1.952,,,,percent of total billed charges,,1.464,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 25 MG CAPSULE [94863],0637,RC,,,,,inpatient,,,2.42,,1.21,1.452,2.443474,2.2748,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.0086,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.28932,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.3474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.1296,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.56816,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,2.443474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 50 MG CAPSULE [94864],0637,RC,,,,,inpatient,,,46.04,,23.02,27.624,46.486588,43.2776,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,38.2132,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,43.55384,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,44.6588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,40.5152,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,29.83392,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,46.486588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 50 MG CAPSULE [94864],0637,RC,,,,,inpatient,,,2.26,,1.13,1.356,2.281922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.46448,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.281922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 50 MG CAPSULE [94864],0637,RC,,,,,inpatient,,,2.26,,1.13,1.356,2.281922,2.1244,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.8758,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.0792,,,,percent of total billed charges,,2.13796,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.1922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.9888,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.46448,,,,percent of total billed charges,,2.034,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,2.281922,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,2.147,,,,percent of total billed charges,,1.808,,,,percent of total billed charges,,1.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,,,,,inpatient,,,46.04,,23.02,27.624,46.486588,43.2776,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,38.2132,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,42.3568,,,,percent of total billed charges,,43.55384,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,44.6588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,40.5152,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,29.83392,,,,percent of total billed charges,,41.436,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,46.486588,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,43.738,,,,percent of total billed charges,,36.832,,,,percent of total billed charges,,27.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,,,,,inpatient,,,1.93,,0.965,1.158,1.948721,1.8142,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6019,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.7756,,,,percent of total billed charges,,1.82578,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.6984,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.25064,,,,percent of total billed charges,,1.737,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,1.948721,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.8335,,,,percent of total billed charges,,1.544,,,,percent of total billed charges,,1.158,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREGABALIN 75 MG CAPSULE [94865],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRENATAL VIT-IRON-FOLATE TAB WRAPPER [1000521],0637,RC,,,,,inpatient,,,16.65,,8.325,9.99,16.811505,15.651,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.8195,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.318,,,,percent of total billed charges,,15.7509,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,16.1505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,14.652,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,10.7892,,,,percent of total billed charges,,14.985,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,16.811505,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,15.8175,,,,percent of total billed charges,,13.32,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,,,,,inpatient,,,0.72,,0.36,0.432,0.726984,0.6768,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.5976,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.6624,,,,percent of total billed charges,,0.68112,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6336,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.46656,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.726984,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,,,,,inpatient,,,3.27,,1.635,1.962,3.301719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.11896,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.301719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,,,,,inpatient,,,3.27,,1.635,1.962,3.301719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.11896,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.301719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PRIMIDONE 50 MG TABLET [11129],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,,,,,inpatient,,,2171.38,,1085.69,1302.828,2192.442386,2041.0972,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1802.2454,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,2054.12548,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2106.2386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1910.8144,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1407.05424,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,2192.442386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,,,,,inpatient,,,202.61,,101.305,121.566,204.575317,190.4534,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,168.1663,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,191.66906,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,196.5317,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,178.2968,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,131.29128,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,204.575317,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,,,,,inpatient,,,2171.38,,1085.69,1302.828,2192.442386,2041.0972,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1802.2454,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,2054.12548,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2106.2386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1910.8144,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1407.05424,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,2192.442386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,,,,,inpatient,,,2171.38,,1085.69,1302.828,2192.442386,2041.0972,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1802.2454,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,1997.6696,,,,percent of total billed charges,,2054.12548,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2106.2386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1910.8144,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1407.05424,,,,percent of total billed charges,,1954.242,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,2192.442386,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,2062.811,,,,percent of total billed charges,,1737.104,,,,percent of total billed charges,,1302.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,,,,,inpatient,,,202.61,,101.305,121.566,204.575317,190.4534,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,168.1663,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,186.4012,,,,percent of total billed charges,,191.66906,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,196.5317,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,178.2968,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,131.29128,,,,percent of total billed charges,,182.349,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,204.575317,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,192.4795,,,,percent of total billed charges,,162.088,,,,percent of total billed charges,,121.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,,,,,inpatient,,,1467.86,,733.93,880.716,1482.098242,1379.7884,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1218.3238,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1388.59556,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1423.8242,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1291.7168,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,951.17328,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,1482.098242,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCAINAMIDE 500 MG/ML INJECTION SOLUTION [6563],0636,RC,,,,,inpatient,,,1467.86,,733.93,880.716,1482.098242,1379.7884,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1218.3238,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1350.4312,,,,percent of total billed charges,,1388.59556,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1423.8242,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1291.7168,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,951.17328,,,,percent of total billed charges,,1321.074,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,1482.098242,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1394.467,,,,percent of total billed charges,,1174.288,,,,percent of total billed charges,,880.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],0637,RC,,,,,inpatient,,,35.84,,17.92,21.504,36.187648,33.6896,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,29.7472,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,33.90464,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.7648,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,31.5392,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,23.22432,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,36.187648,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [11138],0637,RC,,,,,inpatient,,,35.84,,17.92,21.504,36.187648,33.6896,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,29.7472,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,32.9728,,,,percent of total billed charges,,33.90464,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.7648,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,31.5392,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,23.22432,,,,percent of total billed charges,,32.256,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,36.187648,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,34.048,,,,percent of total billed charges,,28.672,,,,percent of total billed charges,,21.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,7.61,,3.805,4.566,7.683817,7.1534,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.3163,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.0012,,,,percent of total billed charges,,7.19906,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.3817,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.6968,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,4.93128,,,,percent of total billed charges,,6.849,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,7.683817,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,7.2295,,,,percent of total billed charges,,6.088,,,,percent of total billed charges,,4.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,10.53,,5.265,6.318,10.632141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.82344,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,10.632141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,10.53,,5.265,6.318,10.632141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.82344,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,10.632141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,10.53,,5.265,6.318,10.632141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.82344,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,10.632141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,10.53,,5.265,6.318,10.632141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.82344,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,10.632141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,9.83,,4.915,5.898,9.925351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,6.36984,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.925351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,9.83,,4.915,5.898,9.925351,9.2402,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.1589,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.0436,,,,percent of total billed charges,,9.29918,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.5351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,8.6504,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,6.36984,,,,percent of total billed charges,,8.847,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,9.925351,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,9.3385,,,,percent of total billed charges,,7.864,,,,percent of total billed charges,,5.898,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,13.04,,6.52,7.824,13.166488,12.2576,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.8232,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,12.33584,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.6488,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,11.4752,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.44992,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,13.166488,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,13.04,,6.52,7.824,13.166488,12.2576,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.8232,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,11.9968,,,,percent of total billed charges,,12.33584,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.6488,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,11.4752,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,8.44992,,,,percent of total billed charges,,11.736,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,13.166488,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,12.388,,,,percent of total billed charges,,10.432,,,,percent of total billed charges,,7.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,17.68,,8.84,10.608,17.851496,16.6192,,,,percent of total billed charges,,14.144,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,14.6744,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,16.2656,,,,percent of total billed charges,,16.2656,,,,percent of total billed charges,,16.72528,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,17.1496,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,15.5584,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,11.45664,,,,percent of total billed charges,,15.912,,,,percent of total billed charges,,10.608,,,,percent of total billed charges,,17.851496,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,16.796,,,,percent of total billed charges,,14.144,,,,percent of total billed charges,,10.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,17.69,,8.845,10.614,17.861593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,11.46312,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,17.861593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,9.93,,4.965,5.958,10.026321,9.3342,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.2419,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.1356,,,,percent of total billed charges,,9.39378,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.6321,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,8.7384,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,6.43464,,,,percent of total billed charges,,8.937,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,10.026321,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,9.4335,,,,percent of total billed charges,,7.944,,,,percent of total billed charges,,5.958,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,13.71,,6.855,8.226,13.842987,12.8874,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,11.3793,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.96966,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.2987,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,12.0648,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,8.88408,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,13.842987,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [209899],0636,RC,,,,,inpatient,,,13.71,,6.855,8.226,13.842987,12.8874,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,11.3793,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.6132,,,,percent of total billed charges,,12.96966,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.2987,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,12.0648,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,8.88408,,,,percent of total billed charges,,12.339,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,13.842987,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,13.0245,,,,percent of total billed charges,,10.968,,,,percent of total billed charges,,8.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE EDISYLATE 5 MG/ML INJECTION SOLUTION [6580],0636,RC,,,,,inpatient,,,38.03,,19.015,22.818,38.398891,35.7482,,,,percent of total billed charges,,30.424,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,31.5649,,,,percent of total billed charges,,34.227,,,,percent of total billed charges,,34.9876,,,,percent of total billed charges,,34.9876,,,,percent of total billed charges,,35.97638,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,36.8891,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,33.4664,,,,percent of total billed charges,,34.227,,,,percent of total billed charges,,24.64344,,,,percent of total billed charges,,34.227,,,,percent of total billed charges,,22.818,,,,percent of total billed charges,,38.398891,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,36.1285,,,,percent of total billed charges,,30.424,,,,percent of total billed charges,,22.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,,,,,inpatient,,,5.66,,2.83,3.396,5.714902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.66768,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.714902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROCHLORPERAZINE MALEATE 10 MG TABLET [6582],0636,RC,,,,,inpatient,,,5.66,,2.83,3.396,5.714902,5.3204,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.6978,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.2072,,,,percent of total billed charges,,5.35436,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.4902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.9808,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.66768,,,,percent of total billed charges,,5.094,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,5.714902,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,5.377,,,,percent of total billed charges,,4.528,,,,percent of total billed charges,,3.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,,,,,inpatient,,,43.87,,21.935,26.322,44.295539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,28.42776,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,44.295539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,,,,,inpatient,,,33.17,,16.585,19.902,33.491749,31.1798,,,,percent of total billed charges,,26.536,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,27.5311,,,,percent of total billed charges,,29.853,,,,percent of total billed charges,,30.5164,,,,percent of total billed charges,,30.5164,,,,percent of total billed charges,,31.37882,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,32.1749,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,29.1896,,,,percent of total billed charges,,29.853,,,,percent of total billed charges,,21.49416,,,,percent of total billed charges,,29.853,,,,percent of total billed charges,,19.902,,,,percent of total billed charges,,33.491749,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,31.5115,,,,percent of total billed charges,,26.536,,,,percent of total billed charges,,19.902,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,,,,,inpatient,,,43.87,,21.935,26.322,44.295539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,28.42776,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,44.295539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [11143],0637,RC,,,,,inpatient,,,43.87,,21.935,26.322,44.295539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,28.42776,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,44.295539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG TABLET [6621],0636,RC,,,,,inpatient,,,2.36,,1.18,1.416,2.382892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.52928,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.382892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 12.5 MG TABLET [6621],0636,RC,,,,,inpatient,,,2.36,,1.18,1.416,2.382892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.52928,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.382892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,,,,,inpatient,,,2.58,,1.29,1.548,2.605026,2.4252,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.1414,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.3736,,,,percent of total billed charges,,2.44068,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.5026,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.2704,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,1.67184,,,,percent of total billed charges,,2.322,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,2.605026,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.451,,,,percent of total billed charges,,2.064,,,,percent of total billed charges,,1.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,,,,,inpatient,,,43.87,,21.935,26.322,44.295539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,28.42776,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,44.295539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,,,,,inpatient,,,25.31,,12.655,15.186,25.555507,23.7914,,,,percent of total billed charges,,20.248,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,21.0073,,,,percent of total billed charges,,22.779,,,,percent of total billed charges,,23.2852,,,,percent of total billed charges,,23.2852,,,,percent of total billed charges,,23.94326,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,24.5507,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,22.2728,,,,percent of total billed charges,,22.779,,,,percent of total billed charges,,16.40088,,,,percent of total billed charges,,22.779,,,,percent of total billed charges,,15.186,,,,percent of total billed charges,,25.555507,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,24.0445,,,,percent of total billed charges,,20.248,,,,percent of total billed charges,,15.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,,,,,inpatient,,,14.41,,7.205,8.646,14.549777,13.5454,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.9603,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.63186,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.9777,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,12.6808,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,9.33768,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,14.549777,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,,,,,inpatient,,,43.87,,21.935,26.322,44.295539,41.2378,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,36.4121,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,40.3604,,,,percent of total billed charges,,41.50102,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,42.5539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,38.6056,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,28.42776,,,,percent of total billed charges,,39.483,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,44.295539,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,41.6765,,,,percent of total billed charges,,35.096,,,,percent of total billed charges,,26.322,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG RECTAL SUPPOSITORY [11144],0637,RC,,,,,inpatient,,,14.41,,7.205,8.646,14.549777,13.5454,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.9603,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.2572,,,,percent of total billed charges,,13.63186,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.9777,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,12.6808,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,9.33768,,,,percent of total billed charges,,12.969,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,14.549777,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,13.6895,,,,percent of total billed charges,,11.528,,,,percent of total billed charges,,8.646,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,,,,,inpatient,,,0.7,,0.35,0.42,0.70679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.4536,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.70679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,,,,,inpatient,,,0.7,,0.35,0.42,0.70679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.4536,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.70679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,,,,,inpatient,,,0.71,,0.355,0.426,0.716887,0.6674,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.5893,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.6532,,,,percent of total billed charges,,0.67166,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6248,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.46008,,,,percent of total billed charges,,0.639,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,0.716887,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.6745,,,,percent of total billed charges,,0.568,,,,percent of total billed charges,,0.426,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 25 MG TABLET [6622],0636,RC,,,,,inpatient,,,0.63,,0.315,0.378,0.636111,0.5922,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5229,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.5796,,,,percent of total billed charges,,0.59598,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.6111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5544,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.40824,,,,percent of total billed charges,,0.567,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,0.636111,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.5985,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,,,,,inpatient,,,97.92,,48.96,58.752,98.869824,92.0448,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,81.2736,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,92.63232,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,94.9824,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,86.1696,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,63.45216,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,98.869824,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,,,,,inpatient,,,153.26,,76.63,91.956,154.746622,144.0644,,,,percent of total billed charges,,122.608,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,127.2058,,,,percent of total billed charges,,137.934,,,,percent of total billed charges,,140.9992,,,,percent of total billed charges,,140.9992,,,,percent of total billed charges,,144.98396,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,148.6622,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,134.8688,,,,percent of total billed charges,,137.934,,,,percent of total billed charges,,99.31248,,,,percent of total billed charges,,137.934,,,,percent of total billed charges,,91.956,,,,percent of total billed charges,,154.746622,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,145.597,,,,percent of total billed charges,,122.608,,,,percent of total billed charges,,91.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,,,,,inpatient,,,87.27,,43.635,52.362,88.116519,82.0338,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,72.4341,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,80.2884,,,,percent of total billed charges,,82.55742,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,84.6519,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,76.7976,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,56.55096,,,,percent of total billed charges,,78.543,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,88.116519,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,82.9065,,,,percent of total billed charges,,69.816,,,,percent of total billed charges,,52.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP [6620],0636,RC,,,,,inpatient,,,121.33,,60.665,72.798,122.506901,114.0502,,,,percent of total billed charges,,97.064,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,100.7039,,,,percent of total billed charges,,109.197,,,,percent of total billed charges,,111.6236,,,,percent of total billed charges,,111.6236,,,,percent of total billed charges,,114.77818,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,117.6901,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,106.7704,,,,percent of total billed charges,,109.197,,,,percent of total billed charges,,78.62184,,,,percent of total billed charges,,109.197,,,,percent of total billed charges,,72.798,,,,percent of total billed charges,,122.506901,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,115.2635,,,,percent of total billed charges,,97.064,,,,percent of total billed charges,,72.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,,,,,inpatient,,,97.92,,48.96,58.752,98.869824,92.0448,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,81.2736,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,90.0864,,,,percent of total billed charges,,92.63232,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,94.9824,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,86.1696,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,63.45216,,,,percent of total billed charges,,88.128,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,98.869824,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,93.024,,,,percent of total billed charges,,78.336,,,,percent of total billed charges,,58.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,,,,,inpatient,,,6.91,,3.455,4.146,6.977027,6.4954,,,,percent of total billed charges,,5.528,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,5.7353,,,,percent of total billed charges,,6.219,,,,percent of total billed charges,,6.3572,,,,percent of total billed charges,,6.3572,,,,percent of total billed charges,,6.53686,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,6.7027,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,6.0808,,,,percent of total billed charges,,6.219,,,,percent of total billed charges,,4.47768,,,,percent of total billed charges,,6.219,,,,percent of total billed charges,,4.146,,,,percent of total billed charges,,6.977027,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,6.5645,,,,percent of total billed charges,,5.528,,,,percent of total billed charges,,4.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP [11145],0637,RC,,,,,inpatient,,,138.36,,69.18,83.016,139.702092,130.0584,,,,percent of total billed charges,,110.688,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,114.8388,,,,percent of total billed charges,,124.524,,,,percent of total billed charges,,127.2912,,,,percent of total billed charges,,127.2912,,,,percent of total billed charges,,130.88856,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,134.2092,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,121.7568,,,,percent of total billed charges,,124.524,,,,percent of total billed charges,,89.65728,,,,percent of total billed charges,,124.524,,,,percent of total billed charges,,83.016,,,,percent of total billed charges,,139.702092,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,131.442,,,,percent of total billed charges,,110.688,,,,percent of total billed charges,,83.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPARACAINE 0.5 % EYE DROPS [6644],0637,RC,,,,,inpatient,,,150.19,,75.095,90.114,151.646843,141.1786,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,124.6577,,,,percent of total billed charges,,135.171,,,,percent of total billed charges,,138.1748,,,,percent of total billed charges,,138.1748,,,,percent of total billed charges,,142.07974,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,145.6843,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,132.1672,,,,percent of total billed charges,,135.171,,,,percent of total billed charges,,97.32312,,,,percent of total billed charges,,135.171,,,,percent of total billed charges,,90.114,,,,percent of total billed charges,,151.646843,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,142.6805,,,,percent of total billed charges,,120.152,,,,percent of total billed charges,,90.114,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPARACAINE 0.5 % EYE DROPS [6644],0637,RC,,,,,inpatient,,,111.85,,55.925,67.11,112.934945,105.139,,,,percent of total billed charges,,89.48,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,92.8355,,,,percent of total billed charges,,100.665,,,,percent of total billed charges,,102.902,,,,percent of total billed charges,,102.902,,,,percent of total billed charges,,105.8101,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,108.4945,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,98.428,,,,percent of total billed charges,,100.665,,,,percent of total billed charges,,72.4788,,,,percent of total billed charges,,100.665,,,,percent of total billed charges,,67.11,,,,percent of total billed charges,,112.934945,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,106.2575,,,,percent of total billed charges,,89.48,,,,percent of total billed charges,,67.11,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION [11150],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV - CHI [7000200],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV - CHI [7000200],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV - CHI [7000200],0636,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV BOLUS [1000254],0636,RC,,,,,inpatient,,,9.27,,4.635,5.562,9.359919,8.7138,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.6941,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.5284,,,,percent of total billed charges,,8.76942,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.9919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.1576,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,6.00696,,,,percent of total billed charges,,8.343,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,9.359919,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,8.8065,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV BOLUS [1000254],0636,RC,,,,,inpatient,,,23.18,,11.59,13.908,23.404846,21.7892,,,,percent of total billed charges,,18.544,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,19.2394,,,,percent of total billed charges,,20.862,,,,percent of total billed charges,,21.3256,,,,percent of total billed charges,,21.3256,,,,percent of total billed charges,,21.92828,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,22.4846,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,20.3984,,,,percent of total billed charges,,20.862,,,,percent of total billed charges,,15.02064,,,,percent of total billed charges,,20.862,,,,percent of total billed charges,,13.908,,,,percent of total billed charges,,23.404846,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,22.021,,,,percent of total billed charges,,18.544,,,,percent of total billed charges,,13.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPOFOL 10 MG/ML IV BOLUS [1000254],0636,RC,,,,,inpatient,,,46.35,,23.175,27.81,46.799595,43.569,,,,percent of total billed charges,,37.08,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,38.4705,,,,percent of total billed charges,,41.715,,,,percent of total billed charges,,42.642,,,,percent of total billed charges,,42.642,,,,percent of total billed charges,,43.8471,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,44.9595,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,40.788,,,,percent of total billed charges,,41.715,,,,percent of total billed charges,,30.0348,,,,percent of total billed charges,,41.715,,,,percent of total billed charges,,27.81,,,,percent of total billed charges,,46.799595,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,44.0325,,,,percent of total billed charges,,37.08,,,,percent of total billed charges,,27.81,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,,,,,inpatient,,,7.08,,3.54,4.248,7.148676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.58784,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,7.148676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,,,,,inpatient,,,7.39,,3.695,4.434,7.461683,6.9466,,,,percent of total billed charges,,5.912,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,6.1337,,,,percent of total billed charges,,6.651,,,,percent of total billed charges,,6.7988,,,,percent of total billed charges,,6.7988,,,,percent of total billed charges,,6.99094,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,7.1683,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,6.5032,,,,percent of total billed charges,,6.651,,,,percent of total billed charges,,4.78872,,,,percent of total billed charges,,6.651,,,,percent of total billed charges,,4.434,,,,percent of total billed charges,,7.461683,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,7.0205,,,,percent of total billed charges,,5.912,,,,percent of total billed charges,,4.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,,,,,inpatient,,,19.86,,9.93,11.916,20.052642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,12.86928,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,20.052642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,,,,,inpatient,,,19.86,,9.93,11.916,20.052642,18.6684,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,16.4838,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.2712,,,,percent of total billed charges,,18.78756,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,19.2642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,17.4768,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,12.86928,,,,percent of total billed charges,,17.874,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,20.052642,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,18.867,,,,percent of total billed charges,,15.888,,,,percent of total billed charges,,11.916,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION [29335],0636,RC,,,,,inpatient,,,7.08,,3.54,4.248,7.148676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.58784,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,7.148676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 10 MG TABLET [6656],0637,RC,,,,,inpatient,,,0.93,,0.465,0.558,0.939021,0.8742,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.7719,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.8556,,,,percent of total billed charges,,0.87978,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.9021,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8184,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.60264,,,,percent of total billed charges,,0.837,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,0.939021,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.8835,,,,percent of total billed charges,,0.744,,,,percent of total billed charges,,0.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,,,,,inpatient,,,1.79,,0.895,1.074,1.807363,1.6826,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.4857,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.69334,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.5752,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.15992,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,1.807363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,,,,,inpatient,,,2.08,,1.04,1.248,2.100176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.34784,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,2.100176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,,,,,inpatient,,,2.08,,1.04,1.248,2.100176,1.9552,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.7264,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.9136,,,,percent of total billed charges,,1.96768,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,2.0176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.8304,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.34784,,,,percent of total billed charges,,1.872,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,2.100176,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.976,,,,percent of total billed charges,,1.664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG TABLET [6657],0637,RC,,,,,inpatient,,,0.9,,0.45,0.54,0.90873,0.846,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8514,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.5832,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.90873,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION [6654],0637,RC,,,,,inpatient,,,211.5,,105.75,126.9,213.55155,198.81,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,175.545,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,194.58,,,,percent of total billed charges,,200.079,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,205.155,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,186.12,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,137.052,,,,percent of total billed charges,,190.35,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,213.55155,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,200.925,,,,percent of total billed charges,,169.2,,,,percent of total billed charges,,126.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 40 MG TABLET [6658],0637,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPRANOLOL 40 MG TABLET [6658],0637,RC,,,,,inpatient,,,2.49,,1.245,1.494,2.514153,2.3406,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.0667,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.2908,,,,percent of total billed charges,,2.35554,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.1912,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.61352,,,,percent of total billed charges,,2.241,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,2.514153,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,1.992,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPYLTHIOURACIL 50 MG TABLET [6662],0637,RC,,,,,inpatient,,,2.9,,1.45,1.74,2.92813,2.726,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.407,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.668,,,,percent of total billed charges,,2.7434,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.813,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.552,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,1.8792,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,2.92813,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.755,,,,percent of total billed charges,,2.32,,,,percent of total billed charges,,1.74,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPYLTHIOURACIL 50 MG TABLET [6662],0637,RC,,,,,inpatient,,,11.19,,5.595,6.714,11.298543,10.5186,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.2877,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.58574,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.8543,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.8472,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,7.25112,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,11.298543,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROPYLTHIOURACIL 50 MG TABLET [6662],0637,RC,,,,,inpatient,,,11.19,,5.595,6.714,11.298543,10.5186,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.2877,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.2948,,,,percent of total billed charges,,10.58574,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.8543,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,9.8472,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,7.25112,,,,percent of total billed charges,,10.071,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,11.298543,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,10.6305,,,,percent of total billed charges,,8.952,,,,percent of total billed charges,,6.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],0636,RC,,,,,inpatient,,,45.09,,22.545,27.054,45.527373,42.3846,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,37.4247,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,42.65514,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,43.7373,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,39.6792,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,29.21832,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,45.527373,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],0636,RC,,,,,inpatient,,,45.09,,22.545,27.054,45.527373,42.3846,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,37.4247,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,41.4828,,,,percent of total billed charges,,42.65514,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,43.7373,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,39.6792,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,29.21832,,,,percent of total billed charges,,40.581,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,45.527373,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,42.8355,,,,percent of total billed charges,,36.072,,,,percent of total billed charges,,27.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [6677],0636,RC,,,,,inpatient,,,22.55,,11.275,13.53,22.768735,21.197,,,,percent of total billed charges,,18.04,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,18.7165,,,,percent of total billed charges,,20.295,,,,percent of total billed charges,,20.746,,,,percent of total billed charges,,20.746,,,,percent of total billed charges,,21.3323,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,21.8735,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,19.844,,,,percent of total billed charges,,20.295,,,,percent of total billed charges,,14.6124,,,,percent of total billed charges,,20.295,,,,percent of total billed charges,,13.53,,,,percent of total billed charges,,22.768735,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,21.4225,,,,percent of total billed charges,,18.04,,,,percent of total billed charges,,13.53,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSEUDOEPHEDRINE 30 MG TABLET [6714],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSEUDOEPHEDRINE 30 MG TABLET [6714],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM HUSK 6 GRAM ORAL POWDER PACKET [217954],0637,RC,,,,,inpatient,,,1.76,,0.88,1.056,1.777072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.14048,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.777072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM HUSK 6 GRAM ORAL POWDER PACKET [217954],0637,RC,,,,,inpatient,,,1.76,,0.88,1.056,1.777072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.14048,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.777072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,,,,,inpatient,,,2.07,,1.035,1.242,2.090079,1.9458,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.7181,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.95822,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,2.0079,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.34136,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,2.090079,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,,,,,inpatient,,,1.73,,0.865,1.038,1.746781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.12104,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.746781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,,,,,inpatient,,,1.13,,0.565,0.678,1.140961,1.0622,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9379,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.0396,,,,percent of total billed charges,,1.06898,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.9944,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.73224,,,,percent of total billed charges,,1.017,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,1.140961,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,1.0735,,,,percent of total billed charges,,0.904,,,,percent of total billed charges,,0.678,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,,,,,inpatient,,,1.46,,0.73,0.876,1.474162,1.3724,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2118,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.3432,,,,percent of total billed charges,,1.38116,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.4162,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.2848,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,0.94608,,,,percent of total billed charges,,1.314,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,1.474162,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.387,,,,percent of total billed charges,,1.168,,,,percent of total billed charges,,0.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,,,,,inpatient,,,1.61,,0.805,0.966,1.625617,1.5134,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.3363,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.4812,,,,percent of total billed charges,,1.52306,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5617,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.4168,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,1.04328,,,,percent of total billed charges,,1.449,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,1.625617,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.5295,,,,percent of total billed charges,,1.288,,,,percent of total billed charges,,0.966,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYLLIUM ORAL PACKET WRAPPER [1000487],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRAZINAMIDE 500 MG TABLET [6738],0637,RC,,,,,inpatient,,,18.33,,9.165,10.998,18.507801,17.2302,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,15.2139,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,16.8636,,,,percent of total billed charges,,17.34018,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.7801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,16.1304,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,11.87784,,,,percent of total billed charges,,16.497,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,18.507801,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,17.4135,,,,percent of total billed charges,,14.664,,,,percent of total billed charges,,10.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRAZINAMIDE 500 MG TABLET [6738],0637,RC,,,,,inpatient,,,16.64,,8.32,9.984,16.801408,15.6416,,,,percent of total billed charges,,13.312,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,13.8112,,,,percent of total billed charges,,14.976,,,,percent of total billed charges,,15.3088,,,,percent of total billed charges,,15.3088,,,,percent of total billed charges,,15.74144,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,16.1408,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,14.6432,,,,percent of total billed charges,,14.976,,,,percent of total billed charges,,10.78272,,,,percent of total billed charges,,14.976,,,,percent of total billed charges,,9.984,,,,percent of total billed charges,,16.801408,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,15.808,,,,percent of total billed charges,,13.312,,,,percent of total billed charges,,9.984,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRAZINAMIDE 500 MG TABLET [6738],0637,RC,,,,,inpatient,,,15.17,,7.585,9.102,15.317149,14.2598,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.5911,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,13.9564,,,,percent of total billed charges,,14.35082,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.7149,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,13.3496,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,9.83016,,,,percent of total billed charges,,13.653,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,15.317149,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,14.4115,,,,percent of total billed charges,,12.136,,,,percent of total billed charges,,9.102,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,,,,,inpatient,,,2.72,,1.36,1.632,2.746384,2.5568,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.2576,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.5024,,,,percent of total billed charges,,2.57312,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.6384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.3936,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.76256,,,,percent of total billed charges,,2.448,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,2.746384,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.584,,,,percent of total billed charges,,2.176,,,,percent of total billed charges,,1.632,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,,,,,inpatient,,,1.38,,0.69,0.828,1.393386,1.2972,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.1454,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.2696,,,,percent of total billed charges,,1.30548,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.3386,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.2144,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,0.89424,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,1.393386,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.311,,,,percent of total billed charges,,1.104,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,,,,,inpatient,,,4.52,,2.26,2.712,4.563844,4.2488,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.7516,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.1584,,,,percent of total billed charges,,4.27592,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.3844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.9776,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.92896,,,,percent of total billed charges,,4.068,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,4.563844,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,4.294,,,,percent of total billed charges,,3.616,,,,percent of total billed charges,,2.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,,,,,inpatient,,,3.63,,1.815,2.178,3.665211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.35224,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.665211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOSTIGMINE BROMIDE 60 MG TABLET [11239],0637,RC,,,,,inpatient,,,3.63,,1.815,2.178,3.665211,3.4122,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.0129,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.3396,,,,percent of total billed charges,,3.43398,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.5211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.1944,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.35224,,,,percent of total billed charges,,3.267,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,3.665211,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,3.4485,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PYRIDOXINE (VITAMIN B6) 50 MG TABLET [6748],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 100 MG TABLET [79193],0637,RC,,,,,inpatient,,,1.91,,0.955,1.146,1.928527,1.7954,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.5853,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.7572,,,,percent of total billed charges,,1.80686,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.6808,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.23768,,,,percent of total billed charges,,1.719,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,1.928527,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.8145,,,,percent of total billed charges,,1.528,,,,percent of total billed charges,,1.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 100 MG TABLET [79193],0637,RC,,,,,inpatient,,,0.73,,0.365,0.438,0.737081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.47304,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.737081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 100 MG TABLET [79193],0637,RC,,,,,inpatient,,,0.73,,0.365,0.438,0.737081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.47304,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.737081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 200 MG TABLET [78430],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 200 MG TABLET [78430],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,,,,,inpatient,,,0.76,,0.38,0.456,0.767372,0.7144,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6308,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.6992,,,,percent of total billed charges,,0.71896,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.7372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.6688,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.49248,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,0.767372,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.722,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
QUETIAPINE 25 MG TABLET [76945],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,,,,,inpatient,,,63.1,,31.55,37.86,63.71207,59.314,,,,percent of total billed charges,,50.48,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,52.373,,,,percent of total billed charges,,56.79,,,,percent of total billed charges,,58.052,,,,percent of total billed charges,,58.052,,,,percent of total billed charges,,59.6926,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,61.207,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,55.528,,,,percent of total billed charges,,56.79,,,,percent of total billed charges,,40.8888,,,,percent of total billed charges,,56.79,,,,percent of total billed charges,,37.86,,,,percent of total billed charges,,63.71207,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,59.945,,,,percent of total billed charges,,50.48,,,,percent of total billed charges,,37.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,,,,,inpatient,,,1.17,,0.585,0.702,1.181349,1.0998,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.9711,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.0764,,,,percent of total billed charges,,1.10682,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.0296,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.75816,,,,percent of total billed charges,,1.053,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,1.181349,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,1.1115,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR [136260]",0637,RC,,,,,inpatient,,,1.06,,0.53,0.636,1.070282,0.9964,,,,percent of total billed charges,,0.848,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,0.8798,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,0.9752,,,,percent of total billed charges,,0.9752,,,,percent of total billed charges,,1.00276,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,1.0282,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,0.9328,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,0.68688,,,,percent of total billed charges,,0.954,,,,percent of total billed charges,,0.636,,,,percent of total billed charges,,1.070282,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,1.007,,,,percent of total billed charges,,0.848,,,,percent of total billed charges,,0.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [136261]",0637,RC,,,,,inpatient,,,1.56,,0.78,0.936,1.575132,1.4664,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.2948,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.4352,,,,percent of total billed charges,,1.47576,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.5132,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.3728,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,1.01088,,,,percent of total billed charges,,1.404,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,1.575132,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.482,,,,percent of total billed charges,,1.248,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [136261]",0637,RC,,,,,inpatient,,,0.75,,0.375,0.45,0.757275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.757275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR [136261]",0637,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [192263]",0637,RC,,,,,inpatient,,,33.8,,16.9,20.28,34.12786,31.772,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,28.054,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.096,,,,percent of total billed charges,,31.9748,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,29.744,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,21.9024,,,,percent of total billed charges,,30.42,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,34.12786,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,32.11,,,,percent of total billed charges,,27.04,,,,percent of total billed charges,,20.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [192263]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [192263]",0637,RC,,,,,inpatient,,,2.17,,1.085,1.302,2.191049,2.0398,,,,percent of total billed charges,,1.736,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,1.8011,,,,percent of total billed charges,,1.953,,,,percent of total billed charges,,1.9964,,,,percent of total billed charges,,1.9964,,,,percent of total billed charges,,2.05282,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,2.1049,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,1.9096,,,,percent of total billed charges,,1.953,,,,percent of total billed charges,,1.40616,,,,percent of total billed charges,,1.953,,,,percent of total billed charges,,1.302,,,,percent of total billed charges,,2.191049,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,2.0615,,,,percent of total billed charges,,1.736,,,,percent of total billed charges,,1.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,,,,,inpatient,,,3062.25,,1531.125,1837.35,3091.953825,2878.515,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2541.6675,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2896.8885,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2970.3825,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2694.78,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,1984.338,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,3091.953825,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,,,,,inpatient,,,15311.12,,7655.56,9186.672,15459.63786,14392.4528,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12708.2296,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14484.31952,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14851.7864,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,13473.7856,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,9921.60576,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,15459.63786,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,,,,,inpatient,,,3062.25,,1531.125,1837.35,3091.953825,2878.515,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2541.6675,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2817.27,,,,percent of total billed charges,,2896.8885,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2970.3825,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2694.78,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,1984.338,,,,percent of total billed charges,,2756.025,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,3091.953825,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2909.1375,,,,percent of total billed charges,,2449.8,,,,percent of total billed charges,,1837.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION [239961],0636,RC,,,,,inpatient,,,15311.12,,7655.56,9186.672,15459.63786,14392.4528,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12708.2296,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14086.2304,,,,percent of total billed charges,,14484.31952,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14851.7864,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,13473.7856,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,9921.60576,,,,percent of total billed charges,,13780.008,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,15459.63786,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,14545.564,,,,percent of total billed charges,,12248.896,,,,percent of total billed charges,,9186.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [85731]",0636,RC,,,,,inpatient,,,652.92,,326.46,391.752,659.253324,613.7448,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,541.9236,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,617.66232,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,633.3324,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,574.5696,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,423.09216,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,659.253324,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [85731]",0636,RC,,,,,inpatient,,,652.92,,326.46,391.752,659.253324,613.7448,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,541.9236,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,600.6864,,,,percent of total billed charges,,617.66232,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,633.3324,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,574.5696,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,423.09216,,,,percent of total billed charges,,587.628,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,659.253324,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,620.274,,,,percent of total billed charges,,522.336,,,,percent of total billed charges,,391.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION [164723]",0636,RC,,,,,inpatient,,,651.36,,325.68,390.816,657.678192,612.2784,,,,percent of total billed charges,,521.088,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,540.6288,,,,percent of total billed charges,,586.224,,,,percent of total billed charges,,599.2512,,,,percent of total billed charges,,599.2512,,,,percent of total billed charges,,616.18656,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,631.8192,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,573.1968,,,,percent of total billed charges,,586.224,,,,percent of total billed charges,,422.08128,,,,percent of total billed charges,,586.224,,,,percent of total billed charges,,390.816,,,,percent of total billed charges,,657.678192,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,618.792,,,,percent of total billed charges,,521.088,,,,percent of total billed charges,,390.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [93100],0637,RC,,,,,inpatient,,,6.34,,3.17,3.804,6.401498,5.9596,,,,percent of total billed charges,,5.072,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,5.2622,,,,percent of total billed charges,,5.706,,,,percent of total billed charges,,5.8328,,,,percent of total billed charges,,5.8328,,,,percent of total billed charges,,5.99764,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,6.1498,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,5.5792,,,,percent of total billed charges,,5.706,,,,percent of total billed charges,,4.10832,,,,percent of total billed charges,,5.706,,,,percent of total billed charges,,3.804,,,,percent of total billed charges,,6.401498,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,6.023,,,,percent of total billed charges,,5.072,,,,percent of total billed charges,,3.804,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [93100],0637,RC,,,,,inpatient,,,3.74,,1.87,2.244,3.776278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.42352,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.776278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE [189187],0250,RC,,,,,inpatient,,,413.6,,206.8,248.16,417.61192,388.784,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,343.288,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,391.2656,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,401.192,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,363.968,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,268.0128,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,417.61192,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE [189187],0250,RC,,,,,inpatient,,,413.6,,206.8,248.16,417.61192,388.784,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,343.288,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,380.512,,,,percent of total billed charges,,391.2656,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,401.192,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,363.968,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,268.0128,,,,percent of total billed charges,,372.24,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,417.61192,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,392.92,,,,percent of total billed charges,,330.88,,,,percent of total billed charges,,248.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,,,,,inpatient,,,17.46,,8.73,10.476,17.629362,16.4124,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,14.4918,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,16.51716,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.9362,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,15.3648,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,11.31408,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,17.629362,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,16.587,,,,percent of total billed charges,,13.968,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,,,,,inpatient,,,17.41,,8.705,10.446,17.578877,16.3654,,,,percent of total billed charges,,13.928,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,14.4503,,,,percent of total billed charges,,15.669,,,,percent of total billed charges,,16.0172,,,,percent of total billed charges,,16.0172,,,,percent of total billed charges,,16.46986,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,16.8877,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,15.3208,,,,percent of total billed charges,,15.669,,,,percent of total billed charges,,11.28168,,,,percent of total billed charges,,15.669,,,,percent of total billed charges,,10.446,,,,percent of total billed charges,,17.578877,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,16.5395,,,,percent of total billed charges,,13.928,,,,percent of total billed charges,,10.446,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,,,,,inpatient,,,5.2,,2.6,3.12,5.25044,4.888,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.316,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.784,,,,percent of total billed charges,,4.9192,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,5.044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.576,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.3696,,,,percent of total billed charges,,4.68,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,5.25044,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.94,,,,percent of total billed charges,,4.16,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALOXIFENE 60 MG TABLET [81418],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALTEGRAVIR + EMTRICITABINE-TENOFOVIR KIT [1000846],0637,RC,,,,,inpatient,,,1517.94,,758.97,910.764,1532.664018,1426.8636,,,,percent of total billed charges,,1214.352,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1259.8902,,,,percent of total billed charges,,1366.146,,,,percent of total billed charges,,1396.5048,,,,percent of total billed charges,,1396.5048,,,,percent of total billed charges,,1435.97124,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1472.4018,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1335.7872,,,,percent of total billed charges,,1366.146,,,,percent of total billed charges,,983.62512,,,,percent of total billed charges,,1366.146,,,,percent of total billed charges,,910.764,,,,percent of total billed charges,,1532.664018,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1442.043,,,,percent of total billed charges,,1214.352,,,,percent of total billed charges,,910.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RALTEGRAVIR 400 MG TABLET [163376],0637,RC,,,,,inpatient,,,144.52,,72.26,86.712,145.921844,135.8488,,,,percent of total billed charges,,115.616,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,119.9516,,,,percent of total billed charges,,130.068,,,,percent of total billed charges,,132.9584,,,,percent of total billed charges,,132.9584,,,,percent of total billed charges,,136.71592,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,140.1844,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,127.1776,,,,percent of total billed charges,,130.068,,,,percent of total billed charges,,93.64896,,,,percent of total billed charges,,130.068,,,,percent of total billed charges,,86.712,,,,percent of total billed charges,,145.921844,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,137.294,,,,percent of total billed charges,,115.616,,,,percent of total billed charges,,86.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [220983],0636,RC,,,,,inpatient,,,6427.04,,3213.52,3856.224,6489.382288,6041.4176,,,,percent of total billed charges,,5141.632,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,5334.4432,,,,percent of total billed charges,,5784.336,,,,percent of total billed charges,,5912.8768,,,,percent of total billed charges,,5912.8768,,,,percent of total billed charges,,6079.97984,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,6234.2288,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,5655.7952,,,,percent of total billed charges,,5784.336,,,,percent of total billed charges,,4164.72192,,,,percent of total billed charges,,5784.336,,,,percent of total billed charges,,3856.224,,,,percent of total billed charges,,6489.382288,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,6105.688,,,,percent of total billed charges,,5141.632,,,,percent of total billed charges,,3856.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [220983],0636,RC,,,,,inpatient,,,28564.6,,14282.3,17138.76,28841.67662,26850.724,,,,percent of total billed charges,,22851.68,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,23708.618,,,,percent of total billed charges,,25708.14,,,,percent of total billed charges,,26279.432,,,,percent of total billed charges,,26279.432,,,,percent of total billed charges,,27022.1116,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,27707.662,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,25136.848,,,,percent of total billed charges,,25708.14,,,,percent of total billed charges,,18509.8608,,,,percent of total billed charges,,25708.14,,,,percent of total billed charges,,17138.76,,,,percent of total billed charges,,28841.67662,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,27136.37,,,,percent of total billed charges,,22851.68,,,,percent of total billed charges,,17138.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,,,,,inpatient,,,2.07,,1.035,1.242,2.090079,1.9458,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.7181,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.9044,,,,percent of total billed charges,,1.95822,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,2.0079,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.34136,,,,percent of total billed charges,,1.863,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,2.090079,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.9665,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,,,,,inpatient,,,6.25,,3.125,3.75,6.310625,5.875,,,,percent of total billed charges,,5,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.1875,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.9125,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,6.0625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.5,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,6.310625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,,,,,inpatient,,,6.25,,3.125,3.75,6.310625,5.875,,,,percent of total billed charges,,5,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.1875,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.75,,,,percent of total billed charges,,5.9125,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,6.0625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.5,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,5.625,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,6.310625,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5.9375,,,,percent of total billed charges,,5,,,,percent of total billed charges,,3.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,,,,,inpatient,,,7.09,,3.545,4.254,7.158773,6.6646,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.8847,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.70714,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.8773,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.2392,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,4.59432,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,7.158773,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [95499]",0637,RC,,,,,inpatient,,,7.09,,3.545,4.254,7.158773,6.6646,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.8847,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.5228,,,,percent of total billed charges,,6.70714,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.8773,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.2392,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,4.59432,,,,percent of total billed charges,,6.381,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,7.158773,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,6.7355,,,,percent of total billed charges,,5.672,,,,percent of total billed charges,,4.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [86672],0636,RC,,,,,inpatient,,,4835.33,,2417.665,2901.198,4882.232701,4545.2102,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4013.3239,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4574.22218,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4690.2701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4255.0904,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,3133.29384,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,4882.232701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [86672],0636,RC,,,,,inpatient,,,4835.33,,2417.665,2901.198,4882.232701,4545.2102,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4013.3239,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4574.22218,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4690.2701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4255.0904,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,3133.29384,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,4882.232701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RASBURICASE 1.5 MG INTRAVENOUS SOLUTION [86672],0636,RC,,,,,inpatient,,,4835.33,,2417.665,2901.198,4882.232701,4545.2102,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4013.3239,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4448.5036,,,,percent of total billed charges,,4574.22218,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4690.2701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4255.0904,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,3133.29384,,,,percent of total billed charges,,4351.797,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,4882.232701,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,4593.5635,,,,percent of total billed charges,,3868.264,,,,percent of total billed charges,,2901.198,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,,,,,inpatient,,,25616.01,,12808.005,15369.606,25864.4853,24079.0494,,,,percent of total billed charges,,20492.808,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,21261.2883,,,,percent of total billed charges,,23054.409,,,,percent of total billed charges,,23566.7292,,,,percent of total billed charges,,23566.7292,,,,percent of total billed charges,,24232.74546,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,24847.5297,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,22542.0888,,,,percent of total billed charges,,23054.409,,,,percent of total billed charges,,16599.17448,,,,percent of total billed charges,,23054.409,,,,percent of total billed charges,,15369.606,,,,percent of total billed charges,,25864.4853,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,24335.2095,,,,percent of total billed charges,,20492.808,,,,percent of total billed charges,,15369.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,,,,,inpatient,,,93925.31,,46962.655,56355.186,94836.38551,88289.7914,,,,percent of total billed charges,,75140.248,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,77958.0073,,,,percent of total billed charges,,84532.779,,,,percent of total billed charges,,86411.2852,,,,percent of total billed charges,,86411.2852,,,,percent of total billed charges,,88853.34326,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,91107.5507,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,82654.2728,,,,percent of total billed charges,,84532.779,,,,percent of total billed charges,,60863.60088,,,,percent of total billed charges,,84532.779,,,,percent of total billed charges,,56355.186,,,,percent of total billed charges,,94836.38551,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,89229.0445,,,,percent of total billed charges,,75140.248,,,,percent of total billed charges,,56355.186,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,,,,,inpatient,,,153696.03,,76848.015,92217.618,155186.8815,144474.2682,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,127567.7049,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,145396.4444,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,149085.1491,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,135252.5064,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,99595.02744,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,155186.8815,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION [251029],0636,RC,,,,,inpatient,,,153696.03,,76848.015,92217.618,155186.8815,144474.2682,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,127567.7049,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,141400.3476,,,,percent of total billed charges,,145396.4444,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,149085.1491,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,135252.5064,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,99595.02744,,,,percent of total billed charges,,138326.427,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,155186.8815,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,146011.2285,,,,percent of total billed charges,,122956.824,,,,percent of total billed charges,,92217.618,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,,,,,inpatient,,,597.02,,298.51,358.212,602.811094,561.1988,,,,percent of total billed charges,,477.616,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,495.5266,,,,percent of total billed charges,,537.318,,,,percent of total billed charges,,549.2584,,,,percent of total billed charges,,549.2584,,,,percent of total billed charges,,564.78092,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,579.1094,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,525.3776,,,,percent of total billed charges,,537.318,,,,percent of total billed charges,,386.86896,,,,percent of total billed charges,,537.318,,,,percent of total billed charges,,358.212,,,,percent of total billed charges,,602.811094,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,567.169,,,,percent of total billed charges,,477.616,,,,percent of total billed charges,,358.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,,,,,inpatient,,,31.86,,15.93,19.116,32.169042,29.9484,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,26.4438,,,,percent of total billed charges,,28.674,,,,percent of total billed charges,,29.3112,,,,percent of total billed charges,,29.3112,,,,percent of total billed charges,,30.13956,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,30.9042,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,28.0368,,,,percent of total billed charges,,28.674,,,,percent of total billed charges,,20.64528,,,,percent of total billed charges,,28.674,,,,percent of total billed charges,,19.116,,,,percent of total billed charges,,32.169042,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,30.267,,,,percent of total billed charges,,25.488,,,,percent of total billed charges,,19.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,,,,,inpatient,,,90.99,,45.495,54.594,91.872603,85.5306,,,,percent of total billed charges,,72.792,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,75.5217,,,,percent of total billed charges,,81.891,,,,percent of total billed charges,,83.7108,,,,percent of total billed charges,,83.7108,,,,percent of total billed charges,,86.07654,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,88.2603,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,80.0712,,,,percent of total billed charges,,81.891,,,,percent of total billed charges,,58.96152,,,,percent of total billed charges,,81.891,,,,percent of total billed charges,,54.594,,,,percent of total billed charges,,91.872603,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,86.4405,,,,percent of total billed charges,,72.792,,,,percent of total billed charges,,54.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [187733],0636,RC,,,,,inpatient,,,42.17,,21.085,25.302,42.579049,39.6398,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,35.0011,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,38.7964,,,,percent of total billed charges,,39.89282,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.9049,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,37.1096,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,27.32616,,,,percent of total billed charges,,37.953,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,42.579049,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,40.0615,,,,percent of total billed charges,,33.736,,,,percent of total billed charges,,25.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION [248291],0636,RC,,,,,inpatient,,,2697.66,,1348.83,1618.596,2723.827302,2535.8004,,,,percent of total billed charges,,2158.128,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2239.0578,,,,percent of total billed charges,,2427.894,,,,percent of total billed charges,,2481.8472,,,,percent of total billed charges,,2481.8472,,,,percent of total billed charges,,2551.98636,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2616.7302,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2373.9408,,,,percent of total billed charges,,2427.894,,,,percent of total billed charges,,1748.08368,,,,percent of total billed charges,,2427.894,,,,percent of total billed charges,,1618.596,,,,percent of total billed charges,,2723.827302,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2562.777,,,,percent of total billed charges,,2158.128,,,,percent of total billed charges,,1618.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,,,,,inpatient,,,165.44,,82.72,99.264,167.044768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,107.20512,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,167.044768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,,,,,inpatient,,,165.44,,82.72,99.264,167.044768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,107.20512,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,167.044768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,,,,,inpatient,,,165.44,,82.72,99.264,167.044768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,107.20512,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,167.044768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,,,,,inpatient,,,165.44,,82.72,99.264,167.044768,155.5136,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,137.3152,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,152.2048,,,,percent of total billed charges,,156.50624,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,160.4768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,145.5872,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,107.20512,,,,percent of total billed charges,,148.896,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,167.044768,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,157.168,,,,percent of total billed charges,,132.352,,,,percent of total billed charges,,99.264,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,,,,,inpatient,,,165.03,,82.515,99.018,166.630791,155.1282,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,136.9749,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,156.11838,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,160.0791,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,145.2264,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,106.93944,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,166.630791,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 1 MG INTRAVENOUS SOLUTION [77241],0250,RC,,,,,inpatient,,,165.03,,82.515,99.018,166.630791,155.1282,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,136.9749,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,151.8276,,,,percent of total billed charges,,156.11838,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,160.0791,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,145.2264,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,106.93944,,,,percent of total billed charges,,148.527,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,166.630791,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,156.7785,,,,percent of total billed charges,,132.024,,,,percent of total billed charges,,99.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REMIFENTANIL 50 MCG/ML INFUSION - FOR ANES [5000039],0250,RC,,,,,inpatient,,,236.16,,118.08,141.696,238.450752,221.9904,,,,percent of total billed charges,,188.928,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,196.0128,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,217.2672,,,,percent of total billed charges,,217.2672,,,,percent of total billed charges,,223.40736,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,229.0752,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,207.8208,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,153.03168,,,,percent of total billed charges,,212.544,,,,percent of total billed charges,,141.696,,,,percent of total billed charges,,238.450752,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,224.352,,,,percent of total billed charges,,188.928,,,,percent of total billed charges,,141.696,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION [263320]",0636,RC,,,,,inpatient,,,493.46,,246.73,296.076,498.246562,463.8524,,,,percent of total billed charges,,394.768,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,409.5718,,,,percent of total billed charges,,444.114,,,,percent of total billed charges,,453.9832,,,,percent of total billed charges,,453.9832,,,,percent of total billed charges,,466.81316,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,478.6562,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,434.2448,,,,percent of total billed charges,,444.114,,,,percent of total billed charges,,319.76208,,,,percent of total billed charges,,444.114,,,,percent of total billed charges,,296.076,,,,percent of total billed charges,,498.246562,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,468.787,,,,percent of total billed charges,,394.768,,,,percent of total billed charges,,296.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION [263320]",0636,RC,,,,,inpatient,,,493.47,,246.735,296.082,498.256659,463.8618,,,,percent of total billed charges,,394.776,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,409.5801,,,,percent of total billed charges,,444.123,,,,percent of total billed charges,,453.9924,,,,percent of total billed charges,,453.9924,,,,percent of total billed charges,,466.82262,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,478.6659,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,434.2536,,,,percent of total billed charges,,444.123,,,,percent of total billed charges,,319.76856,,,,percent of total billed charges,,444.123,,,,percent of total billed charges,,296.082,,,,percent of total billed charges,,498.256659,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,468.7965,,,,percent of total billed charges,,394.776,,,,percent of total billed charges,,296.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [242492],0636,RC,,,,,inpatient,,,28.41,,14.205,17.046,28.685577,26.7054,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,23.5803,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.87586,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,27.5577,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,25.0008,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,18.40968,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,28.685577,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION [242492],0636,RC,,,,,inpatient,,,28.41,,14.205,17.046,28.685577,26.7054,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,23.5803,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.1372,,,,percent of total billed charges,,26.87586,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,27.5577,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,25.0008,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,18.40968,,,,percent of total billed charges,,25.569,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,28.685577,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,26.9895,,,,percent of total billed charges,,22.728,,,,percent of total billed charges,,17.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN [95582]",0636,RC,,,,,inpatient,,,2429.24,,1214.62,1457.544,2452.803628,2283.4856,,,,percent of total billed charges,,1943.392,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2016.2692,,,,percent of total billed charges,,2186.316,,,,percent of total billed charges,,2234.9008,,,,percent of total billed charges,,2234.9008,,,,percent of total billed charges,,2298.06104,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2356.3628,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2137.7312,,,,percent of total billed charges,,2186.316,,,,percent of total billed charges,,1574.14752,,,,percent of total billed charges,,2186.316,,,,percent of total billed charges,,1457.544,,,,percent of total billed charges,,2452.803628,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,2307.778,,,,percent of total billed charges,,1943.392,,,,percent of total billed charges,,1457.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RHO(D) IMMUNE GLOBULIN-MALTOSE 2,500 UNIT (500 MCG)/2.2 ML INJECT.SOLN [95583]",0636,RC,,,,,inpatient,,,4073.94,,2036.97,2444.364,4113.457218,3829.5036,,,,percent of total billed charges,,3259.152,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3381.3702,,,,percent of total billed charges,,3666.546,,,,percent of total billed charges,,3748.0248,,,,percent of total billed charges,,3748.0248,,,,percent of total billed charges,,3853.94724,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3951.7218,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3585.0672,,,,percent of total billed charges,,3666.546,,,,percent of total billed charges,,2639.91312,,,,percent of total billed charges,,3666.546,,,,percent of total billed charges,,2444.364,,,,percent of total billed charges,,4113.457218,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3870.243,,,,percent of total billed charges,,3259.152,,,,percent of total billed charges,,2444.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 150 MG CAPSULE [11292],0637,RC,,,,,inpatient,,,9.84,,4.92,5.904,9.935448,9.2496,,,,percent of total billed charges,,7.872,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,8.1672,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,9.0528,,,,percent of total billed charges,,9.0528,,,,percent of total billed charges,,9.30864,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,9.5448,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,8.6592,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,6.37632,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,9.935448,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,9.348,,,,percent of total billed charges,,7.872,,,,percent of total billed charges,,5.904,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,2.25,,1.125,1.35,2.271825,2.115,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8675,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.07,,,,percent of total billed charges,,2.1285,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.98,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.458,,,,percent of total billed charges,,2.025,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,2.271825,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,2.1375,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GENTAMICIN 40 MG/ML INJECTION SOLUTION [3426],0636,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,,,,,inpatient,,,362.61,,181.305,217.566,366.127317,340.8534,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,300.9663,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,343.02906,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,351.7317,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,319.0968,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,234.97128,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,366.127317,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,,,,,inpatient,,,362.61,,181.305,217.566,366.127317,340.8534,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,300.9663,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,333.6012,,,,percent of total billed charges,,343.02906,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,351.7317,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,319.0968,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,234.97128,,,,percent of total billed charges,,326.349,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,366.127317,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,344.4795,,,,percent of total billed charges,,290.088,,,,percent of total billed charges,,217.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,,,,,inpatient,,,126.05,,63.025,75.63,127.272685,118.487,,,,percent of total billed charges,,100.84,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,104.6215,,,,percent of total billed charges,,113.445,,,,percent of total billed charges,,115.966,,,,percent of total billed charges,,115.966,,,,percent of total billed charges,,119.2433,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,122.2685,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,110.924,,,,percent of total billed charges,,113.445,,,,percent of total billed charges,,81.6804,,,,percent of total billed charges,,113.445,,,,percent of total billed charges,,75.63,,,,percent of total billed charges,,127.272685,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,119.7475,,,,percent of total billed charges,,100.84,,,,percent of total billed charges,,75.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,,,,,inpatient,,,243.36,,121.68,146.016,245.720592,228.7584,,,,percent of total billed charges,,194.688,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,201.9888,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,223.8912,,,,percent of total billed charges,,223.8912,,,,percent of total billed charges,,230.21856,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,236.0592,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,214.1568,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,157.69728,,,,percent of total billed charges,,219.024,,,,percent of total billed charges,,146.016,,,,percent of total billed charges,,245.720592,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,231.192,,,,percent of total billed charges,,194.688,,,,percent of total billed charges,,146.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,,,,,inpatient,,,223.34,,111.67,134.004,225.506398,209.9396,,,,percent of total billed charges,,178.672,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,185.3722,,,,percent of total billed charges,,201.006,,,,percent of total billed charges,,205.4728,,,,percent of total billed charges,,205.4728,,,,percent of total billed charges,,211.27964,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,216.6398,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,196.5392,,,,percent of total billed charges,,201.006,,,,percent of total billed charges,,144.72432,,,,percent of total billed charges,,201.006,,,,percent of total billed charges,,134.004,,,,percent of total billed charges,,225.506398,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,212.173,,,,percent of total billed charges,,178.672,,,,percent of total billed charges,,134.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,,,,,inpatient,,,408.55,,204.275,245.13,412.512935,384.037,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,339.0965,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,386.4883,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,396.2935,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,359.524,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,264.7404,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,412.512935,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAMPIN 600 MG INTRAVENOUS SOLUTION [11291],0250,RC,,,,,inpatient,,,408.55,,204.275,245.13,412.512935,384.037,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,339.0965,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,375.866,,,,percent of total billed charges,,386.4883,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,396.2935,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,359.524,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,264.7404,,,,percent of total billed charges,,367.695,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,412.512935,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,388.1225,,,,percent of total billed charges,,326.84,,,,percent of total billed charges,,245.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIFAXIMIN 550 MG TABLET [199127],0637,RC,,,,,inpatient,,,225.22,,112.61,135.132,227.404634,211.7068,,,,percent of total billed charges,,180.176,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,186.9326,,,,percent of total billed charges,,202.698,,,,percent of total billed charges,,207.2024,,,,percent of total billed charges,,207.2024,,,,percent of total billed charges,,213.05812,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,218.4634,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,198.1936,,,,percent of total billed charges,,202.698,,,,percent of total billed charges,,145.94256,,,,percent of total billed charges,,202.698,,,,percent of total billed charges,,135.132,,,,percent of total billed charges,,227.404634,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,213.959,,,,percent of total billed charges,,180.176,,,,percent of total billed charges,,135.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [258505],0636,RC,,,,,inpatient,,,37850.84,,18925.42,22710.504,38217.99315,35579.7896,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,31416.1972,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,35806.89464,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,36715.3148,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,33308.7392,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,24527.34432,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,38217.99315,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [258505],0636,RC,,,,,inpatient,,,37850.84,,18925.42,22710.504,38217.99315,35579.7896,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,31416.1972,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,34822.7728,,,,percent of total billed charges,,35806.89464,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,36715.3148,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,33308.7392,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,24527.34432,,,,percent of total billed charges,,34065.756,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,38217.99315,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,35958.298,,,,percent of total billed charges,,30280.672,,,,percent of total billed charges,,22710.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION [258505],0636,RC,,,,,inpatient,,,75701.68,,37850.84,45421.008,76435.9863,71159.5792,,,,percent of total billed charges,,60561.344,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,62832.3944,,,,percent of total billed charges,,68131.512,,,,percent of total billed charges,,69645.5456,,,,percent of total billed charges,,69645.5456,,,,percent of total billed charges,,71613.78928,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,73430.6296,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,66617.4784,,,,percent of total billed charges,,68131.512,,,,percent of total billed charges,,49054.68864,,,,percent of total billed charges,,68131.512,,,,percent of total billed charges,,45421.008,,,,percent of total billed charges,,76435.9863,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,71916.596,,,,percent of total billed charges,,60561.344,,,,percent of total billed charges,,45421.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.25 MG TABLET [78872],0637,RC,,,,,inpatient,,,1,,0.5,0.6,1.0097,0.94,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.83,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.92,,,,percent of total billed charges,,0.946,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.97,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,1.0097,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.95,,,,percent of total billed charges,,0.8,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG DISINTEGRATING TABLET [87733],0637,RC,,,,,inpatient,,,2.12,,1.06,1.272,2.140564,1.9928,,,,percent of total billed charges,,1.696,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,1.7596,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,1.9504,,,,percent of total billed charges,,1.9504,,,,percent of total billed charges,,2.00552,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,2.0564,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,1.8656,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,1.37376,,,,percent of total billed charges,,1.908,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,2.140564,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,2.014,,,,percent of total billed charges,,1.696,,,,percent of total billed charges,,1.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG DISINTEGRATING TABLET [87733],0637,RC,,,,,inpatient,,,5.22,,2.61,3.132,5.270634,4.9068,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.3326,,,,percent of total billed charges,,4.698,,,,percent of total billed charges,,4.8024,,,,percent of total billed charges,,4.8024,,,,percent of total billed charges,,4.93812,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,5.0634,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.5936,,,,percent of total billed charges,,4.698,,,,percent of total billed charges,,3.38256,,,,percent of total billed charges,,4.698,,,,percent of total billed charges,,3.132,,,,percent of total billed charges,,5.270634,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.959,,,,percent of total billed charges,,4.176,,,,percent of total billed charges,,3.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG DISINTEGRATING TABLET [87733],0637,RC,,,,,inpatient,,,4.15,,2.075,2.49,4.190255,3.901,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.4445,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.818,,,,percent of total billed charges,,3.9259,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.652,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.6892,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,4.190255,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.9425,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,2.49,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,,,,,inpatient,,,0.68,,0.34,0.408,0.686596,0.6392,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5644,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.6256,,,,percent of total billed charges,,0.64328,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.6596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.5984,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.44064,,,,percent of total billed charges,,0.612,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.686596,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.646,,,,percent of total billed charges,,0.544,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,,,,,inpatient,,,0.88,,0.44,0.528,0.888536,0.8272,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.83248,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.8536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.7744,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.57024,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.888536,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 0.5 MG TABLET [82746],0637,RC,,,,,inpatient,,,1.01,,0.505,0.606,1.019797,0.9494,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8383,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.9292,,,,percent of total billed charges,,0.95546,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.8888,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.65448,,,,percent of total billed charges,,0.909,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,1.019797,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.9595,,,,percent of total billed charges,,0.808,,,,percent of total billed charges,,0.606,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,,,,,inpatient,,,12.57,,6.285,7.542,12.691929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,8.14536,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,12.691929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,,,,,inpatient,,,14.53,,7.265,8.718,14.670941,13.6582,,,,percent of total billed charges,,11.624,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,12.0599,,,,percent of total billed charges,,13.077,,,,percent of total billed charges,,13.3676,,,,percent of total billed charges,,13.3676,,,,percent of total billed charges,,13.74538,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,14.0941,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,12.7864,,,,percent of total billed charges,,13.077,,,,percent of total billed charges,,9.41544,,,,percent of total billed charges,,13.077,,,,percent of total billed charges,,8.718,,,,percent of total billed charges,,14.670941,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,13.8035,,,,percent of total billed charges,,11.624,,,,percent of total billed charges,,8.718,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,,,,,inpatient,,,12.57,,6.285,7.542,12.691929,11.8158,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.4331,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.5644,,,,percent of total billed charges,,11.89122,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,12.1929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.0616,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,8.14536,,,,percent of total billed charges,,11.313,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,12.691929,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,11.9415,,,,percent of total billed charges,,10.056,,,,percent of total billed charges,,7.542,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG DISINTEGRATING TABLET [87734],0637,RC,,,,,inpatient,,,5.39,,2.695,3.234,5.442283,5.0666,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.4737,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,4.9588,,,,percent of total billed charges,,5.09894,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.2283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.7432,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.49272,,,,percent of total billed charges,,4.851,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,5.442283,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,5.1205,,,,percent of total billed charges,,4.312,,,,percent of total billed charges,,3.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG TABLET [82519],0637,RC,,,,,inpatient,,,0.73,,0.365,0.438,0.737081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.47304,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.737081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG TABLET [82519],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG TABLET [82519],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG/ML ORAL SOLUTION [80163],0637,RC,,,,,inpatient,,,62.1,,31.05,37.26,62.70237,58.374,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,51.543,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,57.132,,,,percent of total billed charges,,58.7466,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,60.237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,54.648,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,40.2408,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,62.70237,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,58.995,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG/ML ORAL SOLUTION [80163],0637,RC,,,,,inpatient,,,50.76,,25.38,30.456,51.252372,47.7144,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,42.1308,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,48.01896,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,49.2372,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,44.6688,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,32.89248,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,51.252372,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 1 MG/ML ORAL SOLUTION [80163],0637,RC,,,,,inpatient,,,68.45,,34.225,41.07,69.113965,64.343,,,,percent of total billed charges,,54.76,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,56.8135,,,,percent of total billed charges,,61.605,,,,percent of total billed charges,,62.974,,,,percent of total billed charges,,62.974,,,,percent of total billed charges,,64.7537,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,66.3965,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,60.236,,,,percent of total billed charges,,61.605,,,,percent of total billed charges,,44.3556,,,,percent of total billed charges,,61.605,,,,percent of total billed charges,,41.07,,,,percent of total billed charges,,69.113965,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,65.0275,,,,percent of total billed charges,,54.76,,,,percent of total billed charges,,41.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,,,,,inpatient,,,0.61,,0.305,0.366,0.615917,0.5734,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5063,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.5612,,,,percent of total billed charges,,0.57706,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5368,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.39528,,,,percent of total billed charges,,0.549,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,0.615917,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.5795,,,,percent of total billed charges,,0.488,,,,percent of total billed charges,,0.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RISPERIDONE 2 MG TABLET [79573],0637,RC,,,,,inpatient,,,0.7,,0.35,0.42,0.70679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.4536,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.70679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [135106]",0636,RC,,,,,inpatient,,,1245.6,,622.8,747.36,1257.68232,1170.864,,,,percent of total billed charges,,996.48,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1033.848,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,1145.952,,,,percent of total billed charges,,1145.952,,,,percent of total billed charges,,1178.3376,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1208.232,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1096.128,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,807.1488,,,,percent of total billed charges,,1121.04,,,,percent of total billed charges,,747.36,,,,percent of total billed charges,,1257.68232,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,1183.32,,,,percent of total billed charges,,996.48,,,,percent of total billed charges,,747.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [89534]",0636,RC,,,,,inpatient,,,2490.98,,1245.49,1494.588,2515.142506,2341.5212,,,,percent of total billed charges,,1992.784,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2067.5134,,,,percent of total billed charges,,2241.882,,,,percent of total billed charges,,2291.7016,,,,percent of total billed charges,,2291.7016,,,,percent of total billed charges,,2356.46708,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2416.2506,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2192.0624,,,,percent of total billed charges,,2241.882,,,,percent of total billed charges,,1614.15504,,,,percent of total billed charges,,2241.882,,,,percent of total billed charges,,1494.588,,,,percent of total billed charges,,2515.142506,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,2366.431,,,,percent of total billed charges,,1992.784,,,,percent of total billed charges,,1494.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [89535]",0636,RC,,,,,inpatient,,,3736.58,,1868.29,2241.948,3772.824826,3512.3852,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3101.3614,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3534.80468,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3624.4826,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3288.1904,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2421.30384,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,3772.824826,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS [89535]",0636,RC,,,,,inpatient,,,3736.58,,1868.29,2241.948,3772.824826,3512.3852,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3101.3614,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3437.6536,,,,percent of total billed charges,,3534.80468,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3624.4826,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3288.1904,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2421.30384,,,,percent of total billed charges,,3362.922,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,3772.824826,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,3549.751,,,,percent of total billed charges,,2989.264,,,,percent of total billed charges,,2241.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE [89536]",0636,RC,,,,,inpatient,,,4982.31,,2491.155,2989.386,5030.638407,4683.3714,,,,percent of total billed charges,,3985.848,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4135.3173,,,,percent of total billed charges,,4484.079,,,,percent of total billed charges,,4583.7252,,,,percent of total billed charges,,4583.7252,,,,percent of total billed charges,,4713.26526,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4832.8407,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4384.4328,,,,percent of total billed charges,,4484.079,,,,percent of total billed charges,,3228.53688,,,,percent of total billed charges,,4484.079,,,,percent of total billed charges,,2989.386,,,,percent of total billed charges,,5030.638407,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,4733.1945,,,,percent of total billed charges,,3985.848,,,,percent of total billed charges,,2989.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITONAVIR 100 MG TABLET [198133],0637,RC,,,,,inpatient,,,6.81,,3.405,4.086,6.876057,6.4014,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.6523,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.2652,,,,percent of total billed charges,,6.44226,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.6057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.9928,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.41288,,,,percent of total billed charges,,6.129,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,6.876057,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,6.4695,,,,percent of total billed charges,,5.448,,,,percent of total billed charges,,4.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITONAVIR 100 MG TABLET [198133],0637,RC,,,,,inpatient,,,12.01,,6.005,7.206,12.126497,11.2894,,,,percent of total billed charges,,9.608,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,9.9683,,,,percent of total billed charges,,10.809,,,,percent of total billed charges,,11.0492,,,,percent of total billed charges,,11.0492,,,,percent of total billed charges,,11.36146,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,11.6497,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,10.5688,,,,percent of total billed charges,,10.809,,,,percent of total billed charges,,7.78248,,,,percent of total billed charges,,10.809,,,,percent of total billed charges,,7.206,,,,percent of total billed charges,,12.126497,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,11.4095,,,,percent of total billed charges,,9.608,,,,percent of total billed charges,,7.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITONAVIR 100 MG TABLET [198133],0637,RC,,,,,inpatient,,,9.62,,4.81,5.772,9.713314,9.0428,,,,percent of total billed charges,,7.696,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,7.9846,,,,percent of total billed charges,,8.658,,,,percent of total billed charges,,8.8504,,,,percent of total billed charges,,8.8504,,,,percent of total billed charges,,9.10052,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,9.3314,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,8.4656,,,,percent of total billed charges,,8.658,,,,percent of total billed charges,,6.23376,,,,percent of total billed charges,,8.658,,,,percent of total billed charges,,5.772,,,,percent of total billed charges,,9.713314,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,9.139,,,,percent of total billed charges,,7.696,,,,percent of total billed charges,,5.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [235810]",0636,RC,,,,,inpatient,,,26306.33,,13153.165,15783.798,26561.5014,24727.9502,,,,percent of total billed charges,,21045.064,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,21834.2539,,,,percent of total billed charges,,23675.697,,,,percent of total billed charges,,24201.8236,,,,percent of total billed charges,,24201.8236,,,,percent of total billed charges,,24885.78818,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,25517.1401,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,23149.5704,,,,percent of total billed charges,,23675.697,,,,percent of total billed charges,,17046.50184,,,,percent of total billed charges,,23675.697,,,,percent of total billed charges,,15783.798,,,,percent of total billed charges,,26561.5014,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,24991.0135,,,,percent of total billed charges,,21045.064,,,,percent of total billed charges,,15783.798,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [235888]",0636,RC,,,,,inpatient,,,30064.35,,15032.175,18038.61,30355.9742,28260.489,,,,percent of total billed charges,,24051.48,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,24953.4105,,,,percent of total billed charges,,27057.915,,,,percent of total billed charges,,27659.202,,,,percent of total billed charges,,27659.202,,,,percent of total billed charges,,28440.8751,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,29162.4195,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,26456.628,,,,percent of total billed charges,,27057.915,,,,percent of total billed charges,,19481.6988,,,,percent of total billed charges,,27057.915,,,,percent of total billed charges,,18038.61,,,,percent of total billed charges,,30355.9742,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,28561.1325,,,,percent of total billed charges,,24051.48,,,,percent of total billed charges,,18038.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [82518]",0636,RC,,,,,inpatient,,,4227.84,,2113.92,2536.704,4268.850048,3974.1696,,,,percent of total billed charges,,3382.272,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,3509.1072,,,,percent of total billed charges,,3805.056,,,,percent of total billed charges,,3889.6128,,,,percent of total billed charges,,3889.6128,,,,percent of total billed charges,,3999.53664,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,4101.0048,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,3720.4992,,,,percent of total billed charges,,3805.056,,,,percent of total billed charges,,2739.64032,,,,percent of total billed charges,,3805.056,,,,percent of total billed charges,,2536.704,,,,percent of total billed charges,,4268.850048,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,4016.448,,,,percent of total billed charges,,3382.272,,,,percent of total billed charges,,2536.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [82518]",0636,RC,,,,,inpatient,,,21139.2,,10569.6,12683.52,21344.25024,19870.848,,,,percent of total billed charges,,16911.36,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,17545.536,,,,percent of total billed charges,,19025.28,,,,percent of total billed charges,,19448.064,,,,percent of total billed charges,,19448.064,,,,percent of total billed charges,,19997.6832,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,20505.024,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,18602.496,,,,percent of total billed charges,,19025.28,,,,percent of total billed charges,,13698.2016,,,,percent of total billed charges,,19025.28,,,,percent of total billed charges,,12683.52,,,,percent of total billed charges,,21344.25024,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,20082.24,,,,percent of total billed charges,,16911.36,,,,percent of total billed charges,,12683.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION [245596],0636,RC,,,,,inpatient,,,11114.33,,5557.165,6668.598,11222.139,10447.4702,,,,percent of total billed charges,,8891.464,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,9224.8939,,,,percent of total billed charges,,10002.897,,,,percent of total billed charges,,10225.1836,,,,percent of total billed charges,,10225.1836,,,,percent of total billed charges,,10514.15618,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,10780.9001,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,9780.6104,,,,percent of total billed charges,,10002.897,,,,percent of total billed charges,,7202.08584,,,,percent of total billed charges,,10002.897,,,,percent of total billed charges,,6668.598,,,,percent of total billed charges,,11222.139,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,10558.6135,,,,percent of total billed charges,,8891.464,,,,percent of total billed charges,,6668.598,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 10 MG TABLET [205744],0637,RC,,,,,inpatient,,,56.07,,28.035,33.642,56.613879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,36.33336,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,56.613879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 10 MG TABLET [205744],0637,RC,,,,,inpatient,,,56.1,,28.05,33.66,56.64417,52.734,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,46.563,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,51.612,,,,percent of total billed charges,,51.612,,,,percent of total billed charges,,53.0706,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,54.417,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,49.368,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,36.3528,,,,percent of total billed charges,,50.49,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,56.64417,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,53.295,,,,percent of total billed charges,,44.88,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 10 MG TABLET [205744],0637,RC,,,,,inpatient,,,56.07,,28.035,33.642,56.613879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,36.33336,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,56.613879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 15 MG TABLET [209971],0637,RC,,,,,inpatient,,,56.07,,28.035,33.642,56.613879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,36.33336,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,56.613879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 15 MG TABLET [209971],0637,RC,,,,,inpatient,,,56.07,,28.035,33.642,56.613879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,36.33336,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,56.613879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 2.5 MG TABLET [241774],0637,RC,,,,,inpatient,,,28.05,,14.025,16.83,28.322085,26.367,,,,percent of total billed charges,,22.44,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,23.2815,,,,percent of total billed charges,,25.245,,,,percent of total billed charges,,25.806,,,,percent of total billed charges,,25.806,,,,percent of total billed charges,,26.5353,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,27.2085,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,24.684,,,,percent of total billed charges,,25.245,,,,percent of total billed charges,,18.1764,,,,percent of total billed charges,,25.245,,,,percent of total billed charges,,16.83,,,,percent of total billed charges,,28.322085,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,26.6475,,,,percent of total billed charges,,22.44,,,,percent of total billed charges,,16.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 20 MG TABLET [209972],0637,RC,,,,,inpatient,,,56.07,,28.035,33.642,56.613879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,36.33336,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,56.613879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVAROXABAN 20 MG TABLET [209972],0637,RC,,,,,inpatient,,,56.07,,28.035,33.642,56.613879,52.7058,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,46.5381,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,51.5844,,,,percent of total billed charges,,53.04222,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,54.3879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,49.3416,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,36.33336,,,,percent of total billed charges,,50.463,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,56.613879,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,53.2665,,,,percent of total billed charges,,44.856,,,,percent of total billed charges,,33.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,94.49,,47.245,56.694,95.406553,88.8206,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,78.4267,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,89.38754,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,91.6553,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,83.1512,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,61.22952,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,95.406553,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,94.49,,47.245,56.694,95.406553,88.8206,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,78.4267,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,86.9308,,,,percent of total billed charges,,89.38754,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,91.6553,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,83.1512,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,61.22952,,,,percent of total billed charges,,85.041,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,95.406553,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,89.7655,,,,percent of total billed charges,,75.592,,,,percent of total billed charges,,56.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,24.04,,12.02,14.424,24.273188,22.5976,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.9532,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.74184,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,23.3188,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,21.1552,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,15.57792,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,24.273188,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,24.04,,12.02,14.424,24.273188,22.5976,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.9532,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.1168,,,,percent of total billed charges,,22.74184,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,23.3188,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,21.1552,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,15.57792,,,,percent of total billed charges,,21.636,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,24.273188,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,22.838,,,,percent of total billed charges,,19.232,,,,percent of total billed charges,,14.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,6.9,,3.45,4.14,6.96693,6.486,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.727,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.5274,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.693,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,6.96693,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,6.9,,3.45,4.14,6.96693,6.486,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.727,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,6.5274,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.693,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.072,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,4.4712,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,6.96693,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,6.555,,,,percent of total billed charges,,5.52,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,6.68,,3.34,4.008,6.744796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.32864,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.744796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [136604],0637,RC,,,,,inpatient,,,6.68,,3.34,4.008,6.744796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.32864,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.744796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,6.12,,3.06,3.672,6.179364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.96576,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,6.179364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,11.66,,5.83,6.996,11.773102,10.9604,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.6778,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,10.7272,,,,percent of total billed charges,,11.03036,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.3102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,10.2608,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,7.55568,,,,percent of total billed charges,,10.494,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,11.773102,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,11.077,,,,percent of total billed charges,,9.328,,,,percent of total billed charges,,6.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,36.09,,18.045,21.654,36.440073,33.9246,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,29.9547,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,34.14114,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,35.0073,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,31.7592,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,23.38632,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,36.440073,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,31.12,,15.56,18.672,31.421864,29.2528,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,25.8296,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,29.43952,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,30.1864,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,27.3856,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,20.16576,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,31.421864,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,36.09,,18.045,21.654,36.440073,33.9246,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,29.9547,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,33.2028,,,,percent of total billed charges,,34.14114,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,35.0073,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,31.7592,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,23.38632,,,,percent of total billed charges,,32.481,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,36.440073,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,34.2855,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,21.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,31.12,,15.56,18.672,31.421864,29.2528,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,25.8296,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,28.6304,,,,percent of total billed charges,,29.43952,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,30.1864,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,27.3856,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,20.16576,,,,percent of total billed charges,,28.008,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,31.421864,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,29.564,,,,percent of total billed charges,,24.896,,,,percent of total billed charges,,18.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,12.36,,6.18,7.416,12.479892,11.6184,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.2588,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.69256,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.9892,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.8768,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,8.00928,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,12.479892,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,29.07,,14.535,17.442,29.351979,27.3258,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,24.1281,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,27.50022,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,28.1979,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,25.5816,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,18.83736,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,29.351979,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,28.08,,14.04,16.848,28.352376,26.3952,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,23.3064,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,26.56368,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,27.2376,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,24.7104,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,18.19584,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,28.352376,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,28.08,,14.04,16.848,28.352376,26.3952,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,23.3064,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,25.8336,,,,percent of total billed charges,,26.56368,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,27.2376,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,24.7104,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,18.19584,,,,percent of total billed charges,,25.272,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,28.352376,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,26.676,,,,percent of total billed charges,,22.464,,,,percent of total billed charges,,16.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,22.77,,11.385,13.662,22.990869,21.4038,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.8991,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,21.54042,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,22.0869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,20.0376,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,14.75496,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,22.990869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,22.77,,11.385,13.662,22.990869,21.4038,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.8991,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,20.9484,,,,percent of total billed charges,,21.54042,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,22.0869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,20.0376,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,14.75496,,,,percent of total billed charges,,20.493,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,22.990869,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,21.6315,,,,percent of total billed charges,,18.216,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,16.56,,8.28,9.936,16.720632,15.5664,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.7448,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.2352,,,,percent of total billed charges,,15.66576,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,16.0632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,14.5728,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,10.73088,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,16.720632,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,15.732,,,,percent of total billed charges,,13.248,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,20.61,,10.305,12.366,20.809917,19.3734,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,17.1063,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,19.49706,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.9917,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,18.1368,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,13.35528,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,20.809917,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,10.35,,5.175,6.21,10.450395,9.729,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.5905,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7911,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,10.0395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.7068,,,,percent of total billed charges,,9.315,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,10.450395,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,9.8325,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,6.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,20.61,,10.305,12.366,20.809917,19.3734,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,17.1063,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,18.9612,,,,percent of total billed charges,,19.49706,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.9917,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,18.1368,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,13.35528,,,,percent of total billed charges,,18.549,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,20.809917,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,19.5795,,,,percent of total billed charges,,16.488,,,,percent of total billed charges,,12.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,28.94,,14.47,17.364,29.220718,27.2036,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,24.0202,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,27.37724,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,28.0718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,25.4672,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,18.75312,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,29.220718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,28.94,,14.47,17.364,29.220718,27.2036,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,24.0202,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,26.6248,,,,percent of total billed charges,,27.37724,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,28.0718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,25.4672,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,18.75312,,,,percent of total billed charges,,26.046,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,29.220718,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,27.493,,,,percent of total billed charges,,23.152,,,,percent of total billed charges,,17.364,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,13.59,,6.795,8.154,13.721823,12.7746,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.2797,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.5028,,,,percent of total billed charges,,12.85614,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,13.1823,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,11.9592,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,8.80632,,,,percent of total billed charges,,12.231,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,13.721823,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,12.9105,,,,percent of total billed charges,,10.872,,,,percent of total billed charges,,8.154,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,12.36,,6.18,7.416,12.479892,11.6184,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.2588,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.3712,,,,percent of total billed charges,,11.69256,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.9892,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,10.8768,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,8.00928,,,,percent of total billed charges,,11.124,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,12.479892,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,11.742,,,,percent of total billed charges,,9.888,,,,percent of total billed charges,,7.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,6.12,,3.06,3.672,6.179364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.96576,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,6.179364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,29.07,,14.535,17.442,29.351979,27.3258,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,24.1281,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,26.7444,,,,percent of total billed charges,,27.50022,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,28.1979,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,25.5816,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,18.83736,,,,percent of total billed charges,,26.163,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,29.351979,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,27.6165,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,17.442,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,7,,3.5,4.2,7.0679,6.58,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.81,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.44,,,,percent of total billed charges,,6.622,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.79,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.536,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,7.0679,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,6.65,,,,percent of total billed charges,,5.6,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,8.31,,4.155,4.986,8.390607,7.8114,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.8973,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.86126,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,8.0607,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.3128,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,5.38488,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,8.390607,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,8.31,,4.155,4.986,8.390607,7.8114,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.8973,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.6452,,,,percent of total billed charges,,7.86126,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,8.0607,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.3128,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,5.38488,,,,percent of total billed charges,,7.479,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,8.390607,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,7.8945,,,,percent of total billed charges,,6.648,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,15.93,,7.965,9.558,16.084521,14.9742,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,13.2219,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,15.06978,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.4521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,14.0184,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,10.32264,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,16.084521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,15.93,,7.965,9.558,16.084521,14.9742,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,13.2219,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,14.6556,,,,percent of total billed charges,,15.06978,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.4521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,14.0184,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,10.32264,,,,percent of total billed charges,,14.337,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,16.084521,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,15.1335,,,,percent of total billed charges,,12.744,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,9.09,,4.545,5.454,9.178173,8.5446,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.5447,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.59914,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.8173,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.9992,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,5.89032,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,9.178173,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,9.09,,4.545,5.454,9.178173,8.5446,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.5447,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.3628,,,,percent of total billed charges,,8.59914,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.8173,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.9992,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,5.89032,,,,percent of total billed charges,,8.181,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,9.178173,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,8.6355,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,5.454,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [78843],0250,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROCURONIUM 500 MG/50 ML (10 MG/ML) INFUSION [1001390],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,,,,,inpatient,,,55.08,,27.54,33.048,55.614276,51.7752,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,45.7164,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,50.6736,,,,percent of total billed charges,,52.10568,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,53.4276,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,48.4704,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,35.69184,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,55.614276,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,52.326,,,,percent of total billed charges,,44.064,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,,,,,inpatient,,,5.99,,2.995,3.594,6.048103,5.6306,,,,percent of total billed charges,,4.792,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,4.9717,,,,percent of total billed charges,,5.391,,,,percent of total billed charges,,5.5108,,,,percent of total billed charges,,5.5108,,,,percent of total billed charges,,5.66654,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,5.8103,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,5.2712,,,,percent of total billed charges,,5.391,,,,percent of total billed charges,,3.88152,,,,percent of total billed charges,,5.391,,,,percent of total billed charges,,3.594,,,,percent of total billed charges,,6.048103,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,5.6905,,,,percent of total billed charges,,4.792,,,,percent of total billed charges,,3.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,,,,,inpatient,,,2.15,,1.075,1.29,2.170855,2.021,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.7845,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,1.978,,,,percent of total billed charges,,2.0339,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0855,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.3932,,,,percent of total billed charges,,1.935,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,2.170855,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,2.0425,,,,percent of total billed charges,,1.72,,,,percent of total billed charges,,1.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROFLUMILAST 500 MCG TABLET [204444],0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION [246993],0636,RC,,,,,inpatient,,,5634,,2817,3380.4,5688.6498,5295.96,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4676.22,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5329.764,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5464.98,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4957.92,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,3650.832,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,5688.6498,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 125 MCG VIAL (125 MCG/ML CONCENTRATION) SUBQ SOLUTION [1002108],0636,RC,,,,,inpatient,,,5634,,2817,3380.4,5688.6498,5295.96,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4676.22,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5183.28,,,,percent of total billed charges,,5329.764,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5464.98,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4957.92,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,3650.832,,,,percent of total billed charges,,5070.6,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,5688.6498,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,5352.3,,,,percent of total billed charges,,4507.2,,,,percent of total billed charges,,3380.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION [189043],0636,RC,,,,,inpatient,,,11267.87,,5633.935,6760.722,11377.16834,10591.7978,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9352.3321,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10659.40502,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10929.8339,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9915.7256,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,7301.57976,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,11377.16834,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 250 MCG VIAL (125 MCG/ML CONCENTRATION) SUBQ SOLUTION [1002106],0636,RC,,,,,inpatient,,,11267.87,,5633.935,6760.722,11377.16834,10591.7978,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9352.3321,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10366.4404,,,,percent of total billed charges,,10659.40502,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10929.8339,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9915.7256,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,7301.57976,,,,percent of total billed charges,,10141.083,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,11377.16834,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,10704.4765,,,,percent of total billed charges,,9014.296,,,,percent of total billed charges,,6760.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION [189042],0636,RC,,,,,inpatient,,,20031.72,,10015.86,12019.032,20226.02768,18829.8168,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16626.3276,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18950.00712,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19430.7684,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,17627.9136,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,12980.55456,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,20226.02768,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMIPLOSTIM 500 MCG VIAL (125 MCG/ML CONCENTRATION) SUBQ SOLUTION [1002107],0636,RC,,,,,inpatient,,,20031.72,,10015.86,12019.032,20226.02768,18829.8168,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16626.3276,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18429.1824,,,,percent of total billed charges,,18950.00712,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19430.7684,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,17627.9136,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,12980.55456,,,,percent of total billed charges,,18028.548,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,20226.02768,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,19030.134,,,,percent of total billed charges,,16025.376,,,,percent of total billed charges,,12019.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE [243995],0636,RC,,,,,inpatient,,,5477.32,,2738.66,3286.392,5530.450004,5148.6808,,,,percent of total billed charges,,4381.856,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,4546.1756,,,,percent of total billed charges,,4929.588,,,,percent of total billed charges,,5039.1344,,,,percent of total billed charges,,5039.1344,,,,percent of total billed charges,,5181.54472,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,5313.0004,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,4820.0416,,,,percent of total billed charges,,4929.588,,,,percent of total billed charges,,3549.30336,,,,percent of total billed charges,,4929.588,,,,percent of total billed charges,,3286.392,,,,percent of total billed charges,,5530.450004,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,5203.454,,,,percent of total billed charges,,4381.856,,,,percent of total billed charges,,3286.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,,,,,inpatient,,,1.79,,0.895,1.074,1.807363,1.6826,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.4857,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.69334,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.5752,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.15992,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,1.807363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,,,,,inpatient,,,1.79,,0.895,1.074,1.807363,1.6826,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.4857,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.6468,,,,percent of total billed charges,,1.69334,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.5752,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.15992,,,,percent of total billed charges,,1.611,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,1.807363,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.7005,,,,percent of total billed charges,,1.432,,,,percent of total billed charges,,1.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,,,,,inpatient,,,1.09,,0.545,0.654,1.100573,1.0246,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9047,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.03114,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9592,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.70632,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,1.100573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.25 MG TABLET [80128],0637,RC,,,,,inpatient,,,1.09,,0.545,0.654,1.100573,1.0246,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9047,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.0028,,,,percent of total billed charges,,1.03114,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.9592,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.70632,,,,percent of total billed charges,,0.981,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,1.100573,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,1.0355,,,,percent of total billed charges,,0.872,,,,percent of total billed charges,,0.654,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,,,,,inpatient,,,2.46,,1.23,1.476,2.483862,2.3124,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.0418,,,,percent of total billed charges,,2.214,,,,percent of total billed charges,,2.2632,,,,percent of total billed charges,,2.2632,,,,percent of total billed charges,,2.32716,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.3862,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.1648,,,,percent of total billed charges,,2.214,,,,percent of total billed charges,,1.59408,,,,percent of total billed charges,,2.214,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,2.483862,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,2.337,,,,percent of total billed charges,,1.968,,,,percent of total billed charges,,1.476,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,,,,,inpatient,,,1.26,,0.63,0.756,1.272222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.81648,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.272222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 0.5 MG TABLET [80585],0637,RC,,,,,inpatient,,,1.26,,0.63,0.756,1.272222,1.1844,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.0458,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.1592,,,,percent of total billed charges,,1.19196,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.2222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.1088,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.81648,,,,percent of total billed charges,,1.134,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,1.272222,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.197,,,,percent of total billed charges,,1.008,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,,,,,inpatient,,,1.76,,0.88,1.056,1.777072,1.6544,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.4608,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.6192,,,,percent of total billed charges,,1.66496,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.5488,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.14048,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,1.777072,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.408,,,,percent of total billed charges,,1.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,,,,,inpatient,,,1.55,,0.775,0.93,1.565035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.0044,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.565035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,,,,,inpatient,,,1.55,,0.775,0.93,1.565035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.0044,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.565035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPINIROLE 1 MG TABLET [77446],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG [238048],0250,RC,,,,,inpatient,,,221.18,,110.59,132.708,223.325446,207.9092,,,,percent of total billed charges,,176.944,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,183.5794,,,,percent of total billed charges,,199.062,,,,percent of total billed charges,,203.4856,,,,percent of total billed charges,,203.4856,,,,percent of total billed charges,,209.23628,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,214.5446,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,194.6384,,,,percent of total billed charges,,199.062,,,,percent of total billed charges,,143.32464,,,,percent of total billed charges,,199.062,,,,percent of total billed charges,,132.708,,,,percent of total billed charges,,223.325446,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,210.121,,,,percent of total billed charges,,176.944,,,,percent of total billed charges,,132.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,,,,,inpatient,,,40.05,,20.025,24.03,40.438485,37.647,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,33.2415,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,36.846,,,,percent of total billed charges,,37.8873,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.8485,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,35.244,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,25.9524,,,,percent of total billed charges,,36.045,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,40.438485,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,38.0475,,,,percent of total billed charges,,32.04,,,,percent of total billed charges,,24.03,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,,,,,inpatient,,,14.31,,7.155,8.586,14.448807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,9.27288,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,14.448807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,,,,,inpatient,,,14.31,,7.155,8.586,14.448807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,9.27288,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,14.448807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,,,,,inpatient,,,15.03,,7.515,9.018,15.175791,14.1282,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.4749,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,14.21838,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.5791,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,13.2264,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,9.73944,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,15.175791,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [79398],0636,RC,,,,,inpatient,,,15.03,,7.515,9.018,15.175791,14.1282,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.4749,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,13.8276,,,,percent of total billed charges,,14.21838,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.5791,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,13.2264,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,9.73944,,,,percent of total billed charges,,13.527,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,15.175791,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,14.2785,,,,percent of total billed charges,,12.024,,,,percent of total billed charges,,9.018,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,59.85,,29.925,35.91,60.430545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,38.7828,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,60.430545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,14.22,,7.11,8.532,14.357934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,9.21456,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,14.357934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,20.66,,10.33,12.396,20.860402,19.4204,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,17.1478,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.54436,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,20.0402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,18.1808,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,13.38768,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,20.860402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,9.9,,4.95,5.94,9.99603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.99603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,18.5,,9.25,11.1,18.67945,17.39,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,15.355,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.501,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.945,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,16.28,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,11.988,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,18.67945,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,14.22,,7.11,8.532,14.357934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,9.21456,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,14.357934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,13.64,,6.82,8.184,13.772308,12.8216,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,11.3212,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.90344,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,13.2308,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.0032,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,8.83872,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,13.772308,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,13.64,,6.82,8.184,13.772308,12.8216,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,11.3212,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.5488,,,,percent of total billed charges,,12.90344,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,13.2308,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.0032,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,8.83872,,,,percent of total billed charges,,12.276,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,13.772308,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,12.958,,,,percent of total billed charges,,10.912,,,,percent of total billed charges,,8.184,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,10.62,,5.31,6.372,10.723014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.88176,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,10.723014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,10.62,,5.31,6.372,10.723014,9.9828,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.8146,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,9.7704,,,,percent of total billed charges,,10.04652,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.3014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,9.3456,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.88176,,,,percent of total billed charges,,9.558,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,10.723014,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,10.089,,,,percent of total billed charges,,8.496,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,20.66,,10.33,12.396,20.860402,19.4204,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,17.1478,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.0072,,,,percent of total billed charges,,19.54436,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,20.0402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,18.1808,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,13.38768,,,,percent of total billed charges,,18.594,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,20.860402,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,19.627,,,,percent of total billed charges,,16.528,,,,percent of total billed charges,,12.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,59.85,,29.925,35.91,60.430545,56.259,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,49.6755,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,55.062,,,,percent of total billed charges,,56.6181,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,58.0545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,52.668,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,38.7828,,,,percent of total billed charges,,53.865,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,60.430545,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,56.8575,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,35.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [206448],0636,RC,,,,,inpatient,,,18.5,,9.25,11.1,18.67945,17.39,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,15.355,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.02,,,,percent of total billed charges,,17.501,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.945,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,16.28,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,11.988,,,,percent of total billed charges,,16.65,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,18.67945,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,17.575,,,,percent of total billed charges,,14.8,,,,percent of total billed charges,,11.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,,,,,inpatient,,,5.26,,2.63,3.156,5.311022,4.9444,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.3658,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.97596,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,5.1022,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.6288,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,3.40848,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,5.311022,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,,,,,inpatient,,,5.26,,2.63,3.156,5.311022,4.9444,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.3658,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.8392,,,,percent of total billed charges,,4.97596,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,5.1022,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.6288,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,3.40848,,,,percent of total billed charges,,4.734,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,5.311022,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.997,,,,percent of total billed charges,,4.208,,,,percent of total billed charges,,3.156,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,,,,,inpatient,,,3.74,,1.87,2.244,3.776278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.42352,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.776278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 10 MG TABLET [88473],0637,RC,,,,,inpatient,,,3.74,,1.87,2.244,3.776278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.42352,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.776278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,,,,,inpatient,,,6.18,,3.09,3.708,6.239946,5.8092,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.1294,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.84628,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.9946,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.4384,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,4.00464,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,6.239946,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,,,,,inpatient,,,6.18,,3.09,3.708,6.239946,5.8092,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.1294,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.6856,,,,percent of total billed charges,,5.84628,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.9946,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.4384,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,4.00464,,,,percent of total billed charges,,5.562,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,6.239946,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,5.871,,,,percent of total billed charges,,4.944,,,,percent of total billed charges,,3.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,,,,,inpatient,,,5.4,,2.7,3.24,5.45238,5.076,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.482,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,5.1084,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.752,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.4992,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,5.45238,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ROSUVASTATIN 20 MG TABLET [88474],0637,RC,,,,,inpatient,,,4,,2,2.4,4.0388,3.76,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.32,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.68,,,,percent of total billed charges,,3.784,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.52,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,4.0388,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.8,,,,percent of total billed charges,,3.2,,,,percent of total billed charges,,2.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT [262681]",0636,RC,,,,,inpatient,,,473.52,,236.76,284.112,478.113144,445.1088,,,,percent of total billed charges,,378.816,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,393.0216,,,,percent of total billed charges,,426.168,,,,percent of total billed charges,,435.6384,,,,percent of total billed charges,,435.6384,,,,percent of total billed charges,,447.94992,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,459.3144,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,416.6976,,,,percent of total billed charges,,426.168,,,,percent of total billed charges,,306.84096,,,,percent of total billed charges,,426.168,,,,percent of total billed charges,,284.112,,,,percent of total billed charges,,478.113144,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,449.844,,,,percent of total billed charges,,378.816,,,,percent of total billed charges,,284.112,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACCHAROMYCES BOULARDII 250 MG CAPSULE [89585],0637,RC,,,,,inpatient,,,2.96,,1.48,1.776,2.988712,2.7824,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.4568,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.80016,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.8712,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.6048,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.91808,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,2.988712,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACCHAROMYCES BOULARDII 250 MG CAPSULE [89585],0637,RC,,,,,inpatient,,,2.96,,1.48,1.776,2.988712,2.7824,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.4568,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.7232,,,,percent of total billed charges,,2.80016,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.8712,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.6048,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.91808,,,,percent of total billed charges,,2.664,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,2.988712,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.812,,,,percent of total billed charges,,2.368,,,,percent of total billed charges,,1.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACCHAROMYCES BOULARDII 250 MG CAPSULE [89585],0637,RC,,,,,inpatient,,,2.77,,1.385,1.662,2.796869,2.6038,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.2991,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.5484,,,,percent of total billed charges,,2.62042,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.4376,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.79496,,,,percent of total billed charges,,2.493,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,2.796869,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.6315,,,,percent of total billed charges,,2.216,,,,percent of total billed charges,,1.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [248789],0636,RC,,,,,inpatient,,,10817.37,,5408.685,6490.422,10922.29849,10168.3278,,,,percent of total billed charges,,8653.896,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,8978.4171,,,,percent of total billed charges,,9735.633,,,,percent of total billed charges,,9951.9804,,,,percent of total billed charges,,9951.9804,,,,percent of total billed charges,,10233.23202,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,10492.8489,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,9519.2856,,,,percent of total billed charges,,9735.633,,,,percent of total billed charges,,7009.65576,,,,percent of total billed charges,,9735.633,,,,percent of total billed charges,,6490.422,,,,percent of total billed charges,,10922.29849,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,10276.5015,,,,percent of total billed charges,,8653.896,,,,percent of total billed charges,,6490.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION [248789],0636,RC,,,,,inpatient,,,36111.32,,18055.66,21666.792,36461.5998,33944.6408,,,,percent of total billed charges,,28889.056,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,29972.3956,,,,percent of total billed charges,,32500.188,,,,percent of total billed charges,,33222.4144,,,,percent of total billed charges,,33222.4144,,,,percent of total billed charges,,34161.30872,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,35027.9804,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,31777.9616,,,,percent of total billed charges,,32500.188,,,,percent of total billed charges,,23400.13536,,,,percent of total billed charges,,32500.188,,,,percent of total billed charges,,21666.792,,,,percent of total billed charges,,36461.5998,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,34305.754,,,,percent of total billed charges,,28889.056,,,,percent of total billed charges,,21666.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [226365],0637,RC,,,,,inpatient,,,46.96,,23.48,28.176,47.415512,44.1424,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,38.9768,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,44.42416,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,45.5512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,41.3248,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,30.43008,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,47.415512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [226366],0637,RC,,,,,inpatient,,,46.96,,23.48,28.176,47.415512,44.1424,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,38.9768,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,44.42416,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,45.5512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,41.3248,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,30.43008,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,47.415512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [226366],0637,RC,,,,,inpatient,,,46.96,,23.48,28.176,47.415512,44.1424,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,38.9768,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,43.2032,,,,percent of total billed charges,,44.42416,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,45.5512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,41.3248,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,30.43008,,,,percent of total billed charges,,42.264,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,47.415512,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,44.612,,,,percent of total billed charges,,37.568,,,,percent of total billed charges,,28.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY [189053],0637,RC,,,,,inpatient,,,20.14,,10.07,12.084,20.335358,18.9316,,,,percent of total billed charges,,16.112,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,16.7162,,,,percent of total billed charges,,18.126,,,,percent of total billed charges,,18.5288,,,,percent of total billed charges,,18.5288,,,,percent of total billed charges,,19.05244,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,19.5358,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,17.7232,,,,percent of total billed charges,,18.126,,,,percent of total billed charges,,13.05072,,,,percent of total billed charges,,18.126,,,,percent of total billed charges,,12.084,,,,percent of total billed charges,,20.335358,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,19.133,,,,percent of total billed charges,,16.112,,,,percent of total billed charges,,12.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SAXAGLIPTIN 2.5 MG TABLET [195559],0637,RC,,,,,inpatient,,,7.91,,3.955,4.746,7.986727,7.4354,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.5653,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.2772,,,,percent of total billed charges,,7.48286,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.6727,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.9608,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,5.12568,,,,percent of total billed charges,,7.119,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,7.986727,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,7.5145,,,,percent of total billed charges,,6.328,,,,percent of total billed charges,,4.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,22.17,,11.085,13.302,22.385049,20.8398,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,18.4011,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.97282,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.5049,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,19.5096,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,14.36616,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,22.385049,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,22.17,,11.085,13.302,22.385049,20.8398,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,18.4011,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.3964,,,,percent of total billed charges,,20.97282,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.5049,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,19.5096,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,14.36616,,,,percent of total billed charges,,19.953,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,22.385049,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,21.0615,,,,percent of total billed charges,,17.736,,,,percent of total billed charges,,13.302,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,86.25,,43.125,51.75,87.086625,81.075,,,,percent of total billed charges,,69,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,71.5875,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,81.5925,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,83.6625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,75.9,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,87.086625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,69,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,86.25,,43.125,51.75,87.086625,81.075,,,,percent of total billed charges,,69,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,71.5875,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,79.35,,,,percent of total billed charges,,81.5925,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,83.6625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,75.9,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,55.89,,,,percent of total billed charges,,77.625,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,87.086625,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,81.9375,,,,percent of total billed charges,,69,,,,percent of total billed charges,,51.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,82.71,,41.355,49.626,83.512287,77.7474,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,68.6493,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,78.24366,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,80.2287,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,72.7848,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,53.59608,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,83.512287,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,82.71,,41.355,49.626,83.512287,77.7474,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,68.6493,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,76.0932,,,,percent of total billed charges,,78.24366,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,80.2287,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,72.7848,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,53.59608,,,,percent of total billed charges,,74.439,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,83.512287,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,78.5745,,,,percent of total billed charges,,66.168,,,,percent of total billed charges,,49.626,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,62.51,,31.255,37.506,63.116347,58.7594,,,,percent of total billed charges,,50.008,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,51.8833,,,,percent of total billed charges,,56.259,,,,percent of total billed charges,,57.5092,,,,percent of total billed charges,,57.5092,,,,percent of total billed charges,,59.13446,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,60.6347,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,55.0088,,,,percent of total billed charges,,56.259,,,,percent of total billed charges,,40.50648,,,,percent of total billed charges,,56.259,,,,percent of total billed charges,,37.506,,,,percent of total billed charges,,63.116347,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,59.3845,,,,percent of total billed charges,,50.008,,,,percent of total billed charges,,37.506,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [82122],0637,RC,,,,,inpatient,,,42.75,,21.375,25.65,43.164675,40.185,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,35.4825,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.4415,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,41.4675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,37.62,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,27.702,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,43.164675,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,40.6125,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [265219],0636,RC,,,,,inpatient,,,9517.5,,4758.75,5710.5,9609.81975,8946.45,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,7899.525,,,,percent of total billed charges,,8565.75,,,,percent of total billed charges,,8756.1,,,,percent of total billed charges,,8756.1,,,,percent of total billed charges,,9003.555,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,9231.975,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,8375.4,,,,percent of total billed charges,,8565.75,,,,percent of total billed charges,,6167.34,,,,percent of total billed charges,,8565.75,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,9609.81975,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,9041.625,,,,percent of total billed charges,,7614,,,,percent of total billed charges,,5710.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [265219],0636,RC,,,,,inpatient,,,9007.37,,4503.685,5404.422,9094.741489,8466.9278,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7476.1171,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8520.97202,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8737.1489,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7926.4856,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,5836.77576,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,9094.741489,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION [265219],0636,RC,,,,,inpatient,,,9007.37,,4503.685,5404.422,9094.741489,8466.9278,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7476.1171,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8286.7804,,,,percent of total billed charges,,8520.97202,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8737.1489,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7926.4856,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,5836.77576,,,,percent of total billed charges,,8106.633,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,9094.741489,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,8557.0015,,,,percent of total billed charges,,7205.896,,,,percent of total billed charges,,5404.422,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELEGILINE 5 MG CAPSULE [17280],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELEGILINE 5 MG CAPSULE [17280],0637,RC,,,,,inpatient,,,3.43,,1.715,2.058,3.463271,3.2242,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.8469,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.1556,,,,percent of total billed charges,,3.24478,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.3271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.0184,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.22264,,,,percent of total billed charges,,3.087,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,3.463271,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,3.2585,,,,percent of total billed charges,,2.744,,,,percent of total billed charges,,2.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION [7137],0250,RC,,,,,inpatient,,,58.46,,29.23,35.076,59.027062,54.9524,,,,percent of total billed charges,,46.768,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,48.5218,,,,percent of total billed charges,,52.614,,,,percent of total billed charges,,53.7832,,,,percent of total billed charges,,53.7832,,,,percent of total billed charges,,55.30316,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,56.7062,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,51.4448,,,,percent of total billed charges,,52.614,,,,percent of total billed charges,,37.88208,,,,percent of total billed charges,,52.614,,,,percent of total billed charges,,35.076,,,,percent of total billed charges,,59.027062,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,55.537,,,,percent of total billed charges,,46.768,,,,percent of total billed charges,,35.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SELENIUM SULFIDE 1 % SHAMPOO [38961],0637,RC,,,,,inpatient,,,10.25,,5.125,6.15,10.349425,9.635,,,,percent of total billed charges,,8.2,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,8.5075,,,,percent of total billed charges,,9.225,,,,percent of total billed charges,,9.43,,,,percent of total billed charges,,9.43,,,,percent of total billed charges,,9.6965,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,9.9425,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,9.02,,,,percent of total billed charges,,9.225,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,9.225,,,,percent of total billed charges,,6.15,,,,percent of total billed charges,,10.349425,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,9.7375,,,,percent of total billed charges,,8.2,,,,percent of total billed charges,,6.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG TABLET [11349],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [40926],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [40926],0637,RC,,,,,inpatient,,,0.69,,0.345,0.414,0.696693,0.6486,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.5727,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.65274,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.44712,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,0.696693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [40926],0637,RC,,,,,inpatient,,,0.69,,0.345,0.414,0.696693,0.6486,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.5727,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.6348,,,,percent of total billed charges,,0.65274,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6072,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.44712,,,,percent of total billed charges,,0.621,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,0.696693,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.6555,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.414,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,,,,,inpatient,,,2.05,,1.025,1.23,2.069885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.3284,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,2.069885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,,,,,inpatient,,,2.05,,1.025,1.23,2.069885,1.927,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.7015,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.886,,,,percent of total billed charges,,1.9393,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.804,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.3284,,,,percent of total billed charges,,1.845,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,2.069885,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.9475,,,,percent of total billed charges,,1.64,,,,percent of total billed charges,,1.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 100 MG TABLET [78399],0637,RC,,,,,inpatient,,,2.01,,1.005,1.206,2.029497,1.8894,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.6683,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.8492,,,,percent of total billed charges,,1.90146,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9497,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.7688,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.30248,,,,percent of total billed charges,,1.809,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,2.029497,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.9095,,,,percent of total billed charges,,1.608,,,,percent of total billed charges,,1.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 50 MG TABLET [82488],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 50 MG TABLET [82488],0637,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SERTRALINE 50 MG TABLET [82488],0637,RC,,,,,inpatient,,,1.31,,0.655,0.786,1.322707,1.2314,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.0873,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.2052,,,,percent of total billed charges,,1.23926,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.1528,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.84888,,,,percent of total billed charges,,1.179,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,1.322707,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.2445,,,,percent of total billed charges,,1.048,,,,percent of total billed charges,,0.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,24.48,,12.24,14.688,24.717456,23.0112,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,20.3184,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,22.5216,,,,percent of total billed charges,,22.5216,,,,percent of total billed charges,,23.15808,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,23.7456,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,21.5424,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,15.86304,,,,percent of total billed charges,,22.032,,,,percent of total billed charges,,14.688,,,,percent of total billed charges,,24.717456,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,23.256,,,,percent of total billed charges,,19.584,,,,percent of total billed charges,,14.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,1.52,,0.76,0.912,1.534744,1.4288,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.2616,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.3984,,,,percent of total billed charges,,1.43792,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.4744,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.3376,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,0.98496,,,,percent of total billed charges,,1.368,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.534744,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.444,,,,percent of total billed charges,,1.216,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,3.29,,1.645,1.974,3.321913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.13192,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.321913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,3.29,,1.645,1.974,3.321913,3.0926,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.7307,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.0268,,,,percent of total billed charges,,3.11234,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.8952,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,2.13192,,,,percent of total billed charges,,2.961,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,3.321913,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,3.1255,,,,percent of total billed charges,,2.632,,,,percent of total billed charges,,1.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,12.2,,6.1,7.32,12.31834,11.468,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.126,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.5412,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.9056,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,12.31834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,12.2,,6.1,7.32,12.31834,11.468,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.126,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.224,,,,percent of total billed charges,,11.5412,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,10.736,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.9056,,,,percent of total billed charges,,10.98,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,12.31834,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,11.59,,,,percent of total billed charges,,9.76,,,,percent of total billed charges,,7.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,11.1,,5.55,6.66,11.20767,10.434,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.213,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.212,,,,percent of total billed charges,,10.5006,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.767,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,9.768,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,7.1928,,,,percent of total billed charges,,9.99,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,11.20767,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,10.545,,,,percent of total billed charges,,8.88,,,,percent of total billed charges,,6.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,21.77,,10.885,13.062,21.981169,20.4638,,,,percent of total billed charges,,17.416,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,18.0691,,,,percent of total billed charges,,19.593,,,,percent of total billed charges,,20.0284,,,,percent of total billed charges,,20.0284,,,,percent of total billed charges,,20.59442,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,21.1169,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,19.1576,,,,percent of total billed charges,,19.593,,,,percent of total billed charges,,14.10696,,,,percent of total billed charges,,19.593,,,,percent of total billed charges,,13.062,,,,percent of total billed charges,,21.981169,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,20.6815,,,,percent of total billed charges,,17.416,,,,percent of total billed charges,,13.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,6.42,,3.21,3.852,6.482274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,4.16016,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,6.482274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER CARBONATE 800 MG TABLET [164073],0636,RC,,,,,inpatient,,,6.42,,3.21,3.852,6.482274,6.0348,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.3286,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,5.9064,,,,percent of total billed charges,,6.07332,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.2274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.6496,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,4.16016,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,6.482274,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,6.099,,,,percent of total billed charges,,5.136,,,,percent of total billed charges,,3.852,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 400 MG TABLET [82502],0636,RC,,,,,inpatient,,,11.6,,5.8,6.96,11.71252,10.904,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.628,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.9736,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.252,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,10.208,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.5168,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,11.71252,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,,,,,inpatient,,,30.6,,15.3,18.36,30.89682,28.764,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,25.398,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.152,,,,percent of total billed charges,,28.9476,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.682,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,26.928,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,19.8288,,,,percent of total billed charges,,27.54,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,30.89682,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,29.07,,,,percent of total billed charges,,24.48,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,,,,,inpatient,,,11.26,,5.63,6.756,11.369222,10.5844,,,,percent of total billed charges,,9.008,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,9.3458,,,,percent of total billed charges,,10.134,,,,percent of total billed charges,,10.3592,,,,percent of total billed charges,,10.3592,,,,percent of total billed charges,,10.65196,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,10.9222,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,9.9088,,,,percent of total billed charges,,10.134,,,,percent of total billed charges,,7.29648,,,,percent of total billed charges,,10.134,,,,percent of total billed charges,,6.756,,,,percent of total billed charges,,11.369222,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,10.697,,,,percent of total billed charges,,9.008,,,,percent of total billed charges,,6.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,,,,,inpatient,,,44.75,,22.375,26.85,45.184075,42.065,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,37.1425,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,42.3335,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,43.4075,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,39.38,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,28.998,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,45.184075,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEVELAMER HCL 800 MG TABLET [78025],0636,RC,,,,,inpatient,,,44.75,,22.375,26.85,45.184075,42.065,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,37.1425,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,41.17,,,,percent of total billed charges,,42.3335,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,43.4075,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,39.38,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,28.998,,,,percent of total billed charges,,40.275,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,45.184075,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,42.5125,,,,percent of total billed charges,,35.8,,,,percent of total billed charges,,26.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,,,,,inpatient,,,268.61,,134.305,161.166,271.215517,252.4934,,,,percent of total billed charges,,214.888,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,222.9463,,,,percent of total billed charges,,241.749,,,,percent of total billed charges,,247.1212,,,,percent of total billed charges,,247.1212,,,,percent of total billed charges,,254.10506,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,260.5517,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,236.3768,,,,percent of total billed charges,,241.749,,,,percent of total billed charges,,174.05928,,,,percent of total billed charges,,241.749,,,,percent of total billed charges,,161.166,,,,percent of total billed charges,,271.215517,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,255.1795,,,,percent of total billed charges,,214.888,,,,percent of total billed charges,,161.166,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,,,,,inpatient,,,3.77,,1.885,2.262,3.806569,3.5438,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.1291,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.56642,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.6569,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.3176,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,2.44296,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,3.806569,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,,,,,inpatient,,,3.77,,1.885,2.262,3.806569,3.5438,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.1291,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.4684,,,,percent of total billed charges,,3.56642,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.6569,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.3176,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,2.44296,,,,percent of total billed charges,,3.393,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,3.806569,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.5815,,,,percent of total billed charges,,3.016,,,,percent of total billed charges,,2.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET [94632],0637,RC,,,,,inpatient,,,3.62,,1.81,2.172,3.655114,3.4028,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.0046,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.3304,,,,percent of total billed charges,,3.42452,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.5114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.1856,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.34576,,,,percent of total billed charges,,3.258,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,3.655114,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,3.439,,,,percent of total billed charges,,2.896,,,,percent of total billed charges,,2.172,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [102850],0250,RC,,,,,inpatient,,,2.85,,1.425,1.71,2.877645,2.679,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.3655,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.622,,,,percent of total billed charges,,2.6961,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.508,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,1.8468,,,,percent of total billed charges,,2.565,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,2.877645,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.7075,,,,percent of total billed charges,,2.28,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [102850],0250,RC,,,,,inpatient,,,2.62,,1.31,1.572,2.645414,2.4628,,,,percent of total billed charges,,2.096,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.1746,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,2.4104,,,,percent of total billed charges,,2.4104,,,,percent of total billed charges,,2.47852,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.5414,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.3056,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,1.69776,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,1.572,,,,percent of total billed charges,,2.645414,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.489,,,,percent of total billed charges,,2.096,,,,percent of total billed charges,,1.572,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,131.4,,65.7,78.84,132.67458,123.516,,,,percent of total billed charges,,105.12,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,109.062,,,,percent of total billed charges,,118.26,,,,percent of total billed charges,,120.888,,,,percent of total billed charges,,120.888,,,,percent of total billed charges,,124.3044,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,127.458,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,115.632,,,,percent of total billed charges,,118.26,,,,percent of total billed charges,,85.1472,,,,percent of total billed charges,,118.26,,,,percent of total billed charges,,78.84,,,,percent of total billed charges,,132.67458,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,124.83,,,,percent of total billed charges,,105.12,,,,percent of total billed charges,,78.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,33.53,,16.765,20.118,33.855241,31.5182,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,27.8299,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,30.8476,,,,percent of total billed charges,,31.71938,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,32.5241,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,29.5064,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,21.72744,,,,percent of total billed charges,,30.177,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,33.855241,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,31.8535,,,,percent of total billed charges,,26.824,,,,percent of total billed charges,,20.118,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,22.05,,11.025,13.23,22.263885,20.727,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,18.3015,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.286,,,,percent of total billed charges,,20.8593,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,21.3885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,19.404,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,14.2884,,,,percent of total billed charges,,19.845,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,22.263885,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,20.9475,,,,percent of total billed charges,,17.64,,,,percent of total billed charges,,13.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,36.45,,18.225,21.87,36.803565,34.263,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,30.2535,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.4817,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,35.3565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,32.076,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,23.6196,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,36.803565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,28.13,,14.065,16.878,28.402861,26.4422,,,,percent of total billed charges,,22.504,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,23.3479,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,25.8796,,,,percent of total billed charges,,25.8796,,,,percent of total billed charges,,26.61098,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,27.2861,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,24.7544,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,18.22824,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,16.878,,,,percent of total billed charges,,28.402861,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,26.7235,,,,percent of total billed charges,,22.504,,,,percent of total billed charges,,16.878,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,10.58,,5.29,6.348,10.682626,9.9452,,,,percent of total billed charges,,8.464,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,8.7814,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,9.7336,,,,percent of total billed charges,,9.7336,,,,percent of total billed charges,,10.00868,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,10.2626,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,9.3104,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,6.85584,,,,percent of total billed charges,,9.522,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,10.682626,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,10.051,,,,percent of total billed charges,,8.464,,,,percent of total billed charges,,6.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,147.6,,73.8,88.56,149.03172,138.744,,,,percent of total billed charges,,118.08,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,122.508,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,135.792,,,,percent of total billed charges,,135.792,,,,percent of total billed charges,,139.6296,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,143.172,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,129.888,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,95.6448,,,,percent of total billed charges,,132.84,,,,percent of total billed charges,,88.56,,,,percent of total billed charges,,149.03172,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,140.22,,,,percent of total billed charges,,118.08,,,,percent of total billed charges,,88.56,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SILVER SULFADIAZINE 1 % TOPICAL CREAM [7224],0637,RC,,,,,inpatient,,,30.83,,15.415,18.498,31.129051,28.9802,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,25.5889,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,28.3636,,,,percent of total billed charges,,29.16518,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.9051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,27.1304,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,19.97784,,,,percent of total billed charges,,27.747,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,31.129051,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,29.2885,,,,percent of total billed charges,,24.664,,,,percent of total billed charges,,18.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,,,,,inpatient,,,20.39,,10.195,12.234,20.587783,19.1666,,,,percent of total billed charges,,16.312,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,16.9237,,,,percent of total billed charges,,18.351,,,,percent of total billed charges,,18.7588,,,,percent of total billed charges,,18.7588,,,,percent of total billed charges,,19.28894,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,19.7783,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,17.9432,,,,percent of total billed charges,,18.351,,,,percent of total billed charges,,13.21272,,,,percent of total billed charges,,18.351,,,,percent of total billed charges,,12.234,,,,percent of total billed charges,,20.587783,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,19.3705,,,,percent of total billed charges,,16.312,,,,percent of total billed charges,,12.234,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,,,,,inpatient,,,40.02,,20.01,24.012,40.408194,37.6188,,,,percent of total billed charges,,32.016,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,33.2166,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,36.8184,,,,percent of total billed charges,,36.8184,,,,percent of total billed charges,,37.85892,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,38.8194,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,35.2176,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,25.93296,,,,percent of total billed charges,,36.018,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,40.408194,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,38.019,,,,percent of total billed charges,,32.016,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,,,,,inpatient,,,7.43,,3.715,4.458,7.502071,6.9842,,,,percent of total billed charges,,5.944,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,6.1669,,,,percent of total billed charges,,6.687,,,,percent of total billed charges,,6.8356,,,,percent of total billed charges,,6.8356,,,,percent of total billed charges,,7.02878,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,7.2071,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,6.5384,,,,percent of total billed charges,,6.687,,,,percent of total billed charges,,4.81464,,,,percent of total billed charges,,6.687,,,,percent of total billed charges,,4.458,,,,percent of total billed charges,,7.502071,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,7.0585,,,,percent of total billed charges,,5.944,,,,percent of total billed charges,,4.458,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,,,,,inpatient,,,14.18,,7.09,8.508,14.317546,13.3292,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.7694,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.0456,,,,percent of total billed charges,,13.41428,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.7546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,12.4784,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,9.18864,,,,percent of total billed charges,,12.762,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,14.317546,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,13.471,,,,percent of total billed charges,,11.344,,,,percent of total billed charges,,8.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,,,,,inpatient,,,9.05,,4.525,5.43,9.137785,8.507,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.5115,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.5613,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.7785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.964,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.8644,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,9.137785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMETHICONE 80 MG CHEWABLE TABLET [7227],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMETHICONE 80 MG CHEWABLE TABLET [7227],0637,RC,,,,,inpatient,,,0.84,,0.42,0.504,0.848148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.54432,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.848148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMETHICONE 80 MG CHEWABLE TABLET [7227],0637,RC,,,,,inpatient,,,0.84,,0.42,0.504,0.848148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.54432,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.848148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [7228]",0637,RC,,,,,inpatient,,,9.05,,4.525,5.43,9.137785,8.507,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.5115,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.326,,,,percent of total billed charges,,8.5613,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.7785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.964,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.8644,,,,percent of total billed charges,,8.145,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,9.137785,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,8.5975,,,,percent of total billed charges,,7.24,,,,percent of total billed charges,,5.43,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,,,,,inpatient,,,508.01,,254.005,304.806,512.937697,477.5294,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,421.6483,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,480.57746,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,492.7697,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,447.0488,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,329.19048,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,512.937697,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,,,,,inpatient,,,285.97,,142.985,171.582,288.743909,268.8118,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,237.3551,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,270.52762,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,277.3909,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,251.6536,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,185.30856,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,288.743909,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,,,,,inpatient,,,285.97,,142.985,171.582,288.743909,268.8118,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,237.3551,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,263.0924,,,,percent of total billed charges,,270.52762,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,277.3909,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,251.6536,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,185.30856,,,,percent of total billed charges,,257.373,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,288.743909,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,271.6715,,,,percent of total billed charges,,228.776,,,,percent of total billed charges,,171.582,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,,,,,inpatient,,,343.29,,171.645,205.974,346.619913,322.6926,,,,percent of total billed charges,,274.632,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,284.9307,,,,percent of total billed charges,,308.961,,,,percent of total billed charges,,315.8268,,,,percent of total billed charges,,315.8268,,,,percent of total billed charges,,324.75234,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,332.9913,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,302.0952,,,,percent of total billed charges,,308.961,,,,percent of total billed charges,,222.45192,,,,percent of total billed charges,,308.961,,,,percent of total billed charges,,205.974,,,,percent of total billed charges,,346.619913,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,326.1255,,,,percent of total billed charges,,274.632,,,,percent of total billed charges,,205.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,,,,,inpatient,,,332.99,,166.495,199.794,336.220003,313.0106,,,,percent of total billed charges,,266.392,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,276.3817,,,,percent of total billed charges,,299.691,,,,percent of total billed charges,,306.3508,,,,percent of total billed charges,,306.3508,,,,percent of total billed charges,,315.00854,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,323.0003,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,293.0312,,,,percent of total billed charges,,299.691,,,,percent of total billed charges,,215.77752,,,,percent of total billed charges,,299.691,,,,percent of total billed charges,,199.794,,,,percent of total billed charges,,336.220003,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,316.3405,,,,percent of total billed charges,,266.392,,,,percent of total billed charges,,199.794,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINCALIDE 5 MCG SOLUTION FOR INJECTION [79267],0636,RC,,,,,inpatient,,,508.01,,254.005,304.806,512.937697,477.5294,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,421.6483,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,467.3692,,,,percent of total billed charges,,480.57746,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,492.7697,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,447.0488,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,329.19048,,,,percent of total billed charges,,457.209,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,512.937697,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,482.6095,,,,percent of total billed charges,,406.408,,,,percent of total billed charges,,304.806,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOD BICARB-CITRIC AC-SIMETH 2.21 GRAM-1.53 GRAM/4 GRAM GRANULES EFFERV [215346],0637,RC,,,,,inpatient,,,5.15,,2.575,3.09,5.199955,4.841,,,,percent of total billed charges,,4.12,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.2745,,,,percent of total billed charges,,4.635,,,,percent of total billed charges,,4.738,,,,percent of total billed charges,,4.738,,,,percent of total billed charges,,4.8719,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.9955,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.532,,,,percent of total billed charges,,4.635,,,,percent of total billed charges,,3.3372,,,,percent of total billed charges,,4.635,,,,percent of total billed charges,,3.09,,,,percent of total billed charges,,5.199955,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.8925,,,,percent of total billed charges,,4.12,,,,percent of total billed charges,,3.09,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM 35 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV [136244],0637,RC,,,,,inpatient,,,6.12,,3.06,3.672,6.179364,5.7528,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.0796,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.6304,,,,percent of total billed charges,,5.78952,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.9364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.3856,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.96576,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,6.179364,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,5.814,,,,percent of total billed charges,,4.896,,,,percent of total billed charges,,3.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,,,,,inpatient,,,12.96,,6.48,7.776,13.085712,12.1824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.7568,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,12.26016,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,11.4048,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,8.39808,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,13.085712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,,,,,inpatient,,,26.1,,13.05,15.66,26.35317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,16.9128,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,26.35317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,,,,,inpatient,,,12.96,,6.48,7.776,13.085712,12.1824,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.7568,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,11.9232,,,,percent of total billed charges,,12.26016,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.5712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,11.4048,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,8.39808,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,13.085712,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,12.312,,,,percent of total billed charges,,10.368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,,,,,inpatient,,,26.1,,13.05,15.66,26.35317,24.534,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,21.663,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.012,,,,percent of total billed charges,,24.6906,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,25.317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,16.9128,,,,percent of total billed charges,,23.49,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,26.35317,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,24.795,,,,percent of total billed charges,,20.88,,,,percent of total billed charges,,15.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,,,,,inpatient,,,48.83,,24.415,29.298,49.303651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,31.64184,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,49.303651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,,,,,inpatient,,,67.05,,33.525,40.23,67.700385,63.027,,,,percent of total billed charges,,53.64,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,55.6515,,,,percent of total billed charges,,60.345,,,,percent of total billed charges,,61.686,,,,percent of total billed charges,,61.686,,,,percent of total billed charges,,63.4293,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,65.0385,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,59.004,,,,percent of total billed charges,,60.345,,,,percent of total billed charges,,43.4484,,,,percent of total billed charges,,60.345,,,,percent of total billed charges,,40.23,,,,percent of total billed charges,,67.700385,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,63.6975,,,,percent of total billed charges,,53.64,,,,percent of total billed charges,,40.23,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [7301],0250,RC,,,,,inpatient,,,48.83,,24.415,29.298,49.303651,45.9002,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,40.5289,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,44.9236,,,,percent of total billed charges,,46.19318,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,47.3651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,42.9704,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,31.64184,,,,percent of total billed charges,,43.947,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,49.303651,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,46.3885,,,,percent of total billed charges,,39.064,,,,percent of total billed charges,,29.298,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,35.78,,17.89,21.468,36.127066,33.6332,,,,percent of total billed charges,,28.624,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,29.6974,,,,percent of total billed charges,,32.202,,,,percent of total billed charges,,32.9176,,,,percent of total billed charges,,32.9176,,,,percent of total billed charges,,33.84788,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,34.7066,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,31.4864,,,,percent of total billed charges,,32.202,,,,percent of total billed charges,,23.18544,,,,percent of total billed charges,,32.202,,,,percent of total billed charges,,21.468,,,,percent of total billed charges,,36.127066,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,33.991,,,,percent of total billed charges,,28.624,,,,percent of total billed charges,,21.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,24.75,,12.375,14.85,24.990075,23.265,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,20.5425,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,22.77,,,,percent of total billed charges,,23.4135,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,24.0075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,21.78,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,22.275,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,24.990075,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,23.5125,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,14.85,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,22.73,,11.365,13.638,22.950481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,14.72904,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,22.950481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,22.73,,11.365,13.638,22.950481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,14.72904,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,22.950481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,33.08,,16.54,19.848,33.400876,31.0952,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,27.4564,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,31.29368,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,32.0876,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,29.1104,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,21.43584,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,33.400876,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,33.08,,16.54,19.848,33.400876,31.0952,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,27.4564,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,30.4336,,,,percent of total billed charges,,31.29368,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,32.0876,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,29.1104,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,21.43584,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,33.400876,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,31.426,,,,percent of total billed charges,,26.464,,,,percent of total billed charges,,19.848,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,36,,18,21.6,36.3492,33.84,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,29.88,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.92,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,23.328,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,36.3492,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,34.2,,,,percent of total billed charges,,28.8,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML PEDS INFUSION [1000406],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE [214462],0250,RC,,,,,inpatient,,,49.68,,24.84,29.808,50.161896,46.6992,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,41.2344,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,45.7056,,,,percent of total billed charges,,46.99728,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,48.1896,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,43.7184,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,32.19264,,,,percent of total billed charges,,44.712,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,50.161896,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,47.196,,,,percent of total billed charges,,39.744,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE [214462],0250,RC,,,,,inpatient,,,72.18,,36.09,43.308,72.880146,67.8492,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,59.9094,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,68.28228,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,70.0146,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,63.5184,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,46.77264,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,72.880146,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE [214462],0250,RC,,,,,inpatient,,,72.18,,36.09,43.308,72.880146,67.8492,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,59.9094,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,66.4056,,,,percent of total billed charges,,68.28228,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,70.0146,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,63.5184,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,46.77264,,,,percent of total billed charges,,64.962,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,72.880146,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,68.571,,,,percent of total billed charges,,57.744,,,,percent of total billed charges,,43.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 2% IN NS NEB SOLUTION [7000028],0250,RC,,,,,inpatient,,,35.51,,17.755,21.306,35.854447,33.3794,,,,percent of total billed charges,,28.408,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,29.4733,,,,percent of total billed charges,,31.959,,,,percent of total billed charges,,32.6692,,,,percent of total billed charges,,32.6692,,,,percent of total billed charges,,33.59246,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,34.4447,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,31.2488,,,,percent of total billed charges,,31.959,,,,percent of total billed charges,,23.01048,,,,percent of total billed charges,,31.959,,,,percent of total billed charges,,21.306,,,,percent of total billed charges,,35.854447,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,33.7345,,,,percent of total billed charges,,28.408,,,,percent of total billed charges,,21.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [86407],0250,RC,,,,,inpatient,,,58.32,,29.16,34.992,58.885704,54.8208,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,48.4056,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,55.17072,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,56.5704,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,51.3216,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,37.79136,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,58.885704,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE [86407],0250,RC,,,,,inpatient,,,58.32,,29.16,34.992,58.885704,54.8208,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,48.4056,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,53.6544,,,,percent of total billed charges,,55.17072,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,56.5704,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,51.3216,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,37.79136,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,58.885704,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,55.404,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRINGE - CHI [7000107],0250,RC,,,,,inpatient,,,8.98,,4.49,5.388,9.067106,8.4412,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.4534,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.49508,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.7106,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.9024,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,5.81904,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,9.067106,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRINGE - CHI [7000107],0250,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,,,,,inpatient,,,8.98,,4.49,5.388,9.067106,8.4412,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.4534,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.2616,,,,percent of total billed charges,,8.49508,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.7106,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.9024,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,5.81904,,,,percent of total billed charges,,8.082,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,9.067106,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,8.531,,,,percent of total billed charges,,7.184,,,,percent of total billed charges,,5.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,,,,,inpatient,,,3.6,,1.8,2.16,3.63492,3.384,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.988,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.312,,,,percent of total billed charges,,3.4056,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.168,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.3328,,,,percent of total billed charges,,3.24,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,3.63492,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,3.42,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,,,,,inpatient,,,19.58,,9.79,11.748,19.769926,18.4052,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,16.2514,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.52268,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.9926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,17.2304,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,12.68784,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,19.769926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION [7306],0250,RC,,,,,inpatient,,,19.58,,9.79,11.748,19.769926,18.4052,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,16.2514,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.52268,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.9926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,17.2304,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,12.68784,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,19.769926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 650 MG TABLET [7313],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 7.5 % (0.9 MEQ/ML) INTRAVENOUS SYRINGE [86161],0250,RC,,,,,inpatient,,,57.15,,28.575,34.29,57.704355,53.721,,,,percent of total billed charges,,45.72,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,47.4345,,,,percent of total billed charges,,51.435,,,,percent of total billed charges,,52.578,,,,percent of total billed charges,,52.578,,,,percent of total billed charges,,54.0639,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,55.4355,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,50.292,,,,percent of total billed charges,,51.435,,,,percent of total billed charges,,37.0332,,,,percent of total billed charges,,51.435,,,,percent of total billed charges,,34.29,,,,percent of total billed charges,,57.704355,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,54.2925,,,,percent of total billed charges,,45.72,,,,percent of total billed charges,,34.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [86408],0250,RC,,,,,inpatient,,,61.2,,30.6,36.72,61.79364,57.528,,,,percent of total billed charges,,48.96,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,50.796,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,56.304,,,,percent of total billed charges,,56.304,,,,percent of total billed charges,,57.8952,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,59.364,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,53.856,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,39.6576,,,,percent of total billed charges,,55.08,,,,percent of total billed charges,,36.72,,,,percent of total billed charges,,61.79364,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,58.14,,,,percent of total billed charges,,48.96,,,,percent of total billed charges,,36.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [86408],0250,RC,,,,,inpatient,,,54.9,,27.45,32.94,55.43253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,35.5752,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,55.43253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE [86408],0250,RC,,,,,inpatient,,,54.9,,27.45,32.94,55.43253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,35.5752,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,55.43253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.45 % IV BOLUS [1000407],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [7318],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0637,RC,,,,,inpatient,,,4.16,,2.08,2.496,4.200352,3.9104,,,,percent of total billed charges,,3.328,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.4528,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,3.8272,,,,percent of total billed charges,,3.8272,,,,percent of total billed charges,,3.93536,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,4.0352,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.6608,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,2.69568,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,4.200352,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.952,,,,percent of total billed charges,,3.328,,,,percent of total billed charges,,2.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0637,RC,,,,,inpatient,,,9.9,,4.95,5.94,9.99603,9.306,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.217,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.108,,,,percent of total billed charges,,9.3654,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,8.712,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,6.4152,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,9.99603,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,9.405,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,5.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [29676],0637,RC,,,,,inpatient,,,4.66,,2.33,2.796,4.705202,4.3804,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.8678,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.40836,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.5202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.1008,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,3.01968,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,4.705202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,3.2,,1.6,1.92,3.23104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.0736,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,3.23104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,6.48,,3.24,3.888,6.542856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.19904,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.542856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,4.77,,2.385,2.862,4.816269,4.4838,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.9591,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.51242,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.6269,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.1976,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,3.09096,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,4.816269,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,1.94,,0.97,1.164,1.958818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.25712,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.958818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,1.94,,0.97,1.164,1.958818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.25712,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.958818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,8.55,,4.275,5.13,8.632935,8.037,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.0965,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0883,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.2935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.5404,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,8.632935,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,8.1225,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,4.77,,2.385,2.862,4.816269,4.4838,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.9591,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.3884,,,,percent of total billed charges,,4.51242,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.6269,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.1976,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,3.09096,,,,percent of total billed charges,,4.293,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,4.816269,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,4.5315,,,,percent of total billed charges,,3.816,,,,percent of total billed charges,,2.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,3.2,,1.6,1.92,3.23104,3.008,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.656,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,2.944,,,,percent of total billed charges,,3.0272,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.816,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,2.0736,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,3.23104,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,3.04,,,,percent of total billed charges,,2.56,,,,percent of total billed charges,,1.92,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [7319],0250,RC,,,,,inpatient,,,6.48,,3.24,3.888,6.542856,6.0912,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.3784,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,5.9616,,,,percent of total billed charges,,6.13008,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.2856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.7024,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,4.19904,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,6.542856,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,6.156,,,,percent of total billed charges,,5.184,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,12.15,,6.075,7.29,12.267855,11.421,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.0845,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,11.4939,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.7855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.8732,,,,percent of total billed charges,,10.935,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,12.267855,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,11.5425,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [95121],0258,RC,,,,,inpatient,,,13.05,,6.525,7.83,13.176585,12.267,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.8315,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.006,,,,percent of total billed charges,,12.3453,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.6585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,11.484,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,8.4564,,,,percent of total billed charges,,11.745,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,13.176585,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,12.3975,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.83,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,11.37,,5.685,6.822,11.480289,10.6878,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.4371,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.75602,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,11.0289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.0056,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,7.36776,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,11.480289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,5.63,,2.815,3.378,5.684611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.64824,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.684611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,6.53,,3.265,3.918,6.593341,6.1382,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.4199,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.0076,,,,percent of total billed charges,,6.17738,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.3341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.7464,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,4.23144,,,,percent of total billed charges,,5.877,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,6.593341,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,6.2035,,,,percent of total billed charges,,5.224,,,,percent of total billed charges,,3.918,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,6.08,,3.04,3.648,6.138976,5.7152,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.0464,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.5936,,,,percent of total billed charges,,5.75168,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.8976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.3504,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.93984,,,,percent of total billed charges,,5.472,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,6.138976,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,5.776,,,,percent of total billed charges,,4.864,,,,percent of total billed charges,,3.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,6.3,,3.15,3.78,6.36111,5.922,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.229,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9598,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,4.0824,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,6.36111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,7.2,,3.6,4.32,7.26984,6.768,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.976,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,6.8112,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.336,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.6656,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,7.26984,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,6.84,,,,percent of total billed charges,,5.76,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,22.95,,11.475,13.77,23.172615,21.573,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,19.0485,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.114,,,,percent of total billed charges,,21.7107,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,22.2615,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,20.196,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,14.8716,,,,percent of total billed charges,,20.655,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,23.172615,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,21.8025,,,,percent of total billed charges,,18.36,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,4.5,,2.25,2.7,4.54365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.54365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,,,,,inpatient,,,5.63,,2.815,3.378,5.684611,5.2922,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.6729,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.1796,,,,percent of total billed charges,,5.32598,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.4611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.9544,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.64824,,,,percent of total billed charges,,5.067,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,5.684611,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,5.3485,,,,percent of total billed charges,,4.504,,,,percent of total billed charges,,3.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IV BOLUS [1000320],0258,RC,,,,,inpatient,,,6.3,,3.15,3.78,6.36111,5.922,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.229,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.796,,,,percent of total billed charges,,5.9598,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,6.111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.544,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,4.0824,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,6.36111,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.985,,,,percent of total billed charges,,5.04,,,,percent of total billed charges,,3.78,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION [4720],0636,RC,,,,,inpatient,,,12.91,,6.455,7.746,13.035227,12.1354,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.7153,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,12.21286,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.5227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,11.3608,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,8.36568,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,13.035227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [88357],0636,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,9.18,,4.59,5.508,9.269046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.94864,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,9.269046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,3.51,,1.755,2.106,3.544047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.27448,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.544047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,7.7,,3.85,4.62,7.77469,7.238,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.391,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.2842,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.776,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,7.77469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,3.51,,1.755,2.106,3.544047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.27448,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.544047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,7.7,,3.85,4.62,7.77469,7.238,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.391,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.084,,,,percent of total billed charges,,7.2842,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.776,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.9896,,,,percent of total billed charges,,6.93,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,7.77469,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,7.315,,,,percent of total billed charges,,6.16,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION [7028]",0250,RC,,,,,inpatient,,,9.18,,4.59,5.508,9.269046,8.6292,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.6194,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.4456,,,,percent of total billed charges,,8.68428,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.9046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.0784,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.94864,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,9.269046,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,8.721,,,,percent of total billed charges,,7.344,,,,percent of total billed charges,,5.508,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9% INTRAVENOUS BAG/VIAL WRAPPER FOR MIXTURES [1001955],0250,RC,,,,,inpatient,,,11.37,,5.685,6.822,11.480289,10.6878,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.4371,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.4604,,,,percent of total billed charges,,10.75602,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,11.0289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.0056,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,7.36776,,,,percent of total billed charges,,10.233,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,11.480289,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,10.8015,,,,percent of total billed charges,,9.096,,,,percent of total billed charges,,6.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9% INTRAVENOUS BAG/VIAL WRAPPER FOR MIXTURES [1001955],0250,RC,,,,,inpatient,,,1.94,,0.97,1.164,1.958818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.25712,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.958818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,,,,,inpatient,,,0.85,,0.425,0.51,0.858245,0.799,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.7055,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.782,,,,percent of total billed charges,,0.8041,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.748,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.5508,,,,percent of total billed charges,,0.765,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,0.858245,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.8075,,,,percent of total billed charges,,0.68,,,,percent of total billed charges,,0.51,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET [95628]",0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 10% IN SW NEB SOLUTION [7000029],0250,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,,,,,inpatient,,,22.68,,11.34,13.608,22.899996,21.3192,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,18.8244,,,,percent of total billed charges,,20.412,,,,percent of total billed charges,,20.8656,,,,percent of total billed charges,,20.8656,,,,percent of total billed charges,,21.45528,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,21.9996,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,19.9584,,,,percent of total billed charges,,20.412,,,,percent of total billed charges,,14.69664,,,,percent of total billed charges,,20.412,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,22.899996,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,21.546,,,,percent of total billed charges,,18.144,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,,,,,inpatient,,,14.31,,7.155,8.586,14.448807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,9.27288,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,14.448807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,,,,,inpatient,,,14.31,,7.155,8.586,14.448807,13.4514,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.8773,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.1652,,,,percent of total billed charges,,13.53726,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.8807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,12.5928,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,9.27288,,,,percent of total billed charges,,12.879,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,14.448807,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,13.5945,,,,percent of total billed charges,,11.448,,,,percent of total billed charges,,8.586,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION [88453],0250,RC,,,,,inpatient,,,14.04,,7.02,8.424,14.176188,13.1976,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.6532,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,12.9168,,,,percent of total billed charges,,13.28184,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.6188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,12.3552,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,9.09792,,,,percent of total billed charges,,12.636,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,14.176188,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,13.338,,,,percent of total billed charges,,11.232,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 2.5 MEQ/ML ORAL LIQUID [192078],0637,RC,,,,,inpatient,,,2.84,,1.42,1.704,2.867548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.84032,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.867548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % FOR NEBULIZATION [7327],0637,RC,,,,,inpatient,,,2.91,,1.455,1.746,2.938227,2.7354,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.4153,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.6772,,,,percent of total billed charges,,2.75286,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.8227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.5608,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.88568,,,,percent of total billed charges,,2.619,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,2.938227,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.7645,,,,percent of total billed charges,,2.328,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION [7321],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3 % HYPERTONIC IV BOLUS [1000704],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 3% HYPTERTONIC INJECTION [7000141],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,,,,,inpatient,,,15.3,,7.65,9.18,15.44841,14.382,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.4738,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.841,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,9.9144,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,15.44841,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,,,,,inpatient,,,15.3,,7.65,9.18,15.44841,14.382,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.699,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.076,,,,percent of total billed charges,,14.4738,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.841,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,13.464,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,9.9144,,,,percent of total billed charges,,13.77,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,15.44841,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,14.535,,,,percent of total billed charges,,12.24,,,,percent of total billed charges,,9.18,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,,,,,inpatient,,,13.37,,6.685,8.022,13.499689,12.5678,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.0971,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.64802,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.9689,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.7656,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,8.66376,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,13.499689,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,,,,,inpatient,,,13.37,,6.685,8.022,13.499689,12.5678,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.0971,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.3004,,,,percent of total billed charges,,12.64802,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.9689,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,11.7656,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,8.66376,,,,percent of total billed charges,,12.033,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,13.499689,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,12.7015,,,,percent of total billed charges,,10.696,,,,percent of total billed charges,,8.022,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,,,,,inpatient,,,50.4,,25.2,30.24,50.88888,47.376,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,41.832,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,47.6784,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,32.6592,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,50.88888,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [7322],0250,RC,,,,,inpatient,,,50.4,,25.2,30.24,50.88888,47.376,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,41.832,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,46.368,,,,percent of total billed charges,,47.6784,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,48.888,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,44.352,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,32.6592,,,,percent of total billed charges,,45.36,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,50.88888,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,47.88,,,,percent of total billed charges,,40.32,,,,percent of total billed charges,,30.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE [197628],0250,RC,,,,,inpatient,,,41.31,,20.655,24.786,41.710707,38.8314,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,34.2873,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,38.0052,,,,percent of total billed charges,,39.07926,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,40.0707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,36.3528,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,26.76888,,,,percent of total billed charges,,37.179,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,41.710707,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,39.2445,,,,percent of total billed charges,,33.048,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION [164713],0250,RC,,,,,inpatient,,,418.5,,209.25,251.1,422.55945,393.39,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,347.355,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,385.02,,,,percent of total billed charges,,395.901,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,405.945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,368.28,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,271.188,,,,percent of total billed charges,,376.65,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,422.55945,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,397.575,,,,percent of total billed charges,,334.8,,,,percent of total billed charges,,251.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION [164713],0250,RC,,,,,inpatient,,,2.1,,1.05,1.26,2.12037,1.974,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.743,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.932,,,,percent of total billed charges,,1.9866,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,2.037,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.3608,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,2.12037,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.995,,,,percent of total billed charges,,1.68,,,,percent of total billed charges,,1.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,,,,,inpatient,,,19.17,,9.585,11.502,19.355949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,12.42216,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,19.355949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,,,,,inpatient,,,53.22,,26.61,31.932,53.736234,50.0268,,,,percent of total billed charges,,42.576,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,44.1726,,,,percent of total billed charges,,47.898,,,,percent of total billed charges,,48.9624,,,,percent of total billed charges,,48.9624,,,,percent of total billed charges,,50.34612,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,51.6234,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,46.8336,,,,percent of total billed charges,,47.898,,,,percent of total billed charges,,34.48656,,,,percent of total billed charges,,47.898,,,,percent of total billed charges,,31.932,,,,percent of total billed charges,,53.736234,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,50.559,,,,percent of total billed charges,,42.576,,,,percent of total billed charges,,31.932,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,,,,,inpatient,,,5.54,,2.77,3.324,5.593738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.58992,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.593738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,,,,,inpatient,,,19.17,,9.585,11.502,19.355949,18.0198,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.9111,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,17.6364,,,,percent of total billed charges,,18.13482,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.5949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,16.8696,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,12.42216,,,,percent of total billed charges,,17.253,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,19.355949,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,18.2115,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,11.502,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,,,,,inpatient,,,20.79,,10.395,12.474,20.991663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,13.47192,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,20.991663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [15706],0637,RC,,,,,inpatient,,,20.79,,10.395,12.474,20.991663,19.5426,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,17.2557,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.1268,,,,percent of total billed charges,,19.66734,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,20.1663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,18.2952,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,13.47192,,,,percent of total billed charges,,18.711,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,20.991663,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,19.7505,,,,percent of total billed charges,,16.632,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,,,,,inpatient,,,36.05,,18.025,21.63,36.399685,33.887,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,29.9215,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,34.1033,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.9685,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,31.724,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,23.3604,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,36.399685,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,,,,,inpatient,,,62.04,,31.02,37.224,62.641788,58.3176,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,51.4932,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,58.68984,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,60.1788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,54.5952,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,40.20192,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,62.641788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,,,,,inpatient,,,62.04,,31.02,37.224,62.641788,58.3176,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,51.4932,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,57.0768,,,,percent of total billed charges,,58.68984,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,60.1788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,54.5952,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,40.20192,,,,percent of total billed charges,,55.836,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,62.641788,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,58.938,,,,percent of total billed charges,,49.632,,,,percent of total billed charges,,37.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,,,,,inpatient,,,36.05,,18.025,21.63,36.399685,33.887,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,29.9215,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,33.166,,,,percent of total billed charges,,34.1033,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.9685,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,31.724,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,23.3604,,,,percent of total billed charges,,32.445,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,36.399685,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,34.2475,,,,percent of total billed charges,,28.84,,,,percent of total billed charges,,21.63,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,,,,,inpatient,,,72.09,,36.045,43.254,72.789273,67.7646,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,59.8347,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,66.3228,,,,percent of total billed charges,,66.3228,,,,percent of total billed charges,,68.19714,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,69.9273,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,63.4392,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,46.71432,,,,percent of total billed charges,,64.881,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,72.789273,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,68.4855,,,,percent of total billed charges,,57.672,,,,percent of total billed charges,,43.254,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [82086],0636,RC,,,,,inpatient,,,14.42,,7.21,8.652,14.559874,13.5548,,,,percent of total billed charges,,11.536,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,11.9686,,,,percent of total billed charges,,12.978,,,,percent of total billed charges,,13.2664,,,,percent of total billed charges,,13.2664,,,,percent of total billed charges,,13.64132,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,13.9874,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,12.6896,,,,percent of total billed charges,,12.978,,,,percent of total billed charges,,9.34416,,,,percent of total billed charges,,12.978,,,,percent of total billed charges,,8.652,,,,percent of total billed charges,,14.559874,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,13.699,,,,percent of total billed charges,,11.536,,,,percent of total billed charges,,8.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM GLYCEROPHOSPHATE 1 MMOL/ML INTRAVENOUS SOLUTION [216888],0250,RC,,,,,inpatient,,,47.16,,23.58,28.296,47.617452,44.3304,,,,percent of total billed charges,,37.728,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,39.1428,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,43.3872,,,,percent of total billed charges,,43.3872,,,,percent of total billed charges,,44.61336,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,45.7452,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,41.5008,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,30.55968,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,28.296,,,,percent of total billed charges,,47.617452,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,44.802,,,,percent of total billed charges,,37.728,,,,percent of total billed charges,,28.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM GLYCEROPHOSPHATE 1 MMOL/ML INTRAVENOUS SOLUTION [216888],0250,RC,,,,,inpatient,,,23.58,,11.79,14.148,23.808726,22.1652,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,19.5714,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,21.6936,,,,percent of total billed charges,,22.30668,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.8726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,20.7504,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,15.27984,,,,percent of total billed charges,,21.222,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,23.808726,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,22.401,,,,percent of total billed charges,,18.864,,,,percent of total billed charges,,14.148,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.125 % SOLUTION [102280],0250,RC,,,,,inpatient,,,57.47,,28.735,34.482,58.027459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,37.24056,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,58.027459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.25 % SOLUTION [83461],0250,RC,,,,,inpatient,,,57.47,,28.735,34.482,58.027459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,37.24056,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,58.027459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.25 % SOLUTION [83461],0250,RC,,,,,inpatient,,,40.45,,20.225,24.27,40.842365,38.023,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,33.5735,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,38.2657,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,39.2365,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,35.596,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,26.2116,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,40.842365,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.5 % SOLUTION [83462],0250,RC,,,,,inpatient,,,57.47,,28.735,34.482,58.027459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,37.24056,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,58.027459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.5% SOLUTION FOR WOUND VAC [1000872],0250,RC,,,,,inpatient,,,57.47,,28.735,34.482,58.027459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,37.24056,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,58.027459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE 0.5% SOLUTION FOR WOUND VAC [1000872],0250,RC,,,,,inpatient,,,40.45,,20.225,24.27,40.842365,38.023,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,33.5735,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,37.214,,,,percent of total billed charges,,38.2657,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,39.2365,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,35.596,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,26.2116,,,,percent of total billed charges,,36.405,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,40.842365,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,38.4275,,,,percent of total billed charges,,32.36,,,,percent of total billed charges,,24.27,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.125% (QUARTER STRENGTH) FOR WOUND VAC [1000874],0250,RC,,,,,inpatient,,,57.47,,28.735,34.482,58.027459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,37.24056,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,58.027459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.125% (QUARTER STRENGTH) FOR WOUND VAC [1000874],0250,RC,,,,,inpatient,,,76.5,,38.25,45.9,77.24205,71.91,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,63.495,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,72.369,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,74.205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,77.24205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.25% (HALF STRENGTH) FOR WOUND VAC [1000873],0250,RC,,,,,inpatient,,,57.47,,28.735,34.482,58.027459,54.0218,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,47.7001,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,52.8724,,,,percent of total billed charges,,54.36662,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,55.7459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,50.5736,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,37.24056,,,,percent of total billed charges,,51.723,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,58.027459,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,54.5965,,,,percent of total billed charges,,45.976,,,,percent of total billed charges,,34.482,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM HYPOCHLORITE SOLN 0.25% (HALF STRENGTH) FOR WOUND VAC [1000873],0250,RC,,,,,inpatient,,,76.5,,38.25,45.9,77.24205,71.91,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,63.495,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,70.38,,,,percent of total billed charges,,72.369,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,74.205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,67.32,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,49.572,,,,percent of total billed charges,,68.85,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,77.24205,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,72.675,,,,percent of total billed charges,,61.2,,,,percent of total billed charges,,45.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN [203582],0636,RC,,,,,inpatient,,,855.09,,427.545,513.054,863.384373,803.7846,,,,percent of total billed charges,,684.072,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,709.7247,,,,percent of total billed charges,,769.581,,,,percent of total billed charges,,786.6828,,,,percent of total billed charges,,786.6828,,,,percent of total billed charges,,808.91514,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,829.4373,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,752.4792,,,,percent of total billed charges,,769.581,,,,percent of total billed charges,,554.09832,,,,percent of total billed charges,,769.581,,,,percent of total billed charges,,513.054,,,,percent of total billed charges,,863.384373,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,812.3355,,,,percent of total billed charges,,684.072,,,,percent of total billed charges,,513.054,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [18908],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,29.14,,14.57,17.484,29.422658,27.3916,,,,percent of total billed charges,,23.312,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,24.1862,,,,percent of total billed charges,,26.226,,,,percent of total billed charges,,26.8088,,,,percent of total billed charges,,26.8088,,,,percent of total billed charges,,27.56644,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,28.2658,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,25.6432,,,,percent of total billed charges,,26.226,,,,percent of total billed charges,,18.88272,,,,percent of total billed charges,,26.226,,,,percent of total billed charges,,17.484,,,,percent of total billed charges,,29.422658,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,27.683,,,,percent of total billed charges,,23.312,,,,percent of total billed charges,,17.484,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,35.55,,17.775,21.33,35.894835,33.417,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,29.5065,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,32.706,,,,percent of total billed charges,,33.6303,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,34.4835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,31.284,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,23.0364,,,,percent of total billed charges,,31.995,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,35.894835,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,33.7725,,,,percent of total billed charges,,28.44,,,,percent of total billed charges,,21.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,87.42,,43.71,52.452,88.267974,82.1748,,,,percent of total billed charges,,69.936,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,72.5586,,,,percent of total billed charges,,78.678,,,,percent of total billed charges,,80.4264,,,,percent of total billed charges,,80.4264,,,,percent of total billed charges,,82.69932,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,84.7974,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,76.9296,,,,percent of total billed charges,,78.678,,,,percent of total billed charges,,56.64816,,,,percent of total billed charges,,78.678,,,,percent of total billed charges,,52.452,,,,percent of total billed charges,,88.267974,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,83.049,,,,percent of total billed charges,,69.936,,,,percent of total billed charges,,52.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,63.79,,31.895,38.274,64.408763,59.9626,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,52.9457,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,60.34534,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,61.8763,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,56.1352,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,41.33592,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,64.408763,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,63.79,,31.895,38.274,64.408763,59.9626,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,52.9457,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,58.6868,,,,percent of total billed charges,,60.34534,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,61.8763,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,56.1352,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,41.33592,,,,percent of total billed charges,,57.411,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,64.408763,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,60.6005,,,,percent of total billed charges,,51.032,,,,percent of total billed charges,,38.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,498.38,,249.19,299.028,503.214286,468.4772,,,,percent of total billed charges,,398.704,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,413.6554,,,,percent of total billed charges,,448.542,,,,percent of total billed charges,,458.5096,,,,percent of total billed charges,,458.5096,,,,percent of total billed charges,,471.46748,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,483.4286,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,438.5744,,,,percent of total billed charges,,448.542,,,,percent of total billed charges,,322.95024,,,,percent of total billed charges,,448.542,,,,percent of total billed charges,,299.028,,,,percent of total billed charges,,503.214286,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,473.461,,,,percent of total billed charges,,398.704,,,,percent of total billed charges,,299.028,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,149.45,,74.725,89.67,150.899665,140.483,,,,percent of total billed charges,,119.56,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,124.0435,,,,percent of total billed charges,,134.505,,,,percent of total billed charges,,137.494,,,,percent of total billed charges,,137.494,,,,percent of total billed charges,,141.3797,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,144.9665,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,131.516,,,,percent of total billed charges,,134.505,,,,percent of total billed charges,,96.8436,,,,percent of total billed charges,,134.505,,,,percent of total billed charges,,89.67,,,,percent of total billed charges,,150.899665,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,141.9775,,,,percent of total billed charges,,119.56,,,,percent of total billed charges,,89.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,70.43,,35.215,42.258,71.113171,66.2042,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,58.4569,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,66.62678,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,68.3171,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,61.9784,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,45.63864,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,71.113171,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,70.43,,35.215,42.258,71.113171,66.2042,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,58.4569,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,64.7956,,,,percent of total billed charges,,66.62678,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,68.3171,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,61.9784,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,45.63864,,,,percent of total billed charges,,63.387,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,71.113171,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,66.9085,,,,percent of total billed charges,,56.344,,,,percent of total billed charges,,42.258,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,10.51,,5.255,6.306,10.611947,9.8794,,,,percent of total billed charges,,8.408,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,8.7233,,,,percent of total billed charges,,9.459,,,,percent of total billed charges,,9.6692,,,,percent of total billed charges,,9.6692,,,,percent of total billed charges,,9.94246,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,10.1947,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,9.2488,,,,percent of total billed charges,,9.459,,,,percent of total billed charges,,6.81048,,,,percent of total billed charges,,9.459,,,,percent of total billed charges,,6.306,,,,percent of total billed charges,,10.611947,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,9.9845,,,,percent of total billed charges,,8.408,,,,percent of total billed charges,,6.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [7351],0250,RC,,,,,inpatient,,,19.43,,9.715,11.658,19.618471,18.2642,,,,percent of total billed charges,,15.544,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,16.1269,,,,percent of total billed charges,,17.487,,,,percent of total billed charges,,17.8756,,,,percent of total billed charges,,17.8756,,,,percent of total billed charges,,18.38078,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,18.8471,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,17.0984,,,,percent of total billed charges,,17.487,,,,percent of total billed charges,,12.59064,,,,percent of total billed charges,,17.487,,,,percent of total billed charges,,11.658,,,,percent of total billed charges,,19.618471,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,18.4585,,,,percent of total billed charges,,15.544,,,,percent of total billed charges,,11.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [81125],0637,RC,,,,,inpatient,,,7.03,,3.515,4.218,7.098191,6.6082,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.8349,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.4676,,,,percent of total billed charges,,6.65038,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.8191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.1864,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.55544,,,,percent of total billed charges,,6.327,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,7.098191,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,6.6785,,,,percent of total billed charges,,5.624,,,,percent of total billed charges,,4.218,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA [134857],0637,RC,,,,,inpatient,,,5.35,,2.675,3.21,5.401895,5.029,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.4405,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,4.922,,,,percent of total billed charges,,5.0611,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.1895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.708,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.4668,,,,percent of total billed charges,,4.815,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,5.401895,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,5.0825,,,,percent of total billed charges,,4.28,,,,percent of total billed charges,,3.21,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM POLYSTYRENE SULFONATE ORAL POWDER [7356],0637,RC,,,,,inpatient,,,33.55,,16.775,20.13,33.875435,31.537,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,27.8465,,,,percent of total billed charges,,30.195,,,,percent of total billed charges,,30.866,,,,percent of total billed charges,,30.866,,,,percent of total billed charges,,31.7383,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,32.5435,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,29.524,,,,percent of total billed charges,,30.195,,,,percent of total billed charges,,21.7404,,,,percent of total billed charges,,30.195,,,,percent of total billed charges,,20.13,,,,percent of total billed charges,,33.875435,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,31.8725,,,,percent of total billed charges,,26.84,,,,percent of total billed charges,,20.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM POLYSTYRENE SULFONATE ORAL POWDER [7356],0637,RC,,,,,inpatient,,,51.71,,25.855,31.026,52.211587,48.6074,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,42.9193,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,47.5732,,,,percent of total billed charges,,48.91766,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,50.1587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,45.5048,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,33.50808,,,,percent of total billed charges,,46.539,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,52.211587,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,49.1245,,,,percent of total billed charges,,41.368,,,,percent of total billed charges,,31.026,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION [79542],0250,RC,,,,,inpatient,,,306.81,,153.405,184.086,309.786057,288.4014,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,254.6523,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,290.24226,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,297.6057,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,269.9928,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,198.81288,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,309.786057,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION [79542],0250,RC,,,,,inpatient,,,306.81,,153.405,184.086,309.786057,288.4014,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,254.6523,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,282.2652,,,,percent of total billed charges,,290.24226,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,297.6057,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,269.9928,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,198.81288,,,,percent of total billed charges,,276.129,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,309.786057,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,291.4695,,,,percent of total billed charges,,245.448,,,,percent of total billed charges,,184.086,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,,,,,inpatient,,,234.01,,117.005,140.406,236.279897,219.9694,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,194.2283,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,221.37346,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,226.9897,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,205.9288,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,151.63848,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,236.279897,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,,,,,inpatient,,,234.01,,117.005,140.406,236.279897,219.9694,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,194.2283,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,215.2892,,,,percent of total billed charges,,221.37346,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,226.9897,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,205.9288,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,151.63848,,,,percent of total billed charges,,210.609,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,236.279897,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,222.3095,,,,percent of total billed charges,,187.208,,,,percent of total billed charges,,140.406,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,,,,,inpatient,,,233.47,,116.735,140.082,235.734659,219.4618,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,193.7801,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,220.86262,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,226.4659,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,205.4536,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,151.28856,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,235.734659,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION [80242],0250,RC,,,,,inpatient,,,233.47,,116.735,140.082,235.734659,219.4618,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,193.7801,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,214.7924,,,,percent of total billed charges,,220.86262,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,226.4659,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,205.4536,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,151.28856,,,,percent of total billed charges,,210.123,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,235.734659,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,221.7965,,,,percent of total billed charges,,186.776,,,,percent of total billed charges,,140.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],0250,RC,,,,,inpatient,,,65.25,,32.625,39.15,65.882925,61.335,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,54.1575,,,,percent of total billed charges,,58.725,,,,percent of total billed charges,,60.03,,,,percent of total billed charges,,60.03,,,,percent of total billed charges,,61.7265,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,63.2925,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,57.42,,,,percent of total billed charges,,58.725,,,,percent of total billed charges,,42.282,,,,percent of total billed charges,,58.725,,,,percent of total billed charges,,39.15,,,,percent of total billed charges,,65.882925,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,61.9875,,,,percent of total billed charges,,52.2,,,,percent of total billed charges,,39.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [7364],0250,RC,,,,,inpatient,,,436.5,,218.25,261.9,440.73405,410.31,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,362.295,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,401.58,,,,percent of total billed charges,,412.929,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,423.405,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,384.12,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,282.852,,,,percent of total billed charges,,392.85,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,440.73405,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,414.675,,,,percent of total billed charges,,349.2,,,,percent of total billed charges,,261.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [240165],0250,RC,,,,,inpatient,,,81.45,,40.725,48.87,82.240065,76.563,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,67.6035,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,77.0517,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,79.0065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,71.676,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,52.7796,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,82.240065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET [240165],0250,RC,,,,,inpatient,,,81.45,,40.725,48.87,82.240065,76.563,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,67.6035,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,77.0517,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,79.0065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,71.676,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,52.7796,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,82.240065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET [240161],0250,RC,,,,,inpatient,,,81.45,,40.725,48.87,82.240065,76.563,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,67.6035,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,74.934,,,,percent of total billed charges,,77.0517,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,79.0065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,71.676,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,52.7796,,,,percent of total billed charges,,73.305,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,82.240065,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,77.3775,,,,percent of total billed charges,,65.16,,,,percent of total billed charges,,48.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,,,,,inpatient,,,211.87,,105.935,127.122,213.925139,199.1578,,,,percent of total billed charges,,169.496,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,175.8521,,,,percent of total billed charges,,190.683,,,,percent of total billed charges,,194.9204,,,,percent of total billed charges,,194.9204,,,,percent of total billed charges,,200.42902,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,205.5139,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,186.4456,,,,percent of total billed charges,,190.683,,,,percent of total billed charges,,137.29176,,,,percent of total billed charges,,190.683,,,,percent of total billed charges,,127.122,,,,percent of total billed charges,,213.925139,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,201.2765,,,,percent of total billed charges,,169.496,,,,percent of total billed charges,,127.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,,,,,inpatient,,,105.94,,52.97,63.564,106.967618,99.5836,,,,percent of total billed charges,,84.752,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,87.9302,,,,percent of total billed charges,,95.346,,,,percent of total billed charges,,97.4648,,,,percent of total billed charges,,97.4648,,,,percent of total billed charges,,100.21924,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,102.7618,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,93.2272,,,,percent of total billed charges,,95.346,,,,percent of total billed charges,,68.64912,,,,percent of total billed charges,,95.346,,,,percent of total billed charges,,63.564,,,,percent of total billed charges,,106.967618,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,100.643,,,,percent of total billed charges,,84.752,,,,percent of total billed charges,,63.564,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,,,,,inpatient,,,193.55,,96.775,116.13,195.427435,181.937,,,,percent of total billed charges,,154.84,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,160.6465,,,,percent of total billed charges,,174.195,,,,percent of total billed charges,,178.066,,,,percent of total billed charges,,178.066,,,,percent of total billed charges,,183.0983,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,187.7435,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,170.324,,,,percent of total billed charges,,174.195,,,,percent of total billed charges,,125.4204,,,,percent of total billed charges,,174.195,,,,percent of total billed charges,,116.13,,,,percent of total billed charges,,195.427435,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,183.8725,,,,percent of total billed charges,,154.84,,,,percent of total billed charges,,116.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SODIUM,POTASSIUM,MAG SULFATES 17.5 GRAM-3.13 GRAM-1.6 GRAM ORAL SOLN [201298]",0637,RC,,,,,inpatient,,,387.1,,193.55,232.26,390.85487,363.874,,,,percent of total billed charges,,309.68,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,321.293,,,,percent of total billed charges,,348.39,,,,percent of total billed charges,,356.132,,,,percent of total billed charges,,356.132,,,,percent of total billed charges,,366.1966,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,375.487,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,340.648,,,,percent of total billed charges,,348.39,,,,percent of total billed charges,,250.8408,,,,percent of total billed charges,,348.39,,,,percent of total billed charges,,232.26,,,,percent of total billed charges,,390.85487,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,367.745,,,,percent of total billed charges,,309.68,,,,percent of total billed charges,,232.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,,,,,inpatient,,,4.84,,2.42,2.904,4.886948,4.5496,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.0172,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.57864,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.6948,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.2592,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,3.13632,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,4.886948,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,,,,,inpatient,,,4.84,,2.42,2.904,4.886948,4.5496,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.0172,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.57864,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.6948,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.2592,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,3.13632,,,,percent of total billed charges,,4.356,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,4.886948,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,4.598,,,,percent of total billed charges,,3.872,,,,percent of total billed charges,,2.904,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,,,,,inpatient,,,1.41,,0.705,0.846,1.423677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.91368,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.423677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOTALOL 80 MG TABLET [11421],0637,RC,,,,,inpatient,,,1.41,,0.705,0.846,1.423677,1.3254,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.1703,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.2972,,,,percent of total billed charges,,1.33386,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.2408,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.91368,,,,percent of total billed charges,,1.269,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,1.423677,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.3395,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,0.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 25 MG TABLET [7437],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPIRONOLACTONE 5 MG/ML ORAL LIQUID [1000130],0637,RC,,,,,inpatient,,,2.84,,1.42,1.704,2.867548,2.6696,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.3572,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.6128,,,,percent of total billed charges,,2.68664,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.7548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.4992,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.84032,,,,percent of total billed charges,,2.556,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,2.867548,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.698,,,,percent of total billed charges,,2.272,,,,percent of total billed charges,,1.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION [239574],0250,RC,,,,,inpatient,,,315,,157.5,189,318.0555,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,318.0555,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION [239574],0250,RC,,,,,inpatient,,,315,,157.5,189,318.0555,296.1,,,,percent of total billed charges,,252,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,261.45,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,289.8,,,,percent of total billed charges,,297.99,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,305.55,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,277.2,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,283.5,,,,percent of total billed charges,,189,,,,percent of total billed charges,,318.0555,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,299.25,,,,percent of total billed charges,,252,,,,percent of total billed charges,,189,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION [239576],0250,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION [239576],0250,RC,,,,,inpatient,,,630,,315,378,636.111,592.2,,,,percent of total billed charges,,504,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,522.9,,,,percent of total billed charges,,567,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,579.6,,,,percent of total billed charges,,595.98,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,611.1,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,554.4,,,,percent of total billed charges,,567,,,,percent of total billed charges,,408.24,,,,percent of total billed charges,,567,,,,percent of total billed charges,,378,,,,percent of total billed charges,,636.111,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,598.5,,,,percent of total billed charges,,504,,,,percent of total billed charges,,378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [7309],0250,RC,,,,,inpatient,,,68.18,,34.09,40.908,68.841346,64.0892,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,56.5894,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,62.7256,,,,percent of total billed charges,,64.49828,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,66.1346,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,59.9984,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,44.18064,,,,percent of total billed charges,,61.362,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,68.841346,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,64.771,,,,percent of total billed charges,,54.544,,,,percent of total billed charges,,40.908,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCIMER 100 MG CAPSULE [77597],0637,RC,,,,,inpatient,,,99.16,,49.58,59.496,100.121852,93.2104,,,,percent of total billed charges,,79.328,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,82.3028,,,,percent of total billed charges,,89.244,,,,percent of total billed charges,,91.2272,,,,percent of total billed charges,,91.2272,,,,percent of total billed charges,,93.80536,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,96.1852,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,87.2608,,,,percent of total billed charges,,89.244,,,,percent of total billed charges,,64.25568,,,,percent of total billed charges,,89.244,,,,percent of total billed charges,,59.496,,,,percent of total billed charges,,100.121852,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,94.202,,,,percent of total billed charges,,79.328,,,,percent of total billed charges,,59.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,26.87,,13.435,16.122,27.130639,25.2578,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,22.3021,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,25.41902,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,26.0639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,23.6456,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,17.41176,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,27.130639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,26.87,,13.435,16.122,27.130639,25.2578,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,22.3021,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,24.7204,,,,percent of total billed charges,,25.41902,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,26.0639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,23.6456,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,17.41176,,,,percent of total billed charges,,24.183,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,27.130639,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,25.5265,,,,percent of total billed charges,,21.496,,,,percent of total billed charges,,16.122,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,14.9,,7.45,8.94,15.04453,14.006,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,12.367,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,14.0954,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,13.112,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,9.6552,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,15.04453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,14.9,,7.45,8.94,15.04453,14.006,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,12.367,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,13.708,,,,percent of total billed charges,,14.0954,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,13.112,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,9.6552,,,,percent of total billed charges,,13.41,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,15.04453,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,14.155,,,,percent of total billed charges,,11.92,,,,percent of total billed charges,,8.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,16.88,,8.44,10.128,17.043736,15.8672,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.0104,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.5296,,,,percent of total billed charges,,15.96848,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.3736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,14.8544,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.93824,,,,percent of total billed charges,,15.192,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,17.043736,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,16.036,,,,percent of total billed charges,,13.504,,,,percent of total billed charges,,10.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,33.39,,16.695,20.034,33.713883,31.3866,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,27.7137,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,31.58694,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,32.3883,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,29.3832,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,21.63672,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,33.713883,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,24.3,,12.15,14.58,24.53571,22.842,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,20.169,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,22.9878,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,21.384,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,15.7464,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,24.53571,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,23.085,,,,percent of total billed charges,,19.44,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,33.39,,16.695,20.034,33.713883,31.3866,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,27.7137,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,30.7188,,,,percent of total billed charges,,31.58694,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,32.3883,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,29.3832,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,21.63672,,,,percent of total billed charges,,30.051,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,33.713883,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,31.7205,,,,percent of total billed charges,,26.712,,,,percent of total billed charges,,20.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,21.38,,10.69,12.828,21.587386,20.0972,,,,percent of total billed charges,,17.104,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,17.7454,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,19.6696,,,,percent of total billed charges,,19.6696,,,,percent of total billed charges,,20.22548,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,20.7386,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,18.8144,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,13.85424,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,12.828,,,,percent of total billed charges,,21.587386,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,20.311,,,,percent of total billed charges,,17.104,,,,percent of total billed charges,,12.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,51.84,,25.92,31.104,52.342848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,33.59232,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,52.342848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,51.84,,25.92,31.104,52.342848,48.7296,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,43.0272,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,47.6928,,,,percent of total billed charges,,49.04064,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,50.2848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,45.6192,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,33.59232,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,52.342848,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,49.248,,,,percent of total billed charges,,41.472,,,,percent of total billed charges,,31.104,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,10.8,,5.4,6.48,10.90476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.9984,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.90476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,10.8,,5.4,6.48,10.90476,10.152,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.964,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,9.936,,,,percent of total billed charges,,10.2168,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,9.504,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.9984,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,10.90476,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,10.26,,,,percent of total billed charges,,8.64,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,36.41,,18.205,21.846,36.763177,34.2254,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,30.2203,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,34.44386,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,35.3177,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,32.0408,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,23.59368,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,36.763177,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,36.41,,18.205,21.846,36.763177,34.2254,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,30.2203,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,33.4972,,,,percent of total billed charges,,34.44386,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,35.3177,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,32.0408,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,23.59368,,,,percent of total billed charges,,32.769,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,36.763177,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,34.5895,,,,percent of total billed charges,,29.128,,,,percent of total billed charges,,21.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,13.86,,6.93,8.316,13.994442,13.0284,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.5038,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.11156,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,12.1968,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.98128,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,13.994442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [7536],0636,RC,,,,,inpatient,,,13.86,,6.93,8.316,13.994442,13.0284,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.5038,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.11156,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,12.1968,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.98128,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,13.994442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 1 GRAM TABLET [11442],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 1 GRAM TABLET [11442],0637,RC,,,,,inpatient,,,1.29,,0.645,0.774,1.302513,1.2126,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.0707,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.1868,,,,percent of total billed charges,,1.22034,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.1352,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.83592,,,,percent of total billed charges,,1.161,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,1.302513,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.2255,,,,percent of total billed charges,,1.032,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,22.73,,11.365,13.638,22.950481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,14.72904,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,22.950481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,22.73,,11.365,13.638,22.950481,21.3662,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.8659,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,20.9116,,,,percent of total billed charges,,21.50258,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,22.0481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,20.0024,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,14.72904,,,,percent of total billed charges,,20.457,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,22.950481,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,21.5935,,,,percent of total billed charges,,18.184,,,,percent of total billed charges,,13.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,26.06,,13.03,15.636,26.312782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,16.88688,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,26.312782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,23.04,,11.52,13.824,23.263488,21.6576,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,19.1232,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.79584,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,22.3488,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,20.2752,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,14.92992,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,23.263488,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,23.04,,11.52,13.824,23.263488,21.6576,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,19.1232,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.1968,,,,percent of total billed charges,,21.79584,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,22.3488,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,20.2752,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,14.92992,,,,percent of total billed charges,,20.736,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,23.263488,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,21.888,,,,percent of total billed charges,,18.432,,,,percent of total billed charges,,13.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,37.26,,18.63,22.356,37.621422,35.0244,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,30.9258,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.2792,,,,percent of total billed charges,,34.2792,,,,percent of total billed charges,,35.24796,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,36.1422,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,32.7888,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,24.14448,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,37.621422,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,35.397,,,,percent of total billed charges,,29.808,,,,percent of total billed charges,,22.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,40.37,,20.185,24.222,40.761589,37.9478,,,,percent of total billed charges,,32.296,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,33.5071,,,,percent of total billed charges,,36.333,,,,percent of total billed charges,,37.1404,,,,percent of total billed charges,,37.1404,,,,percent of total billed charges,,38.19002,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,39.1589,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,35.5256,,,,percent of total billed charges,,36.333,,,,percent of total billed charges,,26.15976,,,,percent of total billed charges,,36.333,,,,percent of total billed charges,,24.222,,,,percent of total billed charges,,40.761589,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,38.3515,,,,percent of total billed charges,,32.296,,,,percent of total billed charges,,24.222,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,20.57,,10.285,12.342,20.769529,19.3358,,,,percent of total billed charges,,16.456,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,17.0731,,,,percent of total billed charges,,18.513,,,,percent of total billed charges,,18.9244,,,,percent of total billed charges,,18.9244,,,,percent of total billed charges,,19.45922,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,19.9529,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,18.1016,,,,percent of total billed charges,,18.513,,,,percent of total billed charges,,13.32936,,,,percent of total billed charges,,18.513,,,,percent of total billed charges,,12.342,,,,percent of total billed charges,,20.769529,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,19.5415,,,,percent of total billed charges,,16.456,,,,percent of total billed charges,,12.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,40.86,,20.43,24.516,41.256342,38.4084,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,33.9138,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,38.65356,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,39.6342,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,35.9568,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,26.47728,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,41.256342,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,42.84,,21.42,25.704,43.255548,40.2696,,,,percent of total billed charges,,34.272,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,35.5572,,,,percent of total billed charges,,38.556,,,,percent of total billed charges,,39.4128,,,,percent of total billed charges,,39.4128,,,,percent of total billed charges,,40.52664,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,41.5548,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,37.6992,,,,percent of total billed charges,,38.556,,,,percent of total billed charges,,27.76032,,,,percent of total billed charges,,38.556,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,43.255548,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,40.698,,,,percent of total billed charges,,34.272,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCRALFATE 100 MG/ML ORAL SUSPENSION [11441],0637,RC,,,,,inpatient,,,40.86,,20.43,24.516,41.256342,38.4084,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,33.9138,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,37.5912,,,,percent of total billed charges,,38.65356,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,39.6342,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,35.9568,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,26.47728,,,,percent of total billed charges,,36.774,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,41.256342,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,38.817,,,,percent of total billed charges,,32.688,,,,percent of total billed charges,,24.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCROSE 24% ORAL SOLUTION [1000330],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCROSE 24% ORAL SOLUTION [1000330],0637,RC,,,,,inpatient,,,2.16,,1.08,1.296,2.180952,2.0304,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.7928,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,1.9872,,,,percent of total billed charges,,2.04336,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.0952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.9008,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.39968,,,,percent of total billed charges,,1.944,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,2.180952,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,2.052,,,,percent of total billed charges,,1.728,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUCROSE 24% ORAL SOLUTION [1000330],0637,RC,,,,,inpatient,,,2.23,,1.115,1.338,2.251631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.44504,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.251631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,,,,,inpatient,,,10.65,,5.325,6.39,10.753305,10.011,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.8395,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,10.0749,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.3305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,9.372,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.9012,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,10.753305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION [11443],0250,RC,,,,,inpatient,,,10.65,,5.325,6.39,10.753305,10.011,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.8395,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,9.798,,,,percent of total billed charges,,10.0749,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.3305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,9.372,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.9012,,,,percent of total billed charges,,9.585,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,10.753305,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,10.1175,,,,percent of total billed charges,,8.52,,,,percent of total billed charges,,6.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,,,,,inpatient,,,536.25,,268.125,321.75,541.451625,504.075,,,,percent of total billed charges,,429,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,445.0875,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,507.2925,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,520.1625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,471.9,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,347.49,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,541.451625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,429,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,,,,,inpatient,,,536.25,,268.125,321.75,541.451625,504.075,,,,percent of total billed charges,,429,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,445.0875,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,493.35,,,,percent of total billed charges,,507.2925,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,520.1625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,471.9,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,347.49,,,,percent of total billed charges,,482.625,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,541.451625,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,509.4375,,,,percent of total billed charges,,429,,,,percent of total billed charges,,321.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,,,,,inpatient,,,982.26,,491.13,589.356,991.787922,923.3244,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,815.2758,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,929.21796,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,952.7922,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,864.3888,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,636.50448,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,991.787922,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION [228709],0250,RC,,,,,inpatient,,,982.26,,491.13,589.356,991.787922,923.3244,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,815.2758,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,903.6792,,,,percent of total billed charges,,929.21796,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,952.7922,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,864.3888,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,636.50448,,,,percent of total billed charges,,884.034,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,991.787922,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,933.147,,,,percent of total billed charges,,785.808,,,,percent of total billed charges,,589.356,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],0637,RC,,,,,inpatient,,,78.76,,39.38,47.256,79.523972,74.0344,,,,percent of total billed charges,,63.008,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,65.3708,,,,percent of total billed charges,,70.884,,,,percent of total billed charges,,72.4592,,,,percent of total billed charges,,72.4592,,,,percent of total billed charges,,74.50696,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,76.3972,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,69.3088,,,,percent of total billed charges,,70.884,,,,percent of total billed charges,,51.03648,,,,percent of total billed charges,,70.884,,,,percent of total billed charges,,47.256,,,,percent of total billed charges,,79.523972,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,74.822,,,,percent of total billed charges,,63.008,,,,percent of total billed charges,,47.256,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],0637,RC,,,,,inpatient,,,193.7,,96.85,116.22,195.57889,182.078,,,,percent of total billed charges,,154.96,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,160.771,,,,percent of total billed charges,,174.33,,,,percent of total billed charges,,178.204,,,,percent of total billed charges,,178.204,,,,percent of total billed charges,,183.2402,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,187.889,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,170.456,,,,percent of total billed charges,,174.33,,,,percent of total billed charges,,125.5176,,,,percent of total billed charges,,174.33,,,,percent of total billed charges,,116.22,,,,percent of total billed charges,,195.57889,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,184.015,,,,percent of total billed charges,,154.96,,,,percent of total billed charges,,116.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION [22560],0637,RC,,,,,inpatient,,,178.8,,89.4,107.28,180.53436,168.072,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,148.404,,,,percent of total billed charges,,160.92,,,,percent of total billed charges,,164.496,,,,percent of total billed charges,,164.496,,,,percent of total billed charges,,169.1448,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,173.436,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,157.344,,,,percent of total billed charges,,160.92,,,,percent of total billed charges,,115.8624,,,,percent of total billed charges,,160.92,,,,percent of total billed charges,,107.28,,,,percent of total billed charges,,180.53436,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,169.86,,,,percent of total billed charges,,143.04,,,,percent of total billed charges,,107.28,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,,,,,inpatient,,,28.44,,14.22,17.064,28.715868,26.7336,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,23.6052,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.90424,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.5868,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,25.0272,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,18.42912,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,28.715868,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,,,,,inpatient,,,28.44,,14.22,17.064,28.715868,26.7336,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,23.6052,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.1648,,,,percent of total billed charges,,26.90424,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.5868,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,25.0272,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,18.42912,,,,percent of total billed charges,,25.596,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,28.715868,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,27.018,,,,percent of total billed charges,,22.752,,,,percent of total billed charges,,17.064,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,,,,,inpatient,,,77.49,,38.745,46.494,78.241653,72.8406,,,,percent of total billed charges,,61.992,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,64.3167,,,,percent of total billed charges,,69.741,,,,percent of total billed charges,,71.2908,,,,percent of total billed charges,,71.2908,,,,percent of total billed charges,,73.30554,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,75.1653,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,68.1912,,,,percent of total billed charges,,69.741,,,,percent of total billed charges,,50.21352,,,,percent of total billed charges,,69.741,,,,percent of total billed charges,,46.494,,,,percent of total billed charges,,78.241653,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,73.6155,,,,percent of total billed charges,,61.992,,,,percent of total billed charges,,46.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,,,,,inpatient,,,27.68,,13.84,16.608,27.948496,26.0192,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.9744,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,26.18528,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.8496,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,24.3584,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,17.93664,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,27.948496,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,,,,,inpatient,,,27.68,,13.84,16.608,27.948496,26.0192,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.9744,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,25.4656,,,,percent of total billed charges,,26.18528,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.8496,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,24.3584,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,17.93664,,,,percent of total billed charges,,24.912,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,27.948496,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,26.296,,,,percent of total billed charges,,22.144,,,,percent of total billed charges,,16.608,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,,,,,inpatient,,,0.7,,0.35,0.42,0.70679,0.658,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.581,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.644,,,,percent of total billed charges,,0.6622,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.4536,,,,percent of total billed charges,,0.63,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,0.70679,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.665,,,,percent of total billed charges,,0.56,,,,percent of total billed charges,,0.42,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [7555],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFASALAZINE 500 MG TABLET [7562],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFASALAZINE 500 MG TABLET [7562],0637,RC,,,,,inpatient,,,0.84,,0.42,0.504,0.848148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.54432,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.848148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFASALAZINE 500 MG TABLET [7562],0637,RC,,,,,inpatient,,,0.77,,0.385,0.462,0.777469,0.7238,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6391,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.7084,,,,percent of total billed charges,,0.72842,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.6776,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.49896,,,,percent of total billed charges,,0.693,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,0.777469,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.7315,,,,percent of total billed charges,,0.616,,,,percent of total billed charges,,0.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 25 MG TABLET [78203],0637,RC,,,,,inpatient,,,1.5,,0.75,0.9,1.51455,1.41,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.245,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.38,,,,percent of total billed charges,,1.419,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.32,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,1.35,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,1.51455,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.425,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,0.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 25 MG TABLET [78203],0637,RC,,,,,inpatient,,,1.39,,0.695,0.834,1.403483,1.3066,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.1537,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.31494,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3483,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.2232,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,0.90072,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,1.403483,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 25 MG TABLET [78203],0637,RC,,,,,inpatient,,,1.39,,0.695,0.834,1.403483,1.3066,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.1537,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.2788,,,,percent of total billed charges,,1.31494,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3483,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.2232,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,0.90072,,,,percent of total billed charges,,1.251,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,1.403483,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.3205,,,,percent of total billed charges,,1.112,,,,percent of total billed charges,,0.834,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 50 MG TABLET [78648],0637,RC,,,,,inpatient,,,1.77,,0.885,1.062,1.787169,1.6638,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.4691,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.6284,,,,percent of total billed charges,,1.67442,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.7169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.5576,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.14696,,,,percent of total billed charges,,1.593,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,1.787169,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.6815,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,1.062,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 50 MG TABLET [78648],0637,RC,,,,,inpatient,,,2,,1,1.2,2.0194,1.88,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.66,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.84,,,,percent of total billed charges,,1.892,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.94,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.76,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.296,,,,percent of total billed charges,,1.8,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,2.0194,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.9,,,,percent of total billed charges,,1.6,,,,percent of total billed charges,,1.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,797.32,,398.66,478.392,805.054004,749.4808,,,,percent of total billed charges,,637.856,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,661.7756,,,,percent of total billed charges,,717.588,,,,percent of total billed charges,,733.5344,,,,percent of total billed charges,,733.5344,,,,percent of total billed charges,,754.26472,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,773.4004,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,701.6416,,,,percent of total billed charges,,717.588,,,,percent of total billed charges,,516.66336,,,,percent of total billed charges,,717.588,,,,percent of total billed charges,,478.392,,,,percent of total billed charges,,805.054004,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,757.454,,,,percent of total billed charges,,637.856,,,,percent of total billed charges,,478.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,56.28,,28.14,33.768,56.825916,52.9032,,,,percent of total billed charges,,45.024,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,46.7124,,,,percent of total billed charges,,50.652,,,,percent of total billed charges,,51.7776,,,,percent of total billed charges,,51.7776,,,,percent of total billed charges,,53.24088,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,54.5916,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,49.5264,,,,percent of total billed charges,,50.652,,,,percent of total billed charges,,36.46944,,,,percent of total billed charges,,50.652,,,,percent of total billed charges,,33.768,,,,percent of total billed charges,,56.825916,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,53.466,,,,percent of total billed charges,,45.024,,,,percent of total billed charges,,33.768,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,15.4,,7.7,9.24,15.54938,14.476,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.782,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.5684,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.938,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,13.552,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,9.9792,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,15.54938,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,16.79,,8.395,10.074,16.952863,15.7826,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.9357,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.4468,,,,percent of total billed charges,,15.88334,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,16.2863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,14.7752,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.87992,,,,percent of total billed charges,,15.111,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,16.952863,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,15.9505,,,,percent of total billed charges,,13.432,,,,percent of total billed charges,,10.074,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,103.41,,51.705,62.046,104.413077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,67.00968,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,104.413077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [79773],0636,RC,,,,,inpatient,,,103.41,,51.705,62.046,104.413077,97.2054,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,85.8303,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,95.1372,,,,percent of total billed charges,,97.82586,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,100.3077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,91.0008,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,67.00968,,,,percent of total billed charges,,93.069,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,104.413077,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,98.2395,,,,percent of total billed charges,,82.728,,,,percent of total billed charges,,62.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,,,,,inpatient,,,4.85,,2.425,2.91,4.897045,4.559,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.0255,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.462,,,,percent of total billed charges,,4.462,,,,percent of total billed charges,,4.5881,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.7045,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.268,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,3.1428,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,4.897045,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,4.6075,,,,percent of total billed charges,,3.88,,,,percent of total billed charges,,2.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,,,,,inpatient,,,4.1,,2.05,2.46,4.13977,3.854,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.403,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.772,,,,percent of total billed charges,,3.8786,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.608,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.6568,,,,percent of total billed charges,,3.69,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,4.13977,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.895,,,,percent of total billed charges,,3.28,,,,percent of total billed charges,,2.46,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE [82936]",0637,RC,,,,,inpatient,,,0.58,,0.29,0.348,0.585626,0.5452,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.4814,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.5336,,,,percent of total billed charges,,0.54868,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5626,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.5104,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.37584,,,,percent of total billed charges,,0.522,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,0.585626,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.551,,,,percent of total billed charges,,0.464,,,,percent of total billed charges,,0.348,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [82549]",0636,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [82549]",0636,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE [82549]",0636,RC,,,,,inpatient,,,5.5,,2.75,3.3,5.55335,5.17,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,4.565,,,,percent of total billed charges,,4.95,,,,percent of total billed charges,,5.06,,,,percent of total billed charges,,5.06,,,,percent of total billed charges,,5.203,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,5.335,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,4.84,,,,percent of total billed charges,,4.95,,,,percent of total billed charges,,3.564,,,,percent of total billed charges,,4.95,,,,percent of total billed charges,,3.3,,,,percent of total billed charges,,5.55335,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,5.225,,,,percent of total billed charges,,4.4,,,,percent of total billed charges,,3.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMOXIFEN 10 MG TABLET [7711],0637,RC,,,,,inpatient,,,1.55,,0.775,0.93,1.565035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.0044,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.565035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMOXIFEN 10 MG TABLET [7711],0637,RC,,,,,inpatient,,,0.84,,0.42,0.504,0.848148,0.7896,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.6972,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.7728,,,,percent of total billed charges,,0.79464,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.8148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.7392,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.54432,,,,percent of total billed charges,,0.756,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,0.848148,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.798,,,,percent of total billed charges,,0.672,,,,percent of total billed charges,,0.504,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,0.92,,0.46,0.552,0.928924,0.8648,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.8464,,,,percent of total billed charges,,0.87032,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8096,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.59616,,,,percent of total billed charges,,0.828,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.928924,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,1.25,,0.625,0.75,1.262125,1.175,,,,percent of total billed charges,,1,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.0375,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.15,,,,percent of total billed charges,,1.1825,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.2125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.81,,,,percent of total billed charges,,1.125,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,1.262125,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1.1875,,,,percent of total billed charges,,1,,,,percent of total billed charges,,0.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,1.74,,0.87,1.044,1.756878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.12752,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.756878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,1.74,,0.87,1.044,1.756878,1.6356,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.4442,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.6008,,,,percent of total billed charges,,1.64604,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.6878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.5312,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.12752,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,1.756878,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.653,,,,percent of total billed charges,,1.392,,,,percent of total billed charges,,1.044,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,0.78,,0.39,0.468,0.787566,0.7332,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6474,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.7176,,,,percent of total billed charges,,0.73788,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.7566,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.6864,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.50544,,,,percent of total billed charges,,0.702,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.787566,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.741,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAMSULOSIN 0.4 MG CAPSULE [80067],0637,RC,,,,,inpatient,,,0.75,,0.375,0.45,0.757275,0.705,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6225,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.69,,,,percent of total billed charges,,0.7095,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.675,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.757275,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.7125,,,,percent of total billed charges,,0.6,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAPENTADOL 50 MG TABLET [195027],0637,RC,,,,,inpatient,,,26.06,,13.03,15.636,26.312782,24.4964,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,21.6298,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,23.9752,,,,percent of total billed charges,,24.65276,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,25.2782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,22.9328,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,16.88688,,,,percent of total billed charges,,23.454,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,26.312782,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,24.757,,,,percent of total billed charges,,20.848,,,,percent of total billed charges,,15.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TAPENTADOL 50 MG TABLET [195027],0637,RC,,,,,inpatient,,,43.78,,21.89,26.268,44.204666,41.1532,,,,percent of total billed charges,,35.024,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,36.3374,,,,percent of total billed charges,,39.402,,,,percent of total billed charges,,40.2776,,,,percent of total billed charges,,40.2776,,,,percent of total billed charges,,41.41588,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,42.4666,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,38.5264,,,,percent of total billed charges,,39.402,,,,percent of total billed charges,,28.36944,,,,percent of total billed charges,,39.402,,,,percent of total billed charges,,26.268,,,,percent of total billed charges,,44.204666,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,41.591,,,,percent of total billed charges,,35.024,,,,percent of total billed charges,,26.268,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [136475],0636,RC,,,,,inpatient,,,8686.4,,4343.2,5211.84,8770.65808,8165.216,,,,percent of total billed charges,,6949.12,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,7209.712,,,,percent of total billed charges,,7817.76,,,,percent of total billed charges,,7991.488,,,,percent of total billed charges,,7991.488,,,,percent of total billed charges,,8217.3344,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,8425.808,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,7644.032,,,,percent of total billed charges,,7817.76,,,,percent of total billed charges,,5628.7872,,,,percent of total billed charges,,7817.76,,,,percent of total billed charges,,5211.84,,,,percent of total billed charges,,8770.65808,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,8252.08,,,,percent of total billed charges,,6949.12,,,,percent of total billed charges,,5211.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [136475],0636,RC,,,,,inpatient,,,2950.2,,1475.1,1770.12,2978.81694,2773.188,,,,percent of total billed charges,,2360.16,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2448.666,,,,percent of total billed charges,,2655.18,,,,percent of total billed charges,,2714.184,,,,percent of total billed charges,,2714.184,,,,percent of total billed charges,,2790.8892,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2861.694,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2596.176,,,,percent of total billed charges,,2655.18,,,,percent of total billed charges,,1911.7296,,,,percent of total billed charges,,2655.18,,,,percent of total billed charges,,1770.12,,,,percent of total billed charges,,2978.81694,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2802.69,,,,percent of total billed charges,,2360.16,,,,percent of total billed charges,,1770.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN [136475],0636,RC,,,,,inpatient,,,10858,,5429,6514.8,10963.3226,10206.52,,,,percent of total billed charges,,8686.4,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,9012.14,,,,percent of total billed charges,,9772.2,,,,percent of total billed charges,,9989.36,,,,percent of total billed charges,,9989.36,,,,percent of total billed charges,,10271.668,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,10532.26,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,9555.04,,,,percent of total billed charges,,9772.2,,,,percent of total billed charges,,7035.984,,,,percent of total billed charges,,9772.2,,,,percent of total billed charges,,6514.8,,,,percent of total billed charges,,10963.3226,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,10315.1,,,,percent of total billed charges,,8686.4,,,,percent of total billed charges,,6514.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [239511],0636,RC,,,,,inpatient,,,27939.2,,13969.6,16763.52,28210.21024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,18104.6016,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,28210.21024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION [239511],0636,RC,,,,,inpatient,,,27939.2,,13969.6,16763.52,28210.21024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,18104.6016,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,28210.21024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE [1001573],0636,RC,,,,,inpatient,,,27939.2,,13969.6,16763.52,28210.21024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,18104.6016,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,28210.21024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE [1001573],0636,RC,,,,,inpatient,,,27939.2,,13969.6,16763.52,28210.21024,26262.848,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,23189.536,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,25704.064,,,,percent of total billed charges,,26430.4832,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,27101.024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,24586.496,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,18104.6016,,,,percent of total billed charges,,25145.28,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,28210.21024,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,26542.24,,,,percent of total billed charges,,22351.36,,,,percent of total billed charges,,16763.52,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,,,,,inpatient,,,181.45,,90.725,108.87,183.210065,170.563,,,,percent of total billed charges,,145.16,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,150.6035,,,,percent of total billed charges,,163.305,,,,percent of total billed charges,,166.934,,,,percent of total billed charges,,166.934,,,,percent of total billed charges,,171.6517,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,176.0065,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,159.676,,,,percent of total billed charges,,163.305,,,,percent of total billed charges,,117.5796,,,,percent of total billed charges,,163.305,,,,percent of total billed charges,,108.87,,,,percent of total billed charges,,183.210065,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,172.3775,,,,percent of total billed charges,,145.16,,,,percent of total billed charges,,108.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,,,,,inpatient,,,3.97,,1.985,2.382,4.008509,3.7318,,,,percent of total billed charges,,3.176,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.2951,,,,percent of total billed charges,,3.573,,,,percent of total billed charges,,3.6524,,,,percent of total billed charges,,3.6524,,,,percent of total billed charges,,3.75562,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.8509,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.4936,,,,percent of total billed charges,,3.573,,,,percent of total billed charges,,2.57256,,,,percent of total billed charges,,3.573,,,,percent of total billed charges,,2.382,,,,percent of total billed charges,,4.008509,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.7715,,,,percent of total billed charges,,3.176,,,,percent of total billed charges,,2.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,,,,,inpatient,,,6.68,,3.34,4.008,6.744796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.32864,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.744796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [81728],0637,RC,,,,,inpatient,,,6.68,,3.34,4.008,6.744796,6.2792,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.5444,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.1456,,,,percent of total billed charges,,6.31928,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.4796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.8784,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.32864,,,,percent of total billed charges,,6.012,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,6.744796,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,6.346,,,,percent of total billed charges,,5.344,,,,percent of total billed charges,,4.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION [247680],0636,RC,,,,,inpatient,,,63681.2,,31840.6,38208.72,64298.90764,59860.328,,,,percent of total billed charges,,50944.96,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,52855.396,,,,percent of total billed charges,,57313.08,,,,percent of total billed charges,,58586.704,,,,percent of total billed charges,,58586.704,,,,percent of total billed charges,,60242.4152,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,61770.764,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,56039.456,,,,percent of total billed charges,,57313.08,,,,percent of total billed charges,,41265.4176,,,,percent of total billed charges,,57313.08,,,,percent of total billed charges,,38208.72,,,,percent of total billed charges,,64298.90764,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,60497.14,,,,percent of total billed charges,,50944.96,,,,percent of total billed charges,,38208.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,,,,,inpatient,,,0.54,,0.27,0.324,0.545238,0.5076,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4482,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.4968,,,,percent of total billed charges,,0.51084,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.5238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.4752,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.34992,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.545238,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.513,,,,percent of total billed charges,,0.432,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,,,,,inpatient,,,3.04,,1.52,1.824,3.069488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.96992,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,3.069488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 1 MG CAPSULE [14550],0637,RC,,,,,inpatient,,,3.04,,1.52,1.824,3.069488,2.8576,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.5232,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.7968,,,,percent of total billed charges,,2.87584,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.9488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.6752,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.96992,,,,percent of total billed charges,,2.736,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,3.069488,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.888,,,,percent of total billed charges,,2.432,,,,percent of total billed charges,,1.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,,,,,inpatient,,,0.81,,0.405,0.486,0.817857,0.7614,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.6723,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.7452,,,,percent of total billed charges,,0.76626,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.52488,,,,percent of total billed charges,,0.729,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,0.817857,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.7695,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,0.486,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,,,,,inpatient,,,3.07,,1.535,1.842,3.099779,2.8858,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.5481,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.90422,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9779,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.7016,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,1.98936,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,3.099779,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,,,,,inpatient,,,3.07,,1.535,1.842,3.099779,2.8858,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.5481,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.8244,,,,percent of total billed charges,,2.90422,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9779,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.7016,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,1.98936,,,,percent of total billed charges,,2.763,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,3.099779,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.9165,,,,percent of total billed charges,,2.456,,,,percent of total billed charges,,1.842,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERAZOSIN 5 MG CAPSULE [14553],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBINAFINE HCL 1 % TOPICAL CREAM [77126],0637,RC,,,,,inpatient,,,26.6,,13.3,15.96,26.85802,25.004,,,,percent of total billed charges,,21.28,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,22.078,,,,percent of total billed charges,,23.94,,,,percent of total billed charges,,24.472,,,,percent of total billed charges,,24.472,,,,percent of total billed charges,,25.1636,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,25.802,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,23.408,,,,percent of total billed charges,,23.94,,,,percent of total billed charges,,17.2368,,,,percent of total billed charges,,23.94,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,26.85802,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,25.27,,,,percent of total billed charges,,21.28,,,,percent of total billed charges,,15.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBINAFINE HCL 1 % TOPICAL CREAM [77126],0637,RC,,,,,inpatient,,,24.16,,12.08,14.496,24.394352,22.7104,,,,percent of total billed charges,,19.328,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,20.0528,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,22.2272,,,,percent of total billed charges,,22.2272,,,,percent of total billed charges,,22.85536,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,23.4352,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,21.2608,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,15.65568,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,14.496,,,,percent of total billed charges,,24.394352,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,22.952,,,,percent of total billed charges,,19.328,,,,percent of total billed charges,,14.496,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBINAFINE HCL 1 % TOPICAL CREAM [77126],0637,RC,,,,,inpatient,,,42.8,,21.4,25.68,43.21516,40.232,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,35.524,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,39.376,,,,percent of total billed charges,,40.4888,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,41.516,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,37.664,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,27.7344,,,,percent of total billed charges,,38.52,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,43.21516,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,40.66,,,,percent of total billed charges,,34.24,,,,percent of total billed charges,,25.68,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML PEDS INFUSION [1002099],0636,RC,,,,,inpatient,,,52.7,,26.35,31.62,53.21119,49.538,,,,percent of total billed charges,,42.16,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,43.741,,,,percent of total billed charges,,47.43,,,,percent of total billed charges,,48.484,,,,percent of total billed charges,,48.484,,,,percent of total billed charges,,49.8542,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,51.119,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,46.376,,,,percent of total billed charges,,47.43,,,,percent of total billed charges,,34.1496,,,,percent of total billed charges,,47.43,,,,percent of total billed charges,,31.62,,,,percent of total billed charges,,53.21119,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,50.065,,,,percent of total billed charges,,42.16,,,,percent of total billed charges,,31.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,,,,,inpatient,,,5.55,,2.775,3.33,5.603835,5.217,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.6065,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.2503,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.3835,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.884,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,3.5964,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,5.603835,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,,,,,inpatient,,,5.27,,2.635,3.162,5.321119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.41496,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,5.321119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,,,,,inpatient,,,5.27,,2.635,3.162,5.321119,4.9538,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.3741,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.8484,,,,percent of total billed charges,,4.98542,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.1119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.6376,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.41496,,,,percent of total billed charges,,4.743,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,5.321119,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,5.0065,,,,percent of total billed charges,,4.216,,,,percent of total billed charges,,3.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [11507],0636,RC,,,,,inpatient,,,5.55,,2.775,3.33,5.603835,5.217,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.6065,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.106,,,,percent of total billed charges,,5.2503,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.3835,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.884,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,3.5964,,,,percent of total billed charges,,4.995,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,5.603835,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,5.2725,,,,percent of total billed charges,,4.44,,,,percent of total billed charges,,3.33,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 5 MG TABLET [11509],0637,RC,,,,,inpatient,,,23.93,,11.965,14.358,24.162121,22.4942,,,,percent of total billed charges,,19.144,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,19.8619,,,,percent of total billed charges,,21.537,,,,percent of total billed charges,,22.0156,,,,percent of total billed charges,,22.0156,,,,percent of total billed charges,,22.63778,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,23.2121,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,21.0584,,,,percent of total billed charges,,21.537,,,,percent of total billed charges,,15.50664,,,,percent of total billed charges,,21.537,,,,percent of total billed charges,,14.358,,,,percent of total billed charges,,24.162121,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,22.7335,,,,percent of total billed charges,,19.144,,,,percent of total billed charges,,14.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TERBUTALINE 5 MG TABLET [11509],0637,RC,,,,,inpatient,,,13.41,,6.705,8.046,13.540077,12.6054,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.1303,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.3372,,,,percent of total billed charges,,12.68586,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,13.0077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,11.8008,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.68968,,,,percent of total billed charges,,12.069,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,13.540077,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,12.7395,,,,percent of total billed charges,,10.728,,,,percent of total billed charges,,8.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TESTOSTERONE UNDECANOATE 750 MG/3 ML (250MG/ML) INTRAMUSCULAR SOLUTION [220531],0636,RC,,,,,inpatient,,,8087.04,,4043.52,4852.224,8165.484288,7601.8176,,,,percent of total billed charges,,6469.632,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,6712.2432,,,,percent of total billed charges,,7278.336,,,,percent of total billed charges,,7440.0768,,,,percent of total billed charges,,7440.0768,,,,percent of total billed charges,,7650.33984,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,7844.4288,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,7116.5952,,,,percent of total billed charges,,7278.336,,,,percent of total billed charges,,5240.40192,,,,percent of total billed charges,,7278.336,,,,percent of total billed charges,,4852.224,,,,percent of total billed charges,,8165.484288,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,7682.688,,,,percent of total billed charges,,6469.632,,,,percent of total billed charges,,4852.224,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [164474],0636,RC,,,,,inpatient,,,68.43,,34.215,41.058,69.093771,64.3242,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,56.7969,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,64.73478,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,66.3771,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,60.2184,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,44.34264,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,69.093771,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [164474],0636,RC,,,,,inpatient,,,68.43,,34.215,41.058,69.093771,64.3242,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,56.7969,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,62.9556,,,,percent of total billed charges,,64.73478,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,66.3771,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,60.2184,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,44.34264,,,,percent of total billed charges,,61.587,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,69.093771,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,65.0085,,,,percent of total billed charges,,54.744,,,,percent of total billed charges,,41.058,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [187777],0636,RC,,,,,inpatient,,,2921.27,,1460.635,1752.762,2949.606319,2745.9938,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2424.6541,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2763.52142,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2833.6319,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2570.7176,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,1892.98296,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,2949.606319,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE [187777],0636,RC,,,,,inpatient,,,2921.27,,1460.635,1752.762,2949.606319,2745.9938,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2424.6541,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2687.5684,,,,percent of total billed charges,,2763.52142,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2833.6319,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2570.7176,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,1892.98296,,,,percent of total billed charges,,2629.143,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,2949.606319,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2775.2065,,,,percent of total billed charges,,2337.016,,,,percent of total billed charges,,1752.762,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,,,,,inpatient,,,4.62,,2.31,2.772,4.664814,4.3428,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.8346,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.2504,,,,percent of total billed charges,,4.37052,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.4814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.0656,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.99376,,,,percent of total billed charges,,4.158,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,4.664814,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,4.389,,,,percent of total billed charges,,3.696,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,,,,,inpatient,,,2.31,,1.155,1.386,2.332407,2.1714,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.9173,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.1252,,,,percent of total billed charges,,2.18526,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.2407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.0328,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.49688,,,,percent of total billed charges,,2.079,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,2.332407,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,2.1945,,,,percent of total billed charges,,1.848,,,,percent of total billed charges,,1.386,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,,,,,inpatient,,,376.52,,188.26,225.912,380.172244,353.9288,,,,percent of total billed charges,,301.216,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,312.5116,,,,percent of total billed charges,,338.868,,,,percent of total billed charges,,346.3984,,,,percent of total billed charges,,346.3984,,,,percent of total billed charges,,356.18792,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,365.2244,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,331.3376,,,,percent of total billed charges,,338.868,,,,percent of total billed charges,,243.98496,,,,percent of total billed charges,,338.868,,,,percent of total billed charges,,225.912,,,,percent of total billed charges,,380.172244,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,357.694,,,,percent of total billed charges,,301.216,,,,percent of total billed charges,,225.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE 0.5 % EYE DROPS [7795],0250,RC,,,,,inpatient,,,119.57,,59.785,71.742,120.729829,112.3958,,,,percent of total billed charges,,95.656,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,99.2431,,,,percent of total billed charges,,107.613,,,,percent of total billed charges,,110.0044,,,,percent of total billed charges,,110.0044,,,,percent of total billed charges,,113.11322,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,115.9829,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,105.2216,,,,percent of total billed charges,,107.613,,,,percent of total billed charges,,77.48136,,,,percent of total billed charges,,107.613,,,,percent of total billed charges,,71.742,,,,percent of total billed charges,,120.729829,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,113.5915,,,,percent of total billed charges,,95.656,,,,percent of total billed charges,,71.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE HCL (PF) 0.5 % EYE DROPS [202976],0250,RC,,,,,inpatient,,,17.79,,8.895,10.674,17.962563,16.7226,,,,percent of total billed charges,,14.232,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,14.7657,,,,percent of total billed charges,,16.011,,,,percent of total billed charges,,16.3668,,,,percent of total billed charges,,16.3668,,,,percent of total billed charges,,16.82934,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,17.2563,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,15.6552,,,,percent of total billed charges,,16.011,,,,percent of total billed charges,,11.52792,,,,percent of total billed charges,,16.011,,,,percent of total billed charges,,10.674,,,,percent of total billed charges,,17.962563,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,16.9005,,,,percent of total billed charges,,14.232,,,,percent of total billed charges,,10.674,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACAINE HCL (PF) 0.5 % EYE DROPS [202976],0250,RC,,,,,inpatient,,,51.32,,25.66,30.792,51.817804,48.2408,,,,percent of total billed charges,,41.056,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,42.5956,,,,percent of total billed charges,,46.188,,,,percent of total billed charges,,47.2144,,,,percent of total billed charges,,47.2144,,,,percent of total billed charges,,48.54872,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,49.7804,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,45.1616,,,,percent of total billed charges,,46.188,,,,percent of total billed charges,,33.25536,,,,percent of total billed charges,,46.188,,,,percent of total billed charges,,30.792,,,,percent of total billed charges,,51.817804,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,48.754,,,,percent of total billed charges,,41.056,,,,percent of total billed charges,,30.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRACYCLINE 500 MG CAPSULE [7797],0637,RC,,,,,inpatient,,,5.06,,2.53,3.036,5.109082,4.7564,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.1998,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.6552,,,,percent of total billed charges,,4.78676,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.9082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.4528,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.27888,,,,percent of total billed charges,,4.554,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,5.109082,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.807,,,,percent of total billed charges,,4.048,,,,percent of total billed charges,,3.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0637,RC,,,,,inpatient,,,11.7,,5.85,7.02,11.81349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.5816,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,11.81349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0637,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TETRAHYDROZOLINE 0.05 % EYE DROPS [7800],0637,RC,,,,,inpatient,,,4.8,,2.4,2.88,4.84656,4.512,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.984,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.416,,,,percent of total billed charges,,4.5408,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.656,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.224,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,3.1104,,,,percent of total billed charges,,4.32,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,4.84656,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,4.56,,,,percent of total billed charges,,3.84,,,,percent of total billed charges,,2.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE [256588],0636,RC,,,,,inpatient,,,18176.94,,9088.47,10906.164,18353.25632,17086.3236,,,,percent of total billed charges,,14541.552,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,15086.8602,,,,percent of total billed charges,,16359.246,,,,percent of total billed charges,,16722.7848,,,,percent of total billed charges,,16722.7848,,,,percent of total billed charges,,17195.38524,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,17631.6318,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,15995.7072,,,,percent of total billed charges,,16359.246,,,,percent of total billed charges,,11778.65712,,,,percent of total billed charges,,16359.246,,,,percent of total billed charges,,10906.164,,,,percent of total billed charges,,18353.25632,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,17268.093,,,,percent of total billed charges,,14541.552,,,,percent of total billed charges,,10906.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION [81857],0637,RC,,,,,inpatient,,,302.25,,151.125,181.35,305.181825,284.115,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,250.8675,,,,percent of total billed charges,,272.025,,,,percent of total billed charges,,278.07,,,,percent of total billed charges,,278.07,,,,percent of total billed charges,,285.9285,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,293.1825,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,265.98,,,,percent of total billed charges,,272.025,,,,percent of total billed charges,,195.858,,,,percent of total billed charges,,272.025,,,,percent of total billed charges,,181.35,,,,percent of total billed charges,,305.181825,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,287.1375,,,,percent of total billed charges,,241.8,,,,percent of total billed charges,,181.35,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION [81857],0637,RC,,,,,inpatient,,,246.91,,123.455,148.146,249.305027,232.0954,,,,percent of total billed charges,,197.528,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,204.9353,,,,percent of total billed charges,,222.219,,,,percent of total billed charges,,227.1572,,,,percent of total billed charges,,227.1572,,,,percent of total billed charges,,233.57686,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,239.5027,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,217.2808,,,,percent of total billed charges,,222.219,,,,percent of total billed charges,,159.99768,,,,percent of total billed charges,,222.219,,,,percent of total billed charges,,148.146,,,,percent of total billed charges,,249.305027,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,234.5645,,,,percent of total billed charges,,197.528,,,,percent of total billed charges,,148.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR [12098]",0637,RC,,,,,inpatient,,,15.02,,7.51,9.012,15.165694,14.1188,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.4666,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,13.8184,,,,percent of total billed charges,,14.20892,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.5694,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,13.2176,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,9.73296,,,,percent of total billed charges,,13.518,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,15.165694,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,14.269,,,,percent of total billed charges,,12.016,,,,percent of total billed charges,,9.012,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR [12098]",0637,RC,,,,,inpatient,,,15.12,,7.56,9.072,15.266664,14.2128,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.5496,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,13.9104,,,,percent of total billed charges,,14.30352,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.6664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,13.3056,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.79776,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,15.266664,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,14.364,,,,percent of total billed charges,,12.096,,,,percent of total billed charges,,9.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [77918]",0637,RC,,,,,inpatient,,,3.51,,1.755,2.106,3.544047,3.2994,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.9133,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.2292,,,,percent of total billed charges,,3.32046,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.4047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.0888,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.27448,,,,percent of total billed charges,,3.159,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,3.544047,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,3.3345,,,,percent of total billed charges,,2.808,,,,percent of total billed charges,,2.106,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [77918]",0637,RC,,,,,inpatient,,,5.54,,2.77,3.324,5.593738,5.2076,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.5982,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.0968,,,,percent of total billed charges,,5.24084,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.3738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.8752,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.58992,,,,percent of total billed charges,,4.986,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,5.593738,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,5.263,,,,percent of total billed charges,,4.432,,,,percent of total billed charges,,3.324,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [77918]",0637,RC,,,,,inpatient,,,3.93,,1.965,2.358,3.968121,3.6942,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.2619,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.6156,,,,percent of total billed charges,,3.71778,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.8121,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.4584,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,2.54664,,,,percent of total billed charges,,3.537,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,3.968121,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.7335,,,,percent of total billed charges,,3.144,,,,percent of total billed charges,,2.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,17.01,,8.505,10.206,17.174997,15.9894,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.1183,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,16.09146,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.4997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.9688,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,11.02248,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,17.174997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,17.01,,8.505,10.206,17.174997,15.9894,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.1183,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,15.6492,,,,percent of total billed charges,,16.09146,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.4997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,14.9688,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,11.02248,,,,percent of total billed charges,,15.309,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,17.174997,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,16.1595,,,,percent of total billed charges,,13.608,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,16.55,,8.275,9.93,16.710535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,10.7244,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,16.710535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,16.55,,8.275,9.93,16.710535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,10.7244,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,16.710535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,16.55,,8.275,9.93,16.710535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,10.7244,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,16.710535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,14.89,,7.445,8.934,15.034433,13.9966,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,12.3587,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,13.6988,,,,percent of total billed charges,,14.08594,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.4433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,13.1032,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,9.64872,,,,percent of total billed charges,,13.401,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,15.034433,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,14.1455,,,,percent of total billed charges,,11.912,,,,percent of total billed charges,,8.934,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,15.56,,7.78,9.336,15.710932,14.6264,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.9148,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.71976,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,15.0932,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,13.6928,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,10.08288,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,15.710932,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,15.56,,7.78,9.336,15.710932,14.6264,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.9148,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.3152,,,,percent of total billed charges,,14.71976,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,15.0932,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,13.6928,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,10.08288,,,,percent of total billed charges,,14.004,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,15.710932,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,14.782,,,,percent of total billed charges,,12.448,,,,percent of total billed charges,,9.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [7876],0636,RC,,,,,inpatient,,,8.28,,4.14,4.968,8.360316,7.7832,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.8724,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.6176,,,,percent of total billed charges,,7.83288,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,8.0316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.2864,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,5.36544,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,8.360316,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,7.866,,,,percent of total billed charges,,6.624,,,,percent of total billed charges,,4.968,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET [200773],0637,RC,,,,,inpatient,,,0.64,,0.32,0.384,0.646208,0.6016,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5312,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.5888,,,,percent of total billed charges,,0.60544,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.6208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.5632,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.41472,,,,percent of total billed charges,,0.576,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,0.646208,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.608,,,,percent of total billed charges,,0.512,,,,percent of total billed charges,,0.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [163188]",0250,RC,,,,,inpatient,,,232.7,,116.35,139.62,234.95719,218.738,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,193.141,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,220.1342,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,225.719,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,204.776,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,150.7896,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,234.95719,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [163188]",0250,RC,,,,,inpatient,,,232.7,,116.35,139.62,234.95719,218.738,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,193.141,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,214.084,,,,percent of total billed charges,,220.1342,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,225.719,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,204.776,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,150.7896,,,,percent of total billed charges,,209.43,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,234.95719,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,221.065,,,,percent of total billed charges,,186.16,,,,percent of total billed charges,,139.62,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,,,,,inpatient,,,199.58,,99.79,119.748,201.515926,187.6052,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,165.6514,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,188.80268,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,193.5926,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,175.6304,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,129.32784,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,201.515926,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,,,,,inpatient,,,199.58,,99.79,119.748,201.515926,187.6052,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,165.6514,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,183.6136,,,,percent of total billed charges,,188.80268,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,193.5926,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,175.6304,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,129.32784,,,,percent of total billed charges,,179.622,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,201.515926,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,189.601,,,,percent of total billed charges,,159.664,,,,percent of total billed charges,,119.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,,,,,inpatient,,,200.66,,100.33,120.396,202.606402,188.6204,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,166.5478,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,189.82436,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,194.6402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,176.5808,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,130.02768,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,202.606402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION - EAST [7000059]",0250,RC,,,,,inpatient,,,200.66,,100.33,120.396,202.606402,188.6204,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,166.5478,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,189.82436,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,194.6402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,176.5808,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,130.02768,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,202.606402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 10 ML TOPICAL SYRINGE [239550],0250,RC,,,,,inpatient,,,3080.66,,1540.33,1848.396,3110.542402,2895.8204,,,,percent of total billed charges,,2464.528,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2556.9478,,,,percent of total billed charges,,2772.594,,,,percent of total billed charges,,2834.2072,,,,percent of total billed charges,,2834.2072,,,,percent of total billed charges,,2914.30436,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2988.2402,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2710.9808,,,,percent of total billed charges,,2772.594,,,,percent of total billed charges,,1996.26768,,,,percent of total billed charges,,2772.594,,,,percent of total billed charges,,1848.396,,,,percent of total billed charges,,3110.542402,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2926.627,,,,percent of total billed charges,,2464.528,,,,percent of total billed charges,,1848.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE [239549],0250,RC,,,,,inpatient,,,809.52,,404.76,485.712,817.372344,760.9488,,,,percent of total billed charges,,647.616,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,671.9016,,,,percent of total billed charges,,728.568,,,,percent of total billed charges,,744.7584,,,,percent of total billed charges,,744.7584,,,,percent of total billed charges,,765.80592,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,785.2344,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,712.3776,,,,percent of total billed charges,,728.568,,,,percent of total billed charges,,524.56896,,,,percent of total billed charges,,728.568,,,,percent of total billed charges,,485.712,,,,percent of total billed charges,,817.372344,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,769.044,,,,percent of total billed charges,,647.616,,,,percent of total billed charges,,485.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THYROID (PORK) 60 MG TABLET [196395],0637,RC,,,,,inpatient,,,4.43,,2.215,2.658,4.472971,4.1642,,,,percent of total billed charges,,3.544,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,3.6769,,,,percent of total billed charges,,3.987,,,,percent of total billed charges,,4.0756,,,,percent of total billed charges,,4.0756,,,,percent of total billed charges,,4.19078,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,4.2971,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,3.8984,,,,percent of total billed charges,,3.987,,,,percent of total billed charges,,2.87064,,,,percent of total billed charges,,3.987,,,,percent of total billed charges,,2.658,,,,percent of total billed charges,,4.472971,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,4.2085,,,,percent of total billed charges,,3.544,,,,percent of total billed charges,,2.658,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION [253294],0636,RC,,,,,inpatient,,,8897.58,,4448.79,5338.548,8983.886526,8363.7252,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7384.9914,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8417.11068,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8630.6526,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7829.8704,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,5765.63184,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,8983.886526,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION [253294],0636,RC,,,,,inpatient,,,8897.58,,4448.79,5338.548,8983.886526,8363.7252,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7384.9914,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8185.7736,,,,percent of total billed charges,,8417.11068,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8630.6526,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7829.8704,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,5765.63184,,,,percent of total billed charges,,8007.822,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,8983.886526,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,8452.701,,,,percent of total billed charges,,7118.064,,,,percent of total billed charges,,5338.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TICAGRELOR 90 MG TABLET [205960],0637,RC,,,,,inpatient,,,30.95,,15.475,18.57,31.250215,29.093,,,,percent of total billed charges,,24.76,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,25.6885,,,,percent of total billed charges,,27.855,,,,percent of total billed charges,,28.474,,,,percent of total billed charges,,28.474,,,,percent of total billed charges,,29.2787,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,30.0215,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,27.236,,,,percent of total billed charges,,27.855,,,,percent of total billed charges,,20.0556,,,,percent of total billed charges,,27.855,,,,percent of total billed charges,,18.57,,,,percent of total billed charges,,31.250215,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,29.4025,,,,percent of total billed charges,,24.76,,,,percent of total billed charges,,18.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.25 % EYE DROPS [11561],0637,RC,,,,,inpatient,,,86.36,,43.18,51.816,87.197692,81.1784,,,,percent of total billed charges,,69.088,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,71.6788,,,,percent of total billed charges,,77.724,,,,percent of total billed charges,,79.4512,,,,percent of total billed charges,,79.4512,,,,percent of total billed charges,,81.69656,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,83.7692,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,75.9968,,,,percent of total billed charges,,77.724,,,,percent of total billed charges,,55.96128,,,,percent of total billed charges,,77.724,,,,percent of total billed charges,,51.816,,,,percent of total billed charges,,87.197692,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,82.042,,,,percent of total billed charges,,69.088,,,,percent of total billed charges,,51.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.25 % EYE DROPS [11561],0637,RC,,,,,inpatient,,,10.53,,5.265,6.318,10.632141,9.8982,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.7399,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.6876,,,,percent of total billed charges,,9.96138,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.2141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,9.2664,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.82344,,,,percent of total billed charges,,9.477,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,10.632141,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,10.0035,,,,percent of total billed charges,,8.424,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,,,,,inpatient,,,19.58,,9.79,11.748,19.769926,18.4052,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,16.2514,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.0136,,,,percent of total billed charges,,18.52268,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.9926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,17.2304,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,12.68784,,,,percent of total billed charges,,17.622,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,19.769926,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,18.601,,,,percent of total billed charges,,15.664,,,,percent of total billed charges,,11.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,,,,,inpatient,,,22.64,,11.32,13.584,22.859608,21.2816,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.7912,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,20.8288,,,,percent of total billed charges,,21.41744,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.9608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,19.9232,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,14.67072,,,,percent of total billed charges,,20.376,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,22.859608,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,21.508,,,,percent of total billed charges,,18.112,,,,percent of total billed charges,,13.584,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,,,,,inpatient,,,20.12,,10.06,12.072,20.315164,18.9128,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.6996,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,18.5104,,,,percent of total billed charges,,19.03352,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.5164,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,17.7056,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,13.03776,,,,percent of total billed charges,,18.108,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,20.315164,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,19.114,,,,percent of total billed charges,,16.096,,,,percent of total billed charges,,12.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIMOLOL MALEATE 0.5 % EYE DROPS [11562],0637,RC,,,,,inpatient,,,27.18,,13.59,16.308,27.443646,25.5492,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,22.5594,,,,percent of total billed charges,,24.462,,,,percent of total billed charges,,25.0056,,,,percent of total billed charges,,25.0056,,,,percent of total billed charges,,25.71228,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,26.3646,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,23.9184,,,,percent of total billed charges,,24.462,,,,percent of total billed charges,,17.61264,,,,percent of total billed charges,,24.462,,,,percent of total billed charges,,16.308,,,,percent of total billed charges,,27.443646,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,25.821,,,,percent of total billed charges,,21.744,,,,percent of total billed charges,,16.308,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TIROFIBAN 250 MCG/ML CONCENTRATE,INTRAVENOUS [77185]",0636,RC,,,,,inpatient,,,172.87,,86.435,103.722,174.546839,162.4978,,,,percent of total billed charges,,138.296,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,143.4821,,,,percent of total billed charges,,155.583,,,,percent of total billed charges,,159.0404,,,,percent of total billed charges,,159.0404,,,,percent of total billed charges,,163.53502,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,167.6839,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,152.1256,,,,percent of total billed charges,,155.583,,,,percent of total billed charges,,112.01976,,,,percent of total billed charges,,155.583,,,,percent of total billed charges,,103.722,,,,percent of total billed charges,,174.546839,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,164.2265,,,,percent of total billed charges,,138.296,,,,percent of total billed charges,,103.722,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS [194219],0636,RC,,,,,inpatient,,,287.1,,143.55,172.26,289.88487,269.874,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,238.293,,,,percent of total billed charges,,258.39,,,,percent of total billed charges,,264.132,,,,percent of total billed charges,,264.132,,,,percent of total billed charges,,271.5966,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,278.487,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,252.648,,,,percent of total billed charges,,258.39,,,,percent of total billed charges,,186.0408,,,,percent of total billed charges,,258.39,,,,percent of total billed charges,,172.26,,,,percent of total billed charges,,289.88487,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,272.745,,,,percent of total billed charges,,229.68,,,,percent of total billed charges,,172.26,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS [194219],0636,RC,,,,,inpatient,,,198.45,,99.225,119.07,200.374965,186.543,,,,percent of total billed charges,,158.76,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,164.7135,,,,percent of total billed charges,,178.605,,,,percent of total billed charges,,182.574,,,,percent of total billed charges,,182.574,,,,percent of total billed charges,,187.7337,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,192.4965,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,174.636,,,,percent of total billed charges,,178.605,,,,percent of total billed charges,,128.5956,,,,percent of total billed charges,,178.605,,,,percent of total billed charges,,119.07,,,,percent of total billed charges,,200.374965,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,188.5275,,,,percent of total billed charges,,158.76,,,,percent of total billed charges,,119.07,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,,,,,inpatient,,,1.9,,0.95,1.14,1.91843,1.786,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.577,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.748,,,,percent of total billed charges,,1.7974,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.672,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.2312,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,1.91843,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.805,,,,percent of total billed charges,,1.52,,,,percent of total billed charges,,1.14,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,,,,,inpatient,,,2.36,,1.18,1.416,2.382892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.52928,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.382892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,,,,,inpatient,,,2.36,,1.18,1.416,2.382892,2.2184,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.9588,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.1712,,,,percent of total billed charges,,2.23256,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.2892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.0768,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.52928,,,,percent of total billed charges,,2.124,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,2.382892,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,2.242,,,,percent of total billed charges,,1.888,,,,percent of total billed charges,,1.416,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TIZANIDINE 4 MG TABLET [14793],0637,RC,,,,,inpatient,,,2.61,,1.305,1.566,2.635317,2.4534,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.1663,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.4012,,,,percent of total billed charges,,2.46906,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.5317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.2968,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.69128,,,,percent of total billed charges,,2.349,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,2.635317,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.4795,,,,percent of total billed charges,,2.088,,,,percent of total billed charges,,1.566,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 0.3 % EYE DROPS [7995],0637,RC,,,,,inpatient,,,38.79,,19.395,23.274,39.166263,36.4626,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,32.1957,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,35.6868,,,,percent of total billed charges,,36.69534,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,37.6263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,34.1352,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,25.13592,,,,percent of total billed charges,,34.911,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,39.166263,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,36.8505,,,,percent of total billed charges,,31.032,,,,percent of total billed charges,,23.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 0.3 % EYE DROPS [7995],0637,RC,,,,,inpatient,,,42.39,,21.195,25.434,42.801183,39.8466,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,35.1837,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,38.9988,,,,percent of total billed charges,,40.10094,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,41.1183,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,37.3032,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,27.46872,,,,percent of total billed charges,,38.151,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,42.801183,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,40.2705,,,,percent of total billed charges,,33.912,,,,percent of total billed charges,,25.434,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 0.3 % EYE DROPS [7995],0637,RC,,,,,inpatient,,,35.82,,17.91,21.492,36.167454,33.6708,,,,percent of total billed charges,,28.656,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,29.7306,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,32.9544,,,,percent of total billed charges,,32.9544,,,,percent of total billed charges,,33.88572,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,34.7454,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,31.5216,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,23.21136,,,,percent of total billed charges,,32.238,,,,percent of total billed charges,,21.492,,,,percent of total billed charges,,36.167454,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,34.029,,,,percent of total billed charges,,28.656,,,,percent of total billed charges,,21.492,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,,,,,inpatient,,,343.85,,171.925,206.31,347.185345,323.219,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,285.3955,,,,percent of total billed charges,,309.465,,,,percent of total billed charges,,316.342,,,,percent of total billed charges,,316.342,,,,percent of total billed charges,,325.2821,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,333.5345,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,302.588,,,,percent of total billed charges,,309.465,,,,percent of total billed charges,,222.8148,,,,percent of total billed charges,,309.465,,,,percent of total billed charges,,206.31,,,,percent of total billed charges,,347.185345,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,326.6575,,,,percent of total billed charges,,275.08,,,,percent of total billed charges,,206.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,,,,,inpatient,,,167.27,,83.635,100.362,168.892519,157.2338,,,,percent of total billed charges,,133.816,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,138.8341,,,,percent of total billed charges,,150.543,,,,percent of total billed charges,,153.8884,,,,percent of total billed charges,,153.8884,,,,percent of total billed charges,,158.23742,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,162.2519,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,147.1976,,,,percent of total billed charges,,150.543,,,,percent of total billed charges,,108.39096,,,,percent of total billed charges,,150.543,,,,percent of total billed charges,,100.362,,,,percent of total billed charges,,168.892519,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,158.9065,,,,percent of total billed charges,,133.816,,,,percent of total billed charges,,100.362,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,,,,,inpatient,,,225.63,,112.815,135.378,227.818611,212.0922,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,187.2729,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,207.5796,,,,percent of total billed charges,,213.44598,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,218.8611,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,198.5544,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,146.20824,,,,percent of total billed charges,,203.067,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,227.818611,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,214.3485,,,,percent of total billed charges,,180.504,,,,percent of total billed charges,,135.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,,,,,inpatient,,,156.06,,78.03,93.636,157.573782,146.6964,,,,percent of total billed charges,,124.848,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,129.5298,,,,percent of total billed charges,,140.454,,,,percent of total billed charges,,143.5752,,,,percent of total billed charges,,143.5752,,,,percent of total billed charges,,147.63276,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,151.3782,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,137.3328,,,,percent of total billed charges,,140.454,,,,percent of total billed charges,,101.12688,,,,percent of total billed charges,,140.454,,,,percent of total billed charges,,93.636,,,,percent of total billed charges,,157.573782,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,148.257,,,,percent of total billed charges,,124.848,,,,percent of total billed charges,,93.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [82976]",0637,RC,,,,,inpatient,,,39.42,,19.71,23.652,39.802374,37.0548,,,,percent of total billed charges,,31.536,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,32.7186,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,36.2664,,,,percent of total billed charges,,36.2664,,,,percent of total billed charges,,37.29132,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,38.2374,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,34.6896,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,25.54416,,,,percent of total billed charges,,35.478,,,,percent of total billed charges,,23.652,,,,percent of total billed charges,,39.802374,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,37.449,,,,percent of total billed charges,,31.536,,,,percent of total billed charges,,23.652,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 1.2 GRAM POWDER - FOR OR [1002020],0636,RC,,,,,inpatient,,,155.62,,77.81,93.372,157.129514,146.2828,,,,percent of total billed charges,,124.496,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,129.1646,,,,percent of total billed charges,,140.058,,,,percent of total billed charges,,143.1704,,,,percent of total billed charges,,143.1704,,,,percent of total billed charges,,147.21652,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,150.9514,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,136.9456,,,,percent of total billed charges,,140.058,,,,percent of total billed charges,,100.84176,,,,percent of total billed charges,,140.058,,,,percent of total billed charges,,93.372,,,,percent of total billed charges,,157.129514,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,147.839,,,,percent of total billed charges,,124.496,,,,percent of total billed charges,,93.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,,,,,inpatient,,,28749.6,,14374.8,17249.76,29028.47112,27024.624,,,,percent of total billed charges,,22999.68,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,23862.168,,,,percent of total billed charges,,25874.64,,,,percent of total billed charges,,26449.632,,,,percent of total billed charges,,26449.632,,,,percent of total billed charges,,27197.1216,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,27887.112,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,25299.648,,,,percent of total billed charges,,25874.64,,,,percent of total billed charges,,18629.7408,,,,percent of total billed charges,,25874.64,,,,percent of total billed charges,,17249.76,,,,percent of total billed charges,,29028.47112,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,27312.12,,,,percent of total billed charges,,22999.68,,,,percent of total billed charges,,17249.76,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,,,,,inpatient,,,81.66,,40.83,48.996,82.452102,76.7604,,,,percent of total billed charges,,65.328,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,67.7778,,,,percent of total billed charges,,73.494,,,,percent of total billed charges,,75.1272,,,,percent of total billed charges,,75.1272,,,,percent of total billed charges,,77.25036,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,79.2102,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,71.8608,,,,percent of total billed charges,,73.494,,,,percent of total billed charges,,52.91568,,,,percent of total billed charges,,73.494,,,,percent of total billed charges,,48.996,,,,percent of total billed charges,,82.452102,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,77.577,,,,percent of total billed charges,,65.328,,,,percent of total billed charges,,48.996,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,,,,,inpatient,,,81.95,,40.975,49.17,82.744915,77.033,,,,percent of total billed charges,,65.56,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,68.0185,,,,percent of total billed charges,,73.755,,,,percent of total billed charges,,75.394,,,,percent of total billed charges,,75.394,,,,percent of total billed charges,,77.5247,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,79.4915,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,72.116,,,,percent of total billed charges,,73.755,,,,percent of total billed charges,,53.1036,,,,percent of total billed charges,,73.755,,,,percent of total billed charges,,49.17,,,,percent of total billed charges,,82.744915,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,77.8525,,,,percent of total billed charges,,65.56,,,,percent of total billed charges,,49.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,,,,,inpatient,,,44.91,,22.455,26.946,45.345627,42.2154,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,37.2753,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,42.48486,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,43.5627,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,39.5208,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,29.10168,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,45.345627,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION [77546],0636,RC,,,,,inpatient,,,44.91,,22.455,26.946,45.345627,42.2154,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,37.2753,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,41.3172,,,,percent of total billed charges,,42.48486,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,43.5627,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,39.5208,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,29.10168,,,,percent of total billed charges,,40.419,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,45.345627,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,42.6645,,,,percent of total billed charges,,35.928,,,,percent of total billed charges,,26.946,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,11.97,,5.985,7.182,12.086109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.75656,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,12.086109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,45.63,,22.815,27.378,46.072611,42.8922,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,37.8729,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,43.16598,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,44.2611,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,40.1544,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,29.56824,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,46.072611,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,45.63,,22.815,27.378,46.072611,42.8922,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,37.8729,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,41.9796,,,,percent of total billed charges,,43.16598,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,44.2611,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,40.1544,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,29.56824,,,,percent of total billed charges,,41.067,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,46.072611,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,43.3485,,,,percent of total billed charges,,36.504,,,,percent of total billed charges,,27.378,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,3.9,,1.95,2.34,3.93783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.5272,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.93783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,3.9,,1.95,2.34,3.93783,3.666,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.237,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.588,,,,percent of total billed charges,,3.6894,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.432,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.5272,,,,percent of total billed charges,,3.51,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,3.93783,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.705,,,,percent of total billed charges,,3.12,,,,percent of total billed charges,,2.34,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,11.97,,5.985,7.182,12.086109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.75656,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,12.086109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,,,,,inpatient,,,108,,54,64.8,109.0476,101.52,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,89.64,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,99.36,,,,percent of total billed charges,,102.168,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,104.76,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,95.04,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,69.984,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,109.0476,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,102.6,,,,percent of total billed charges,,86.4,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,,,,,inpatient,,,11.97,,5.985,7.182,12.086109,11.2518,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.9351,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.0124,,,,percent of total billed charges,,11.32362,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.6109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,10.5336,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.75656,,,,percent of total billed charges,,10.773,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,12.086109,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,11.3715,,,,percent of total billed charges,,9.576,,,,percent of total billed charges,,7.182,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,,,,,inpatient,,,20.22,,10.11,12.132,20.416134,19.0068,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.7826,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,19.12812,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.6134,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,17.7936,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,13.10256,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,20.416134,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION -ROUNDS TO NEAREST 0.25 ML [7000150],0636,RC,,,,,inpatient,,,20.22,,10.11,12.132,20.416134,19.0068,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.7826,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,18.6024,,,,percent of total billed charges,,19.12812,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.6134,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,17.7936,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,13.10256,,,,percent of total billed charges,,18.198,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,20.416134,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,19.209,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,12.132,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,25.27,,12.635,15.162,25.515119,23.7538,,,,percent of total billed charges,,20.216,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,20.9741,,,,percent of total billed charges,,22.743,,,,percent of total billed charges,,23.2484,,,,percent of total billed charges,,23.2484,,,,percent of total billed charges,,23.90542,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,24.5119,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,22.2376,,,,percent of total billed charges,,22.743,,,,percent of total billed charges,,16.37496,,,,percent of total billed charges,,22.743,,,,percent of total billed charges,,15.162,,,,percent of total billed charges,,25.515119,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,24.0065,,,,percent of total billed charges,,20.216,,,,percent of total billed charges,,15.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [7994],0636,RC,,,,,inpatient,,,70.75,,35.375,42.45,71.436275,66.505,,,,percent of total billed charges,,56.6,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,58.7225,,,,percent of total billed charges,,63.675,,,,percent of total billed charges,,65.09,,,,percent of total billed charges,,65.09,,,,percent of total billed charges,,66.9295,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,68.6275,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,62.26,,,,percent of total billed charges,,63.675,,,,percent of total billed charges,,45.846,,,,percent of total billed charges,,63.675,,,,percent of total billed charges,,42.45,,,,percent of total billed charges,,71.436275,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,67.2125,,,,percent of total billed charges,,56.6,,,,percent of total billed charges,,42.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [197820],0636,RC,,,,,inpatient,,,5766.44,,2883.22,3459.864,5822.374468,5420.4536,,,,percent of total billed charges,,4613.152,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,4786.1452,,,,percent of total billed charges,,5189.796,,,,percent of total billed charges,,5305.1248,,,,percent of total billed charges,,5305.1248,,,,percent of total billed charges,,5455.05224,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,5593.4468,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,5074.4672,,,,percent of total billed charges,,5189.796,,,,percent of total billed charges,,3736.65312,,,,percent of total billed charges,,5189.796,,,,percent of total billed charges,,3459.864,,,,percent of total billed charges,,5822.374468,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,5478.118,,,,percent of total billed charges,,4613.152,,,,percent of total billed charges,,3459.864,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION [197822],0636,RC,,,,,inpatient,,,11951.19,,5975.595,7170.714,12067.11654,11234.1186,,,,percent of total billed charges,,9560.952,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,9919.4877,,,,percent of total billed charges,,10756.071,,,,percent of total billed charges,,10995.0948,,,,percent of total billed charges,,10995.0948,,,,percent of total billed charges,,11305.82574,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,11592.6543,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,10517.0472,,,,percent of total billed charges,,10756.071,,,,percent of total billed charges,,7744.37112,,,,percent of total billed charges,,10756.071,,,,percent of total billed charges,,7170.714,,,,percent of total billed charges,,12067.11654,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,11353.6305,,,,percent of total billed charges,,9560.952,,,,percent of total billed charges,,7170.714,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [197819],0636,RC,,,,,inpatient,,,2306.58,,1153.29,1383.948,2328.953826,2168.1852,,,,percent of total billed charges,,1845.264,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,1914.4614,,,,percent of total billed charges,,2075.922,,,,percent of total billed charges,,2122.0536,,,,percent of total billed charges,,2122.0536,,,,percent of total billed charges,,2182.02468,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,2237.3826,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,2029.7904,,,,percent of total billed charges,,2075.922,,,,percent of total billed charges,,1494.66384,,,,percent of total billed charges,,2075.922,,,,percent of total billed charges,,1383.948,,,,percent of total billed charges,,2328.953826,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,2191.251,,,,percent of total billed charges,,1845.264,,,,percent of total billed charges,,1383.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [197819],0636,RC,,,,,inpatient,,,7796.23,,3898.115,4677.738,7871.853431,7328.4562,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6470.8709,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7375.23358,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7562.3431,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6860.6824,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,5051.95704,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,7871.853431,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [197819],0636,RC,,,,,inpatient,,,7796.23,,3898.115,4677.738,7871.853431,7328.4562,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6470.8709,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7172.5316,,,,percent of total billed charges,,7375.23358,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7562.3431,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6860.6824,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,5051.95704,,,,percent of total billed charges,,7016.607,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,7871.853431,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,7406.4185,,,,percent of total billed charges,,6236.984,,,,percent of total billed charges,,4677.738,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,,,,,inpatient,,,2416.26,,1208.13,1449.756,2439.697722,2271.2844,,,,percent of total billed charges,,1933.008,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2005.4958,,,,percent of total billed charges,,2174.634,,,,percent of total billed charges,,2222.9592,,,,percent of total billed charges,,2222.9592,,,,percent of total billed charges,,2285.78196,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2343.7722,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2126.3088,,,,percent of total billed charges,,2174.634,,,,percent of total billed charges,,1565.73648,,,,percent of total billed charges,,2174.634,,,,percent of total billed charges,,1449.756,,,,percent of total billed charges,,2439.697722,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,2295.447,,,,percent of total billed charges,,1933.008,,,,percent of total billed charges,,1449.756,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,,,,,inpatient,,,1416.41,,708.205,849.846,1430.149177,1331.4254,,,,percent of total billed charges,,1133.128,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1175.6203,,,,percent of total billed charges,,1274.769,,,,percent of total billed charges,,1303.0972,,,,percent of total billed charges,,1303.0972,,,,percent of total billed charges,,1339.92386,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1373.9177,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1246.4408,,,,percent of total billed charges,,1274.769,,,,percent of total billed charges,,917.83368,,,,percent of total billed charges,,1274.769,,,,percent of total billed charges,,849.846,,,,percent of total billed charges,,1430.149177,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1345.5895,,,,percent of total billed charges,,1133.128,,,,percent of total billed charges,,849.846,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,,,,,inpatient,,,539.54,,269.77,323.724,544.773538,507.1676,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,447.8182,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,510.40484,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,523.3538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,474.7952,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,349.62192,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,544.773538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,,,,,inpatient,,,539.54,,269.77,323.724,544.773538,507.1676,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,447.8182,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,510.40484,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,523.3538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,474.7952,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,349.62192,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,544.773538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOLVAPTAN 30 MG TABLET [194816],0637,RC,,,,,inpatient,,,539.54,,269.77,323.724,544.773538,507.1676,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,447.8182,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,496.3768,,,,percent of total billed charges,,510.40484,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,523.3538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,474.7952,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,349.62192,,,,percent of total billed charges,,485.586,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,544.773538,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,512.563,,,,percent of total billed charges,,431.632,,,,percent of total billed charges,,323.724,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 100 MG TABLET [82397],0637,RC,,,,,inpatient,,,1.73,,0.865,1.038,1.746781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.12104,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.746781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 100 MG TABLET [82397],0637,RC,,,,,inpatient,,,1.73,,0.865,1.038,1.746781,1.6262,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.4359,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.5916,,,,percent of total billed charges,,1.63658,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.5224,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.12104,,,,percent of total billed charges,,1.557,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,1.746781,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.6435,,,,percent of total billed charges,,1.384,,,,percent of total billed charges,,1.038,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 100 MG TABLET [82397],0637,RC,,,,,inpatient,,,1.98,,0.99,1.188,1.999206,1.8612,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.6434,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.8216,,,,percent of total billed charges,,1.87308,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.9206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.7424,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.28304,,,,percent of total billed charges,,1.782,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,1.999206,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.881,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 25 MG TABLET [78819],0637,RC,,,,,inpatient,,,1.11,,0.555,0.666,1.120767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.71928,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.120767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 25 MG TABLET [78819],0637,RC,,,,,inpatient,,,1.11,,0.555,0.666,1.120767,1.0434,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9213,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.0212,,,,percent of total billed charges,,1.05006,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.9768,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.71928,,,,percent of total billed charges,,0.999,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,1.120767,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,1.0545,,,,percent of total billed charges,,0.888,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPIRAMATE 25 MG TABLET [78819],0637,RC,,,,,inpatient,,,1.21,,0.605,0.726,1.221737,1.1374,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0043,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.1132,,,,percent of total billed charges,,1.14466,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.0648,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.78408,,,,percent of total billed charges,,1.089,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,1.221737,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,1.1495,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.726,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPOTECAN 4 MG INTRAVENOUS SOLUTION [79929],0636,RC,,,,,inpatient,,,4901.94,,2450.97,2941.164,4949.488818,4607.8236,,,,percent of total billed charges,,3921.552,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4068.6102,,,,percent of total billed charges,,4411.746,,,,percent of total billed charges,,4509.7848,,,,percent of total billed charges,,4509.7848,,,,percent of total billed charges,,4637.23524,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4754.8818,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4313.7072,,,,percent of total billed charges,,4411.746,,,,percent of total billed charges,,3176.45712,,,,percent of total billed charges,,4411.746,,,,percent of total billed charges,,2941.164,,,,percent of total billed charges,,4949.488818,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,4656.843,,,,percent of total billed charges,,3921.552,,,,percent of total billed charges,,2941.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPOTECAN 4 MG INTRAVENOUS SOLUTION [79929],0636,RC,,,,,inpatient,,,324.68,,162.34,194.808,327.829396,305.1992,,,,percent of total billed charges,,259.744,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,269.4844,,,,percent of total billed charges,,292.212,,,,percent of total billed charges,,298.7056,,,,percent of total billed charges,,298.7056,,,,percent of total billed charges,,307.14728,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,314.9396,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,285.7184,,,,percent of total billed charges,,292.212,,,,percent of total billed charges,,210.39264,,,,percent of total billed charges,,292.212,,,,percent of total billed charges,,194.808,,,,percent of total billed charges,,327.829396,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,308.446,,,,percent of total billed charges,,259.744,,,,percent of total billed charges,,194.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION [203109],0636,RC,,,,,inpatient,,,148.77,,74.385,89.262,150.213069,139.8438,,,,percent of total billed charges,,119.016,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,123.4791,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,136.8684,,,,percent of total billed charges,,136.8684,,,,percent of total billed charges,,140.73642,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,144.3069,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,130.9176,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,96.40296,,,,percent of total billed charges,,133.893,,,,percent of total billed charges,,89.262,,,,percent of total billed charges,,150.213069,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,141.3315,,,,percent of total billed charges,,119.016,,,,percent of total billed charges,,89.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,,,,,inpatient,,,1.55,,0.775,0.93,1.565035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.0044,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.565035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,,,,,inpatient,,,1.55,,0.775,0.93,1.565035,1.457,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.2865,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.426,,,,percent of total billed charges,,1.4663,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.5035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.364,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,1.0044,,,,percent of total billed charges,,1.395,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,1.565035,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.4725,,,,percent of total billed charges,,1.24,,,,percent of total billed charges,,0.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TORSEMIDE 20 MG TABLET [18293],0637,RC,,,,,inpatient,,,1.86,,0.93,1.116,1.878042,1.7484,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.5438,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.7112,,,,percent of total billed charges,,1.75956,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.8042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.6368,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.20528,,,,percent of total billed charges,,1.674,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,1.878042,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.767,,,,percent of total billed charges,,1.488,,,,percent of total billed charges,,1.116,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60 MCG-5MG/ML IV SOLN [79379],0250,RC,,,,,inpatient,,,49.38,,24.69,29.628,49.858986,46.4172,,,,percent of total billed charges,,39.504,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,40.9854,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,45.4296,,,,percent of total billed charges,,45.4296,,,,percent of total billed charges,,46.71348,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,47.8986,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,43.4544,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,31.99824,,,,percent of total billed charges,,44.442,,,,percent of total billed charges,,29.628,,,,percent of total billed charges,,49.858986,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,46.911,,,,percent of total billed charges,,39.504,,,,percent of total billed charges,,29.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS [80740],0250,RC,,,,,inpatient,,,43.98,,21.99,26.388,44.406606,41.3412,,,,percent of total billed charges,,35.184,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,36.5034,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,40.4616,,,,percent of total billed charges,,40.4616,,,,percent of total billed charges,,41.60508,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,42.6606,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,38.7024,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,28.49904,,,,percent of total billed charges,,39.582,,,,percent of total billed charges,,26.388,,,,percent of total billed charges,,44.406606,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,41.781,,,,percent of total billed charges,,35.184,,,,percent of total billed charges,,26.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN [77054],0250,RC,,,,,inpatient,,,48.29,,24.145,28.974,48.758413,45.3926,,,,percent of total billed charges,,38.632,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,40.0807,,,,percent of total billed charges,,43.461,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,44.4268,,,,percent of total billed charges,,45.68234,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,46.8413,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,42.4952,,,,percent of total billed charges,,43.461,,,,percent of total billed charges,,31.29192,,,,percent of total billed charges,,43.461,,,,percent of total billed charges,,28.974,,,,percent of total billed charges,,48.758413,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,45.8755,,,,percent of total billed charges,,38.632,,,,percent of total billed charges,,28.974,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS PEDI ZN-CU-MN-SE-F-I 521 MCG-53.7 MCG-3.6 MCG/ML IV [216898],0250,RC,,,,,inpatient,,,50.76,,25.38,30.456,51.252372,47.7144,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,42.1308,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,46.6992,,,,percent of total billed charges,,48.01896,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,49.2372,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,44.6688,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,32.89248,,,,percent of total billed charges,,45.684,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,51.252372,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,48.222,,,,percent of total billed charges,,40.608,,,,percent of total billed charges,,30.456,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN [254973]",0250,RC,,,,,inpatient,,,73.34,,36.67,44.004,74.051398,68.9396,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,60.8722,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,69.37964,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,71.1398,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,64.5392,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,47.52432,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,74.051398,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN [254973]",0250,RC,,,,,inpatient,,,73.34,,36.67,44.004,74.051398,68.9396,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,60.8722,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,67.4728,,,,percent of total billed charges,,69.37964,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,71.1398,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,64.5392,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,47.52432,,,,percent of total billed charges,,66.006,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,74.051398,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,69.673,,,,percent of total billed charges,,58.672,,,,percent of total billed charges,,44.004,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,,,,,inpatient,,,88.93,,44.465,53.358,89.792621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,57.62664,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,89.792621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION [249900],0250,RC,,,,,inpatient,,,88.93,,44.465,53.358,89.792621,83.5942,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,73.8119,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,81.8156,,,,percent of total billed charges,,84.12778,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,86.2621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,78.2584,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,57.62664,,,,percent of total billed charges,,80.037,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,89.792621,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,84.4835,,,,percent of total billed charges,,71.144,,,,percent of total billed charges,,53.358,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAMADOL 50 MG TABLET [14632],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,9.63,,4.815,5.778,9.723411,9.0522,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.9929,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,9.10998,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.3411,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,8.4744,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,6.24024,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,9.723411,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,9.63,,4.815,5.778,9.723411,9.0522,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.9929,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,8.8596,,,,percent of total billed charges,,9.10998,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.3411,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,8.4744,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,6.24024,,,,percent of total billed charges,,8.667,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,9.723411,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,9.1485,,,,percent of total billed charges,,7.704,,,,percent of total billed charges,,5.778,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,14.49,,7.245,8.694,14.630553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,9.38952,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,14.630553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,14.49,,7.245,8.694,14.630553,13.6206,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.0267,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.3308,,,,percent of total billed charges,,13.70754,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,14.0553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,9.38952,,,,percent of total billed charges,,13.041,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,14.630553,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,13.7655,,,,percent of total billed charges,,11.592,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,9.45,,4.725,5.67,9.541665,8.883,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.8435,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.694,,,,percent of total billed charges,,8.9397,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,9.1665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,6.1236,,,,percent of total billed charges,,8.505,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,9.541665,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,8.9775,,,,percent of total billed charges,,7.56,,,,percent of total billed charges,,5.67,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR TOPICAL FOR IRRIGATION [1002049]",0250,RC,,,,,inpatient,,,36.45,,18.225,21.87,36.803565,34.263,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,30.2535,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.4817,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,35.3565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,32.076,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,23.6196,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,36.803565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK [244467]",0250,RC,,,,,inpatient,,,36.45,,18.225,21.87,36.803565,34.263,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,30.2535,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,33.534,,,,percent of total billed charges,,34.4817,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,35.3565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,32.076,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,23.6196,,,,percent of total billed charges,,32.805,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,36.803565,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,34.6275,,,,percent of total billed charges,,29.16,,,,percent of total billed charges,,21.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [210079]",0250,RC,,,,,inpatient,,,9.8,,4.9,5.88,9.89506,9.212,,,,percent of total billed charges,,7.84,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,8.134,,,,percent of total billed charges,,8.82,,,,percent of total billed charges,,9.016,,,,percent of total billed charges,,9.016,,,,percent of total billed charges,,9.2708,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,9.506,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,8.624,,,,percent of total billed charges,,8.82,,,,percent of total billed charges,,6.3504,,,,percent of total billed charges,,8.82,,,,percent of total billed charges,,5.88,,,,percent of total billed charges,,9.89506,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,9.31,,,,percent of total billed charges,,7.84,,,,percent of total billed charges,,5.88,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID INTRANASAL SOLUTION [7000254],0250,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID INTRANASAL SOLUTION [7000254],0250,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID NEBULIZED SOLUTION  [1001377],0250,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID NEBULIZED SOLUTION  [1001377],0250,RC,,,,,inpatient,,,30.87,,15.435,18.522,31.169439,29.0178,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,25.6221,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,28.4004,,,,percent of total billed charges,,29.20302,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.9439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,27.1656,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,20.00376,,,,percent of total billed charges,,27.783,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,31.169439,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,29.3265,,,,percent of total billed charges,,24.696,,,,percent of total billed charges,,18.522,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANEXAMIC ACID TOPICAL SOLUTION [1001389],0250,RC,,,,,inpatient,,,11.57,,5.785,6.942,11.682229,10.8758,,,,percent of total billed charges,,9.256,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,9.6031,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,10.6444,,,,percent of total billed charges,,10.6444,,,,percent of total billed charges,,10.94522,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,11.2229,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,10.1816,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,7.49736,,,,percent of total billed charges,,10.413,,,,percent of total billed charges,,6.942,,,,percent of total billed charges,,11.682229,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,10.9915,,,,percent of total billed charges,,9.256,,,,percent of total billed charges,,6.942,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [235330],0636,RC,,,,,inpatient,,,12641.91,,6320.955,7585.146,12764.53653,11883.3954,,,,percent of total billed charges,,10113.528,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,10492.7853,,,,percent of total billed charges,,11377.719,,,,percent of total billed charges,,11630.5572,,,,percent of total billed charges,,11630.5572,,,,percent of total billed charges,,11959.24686,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,12262.6527,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,11124.8808,,,,percent of total billed charges,,11377.719,,,,percent of total billed charges,,8191.95768,,,,percent of total billed charges,,11377.719,,,,percent of total billed charges,,7585.146,,,,percent of total billed charges,,12764.53653,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,12009.8145,,,,percent of total billed charges,,10113.528,,,,percent of total billed charges,,7585.146,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [235330],0636,RC,,,,,inpatient,,,6320.96,,3160.48,3792.576,6382.273312,5941.7024,,,,percent of total billed charges,,5056.768,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,5246.3968,,,,percent of total billed charges,,5688.864,,,,percent of total billed charges,,5815.2832,,,,percent of total billed charges,,5815.2832,,,,percent of total billed charges,,5979.62816,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,6131.3312,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,5562.4448,,,,percent of total billed charges,,5688.864,,,,percent of total billed charges,,4095.98208,,,,percent of total billed charges,,5688.864,,,,percent of total billed charges,,3792.576,,,,percent of total billed charges,,6382.273312,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,6004.912,,,,percent of total billed charges,,5056.768,,,,percent of total billed charges,,3792.576,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [235330],0636,RC,,,,,inpatient,,,7012.89,,3506.445,4207.734,7080.915033,6592.1166,,,,percent of total billed charges,,5610.312,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,5820.6987,,,,percent of total billed charges,,6311.601,,,,percent of total billed charges,,6451.8588,,,,percent of total billed charges,,6451.8588,,,,percent of total billed charges,,6634.19394,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,6802.5033,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,6171.3432,,,,percent of total billed charges,,6311.601,,,,percent of total billed charges,,4544.35272,,,,percent of total billed charges,,6311.601,,,,percent of total billed charges,,4207.734,,,,percent of total billed charges,,7080.915033,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,6662.2455,,,,percent of total billed charges,,5610.312,,,,percent of total billed charges,,4207.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [244831],0636,RC,,,,,inpatient,,,9688.49,,4844.245,5813.094,9782.468353,9107.1806,,,,percent of total billed charges,,7750.792,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,8041.4467,,,,percent of total billed charges,,8719.641,,,,percent of total billed charges,,8913.4108,,,,percent of total billed charges,,8913.4108,,,,percent of total billed charges,,9165.31154,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,9397.8353,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,8525.8712,,,,percent of total billed charges,,8719.641,,,,percent of total billed charges,,6278.14152,,,,percent of total billed charges,,8719.641,,,,percent of total billed charges,,5813.094,,,,percent of total billed charges,,9782.468353,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,9204.0655,,,,percent of total billed charges,,7750.792,,,,percent of total billed charges,,5813.094,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [244831],0636,RC,,,,,inpatient,,,4844.25,,2422.125,2906.55,4891.239225,4553.595,,,,percent of total billed charges,,3875.4,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4020.7275,,,,percent of total billed charges,,4359.825,,,,percent of total billed charges,,4456.71,,,,percent of total billed charges,,4456.71,,,,percent of total billed charges,,4582.6605,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4698.9225,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4262.94,,,,percent of total billed charges,,4359.825,,,,percent of total billed charges,,3139.074,,,,percent of total billed charges,,4359.825,,,,percent of total billed charges,,2906.55,,,,percent of total billed charges,,4891.239225,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,4602.0375,,,,percent of total billed charges,,3875.4,,,,percent of total billed charges,,2906.55,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION [246645],0636,RC,,,,,inpatient,,,5639.9,,2819.95,3383.94,5694.60703,5301.506,,,,percent of total billed charges,,4511.92,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,4681.117,,,,percent of total billed charges,,5075.91,,,,percent of total billed charges,,5188.708,,,,percent of total billed charges,,5188.708,,,,percent of total billed charges,,5335.3454,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,5470.703,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,4963.112,,,,percent of total billed charges,,5075.91,,,,percent of total billed charges,,3654.6552,,,,percent of total billed charges,,5075.91,,,,percent of total billed charges,,3383.94,,,,percent of total billed charges,,5694.60703,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,5357.905,,,,percent of total billed charges,,4511.92,,,,percent of total billed charges,,3383.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [244831],0636,RC,,,,,inpatient,,,15048.68,,7524.34,9029.208,15194.6522,14145.7592,,,,percent of total billed charges,,12038.944,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,12490.4044,,,,percent of total billed charges,,13543.812,,,,percent of total billed charges,,13844.7856,,,,percent of total billed charges,,13844.7856,,,,percent of total billed charges,,14236.05128,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,14597.2196,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,13242.8384,,,,percent of total billed charges,,13543.812,,,,percent of total billed charges,,9751.54464,,,,percent of total billed charges,,13543.812,,,,percent of total billed charges,,9029.208,,,,percent of total billed charges,,15194.6522,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,14296.246,,,,percent of total billed charges,,12038.944,,,,percent of total billed charges,,9029.208,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 100 MG TABLET [8083],0637,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 100 MG TABLET [8083],0637,RC,,,,,inpatient,,,0.8,,0.4,0.48,0.80776,0.752,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.736,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.704,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.5184,,,,percent of total billed charges,,0.72,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.80776,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.64,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 100 MG TABLET [8083],0637,RC,,,,,inpatient,,,0.79,,0.395,0.474,0.797663,0.7426,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6557,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.7268,,,,percent of total billed charges,,0.74734,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.6952,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.51192,,,,percent of total billed charges,,0.711,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,0.797663,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.7505,,,,percent of total billed charges,,0.632,,,,percent of total billed charges,,0.474,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,,,,,inpatient,,,0.59,,0.295,0.354,0.595723,0.5546,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.4897,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.5428,,,,percent of total billed charges,,0.55814,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5192,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.38232,,,,percent of total billed charges,,0.531,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,0.595723,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.5605,,,,percent of total billed charges,,0.472,,,,percent of total billed charges,,0.354,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,,,,,inpatient,,,0.53,,0.265,0.318,0.535141,0.4982,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4399,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.4876,,,,percent of total billed charges,,0.50138,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.4664,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.34344,,,,percent of total billed charges,,0.477,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,0.535141,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.5035,,,,percent of total billed charges,,0.424,,,,percent of total billed charges,,0.318,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAZODONE 50 MG TABLET [8085],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [260141],0636,RC,,,,,inpatient,,,136500,,68250,81900,137824.05,128310,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,113295,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,129129,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,132405,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,120120,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,88452,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,137824.05,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION [260141],0636,RC,,,,,inpatient,,,136500,,68250,81900,137824.05,128310,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,113295,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,125580,,,,percent of total billed charges,,129129,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,132405,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,120120,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,88452,,,,percent of total billed charges,,122850,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,137824.05,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,129675,,,,percent of total billed charges,,109200,,,,percent of total billed charges,,81900,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRI-MOXI-VANC OPHTH INJ [7000238],0250,RC,,,,,inpatient,,,112.5,,56.25,67.5,113.59125,105.75,,,,percent of total billed charges,,90,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,93.375,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,103.5,,,,percent of total billed charges,,106.425,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,109.125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,99,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,101.25,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,113.59125,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,106.875,,,,percent of total billed charges,,90,,,,percent of total billed charges,,67.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,,,,,inpatient,,,81.65,,40.825,48.99,82.442005,76.751,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,67.7695,,,,percent of total billed charges,,73.485,,,,percent of total billed charges,,75.118,,,,percent of total billed charges,,75.118,,,,percent of total billed charges,,77.2409,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,79.2005,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,71.852,,,,percent of total billed charges,,73.485,,,,percent of total billed charges,,52.9092,,,,percent of total billed charges,,73.485,,,,percent of total billed charges,,48.99,,,,percent of total billed charges,,82.442005,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,77.5675,,,,percent of total billed charges,,65.32,,,,percent of total billed charges,,48.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,,,,,inpatient,,,25.56,,12.78,15.336,25.807932,24.0264,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,21.2148,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,24.17976,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.7932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,22.4928,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,16.56288,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,25.807932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,,,,,inpatient,,,5.61,,2.805,3.366,5.664417,5.2734,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.6563,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.1612,,,,percent of total billed charges,,5.30706,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.4417,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.9368,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,3.63528,,,,percent of total billed charges,,5.049,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,5.664417,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,5.3295,,,,percent of total billed charges,,4.488,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,,,,,inpatient,,,36.36,,18.18,21.816,36.712692,34.1784,,,,percent of total billed charges,,29.088,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,30.1788,,,,percent of total billed charges,,32.724,,,,percent of total billed charges,,33.4512,,,,percent of total billed charges,,33.4512,,,,percent of total billed charges,,34.39656,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,35.2692,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,31.9968,,,,percent of total billed charges,,32.724,,,,percent of total billed charges,,23.56128,,,,percent of total billed charges,,32.724,,,,percent of total billed charges,,21.816,,,,percent of total billed charges,,36.712692,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,34.542,,,,percent of total billed charges,,29.088,,,,percent of total billed charges,,21.816,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,,,,,inpatient,,,93.98,,46.99,56.388,94.891606,88.3412,,,,percent of total billed charges,,75.184,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,78.0034,,,,percent of total billed charges,,84.582,,,,percent of total billed charges,,86.4616,,,,percent of total billed charges,,86.4616,,,,percent of total billed charges,,88.90508,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,91.1606,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,82.7024,,,,percent of total billed charges,,84.582,,,,percent of total billed charges,,60.89904,,,,percent of total billed charges,,84.582,,,,percent of total billed charges,,56.388,,,,percent of total billed charges,,94.891606,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,89.281,,,,percent of total billed charges,,75.184,,,,percent of total billed charges,,56.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [8113],0637,RC,,,,,inpatient,,,16.2,,8.1,9.72,16.35714,15.228,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,13.446,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,15.3252,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,10.4976,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,16.35714,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,15.39,,,,percent of total billed charges,,12.96,,,,percent of total billed charges,,9.72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [8114],0637,RC,,,,,inpatient,,,40.98,,20.49,24.588,41.377506,38.5212,,,,percent of total billed charges,,32.784,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,34.0134,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,37.7016,,,,percent of total billed charges,,37.7016,,,,percent of total billed charges,,38.76708,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,39.7506,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,36.0624,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,26.55504,,,,percent of total billed charges,,36.882,,,,percent of total billed charges,,24.588,,,,percent of total billed charges,,41.377506,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,38.931,,,,percent of total billed charges,,32.784,,,,percent of total billed charges,,24.588,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,,,,,inpatient,,,38.7,,19.35,23.22,39.07539,36.378,,,,percent of total billed charges,,30.96,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,32.121,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,35.604,,,,percent of total billed charges,,35.604,,,,percent of total billed charges,,36.6102,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,37.539,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,34.056,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,25.0776,,,,percent of total billed charges,,34.83,,,,percent of total billed charges,,23.22,,,,percent of total billed charges,,39.07539,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,36.765,,,,percent of total billed charges,,30.96,,,,percent of total billed charges,,23.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,,,,,inpatient,,,196.52,,98.26,117.912,198.426244,184.7288,,,,percent of total billed charges,,157.216,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,163.1116,,,,percent of total billed charges,,176.868,,,,percent of total billed charges,,180.7984,,,,percent of total billed charges,,180.7984,,,,percent of total billed charges,,185.90792,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,190.6244,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,172.9376,,,,percent of total billed charges,,176.868,,,,percent of total billed charges,,127.34496,,,,percent of total billed charges,,176.868,,,,percent of total billed charges,,117.912,,,,percent of total billed charges,,198.426244,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,186.694,,,,percent of total billed charges,,157.216,,,,percent of total billed charges,,117.912,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,,,,,inpatient,,,14.81,,7.405,8.886,14.953657,13.9214,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,12.2923,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,13.6252,,,,percent of total billed charges,,14.01026,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.3657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,13.0328,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,9.59688,,,,percent of total billed charges,,13.329,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,14.953657,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,14.0695,,,,percent of total billed charges,,11.848,,,,percent of total billed charges,,8.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,,,,,inpatient,,,11.59,,5.795,6.954,11.702423,10.8946,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.6197,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.6628,,,,percent of total billed charges,,10.96414,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.2423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,10.1992,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,7.51032,,,,percent of total billed charges,,10.431,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,11.702423,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,11.0105,,,,percent of total billed charges,,9.272,,,,percent of total billed charges,,6.954,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,,,,,inpatient,,,13.23,,6.615,7.938,13.358331,12.4362,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.9809,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.1716,,,,percent of total billed charges,,12.51558,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.8331,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,11.6424,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,8.57304,,,,percent of total billed charges,,11.907,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,13.358331,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,12.5685,,,,percent of total billed charges,,10.584,,,,percent of total billed charges,,7.938,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,,,,,inpatient,,,71.55,,35.775,42.93,72.244035,67.257,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,59.3865,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,65.826,,,,percent of total billed charges,,67.6863,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,69.4035,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,62.964,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,46.3644,,,,percent of total billed charges,,64.395,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,72.244035,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,67.9725,,,,percent of total billed charges,,57.24,,,,percent of total billed charges,,42.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [80359],0636,RC,,,,,inpatient,,,67.01,,33.505,40.206,67.659997,62.9894,,,,percent of total billed charges,,53.608,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,55.6183,,,,percent of total billed charges,,60.309,,,,percent of total billed charges,,61.6492,,,,percent of total billed charges,,61.6492,,,,percent of total billed charges,,63.39146,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,64.9997,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,58.9688,,,,percent of total billed charges,,60.309,,,,percent of total billed charges,,43.42248,,,,percent of total billed charges,,60.309,,,,percent of total billed charges,,40.206,,,,percent of total billed charges,,67.659997,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,63.6595,,,,percent of total billed charges,,53.608,,,,percent of total billed charges,,40.206,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,,,,,inpatient,,,1.1,,0.55,0.66,1.11067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.11067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,,,,,inpatient,,,1.1,,0.55,0.66,1.11067,1.034,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.913,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.012,,,,percent of total billed charges,,1.0406,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.968,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.7128,,,,percent of total billed charges,,0.99,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,1.11067,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,1.045,,,,percent of total billed charges,,0.88,,,,percent of total billed charges,,0.66,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE [12729],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET [8134],0637,RC,,,,,inpatient,,,0.95,,0.475,0.57,0.959215,0.893,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.874,,,,percent of total billed charges,,0.8987,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.836,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.6156,,,,percent of total billed charges,,0.855,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.959215,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.9025,,,,percent of total billed charges,,0.76,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIFLURIDINE 1 % EYE DROPS [11595],0637,RC,,,,,inpatient,,,861.54,,430.77,516.924,869.896938,809.8476,,,,percent of total billed charges,,689.232,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,715.0782,,,,percent of total billed charges,,775.386,,,,percent of total billed charges,,792.6168,,,,percent of total billed charges,,792.6168,,,,percent of total billed charges,,815.01684,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,835.6938,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,758.1552,,,,percent of total billed charges,,775.386,,,,percent of total billed charges,,558.27792,,,,percent of total billed charges,,775.386,,,,percent of total billed charges,,516.924,,,,percent of total billed charges,,869.896938,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,818.463,,,,percent of total billed charges,,689.232,,,,percent of total billed charges,,516.924,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIHEXYPHENIDYL 2 MG TABLET [8166],0637,RC,,,,,inpatient,,,0.67,,0.335,0.402,0.676499,0.6298,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5561,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.6164,,,,percent of total billed charges,,0.63382,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.5896,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.43416,,,,percent of total billed charges,,0.603,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,0.676499,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.6365,,,,percent of total billed charges,,0.536,,,,percent of total billed charges,,0.402,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRILACICLIB 300 MG INTRAVENOUS SOLUTION [252450],0636,RC,,,,,inpatient,,,6849,,3424.5,4109.4,6915.4353,6438.06,,,,percent of total billed charges,,5479.2,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,5684.67,,,,percent of total billed charges,,6164.1,,,,percent of total billed charges,,6301.08,,,,percent of total billed charges,,6301.08,,,,percent of total billed charges,,6479.154,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,6643.53,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,6027.12,,,,percent of total billed charges,,6164.1,,,,percent of total billed charges,,4438.152,,,,percent of total billed charges,,6164.1,,,,percent of total billed charges,,4109.4,,,,percent of total billed charges,,6915.4353,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,6506.55,,,,percent of total billed charges,,5479.2,,,,percent of total billed charges,,4109.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIMETHOPRIM 100 MG TABLET [8182],0637,RC,,,,,inpatient,,,8.39,,4.195,5.034,8.471383,7.8866,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.9637,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.93694,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,8.1383,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.3832,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,5.43672,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,8.471383,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRIMETHOPRIM 100 MG TABLET [8182],0637,RC,,,,,inpatient,,,8.39,,4.195,5.034,8.471383,7.8866,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.9637,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.7188,,,,percent of total billed charges,,7.93694,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,8.1383,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.3832,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,5.43672,,,,percent of total billed charges,,7.551,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,8.471383,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,7.9705,,,,percent of total billed charges,,6.712,,,,percent of total billed charges,,5.034,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,,,,,inpatient,,,70.16,,35.08,42.096,70.840552,65.9504,,,,percent of total billed charges,,56.128,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,58.2328,,,,percent of total billed charges,,63.144,,,,percent of total billed charges,,64.5472,,,,percent of total billed charges,,64.5472,,,,percent of total billed charges,,66.37136,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,68.0552,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,61.7408,,,,percent of total billed charges,,63.144,,,,percent of total billed charges,,45.46368,,,,percent of total billed charges,,63.144,,,,percent of total billed charges,,42.096,,,,percent of total billed charges,,70.840552,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,66.652,,,,percent of total billed charges,,56.128,,,,percent of total billed charges,,42.096,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [7556],0250,RC,,,,,inpatient,,,83.03,,41.515,49.818,83.835391,78.0482,,,,percent of total billed charges,,66.424,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,68.9149,,,,percent of total billed charges,,74.727,,,,percent of total billed charges,,76.3876,,,,percent of total billed charges,,76.3876,,,,percent of total billed charges,,78.54638,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,80.5391,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,73.0664,,,,percent of total billed charges,,74.727,,,,percent of total billed charges,,53.80344,,,,percent of total billed charges,,74.727,,,,percent of total billed charges,,49.818,,,,percent of total billed charges,,83.835391,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,78.8785,,,,percent of total billed charges,,66.424,,,,percent of total billed charges,,49.818,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROLAMINE SALICYLATE 10 % TOPICAL CREAM [27680],0637,RC,,,,,inpatient,,,17.82,,8.91,10.692,17.992854,16.7508,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.7906,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.85772,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,17.2854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,15.6816,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,11.54736,,,,percent of total billed charges,,16.038,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,17.992854,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,16.929,,,,percent of total billed charges,,14.256,,,,percent of total billed charges,,10.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,,,,,inpatient,,,27.07,,13.535,16.242,27.332579,25.4458,,,,percent of total billed charges,,21.656,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,22.4681,,,,percent of total billed charges,,24.363,,,,percent of total billed charges,,24.9044,,,,percent of total billed charges,,24.9044,,,,percent of total billed charges,,25.60822,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,26.2579,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,23.8216,,,,percent of total billed charges,,24.363,,,,percent of total billed charges,,17.54136,,,,percent of total billed charges,,24.363,,,,percent of total billed charges,,16.242,,,,percent of total billed charges,,27.332579,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,25.7165,,,,percent of total billed charges,,21.656,,,,percent of total billed charges,,16.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,,,,,inpatient,,,32.94,,16.47,19.764,33.259518,30.9636,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,27.3402,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,30.3048,,,,percent of total billed charges,,31.16124,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.9518,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,28.9872,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,21.34512,,,,percent of total billed charges,,29.646,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,33.259518,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,31.293,,,,percent of total billed charges,,26.352,,,,percent of total billed charges,,19.764,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,,,,,inpatient,,,123.46,,61.73,74.076,124.657562,116.0524,,,,percent of total billed charges,,98.768,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,102.4718,,,,percent of total billed charges,,111.114,,,,percent of total billed charges,,113.5832,,,,percent of total billed charges,,113.5832,,,,percent of total billed charges,,116.79316,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,119.7562,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,108.6448,,,,percent of total billed charges,,111.114,,,,percent of total billed charges,,80.00208,,,,percent of total billed charges,,111.114,,,,percent of total billed charges,,74.076,,,,percent of total billed charges,,124.657562,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,117.287,,,,percent of total billed charges,,98.768,,,,percent of total billed charges,,74.076,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,,,,,inpatient,,,15.49,,7.745,9.294,15.640253,14.5606,,,,percent of total billed charges,,12.392,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,12.8567,,,,percent of total billed charges,,13.941,,,,percent of total billed charges,,14.2508,,,,percent of total billed charges,,14.2508,,,,percent of total billed charges,,14.65354,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,15.0253,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,13.6312,,,,percent of total billed charges,,13.941,,,,percent of total billed charges,,10.03752,,,,percent of total billed charges,,13.941,,,,percent of total billed charges,,9.294,,,,percent of total billed charges,,15.640253,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,14.7155,,,,percent of total billed charges,,12.392,,,,percent of total billed charges,,9.294,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,,,,,inpatient,,,82.15,,41.075,49.29,82.946855,77.221,,,,percent of total billed charges,,65.72,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,68.1845,,,,percent of total billed charges,,73.935,,,,percent of total billed charges,,75.578,,,,percent of total billed charges,,75.578,,,,percent of total billed charges,,77.7139,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,79.6855,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,72.292,,,,percent of total billed charges,,73.935,,,,percent of total billed charges,,53.2332,,,,percent of total billed charges,,73.935,,,,percent of total billed charges,,49.29,,,,percent of total billed charges,,82.946855,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,78.0425,,,,percent of total billed charges,,65.72,,,,percent of total billed charges,,49.29,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TROPICAMIDE 1 % EYE DROPS [8250],0637,RC,,,,,inpatient,,,32.07,,16.035,19.242,32.381079,30.1458,,,,percent of total billed charges,,25.656,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,26.6181,,,,percent of total billed charges,,28.863,,,,percent of total billed charges,,29.5044,,,,percent of total billed charges,,29.5044,,,,percent of total billed charges,,30.33822,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,31.1079,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,28.2216,,,,percent of total billed charges,,28.863,,,,percent of total billed charges,,20.78136,,,,percent of total billed charges,,28.863,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,32.381079,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,30.4665,,,,percent of total billed charges,,25.656,,,,percent of total billed charges,,19.242,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE [95040],0250,RC,,,,,inpatient,,,207,,103.5,124.2,209.0079,194.58,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,171.81,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,190.44,,,,percent of total billed charges,,195.822,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,200.79,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,182.16,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,186.3,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,209.0079,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,196.65,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,124.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [77192],0250,RC,,,,,inpatient,,,397.89,,198.945,238.734,401.749533,374.0166,,,,percent of total billed charges,,318.312,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,330.2487,,,,percent of total billed charges,,358.101,,,,percent of total billed charges,,366.0588,,,,percent of total billed charges,,366.0588,,,,percent of total billed charges,,376.40394,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,385.9533,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,350.1432,,,,percent of total billed charges,,358.101,,,,percent of total billed charges,,257.83272,,,,percent of total billed charges,,358.101,,,,percent of total billed charges,,238.734,,,,percent of total billed charges,,401.749533,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,377.9955,,,,percent of total billed charges,,318.312,,,,percent of total billed charges,,238.734,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ULIPRISTAL 30 MG TABLET [202147],0636,RC,,,,,inpatient,,,160.29,,80.145,96.174,161.844813,150.6726,,,,percent of total billed charges,,128.232,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,133.0407,,,,percent of total billed charges,,144.261,,,,percent of total billed charges,,147.4668,,,,percent of total billed charges,,147.4668,,,,percent of total billed charges,,151.63434,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,155.4813,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,141.0552,,,,percent of total billed charges,,144.261,,,,percent of total billed charges,,103.86792,,,,percent of total billed charges,,144.261,,,,percent of total billed charges,,96.174,,,,percent of total billed charges,,161.844813,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,152.2755,,,,percent of total billed charges,,128.232,,,,percent of total billed charges,,96.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UREA 10 % LOTION [78580],0637,RC,,,,,inpatient,,,35.2,,17.6,21.12,35.54144,33.088,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,29.216,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,32.384,,,,percent of total billed charges,,32.384,,,,percent of total billed charges,,33.2992,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,34.144,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,30.976,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,22.8096,,,,percent of total billed charges,,31.68,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,35.54144,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,33.44,,,,percent of total billed charges,,28.16,,,,percent of total billed charges,,21.12,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UREA 10 % LOTION [78580],0637,RC,,,,,inpatient,,,36.11,,18.055,21.666,36.460267,33.9434,,,,percent of total billed charges,,28.888,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,29.9713,,,,percent of total billed charges,,32.499,,,,percent of total billed charges,,33.2212,,,,percent of total billed charges,,33.2212,,,,percent of total billed charges,,34.16006,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,35.0267,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,31.7768,,,,percent of total billed charges,,32.499,,,,percent of total billed charges,,23.39928,,,,percent of total billed charges,,32.499,,,,percent of total billed charges,,21.666,,,,percent of total billed charges,,36.460267,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,34.3045,,,,percent of total billed charges,,28.888,,,,percent of total billed charges,,21.666,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 300 MG CAPSULE [11624],0637,RC,,,,,inpatient,,,11.6,,5.8,6.96,11.71252,10.904,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.628,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.672,,,,percent of total billed charges,,10.9736,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.252,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,10.208,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,7.5168,,,,percent of total billed charges,,10.44,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,11.71252,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,11.02,,,,percent of total billed charges,,9.28,,,,percent of total billed charges,,6.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 300 MG CAPSULE [11624],0637,RC,,,,,inpatient,,,4.35,,2.175,2.61,4.392195,4.089,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.6105,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.002,,,,percent of total billed charges,,4.1151,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.2195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.828,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.8188,,,,percent of total billed charges,,3.915,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,4.392195,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,4.1325,,,,percent of total billed charges,,3.48,,,,percent of total billed charges,,2.61,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 300 MG CAPSULE [11624],0637,RC,,,,,inpatient,,,3.27,,1.635,1.962,3.301719,3.0738,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.7141,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.0084,,,,percent of total billed charges,,3.09342,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.8776,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,2.11896,,,,percent of total billed charges,,2.943,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,3.301719,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,3.1065,,,,percent of total billed charges,,2.616,,,,percent of total billed charges,,1.962,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URSODIOL 60 MG/ML ORAL LIQUID [1000133],0637,RC,,,,,inpatient,,,1.8,,0.9,1.08,1.81746,1.692,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.494,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.656,,,,percent of total billed charges,,1.7028,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.584,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.1664,,,,percent of total billed charges,,1.62,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,1.81746,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.71,,,,percent of total billed charges,,1.44,,,,percent of total billed charges,,1.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [232275],0636,RC,,,,,inpatient,,,8672.16,,4336.08,5203.296,8756.279952,8151.8304,,,,percent of total billed charges,,6937.728,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,7197.8928,,,,percent of total billed charges,,7804.944,,,,percent of total billed charges,,7978.3872,,,,percent of total billed charges,,7978.3872,,,,percent of total billed charges,,8203.86336,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,8411.9952,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,7631.5008,,,,percent of total billed charges,,7804.944,,,,percent of total billed charges,,5619.55968,,,,percent of total billed charges,,7804.944,,,,percent of total billed charges,,5203.296,,,,percent of total billed charges,,8756.279952,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,8238.552,,,,percent of total billed charges,,6937.728,,,,percent of total billed charges,,5203.296,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [232275],0636,RC,,,,,inpatient,,,17344.32,,8672.16,10406.592,17512.5599,16303.6608,,,,percent of total billed charges,,13875.456,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,14395.7856,,,,percent of total billed charges,,15609.888,,,,percent of total billed charges,,15956.7744,,,,percent of total billed charges,,15956.7744,,,,percent of total billed charges,,16407.72672,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,16823.9904,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,15263.0016,,,,percent of total billed charges,,15609.888,,,,percent of total billed charges,,11239.11936,,,,percent of total billed charges,,15609.888,,,,percent of total billed charges,,10406.592,,,,percent of total billed charges,,17512.5599,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,16477.104,,,,percent of total billed charges,,13875.456,,,,percent of total billed charges,,10406.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,,,,,inpatient,,,54.98,,27.49,32.988,55.513306,51.6812,,,,percent of total billed charges,,43.984,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,45.6334,,,,percent of total billed charges,,49.482,,,,percent of total billed charges,,50.5816,,,,percent of total billed charges,,50.5816,,,,percent of total billed charges,,52.01108,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,53.3306,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,48.3824,,,,percent of total billed charges,,49.482,,,,percent of total billed charges,,35.62704,,,,percent of total billed charges,,49.482,,,,percent of total billed charges,,32.988,,,,percent of total billed charges,,55.513306,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,52.231,,,,percent of total billed charges,,43.984,,,,percent of total billed charges,,32.988,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,,,,,inpatient,,,4.32,,2.16,2.592,4.361904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.79936,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.361904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,,,,,inpatient,,,4.32,,2.16,2.592,4.361904,4.0608,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.5856,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,3.9744,,,,percent of total billed charges,,4.08672,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.1904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.8016,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.79936,,,,percent of total billed charges,,3.888,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,4.361904,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,4.104,,,,percent of total billed charges,,3.456,,,,percent of total billed charges,,2.592,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALACYCLOVIR 500 MG TABLET [79107],0637,RC,,,,,inpatient,,,4.19,,2.095,2.514,4.230643,3.9386,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.4777,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.8548,,,,percent of total billed charges,,3.96374,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,4.0643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.6872,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.71512,,,,percent of total billed charges,,3.771,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,4.230643,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.9805,,,,percent of total billed charges,,3.352,,,,percent of total billed charges,,2.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,,,,,inpatient,,,19.19,,9.595,11.514,19.376143,18.0386,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.9277,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,17.6548,,,,percent of total billed charges,,18.15374,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.6143,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,16.8872,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,12.43512,,,,percent of total billed charges,,17.271,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,19.376143,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,18.2305,,,,percent of total billed charges,,15.352,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,,,,,inpatient,,,87.88,,43.94,52.728,88.732436,82.6072,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,72.9404,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,83.13448,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,85.2436,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,77.3344,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,56.94624,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,88.732436,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,,,,,inpatient,,,87.88,,43.94,52.728,88.732436,82.6072,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,72.9404,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,80.8496,,,,percent of total billed charges,,83.13448,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,85.2436,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,77.3344,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,56.94624,,,,percent of total billed charges,,79.092,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,88.732436,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,83.486,,,,percent of total billed charges,,70.304,,,,percent of total billed charges,,52.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 450 MG TABLET [77194],0637,RC,,,,,inpatient,,,58.26,,29.13,34.956,58.825122,54.7644,,,,percent of total billed charges,,46.608,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,48.3558,,,,percent of total billed charges,,52.434,,,,percent of total billed charges,,53.5992,,,,percent of total billed charges,,53.5992,,,,percent of total billed charges,,55.11396,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,56.5122,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,51.2688,,,,percent of total billed charges,,52.434,,,,percent of total billed charges,,37.75248,,,,percent of total billed charges,,52.434,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,58.825122,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,55.347,,,,percent of total billed charges,,46.608,,,,percent of total billed charges,,34.956,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALGANCICLOVIR 50 MG/ML ORAL SOLUTION [197941],0637,RC,,,,,inpatient,,,3861.45,,1930.725,2316.87,3898.906065,3629.763,,,,percent of total billed charges,,3089.16,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3205.0035,,,,percent of total billed charges,,3475.305,,,,percent of total billed charges,,3552.534,,,,percent of total billed charges,,3552.534,,,,percent of total billed charges,,3652.9317,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3745.6065,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3398.076,,,,percent of total billed charges,,3475.305,,,,percent of total billed charges,,2502.2196,,,,percent of total billed charges,,3475.305,,,,percent of total billed charges,,2316.87,,,,percent of total billed charges,,3898.906065,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3668.3775,,,,percent of total billed charges,,3089.16,,,,percent of total billed charges,,2316.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,5.25,,2.625,3.15,5.300925,4.935,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.3575,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.83,,,,percent of total billed charges,,4.9665,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,5.0925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.62,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.402,,,,percent of total billed charges,,4.725,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,5.300925,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.9875,,,,percent of total billed charges,,4.2,,,,percent of total billed charges,,3.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,8.1,,4.05,4.86,8.17857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,5.2488,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,8.17857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,20.68,,10.34,12.408,20.880596,19.4392,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,17.1644,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.56328,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,20.0596,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,18.1984,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,13.40064,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,20.880596,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,20.68,,10.34,12.408,20.880596,19.4392,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,17.1644,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.0256,,,,percent of total billed charges,,19.56328,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,20.0596,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,18.1984,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,13.40064,,,,percent of total billed charges,,18.612,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,20.880596,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,19.646,,,,percent of total billed charges,,16.544,,,,percent of total billed charges,,12.408,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,8.1,,4.05,4.86,8.17857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,5.2488,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,8.17857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,8.1,,4.05,4.86,8.17857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,5.2488,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,8.17857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,8.1,,4.05,4.86,8.17857,7.614,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.723,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.452,,,,percent of total billed charges,,7.6626,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.128,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,5.2488,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,8.17857,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,7.695,,,,percent of total billed charges,,6.48,,,,percent of total billed charges,,4.86,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,14.88,,7.44,8.928,15.024336,13.9872,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,12.3504,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,14.07648,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.4336,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,13.0944,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,9.64224,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,15.024336,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [20887],0250,RC,,,,,inpatient,,,14.88,,7.44,8.928,15.024336,13.9872,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,12.3504,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,13.6896,,,,percent of total billed charges,,14.07648,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.4336,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,13.0944,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,9.64224,,,,percent of total billed charges,,13.392,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,15.024336,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,14.136,,,,percent of total billed charges,,11.904,,,,percent of total billed charges,,8.928,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,,,,,inpatient,,,1.94,,0.97,1.164,1.958818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.25712,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.958818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,,,,,inpatient,,,1.94,,0.97,1.164,1.958818,1.8236,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.6102,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.7848,,,,percent of total billed charges,,1.83524,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.8818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.7072,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.25712,,,,percent of total billed charges,,1.746,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,1.958818,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.843,,,,percent of total billed charges,,1.552,,,,percent of total billed charges,,1.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,,,,,inpatient,,,5.88,,2.94,3.528,5.937036,5.5272,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.8804,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.4096,,,,percent of total billed charges,,5.56248,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.7036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.1744,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.81024,,,,percent of total billed charges,,5.292,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,5.937036,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,5.586,,,,percent of total billed charges,,4.704,,,,percent of total billed charges,,3.528,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [210383],0637,RC,,,,,inpatient,,,8.33,,4.165,4.998,8.410801,7.8302,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.9139,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.6636,,,,percent of total billed charges,,7.88018,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,8.0801,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.3304,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,5.39784,,,,percent of total billed charges,,7.497,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,8.410801,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,7.9135,,,,percent of total billed charges,,6.664,,,,percent of total billed charges,,4.998,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID 250 MG CAPSULE [8429],0637,RC,,,,,inpatient,,,0.65,,0.325,0.39,0.656305,0.611,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.5395,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.598,,,,percent of total billed charges,,0.6149,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.572,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.4212,,,,percent of total billed charges,,0.585,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,0.656305,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.6175,,,,percent of total billed charges,,0.52,,,,percent of total billed charges,,0.39,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALPROIC ACID 250 MG CAPSULE [8429],0637,RC,,,,,inpatient,,,1.22,,0.61,0.732,1.231834,1.1468,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0126,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.1224,,,,percent of total billed charges,,1.15412,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.1834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.0736,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.79056,,,,percent of total billed charges,,1.098,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,1.231834,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,1.159,,,,percent of total billed charges,,0.976,,,,percent of total billed charges,,0.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,,,,,inpatient,,,38.24,,19.12,22.944,38.610928,35.9456,,,,percent of total billed charges,,30.592,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,31.7392,,,,percent of total billed charges,,34.416,,,,percent of total billed charges,,35.1808,,,,percent of total billed charges,,35.1808,,,,percent of total billed charges,,36.17504,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,37.0928,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,33.6512,,,,percent of total billed charges,,34.416,,,,percent of total billed charges,,24.77952,,,,percent of total billed charges,,34.416,,,,percent of total billed charges,,22.944,,,,percent of total billed charges,,38.610928,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,36.328,,,,percent of total billed charges,,30.592,,,,percent of total billed charges,,22.944,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,,,,,inpatient,,,0.99,,0.495,0.594,0.999603,0.9306,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8217,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.9108,,,,percent of total billed charges,,0.93654,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.8712,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.64152,,,,percent of total billed charges,,0.891,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,0.999603,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.9405,,,,percent of total billed charges,,0.792,,,,percent of total billed charges,,0.594,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,,,,,inpatient,,,0.51,,0.255,0.306,0.514947,0.4794,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4233,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.4692,,,,percent of total billed charges,,0.48246,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4488,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.33048,,,,percent of total billed charges,,0.459,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,0.514947,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.4845,,,,percent of total billed charges,,0.408,,,,percent of total billed charges,,0.306,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VALSARTAN 80 MG TABLET [78743],0637,RC,,,,,inpatient,,,1.08,,0.54,0.648,1.090476,1.0152,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.8964,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,0.9936,,,,percent of total billed charges,,1.02168,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.9504,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.69984,,,,percent of total billed charges,,0.972,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,1.090476,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.864,,,,percent of total billed charges,,0.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [93683],0636,RC,,,,,inpatient,,,121.5,,60.75,72.9,122.67855,114.21,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,100.845,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.939,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,117.855,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,78.732,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,122.67855,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK - 60 MIN INFUSION [1001513],0636,RC,,,,,inpatient,,,121.5,,60.75,72.9,122.67855,114.21,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,100.845,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,111.78,,,,percent of total billed charges,,114.939,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,117.855,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,106.92,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,78.732,,,,percent of total billed charges,,109.35,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,122.67855,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,115.425,,,,percent of total billed charges,,97.2,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK [243345],0636,RC,,,,,inpatient,,,54.9,,27.45,32.94,55.43253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,35.5752,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,55.43253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK [243345],0636,RC,,,,,inpatient,,,54.9,,27.45,32.94,55.43253,51.606,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,45.567,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,50.508,,,,percent of total billed charges,,51.9354,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,53.253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,48.312,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,35.5752,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,55.43253,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,52.155,,,,percent of total billed charges,,43.92,,,,percent of total billed charges,,32.94,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,14.48,,7.24,8.688,14.620456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,9.38304,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,14.620456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,14.48,,7.24,8.688,14.620456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,9.38304,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,14.620456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,55.06,,27.53,33.036,55.594082,51.7564,,,,percent of total billed charges,,44.048,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,45.6998,,,,percent of total billed charges,,49.554,,,,percent of total billed charges,,50.6552,,,,percent of total billed charges,,50.6552,,,,percent of total billed charges,,52.08676,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,53.4082,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,48.4528,,,,percent of total billed charges,,49.554,,,,percent of total billed charges,,35.67888,,,,percent of total billed charges,,49.554,,,,percent of total billed charges,,33.036,,,,percent of total billed charges,,55.594082,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,52.307,,,,percent of total billed charges,,44.048,,,,percent of total billed charges,,33.036,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,10.29,,5.145,6.174,10.389813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.66792,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,10.389813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,10.29,,5.145,6.174,10.389813,9.6726,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.5407,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.4668,,,,percent of total billed charges,,9.73434,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.9813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.0552,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.66792,,,,percent of total billed charges,,9.261,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,10.389813,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,9.7755,,,,percent of total billed charges,,8.232,,,,percent of total billed charges,,6.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,26.96,,13.48,16.176,27.221512,25.3424,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,22.3768,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,25.50416,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,26.1512,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,23.7248,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,17.47008,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,27.221512,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,26.96,,13.48,16.176,27.221512,25.3424,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,22.3768,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,24.8032,,,,percent of total billed charges,,25.50416,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,26.1512,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,23.7248,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,17.47008,,,,percent of total billed charges,,24.264,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,27.221512,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,25.612,,,,percent of total billed charges,,21.568,,,,percent of total billed charges,,16.176,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,7.08,,3.54,4.248,7.148676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.58784,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,7.148676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [8442]",0636,RC,,,,,inpatient,,,7.08,,3.54,4.248,7.148676,6.6552,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.8764,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.5136,,,,percent of total billed charges,,6.69768,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.8676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.2304,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.58784,,,,percent of total billed charges,,6.372,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,7.148676,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,6.726,,,,percent of total billed charges,,5.664,,,,percent of total billed charges,,4.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,,,,,inpatient,,,19.01,,9.505,11.406,19.194397,17.8694,,,,percent of total billed charges,,15.208,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,15.7783,,,,percent of total billed charges,,17.109,,,,percent of total billed charges,,17.4892,,,,percent of total billed charges,,17.4892,,,,percent of total billed charges,,17.98346,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,18.4397,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,16.7288,,,,percent of total billed charges,,17.109,,,,percent of total billed charges,,12.31848,,,,percent of total billed charges,,17.109,,,,percent of total billed charges,,11.406,,,,percent of total billed charges,,19.194397,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,18.0595,,,,percent of total billed charges,,15.208,,,,percent of total billed charges,,11.406,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,,,,,inpatient,,,11.07,,5.535,6.642,11.177379,10.4058,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.1881,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.1844,,,,percent of total billed charges,,10.47222,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.7379,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,9.7416,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,7.17336,,,,percent of total billed charges,,9.963,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,11.177379,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,10.5165,,,,percent of total billed charges,,8.856,,,,percent of total billed charges,,6.642,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,,,,,inpatient,,,14.48,,7.24,8.688,14.620456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,9.38304,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,14.620456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,,,,,inpatient,,,14.48,,7.24,8.688,14.620456,13.6112,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.0184,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.3216,,,,percent of total billed charges,,13.69808,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,14.0456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,12.7424,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,9.38304,,,,percent of total billed charges,,13.032,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,14.620456,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,13.756,,,,percent of total billed charges,,11.584,,,,percent of total billed charges,,8.688,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG IV POWDER - FOR OR [1000756]",0636,RC,,,,,inpatient,,,8.36,,4.18,5.016,8.441092,7.8584,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.9388,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.6912,,,,percent of total billed charges,,7.90856,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,8.1092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.3568,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.41728,,,,percent of total billed charges,,7.524,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,8.441092,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,7.942,,,,percent of total billed charges,,6.688,,,,percent of total billed charges,,5.016,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK [250295],0636,RC,,,,,inpatient,,,68.63,,34.315,41.178,69.295711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,44.47224,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,69.295711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK [250295],0636,RC,,,,,inpatient,,,68.63,,34.315,41.178,69.295711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,44.47224,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,69.295711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.25 GRAM/250 ML-WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000275]",0636,RC,,,,,inpatient,,,68.63,,34.315,41.178,69.295711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,44.47224,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,69.295711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.25 GRAM/250 ML-WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000275]",0636,RC,,,,,inpatient,,,68.63,,34.315,41.178,69.295711,64.5122,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,56.9629,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,63.1396,,,,percent of total billed charges,,64.92398,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,66.5711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,60.3944,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,44.47224,,,,percent of total billed charges,,61.767,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,69.295711,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,65.1985,,,,percent of total billed charges,,54.904,,,,percent of total billed charges,,41.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK [243346],0636,RC,,,,,inpatient,,,82.35,,41.175,49.41,83.148795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,53.3628,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,83.148795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK [243346],0636,RC,,,,,inpatient,,,82.35,,41.175,49.41,83.148795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,53.3628,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,83.148795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.5 GRAM/300 ML-WATER FOR INJECTION (PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000276]",0636,RC,,,,,inpatient,,,82.35,,41.175,49.41,83.148795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,53.3628,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,83.148795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1.5 GRAM/300 ML-WATER FOR INJECTION (PEG,NADA) IV PIGGYBACK - 90 MIN INF [7000276]",0636,RC,,,,,inpatient,,,82.35,,41.175,49.41,83.148795,77.409,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,68.3505,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,75.762,,,,percent of total billed charges,,77.9031,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,79.8795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,72.468,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,53.3628,,,,percent of total billed charges,,74.115,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,83.148795,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,78.2325,,,,percent of total billed charges,,65.88,,,,percent of total billed charges,,49.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK [250310],0636,RC,,,,,inpatient,,,96.08,,48.04,57.648,97.011976,90.3152,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,79.7464,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,90.89168,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,93.1976,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,84.5504,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,62.25984,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,97.011976,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK [250310],0636,RC,,,,,inpatient,,,96.08,,48.04,57.648,97.011976,90.3152,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,79.7464,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,88.3936,,,,percent of total billed charges,,90.89168,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,93.1976,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,84.5504,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,62.25984,,,,percent of total billed charges,,86.472,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,97.011976,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,91.276,,,,percent of total billed charges,,76.864,,,,percent of total billed charges,,57.648,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,,,,,inpatient,,,107.96,,53.98,64.776,109.007212,101.4824,,,,percent of total billed charges,,86.368,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,89.6068,,,,percent of total billed charges,,97.164,,,,percent of total billed charges,,99.3232,,,,percent of total billed charges,,99.3232,,,,percent of total billed charges,,102.13016,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,104.7212,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,95.0048,,,,percent of total billed charges,,97.164,,,,percent of total billed charges,,69.95808,,,,percent of total billed charges,,97.164,,,,percent of total billed charges,,64.776,,,,percent of total billed charges,,109.007212,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,102.562,,,,percent of total billed charges,,86.368,,,,percent of total billed charges,,64.776,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,,,,,inpatient,,,879.39,,439.695,527.634,887.920083,826.6266,,,,percent of total billed charges,,703.512,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,729.8937,,,,percent of total billed charges,,791.451,,,,percent of total billed charges,,809.0388,,,,percent of total billed charges,,809.0388,,,,percent of total billed charges,,831.90294,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,853.0083,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,773.8632,,,,percent of total billed charges,,791.451,,,,percent of total billed charges,,569.84472,,,,percent of total billed charges,,791.451,,,,percent of total billed charges,,527.634,,,,percent of total billed charges,,887.920083,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,835.4205,,,,percent of total billed charges,,703.512,,,,percent of total billed charges,,527.634,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,,,,,inpatient,,,150.57,,75.285,90.342,152.030529,141.5358,,,,percent of total billed charges,,120.456,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,124.9731,,,,percent of total billed charges,,135.513,,,,percent of total billed charges,,138.5244,,,,percent of total billed charges,,138.5244,,,,percent of total billed charges,,142.43922,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,146.0529,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,132.5016,,,,percent of total billed charges,,135.513,,,,percent of total billed charges,,97.56936,,,,percent of total billed charges,,135.513,,,,percent of total billed charges,,90.342,,,,percent of total billed charges,,152.030529,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,143.0415,,,,percent of total billed charges,,120.456,,,,percent of total billed charges,,90.342,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,,,,,inpatient,,,10.18,,5.09,6.108,10.278746,9.5692,,,,percent of total billed charges,,8.144,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,8.4494,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,9.3656,,,,percent of total billed charges,,9.3656,,,,percent of total billed charges,,9.63028,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,9.8746,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,8.9584,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,6.59664,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,6.108,,,,percent of total billed charges,,10.278746,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,9.671,,,,percent of total billed charges,,8.144,,,,percent of total billed charges,,6.108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 125 MG CAPSULE [79298],0637,RC,,,,,inpatient,,,3.55,,1.775,2.13,3.584435,3.337,,,,percent of total billed charges,,2.84,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,2.9465,,,,percent of total billed charges,,3.195,,,,percent of total billed charges,,3.266,,,,percent of total billed charges,,3.266,,,,percent of total billed charges,,3.3583,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,3.4435,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,3.124,,,,percent of total billed charges,,3.195,,,,percent of total billed charges,,2.3004,,,,percent of total billed charges,,3.195,,,,percent of total billed charges,,2.13,,,,percent of total billed charges,,3.584435,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,3.3725,,,,percent of total billed charges,,2.84,,,,percent of total billed charges,,2.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID [7000098],0637,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID [7000098],0637,RC,,,,,inpatient,,,4.5,,2.25,2.7,4.54365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.54365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [7000097],0637,RC,,,,,inpatient,,,54,,27,32.4,54.5238,50.76,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,44.82,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,49.68,,,,percent of total billed charges,,51.084,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,52.38,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,47.52,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,34.992,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,54.5238,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,51.3,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [7000097],0637,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 25 MG/ML ORAL LIQUID WITH CHERRY FLAVORING [7000097],0637,RC,,,,,inpatient,,,4.5,,2.25,2.7,4.54365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.54365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,,,,,inpatient,,,22.5,,11.25,13.5,22.71825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,22.71825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,,,,,inpatient,,,22.5,,11.25,13.5,22.71825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,22.71825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,,,,,inpatient,,,7.49,,3.745,4.494,7.562653,7.0406,,,,percent of total billed charges,,5.992,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,6.2167,,,,percent of total billed charges,,6.741,,,,percent of total billed charges,,6.8908,,,,percent of total billed charges,,6.8908,,,,percent of total billed charges,,7.08554,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,7.2653,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,6.5912,,,,percent of total billed charges,,6.741,,,,percent of total billed charges,,4.85352,,,,percent of total billed charges,,6.741,,,,percent of total billed charges,,4.494,,,,percent of total billed charges,,7.562653,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,7.1155,,,,percent of total billed charges,,5.992,,,,percent of total billed charges,,4.494,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,,,,,inpatient,,,9.37,,4.685,5.622,9.460889,8.8078,,,,percent of total billed charges,,7.496,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,7.7771,,,,percent of total billed charges,,8.433,,,,percent of total billed charges,,8.6204,,,,percent of total billed charges,,8.6204,,,,percent of total billed charges,,8.86402,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,9.0889,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,8.2456,,,,percent of total billed charges,,8.433,,,,percent of total billed charges,,6.07176,,,,percent of total billed charges,,8.433,,,,percent of total billed charges,,5.622,,,,percent of total billed charges,,9.460889,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,8.9015,,,,percent of total billed charges,,7.496,,,,percent of total billed charges,,5.622,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 250 MG CAPSULE [80849],0637,RC,,,,,inpatient,,,39.3,,19.65,23.58,39.68121,36.942,,,,percent of total billed charges,,31.44,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,32.619,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,36.156,,,,percent of total billed charges,,36.156,,,,percent of total billed charges,,37.1778,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,38.121,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,34.584,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,25.4664,,,,percent of total billed charges,,35.37,,,,percent of total billed charges,,23.58,,,,percent of total billed charges,,39.68121,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,37.335,,,,percent of total billed charges,,31.44,,,,percent of total billed charges,,23.58,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,,,,,inpatient,,,70.29,,35.145,42.174,70.971813,66.0726,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,58.3407,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,64.6668,,,,percent of total billed charges,,66.49434,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,68.1813,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,61.8552,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,45.54792,,,,percent of total billed charges,,63.261,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,70.971813,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,66.7755,,,,percent of total billed charges,,56.232,,,,percent of total billed charges,,42.174,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,,,,,inpatient,,,366.8,,183.4,220.08,370.35796,344.792,,,,percent of total billed charges,,293.44,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,304.444,,,,percent of total billed charges,,330.12,,,,percent of total billed charges,,337.456,,,,percent of total billed charges,,337.456,,,,percent of total billed charges,,346.9928,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,355.796,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,322.784,,,,percent of total billed charges,,330.12,,,,percent of total billed charges,,237.6864,,,,percent of total billed charges,,330.12,,,,percent of total billed charges,,220.08,,,,percent of total billed charges,,370.35796,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,348.46,,,,percent of total billed charges,,293.44,,,,percent of total billed charges,,220.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,,,,,inpatient,,,81.68,,40.84,49.008,82.472296,76.7792,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,67.7944,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,75.1456,,,,percent of total billed charges,,77.26928,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,79.2296,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,71.8784,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,52.92864,,,,percent of total billed charges,,73.512,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,82.472296,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,77.596,,,,percent of total billed charges,,65.344,,,,percent of total billed charges,,49.008,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,,,,,inpatient,,,134.69,,67.345,80.814,135.996493,126.6086,,,,percent of total billed charges,,107.752,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,111.7927,,,,percent of total billed charges,,121.221,,,,percent of total billed charges,,123.9148,,,,percent of total billed charges,,123.9148,,,,percent of total billed charges,,127.41674,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,130.6493,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,118.5272,,,,percent of total billed charges,,121.221,,,,percent of total billed charges,,87.27912,,,,percent of total billed charges,,121.221,,,,percent of total billed charges,,80.814,,,,percent of total billed charges,,135.996493,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,127.9555,,,,percent of total billed charges,,107.752,,,,percent of total billed charges,,80.814,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION [8444],0636,RC,,,,,inpatient,,,72,,36,43.2,72.6984,67.68,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,59.76,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,66.24,,,,percent of total billed charges,,68.112,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,69.84,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,63.36,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,46.656,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,72.6984,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,68.4,,,,percent of total billed charges,,57.6,,,,percent of total billed charges,,43.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 5 MG/ML IN D5W IV PEDS DILUTION [1000067],0636,RC,,,,,inpatient,,,11.25,,5.625,6.75,11.359125,10.575,,,,percent of total billed charges,,9,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.3375,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.35,,,,percent of total billed charges,,10.6425,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.9125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9.9,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,7.29,,,,percent of total billed charges,,10.125,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,11.359125,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,10.6875,,,,percent of total billed charges,,9,,,,percent of total billed charges,,6.75,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG (50 MG/ML) INTRAVENOUS INJECTION [7000171],0636,RC,,,,,inpatient,,,9.71,,4.855,5.826,9.804187,9.1274,,,,percent of total billed charges,,7.768,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,8.0593,,,,percent of total billed charges,,8.739,,,,percent of total billed charges,,8.9332,,,,percent of total billed charges,,8.9332,,,,percent of total billed charges,,9.18566,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,9.4187,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,8.5448,,,,percent of total billed charges,,8.739,,,,percent of total billed charges,,6.29208,,,,percent of total billed charges,,8.739,,,,percent of total billed charges,,5.826,,,,percent of total billed charges,,9.804187,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,9.2245,,,,percent of total billed charges,,7.768,,,,percent of total billed charges,,5.826,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,9.72,,4.86,5.832,9.814284,9.1368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.0676,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.5536,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,6.29856,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,9.814284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,7.88,,3.94,4.728,7.956436,7.4072,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.5404,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.45448,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.6436,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.9344,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,5.10624,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,7.956436,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,7.88,,3.94,4.728,7.956436,7.4072,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.5404,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.2496,,,,percent of total billed charges,,7.45448,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.6436,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.9344,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,5.10624,,,,percent of total billed charges,,7.092,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,7.956436,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,7.486,,,,percent of total billed charges,,6.304,,,,percent of total billed charges,,4.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,9.26,,4.63,5.556,9.349822,8.7044,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.6858,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.75996,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.9822,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.1488,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,6.00048,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,9.349822,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,9.26,,4.63,5.556,9.349822,8.7044,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.6858,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.5192,,,,percent of total billed charges,,8.75996,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.9822,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.1488,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,6.00048,,,,percent of total billed charges,,8.334,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,9.349822,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,8.797,,,,percent of total billed charges,,7.408,,,,percent of total billed charges,,5.556,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,9.72,,4.86,5.832,9.814284,9.1368,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.0676,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,8.9424,,,,percent of total billed charges,,9.19512,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.4284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,8.5536,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,6.29856,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,9.814284,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,9.234,,,,percent of total billed charges,,7.776,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,13.5,,6.75,8.1,13.63095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,13.63095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [8443],0636,RC,,,,,inpatient,,,13.5,,6.75,8.1,13.63095,12.69,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.205,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.42,,,,percent of total billed charges,,12.771,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,13.095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.748,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,13.63095,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,12.825,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG/100 ML IN DILUENT COMBINATION IV PIGGYBACK [243550],0636,RC,,,,,inpatient,,,27.45,,13.725,16.47,27.716265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,17.7876,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,27.716265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 500 MG/100 ML IN DILUENT COMBINATION IV PIGGYBACK [243550],0636,RC,,,,,inpatient,,,27.45,,13.725,16.47,27.716265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,17.7876,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,27.716265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 500 MG/100 ML IN WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 30 MIN INF [7000274]",0636,RC,,,,,inpatient,,,27.45,,13.725,16.47,27.716265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,17.7876,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,27.716265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 500 MG/100 ML IN WATER FOR INJECTION(PEG,NADA) IV PIGGYBACK - 30 MIN INF [7000274]",0636,RC,,,,,inpatient,,,27.45,,13.725,16.47,27.716265,25.803,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,22.7835,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.254,,,,percent of total billed charges,,25.9677,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.6265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,24.156,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,17.7876,,,,percent of total billed charges,,24.705,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,27.716265,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,26.0775,,,,percent of total billed charges,,21.96,,,,percent of total billed charges,,16.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [203400],0636,RC,,,,,inpatient,,,54.68,,27.34,32.808,55.210396,51.3992,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,45.3844,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,51.72728,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,53.0396,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,48.1184,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,35.43264,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,55.210396,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK - 60 MIN INFUSION [1001512],0636,RC,,,,,inpatient,,,54.68,,27.34,32.808,55.210396,51.3992,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,45.3844,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,50.3056,,,,percent of total billed charges,,51.72728,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,53.0396,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,48.1184,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,35.43264,,,,percent of total billed charges,,49.212,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,55.210396,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,51.946,,,,percent of total billed charges,,43.744,,,,percent of total billed charges,,32.808,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [11403],0250,RC,,,,,inpatient,,,4.5,,2.25,2.7,4.54365,4.23,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.735,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.14,,,,percent of total billed charges,,4.257,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.96,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.916,,,,percent of total billed charges,,4.05,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,4.54365,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,4.275,,,,percent of total billed charges,,3.6,,,,percent of total billed charges,,2.7,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,,,,,inpatient,,,7.53,,3.765,4.518,7.603041,7.0782,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,6.2499,,,,percent of total billed charges,,6.777,,,,percent of total billed charges,,6.9276,,,,percent of total billed charges,,6.9276,,,,percent of total billed charges,,7.12338,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,7.3041,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,6.6264,,,,percent of total billed charges,,6.777,,,,percent of total billed charges,,4.87944,,,,percent of total billed charges,,6.777,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,7.603041,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,7.1535,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,4.518,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [11627],0636,RC,,,,,inpatient,,,15.27,,7.635,9.162,15.418119,14.3538,,,,percent of total billed charges,,12.216,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,12.6741,,,,percent of total billed charges,,13.743,,,,percent of total billed charges,,14.0484,,,,percent of total billed charges,,14.0484,,,,percent of total billed charges,,14.44542,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,14.8119,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,13.4376,,,,percent of total billed charges,,13.743,,,,percent of total billed charges,,9.89496,,,,percent of total billed charges,,13.743,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,15.418119,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,14.5065,,,,percent of total billed charges,,12.216,,,,percent of total billed charges,,9.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VANCOMYCIN 1,000 MG (50 MG/ML) INTRAVENOUS INJECTION [7000170]",0636,RC,,,,,inpatient,,,8.48,,4.24,5.088,8.562256,7.9712,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.0384,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,7.8016,,,,percent of total billed charges,,8.02208,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.2256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,7.4624,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.49504,,,,percent of total billed charges,,7.632,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,8.562256,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,8.056,,,,percent of total billed charges,,6.784,,,,percent of total billed charges,,5.088,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,87.35,,43.675,52.41,88.197295,82.109,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,72.5005,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,82.6331,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,84.7295,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,76.868,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,56.6028,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,88.197295,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,51.12,,25.56,30.672,51.615864,48.0528,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,42.4296,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,48.35952,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,49.5864,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,44.9856,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,33.12576,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,51.615864,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,87.35,,43.675,52.41,88.197295,82.109,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,72.5005,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,80.362,,,,percent of total billed charges,,82.6331,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,84.7295,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,76.868,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,56.6028,,,,percent of total billed charges,,78.615,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,88.197295,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,82.9825,,,,percent of total billed charges,,69.88,,,,percent of total billed charges,,52.41,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,51.12,,25.56,30.672,51.615864,48.0528,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,42.4296,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,47.0304,,,,percent of total billed charges,,48.35952,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,49.5864,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,44.9856,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,33.12576,,,,percent of total billed charges,,46.008,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,51.615864,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,48.564,,,,percent of total billed charges,,40.896,,,,percent of total billed charges,,30.672,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,53.65,,26.825,32.19,54.170405,50.431,,,,percent of total billed charges,,42.92,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,44.5295,,,,percent of total billed charges,,48.285,,,,percent of total billed charges,,49.358,,,,percent of total billed charges,,49.358,,,,percent of total billed charges,,50.7529,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,52.0405,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,47.212,,,,percent of total billed charges,,48.285,,,,percent of total billed charges,,34.7652,,,,percent of total billed charges,,48.285,,,,percent of total billed charges,,32.19,,,,percent of total billed charges,,54.170405,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,50.9675,,,,percent of total billed charges,,42.92,,,,percent of total billed charges,,32.19,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,89.51,,44.755,53.706,90.378247,84.1394,,,,percent of total billed charges,,71.608,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,74.2933,,,,percent of total billed charges,,80.559,,,,percent of total billed charges,,82.3492,,,,percent of total billed charges,,82.3492,,,,percent of total billed charges,,84.67646,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,86.8247,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,78.7688,,,,percent of total billed charges,,80.559,,,,percent of total billed charges,,58.00248,,,,percent of total billed charges,,80.559,,,,percent of total billed charges,,53.706,,,,percent of total billed charges,,90.378247,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,85.0345,,,,percent of total billed charges,,71.608,,,,percent of total billed charges,,53.706,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNITS IN 20 ML INFUSION - ANES [5000236],0250,RC,,,,,inpatient,,,644.49,,322.245,386.694,650.741553,605.8206,,,,percent of total billed charges,,515.592,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,534.9267,,,,percent of total billed charges,,580.041,,,,percent of total billed charges,,592.9308,,,,percent of total billed charges,,592.9308,,,,percent of total billed charges,,609.68754,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,625.1553,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,567.1512,,,,percent of total billed charges,,580.041,,,,percent of total billed charges,,417.62952,,,,percent of total billed charges,,580.041,,,,percent of total billed charges,,386.694,,,,percent of total billed charges,,650.741553,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,612.2655,,,,percent of total billed charges,,515.592,,,,percent of total billed charges,,386.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (CORE) [1001757],0250,RC,,,,,inpatient,,,661.95,,330.975,397.17,668.370915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,428.9436,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,668.370915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (CORE) [1001757],0250,RC,,,,,inpatient,,,661.95,,330.975,397.17,668.370915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,428.9436,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,668.370915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (GI) [1001756],0250,RC,,,,,inpatient,,,661.95,,330.975,397.17,668.370915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,428.9436,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,668.370915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (GI) [1001756],0250,RC,,,,,inpatient,,,661.95,,330.975,397.17,668.370915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,428.9436,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,668.370915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (SHOCK) [1001755],0250,RC,,,,,inpatient,,,661.95,,330.975,397.17,668.370915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,428.9436,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,668.370915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 40 UNITS IN D5W 100 ML PREMIX INFUSION (SHOCK) [1001755],0250,RC,,,,,inpatient,,,661.95,,330.975,397.17,668.370915,622.233,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,549.4185,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,608.994,,,,percent of total billed charges,,626.2047,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,642.0915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,582.516,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,428.9436,,,,percent of total billed charges,,595.755,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,668.370915,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,628.8525,,,,percent of total billed charges,,529.56,,,,percent of total billed charges,,397.17,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [2364],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [223590],0250,RC,,,,,inpatient,,,225,,112.5,135,227.1825,211.5,,,,percent of total billed charges,,180,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,186.75,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,207,,,,percent of total billed charges,,207,,,,percent of total billed charges,,212.85,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,218.25,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,198,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,145.8,,,,percent of total billed charges,,202.5,,,,percent of total billed charges,,135,,,,percent of total billed charges,,227.1825,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,213.75,,,,percent of total billed charges,,180,,,,percent of total billed charges,,135,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM 1 MG /ML PEDS INFUSION [1000199],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,17.58,,8.79,10.548,17.750526,16.5252,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.5914,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.63068,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,17.0526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,15.4704,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,11.39184,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,17.750526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,11.06,,5.53,6.636,11.167282,10.3964,,,,percent of total billed charges,,8.848,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,9.1798,,,,percent of total billed charges,,9.954,,,,percent of total billed charges,,10.1752,,,,percent of total billed charges,,10.1752,,,,percent of total billed charges,,10.46276,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,10.7282,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,9.7328,,,,percent of total billed charges,,9.954,,,,percent of total billed charges,,7.16688,,,,percent of total billed charges,,9.954,,,,percent of total billed charges,,6.636,,,,percent of total billed charges,,11.167282,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,10.507,,,,percent of total billed charges,,8.848,,,,percent of total billed charges,,6.636,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,20.27,,10.135,12.162,20.466619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,13.13496,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,20.466619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,20.27,,10.135,12.162,20.466619,19.0538,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.8241,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,18.6484,,,,percent of total billed charges,,19.17542,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.6619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,17.8376,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,13.13496,,,,percent of total billed charges,,18.243,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,20.466619,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,19.2565,,,,percent of total billed charges,,16.216,,,,percent of total billed charges,,12.162,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,16.55,,8.275,9.93,16.710535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,10.7244,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,16.710535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,16.55,,8.275,9.93,16.710535,15.557,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.7365,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.226,,,,percent of total billed charges,,15.6563,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,16.0535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,14.564,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,10.7244,,,,percent of total billed charges,,14.895,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,16.710535,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,15.7225,,,,percent of total billed charges,,13.24,,,,percent of total billed charges,,9.93,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,17.69,,8.845,10.614,17.861593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,11.46312,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,17.861593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,10.04,,5.02,6.024,10.137388,9.4376,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.3332,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.49784,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.7388,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.8352,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,6.50592,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,10.137388,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,10.04,,5.02,6.024,10.137388,9.4376,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.3332,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.2368,,,,percent of total billed charges,,9.49784,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.7388,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.8352,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,6.50592,,,,percent of total billed charges,,9.036,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,10.137388,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,9.538,,,,percent of total billed charges,,8.032,,,,percent of total billed charges,,6.024,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,17.58,,8.79,10.548,17.750526,16.5252,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.5914,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.1736,,,,percent of total billed charges,,16.63068,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,17.0526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,15.4704,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,11.39184,,,,percent of total billed charges,,15.822,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,17.750526,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,16.701,,,,percent of total billed charges,,14.064,,,,percent of total billed charges,,10.548,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,17.69,,8.845,10.614,17.861593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,11.46312,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,17.861593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,17.69,,8.845,10.614,17.861593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,11.46312,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,17.861593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [11634],0250,RC,,,,,inpatient,,,17.69,,8.845,10.614,17.861593,16.6286,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.6827,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.2748,,,,percent of total billed charges,,16.73474,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,17.1593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,15.5672,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,11.46312,,,,percent of total billed charges,,15.921,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,17.861593,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,16.8055,,,,percent of total billed charges,,14.152,,,,percent of total billed charges,,10.614,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION [11635],0250,RC,,,,,inpatient,,,22.11,,11.055,13.266,22.324467,20.7834,,,,percent of total billed charges,,17.688,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,18.3513,,,,percent of total billed charges,,19.899,,,,percent of total billed charges,,20.3412,,,,percent of total billed charges,,20.3412,,,,percent of total billed charges,,20.91606,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,21.4467,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,19.4568,,,,percent of total billed charges,,19.899,,,,percent of total billed charges,,14.32728,,,,percent of total billed charges,,19.899,,,,percent of total billed charges,,13.266,,,,percent of total billed charges,,22.324467,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,21.0045,,,,percent of total billed charges,,17.688,,,,percent of total billed charges,,13.266,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [221353],0636,RC,,,,,inpatient,,,34666.32,,17333.16,20799.792,35002.5833,32586.3408,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,28773.0456,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,32794.33872,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,33626.3304,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,30506.3616,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,22463.77536,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,35002.5833,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [221353],0636,RC,,,,,inpatient,,,34666.32,,17333.16,20799.792,35002.5833,32586.3408,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,28773.0456,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,31893.0144,,,,percent of total billed charges,,32794.33872,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,33626.3304,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,30506.3616,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,22463.77536,,,,percent of total billed charges,,31199.688,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,35002.5833,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,32933.004,,,,percent of total billed charges,,27733.056,,,,percent of total billed charges,,20799.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,,,,,inpatient,,,1.88,,0.94,1.128,1.898236,1.7672,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.5604,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.77848,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.8236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.6544,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.21824,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.898236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,,,,,inpatient,,,1.88,,0.94,1.128,1.898236,1.7672,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.5604,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.77848,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.8236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.6544,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.21824,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.898236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,,,,,inpatient,,,2.73,,1.365,1.638,2.756481,2.5662,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.2659,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.58258,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.6481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.4024,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.76904,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,2.756481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENLAFAXINE 37.5 MG TABLET [80433],0637,RC,,,,,inpatient,,,2.73,,1.365,1.638,2.756481,2.5662,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.2659,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.5116,,,,percent of total billed charges,,2.58258,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.6481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.4024,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.76904,,,,percent of total billed charges,,2.457,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,2.756481,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.5935,,,,percent of total billed charges,,2.184,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [77279]",0637,RC,,,,,inpatient,,,70.74,,35.37,42.444,71.426178,66.4956,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,58.7142,,,,percent of total billed charges,,63.666,,,,percent of total billed charges,,65.0808,,,,percent of total billed charges,,65.0808,,,,percent of total billed charges,,66.92004,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,68.6178,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,62.2512,,,,percent of total billed charges,,63.666,,,,percent of total billed charges,,45.83952,,,,percent of total billed charges,,63.666,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,71.426178,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,67.203,,,,percent of total billed charges,,56.592,,,,percent of total billed charges,,42.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [77279]",0637,RC,,,,,inpatient,,,2.23,,1.115,1.338,2.251631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.44504,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.251631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [77279]",0637,RC,,,,,inpatient,,,2.23,,1.115,1.338,2.251631,2.0962,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.8509,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.0516,,,,percent of total billed charges,,2.10958,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.9624,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.44504,,,,percent of total billed charges,,2.007,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,2.251631,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,2.1185,,,,percent of total billed charges,,1.784,,,,percent of total billed charges,,1.338,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [77313]",0637,RC,,,,,inpatient,,,1.82,,0.91,1.092,1.837654,1.7108,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.5106,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.72172,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.7654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.6016,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.17936,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,1.837654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [77313]",0637,RC,,,,,inpatient,,,1.82,,0.91,1.092,1.837654,1.7108,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.5106,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.6744,,,,percent of total billed charges,,1.72172,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.7654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.6016,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.17936,,,,percent of total billed charges,,1.638,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,1.837654,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.729,,,,percent of total billed charges,,1.456,,,,percent of total billed charges,,1.092,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,41.37,,20.685,24.822,41.771289,38.8878,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,34.3371,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,39.13602,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,40.1289,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,36.4056,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,26.80776,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,41.771289,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,23.21,,11.605,13.926,23.435137,21.8174,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,19.2643,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.95666,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.5137,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,20.4248,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,15.04008,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,23.435137,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,14.85,,7.425,8.91,14.994045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,9.6228,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,14.994045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,14.85,,7.425,8.91,14.994045,13.959,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,12.3255,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,13.662,,,,percent of total billed charges,,14.0481,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.4045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,13.068,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,9.6228,,,,percent of total billed charges,,13.365,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,14.994045,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,14.1075,,,,percent of total billed charges,,11.88,,,,percent of total billed charges,,8.91,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,14.22,,7.11,8.532,14.357934,13.3668,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.8026,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.0824,,,,percent of total billed charges,,13.45212,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.7934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,12.5136,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,9.21456,,,,percent of total billed charges,,12.798,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,14.357934,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,13.509,,,,percent of total billed charges,,11.376,,,,percent of total billed charges,,8.532,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,23.21,,11.605,13.926,23.435137,21.8174,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,19.2643,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.3532,,,,percent of total billed charges,,21.95666,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.5137,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,20.4248,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,15.04008,,,,percent of total billed charges,,20.889,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,23.435137,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,22.0495,,,,percent of total billed charges,,18.568,,,,percent of total billed charges,,13.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,41.37,,20.685,24.822,41.771289,38.8878,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,34.3371,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,38.0604,,,,percent of total billed charges,,39.13602,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,40.1289,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,36.4056,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,26.80776,,,,percent of total billed charges,,37.233,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,41.771289,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,39.3015,,,,percent of total billed charges,,33.096,,,,percent of total billed charges,,24.822,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,14.57,,7.285,8.742,14.711329,13.6958,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.0931,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.78322,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,14.1329,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.8216,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,9.44136,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,14.711329,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,14.57,,7.285,8.742,14.711329,13.6958,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.0931,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.4044,,,,percent of total billed charges,,13.78322,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,14.1329,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,12.8216,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,9.44136,,,,percent of total billed charges,,13.113,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,14.711329,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,13.8415,,,,percent of total billed charges,,11.656,,,,percent of total billed charges,,8.742,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,12.91,,6.455,7.746,13.035227,12.1354,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.7153,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,11.8772,,,,percent of total billed charges,,12.21286,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.5227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,11.3608,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,8.36568,,,,percent of total billed charges,,11.619,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,13.035227,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,12.2645,,,,percent of total billed charges,,10.328,,,,percent of total billed charges,,7.746,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,13.77,,6.885,8.262,13.903569,12.9438,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,11.4291,,,,percent of total billed charges,,12.393,,,,percent of total billed charges,,12.6684,,,,percent of total billed charges,,12.6684,,,,percent of total billed charges,,13.02642,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,13.3569,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,12.1176,,,,percent of total billed charges,,12.393,,,,percent of total billed charges,,8.92296,,,,percent of total billed charges,,12.393,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,13.903569,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,13.0815,,,,percent of total billed charges,,11.016,,,,percent of total billed charges,,8.262,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,145.62,,72.81,87.372,147.032514,136.8828,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,120.8646,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,137.75652,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,141.2514,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,128.1456,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,94.36176,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,147.032514,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [8527],0250,RC,,,,,inpatient,,,145.62,,72.81,87.372,147.032514,136.8828,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,120.8646,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,133.9704,,,,percent of total billed charges,,137.75652,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,141.2514,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,128.1456,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,94.36176,,,,percent of total billed charges,,131.058,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,147.032514,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,138.339,,,,percent of total billed charges,,116.496,,,,percent of total billed charges,,87.372,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 80 MG TABLET [8530],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VERAPAMIL 80 MG TABLET [8530],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",0637,RC,,,,,inpatient,,,6.32,,3.16,3.792,6.381304,5.9408,,,,percent of total billed charges,,5.056,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,5.2456,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,5.8144,,,,percent of total billed charges,,5.8144,,,,percent of total billed charges,,5.97872,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,6.1304,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,5.5616,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,4.09536,,,,percent of total billed charges,,5.688,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,6.381304,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,6.004,,,,percent of total billed charges,,5.056,,,,percent of total billed charges,,3.792,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",0637,RC,,,,,inpatient,,,6.14,,3.07,3.684,6.199558,5.7716,,,,percent of total billed charges,,4.912,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.0962,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,5.6488,,,,percent of total billed charges,,5.6488,,,,percent of total billed charges,,5.80844,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.9558,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.4032,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,3.97872,,,,percent of total billed charges,,5.526,,,,percent of total billed charges,,3.684,,,,percent of total billed charges,,6.199558,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,5.833,,,,percent of total billed charges,,4.912,,,,percent of total billed charges,,3.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE [13184]",0637,RC,,,,,inpatient,,,1.04,,0.52,0.624,1.050088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.67392,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,1.050088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,,,,,inpatient,,,6.8,,3.4,4.08,6.86596,6.392,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.644,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.256,,,,percent of total billed charges,,6.4328,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.984,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.4064,,,,percent of total billed charges,,6.12,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,6.86596,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,6.46,,,,percent of total billed charges,,5.44,,,,percent of total billed charges,,4.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,,,,,inpatient,,,0.83,,0.415,0.498,0.838051,0.7802,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.6889,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.7636,,,,percent of total billed charges,,0.78518,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.8051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7304,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.53784,,,,percent of total billed charges,,0.747,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.838051,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.7885,,,,percent of total billed charges,,0.664,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,,,,,inpatient,,,4.76,,2.38,2.856,4.806172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.08448,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.806172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [14626]",0637,RC,,,,,inpatient,,,4.76,,2.38,2.856,4.806172,4.4744,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.9508,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.3792,,,,percent of total billed charges,,4.50296,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.6172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.1888,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,3.08448,,,,percent of total billed charges,,4.284,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,4.806172,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,4.522,,,,percent of total billed charges,,3.808,,,,percent of total billed charges,,2.856,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NITROGLYCERIN 50 MCG/ML INJECTION [1001301],0250,RC,,,,,inpatient,,,1.88,,0.94,1.128,1.898236,1.7672,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.5604,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.7296,,,,percent of total billed charges,,1.77848,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.8236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.6544,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.21824,,,,percent of total billed charges,,1.692,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,1.898236,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.786,,,,percent of total billed charges,,1.504,,,,percent of total billed charges,,1.128,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 10 MG TABLET [204636],0637,RC,,,,,inpatient,,,47.88,,23.94,28.728,48.344436,45.0072,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,39.7404,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,45.29448,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,46.4436,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,42.1344,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,31.02624,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,48.344436,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 10 MG TABLET [204636],0637,RC,,,,,inpatient,,,4.66,,2.33,2.796,4.705202,4.3804,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.8678,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.40836,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.5202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.1008,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,3.01968,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,4.705202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 10 MG TABLET [204636],0637,RC,,,,,inpatient,,,5.21,,2.605,3.126,5.260537,4.8974,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.3243,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.92866,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,5.0537,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.5848,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,3.37608,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,5.260537,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,,,,,inpatient,,,47.88,,23.94,28.728,48.344436,45.0072,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,39.7404,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,44.0496,,,,percent of total billed charges,,45.29448,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,46.4436,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,42.1344,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,31.02624,,,,percent of total billed charges,,43.092,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,48.344436,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,45.486,,,,percent of total billed charges,,38.304,,,,percent of total billed charges,,28.728,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,,,,,inpatient,,,4.66,,2.33,2.796,4.705202,4.3804,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.8678,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.2872,,,,percent of total billed charges,,4.40836,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.5202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.1008,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,3.01968,,,,percent of total billed charges,,4.194,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,4.705202,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,4.427,,,,percent of total billed charges,,3.728,,,,percent of total billed charges,,2.796,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,,,,,inpatient,,,6.45,,3.225,3.87,6.512565,6.063,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.3535,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,5.934,,,,percent of total billed charges,,6.1017,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.2565,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.676,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,4.1796,,,,percent of total billed charges,,5.805,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,6.512565,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,6.1275,,,,percent of total billed charges,,5.16,,,,percent of total billed charges,,3.87,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VILAZODONE 20 MG TABLET [204637],0637,RC,,,,,inpatient,,,5.21,,2.605,3.126,5.260537,4.8974,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.3243,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.7932,,,,percent of total billed charges,,4.92866,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,5.0537,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.5848,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,3.37608,,,,percent of total billed charges,,4.689,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,5.260537,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.9495,,,,percent of total billed charges,,4.168,,,,percent of total billed charges,,3.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [8594],0636,RC,,,,,inpatient,,,213.98,,106.99,128.388,216.055606,201.1412,,,,percent of total billed charges,,171.184,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,177.6034,,,,percent of total billed charges,,192.582,,,,percent of total billed charges,,196.8616,,,,percent of total billed charges,,196.8616,,,,percent of total billed charges,,202.42508,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,207.5606,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,188.3024,,,,percent of total billed charges,,192.582,,,,percent of total billed charges,,138.65904,,,,percent of total billed charges,,192.582,,,,percent of total billed charges,,128.388,,,,percent of total billed charges,,216.055606,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,203.281,,,,percent of total billed charges,,171.184,,,,percent of total billed charges,,128.388,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [8597],0636,RC,,,,,inpatient,,,28.71,,14.355,17.226,28.988487,26.9874,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,23.8293,,,,percent of total billed charges,,25.839,,,,percent of total billed charges,,26.4132,,,,percent of total billed charges,,26.4132,,,,percent of total billed charges,,27.15966,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,27.8487,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,25.2648,,,,percent of total billed charges,,25.839,,,,percent of total billed charges,,18.60408,,,,percent of total billed charges,,25.839,,,,percent of total billed charges,,17.226,,,,percent of total billed charges,,28.988487,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,27.2745,,,,percent of total billed charges,,22.968,,,,percent of total billed charges,,17.226,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [189483],0636,RC,,,,,inpatient,,,53.55,,26.775,32.13,54.069435,50.337,,,,percent of total billed charges,,42.84,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,44.4465,,,,percent of total billed charges,,48.195,,,,percent of total billed charges,,49.266,,,,percent of total billed charges,,49.266,,,,percent of total billed charges,,50.6583,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,51.9435,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,47.124,,,,percent of total billed charges,,48.195,,,,percent of total billed charges,,34.7004,,,,percent of total billed charges,,48.195,,,,percent of total billed charges,,32.13,,,,percent of total billed charges,,54.069435,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,50.8725,,,,percent of total billed charges,,42.84,,,,percent of total billed charges,,32.13,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],0636,RC,,,,,inpatient,,,39.24,,19.62,23.544,39.620628,36.8856,,,,percent of total billed charges,,31.392,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,32.5692,,,,percent of total billed charges,,35.316,,,,percent of total billed charges,,36.1008,,,,percent of total billed charges,,36.1008,,,,percent of total billed charges,,37.12104,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,38.0628,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,34.5312,,,,percent of total billed charges,,35.316,,,,percent of total billed charges,,25.42752,,,,percent of total billed charges,,35.316,,,,percent of total billed charges,,23.544,,,,percent of total billed charges,,39.620628,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,37.278,,,,percent of total billed charges,,31.392,,,,percent of total billed charges,,23.544,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],0636,RC,,,,,inpatient,,,40.64,,20.32,24.384,41.034208,38.2016,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,33.7312,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,37.3888,,,,percent of total billed charges,,38.44544,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,39.4208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,35.7632,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,26.33472,,,,percent of total billed charges,,36.576,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,41.034208,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,38.608,,,,percent of total billed charges,,32.512,,,,percent of total billed charges,,24.384,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION [14203],0636,RC,,,,,inpatient,,,58.41,,29.205,35.046,58.976577,54.9054,,,,percent of total billed charges,,46.728,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,48.4803,,,,percent of total billed charges,,52.569,,,,percent of total billed charges,,53.7372,,,,percent of total billed charges,,53.7372,,,,percent of total billed charges,,55.25586,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,56.6577,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,51.4008,,,,percent of total billed charges,,52.569,,,,percent of total billed charges,,37.84968,,,,percent of total billed charges,,52.569,,,,percent of total billed charges,,35.046,,,,percent of total billed charges,,58.976577,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,55.4895,,,,percent of total billed charges,,46.728,,,,percent of total billed charges,,35.046,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [189037],0636,RC,,,,,inpatient,,,226.8,,113.4,136.08,228.99996,213.192,,,,percent of total billed charges,,181.44,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,188.244,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,208.656,,,,percent of total billed charges,,208.656,,,,percent of total billed charges,,214.5528,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,219.996,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,199.584,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,146.9664,,,,percent of total billed charges,,204.12,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,228.99996,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,215.46,,,,percent of total billed charges,,181.44,,,,percent of total billed charges,,136.08,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [189037],0636,RC,,,,,inpatient,,,148.86,,74.43,89.316,150.303942,139.9284,,,,percent of total billed charges,,119.088,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,123.5538,,,,percent of total billed charges,,133.974,,,,percent of total billed charges,,136.9512,,,,percent of total billed charges,,136.9512,,,,percent of total billed charges,,140.82156,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,144.3942,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,130.9968,,,,percent of total billed charges,,133.974,,,,percent of total billed charges,,96.46128,,,,percent of total billed charges,,133.974,,,,percent of total billed charges,,89.316,,,,percent of total billed charges,,150.303942,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,141.417,,,,percent of total billed charges,,119.088,,,,percent of total billed charges,,89.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION [189037],0636,RC,,,,,inpatient,,,210.38,,105.19,126.228,212.420686,197.7572,,,,percent of total billed charges,,168.304,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,174.6154,,,,percent of total billed charges,,189.342,,,,percent of total billed charges,,193.5496,,,,percent of total billed charges,,193.5496,,,,percent of total billed charges,,199.01948,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,204.0686,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,185.1344,,,,percent of total billed charges,,189.342,,,,percent of total billed charges,,136.32624,,,,percent of total billed charges,,189.342,,,,percent of total billed charges,,126.228,,,,percent of total billed charges,,212.420686,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,199.861,,,,percent of total billed charges,,168.304,,,,percent of total billed charges,,126.228,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0250,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIPERSLIDE LUBRICANT [7000126],0250,RC,,,,,inpatient,,,382.5,,191.25,229.5,386.21025,359.55,,,,percent of total billed charges,,306,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,317.475,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,351.9,,,,percent of total billed charges,,361.845,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,371.025,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,336.6,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,247.86,,,,percent of total billed charges,,344.25,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,386.21025,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,363.375,,,,percent of total billed charges,,306,,,,percent of total billed charges,,229.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE [8639]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET [81661],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,,,,,inpatient,,,0.74,,0.37,0.444,0.747178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.47952,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.747178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE [191642]",0637,RC,,,,,inpatient,,,0.74,,0.37,0.444,0.747178,0.6956,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6142,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.6808,,,,percent of total billed charges,,0.70004,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.7178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.6512,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.47952,,,,percent of total billed charges,,0.666,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,0.747178,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.703,,,,percent of total billed charges,,0.592,,,,percent of total billed charges,,0.444,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [192610],0637,RC,,,,,inpatient,,,10.14,,5.07,6.084,10.238358,9.5316,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.4162,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.3288,,,,percent of total billed charges,,9.59244,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.8358,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.9232,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,6.57072,,,,percent of total billed charges,,9.126,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,10.238358,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,9.633,,,,percent of total billed charges,,8.112,,,,percent of total billed charges,,6.084,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT [192610],0637,RC,,,,,inpatient,,,9.58,,4.79,5.748,9.672926,9.0052,,,,percent of total billed charges,,7.664,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,7.9514,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,8.8136,,,,percent of total billed charges,,8.8136,,,,percent of total billed charges,,9.06268,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,9.2926,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,8.4304,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,6.20784,,,,percent of total billed charges,,8.622,,,,percent of total billed charges,,5.748,,,,percent of total billed charges,,9.672926,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,9.101,,,,percent of total billed charges,,7.664,,,,percent of total billed charges,,5.748,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,,,,,inpatient,,,59.49,,29.745,35.694,60.067053,55.9206,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,49.3767,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,56.27754,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,57.7053,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,52.3512,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,38.54952,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,60.067053,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,,,,,inpatient,,,59.49,,29.745,35.694,60.067053,55.9206,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,49.3767,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,54.7308,,,,percent of total billed charges,,56.27754,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,57.7053,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,52.3512,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,38.54952,,,,percent of total billed charges,,53.541,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,60.067053,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,56.5155,,,,percent of total billed charges,,47.592,,,,percent of total billed charges,,35.694,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,,,,,inpatient,,,89.96,,44.98,53.976,90.832612,84.5624,,,,percent of total billed charges,,71.968,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,74.6668,,,,percent of total billed charges,,80.964,,,,percent of total billed charges,,82.7632,,,,percent of total billed charges,,82.7632,,,,percent of total billed charges,,85.10216,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,87.2612,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,79.1648,,,,percent of total billed charges,,80.964,,,,percent of total billed charges,,58.29408,,,,percent of total billed charges,,80.964,,,,percent of total billed charges,,53.976,,,,percent of total billed charges,,90.832612,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,85.462,,,,percent of total billed charges,,71.968,,,,percent of total billed charges,,53.976,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,,,,,inpatient,,,62.82,,31.41,37.692,63.429354,59.0508,,,,percent of total billed charges,,50.256,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,52.1406,,,,percent of total billed charges,,56.538,,,,percent of total billed charges,,57.7944,,,,percent of total billed charges,,57.7944,,,,percent of total billed charges,,59.42772,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,60.9354,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,55.2816,,,,percent of total billed charges,,56.538,,,,percent of total billed charges,,40.70736,,,,percent of total billed charges,,56.538,,,,percent of total billed charges,,37.692,,,,percent of total billed charges,,63.429354,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,59.679,,,,percent of total billed charges,,50.256,,,,percent of total billed charges,,37.692,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,,,,,inpatient,,,180,,90,108,181.746,169.2,,,,percent of total billed charges,,144,,,,percent of total billed charges,,171,,,,percent of total billed charges,,149.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,165.6,,,,percent of total billed charges,,170.28,,,,percent of total billed charges,,171,,,,percent of total billed charges,,174.6,,,,percent of total billed charges,,171,,,,percent of total billed charges,,158.4,,,,percent of total billed charges,,162,,,,percent of total billed charges,,116.64,,,,percent of total billed charges,,162,,,,percent of total billed charges,,108,,,,percent of total billed charges,,181.746,,,,percent of total billed charges,,171,,,,percent of total billed charges,,171,,,,percent of total billed charges,,144,,,,percent of total billed charges,,108,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG TABLET [85223],0637,RC,,,,,inpatient,,,15.4,,7.7,9.24,15.54938,14.476,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.782,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.168,,,,percent of total billed charges,,14.5684,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.938,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,13.552,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,9.9792,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,15.54938,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,14.63,,,,percent of total billed charges,,12.32,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG TABLET [85223],0637,RC,,,,,inpatient,,,6.24,,3.12,3.744,6.300528,5.8656,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.1792,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.7408,,,,percent of total billed charges,,5.90304,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,6.0528,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.4912,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.04352,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,6.300528,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,5.928,,,,percent of total billed charges,,4.992,,,,percent of total billed charges,,3.744,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG TABLET [85223],0637,RC,,,,,inpatient,,,16.38,,8.19,9.828,16.538886,15.3972,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,13.5954,,,,percent of total billed charges,,14.742,,,,percent of total billed charges,,15.0696,,,,percent of total billed charges,,15.0696,,,,percent of total billed charges,,15.49548,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.8886,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,14.4144,,,,percent of total billed charges,,14.742,,,,percent of total billed charges,,10.61424,,,,percent of total billed charges,,14.742,,,,percent of total billed charges,,9.828,,,,percent of total billed charges,,16.538886,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,15.561,,,,percent of total billed charges,,13.104,,,,percent of total billed charges,,9.828,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [85224],0636,RC,,,,,inpatient,,,91.22,,45.61,54.732,92.104834,85.7468,,,,percent of total billed charges,,72.976,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,75.7126,,,,percent of total billed charges,,82.098,,,,percent of total billed charges,,83.9224,,,,percent of total billed charges,,83.9224,,,,percent of total billed charges,,86.29412,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,88.4834,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,80.2736,,,,percent of total billed charges,,82.098,,,,percent of total billed charges,,59.11056,,,,percent of total billed charges,,82.098,,,,percent of total billed charges,,54.732,,,,percent of total billed charges,,92.104834,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,86.659,,,,percent of total billed charges,,72.976,,,,percent of total billed charges,,54.732,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 1 MG TABLET [11664],0637,RC,,,,,inpatient,,,1.04,,0.52,0.624,1.050088,0.9776,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.8632,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.9568,,,,percent of total billed charges,,0.98384,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,1.0088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.9152,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.67392,,,,percent of total billed charges,,0.936,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,1.050088,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.988,,,,percent of total billed charges,,0.832,,,,percent of total billed charges,,0.624,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 1 MG TABLET [11664],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 1 MG TABLET [11664],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 10 MG TABLET [8748],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2 MG TABLET [8749],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2 MG TABLET [8749],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2 MG TABLET [8749],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2.5 MG TABLET [8750],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2.5 MG TABLET [8750],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 2.5 MG TABLET [8750],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 5 MG TABLET [8751],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 5 MG TABLET [8751],0637,RC,,,,,inpatient,,,0.52,,0.26,0.312,0.525044,0.4888,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4316,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.4784,,,,percent of total billed charges,,0.49192,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.5044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.4576,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.33696,,,,percent of total billed charges,,0.468,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,0.525044,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.494,,,,percent of total billed charges,,0.416,,,,percent of total billed charges,,0.312,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,,,,,inpatient,,,1.14,,0.57,0.684,1.151058,1.0716,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.9462,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.0488,,,,percent of total billed charges,,1.07844,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.1058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.0032,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.73872,,,,percent of total billed charges,,1.026,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,1.151058,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,1.083,,,,percent of total billed charges,,0.912,,,,percent of total billed charges,,0.684,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,,,,,inpatient,,,0.73,,0.365,0.438,0.737081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.47304,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.737081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WARFARIN 7.5 MG TABLET [8752],0637,RC,,,,,inpatient,,,0.73,,0.365,0.438,0.737081,0.6862,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6059,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.6716,,,,percent of total billed charges,,0.69058,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.7081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6424,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.47304,,,,percent of total billed charges,,0.657,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,0.737081,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.6935,,,,percent of total billed charges,,0.584,,,,percent of total billed charges,,0.438,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION [864]",0250,RC,,,,,inpatient,,,7.02,,3.51,4.212,7.088094,6.5988,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.8266,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.4584,,,,percent of total billed charges,,6.64092,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.8094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.1776,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.54896,,,,percent of total billed charges,,6.318,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,7.088094,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,6.669,,,,percent of total billed charges,,5.616,,,,percent of total billed charges,,4.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,4.23,,2.115,2.538,4.271031,3.9762,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.5109,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,4.00158,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.1031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.7224,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.74104,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,4.271031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,11.7,,5.85,7.02,11.81349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.5816,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,11.81349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,3.15,,1.575,1.89,3.180555,2.961,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.6145,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.898,,,,percent of total billed charges,,2.9799,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,3.0555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.772,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,2.0412,,,,percent of total billed charges,,2.835,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,3.180555,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.9925,,,,percent of total billed charges,,2.52,,,,percent of total billed charges,,1.89,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,11.7,,5.85,7.02,11.81349,10.998,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.711,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,10.764,,,,percent of total billed charges,,11.0682,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,10.296,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.5816,,,,percent of total billed charges,,10.53,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,11.81349,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,11.115,,,,percent of total billed charges,,9.36,,,,percent of total billed charges,,7.02,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,4.23,,2.115,2.538,4.271031,3.9762,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.5109,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,3.8916,,,,percent of total billed charges,,4.00158,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.1031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.7224,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.74104,,,,percent of total billed charges,,3.807,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,4.271031,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,4.0185,,,,percent of total billed charges,,3.384,,,,percent of total billed charges,,2.538,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,3.74,,1.87,2.244,3.776278,3.5156,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.1042,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.4408,,,,percent of total billed charges,,3.53804,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.6278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.2912,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.42352,,,,percent of total billed charges,,3.366,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,3.776278,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,3.553,,,,percent of total billed charges,,2.992,,,,percent of total billed charges,,2.244,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INJECTION SOLUTION [79508]",0250,RC,,,,,inpatient,,,3.47,,1.735,2.082,3.503659,3.2618,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.8801,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.1924,,,,percent of total billed charges,,3.28262,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.3659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.0536,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.24856,,,,percent of total billed charges,,3.123,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,3.503659,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,3.2965,,,,percent of total billed charges,,2.776,,,,percent of total billed charges,,2.082,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,,,,,inpatient,,,15.75,,7.875,9.45,15.902775,14.805,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.0725,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.49,,,,percent of total billed charges,,14.8995,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,15.2775,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,13.86,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,10.206,,,,percent of total billed charges,,14.175,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,15.902775,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,14.9625,,,,percent of total billed charges,,12.6,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,,,,,inpatient,,,9,,4.5,5.4,9.0873,8.46,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.47,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.28,,,,percent of total billed charges,,8.514,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.73,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.92,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.832,,,,percent of total billed charges,,8.1,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,9.0873,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,8.55,,,,percent of total billed charges,,7.2,,,,percent of total billed charges,,5.4,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,,,,,inpatient,,,18,,9,10.8,18.1746,16.92,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.94,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,16.56,,,,percent of total billed charges,,17.028,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.46,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,15.84,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,11.664,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,18.1746,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,17.1,,,,percent of total billed charges,,14.4,,,,percent of total billed charges,,10.8,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [28400]",0258,RC,,,,,inpatient,,,22.5,,11.25,13.5,22.71825,21.15,,,,percent of total billed charges,,18,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18.675,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,20.7,,,,percent of total billed charges,,21.285,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,19.8,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,14.58,,,,percent of total billed charges,,20.25,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,22.71825,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,21.375,,,,percent of total billed charges,,18,,,,percent of total billed charges,,13.5,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,,,,,inpatient,,,81,,40.5,48.6,81.7857,76.14,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,67.23,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,74.52,,,,percent of total billed charges,,76.626,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,78.57,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,71.28,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,52.488,,,,percent of total billed charges,,72.9,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,81.7857,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,76.95,,,,percent of total billed charges,,64.8,,,,percent of total billed charges,,48.6,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,,,,,inpatient,,,27,,13.5,16.2,27.2619,25.38,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,22.41,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,25.542,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,26.19,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,23.76,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,17.496,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,27.2619,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,25.65,,,,percent of total billed charges,,21.6,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,,,,,inpatient,,,20.25,,10.125,12.15,20.446425,19.035,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.8075,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,18.63,,,,percent of total billed charges,,19.1565,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.6425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,17.82,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,13.122,,,,percent of total billed charges,,18.225,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,20.446425,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,19.2375,,,,percent of total billed charges,,16.2,,,,percent of total billed charges,,12.15,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"WATER FOR IRRIGATION, STERILE SOLUTION [7485]",0250,RC,,,,,inpatient,,,40.5,,20.25,24.3,40.89285,38.07,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,33.615,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.313,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,39.285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,35.64,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,26.244,,,,percent of total billed charges,,36.45,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,40.89285,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,38.475,,,,percent of total billed charges,,32.4,,,,percent of total billed charges,,24.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM 41 % TOPICAL OINTMENT [88861],0637,RC,,,,,inpatient,,,32.08,,16.04,19.248,32.391176,30.1552,,,,percent of total billed charges,,25.664,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,26.6264,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,29.5136,,,,percent of total billed charges,,29.5136,,,,percent of total billed charges,,30.34768,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,31.1176,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,28.2304,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,20.78784,,,,percent of total billed charges,,28.872,,,,percent of total billed charges,,19.248,,,,percent of total billed charges,,32.391176,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,30.476,,,,percent of total billed charges,,25.664,,,,percent of total billed charges,,19.248,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM 41 % TOPICAL OINTMENT [88861],0637,RC,,,,,inpatient,,,32.13,,16.065,19.278,32.441661,30.2022,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,26.6679,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,29.5596,,,,percent of total billed charges,,30.39498,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,31.1661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,28.2744,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,20.82024,,,,percent of total billed charges,,28.917,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,32.441661,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,30.5235,,,,percent of total billed charges,,25.704,,,,percent of total billed charges,,19.278,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM 41 % TOPICAL OINTMENT [88861],0637,RC,,,,,inpatient,,,52.92,,26.46,31.752,53.433324,49.7448,,,,percent of total billed charges,,42.336,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,43.9236,,,,percent of total billed charges,,47.628,,,,percent of total billed charges,,48.6864,,,,percent of total billed charges,,48.6864,,,,percent of total billed charges,,50.06232,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,51.3324,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,46.5696,,,,percent of total billed charges,,47.628,,,,percent of total billed charges,,34.29216,,,,percent of total billed charges,,47.628,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,53.433324,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,50.274,,,,percent of total billed charges,,42.336,,,,percent of total billed charges,,31.752,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM TOPICAL OINTMENT [80680],0637,RC,,,,,inpatient,,,8.04,,4.02,4.824,8.117988,7.5576,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.6732,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.3968,,,,percent of total billed charges,,7.60584,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.7988,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.0752,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,5.20992,,,,percent of total billed charges,,7.236,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,8.117988,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,7.638,,,,percent of total billed charges,,6.432,,,,percent of total billed charges,,4.824,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WHITE PETROLATUM TOPICAL OINTMENT [80680],0637,RC,,,,,inpatient,,,8.97,,4.485,5.382,9.057009,8.4318,,,,percent of total billed charges,,7.176,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,7.4451,,,,percent of total billed charges,,8.073,,,,percent of total billed charges,,8.2524,,,,percent of total billed charges,,8.2524,,,,percent of total billed charges,,8.48562,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,8.7009,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,7.8936,,,,percent of total billed charges,,8.073,,,,percent of total billed charges,,5.81256,,,,percent of total billed charges,,8.073,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,9.057009,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,8.5215,,,,percent of total billed charges,,7.176,,,,percent of total billed charges,,5.382,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP [187778],0636,RC,,,,,inpatient,,,170.12,,85.06,102.072,171.770164,159.9128,,,,percent of total billed charges,,136.096,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,141.1996,,,,percent of total billed charges,,153.108,,,,percent of total billed charges,,156.5104,,,,percent of total billed charges,,156.5104,,,,percent of total billed charges,,160.93352,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,165.0164,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,149.7056,,,,percent of total billed charges,,153.108,,,,percent of total billed charges,,110.23776,,,,percent of total billed charges,,153.108,,,,percent of total billed charges,,102.072,,,,percent of total billed charges,,171.770164,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,161.614,,,,percent of total billed charges,,136.096,,,,percent of total billed charges,,102.072,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,,,,,inpatient,,,118.89,,59.445,71.334,120.043233,111.7566,,,,percent of total billed charges,,95.112,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,98.6787,,,,percent of total billed charges,,107.001,,,,percent of total billed charges,,109.3788,,,,percent of total billed charges,,109.3788,,,,percent of total billed charges,,112.46994,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,115.3233,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,104.6232,,,,percent of total billed charges,,107.001,,,,percent of total billed charges,,77.04072,,,,percent of total billed charges,,107.001,,,,percent of total billed charges,,71.334,,,,percent of total billed charges,,120.043233,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,112.9455,,,,percent of total billed charges,,95.112,,,,percent of total billed charges,,71.334,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,,,,,inpatient,,,123.66,,61.83,74.196,124.859502,116.2404,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,102.6378,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,113.7672,,,,percent of total billed charges,,116.98236,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,119.9502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,108.8208,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,80.13168,,,,percent of total billed charges,,111.294,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,124.859502,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,117.477,,,,percent of total billed charges,,98.928,,,,percent of total billed charges,,74.196,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,,,,,inpatient,,,126.72,,63.36,76.032,127.949184,119.1168,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,105.1776,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,116.5824,,,,percent of total billed charges,,119.87712,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,122.9184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,111.5136,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,82.11456,,,,percent of total billed charges,,114.048,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,127.949184,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,120.384,,,,percent of total billed charges,,101.376,,,,percent of total billed charges,,76.032,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML ORAL SYRUP [42918],0637,RC,,,,,inpatient,,,149.04,,74.52,89.424,150.485688,140.0976,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,123.7032,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,137.1168,,,,percent of total billed charges,,137.1168,,,,percent of total billed charges,,140.99184,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,144.5688,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,131.1552,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,96.57792,,,,percent of total billed charges,,134.136,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,150.485688,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,141.588,,,,percent of total billed charges,,119.232,,,,percent of total billed charges,,89.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML ORAL SYRUP [42918],0637,RC,,,,,inpatient,,,266.76,,133.38,160.056,269.347572,250.7544,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,221.4108,,,,percent of total billed charges,,240.084,,,,percent of total billed charges,,245.4192,,,,percent of total billed charges,,245.4192,,,,percent of total billed charges,,252.35496,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,258.7572,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,234.7488,,,,percent of total billed charges,,240.084,,,,percent of total billed charges,,172.86048,,,,percent of total billed charges,,240.084,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,269.347572,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,253.422,,,,percent of total billed charges,,213.408,,,,percent of total billed charges,,160.056,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML ORAL SYRUP [42918],0637,RC,,,,,inpatient,,,18.63,,9.315,11.178,18.810711,17.5122,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,15.4629,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.1396,,,,percent of total billed charges,,17.62398,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,18.0711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,16.3944,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,12.07224,,,,percent of total billed charges,,16.767,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,18.810711,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,17.6985,,,,percent of total billed charges,,14.904,,,,percent of total billed charges,,11.178,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION [82824],0636,RC,,,,,inpatient,,,633.6,,316.8,380.16,639.74592,595.584,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,525.888,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,582.912,,,,percent of total billed charges,,582.912,,,,percent of total billed charges,,599.3856,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,614.592,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,557.568,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,410.5728,,,,percent of total billed charges,,570.24,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,639.74592,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,601.92,,,,percent of total billed charges,,506.88,,,,percent of total billed charges,,380.16,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIDOVUDINE 4 MG/ML IN D5W IV PEDS DILUTION [1000068],0636,RC,,,,,inpatient,,,41.4,,20.7,24.84,41.80158,38.916,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,34.362,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,38.088,,,,percent of total billed charges,,39.1644,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,40.158,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,36.432,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,26.8272,,,,percent of total billed charges,,37.26,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,41.80158,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,39.33,,,,percent of total billed charges,,33.12,,,,percent of total billed charges,,24.84,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION [8886],0250,RC,,,,,inpatient,,,64.04,,32.02,38.424,64.661188,60.1976,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,53.1532,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,60.58184,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,62.1188,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,56.3552,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,41.49792,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,64.661188,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION [8886],0250,RC,,,,,inpatient,,,64.04,,32.02,38.424,64.661188,60.1976,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,53.1532,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,58.9168,,,,percent of total billed charges,,60.58184,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,62.1188,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,56.3552,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,41.49792,,,,percent of total billed charges,,57.636,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,64.661188,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,60.838,,,,percent of total billed charges,,51.232,,,,percent of total billed charges,,38.424,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC GLUCONATE 50 MG TABLET [8872],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC GLUCONATE 50 MG TABLET [8872],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE 16 % TOPICAL OINTMENT [93697],0637,RC,,,,,inpatient,,,13.86,,6.93,8.316,13.994442,13.0284,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.5038,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,12.7512,,,,percent of total billed charges,,13.11156,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.4442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,12.1968,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.98128,,,,percent of total billed charges,,12.474,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,13.994442,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,13.167,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,8.316,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0637,RC,,,,,inpatient,,,18.79,,9.395,11.274,18.972263,17.6626,,,,percent of total billed charges,,15.032,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,15.5957,,,,percent of total billed charges,,16.911,,,,percent of total billed charges,,17.2868,,,,percent of total billed charges,,17.2868,,,,percent of total billed charges,,17.77534,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,18.2263,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,16.5352,,,,percent of total billed charges,,16.911,,,,percent of total billed charges,,12.17592,,,,percent of total billed charges,,16.911,,,,percent of total billed charges,,11.274,,,,percent of total billed charges,,18.972263,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,17.8505,,,,percent of total billed charges,,15.032,,,,percent of total billed charges,,11.274,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE 20 % TOPICAL OINTMENT [8874],0637,RC,,,,,inpatient,,,24.52,,12.26,14.712,24.757844,23.0488,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,20.3516,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,22.5584,,,,percent of total billed charges,,23.19592,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.7844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,21.5776,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,15.88896,,,,percent of total billed charges,,22.068,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,24.757844,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,23.294,,,,percent of total billed charges,,19.616,,,,percent of total billed charges,,14.712,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE [198159],0637,RC,,,,,inpatient,,,12.32,,6.16,7.392,12.439504,11.5808,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.2256,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.3344,,,,percent of total billed charges,,11.65472,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.9504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,10.8416,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.98336,,,,percent of total billed charges,,11.088,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,12.439504,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,11.704,,,,percent of total billed charges,,9.856,,,,percent of total billed charges,,7.392,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [102141],0637,RC,,,,,inpatient,,,0.6,,0.3,0.36,0.60582,0.564,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.498,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.552,,,,percent of total billed charges,,0.5676,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.528,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.3888,,,,percent of total billed charges,,0.54,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,0.60582,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.57,,,,percent of total billed charges,,0.48,,,,percent of total billed charges,,0.36,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE [102141],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,,,,,inpatient,,,11.46,,5.73,6.876,11.571162,10.7724,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.5118,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.84116,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,11.1162,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.0848,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,7.42608,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,11.571162,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,,,,,inpatient,,,11.46,,5.73,6.876,11.571162,10.7724,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.5118,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.5432,,,,percent of total billed charges,,10.84116,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,11.1162,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.0848,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,7.42608,,,,percent of total billed charges,,10.314,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,11.571162,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,10.887,,,,percent of total billed charges,,9.168,,,,percent of total billed charges,,6.876,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,,,,,inpatient,,,10.77,,5.385,6.462,10.874469,10.1238,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.9391,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,9.9084,,,,percent of total billed charges,,10.18842,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.4469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,9.4776,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.97896,,,,percent of total billed charges,,9.693,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,10.874469,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,10.2315,,,,percent of total billed charges,,8.616,,,,percent of total billed charges,,6.462,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,,,,,inpatient,,,13.21,,6.605,7.926,13.338137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,8.56008,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,13.338137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG CAPSULE [79821],0637,RC,,,,,inpatient,,,13.21,,6.605,7.926,13.338137,12.4174,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.9643,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.1532,,,,percent of total billed charges,,12.49666,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.8137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,11.6248,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,8.56008,,,,percent of total billed charges,,11.889,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,13.338137,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,12.5495,,,,percent of total billed charges,,10.568,,,,percent of total billed charges,,7.926,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,,,,,inpatient,,,266.48,,133.24,159.888,269.064856,250.4912,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,221.1784,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,252.09008,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,258.4856,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,234.5024,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,172.67904,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,269.064856,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,,,,,inpatient,,,266.48,,133.24,159.888,269.064856,250.4912,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,221.1784,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,245.1616,,,,percent of total billed charges,,252.09008,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,258.4856,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,234.5024,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,172.67904,,,,percent of total billed charges,,239.832,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,269.064856,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,253.156,,,,percent of total billed charges,,213.184,,,,percent of total billed charges,,159.888,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,,,,,inpatient,,,66.18,,33.09,39.708,66.821946,62.2092,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,54.9294,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,62.60628,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,64.1946,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,58.2384,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,42.88464,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,66.821946,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,,,,,inpatient,,,66.18,,33.09,39.708,66.821946,62.2092,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,54.9294,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,60.8856,,,,percent of total billed charges,,62.60628,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,64.1946,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,58.2384,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,42.88464,,,,percent of total billed charges,,59.562,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,66.821946,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,62.871,,,,percent of total billed charges,,52.944,,,,percent of total billed charges,,39.708,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,,,,,inpatient,,,66.56,,33.28,39.936,67.205632,62.5664,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,55.2448,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,62.96576,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,64.5632,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,58.5728,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,43.13088,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,67.205632,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [86204],0636,RC,,,,,inpatient,,,66.56,,33.28,39.936,67.205632,62.5664,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,55.2448,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,61.2352,,,,percent of total billed charges,,62.96576,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,64.5632,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,58.5728,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,43.13088,,,,percent of total billed charges,,59.904,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,67.205632,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,63.232,,,,percent of total billed charges,,53.248,,,,percent of total billed charges,,39.936,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,,,,,inpatient,,,49.62,,24.81,29.772,50.101314,46.6428,,,,percent of total billed charges,,39.696,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,41.1846,,,,percent of total billed charges,,44.658,,,,percent of total billed charges,,45.6504,,,,percent of total billed charges,,45.6504,,,,percent of total billed charges,,46.94052,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,48.1314,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,43.6656,,,,percent of total billed charges,,44.658,,,,percent of total billed charges,,32.15376,,,,percent of total billed charges,,44.658,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,50.101314,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,47.139,,,,percent of total billed charges,,39.696,,,,percent of total billed charges,,29.772,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,,,,,inpatient,,,1.58,,0.79,0.948,1.595326,1.4852,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3114,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.4536,,,,percent of total billed charges,,1.49468,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.5326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.3904,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,1.02384,,,,percent of total billed charges,,1.422,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,1.595326,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.501,,,,percent of total billed charges,,1.264,,,,percent of total billed charges,,0.948,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,,,,,inpatient,,,11.98,,5.99,7.188,12.096206,11.2612,,,,percent of total billed charges,,9.584,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,9.9434,,,,percent of total billed charges,,10.782,,,,percent of total billed charges,,11.0216,,,,percent of total billed charges,,11.0216,,,,percent of total billed charges,,11.33308,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,11.6206,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,10.5424,,,,percent of total billed charges,,10.782,,,,percent of total billed charges,,7.76304,,,,percent of total billed charges,,10.782,,,,percent of total billed charges,,7.188,,,,percent of total billed charges,,12.096206,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,11.381,,,,percent of total billed charges,,9.584,,,,percent of total billed charges,,7.188,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,,,,,inpatient,,,7.24,,3.62,4.344,7.310228,6.8056,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.0092,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.6608,,,,percent of total billed charges,,6.84904,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,7.0228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.3712,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.69152,,,,percent of total billed charges,,6.516,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,7.310228,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,6.878,,,,percent of total billed charges,,5.792,,,,percent of total billed charges,,4.344,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,,,,,inpatient,,,12.12,,6.06,7.272,12.237564,11.3928,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.0596,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.46552,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.7564,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.6656,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,7.85376,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,12.237564,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 40 MG CAPSULE [81810],0637,RC,,,,,inpatient,,,12.12,,6.06,7.272,12.237564,11.3928,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.0596,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.1504,,,,percent of total billed charges,,11.46552,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.7564,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,10.6656,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,7.85376,,,,percent of total billed charges,,10.908,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,12.237564,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,11.514,,,,percent of total billed charges,,9.696,,,,percent of total billed charges,,7.272,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,,,,,inpatient,,,60.21,,30.105,36.126,60.794037,56.5974,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,49.9743,,,,percent of total billed charges,,54.189,,,,percent of total billed charges,,55.3932,,,,percent of total billed charges,,55.3932,,,,percent of total billed charges,,56.95866,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,58.4037,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,52.9848,,,,percent of total billed charges,,54.189,,,,percent of total billed charges,,39.01608,,,,percent of total billed charges,,54.189,,,,percent of total billed charges,,36.126,,,,percent of total billed charges,,60.794037,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,57.1995,,,,percent of total billed charges,,48.168,,,,percent of total billed charges,,36.126,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,,,,,inpatient,,,7.86,,3.93,4.716,7.936242,7.3884,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.5238,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.43556,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.6242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.9168,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,5.09328,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,7.936242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,,,,,inpatient,,,7.86,,3.93,4.716,7.936242,7.3884,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.5238,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.2312,,,,percent of total billed charges,,7.43556,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.6242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.9168,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,5.09328,,,,percent of total billed charges,,7.074,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,7.936242,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,7.467,,,,percent of total billed charges,,6.288,,,,percent of total billed charges,,4.716,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,,,,,inpatient,,,2.42,,1.21,1.452,2.443474,2.2748,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.0086,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.2264,,,,percent of total billed charges,,2.28932,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.3474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.1296,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.56816,,,,percent of total billed charges,,2.178,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,2.443474,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,2.299,,,,percent of total billed charges,,1.936,,,,percent of total billed charges,,1.452,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,,,,,inpatient,,,11.65,,5.825,6.99,11.763005,10.951,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.6695,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,11.0209,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.3005,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,10.252,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,7.5492,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,11.763005,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZIPRASIDONE 60 MG CAPSULE [82358],0637,RC,,,,,inpatient,,,11.65,,5.825,6.99,11.763005,10.951,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.6695,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,10.718,,,,percent of total billed charges,,11.0209,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.3005,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,10.252,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,7.5492,,,,percent of total billed charges,,10.485,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,11.763005,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,11.0675,,,,percent of total billed charges,,9.32,,,,percent of total billed charges,,6.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [208938],0250,RC,,,,,inpatient,,,38.25,,19.125,22.95,38.621025,35.955,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,31.7475,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,35.19,,,,percent of total billed charges,,36.1845,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,37.1025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,33.66,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,24.786,,,,percent of total billed charges,,34.425,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,38.621025,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,36.3375,,,,percent of total billed charges,,30.6,,,,percent of total billed charges,,22.95,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK [218227],0636,RC,,,,,inpatient,,,103.95,,51.975,62.37,104.958315,97.713,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,86.2785,,,,percent of total billed charges,,93.555,,,,percent of total billed charges,,95.634,,,,percent of total billed charges,,95.634,,,,percent of total billed charges,,98.3367,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,100.8315,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,91.476,,,,percent of total billed charges,,93.555,,,,percent of total billed charges,,67.3596,,,,percent of total billed charges,,93.555,,,,percent of total billed charges,,62.37,,,,percent of total billed charges,,104.958315,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,98.7525,,,,percent of total billed charges,,83.16,,,,percent of total billed charges,,62.37,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,227.48,,113.74,136.488,229.686556,213.8312,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,188.8084,,,,percent of total billed charges,,204.732,,,,percent of total billed charges,,209.2816,,,,percent of total billed charges,,209.2816,,,,percent of total billed charges,,215.19608,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,220.6556,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,200.1824,,,,percent of total billed charges,,204.732,,,,percent of total billed charges,,147.40704,,,,percent of total billed charges,,204.732,,,,percent of total billed charges,,136.488,,,,percent of total billed charges,,229.686556,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,216.106,,,,percent of total billed charges,,181.984,,,,percent of total billed charges,,136.488,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,25.56,,12.78,15.336,25.807932,24.0264,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,21.2148,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,23.5152,,,,percent of total billed charges,,24.17976,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.7932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,22.4928,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,16.56288,,,,percent of total billed charges,,23.004,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,25.807932,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,24.282,,,,percent of total billed charges,,20.448,,,,percent of total billed charges,,15.336,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,144.77,,72.385,86.862,146.174269,136.0838,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,120.1591,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,133.1884,,,,percent of total billed charges,,136.95242,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,140.4269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,127.3976,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,93.81096,,,,percent of total billed charges,,130.293,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,146.174269,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,137.5315,,,,percent of total billed charges,,115.816,,,,percent of total billed charges,,86.862,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,27.77,,13.885,16.662,28.039369,26.1038,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,23.0491,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,26.27042,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.9369,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,24.4376,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,17.99496,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,28.039369,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,181.94,,90.97,109.164,183.704818,171.0236,,,,percent of total billed charges,,145.552,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,151.0102,,,,percent of total billed charges,,163.746,,,,percent of total billed charges,,167.3848,,,,percent of total billed charges,,167.3848,,,,percent of total billed charges,,172.11524,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,176.4818,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,160.1072,,,,percent of total billed charges,,163.746,,,,percent of total billed charges,,117.89712,,,,percent of total billed charges,,163.746,,,,percent of total billed charges,,109.164,,,,percent of total billed charges,,183.704818,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,172.843,,,,percent of total billed charges,,145.552,,,,percent of total billed charges,,109.164,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,180.72,,90.36,108.432,182.472984,169.8768,,,,percent of total billed charges,,144.576,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,149.9976,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,166.2624,,,,percent of total billed charges,,166.2624,,,,percent of total billed charges,,170.96112,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,175.2984,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,159.0336,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,117.10656,,,,percent of total billed charges,,162.648,,,,percent of total billed charges,,108.432,,,,percent of total billed charges,,182.472984,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,171.684,,,,percent of total billed charges,,144.576,,,,percent of total billed charges,,108.432,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,99.81,,49.905,59.886,100.778157,93.8214,,,,percent of total billed charges,,79.848,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,82.8423,,,,percent of total billed charges,,89.829,,,,percent of total billed charges,,91.8252,,,,percent of total billed charges,,91.8252,,,,percent of total billed charges,,94.42026,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,96.8157,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,87.8328,,,,percent of total billed charges,,89.829,,,,percent of total billed charges,,64.67688,,,,percent of total billed charges,,89.829,,,,percent of total billed charges,,59.886,,,,percent of total billed charges,,100.778157,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,94.8195,,,,percent of total billed charges,,79.848,,,,percent of total billed charges,,59.886,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,92.52,,46.26,55.512,93.417444,86.9688,,,,percent of total billed charges,,74.016,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,76.7916,,,,percent of total billed charges,,83.268,,,,percent of total billed charges,,85.1184,,,,percent of total billed charges,,85.1184,,,,percent of total billed charges,,87.52392,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,89.7444,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,81.4176,,,,percent of total billed charges,,83.268,,,,percent of total billed charges,,59.95296,,,,percent of total billed charges,,83.268,,,,percent of total billed charges,,55.512,,,,percent of total billed charges,,93.417444,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,87.894,,,,percent of total billed charges,,74.016,,,,percent of total billed charges,,55.512,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,200.66,,100.33,120.396,202.606402,188.6204,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,166.5478,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,184.6072,,,,percent of total billed charges,,189.82436,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,194.6402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,176.5808,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,130.02768,,,,percent of total billed charges,,180.594,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,202.606402,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,190.627,,,,percent of total billed charges,,160.528,,,,percent of total billed charges,,120.396,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,304.38,,152.19,182.628,307.332486,286.1172,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,252.6354,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,280.0296,,,,percent of total billed charges,,280.0296,,,,percent of total billed charges,,287.94348,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,295.2486,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,267.8544,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,197.23824,,,,percent of total billed charges,,273.942,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,307.332486,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,289.161,,,,percent of total billed charges,,243.504,,,,percent of total billed charges,,182.628,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,,,,,inpatient,,,5172.3,,2586.15,3103.38,5222.47131,4861.962,,,,percent of total billed charges,,4137.84,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4293.009,,,,percent of total billed charges,,4655.07,,,,percent of total billed charges,,4758.516,,,,percent of total billed charges,,4758.516,,,,percent of total billed charges,,4892.9958,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,5017.131,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4551.624,,,,percent of total billed charges,,4655.07,,,,percent of total billed charges,,3351.6504,,,,percent of total billed charges,,4655.07,,,,percent of total billed charges,,3103.38,,,,percent of total billed charges,,5222.47131,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4913.685,,,,percent of total billed charges,,4137.84,,,,percent of total billed charges,,3103.38,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,,,,,inpatient,,,1231.65,,615.825,738.99,1243.597005,1157.751,,,,percent of total billed charges,,985.32,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1022.2695,,,,percent of total billed charges,,1108.485,,,,percent of total billed charges,,1133.118,,,,percent of total billed charges,,1133.118,,,,percent of total billed charges,,1165.1409,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1194.7005,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1083.852,,,,percent of total billed charges,,1108.485,,,,percent of total billed charges,,798.1092,,,,percent of total billed charges,,1108.485,,,,percent of total billed charges,,738.99,,,,percent of total billed charges,,1243.597005,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,1170.0675,,,,percent of total billed charges,,985.32,,,,percent of total billed charges,,738.99,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,,,,,inpatient,,,111.6,,55.8,66.96,112.68252,104.904,,,,percent of total billed charges,,89.28,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,92.628,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,102.672,,,,percent of total billed charges,,102.672,,,,percent of total billed charges,,105.5736,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,108.252,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,98.208,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,72.3168,,,,percent of total billed charges,,100.44,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,112.68252,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,106.02,,,,percent of total billed charges,,89.28,,,,percent of total billed charges,,66.96,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,,,,,inpatient,,,173.7,,86.85,104.22,175.38489,163.278,,,,percent of total billed charges,,138.96,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,144.171,,,,percent of total billed charges,,156.33,,,,percent of total billed charges,,159.804,,,,percent of total billed charges,,159.804,,,,percent of total billed charges,,164.3202,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,168.489,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,152.856,,,,percent of total billed charges,,156.33,,,,percent of total billed charges,,112.5576,,,,percent of total billed charges,,156.33,,,,percent of total billed charges,,104.22,,,,percent of total billed charges,,175.38489,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,165.015,,,,percent of total billed charges,,138.96,,,,percent of total billed charges,,104.22,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,,,,,inpatient,,,293.85,,146.925,176.31,296.700345,276.219,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,243.8955,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,270.342,,,,percent of total billed charges,,277.9821,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,285.0345,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,258.588,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,190.4148,,,,percent of total billed charges,,264.465,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,296.700345,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,279.1575,,,,percent of total billed charges,,235.08,,,,percent of total billed charges,,176.31,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [135045],0636,RC,,,,,inpatient,,,450,,225,270,454.365,423,,,,percent of total billed charges,,360,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,373.5,,,,percent of total billed charges,,405,,,,percent of total billed charges,,414,,,,percent of total billed charges,,414,,,,percent of total billed charges,,425.7,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,436.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,396,,,,percent of total billed charges,,405,,,,percent of total billed charges,,291.6,,,,percent of total billed charges,,405,,,,percent of total billed charges,,270,,,,percent of total billed charges,,454.365,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,427.5,,,,percent of total billed charges,,360,,,,percent of total billed charges,,270,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [27838],0258,RC,,,,,inpatient,,,120,,60,72,121.164,112.8,,,,percent of total billed charges,,96,,,,percent of total billed charges,,114,,,,percent of total billed charges,,99.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,110.4,,,,percent of total billed charges,,113.52,,,,percent of total billed charges,,114,,,,percent of total billed charges,,116.4,,,,percent of total billed charges,,114,,,,percent of total billed charges,,105.6,,,,percent of total billed charges,,108,,,,percent of total billed charges,,77.76,,,,percent of total billed charges,,108,,,,percent of total billed charges,,72,,,,percent of total billed charges,,121.164,,,,percent of total billed charges,,114,,,,percent of total billed charges,,114,,,,percent of total billed charges,,96,,,,percent of total billed charges,,72,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [87691],0636,RC,,,,,inpatient,,,27.77,,13.885,16.662,28.039369,26.1038,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,23.0491,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,25.5484,,,,percent of total billed charges,,26.27042,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.9369,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,24.4376,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,17.99496,,,,percent of total billed charges,,24.993,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,28.039369,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,26.3815,,,,percent of total billed charges,,22.216,,,,percent of total billed charges,,16.662,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLPIDEM 5 MG TABLET [81787],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZOLPIDEM 5 MG TABLET [81787],0637,RC,,,,,inpatient,,,10.5,,5.25,6.3,10.60185,9.87,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.715,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.66,,,,percent of total billed charges,,9.933,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,10.185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.24,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.804,,,,percent of total billed charges,,9.45,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,10.60185,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,9.975,,,,percent of total billed charges,,8.4,,,,percent of total billed charges,,6.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,,,,,inpatient,,,2.02,,1.01,1.212,2.039594,1.8988,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.6766,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.8584,,,,percent of total billed charges,,1.91092,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.9594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.7776,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.30896,,,,percent of total billed charges,,1.818,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,2.039594,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.919,,,,percent of total billed charges,,1.616,,,,percent of total billed charges,,1.212,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,,,,,inpatient,,,0.5,,0.25,0.3,0.50485,0.47,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.415,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.46,,,,percent of total billed charges,,0.473,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.44,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.324,,,,percent of total billed charges,,0.45,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,0.50485,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.475,,,,percent of total billed charges,,0.4,,,,percent of total billed charges,,0.3,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,,,,,inpatient,,,2.66,,1.33,1.596,2.685802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.72368,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.685802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,,,,,inpatient,,,2.66,,1.33,1.596,2.685802,2.5004,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.2078,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.4472,,,,percent of total billed charges,,2.51636,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.5802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.3408,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.72368,,,,percent of total billed charges,,2.394,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,2.685802,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.527,,,,percent of total billed charges,,2.128,,,,percent of total billed charges,,1.596,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,,,,,inpatient,,,2.45,,1.225,1.47,2.473765,2.303,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.0335,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.3177,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.156,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.5876,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,2.473765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 100 MG CAPSULE [27780],0637,RC,,,,,inpatient,,,2.45,,1.225,1.47,2.473765,2.303,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.0335,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.254,,,,percent of total billed charges,,2.3177,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.156,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.5876,,,,percent of total billed charges,,2.205,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,2.473765,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,2.3275,,,,percent of total billed charges,,1.96,,,,percent of total billed charges,,1.47,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ZONISAMIDE 25 MG CAPSULE [36987],0637,RC,,,,,inpatient,,,0.86,,0.43,0.516,0.868342,0.8084,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7138,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.7912,,,,percent of total billed charges,,0.81356,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.8342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.7568,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.55728,,,,percent of total billed charges,,0.774,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,0.868342,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.817,,,,percent of total billed charges,,0.688,,,,percent of total billed charges,,0.516,,,,percent of total billed charges,,,,,,fee schedule,,,,,,fee schedule,,,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Sr89 strontium,701,APC,,,,,outpatient,,,,,,3989.365707,7042.451707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4050.427427,,,,fee schedule,,7042.451707,,,,fee schedule,,6024.756373,,,,fee schedule,,6024.756373,,,,fee schedule,,4192.904773,,,,fee schedule,,4050.427427,,,,fee schedule,,4152.19696,,,,fee schedule,,4192.904773,,,,fee schedule,,4233.612587,,,,fee schedule,,4192.904773,,,,fee schedule,,4233.612587,,,,fee schedule,,4294.674307,,,,fee schedule,,3989.365707,,,,fee schedule,,4111.489147,,,,fee schedule,,4192.904773,,,,fee schedule,,4192.904773,,,,fee schedule,,4233.612587,,,,fee schedule,,3989.365707,,,,fee schedule,,3989.365707,,,,fee schedule,,3989.365707,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, balfaxar, per i.u",702,APC,,,,,outpatient,,,,,,3.1801,5.61385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.228775,,,,fee schedule,,5.61385,,,,fee schedule,,4.8026,,,,fee schedule,,4.8026,,,,fee schedule,,3.34235,,,,fee schedule,,3.228775,,,,fee schedule,,3.3099,,,,fee schedule,,3.34235,,,,fee schedule,,3.3748,,,,fee schedule,,3.34235,,,,fee schedule,,3.3748,,,,fee schedule,,3.423475,,,,fee schedule,,3.1801,,,,fee schedule,,3.27745,,,,fee schedule,,3.34235,,,,fee schedule,,3.34235,,,,fee schedule,,3.3748,,,,fee schedule,,3.1801,,,,fee schedule,,3.1801,,,,fee schedule,,3.1801,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj daxibotulinumtoxinA-lanm,703,APC,,,,,outpatient,,,,,,4.36296,7.70196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.42974,,,,fee schedule,,7.70196,,,,fee schedule,,6.58896,,,,fee schedule,,6.58896,,,,fee schedule,,4.58556,,,,fee schedule,,4.42974,,,,fee schedule,,4.54104,,,,fee schedule,,4.58556,,,,fee schedule,,4.63008,,,,fee schedule,,4.58556,,,,fee schedule,,4.63008,,,,fee schedule,,4.69686,,,,fee schedule,,4.36296,,,,fee schedule,,4.49652,,,,fee schedule,,4.58556,,,,fee schedule,,4.58556,,,,fee schedule,,4.63008,,,,fee schedule,,4.36296,,,,fee schedule,,4.36296,,,,fee schedule,,4.36296,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, aflibercept hd, 1 mg",704,APC,,,,,outpatient,,,,,,331.20962,584.68637,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.279155,,,,fee schedule,,584.68637,,,,fee schedule,,500.19412,,,,fee schedule,,500.19412,,,,fee schedule,,348.10807,,,,fee schedule,,336.279155,,,,fee schedule,,344.72838,,,,fee schedule,,348.10807,,,,fee schedule,,351.48776,,,,fee schedule,,348.10807,,,,fee schedule,,351.48776,,,,fee schedule,,356.557295,,,,fee schedule,,331.20962,,,,fee schedule,,341.34869,,,,fee schedule,,348.10807,,,,fee schedule,,348.10807,,,,fee schedule,,351.48776,,,,fee schedule,,331.20962,,,,fee schedule,,331.20962,,,,fee schedule,,331.20962,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, avacincaptad peg 0.1 mg",705,APC,,,,,outpatient,,,,,,105.987,187.0995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.60925,,,,fee schedule,,187.0995,,,,fee schedule,,160.062,,,,fee schedule,,160.062,,,,fee schedule,,111.3945,,,,fee schedule,,107.60925,,,,fee schedule,,110.313,,,,fee schedule,,111.3945,,,,fee schedule,,112.476,,,,fee schedule,,111.3945,,,,fee schedule,,112.476,,,,fee schedule,,114.09825,,,,fee schedule,,105.987,,,,fee schedule,,109.2315,,,,fee schedule,,111.3945,,,,fee schedule,,111.3945,,,,fee schedule,,112.476,,,,fee schedule,,105.987,,,,fee schedule,,105.987,,,,fee schedule,,105.987,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj talquetamab-tgvs 0.25 mg,706,APC,,,,,outpatient,,,,,,65.35914,115.37889,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66.359535,,,,fee schedule,,115.37889,,,,fee schedule,,98.70564,,,,fee schedule,,98.70564,,,,fee schedule,,68.69379,,,,fee schedule,,66.359535,,,,fee schedule,,68.02686,,,,fee schedule,,68.69379,,,,fee schedule,,69.36072,,,,fee schedule,,68.69379,,,,fee schedule,,69.36072,,,,fee schedule,,70.361115,,,,fee schedule,,65.35914,,,,fee schedule,,67.35993,,,,fee schedule,,68.69379,,,,fee schedule,,68.69379,,,,fee schedule,,69.36072,,,,fee schedule,,65.35914,,,,fee schedule,,65.35914,,,,fee schedule,,65.35914,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Cantharidin top, applicator",707,APC,,,,,outpatient,,,,,,691.439,1220.6015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,702.02225,,,,fee schedule,,1220.6015,,,,fee schedule,,1044.214,,,,fee schedule,,1044.214,,,,fee schedule,,726.7165,,,,fee schedule,,702.02225,,,,fee schedule,,719.661,,,,fee schedule,,726.7165,,,,fee schedule,,733.772,,,,fee schedule,,726.7165,,,,fee schedule,,733.772,,,,fee schedule,,744.35525,,,,fee schedule,,691.439,,,,fee schedule,,712.6055,,,,fee schedule,,726.7165,,,,fee schedule,,726.7165,,,,fee schedule,,733.772,,,,fee schedule,,691.439,,,,fee schedule,,691.439,,,,fee schedule,,691.439,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, elranatamab-bcmm, 1 mg",708,APC,,,,,outpatient,,,,,,173.33456,305.98856,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.98764,,,,fee schedule,,305.98856,,,,fee schedule,,261.77056,,,,fee schedule,,261.77056,,,,fee schedule,,182.17816,,,,fee schedule,,175.98764,,,,fee schedule,,180.40944,,,,fee schedule,,182.17816,,,,fee schedule,,183.94688,,,,fee schedule,,182.17816,,,,fee schedule,,183.94688,,,,fee schedule,,186.59996,,,,fee schedule,,173.33456,,,,fee schedule,,178.64072,,,,fee schedule,,182.17816,,,,fee schedule,,182.17816,,,,fee schedule,,183.94688,,,,fee schedule,,173.33456,,,,fee schedule,,173.33456,,,,fee schedule,,173.33456,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Flortaucipir inj 1 millicuri,709,APC,,,,,outpatient,,,,,,3635.8,6418.3,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3691.45,,,,fee schedule,,6418.3,,,,fee schedule,,5490.8,,,,fee schedule,,5490.8,,,,fee schedule,,3821.3,,,,fee schedule,,3691.45,,,,fee schedule,,3784.2,,,,fee schedule,,3821.3,,,,fee schedule,,3858.4,,,,fee schedule,,3821.3,,,,fee schedule,,3858.4,,,,fee schedule,,3914.05,,,,fee schedule,,3635.8,,,,fee schedule,,3747.1,,,,fee schedule,,3821.3,,,,fee schedule,,3821.3,,,,fee schedule,,3858.4,,,,fee schedule,,3635.8,,,,fee schedule,,3635.8,,,,fee schedule,,3635.8,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj velmanase alfa-tycv 1 mg,710,APC,,,,,outpatient,,,,,,415.52,733.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,421.88,,,,fee schedule,,733.52,,,,fee schedule,,627.52,,,,fee schedule,,627.52,,,,fee schedule,,436.72,,,,fee schedule,,421.88,,,,fee schedule,,432.48,,,,fee schedule,,436.72,,,,fee schedule,,440.96,,,,fee schedule,,436.72,,,,fee schedule,,440.96,,,,fee schedule,,447.32,,,,fee schedule,,415.52,,,,fee schedule,,428.24,,,,fee schedule,,436.72,,,,fee schedule,,436.72,,,,fee schedule,,440.96,,,,fee schedule,,415.52,,,,fee schedule,,415.52,,,,fee schedule,,415.52,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, artesunate, 1mg",711,APC,,,,,outpatient,,,,,,46.6676,82.3826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.3819,,,,fee schedule,,82.3826,,,,fee schedule,,70.4776,,,,fee schedule,,70.4776,,,,fee schedule,,49.0486,,,,fee schedule,,47.3819,,,,fee schedule,,48.5724,,,,fee schedule,,49.0486,,,,fee schedule,,49.5248,,,,fee schedule,,49.0486,,,,fee schedule,,49.5248,,,,fee schedule,,50.2391,,,,fee schedule,,46.6676,,,,fee schedule,,48.0962,,,,fee schedule,,49.0486,,,,fee schedule,,49.0486,,,,fee schedule,,49.5248,,,,fee schedule,,46.6676,,,,fee schedule,,46.6676,,,,fee schedule,,46.6676,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj roctavian ml 2x10^13vc g,713,APC,,,,,outpatient,,,,,,11767.65674,20773.51649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11947.77394,,,,fee schedule,,20773.51649,,,,fee schedule,,17771.56324,,,,fee schedule,,17771.56324,,,,fee schedule,,12368.04739,,,,fee schedule,,11947.77394,,,,fee schedule,,12247.96926,,,,fee schedule,,12368.04739,,,,fee schedule,,12488.12552,,,,fee schedule,,12368.04739,,,,fee schedule,,12488.12552,,,,fee schedule,,12668.24272,,,,fee schedule,,11767.65674,,,,fee schedule,,12127.89113,,,,fee schedule,,12368.04739,,,,fee schedule,,12368.04739,,,,fee schedule,,12488.12552,,,,fee schedule,,11767.65674,,,,fee schedule,,11767.65674,,,,fee schedule,,11767.65674,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj delandistrogene mox rokl,714,APC,,,,,outpatient,,,,,,3230080,5702080,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3279520,,,,fee schedule,,5702080,,,,fee schedule,,4878080,,,,fee schedule,,4878080,,,,fee schedule,,3394880,,,,fee schedule,,3279520,,,,fee schedule,,3361920,,,,fee schedule,,3394880,,,,fee schedule,,3427840,,,,fee schedule,,3394880,,,,fee schedule,,3427840,,,,fee schedule,,3477280,,,,fee schedule,,3230080,,,,fee schedule,,3328960,,,,fee schedule,,3394880,,,,fee schedule,,3394880,,,,fee schedule,,3427840,,,,fee schedule,,3230080,,,,fee schedule,,3230080,,,,fee schedule,,3230080,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Pegunigalsidase alfa-iwxj,715,APC,,,,,outpatient,,,,,,208.69884,368.41734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.89321,,,,fee schedule,,368.41734,,,,fee schedule,,315.17784,,,,fee schedule,,315.17784,,,,fee schedule,,219.34674,,,,fee schedule,,211.89321,,,,fee schedule,,217.21716,,,,fee schedule,,219.34674,,,,fee schedule,,221.47632,,,,fee schedule,,219.34674,,,,fee schedule,,221.47632,,,,fee schedule,,224.67069,,,,fee schedule,,208.69884,,,,fee schedule,,215.08758,,,,fee schedule,,219.34674,,,,fee schedule,,219.34674,,,,fee schedule,,221.47632,,,,fee schedule,,208.69884,,,,fee schedule,,208.69884,,,,fee schedule,,208.69884,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Vyjuvek 5x10^9pfu/ml, 0.1 ml",716,APC,,,,,outpatient,,,,,,2447.795,4321.1075,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2485.26125,,,,fee schedule,,4321.1075,,,,fee schedule,,3696.67,,,,fee schedule,,3696.67,,,,fee schedule,,2572.6825,,,,fee schedule,,2485.26125,,,,fee schedule,,2547.705,,,,fee schedule,,2572.6825,,,,fee schedule,,2597.66,,,,fee schedule,,2572.6825,,,,fee schedule,,2597.66,,,,fee schedule,,2635.12625,,,,fee schedule,,2447.795,,,,fee schedule,,2522.7275,,,,fee schedule,,2572.6825,,,,fee schedule,,2572.6825,,,,fee schedule,,2597.66,,,,fee schedule,,2447.795,,,,fee schedule,,2447.795,,,,fee schedule,,2447.795,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Instill adstiladrin, tx dose",717,APC,,,,,outpatient,,,,,,60564,106914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61491,,,,fee schedule,,106914,,,,fee schedule,,91464,,,,fee schedule,,91464,,,,fee schedule,,63654,,,,fee schedule,,61491,,,,fee schedule,,63036,,,,fee schedule,,63654,,,,fee schedule,,64272,,,,fee schedule,,63654,,,,fee schedule,,64272,,,,fee schedule,,65199,,,,fee schedule,,60564,,,,fee schedule,,62418,,,,fee schedule,,63654,,,,fee schedule,,63654,,,,fee schedule,,64272,,,,fee schedule,,60564,,,,fee schedule,,60564,,,,fee schedule,,60564,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, carmustine (accord)",718,APC,,,,,outpatient,,,,,,17.66077929,31.17668181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.93109734,,,,fee schedule,,31.17668181,,,,fee schedule,,26.67138097,,,,fee schedule,,26.67138097,,,,fee schedule,,18.56183946,,,,fee schedule,,17.93109734,,,,fee schedule,,18.38162743,,,,fee schedule,,18.56183946,,,,fee schedule,,18.74205149,,,,fee schedule,,18.56183946,,,,fee schedule,,18.74205149,,,,fee schedule,,19.01236954,,,,fee schedule,,17.66077929,,,,fee schedule,,18.20141539,,,,fee schedule,,18.56183946,,,,fee schedule,,18.56183946,,,,fee schedule,,18.74205149,,,,fee schedule,,17.66077929,,,,fee schedule,,17.66077929,,,,fee schedule,,17.66077929,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj cyclophos dr.reddy's 5mg,719,APC,,,,,outpatient,,,,,,3.6848,6.5048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.7412,,,,fee schedule,,6.5048,,,,fee schedule,,5.5648,,,,fee schedule,,5.5648,,,,fee schedule,,3.8728,,,,fee schedule,,3.7412,,,,fee schedule,,3.8352,,,,fee schedule,,3.8728,,,,fee schedule,,3.9104,,,,fee schedule,,3.8728,,,,fee schedule,,3.9104,,,,fee schedule,,3.9668,,,,fee schedule,,3.6848,,,,fee schedule,,3.7976,,,,fee schedule,,3.8728,,,,fee schedule,,3.8728,,,,fee schedule,,3.9104,,,,fee schedule,,3.6848,,,,fee schedule,,3.6848,,,,fee schedule,,3.6848,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj glofitamab gxbm, 2.5 mg",720,APC,,,,,outpatient,,,,,,2653.76944,4684.71544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2694.38836,,,,fee schedule,,4684.71544,,,,fee schedule,,4007.73344,,,,fee schedule,,4007.73344,,,,fee schedule,,2789.16584,,,,fee schedule,,2694.38836,,,,fee schedule,,2762.08656,,,,fee schedule,,2789.16584,,,,fee schedule,,2816.24512,,,,fee schedule,,2789.16584,,,,fee schedule,,2816.24512,,,,fee schedule,,2856.86404,,,,fee schedule,,2653.76944,,,,fee schedule,,2735.00728,,,,fee schedule,,2789.16584,,,,fee schedule,,2789.16584,,,,fee schedule,,2816.24512,,,,fee schedule,,2653.76944,,,,fee schedule,,2653.76944,,,,fee schedule,,2653.76944,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj ronzanolixizum-noli 1 mg,721,APC,,,,,outpatient,,,,,,21.8099,38.50115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.143725,,,,fee schedule,,38.50115,,,,fee schedule,,32.9374,,,,fee schedule,,32.9374,,,,fee schedule,,22.92265,,,,fee schedule,,22.143725,,,,fee schedule,,22.7001,,,,fee schedule,,22.92265,,,,fee schedule,,23.1452,,,,fee schedule,,22.92265,,,,fee schedule,,23.1452,,,,fee schedule,,23.479025,,,,fee schedule,,21.8099,,,,fee schedule,,22.47755,,,,fee schedule,,22.92265,,,,fee schedule,,22.92265,,,,fee schedule,,23.1452,,,,fee schedule,,21.8099,,,,fee schedule,,21.8099,,,,fee schedule,,21.8099,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Dexmedetomidine film, 1 mcg",722,APC,,,,,outpatient,,,,,,0.70168,1.23868,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.71242,,,,fee schedule,,1.23868,,,,fee schedule,,1.05968,,,,fee schedule,,1.05968,,,,fee schedule,,0.73748,,,,fee schedule,,0.71242,,,,fee schedule,,0.73032,,,,fee schedule,,0.73748,,,,fee schedule,,0.74464,,,,fee schedule,,0.73748,,,,fee schedule,,0.74464,,,,fee schedule,,0.75538,,,,fee schedule,,0.70168,,,,fee schedule,,0.72316,,,,fee schedule,,0.73748,,,,fee schedule,,0.73748,,,,fee schedule,,0.74464,,,,fee schedule,,0.70168,,,,fee schedule,,0.70168,,,,fee schedule,,0.70168,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj efgart-alfa 2mg hya-qvfc,723,APC,,,,,outpatient,,,,,,30.93827621,54.61552841,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.41182125,,,,fee schedule,,54.61552841,,,,fee schedule,,46.72311101,,,,fee schedule,,46.72311101,,,,fee schedule,,32.51675969,,,,fee schedule,,31.41182125,,,,fee schedule,,32.20106299,,,,fee schedule,,32.51675969,,,,fee schedule,,32.83245638,,,,fee schedule,,32.51675969,,,,fee schedule,,32.83245638,,,,fee schedule,,33.30600143,,,,fee schedule,,30.93827621,,,,fee schedule,,31.8853663,,,,fee schedule,,32.51675969,,,,fee schedule,,32.51675969,,,,fee schedule,,32.83245638,,,,fee schedule,,30.93827621,,,,fee schedule,,30.93827621,,,,fee schedule,,30.93827621,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. olanzapine, 0.5mg",724,APC,,,,,outpatient,,,,,,0.92806,1.63831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.942265,,,,fee schedule,,1.63831,,,,fee schedule,,1.40156,,,,fee schedule,,1.40156,,,,fee schedule,,0.97541,,,,fee schedule,,0.942265,,,,fee schedule,,0.96594,,,,fee schedule,,0.97541,,,,fee schedule,,0.98488,,,,fee schedule,,0.97541,,,,fee schedule,,0.98488,,,,fee schedule,,0.999085,,,,fee schedule,,0.92806,,,,fee schedule,,0.95647,,,,fee schedule,,0.97541,,,,fee schedule,,0.97541,,,,fee schedule,,0.98488,,,,fee schedule,,0.92806,,,,fee schedule,,0.92806,,,,fee schedule,,0.92806,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Dexrazoxane HCl injection,726,APC,,,,,outpatient,,,,,,105.84588,186.85038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.46597,,,,fee schedule,,186.85038,,,,fee schedule,,159.84888,,,,fee schedule,,159.84888,,,,fee schedule,,111.24618,,,,fee schedule,,107.46597,,,,fee schedule,,110.16612,,,,fee schedule,,111.24618,,,,fee schedule,,112.32624,,,,fee schedule,,111.24618,,,,fee schedule,,112.32624,,,,fee schedule,,113.94633,,,,fee schedule,,105.84588,,,,fee schedule,,109.08606,,,,fee schedule,,111.24618,,,,fee schedule,,111.24618,,,,fee schedule,,112.32624,,,,fee schedule,,105.84588,,,,fee schedule,,105.84588,,,,fee schedule,,105.84588,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Sargramostim injection,731,APC,,,,,outpatient,,,,,,58.13066,102.61841,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.020415,,,,fee schedule,,102.61841,,,,fee schedule,,87.78916,,,,fee schedule,,87.78916,,,,fee schedule,,61.09651,,,,fee schedule,,59.020415,,,,fee schedule,,60.50334,,,,fee schedule,,61.09651,,,,fee schedule,,61.68968,,,,fee schedule,,61.09651,,,,fee schedule,,61.68968,,,,fee schedule,,62.579435,,,,fee schedule,,58.13066,,,,fee schedule,,59.91017,,,,fee schedule,,61.09651,,,,fee schedule,,61.09651,,,,fee schedule,,61.68968,,,,fee schedule,,58.13066,,,,fee schedule,,58.13066,,,,fee schedule,,58.13066,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Amphotericin b liposome inj,736,APC,,,,,outpatient,,,,,,26.12484,46.11834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.52471,,,,fee schedule,,46.11834,,,,fee schedule,,39.45384,,,,fee schedule,,39.45384,,,,fee schedule,,27.45774,,,,fee schedule,,26.52471,,,,fee schedule,,27.19116,,,,fee schedule,,27.45774,,,,fee schedule,,27.72432,,,,fee schedule,,27.45774,,,,fee schedule,,27.72432,,,,fee schedule,,28.12419,,,,fee schedule,,26.12484,,,,fee schedule,,26.92458,,,,fee schedule,,27.45774,,,,fee schedule,,27.45774,,,,fee schedule,,27.72432,,,,fee schedule,,26.12484,,,,fee schedule,,26.12484,,,,fee schedule,,26.12484,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Rasburicase,738,APC,,,,,outpatient,,,,,,359.92264,635.37364,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,365.43166,,,,fee schedule,,635.37364,,,,fee schedule,,543.55664,,,,fee schedule,,543.55664,,,,fee schedule,,378.28604,,,,fee schedule,,365.43166,,,,fee schedule,,374.61336,,,,fee schedule,,378.28604,,,,fee schedule,,381.95872,,,,fee schedule,,378.28604,,,,fee schedule,,381.95872,,,,fee schedule,,387.46774,,,,fee schedule,,359.92264,,,,fee schedule,,370.94068,,,,fee schedule,,378.28604,,,,fee schedule,,378.28604,,,,fee schedule,,381.95872,,,,fee schedule,,359.92264,,,,fee schedule,,359.92264,,,,fee schedule,,359.92264,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Dactinomycin injection,752,APC,,,,,outpatient,,,,,,641.995865,1133.319231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,651.8223323,,,,fee schedule,,1133.319231,,,,fee schedule,,969.5447757,,,,fee schedule,,969.5447757,,,,fee schedule,,674.7507561,,,,fee schedule,,651.8223323,,,,fee schedule,,668.1997779,,,,fee schedule,,674.7507561,,,,fee schedule,,681.3017343,,,,fee schedule,,674.7507561,,,,fee schedule,,681.3017343,,,,fee schedule,,691.1282016,,,,fee schedule,,641.995865,,,,fee schedule,,661.6487997,,,,fee schedule,,674.7507561,,,,fee schedule,,674.7507561,,,,fee schedule,,681.3017343,,,,fee schedule,,641.995865,,,,fee schedule,,641.995865,,,,fee schedule,,641.995865,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Naltrexone, depot form",759,APC,,,,,outpatient,,,,,,3.87982,6.84907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.939205,,,,fee schedule,,6.84907,,,,fee schedule,,5.85932,,,,fee schedule,,5.85932,,,,fee schedule,,4.07777,,,,fee schedule,,3.939205,,,,fee schedule,,4.03818,,,,fee schedule,,4.07777,,,,fee schedule,,4.11736,,,,fee schedule,,4.07777,,,,fee schedule,,4.11736,,,,fee schedule,,4.176745,,,,fee schedule,,3.87982,,,,fee schedule,,3.99859,,,,fee schedule,,4.07777,,,,fee schedule,,4.07777,,,,fee schedule,,4.11736,,,,fee schedule,,3.87982,,,,fee schedule,,3.87982,,,,fee schedule,,3.87982,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Leuprolide acetate,800,APC,,,,,outpatient,,,,,,1533.31192,2706.76492,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1556.78098,,,,fee schedule,,2706.76492,,,,fee schedule,,2315.61392,,,,fee schedule,,2315.61392,,,,fee schedule,,1611.54212,,,,fee schedule,,1556.78098,,,,fee schedule,,1595.89608,,,,fee schedule,,1611.54212,,,,fee schedule,,1627.18816,,,,fee schedule,,1611.54212,,,,fee schedule,,1627.18816,,,,fee schedule,,1650.65722,,,,fee schedule,,1533.31192,,,,fee schedule,,1580.25004,,,,fee schedule,,1611.54212,,,,fee schedule,,1611.54212,,,,fee schedule,,1627.18816,,,,fee schedule,,1533.31192,,,,fee schedule,,1533.31192,,,,fee schedule,,1533.31192,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Etoposide oral,802,APC,,,,,outpatient,,,,,,73.52819421,129.7997714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.65362575,,,,fee schedule,,129.7997714,,,,fee schedule,,111.042579,,,,fee schedule,,111.042579,,,,fee schedule,,77.27963269,,,,fee schedule,,74.65362575,,,,fee schedule,,76.52934499,,,,fee schedule,,77.27963269,,,,fee schedule,,78.02992038,,,,fee schedule,,77.27963269,,,,fee schedule,,78.02992038,,,,fee schedule,,79.15535193,,,,fee schedule,,73.52819421,,,,fee schedule,,75.7790573,,,,fee schedule,,77.27963269,,,,fee schedule,,77.27963269,,,,fee schedule,,78.02992038,,,,fee schedule,,73.52819421,,,,fee schedule,,73.52819421,,,,fee schedule,,73.52819421,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Aldesleukin injection,807,APC,,,,,outpatient,,,,,,3784.38415,6680.59651,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3842.308398,,,,fee schedule,,6680.59651,,,,fee schedule,,5715.19239,,,,fee schedule,,5715.19239,,,,fee schedule,,3977.464974,,,,fee schedule,,3842.308398,,,,fee schedule,,3938.84881,,,,fee schedule,,3977.464974,,,,fee schedule,,4016.081139,,,,fee schedule,,3977.464974,,,,fee schedule,,4016.081139,,,,fee schedule,,4074.005386,,,,fee schedule,,3784.38415,,,,fee schedule,,3900.232645,,,,fee schedule,,3977.464974,,,,fee schedule,,3977.464974,,,,fee schedule,,4016.081139,,,,fee schedule,,3784.38415,,,,fee schedule,,3784.38415,,,,fee schedule,,3784.38415,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Goserelin acetate implant,810,APC,,,,,outpatient,,,,,,584.5102732,1031.839564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,593.456859,,,,fee schedule,,1031.839564,,,,fee schedule,,882.7298003,,,,fee schedule,,882.7298003,,,,fee schedule,,614.3322259,,,,fee schedule,,593.456859,,,,fee schedule,,608.3678353,,,,fee schedule,,614.3322259,,,,fee schedule,,620.2966164,,,,fee schedule,,614.3322259,,,,fee schedule,,620.2966164,,,,fee schedule,,629.2432022,,,,fee schedule,,584.5102732,,,,fee schedule,,602.4034448,,,,fee schedule,,614.3322259,,,,fee schedule,,614.3322259,,,,fee schedule,,620.2966164,,,,fee schedule,,584.5102732,,,,fee schedule,,584.5102732,,,,fee schedule,,584.5102732,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Carmustine injection,812,APC,,,,,outpatient,,,,,,260.5447232,459.941195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,264.5326526,,,,fee schedule,,459.941195,,,,fee schedule,,393.4757044,,,,fee schedule,,393.4757044,,,,fee schedule,,273.8378213,,,,fee schedule,,264.5326526,,,,fee schedule,,271.1792016,,,,fee schedule,,273.8378213,,,,fee schedule,,276.4964409,,,,fee schedule,,273.8378213,,,,fee schedule,,276.4964409,,,,fee schedule,,280.4843703,,,,fee schedule,,260.5447232,,,,fee schedule,,268.520582,,,,fee schedule,,273.8378213,,,,fee schedule,,273.8378213,,,,fee schedule,,276.4964409,,,,fee schedule,,260.5447232,,,,fee schedule,,260.5447232,,,,fee schedule,,260.5447232,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Daunorubicin injection,820,APC,,,,,outpatient,,,,,,34.23605555,60.43711847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.76007681,,,,fee schedule,,60.43711847,,,,fee schedule,,51.70343083,,,,fee schedule,,51.70343083,,,,fee schedule,,35.98279308,,,,fee schedule,,34.76007681,,,,fee schedule,,35.63344557,,,,fee schedule,,35.98279308,,,,fee schedule,,36.33214058,,,,fee schedule,,35.98279308,,,,fee schedule,,36.33214058,,,,fee schedule,,36.85616184,,,,fee schedule,,34.23605555,,,,fee schedule,,35.28409807,,,,fee schedule,,35.98279308,,,,fee schedule,,35.98279308,,,,fee schedule,,36.33214058,,,,fee schedule,,34.23605555,,,,fee schedule,,34.23605555,,,,fee schedule,,34.23605555,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Nelarabine injection,825,APC,,,,,outpatient,,,,,,106.5175049,188.0360035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.1478749,,,,fee schedule,,188.0360035,,,,fee schedule,,160.8631706,,,,fee schedule,,160.8631706,,,,fee schedule,,111.9520715,,,,fee schedule,,108.1478749,,,,fee schedule,,110.8651582,,,,fee schedule,,111.9520715,,,,fee schedule,,113.0389848,,,,fee schedule,,111.9520715,,,,fee schedule,,113.0389848,,,,fee schedule,,114.6693548,,,,fee schedule,,106.5175049,,,,fee schedule,,109.7782448,,,,fee schedule,,111.9520715,,,,fee schedule,,111.9520715,,,,fee schedule,,113.0389848,,,,fee schedule,,106.5175049,,,,fee schedule,,106.5175049,,,,fee schedule,,106.5175049,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Floxuridine injection,827,APC,,,,,outpatient,,,,,,3572.311793,6306.223879,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3626.990034,,,,fee schedule,,6306.223879,,,,fee schedule,,5394.91985,,,,fee schedule,,5394.91985,,,,fee schedule,,3754.572598,,,,fee schedule,,3626.990034,,,,fee schedule,,3718.120437,,,,fee schedule,,3754.572598,,,,fee schedule,,3791.02476,,,,fee schedule,,3754.572598,,,,fee schedule,,3791.02476,,,,fee schedule,,3845.703001,,,,fee schedule,,3572.311793,,,,fee schedule,,3681.668276,,,,fee schedule,,3754.572598,,,,fee schedule,,3754.572598,,,,fee schedule,,3791.02476,,,,fee schedule,,3572.311793,,,,fee schedule,,3572.311793,,,,fee schedule,,3572.311793,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Interferon alfa-2b inj,836,APC,,,,,outpatient,,,,,,31.26363919,55.18989367,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.74216428,,,,fee schedule,,55.18989367,,,,fee schedule,,47.21447551,,,,fee schedule,,47.21447551,,,,fee schedule,,32.85872282,,,,fee schedule,,31.74216428,,,,fee schedule,,32.53970609,,,,fee schedule,,32.85872282,,,,fee schedule,,33.17773955,,,,fee schedule,,32.85872282,,,,fee schedule,,33.17773955,,,,fee schedule,,33.65626464,,,,fee schedule,,31.26363919,,,,fee schedule,,32.22068937,,,,fee schedule,,32.85872282,,,,fee schedule,,32.85872282,,,,fee schedule,,33.17773955,,,,fee schedule,,31.26363919,,,,fee schedule,,31.26363919,,,,fee schedule,,31.26363919,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj melpha hydroch nos 50 mg,840,APC,,,,,outpatient,,,,,,142.0665296,250.7909145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.2410173,,,,fee schedule,,250.7909145,,,,fee schedule,,214.5494529,,,,fee schedule,,214.5494529,,,,fee schedule,,149.314822,,,,fee schedule,,144.2410173,,,,fee schedule,,147.8651635,,,,fee schedule,,149.314822,,,,fee schedule,,150.7644804,,,,fee schedule,,149.314822,,,,fee schedule,,150.7644804,,,,fee schedule,,152.9389681,,,,fee schedule,,142.0665296,,,,fee schedule,,146.415505,,,,fee schedule,,149.314822,,,,fee schedule,,149.314822,,,,fee schedule,,150.7644804,,,,fee schedule,,142.0665296,,,,fee schedule,,142.0665296,,,,fee schedule,,142.0665296,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Pegaspargase injection,843,APC,,,,,outpatient,,,,,,24744.34213,43681.33866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25123.08206,,,,fee schedule,,43681.33866,,,,fee schedule,,37369.00649,,,,fee schedule,,37369.00649,,,,fee schedule,,26006.80857,,,,fee schedule,,25123.08206,,,,fee schedule,,25754.31528,,,,fee schedule,,26006.80857,,,,fee schedule,,26259.30186,,,,fee schedule,,26006.80857,,,,fee schedule,,26259.30186,,,,fee schedule,,26638.04179,,,,fee schedule,,24744.34213,,,,fee schedule,,25501.82199,,,,fee schedule,,26006.80857,,,,fee schedule,,26006.80857,,,,fee schedule,,26259.30186,,,,fee schedule,,24744.34213,,,,fee schedule,,24744.34213,,,,fee schedule,,24744.34213,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Pentostatin injection,844,APC,,,,,outpatient,,,,,,2181.71042,3851.386761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2215.103946,,,,fee schedule,,3851.386761,,,,fee schedule,,3294.827981,,,,fee schedule,,3294.827981,,,,fee schedule,,2293.022176,,,,fee schedule,,2215.103946,,,,fee schedule,,2270.759825,,,,fee schedule,,2293.022176,,,,fee schedule,,2315.284527,,,,fee schedule,,2293.022176,,,,fee schedule,,2315.284527,,,,fee schedule,,2348.678054,,,,fee schedule,,2181.71042,,,,fee schedule,,2248.497473,,,,fee schedule,,2293.022176,,,,fee schedule,,2293.022176,,,,fee schedule,,2315.284527,,,,fee schedule,,2181.71042,,,,fee schedule,,2181.71042,,,,fee schedule,,2181.71042,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Streptozocin injection,850,APC,,,,,outpatient,,,,,,355.2925342,627.2000859,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,360.7306852,,,,fee schedule,,627.2000859,,,,fee schedule,,536.5642353,,,,fee schedule,,536.5642353,,,,fee schedule,,373.4197043,,,,fee schedule,,360.7306852,,,,fee schedule,,369.7942703,,,,fee schedule,,373.4197043,,,,fee schedule,,377.0451383,,,,fee schedule,,373.4197043,,,,fee schedule,,377.0451383,,,,fee schedule,,382.4832894,,,,fee schedule,,355.2925342,,,,fee schedule,,366.1688363,,,,fee schedule,,373.4197043,,,,fee schedule,,373.4197043,,,,fee schedule,,377.0451383,,,,fee schedule,,355.2925342,,,,fee schedule,,355.2925342,,,,fee schedule,,355.2925342,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Thiotepa injection,851,APC,,,,,outpatient,,,,,,241.0997262,425.6148228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.7900282,,,,fee schedule,,425.6148228,,,,fee schedule,,364.1097906,,,,fee schedule,,364.1097906,,,,fee schedule,,253.4007327,,,,fee schedule,,244.7900282,,,,fee schedule,,250.9405314,,,,fee schedule,,253.4007327,,,,fee schedule,,255.860934,,,,fee schedule,,253.4007327,,,,fee schedule,,255.860934,,,,fee schedule,,259.5512359,,,,fee schedule,,241.0997262,,,,fee schedule,,248.4803301,,,,fee schedule,,253.4007327,,,,fee schedule,,253.4007327,,,,fee schedule,,255.860934,,,,fee schedule,,241.0997262,,,,fee schedule,,241.0997262,,,,fee schedule,,241.0997262,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Porfimer sodium injection,856,APC,,,,,outpatient,,,,,,21909.84704,38677.58713,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22245.20184,,,,fee schedule,,38677.58713,,,,fee schedule,,33088.34043,,,,fee schedule,,33088.34043,,,,fee schedule,,23027.69638,,,,fee schedule,,22245.20184,,,,fee schedule,,22804.12651,,,,fee schedule,,23027.69638,,,,fee schedule,,23251.26625,,,,fee schedule,,23027.69638,,,,fee schedule,,23251.26625,,,,fee schedule,,23586.62105,,,,fee schedule,,21909.84704,,,,fee schedule,,22580.55665,,,,fee schedule,,23027.69638,,,,fee schedule,,23027.69638,,,,fee schedule,,23251.26625,,,,fee schedule,,21909.84704,,,,fee schedule,,21909.84704,,,,fee schedule,,21909.84704,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj cladribine,858,APC,,,,,outpatient,,,,,,15.13849637,26.72408033,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.37020805,,,,fee schedule,,26.72408033,,,,fee schedule,,22.86221901,,,,fee schedule,,22.86221901,,,,fee schedule,,15.91086864,,,,fee schedule,,15.37020805,,,,fee schedule,,15.75639419,,,,fee schedule,,15.91086864,,,,fee schedule,,16.06534309,,,,fee schedule,,15.91086864,,,,fee schedule,,16.06534309,,,,fee schedule,,16.29705477,,,,fee schedule,,15.13849637,,,,fee schedule,,15.60191973,,,,fee schedule,,15.91086864,,,,fee schedule,,15.91086864,,,,fee schedule,,16.06534309,,,,fee schedule,,15.13849637,,,,fee schedule,,15.13849637,,,,fee schedule,,15.13849637,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Mitoxantrone hydrochl,864,APC,,,,,outpatient,,,,,,41.82497908,73.83389164,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.46515733,,,,fee schedule,,73.83389164,,,,fee schedule,,63.16425412,,,,fee schedule,,63.16425412,,,,fee schedule,,43.95890658,,,,fee schedule,,42.46515733,,,,fee schedule,,43.53212108,,,,fee schedule,,43.95890658,,,,fee schedule,,44.38569208,,,,fee schedule,,43.95890658,,,,fee schedule,,44.38569208,,,,fee schedule,,45.02587033,,,,fee schedule,,41.82497908,,,,fee schedule,,43.10533558,,,,fee schedule,,43.95890658,,,,fee schedule,,43.95890658,,,,fee schedule,,44.38569208,,,,fee schedule,,41.82497908,,,,fee schedule,,41.82497908,,,,fee schedule,,41.82497908,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Synvisc or synvisc-one,874,APC,,,,,outpatient,,,,,,8.755047482,15.45533892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.88905331,,,,fee schedule,,15.45533892,,,,fee schedule,,13.22190844,,,,fee schedule,,13.22190844,,,,fee schedule,,9.201733578,,,,fee schedule,,8.88905331,,,,fee schedule,,9.112396358,,,,fee schedule,,9.201733578,,,,fee schedule,,9.291070797,,,,fee schedule,,9.201733578,,,,fee schedule,,9.291070797,,,,fee schedule,,9.425076626,,,,fee schedule,,8.755047482,,,,fee schedule,,9.023059139,,,,fee schedule,,9.201733578,,,,fee schedule,,9.201733578,,,,fee schedule,,9.291070797,,,,fee schedule,,8.755047482,,,,fee schedule,,8.755047482,,,,fee schedule,,8.755047482,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Euflexxa inj per dose,875,APC,,,,,outpatient,,,,,,122.1790774,215.6834734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.0491654,,,,fee schedule,,215.6834734,,,,fee schedule,,184.5153414,,,,fee schedule,,184.5153414,,,,fee schedule,,128.4127038,,,,fee schedule,,124.0491654,,,,fee schedule,,127.1659786,,,,fee schedule,,128.4127038,,,,fee schedule,,129.6594291,,,,fee schedule,,128.4127038,,,,fee schedule,,129.6594291,,,,fee schedule,,131.529517,,,,fee schedule,,122.1790774,,,,fee schedule,,125.9192533,,,,fee schedule,,128.4127038,,,,fee schedule,,128.4127038,,,,fee schedule,,129.6594291,,,,fee schedule,,122.1790774,,,,fee schedule,,122.1790774,,,,fee schedule,,122.1790774,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Orthovisc inj per dose,877,APC,,,,,outpatient,,,,,,125.3837588,221.3407171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.302898,,,,fee schedule,,221.3407171,,,,fee schedule,,189.3550643,,,,fee schedule,,189.3550643,,,,fee schedule,,131.7808894,,,,fee schedule,,127.302898,,,,fee schedule,,130.5014633,,,,fee schedule,,131.7808894,,,,fee schedule,,133.0603155,,,,fee schedule,,131.7808894,,,,fee schedule,,133.0603155,,,,fee schedule,,134.9794546,,,,fee schedule,,125.3837588,,,,fee schedule,,129.2220372,,,,fee schedule,,131.7808894,,,,fee schedule,,131.7808894,,,,fee schedule,,133.0603155,,,,fee schedule,,125.3837588,,,,fee schedule,,125.3837588,,,,fee schedule,,125.3837588,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Azathioprine parenteral,887,APC,,,,,outpatient,,,,,,230.2888454,406.5303087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,233.8136747,,,,fee schedule,,406.5303087,,,,fee schedule,,347.7831543,,,,fee schedule,,347.7831543,,,,fee schedule,,242.0382763,,,,fee schedule,,233.8136747,,,,fee schedule,,239.6883901,,,,fee schedule,,242.0382763,,,,fee schedule,,244.3881625,,,,fee schedule,,242.0382763,,,,fee schedule,,244.3881625,,,,fee schedule,,247.9129917,,,,fee schedule,,230.2888454,,,,fee schedule,,237.3385039,,,,fee schedule,,242.0382763,,,,fee schedule,,242.0382763,,,,fee schedule,,244.3881625,,,,fee schedule,,230.2888454,,,,fee schedule,,230.2888454,,,,fee schedule,,230.2888454,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Lymphocyte immune globulin,890,APC,,,,,outpatient,,,,,,3446.983701,6084.981431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3499.743655,,,,fee schedule,,6084.981431,,,,fee schedule,,5205.648854,,,,fee schedule,,5205.648854,,,,fee schedule,,3622.850216,,,,fee schedule,,3499.743655,,,,fee schedule,,3587.676913,,,,fee schedule,,3622.850216,,,,fee schedule,,3658.023519,,,,fee schedule,,3622.850216,,,,fee schedule,,3658.023519,,,,fee schedule,,3710.783474,,,,fee schedule,,3446.983701,,,,fee schedule,,3552.50361,,,,fee schedule,,3622.850216,,,,fee schedule,,3622.850216,,,,fee schedule,,3658.023519,,,,fee schedule,,3446.983701,,,,fee schedule,,3446.983701,,,,fee schedule,,3446.983701,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Alpha 1 proteinase inhibitor,901,APC,,,,,outpatient,,,,,,4.78534,8.44759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.858585,,,,fee schedule,,8.44759,,,,fee schedule,,7.22684,,,,fee schedule,,7.22684,,,,fee schedule,,5.02949,,,,fee schedule,,4.858585,,,,fee schedule,,4.98066,,,,fee schedule,,5.02949,,,,fee schedule,,5.07832,,,,fee schedule,,5.02949,,,,fee schedule,,5.07832,,,,fee schedule,,5.151565,,,,fee schedule,,4.78534,,,,fee schedule,,4.93183,,,,fee schedule,,5.02949,,,,fee schedule,,5.02949,,,,fee schedule,,5.07832,,,,fee schedule,,4.78534,,,,fee schedule,,4.78534,,,,fee schedule,,4.78534,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection,onabotulinumtoxinA",902,APC,,,,,outpatient,,,,,,6.20046,10.94571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.295365,,,,fee schedule,,10.94571,,,,fee schedule,,9.36396,,,,fee schedule,,9.36396,,,,fee schedule,,6.51681,,,,fee schedule,,6.295365,,,,fee schedule,,6.45354,,,,fee schedule,,6.51681,,,,fee schedule,,6.58008,,,,fee schedule,,6.51681,,,,fee schedule,,6.58008,,,,fee schedule,,6.674985,,,,fee schedule,,6.20046,,,,fee schedule,,6.39027,,,,fee schedule,,6.51681,,,,fee schedule,,6.51681,,,,fee schedule,,6.58008,,,,fee schedule,,6.20046,,,,fee schedule,,6.20046,,,,fee schedule,,6.20046,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cytomegalovirus imm IV /vial,903,APC,,,,,outpatient,,,,,,1771.71456,3127.61856,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1798.83264,,,,fee schedule,,3127.61856,,,,fee schedule,,2675.65056,,,,fee schedule,,2675.65056,,,,fee schedule,,1862.10816,,,,fee schedule,,1798.83264,,,,fee schedule,,1844.02944,,,,fee schedule,,1862.10816,,,,fee schedule,,1880.18688,,,,fee schedule,,1862.10816,,,,fee schedule,,1880.18688,,,,fee schedule,,1907.30496,,,,fee schedule,,1771.71456,,,,fee schedule,,1825.95072,,,,fee schedule,,1862.10816,,,,fee schedule,,1862.10816,,,,fee schedule,,1880.18688,,,,fee schedule,,1771.71456,,,,fee schedule,,1771.71456,,,,fee schedule,,1771.71456,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viii,925,APC,,,,,outpatient,,,,,,1.00646,1.77671,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.021865,,,,fee schedule,,1.77671,,,,fee schedule,,1.51996,,,,fee schedule,,1.51996,,,,fee schedule,,1.05781,,,,fee schedule,,1.021865,,,,fee schedule,,1.04754,,,,fee schedule,,1.05781,,,,fee schedule,,1.06808,,,,fee schedule,,1.05781,,,,fee schedule,,1.06808,,,,fee schedule,,1.083485,,,,fee schedule,,1.00646,,,,fee schedule,,1.03727,,,,fee schedule,,1.05781,,,,fee schedule,,1.05781,,,,fee schedule,,1.06808,,,,fee schedule,,1.00646,,,,fee schedule,,1.00646,,,,fee schedule,,1.00646,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viii recombinant,927,APC,,,,,outpatient,,,,,,1.48176,2.61576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.50444,,,,fee schedule,,2.61576,,,,fee schedule,,2.23776,,,,fee schedule,,2.23776,,,,fee schedule,,1.55736,,,,fee schedule,,1.50444,,,,fee schedule,,1.54224,,,,fee schedule,,1.55736,,,,fee schedule,,1.57248,,,,fee schedule,,1.55736,,,,fee schedule,,1.57248,,,,fee schedule,,1.59516,,,,fee schedule,,1.48176,,,,fee schedule,,1.52712,,,,fee schedule,,1.55736,,,,fee schedule,,1.55736,,,,fee schedule,,1.57248,,,,fee schedule,,1.48176,,,,fee schedule,,1.48176,,,,fee schedule,,1.48176,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor ix complex,928,APC,,,,,outpatient,,,,,,1.57388,2.77838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.59797,,,,fee schedule,,2.77838,,,,fee schedule,,2.37688,,,,fee schedule,,2.37688,,,,fee schedule,,1.65418,,,,fee schedule,,1.59797,,,,fee schedule,,1.63812,,,,fee schedule,,1.65418,,,,fee schedule,,1.67024,,,,fee schedule,,1.65418,,,,fee schedule,,1.67024,,,,fee schedule,,1.69433,,,,fee schedule,,1.57388,,,,fee schedule,,1.62206,,,,fee schedule,,1.65418,,,,fee schedule,,1.65418,,,,fee schedule,,1.67024,,,,fee schedule,,1.57388,,,,fee schedule,,1.57388,,,,fee schedule,,1.57388,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Anti-inhibitor,929,APC,,,,,outpatient,,,,,,2.22166,3.92191,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.255665,,,,fee schedule,,3.92191,,,,fee schedule,,3.35516,,,,fee schedule,,3.35516,,,,fee schedule,,2.33501,,,,fee schedule,,2.255665,,,,fee schedule,,2.31234,,,,fee schedule,,2.33501,,,,fee schedule,,2.35768,,,,fee schedule,,2.33501,,,,fee schedule,,2.35768,,,,fee schedule,,2.391685,,,,fee schedule,,2.22166,,,,fee schedule,,2.28967,,,,fee schedule,,2.33501,,,,fee schedule,,2.33501,,,,fee schedule,,2.35768,,,,fee schedule,,2.22166,,,,fee schedule,,2.22166,,,,fee schedule,,2.22166,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor IX non-recombinant,931,APC,,,,,outpatient,,,,,,1.29556,2.28706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.31539,,,,fee schedule,,2.28706,,,,fee schedule,,1.95656,,,,fee schedule,,1.95656,,,,fee schedule,,1.36166,,,,fee schedule,,1.31539,,,,fee schedule,,1.34844,,,,fee schedule,,1.36166,,,,fee schedule,,1.37488,,,,fee schedule,,1.36166,,,,fee schedule,,1.37488,,,,fee schedule,,1.39471,,,,fee schedule,,1.29556,,,,fee schedule,,1.33522,,,,fee schedule,,1.36166,,,,fee schedule,,1.36166,,,,fee schedule,,1.37488,,,,fee schedule,,1.29556,,,,fee schedule,,1.29556,,,,fee schedule,,1.29556,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor ix recombinant nos,932,APC,,,,,outpatient,,,,,,1.71598,3.02923,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.742245,,,,fee schedule,,3.02923,,,,fee schedule,,2.59148,,,,fee schedule,,2.59148,,,,fee schedule,,1.80353,,,,fee schedule,,1.742245,,,,fee schedule,,1.78602,,,,fee schedule,,1.80353,,,,fee schedule,,1.82104,,,,fee schedule,,1.80353,,,,fee schedule,,1.82104,,,,fee schedule,,1.847305,,,,fee schedule,,1.71598,,,,fee schedule,,1.76851,,,,fee schedule,,1.80353,,,,fee schedule,,1.80353,,,,fee schedule,,1.82104,,,,fee schedule,,1.71598,,,,fee schedule,,1.71598,,,,fee schedule,,1.71598,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Octagam injection,943,APC,,,,,outpatient,,,,,,44.07844,77.81194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.75311,,,,fee schedule,,77.81194,,,,fee schedule,,66.56744,,,,fee schedule,,66.56744,,,,fee schedule,,46.32734,,,,fee schedule,,44.75311,,,,fee schedule,,45.87756,,,,fee schedule,,46.32734,,,,fee schedule,,46.77712,,,,fee schedule,,46.32734,,,,fee schedule,,46.77712,,,,fee schedule,,47.45179,,,,fee schedule,,44.07844,,,,fee schedule,,45.42778,,,,fee schedule,,46.32734,,,,fee schedule,,46.32734,,,,fee schedule,,46.77712,,,,fee schedule,,44.07844,,,,fee schedule,,44.07844,,,,fee schedule,,44.07844,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gammagard liquid injection,944,APC,,,,,outpatient,,,,,,43.26896,76.38296,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.93124,,,,fee schedule,,76.38296,,,,fee schedule,,65.34496,,,,fee schedule,,65.34496,,,,fee schedule,,45.47656,,,,fee schedule,,43.93124,,,,fee schedule,,45.03504,,,,fee schedule,,45.47656,,,,fee schedule,,45.91808,,,,fee schedule,,45.47656,,,,fee schedule,,45.91808,,,,fee schedule,,46.58036,,,,fee schedule,,43.26896,,,,fee schedule,,44.59352,,,,fee schedule,,45.47656,,,,fee schedule,,45.47656,,,,fee schedule,,45.91808,,,,fee schedule,,43.26896,,,,fee schedule,,43.26896,,,,fee schedule,,43.26896,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Hepagam b im injection,946,APC,,,,,outpatient,,,,,,58.42662,103.14087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.320905,,,,fee schedule,,103.14087,,,,fee schedule,,88.23612,,,,fee schedule,,88.23612,,,,fee schedule,,61.40757,,,,fee schedule,,59.320905,,,,fee schedule,,60.81138,,,,fee schedule,,61.40757,,,,fee schedule,,62.00376,,,,fee schedule,,61.40757,,,,fee schedule,,62.00376,,,,fee schedule,,62.898045,,,,fee schedule,,58.42662,,,,fee schedule,,60.21519,,,,fee schedule,,61.40757,,,,fee schedule,,61.40757,,,,fee schedule,,62.00376,,,,fee schedule,,58.42662,,,,fee schedule,,58.42662,,,,fee schedule,,58.42662,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Flebogamma injection,947,APC,,,,,outpatient,,,,,,54.99368,97.08068,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.83542,,,,fee schedule,,97.08068,,,,fee schedule,,83.05168,,,,fee schedule,,83.05168,,,,fee schedule,,57.79948,,,,fee schedule,,55.83542,,,,fee schedule,,57.23832,,,,fee schedule,,57.79948,,,,fee schedule,,58.36064,,,,fee schedule,,57.79948,,,,fee schedule,,58.36064,,,,fee schedule,,59.20238,,,,fee schedule,,54.99368,,,,fee schedule,,56.67716,,,,fee schedule,,57.79948,,,,fee schedule,,57.79948,,,,fee schedule,,58.36064,,,,fee schedule,,54.99368,,,,fee schedule,,54.99368,,,,fee schedule,,54.99368,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gamunex-C/Gammaked,948,APC,,,,,outpatient,,,,,,48.79028,86.12978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.53707,,,,fee schedule,,86.12978,,,,fee schedule,,73.68328,,,,fee schedule,,73.68328,,,,fee schedule,,51.27958,,,,fee schedule,,49.53707,,,,fee schedule,,50.78172,,,,fee schedule,,51.27958,,,,fee schedule,,51.77744,,,,fee schedule,,51.27958,,,,fee schedule,,51.77744,,,,fee schedule,,52.52423,,,,fee schedule,,48.79028,,,,fee schedule,,50.28386,,,,fee schedule,,51.27958,,,,fee schedule,,51.27958,,,,fee schedule,,51.77744,,,,fee schedule,,48.79028,,,,fee schedule,,48.79028,,,,fee schedule,,48.79028,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Albumin (human),5%, 50ml",961,APC,,,,,outpatient,,,,,,10.18798827,17.98491807,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.34392687,,,,fee schedule,,17.98491807,,,,fee schedule,,15.38594147,,,,fee schedule,,15.38594147,,,,fee schedule,,10.70778359,,,,fee schedule,,10.34392687,,,,fee schedule,,10.60382453,,,,fee schedule,,10.70778359,,,,fee schedule,,10.81174266,,,,fee schedule,,10.70778359,,,,fee schedule,,10.81174266,,,,fee schedule,,10.96768125,,,,fee schedule,,10.18798827,,,,fee schedule,,10.49986546,,,,fee schedule,,10.70778359,,,,fee schedule,,10.70778359,,,,fee schedule,,10.81174266,,,,fee schedule,,10.18798827,,,,fee schedule,,10.18798827,,,,fee schedule,,10.18798827,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Albumin (human), 5%, 250 ml",963,APC,,,,,outpatient,,,,,,50.94186091,89.92797895,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.72158327,,,,fee schedule,,89.92797895,,,,fee schedule,,76.93260627,,,,fee schedule,,76.93260627,,,,fee schedule,,53.54093544,,,,fee schedule,,51.72158327,,,,fee schedule,,53.02112053,,,,fee schedule,,53.54093544,,,,fee schedule,,54.06075035,,,,fee schedule,,53.54093544,,,,fee schedule,,54.06075035,,,,fee schedule,,54.84047271,,,,fee schedule,,50.94186091,,,,fee schedule,,52.50130563,,,,fee schedule,,53.54093544,,,,fee schedule,,53.54093544,,,,fee schedule,,54.06075035,,,,fee schedule,,50.94186091,,,,fee schedule,,50.94186091,,,,fee schedule,,50.94186091,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Albumin (human), 25%, 20 ml",964,APC,,,,,outpatient,,,,,,20.37693632,35.97153044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.6888282,,,,fee schedule,,35.97153044,,,,fee schedule,,30.7733324,,,,fee schedule,,30.7733324,,,,fee schedule,,21.41657592,,,,fee schedule,,20.6888282,,,,fee schedule,,21.208648,,,,fee schedule,,21.41657592,,,,fee schedule,,21.62450385,,,,fee schedule,,21.41657592,,,,fee schedule,,21.62450385,,,,fee schedule,,21.93639573,,,,fee schedule,,20.37693632,,,,fee schedule,,21.00072008,,,,fee schedule,,21.41657592,,,,fee schedule,,21.41657592,,,,fee schedule,,21.62450385,,,,fee schedule,,20.37693632,,,,fee schedule,,20.37693632,,,,fee schedule,,20.37693632,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Albumin (human), 25%, 50ml",965,APC,,,,,outpatient,,,,,,50.94186091,89.92797895,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.72158327,,,,fee schedule,,89.92797895,,,,fee schedule,,76.93260627,,,,fee schedule,,76.93260627,,,,fee schedule,,53.54093544,,,,fee schedule,,51.72158327,,,,fee schedule,,53.02112053,,,,fee schedule,,53.54093544,,,,fee schedule,,54.06075035,,,,fee schedule,,53.54093544,,,,fee schedule,,54.06075035,,,,fee schedule,,54.84047271,,,,fee schedule,,50.94186091,,,,fee schedule,,52.50130563,,,,fee schedule,,53.54093544,,,,fee schedule,,53.54093544,,,,fee schedule,,54.06075035,,,,fee schedule,,50.94186091,,,,fee schedule,,50.94186091,,,,fee schedule,,50.94186091,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Injection glatiramer acetate,1015,APC,,,,,outpatient,,,,,,149.7015223,264.2690138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.9928721,,,,fee schedule,,264.2690138,,,,fee schedule,,226.0798499,,,,fee schedule,,226.0798499,,,,fee schedule,,157.339355,,,,fee schedule,,151.9928721,,,,fee schedule,,155.8117885,,,,fee schedule,,157.339355,,,,fee schedule,,158.8669216,,,,fee schedule,,157.339355,,,,fee schedule,,158.8669216,,,,fee schedule,,161.1582714,,,,fee schedule,,149.7015223,,,,fee schedule,,154.2842219,,,,fee schedule,,157.339355,,,,fee schedule,,157.339355,,,,fee schedule,,158.8669216,,,,fee schedule,,149.7015223,,,,fee schedule,,149.7015223,,,,fee schedule,,149.7015223,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"I131 iodide cap, rx",1064,APC,,,,,outpatient,,,,,,20.48155155,36.15620835,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.79504469,,,,fee schedule,,36.15620835,,,,fee schedule,,30.93132275,,,,fee schedule,,30.93132275,,,,fee schedule,,21.52652867,,,,fee schedule,,20.79504469,,,,fee schedule,,21.31753325,,,,fee schedule,,21.52652867,,,,fee schedule,,21.7355241,,,,fee schedule,,21.52652867,,,,fee schedule,,21.7355241,,,,fee schedule,,22.04901723,,,,fee schedule,,20.48155155,,,,fee schedule,,21.10853782,,,,fee schedule,,21.52652867,,,,fee schedule,,21.52652867,,,,fee schedule,,21.7355241,,,,fee schedule,,20.48155155,,,,fee schedule,,20.48155155,,,,fee schedule,,20.48155155,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Adalimumab injection,1083,APC,,,,,outpatient,,,,,,1760.697443,3108.169976,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1787.646894,,,,fee schedule,,3108.169976,,,,fee schedule,,2659.012465,,,,fee schedule,,2659.012465,,,,fee schedule,,1850.528945,,,,fee schedule,,1787.646894,,,,fee schedule,,1832.562645,,,,fee schedule,,1850.528945,,,,fee schedule,,1868.495246,,,,fee schedule,,1850.528945,,,,fee schedule,,1868.495246,,,,fee schedule,,1895.444696,,,,fee schedule,,1760.697443,,,,fee schedule,,1814.596344,,,,fee schedule,,1850.528945,,,,fee schedule,,1850.528945,,,,fee schedule,,1868.495246,,,,fee schedule,,1760.697443,,,,fee schedule,,1760.697443,,,,fee schedule,,1760.697443,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Hepagam b intravenous, inj",1138,APC,,,,,outpatient,,,,,,57.22069456,101.0120424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.09652152,,,,fee schedule,,101.0120424,,,,fee schedule,,86.41492648,,,,fee schedule,,86.41492648,,,,fee schedule,,60.14011776,,,,fee schedule,,58.09652152,,,,fee schedule,,59.55623312,,,,fee schedule,,60.14011776,,,,fee schedule,,60.72400239,,,,fee schedule,,60.14011776,,,,fee schedule,,60.72400239,,,,fee schedule,,61.59982935,,,,fee schedule,,57.22069456,,,,fee schedule,,58.97234848,,,,fee schedule,,60.14011776,,,,fee schedule,,60.14011776,,,,fee schedule,,60.72400239,,,,fee schedule,,57.22069456,,,,fee schedule,,57.22069456,,,,fee schedule,,57.22069456,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Protein c concentrate,1139,APC,,,,,outpatient,,,,,,14.4637761,25.5329925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.68516042,,,,fee schedule,,25.5329925,,,,fee schedule,,21.8432537,,,,fee schedule,,21.8432537,,,,fee schedule,,15.20172386,,,,fee schedule,,14.68516042,,,,fee schedule,,15.0541343,,,,fee schedule,,15.20172386,,,,fee schedule,,15.34931341,,,,fee schedule,,15.20172386,,,,fee schedule,,15.34931341,,,,fee schedule,,15.57069774,,,,fee schedule,,14.4637761,,,,fee schedule,,14.90654475,,,,fee schedule,,15.20172386,,,,fee schedule,,15.20172386,,,,fee schedule,,15.34931341,,,,fee schedule,,14.4637761,,,,fee schedule,,14.4637761,,,,fee schedule,,14.4637761,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Supprelin LA implant,1142,APC,,,,,outpatient,,,,,,42782.76995,75524.68572,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43437.60826,,,,fee schedule,,75524.68572,,,,fee schedule,,64610.7138,,,,fee schedule,,64610.7138,,,,fee schedule,,44965.56433,,,,fee schedule,,43437.60826,,,,fee schedule,,44529.00546,,,,fee schedule,,44965.56433,,,,fee schedule,,45402.12321,,,,fee schedule,,44965.56433,,,,fee schedule,,45402.12321,,,,fee schedule,,46056.96153,,,,fee schedule,,42782.76995,,,,fee schedule,,44092.44658,,,,fee schedule,,44965.56433,,,,fee schedule,,44965.56433,,,,fee schedule,,45402.12321,,,,fee schedule,,42782.76995,,,,fee schedule,,42782.76995,,,,fee schedule,,42782.76995,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"I131 iodide sol, rx",1150,APC,,,,,outpatient,,,,,,19.57936512,34.56357312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.87904928,,,,fee schedule,,34.56357312,,,,fee schedule,,29.56883712,,,,fee schedule,,29.56883712,,,,fee schedule,,20.57831232,,,,fee schedule,,19.87904928,,,,fee schedule,,20.37852288,,,,fee schedule,,20.57831232,,,,fee schedule,,20.77810176,,,,fee schedule,,20.57831232,,,,fee schedule,,20.77810176,,,,fee schedule,,21.07778592,,,,fee schedule,,19.57936512,,,,fee schedule,,20.17873344,,,,fee schedule,,20.57831232,,,,fee schedule,,20.57831232,,,,fee schedule,,20.77810176,,,,fee schedule,,19.57936512,,,,fee schedule,,19.57936512,,,,fee schedule,,19.57936512,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, temsirolimus",1168,APC,,,,,outpatient,,,,,,29.74623839,52.51121675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.20153796,,,,fee schedule,,52.51121675,,,,fee schedule,,44.92289063,,,,fee schedule,,44.92289063,,,,fee schedule,,31.26390361,,,,fee schedule,,30.20153796,,,,fee schedule,,30.96037057,,,,fee schedule,,31.26390361,,,,fee schedule,,31.56743666,,,,fee schedule,,31.26390361,,,,fee schedule,,31.56743666,,,,fee schedule,,32.02273623,,,,fee schedule,,29.74623839,,,,fee schedule,,30.65683752,,,,fee schedule,,31.26390361,,,,fee schedule,,31.26390361,,,,fee schedule,,31.56743666,,,,fee schedule,,29.74623839,,,,fee schedule,,29.74623839,,,,fee schedule,,29.74623839,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Busulfan injection,1178,APC,,,,,outpatient,,,,,,1.357118739,2.395730019,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.377890965,,,,fee schedule,,2.395730019,,,,fee schedule,,2.049526259,,,,fee schedule,,2.049526259,,,,fee schedule,,1.426359491,,,,fee schedule,,1.377890965,,,,fee schedule,,1.412511341,,,,fee schedule,,1.426359491,,,,fee schedule,,1.440207642,,,,fee schedule,,1.426359491,,,,fee schedule,,1.440207642,,,,fee schedule,,1.460979867,,,,fee schedule,,1.357118739,,,,fee schedule,,1.39866319,,,,fee schedule,,1.426359491,,,,fee schedule,,1.426359491,,,,fee schedule,,1.440207642,,,,fee schedule,,1.357118739,,,,fee schedule,,1.357118739,,,,fee schedule,,1.357118739,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Verteporfin injection,1203,APC,,,,,outpatient,,,,,,11.06714016,19.53689028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.23653516,,,,fee schedule,,19.53689028,,,,fee schedule,,16.71364024,,,,fee schedule,,16.71364024,,,,fee schedule,,11.63179016,,,,fee schedule,,11.23653516,,,,fee schedule,,11.51886016,,,,fee schedule,,11.63179016,,,,fee schedule,,11.74472017,,,,fee schedule,,11.63179016,,,,fee schedule,,11.74472017,,,,fee schedule,,11.91411517,,,,fee schedule,,11.06714016,,,,fee schedule,,11.40593016,,,,fee schedule,,11.63179016,,,,fee schedule,,11.63179016,,,,fee schedule,,11.74472017,,,,fee schedule,,11.06714016,,,,fee schedule,,11.06714016,,,,fee schedule,,11.06714016,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Octreotide injection, depot",1207,APC,,,,,outpatient,,,,,,202.3479397,357.2060567,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.445102,,,,fee schedule,,357.2060567,,,,fee schedule,,305.5866844,,,,fee schedule,,305.5866844,,,,fee schedule,,212.6718141,,,,fee schedule,,205.445102,,,,fee schedule,,210.6070392,,,,fee schedule,,212.6718141,,,,fee schedule,,214.736589,,,,fee schedule,,212.6718141,,,,fee schedule,,214.736589,,,,fee schedule,,217.8337514,,,,fee schedule,,202.3479397,,,,fee schedule,,208.5422643,,,,fee schedule,,212.6718141,,,,fee schedule,,212.6718141,,,,fee schedule,,214.736589,,,,fee schedule,,202.3479397,,,,fee schedule,,202.3479397,,,,fee schedule,,202.3479397,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Antihemophilic viii/vwf comp,1213,APC,,,,,outpatient,,,,,,1.153646906,2.036539946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.171304766,,,,fee schedule,,2.036539946,,,,fee schedule,,1.742242266,,,,fee schedule,,1.742242266,,,,fee schedule,,1.212506442,,,,fee schedule,,1.171304766,,,,fee schedule,,1.200734534,,,,fee schedule,,1.212506442,,,,fee schedule,,1.224278349,,,,fee schedule,,1.212506442,,,,fee schedule,,1.224278349,,,,fee schedule,,1.24193621,,,,fee schedule,,1.153646906,,,,fee schedule,,1.188962627,,,,fee schedule,,1.212506442,,,,fee schedule,,1.212506442,,,,fee schedule,,1.224278349,,,,fee schedule,,1.153646906,,,,fee schedule,,1.153646906,,,,fee schedule,,1.153646906,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj IVIG privigen 500 mg,1214,APC,,,,,outpatient,,,,,,46.34742851,81.81739931,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.05682793,,,,fee schedule,,81.81739931,,,,fee schedule,,69.99407571,,,,fee schedule,,69.99407571,,,,fee schedule,,48.71209323,,,,fee schedule,,47.05682793,,,,fee schedule,,48.23916029,,,,fee schedule,,48.71209323,,,,fee schedule,,49.18502618,,,,fee schedule,,48.71209323,,,,fee schedule,,49.18502618,,,,fee schedule,,49.89442559,,,,fee schedule,,46.34742851,,,,fee schedule,,47.76622734,,,,fee schedule,,48.71209323,,,,fee schedule,,48.71209323,,,,fee schedule,,49.18502618,,,,fee schedule,,46.34742851,,,,fee schedule,,46.34742851,,,,fee schedule,,46.34742851,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Mitomycin injection,1232,APC,,,,,outpatient,,,,,,60.79968733,107.3300603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.73029479,,,,fee schedule,,107.3300603,,,,fee schedule,,91.81993597,,,,fee schedule,,91.81993597,,,,fee schedule,,63.9017122,,,,fee schedule,,61.73029479,,,,fee schedule,,63.28130723,,,,fee schedule,,63.9017122,,,,fee schedule,,64.52211717,,,,fee schedule,,63.9017122,,,,fee schedule,,64.52211717,,,,fee schedule,,65.45272463,,,,fee schedule,,60.79968733,,,,fee schedule,,62.66090225,,,,fee schedule,,63.9017122,,,,fee schedule,,63.9017122,,,,fee schedule,,64.52211717,,,,fee schedule,,60.79968733,,,,fee schedule,,60.79968733,,,,fee schedule,,60.79968733,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, vasopressin, 1 unit",1233,APC,,,,,outpatient,,,,,,1.741987632,3.075141432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.768650708,,,,fee schedule,,3.075141432,,,,fee schedule,,2.630756832,,,,fee schedule,,2.630756832,,,,fee schedule,,1.830864552,,,,fee schedule,,1.768650708,,,,fee schedule,,1.813089168,,,,fee schedule,,1.830864552,,,,fee schedule,,1.848639936,,,,fee schedule,,1.830864552,,,,fee schedule,,1.848639936,,,,fee schedule,,1.875303012,,,,fee schedule,,1.741987632,,,,fee schedule,,1.795313784,,,,fee schedule,,1.830864552,,,,fee schedule,,1.830864552,,,,fee schedule,,1.848639936,,,,fee schedule,,1.741987632,,,,fee schedule,,1.741987632,,,,fee schedule,,1.741987632,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj vasopressin (am reg) 1 u,1234,APC,,,,,outpatient,,,,,,0.444374806,0.784457566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.451176462,,,,fee schedule,,0.784457566,,,,fee schedule,,0.671096646,,,,fee schedule,,0.671096646,,,,fee schedule,,0.46704699,,,,fee schedule,,0.451176462,,,,fee schedule,,0.462512554,,,,fee schedule,,0.46704699,,,,fee schedule,,0.471581427,,,,fee schedule,,0.46704699,,,,fee schedule,,0.471581427,,,,fee schedule,,0.478383082,,,,fee schedule,,0.444374806,,,,fee schedule,,0.457978117,,,,fee schedule,,0.46704699,,,,fee schedule,,0.46704699,,,,fee schedule,,0.471581427,,,,fee schedule,,0.444374806,,,,fee schedule,,0.444374806,,,,fee schedule,,0.444374806,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Valrubicin injection,1235,APC,,,,,outpatient,,,,,,1308.984214,2310.757847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1329.019686,,,,fee schedule,,2310.757847,,,,fee schedule,,1976.833302,,,,fee schedule,,1976.833302,,,,fee schedule,,1375.769123,,,,fee schedule,,1329.019686,,,,fee schedule,,1362.412141,,,,fee schedule,,1375.769123,,,,fee schedule,,1389.126104,,,,fee schedule,,1375.769123,,,,fee schedule,,1389.126104,,,,fee schedule,,1409.161577,,,,fee schedule,,1308.984214,,,,fee schedule,,1349.055159,,,,fee schedule,,1375.769123,,,,fee schedule,,1375.769123,,,,fee schedule,,1389.126104,,,,fee schedule,,1308.984214,,,,fee schedule,,1308.984214,,,,fee schedule,,1308.984214,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj levoleucovorin nos 0.5mg,1236,APC,,,,,outpatient,,,,,,0.06526455,0.11521191,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.066263498,,,,fee schedule,,0.11521191,,,,fee schedule,,0.09856279,,,,fee schedule,,0.09856279,,,,fee schedule,,0.068594374,,,,fee schedule,,0.066263498,,,,fee schedule,,0.06792841,,,,fee schedule,,0.068594374,,,,fee schedule,,0.069260339,,,,fee schedule,,0.068594374,,,,fee schedule,,0.069260339,,,,fee schedule,,0.070259286,,,,fee schedule,,0.06526455,,,,fee schedule,,0.067262445,,,,fee schedule,,0.068594374,,,,fee schedule,,0.068594374,,,,fee schedule,,0.069260339,,,,fee schedule,,0.06526455,,,,fee schedule,,0.06526455,,,,fee schedule,,0.06526455,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj iron dextran,1237,APC,,,,,outpatient,,,,,,16.62710399,29.35192847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.88160048,,,,fee schedule,,29.35192847,,,,fee schedule,,25.11032031,,,,fee schedule,,25.11032031,,,,fee schedule,,17.47542562,,,,fee schedule,,16.88160048,,,,fee schedule,,17.30576129,,,,fee schedule,,17.47542562,,,,fee schedule,,17.64508995,,,,fee schedule,,17.47542562,,,,fee schedule,,17.64508995,,,,fee schedule,,17.89958644,,,,fee schedule,,16.62710399,,,,fee schedule,,17.13609697,,,,fee schedule,,17.47542562,,,,fee schedule,,17.47542562,,,,fee schedule,,17.64508995,,,,fee schedule,,16.62710399,,,,fee schedule,,16.62710399,,,,fee schedule,,16.62710399,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Topotecan oral,1238,APC,,,,,outpatient,,,,,,108.9255748,192.2869842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.592803,,,,fee schedule,,192.2869842,,,,fee schedule,,164.4998477,,,,fee schedule,,164.4998477,,,,fee schedule,,114.4830021,,,,fee schedule,,110.592803,,,,fee schedule,,113.3715167,,,,fee schedule,,114.4830021,,,,fee schedule,,115.5944876,,,,fee schedule,,114.4830021,,,,fee schedule,,115.5944876,,,,fee schedule,,117.2617158,,,,fee schedule,,108.9255748,,,,fee schedule,,112.2600312,,,,fee schedule,,114.4830021,,,,fee schedule,,114.4830021,,,,fee schedule,,115.5944876,,,,fee schedule,,108.9255748,,,,fee schedule,,108.9255748,,,,fee schedule,,108.9255748,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Antithrombin iii injection,1263,APC,,,,,outpatient,,,,,,3.715280509,6.558607429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.772147047,,,,fee schedule,,6.558607429,,,,fee schedule,,5.610831789,,,,fee schedule,,5.610831789,,,,fee schedule,,3.904835637,,,,fee schedule,,3.772147047,,,,fee schedule,,3.866924611,,,,fee schedule,,3.904835637,,,,fee schedule,,3.942746662,,,,fee schedule,,3.904835637,,,,fee schedule,,3.942746662,,,,fee schedule,,3.999613201,,,,fee schedule,,3.715280509,,,,fee schedule,,3.829013586,,,,fee schedule,,3.904835637,,,,fee schedule,,3.904835637,,,,fee schedule,,3.942746662,,,,fee schedule,,3.715280509,,,,fee schedule,,3.715280509,,,,fee schedule,,3.715280509,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Xyntha inj,1268,APC,,,,,outpatient,,,,,,1.241946003,2.192414883,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.260955381,,,,fee schedule,,2.192414883,,,,fee schedule,,1.875591923,,,,fee schedule,,1.875591923,,,,fee schedule,,1.305310595,,,,fee schedule,,1.260955381,,,,fee schedule,,1.292637677,,,,fee schedule,,1.305310595,,,,fee schedule,,1.317983514,,,,fee schedule,,1.305310595,,,,fee schedule,,1.317983514,,,,fee schedule,,1.336992891,,,,fee schedule,,1.241946003,,,,fee schedule,,1.279964758,,,,fee schedule,,1.305310595,,,,fee schedule,,1.305310595,,,,fee schedule,,1.317983514,,,,fee schedule,,1.241946003,,,,fee schedule,,1.241946003,,,,fee schedule,,1.241946003,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Edetate calcium disodium inj,1274,APC,,,,,outpatient,,,,,,6192.932072,10932.4209,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6287.721849,,,,fee schedule,,10932.4209,,,,fee schedule,,9352.591293,,,,fee schedule,,9352.591293,,,,fee schedule,,6508.897995,,,,fee schedule,,6287.721849,,,,fee schedule,,6445.70481,,,,fee schedule,,6508.897995,,,,fee schedule,,6572.091179,,,,fee schedule,,6508.897995,,,,fee schedule,,6572.091179,,,,fee schedule,,6666.880956,,,,fee schedule,,6192.932072,,,,fee schedule,,6382.511626,,,,fee schedule,,6508.897995,,,,fee schedule,,6508.897995,,,,fee schedule,,6572.091179,,,,fee schedule,,6192.932072,,,,fee schedule,,6192.932072,,,,fee schedule,,6192.932072,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Bevacizumab injection,1281,APC,,,,,outpatient,,,,,,1.777499226,3.137830266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.804705846,,,,fee schedule,,3.137830266,,,,fee schedule,,2.684386586,,,,fee schedule,,2.684386586,,,,fee schedule,,1.868187962,,,,fee schedule,,1.804705846,,,,fee schedule,,1.850050214,,,,fee schedule,,1.868187962,,,,fee schedule,,1.886325709,,,,fee schedule,,1.868187962,,,,fee schedule,,1.886325709,,,,fee schedule,,1.91353233,,,,fee schedule,,1.777499226,,,,fee schedule,,1.831912467,,,,fee schedule,,1.868187962,,,,fee schedule,,1.868187962,,,,fee schedule,,1.886325709,,,,fee schedule,,1.777499226,,,,fee schedule,,1.777499226,,,,fee schedule,,1.777499226,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AbobotulinumtoxinA,1289,APC,,,,,outpatient,,,,,,8.450799504,14.9182481,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.580148476,,,,fee schedule,,14.9182481,,,,fee schedule,,12.7624319,,,,fee schedule,,12.7624319,,,,fee schedule,,8.881962744,,,,fee schedule,,8.580148476,,,,fee schedule,,8.795730096,,,,fee schedule,,8.881962744,,,,fee schedule,,8.968195392,,,,fee schedule,,8.881962744,,,,fee schedule,,8.968195392,,,,fee schedule,,9.097544364,,,,fee schedule,,8.450799504,,,,fee schedule,,8.709497448,,,,fee schedule,,8.881962744,,,,fee schedule,,8.881962744,,,,fee schedule,,8.968195392,,,,fee schedule,,8.450799504,,,,fee schedule,,8.450799504,,,,fee schedule,,8.450799504,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Sm 153 lexidronam,1295,APC,,,,,outpatient,,,,,,16565.53744,29243.24467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16819.09159,,,,fee schedule,,29243.24467,,,,fee schedule,,25017.34226,,,,fee schedule,,25017.34226,,,,fee schedule,,17410.71792,,,,fee schedule,,16819.09159,,,,fee schedule,,17241.68183,,,,fee schedule,,17410.71792,,,,fee schedule,,17579.75402,,,,fee schedule,,17410.71792,,,,fee schedule,,17579.75402,,,,fee schedule,,17833.30816,,,,fee schedule,,16565.53744,,,,fee schedule,,17072.64573,,,,fee schedule,,17410.71792,,,,fee schedule,,17410.71792,,,,fee schedule,,17579.75402,,,,fee schedule,,16565.53744,,,,fee schedule,,16565.53744,,,,fee schedule,,16565.53744,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Degarelix injection,1296,APC,,,,,outpatient,,,,,,4.018568714,7.094003954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.080077418,,,,fee schedule,,7.094003954,,,,fee schedule,,6.068858874,,,,fee schedule,,6.068858874,,,,fee schedule,,4.22359773,,,,fee schedule,,4.080077418,,,,fee schedule,,4.182591926,,,,fee schedule,,4.22359773,,,,fee schedule,,4.264603533,,,,fee schedule,,4.22359773,,,,fee schedule,,4.264603533,,,,fee schedule,,4.326112238,,,,fee schedule,,4.018568714,,,,fee schedule,,4.141586123,,,,fee schedule,,4.22359773,,,,fee schedule,,4.22359773,,,,fee schedule,,4.264603533,,,,fee schedule,,4.018568714,,,,fee schedule,,4.018568714,,,,fee schedule,,4.018568714,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Ferumoxytol, non-esrd",1297,APC,,,,,outpatient,,,,,,0.34263889,0.60486253,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.347883362,,,,fee schedule,,0.60486253,,,,fee schedule,,0.51745465,,,,fee schedule,,0.51745465,,,,fee schedule,,0.360120466,,,,fee schedule,,0.347883362,,,,fee schedule,,0.35662415,,,,fee schedule,,0.360120466,,,,fee schedule,,0.363616781,,,,fee schedule,,0.360120466,,,,fee schedule,,0.363616781,,,,fee schedule,,0.368861254,,,,fee schedule,,0.34263889,,,,fee schedule,,0.353127835,,,,fee schedule,,0.360120466,,,,fee schedule,,0.360120466,,,,fee schedule,,0.363616781,,,,fee schedule,,0.34263889,,,,fee schedule,,0.34263889,,,,fee schedule,,0.34263889,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Canakinumab injection,1311,APC,,,,,outpatient,,,,,,119.3247131,210.6446467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.1511118,,,,fee schedule,,210.6446467,,,,fee schedule,,180.2046688,,,,fee schedule,,180.2046688,,,,fee schedule,,125.4127087,,,,fee schedule,,121.1511118,,,,fee schedule,,124.1951096,,,,fee schedule,,125.4127087,,,,fee schedule,,126.6303078,,,,fee schedule,,125.4127087,,,,fee schedule,,126.6303078,,,,fee schedule,,128.4567065,,,,fee schedule,,119.3247131,,,,fee schedule,,122.9775105,,,,fee schedule,,125.4127087,,,,fee schedule,,125.4127087,,,,fee schedule,,126.6303078,,,,fee schedule,,119.3247131,,,,fee schedule,,119.3247131,,,,fee schedule,,119.3247131,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Hizentra injection,1312,APC,,,,,outpatient,,,,,,12.4242589,21.9326203,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.61442612,,,,fee schedule,,21.9326203,,,,fee schedule,,18.7631665,,,,fee schedule,,18.7631665,,,,fee schedule,,13.05814966,,,,fee schedule,,12.61442612,,,,fee schedule,,12.9313715,,,,fee schedule,,13.05814966,,,,fee schedule,,13.18492781,,,,fee schedule,,13.05814966,,,,fee schedule,,13.18492781,,,,fee schedule,,13.37509504,,,,fee schedule,,12.4242589,,,,fee schedule,,12.80459335,,,,fee schedule,,13.05814966,,,,fee schedule,,13.05814966,,,,fee schedule,,13.18492781,,,,fee schedule,,12.4242589,,,,fee schedule,,12.4242589,,,,fee schedule,,12.4242589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Imiglucerase injection,1327,APC,,,,,outpatient,,,,,,42.25207797,74.58785193,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.89879345,,,,fee schedule,,74.58785193,,,,fee schedule,,63.80926061,,,,fee schedule,,63.80926061,,,,fee schedule,,44.40779624,,,,fee schedule,,42.89879345,,,,fee schedule,,43.97665259,,,,fee schedule,,44.40779624,,,,fee schedule,,44.83893989,,,,fee schedule,,44.40779624,,,,fee schedule,,44.83893989,,,,fee schedule,,45.48565537,,,,fee schedule,,42.25207797,,,,fee schedule,,43.54550893,,,,fee schedule,,44.40779624,,,,fee schedule,,44.40779624,,,,fee schedule,,44.83893989,,,,fee schedule,,42.25207797,,,,fee schedule,,42.25207797,,,,fee schedule,,42.25207797,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Olanzapine long-acting inj,1331,APC,,,,,outpatient,,,,,,2.799657258,4.942252098,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.842509154,,,,fee schedule,,4.942252098,,,,fee schedule,,4.228053818,,,,fee schedule,,4.228053818,,,,fee schedule,,2.942496914,,,,fee schedule,,2.842509154,,,,fee schedule,,2.913928982,,,,fee schedule,,2.942496914,,,,fee schedule,,2.971064845,,,,fee schedule,,2.942496914,,,,fee schedule,,2.971064845,,,,fee schedule,,3.013916742,,,,fee schedule,,2.799657258,,,,fee schedule,,2.885361051,,,,fee schedule,,2.942496914,,,,fee schedule,,2.942496914,,,,fee schedule,,2.971064845,,,,fee schedule,,2.799657258,,,,fee schedule,,2.799657258,,,,fee schedule,,2.799657258,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Collagenase, clost hist inj",1340,APC,,,,,outpatient,,,,,,63.60318368,112.2790896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.5767018,,,,fee schedule,,112.2790896,,,,fee schedule,,96.0537876,,,,fee schedule,,96.0537876,,,,fee schedule,,66.84824408,,,,fee schedule,,64.5767018,,,,fee schedule,,66.199232,,,,fee schedule,,66.84824408,,,,fee schedule,,67.49725615,,,,fee schedule,,66.84824408,,,,fee schedule,,67.49725615,,,,fee schedule,,68.47077427,,,,fee schedule,,63.60318368,,,,fee schedule,,65.55021992,,,,fee schedule,,66.84824408,,,,fee schedule,,66.84824408,,,,fee schedule,,67.49725615,,,,fee schedule,,63.60318368,,,,fee schedule,,63.60318368,,,,fee schedule,,63.60318368,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Amobarbital 125 MG inj,1341,APC,,,,,outpatient,,,,,,109.6444447,193.5560095,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.322676,,,,fee schedule,,193.5560095,,,,fee schedule,,165.5854879,,,,fee schedule,,165.5854879,,,,fee schedule,,115.238549,,,,fee schedule,,111.322676,,,,fee schedule,,114.1197281,,,,fee schedule,,115.238549,,,,fee schedule,,116.3573699,,,,fee schedule,,115.238549,,,,fee schedule,,116.3573699,,,,fee schedule,,118.0356012,,,,fee schedule,,109.6444447,,,,fee schedule,,113.0009073,,,,fee schedule,,115.238549,,,,fee schedule,,115.238549,,,,fee schedule,,116.3573699,,,,fee schedule,,109.6444447,,,,fee schedule,,109.6444447,,,,fee schedule,,109.6444447,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Wilate injection,1352,APC,,,,,outpatient,,,,,,1.243865549,2.195803469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.262904307,,,,fee schedule,,2.195803469,,,,fee schedule,,1.878490829,,,,fee schedule,,1.878490829,,,,fee schedule,,1.307328077,,,,fee schedule,,1.262904307,,,,fee schedule,,1.294635571,,,,fee schedule,,1.307328077,,,,fee schedule,,1.320020582,,,,fee schedule,,1.307328077,,,,fee schedule,,1.320020582,,,,fee schedule,,1.339059341,,,,fee schedule,,1.243865549,,,,fee schedule,,1.281943066,,,,fee schedule,,1.307328077,,,,fee schedule,,1.307328077,,,,fee schedule,,1.320020582,,,,fee schedule,,1.243865549,,,,fee schedule,,1.243865549,,,,fee schedule,,1.243865549,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Belimumab injection,1353,APC,,,,,outpatient,,,,,,49.90626605,88.09983701,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.67013747,,,,fee schedule,,88.09983701,,,,fee schedule,,75.36864669,,,,fee schedule,,75.36864669,,,,fee schedule,,52.45250412,,,,fee schedule,,50.67013747,,,,fee schedule,,51.94325651,,,,fee schedule,,52.45250412,,,,fee schedule,,52.96175173,,,,fee schedule,,52.45250412,,,,fee schedule,,52.96175173,,,,fee schedule,,53.72562315,,,,fee schedule,,49.90626605,,,,fee schedule,,51.43400889,,,,fee schedule,,52.45250412,,,,fee schedule,,52.45250412,,,,fee schedule,,52.96175173,,,,fee schedule,,49.90626605,,,,fee schedule,,49.90626605,,,,fee schedule,,49.90626605,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cyclophosphamide 100 MG inj,1408,APC,,,,,outpatient,,,,,,19.34230124,34.1450828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.63835687,,,,fee schedule,,34.1450828,,,,fee schedule,,29.21082228,,,,fee schedule,,29.21082228,,,,fee schedule,,20.32915334,,,,fee schedule,,19.63835687,,,,fee schedule,,20.13178292,,,,fee schedule,,20.32915334,,,,fee schedule,,20.52652376,,,,fee schedule,,20.32915334,,,,fee schedule,,20.52652376,,,,fee schedule,,20.82257939,,,,fee schedule,,19.34230124,,,,fee schedule,,19.9344125,,,,fee schedule,,20.32915334,,,,fee schedule,,20.32915334,,,,fee schedule,,20.52652376,,,,fee schedule,,19.34230124,,,,fee schedule,,19.34230124,,,,fee schedule,,19.34230124,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Lumizyme injection,1413,APC,,,,,outpatient,,,,,,189.3420584,334.246695,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,192.2401512,,,,fee schedule,,334.246695,,,,fee schedule,,285.9451495,,,,fee schedule,,285.9451495,,,,fee schedule,,199.0023675,,,,fee schedule,,192.2401512,,,,fee schedule,,197.0703057,,,,fee schedule,,199.0023675,,,,fee schedule,,200.9344294,,,,fee schedule,,199.0023675,,,,fee schedule,,200.9344294,,,,fee schedule,,203.8325221,,,,fee schedule,,189.3420584,,,,fee schedule,,195.1382439,,,,fee schedule,,199.0023675,,,,fee schedule,,199.0023675,,,,fee schedule,,200.9344294,,,,fee schedule,,189.3420584,,,,fee schedule,,189.3420584,,,,fee schedule,,189.3420584,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Glassia injection,1415,APC,,,,,outpatient,,,,,,5.137663798,9.069549358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.21630151,,,,fee schedule,,9.069549358,,,,fee schedule,,7.758920838,,,,fee schedule,,7.758920838,,,,fee schedule,,5.399789502,,,,fee schedule,,5.21630151,,,,fee schedule,,5.347364362,,,,fee schedule,,5.399789502,,,,fee schedule,,5.452214643,,,,fee schedule,,5.399789502,,,,fee schedule,,5.452214643,,,,fee schedule,,5.530852354,,,,fee schedule,,5.137663798,,,,fee schedule,,5.294939221,,,,fee schedule,,5.399789502,,,,fee schedule,,5.399789502,,,,fee schedule,,5.452214643,,,,fee schedule,,5.137663798,,,,fee schedule,,5.137663798,,,,fee schedule,,5.137663798,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor xiii anti-hem factor,1416,APC,,,,,outpatient,,,,,,9.286761613,16.39397713,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.428905923,,,,fee schedule,,16.39397713,,,,fee schedule,,14.02490529,,,,fee schedule,,14.02490529,,,,fee schedule,,9.760575981,,,,fee schedule,,9.428905923,,,,fee schedule,,9.665813107,,,,fee schedule,,9.760575981,,,,fee schedule,,9.855338854,,,,fee schedule,,9.760575981,,,,fee schedule,,9.855338854,,,,fee schedule,,9.997483165,,,,fee schedule,,9.286761613,,,,fee schedule,,9.571050234,,,,fee schedule,,9.760575981,,,,fee schedule,,9.760575981,,,,fee schedule,,9.855338854,,,,fee schedule,,9.286761613,,,,fee schedule,,9.286761613,,,,fee schedule,,9.286761613,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gel-one,1417,APC,,,,,outpatient,,,,,,477.2844559,842.5531722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,484.5898303,,,,fee schedule,,842.5531722,,,,fee schedule,,720.7969335,,,,fee schedule,,720.7969335,,,,fee schedule,,501.6357037,,,,fee schedule,,484.5898303,,,,fee schedule,,496.7654541,,,,fee schedule,,501.6357037,,,,fee schedule,,506.5059532,,,,fee schedule,,501.6357037,,,,fee schedule,,506.5059532,,,,fee schedule,,513.8113276,,,,fee schedule,,477.2844559,,,,fee schedule,,491.8952046,,,,fee schedule,,501.6357037,,,,fee schedule,,501.6357037,,,,fee schedule,,506.5059532,,,,fee schedule,,477.2844559,,,,fee schedule,,477.2844559,,,,fee schedule,,477.2844559,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Aflibercept injection,1420,APC,,,,,outpatient,,,,,,827.59289,1460.954796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,840.2601281,,,,fee schedule,,1460.954796,,,,fee schedule,,1249.83416,,,,fee schedule,,1249.83416,,,,fee schedule,,869.817017,,,,fee schedule,,840.2601281,,,,fee schedule,,861.3721916,,,,fee schedule,,869.817017,,,,fee schedule,,878.2618424,,,,fee schedule,,869.817017,,,,fee schedule,,878.2618424,,,,fee schedule,,890.9290805,,,,fee schedule,,827.59289,,,,fee schedule,,852.9273662,,,,fee schedule,,869.817017,,,,fee schedule,,869.817017,,,,fee schedule,,878.2618424,,,,fee schedule,,827.59289,,,,fee schedule,,827.59289,,,,fee schedule,,827.59289,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Imported lipodox inj,1421,APC,,,,,outpatient,,,,,,375.6742694,663.1800878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,381.4243857,,,,fee schedule,,663.1800878,,,,fee schedule,,567.344815,,,,fee schedule,,567.344815,,,,fee schedule,,394.8413239,,,,fee schedule,,381.4243857,,,,fee schedule,,391.007913,,,,fee schedule,,394.8413239,,,,fee schedule,,398.6747348,,,,fee schedule,,394.8413239,,,,fee schedule,,398.6747348,,,,fee schedule,,404.4248512,,,,fee schedule,,375.6742694,,,,fee schedule,,387.1745021,,,,fee schedule,,394.8413239,,,,fee schedule,,394.8413239,,,,fee schedule,,398.6747348,,,,fee schedule,,375.6742694,,,,fee schedule,,375.6742694,,,,fee schedule,,375.6742694,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Eribulin mesylate injection,1426,APC,,,,,outpatient,,,,,,128.6258713,227.0640382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130.5946347,,,,fee schedule,,227.0640382,,,,fee schedule,,194.2513159,,,,fee schedule,,194.2513159,,,,fee schedule,,135.1884158,,,,fee schedule,,130.5946347,,,,fee schedule,,133.8759069,,,,fee schedule,,135.1884158,,,,fee schedule,,136.5009247,,,,fee schedule,,135.1884158,,,,fee schedule,,136.5009247,,,,fee schedule,,138.469688,,,,fee schedule,,128.6258713,,,,fee schedule,,132.563398,,,,fee schedule,,135.1884158,,,,fee schedule,,135.1884158,,,,fee schedule,,136.5009247,,,,fee schedule,,128.6258713,,,,fee schedule,,128.6258713,,,,fee schedule,,128.6258713,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Centruroides immune f(ab),1431,APC,,,,,outpatient,,,,,,4672.158634,8247.790242,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4743.671266,,,,fee schedule,,8247.790242,,,,fee schedule,,7055.913039,,,,fee schedule,,7055.913039,,,,fee schedule,,4910.534075,,,,fee schedule,,4743.671266,,,,fee schedule,,4862.858986,,,,fee schedule,,4910.534075,,,,fee schedule,,4958.209163,,,,fee schedule,,4910.534075,,,,fee schedule,,4958.209163,,,,fee schedule,,5029.721795,,,,fee schedule,,4672.158634,,,,fee schedule,,4815.183898,,,,fee schedule,,4910.534075,,,,fee schedule,,4910.534075,,,,fee schedule,,4958.209163,,,,fee schedule,,4672.158634,,,,fee schedule,,4672.158634,,,,fee schedule,,4672.158634,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Calcitonin salmon injection,1433,APC,,,,,outpatient,,,,,,1026.47605,1812.044455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1042.187418,,,,fee schedule,,1812.044455,,,,fee schedule,,1550.18832,,,,fee schedule,,1550.18832,,,,fee schedule,,1078.847277,,,,fee schedule,,1042.187418,,,,fee schedule,,1068.373031,,,,fee schedule,,1078.847277,,,,fee schedule,,1089.321522,,,,fee schedule,,1078.847277,,,,fee schedule,,1089.321522,,,,fee schedule,,1105.03289,,,,fee schedule,,1026.47605,,,,fee schedule,,1057.898786,,,,fee schedule,,1078.847277,,,,fee schedule,,1078.847277,,,,fee schedule,,1089.321522,,,,fee schedule,,1026.47605,,,,fee schedule,,1026.47605,,,,fee schedule,,1026.47605,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj desmopressin acetate,1440,APC,,,,,outpatient,,,,,,6.073442278,10.72148484,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.16640313,,,,fee schedule,,10.72148484,,,,fee schedule,,9.172137318,,,,fee schedule,,9.172137318,,,,fee schedule,,6.383311782,,,,fee schedule,,6.16640313,,,,fee schedule,,6.321337882,,,,fee schedule,,6.383311782,,,,fee schedule,,6.445285683,,,,fee schedule,,6.383311782,,,,fee schedule,,6.445285683,,,,fee schedule,,6.538246534,,,,fee schedule,,6.073442278,,,,fee schedule,,6.259363981,,,,fee schedule,,6.383311782,,,,fee schedule,,6.383311782,,,,fee schedule,,6.445285683,,,,fee schedule,,6.073442278,,,,fee schedule,,6.073442278,,,,fee schedule,,6.073442278,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Non-HEU TC-99M add-on/dose,1442,APC,,,,,outpatient,,,,,,9.597728,16.942928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.744632,,,,fee schedule,,16.942928,,,,fee schedule,,14.494528,,,,fee schedule,,14.494528,,,,fee schedule,,10.087408,,,,fee schedule,,9.744632,,,,fee schedule,,9.989472,,,,fee schedule,,10.087408,,,,fee schedule,,10.185344,,,,fee schedule,,10.087408,,,,fee schedule,,10.185344,,,,fee schedule,,10.332248,,,,fee schedule,,9.597728,,,,fee schedule,,9.891536,,,,fee schedule,,10.087408,,,,fee schedule,,10.087408,,,,fee schedule,,10.185344,,,,fee schedule,,9.597728,,,,fee schedule,,9.597728,,,,fee schedule,,9.597728,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Icatibant injection,1443,APC,,,,,outpatient,,,,,,163.9791024,289.4733135,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,166.4889866,,,,fee schedule,,289.4733135,,,,fee schedule,,247.6419098,,,,fee schedule,,247.6419098,,,,fee schedule,,172.3453832,,,,fee schedule,,166.4889866,,,,fee schedule,,170.672127,,,,fee schedule,,172.3453832,,,,fee schedule,,174.0186393,,,,fee schedule,,172.3453832,,,,fee schedule,,174.0186393,,,,fee schedule,,176.5285235,,,,fee schedule,,163.9791024,,,,fee schedule,,168.9988709,,,,fee schedule,,172.3453832,,,,fee schedule,,172.3453832,,,,fee schedule,,174.0186393,,,,fee schedule,,163.9791024,,,,fee schedule,,163.9791024,,,,fee schedule,,163.9791024,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Visualization adjunct,1446,APC,,,,,outpatient,,,,,,7.63019376,13.46962776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.74698244,,,,fee schedule,,13.46962776,,,,fee schedule,,11.52314976,,,,fee schedule,,11.52314976,,,,fee schedule,,8.01948936,,,,fee schedule,,7.74698244,,,,fee schedule,,7.94163024,,,,fee schedule,,8.01948936,,,,fee schedule,,8.09734848,,,,fee schedule,,8.01948936,,,,fee schedule,,8.09734848,,,,fee schedule,,8.21413716,,,,fee schedule,,7.63019376,,,,fee schedule,,7.86377112,,,,fee schedule,,8.01948936,,,,fee schedule,,8.01948936,,,,fee schedule,,8.09734848,,,,fee schedule,,7.63019376,,,,fee schedule,,7.63019376,,,,fee schedule,,7.63019376,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Phentolaine mesylate inj,1458,APC,,,,,outpatient,,,,,,428.8236077,757.0049402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.3872344,,,,fee schedule,,757.0049402,,,,fee schedule,,647.6111627,,,,fee schedule,,647.6111627,,,,fee schedule,,450.7023632,,,,fee schedule,,435.3872344,,,,fee schedule,,446.3266121,,,,fee schedule,,450.7023632,,,,fee schedule,,455.0781143,,,,fee schedule,,450.7023632,,,,fee schedule,,455.0781143,,,,fee schedule,,461.641741,,,,fee schedule,,428.8236077,,,,fee schedule,,441.950861,,,,fee schedule,,450.7023632,,,,fee schedule,,450.7023632,,,,fee schedule,,455.0781143,,,,fee schedule,,428.8236077,,,,fee schedule,,428.8236077,,,,fee schedule,,428.8236077,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, vincristine sul lip 1mg",1466,APC,,,,,outpatient,,,,,,3283.172559,5795.804619,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3333.4252,,,,fee schedule,,5795.804619,,,,fee schedule,,4958.260599,,,,fee schedule,,4958.260599,,,,fee schedule,,3450.681363,,,,fee schedule,,3333.4252,,,,fee schedule,,3417.179602,,,,fee schedule,,3450.681363,,,,fee schedule,,3484.183123,,,,fee schedule,,3450.681363,,,,fee schedule,,3484.183123,,,,fee schedule,,3534.435765,,,,fee schedule,,3283.172559,,,,fee schedule,,3383.677841,,,,fee schedule,,3450.681363,,,,fee schedule,,3450.681363,,,,fee schedule,,3484.183123,,,,fee schedule,,3283.172559,,,,fee schedule,,3283.172559,,,,fee schedule,,3283.172559,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor ix recombinan rixubis,1467,APC,,,,,outpatient,,,,,,1.48764784,2.62615384,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.51041796,,,,fee schedule,,2.62615384,,,,fee schedule,,2.24665184,,,,fee schedule,,2.24665184,,,,fee schedule,,1.56354824,,,,fee schedule,,1.51041796,,,,fee schedule,,1.54836816,,,,fee schedule,,1.56354824,,,,fee schedule,,1.57872832,,,,fee schedule,,1.56354824,,,,fee schedule,,1.57872832,,,,fee schedule,,1.60149844,,,,fee schedule,,1.48764784,,,,fee schedule,,1.53318808,,,,fee schedule,,1.56354824,,,,fee schedule,,1.56354824,,,,fee schedule,,1.57872832,,,,fee schedule,,1.48764784,,,,fee schedule,,1.48764784,,,,fee schedule,,1.48764784,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj Aripiprazole Ext Rel 1mg,1468,APC,,,,,outpatient,,,,,,6.535092995,11.53643968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.635119929,,,,fee schedule,,11.53643968,,,,fee schedule,,9.869324115,,,,fee schedule,,9.869324115,,,,fee schedule,,6.868516107,,,,fee schedule,,6.635119929,,,,fee schedule,,6.801831485,,,,fee schedule,,6.868516107,,,,fee schedule,,6.93520073,,,,fee schedule,,6.868516107,,,,fee schedule,,6.93520073,,,,fee schedule,,7.035227663,,,,fee schedule,,6.535092995,,,,fee schedule,,6.735146862,,,,fee schedule,,6.868516107,,,,fee schedule,,6.868516107,,,,fee schedule,,6.93520073,,,,fee schedule,,6.535092995,,,,fee schedule,,6.535092995,,,,fee schedule,,6.535092995,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj filgrastim excl biosimil,1469,APC,,,,,outpatient,,,,,,0.945376208,1.668878408,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.959846252,,,,fee schedule,,1.668878408,,,,fee schedule,,1.427711008,,,,fee schedule,,1.427711008,,,,fee schedule,,0.993609688,,,,fee schedule,,0.959846252,,,,fee schedule,,0.983962992,,,,fee schedule,,0.993609688,,,,fee schedule,,1.003256384,,,,fee schedule,,0.993609688,,,,fee schedule,,1.003256384,,,,fee schedule,,1.017726428,,,,fee schedule,,0.945376208,,,,fee schedule,,0.974316296,,,,fee schedule,,0.993609688,,,,fee schedule,,0.993609688,,,,fee schedule,,1.003256384,,,,fee schedule,,0.945376208,,,,fee schedule,,0.945376208,,,,fee schedule,,0.945376208,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, Pertuzumab, 1 mg",1471,APC,,,,,outpatient,,,,,,14.80641499,26.13785503,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.03304379,,,,fee schedule,,26.13785503,,,,fee schedule,,22.36070835,,,,fee schedule,,22.36070835,,,,fee schedule,,15.56184432,,,,fee schedule,,15.03304379,,,,fee schedule,,15.41075845,,,,fee schedule,,15.56184432,,,,fee schedule,,15.71293019,,,,fee schedule,,15.56184432,,,,fee schedule,,15.71293019,,,,fee schedule,,15.93955899,,,,fee schedule,,14.80641499,,,,fee schedule,,15.25967259,,,,fee schedule,,15.56184432,,,,fee schedule,,15.56184432,,,,fee schedule,,15.71293019,,,,fee schedule,,14.80641499,,,,fee schedule,,14.80641499,,,,fee schedule,,14.80641499,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj beta interferon im 1 mcg,1472,APC,,,,,outpatient,,,,,,51.5311614,90.96827472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.31990367,,,,fee schedule,,90.96827472,,,,fee schedule,,77.82257028,,,,fee schedule,,77.82257028,,,,fee schedule,,54.16030229,,,,fee schedule,,52.31990367,,,,fee schedule,,53.63447412,,,,fee schedule,,54.16030229,,,,fee schedule,,54.68613047,,,,fee schedule,,54.16030229,,,,fee schedule,,54.68613047,,,,fee schedule,,55.47487274,,,,fee schedule,,51.5311614,,,,fee schedule,,53.10864594,,,,fee schedule,,54.16030229,,,,fee schedule,,54.16030229,,,,fee schedule,,54.68613047,,,,fee schedule,,51.5311614,,,,fee schedule,,51.5311614,,,,fee schedule,,51.5311614,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Certolizumab pegol inj 1mg,1474,APC,,,,,outpatient,,,,,,4.622265805,8.159714125,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.693014771,,,,fee schedule,,8.159714125,,,,fee schedule,,6.980564685,,,,fee schedule,,6.980564685,,,,fee schedule,,4.858095693,,,,fee schedule,,4.693014771,,,,fee schedule,,4.810929715,,,,fee schedule,,4.858095693,,,,fee schedule,,4.90526167,,,,fee schedule,,4.858095693,,,,fee schedule,,4.90526167,,,,fee schedule,,4.976010637,,,,fee schedule,,4.622265805,,,,fee schedule,,4.763763738,,,,fee schedule,,4.858095693,,,,fee schedule,,4.858095693,,,,fee schedule,,4.90526167,,,,fee schedule,,4.622265805,,,,fee schedule,,4.622265805,,,,fee schedule,,4.622265805,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Golimumab for iv use 1mg,1475,APC,,,,,outpatient,,,,,,11.84455612,20.90926744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.02585035,,,,fee schedule,,20.90926744,,,,fee schedule,,17.887697,,,,fee schedule,,17.887697,,,,fee schedule,,12.44887021,,,,fee schedule,,12.02585035,,,,fee schedule,,12.3280074,,,,fee schedule,,12.44887021,,,,fee schedule,,12.56973303,,,,fee schedule,,12.44887021,,,,fee schedule,,12.56973303,,,,fee schedule,,12.75102726,,,,fee schedule,,11.84455612,,,,fee schedule,,12.20714458,,,,fee schedule,,12.44887021,,,,fee schedule,,12.44887021,,,,fee schedule,,12.56973303,,,,fee schedule,,11.84455612,,,,fee schedule,,11.84455612,,,,fee schedule,,11.84455612,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Obinutuzumab inj,1476,APC,,,,,outpatient,,,,,,67.5123383,119.1799441,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.54569041,,,,fee schedule,,119.1799441,,,,fee schedule,,101.9574089,,,,fee schedule,,101.9574089,,,,fee schedule,,70.95684535,,,,fee schedule,,68.54569041,,,,fee schedule,,70.26794394,,,,fee schedule,,70.95684535,,,,fee schedule,,71.64574676,,,,fee schedule,,70.95684535,,,,fee schedule,,71.64574676,,,,fee schedule,,72.67909888,,,,fee schedule,,67.5123383,,,,fee schedule,,69.57904253,,,,fee schedule,,70.95684535,,,,fee schedule,,70.95684535,,,,fee schedule,,71.64574676,,,,fee schedule,,67.5123383,,,,fee schedule,,67.5123383,,,,fee schedule,,67.5123383,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj human fibrinogen con nos,1478,APC,,,,,outpatient,,,,,,1.32640601,2.34151265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.346708142,,,,fee schedule,,2.34151265,,,,fee schedule,,2.00314377,,,,fee schedule,,2.00314377,,,,fee schedule,,1.394079786,,,,fee schedule,,1.346708142,,,,fee schedule,,1.38054503,,,,fee schedule,,1.394079786,,,,fee schedule,,1.407614541,,,,fee schedule,,1.394079786,,,,fee schedule,,1.407614541,,,,fee schedule,,1.427916674,,,,fee schedule,,1.32640601,,,,fee schedule,,1.367010275,,,,fee schedule,,1.394079786,,,,fee schedule,,1.394079786,,,,fee schedule,,1.407614541,,,,fee schedule,,1.32640601,,,,fee schedule,,1.32640601,,,,fee schedule,,1.32640601,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Elosulfase alfa, injection",1480,APC,,,,,outpatient,,,,,,269.6088175,475.9420962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.735483,,,,fee schedule,,475.9420962,,,,fee schedule,,407.1643366,,,,fee schedule,,407.1643366,,,,fee schedule,,283.3643694,,,,fee schedule,,273.735483,,,,fee schedule,,280.613259,,,,fee schedule,,283.3643694,,,,fee schedule,,286.1154798,,,,fee schedule,,283.3643694,,,,fee schedule,,286.1154798,,,,fee schedule,,290.2421453,,,,fee schedule,,269.6088175,,,,fee schedule,,277.8621486,,,,fee schedule,,283.3643694,,,,fee schedule,,283.3643694,,,,fee schedule,,286.1154798,,,,fee schedule,,269.6088175,,,,fee schedule,,269.6088175,,,,fee schedule,,269.6088175,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"	Darbepoetin alfa, esrd use",1482,APC,,,,,outpatient,,,,,,2.812134304,4.964277904,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.855177176,,,,fee schedule,,4.964277904,,,,fee schedule,,4.246896704,,,,fee schedule,,4.246896704,,,,fee schedule,,2.955610544,,,,fee schedule,,2.855177176,,,,fee schedule,,2.926915296,,,,fee schedule,,2.955610544,,,,fee schedule,,2.984305792,,,,fee schedule,,2.955610544,,,,fee schedule,,2.984305792,,,,fee schedule,,3.027348664,,,,fee schedule,,2.812134304,,,,fee schedule,,2.898220048,,,,fee schedule,,2.955610544,,,,fee schedule,,2.955610544,,,,fee schedule,,2.984305792,,,,fee schedule,,2.812134304,,,,fee schedule,,2.812134304,,,,fee schedule,,2.812134304,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"	Ferumoxytol, esrd use",1485,APC,,,,,outpatient,,,,,,0.34263889,0.60486253,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.347883362,,,,fee schedule,,0.60486253,,,,fee schedule,,0.51745465,,,,fee schedule,,0.51745465,,,,fee schedule,,0.360120466,,,,fee schedule,,0.347883362,,,,fee schedule,,0.35662415,,,,fee schedule,,0.360120466,,,,fee schedule,,0.363616781,,,,fee schedule,,0.360120466,,,,fee schedule,,0.363616781,,,,fee schedule,,0.368861254,,,,fee schedule,,0.34263889,,,,fee schedule,,0.353127835,,,,fee schedule,,0.360120466,,,,fee schedule,,0.360120466,,,,fee schedule,,0.363616781,,,,fee schedule,,0.34263889,,,,fee schedule,,0.34263889,,,,fee schedule,,0.34263889,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor ix fc fusion recomb,1486,APC,,,,,outpatient,,,,,,3.325612752,5.870724552,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.376514988,,,,fee schedule,,5.870724552,,,,fee schedule,,5.022353952,,,,fee schedule,,5.022353952,,,,fee schedule,,3.495286872,,,,fee schedule,,3.376514988,,,,fee schedule,,3.461352048,,,,fee schedule,,3.495286872,,,,fee schedule,,3.529221696,,,,fee schedule,,3.495286872,,,,fee schedule,,3.529221696,,,,fee schedule,,3.580123932,,,,fee schedule,,3.325612752,,,,fee schedule,,3.427417224,,,,fee schedule,,3.495286872,,,,fee schedule,,3.495286872,,,,fee schedule,,3.529221696,,,,fee schedule,,3.325612752,,,,fee schedule,,3.325612752,,,,fee schedule,,3.325612752,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, ramucirumab",1488,APC,,,,,outpatient,,,,,,67.41828056,119.0139034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.45019302,,,,fee schedule,,119.0139034,,,,fee schedule,,101.8153625,,,,fee schedule,,101.8153625,,,,fee schedule,,70.85798876,,,,fee schedule,,68.45019302,,,,fee schedule,,70.17004712,,,,fee schedule,,70.85798876,,,,fee schedule,,71.54593039,,,,fee schedule,,70.85798876,,,,fee schedule,,71.54593039,,,,fee schedule,,72.57784285,,,,fee schedule,,67.41828056,,,,fee schedule,,69.48210548,,,,fee schedule,,70.85798876,,,,fee schedule,,70.85798876,,,,fee schedule,,71.54593039,,,,fee schedule,,67.41828056,,,,fee schedule,,67.41828056,,,,fee schedule,,67.41828056,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, vedolizumab",1489,APC,,,,,outpatient,,,,,,21.17546729,37.38118205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.49958158,,,,fee schedule,,37.38118205,,,,fee schedule,,31.97927713,,,,fee schedule,,31.97927713,,,,fee schedule,,22.25584827,,,,fee schedule,,21.49958158,,,,fee schedule,,22.03977207,,,,fee schedule,,22.25584827,,,,fee schedule,,22.47192447,,,,fee schedule,,22.25584827,,,,fee schedule,,22.47192447,,,,fee schedule,,22.79603876,,,,fee schedule,,21.17546729,,,,fee schedule,,21.82369588,,,,fee schedule,,22.25584827,,,,fee schedule,,22.25584827,,,,fee schedule,,22.47192447,,,,fee schedule,,21.17546729,,,,fee schedule,,21.17546729,,,,fee schedule,,21.17546729,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj pembrolizumab,1490,APC,,,,,outpatient,,,,,,53.48813814,94.42293774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.30683414,,,,fee schedule,,94.42293774,,,,fee schedule,,80.77800454,,,,fee schedule,,80.77800454,,,,fee schedule,,56.21712478,,,,fee schedule,,54.30683414,,,,fee schedule,,55.67132746,,,,fee schedule,,56.21712478,,,,fee schedule,,56.76292211,,,,fee schedule,,56.21712478,,,,fee schedule,,56.76292211,,,,fee schedule,,57.5816181,,,,fee schedule,,53.48813814,,,,fee schedule,,55.12553013,,,,fee schedule,,56.21712478,,,,fee schedule,,56.21712478,,,,fee schedule,,56.76292211,,,,fee schedule,,53.48813814,,,,fee schedule,,53.48813814,,,,fee schedule,,53.48813814,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1A ($0-$10),1491,APC,,,,,outpatient,,,,,,4.798864,8.471464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.872316,,,,fee schedule,,8.471464,,,,fee schedule,,7.247264,,,,fee schedule,,7.247264,,,,fee schedule,,5.043704,,,,fee schedule,,4.872316,,,,fee schedule,,4.994736,,,,fee schedule,,5.043704,,,,fee schedule,,5.092672,,,,fee schedule,,5.043704,,,,fee schedule,,5.092672,,,,fee schedule,,5.166124,,,,fee schedule,,4.798864,,,,fee schedule,,4.945768,,,,fee schedule,,5.043704,,,,fee schedule,,5.043704,,,,fee schedule,,5.092672,,,,fee schedule,,4.798864,,,,fee schedule,,4.798864,,,,fee schedule,,4.798864,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1B ($11-$20),1492,APC,,,,,outpatient,,,,,,14.8764784,26.2615384,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.1041796,,,,fee schedule,,26.2615384,,,,fee schedule,,22.4665184,,,,fee schedule,,22.4665184,,,,fee schedule,,15.6354824,,,,fee schedule,,15.1041796,,,,fee schedule,,15.4836816,,,,fee schedule,,15.6354824,,,,fee schedule,,15.7872832,,,,fee schedule,,15.6354824,,,,fee schedule,,15.7872832,,,,fee schedule,,16.0149844,,,,fee schedule,,14.8764784,,,,fee schedule,,15.3318808,,,,fee schedule,,15.6354824,,,,fee schedule,,15.6354824,,,,fee schedule,,15.7872832,,,,fee schedule,,14.8764784,,,,fee schedule,,14.8764784,,,,fee schedule,,14.8764784,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1C ($21-$30),1493,APC,,,,,outpatient,,,,,,24.4742064,43.2044664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.8488116,,,,fee schedule,,43.2044664,,,,fee schedule,,36.9610464,,,,fee schedule,,36.9610464,,,,fee schedule,,25.7228904,,,,fee schedule,,24.8488116,,,,fee schedule,,25.4731536,,,,fee schedule,,25.7228904,,,,fee schedule,,25.9726272,,,,fee schedule,,25.7228904,,,,fee schedule,,25.9726272,,,,fee schedule,,26.3472324,,,,fee schedule,,24.4742064,,,,fee schedule,,25.2234168,,,,fee schedule,,25.7228904,,,,fee schedule,,25.7228904,,,,fee schedule,,25.9726272,,,,fee schedule,,24.4742064,,,,fee schedule,,24.4742064,,,,fee schedule,,24.4742064,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1D ($31-$40),1494,APC,,,,,outpatient,,,,,,34.0719344,60.1473944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5934436,,,,fee schedule,,60.1473944,,,,fee schedule,,51.4555744,,,,fee schedule,,51.4555744,,,,fee schedule,,35.8102984,,,,fee schedule,,34.5934436,,,,fee schedule,,35.4626256,,,,fee schedule,,35.8102984,,,,fee schedule,,36.1579712,,,,fee schedule,,35.8102984,,,,fee schedule,,36.1579712,,,,fee schedule,,36.6794804,,,,fee schedule,,34.0719344,,,,fee schedule,,35.1149528,,,,fee schedule,,35.8102984,,,,fee schedule,,35.8102984,,,,fee schedule,,36.1579712,,,,fee schedule,,34.0719344,,,,fee schedule,,34.0719344,,,,fee schedule,,34.0719344,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1E ($41-$50),1495,APC,,,,,outpatient,,,,,,43.6696624,77.0903224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.3380756,,,,fee schedule,,77.0903224,,,,fee schedule,,65.9501024,,,,fee schedule,,65.9501024,,,,fee schedule,,45.8977064,,,,fee schedule,,44.3380756,,,,fee schedule,,45.4520976,,,,fee schedule,,45.8977064,,,,fee schedule,,46.3433152,,,,fee schedule,,45.8977064,,,,fee schedule,,46.3433152,,,,fee schedule,,47.0117284,,,,fee schedule,,43.6696624,,,,fee schedule,,45.0064888,,,,fee schedule,,45.8977064,,,,fee schedule,,45.8977064,,,,fee schedule,,46.3433152,,,,fee schedule,,43.6696624,,,,fee schedule,,43.6696624,,,,fee schedule,,43.6696624,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1A ($0-$10),1496,APC,,,,,outpatient,,,,,,4.798864,8.471464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.872316,,,,fee schedule,,8.471464,,,,fee schedule,,7.247264,,,,fee schedule,,7.247264,,,,fee schedule,,5.043704,,,,fee schedule,,4.872316,,,,fee schedule,,4.994736,,,,fee schedule,,5.043704,,,,fee schedule,,5.092672,,,,fee schedule,,5.043704,,,,fee schedule,,5.092672,,,,fee schedule,,5.166124,,,,fee schedule,,4.798864,,,,fee schedule,,4.945768,,,,fee schedule,,5.043704,,,,fee schedule,,5.043704,,,,fee schedule,,5.092672,,,,fee schedule,,4.798864,,,,fee schedule,,4.798864,,,,fee schedule,,4.798864,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1B ($11-$20),1497,APC,,,,,outpatient,,,,,,14.8764784,26.2615384,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.1041796,,,,fee schedule,,26.2615384,,,,fee schedule,,22.4665184,,,,fee schedule,,22.4665184,,,,fee schedule,,15.6354824,,,,fee schedule,,15.1041796,,,,fee schedule,,15.4836816,,,,fee schedule,,15.6354824,,,,fee schedule,,15.7872832,,,,fee schedule,,15.6354824,,,,fee schedule,,15.7872832,,,,fee schedule,,16.0149844,,,,fee schedule,,14.8764784,,,,fee schedule,,15.3318808,,,,fee schedule,,15.6354824,,,,fee schedule,,15.6354824,,,,fee schedule,,15.7872832,,,,fee schedule,,14.8764784,,,,fee schedule,,14.8764784,,,,fee schedule,,14.8764784,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1C ($21-$30),1498,APC,,,,,outpatient,,,,,,24.4742064,43.2044664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.8488116,,,,fee schedule,,43.2044664,,,,fee schedule,,36.9610464,,,,fee schedule,,36.9610464,,,,fee schedule,,25.7228904,,,,fee schedule,,24.8488116,,,,fee schedule,,25.4731536,,,,fee schedule,,25.7228904,,,,fee schedule,,25.9726272,,,,fee schedule,,25.7228904,,,,fee schedule,,25.9726272,,,,fee schedule,,26.3472324,,,,fee schedule,,24.4742064,,,,fee schedule,,25.2234168,,,,fee schedule,,25.7228904,,,,fee schedule,,25.7228904,,,,fee schedule,,25.9726272,,,,fee schedule,,24.4742064,,,,fee schedule,,24.4742064,,,,fee schedule,,24.4742064,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1D ($31-$40),1499,APC,,,,,outpatient,,,,,,34.0719344,60.1473944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5934436,,,,fee schedule,,60.1473944,,,,fee schedule,,51.4555744,,,,fee schedule,,51.4555744,,,,fee schedule,,35.8102984,,,,fee schedule,,34.5934436,,,,fee schedule,,35.4626256,,,,fee schedule,,35.8102984,,,,fee schedule,,36.1579712,,,,fee schedule,,35.8102984,,,,fee schedule,,36.1579712,,,,fee schedule,,36.6794804,,,,fee schedule,,34.0719344,,,,fee schedule,,35.1149528,,,,fee schedule,,35.8102984,,,,fee schedule,,35.8102984,,,,fee schedule,,36.1579712,,,,fee schedule,,34.0719344,,,,fee schedule,,34.0719344,,,,fee schedule,,34.0719344,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology  - Level 1E ($41-$50),1500,APC,,,,,outpatient,,,,,,43.6696624,77.0903224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.3380756,,,,fee schedule,,77.0903224,,,,fee schedule,,65.9501024,,,,fee schedule,,65.9501024,,,,fee schedule,,45.8977064,,,,fee schedule,,44.3380756,,,,fee schedule,,45.4520976,,,,fee schedule,,45.8977064,,,,fee schedule,,46.3433152,,,,fee schedule,,45.8977064,,,,fee schedule,,46.3433152,,,,fee schedule,,47.0117284,,,,fee schedule,,43.6696624,,,,fee schedule,,45.0064888,,,,fee schedule,,45.8977064,,,,fee schedule,,45.8977064,,,,fee schedule,,46.3433152,,,,fee schedule,,43.6696624,,,,fee schedule,,43.6696624,,,,fee schedule,,43.6696624,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 2 ($51 - $100),1502,APC,,,,,outpatient,,,,,,72.4628464,127.9191064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5719716,,,,fee schedule,,127.9191064,,,,fee schedule,,109.4336864,,,,fee schedule,,109.4336864,,,,fee schedule,,76.1599304,,,,fee schedule,,73.5719716,,,,fee schedule,,75.4205136,,,,fee schedule,,76.1599304,,,,fee schedule,,76.8993472,,,,fee schedule,,76.1599304,,,,fee schedule,,76.8993472,,,,fee schedule,,78.0084724,,,,fee schedule,,72.4628464,,,,fee schedule,,74.6810968,,,,fee schedule,,76.1599304,,,,fee schedule,,76.1599304,,,,fee schedule,,76.8993472,,,,fee schedule,,72.4628464,,,,fee schedule,,72.4628464,,,,fee schedule,,72.4628464,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 3 ($101 - $200),1503,APC,,,,,outpatient,,,,,,144.4458064,254.9910664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.6567116,,,,fee schedule,,254.9910664,,,,fee schedule,,218.1426464,,,,fee schedule,,218.1426464,,,,fee schedule,,151.8154904,,,,fee schedule,,146.6567116,,,,fee schedule,,150.3415536,,,,fee schedule,,151.8154904,,,,fee schedule,,153.2894272,,,,fee schedule,,151.8154904,,,,fee schedule,,153.2894272,,,,fee schedule,,155.5003324,,,,fee schedule,,144.4458064,,,,fee schedule,,148.8676168,,,,fee schedule,,151.8154904,,,,fee schedule,,151.8154904,,,,fee schedule,,153.2894272,,,,fee schedule,,144.4458064,,,,fee schedule,,144.4458064,,,,fee schedule,,144.4458064,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 4 ($201 - $300),1504,APC,,,,,outpatient,,,,,,240.4230864,424.4203464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.1030316,,,,fee schedule,,424.4203464,,,,fee schedule,,363.0879264,,,,fee schedule,,363.0879264,,,,fee schedule,,252.6895704,,,,fee schedule,,244.1030316,,,,fee schedule,,250.2362736,,,,fee schedule,,252.6895704,,,,fee schedule,,255.1428672,,,,fee schedule,,252.6895704,,,,fee schedule,,255.1428672,,,,fee schedule,,258.8228124,,,,fee schedule,,240.4230864,,,,fee schedule,,247.7829768,,,,fee schedule,,252.6895704,,,,fee schedule,,252.6895704,,,,fee schedule,,255.1428672,,,,fee schedule,,240.4230864,,,,fee schedule,,240.4230864,,,,fee schedule,,240.4230864,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 5 ($301 - $400),1505,APC,,,,,outpatient,,,,,,336.4003664,593.8496264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.5493516,,,,fee schedule,,593.8496264,,,,fee schedule,,508.0332064,,,,fee schedule,,508.0332064,,,,fee schedule,,353.5636504,,,,fee schedule,,341.5493516,,,,fee schedule,,350.1309936,,,,fee schedule,,353.5636504,,,,fee schedule,,356.9963072,,,,fee schedule,,353.5636504,,,,fee schedule,,356.9963072,,,,fee schedule,,362.1452924,,,,fee schedule,,336.4003664,,,,fee schedule,,346.6983368,,,,fee schedule,,353.5636504,,,,fee schedule,,353.5636504,,,,fee schedule,,356.9963072,,,,fee schedule,,336.4003664,,,,fee schedule,,336.4003664,,,,fee schedule,,336.4003664,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 6 ($401 - $500),1506,APC,,,,,outpatient,,,,,,432.3776464,763.2789064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,438.9956716,,,,fee schedule,,763.2789064,,,,fee schedule,,652.9784864,,,,fee schedule,,652.9784864,,,,fee schedule,,454.4377304,,,,fee schedule,,438.9956716,,,,fee schedule,,450.0257136,,,,fee schedule,,454.4377304,,,,fee schedule,,458.8497472,,,,fee schedule,,454.4377304,,,,fee schedule,,458.8497472,,,,fee schedule,,465.4677724,,,,fee schedule,,432.3776464,,,,fee schedule,,445.6136968,,,,fee schedule,,454.4377304,,,,fee schedule,,454.4377304,,,,fee schedule,,458.8497472,,,,fee schedule,,432.3776464,,,,fee schedule,,432.3776464,,,,fee schedule,,432.3776464,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 7 ($501 - $600),1507,APC,,,,,outpatient,,,,,,528.3549264,932.7081864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,536.4419916,,,,fee schedule,,932.7081864,,,,fee schedule,,797.9237664,,,,fee schedule,,797.9237664,,,,fee schedule,,555.3118104,,,,fee schedule,,536.4419916,,,,fee schedule,,549.9204336,,,,fee schedule,,555.3118104,,,,fee schedule,,560.7031872,,,,fee schedule,,555.3118104,,,,fee schedule,,560.7031872,,,,fee schedule,,568.7902524,,,,fee schedule,,528.3549264,,,,fee schedule,,544.5290568,,,,fee schedule,,555.3118104,,,,fee schedule,,555.3118104,,,,fee schedule,,560.7031872,,,,fee schedule,,528.3549264,,,,fee schedule,,528.3549264,,,,fee schedule,,528.3549264,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 8 ($601 - $700),1508,APC,,,,,outpatient,,,,,,624.3322064,1102.137466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,633.8883116,,,,fee schedule,,1102.137466,,,,fee schedule,,942.8690464,,,,fee schedule,,942.8690464,,,,fee schedule,,656.1858904,,,,fee schedule,,633.8883116,,,,fee schedule,,649.8151536,,,,fee schedule,,656.1858904,,,,fee schedule,,662.5566272,,,,fee schedule,,656.1858904,,,,fee schedule,,662.5566272,,,,fee schedule,,672.1127324,,,,fee schedule,,624.3322064,,,,fee schedule,,643.4444168,,,,fee schedule,,656.1858904,,,,fee schedule,,656.1858904,,,,fee schedule,,662.5566272,,,,fee schedule,,624.3322064,,,,fee schedule,,624.3322064,,,,fee schedule,,624.3322064,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 9 ($701 - $800),1509,APC,,,,,outpatient,,,,,,720.3094864,1271.566746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,731.3346316,,,,fee schedule,,1271.566746,,,,fee schedule,,1087.814326,,,,fee schedule,,1087.814326,,,,fee schedule,,757.0599704,,,,fee schedule,,731.3346316,,,,fee schedule,,749.7098736,,,,fee schedule,,757.0599704,,,,fee schedule,,764.4100672,,,,fee schedule,,757.0599704,,,,fee schedule,,764.4100672,,,,fee schedule,,775.4352124,,,,fee schedule,,720.3094864,,,,fee schedule,,742.3597768,,,,fee schedule,,757.0599704,,,,fee schedule,,757.0599704,,,,fee schedule,,764.4100672,,,,fee schedule,,720.3094864,,,,fee schedule,,720.3094864,,,,fee schedule,,720.3094864,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 10 ($801 - $900),1510,APC,,,,,outpatient,,,,,,816.2867664,1440.996026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,828.7809516,,,,fee schedule,,1440.996026,,,,fee schedule,,1232.759606,,,,fee schedule,,1232.759606,,,,fee schedule,,857.9340504,,,,fee schedule,,828.7809516,,,,fee schedule,,849.6045936,,,,fee schedule,,857.9340504,,,,fee schedule,,866.2635072,,,,fee schedule,,857.9340504,,,,fee schedule,,866.2635072,,,,fee schedule,,878.7576924,,,,fee schedule,,816.2867664,,,,fee schedule,,841.2751368,,,,fee schedule,,857.9340504,,,,fee schedule,,857.9340504,,,,fee schedule,,866.2635072,,,,fee schedule,,816.2867664,,,,fee schedule,,816.2867664,,,,fee schedule,,816.2867664,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 11 ($901 - $1000),1511,APC,,,,,outpatient,,,,,,912.2640464,1610.425306,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,926.2272716,,,,fee schedule,,1610.425306,,,,fee schedule,,1377.704886,,,,fee schedule,,1377.704886,,,,fee schedule,,958.8081304,,,,fee schedule,,926.2272716,,,,fee schedule,,949.4993136,,,,fee schedule,,958.8081304,,,,fee schedule,,968.1169472,,,,fee schedule,,958.8081304,,,,fee schedule,,968.1169472,,,,fee schedule,,982.0801724,,,,fee schedule,,912.2640464,,,,fee schedule,,940.1904968,,,,fee schedule,,958.8081304,,,,fee schedule,,958.8081304,,,,fee schedule,,968.1169472,,,,fee schedule,,912.2640464,,,,fee schedule,,912.2640464,,,,fee schedule,,912.2640464,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 12 ($1001 - $1100),1512,APC,,,,,outpatient,,,,,,1008.241326,1779.854586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1023.673592,,,,fee schedule,,1779.854586,,,,fee schedule,,1522.650166,,,,fee schedule,,1522.650166,,,,fee schedule,,1059.68221,,,,fee schedule,,1023.673592,,,,fee schedule,,1049.394034,,,,fee schedule,,1059.68221,,,,fee schedule,,1069.970387,,,,fee schedule,,1059.68221,,,,fee schedule,,1069.970387,,,,fee schedule,,1085.402652,,,,fee schedule,,1008.241326,,,,fee schedule,,1039.105857,,,,fee schedule,,1059.68221,,,,fee schedule,,1059.68221,,,,fee schedule,,1069.970387,,,,fee schedule,,1008.241326,,,,fee schedule,,1008.241326,,,,fee schedule,,1008.241326,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 13 ($1101 - $1200),1513,APC,,,,,outpatient,,,,,,1104.218606,1949.283866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1121.119912,,,,fee schedule,,1949.283866,,,,fee schedule,,1667.595446,,,,fee schedule,,1667.595446,,,,fee schedule,,1160.55629,,,,fee schedule,,1121.119912,,,,fee schedule,,1149.288754,,,,fee schedule,,1160.55629,,,,fee schedule,,1171.823827,,,,fee schedule,,1160.55629,,,,fee schedule,,1171.823827,,,,fee schedule,,1188.725132,,,,fee schedule,,1104.218606,,,,fee schedule,,1138.021217,,,,fee schedule,,1160.55629,,,,fee schedule,,1160.55629,,,,fee schedule,,1171.823827,,,,fee schedule,,1104.218606,,,,fee schedule,,1104.218606,,,,fee schedule,,1104.218606,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 14 ($1201- $1300),1514,APC,,,,,outpatient,,,,,,1200.195886,2118.713146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1218.566232,,,,fee schedule,,2118.713146,,,,fee schedule,,1812.540726,,,,fee schedule,,1812.540726,,,,fee schedule,,1261.43037,,,,fee schedule,,1218.566232,,,,fee schedule,,1249.183474,,,,fee schedule,,1261.43037,,,,fee schedule,,1273.677267,,,,fee schedule,,1261.43037,,,,fee schedule,,1273.677267,,,,fee schedule,,1292.047612,,,,fee schedule,,1200.195886,,,,fee schedule,,1236.936577,,,,fee schedule,,1261.43037,,,,fee schedule,,1261.43037,,,,fee schedule,,1273.677267,,,,fee schedule,,1200.195886,,,,fee schedule,,1200.195886,,,,fee schedule,,1200.195886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 15 ($1301 - $1400),1515,APC,,,,,outpatient,,,,,,1296.173166,2288.142426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1316.012552,,,,fee schedule,,2288.142426,,,,fee schedule,,1957.486006,,,,fee schedule,,1957.486006,,,,fee schedule,,1362.30445,,,,fee schedule,,1316.012552,,,,fee schedule,,1349.078194,,,,fee schedule,,1362.30445,,,,fee schedule,,1375.530707,,,,fee schedule,,1362.30445,,,,fee schedule,,1375.530707,,,,fee schedule,,1395.370092,,,,fee schedule,,1296.173166,,,,fee schedule,,1335.851937,,,,fee schedule,,1362.30445,,,,fee schedule,,1362.30445,,,,fee schedule,,1375.530707,,,,fee schedule,,1296.173166,,,,fee schedule,,1296.173166,,,,fee schedule,,1296.173166,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 16  ($1401 - $1500),1516,APC,,,,,outpatient,,,,,,1392.150446,2457.571706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1413.458872,,,,fee schedule,,2457.571706,,,,fee schedule,,2102.431286,,,,fee schedule,,2102.431286,,,,fee schedule,,1463.17853,,,,fee schedule,,1413.458872,,,,fee schedule,,1448.972914,,,,fee schedule,,1463.17853,,,,fee schedule,,1477.384147,,,,fee schedule,,1463.17853,,,,fee schedule,,1477.384147,,,,fee schedule,,1498.692572,,,,fee schedule,,1392.150446,,,,fee schedule,,1434.767297,,,,fee schedule,,1463.17853,,,,fee schedule,,1463.17853,,,,fee schedule,,1477.384147,,,,fee schedule,,1392.150446,,,,fee schedule,,1392.150446,,,,fee schedule,,1392.150446,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 17 ($1501-$1600),1517,APC,,,,,outpatient,,,,,,1488.127726,2627.000986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1510.905192,,,,fee schedule,,2627.000986,,,,fee schedule,,2247.376566,,,,fee schedule,,2247.376566,,,,fee schedule,,1564.05261,,,,fee schedule,,1510.905192,,,,fee schedule,,1548.867634,,,,fee schedule,,1564.05261,,,,fee schedule,,1579.237587,,,,fee schedule,,1564.05261,,,,fee schedule,,1579.237587,,,,fee schedule,,1602.015052,,,,fee schedule,,1488.127726,,,,fee schedule,,1533.682657,,,,fee schedule,,1564.05261,,,,fee schedule,,1564.05261,,,,fee schedule,,1579.237587,,,,fee schedule,,1488.127726,,,,fee schedule,,1488.127726,,,,fee schedule,,1488.127726,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 18 ($1601-$1700),1518,APC,,,,,outpatient,,,,,,1584.105006,2796.430266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1608.351512,,,,fee schedule,,2796.430266,,,,fee schedule,,2392.321846,,,,fee schedule,,2392.321846,,,,fee schedule,,1664.92669,,,,fee schedule,,1608.351512,,,,fee schedule,,1648.762354,,,,fee schedule,,1664.92669,,,,fee schedule,,1681.091027,,,,fee schedule,,1664.92669,,,,fee schedule,,1681.091027,,,,fee schedule,,1705.337532,,,,fee schedule,,1584.105006,,,,fee schedule,,1632.598017,,,,fee schedule,,1664.92669,,,,fee schedule,,1664.92669,,,,fee schedule,,1681.091027,,,,fee schedule,,1584.105006,,,,fee schedule,,1584.105006,,,,fee schedule,,1584.105006,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 19 ($1701-$1800),1519,APC,,,,,outpatient,,,,,,1680.082286,2965.859546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1705.797832,,,,fee schedule,,2965.859546,,,,fee schedule,,2537.267126,,,,fee schedule,,2537.267126,,,,fee schedule,,1765.80077,,,,fee schedule,,1705.797832,,,,fee schedule,,1748.657074,,,,fee schedule,,1765.80077,,,,fee schedule,,1782.944467,,,,fee schedule,,1765.80077,,,,fee schedule,,1782.944467,,,,fee schedule,,1808.660012,,,,fee schedule,,1680.082286,,,,fee schedule,,1731.513377,,,,fee schedule,,1765.80077,,,,fee schedule,,1765.80077,,,,fee schedule,,1782.944467,,,,fee schedule,,1680.082286,,,,fee schedule,,1680.082286,,,,fee schedule,,1680.082286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 20 ($1801-$1900),1520,APC,,,,,outpatient,,,,,,1776.059566,3135.288826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1803.244152,,,,fee schedule,,3135.288826,,,,fee schedule,,2682.212406,,,,fee schedule,,2682.212406,,,,fee schedule,,1866.67485,,,,fee schedule,,1803.244152,,,,fee schedule,,1848.551794,,,,fee schedule,,1866.67485,,,,fee schedule,,1884.797907,,,,fee schedule,,1866.67485,,,,fee schedule,,1884.797907,,,,fee schedule,,1911.982492,,,,fee schedule,,1776.059566,,,,fee schedule,,1830.428737,,,,fee schedule,,1866.67485,,,,fee schedule,,1866.67485,,,,fee schedule,,1884.797907,,,,fee schedule,,1776.059566,,,,fee schedule,,1776.059566,,,,fee schedule,,1776.059566,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 21 ($1901-$2000),1521,APC,,,,,outpatient,,,,,,1872.036846,3304.718106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1900.690472,,,,fee schedule,,3304.718106,,,,fee schedule,,2827.157686,,,,fee schedule,,2827.157686,,,,fee schedule,,1967.54893,,,,fee schedule,,1900.690472,,,,fee schedule,,1948.446514,,,,fee schedule,,1967.54893,,,,fee schedule,,1986.651347,,,,fee schedule,,1967.54893,,,,fee schedule,,1986.651347,,,,fee schedule,,2015.304972,,,,fee schedule,,1872.036846,,,,fee schedule,,1929.344097,,,,fee schedule,,1967.54893,,,,fee schedule,,1967.54893,,,,fee schedule,,1986.651347,,,,fee schedule,,1872.036846,,,,fee schedule,,1872.036846,,,,fee schedule,,1872.036846,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 22 ($2001-$2500),1522,APC,,,,,outpatient,,,,,,2159.968686,3813.005946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2193.029432,,,,fee schedule,,3813.005946,,,,fee schedule,,3261.993526,,,,fee schedule,,3261.993526,,,,fee schedule,,2270.17117,,,,fee schedule,,2193.029432,,,,fee schedule,,2248.130674,,,,fee schedule,,2270.17117,,,,fee schedule,,2292.211667,,,,fee schedule,,2270.17117,,,,fee schedule,,2292.211667,,,,fee schedule,,2325.272412,,,,fee schedule,,2159.968686,,,,fee schedule,,2226.090177,,,,fee schedule,,2270.17117,,,,fee schedule,,2270.17117,,,,fee schedule,,2292.211667,,,,fee schedule,,2159.968686,,,,fee schedule,,2159.968686,,,,fee schedule,,2159.968686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 23 ($2501-$3000),1523,APC,,,,,outpatient,,,,,,2639.855086,4660.152346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2680.261032,,,,fee schedule,,4660.152346,,,,fee schedule,,3986.719926,,,,fee schedule,,3986.719926,,,,fee schedule,,2774.54157,,,,fee schedule,,2680.261032,,,,fee schedule,,2747.604274,,,,fee schedule,,2774.54157,,,,fee schedule,,2801.478867,,,,fee schedule,,2774.54157,,,,fee schedule,,2801.478867,,,,fee schedule,,2841.884812,,,,fee schedule,,2639.855086,,,,fee schedule,,2720.666977,,,,fee schedule,,2774.54157,,,,fee schedule,,2774.54157,,,,fee schedule,,2801.478867,,,,fee schedule,,2639.855086,,,,fee schedule,,2639.855086,,,,fee schedule,,2639.855086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 24 ($3001-$3500),1524,APC,,,,,outpatient,,,,,,3119.741486,5507.298746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3167.492632,,,,fee schedule,,5507.298746,,,,fee schedule,,4711.446326,,,,fee schedule,,4711.446326,,,,fee schedule,,3278.91197,,,,fee schedule,,3167.492632,,,,fee schedule,,3247.077874,,,,fee schedule,,3278.91197,,,,fee schedule,,3310.746067,,,,fee schedule,,3278.91197,,,,fee schedule,,3310.746067,,,,fee schedule,,3358.497212,,,,fee schedule,,3119.741486,,,,fee schedule,,3215.243777,,,,fee schedule,,3278.91197,,,,fee schedule,,3278.91197,,,,fee schedule,,3310.746067,,,,fee schedule,,3119.741486,,,,fee schedule,,3119.741486,,,,fee schedule,,3119.741486,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 25 ($3501-$4000),1525,APC,,,,,outpatient,,,,,,3599.627886,6354.445146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3654.724232,,,,fee schedule,,6354.445146,,,,fee schedule,,5436.172726,,,,fee schedule,,5436.172726,,,,fee schedule,,3783.28237,,,,fee schedule,,3654.724232,,,,fee schedule,,3746.551474,,,,fee schedule,,3783.28237,,,,fee schedule,,3820.013267,,,,fee schedule,,3783.28237,,,,fee schedule,,3820.013267,,,,fee schedule,,3875.109612,,,,fee schedule,,3599.627886,,,,fee schedule,,3709.820577,,,,fee schedule,,3783.28237,,,,fee schedule,,3783.28237,,,,fee schedule,,3820.013267,,,,fee schedule,,3599.627886,,,,fee schedule,,3599.627886,,,,fee schedule,,3599.627886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 26 ($4001-$4500),1526,APC,,,,,outpatient,,,,,,4079.514286,7201.591546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4141.955832,,,,fee schedule,,7201.591546,,,,fee schedule,,6160.899126,,,,fee schedule,,6160.899126,,,,fee schedule,,4287.65277,,,,fee schedule,,4141.955832,,,,fee schedule,,4246.025074,,,,fee schedule,,4287.65277,,,,fee schedule,,4329.280467,,,,fee schedule,,4287.65277,,,,fee schedule,,4329.280467,,,,fee schedule,,4391.722012,,,,fee schedule,,4079.514286,,,,fee schedule,,4204.397377,,,,fee schedule,,4287.65277,,,,fee schedule,,4287.65277,,,,fee schedule,,4329.280467,,,,fee schedule,,4079.514286,,,,fee schedule,,4079.514286,,,,fee schedule,,4079.514286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 27 ($4501-$5000),1527,APC,,,,,outpatient,,,,,,4559.400686,8048.737946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4629.187432,,,,fee schedule,,8048.737946,,,,fee schedule,,6885.625526,,,,fee schedule,,6885.625526,,,,fee schedule,,4792.02317,,,,fee schedule,,4629.187432,,,,fee schedule,,4745.498674,,,,fee schedule,,4792.02317,,,,fee schedule,,4838.547667,,,,fee schedule,,4792.02317,,,,fee schedule,,4838.547667,,,,fee schedule,,4908.334412,,,,fee schedule,,4559.400686,,,,fee schedule,,4698.974177,,,,fee schedule,,4792.02317,,,,fee schedule,,4792.02317,,,,fee schedule,,4838.547667,,,,fee schedule,,4559.400686,,,,fee schedule,,4559.400686,,,,fee schedule,,4559.400686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 28 ($5001-$5500),1528,APC,,,,,outpatient,,,,,,5039.287086,8895.884346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5116.419032,,,,fee schedule,,8895.884346,,,,fee schedule,,7610.351926,,,,fee schedule,,7610.351926,,,,fee schedule,,5296.39357,,,,fee schedule,,5116.419032,,,,fee schedule,,5244.972274,,,,fee schedule,,5296.39357,,,,fee schedule,,5347.814867,,,,fee schedule,,5296.39357,,,,fee schedule,,5347.814867,,,,fee schedule,,5424.946812,,,,fee schedule,,5039.287086,,,,fee schedule,,5193.550977,,,,fee schedule,,5296.39357,,,,fee schedule,,5296.39357,,,,fee schedule,,5347.814867,,,,fee schedule,,5039.287086,,,,fee schedule,,5039.287086,,,,fee schedule,,5039.287086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 29 ($5501-$6000),1529,APC,,,,,outpatient,,,,,,5519.173486,9743.030746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5603.650632,,,,fee schedule,,9743.030746,,,,fee schedule,,8335.078326,,,,fee schedule,,8335.078326,,,,fee schedule,,5800.76397,,,,fee schedule,,5603.650632,,,,fee schedule,,5744.445874,,,,fee schedule,,5800.76397,,,,fee schedule,,5857.082067,,,,fee schedule,,5800.76397,,,,fee schedule,,5857.082067,,,,fee schedule,,5941.559212,,,,fee schedule,,5519.173486,,,,fee schedule,,5688.127777,,,,fee schedule,,5800.76397,,,,fee schedule,,5800.76397,,,,fee schedule,,5857.082067,,,,fee schedule,,5519.173486,,,,fee schedule,,5519.173486,,,,fee schedule,,5519.173486,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 30 ($6001-$6500),1530,APC,,,,,outpatient,,,,,,5999.059886,10590.17715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6090.882232,,,,fee schedule,,10590.17715,,,,fee schedule,,9059.804726,,,,fee schedule,,9059.804726,,,,fee schedule,,6305.13437,,,,fee schedule,,6090.882232,,,,fee schedule,,6243.919474,,,,fee schedule,,6305.13437,,,,fee schedule,,6366.349267,,,,fee schedule,,6305.13437,,,,fee schedule,,6366.349267,,,,fee schedule,,6458.171612,,,,fee schedule,,5999.059886,,,,fee schedule,,6182.704577,,,,fee schedule,,6305.13437,,,,fee schedule,,6305.13437,,,,fee schedule,,6366.349267,,,,fee schedule,,5999.059886,,,,fee schedule,,5999.059886,,,,fee schedule,,5999.059886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 31 ($6501-$7000),1531,APC,,,,,outpatient,,,,,,6478.946286,11437.32355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6578.113832,,,,fee schedule,,11437.32355,,,,fee schedule,,9784.531126,,,,fee schedule,,9784.531126,,,,fee schedule,,6809.50477,,,,fee schedule,,6578.113832,,,,fee schedule,,6743.393074,,,,fee schedule,,6809.50477,,,,fee schedule,,6875.616467,,,,fee schedule,,6809.50477,,,,fee schedule,,6875.616467,,,,fee schedule,,6974.784012,,,,fee schedule,,6478.946286,,,,fee schedule,,6677.281377,,,,fee schedule,,6809.50477,,,,fee schedule,,6809.50477,,,,fee schedule,,6875.616467,,,,fee schedule,,6478.946286,,,,fee schedule,,6478.946286,,,,fee schedule,,6478.946286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 32 ($7001-$7500),1532,APC,,,,,outpatient,,,,,,6958.832686,12284.46995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7065.345432,,,,fee schedule,,12284.46995,,,,fee schedule,,10509.25753,,,,fee schedule,,10509.25753,,,,fee schedule,,7313.87517,,,,fee schedule,,7065.345432,,,,fee schedule,,7242.866674,,,,fee schedule,,7313.87517,,,,fee schedule,,7384.883667,,,,fee schedule,,7313.87517,,,,fee schedule,,7384.883667,,,,fee schedule,,7491.396412,,,,fee schedule,,6958.832686,,,,fee schedule,,7171.858177,,,,fee schedule,,7313.87517,,,,fee schedule,,7313.87517,,,,fee schedule,,7384.883667,,,,fee schedule,,6958.832686,,,,fee schedule,,6958.832686,,,,fee schedule,,6958.832686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 33 ($7501-$8000),1533,APC,,,,,outpatient,,,,,,7438.719086,13131.61635,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7552.577032,,,,fee schedule,,13131.61635,,,,fee schedule,,11233.98393,,,,fee schedule,,11233.98393,,,,fee schedule,,7818.24557,,,,fee schedule,,7552.577032,,,,fee schedule,,7742.340274,,,,fee schedule,,7818.24557,,,,fee schedule,,7894.150867,,,,fee schedule,,7818.24557,,,,fee schedule,,7894.150867,,,,fee schedule,,8008.008812,,,,fee schedule,,7438.719086,,,,fee schedule,,7666.434977,,,,fee schedule,,7818.24557,,,,fee schedule,,7818.24557,,,,fee schedule,,7894.150867,,,,fee schedule,,7438.719086,,,,fee schedule,,7438.719086,,,,fee schedule,,7438.719086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 34 ($8001-$8500),1534,APC,,,,,outpatient,,,,,,7918.605486,13978.76275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8039.808632,,,,fee schedule,,13978.76275,,,,fee schedule,,11958.71033,,,,fee schedule,,11958.71033,,,,fee schedule,,8322.61597,,,,fee schedule,,8039.808632,,,,fee schedule,,8241.813874,,,,fee schedule,,8322.61597,,,,fee schedule,,8403.418067,,,,fee schedule,,8322.61597,,,,fee schedule,,8403.418067,,,,fee schedule,,8524.621212,,,,fee schedule,,7918.605486,,,,fee schedule,,8161.011777,,,,fee schedule,,8322.61597,,,,fee schedule,,8322.61597,,,,fee schedule,,8403.418067,,,,fee schedule,,7918.605486,,,,fee schedule,,7918.605486,,,,fee schedule,,7918.605486,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 35 ($8501-$9000),1535,APC,,,,,outpatient,,,,,,8398.491886,14825.90915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8527.040232,,,,fee schedule,,14825.90915,,,,fee schedule,,12683.43673,,,,fee schedule,,12683.43673,,,,fee schedule,,8826.98637,,,,fee schedule,,8527.040232,,,,fee schedule,,8741.287474,,,,fee schedule,,8826.98637,,,,fee schedule,,8912.685267,,,,fee schedule,,8826.98637,,,,fee schedule,,8912.685267,,,,fee schedule,,9041.233612,,,,fee schedule,,8398.491886,,,,fee schedule,,8655.588577,,,,fee schedule,,8826.98637,,,,fee schedule,,8826.98637,,,,fee schedule,,8912.685267,,,,fee schedule,,8398.491886,,,,fee schedule,,8398.491886,,,,fee schedule,,8398.491886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 36 ($9001-$9500),1536,APC,,,,,outpatient,,,,,,8878.378286,15673.05555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9014.271832,,,,fee schedule,,15673.05555,,,,fee schedule,,13408.16313,,,,fee schedule,,13408.16313,,,,fee schedule,,9331.35677,,,,fee schedule,,9014.271832,,,,fee schedule,,9240.761074,,,,fee schedule,,9331.35677,,,,fee schedule,,9421.952467,,,,fee schedule,,9331.35677,,,,fee schedule,,9421.952467,,,,fee schedule,,9557.846012,,,,fee schedule,,8878.378286,,,,fee schedule,,9150.165377,,,,fee schedule,,9331.35677,,,,fee schedule,,9331.35677,,,,fee schedule,,9421.952467,,,,fee schedule,,8878.378286,,,,fee schedule,,8878.378286,,,,fee schedule,,8878.378286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 37 ($9501-$10000),1537,APC,,,,,outpatient,,,,,,9358.264686,16520.20195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9501.503432,,,,fee schedule,,16520.20195,,,,fee schedule,,14132.88953,,,,fee schedule,,14132.88953,,,,fee schedule,,9835.72717,,,,fee schedule,,9501.503432,,,,fee schedule,,9740.234674,,,,fee schedule,,9835.72717,,,,fee schedule,,9931.219667,,,,fee schedule,,9835.72717,,,,fee schedule,,9931.219667,,,,fee schedule,,10074.45841,,,,fee schedule,,9358.264686,,,,fee schedule,,9644.742177,,,,fee schedule,,9835.72717,,,,fee schedule,,9835.72717,,,,fee schedule,,9931.219667,,,,fee schedule,,9358.264686,,,,fee schedule,,9358.264686,,,,fee schedule,,9358.264686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 2 ($51 - $100),1539,APC,,,,,outpatient,,,,,,72.4628464,127.9191064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5719716,,,,fee schedule,,127.9191064,,,,fee schedule,,109.4336864,,,,fee schedule,,109.4336864,,,,fee schedule,,76.1599304,,,,fee schedule,,73.5719716,,,,fee schedule,,75.4205136,,,,fee schedule,,76.1599304,,,,fee schedule,,76.8993472,,,,fee schedule,,76.1599304,,,,fee schedule,,76.8993472,,,,fee schedule,,78.0084724,,,,fee schedule,,72.4628464,,,,fee schedule,,74.6810968,,,,fee schedule,,76.1599304,,,,fee schedule,,76.1599304,,,,fee schedule,,76.8993472,,,,fee schedule,,72.4628464,,,,fee schedule,,72.4628464,,,,fee schedule,,72.4628464,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 3 ($101 - $200),1540,APC,,,,,outpatient,,,,,,144.4458064,254.9910664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.6567116,,,,fee schedule,,254.9910664,,,,fee schedule,,218.1426464,,,,fee schedule,,218.1426464,,,,fee schedule,,151.8154904,,,,fee schedule,,146.6567116,,,,fee schedule,,150.3415536,,,,fee schedule,,151.8154904,,,,fee schedule,,153.2894272,,,,fee schedule,,151.8154904,,,,fee schedule,,153.2894272,,,,fee schedule,,155.5003324,,,,fee schedule,,144.4458064,,,,fee schedule,,148.8676168,,,,fee schedule,,151.8154904,,,,fee schedule,,151.8154904,,,,fee schedule,,153.2894272,,,,fee schedule,,144.4458064,,,,fee schedule,,144.4458064,,,,fee schedule,,144.4458064,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 4 ($201 - $300),1541,APC,,,,,outpatient,,,,,,240.4230864,424.4203464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.1030316,,,,fee schedule,,424.4203464,,,,fee schedule,,363.0879264,,,,fee schedule,,363.0879264,,,,fee schedule,,252.6895704,,,,fee schedule,,244.1030316,,,,fee schedule,,250.2362736,,,,fee schedule,,252.6895704,,,,fee schedule,,255.1428672,,,,fee schedule,,252.6895704,,,,fee schedule,,255.1428672,,,,fee schedule,,258.8228124,,,,fee schedule,,240.4230864,,,,fee schedule,,247.7829768,,,,fee schedule,,252.6895704,,,,fee schedule,,252.6895704,,,,fee schedule,,255.1428672,,,,fee schedule,,240.4230864,,,,fee schedule,,240.4230864,,,,fee schedule,,240.4230864,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 5 ($301 - $400),1542,APC,,,,,outpatient,,,,,,336.4003664,593.8496264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.5493516,,,,fee schedule,,593.8496264,,,,fee schedule,,508.0332064,,,,fee schedule,,508.0332064,,,,fee schedule,,353.5636504,,,,fee schedule,,341.5493516,,,,fee schedule,,350.1309936,,,,fee schedule,,353.5636504,,,,fee schedule,,356.9963072,,,,fee schedule,,353.5636504,,,,fee schedule,,356.9963072,,,,fee schedule,,362.1452924,,,,fee schedule,,336.4003664,,,,fee schedule,,346.6983368,,,,fee schedule,,353.5636504,,,,fee schedule,,353.5636504,,,,fee schedule,,356.9963072,,,,fee schedule,,336.4003664,,,,fee schedule,,336.4003664,,,,fee schedule,,336.4003664,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 6 ($401 - $500),1543,APC,,,,,outpatient,,,,,,432.3776464,763.2789064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,438.9956716,,,,fee schedule,,763.2789064,,,,fee schedule,,652.9784864,,,,fee schedule,,652.9784864,,,,fee schedule,,454.4377304,,,,fee schedule,,438.9956716,,,,fee schedule,,450.0257136,,,,fee schedule,,454.4377304,,,,fee schedule,,458.8497472,,,,fee schedule,,454.4377304,,,,fee schedule,,458.8497472,,,,fee schedule,,465.4677724,,,,fee schedule,,432.3776464,,,,fee schedule,,445.6136968,,,,fee schedule,,454.4377304,,,,fee schedule,,454.4377304,,,,fee schedule,,458.8497472,,,,fee schedule,,432.3776464,,,,fee schedule,,432.3776464,,,,fee schedule,,432.3776464,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 7 ($501 - $600),1544,APC,,,,,outpatient,,,,,,528.3549264,932.7081864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,536.4419916,,,,fee schedule,,932.7081864,,,,fee schedule,,797.9237664,,,,fee schedule,,797.9237664,,,,fee schedule,,555.3118104,,,,fee schedule,,536.4419916,,,,fee schedule,,549.9204336,,,,fee schedule,,555.3118104,,,,fee schedule,,560.7031872,,,,fee schedule,,555.3118104,,,,fee schedule,,560.7031872,,,,fee schedule,,568.7902524,,,,fee schedule,,528.3549264,,,,fee schedule,,544.5290568,,,,fee schedule,,555.3118104,,,,fee schedule,,555.3118104,,,,fee schedule,,560.7031872,,,,fee schedule,,528.3549264,,,,fee schedule,,528.3549264,,,,fee schedule,,528.3549264,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 8 ($601 - $700),1545,APC,,,,,outpatient,,,,,,624.3322064,1102.137466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,633.8883116,,,,fee schedule,,1102.137466,,,,fee schedule,,942.8690464,,,,fee schedule,,942.8690464,,,,fee schedule,,656.1858904,,,,fee schedule,,633.8883116,,,,fee schedule,,649.8151536,,,,fee schedule,,656.1858904,,,,fee schedule,,662.5566272,,,,fee schedule,,656.1858904,,,,fee schedule,,662.5566272,,,,fee schedule,,672.1127324,,,,fee schedule,,624.3322064,,,,fee schedule,,643.4444168,,,,fee schedule,,656.1858904,,,,fee schedule,,656.1858904,,,,fee schedule,,662.5566272,,,,fee schedule,,624.3322064,,,,fee schedule,,624.3322064,,,,fee schedule,,624.3322064,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 9 ($701 - $800),1546,APC,,,,,outpatient,,,,,,720.3094864,1271.566746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,731.3346316,,,,fee schedule,,1271.566746,,,,fee schedule,,1087.814326,,,,fee schedule,,1087.814326,,,,fee schedule,,757.0599704,,,,fee schedule,,731.3346316,,,,fee schedule,,749.7098736,,,,fee schedule,,757.0599704,,,,fee schedule,,764.4100672,,,,fee schedule,,757.0599704,,,,fee schedule,,764.4100672,,,,fee schedule,,775.4352124,,,,fee schedule,,720.3094864,,,,fee schedule,,742.3597768,,,,fee schedule,,757.0599704,,,,fee schedule,,757.0599704,,,,fee schedule,,764.4100672,,,,fee schedule,,720.3094864,,,,fee schedule,,720.3094864,,,,fee schedule,,720.3094864,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 10 ($801 - $900),1547,APC,,,,,outpatient,,,,,,816.2867664,1440.996026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,828.7809516,,,,fee schedule,,1440.996026,,,,fee schedule,,1232.759606,,,,fee schedule,,1232.759606,,,,fee schedule,,857.9340504,,,,fee schedule,,828.7809516,,,,fee schedule,,849.6045936,,,,fee schedule,,857.9340504,,,,fee schedule,,866.2635072,,,,fee schedule,,857.9340504,,,,fee schedule,,866.2635072,,,,fee schedule,,878.7576924,,,,fee schedule,,816.2867664,,,,fee schedule,,841.2751368,,,,fee schedule,,857.9340504,,,,fee schedule,,857.9340504,,,,fee schedule,,866.2635072,,,,fee schedule,,816.2867664,,,,fee schedule,,816.2867664,,,,fee schedule,,816.2867664,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 11 ($901 - $1000),1548,APC,,,,,outpatient,,,,,,912.2640464,1610.425306,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,926.2272716,,,,fee schedule,,1610.425306,,,,fee schedule,,1377.704886,,,,fee schedule,,1377.704886,,,,fee schedule,,958.8081304,,,,fee schedule,,926.2272716,,,,fee schedule,,949.4993136,,,,fee schedule,,958.8081304,,,,fee schedule,,968.1169472,,,,fee schedule,,958.8081304,,,,fee schedule,,968.1169472,,,,fee schedule,,982.0801724,,,,fee schedule,,912.2640464,,,,fee schedule,,940.1904968,,,,fee schedule,,958.8081304,,,,fee schedule,,958.8081304,,,,fee schedule,,968.1169472,,,,fee schedule,,912.2640464,,,,fee schedule,,912.2640464,,,,fee schedule,,912.2640464,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 12 ($1001 - $1100),1549,APC,,,,,outpatient,,,,,,1008.241326,1779.854586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1023.673592,,,,fee schedule,,1779.854586,,,,fee schedule,,1522.650166,,,,fee schedule,,1522.650166,,,,fee schedule,,1059.68221,,,,fee schedule,,1023.673592,,,,fee schedule,,1049.394034,,,,fee schedule,,1059.68221,,,,fee schedule,,1069.970387,,,,fee schedule,,1059.68221,,,,fee schedule,,1069.970387,,,,fee schedule,,1085.402652,,,,fee schedule,,1008.241326,,,,fee schedule,,1039.105857,,,,fee schedule,,1059.68221,,,,fee schedule,,1059.68221,,,,fee schedule,,1069.970387,,,,fee schedule,,1008.241326,,,,fee schedule,,1008.241326,,,,fee schedule,,1008.241326,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 13 ($1101 - $1200),1550,APC,,,,,outpatient,,,,,,1104.218606,1949.283866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1121.119912,,,,fee schedule,,1949.283866,,,,fee schedule,,1667.595446,,,,fee schedule,,1667.595446,,,,fee schedule,,1160.55629,,,,fee schedule,,1121.119912,,,,fee schedule,,1149.288754,,,,fee schedule,,1160.55629,,,,fee schedule,,1171.823827,,,,fee schedule,,1160.55629,,,,fee schedule,,1171.823827,,,,fee schedule,,1188.725132,,,,fee schedule,,1104.218606,,,,fee schedule,,1138.021217,,,,fee schedule,,1160.55629,,,,fee schedule,,1160.55629,,,,fee schedule,,1171.823827,,,,fee schedule,,1104.218606,,,,fee schedule,,1104.218606,,,,fee schedule,,1104.218606,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 14 ($1201- $1300),1551,APC,,,,,outpatient,,,,,,1200.195886,2118.713146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1218.566232,,,,fee schedule,,2118.713146,,,,fee schedule,,1812.540726,,,,fee schedule,,1812.540726,,,,fee schedule,,1261.43037,,,,fee schedule,,1218.566232,,,,fee schedule,,1249.183474,,,,fee schedule,,1261.43037,,,,fee schedule,,1273.677267,,,,fee schedule,,1261.43037,,,,fee schedule,,1273.677267,,,,fee schedule,,1292.047612,,,,fee schedule,,1200.195886,,,,fee schedule,,1236.936577,,,,fee schedule,,1261.43037,,,,fee schedule,,1261.43037,,,,fee schedule,,1273.677267,,,,fee schedule,,1200.195886,,,,fee schedule,,1200.195886,,,,fee schedule,,1200.195886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 15 ($1301 - $1400),1552,APC,,,,,outpatient,,,,,,1296.173166,2288.142426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1316.012552,,,,fee schedule,,2288.142426,,,,fee schedule,,1957.486006,,,,fee schedule,,1957.486006,,,,fee schedule,,1362.30445,,,,fee schedule,,1316.012552,,,,fee schedule,,1349.078194,,,,fee schedule,,1362.30445,,,,fee schedule,,1375.530707,,,,fee schedule,,1362.30445,,,,fee schedule,,1375.530707,,,,fee schedule,,1395.370092,,,,fee schedule,,1296.173166,,,,fee schedule,,1335.851937,,,,fee schedule,,1362.30445,,,,fee schedule,,1362.30445,,,,fee schedule,,1375.530707,,,,fee schedule,,1296.173166,,,,fee schedule,,1296.173166,,,,fee schedule,,1296.173166,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 16 ($1401 - $1500),1553,APC,,,,,outpatient,,,,,,1392.150446,2457.571706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1413.458872,,,,fee schedule,,2457.571706,,,,fee schedule,,2102.431286,,,,fee schedule,,2102.431286,,,,fee schedule,,1463.17853,,,,fee schedule,,1413.458872,,,,fee schedule,,1448.972914,,,,fee schedule,,1463.17853,,,,fee schedule,,1477.384147,,,,fee schedule,,1463.17853,,,,fee schedule,,1477.384147,,,,fee schedule,,1498.692572,,,,fee schedule,,1392.150446,,,,fee schedule,,1434.767297,,,,fee schedule,,1463.17853,,,,fee schedule,,1463.17853,,,,fee schedule,,1477.384147,,,,fee schedule,,1392.150446,,,,fee schedule,,1392.150446,,,,fee schedule,,1392.150446,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 17 ($1501-$1600),1554,APC,,,,,outpatient,,,,,,1488.127726,2627.000986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1510.905192,,,,fee schedule,,2627.000986,,,,fee schedule,,2247.376566,,,,fee schedule,,2247.376566,,,,fee schedule,,1564.05261,,,,fee schedule,,1510.905192,,,,fee schedule,,1548.867634,,,,fee schedule,,1564.05261,,,,fee schedule,,1579.237587,,,,fee schedule,,1564.05261,,,,fee schedule,,1579.237587,,,,fee schedule,,1602.015052,,,,fee schedule,,1488.127726,,,,fee schedule,,1533.682657,,,,fee schedule,,1564.05261,,,,fee schedule,,1564.05261,,,,fee schedule,,1579.237587,,,,fee schedule,,1488.127726,,,,fee schedule,,1488.127726,,,,fee schedule,,1488.127726,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 18 ($1601-$1700),1555,APC,,,,,outpatient,,,,,,1584.105006,2796.430266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1608.351512,,,,fee schedule,,2796.430266,,,,fee schedule,,2392.321846,,,,fee schedule,,2392.321846,,,,fee schedule,,1664.92669,,,,fee schedule,,1608.351512,,,,fee schedule,,1648.762354,,,,fee schedule,,1664.92669,,,,fee schedule,,1681.091027,,,,fee schedule,,1664.92669,,,,fee schedule,,1681.091027,,,,fee schedule,,1705.337532,,,,fee schedule,,1584.105006,,,,fee schedule,,1632.598017,,,,fee schedule,,1664.92669,,,,fee schedule,,1664.92669,,,,fee schedule,,1681.091027,,,,fee schedule,,1584.105006,,,,fee schedule,,1584.105006,,,,fee schedule,,1584.105006,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 19 ($1701-$1800),1556,APC,,,,,outpatient,,,,,,1680.082286,2965.859546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1705.797832,,,,fee schedule,,2965.859546,,,,fee schedule,,2537.267126,,,,fee schedule,,2537.267126,,,,fee schedule,,1765.80077,,,,fee schedule,,1705.797832,,,,fee schedule,,1748.657074,,,,fee schedule,,1765.80077,,,,fee schedule,,1782.944467,,,,fee schedule,,1765.80077,,,,fee schedule,,1782.944467,,,,fee schedule,,1808.660012,,,,fee schedule,,1680.082286,,,,fee schedule,,1731.513377,,,,fee schedule,,1765.80077,,,,fee schedule,,1765.80077,,,,fee schedule,,1782.944467,,,,fee schedule,,1680.082286,,,,fee schedule,,1680.082286,,,,fee schedule,,1680.082286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 20 ($1801-$1900),1557,APC,,,,,outpatient,,,,,,1776.059566,3135.288826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1803.244152,,,,fee schedule,,3135.288826,,,,fee schedule,,2682.212406,,,,fee schedule,,2682.212406,,,,fee schedule,,1866.67485,,,,fee schedule,,1803.244152,,,,fee schedule,,1848.551794,,,,fee schedule,,1866.67485,,,,fee schedule,,1884.797907,,,,fee schedule,,1866.67485,,,,fee schedule,,1884.797907,,,,fee schedule,,1911.982492,,,,fee schedule,,1776.059566,,,,fee schedule,,1830.428737,,,,fee schedule,,1866.67485,,,,fee schedule,,1866.67485,,,,fee schedule,,1884.797907,,,,fee schedule,,1776.059566,,,,fee schedule,,1776.059566,,,,fee schedule,,1776.059566,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 21 ($1901-$2000),1558,APC,,,,,outpatient,,,,,,1872.036846,3304.718106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1900.690472,,,,fee schedule,,3304.718106,,,,fee schedule,,2827.157686,,,,fee schedule,,2827.157686,,,,fee schedule,,1967.54893,,,,fee schedule,,1900.690472,,,,fee schedule,,1948.446514,,,,fee schedule,,1967.54893,,,,fee schedule,,1986.651347,,,,fee schedule,,1967.54893,,,,fee schedule,,1986.651347,,,,fee schedule,,2015.304972,,,,fee schedule,,1872.036846,,,,fee schedule,,1929.344097,,,,fee schedule,,1967.54893,,,,fee schedule,,1967.54893,,,,fee schedule,,1986.651347,,,,fee schedule,,1872.036846,,,,fee schedule,,1872.036846,,,,fee schedule,,1872.036846,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 22 ($2001-$2500),1559,APC,,,,,outpatient,,,,,,2159.968686,3813.005946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2193.029432,,,,fee schedule,,3813.005946,,,,fee schedule,,3261.993526,,,,fee schedule,,3261.993526,,,,fee schedule,,2270.17117,,,,fee schedule,,2193.029432,,,,fee schedule,,2248.130674,,,,fee schedule,,2270.17117,,,,fee schedule,,2292.211667,,,,fee schedule,,2270.17117,,,,fee schedule,,2292.211667,,,,fee schedule,,2325.272412,,,,fee schedule,,2159.968686,,,,fee schedule,,2226.090177,,,,fee schedule,,2270.17117,,,,fee schedule,,2270.17117,,,,fee schedule,,2292.211667,,,,fee schedule,,2159.968686,,,,fee schedule,,2159.968686,,,,fee schedule,,2159.968686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 23 ($2501-$3000),1560,APC,,,,,outpatient,,,,,,2639.855086,4660.152346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2680.261032,,,,fee schedule,,4660.152346,,,,fee schedule,,3986.719926,,,,fee schedule,,3986.719926,,,,fee schedule,,2774.54157,,,,fee schedule,,2680.261032,,,,fee schedule,,2747.604274,,,,fee schedule,,2774.54157,,,,fee schedule,,2801.478867,,,,fee schedule,,2774.54157,,,,fee schedule,,2801.478867,,,,fee schedule,,2841.884812,,,,fee schedule,,2639.855086,,,,fee schedule,,2720.666977,,,,fee schedule,,2774.54157,,,,fee schedule,,2774.54157,,,,fee schedule,,2801.478867,,,,fee schedule,,2639.855086,,,,fee schedule,,2639.855086,,,,fee schedule,,2639.855086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 24 ($3001-$3500),1561,APC,,,,,outpatient,,,,,,3119.741486,5507.298746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3167.492632,,,,fee schedule,,5507.298746,,,,fee schedule,,4711.446326,,,,fee schedule,,4711.446326,,,,fee schedule,,3278.91197,,,,fee schedule,,3167.492632,,,,fee schedule,,3247.077874,,,,fee schedule,,3278.91197,,,,fee schedule,,3310.746067,,,,fee schedule,,3278.91197,,,,fee schedule,,3310.746067,,,,fee schedule,,3358.497212,,,,fee schedule,,3119.741486,,,,fee schedule,,3215.243777,,,,fee schedule,,3278.91197,,,,fee schedule,,3278.91197,,,,fee schedule,,3310.746067,,,,fee schedule,,3119.741486,,,,fee schedule,,3119.741486,,,,fee schedule,,3119.741486,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 25 ($3501-$4000),1562,APC,,,,,outpatient,,,,,,3599.627886,6354.445146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3654.724232,,,,fee schedule,,6354.445146,,,,fee schedule,,5436.172726,,,,fee schedule,,5436.172726,,,,fee schedule,,3783.28237,,,,fee schedule,,3654.724232,,,,fee schedule,,3746.551474,,,,fee schedule,,3783.28237,,,,fee schedule,,3820.013267,,,,fee schedule,,3783.28237,,,,fee schedule,,3820.013267,,,,fee schedule,,3875.109612,,,,fee schedule,,3599.627886,,,,fee schedule,,3709.820577,,,,fee schedule,,3783.28237,,,,fee schedule,,3783.28237,,,,fee schedule,,3820.013267,,,,fee schedule,,3599.627886,,,,fee schedule,,3599.627886,,,,fee schedule,,3599.627886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 26 ($4001-$4500),1563,APC,,,,,outpatient,,,,,,4079.514286,7201.591546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4141.955832,,,,fee schedule,,7201.591546,,,,fee schedule,,6160.899126,,,,fee schedule,,6160.899126,,,,fee schedule,,4287.65277,,,,fee schedule,,4141.955832,,,,fee schedule,,4246.025074,,,,fee schedule,,4287.65277,,,,fee schedule,,4329.280467,,,,fee schedule,,4287.65277,,,,fee schedule,,4329.280467,,,,fee schedule,,4391.722012,,,,fee schedule,,4079.514286,,,,fee schedule,,4204.397377,,,,fee schedule,,4287.65277,,,,fee schedule,,4287.65277,,,,fee schedule,,4329.280467,,,,fee schedule,,4079.514286,,,,fee schedule,,4079.514286,,,,fee schedule,,4079.514286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 27 ($4501-$5000),1564,APC,,,,,outpatient,,,,,,4559.400686,8048.737946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4629.187432,,,,fee schedule,,8048.737946,,,,fee schedule,,6885.625526,,,,fee schedule,,6885.625526,,,,fee schedule,,4792.02317,,,,fee schedule,,4629.187432,,,,fee schedule,,4745.498674,,,,fee schedule,,4792.02317,,,,fee schedule,,4838.547667,,,,fee schedule,,4792.02317,,,,fee schedule,,4838.547667,,,,fee schedule,,4908.334412,,,,fee schedule,,4559.400686,,,,fee schedule,,4698.974177,,,,fee schedule,,4792.02317,,,,fee schedule,,4792.02317,,,,fee schedule,,4838.547667,,,,fee schedule,,4559.400686,,,,fee schedule,,4559.400686,,,,fee schedule,,4559.400686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 28 ($5001-$5500),1565,APC,,,,,outpatient,,,,,,5039.287086,8895.884346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5116.419032,,,,fee schedule,,8895.884346,,,,fee schedule,,7610.351926,,,,fee schedule,,7610.351926,,,,fee schedule,,5296.39357,,,,fee schedule,,5116.419032,,,,fee schedule,,5244.972274,,,,fee schedule,,5296.39357,,,,fee schedule,,5347.814867,,,,fee schedule,,5296.39357,,,,fee schedule,,5347.814867,,,,fee schedule,,5424.946812,,,,fee schedule,,5039.287086,,,,fee schedule,,5193.550977,,,,fee schedule,,5296.39357,,,,fee schedule,,5296.39357,,,,fee schedule,,5347.814867,,,,fee schedule,,5039.287086,,,,fee schedule,,5039.287086,,,,fee schedule,,5039.287086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 29 ($5501-$6000),1566,APC,,,,,outpatient,,,,,,5519.173486,9743.030746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5603.650632,,,,fee schedule,,9743.030746,,,,fee schedule,,8335.078326,,,,fee schedule,,8335.078326,,,,fee schedule,,5800.76397,,,,fee schedule,,5603.650632,,,,fee schedule,,5744.445874,,,,fee schedule,,5800.76397,,,,fee schedule,,5857.082067,,,,fee schedule,,5800.76397,,,,fee schedule,,5857.082067,,,,fee schedule,,5941.559212,,,,fee schedule,,5519.173486,,,,fee schedule,,5688.127777,,,,fee schedule,,5800.76397,,,,fee schedule,,5800.76397,,,,fee schedule,,5857.082067,,,,fee schedule,,5519.173486,,,,fee schedule,,5519.173486,,,,fee schedule,,5519.173486,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 30 ($6001-$6500),1567,APC,,,,,outpatient,,,,,,5999.059886,10590.17715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6090.882232,,,,fee schedule,,10590.17715,,,,fee schedule,,9059.804726,,,,fee schedule,,9059.804726,,,,fee schedule,,6305.13437,,,,fee schedule,,6090.882232,,,,fee schedule,,6243.919474,,,,fee schedule,,6305.13437,,,,fee schedule,,6366.349267,,,,fee schedule,,6305.13437,,,,fee schedule,,6366.349267,,,,fee schedule,,6458.171612,,,,fee schedule,,5999.059886,,,,fee schedule,,6182.704577,,,,fee schedule,,6305.13437,,,,fee schedule,,6305.13437,,,,fee schedule,,6366.349267,,,,fee schedule,,5999.059886,,,,fee schedule,,5999.059886,,,,fee schedule,,5999.059886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 31 ($6501-$7000),1568,APC,,,,,outpatient,,,,,,6478.946286,11437.32355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6578.113832,,,,fee schedule,,11437.32355,,,,fee schedule,,9784.531126,,,,fee schedule,,9784.531126,,,,fee schedule,,6809.50477,,,,fee schedule,,6578.113832,,,,fee schedule,,6743.393074,,,,fee schedule,,6809.50477,,,,fee schedule,,6875.616467,,,,fee schedule,,6809.50477,,,,fee schedule,,6875.616467,,,,fee schedule,,6974.784012,,,,fee schedule,,6478.946286,,,,fee schedule,,6677.281377,,,,fee schedule,,6809.50477,,,,fee schedule,,6809.50477,,,,fee schedule,,6875.616467,,,,fee schedule,,6478.946286,,,,fee schedule,,6478.946286,,,,fee schedule,,6478.946286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 32 ($7001-$7500),1569,APC,,,,,outpatient,,,,,,6958.832686,12284.46995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7065.345432,,,,fee schedule,,12284.46995,,,,fee schedule,,10509.25753,,,,fee schedule,,10509.25753,,,,fee schedule,,7313.87517,,,,fee schedule,,7065.345432,,,,fee schedule,,7242.866674,,,,fee schedule,,7313.87517,,,,fee schedule,,7384.883667,,,,fee schedule,,7313.87517,,,,fee schedule,,7384.883667,,,,fee schedule,,7491.396412,,,,fee schedule,,6958.832686,,,,fee schedule,,7171.858177,,,,fee schedule,,7313.87517,,,,fee schedule,,7313.87517,,,,fee schedule,,7384.883667,,,,fee schedule,,6958.832686,,,,fee schedule,,6958.832686,,,,fee schedule,,6958.832686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 33 ($7501-$8000),1570,APC,,,,,outpatient,,,,,,7438.719086,13131.61635,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7552.577032,,,,fee schedule,,13131.61635,,,,fee schedule,,11233.98393,,,,fee schedule,,11233.98393,,,,fee schedule,,7818.24557,,,,fee schedule,,7552.577032,,,,fee schedule,,7742.340274,,,,fee schedule,,7818.24557,,,,fee schedule,,7894.150867,,,,fee schedule,,7818.24557,,,,fee schedule,,7894.150867,,,,fee schedule,,8008.008812,,,,fee schedule,,7438.719086,,,,fee schedule,,7666.434977,,,,fee schedule,,7818.24557,,,,fee schedule,,7818.24557,,,,fee schedule,,7894.150867,,,,fee schedule,,7438.719086,,,,fee schedule,,7438.719086,,,,fee schedule,,7438.719086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 34 ($8001-$8500),1571,APC,,,,,outpatient,,,,,,7918.605486,13978.76275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8039.808632,,,,fee schedule,,13978.76275,,,,fee schedule,,11958.71033,,,,fee schedule,,11958.71033,,,,fee schedule,,8322.61597,,,,fee schedule,,8039.808632,,,,fee schedule,,8241.813874,,,,fee schedule,,8322.61597,,,,fee schedule,,8403.418067,,,,fee schedule,,8322.61597,,,,fee schedule,,8403.418067,,,,fee schedule,,8524.621212,,,,fee schedule,,7918.605486,,,,fee schedule,,8161.011777,,,,fee schedule,,8322.61597,,,,fee schedule,,8322.61597,,,,fee schedule,,8403.418067,,,,fee schedule,,7918.605486,,,,fee schedule,,7918.605486,,,,fee schedule,,7918.605486,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 35 ($8501-$9000),1572,APC,,,,,outpatient,,,,,,8398.491886,14825.90915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8527.040232,,,,fee schedule,,14825.90915,,,,fee schedule,,12683.43673,,,,fee schedule,,12683.43673,,,,fee schedule,,8826.98637,,,,fee schedule,,8527.040232,,,,fee schedule,,8741.287474,,,,fee schedule,,8826.98637,,,,fee schedule,,8912.685267,,,,fee schedule,,8826.98637,,,,fee schedule,,8912.685267,,,,fee schedule,,9041.233612,,,,fee schedule,,8398.491886,,,,fee schedule,,8655.588577,,,,fee schedule,,8826.98637,,,,fee schedule,,8826.98637,,,,fee schedule,,8912.685267,,,,fee schedule,,8398.491886,,,,fee schedule,,8398.491886,,,,fee schedule,,8398.491886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 36 ($9001-$9500),1573,APC,,,,,outpatient,,,,,,8878.378286,15673.05555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9014.271832,,,,fee schedule,,15673.05555,,,,fee schedule,,13408.16313,,,,fee schedule,,13408.16313,,,,fee schedule,,9331.35677,,,,fee schedule,,9014.271832,,,,fee schedule,,9240.761074,,,,fee schedule,,9331.35677,,,,fee schedule,,9421.952467,,,,fee schedule,,9331.35677,,,,fee schedule,,9421.952467,,,,fee schedule,,9557.846012,,,,fee schedule,,8878.378286,,,,fee schedule,,9150.165377,,,,fee schedule,,9331.35677,,,,fee schedule,,9331.35677,,,,fee schedule,,9421.952467,,,,fee schedule,,8878.378286,,,,fee schedule,,8878.378286,,,,fee schedule,,8878.378286,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
New Technology - Level 37 ($9501-$10000),1574,APC,,,,,outpatient,,,,,,9358.264686,16520.20195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9501.503432,,,,fee schedule,,16520.20195,,,,fee schedule,,14132.88953,,,,fee schedule,,14132.88953,,,,fee schedule,,9835.72717,,,,fee schedule,,9501.503432,,,,fee schedule,,9740.234674,,,,fee schedule,,9835.72717,,,,fee schedule,,9931.219667,,,,fee schedule,,9835.72717,,,,fee schedule,,9931.219667,,,,fee schedule,,10074.45841,,,,fee schedule,,9358.264686,,,,fee schedule,,9644.742177,,,,fee schedule,,9835.72717,,,,fee schedule,,9835.72717,,,,fee schedule,,9931.219667,,,,fee schedule,,9358.264686,,,,fee schedule,,9358.264686,,,,fee schedule,,9358.264686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 38 ($10,001-$15,000)",1575,APC,,,,,outpatient,,,,,,11997.63989,21179.50715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12181.27723,,,,fee schedule,,21179.50715,,,,fee schedule,,18118.88473,,,,fee schedule,,18118.88473,,,,fee schedule,,12609.76437,,,,fee schedule,,12181.27723,,,,fee schedule,,12487.33947,,,,fee schedule,,12609.76437,,,,fee schedule,,12732.18927,,,,fee schedule,,12609.76437,,,,fee schedule,,12732.18927,,,,fee schedule,,12915.82661,,,,fee schedule,,11997.63989,,,,fee schedule,,12364.91458,,,,fee schedule,,12609.76437,,,,fee schedule,,12609.76437,,,,fee schedule,,12732.18927,,,,fee schedule,,11997.63989,,,,fee schedule,,11997.63989,,,,fee schedule,,11997.63989,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 39 ($15,001-$20,000)",1576,APC,,,,,outpatient,,,,,,16796.50389,29650.97115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17053.59323,,,,fee schedule,,29650.97115,,,,fee schedule,,25366.14873,,,,fee schedule,,25366.14873,,,,fee schedule,,17653.46837,,,,fee schedule,,17053.59323,,,,fee schedule,,17482.07547,,,,fee schedule,,17653.46837,,,,fee schedule,,17824.86127,,,,fee schedule,,17653.46837,,,,fee schedule,,17824.86127,,,,fee schedule,,18081.95061,,,,fee schedule,,16796.50389,,,,fee schedule,,17310.68258,,,,fee schedule,,17653.46837,,,,fee schedule,,17653.46837,,,,fee schedule,,17824.86127,,,,fee schedule,,16796.50389,,,,fee schedule,,16796.50389,,,,fee schedule,,16796.50389,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 40 ($20,001-$25,000)",1577,APC,,,,,outpatient,,,,,,21595.36789,38122.43515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21925.90923,,,,fee schedule,,38122.43515,,,,fee schedule,,32613.41273,,,,fee schedule,,32613.41273,,,,fee schedule,,22697.17237,,,,fee schedule,,21925.90923,,,,fee schedule,,22476.81147,,,,fee schedule,,22697.17237,,,,fee schedule,,22917.53327,,,,fee schedule,,22697.17237,,,,fee schedule,,22917.53327,,,,fee schedule,,23248.07461,,,,fee schedule,,21595.36789,,,,fee schedule,,22256.45058,,,,fee schedule,,22697.17237,,,,fee schedule,,22697.17237,,,,fee schedule,,22917.53327,,,,fee schedule,,21595.36789,,,,fee schedule,,21595.36789,,,,fee schedule,,21595.36789,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 41 ($25,001-$30,000)",1578,APC,,,,,outpatient,,,,,,26394.23189,46593.89915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26798.22523,,,,fee schedule,,46593.89915,,,,fee schedule,,39860.67673,,,,fee schedule,,39860.67673,,,,fee schedule,,27740.87637,,,,fee schedule,,26798.22523,,,,fee schedule,,27471.54747,,,,fee schedule,,27740.87637,,,,fee schedule,,28010.20527,,,,fee schedule,,27740.87637,,,,fee schedule,,28010.20527,,,,fee schedule,,28414.19861,,,,fee schedule,,26394.23189,,,,fee schedule,,27202.21858,,,,fee schedule,,27740.87637,,,,fee schedule,,27740.87637,,,,fee schedule,,28010.20527,,,,fee schedule,,26394.23189,,,,fee schedule,,26394.23189,,,,fee schedule,,26394.23189,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 42 ($30,001-$40,000)",1579,APC,,,,,outpatient,,,,,,33592.52789,59301.09515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34106.69923,,,,fee schedule,,59301.09515,,,,fee schedule,,50731.57273,,,,fee schedule,,50731.57273,,,,fee schedule,,35306.43237,,,,fee schedule,,34106.69923,,,,fee schedule,,34963.65147,,,,fee schedule,,35306.43237,,,,fee schedule,,35649.21327,,,,fee schedule,,35306.43237,,,,fee schedule,,35649.21327,,,,fee schedule,,36163.38461,,,,fee schedule,,33592.52789,,,,fee schedule,,34620.87058,,,,fee schedule,,35306.43237,,,,fee schedule,,35306.43237,,,,fee schedule,,35649.21327,,,,fee schedule,,33592.52789,,,,fee schedule,,33592.52789,,,,fee schedule,,33592.52789,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 43 ($40,001-$50,000)",1580,APC,,,,,outpatient,,,,,,43190.25589,76244.02315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43851.33123,,,,fee schedule,,76244.02315,,,,fee schedule,,65226.10073,,,,fee schedule,,65226.10073,,,,fee schedule,,45393.84037,,,,fee schedule,,43851.33123,,,,fee schedule,,44953.12347,,,,fee schedule,,45393.84037,,,,fee schedule,,45834.55727,,,,fee schedule,,45393.84037,,,,fee schedule,,45834.55727,,,,fee schedule,,46495.63261,,,,fee schedule,,43190.25589,,,,fee schedule,,44512.40658,,,,fee schedule,,45393.84037,,,,fee schedule,,45393.84037,,,,fee schedule,,45834.55727,,,,fee schedule,,43190.25589,,,,fee schedule,,43190.25589,,,,fee schedule,,43190.25589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 44 ($50,001-$60,000)",1581,APC,,,,,outpatient,,,,,,52787.98389,93186.95115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53595.96323,,,,fee schedule,,93186.95115,,,,fee schedule,,79720.62873,,,,fee schedule,,79720.62873,,,,fee schedule,,55481.24837,,,,fee schedule,,53595.96323,,,,fee schedule,,54942.59547,,,,fee schedule,,55481.24837,,,,fee schedule,,56019.90127,,,,fee schedule,,55481.24837,,,,fee schedule,,56019.90127,,,,fee schedule,,56827.88061,,,,fee schedule,,52787.98389,,,,fee schedule,,54403.94258,,,,fee schedule,,55481.24837,,,,fee schedule,,55481.24837,,,,fee schedule,,56019.90127,,,,fee schedule,,52787.98389,,,,fee schedule,,52787.98389,,,,fee schedule,,52787.98389,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 45 ($60,001-$70,000)",1582,APC,,,,,outpatient,,,,,,62385.71189,110129.8791,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63340.59523,,,,fee schedule,,110129.8791,,,,fee schedule,,94215.15673,,,,fee schedule,,94215.15673,,,,fee schedule,,65568.65637,,,,fee schedule,,63340.59523,,,,fee schedule,,64932.06747,,,,fee schedule,,65568.65637,,,,fee schedule,,66205.24527,,,,fee schedule,,65568.65637,,,,fee schedule,,66205.24527,,,,fee schedule,,67160.12861,,,,fee schedule,,62385.71189,,,,fee schedule,,64295.47858,,,,fee schedule,,65568.65637,,,,fee schedule,,65568.65637,,,,fee schedule,,66205.24527,,,,fee schedule,,62385.71189,,,,fee schedule,,62385.71189,,,,fee schedule,,62385.71189,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 46 ($70,001-$80,000)",1583,APC,,,,,outpatient,,,,,,71983.43989,127072.8071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73085.22723,,,,fee schedule,,127072.8071,,,,fee schedule,,108709.6847,,,,fee schedule,,108709.6847,,,,fee schedule,,75656.06437,,,,fee schedule,,73085.22723,,,,fee schedule,,74921.53947,,,,fee schedule,,75656.06437,,,,fee schedule,,76390.58927,,,,fee schedule,,75656.06437,,,,fee schedule,,76390.58927,,,,fee schedule,,77492.37661,,,,fee schedule,,71983.43989,,,,fee schedule,,74187.01458,,,,fee schedule,,75656.06437,,,,fee schedule,,75656.06437,,,,fee schedule,,76390.58927,,,,fee schedule,,71983.43989,,,,fee schedule,,71983.43989,,,,fee schedule,,71983.43989,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 47 ($80,001-$90,000)",1584,APC,,,,,outpatient,,,,,,81581.16789,144015.7351,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82829.85923,,,,fee schedule,,144015.7351,,,,fee schedule,,123204.2127,,,,fee schedule,,123204.2127,,,,fee schedule,,85743.47237,,,,fee schedule,,82829.85923,,,,fee schedule,,84911.01147,,,,fee schedule,,85743.47237,,,,fee schedule,,86575.93327,,,,fee schedule,,85743.47237,,,,fee schedule,,86575.93327,,,,fee schedule,,87824.62461,,,,fee schedule,,81581.16789,,,,fee schedule,,84078.55058,,,,fee schedule,,85743.47237,,,,fee schedule,,85743.47237,,,,fee schedule,,86575.93327,,,,fee schedule,,81581.16789,,,,fee schedule,,81581.16789,,,,fee schedule,,81581.16789,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 48 ($90,001-$100,000)",1585,APC,,,,,outpatient,,,,,,91178.89589,160958.6631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92574.49123,,,,fee schedule,,160958.6631,,,,fee schedule,,137698.7407,,,,fee schedule,,137698.7407,,,,fee schedule,,95830.88037,,,,fee schedule,,92574.49123,,,,fee schedule,,94900.48347,,,,fee schedule,,95830.88037,,,,fee schedule,,96761.27727,,,,fee schedule,,95830.88037,,,,fee schedule,,96761.27727,,,,fee schedule,,98156.87261,,,,fee schedule,,91178.89589,,,,fee schedule,,93970.08658,,,,fee schedule,,95830.88037,,,,fee schedule,,95830.88037,,,,fee schedule,,96761.27727,,,,fee schedule,,91178.89589,,,,fee schedule,,91178.89589,,,,fee schedule,,91178.89589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 38 ($10,001-$15,000)",1589,APC,,,,,outpatient,,,,,,11997.63989,21179.50715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12181.27723,,,,fee schedule,,21179.50715,,,,fee schedule,,18118.88473,,,,fee schedule,,18118.88473,,,,fee schedule,,12609.76437,,,,fee schedule,,12181.27723,,,,fee schedule,,12487.33947,,,,fee schedule,,12609.76437,,,,fee schedule,,12732.18927,,,,fee schedule,,12609.76437,,,,fee schedule,,12732.18927,,,,fee schedule,,12915.82661,,,,fee schedule,,11997.63989,,,,fee schedule,,12364.91458,,,,fee schedule,,12609.76437,,,,fee schedule,,12609.76437,,,,fee schedule,,12732.18927,,,,fee schedule,,11997.63989,,,,fee schedule,,11997.63989,,,,fee schedule,,11997.63989,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 39 ($15,001-$20,000)",1590,APC,,,,,outpatient,,,,,,16796.50389,29650.97115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17053.59323,,,,fee schedule,,29650.97115,,,,fee schedule,,25366.14873,,,,fee schedule,,25366.14873,,,,fee schedule,,17653.46837,,,,fee schedule,,17053.59323,,,,fee schedule,,17482.07547,,,,fee schedule,,17653.46837,,,,fee schedule,,17824.86127,,,,fee schedule,,17653.46837,,,,fee schedule,,17824.86127,,,,fee schedule,,18081.95061,,,,fee schedule,,16796.50389,,,,fee schedule,,17310.68258,,,,fee schedule,,17653.46837,,,,fee schedule,,17653.46837,,,,fee schedule,,17824.86127,,,,fee schedule,,16796.50389,,,,fee schedule,,16796.50389,,,,fee schedule,,16796.50389,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 40 ($20,001-$25,000)",1591,APC,,,,,outpatient,,,,,,21595.36789,38122.43515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21925.90923,,,,fee schedule,,38122.43515,,,,fee schedule,,32613.41273,,,,fee schedule,,32613.41273,,,,fee schedule,,22697.17237,,,,fee schedule,,21925.90923,,,,fee schedule,,22476.81147,,,,fee schedule,,22697.17237,,,,fee schedule,,22917.53327,,,,fee schedule,,22697.17237,,,,fee schedule,,22917.53327,,,,fee schedule,,23248.07461,,,,fee schedule,,21595.36789,,,,fee schedule,,22256.45058,,,,fee schedule,,22697.17237,,,,fee schedule,,22697.17237,,,,fee schedule,,22917.53327,,,,fee schedule,,21595.36789,,,,fee schedule,,21595.36789,,,,fee schedule,,21595.36789,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 41 ($25,001-$30,000)",1592,APC,,,,,outpatient,,,,,,26394.23189,46593.89915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26798.22523,,,,fee schedule,,46593.89915,,,,fee schedule,,39860.67673,,,,fee schedule,,39860.67673,,,,fee schedule,,27740.87637,,,,fee schedule,,26798.22523,,,,fee schedule,,27471.54747,,,,fee schedule,,27740.87637,,,,fee schedule,,28010.20527,,,,fee schedule,,27740.87637,,,,fee schedule,,28010.20527,,,,fee schedule,,28414.19861,,,,fee schedule,,26394.23189,,,,fee schedule,,27202.21858,,,,fee schedule,,27740.87637,,,,fee schedule,,27740.87637,,,,fee schedule,,28010.20527,,,,fee schedule,,26394.23189,,,,fee schedule,,26394.23189,,,,fee schedule,,26394.23189,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 42 ($30,001-$40,000)",1593,APC,,,,,outpatient,,,,,,33592.52789,59301.09515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34106.69923,,,,fee schedule,,59301.09515,,,,fee schedule,,50731.57273,,,,fee schedule,,50731.57273,,,,fee schedule,,35306.43237,,,,fee schedule,,34106.69923,,,,fee schedule,,34963.65147,,,,fee schedule,,35306.43237,,,,fee schedule,,35649.21327,,,,fee schedule,,35306.43237,,,,fee schedule,,35649.21327,,,,fee schedule,,36163.38461,,,,fee schedule,,33592.52789,,,,fee schedule,,34620.87058,,,,fee schedule,,35306.43237,,,,fee schedule,,35306.43237,,,,fee schedule,,35649.21327,,,,fee schedule,,33592.52789,,,,fee schedule,,33592.52789,,,,fee schedule,,33592.52789,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 43 ($40,001-$50,000)",1594,APC,,,,,outpatient,,,,,,43190.25589,76244.02315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43851.33123,,,,fee schedule,,76244.02315,,,,fee schedule,,65226.10073,,,,fee schedule,,65226.10073,,,,fee schedule,,45393.84037,,,,fee schedule,,43851.33123,,,,fee schedule,,44953.12347,,,,fee schedule,,45393.84037,,,,fee schedule,,45834.55727,,,,fee schedule,,45393.84037,,,,fee schedule,,45834.55727,,,,fee schedule,,46495.63261,,,,fee schedule,,43190.25589,,,,fee schedule,,44512.40658,,,,fee schedule,,45393.84037,,,,fee schedule,,45393.84037,,,,fee schedule,,45834.55727,,,,fee schedule,,43190.25589,,,,fee schedule,,43190.25589,,,,fee schedule,,43190.25589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 44 ($50,001-$60,000)",1595,APC,,,,,outpatient,,,,,,52787.98389,93186.95115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53595.96323,,,,fee schedule,,93186.95115,,,,fee schedule,,79720.62873,,,,fee schedule,,79720.62873,,,,fee schedule,,55481.24837,,,,fee schedule,,53595.96323,,,,fee schedule,,54942.59547,,,,fee schedule,,55481.24837,,,,fee schedule,,56019.90127,,,,fee schedule,,55481.24837,,,,fee schedule,,56019.90127,,,,fee schedule,,56827.88061,,,,fee schedule,,52787.98389,,,,fee schedule,,54403.94258,,,,fee schedule,,55481.24837,,,,fee schedule,,55481.24837,,,,fee schedule,,56019.90127,,,,fee schedule,,52787.98389,,,,fee schedule,,52787.98389,,,,fee schedule,,52787.98389,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 45 ($60,001-$70,000)",1596,APC,,,,,outpatient,,,,,,62385.71189,110129.8791,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63340.59523,,,,fee schedule,,110129.8791,,,,fee schedule,,94215.15673,,,,fee schedule,,94215.15673,,,,fee schedule,,65568.65637,,,,fee schedule,,63340.59523,,,,fee schedule,,64932.06747,,,,fee schedule,,65568.65637,,,,fee schedule,,66205.24527,,,,fee schedule,,65568.65637,,,,fee schedule,,66205.24527,,,,fee schedule,,67160.12861,,,,fee schedule,,62385.71189,,,,fee schedule,,64295.47858,,,,fee schedule,,65568.65637,,,,fee schedule,,65568.65637,,,,fee schedule,,66205.24527,,,,fee schedule,,62385.71189,,,,fee schedule,,62385.71189,,,,fee schedule,,62385.71189,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 46 ($70,001-$80,000)",1597,APC,,,,,outpatient,,,,,,71983.43989,127072.8071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73085.22723,,,,fee schedule,,127072.8071,,,,fee schedule,,108709.6847,,,,fee schedule,,108709.6847,,,,fee schedule,,75656.06437,,,,fee schedule,,73085.22723,,,,fee schedule,,74921.53947,,,,fee schedule,,75656.06437,,,,fee schedule,,76390.58927,,,,fee schedule,,75656.06437,,,,fee schedule,,76390.58927,,,,fee schedule,,77492.37661,,,,fee schedule,,71983.43989,,,,fee schedule,,74187.01458,,,,fee schedule,,75656.06437,,,,fee schedule,,75656.06437,,,,fee schedule,,76390.58927,,,,fee schedule,,71983.43989,,,,fee schedule,,71983.43989,,,,fee schedule,,71983.43989,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 47 ($80,001-$90,000)",1598,APC,,,,,outpatient,,,,,,81581.16789,144015.7351,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82829.85923,,,,fee schedule,,144015.7351,,,,fee schedule,,123204.2127,,,,fee schedule,,123204.2127,,,,fee schedule,,85743.47237,,,,fee schedule,,82829.85923,,,,fee schedule,,84911.01147,,,,fee schedule,,85743.47237,,,,fee schedule,,86575.93327,,,,fee schedule,,85743.47237,,,,fee schedule,,86575.93327,,,,fee schedule,,87824.62461,,,,fee schedule,,81581.16789,,,,fee schedule,,84078.55058,,,,fee schedule,,85743.47237,,,,fee schedule,,85743.47237,,,,fee schedule,,86575.93327,,,,fee schedule,,81581.16789,,,,fee schedule,,81581.16789,,,,fee schedule,,81581.16789,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 48 ($90,001-$100,000)",1599,APC,,,,,outpatient,,,,,,91178.89589,160958.6631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92574.49123,,,,fee schedule,,160958.6631,,,,fee schedule,,137698.7407,,,,fee schedule,,137698.7407,,,,fee schedule,,95830.88037,,,,fee schedule,,92574.49123,,,,fee schedule,,94900.48347,,,,fee schedule,,95830.88037,,,,fee schedule,,96761.27727,,,,fee schedule,,95830.88037,,,,fee schedule,,96761.27727,,,,fee schedule,,98156.87261,,,,fee schedule,,91178.89589,,,,fee schedule,,93970.08658,,,,fee schedule,,95830.88037,,,,fee schedule,,95830.88037,,,,fee schedule,,96761.27727,,,,fee schedule,,91178.89589,,,,fee schedule,,91178.89589,,,,fee schedule,,91178.89589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Etanercept injection,1608,APC,,,,,outpatient,,,,,,758.9700946,1339.814555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,770.5869838,,,,fee schedule,,1339.814555,,,,fee schedule,,1146.199735,,,,fee schedule,,1146.199735,,,,fee schedule,,797.6930586,,,,fee schedule,,770.5869838,,,,fee schedule,,789.9484658,,,,fee schedule,,797.6930586,,,,fee schedule,,805.4376514,,,,fee schedule,,797.6930586,,,,fee schedule,,805.4376514,,,,fee schedule,,817.0545406,,,,fee schedule,,758.9700946,,,,fee schedule,,782.203873,,,,fee schedule,,797.6930586,,,,fee schedule,,797.6930586,,,,fee schedule,,805.4376514,,,,fee schedule,,758.9700946,,,,fee schedule,,758.9700946,,,,fee schedule,,758.9700946,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Rho(D) immune globulin h, sd",1609,APC,,,,,outpatient,,,,,,31.63795058,55.85066786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.12220492,,,,fee schedule,,55.85066786,,,,fee schedule,,47.7797621,,,,fee schedule,,47.7797621,,,,fee schedule,,33.25213173,,,,fee schedule,,32.12220492,,,,fee schedule,,32.9292955,,,,fee schedule,,33.25213173,,,,fee schedule,,33.57496796,,,,fee schedule,,33.25213173,,,,fee schedule,,33.57496796,,,,fee schedule,,34.05922231,,,,fee schedule,,31.63795058,,,,fee schedule,,32.60645927,,,,fee schedule,,33.25213173,,,,fee schedule,,33.25213173,,,,fee schedule,,33.57496796,,,,fee schedule,,31.63795058,,,,fee schedule,,31.63795058,,,,fee schedule,,31.63795058,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Trastuzumab injection,1613,APC,,,,,outpatient,,,,,,77.22811835,136.3312702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.41018139,,,,fee schedule,,136.3312702,,,,fee schedule,,116.6302196,,,,fee schedule,,116.6302196,,,,fee schedule,,81.16832847,,,,fee schedule,,78.41018139,,,,fee schedule,,80.38028645,,,,fee schedule,,81.16832847,,,,fee schedule,,81.9563705,,,,fee schedule,,81.16832847,,,,fee schedule,,81.9563705,,,,fee schedule,,83.13843353,,,,fee schedule,,77.22811835,,,,fee schedule,,79.59224442,,,,fee schedule,,81.16832847,,,,fee schedule,,81.16832847,,,,fee schedule,,81.9563705,,,,fee schedule,,77.22811835,,,,fee schedule,,77.22811835,,,,fee schedule,,77.22811835,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Hep b ig, im",1630,APC,,,,,outpatient,,,,,,132.3449909,233.6294228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.3706796,,,,fee schedule,,233.6294228,,,,fee schedule,,199.8679455,,,,fee schedule,,199.8679455,,,,fee schedule,,139.0972864,,,,fee schedule,,134.3706796,,,,fee schedule,,137.7468273,,,,fee schedule,,139.0972864,,,,fee schedule,,140.4477455,,,,fee schedule,,139.0972864,,,,fee schedule,,140.4477455,,,,fee schedule,,142.4734341,,,,fee schedule,,132.3449909,,,,fee schedule,,136.3963682,,,,fee schedule,,139.0972864,,,,fee schedule,,139.0972864,,,,fee schedule,,140.4477455,,,,fee schedule,,132.3449909,,,,fee schedule,,132.3449909,,,,fee schedule,,132.3449909,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Y90 ibritumomab, rx",1643,APC,,,,,outpatient,,,,,,62842.64244,110936.5015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63804.51962,,,,fee schedule,,110936.5015,,,,fee schedule,,94905.21511,,,,fee schedule,,94905.21511,,,,fee schedule,,66048.89971,,,,fee schedule,,63804.51962,,,,fee schedule,,65407.64825,,,,fee schedule,,66048.89971,,,,fee schedule,,66690.15116,,,,fee schedule,,66048.89971,,,,fee schedule,,66690.15116,,,,fee schedule,,67652.02834,,,,fee schedule,,62842.64244,,,,fee schedule,,64766.3968,,,,fee schedule,,66048.89971,,,,fee schedule,,66048.89971,,,,fee schedule,,66690.15116,,,,fee schedule,,62842.64244,,,,fee schedule,,62842.64244,,,,fee schedule,,62842.64244,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viii fc fusion recomb,1656,APC,,,,,outpatient,,,,,,2.099982886,3.707112646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.132125482,,,,fee schedule,,3.707112646,,,,fee schedule,,3.171402726,,,,fee schedule,,3.171402726,,,,fee schedule,,2.20712487,,,,fee schedule,,2.132125482,,,,fee schedule,,2.185696474,,,,fee schedule,,2.20712487,,,,fee schedule,,2.228553267,,,,fee schedule,,2.20712487,,,,fee schedule,,2.228553267,,,,fee schedule,,2.260695862,,,,fee schedule,,2.099982886,,,,fee schedule,,2.164268077,,,,fee schedule,,2.20712487,,,,fee schedule,,2.20712487,,,,fee schedule,,2.228553267,,,,fee schedule,,2.099982886,,,,fee schedule,,2.099982886,,,,fee schedule,,2.099982886,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, belinostat, 10mg",1658,APC,,,,,outpatient,,,,,,46.91753356,82.82380924,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.63565907,,,,fee schedule,,82.82380924,,,,fee schedule,,70.85505068,,,,fee schedule,,70.85505068,,,,fee schedule,,49.31128527,,,,fee schedule,,47.63565907,,,,fee schedule,,48.83253492,,,,fee schedule,,49.31128527,,,,fee schedule,,49.79003561,,,,fee schedule,,49.31128527,,,,fee schedule,,49.79003561,,,,fee schedule,,50.50816112,,,,fee schedule,,46.91753356,,,,fee schedule,,48.35378458,,,,fee schedule,,49.31128527,,,,fee schedule,,49.31128527,,,,fee schedule,,49.79003561,,,,fee schedule,,46.91753356,,,,fee schedule,,46.91753356,,,,fee schedule,,46.91753356,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, oritavancin",1660,APC,,,,,outpatient,,,,,,26.48493042,46.75400982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.890312,,,,fee schedule,,46.75400982,,,,fee schedule,,39.99765002,,,,fee schedule,,39.99765002,,,,fee schedule,,27.83620238,,,,fee schedule,,26.890312,,,,fee schedule,,27.56594798,,,,fee schedule,,27.83620238,,,,fee schedule,,28.10645677,,,,fee schedule,,27.83620238,,,,fee schedule,,28.10645677,,,,fee schedule,,28.51183836,,,,fee schedule,,26.48493042,,,,fee schedule,,27.29569359,,,,fee schedule,,27.83620238,,,,fee schedule,,27.83620238,,,,fee schedule,,28.10645677,,,,fee schedule,,26.48493042,,,,fee schedule,,26.48493042,,,,fee schedule,,26.48493042,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj tedizolid phosphate,1662,APC,,,,,outpatient,,,,,,1.709355357,3.017535477,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.735518959,,,,fee schedule,,3.017535477,,,,fee schedule,,2.581475437,,,,fee schedule,,2.581475437,,,,fee schedule,,1.796567365,,,,fee schedule,,1.735518959,,,,fee schedule,,1.779124963,,,,fee schedule,,1.796567365,,,,fee schedule,,1.814009766,,,,fee schedule,,1.796567365,,,,fee schedule,,1.814009766,,,,fee schedule,,1.840173369,,,,fee schedule,,1.709355357,,,,fee schedule,,1.761682562,,,,fee schedule,,1.796567365,,,,fee schedule,,1.796567365,,,,fee schedule,,1.814009766,,,,fee schedule,,1.709355357,,,,fee schedule,,1.709355357,,,,fee schedule,,1.709355357,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Erythro lactobionate /500 mg,1669,APC,,,,,outpatient,,,,,,77.52564792,136.8565009,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.71226498,,,,fee schedule,,136.8565009,,,,fee schedule,,117.0795499,,,,fee schedule,,117.0795499,,,,fee schedule,,81.48103812,,,,fee schedule,,78.71226498,,,,fee schedule,,80.68996008,,,,fee schedule,,81.48103812,,,,fee schedule,,82.27211616,,,,fee schedule,,81.48103812,,,,fee schedule,,82.27211616,,,,fee schedule,,83.45873322,,,,fee schedule,,77.52564792,,,,fee schedule,,79.89888204,,,,fee schedule,,81.48103812,,,,fee schedule,,81.48103812,,,,fee schedule,,82.27211616,,,,fee schedule,,77.52564792,,,,fee schedule,,77.52564792,,,,fee schedule,,77.52564792,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Tetanus immune globulin inj,1670,APC,,,,,outpatient,,,,,,555.3370191,980.3398399,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,563.8370755,,,,fee schedule,,980.3398399,,,,fee schedule,,838.672233,,,,fee schedule,,838.672233,,,,fee schedule,,583.6705405,,,,fee schedule,,563.8370755,,,,fee schedule,,578.0038362,,,,fee schedule,,583.6705405,,,,fee schedule,,589.3372448,,,,fee schedule,,583.6705405,,,,fee schedule,,589.3372448,,,,fee schedule,,597.8373012,,,,fee schedule,,555.3370191,,,,fee schedule,,572.337132,,,,fee schedule,,583.6705405,,,,fee schedule,,583.6705405,,,,fee schedule,,589.3372448,,,,fee schedule,,555.3370191,,,,fee schedule,,555.3370191,,,,fee schedule,,555.3370191,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Basiliximab,1683,APC,,,,,outpatient,,,,,,4296.197393,7584.10356,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4361.955516,,,,fee schedule,,7584.10356,,,,fee schedule,,6488.134838,,,,fee schedule,,6488.134838,,,,fee schedule,,4515.391137,,,,fee schedule,,4361.955516,,,,fee schedule,,4471.552388,,,,fee schedule,,4515.391137,,,,fee schedule,,4559.229886,,,,fee schedule,,4515.391137,,,,fee schedule,,4559.229886,,,,fee schedule,,4624.988009,,,,fee schedule,,4296.197393,,,,fee schedule,,4427.713639,,,,fee schedule,,4515.391137,,,,fee schedule,,4515.391137,,,,fee schedule,,4559.229886,,,,fee schedule,,4296.197393,,,,fee schedule,,4296.197393,,,,fee schedule,,4296.197393,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Darbepoetin alfa, non-esrd",1685,APC,,,,,outpatient,,,,,,2.812134304,4.964277904,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.855177176,,,,fee schedule,,4.964277904,,,,fee schedule,,4.246896704,,,,fee schedule,,4.246896704,,,,fee schedule,,2.955610544,,,,fee schedule,,2.855177176,,,,fee schedule,,2.926915296,,,,fee schedule,,2.955610544,,,,fee schedule,,2.984305792,,,,fee schedule,,2.955610544,,,,fee schedule,,2.984305792,,,,fee schedule,,3.027348664,,,,fee schedule,,2.812134304,,,,fee schedule,,2.898220048,,,,fee schedule,,2.955610544,,,,fee schedule,,2.955610544,,,,fee schedule,,2.984305792,,,,fee schedule,,2.812134304,,,,fee schedule,,2.812134304,,,,fee schedule,,2.812134304,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Epoetin alfa, non-esrd",1686,APC,,,,,outpatient,,,,,,8.528541101,15.05548582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.659079995,,,,fee schedule,,15.05548582,,,,fee schedule,,12.87983758,,,,fee schedule,,12.87983758,,,,fee schedule,,8.963670749,,,,fee schedule,,8.659079995,,,,fee schedule,,8.876644819,,,,fee schedule,,8.963670749,,,,fee schedule,,9.050696678,,,,fee schedule,,8.963670749,,,,fee schedule,,9.050696678,,,,fee schedule,,9.181235573,,,,fee schedule,,8.528541101,,,,fee schedule,,8.78961889,,,,fee schedule,,8.963670749,,,,fee schedule,,8.963670749,,,,fee schedule,,9.050696678,,,,fee schedule,,8.528541101,,,,fee schedule,,8.528541101,,,,fee schedule,,8.528541101,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Digoxin immune fab (ovine),1687,APC,,,,,outpatient,,,,,,4585.257925,8094.383889,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4655.440445,,,,fee schedule,,8094.383889,,,,fee schedule,,6924.675234,,,,fee schedule,,6924.675234,,,,fee schedule,,4819.199656,,,,fee schedule,,4655.440445,,,,fee schedule,,4772.41131,,,,fee schedule,,4819.199656,,,,fee schedule,,4865.988002,,,,fee schedule,,4819.199656,,,,fee schedule,,4865.988002,,,,fee schedule,,4936.170522,,,,fee schedule,,4585.257925,,,,fee schedule,,4725.622964,,,,fee schedule,,4819.199656,,,,fee schedule,,4819.199656,,,,fee schedule,,4865.988002,,,,fee schedule,,4585.257925,,,,fee schedule,,4585.257925,,,,fee schedule,,4585.257925,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ethanolamine oleate,1688,APC,,,,,outpatient,,,,,,454.8680024,802.9812696,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.8302678,,,,fee schedule,,802.9812696,,,,fee schedule,,686.9435139,,,,fee schedule,,686.9435139,,,,fee schedule,,478.0755536,,,,fee schedule,,461.8302678,,,,fee schedule,,473.4340433,,,,fee schedule,,478.0755536,,,,fee schedule,,482.7170638,,,,fee schedule,,478.0755536,,,,fee schedule,,482.7170638,,,,fee schedule,,489.6793291,,,,fee schedule,,454.8680024,,,,fee schedule,,468.7925331,,,,fee schedule,,478.0755536,,,,fee schedule,,478.0755536,,,,fee schedule,,482.7170638,,,,fee schedule,,454.8680024,,,,fee schedule,,454.8680024,,,,fee schedule,,454.8680024,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fomepizole,1689,APC,,,,,outpatient,,,,,,5.812384077,10.2606372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.901349139,,,,fee schedule,,10.2606372,,,,fee schedule,,8.777886157,,,,fee schedule,,8.777886157,,,,fee schedule,,6.108934285,,,,fee schedule,,5.901349139,,,,fee schedule,,6.049624243,,,,fee schedule,,6.108934285,,,,fee schedule,,6.168244326,,,,fee schedule,,6.108934285,,,,fee schedule,,6.168244326,,,,fee schedule,,6.257209389,,,,fee schedule,,5.812384077,,,,fee schedule,,5.990314202,,,,fee schedule,,6.108934285,,,,fee schedule,,6.108934285,,,,fee schedule,,6.168244326,,,,fee schedule,,5.812384077,,,,fee schedule,,5.812384077,,,,fee schedule,,5.812384077,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Hemin,1690,APC,,,,,outpatient,,,,,,30.08695773,53.11269069,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.54747239,,,,fee schedule,,53.11269069,,,,fee schedule,,45.43744637,,,,fee schedule,,45.43744637,,,,fee schedule,,31.6220066,,,,fee schedule,,30.54747239,,,,fee schedule,,31.31499683,,,,fee schedule,,31.6220066,,,,fee schedule,,31.92901637,,,,fee schedule,,31.6220066,,,,fee schedule,,31.92901637,,,,fee schedule,,32.38953103,,,,fee schedule,,30.08695773,,,,fee schedule,,31.00798705,,,,fee schedule,,31.6220066,,,,fee schedule,,31.6220066,,,,fee schedule,,31.92901637,,,,fee schedule,,30.08695773,,,,fee schedule,,30.08695773,,,,fee schedule,,30.08695773,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ziconotide injection,1694,APC,,,,,outpatient,,,,,,8.676346112,15.31640691,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.809147328,,,,fee schedule,,15.31640691,,,,fee schedule,,13.10305331,,,,fee schedule,,13.10305331,,,,fee schedule,,9.119016832,,,,fee schedule,,8.809147328,,,,fee schedule,,9.030482688,,,,fee schedule,,9.119016832,,,,fee schedule,,9.207550976,,,,fee schedule,,9.119016832,,,,fee schedule,,9.207550976,,,,fee schedule,,9.340352192,,,,fee schedule,,8.676346112,,,,fee schedule,,8.941948544,,,,fee schedule,,9.119016832,,,,fee schedule,,9.119016832,,,,fee schedule,,9.207550976,,,,fee schedule,,8.676346112,,,,fee schedule,,8.676346112,,,,fee schedule,,8.676346112,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Palifermin injection,1696,APC,,,,,outpatient,,,,,,25.44261716,44.91400784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.83204497,,,,fee schedule,,44.91400784,,,,fee schedule,,38.42354428,,,,fee schedule,,38.42354428,,,,fee schedule,,26.74070987,,,,fee schedule,,25.83204497,,,,fee schedule,,26.48109132,,,,fee schedule,,26.74070987,,,,fee schedule,,27.00032841,,,,fee schedule,,26.74070987,,,,fee schedule,,27.00032841,,,,fee schedule,,27.38975622,,,,fee schedule,,25.44261716,,,,fee schedule,,26.22147278,,,,fee schedule,,26.74070987,,,,fee schedule,,26.74070987,,,,fee schedule,,27.00032841,,,,fee schedule,,25.44261716,,,,fee schedule,,25.44261716,,,,fee schedule,,25.44261716,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj secretin synthetic human,1700,APC,,,,,outpatient,,,,,,40.05899713,70.71639289,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.67214504,,,,fee schedule,,70.71639289,,,,fee schedule,,60.49726097,,,,fee schedule,,60.49726097,,,,fee schedule,,42.10282351,,,,fee schedule,,40.67214504,,,,fee schedule,,41.69405823,,,,fee schedule,,42.10282351,,,,fee schedule,,42.51158879,,,,fee schedule,,42.10282351,,,,fee schedule,,42.51158879,,,,fee schedule,,43.1247367,,,,fee schedule,,40.05899713,,,,fee schedule,,41.28529296,,,,fee schedule,,42.10282351,,,,fee schedule,,42.10282351,,,,fee schedule,,42.51158879,,,,fee schedule,,40.05899713,,,,fee schedule,,40.05899713,,,,fee schedule,,40.05899713,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Treprostinil injection,1701,APC,,,,,outpatient,,,,,,54.11486978,95.52931094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.94315861,,,,fee schedule,,95.52931094,,,,fee schedule,,81.72449722,,,,fee schedule,,81.72449722,,,,fee schedule,,56.87583253,,,,fee schedule,,54.94315861,,,,fee schedule,,56.32363998,,,,fee schedule,,56.87583253,,,,fee schedule,,57.42802508,,,,fee schedule,,56.87583253,,,,fee schedule,,57.42802508,,,,fee schedule,,58.2563139,,,,fee schedule,,54.11486978,,,,fee schedule,,55.77144743,,,,fee schedule,,56.87583253,,,,fee schedule,,56.87583253,,,,fee schedule,,57.42802508,,,,fee schedule,,54.11486978,,,,fee schedule,,54.11486978,,,,fee schedule,,54.11486978,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Humate-P, inj",1704,APC,,,,,outpatient,,,,,,1.293773734,2.283906694,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.313576394,,,,fee schedule,,2.283906694,,,,fee schedule,,1.953862374,,,,fee schedule,,1.953862374,,,,fee schedule,,1.359782598,,,,fee schedule,,1.313576394,,,,fee schedule,,1.346580826,,,,fee schedule,,1.359782598,,,,fee schedule,,1.372984371,,,,fee schedule,,1.359782598,,,,fee schedule,,1.372984371,,,,fee schedule,,1.39278703,,,,fee schedule,,1.293773734,,,,fee schedule,,1.333379053,,,,fee schedule,,1.359782598,,,,fee schedule,,1.359782598,,,,fee schedule,,1.372984371,,,,fee schedule,,1.293773734,,,,fee schedule,,1.293773734,,,,fee schedule,,1.293773734,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viia recomb novoseven,1705,APC,,,,,outpatient,,,,,,2.330328358,4.113742918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.36599665,,,,fee schedule,,4.113742918,,,,fee schedule,,3.519271398,,,,fee schedule,,3.519271398,,,,fee schedule,,2.449222662,,,,fee schedule,,2.36599665,,,,fee schedule,,2.425443802,,,,fee schedule,,2.449222662,,,,fee schedule,,2.473001523,,,,fee schedule,,2.449222662,,,,fee schedule,,2.473001523,,,,fee schedule,,2.508669814,,,,fee schedule,,2.330328358,,,,fee schedule,,2.401664941,,,,fee schedule,,2.449222662,,,,fee schedule,,2.449222662,,,,fee schedule,,2.473001523,,,,fee schedule,,2.330328358,,,,fee schedule,,2.330328358,,,,fee schedule,,2.330328358,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Clofarabine injection,1710,APC,,,,,outpatient,,,,,,20.52474133,36.23245153,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.83889553,,,,fee schedule,,36.23245153,,,,fee schedule,,30.99654813,,,,fee schedule,,30.99654813,,,,fee schedule,,21.57192201,,,,fee schedule,,20.83889553,,,,fee schedule,,21.36248587,,,,fee schedule,,21.57192201,,,,fee schedule,,21.78135814,,,,fee schedule,,21.57192201,,,,fee schedule,,21.78135814,,,,fee schedule,,22.09551235,,,,fee schedule,,20.52474133,,,,fee schedule,,21.15304974,,,,fee schedule,,21.57192201,,,,fee schedule,,21.57192201,,,,fee schedule,,21.78135814,,,,fee schedule,,20.52474133,,,,fee schedule,,20.52474133,,,,fee schedule,,20.52474133,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Vantas implant,1711,APC,,,,,outpatient,,,,,,4958.466538,8753.211338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5034.361434,,,,fee schedule,,8753.211338,,,,fee schedule,,7488.296405,,,,fee schedule,,7488.296405,,,,fee schedule,,5211.449525,,,,fee schedule,,5034.361434,,,,fee schedule,,5160.852928,,,,fee schedule,,5211.449525,,,,fee schedule,,5262.046122,,,,fee schedule,,5211.449525,,,,fee schedule,,5262.046122,,,,fee schedule,,5337.941018,,,,fee schedule,,4958.466538,,,,fee schedule,,5110.25633,,,,fee schedule,,5211.449525,,,,fee schedule,,5211.449525,,,,fee schedule,,5262.046122,,,,fee schedule,,4958.466538,,,,fee schedule,,4958.466538,,,,fee schedule,,4958.466538,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Paclitaxel protein bound,1712,APC,,,,,outpatient,,,,,,13.7189924,24.21822128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.92897698,,,,fee schedule,,24.21822128,,,,fee schedule,,20.71847832,,,,fee schedule,,20.71847832,,,,fee schedule,,14.418941,,,,fee schedule,,13.92897698,,,,fee schedule,,14.27895128,,,,fee schedule,,14.418941,,,,fee schedule,,14.55893071,,,,fee schedule,,14.418941,,,,fee schedule,,14.55893071,,,,fee schedule,,14.76891529,,,,fee schedule,,13.7189924,,,,fee schedule,,14.13896156,,,,fee schedule,,14.418941,,,,fee schedule,,14.418941,,,,fee schedule,,14.55893071,,,,fee schedule,,13.7189924,,,,fee schedule,,13.7189924,,,,fee schedule,,13.7189924,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Radium ra223 dichloride ther,1745,APC,,,,,outpatient,,,,,,154.678904,273.0556162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.0464382,,,,fee schedule,,273.0556162,,,,fee schedule,,233.5967122,,,,fee schedule,,233.5967122,,,,fee schedule,,162.5706848,,,,fee schedule,,157.0464382,,,,fee schedule,,160.9923286,,,,fee schedule,,162.5706848,,,,fee schedule,,164.149041,,,,fee schedule,,162.5706848,,,,fee schedule,,164.149041,,,,fee schedule,,166.5165752,,,,fee schedule,,154.678904,,,,fee schedule,,159.4139725,,,,fee schedule,,162.5706848,,,,fee schedule,,162.5706848,,,,fee schedule,,164.149041,,,,fee schedule,,154.678904,,,,fee schedule,,154.678904,,,,fee schedule,,154.678904,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor xiii recomb a-subunit,1746,APC,,,,,outpatient,,,,,,16.44378738,29.02831854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.69547801,,,,fee schedule,,29.02831854,,,,fee schedule,,24.83347482,,,,fee schedule,,24.83347482,,,,fee schedule,,17.28275613,,,,fee schedule,,16.69547801,,,,fee schedule,,17.11496238,,,,fee schedule,,17.28275613,,,,fee schedule,,17.45054988,,,,fee schedule,,17.28275613,,,,fee schedule,,17.45054988,,,,fee schedule,,17.7022405,,,,fee schedule,,16.44378738,,,,fee schedule,,16.94716863,,,,fee schedule,,17.28275613,,,,fee schedule,,17.28275613,,,,fee schedule,,17.45054988,,,,fee schedule,,16.44378738,,,,fee schedule,,16.44378738,,,,fee schedule,,16.44378738,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Monovisc inj per dose,1747,APC,,,,,outpatient,,,,,,685.6300158,1210.346865,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,696.1243528,,,,fee schedule,,1210.346865,,,,fee schedule,,1035.441248,,,,fee schedule,,1035.441248,,,,fee schedule,,720.6111391,,,,fee schedule,,696.1243528,,,,fee schedule,,713.6149144,,,,fee schedule,,720.6111391,,,,fee schedule,,727.6073637,,,,fee schedule,,720.6111391,,,,fee schedule,,727.6073637,,,,fee schedule,,738.1017007,,,,fee schedule,,685.6300158,,,,fee schedule,,706.6186898,,,,fee schedule,,720.6111391,,,,fee schedule,,720.6111391,,,,fee schedule,,727.6073637,,,,fee schedule,,685.6300158,,,,fee schedule,,685.6300158,,,,fee schedule,,685.6300158,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj tbo filgrastim 1 microg,1748,APC,,,,,outpatient,,,,,,0.421340259,0.743794539,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.427789345,,,,fee schedule,,0.743794539,,,,fee schedule,,0.636309779,,,,fee schedule,,0.636309779,,,,fee schedule,,0.442837211,,,,fee schedule,,0.427789345,,,,fee schedule,,0.438537821,,,,fee schedule,,0.442837211,,,,fee schedule,,0.447136602,,,,fee schedule,,0.442837211,,,,fee schedule,,0.447136602,,,,fee schedule,,0.453585687,,,,fee schedule,,0.421340259,,,,fee schedule,,0.43423843,,,,fee schedule,,0.442837211,,,,fee schedule,,0.442837211,,,,fee schedule,,0.447136602,,,,fee schedule,,0.421340259,,,,fee schedule,,0.421340259,,,,fee schedule,,0.421340259,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Rolapitant, oral, 1mg",1761,APC,,,,,outpatient,,,,,,1.52891807,2.69900843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.552319878,,,,fee schedule,,2.69900843,,,,fee schedule,,2.30897831,,,,fee schedule,,2.30897831,,,,fee schedule,,1.606924094,,,,fee schedule,,1.552319878,,,,fee schedule,,1.59132289,,,,fee schedule,,1.606924094,,,,fee schedule,,1.622525299,,,,fee schedule,,1.606924094,,,,fee schedule,,1.622525299,,,,fee schedule,,1.645927106,,,,fee schedule,,1.52891807,,,,fee schedule,,1.575721685,,,,fee schedule,,1.606924094,,,,fee schedule,,1.606924094,,,,fee schedule,,1.622525299,,,,fee schedule,,1.52891807,,,,fee schedule,,1.52891807,,,,fee schedule,,1.52891807,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, alemtuzumab",1809,APC,,,,,outpatient,,,,,,2230.842149,3938.119304,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2264.987692,,,,fee schedule,,3938.119304,,,,fee schedule,,3369.026919,,,,fee schedule,,3369.026919,,,,fee schedule,,2344.660626,,,,fee schedule,,2264.987692,,,,fee schedule,,2321.896931,,,,fee schedule,,2344.660626,,,,fee schedule,,2367.424321,,,,fee schedule,,2344.660626,,,,fee schedule,,2367.424321,,,,fee schedule,,2401.569865,,,,fee schedule,,2230.842149,,,,fee schedule,,2299.133235,,,,fee schedule,,2344.660626,,,,fee schedule,,2344.660626,,,,fee schedule,,2367.424321,,,,fee schedule,,2230.842149,,,,fee schedule,,2230.842149,,,,fee schedule,,2230.842149,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, zarxio",1822,APC,,,,,outpatient,,,,,,0.306167523,0.540479403,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.310853761,,,,fee schedule,,0.540479403,,,,fee schedule,,0.462375443,,,,fee schedule,,0.462375443,,,,fee schedule,,0.321788315,,,,fee schedule,,0.310853761,,,,fee schedule,,0.318664157,,,,fee schedule,,0.321788315,,,,fee schedule,,0.324912474,,,,fee schedule,,0.321788315,,,,fee schedule,,0.324912474,,,,fee schedule,,0.329598711,,,,fee schedule,,0.306167523,,,,fee schedule,,0.315539998,,,,fee schedule,,0.321788315,,,,fee schedule,,0.321788315,,,,fee schedule,,0.324912474,,,,fee schedule,,0.306167523,,,,fee schedule,,0.306167523,,,,fee schedule,,0.306167523,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, dalbavancin",1823,APC,,,,,outpatient,,,,,,14.67780543,25.91081979,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.90246572,,,,fee schedule,,25.91081979,,,,fee schedule,,22.16648167,,,,fee schedule,,22.16648167,,,,fee schedule,,15.42667305,,,,fee schedule,,14.90246572,,,,fee schedule,,15.27689953,,,,fee schedule,,15.42667305,,,,fee schedule,,15.57644658,,,,fee schedule,,15.42667305,,,,fee schedule,,15.57644658,,,,fee schedule,,15.80110687,,,,fee schedule,,14.67780543,,,,fee schedule,,15.127126,,,,fee schedule,,15.42667305,,,,fee schedule,,15.42667305,,,,fee schedule,,15.57644658,,,,fee schedule,,14.67780543,,,,fee schedule,,14.67780543,,,,fee schedule,,14.67780543,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"	Ceftaroline fosamil inj",1824,APC,,,,,outpatient,,,,,,3.680728688,6.497612888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.737066372,,,,fee schedule,,6.497612888,,,,fee schedule,,5.558651488,,,,fee schedule,,5.558651488,,,,fee schedule,,3.868520968,,,,fee schedule,,3.737066372,,,,fee schedule,,3.830962512,,,,fee schedule,,3.868520968,,,,fee schedule,,3.906079424,,,,fee schedule,,3.868520968,,,,fee schedule,,3.906079424,,,,fee schedule,,3.962417108,,,,fee schedule,,3.680728688,,,,fee schedule,,3.793404056,,,,fee schedule,,3.868520968,,,,fee schedule,,3.868520968,,,,fee schedule,,3.906079424,,,,fee schedule,,3.680728688,,,,fee schedule,,3.680728688,,,,fee schedule,,3.680728688,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ceftazidime and avibactam,1825,APC,,,,,outpatient,,,,,,91.60935399,161.7185535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.01153798,,,,fee schedule,,161.7185535,,,,fee schedule,,138.3488203,,,,fee schedule,,138.3488203,,,,fee schedule,,96.28330062,,,,fee schedule,,93.01153798,,,,fee schedule,,95.34851129,,,,fee schedule,,96.28330062,,,,fee schedule,,97.21808995,,,,fee schedule,,96.28330062,,,,fee schedule,,97.21808995,,,,fee schedule,,98.62027394,,,,fee schedule,,91.60935399,,,,fee schedule,,94.41372197,,,,fee schedule,,96.28330062,,,,fee schedule,,96.28330062,,,,fee schedule,,97.21808995,,,,fee schedule,,91.60935399,,,,fee schedule,,91.60935399,,,,fee schedule,,91.60935399,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Hyqvia 100mg immuneglobulin,1826,APC,,,,,outpatient,,,,,,16.39771829,28.94699249,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.64870377,,,,fee schedule,,28.94699249,,,,fee schedule,,24.76390109,,,,fee schedule,,24.76390109,,,,fee schedule,,17.23433657,,,,fee schedule,,16.64870377,,,,fee schedule,,17.06701291,,,,fee schedule,,17.23433657,,,,fee schedule,,17.40166022,,,,fee schedule,,17.23433657,,,,fee schedule,,17.40166022,,,,fee schedule,,17.65264571,,,,fee schedule,,16.39771829,,,,fee schedule,,16.89968926,,,,fee schedule,,17.23433657,,,,fee schedule,,17.23433657,,,,fee schedule,,17.40166022,,,,fee schedule,,16.39771829,,,,fee schedule,,16.39771829,,,,fee schedule,,16.39771829,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viii recomb obizur,1827,APC,,,,,outpatient,,,,,,3.091428189,5.457317109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.138745967,,,,fee schedule,,5.457317109,,,,fee schedule,,4.668687469,,,,fee schedule,,4.668687469,,,,fee schedule,,3.249154117,,,,fee schedule,,3.138745967,,,,fee schedule,,3.217608931,,,,fee schedule,,3.249154117,,,,fee schedule,,3.280699302,,,,fee schedule,,3.249154117,,,,fee schedule,,3.280699302,,,,fee schedule,,3.328017081,,,,fee schedule,,3.091428189,,,,fee schedule,,3.186063746,,,,fee schedule,,3.249154117,,,,fee schedule,,3.249154117,,,,fee schedule,,3.280699302,,,,fee schedule,,3.091428189,,,,fee schedule,,3.091428189,,,,fee schedule,,3.091428189,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"	Penicillin g benzathine inj",1829,APC,,,,,outpatient,,,,,,20.85586294,36.81698254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.17508534,,,,fee schedule,,36.81698254,,,,fee schedule,,31.49660934,,,,fee schedule,,31.49660934,,,,fee schedule,,21.91993758,,,,fee schedule,,21.17508534,,,,fee schedule,,21.70712266,,,,fee schedule,,21.91993758,,,,fee schedule,,22.13275251,,,,fee schedule,,21.91993758,,,,fee schedule,,22.13275251,,,,fee schedule,,22.4519749,,,,fee schedule,,20.85586294,,,,fee schedule,,21.49430773,,,,fee schedule,,21.91993758,,,,fee schedule,,21.91993758,,,,fee schedule,,22.13275251,,,,fee schedule,,20.85586294,,,,fee schedule,,20.85586294,,,,fee schedule,,20.85586294,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Dimethyl sulfoxide 50% 50 ml,1832,APC,,,,,outpatient,,,,,,653.4325177,1153.508424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,663.4340358,,,,fee schedule,,1153.508424,,,,fee schedule,,986.8164553,,,,fee schedule,,986.8164553,,,,fee schedule,,686.7709115,,,,fee schedule,,663.4340358,,,,fee schedule,,680.1032327,,,,fee schedule,,686.7709115,,,,fee schedule,,693.4385902,,,,fee schedule,,686.7709115,,,,fee schedule,,693.4385902,,,,fee schedule,,703.4401083,,,,fee schedule,,653.4325177,,,,fee schedule,,673.435554,,,,fee schedule,,686.7709115,,,,fee schedule,,686.7709115,,,,fee schedule,,693.4385902,,,,fee schedule,,653.4325177,,,,fee schedule,,653.4325177,,,,fee schedule,,653.4325177,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Penicillin g procaine inj,1836,APC,,,,,outpatient,,,,,,39.2940582,69.36604152,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.89549787,,,,fee schedule,,69.36604152,,,,fee schedule,,59.34204708,,,,fee schedule,,59.34204708,,,,fee schedule,,41.29885709,,,,fee schedule,,39.89549787,,,,fee schedule,,40.89789732,,,,fee schedule,,41.29885709,,,,fee schedule,,41.69981687,,,,fee schedule,,41.29885709,,,,fee schedule,,41.69981687,,,,fee schedule,,42.30125654,,,,fee schedule,,39.2940582,,,,fee schedule,,40.49693754,,,,fee schedule,,41.29885709,,,,fee schedule,,41.29885709,,,,fee schedule,,41.69981687,,,,fee schedule,,39.2940582,,,,fee schedule,,39.2940582,,,,fee schedule,,39.2940582,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viii pegylated recomb,1844,APC,,,,,outpatient,,,,,,1.900350144,3.354699744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.929437136,,,,fee schedule,,3.354699744,,,,fee schedule,,2.869916544,,,,fee schedule,,2.869916544,,,,fee schedule,,1.997306784,,,,fee schedule,,1.929437136,,,,fee schedule,,1.977915456,,,,fee schedule,,1.997306784,,,,fee schedule,,2.016698112,,,,fee schedule,,1.997306784,,,,fee schedule,,2.016698112,,,,fee schedule,,2.045785104,,,,fee schedule,,1.900350144,,,,fee schedule,,1.958524128,,,,fee schedule,,1.997306784,,,,fee schedule,,1.997306784,,,,fee schedule,,2.016698112,,,,fee schedule,,1.900350144,,,,fee schedule,,1.900350144,,,,fee schedule,,1.900350144,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viii nuwiq recomb 1iu,1846,APC,,,,,outpatient,,,,,,1.23042873,2.17208337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.249261822,,,,fee schedule,,2.17208337,,,,fee schedule,,1.85819849,,,,fee schedule,,1.85819849,,,,fee schedule,,1.293205706,,,,fee schedule,,1.249261822,,,,fee schedule,,1.28065031,,,,fee schedule,,1.293205706,,,,fee schedule,,1.305761101,,,,fee schedule,,1.293205706,,,,fee schedule,,1.305761101,,,,fee schedule,,1.324594194,,,,fee schedule,,1.23042873,,,,fee schedule,,1.268094915,,,,fee schedule,,1.293205706,,,,fee schedule,,1.293205706,,,,fee schedule,,1.305761101,,,,fee schedule,,1.23042873,,,,fee schedule,,1.23042873,,,,fee schedule,,1.23042873,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, inflectra",1847,APC,,,,,outpatient,,,,,,13.7189924,24.21822128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.92897698,,,,fee schedule,,24.21822128,,,,fee schedule,,20.71847832,,,,fee schedule,,20.71847832,,,,fee schedule,,14.418941,,,,fee schedule,,13.92897698,,,,fee schedule,,14.27895128,,,,fee schedule,,14.418941,,,,fee schedule,,14.55893071,,,,fee schedule,,14.418941,,,,fee schedule,,14.55893071,,,,fee schedule,,14.76891529,,,,fee schedule,,13.7189924,,,,fee schedule,,14.13896156,,,,fee schedule,,14.418941,,,,fee schedule,,14.418941,,,,fee schedule,,14.55893071,,,,fee schedule,,13.7189924,,,,fee schedule,,13.7189924,,,,fee schedule,,13.7189924,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Artiss fibrin sealant,1848,APC,,,,,outpatient,,,,,,127.3935231,224.8885662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.3434239,,,,fee schedule,,224.8885662,,,,fee schedule,,192.3902185,,,,fee schedule,,192.3902185,,,,fee schedule,,133.8931926,,,,fee schedule,,129.3434239,,,,fee schedule,,132.5932587,,,,fee schedule,,133.8931926,,,,fee schedule,,135.1931265,,,,fee schedule,,133.8931926,,,,fee schedule,,135.1931265,,,,fee schedule,,137.1430274,,,,fee schedule,,127.3935231,,,,fee schedule,,131.2933248,,,,fee schedule,,133.8931926,,,,fee schedule,,133.8931926,,,,fee schedule,,135.1931265,,,,fee schedule,,127.3935231,,,,fee schedule,,127.3935231,,,,fee schedule,,127.3935231,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Foscarnet sodium injection,1849,APC,,,,,outpatient,,,,,,56.98075136,100.5884692,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.85290572,,,,fee schedule,,100.5884692,,,,fee schedule,,86.05256328,,,,fee schedule,,86.05256328,,,,fee schedule,,59.88793256,,,,fee schedule,,57.85290572,,,,fee schedule,,59.30649632,,,,fee schedule,,59.88793256,,,,fee schedule,,60.46936879,,,,fee schedule,,59.88793256,,,,fee schedule,,60.46936879,,,,fee schedule,,61.34152315,,,,fee schedule,,56.98075136,,,,fee schedule,,58.72506008,,,,fee schedule,,59.88793256,,,,fee schedule,,59.88793256,,,,fee schedule,,60.46936879,,,,fee schedule,,56.98075136,,,,fee schedule,,56.98075136,,,,fee schedule,,56.98075136,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gamma globulin 1 cc inj,1850,APC,,,,,outpatient,,,,,,48.68543505,85.94469657,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.43062028,,,,fee schedule,,85.94469657,,,,fee schedule,,73.52494273,,,,fee schedule,,73.52494273,,,,fee schedule,,51.16938582,,,,fee schedule,,49.43062028,,,,fee schedule,,50.67259567,,,,fee schedule,,51.16938582,,,,fee schedule,,51.66617597,,,,fee schedule,,51.16938582,,,,fee schedule,,51.66617597,,,,fee schedule,,52.4113612,,,,fee schedule,,48.68543505,,,,fee schedule,,50.17580551,,,,fee schedule,,51.16938582,,,,fee schedule,,51.16938582,,,,fee schedule,,51.66617597,,,,fee schedule,,48.68543505,,,,fee schedule,,48.68543505,,,,fee schedule,,48.68543505,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gamma globulin > 10 cc inj,1851,APC,,,,,outpatient,,,,,,486.852431,859.4435771,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.3042539,,,,fee schedule,,859.4435771,,,,fee schedule,,735.2465284,,,,fee schedule,,735.2465284,,,,fee schedule,,511.6918407,,,,fee schedule,,494.3042539,,,,fee schedule,,506.7239588,,,,fee schedule,,511.6918407,,,,fee schedule,,516.6597227,,,,fee schedule,,511.6918407,,,,fee schedule,,516.6597227,,,,fee schedule,,524.1115456,,,,fee schedule,,486.852431,,,,fee schedule,,501.7560768,,,,fee schedule,,511.6918407,,,,fee schedule,,511.6918407,,,,fee schedule,,516.6597227,,,,fee schedule,,486.852431,,,,fee schedule,,486.852431,,,,fee schedule,,486.852431,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Interferon beta-1a inj,1852,APC,,,,,outpatient,,,,,,1833.828291,3237.26831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1861.897092,,,,fee schedule,,3237.26831,,,,fee schedule,,2769.45497,,,,fee schedule,,2769.45497,,,,fee schedule,,1927.390959,,,,fee schedule,,1861.897092,,,,fee schedule,,1908.678426,,,,fee schedule,,1927.390959,,,,fee schedule,,1946.103493,,,,fee schedule,,1927.390959,,,,fee schedule,,1946.103493,,,,fee schedule,,1974.172293,,,,fee schedule,,1833.828291,,,,fee schedule,,1889.965892,,,,fee schedule,,1927.390959,,,,fee schedule,,1927.390959,,,,fee schedule,,1946.103493,,,,fee schedule,,1833.828291,,,,fee schedule,,1833.828291,,,,fee schedule,,1833.828291,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Minocycline hydrochloride,1853,APC,,,,,outpatient,,,,,,2.365839952,4.176431752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.402051788,,,,fee schedule,,4.176431752,,,,fee schedule,,3.572901152,,,,fee schedule,,3.572901152,,,,fee schedule,,2.486546072,,,,fee schedule,,2.402051788,,,,fee schedule,,2.462404848,,,,fee schedule,,2.486546072,,,,fee schedule,,2.510687296,,,,fee schedule,,2.486546072,,,,fee schedule,,2.510687296,,,,fee schedule,,2.546899132,,,,fee schedule,,2.365839952,,,,fee schedule,,2.438263624,,,,fee schedule,,2.486546072,,,,fee schedule,,2.486546072,,,,fee schedule,,2.510687296,,,,fee schedule,,2.365839952,,,,fee schedule,,2.365839952,,,,fee schedule,,2.365839952,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viii recomb novoeight,1856,APC,,,,,outpatient,,,,,,1.285135779,2.268658059,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.304806225,,,,fee schedule,,2.268658059,,,,fee schedule,,1.940817299,,,,fee schedule,,1.940817299,,,,fee schedule,,1.350703931,,,,fee schedule,,1.304806225,,,,fee schedule,,1.337590301,,,,fee schedule,,1.350703931,,,,fee schedule,,1.363817562,,,,fee schedule,,1.350703931,,,,fee schedule,,1.363817562,,,,fee schedule,,1.383488007,,,,fee schedule,,1.285135779,,,,fee schedule,,1.32447667,,,,fee schedule,,1.350703931,,,,fee schedule,,1.350703931,,,,fee schedule,,1.363817562,,,,fee schedule,,1.285135779,,,,fee schedule,,1.285135779,,,,fee schedule,,1.285135779,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, factor x, (human), 1iu",1857,APC,,,,,outpatient,,,,,,8.745449754,15.43839599,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.879308678,,,,fee schedule,,15.43839599,,,,fee schedule,,13.20741391,,,,fee schedule,,13.20741391,,,,fee schedule,,9.19164617,,,,fee schedule,,8.879308678,,,,fee schedule,,9.102406886,,,,fee schedule,,9.19164617,,,,fee schedule,,9.280885453,,,,fee schedule,,9.19164617,,,,fee schedule,,9.280885453,,,,fee schedule,,9.414744378,,,,fee schedule,,8.745449754,,,,fee schedule,,9.013167603,,,,fee schedule,,9.19164617,,,,fee schedule,,9.19164617,,,,fee schedule,,9.280885453,,,,fee schedule,,8.745449754,,,,fee schedule,,8.745449754,,,,fee schedule,,8.745449754,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Argatroban nonesrd use 1mg,1859,APC,,,,,outpatient,,,,,,1.16900327,2.06364863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.186896178,,,,fee schedule,,2.06364863,,,,fee schedule,,1.76543351,,,,fee schedule,,1.76543351,,,,fee schedule,,1.228646294,,,,fee schedule,,1.186896178,,,,fee schedule,,1.21671769,,,,fee schedule,,1.228646294,,,,fee schedule,,1.240574899,,,,fee schedule,,1.228646294,,,,fee schedule,,1.240574899,,,,fee schedule,,1.258467806,,,,fee schedule,,1.16900327,,,,fee schedule,,1.204789085,,,,fee schedule,,1.228646294,,,,fee schedule,,1.228646294,,,,fee schedule,,1.240574899,,,,fee schedule,,1.16900327,,,,fee schedule,,1.16900327,,,,fee schedule,,1.16900327,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., bendeka 1 mg",1861,APC,,,,,outpatient,,,,,,14.16240744,25.00098456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.37917898,,,,fee schedule,,25.00098456,,,,fee schedule,,21.38812552,,,,fee schedule,,21.38812552,,,,fee schedule,,14.88497924,,,,fee schedule,,14.37917898,,,,fee schedule,,14.74046488,,,,fee schedule,,14.88497924,,,,fee schedule,,15.02949361,,,,fee schedule,,14.88497924,,,,fee schedule,,15.02949361,,,,fee schedule,,15.24626515,,,,fee schedule,,14.16240744,,,,fee schedule,,14.59595052,,,,fee schedule,,14.88497924,,,,fee schedule,,14.88497924,,,,fee schedule,,15.02949361,,,,fee schedule,,14.16240744,,,,fee schedule,,14.16240744,,,,fee schedule,,14.16240744,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gelsyn-3 injection 0.1 mg,1862,APC,,,,,outpatient,,,,,,0.469328899,0.828509179,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.476512505,,,,fee schedule,,0.828509179,,,,fee schedule,,0.708782419,,,,fee schedule,,0.708782419,,,,fee schedule,,0.493274251,,,,fee schedule,,0.476512505,,,,fee schedule,,0.488485181,,,,fee schedule,,0.493274251,,,,fee schedule,,0.498063322,,,,fee schedule,,0.493274251,,,,fee schedule,,0.498063322,,,,fee schedule,,0.505246927,,,,fee schedule,,0.469328899,,,,fee schedule,,0.48369611,,,,fee schedule,,0.493274251,,,,fee schedule,,0.493274251,,,,fee schedule,,0.498063322,,,,fee schedule,,0.469328899,,,,fee schedule,,0.469328899,,,,fee schedule,,0.469328899,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 49 ($100,001-$115,000)",1901,APC,,,,,outpatient,,,,,,103176.0559,182137.3231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104755.2812,,,,fee schedule,,182137.3231,,,,fee schedule,,155816.9007,,,,fee schedule,,155816.9007,,,,fee schedule,,108440.1404,,,,fee schedule,,104755.2812,,,,fee schedule,,107387.3235,,,,fee schedule,,108440.1404,,,,fee schedule,,109492.9573,,,,fee schedule,,108440.1404,,,,fee schedule,,109492.9573,,,,fee schedule,,111072.1826,,,,fee schedule,,103176.0559,,,,fee schedule,,106334.5066,,,,fee schedule,,108440.1404,,,,fee schedule,,108440.1404,,,,fee schedule,,109492.9573,,,,fee schedule,,103176.0559,,,,fee schedule,,103176.0559,,,,fee schedule,,103176.0559,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 49 ($100,001-$115,000)",1902,APC,,,,,outpatient,,,,,,103176.0559,182137.3231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104755.2812,,,,fee schedule,,182137.3231,,,,fee schedule,,155816.9007,,,,fee schedule,,155816.9007,,,,fee schedule,,108440.1404,,,,fee schedule,,104755.2812,,,,fee schedule,,107387.3235,,,,fee schedule,,108440.1404,,,,fee schedule,,109492.9573,,,,fee schedule,,108440.1404,,,,fee schedule,,109492.9573,,,,fee schedule,,111072.1826,,,,fee schedule,,103176.0559,,,,fee schedule,,106334.5066,,,,fee schedule,,108440.1404,,,,fee schedule,,108440.1404,,,,fee schedule,,109492.9573,,,,fee schedule,,103176.0559,,,,fee schedule,,103176.0559,,,,fee schedule,,103176.0559,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 50 ($115,001-$130,000)",1903,APC,,,,,outpatient,,,,,,117572.6479,207551.7151,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119372.2292,,,,fee schedule,,207551.7151,,,,fee schedule,,177558.6927,,,,fee schedule,,177558.6927,,,,fee schedule,,123571.2524,,,,fee schedule,,119372.2292,,,,fee schedule,,122371.5315,,,,fee schedule,,123571.2524,,,,fee schedule,,124770.9733,,,,fee schedule,,123571.2524,,,,fee schedule,,124770.9733,,,,fee schedule,,126570.5546,,,,fee schedule,,117572.6479,,,,fee schedule,,121171.8106,,,,fee schedule,,123571.2524,,,,fee schedule,,123571.2524,,,,fee schedule,,124770.9733,,,,fee schedule,,117572.6479,,,,fee schedule,,117572.6479,,,,fee schedule,,117572.6479,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 50 ($115,001-$130,000)",1904,APC,,,,,outpatient,,,,,,117572.6479,207551.7151,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119372.2292,,,,fee schedule,,207551.7151,,,,fee schedule,,177558.6927,,,,fee schedule,,177558.6927,,,,fee schedule,,123571.2524,,,,fee schedule,,119372.2292,,,,fee schedule,,122371.5315,,,,fee schedule,,123571.2524,,,,fee schedule,,124770.9733,,,,fee schedule,,123571.2524,,,,fee schedule,,124770.9733,,,,fee schedule,,126570.5546,,,,fee schedule,,117572.6479,,,,fee schedule,,121171.8106,,,,fee schedule,,123571.2524,,,,fee schedule,,123571.2524,,,,fee schedule,,124770.9733,,,,fee schedule,,117572.6479,,,,fee schedule,,117572.6479,,,,fee schedule,,117572.6479,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 51 ($130,001-$145,000)",1905,APC,,,,,outpatient,,,,,,131969.2399,232966.1071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133989.1772,,,,fee schedule,,232966.1071,,,,fee schedule,,199300.4847,,,,fee schedule,,199300.4847,,,,fee schedule,,138702.3644,,,,fee schedule,,133989.1772,,,,fee schedule,,137355.7395,,,,fee schedule,,138702.3644,,,,fee schedule,,140048.9893,,,,fee schedule,,138702.3644,,,,fee schedule,,140048.9893,,,,fee schedule,,142068.9266,,,,fee schedule,,131969.2399,,,,fee schedule,,136009.1146,,,,fee schedule,,138702.3644,,,,fee schedule,,138702.3644,,,,fee schedule,,140048.9893,,,,fee schedule,,131969.2399,,,,fee schedule,,131969.2399,,,,fee schedule,,131969.2399,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 51 ($130,001-$145,000)",1906,APC,,,,,outpatient,,,,,,131969.2399,232966.1071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133989.1772,,,,fee schedule,,232966.1071,,,,fee schedule,,199300.4847,,,,fee schedule,,199300.4847,,,,fee schedule,,138702.3644,,,,fee schedule,,133989.1772,,,,fee schedule,,137355.7395,,,,fee schedule,,138702.3644,,,,fee schedule,,140048.9893,,,,fee schedule,,138702.3644,,,,fee schedule,,140048.9893,,,,fee schedule,,142068.9266,,,,fee schedule,,131969.2399,,,,fee schedule,,136009.1146,,,,fee schedule,,138702.3644,,,,fee schedule,,138702.3644,,,,fee schedule,,140048.9893,,,,fee schedule,,131969.2399,,,,fee schedule,,131969.2399,,,,fee schedule,,131969.2399,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 52 ($145,001-$160,000)",1907,APC,,,,,outpatient,,,,,,146365.8319,258380.4991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148606.1252,,,,fee schedule,,258380.4991,,,,fee schedule,,221042.2767,,,,fee schedule,,221042.2767,,,,fee schedule,,153833.4764,,,,fee schedule,,148606.1252,,,,fee schedule,,152339.9475,,,,fee schedule,,153833.4764,,,,fee schedule,,155327.0053,,,,fee schedule,,153833.4764,,,,fee schedule,,155327.0053,,,,fee schedule,,157567.2986,,,,fee schedule,,146365.8319,,,,fee schedule,,150846.4186,,,,fee schedule,,153833.4764,,,,fee schedule,,153833.4764,,,,fee schedule,,155327.0053,,,,fee schedule,,146365.8319,,,,fee schedule,,146365.8319,,,,fee schedule,,146365.8319,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"New Technology - Level 52 ($145,001-$160,000)",1908,APC,,,,,outpatient,,,,,,146365.8319,258380.4991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148606.1252,,,,fee schedule,,258380.4991,,,,fee schedule,,221042.2767,,,,fee schedule,,221042.2767,,,,fee schedule,,153833.4764,,,,fee schedule,,148606.1252,,,,fee schedule,,152339.9475,,,,fee schedule,,153833.4764,,,,fee schedule,,155327.0053,,,,fee schedule,,153833.4764,,,,fee schedule,,155327.0053,,,,fee schedule,,157567.2986,,,,fee schedule,,146365.8319,,,,fee schedule,,150846.4186,,,,fee schedule,,153833.4764,,,,fee schedule,,153833.4764,,,,fee schedule,,155327.0053,,,,fee schedule,,146365.8319,,,,fee schedule,,146365.8319,,,,fee schedule,,146365.8319,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-str,Yttrium-90",2616,APC,,,,,outpatient,,,,,,16486.02698,29102.88437,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16738.36413,,,,fee schedule,,29102.88437,,,,fee schedule,,24897.26524,,,,fee schedule,,24897.26524,,,,fee schedule,,17327.15081,,,,fee schedule,,16738.36413,,,,fee schedule,,17158.92604,,,,fee schedule,,17327.15081,,,,fee schedule,,17495.37557,,,,fee schedule,,17327.15081,,,,fee schedule,,17495.37557,,,,fee schedule,,17747.71272,,,,fee schedule,,16486.02698,,,,fee schedule,,16990.70128,,,,fee schedule,,17327.15081,,,,fee schedule,,17327.15081,,,,fee schedule,,17495.37557,,,,fee schedule,,16486.02698,,,,fee schedule,,16486.02698,,,,fee schedule,,16486.02698,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Iodine I-125 sodium iodide,2632,APC,,,,,outpatient,,,,,,57.73033392,101.9117119,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.61396148,,,,fee schedule,,101.9117119,,,,fee schedule,,87.18458592,,,,fee schedule,,87.18458592,,,,fee schedule,,60.67575912,,,,fee schedule,,58.61396148,,,,fee schedule,,60.08667408,,,,fee schedule,,60.67575912,,,,fee schedule,,61.26484416,,,,fee schedule,,60.67575912,,,,fee schedule,,61.26484416,,,,fee schedule,,62.14847172,,,,fee schedule,,57.73033392,,,,fee schedule,,59.49758904,,,,fee schedule,,60.67575912,,,,fee schedule,,60.67575912,,,,fee schedule,,61.26484416,,,,fee schedule,,57.73033392,,,,fee schedule,,57.73033392,,,,fee schedule,,57.73033392,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-str, HA, I-125",2634,APC,,,,,outpatient,,,,,,144.743336,255.5162972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.9587952,,,,fee schedule,,255.5162972,,,,fee schedule,,218.5919768,,,,fee schedule,,218.5919768,,,,fee schedule,,152.1282,,,,fee schedule,,146.9587952,,,,fee schedule,,150.6512272,,,,fee schedule,,152.1282,,,,fee schedule,,153.6051729,,,,fee schedule,,152.1282,,,,fee schedule,,153.6051729,,,,fee schedule,,155.8206321,,,,fee schedule,,144.743336,,,,fee schedule,,149.1742544,,,,fee schedule,,152.1282,,,,fee schedule,,152.1282,,,,fee schedule,,153.6051729,,,,fee schedule,,144.743336,,,,fee schedule,,144.743336,,,,fee schedule,,144.743336,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-str, HA, P-103",2635,APC,,,,,outpatient,,,,,,56.75136566,100.1835333,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.62000902,,,,fee schedule,,100.1835333,,,,fee schedule,,85.70614406,,,,fee schedule,,85.70614406,,,,fee schedule,,59.6468435,,,,fee schedule,,57.62000902,,,,fee schedule,,59.06774794,,,,fee schedule,,59.6468435,,,,fee schedule,,60.22593907,,,,fee schedule,,59.6468435,,,,fee schedule,,60.22593907,,,,fee schedule,,61.09458242,,,,fee schedule,,56.75136566,,,,fee schedule,,58.48865237,,,,fee schedule,,59.6468435,,,,fee schedule,,59.6468435,,,,fee schedule,,60.22593907,,,,fee schedule,,56.75136566,,,,fee schedule,,56.75136566,,,,fee schedule,,56.75136566,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachy linear, non-str,P-103",2636,APC,,,,,outpatient,,,,,,51.87571984,91.57652584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.66973596,,,,fee schedule,,91.57652584,,,,fee schedule,,78.34292384,,,,fee schedule,,78.34292384,,,,fee schedule,,54.52244024,,,,fee schedule,,52.66973596,,,,fee schedule,,53.99309616,,,,fee schedule,,54.52244024,,,,fee schedule,,55.05178432,,,,fee schedule,,54.52244024,,,,fee schedule,,55.05178432,,,,fee schedule,,55.84580044,,,,fee schedule,,51.87571984,,,,fee schedule,,53.46375208,,,,fee schedule,,54.52244024,,,,fee schedule,,54.52244024,,,,fee schedule,,55.05178432,,,,fee schedule,,51.87571984,,,,fee schedule,,51.87571984,,,,fee schedule,,51.87571984,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, stranded, I-125",2638,APC,,,,,outpatient,,,,,,40.09930758,70.78755318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.7130725,,,,fee schedule,,70.78755318,,,,fee schedule,,60.55813798,,,,fee schedule,,60.55813798,,,,fee schedule,,42.14519062,,,,fee schedule,,40.7130725,,,,fee schedule,,41.73601402,,,,fee schedule,,42.14519062,,,,fee schedule,,42.55436723,,,,fee schedule,,42.14519062,,,,fee schedule,,42.55436723,,,,fee schedule,,43.16813214,,,,fee schedule,,40.09930758,,,,fee schedule,,41.32683741,,,,fee schedule,,42.14519062,,,,fee schedule,,42.14519062,,,,fee schedule,,42.55436723,,,,fee schedule,,40.09930758,,,,fee schedule,,40.09930758,,,,fee schedule,,40.09930758,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-stranded,I-125",2639,APC,,,,,outpatient,,,,,,33.54405936,59.21553336,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.05748884,,,,fee schedule,,59.21553336,,,,fee schedule,,50.65837536,,,,fee schedule,,50.65837536,,,,fee schedule,,35.25549096,,,,fee schedule,,34.05748884,,,,fee schedule,,34.91320464,,,,fee schedule,,35.25549096,,,,fee schedule,,35.59777728,,,,fee schedule,,35.25549096,,,,fee schedule,,35.59777728,,,,fee schedule,,36.11120676,,,,fee schedule,,33.54405936,,,,fee schedule,,34.57091832,,,,fee schedule,,35.25549096,,,,fee schedule,,35.25549096,,,,fee schedule,,35.59777728,,,,fee schedule,,33.54405936,,,,fee schedule,,33.54405936,,,,fee schedule,,33.54405936,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, stranded, P-103",2640,APC,,,,,outpatient,,,,,,73.12508963,129.0881684,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.24435121,,,,fee schedule,,129.0881684,,,,fee schedule,,110.4338088,,,,fee schedule,,110.4338088,,,,fee schedule,,76.85596155,,,,fee schedule,,74.24435121,,,,fee schedule,,76.10978717,,,,fee schedule,,76.85596155,,,,fee schedule,,77.60213594,,,,fee schedule,,76.85596155,,,,fee schedule,,77.60213594,,,,fee schedule,,78.72139751,,,,fee schedule,,73.12508963,,,,fee schedule,,75.36361278,,,,fee schedule,,76.85596155,,,,fee schedule,,76.85596155,,,,fee schedule,,77.60213594,,,,fee schedule,,73.12508963,,,,fee schedule,,73.12508963,,,,fee schedule,,73.12508963,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-stranded,P-103",2641,APC,,,,,outpatient,,,,,,70.88881901,125.1404662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.97385195,,,,fee schedule,,125.1404662,,,,fee schedule,,107.0565838,,,,fee schedule,,107.0565838,,,,fee schedule,,74.50559549,,,,fee schedule,,71.97385195,,,,fee schedule,,73.78224019,,,,fee schedule,,74.50559549,,,,fee schedule,,75.22895078,,,,fee schedule,,74.50559549,,,,fee schedule,,75.22895078,,,,fee schedule,,76.31398373,,,,fee schedule,,70.88881901,,,,fee schedule,,73.0588849,,,,fee schedule,,74.50559549,,,,fee schedule,,74.50559549,,,,fee schedule,,75.22895078,,,,fee schedule,,70.88881901,,,,fee schedule,,70.88881901,,,,fee schedule,,70.88881901,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, stranded, C-131",2642,APC,,,,,outpatient,,,,,,93.58744573,165.2104909,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.01990663,,,,fee schedule,,165.2104909,,,,fee schedule,,141.3361425,,,,fee schedule,,141.3361425,,,,fee schedule,,98.36231541,,,,fee schedule,,95.01990663,,,,fee schedule,,97.40734147,,,,fee schedule,,98.36231541,,,,fee schedule,,99.31728934,,,,fee schedule,,98.36231541,,,,fee schedule,,99.31728934,,,,fee schedule,,100.7497502,,,,fee schedule,,93.58744573,,,,fee schedule,,96.45236754,,,,fee schedule,,98.36231541,,,,fee schedule,,98.36231541,,,,fee schedule,,99.31728934,,,,fee schedule,,93.58744573,,,,fee schedule,,93.58744573,,,,fee schedule,,93.58744573,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-stranded,C-131",2643,APC,,,,,outpatient,,,,,,77.09854902,136.1025406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.27862886,,,,fee schedule,,136.1025406,,,,fee schedule,,116.4345434,,,,fee schedule,,116.4345434,,,,fee schedule,,81.03214846,,,,fee schedule,,78.27862886,,,,fee schedule,,80.24542858,,,,fee schedule,,81.03214846,,,,fee schedule,,81.81886835,,,,fee schedule,,81.03214846,,,,fee schedule,,81.81886835,,,,fee schedule,,82.99894818,,,,fee schedule,,77.09854902,,,,fee schedule,,79.45870869,,,,fee schedule,,81.03214846,,,,fee schedule,,81.03214846,,,,fee schedule,,81.81886835,,,,fee schedule,,77.09854902,,,,fee schedule,,77.09854902,,,,fee schedule,,77.09854902,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-str, Gold-198",2645,APC,,,,,outpatient,,,,,,260.0120492,459.0008624,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.9918255,,,,fee schedule,,459.0008624,,,,fee schedule,,392.671258,,,,fee schedule,,392.671258,,,,fee schedule,,273.2779701,,,,fee schedule,,263.9918255,,,,fee schedule,,270.624786,,,,fee schedule,,273.2779701,,,,fee schedule,,275.9311543,,,,fee schedule,,273.2779701,,,,fee schedule,,275.9311543,,,,fee schedule,,279.9109306,,,,fee schedule,,260.0120492,,,,fee schedule,,267.9716018,,,,fee schedule,,273.2779701,,,,fee schedule,,273.2779701,,,,fee schedule,,275.9311543,,,,fee schedule,,260.0120492,,,,fee schedule,,260.0120492,,,,fee schedule,,260.0120492,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-str, HDR Ir-192",2646,APC,,,,,outpatient,,,,,,333.0219661,587.8857157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,338.1192411,,,,fee schedule,,587.8857157,,,,fee schedule,,502.9311325,,,,fee schedule,,502.9311325,,,,fee schedule,,350.0128828,,,,fee schedule,,338.1192411,,,,fee schedule,,346.6146995,,,,fee schedule,,350.0128828,,,,fee schedule,,353.4110661,,,,fee schedule,,350.0128828,,,,fee schedule,,353.4110661,,,,fee schedule,,358.5083411,,,,fee schedule,,333.0219661,,,,fee schedule,,343.2165161,,,,fee schedule,,350.0128828,,,,fee schedule,,350.0128828,,,,fee schedule,,353.4110661,,,,fee schedule,,333.0219661,,,,fee schedule,,333.0219661,,,,fee schedule,,333.0219661,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, NS, Non-HDRIr-192",2647,APC,,,,,outpatient,,,,,,334.404039,590.3254974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,339.5224681,,,,fee schedule,,590.3254974,,,,fee schedule,,505.0183446,,,,fee schedule,,505.0183446,,,,fee schedule,,351.4654695,,,,fee schedule,,339.5224681,,,,fee schedule,,348.0531834,,,,fee schedule,,351.4654695,,,,fee schedule,,354.8777556,,,,fee schedule,,351.4654695,,,,fee schedule,,354.8777556,,,,fee schedule,,359.9961848,,,,fee schedule,,334.404039,,,,fee schedule,,344.6408973,,,,fee schedule,,351.4654695,,,,fee schedule,,351.4654695,,,,fee schedule,,354.8777556,,,,fee schedule,,334.404039,,,,fee schedule,,334.404039,,,,fee schedule,,334.404039,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx planar, p-103",2648,APC,,,,,outpatient,,,,,,4.501334432,7.946233232,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.570232408,,,,fee schedule,,7.946233232,,,,fee schedule,,6.797933632,,,,fee schedule,,6.797933632,,,,fee schedule,,4.730994352,,,,fee schedule,,4.570232408,,,,fee schedule,,4.685062368,,,,fee schedule,,4.730994352,,,,fee schedule,,4.776926336,,,,fee schedule,,4.730994352,,,,fee schedule,,4.776926336,,,,fee schedule,,4.845824312,,,,fee schedule,,4.501334432,,,,fee schedule,,4.639130384,,,,fee schedule,,4.730994352,,,,fee schedule,,4.730994352,,,,fee schedule,,4.776926336,,,,fee schedule,,4.501334432,,,,fee schedule,,4.501334432,,,,fee schedule,,4.501334432,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, stranded, NOS",2698,APC,,,,,outpatient,,,,,,40.09930758,70.78755318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.7130725,,,,fee schedule,,70.78755318,,,,fee schedule,,60.55813798,,,,fee schedule,,60.55813798,,,,fee schedule,,42.14519062,,,,fee schedule,,40.7130725,,,,fee schedule,,41.73601402,,,,fee schedule,,42.14519062,,,,fee schedule,,42.55436723,,,,fee schedule,,42.14519062,,,,fee schedule,,42.55436723,,,,fee schedule,,43.16813214,,,,fee schedule,,40.09930758,,,,fee schedule,,41.32683741,,,,fee schedule,,42.14519062,,,,fee schedule,,42.14519062,,,,fee schedule,,42.55436723,,,,fee schedule,,40.09930758,,,,fee schedule,,40.09930758,,,,fee schedule,,40.09930758,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Brachytx, non-stranded, NOS",2699,APC,,,,,outpatient,,,,,,33.54405936,59.21553336,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.05748884,,,,fee schedule,,59.21553336,,,,fee schedule,,50.65837536,,,,fee schedule,,50.65837536,,,,fee schedule,,35.25549096,,,,fee schedule,,34.05748884,,,,fee schedule,,34.91320464,,,,fee schedule,,35.25549096,,,,fee schedule,,35.59777728,,,,fee schedule,,35.25549096,,,,fee schedule,,35.59777728,,,,fee schedule,,36.11120676,,,,fee schedule,,33.54405936,,,,fee schedule,,34.57091832,,,,fee schedule,,35.25549096,,,,fee schedule,,35.25549096,,,,fee schedule,,35.59777728,,,,fee schedule,,33.54405936,,,,fee schedule,,33.54405936,,,,fee schedule,,33.54405936,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Immune globulin, powder",2731,APC,,,,,outpatient,,,,,,75.3421648,133.0019848,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.4953612,,,,fee schedule,,133.0019848,,,,fee schedule,,113.7820448,,,,fee schedule,,113.7820448,,,,fee schedule,,79.1861528,,,,fee schedule,,76.4953612,,,,fee schedule,,78.4173552,,,,fee schedule,,79.1861528,,,,fee schedule,,79.9549504,,,,fee schedule,,79.1861528,,,,fee schedule,,79.9549504,,,,fee schedule,,81.1081468,,,,fee schedule,,75.3421648,,,,fee schedule,,77.6485576,,,,fee schedule,,79.1861528,,,,fee schedule,,79.1861528,,,,fee schedule,,79.9549504,,,,fee schedule,,75.3421648,,,,fee schedule,,75.3421648,,,,fee schedule,,75.3421648,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Quinupristin/dalfopristin,2770,APC,,,,,outpatient,,,,,,474.09897,836.9298144,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,481.3555869,,,,fee schedule,,836.9298144,,,,fee schedule,,715.9861996,,,,fee schedule,,715.9861996,,,,fee schedule,,498.287693,,,,fee schedule,,481.3555869,,,,fee schedule,,493.4499484,,,,fee schedule,,498.287693,,,,fee schedule,,503.1254376,,,,fee schedule,,498.287693,,,,fee schedule,,503.1254376,,,,fee schedule,,510.3820545,,,,fee schedule,,474.09897,,,,fee schedule,,488.6122038,,,,fee schedule,,498.287693,,,,fee schedule,,498.287693,,,,fee schedule,,503.1254376,,,,fee schedule,,474.09897,,,,fee schedule,,474.09897,,,,fee schedule,,474.09897,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Echo guidance radiotherapy,4001,APC,,,,,outpatient,,,,,,136.3645194,240.725121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.4517315,,,,fee schedule,,240.725121,,,,fee schedule,,205.9382538,,,,fee schedule,,205.9382538,,,,fee schedule,,143.3218929,,,,fee schedule,,138.4517315,,,,fee schedule,,141.9304182,,,,fee schedule,,143.3218929,,,,fee schedule,,144.7133676,,,,fee schedule,,143.3218929,,,,fee schedule,,144.7133676,,,,fee schedule,,146.8005796,,,,fee schedule,,136.3645194,,,,fee schedule,,140.5389435,,,,fee schedule,,143.3218929,,,,fee schedule,,143.3218929,,,,fee schedule,,144.7133676,,,,fee schedule,,136.3645194,,,,fee schedule,,136.3645194,,,,fee schedule,,136.3645194,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Stereoscopic x-ray guidance ,4002,APC,,,,,outpatient,,,,,,50.44565837,89.05202957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.21778579,,,,fee schedule,,89.05202957,,,,fee schedule,,76.18323917,,,,fee schedule,,76.18323917,,,,fee schedule,,53.01941645,,,,fee schedule,,51.21778579,,,,fee schedule,,52.50466483,,,,fee schedule,,53.01941645,,,,fee schedule,,53.53416806,,,,fee schedule,,53.01941645,,,,fee schedule,,53.53416806,,,,fee schedule,,54.30629549,,,,fee schedule,,50.44565837,,,,fee schedule,,51.98991322,,,,fee schedule,,53.01941645,,,,fee schedule,,53.01941645,,,,fee schedule,,53.53416806,,,,fee schedule,,50.44565837,,,,fee schedule,,50.44565837,,,,fee schedule,,50.44565837,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, MeV <= 5; simple ",4003,APC,,,,,outpatient,,,,,,141.2593607,249.3660143,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.4214938,,,,fee schedule,,249.3660143,,,,fee schedule,,213.3304631,,,,fee schedule,,213.3304631,,,,fee schedule,,148.4664709,,,,fee schedule,,143.4214938,,,,fee schedule,,147.0250489,,,,fee schedule,,148.4664709,,,,fee schedule,,149.907893,,,,fee schedule,,148.4664709,,,,fee schedule,,149.907893,,,,fee schedule,,152.0700261,,,,fee schedule,,141.2593607,,,,fee schedule,,145.5836268,,,,fee schedule,,148.4664709,,,,fee schedule,,148.4664709,,,,fee schedule,,149.907893,,,,fee schedule,,141.2593607,,,,fee schedule,,141.2593607,,,,fee schedule,,141.2593607,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, 6-10 MeV; simple ",4004,APC,,,,,outpatient,,,,,,115.8829679,204.5689127,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.6566868,,,,fee schedule,,204.5689127,,,,fee schedule,,175.0069311,,,,fee schedule,,175.0069311,,,,fee schedule,,121.7953642,,,,fee schedule,,117.6566868,,,,fee schedule,,120.6128849,,,,fee schedule,,121.7953642,,,,fee schedule,,122.9778435,,,,fee schedule,,121.7953642,,,,fee schedule,,122.9778435,,,,fee schedule,,124.7515624,,,,fee schedule,,115.8829679,,,,fee schedule,,119.4304057,,,,fee schedule,,121.7953642,,,,fee schedule,,121.7953642,,,,fee schedule,,122.9778435,,,,fee schedule,,115.8829679,,,,fee schedule,,115.8829679,,,,fee schedule,,115.8829679,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, 11-19 MeV; simple ",4005,APC,,,,,outpatient,,,,,,116.1804974,205.0941434,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.9587704,,,,fee schedule,,205.0941434,,,,fee schedule,,175.4562614,,,,fee schedule,,175.4562614,,,,fee schedule,,122.1080738,,,,fee schedule,,117.9587704,,,,fee schedule,,120.9225586,,,,fee schedule,,122.1080738,,,,fee schedule,,123.2935891,,,,fee schedule,,122.1080738,,,,fee schedule,,123.2935891,,,,fee schedule,,125.071862,,,,fee schedule,,116.1804974,,,,fee schedule,,119.7370433,,,,fee schedule,,122.1080738,,,,fee schedule,,122.1080738,,,,fee schedule,,123.2935891,,,,fee schedule,,116.1804974,,,,fee schedule,,116.1804974,,,,fee schedule,,116.1804974,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, MeV>=20; simple ",4006,APC,,,,,outpatient,,,,,,115.278311,203.5015082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.042775,,,,fee schedule,,203.5015082,,,,fee schedule,,174.0937758,,,,fee schedule,,174.0937758,,,,fee schedule,,121.1598575,,,,fee schedule,,117.042775,,,,fee schedule,,119.9835482,,,,fee schedule,,121.1598575,,,,fee schedule,,122.3361668,,,,fee schedule,,121.1598575,,,,fee schedule,,122.3361668,,,,fee schedule,,124.1006307,,,,fee schedule,,115.278311,,,,fee schedule,,118.8072389,,,,fee schedule,,121.1598575,,,,fee schedule,,121.1598575,,,,fee schedule,,122.3361668,,,,fee schedule,,115.278311,,,,fee schedule,,115.278311,,,,fee schedule,,115.278311,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, MeV<=5; intermediate",4007,APC,,,,,outpatient,,,,,,210.9676592,372.4225004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.196756,,,,fee schedule,,372.4225004,,,,fee schedule,,318.60422,,,,fee schedule,,318.60422,,,,fee schedule,,221.7313152,,,,fee schedule,,214.196756,,,,fee schedule,,219.578584,,,,fee schedule,,221.7313152,,,,fee schedule,,223.8840465,,,,fee schedule,,221.7313152,,,,fee schedule,,223.8840465,,,,fee schedule,,227.1131433,,,,fee schedule,,210.9676592,,,,fee schedule,,217.4258528,,,,fee schedule,,221.7313152,,,,fee schedule,,221.7313152,,,,fee schedule,,223.8840465,,,,fee schedule,,210.9676592,,,,fee schedule,,210.9676592,,,,fee schedule,,210.9676592,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, 6-10 MeV; intermediate ",4008,APC,,,,,outpatient,,,,,,159.9077462,282.2861234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.3553138,,,,fee schedule,,282.2861234,,,,fee schedule,,241.493331,,,,fee schedule,,241.493331,,,,fee schedule,,168.0663047,,,,fee schedule,,162.3553138,,,,fee schedule,,166.434593,,,,fee schedule,,168.0663047,,,,fee schedule,,169.6980164,,,,fee schedule,,168.0663047,,,,fee schedule,,169.6980164,,,,fee schedule,,172.1455839,,,,fee schedule,,159.9077462,,,,fee schedule,,164.8028813,,,,fee schedule,,168.0663047,,,,fee schedule,,168.0663047,,,,fee schedule,,169.6980164,,,,fee schedule,,159.9077462,,,,fee schedule,,159.9077462,,,,fee schedule,,159.9077462,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, 11-19 MeV; intermediate",4009,APC,,,,,outpatient,,,,,,159.6102166,281.7608926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.0532302,,,,fee schedule,,281.7608926,,,,fee schedule,,241.0440006,,,,fee schedule,,241.0440006,,,,fee schedule,,167.753595,,,,fee schedule,,162.0532302,,,,fee schedule,,166.1249194,,,,fee schedule,,167.753595,,,,fee schedule,,169.3822707,,,,fee schedule,,167.753595,,,,fee schedule,,169.3822707,,,,fee schedule,,171.8252842,,,,fee schedule,,159.6102166,,,,fee schedule,,164.4962437,,,,fee schedule,,167.753595,,,,fee schedule,,167.753595,,,,fee schedule,,169.3822707,,,,fee schedule,,159.6102166,,,,fee schedule,,159.6102166,,,,fee schedule,,159.6102166,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, MeV >=20; intermediate",4010,APC,,,,,outpatient,,,,,,158.3721097,279.5752549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160.7961726,,,,fee schedule,,279.5752549,,,,fee schedule,,239.1742065,,,,fee schedule,,239.1742065,,,,fee schedule,,166.4523194,,,,fee schedule,,160.7961726,,,,fee schedule,,164.8362775,,,,fee schedule,,166.4523194,,,,fee schedule,,168.0683613,,,,fee schedule,,166.4523194,,,,fee schedule,,168.0683613,,,,fee schedule,,170.4924242,,,,fee schedule,,158.3721097,,,,fee schedule,,163.2202355,,,,fee schedule,,166.4523194,,,,fee schedule,,166.4523194,,,,fee schedule,,168.0683613,,,,fee schedule,,158.3721097,,,,fee schedule,,158.3721097,,,,fee schedule,,158.3721097,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, MeV<=5; complex",4011,APC,,,,,outpatient,,,,,,210.3630023,371.3550959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.5828442,,,,fee schedule,,371.3550959,,,,fee schedule,,317.6910647,,,,fee schedule,,317.6910647,,,,fee schedule,,221.0958085,,,,fee schedule,,213.5828442,,,,fee schedule,,218.9492473,,,,fee schedule,,221.0958085,,,,fee schedule,,223.2423698,,,,fee schedule,,221.0958085,,,,fee schedule,,223.2423698,,,,fee schedule,,226.4622117,,,,fee schedule,,210.3630023,,,,fee schedule,,216.802686,,,,fee schedule,,221.0958085,,,,fee schedule,,221.0958085,,,,fee schedule,,223.2423698,,,,fee schedule,,210.3630023,,,,fee schedule,,210.3630023,,,,fee schedule,,210.3630023,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, 6-10 MeV; complex",4012,APC,,,,,outpatient,,,,,,210.6605319,371.8803267,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.8849278,,,,fee schedule,,371.8803267,,,,fee schedule,,318.1403951,,,,fee schedule,,318.1403951,,,,fee schedule,,221.4085182,,,,fee schedule,,213.8849278,,,,fee schedule,,219.2589209,,,,fee schedule,,221.4085182,,,,fee schedule,,223.5581155,,,,fee schedule,,221.4085182,,,,fee schedule,,223.5581155,,,,fee schedule,,226.7825114,,,,fee schedule,,210.6605319,,,,fee schedule,,217.1093237,,,,fee schedule,,221.4085182,,,,fee schedule,,221.4085182,,,,fee schedule,,223.5581155,,,,fee schedule,,210.6605319,,,,fee schedule,,210.6605319,,,,fee schedule,,210.6605319,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, 11-19 MeV; complex",4013,APC,,,,,outpatient,,,,,,211.5915115,373.5237907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.8301571,,,,fee schedule,,373.5237907,,,,fee schedule,,319.5463643,,,,fee schedule,,319.5463643,,,,fee schedule,,222.3869968,,,,fee schedule,,214.8301571,,,,fee schedule,,220.2278997,,,,fee schedule,,222.3869968,,,,fee schedule,,224.5460938,,,,fee schedule,,222.3869968,,,,fee schedule,,224.5460938,,,,fee schedule,,227.7847394,,,,fee schedule,,211.5915115,,,,fee schedule,,218.0688027,,,,fee schedule,,222.3869968,,,,fee schedule,,222.3869968,,,,fee schedule,,224.5460938,,,,fee schedule,,211.5915115,,,,fee schedule,,211.5915115,,,,fee schedule,,211.5915115,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Radiation treatment delivery, MeV >=20; complex",4014,APC,,,,,outpatient,,,,,,210.055875,370.8129222,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.271016,,,,fee schedule,,370.8129222,,,,fee schedule,,317.2272398,,,,fee schedule,,317.2272398,,,,fee schedule,,220.7730115,,,,fee schedule,,213.271016,,,,fee schedule,,218.6295842,,,,fee schedule,,220.7730115,,,,fee schedule,,222.9164388,,,,fee schedule,,220.7730115,,,,fee schedule,,222.9164388,,,,fee schedule,,226.1315797,,,,fee schedule,,210.055875,,,,fee schedule,,216.4861569,,,,fee schedule,,220.7730115,,,,fee schedule,,220.7730115,,,,fee schedule,,222.9164388,,,,fee schedule,,210.055875,,,,fee schedule,,210.055875,,,,fee schedule,,210.055875,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Radiation tx delivery imrt,4015,APC,,,,,outpatient,,,,,,326.5530975,576.4661823,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,331.5513592,,,,fee schedule,,576.4661823,,,,fee schedule,,493.1618207,,,,fee schedule,,493.1618207,,,,fee schedule,,343.2139698,,,,fee schedule,,331.5513592,,,,fee schedule,,339.8817953,,,,fee schedule,,343.2139698,,,,fee schedule,,346.5461443,,,,fee schedule,,343.2139698,,,,fee schedule,,346.5461443,,,,fee schedule,,351.544406,,,,fee schedule,,326.5530975,,,,fee schedule,,336.5496209,,,,fee schedule,,343.2139698,,,,fee schedule,,343.2139698,,,,fee schedule,,346.5461443,,,,fee schedule,,326.5530975,,,,fee schedule,,326.5530975,,,,fee schedule,,326.5530975,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Delivery comp imrt,4016,APC,,,,,outpatient,,,,,,325.0078633,573.7383709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.9824734,,,,fee schedule,,573.7383709,,,,fee schedule,,490.8282017,,,,fee schedule,,490.8282017,,,,fee schedule,,341.5898971,,,,fee schedule,,329.9824734,,,,fee schedule,,338.2734903,,,,fee schedule,,341.5898971,,,,fee schedule,,344.9063039,,,,fee schedule,,341.5898971,,,,fee schedule,,344.9063039,,,,fee schedule,,349.880914,,,,fee schedule,,325.0078633,,,,fee schedule,,334.9570836,,,,fee schedule,,341.5898971,,,,fee schedule,,341.5898971,,,,fee schedule,,344.9063039,,,,fee schedule,,325.0078633,,,,fee schedule,,325.0078633,,,,fee schedule,,325.0078633,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Clinic Visits and Related Services,5012,APC,,,,,outpatient,,,,,,120.8833842,213.3961782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.73364,,,,fee schedule,,213.3961782,,,,fee schedule,,182.5585802,,,,fee schedule,,182.5585802,,,,fee schedule,,127.0509038,,,,fee schedule,,122.73364,,,,fee schedule,,125.8173998,,,,fee schedule,,127.0509038,,,,fee schedule,,128.2844077,,,,fee schedule,,127.0509038,,,,fee schedule,,128.2844077,,,,fee schedule,,130.1346636,,,,fee schedule,,120.8833842,,,,fee schedule,,124.5838959,,,,fee schedule,,127.0509038,,,,fee schedule,,127.0509038,,,,fee schedule,,128.2844077,,,,fee schedule,,120.8833842,,,,fee schedule,,120.8833842,,,,fee schedule,,120.8833842,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Type A ED Visits,5021,APC,,,,,outpatient,,,,,,81.18718115,143.320228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.42984209,,,,fee schedule,,143.320228,,,,fee schedule,,122.6092124,,,,fee schedule,,122.6092124,,,,fee schedule,,85.32938427,,,,fee schedule,,82.42984209,,,,fee schedule,,84.50094365,,,,fee schedule,,85.32938427,,,,fee schedule,,86.1578249,,,,fee schedule,,85.32938427,,,,fee schedule,,86.1578249,,,,fee schedule,,87.40048583,,,,fee schedule,,81.18718115,,,,fee schedule,,83.67250302,,,,fee schedule,,85.32938427,,,,fee schedule,,85.32938427,,,,fee schedule,,86.1578249,,,,fee schedule,,81.18718115,,,,fee schedule,,81.18718115,,,,fee schedule,,81.18718115,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Type A ED Visits,5022,APC,,,,,outpatient,,,,,,149.5613954,264.021647,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.8506005,,,,fee schedule,,264.021647,,,,fee schedule,,225.8682298,,,,fee schedule,,225.8682298,,,,fee schedule,,157.1920789,,,,fee schedule,,151.8506005,,,,fee schedule,,155.6659422,,,,fee schedule,,157.1920789,,,,fee schedule,,158.7182156,,,,fee schedule,,157.1920789,,,,fee schedule,,158.7182156,,,,fee schedule,,161.0074206,,,,fee schedule,,149.5613954,,,,fee schedule,,154.1398055,,,,fee schedule,,157.1920789,,,,fee schedule,,157.1920789,,,,fee schedule,,158.7182156,,,,fee schedule,,149.5613954,,,,fee schedule,,149.5613954,,,,fee schedule,,149.5613954,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Type A ED Visits,5023,APC,,,,,outpatient,,,,,,260.9142357,460.5934977,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,264.9078209,,,,fee schedule,,460.5934977,,,,fee schedule,,394.0337437,,,,fee schedule,,394.0337437,,,,fee schedule,,274.2261865,,,,fee schedule,,264.9078209,,,,fee schedule,,271.5637963,,,,fee schedule,,274.2261865,,,,fee schedule,,276.8885766,,,,fee schedule,,274.2261865,,,,fee schedule,,276.8885766,,,,fee schedule,,280.8821619,,,,fee schedule,,260.9142357,,,,fee schedule,,268.9014062,,,,fee schedule,,274.2261865,,,,fee schedule,,274.2261865,,,,fee schedule,,276.8885766,,,,fee schedule,,260.9142357,,,,fee schedule,,260.9142357,,,,fee schedule,,260.9142357,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Type A ED Visits,5024,APC,,,,,outpatient,,,,,,405.0241216,714.9915616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,411.2234704,,,,fee schedule,,714.9915616,,,,fee schedule,,611.6690816,,,,fee schedule,,611.6690816,,,,fee schedule,,425.6886176,,,,fee schedule,,411.2234704,,,,fee schedule,,421.5557184,,,,fee schedule,,425.6886176,,,,fee schedule,,429.8215168,,,,fee schedule,,425.6886176,,,,fee schedule,,429.8215168,,,,fee schedule,,436.0208656,,,,fee schedule,,405.0241216,,,,fee schedule,,417.4228192,,,,fee schedule,,425.6886176,,,,fee schedule,,425.6886176,,,,fee schedule,,429.8215168,,,,fee schedule,,405.0241216,,,,fee schedule,,405.0241216,,,,fee schedule,,405.0241216,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Type A ED Visits,5025,APC,,,,,outpatient,,,,,,587.3713559,1036.890251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,596.3617338,,,,fee schedule,,1036.890251,,,,fee schedule,,887.0506191,,,,fee schedule,,887.0506191,,,,fee schedule,,617.3392822,,,,fee schedule,,596.3617338,,,,fee schedule,,611.3456969,,,,fee schedule,,617.3392822,,,,fee schedule,,623.3328675,,,,fee schedule,,617.3392822,,,,fee schedule,,623.3328675,,,,fee schedule,,632.3232454,,,,fee schedule,,587.3713559,,,,fee schedule,,605.3521117,,,,fee schedule,,617.3392822,,,,fee schedule,,617.3392822,,,,fee schedule,,623.3328675,,,,fee schedule,,587.3713559,,,,fee schedule,,587.3713559,,,,fee schedule,,587.3713559,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Type B ED Visits,5031,APC,,,,,outpatient,,,,,,68.59496202,121.0911064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.6448849,,,,fee schedule,,121.0911064,,,,fee schedule,,103.5923916,,,,fee schedule,,103.5923916,,,,fee schedule,,72.09470498,,,,fee schedule,,69.6448849,,,,fee schedule,,71.39475638,,,,fee schedule,,72.09470498,,,,fee schedule,,72.79465357,,,,fee schedule,,72.09470498,,,,fee schedule,,72.79465357,,,,fee schedule,,73.84457646,,,,fee schedule,,68.59496202,,,,fee schedule,,70.69480779,,,,fee schedule,,72.09470498,,,,fee schedule,,72.09470498,,,,fee schedule,,72.79465357,,,,fee schedule,,68.59496202,,,,fee schedule,,68.59496202,,,,fee schedule,,68.59496202,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Type B ED Visits,5032,APC,,,,,outpatient,,,,,,111.3816334,196.6226794,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.0864544,,,,fee schedule,,196.6226794,,,,fee schedule,,168.2089974,,,,fee schedule,,168.2089974,,,,fee schedule,,117.0643698,,,,fee schedule,,113.0864544,,,,fee schedule,,115.9278226,,,,fee schedule,,117.0643698,,,,fee schedule,,118.2009171,,,,fee schedule,,117.0643698,,,,fee schedule,,118.2009171,,,,fee schedule,,119.905738,,,,fee schedule,,111.3816334,,,,fee schedule,,114.7912753,,,,fee schedule,,117.0643698,,,,fee schedule,,117.0643698,,,,fee schedule,,118.2009171,,,,fee schedule,,111.3816334,,,,fee schedule,,111.3816334,,,,fee schedule,,111.3816334,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Type B ED Visits,5033,APC,,,,,outpatient,,,,,,182.9135002,322.8983218,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,185.7131967,,,,fee schedule,,322.8983218,,,,fee schedule,,276.2367146,,,,fee schedule,,276.2367146,,,,fee schedule,,192.2458217,,,,fee schedule,,185.7131967,,,,fee schedule,,190.3793574,,,,fee schedule,,192.2458217,,,,fee schedule,,194.112286,,,,fee schedule,,192.2458217,,,,fee schedule,,194.112286,,,,fee schedule,,196.9119824,,,,fee schedule,,182.9135002,,,,fee schedule,,188.5128931,,,,fee schedule,,192.2458217,,,,fee schedule,,192.2458217,,,,fee schedule,,194.112286,,,,fee schedule,,182.9135002,,,,fee schedule,,182.9135002,,,,fee schedule,,182.9135002,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Type B ED Visits,5034,APC,,,,,outpatient,,,,,,269.369834,475.5202172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.4928417,,,,fee schedule,,475.5202172,,,,fee schedule,,406.8034228,,,,fee schedule,,406.8034228,,,,fee schedule,,283.1131929,,,,fee schedule,,273.4928417,,,,fee schedule,,280.3645212,,,,fee schedule,,283.1131929,,,,fee schedule,,285.8618647,,,,fee schedule,,283.1131929,,,,fee schedule,,285.8618647,,,,fee schedule,,289.9848724,,,,fee schedule,,269.369834,,,,fee schedule,,277.6158494,,,,fee schedule,,283.1131929,,,,fee schedule,,283.1131929,,,,fee schedule,,285.8618647,,,,fee schedule,,269.369834,,,,fee schedule,,269.369834,,,,fee schedule,,269.369834,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Type B ED Visits,5035,APC,,,,,outpatient,,,,,,348.5606878,615.3163162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,353.8958003,,,,fee schedule,,615.3163162,,,,fee schedule,,526.3977734,,,,fee schedule,,526.3977734,,,,fee schedule,,366.3443963,,,,fee schedule,,353.8958003,,,,fee schedule,,362.7876546,,,,fee schedule,,366.3443963,,,,fee schedule,,369.901138,,,,fee schedule,,366.3443963,,,,fee schedule,,369.901138,,,,fee schedule,,375.2362506,,,,fee schedule,,348.5606878,,,,fee schedule,,359.2309129,,,,fee schedule,,366.3443963,,,,fee schedule,,366.3443963,,,,fee schedule,,369.901138,,,,fee schedule,,348.5606878,,,,fee schedule,,348.5606878,,,,fee schedule,,348.5606878,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Critical Care,5041,APC,,,,,outpatient,,,,,,811.4687069,1432.490677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,823.8891463,,,,fee schedule,,1432.490677,,,,fee schedule,,1225.483353,,,,fee schedule,,1225.483353,,,,fee schedule,,852.8701716,,,,fee schedule,,823.8891463,,,,fee schedule,,844.5898787,,,,fee schedule,,852.8701716,,,,fee schedule,,861.1504645,,,,fee schedule,,852.8701716,,,,fee schedule,,861.1504645,,,,fee schedule,,873.5709039,,,,fee schedule,,811.4687069,,,,fee schedule,,836.3095857,,,,fee schedule,,852.8701716,,,,fee schedule,,852.8701716,,,,fee schedule,,861.1504645,,,,fee schedule,,811.4687069,,,,fee schedule,,811.4687069,,,,fee schedule,,811.4687069,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Trauma Response with Critical Care,5045,APC,,,,,outpatient,,,,,,1251.994824,2210.154129,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1271.158011,,,,fee schedule,,2210.154129,,,,fee schedule,,1890.767694,,,,fee schedule,,1890.767694,,,,fee schedule,,1315.872111,,,,fee schedule,,1271.158011,,,,fee schedule,,1303.096654,,,,fee schedule,,1315.872111,,,,fee schedule,,1328.647569,,,,fee schedule,,1315.872111,,,,fee schedule,,1328.647569,,,,fee schedule,,1347.810755,,,,fee schedule,,1251.994824,,,,fee schedule,,1290.321197,,,,fee schedule,,1315.872111,,,,fee schedule,,1315.872111,,,,fee schedule,,1328.647569,,,,fee schedule,,1251.994824,,,,fee schedule,,1251.994824,,,,fee schedule,,1251.994824,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Skin Procedures,5051,APC,,,,,outpatient,,,,,,183.0766616,323.1863516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,185.8788554,,,,fee schedule,,323.1863516,,,,fee schedule,,276.4831216,,,,fee schedule,,276.4831216,,,,fee schedule,,192.4173076,,,,fee schedule,,185.8788554,,,,fee schedule,,190.5491784,,,,fee schedule,,192.4173076,,,,fee schedule,,194.2854368,,,,fee schedule,,192.4173076,,,,fee schedule,,194.2854368,,,,fee schedule,,197.0876306,,,,fee schedule,,183.0766616,,,,fee schedule,,188.6810492,,,,fee schedule,,192.4173076,,,,fee schedule,,192.4173076,,,,fee schedule,,194.2854368,,,,fee schedule,,183.0766616,,,,fee schedule,,183.0766616,,,,fee schedule,,183.0766616,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Skin Procedures,5052,APC,,,,,outpatient,,,,,,364.6368822,643.6957206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,370.2180589,,,,fee schedule,,643.6957206,,,,fee schedule,,550.6761078,,,,fee schedule,,550.6761078,,,,fee schedule,,383.2408047,,,,fee schedule,,370.2180589,,,,fee schedule,,379.5200202,,,,fee schedule,,383.2408047,,,,fee schedule,,386.9615892,,,,fee schedule,,383.2408047,,,,fee schedule,,386.9615892,,,,fee schedule,,392.542766,,,,fee schedule,,364.6368822,,,,fee schedule,,375.7992357,,,,fee schedule,,383.2408047,,,,fee schedule,,383.2408047,,,,fee schedule,,386.9615892,,,,fee schedule,,364.6368822,,,,fee schedule,,364.6368822,,,,fee schedule,,364.6368822,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Skin Procedures,5053,APC,,,,,outpatient,,,,,,574.3280435,1013.864812,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,583.1187789,,,,fee schedule,,1013.864812,,,,fee schedule,,867.3525555,,,,fee schedule,,867.3525555,,,,fee schedule,,603.6304947,,,,fee schedule,,583.1187789,,,,fee schedule,,597.7700045,,,,fee schedule,,603.6304947,,,,fee schedule,,609.490985,,,,fee schedule,,603.6304947,,,,fee schedule,,609.490985,,,,fee schedule,,618.2817203,,,,fee schedule,,574.3280435,,,,fee schedule,,591.9095142,,,,fee schedule,,603.6304947,,,,fee schedule,,603.6304947,,,,fee schedule,,609.490985,,,,fee schedule,,574.3280435,,,,fee schedule,,574.3280435,,,,fee schedule,,574.3280435,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Skin Procedures,5054,APC,,,,,outpatient,,,,,,1667.634033,2943.884569,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1693.159044,,,,fee schedule,,2943.884569,,,,fee schedule,,2518.467724,,,,fee schedule,,2518.467724,,,,fee schedule,,1752.717402,,,,fee schedule,,1693.159044,,,,fee schedule,,1735.700728,,,,fee schedule,,1752.717402,,,,fee schedule,,1769.734076,,,,fee schedule,,1752.717402,,,,fee schedule,,1769.734076,,,,fee schedule,,1795.259087,,,,fee schedule,,1667.634033,,,,fee schedule,,1718.684055,,,,fee schedule,,1752.717402,,,,fee schedule,,1752.717402,,,,fee schedule,,1769.734076,,,,fee schedule,,1667.634033,,,,fee schedule,,1667.634033,,,,fee schedule,,1667.634033,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Skin Procedures,5055,APC,,,,,outpatient,,,,,,3280.752971,5791.533307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3330.968578,,,,fee schedule,,5791.533307,,,,fee schedule,,4954.606528,,,,fee schedule,,4954.606528,,,,fee schedule,,3448.138327,,,,fee schedule,,3330.968578,,,,fee schedule,,3414.661256,,,,fee schedule,,3448.138327,,,,fee schedule,,3481.615398,,,,fee schedule,,3448.138327,,,,fee schedule,,3481.615398,,,,fee schedule,,3531.831005,,,,fee schedule,,3280.752971,,,,fee schedule,,3381.184185,,,,fee schedule,,3448.138327,,,,fee schedule,,3448.138327,,,,fee schedule,,3481.615398,,,,fee schedule,,3280.752971,,,,fee schedule,,3280.752971,,,,fee schedule,,3280.752971,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Hyperbaric Oxygen,5061,APC,,,,,outpatient,,,,,,126.8915619,224.0024511,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.8337797,,,,fee schedule,,224.0024511,,,,fee schedule,,191.6321547,,,,fee schedule,,191.6321547,,,,fee schedule,,133.3656212,,,,fee schedule,,128.8337797,,,,fee schedule,,132.0708093,,,,fee schedule,,133.3656212,,,,fee schedule,,134.660433,,,,fee schedule,,133.3656212,,,,fee schedule,,134.660433,,,,fee schedule,,136.6026508,,,,fee schedule,,126.8915619,,,,fee schedule,,130.7759975,,,,fee schedule,,133.3656212,,,,fee schedule,,133.3656212,,,,fee schedule,,134.660433,,,,fee schedule,,126.8915619,,,,fee schedule,,126.8915619,,,,fee schedule,,126.8915619,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Excision/ Biopsy/ Incision and Drainage,5071,APC,,,,,outpatient,,,,,,643.3932942,1135.786121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,653.2411508,,,,fee schedule,,1135.786121,,,,fee schedule,,971.655179,,,,fee schedule,,971.655179,,,,fee schedule,,676.2194827,,,,fee schedule,,653.2411508,,,,fee schedule,,669.654245,,,,fee schedule,,676.2194827,,,,fee schedule,,682.7847204,,,,fee schedule,,676.2194827,,,,fee schedule,,682.7847204,,,,fee schedule,,692.6325769,,,,fee schedule,,643.3932942,,,,fee schedule,,663.0890073,,,,fee schedule,,676.2194827,,,,fee schedule,,676.2194827,,,,fee schedule,,682.7847204,,,,fee schedule,,643.3932942,,,,fee schedule,,643.3932942,,,,fee schedule,,643.3932942,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Excision/ Biopsy/ Incision and Drainage,5072,APC,,,,,outpatient,,,,,,1482.609033,2617.258803,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1505.302028,,,,fee schedule,,2617.258803,,,,fee schedule,,2239.042213,,,,fee schedule,,2239.042213,,,,fee schedule,,1558.252351,,,,fee schedule,,1505.302028,,,,fee schedule,,1543.123687,,,,fee schedule,,1558.252351,,,,fee schedule,,1573.381014,,,,fee schedule,,1558.252351,,,,fee schedule,,1573.381014,,,,fee schedule,,1596.07401,,,,fee schedule,,1482.609033,,,,fee schedule,,1527.995024,,,,fee schedule,,1558.252351,,,,fee schedule,,1558.252351,,,,fee schedule,,1573.381014,,,,fee schedule,,1482.609033,,,,fee schedule,,1482.609033,,,,fee schedule,,1482.609033,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Excision/ Biopsy/ Incision and Drainage,5073,APC,,,,,outpatient,,,,,,2598.44089,4587.043612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2638.212945,,,,fee schedule,,4587.043612,,,,fee schedule,,3924.176038,,,,fee schedule,,3924.176038,,,,fee schedule,,2731.014405,,,,fee schedule,,2638.212945,,,,fee schedule,,2704.499702,,,,fee schedule,,2731.014405,,,,fee schedule,,2757.529108,,,,fee schedule,,2731.014405,,,,fee schedule,,2757.529108,,,,fee schedule,,2797.301162,,,,fee schedule,,2598.44089,,,,fee schedule,,2677.984999,,,,fee schedule,,2731.014405,,,,fee schedule,,2731.014405,,,,fee schedule,,2757.529108,,,,fee schedule,,2598.44089,,,,fee schedule,,2598.44089,,,,fee schedule,,2598.44089,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Breast/Lymphatic Surgery and Related Procedures,5091,APC,,,,,outpatient,,,,,,3485.693257,6153.315648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3539.045705,,,,fee schedule,,6153.315648,,,,fee schedule,,5264.108185,,,,fee schedule,,5264.108185,,,,fee schedule,,3663.53475,,,,fee schedule,,3539.045705,,,,fee schedule,,3627.966451,,,,fee schedule,,3663.53475,,,,fee schedule,,3699.103049,,,,fee schedule,,3663.53475,,,,fee schedule,,3699.103049,,,,fee schedule,,3752.455496,,,,fee schedule,,3485.693257,,,,fee schedule,,3592.398153,,,,fee schedule,,3663.53475,,,,fee schedule,,3663.53475,,,,fee schedule,,3699.103049,,,,fee schedule,,3485.693257,,,,fee schedule,,3485.693257,,,,fee schedule,,3485.693257,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Breast/Lymphatic Surgery and Related Procedures,5092,APC,,,,,outpatient,,,,,,5963.298752,10527.0478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6054.573733,,,,fee schedule,,10527.0478,,,,fee schedule,,9005.798115,,,,fee schedule,,9005.798115,,,,fee schedule,,6267.548688,,,,fee schedule,,6054.573733,,,,fee schedule,,6206.698701,,,,fee schedule,,6267.548688,,,,fee schedule,,6328.398675,,,,fee schedule,,6267.548688,,,,fee schedule,,6328.398675,,,,fee schedule,,6419.673656,,,,fee schedule,,5963.298752,,,,fee schedule,,6145.848714,,,,fee schedule,,6267.548688,,,,fee schedule,,6267.548688,,,,fee schedule,,6328.398675,,,,fee schedule,,5963.298752,,,,fee schedule,,5963.298752,,,,fee schedule,,5963.298752,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Breast/Lymphatic Surgery and Related Procedures,5093,APC,,,,,outpatient,,,,,,8620.314576,15217.4941,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8752.258166,,,,fee schedule,,15217.4941,,,,fee schedule,,13018.43426,,,,fee schedule,,13018.43426,,,,fee schedule,,9060.126544,,,,fee schedule,,8752.258166,,,,fee schedule,,8972.16415,,,,fee schedule,,9060.126544,,,,fee schedule,,9148.088938,,,,fee schedule,,9060.126544,,,,fee schedule,,9148.088938,,,,fee schedule,,9280.032528,,,,fee schedule,,8620.314576,,,,fee schedule,,8884.201757,,,,fee schedule,,9060.126544,,,,fee schedule,,9060.126544,,,,fee schedule,,9148.088938,,,,fee schedule,,8620.314576,,,,fee schedule,,8620.314576,,,,fee schedule,,8620.314576,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Breast/Lymphatic Surgery and Related Procedures,5094,APC,,,,,outpatient,,,,,,16114.59491,28447.19305,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16361.24687,,,,fee schedule,,28447.19305,,,,fee schedule,,24336.32701,,,,fee schedule,,24336.32701,,,,fee schedule,,16936.76812,,,,fee schedule,,16361.24687,,,,fee schedule,,16772.33348,,,,fee schedule,,16936.76812,,,,fee schedule,,17101.20276,,,,fee schedule,,16936.76812,,,,fee schedule,,17101.20276,,,,fee schedule,,17347.85472,,,,fee schedule,,16114.59491,,,,fee schedule,,16607.89884,,,,fee schedule,,16936.76812,,,,fee schedule,,16936.76812,,,,fee schedule,,17101.20276,,,,fee schedule,,16114.59491,,,,fee schedule,,16114.59491,,,,fee schedule,,16114.59491,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Strapping and Cast Application,5101,APC,,,,,outpatient,,,,,,144.0906905,254.3641781,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.2961602,,,,fee schedule,,254.3641781,,,,fee schedule,,217.6063489,,,,fee schedule,,217.6063489,,,,fee schedule,,151.4422563,,,,fee schedule,,146.2961602,,,,fee schedule,,149.9719431,,,,fee schedule,,151.4422563,,,,fee schedule,,152.9125695,,,,fee schedule,,151.4422563,,,,fee schedule,,152.9125695,,,,fee schedule,,155.1180392,,,,fee schedule,,144.0906905,,,,fee schedule,,148.50163,,,,fee schedule,,151.4422563,,,,fee schedule,,151.4422563,,,,fee schedule,,152.9125695,,,,fee schedule,,144.0906905,,,,fee schedule,,144.0906905,,,,fee schedule,,144.0906905,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Strapping and Cast Application,5102,APC,,,,,outpatient,,,,,,245.5866641,433.5356417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,249.3456436,,,,fee schedule,,433.5356417,,,,fee schedule,,370.8859825,,,,fee schedule,,370.8859825,,,,fee schedule,,258.1165959,,,,fee schedule,,249.3456436,,,,fee schedule,,255.6106095,,,,fee schedule,,258.1165959,,,,fee schedule,,260.6225823,,,,fee schedule,,258.1165959,,,,fee schedule,,260.6225823,,,,fee schedule,,264.3815618,,,,fee schedule,,245.5866641,,,,fee schedule,,253.1046232,,,,fee schedule,,258.1165959,,,,fee schedule,,258.1165959,,,,fee schedule,,260.6225823,,,,fee schedule,,245.5866641,,,,fee schedule,,245.5866641,,,,fee schedule,,245.5866641,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Musculoskeletal Procedures,5111,APC,,,,,outpatient,,,,,,215.6513504,380.6906492,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.9521364,,,,fee schedule,,380.6906492,,,,fee schedule,,325.6775496,,,,fee schedule,,325.6775496,,,,fee schedule,,226.6539704,,,,fee schedule,,218.9521364,,,,fee schedule,,224.4534464,,,,fee schedule,,226.6539704,,,,fee schedule,,228.8544943,,,,fee schedule,,226.6539704,,,,fee schedule,,228.8544943,,,,fee schedule,,232.1552803,,,,fee schedule,,215.6513504,,,,fee schedule,,222.2529224,,,,fee schedule,,226.6539704,,,,fee schedule,,226.6539704,,,,fee schedule,,228.8544943,,,,fee schedule,,215.6513504,,,,fee schedule,,215.6513504,,,,fee schedule,,215.6513504,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Musculoskeletal Procedures,5112,APC,,,,,outpatient,,,,,,1469.728882,2594.521393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1492.224732,,,,fee schedule,,2594.521393,,,,fee schedule,,2219.590556,,,,fee schedule,,2219.590556,,,,fee schedule,,1544.715049,,,,fee schedule,,1492.224732,,,,fee schedule,,1529.717816,,,,fee schedule,,1544.715049,,,,fee schedule,,1559.712283,,,,fee schedule,,1544.715049,,,,fee schedule,,1559.712283,,,,fee schedule,,1582.208133,,,,fee schedule,,1469.728882,,,,fee schedule,,1514.720582,,,,fee schedule,,1544.715049,,,,fee schedule,,1544.715049,,,,fee schedule,,1559.712283,,,,fee schedule,,1469.728882,,,,fee schedule,,1469.728882,,,,fee schedule,,1469.728882,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Musculoskeletal Procedures,5113,APC,,,,,outpatient,,,,,,2959.968108,5225.249824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3005.273743,,,,fee schedule,,5225.249824,,,,fee schedule,,4470.155919,,,,fee schedule,,4470.155919,,,,fee schedule,,3110.986889,,,,fee schedule,,3005.273743,,,,fee schedule,,3080.783133,,,,fee schedule,,3110.986889,,,,fee schedule,,3141.190646,,,,fee schedule,,3110.986889,,,,fee schedule,,3141.190646,,,,fee schedule,,3186.49628,,,,fee schedule,,2959.968108,,,,fee schedule,,3050.579377,,,,fee schedule,,3110.986889,,,,fee schedule,,3110.986889,,,,fee schedule,,3141.190646,,,,fee schedule,,2959.968108,,,,fee schedule,,2959.968108,,,,fee schedule,,2959.968108,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Musculoskeletal Procedures,5114,APC,,,,,outpatient,,,,,,6542.12813,11548.85884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6642.262744,,,,fee schedule,,11548.85884,,,,fee schedule,,9879.948604,,,,fee schedule,,9879.948604,,,,fee schedule,,6875.910177,,,,fee schedule,,6642.262744,,,,fee schedule,,6809.153768,,,,fee schedule,,6875.910177,,,,fee schedule,,6942.666587,,,,fee schedule,,6875.910177,,,,fee schedule,,6942.666587,,,,fee schedule,,7042.801201,,,,fee schedule,,6542.12813,,,,fee schedule,,6742.397358,,,,fee schedule,,6875.910177,,,,fee schedule,,6875.910177,,,,fee schedule,,6942.666587,,,,fee schedule,,6542.12813,,,,fee schedule,,6542.12813,,,,fee schedule,,6542.12813,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Musculoskeletal Procedures,5115,APC,,,,,outpatient,,,,,,12035.37815,21246.12674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12219.59312,,,,fee schedule,,21246.12674,,,,fee schedule,,18175.87721,,,,fee schedule,,18175.87721,,,,fee schedule,,12649.42806,,,,fee schedule,,12219.59312,,,,fee schedule,,12526.61808,,,,fee schedule,,12649.42806,,,,fee schedule,,12772.23804,,,,fee schedule,,12649.42806,,,,fee schedule,,12772.23804,,,,fee schedule,,12956.45301,,,,fee schedule,,12035.37815,,,,fee schedule,,12403.8081,,,,fee schedule,,12649.42806,,,,fee schedule,,12649.42806,,,,fee schedule,,12772.23804,,,,fee schedule,,12035.37815,,,,fee schedule,,12035.37815,,,,fee schedule,,12035.37815,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 6 Musculoskeletal Procedures,5116,APC,,,,,outpatient,,,,,,17041.99457,30084.33736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17302.84143,,,,fee schedule,,30084.33736,,,,fee schedule,,25736.88976,,,,fee schedule,,25736.88976,,,,fee schedule,,17911.48409,,,,fee schedule,,17302.84143,,,,fee schedule,,17737.58619,,,,fee schedule,,17911.48409,,,,fee schedule,,18085.382,,,,fee schedule,,17911.48409,,,,fee schedule,,18085.382,,,,fee schedule,,18346.22885,,,,fee schedule,,17041.99457,,,,fee schedule,,17563.68828,,,,fee schedule,,17911.48409,,,,fee schedule,,17911.48409,,,,fee schedule,,18085.382,,,,fee schedule,,17041.99457,,,,fee schedule,,17041.99457,,,,fee schedule,,17041.99457,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Airway Endoscopy,5151,APC,,,,,outpatient,,,,,,181.1379205,319.7638801,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183.9104397,,,,fee schedule,,319.7638801,,,,fee schedule,,273.5552269,,,,fee schedule,,273.5552269,,,,fee schedule,,190.3796512,,,,fee schedule,,183.9104397,,,,fee schedule,,188.5313051,,,,fee schedule,,190.3796512,,,,fee schedule,,192.2279973,,,,fee schedule,,190.3796512,,,,fee schedule,,192.2279973,,,,fee schedule,,195.0005165,,,,fee schedule,,181.1379205,,,,fee schedule,,186.6829589,,,,fee schedule,,190.3796512,,,,fee schedule,,190.3796512,,,,fee schedule,,192.2279973,,,,fee schedule,,181.1379205,,,,fee schedule,,181.1379205,,,,fee schedule,,181.1379205,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Airway Endoscopy,5152,APC,,,,,outpatient,,,,,,373.3996078,659.1646138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,379.114908,,,,fee schedule,,659.1646138,,,,fee schedule,,563.9096118,,,,fee schedule,,563.9096118,,,,fee schedule,,392.4506082,,,,fee schedule,,379.114908,,,,fee schedule,,388.6404082,,,,fee schedule,,392.4506082,,,,fee schedule,,396.2608083,,,,fee schedule,,392.4506082,,,,fee schedule,,396.2608083,,,,fee schedule,,401.9761084,,,,fee schedule,,373.3996078,,,,fee schedule,,384.8302081,,,,fee schedule,,392.4506082,,,,fee schedule,,392.4506082,,,,fee schedule,,396.2608083,,,,fee schedule,,373.3996078,,,,fee schedule,,373.3996078,,,,fee schedule,,373.3996078,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Airway Endoscopy,5153,APC,,,,,outpatient,,,,,,1552.086986,2739.908659,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1575.843419,,,,fee schedule,,2739.908659,,,,fee schedule,,2343.968101,,,,fee schedule,,2343.968101,,,,fee schedule,,1631.275097,,,,fee schedule,,1575.843419,,,,fee schedule,,1615.437475,,,,fee schedule,,1631.275097,,,,fee schedule,,1647.11272,,,,fee schedule,,1631.275097,,,,fee schedule,,1647.11272,,,,fee schedule,,1670.869153,,,,fee schedule,,1552.086986,,,,fee schedule,,1599.599853,,,,fee schedule,,1631.275097,,,,fee schedule,,1631.275097,,,,fee schedule,,1647.11272,,,,fee schedule,,1552.086986,,,,fee schedule,,1552.086986,,,,fee schedule,,1552.086986,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Airway Endoscopy,5154,APC,,,,,outpatient,,,,,,3424.517339,6045.321425,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3476.933421,,,,fee schedule,,6045.321425,,,,fee schedule,,5171.720063,,,,fee schedule,,5171.720063,,,,fee schedule,,3599.237611,,,,fee schedule,,3476.933421,,,,fee schedule,,3564.293557,,,,fee schedule,,3599.237611,,,,fee schedule,,3634.181666,,,,fee schedule,,3599.237611,,,,fee schedule,,3634.181666,,,,fee schedule,,3686.597748,,,,fee schedule,,3424.517339,,,,fee schedule,,3529.349502,,,,fee schedule,,3599.237611,,,,fee schedule,,3599.237611,,,,fee schedule,,3634.181666,,,,fee schedule,,3424.517339,,,,fee schedule,,3424.517339,,,,fee schedule,,3424.517339,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Airway Endoscopy,5155,APC,,,,,outpatient,,,,,,6258.860786,11048.80526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6354.659675,,,,fee schedule,,11048.80526,,,,fee schedule,,9452.157105,,,,fee schedule,,9452.157105,,,,fee schedule,,6578.190418,,,,fee schedule,,6354.659675,,,,fee schedule,,6514.324491,,,,fee schedule,,6578.190418,,,,fee schedule,,6642.056344,,,,fee schedule,,6578.190418,,,,fee schedule,,6642.056344,,,,fee schedule,,6737.855234,,,,fee schedule,,6258.860786,,,,fee schedule,,6450.458565,,,,fee schedule,,6578.190418,,,,fee schedule,,6578.190418,,,,fee schedule,,6642.056344,,,,fee schedule,,6258.860786,,,,fee schedule,,6258.860786,,,,fee schedule,,6258.860786,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 ENT Procedures,5161,APC,,,,,outpatient,,,,,,223.3679237,394.3127633,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.7868205,,,,fee schedule,,394.3127633,,,,fee schedule,,337.3311501,,,,fee schedule,,337.3311501,,,,fee schedule,,234.7642464,,,,fee schedule,,226.7868205,,,,fee schedule,,232.4849819,,,,fee schedule,,234.7642464,,,,fee schedule,,237.0435109,,,,fee schedule,,234.7642464,,,,fee schedule,,237.0435109,,,,fee schedule,,240.4624077,,,,fee schedule,,223.3679237,,,,fee schedule,,230.2057173,,,,fee schedule,,234.7642464,,,,fee schedule,,234.7642464,,,,fee schedule,,237.0435109,,,,fee schedule,,223.3679237,,,,fee schedule,,223.3679237,,,,fee schedule,,223.3679237,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 ENT Procedures,5162,APC,,,,,outpatient,,,,,,503.1416949,888.1991145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,510.8428433,,,,fee schedule,,888.1991145,,,,fee schedule,,759.8466413,,,,fee schedule,,759.8466413,,,,fee schedule,,528.8121896,,,,fee schedule,,510.8428433,,,,fee schedule,,523.6780907,,,,fee schedule,,528.8121896,,,,fee schedule,,533.9462885,,,,fee schedule,,528.8121896,,,,fee schedule,,533.9462885,,,,fee schedule,,541.6474369,,,,fee schedule,,503.1416949,,,,fee schedule,,518.5439917,,,,fee schedule,,528.8121896,,,,fee schedule,,528.8121896,,,,fee schedule,,533.9462885,,,,fee schedule,,503.1416949,,,,fee schedule,,503.1416949,,,,fee schedule,,503.1416949,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 ENT Procedures,5163,APC,,,,,outpatient,,,,,,1394.597867,2461.892153,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1415.943753,,,,fee schedule,,2461.892153,,,,fee schedule,,2106.127391,,,,fee schedule,,2106.127391,,,,fee schedule,,1465.750819,,,,fee schedule,,1415.943753,,,,fee schedule,,1451.520229,,,,fee schedule,,1465.750819,,,,fee schedule,,1479.98141,,,,fee schedule,,1465.750819,,,,fee schedule,,1479.98141,,,,fee schedule,,1501.327296,,,,fee schedule,,1394.597867,,,,fee schedule,,1437.289638,,,,fee schedule,,1465.750819,,,,fee schedule,,1465.750819,,,,fee schedule,,1479.98141,,,,fee schedule,,1394.597867,,,,fee schedule,,1394.597867,,,,fee schedule,,1394.597867,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 ENT Procedures,5164,APC,,,,,outpatient,,,,,,2944.218237,5197.446479,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2989.282802,,,,fee schedule,,5197.446479,,,,fee schedule,,4446.370398,,,,fee schedule,,4446.370398,,,,fee schedule,,3094.433453,,,,fee schedule,,2989.282802,,,,fee schedule,,3064.39041,,,,fee schedule,,3094.433453,,,,fee schedule,,3124.476496,,,,fee schedule,,3094.433453,,,,fee schedule,,3124.476496,,,,fee schedule,,3169.541061,,,,fee schedule,,2944.218237,,,,fee schedule,,3034.347366,,,,fee schedule,,3094.433453,,,,fee schedule,,3094.433453,,,,fee schedule,,3124.476496,,,,fee schedule,,2944.218237,,,,fee schedule,,2944.218237,,,,fee schedule,,2944.218237,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 ENT Procedures,5165,APC,,,,,outpatient,,,,,,5355.25389,9453.662479,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5437.222062,,,,fee schedule,,9453.662479,,,,fee schedule,,8087.526283,,,,fee schedule,,8087.526283,,,,fee schedule,,5628.481129,,,,fee schedule,,5437.222062,,,,fee schedule,,5573.835681,,,,fee schedule,,5628.481129,,,,fee schedule,,5683.126577,,,,fee schedule,,5628.481129,,,,fee schedule,,5683.126577,,,,fee schedule,,5765.094749,,,,fee schedule,,5355.25389,,,,fee schedule,,5519.190233,,,,fee schedule,,5628.481129,,,,fee schedule,,5628.481129,,,,fee schedule,,5683.126577,,,,fee schedule,,5355.25389,,,,fee schedule,,5355.25389,,,,fee schedule,,5355.25389,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cochlear Implant Procedure,5166,APC,,,,,outpatient,,,,,,30666.08464,54135.02697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31135.46349,,,,fee schedule,,54135.02697,,,,fee schedule,,46312.04619,,,,fee schedule,,46312.04619,,,,fee schedule,,32230.6808,,,,fee schedule,,31135.46349,,,,fee schedule,,31917.76157,,,,fee schedule,,32230.6808,,,,fee schedule,,32543.60003,,,,fee schedule,,32230.6808,,,,fee schedule,,32543.60003,,,,fee schedule,,33012.97887,,,,fee schedule,,30666.08464,,,,fee schedule,,31604.84234,,,,fee schedule,,32230.6808,,,,fee schedule,,32230.6808,,,,fee schedule,,32543.60003,,,,fee schedule,,30666.08464,,,,fee schedule,,30666.08464,,,,fee schedule,,30666.08464,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Vascular Procedures,5181,APC,,,,,outpatient,,,,,,574.4720094,1014.118955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,583.2649484,,,,fee schedule,,1014.118955,,,,fee schedule,,867.5699734,,,,fee schedule,,867.5699734,,,,fee schedule,,603.7818058,,,,fee schedule,,583.2649484,,,,fee schedule,,597.9198466,,,,fee schedule,,603.7818058,,,,fee schedule,,609.6437651,,,,fee schedule,,603.7818058,,,,fee schedule,,609.6437651,,,,fee schedule,,618.436704,,,,fee schedule,,574.4720094,,,,fee schedule,,592.0578873,,,,fee schedule,,603.7818058,,,,fee schedule,,603.7818058,,,,fee schedule,,609.6437651,,,,fee schedule,,574.4720094,,,,fee schedule,,574.4720094,,,,fee schedule,,574.4720094,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Vascular Procedures,5182,APC,,,,,outpatient,,,,,,1464.546109,2585.372212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1486.962631,,,,fee schedule,,2585.372212,,,,fee schedule,,2211.763511,,,,fee schedule,,2211.763511,,,,fee schedule,,1539.267849,,,,fee schedule,,1486.962631,,,,fee schedule,,1524.323501,,,,fee schedule,,1539.267849,,,,fee schedule,,1554.212197,,,,fee schedule,,1539.267849,,,,fee schedule,,1554.212197,,,,fee schedule,,1576.628719,,,,fee schedule,,1464.546109,,,,fee schedule,,1509.379153,,,,fee schedule,,1539.267849,,,,fee schedule,,1539.267849,,,,fee schedule,,1554.212197,,,,fee schedule,,1464.546109,,,,fee schedule,,1464.546109,,,,fee schedule,,1464.546109,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Vascular Procedures,5183,APC,,,,,outpatient,,,,,,2914.839591,5145.584177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2959.454483,,,,fee schedule,,5145.584177,,,,fee schedule,,4402.002648,,,,fee schedule,,4402.002648,,,,fee schedule,,3063.555897,,,,fee schedule,,2959.454483,,,,fee schedule,,3033.812636,,,,fee schedule,,3063.555897,,,,fee schedule,,3093.299158,,,,fee schedule,,3063.555897,,,,fee schedule,,3093.299158,,,,fee schedule,,3137.91405,,,,fee schedule,,2914.839591,,,,fee schedule,,3004.069375,,,,fee schedule,,3063.555897,,,,fee schedule,,3063.555897,,,,fee schedule,,3093.299158,,,,fee schedule,,2914.839591,,,,fee schedule,,2914.839591,,,,fee schedule,,2914.839591,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Vascular Procedures,5184,APC,,,,,outpatient,,,,,,5025.293599,8871.181557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5102.211358,,,,fee schedule,,8871.181557,,,,fee schedule,,7589.218905,,,,fee schedule,,7589.218905,,,,fee schedule,,5281.68613,,,,fee schedule,,5102.211358,,,,fee schedule,,5230.407623,,,,fee schedule,,5281.68613,,,,fee schedule,,5332.964636,,,,fee schedule,,5281.68613,,,,fee schedule,,5332.964636,,,,fee schedule,,5409.882395,,,,fee schedule,,5025.293599,,,,fee schedule,,5179.129117,,,,fee schedule,,5281.68613,,,,fee schedule,,5281.68613,,,,fee schedule,,5332.964636,,,,fee schedule,,5025.293599,,,,fee schedule,,5025.293599,,,,fee schedule,,5025.293599,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Endovascular Procedures,5191,APC,,,,,outpatient,,,,,,2979.835405,5260.321685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3025.445131,,,,fee schedule,,5260.321685,,,,fee schedule,,4500.159592,,,,fee schedule,,4500.159592,,,,fee schedule,,3131.867824,,,,fee schedule,,3025.445131,,,,fee schedule,,3101.46134,,,,fee schedule,,3131.867824,,,,fee schedule,,3162.274308,,,,fee schedule,,3131.867824,,,,fee schedule,,3162.274308,,,,fee schedule,,3207.884033,,,,fee schedule,,2979.835405,,,,fee schedule,,3071.054857,,,,fee schedule,,3131.867824,,,,fee schedule,,3131.867824,,,,fee schedule,,3162.274308,,,,fee schedule,,2979.835405,,,,fee schedule,,2979.835405,,,,fee schedule,,2979.835405,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Endovascular Procedures,5192,APC,,,,,outpatient,,,,,,5226.769105,9226.847502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5306.770673,,,,fee schedule,,9226.847502,,,,fee schedule,,7893.488036,,,,fee schedule,,7893.488036,,,,fee schedule,,5493.440998,,,,fee schedule,,5306.770673,,,,fee schedule,,5440.10662,,,,fee schedule,,5493.440998,,,,fee schedule,,5546.775377,,,,fee schedule,,5493.440998,,,,fee schedule,,5546.775377,,,,fee schedule,,5626.776945,,,,fee schedule,,5226.769105,,,,fee schedule,,5386.772241,,,,fee schedule,,5493.440998,,,,fee schedule,,5493.440998,,,,fee schedule,,5546.775377,,,,fee schedule,,5226.769105,,,,fee schedule,,5226.769105,,,,fee schedule,,5226.769105,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Endovascular Procedures,5193,APC,,,,,outpatient,,,,,,10060.15613,17759.25521,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10214.13811,,,,fee schedule,,17759.25521,,,,fee schedule,,15192.88885,,,,fee schedule,,15192.88885,,,,fee schedule,,10573.4294,,,,fee schedule,,10214.13811,,,,fee schedule,,10470.77475,,,,fee schedule,,10573.4294,,,,fee schedule,,10676.08406,,,,fee schedule,,10573.4294,,,,fee schedule,,10676.08406,,,,fee schedule,,10830.06604,,,,fee schedule,,10060.15613,,,,fee schedule,,10368.1201,,,,fee schedule,,10573.4294,,,,fee schedule,,10573.4294,,,,fee schedule,,10676.08406,,,,fee schedule,,10060.15613,,,,fee schedule,,10060.15613,,,,fee schedule,,10060.15613,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Endovascular Procedures,5194,APC,,,,,outpatient,,,,,,16035.2217,28307.07504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16280.65877,,,,fee schedule,,28307.07504,,,,fee schedule,,24216.45726,,,,fee schedule,,24216.45726,,,,fee schedule,,16853.34526,,,,fee schedule,,16280.65877,,,,fee schedule,,16689.72054,,,,fee schedule,,16853.34526,,,,fee schedule,,17016.96997,,,,fee schedule,,16853.34526,,,,fee schedule,,17016.96997,,,,fee schedule,,17262.40703,,,,fee schedule,,16035.2217,,,,fee schedule,,16526.09583,,,,fee schedule,,16853.34526,,,,fee schedule,,16853.34526,,,,fee schedule,,17016.96997,,,,fee schedule,,16035.2217,,,,fee schedule,,16035.2217,,,,fee schedule,,16035.2217,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Implantation Wireless PA Pressure Monitor,5200,APC,,,,,outpatient,,,,,,26578.47947,46919.15254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26985.29293,,,,fee schedule,,46919.15254,,,,fee schedule,,40138.92818,,,,fee schedule,,40138.92818,,,,fee schedule,,27934.52434,,,,fee schedule,,26985.29293,,,,fee schedule,,27663.31537,,,,fee schedule,,27934.52434,,,,fee schedule,,28205.73332,,,,fee schedule,,27934.52434,,,,fee schedule,,28205.73332,,,,fee schedule,,28612.54678,,,,fee schedule,,26578.47947,,,,fee schedule,,27392.10639,,,,fee schedule,,27934.52434,,,,fee schedule,,27934.52434,,,,fee schedule,,28205.73332,,,,fee schedule,,26578.47947,,,,fee schedule,,26578.47947,,,,fee schedule,,26578.47947,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Electrophysiologic Procedures,5211,APC,,,,,outpatient,,,,,,1088.334367,1921.243321,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1104.992546,,,,fee schedule,,1921.243321,,,,fee schedule,,1643.607003,,,,fee schedule,,1643.607003,,,,fee schedule,,1143.86163,,,,fee schedule,,1104.992546,,,,fee schedule,,1132.756177,,,,fee schedule,,1143.86163,,,,fee schedule,,1154.967083,,,,fee schedule,,1143.86163,,,,fee schedule,,1154.967083,,,,fee schedule,,1171.625262,,,,fee schedule,,1088.334367,,,,fee schedule,,1121.650725,,,,fee schedule,,1143.86163,,,,fee schedule,,1143.86163,,,,fee schedule,,1154.967083,,,,fee schedule,,1088.334367,,,,fee schedule,,1088.334367,,,,fee schedule,,1088.334367,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Electrophysiologic Procedures,5212,APC,,,,,outpatient,,,,,,6829.378531,12055.94373,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6933.909835,,,,fee schedule,,12055.94373,,,,fee schedule,,10313.75533,,,,fee schedule,,10313.75533,,,,fee schedule,,7177.816211,,,,fee schedule,,6933.909835,,,,fee schedule,,7108.128675,,,,fee schedule,,7177.816211,,,,fee schedule,,7247.503747,,,,fee schedule,,7177.816211,,,,fee schedule,,7247.503747,,,,fee schedule,,7352.035051,,,,fee schedule,,6829.378531,,,,fee schedule,,7038.441139,,,,fee schedule,,7177.816211,,,,fee schedule,,7177.816211,,,,fee schedule,,7247.503747,,,,fee schedule,,6829.378531,,,,fee schedule,,6829.378531,,,,fee schedule,,6829.378531,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Electrophysiologic Procedures,5213,APC,,,,,outpatient,,,,,,21718.88105,38340.47369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22051.3129,,,,fee schedule,,38340.47369,,,,fee schedule,,32799.94281,,,,fee schedule,,32799.94281,,,,fee schedule,,22826.98722,,,,fee schedule,,22051.3129,,,,fee schedule,,22605.36599,,,,fee schedule,,22826.98722,,,,fee schedule,,23048.60846,,,,fee schedule,,22826.98722,,,,fee schedule,,23048.60846,,,,fee schedule,,23381.04031,,,,fee schedule,,21718.88105,,,,fee schedule,,22383.74475,,,,fee schedule,,22826.98722,,,,fee schedule,,22826.98722,,,,fee schedule,,23048.60846,,,,fee schedule,,21718.88105,,,,fee schedule,,21718.88105,,,,fee schedule,,21718.88105,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Pacemaker and Similar Procedures,5221,APC,,,,,outpatient,,,,,,3591.105104,6339.399826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3646.070998,,,,fee schedule,,6339.399826,,,,fee schedule,,5423.301586,,,,fee schedule,,5423.301586,,,,fee schedule,,3774.324752,,,,fee schedule,,3646.070998,,,,fee schedule,,3737.680822,,,,fee schedule,,3774.324752,,,,fee schedule,,3810.968682,,,,fee schedule,,3774.324752,,,,fee schedule,,3810.968682,,,,fee schedule,,3865.934576,,,,fee schedule,,3591.105104,,,,fee schedule,,3701.036893,,,,fee schedule,,3774.324752,,,,fee schedule,,3774.324752,,,,fee schedule,,3810.968682,,,,fee schedule,,3591.105104,,,,fee schedule,,3591.105104,,,,fee schedule,,3591.105104,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Pacemaker and Similar Procedures,5222,APC,,,,,outpatient,,,,,,7768.986505,13714.63944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7887.899563,,,,fee schedule,,13714.63944,,,,fee schedule,,11732.75513,,,,fee schedule,,11732.75513,,,,fee schedule,,8165.363367,,,,fee schedule,,7887.899563,,,,fee schedule,,8086.087995,,,,fee schedule,,8165.363367,,,,fee schedule,,8244.63874,,,,fee schedule,,8165.363367,,,,fee schedule,,8244.63874,,,,fee schedule,,8363.551798,,,,fee schedule,,7768.986505,,,,fee schedule,,8006.812622,,,,fee schedule,,8165.363367,,,,fee schedule,,8165.363367,,,,fee schedule,,8244.63874,,,,fee schedule,,7768.986505,,,,fee schedule,,7768.986505,,,,fee schedule,,7768.986505,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Pacemaker and Similar Procedures,5223,APC,,,,,outpatient,,,,,,9764.882031,17238.00603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9914.344511,,,,fee schedule,,17238.00603,,,,fee schedule,,14746.9647,,,,fee schedule,,14746.9647,,,,fee schedule,,10263.0903,,,,fee schedule,,9914.344511,,,,fee schedule,,10163.44864,,,,fee schedule,,10263.0903,,,,fee schedule,,10362.73195,,,,fee schedule,,10263.0903,,,,fee schedule,,10362.73195,,,,fee schedule,,10512.19443,,,,fee schedule,,9764.882031,,,,fee schedule,,10063.80699,,,,fee schedule,,10263.0903,,,,fee schedule,,10263.0903,,,,fee schedule,,10362.73195,,,,fee schedule,,9764.882031,,,,fee schedule,,9764.882031,,,,fee schedule,,9764.882031,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Pacemaker and Similar Procedures,5224,APC,,,,,outpatient,,,,,,17818.51795,31455.13883,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18091.25037,,,,fee schedule,,31455.13883,,,,fee schedule,,26909.59854,,,,fee schedule,,26909.59854,,,,fee schedule,,18727.62601,,,,fee schedule,,18091.25037,,,,fee schedule,,18545.8044,,,,fee schedule,,18727.62601,,,,fee schedule,,18909.44762,,,,fee schedule,,18727.62601,,,,fee schedule,,18909.44762,,,,fee schedule,,19182.18004,,,,fee schedule,,17818.51795,,,,fee schedule,,18363.98279,,,,fee schedule,,18727.62601,,,,fee schedule,,18727.62601,,,,fee schedule,,18909.44762,,,,fee schedule,,17818.51795,,,,fee schedule,,17818.51795,,,,fee schedule,,17818.51795,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 ICD and Similar Procedures,5231,APC,,,,,outpatient,,,,,,21555.20139,38051.52899,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21885.12795,,,,fee schedule,,38051.52899,,,,fee schedule,,32552.75313,,,,fee schedule,,32552.75313,,,,fee schedule,,22654.95657,,,,fee schedule,,21885.12795,,,,fee schedule,,22435.00553,,,,fee schedule,,22654.95657,,,,fee schedule,,22874.9076,,,,fee schedule,,22654.95657,,,,fee schedule,,22874.9076,,,,fee schedule,,23204.83415,,,,fee schedule,,21555.20139,,,,fee schedule,,22215.0545,,,,fee schedule,,22654.95657,,,,fee schedule,,22654.95657,,,,fee schedule,,22874.9076,,,,fee schedule,,21555.20139,,,,fee schedule,,21555.20139,,,,fee schedule,,21555.20139,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 ICD and Similar Procedures,5232,APC,,,,,outpatient,,,,,,30085.01899,53109.26822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30545.50398,,,,fee schedule,,53109.26822,,,,fee schedule,,45434.51848,,,,fee schedule,,45434.51848,,,,fee schedule,,31619.96894,,,,fee schedule,,30545.50398,,,,fee schedule,,31312.97895,,,,fee schedule,,31619.96894,,,,fee schedule,,31926.95893,,,,fee schedule,,31619.96894,,,,fee schedule,,31926.95893,,,,fee schedule,,32387.44392,,,,fee schedule,,30085.01899,,,,fee schedule,,31005.98896,,,,fee schedule,,31619.96894,,,,fee schedule,,31619.96894,,,,fee schedule,,31926.95893,,,,fee schedule,,30085.01899,,,,fee schedule,,30085.01899,,,,fee schedule,,30085.01899,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Blood Product Exchange and Related Services,5241,APC,,,,,outpatient,,,,,,396.9716278,700.776445,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,403.0477242,,,,fee schedule,,700.776445,,,,fee schedule,,599.5081726,,,,fee schedule,,599.5081726,,,,fee schedule,,417.2252823,,,,fee schedule,,403.0477242,,,,fee schedule,,413.1745514,,,,fee schedule,,417.2252823,,,,fee schedule,,421.2760132,,,,fee schedule,,417.2252823,,,,fee schedule,,421.2760132,,,,fee schedule,,427.3521095,,,,fee schedule,,396.9716278,,,,fee schedule,,409.1238205,,,,fee schedule,,417.2252823,,,,fee schedule,,417.2252823,,,,fee schedule,,421.2760132,,,,fee schedule,,396.9716278,,,,fee schedule,,396.9716278,,,,fee schedule,,396.9716278,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Blood Product Exchange and Related Services,5242,APC,,,,,outpatient,,,,,,1403.082259,2476.869701,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1424.558007,,,,fee schedule,,2476.869701,,,,fee schedule,,2118.940554,,,,fee schedule,,2118.940554,,,,fee schedule,,1474.668088,,,,fee schedule,,1424.558007,,,,fee schedule,,1460.350922,,,,fee schedule,,1474.668088,,,,fee schedule,,1488.985254,,,,fee schedule,,1474.668088,,,,fee schedule,,1488.985254,,,,fee schedule,,1510.461003,,,,fee schedule,,1403.082259,,,,fee schedule,,1446.033756,,,,fee schedule,,1474.668088,,,,fee schedule,,1474.668088,,,,fee schedule,,1488.985254,,,,fee schedule,,1403.082259,,,,fee schedule,,1403.082259,,,,fee schedule,,1403.082259,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Blood Product Exchange and Related Services,5243,APC,,,,,outpatient,,,,,,4231.964598,7470.713015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4296.739566,,,,fee schedule,,7470.713015,,,,fee schedule,,6391.130209,,,,fee schedule,,6391.130209,,,,fee schedule,,4447.881159,,,,fee schedule,,4296.739566,,,,fee schedule,,4404.697847,,,,fee schedule,,4447.881159,,,,fee schedule,,4491.064471,,,,fee schedule,,4447.881159,,,,fee schedule,,4491.064471,,,,fee schedule,,4555.83944,,,,fee schedule,,4231.964598,,,,fee schedule,,4361.514535,,,,fee schedule,,4447.881159,,,,fee schedule,,4447.881159,,,,fee schedule,,4491.064471,,,,fee schedule,,4231.964598,,,,fee schedule,,4231.964598,,,,fee schedule,,4231.964598,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Blood Product Exchange and Related Services,5244,APC,,,,,outpatient,,,,,,49971.69377,88215.33695,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50736.56663,,,,fee schedule,,88215.33695,,,,fee schedule,,75467.45589,,,,fee schedule,,75467.45589,,,,fee schedule,,52521.26998,,,,fee schedule,,50736.56663,,,,fee schedule,,52011.35474,,,,fee schedule,,52521.26998,,,,fee schedule,,53031.18522,,,,fee schedule,,52521.26998,,,,fee schedule,,53031.18522,,,,fee schedule,,53796.05809,,,,fee schedule,,49971.69377,,,,fee schedule,,51501.43949,,,,fee schedule,,52521.26998,,,,fee schedule,,52521.26998,,,,fee schedule,,53031.18522,,,,fee schedule,,49971.69377,,,,fee schedule,,49971.69377,,,,fee schedule,,49971.69377,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Upper GI Procedures,5301,APC,,,,,outpatient,,,,,,828.9461696,1463.343748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,841.6341212,,,,fee schedule,,1463.343748,,,,fee schedule,,1251.877889,,,,fee schedule,,1251.877889,,,,fee schedule,,871.2393416,,,,fee schedule,,841.6341212,,,,fee schedule,,862.7807072,,,,fee schedule,,871.2393416,,,,fee schedule,,879.6979759,,,,fee schedule,,871.2393416,,,,fee schedule,,879.6979759,,,,fee schedule,,892.3859275,,,,fee schedule,,828.9461696,,,,fee schedule,,854.3220728,,,,fee schedule,,871.2393416,,,,fee schedule,,871.2393416,,,,fee schedule,,879.6979759,,,,fee schedule,,828.9461696,,,,fee schedule,,828.9461696,,,,fee schedule,,828.9461696,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Upper GI Procedures ,5302,APC,,,,,outpatient,,,,,,1740.058489,3071.735903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1766.692037,,,,fee schedule,,3071.735903,,,,fee schedule,,2627.843432,,,,fee schedule,,2627.843432,,,,fee schedule,,1828.836983,,,,fee schedule,,1766.692037,,,,fee schedule,,1811.081284,,,,fee schedule,,1828.836983,,,,fee schedule,,1846.592682,,,,fee schedule,,1828.836983,,,,fee schedule,,1846.592682,,,,fee schedule,,1873.22623,,,,fee schedule,,1740.058489,,,,fee schedule,,1793.325585,,,,fee schedule,,1828.836983,,,,fee schedule,,1828.836983,,,,fee schedule,,1846.592682,,,,fee schedule,,1740.058489,,,,fee schedule,,1740.058489,,,,fee schedule,,1740.058489,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Upper GI Procedures,5303,APC,,,,,outpatient,,,,,,3502.172556,6182.406655,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3555.777238,,,,fee schedule,,6182.406655,,,,fee schedule,,5288.995289,,,,fee schedule,,5288.995289,,,,fee schedule,,3680.85483,,,,fee schedule,,3555.777238,,,,fee schedule,,3645.118375,,,,fee schedule,,3680.85483,,,,fee schedule,,3716.591284,,,,fee schedule,,3680.85483,,,,fee schedule,,3716.591284,,,,fee schedule,,3770.195966,,,,fee schedule,,3502.172556,,,,fee schedule,,3609.38192,,,,fee schedule,,3680.85483,,,,fee schedule,,3680.85483,,,,fee schedule,,3716.591284,,,,fee schedule,,3502.172556,,,,fee schedule,,3502.172556,,,,fee schedule,,3502.172556,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Lower GI Procedures ,5311,APC,,,,,outpatient,,,,,,835.779752,1475.407113,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,848.5722992,,,,fee schedule,,1475.407113,,,,fee schedule,,1262.197993,,,,fee schedule,,1262.197993,,,,fee schedule,,878.421576,,,,fee schedule,,848.5722992,,,,fee schedule,,869.8932112,,,,fee schedule,,878.421576,,,,fee schedule,,886.9499409,,,,fee schedule,,878.421576,,,,fee schedule,,886.9499409,,,,fee schedule,,899.7424881,,,,fee schedule,,835.779752,,,,fee schedule,,861.3648464,,,,fee schedule,,878.421576,,,,fee schedule,,878.421576,,,,fee schedule,,886.9499409,,,,fee schedule,,835.779752,,,,fee schedule,,835.779752,,,,fee schedule,,835.779752,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Lower GI Procedures ,5312,APC,,,,,outpatient,,,,,,1079.130145,1904.995053,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1095.647444,,,,fee schedule,,1904.995053,,,,fee schedule,,1629.70675,,,,fee schedule,,1629.70675,,,,fee schedule,,1134.187806,,,,fee schedule,,1095.647444,,,,fee schedule,,1123.176274,,,,fee schedule,,1134.187806,,,,fee schedule,,1145.199338,,,,fee schedule,,1134.187806,,,,fee schedule,,1145.199338,,,,fee schedule,,1161.716636,,,,fee schedule,,1079.130145,,,,fee schedule,,1112.164742,,,,fee schedule,,1134.187806,,,,fee schedule,,1134.187806,,,,fee schedule,,1145.199338,,,,fee schedule,,1079.130145,,,,fee schedule,,1079.130145,,,,fee schedule,,1079.130145,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Lower GI Procedures ,5313,APC,,,,,outpatient,,,,,,2567.622585,4532.63987,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2606.922931,,,,fee schedule,,4532.63987,,,,fee schedule,,3877.634109,,,,fee schedule,,3877.634109,,,,fee schedule,,2698.623738,,,,fee schedule,,2606.922931,,,,fee schedule,,2672.423507,,,,fee schedule,,2698.623738,,,,fee schedule,,2724.823968,,,,fee schedule,,2698.623738,,,,fee schedule,,2724.823968,,,,fee schedule,,2764.124314,,,,fee schedule,,2567.622585,,,,fee schedule,,2646.223277,,,,fee schedule,,2698.623738,,,,fee schedule,,2698.623738,,,,fee schedule,,2724.823968,,,,fee schedule,,2567.622585,,,,fee schedule,,2567.622585,,,,fee schedule,,2567.622585,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Complex GI Procedures,5331,APC,,,,,outpatient,,,,,,5211.748661,9200.33182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5291.520324,,,,fee schedule,,9200.33182,,,,fee schedule,,7870.8041,,,,fee schedule,,7870.8041,,,,fee schedule,,5477.654205,,,,fee schedule,,5291.520324,,,,fee schedule,,5424.473096,,,,fee schedule,,5477.654205,,,,fee schedule,,5530.835314,,,,fee schedule,,5477.654205,,,,fee schedule,,5530.835314,,,,fee schedule,,5610.606977,,,,fee schedule,,5211.748661,,,,fee schedule,,5371.291987,,,,fee schedule,,5477.654205,,,,fee schedule,,5477.654205,,,,fee schedule,,5530.835314,,,,fee schedule,,5211.748661,,,,fee schedule,,5211.748661,,,,fee schedule,,5211.748661,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,5341,APC,,,,,outpatient,,,,,,3163.737472,5584.965128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3212.162025,,,,fee schedule,,5584.965128,,,,fee schedule,,4777.889243,,,,fee schedule,,4777.889243,,,,fee schedule,,3325.152649,,,,fee schedule,,3212.162025,,,,fee schedule,,3292.869613,,,,fee schedule,,3325.152649,,,,fee schedule,,3357.435684,,,,fee schedule,,3325.152649,,,,fee schedule,,3357.435684,,,,fee schedule,,3405.860237,,,,fee schedule,,3163.737472,,,,fee schedule,,3260.586578,,,,fee schedule,,3325.152649,,,,fee schedule,,3325.152649,,,,fee schedule,,3357.435684,,,,fee schedule,,3163.737472,,,,fee schedule,,3163.737472,,,,fee schedule,,3163.737472,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,5342,APC,,,,,outpatient,,,,,,6918.435849,12213.15716,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7024.330276,,,,fee schedule,,12213.15716,,,,fee schedule,,10448.25006,,,,fee schedule,,10448.25006,,,,fee schedule,,7271.41727,,,,fee schedule,,7024.330276,,,,fee schedule,,7200.820986,,,,fee schedule,,7271.41727,,,,fee schedule,,7342.013554,,,,fee schedule,,7271.41727,,,,fee schedule,,7342.013554,,,,fee schedule,,7447.907981,,,,fee schedule,,6918.435849,,,,fee schedule,,7130.224702,,,,fee schedule,,7271.41727,,,,fee schedule,,7271.41727,,,,fee schedule,,7342.013554,,,,fee schedule,,6918.435849,,,,fee schedule,,6918.435849,,,,fee schedule,,6918.435849,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Laparoscopy and Related Services,5361,APC,,,,,outpatient,,,,,,5276.437348,9314.527154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5357.199144,,,,fee schedule,,9314.527154,,,,fee schedule,,7968.497219,,,,fee schedule,,7968.497219,,,,fee schedule,,5545.643335,,,,fee schedule,,5357.199144,,,,fee schedule,,5491.802137,,,,fee schedule,,5545.643335,,,,fee schedule,,5599.484532,,,,fee schedule,,5545.643335,,,,fee schedule,,5599.484532,,,,fee schedule,,5680.246328,,,,fee schedule,,5276.437348,,,,fee schedule,,5437.96094,,,,fee schedule,,5545.643335,,,,fee schedule,,5545.643335,,,,fee schedule,,5599.484532,,,,fee schedule,,5276.437348,,,,fee schedule,,5276.437348,,,,fee schedule,,5276.437348,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Laparoscopy and Related Services,5362,APC,,,,,outpatient,,,,,,9413.221277,16617.21715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9557.301194,,,,fee schedule,,16617.21715,,,,fee schedule,,14215.88519,,,,fee schedule,,14215.88519,,,,fee schedule,,9893.487669,,,,fee schedule,,9557.301194,,,,fee schedule,,9797.43439,,,,fee schedule,,9893.487669,,,,fee schedule,,9989.540947,,,,fee schedule,,9893.487669,,,,fee schedule,,9989.540947,,,,fee schedule,,10133.62086,,,,fee schedule,,9413.221277,,,,fee schedule,,9701.381112,,,,fee schedule,,9893.487669,,,,fee schedule,,9893.487669,,,,fee schedule,,9989.540947,,,,fee schedule,,9413.221277,,,,fee schedule,,9413.221277,,,,fee schedule,,9413.221277,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Urology and Related Services,5371,APC,,,,,outpatient,,,,,,226.0072989,398.9720685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,229.4665943,,,,fee schedule,,398.9720685,,,,fee schedule,,341.3171453,,,,fee schedule,,341.3171453,,,,fee schedule,,237.5382836,,,,fee schedule,,229.4665943,,,,fee schedule,,235.2320867,,,,fee schedule,,237.5382836,,,,fee schedule,,239.8444805,,,,fee schedule,,237.5382836,,,,fee schedule,,239.8444805,,,,fee schedule,,243.3037759,,,,fee schedule,,226.0072989,,,,fee schedule,,232.9258897,,,,fee schedule,,237.5382836,,,,fee schedule,,237.5382836,,,,fee schedule,,239.8444805,,,,fee schedule,,226.0072989,,,,fee schedule,,226.0072989,,,,fee schedule,,226.0072989,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Urology and Related Services,5372,APC,,,,,outpatient,,,,,,624.6777246,1102.747412,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,634.2391184,,,,fee schedule,,1102.747412,,,,fee schedule,,943.3908494,,,,fee schedule,,943.3908494,,,,fee schedule,,656.5490371,,,,fee schedule,,634.2391184,,,,fee schedule,,650.1747746,,,,fee schedule,,656.5490371,,,,fee schedule,,662.9232996,,,,fee schedule,,656.5490371,,,,fee schedule,,662.9232996,,,,fee schedule,,672.4846933,,,,fee schedule,,624.6777246,,,,fee schedule,,643.8005121,,,,fee schedule,,656.5490371,,,,fee schedule,,656.5490371,,,,fee schedule,,662.9232996,,,,fee schedule,,624.6777246,,,,fee schedule,,624.6777246,,,,fee schedule,,624.6777246,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Urology and Related Services,5373,APC,,,,,outpatient,,,,,,1862.592682,3288.046265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1891.101754,,,,fee schedule,,3288.046265,,,,fee schedule,,2812.895071,,,,fee schedule,,2812.895071,,,,fee schedule,,1957.622921,,,,fee schedule,,1891.101754,,,,fee schedule,,1938.616873,,,,fee schedule,,1957.622921,,,,fee schedule,,1976.628969,,,,fee schedule,,1957.622921,,,,fee schedule,,1976.628969,,,,fee schedule,,2005.13804,,,,fee schedule,,1862.592682,,,,fee schedule,,1919.610825,,,,fee schedule,,1957.622921,,,,fee schedule,,1957.622921,,,,fee schedule,,1976.628969,,,,fee schedule,,1862.592682,,,,fee schedule,,1862.592682,,,,fee schedule,,1862.592682,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Urology and Related Services,5374,APC,,,,,outpatient,,,,,,3187.962137,5627.729079,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3236.757476,,,,fee schedule,,5627.729079,,,,fee schedule,,4814.473431,,,,fee schedule,,4814.473431,,,,fee schedule,,3350.613266,,,,fee schedule,,3236.757476,,,,fee schedule,,3318.083041,,,,fee schedule,,3350.613266,,,,fee schedule,,3383.143492,,,,fee schedule,,3350.613266,,,,fee schedule,,3383.143492,,,,fee schedule,,3431.938831,,,,fee schedule,,3187.962137,,,,fee schedule,,3285.552815,,,,fee schedule,,3350.613266,,,,fee schedule,,3350.613266,,,,fee schedule,,3383.143492,,,,fee schedule,,3187.962137,,,,fee schedule,,3187.962137,,,,fee schedule,,3187.962137,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Urology and Related Services,5375,APC,,,,,outpatient,,,,,,4731.756686,8352.999047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4804.181533,,,,fee schedule,,8352.999047,,,,fee schedule,,7145.91826,,,,fee schedule,,7145.91826,,,,fee schedule,,4973.172843,,,,fee schedule,,4804.181533,,,,fee schedule,,4924.889612,,,,fee schedule,,4973.172843,,,,fee schedule,,5021.456075,,,,fee schedule,,4973.172843,,,,fee schedule,,5021.456075,,,,fee schedule,,5093.880922,,,,fee schedule,,4731.756686,,,,fee schedule,,4876.60638,,,,fee schedule,,4973.172843,,,,fee schedule,,4973.172843,,,,fee schedule,,5021.456075,,,,fee schedule,,4731.756686,,,,fee schedule,,4731.756686,,,,fee schedule,,4731.756686,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 6 Urology and Related Services,5376,APC,,,,,outpatient,,,,,,8424.319372,14871.50257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8553.263036,,,,fee schedule,,14871.50257,,,,fee schedule,,12722.4415,,,,fee schedule,,12722.4415,,,,fee schedule,,8854.131585,,,,fee schedule,,8553.263036,,,,fee schedule,,8768.169143,,,,fee schedule,,8854.131585,,,,fee schedule,,8940.094028,,,,fee schedule,,8854.131585,,,,fee schedule,,8940.094028,,,,fee schedule,,9069.037692,,,,fee schedule,,8424.319372,,,,fee schedule,,8682.2067,,,,fee schedule,,8854.131585,,,,fee schedule,,8854.131585,,,,fee schedule,,8940.094028,,,,fee schedule,,8424.319372,,,,fee schedule,,8424.319372,,,,fee schedule,,8424.319372,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 7 Urology and Related Services,5377,APC,,,,,outpatient,,,,,,11738.81796,20722.60721,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11918.49374,,,,fee schedule,,20722.60721,,,,fee schedule,,17728.01079,,,,fee schedule,,17728.01079,,,,fee schedule,,12337.73724,,,,fee schedule,,11918.49374,,,,fee schedule,,12217.95338,,,,fee schedule,,12337.73724,,,,fee schedule,,12457.5211,,,,fee schedule,,12337.73724,,,,fee schedule,,12457.5211,,,,fee schedule,,12637.19688,,,,fee schedule,,11738.81796,,,,fee schedule,,12098.16953,,,,fee schedule,,12337.73724,,,,fee schedule,,12337.73724,,,,fee schedule,,12457.5211,,,,fee schedule,,11738.81796,,,,fee schedule,,11738.81796,,,,fee schedule,,11738.81796,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 8 Urology and Related Services,5378,APC,,,,,outpatient,,,,,,18446.35333,32563.46047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18728.69547,,,,fee schedule,,32563.46047,,,,fee schedule,,27857.75809,,,,fee schedule,,27857.75809,,,,fee schedule,,19387.49381,,,,fee schedule,,18728.69547,,,,fee schedule,,19199.26571,,,,fee schedule,,19387.49381,,,,fee schedule,,19575.7219,,,,fee schedule,,19387.49381,,,,fee schedule,,19575.7219,,,,fee schedule,,19858.06404,,,,fee schedule,,18446.35333,,,,fee schedule,,19011.03762,,,,fee schedule,,19387.49381,,,,fee schedule,,19387.49381,,,,fee schedule,,19575.7219,,,,fee schedule,,18446.35333,,,,fee schedule,,18446.35333,,,,fee schedule,,18446.35333,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Dialysis,5401,APC,,,,,outpatient,,,,,,639.026328,1128.077089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,648.8073432,,,,fee schedule,,1128.077089,,,,fee schedule,,965.0601688,,,,fee schedule,,965.0601688,,,,fee schedule,,671.629712,,,,fee schedule,,648.8073432,,,,fee schedule,,665.1090352,,,,fee schedule,,671.629712,,,,fee schedule,,678.1503889,,,,fee schedule,,671.629712,,,,fee schedule,,678.1503889,,,,fee schedule,,687.9314041,,,,fee schedule,,639.026328,,,,fee schedule,,658.5883584,,,,fee schedule,,671.629712,,,,fee schedule,,671.629712,,,,fee schedule,,678.1503889,,,,fee schedule,,639.026328,,,,fee schedule,,639.026328,,,,fee schedule,,639.026328,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Gynecologic Procedures,5411,APC,,,,,outpatient,,,,,,182.2224638,321.678431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,185.0115832,,,,fee schedule,,321.678431,,,,fee schedule,,275.1931086,,,,fee schedule,,275.1931086,,,,fee schedule,,191.5195283,,,,fee schedule,,185.0115832,,,,fee schedule,,189.6601154,,,,fee schedule,,191.5195283,,,,fee schedule,,193.3789412,,,,fee schedule,,191.5195283,,,,fee schedule,,193.3789412,,,,fee schedule,,196.1680605,,,,fee schedule,,182.2224638,,,,fee schedule,,187.8007025,,,,fee schedule,,191.5195283,,,,fee schedule,,191.5195283,,,,fee schedule,,193.3789412,,,,fee schedule,,182.2224638,,,,fee schedule,,182.2224638,,,,fee schedule,,182.2224638,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Gynecologic Procedures,5412,APC,,,,,outpatient,,,,,,293.364154,517.8775372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,297.8544217,,,,fee schedule,,517.8775372,,,,fee schedule,,443.0397428,,,,fee schedule,,443.0397428,,,,fee schedule,,308.3317129,,,,fee schedule,,297.8544217,,,,fee schedule,,305.3382012,,,,fee schedule,,308.3317129,,,,fee schedule,,311.3252247,,,,fee schedule,,308.3317129,,,,fee schedule,,311.3252247,,,,fee schedule,,315.8154924,,,,fee schedule,,293.364154,,,,fee schedule,,302.3446894,,,,fee schedule,,308.3317129,,,,fee schedule,,308.3317129,,,,fee schedule,,311.3252247,,,,fee schedule,,293.364154,,,,fee schedule,,293.364154,,,,fee schedule,,293.364154,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Gynecologic Procedures,5413,APC,,,,,outpatient,,,,,,735.1475739,1297.760513,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,746.3998327,,,,fee schedule,,1297.760513,,,,fee schedule,,1110.222867,,,,fee schedule,,1110.222867,,,,fee schedule,,772.6551032,,,,fee schedule,,746.3998327,,,,fee schedule,,765.1535973,,,,fee schedule,,772.6551032,,,,fee schedule,,780.156609,,,,fee schedule,,772.6551032,,,,fee schedule,,780.156609,,,,fee schedule,,791.4088678,,,,fee schedule,,735.1475739,,,,fee schedule,,757.6520915,,,,fee schedule,,772.6551032,,,,fee schedule,,772.6551032,,,,fee schedule,,780.156609,,,,fee schedule,,735.1475739,,,,fee schedule,,735.1475739,,,,fee schedule,,735.1475739,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Gynecologic Procedures,5414,APC,,,,,outpatient,,,,,,2858.942423,5046.908564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2902.701746,,,,fee schedule,,5046.908564,,,,fee schedule,,4317.586517,,,,fee schedule,,4317.586517,,,,fee schedule,,3004.806833,,,,fee schedule,,2902.701746,,,,fee schedule,,2975.633951,,,,fee schedule,,3004.806833,,,,fee schedule,,3033.979715,,,,fee schedule,,3004.806833,,,,fee schedule,,3033.979715,,,,fee schedule,,3077.739037,,,,fee schedule,,2858.942423,,,,fee schedule,,2946.461069,,,,fee schedule,,3004.806833,,,,fee schedule,,3004.806833,,,,fee schedule,,3033.979715,,,,fee schedule,,2858.942423,,,,fee schedule,,2858.942423,,,,fee schedule,,2858.942423,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Gynecologic Procedures,5415,APC,,,,,outpatient,,,,,,4548.459276,8029.423008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4618.078551,,,,fee schedule,,8029.423008,,,,fee schedule,,6869.101764,,,,fee schedule,,6869.101764,,,,fee schedule,,4780.523525,,,,fee schedule,,4618.078551,,,,fee schedule,,4734.110676,,,,fee schedule,,4780.523525,,,,fee schedule,,4826.936375,,,,fee schedule,,4780.523525,,,,fee schedule,,4826.936375,,,,fee schedule,,4896.55565,,,,fee schedule,,4548.459276,,,,fee schedule,,4687.697826,,,,fee schedule,,4780.523525,,,,fee schedule,,4780.523525,,,,fee schedule,,4826.936375,,,,fee schedule,,4548.459276,,,,fee schedule,,4548.459276,,,,fee schedule,,4548.459276,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 6 Gynecologic Procedures,5416,APC,,,,,outpatient,,,,,,6910.172205,12198.5693,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7015.940147,,,,fee schedule,,12198.5693,,,,fee schedule,,10435.77027,,,,fee schedule,,10435.77027,,,,fee schedule,,7262.732012,,,,fee schedule,,7015.940147,,,,fee schedule,,7192.220051,,,,fee schedule,,7262.732012,,,,fee schedule,,7333.243973,,,,fee schedule,,7262.732012,,,,fee schedule,,7333.243973,,,,fee schedule,,7439.011915,,,,fee schedule,,6910.172205,,,,fee schedule,,7121.708089,,,,fee schedule,,7262.732012,,,,fee schedule,,7262.732012,,,,fee schedule,,7333.243973,,,,fee schedule,,6910.172205,,,,fee schedule,,6910.172205,,,,fee schedule,,6910.172205,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Nerve Procedures,5431,APC,,,,,outpatient,,,,,,1765.626836,3116.871864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1792.651737,,,,fee schedule,,3116.871864,,,,fee schedule,,2666.456854,,,,fee schedule,,2666.456854,,,,fee schedule,,1855.709838,,,,fee schedule,,1792.651737,,,,fee schedule,,1837.693238,,,,fee schedule,,1855.709838,,,,fee schedule,,1873.726438,,,,fee schedule,,1855.709838,,,,fee schedule,,1873.726438,,,,fee schedule,,1900.751339,,,,fee schedule,,1765.626836,,,,fee schedule,,1819.676637,,,,fee schedule,,1855.709838,,,,fee schedule,,1855.709838,,,,fee schedule,,1873.726438,,,,fee schedule,,1765.626836,,,,fee schedule,,1765.626836,,,,fee schedule,,1765.626836,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Nerve Procedures,5432,APC,,,,,outpatient,,,,,,6091.649168,10753.62557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6184.888697,,,,fee schedule,,10753.62557,,,,fee schedule,,9199.633438,,,,fee schedule,,9199.633438,,,,fee schedule,,6402.447595,,,,fee schedule,,6184.888697,,,,fee schedule,,6340.28791,,,,fee schedule,,6402.447595,,,,fee schedule,,6464.607281,,,,fee schedule,,6402.447595,,,,fee schedule,,6464.607281,,,,fee schedule,,6557.846809,,,,fee schedule,,6091.649168,,,,fee schedule,,6278.128225,,,,fee schedule,,6402.447595,,,,fee schedule,,6402.447595,,,,fee schedule,,6464.607281,,,,fee schedule,,6091.649168,,,,fee schedule,,6091.649168,,,,fee schedule,,6091.649168,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Nerve Injections,5441,APC,,,,,outpatient,,,,,,270.8478842,478.1294282,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,274.993515,,,,fee schedule,,478.1294282,,,,fee schedule,,409.0355802,,,,fee schedule,,409.0355802,,,,fee schedule,,284.6666538,,,,fee schedule,,274.993515,,,,fee schedule,,281.9028998,,,,fee schedule,,284.6666538,,,,fee schedule,,287.4304077,,,,fee schedule,,284.6666538,,,,fee schedule,,287.4304077,,,,fee schedule,,291.5760386,,,,fee schedule,,270.8478842,,,,fee schedule,,279.1391459,,,,fee schedule,,284.6666538,,,,fee schedule,,284.6666538,,,,fee schedule,,287.4304077,,,,fee schedule,,270.8478842,,,,fee schedule,,270.8478842,,,,fee schedule,,270.8478842,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Nerve Injections,5442,APC,,,,,outpatient,,,,,,632.3942979,1116.369526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,642.0738025,,,,fee schedule,,1116.369526,,,,fee schedule,,955.0444499,,,,fee schedule,,955.0444499,,,,fee schedule,,664.6593131,,,,fee schedule,,642.0738025,,,,fee schedule,,658.2063101,,,,fee schedule,,664.6593131,,,,fee schedule,,671.1123162,,,,fee schedule,,664.6593131,,,,fee schedule,,671.1123162,,,,fee schedule,,680.7918207,,,,fee schedule,,632.3942979,,,,fee schedule,,651.753307,,,,fee schedule,,664.6593131,,,,fee schedule,,664.6593131,,,,fee schedule,,671.1123162,,,,fee schedule,,632.3942979,,,,fee schedule,,632.3942979,,,,fee schedule,,632.3942979,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Nerve Injections,5443,APC,,,,,outpatient,,,,,,833.5146882,1471.408582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,846.272566,,,,fee schedule,,1471.408582,,,,fee schedule,,1258.777284,,,,fee schedule,,1258.777284,,,,fee schedule,,876.0409478,,,,fee schedule,,846.272566,,,,fee schedule,,867.5356958,,,,fee schedule,,876.0409478,,,,fee schedule,,884.5461997,,,,fee schedule,,876.0409478,,,,fee schedule,,884.5461997,,,,fee schedule,,897.3040776,,,,fee schedule,,833.5146882,,,,fee schedule,,859.0304439,,,,fee schedule,,876.0409478,,,,fee schedule,,876.0409478,,,,fee schedule,,884.5461997,,,,fee schedule,,833.5146882,,,,fee schedule,,833.5146882,,,,fee schedule,,833.5146882,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Neurostimulator and Related Procedures,5461,APC,,,,,outpatient,,,,,,3111.48744,5492.727828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3159.112248,,,,fee schedule,,5492.727828,,,,fee schedule,,4698.981032,,,,fee schedule,,4698.981032,,,,fee schedule,,3270.2368,,,,fee schedule,,3159.112248,,,,fee schedule,,3238.486928,,,,fee schedule,,3270.2368,,,,fee schedule,,3301.986671,,,,fee schedule,,3270.2368,,,,fee schedule,,3301.986671,,,,fee schedule,,3349.611479,,,,fee schedule,,3111.48744,,,,fee schedule,,3206.737056,,,,fee schedule,,3270.2368,,,,fee schedule,,3270.2368,,,,fee schedule,,3301.986671,,,,fee schedule,,3111.48744,,,,fee schedule,,3111.48744,,,,fee schedule,,3111.48744,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Neurostimulator and Related Procedures,5462,APC,,,,,outpatient,,,,,,6254.148301,11040.48629,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6349.875061,,,,fee schedule,,11040.48629,,,,fee schedule,,9445.040292,,,,fee schedule,,9445.040292,,,,fee schedule,,6573.2375,,,,fee schedule,,6349.875061,,,,fee schedule,,6509.41966,,,,fee schedule,,6573.2375,,,,fee schedule,,6637.05534,,,,fee schedule,,6573.2375,,,,fee schedule,,6637.05534,,,,fee schedule,,6732.7821,,,,fee schedule,,6254.148301,,,,fee schedule,,6445.601821,,,,fee schedule,,6573.2375,,,,fee schedule,,6573.2375,,,,fee schedule,,6637.05534,,,,fee schedule,,6254.148301,,,,fee schedule,,6254.148301,,,,fee schedule,,6254.148301,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Neurostimulator and Related Procedures,5463,APC,,,,,outpatient,,,,,,12456.84318,21990.14154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12647.50915,,,,fee schedule,,21990.14154,,,,fee schedule,,18812.37542,,,,fee schedule,,18812.37542,,,,fee schedule,,13092.39641,,,,fee schedule,,12647.50915,,,,fee schedule,,12965.28576,,,,fee schedule,,13092.39641,,,,fee schedule,,13219.50705,,,,fee schedule,,13092.39641,,,,fee schedule,,13219.50705,,,,fee schedule,,13410.17302,,,,fee schedule,,12456.84318,,,,fee schedule,,12838.17512,,,,fee schedule,,13092.39641,,,,fee schedule,,13092.39641,,,,fee schedule,,13219.50705,,,,fee schedule,,12456.84318,,,,fee schedule,,12456.84318,,,,fee schedule,,12456.84318,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Neurostimulator and Related Procedures,5464,APC,,,,,outpatient,,,,,,20004.39091,35313.87374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20310.58056,,,,fee schedule,,35313.87374,,,,fee schedule,,30210.7128,,,,fee schedule,,30210.7128,,,,fee schedule,,21025.0231,,,,fee schedule,,20310.58056,,,,fee schedule,,20820.89666,,,,fee schedule,,21025.0231,,,,fee schedule,,21229.14953,,,,fee schedule,,21025.0231,,,,fee schedule,,21229.14953,,,,fee schedule,,21535.33919,,,,fee schedule,,20004.39091,,,,fee schedule,,20616.77022,,,,fee schedule,,21025.0231,,,,fee schedule,,21025.0231,,,,fee schedule,,21229.14953,,,,fee schedule,,20004.39091,,,,fee schedule,,20004.39091,,,,fee schedule,,20004.39091,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Neurostimulator and Related Procedures,5465,APC,,,,,outpatient,,,,,,28396.11639,50127.83813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28830.75083,,,,fee schedule,,50127.83813,,,,fee schedule,,42883.93088,,,,fee schedule,,42883.93088,,,,fee schedule,,29844.89784,,,,fee schedule,,28830.75083,,,,fee schedule,,29555.14155,,,,fee schedule,,29844.89784,,,,fee schedule,,30134.65413,,,,fee schedule,,29844.89784,,,,fee schedule,,30134.65413,,,,fee schedule,,30569.28857,,,,fee schedule,,28396.11639,,,,fee schedule,,29265.38526,,,,fee schedule,,29844.89784,,,,fee schedule,,29844.89784,,,,fee schedule,,30134.65413,,,,fee schedule,,28396.11639,,,,fee schedule,,28396.11639,,,,fee schedule,,28396.11639,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Implantation of Drug Infusion Device,5471,APC,,,,,outpatient,,,,,,16308.82413,28790.06709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16558.44899,,,,fee schedule,,28790.06709,,,,fee schedule,,24629.65277,,,,fee schedule,,24629.65277,,,,fee schedule,,17140.907,,,,fee schedule,,16558.44899,,,,fee schedule,,16974.49042,,,,fee schedule,,17140.907,,,,fee schedule,,17307.32357,,,,fee schedule,,17140.907,,,,fee schedule,,17307.32357,,,,fee schedule,,17556.94843,,,,fee schedule,,16308.82413,,,,fee schedule,,16808.07385,,,,fee schedule,,17140.907,,,,fee schedule,,17140.907,,,,fee schedule,,17307.32357,,,,fee schedule,,16308.82413,,,,fee schedule,,16308.82413,,,,fee schedule,,16308.82413,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Laser Eye Procedures,5481,APC,,,,,outpatient,,,,,,531.5509698,938.3501814,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,539.6869541,,,,fee schedule,,938.3501814,,,,fee schedule,,802.7504442,,,,fee schedule,,802.7504442,,,,fee schedule,,558.6709173,,,,fee schedule,,539.6869541,,,,fee schedule,,553.2469278,,,,fee schedule,,558.6709173,,,,fee schedule,,564.0949068,,,,fee schedule,,558.6709173,,,,fee schedule,,564.0949068,,,,fee schedule,,572.230891,,,,fee schedule,,531.5509698,,,,fee schedule,,547.8229383,,,,fee schedule,,558.6709173,,,,fee schedule,,558.6709173,,,,fee schedule,,564.0949068,,,,fee schedule,,531.5509698,,,,fee schedule,,531.5509698,,,,fee schedule,,531.5509698,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Intraocular Procedures,5491,APC,,,,,outpatient,,,,,,2131.031536,3761.923018,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2163.649366,,,,fee schedule,,3761.923018,,,,fee schedule,,3218.292524,,,,fee schedule,,3218.292524,,,,fee schedule,,2239.757635,,,,fee schedule,,2163.649366,,,,fee schedule,,2218.012416,,,,fee schedule,,2239.757635,,,,fee schedule,,2261.502855,,,,fee schedule,,2239.757635,,,,fee schedule,,2261.502855,,,,fee schedule,,2294.120685,,,,fee schedule,,2131.031536,,,,fee schedule,,2196.267196,,,,fee schedule,,2239.757635,,,,fee schedule,,2239.757635,,,,fee schedule,,2261.502855,,,,fee schedule,,2131.031536,,,,fee schedule,,2131.031536,,,,fee schedule,,2131.031536,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Intraocular Procedures,5492,APC,,,,,outpatient,,,,,,3718.06385,6563.520878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3774.97299,,,,fee schedule,,6563.520878,,,,fee schedule,,5615.035202,,,,fee schedule,,5615.035202,,,,fee schedule,,3907.760985,,,,fee schedule,,3774.97299,,,,fee schedule,,3869.821558,,,,fee schedule,,3907.760985,,,,fee schedule,,3945.700412,,,,fee schedule,,3907.760985,,,,fee schedule,,3945.700412,,,,fee schedule,,4002.609553,,,,fee schedule,,3718.06385,,,,fee schedule,,3831.882131,,,,fee schedule,,3907.760985,,,,fee schedule,,3907.760985,,,,fee schedule,,3945.700412,,,,fee schedule,,3718.06385,,,,fee schedule,,3718.06385,,,,fee schedule,,3718.06385,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Intraocular Procedures,5493,APC,,,,,outpatient,,,,,,4779.476589,8437.239285,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4852.631843,,,,fee schedule,,8437.239285,,,,fee schedule,,7217.985053,,,,fee schedule,,7217.985053,,,,fee schedule,,5023.327436,,,,fee schedule,,4852.631843,,,,fee schedule,,4974.557267,,,,fee schedule,,5023.327436,,,,fee schedule,,5072.097605,,,,fee schedule,,5023.327436,,,,fee schedule,,5072.097605,,,,fee schedule,,5145.252859,,,,fee schedule,,4779.476589,,,,fee schedule,,4925.787097,,,,fee schedule,,5023.327436,,,,fee schedule,,5023.327436,,,,fee schedule,,5072.097605,,,,fee schedule,,4779.476589,,,,fee schedule,,4779.476589,,,,fee schedule,,4779.476589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Intraocular Procedures,5494,APC,,,,,outpatient,,,,,,11336.76913,20012.86795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11510.29111,,,,fee schedule,,20012.86795,,,,fee schedule,,17120.83501,,,,fee schedule,,17120.83501,,,,fee schedule,,11915.17572,,,,fee schedule,,11510.29111,,,,fee schedule,,11799.4944,,,,fee schedule,,11915.17572,,,,fee schedule,,12030.85704,,,,fee schedule,,11915.17572,,,,fee schedule,,12030.85704,,,,fee schedule,,12204.37901,,,,fee schedule,,11336.76913,,,,fee schedule,,11683.81308,,,,fee schedule,,11915.17572,,,,fee schedule,,11915.17572,,,,fee schedule,,12030.85704,,,,fee schedule,,11336.76913,,,,fee schedule,,11336.76913,,,,fee schedule,,11336.76913,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Intraocular Procedures,5495,APC,,,,,outpatient,,,,,,14433.46647,25479.48673,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14654.38688,,,,fee schedule,,25479.48673,,,,fee schedule,,21797.47998,,,,fee schedule,,21797.47998,,,,fee schedule,,15169.86782,,,,fee schedule,,14654.38688,,,,fee schedule,,15022.58755,,,,fee schedule,,15169.86782,,,,fee schedule,,15317.14809,,,,fee schedule,,15169.86782,,,,fee schedule,,15317.14809,,,,fee schedule,,15538.0685,,,,fee schedule,,14433.46647,,,,fee schedule,,14875.30728,,,,fee schedule,,15169.86782,,,,fee schedule,,15169.86782,,,,fee schedule,,15317.14809,,,,fee schedule,,14433.46647,,,,fee schedule,,14433.46647,,,,fee schedule,,14433.46647,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 6 Intraocular Procedures,5496,APC,,,,,outpatient,,,,,,15865.4187,28007.32076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16108.25674,,,,fee schedule,,28007.32076,,,,fee schedule,,23960.02007,,,,fee schedule,,23960.02007,,,,fee schedule,,16674.87883,,,,fee schedule,,16108.25674,,,,fee schedule,,16512.98681,,,,fee schedule,,16674.87883,,,,fee schedule,,16836.77086,,,,fee schedule,,16674.87883,,,,fee schedule,,16836.77086,,,,fee schedule,,17079.6089,,,,fee schedule,,15865.4187,,,,fee schedule,,16351.09478,,,,fee schedule,,16674.87883,,,,fee schedule,,16674.87883,,,,fee schedule,,16836.77086,,,,fee schedule,,15865.4187,,,,fee schedule,,15865.4187,,,,fee schedule,,15865.4187,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Level 1 Extraocular, Repair, and Plastic Eye Procedures",5501,APC,,,,,outpatient,,,,,,266.3945384,470.2679096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270.4720058,,,,fee schedule,,470.2679096,,,,fee schedule,,402.3101192,,,,fee schedule,,402.3101192,,,,fee schedule,,279.9860964,,,,fee schedule,,270.4720058,,,,fee schedule,,277.2677848,,,,fee schedule,,279.9860964,,,,fee schedule,,282.7044081,,,,fee schedule,,279.9860964,,,,fee schedule,,282.7044081,,,,fee schedule,,286.7818755,,,,fee schedule,,266.3945384,,,,fee schedule,,274.5494732,,,,fee schedule,,279.9860964,,,,fee schedule,,279.9860964,,,,fee schedule,,282.7044081,,,,fee schedule,,266.3945384,,,,fee schedule,,266.3945384,,,,fee schedule,,266.3945384,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Level 2 Extraocular, Repair, and Plastic Eye Procedures",5502,APC,,,,,outpatient,,,,,,925.8352338,1634.382607,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,940.0061812,,,,fee schedule,,1634.382607,,,,fee schedule,,1398.200149,,,,fee schedule,,1398.200149,,,,fee schedule,,973.0717253,,,,fee schedule,,940.0061812,,,,fee schedule,,963.624427,,,,fee schedule,,973.0717253,,,,fee schedule,,982.5190236,,,,fee schedule,,973.0717253,,,,fee schedule,,982.5190236,,,,fee schedule,,996.6899711,,,,fee schedule,,925.8352338,,,,fee schedule,,954.1771287,,,,fee schedule,,973.0717253,,,,fee schedule,,973.0717253,,,,fee schedule,,982.5190236,,,,fee schedule,,925.8352338,,,,fee schedule,,925.8352338,,,,fee schedule,,925.8352338,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Level 3 Extraocular, Repair, and Plastic Eye Procedures",5503,APC,,,,,outpatient,,,,,,2136.914944,3772.309033,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2169.622826,,,,fee schedule,,3772.309033,,,,fee schedule,,3227.17767,,,,fee schedule,,3227.17767,,,,fee schedule,,2245.941216,,,,fee schedule,,2169.622826,,,,fee schedule,,2224.135962,,,,fee schedule,,2245.941216,,,,fee schedule,,2267.746471,,,,fee schedule,,2245.941216,,,,fee schedule,,2267.746471,,,,fee schedule,,2300.454353,,,,fee schedule,,2136.914944,,,,fee schedule,,2202.330707,,,,fee schedule,,2245.941216,,,,fee schedule,,2245.941216,,,,fee schedule,,2267.746471,,,,fee schedule,,2136.914944,,,,fee schedule,,2136.914944,,,,fee schedule,,2136.914944,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Level 4 Extraocular, Repair, and Plastic Eye Procedures",5504,APC,,,,,outpatient,,,,,,3535.668627,6241.537474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3589.786004,,,,fee schedule,,6241.537474,,,,fee schedule,,5339.581192,,,,fee schedule,,5339.581192,,,,fee schedule,,3716.059883,,,,fee schedule,,3589.786004,,,,fee schedule,,3679.981632,,,,fee schedule,,3716.059883,,,,fee schedule,,3752.138135,,,,fee schedule,,3716.059883,,,,fee schedule,,3752.138135,,,,fee schedule,,3806.255512,,,,fee schedule,,3535.668627,,,,fee schedule,,3643.903381,,,,fee schedule,,3716.059883,,,,fee schedule,,3716.059883,,,,fee schedule,,3752.138135,,,,fee schedule,,3535.668627,,,,fee schedule,,3535.668627,,,,fee schedule,,3535.668627,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Imaging without Contrast,5521,APC,,,,,outpatient,,,,,,83.09712902,146.6918706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84.36902386,,,,fee schedule,,146.6918706,,,,fee schedule,,125.4936234,,,,fee schedule,,125.4936234,,,,fee schedule,,87.33677846,,,,fee schedule,,84.36902386,,,,fee schedule,,86.48884858,,,,fee schedule,,87.33677846,,,,fee schedule,,88.18470835,,,,fee schedule,,87.33677846,,,,fee schedule,,88.18470835,,,,fee schedule,,89.45660318,,,,fee schedule,,83.09712902,,,,fee schedule,,85.64091869,,,,fee schedule,,87.33677846,,,,fee schedule,,87.33677846,,,,fee schedule,,88.18470835,,,,fee schedule,,83.09712902,,,,fee schedule,,83.09712902,,,,fee schedule,,83.09712902,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Imaging without Contrast,5522,APC,,,,,outpatient,,,,,,100.5362008,177.4771708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.0750202,,,,fee schedule,,177.4771708,,,,fee schedule,,151.8301808,,,,fee schedule,,151.8301808,,,,fee schedule,,105.6655988,,,,fee schedule,,102.0750202,,,,fee schedule,,104.6397192,,,,fee schedule,,105.6655988,,,,fee schedule,,106.6914784,,,,fee schedule,,105.6655988,,,,fee schedule,,106.6914784,,,,fee schedule,,108.2302978,,,,fee schedule,,100.5362008,,,,fee schedule,,103.6138396,,,,fee schedule,,105.6655988,,,,fee schedule,,105.6655988,,,,fee schedule,,106.6914784,,,,fee schedule,,100.5362008,,,,fee schedule,,100.5362008,,,,fee schedule,,100.5362008,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Imaging without Contrast,5523,APC,,,,,outpatient,,,,,,224.0781556,395.56654,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,227.5079233,,,,fee schedule,,395.56654,,,,fee schedule,,338.4037452,,,,fee schedule,,338.4037452,,,,fee schedule,,235.5107146,,,,fee schedule,,227.5079233,,,,fee schedule,,233.2242028,,,,fee schedule,,235.5107146,,,,fee schedule,,237.7972264,,,,fee schedule,,235.5107146,,,,fee schedule,,237.7972264,,,,fee schedule,,241.2269941,,,,fee schedule,,224.0781556,,,,fee schedule,,230.937691,,,,fee schedule,,235.5107146,,,,fee schedule,,235.5107146,,,,fee schedule,,237.7972264,,,,fee schedule,,224.0781556,,,,fee schedule,,224.0781556,,,,fee schedule,,224.0781556,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Imaging without Contrast,5524,APC,,,,,outpatient,,,,,,504.4853769,890.5711245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,512.2070918,,,,fee schedule,,890.5711245,,,,fee schedule,,761.8758753,,,,fee schedule,,761.8758753,,,,fee schedule,,530.2244267,,,,fee schedule,,512.2070918,,,,fee schedule,,525.0766167,,,,fee schedule,,530.2244267,,,,fee schedule,,535.3722367,,,,fee schedule,,530.2244267,,,,fee schedule,,535.3722367,,,,fee schedule,,543.0939516,,,,fee schedule,,504.4853769,,,,fee schedule,,519.9288068,,,,fee schedule,,530.2244267,,,,fee schedule,,530.2244267,,,,fee schedule,,535.3722367,,,,fee schedule,,504.4853769,,,,fee schedule,,504.4853769,,,,fee schedule,,504.4853769,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Imaging with Contrast,5571,APC,,,,,outpatient,,,,,,168.0178264,296.6028976,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.5895278,,,,fee schedule,,296.6028976,,,,fee schedule,,253.7412072,,,,fee schedule,,253.7412072,,,,fee schedule,,176.5901644,,,,fee schedule,,170.5895278,,,,fee schedule,,174.8756968,,,,fee schedule,,176.5901644,,,,fee schedule,,178.3046321,,,,fee schedule,,176.5901644,,,,fee schedule,,178.3046321,,,,fee schedule,,180.8763335,,,,fee schedule,,168.0178264,,,,fee schedule,,173.1612292,,,,fee schedule,,176.5901644,,,,fee schedule,,176.5901644,,,,fee schedule,,178.3046321,,,,fee schedule,,168.0178264,,,,fee schedule,,168.0178264,,,,fee schedule,,168.0178264,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Imaging with Contrast,5572,APC,,,,,outpatient,,,,,,351.6799494,620.8227678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357.0628057,,,,fee schedule,,620.8227678,,,,fee schedule,,531.108495,,,,fee schedule,,531.108495,,,,fee schedule,,369.6228039,,,,fee schedule,,357.0628057,,,,fee schedule,,366.034233,,,,fee schedule,,369.6228039,,,,fee schedule,,373.2113748,,,,fee schedule,,369.6228039,,,,fee schedule,,373.2113748,,,,fee schedule,,378.5942312,,,,fee schedule,,351.6799494,,,,fee schedule,,362.4456621,,,,fee schedule,,369.6228039,,,,fee schedule,,369.6228039,,,,fee schedule,,373.2113748,,,,fee schedule,,351.6799494,,,,fee schedule,,351.6799494,,,,fee schedule,,351.6799494,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Imaging with Contrast,5573,APC,,,,,outpatient,,,,,,732.1914737,1292.542091,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,743.398486,,,,fee schedule,,1292.542091,,,,fee schedule,,1105.758552,,,,fee schedule,,1105.758552,,,,fee schedule,,769.5481815,,,,fee schedule,,743.398486,,,,fee schedule,,762.0768399,,,,fee schedule,,769.5481815,,,,fee schedule,,777.0195231,,,,fee schedule,,769.5481815,,,,fee schedule,,777.0195231,,,,fee schedule,,788.2265354,,,,fee schedule,,732.1914737,,,,fee schedule,,754.6054984,,,,fee schedule,,769.5481815,,,,fee schedule,,769.5481815,,,,fee schedule,,777.0195231,,,,fee schedule,,732.1914737,,,,fee schedule,,732.1914737,,,,fee schedule,,732.1914737,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Nuclear Medicine and Related Services ,5591,APC,,,,,outpatient,,,,,,377.1619172,665.8062416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,382.9348037,,,,fee schedule,,665.8062416,,,,fee schedule,,569.5914668,,,,fee schedule,,569.5914668,,,,fee schedule,,396.4048722,,,,fee schedule,,382.9348037,,,,fee schedule,,392.5562812,,,,fee schedule,,396.4048722,,,,fee schedule,,400.2534632,,,,fee schedule,,396.4048722,,,,fee schedule,,400.2534632,,,,fee schedule,,406.0263497,,,,fee schedule,,377.1619172,,,,fee schedule,,388.7076902,,,,fee schedule,,396.4048722,,,,fee schedule,,396.4048722,,,,fee schedule,,400.2534632,,,,fee schedule,,377.1619172,,,,fee schedule,,377.1619172,,,,fee schedule,,377.1619172,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Nuclear Medicine and Related Services,5592,APC,,,,,outpatient,,,,,,494.2733943,872.5438491,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501.8388034,,,,fee schedule,,872.5438491,,,,fee schedule,,746.4536975,,,,fee schedule,,746.4536975,,,,fee schedule,,519.4914246,,,,fee schedule,,501.8388034,,,,fee schedule,,514.4478185,,,,fee schedule,,519.4914246,,,,fee schedule,,524.5350307,,,,fee schedule,,519.4914246,,,,fee schedule,,524.5350307,,,,fee schedule,,532.1004398,,,,fee schedule,,494.2733943,,,,fee schedule,,509.4042125,,,,fee schedule,,519.4914246,,,,fee schedule,,519.4914246,,,,fee schedule,,524.5350307,,,,fee schedule,,494.2733943,,,,fee schedule,,494.2733943,,,,fee schedule,,494.2733943,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Nuclear Medicine and Related Services ,5593,APC,,,,,outpatient,,,,,,1298.505414,2292.259558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1318.380497,,,,fee schedule,,2292.259558,,,,fee schedule,,1961.008177,,,,fee schedule,,1961.008177,,,,fee schedule,,1364.755691,,,,fee schedule,,1318.380497,,,,fee schedule,,1351.505635,,,,fee schedule,,1364.755691,,,,fee schedule,,1378.005746,,,,fee schedule,,1364.755691,,,,fee schedule,,1378.005746,,,,fee schedule,,1397.880829,,,,fee schedule,,1298.505414,,,,fee schedule,,1338.25558,,,,fee schedule,,1364.755691,,,,fee schedule,,1364.755691,,,,fee schedule,,1378.005746,,,,fee schedule,,1298.505414,,,,fee schedule,,1298.505414,,,,fee schedule,,1298.505414,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Nuclear Medicine and Related Services,5594,APC,,,,,outpatient,,,,,,1430.637336,2525.512848,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1452.534846,,,,fee schedule,,2525.512848,,,,fee schedule,,2160.554344,,,,fee schedule,,2160.554344,,,,fee schedule,,1503.629036,,,,fee schedule,,1452.534846,,,,fee schedule,,1489.030696,,,,fee schedule,,1503.629036,,,,fee schedule,,1518.227377,,,,fee schedule,,1503.629036,,,,fee schedule,,1518.227377,,,,fee schedule,,1540.124887,,,,fee schedule,,1430.637336,,,,fee schedule,,1474.432356,,,,fee schedule,,1503.629036,,,,fee schedule,,1503.629036,,,,fee schedule,,1518.227377,,,,fee schedule,,1430.637336,,,,fee schedule,,1430.637336,,,,fee schedule,,1430.637336,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Therapeutic Radiation Treatment Preparation,5611,APC,,,,,outpatient,,,,,,124.0794276,219.0381732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125.9786025,,,,fee schedule,,219.0381732,,,,fee schedule,,187.385258,,,,fee schedule,,187.385258,,,,fee schedule,,130.4100106,,,,fee schedule,,125.9786025,,,,fee schedule,,129.143894,,,,fee schedule,,130.4100106,,,,fee schedule,,131.6761272,,,,fee schedule,,130.4100106,,,,fee schedule,,131.6761272,,,,fee schedule,,133.5753021,,,,fee schedule,,124.0794276,,,,fee schedule,,127.8777774,,,,fee schedule,,130.4100106,,,,fee schedule,,130.4100106,,,,fee schedule,,131.6761272,,,,fee schedule,,124.0794276,,,,fee schedule,,124.0794276,,,,fee schedule,,124.0794276,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Therapeutic Radiation Treatment Preparation,5612,APC,,,,,outpatient,,,,,,337.8880142,596.4757802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,343.0597696,,,,fee schedule,,596.4757802,,,,fee schedule,,510.2798582,,,,fee schedule,,510.2798582,,,,fee schedule,,355.1271986,,,,fee schedule,,343.0597696,,,,fee schedule,,351.6793618,,,,fee schedule,,355.1271986,,,,fee schedule,,358.5750355,,,,fee schedule,,355.1271986,,,,fee schedule,,358.5750355,,,,fee schedule,,363.7467908,,,,fee schedule,,337.8880142,,,,fee schedule,,348.2315249,,,,fee schedule,,355.1271986,,,,fee schedule,,355.1271986,,,,fee schedule,,358.5750355,,,,fee schedule,,337.8880142,,,,fee schedule,,337.8880142,,,,fee schedule,,337.8880142,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Therapeutic Radiation Treatment Preparation,5613,APC,,,,,outpatient,,,,,,1267.101648,2236.822297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1286.496061,,,,fee schedule,,2236.822297,,,,fee schedule,,1913.582081,,,,fee schedule,,1913.582081,,,,fee schedule,,1331.749692,,,,fee schedule,,1286.496061,,,,fee schedule,,1318.820083,,,,fee schedule,,1331.749692,,,,fee schedule,,1344.6793,,,,fee schedule,,1331.749692,,,,fee schedule,,1344.6793,,,,fee schedule,,1364.073713,,,,fee schedule,,1267.101648,,,,fee schedule,,1305.890474,,,,fee schedule,,1331.749692,,,,fee schedule,,1331.749692,,,,fee schedule,,1344.6793,,,,fee schedule,,1267.101648,,,,fee schedule,,1267.101648,,,,fee schedule,,1267.101648,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Radiation Therapy,5621,APC,,,,,outpatient,,,,,,109.6540424,193.5729524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.3324206,,,,fee schedule,,193.5729524,,,,fee schedule,,165.5999824,,,,fee schedule,,165.5999824,,,,fee schedule,,115.2486364,,,,fee schedule,,111.3324206,,,,fee schedule,,114.1297176,,,,fee schedule,,115.2486364,,,,fee schedule,,116.3675552,,,,fee schedule,,115.2486364,,,,fee schedule,,116.3675552,,,,fee schedule,,118.0459334,,,,fee schedule,,109.6540424,,,,fee schedule,,113.0107988,,,,fee schedule,,115.2486364,,,,fee schedule,,115.2486364,,,,fee schedule,,116.3675552,,,,fee schedule,,109.6540424,,,,fee schedule,,109.6540424,,,,fee schedule,,109.6540424,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Radiation Therapy,5622,APC,,,,,outpatient,,,,,,245.7594232,433.8406144,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,249.521047,,,,fee schedule,,433.8406144,,,,fee schedule,,371.146884,,,,fee schedule,,371.146884,,,,fee schedule,,258.2981692,,,,fee schedule,,249.521047,,,,fee schedule,,255.79042,,,,fee schedule,,258.2981692,,,,fee schedule,,260.8059185,,,,fee schedule,,258.2981692,,,,fee schedule,,260.8059185,,,,fee schedule,,264.5675423,,,,fee schedule,,245.7594232,,,,fee schedule,,253.2826708,,,,fee schedule,,258.2981692,,,,fee schedule,,258.2981692,,,,fee schedule,,260.8059185,,,,fee schedule,,245.7594232,,,,fee schedule,,245.7594232,,,,fee schedule,,245.7594232,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Radiation Therapy,5623,APC,,,,,outpatient,,,,,,538.3077703,950.2780027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,546.547175,,,,fee schedule,,950.2780027,,,,fee schedule,,812.9545919,,,,fee schedule,,812.9545919,,,,fee schedule,,565.7724525,,,,fee schedule,,546.547175,,,,fee schedule,,560.2795161,,,,fee schedule,,565.7724525,,,,fee schedule,,571.2653889,,,,fee schedule,,565.7724525,,,,fee schedule,,571.2653889,,,,fee schedule,,579.5047936,,,,fee schedule,,538.3077703,,,,fee schedule,,554.7865796,,,,fee schedule,,565.7724525,,,,fee schedule,,565.7724525,,,,fee schedule,,571.2653889,,,,fee schedule,,538.3077703,,,,fee schedule,,538.3077703,,,,fee schedule,,538.3077703,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Radiation Therapy,5624,APC,,,,,outpatient,,,,,,655.6495929,1157.42224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,665.6850458,,,,fee schedule,,1157.42224,,,,fee schedule,,990.1646913,,,,fee schedule,,990.1646913,,,,fee schedule,,689.1011027,,,,fee schedule,,665.6850458,,,,fee schedule,,682.4108007,,,,fee schedule,,689.1011027,,,,fee schedule,,695.7914047,,,,fee schedule,,689.1011027,,,,fee schedule,,695.7914047,,,,fee schedule,,705.8268576,,,,fee schedule,,655.6495929,,,,fee schedule,,675.7204988,,,,fee schedule,,689.1011027,,,,fee schedule,,689.1011027,,,,fee schedule,,695.7914047,,,,fee schedule,,655.6495929,,,,fee schedule,,655.6495929,,,,fee schedule,,655.6495929,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Radiation Therapy,5625,APC,,,,,outpatient,,,,,,1297.248112,2290.040034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1317.10395,,,,fee schedule,,2290.040034,,,,fee schedule,,1959.109394,,,,fee schedule,,1959.109394,,,,fee schedule,,1363.43424,,,,fee schedule,,1317.10395,,,,fee schedule,,1350.197014,,,,fee schedule,,1363.43424,,,,fee schedule,,1376.671466,,,,fee schedule,,1363.43424,,,,fee schedule,,1376.671466,,,,fee schedule,,1396.527304,,,,fee schedule,,1297.248112,,,,fee schedule,,1336.959789,,,,fee schedule,,1363.43424,,,,fee schedule,,1363.43424,,,,fee schedule,,1376.671466,,,,fee schedule,,1297.248112,,,,fee schedule,,1297.248112,,,,fee schedule,,1297.248112,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 6 Radiation Therapy,5626,APC,,,,,outpatient,,,,,,1631.728933,2880.501075,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1656.704376,,,,fee schedule,,2880.501075,,,,fee schedule,,2464.243694,,,,fee schedule,,2464.243694,,,,fee schedule,,1714.980409,,,,fee schedule,,1656.704376,,,,fee schedule,,1698.330114,,,,fee schedule,,1714.980409,,,,fee schedule,,1731.630704,,,,fee schedule,,1714.980409,,,,fee schedule,,1731.630704,,,,fee schedule,,1756.606147,,,,fee schedule,,1631.728933,,,,fee schedule,,1681.679818,,,,fee schedule,,1714.980409,,,,fee schedule,,1714.980409,,,,fee schedule,,1731.630704,,,,fee schedule,,1631.728933,,,,fee schedule,,1631.728933,,,,fee schedule,,1631.728933,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 7 Radiation Therapy,5627,APC,,,,,outpatient,,,,,,7121.168658,12571.04263,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7230.166137,,,,fee schedule,,12571.04263,,,,fee schedule,,10754.41797,,,,fee schedule,,10754.41797,,,,fee schedule,,7484.493589,,,,fee schedule,,7230.166137,,,,fee schedule,,7411.828603,,,,fee schedule,,7484.493589,,,,fee schedule,,7557.158576,,,,fee schedule,,7484.493589,,,,fee schedule,,7557.158576,,,,fee schedule,,7666.156055,,,,fee schedule,,7121.168658,,,,fee schedule,,7339.163617,,,,fee schedule,,7484.493589,,,,fee schedule,,7484.493589,,,,fee schedule,,7557.158576,,,,fee schedule,,7121.168658,,,,fee schedule,,7121.168658,,,,fee schedule,,7121.168658,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Therapeutic Nuclear Medicine,5661,APC,,,,,outpatient,,,,,,227.5045445,401.6151653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230.9867569,,,,fee schedule,,401.6151653,,,,fee schedule,,343.5782917,,,,fee schedule,,343.5782917,,,,fee schedule,,239.1119192,,,,fee schedule,,230.9867569,,,,fee schedule,,236.7904443,,,,fee schedule,,239.1119192,,,,fee schedule,,241.4333942,,,,fee schedule,,239.1119192,,,,fee schedule,,241.4333942,,,,fee schedule,,244.9156066,,,,fee schedule,,227.5045445,,,,fee schedule,,234.4689693,,,,fee schedule,,239.1119192,,,,fee schedule,,239.1119192,,,,fee schedule,,241.4333942,,,,fee schedule,,227.5045445,,,,fee schedule,,227.5045445,,,,fee schedule,,227.5045445,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Pathology,5671,APC,,,,,outpatient,,,,,,49.55306966,87.47633726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.31153502,,,,fee schedule,,87.47633726,,,,fee schedule,,74.83524806,,,,fee schedule,,74.83524806,,,,fee schedule,,52.0812875,,,,fee schedule,,50.31153502,,,,fee schedule,,51.57564394,,,,fee schedule,,52.0812875,,,,fee schedule,,52.58693107,,,,fee schedule,,52.0812875,,,,fee schedule,,52.58693107,,,,fee schedule,,53.34539642,,,,fee schedule,,49.55306966,,,,fee schedule,,51.07000037,,,,fee schedule,,52.0812875,,,,fee schedule,,52.0812875,,,,fee schedule,,52.58693107,,,,fee schedule,,49.55306966,,,,fee schedule,,49.55306966,,,,fee schedule,,49.55306966,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Pathology,5672,APC,,,,,outpatient,,,,,,156.1934255,275.7292103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,158.5841412,,,,fee schedule,,275.7292103,,,,fee schedule,,235.8839487,,,,fee schedule,,235.8839487,,,,fee schedule,,164.1624778,,,,fee schedule,,158.5841412,,,,fee schedule,,162.5686673,,,,fee schedule,,164.1624778,,,,fee schedule,,165.7562883,,,,fee schedule,,164.1624778,,,,fee schedule,,165.7562883,,,,fee schedule,,168.147004,,,,fee schedule,,156.1934255,,,,fee schedule,,160.9748569,,,,fee schedule,,164.1624778,,,,fee schedule,,164.1624778,,,,fee schedule,,165.7562883,,,,fee schedule,,156.1934255,,,,fee schedule,,156.1934255,,,,fee schedule,,156.1934255,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Pathology,5673,APC,,,,,outpatient,,,,,,328.7029885,580.2613981,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,333.7341567,,,,fee schedule,,580.2613981,,,,fee schedule,,496.4085949,,,,fee schedule,,496.4085949,,,,fee schedule,,345.4735492,,,,fee schedule,,333.7341567,,,,fee schedule,,342.1194371,,,,fee schedule,,345.4735492,,,,fee schedule,,348.8276613,,,,fee schedule,,345.4735492,,,,fee schedule,,348.8276613,,,,fee schedule,,353.8588295,,,,fee schedule,,328.7029885,,,,fee schedule,,338.7653249,,,,fee schedule,,345.4735492,,,,fee schedule,,345.4735492,,,,fee schedule,,348.8276613,,,,fee schedule,,328.7029885,,,,fee schedule,,328.7029885,,,,fee schedule,,328.7029885,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Pathology,5674,APC,,,,,outpatient,,,,,,786.3322573,1388.117148,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,798.3679551,,,,fee schedule,,1388.117148,,,,fee schedule,,1187.522185,,,,fee schedule,,1187.522185,,,,fee schedule,,826.45125,,,,fee schedule,,798.3679551,,,,fee schedule,,818.4274515,,,,fee schedule,,826.45125,,,,fee schedule,,834.4750486,,,,fee schedule,,826.45125,,,,fee schedule,,834.4750486,,,,fee schedule,,846.5107464,,,,fee schedule,,786.3322573,,,,fee schedule,,810.4036529,,,,fee schedule,,826.45125,,,,fee schedule,,826.45125,,,,fee schedule,,834.4750486,,,,fee schedule,,786.3322573,,,,fee schedule,,786.3322573,,,,fee schedule,,786.3322573,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Drug Administration,5691,APC,,,,,outpatient,,,,,,43.43931693,76.68369213,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.10420443,,,,fee schedule,,76.68369213,,,,fee schedule,,65.60223373,,,,fee schedule,,65.60223373,,,,fee schedule,,45.65560861,,,,fee schedule,,44.10420443,,,,fee schedule,,45.21235027,,,,fee schedule,,45.65560861,,,,fee schedule,,46.09886694,,,,fee schedule,,45.65560861,,,,fee schedule,,46.09886694,,,,fee schedule,,46.76375445,,,,fee schedule,,43.43931693,,,,fee schedule,,44.76909194,,,,fee schedule,,45.65560861,,,,fee schedule,,45.65560861,,,,fee schedule,,46.09886694,,,,fee schedule,,43.43931693,,,,fee schedule,,43.43931693,,,,fee schedule,,43.43931693,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Drug Administration,5692,APC,,,,,outpatient,,,,,,64.41995034,113.7209327,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.40596998,,,,fee schedule,,113.7209327,,,,fee schedule,,97.28727194,,,,fee schedule,,97.28727194,,,,fee schedule,,67.7066825,,,,fee schedule,,65.40596998,,,,fee schedule,,67.04933606,,,,fee schedule,,67.7066825,,,,fee schedule,,68.36402893,,,,fee schedule,,67.7066825,,,,fee schedule,,68.36402893,,,,fee schedule,,69.35004858,,,,fee schedule,,64.41995034,,,,fee schedule,,66.39198963,,,,fee schedule,,67.7066825,,,,fee schedule,,67.7066825,,,,fee schedule,,68.36402893,,,,fee schedule,,64.41995034,,,,fee schedule,,64.41995034,,,,fee schedule,,64.41995034,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Drug Administration,5693,APC,,,,,outpatient,,,,,,196.0048012,346.0084756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,199.0048747,,,,fee schedule,,346.0084756,,,,fee schedule,,296.0072508,,,,fee schedule,,296.0072508,,,,fee schedule,,206.0050462,,,,fee schedule,,199.0048747,,,,fee schedule,,204.0049972,,,,fee schedule,,206.0050462,,,,fee schedule,,208.0050952,,,,fee schedule,,206.0050462,,,,fee schedule,,208.0050952,,,,fee schedule,,211.0051687,,,,fee schedule,,196.0048012,,,,fee schedule,,202.0049482,,,,fee schedule,,206.0050462,,,,fee schedule,,206.0050462,,,,fee schedule,,208.0050952,,,,fee schedule,,196.0048012,,,,fee schedule,,196.0048012,,,,fee schedule,,196.0048012,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Drug Administration,5694,APC,,,,,outpatient,,,,,,309.6994871,546.7144007,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,314.4397854,,,,fee schedule,,546.7144007,,,,fee schedule,,467.7094295,,,,fee schedule,,467.7094295,,,,fee schedule,,325.5004813,,,,fee schedule,,314.4397854,,,,fee schedule,,322.3402825,,,,fee schedule,,325.5004813,,,,fee schedule,,328.6606802,,,,fee schedule,,325.5004813,,,,fee schedule,,328.6606802,,,,fee schedule,,333.4009785,,,,fee schedule,,309.6994871,,,,fee schedule,,319.1800836,,,,fee schedule,,325.5004813,,,,fee schedule,,325.5004813,,,,fee schedule,,328.6606802,,,,fee schedule,,309.6994871,,,,fee schedule,,309.6994871,,,,fee schedule,,309.6994871,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Diagnostic Tests and Related Services,5721,APC,,,,,outpatient,,,,,,142.8429858,252.1615974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.0293581,,,,fee schedule,,252.1615974,,,,fee schedule,,215.7220602,,,,fee schedule,,215.7220602,,,,fee schedule,,150.1308933,,,,fee schedule,,145.0293581,,,,fee schedule,,148.6733118,,,,fee schedule,,150.1308933,,,,fee schedule,,151.5884748,,,,fee schedule,,150.1308933,,,,fee schedule,,151.5884748,,,,fee schedule,,153.774847,,,,fee schedule,,142.8429858,,,,fee schedule,,147.2157303,,,,fee schedule,,150.1308933,,,,fee schedule,,150.1308933,,,,fee schedule,,151.5884748,,,,fee schedule,,142.8429858,,,,fee schedule,,142.8429858,,,,fee schedule,,142.8429858,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Diagnostic Tests and Related Services,5722,APC,,,,,outpatient,,,,,,287.0296536,506.6952048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.4229646,,,,fee schedule,,506.6952048,,,,fee schedule,,433.4733544,,,,fee schedule,,433.4733544,,,,fee schedule,,301.6740236,,,,fee schedule,,291.4229646,,,,fee schedule,,298.7451496,,,,fee schedule,,301.6740236,,,,fee schedule,,304.6028977,,,,fee schedule,,301.6740236,,,,fee schedule,,304.6028977,,,,fee schedule,,308.9962087,,,,fee schedule,,287.0296536,,,,fee schedule,,295.8162756,,,,fee schedule,,301.6740236,,,,fee schedule,,301.6740236,,,,fee schedule,,304.6028977,,,,fee schedule,,287.0296536,,,,fee schedule,,287.0296536,,,,fee schedule,,287.0296536,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Diagnostic Tests and Related Services,5723,APC,,,,,outpatient,,,,,,490.1367735,865.2414471,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,497.638867,,,,fee schedule,,865.2414471,,,,fee schedule,,740.2065559,,,,fee schedule,,740.2065559,,,,fee schedule,,515.1437517,,,,fee schedule,,497.638867,,,,fee schedule,,510.1423561,,,,fee schedule,,515.1437517,,,,fee schedule,,520.1451474,,,,fee schedule,,515.1437517,,,,fee schedule,,520.1451474,,,,fee schedule,,527.6472409,,,,fee schedule,,490.1367735,,,,fee schedule,,505.1409604,,,,fee schedule,,515.1437517,,,,fee schedule,,515.1437517,,,,fee schedule,,520.1451474,,,,fee schedule,,490.1367735,,,,fee schedule,,490.1367735,,,,fee schedule,,490.1367735,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Diagnostic Tests and Related Services,5724,APC,,,,,outpatient,,,,,,956.1064679,1687.820602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,970.7407506,,,,fee schedule,,1687.820602,,,,fee schedule,,1443.91589,,,,fee schedule,,1443.91589,,,,fee schedule,,1004.88741,,,,fee schedule,,970.7407506,,,,fee schedule,,995.1312217,,,,fee schedule,,1004.88741,,,,fee schedule,,1014.643599,,,,fee schedule,,1004.88741,,,,fee schedule,,1014.643599,,,,fee schedule,,1029.277881,,,,fee schedule,,956.1064679,,,,fee schedule,,985.3750332,,,,fee schedule,,1004.88741,,,,fee schedule,,1004.88741,,,,fee schedule,,1014.643599,,,,fee schedule,,956.1064679,,,,fee schedule,,956.1064679,,,,fee schedule,,956.1064679,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Minor Procedures,5731,APC,,,,,outpatient,,,,,,27.22875434,48.06708674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.64552098,,,,fee schedule,,48.06708674,,,,fee schedule,,41.12097594,,,,fee schedule,,41.12097594,,,,fee schedule,,28.6179765,,,,fee schedule,,27.64552098,,,,fee schedule,,28.34013206,,,,fee schedule,,28.6179765,,,,fee schedule,,28.89582093,,,,fee schedule,,28.6179765,,,,fee schedule,,28.89582093,,,,fee schedule,,29.31258758,,,,fee schedule,,27.22875434,,,,fee schedule,,28.06228763,,,,fee schedule,,28.6179765,,,,fee schedule,,28.6179765,,,,fee schedule,,28.89582093,,,,fee schedule,,27.22875434,,,,fee schedule,,27.22875434,,,,fee schedule,,27.22875434,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Minor Procedures,5732,APC,,,,,outpatient,,,,,,36.67291869,64.73892789,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.23423887,,,,fee schedule,,64.73892789,,,,fee schedule,,55.38359149,,,,fee schedule,,55.38359149,,,,fee schedule,,38.54398597,,,,fee schedule,,37.23423887,,,,fee schedule,,38.16977251,,,,fee schedule,,38.54398597,,,,fee schedule,,38.91819942,,,,fee schedule,,38.54398597,,,,fee schedule,,38.91819942,,,,fee schedule,,39.47951961,,,,fee schedule,,36.67291869,,,,fee schedule,,37.79555906,,,,fee schedule,,38.54398597,,,,fee schedule,,38.54398597,,,,fee schedule,,38.91819942,,,,fee schedule,,36.67291869,,,,fee schedule,,36.67291869,,,,fee schedule,,36.67291869,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Minor Procedures,5733,APC,,,,,outpatient,,,,,,55.93555878,98.74338438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.7917153,,,,fee schedule,,98.74338438,,,,fee schedule,,84.47410918,,,,fee schedule,,84.47410918,,,,fee schedule,,58.78941382,,,,fee schedule,,56.7917153,,,,fee schedule,,58.21864282,,,,fee schedule,,58.78941382,,,,fee schedule,,59.36018483,,,,fee schedule,,58.78941382,,,,fee schedule,,59.36018483,,,,fee schedule,,60.21634134,,,,fee schedule,,55.93555878,,,,fee schedule,,57.64787181,,,,fee schedule,,58.78941382,,,,fee schedule,,58.78941382,,,,fee schedule,,59.36018483,,,,fee schedule,,55.93555878,,,,fee schedule,,55.93555878,,,,fee schedule,,55.93555878,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 4 Minor Procedures,5734,APC,,,,,outpatient,,,,,,116.8139475,206.2123767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118.6019161,,,,fee schedule,,206.2123767,,,,fee schedule,,176.4129003,,,,fee schedule,,176.4129003,,,,fee schedule,,122.7738428,,,,fee schedule,,118.6019161,,,,fee schedule,,121.5818637,,,,fee schedule,,122.7738428,,,,fee schedule,,123.9658218,,,,fee schedule,,122.7738428,,,,fee schedule,,123.9658218,,,,fee schedule,,125.7537904,,,,fee schedule,,116.8139475,,,,fee schedule,,120.3898847,,,,fee schedule,,122.7738428,,,,fee schedule,,122.7738428,,,,fee schedule,,123.9658218,,,,fee schedule,,116.8139475,,,,fee schedule,,116.8139475,,,,fee schedule,,116.8139475,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 5 Minor Procedures,5735,APC,,,,,outpatient,,,,,,364.3585481,643.2043757,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,369.9354646,,,,fee schedule,,643.2043757,,,,fee schedule,,550.2557665,,,,fee schedule,,550.2557665,,,,fee schedule,,382.9482699,,,,fee schedule,,369.9354646,,,,fee schedule,,379.2303255,,,,fee schedule,,382.9482699,,,,fee schedule,,386.6662143,,,,fee schedule,,382.9482699,,,,fee schedule,,386.6662143,,,,fee schedule,,392.2431308,,,,fee schedule,,364.3585481,,,,fee schedule,,375.5123812,,,,fee schedule,,382.9482699,,,,fee schedule,,382.9482699,,,,fee schedule,,386.6662143,,,,fee schedule,,364.3585481,,,,fee schedule,,364.3585481,,,,fee schedule,,364.3585481,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Electronic Analysis of Devices,5741,APC,,,,,outpatient,,,,,,34.4846367,60.8759403,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.01246278,,,,fee schedule,,60.8759403,,,,fee schedule,,52.0788391,,,,fee schedule,,52.0788391,,,,fee schedule,,36.24405694,,,,fee schedule,,35.01246278,,,,fee schedule,,35.8921729,,,,fee schedule,,36.24405694,,,,fee schedule,,36.59594099,,,,fee schedule,,36.24405694,,,,fee schedule,,36.59594099,,,,fee schedule,,37.12376706,,,,fee schedule,,34.4846367,,,,fee schedule,,35.54028885,,,,fee schedule,,36.24405694,,,,fee schedule,,36.24405694,,,,fee schedule,,36.59594099,,,,fee schedule,,34.4846367,,,,fee schedule,,34.4846367,,,,fee schedule,,34.4846367,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Electronic Analysis of Devices,5742,APC,,,,,outpatient,,,,,,88.51984534,156.2646249,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.87474094,,,,fee schedule,,156.2646249,,,,fee schedule,,133.6830317,,,,fee schedule,,133.6830317,,,,fee schedule,,93.03616398,,,,fee schedule,,89.87474094,,,,fee schedule,,92.13290026,,,,fee schedule,,93.03616398,,,,fee schedule,,93.93942771,,,,fee schedule,,93.03616398,,,,fee schedule,,93.93942771,,,,fee schedule,,95.2943233,,,,fee schedule,,88.51984534,,,,fee schedule,,91.22963653,,,,fee schedule,,93.03616398,,,,fee schedule,,93.03616398,,,,fee schedule,,93.93942771,,,,fee schedule,,88.51984534,,,,fee schedule,,88.51984534,,,,fee schedule,,88.51984534,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Electronic Analysis of Devices,5743,APC,,,,,outpatient,,,,,,273.1417412,482.178788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,277.3224821,,,,fee schedule,,482.178788,,,,fee schedule,,412.4997724,,,,fee schedule,,412.4997724,,,,fee schedule,,287.0775443,,,,fee schedule,,277.3224821,,,,fee schedule,,284.2903836,,,,fee schedule,,287.0775443,,,,fee schedule,,289.8647049,,,,fee schedule,,287.0775443,,,,fee schedule,,289.8647049,,,,fee schedule,,294.0454458,,,,fee schedule,,273.1417412,,,,fee schedule,,281.503223,,,,fee schedule,,287.0775443,,,,fee schedule,,287.0775443,,,,fee schedule,,289.8647049,,,,fee schedule,,273.1417412,,,,fee schedule,,273.1417412,,,,fee schedule,,273.1417412,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cardiac Rehabilitation,5771,APC,,,,,outpatient,,,,,,120.8353955,213.3114635,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.6849169,,,,fee schedule,,213.3114635,,,,fee schedule,,182.4861075,,,,fee schedule,,182.4861075,,,,fee schedule,,127.0004667,,,,fee schedule,,122.6849169,,,,fee schedule,,125.7674525,,,,fee schedule,,127.0004667,,,,fee schedule,,128.233481,,,,fee schedule,,127.0004667,,,,fee schedule,,128.233481,,,,fee schedule,,130.0830023,,,,fee schedule,,120.8353955,,,,fee schedule,,124.5344382,,,,fee schedule,,127.0004667,,,,fee schedule,,127.0004667,,,,fee schedule,,128.233481,,,,fee schedule,,120.8353955,,,,fee schedule,,120.8353955,,,,fee schedule,,120.8353955,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Resuscitation and Cardioversion,5781,APC,,,,,outpatient,,,,,,595.1551133,1050.630965,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,604.2646303,,,,fee schedule,,1050.630965,,,,fee schedule,,898.8056813,,,,fee schedule,,898.8056813,,,,fee schedule,,625.5201701,,,,fee schedule,,604.2646303,,,,fee schedule,,619.4471587,,,,fee schedule,,625.5201701,,,,fee schedule,,631.5931814,,,,fee schedule,,625.5201701,,,,fee schedule,,631.5931814,,,,fee schedule,,640.7026985,,,,fee schedule,,595.1551133,,,,fee schedule,,613.3741474,,,,fee schedule,,625.5201701,,,,fee schedule,,625.5201701,,,,fee schedule,,631.5931814,,,,fee schedule,,595.1551133,,,,fee schedule,,595.1551133,,,,fee schedule,,595.1551133,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Pulmonary Treatment,5791,APC,,,,,outpatient,,,,,,195.0450284,344.3141828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,198.0304115,,,,fee schedule,,344.3141828,,,,fee schedule,,294.557798,,,,fee schedule,,294.557798,,,,fee schedule,,204.9963054,,,,fee schedule,,198.0304115,,,,fee schedule,,203.00605,,,,fee schedule,,204.9963054,,,,fee schedule,,206.9865608,,,,fee schedule,,204.9963054,,,,fee schedule,,206.9865608,,,,fee schedule,,209.9719439,,,,fee schedule,,195.0450284,,,,fee schedule,,201.0157946,,,,fee schedule,,204.9963054,,,,fee schedule,,204.9963054,,,,fee schedule,,206.9865608,,,,fee schedule,,195.0450284,,,,fee schedule,,195.0450284,,,,fee schedule,,195.0450284,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ventilation Initiation and Management,5801,APC,,,,,outpatient,,,,,,573.0611434,1011.628345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,581.8324875,,,,fee schedule,,1011.628345,,,,fee schedule,,865.4392778,,,,fee schedule,,865.4392778,,,,fee schedule,,602.2989569,,,,fee schedule,,581.8324875,,,,fee schedule,,596.4513942,,,,fee schedule,,602.2989569,,,,fee schedule,,608.1465196,,,,fee schedule,,602.2989569,,,,fee schedule,,608.1465196,,,,fee schedule,,616.9178636,,,,fee schedule,,573.0611434,,,,fee schedule,,590.6038315,,,,fee schedule,,602.2989569,,,,fee schedule,,602.2989569,,,,fee schedule,,608.1465196,,,,fee schedule,,573.0611434,,,,fee schedule,,573.0611434,,,,fee schedule,,573.0611434,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Manipulation Therapy,5811,APC,,,,,outpatient,,,,,,23.72558362,41.88291802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.0887303,,,,fee schedule,,41.88291802,,,,fee schedule,,35.83047322,,,,fee schedule,,35.83047322,,,,fee schedule,,24.93607258,,,,fee schedule,,24.0887303,,,,fee schedule,,24.69397478,,,,fee schedule,,24.93607258,,,,fee schedule,,25.17817037,,,,fee schedule,,24.93607258,,,,fee schedule,,25.17817037,,,,fee schedule,,25.54131706,,,,fee schedule,,23.72558362,,,,fee schedule,,24.45187699,,,,fee schedule,,24.93607258,,,,fee schedule,,24.93607258,,,,fee schedule,,25.17817037,,,,fee schedule,,23.72558362,,,,fee schedule,,23.72558362,,,,fee schedule,,23.72558362,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 1 Health and Behavior Services,5821,APC,,,,,outpatient,,,,,,26.24018835,46.32196515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.64182389,,,,fee schedule,,46.32196515,,,,fee schedule,,39.62803955,,,,fee schedule,,39.62803955,,,,fee schedule,,27.57897347,,,,fee schedule,,26.64182389,,,,fee schedule,,27.31121645,,,,fee schedule,,27.57897347,,,,fee schedule,,27.8467305,,,,fee schedule,,27.57897347,,,,fee schedule,,27.8467305,,,,fee schedule,,28.24836603,,,,fee schedule,,26.24018835,,,,fee schedule,,27.04345942,,,,fee schedule,,27.57897347,,,,fee schedule,,27.57897347,,,,fee schedule,,27.8467305,,,,fee schedule,,26.24018835,,,,fee schedule,,26.24018835,,,,fee schedule,,26.24018835,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 2 Health and Behavior Services,5822,APC,,,,,outpatient,,,,,,81.5135039,143.8962875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.76115958,,,,fee schedule,,143.8962875,,,,fee schedule,,123.1020263,,,,fee schedule,,123.1020263,,,,fee schedule,,85.67235614,,,,fee schedule,,82.76115958,,,,fee schedule,,84.8405857,,,,fee schedule,,85.67235614,,,,fee schedule,,86.50412659,,,,fee schedule,,85.67235614,,,,fee schedule,,86.50412659,,,,fee schedule,,87.75178226,,,,fee schedule,,81.5135039,,,,fee schedule,,84.00881525,,,,fee schedule,,85.67235614,,,,fee schedule,,85.67235614,,,,fee schedule,,86.50412659,,,,fee schedule,,81.5135039,,,,fee schedule,,81.5135039,,,,fee schedule,,81.5135039,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Level 3 Health and Behavior Services,5823,APC,,,,,outpatient,,,,,,145.799086,257.3800192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.0307047,,,,fee schedule,,257.3800192,,,,fee schedule,,220.1863748,,,,fee schedule,,220.1863748,,,,fee schedule,,153.2378149,,,,fee schedule,,148.0307047,,,,fee schedule,,151.7500692,,,,fee schedule,,153.2378149,,,,fee schedule,,154.7255607,,,,fee schedule,,153.2378149,,,,fee schedule,,154.7255607,,,,fee schedule,,156.9571794,,,,fee schedule,,145.799086,,,,fee schedule,,150.2623234,,,,fee schedule,,153.2378149,,,,fee schedule,,153.2378149,,,,fee schedule,,154.7255607,,,,fee schedule,,145.799086,,,,fee schedule,,145.799086,,,,fee schedule,,145.799086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Intensive Outpatient (3 services) for CMHCs,5851,APC,,,,,outpatient,,,,,,84.0473041,148.3692205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.33374242,,,,fee schedule,,148.3692205,,,,fee schedule,,126.9285817,,,,fee schedule,,126.9285817,,,,fee schedule,,88.33543186,,,,fee schedule,,85.33374242,,,,fee schedule,,87.4778063,,,,fee schedule,,88.33543186,,,,fee schedule,,89.19305741,,,,fee schedule,,88.33543186,,,,fee schedule,,89.19305741,,,,fee schedule,,90.47949574,,,,fee schedule,,84.0473041,,,,fee schedule,,86.62018075,,,,fee schedule,,88.33543186,,,,fee schedule,,88.33543186,,,,fee schedule,,89.19305741,,,,fee schedule,,84.0473041,,,,fee schedule,,84.0473041,,,,fee schedule,,84.0473041,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Intensive Outpatient (4 or more services) for CMHCs,5852,APC,,,,,outpatient,,,,,,151.0874342,266.7155726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,153.3999969,,,,fee schedule,,266.7155726,,,,fee schedule,,228.1728598,,,,fee schedule,,228.1728598,,,,fee schedule,,158.7959767,,,,fee schedule,,153.3999969,,,,fee schedule,,157.2542682,,,,fee schedule,,158.7959767,,,,fee schedule,,160.3376852,,,,fee schedule,,158.7959767,,,,fee schedule,,160.3376852,,,,fee schedule,,162.650248,,,,fee schedule,,151.0874342,,,,fee schedule,,155.7125597,,,,fee schedule,,158.7959767,,,,fee schedule,,158.7959767,,,,fee schedule,,160.3376852,,,,fee schedule,,151.0874342,,,,fee schedule,,151.0874342,,,,fee schedule,,151.0874342,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Partial Hospitalization (3 services) for CMHCs,5853,APC,,,,,outpatient,,,,,,84.0473041,148.3692205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.33374242,,,,fee schedule,,148.3692205,,,,fee schedule,,126.9285817,,,,fee schedule,,126.9285817,,,,fee schedule,,88.33543186,,,,fee schedule,,85.33374242,,,,fee schedule,,87.4778063,,,,fee schedule,,88.33543186,,,,fee schedule,,89.19305741,,,,fee schedule,,88.33543186,,,,fee schedule,,89.19305741,,,,fee schedule,,90.47949574,,,,fee schedule,,84.0473041,,,,fee schedule,,86.62018075,,,,fee schedule,,88.33543186,,,,fee schedule,,88.33543186,,,,fee schedule,,89.19305741,,,,fee schedule,,84.0473041,,,,fee schedule,,84.0473041,,,,fee schedule,,84.0473041,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Partial Hospitalization (4 or more services) for CMHCs,5854,APC,,,,,outpatient,,,,,,151.0874342,266.7155726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,153.3999969,,,,fee schedule,,266.7155726,,,,fee schedule,,228.1728598,,,,fee schedule,,228.1728598,,,,fee schedule,,158.7959767,,,,fee schedule,,153.3999969,,,,fee schedule,,157.2542682,,,,fee schedule,,158.7959767,,,,fee schedule,,160.3376852,,,,fee schedule,,158.7959767,,,,fee schedule,,160.3376852,,,,fee schedule,,162.650248,,,,fee schedule,,151.0874342,,,,fee schedule,,155.7125597,,,,fee schedule,,158.7959767,,,,fee schedule,,158.7959767,,,,fee schedule,,160.3376852,,,,fee schedule,,151.0874342,,,,fee schedule,,151.0874342,,,,fee schedule,,151.0874342,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Intensive Outpatient (3 services) for Hospital-based IOPs,5861,APC,,,,,outpatient,,,,,,248.7059257,439.0420933,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.512649,,,,fee schedule,,439.0420933,,,,fee schedule,,375.5967041,,,,fee schedule,,375.5967041,,,,fee schedule,,261.3950035,,,,fee schedule,,252.512649,,,,fee schedule,,258.8571879,,,,fee schedule,,261.3950035,,,,fee schedule,,263.9328191,,,,fee schedule,,261.3950035,,,,fee schedule,,263.9328191,,,,fee schedule,,267.7395424,,,,fee schedule,,248.7059257,,,,fee schedule,,256.3193724,,,,fee schedule,,261.3950035,,,,fee schedule,,261.3950035,,,,fee schedule,,263.9328191,,,,fee schedule,,248.7059257,,,,fee schedule,,248.7059257,,,,fee schedule,,248.7059257,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Intensive Outpatient (4 or more services) for Hospital-based IOPs,5862,APC,,,,,outpatient,,,,,,343.435501,606.2687926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.6921669,,,,fee schedule,,606.2687926,,,,fee schedule,,518.6576954,,,,fee schedule,,518.6576954,,,,fee schedule,,360.9577205,,,,fee schedule,,348.6921669,,,,fee schedule,,357.4532766,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,369.7188302,,,,fee schedule,,343.435501,,,,fee schedule,,353.9488327,,,,fee schedule,,360.9577205,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,343.435501,,,,fee schedule,,343.435501,,,,fee schedule,,343.435501,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Partial Hospitalization (3 services) for Hospital-based PHPs,5863,APC,,,,,outpatient,,,,,,248.7059257,439.0420933,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.512649,,,,fee schedule,,439.0420933,,,,fee schedule,,375.5967041,,,,fee schedule,,375.5967041,,,,fee schedule,,261.3950035,,,,fee schedule,,252.512649,,,,fee schedule,,258.8571879,,,,fee schedule,,261.3950035,,,,fee schedule,,263.9328191,,,,fee schedule,,261.3950035,,,,fee schedule,,263.9328191,,,,fee schedule,,267.7395424,,,,fee schedule,,248.7059257,,,,fee schedule,,256.3193724,,,,fee schedule,,261.3950035,,,,fee schedule,,261.3950035,,,,fee schedule,,263.9328191,,,,fee schedule,,248.7059257,,,,fee schedule,,248.7059257,,,,fee schedule,,248.7059257,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Partial Hospitalization (4 or more services) for Hospital-based PHPs,5864,APC,,,,,outpatient,,,,,,343.435501,606.2687926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.6921669,,,,fee schedule,,606.2687926,,,,fee schedule,,518.6576954,,,,fee schedule,,518.6576954,,,,fee schedule,,360.9577205,,,,fee schedule,,348.6921669,,,,fee schedule,,357.4532766,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,369.7188302,,,,fee schedule,,343.435501,,,,fee schedule,,353.9488327,,,,fee schedule,,360.9577205,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,343.435501,,,,fee schedule,,343.435501,,,,fee schedule,,343.435501,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Dental Procedures,5871,APC,,,,,outpatient,,,,,,805.1534019,1421.34223,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,817.4771785,,,,fee schedule,,1421.34223,,,,fee schedule,,1215.945954,,,,fee schedule,,1215.945954,,,,fee schedule,,846.2326571,,,,fee schedule,,817.4771785,,,,fee schedule,,838.0168061,,,,fee schedule,,846.2326571,,,,fee schedule,,854.4485082,,,,fee schedule,,846.2326571,,,,fee schedule,,854.4485082,,,,fee schedule,,866.7722847,,,,fee schedule,,805.1534019,,,,fee schedule,,829.800955,,,,fee schedule,,846.2326571,,,,fee schedule,,846.2326571,,,,fee schedule,,854.4485082,,,,fee schedule,,805.1534019,,,,fee schedule,,805.1534019,,,,fee schedule,,805.1534019,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ancillary Outpatient Services When Patient Dies,5881,APC,,,,,outpatient,,,,,,7906.04206,13956.58445,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8027.052908,,,,fee schedule,,13956.58445,,,,fee schedule,,11939.73699,,,,fee schedule,,11939.73699,,,,fee schedule,,8309.411553,,,,fee schedule,,8027.052908,,,,fee schedule,,8228.737655,,,,fee schedule,,8309.411553,,,,fee schedule,,8390.085452,,,,fee schedule,,8309.411553,,,,fee schedule,,8390.085452,,,,fee schedule,,8511.0963,,,,fee schedule,,7906.04206,,,,fee schedule,,8148.063756,,,,fee schedule,,8309.411553,,,,fee schedule,,8309.411553,,,,fee schedule,,8390.085452,,,,fee schedule,,7906.04206,,,,fee schedule,,7906.04206,,,,fee schedule,,7906.04206,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Tirofiban hcl,7041,APC,,,,,outpatient,,,,,,4.146218496,7.319344896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.209681024,,,,fee schedule,,7.319344896,,,,fee schedule,,6.261636096,,,,fee schedule,,6.261636096,,,,fee schedule,,4.357760256,,,,fee schedule,,4.209681024,,,,fee schedule,,4.315451904,,,,fee schedule,,4.357760256,,,,fee schedule,,4.400068608,,,,fee schedule,,4.357760256,,,,fee schedule,,4.400068608,,,,fee schedule,,4.463531136,,,,fee schedule,,4.146218496,,,,fee schedule,,4.273143552,,,,fee schedule,,4.357760256,,,,fee schedule,,4.357760256,,,,fee schedule,,4.400068608,,,,fee schedule,,4.146218496,,,,fee schedule,,4.146218496,,,,fee schedule,,4.146218496,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Infliximab not biosimil 10mg,7043,APC,,,,,outpatient,,,,,,30.86725302,54.49015074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.33971098,,,,fee schedule,,54.49015074,,,,fee schedule,,46.6158515,,,,fee schedule,,46.6158515,,,,fee schedule,,32.44211287,,,,fee schedule,,31.33971098,,,,fee schedule,,32.1271409,,,,fee schedule,,32.44211287,,,,fee schedule,,32.75708484,,,,fee schedule,,32.44211287,,,,fee schedule,,32.75708484,,,,fee schedule,,33.22954279,,,,fee schedule,,30.86725302,,,,fee schedule,,31.81216893,,,,fee schedule,,32.44211287,,,,fee schedule,,32.44211287,,,,fee schedule,,32.75708484,,,,fee schedule,,30.86725302,,,,fee schedule,,30.86725302,,,,fee schedule,,30.86725302,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Doxorubicin inj 10mg,7046,APC,,,,,outpatient,,,,,,82.04521804,144.8349257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.30101219,,,,fee schedule,,144.8349257,,,,fee schedule,,123.9050232,,,,fee schedule,,123.9050232,,,,fee schedule,,86.23119855,,,,fee schedule,,83.30101219,,,,fee schedule,,85.39400244,,,,fee schedule,,86.23119855,,,,fee schedule,,87.06839465,,,,fee schedule,,86.23119855,,,,fee schedule,,87.06839465,,,,fee schedule,,88.3241888,,,,fee schedule,,82.04521804,,,,fee schedule,,84.55680634,,,,fee schedule,,86.23119855,,,,fee schedule,,86.23119855,,,,fee schedule,,87.06839465,,,,fee schedule,,82.04521804,,,,fee schedule,,82.04521804,,,,fee schedule,,82.04521804,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Alteplase recombinant,7048,APC,,,,,outpatient,,,,,,85.39482511,150.7480076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86.70188876,,,,fee schedule,,150.7480076,,,,fee schedule,,128.9636134,,,,fee schedule,,128.9636134,,,,fee schedule,,89.75170394,,,,fee schedule,,86.70188876,,,,fee schedule,,88.88032817,,,,fee schedule,,89.75170394,,,,fee schedule,,90.62307971,,,,fee schedule,,89.75170394,,,,fee schedule,,90.62307971,,,,fee schedule,,91.93014336,,,,fee schedule,,85.39482511,,,,fee schedule,,88.00895241,,,,fee schedule,,89.75170394,,,,fee schedule,,89.75170394,,,,fee schedule,,90.62307971,,,,fee schedule,,85.39482511,,,,fee schedule,,85.39482511,,,,fee schedule,,85.39482511,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Aminolevulinic acid hcl top,7308,APC,,,,,outpatient,,,,,,376.5371051,664.703257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,382.3004282,,,,fee schedule,,664.703257,,,,fee schedule,,568.647873,,,,fee schedule,,568.647873,,,,fee schedule,,395.7481819,,,,fee schedule,,382.3004282,,,,fee schedule,,391.9059666,,,,fee schedule,,395.7481819,,,,fee schedule,,399.5903973,,,,fee schedule,,395.7481819,,,,fee schedule,,399.5903973,,,,fee schedule,,405.3537203,,,,fee schedule,,376.5371051,,,,fee schedule,,388.0637512,,,,fee schedule,,395.7481819,,,,fee schedule,,395.7481819,,,,fee schedule,,399.5903973,,,,fee schedule,,376.5371051,,,,fee schedule,,376.5371051,,,,fee schedule,,376.5371051,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ultrasound Composite,8004,APC,,,,,outpatient,,,,,,293.4505336,518.0300236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,297.9421234,,,,fee schedule,,518.0300236,,,,fee schedule,,443.1701936,,,,fee schedule,,443.1701936,,,,fee schedule,,308.4224996,,,,fee schedule,,297.9421234,,,,fee schedule,,305.4281064,,,,fee schedule,,308.4224996,,,,fee schedule,,311.4168928,,,,fee schedule,,308.4224996,,,,fee schedule,,311.4168928,,,,fee schedule,,315.9084826,,,,fee schedule,,293.4505336,,,,fee schedule,,302.4337132,,,,fee schedule,,308.4224996,,,,fee schedule,,308.4224996,,,,fee schedule,,311.4168928,,,,fee schedule,,293.4505336,,,,fee schedule,,293.4505336,,,,fee schedule,,293.4505336,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CT and CTA without Contrast Composite,8005,APC,,,,,outpatient,,,,,,216.054455,381.4022522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219.361411,,,,fee schedule,,381.4022522,,,,fee schedule,,326.2863198,,,,fee schedule,,326.2863198,,,,fee schedule,,227.0776415,,,,fee schedule,,219.361411,,,,fee schedule,,224.8730042,,,,fee schedule,,227.0776415,,,,fee schedule,,229.2822788,,,,fee schedule,,227.0776415,,,,fee schedule,,229.2822788,,,,fee schedule,,232.5892347,,,,fee schedule,,216.054455,,,,fee schedule,,222.6683669,,,,fee schedule,,227.0776415,,,,fee schedule,,227.0776415,,,,fee schedule,,229.2822788,,,,fee schedule,,216.054455,,,,fee schedule,,216.054455,,,,fee schedule,,216.054455,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CT and CTA with Contrast Composite,8006,APC,,,,,outpatient,,,,,,410.3988493,724.4796013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,416.6804643,,,,fee schedule,,724.4796013,,,,fee schedule,,619.7860173,,,,fee schedule,,619.7860173,,,,fee schedule,,431.3375661,,,,fee schedule,,416.6804643,,,,fee schedule,,427.1498227,,,,fee schedule,,431.3375661,,,,fee schedule,,435.5253094,,,,fee schedule,,431.3375661,,,,fee schedule,,435.5253094,,,,fee schedule,,441.8069245,,,,fee schedule,,410.3988493,,,,fee schedule,,422.9620794,,,,fee schedule,,431.3375661,,,,fee schedule,,431.3375661,,,,fee schedule,,435.5253094,,,,fee schedule,,410.3988493,,,,fee schedule,,410.3988493,,,,fee schedule,,410.3988493,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MRI and MRA without Contrast Composite,8007,APC,,,,,outpatient,,,,,,501.6732426,885.6068466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,509.3519146,,,,fee schedule,,885.6068466,,,,fee schedule,,757.6289786,,,,fee schedule,,757.6289786,,,,fee schedule,,527.2688162,,,,fee schedule,,509.3519146,,,,fee schedule,,522.1497014,,,,fee schedule,,527.2688162,,,,fee schedule,,532.3879309,,,,fee schedule,,527.2688162,,,,fee schedule,,532.3879309,,,,fee schedule,,540.066603,,,,fee schedule,,501.6732426,,,,fee schedule,,517.0305867,,,,fee schedule,,527.2688162,,,,fee schedule,,527.2688162,,,,fee schedule,,532.3879309,,,,fee schedule,,501.6732426,,,,fee schedule,,501.6732426,,,,fee schedule,,501.6732426,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MRI and MRA with Contrast Composite,8008,APC,,,,,outpatient,,,,,,798.0030946,1408.719749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,810.2174276,,,,fee schedule,,1408.719749,,,,fee schedule,,1205.147531,,,,fee schedule,,1205.147531,,,,fee schedule,,838.7175382,,,,fee schedule,,810.2174276,,,,fee schedule,,830.5746494,,,,fee schedule,,838.7175382,,,,fee schedule,,846.8604269,,,,fee schedule,,838.7175382,,,,fee schedule,,846.8604269,,,,fee schedule,,859.07476,,,,fee schedule,,798.0030946,,,,fee schedule,,822.4317607,,,,fee schedule,,838.7175382,,,,fee schedule,,838.7175382,,,,fee schedule,,846.8604269,,,,fee schedule,,798.0030946,,,,fee schedule,,798.0030946,,,,fee schedule,,798.0030946,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Mental Health Services Composite,8010,APC,,,,,outpatient,,,,,,343.435501,606.2687926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.6921669,,,,fee schedule,,606.2687926,,,,fee schedule,,518.6576954,,,,fee schedule,,518.6576954,,,,fee schedule,,360.9577205,,,,fee schedule,,348.6921669,,,,fee schedule,,357.4532766,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,369.7188302,,,,fee schedule,,343.435501,,,,fee schedule,,353.9488327,,,,fee schedule,,360.9577205,,,,fee schedule,,360.9577205,,,,fee schedule,,364.4621644,,,,fee schedule,,343.435501,,,,fee schedule,,343.435501,,,,fee schedule,,343.435501,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Comprehensive Observation Services,8011,APC,,,,,outpatient,,,,,,2503.077865,4418.698679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2541.390281,,,,fee schedule,,4418.698679,,,,fee schedule,,3780.158408,,,,fee schedule,,3780.158408,,,,fee schedule,,2630.785919,,,,fee schedule,,2541.390281,,,,fee schedule,,2605.244308,,,,fee schedule,,2630.785919,,,,fee schedule,,2656.32753,,,,fee schedule,,2630.785919,,,,fee schedule,,2656.32753,,,,fee schedule,,2694.639946,,,,fee schedule,,2503.077865,,,,fee schedule,,2579.702697,,,,fee schedule,,2630.785919,,,,fee schedule,,2630.785919,,,,fee schedule,,2656.32753,,,,fee schedule,,2503.077865,,,,fee schedule,,2503.077865,,,,fee schedule,,2503.077865,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Tenecteplase injection,9002,APC,,,,,outpatient,,,,,,146.9546525,259.4199478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.2039584,,,,fee schedule,,259.4199478,,,,fee schedule,,221.931516,,,,fee schedule,,221.931516,,,,fee schedule,,154.4523389,,,,fee schedule,,149.2039584,,,,fee schedule,,152.9528016,,,,fee schedule,,154.4523389,,,,fee schedule,,155.9518761,,,,fee schedule,,154.4523389,,,,fee schedule,,155.9518761,,,,fee schedule,,158.201182,,,,fee schedule,,146.9546525,,,,fee schedule,,151.4532643,,,,fee schedule,,154.4523389,,,,fee schedule,,154.4523389,,,,fee schedule,,155.9518761,,,,fee schedule,,146.9546525,,,,fee schedule,,146.9546525,,,,fee schedule,,146.9546525,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Palivizumab,9003,APC,,,,,outpatient,,,,,,326.0156247,575.5173783,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,331.0056598,,,,fee schedule,,575.5173783,,,,fee schedule,,492.3501271,,,,fee schedule,,492.3501271,,,,fee schedule,,342.6490749,,,,fee schedule,,331.0056598,,,,fee schedule,,339.3223849,,,,fee schedule,,342.6490749,,,,fee schedule,,345.975765,,,,fee schedule,,342.6490749,,,,fee schedule,,345.975765,,,,fee schedule,,350.9658001,,,,fee schedule,,326.0156247,,,,fee schedule,,335.9956948,,,,fee schedule,,342.6490749,,,,fee schedule,,342.6490749,,,,fee schedule,,345.975765,,,,fee schedule,,326.0156247,,,,fee schedule,,326.0156247,,,,fee schedule,,326.0156247,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, inclisiran, 1 mg",9004,APC,,,,,outpatient,,,,,,11.89132,20.99182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.07333,,,,fee schedule,,20.99182,,,,fee schedule,,17.95832,,,,fee schedule,,17.95832,,,,fee schedule,,12.49802,,,,fee schedule,,12.07333,,,,fee schedule,,12.37668,,,,fee schedule,,12.49802,,,,fee schedule,,12.61936,,,,fee schedule,,12.49802,,,,fee schedule,,12.61936,,,,fee schedule,,12.80137,,,,fee schedule,,11.89132,,,,fee schedule,,12.25534,,,,fee schedule,,12.49802,,,,fee schedule,,12.49802,,,,fee schedule,,12.61936,,,,fee schedule,,11.89132,,,,fee schedule,,11.89132,,,,fee schedule,,11.89132,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Reteplase injection,9005,APC,,,,,outpatient,,,,,,2657.007186,4690.431053,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2697.675663,,,,fee schedule,,4690.431053,,,,fee schedule,,4012.623097,,,,fee schedule,,4012.623097,,,,fee schedule,,2792.568777,,,,fee schedule,,2697.675663,,,,fee schedule,,2765.456459,,,,fee schedule,,2792.568777,,,,fee schedule,,2819.681095,,,,fee schedule,,2792.568777,,,,fee schedule,,2819.681095,,,,fee schedule,,2860.349573,,,,fee schedule,,2657.007186,,,,fee schedule,,2738.344141,,,,fee schedule,,2792.568777,,,,fee schedule,,2792.568777,,,,fee schedule,,2819.681095,,,,fee schedule,,2657.007186,,,,fee schedule,,2657.007186,,,,fee schedule,,2657.007186,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Tacrolimus injection,9006,APC,,,,,outpatient,,,,,,238.7290874,421.4299196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.3831041,,,,fee schedule,,421.4299196,,,,fee schedule,,360.5296422,,,,fee schedule,,360.5296422,,,,fee schedule,,250.9091429,,,,fee schedule,,242.3831041,,,,fee schedule,,248.4731318,,,,fee schedule,,250.9091429,,,,fee schedule,,253.345154,,,,fee schedule,,250.9091429,,,,fee schedule,,253.345154,,,,fee schedule,,256.9991706,,,,fee schedule,,238.7290874,,,,fee schedule,,246.0371207,,,,fee schedule,,250.9091429,,,,fee schedule,,250.9091429,,,,fee schedule,,253.345154,,,,fee schedule,,238.7290874,,,,fee schedule,,238.7290874,,,,fee schedule,,238.7290874,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj cutaquig 100 mg,9007,APC,,,,,outpatient,,,,,,13.32932465,23.53033841,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.53334492,,,,fee schedule,,23.53033841,,,,fee schedule,,20.13000049,,,,fee schedule,,20.13000049,,,,fee schedule,,14.00939223,,,,fee schedule,,13.53334492,,,,fee schedule,,13.87337871,,,,fee schedule,,14.00939223,,,,fee schedule,,14.14540575,,,,fee schedule,,14.00939223,,,,fee schedule,,14.14540575,,,,fee schedule,,14.34942602,,,,fee schedule,,13.32932465,,,,fee schedule,,13.7373652,,,,fee schedule,,14.00939223,,,,fee schedule,,14.00939223,,,,fee schedule,,14.14540575,,,,fee schedule,,13.32932465,,,,fee schedule,,13.32932465,,,,fee schedule,,13.32932465,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj tezepelumab-ekko, 1mg",9008,APC,,,,,outpatient,,,,,,17.83929703,31.49182027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.1123475,,,,fee schedule,,31.49182027,,,,fee schedule,,26.94097919,,,,fee schedule,,26.94097919,,,,fee schedule,,18.74946525,,,,fee schedule,,18.1123475,,,,fee schedule,,18.56743161,,,,fee schedule,,18.74946525,,,,fee schedule,,18.93149889,,,,fee schedule,,18.74946525,,,,fee schedule,,18.93149889,,,,fee schedule,,19.20454936,,,,fee schedule,,17.83929703,,,,fee schedule,,18.38539796,,,,fee schedule,,18.74946525,,,,fee schedule,,18.74946525,,,,fee schedule,,18.93149889,,,,fee schedule,,17.83929703,,,,fee schedule,,17.83929703,,,,fee schedule,,17.83929703,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, vutrisiran, 1 mg",9009,APC,,,,,outpatient,,,,,,4748.363635,8382.315396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4821.04267,,,,fee schedule,,8382.315396,,,,fee schedule,,7170.998142,,,,fee schedule,,7170.998142,,,,fee schedule,,4990.627085,,,,fee schedule,,4821.04267,,,,fee schedule,,4942.174395,,,,fee schedule,,4990.627085,,,,fee schedule,,5039.079775,,,,fee schedule,,4990.627085,,,,fee schedule,,5039.079775,,,,fee schedule,,5111.758811,,,,fee schedule,,4748.363635,,,,fee schedule,,4893.721705,,,,fee schedule,,4990.627085,,,,fee schedule,,4990.627085,,,,fee schedule,,5039.079775,,,,fee schedule,,4748.363635,,,,fee schedule,,4748.363635,,,,fee schedule,,4748.363635,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj efgartigimod 2mg,9010,APC,,,,,outpatient,,,,,,31.4384,55.4984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.9196,,,,fee schedule,,55.4984,,,,fee schedule,,47.4784,,,,fee schedule,,47.4784,,,,fee schedule,,33.0424,,,,fee schedule,,31.9196,,,,fee schedule,,32.7216,,,,fee schedule,,33.0424,,,,fee schedule,,33.3632,,,,fee schedule,,33.0424,,,,fee schedule,,33.3632,,,,fee schedule,,33.8444,,,,fee schedule,,31.4384,,,,fee schedule,,32.4008,,,,fee schedule,,33.0424,,,,fee schedule,,33.0424,,,,fee schedule,,33.3632,,,,fee schedule,,31.4384,,,,fee schedule,,31.4384,,,,fee schedule,,31.4384,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Mmrv vaccine sc,9011,APC,,,,,outpatient,,,,,,127.3522528,224.8157116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.301522,,,,fee schedule,,224.8157116,,,,fee schedule,,192.327892,,,,fee schedule,,192.327892,,,,fee schedule,,133.8498168,,,,fee schedule,,129.301522,,,,fee schedule,,132.550304,,,,fee schedule,,133.8498168,,,,fee schedule,,135.1493295,,,,fee schedule,,133.8498168,,,,fee schedule,,135.1493295,,,,fee schedule,,137.0985987,,,,fee schedule,,127.3522528,,,,fee schedule,,131.2507912,,,,fee schedule,,133.8498168,,,,fee schedule,,133.8498168,,,,fee schedule,,135.1493295,,,,fee schedule,,127.3522528,,,,fee schedule,,127.3522528,,,,fee schedule,,127.3522528,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Arsenic trioxide injection,9012,APC,,,,,outpatient,,,,,,15.1480941,26.74102326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.37995269,,,,fee schedule,,26.74102326,,,,fee schedule,,22.87671354,,,,fee schedule,,22.87671354,,,,fee schedule,,15.92095605,,,,fee schedule,,15.37995269,,,,fee schedule,,15.76638366,,,,fee schedule,,15.92095605,,,,fee schedule,,16.07552844,,,,fee schedule,,15.92095605,,,,fee schedule,,16.07552844,,,,fee schedule,,16.30738702,,,,fee schedule,,15.1480941,,,,fee schedule,,15.61181127,,,,fee schedule,,15.92095605,,,,fee schedule,,15.92095605,,,,fee schedule,,16.07552844,,,,fee schedule,,15.1480941,,,,fee schedule,,15.1480941,,,,fee schedule,,15.1480941,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj risankizumab-rzaa 1 mg,9013,APC,,,,,outpatient,,,,,,15.05574,26.57799,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.286185,,,,fee schedule,,26.57799,,,,fee schedule,,22.73724,,,,fee schedule,,22.73724,,,,fee schedule,,15.82389,,,,fee schedule,,15.286185,,,,fee schedule,,15.67026,,,,fee schedule,,15.82389,,,,fee schedule,,15.97752,,,,fee schedule,,15.82389,,,,fee schedule,,15.97752,,,,fee schedule,,16.207965,,,,fee schedule,,15.05574,,,,fee schedule,,15.51663,,,,fee schedule,,15.82389,,,,fee schedule,,15.82389,,,,fee schedule,,15.97752,,,,fee schedule,,15.05574,,,,fee schedule,,15.05574,,,,fee schedule,,15.05574,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., triptorelin xr 3.75 mg",9016,APC,,,,,outpatient,,,,,,3097.528505,5468.086034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3144.939655,,,,fee schedule,,5468.086034,,,,fee schedule,,4677.900191,,,,fee schedule,,4677.900191,,,,fee schedule,,3255.565673,,,,fee schedule,,3144.939655,,,,fee schedule,,3223.95824,,,,fee schedule,,3255.565673,,,,fee schedule,,3287.173107,,,,fee schedule,,3255.565673,,,,fee schedule,,3287.173107,,,,fee schedule,,3334.584258,,,,fee schedule,,3097.528505,,,,fee schedule,,3192.350806,,,,fee schedule,,3255.565673,,,,fee schedule,,3255.565673,,,,fee schedule,,3287.173107,,,,fee schedule,,3097.528505,,,,fee schedule,,3097.528505,,,,fee schedule,,3097.528505,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. byooviz, 0.1 mg",9017,APC,,,,,outpatient,,,,,,183.76078,324.39403,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.573445,,,,fee schedule,,324.39403,,,,fee schedule,,277.51628,,,,fee schedule,,277.51628,,,,fee schedule,,193.13633,,,,fee schedule,,186.573445,,,,fee schedule,,191.26122,,,,fee schedule,,193.13633,,,,fee schedule,,195.01144,,,,fee schedule,,193.13633,,,,fee schedule,,195.01144,,,,fee schedule,,197.824105,,,,fee schedule,,183.76078,,,,fee schedule,,189.38611,,,,fee schedule,,193.13633,,,,fee schedule,,193.13633,,,,fee schedule,,195.01144,,,,fee schedule,,183.76078,,,,fee schedule,,183.76078,,,,fee schedule,,183.76078,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, rimabotulinumtoxinB",9018,APC,,,,,outpatient,,,,,,12.50200049,22.06985801,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.69335764,,,,fee schedule,,22.06985801,,,,fee schedule,,18.88057217,,,,fee schedule,,18.88057217,,,,fee schedule,,13.13985766,,,,fee schedule,,12.69335764,,,,fee schedule,,13.01228623,,,,fee schedule,,13.13985766,,,,fee schedule,,13.26742909,,,,fee schedule,,13.13985766,,,,fee schedule,,13.26742909,,,,fee schedule,,13.45878624,,,,fee schedule,,12.50200049,,,,fee schedule,,12.88471479,,,,fee schedule,,13.13985766,,,,fee schedule,,13.13985766,,,,fee schedule,,13.26742909,,,,fee schedule,,12.50200049,,,,fee schedule,,12.50200049,,,,fee schedule,,12.50200049,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Argatroban nonesrd (accord),9020,APC,,,,,outpatient,,,,,,1.747746269,3.085307189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.774497487,,,,fee schedule,,3.085307189,,,,fee schedule,,2.639453549,,,,fee schedule,,2.639453549,,,,fee schedule,,1.836916997,,,,fee schedule,,1.774497487,,,,fee schedule,,1.819082851,,,,fee schedule,,1.836916997,,,,fee schedule,,1.854751142,,,,fee schedule,,1.836916997,,,,fee schedule,,1.854751142,,,,fee schedule,,1.881502361,,,,fee schedule,,1.747746269,,,,fee schedule,,1.801248706,,,,fee schedule,,1.836916997,,,,fee schedule,,1.836916997,,,,fee schedule,,1.854751142,,,,fee schedule,,1.747746269,,,,fee schedule,,1.747746269,,,,fee schedule,,1.747746269,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Argatroban dialysis (accord),9021,APC,,,,,outpatient,,,,,,1.747746269,3.085307189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.774497487,,,,fee schedule,,3.085307189,,,,fee schedule,,2.639453549,,,,fee schedule,,2.639453549,,,,fee schedule,,1.836916997,,,,fee schedule,,1.774497487,,,,fee schedule,,1.819082851,,,,fee schedule,,1.836916997,,,,fee schedule,,1.854751142,,,,fee schedule,,1.836916997,,,,fee schedule,,1.854751142,,,,fee schedule,,1.881502361,,,,fee schedule,,1.747746269,,,,fee schedule,,1.801248706,,,,fee schedule,,1.836916997,,,,fee schedule,,1.836916997,,,,fee schedule,,1.854751142,,,,fee schedule,,1.747746269,,,,fee schedule,,1.747746269,,,,fee schedule,,1.747746269,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Argatroban nonesrd (auromed),9022,APC,,,,,outpatient,,,,,,3.967700755,7.004206435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.028430869,,,,fee schedule,,7.004206435,,,,fee schedule,,5.992037875,,,,fee schedule,,5.992037875,,,,fee schedule,,4.170134467,,,,fee schedule,,4.028430869,,,,fee schedule,,4.129647725,,,,fee schedule,,4.170134467,,,,fee schedule,,4.21062121,,,,fee schedule,,4.170134467,,,,fee schedule,,4.21062121,,,,fee schedule,,4.271351323,,,,fee schedule,,3.967700755,,,,fee schedule,,4.089160982,,,,fee schedule,,4.170134467,,,,fee schedule,,4.170134467,,,,fee schedule,,4.21062121,,,,fee schedule,,3.967700755,,,,fee schedule,,3.967700755,,,,fee schedule,,3.967700755,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Argatroban dialysis, auromed",9023,APC,,,,,outpatient,,,,,,3.967700755,7.004206435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.028430869,,,,fee schedule,,7.004206435,,,,fee schedule,,5.992037875,,,,fee schedule,,5.992037875,,,,fee schedule,,4.170134467,,,,fee schedule,,4.028430869,,,,fee schedule,,4.129647725,,,,fee schedule,,4.170134467,,,,fee schedule,,4.21062121,,,,fee schedule,,4.170134467,,,,fee schedule,,4.21062121,,,,fee schedule,,4.271351323,,,,fee schedule,,3.967700755,,,,fee schedule,,4.089160982,,,,fee schedule,,4.170134467,,,,fee schedule,,4.170134467,,,,fee schedule,,4.21062121,,,,fee schedule,,3.967700755,,,,fee schedule,,3.967700755,,,,fee schedule,,3.967700755,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Amphotericin b lipid complex,9024,APC,,,,,outpatient,,,,,,10.68227126,18.85747886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.84577542,,,,fee schedule,,18.85747886,,,,fee schedule,,16.13240966,,,,fee schedule,,16.13240966,,,,fee schedule,,11.2272851,,,,fee schedule,,10.84577542,,,,fee schedule,,11.11828234,,,,fee schedule,,11.2272851,,,,fee schedule,,11.33628787,,,,fee schedule,,11.2272851,,,,fee schedule,,11.33628787,,,,fee schedule,,11.49979202,,,,fee schedule,,10.68227126,,,,fee schedule,,11.00927957,,,,fee schedule,,11.2272851,,,,fee schedule,,11.2272851,,,,fee schedule,,11.33628787,,,,fee schedule,,10.68227126,,,,fee schedule,,10.68227126,,,,fee schedule,,10.68227126,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj glucagon hcl, fresenius",9025,APC,,,,,outpatient,,,,,,118.8486658,209.8042774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.6677781,,,,fee schedule,,209.8042774,,,,fee schedule,,179.4857402,,,,fee schedule,,179.4857402,,,,fee schedule,,124.9123733,,,,fee schedule,,120.6677781,,,,fee schedule,,123.6996318,,,,fee schedule,,124.9123733,,,,fee schedule,,126.1251148,,,,fee schedule,,124.9123733,,,,fee schedule,,126.1251148,,,,fee schedule,,127.944227,,,,fee schedule,,118.8486658,,,,fee schedule,,122.4868903,,,,fee schedule,,124.9123733,,,,fee schedule,,124.9123733,,,,fee schedule,,126.1251148,,,,fee schedule,,118.8486658,,,,fee schedule,,118.8486658,,,,fee schedule,,118.8486658,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, bortezomib, dr. reddy’s",9026,APC,,,,,outpatient,,,,,,46.59409012,82.25283256,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.30726497,,,,fee schedule,,82.25283256,,,,fee schedule,,70.36658508,,,,fee schedule,,70.36658508,,,,fee schedule,,48.97133962,,,,fee schedule,,47.30726497,,,,fee schedule,,48.49588972,,,,fee schedule,,48.97133962,,,,fee schedule,,49.44678952,,,,fee schedule,,48.97133962,,,,fee schedule,,49.44678952,,,,fee schedule,,50.15996437,,,,fee schedule,,46.59409012,,,,fee schedule,,48.02043982,,,,fee schedule,,48.97133962,,,,fee schedule,,48.97133962,,,,fee schedule,,49.44678952,,,,fee schedule,,46.59409012,,,,fee schedule,,46.59409012,,,,fee schedule,,46.59409012,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, bortezomib freseniuskab",9027,APC,,,,,outpatient,,,,,,46.59409012,82.25283256,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.30726497,,,,fee schedule,,82.25283256,,,,fee schedule,,70.36658508,,,,fee schedule,,70.36658508,,,,fee schedule,,48.97133962,,,,fee schedule,,47.30726497,,,,fee schedule,,48.49588972,,,,fee schedule,,48.97133962,,,,fee schedule,,49.44678952,,,,fee schedule,,48.97133962,,,,fee schedule,,49.44678952,,,,fee schedule,,50.15996437,,,,fee schedule,,46.59409012,,,,fee schedule,,48.02043982,,,,fee schedule,,48.97133962,,,,fee schedule,,48.97133962,,,,fee schedule,,49.44678952,,,,fee schedule,,46.59409012,,,,fee schedule,,46.59409012,,,,fee schedule,,46.59409012,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj inotuzumab ozogam 0.1 mg,9028,APC,,,,,outpatient,,,,,,2476.352991,4371.521096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2514.256353,,,,fee schedule,,4371.521096,,,,fee schedule,,3739.798395,,,,fee schedule,,3739.798395,,,,fee schedule,,2602.697531,,,,fee schedule,,2514.256353,,,,fee schedule,,2577.428623,,,,fee schedule,,2602.697531,,,,fee schedule,,2627.966439,,,,fee schedule,,2602.697531,,,,fee schedule,,2627.966439,,,,fee schedule,,2665.869802,,,,fee schedule,,2476.352991,,,,fee schedule,,2552.159715,,,,fee schedule,,2602.697531,,,,fee schedule,,2602.697531,,,,fee schedule,,2627.966439,,,,fee schedule,,2476.352991,,,,fee schedule,,2476.352991,,,,fee schedule,,2476.352991,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., guselkumab, 1 mg",9029,APC,,,,,outpatient,,,,,,69.58160845,122.8328394,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.64663307,,,,fee schedule,,122.8328394,,,,fee schedule,,105.0824291,,,,fee schedule,,105.0824291,,,,fee schedule,,73.13169052,,,,fee schedule,,70.64663307,,,,fee schedule,,72.42167411,,,,fee schedule,,73.13169052,,,,fee schedule,,73.84170693,,,,fee schedule,,73.13169052,,,,fee schedule,,73.84170693,,,,fee schedule,,74.90673155,,,,fee schedule,,69.58160845,,,,fee schedule,,71.71165769,,,,fee schedule,,73.13169052,,,,fee schedule,,73.13169052,,,,fee schedule,,73.84170693,,,,fee schedule,,69.58160845,,,,fee schedule,,69.58160845,,,,fee schedule,,69.58160845,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., copanlisib, 1 mg",9030,APC,,,,,outpatient,,,,,,84.03866614,148.3539719,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.32497226,,,,fee schedule,,148.3539719,,,,fee schedule,,126.9155366,,,,fee schedule,,126.9155366,,,,fee schedule,,88.32635319,,,,fee schedule,,85.32497226,,,,fee schedule,,87.46881578,,,,fee schedule,,88.32635319,,,,fee schedule,,89.1838906,,,,fee schedule,,88.32635319,,,,fee schedule,,89.1838906,,,,fee schedule,,90.47019671,,,,fee schedule,,84.03866614,,,,fee schedule,,86.61127837,,,,fee schedule,,88.32635319,,,,fee schedule,,88.32635319,,,,fee schedule,,89.1838906,,,,fee schedule,,84.03866614,,,,fee schedule,,84.03866614,,,,fee schedule,,84.03866614,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, etelcalcetide, 0.1 mg",9031,APC,,,,,outpatient,,,,,,2.505966781,4.423798501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.544323415,,,,fee schedule,,4.423798501,,,,fee schedule,,3.784521261,,,,fee schedule,,3.784521261,,,,fee schedule,,2.633822229,,,,fee schedule,,2.544323415,,,,fee schedule,,2.608251139,,,,fee schedule,,2.633822229,,,,fee schedule,,2.659393318,,,,fee schedule,,2.633822229,,,,fee schedule,,2.659393318,,,,fee schedule,,2.697749953,,,,fee schedule,,2.505966781,,,,fee schedule,,2.58268005,,,,fee schedule,,2.633822229,,,,fee schedule,,2.633822229,,,,fee schedule,,2.659393318,,,,fee schedule,,2.505966781,,,,fee schedule,,2.505966781,,,,fee schedule,,2.505966781,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Baclofen 10 MG injection,9032,APC,,,,,outpatient,,,,,,170.6514429,301.252037,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.2634548,,,,fee schedule,,301.252037,,,,fee schedule,,257.7185057,,,,fee schedule,,257.7185057,,,,fee schedule,,179.3581492,,,,fee schedule,,173.2634548,,,,fee schedule,,177.6168079,,,,fee schedule,,179.3581492,,,,fee schedule,,181.0994905,,,,fee schedule,,179.3581492,,,,fee schedule,,181.0994905,,,,fee schedule,,183.7115023,,,,fee schedule,,170.6514429,,,,fee schedule,,175.8754667,,,,fee schedule,,179.3581492,,,,fee schedule,,179.3581492,,,,fee schedule,,181.0994905,,,,fee schedule,,170.6514429,,,,fee schedule,,170.6514429,,,,fee schedule,,170.6514429,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cidofovir injection,9033,APC,,,,,outpatient,,,,,,531.8984076,938.9635154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,540.0397097,,,,fee schedule,,938.9635154,,,,fee schedule,,803.2751461,,,,fee schedule,,803.2751461,,,,fee schedule,,559.0360814,,,,fee schedule,,540.0397097,,,,fee schedule,,553.6085467,,,,fee schedule,,559.0360814,,,,fee schedule,,564.4636162,,,,fee schedule,,559.0360814,,,,fee schedule,,564.4636162,,,,fee schedule,,572.6049184,,,,fee schedule,,531.8984076,,,,fee schedule,,548.1810119,,,,fee schedule,,559.0360814,,,,fee schedule,,559.0360814,,,,fee schedule,,564.4636162,,,,fee schedule,,531.8984076,,,,fee schedule,,531.8984076,,,,fee schedule,,531.8984076,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj cuvitru, 100 mg",9034,APC,,,,,outpatient,,,,,,15.28150252,26.97652996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.51540307,,,,fee schedule,,26.97652996,,,,fee schedule,,23.07818748,,,,fee schedule,,23.07818748,,,,fee schedule,,16.06117102,,,,fee schedule,,15.51540307,,,,fee schedule,,15.90523732,,,,fee schedule,,16.06117102,,,,fee schedule,,16.21710472,,,,fee schedule,,16.06117102,,,,fee schedule,,16.21710472,,,,fee schedule,,16.45100527,,,,fee schedule,,15.28150252,,,,fee schedule,,15.74930362,,,,fee schedule,,16.06117102,,,,fee schedule,,16.06117102,,,,fee schedule,,16.21710472,,,,fee schedule,,15.28150252,,,,fee schedule,,15.28150252,,,,fee schedule,,15.28150252,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Axicabtagene ciloleucel car+ ,9035,APC,,,,,outpatient,,,,,,431360.2872,761482.956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,437962.7406,,,,fee schedule,,761482.956,,,,fee schedule,,651442.0664,,,,fee schedule,,651442.0664,,,,fee schedule,,453368.4652,,,,fee schedule,,437962.7406,,,,fee schedule,,448966.8296,,,,fee schedule,,453368.4652,,,,fee schedule,,457770.1007,,,,fee schedule,,453368.4652,,,,fee schedule,,457770.1007,,,,fee schedule,,464372.5541,,,,fee schedule,,431360.2872,,,,fee schedule,,444565.194,,,,fee schedule,,453368.4652,,,,fee schedule,,453368.4652,,,,fee schedule,,457770.1007,,,,fee schedule,,431360.2872,,,,fee schedule,,431360.2872,,,,fee schedule,,431360.2872,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, renflexis",9036,APC,,,,,outpatient,,,,,,30.23188343,53.36852891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.69461634,,,,fee schedule,,53.36852891,,,,fee schedule,,45.65631375,,,,fee schedule,,45.65631375,,,,fee schedule,,31.77432646,,,,fee schedule,,30.69461634,,,,fee schedule,,31.46583785,,,,fee schedule,,31.77432646,,,,fee schedule,,32.08281507,,,,fee schedule,,31.77432646,,,,fee schedule,,32.08281507,,,,fee schedule,,32.54554798,,,,fee schedule,,30.23188343,,,,fee schedule,,31.15734925,,,,fee schedule,,31.77432646,,,,fee schedule,,31.77432646,,,,fee schedule,,32.08281507,,,,fee schedule,,30.23188343,,,,fee schedule,,30.23188343,,,,fee schedule,,30.23188343,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj estrogen conjugate,9038,APC,,,,,outpatient,,,,,,357.1756084,630.5242883,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,362.642582,,,,fee schedule,,630.5242883,,,,fee schedule,,539.4080617,,,,fee schedule,,539.4080617,,,,fee schedule,,375.3988538,,,,fee schedule,,362.642582,,,,fee schedule,,371.7542047,,,,fee schedule,,375.3988538,,,,fee schedule,,379.0435028,,,,fee schedule,,375.3988538,,,,fee schedule,,379.0435028,,,,fee schedule,,384.5104764,,,,fee schedule,,357.1756084,,,,fee schedule,,368.1095556,,,,fee schedule,,375.3988538,,,,fee schedule,,375.3988538,,,,fee schedule,,379.0435028,,,,fee schedule,,357.1756084,,,,fee schedule,,357.1756084,,,,fee schedule,,357.1756084,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Dimecaprol injection,9039,APC,,,,,outpatient,,,,,,57.4030514,101.3339581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.28166953,,,,fee schedule,,101.3339581,,,,fee schedule,,86.69032252,,,,fee schedule,,86.69032252,,,,fee schedule,,60.33177851,,,,fee schedule,,58.28166953,,,,fee schedule,,59.74603308,,,,fee schedule,,60.33177851,,,,fee schedule,,60.91752393,,,,fee schedule,,60.33177851,,,,fee schedule,,60.91752393,,,,fee schedule,,61.79614206,,,,fee schedule,,57.4030514,,,,fee schedule,,59.16028766,,,,fee schedule,,60.33177851,,,,fee schedule,,60.33177851,,,,fee schedule,,60.91752393,,,,fee schedule,,57.4030514,,,,fee schedule,,57.4030514,,,,fee schedule,,57.4030514,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Epoetin beta esrd use,9041,APC,,,,,outpatient,,,,,,1.55291239,2.74136575,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.576681458,,,,fee schedule,,2.74136575,,,,fee schedule,,2.34521463,,,,fee schedule,,2.34521463,,,,fee schedule,,1.632142614,,,,fee schedule,,1.576681458,,,,fee schedule,,1.61629657,,,,fee schedule,,1.632142614,,,,fee schedule,,1.647988659,,,,fee schedule,,1.632142614,,,,fee schedule,,1.647988659,,,,fee schedule,,1.671757726,,,,fee schedule,,1.55291239,,,,fee schedule,,1.600450525,,,,fee schedule,,1.632142614,,,,fee schedule,,1.632142614,,,,fee schedule,,1.647988659,,,,fee schedule,,1.55291239,,,,fee schedule,,1.55291239,,,,fee schedule,,1.55291239,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Glucagon hydrochloride,9042,APC,,,,,outpatient,,,,,,180.789523,319.1488519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183.5567096,,,,fee schedule,,319.1488519,,,,fee schedule,,273.0290756,,,,fee schedule,,273.0290756,,,,fee schedule,,190.0134783,,,,fee schedule,,183.5567096,,,,fee schedule,,188.1686872,,,,fee schedule,,190.0134783,,,,fee schedule,,191.8582693,,,,fee schedule,,190.0134783,,,,fee schedule,,191.8582693,,,,fee schedule,,194.6254559,,,,fee schedule,,180.789523,,,,fee schedule,,186.3238962,,,,fee schedule,,190.0134783,,,,fee schedule,,190.0134783,,,,fee schedule,,191.8582693,,,,fee schedule,,180.789523,,,,fee schedule,,180.789523,,,,fee schedule,,180.789523,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, afstyla, 1 i.u.",9043,APC,,,,,outpatient,,,,,,1.38495215,2.44486451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.406150398,,,,fee schedule,,2.44486451,,,,fee schedule,,2.09156039,,,,fee schedule,,2.09156039,,,,fee schedule,,1.455612974,,,,fee schedule,,1.406150398,,,,fee schedule,,1.44148081,,,,fee schedule,,1.455612974,,,,fee schedule,,1.469745139,,,,fee schedule,,1.455612974,,,,fee schedule,,1.469745139,,,,fee schedule,,1.490943386,,,,fee schedule,,1.38495215,,,,fee schedule,,1.427348645,,,,fee schedule,,1.455612974,,,,fee schedule,,1.455612974,,,,fee schedule,,1.469745139,,,,fee schedule,,1.38495215,,,,fee schedule,,1.38495215,,,,fee schedule,,1.38495215,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ibutilide fumarate injection,9044,APC,,,,,outpatient,,,,,,182.5919763,322.3307337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,185.3867515,,,,fee schedule,,322.3307337,,,,fee schedule,,275.7511479,,,,fee schedule,,275.7511479,,,,fee schedule,,191.9078935,,,,fee schedule,,185.3867515,,,,fee schedule,,190.0447101,,,,fee schedule,,191.9078935,,,,fee schedule,,193.7710769,,,,fee schedule,,191.9078935,,,,fee schedule,,193.7710769,,,,fee schedule,,196.5658521,,,,fee schedule,,182.5919763,,,,fee schedule,,188.1815266,,,,fee schedule,,191.9078935,,,,fee schedule,,191.9078935,,,,fee schedule,,193.7710769,,,,fee schedule,,182.5919763,,,,fee schedule,,182.5919763,,,,fee schedule,,182.5919763,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Idursulfase injection,9045,APC,,,,,outpatient,,,,,,521.0769693,919.8603641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,529.0526372,,,,fee schedule,,919.8603641,,,,fee schedule,,786.9325658,,,,fee schedule,,786.9325658,,,,fee schedule,,547.6625289,,,,fee schedule,,529.0526372,,,,fee schedule,,542.345417,,,,fee schedule,,547.6625289,,,,fee schedule,,552.9796408,,,,fee schedule,,547.6625289,,,,fee schedule,,552.9796408,,,,fee schedule,,560.9553087,,,,fee schedule,,521.0769693,,,,fee schedule,,537.0283051,,,,fee schedule,,547.6625289,,,,fee schedule,,547.6625289,,,,fee schedule,,552.9796408,,,,fee schedule,,521.0769693,,,,fee schedule,,521.0769693,,,,fee schedule,,521.0769693,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., fibryga, 1 mg",9046,APC,,,,,outpatient,,,,,,1.05575008,1.86372208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.07190952,,,,fee schedule,,1.86372208,,,,fee schedule,,1.59439808,,,,fee schedule,,1.59439808,,,,fee schedule,,1.10961488,,,,fee schedule,,1.07190952,,,,fee schedule,,1.09884192,,,,fee schedule,,1.10961488,,,,fee schedule,,1.12038784,,,,fee schedule,,1.10961488,,,,fee schedule,,1.12038784,,,,fee schedule,,1.13654728,,,,fee schedule,,1.05575008,,,,fee schedule,,1.08806896,,,,fee schedule,,1.10961488,,,,fee schedule,,1.10961488,,,,fee schedule,,1.12038784,,,,fee schedule,,1.05575008,,,,fee schedule,,1.05575008,,,,fee schedule,,1.05575008,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Leuprolide acetate injeciton,9047,APC,,,,,outpatient,,,,,,13.19207714,23.28805454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.39399668,,,,fee schedule,,23.28805454,,,,fee schedule,,19.92272874,,,,fee schedule,,19.92272874,,,,fee schedule,,13.8651423,,,,fee schedule,,13.39399668,,,,fee schedule,,13.73052926,,,,fee schedule,,13.8651423,,,,fee schedule,,13.99975533,,,,fee schedule,,13.8651423,,,,fee schedule,,13.99975533,,,,fee schedule,,14.20167488,,,,fee schedule,,13.19207714,,,,fee schedule,,13.59591623,,,,fee schedule,,13.8651423,,,,fee schedule,,13.8651423,,,,fee schedule,,13.99975533,,,,fee schedule,,13.19207714,,,,fee schedule,,13.19207714,,,,fee schedule,,13.19207714,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, alymsys, 10 mg",9048,APC,,,,,outpatient,,,,,,58.14687532,102.647035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.03687851,,,,fee schedule,,102.647035,,,,fee schedule,,87.81364844,,,,fee schedule,,87.81364844,,,,fee schedule,,61.11355263,,,,fee schedule,,59.03687851,,,,fee schedule,,60.52021716,,,,fee schedule,,61.11355263,,,,fee schedule,,61.70688809,,,,fee schedule,,61.11355263,,,,fee schedule,,61.70688809,,,,fee schedule,,62.59689128,,,,fee schedule,,58.14687532,,,,fee schedule,,59.9268817,,,,fee schedule,,61.11355263,,,,fee schedule,,61.11355263,,,,fee schedule,,61.70688809,,,,fee schedule,,58.14687532,,,,fee schedule,,58.14687532,,,,fee schedule,,58.14687532,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, oliceridine 0.1 mg",9049,APC,,,,,outpatient,,,,,,1.138290541,2.009431261,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.155713355,,,,fee schedule,,2.009431261,,,,fee schedule,,1.719051021,,,,fee schedule,,1.719051021,,,,fee schedule,,1.196366589,,,,fee schedule,,1.155713355,,,,fee schedule,,1.184751379,,,,fee schedule,,1.196366589,,,,fee schedule,,1.207981798,,,,fee schedule,,1.196366589,,,,fee schedule,,1.207981798,,,,fee schedule,,1.225404613,,,,fee schedule,,1.138290541,,,,fee schedule,,1.17313617,,,,fee schedule,,1.196366589,,,,fee schedule,,1.196366589,,,,fee schedule,,1.207981798,,,,fee schedule,,1.138290541,,,,fee schedule,,1.138290541,,,,fee schedule,,1.138290541,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Leuprolide inj, camcevi, 1mg",9050,APC,,,,,outpatient,,,,,,57.39441344,101.3187094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.27289936,,,,fee schedule,,101.3187094,,,,fee schedule,,86.67727744,,,,fee schedule,,86.67727744,,,,fee schedule,,60.32269984,,,,fee schedule,,58.27289936,,,,fee schedule,,59.73704256,,,,fee schedule,,60.32269984,,,,fee schedule,,60.90835712,,,,fee schedule,,60.32269984,,,,fee schedule,,60.90835712,,,,fee schedule,,61.78684304,,,,fee schedule,,57.39441344,,,,fee schedule,,59.15138528,,,,fee schedule,,60.32269984,,,,fee schedule,,60.32269984,,,,fee schedule,,60.90835712,,,,fee schedule,,57.39441344,,,,fee schedule,,57.39441344,,,,fee schedule,,57.39441344,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, lanreotide, (cipla) 1mg",9051,APC,,,,,outpatient,,,,,,46.81483787,82.64251991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.53139151,,,,fee schedule,,82.64251991,,,,fee schedule,,70.69995923,,,,fee schedule,,70.69995923,,,,fee schedule,,49.20335,,,,fee schedule,,47.53139151,,,,fee schedule,,48.72564757,,,,fee schedule,,49.20335,,,,fee schedule,,49.68105243,,,,fee schedule,,49.20335,,,,fee schedule,,49.68105243,,,,fee schedule,,50.39760607,,,,fee schedule,,46.81483787,,,,fee schedule,,48.24794515,,,,fee schedule,,49.20335,,,,fee schedule,,49.20335,,,,fee schedule,,49.68105243,,,,fee schedule,,46.81483787,,,,fee schedule,,46.81483787,,,,fee schedule,,46.81483787,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fluorodopa f-18 diag per mci,9053,APC,,,,,outpatient,,,,,,428.9032689,757.1455665,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.4681148,,,,fee schedule,,757.1455665,,,,fee schedule,,647.7314673,,,,fee schedule,,647.7314673,,,,fee schedule,,450.7860887,,,,fee schedule,,435.4681148,,,,fee schedule,,446.4095247,,,,fee schedule,,450.7860887,,,,fee schedule,,455.1626527,,,,fee schedule,,450.7860887,,,,fee schedule,,455.1626527,,,,fee schedule,,461.7274986,,,,fee schedule,,428.9032689,,,,fee schedule,,442.0329608,,,,fee schedule,,450.7860887,,,,fee schedule,,450.7860887,,,,fee schedule,,455.1626527,,,,fee schedule,,428.9032689,,,,fee schedule,,428.9032689,,,,fee schedule,,428.9032689,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Lutetium lu 177 vipivotide,9054,APC,,,,,outpatient,,,,,,220.5125997,389.2722423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.8877925,,,,fee schedule,,389.2722423,,,,fee schedule,,333.0190281,,,,fee schedule,,333.0190281,,,,fee schedule,,231.7632425,,,,fee schedule,,223.8877925,,,,fee schedule,,229.5131139,,,,fee schedule,,231.7632425,,,,fee schedule,,234.0133711,,,,fee schedule,,231.7632425,,,,fee schedule,,234.0133711,,,,fee schedule,,237.3885639,,,,fee schedule,,220.5125997,,,,fee schedule,,227.2629854,,,,fee schedule,,231.7632425,,,,fee schedule,,231.7632425,,,,fee schedule,,234.0133711,,,,fee schedule,,220.5125997,,,,fee schedule,,220.5125997,,,,fee schedule,,220.5125997,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gallium locametz 1 millicuri,9055,APC,,,,,outpatient,,,,,,838.3039544,1479.863103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,851.1351374,,,,fee schedule,,1479.863103,,,,fee schedule,,1266.010054,,,,fee schedule,,1266.010054,,,,fee schedule,,881.0745644,,,,fee schedule,,851.1351374,,,,fee schedule,,872.5204424,,,,fee schedule,,881.0745644,,,,fee schedule,,889.6286863,,,,fee schedule,,881.0745644,,,,fee schedule,,889.6286863,,,,fee schedule,,902.4598693,,,,fee schedule,,838.3039544,,,,fee schedule,,863.9663204,,,,fee schedule,,881.0745644,,,,fee schedule,,881.0745644,,,,fee schedule,,889.6286863,,,,fee schedule,,838.3039544,,,,fee schedule,,838.3039544,,,,fee schedule,,838.3039544,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj nivol relatlimab 3mg/1mg,9057,APC,,,,,outpatient,,,,,,179.6243588,317.0919804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,182.3737113,,,,fee schedule,,317.0919804,,,,fee schedule,,271.2694399,,,,fee schedule,,271.2694399,,,,fee schedule,,188.7888669,,,,fee schedule,,182.3737113,,,,fee schedule,,186.9559653,,,,fee schedule,,188.7888669,,,,fee schedule,,190.6217686,,,,fee schedule,,188.7888669,,,,fee schedule,,190.6217686,,,,fee schedule,,193.371121,,,,fee schedule,,179.6243588,,,,fee schedule,,185.1230637,,,,fee schedule,,188.7888669,,,,fee schedule,,188.7888669,,,,fee schedule,,190.6217686,,,,fee schedule,,179.6243588,,,,fee schedule,,179.6243588,,,,fee schedule,,179.6243588,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Buprenorphine implant 74.2mg,9058,APC,,,,,outpatient,,,,,,1258.98197,2222.48858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1278.252103,,,,fee schedule,,2222.48858,,,,fee schedule,,1901.31971,,,,fee schedule,,1901.31971,,,,fee schedule,,1323.215744,,,,fee schedule,,1278.252103,,,,fee schedule,,1310.36899,,,,fee schedule,,1323.215744,,,,fee schedule,,1336.062499,,,,fee schedule,,1323.215744,,,,fee schedule,,1336.062499,,,,fee schedule,,1355.332631,,,,fee schedule,,1258.98197,,,,fee schedule,,1297.522235,,,,fee schedule,,1323.215744,,,,fee schedule,,1323.215744,,,,fee schedule,,1336.062499,,,,fee schedule,,1258.98197,,,,fee schedule,,1258.98197,,,,fee schedule,,1258.98197,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Vonvendi inj 1 iu vwf:rco,9059,APC,,,,,outpatient,,,,,,1.749665814,3.088695774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.776446414,,,,fee schedule,,3.088695774,,,,fee schedule,,2.642352454,,,,fee schedule,,2.642352454,,,,fee schedule,,1.838934478,,,,fee schedule,,1.776446414,,,,fee schedule,,1.821080746,,,,fee schedule,,1.838934478,,,,fee schedule,,1.856788211,,,,fee schedule,,1.838934478,,,,fee schedule,,1.856788211,,,,fee schedule,,1.88356881,,,,fee schedule,,1.749665814,,,,fee schedule,,1.803227013,,,,fee schedule,,1.838934478,,,,fee schedule,,1.838934478,,,,fee schedule,,1.856788211,,,,fee schedule,,1.749665814,,,,fee schedule,,1.749665814,,,,fee schedule,,1.749665814,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Argatroban esrd dialysis 1mg,9065,APC,,,,,outpatient,,,,,,1.16900327,2.06364863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.186896178,,,,fee schedule,,2.06364863,,,,fee schedule,,1.76543351,,,,fee schedule,,1.76543351,,,,fee schedule,,1.228646294,,,,fee schedule,,1.186896178,,,,fee schedule,,1.21671769,,,,fee schedule,,1.228646294,,,,fee schedule,,1.240574899,,,,fee schedule,,1.228646294,,,,fee schedule,,1.240574899,,,,fee schedule,,1.258467806,,,,fee schedule,,1.16900327,,,,fee schedule,,1.204789085,,,,fee schedule,,1.228646294,,,,fee schedule,,1.228646294,,,,fee schedule,,1.240574899,,,,fee schedule,,1.16900327,,,,fee schedule,,1.16900327,,,,fee schedule,,1.16900327,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Lutetium lu 177 dotatat ther,9067,APC,,,,,outpatient,,,,,,278.756412,492.0904008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.0230918,,,,fee schedule,,492.0904008,,,,fee schedule,,420.9790712,,,,fee schedule,,420.9790712,,,,fee schedule,,292.978678,,,,fee schedule,,283.0230918,,,,fee schedule,,290.1342248,,,,fee schedule,,292.978678,,,,fee schedule,,295.8231311,,,,fee schedule,,292.978678,,,,fee schedule,,295.8231311,,,,fee schedule,,300.0898109,,,,fee schedule,,278.756412,,,,fee schedule,,287.2897716,,,,fee schedule,,292.978678,,,,fee schedule,,292.978678,,,,fee schedule,,295.8231311,,,,fee schedule,,278.756412,,,,fee schedule,,278.756412,,,,fee schedule,,278.756412,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Smallpox&monkeypox vac 0.5ml,9068,APC,,,,,outpatient,,,,,,0.009597728,0.016942928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.009744632,,,,fee schedule,,0.016942928,,,,fee schedule,,0.014494528,,,,fee schedule,,0.014494528,,,,fee schedule,,0.010087408,,,,fee schedule,,0.009744632,,,,fee schedule,,0.009989472,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010185344,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010185344,,,,fee schedule,,0.010332248,,,,fee schedule,,0.009597728,,,,fee schedule,,0.009891536,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010185344,,,,fee schedule,,0.009597728,,,,fee schedule,,0.009597728,,,,fee schedule,,0.009597728,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj luxturna 1 billion vec g,9070,APC,,,,,outpatient,,,,,,2756.735258,4866.481629,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2798.930186,,,,fee schedule,,4866.481629,,,,fee schedule,,4163.232839,,,,fee schedule,,4163.232839,,,,fee schedule,,2897.385016,,,,fee schedule,,2798.930186,,,,fee schedule,,2869.255065,,,,fee schedule,,2897.385016,,,,fee schedule,,2925.514968,,,,fee schedule,,2897.385016,,,,fee schedule,,2925.514968,,,,fee schedule,,2967.709895,,,,fee schedule,,2756.735258,,,,fee schedule,,2841.125113,,,,fee schedule,,2897.385016,,,,fee schedule,,2897.385016,,,,fee schedule,,2925.514968,,,,fee schedule,,2756.735258,,,,fee schedule,,2756.735258,,,,fee schedule,,2756.735258,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Capsaicin 8% patch,9071,APC,,,,,outpatient,,,,,,3.140376602,5.543726042,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.18844359,,,,fee schedule,,5.543726042,,,,fee schedule,,4.742609562,,,,fee schedule,,4.742609562,,,,fee schedule,,3.300599898,,,,fee schedule,,3.18844359,,,,fee schedule,,3.268555238,,,,fee schedule,,3.300599898,,,,fee schedule,,3.332644557,,,,fee schedule,,3.300599898,,,,fee schedule,,3.332644557,,,,fee schedule,,3.380711546,,,,fee schedule,,3.140376602,,,,fee schedule,,3.236510579,,,,fee schedule,,3.300599898,,,,fee schedule,,3.300599898,,,,fee schedule,,3.332644557,,,,fee schedule,,3.140376602,,,,fee schedule,,3.140376602,,,,fee schedule,,3.140376602,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Buprenorph xr 100 mg or less,9073,APC,,,,,outpatient,,,,,,1811.199728,3197.321969,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1838.922173,,,,fee schedule,,3197.321969,,,,fee schedule,,2735.281222,,,,fee schedule,,2735.281222,,,,fee schedule,,1903.607877,,,,fee schedule,,1838.922173,,,,fee schedule,,1885.126247,,,,fee schedule,,1903.607877,,,,fee schedule,,1922.089507,,,,fee schedule,,1903.607877,,,,fee schedule,,1922.089507,,,,fee schedule,,1949.811952,,,,fee schedule,,1811.199728,,,,fee schedule,,1866.644618,,,,fee schedule,,1903.607877,,,,fee schedule,,1903.607877,,,,fee schedule,,1922.089507,,,,fee schedule,,1811.199728,,,,fee schedule,,1811.199728,,,,fee schedule,,1811.199728,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Makena, 10 mg",9074,APC,,,,,outpatient,,,,,,11.59789452,20.4738342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.77541331,,,,fee schedule,,20.4738342,,,,fee schedule,,17.51518764,,,,fee schedule,,17.51518764,,,,fee schedule,,12.18962383,,,,fee schedule,,11.77541331,,,,fee schedule,,12.07127796,,,,fee schedule,,12.18962383,,,,fee schedule,,12.30796969,,,,fee schedule,,12.18962383,,,,fee schedule,,12.30796969,,,,fee schedule,,12.48548848,,,,fee schedule,,11.59789452,,,,fee schedule,,11.9529321,,,,fee schedule,,12.18962383,,,,fee schedule,,12.18962383,,,,fee schedule,,12.30796969,,,,fee schedule,,11.59789452,,,,fee schedule,,11.59789452,,,,fee schedule,,11.59789452,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, kovaltry, 1 i.u.",9075,APC,,,,,outpatient,,,,,,1.368636013,2.416061533,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.389584523,,,,fee schedule,,2.416061533,,,,fee schedule,,2.066919693,,,,fee schedule,,2.066919693,,,,fee schedule,,1.438464381,,,,fee schedule,,1.389584523,,,,fee schedule,,1.424498707,,,,fee schedule,,1.438464381,,,,fee schedule,,1.452430054,,,,fee schedule,,1.438464381,,,,fee schedule,,1.452430054,,,,fee schedule,,1.473378565,,,,fee schedule,,1.368636013,,,,fee schedule,,1.410533034,,,,fee schedule,,1.438464381,,,,fee schedule,,1.438464381,,,,fee schedule,,1.452430054,,,,fee schedule,,1.368636013,,,,fee schedule,,1.368636013,,,,fee schedule,,1.368636013,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Epoetin beta non esrd,9077,APC,,,,,outpatient,,,,,,1.55291239,2.74136575,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.576681458,,,,fee schedule,,2.74136575,,,,fee schedule,,2.34521463,,,,fee schedule,,2.34521463,,,,fee schedule,,1.632142614,,,,fee schedule,,1.576681458,,,,fee schedule,,1.61629657,,,,fee schedule,,1.632142614,,,,fee schedule,,1.647988659,,,,fee schedule,,1.632142614,,,,fee schedule,,1.647988659,,,,fee schedule,,1.671757726,,,,fee schedule,,1.55291239,,,,fee schedule,,1.600450525,,,,fee schedule,,1.632142614,,,,fee schedule,,1.632142614,,,,fee schedule,,1.647988659,,,,fee schedule,,1.55291239,,,,fee schedule,,1.55291239,,,,fee schedule,,1.55291239,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Testosterone undecanoate 1mg,9078,APC,,,,,outpatient,,,,,,1.763102634,3.112415874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.790088898,,,,fee schedule,,3.112415874,,,,fee schedule,,2.662644794,,,,fee schedule,,2.662644794,,,,fee schedule,,1.85305685,,,,fee schedule,,1.790088898,,,,fee schedule,,1.835066006,,,,fee schedule,,1.85305685,,,,fee schedule,,1.871047693,,,,fee schedule,,1.85305685,,,,fee schedule,,1.871047693,,,,fee schedule,,1.898033958,,,,fee schedule,,1.763102634,,,,fee schedule,,1.817075163,,,,fee schedule,,1.85305685,,,,fee schedule,,1.85305685,,,,fee schedule,,1.871047693,,,,fee schedule,,1.763102634,,,,fee schedule,,1.763102634,,,,fee schedule,,1.763102634,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Genvisc 850, inj, 1mg",9079,APC,,,,,outpatient,,,,,,5.512934963,9.732017843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.597316621,,,,fee schedule,,9.732017843,,,,fee schedule,,8.325656883,,,,fee schedule,,8.325656883,,,,fee schedule,,5.794207155,,,,fee schedule,,5.597316621,,,,fee schedule,,5.737952717,,,,fee schedule,,5.794207155,,,,fee schedule,,5.850461594,,,,fee schedule,,5.794207155,,,,fee schedule,,5.850461594,,,,fee schedule,,5.934843251,,,,fee schedule,,5.512934963,,,,fee schedule,,5.681698278,,,,fee schedule,,5.794207155,,,,fee schedule,,5.794207155,,,,fee schedule,,5.850461594,,,,fee schedule,,5.512934963,,,,fee schedule,,5.512934963,,,,fee schedule,,5.512934963,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fludarabine phosphate inj,9080,APC,,,,,outpatient,,,,,,166.9707142,294.7544241,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.5263884,,,,fee schedule,,294.7544241,,,,fee schedule,,252.1598542,,,,fee schedule,,252.1598542,,,,fee schedule,,175.4896282,,,,fee schedule,,169.5263884,,,,fee schedule,,173.7858454,,,,fee schedule,,175.4896282,,,,fee schedule,,177.193411,,,,fee schedule,,175.4896282,,,,fee schedule,,177.193411,,,,fee schedule,,179.7490852,,,,fee schedule,,166.9707142,,,,fee schedule,,172.0820626,,,,fee schedule,,175.4896282,,,,fee schedule,,175.4896282,,,,fee schedule,,177.193411,,,,fee schedule,,166.9707142,,,,fee schedule,,166.9707142,,,,fee schedule,,166.9707142,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Peng benzathine/procaine inj,9088,APC,,,,,outpatient,,,,,,16.87088628,29.78227884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.12911413,,,,fee schedule,,29.78227884,,,,fee schedule,,25.47848132,,,,fee schedule,,25.47848132,,,,fee schedule,,17.73164578,,,,fee schedule,,17.12911413,,,,fee schedule,,17.55949388,,,,fee schedule,,17.73164578,,,,fee schedule,,17.90379768,,,,fee schedule,,17.73164578,,,,fee schedule,,17.90379768,,,,fee schedule,,18.16202553,,,,fee schedule,,16.87088628,,,,fee schedule,,17.38734198,,,,fee schedule,,17.73164578,,,,fee schedule,,17.73164578,,,,fee schedule,,17.90379768,,,,fee schedule,,16.87088628,,,,fee schedule,,16.87088628,,,,fee schedule,,16.87088628,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Radiesse injection,9094,APC,,,,,outpatient,,,,,,286.7129285,506.1360881,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.1013917,,,,fee schedule,,506.1360881,,,,fee schedule,,432.9950349,,,,fee schedule,,432.9950349,,,,fee schedule,,301.3411392,,,,fee schedule,,291.1013917,,,,fee schedule,,298.4154971,,,,fee schedule,,301.3411392,,,,fee schedule,,304.2667813,,,,fee schedule,,301.3411392,,,,fee schedule,,304.2667813,,,,fee schedule,,308.6552445,,,,fee schedule,,286.7129285,,,,fee schedule,,295.4898549,,,,fee schedule,,301.3411392,,,,fee schedule,,301.3411392,,,,fee schedule,,304.2667813,,,,fee schedule,,286.7129285,,,,fee schedule,,286.7129285,,,,fee schedule,,286.7129285,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, sculptra, 0.5mg",9095,APC,,,,,outpatient,,,,,,1.34368192,2.37200992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.36424848,,,,fee schedule,,2.37200992,,,,fee schedule,,2.02923392,,,,fee schedule,,2.02923392,,,,fee schedule,,1.41223712,,,,fee schedule,,1.36424848,,,,fee schedule,,1.39852608,,,,fee schedule,,1.41223712,,,,fee schedule,,1.42594816,,,,fee schedule,,1.41223712,,,,fee schedule,,1.42594816,,,,fee schedule,,1.44651472,,,,fee schedule,,1.34368192,,,,fee schedule,,1.38481504,,,,fee schedule,,1.41223712,,,,fee schedule,,1.41223712,,,,fee schedule,,1.42594816,,,,fee schedule,,1.34368192,,,,fee schedule,,1.34368192,,,,fee schedule,,1.34368192,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj retacrit esrd on dialysi,9096,APC,,,,,outpatient,,,,,,0.75054233,1.32493697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.762030222,,,,fee schedule,,1.32493697,,,,fee schedule,,1.13347209,,,,fee schedule,,1.13347209,,,,fee schedule,,0.788835306,,,,fee schedule,,0.762030222,,,,fee schedule,,0.78117671,,,,fee schedule,,0.788835306,,,,fee schedule,,0.796493901,,,,fee schedule,,0.788835306,,,,fee schedule,,0.796493901,,,,fee schedule,,0.807981794,,,,fee schedule,,0.75054233,,,,fee schedule,,0.773518115,,,,fee schedule,,0.788835306,,,,fee schedule,,0.788835306,,,,fee schedule,,0.796493901,,,,fee schedule,,0.75054233,,,,fee schedule,,0.75054233,,,,fee schedule,,0.75054233,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj retacrit non-esrd use,9097,APC,,,,,outpatient,,,,,,7.509262387,13.25614687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.624200077,,,,fee schedule,,13.25614687,,,,fee schedule,,11.34051871,,,,fee schedule,,11.34051871,,,,fee schedule,,7.892388019,,,,fee schedule,,7.624200077,,,,fee schedule,,7.815762893,,,,fee schedule,,7.892388019,,,,fee schedule,,7.969013146,,,,fee schedule,,7.892388019,,,,fee schedule,,7.969013146,,,,fee schedule,,8.083950835,,,,fee schedule,,7.509262387,,,,fee schedule,,7.739137766,,,,fee schedule,,7.892388019,,,,fee schedule,,7.892388019,,,,fee schedule,,7.969013146,,,,fee schedule,,7.509262387,,,,fee schedule,,7.509262387,,,,fee schedule,,7.509262387,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj fosnetupitant, palonoset",9099,APC,,,,,outpatient,,,,,,666.2531628,1176.140787,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,676.4509152,,,,fee schedule,,1176.140787,,,,fee schedule,,1006.178246,,,,fee schedule,,1006.178246,,,,fee schedule,,700.2456711,,,,fee schedule,,676.4509152,,,,fee schedule,,693.4471694,,,,fee schedule,,700.2456711,,,,fee schedule,,707.0441727,,,,fee schedule,,700.2456711,,,,fee schedule,,707.0441727,,,,fee schedule,,717.2419252,,,,fee schedule,,666.2531628,,,,fee schedule,,686.6486677,,,,fee schedule,,700.2456711,,,,fee schedule,,700.2456711,,,,fee schedule,,707.0441727,,,,fee schedule,,666.2531628,,,,fee schedule,,666.2531628,,,,fee schedule,,666.2531628,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, bortezomib, hospira",9100,APC,,,,,outpatient,,,,,,1.458854656,2.575325056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.481184064,,,,fee schedule,,2.575325056,,,,fee schedule,,2.203168256,,,,fee schedule,,2.203168256,,,,fee schedule,,1.533286016,,,,fee schedule,,1.481184064,,,,fee schedule,,1.518399744,,,,fee schedule,,1.533286016,,,,fee schedule,,1.548172288,,,,fee schedule,,1.533286016,,,,fee schedule,,1.548172288,,,,fee schedule,,1.570501696,,,,fee schedule,,1.458854656,,,,fee schedule,,1.503513472,,,,fee schedule,,1.533286016,,,,fee schedule,,1.533286016,,,,fee schedule,,1.548172288,,,,fee schedule,,1.458854656,,,,fee schedule,,1.458854656,,,,fee schedule,,1.458854656,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Vaccinia vrs vac 0.3 ml perq,9101,APC,,,,,outpatient,,,,,,0.009597728,0.016942928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.009744632,,,,fee schedule,,0.016942928,,,,fee schedule,,0.014494528,,,,fee schedule,,0.014494528,,,,fee schedule,,0.010087408,,,,fee schedule,,0.009744632,,,,fee schedule,,0.009989472,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010185344,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010185344,,,,fee schedule,,0.010332248,,,,fee schedule,,0.009597728,,,,fee schedule,,0.009891536,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010087408,,,,fee schedule,,0.010185344,,,,fee schedule,,0.009597728,,,,fee schedule,,0.009597728,,,,fee schedule,,0.009597728,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, fulvestrant (teva)",9102,APC,,,,,outpatient,,,,,,20.34718336,35.91900736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.65861984,,,,fee schedule,,35.91900736,,,,fee schedule,,30.72839936,,,,fee schedule,,30.72839936,,,,fee schedule,,21.38530496,,,,fee schedule,,20.65861984,,,,fee schedule,,21.17768064,,,,fee schedule,,21.38530496,,,,fee schedule,,21.59292928,,,,fee schedule,,21.38530496,,,,fee schedule,,21.59292928,,,,fee schedule,,21.90436576,,,,fee schedule,,20.34718336,,,,fee schedule,,20.97005632,,,,fee schedule,,21.38530496,,,,fee schedule,,21.38530496,,,,fee schedule,,21.59292928,,,,fee schedule,,20.34718336,,,,fee schedule,,20.34718336,,,,fee schedule,,20.34718336,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, fulvestrant (fresenius)",9103,APC,,,,,outpatient,,,,,,50.8679584,89.7975184,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.6465496,,,,fee schedule,,89.7975184,,,,fee schedule,,76.8209984,,,,fee schedule,,76.8209984,,,,fee schedule,,53.4632624,,,,fee schedule,,51.6465496,,,,fee schedule,,52.9442016,,,,fee schedule,,53.4632624,,,,fee schedule,,53.9823232,,,,fee schedule,,53.4632624,,,,fee schedule,,53.9823232,,,,fee schedule,,54.7609144,,,,fee schedule,,50.8679584,,,,fee schedule,,52.4251408,,,,fee schedule,,53.4632624,,,,fee schedule,,53.4632624,,,,fee schedule,,53.9823232,,,,fee schedule,,50.8679584,,,,fee schedule,,50.8679584,,,,fee schedule,,50.8679584,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Antithymocyte globuln rabbit,9104,APC,,,,,outpatient,,,,,,891.6538853,1574.042063,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,905.3016488,,,,fee schedule,,1574.042063,,,,fee schedule,,1346.579337,,,,fee schedule,,1346.579337,,,,fee schedule,,937.1464305,,,,fee schedule,,905.3016488,,,,fee schedule,,928.0479214,,,,fee schedule,,937.1464305,,,,fee schedule,,946.2449395,,,,fee schedule,,937.1464305,,,,fee schedule,,946.2449395,,,,fee schedule,,959.892703,,,,fee schedule,,891.6538853,,,,fee schedule,,918.9494124,,,,fee schedule,,937.1464305,,,,fee schedule,,937.1464305,,,,fee schedule,,946.2449395,,,,fee schedule,,891.6538853,,,,fee schedule,,891.6538853,,,,fee schedule,,891.6538853,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj pemetrexed (teva) 10mg,9105,APC,,,,,outpatient,,,,,,19.15418577,33.81300141,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.44736208,,,,fee schedule,,33.81300141,,,,fee schedule,,28.92672953,,,,fee schedule,,28.92672953,,,,fee schedule,,20.13144015,,,,fee schedule,,19.44736208,,,,fee schedule,,19.93598927,,,,fee schedule,,20.13144015,,,,fee schedule,,20.32689102,,,,fee schedule,,20.13144015,,,,fee schedule,,20.32689102,,,,fee schedule,,20.62006733,,,,fee schedule,,19.15418577,,,,fee schedule,,19.7405384,,,,fee schedule,,20.13144015,,,,fee schedule,,20.13144015,,,,fee schedule,,20.32689102,,,,fee schedule,,19.15418577,,,,fee schedule,,19.15418577,,,,fee schedule,,19.15418577,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, bupivacaine (posimir)",9106,APC,,,,,outpatient,,,,,,0.50176,0.88576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.50944,,,,fee schedule,,0.88576,,,,fee schedule,,0.75776,,,,fee schedule,,0.75776,,,,fee schedule,,0.52736,,,,fee schedule,,0.50944,,,,fee schedule,,0.52224,,,,fee schedule,,0.52736,,,,fee schedule,,0.53248,,,,fee schedule,,0.52736,,,,fee schedule,,0.53248,,,,fee schedule,,0.54016,,,,fee schedule,,0.50176,,,,fee schedule,,0.51712,,,,fee schedule,,0.52736,,,,fee schedule,,0.52736,,,,fee schedule,,0.53248,,,,fee schedule,,0.50176,,,,fee schedule,,0.50176,,,,fee schedule,,0.50176,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, aponvie, 1 mg",9107,APC,,,,,outpatient,,,,,,1.84142,3.25067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.869605,,,,fee schedule,,3.25067,,,,fee schedule,,2.78092,,,,fee schedule,,2.78092,,,,fee schedule,,1.93537,,,,fee schedule,,1.869605,,,,fee schedule,,1.91658,,,,fee schedule,,1.93537,,,,fee schedule,,1.95416,,,,fee schedule,,1.93537,,,,fee schedule,,1.95416,,,,fee schedule,,1.982345,,,,fee schedule,,1.84142,,,,fee schedule,,1.89779,,,,fee schedule,,1.93537,,,,fee schedule,,1.93537,,,,fee schedule,,1.95416,,,,fee schedule,,1.84142,,,,fee schedule,,1.84142,,,,fee schedule,,1.84142,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Thyrotropin injection,9108,APC,,,,,outpatient,,,,,,1939.86399,3424.453779,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1969.555786,,,,fee schedule,,3424.453779,,,,fee schedule,,2929.590516,,,,fee schedule,,2929.590516,,,,fee schedule,,2038.836643,,,,fee schedule,,1969.555786,,,,fee schedule,,2019.042112,,,,fee schedule,,2038.836643,,,,fee schedule,,2058.631173,,,,fee schedule,,2038.836643,,,,fee schedule,,2058.631173,,,,fee schedule,,2088.322969,,,,fee schedule,,1939.86399,,,,fee schedule,,1999.247582,,,,fee schedule,,2038.836643,,,,fee schedule,,2038.836643,,,,fee schedule,,2058.631173,,,,fee schedule,,1939.86399,,,,fee schedule,,1939.86399,,,,fee schedule,,1939.86399,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, elahere, 1 mg",9109,APC,,,,,outpatient,,,,,,64.3958,113.6783,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.38145,,,,fee schedule,,113.6783,,,,fee schedule,,97.2508,,,,fee schedule,,97.2508,,,,fee schedule,,67.6813,,,,fee schedule,,65.38145,,,,fee schedule,,67.0242,,,,fee schedule,,67.6813,,,,fee schedule,,68.3384,,,,fee schedule,,67.6813,,,,fee schedule,,68.3384,,,,fee schedule,,69.32405,,,,fee schedule,,64.3958,,,,fee schedule,,66.3671,,,,fee schedule,,67.6813,,,,fee schedule,,67.6813,,,,fee schedule,,68.3384,,,,fee schedule,,64.3958,,,,fee schedule,,64.3958,,,,fee schedule,,64.3958,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, tremelimumab-actl, 1 mg",9110,APC,,,,,outpatient,,,,,,133.37114,235.44089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.412535,,,,fee schedule,,235.44089,,,,fee schedule,,201.41764,,,,fee schedule,,201.41764,,,,fee schedule,,140.17579,,,,fee schedule,,135.412535,,,,fee schedule,,138.81486,,,,fee schedule,,140.17579,,,,fee schedule,,141.53672,,,,fee schedule,,140.17579,,,,fee schedule,,141.53672,,,,fee schedule,,143.578115,,,,fee schedule,,133.37114,,,,fee schedule,,137.45393,,,,fee schedule,,140.17579,,,,fee schedule,,140.17579,,,,fee schedule,,141.53672,,,,fee schedule,,133.37114,,,,fee schedule,,133.37114,,,,fee schedule,,133.37114,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj teclistamab cqyv 0.5 mg,9111,APC,,,,,outpatient,,,,,,30.23006,53.36531,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.692765,,,,fee schedule,,53.36531,,,,fee schedule,,45.65356,,,,fee schedule,,45.65356,,,,fee schedule,,31.77241,,,,fee schedule,,30.692765,,,,fee schedule,,31.46394,,,,fee schedule,,31.77241,,,,fee schedule,,32.08088,,,,fee schedule,,31.77241,,,,fee schedule,,32.08088,,,,fee schedule,,32.543585,,,,fee schedule,,30.23006,,,,fee schedule,,31.15547,,,,fee schedule,,31.77241,,,,fee schedule,,31.77241,,,,fee schedule,,32.08088,,,,fee schedule,,30.23006,,,,fee schedule,,30.23006,,,,fee schedule,,30.23006,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj teplizumab mzwv 5 mcg,9112,APC,,,,,outpatient,,,,,,35.5299,62.72115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.073725,,,,fee schedule,,62.72115,,,,fee schedule,,53.6574,,,,fee schedule,,53.6574,,,,fee schedule,,37.34265,,,,fee schedule,,36.073725,,,,fee schedule,,36.9801,,,,fee schedule,,37.34265,,,,fee schedule,,37.7052,,,,fee schedule,,37.34265,,,,fee schedule,,37.7052,,,,fee schedule,,38.249025,,,,fee schedule,,35.5299,,,,fee schedule,,36.61755,,,,fee schedule,,37.34265,,,,fee schedule,,37.34265,,,,fee schedule,,37.7052,,,,fee schedule,,35.5299,,,,fee schedule,,35.5299,,,,fee schedule,,35.5299,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj olipudase alfa-rpcp 1mg,9113,APC,,,,,outpatient,,,,,,369.4257,652.14945,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,375.080175,,,,fee schedule,,652.14945,,,,fee schedule,,557.9082,,,,fee schedule,,557.9082,,,,fee schedule,,388.27395,,,,fee schedule,,375.080175,,,,fee schedule,,384.5043,,,,fee schedule,,388.27395,,,,fee schedule,,392.0436,,,,fee schedule,,388.27395,,,,fee schedule,,392.0436,,,,fee schedule,,397.698075,,,,fee schedule,,369.4257,,,,fee schedule,,380.73465,,,,fee schedule,,388.27395,,,,fee schedule,,388.27395,,,,fee schedule,,392.0436,,,,fee schedule,,369.4257,,,,fee schedule,,369.4257,,,,fee schedule,,369.4257,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj eflapegrastim-xnst 0.1mg,9114,APC,,,,,outpatient,,,,,,29.08542,51.34467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.530605,,,,fee schedule,,51.34467,,,,fee schedule,,43.92492,,,,fee schedule,,43.92492,,,,fee schedule,,30.56937,,,,fee schedule,,29.530605,,,,fee schedule,,30.27258,,,,fee schedule,,30.56937,,,,fee schedule,,30.86616,,,,fee schedule,,30.56937,,,,fee schedule,,30.86616,,,,fee schedule,,31.311345,,,,fee schedule,,29.08542,,,,fee schedule,,29.97579,,,,fee schedule,,30.56937,,,,fee schedule,,30.56937,,,,fee schedule,,30.86616,,,,fee schedule,,29.08542,,,,fee schedule,,29.08542,,,,fee schedule,,29.08542,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, spesolimab-sbzo, 1 mg",9115,APC,,,,,outpatient,,,,,,59.01854,104.18579,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.921885,,,,fee schedule,,104.18579,,,,fee schedule,,89.13004,,,,fee schedule,,89.13004,,,,fee schedule,,62.02969,,,,fee schedule,,59.921885,,,,fee schedule,,61.42746,,,,fee schedule,,62.02969,,,,fee schedule,,62.63192,,,,fee schedule,,62.02969,,,,fee schedule,,62.63192,,,,fee schedule,,63.535265,,,,fee schedule,,59.01854,,,,fee schedule,,60.82523,,,,fee schedule,,62.02969,,,,fee schedule,,62.02969,,,,fee schedule,,62.63192,,,,fee schedule,,59.01854,,,,fee schedule,,59.01854,,,,fee schedule,,59.01854,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Chloroprocaine opht gel, 1mg",9116,APC,,,,,outpatient,,,,,,0.69188,1.22138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.70247,,,,fee schedule,,1.22138,,,,fee schedule,,1.04488,,,,fee schedule,,1.04488,,,,fee schedule,,0.72718,,,,fee schedule,,0.70247,,,,fee schedule,,0.72012,,,,fee schedule,,0.72718,,,,fee schedule,,0.73424,,,,fee schedule,,0.72718,,,,fee schedule,,0.73424,,,,fee schedule,,0.74483,,,,fee schedule,,0.69188,,,,fee schedule,,0.71306,,,,fee schedule,,0.72718,,,,fee schedule,,0.72718,,,,fee schedule,,0.73424,,,,fee schedule,,0.69188,,,,fee schedule,,0.69188,,,,fee schedule,,0.69188,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, cimerli, 0.1 mg",9117,APC,,,,,outpatient,,,,,,256.83742,453.39667,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260.768605,,,,fee schedule,,453.39667,,,,fee schedule,,387.87692,,,,fee schedule,,387.87692,,,,fee schedule,,269.94137,,,,fee schedule,,260.768605,,,,fee schedule,,267.32058,,,,fee schedule,,269.94137,,,,fee schedule,,272.56216,,,,fee schedule,,269.94137,,,,fee schedule,,272.56216,,,,fee schedule,,276.493345,,,,fee schedule,,256.83742,,,,fee schedule,,264.69979,,,,fee schedule,,269.94137,,,,fee schedule,,269.94137,,,,fee schedule,,272.56216,,,,fee schedule,,256.83742,,,,fee schedule,,256.83742,,,,fee schedule,,256.83742,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, fylnetra, 0.5 mg",9118,APC,,,,,outpatient,,,,,,197.93452,349.41502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.96413,,,,fee schedule,,349.41502,,,,fee schedule,,298.92152,,,,fee schedule,,298.92152,,,,fee schedule,,208.03322,,,,fee schedule,,200.96413,,,,fee schedule,,206.01348,,,,fee schedule,,208.03322,,,,fee schedule,,210.05296,,,,fee schedule,,208.03322,,,,fee schedule,,210.05296,,,,fee schedule,,213.08257,,,,fee schedule,,197.93452,,,,fee schedule,,203.99374,,,,fee schedule,,208.03322,,,,fee schedule,,208.03322,,,,fee schedule,,210.05296,,,,fee schedule,,197.93452,,,,fee schedule,,197.93452,,,,fee schedule,,197.93452,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj sodium thiosulfate 100mg,9119,APC,,,,,outpatient,,,,,,94.26424,166.40524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.70706,,,,fee schedule,,166.40524,,,,fee schedule,,142.35824,,,,fee schedule,,142.35824,,,,fee schedule,,99.07364,,,,fee schedule,,95.70706,,,,fee schedule,,98.11176,,,,fee schedule,,99.07364,,,,fee schedule,,100.03552,,,,fee schedule,,99.07364,,,,fee schedule,,100.03552,,,,fee schedule,,101.47834,,,,fee schedule,,94.26424,,,,fee schedule,,97.14988,,,,fee schedule,,99.07364,,,,fee schedule,,99.07364,,,,fee schedule,,100.03552,,,,fee schedule,,94.26424,,,,fee schedule,,94.26424,,,,fee schedule,,94.26424,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, Fulvestrant",9120,APC,,,,,outpatient,,,,,,8.105281296,14.3083027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.229341724,,,,fee schedule,,14.3083027,,,,fee schedule,,12.2406289,,,,fee schedule,,12.2406289,,,,fee schedule,,8.518816056,,,,fee schedule,,8.229341724,,,,fee schedule,,8.436109104,,,,fee schedule,,8.518816056,,,,fee schedule,,8.601523008,,,,fee schedule,,8.518816056,,,,fee schedule,,8.601523008,,,,fee schedule,,8.725583436,,,,fee schedule,,8.105281296,,,,fee schedule,,8.353402152,,,,fee schedule,,8.518816056,,,,fee schedule,,8.518816056,,,,fee schedule,,8.601523008,,,,fee schedule,,8.105281296,,,,fee schedule,,8.105281296,,,,fee schedule,,8.105281296,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Triptorelin pamoate,9122,APC,,,,,outpatient,,,,,,396.9476335,700.7340877,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,403.0233626,,,,fee schedule,,700.7340877,,,,fee schedule,,599.4719363,,,,fee schedule,,599.4719363,,,,fee schedule,,417.2000638,,,,fee schedule,,403.0233626,,,,fee schedule,,413.1495777,,,,fee schedule,,417.2000638,,,,fee schedule,,421.2505498,,,,fee schedule,,417.2000638,,,,fee schedule,,421.2505498,,,,fee schedule,,427.3262789,,,,fee schedule,,396.9476335,,,,fee schedule,,409.0990917,,,,fee schedule,,417.2000638,,,,fee schedule,,417.2000638,,,,fee schedule,,421.2505498,,,,fee schedule,,396.9476335,,,,fee schedule,,396.9476335,,,,fee schedule,,396.9476335,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj pemetrexed, hospira 10mg",9123,APC,,,,,outpatient,,,,,,10.12944213,17.88156621,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.28448461,,,,fee schedule,,17.88156621,,,,fee schedule,,15.29752485,,,,fee schedule,,15.29752485,,,,fee schedule,,10.6462504,,,,fee schedule,,10.28448461,,,,fee schedule,,10.54288875,,,,fee schedule,,10.6462504,,,,fee schedule,,10.74961206,,,,fee schedule,,10.6462504,,,,fee schedule,,10.74961206,,,,fee schedule,,10.90465454,,,,fee schedule,,10.12944213,,,,fee schedule,,10.43952709,,,,fee schedule,,10.6462504,,,,fee schedule,,10.6462504,,,,fee schedule,,10.74961206,,,,fee schedule,,10.12944213,,,,fee schedule,,10.12944213,,,,fee schedule,,10.12944213,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Risperidone, long acting",9125,APC,,,,,outpatient,,,,,,11.66219929,20.58735181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.84070234,,,,fee schedule,,20.58735181,,,,fee schedule,,17.61230097,,,,fee schedule,,17.61230097,,,,fee schedule,,12.25720946,,,,fee schedule,,11.84070234,,,,fee schedule,,12.13820743,,,,fee schedule,,12.25720946,,,,fee schedule,,12.37621149,,,,fee schedule,,12.25720946,,,,fee schedule,,12.37621149,,,,fee schedule,,12.55471454,,,,fee schedule,,11.66219929,,,,fee schedule,,12.01920539,,,,fee schedule,,12.25720946,,,,fee schedule,,12.25720946,,,,fee schedule,,12.37621149,,,,fee schedule,,11.66219929,,,,fee schedule,,11.66219929,,,,fee schedule,,11.66219929,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Natalizumab injection,9126,APC,,,,,outpatient,,,,,,23.46836451,41.42884755,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.82757417,,,,fee schedule,,41.42884755,,,,fee schedule,,35.44201987,,,,fee schedule,,35.44201987,,,,fee schedule,,24.66573004,,,,fee schedule,,23.82757417,,,,fee schedule,,24.42625693,,,,fee schedule,,24.66573004,,,,fee schedule,,24.90520315,,,,fee schedule,,24.66573004,,,,fee schedule,,24.90520315,,,,fee schedule,,25.26441281,,,,fee schedule,,23.46836451,,,,fee schedule,,24.18678383,,,,fee schedule,,24.66573004,,,,fee schedule,,24.66573004,,,,fee schedule,,24.90520315,,,,fee schedule,,23.46836451,,,,fee schedule,,23.46836451,,,,fee schedule,,23.46836451,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj pemetrexed (accord) 10mg,9127,APC,,,,,outpatient,,,,,,9.267566157,16.36009128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.409416659,,,,fee schedule,,16.36009128,,,,fee schedule,,13.99591624,,,,fee schedule,,13.99591624,,,,fee schedule,,9.740401165,,,,fee schedule,,9.409416659,,,,fee schedule,,9.645834163,,,,fee schedule,,9.740401165,,,,fee schedule,,9.834968166,,,,fee schedule,,9.740401165,,,,fee schedule,,9.834968166,,,,fee schedule,,9.976818669,,,,fee schedule,,9.267566157,,,,fee schedule,,9.551267162,,,,fee schedule,,9.740401165,,,,fee schedule,,9.740401165,,,,fee schedule,,9.834968166,,,,fee schedule,,9.267566157,,,,fee schedule,,9.267566157,,,,fee schedule,,9.267566157,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj pemetrexed (sandoz) 10mg,9128,APC,,,,,outpatient,,,,,,1.243865549,2.195803469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.262904307,,,,fee schedule,,2.195803469,,,,fee schedule,,1.878490829,,,,fee schedule,,1.878490829,,,,fee schedule,,1.307328077,,,,fee schedule,,1.262904307,,,,fee schedule,,1.294635571,,,,fee schedule,,1.307328077,,,,fee schedule,,1.320020582,,,,fee schedule,,1.307328077,,,,fee schedule,,1.320020582,,,,fee schedule,,1.339059341,,,,fee schedule,,1.243865549,,,,fee schedule,,1.281943066,,,,fee schedule,,1.307328077,,,,fee schedule,,1.307328077,,,,fee schedule,,1.320020582,,,,fee schedule,,1.243865549,,,,fee schedule,,1.243865549,,,,fee schedule,,1.243865549,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, stimufend, 0.5 mg",9129,APC,,,,,outpatient,,,,,,315.419733,556.8123858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,320.247586,,,,fee schedule,,556.8123858,,,,fee schedule,,476.3481682,,,,fee schedule,,476.3481682,,,,fee schedule,,331.5125765,,,,fee schedule,,320.247586,,,,fee schedule,,328.2940078,,,,fee schedule,,331.5125765,,,,fee schedule,,334.7311452,,,,fee schedule,,331.5125765,,,,fee schedule,,334.7311452,,,,fee schedule,,339.5589983,,,,fee schedule,,315.419733,,,,fee schedule,,325.0754391,,,,fee schedule,,331.5125765,,,,fee schedule,,331.5125765,,,,fee schedule,,334.7311452,,,,fee schedule,,315.419733,,,,fee schedule,,315.419733,,,,fee schedule,,315.419733,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, Imm Glob Bivigam, 500mg",9130,APC,,,,,outpatient,,,,,,70.02694303,123.6189913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.098784,,,,fee schedule,,123.6189913,,,,fee schedule,,105.7549752,,,,fee schedule,,105.7549752,,,,fee schedule,,73.59974625,,,,fee schedule,,71.098784,,,,fee schedule,,72.88518561,,,,fee schedule,,73.59974625,,,,fee schedule,,74.31430689,,,,fee schedule,,73.59974625,,,,fee schedule,,74.31430689,,,,fee schedule,,75.38614786,,,,fee schedule,,70.02694303,,,,fee schedule,,72.17062496,,,,fee schedule,,73.59974625,,,,fee schedule,,73.59974625,,,,fee schedule,,74.31430689,,,,fee schedule,,70.02694303,,,,fee schedule,,70.02694303,,,,fee schedule,,70.02694303,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, Ado-trastuzumab Emt 1mg",9131,APC,,,,,outpatient,,,,,,36.82456279,65.00662615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.38820406,,,,fee schedule,,65.00662615,,,,fee schedule,,55.61260503,,,,fee schedule,,55.61260503,,,,fee schedule,,38.70336701,,,,fee schedule,,37.38820406,,,,fee schedule,,38.32760617,,,,fee schedule,,38.70336701,,,,fee schedule,,39.07912786,,,,fee schedule,,38.70336701,,,,fee schedule,,39.07912786,,,,fee schedule,,39.64276913,,,,fee schedule,,36.82456279,,,,fee schedule,,37.95184532,,,,fee schedule,,38.70336701,,,,fee schedule,,38.70336701,,,,fee schedule,,39.07912786,,,,fee schedule,,36.82456279,,,,fee schedule,,36.82456279,,,,fee schedule,,36.82456279,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Prothrombin complex kcentra,9132,APC,,,,,outpatient,,,,,,2.187322211,3.861293291,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.220801633,,,,fee schedule,,3.861293291,,,,fee schedule,,3.303302931,,,,fee schedule,,3.303302931,,,,fee schedule,,2.298920283,,,,fee schedule,,2.220801633,,,,fee schedule,,2.276600669,,,,fee schedule,,2.298920283,,,,fee schedule,,2.321239898,,,,fee schedule,,2.298920283,,,,fee schedule,,2.321239898,,,,fee schedule,,2.354719319,,,,fee schedule,,2.187322211,,,,fee schedule,,2.254281054,,,,fee schedule,,2.298920283,,,,fee schedule,,2.298920283,,,,fee schedule,,2.321239898,,,,fee schedule,,2.187322211,,,,fee schedule,,2.187322211,,,,fee schedule,,2.187322211,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Rabies ig, im/sc",9133,APC,,,,,outpatient,,,,,,278.3139568,491.3093319,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282.5738643,,,,fee schedule,,491.3093319,,,,fee schedule,,420.3108735,,,,fee schedule,,420.3108735,,,,fee schedule,,292.5136484,,,,fee schedule,,282.5738643,,,,fee schedule,,289.6737101,,,,fee schedule,,292.5136484,,,,fee schedule,,295.3535868,,,,fee schedule,,292.5136484,,,,fee schedule,,295.3535868,,,,fee schedule,,299.6134943,,,,fee schedule,,278.3139568,,,,fee schedule,,286.8337718,,,,fee schedule,,292.5136484,,,,fee schedule,,292.5136484,,,,fee schedule,,295.3535868,,,,fee schedule,,278.3139568,,,,fee schedule,,278.3139568,,,,fee schedule,,278.3139568,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Rabies ig, heat treated",9134,APC,,,,,outpatient,,,,,,460.4212478,812.7844477,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,467.4685118,,,,fee schedule,,812.7844477,,,,fee schedule,,695.3300478,,,,fee schedule,,695.3300478,,,,fee schedule,,483.9121278,,,,fee schedule,,467.4685118,,,,fee schedule,,479.2139518,,,,fee schedule,,483.9121278,,,,fee schedule,,488.6103038,,,,fee schedule,,483.9121278,,,,fee schedule,,488.6103038,,,,fee schedule,,495.6575678,,,,fee schedule,,460.4212478,,,,fee schedule,,474.5157758,,,,fee schedule,,483.9121278,,,,fee schedule,,483.9121278,,,,fee schedule,,488.6103038,,,,fee schedule,,460.4212478,,,,fee schedule,,460.4212478,,,,fee schedule,,460.4212478,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Varicella-zoster ig, im",9135,APC,,,,,outpatient,,,,,,2165.199448,3822.239842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2198.340256,,,,fee schedule,,3822.239842,,,,fee schedule,,3269.893044,,,,fee schedule,,3269.893044,,,,fee schedule,,2275.668808,,,,fee schedule,,2198.340256,,,,fee schedule,,2253.574936,,,,fee schedule,,2275.668808,,,,fee schedule,,2297.76268,,,,fee schedule,,2275.668808,,,,fee schedule,,2297.76268,,,,fee schedule,,2330.903488,,,,fee schedule,,2165.199448,,,,fee schedule,,2231.481064,,,,fee schedule,,2275.668808,,,,fee schedule,,2275.668808,,,,fee schedule,,2297.76268,,,,fee schedule,,2165.199448,,,,fee schedule,,2165.199448,,,,fee schedule,,2165.199448,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Leuprolide depot cipla 7.5mg,9136,APC,,,,,outpatient,,,,,,340.9871206,601.9466517,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,346.2063112,,,,fee schedule,,601.9466517,,,,fee schedule,,514.9601413,,,,fee schedule,,514.9601413,,,,fee schedule,,358.3844227,,,,fee schedule,,346.2063112,,,,fee schedule,,354.9049623,,,,fee schedule,,358.3844227,,,,fee schedule,,361.8638831,,,,fee schedule,,358.3844227,,,,fee schedule,,361.8638831,,,,fee schedule,,367.0830737,,,,fee schedule,,340.9871206,,,,fee schedule,,351.4255019,,,,fee schedule,,358.3844227,,,,fee schedule,,358.3844227,,,,fee schedule,,361.8638831,,,,fee schedule,,340.9871206,,,,fee schedule,,340.9871206,,,,fee schedule,,340.9871206,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, hemgenix, per tx dose",9138,APC,,,,,outpatient,,,,,,3560757.088,6285826.288,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3615258.472,,,,fee schedule,,6285826.288,,,,fee schedule,,5377469.888,,,,fee schedule,,5377469.888,,,,fee schedule,,3742428.368,,,,fee schedule,,3615258.472,,,,fee schedule,,3706094.112,,,,fee schedule,,3742428.368,,,,fee schedule,,3778762.624,,,,fee schedule,,3742428.368,,,,fee schedule,,3778762.624,,,,fee schedule,,3833264.008,,,,fee schedule,,3560757.088,,,,fee schedule,,3669759.856,,,,fee schedule,,3742428.368,,,,fee schedule,,3742428.368,,,,fee schedule,,3778762.624,,,,fee schedule,,3560757.088,,,,fee schedule,,3560757.088,,,,fee schedule,,3560757.088,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Rabies vaccine, im",9139,APC,,,,,outpatient,,,,,,311.6804582,550.211421,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,316.4510774,,,,fee schedule,,550.211421,,,,fee schedule,,470.7011001,,,,fee schedule,,470.7011001,,,,fee schedule,,327.5825224,,,,fee schedule,,316.4510774,,,,fee schedule,,324.4021095,,,,fee schedule,,327.5825224,,,,fee schedule,,330.7629352,,,,fee schedule,,327.5825224,,,,fee schedule,,330.7629352,,,,fee schedule,,335.5335545,,,,fee schedule,,311.6804582,,,,fee schedule,,321.2216967,,,,fee schedule,,327.5825224,,,,fee schedule,,327.5825224,,,,fee schedule,,330.7629352,,,,fee schedule,,311.6804582,,,,fee schedule,,311.6804582,,,,fee schedule,,311.6804582,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Rabies vaccine, id",9140,APC,,,,,outpatient,,,,,,267.9205771,472.9618351,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,272.0214023,,,,fee schedule,,472.9618351,,,,fee schedule,,404.6147491,,,,fee schedule,,404.6147491,,,,fee schedule,,281.5899943,,,,fee schedule,,272.0214023,,,,fee schedule,,278.8561109,,,,fee schedule,,281.5899943,,,,fee schedule,,284.3238778,,,,fee schedule,,281.5899943,,,,fee schedule,,284.3238778,,,,fee schedule,,288.4247029,,,,fee schedule,,267.9205771,,,,fee schedule,,276.1222274,,,,fee schedule,,281.5899943,,,,fee schedule,,281.5899943,,,,fee schedule,,284.3238778,,,,fee schedule,,267.9205771,,,,fee schedule,,267.9205771,,,,fee schedule,,267.9205771,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj onase abepar-xioi treat,9141,APC,,,,,outpatient,,,,,,2210150.092,3901591.49,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2243978.92,,,,fee schedule,,3901591.49,,,,fee schedule,,3337777.691,,,,fee schedule,,3337777.691,,,,fee schedule,,2322912.852,,,,fee schedule,,2243978.92,,,,fee schedule,,2300360.3,,,,fee schedule,,2322912.852,,,,fee schedule,,2345465.404,,,,fee schedule,,2322912.852,,,,fee schedule,,2345465.404,,,,fee schedule,,2379294.232,,,,fee schedule,,2210150.092,,,,fee schedule,,2277807.748,,,,fee schedule,,2322912.852,,,,fee schedule,,2322912.852,,,,fee schedule,,2345465.404,,,,fee schedule,,2210150.092,,,,fee schedule,,2210150.092,,,,fee schedule,,2210150.092,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fecal microbiota jslm 1 ml,9142,APC,,,,,outpatient,,,,,,61.72432,108.96232,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.66908,,,,fee schedule,,108.96232,,,,fee schedule,,93.21632,,,,fee schedule,,93.21632,,,,fee schedule,,64.87352,,,,fee schedule,,62.66908,,,,fee schedule,,64.24368,,,,fee schedule,,64.87352,,,,fee schedule,,65.50336,,,,fee schedule,,64.87352,,,,fee schedule,,65.50336,,,,fee schedule,,66.44812,,,,fee schedule,,61.72432,,,,fee schedule,,63.61384,,,,fee schedule,,64.87352,,,,fee schedule,,64.87352,,,,fee schedule,,65.50336,,,,fee schedule,,61.72432,,,,fee schedule,,61.72432,,,,fee schedule,,61.72432,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj acetaminophen -fresenius,9143,APC,,,,,outpatient,,,,,,0.045109322,0.079631762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.04579977,,,,fee schedule,,0.079631762,,,,fee schedule,,0.068124282,,,,fee schedule,,0.068124282,,,,fee schedule,,0.047410818,,,,fee schedule,,0.04579977,,,,fee schedule,,0.046950518,,,,fee schedule,,0.047410818,,,,fee schedule,,0.047871117,,,,fee schedule,,0.047410818,,,,fee schedule,,0.047871117,,,,fee schedule,,0.048561566,,,,fee schedule,,0.045109322,,,,fee schedule,,0.046490219,,,,fee schedule,,0.047410818,,,,fee schedule,,0.047410818,,,,fee schedule,,0.047871117,,,,fee schedule,,0.045109322,,,,fee schedule,,0.045109322,,,,fee schedule,,0.045109322,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, panzyga, 500 mg",9144,APC,,,,,outpatient,,,,,,63.7682646,112.5705079,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.74430947,,,,fee schedule,,112.5705079,,,,fee schedule,,96.30309348,,,,fee schedule,,96.30309348,,,,fee schedule,,67.02174749,,,,fee schedule,,64.74430947,,,,fee schedule,,66.37105092,,,,fee schedule,,67.02174749,,,,fee schedule,,67.67244407,,,,fee schedule,,67.02174749,,,,fee schedule,,67.67244407,,,,fee schedule,,68.64848894,,,,fee schedule,,63.7682646,,,,fee schedule,,65.72035434,,,,fee schedule,,67.02174749,,,,fee schedule,,67.02174749,,,,fee schedule,,67.67244407,,,,fee schedule,,63.7682646,,,,fee schedule,,63.7682646,,,,fee schedule,,63.7682646,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, invega hafyera/trinza",9145,APC,,,,,outpatient,,,,,,11.71882589,20.68731509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.89819567,,,,fee schedule,,20.68731509,,,,fee schedule,,17.69781869,,,,fee schedule,,17.69781869,,,,fee schedule,,12.31672517,,,,fee schedule,,11.89819567,,,,fee schedule,,12.19714531,,,,fee schedule,,12.31672517,,,,fee schedule,,12.43630502,,,,fee schedule,,12.31672517,,,,fee schedule,,12.43630502,,,,fee schedule,,12.61567481,,,,fee schedule,,11.71882589,,,,fee schedule,,12.07756546,,,,fee schedule,,12.31672517,,,,fee schedule,,12.31672517,,,,fee schedule,,12.43630502,,,,fee schedule,,11.71882589,,,,fee schedule,,11.71882589,,,,fee schedule,,11.71882589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, ixinity, 1 i.u.",9146,APC,,,,,outpatient,,,,,,1.741987632,3.075141432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.768650708,,,,fee schedule,,3.075141432,,,,fee schedule,,2.630756832,,,,fee schedule,,2.630756832,,,,fee schedule,,1.830864552,,,,fee schedule,,1.768650708,,,,fee schedule,,1.813089168,,,,fee schedule,,1.830864552,,,,fee schedule,,1.848639936,,,,fee schedule,,1.830864552,,,,fee schedule,,1.848639936,,,,fee schedule,,1.875303012,,,,fee schedule,,1.741987632,,,,fee schedule,,1.795313784,,,,fee schedule,,1.830864552,,,,fee schedule,,1.830864552,,,,fee schedule,,1.848639936,,,,fee schedule,,1.741987632,,,,fee schedule,,1.741987632,,,,fee schedule,,1.741987632,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj ublituximab-xiiy, 1 mg",9149,APC,,,,,outpatient,,,,,,66.30974,117.05699,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.324685,,,,fee schedule,,117.05699,,,,fee schedule,,100.14124,,,,fee schedule,,100.14124,,,,fee schedule,,69.69289,,,,fee schedule,,67.324685,,,,fee schedule,,69.01626,,,,fee schedule,,69.69289,,,,fee schedule,,70.36952,,,,fee schedule,,69.69289,,,,fee schedule,,70.36952,,,,fee schedule,,71.384465,,,,fee schedule,,66.30974,,,,fee schedule,,68.33963,,,,fee schedule,,69.69289,,,,fee schedule,,69.69289,,,,fee schedule,,70.36952,,,,fee schedule,,66.30974,,,,fee schedule,,66.30974,,,,fee schedule,,66.30974,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj mosunetuzumab-axgb, 1 mg",9150,APC,,,,,outpatient,,,,,,617.0423,1089.26855,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,626.486825,,,,fee schedule,,1089.26855,,,,fee schedule,,931.8598,,,,fee schedule,,931.8598,,,,fee schedule,,648.52405,,,,fee schedule,,626.486825,,,,fee schedule,,642.2277,,,,fee schedule,,648.52405,,,,fee schedule,,654.8204,,,,fee schedule,,648.52405,,,,fee schedule,,654.8204,,,,fee schedule,,664.264925,,,,fee schedule,,617.0423,,,,fee schedule,,635.93135,,,,fee schedule,,648.52405,,,,fee schedule,,648.52405,,,,fee schedule,,654.8204,,,,fee schedule,,617.0423,,,,fee schedule,,617.0423,,,,fee schedule,,617.0423,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj apotex/bendamustine 1 mg,9151,APC,,,,,outpatient,,,,,,20.36244,35.94594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.67411,,,,fee schedule,,35.94594,,,,fee schedule,,30.75144,,,,fee schedule,,30.75144,,,,fee schedule,,21.40134,,,,fee schedule,,20.67411,,,,fee schedule,,21.19356,,,,fee schedule,,21.40134,,,,fee schedule,,21.60912,,,,fee schedule,,21.40134,,,,fee schedule,,21.60912,,,,fee schedule,,21.92079,,,,fee schedule,,20.36244,,,,fee schedule,,20.98578,,,,fee schedule,,21.40134,,,,fee schedule,,21.40134,,,,fee schedule,,21.60912,,,,fee schedule,,20.36244,,,,fee schedule,,20.36244,,,,fee schedule,,20.36244,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Paclitaxel (american regent),9152,APC,,,,,outpatient,,,,,,14.83136908,26.18190664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.05837983,,,,fee schedule,,26.18190664,,,,fee schedule,,22.39839412,,,,fee schedule,,22.39839412,,,,fee schedule,,15.58807158,,,,fee schedule,,15.05837983,,,,fee schedule,,15.43673108,,,,fee schedule,,15.58807158,,,,fee schedule,,15.73941208,,,,fee schedule,,15.58807158,,,,fee schedule,,15.73941208,,,,fee schedule,,15.96642283,,,,fee schedule,,14.83136908,,,,fee schedule,,15.28539058,,,,fee schedule,,15.58807158,,,,fee schedule,,15.58807158,,,,fee schedule,,15.73941208,,,,fee schedule,,14.83136908,,,,fee schedule,,14.83136908,,,,fee schedule,,14.83136908,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj bendamustine, baxter 1mg",9153,APC,,,,,outpatient,,,,,,19.94215924,35.2040158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.24739637,,,,fee schedule,,35.2040158,,,,fee schedule,,30.11673028,,,,fee schedule,,30.11673028,,,,fee schedule,,20.95961634,,,,fee schedule,,20.24739637,,,,fee schedule,,20.75612492,,,,fee schedule,,20.95961634,,,,fee schedule,,21.16310776,,,,fee schedule,,20.95961634,,,,fee schedule,,21.16310776,,,,fee schedule,,21.46834489,,,,fee schedule,,19.94215924,,,,fee schedule,,20.5526335,,,,fee schedule,,20.95961634,,,,fee schedule,,20.95961634,,,,fee schedule,,21.16310776,,,,fee schedule,,19.94215924,,,,fee schedule,,19.94215924,,,,fee schedule,,19.94215924,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, bendamustine, 1 mg",9154,APC,,,,,outpatient,,,,,,32.78394,57.87369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.285735,,,,fee schedule,,57.87369,,,,fee schedule,,49.51044,,,,fee schedule,,49.51044,,,,fee schedule,,34.45659,,,,fee schedule,,33.285735,,,,fee schedule,,34.12206,,,,fee schedule,,34.45659,,,,fee schedule,,34.79112,,,,fee schedule,,34.45659,,,,fee schedule,,34.79112,,,,fee schedule,,35.292915,,,,fee schedule,,32.78394,,,,fee schedule,,33.78753,,,,fee schedule,,34.45659,,,,fee schedule,,34.45659,,,,fee schedule,,34.79112,,,,fee schedule,,32.78394,,,,fee schedule,,32.78394,,,,fee schedule,,32.78394,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, lenacapavir, 1 mg",9155,APC,,,,,outpatient,,,,,,21.49434,37.94409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.823335,,,,fee schedule,,37.94409,,,,fee schedule,,32.46084,,,,fee schedule,,32.46084,,,,fee schedule,,22.59099,,,,fee schedule,,21.823335,,,,fee schedule,,22.37166,,,,fee schedule,,22.59099,,,,fee schedule,,22.81032,,,,fee schedule,,22.59099,,,,fee schedule,,22.81032,,,,fee schedule,,23.139315,,,,fee schedule,,21.49434,,,,fee schedule,,22.15233,,,,fee schedule,,22.59099,,,,fee schedule,,22.59099,,,,fee schedule,,22.81032,,,,fee schedule,,21.49434,,,,fee schedule,,21.49434,,,,fee schedule,,21.49434,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj pemetrexed ditromethamin,9156,APC,,,,,outpatient,,,,,,5.769194301,10.18439402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.857498295,,,,fee schedule,,10.18439402,,,,fee schedule,,8.712660781,,,,fee schedule,,8.712660781,,,,fee schedule,,6.063540949,,,,fee schedule,,5.857498295,,,,fee schedule,,6.004671619,,,,fee schedule,,6.063540949,,,,fee schedule,,6.122410278,,,,fee schedule,,6.063540949,,,,fee schedule,,6.122410278,,,,fee schedule,,6.210714273,,,,fee schedule,,5.769194301,,,,fee schedule,,5.94580229,,,,fee schedule,,6.063540949,,,,fee schedule,,6.063540949,,,,fee schedule,,6.122410278,,,,fee schedule,,5.769194301,,,,fee schedule,,5.769194301,,,,fee schedule,,5.769194301,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, lecanemab-irmb, 1 mg",9157,APC,,,,,outpatient,,,,,,1.291854189,2.280518109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.311627467,,,,fee schedule,,2.280518109,,,,fee schedule,,1.950963469,,,,fee schedule,,1.950963469,,,,fee schedule,,1.357765117,,,,fee schedule,,1.311627467,,,,fee schedule,,1.344582931,,,,fee schedule,,1.357765117,,,,fee schedule,,1.370947302,,,,fee schedule,,1.357765117,,,,fee schedule,,1.370947302,,,,fee schedule,,1.390720581,,,,fee schedule,,1.291854189,,,,fee schedule,,1.331400746,,,,fee schedule,,1.357765117,,,,fee schedule,,1.357765117,,,,fee schedule,,1.370947302,,,,fee schedule,,1.291854189,,,,fee schedule,,1.291854189,,,,fee schedule,,1.291854189,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, pegcetacoplan, 1mg",9158,APC,,,,,outpatient,,,,,,145.3691078,256.6209761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.5941452,,,,fee schedule,,256.6209761,,,,fee schedule,,219.53702,,,,fee schedule,,219.53702,,,,fee schedule,,152.785899,,,,fee schedule,,147.5941452,,,,fee schedule,,151.3025408,,,,fee schedule,,152.785899,,,,fee schedule,,154.2692573,,,,fee schedule,,152.785899,,,,fee schedule,,154.2692573,,,,fee schedule,,156.4942947,,,,fee schedule,,145.3691078,,,,fee schedule,,149.8191826,,,,fee schedule,,152.785899,,,,fee schedule,,152.785899,,,,fee schedule,,154.2692573,,,,fee schedule,,145.3691078,,,,fee schedule,,145.3691078,,,,fee schedule,,145.3691078,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, vegzelma, 10 mg",9159,APC,,,,,outpatient,,,,,,69.49906799,122.6871302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.56282924,,,,fee schedule,,122.6871302,,,,fee schedule,,104.9577762,,,,fee schedule,,104.9577762,,,,fee schedule,,73.04493881,,,,fee schedule,,70.56282924,,,,fee schedule,,72.33576465,,,,fee schedule,,73.04493881,,,,fee schedule,,73.75411297,,,,fee schedule,,73.04493881,,,,fee schedule,,73.75411297,,,,fee schedule,,74.81787422,,,,fee schedule,,69.49906799,,,,fee schedule,,71.62659048,,,,fee schedule,,73.04493881,,,,fee schedule,,73.04493881,,,,fee schedule,,73.75411297,,,,fee schedule,,69.49906799,,,,fee schedule,,69.49906799,,,,fee schedule,,69.49906799,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, acetaminophen (b braun)",9160,APC,,,,,outpatient,,,,,,0.053747277,0.094880397,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.054569939,,,,fee schedule,,0.094880397,,,,fee schedule,,0.081169357,,,,fee schedule,,0.081169357,,,,fee schedule,,0.056489485,,,,fee schedule,,0.054569939,,,,fee schedule,,0.055941043,,,,fee schedule,,0.056489485,,,,fee schedule,,0.057037926,,,,fee schedule,,0.056489485,,,,fee schedule,,0.057037926,,,,fee schedule,,0.057860589,,,,fee schedule,,0.053747277,,,,fee schedule,,0.055392602,,,,fee schedule,,0.056489485,,,,fee schedule,,0.056489485,,,,fee schedule,,0.057037926,,,,fee schedule,,0.053747277,,,,fee schedule,,0.053747277,,,,fee schedule,,0.053747277,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj cefazolin sodium, baxter",9161,APC,,,,,outpatient,,,,,,1.178600998,2.080591558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.19664081,,,,fee schedule,,2.080591558,,,,fee schedule,,1.779928038,,,,fee schedule,,1.779928038,,,,fee schedule,,1.238733702,,,,fee schedule,,1.19664081,,,,fee schedule,,1.226707162,,,,fee schedule,,1.238733702,,,,fee schedule,,1.250760243,,,,fee schedule,,1.238733702,,,,fee schedule,,1.250760243,,,,fee schedule,,1.268800054,,,,fee schedule,,1.178600998,,,,fee schedule,,1.214680621,,,,fee schedule,,1.238733702,,,,fee schedule,,1.238733702,,,,fee schedule,,1.250760243,,,,fee schedule,,1.178600998,,,,fee schedule,,1.178600998,,,,fee schedule,,1.178600998,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. cefepime hcl (baxter),9162,APC,,,,,outpatient,,,,,,5.410239274,9.550728514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.493049058,,,,fee schedule,,9.550728514,,,,fee schedule,,8.170565434,,,,fee schedule,,8.170565434,,,,fee schedule,,5.68627189,,,,fee schedule,,5.493049058,,,,fee schedule,,5.631065366,,,,fee schedule,,5.68627189,,,,fee schedule,,5.741478413,,,,fee schedule,,5.68627189,,,,fee schedule,,5.741478413,,,,fee schedule,,5.824288198,,,,fee schedule,,5.410239274,,,,fee schedule,,5.575858843,,,,fee schedule,,5.68627189,,,,fee schedule,,5.68627189,,,,fee schedule,,5.741478413,,,,fee schedule,,5.410239274,,,,fee schedule,,5.410239274,,,,fee schedule,,5.410239274,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, cefepime hcl (b braun)",9163,APC,,,,,outpatient,,,,,,5.05608311,8.92553447,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.133472138,,,,fee schedule,,8.92553447,,,,fee schedule,,7.63571735,,,,fee schedule,,7.63571735,,,,fee schedule,,5.314046534,,,,fee schedule,,5.133472138,,,,fee schedule,,5.26245385,,,,fee schedule,,5.314046534,,,,fee schedule,,5.365639219,,,,fee schedule,,5.314046534,,,,fee schedule,,5.365639219,,,,fee schedule,,5.443028246,,,,fee schedule,,5.05608311,,,,fee schedule,,5.210861165,,,,fee schedule,,5.314046534,,,,fee schedule,,5.314046534,,,,fee schedule,,5.365639219,,,,fee schedule,,5.05608311,,,,fee schedule,,5.05608311,,,,fee schedule,,5.05608311,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, daptomycin (hospira)",9164,APC,,,,,outpatient,,,,,,0.062385232,0.110129032,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.063340108,,,,fee schedule,,0.110129032,,,,fee schedule,,0.094214432,,,,fee schedule,,0.094214432,,,,fee schedule,,0.065568152,,,,fee schedule,,0.063340108,,,,fee schedule,,0.064931568,,,,fee schedule,,0.065568152,,,,fee schedule,,0.066204736,,,,fee schedule,,0.065568152,,,,fee schedule,,0.066204736,,,,fee schedule,,0.067159612,,,,fee schedule,,0.062385232,,,,fee schedule,,0.064294984,,,,fee schedule,,0.065568152,,,,fee schedule,,0.065568152,,,,fee schedule,,0.066204736,,,,fee schedule,,0.062385232,,,,fee schedule,,0.062385232,,,,fee schedule,,0.062385232,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, decitabine (sun pharma)",9165,APC,,,,,outpatient,,,,,,0.745743466,1.316465506,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.757157906,,,,fee schedule,,1.316465506,,,,fee schedule,,1.126224826,,,,fee schedule,,1.126224826,,,,fee schedule,,0.783791602,,,,fee schedule,,0.757157906,,,,fee schedule,,0.776181974,,,,fee schedule,,0.783791602,,,,fee schedule,,0.791401229,,,,fee schedule,,0.783791602,,,,fee schedule,,0.791401229,,,,fee schedule,,0.80281567,,,,fee schedule,,0.745743466,,,,fee schedule,,0.768572347,,,,fee schedule,,0.783791602,,,,fee schedule,,0.783791602,,,,fee schedule,,0.791401229,,,,fee schedule,,0.745743466,,,,fee schedule,,0.745743466,,,,fee schedule,,0.745743466,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, fosaprepitant (teva)",9166,APC,,,,,outpatient,,,,,,0.423259805,0.747183125,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.429738271,,,,fee schedule,,0.747183125,,,,fee schedule,,0.639208685,,,,fee schedule,,0.639208685,,,,fee schedule,,0.444854693,,,,fee schedule,,0.429738271,,,,fee schedule,,0.440535715,,,,fee schedule,,0.444854693,,,,fee schedule,,0.44917367,,,,fee schedule,,0.444854693,,,,fee schedule,,0.44917367,,,,fee schedule,,0.455652137,,,,fee schedule,,0.423259805,,,,fee schedule,,0.436216738,,,,fee schedule,,0.444854693,,,,fee schedule,,0.444854693,,,,fee schedule,,0.44917367,,,,fee schedule,,0.423259805,,,,fee schedule,,0.423259805,,,,fee schedule,,0.423259805,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, linezolid (hospira)",9167,APC,,,,,outpatient,,,,,,19.25400214,33.98920786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.54870626,,,,fee schedule,,33.98920786,,,,fee schedule,,29.07747262,,,,fee schedule,,29.07747262,,,,fee schedule,,20.23634919,,,,fee schedule,,19.54870626,,,,fee schedule,,20.03987978,,,,fee schedule,,20.23634919,,,,fee schedule,,20.4328186,,,,fee schedule,,20.23634919,,,,fee schedule,,20.4328186,,,,fee schedule,,20.72752271,,,,fee schedule,,19.25400214,,,,fee schedule,,19.84341037,,,,fee schedule,,20.23634919,,,,fee schedule,,20.23634919,,,,fee schedule,,20.4328186,,,,fee schedule,,19.25400214,,,,fee schedule,,19.25400214,,,,fee schedule,,19.25400214,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, meropenem (b. braun)",9168,APC,,,,,outpatient,,,,,,2.027999926,3.580040686,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.059040742,,,,fee schedule,,3.580040686,,,,fee schedule,,3.062693766,,,,fee schedule,,3.062693766,,,,fee schedule,,2.13146931,,,,fee schedule,,2.059040742,,,,fee schedule,,2.110775434,,,,fee schedule,,2.13146931,,,,fee schedule,,2.152163187,,,,fee schedule,,2.13146931,,,,fee schedule,,2.152163187,,,,fee schedule,,2.183204002,,,,fee schedule,,2.027999926,,,,fee schedule,,2.090081557,,,,fee schedule,,2.13146931,,,,fee schedule,,2.13146931,,,,fee schedule,,2.152163187,,,,fee schedule,,2.027999926,,,,fee schedule,,2.027999926,,,,fee schedule,,2.027999926,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, micafungin (par pharm)",9169,APC,,,,,outpatient,,,,,,0.323443434,0.570976674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.328394098,,,,fee schedule,,0.570976674,,,,fee schedule,,0.488465594,,,,fee schedule,,0.488465594,,,,fee schedule,,0.33994565,,,,fee schedule,,0.328394098,,,,fee schedule,,0.336645206,,,,fee schedule,,0.33994565,,,,fee schedule,,0.343246093,,,,fee schedule,,0.33994565,,,,fee schedule,,0.343246093,,,,fee schedule,,0.348196758,,,,fee schedule,,0.323443434,,,,fee schedule,,0.333344763,,,,fee schedule,,0.33994565,,,,fee schedule,,0.33994565,,,,fee schedule,,0.343246093,,,,fee schedule,,0.323443434,,,,fee schedule,,0.323443434,,,,fee schedule,,0.323443434,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj midazolam (wg crit care),9170,APC,,,,,outpatient,,,,,,0.272575475,0.481179155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.276747549,,,,fee schedule,,0.481179155,,,,fee schedule,,0.411644595,,,,fee schedule,,0.411644595,,,,fee schedule,,0.286482387,,,,fee schedule,,0.276747549,,,,fee schedule,,0.283701005,,,,fee schedule,,0.286482387,,,,fee schedule,,0.28926377,,,,fee schedule,,0.286482387,,,,fee schedule,,0.28926377,,,,fee schedule,,0.293435843,,,,fee schedule,,0.272575475,,,,fee schedule,,0.280919622,,,,fee schedule,,0.286482387,,,,fee schedule,,0.286482387,,,,fee schedule,,0.28926377,,,,fee schedule,,0.272575475,,,,fee schedule,,0.272575475,,,,fee schedule,,0.272575475,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor ix idelvion inj,9171,APC,,,,,outpatient,,,,,,4.742237405,8.371500725,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.814822671,,,,fee schedule,,8.371500725,,,,fee schedule,,7.161746285,,,,fee schedule,,7.161746285,,,,fee schedule,,4.984188293,,,,fee schedule,,4.814822671,,,,fee schedule,,4.935798115,,,,fee schedule,,4.984188293,,,,fee schedule,,5.03257847,,,,fee schedule,,4.984188293,,,,fee schedule,,5.03257847,,,,fee schedule,,5.105163737,,,,fee schedule,,4.742237405,,,,fee schedule,,4.887407938,,,,fee schedule,,4.984188293,,,,fee schedule,,4.984188293,,,,fee schedule,,5.03257847,,,,fee schedule,,4.742237405,,,,fee schedule,,4.742237405,,,,fee schedule,,4.742237405,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, fulphila",9173,APC,,,,,outpatient,,,,,,117.6105589,207.6186397,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119.4107205,,,,fee schedule,,207.6186397,,,,fee schedule,,177.6159461,,,,fee schedule,,177.6159461,,,,fee schedule,,123.6110976,,,,fee schedule,,119.4107205,,,,fee schedule,,122.4109899,,,,fee schedule,,123.6110976,,,,fee schedule,,124.8112054,,,,fee schedule,,123.6110976,,,,fee schedule,,124.8112054,,,,fee schedule,,126.611367,,,,fee schedule,,117.6105589,,,,fee schedule,,121.2108821,,,,fee schedule,,123.6110976,,,,fee schedule,,123.6110976,,,,fee schedule,,124.8112054,,,,fee schedule,,117.6105589,,,,fee schedule,,117.6105589,,,,fee schedule,,117.6105589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, durolane 1 mg",9174,APC,,,,,outpatient,,,,,,5.89588431,10.40804067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.986127438,,,,fee schedule,,10.40804067,,,,fee schedule,,8.90398855,,,,fee schedule,,8.90398855,,,,fee schedule,,6.196694734,,,,fee schedule,,5.986127438,,,,fee schedule,,6.13653265,,,,fee schedule,,6.196694734,,,,fee schedule,,6.256856819,,,,fee schedule,,6.196694734,,,,fee schedule,,6.256856819,,,,fee schedule,,6.347099946,,,,fee schedule,,5.89588431,,,,fee schedule,,6.076370565,,,,fee schedule,,6.196694734,,,,fee schedule,,6.196694734,,,,fee schedule,,6.256856819,,,,fee schedule,,5.89588431,,,,fee schedule,,5.89588431,,,,fee schedule,,5.89588431,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., meropenem, vaborbactam",9178,APC,,,,,outpatient,,,,,,1.992488333,3.517351853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.022985603,,,,fee schedule,,3.517351853,,,,fee schedule,,3.009064013,,,,fee schedule,,3.009064013,,,,fee schedule,,2.094145901,,,,fee schedule,,2.022985603,,,,fee schedule,,2.073814387,,,,fee schedule,,2.094145901,,,,fee schedule,,2.114477414,,,,fee schedule,,2.094145901,,,,fee schedule,,2.114477414,,,,fee schedule,,2.144974685,,,,fee schedule,,1.992488333,,,,fee schedule,,2.053482874,,,,fee schedule,,2.094145901,,,,fee schedule,,2.094145901,,,,fee schedule,,2.114477414,,,,fee schedule,,1.992488333,,,,fee schedule,,1.992488333,,,,fee schedule,,1.992488333,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., aristada initio, 1 mg",9179,APC,,,,,outpatient,,,,,,2.966657725,5.237059045,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.012065751,,,,fee schedule,,5.237059045,,,,fee schedule,,4.480258605,,,,fee schedule,,4.480258605,,,,fee schedule,,3.118017813,,,,fee schedule,,3.012065751,,,,fee schedule,,3.087745795,,,,fee schedule,,3.118017813,,,,fee schedule,,3.14828983,,,,fee schedule,,3.118017813,,,,fee schedule,,3.14828983,,,,fee schedule,,3.193697857,,,,fee schedule,,2.966657725,,,,fee schedule,,3.057473778,,,,fee schedule,,3.118017813,,,,fee schedule,,3.118017813,,,,fee schedule,,3.14828983,,,,fee schedule,,2.966657725,,,,fee schedule,,2.966657725,,,,fee schedule,,2.966657725,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., patisiran, 0.1 mg",9180,APC,,,,,outpatient,,,,,,95.95712477,169.3936999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.42585627,,,,fee schedule,,169.3936999,,,,fee schedule,,144.9148415,,,,fee schedule,,144.9148415,,,,fee schedule,,100.8528964,,,,fee schedule,,97.42585627,,,,fee schedule,,99.87374211,,,,fee schedule,,100.8528964,,,,fee schedule,,101.8320508,,,,fee schedule,,100.8528964,,,,fee schedule,,101.8320508,,,,fee schedule,,103.3007823,,,,fee schedule,,95.95712477,,,,fee schedule,,98.89458777,,,,fee schedule,,100.8528964,,,,fee schedule,,100.8528964,,,,fee schedule,,101.8320508,,,,fee schedule,,95.95712477,,,,fee schedule,,95.95712477,,,,fee schedule,,95.95712477,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., perseris, 0.5 mg",9181,APC,,,,,outpatient,,,,,,11.15639903,19.69445951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.32716024,,,,fee schedule,,19.69445951,,,,fee schedule,,16.84843935,,,,fee schedule,,16.84843935,,,,fee schedule,,11.72560306,,,,fee schedule,,11.32716024,,,,fee schedule,,11.61176225,,,,fee schedule,,11.72560306,,,,fee schedule,,11.83944387,,,,fee schedule,,11.72560306,,,,fee schedule,,11.83944387,,,,fee schedule,,12.01020508,,,,fee schedule,,11.15639903,,,,fee schedule,,11.49792145,,,,fee schedule,,11.72560306,,,,fee schedule,,11.72560306,,,,fee schedule,,11.83944387,,,,fee schedule,,11.15639903,,,,fee schedule,,11.15639903,,,,fee schedule,,11.15639903,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj mogamulizumab-kpkc, 1 mg",9182,APC,,,,,outpatient,,,,,,224.7451977,396.7440735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228.1851752,,,,fee schedule,,396.7440735,,,,fee schedule,,339.4111149,,,,fee schedule,,339.4111149,,,,fee schedule,,236.2117894,,,,fee schedule,,228.1851752,,,,fee schedule,,233.9184711,,,,fee schedule,,236.2117894,,,,fee schedule,,238.5051078,,,,fee schedule,,236.2117894,,,,fee schedule,,238.5051078,,,,fee schedule,,241.9450853,,,,fee schedule,,224.7451977,,,,fee schedule,,231.6251527,,,,fee schedule,,236.2117894,,,,fee schedule,,236.2117894,,,,fee schedule,,238.5051078,,,,fee schedule,,224.7451977,,,,fee schedule,,224.7451977,,,,fee schedule,,224.7451977,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., plazomicin, 5 mg",9183,APC,,,,,outpatient,,,,,,3.454222307,6.097759787,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.507093057,,,,fee schedule,,6.097759787,,,,fee schedule,,5.216580627,,,,fee schedule,,5.216580627,,,,fee schedule,,3.630458139,,,,fee schedule,,3.507093057,,,,fee schedule,,3.595210973,,,,fee schedule,,3.630458139,,,,fee schedule,,3.665705306,,,,fee schedule,,3.630458139,,,,fee schedule,,3.665705306,,,,fee schedule,,3.718576055,,,,fee schedule,,3.454222307,,,,fee schedule,,3.559963806,,,,fee schedule,,3.630458139,,,,fee schedule,,3.630458139,,,,fee schedule,,3.665705306,,,,fee schedule,,3.454222307,,,,fee schedule,,3.454222307,,,,fee schedule,,3.454222307,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., rituximab, 10 mg",9186,APC,,,,,outpatient,,,,,,76.01208621,134.1846012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.17553651,,,,fee schedule,,134.1846012,,,,fee schedule,,114.7937629,,,,fee schedule,,114.7937629,,,,fee schedule,,79.89025388,,,,fee schedule,,77.17553651,,,,fee schedule,,79.11462035,,,,fee schedule,,79.89025388,,,,fee schedule,,80.66588741,,,,fee schedule,,79.89025388,,,,fee schedule,,80.66588741,,,,fee schedule,,81.82933771,,,,fee schedule,,76.01208621,,,,fee schedule,,78.33898681,,,,fee schedule,,79.89025388,,,,fee schedule,,79.89025388,,,,fee schedule,,80.66588741,,,,fee schedule,,76.01208621,,,,fee schedule,,76.01208621,,,,fee schedule,,76.01208621,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, burosumab-twza 1m",9187,APC,,,,,outpatient,,,,,,425.6621161,751.4239397,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,432.1773526,,,,fee schedule,,751.4239397,,,,fee schedule,,642.8366652,,,,fee schedule,,642.8366652,,,,fee schedule,,447.379571,,,,fee schedule,,432.1773526,,,,fee schedule,,443.03608,,,,fee schedule,,447.379571,,,,fee schedule,,451.723062,,,,fee schedule,,447.379571,,,,fee schedule,,451.723062,,,,fee schedule,,458.2382985,,,,fee schedule,,425.6621161,,,,fee schedule,,438.6925891,,,,fee schedule,,447.379571,,,,fee schedule,,447.379571,,,,fee schedule,,451.723062,,,,fee schedule,,425.6621161,,,,fee schedule,,425.6621161,,,,fee schedule,,425.6621161,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj crotalidae im f(ab')2 eq,9188,APC,,,,,outpatient,,,,,,875.3857363,1545.3238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,888.7844976,,,,fee schedule,,1545.3238,,,,fee schedule,,1322.011112,,,,fee schedule,,1322.011112,,,,fee schedule,,920.0482739,,,,fee schedule,,888.7844976,,,,fee schedule,,911.1157664,,,,fee schedule,,920.0482739,,,,fee schedule,,928.9807814,,,,fee schedule,,920.0482739,,,,fee schedule,,928.9807814,,,,fee schedule,,942.3795427,,,,fee schedule,,875.3857363,,,,fee schedule,,902.1832589,,,,fee schedule,,920.0482739,,,,fee schedule,,920.0482739,,,,fee schedule,,928.9807814,,,,fee schedule,,875.3857363,,,,fee schedule,,875.3857363,,,,fee schedule,,875.3857363,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., ibalizumab-uiyk, 10 mg",9189,APC,,,,,outpatient,,,,,,71.62208543,126.4349059,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.71834184,,,,fee schedule,,126.4349059,,,,fee schedule,,108.1639657,,,,fee schedule,,108.1639657,,,,fee schedule,,75.27627346,,,,fee schedule,,72.71834184,,,,fee schedule,,74.54543585,,,,fee schedule,,75.27627346,,,,fee schedule,,76.00711107,,,,fee schedule,,75.27627346,,,,fee schedule,,76.00711107,,,,fee schedule,,77.10336748,,,,fee schedule,,71.62208543,,,,fee schedule,,73.81459825,,,,fee schedule,,75.27627346,,,,fee schedule,,75.27627346,,,,fee schedule,,76.00711107,,,,fee schedule,,71.62208543,,,,fee schedule,,71.62208543,,,,fee schedule,,71.62208543,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Nivestym,9193,APC,,,,,outpatient,,,,,,0.279293885,0.493039205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.283568791,,,,fee schedule,,0.493039205,,,,fee schedule,,0.421790765,,,,fee schedule,,0.421790765,,,,fee schedule,,0.293543573,,,,fee schedule,,0.283568791,,,,fee schedule,,0.290693635,,,,fee schedule,,0.293543573,,,,fee schedule,,0.29639351,,,,fee schedule,,0.293543573,,,,fee schedule,,0.29639351,,,,fee schedule,,0.300668417,,,,fee schedule,,0.279293885,,,,fee schedule,,0.287843698,,,,fee schedule,,0.293543573,,,,fee schedule,,0.293543573,,,,fee schedule,,0.29639351,,,,fee schedule,,0.279293885,,,,fee schedule,,0.279293885,,,,fee schedule,,0.279293885,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Tisagenlecleucel car-pos t,9194,APC,,,,,outpatient,,,,,,490513.4814,865906.4519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,498021.3409,,,,fee schedule,,865906.4519,,,,fee schedule,,740775.4618,,,,fee schedule,,740775.4618,,,,fee schedule,,515539.6795,,,,fee schedule,,498021.3409,,,,fee schedule,,510534.4399,,,,fee schedule,,515539.6795,,,,fee schedule,,520544.9191,,,,fee schedule,,515539.6795,,,,fee schedule,,520544.9191,,,,fee schedule,,528052.7785,,,,fee schedule,,490513.4814,,,,fee schedule,,505529.2003,,,,fee schedule,,515539.6795,,,,fee schedule,,515539.6795,,,,fee schedule,,520544.9191,,,,fee schedule,,490513.4814,,,,fee schedule,,490513.4814,,,,fee schedule,,490513.4814,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, udenyca 0.5 mg",9195,APC,,,,,outpatient,,,,,,117.1911382,206.8782338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118.9848801,,,,fee schedule,,206.8782338,,,,fee schedule,,176.9825352,,,,fee schedule,,176.9825352,,,,fee schedule,,123.1702779,,,,fee schedule,,118.9848801,,,,fee schedule,,121.97445,,,,fee schedule,,123.1702779,,,,fee schedule,,124.3661058,,,,fee schedule,,123.1702779,,,,fee schedule,,124.3661058,,,,fee schedule,,126.1598478,,,,fee schedule,,117.1911382,,,,fee schedule,,120.778622,,,,fee schedule,,123.1702779,,,,fee schedule,,123.1702779,,,,fee schedule,,124.3661058,,,,fee schedule,,117.1911382,,,,fee schedule,,117.1911382,,,,fee schedule,,117.1911382,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, trivisc 1 mg",9196,APC,,,,,outpatient,,,,,,7.58892353,13.39677317,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.705080522,,,,fee schedule,,13.39677317,,,,fee schedule,,11.46082329,,,,fee schedule,,11.46082329,,,,fee schedule,,7.976113506,,,,fee schedule,,7.705080522,,,,fee schedule,,7.89867551,,,,fee schedule,,7.976113506,,,,fee schedule,,8.053551501,,,,fee schedule,,7.976113506,,,,fee schedule,,8.053551501,,,,fee schedule,,8.169708494,,,,fee schedule,,7.58892353,,,,fee schedule,,7.821237515,,,,fee schedule,,7.976113506,,,,fee schedule,,7.976113506,,,,fee schedule,,8.053551501,,,,fee schedule,,7.58892353,,,,fee schedule,,7.58892353,,,,fee schedule,,7.58892353,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., fremanezumab-vfrm 1 mg",9197,APC,,,,,outpatient,,,,,,1.765981952,3.117498752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.793012288,,,,fee schedule,,3.117498752,,,,fee schedule,,2.666993152,,,,fee schedule,,2.666993152,,,,fee schedule,,1.856083072,,,,fee schedule,,1.793012288,,,,fee schedule,,1.838062848,,,,fee schedule,,1.856083072,,,,fee schedule,,1.874103296,,,,fee schedule,,1.856083072,,,,fee schedule,,1.874103296,,,,fee schedule,,1.901133632,,,,fee schedule,,1.765981952,,,,fee schedule,,1.820042624,,,,fee schedule,,1.856083072,,,,fee schedule,,1.856083072,,,,fee schedule,,1.874103296,,,,fee schedule,,1.765981952,,,,fee schedule,,1.765981952,,,,fee schedule,,1.765981952,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj andexxa, 10 mg",9198,APC,,,,,outpatient,,,,,,127.0326485,224.2515121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.9770258,,,,fee schedule,,224.2515121,,,,fee schedule,,191.8452242,,,,fee schedule,,191.8452242,,,,fee schedule,,133.5139061,,,,fee schedule,,128.9770258,,,,fee schedule,,132.2176546,,,,fee schedule,,133.5139061,,,,fee schedule,,134.8101576,,,,fee schedule,,133.5139061,,,,fee schedule,,134.8101576,,,,fee schedule,,136.7545349,,,,fee schedule,,127.0326485,,,,fee schedule,,130.921403,,,,fee schedule,,133.5139061,,,,fee schedule,,133.5139061,,,,fee schedule,,134.8101576,,,,fee schedule,,127.0326485,,,,fee schedule,,127.0326485,,,,fee schedule,,127.0326485,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, caplacizumab-yhdp",9199,APC,,,,,outpatient,,,,,,713.45095,1259.45933,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,724.3711176,,,,fee schedule,,1259.45933,,,,fee schedule,,1077.456537,,,,fee schedule,,1077.456537,,,,fee schedule,,749.8515086,,,,fee schedule,,724.3711176,,,,fee schedule,,742.5713969,,,,fee schedule,,749.8515086,,,,fee schedule,,757.1316204,,,,fee schedule,,749.8515086,,,,fee schedule,,757.1316204,,,,fee schedule,,768.051788,,,,fee schedule,,713.45095,,,,fee schedule,,735.2912852,,,,fee schedule,,749.8515086,,,,fee schedule,,749.8515086,,,,fee schedule,,757.1316204,,,,fee schedule,,713.45095,,,,fee schedule,,713.45095,,,,fee schedule,,713.45095,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, remdesivir, 1 mg",9200,APC,,,,,outpatient,,,,,,5.93684,10.48034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.02771,,,,fee schedule,,10.48034,,,,fee schedule,,8.96584,,,,fee schedule,,8.96584,,,,fee schedule,,6.23974,,,,fee schedule,,6.02771,,,,fee schedule,,6.17916,,,,fee schedule,,6.23974,,,,fee schedule,,6.30032,,,,fee schedule,,6.23974,,,,fee schedule,,6.30032,,,,fee schedule,,6.39119,,,,fee schedule,,5.93684,,,,fee schedule,,6.11858,,,,fee schedule,,6.23974,,,,fee schedule,,6.23974,,,,fee schedule,,6.30032,,,,fee schedule,,5.93684,,,,fee schedule,,5.93684,,,,fee schedule,,5.93684,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Rabies ig ht&sol human im/sc,9201,APC,,,,,outpatient,,,,,,245.9945675,434.2557161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,249.7597905,,,,fee schedule,,434.2557161,,,,fee schedule,,371.5019999,,,,fee schedule,,371.5019999,,,,fee schedule,,258.5453107,,,,fee schedule,,249.7597905,,,,fee schedule,,256.0351621,,,,fee schedule,,258.5453107,,,,fee schedule,,261.0554594,,,,fee schedule,,258.5453107,,,,fee schedule,,261.0554594,,,,fee schedule,,264.8206824,,,,fee schedule,,245.9945675,,,,fee schedule,,253.5250134,,,,fee schedule,,258.5453107,,,,fee schedule,,258.5453107,,,,fee schedule,,261.0554594,,,,fee schedule,,245.9945675,,,,fee schedule,,245.9945675,,,,fee schedule,,245.9945675,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj cyclophosphamd auromedic,9203,APC,,,,,outpatient,,,,,,1.75518,3.09843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.782045,,,,fee schedule,,3.09843,,,,fee schedule,,2.65068,,,,fee schedule,,2.65068,,,,fee schedule,,1.84473,,,,fee schedule,,1.782045,,,,fee schedule,,1.82682,,,,fee schedule,,1.84473,,,,fee schedule,,1.86264,,,,fee schedule,,1.84473,,,,fee schedule,,1.86264,,,,fee schedule,,1.889505,,,,fee schedule,,1.75518,,,,fee schedule,,1.80891,,,,fee schedule,,1.84473,,,,fee schedule,,1.84473,,,,fee schedule,,1.86264,,,,fee schedule,,1.75518,,,,fee schedule,,1.75518,,,,fee schedule,,1.75518,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj tisotu vedotin-tftv, 1mg",9204,APC,,,,,outpatient,,,,,,164.9438,291.1763,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.46845,,,,fee schedule,,291.1763,,,,fee schedule,,249.0988,,,,fee schedule,,249.0988,,,,fee schedule,,173.3593,,,,fee schedule,,167.46845,,,,fee schedule,,171.6762,,,,fee schedule,,173.3593,,,,fee schedule,,175.0424,,,,fee schedule,,173.3593,,,,fee schedule,,175.0424,,,,fee schedule,,177.56705,,,,fee schedule,,164.9438,,,,fee schedule,,169.9931,,,,fee schedule,,173.3593,,,,fee schedule,,173.3593,,,,fee schedule,,175.0424,,,,fee schedule,,164.9438,,,,fee schedule,,164.9438,,,,fee schedule,,164.9438,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj lon tesirin-lpyl 0.075mg,9205,APC,,,,,outpatient,,,,,,196.61446,347.08471,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,199.623865,,,,fee schedule,,347.08471,,,,fee schedule,,296.92796,,,,fee schedule,,296.92796,,,,fee schedule,,206.64581,,,,fee schedule,,199.623865,,,,fee schedule,,204.63954,,,,fee schedule,,206.64581,,,,fee schedule,,208.65208,,,,fee schedule,,206.64581,,,,fee schedule,,208.65208,,,,fee schedule,,211.661485,,,,fee schedule,,196.61446,,,,fee schedule,,202.63327,,,,fee schedule,,206.64581,,,,fee schedule,,206.64581,,,,fee schedule,,208.65208,,,,fee schedule,,196.61446,,,,fee schedule,,196.61446,,,,fee schedule,,196.61446,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj plasminogen tvmh 1mg,9206,APC,,,,,outpatient,,,,,,31.164,55.014,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.641,,,,fee schedule,,55.014,,,,fee schedule,,47.064,,,,fee schedule,,47.064,,,,fee schedule,,32.754,,,,fee schedule,,31.641,,,,fee schedule,,32.436,,,,fee schedule,,32.754,,,,fee schedule,,33.072,,,,fee schedule,,32.754,,,,fee schedule,,33.072,,,,fee schedule,,33.549,,,,fee schedule,,31.164,,,,fee schedule,,32.118,,,,fee schedule,,32.754,,,,fee schedule,,32.754,,,,fee schedule,,33.072,,,,fee schedule,,31.164,,,,fee schedule,,31.164,,,,fee schedule,,31.164,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, bortezomib, 0.1mg",9207,APC,,,,,outpatient,,,,,,1.880194915,3.319119595,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.908973409,,,,fee schedule,,3.319119595,,,,fee schedule,,2.839478035,,,,fee schedule,,2.839478035,,,,fee schedule,,1.976123227,,,,fee schedule,,1.908973409,,,,fee schedule,,1.956937565,,,,fee schedule,,1.976123227,,,,fee schedule,,1.99530889,,,,fee schedule,,1.976123227,,,,fee schedule,,1.99530889,,,,fee schedule,,2.024087383,,,,fee schedule,,1.880194915,,,,fee schedule,,1.937751902,,,,fee schedule,,1.976123227,,,,fee schedule,,1.976123227,,,,fee schedule,,1.99530889,,,,fee schedule,,1.880194915,,,,fee schedule,,1.880194915,,,,fee schedule,,1.880194915,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Agalsidase beta injection,9208,APC,,,,,outpatient,,,,,,209.5577529,369.9335842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,212.7652696,,,,fee schedule,,369.9335842,,,,fee schedule,,316.4749738,,,,fee schedule,,316.4749738,,,,fee schedule,,220.249475,,,,fee schedule,,212.7652696,,,,fee schedule,,218.1111306,,,,fee schedule,,220.249475,,,,fee schedule,,222.3878194,,,,fee schedule,,220.249475,,,,fee schedule,,222.3878194,,,,fee schedule,,225.5953361,,,,fee schedule,,209.5577529,,,,fee schedule,,215.9727862,,,,fee schedule,,220.249475,,,,fee schedule,,220.249475,,,,fee schedule,,222.3878194,,,,fee schedule,,209.5577529,,,,fee schedule,,209.5577529,,,,fee schedule,,209.5577529,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Laronidase injection,9209,APC,,,,,outpatient,,,,,,35.9348534,63.43601672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.48487667,,,,fee schedule,,63.43601672,,,,fee schedule,,54.26896228,,,,fee schedule,,54.26896228,,,,fee schedule,,37.76826429,,,,fee schedule,,36.48487667,,,,fee schedule,,37.40158212,,,,fee schedule,,37.76826429,,,,fee schedule,,38.13494647,,,,fee schedule,,37.76826429,,,,fee schedule,,38.13494647,,,,fee schedule,,38.68496974,,,,fee schedule,,35.9348534,,,,fee schedule,,37.03489994,,,,fee schedule,,37.76826429,,,,fee schedule,,37.76826429,,,,fee schedule,,38.13494647,,,,fee schedule,,35.9348534,,,,fee schedule,,35.9348534,,,,fee schedule,,35.9348534,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, morphine (fresenius)",9211,APC,,,,,outpatient,,,,,,7.134950995,12.59537268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.244159429,,,,fee schedule,,12.59537268,,,,fee schedule,,10.77523212,,,,fee schedule,,10.77523212,,,,fee schedule,,7.498979107,,,,fee schedule,,7.244159429,,,,fee schedule,,7.426173485,,,,fee schedule,,7.498979107,,,,fee schedule,,7.57178473,,,,fee schedule,,7.498979107,,,,fee schedule,,7.57178473,,,,fee schedule,,7.680993163,,,,fee schedule,,7.134950995,,,,fee schedule,,7.353367862,,,,fee schedule,,7.498979107,,,,fee schedule,,7.498979107,,,,fee schedule,,7.57178473,,,,fee schedule,,7.134950995,,,,fee schedule,,7.134950995,,,,fee schedule,,7.134950995,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj moxifloxacin (fres kabi),9212,APC,,,,,outpatient,,,,,,5.572440877,9.837063997,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.657733339,,,,fee schedule,,9.837063997,,,,fee schedule,,8.415522957,,,,fee schedule,,8.415522957,,,,fee schedule,,5.856749085,,,,fee schedule,,5.657733339,,,,fee schedule,,5.799887443,,,,fee schedule,,5.856749085,,,,fee schedule,,5.913610726,,,,fee schedule,,5.856749085,,,,fee schedule,,5.913610726,,,,fee schedule,,5.998903189,,,,fee schedule,,5.572440877,,,,fee schedule,,5.743025802,,,,fee schedule,,5.856749085,,,,fee schedule,,5.856749085,,,,fee schedule,,5.913610726,,,,fee schedule,,5.572440877,,,,fee schedule,,5.572440877,,,,fee schedule,,5.572440877,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. pemetrexed nos 10mg,9213,APC,,,,,outpatient,,,,,,4.195166909,7.405753829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.259378647,,,,fee schedule,,7.405753829,,,,fee schedule,,6.335558189,,,,fee schedule,,6.335558189,,,,fee schedule,,4.409206037,,,,fee schedule,,4.259378647,,,,fee schedule,,4.366398211,,,,fee schedule,,4.409206037,,,,fee schedule,,4.452013862,,,,fee schedule,,4.409206037,,,,fee schedule,,4.452013862,,,,fee schedule,,4.516225601,,,,fee schedule,,4.195166909,,,,fee schedule,,4.323590386,,,,fee schedule,,4.409206037,,,,fee schedule,,4.409206037,,,,fee schedule,,4.452013862,,,,fee schedule,,4.195166909,,,,fee schedule,,4.195166909,,,,fee schedule,,4.195166909,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Bevacizumab injection,9214,APC,,,,,outpatient,,,,,,71.09325061,125.5013506,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.18141261,,,,fee schedule,,125.5013506,,,,fee schedule,,107.3653173,,,,fee schedule,,107.3653173,,,,fee schedule,,74.72045728,,,,fee schedule,,72.18141261,,,,fee schedule,,73.99501595,,,,fee schedule,,74.72045728,,,,fee schedule,,75.44589861,,,,fee schedule,,74.72045728,,,,fee schedule,,75.44589861,,,,fee schedule,,76.53406061,,,,fee schedule,,71.09325061,,,,fee schedule,,73.26957461,,,,fee schedule,,74.72045728,,,,fee schedule,,74.72045728,,,,fee schedule,,75.44589861,,,,fee schedule,,71.09325061,,,,fee schedule,,71.09325061,,,,fee schedule,,71.09325061,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cetuximab injection,9215,APC,,,,,outpatient,,,,,,70.75445082,124.9032652,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.8374271,,,,fee schedule,,124.9032652,,,,fee schedule,,106.8536604,,,,fee schedule,,106.8536604,,,,fee schedule,,74.36437178,,,,fee schedule,,71.8374271,,,,fee schedule,,73.64238758,,,,fee schedule,,74.36437178,,,,fee schedule,,75.08635597,,,,fee schedule,,74.36437178,,,,fee schedule,,75.08635597,,,,fee schedule,,76.16933226,,,,fee schedule,,70.75445082,,,,fee schedule,,72.92040339,,,,fee schedule,,74.36437178,,,,fee schedule,,74.36437178,,,,fee schedule,,75.08635597,,,,fee schedule,,70.75445082,,,,fee schedule,,70.75445082,,,,fee schedule,,70.75445082,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, naloxone hcl (zimhi)",9216,APC,,,,,outpatient,,,,,,5.527331555,9.757432235,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.611933569,,,,fee schedule,,9.757432235,,,,fee schedule,,8.347398675,,,,fee schedule,,8.347398675,,,,fee schedule,,5.809338267,,,,fee schedule,,5.611933569,,,,fee schedule,,5.752936925,,,,fee schedule,,5.809338267,,,,fee schedule,,5.86573961,,,,fee schedule,,5.809338267,,,,fee schedule,,5.86573961,,,,fee schedule,,5.950341623,,,,fee schedule,,5.527331555,,,,fee schedule,,5.696535582,,,,fee schedule,,5.809338267,,,,fee schedule,,5.809338267,,,,fee schedule,,5.86573961,,,,fee schedule,,5.527331555,,,,fee schedule,,5.527331555,,,,fee schedule,,5.527331555,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Leuprolide acetate suspnsion,9217,APC,,,,,outpatient,,,,,,174.0087282,307.1786732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.6721271,,,,fee schedule,,307.1786732,,,,fee schedule,,262.7886915,,,,fee schedule,,262.7886915,,,,fee schedule,,182.8867245,,,,fee schedule,,176.6721271,,,,fee schedule,,181.1111253,,,,fee schedule,,182.8867245,,,,fee schedule,,184.6623238,,,,fee schedule,,182.8867245,,,,fee schedule,,184.6623238,,,,fee schedule,,187.3257227,,,,fee schedule,,174.0087282,,,,fee schedule,,179.335526,,,,fee schedule,,182.8867245,,,,fee schedule,,182.8867245,,,,fee schedule,,184.6623238,,,,fee schedule,,174.0087282,,,,fee schedule,,174.0087282,,,,fee schedule,,174.0087282,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Chloroprocaine hcl injection,9218,APC,,,,,outpatient,,,,,,0.035511594,0.062688834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.036055138,,,,fee schedule,,0.062688834,,,,fee schedule,,0.053629754,,,,fee schedule,,0.053629754,,,,fee schedule,,0.03732341,,,,fee schedule,,0.036055138,,,,fee schedule,,0.036961046,,,,fee schedule,,0.03732341,,,,fee schedule,,0.037685773,,,,fee schedule,,0.03732341,,,,fee schedule,,0.037685773,,,,fee schedule,,0.038229318,,,,fee schedule,,0.035511594,,,,fee schedule,,0.036598683,,,,fee schedule,,0.03732341,,,,fee schedule,,0.03732341,,,,fee schedule,,0.037685773,,,,fee schedule,,0.035511594,,,,fee schedule,,0.035511594,,,,fee schedule,,0.035511594,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Procainamide hcl injection,9219,APC,,,,,outpatient,,,,,,140.4310768,247.9038396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.580532,,,,fee schedule,,247.9038396,,,,fee schedule,,212.0795853,,,,fee schedule,,212.0795853,,,,fee schedule,,147.5959276,,,,fee schedule,,142.580532,,,,fee schedule,,146.1629575,,,,fee schedule,,147.5959276,,,,fee schedule,,149.0288978,,,,fee schedule,,147.5959276,,,,fee schedule,,149.0288978,,,,fee schedule,,151.1783531,,,,fee schedule,,140.4310768,,,,fee schedule,,144.7299873,,,,fee schedule,,147.5959276,,,,fee schedule,,147.5959276,,,,fee schedule,,149.0288978,,,,fee schedule,,140.4310768,,,,fee schedule,,140.4310768,,,,fee schedule,,140.4310768,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. tigecycline (accord),9220,APC,,,,,outpatient,,,,,,2.547237011,4.496653091,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.586225333,,,,fee schedule,,4.496653091,,,,fee schedule,,3.846847731,,,,fee schedule,,3.846847731,,,,fee schedule,,2.677198083,,,,fee schedule,,2.586225333,,,,fee schedule,,2.651205869,,,,fee schedule,,2.677198083,,,,fee schedule,,2.703190298,,,,fee schedule,,2.677198083,,,,fee schedule,,2.703190298,,,,fee schedule,,2.742178619,,,,fee schedule,,2.547237011,,,,fee schedule,,2.625213654,,,,fee schedule,,2.677198083,,,,fee schedule,,2.677198083,,,,fee schedule,,2.703190298,,,,fee schedule,,2.547237011,,,,fee schedule,,2.547237011,,,,fee schedule,,2.547237011,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, vancomycin hcl (mylan)",9221,APC,,,,,outpatient,,,,,,5.733682707,10.12170519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.821443157,,,,fee schedule,,10.12170519,,,,fee schedule,,8.659031027,,,,fee schedule,,8.659031027,,,,fee schedule,,6.026217539,,,,fee schedule,,5.821443157,,,,fee schedule,,5.967710573,,,,fee schedule,,6.026217539,,,,fee schedule,,6.084724506,,,,fee schedule,,6.026217539,,,,fee schedule,,6.084724506,,,,fee schedule,,6.172484955,,,,fee schedule,,5.733682707,,,,fee schedule,,5.909203606,,,,fee schedule,,6.026217539,,,,fee schedule,,6.026217539,,,,fee schedule,,6.084724506,,,,fee schedule,,5.733682707,,,,fee schedule,,5.733682707,,,,fee schedule,,5.733682707,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, vancomycin hcl (xellia)",9222,APC,,,,,outpatient,,,,,,6.313385478,11.14505804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.41001893,,,,fee schedule,,11.14505804,,,,fee schedule,,9.534500518,,,,fee schedule,,9.534500518,,,,fee schedule,,6.635496982,,,,fee schedule,,6.41001893,,,,fee schedule,,6.571074682,,,,fee schedule,,6.635496982,,,,fee schedule,,6.699919283,,,,fee schedule,,6.635496982,,,,fee schedule,,6.699919283,,,,fee schedule,,6.796552734,,,,fee schedule,,6.313385478,,,,fee schedule,,6.506652381,,,,fee schedule,,6.635496982,,,,fee schedule,,6.635496982,,,,fee schedule,,6.699919283,,,,fee schedule,,6.313385478,,,,fee schedule,,6.313385478,,,,fee schedule,,6.313385478,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Bladder calculi irrig sol,9223,APC,,,,,outpatient,,,,,,141.0098198,248.9254982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.1681333,,,,fee schedule,,248.9254982,,,,fee schedule,,212.9536054,,,,fee schedule,,212.9536054,,,,fee schedule,,148.2041983,,,,fee schedule,,143.1681333,,,,fee schedule,,146.7653226,,,,fee schedule,,148.2041983,,,,fee schedule,,149.643074,,,,fee schedule,,148.2041983,,,,fee schedule,,149.643074,,,,fee schedule,,151.8013876,,,,fee schedule,,141.0098198,,,,fee schedule,,145.3264469,,,,fee schedule,,148.2041983,,,,fee schedule,,148.2041983,,,,fee schedule,,149.643074,,,,fee schedule,,141.0098198,,,,fee schedule,,141.0098198,,,,fee schedule,,141.0098198,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Galsulfase injection,9224,APC,,,,,outpatient,,,,,,444.3671282,784.4440121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,451.1686659,,,,fee schedule,,784.4440121,,,,fee schedule,,671.0850508,,,,fee schedule,,671.0850508,,,,fee schedule,,467.0389205,,,,fee schedule,,451.1686659,,,,fee schedule,,462.504562,,,,fee schedule,,467.0389205,,,,fee schedule,,471.5732789,,,,fee schedule,,467.0389205,,,,fee schedule,,471.5732789,,,,fee schedule,,478.3748166,,,,fee schedule,,444.3671282,,,,fee schedule,,457.9702036,,,,fee schedule,,467.0389205,,,,fee schedule,,467.0389205,,,,fee schedule,,471.5732789,,,,fee schedule,,444.3671282,,,,fee schedule,,444.3671282,,,,fee schedule,,444.3671282,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fluocinolone acetonide implt,9225,APC,,,,,outpatient,,,,,,287.0200558,506.6782618,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.41322,,,,fee schedule,,506.6782618,,,,fee schedule,,433.4588598,,,,fee schedule,,433.4588598,,,,fee schedule,,301.6639362,,,,fee schedule,,291.41322,,,,fee schedule,,298.7351602,,,,fee schedule,,301.6639362,,,,fee schedule,,304.5927123,,,,fee schedule,,301.6639362,,,,fee schedule,,304.5927123,,,,fee schedule,,308.9858764,,,,fee schedule,,287.0200558,,,,fee schedule,,295.8063841,,,,fee schedule,,301.6639362,,,,fee schedule,,301.6639362,,,,fee schedule,,304.5927123,,,,fee schedule,,287.0200558,,,,fee schedule,,287.0200558,,,,fee schedule,,287.0200558,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Calcium glucon (fresenius),9226,APC,,,,,outpatient,,,,,,0.04798864,0.08471464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.04872316,,,,fee schedule,,0.08471464,,,,fee schedule,,0.07247264,,,,fee schedule,,0.07247264,,,,fee schedule,,0.05043704,,,,fee schedule,,0.04872316,,,,fee schedule,,0.04994736,,,,fee schedule,,0.05043704,,,,fee schedule,,0.05092672,,,,fee schedule,,0.05043704,,,,fee schedule,,0.05092672,,,,fee schedule,,0.05166124,,,,fee schedule,,0.04798864,,,,fee schedule,,0.04945768,,,,fee schedule,,0.05043704,,,,fee schedule,,0.05043704,,,,fee schedule,,0.05092672,,,,fee schedule,,0.04798864,,,,fee schedule,,0.04798864,,,,fee schedule,,0.04798864,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Abatacept injection,9230,APC,,,,,outpatient,,,,,,41.42667337,73.13076013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.0607551,,,,fee schedule,,73.13076013,,,,fee schedule,,62.56273121,,,,fee schedule,,62.56273121,,,,fee schedule,,43.54027915,,,,fee schedule,,42.0607551,,,,fee schedule,,43.11755799,,,,fee schedule,,43.54027915,,,,fee schedule,,43.96300031,,,,fee schedule,,43.54027915,,,,fee schedule,,43.96300031,,,,fee schedule,,44.59708204,,,,fee schedule,,41.42667337,,,,fee schedule,,42.69483684,,,,fee schedule,,43.54027915,,,,fee schedule,,43.54027915,,,,fee schedule,,43.96300031,,,,fee schedule,,41.42667337,,,,fee schedule,,41.42667337,,,,fee schedule,,41.42667337,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ranibizumab injection,9233,APC,,,,,outpatient,,,,,,180.008268,317.7696975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,182.7634965,,,,fee schedule,,317.7696975,,,,fee schedule,,271.849221,,,,fee schedule,,271.849221,,,,fee schedule,,189.1923633,,,,fee schedule,,182.7634965,,,,fee schedule,,187.3555442,,,,fee schedule,,189.1923633,,,,fee schedule,,191.0291823,,,,fee schedule,,189.1923633,,,,fee schedule,,191.0291823,,,,fee schedule,,193.7844109,,,,fee schedule,,180.008268,,,,fee schedule,,185.5187251,,,,fee schedule,,189.1923633,,,,fee schedule,,189.1923633,,,,fee schedule,,191.0291823,,,,fee schedule,,180.008268,,,,fee schedule,,180.008268,,,,fee schedule,,180.008268,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Alglucosidase alfa injection,9234,APC,,,,,outpatient,,,,,,142.871779,252.2124262,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.058592,,,,fee schedule,,252.2124262,,,,fee schedule,,215.7655438,,,,fee schedule,,215.7655438,,,,fee schedule,,150.1611555,,,,fee schedule,,145.058592,,,,fee schedule,,148.7032802,,,,fee schedule,,150.1611555,,,,fee schedule,,151.6190308,,,,fee schedule,,150.1611555,,,,fee schedule,,151.6190308,,,,fee schedule,,153.8058437,,,,fee schedule,,142.871779,,,,fee schedule,,147.2454049,,,,fee schedule,,150.1611555,,,,fee schedule,,150.1611555,,,,fee schedule,,151.6190308,,,,fee schedule,,142.871779,,,,fee schedule,,142.871779,,,,fee schedule,,142.871779,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Panitumumab injection,9235,APC,,,,,outpatient,,,,,,144.5984103,255.260459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.8116512,,,,fee schedule,,255.260459,,,,fee schedule,,218.3731094,,,,fee schedule,,218.3731094,,,,fee schedule,,151.9758802,,,,fee schedule,,146.8116512,,,,fee schedule,,150.5003862,,,,fee schedule,,151.9758802,,,,fee schedule,,153.4513742,,,,fee schedule,,151.9758802,,,,fee schedule,,153.4513742,,,,fee schedule,,155.6646151,,,,fee schedule,,144.5984103,,,,fee schedule,,149.0248922,,,,fee schedule,,151.9758802,,,,fee schedule,,151.9758802,,,,fee schedule,,153.4513742,,,,fee schedule,,144.5984103,,,,fee schedule,,144.5984103,,,,fee schedule,,144.5984103,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Eculizumab injection,9236,APC,,,,,outpatient,,,,,,216.6063244,382.3764706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219.9217273,,,,fee schedule,,382.3764706,,,,fee schedule,,327.1197552,,,,fee schedule,,327.1197552,,,,fee schedule,,227.6576674,,,,fee schedule,,219.9217273,,,,fee schedule,,225.4473988,,,,fee schedule,,227.6576674,,,,fee schedule,,229.8679361,,,,fee schedule,,227.6576674,,,,fee schedule,,229.8679361,,,,fee schedule,,233.183339,,,,fee schedule,,216.6063244,,,,fee schedule,,223.2371302,,,,fee schedule,,227.6576674,,,,fee schedule,,227.6576674,,,,fee schedule,,229.8679361,,,,fee schedule,,216.6063244,,,,fee schedule,,216.6063244,,,,fee schedule,,216.6063244,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, lanreotide acetate",9237,APC,,,,,outpatient,,,,,,46.49427375,82.07662611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.2059208,,,,fee schedule,,82.07662611,,,,fee schedule,,70.21584199,,,,fee schedule,,70.21584199,,,,fee schedule,,48.86643057,,,,fee schedule,,47.2059208,,,,fee schedule,,48.39199921,,,,fee schedule,,48.86643057,,,,fee schedule,,49.34086194,,,,fee schedule,,48.86643057,,,,fee schedule,,49.34086194,,,,fee schedule,,50.05250899,,,,fee schedule,,46.49427375,,,,fee schedule,,47.91756784,,,,fee schedule,,48.86643057,,,,fee schedule,,48.86643057,,,,fee schedule,,49.34086194,,,,fee schedule,,46.49427375,,,,fee schedule,,46.49427375,,,,fee schedule,,46.49427375,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Calcium glucon (wg critical),9238,APC,,,,,outpatient,,,,,,0.085419779,0.150792059,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.086727225,,,,fee schedule,,0.150792059,,,,fee schedule,,0.129001299,,,,fee schedule,,0.129001299,,,,fee schedule,,0.089777931,,,,fee schedule,,0.086727225,,,,fee schedule,,0.088906301,,,,fee schedule,,0.089777931,,,,fee schedule,,0.090649562,,,,fee schedule,,0.089777931,,,,fee schedule,,0.090649562,,,,fee schedule,,0.091957007,,,,fee schedule,,0.085419779,,,,fee schedule,,0.08803467,,,,fee schedule,,0.089777931,,,,fee schedule,,0.089777931,,,,fee schedule,,0.090649562,,,,fee schedule,,0.085419779,,,,fee schedule,,0.085419779,,,,fee schedule,,0.085419779,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Buprenorphine xr over 100 mg,9239,APC,,,,,outpatient,,,,,,1811.199728,3197.321969,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1838.922173,,,,fee schedule,,3197.321969,,,,fee schedule,,2735.281222,,,,fee schedule,,2735.281222,,,,fee schedule,,1903.607877,,,,fee schedule,,1838.922173,,,,fee schedule,,1885.126247,,,,fee schedule,,1903.607877,,,,fee schedule,,1922.089507,,,,fee schedule,,1903.607877,,,,fee schedule,,1922.089507,,,,fee schedule,,1949.811952,,,,fee schedule,,1811.199728,,,,fee schedule,,1866.644618,,,,fee schedule,,1903.607877,,,,fee schedule,,1903.607877,,,,fee schedule,,1922.089507,,,,fee schedule,,1811.199728,,,,fee schedule,,1811.199728,,,,fee schedule,,1811.199728,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, ixabepilone",9240,APC,,,,,outpatient,,,,,,122.9219416,216.9948561,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.8033999,,,,fee schedule,,216.9948561,,,,fee schedule,,185.6372179,,,,fee schedule,,185.6372179,,,,fee schedule,,129.1934692,,,,fee schedule,,124.8033999,,,,fee schedule,,127.9391637,,,,fee schedule,,129.1934692,,,,fee schedule,,130.4477747,,,,fee schedule,,129.1934692,,,,fee schedule,,130.4477747,,,,fee schedule,,132.329233,,,,fee schedule,,122.9219416,,,,fee schedule,,126.6848582,,,,fee schedule,,129.1934692,,,,fee schedule,,129.1934692,,,,fee schedule,,130.4477747,,,,fee schedule,,122.9219416,,,,fee schedule,,122.9219416,,,,fee schedule,,122.9219416,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj sirolimus prot part 1 mg,9241,APC,,,,,outpatient,,,,,,104.8916498,185.1658715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,106.4971342,,,,fee schedule,,185.1658715,,,,fee schedule,,158.4077976,,,,fee schedule,,158.4077976,,,,fee schedule,,110.2432646,,,,fee schedule,,106.4971342,,,,fee schedule,,109.1729416,,,,fee schedule,,110.2432646,,,,fee schedule,,111.3135875,,,,fee schedule,,110.2432646,,,,fee schedule,,111.3135875,,,,fee schedule,,112.9190719,,,,fee schedule,,104.8916498,,,,fee schedule,,108.1026186,,,,fee schedule,,110.2432646,,,,fee schedule,,110.2432646,,,,fee schedule,,111.3135875,,,,fee schedule,,104.8916498,,,,fee schedule,,104.8916498,,,,fee schedule,,104.8916498,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., treanda 1 mg",9243,APC,,,,,outpatient,,,,,,8.821271805,15.57224512,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.956291271,,,,fee schedule,,15.57224512,,,,fee schedule,,13.32192068,,,,fee schedule,,13.32192068,,,,fee schedule,,9.271336693,,,,fee schedule,,8.956291271,,,,fee schedule,,9.181323715,,,,fee schedule,,9.271336693,,,,fee schedule,,9.36134967,,,,fee schedule,,9.271336693,,,,fee schedule,,9.36134967,,,,fee schedule,,9.496369137,,,,fee schedule,,8.821271805,,,,fee schedule,,9.091310738,,,,fee schedule,,9.271336693,,,,fee schedule,,9.271336693,,,,fee schedule,,9.36134967,,,,fee schedule,,8.821271805,,,,fee schedule,,8.821271805,,,,fee schedule,,8.821271805,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj gemcitabine hcl (accord) ,9244,APC,,,,,outpatient,,,,,,8.42200632,14.86741932,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.55091458,,,,fee schedule,,14.86741932,,,,fee schedule,,12.71894832,,,,fee schedule,,12.71894832,,,,fee schedule,,8.85170052,,,,fee schedule,,8.55091458,,,,fee schedule,,8.76576168,,,,fee schedule,,8.85170052,,,,fee schedule,,8.93763936,,,,fee schedule,,8.85170052,,,,fee schedule,,8.93763936,,,,fee schedule,,9.06654762,,,,fee schedule,,8.42200632,,,,fee schedule,,8.67982284,,,,fee schedule,,8.85170052,,,,fee schedule,,8.85170052,,,,fee schedule,,8.93763936,,,,fee schedule,,8.42200632,,,,fee schedule,,8.42200632,,,,fee schedule,,8.42200632,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Romiplostim injection,9245,APC,,,,,outpatient,,,,,,92.16410267,162.6978547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.57477771,,,,fee schedule,,162.6978547,,,,fee schedule,,139.186604,,,,fee schedule,,139.186604,,,,fee schedule,,96.8663528,,,,fee schedule,,93.57477771,,,,fee schedule,,95.92590277,,,,fee schedule,,96.8663528,,,,fee schedule,,97.80680283,,,,fee schedule,,96.8663528,,,,fee schedule,,97.80680283,,,,fee schedule,,99.21747787,,,,fee schedule,,92.16410267,,,,fee schedule,,94.98545275,,,,fee schedule,,96.8663528,,,,fee schedule,,96.8663528,,,,fee schedule,,97.80680283,,,,fee schedule,,92.16410267,,,,fee schedule,,92.16410267,,,,fee schedule,,92.16410267,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, abilify asimtufii, 1 mg",9246,APC,,,,,outpatient,,,,,,5.76632,10.17932,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.85458,,,,fee schedule,,10.17932,,,,fee schedule,,8.70832,,,,fee schedule,,8.70832,,,,fee schedule,,6.06052,,,,fee schedule,,5.85458,,,,fee schedule,,6.00168,,,,fee schedule,,6.06052,,,,fee schedule,,6.11936,,,,fee schedule,,6.06052,,,,fee schedule,,6.11936,,,,fee schedule,,6.20762,,,,fee schedule,,5.76632,,,,fee schedule,,5.94284,,,,fee schedule,,6.06052,,,,fee schedule,,6.06052,,,,fee schedule,,6.11936,,,,fee schedule,,5.76632,,,,fee schedule,,5.76632,,,,fee schedule,,5.76632,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, amisulpride, 1 mg",9247,APC,,,,,outpatient,,,,,,8.8984,15.7084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.0346,,,,fee schedule,,15.7084,,,,fee schedule,,13.4384,,,,fee schedule,,13.4384,,,,fee schedule,,9.3524,,,,fee schedule,,9.0346,,,,fee schedule,,9.2616,,,,fee schedule,,9.3524,,,,fee schedule,,9.4432,,,,fee schedule,,9.3524,,,,fee schedule,,9.4432,,,,fee schedule,,9.5794,,,,fee schedule,,8.8984,,,,fee schedule,,9.1708,,,,fee schedule,,9.3524,,,,fee schedule,,9.3524,,,,fee schedule,,9.4432,,,,fee schedule,,8.8984,,,,fee schedule,,8.8984,,,,fee schedule,,8.8984,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj buprenorph (brixadi) 1mg,9249,APC,,,,,outpatient,,,,,,12.5783,22.20455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.770825,,,,fee schedule,,22.20455,,,,fee schedule,,18.9958,,,,fee schedule,,18.9958,,,,fee schedule,,13.22005,,,,fee schedule,,12.770825,,,,fee schedule,,13.0917,,,,fee schedule,,13.22005,,,,fee schedule,,13.3484,,,,fee schedule,,13.22005,,,,fee schedule,,13.3484,,,,fee schedule,,13.540925,,,,fee schedule,,12.5783,,,,fee schedule,,12.96335,,,,fee schedule,,13.22005,,,,fee schedule,,13.22005,,,,fee schedule,,13.3484,,,,fee schedule,,12.5783,,,,fee schedule,,12.5783,,,,fee schedule,,12.5783,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj epcoritamab-bysp 0.16 mg,9250,APC,,,,,outpatient,,,,,,52.72106,93.06881,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.528015,,,,fee schedule,,93.06881,,,,fee schedule,,79.61956,,,,fee schedule,,79.61956,,,,fee schedule,,55.41091,,,,fee schedule,,53.528015,,,,fee schedule,,54.87294,,,,fee schedule,,55.41091,,,,fee schedule,,55.94888,,,,fee schedule,,55.41091,,,,fee schedule,,55.94888,,,,fee schedule,,56.755835,,,,fee schedule,,52.72106,,,,fee schedule,,54.33497,,,,fee schedule,,55.41091,,,,fee schedule,,55.41091,,,,fee schedule,,55.94888,,,,fee schedule,,52.72106,,,,fee schedule,,52.72106,,,,fee schedule,,52.72106,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
C1 esterase inhibitor inj,9251,APC,,,,,outpatient,,,,,,60.03954728,105.9881804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.95851994,,,,fee schedule,,105.9881804,,,,fee schedule,,90.67196936,,,,fee schedule,,90.67196936,,,,fee schedule,,63.10278948,,,,fee schedule,,60.95851994,,,,fee schedule,,62.49014104,,,,fee schedule,,63.10278948,,,,fee schedule,,63.71543793,,,,fee schedule,,63.10278948,,,,fee schedule,,63.71543793,,,,fee schedule,,64.63441059,,,,fee schedule,,60.03954728,,,,fee schedule,,61.8774926,,,,fee schedule,,63.10278948,,,,fee schedule,,63.10278948,,,,fee schedule,,63.71543793,,,,fee schedule,,60.03954728,,,,fee schedule,,60.03954728,,,,fee schedule,,60.03954728,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Plerixafor injection,9252,APC,,,,,outpatient,,,,,,165.928401,292.9144221,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.4681214,,,,fee schedule,,292.9144221,,,,fee schedule,,250.5857484,,,,fee schedule,,250.5857484,,,,fee schedule,,174.3941357,,,,fee schedule,,168.4681214,,,,fee schedule,,172.7009888,,,,fee schedule,,174.3941357,,,,fee schedule,,176.0872827,,,,fee schedule,,174.3941357,,,,fee schedule,,176.0872827,,,,fee schedule,,178.6270031,,,,fee schedule,,165.928401,,,,fee schedule,,171.0078418,,,,fee schedule,,174.3941357,,,,fee schedule,,174.3941357,,,,fee schedule,,176.0872827,,,,fee schedule,,165.928401,,,,fee schedule,,165.928401,,,,fee schedule,,165.928401,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Temozolomide injection,9253,APC,,,,,outpatient,,,,,,9.984516438,17.625728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.13734067,,,,fee schedule,,17.625728,,,,fee schedule,,15.07865748,,,,fee schedule,,15.07865748,,,,fee schedule,,10.49393054,,,,fee schedule,,10.13734067,,,,fee schedule,,10.39204772,,,,fee schedule,,10.49393054,,,,fee schedule,,10.59581336,,,,fee schedule,,10.49393054,,,,fee schedule,,10.59581336,,,,fee schedule,,10.74863759,,,,fee schedule,,9.984516438,,,,fee schedule,,10.2901649,,,,fee schedule,,10.49393054,,,,fee schedule,,10.49393054,,,,fee schedule,,10.59581336,,,,fee schedule,,9.984516438,,,,fee schedule,,9.984516438,,,,fee schedule,,9.984516438,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Flotufolastat f18 diag 1 mci,9254,APC,,,,,outpatient,,,,,,620.03424,1094.55024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,629.52456,,,,fee schedule,,1094.55024,,,,fee schedule,,936.37824,,,,fee schedule,,936.37824,,,,fee schedule,,651.66864,,,,fee schedule,,629.52456,,,,fee schedule,,645.34176,,,,fee schedule,,651.66864,,,,fee schedule,,657.99552,,,,fee schedule,,651.66864,,,,fee schedule,,657.99552,,,,fee schedule,,667.48584,,,,fee schedule,,620.03424,,,,fee schedule,,639.01488,,,,fee schedule,,651.66864,,,,fee schedule,,651.66864,,,,fee schedule,,657.99552,,,,fee schedule,,620.03424,,,,fee schedule,,620.03424,,,,fee schedule,,620.03424,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, invega sustenna, 1 mg",9255,APC,,,,,outpatient,,,,,,13.74202695,24.25888431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.9523641,,,,fee schedule,,24.25888431,,,,fee schedule,,20.75326519,,,,fee schedule,,20.75326519,,,,fee schedule,,14.44315077,,,,fee schedule,,13.9523641,,,,fee schedule,,14.30292601,,,,fee schedule,,14.44315077,,,,fee schedule,,14.58337554,,,,fee schedule,,14.44315077,,,,fee schedule,,14.58337554,,,,fee schedule,,14.79371269,,,,fee schedule,,13.74202695,,,,fee schedule,,14.16270124,,,,fee schedule,,14.44315077,,,,fee schedule,,14.44315077,,,,fee schedule,,14.58337554,,,,fee schedule,,13.74202695,,,,fee schedule,,13.74202695,,,,fee schedule,,13.74202695,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Dexamethasone intra implant,9256,APC,,,,,outpatient,,,,,,197.340805,348.3669312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.3613275,,,,fee schedule,,348.3669312,,,,fee schedule,,298.0248891,,,,fee schedule,,298.0248891,,,,fee schedule,,207.4092134,,,,fee schedule,,200.3613275,,,,fee schedule,,205.3955317,,,,fee schedule,,207.4092134,,,,fee schedule,,209.4228951,,,,fee schedule,,207.4092134,,,,fee schedule,,209.4228951,,,,fee schedule,,212.4434176,,,,fee schedule,,197.340805,,,,fee schedule,,203.38185,,,,fee schedule,,207.4092134,,,,fee schedule,,207.4092134,,,,fee schedule,,209.4228951,,,,fee schedule,,197.340805,,,,fee schedule,,197.340805,,,,fee schedule,,197.340805,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., emicizumab-kxwh 0.5 mg",9257,APC,,,,,outpatient,,,,,,48.61441187,85.81931891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.35851001,,,,fee schedule,,85.81931891,,,,fee schedule,,73.41768323,,,,fee schedule,,73.41768323,,,,fee schedule,,51.094739,,,,fee schedule,,49.35851001,,,,fee schedule,,50.59867357,,,,fee schedule,,51.094739,,,,fee schedule,,51.59080443,,,,fee schedule,,51.094739,,,,fee schedule,,51.59080443,,,,fee schedule,,52.33490257,,,,fee schedule,,48.61441187,,,,fee schedule,,50.10260815,,,,fee schedule,,51.094739,,,,fee schedule,,51.094739,,,,fee schedule,,51.59080443,,,,fee schedule,,48.61441187,,,,fee schedule,,48.61441187,,,,fee schedule,,48.61441187,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Telavancin injection,9258,APC,,,,,outpatient,,,,,,6.764478694,11.94137565,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.868016634,,,,fee schedule,,11.94137565,,,,fee schedule,,10.21574333,,,,fee schedule,,10.21574333,,,,fee schedule,,7.109605158,,,,fee schedule,,6.868016634,,,,fee schedule,,7.040579866,,,,fee schedule,,7.109605158,,,,fee schedule,,7.178630451,,,,fee schedule,,7.109605158,,,,fee schedule,,7.178630451,,,,fee schedule,,7.28216839,,,,fee schedule,,6.764478694,,,,fee schedule,,6.971554573,,,,fee schedule,,7.109605158,,,,fee schedule,,7.109605158,,,,fee schedule,,7.178630451,,,,fee schedule,,6.764478694,,,,fee schedule,,6.764478694,,,,fee schedule,,6.764478694,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Pralatrexate injection,9259,APC,,,,,outpatient,,,,,,277.5096672,489.8895145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,281.7572641,,,,fee schedule,,489.8895145,,,,fee schedule,,419.096232,,,,fee schedule,,419.096232,,,,fee schedule,,291.6683237,,,,fee schedule,,281.7572641,,,,fee schedule,,288.8365924,,,,fee schedule,,291.6683237,,,,fee schedule,,294.500055,,,,fee schedule,,291.6683237,,,,fee schedule,,294.500055,,,,fee schedule,,298.7476519,,,,fee schedule,,277.5096672,,,,fee schedule,,286.0048611,,,,fee schedule,,291.6683237,,,,fee schedule,,291.6683237,,,,fee schedule,,294.500055,,,,fee schedule,,277.5096672,,,,fee schedule,,277.5096672,,,,fee schedule,,277.5096672,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ofatumumab injection,9260,APC,,,,,outpatient,,,,,,61.38418897,108.3618846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.32374288,,,,fee schedule,,108.3618846,,,,fee schedule,,92.70265273,,,,fee schedule,,92.70265273,,,,fee schedule,,64.51603535,,,,fee schedule,,62.32374288,,,,fee schedule,,63.88966607,,,,fee schedule,,64.51603535,,,,fee schedule,,65.14240462,,,,fee schedule,,64.51603535,,,,fee schedule,,65.14240462,,,,fee schedule,,66.08195853,,,,fee schedule,,61.38418897,,,,fee schedule,,63.2632968,,,,fee schedule,,64.51603535,,,,fee schedule,,64.51603535,,,,fee schedule,,65.14240462,,,,fee schedule,,61.38418897,,,,fee schedule,,61.38418897,,,,fee schedule,,61.38418897,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Ustekinumab sub cu inj, 1 mg",9261,APC,,,,,outpatient,,,,,,147.7618214,260.844848,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150.023482,,,,fee schedule,,260.844848,,,,fee schedule,,223.1505058,,,,fee schedule,,223.1505058,,,,fee schedule,,155.3006899,,,,fee schedule,,150.023482,,,,fee schedule,,153.7929162,,,,fee schedule,,155.3006899,,,,fee schedule,,156.8084636,,,,fee schedule,,155.3006899,,,,fee schedule,,156.8084636,,,,fee schedule,,159.0701241,,,,fee schedule,,147.7618214,,,,fee schedule,,152.2851425,,,,fee schedule,,155.3006899,,,,fee schedule,,155.3006899,,,,fee schedule,,156.8084636,,,,fee schedule,,147.7618214,,,,fee schedule,,147.7618214,,,,fee schedule,,147.7618214,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj tofersen intrathec 1 mg,9262,APC,,,,,outpatient,,,,,,147.82124,260.94974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150.08381,,,,fee schedule,,260.94974,,,,fee schedule,,223.24024,,,,fee schedule,,223.24024,,,,fee schedule,,155.36314,,,,fee schedule,,150.08381,,,,fee schedule,,153.85476,,,,fee schedule,,155.36314,,,,fee schedule,,156.87152,,,,fee schedule,,155.36314,,,,fee schedule,,156.87152,,,,fee schedule,,159.13409,,,,fee schedule,,147.82124,,,,fee schedule,,152.34638,,,,fee schedule,,155.36314,,,,fee schedule,,155.36314,,,,fee schedule,,156.87152,,,,fee schedule,,147.82124,,,,fee schedule,,147.82124,,,,fee schedule,,147.82124,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ecallantide injection,9263,APC,,,,,outpatient,,,,,,517.6313849,913.7778529,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,525.5543143,,,,fee schedule,,913.7778529,,,,fee schedule,,781.7290303,,,,fee schedule,,781.7290303,,,,fee schedule,,544.0411494,,,,fee schedule,,525.5543143,,,,fee schedule,,538.7591965,,,,fee schedule,,544.0411494,,,,fee schedule,,549.3231023,,,,fee schedule,,544.0411494,,,,fee schedule,,549.3231023,,,,fee schedule,,557.2460317,,,,fee schedule,,517.6313849,,,,fee schedule,,533.4772436,,,,fee schedule,,544.0411494,,,,fee schedule,,544.0411494,,,,fee schedule,,549.3231023,,,,fee schedule,,517.6313849,,,,fee schedule,,517.6313849,,,,fee schedule,,517.6313849,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Tocilizumab injection,9264,APC,,,,,outpatient,,,,,,5.873809536,10.36907194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.963714784,,,,fee schedule,,10.36907194,,,,fee schedule,,8.870651136,,,,fee schedule,,8.870651136,,,,fee schedule,,6.173493696,,,,fee schedule,,5.963714784,,,,fee schedule,,6.113556864,,,,fee schedule,,6.173493696,,,,fee schedule,,6.233430528,,,,fee schedule,,6.173493696,,,,fee schedule,,6.233430528,,,,fee schedule,,6.323335776,,,,fee schedule,,5.873809536,,,,fee schedule,,6.053620032,,,,fee schedule,,6.173493696,,,,fee schedule,,6.173493696,,,,fee schedule,,6.233430528,,,,fee schedule,,5.873809536,,,,fee schedule,,5.873809536,,,,fee schedule,,5.873809536,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, uzedy, 1 mg",9266,APC,,,,,outpatient,,,,,,24.206,42.731,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.5765,,,,fee schedule,,42.731,,,,fee schedule,,36.556,,,,fee schedule,,36.556,,,,fee schedule,,25.441,,,,fee schedule,,24.5765,,,,fee schedule,,25.194,,,,fee schedule,,25.441,,,,fee schedule,,25.688,,,,fee schedule,,25.441,,,,fee schedule,,25.688,,,,fee schedule,,26.0585,,,,fee schedule,,24.206,,,,fee schedule,,24.947,,,,fee schedule,,25.441,,,,fee schedule,,25.441,,,,fee schedule,,25.688,,,,fee schedule,,24.206,,,,fee schedule,,24.206,,,,fee schedule,,24.206,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, rezafungin, 1 mg",9267,APC,,,,,outpatient,,,,,,9.84214,17.37439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.992785,,,,fee schedule,,17.37439,,,,fee schedule,,14.86364,,,,fee schedule,,14.86364,,,,fee schedule,,10.34429,,,,fee schedule,,9.992785,,,,fee schedule,,10.24386,,,,fee schedule,,10.34429,,,,fee schedule,,10.44472,,,,fee schedule,,10.34429,,,,fee schedule,,10.44472,,,,fee schedule,,10.595365,,,,fee schedule,,9.84214,,,,fee schedule,,10.14343,,,,fee schedule,,10.34429,,,,fee schedule,,10.34429,,,,fee schedule,,10.44472,,,,fee schedule,,9.84214,,,,fee schedule,,9.84214,,,,fee schedule,,9.84214,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. acthar gel to 40 units,9268,APC,,,,,outpatient,,,,,,3930.574824,6938.667801,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3990.736683,,,,fee schedule,,6938.667801,,,,fee schedule,,5935.970142,,,,fee schedule,,5935.970142,,,,fee schedule,,4131.114356,,,,fee schedule,,3990.736683,,,,fee schedule,,4091.006449,,,,fee schedule,,4131.114356,,,,fee schedule,,4171.222262,,,,fee schedule,,4131.114356,,,,fee schedule,,4171.222262,,,,fee schedule,,4231.384121,,,,fee schedule,,3930.574824,,,,fee schedule,,4050.898543,,,,fee schedule,,4131.114356,,,,fee schedule,,4131.114356,,,,fee schedule,,4171.222262,,,,fee schedule,,3930.574824,,,,fee schedule,,3930.574824,,,,fee schedule,,3930.574824,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"C-1 esterase, berinert",9269,APC,,,,,outpatient,,,,,,61.76713832,109.0379074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.7125537,,,,fee schedule,,109.0379074,,,,fee schedule,,93.2809844,,,,fee schedule,,93.2809844,,,,fee schedule,,64.91852292,,,,fee schedule,,62.7125537,,,,fee schedule,,64.288246,,,,fee schedule,,64.91852292,,,,fee schedule,,65.54879985,,,,fee schedule,,64.91852292,,,,fee schedule,,65.54879985,,,,fee schedule,,66.49421523,,,,fee schedule,,61.76713832,,,,fee schedule,,63.65796908,,,,fee schedule,,64.91852292,,,,fee schedule,,64.91852292,,,,fee schedule,,65.54879985,,,,fee schedule,,61.76713832,,,,fee schedule,,61.76713832,,,,fee schedule,,61.76713832,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gammaplex IVIG,9270,APC,,,,,outpatient,,,,,,52.93434924,93.4453308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.74456887,,,,fee schedule,,93.4453308,,,,fee schedule,,79.94167028,,,,fee schedule,,79.94167028,,,,fee schedule,,55.63508134,,,,fee schedule,,53.74456887,,,,fee schedule,,55.09493492,,,,fee schedule,,55.63508134,,,,fee schedule,,56.17522776,,,,fee schedule,,55.63508134,,,,fee schedule,,56.17522776,,,,fee schedule,,56.98544739,,,,fee schedule,,52.93434924,,,,fee schedule,,54.5547885,,,,fee schedule,,55.63508134,,,,fee schedule,,55.63508134,,,,fee schedule,,56.17522776,,,,fee schedule,,52.93434924,,,,fee schedule,,52.93434924,,,,fee schedule,,52.93434924,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Velaglucerase alfa,9271,APC,,,,,outpatient,,,,,,352.6262854,622.4933405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,358.0236265,,,,fee schedule,,622.4933405,,,,fee schedule,,532.5376554,,,,fee schedule,,532.5376554,,,,fee schedule,,370.6174224,,,,fee schedule,,358.0236265,,,,fee schedule,,367.019195,,,,fee schedule,,370.6174224,,,,fee schedule,,374.2156498,,,,fee schedule,,370.6174224,,,,fee schedule,,374.2156498,,,,fee schedule,,379.6129909,,,,fee schedule,,352.6262854,,,,fee schedule,,363.4209676,,,,fee schedule,,370.6174224,,,,fee schedule,,370.6174224,,,,fee schedule,,374.2156498,,,,fee schedule,,352.6262854,,,,fee schedule,,352.6262854,,,,fee schedule,,352.6262854,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, denosumab",9272,APC,,,,,outpatient,,,,,,24.18435501,42.69278997,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.55452371,,,,fee schedule,,42.69278997,,,,fee schedule,,36.52331165,,,,fee schedule,,36.52331165,,,,fee schedule,,25.41825068,,,,fee schedule,,24.55452371,,,,fee schedule,,25.17147155,,,,fee schedule,,25.41825068,,,,fee schedule,,25.66502981,,,,fee schedule,,25.41825068,,,,fee schedule,,25.66502981,,,,fee schedule,,26.03519851,,,,fee schedule,,24.18435501,,,,fee schedule,,24.92469241,,,,fee schedule,,25.41825068,,,,fee schedule,,25.41825068,,,,fee schedule,,25.66502981,,,,fee schedule,,24.18435501,,,,fee schedule,,24.18435501,,,,fee schedule,,24.18435501,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Sipuleucel-T auto CD54+,9273,APC,,,,,outpatient,,,,,,51277.45122,90520.39859,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52062.31017,,,,fee schedule,,90520.39859,,,,fee schedule,,77439.41613,,,,fee schedule,,77439.41613,,,,fee schedule,,53893.64771,,,,fee schedule,,52062.31017,,,,fee schedule,,53370.40842,,,,fee schedule,,53893.64771,,,,fee schedule,,54416.88701,,,,fee schedule,,53893.64771,,,,fee schedule,,54416.88701,,,,fee schedule,,55201.74596,,,,fee schedule,,51277.45122,,,,fee schedule,,52847.16912,,,,fee schedule,,53893.64771,,,,fee schedule,,53893.64771,,,,fee schedule,,54416.88701,,,,fee schedule,,51277.45122,,,,fee schedule,,51277.45122,,,,fee schedule,,51277.45122,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Crotalidae Poly Immune Fab,9274,APC,,,,,outpatient,,,,,,1871.477299,3303.730334,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1900.12236,,,,fee schedule,,3303.730334,,,,fee schedule,,2826.312655,,,,fee schedule,,2826.312655,,,,fee schedule,,1966.960835,,,,fee schedule,,1900.12236,,,,fee schedule,,1947.864127,,,,fee schedule,,1966.960835,,,,fee schedule,,1986.057542,,,,fee schedule,,1966.960835,,,,fee schedule,,1986.057542,,,,fee schedule,,2014.702602,,,,fee schedule,,1871.477299,,,,fee schedule,,1928.76742,,,,fee schedule,,1966.960835,,,,fee schedule,,1966.960835,,,,fee schedule,,1986.057542,,,,fee schedule,,1871.477299,,,,fee schedule,,1871.477299,,,,fee schedule,,1871.477299,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. (ani), up to 40 units",9275,APC,,,,,outpatient,,,,,,3214.270469,5674.171339,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3263.468487,,,,fee schedule,,5674.171339,,,,fee schedule,,4854.204382,,,,fee schedule,,4854.204382,,,,fee schedule,,3378.263861,,,,fee schedule,,3263.468487,,,,fee schedule,,3345.465182,,,,fee schedule,,3378.263861,,,,fee schedule,,3411.062539,,,,fee schedule,,3378.263861,,,,fee schedule,,3411.062539,,,,fee schedule,,3460.260556,,,,fee schedule,,3214.270469,,,,fee schedule,,3312.666504,,,,fee schedule,,3378.263861,,,,fee schedule,,3378.263861,,,,fee schedule,,3411.062539,,,,fee schedule,,3214.270469,,,,fee schedule,,3214.270469,,,,fee schedule,,3214.270469,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cabazitaxel injection,9276,APC,,,,,outpatient,,,,,,201.9870651,356.5690026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.0787038,,,,fee schedule,,356.5690026,,,,fee schedule,,305.0416901,,,,fee schedule,,305.0416901,,,,fee schedule,,212.2925276,,,,fee schedule,,205.0787038,,,,fee schedule,,210.2314351,,,,fee schedule,,212.2925276,,,,fee schedule,,214.3536201,,,,fee schedule,,212.2925276,,,,fee schedule,,214.3536201,,,,fee schedule,,217.4452588,,,,fee schedule,,201.9870651,,,,fee schedule,,208.1703426,,,,fee schedule,,212.2925276,,,,fee schedule,,212.2925276,,,,fee schedule,,214.3536201,,,,fee schedule,,201.9870651,,,,fee schedule,,201.9870651,,,,fee schedule,,201.9870651,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Altuviiio per factor viii iu,9277,APC,,,,,outpatient,,,,,,4.53642,8.00817,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.605855,,,,fee schedule,,8.00817,,,,fee schedule,,6.85092,,,,fee schedule,,6.85092,,,,fee schedule,,4.76787,,,,fee schedule,,4.605855,,,,fee schedule,,4.72158,,,,fee schedule,,4.76787,,,,fee schedule,,4.81416,,,,fee schedule,,4.76787,,,,fee schedule,,4.81416,,,,fee schedule,,4.883595,,,,fee schedule,,4.53642,,,,fee schedule,,4.67529,,,,fee schedule,,4.76787,,,,fee schedule,,4.76787,,,,fee schedule,,4.81416,,,,fee schedule,,4.53642,,,,fee schedule,,4.53642,,,,fee schedule,,4.53642,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Incobotulinumtoxin A,9278,APC,,,,,outpatient,,,,,,4.977381741,8.786602461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.053566155,,,,fee schedule,,8.786602461,,,,fee schedule,,7.516862221,,,,fee schedule,,7.516862221,,,,fee schedule,,5.231329789,,,,fee schedule,,5.053566155,,,,fee schedule,,5.180540179,,,,fee schedule,,5.231329789,,,,fee schedule,,5.282119398,,,,fee schedule,,5.231329789,,,,fee schedule,,5.282119398,,,,fee schedule,,5.358303813,,,,fee schedule,,4.977381741,,,,fee schedule,,5.12975057,,,,fee schedule,,5.231329789,,,,fee schedule,,5.231329789,,,,fee schedule,,5.282119398,,,,fee schedule,,4.977381741,,,,fee schedule,,4.977381741,,,,fee schedule,,4.977381741,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. mycophenolate mofetil,9279,APC,,,,,outpatient,,,,,,0.697754826,1.231750866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.708434746,,,,fee schedule,,1.231750866,,,,fee schedule,,1.053752186,,,,fee schedule,,1.053752186,,,,fee schedule,,0.733354562,,,,fee schedule,,0.708434746,,,,fee schedule,,0.726234614,,,,fee schedule,,0.733354562,,,,fee schedule,,0.740474509,,,,fee schedule,,0.733354562,,,,fee schedule,,0.740474509,,,,fee schedule,,0.75115443,,,,fee schedule,,0.697754826,,,,fee schedule,,0.719114667,,,,fee schedule,,0.733354562,,,,fee schedule,,0.733354562,,,,fee schedule,,0.740474509,,,,fee schedule,,0.697754826,,,,fee schedule,,0.697754826,,,,fee schedule,,0.697754826,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, retifanlimab-dlwr, 1 mg",9280,APC,,,,,outpatient,,,,,,28.63386172,50.5475314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.07213511,,,,fee schedule,,50.5475314,,,,fee schedule,,43.24297484,,,,fee schedule,,43.24297484,,,,fee schedule,,30.09477303,,,,fee schedule,,29.07213511,,,,fee schedule,,29.80259076,,,,fee schedule,,30.09477303,,,,fee schedule,,30.38695529,,,,fee schedule,,30.09477303,,,,fee schedule,,30.38695529,,,,fee schedule,,30.82522868,,,,fee schedule,,28.63386172,,,,fee schedule,,29.5104085,,,,fee schedule,,30.09477303,,,,fee schedule,,30.09477303,,,,fee schedule,,30.38695529,,,,fee schedule,,28.63386172,,,,fee schedule,,28.63386172,,,,fee schedule,,28.63386172,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, pegloticase",9281,APC,,,,,outpatient,,,,,,3235.467052,5711.589795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3284.989506,,,,fee schedule,,5711.589795,,,,fee schedule,,4886.215547,,,,fee schedule,,4886.215547,,,,fee schedule,,3400.541901,,,,fee schedule,,3284.989506,,,,fee schedule,,3367.526931,,,,fee schedule,,3400.541901,,,,fee schedule,,3433.556871,,,,fee schedule,,3400.541901,,,,fee schedule,,3433.556871,,,,fee schedule,,3483.079326,,,,fee schedule,,3235.467052,,,,fee schedule,,3334.511961,,,,fee schedule,,3400.541901,,,,fee schedule,,3400.541901,,,,fee schedule,,3433.556871,,,,fee schedule,,3235.467052,,,,fee schedule,,3235.467052,,,,fee schedule,,3235.467052,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, acetaminophen (hikma)",9282,APC,,,,,outpatient,,,,,,0.048948413,0.086408933,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.049697623,,,,fee schedule,,0.086408933,,,,fee schedule,,0.073922093,,,,fee schedule,,0.073922093,,,,fee schedule,,0.051445781,,,,fee schedule,,0.049697623,,,,fee schedule,,0.050946307,,,,fee schedule,,0.051445781,,,,fee schedule,,0.051945254,,,,fee schedule,,0.051445781,,,,fee schedule,,0.051945254,,,,fee schedule,,0.052694465,,,,fee schedule,,0.048948413,,,,fee schedule,,0.050446834,,,,fee schedule,,0.051445781,,,,fee schedule,,0.051445781,,,,fee schedule,,0.051945254,,,,fee schedule,,0.048948413,,,,fee schedule,,0.048948413,,,,fee schedule,,0.048948413,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, epinephrine (belcher)",9283,APC,,,,,outpatient,,,,,,1.717993312,3.032784112,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.744289128,,,,fee schedule,,3.032784112,,,,fee schedule,,2.594520512,,,,fee schedule,,2.594520512,,,,fee schedule,,1.805646032,,,,fee schedule,,1.744289128,,,,fee schedule,,1.788115488,,,,fee schedule,,1.805646032,,,,fee schedule,,1.823176576,,,,fee schedule,,1.805646032,,,,fee schedule,,1.823176576,,,,fee schedule,,1.849472392,,,,fee schedule,,1.717993312,,,,fee schedule,,1.770584944,,,,fee schedule,,1.805646032,,,,fee schedule,,1.805646032,,,,fee schedule,,1.823176576,,,,fee schedule,,1.717993312,,,,fee schedule,,1.717993312,,,,fee schedule,,1.717993312,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ipilimumab injection,9284,APC,,,,,outpatient,,,,,,165.4830664,292.1282703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.0159705,,,,fee schedule,,292.1282703,,,,fee schedule,,249.9132023,,,,fee schedule,,249.9132023,,,,fee schedule,,173.92608,,,,fee schedule,,168.0159705,,,,fee schedule,,172.2374773,,,,fee schedule,,173.92608,,,,fee schedule,,175.6146827,,,,fee schedule,,173.92608,,,,fee schedule,,175.6146827,,,,fee schedule,,178.1475868,,,,fee schedule,,165.4830664,,,,fee schedule,,170.5488746,,,,fee schedule,,173.92608,,,,fee schedule,,173.92608,,,,fee schedule,,175.6146827,,,,fee schedule,,165.4830664,,,,fee schedule,,165.4830664,,,,fee schedule,,165.4830664,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj allopurinol sodium 1 mg,9285,APC,,,,,outpatient,,,,,,5.329618358,9.408407918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.41119415,,,,fee schedule,,9.408407918,,,,fee schedule,,8.048811398,,,,fee schedule,,8.048811398,,,,fee schedule,,5.601537662,,,,fee schedule,,5.41119415,,,,fee schedule,,5.547153802,,,,fee schedule,,5.601537662,,,,fee schedule,,5.655921523,,,,fee schedule,,5.601537662,,,,fee schedule,,5.655921523,,,,fee schedule,,5.737497314,,,,fee schedule,,5.329618358,,,,fee schedule,,5.492769941,,,,fee schedule,,5.601537662,,,,fee schedule,,5.601537662,,,,fee schedule,,5.655921523,,,,fee schedule,,5.329618358,,,,fee schedule,,5.329618358,,,,fee schedule,,5.329618358,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Belatacept injection,9286,APC,,,,,outpatient,,,,,,3.718159827,6.563690307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.775070437,,,,fee schedule,,6.563690307,,,,fee schedule,,5.615180147,,,,fee schedule,,5.615180147,,,,fee schedule,,3.907861859,,,,fee schedule,,3.775070437,,,,fee schedule,,3.869921453,,,,fee schedule,,3.907861859,,,,fee schedule,,3.945802266,,,,fee schedule,,3.907861859,,,,fee schedule,,3.945802266,,,,fee schedule,,4.002712875,,,,fee schedule,,3.718159827,,,,fee schedule,,3.831981046,,,,fee schedule,,3.907861859,,,,fee schedule,,3.907861859,,,,fee schedule,,3.945802266,,,,fee schedule,,3.718159827,,,,fee schedule,,3.718159827,,,,fee schedule,,3.718159827,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Brentuximab vedotin inj,9287,APC,,,,,outpatient,,,,,,221.3370445,390.7276398,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.7248564,,,,fee schedule,,390.7276398,,,,fee schedule,,334.264108,,,,fee schedule,,334.264108,,,,fee schedule,,232.6297509,,,,fee schedule,,224.7248564,,,,fee schedule,,230.3712096,,,,fee schedule,,232.6297509,,,,fee schedule,,234.8882921,,,,fee schedule,,232.6297509,,,,fee schedule,,234.8882921,,,,fee schedule,,238.276104,,,,fee schedule,,221.3370445,,,,fee schedule,,228.1126683,,,,fee schedule,,232.6297509,,,,fee schedule,,232.6297509,,,,fee schedule,,234.8882921,,,,fee schedule,,221.3370445,,,,fee schedule,,221.3370445,,,,fee schedule,,221.3370445,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, aztreonam, 100 mg",9288,APC,,,,,outpatient,,,,,,2.436863139,4.301809419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.474162065,,,,fee schedule,,4.301809419,,,,fee schedule,,3.680160659,,,,fee schedule,,3.680160659,,,,fee schedule,,2.561192891,,,,fee schedule,,2.474162065,,,,fee schedule,,2.536326941,,,,fee schedule,,2.561192891,,,,fee schedule,,2.586058842,,,,fee schedule,,2.561192891,,,,fee schedule,,2.586058842,,,,fee schedule,,2.623357767,,,,fee schedule,,2.436863139,,,,fee schedule,,2.51146099,,,,fee schedule,,2.561192891,,,,fee schedule,,2.561192891,,,,fee schedule,,2.586058842,,,,fee schedule,,2.436863139,,,,fee schedule,,2.436863139,,,,fee schedule,,2.436863139,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Erwinaze injection,9289,APC,,,,,outpatient,,,,,,410.0811645,723.9187904,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,416.357917,,,,fee schedule,,723.9187904,,,,fee schedule,,619.3062484,,,,fee schedule,,619.3062484,,,,fee schedule,,431.0036729,,,,fee schedule,,416.357917,,,,fee schedule,,426.8191712,,,,fee schedule,,431.0036729,,,,fee schedule,,435.1881746,,,,fee schedule,,431.0036729,,,,fee schedule,,435.1881746,,,,fee schedule,,441.4649271,,,,fee schedule,,410.0811645,,,,fee schedule,,422.6346695,,,,fee schedule,,431.0036729,,,,fee schedule,,431.0036729,,,,fee schedule,,435.1881746,,,,fee schedule,,410.0811645,,,,fee schedule,,410.0811645,,,,fee schedule,,410.0811645,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, bupivacaine, nos, 0.5mg",9290,APC,,,,,outpatient,,,,,,0.013436819,0.023720099,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.013642485,,,,fee schedule,,0.023720099,,,,fee schedule,,0.020292339,,,,fee schedule,,0.020292339,,,,fee schedule,,0.014122371,,,,fee schedule,,0.013642485,,,,fee schedule,,0.013985261,,,,fee schedule,,0.014122371,,,,fee schedule,,0.014259482,,,,fee schedule,,0.014122371,,,,fee schedule,,0.014259482,,,,fee schedule,,0.014465147,,,,fee schedule,,0.013436819,,,,fee schedule,,0.01384815,,,,fee schedule,,0.014122371,,,,fee schedule,,0.014122371,,,,fee schedule,,0.014259482,,,,fee schedule,,0.013436819,,,,fee schedule,,0.013436819,,,,fee schedule,,0.013436819,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, clindamycin phosp 300mg",9291,APC,,,,,outpatient,,,,,,1.827407411,3.225933491,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.855377933,,,,fee schedule,,3.225933491,,,,fee schedule,,2.759758131,,,,fee schedule,,2.759758131,,,,fee schedule,,1.920642483,,,,fee schedule,,1.855377933,,,,fee schedule,,1.901995469,,,,fee schedule,,1.920642483,,,,fee schedule,,1.939289498,,,,fee schedule,,1.920642483,,,,fee schedule,,1.939289498,,,,fee schedule,,1.967260019,,,,fee schedule,,1.827407411,,,,fee schedule,,1.883348454,,,,fee schedule,,1.920642483,,,,fee schedule,,1.920642483,,,,fee schedule,,1.939289498,,,,fee schedule,,1.827407411,,,,fee schedule,,1.827407411,,,,fee schedule,,1.827407411,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, clindamycin (baxter)",9292,APC,,,,,outpatient,,,,,,1.680562173,2.966706693,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.706285063,,,,fee schedule,,2.966706693,,,,fee schedule,,2.537991853,,,,fee schedule,,2.537991853,,,,fee schedule,,1.766305141,,,,fee schedule,,1.706285063,,,,fee schedule,,1.749156547,,,,fee schedule,,1.766305141,,,,fee schedule,,1.783453734,,,,fee schedule,,1.766305141,,,,fee schedule,,1.783453734,,,,fee schedule,,1.809176625,,,,fee schedule,,1.680562173,,,,fee schedule,,1.732007954,,,,fee schedule,,1.766305141,,,,fee schedule,,1.766305141,,,,fee schedule,,1.783453734,,,,fee schedule,,1.680562173,,,,fee schedule,,1.680562173,,,,fee schedule,,1.680562173,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, taliglucerase alfa 10 u",9294,APC,,,,,outpatient,,,,,,43.22240828,76.30078196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.88397575,,,,fee schedule,,76.30078196,,,,fee schedule,,65.2746574,,,,fee schedule,,65.2746574,,,,fee schedule,,45.42763319,,,,fee schedule,,43.88397575,,,,fee schedule,,44.9865882,,,,fee schedule,,45.42763319,,,,fee schedule,,45.86867817,,,,fee schedule,,45.42763319,,,,fee schedule,,45.86867817,,,,fee schedule,,46.53024564,,,,fee schedule,,43.22240828,,,,fee schedule,,44.54554322,,,,fee schedule,,45.42763319,,,,fee schedule,,45.42763319,,,,fee schedule,,45.86867817,,,,fee schedule,,43.22240828,,,,fee schedule,,43.22240828,,,,fee schedule,,43.22240828,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, Carfilzomib, 1 mg",9295,APC,,,,,outpatient,,,,,,45.19090229,79.77577649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.88259977,,,,fee schedule,,79.77577649,,,,fee schedule,,68.24748509,,,,fee schedule,,68.24748509,,,,fee schedule,,47.49656057,,,,fee schedule,,45.88259977,,,,fee schedule,,47.03542891,,,,fee schedule,,47.49656057,,,,fee schedule,,47.95769222,,,,fee schedule,,47.49656057,,,,fee schedule,,47.95769222,,,,fee schedule,,48.64938971,,,,fee schedule,,45.19090229,,,,fee schedule,,46.57429726,,,,fee schedule,,47.49656057,,,,fee schedule,,47.49656057,,,,fee schedule,,47.95769222,,,,fee schedule,,45.19090229,,,,fee schedule,,45.19090229,,,,fee schedule,,45.19090229,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, ziv-aflibercept, 1mg",9296,APC,,,,,outpatient,,,,,,6.98906553,12.33784017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.096041022,,,,fee schedule,,12.33784017,,,,fee schedule,,10.55491529,,,,fee schedule,,10.55491529,,,,fee schedule,,7.345650506,,,,fee schedule,,7.096041022,,,,fee schedule,,7.27433351,,,,fee schedule,,7.345650506,,,,fee schedule,,7.416967501,,,,fee schedule,,7.345650506,,,,fee schedule,,7.416967501,,,,fee schedule,,7.523942994,,,,fee schedule,,6.98906553,,,,fee schedule,,7.203016515,,,,fee schedule,,7.345650506,,,,fee schedule,,7.345650506,,,,fee schedule,,7.416967501,,,,fee schedule,,6.98906553,,,,fee schedule,,6.98906553,,,,fee schedule,,6.98906553,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, Omacetaxine Mep, 0.01mg",9297,APC,,,,,outpatient,,,,,,3.800700288,6.709399488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.858874272,,,,fee schedule,,6.709399488,,,,fee schedule,,5.739833088,,,,fee schedule,,5.739833088,,,,fee schedule,,3.994613568,,,,fee schedule,,3.858874272,,,,fee schedule,,3.955830912,,,,fee schedule,,3.994613568,,,,fee schedule,,4.033396224,,,,fee schedule,,3.994613568,,,,fee schedule,,4.033396224,,,,fee schedule,,4.091570208,,,,fee schedule,,3.800700288,,,,fee schedule,,3.917048256,,,,fee schedule,,3.994613568,,,,fee schedule,,3.994613568,,,,fee schedule,,4.033396224,,,,fee schedule,,3.800700288,,,,fee schedule,,3.800700288,,,,fee schedule,,3.800700288,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. jivi 1 iu,9299,APC,,,,,outpatient,,,,,,2.247787898,3.968033738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.282192814,,,,fee schedule,,3.968033738,,,,fee schedule,,3.394618458,,,,fee schedule,,3.394618458,,,,fee schedule,,2.362470954,,,,fee schedule,,2.282192814,,,,fee schedule,,2.339534342,,,,fee schedule,,2.362470954,,,,fee schedule,,2.385407565,,,,fee schedule,,2.362470954,,,,fee schedule,,2.385407565,,,,fee schedule,,2.419812482,,,,fee schedule,,2.247787898,,,,fee schedule,,2.316597731,,,,fee schedule,,2.362470954,,,,fee schedule,,2.362470954,,,,fee schedule,,2.385407565,,,,fee schedule,,2.247787898,,,,fee schedule,,2.247787898,,,,fee schedule,,2.247787898,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Omalizumab injection,9300,APC,,,,,outpatient,,,,,,37.87167492,66.8550996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.45134341,,,,fee schedule,,66.8550996,,,,fee schedule,,57.19395804,,,,fee schedule,,57.19395804,,,,fee schedule,,39.80390323,,,,fee schedule,,38.45134341,,,,fee schedule,,39.41745756,,,,fee schedule,,39.80390323,,,,fee schedule,,40.19034889,,,,fee schedule,,39.80390323,,,,fee schedule,,40.19034889,,,,fee schedule,,40.77001738,,,,fee schedule,,37.87167492,,,,fee schedule,,39.0310119,,,,fee schedule,,39.80390323,,,,fee schedule,,39.80390323,,,,fee schedule,,40.19034889,,,,fee schedule,,37.87167492,,,,fee schedule,,37.87167492,,,,fee schedule,,37.87167492,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Aminolevulinic acid, 10% gel",9301,APC,,,,,outpatient,,,,,,1.580745802,2.790500242,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.60494089,,,,fee schedule,,2.790500242,,,,fee schedule,,2.387248762,,,,fee schedule,,2.387248762,,,,fee schedule,,1.661396098,,,,fee schedule,,1.60494089,,,,fee schedule,,1.645266038,,,,fee schedule,,1.661396098,,,,fee schedule,,1.677526157,,,,fee schedule,,1.661396098,,,,fee schedule,,1.677526157,,,,fee schedule,,1.701721246,,,,fee schedule,,1.580745802,,,,fee schedule,,1.629135979,,,,fee schedule,,1.661396098,,,,fee schedule,,1.661396098,,,,fee schedule,,1.677526157,,,,fee schedule,,1.580745802,,,,fee schedule,,1.580745802,,,,fee schedule,,1.580745802,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj daunorubicin, cytarabine",9302,APC,,,,,outpatient,,,,,,222.4407832,392.6760765,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.8454891,,,,fee schedule,,392.6760765,,,,fee schedule,,335.9309787,,,,fee schedule,,335.9309787,,,,fee schedule,,233.7898028,,,,fee schedule,,225.8454891,,,,fee schedule,,231.5199989,,,,fee schedule,,233.7898028,,,,fee schedule,,236.0596067,,,,fee schedule,,233.7898028,,,,fee schedule,,236.0596067,,,,fee schedule,,239.4643125,,,,fee schedule,,222.4407832,,,,fee schedule,,229.250195,,,,fee schedule,,233.7898028,,,,fee schedule,,233.7898028,,,,fee schedule,,236.0596067,,,,fee schedule,,222.4407832,,,,fee schedule,,222.4407832,,,,fee schedule,,222.4407832,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., cemiplimab-rwlc, 1 mg",9304,APC,,,,,outpatient,,,,,,26.35632086,46.52697458,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.75973394,,,,fee schedule,,46.52697458,,,,fee schedule,,39.80342334,,,,fee schedule,,39.80342334,,,,fee schedule,,27.70103111,,,,fee schedule,,26.75973394,,,,fee schedule,,27.43208906,,,,fee schedule,,27.70103111,,,,fee schedule,,27.96997316,,,,fee schedule,,27.70103111,,,,fee schedule,,27.96997316,,,,fee schedule,,28.37338623,,,,fee schedule,,26.35632086,,,,fee schedule,,27.16314701,,,,fee schedule,,27.70103111,,,,fee schedule,,27.70103111,,,,fee schedule,,27.96997316,,,,fee schedule,,26.35632086,,,,fee schedule,,26.35632086,,,,fee schedule,,26.35632086,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., lumoxiti, 0.01 mg",9305,APC,,,,,outpatient,,,,,,22.45292488,39.63628576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.7965921,,,,fee schedule,,39.63628576,,,,fee schedule,,33.9084988,,,,fee schedule,,33.9084988,,,,fee schedule,,23.59848228,,,,fee schedule,,22.7965921,,,,fee schedule,,23.3693708,,,,fee schedule,,23.59848228,,,,fee schedule,,23.82759375,,,,fee schedule,,23.59848228,,,,fee schedule,,23.82759375,,,,fee schedule,,24.17126097,,,,fee schedule,,22.45292488,,,,fee schedule,,23.14025932,,,,fee schedule,,23.59848228,,,,fee schedule,,23.59848228,,,,fee schedule,,23.82759375,,,,fee schedule,,22.45292488,,,,fee schedule,,22.45292488,,,,fee schedule,,22.45292488,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., tildrakizumab, 1 mg",9306,APC,,,,,outpatient,,,,,,134.9968432,238.3107538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137.0631214,,,,fee schedule,,238.3107538,,,,fee schedule,,203.8727836,,,,fee schedule,,203.8727836,,,,fee schedule,,141.8844372,,,,fee schedule,,137.0631214,,,,fee schedule,,140.5069184,,,,fee schedule,,141.8844372,,,,fee schedule,,143.261956,,,,fee schedule,,141.8844372,,,,fee schedule,,143.261956,,,,fee schedule,,145.3282342,,,,fee schedule,,134.9968432,,,,fee schedule,,139.1293996,,,,fee schedule,,141.8844372,,,,fee schedule,,141.8844372,,,,fee schedule,,143.261956,,,,fee schedule,,134.9968432,,,,fee schedule,,134.9968432,,,,fee schedule,,134.9968432,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. tagraxofusp-erzs 10 mcg,9309,APC,,,,,outpatient,,,,,,312.4588339,551.5854925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.2413671,,,,fee schedule,,551.5854925,,,,fee schedule,,471.8766063,,,,fee schedule,,471.8766063,,,,fee schedule,,328.4006111,,,,fee schedule,,317.2413671,,,,fee schedule,,325.2122557,,,,fee schedule,,328.4006111,,,,fee schedule,,331.5889666,,,,fee schedule,,328.4006111,,,,fee schedule,,331.5889666,,,,fee schedule,,336.3714998,,,,fee schedule,,312.4588339,,,,fee schedule,,322.0239002,,,,fee schedule,,328.4006111,,,,fee schedule,,328.4006111,,,,fee schedule,,331.5889666,,,,fee schedule,,312.4588339,,,,fee schedule,,312.4588339,,,,fee schedule,,312.4588339,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., emapalumab-lzsg, 1 mg",9310,APC,,,,,outpatient,,,,,,360.5453707,636.4729504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,366.0639223,,,,fee schedule,,636.4729504,,,,fee schedule,,544.4970905,,,,fee schedule,,544.4970905,,,,fee schedule,,378.9405427,,,,fee schedule,,366.0639223,,,,fee schedule,,375.2615083,,,,fee schedule,,378.9405427,,,,fee schedule,,382.6195771,,,,fee schedule,,378.9405427,,,,fee schedule,,382.6195771,,,,fee schedule,,388.1381287,,,,fee schedule,,360.5453707,,,,fee schedule,,371.5824739,,,,fee schedule,,378.9405427,,,,fee schedule,,378.9405427,,,,fee schedule,,382.6195771,,,,fee schedule,,360.5453707,,,,fee schedule,,360.5453707,,,,fee schedule,,360.5453707,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., omadacycline, 1 mg",9311,APC,,,,,outpatient,,,,,,3.510848902,6.197723062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.564586386,,,,fee schedule,,6.197723062,,,,fee schedule,,5.302098342,,,,fee schedule,,5.302098342,,,,fee schedule,,3.689973846,,,,fee schedule,,3.564586386,,,,fee schedule,,3.654148858,,,,fee schedule,,3.689973846,,,,fee schedule,,3.725798835,,,,fee schedule,,3.689973846,,,,fee schedule,,3.725798835,,,,fee schedule,,3.779536318,,,,fee schedule,,3.510848902,,,,fee schedule,,3.618323869,,,,fee schedule,,3.689973846,,,,fee schedule,,3.689973846,,,,fee schedule,,3.725798835,,,,fee schedule,,3.510848902,,,,fee schedule,,3.510848902,,,,fee schedule,,3.510848902,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., ravulizumab-cwvz 10 mg",9312,APC,,,,,outpatient,,,,,,212.8516932,375.7483971,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.1096273,,,,fee schedule,,375.7483971,,,,fee schedule,,321.4494958,,,,fee schedule,,321.4494958,,,,fee schedule,,223.7114734,,,,fee schedule,,216.1096273,,,,fee schedule,,221.5395174,,,,fee schedule,,223.7114734,,,,fee schedule,,225.8834295,,,,fee schedule,,223.7114734,,,,fee schedule,,225.8834295,,,,fee schedule,,229.1413636,,,,fee schedule,,212.8516932,,,,fee schedule,,219.3675613,,,,fee schedule,,223.7114734,,,,fee schedule,,223.7114734,,,,fee schedule,,225.8834295,,,,fee schedule,,212.8516932,,,,fee schedule,,212.8516932,,,,fee schedule,,212.8516932,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. belrapzo/bendamustine,9313,APC,,,,,outpatient,,,,,,12.56246618,22.17659846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75474882,,,,fee schedule,,22.17659846,,,,fee schedule,,18.9718877,,,,fee schedule,,18.9718877,,,,fee schedule,,13.20340833,,,,fee schedule,,12.75474882,,,,fee schedule,,13.0752199,,,,fee schedule,,13.20340833,,,,fee schedule,,13.33159676,,,,fee schedule,,13.20340833,,,,fee schedule,,13.33159676,,,,fee schedule,,13.52387941,,,,fee schedule,,12.56246618,,,,fee schedule,,12.94703147,,,,fee schedule,,13.20340833,,,,fee schedule,,13.20340833,,,,fee schedule,,13.33159676,,,,fee schedule,,12.56246618,,,,fee schedule,,12.56246618,,,,fee schedule,,12.56246618,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. herceptin hylecta, 10mg",9314,APC,,,,,outpatient,,,,,,63.3661198,111.8605992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.33600939,,,,fee schedule,,111.8605992,,,,fee schedule,,95.69577276,,,,fee schedule,,95.69577276,,,,fee schedule,,66.5990851,,,,fee schedule,,64.33600939,,,,fee schedule,,65.95249204,,,,fee schedule,,66.5990851,,,,fee schedule,,67.24567816,,,,fee schedule,,66.5990851,,,,fee schedule,,67.24567816,,,,fee schedule,,68.21556775,,,,fee schedule,,63.3661198,,,,fee schedule,,65.30589898,,,,fee schedule,,66.5990851,,,,fee schedule,,66.5990851,,,,fee schedule,,67.24567816,,,,fee schedule,,63.3661198,,,,fee schedule,,63.3661198,,,,fee schedule,,63.3661198,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj hydroxyprogst capoat nos,9318,APC,,,,,outpatient,,,,,,17.4486695,30.8022431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.71574098,,,,fee schedule,,30.8022431,,,,fee schedule,,26.3510519,,,,fee schedule,,26.3510519,,,,fee schedule,,18.33890774,,,,fee schedule,,17.71574098,,,,fee schedule,,18.1608601,,,,fee schedule,,18.33890774,,,,fee schedule,,18.51695539,,,,fee schedule,,18.33890774,,,,fee schedule,,18.51695539,,,,fee schedule,,18.78402686,,,,fee schedule,,17.4486695,,,,fee schedule,,17.98281245,,,,fee schedule,,18.33890774,,,,fee schedule,,18.33890774,,,,fee schedule,,18.51695539,,,,fee schedule,,17.4486695,,,,fee schedule,,17.4486695,,,,fee schedule,,17.4486695,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Somatropin injection,9319,APC,,,,,outpatient,,,,,,156.9708414,277.1015874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,159.3734564,,,,fee schedule,,277.1015874,,,,fee schedule,,237.0580054,,,,fee schedule,,237.0580054,,,,fee schedule,,164.9795578,,,,fee schedule,,159.3734564,,,,fee schedule,,163.3778146,,,,fee schedule,,164.9795578,,,,fee schedule,,166.5813011,,,,fee schedule,,164.9795578,,,,fee schedule,,166.5813011,,,,fee schedule,,168.983916,,,,fee schedule,,156.9708414,,,,fee schedule,,161.7760713,,,,fee schedule,,164.9795578,,,,fee schedule,,164.9795578,,,,fee schedule,,166.5813011,,,,fee schedule,,156.9708414,,,,fee schedule,,156.9708414,,,,fee schedule,,156.9708414,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Carbidopa levodopa ent 100ml,9320,APC,,,,,outpatient,,,,,,218.5949736,385.8870452,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.940815,,,,fee schedule,,385.8870452,,,,fee schedule,,330.1230214,,,,fee schedule,,330.1230214,,,,fee schedule,,229.7477784,,,,fee schedule,,221.940815,,,,fee schedule,,227.5172174,,,,fee schedule,,229.7477784,,,,fee schedule,,231.9783393,,,,fee schedule,,229.7477784,,,,fee schedule,,231.9783393,,,,fee schedule,,235.3241808,,,,fee schedule,,218.5949736,,,,fee schedule,,225.2866565,,,,fee schedule,,229.7477784,,,,fee schedule,,229.7477784,,,,fee schedule,,231.9783393,,,,fee schedule,,218.5949736,,,,fee schedule,,218.5949736,,,,fee schedule,,218.5949736,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fosphenytoin inj pe,9321,APC,,,,,outpatient,,,,,,4.60690944,8.13260544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.67742336,,,,fee schedule,,8.13260544,,,,fee schedule,,6.95737344,,,,fee schedule,,6.95737344,,,,fee schedule,,4.84195584,,,,fee schedule,,4.67742336,,,,fee schedule,,4.79494656,,,,fee schedule,,4.84195584,,,,fee schedule,,4.88896512,,,,fee schedule,,4.84195584,,,,fee schedule,,4.88896512,,,,fee schedule,,4.95947904,,,,fee schedule,,4.60690944,,,,fee schedule,,4.74793728,,,,fee schedule,,4.84195584,,,,fee schedule,,4.84195584,,,,fee schedule,,4.88896512,,,,fee schedule,,4.60690944,,,,fee schedule,,4.60690944,,,,fee schedule,,4.60690944,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., eravacycline, 1 mg",9325,APC,,,,,outpatient,,,,,,1.082623718,1.911162278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.09919449,,,,fee schedule,,1.911162278,,,,fee schedule,,1.634982758,,,,fee schedule,,1.634982758,,,,fee schedule,,1.137859622,,,,fee schedule,,1.09919449,,,,fee schedule,,1.126812442,,,,fee schedule,,1.137859622,,,,fee schedule,,1.148906803,,,,fee schedule,,1.137859622,,,,fee schedule,,1.148906803,,,,fee schedule,,1.165477574,,,,fee schedule,,1.082623718,,,,fee schedule,,1.115765261,,,,fee schedule,,1.137859622,,,,fee schedule,,1.137859622,,,,fee schedule,,1.148906803,,,,fee schedule,,1.082623718,,,,fee schedule,,1.082623718,,,,fee schedule,,1.082623718,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. romosozumab-aqqg 1 mg,9327,APC,,,,,outpatient,,,,,,10.29548283,18.17467887,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.45306675,,,,fee schedule,,18.17467887,,,,fee schedule,,15.54828019,,,,fee schedule,,15.54828019,,,,fee schedule,,10.82076256,,,,fee schedule,,10.45306675,,,,fee schedule,,10.71570661,,,,fee schedule,,10.82076256,,,,fee schedule,,10.92581851,,,,fee schedule,,10.82076256,,,,fee schedule,,10.92581851,,,,fee schedule,,11.08340243,,,,fee schedule,,10.29548283,,,,fee schedule,,10.61065067,,,,fee schedule,,10.82076256,,,,fee schedule,,10.82076256,,,,fee schedule,,10.92581851,,,,fee schedule,,10.29548283,,,,fee schedule,,10.29548283,,,,fee schedule,,10.29548283,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., yutiq, 0.01 mg",9328,APC,,,,,outpatient,,,,,,507.7188514,896.2791969,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,515.4900583,,,,fee schedule,,896.2791969,,,,fee schedule,,766.7590817,,,,fee schedule,,766.7590817,,,,fee schedule,,533.6228745,,,,fee schedule,,515.4900583,,,,fee schedule,,528.4420699,,,,fee schedule,,533.6228745,,,,fee schedule,,538.8036791,,,,fee schedule,,533.6228745,,,,fee schedule,,538.8036791,,,,fee schedule,,546.574886,,,,fee schedule,,507.7188514,,,,fee schedule,,523.2612652,,,,fee schedule,,533.6228745,,,,fee schedule,,533.6228745,,,,fee schedule,,538.8036791,,,,fee schedule,,507.7188514,,,,fee schedule,,507.7188514,,,,fee schedule,,507.7188514,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj mvasi 10 mg,9329,APC,,,,,outpatient,,,,,,24.58937914,43.40778154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.96574718,,,,fee schedule,,43.40778154,,,,fee schedule,,37.13498074,,,,fee schedule,,37.13498074,,,,fee schedule,,25.8439393,,,,fee schedule,,24.96574718,,,,fee schedule,,25.59302726,,,,fee schedule,,25.8439393,,,,fee schedule,,26.09485133,,,,fee schedule,,25.8439393,,,,fee schedule,,26.09485133,,,,fee schedule,,26.47121938,,,,fee schedule,,24.58937914,,,,fee schedule,,25.34211523,,,,fee schedule,,25.8439393,,,,fee schedule,,25.8439393,,,,fee schedule,,26.09485133,,,,fee schedule,,24.58937914,,,,fee schedule,,24.58937914,,,,fee schedule,,24.58937914,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., kanjinti, 10 mg",9330,APC,,,,,outpatient,,,,,,12.90894416,22.78823816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.10653004,,,,fee schedule,,22.78823816,,,,fee schedule,,19.49514016,,,,fee schedule,,19.49514016,,,,fee schedule,,13.56756376,,,,fee schedule,,13.10653004,,,,fee schedule,,13.43583984,,,,fee schedule,,13.56756376,,,,fee schedule,,13.69928768,,,,fee schedule,,13.56756376,,,,fee schedule,,13.69928768,,,,fee schedule,,13.89687356,,,,fee schedule,,12.90894416,,,,fee schedule,,13.30411592,,,,fee schedule,,13.56756376,,,,fee schedule,,13.56756376,,,,fee schedule,,13.69928768,,,,fee schedule,,12.90894416,,,,fee schedule,,12.90894416,,,,fee schedule,,12.90894416,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, polatuzumab vedotin 1mg",9331,APC,,,,,outpatient,,,,,,119.2892015,210.5819578,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.1150567,,,,fee schedule,,210.5819578,,,,fee schedule,,180.1510391,,,,fee schedule,,180.1510391,,,,fee schedule,,125.3753853,,,,fee schedule,,121.1150567,,,,fee schedule,,124.1581485,,,,fee schedule,,125.3753853,,,,fee schedule,,126.592622,,,,fee schedule,,125.3753853,,,,fee schedule,,126.592622,,,,fee schedule,,128.4184772,,,,fee schedule,,119.2892015,,,,fee schedule,,122.9409118,,,,fee schedule,,125.3753853,,,,fee schedule,,125.3753853,,,,fee schedule,,126.592622,,,,fee schedule,,119.2892015,,,,fee schedule,,119.2892015,,,,fee schedule,,119.2892015,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj lefamulin 1 mg,9332,APC,,,,,outpatient,,,,,,0.694875507,1.226667987,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.705511357,,,,fee schedule,,1.226667987,,,,fee schedule,,1.049403827,,,,fee schedule,,1.049403827,,,,fee schedule,,0.730328339,,,,fee schedule,,0.705511357,,,,fee schedule,,0.723237773,,,,fee schedule,,0.730328339,,,,fee schedule,,0.737418906,,,,fee schedule,,0.730328339,,,,fee schedule,,0.737418906,,,,fee schedule,,0.748054755,,,,fee schedule,,0.694875507,,,,fee schedule,,0.716147206,,,,fee schedule,,0.730328339,,,,fee schedule,,0.730328339,,,,fee schedule,,0.737418906,,,,fee schedule,,0.694875507,,,,fee schedule,,0.694875507,,,,fee schedule,,0.694875507,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., brexanolone, 1 mg",9333,APC,,,,,outpatient,,,,,,69.20057865,122.1602052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.25977118,,,,fee schedule,,122.1602052,,,,fee schedule,,104.5069963,,,,fee schedule,,104.5069963,,,,fee schedule,,72.73122042,,,,fee schedule,,70.25977118,,,,fee schedule,,72.02509207,,,,fee schedule,,72.73122042,,,,fee schedule,,73.43734877,,,,fee schedule,,72.73122042,,,,fee schedule,,73.43734877,,,,fee schedule,,74.4965413,,,,fee schedule,,69.20057865,,,,fee schedule,,71.31896371,,,,fee schedule,,72.73122042,,,,fee schedule,,72.73122042,,,,fee schedule,,73.43734877,,,,fee schedule,,69.20057865,,,,fee schedule,,69.20057865,,,,fee schedule,,69.20057865,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, khapzory, 0.5 mg",9334,APC,,,,,outpatient,,,,,,1.468452384,2.592267984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.490928696,,,,fee schedule,,2.592267984,,,,fee schedule,,2.217662784,,,,fee schedule,,2.217662784,,,,fee schedule,,1.543373424,,,,fee schedule,,1.490928696,,,,fee schedule,,1.528389216,,,,fee schedule,,1.543373424,,,,fee schedule,,1.558357632,,,,fee schedule,,1.543373424,,,,fee schedule,,1.558357632,,,,fee schedule,,1.580833944,,,,fee schedule,,1.468452384,,,,fee schedule,,1.513405008,,,,fee schedule,,1.543373424,,,,fee schedule,,1.543373424,,,,fee schedule,,1.558357632,,,,fee schedule,,1.468452384,,,,fee schedule,,1.468452384,,,,fee schedule,,1.468452384,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj truxima 10 mg,9336,APC,,,,,outpatient,,,,,,34.44816534,60.81155718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.97543317,,,,fee schedule,,60.81155718,,,,fee schedule,,52.0237599,,,,fee schedule,,52.0237599,,,,fee schedule,,36.20572479,,,,fee schedule,,34.97543317,,,,fee schedule,,35.8542129,,,,fee schedule,,36.20572479,,,,fee schedule,,36.55723668,,,,fee schedule,,36.20572479,,,,fee schedule,,36.55723668,,,,fee schedule,,37.08450452,,,,fee schedule,,34.44816534,,,,fee schedule,,35.50270101,,,,fee schedule,,36.20572479,,,,fee schedule,,36.20572479,,,,fee schedule,,36.55723668,,,,fee schedule,,34.44816534,,,,fee schedule,,34.44816534,,,,fee schedule,,34.44816534,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Synojoynt, inj., 1 mg",9337,APC,,,,,outpatient,,,,,,10.87902469,19.20480889,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.04554037,,,,fee schedule,,19.20480889,,,,fee schedule,,16.42954749,,,,fee schedule,,16.42954749,,,,fee schedule,,11.43407697,,,,fee schedule,,11.04554037,,,,fee schedule,,11.32306651,,,,fee schedule,,11.43407697,,,,fee schedule,,11.54508742,,,,fee schedule,,11.43407697,,,,fee schedule,,11.54508742,,,,fee schedule,,11.71160311,,,,fee schedule,,10.87902469,,,,fee schedule,,11.21205606,,,,fee schedule,,11.43407697,,,,fee schedule,,11.43407697,,,,fee schedule,,11.54508742,,,,fee schedule,,10.87902469,,,,fee schedule,,10.87902469,,,,fee schedule,,10.87902469,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., triluron, 1 mg",9338,APC,,,,,outpatient,,,,,,9.856866656,17.40038706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.00773706,,,,fee schedule,,17.40038706,,,,fee schedule,,14.88588026,,,,fee schedule,,14.88588026,,,,fee schedule,,10.35976802,,,,fee schedule,,10.00773706,,,,fee schedule,,10.25918774,,,,fee schedule,,10.35976802,,,,fee schedule,,10.46034829,,,,fee schedule,,10.35976802,,,,fee schedule,,10.46034829,,,,fee schedule,,10.6112187,,,,fee schedule,,9.856866656,,,,fee schedule,,10.15860747,,,,fee schedule,,10.35976802,,,,fee schedule,,10.35976802,,,,fee schedule,,10.46034829,,,,fee schedule,,9.856866656,,,,fee schedule,,9.856866656,,,,fee schedule,,9.856866656,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Iodine i-131 iobenguane 1mci,9339,APC,,,,,outpatient,,,,,,325.9513199,575.4038607,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,330.9403707,,,,fee schedule,,575.4038607,,,,fee schedule,,492.2530138,,,,fee schedule,,492.2530138,,,,fee schedule,,342.5814893,,,,fee schedule,,330.9403707,,,,fee schedule,,339.2554554,,,,fee schedule,,342.5814893,,,,fee schedule,,345.9075232,,,,fee schedule,,342.5814893,,,,fee schedule,,345.9075232,,,,fee schedule,,350.896574,,,,fee schedule,,325.9513199,,,,fee schedule,,335.9294216,,,,fee schedule,,342.5814893,,,,fee schedule,,342.5814893,,,,fee schedule,,345.9075232,,,,fee schedule,,325.9513199,,,,fee schedule,,325.9513199,,,,fee schedule,,325.9513199,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, brolucizumab-dbll, 1 mg",9340,APC,,,,,outpatient,,,,,,312.1565055,551.0517903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,316.9344112,,,,fee schedule,,551.0517903,,,,fee schedule,,471.4200287,,,,fee schedule,,471.4200287,,,,fee schedule,,328.0828578,,,,fee schedule,,316.9344112,,,,fee schedule,,324.8975873,,,,fee schedule,,328.0828578,,,,fee schedule,,331.2681283,,,,fee schedule,,328.0828578,,,,fee schedule,,331.2681283,,,,fee schedule,,336.046034,,,,fee schedule,,312.1565055,,,,fee schedule,,321.7123169,,,,fee schedule,,328.0828578,,,,fee schedule,,328.0828578,,,,fee schedule,,331.2681283,,,,fee schedule,,312.1565055,,,,fee schedule,,312.1565055,,,,fee schedule,,312.1565055,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj  ogivri 10 mg,9341,APC,,,,,outpatient,,,,,,42.64078596,75.27404052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.29345105,,,,fee schedule,,75.27404052,,,,fee schedule,,64.396289,,,,fee schedule,,64.396289,,,,fee schedule,,44.81633626,,,,fee schedule,,43.29345105,,,,fee schedule,,44.3812262,,,,fee schedule,,44.81633626,,,,fee schedule,,45.25144632,,,,fee schedule,,44.81633626,,,,fee schedule,,45.25144632,,,,fee schedule,,45.90411141,,,,fee schedule,,42.64078596,,,,fee schedule,,43.94611614,,,,fee schedule,,44.81633626,,,,fee schedule,,44.81633626,,,,fee schedule,,45.25144632,,,,fee schedule,,42.64078596,,,,fee schedule,,42.64078596,,,,fee schedule,,42.64078596,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj givosiran 0.5 mg,9343,APC,,,,,outpatient,,,,,,107.5713354,189.896337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.2178355,,,,fee schedule,,189.896337,,,,fee schedule,,162.4546698,,,,fee schedule,,162.4546698,,,,fee schedule,,113.0596689,,,,fee schedule,,109.2178355,,,,fee schedule,,111.9620022,,,,fee schedule,,113.0596689,,,,fee schedule,,114.1573356,,,,fee schedule,,113.0596689,,,,fee schedule,,114.1573356,,,,fee schedule,,115.8038356,,,,fee schedule,,107.5713354,,,,fee schedule,,110.8643355,,,,fee schedule,,113.0596689,,,,fee schedule,,113.0596689,,,,fee schedule,,114.1573356,,,,fee schedule,,107.5713354,,,,fee schedule,,107.5713354,,,,fee schedule,,107.5713354,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj pegfilgrastim-bmez 0.5mg,9345,APC,,,,,outpatient,,,,,,332.8060173,587.5044999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,337.8999869,,,,fee schedule,,587.5044999,,,,fee schedule,,502.6050057,,,,fee schedule,,502.6050057,,,,fee schedule,,349.7859161,,,,fee schedule,,337.8999869,,,,fee schedule,,346.3899363,,,,fee schedule,,349.7859161,,,,fee schedule,,353.1818959,,,,fee schedule,,349.7859161,,,,fee schedule,,353.1818959,,,,fee schedule,,358.2758655,,,,fee schedule,,332.8060173,,,,fee schedule,,342.9939566,,,,fee schedule,,349.7859161,,,,fee schedule,,349.7859161,,,,fee schedule,,353.1818959,,,,fee schedule,,332.8060173,,,,fee schedule,,332.8060173,,,,fee schedule,,332.8060173,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Mometasone sinus sinuva,9346,APC,,,,,outpatient,,,,,,10.88862242,19.22175182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.055285,,,,fee schedule,,19.22175182,,,,fee schedule,,16.44404202,,,,fee schedule,,16.44404202,,,,fee schedule,,11.44416438,,,,fee schedule,,11.055285,,,,fee schedule,,11.33305598,,,,fee schedule,,11.44416438,,,,fee schedule,,11.55527277,,,,fee schedule,,11.44416438,,,,fee schedule,,11.55527277,,,,fee schedule,,11.72193536,,,,fee schedule,,10.88862242,,,,fee schedule,,11.22194759,,,,fee schedule,,11.44416438,,,,fee schedule,,11.44416438,,,,fee schedule,,11.55527277,,,,fee schedule,,10.88862242,,,,fee schedule,,10.88862242,,,,fee schedule,,10.88862242,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj luspatercept-aamt 0.25mg,9347,APC,,,,,outpatient,,,,,,38.36307859,67.72257751,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.95026857,,,,fee schedule,,67.72257751,,,,fee schedule,,57.93607787,,,,fee schedule,,57.93607787,,,,fee schedule,,40.32037852,,,,fee schedule,,38.95026857,,,,fee schedule,,39.92891853,,,,fee schedule,,40.32037852,,,,fee schedule,,40.7118385,,,,fee schedule,,40.32037852,,,,fee schedule,,40.7118385,,,,fee schedule,,41.29902848,,,,fee schedule,,38.36307859,,,,fee schedule,,39.53745855,,,,fee schedule,,40.32037852,,,,fee schedule,,40.32037852,,,,fee schedule,,40.7118385,,,,fee schedule,,38.36307859,,,,fee schedule,,38.36307859,,,,fee schedule,,38.36307859,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., zirabev, 10 mg",9348,APC,,,,,outpatient,,,,,,20.6456727,36.44593242,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.9616779,,,,fee schedule,,36.44593242,,,,fee schedule,,31.17917918,,,,fee schedule,,31.17917918,,,,fee schedule,,21.69902335,,,,fee schedule,,20.9616779,,,,fee schedule,,21.48835322,,,,fee schedule,,21.69902335,,,,fee schedule,,21.90969348,,,,fee schedule,,21.69902335,,,,fee schedule,,21.90969348,,,,fee schedule,,22.22569867,,,,fee schedule,,20.6456727,,,,fee schedule,,21.27768309,,,,fee schedule,,21.69902335,,,,fee schedule,,21.69902335,,,,fee schedule,,21.90969348,,,,fee schedule,,20.6456727,,,,fee schedule,,20.6456727,,,,fee schedule,,20.6456727,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj herzuma 10 mg,9349,APC,,,,,outpatient,,,,,,38.68556225,68.29185989,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.2776882,,,,fee schedule,,68.29185989,,,,fee schedule,,58.42309401,,,,fee schedule,,58.42309401,,,,fee schedule,,40.65931543,,,,fee schedule,,39.2776882,,,,fee schedule,,40.26456479,,,,fee schedule,,40.65931543,,,,fee schedule,,41.05406606,,,,fee schedule,,40.65931543,,,,fee schedule,,41.05406606,,,,fee schedule,,41.64619201,,,,fee schedule,,38.68556225,,,,fee schedule,,39.86981416,,,,fee schedule,,40.65931543,,,,fee schedule,,40.65931543,,,,fee schedule,,41.05406606,,,,fee schedule,,38.68556225,,,,fee schedule,,38.68556225,,,,fee schedule,,38.68556225,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., trazimera, 10 mg",9350,APC,,,,,outpatient,,,,,,15.70860142,27.73049026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.94903919,,,,fee schedule,,27.73049026,,,,fee schedule,,23.72319398,,,,fee schedule,,23.72319398,,,,fee schedule,,16.51006067,,,,fee schedule,,15.94903919,,,,fee schedule,,16.34976882,,,,fee schedule,,16.51006067,,,,fee schedule,,16.67035252,,,,fee schedule,,16.51006067,,,,fee schedule,,16.67035252,,,,fee schedule,,16.9107903,,,,fee schedule,,15.70860142,,,,fee schedule,,16.18947697,,,,fee schedule,,16.51006067,,,,fee schedule,,16.51006067,,,,fee schedule,,16.67035252,,,,fee schedule,,15.70860142,,,,fee schedule,,15.70860142,,,,fee schedule,,15.70860142,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj bimatoprost itc imp 1mcg,9351,APC,,,,,outpatient,,,,,,197.9099502,349.3716468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.9391842,,,,fee schedule,,349.3716468,,,,fee schedule,,298.8844146,,,,fee schedule,,298.8844146,,,,fee schedule,,208.0073967,,,,fee schedule,,200.9391842,,,,fee schedule,,205.9879074,,,,fee schedule,,208.0073967,,,,fee schedule,,210.026886,,,,fee schedule,,208.0073967,,,,fee schedule,,210.026886,,,,fee schedule,,213.0561199,,,,fee schedule,,197.9099502,,,,fee schedule,,203.9684181,,,,fee schedule,,208.0073967,,,,fee schedule,,208.0073967,,,,fee schedule,,210.026886,,,,fee schedule,,197.9099502,,,,fee schedule,,197.9099502,,,,fee schedule,,197.9099502,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj fam-trastu deru-nxki 1mg,9353,APC,,,,,outpatient,,,,,,26.14421107,46.15253587,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.54437757,,,,fee schedule,,46.15253587,,,,fee schedule,,39.48309427,,,,fee schedule,,39.48309427,,,,fee schedule,,27.47809939,,,,fee schedule,,26.54437757,,,,fee schedule,,27.21132173,,,,fee schedule,,27.47809939,,,,fee schedule,,27.74487706,,,,fee schedule,,27.47809939,,,,fee schedule,,27.74487706,,,,fee schedule,,28.14504355,,,,fee schedule,,26.14421107,,,,fee schedule,,26.94454406,,,,fee schedule,,27.47809939,,,,fee schedule,,27.47809939,,,,fee schedule,,27.74487706,,,,fee schedule,,26.14421107,,,,fee schedule,,26.14421107,,,,fee schedule,,26.14421107,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj recombin esperoct per iu,9354,APC,,,,,outpatient,,,,,,1.992488333,3.517351853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.022985603,,,,fee schedule,,3.517351853,,,,fee schedule,,3.009064013,,,,fee schedule,,3.009064013,,,,fee schedule,,2.094145901,,,,fee schedule,,2.022985603,,,,fee schedule,,2.073814387,,,,fee schedule,,2.094145901,,,,fee schedule,,2.114477414,,,,fee schedule,,2.094145901,,,,fee schedule,,2.114477414,,,,fee schedule,,2.144974685,,,,fee schedule,,1.992488333,,,,fee schedule,,2.053482874,,,,fee schedule,,2.094145901,,,,fee schedule,,2.094145901,,,,fee schedule,,2.114477414,,,,fee schedule,,1.992488333,,,,fee schedule,,1.992488333,,,,fee schedule,,1.992488333,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. teprotumumab-trbw 10 mg,9355,APC,,,,,outpatient,,,,,,314.8035589,555.7246498,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,319.6219807,,,,fee schedule,,555.7246498,,,,fee schedule,,475.4176195,,,,fee schedule,,475.4176195,,,,fee schedule,,330.8649649,,,,fee schedule,,319.6219807,,,,fee schedule,,327.6526837,,,,fee schedule,,330.8649649,,,,fee schedule,,334.0772461,,,,fee schedule,,330.8649649,,,,fee schedule,,334.0772461,,,,fee schedule,,338.895668,,,,fee schedule,,314.8035589,,,,fee schedule,,324.4404025,,,,fee schedule,,330.8649649,,,,fee schedule,,330.8649649,,,,fee schedule,,334.0772461,,,,fee schedule,,314.8035589,,,,fee schedule,,314.8035589,,,,fee schedule,,314.8035589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj golodirsen 10 mg,9356,APC,,,,,outpatient,,,,,,159.5161589,281.5948519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.9577328,,,,fee schedule,,281.5948519,,,,fee schedule,,240.9019543,,,,fee schedule,,240.9019543,,,,fee schedule,,167.6547384,,,,fee schedule,,161.9577328,,,,fee schedule,,166.0270225,,,,fee schedule,,167.6547384,,,,fee schedule,,169.2824543,,,,fee schedule,,167.6547384,,,,fee schedule,,169.2824543,,,,fee schedule,,171.7240282,,,,fee schedule,,159.5161589,,,,fee schedule,,164.3993066,,,,fee schedule,,167.6547384,,,,fee schedule,,167.6547384,,,,fee schedule,,169.2824543,,,,fee schedule,,159.5161589,,,,fee schedule,,159.5161589,,,,fee schedule,,159.5161589,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. eptinezumab-jjmr 1 mg,9357,APC,,,,,outpatient,,,,,,17.332537,30.59723368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.59783093,,,,fee schedule,,30.59723368,,,,fee schedule,,26.17566812,,,,fee schedule,,26.17566812,,,,fee schedule,,18.21685011,,,,fee schedule,,17.59783093,,,,fee schedule,,18.03998748,,,,fee schedule,,18.21685011,,,,fee schedule,,18.39371273,,,,fee schedule,,18.21685011,,,,fee schedule,,18.39371273,,,,fee schedule,,18.65900666,,,,fee schedule,,17.332537,,,,fee schedule,,17.86312486,,,,fee schedule,,18.21685011,,,,fee schedule,,18.21685011,,,,fee schedule,,18.39371273,,,,fee schedule,,17.332537,,,,fee schedule,,17.332537,,,,fee schedule,,17.332537,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj xipere 1 mg,9358,APC,,,,,outpatient,,,,,,47.61134,84.04859,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.340085,,,,fee schedule,,84.04859,,,,fee schedule,,71.90284,,,,fee schedule,,71.90284,,,,fee schedule,,50.04049,,,,fee schedule,,48.340085,,,,fee schedule,,49.55466,,,,fee schedule,,50.04049,,,,fee schedule,,50.52632,,,,fee schedule,,50.04049,,,,fee schedule,,50.52632,,,,fee schedule,,51.255065,,,,fee schedule,,47.61134,,,,fee schedule,,49.06883,,,,fee schedule,,50.04049,,,,fee schedule,,50.04049,,,,fee schedule,,50.52632,,,,fee schedule,,47.61134,,,,fee schedule,,47.61134,,,,fee schedule,,47.61134,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj crizanlizumab-tmca 5mg,9359,APC,,,,,outpatient,,,,,,121.9890424,215.3480035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.8562216,,,,fee schedule,,215.3480035,,,,fee schedule,,184.2283498,,,,fee schedule,,184.2283498,,,,fee schedule,,128.2129732,,,,fee schedule,,123.8562216,,,,fee schedule,,126.968187,,,,fee schedule,,128.2129732,,,,fee schedule,,129.4577593,,,,fee schedule,,128.2129732,,,,fee schedule,,129.4577593,,,,fee schedule,,131.3249385,,,,fee schedule,,121.9890424,,,,fee schedule,,125.7234009,,,,fee schedule,,128.2129732,,,,fee schedule,,128.2129732,,,,fee schedule,,129.4577593,,,,fee schedule,,121.9890424,,,,fee schedule,,121.9890424,,,,fee schedule,,121.9890424,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj heparin, pfizer, 1000u",9360,APC,,,,,outpatient,,,,,,4.395759424,7.759861024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.463041456,,,,fee schedule,,7.759861024,,,,fee schedule,,6.638493824,,,,fee schedule,,6.638493824,,,,fee schedule,,4.620032864,,,,fee schedule,,4.463041456,,,,fee schedule,,4.575178176,,,,fee schedule,,4.620032864,,,,fee schedule,,4.664887552,,,,fee schedule,,4.620032864,,,,fee schedule,,4.664887552,,,,fee schedule,,4.732169584,,,,fee schedule,,4.395759424,,,,fee schedule,,4.530323488,,,,fee schedule,,4.620032864,,,,fee schedule,,4.620032864,,,,fee schedule,,4.664887552,,,,fee schedule,,4.395759424,,,,fee schedule,,4.395759424,,,,fee schedule,,4.395759424,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. cetirizine hcl 0.5mg,9361,APC,,,,,outpatient,,,,,,14.46665541,25.53807537,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.68808381,,,,fee schedule,,25.53807537,,,,fee schedule,,21.84760205,,,,fee schedule,,21.84760205,,,,fee schedule,,15.20475008,,,,fee schedule,,14.68808381,,,,fee schedule,,15.05713115,,,,fee schedule,,15.20475008,,,,fee schedule,,15.35236901,,,,fee schedule,,15.20475008,,,,fee schedule,,15.35236901,,,,fee schedule,,15.57379741,,,,fee schedule,,14.46665541,,,,fee schedule,,14.90951221,,,,fee schedule,,15.20475008,,,,fee schedule,,15.20475008,,,,fee schedule,,15.35236901,,,,fee schedule,,14.46665541,,,,fee schedule,,14.46665541,,,,fee schedule,,14.46665541,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj imip 4 cilas 4 releb 2mg,9362,APC,,,,,outpatient,,,,,,2.362960634,4.171348874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.399128398,,,,fee schedule,,4.171348874,,,,fee schedule,,3.568552794,,,,fee schedule,,3.568552794,,,,fee schedule,,2.48351985,,,,fee schedule,,2.399128398,,,,fee schedule,,2.459408006,,,,fee schedule,,2.48351985,,,,fee schedule,,2.507631693,,,,fee schedule,,2.48351985,,,,fee schedule,,2.507631693,,,,fee schedule,,2.543799458,,,,fee schedule,,2.362960634,,,,fee schedule,,2.435296163,,,,fee schedule,,2.48351985,,,,fee schedule,,2.48351985,,,,fee schedule,,2.507631693,,,,fee schedule,,2.362960634,,,,fee schedule,,2.362960634,,,,fee schedule,,2.362960634,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, esmolol hcl, 10mg",9363,APC,,,,,outpatient,,,,,,0.249540928,0.440516128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.253360432,,,,fee schedule,,0.440516128,,,,fee schedule,,0.376857728,,,,fee schedule,,0.376857728,,,,fee schedule,,0.262272608,,,,fee schedule,,0.253360432,,,,fee schedule,,0.259726272,,,,fee schedule,,0.262272608,,,,fee schedule,,0.264818944,,,,fee schedule,,0.262272608,,,,fee schedule,,0.264818944,,,,fee schedule,,0.268638448,,,,fee schedule,,0.249540928,,,,fee schedule,,0.257179936,,,,fee schedule,,0.262272608,,,,fee schedule,,0.262272608,,,,fee schedule,,0.264818944,,,,fee schedule,,0.249540928,,,,fee schedule,,0.249540928,,,,fee schedule,,0.249540928,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj enfort vedo-ejfv 0.25mg,9364,APC,,,,,outpatient,,,,,,33.61892164,59.3476882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.13349697,,,,fee schedule,,59.3476882,,,,fee schedule,,50.77143268,,,,fee schedule,,50.77143268,,,,fee schedule,,35.33417274,,,,fee schedule,,34.13349697,,,,fee schedule,,34.99112252,,,,fee schedule,,35.33417274,,,,fee schedule,,35.67722296,,,,fee schedule,,35.33417274,,,,fee schedule,,35.67722296,,,,fee schedule,,36.19179829,,,,fee schedule,,33.61892164,,,,fee schedule,,34.6480723,,,,fee schedule,,35.33417274,,,,fee schedule,,35.33417274,,,,fee schedule,,35.67722296,,,,fee schedule,,33.61892164,,,,fee schedule,,33.61892164,,,,fee schedule,,33.61892164,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj esmolol hcl wg crit care,9365,APC,,,,,outpatient,,,,,,0.434777078,0.767514638,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.44143183,,,,fee schedule,,0.767514638,,,,fee schedule,,0.656602118,,,,fee schedule,,0.656602118,,,,fee schedule,,0.456959582,,,,fee schedule,,0.44143183,,,,fee schedule,,0.452523082,,,,fee schedule,,0.456959582,,,,fee schedule,,0.461396083,,,,fee schedule,,0.456959582,,,,fee schedule,,0.461396083,,,,fee schedule,,0.468050834,,,,fee schedule,,0.434777078,,,,fee schedule,,0.448086581,,,,fee schedule,,0.456959582,,,,fee schedule,,0.456959582,,,,fee schedule,,0.461396083,,,,fee schedule,,0.434777078,,,,fee schedule,,0.434777078,,,,fee schedule,,0.434777078,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fiasp for insulin pump use,9366,APC,,,,,outpatient,,,,,,6.524535494,11.51780245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.624400834,,,,fee schedule,,11.51780245,,,,fee schedule,,9.853380134,,,,fee schedule,,9.853380134,,,,fee schedule,,6.857419958,,,,fee schedule,,6.624400834,,,,fee schedule,,6.790843066,,,,fee schedule,,6.857419958,,,,fee schedule,,6.923996851,,,,fee schedule,,6.857419958,,,,fee schedule,,6.923996851,,,,fee schedule,,7.02386219,,,,fee schedule,,6.524535494,,,,fee schedule,,6.724266173,,,,fee schedule,,6.857419958,,,,fee schedule,,6.857419958,,,,fee schedule,,6.923996851,,,,fee schedule,,6.524535494,,,,fee schedule,,6.524535494,,,,fee schedule,,6.524535494,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj ruxience, 10 mg",9367,APC,,,,,outpatient,,,,,,19.62447444,34.64320488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.92484905,,,,fee schedule,,34.64320488,,,,fee schedule,,29.6369614,,,,fee schedule,,29.6369614,,,,fee schedule,,20.62572314,,,,fee schedule,,19.92484905,,,,fee schedule,,20.4254734,,,,fee schedule,,20.62572314,,,,fee schedule,,20.82597288,,,,fee schedule,,20.62572314,,,,fee schedule,,20.82597288,,,,fee schedule,,21.12634749,,,,fee schedule,,19.62447444,,,,fee schedule,,20.22522366,,,,fee schedule,,20.62572314,,,,fee schedule,,20.62572314,,,,fee schedule,,20.82597288,,,,fee schedule,,19.62447444,,,,fee schedule,,19.62447444,,,,fee schedule,,19.62447444,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Lyumjev for insulin pump use,9368,APC,,,,,outpatient,,,,,,14.94654181,26.38522177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.17531541,,,,fee schedule,,26.38522177,,,,fee schedule,,22.57232845,,,,fee schedule,,22.57232845,,,,fee schedule,,15.70912048,,,,fee schedule,,15.17531541,,,,fee schedule,,15.55660475,,,,fee schedule,,15.70912048,,,,fee schedule,,15.86163621,,,,fee schedule,,15.70912048,,,,fee schedule,,15.86163621,,,,fee schedule,,16.09040981,,,,fee schedule,,14.94654181,,,,fee schedule,,15.40408901,,,,fee schedule,,15.70912048,,,,fee schedule,,15.70912048,,,,fee schedule,,15.86163621,,,,fee schedule,,14.94654181,,,,fee schedule,,14.94654181,,,,fee schedule,,14.94654181,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, metronidazole, 10 mg",9369,APC,,,,,outpatient,,,,,,0.023034547,0.040663027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.023387117,,,,fee schedule,,0.040663027,,,,fee schedule,,0.034786867,,,,fee schedule,,0.034786867,,,,fee schedule,,0.024209779,,,,fee schedule,,0.023387117,,,,fee schedule,,0.023974733,,,,fee schedule,,0.024209779,,,,fee schedule,,0.024444826,,,,fee schedule,,0.024209779,,,,fee schedule,,0.024444826,,,,fee schedule,,0.024797395,,,,fee schedule,,0.023034547,,,,fee schedule,,0.023739686,,,,fee schedule,,0.024209779,,,,fee schedule,,0.024209779,,,,fee schedule,,0.024444826,,,,fee schedule,,0.023034547,,,,fee schedule,,0.023034547,,,,fee schedule,,0.023034547,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. xembify, 100 mg",9372,APC,,,,,outpatient,,,,,,13.61245762,24.03015478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.82081157,,,,fee schedule,,24.03015478,,,,fee schedule,,20.55758906,,,,fee schedule,,20.55758906,,,,fee schedule,,14.30697077,,,,fee schedule,,13.82081157,,,,fee schedule,,14.16806814,,,,fee schedule,,14.30697077,,,,fee schedule,,14.4458734,,,,fee schedule,,14.30697077,,,,fee schedule,,14.4458734,,,,fee schedule,,14.65422734,,,,fee schedule,,13.61245762,,,,fee schedule,,14.02916551,,,,fee schedule,,14.30697077,,,,fee schedule,,14.30697077,,,,fee schedule,,14.4458734,,,,fee schedule,,13.61245762,,,,fee schedule,,13.61245762,,,,fee schedule,,13.61245762,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Mitomycin instillation,9374,APC,,,,,outpatient,,,,,,288.6487903,509.5534767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,293.066884,,,,fee schedule,,509.5534767,,,,fee schedule,,435.9185812,,,,fee schedule,,435.9185812,,,,fee schedule,,303.3757694,,,,fee schedule,,293.066884,,,,fee schedule,,300.4303736,,,,fee schedule,,303.3757694,,,,fee schedule,,306.3211652,,,,fee schedule,,303.3757694,,,,fee schedule,,306.3211652,,,,fee schedule,,310.7392589,,,,fee schedule,,288.6487903,,,,fee schedule,,297.4849777,,,,fee schedule,,303.3757694,,,,fee schedule,,303.3757694,,,,fee schedule,,306.3211652,,,,fee schedule,,288.6487903,,,,fee schedule,,288.6487903,,,,fee schedule,,288.6487903,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., evomela, 1 mg",9375,APC,,,,,outpatient,,,,,,15.82377415,27.93380539,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.06597478,,,,fee schedule,,27.93380539,,,,fee schedule,,23.89712831,,,,fee schedule,,23.89712831,,,,fee schedule,,16.63110957,,,,fee schedule,,16.06597478,,,,fee schedule,,16.46964249,,,,fee schedule,,16.63110957,,,,fee schedule,,16.79257665,,,,fee schedule,,16.63110957,,,,fee schedule,,16.79257665,,,,fee schedule,,17.03477728,,,,fee schedule,,15.82377415,,,,fee schedule,,16.3081754,,,,fee schedule,,16.63110957,,,,fee schedule,,16.63110957,,,,fee schedule,,16.79257665,,,,fee schedule,,15.82377415,,,,fee schedule,,15.82377415,,,,fee schedule,,15.82377415,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Sacituzumab govitecan-hziy,9376,APC,,,,,outpatient,,,,,,32.70617771,57.73641575,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.20678247,,,,fee schedule,,57.73641575,,,,fee schedule,,49.39300307,,,,fee schedule,,49.39300307,,,,fee schedule,,34.37486024,,,,fee schedule,,33.20678247,,,,fee schedule,,34.04112373,,,,fee schedule,,34.37486024,,,,fee schedule,,34.70859675,,,,fee schedule,,34.37486024,,,,fee schedule,,34.70859675,,,,fee schedule,,35.20920151,,,,fee schedule,,32.70617771,,,,fee schedule,,33.70738723,,,,fee schedule,,34.37486024,,,,fee schedule,,34.37486024,,,,fee schedule,,34.70859675,,,,fee schedule,,32.70617771,,,,fee schedule,,32.70617771,,,,fee schedule,,32.70617771,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. isatuximab-irfc 10 mg,9377,APC,,,,,outpatient,,,,,,73.41973988,129.6083163,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.54351141,,,,fee schedule,,129.6083163,,,,fee schedule,,110.8787908,,,,fee schedule,,110.8787908,,,,fee schedule,,77.16564498,,,,fee schedule,,74.54351141,,,,fee schedule,,76.41646396,,,,fee schedule,,77.16564498,,,,fee schedule,,77.914826,,,,fee schedule,,77.16564498,,,,fee schedule,,77.914826,,,,fee schedule,,79.03859753,,,,fee schedule,,73.41973988,,,,fee schedule,,75.66728294,,,,fee schedule,,77.16564498,,,,fee schedule,,77.16564498,,,,fee schedule,,77.914826,,,,fee schedule,,73.41973988,,,,fee schedule,,73.41973988,,,,fee schedule,,73.41973988,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Daratumumab, hyaluronidase",9378,APC,,,,,outpatient,,,,,,47.07781561,83.10675613,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.79839442,,,,fee schedule,,83.10675613,,,,fee schedule,,71.09710929,,,,fee schedule,,71.09710929,,,,fee schedule,,49.47974498,,,,fee schedule,,47.79839442,,,,fee schedule,,48.99935911,,,,fee schedule,,49.47974498,,,,fee schedule,,49.96013085,,,,fee schedule,,49.47974498,,,,fee schedule,,49.96013085,,,,fee schedule,,50.68070966,,,,fee schedule,,47.07781561,,,,fee schedule,,48.51897323,,,,fee schedule,,49.47974498,,,,fee schedule,,49.47974498,,,,fee schedule,,49.96013085,,,,fee schedule,,47.07781561,,,,fee schedule,,47.07781561,,,,fee schedule,,47.07781561,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. avsola, 10 mg",9381,APC,,,,,outpatient,,,,,,24.5269939,43.2976525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.90240708,,,,fee schedule,,43.2976525,,,,fee schedule,,37.0407663,,,,fee schedule,,37.0407663,,,,fee schedule,,25.77837114,,,,fee schedule,,24.90240708,,,,fee schedule,,25.5280957,,,,fee schedule,,25.77837114,,,,fee schedule,,26.02864659,,,,fee schedule,,25.77837114,,,,fee schedule,,26.02864659,,,,fee schedule,,26.40405976,,,,fee schedule,,24.5269939,,,,fee schedule,,25.27782025,,,,fee schedule,,25.77837114,,,,fee schedule,,25.77837114,,,,fee schedule,,26.02864659,,,,fee schedule,,24.5269939,,,,fee schedule,,24.5269939,,,,fee schedule,,24.5269939,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj ontruzant 10 mg,9382,APC,,,,,outpatient,,,,,,37.36971374,65.96898446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.94169916,,,,fee schedule,,65.96898446,,,,fee schedule,,56.43589422,,,,fee schedule,,56.43589422,,,,fee schedule,,39.27633179,,,,fee schedule,,37.94169916,,,,fee schedule,,38.89500818,,,,fee schedule,,39.27633179,,,,fee schedule,,39.6576554,,,,fee schedule,,39.27633179,,,,fee schedule,,39.6576554,,,,fee schedule,,40.22964081,,,,fee schedule,,37.36971374,,,,fee schedule,,38.51368457,,,,fee schedule,,39.27633179,,,,fee schedule,,39.27633179,,,,fee schedule,,39.6576554,,,,fee schedule,,37.36971374,,,,fee schedule,,37.36971374,,,,fee schedule,,37.36971374,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj belantamab mafodot blmf,9384,APC,,,,,outpatient,,,,,,44.89817158,79.25901718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5853885,,,,fee schedule,,79.25901718,,,,fee schedule,,67.80540198,,,,fee schedule,,67.80540198,,,,fee schedule,,47.18889462,,,,fee schedule,,45.5853885,,,,fee schedule,,46.73075002,,,,fee schedule,,47.18889462,,,,fee schedule,,47.64703923,,,,fee schedule,,47.18889462,,,,fee schedule,,47.64703923,,,,fee schedule,,48.33425614,,,,fee schedule,,44.89817158,,,,fee schedule,,46.27260541,,,,fee schedule,,47.18889462,,,,fee schedule,,47.18889462,,,,fee schedule,,47.64703923,,,,fee schedule,,44.89817158,,,,fee schedule,,44.89817158,,,,fee schedule,,44.89817158,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., tafasitamab-cxix",9385,APC,,,,,outpatient,,,,,,13.04907099,23.03560491,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.24880167,,,,fee schedule,,23.03560491,,,,fee schedule,,19.70676027,,,,fee schedule,,19.70676027,,,,fee schedule,,13.71483992,,,,fee schedule,,13.24880167,,,,fee schedule,,13.58168613,,,,fee schedule,,13.71483992,,,,fee schedule,,13.8479937,,,,fee schedule,,13.71483992,,,,fee schedule,,13.8479937,,,,fee schedule,,14.04772438,,,,fee schedule,,13.04907099,,,,fee schedule,,13.44853235,,,,fee schedule,,13.71483992,,,,fee schedule,,13.71483992,,,,fee schedule,,13.8479937,,,,fee schedule,,13.04907099,,,,fee schedule,,13.04907099,,,,fee schedule,,13.04907099,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. viltolarsen,9386,APC,,,,,outpatient,,,,,,56.46535337,99.67863401,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.32961898,,,,fee schedule,,99.67863401,,,,fee schedule,,85.27420713,,,,fee schedule,,85.27420713,,,,fee schedule,,59.34623875,,,,fee schedule,,57.32961898,,,,fee schedule,,58.77006167,,,,fee schedule,,59.34623875,,,,fee schedule,,59.92241582,,,,fee schedule,,59.34623875,,,,fee schedule,,59.92241582,,,,fee schedule,,60.78668143,,,,fee schedule,,56.46535337,,,,fee schedule,,58.1938846,,,,fee schedule,,59.34623875,,,,fee schedule,,59.34623875,,,,fee schedule,,59.92241582,,,,fee schedule,,56.46535337,,,,fee schedule,,56.46535337,,,,fee schedule,,56.46535337,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. infugem, 100 mg",9387,APC,,,,,outpatient,,,,,,38.65964838,68.24611398,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.2513777,,,,fee schedule,,68.24611398,,,,fee schedule,,58.38395878,,,,fee schedule,,58.38395878,,,,fee schedule,,40.63207942,,,,fee schedule,,39.2513777,,,,fee schedule,,40.23759322,,,,fee schedule,,40.63207942,,,,fee schedule,,41.02656563,,,,fee schedule,,40.63207942,,,,fee schedule,,41.02656563,,,,fee schedule,,41.61829494,,,,fee schedule,,38.65964838,,,,fee schedule,,39.84310701,,,,fee schedule,,40.63207942,,,,fee schedule,,40.63207942,,,,fee schedule,,41.02656563,,,,fee schedule,,38.65964838,,,,fee schedule,,38.65964838,,,,fee schedule,,38.65964838,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. fe derisomaltose 10 mg,9388,APC,,,,,outpatient,,,,,,18.10419433,31.95944509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.38129934,,,,fee schedule,,31.95944509,,,,fee schedule,,27.34102817,,,,fee schedule,,27.34102817,,,,fee schedule,,19.02787771,,,,fee schedule,,18.38129934,,,,fee schedule,,18.84314103,,,,fee schedule,,19.02787771,,,,fee schedule,,19.21261439,,,,fee schedule,,19.02787771,,,,fee schedule,,19.21261439,,,,fee schedule,,19.4897194,,,,fee schedule,,18.10419433,,,,fee schedule,,18.65840436,,,,fee schedule,,19.02787771,,,,fee schedule,,19.02787771,,,,fee schedule,,19.21261439,,,,fee schedule,,18.10419433,,,,fee schedule,,18.10419433,,,,fee schedule,,18.10419433,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. lurbinectedin, 0.1 mg",9389,APC,,,,,outpatient,,,,,,191.963198,338.8738086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194.9014102,,,,fee schedule,,338.8738086,,,,fee schedule,,289.9036051,,,,fee schedule,,289.9036051,,,,fee schedule,,201.7572387,,,,fee schedule,,194.9014102,,,,fee schedule,,199.7984305,,,,fee schedule,,201.7572387,,,,fee schedule,,203.7160468,,,,fee schedule,,201.7572387,,,,fee schedule,,203.7160468,,,,fee schedule,,206.654259,,,,fee schedule,,191.963198,,,,fee schedule,,197.8396224,,,,fee schedule,,201.7572387,,,,fee schedule,,201.7572387,,,,fee schedule,,203.7160468,,,,fee schedule,,191.963198,,,,fee schedule,,191.963198,,,,fee schedule,,191.963198,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Pertuzu, trastuzu, 10 mg",9390,APC,,,,,outpatient,,,,,,64.35372601,113.6040265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.33873202,,,,fee schedule,,113.6040265,,,,fee schedule,,97.18725969,,,,fee schedule,,97.18725969,,,,fee schedule,,67.63707938,,,,fee schedule,,65.33873202,,,,fee schedule,,66.98040871,,,,fee schedule,,67.63707938,,,,fee schedule,,68.29375005,,,,fee schedule,,67.63707938,,,,fee schedule,,68.29375005,,,,fee schedule,,69.27875606,,,,fee schedule,,64.35372601,,,,fee schedule,,66.32373803,,,,fee schedule,,67.63707938,,,,fee schedule,,67.63707938,,,,fee schedule,,68.29375005,,,,fee schedule,,64.35372601,,,,fee schedule,,64.35372601,,,,fee schedule,,64.35372601,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Brexucabtagene car pos t,9391,APC,,,,,outpatient,,,,,,431360.2872,761482.956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,437962.7406,,,,fee schedule,,761482.956,,,,fee schedule,,651442.0664,,,,fee schedule,,651442.0664,,,,fee schedule,,453368.4652,,,,fee schedule,,437962.7406,,,,fee schedule,,448966.8296,,,,fee schedule,,453368.4652,,,,fee schedule,,457770.1007,,,,fee schedule,,453368.4652,,,,fee schedule,,457770.1007,,,,fee schedule,,464372.5541,,,,fee schedule,,431360.2872,,,,fee schedule,,444565.194,,,,fee schedule,,453368.4652,,,,fee schedule,,453368.4652,,,,fee schedule,,457770.1007,,,,fee schedule,,431360.2872,,,,fee schedule,,431360.2872,,,,fee schedule,,431360.2872,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj. asceniv,9392,APC,,,,,outpatient,,,,,,471.6371528,832.5839534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,478.8560888,,,,fee schedule,,832.5839534,,,,fee schedule,,712.2683532,,,,fee schedule,,712.2683532,,,,fee schedule,,495.7002728,,,,fee schedule,,478.8560888,,,,fee schedule,,490.8876488,,,,fee schedule,,495.7002728,,,,fee schedule,,500.5128968,,,,fee schedule,,495.7002728,,,,fee schedule,,500.5128968,,,,fee schedule,,507.7318328,,,,fee schedule,,471.6371528,,,,fee schedule,,486.0750248,,,,fee schedule,,495.7002728,,,,fee schedule,,495.7002728,,,,fee schedule,,500.5128968,,,,fee schedule,,471.6371528,,,,fee schedule,,471.6371528,,,,fee schedule,,471.6371528,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. inebilizumab-cdon, 1 mg",9394,APC,,,,,outpatient,,,,,,464.04274,819.17749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,471.145435,,,,fee schedule,,819.17749,,,,fee schedule,,700.79924,,,,fee schedule,,700.79924,,,,fee schedule,,487.71839,,,,fee schedule,,471.145435,,,,fee schedule,,482.98326,,,,fee schedule,,487.71839,,,,fee schedule,,492.45352,,,,fee schedule,,487.71839,,,,fee schedule,,492.45352,,,,fee schedule,,499.556215,,,,fee schedule,,464.04274,,,,fee schedule,,478.24813,,,,fee schedule,,487.71839,,,,fee schedule,,487.71839,,,,fee schedule,,492.45352,,,,fee schedule,,464.04274,,,,fee schedule,,464.04274,,,,fee schedule,,464.04274,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor viia recomb sevenfact,9395,APC,,,,,outpatient,,,,,,1.98842,3.51017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.018855,,,,fee schedule,,3.51017,,,,fee schedule,,3.00292,,,,fee schedule,,3.00292,,,,fee schedule,,2.08987,,,,fee schedule,,2.018855,,,,fee schedule,,2.06958,,,,fee schedule,,2.08987,,,,fee schedule,,2.11016,,,,fee schedule,,2.08987,,,,fee schedule,,2.11016,,,,fee schedule,,2.140595,,,,fee schedule,,1.98842,,,,fee schedule,,2.04929,,,,fee schedule,,2.08987,,,,fee schedule,,2.08987,,,,fee schedule,,2.11016,,,,fee schedule,,1.98842,,,,fee schedule,,1.98842,,,,fee schedule,,1.98842,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Afamelanotide implant, 1 mg",9396,APC,,,,,outpatient,,,,,,2757.74302,4868.260637,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2799.953372,,,,fee schedule,,4868.260637,,,,fee schedule,,4164.754764,,,,fee schedule,,4164.754764,,,,fee schedule,,2898.444194,,,,fee schedule,,2799.953372,,,,fee schedule,,2870.303959,,,,fee schedule,,2898.444194,,,,fee schedule,,2926.584429,,,,fee schedule,,2898.444194,,,,fee schedule,,2926.584429,,,,fee schedule,,2968.794781,,,,fee schedule,,2757.74302,,,,fee schedule,,2842.163724,,,,fee schedule,,2898.444194,,,,fee schedule,,2898.444194,,,,fee schedule,,2926.584429,,,,fee schedule,,2757.74302,,,,fee schedule,,2757.74302,,,,fee schedule,,2757.74302,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Covid-19 Vaccine Admin Dose 2 of 2, Single Dose Product or Additional Dose",9398,APC,,,,,outpatient,,,,,,39.84976666,70.34703706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.45971206,,,,fee schedule,,70.34703706,,,,fee schedule,,60.18128026,,,,fee schedule,,60.18128026,,,,fee schedule,,41.88291802,,,,fee schedule,,40.45971206,,,,fee schedule,,41.47628774,,,,fee schedule,,41.88291802,,,,fee schedule,,42.28954829,,,,fee schedule,,41.88291802,,,,fee schedule,,42.28954829,,,,fee schedule,,42.8994937,,,,fee schedule,,39.84976666,,,,fee schedule,,41.06965747,,,,fee schedule,,41.88291802,,,,fee schedule,,41.88291802,,,,fee schedule,,42.28954829,,,,fee schedule,,39.84976666,,,,fee schedule,,39.84976666,,,,fee schedule,,39.84976666,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Pneumococcal, Influenza, Hepatitis B, and/or Covid-19 Vaccine Home Administration",9399,APC,,,,,outpatient,,,,,,35.36762768,62.43468968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.90896892,,,,fee schedule,,62.43468968,,,,fee schedule,,53.41233568,,,,fee schedule,,53.41233568,,,,fee schedule,,37.17209848,,,,fee schedule,,35.90896892,,,,fee schedule,,36.81120432,,,,fee schedule,,37.17209848,,,,fee schedule,,37.53299264,,,,fee schedule,,37.17209848,,,,fee schedule,,37.53299264,,,,fee schedule,,38.07433388,,,,fee schedule,,35.36762768,,,,fee schedule,,36.45031016,,,,fee schedule,,37.17209848,,,,fee schedule,,37.17209848,,,,fee schedule,,37.53299264,,,,fee schedule,,35.36762768,,,,fee schedule,,35.36762768,,,,fee schedule,,35.36762768,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, labetalol hcl, 5mg",9400,APC,,,,,outpatient,,,,,,0.178517741,0.315138461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.181250155,,,,fee schedule,,0.315138461,,,,fee schedule,,0.269598221,,,,fee schedule,,0.269598221,,,,fee schedule,,0.187625789,,,,fee schedule,,0.181250155,,,,fee schedule,,0.185804179,,,,fee schedule,,0.187625789,,,,fee schedule,,0.189447398,,,,fee schedule,,0.187625789,,,,fee schedule,,0.189447398,,,,fee schedule,,0.192179813,,,,fee schedule,,0.178517741,,,,fee schedule,,0.18398257,,,,fee schedule,,0.187625789,,,,fee schedule,,0.187625789,,,,fee schedule,,0.189447398,,,,fee schedule,,0.178517741,,,,fee schedule,,0.178517741,,,,fee schedule,,0.178517741,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Bebtelovimab 175 mg,9401,APC,,,,,outpatient,,,,,,2297.696083,4056.136963,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2332.864901,,,,fee schedule,,4056.136963,,,,fee schedule,,3469.990003,,,,fee schedule,,3469.990003,,,,fee schedule,,2414.925475,,,,fee schedule,,2332.864901,,,,fee schedule,,2391.479597,,,,fee schedule,,2414.925475,,,,fee schedule,,2438.371354,,,,fee schedule,,2414.925475,,,,fee schedule,,2438.371354,,,,fee schedule,,2473.540171,,,,fee schedule,,2297.696083,,,,fee schedule,,2368.033718,,,,fee schedule,,2414.925475,,,,fee schedule,,2414.925475,,,,fee schedule,,2438.371354,,,,fee schedule,,2297.696083,,,,fee schedule,,2297.696083,,,,fee schedule,,2297.696083,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj labetalol hcl hikma, 5mg",9402,APC,,,,,outpatient,,,,,,2.453179277,4.330612397,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.490727939,,,,fee schedule,,4.330612397,,,,fee schedule,,3.704801357,,,,fee schedule,,3.704801357,,,,fee schedule,,2.578341485,,,,fee schedule,,2.490727939,,,,fee schedule,,2.553309043,,,,fee schedule,,2.578341485,,,,fee schedule,,2.603373926,,,,fee schedule,,2.578341485,,,,fee schedule,,2.603373926,,,,fee schedule,,2.640922589,,,,fee schedule,,2.453179277,,,,fee schedule,,2.528276602,,,,fee schedule,,2.578341485,,,,fee schedule,,2.578341485,,,,fee schedule,,2.603373926,,,,fee schedule,,2.453179277,,,,fee schedule,,2.453179277,,,,fee schedule,,2.453179277,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Methylnaltrexone injection,9403,APC,,,,,outpatient,,,,,,1.153646906,2.036539946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.171304766,,,,fee schedule,,2.036539946,,,,fee schedule,,1.742242266,,,,fee schedule,,1.742242266,,,,fee schedule,,1.212506442,,,,fee schedule,,1.171304766,,,,fee schedule,,1.200734534,,,,fee schedule,,1.212506442,,,,fee schedule,,1.224278349,,,,fee schedule,,1.212506442,,,,fee schedule,,1.224278349,,,,fee schedule,,1.24193621,,,,fee schedule,,1.153646906,,,,fee schedule,,1.188962627,,,,fee schedule,,1.212506442,,,,fee schedule,,1.212506442,,,,fee schedule,,1.224278349,,,,fee schedule,,1.153646906,,,,fee schedule,,1.153646906,,,,fee schedule,,1.153646906,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, nitroglycerin, 5 mg",9404,APC,,,,,outpatient,,,,,,1.234267821,2.178860541,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.253159675,,,,fee schedule,,2.178860541,,,,fee schedule,,1.863996301,,,,fee schedule,,1.863996301,,,,fee schedule,,1.297240669,,,,fee schedule,,1.253159675,,,,fee schedule,,1.284646099,,,,fee schedule,,1.297240669,,,,fee schedule,,1.309835238,,,,fee schedule,,1.297240669,,,,fee schedule,,1.309835238,,,,fee schedule,,1.328727093,,,,fee schedule,,1.234267821,,,,fee schedule,,1.27205153,,,,fee schedule,,1.297240669,,,,fee schedule,,1.297240669,,,,fee schedule,,1.309835238,,,,fee schedule,,1.234267821,,,,fee schedule,,1.234267821,,,,fee schedule,,1.234267821,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, biorphen, 20 micrograms",9405,APC,,,,,outpatient,,,,,,0.169879786,0.299889826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.172479986,,,,fee schedule,,0.299889826,,,,fee schedule,,0.256553146,,,,fee schedule,,0.256553146,,,,fee schedule,,0.178547122,,,,fee schedule,,0.172479986,,,,fee schedule,,0.176813654,,,,fee schedule,,0.178547122,,,,fee schedule,,0.180280589,,,,fee schedule,,0.178547122,,,,fee schedule,,0.180280589,,,,fee schedule,,0.18288079,,,,fee schedule,,0.169879786,,,,fee schedule,,0.175080187,,,,fee schedule,,0.178547122,,,,fee schedule,,0.178547122,,,,fee schedule,,0.180280589,,,,fee schedule,,0.169879786,,,,fee schedule,,0.169879786,,,,fee schedule,,0.169879786,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, nyvepria",9406,APC,,,,,outpatient,,,,,,61.12946,107.91221,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.065115,,,,fee schedule,,107.91221,,,,fee schedule,,92.31796,,,,fee schedule,,92.31796,,,,fee schedule,,64.24831,,,,fee schedule,,62.065115,,,,fee schedule,,63.62454,,,,fee schedule,,64.24831,,,,fee schedule,,64.87208,,,,fee schedule,,64.24831,,,,fee schedule,,64.87208,,,,fee schedule,,65.807735,,,,fee schedule,,61.12946,,,,fee schedule,,63.00077,,,,fee schedule,,64.24831,,,,fee schedule,,64.24831,,,,fee schedule,,64.87208,,,,fee schedule,,61.12946,,,,fee schedule,,61.12946,,,,fee schedule,,61.12946,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. lumasiran, 0.5 mg",9407,APC,,,,,outpatient,,,,,,313.1639,552.83015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.957225,,,,fee schedule,,552.83015,,,,fee schedule,,472.9414,,,,fee schedule,,472.9414,,,,fee schedule,,329.14165,,,,fee schedule,,317.957225,,,,fee schedule,,325.9461,,,,fee schedule,,329.14165,,,,fee schedule,,332.3372,,,,fee schedule,,329.14165,,,,fee schedule,,332.3372,,,,fee schedule,,337.130525,,,,fee schedule,,313.1639,,,,fee schedule,,322.75055,,,,fee schedule,,329.14165,,,,fee schedule,,329.14165,,,,fee schedule,,332.3372,,,,fee schedule,,313.1639,,,,fee schedule,,313.1639,,,,fee schedule,,313.1639,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. naxitamab-gqgk, 1 mg",9408,APC,,,,,outpatient,,,,,,597.5697,1054.89345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,606.716175,,,,fee schedule,,1054.89345,,,,fee schedule,,902.4522,,,,fee schedule,,902.4522,,,,fee schedule,,628.05795,,,,fee schedule,,606.716175,,,,fee schedule,,621.9603,,,,fee schedule,,628.05795,,,,fee schedule,,634.1556,,,,fee schedule,,628.05795,,,,fee schedule,,634.1556,,,,fee schedule,,643.302075,,,,fee schedule,,597.5697,,,,fee schedule,,615.86265,,,,fee schedule,,628.05795,,,,fee schedule,,628.05795,,,,fee schedule,,634.1556,,,,fee schedule,,597.5697,,,,fee schedule,,597.5697,,,,fee schedule,,597.5697,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gallium ga-68 psma-11 ucsf,9409,APC,,,,,outpatient,,,,,,790.01916,1394.62566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,802.11129,,,,fee schedule,,1394.62566,,,,fee schedule,,1193.09016,,,,fee schedule,,1193.09016,,,,fee schedule,,830.32626,,,,fee schedule,,802.11129,,,,fee schedule,,822.26484,,,,fee schedule,,830.32626,,,,fee schedule,,838.38768,,,,fee schedule,,830.32626,,,,fee schedule,,838.38768,,,,fee schedule,,850.47981,,,,fee schedule,,790.01916,,,,fee schedule,,814.20342,,,,fee schedule,,830.32626,,,,fee schedule,,830.32626,,,,fee schedule,,838.38768,,,,fee schedule,,790.01916,,,,fee schedule,,790.01916,,,,fee schedule,,790.01916,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Gallium ga-68 psma-11, ucla",9410,APC,,,,,outpatient,,,,,,773.51302,1365.48727,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,785.352505,,,,fee schedule,,1365.48727,,,,fee schedule,,1168.16252,,,,fee schedule,,1168.16252,,,,fee schedule,,812.97797,,,,fee schedule,,785.352505,,,,fee schedule,,805.08498,,,,fee schedule,,812.97797,,,,fee schedule,,820.87096,,,,fee schedule,,812.97797,,,,fee schedule,,820.87096,,,,fee schedule,,832.710445,,,,fee schedule,,773.51302,,,,fee schedule,,797.19199,,,,fee schedule,,812.97797,,,,fee schedule,,812.97797,,,,fee schedule,,820.87096,,,,fee schedule,,773.51302,,,,fee schedule,,773.51302,,,,fee schedule,,773.51302,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. riabni, 10 mg",9411,APC,,,,,outpatient,,,,,,40.59062,71.65487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.211905,,,,fee schedule,,71.65487,,,,fee schedule,,61.30012,,,,fee schedule,,61.30012,,,,fee schedule,,42.66157,,,,fee schedule,,41.211905,,,,fee schedule,,42.24738,,,,fee schedule,,42.66157,,,,fee schedule,,43.07576,,,,fee schedule,,42.66157,,,,fee schedule,,43.07576,,,,fee schedule,,43.697045,,,,fee schedule,,40.59062,,,,fee schedule,,41.83319,,,,fee schedule,,42.66157,,,,fee schedule,,42.66157,,,,fee schedule,,43.07576,,,,fee schedule,,40.59062,,,,fee schedule,,40.59062,,,,fee schedule,,40.59062,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, casimersen, 10 mg",9412,APC,,,,,outpatient,,,,,,162.9005,287.56925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.393875,,,,fee schedule,,287.56925,,,,fee schedule,,246.013,,,,fee schedule,,246.013,,,,fee schedule,,171.21175,,,,fee schedule,,165.393875,,,,fee schedule,,169.5495,,,,fee schedule,,171.21175,,,,fee schedule,,172.874,,,,fee schedule,,171.21175,,,,fee schedule,,172.874,,,,fee schedule,,175.367375,,,,fee schedule,,162.9005,,,,fee schedule,,167.88725,,,,fee schedule,,171.21175,,,,fee schedule,,171.21175,,,,fee schedule,,172.874,,,,fee schedule,,162.9005,,,,fee schedule,,162.9005,,,,fee schedule,,162.9005,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
lisocabtagene car pos t,9413,APC,,,,,outpatient,,,,,,464376.4457,819766.5827,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,471484.2484,,,,fee schedule,,819766.5827,,,,fee schedule,,701303.2037,,,,fee schedule,,701303.2037,,,,fee schedule,,488069.1215,,,,fee schedule,,471484.2484,,,,fee schedule,,483330.5863,,,,fee schedule,,488069.1215,,,,fee schedule,,492807.6566,,,,fee schedule,,488069.1215,,,,fee schedule,,492807.6566,,,,fee schedule,,499915.4594,,,,fee schedule,,464376.4457,,,,fee schedule,,478592.0512,,,,fee schedule,,488069.1215,,,,fee schedule,,488069.1215,,,,fee schedule,,492807.6566,,,,fee schedule,,464376.4457,,,,fee schedule,,464376.4457,,,,fee schedule,,464376.4457,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, cabote rilpivir 2mg 3mg",9414,APC,,,,,outpatient,,,,,,22.14506,39.09281,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.484015,,,,fee schedule,,39.09281,,,,fee schedule,,33.44356,,,,fee schedule,,33.44356,,,,fee schedule,,23.27491,,,,fee schedule,,22.484015,,,,fee schedule,,23.04894,,,,fee schedule,,23.27491,,,,fee schedule,,23.50088,,,,fee schedule,,23.27491,,,,fee schedule,,23.50088,,,,fee schedule,,23.839835,,,,fee schedule,,22.14506,,,,fee schedule,,22.82297,,,,fee schedule,,23.27491,,,,fee schedule,,23.27491,,,,fee schedule,,23.50088,,,,fee schedule,,22.14506,,,,fee schedule,,22.14506,,,,fee schedule,,22.14506,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, trilaciclib, 1mg",9415,APC,,,,,outpatient,,,,,,5.09698,8.99773,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.174995,,,,fee schedule,,8.99773,,,,fee schedule,,7.69748,,,,fee schedule,,7.69748,,,,fee schedule,,5.35703,,,,fee schedule,,5.174995,,,,fee schedule,,5.30502,,,,fee schedule,,5.35703,,,,fee schedule,,5.40904,,,,fee schedule,,5.35703,,,,fee schedule,,5.40904,,,,fee schedule,,5.487055,,,,fee schedule,,5.09698,,,,fee schedule,,5.25301,,,,fee schedule,,5.35703,,,,fee schedule,,5.35703,,,,fee schedule,,5.40904,,,,fee schedule,,5.09698,,,,fee schedule,,5.09698,,,,fee schedule,,5.09698,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, evinacumab-dgnb, 5 mg",9416,APC,,,,,outpatient,,,,,,175.5572,309.9122,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,178.2443,,,,fee schedule,,309.9122,,,,fee schedule,,265.1272,,,,fee schedule,,265.1272,,,,fee schedule,,184.5142,,,,fee schedule,,178.2443,,,,fee schedule,,182.7228,,,,fee schedule,,184.5142,,,,fee schedule,,186.3056,,,,fee schedule,,184.5142,,,,fee schedule,,186.3056,,,,fee schedule,,188.9927,,,,fee schedule,,175.5572,,,,fee schedule,,180.9314,,,,fee schedule,,184.5142,,,,fee schedule,,184.5142,,,,fee schedule,,186.3056,,,,fee schedule,,175.5572,,,,fee schedule,,175.5572,,,,fee schedule,,175.5572,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, melphalan flufenami 1mg",9417,APC,,,,,outpatient,,,,,,493.43,871.055,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,500.9825,,,,fee schedule,,871.055,,,,fee schedule,,745.18,,,,fee schedule,,745.18,,,,fee schedule,,518.605,,,,fee schedule,,500.9825,,,,fee schedule,,513.57,,,,fee schedule,,518.605,,,,fee schedule,,523.64,,,,fee schedule,,518.605,,,,fee schedule,,523.64,,,,fee schedule,,531.1925,,,,fee schedule,,493.43,,,,fee schedule,,508.535,,,,fee schedule,,518.605,,,,fee schedule,,518.605,,,,fee schedule,,523.64,,,,fee schedule,,493.43,,,,fee schedule,,493.43,,,,fee schedule,,493.43,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. margetuximab-cmkb, 5 mg",9418,APC,,,,,outpatient,,,,,,46.10998,81.39823,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.815745,,,,fee schedule,,81.39823,,,,fee schedule,,69.63548,,,,fee schedule,,69.63548,,,,fee schedule,,48.46253,,,,fee schedule,,46.815745,,,,fee schedule,,47.99202,,,,fee schedule,,48.46253,,,,fee schedule,,48.93304,,,,fee schedule,,48.46253,,,,fee schedule,,48.93304,,,,fee schedule,,49.638805,,,,fee schedule,,46.10998,,,,fee schedule,,47.52151,,,,fee schedule,,48.46253,,,,fee schedule,,48.46253,,,,fee schedule,,48.93304,,,,fee schedule,,46.10998,,,,fee schedule,,46.10998,,,,fee schedule,,46.10998,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj fensolvi 0.25 mg,9419,APC,,,,,outpatient,,,,,,126.5210896,223.3484541,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.4576369,,,,fee schedule,,223.3484541,,,,fee schedule,,191.0726659,,,,fee schedule,,191.0726659,,,,fee schedule,,132.9762472,,,,fee schedule,,128.4576369,,,,fee schedule,,131.6852157,,,,fee schedule,,132.9762472,,,,fee schedule,,134.2672787,,,,fee schedule,,132.9762472,,,,fee schedule,,134.2672787,,,,fee schedule,,136.203826,,,,fee schedule,,126.5210896,,,,fee schedule,,130.3941842,,,,fee schedule,,132.9762472,,,,fee schedule,,132.9762472,,,,fee schedule,,134.2672787,,,,fee schedule,,126.5210896,,,,fee schedule,,126.5210896,,,,fee schedule,,126.5210896,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Eptifibatide injection,9420,APC,,,,,outpatient,,,,,,3.211399789,5.669103709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.260553867,,,,fee schedule,,5.669103709,,,,fee schedule,,4.849869069,,,,fee schedule,,4.849869069,,,,fee schedule,,3.375246717,,,,fee schedule,,3.260553867,,,,fee schedule,,3.342477331,,,,fee schedule,,3.375246717,,,,fee schedule,,3.408016102,,,,fee schedule,,3.375246717,,,,fee schedule,,3.408016102,,,,fee schedule,,3.457170181,,,,fee schedule,,3.211399789,,,,fee schedule,,3.309707946,,,,fee schedule,,3.375246717,,,,fee schedule,,3.375246717,,,,fee schedule,,3.408016102,,,,fee schedule,,3.211399789,,,,fee schedule,,3.211399789,,,,fee schedule,,3.211399789,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, granisetron, xr, 0.1 mg",9421,APC,,,,,outpatient,,,,,,5.445750867,9.613417347,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.529104197,,,,fee schedule,,9.613417347,,,,fee schedule,,8.224195187,,,,fee schedule,,8.224195187,,,,fee schedule,,5.723595299,,,,fee schedule,,5.529104197,,,,fee schedule,,5.668026413,,,,fee schedule,,5.723595299,,,,fee schedule,,5.779164186,,,,fee schedule,,5.723595299,,,,fee schedule,,5.779164186,,,,fee schedule,,5.862517515,,,,fee schedule,,5.445750867,,,,fee schedule,,5.612457526,,,,fee schedule,,5.723595299,,,,fee schedule,,5.723595299,,,,fee schedule,,5.779164186,,,,fee schedule,,5.445750867,,,,fee schedule,,5.445750867,,,,fee schedule,,5.445750867,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Idecabtagene vicleucel car,9422,APC,,,,,outpatient,,,,,,474996.494,838514.219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,482266.8485,,,,fee schedule,,838514.219,,,,fee schedule,,717341.644,,,,fee schedule,,717341.644,,,,fee schedule,,499231.009,,,,fee schedule,,482266.8485,,,,fee schedule,,494384.106,,,,fee schedule,,499231.009,,,,fee schedule,,504077.912,,,,fee schedule,,499231.009,,,,fee schedule,,504077.912,,,,fee schedule,,511348.2665,,,,fee schedule,,474996.494,,,,fee schedule,,489537.203,,,,fee schedule,,499231.009,,,,fee schedule,,499231.009,,,,fee schedule,,504077.912,,,,fee schedule,,474996.494,,,,fee schedule,,474996.494,,,,fee schedule,,474996.494,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, cefiderocol, 10 mg",9426,APC,,,,,outpatient,,,,,,2.085586294,3.681698254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.117508534,,,,fee schedule,,3.681698254,,,,fee schedule,,3.149660934,,,,fee schedule,,3.149660934,,,,fee schedule,,2.191993758,,,,fee schedule,,2.117508534,,,,fee schedule,,2.170712266,,,,fee schedule,,2.191993758,,,,fee schedule,,2.213275251,,,,fee schedule,,2.191993758,,,,fee schedule,,2.213275251,,,,fee schedule,,2.24519749,,,,fee schedule,,2.085586294,,,,fee schedule,,2.149430773,,,,fee schedule,,2.191993758,,,,fee schedule,,2.191993758,,,,fee schedule,,2.213275251,,,,fee schedule,,2.085586294,,,,fee schedule,,2.085586294,,,,fee schedule,,2.085586294,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, oritavancin 10 mg",9427,APC,,,,,outpatient,,,,,,40.09866,70.78641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.712415,,,,fee schedule,,70.78641,,,,fee schedule,,60.55716,,,,fee schedule,,60.55716,,,,fee schedule,,42.14451,,,,fee schedule,,40.712415,,,,fee schedule,,41.73534,,,,fee schedule,,42.14451,,,,fee schedule,,42.55368,,,,fee schedule,,42.14451,,,,fee schedule,,42.55368,,,,fee schedule,,43.167435,,,,fee schedule,,40.09866,,,,fee schedule,,41.32617,,,,fee schedule,,42.14451,,,,fee schedule,,42.14451,,,,fee schedule,,42.55368,,,,fee schedule,,40.09866,,,,fee schedule,,40.09866,,,,fee schedule,,40.09866,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj romidepsin non-lyo 0.1mg,9428,APC,,,,,outpatient,,,,,,32.54109678,57.44499738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.0391748,,,,fee schedule,,57.44499738,,,,fee schedule,,49.14369718,,,,fee schedule,,49.14369718,,,,fee schedule,,34.20135682,,,,fee schedule,,33.0391748,,,,fee schedule,,33.86930482,,,,fee schedule,,34.20135682,,,,fee schedule,,34.53340883,,,,fee schedule,,34.20135682,,,,fee schedule,,34.53340883,,,,fee schedule,,35.03148684,,,,fee schedule,,32.54109678,,,,fee schedule,,33.53725281,,,,fee schedule,,34.20135682,,,,fee schedule,,34.20135682,,,,fee schedule,,34.53340883,,,,fee schedule,,32.54109678,,,,fee schedule,,32.54109678,,,,fee schedule,,32.54109678,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj romidepsin lyophil 0.1mg,9429,APC,,,,,outpatient,,,,,,30.67529846,54.15129218,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.14481834,,,,fee schedule,,54.15129218,,,,fee schedule,,46.32596094,,,,fee schedule,,46.32596094,,,,fee schedule,,32.24036471,,,,fee schedule,,31.14481834,,,,fee schedule,,31.92735146,,,,fee schedule,,32.24036471,,,,fee schedule,,32.55337796,,,,fee schedule,,32.24036471,,,,fee schedule,,32.55337796,,,,fee schedule,,33.02289783,,,,fee schedule,,30.67529846,,,,fee schedule,,31.61433821,,,,fee schedule,,32.24036471,,,,fee schedule,,32.24036471,,,,fee schedule,,32.55337796,,,,fee schedule,,30.67529846,,,,fee schedule,,30.67529846,,,,fee schedule,,30.67529846,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Piflu f-18, dia 1 millicurie",9430,APC,,,,,outpatient,,,,,,568.74496,1004.00896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,577.45024,,,,fee schedule,,1004.00896,,,,fee schedule,,858.92096,,,,fee schedule,,858.92096,,,,fee schedule,,597.76256,,,,fee schedule,,577.45024,,,,fee schedule,,591.95904,,,,fee schedule,,597.76256,,,,fee schedule,,603.56608,,,,fee schedule,,597.76256,,,,fee schedule,,603.56608,,,,fee schedule,,612.27136,,,,fee schedule,,568.74496,,,,fee schedule,,586.15552,,,,fee schedule,,597.76256,,,,fee schedule,,597.76256,,,,fee schedule,,603.56608,,,,fee schedule,,568.74496,,,,fee schedule,,568.74496,,,,fee schedule,,568.74496,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, dostarlimab-gxly, 10 mg",9431,APC,,,,,outpatient,,,,,,228.59284,403.53634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.09171,,,,fee schedule,,403.53634,,,,fee schedule,,345.22184,,,,fee schedule,,345.22184,,,,fee schedule,,240.25574,,,,fee schedule,,232.09171,,,,fee schedule,,237.92316,,,,fee schedule,,240.25574,,,,fee schedule,,242.58832,,,,fee schedule,,240.25574,,,,fee schedule,,242.58832,,,,fee schedule,,246.08719,,,,fee schedule,,228.59284,,,,fee schedule,,235.59058,,,,fee schedule,,240.25574,,,,fee schedule,,240.25574,,,,fee schedule,,242.58832,,,,fee schedule,,228.59284,,,,fee schedule,,228.59284,,,,fee schedule,,228.59284,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, amivantamab-vmjw",9432,APC,,,,,outpatient,,,,,,19.5755,34.55675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.875125,,,,fee schedule,,34.55675,,,,fee schedule,,29.563,,,,fee schedule,,29.563,,,,fee schedule,,20.57425,,,,fee schedule,,19.875125,,,,fee schedule,,20.3745,,,,fee schedule,,20.57425,,,,fee schedule,,20.774,,,,fee schedule,,20.57425,,,,fee schedule,,20.774,,,,fee schedule,,21.073625,,,,fee schedule,,19.5755,,,,fee schedule,,20.17475,,,,fee schedule,,20.57425,,,,fee schedule,,20.57425,,,,fee schedule,,20.774,,,,fee schedule,,19.5755,,,,fee schedule,,19.5755,,,,fee schedule,,19.5755,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj aval alfa-nqpt 4mg,9433,APC,,,,,outpatient,,,,,,74.49666,131.50941,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.636915,,,,fee schedule,,131.50941,,,,fee schedule,,112.50516,,,,fee schedule,,112.50516,,,,fee schedule,,78.29751,,,,fee schedule,,75.636915,,,,fee schedule,,77.53734,,,,fee schedule,,78.29751,,,,fee schedule,,79.05768,,,,fee schedule,,78.29751,,,,fee schedule,,79.05768,,,,fee schedule,,80.197935,,,,fee schedule,,74.49666,,,,fee schedule,,76.77717,,,,fee schedule,,78.29751,,,,fee schedule,,78.29751,,,,fee schedule,,79.05768,,,,fee schedule,,74.49666,,,,fee schedule,,74.49666,,,,fee schedule,,74.49666,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj anifrolumab-fnia 1mg,9434,APC,,,,,outpatient,,,,,,16.8364,29.7214,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.0941,,,,fee schedule,,29.7214,,,,fee schedule,,25.4264,,,,fee schedule,,25.4264,,,,fee schedule,,17.6954,,,,fee schedule,,17.0941,,,,fee schedule,,17.5236,,,,fee schedule,,17.6954,,,,fee schedule,,17.8672,,,,fee schedule,,17.6954,,,,fee schedule,,17.8672,,,,fee schedule,,18.1249,,,,fee schedule,,16.8364,,,,fee schedule,,17.3518,,,,fee schedule,,17.6954,,,,fee schedule,,17.6954,,,,fee schedule,,17.8672,,,,fee schedule,,16.8364,,,,fee schedule,,16.8364,,,,fee schedule,,16.8364,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj pegfilgrast ex bio 0.5mg,9436,APC,,,,,outpatient,,,,,,48.63936596,85.86337052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.38384605,,,,fee schedule,,85.86337052,,,,fee schedule,,73.455369,,,,fee schedule,,73.455369,,,,fee schedule,,51.12096626,,,,fee schedule,,49.38384605,,,,fee schedule,,50.6246462,,,,fee schedule,,51.12096626,,,,fee schedule,,51.61728632,,,,fee schedule,,51.12096626,,,,fee schedule,,51.61728632,,,,fee schedule,,52.36176641,,,,fee schedule,,48.63936596,,,,fee schedule,,50.12832614,,,,fee schedule,,51.12096626,,,,fee schedule,,51.12096626,,,,fee schedule,,51.61728632,,,,fee schedule,,48.63936596,,,,fee schedule,,48.63936596,,,,fee schedule,,48.63936596,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, aspara, rylaze, 0.1 mg",9437,APC,,,,,outpatient,,,,,,49.93786,88.15561,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.702215,,,,fee schedule,,88.15561,,,,fee schedule,,75.41636,,,,fee schedule,,75.41636,,,,fee schedule,,52.48571,,,,fee schedule,,50.702215,,,,fee schedule,,51.97614,,,,fee schedule,,52.48571,,,,fee schedule,,52.99528,,,,fee schedule,,52.48571,,,,fee schedule,,52.99528,,,,fee schedule,,53.759635,,,,fee schedule,,49.93786,,,,fee schedule,,51.46657,,,,fee schedule,,52.48571,,,,fee schedule,,52.48571,,,,fee schedule,,52.99528,,,,fee schedule,,49.93786,,,,fee schedule,,49.93786,,,,fee schedule,,49.93786,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, aducanumab-avwa, 2 mg",9438,APC,,,,,outpatient,,,,,,5.737521798,10.12848236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.82534101,,,,fee schedule,,10.12848236,,,,fee schedule,,8.664828838,,,,fee schedule,,8.664828838,,,,fee schedule,,6.030252502,,,,fee schedule,,5.82534101,,,,fee schedule,,5.971706362,,,,fee schedule,,6.030252502,,,,fee schedule,,6.088798643,,,,fee schedule,,6.030252502,,,,fee schedule,,6.088798643,,,,fee schedule,,6.176617854,,,,fee schedule,,5.737521798,,,,fee schedule,,5.913160221,,,,fee schedule,,6.030252502,,,,fee schedule,,6.030252502,,,,fee schedule,,6.088798643,,,,fee schedule,,5.737521798,,,,fee schedule,,5.737521798,,,,fee schedule,,5.737521798,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, susvimo 0.1 mg",9439,APC,,,,,outpatient,,,,,,79.16636,139.75286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.37809,,,,fee schedule,,139.75286,,,,fee schedule,,119.55736,,,,fee schedule,,119.55736,,,,fee schedule,,83.20546,,,,fee schedule,,80.37809,,,,fee schedule,,82.39764,,,,fee schedule,,83.20546,,,,fee schedule,,84.01328,,,,fee schedule,,83.20546,,,,fee schedule,,84.01328,,,,fee schedule,,85.22501,,,,fee schedule,,79.16636,,,,fee schedule,,81.58982,,,,fee schedule,,83.20546,,,,fee schedule,,83.20546,,,,fee schedule,,84.01328,,,,fee schedule,,79.16636,,,,fee schedule,,79.16636,,,,fee schedule,,79.16636,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Instill, bupivac and meloxic",9440,APC,,,,,outpatient,,,,,,0.71344,1.25944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.72436,,,,fee schedule,,1.25944,,,,fee schedule,,1.07744,,,,fee schedule,,1.07744,,,,fee schedule,,0.74984,,,,fee schedule,,0.72436,,,,fee schedule,,0.74256,,,,fee schedule,,0.74984,,,,fee schedule,,0.75712,,,,fee schedule,,0.74984,,,,fee schedule,,0.75712,,,,fee schedule,,0.76804,,,,fee schedule,,0.71344,,,,fee schedule,,0.73528,,,,fee schedule,,0.74984,,,,fee schedule,,0.74984,,,,fee schedule,,0.75712,,,,fee schedule,,0.71344,,,,fee schedule,,0.71344,,,,fee schedule,,0.71344,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj ferric carboxymaltos 1mg,9441,APC,,,,,outpatient,,,,,,1.100859402,1.943353842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.11770929,,,,fee schedule,,1.943353842,,,,fee schedule,,1.662522362,,,,fee schedule,,1.662522362,,,,fee schedule,,1.157025698,,,,fee schedule,,1.11770929,,,,fee schedule,,1.145792438,,,,fee schedule,,1.157025698,,,,fee schedule,,1.168258957,,,,fee schedule,,1.157025698,,,,fee schedule,,1.168258957,,,,fee schedule,,1.185108846,,,,fee schedule,,1.100859402,,,,fee schedule,,1.134559179,,,,fee schedule,,1.157025698,,,,fee schedule,,1.157025698,,,,fee schedule,,1.168258957,,,,fee schedule,,1.100859402,,,,fee schedule,,1.100859402,,,,fee schedule,,1.100859402,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj. pemetrexed, 10 mg",9442,APC,,,,,outpatient,,,,,,61.07164,107.81014,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.00641,,,,fee schedule,,107.81014,,,,fee schedule,,92.23064,,,,fee schedule,,92.23064,,,,fee schedule,,64.18754,,,,fee schedule,,62.00641,,,,fee schedule,,63.56436,,,,fee schedule,,64.18754,,,,fee schedule,,64.81072,,,,fee schedule,,64.18754,,,,fee schedule,,64.81072,,,,fee schedule,,65.74549,,,,fee schedule,,61.07164,,,,fee schedule,,62.94118,,,,fee schedule,,64.18754,,,,fee schedule,,64.18754,,,,fee schedule,,64.81072,,,,fee schedule,,61.07164,,,,fee schedule,,61.07164,,,,fee schedule,,61.07164,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gallium illuccix 1 millicure,9443,APC,,,,,outpatient,,,,,,971.84738,1715.60813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,986.722595,,,,fee schedule,,1715.60813,,,,fee schedule,,1467.68788,,,,fee schedule,,1467.68788,,,,fee schedule,,1021.43143,,,,fee schedule,,986.722595,,,,fee schedule,,1011.51462,,,,fee schedule,,1021.43143,,,,fee schedule,,1031.34824,,,,fee schedule,,1021.43143,,,,fee schedule,,1031.34824,,,,fee schedule,,1046.223455,,,,fee schedule,,971.84738,,,,fee schedule,,1001.59781,,,,fee schedule,,1021.43143,,,,fee schedule,,1021.43143,,,,fee schedule,,1031.34824,,,,fee schedule,,971.84738,,,,fee schedule,,971.84738,,,,fee schedule,,971.84738,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, sutimlimab-jome, 10 mg",9444,APC,,,,,outpatient,,,,,,17.41068,30.73518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.67717,,,,fee schedule,,30.73518,,,,fee schedule,,26.29368,,,,fee schedule,,26.29368,,,,fee schedule,,18.29898,,,,fee schedule,,17.67717,,,,fee schedule,,18.12132,,,,fee schedule,,18.29898,,,,fee schedule,,18.47664,,,,fee schedule,,18.29898,,,,fee schedule,,18.47664,,,,fee schedule,,18.74313,,,,fee schedule,,17.41068,,,,fee schedule,,17.94366,,,,fee schedule,,18.29898,,,,fee schedule,,18.29898,,,,fee schedule,,18.47664,,,,fee schedule,,17.41068,,,,fee schedule,,17.41068,,,,fee schedule,,17.41068,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, ruconest",9445,APC,,,,,outpatient,,,,,,32.15910721,56.77066885,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.65133844,,,,fee schedule,,56.77066885,,,,fee schedule,,48.56681497,,,,fee schedule,,48.56681497,,,,fee schedule,,33.79987799,,,,fee schedule,,32.65133844,,,,fee schedule,,33.47172383,,,,fee schedule,,33.79987799,,,,fee schedule,,34.12803214,,,,fee schedule,,33.79987799,,,,fee schedule,,34.12803214,,,,fee schedule,,34.62026337,,,,fee schedule,,32.15910721,,,,fee schedule,,33.14356968,,,,fee schedule,,33.79987799,,,,fee schedule,,33.79987799,,,,fee schedule,,34.12803214,,,,fee schedule,,32.15910721,,,,fee schedule,,32.15910721,,,,fee schedule,,32.15910721,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, tebentafusp-tebn, 1 mcg",9446,APC,,,,,outpatient,,,,,,204.74748,361.44198,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.88137,,,,fee schedule,,361.44198,,,,fee schedule,,309.21048,,,,fee schedule,,309.21048,,,,fee schedule,,215.19378,,,,fee schedule,,207.88137,,,,fee schedule,,213.10452,,,,fee schedule,,215.19378,,,,fee schedule,,217.28304,,,,fee schedule,,215.19378,,,,fee schedule,,217.28304,,,,fee schedule,,220.41693,,,,fee schedule,,204.74748,,,,fee schedule,,211.01526,,,,fee schedule,,215.19378,,,,fee schedule,,215.19378,,,,fee schedule,,217.28304,,,,fee schedule,,204.74748,,,,fee schedule,,204.74748,,,,fee schedule,,204.74748,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, releuko 1 mcg",9447,APC,,,,,outpatient,,,,,,0.52822,0.93247,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.536305,,,,fee schedule,,0.93247,,,,fee schedule,,0.79772,,,,fee schedule,,0.79772,,,,fee schedule,,0.55517,,,,fee schedule,,0.536305,,,,fee schedule,,0.54978,,,,fee schedule,,0.55517,,,,fee schedule,,0.56056,,,,fee schedule,,0.55517,,,,fee schedule,,0.56056,,,,fee schedule,,0.568645,,,,fee schedule,,0.52822,,,,fee schedule,,0.54439,,,,fee schedule,,0.55517,,,,fee schedule,,0.55517,,,,fee schedule,,0.56056,,,,fee schedule,,0.52822,,,,fee schedule,,0.52822,,,,fee schedule,,0.52822,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Oral netupitant, palonosetro",9448,APC,,,,,outpatient,,,,,,393.5625148,694.758317,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,399.5864309,,,,fee schedule,,694.758317,,,,fee schedule,,594.3597163,,,,fee schedule,,594.3597163,,,,fee schedule,,413.642235,,,,fee schedule,,399.5864309,,,,fee schedule,,409.6262909,,,,fee schedule,,413.642235,,,,fee schedule,,417.658179,,,,fee schedule,,413.642235,,,,fee schedule,,417.658179,,,,fee schedule,,423.682095,,,,fee schedule,,393.5625148,,,,fee schedule,,405.6103469,,,,fee schedule,,413.642235,,,,fee schedule,,413.642235,,,,fee schedule,,417.658179,,,,fee schedule,,393.5625148,,,,fee schedule,,393.5625148,,,,fee schedule,,393.5625148,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, blinatumomab",9449,APC,,,,,outpatient,,,,,,139.7093276,246.6297314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141.8477357,,,,fee schedule,,246.6297314,,,,fee schedule,,210.9895968,,,,fee schedule,,210.9895968,,,,fee schedule,,146.8373546,,,,fee schedule,,141.8477357,,,,fee schedule,,145.4117492,,,,fee schedule,,146.8373546,,,,fee schedule,,148.2629599,,,,fee schedule,,146.8373546,,,,fee schedule,,148.2629599,,,,fee schedule,,150.401368,,,,fee schedule,,139.7093276,,,,fee schedule,,143.9861438,,,,fee schedule,,146.8373546,,,,fee schedule,,146.8373546,,,,fee schedule,,148.2629599,,,,fee schedule,,139.7093276,,,,fee schedule,,139.7093276,,,,fee schedule,,139.7093276,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fluocinol acet intravit imp,9450,APC,,,,,outpatient,,,,,,471.1975768,831.8079673,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,478.4097847,,,,fee schedule,,831.8079673,,,,fee schedule,,711.6045038,,,,fee schedule,,711.6045038,,,,fee schedule,,495.2382695,,,,fee schedule,,478.4097847,,,,fee schedule,,490.430131,,,,fee schedule,,495.2382695,,,,fee schedule,,500.0464081,,,,fee schedule,,495.2382695,,,,fee schedule,,500.0464081,,,,fee schedule,,507.2586159,,,,fee schedule,,471.1975768,,,,fee schedule,,485.6219925,,,,fee schedule,,495.2382695,,,,fee schedule,,495.2382695,,,,fee schedule,,500.0464081,,,,fee schedule,,471.1975768,,,,fee schedule,,471.1975768,,,,fee schedule,,471.1975768,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, peramivir",9451,APC,,,,,outpatient,,,,,,1.610498758,2.843023318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.63514925,,,,fee schedule,,2.843023318,,,,fee schedule,,2.432181798,,,,fee schedule,,2.432181798,,,,fee schedule,,1.692667062,,,,fee schedule,,1.63514925,,,,fee schedule,,1.676233402,,,,fee schedule,,1.692667062,,,,fee schedule,,1.709100723,,,,fee schedule,,1.692667062,,,,fee schedule,,1.709100723,,,,fee schedule,,1.733751214,,,,fee schedule,,1.610498758,,,,fee schedule,,1.659799741,,,,fee schedule,,1.692667062,,,,fee schedule,,1.692667062,,,,fee schedule,,1.709100723,,,,fee schedule,,1.610498758,,,,fee schedule,,1.610498758,,,,fee schedule,,1.610498758,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj ceftolozane tazobactam,9452,APC,,,,,outpatient,,,,,,7.073525536,12.48693794,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.181793784,,,,fee schedule,,12.48693794,,,,fee schedule,,10.68246714,,,,fee schedule,,10.68246714,,,,fee schedule,,7.434419696,,,,fee schedule,,7.181793784,,,,fee schedule,,7.362240864,,,,fee schedule,,7.434419696,,,,fee schedule,,7.506598528,,,,fee schedule,,7.434419696,,,,fee schedule,,7.506598528,,,,fee schedule,,7.614866776,,,,fee schedule,,7.073525536,,,,fee schedule,,7.290062032,,,,fee schedule,,7.434419696,,,,fee schedule,,7.434419696,,,,fee schedule,,7.506598528,,,,fee schedule,,7.073525536,,,,fee schedule,,7.073525536,,,,fee schedule,,7.073525536,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, nivolumab",9453,APC,,,,,outpatient,,,,,,29.83837658,52.67386886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.29508642,,,,fee schedule,,52.67386886,,,,fee schedule,,45.0620381,,,,fee schedule,,45.0620381,,,,fee schedule,,31.36074273,,,,fee schedule,,30.29508642,,,,fee schedule,,31.0562695,,,,fee schedule,,31.36074273,,,,fee schedule,,31.66521596,,,,fee schedule,,31.36074273,,,,fee schedule,,31.66521596,,,,fee schedule,,32.12192581,,,,fee schedule,,29.83837658,,,,fee schedule,,30.75179627,,,,fee schedule,,31.36074273,,,,fee schedule,,31.36074273,,,,fee schedule,,31.66521596,,,,fee schedule,,29.83837658,,,,fee schedule,,29.83837658,,,,fee schedule,,29.83837658,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, pasireotide long acting",9454,APC,,,,,outpatient,,,,,,431.4111552,761.5727536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,438.0143872,,,,fee schedule,,761.5727536,,,,fee schedule,,651.5188874,,,,fee schedule,,651.5188874,,,,fee schedule,,453.4219284,,,,fee schedule,,438.0143872,,,,fee schedule,,449.0197738,,,,fee schedule,,453.4219284,,,,fee schedule,,457.8240831,,,,fee schedule,,453.4219284,,,,fee schedule,,457.8240831,,,,fee schedule,,464.427315,,,,fee schedule,,431.4111552,,,,fee schedule,,444.6176191,,,,fee schedule,,453.4219284,,,,fee schedule,,453.4219284,,,,fee schedule,,457.8240831,,,,fee schedule,,431.4111552,,,,fee schedule,,431.4111552,,,,fee schedule,,431.4111552,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, siltuximab",9455,APC,,,,,outpatient,,,,,,142.9514402,252.3530525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.1394724,,,,fee schedule,,252.3530525,,,,fee schedule,,215.8858484,,,,fee schedule,,215.8858484,,,,fee schedule,,150.244881,,,,fee schedule,,145.1394724,,,,fee schedule,,148.7861928,,,,fee schedule,,150.244881,,,,fee schedule,,151.7035691,,,,fee schedule,,150.244881,,,,fee schedule,,151.7035691,,,,fee schedule,,153.8916014,,,,fee schedule,,142.9514402,,,,fee schedule,,147.3275046,,,,fee schedule,,150.244881,,,,fee schedule,,150.244881,,,,fee schedule,,151.7035691,,,,fee schedule,,142.9514402,,,,fee schedule,,142.9514402,,,,fee schedule,,142.9514402,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, isavuconazonium",9456,APC,,,,,outpatient,,,,,,0.903146205,1.594329525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.916969871,,,,fee schedule,,1.594329525,,,,fee schedule,,1.363935085,,,,fee schedule,,1.363935085,,,,fee schedule,,0.949225093,,,,fee schedule,,0.916969871,,,,fee schedule,,0.940009315,,,,fee schedule,,0.949225093,,,,fee schedule,,0.95844087,,,,fee schedule,,0.949225093,,,,fee schedule,,0.95844087,,,,fee schedule,,0.972264537,,,,fee schedule,,0.903146205,,,,fee schedule,,0.930793538,,,,fee schedule,,0.949225093,,,,fee schedule,,0.949225093,,,,fee schedule,,0.95844087,,,,fee schedule,,0.903146205,,,,fee schedule,,0.903146205,,,,fee schedule,,0.903146205,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, cangrelor",9460,APC,,,,,outpatient,,,,,,17.51489383,30.91914931,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.78297894,,,,fee schedule,,30.91914931,,,,fee schedule,,26.45106415,,,,fee schedule,,26.45106415,,,,fee schedule,,18.40851086,,,,fee schedule,,17.78297894,,,,fee schedule,,18.22978745,,,,fee schedule,,18.40851086,,,,fee schedule,,18.58723427,,,,fee schedule,,18.40851086,,,,fee schedule,,18.58723427,,,,fee schedule,,18.85531938,,,,fee schedule,,17.51489383,,,,fee schedule,,18.05106405,,,,fee schedule,,18.40851086,,,,fee schedule,,18.40851086,,,,fee schedule,,18.58723427,,,,fee schedule,,17.51489383,,,,fee schedule,,17.51489383,,,,fee schedule,,17.51489383,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., aprepitant, 1 mg",9463,APC,,,,,outpatient,,,,,,1.659447171,2.929432251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.684846873,,,,fee schedule,,2.929432251,,,,fee schedule,,2.506103891,,,,fee schedule,,2.506103891,,,,fee schedule,,1.744112843,,,,fee schedule,,1.684846873,,,,fee schedule,,1.727179709,,,,fee schedule,,1.744112843,,,,fee schedule,,1.761045978,,,,fee schedule,,1.744112843,,,,fee schedule,,1.761045978,,,,fee schedule,,1.786445679,,,,fee schedule,,1.659447171,,,,fee schedule,,1.710246574,,,,fee schedule,,1.744112843,,,,fee schedule,,1.744112843,,,,fee schedule,,1.761045978,,,,fee schedule,,1.659447171,,,,fee schedule,,1.659447171,,,,fee schedule,,1.659447171,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., benralizumab, 1 mg",9466,APC,,,,,outpatient,,,,,,162.6824494,287.1843239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.1724869,,,,fee schedule,,287.1843239,,,,fee schedule,,245.6836991,,,,fee schedule,,245.6836991,,,,fee schedule,,170.9825743,,,,fee schedule,,165.1724869,,,,fee schedule,,169.3225493,,,,fee schedule,,170.9825743,,,,fee schedule,,172.6425993,,,,fee schedule,,170.9825743,,,,fee schedule,,172.6425993,,,,fee schedule,,175.1326368,,,,fee schedule,,162.6824494,,,,fee schedule,,167.6625244,,,,fee schedule,,170.9825743,,,,fee schedule,,170.9825743,,,,fee schedule,,172.6425993,,,,fee schedule,,162.6824494,,,,fee schedule,,162.6824494,,,,fee schedule,,162.6824494,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj rituximab, hyaluronidase",9467,APC,,,,,outpatient,,,,,,35.90030158,63.37502218,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.449796,,,,fee schedule,,63.37502218,,,,fee schedule,,54.21678198,,,,fee schedule,,54.21678198,,,,fee schedule,,37.73194962,,,,fee schedule,,36.449796,,,,fee schedule,,37.36562002,,,,fee schedule,,37.73194962,,,,fee schedule,,38.09827923,,,,fee schedule,,37.73194962,,,,fee schedule,,38.09827923,,,,fee schedule,,38.64777364,,,,fee schedule,,35.90030158,,,,fee schedule,,36.99929041,,,,fee schedule,,37.73194962,,,,fee schedule,,37.73194962,,,,fee schedule,,38.09827923,,,,fee schedule,,35.90030158,,,,fee schedule,,35.90030158,,,,fee schedule,,35.90030158,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Factor ix recomb gly rebinyn,9468,APC,,,,,outpatient,,,,,,4.231638275,7.470136955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.296408249,,,,fee schedule,,7.470136955,,,,fee schedule,,6.390637395,,,,fee schedule,,6.390637395,,,,fee schedule,,4.447538187,,,,fee schedule,,4.296408249,,,,fee schedule,,4.404358205,,,,fee schedule,,4.447538187,,,,fee schedule,,4.49071817,,,,fee schedule,,4.447538187,,,,fee schedule,,4.49071817,,,,fee schedule,,4.555488143,,,,fee schedule,,4.231638275,,,,fee schedule,,4.361178222,,,,fee schedule,,4.447538187,,,,fee schedule,,4.447538187,,,,fee schedule,,4.49071817,,,,fee schedule,,4.231638275,,,,fee schedule,,4.231638275,,,,fee schedule,,4.231638275,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj triamcinolone ace xr 1mg,9469,APC,,,,,outpatient,,,,,,16.83537468,29.71959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.09305899,,,,fee schedule,,29.71959,,,,fee schedule,,25.42485156,,,,fee schedule,,25.42485156,,,,fee schedule,,17.69432237,,,,fee schedule,,17.09305899,,,,fee schedule,,17.52253284,,,,fee schedule,,17.69432237,,,,fee schedule,,17.86611191,,,,fee schedule,,17.69432237,,,,fee schedule,,17.86611191,,,,fee schedule,,18.12379622,,,,fee schedule,,16.83537468,,,,fee schedule,,17.3507433,,,,fee schedule,,17.69432237,,,,fee schedule,,17.69432237,,,,fee schedule,,17.86611191,,,,fee schedule,,16.83537468,,,,fee schedule,,16.83537468,,,,fee schedule,,16.83537468,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Aripirazole lauroxil 1 mg,9470,APC,,,,,outpatient,,,,,,2.983933635,5.267556315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.029606089,,,,fee schedule,,5.267556315,,,,fee schedule,,4.506348755,,,,fee schedule,,4.506348755,,,,fee schedule,,3.136175147,,,,fee schedule,,3.029606089,,,,fee schedule,,3.105726845,,,,fee schedule,,3.136175147,,,,fee schedule,,3.16662345,,,,fee schedule,,3.136175147,,,,fee schedule,,3.16662345,,,,fee schedule,,3.212295903,,,,fee schedule,,2.983933635,,,,fee schedule,,3.075278542,,,,fee schedule,,3.136175147,,,,fee schedule,,3.136175147,,,,fee schedule,,3.16662345,,,,fee schedule,,2.983933635,,,,fee schedule,,2.983933635,,,,fee schedule,,2.983933635,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Hymovis injection 1 mg,9471,APC,,,,,outpatient,,,,,,16.56951762,29.2502709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.82313268,,,,fee schedule,,29.2502709,,,,fee schedule,,25.02335314,,,,fee schedule,,25.02335314,,,,fee schedule,,17.41490117,,,,fee schedule,,16.82313268,,,,fee schedule,,17.24582446,,,,fee schedule,,17.41490117,,,,fee schedule,,17.58397788,,,,fee schedule,,17.41490117,,,,fee schedule,,17.58397788,,,,fee schedule,,17.83759295,,,,fee schedule,,16.56951762,,,,fee schedule,,17.07674775,,,,fee schedule,,17.41490117,,,,fee schedule,,17.41490117,,,,fee schedule,,17.58397788,,,,fee schedule,,16.56951762,,,,fee schedule,,16.56951762,,,,fee schedule,,16.56951762,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj talimogene laherparepvec,9472,APC,,,,,outpatient,,,,,,63.90839143,112.8178747,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.8865811,,,,fee schedule,,112.8178747,,,,fee schedule,,96.51471359,,,,fee schedule,,96.51471359,,,,fee schedule,,67.16902365,,,,fee schedule,,64.8865811,,,,fee schedule,,66.51689721,,,,fee schedule,,67.16902365,,,,fee schedule,,67.82115009,,,,fee schedule,,67.16902365,,,,fee schedule,,67.82115009,,,,fee schedule,,68.79933976,,,,fee schedule,,63.90839143,,,,fee schedule,,65.86477076,,,,fee schedule,,67.16902365,,,,fee schedule,,67.16902365,,,,fee schedule,,67.82115009,,,,fee schedule,,63.90839143,,,,fee schedule,,63.90839143,,,,fee schedule,,63.90839143,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, mepolizumab, 1mg",9473,APC,,,,,outpatient,,,,,,29.27786926,51.68440186,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.72599992,,,,fee schedule,,51.68440186,,,,fee schedule,,44.21555766,,,,fee schedule,,44.21555766,,,,fee schedule,,30.7716381,,,,fee schedule,,29.72599992,,,,fee schedule,,30.47288434,,,,fee schedule,,30.7716381,,,,fee schedule,,31.07039187,,,,fee schedule,,30.7716381,,,,fee schedule,,31.07039187,,,,fee schedule,,31.51852252,,,,fee schedule,,29.27786926,,,,fee schedule,,30.17413057,,,,fee schedule,,30.7716381,,,,fee schedule,,30.7716381,,,,fee schedule,,31.07039187,,,,fee schedule,,29.27786926,,,,fee schedule,,29.27786926,,,,fee schedule,,29.27786926,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj irinotecan liposome 1 mg,9474,APC,,,,,outpatient,,,,,,59.52510906,105.0800395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.43620766,,,,fee schedule,,105.0800395,,,,fee schedule,,89.89506266,,,,fee schedule,,89.89506266,,,,fee schedule,,62.56210442,,,,fee schedule,,60.43620766,,,,fee schedule,,61.95470534,,,,fee schedule,,62.56210442,,,,fee schedule,,63.16950349,,,,fee schedule,,62.56210442,,,,fee schedule,,63.16950349,,,,fee schedule,,64.0806021,,,,fee schedule,,59.52510906,,,,fee schedule,,61.34730627,,,,fee schedule,,62.56210442,,,,fee schedule,,62.56210442,,,,fee schedule,,63.16950349,,,,fee schedule,,59.52510906,,,,fee schedule,,59.52510906,,,,fee schedule,,59.52510906,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, necitumumab, 1 mg",9475,APC,,,,,outpatient,,,,,,5.506216554,9.720157794,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.590495378,,,,fee schedule,,9.720157794,,,,fee schedule,,8.315510714,,,,fee schedule,,8.315510714,,,,fee schedule,,5.78714597,,,,fee schedule,,5.590495378,,,,fee schedule,,5.730960086,,,,fee schedule,,5.78714597,,,,fee schedule,,5.843331853,,,,fee schedule,,5.78714597,,,,fee schedule,,5.843331853,,,,fee schedule,,5.927610678,,,,fee schedule,,5.506216554,,,,fee schedule,,5.674774203,,,,fee schedule,,5.78714597,,,,fee schedule,,5.78714597,,,,fee schedule,,5.843331853,,,,fee schedule,,5.506216554,,,,fee schedule,,5.506216554,,,,fee schedule,,5.506216554,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, daratumumab 10 mg",9476,APC,,,,,outpatient,,,,,,59.22278062,104.5463372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.12925176,,,,fee schedule,,104.5463372,,,,fee schedule,,89.43848502,,,,fee schedule,,89.43848502,,,,fee schedule,,62.24435106,,,,fee schedule,,60.12925176,,,,fee schedule,,61.64003698,,,,fee schedule,,62.24435106,,,,fee schedule,,62.84866515,,,,fee schedule,,62.24435106,,,,fee schedule,,62.84866515,,,,fee schedule,,63.75513628,,,,fee schedule,,59.22278062,,,,fee schedule,,61.03572289,,,,fee schedule,,62.24435106,,,,fee schedule,,62.24435106,,,,fee schedule,,62.84866515,,,,fee schedule,,59.22278062,,,,fee schedule,,59.22278062,,,,fee schedule,,59.22278062,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, elotuzumab, 1mg",9477,APC,,,,,outpatient,,,,,,7.083123264,12.50388086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.191538416,,,,fee schedule,,12.50388086,,,,fee schedule,,10.69696166,,,,fee schedule,,10.69696166,,,,fee schedule,,7.444507104,,,,fee schedule,,7.191538416,,,,fee schedule,,7.372230336,,,,fee schedule,,7.444507104,,,,fee schedule,,7.516783872,,,,fee schedule,,7.444507104,,,,fee schedule,,7.516783872,,,,fee schedule,,7.625199024,,,,fee schedule,,7.083123264,,,,fee schedule,,7.299953568,,,,fee schedule,,7.444507104,,,,fee schedule,,7.444507104,,,,fee schedule,,7.516783872,,,,fee schedule,,7.083123264,,,,fee schedule,,7.083123264,,,,fee schedule,,7.083123264,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Inj sebelipase alfa 1 mg,9478,APC,,,,,outpatient,,,,,,517.0737569,912.7934688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.9881511,,,,fee schedule,,912.7934688,,,,fee schedule,,780.8868982,,,,fee schedule,,780.8868982,,,,fee schedule,,543.455071,,,,fee schedule,,524.9881511,,,,fee schedule,,538.1788082,,,,fee schedule,,543.455071,,,,fee schedule,,548.7313339,,,,fee schedule,,543.455071,,,,fee schedule,,548.7313339,,,,fee schedule,,556.6457281,,,,fee schedule,,517.0737569,,,,fee schedule,,532.9025454,,,,fee schedule,,543.455071,,,,fee schedule,,543.455071,,,,fee schedule,,548.7313339,,,,fee schedule,,517.0737569,,,,fee schedule,,517.0737569,,,,fee schedule,,517.0737569,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ciprofloxacin otic susp 6 mg,9479,APC,,,,,outpatient,,,,,,28.81141968,50.86097556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.2524108,,,,fee schedule,,50.86097556,,,,fee schedule,,43.5111236,,,,fee schedule,,43.5111236,,,,fee schedule,,30.28139008,,,,fee schedule,,29.2524108,,,,fee schedule,,29.987396,,,,fee schedule,,30.28139008,,,,fee schedule,,30.57538415,,,,fee schedule,,30.28139008,,,,fee schedule,,30.57538415,,,,fee schedule,,31.01637527,,,,fee schedule,,28.81141968,,,,fee schedule,,29.69340192,,,,fee schedule,,30.28139008,,,,fee schedule,,30.28139008,,,,fee schedule,,30.57538415,,,,fee schedule,,28.81141968,,,,fee schedule,,28.81141968,,,,fee schedule,,28.81141968,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Injection trabectedin 0.1mg,9480,APC,,,,,outpatient,,,,,,324.7861557,573.3469892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.7573724,,,,fee schedule,,573.3469892,,,,fee schedule,,490.4933781,,,,fee schedule,,490.4933781,,,,fee schedule,,341.356878,,,,fee schedule,,329.7573724,,,,fee schedule,,338.0427335,,,,fee schedule,,341.356878,,,,fee schedule,,344.6710224,,,,fee schedule,,341.356878,,,,fee schedule,,344.6710224,,,,fee schedule,,349.6422391,,,,fee schedule,,324.7861557,,,,fee schedule,,334.7285891,,,,fee schedule,,341.356878,,,,fee schedule,,341.356878,,,,fee schedule,,344.6710224,,,,fee schedule,,324.7861557,,,,fee schedule,,324.7861557,,,,fee schedule,,324.7861557,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, reslizumab",9481,APC,,,,,outpatient,,,,,,9.75896983,17.22756919,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.908341818,,,,fee schedule,,17.22756919,,,,fee schedule,,14.73803607,,,,fee schedule,,14.73803607,,,,fee schedule,,10.25687645,,,,fee schedule,,9.908341818,,,,fee schedule,,10.15729513,,,,fee schedule,,10.25687645,,,,fee schedule,,10.35645778,,,,fee schedule,,10.25687645,,,,fee schedule,,10.35645778,,,,fee schedule,,10.50582977,,,,fee schedule,,9.75896983,,,,fee schedule,,10.0577138,,,,fee schedule,,10.25687645,,,,fee schedule,,10.25687645,,,,fee schedule,,10.35645778,,,,fee schedule,,9.75896983,,,,fee schedule,,9.75896983,,,,fee schedule,,9.75896983,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Sotalol hydrochloride IV,9482,APC,,,,,outpatient,,,,,,19.87593492,35.0871096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.18015841,,,,fee schedule,,35.0871096,,,,fee schedule,,30.01671804,,,,fee schedule,,30.01671804,,,,fee schedule,,20.89001323,,,,fee schedule,,20.18015841,,,,fee schedule,,20.68719756,,,,fee schedule,,20.89001323,,,,fee schedule,,21.09282889,,,,fee schedule,,20.89001323,,,,fee schedule,,21.09282889,,,,fee schedule,,21.39705238,,,,fee schedule,,19.87593492,,,,fee schedule,,20.4843819,,,,fee schedule,,20.89001323,,,,fee schedule,,20.89001323,,,,fee schedule,,21.09282889,,,,fee schedule,,19.87593492,,,,fee schedule,,19.87593492,,,,fee schedule,,19.87593492,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, atezolizumab,10 mg",9483,APC,,,,,outpatient,,,,,,81.5912455,144.0335252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.8400911,,,,fee schedule,,144.0335252,,,,fee schedule,,123.219432,,,,fee schedule,,123.219432,,,,fee schedule,,85.75406415,,,,fee schedule,,82.8400911,,,,fee schedule,,84.92150042,,,,fee schedule,,85.75406415,,,,fee schedule,,86.58662788,,,,fee schedule,,85.75406415,,,,fee schedule,,86.58662788,,,,fee schedule,,87.83547347,,,,fee schedule,,81.5912455,,,,fee schedule,,84.08893669,,,,fee schedule,,85.75406415,,,,fee schedule,,85.75406415,,,,fee schedule,,86.58662788,,,,fee schedule,,81.5912455,,,,fee schedule,,81.5912455,,,,fee schedule,,81.5912455,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Ustekinumab, iv inject,1 mg",9487,APC,,,,,outpatient,,,,,,12.11137296,21.38028084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.29675112,,,,fee schedule,,21.38028084,,,,fee schedule,,18.29064488,,,,fee schedule,,18.29064488,,,,fee schedule,,12.72930016,,,,fee schedule,,12.29675112,,,,fee schedule,,12.60571472,,,,fee schedule,,12.72930016,,,,fee schedule,,12.85288559,,,,fee schedule,,12.72930016,,,,fee schedule,,12.85288559,,,,fee schedule,,13.03826375,,,,fee schedule,,12.11137296,,,,fee schedule,,12.48212928,,,,fee schedule,,12.72930016,,,,fee schedule,,12.72930016,,,,fee schedule,,12.85288559,,,,fee schedule,,12.11137296,,,,fee schedule,,12.11137296,,,,fee schedule,,12.11137296,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Conivaptan hcl,9488,APC,,,,,outpatient,,,,,,45.33966707,80.03839187,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.03364157,,,,fee schedule,,80.03839187,,,,fee schedule,,68.47215027,,,,fee schedule,,68.47215027,,,,fee schedule,,47.65291539,,,,fee schedule,,46.03364157,,,,fee schedule,,47.19026573,,,,fee schedule,,47.65291539,,,,fee schedule,,48.11556506,,,,fee schedule,,47.65291539,,,,fee schedule,,48.11556506,,,,fee schedule,,48.80953955,,,,fee schedule,,45.33966707,,,,fee schedule,,46.72761606,,,,fee schedule,,47.65291539,,,,fee schedule,,47.65291539,,,,fee schedule,,48.11556506,,,,fee schedule,,45.33966707,,,,fee schedule,,45.33966707,,,,fee schedule,,45.33966707,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, nusinersen, 0.1mg",9489,APC,,,,,outpatient,,,,,,1124.73279,1985.497681,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1141.948088,,,,fee schedule,,1985.497681,,,,fee schedule,,1698.576051,,,,fee schedule,,1698.576051,,,,fee schedule,,1182.117116,,,,fee schedule,,1141.948088,,,,fee schedule,,1170.640251,,,,fee schedule,,1182.117116,,,,fee schedule,,1193.593981,,,,fee schedule,,1182.117116,,,,fee schedule,,1193.593981,,,,fee schedule,,1210.809279,,,,fee schedule,,1124.73279,,,,fee schedule,,1159.163386,,,,fee schedule,,1182.117116,,,,fee schedule,,1182.117116,,,,fee schedule,,1193.593981,,,,fee schedule,,1124.73279,,,,fee schedule,,1124.73279,,,,fee schedule,,1124.73279,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, bezlotoxumab, 10 mg",9490,APC,,,,,outpatient,,,,,,38.25462426,67.53112242,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.84015423,,,,fee schedule,,67.53112242,,,,fee schedule,,57.7722897,,,,fee schedule,,57.7722897,,,,fee schedule,,40.20639081,,,,fee schedule,,38.84015423,,,,fee schedule,,39.8160375,,,,fee schedule,,40.20639081,,,,fee schedule,,40.59674412,,,,fee schedule,,40.20639081,,,,fee schedule,,40.59674412,,,,fee schedule,,41.18227408,,,,fee schedule,,38.25462426,,,,fee schedule,,39.42568419,,,,fee schedule,,40.20639081,,,,fee schedule,,40.20639081,,,,fee schedule,,40.59674412,,,,fee schedule,,38.25462426,,,,fee schedule,,38.25462426,,,,fee schedule,,38.25462426,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, avelumab, 10 mg",9491,APC,,,,,outpatient,,,,,,88.65325376,156.5001316,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.01019132,,,,fee schedule,,156.5001316,,,,fee schedule,,133.8845057,,,,fee schedule,,133.8845057,,,,fee schedule,,93.17637896,,,,fee schedule,,90.01019132,,,,fee schedule,,92.27175392,,,,fee schedule,,93.17637896,,,,fee schedule,,94.08100399,,,,fee schedule,,93.17637896,,,,fee schedule,,94.08100399,,,,fee schedule,,95.43794155,,,,fee schedule,,88.65325376,,,,fee schedule,,91.36712888,,,,fee schedule,,93.17637896,,,,fee schedule,,93.17637896,,,,fee schedule,,94.08100399,,,,fee schedule,,88.65325376,,,,fee schedule,,88.65325376,,,,fee schedule,,88.65325376,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj., durvalumab, 10 mg",9492,APC,,,,,outpatient,,,,,,77.4594236,136.7395947,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.64502702,,,,fee schedule,,136.7395947,,,,fee schedule,,116.9795377,,,,fee schedule,,116.9795377,,,,fee schedule,,81.411435,,,,fee schedule,,78.64502702,,,,fee schedule,,80.62103272,,,,fee schedule,,81.411435,,,,fee schedule,,82.20183729,,,,fee schedule,,81.411435,,,,fee schedule,,82.20183729,,,,fee schedule,,83.38744071,,,,fee schedule,,77.4594236,,,,fee schedule,,79.83063044,,,,fee schedule,,81.411435,,,,fee schedule,,81.411435,,,,fee schedule,,82.20183729,,,,fee schedule,,77.4594236,,,,fee schedule,,77.4594236,,,,fee schedule,,77.4594236,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, edaravone, 1 mg",9493,APC,,,,,outpatient,,,,,,20.93744363,36.96099743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25791471,,,,fee schedule,,36.96099743,,,,fee schedule,,31.61981283,,,,fee schedule,,31.61981283,,,,fee schedule,,22.00568055,,,,fee schedule,,21.25791471,,,,fee schedule,,21.79203317,,,,fee schedule,,22.00568055,,,,fee schedule,,22.21932794,,,,fee schedule,,22.00568055,,,,fee schedule,,22.21932794,,,,fee schedule,,22.53979901,,,,fee schedule,,20.93744363,,,,fee schedule,,21.57838578,,,,fee schedule,,22.00568055,,,,fee schedule,,22.00568055,,,,fee schedule,,22.21932794,,,,fee schedule,,20.93744363,,,,fee schedule,,20.93744363,,,,fee schedule,,20.93744363,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Injection, ocrelizumab",9494,APC,,,,,outpatient,,,,,,57.34738457,101.2356891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.22515066,,,,fee schedule,,101.2356891,,,,fee schedule,,86.60625425,,,,fee schedule,,86.60625425,,,,fee schedule,,60.27327154,,,,fee schedule,,58.22515066,,,,fee schedule,,59.68809415,,,,fee schedule,,60.27327154,,,,fee schedule,,60.85844893,,,,fee schedule,,60.27327154,,,,fee schedule,,60.85844893,,,,fee schedule,,61.73621502,,,,fee schedule,,57.34738457,,,,fee schedule,,59.10291675,,,,fee schedule,,60.27327154,,,,fee schedule,,60.27327154,,,,fee schedule,,60.85844893,,,,fee schedule,,57.34738457,,,,fee schedule,,57.34738457,,,,fee schedule,,57.34738457,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Gemtuzumab ozogamicin inj,9495,APC,,,,,outpatient,,,,,,217.1773892,383.3845748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,220.5015329,,,,fee schedule,,383.3845748,,,,fee schedule,,327.9821796,,,,fee schedule,,327.9821796,,,,fee schedule,,228.2578682,,,,fee schedule,,220.5015329,,,,fee schedule,,226.0417724,,,,fee schedule,,228.2578682,,,,fee schedule,,230.473964,,,,fee schedule,,228.2578682,,,,fee schedule,,230.473964,,,,fee schedule,,233.7981077,,,,fee schedule,,217.1773892,,,,fee schedule,,223.8256766,,,,fee schedule,,228.2578682,,,,fee schedule,,228.2578682,,,,fee schedule,,230.473964,,,,fee schedule,,217.1773892,,,,fee schedule,,217.1773892,,,,fee schedule,,217.1773892,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Inj, faricimab-svoa, 0.1mg",9496,APC,,,,,outpatient,,,,,,35.37016,62.43916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.91154,,,,fee schedule,,62.43916,,,,fee schedule,,53.41616,,,,fee schedule,,53.41616,,,,fee schedule,,37.17476,,,,fee schedule,,35.91154,,,,fee schedule,,36.81384,,,,fee schedule,,37.17476,,,,fee schedule,,37.53568,,,,fee schedule,,37.17476,,,,fee schedule,,37.53568,,,,fee schedule,,38.07706,,,,fee schedule,,35.37016,,,,fee schedule,,36.45292,,,,fee schedule,,37.17476,,,,fee schedule,,37.17476,,,,fee schedule,,37.53568,,,,fee schedule,,35.37016,,,,fee schedule,,35.37016,,,,fee schedule,,35.37016,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Ciltacabtagene car-pos t,9498,APC,,,,,outpatient,,,,,,497052.0016,877448.9416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,504659.9404,,,,fee schedule,,877448.9416,,,,fee schedule,,750649.9616,,,,fee schedule,,750649.9616,,,,fee schedule,,522411.7976,,,,fee schedule,,504659.9404,,,,fee schedule,,517339.8384,,,,fee schedule,,522411.7976,,,,fee schedule,,527483.7568,,,,fee schedule,,522411.7976,,,,fee schedule,,527483.7568,,,,fee schedule,,535091.6956,,,,fee schedule,,497052.0016,,,,fee schedule,,512267.8792,,,,fee schedule,,522411.7976,,,,fee schedule,,522411.7976,,,,fee schedule,,527483.7568,,,,fee schedule,,497052.0016,,,,fee schedule,,497052.0016,,,,fee schedule,,497052.0016,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Adenovirus vaccine type 4,9499,APC,,,,,outpatient,,,,,,44.1495488,77.9374688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.8253072,,,,fee schedule,,77.9374688,,,,fee schedule,,66.6748288,,,,fee schedule,,66.6748288,,,,fee schedule,,46.4020768,,,,fee schedule,,44.8253072,,,,fee schedule,,45.9515712,,,,fee schedule,,46.4020768,,,,fee schedule,,46.8525824,,,,fee schedule,,46.4020768,,,,fee schedule,,46.8525824,,,,fee schedule,,47.5283408,,,,fee schedule,,44.1495488,,,,fee schedule,,45.5010656,,,,fee schedule,,46.4020768,,,,fee schedule,,46.4020768,,,,fee schedule,,46.8525824,,,,fee schedule,,44.1495488,,,,fee schedule,,44.1495488,,,,fee schedule,,44.1495488,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Platelets, irradiated",9500,APC,,,,,outpatient,,,,,,127.9953006,225.9508878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.9544124,,,,fee schedule,,225.9508878,,,,fee schedule,,193.2990254,,,,fee schedule,,193.2990254,,,,fee schedule,,134.5256731,,,,fee schedule,,129.9544124,,,,fee schedule,,133.2195986,,,,fee schedule,,134.5256731,,,,fee schedule,,135.8317476,,,,fee schedule,,134.5256731,,,,fee schedule,,135.8317476,,,,fee schedule,,137.7908593,,,,fee schedule,,127.9953006,,,,fee schedule,,131.9135241,,,,fee schedule,,134.5256731,,,,fee schedule,,134.5256731,,,,fee schedule,,135.8317476,,,,fee schedule,,127.9953006,,,,fee schedule,,127.9953006,,,,fee schedule,,127.9953006,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Platelet pheres leukoreduced,9501,APC,,,,,outpatient,,,,,,453.3294866,800.2653182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,460.2682033,,,,fee schedule,,800.2653182,,,,fee schedule,,684.620041,,,,fee schedule,,684.620041,,,,fee schedule,,476.4585421,,,,fee schedule,,460.2682033,,,,fee schedule,,471.832731,,,,fee schedule,,476.4585421,,,,fee schedule,,481.0843532,,,,fee schedule,,476.4585421,,,,fee schedule,,481.0843532,,,,fee schedule,,488.0230698,,,,fee schedule,,453.3294866,,,,fee schedule,,467.2069199,,,,fee schedule,,476.4585421,,,,fee schedule,,476.4585421,,,,fee schedule,,481.0843532,,,,fee schedule,,453.3294866,,,,fee schedule,,453.3294866,,,,fee schedule,,453.3294866,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Platelet pheresis irradiated,9502,APC,,,,,outpatient,,,,,,537.4151816,948.7023104,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,545.6409242,,,,fee schedule,,948.7023104,,,,fee schedule,,811.6066008,,,,fee schedule,,811.6066008,,,,fee schedule,,564.8343236,,,,fee schedule,,545.6409242,,,,fee schedule,,559.3504952,,,,fee schedule,,564.8343236,,,,fee schedule,,570.3181519,,,,fee schedule,,564.8343236,,,,fee schedule,,570.3181519,,,,fee schedule,,578.5438945,,,,fee schedule,,537.4151816,,,,fee schedule,,553.8666668,,,,fee schedule,,564.8343236,,,,fee schedule,,564.8343236,,,,fee schedule,,570.3181519,,,,fee schedule,,537.4151816,,,,fee schedule,,537.4151816,,,,fee schedule,,537.4151816,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Fr frz plasma donor retested,9503,APC,,,,,outpatient,,,,,,55.75320195,98.42146875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.60656729,,,,fee schedule,,98.42146875,,,,fee schedule,,84.19871315,,,,fee schedule,,84.19871315,,,,fee schedule,,58.59775307,,,,fee schedule,,56.60656729,,,,fee schedule,,58.02884285,,,,fee schedule,,58.59775307,,,,fee schedule,,59.1666633,,,,fee schedule,,58.59775307,,,,fee schedule,,59.1666633,,,,fee schedule,,60.02002863,,,,fee schedule,,55.75320195,,,,fee schedule,,57.45993262,,,,fee schedule,,58.59775307,,,,fee schedule,,58.59775307,,,,fee schedule,,59.1666633,,,,fee schedule,,55.75320195,,,,fee schedule,,55.75320195,,,,fee schedule,,55.75320195,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RBC deglycerolized,9504,APC,,,,,outpatient,,,,,,298.5949158,527.111433,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,303.1652462,,,,fee schedule,,527.111433,,,,fee schedule,,450.9392606,,,,fee schedule,,450.9392606,,,,fee schedule,,313.8293503,,,,fee schedule,,303.1652462,,,,fee schedule,,310.7824634,,,,fee schedule,,313.8293503,,,,fee schedule,,316.8762372,,,,fee schedule,,313.8293503,,,,fee schedule,,316.8762372,,,,fee schedule,,321.4465675,,,,fee schedule,,298.5949158,,,,fee schedule,,307.7355765,,,,fee schedule,,313.8293503,,,,fee schedule,,313.8293503,,,,fee schedule,,316.8762372,,,,fee schedule,,298.5949158,,,,fee schedule,,298.5949158,,,,fee schedule,,298.5949158,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RBC irradiated,9505,APC,,,,,outpatient,,,,,,208.0019612,367.1871356,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.1856647,,,,fee schedule,,367.1871356,,,,fee schedule,,314.1254108,,,,fee schedule,,314.1254108,,,,fee schedule,,218.6143062,,,,fee schedule,,211.1856647,,,,fee schedule,,216.4918372,,,,fee schedule,,218.6143062,,,,fee schedule,,220.7367752,,,,fee schedule,,218.6143062,,,,fee schedule,,220.7367752,,,,fee schedule,,223.9204787,,,,fee schedule,,208.0019612,,,,fee schedule,,214.3693682,,,,fee schedule,,218.6143062,,,,fee schedule,,218.6143062,,,,fee schedule,,220.7367752,,,,fee schedule,,208.0019612,,,,fee schedule,,208.0019612,,,,fee schedule,,208.0019612,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Platelets, pheresis",9507,APC,,,,,outpatient,,,,,,308.9124734,545.3250806,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,313.6407256,,,,fee schedule,,545.3250806,,,,fee schedule,,466.5208782,,,,fee schedule,,466.5208782,,,,fee schedule,,324.6733139,,,,fee schedule,,313.6407256,,,,fee schedule,,321.5211458,,,,fee schedule,,324.6733139,,,,fee schedule,,327.825482,,,,fee schedule,,324.6733139,,,,fee schedule,,327.825482,,,,fee schedule,,332.5537341,,,,fee schedule,,308.9124734,,,,fee schedule,,318.3689777,,,,fee schedule,,324.6733139,,,,fee schedule,,324.6733139,,,,fee schedule,,327.825482,,,,fee schedule,,308.9124734,,,,fee schedule,,308.9124734,,,,fee schedule,,308.9124734,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Plasma 1 donor frz w/in 8 hr,9508,APC,,,,,outpatient,,,,,,76.74343309,135.4756523,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.91807747,,,,fee schedule,,135.4756523,,,,fee schedule,,115.8982459,,,,fee schedule,,115.8982459,,,,fee schedule,,80.65891437,,,,fee schedule,,77.91807747,,,,fee schedule,,79.87581811,,,,fee schedule,,80.65891437,,,,fee schedule,,81.44201062,,,,fee schedule,,80.65891437,,,,fee schedule,,81.44201062,,,,fee schedule,,82.61665501,,,,fee schedule,,76.74343309,,,,fee schedule,,79.09272186,,,,fee schedule,,80.65891437,,,,fee schedule,,80.65891437,,,,fee schedule,,81.44201062,,,,fee schedule,,76.74343309,,,,fee schedule,,76.74343309,,,,fee schedule,,76.74343309,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Frozen plasma, pooled, sd",9509,APC,,,,,outpatient,,,,,,58.02786349,102.4369427,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.91604507,,,,fee schedule,,102.4369427,,,,fee schedule,,87.63391629,,,,fee schedule,,87.63391629,,,,fee schedule,,60.98846877,,,,fee schedule,,58.91604507,,,,fee schedule,,60.39634771,,,,fee schedule,,60.98846877,,,,fee schedule,,61.58058982,,,,fee schedule,,60.98846877,,,,fee schedule,,61.58058982,,,,fee schedule,,62.46877141,,,,fee schedule,,58.02786349,,,,fee schedule,,59.80422666,,,,fee schedule,,60.98846877,,,,fee schedule,,60.98846877,,,,fee schedule,,61.58058982,,,,fee schedule,,58.02786349,,,,fee schedule,,58.02786349,,,,fee schedule,,58.02786349,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Whole blood for transfusion,9510,APC,,,,,outpatient,,,,,,194.9298557,344.1108677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.9134759,,,,fee schedule,,344.1108677,,,,fee schedule,,294.3838637,,,,fee schedule,,294.3838637,,,,fee schedule,,204.8752565,,,,fee schedule,,197.9134759,,,,fee schedule,,202.8861763,,,,fee schedule,,204.8752565,,,,fee schedule,,206.8643366,,,,fee schedule,,204.8752565,,,,fee schedule,,206.8643366,,,,fee schedule,,209.8479569,,,,fee schedule,,194.9298557,,,,fee schedule,,200.8970962,,,,fee schedule,,204.8752565,,,,fee schedule,,204.8752565,,,,fee schedule,,206.8643366,,,,fee schedule,,194.9298557,,,,fee schedule,,194.9298557,,,,fee schedule,,194.9298557,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cryoprecipitate each unit,9511,APC,,,,,outpatient,,,,,,57.46159754,101.4373099,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.34111178,,,,fee schedule,,101.4373099,,,,fee schedule,,86.77873914,,,,fee schedule,,86.77873914,,,,fee schedule,,60.3933117,,,,fee schedule,,58.34111178,,,,fee schedule,,59.80696886,,,,fee schedule,,60.3933117,,,,fee schedule,,60.97965453,,,,fee schedule,,60.3933117,,,,fee schedule,,60.97965453,,,,fee schedule,,61.85916878,,,,fee schedule,,57.46159754,,,,fee schedule,,59.22062603,,,,fee schedule,,60.3933117,,,,fee schedule,,60.3933117,,,,fee schedule,,60.97965453,,,,fee schedule,,57.46159754,,,,fee schedule,,57.46159754,,,,fee schedule,,57.46159754,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RBC leukocytes reduced,9512,APC,,,,,outpatient,,,,,,173.5461177,306.3620241,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.2024358,,,,fee schedule,,306.3620241,,,,fee schedule,,262.0900553,,,,fee schedule,,262.0900553,,,,fee schedule,,182.4005115,,,,fee schedule,,176.2024358,,,,fee schedule,,180.6296327,,,,fee schedule,,182.4005115,,,,fee schedule,,184.1713902,,,,fee schedule,,182.4005115,,,,fee schedule,,184.1713902,,,,fee schedule,,186.8277083,,,,fee schedule,,173.5461177,,,,fee schedule,,178.858754,,,,fee schedule,,182.4005115,,,,fee schedule,,182.4005115,,,,fee schedule,,184.1713902,,,,fee schedule,,173.5461177,,,,fee schedule,,173.5461177,,,,fee schedule,,173.5461177,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Plasma, frz between 8-24hour",9513,APC,,,,,outpatient,,,,,,69.6507121,122.9548285,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.71679442,,,,fee schedule,,122.9548285,,,,fee schedule,,105.1867897,,,,fee schedule,,105.1867897,,,,fee schedule,,73.20431986,,,,fee schedule,,70.71679442,,,,fee schedule,,72.4935983,,,,fee schedule,,73.20431986,,,,fee schedule,,73.91504141,,,,fee schedule,,73.20431986,,,,fee schedule,,73.91504141,,,,fee schedule,,74.98112374,,,,fee schedule,,69.6507121,,,,fee schedule,,71.78287675,,,,fee schedule,,73.20431986,,,,fee schedule,,73.20431986,,,,fee schedule,,73.91504141,,,,fee schedule,,69.6507121,,,,fee schedule,,69.6507121,,,,fee schedule,,69.6507121,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Plasma protein fract,5%,50ml",9514,APC,,,,,outpatient,,,,,,7.63019376,13.46962776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.74698244,,,,fee schedule,,13.46962776,,,,fee schedule,,11.52314976,,,,fee schedule,,11.52314976,,,,fee schedule,,8.01948936,,,,fee schedule,,7.74698244,,,,fee schedule,,7.94163024,,,,fee schedule,,8.01948936,,,,fee schedule,,8.09734848,,,,fee schedule,,8.01948936,,,,fee schedule,,8.09734848,,,,fee schedule,,8.21413716,,,,fee schedule,,7.63019376,,,,fee schedule,,7.86377112,,,,fee schedule,,8.01948936,,,,fee schedule,,8.01948936,,,,fee schedule,,8.09734848,,,,fee schedule,,7.63019376,,,,fee schedule,,7.63019376,,,,fee schedule,,7.63019376,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Platelets, each unit",9515,APC,,,,,outpatient,,,,,,62.42362291,110.1968037,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.37908653,,,,fee schedule,,110.1968037,,,,fee schedule,,94.27241011,,,,fee schedule,,94.27241011,,,,fee schedule,,65.60850163,,,,fee schedule,,63.37908653,,,,fee schedule,,64.97152589,,,,fee schedule,,65.60850163,,,,fee schedule,,66.24547738,,,,fee schedule,,65.60850163,,,,fee schedule,,66.24547738,,,,fee schedule,,67.20094099,,,,fee schedule,,62.42362291,,,,fee schedule,,64.33455014,,,,fee schedule,,65.60850163,,,,fee schedule,,65.60850163,,,,fee schedule,,66.24547738,,,,fee schedule,,62.42362291,,,,fee schedule,,62.42362291,,,,fee schedule,,62.42362291,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Plaelet rich plasma unit,9516,APC,,,,,outpatient,,,,,,526.7233126,929.8278886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,534.7854042,,,,fee schedule,,929.8278886,,,,fee schedule,,795.4596966,,,,fee schedule,,795.4596966,,,,fee schedule,,553.596951,,,,fee schedule,,534.7854042,,,,fee schedule,,548.2222234,,,,fee schedule,,553.596951,,,,fee schedule,,558.9716787,,,,fee schedule,,553.596951,,,,fee schedule,,558.9716787,,,,fee schedule,,567.0337702,,,,fee schedule,,526.7233126,,,,fee schedule,,542.8474957,,,,fee schedule,,553.596951,,,,fee schedule,,553.596951,,,,fee schedule,,558.9716787,,,,fee schedule,,526.7233126,,,,fee schedule,,526.7233126,,,,fee schedule,,526.7233126,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Red blood cells unit,9517,APC,,,,,outpatient,,,,,,131.0185849,231.2879101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.0239714,,,,fee schedule,,231.2879101,,,,fee schedule,,197.8648017,,,,fee schedule,,197.8648017,,,,fee schedule,,137.7032066,,,,fee schedule,,133.0239714,,,,fee schedule,,136.3662823,,,,fee schedule,,137.7032066,,,,fee schedule,,139.0401309,,,,fee schedule,,137.7032066,,,,fee schedule,,139.0401309,,,,fee schedule,,141.0455174,,,,fee schedule,,131.0185849,,,,fee schedule,,135.0293579,,,,fee schedule,,137.7032066,,,,fee schedule,,137.7032066,,,,fee schedule,,139.0401309,,,,fee schedule,,131.0185849,,,,fee schedule,,131.0185849,,,,fee schedule,,131.0185849,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Washed red blood cells unit,9518,APC,,,,,outpatient,,,,,,381.1449743,672.8375567,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,386.978826,,,,fee schedule,,672.8375567,,,,fee schedule,,575.6066959,,,,fee schedule,,575.6066959,,,,fee schedule,,400.5911465,,,,fee schedule,,386.978826,,,,fee schedule,,396.7019121,,,,fee schedule,,400.5911465,,,,fee schedule,,404.4803809,,,,fee schedule,,400.5911465,,,,fee schedule,,404.4803809,,,,fee schedule,,410.3142326,,,,fee schedule,,381.1449743,,,,fee schedule,,392.8126776,,,,fee schedule,,400.5911465,,,,fee schedule,,400.5911465,,,,fee schedule,,404.4803809,,,,fee schedule,,381.1449743,,,,fee schedule,,381.1449743,,,,fee schedule,,381.1449743,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Plasmaprotein fract,5%,250ml",9519,APC,,,,,outpatient,,,,,,97.93521651,172.8856373,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99.43422493,,,,fee schedule,,172.8856373,,,,fee schedule,,147.9021637,,,,fee schedule,,147.9021637,,,,fee schedule,,102.9319112,,,,fee schedule,,99.43422493,,,,fee schedule,,101.9325723,,,,fee schedule,,102.9319112,,,,fee schedule,,103.9312502,,,,fee schedule,,102.9319112,,,,fee schedule,,103.9312502,,,,fee schedule,,105.4302586,,,,fee schedule,,97.93521651,,,,fee schedule,,100.9332333,,,,fee schedule,,102.9319112,,,,fee schedule,,102.9319112,,,,fee schedule,,103.9312502,,,,fee schedule,,97.93521651,,,,fee schedule,,97.93521651,,,,fee schedule,,97.93521651,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Blood split unit,9520,APC,,,,,outpatient,,,,,,143.0733313,252.5682277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.2632292,,,,fee schedule,,252.5682277,,,,fee schedule,,216.0699289,,,,fee schedule,,216.0699289,,,,fee schedule,,150.3729911,,,,fee schedule,,145.2632292,,,,fee schedule,,148.9130591,,,,fee schedule,,150.3729911,,,,fee schedule,,151.832923,,,,fee schedule,,150.3729911,,,,fee schedule,,151.832923,,,,fee schedule,,154.0228209,,,,fee schedule,,143.0733313,,,,fee schedule,,147.4531272,,,,fee schedule,,150.3729911,,,,fee schedule,,150.3729911,,,,fee schedule,,151.832923,,,,fee schedule,,143.0733313,,,,fee schedule,,143.0733313,,,,fee schedule,,143.0733313,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Platelets leukoreduced irrad,9521,APC,,,,,outpatient,,,,,,221.3524009,390.7547485,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.7404478,,,,fee schedule,,390.7547485,,,,fee schedule,,334.2872993,,,,fee schedule,,334.2872993,,,,fee schedule,,232.6458907,,,,fee schedule,,224.7404478,,,,fee schedule,,230.3871927,,,,fee schedule,,232.6458907,,,,fee schedule,,234.9045887,,,,fee schedule,,232.6458907,,,,fee schedule,,234.9045887,,,,fee schedule,,238.2926356,,,,fee schedule,,221.3524009,,,,fee schedule,,228.1284948,,,,fee schedule,,232.6458907,,,,fee schedule,,232.6458907,,,,fee schedule,,234.9045887,,,,fee schedule,,221.3524009,,,,fee schedule,,221.3524009,,,,fee schedule,,221.3524009,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RBC leukoreduced irradiated,9522,APC,,,,,outpatient,,,,,,242.3234365,427.7750461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,246.0324687,,,,fee schedule,,427.7750461,,,,fee schedule,,365.9578429,,,,fee schedule,,365.9578429,,,,fee schedule,,254.6868772,,,,fee schedule,,246.0324687,,,,fee schedule,,252.2141891,,,,fee schedule,,254.6868772,,,,fee schedule,,257.1595653,,,,fee schedule,,254.6868772,,,,fee schedule,,257.1595653,,,,fee schedule,,260.8685975,,,,fee schedule,,242.3234365,,,,fee schedule,,249.7415009,,,,fee schedule,,254.6868772,,,,fee schedule,,254.6868772,,,,fee schedule,,257.1595653,,,,fee schedule,,242.3234365,,,,fee schedule,,242.3234365,,,,fee schedule,,242.3234365,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cryoprecipitatereducedplasma,9523,APC,,,,,outpatient,,,,,,66.36828912,117.1603471,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.38413028,,,,fee schedule,,117.1603471,,,,fee schedule,,100.2296611,,,,fee schedule,,100.2296611,,,,fee schedule,,69.75442632,,,,fee schedule,,67.38413028,,,,fee schedule,,69.07719888,,,,fee schedule,,69.75442632,,,,fee schedule,,70.43165376,,,,fee schedule,,69.75442632,,,,fee schedule,,70.43165376,,,,fee schedule,,71.44749492,,,,fee schedule,,66.36828912,,,,fee schedule,,68.39997144,,,,fee schedule,,69.75442632,,,,fee schedule,,69.75442632,,,,fee schedule,,70.43165376,,,,fee schedule,,66.36828912,,,,fee schedule,,66.36828912,,,,fee schedule,,66.36828912,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Blood, l/r, cmv-neg",9524,APC,,,,,outpatient,,,,,,160.5220008,283.3704708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.9789702,,,,fee schedule,,283.3704708,,,,fee schedule,,242.4209808,,,,fee schedule,,242.4209808,,,,fee schedule,,168.7118988,,,,fee schedule,,162.9789702,,,,fee schedule,,167.0739192,,,,fee schedule,,168.7118988,,,,fee schedule,,170.3498784,,,,fee schedule,,168.7118988,,,,fee schedule,,170.3498784,,,,fee schedule,,172.8068478,,,,fee schedule,,160.5220008,,,,fee schedule,,165.4359396,,,,fee schedule,,168.7118988,,,,fee schedule,,168.7118988,,,,fee schedule,,170.3498784,,,,fee schedule,,160.5220008,,,,fee schedule,,160.5220008,,,,fee schedule,,160.5220008,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Platelets, hla-m, l/r, unit",9525,APC,,,,,outpatient,,,,,,691.6794638,1221.025992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,702.2663943,,,,fee schedule,,1221.025992,,,,fee schedule,,1044.577149,,,,fee schedule,,1044.577149,,,,fee schedule,,726.9692323,,,,fee schedule,,702.2663943,,,,fee schedule,,719.9112786,,,,fee schedule,,726.9692323,,,,fee schedule,,734.027186,,,,fee schedule,,726.9692323,,,,fee schedule,,734.027186,,,,fee schedule,,744.6141166,,,,fee schedule,,691.6794638,,,,fee schedule,,712.8533249,,,,fee schedule,,726.9692323,,,,fee schedule,,726.9692323,,,,fee schedule,,734.027186,,,,fee schedule,,691.6794638,,,,fee schedule,,691.6794638,,,,fee schedule,,691.6794638,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Platelets leukocytes reduced,9526,APC,,,,,outpatient,,,,,,125.6150641,221.7490417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.5377436,,,,fee schedule,,221.7490417,,,,fee schedule,,189.7043825,,,,fee schedule,,189.7043825,,,,fee schedule,,132.0239959,,,,fee schedule,,127.5377436,,,,fee schedule,,130.7422095,,,,fee schedule,,132.0239959,,,,fee schedule,,133.3057823,,,,fee schedule,,132.0239959,,,,fee schedule,,133.3057823,,,,fee schedule,,135.2284618,,,,fee schedule,,125.6150641,,,,fee schedule,,129.4604232,,,,fee schedule,,132.0239959,,,,fee schedule,,132.0239959,,,,fee schedule,,133.3057823,,,,fee schedule,,125.6150641,,,,fee schedule,,125.6150641,,,,fee schedule,,125.6150641,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Blood, l/r, froz/degly/wash",9527,APC,,,,,outpatient,,,,,,206.5527043,364.6287535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.7142253,,,,fee schedule,,364.6287535,,,,fee schedule,,311.9367371,,,,fee schedule,,311.9367371,,,,fee schedule,,217.0911076,,,,fee schedule,,209.7142253,,,,fee schedule,,214.9834269,,,,fee schedule,,217.0911076,,,,fee schedule,,219.1987882,,,,fee schedule,,217.0911076,,,,fee schedule,,219.1987882,,,,fee schedule,,222.3603092,,,,fee schedule,,206.5527043,,,,fee schedule,,212.8757463,,,,fee schedule,,217.0911076,,,,fee schedule,,217.0911076,,,,fee schedule,,219.1987882,,,,fee schedule,,206.5527043,,,,fee schedule,,206.5527043,,,,fee schedule,,206.5527043,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Plt, aph/pher, l/r, cmv-neg",9528,APC,,,,,outpatient,,,,,,240.720616,424.9455772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.4051152,,,,fee schedule,,424.9455772,,,,fee schedule,,363.5372568,,,,fee schedule,,363.5372568,,,,fee schedule,,253.00228,,,,fee schedule,,244.4051152,,,,fee schedule,,250.5459472,,,,fee schedule,,253.00228,,,,fee schedule,,255.4586129,,,,fee schedule,,253.00228,,,,fee schedule,,255.4586129,,,,fee schedule,,259.1431121,,,,fee schedule,,240.720616,,,,fee schedule,,248.0896144,,,,fee schedule,,253.00228,,,,fee schedule,,253.00228,,,,fee schedule,,255.4586129,,,,fee schedule,,240.720616,,,,fee schedule,,240.720616,,,,fee schedule,,240.720616,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Blood, l/r, irradiated",9529,APC,,,,,outpatient,,,,,,88.28949987,155.8579947,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.64086977,,,,fee schedule,,155.8579947,,,,fee schedule,,133.3351631,,,,fee schedule,,133.3351631,,,,fee schedule,,92.79406619,,,,fee schedule,,89.64086977,,,,fee schedule,,91.89315293,,,,fee schedule,,92.79406619,,,,fee schedule,,93.69497946,,,,fee schedule,,92.79406619,,,,fee schedule,,93.69497946,,,,fee schedule,,95.04634935,,,,fee schedule,,88.28949987,,,,fee schedule,,90.99223966,,,,fee schedule,,92.79406619,,,,fee schedule,,92.79406619,,,,fee schedule,,93.69497946,,,,fee schedule,,88.28949987,,,,fee schedule,,88.28949987,,,,fee schedule,,88.28949987,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Plate pheres leukoredu irrad,9530,APC,,,,,outpatient,,,,,,645.4280125,1139.378022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,655.3070127,,,,fee schedule,,1139.378022,,,,fee schedule,,974.7280189,,,,fee schedule,,974.7280189,,,,fee schedule,,678.3580132,,,,fee schedule,,655.3070127,,,,fee schedule,,671.7720131,,,,fee schedule,,678.3580132,,,,fee schedule,,684.9440133,,,,fee schedule,,678.3580132,,,,fee schedule,,684.9440133,,,,fee schedule,,694.8230135,,,,fee schedule,,645.4280125,,,,fee schedule,,665.1860129,,,,fee schedule,,678.3580132,,,,fee schedule,,678.3580132,,,,fee schedule,,684.9440133,,,,fee schedule,,645.4280125,,,,fee schedule,,645.4280125,,,,fee schedule,,645.4280125,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Plt, pher, l/r cmv-neg, irr",9531,APC,,,,,outpatient,,,,,,497.3446672,877.965586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,504.9570856,,,,fee schedule,,877.965586,,,,fee schedule,,751.0919464,,,,fee schedule,,751.0919464,,,,fee schedule,,522.7193952,,,,fee schedule,,504.9570856,,,,fee schedule,,517.6444496,,,,fee schedule,,522.7193952,,,,fee schedule,,527.7943407,,,,fee schedule,,522.7193952,,,,fee schedule,,527.7943407,,,,fee schedule,,535.4067591,,,,fee schedule,,497.3446672,,,,fee schedule,,512.569504,,,,fee schedule,,522.7193952,,,,fee schedule,,522.7193952,,,,fee schedule,,527.7943407,,,,fee schedule,,497.3446672,,,,fee schedule,,497.3446672,,,,fee schedule,,497.3446672,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RBC, frz/deg/wsh, l/r, irrad",9532,APC,,,,,outpatient,,,,,,472.8800586,834.7780626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,480.1180186,,,,fee schedule,,834.7780626,,,,fee schedule,,714.1453946,,,,fee schedule,,714.1453946,,,,fee schedule,,497.0065922,,,,fee schedule,,480.1180186,,,,fee schedule,,492.1812854,,,,fee schedule,,497.0065922,,,,fee schedule,,501.8318989,,,,fee schedule,,497.0065922,,,,fee schedule,,501.8318989,,,,fee schedule,,509.069859,,,,fee schedule,,472.8800586,,,,fee schedule,,487.3559787,,,,fee schedule,,497.0065922,,,,fee schedule,,497.0065922,,,,fee schedule,,501.8318989,,,,fee schedule,,472.8800586,,,,fee schedule,,472.8800586,,,,fee schedule,,472.8800586,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"RBC, l/r, cmv-neg, irrad",9533,APC,,,,,outpatient,,,,,,232.1306494,409.7816566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,235.6836696,,,,fee schedule,,409.7816566,,,,fee schedule,,350.5646542,,,,fee schedule,,350.5646542,,,,fee schedule,,243.9740499,,,,fee schedule,,235.6836696,,,,fee schedule,,241.6053698,,,,fee schedule,,243.9740499,,,,fee schedule,,246.34273,,,,fee schedule,,243.9740499,,,,fee schedule,,246.34273,,,,fee schedule,,249.8957501,,,,fee schedule,,232.1306494,,,,fee schedule,,239.2366897,,,,fee schedule,,243.9740499,,,,fee schedule,,243.9740499,,,,fee schedule,,246.34273,,,,fee schedule,,232.1306494,,,,fee schedule,,232.1306494,,,,fee schedule,,232.1306494,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Pathogen reduced plasma pool,9534,APC,,,,,outpatient,,,,,,29.98330227,52.92970707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.44223037,,,,fee schedule,,52.92970707,,,,fee schedule,,45.28090547,,,,fee schedule,,45.28090547,,,,fee schedule,,31.51306259,,,,fee schedule,,30.44223037,,,,fee schedule,,31.20711053,,,,fee schedule,,31.51306259,,,,fee schedule,,31.81901466,,,,fee schedule,,31.51306259,,,,fee schedule,,31.81901466,,,,fee schedule,,32.27794275,,,,fee schedule,,29.98330227,,,,fee schedule,,30.90115846,,,,fee schedule,,31.51306259,,,,fee schedule,,31.51306259,,,,fee schedule,,31.81901466,,,,fee schedule,,29.98330227,,,,fee schedule,,29.98330227,,,,fee schedule,,29.98330227,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Pathogen reduced plasma sing,9535,APC,,,,,outpatient,,,,,,222.264185,392.3643266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.6661879,,,,fee schedule,,392.3643266,,,,fee schedule,,335.6642794,,,,fee schedule,,335.6642794,,,,fee schedule,,233.6041945,,,,fee schedule,,225.6661879,,,,fee schedule,,231.3361926,,,,fee schedule,,233.6041945,,,,fee schedule,,235.8721964,,,,fee schedule,,233.6041945,,,,fee schedule,,235.8721964,,,,fee schedule,,239.2741992,,,,fee schedule,,222.264185,,,,fee schedule,,229.0681907,,,,fee schedule,,233.6041945,,,,fee schedule,,233.6041945,,,,fee schedule,,235.8721964,,,,fee schedule,,222.264185,,,,fee schedule,,222.264185,,,,fee schedule,,222.264185,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Platelets pheresis path redu,9536,APC,,,,,outpatient,,,,,,529.1035492,934.0297348,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,537.2020729,,,,fee schedule,,934.0297348,,,,fee schedule,,799.0543396,,,,fee schedule,,799.0543396,,,,fee schedule,,556.0986282,,,,fee schedule,,537.2020729,,,,fee schedule,,550.6996124,,,,fee schedule,,556.0986282,,,,fee schedule,,561.497644,,,,fee schedule,,556.0986282,,,,fee schedule,,561.497644,,,,fee schedule,,569.5961677,,,,fee schedule,,529.1035492,,,,fee schedule,,545.3005966,,,,fee schedule,,556.0986282,,,,fee schedule,,556.0986282,,,,fee schedule,,561.497644,,,,fee schedule,,529.1035492,,,,fee schedule,,529.1035492,,,,fee schedule,,529.1035492,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Blood component/product noc,9537,APC,,,,,outpatient,,,,,,29.98330227,52.92970707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.44223037,,,,fee schedule,,52.92970707,,,,fee schedule,,45.28090547,,,,fee schedule,,45.28090547,,,,fee schedule,,31.51306259,,,,fee schedule,,30.44223037,,,,fee schedule,,31.20711053,,,,fee schedule,,31.51306259,,,,fee schedule,,31.81901466,,,,fee schedule,,31.51306259,,,,fee schedule,,31.81901466,,,,fee schedule,,32.27794275,,,,fee schedule,,29.98330227,,,,fee schedule,,30.90115846,,,,fee schedule,,31.51306259,,,,fee schedule,,31.51306259,,,,fee schedule,,31.81901466,,,,fee schedule,,29.98330227,,,,fee schedule,,29.98330227,,,,fee schedule,,29.98330227,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Plasma cryo redu path each,9538,APC,,,,,outpatient,,,,,,297.2032452,524.6547084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,301.7522745,,,,fee schedule,,524.6547084,,,,fee schedule,,448.837554,,,,fee schedule,,448.837554,,,,fee schedule,,312.3666761,,,,fee schedule,,301.7522745,,,,fee schedule,,309.33399,,,,fee schedule,,312.3666761,,,,fee schedule,,315.3993623,,,,fee schedule,,312.3666761,,,,fee schedule,,315.3993623,,,,fee schedule,,319.9483916,,,,fee schedule,,297.2032452,,,,fee schedule,,306.3013038,,,,fee schedule,,312.3666761,,,,fee schedule,,312.3666761,,,,fee schedule,,315.3993623,,,,fee schedule,,297.2032452,,,,fee schedule,,297.2032452,,,,fee schedule,,297.2032452,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Cryo fib comp path redu each,9539,APC,,,,,outpatient,,,,,,76.13877622,134.4082478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.30416566,,,,fee schedule,,134.4082478,,,,fee schedule,,114.9850906,,,,fee schedule,,114.9850906,,,,fee schedule,,80.02340766,,,,fee schedule,,77.30416566,,,,fee schedule,,79.24648138,,,,fee schedule,,80.02340766,,,,fee schedule,,80.80033395,,,,fee schedule,,80.02340766,,,,fee schedule,,80.80033395,,,,fee schedule,,81.96572338,,,,fee schedule,,76.13877622,,,,fee schedule,,78.46955509,,,,fee schedule,,80.02340766,,,,fee schedule,,80.02340766,,,,fee schedule,,80.80033395,,,,fee schedule,,76.13877622,,,,fee schedule,,76.13877622,,,,fee schedule,,76.13877622,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Covid-19 convalescent plasma,9540,APC,,,,,outpatient,,,,,,470.4134425,830.4237301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,477.6136482,,,,fee schedule,,830.4237301,,,,fee schedule,,710.4203009,,,,fee schedule,,710.4203009,,,,fee schedule,,494.4141283,,,,fee schedule,,477.6136482,,,,fee schedule,,489.6139911,,,,fee schedule,,494.4141283,,,,fee schedule,,499.2142655,,,,fee schedule,,494.4141283,,,,fee schedule,,499.2142655,,,,fee schedule,,506.4144712,,,,fee schedule,,470.4134425,,,,fee schedule,,484.813854,,,,fee schedule,,494.4141283,,,,fee schedule,,494.4141283,,,,fee schedule,,499.2142655,,,,fee schedule,,470.4134425,,,,fee schedule,,470.4134425,,,,fee schedule,,470.4134425,,,,fee schedule,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,001,MS-DRG,,,,,inpatient,,,,,,201984.8438,302977.2657,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,302977.2657,,MS-DRG,999999999,Case Rate,,302977.2657,,MS-DRG,999999999,Case Rate,,212084.086,,MS-DRG,999999999,Case Rate,,210064.2375,,MS-DRG,999999999,Case Rate,,210064.2375,,MS-DRG,999999999,Case Rate,,212084.086,,MS-DRG,999999999,Case Rate,,214103.9344,,MS-DRG,999999999,Case Rate,,212084.086,,MS-DRG,999999999,Case Rate,,214103.9344,,MS-DRG,999999999,Case Rate,,217133.7071,,MS-DRG,999999999,Case Rate,,201984.8438,,MS-DRG,999999999,Case Rate,,208044.3891,,MS-DRG,999999999,Case Rate,,212084.086,,MS-DRG,999999999,Case Rate,,212084.086,,MS-DRG,999999999,Case Rate,,214103.9344,,MS-DRG,999999999,Case Rate,,201984.8438,,MS-DRG,999999999,Case Rate,,201984.8438,,MS-DRG,999999999,Case Rate,,201984.8438,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,002,MS-DRG,,,,,inpatient,,,,,,79298.97923,118948.4689,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118948.4689,,MS-DRG,999999999,Case Rate,,118948.4689,,MS-DRG,999999999,Case Rate,,83263.9282,,MS-DRG,999999999,Case Rate,,82470.9384,,MS-DRG,999999999,Case Rate,,82470.9384,,MS-DRG,999999999,Case Rate,,83263.9282,,MS-DRG,999999999,Case Rate,,84056.91799,,MS-DRG,999999999,Case Rate,,83263.9282,,MS-DRG,999999999,Case Rate,,84056.91799,,MS-DRG,999999999,Case Rate,,85246.40268,,MS-DRG,999999999,Case Rate,,79298.97923,,MS-DRG,999999999,Case Rate,,81677.94861,,MS-DRG,999999999,Case Rate,,83263.9282,,MS-DRG,999999999,Case Rate,,83263.9282,,MS-DRG,999999999,Case Rate,,84056.91799,,MS-DRG,999999999,Case Rate,,79298.97923,,MS-DRG,999999999,Case Rate,,79298.97923,,MS-DRG,999999999,Case Rate,,79298.97923,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",003,MS-DRG,,,,,inpatient,,,,,,153788.6141,230682.9212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230682.9212,,MS-DRG,999999999,Case Rate,,230682.9212,,MS-DRG,999999999,Case Rate,,161478.0449,,MS-DRG,999999999,Case Rate,,159940.1587,,MS-DRG,999999999,Case Rate,,159940.1587,,MS-DRG,999999999,Case Rate,,161478.0449,,MS-DRG,999999999,Case Rate,,163015.931,,MS-DRG,999999999,Case Rate,,161478.0449,,MS-DRG,999999999,Case Rate,,163015.931,,MS-DRG,999999999,Case Rate,,165322.7602,,MS-DRG,154592.84,Case Rate,,153788.6141,,MS-DRG,999999999,Case Rate,,158402.2726,,MS-DRG,999999999,Case Rate,,161478.0449,,MS-DRG,999999999,Case Rate,,161478.0449,,MS-DRG,999999999,Case Rate,,163015.931,,MS-DRG,999999999,Case Rate,,153788.6141,,MS-DRG,999999999,Case Rate,,153788.6141,,MS-DRG,999999999,Case Rate,,153788.6141,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",004,MS-DRG,,,,,inpatient,,,,,,101550.9324,152326.3986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152326.3986,,MS-DRG,999999999,Case Rate,,152326.3986,,MS-DRG,999999999,Case Rate,,106628.479,,MS-DRG,999999999,Case Rate,,105612.9697,,MS-DRG,999999999,Case Rate,,105612.9697,,MS-DRG,106476.44,Case Rate,,106628.479,,MS-DRG,999999999,Case Rate,,107643.9884,,MS-DRG,999999999,Case Rate,,106628.479,,MS-DRG,999999999,Case Rate,,107643.9884,,MS-DRG,999999999,Case Rate,,109167.2524,,MS-DRG,999999999,Case Rate,,101550.9324,,MS-DRG,999999999,Case Rate,,104597.4604,,MS-DRG,999999999,Case Rate,,106628.479,,MS-DRG,999999999,Case Rate,,106628.479,,MS-DRG,999999999,Case Rate,,107643.9884,,MS-DRG,999999999,Case Rate,,101550.9324,,MS-DRG,999999999,Case Rate,,101550.9324,,MS-DRG,999999999,Case Rate,,101550.9324,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,005,MS-DRG,,,,,inpatient,,,,,,76649.74981,114974.6247,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114974.6247,,MS-DRG,999999999,Case Rate,,114974.6247,,MS-DRG,999999999,Case Rate,,80482.2373,,MS-DRG,999999999,Case Rate,,79715.73981,,MS-DRG,999999999,Case Rate,,79715.73981,,MS-DRG,999999999,Case Rate,,80482.2373,,MS-DRG,999999999,Case Rate,,81248.7348,,MS-DRG,999999999,Case Rate,,80482.2373,,MS-DRG,999999999,Case Rate,,81248.7348,,MS-DRG,999999999,Case Rate,,82398.48105,,MS-DRG,999999999,Case Rate,,76649.74981,,MS-DRG,999999999,Case Rate,,78949.24231,,MS-DRG,999999999,Case Rate,,80482.2373,,MS-DRG,999999999,Case Rate,,80482.2373,,MS-DRG,999999999,Case Rate,,81248.7348,,MS-DRG,999999999,Case Rate,,76649.74981,,MS-DRG,999999999,Case Rate,,76649.74981,,MS-DRG,999999999,Case Rate,,76649.74981,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIVER TRANSPLANT WITHOUT MCC,006,MS-DRG,,,,,inpatient,,,,,,35153.50221,52730.25332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52730.25332,,MS-DRG,999999999,Case Rate,,52730.25332,,MS-DRG,999999999,Case Rate,,36911.17732,,MS-DRG,999999999,Case Rate,,36559.6423,,MS-DRG,999999999,Case Rate,,36559.6423,,MS-DRG,999999999,Case Rate,,36911.17732,,MS-DRG,999999999,Case Rate,,37262.71234,,MS-DRG,999999999,Case Rate,,36911.17732,,MS-DRG,999999999,Case Rate,,37262.71234,,MS-DRG,999999999,Case Rate,,37790.01488,,MS-DRG,999999999,Case Rate,,35153.50221,,MS-DRG,999999999,Case Rate,,36208.10728,,MS-DRG,999999999,Case Rate,,36911.17732,,MS-DRG,999999999,Case Rate,,36911.17732,,MS-DRG,999999999,Case Rate,,37262.71234,,MS-DRG,999999999,Case Rate,,35153.50221,,MS-DRG,999999999,Case Rate,,35153.50221,,MS-DRG,999999999,Case Rate,,35153.50221,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LUNG TRANSPLANT,007,MS-DRG,,,,,inpatient,,,,,,93958.81182,140938.2177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140938.2177,,MS-DRG,999999999,Case Rate,,140938.2177,,MS-DRG,999999999,Case Rate,,98656.75241,,MS-DRG,999999999,Case Rate,,97717.16429,,MS-DRG,999999999,Case Rate,,97717.16429,,MS-DRG,999999999,Case Rate,,98656.75241,,MS-DRG,999999999,Case Rate,,99596.34053,,MS-DRG,999999999,Case Rate,,98656.75241,,MS-DRG,999999999,Case Rate,,99596.34053,,MS-DRG,999999999,Case Rate,,101005.7227,,MS-DRG,999999999,Case Rate,,93958.81182,,MS-DRG,999999999,Case Rate,,96777.57617,,MS-DRG,999999999,Case Rate,,98656.75241,,MS-DRG,999999999,Case Rate,,98656.75241,,MS-DRG,999999999,Case Rate,,99596.34053,,MS-DRG,999999999,Case Rate,,93958.81182,,MS-DRG,999999999,Case Rate,,93958.81182,,MS-DRG,999999999,Case Rate,,93958.81182,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,008,MS-DRG,,,,,inpatient,,,,,,39388.1198,59082.1797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59082.1797,,MS-DRG,999999999,Case Rate,,59082.1797,,MS-DRG,999999999,Case Rate,,41357.52579,,MS-DRG,999999999,Case Rate,,40963.64459,,MS-DRG,999999999,Case Rate,,40963.64459,,MS-DRG,999999999,Case Rate,,41357.52579,,MS-DRG,999999999,Case Rate,,41751.40699,,MS-DRG,999999999,Case Rate,,41357.52579,,MS-DRG,999999999,Case Rate,,41751.40699,,MS-DRG,999999999,Case Rate,,42342.22879,,MS-DRG,999999999,Case Rate,,39388.1198,,MS-DRG,999999999,Case Rate,,40569.7634,,MS-DRG,999999999,Case Rate,,41357.52579,,MS-DRG,999999999,Case Rate,,41357.52579,,MS-DRG,999999999,Case Rate,,41751.40699,,MS-DRG,999999999,Case Rate,,39388.1198,,MS-DRG,999999999,Case Rate,,39388.1198,,MS-DRG,999999999,Case Rate,,39388.1198,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PANCREAS TRANSPLANT,010,MS-DRG,,,,,inpatient,,,,,,57502.03817,86253.05725,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86253.05725,,MS-DRG,999999999,Case Rate,,86253.05725,,MS-DRG,999999999,Case Rate,,60377.14008,,MS-DRG,999999999,Case Rate,,59802.11969,,MS-DRG,999999999,Case Rate,,59802.11969,,MS-DRG,999999999,Case Rate,,60377.14008,,MS-DRG,999999999,Case Rate,,60952.16046,,MS-DRG,999999999,Case Rate,,60377.14008,,MS-DRG,999999999,Case Rate,,60952.16046,,MS-DRG,999999999,Case Rate,,61814.69103,,MS-DRG,999999999,Case Rate,,57502.03817,,MS-DRG,999999999,Case Rate,,59227.09931,,MS-DRG,999999999,Case Rate,,60377.14008,,MS-DRG,999999999,Case Rate,,60377.14008,,MS-DRG,999999999,Case Rate,,60952.16046,,MS-DRG,999999999,Case Rate,,57502.03817,,MS-DRG,999999999,Case Rate,,57502.03817,,MS-DRG,999999999,Case Rate,,57502.03817,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",011,MS-DRG,,,,,inpatient,,,,,,36776.15,58597.1196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58597.1196,,MS-DRG,999999999,Case Rate,,58597.1196,,MS-DRG,999999999,Case Rate,,41017.98372,,MS-DRG,999999999,Case Rate,,40627.33626,,MS-DRG,999999999,Case Rate,,40627.33626,,MS-DRG,36776.15,Case Rate,,41017.98372,,MS-DRG,999999999,Case Rate,,41408.63119,,MS-DRG,999999999,Case Rate,,41017.98372,,MS-DRG,999999999,Case Rate,,41408.63119,,MS-DRG,999999999,Case Rate,,41994.60238,,MS-DRG,999999999,Case Rate,,39064.7464,,MS-DRG,999999999,Case Rate,,40236.6888,,MS-DRG,999999999,Case Rate,,41017.98372,,MS-DRG,999999999,Case Rate,,41017.98372,,MS-DRG,999999999,Case Rate,,41408.63119,,MS-DRG,999999999,Case Rate,,39064.7464,,MS-DRG,999999999,Case Rate,,39064.7464,,MS-DRG,999999999,Case Rate,,39064.7464,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",012,MS-DRG,,,,,inpatient,,,,,,29819.9874,44729.98111,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44729.98111,,MS-DRG,999999999,Case Rate,,44729.98111,,MS-DRG,999999999,Case Rate,,31310.98677,,MS-DRG,999999999,Case Rate,,31012.7869,,MS-DRG,999999999,Case Rate,,31012.7869,,MS-DRG,999999999,Case Rate,,31310.98677,,MS-DRG,999999999,Case Rate,,31609.18665,,MS-DRG,999999999,Case Rate,,31310.98677,,MS-DRG,999999999,Case Rate,,31609.18665,,MS-DRG,999999999,Case Rate,,32056.48646,,MS-DRG,999999999,Case Rate,,29819.9874,,MS-DRG,999999999,Case Rate,,30714.58703,,MS-DRG,999999999,Case Rate,,31310.98677,,MS-DRG,999999999,Case Rate,,31310.98677,,MS-DRG,999999999,Case Rate,,31609.18665,,MS-DRG,999999999,Case Rate,,29819.9874,,MS-DRG,999999999,Case Rate,,29819.9874,,MS-DRG,999999999,Case Rate,,29819.9874,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",013,MS-DRG,,,,,inpatient,,,,,,19419.81239,29129.71858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29129.71858,,MS-DRG,999999999,Case Rate,,29129.71858,,MS-DRG,999999999,Case Rate,,20390.803,,MS-DRG,999999999,Case Rate,,20196.60488,,MS-DRG,999999999,Case Rate,,20196.60488,,MS-DRG,999999999,Case Rate,,20390.803,,MS-DRG,999999999,Case Rate,,20585.00113,,MS-DRG,999999999,Case Rate,,20390.803,,MS-DRG,999999999,Case Rate,,20585.00113,,MS-DRG,999999999,Case Rate,,20876.29831,,MS-DRG,999999999,Case Rate,,19419.81239,,MS-DRG,999999999,Case Rate,,20002.40676,,MS-DRG,999999999,Case Rate,,20390.803,,MS-DRG,999999999,Case Rate,,20390.803,,MS-DRG,999999999,Case Rate,,20585.00113,,MS-DRG,999999999,Case Rate,,19419.81239,,MS-DRG,999999999,Case Rate,,19419.81239,,MS-DRG,999999999,Case Rate,,19419.81239,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLOGENEIC BONE MARROW TRANSPLANT,014,MS-DRG,,,,,inpatient,,,,,,94194.90302,141292.3545,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141292.3545,,MS-DRG,999999999,Case Rate,,141292.3545,,MS-DRG,999999999,Case Rate,,98904.64817,,MS-DRG,999999999,Case Rate,,97962.69914,,MS-DRG,999999999,Case Rate,,97962.69914,,MS-DRG,999999999,Case Rate,,98904.64817,,MS-DRG,999999999,Case Rate,,99846.5972,,MS-DRG,999999999,Case Rate,,98904.64817,,MS-DRG,999999999,Case Rate,,99846.5972,,MS-DRG,999999999,Case Rate,,101259.5207,,MS-DRG,999999999,Case Rate,,94194.90302,,MS-DRG,999999999,Case Rate,,97020.75011,,MS-DRG,999999999,Case Rate,,98904.64817,,MS-DRG,999999999,Case Rate,,98904.64817,,MS-DRG,999999999,Case Rate,,99846.5972,,MS-DRG,999999999,Case Rate,,94194.90302,,MS-DRG,999999999,Case Rate,,94194.90302,,MS-DRG,999999999,Case Rate,,94194.90302,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,016,MS-DRG,,,,,inpatient,,,,,,43643.4848,65465.2272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65465.2272,,MS-DRG,999999999,Case Rate,,65465.2272,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,45389.22419,,MS-DRG,999999999,Case Rate,,45389.22419,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,46262.09389,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,46262.09389,,MS-DRG,999999999,Case Rate,,46916.74616,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,44952.78935,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,46262.09389,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,017,MS-DRG,,,,,inpatient,,,,,,43643.4848,65465.2272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65465.2272,,MS-DRG,999999999,Case Rate,,65465.2272,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,45389.22419,,MS-DRG,999999999,Case Rate,,45389.22419,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,46262.09389,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,46262.09389,,MS-DRG,999999999,Case Rate,,46916.74616,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,44952.78935,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,45825.65904,,MS-DRG,999999999,Case Rate,,46262.09389,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,43643.4848,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,018,MS-DRG,,,,,inpatient,,,,,,270268.8573,405403.286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,405403.286,,MS-DRG,999999999,Case Rate,,405403.286,,MS-DRG,999999999,Case Rate,,283782.3002,,MS-DRG,999999999,Case Rate,,281079.6116,,MS-DRG,999999999,Case Rate,,281079.6116,,MS-DRG,999999999,Case Rate,,283782.3002,,MS-DRG,999999999,Case Rate,,286484.9888,,MS-DRG,999999999,Case Rate,,283782.3002,,MS-DRG,999999999,Case Rate,,286484.9888,,MS-DRG,999999999,Case Rate,,290539.0216,,MS-DRG,999999999,Case Rate,,270268.8573,,MS-DRG,999999999,Case Rate,,278376.923,,MS-DRG,999999999,Case Rate,,283782.3002,,MS-DRG,999999999,Case Rate,,283782.3002,,MS-DRG,999999999,Case Rate,,286484.9888,,MS-DRG,999999999,Case Rate,,270268.8573,,MS-DRG,999999999,Case Rate,,270268.8573,,MS-DRG,999999999,Case Rate,,270268.8573,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,019,MS-DRG,,,,,inpatient,,,,,,57175.08763,85762.63144,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85762.63144,,MS-DRG,999999999,Case Rate,,85762.63144,,MS-DRG,999999999,Case Rate,,60033.84201,,MS-DRG,999999999,Case Rate,,59462.09113,,MS-DRG,999999999,Case Rate,,59462.09113,,MS-DRG,999999999,Case Rate,,60033.84201,,MS-DRG,999999999,Case Rate,,60605.59289,,MS-DRG,999999999,Case Rate,,60033.84201,,MS-DRG,999999999,Case Rate,,60605.59289,,MS-DRG,999999999,Case Rate,,61463.2192,,MS-DRG,999999999,Case Rate,,57175.08763,,MS-DRG,999999999,Case Rate,,58890.34026,,MS-DRG,999999999,Case Rate,,60033.84201,,MS-DRG,999999999,Case Rate,,60033.84201,,MS-DRG,999999999,Case Rate,,60605.59289,,MS-DRG,999999999,Case Rate,,57175.08763,,MS-DRG,999999999,Case Rate,,57175.08763,,MS-DRG,999999999,Case Rate,,57175.08763,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,020,MS-DRG,,,,,inpatient,,,,,,58132.33013,87198.49519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87198.49519,,MS-DRG,999999999,Case Rate,,87198.49519,,MS-DRG,999999999,Case Rate,,61038.94663,,MS-DRG,999999999,Case Rate,,60457.62333,,MS-DRG,999999999,Case Rate,,60457.62333,,MS-DRG,999999999,Case Rate,,61038.94663,,MS-DRG,999999999,Case Rate,,61620.26993,,MS-DRG,999999999,Case Rate,,61038.94663,,MS-DRG,999999999,Case Rate,,61620.26993,,MS-DRG,999999999,Case Rate,,62492.25489,,MS-DRG,999999999,Case Rate,,58132.33013,,MS-DRG,999999999,Case Rate,,59876.30003,,MS-DRG,999999999,Case Rate,,61038.94663,,MS-DRG,999999999,Case Rate,,61038.94663,,MS-DRG,999999999,Case Rate,,61620.26993,,MS-DRG,999999999,Case Rate,,58132.33013,,MS-DRG,999999999,Case Rate,,58132.33013,,MS-DRG,999999999,Case Rate,,58132.33013,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,021,MS-DRG,,,,,inpatient,,,,,,40004.81863,60007.22795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60007.22795,,MS-DRG,999999999,Case Rate,,60007.22795,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,41605.01138,,MS-DRG,999999999,Case Rate,,41605.01138,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42405.10775,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42405.10775,,MS-DRG,999999999,Case Rate,,43005.18003,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,41204.96319,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42405.10775,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,022,MS-DRG,,,,,inpatient,,,,,,25718.4394,38577.65909,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38577.65909,,MS-DRG,999999999,Case Rate,,38577.65909,,MS-DRG,999999999,Case Rate,,27004.36137,,MS-DRG,999999999,Case Rate,,26747.17697,,MS-DRG,999999999,Case Rate,,26747.17697,,MS-DRG,999999999,Case Rate,,27004.36137,,MS-DRG,999999999,Case Rate,,27261.54576,,MS-DRG,999999999,Case Rate,,27004.36137,,MS-DRG,999999999,Case Rate,,27261.54576,,MS-DRG,999999999,Case Rate,,27647.32235,,MS-DRG,999999999,Case Rate,,25718.4394,,MS-DRG,999999999,Case Rate,,26489.99258,,MS-DRG,999999999,Case Rate,,27004.36137,,MS-DRG,999999999,Case Rate,,27004.36137,,MS-DRG,999999999,Case Rate,,27261.54576,,MS-DRG,999999999,Case Rate,,25718.4394,,MS-DRG,999999999,Case Rate,,25718.4394,,MS-DRG,999999999,Case Rate,,25718.4394,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,023,MS-DRG,,,,,inpatient,,,,,,41276.84939,61915.27409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61915.27409,,MS-DRG,999999999,Case Rate,,61915.27409,,MS-DRG,999999999,Case Rate,,43340.69186,,MS-DRG,999999999,Case Rate,,42927.92337,,MS-DRG,999999999,Case Rate,,42927.92337,,MS-DRG,999999999,Case Rate,,43340.69186,,MS-DRG,999999999,Case Rate,,43753.46036,,MS-DRG,999999999,Case Rate,,43340.69186,,MS-DRG,999999999,Case Rate,,43753.46036,,MS-DRG,999999999,Case Rate,,44372.6131,,MS-DRG,999999999,Case Rate,,41276.84939,,MS-DRG,999999999,Case Rate,,42515.15487,,MS-DRG,999999999,Case Rate,,43340.69186,,MS-DRG,999999999,Case Rate,,43340.69186,,MS-DRG,999999999,Case Rate,,43753.46036,,MS-DRG,999999999,Case Rate,,41276.84939,,MS-DRG,999999999,Case Rate,,41276.84939,,MS-DRG,999999999,Case Rate,,41276.84939,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,024,MS-DRG,,,,,inpatient,,,,,,27659.39522,41489.09283,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41489.09283,,MS-DRG,999999999,Case Rate,,41489.09283,,MS-DRG,999999999,Case Rate,,29042.36498,,MS-DRG,999999999,Case Rate,,28765.77103,,MS-DRG,999999999,Case Rate,,28765.77103,,MS-DRG,999999999,Case Rate,,29042.36498,,MS-DRG,999999999,Case Rate,,29318.95893,,MS-DRG,999999999,Case Rate,,29042.36498,,MS-DRG,999999999,Case Rate,,29318.95893,,MS-DRG,999999999,Case Rate,,29733.84986,,MS-DRG,999999999,Case Rate,,27659.39522,,MS-DRG,999999999,Case Rate,,28489.17708,,MS-DRG,999999999,Case Rate,,29042.36498,,MS-DRG,999999999,Case Rate,,29042.36498,,MS-DRG,999999999,Case Rate,,29318.95893,,MS-DRG,999999999,Case Rate,,27659.39522,,MS-DRG,999999999,Case Rate,,27659.39522,,MS-DRG,999999999,Case Rate,,27659.39522,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,025,MS-DRG,,,,,inpatient,,,,,,30359.09,48685.58183,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48685.58183,,MS-DRG,999999999,Case Rate,,48685.58183,,MS-DRG,999999999,Case Rate,,34079.90728,,MS-DRG,999999999,Case Rate,,33755.33673,,MS-DRG,999999999,Case Rate,,33755.33673,,MS-DRG,30359.09,Case Rate,,34079.90728,,MS-DRG,999999999,Case Rate,,34404.47782,,MS-DRG,999999999,Case Rate,,34079.90728,,MS-DRG,999999999,Case Rate,,34404.47782,,MS-DRG,999999999,Case Rate,,34891.33364,,MS-DRG,33040.61,Case Rate,,32457.05455,,MS-DRG,999999999,Case Rate,,33430.76619,,MS-DRG,999999999,Case Rate,,34079.90728,,MS-DRG,999999999,Case Rate,,34079.90728,,MS-DRG,999999999,Case Rate,,34404.47782,,MS-DRG,999999999,Case Rate,,32457.05455,,MS-DRG,999999999,Case Rate,,32457.05455,,MS-DRG,999999999,Case Rate,,32457.05455,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,026,MS-DRG,,,,,inpatient,,,,,,22343.05068,33514.57602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33514.57602,,MS-DRG,999999999,Case Rate,,33514.57602,,MS-DRG,999999999,Case Rate,,23460.20322,,MS-DRG,999999999,Case Rate,,23236.77271,,MS-DRG,999999999,Case Rate,,23236.77271,,MS-DRG,999999999,Case Rate,,23460.20322,,MS-DRG,999999999,Case Rate,,23683.63372,,MS-DRG,999999999,Case Rate,,23460.20322,,MS-DRG,999999999,Case Rate,,23683.63372,,MS-DRG,999999999,Case Rate,,24018.77948,,MS-DRG,999999999,Case Rate,,22343.05068,,MS-DRG,999999999,Case Rate,,23013.3422,,MS-DRG,999999999,Case Rate,,23460.20322,,MS-DRG,999999999,Case Rate,,23460.20322,,MS-DRG,999999999,Case Rate,,23683.63372,,MS-DRG,999999999,Case Rate,,22343.05068,,MS-DRG,999999999,Case Rate,,22343.05068,,MS-DRG,999999999,Case Rate,,22343.05068,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,027,MS-DRG,,,,,inpatient,,,,,,18116.3028,27174.4542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27174.4542,,MS-DRG,999999999,Case Rate,,27174.4542,,MS-DRG,999999999,Case Rate,,19022.11794,,MS-DRG,999999999,Case Rate,,18840.95491,,MS-DRG,999999999,Case Rate,,18840.95491,,MS-DRG,999999999,Case Rate,,19022.11794,,MS-DRG,999999999,Case Rate,,19203.28097,,MS-DRG,999999999,Case Rate,,19022.11794,,MS-DRG,999999999,Case Rate,,19203.28097,,MS-DRG,999999999,Case Rate,,19475.02551,,MS-DRG,999999999,Case Rate,,18116.3028,,MS-DRG,999999999,Case Rate,,18659.79188,,MS-DRG,999999999,Case Rate,,19022.11794,,MS-DRG,999999999,Case Rate,,19022.11794,,MS-DRG,999999999,Case Rate,,19203.28097,,MS-DRG,999999999,Case Rate,,18116.3028,,MS-DRG,999999999,Case Rate,,18116.3028,,MS-DRG,999999999,Case Rate,,18116.3028,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPINAL PROCEDURES WITH MCC,028,MS-DRG,,,,,inpatient,,,,,,43955.41136,65933.11703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65933.11703,,MS-DRG,999999999,Case Rate,,65933.11703,,MS-DRG,999999999,Case Rate,,46153.18192,,MS-DRG,999999999,Case Rate,,45713.62781,,MS-DRG,999999999,Case Rate,,45713.62781,,MS-DRG,999999999,Case Rate,,46153.18192,,MS-DRG,999999999,Case Rate,,46592.73604,,MS-DRG,999999999,Case Rate,,46153.18192,,MS-DRG,999999999,Case Rate,,46592.73604,,MS-DRG,999999999,Case Rate,,47252.06721,,MS-DRG,999999999,Case Rate,,43955.41136,,MS-DRG,999999999,Case Rate,,45274.0737,,MS-DRG,999999999,Case Rate,,46153.18192,,MS-DRG,999999999,Case Rate,,46153.18192,,MS-DRG,999999999,Case Rate,,46592.73604,,MS-DRG,999999999,Case Rate,,43955.41136,,MS-DRG,999999999,Case Rate,,43955.41136,,MS-DRG,999999999,Case Rate,,43955.41136,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,029,MS-DRG,,,,,inpatient,,,,,,24475.74118,36713.61177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36713.61177,,MS-DRG,999999999,Case Rate,,36713.61177,,MS-DRG,999999999,Case Rate,,25699.52824,,MS-DRG,999999999,Case Rate,,25454.77082,,MS-DRG,999999999,Case Rate,,25454.77082,,MS-DRG,999999999,Case Rate,,25699.52824,,MS-DRG,999999999,Case Rate,,25944.28565,,MS-DRG,999999999,Case Rate,,25699.52824,,MS-DRG,999999999,Case Rate,,25944.28565,,MS-DRG,999999999,Case Rate,,26311.42177,,MS-DRG,24930.77,Case Rate,,24475.74118,,MS-DRG,999999999,Case Rate,,25210.01341,,MS-DRG,999999999,Case Rate,,25699.52824,,MS-DRG,999999999,Case Rate,,25699.52824,,MS-DRG,999999999,Case Rate,,25944.28565,,MS-DRG,999999999,Case Rate,,24475.74118,,MS-DRG,999999999,Case Rate,,24475.74118,,MS-DRG,999999999,Case Rate,,24475.74118,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPINAL PROCEDURES WITHOUT CC/MCC,030,MS-DRG,,,,,inpatient,,,,,,16382.10563,24573.15844,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24573.15844,,MS-DRG,999999999,Case Rate,,24573.15844,,MS-DRG,999999999,Case Rate,,17201.21091,,MS-DRG,999999999,Case Rate,,17037.38985,,MS-DRG,999999999,Case Rate,,17037.38985,,MS-DRG,999999999,Case Rate,,17201.21091,,MS-DRG,999999999,Case Rate,,17365.03197,,MS-DRG,999999999,Case Rate,,17201.21091,,MS-DRG,999999999,Case Rate,,17365.03197,,MS-DRG,999999999,Case Rate,,17610.76355,,MS-DRG,999999999,Case Rate,,16382.10563,,MS-DRG,999999999,Case Rate,,16873.5688,,MS-DRG,999999999,Case Rate,,17201.21091,,MS-DRG,999999999,Case Rate,,17201.21091,,MS-DRG,999999999,Case Rate,,17365.03197,,MS-DRG,999999999,Case Rate,,16382.10563,,MS-DRG,999999999,Case Rate,,16382.10563,,MS-DRG,999999999,Case Rate,,16382.10563,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENTRICULAR SHUNT PROCEDURES WITH MCC,031,MS-DRG,,,,,inpatient,,,,,,30441.69423,45662.54134,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45662.54134,,MS-DRG,999999999,Case Rate,,45662.54134,,MS-DRG,999999999,Case Rate,,31963.77894,,MS-DRG,999999999,Case Rate,,31659.362,,MS-DRG,999999999,Case Rate,,31659.362,,MS-DRG,999999999,Case Rate,,31963.77894,,MS-DRG,999999999,Case Rate,,32268.19588,,MS-DRG,999999999,Case Rate,,31963.77894,,MS-DRG,999999999,Case Rate,,32268.19588,,MS-DRG,999999999,Case Rate,,32724.82129,,MS-DRG,999999999,Case Rate,,30441.69423,,MS-DRG,999999999,Case Rate,,31354.94505,,MS-DRG,999999999,Case Rate,,31963.77894,,MS-DRG,999999999,Case Rate,,31963.77894,,MS-DRG,999999999,Case Rate,,32268.19588,,MS-DRG,999999999,Case Rate,,30441.69423,,MS-DRG,999999999,Case Rate,,30441.69423,,MS-DRG,999999999,Case Rate,,30441.69423,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENTRICULAR SHUNT PROCEDURES WITH CC,032,MS-DRG,,,,,inpatient,,,,,,15739.6514,23609.4771,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23609.4771,,MS-DRG,999999999,Case Rate,,23609.4771,,MS-DRG,999999999,Case Rate,,16526.63397,,MS-DRG,999999999,Case Rate,,16369.23745,,MS-DRG,999999999,Case Rate,,16369.23745,,MS-DRG,999999999,Case Rate,,16526.63397,,MS-DRG,999999999,Case Rate,,16684.03048,,MS-DRG,999999999,Case Rate,,16526.63397,,MS-DRG,999999999,Case Rate,,16684.03048,,MS-DRG,999999999,Case Rate,,16920.12525,,MS-DRG,999999999,Case Rate,,15739.6514,,MS-DRG,999999999,Case Rate,,16211.84094,,MS-DRG,999999999,Case Rate,,16526.63397,,MS-DRG,999999999,Case Rate,,16526.63397,,MS-DRG,999999999,Case Rate,,16684.03048,,MS-DRG,999999999,Case Rate,,15739.6514,,MS-DRG,999999999,Case Rate,,15739.6514,,MS-DRG,999999999,Case Rate,,15739.6514,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,033,MS-DRG,,,,,inpatient,,,,,,11875.62544,17813.43817,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17813.43817,,MS-DRG,999999999,Case Rate,,17813.43817,,MS-DRG,999999999,Case Rate,,12469.40672,,MS-DRG,999999999,Case Rate,,12350.65046,,MS-DRG,999999999,Case Rate,,12350.65046,,MS-DRG,999999999,Case Rate,,12469.40672,,MS-DRG,999999999,Case Rate,,12588.16297,,MS-DRG,999999999,Case Rate,,12469.40672,,MS-DRG,999999999,Case Rate,,12588.16297,,MS-DRG,999999999,Case Rate,,12766.29735,,MS-DRG,999999999,Case Rate,,11875.62544,,MS-DRG,999999999,Case Rate,,12231.89421,,MS-DRG,999999999,Case Rate,,12469.40672,,MS-DRG,999999999,Case Rate,,12469.40672,,MS-DRG,999999999,Case Rate,,12588.16297,,MS-DRG,999999999,Case Rate,,11875.62544,,MS-DRG,999999999,Case Rate,,11875.62544,,MS-DRG,999999999,Case Rate,,11875.62544,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAROTID ARTERY STENT PROCEDURES WITH MCC,034,MS-DRG,,,,,inpatient,,,,,,28281.81747,42422.72621,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42422.72621,,MS-DRG,999999999,Case Rate,,42422.72621,,MS-DRG,999999999,Case Rate,,29695.90835,,MS-DRG,999999999,Case Rate,,29413.09017,,MS-DRG,999999999,Case Rate,,29413.09017,,MS-DRG,999999999,Case Rate,,29695.90835,,MS-DRG,999999999,Case Rate,,29978.72652,,MS-DRG,999999999,Case Rate,,29695.90835,,MS-DRG,999999999,Case Rate,,29978.72652,,MS-DRG,999999999,Case Rate,,30402.95378,,MS-DRG,999999999,Case Rate,,28281.81747,,MS-DRG,999999999,Case Rate,,29130.272,,MS-DRG,999999999,Case Rate,,29695.90835,,MS-DRG,999999999,Case Rate,,29695.90835,,MS-DRG,999999999,Case Rate,,29978.72652,,MS-DRG,999999999,Case Rate,,28281.81747,,MS-DRG,999999999,Case Rate,,28281.81747,,MS-DRG,999999999,Case Rate,,28281.81747,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAROTID ARTERY STENT PROCEDURES WITH CC,035,MS-DRG,,,,,inpatient,,,,,,14349.63,25103.2905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25103.2905,,MS-DRG,999999999,Case Rate,,25103.2905,,MS-DRG,999999999,Case Rate,,17572.30335,,MS-DRG,14349.63,Case Rate,,17404.94808,,MS-DRG,16908.7,Case Rate,,17404.94808,,MS-DRG,17199.54,Case Rate,,17572.30335,,MS-DRG,999999999,Case Rate,,17739.65862,,MS-DRG,999999999,Case Rate,,17572.30335,,MS-DRG,999999999,Case Rate,,17739.65862,,MS-DRG,999999999,Case Rate,,17990.69152,,MS-DRG,999999999,Case Rate,,16735.527,,MS-DRG,999999999,Case Rate,,17237.59281,,MS-DRG,999999999,Case Rate,,17572.30335,,MS-DRG,999999999,Case Rate,,17572.30335,,MS-DRG,999999999,Case Rate,,17739.65862,,MS-DRG,999999999,Case Rate,,16735.527,,MS-DRG,999999999,Case Rate,,16735.527,,MS-DRG,999999999,Case Rate,,16735.527,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,036,MS-DRG,,,,,inpatient,,,,,,13575.48208,20363.22311,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20363.22311,,MS-DRG,999999999,Case Rate,,20363.22311,,MS-DRG,999999999,Case Rate,,14254.25618,,MS-DRG,999999999,Case Rate,,14118.50136,,MS-DRG,999999999,Case Rate,,14118.50136,,MS-DRG,999999999,Case Rate,,14254.25618,,MS-DRG,999999999,Case Rate,,14390.011,,MS-DRG,999999999,Case Rate,,14254.25618,,MS-DRG,999999999,Case Rate,,14390.011,,MS-DRG,999999999,Case Rate,,14593.64323,,MS-DRG,999999999,Case Rate,,13575.48208,,MS-DRG,999999999,Case Rate,,13982.74654,,MS-DRG,999999999,Case Rate,,14254.25618,,MS-DRG,999999999,Case Rate,,14254.25618,,MS-DRG,999999999,Case Rate,,14390.011,,MS-DRG,999999999,Case Rate,,13575.48208,,MS-DRG,999999999,Case Rate,,13575.48208,,MS-DRG,999999999,Case Rate,,13575.48208,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTRACRANIAL PROCEDURES WITH MCC,037,MS-DRG,,,,,inpatient,,,,,,22852.12,36329.427,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36329.427,,MS-DRG,999999999,Case Rate,,36329.427,,MS-DRG,999999999,Case Rate,,25430.5989,,MS-DRG,999999999,Case Rate,,25188.40272,,MS-DRG,999999999,Case Rate,,25188.40272,,MS-DRG,22852.12,Case Rate,,25430.5989,,MS-DRG,999999999,Case Rate,,25672.79508,,MS-DRG,999999999,Case Rate,,25430.5989,,MS-DRG,999999999,Case Rate,,25672.79508,,MS-DRG,999999999,Case Rate,,26036.08935,,MS-DRG,999999999,Case Rate,,24219.618,,MS-DRG,999999999,Case Rate,,24946.20654,,MS-DRG,999999999,Case Rate,,25430.5989,,MS-DRG,999999999,Case Rate,,25430.5989,,MS-DRG,999999999,Case Rate,,25672.79508,,MS-DRG,999999999,Case Rate,,24219.618,,MS-DRG,999999999,Case Rate,,24219.618,,MS-DRG,999999999,Case Rate,,24219.618,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTRACRANIAL PROCEDURES WITH CC,038,MS-DRG,,,,,inpatient,,,,,,11988.66305,17982.99457,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17982.99457,,MS-DRG,999999999,Case Rate,,17982.99457,,MS-DRG,999999999,Case Rate,,12588.0962,,MS-DRG,999999999,Case Rate,,12468.20957,,MS-DRG,999999999,Case Rate,,12468.20957,,MS-DRG,999999999,Case Rate,,12588.0962,,MS-DRG,999999999,Case Rate,,12707.98283,,MS-DRG,999999999,Case Rate,,12588.0962,,MS-DRG,999999999,Case Rate,,12707.98283,,MS-DRG,999999999,Case Rate,,12887.81278,,MS-DRG,999999999,Case Rate,,11988.66305,,MS-DRG,999999999,Case Rate,,12348.32294,,MS-DRG,999999999,Case Rate,,12588.0962,,MS-DRG,999999999,Case Rate,,12588.0962,,MS-DRG,999999999,Case Rate,,12707.98283,,MS-DRG,999999999,Case Rate,,11988.66305,,MS-DRG,999999999,Case Rate,,11988.66305,,MS-DRG,999999999,Case Rate,,11988.66305,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,039,MS-DRG,,,,,inpatient,,,,,,8337.46,12905.96066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12905.96066,,MS-DRG,999999999,Case Rate,,12905.96066,,MS-DRG,999999999,Case Rate,,9034.172461,,MS-DRG,999999999,Case Rate,,8948.132723,,MS-DRG,999999999,Case Rate,,8948.132723,,MS-DRG,8337.46,Case Rate,,9034.172461,,MS-DRG,999999999,Case Rate,,9120.212199,,MS-DRG,999999999,Case Rate,,9034.172461,,MS-DRG,999999999,Case Rate,,9120.212199,,MS-DRG,999999999,Case Rate,,9249.271805,,MS-DRG,999999999,Case Rate,,8603.973772,,MS-DRG,999999999,Case Rate,,8862.092986,,MS-DRG,999999999,Case Rate,,9034.172461,,MS-DRG,999999999,Case Rate,,9034.172461,,MS-DRG,999999999,Case Rate,,9120.212199,,MS-DRG,999999999,Case Rate,,8603.973772,,MS-DRG,999999999,Case Rate,,8603.973772,,MS-DRG,999999999,Case Rate,,8603.973772,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",040,MS-DRG,,,,,inpatient,,,,,,27447.62857,288566.86,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41171.44286,,MS-DRG,999999999,Case Rate,,41171.44286,,MS-DRG,999999999,Case Rate,,28820.01,,MS-DRG,999999999,Case Rate,,28545.53371,,MS-DRG,288566.86,Case Rate,,28545.53371,,MS-DRG,999999999,Case Rate,,28820.01,,MS-DRG,999999999,Case Rate,,29094.48628,,MS-DRG,999999999,Case Rate,,28820.01,,MS-DRG,999999999,Case Rate,,29094.48628,,MS-DRG,999999999,Case Rate,,29506.20071,,MS-DRG,999999999,Case Rate,,27447.62857,,MS-DRG,999999999,Case Rate,,28271.05743,,MS-DRG,999999999,Case Rate,,28820.01,,MS-DRG,999999999,Case Rate,,28820.01,,MS-DRG,999999999,Case Rate,,29094.48628,,MS-DRG,999999999,Case Rate,,27447.62857,,MS-DRG,999999999,Case Rate,,27447.62857,,MS-DRG,999999999,Case Rate,,27447.62857,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",041,MS-DRG,,,,,inpatient,,,,,,105.21,24925.14896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24925.14896,,MS-DRG,999999999,Case Rate,,24925.14896,,MS-DRG,999999999,Case Rate,,17447.60427,,MS-DRG,999999999,Case Rate,,17281.43661,,MS-DRG,999999999,Case Rate,,17281.43661,,MS-DRG,105.21,Case Rate,,17447.60427,,MS-DRG,999999999,Case Rate,,17613.77193,,MS-DRG,999999999,Case Rate,,17447.60427,,MS-DRG,999999999,Case Rate,,17613.77193,,MS-DRG,999999999,Case Rate,,17863.02342,,MS-DRG,6438.4,Case Rate,,16616.76597,,MS-DRG,999999999,Case Rate,,17115.26895,,MS-DRG,999999999,Case Rate,,17447.60427,,MS-DRG,999999999,Case Rate,,17447.60427,,MS-DRG,999999999,Case Rate,,17613.77193,,MS-DRG,999999999,Case Rate,,16616.76597,,MS-DRG,999999999,Case Rate,,16616.76597,,MS-DRG,999999999,Case Rate,,16616.76597,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",042,MS-DRG,,,,,inpatient,,,,,,13035.33403,19553.00104,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19553.00104,,MS-DRG,999999999,Case Rate,,19553.00104,,MS-DRG,999999999,Case Rate,,13687.10073,,MS-DRG,999999999,Case Rate,,13556.74739,,MS-DRG,999999999,Case Rate,,13556.74739,,MS-DRG,999999999,Case Rate,,13687.10073,,MS-DRG,999999999,Case Rate,,13817.45407,,MS-DRG,999999999,Case Rate,,13687.10073,,MS-DRG,999999999,Case Rate,,13817.45407,,MS-DRG,999999999,Case Rate,,14012.98408,,MS-DRG,999999999,Case Rate,,13035.33403,,MS-DRG,999999999,Case Rate,,13426.39405,,MS-DRG,999999999,Case Rate,,13687.10073,,MS-DRG,999999999,Case Rate,,13687.10073,,MS-DRG,999999999,Case Rate,,13817.45407,,MS-DRG,999999999,Case Rate,,13035.33403,,MS-DRG,999999999,Case Rate,,13035.33403,,MS-DRG,999999999,Case Rate,,13035.33403,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPINAL DISORDERS AND INJURIES WITH CC/MCC,052,MS-DRG,,,,,inpatient,,,,,,14858.95968,22288.43952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22288.43952,,MS-DRG,999999999,Case Rate,,22288.43952,,MS-DRG,999999999,Case Rate,,15601.90767,,MS-DRG,999999999,Case Rate,,15453.31807,,MS-DRG,999999999,Case Rate,,15453.31807,,MS-DRG,999999999,Case Rate,,15601.90767,,MS-DRG,999999999,Case Rate,,15750.49726,,MS-DRG,999999999,Case Rate,,15601.90767,,MS-DRG,999999999,Case Rate,,15750.49726,,MS-DRG,999999999,Case Rate,,15973.38166,,MS-DRG,999999999,Case Rate,,14858.95968,,MS-DRG,999999999,Case Rate,,15304.72847,,MS-DRG,999999999,Case Rate,,15601.90767,,MS-DRG,999999999,Case Rate,,15601.90767,,MS-DRG,999999999,Case Rate,,15750.49726,,MS-DRG,999999999,Case Rate,,14858.95968,,MS-DRG,999999999,Case Rate,,14858.95968,,MS-DRG,999999999,Case Rate,,14858.95968,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,053,MS-DRG,,,,,inpatient,,,,,,7052.92614,10579.38921,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10579.38921,,MS-DRG,999999999,Case Rate,,10579.38921,,MS-DRG,999999999,Case Rate,,7405.572447,,MS-DRG,999999999,Case Rate,,7335.043185,,MS-DRG,999999999,Case Rate,,7335.043185,,MS-DRG,999999999,Case Rate,,7405.572447,,MS-DRG,999999999,Case Rate,,7476.101708,,MS-DRG,999999999,Case Rate,,7405.572447,,MS-DRG,999999999,Case Rate,,7476.101708,,MS-DRG,999999999,Case Rate,,7581.8956,,MS-DRG,999999999,Case Rate,,7052.92614,,MS-DRG,999999999,Case Rate,,7264.513924,,MS-DRG,999999999,Case Rate,,7405.572447,,MS-DRG,999999999,Case Rate,,7405.572447,,MS-DRG,999999999,Case Rate,,7476.101708,,MS-DRG,999999999,Case Rate,,7052.92614,,MS-DRG,999999999,Case Rate,,7052.92614,,MS-DRG,999999999,Case Rate,,7052.92614,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NERVOUS SYSTEM NEOPLASMS WITH MCC,054,MS-DRG,,,,,inpatient,,,,,,6930.275,16778.92946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16778.92946,,MS-DRG,999999999,Case Rate,,16778.92946,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,6930.275,Case Rate,,11633.39109,,MS-DRG,999999999,Case Rate,,11633.39109,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11857.11015,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11857.11015,,MS-DRG,999999999,Case Rate,,12024.89945,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,11521.53156,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11857.11015,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,055,MS-DRG,,,,,inpatient,,,,,,8266.291815,12399.43772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12399.43772,,MS-DRG,999999999,Case Rate,,12399.43772,,MS-DRG,999999999,Case Rate,,8679.606406,,MS-DRG,999999999,Case Rate,,8596.943488,,MS-DRG,999999999,Case Rate,,8596.943488,,MS-DRG,999999999,Case Rate,,8679.606406,,MS-DRG,999999999,Case Rate,,8762.269324,,MS-DRG,999999999,Case Rate,,8679.606406,,MS-DRG,999999999,Case Rate,,8762.269324,,MS-DRG,999999999,Case Rate,,8886.263702,,MS-DRG,999999999,Case Rate,,8266.291815,,MS-DRG,999999999,Case Rate,,8514.28057,,MS-DRG,999999999,Case Rate,,8679.606406,,MS-DRG,999999999,Case Rate,,8679.606406,,MS-DRG,999999999,Case Rate,,8762.269324,,MS-DRG,999999999,Case Rate,,8266.291815,,MS-DRG,999999999,Case Rate,,8266.291815,,MS-DRG,999999999,Case Rate,,8266.291815,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,056,MS-DRG,,,,,inpatient,,,,,,586.57,27564.00467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27564.00467,,MS-DRG,999999999,Case Rate,,27564.00467,,MS-DRG,999999999,Case Rate,,19294.80327,,MS-DRG,1357.38,Case Rate,,19111.04324,,MS-DRG,17950.985,Case Rate,,19111.04324,,MS-DRG,10454.05667,Case Rate,,19294.80327,,MS-DRG,999999999,Case Rate,,19478.5633,,MS-DRG,999999999,Case Rate,,19294.80327,,MS-DRG,999999999,Case Rate,,19478.5633,,MS-DRG,999999999,Case Rate,,19754.20335,,MS-DRG,586.57,Case Rate,,18376.00312,,MS-DRG,999999999,Case Rate,,18927.28321,,MS-DRG,999999999,Case Rate,,19294.80327,,MS-DRG,999999999,Case Rate,,19294.80327,,MS-DRG,999999999,Case Rate,,19478.5633,,MS-DRG,999999999,Case Rate,,18376.00312,,MS-DRG,999999999,Case Rate,,18376.00312,,MS-DRG,999999999,Case Rate,,18376.00312,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,057,MS-DRG,,,,,inpatient,,,,,,64.3,15011.46489,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15011.46489,,MS-DRG,999999999,Case Rate,,15011.46489,,MS-DRG,999999999,Case Rate,,10508.02543,,MS-DRG,64.3,Case Rate,,10407.94899,,MS-DRG,999999999,Case Rate,,10407.94899,,MS-DRG,7837.95,Case Rate,,10508.02543,,MS-DRG,999999999,Case Rate,,10608.10186,,MS-DRG,999999999,Case Rate,,10508.02543,,MS-DRG,999999999,Case Rate,,10608.10186,,MS-DRG,999999999,Case Rate,,10758.21651,,MS-DRG,3055.76,Case Rate,,10007.64326,,MS-DRG,999999999,Case Rate,,10307.87256,,MS-DRG,999999999,Case Rate,,10508.02543,,MS-DRG,999999999,Case Rate,,10508.02543,,MS-DRG,999999999,Case Rate,,10608.10186,,MS-DRG,999999999,Case Rate,,10007.64326,,MS-DRG,999999999,Case Rate,,10007.64326,,MS-DRG,999999999,Case Rate,,10007.64326,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,058,MS-DRG,,,,,inpatient,,,,,,13667.05684,20500.58526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20500.58526,,MS-DRG,999999999,Case Rate,,20500.58526,,MS-DRG,999999999,Case Rate,,14350.40969,,MS-DRG,999999999,Case Rate,,14213.73912,,MS-DRG,999999999,Case Rate,,14213.73912,,MS-DRG,999999999,Case Rate,,14350.40969,,MS-DRG,999999999,Case Rate,,14487.08025,,MS-DRG,999999999,Case Rate,,14350.40969,,MS-DRG,999999999,Case Rate,,14487.08025,,MS-DRG,999999999,Case Rate,,14692.08611,,MS-DRG,999999999,Case Rate,,13667.05684,,MS-DRG,999999999,Case Rate,,14077.06855,,MS-DRG,999999999,Case Rate,,14350.40969,,MS-DRG,999999999,Case Rate,,14350.40969,,MS-DRG,999999999,Case Rate,,14487.08025,,MS-DRG,999999999,Case Rate,,13667.05684,,MS-DRG,999999999,Case Rate,,13667.05684,,MS-DRG,999999999,Case Rate,,13667.05684,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,059,MS-DRG,,,,,inpatient,,,,,,9214.949178,13822.42377,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13822.42377,,MS-DRG,999999999,Case Rate,,13822.42377,,MS-DRG,999999999,Case Rate,,9675.696636,,MS-DRG,999999999,Case Rate,,9583.547145,,MS-DRG,999999999,Case Rate,,9583.547145,,MS-DRG,999999999,Case Rate,,9675.696636,,MS-DRG,999999999,Case Rate,,9767.846128,,MS-DRG,999999999,Case Rate,,9675.696636,,MS-DRG,999999999,Case Rate,,9767.846128,,MS-DRG,999999999,Case Rate,,9906.070366,,MS-DRG,999999999,Case Rate,,9214.949178,,MS-DRG,999999999,Case Rate,,9491.397653,,MS-DRG,999999999,Case Rate,,9675.696636,,MS-DRG,999999999,Case Rate,,9675.696636,,MS-DRG,999999999,Case Rate,,9767.846128,,MS-DRG,999999999,Case Rate,,9214.949178,,MS-DRG,999999999,Case Rate,,9214.949178,,MS-DRG,999999999,Case Rate,,9214.949178,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,060,MS-DRG,,,,,inpatient,,,,,,6845.452056,10268.17808,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10268.17808,,MS-DRG,999999999,Case Rate,,10268.17808,,MS-DRG,999999999,Case Rate,,7187.724659,,MS-DRG,999999999,Case Rate,,7119.270138,,MS-DRG,999999999,Case Rate,,7119.270138,,MS-DRG,999999999,Case Rate,,7187.724659,,MS-DRG,999999999,Case Rate,,7256.179179,,MS-DRG,999999999,Case Rate,,7187.724659,,MS-DRG,999999999,Case Rate,,7256.179179,,MS-DRG,999999999,Case Rate,,7358.86096,,MS-DRG,999999999,Case Rate,,6845.452056,,MS-DRG,999999999,Case Rate,,7050.815618,,MS-DRG,999999999,Case Rate,,7187.724659,,MS-DRG,999999999,Case Rate,,7187.724659,,MS-DRG,999999999,Case Rate,,7256.179179,,MS-DRG,999999999,Case Rate,,6845.452056,,MS-DRG,999999999,Case Rate,,6845.452056,,MS-DRG,999999999,Case Rate,,6845.452056,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",061,MS-DRG,,,,,inpatient,,,,,,19801.85087,29702.77631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29702.77631,,MS-DRG,999999999,Case Rate,,29702.77631,,MS-DRG,999999999,Case Rate,,20791.94341,,MS-DRG,999999999,Case Rate,,20593.92491,,MS-DRG,999999999,Case Rate,,20593.92491,,MS-DRG,999999999,Case Rate,,20791.94341,,MS-DRG,999999999,Case Rate,,20989.96192,,MS-DRG,999999999,Case Rate,,20791.94341,,MS-DRG,999999999,Case Rate,,20989.96192,,MS-DRG,999999999,Case Rate,,21286.98969,,MS-DRG,999999999,Case Rate,,19801.85087,,MS-DRG,999999999,Case Rate,,20395.9064,,MS-DRG,999999999,Case Rate,,20791.94341,,MS-DRG,999999999,Case Rate,,20791.94341,,MS-DRG,999999999,Case Rate,,20989.96192,,MS-DRG,999999999,Case Rate,,19801.85087,,MS-DRG,999999999,Case Rate,,19801.85087,,MS-DRG,999999999,Case Rate,,19801.85087,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",062,MS-DRG,,,,,inpatient,,,,,,13202.02872,19803.04309,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19803.04309,,MS-DRG,999999999,Case Rate,,19803.04309,,MS-DRG,999999999,Case Rate,,13862.13016,,MS-DRG,999999999,Case Rate,,13730.10987,,MS-DRG,999999999,Case Rate,,13730.10987,,MS-DRG,13296.68,Case Rate,,13862.13016,,MS-DRG,999999999,Case Rate,,13994.15045,,MS-DRG,999999999,Case Rate,,13862.13016,,MS-DRG,999999999,Case Rate,,13994.15045,,MS-DRG,999999999,Case Rate,,14192.18088,,MS-DRG,13774.495,Case Rate,,13202.02872,,MS-DRG,999999999,Case Rate,,13598.08959,,MS-DRG,999999999,Case Rate,,13862.13016,,MS-DRG,999999999,Case Rate,,13862.13016,,MS-DRG,999999999,Case Rate,,13994.15045,,MS-DRG,999999999,Case Rate,,13202.02872,,MS-DRG,999999999,Case Rate,,13202.02872,,MS-DRG,999999999,Case Rate,,13202.02872,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",063,MS-DRG,,,,,inpatient,,,,,,10511.30449,15766.95673,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15766.95673,,MS-DRG,999999999,Case Rate,,15766.95673,,MS-DRG,999999999,Case Rate,,11036.86971,,MS-DRG,999999999,Case Rate,,10931.75667,,MS-DRG,999999999,Case Rate,,10931.75667,,MS-DRG,999999999,Case Rate,,11036.86971,,MS-DRG,999999999,Case Rate,,11141.98276,,MS-DRG,999999999,Case Rate,,11036.86971,,MS-DRG,999999999,Case Rate,,11141.98276,,MS-DRG,999999999,Case Rate,,11299.65232,,MS-DRG,999999999,Case Rate,,10511.30449,,MS-DRG,999999999,Case Rate,,10826.64362,,MS-DRG,999999999,Case Rate,,11036.86971,,MS-DRG,999999999,Case Rate,,11036.86971,,MS-DRG,999999999,Case Rate,,11141.98276,,MS-DRG,999999999,Case Rate,,10511.30449,,MS-DRG,999999999,Case Rate,,10511.30449,,MS-DRG,999999999,Case Rate,,10511.30449,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,064,MS-DRG,,,,,inpatient,,,,,,10165.88,22038.39748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22038.39748,,MS-DRG,999999999,Case Rate,,22038.39748,,MS-DRG,999999999,Case Rate,,15426.87824,,MS-DRG,10165.88,Case Rate,,15279.95559,,MS-DRG,12925.42,Case Rate,,15279.95559,,MS-DRG,13242.38083,Case Rate,,15426.87824,,MS-DRG,999999999,Case Rate,,15573.80089,,MS-DRG,999999999,Case Rate,,15426.87824,,MS-DRG,999999999,Case Rate,,15573.80089,,MS-DRG,999999999,Case Rate,,15794.18486,,MS-DRG,12948.21667,Case Rate,,14692.26499,,MS-DRG,999999999,Case Rate,,15133.03294,,MS-DRG,999999999,Case Rate,,15426.87824,,MS-DRG,999999999,Case Rate,,15426.87824,,MS-DRG,999999999,Case Rate,,15573.80089,,MS-DRG,999999999,Case Rate,,14692.26499,,MS-DRG,999999999,Case Rate,,14692.26499,,MS-DRG,999999999,Case Rate,,14692.26499,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,065,MS-DRG,,,,,inpatient,,,,,,3609.76,11604.23964,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11604.23964,,MS-DRG,999999999,Case Rate,,11604.23964,,MS-DRG,999999999,Case Rate,,8122.967748,,MS-DRG,3609.76,Case Rate,,8045.606151,,MS-DRG,6982.85,Case Rate,,8045.606151,,MS-DRG,6468.577,Case Rate,,8122.967748,,MS-DRG,999999999,Case Rate,,8200.329346,,MS-DRG,999999999,Case Rate,,8122.967748,,MS-DRG,999999999,Case Rate,,8200.329346,,MS-DRG,999999999,Case Rate,,8316.371742,,MS-DRG,5583.263333,Case Rate,,7736.15976,,MS-DRG,999999999,Case Rate,,7968.244553,,MS-DRG,999999999,Case Rate,,8122.967748,,MS-DRG,999999999,Case Rate,,8122.967748,,MS-DRG,999999999,Case Rate,,8200.329346,,MS-DRG,999999999,Case Rate,,7736.15976,,MS-DRG,999999999,Case Rate,,7736.15976,,MS-DRG,999999999,Case Rate,,7736.15976,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,066,MS-DRG,,,,,inpatient,,,,,,32.43,8077.895645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8077.895645,,MS-DRG,999999999,Case Rate,,8077.895645,,MS-DRG,999999999,Case Rate,,5654.526951,,MS-DRG,3979.795,Case Rate,,5600.674314,,MS-DRG,32.43,Case Rate,,5600.674314,,MS-DRG,912.1,Case Rate,,5654.526951,,MS-DRG,999999999,Case Rate,,5708.379589,,MS-DRG,999999999,Case Rate,,5654.526951,,MS-DRG,999999999,Case Rate,,5708.379589,,MS-DRG,999999999,Case Rate,,5789.158545,,MS-DRG,3367.105,Case Rate,,5385.263763,,MS-DRG,999999999,Case Rate,,5546.821676,,MS-DRG,999999999,Case Rate,,5654.526951,,MS-DRG,999999999,Case Rate,,5654.526951,,MS-DRG,999999999,Case Rate,,5708.379589,,MS-DRG,999999999,Case Rate,,5385.263763,,MS-DRG,999999999,Case Rate,,5385.263763,,MS-DRG,999999999,Case Rate,,5385.263763,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,067,MS-DRG,,,,,inpatient,,,,,,7051.76,16304.60078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16304.60078,,MS-DRG,999999999,Case Rate,,16304.60078,,MS-DRG,999999999,Case Rate,,11413.22054,,MS-DRG,999999999,Case Rate,,11304.52321,,MS-DRG,999999999,Case Rate,,11304.52321,,MS-DRG,7051.76,Case Rate,,11413.22054,,MS-DRG,999999999,Case Rate,,11521.91788,,MS-DRG,999999999,Case Rate,,11413.22054,,MS-DRG,999999999,Case Rate,,11521.91788,,MS-DRG,999999999,Case Rate,,11684.96389,,MS-DRG,10929.71,Case Rate,,10869.73385,,MS-DRG,999999999,Case Rate,,11195.82587,,MS-DRG,999999999,Case Rate,,11413.22054,,MS-DRG,999999999,Case Rate,,11413.22054,,MS-DRG,999999999,Case Rate,,11521.91788,,MS-DRG,999999999,Case Rate,,10869.73385,,MS-DRG,999999999,Case Rate,,10869.73385,,MS-DRG,999999999,Case Rate,,10869.73385,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,068,MS-DRG,,,,,inpatient,,,,,,4633.93,10151.20563,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10151.20563,,MS-DRG,999999999,Case Rate,,10151.20563,,MS-DRG,999999999,Case Rate,,7105.843938,,MS-DRG,4633.93,Case Rate,,7038.169234,,MS-DRG,999999999,Case Rate,,7038.169234,,MS-DRG,6098.715,Case Rate,,7105.843938,,MS-DRG,999999999,Case Rate,,7173.518643,,MS-DRG,999999999,Case Rate,,7105.843938,,MS-DRG,999999999,Case Rate,,7173.518643,,MS-DRG,999999999,Case Rate,,7275.030699,,MS-DRG,999999999,Case Rate,,6767.470417,,MS-DRG,999999999,Case Rate,,6970.49453,,MS-DRG,999999999,Case Rate,,7105.843938,,MS-DRG,999999999,Case Rate,,7105.843938,,MS-DRG,999999999,Case Rate,,7173.518643,,MS-DRG,999999999,Case Rate,,6767.470417,,MS-DRG,999999999,Case Rate,,6767.470417,,MS-DRG,999999999,Case Rate,,6767.470417,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,069,MS-DRG,,,,,inpatient,,,,,,1569.09,9277.668191,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9277.668191,,MS-DRG,999999999,Case Rate,,9277.668191,,MS-DRG,999999999,Case Rate,,6494.367734,,MS-DRG,6103.18,Case Rate,,6432.516612,,MS-DRG,999999999,Case Rate,,6432.516612,,MS-DRG,1569.09,Case Rate,,6494.367734,,MS-DRG,999999999,Case Rate,,6556.218855,,MS-DRG,999999999,Case Rate,,6494.367734,,MS-DRG,999999999,Case Rate,,6556.218855,,MS-DRG,999999999,Case Rate,,6648.995537,,MS-DRG,1770.94,Case Rate,,6185.112127,,MS-DRG,999999999,Case Rate,,6370.665491,,MS-DRG,999999999,Case Rate,,6494.367734,,MS-DRG,999999999,Case Rate,,6494.367734,,MS-DRG,999999999,Case Rate,,6556.218855,,MS-DRG,999999999,Case Rate,,6185.112127,,MS-DRG,999999999,Case Rate,,6185.112127,,MS-DRG,999999999,Case Rate,,6185.112127,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,070,MS-DRG,,,,,inpatient,,,,,,8392.23,19351.25038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19351.25038,,MS-DRG,999999999,Case Rate,,19351.25038,,MS-DRG,999999999,Case Rate,,13545.87527,,MS-DRG,11508.08,Case Rate,,13416.86693,,MS-DRG,12613.33,Case Rate,,13416.86693,,MS-DRG,8392.23,Case Rate,,13545.87527,,MS-DRG,999999999,Case Rate,,13674.8836,,MS-DRG,999999999,Case Rate,,13545.87527,,MS-DRG,999999999,Case Rate,,13674.8836,,MS-DRG,999999999,Case Rate,,13868.39611,,MS-DRG,999999999,Case Rate,,12900.83359,,MS-DRG,999999999,Case Rate,,13287.8586,,MS-DRG,999999999,Case Rate,,13545.87527,,MS-DRG,999999999,Case Rate,,13545.87527,,MS-DRG,999999999,Case Rate,,13674.8836,,MS-DRG,999999999,Case Rate,,12900.83359,,MS-DRG,999999999,Case Rate,,12900.83359,,MS-DRG,999999999,Case Rate,,12900.83359,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,071,MS-DRG,,,,,inpatient,,,,,,5520.023333,12001.30211,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12001.30211,,MS-DRG,999999999,Case Rate,,12001.30211,,MS-DRG,999999999,Case Rate,,8400.911478,,MS-DRG,999999999,Case Rate,,8320.902797,,MS-DRG,999999999,Case Rate,,8320.902797,,MS-DRG,5520.023333,Case Rate,,8400.911478,,MS-DRG,999999999,Case Rate,,8480.920158,,MS-DRG,999999999,Case Rate,,8400.911478,,MS-DRG,999999999,Case Rate,,8480.920158,,MS-DRG,999999999,Case Rate,,8600.933179,,MS-DRG,999999999,Case Rate,,8000.868074,,MS-DRG,999999999,Case Rate,,8240.894116,,MS-DRG,999999999,Case Rate,,8400.911478,,MS-DRG,999999999,Case Rate,,8400.911478,,MS-DRG,999999999,Case Rate,,8480.920158,,MS-DRG,999999999,Case Rate,,8000.868074,,MS-DRG,999999999,Case Rate,,8000.868074,,MS-DRG,999999999,Case Rate,,8000.868074,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,072,MS-DRG,,,,,inpatient,,,,,,5828.113618,8742.170427,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8742.170427,,MS-DRG,999999999,Case Rate,,8742.170427,,MS-DRG,999999999,Case Rate,,6119.519299,,MS-DRG,999999999,Case Rate,,6061.238162,,MS-DRG,999999999,Case Rate,,6061.238162,,MS-DRG,999999999,Case Rate,,6119.519299,,MS-DRG,999999999,Case Rate,,6177.800435,,MS-DRG,999999999,Case Rate,,6119.519299,,MS-DRG,999999999,Case Rate,,6177.800435,,MS-DRG,999999999,Case Rate,,6265.222139,,MS-DRG,999999999,Case Rate,,5828.113618,,MS-DRG,999999999,Case Rate,,6002.957026,,MS-DRG,999999999,Case Rate,,6119.519299,,MS-DRG,999999999,Case Rate,,6119.519299,,MS-DRG,999999999,Case Rate,,6177.800435,,MS-DRG,999999999,Case Rate,,5828.113618,,MS-DRG,999999999,Case Rate,,5828.113618,,MS-DRG,999999999,Case Rate,,5828.113618,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,073,MS-DRG,,,,,inpatient,,,,,,11518.62693,17277.9404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17277.9404,,MS-DRG,999999999,Case Rate,,17277.9404,,MS-DRG,999999999,Case Rate,,12094.55828,,MS-DRG,999999999,Case Rate,,11979.37201,,MS-DRG,999999999,Case Rate,,11979.37201,,MS-DRG,999999999,Case Rate,,12094.55828,,MS-DRG,999999999,Case Rate,,12209.74455,,MS-DRG,999999999,Case Rate,,12094.55828,,MS-DRG,999999999,Case Rate,,12209.74455,,MS-DRG,999999999,Case Rate,,12382.52395,,MS-DRG,999999999,Case Rate,,11518.62693,,MS-DRG,999999999,Case Rate,,11864.18574,,MS-DRG,999999999,Case Rate,,12094.55828,,MS-DRG,999999999,Case Rate,,12094.55828,,MS-DRG,999999999,Case Rate,,12209.74455,,MS-DRG,999999999,Case Rate,,11518.62693,,MS-DRG,999999999,Case Rate,,11518.62693,,MS-DRG,999999999,Case Rate,,11518.62693,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,074,MS-DRG,,,,,inpatient,,,,,,2479.31,11877.8908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11877.8908,,MS-DRG,999999999,Case Rate,,11877.8908,,MS-DRG,999999999,Case Rate,,8314.523562,,MS-DRG,999999999,Case Rate,,8235.337623,,MS-DRG,999999999,Case Rate,,8235.337623,,MS-DRG,2479.31,Case Rate,,8314.523562,,MS-DRG,999999999,Case Rate,,8393.7095,,MS-DRG,999999999,Case Rate,,8314.523562,,MS-DRG,999999999,Case Rate,,8393.7095,,MS-DRG,999999999,Case Rate,,8512.488408,,MS-DRG,999999999,Case Rate,,7918.593868,,MS-DRG,999999999,Case Rate,,8156.151684,,MS-DRG,999999999,Case Rate,,8314.523562,,MS-DRG,999999999,Case Rate,,8314.523562,,MS-DRG,999999999,Case Rate,,8393.7095,,MS-DRG,999999999,Case Rate,,7918.593868,,MS-DRG,999999999,Case Rate,,7918.593868,,MS-DRG,999999999,Case Rate,,7918.593868,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIRAL MENINGITIS WITH CC/MCC,075,MS-DRG,,,,,inpatient,,,,,,12783.50342,19175.25513,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19175.25513,,MS-DRG,999999999,Case Rate,,19175.25513,,MS-DRG,999999999,Case Rate,,13422.67859,,MS-DRG,999999999,Case Rate,,13294.84355,,MS-DRG,999999999,Case Rate,,13294.84355,,MS-DRG,999999999,Case Rate,,13422.67859,,MS-DRG,999999999,Case Rate,,13550.51362,,MS-DRG,999999999,Case Rate,,13422.67859,,MS-DRG,999999999,Case Rate,,13550.51362,,MS-DRG,999999999,Case Rate,,13742.26617,,MS-DRG,999999999,Case Rate,,12783.50342,,MS-DRG,999999999,Case Rate,,13167.00852,,MS-DRG,999999999,Case Rate,,13422.67859,,MS-DRG,999999999,Case Rate,,13422.67859,,MS-DRG,999999999,Case Rate,,13550.51362,,MS-DRG,999999999,Case Rate,,12783.50342,,MS-DRG,999999999,Case Rate,,12783.50342,,MS-DRG,999999999,Case Rate,,12783.50342,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIRAL MENINGITIS WITHOUT CC/MCC,076,MS-DRG,,,,,inpatient,,,,,,7020.731885,10531.09783,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10531.09783,,MS-DRG,999999999,Case Rate,,10531.09783,,MS-DRG,999999999,Case Rate,,7371.768479,,MS-DRG,999999999,Case Rate,,7301.561161,,MS-DRG,999999999,Case Rate,,7301.561161,,MS-DRG,999999999,Case Rate,,7371.768479,,MS-DRG,999999999,Case Rate,,7441.975798,,MS-DRG,999999999,Case Rate,,7371.768479,,MS-DRG,999999999,Case Rate,,7441.975798,,MS-DRG,999999999,Case Rate,,7547.286777,,MS-DRG,999999999,Case Rate,,7020.731885,,MS-DRG,999999999,Case Rate,,7231.353842,,MS-DRG,999999999,Case Rate,,7371.768479,,MS-DRG,999999999,Case Rate,,7371.768479,,MS-DRG,999999999,Case Rate,,7441.975798,,MS-DRG,999999999,Case Rate,,7020.731885,,MS-DRG,999999999,Case Rate,,7020.731885,,MS-DRG,999999999,Case Rate,,7020.731885,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYPERTENSIVE ENCEPHALOPATHY WITH MCC,077,MS-DRG,,,,,inpatient,,,,,,11523.63493,17285.4524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17285.4524,,MS-DRG,999999999,Case Rate,,17285.4524,,MS-DRG,999999999,Case Rate,,12099.81668,,MS-DRG,999999999,Case Rate,,11984.58033,,MS-DRG,999999999,Case Rate,,11984.58033,,MS-DRG,999999999,Case Rate,,12099.81668,,MS-DRG,999999999,Case Rate,,12215.05303,,MS-DRG,999999999,Case Rate,,12099.81668,,MS-DRG,999999999,Case Rate,,12215.05303,,MS-DRG,999999999,Case Rate,,12387.90755,,MS-DRG,999999999,Case Rate,,11523.63493,,MS-DRG,999999999,Case Rate,,11869.34398,,MS-DRG,999999999,Case Rate,,12099.81668,,MS-DRG,999999999,Case Rate,,12099.81668,,MS-DRG,999999999,Case Rate,,12215.05303,,MS-DRG,999999999,Case Rate,,11523.63493,,MS-DRG,999999999,Case Rate,,11523.63493,,MS-DRG,999999999,Case Rate,,11523.63493,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYPERTENSIVE ENCEPHALOPATHY WITH CC,078,MS-DRG,,,,,inpatient,,,,,,7372.2,11400.3427,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11400.3427,,MS-DRG,999999999,Case Rate,,11400.3427,,MS-DRG,999999999,Case Rate,,7980.239887,,MS-DRG,999999999,Case Rate,,7904.237602,,MS-DRG,999999999,Case Rate,,7904.237602,,MS-DRG,7372.2,Case Rate,,7980.239887,,MS-DRG,999999999,Case Rate,,8056.242172,,MS-DRG,999999999,Case Rate,,7980.239887,,MS-DRG,999999999,Case Rate,,8056.242172,,MS-DRG,999999999,Case Rate,,8170.245599,,MS-DRG,999999999,Case Rate,,7600.228464,,MS-DRG,999999999,Case Rate,,7828.235318,,MS-DRG,999999999,Case Rate,,7980.239887,,MS-DRG,999999999,Case Rate,,7980.239887,,MS-DRG,999999999,Case Rate,,8056.242172,,MS-DRG,999999999,Case Rate,,7600.228464,,MS-DRG,999999999,Case Rate,,7600.228464,,MS-DRG,999999999,Case Rate,,7600.228464,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,079,MS-DRG,,,,,inpatient,,,,,,5230.731342,7846.097013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7846.097013,,MS-DRG,999999999,Case Rate,,7846.097013,,MS-DRG,999999999,Case Rate,,5492.267909,,MS-DRG,999999999,Case Rate,,5439.960596,,MS-DRG,999999999,Case Rate,,5439.960596,,MS-DRG,999999999,Case Rate,,5492.267909,,MS-DRG,999999999,Case Rate,,5544.575223,,MS-DRG,999999999,Case Rate,,5492.267909,,MS-DRG,999999999,Case Rate,,5544.575223,,MS-DRG,999999999,Case Rate,,5623.036193,,MS-DRG,999999999,Case Rate,,5230.731342,,MS-DRG,999999999,Case Rate,,5387.653282,,MS-DRG,999999999,Case Rate,,5492.267909,,MS-DRG,999999999,Case Rate,,5492.267909,,MS-DRG,999999999,Case Rate,,5544.575223,,MS-DRG,999999999,Case Rate,,5230.731342,,MS-DRG,999999999,Case Rate,,5230.731342,,MS-DRG,999999999,Case Rate,,5230.731342,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NONTRAUMATIC STUPOR AND COMA WITH MCC,080,MS-DRG,,,,,inpatient,,,,,,14682.249,22023.3735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22023.3735,,MS-DRG,999999999,Case Rate,,22023.3735,,MS-DRG,999999999,Case Rate,,15416.36145,,MS-DRG,999999999,Case Rate,,15269.53896,,MS-DRG,999999999,Case Rate,,15269.53896,,MS-DRG,999999999,Case Rate,,15416.36145,,MS-DRG,999999999,Case Rate,,15563.18394,,MS-DRG,999999999,Case Rate,,15416.36145,,MS-DRG,999999999,Case Rate,,15563.18394,,MS-DRG,999999999,Case Rate,,15783.41767,,MS-DRG,999999999,Case Rate,,14682.249,,MS-DRG,999999999,Case Rate,,15122.71647,,MS-DRG,999999999,Case Rate,,15416.36145,,MS-DRG,999999999,Case Rate,,15416.36145,,MS-DRG,999999999,Case Rate,,15563.18394,,MS-DRG,999999999,Case Rate,,14682.249,,MS-DRG,999999999,Case Rate,,14682.249,,MS-DRG,999999999,Case Rate,,14682.249,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,081,MS-DRG,,,,,inpatient,,,,,,6934.165112,10401.24767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10401.24767,,MS-DRG,999999999,Case Rate,,10401.24767,,MS-DRG,999999999,Case Rate,,7280.873368,,MS-DRG,999999999,Case Rate,,7211.531717,,MS-DRG,999999999,Case Rate,,7211.531717,,MS-DRG,999999999,Case Rate,,7280.873368,,MS-DRG,999999999,Case Rate,,7350.215019,,MS-DRG,999999999,Case Rate,,7280.873368,,MS-DRG,999999999,Case Rate,,7350.215019,,MS-DRG,999999999,Case Rate,,7454.227496,,MS-DRG,999999999,Case Rate,,6934.165112,,MS-DRG,999999999,Case Rate,,7142.190066,,MS-DRG,999999999,Case Rate,,7280.873368,,MS-DRG,999999999,Case Rate,,7280.873368,,MS-DRG,999999999,Case Rate,,7350.215019,,MS-DRG,999999999,Case Rate,,6934.165112,,MS-DRG,999999999,Case Rate,,6934.165112,,MS-DRG,999999999,Case Rate,,6934.165112,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,082,MS-DRG,,,,,inpatient,,,,,,17060.33125,25590.49688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25590.49688,,MS-DRG,999999999,Case Rate,,25590.49688,,MS-DRG,999999999,Case Rate,,17913.34782,,MS-DRG,999999999,Case Rate,,17742.7445,,MS-DRG,999999999,Case Rate,,17742.7445,,MS-DRG,999999999,Case Rate,,17913.34782,,MS-DRG,999999999,Case Rate,,18083.95113,,MS-DRG,999999999,Case Rate,,17913.34782,,MS-DRG,999999999,Case Rate,,18083.95113,,MS-DRG,999999999,Case Rate,,18339.8561,,MS-DRG,999999999,Case Rate,,17060.33125,,MS-DRG,999999999,Case Rate,,17572.14119,,MS-DRG,999999999,Case Rate,,17913.34782,,MS-DRG,999999999,Case Rate,,17913.34782,,MS-DRG,999999999,Case Rate,,18083.95113,,MS-DRG,999999999,Case Rate,,17060.33125,,MS-DRG,999999999,Case Rate,,17060.33125,,MS-DRG,999999999,Case Rate,,17060.33125,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,083,MS-DRG,,,,,inpatient,,,,,,9761.9,15612.42431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15612.42431,,MS-DRG,999999999,Case Rate,,15612.42431,,MS-DRG,999999999,Case Rate,,10928.69702,,MS-DRG,999999999,Case Rate,,10824.61419,,MS-DRG,9761.9,Case Rate,,10824.61419,,MS-DRG,10099.27,Case Rate,,10928.69702,,MS-DRG,999999999,Case Rate,,11032.77985,,MS-DRG,999999999,Case Rate,,10928.69702,,MS-DRG,999999999,Case Rate,,11032.77985,,MS-DRG,999999999,Case Rate,,11188.90409,,MS-DRG,999999999,Case Rate,,10408.28287,,MS-DRG,999999999,Case Rate,,10720.53136,,MS-DRG,999999999,Case Rate,,10928.69702,,MS-DRG,999999999,Case Rate,,10928.69702,,MS-DRG,999999999,Case Rate,,11032.77985,,MS-DRG,999999999,Case Rate,,10408.28287,,MS-DRG,999999999,Case Rate,,10408.28287,,MS-DRG,999999999,Case Rate,,10408.28287,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,084,MS-DRG,,,,,inpatient,,,,,,3454.87,10951.76942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10951.76942,,MS-DRG,999999999,Case Rate,,10951.76942,,MS-DRG,999999999,Case Rate,,7666.238593,,MS-DRG,999999999,Case Rate,,7593.226797,,MS-DRG,999999999,Case Rate,,7593.226797,,MS-DRG,3454.87,Case Rate,,7666.238593,,MS-DRG,999999999,Case Rate,,7739.250389,,MS-DRG,999999999,Case Rate,,7666.238593,,MS-DRG,999999999,Case Rate,,7739.250389,,MS-DRG,999999999,Case Rate,,7848.768083,,MS-DRG,999999999,Case Rate,,7301.179612,,MS-DRG,999999999,Case Rate,,7520.215001,,MS-DRG,999999999,Case Rate,,7666.238593,,MS-DRG,999999999,Case Rate,,7666.238593,,MS-DRG,999999999,Case Rate,,7739.250389,,MS-DRG,999999999,Case Rate,,7301.179612,,MS-DRG,999999999,Case Rate,,7301.179612,,MS-DRG,999999999,Case Rate,,7301.179612,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,085,MS-DRG,,,,,inpatient,,,,,,16672.56935,28199.58667,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25008.85402,,MS-DRG,999999999,Case Rate,,25008.85402,,MS-DRG,999999999,Case Rate,,17506.19781,,MS-DRG,999999999,Case Rate,,17339.47212,,MS-DRG,999999999,Case Rate,,17339.47212,,MS-DRG,28199.58667,Case Rate,,17506.19781,,MS-DRG,999999999,Case Rate,,17672.92351,,MS-DRG,999999999,Case Rate,,17506.19781,,MS-DRG,999999999,Case Rate,,17672.92351,,MS-DRG,999999999,Case Rate,,17923.01205,,MS-DRG,999999999,Case Rate,,16672.56935,,MS-DRG,999999999,Case Rate,,17172.74643,,MS-DRG,999999999,Case Rate,,17506.19781,,MS-DRG,999999999,Case Rate,,17506.19781,,MS-DRG,999999999,Case Rate,,17672.92351,,MS-DRG,999999999,Case Rate,,16672.56935,,MS-DRG,999999999,Case Rate,,16672.56935,,MS-DRG,999999999,Case Rate,,16672.56935,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,086,MS-DRG,,,,,inpatient,,,,,,1086.58,14766.78856,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14766.78856,,MS-DRG,999999999,Case Rate,,14766.78856,,MS-DRG,999999999,Case Rate,,10336.75199,,MS-DRG,10036.87,Case Rate,,10238.30674,,MS-DRG,999999999,Case Rate,,10238.30674,,MS-DRG,1086.58,Case Rate,,10336.75199,,MS-DRG,999999999,Case Rate,,10435.19725,,MS-DRG,999999999,Case Rate,,10336.75199,,MS-DRG,999999999,Case Rate,,10435.19725,,MS-DRG,999999999,Case Rate,,10582.86514,,MS-DRG,999999999,Case Rate,,9844.525708,,MS-DRG,999999999,Case Rate,,10139.86148,,MS-DRG,999999999,Case Rate,,10336.75199,,MS-DRG,999999999,Case Rate,,10336.75199,,MS-DRG,999999999,Case Rate,,10435.19725,,MS-DRG,999999999,Case Rate,,9844.525708,,MS-DRG,999999999,Case Rate,,9844.525708,,MS-DRG,999999999,Case Rate,,9844.525708,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,087,MS-DRG,,,,,inpatient,,,,,,6785.356114,10178.03417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10178.03417,,MS-DRG,999999999,Case Rate,,10178.03417,,MS-DRG,999999999,Case Rate,,7124.62392,,MS-DRG,999999999,Case Rate,,7056.770359,,MS-DRG,999999999,Case Rate,,7056.770359,,MS-DRG,999999999,Case Rate,,7124.62392,,MS-DRG,999999999,Case Rate,,7192.477481,,MS-DRG,999999999,Case Rate,,7124.62392,,MS-DRG,999999999,Case Rate,,7192.477481,,MS-DRG,999999999,Case Rate,,7294.257823,,MS-DRG,999999999,Case Rate,,6785.356114,,MS-DRG,999999999,Case Rate,,6988.916798,,MS-DRG,999999999,Case Rate,,7124.62392,,MS-DRG,999999999,Case Rate,,7124.62392,,MS-DRG,999999999,Case Rate,,7192.477481,,MS-DRG,999999999,Case Rate,,6785.356114,,MS-DRG,999999999,Case Rate,,6785.356114,,MS-DRG,999999999,Case Rate,,6785.356114,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONCUSSION WITH MCC,088,MS-DRG,,,,,inpatient,,,,,,10553.51473,15830.2721,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15830.2721,,MS-DRG,999999999,Case Rate,,15830.2721,,MS-DRG,999999999,Case Rate,,11081.19047,,MS-DRG,999999999,Case Rate,,10975.65532,,MS-DRG,999999999,Case Rate,,10975.65532,,MS-DRG,999999999,Case Rate,,11081.19047,,MS-DRG,999999999,Case Rate,,11186.72562,,MS-DRG,999999999,Case Rate,,11081.19047,,MS-DRG,999999999,Case Rate,,11186.72562,,MS-DRG,999999999,Case Rate,,11345.02834,,MS-DRG,999999999,Case Rate,,10553.51473,,MS-DRG,999999999,Case Rate,,10870.12017,,MS-DRG,999999999,Case Rate,,11081.19047,,MS-DRG,999999999,Case Rate,,11081.19047,,MS-DRG,999999999,Case Rate,,11186.72562,,MS-DRG,999999999,Case Rate,,10553.51473,,MS-DRG,999999999,Case Rate,,10553.51473,,MS-DRG,999999999,Case Rate,,10553.51473,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONCUSSION WITH CC,089,MS-DRG,,,,,inpatient,,,,,,8131.075947,12196.61392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12196.61392,,MS-DRG,999999999,Case Rate,,12196.61392,,MS-DRG,999999999,Case Rate,,8537.629744,,MS-DRG,999999999,Case Rate,,8456.318985,,MS-DRG,999999999,Case Rate,,8456.318985,,MS-DRG,999999999,Case Rate,,8537.629744,,MS-DRG,999999999,Case Rate,,8618.940504,,MS-DRG,999999999,Case Rate,,8537.629744,,MS-DRG,999999999,Case Rate,,8618.940504,,MS-DRG,999999999,Case Rate,,8740.906643,,MS-DRG,999999999,Case Rate,,8131.075947,,MS-DRG,999999999,Case Rate,,8375.008226,,MS-DRG,999999999,Case Rate,,8537.629744,,MS-DRG,999999999,Case Rate,,8537.629744,,MS-DRG,999999999,Case Rate,,8618.940504,,MS-DRG,999999999,Case Rate,,8131.075947,,MS-DRG,999999999,Case Rate,,8131.075947,,MS-DRG,999999999,Case Rate,,8131.075947,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONCUSSION WITHOUT CC/MCC,090,MS-DRG,,,,,inpatient,,,,,,6594.336872,9891.505308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9891.505308,,MS-DRG,999999999,Case Rate,,9891.505308,,MS-DRG,999999999,Case Rate,,6924.053715,,MS-DRG,999999999,Case Rate,,6858.110347,,MS-DRG,999999999,Case Rate,,6858.110347,,MS-DRG,999999999,Case Rate,,6924.053715,,MS-DRG,999999999,Case Rate,,6989.997084,,MS-DRG,999999999,Case Rate,,6924.053715,,MS-DRG,999999999,Case Rate,,6989.997084,,MS-DRG,999999999,Case Rate,,7088.912137,,MS-DRG,999999999,Case Rate,,6594.336872,,MS-DRG,999999999,Case Rate,,6792.166978,,MS-DRG,999999999,Case Rate,,6924.053715,,MS-DRG,999999999,Case Rate,,6924.053715,,MS-DRG,999999999,Case Rate,,6989.997084,,MS-DRG,999999999,Case Rate,,6594.336872,,MS-DRG,999999999,Case Rate,,6594.336872,,MS-DRG,999999999,Case Rate,,6594.336872,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,091,MS-DRG,,,,,inpatient,,,,,,10888.49667,20253.76265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20253.76265,,MS-DRG,999999999,Case Rate,,20253.76265,,MS-DRG,999999999,Case Rate,,14177.63385,,MS-DRG,13577.27,Case Rate,,14042.60877,,MS-DRG,999999999,Case Rate,,14042.60877,,MS-DRG,10888.49667,Case Rate,,14177.63385,,MS-DRG,999999999,Case Rate,,14312.65894,,MS-DRG,999999999,Case Rate,,14177.63385,,MS-DRG,999999999,Case Rate,,14312.65894,,MS-DRG,999999999,Case Rate,,14515.19656,,MS-DRG,999999999,Case Rate,,13502.50843,,MS-DRG,999999999,Case Rate,,13907.58369,,MS-DRG,999999999,Case Rate,,14177.63385,,MS-DRG,999999999,Case Rate,,14177.63385,,MS-DRG,999999999,Case Rate,,14312.65894,,MS-DRG,999999999,Case Rate,,13502.50843,,MS-DRG,999999999,Case Rate,,13502.50843,,MS-DRG,999999999,Case Rate,,13502.50843,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,092,MS-DRG,,,,,inpatient,,,,,,4020.136667,12052.81292,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12052.81292,,MS-DRG,999999999,Case Rate,,12052.81292,,MS-DRG,999999999,Case Rate,,8436.969042,,MS-DRG,999999999,Case Rate,,8356.616956,,MS-DRG,7529.84,Case Rate,,8356.616956,,MS-DRG,6441.65,Case Rate,,8436.969042,,MS-DRG,999999999,Case Rate,,8517.321129,,MS-DRG,999999999,Case Rate,,8436.969042,,MS-DRG,999999999,Case Rate,,8517.321129,,MS-DRG,999999999,Case Rate,,8637.849258,,MS-DRG,4020.136667,Case Rate,,8035.208612,,MS-DRG,999999999,Case Rate,,8276.26487,,MS-DRG,999999999,Case Rate,,8436.969042,,MS-DRG,999999999,Case Rate,,8436.969042,,MS-DRG,999999999,Case Rate,,8517.321129,,MS-DRG,999999999,Case Rate,,8035.208612,,MS-DRG,999999999,Case Rate,,8035.208612,,MS-DRG,999999999,Case Rate,,8035.208612,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,093,MS-DRG,,,,,inpatient,,,,,,6107.845917,9161.768875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9161.768875,,MS-DRG,999999999,Case Rate,,9161.768875,,MS-DRG,999999999,Case Rate,,6413.238213,,MS-DRG,999999999,Case Rate,,6352.159753,,MS-DRG,999999999,Case Rate,,6352.159753,,MS-DRG,999999999,Case Rate,,6413.238213,,MS-DRG,999999999,Case Rate,,6474.316672,,MS-DRG,999999999,Case Rate,,6413.238213,,MS-DRG,999999999,Case Rate,,6474.316672,,MS-DRG,999999999,Case Rate,,6565.934361,,MS-DRG,999999999,Case Rate,,6107.845917,,MS-DRG,999999999,Case Rate,,6291.081294,,MS-DRG,999999999,Case Rate,,6413.238213,,MS-DRG,999999999,Case Rate,,6413.238213,,MS-DRG,999999999,Case Rate,,6474.316672,,MS-DRG,999999999,Case Rate,,6107.845917,,MS-DRG,999999999,Case Rate,,6107.845917,,MS-DRG,999999999,Case Rate,,6107.845917,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,094,MS-DRG,,,,,inpatient,,,,,,24740.44,39847.18586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39847.18586,,MS-DRG,999999999,Case Rate,,39847.18586,,MS-DRG,999999999,Case Rate,,27893.0301,,MS-DRG,999999999,Case Rate,,27627.3822,,MS-DRG,999999999,Case Rate,,27627.3822,,MS-DRG,24740.44,Case Rate,,27893.0301,,MS-DRG,999999999,Case Rate,,28158.67801,,MS-DRG,999999999,Case Rate,,27893.0301,,MS-DRG,999999999,Case Rate,,28158.67801,,MS-DRG,999999999,Case Rate,,28557.14987,,MS-DRG,27593.27,Case Rate,,26564.79057,,MS-DRG,999999999,Case Rate,,27361.73429,,MS-DRG,999999999,Case Rate,,27893.0301,,MS-DRG,999999999,Case Rate,,27893.0301,,MS-DRG,999999999,Case Rate,,28158.67801,,MS-DRG,999999999,Case Rate,,26564.79057,,MS-DRG,999999999,Case Rate,,26564.79057,,MS-DRG,999999999,Case Rate,,26564.79057,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,095,MS-DRG,,,,,inpatient,,,,,,17611.21072,26416.81608,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26416.81608,,MS-DRG,999999999,Case Rate,,26416.81608,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18315.65915,,MS-DRG,999999999,Case Rate,,18315.65915,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18667.88336,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18667.88336,,MS-DRG,999999999,Case Rate,,18932.05152,,MS-DRG,22720.63,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,18139.54704,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18667.88336,,MS-DRG,999999999,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,096,MS-DRG,,,,,inpatient,,,,,,17611.21072,26416.81608,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26416.81608,,MS-DRG,999999999,Case Rate,,26416.81608,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18315.65915,,MS-DRG,999999999,Case Rate,,18315.65915,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18667.88336,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18667.88336,,MS-DRG,999999999,Case Rate,,18932.05152,,MS-DRG,999999999,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,18139.54704,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18491.77125,,MS-DRG,999999999,Case Rate,,18667.88336,,MS-DRG,999999999,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,17611.21072,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,097,MS-DRG,,,,,inpatient,,,,,,26106.2013,39159.30196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39159.30196,,MS-DRG,999999999,Case Rate,,39159.30196,,MS-DRG,999999999,Case Rate,,27411.51137,,MS-DRG,999999999,Case Rate,,27150.44936,,MS-DRG,999999999,Case Rate,,27150.44936,,MS-DRG,999999999,Case Rate,,27411.51137,,MS-DRG,999999999,Case Rate,,27672.57338,,MS-DRG,999999999,Case Rate,,27411.51137,,MS-DRG,999999999,Case Rate,,27672.57338,,MS-DRG,999999999,Case Rate,,28064.1664,,MS-DRG,999999999,Case Rate,,26106.2013,,MS-DRG,999999999,Case Rate,,26889.38734,,MS-DRG,999999999,Case Rate,,27411.51137,,MS-DRG,999999999,Case Rate,,27411.51137,,MS-DRG,999999999,Case Rate,,27672.57338,,MS-DRG,999999999,Case Rate,,26106.2013,,MS-DRG,999999999,Case Rate,,26106.2013,,MS-DRG,999999999,Case Rate,,26106.2013,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,098,MS-DRG,,,,,inpatient,,,,,,15577.13,23971.12589,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23971.12589,,MS-DRG,999999999,Case Rate,,23971.12589,,MS-DRG,999999999,Case Rate,,16779.78812,,MS-DRG,999999999,Case Rate,,16619.98061,,MS-DRG,15629.92,Case Rate,,16619.98061,,MS-DRG,999999999,Case Rate,,16779.78812,,MS-DRG,999999999,Case Rate,,16939.59563,,MS-DRG,999999999,Case Rate,,16779.78812,,MS-DRG,999999999,Case Rate,,16939.59563,,MS-DRG,999999999,Case Rate,,17179.30689,,MS-DRG,15577.13,Case Rate,,15980.75059,,MS-DRG,999999999,Case Rate,,16460.17311,,MS-DRG,999999999,Case Rate,,16779.78812,,MS-DRG,999999999,Case Rate,,16779.78812,,MS-DRG,999999999,Case Rate,,16939.59563,,MS-DRG,999999999,Case Rate,,15980.75059,,MS-DRG,999999999,Case Rate,,15980.75059,,MS-DRG,999999999,Case Rate,,15980.75059,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,099,MS-DRG,,,,,inpatient,,,,,,10429.03028,15643.54542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15643.54542,,MS-DRG,999999999,Case Rate,,15643.54542,,MS-DRG,999999999,Case Rate,,10950.4818,,MS-DRG,999999999,Case Rate,,10846.19149,,MS-DRG,999999999,Case Rate,,10846.19149,,MS-DRG,999999999,Case Rate,,10950.4818,,MS-DRG,999999999,Case Rate,,11054.7721,,MS-DRG,999999999,Case Rate,,10950.4818,,MS-DRG,999999999,Case Rate,,11054.7721,,MS-DRG,999999999,Case Rate,,11211.20755,,MS-DRG,999999999,Case Rate,,10429.03028,,MS-DRG,999999999,Case Rate,,10741.90119,,MS-DRG,999999999,Case Rate,,10950.4818,,MS-DRG,999999999,Case Rate,,10950.4818,,MS-DRG,999999999,Case Rate,,11054.7721,,MS-DRG,999999999,Case Rate,,10429.03028,,MS-DRG,999999999,Case Rate,,10429.03028,,MS-DRG,999999999,Case Rate,,10429.03028,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEIZURES WITH MCC,100,MS-DRG,,,,,inpatient,,,,,,9454.255,21996.54495,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21996.54495,,MS-DRG,999999999,Case Rate,,21996.54495,,MS-DRG,999999999,Case Rate,,15397.58147,,MS-DRG,10312.67667,Case Rate,,15250.93783,,MS-DRG,999999999,Case Rate,,15250.93783,,MS-DRG,12188.31,Case Rate,,15397.58147,,MS-DRG,999999999,Case Rate,,15544.2251,,MS-DRG,999999999,Case Rate,,15397.58147,,MS-DRG,999999999,Case Rate,,15544.2251,,MS-DRG,999999999,Case Rate,,15764.19055,,MS-DRG,9454.255,Case Rate,,14664.3633,,MS-DRG,999999999,Case Rate,,15104.2942,,MS-DRG,999999999,Case Rate,,15397.58147,,MS-DRG,999999999,Case Rate,,15397.58147,,MS-DRG,999999999,Case Rate,,15544.2251,,MS-DRG,999999999,Case Rate,,14664.3633,,MS-DRG,999999999,Case Rate,,14664.3633,,MS-DRG,999999999,Case Rate,,14664.3633,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEIZURES WITHOUT MCC,101,MS-DRG,,,,,inpatient,,,,,,6317.61,10582.60863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10582.60863,,MS-DRG,999999999,Case Rate,,10582.60863,,MS-DRG,999999999,Case Rate,,7407.826044,,MS-DRG,999999999,Case Rate,,7337.27532,,MS-DRG,999999999,Case Rate,,7337.27532,,MS-DRG,6872.3075,Case Rate,,7407.826044,,MS-DRG,999999999,Case Rate,,7478.376769,,MS-DRG,999999999,Case Rate,,7407.826044,,MS-DRG,999999999,Case Rate,,7478.376769,,MS-DRG,999999999,Case Rate,,7584.202855,,MS-DRG,6317.61,Case Rate,,7055.072423,,MS-DRG,999999999,Case Rate,,7266.724596,,MS-DRG,999999999,Case Rate,,7407.826044,,MS-DRG,999999999,Case Rate,,7407.826044,,MS-DRG,999999999,Case Rate,,7478.376769,,MS-DRG,999999999,Case Rate,,7055.072423,,MS-DRG,999999999,Case Rate,,7055.072423,,MS-DRG,999999999,Case Rate,,7055.072423,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEADACHES WITH MCC,102,MS-DRG,,,,,inpatient,,,,,,8756.35991,13134.53986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13134.53986,,MS-DRG,999999999,Case Rate,,13134.53986,,MS-DRG,999999999,Case Rate,,9194.177905,,MS-DRG,999999999,Case Rate,,9106.614306,,MS-DRG,999999999,Case Rate,,9106.614306,,MS-DRG,999999999,Case Rate,,9194.177905,,MS-DRG,999999999,Case Rate,,9281.741504,,MS-DRG,999999999,Case Rate,,9194.177905,,MS-DRG,999999999,Case Rate,,9281.741504,,MS-DRG,999999999,Case Rate,,9413.086903,,MS-DRG,999999999,Case Rate,,8756.35991,,MS-DRG,999999999,Case Rate,,9019.050707,,MS-DRG,999999999,Case Rate,,9194.177905,,MS-DRG,999999999,Case Rate,,9194.177905,,MS-DRG,999999999,Case Rate,,9281.741504,,MS-DRG,999999999,Case Rate,,8756.35991,,MS-DRG,999999999,Case Rate,,8756.35991,,MS-DRG,999999999,Case Rate,,8756.35991,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEADACHES WITHOUT MCC,103,MS-DRG,,,,,inpatient,,,,,,994.96,9815.312239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9815.312239,,MS-DRG,999999999,Case Rate,,9815.312239,,MS-DRG,999999999,Case Rate,,6870.718567,,MS-DRG,999999999,Case Rate,,6805.283152,,MS-DRG,999999999,Case Rate,,6805.283152,,MS-DRG,994.96,Case Rate,,6870.718567,,MS-DRG,999999999,Case Rate,,6936.153982,,MS-DRG,999999999,Case Rate,,6870.718567,,MS-DRG,999999999,Case Rate,,6936.153982,,MS-DRG,999999999,Case Rate,,7034.307105,,MS-DRG,999999999,Case Rate,,6543.541493,,MS-DRG,999999999,Case Rate,,6739.847737,,MS-DRG,999999999,Case Rate,,6870.718567,,MS-DRG,999999999,Case Rate,,6870.718567,,MS-DRG,999999999,Case Rate,,6936.153982,,MS-DRG,999999999,Case Rate,,6543.541493,,MS-DRG,999999999,Case Rate,,6543.541493,,MS-DRG,999999999,Case Rate,,6543.541493,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORBITAL PROCEDURES WITH CC/MCC,113,MS-DRG,,,,,inpatient,,,,,,16605.31913,24907.97869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24907.97869,,MS-DRG,999999999,Case Rate,,24907.97869,,MS-DRG,999999999,Case Rate,,17435.58508,,MS-DRG,999999999,Case Rate,,17269.53189,,MS-DRG,999999999,Case Rate,,17269.53189,,MS-DRG,999999999,Case Rate,,17435.58508,,MS-DRG,999999999,Case Rate,,17601.63827,,MS-DRG,999999999,Case Rate,,17435.58508,,MS-DRG,999999999,Case Rate,,17601.63827,,MS-DRG,999999999,Case Rate,,17850.71806,,MS-DRG,999999999,Case Rate,,16605.31913,,MS-DRG,999999999,Case Rate,,17103.4787,,MS-DRG,999999999,Case Rate,,17435.58508,,MS-DRG,999999999,Case Rate,,17435.58508,,MS-DRG,999999999,Case Rate,,17601.63827,,MS-DRG,999999999,Case Rate,,16605.31913,,MS-DRG,999999999,Case Rate,,16605.31913,,MS-DRG,999999999,Case Rate,,16605.31913,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORBITAL PROCEDURES WITHOUT CC/MCC,114,MS-DRG,,,,,inpatient,,,,,,8918.04661,13377.06991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13377.06991,,MS-DRG,999999999,Case Rate,,13377.06991,,MS-DRG,999999999,Case Rate,,9363.94894,,MS-DRG,999999999,Case Rate,,9274.768474,,MS-DRG,999999999,Case Rate,,9274.768474,,MS-DRG,999999999,Case Rate,,9363.94894,,MS-DRG,999999999,Case Rate,,9453.129406,,MS-DRG,999999999,Case Rate,,9363.94894,,MS-DRG,999999999,Case Rate,,9453.129406,,MS-DRG,999999999,Case Rate,,9586.900105,,MS-DRG,999999999,Case Rate,,8918.04661,,MS-DRG,999999999,Case Rate,,9185.588008,,MS-DRG,999999999,Case Rate,,9363.94894,,MS-DRG,999999999,Case Rate,,9363.94894,,MS-DRG,999999999,Case Rate,,9453.129406,,MS-DRG,999999999,Case Rate,,8918.04661,,MS-DRG,999999999,Case Rate,,8918.04661,,MS-DRG,999999999,Case Rate,,8918.04661,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTRAOCULAR PROCEDURES EXCEPT ORBIT,115,MS-DRG,,,,,inpatient,,,,,,11414.17447,17121.2617,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17121.2617,,MS-DRG,999999999,Case Rate,,17121.2617,,MS-DRG,999999999,Case Rate,,11984.88319,,MS-DRG,999999999,Case Rate,,11870.74144,,MS-DRG,999999999,Case Rate,,11870.74144,,MS-DRG,999999999,Case Rate,,11984.88319,,MS-DRG,999999999,Case Rate,,12099.02493,,MS-DRG,999999999,Case Rate,,11984.88319,,MS-DRG,999999999,Case Rate,,12099.02493,,MS-DRG,999999999,Case Rate,,12270.23755,,MS-DRG,999999999,Case Rate,,11414.17447,,MS-DRG,999999999,Case Rate,,11756.5997,,MS-DRG,999999999,Case Rate,,11984.88319,,MS-DRG,999999999,Case Rate,,11984.88319,,MS-DRG,999999999,Case Rate,,12099.02493,,MS-DRG,999999999,Case Rate,,11414.17447,,MS-DRG,999999999,Case Rate,,11414.17447,,MS-DRG,999999999,Case Rate,,11414.17447,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRAOCULAR PROCEDURES WITH CC/MCC,116,MS-DRG,,,,,inpatient,,,,,,12398.60322,18597.90483,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18597.90483,,MS-DRG,999999999,Case Rate,,18597.90483,,MS-DRG,999999999,Case Rate,,13018.53338,,MS-DRG,999999999,Case Rate,,12894.54735,,MS-DRG,999999999,Case Rate,,12894.54735,,MS-DRG,999999999,Case Rate,,13018.53338,,MS-DRG,999999999,Case Rate,,13142.51941,,MS-DRG,999999999,Case Rate,,13018.53338,,MS-DRG,999999999,Case Rate,,13142.51941,,MS-DRG,999999999,Case Rate,,13328.49846,,MS-DRG,999999999,Case Rate,,12398.60322,,MS-DRG,999999999,Case Rate,,12770.56132,,MS-DRG,999999999,Case Rate,,13018.53338,,MS-DRG,999999999,Case Rate,,13018.53338,,MS-DRG,999999999,Case Rate,,13142.51941,,MS-DRG,999999999,Case Rate,,12398.60322,,MS-DRG,999999999,Case Rate,,12398.60322,,MS-DRG,999999999,Case Rate,,12398.60322,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTRAOCULAR PROCEDURES WITHOUT CC/MCC,117,MS-DRG,,,,,inpatient,,,,,,8177.578759,12266.36814,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12266.36814,,MS-DRG,999999999,Case Rate,,12266.36814,,MS-DRG,999999999,Case Rate,,8586.457697,,MS-DRG,999999999,Case Rate,,8504.681909,,MS-DRG,999999999,Case Rate,,8504.681909,,MS-DRG,999999999,Case Rate,,8586.457697,,MS-DRG,999999999,Case Rate,,8668.233485,,MS-DRG,999999999,Case Rate,,8586.457697,,MS-DRG,999999999,Case Rate,,8668.233485,,MS-DRG,999999999,Case Rate,,8790.897166,,MS-DRG,999999999,Case Rate,,8177.578759,,MS-DRG,999999999,Case Rate,,8422.906122,,MS-DRG,999999999,Case Rate,,8586.457697,,MS-DRG,999999999,Case Rate,,8586.457697,,MS-DRG,999999999,Case Rate,,8668.233485,,MS-DRG,999999999,Case Rate,,8177.578759,,MS-DRG,999999999,Case Rate,,8177.578759,,MS-DRG,999999999,Case Rate,,8177.578759,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,121,MS-DRG,,,,,inpatient,,,,,,8782.830741,13174.24611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13174.24611,,MS-DRG,999999999,Case Rate,,13174.24611,,MS-DRG,999999999,Case Rate,,9221.972278,,MS-DRG,999999999,Case Rate,,9134.143971,,MS-DRG,999999999,Case Rate,,9134.143971,,MS-DRG,999999999,Case Rate,,9221.972278,,MS-DRG,999999999,Case Rate,,9309.800586,,MS-DRG,999999999,Case Rate,,9221.972278,,MS-DRG,999999999,Case Rate,,9309.800586,,MS-DRG,999999999,Case Rate,,9441.543047,,MS-DRG,999999999,Case Rate,,8782.830741,,MS-DRG,999999999,Case Rate,,9046.315663,,MS-DRG,999999999,Case Rate,,9221.972278,,MS-DRG,999999999,Case Rate,,9221.972278,,MS-DRG,999999999,Case Rate,,9309.800586,,MS-DRG,999999999,Case Rate,,8782.830741,,MS-DRG,999999999,Case Rate,,8782.830741,,MS-DRG,999999999,Case Rate,,8782.830741,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,122,MS-DRG,,,,,inpatient,,,,,,5313.720976,7970.581463,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7970.581463,,MS-DRG,999999999,Case Rate,,7970.581463,,MS-DRG,999999999,Case Rate,,5579.407024,,MS-DRG,999999999,Case Rate,,5526.269815,,MS-DRG,999999999,Case Rate,,5526.269815,,MS-DRG,999999999,Case Rate,,5579.407024,,MS-DRG,999999999,Case Rate,,5632.544234,,MS-DRG,999999999,Case Rate,,5579.407024,,MS-DRG,999999999,Case Rate,,5632.544234,,MS-DRG,999999999,Case Rate,,5712.250049,,MS-DRG,999999999,Case Rate,,5313.720976,,MS-DRG,999999999,Case Rate,,5473.132605,,MS-DRG,999999999,Case Rate,,5579.407024,,MS-DRG,999999999,Case Rate,,5579.407024,,MS-DRG,999999999,Case Rate,,5632.544234,,MS-DRG,999999999,Case Rate,,5313.720976,,MS-DRG,999999999,Case Rate,,5313.720976,,MS-DRG,999999999,Case Rate,,5313.720976,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEUROLOGICAL EYE DISORDERS,123,MS-DRG,,,,,inpatient,,,,,,6207.290391,9310.935587,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9310.935587,,MS-DRG,999999999,Case Rate,,9310.935587,,MS-DRG,999999999,Case Rate,,6517.654911,,MS-DRG,999999999,Case Rate,,6455.582007,,MS-DRG,999999999,Case Rate,,6455.582007,,MS-DRG,999999999,Case Rate,,6517.654911,,MS-DRG,999999999,Case Rate,,6579.727815,,MS-DRG,999999999,Case Rate,,6517.654911,,MS-DRG,999999999,Case Rate,,6579.727815,,MS-DRG,999999999,Case Rate,,6672.837171,,MS-DRG,999999999,Case Rate,,6207.290391,,MS-DRG,999999999,Case Rate,,6393.509103,,MS-DRG,999999999,Case Rate,,6517.654911,,MS-DRG,999999999,Case Rate,,6517.654911,,MS-DRG,999999999,Case Rate,,6579.727815,,MS-DRG,999999999,Case Rate,,6207.290391,,MS-DRG,999999999,Case Rate,,6207.290391,,MS-DRG,999999999,Case Rate,,6207.290391,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,124,MS-DRG,,,,,inpatient,,,,,,9789.437761,14684.15664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14684.15664,,MS-DRG,999999999,Case Rate,,14684.15664,,MS-DRG,999999999,Case Rate,,10278.90965,,MS-DRG,999999999,Case Rate,,10181.01527,,MS-DRG,999999999,Case Rate,,10181.01527,,MS-DRG,999999999,Case Rate,,10278.90965,,MS-DRG,999999999,Case Rate,,10376.80403,,MS-DRG,999999999,Case Rate,,10278.90965,,MS-DRG,999999999,Case Rate,,10376.80403,,MS-DRG,999999999,Case Rate,,10523.64559,,MS-DRG,999999999,Case Rate,,9789.437761,,MS-DRG,999999999,Case Rate,,10083.12089,,MS-DRG,999999999,Case Rate,,10278.90965,,MS-DRG,999999999,Case Rate,,10278.90965,,MS-DRG,999999999,Case Rate,,10376.80403,,MS-DRG,999999999,Case Rate,,9789.437761,,MS-DRG,999999999,Case Rate,,9789.437761,,MS-DRG,999999999,Case Rate,,9789.437761,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DISORDERS OF THE EYE WITHOUT MCC,125,MS-DRG,,,,,inpatient,,,,,,6368.261663,9552.392495,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9552.392495,,MS-DRG,999999999,Case Rate,,9552.392495,,MS-DRG,999999999,Case Rate,,6686.674746,,MS-DRG,999999999,Case Rate,,6622.99213,,MS-DRG,999999999,Case Rate,,6622.99213,,MS-DRG,999999999,Case Rate,,6686.674746,,MS-DRG,999999999,Case Rate,,6750.357363,,MS-DRG,999999999,Case Rate,,6686.674746,,MS-DRG,999999999,Case Rate,,6750.357363,,MS-DRG,999999999,Case Rate,,6845.881288,,MS-DRG,999999999,Case Rate,,6368.261663,,MS-DRG,999999999,Case Rate,,6559.309513,,MS-DRG,999999999,Case Rate,,6686.674746,,MS-DRG,999999999,Case Rate,,6686.674746,,MS-DRG,999999999,Case Rate,,6750.357363,,MS-DRG,999999999,Case Rate,,6368.261663,,MS-DRG,999999999,Case Rate,,6368.261663,,MS-DRG,999999999,Case Rate,,6368.261663,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINUS AND MASTOID PROCEDURES WITH CC/MCC,135,MS-DRG,,,,,inpatient,,,,,,17710.65519,26565.98279,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26565.98279,,MS-DRG,999999999,Case Rate,,26565.98279,,MS-DRG,999999999,Case Rate,,18596.18795,,MS-DRG,999999999,Case Rate,,18419.0814,,MS-DRG,999999999,Case Rate,,18419.0814,,MS-DRG,999999999,Case Rate,,18596.18795,,MS-DRG,999999999,Case Rate,,18773.2945,,MS-DRG,999999999,Case Rate,,18596.18795,,MS-DRG,999999999,Case Rate,,18773.2945,,MS-DRG,999999999,Case Rate,,19038.95433,,MS-DRG,999999999,Case Rate,,17710.65519,,MS-DRG,999999999,Case Rate,,18241.97485,,MS-DRG,999999999,Case Rate,,18596.18795,,MS-DRG,999999999,Case Rate,,18596.18795,,MS-DRG,999999999,Case Rate,,18773.2945,,MS-DRG,999999999,Case Rate,,17710.65519,,MS-DRG,999999999,Case Rate,,17710.65519,,MS-DRG,999999999,Case Rate,,17710.65519,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,136,MS-DRG,,,,,inpatient,,,,,,6630.68,11188.93376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11188.93376,,MS-DRG,999999999,Case Rate,,11188.93376,,MS-DRG,999999999,Case Rate,,7832.253631,,MS-DRG,6630.68,Case Rate,,7757.660739,,MS-DRG,999999999,Case Rate,,7757.660739,,MS-DRG,999999999,Case Rate,,7832.253631,,MS-DRG,999999999,Case Rate,,7906.846523,,MS-DRG,999999999,Case Rate,,7832.253631,,MS-DRG,999999999,Case Rate,,7906.846523,,MS-DRG,999999999,Case Rate,,8018.73586,,MS-DRG,999999999,Case Rate,,7459.289173,,MS-DRG,999999999,Case Rate,,7683.067848,,MS-DRG,999999999,Case Rate,,7832.253631,,MS-DRG,999999999,Case Rate,,7832.253631,,MS-DRG,999999999,Case Rate,,7906.846523,,MS-DRG,999999999,Case Rate,,7459.289173,,MS-DRG,999999999,Case Rate,,7459.289173,,MS-DRG,999999999,Case Rate,,7459.289173,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MOUTH PROCEDURES WITH CC/MCC,137,MS-DRG,,,,,inpatient,,,,,,10466.94796,15700.42194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15700.42194,,MS-DRG,999999999,Case Rate,,15700.42194,,MS-DRG,999999999,Case Rate,,10990.29536,,MS-DRG,999999999,Case Rate,,10885.62588,,MS-DRG,999999999,Case Rate,,10885.62588,,MS-DRG,999999999,Case Rate,,10990.29536,,MS-DRG,999999999,Case Rate,,11094.96484,,MS-DRG,999999999,Case Rate,,10990.29536,,MS-DRG,999999999,Case Rate,,11094.96484,,MS-DRG,999999999,Case Rate,,11251.96906,,MS-DRG,999999999,Case Rate,,10466.94796,,MS-DRG,999999999,Case Rate,,10780.9564,,MS-DRG,999999999,Case Rate,,10990.29536,,MS-DRG,999999999,Case Rate,,10990.29536,,MS-DRG,999999999,Case Rate,,11094.96484,,MS-DRG,999999999,Case Rate,,10466.94796,,MS-DRG,999999999,Case Rate,,10466.94796,,MS-DRG,999999999,Case Rate,,10466.94796,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MOUTH PROCEDURES WITHOUT CC/MCC,138,MS-DRG,,,,,inpatient,,,,,,6280.979463,9421.469194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9421.469194,,MS-DRG,999999999,Case Rate,,9421.469194,,MS-DRG,999999999,Case Rate,,6595.028436,,MS-DRG,999999999,Case Rate,,6532.218641,,MS-DRG,999999999,Case Rate,,6532.218641,,MS-DRG,999999999,Case Rate,,6595.028436,,MS-DRG,999999999,Case Rate,,6657.83823,,MS-DRG,999999999,Case Rate,,6595.028436,,MS-DRG,999999999,Case Rate,,6657.83823,,MS-DRG,999999999,Case Rate,,6752.052922,,MS-DRG,999999999,Case Rate,,6280.979463,,MS-DRG,999999999,Case Rate,,6469.408846,,MS-DRG,999999999,Case Rate,,6595.028436,,MS-DRG,999999999,Case Rate,,6595.028436,,MS-DRG,999999999,Case Rate,,6657.83823,,MS-DRG,999999999,Case Rate,,6280.979463,,MS-DRG,999999999,Case Rate,,6280.979463,,MS-DRG,999999999,Case Rate,,6280.979463,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SALIVARY GLAND PROCEDURES,139,MS-DRG,,,,,inpatient,,,,,,10283.79842,15425.69763,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15425.69763,,MS-DRG,999999999,Case Rate,,15425.69763,,MS-DRG,999999999,Case Rate,,10797.98834,,MS-DRG,999999999,Case Rate,,10695.15036,,MS-DRG,999999999,Case Rate,,10695.15036,,MS-DRG,999999999,Case Rate,,10797.98834,,MS-DRG,999999999,Case Rate,,10900.82633,,MS-DRG,999999999,Case Rate,,10797.98834,,MS-DRG,999999999,Case Rate,,10900.82633,,MS-DRG,999999999,Case Rate,,11055.0833,,MS-DRG,999999999,Case Rate,,10283.79842,,MS-DRG,999999999,Case Rate,,10592.31238,,MS-DRG,999999999,Case Rate,,10797.98834,,MS-DRG,999999999,Case Rate,,10797.98834,,MS-DRG,999999999,Case Rate,,10900.82633,,MS-DRG,999999999,Case Rate,,10283.79842,,MS-DRG,999999999,Case Rate,,10283.79842,,MS-DRG,999999999,Case Rate,,10283.79842,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HEAD AND NECK PROCEDURES WITH MCC,140,MS-DRG,,,,,inpatient,,,,,,30717.84939,46076.77408,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46076.77408,,MS-DRG,999999999,Case Rate,,46076.77408,,MS-DRG,999999999,Case Rate,,32253.74186,,MS-DRG,999999999,Case Rate,,31946.56336,,MS-DRG,999999999,Case Rate,,31946.56336,,MS-DRG,999999999,Case Rate,,32253.74186,,MS-DRG,999999999,Case Rate,,32560.92035,,MS-DRG,999999999,Case Rate,,32253.74186,,MS-DRG,999999999,Case Rate,,32560.92035,,MS-DRG,999999999,Case Rate,,33021.68809,,MS-DRG,999999999,Case Rate,,30717.84939,,MS-DRG,999999999,Case Rate,,31639.38487,,MS-DRG,999999999,Case Rate,,32253.74186,,MS-DRG,999999999,Case Rate,,32253.74186,,MS-DRG,999999999,Case Rate,,32560.92035,,MS-DRG,999999999,Case Rate,,30717.84939,,MS-DRG,999999999,Case Rate,,30717.84939,,MS-DRG,999999999,Case Rate,,30717.84939,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HEAD AND NECK PROCEDURES WITH CC,141,MS-DRG,,,,,inpatient,,,,,,15831.94159,23747.91239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23747.91239,,MS-DRG,999999999,Case Rate,,23747.91239,,MS-DRG,999999999,Case Rate,,16623.53867,,MS-DRG,999999999,Case Rate,,16465.21926,,MS-DRG,999999999,Case Rate,,16465.21926,,MS-DRG,999999999,Case Rate,,16623.53867,,MS-DRG,999999999,Case Rate,,16781.85809,,MS-DRG,999999999,Case Rate,,16623.53867,,MS-DRG,999999999,Case Rate,,16781.85809,,MS-DRG,999999999,Case Rate,,17019.33721,,MS-DRG,999999999,Case Rate,,15831.94159,,MS-DRG,999999999,Case Rate,,16306.89984,,MS-DRG,999999999,Case Rate,,16623.53867,,MS-DRG,999999999,Case Rate,,16623.53867,,MS-DRG,999999999,Case Rate,,16781.85809,,MS-DRG,999999999,Case Rate,,15831.94159,,MS-DRG,999999999,Case Rate,,15831.94159,,MS-DRG,999999999,Case Rate,,15831.94159,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,142,MS-DRG,,,,,inpatient,,,,,,11710.36161,17565.54241,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17565.54241,,MS-DRG,999999999,Case Rate,,17565.54241,,MS-DRG,999999999,Case Rate,,12295.87969,,MS-DRG,999999999,Case Rate,,12178.77607,,MS-DRG,999999999,Case Rate,,12178.77607,,MS-DRG,999999999,Case Rate,,12295.87969,,MS-DRG,999999999,Case Rate,,12412.9833,,MS-DRG,999999999,Case Rate,,12295.87969,,MS-DRG,999999999,Case Rate,,12412.9833,,MS-DRG,999999999,Case Rate,,12588.63873,,MS-DRG,999999999,Case Rate,,11710.36161,,MS-DRG,999999999,Case Rate,,12061.67245,,MS-DRG,999999999,Case Rate,,12295.87969,,MS-DRG,999999999,Case Rate,,12295.87969,,MS-DRG,999999999,Case Rate,,12412.9833,,MS-DRG,999999999,Case Rate,,11710.36161,,MS-DRG,999999999,Case Rate,,11710.36161,,MS-DRG,999999999,Case Rate,,11710.36161,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",143,MS-DRG,,,,,inpatient,,,,,,24083.6867,36125.53005,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36125.53005,,MS-DRG,999999999,Case Rate,,36125.53005,,MS-DRG,999999999,Case Rate,,25287.87104,,MS-DRG,999999999,Case Rate,,25047.03417,,MS-DRG,999999999,Case Rate,,25047.03417,,MS-DRG,999999999,Case Rate,,25287.87104,,MS-DRG,999999999,Case Rate,,25528.7079,,MS-DRG,999999999,Case Rate,,25287.87104,,MS-DRG,999999999,Case Rate,,25528.7079,,MS-DRG,999999999,Case Rate,,25889.9632,,MS-DRG,999999999,Case Rate,,24083.6867,,MS-DRG,999999999,Case Rate,,24806.1973,,MS-DRG,999999999,Case Rate,,25287.87104,,MS-DRG,999999999,Case Rate,,25287.87104,,MS-DRG,999999999,Case Rate,,25528.7079,,MS-DRG,999999999,Case Rate,,24083.6867,,MS-DRG,999999999,Case Rate,,24083.6867,,MS-DRG,999999999,Case Rate,,24083.6867,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",144,MS-DRG,,,,,inpatient,,,,,,12557.93,19543.34277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19543.34277,,MS-DRG,999999999,Case Rate,,19543.34277,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13550.05099,,MS-DRG,12937.57,Case Rate,,13550.05099,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,14006.06232,,MS-DRG,12557.93,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13419.76203,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",145,MS-DRG,,,,,inpatient,,,,,,8937.363162,13406.04474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13406.04474,,MS-DRG,999999999,Case Rate,,13406.04474,,MS-DRG,999999999,Case Rate,,9384.23132,,MS-DRG,999999999,Case Rate,,9294.857689,,MS-DRG,999999999,Case Rate,,9294.857689,,MS-DRG,999999999,Case Rate,,9384.23132,,MS-DRG,999999999,Case Rate,,9473.604952,,MS-DRG,999999999,Case Rate,,9384.23132,,MS-DRG,999999999,Case Rate,,9473.604952,,MS-DRG,999999999,Case Rate,,9607.665399,,MS-DRG,999999999,Case Rate,,8937.363162,,MS-DRG,999999999,Case Rate,,9205.484057,,MS-DRG,999999999,Case Rate,,9384.23132,,MS-DRG,999999999,Case Rate,,9384.23132,,MS-DRG,999999999,Case Rate,,9473.604952,,MS-DRG,999999999,Case Rate,,8937.363162,,MS-DRG,999999999,Case Rate,,8937.363162,,MS-DRG,999999999,Case Rate,,8937.363162,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",146,MS-DRG,,,,,inpatient,,,,,,16873.60458,25310.40687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25310.40687,,MS-DRG,999999999,Case Rate,,25310.40687,,MS-DRG,999999999,Case Rate,,17717.28481,,MS-DRG,999999999,Case Rate,,17548.54876,,MS-DRG,999999999,Case Rate,,17548.54876,,MS-DRG,999999999,Case Rate,,17717.28481,,MS-DRG,999999999,Case Rate,,17886.02085,,MS-DRG,999999999,Case Rate,,17717.28481,,MS-DRG,999999999,Case Rate,,17886.02085,,MS-DRG,999999999,Case Rate,,18139.12492,,MS-DRG,999999999,Case Rate,,16873.60458,,MS-DRG,999999999,Case Rate,,17379.81272,,MS-DRG,999999999,Case Rate,,17717.28481,,MS-DRG,999999999,Case Rate,,17717.28481,,MS-DRG,999999999,Case Rate,,17886.02085,,MS-DRG,999999999,Case Rate,,16873.60458,,MS-DRG,999999999,Case Rate,,16873.60458,,MS-DRG,999999999,Case Rate,,16873.60458,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",147,MS-DRG,,,,,inpatient,,,,,,9366.619887,14049.92983,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14049.92983,,MS-DRG,999999999,Case Rate,,14049.92983,,MS-DRG,999999999,Case Rate,,9834.950881,,MS-DRG,999999999,Case Rate,,9741.284683,,MS-DRG,999999999,Case Rate,,9741.284683,,MS-DRG,999999999,Case Rate,,9834.950881,,MS-DRG,999999999,Case Rate,,9928.61708,,MS-DRG,999999999,Case Rate,,9834.950881,,MS-DRG,999999999,Case Rate,,9928.61708,,MS-DRG,999999999,Case Rate,,10069.11638,,MS-DRG,999999999,Case Rate,,9366.619887,,MS-DRG,999999999,Case Rate,,9647.618484,,MS-DRG,999999999,Case Rate,,9834.950881,,MS-DRG,999999999,Case Rate,,9834.950881,,MS-DRG,999999999,Case Rate,,9928.61708,,MS-DRG,999999999,Case Rate,,9366.619887,,MS-DRG,999999999,Case Rate,,9366.619887,,MS-DRG,999999999,Case Rate,,9366.619887,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",148,MS-DRG,,,,,inpatient,,,,,,6189.404695,9284.107042,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9284.107042,,MS-DRG,999999999,Case Rate,,9284.107042,,MS-DRG,999999999,Case Rate,,6498.874929,,MS-DRG,999999999,Case Rate,,6436.980882,,MS-DRG,999999999,Case Rate,,6436.980882,,MS-DRG,999999999,Case Rate,,6498.874929,,MS-DRG,999999999,Case Rate,,6560.768976,,MS-DRG,999999999,Case Rate,,6498.874929,,MS-DRG,999999999,Case Rate,,6560.768976,,MS-DRG,999999999,Case Rate,,6653.610047,,MS-DRG,999999999,Case Rate,,6189.404695,,MS-DRG,999999999,Case Rate,,6375.086835,,MS-DRG,999999999,Case Rate,,6498.874929,,MS-DRG,999999999,Case Rate,,6498.874929,,MS-DRG,999999999,Case Rate,,6560.768976,,MS-DRG,999999999,Case Rate,,6189.404695,,MS-DRG,999999999,Case Rate,,6189.404695,,MS-DRG,999999999,Case Rate,,6189.404695,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DYSEQUILIBRIUM,149,MS-DRG,,,,,inpatient,,,,,,35.12,8713.195598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8713.195598,,MS-DRG,999999999,Case Rate,,8713.195598,,MS-DRG,999999999,Case Rate,,6099.236918,,MS-DRG,35.12,Case Rate,,6041.148948,,MS-DRG,5534.13,Case Rate,,6041.148948,,MS-DRG,999999999,Case Rate,,6099.236918,,MS-DRG,999999999,Case Rate,,6157.324889,,MS-DRG,999999999,Case Rate,,6099.236918,,MS-DRG,999999999,Case Rate,,6157.324889,,MS-DRG,999999999,Case Rate,,6244.456845,,MS-DRG,3306.655,Case Rate,,5808.797065,,MS-DRG,999999999,Case Rate,,5983.060977,,MS-DRG,999999999,Case Rate,,6099.236918,,MS-DRG,999999999,Case Rate,,6099.236918,,MS-DRG,999999999,Case Rate,,6157.324889,,MS-DRG,999999999,Case Rate,,5808.797065,,MS-DRG,999999999,Case Rate,,5808.797065,,MS-DRG,999999999,Case Rate,,5808.797065,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPISTAXIS WITH MCC,150,MS-DRG,,,,,inpatient,,,,,,10349.61779,15524.42668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15524.42668,,MS-DRG,999999999,Case Rate,,15524.42668,,MS-DRG,999999999,Case Rate,,10867.09868,,MS-DRG,999999999,Case Rate,,10763.6025,,MS-DRG,999999999,Case Rate,,10763.6025,,MS-DRG,999999999,Case Rate,,10867.09868,,MS-DRG,999999999,Case Rate,,10970.59485,,MS-DRG,999999999,Case Rate,,10867.09868,,MS-DRG,999999999,Case Rate,,10970.59485,,MS-DRG,999999999,Case Rate,,11125.83912,,MS-DRG,999999999,Case Rate,,10349.61779,,MS-DRG,999999999,Case Rate,,10660.10632,,MS-DRG,999999999,Case Rate,,10867.09868,,MS-DRG,999999999,Case Rate,,10867.09868,,MS-DRG,999999999,Case Rate,,10970.59485,,MS-DRG,999999999,Case Rate,,10349.61779,,MS-DRG,999999999,Case Rate,,10349.61779,,MS-DRG,999999999,Case Rate,,10349.61779,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EPISTAXIS WITHOUT MCC,151,MS-DRG,,,,,inpatient,,,,,,5883.916992,8825.875488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8825.875488,,MS-DRG,999999999,Case Rate,,8825.875488,,MS-DRG,999999999,Case Rate,,6178.112842,,MS-DRG,999999999,Case Rate,,6119.273672,,MS-DRG,999999999,Case Rate,,6119.273672,,MS-DRG,999999999,Case Rate,,6178.112842,,MS-DRG,999999999,Case Rate,,6236.952011,,MS-DRG,999999999,Case Rate,,6178.112842,,MS-DRG,999999999,Case Rate,,6236.952011,,MS-DRG,999999999,Case Rate,,6325.210766,,MS-DRG,999999999,Case Rate,,5883.916992,,MS-DRG,999999999,Case Rate,,6060.434502,,MS-DRG,999999999,Case Rate,,6178.112842,,MS-DRG,999999999,Case Rate,,6178.112842,,MS-DRG,999999999,Case Rate,,6236.952011,,MS-DRG,999999999,Case Rate,,5883.916992,,MS-DRG,999999999,Case Rate,,5883.916992,,MS-DRG,999999999,Case Rate,,5883.916992,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTITIS MEDIA AND URI WITH MCC,152,MS-DRG,,,,,inpatient,,,,,,56.05,12869.47384,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12869.47384,,MS-DRG,999999999,Case Rate,,12869.47384,,MS-DRG,999999999,Case Rate,,9008.631686,,MS-DRG,999999999,Case Rate,,8922.835194,,MS-DRG,999999999,Case Rate,,8922.835194,,MS-DRG,999999999,Case Rate,,9008.631686,,MS-DRG,999999999,Case Rate,,9094.428178,,MS-DRG,999999999,Case Rate,,9008.631686,,MS-DRG,999999999,Case Rate,,9094.428178,,MS-DRG,999999999,Case Rate,,9223.122917,,MS-DRG,56.05,Case Rate,,8579.649225,,MS-DRG,999999999,Case Rate,,8837.038701,,MS-DRG,999999999,Case Rate,,9008.631686,,MS-DRG,999999999,Case Rate,,9008.631686,,MS-DRG,999999999,Case Rate,,9094.428178,,MS-DRG,999999999,Case Rate,,8579.649225,,MS-DRG,999999999,Case Rate,,8579.649225,,MS-DRG,999999999,Case Rate,,8579.649225,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTITIS MEDIA AND URI WITHOUT MCC,153,MS-DRG,,,,,inpatient,,,,,,5552.673886,8329.010829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8329.010829,,MS-DRG,999999999,Case Rate,,8329.010829,,MS-DRG,999999999,Case Rate,,5830.30758,,MS-DRG,999999999,Case Rate,,5774.780841,,MS-DRG,999999999,Case Rate,,5774.780841,,MS-DRG,999999999,Case Rate,,5830.30758,,MS-DRG,999999999,Case Rate,,5885.834319,,MS-DRG,999999999,Case Rate,,5830.30758,,MS-DRG,999999999,Case Rate,,5885.834319,,MS-DRG,999999999,Case Rate,,5969.124427,,MS-DRG,999999999,Case Rate,,5552.673886,,MS-DRG,999999999,Case Rate,,5719.254102,,MS-DRG,999999999,Case Rate,,5830.30758,,MS-DRG,999999999,Case Rate,,5830.30758,,MS-DRG,999999999,Case Rate,,5885.834319,,MS-DRG,999999999,Case Rate,,5552.673886,,MS-DRG,999999999,Case Rate,,5552.673886,,MS-DRG,999999999,Case Rate,,5552.673886,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",154,MS-DRG,,,,,inpatient,,,,,,10558.31,18143.96584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18143.96584,,MS-DRG,999999999,Case Rate,,18143.96584,,MS-DRG,999999999,Case Rate,,12700.77609,,MS-DRG,999999999,Case Rate,,12579.81632,,MS-DRG,999999999,Case Rate,,12579.81632,,MS-DRG,999999999,Case Rate,,12700.77609,,MS-DRG,999999999,Case Rate,,12821.73586,,MS-DRG,999999999,Case Rate,,12700.77609,,MS-DRG,999999999,Case Rate,,12821.73586,,MS-DRG,999999999,Case Rate,,13003.17552,,MS-DRG,10558.31,Case Rate,,12095.97723,,MS-DRG,999999999,Case Rate,,12458.85655,,MS-DRG,999999999,Case Rate,,12700.77609,,MS-DRG,999999999,Case Rate,,12700.77609,,MS-DRG,999999999,Case Rate,,12821.73586,,MS-DRG,999999999,Case Rate,,12095.97723,,MS-DRG,999999999,Case Rate,,12095.97723,,MS-DRG,999999999,Case Rate,,12095.97723,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",155,MS-DRG,,,,,inpatient,,,,,,7140.20834,10710.31251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10710.31251,,MS-DRG,999999999,Case Rate,,10710.31251,,MS-DRG,999999999,Case Rate,,7497.218757,,MS-DRG,999999999,Case Rate,,7425.816674,,MS-DRG,999999999,Case Rate,,7425.816674,,MS-DRG,999999999,Case Rate,,7497.218757,,MS-DRG,999999999,Case Rate,,7568.620841,,MS-DRG,999999999,Case Rate,,7497.218757,,MS-DRG,999999999,Case Rate,,7568.620841,,MS-DRG,999999999,Case Rate,,7675.723966,,MS-DRG,999999999,Case Rate,,7140.20834,,MS-DRG,999999999,Case Rate,,7354.414591,,MS-DRG,999999999,Case Rate,,7497.218757,,MS-DRG,999999999,Case Rate,,7497.218757,,MS-DRG,999999999,Case Rate,,7568.620841,,MS-DRG,999999999,Case Rate,,7140.20834,,MS-DRG,999999999,Case Rate,,7140.20834,,MS-DRG,999999999,Case Rate,,7140.20834,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",156,MS-DRG,,,,,inpatient,,,,,,5271.510731,7907.266097,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7907.266097,,MS-DRG,999999999,Case Rate,,7907.266097,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5482.37116,,MS-DRG,999999999,Case Rate,,5482.37116,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5587.801375,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5587.801375,,MS-DRG,999999999,Case Rate,,5666.874036,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,5429.656053,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5587.801375,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DENTAL AND ORAL DISEASES WITH MCC,157,MS-DRG,,,,,inpatient,,,,,,12176.10515,18264.15773,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18264.15773,,MS-DRG,999999999,Case Rate,,18264.15773,,MS-DRG,999999999,Case Rate,,12784.91041,,MS-DRG,999999999,Case Rate,,12663.14936,,MS-DRG,999999999,Case Rate,,12663.14936,,MS-DRG,999999999,Case Rate,,12784.91041,,MS-DRG,999999999,Case Rate,,12906.67146,,MS-DRG,999999999,Case Rate,,12784.91041,,MS-DRG,999999999,Case Rate,,12906.67146,,MS-DRG,999999999,Case Rate,,13089.31304,,MS-DRG,999999999,Case Rate,,12176.10515,,MS-DRG,999999999,Case Rate,,12541.38831,,MS-DRG,999999999,Case Rate,,12784.91041,,MS-DRG,999999999,Case Rate,,12784.91041,,MS-DRG,999999999,Case Rate,,12906.67146,,MS-DRG,999999999,Case Rate,,12176.10515,,MS-DRG,999999999,Case Rate,,12176.10515,,MS-DRG,999999999,Case Rate,,12176.10515,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DENTAL AND ORAL DISEASES WITH CC,158,MS-DRG,,,,,inpatient,,,,,,7190.288292,10785.43244,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10785.43244,,MS-DRG,999999999,Case Rate,,10785.43244,,MS-DRG,999999999,Case Rate,,7549.802706,,MS-DRG,999999999,Case Rate,,7477.899823,,MS-DRG,999999999,Case Rate,,7477.899823,,MS-DRG,999999999,Case Rate,,7549.802706,,MS-DRG,999999999,Case Rate,,7621.705589,,MS-DRG,999999999,Case Rate,,7549.802706,,MS-DRG,999999999,Case Rate,,7621.705589,,MS-DRG,999999999,Case Rate,,7729.559913,,MS-DRG,999999999,Case Rate,,7190.288292,,MS-DRG,999999999,Case Rate,,7405.99694,,MS-DRG,999999999,Case Rate,,7549.802706,,MS-DRG,999999999,Case Rate,,7549.802706,,MS-DRG,999999999,Case Rate,,7621.705589,,MS-DRG,999999999,Case Rate,,7190.288292,,MS-DRG,999999999,Case Rate,,7190.288292,,MS-DRG,999999999,Case Rate,,7190.288292,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DENTAL AND ORAL DISEASES WITHOUT CC/MCC,159,MS-DRG,,,,,inpatient,,,,,,5179.935963,7769.903945,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7769.903945,,MS-DRG,999999999,Case Rate,,7769.903945,,MS-DRG,999999999,Case Rate,,5438.932761,,MS-DRG,999999999,Case Rate,,5387.133402,,MS-DRG,999999999,Case Rate,,5387.133402,,MS-DRG,999999999,Case Rate,,5438.932761,,MS-DRG,999999999,Case Rate,,5490.732121,,MS-DRG,999999999,Case Rate,,5438.932761,,MS-DRG,999999999,Case Rate,,5490.732121,,MS-DRG,999999999,Case Rate,,5568.43116,,MS-DRG,999999999,Case Rate,,5179.935963,,MS-DRG,999999999,Case Rate,,5335.334042,,MS-DRG,999999999,Case Rate,,5438.932761,,MS-DRG,999999999,Case Rate,,5438.932761,,MS-DRG,999999999,Case Rate,,5490.732121,,MS-DRG,999999999,Case Rate,,5179.935963,,MS-DRG,999999999,Case Rate,,5179.935963,,MS-DRG,999999999,Case Rate,,5179.935963,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR CHEST PROCEDURES WITH MCC,163,MS-DRG,,,,,inpatient,,,,,,33436.47531,50154.71297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50154.71297,,MS-DRG,999999999,Case Rate,,50154.71297,,MS-DRG,999999999,Case Rate,,35108.29908,,MS-DRG,999999999,Case Rate,,34773.93432,,MS-DRG,999999999,Case Rate,,34773.93432,,MS-DRG,999999999,Case Rate,,35108.29908,,MS-DRG,999999999,Case Rate,,35442.66383,,MS-DRG,999999999,Case Rate,,35108.29908,,MS-DRG,999999999,Case Rate,,35442.66383,,MS-DRG,999999999,Case Rate,,35944.21096,,MS-DRG,999999999,Case Rate,,33436.47531,,MS-DRG,999999999,Case Rate,,34439.56957,,MS-DRG,999999999,Case Rate,,35108.29908,,MS-DRG,999999999,Case Rate,,35108.29908,,MS-DRG,999999999,Case Rate,,35442.66383,,MS-DRG,999999999,Case Rate,,33436.47531,,MS-DRG,999999999,Case Rate,,33436.47531,,MS-DRG,999999999,Case Rate,,33436.47531,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR CHEST PROCEDURES WITH CC,164,MS-DRG,,,,,inpatient,,,,,,18457.242,27702.43997,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27702.43997,,MS-DRG,999999999,Case Rate,,27702.43997,,MS-DRG,999999999,Case Rate,,19391.70798,,MS-DRG,18830.13,Case Rate,,19207.02504,,MS-DRG,18649.1,Case Rate,,19207.02504,,MS-DRG,18457.242,Case Rate,,19391.70798,,MS-DRG,999999999,Case Rate,,19576.39091,,MS-DRG,999999999,Case Rate,,19391.70798,,MS-DRG,999999999,Case Rate,,19576.39091,,MS-DRG,999999999,Case Rate,,19853.41531,,MS-DRG,19570.23,Case Rate,,18468.29331,,MS-DRG,999999999,Case Rate,,19022.34211,,MS-DRG,999999999,Case Rate,,19391.70798,,MS-DRG,999999999,Case Rate,,19391.70798,,MS-DRG,999999999,Case Rate,,19576.39091,,MS-DRG,999999999,Case Rate,,18468.29331,,MS-DRG,999999999,Case Rate,,18468.29331,,MS-DRG,999999999,Case Rate,,18468.29331,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR CHEST PROCEDURES WITHOUT CC/MCC,165,MS-DRG,,,,,inpatient,,,,,,12453.91,20694.82393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20694.82393,,MS-DRG,999999999,Case Rate,,20694.82393,,MS-DRG,999999999,Case Rate,,14486.37675,,MS-DRG,999999999,Case Rate,,14348.41126,,MS-DRG,13697.14,Case Rate,,14348.41126,,MS-DRG,12453.91,Case Rate,,14486.37675,,MS-DRG,999999999,Case Rate,,14624.34225,,MS-DRG,999999999,Case Rate,,14486.37675,,MS-DRG,999999999,Case Rate,,14624.34225,,MS-DRG,999999999,Case Rate,,14831.29049,,MS-DRG,14223.67,Case Rate,,13796.54929,,MS-DRG,999999999,Case Rate,,14210.44577,,MS-DRG,999999999,Case Rate,,14486.37675,,MS-DRG,999999999,Case Rate,,14486.37675,,MS-DRG,999999999,Case Rate,,14624.34225,,MS-DRG,999999999,Case Rate,,13796.54929,,MS-DRG,999999999,Case Rate,,13796.54929,,MS-DRG,999999999,Case Rate,,13796.54929,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,166,MS-DRG,,,,,inpatient,,,,,,10500.86,42010.63975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42010.63975,,MS-DRG,999999999,Case Rate,,42010.63975,,MS-DRG,999999999,Case Rate,,29407.44783,,MS-DRG,10500.86,Case Rate,,29127.3769,,MS-DRG,999999999,Case Rate,,29127.3769,,MS-DRG,26230.03,Case Rate,,29407.44783,,MS-DRG,999999999,Case Rate,,29687.51876,,MS-DRG,999999999,Case Rate,,29407.44783,,MS-DRG,999999999,Case Rate,,29687.51876,,MS-DRG,999999999,Case Rate,,30107.62516,,MS-DRG,999999999,Case Rate,,28007.09317,,MS-DRG,999999999,Case Rate,,28847.30596,,MS-DRG,999999999,Case Rate,,29407.44783,,MS-DRG,999999999,Case Rate,,29407.44783,,MS-DRG,999999999,Case Rate,,29687.51876,,MS-DRG,999999999,Case Rate,,28007.09317,,MS-DRG,999999999,Case Rate,,28007.09317,,MS-DRG,999999999,Case Rate,,28007.09317,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,167,MS-DRG,,,,,inpatient,,,,,,12562.245,20299.90775,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20299.90775,,MS-DRG,999999999,Case Rate,,20299.90775,,MS-DRG,999999999,Case Rate,,14209.93542,,MS-DRG,13326.51,Case Rate,,14074.6027,,MS-DRG,999999999,Case Rate,,14074.6027,,MS-DRG,12562.245,Case Rate,,14209.93542,,MS-DRG,999999999,Case Rate,,14345.26814,,MS-DRG,999999999,Case Rate,,14209.93542,,MS-DRG,999999999,Case Rate,,14345.26814,,MS-DRG,999999999,Case Rate,,14548.26722,,MS-DRG,13864.15667,Case Rate,,13533.27183,,MS-DRG,999999999,Case Rate,,13939.26999,,MS-DRG,999999999,Case Rate,,14209.93542,,MS-DRG,999999999,Case Rate,,14209.93542,,MS-DRG,999999999,Case Rate,,14345.26814,,MS-DRG,999999999,Case Rate,,13533.27183,,MS-DRG,999999999,Case Rate,,13533.27183,,MS-DRG,999999999,Case Rate,,13533.27183,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,168,MS-DRG,,,,,inpatient,,,,,,9383.63,25428.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15220.72755,,MS-DRG,999999999,Case Rate,,15220.72755,,MS-DRG,999999999,Case Rate,,10654.50928,,MS-DRG,999999999,Case Rate,,10553.03777,,MS-DRG,999999999,Case Rate,,10553.03777,,MS-DRG,25428.54,Case Rate,,10654.50928,,MS-DRG,999999999,Case Rate,,10755.9808,,MS-DRG,999999999,Case Rate,,10654.50928,,MS-DRG,999999999,Case Rate,,10755.9808,,MS-DRG,999999999,Case Rate,,10908.18808,,MS-DRG,9383.63,Case Rate,,10147.1517,,MS-DRG,999999999,Case Rate,,10451.56625,,MS-DRG,999999999,Case Rate,,10654.50928,,MS-DRG,999999999,Case Rate,,10654.50928,,MS-DRG,999999999,Case Rate,,10755.9808,,MS-DRG,999999999,Case Rate,,10147.1517,,MS-DRG,999999999,Case Rate,,10147.1517,,MS-DRG,999999999,Case Rate,,10147.1517,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,173,MS-DRG,,,,,inpatient,,,,,,22414.59347,33621.89021,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33621.89021,,MS-DRG,999999999,Case Rate,,33621.89021,,MS-DRG,999999999,Case Rate,,23535.32314,,MS-DRG,999999999,Case Rate,,23311.17721,,MS-DRG,999999999,Case Rate,,23311.17721,,MS-DRG,999999999,Case Rate,,23535.32314,,MS-DRG,999999999,Case Rate,,23759.46908,,MS-DRG,999999999,Case Rate,,23535.32314,,MS-DRG,999999999,Case Rate,,23759.46908,,MS-DRG,999999999,Case Rate,,24095.68798,,MS-DRG,999999999,Case Rate,,22414.59347,,MS-DRG,999999999,Case Rate,,23087.03127,,MS-DRG,999999999,Case Rate,,23535.32314,,MS-DRG,999999999,Case Rate,,23535.32314,,MS-DRG,999999999,Case Rate,,23759.46908,,MS-DRG,999999999,Case Rate,,22414.59347,,MS-DRG,999999999,Case Rate,,22414.59347,,MS-DRG,999999999,Case Rate,,22414.59347,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,175,MS-DRG,,,,,inpatient,,,,,,5617.166667,15813.10183,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15813.10183,,MS-DRG,999999999,Case Rate,,15813.10183,,MS-DRG,999999999,Case Rate,,11069.17128,,MS-DRG,10337.285,Case Rate,,10963.7506,,MS-DRG,999999999,Case Rate,,10963.7506,,MS-DRG,8834.403333,Case Rate,,11069.17128,,MS-DRG,999999999,Case Rate,,11174.59196,,MS-DRG,999999999,Case Rate,,11069.17128,,MS-DRG,999999999,Case Rate,,11174.59196,,MS-DRG,999999999,Case Rate,,11332.72298,,MS-DRG,5617.166667,Case Rate,,10542.06789,,MS-DRG,999999999,Case Rate,,10858.32992,,MS-DRG,999999999,Case Rate,,11069.17128,,MS-DRG,999999999,Case Rate,,11069.17128,,MS-DRG,999999999,Case Rate,,11174.59196,,MS-DRG,999999999,Case Rate,,10542.06789,,MS-DRG,999999999,Case Rate,,10542.06789,,MS-DRG,999999999,Case Rate,,10542.06789,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PULMONARY EMBOLISM WITHOUT MCC,176,MS-DRG,,,,,inpatient,,,,,,4528.985,9432.200612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9432.200612,,MS-DRG,999999999,Case Rate,,9432.200612,,MS-DRG,999999999,Case Rate,,6602.540428,,MS-DRG,999999999,Case Rate,,6539.659091,,MS-DRG,999999999,Case Rate,,6539.659091,,MS-DRG,5694.61,Case Rate,,6602.540428,,MS-DRG,999999999,Case Rate,,6665.421766,,MS-DRG,999999999,Case Rate,,6602.540428,,MS-DRG,999999999,Case Rate,,6665.421766,,MS-DRG,999999999,Case Rate,,6759.743772,,MS-DRG,4528.985,Case Rate,,6288.133741,,MS-DRG,999999999,Case Rate,,6476.777754,,MS-DRG,999999999,Case Rate,,6602.540428,,MS-DRG,999999999,Case Rate,,6602.540428,,MS-DRG,999999999,Case Rate,,6665.421766,,MS-DRG,999999999,Case Rate,,6288.133741,,MS-DRG,999999999,Case Rate,,6288.133741,,MS-DRG,999999999,Case Rate,,6288.133741,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,177,MS-DRG,,,,,inpatient,,,,,,7983.807,18038.79795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18038.79795,,MS-DRG,999999999,Case Rate,,18038.79795,,MS-DRG,999999999,Case Rate,,12627.15856,,MS-DRG,7983.807,Case Rate,,12506.89991,,MS-DRG,999999999,Case Rate,,12506.89991,,MS-DRG,10040.92068,Case Rate,,12627.15856,,MS-DRG,999999999,Case Rate,,12747.41722,,MS-DRG,999999999,Case Rate,,12627.15856,,MS-DRG,999999999,Case Rate,,12747.41722,,MS-DRG,11673.03,Case Rate,,12927.8052,,MS-DRG,10742.54593,Case Rate,,12025.8653,,MS-DRG,999999999,Case Rate,,12386.64126,,MS-DRG,999999999,Case Rate,,12627.15856,,MS-DRG,999999999,Case Rate,,12627.15856,,MS-DRG,999999999,Case Rate,,12747.41722,,MS-DRG,999999999,Case Rate,,12025.8653,,MS-DRG,999999999,Case Rate,,12025.8653,,MS-DRG,999999999,Case Rate,,12025.8653,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,178,MS-DRG,,,,,inpatient,,,,,,4201.57,11338.10047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11338.10047,,MS-DRG,999999999,Case Rate,,11338.10047,,MS-DRG,999999999,Case Rate,,7936.67033,,MS-DRG,8465.6,Case Rate,,7861.082993,,MS-DRG,4201.57,Case Rate,,7861.082993,,MS-DRG,4670.173333,Case Rate,,7936.67033,,MS-DRG,999999999,Case Rate,,8012.257666,,MS-DRG,999999999,Case Rate,,7936.67033,,MS-DRG,999999999,Case Rate,,8012.257666,,MS-DRG,999999999,Case Rate,,8125.638671,,MS-DRG,999999999,Case Rate,,7558.733647,,MS-DRG,999999999,Case Rate,,7785.495657,,MS-DRG,999999999,Case Rate,,7936.67033,,MS-DRG,999999999,Case Rate,,7936.67033,,MS-DRG,999999999,Case Rate,,8012.257666,,MS-DRG,999999999,Case Rate,,7558.733647,,MS-DRG,999999999,Case Rate,,7558.733647,,MS-DRG,999999999,Case Rate,,7558.733647,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,179,MS-DRG,,,,,inpatient,,,,,,5967.622053,8951.43308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8951.43308,,MS-DRG,999999999,Case Rate,,8951.43308,,MS-DRG,999999999,Case Rate,,6266.003156,,MS-DRG,6254.42,Case Rate,,6206.326935,,MS-DRG,999999999,Case Rate,,6206.326935,,MS-DRG,999999999,Case Rate,,6266.003156,,MS-DRG,999999999,Case Rate,,6325.679377,,MS-DRG,999999999,Case Rate,,6266.003156,,MS-DRG,999999999,Case Rate,,6325.679377,,MS-DRG,999999999,Case Rate,,6415.193707,,MS-DRG,999999999,Case Rate,,5967.622053,,MS-DRG,999999999,Case Rate,,6146.650715,,MS-DRG,999999999,Case Rate,,6266.003156,,MS-DRG,999999999,Case Rate,,6266.003156,,MS-DRG,999999999,Case Rate,,6325.679377,,MS-DRG,999999999,Case Rate,,5967.622053,,MS-DRG,999999999,Case Rate,,5967.622053,,MS-DRG,999999999,Case Rate,,5967.622053,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY NEOPLASMS WITH MCC,180,MS-DRG,,,,,inpatient,,,,,,5706.79,19447.83315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19447.83315,,MS-DRG,999999999,Case Rate,,19447.83315,,MS-DRG,999999999,Case Rate,,13613.4832,,MS-DRG,12950.15,Case Rate,,13483.83098,,MS-DRG,999999999,Case Rate,,13483.83098,,MS-DRG,5706.79,Case Rate,,13613.4832,,MS-DRG,999999999,Case Rate,,13743.13542,,MS-DRG,999999999,Case Rate,,13613.4832,,MS-DRG,999999999,Case Rate,,13743.13542,,MS-DRG,999999999,Case Rate,,13937.61376,,MS-DRG,13278.27,Case Rate,,12965.2221,,MS-DRG,999999999,Case Rate,,13354.17876,,MS-DRG,999999999,Case Rate,,13613.4832,,MS-DRG,999999999,Case Rate,,13613.4832,,MS-DRG,999999999,Case Rate,,13743.13542,,MS-DRG,999999999,Case Rate,,12965.2221,,MS-DRG,999999999,Case Rate,,12965.2221,,MS-DRG,999999999,Case Rate,,12965.2221,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY NEOPLASMS WITH CC,181,MS-DRG,,,,,inpatient,,,,,,4152.415,12606.55409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12606.55409,,MS-DRG,999999999,Case Rate,,12606.55409,,MS-DRG,999999999,Case Rate,,8824.587865,,MS-DRG,999999999,Case Rate,,8740.544171,,MS-DRG,999999999,Case Rate,,8740.544171,,MS-DRG,8410.42,Case Rate,,8824.587865,,MS-DRG,999999999,Case Rate,,8908.631559,,MS-DRG,999999999,Case Rate,,8824.587865,,MS-DRG,999999999,Case Rate,,8908.631559,,MS-DRG,999999999,Case Rate,,9034.6971,,MS-DRG,4152.415,Case Rate,,8404.369395,,MS-DRG,999999999,Case Rate,,8656.500477,,MS-DRG,999999999,Case Rate,,8824.587865,,MS-DRG,999999999,Case Rate,,8824.587865,,MS-DRG,999999999,Case Rate,,8908.631559,,MS-DRG,999999999,Case Rate,,8404.369395,,MS-DRG,999999999,Case Rate,,8404.369395,,MS-DRG,999999999,Case Rate,,8404.369395,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY NEOPLASMS WITHOUT CC/MCC,182,MS-DRG,,,,,inpatient,,,,,,6452.682153,9679.023229,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9679.023229,,MS-DRG,999999999,Case Rate,,9679.023229,,MS-DRG,999999999,Case Rate,,6775.31626,,MS-DRG,999999999,Case Rate,,6710.789439,,MS-DRG,999999999,Case Rate,,6710.789439,,MS-DRG,999999999,Case Rate,,6775.31626,,MS-DRG,999999999,Case Rate,,6839.843082,,MS-DRG,999999999,Case Rate,,6775.31626,,MS-DRG,999999999,Case Rate,,6839.843082,,MS-DRG,999999999,Case Rate,,6936.633314,,MS-DRG,999999999,Case Rate,,6452.682153,,MS-DRG,999999999,Case Rate,,6646.262617,,MS-DRG,999999999,Case Rate,,6775.31626,,MS-DRG,999999999,Case Rate,,6775.31626,,MS-DRG,999999999,Case Rate,,6839.843082,,MS-DRG,999999999,Case Rate,,6452.682153,,MS-DRG,999999999,Case Rate,,6452.682153,,MS-DRG,999999999,Case Rate,,6452.682153,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR CHEST TRAUMA WITH MCC,183,MS-DRG,,,,,inpatient,,,,,,11159.01,17725.44054,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17725.44054,,MS-DRG,999999999,Case Rate,,17725.44054,,MS-DRG,999999999,Case Rate,,12407.80838,,MS-DRG,999999999,Case Rate,,12289.63877,,MS-DRG,999999999,Case Rate,,12289.63877,,MS-DRG,11835.1,Case Rate,,12407.80838,,MS-DRG,999999999,Case Rate,,12525.97798,,MS-DRG,999999999,Case Rate,,12407.80838,,MS-DRG,999999999,Case Rate,,12525.97798,,MS-DRG,999999999,Case Rate,,12703.23239,,MS-DRG,11159.01,Case Rate,,11816.96036,,MS-DRG,999999999,Case Rate,,12171.46917,,MS-DRG,999999999,Case Rate,,12407.80838,,MS-DRG,999999999,Case Rate,,12407.80838,,MS-DRG,999999999,Case Rate,,12525.97798,,MS-DRG,999999999,Case Rate,,11816.96036,,MS-DRG,999999999,Case Rate,,11816.96036,,MS-DRG,999999999,Case Rate,,11816.96036,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR CHEST TRAUMA WITH CC,184,MS-DRG,,,,,inpatient,,,,,,7782.4,12153.68825,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12153.68825,,MS-DRG,999999999,Case Rate,,12153.68825,,MS-DRG,999999999,Case Rate,,8507.581774,,MS-DRG,999999999,Case Rate,,8426.557185,,MS-DRG,999999999,Case Rate,,8426.557185,,MS-DRG,7782.4,Case Rate,,8507.581774,,MS-DRG,999999999,Case Rate,,8588.606362,,MS-DRG,999999999,Case Rate,,8507.581774,,MS-DRG,999999999,Case Rate,,8588.606362,,MS-DRG,999999999,Case Rate,,8710.143245,,MS-DRG,999999999,Case Rate,,8102.458832,,MS-DRG,999999999,Case Rate,,8345.532597,,MS-DRG,999999999,Case Rate,,8507.581774,,MS-DRG,999999999,Case Rate,,8507.581774,,MS-DRG,999999999,Case Rate,,8588.606362,,MS-DRG,999999999,Case Rate,,8102.458832,,MS-DRG,999999999,Case Rate,,8102.458832,,MS-DRG,999999999,Case Rate,,8102.458832,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR CHEST TRAUMA WITHOUT CC/MCC,185,MS-DRG,,,,,inpatient,,,,,,1247.42,9037.284425,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9037.284425,,MS-DRG,999999999,Case Rate,,9037.284425,,MS-DRG,999999999,Case Rate,,6326.099097,,MS-DRG,1338.32,Case Rate,,6265.850535,,MS-DRG,999999999,Case Rate,,6265.850535,,MS-DRG,1247.42,Case Rate,,6326.099097,,MS-DRG,999999999,Case Rate,,6386.34766,,MS-DRG,999999999,Case Rate,,6326.099097,,MS-DRG,999999999,Case Rate,,6386.34766,,MS-DRG,999999999,Case Rate,,6476.720505,,MS-DRG,999999999,Case Rate,,6024.856283,,MS-DRG,999999999,Case Rate,,6205.601972,,MS-DRG,999999999,Case Rate,,6326.099097,,MS-DRG,999999999,Case Rate,,6326.099097,,MS-DRG,999999999,Case Rate,,6386.34766,,MS-DRG,999999999,Case Rate,,6024.856283,,MS-DRG,999999999,Case Rate,,6024.856283,,MS-DRG,999999999,Case Rate,,6024.856283,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PLEURAL EFFUSION WITH MCC,186,MS-DRG,,,,,inpatient,,,,,,11552.96,17647.10119,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17647.10119,,MS-DRG,999999999,Case Rate,,17647.10119,,MS-DRG,999999999,Case Rate,,12352.97083,,MS-DRG,999999999,Case Rate,,12235.32349,,MS-DRG,11552.96,Case Rate,,12235.32349,,MS-DRG,999999999,Case Rate,,12352.97083,,MS-DRG,999999999,Case Rate,,12470.61817,,MS-DRG,999999999,Case Rate,,12352.97083,,MS-DRG,999999999,Case Rate,,12470.61817,,MS-DRG,999999999,Case Rate,,12647.08918,,MS-DRG,999999999,Case Rate,,11764.73412,,MS-DRG,999999999,Case Rate,,12117.67615,,MS-DRG,999999999,Case Rate,,12352.97083,,MS-DRG,999999999,Case Rate,,12352.97083,,MS-DRG,999999999,Case Rate,,12470.61817,,MS-DRG,999999999,Case Rate,,11764.73412,,MS-DRG,999999999,Case Rate,,11764.73412,,MS-DRG,999999999,Case Rate,,11764.73412,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PLEURAL EFFUSION WITH CC,187,MS-DRG,,,,,inpatient,,,,,,30.32,11465.80435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11465.80435,,MS-DRG,999999999,Case Rate,,11465.80435,,MS-DRG,999999999,Case Rate,,8026.063042,,MS-DRG,999999999,Case Rate,,7949.624347,,MS-DRG,999999999,Case Rate,,7949.624347,,MS-DRG,30.32,Case Rate,,8026.063042,,MS-DRG,999999999,Case Rate,,8102.501738,,MS-DRG,999999999,Case Rate,,8026.063042,,MS-DRG,999999999,Case Rate,,8102.501738,,MS-DRG,999999999,Case Rate,,8217.159782,,MS-DRG,999999999,Case Rate,,7643.869564,,MS-DRG,999999999,Case Rate,,7873.185651,,MS-DRG,999999999,Case Rate,,8026.063042,,MS-DRG,999999999,Case Rate,,8026.063042,,MS-DRG,999999999,Case Rate,,8102.501738,,MS-DRG,999999999,Case Rate,,7643.869564,,MS-DRG,999999999,Case Rate,,7643.869564,,MS-DRG,999999999,Case Rate,,7643.869564,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PLEURAL EFFUSION WITHOUT CC/MCC,188,MS-DRG,,,,,inpatient,,,,,,5713.645158,8570.467737,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8570.467737,,MS-DRG,999999999,Case Rate,,8570.467737,,MS-DRG,999999999,Case Rate,,5999.327416,,MS-DRG,999999999,Case Rate,,5942.190964,,MS-DRG,999999999,Case Rate,,5942.190964,,MS-DRG,999999999,Case Rate,,5999.327416,,MS-DRG,999999999,Case Rate,,6056.463867,,MS-DRG,999999999,Case Rate,,5999.327416,,MS-DRG,999999999,Case Rate,,6056.463867,,MS-DRG,999999999,Case Rate,,6142.168545,,MS-DRG,999999999,Case Rate,,5713.645158,,MS-DRG,999999999,Case Rate,,5885.054512,,MS-DRG,999999999,Case Rate,,5999.327416,,MS-DRG,999999999,Case Rate,,5999.327416,,MS-DRG,999999999,Case Rate,,6056.463867,,MS-DRG,999999999,Case Rate,,5713.645158,,MS-DRG,999999999,Case Rate,,5713.645158,,MS-DRG,999999999,Case Rate,,5713.645158,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PULMONARY EDEMA AND RESPIRATORY FAILURE,189,MS-DRG,,,,,inpatient,,,,,,6574.856296,13970.51734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13970.51734,,MS-DRG,999999999,Case Rate,,13970.51734,,MS-DRG,999999999,Case Rate,,9779.362136,,MS-DRG,7965.336667,Case Rate,,9686.225353,,MS-DRG,9246.81,Case Rate,,9686.225353,,MS-DRG,6574.856296,Case Rate,,9779.362136,,MS-DRG,999999999,Case Rate,,9872.498918,,MS-DRG,999999999,Case Rate,,9779.362136,,MS-DRG,999999999,Case Rate,,9872.498918,,MS-DRG,999999999,Case Rate,,10012.20409,,MS-DRG,7053.701818,Case Rate,,9313.678224,,MS-DRG,999999999,Case Rate,,9593.088571,,MS-DRG,999999999,Case Rate,,9779.362136,,MS-DRG,999999999,Case Rate,,9779.362136,,MS-DRG,999999999,Case Rate,,9872.498918,,MS-DRG,999999999,Case Rate,,9313.678224,,MS-DRG,999999999,Case Rate,,9313.678224,,MS-DRG,999999999,Case Rate,,9313.678224,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,190,MS-DRG,,,,,inpatient,,,,,,3209.18,12742.8431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12742.8431,,MS-DRG,999999999,Case Rate,,12742.8431,,MS-DRG,999999999,Case Rate,,8919.990172,,MS-DRG,3209.18,Case Rate,,8835.037885,,MS-DRG,999999999,Case Rate,,8835.037885,,MS-DRG,5834.716111,Case Rate,,8919.990172,,MS-DRG,999999999,Case Rate,,9004.94246,,MS-DRG,999999999,Case Rate,,8919.990172,,MS-DRG,999999999,Case Rate,,9004.94246,,MS-DRG,999999999,Case Rate,,9132.370891,,MS-DRG,5143.965714,Case Rate,,8495.228735,,MS-DRG,999999999,Case Rate,,8750.085598,,MS-DRG,999999999,Case Rate,,8919.990172,,MS-DRG,999999999,Case Rate,,8919.990172,,MS-DRG,999999999,Case Rate,,9004.94246,,MS-DRG,999999999,Case Rate,,8495.228735,,MS-DRG,999999999,Case Rate,,8495.228735,,MS-DRG,999999999,Case Rate,,8495.228735,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,191,MS-DRG,,,,,inpatient,,,,,,3464.775,9910.82186,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9910.82186,,MS-DRG,999999999,Case Rate,,9910.82186,,MS-DRG,999999999,Case Rate,,6937.575302,,MS-DRG,3464.775,Case Rate,,6871.503156,,MS-DRG,6251.95,Case Rate,,6871.503156,,MS-DRG,5019.6025,Case Rate,,6937.575302,,MS-DRG,999999999,Case Rate,,7003.647448,,MS-DRG,999999999,Case Rate,,6937.575302,,MS-DRG,999999999,Case Rate,,7003.647448,,MS-DRG,999999999,Case Rate,,7102.755667,,MS-DRG,5677.82,Case Rate,,6607.214574,,MS-DRG,999999999,Case Rate,,6805.431011,,MS-DRG,999999999,Case Rate,,6937.575302,,MS-DRG,999999999,Case Rate,,6937.575302,,MS-DRG,999999999,Case Rate,,7003.647448,,MS-DRG,999999999,Case Rate,,6607.214574,,MS-DRG,999999999,Case Rate,,6607.214574,,MS-DRG,999999999,Case Rate,,6607.214574,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,192,MS-DRG,,,,,inpatient,,,,,,3175.545,7636.83436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7636.83436,,MS-DRG,999999999,Case Rate,,7636.83436,,MS-DRG,999999999,Case Rate,,5345.784052,,MS-DRG,999999999,Case Rate,,5294.871823,,MS-DRG,999999999,Case Rate,,5294.871823,,MS-DRG,3175.545,Case Rate,,5345.784052,,MS-DRG,999999999,Case Rate,,5396.696281,,MS-DRG,999999999,Case Rate,,5345.784052,,MS-DRG,999999999,Case Rate,,5396.696281,,MS-DRG,999999999,Case Rate,,5473.064625,,MS-DRG,4064.27,Case Rate,,5091.222907,,MS-DRG,999999999,Case Rate,,5243.959594,,MS-DRG,999999999,Case Rate,,5345.784052,,MS-DRG,999999999,Case Rate,,5345.784052,,MS-DRG,999999999,Case Rate,,5396.696281,,MS-DRG,999999999,Case Rate,,5091.222907,,MS-DRG,999999999,Case Rate,,5091.222907,,MS-DRG,999999999,Case Rate,,5091.222907,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMPLE PNEUMONIA AND PLEURISY WITH MCC,193,MS-DRG,,,,,inpatient,,,,,,5451.648333,14832.25021,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14832.25021,,MS-DRG,999999999,Case Rate,,14832.25021,,MS-DRG,999999999,Case Rate,,10382.57515,,MS-DRG,7589.655,Case Rate,,10283.69348,,MS-DRG,7454.92,Case Rate,,10283.69348,,MS-DRG,6482.645625,Case Rate,,10382.57515,,MS-DRG,999999999,Case Rate,,10481.45682,,MS-DRG,999999999,Case Rate,,10382.57515,,MS-DRG,999999999,Case Rate,,10481.45682,,MS-DRG,999999999,Case Rate,,10629.77932,,MS-DRG,5451.648333,Case Rate,,9888.166808,,MS-DRG,999999999,Case Rate,,10184.81181,,MS-DRG,999999999,Case Rate,,10382.57515,,MS-DRG,999999999,Case Rate,,10382.57515,,MS-DRG,999999999,Case Rate,,10481.45682,,MS-DRG,999999999,Case Rate,,9888.166808,,MS-DRG,999999999,Case Rate,,9888.166808,,MS-DRG,999999999,Case Rate,,9888.166808,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMPLE PNEUMONIA AND PLEURISY WITH CC,194,MS-DRG,,,,,inpatient,,,,,,5883.313333,9491.223412,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9491.223412,,MS-DRG,999999999,Case Rate,,9491.223412,,MS-DRG,999999999,Case Rate,,6643.856388,,MS-DRG,999999999,Case Rate,,6580.581565,,MS-DRG,6383.56,Case Rate,,6580.581565,,MS-DRG,5883.313333,Case Rate,,6643.856388,,MS-DRG,999999999,Case Rate,,6707.131211,,MS-DRG,999999999,Case Rate,,6643.856388,,MS-DRG,999999999,Case Rate,,6707.131211,,MS-DRG,999999999,Case Rate,,6802.043445,,MS-DRG,999999999,Case Rate,,6327.482274,,MS-DRG,999999999,Case Rate,,6517.306743,,MS-DRG,999999999,Case Rate,,6643.856388,,MS-DRG,999999999,Case Rate,,6643.856388,,MS-DRG,999999999,Case Rate,,6707.131211,,MS-DRG,999999999,Case Rate,,6327.482274,,MS-DRG,999999999,Case Rate,,6327.482274,,MS-DRG,999999999,Case Rate,,6327.482274,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,195,MS-DRG,,,,,inpatient,,,,,,4915.943077,7373.914616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7373.914616,,MS-DRG,999999999,Case Rate,,7373.914616,,MS-DRG,999999999,Case Rate,,5161.740231,,MS-DRG,999999999,Case Rate,,5112.5808,,MS-DRG,999999999,Case Rate,,5112.5808,,MS-DRG,999999999,Case Rate,,5161.740231,,MS-DRG,999999999,Case Rate,,5210.899662,,MS-DRG,999999999,Case Rate,,5161.740231,,MS-DRG,999999999,Case Rate,,5210.899662,,MS-DRG,999999999,Case Rate,,5284.638808,,MS-DRG,999999999,Case Rate,,4915.943077,,MS-DRG,999999999,Case Rate,,5063.421369,,MS-DRG,999999999,Case Rate,,5161.740231,,MS-DRG,999999999,Case Rate,,5161.740231,,MS-DRG,999999999,Case Rate,,5210.899662,,MS-DRG,999999999,Case Rate,,4915.943077,,MS-DRG,999999999,Case Rate,,4915.943077,,MS-DRG,999999999,Case Rate,,4915.943077,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTERSTITIAL LUNG DISEASE WITH MCC,196,MS-DRG,,,,,inpatient,,,,,,13940.35029,20910.52544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20910.52544,,MS-DRG,999999999,Case Rate,,20910.52544,,MS-DRG,999999999,Case Rate,,14637.36781,,MS-DRG,999999999,Case Rate,,14497.9643,,MS-DRG,999999999,Case Rate,,14497.9643,,MS-DRG,999999999,Case Rate,,14637.36781,,MS-DRG,999999999,Case Rate,,14776.77131,,MS-DRG,999999999,Case Rate,,14637.36781,,MS-DRG,999999999,Case Rate,,14776.77131,,MS-DRG,999999999,Case Rate,,14985.87656,,MS-DRG,999999999,Case Rate,,13940.35029,,MS-DRG,999999999,Case Rate,,14358.5608,,MS-DRG,999999999,Case Rate,,14637.36781,,MS-DRG,999999999,Case Rate,,14637.36781,,MS-DRG,999999999,Case Rate,,14776.77131,,MS-DRG,999999999,Case Rate,,13940.35029,,MS-DRG,999999999,Case Rate,,13940.35029,,MS-DRG,999999999,Case Rate,,13940.35029,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTERSTITIAL LUNG DISEASE WITH CC,197,MS-DRG,,,,,inpatient,,,,,,47.05,11315.56449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11315.56449,,MS-DRG,999999999,Case Rate,,11315.56449,,MS-DRG,999999999,Case Rate,,7920.895145,,MS-DRG,47.05,Case Rate,,7845.458048,,MS-DRG,999999999,Case Rate,,7845.458048,,MS-DRG,999999999,Case Rate,,7920.895145,,MS-DRG,999999999,Case Rate,,7996.332241,,MS-DRG,999999999,Case Rate,,7920.895145,,MS-DRG,999999999,Case Rate,,7996.332241,,MS-DRG,999999999,Case Rate,,8109.487886,,MS-DRG,999999999,Case Rate,,7543.709662,,MS-DRG,999999999,Case Rate,,7770.020952,,MS-DRG,999999999,Case Rate,,7920.895145,,MS-DRG,999999999,Case Rate,,7920.895145,,MS-DRG,999999999,Case Rate,,7996.332241,,MS-DRG,999999999,Case Rate,,7543.709662,,MS-DRG,999999999,Case Rate,,7543.709662,,MS-DRG,999999999,Case Rate,,7543.709662,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,198,MS-DRG,,,,,inpatient,,,,,,5471.830536,8207.745804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8207.745804,,MS-DRG,999999999,Case Rate,,8207.745804,,MS-DRG,999999999,Case Rate,,5745.422063,,MS-DRG,999999999,Case Rate,,5690.703757,,MS-DRG,999999999,Case Rate,,5690.703757,,MS-DRG,999999999,Case Rate,,5745.422063,,MS-DRG,999999999,Case Rate,,5800.140368,,MS-DRG,999999999,Case Rate,,5745.422063,,MS-DRG,999999999,Case Rate,,5800.140368,,MS-DRG,999999999,Case Rate,,5882.217826,,MS-DRG,999999999,Case Rate,,5471.830536,,MS-DRG,999999999,Case Rate,,5635.985452,,MS-DRG,999999999,Case Rate,,5745.422063,,MS-DRG,999999999,Case Rate,,5745.422063,,MS-DRG,999999999,Case Rate,,5800.140368,,MS-DRG,999999999,Case Rate,,5471.830536,,MS-DRG,999999999,Case Rate,,5471.830536,,MS-DRG,999999999,Case Rate,,5471.830536,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOTHORAX WITH MCC,199,MS-DRG,,,,,inpatient,,,,,,7051.53,19635.63296,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19635.63296,,MS-DRG,999999999,Case Rate,,19635.63296,,MS-DRG,999999999,Case Rate,,13744.94307,,MS-DRG,8367.74,Case Rate,,13614.03886,,MS-DRG,999999999,Case Rate,,13614.03886,,MS-DRG,7051.53,Case Rate,,13744.94307,,MS-DRG,11658.585,Case Rate,,13875.84729,,MS-DRG,999999999,Case Rate,,13744.94307,,MS-DRG,999999999,Case Rate,,13875.84729,,MS-DRG,999999999,Case Rate,,14072.20362,,MS-DRG,999999999,Case Rate,,13090.42198,,MS-DRG,999999999,Case Rate,,13483.13464,,MS-DRG,999999999,Case Rate,,13744.94307,,MS-DRG,999999999,Case Rate,,13744.94307,,MS-DRG,999999999,Case Rate,,13875.84729,,MS-DRG,999999999,Case Rate,,13090.42198,,MS-DRG,999999999,Case Rate,,13090.42198,,MS-DRG,999999999,Case Rate,,13090.42198,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOTHORAX WITH CC,200,MS-DRG,,,,,inpatient,,,,,,5463.2725,12576.50612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12576.50612,,MS-DRG,999999999,Case Rate,,12576.50612,,MS-DRG,999999999,Case Rate,,8803.554286,,MS-DRG,999999999,Case Rate,,8719.710911,,MS-DRG,999999999,Case Rate,,8719.710911,,MS-DRG,5463.2725,Case Rate,,8803.554286,,MS-DRG,999999999,Case Rate,,8887.39766,,MS-DRG,999999999,Case Rate,,8803.554286,,MS-DRG,999999999,Case Rate,,8887.39766,,MS-DRG,999999999,Case Rate,,9013.162721,,MS-DRG,999999999,Case Rate,,8384.337415,,MS-DRG,999999999,Case Rate,,8635.867537,,MS-DRG,999999999,Case Rate,,8803.554286,,MS-DRG,999999999,Case Rate,,8803.554286,,MS-DRG,999999999,Case Rate,,8887.39766,,MS-DRG,999999999,Case Rate,,8384.337415,,MS-DRG,999999999,Case Rate,,8384.337415,,MS-DRG,999999999,Case Rate,,8384.337415,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PNEUMOTHORAX WITHOUT CC/MCC,201,MS-DRG,,,,,inpatient,,,,,,4392.63,7957.703762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7957.703762,,MS-DRG,999999999,Case Rate,,7957.703762,,MS-DRG,999999999,Case Rate,,5570.392633,,MS-DRG,999999999,Case Rate,,5517.341275,,MS-DRG,999999999,Case Rate,,5517.341275,,MS-DRG,4392.63,Case Rate,,5570.392633,,MS-DRG,999999999,Case Rate,,5623.443992,,MS-DRG,999999999,Case Rate,,5570.392633,,MS-DRG,999999999,Case Rate,,5623.443992,,MS-DRG,999999999,Case Rate,,5703.021029,,MS-DRG,999999999,Case Rate,,5305.135841,,MS-DRG,999999999,Case Rate,,5464.289916,,MS-DRG,999999999,Case Rate,,5570.392633,,MS-DRG,999999999,Case Rate,,5570.392633,,MS-DRG,999999999,Case Rate,,5623.443992,,MS-DRG,999999999,Case Rate,,5305.135841,,MS-DRG,999999999,Case Rate,,5305.135841,,MS-DRG,999999999,Case Rate,,5305.135841,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRONCHITIS AND ASTHMA WITH CC/MCC,202,MS-DRG,,,,,inpatient,,,,,,3903.05,11065.52245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11065.52245,,MS-DRG,999999999,Case Rate,,11065.52245,,MS-DRG,999999999,Case Rate,,7745.865715,,MS-DRG,4296.74,Case Rate,,7672.095566,,MS-DRG,999999999,Case Rate,,7672.095566,,MS-DRG,3903.05,Case Rate,,7745.865715,,MS-DRG,999999999,Case Rate,,7819.635865,,MS-DRG,999999999,Case Rate,,7745.865715,,MS-DRG,999999999,Case Rate,,7819.635865,,MS-DRG,999999999,Case Rate,,7930.291089,,MS-DRG,7037.503333,Case Rate,,7377.014967,,MS-DRG,999999999,Case Rate,,7598.325416,,MS-DRG,999999999,Case Rate,,7745.865715,,MS-DRG,999999999,Case Rate,,7745.865715,,MS-DRG,999999999,Case Rate,,7819.635865,,MS-DRG,999999999,Case Rate,,7377.014967,,MS-DRG,999999999,Case Rate,,7377.014967,,MS-DRG,999999999,Case Rate,,7377.014967,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BRONCHITIS AND ASTHMA WITHOUT CC/MCC,203,MS-DRG,,,,,inpatient,,,,,,899.85,8166.966415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8166.966415,,MS-DRG,999999999,Case Rate,,8166.966415,,MS-DRG,999999999,Case Rate,,5716.876491,,MS-DRG,899.85,Case Rate,,5662.430048,,MS-DRG,999999999,Case Rate,,5662.430048,,MS-DRG,999999999,Case Rate,,5716.876491,,MS-DRG,999999999,Case Rate,,5771.322933,,MS-DRG,999999999,Case Rate,,5716.876491,,MS-DRG,999999999,Case Rate,,5771.322933,,MS-DRG,999999999,Case Rate,,5852.992598,,MS-DRG,999999999,Case Rate,,5444.644277,,MS-DRG,999999999,Case Rate,,5607.983605,,MS-DRG,999999999,Case Rate,,5716.876491,,MS-DRG,999999999,Case Rate,,5716.876491,,MS-DRG,999999999,Case Rate,,5771.322933,,MS-DRG,999999999,Case Rate,,5444.644277,,MS-DRG,999999999,Case Rate,,5444.644277,,MS-DRG,999999999,Case Rate,,5444.644277,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY SIGNS AND SYMPTOMS,204,MS-DRG,,,,,inpatient,,,,,,6263.093766,9394.640648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9394.640648,,MS-DRG,999999999,Case Rate,,9394.640648,,MS-DRG,999999999,Case Rate,,6576.248454,,MS-DRG,999999999,Case Rate,,6513.617516,,MS-DRG,999999999,Case Rate,,6513.617516,,MS-DRG,999999999,Case Rate,,6576.248454,,MS-DRG,999999999,Case Rate,,6638.879392,,MS-DRG,999999999,Case Rate,,6576.248454,,MS-DRG,999999999,Case Rate,,6638.879392,,MS-DRG,999999999,Case Rate,,6732.825798,,MS-DRG,999999999,Case Rate,,6263.093766,,MS-DRG,999999999,Case Rate,,6450.986579,,MS-DRG,999999999,Case Rate,,6576.248454,,MS-DRG,999999999,Case Rate,,6576.248454,,MS-DRG,999999999,Case Rate,,6638.879392,,MS-DRG,999999999,Case Rate,,6263.093766,,MS-DRG,999999999,Case Rate,,6263.093766,,MS-DRG,999999999,Case Rate,,6263.093766,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,205,MS-DRG,,,,,inpatient,,,,,,12459.585,20950.23168,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20950.23168,,MS-DRG,999999999,Case Rate,,20950.23168,,MS-DRG,999999999,Case Rate,,14665.16218,,MS-DRG,999999999,Case Rate,,14525.49397,,MS-DRG,999999999,Case Rate,,14525.49397,,MS-DRG,12459.585,Case Rate,,14665.16218,,MS-DRG,999999999,Case Rate,,14804.83039,,MS-DRG,999999999,Case Rate,,14665.16218,,MS-DRG,999999999,Case Rate,,14804.83039,,MS-DRG,999999999,Case Rate,,15014.33271,,MS-DRG,999999999,Case Rate,,13966.82112,,MS-DRG,999999999,Case Rate,,14385.82576,,MS-DRG,999999999,Case Rate,,14665.16218,,MS-DRG,999999999,Case Rate,,14665.16218,,MS-DRG,999999999,Case Rate,,14804.83039,,MS-DRG,999999999,Case Rate,,13966.82112,,MS-DRG,999999999,Case Rate,,13966.82112,,MS-DRG,999999999,Case Rate,,13966.82112,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,206,MS-DRG,,,,,inpatient,,,,,,4842.205,10411.97909,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10411.97909,,MS-DRG,999999999,Case Rate,,10411.97909,,MS-DRG,999999999,Case Rate,,7288.385361,,MS-DRG,4842.205,Case Rate,,7218.972167,,MS-DRG,999999999,Case Rate,,7218.972167,,MS-DRG,999999999,Case Rate,,7288.385361,,MS-DRG,999999999,Case Rate,,7357.798555,,MS-DRG,999999999,Case Rate,,7288.385361,,MS-DRG,999999999,Case Rate,,7357.798555,,MS-DRG,999999999,Case Rate,,7461.918345,,MS-DRG,999999999,Case Rate,,6941.319391,,MS-DRG,999999999,Case Rate,,7149.558973,,MS-DRG,999999999,Case Rate,,7288.385361,,MS-DRG,999999999,Case Rate,,7288.385361,,MS-DRG,999999999,Case Rate,,7357.798555,,MS-DRG,999999999,Case Rate,,6941.319391,,MS-DRG,999999999,Case Rate,,6941.319391,,MS-DRG,999999999,Case Rate,,6941.319391,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,207,MS-DRG,,,,,inpatient,,,,,,46729.12523,70093.68784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70093.68784,,MS-DRG,999999999,Case Rate,,70093.68784,,MS-DRG,999999999,Case Rate,,49065.58149,,MS-DRG,50551.12,Case Rate,,48598.29024,,MS-DRG,999999999,Case Rate,,48598.29024,,MS-DRG,999999999,Case Rate,,49065.58149,,MS-DRG,999999999,Case Rate,,49532.87274,,MS-DRG,999999999,Case Rate,,49065.58149,,MS-DRG,999999999,Case Rate,,49532.87274,,MS-DRG,999999999,Case Rate,,50233.80962,,MS-DRG,50428.29,Case Rate,,46729.12523,,MS-DRG,999999999,Case Rate,,48130.99898,,MS-DRG,999999999,Case Rate,,49065.58149,,MS-DRG,999999999,Case Rate,,49065.58149,,MS-DRG,999999999,Case Rate,,49532.87274,,MS-DRG,999999999,Case Rate,,46729.12523,,MS-DRG,999999999,Case Rate,,46729.12523,,MS-DRG,999999999,Case Rate,,46729.12523,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,208,MS-DRG,,,,,inpatient,,,,,,18398.725,29492.44051,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29492.44051,,MS-DRG,999999999,Case Rate,,29492.44051,,MS-DRG,999999999,Case Rate,,20644.70836,,MS-DRG,19450.33,Case Rate,,20448.09209,,MS-DRG,19147.99,Case Rate,,20448.09209,,MS-DRG,18641.21667,Case Rate,,20644.70836,,MS-DRG,18634.83,Case Rate,,20841.32463,,MS-DRG,999999999,Case Rate,,20644.70836,,MS-DRG,999999999,Case Rate,,20841.32463,,MS-DRG,999999999,Case Rate,,21136.24903,,MS-DRG,18398.725,Case Rate,,19661.62701,,MS-DRG,999999999,Case Rate,,20251.47582,,MS-DRG,999999999,Case Rate,,20644.70836,,MS-DRG,999999999,Case Rate,,20644.70836,,MS-DRG,999999999,Case Rate,,20841.32463,,MS-DRG,999999999,Case Rate,,19661.62701,,MS-DRG,999999999,Case Rate,,19661.62701,,MS-DRG,999999999,Case Rate,,19661.62701,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,212,MS-DRG,,,,,inpatient,,,,,,78398.97097,117598.4565,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117598.4565,,MS-DRG,999999999,Case Rate,,117598.4565,,MS-DRG,999999999,Case Rate,,82318.91952,,MS-DRG,999999999,Case Rate,,81534.92981,,MS-DRG,999999999,Case Rate,,81534.92981,,MS-DRG,999999999,Case Rate,,82318.91952,,MS-DRG,999999999,Case Rate,,83102.90922,,MS-DRG,999999999,Case Rate,,82318.91952,,MS-DRG,999999999,Case Rate,,83102.90922,,MS-DRG,999999999,Case Rate,,84278.89379,,MS-DRG,999999999,Case Rate,,78398.97097,,MS-DRG,999999999,Case Rate,,80750.9401,,MS-DRG,999999999,Case Rate,,82318.91952,,MS-DRG,999999999,Case Rate,,82318.91952,,MS-DRG,999999999,Case Rate,,83102.90922,,MS-DRG,999999999,Case Rate,,78398.97097,,MS-DRG,999999999,Case Rate,,78398.97097,,MS-DRG,999999999,Case Rate,,78398.97097,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER HEART ASSIST SYSTEM IMPLANT,215,MS-DRG,,,,,inpatient,,,,,,76259.12619,114388.6893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114388.6893,,MS-DRG,999999999,Case Rate,,114388.6893,,MS-DRG,999999999,Case Rate,,80072.0825,,MS-DRG,999999999,Case Rate,,79309.49124,,MS-DRG,999999999,Case Rate,,79309.49124,,MS-DRG,999999999,Case Rate,,80072.0825,,MS-DRG,999999999,Case Rate,,80834.67376,,MS-DRG,999999999,Case Rate,,80072.0825,,MS-DRG,999999999,Case Rate,,80834.67376,,MS-DRG,999999999,Case Rate,,81978.56066,,MS-DRG,999999999,Case Rate,,76259.12619,,MS-DRG,999999999,Case Rate,,78546.89998,,MS-DRG,999999999,Case Rate,,80072.0825,,MS-DRG,999999999,Case Rate,,80072.0825,,MS-DRG,999999999,Case Rate,,80834.67376,,MS-DRG,999999999,Case Rate,,76259.12619,,MS-DRG,999999999,Case Rate,,76259.12619,,MS-DRG,999999999,Case Rate,,76259.12619,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,216,MS-DRG,,,,,inpatient,,,,,,69507.63334,104261.45,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104261.45,,MS-DRG,999999999,Case Rate,,104261.45,,MS-DRG,999999999,Case Rate,,72983.015,,MS-DRG,999999999,Case Rate,,72287.93867,,MS-DRG,999999999,Case Rate,,72287.93867,,MS-DRG,70433,Case Rate,,72983.015,,MS-DRG,999999999,Case Rate,,73678.09134,,MS-DRG,999999999,Case Rate,,72983.015,,MS-DRG,999999999,Case Rate,,73678.09134,,MS-DRG,999999999,Case Rate,,74720.70584,,MS-DRG,999999999,Case Rate,,69507.63334,,MS-DRG,999999999,Case Rate,,71592.86234,,MS-DRG,999999999,Case Rate,,72983.015,,MS-DRG,999999999,Case Rate,,72983.015,,MS-DRG,999999999,Case Rate,,73678.09134,,MS-DRG,999999999,Case Rate,,69507.63334,,MS-DRG,999999999,Case Rate,,69507.63334,,MS-DRG,999999999,Case Rate,,69507.63334,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,217,MS-DRG,,,,,inpatient,,,,,,46662.59043,69993.88565,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69993.88565,,MS-DRG,999999999,Case Rate,,69993.88565,,MS-DRG,999999999,Case Rate,,48995.71996,,MS-DRG,999999999,Case Rate,,48529.09405,,MS-DRG,999999999,Case Rate,,48529.09405,,MS-DRG,999999999,Case Rate,,48995.71996,,MS-DRG,999999999,Case Rate,,49462.34586,,MS-DRG,999999999,Case Rate,,48995.71996,,MS-DRG,999999999,Case Rate,,49462.34586,,MS-DRG,999999999,Case Rate,,50162.28472,,MS-DRG,999999999,Case Rate,,46662.59043,,MS-DRG,999999999,Case Rate,,48062.46815,,MS-DRG,999999999,Case Rate,,48995.71996,,MS-DRG,999999999,Case Rate,,48995.71996,,MS-DRG,999999999,Case Rate,,49462.34586,,MS-DRG,999999999,Case Rate,,46662.59043,,MS-DRG,999999999,Case Rate,,46662.59043,,MS-DRG,999999999,Case Rate,,46662.59043,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,218,MS-DRG,,,,,inpatient,,,,,,43023.92426,64535.88639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64535.88639,,MS-DRG,999999999,Case Rate,,64535.88639,,MS-DRG,999999999,Case Rate,,45175.12048,,MS-DRG,999999999,Case Rate,,44744.88123,,MS-DRG,999999999,Case Rate,,44744.88123,,MS-DRG,999999999,Case Rate,,45175.12048,,MS-DRG,999999999,Case Rate,,45605.35972,,MS-DRG,999999999,Case Rate,,45175.12048,,MS-DRG,999999999,Case Rate,,45605.35972,,MS-DRG,999999999,Case Rate,,46250.71858,,MS-DRG,999999999,Case Rate,,43023.92426,,MS-DRG,999999999,Case Rate,,44314.64199,,MS-DRG,999999999,Case Rate,,45175.12048,,MS-DRG,999999999,Case Rate,,45175.12048,,MS-DRG,999999999,Case Rate,,45605.35972,,MS-DRG,999999999,Case Rate,,43023.92426,,MS-DRG,999999999,Case Rate,,43023.92426,,MS-DRG,999999999,Case Rate,,43023.92426,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,219,MS-DRG,,,,,inpatient,,,,,,55817.20552,83725.80828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83725.80828,,MS-DRG,999999999,Case Rate,,83725.80828,,MS-DRG,999999999,Case Rate,,58608.0658,,MS-DRG,999999999,Case Rate,,58049.89374,,MS-DRG,999999999,Case Rate,,58049.89374,,MS-DRG,999999999,Case Rate,,58608.0658,,MS-DRG,999999999,Case Rate,,59166.23785,,MS-DRG,999999999,Case Rate,,58608.0658,,MS-DRG,999999999,Case Rate,,59166.23785,,MS-DRG,999999999,Case Rate,,60003.49594,,MS-DRG,999999999,Case Rate,,55817.20552,,MS-DRG,999999999,Case Rate,,57491.72169,,MS-DRG,999999999,Case Rate,,58608.0658,,MS-DRG,999999999,Case Rate,,58608.0658,,MS-DRG,999999999,Case Rate,,59166.23785,,MS-DRG,999999999,Case Rate,,55817.20552,,MS-DRG,999999999,Case Rate,,55817.20552,,MS-DRG,999999999,Case Rate,,55817.20552,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,220,MS-DRG,,,,,inpatient,,,,,,38355.04195,57532.56293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57532.56293,,MS-DRG,999999999,Case Rate,,57532.56293,,MS-DRG,999999999,Case Rate,,40272.79405,,MS-DRG,999999999,Case Rate,,39889.24363,,MS-DRG,999999999,Case Rate,,39889.24363,,MS-DRG,999999999,Case Rate,,40272.79405,,MS-DRG,999999999,Case Rate,,40656.34447,,MS-DRG,999999999,Case Rate,,40272.79405,,MS-DRG,999999999,Case Rate,,40656.34447,,MS-DRG,999999999,Case Rate,,41231.6701,,MS-DRG,999999999,Case Rate,,38355.04195,,MS-DRG,999999999,Case Rate,,39505.69321,,MS-DRG,999999999,Case Rate,,40272.79405,,MS-DRG,999999999,Case Rate,,40272.79405,,MS-DRG,999999999,Case Rate,,40656.34447,,MS-DRG,999999999,Case Rate,,38355.04195,,MS-DRG,999999999,Case Rate,,38355.04195,,MS-DRG,999999999,Case Rate,,38355.04195,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,221,MS-DRG,,,,,inpatient,,,,,,33317.71428,49976.57143,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49976.57143,,MS-DRG,999999999,Case Rate,,49976.57143,,MS-DRG,999999999,Case Rate,,34983.6,,MS-DRG,999999999,Case Rate,,34650.42286,,MS-DRG,999999999,Case Rate,,34650.42286,,MS-DRG,999999999,Case Rate,,34983.6,,MS-DRG,999999999,Case Rate,,35316.77714,,MS-DRG,999999999,Case Rate,,34983.6,,MS-DRG,999999999,Case Rate,,35316.77714,,MS-DRG,999999999,Case Rate,,35816.54286,,MS-DRG,999999999,Case Rate,,33317.71428,,MS-DRG,999999999,Case Rate,,34317.24571,,MS-DRG,999999999,Case Rate,,34983.6,,MS-DRG,999999999,Case Rate,,34983.6,,MS-DRG,999999999,Case Rate,,35316.77714,,MS-DRG,999999999,Case Rate,,33317.71428,,MS-DRG,999999999,Case Rate,,33317.71428,,MS-DRG,999999999,Case Rate,,33317.71428,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER CARDIOTHORACIC PROCEDURES WITH MCC,228,MS-DRG,,,,,inpatient,,,,,,36112.89099,54169.33649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54169.33649,,MS-DRG,999999999,Case Rate,,54169.33649,,MS-DRG,999999999,Case Rate,,37918.53554,,MS-DRG,999999999,Case Rate,,37557.40663,,MS-DRG,999999999,Case Rate,,37557.40663,,MS-DRG,999999999,Case Rate,,37918.53554,,MS-DRG,999999999,Case Rate,,38279.66445,,MS-DRG,999999999,Case Rate,,37918.53554,,MS-DRG,999999999,Case Rate,,38279.66445,,MS-DRG,999999999,Case Rate,,38821.35782,,MS-DRG,999999999,Case Rate,,36112.89099,,MS-DRG,999999999,Case Rate,,37196.27772,,MS-DRG,999999999,Case Rate,,37918.53554,,MS-DRG,999999999,Case Rate,,37918.53554,,MS-DRG,999999999,Case Rate,,38279.66445,,MS-DRG,999999999,Case Rate,,36112.89099,,MS-DRG,999999999,Case Rate,,36112.89099,,MS-DRG,999999999,Case Rate,,36112.89099,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,229,MS-DRG,,,,,inpatient,,,,,,22684.30978,34026.46467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34026.46467,,MS-DRG,999999999,Case Rate,,34026.46467,,MS-DRG,999999999,Case Rate,,23818.52527,,MS-DRG,999999999,Case Rate,,23591.68217,,MS-DRG,999999999,Case Rate,,23591.68217,,MS-DRG,999999999,Case Rate,,23818.52527,,MS-DRG,999999999,Case Rate,,24045.36837,,MS-DRG,999999999,Case Rate,,23818.52527,,MS-DRG,999999999,Case Rate,,24045.36837,,MS-DRG,999999999,Case Rate,,24385.63301,,MS-DRG,999999999,Case Rate,,22684.30978,,MS-DRG,999999999,Case Rate,,23364.83907,,MS-DRG,999999999,Case Rate,,23818.52527,,MS-DRG,999999999,Case Rate,,23818.52527,,MS-DRG,999999999,Case Rate,,24045.36837,,MS-DRG,999999999,Case Rate,,22684.30978,,MS-DRG,999999999,Case Rate,,22684.30978,,MS-DRG,999999999,Case Rate,,22684.30978,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY BYPASS WITH PTCA WITH MCC,231,MS-DRG,,,,,inpatient,,,,,,61085.61639,91628.42459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91628.42459,,MS-DRG,999999999,Case Rate,,91628.42459,,MS-DRG,999999999,Case Rate,,64139.89721,,MS-DRG,999999999,Case Rate,,63529.04105,,MS-DRG,999999999,Case Rate,,63529.04105,,MS-DRG,999999999,Case Rate,,64139.89721,,MS-DRG,999999999,Case Rate,,64750.75338,,MS-DRG,999999999,Case Rate,,64139.89721,,MS-DRG,999999999,Case Rate,,64750.75338,,MS-DRG,999999999,Case Rate,,65667.03762,,MS-DRG,999999999,Case Rate,,61085.61639,,MS-DRG,999999999,Case Rate,,62918.18489,,MS-DRG,999999999,Case Rate,,64139.89721,,MS-DRG,999999999,Case Rate,,64139.89721,,MS-DRG,999999999,Case Rate,,64750.75338,,MS-DRG,999999999,Case Rate,,61085.61639,,MS-DRG,999999999,Case Rate,,61085.61639,,MS-DRG,999999999,Case Rate,,61085.61639,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY BYPASS WITH PTCA WITHOUT MCC,232,MS-DRG,,,,,inpatient,,,,,,44164.3163,66246.47444,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66246.47444,,MS-DRG,999999999,Case Rate,,66246.47444,,MS-DRG,999999999,Case Rate,,46372.53211,,MS-DRG,999999999,Case Rate,,45930.88895,,MS-DRG,999999999,Case Rate,,45930.88895,,MS-DRG,999999999,Case Rate,,46372.53211,,MS-DRG,999999999,Case Rate,,46814.17527,,MS-DRG,999999999,Case Rate,,46372.53211,,MS-DRG,999999999,Case Rate,,46814.17527,,MS-DRG,999999999,Case Rate,,47476.64002,,MS-DRG,999999999,Case Rate,,44164.3163,,MS-DRG,999999999,Case Rate,,45489.24578,,MS-DRG,999999999,Case Rate,,46372.53211,,MS-DRG,999999999,Case Rate,,46372.53211,,MS-DRG,999999999,Case Rate,,46814.17527,,MS-DRG,999999999,Case Rate,,44164.3163,,MS-DRG,999999999,Case Rate,,44164.3163,,MS-DRG,999999999,Case Rate,,44164.3163,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,233,MS-DRG,,,,,inpatient,,,,,,56381.67812,84572.51717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84572.51717,,MS-DRG,999999999,Case Rate,,84572.51717,,MS-DRG,999999999,Case Rate,,59200.76202,,MS-DRG,999999999,Case Rate,,58636.94524,,MS-DRG,999999999,Case Rate,,58636.94524,,MS-DRG,999999999,Case Rate,,59200.76202,,MS-DRG,999999999,Case Rate,,59764.5788,,MS-DRG,999999999,Case Rate,,59200.76202,,MS-DRG,999999999,Case Rate,,59764.5788,,MS-DRG,999999999,Case Rate,,60610.30397,,MS-DRG,999999999,Case Rate,,56381.67812,,MS-DRG,999999999,Case Rate,,58073.12846,,MS-DRG,999999999,Case Rate,,59200.76202,,MS-DRG,999999999,Case Rate,,59200.76202,,MS-DRG,999999999,Case Rate,,59764.5788,,MS-DRG,999999999,Case Rate,,56381.67812,,MS-DRG,999999999,Case Rate,,56381.67812,,MS-DRG,999999999,Case Rate,,56381.67812,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,234,MS-DRG,,,,,inpatient,,,,,,38523.1675,57784.75125,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57784.75125,,MS-DRG,999999999,Case Rate,,57784.75125,,MS-DRG,999999999,Case Rate,,40449.32588,,MS-DRG,999999999,Case Rate,,40064.0942,,MS-DRG,999999999,Case Rate,,40064.0942,,MS-DRG,999999999,Case Rate,,40449.32588,,MS-DRG,999999999,Case Rate,,40834.55755,,MS-DRG,999999999,Case Rate,,40449.32588,,MS-DRG,999999999,Case Rate,,40834.55755,,MS-DRG,999999999,Case Rate,,41412.40506,,MS-DRG,999999999,Case Rate,,38523.1675,,MS-DRG,999999999,Case Rate,,39678.86253,,MS-DRG,999999999,Case Rate,,40449.32588,,MS-DRG,999999999,Case Rate,,40449.32588,,MS-DRG,999999999,Case Rate,,40834.55755,,MS-DRG,999999999,Case Rate,,38523.1675,,MS-DRG,999999999,Case Rate,,38523.1675,,MS-DRG,999999999,Case Rate,,38523.1675,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,235,MS-DRG,,,,,inpatient,,,,,,42558.18072,63837.27107,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63837.27107,,MS-DRG,999999999,Case Rate,,63837.27107,,MS-DRG,999999999,Case Rate,,44686.08975,,MS-DRG,999999999,Case Rate,,44260.50795,,MS-DRG,999999999,Case Rate,,44260.50795,,MS-DRG,999999999,Case Rate,,44686.08975,,MS-DRG,999999999,Case Rate,,45111.67156,,MS-DRG,999999999,Case Rate,,44686.08975,,MS-DRG,999999999,Case Rate,,45111.67156,,MS-DRG,999999999,Case Rate,,45750.04427,,MS-DRG,999999999,Case Rate,,42558.18072,,MS-DRG,999999999,Case Rate,,43834.92614,,MS-DRG,999999999,Case Rate,,44686.08975,,MS-DRG,999999999,Case Rate,,44686.08975,,MS-DRG,999999999,Case Rate,,45111.67156,,MS-DRG,999999999,Case Rate,,42558.18072,,MS-DRG,999999999,Case Rate,,42558.18072,,MS-DRG,999999999,Case Rate,,42558.18072,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,236,MS-DRG,,,,,inpatient,,,,,,29880.08334,44820.12502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44820.12502,,MS-DRG,999999999,Case Rate,,44820.12502,,MS-DRG,999999999,Case Rate,,31374.08751,,MS-DRG,999999999,Case Rate,,31075.28668,,MS-DRG,999999999,Case Rate,,31075.28668,,MS-DRG,999999999,Case Rate,,31374.08751,,MS-DRG,999999999,Case Rate,,31672.88835,,MS-DRG,999999999,Case Rate,,31374.08751,,MS-DRG,999999999,Case Rate,,31672.88835,,MS-DRG,999999999,Case Rate,,32121.0896,,MS-DRG,999999999,Case Rate,,29880.08334,,MS-DRG,999999999,Case Rate,,30776.48585,,MS-DRG,999999999,Case Rate,,31374.08751,,MS-DRG,999999999,Case Rate,,31374.08751,,MS-DRG,999999999,Case Rate,,31672.88835,,MS-DRG,999999999,Case Rate,,29880.08334,,MS-DRG,999999999,Case Rate,,29880.08334,,MS-DRG,999999999,Case Rate,,29880.08334,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,239,MS-DRG,,,,,inpatient,,,,,,33221.66,54744.5405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54744.5405,,MS-DRG,999999999,Case Rate,,54744.5405,,MS-DRG,999999999,Case Rate,,38321.17835,,MS-DRG,34244.72,Case Rate,,37956.21475,,MS-DRG,999999999,Case Rate,,37956.21475,,MS-DRG,33221.66,Case Rate,,38321.17835,,MS-DRG,999999999,Case Rate,,38686.14195,,MS-DRG,999999999,Case Rate,,38321.17835,,MS-DRG,999999999,Case Rate,,38686.14195,,MS-DRG,999999999,Case Rate,,39233.58736,,MS-DRG,999999999,Case Rate,,36496.36033,,MS-DRG,999999999,Case Rate,,37591.25114,,MS-DRG,999999999,Case Rate,,38321.17835,,MS-DRG,999999999,Case Rate,,38321.17835,,MS-DRG,999999999,Case Rate,,38686.14195,,MS-DRG,999999999,Case Rate,,36496.36033,,MS-DRG,999999999,Case Rate,,36496.36033,,MS-DRG,999999999,Case Rate,,36496.36033,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,240,MS-DRG,,,,,inpatient,,,,,,18826.1775,31943.49641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31943.49641,,MS-DRG,999999999,Case Rate,,31943.49641,,MS-DRG,999999999,Case Rate,,22360.44749,,MS-DRG,999999999,Case Rate,,22147.49084,,MS-DRG,999999999,Case Rate,,22147.49084,,MS-DRG,18826.1775,Case Rate,,22360.44749,,MS-DRG,999999999,Case Rate,,22573.40413,,MS-DRG,999999999,Case Rate,,22360.44749,,MS-DRG,999999999,Case Rate,,22573.40413,,MS-DRG,999999999,Case Rate,,22892.83909,,MS-DRG,999999999,Case Rate,,21295.66427,,MS-DRG,999999999,Case Rate,,21934.5342,,MS-DRG,999999999,Case Rate,,22360.44749,,MS-DRG,999999999,Case Rate,,22360.44749,,MS-DRG,999999999,Case Rate,,22573.40413,,MS-DRG,999999999,Case Rate,,21295.66427,,MS-DRG,999999999,Case Rate,,21295.66427,,MS-DRG,999999999,Case Rate,,21295.66427,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,241,MS-DRG,,,,,inpatient,,,,,,11263.21918,16894.82878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16894.82878,,MS-DRG,999999999,Case Rate,,16894.82878,,MS-DRG,999999999,Case Rate,,11826.38014,,MS-DRG,999999999,Case Rate,,11713.74795,,MS-DRG,999999999,Case Rate,,11713.74795,,MS-DRG,999999999,Case Rate,,11826.38014,,MS-DRG,999999999,Case Rate,,11939.01233,,MS-DRG,999999999,Case Rate,,11826.38014,,MS-DRG,999999999,Case Rate,,11939.01233,,MS-DRG,999999999,Case Rate,,12107.96062,,MS-DRG,999999999,Case Rate,,11263.21918,,MS-DRG,999999999,Case Rate,,11601.11576,,MS-DRG,999999999,Case Rate,,11826.38014,,MS-DRG,999999999,Case Rate,,11826.38014,,MS-DRG,999999999,Case Rate,,11939.01233,,MS-DRG,999999999,Case Rate,,11263.21918,,MS-DRG,999999999,Case Rate,,11263.21918,,MS-DRG,999999999,Case Rate,,11263.21918,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,242,MS-DRG,,,,,inpatient,,,,,,20274.775,37092.43083,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37092.43083,,MS-DRG,999999999,Case Rate,,37092.43083,,MS-DRG,999999999,Case Rate,,25964.70158,,MS-DRG,999999999,Case Rate,,25717.41871,,MS-DRG,21352.81,Case Rate,,25717.41871,,MS-DRG,21890.506,Case Rate,,25964.70158,,MS-DRG,999999999,Case Rate,,26211.98445,,MS-DRG,999999999,Case Rate,,25964.70158,,MS-DRG,999999999,Case Rate,,26211.98445,,MS-DRG,999999999,Case Rate,,26582.90876,,MS-DRG,20274.775,Case Rate,,24728.28722,,MS-DRG,999999999,Case Rate,,25470.13583,,MS-DRG,999999999,Case Rate,,25964.70158,,MS-DRG,999999999,Case Rate,,25964.70158,,MS-DRG,999999999,Case Rate,,26211.98445,,MS-DRG,999999999,Case Rate,,24728.28722,,MS-DRG,999999999,Case Rate,,24728.28722,,MS-DRG,999999999,Case Rate,,24728.28722,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,243,MS-DRG,,,,,inpatient,,,,,,15888.31,24867.1993,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24867.1993,,MS-DRG,999999999,Case Rate,,24867.1993,,MS-DRG,999999999,Case Rate,,17407.03951,,MS-DRG,999999999,Case Rate,,17241.25818,,MS-DRG,17250.7,Case Rate,,17241.25818,,MS-DRG,15888.31,Case Rate,,17407.03951,,MS-DRG,999999999,Case Rate,,17572.82084,,MS-DRG,999999999,Case Rate,,17407.03951,,MS-DRG,999999999,Case Rate,,17572.82084,,MS-DRG,999999999,Case Rate,,17821.49283,,MS-DRG,16939.7,Case Rate,,16578.13287,,MS-DRG,999999999,Case Rate,,17075.47685,,MS-DRG,999999999,Case Rate,,17407.03951,,MS-DRG,999999999,Case Rate,,17407.03951,,MS-DRG,999999999,Case Rate,,17572.82084,,MS-DRG,999999999,Case Rate,,16578.13287,,MS-DRG,999999999,Case Rate,,16578.13287,,MS-DRG,999999999,Case Rate,,16578.13287,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,244,MS-DRG,,,,,inpatient,,,,,,13372.30056,20058.45084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20058.45084,,MS-DRG,999999999,Case Rate,,20058.45084,,MS-DRG,999999999,Case Rate,,14040.91559,,MS-DRG,999999999,Case Rate,,13907.19258,,MS-DRG,999999999,Case Rate,,13907.19258,,MS-DRG,999999999,Case Rate,,14040.91559,,MS-DRG,999999999,Case Rate,,14174.63859,,MS-DRG,999999999,Case Rate,,14040.91559,,MS-DRG,999999999,Case Rate,,14174.63859,,MS-DRG,999999999,Case Rate,,14375.2231,,MS-DRG,999999999,Case Rate,,13372.30056,,MS-DRG,999999999,Case Rate,,13773.46958,,MS-DRG,999999999,Case Rate,,14040.91559,,MS-DRG,999999999,Case Rate,,14040.91559,,MS-DRG,999999999,Case Rate,,14174.63859,,MS-DRG,999999999,Case Rate,,13372.30056,,MS-DRG,999999999,Case Rate,,13372.30056,,MS-DRG,999999999,Case Rate,,13372.30056,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AICD GENERATOR PROCEDURES,245,MS-DRG,,,,,inpatient,,,,,,35422.50309,53133.75464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53133.75464,,MS-DRG,999999999,Case Rate,,53133.75464,,MS-DRG,999999999,Case Rate,,37193.62825,,MS-DRG,999999999,Case Rate,,36839.40322,,MS-DRG,999999999,Case Rate,,36839.40322,,MS-DRG,999999999,Case Rate,,37193.62825,,MS-DRG,999999999,Case Rate,,37547.85328,,MS-DRG,999999999,Case Rate,,37193.62825,,MS-DRG,999999999,Case Rate,,37547.85328,,MS-DRG,999999999,Case Rate,,38079.19082,,MS-DRG,999999999,Case Rate,,35422.50309,,MS-DRG,999999999,Case Rate,,36485.17818,,MS-DRG,999999999,Case Rate,,37193.62825,,MS-DRG,999999999,Case Rate,,37193.62825,,MS-DRG,999999999,Case Rate,,37547.85328,,MS-DRG,999999999,Case Rate,,35422.50309,,MS-DRG,999999999,Case Rate,,35422.50309,,MS-DRG,999999999,Case Rate,,35422.50309,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,250,MS-DRG,,,,,inpatient,,,,,,17005.95874,25508.9381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25508.9381,,MS-DRG,999999999,Case Rate,,25508.9381,,MS-DRG,999999999,Case Rate,,17856.25667,,MS-DRG,999999999,Case Rate,,17686.19709,,MS-DRG,999999999,Case Rate,,17686.19709,,MS-DRG,999999999,Case Rate,,17856.25667,,MS-DRG,999999999,Case Rate,,18026.31626,,MS-DRG,999999999,Case Rate,,17856.25667,,MS-DRG,999999999,Case Rate,,18026.31626,,MS-DRG,999999999,Case Rate,,18281.40564,,MS-DRG,999999999,Case Rate,,17005.95874,,MS-DRG,999999999,Case Rate,,17516.1375,,MS-DRG,999999999,Case Rate,,17856.25667,,MS-DRG,999999999,Case Rate,,17856.25667,,MS-DRG,999999999,Case Rate,,18026.31626,,MS-DRG,999999999,Case Rate,,17005.95874,,MS-DRG,999999999,Case Rate,,17005.95874,,MS-DRG,999999999,Case Rate,,17005.95874,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,251,MS-DRG,,,,,inpatient,,,,,,9880.17,17460.37451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17460.37451,,MS-DRG,999999999,Case Rate,,17460.37451,,MS-DRG,999999999,Case Rate,,12222.26216,,MS-DRG,999999999,Case Rate,,12105.85966,,MS-DRG,999999999,Case Rate,,12105.85966,,MS-DRG,9880.17,Case Rate,,12222.26216,,MS-DRG,999999999,Case Rate,,12338.66465,,MS-DRG,999999999,Case Rate,,12222.26216,,MS-DRG,999999999,Case Rate,,12338.66465,,MS-DRG,999999999,Case Rate,,12513.2684,,MS-DRG,999999999,Case Rate,,11640.24967,,MS-DRG,999999999,Case Rate,,11989.45716,,MS-DRG,999999999,Case Rate,,12222.26216,,MS-DRG,999999999,Case Rate,,12222.26216,,MS-DRG,999999999,Case Rate,,12338.66465,,MS-DRG,999999999,Case Rate,,11640.24967,,MS-DRG,999999999,Case Rate,,11640.24967,,MS-DRG,999999999,Case Rate,,11640.24967,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER VASCULAR PROCEDURES WITH MCC,252,MS-DRG,,,,,inpatient,,,,,,19964.62,37504.51728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37504.51728,,MS-DRG,999999999,Case Rate,,37504.51728,,MS-DRG,999999999,Case Rate,,26253.1621,,MS-DRG,999999999,Case Rate,,26003.13198,,MS-DRG,19964.62,Case Rate,,26003.13198,,MS-DRG,24248.58,Case Rate,,26253.1621,,MS-DRG,999999999,Case Rate,,26503.19221,,MS-DRG,999999999,Case Rate,,26253.1621,,MS-DRG,999999999,Case Rate,,26503.19221,,MS-DRG,999999999,Case Rate,,26878.23739,,MS-DRG,28161.85667,Case Rate,,25003.01152,,MS-DRG,999999999,Case Rate,,25753.10187,,MS-DRG,999999999,Case Rate,,26253.1621,,MS-DRG,999999999,Case Rate,,26253.1621,,MS-DRG,999999999,Case Rate,,26503.19221,,MS-DRG,999999999,Case Rate,,25003.01152,,MS-DRG,999999999,Case Rate,,25003.01152,,MS-DRG,999999999,Case Rate,,25003.01152,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER VASCULAR PROCEDURES WITH CC,253,MS-DRG,,,,,inpatient,,,,,,17078.86,28088.77102,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28088.77102,,MS-DRG,999999999,Case Rate,,28088.77102,,MS-DRG,999999999,Case Rate,,19662.13971,,MS-DRG,17078.86,Case Rate,,19474.88124,,MS-DRG,999999999,Case Rate,,19474.88124,,MS-DRG,18487.68,Case Rate,,19662.13971,,MS-DRG,999999999,Case Rate,,19849.39819,,MS-DRG,999999999,Case Rate,,19662.13971,,MS-DRG,999999999,Case Rate,,19849.39819,,MS-DRG,999999999,Case Rate,,20130.2859,,MS-DRG,18666.62,Case Rate,,18725.84735,,MS-DRG,999999999,Case Rate,,19287.62277,,MS-DRG,999999999,Case Rate,,19662.13971,,MS-DRG,999999999,Case Rate,,19662.13971,,MS-DRG,999999999,Case Rate,,19849.39819,,MS-DRG,999999999,Case Rate,,18725.84735,,MS-DRG,999999999,Case Rate,,18725.84735,,MS-DRG,999999999,Case Rate,,18725.84735,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,254,MS-DRG,,,,,inpatient,,,,,,12976.66894,19465.00342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19465.00342,,MS-DRG,999999999,Case Rate,,19465.00342,,MS-DRG,999999999,Case Rate,,13625.50239,,MS-DRG,999999999,Case Rate,,13495.7357,,MS-DRG,999999999,Case Rate,,13495.7357,,MS-DRG,999999999,Case Rate,,13625.50239,,MS-DRG,999999999,Case Rate,,13755.26908,,MS-DRG,999999999,Case Rate,,13625.50239,,MS-DRG,999999999,Case Rate,,13755.26908,,MS-DRG,999999999,Case Rate,,13949.91911,,MS-DRG,999999999,Case Rate,,12976.66894,,MS-DRG,999999999,Case Rate,,13365.96901,,MS-DRG,999999999,Case Rate,,13625.50239,,MS-DRG,999999999,Case Rate,,13625.50239,,MS-DRG,999999999,Case Rate,,13755.26908,,MS-DRG,999999999,Case Rate,,12976.66894,,MS-DRG,999999999,Case Rate,,12976.66894,,MS-DRG,999999999,Case Rate,,12976.66894,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,255,MS-DRG,,,,,inpatient,,,,,,19180.14405,28770.21607,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28770.21607,,MS-DRG,999999999,Case Rate,,28770.21607,,MS-DRG,999999999,Case Rate,,20139.15125,,MS-DRG,999999999,Case Rate,,19947.34981,,MS-DRG,999999999,Case Rate,,19947.34981,,MS-DRG,999999999,Case Rate,,20139.15125,,MS-DRG,999999999,Case Rate,,20330.95269,,MS-DRG,999999999,Case Rate,,20139.15125,,MS-DRG,999999999,Case Rate,,20330.95269,,MS-DRG,999999999,Case Rate,,20618.65485,,MS-DRG,999999999,Case Rate,,19180.14405,,MS-DRG,999999999,Case Rate,,19755.54837,,MS-DRG,999999999,Case Rate,,20139.15125,,MS-DRG,999999999,Case Rate,,20139.15125,,MS-DRG,999999999,Case Rate,,20330.95269,,MS-DRG,999999999,Case Rate,,19180.14405,,MS-DRG,999999999,Case Rate,,19180.14405,,MS-DRG,999999999,Case Rate,,19180.14405,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,256,MS-DRG,,,,,inpatient,,,,,,12578.17562,18867.26343,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18867.26343,,MS-DRG,999999999,Case Rate,,18867.26343,,MS-DRG,999999999,Case Rate,,13207.0844,,MS-DRG,999999999,Case Rate,,13081.30264,,MS-DRG,999999999,Case Rate,,13081.30264,,MS-DRG,999999999,Case Rate,,13207.0844,,MS-DRG,999999999,Case Rate,,13332.86615,,MS-DRG,999999999,Case Rate,,13207.0844,,MS-DRG,999999999,Case Rate,,13332.86615,,MS-DRG,999999999,Case Rate,,13521.53879,,MS-DRG,999999999,Case Rate,,12578.17562,,MS-DRG,999999999,Case Rate,,12955.52089,,MS-DRG,999999999,Case Rate,,13207.0844,,MS-DRG,999999999,Case Rate,,13207.0844,,MS-DRG,999999999,Case Rate,,13332.86615,,MS-DRG,999999999,Case Rate,,12578.17562,,MS-DRG,999999999,Case Rate,,12578.17562,,MS-DRG,999999999,Case Rate,,12578.17562,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,257,MS-DRG,,,,,inpatient,,,,,,6841.874916,10262.81237,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10262.81237,,MS-DRG,999999999,Case Rate,,10262.81237,,MS-DRG,999999999,Case Rate,,7183.968662,,MS-DRG,999999999,Case Rate,,7115.549913,,MS-DRG,999999999,Case Rate,,7115.549913,,MS-DRG,999999999,Case Rate,,7183.968662,,MS-DRG,999999999,Case Rate,,7252.387411,,MS-DRG,999999999,Case Rate,,7183.968662,,MS-DRG,999999999,Case Rate,,7252.387411,,MS-DRG,999999999,Case Rate,,7355.015535,,MS-DRG,999999999,Case Rate,,6841.874916,,MS-DRG,999999999,Case Rate,,7047.131164,,MS-DRG,999999999,Case Rate,,7183.968662,,MS-DRG,999999999,Case Rate,,7183.968662,,MS-DRG,999999999,Case Rate,,7252.387411,,MS-DRG,999999999,Case Rate,,6841.874916,,MS-DRG,999999999,Case Rate,,6841.874916,,MS-DRG,999999999,Case Rate,,6841.874916,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,258,MS-DRG,,,,,inpatient,,,,,,18226.25,30798.4541,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30798.4541,,MS-DRG,999999999,Case Rate,,30798.4541,,MS-DRG,999999999,Case Rate,,21558.91787,,MS-DRG,999999999,Case Rate,,21353.59484,,MS-DRG,999999999,Case Rate,,21353.59484,,MS-DRG,18226.25,Case Rate,,21558.91787,,MS-DRG,999999999,Case Rate,,21764.24089,,MS-DRG,999999999,Case Rate,,21558.91787,,MS-DRG,999999999,Case Rate,,21764.24089,,MS-DRG,999999999,Case Rate,,22072.22544,,MS-DRG,999999999,Case Rate,,20532.30273,,MS-DRG,999999999,Case Rate,,21148.27181,,MS-DRG,999999999,Case Rate,,21558.91787,,MS-DRG,999999999,Case Rate,,21558.91787,,MS-DRG,999999999,Case Rate,,21764.24089,,MS-DRG,999999999,Case Rate,,20532.30273,,MS-DRG,999999999,Case Rate,,20532.30273,,MS-DRG,999999999,Case Rate,,20532.30273,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,259,MS-DRG,,,,,inpatient,,,,,,13036.04946,19554.07419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19554.07419,,MS-DRG,999999999,Case Rate,,19554.07419,,MS-DRG,999999999,Case Rate,,13687.85193,,MS-DRG,999999999,Case Rate,,13557.49144,,MS-DRG,999999999,Case Rate,,13557.49144,,MS-DRG,999999999,Case Rate,,13687.85193,,MS-DRG,999999999,Case Rate,,13818.21243,,MS-DRG,999999999,Case Rate,,13687.85193,,MS-DRG,999999999,Case Rate,,13818.21243,,MS-DRG,999999999,Case Rate,,14013.75317,,MS-DRG,999999999,Case Rate,,13036.04946,,MS-DRG,999999999,Case Rate,,13427.13094,,MS-DRG,999999999,Case Rate,,13687.85193,,MS-DRG,999999999,Case Rate,,13687.85193,,MS-DRG,999999999,Case Rate,,13818.21243,,MS-DRG,999999999,Case Rate,,13036.04946,,MS-DRG,999999999,Case Rate,,13036.04946,,MS-DRG,999999999,Case Rate,,13036.04946,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,260,MS-DRG,,,,,inpatient,,,,,,24829.87798,37244.81696,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37244.81696,,MS-DRG,999999999,Case Rate,,37244.81696,,MS-DRG,999999999,Case Rate,,26071.37187,,MS-DRG,999999999,Case Rate,,25823.07309,,MS-DRG,999999999,Case Rate,,25823.07309,,MS-DRG,999999999,Case Rate,,26071.37187,,MS-DRG,999999999,Case Rate,,26319.67065,,MS-DRG,999999999,Case Rate,,26071.37187,,MS-DRG,999999999,Case Rate,,26319.67065,,MS-DRG,999999999,Case Rate,,26692.11882,,MS-DRG,999999999,Case Rate,,24829.87798,,MS-DRG,999999999,Case Rate,,25574.77432,,MS-DRG,999999999,Case Rate,,26071.37187,,MS-DRG,999999999,Case Rate,,26071.37187,,MS-DRG,999999999,Case Rate,,26319.67065,,MS-DRG,999999999,Case Rate,,24829.87798,,MS-DRG,999999999,Case Rate,,24829.87798,,MS-DRG,999999999,Case Rate,,24829.87798,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,261,MS-DRG,,,,,inpatient,,,,,,10233.94,21055.39958,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21055.39958,,MS-DRG,999999999,Case Rate,,21055.39958,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14598.41038,,MS-DRG,999999999,Case Rate,,14598.41038,,MS-DRG,10233.94,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14879.14904,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14879.14904,,MS-DRG,999999999,Case Rate,,15089.70303,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,14458.04105,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14879.14904,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,262,MS-DRG,,,,,inpatient,,,,,,11319.73799,16979.60698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16979.60698,,MS-DRG,999999999,Case Rate,,16979.60698,,MS-DRG,999999999,Case Rate,,11885.72488,,MS-DRG,999999999,Case Rate,,11772.52751,,MS-DRG,999999999,Case Rate,,11772.52751,,MS-DRG,999999999,Case Rate,,11885.72488,,MS-DRG,999999999,Case Rate,,11998.92226,,MS-DRG,999999999,Case Rate,,11885.72488,,MS-DRG,999999999,Case Rate,,11998.92226,,MS-DRG,999999999,Case Rate,,12168.71833,,MS-DRG,999999999,Case Rate,,11319.73799,,MS-DRG,999999999,Case Rate,,11659.33013,,MS-DRG,999999999,Case Rate,,11885.72488,,MS-DRG,999999999,Case Rate,,11885.72488,,MS-DRG,999999999,Case Rate,,11998.92226,,MS-DRG,999999999,Case Rate,,11319.73799,,MS-DRG,999999999,Case Rate,,11319.73799,,MS-DRG,999999999,Case Rate,,11319.73799,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VEIN LIGATION AND STRIPPING,263,MS-DRG,,,,,inpatient,,,,,,19649.46473,29474.1971,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29474.1971,,MS-DRG,999999999,Case Rate,,29474.1971,,MS-DRG,999999999,Case Rate,,20631.93797,,MS-DRG,999999999,Case Rate,,20435.44332,,MS-DRG,999999999,Case Rate,,20435.44332,,MS-DRG,999999999,Case Rate,,20631.93797,,MS-DRG,999999999,Case Rate,,20828.43262,,MS-DRG,999999999,Case Rate,,20631.93797,,MS-DRG,999999999,Case Rate,,20828.43262,,MS-DRG,999999999,Case Rate,,21123.17459,,MS-DRG,999999999,Case Rate,,19649.46473,,MS-DRG,999999999,Case Rate,,20238.94868,,MS-DRG,999999999,Case Rate,,20631.93797,,MS-DRG,999999999,Case Rate,,20631.93797,,MS-DRG,999999999,Case Rate,,20828.43262,,MS-DRG,999999999,Case Rate,,19649.46473,,MS-DRG,999999999,Case Rate,,19649.46473,,MS-DRG,999999999,Case Rate,,19649.46473,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,MS-DRG,,,,,inpatient,,,,,,22527.45,38198.84003,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38198.84003,,MS-DRG,999999999,Case Rate,,38198.84003,,MS-DRG,999999999,Case Rate,,26739.18802,,MS-DRG,999999999,Case Rate,,26484.52909,,MS-DRG,999999999,Case Rate,,26484.52909,,MS-DRG,22527.45,Case Rate,,26739.18802,,MS-DRG,999999999,Case Rate,,26993.84696,,MS-DRG,999999999,Case Rate,,26739.18802,,MS-DRG,999999999,Case Rate,,26993.84696,,MS-DRG,22872.82,Case Rate,,27375.83536,,MS-DRG,23280.95,Case Rate,,25465.89336,,MS-DRG,999999999,Case Rate,,26229.87016,,MS-DRG,999999999,Case Rate,,26739.18802,,MS-DRG,999999999,Case Rate,,26739.18802,,MS-DRG,999999999,Case Rate,,26993.84696,,MS-DRG,999999999,Case Rate,,25465.89336,,MS-DRG,999999999,Case Rate,,25465.89336,,MS-DRG,999999999,Case Rate,,25465.89336,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AICD LEAD PROCEDURES,265,MS-DRG,,,,,inpatient,,,,,,25981.71685,38972.57528,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38972.57528,,MS-DRG,999999999,Case Rate,,38972.57528,,MS-DRG,999999999,Case Rate,,27280.8027,,MS-DRG,999999999,Case Rate,,27020.98553,,MS-DRG,999999999,Case Rate,,27020.98553,,MS-DRG,999999999,Case Rate,,27280.8027,,MS-DRG,999999999,Case Rate,,27540.61987,,MS-DRG,999999999,Case Rate,,27280.8027,,MS-DRG,999999999,Case Rate,,27540.61987,,MS-DRG,999999999,Case Rate,,27930.34562,,MS-DRG,999999999,Case Rate,,25981.71685,,MS-DRG,999999999,Case Rate,,26761.16836,,MS-DRG,999999999,Case Rate,,27280.8027,,MS-DRG,999999999,Case Rate,,27280.8027,,MS-DRG,999999999,Case Rate,,27540.61987,,MS-DRG,999999999,Case Rate,,25981.71685,,MS-DRG,999999999,Case Rate,,25981.71685,,MS-DRG,999999999,Case Rate,,25981.71685,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,266,MS-DRG,,,,,inpatient,,,,,,43320.82683,64981.24025,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64981.24025,,MS-DRG,999999999,Case Rate,,64981.24025,,MS-DRG,999999999,Case Rate,,45486.86817,,MS-DRG,999999999,Case Rate,,45053.6599,,MS-DRG,999999999,Case Rate,,45053.6599,,MS-DRG,999999999,Case Rate,,45486.86817,,MS-DRG,999999999,Case Rate,,45920.07644,,MS-DRG,999999999,Case Rate,,45486.86817,,MS-DRG,999999999,Case Rate,,45920.07644,,MS-DRG,999999999,Case Rate,,46569.88884,,MS-DRG,999999999,Case Rate,,43320.82683,,MS-DRG,999999999,Case Rate,,44620.45164,,MS-DRG,999999999,Case Rate,,45486.86817,,MS-DRG,999999999,Case Rate,,45486.86817,,MS-DRG,999999999,Case Rate,,45920.07644,,MS-DRG,999999999,Case Rate,,43320.82683,,MS-DRG,999999999,Case Rate,,43320.82683,,MS-DRG,999999999,Case Rate,,43320.82683,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,267,MS-DRG,,,,,inpatient,,,,,,34119.70893,51179.5634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51179.5634,,MS-DRG,999999999,Case Rate,,51179.5634,,MS-DRG,999999999,Case Rate,,35825.69438,,MS-DRG,999999999,Case Rate,,35484.49729,,MS-DRG,999999999,Case Rate,,35484.49729,,MS-DRG,999999999,Case Rate,,35825.69438,,MS-DRG,999999999,Case Rate,,36166.89147,,MS-DRG,999999999,Case Rate,,35825.69438,,MS-DRG,999999999,Case Rate,,36166.89147,,MS-DRG,999999999,Case Rate,,36678.6871,,MS-DRG,999999999,Case Rate,,34119.70893,,MS-DRG,999999999,Case Rate,,35143.3002,,MS-DRG,999999999,Case Rate,,35825.69438,,MS-DRG,999999999,Case Rate,,35825.69438,,MS-DRG,999999999,Case Rate,,36166.89147,,MS-DRG,999999999,Case Rate,,34119.70893,,MS-DRG,999999999,Case Rate,,34119.70893,,MS-DRG,999999999,Case Rate,,34119.70893,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,268,MS-DRG,,,,,inpatient,,,,,,48162.84269,72244.26403,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72244.26403,,MS-DRG,999999999,Case Rate,,72244.26403,,MS-DRG,999999999,Case Rate,,50570.98482,,MS-DRG,999999999,Case Rate,,50089.3564,,MS-DRG,999999999,Case Rate,,50089.3564,,MS-DRG,999999999,Case Rate,,50570.98482,,MS-DRG,999999999,Case Rate,,51052.61325,,MS-DRG,999999999,Case Rate,,50570.98482,,MS-DRG,999999999,Case Rate,,51052.61325,,MS-DRG,999999999,Case Rate,,51775.05589,,MS-DRG,999999999,Case Rate,,48162.84269,,MS-DRG,999999999,Case Rate,,49607.72797,,MS-DRG,999999999,Case Rate,,50570.98482,,MS-DRG,999999999,Case Rate,,50570.98482,,MS-DRG,999999999,Case Rate,,51052.61325,,MS-DRG,999999999,Case Rate,,48162.84269,,MS-DRG,999999999,Case Rate,,48162.84269,,MS-DRG,999999999,Case Rate,,48162.84269,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,269,MS-DRG,,,,,inpatient,,,,,,30227.78129,45341.67194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45341.67194,,MS-DRG,999999999,Case Rate,,45341.67194,,MS-DRG,999999999,Case Rate,,31739.17036,,MS-DRG,999999999,Case Rate,,31436.89254,,MS-DRG,31364.04,Case Rate,,31436.89254,,MS-DRG,999999999,Case Rate,,31739.17036,,MS-DRG,999999999,Case Rate,,32041.44817,,MS-DRG,999999999,Case Rate,,31739.17036,,MS-DRG,999999999,Case Rate,,32041.44817,,MS-DRG,999999999,Case Rate,,32494.86489,,MS-DRG,31862.31,Case Rate,,30227.78129,,MS-DRG,999999999,Case Rate,,31134.61473,,MS-DRG,999999999,Case Rate,,31739.17036,,MS-DRG,999999999,Case Rate,,31739.17036,,MS-DRG,999999999,Case Rate,,32041.44817,,MS-DRG,999999999,Case Rate,,30227.78129,,MS-DRG,999999999,Case Rate,,30227.78129,,MS-DRG,999999999,Case Rate,,30227.78129,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,270,MS-DRG,,,,,inpatient,,,,,,24257.46,55775.82978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55775.82978,,MS-DRG,999999999,Case Rate,,55775.82978,,MS-DRG,999999999,Case Rate,,39043.08085,,MS-DRG,999999999,Case Rate,,38671.24198,,MS-DRG,999999999,Case Rate,,38671.24198,,MS-DRG,999999999,Case Rate,,39043.08085,,MS-DRG,999999999,Case Rate,,39414.91971,,MS-DRG,999999999,Case Rate,,39043.08085,,MS-DRG,999999999,Case Rate,,39414.91971,,MS-DRG,999999999,Case Rate,,39972.67801,,MS-DRG,24257.46,Case Rate,,37183.88652,,MS-DRG,999999999,Case Rate,,38299.40312,,MS-DRG,999999999,Case Rate,,39043.08085,,MS-DRG,999999999,Case Rate,,39043.08085,,MS-DRG,999999999,Case Rate,,39414.91971,,MS-DRG,999999999,Case Rate,,37183.88652,,MS-DRG,999999999,Case Rate,,37183.88652,,MS-DRG,999999999,Case Rate,,37183.88652,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,271,MS-DRG,,,,,inpatient,,,,,,24236.74,45276.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37654.75714,,MS-DRG,999999999,Case Rate,,37654.75714,,MS-DRG,999999999,Case Rate,,26358.33,,MS-DRG,999999999,Case Rate,,26107.29828,,MS-DRG,999999999,Case Rate,,26107.29828,,MS-DRG,24236.74,Case Rate,,26358.33,,MS-DRG,999999999,Case Rate,,26609.36171,,MS-DRG,999999999,Case Rate,,26358.33,,MS-DRG,999999999,Case Rate,,26609.36171,,MS-DRG,999999999,Case Rate,,26985.90928,,MS-DRG,45276.74,Case Rate,,25103.17142,,MS-DRG,999999999,Case Rate,,25856.26657,,MS-DRG,999999999,Case Rate,,26358.33,,MS-DRG,999999999,Case Rate,,26358.33,,MS-DRG,999999999,Case Rate,,26609.36171,,MS-DRG,999999999,Case Rate,,25103.17142,,MS-DRG,999999999,Case Rate,,25103.17142,,MS-DRG,999999999,Case Rate,,25103.17142,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,272,MS-DRG,,,,,inpatient,,,,,,18362.40999,27543.61498,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27543.61498,,MS-DRG,999999999,Case Rate,,27543.61498,,MS-DRG,999999999,Case Rate,,19280.53049,,MS-DRG,999999999,Case Rate,,19096.90639,,MS-DRG,999999999,Case Rate,,19096.90639,,MS-DRG,999999999,Case Rate,,19280.53049,,MS-DRG,999999999,Case Rate,,19464.15459,,MS-DRG,999999999,Case Rate,,19280.53049,,MS-DRG,999999999,Case Rate,,19464.15459,,MS-DRG,999999999,Case Rate,,19739.59074,,MS-DRG,999999999,Case Rate,,18362.40999,,MS-DRG,999999999,Case Rate,,18913.28229,,MS-DRG,999999999,Case Rate,,19280.53049,,MS-DRG,999999999,Case Rate,,19280.53049,,MS-DRG,999999999,Case Rate,,19464.15459,,MS-DRG,999999999,Case Rate,,18362.40999,,MS-DRG,999999999,Case Rate,,18362.40999,,MS-DRG,999999999,Case Rate,,18362.40999,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,273,MS-DRG,,,,,inpatient,,,,,,28436.34989,42654.52484,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42654.52484,,MS-DRG,999999999,Case Rate,,42654.52484,,MS-DRG,999999999,Case Rate,,29858.16739,,MS-DRG,999999999,Case Rate,,29573.80389,,MS-DRG,999999999,Case Rate,,29573.80389,,MS-DRG,999999999,Case Rate,,29858.16739,,MS-DRG,999999999,Case Rate,,30142.53089,,MS-DRG,999999999,Case Rate,,29858.16739,,MS-DRG,999999999,Case Rate,,30142.53089,,MS-DRG,999999999,Case Rate,,30569.07614,,MS-DRG,999999999,Case Rate,,28436.34989,,MS-DRG,999999999,Case Rate,,29289.44039,,MS-DRG,999999999,Case Rate,,29858.16739,,MS-DRG,999999999,Case Rate,,29858.16739,,MS-DRG,999999999,Case Rate,,30142.53089,,MS-DRG,999999999,Case Rate,,28436.34989,,MS-DRG,999999999,Case Rate,,28436.34989,,MS-DRG,999999999,Case Rate,,28436.34989,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,274,MS-DRG,,,,,inpatient,,,,,,22789.47768,34184.21651,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34184.21651,,MS-DRG,999999999,Case Rate,,34184.21651,,MS-DRG,999999999,Case Rate,,23928.95156,,MS-DRG,999999999,Case Rate,,23701.05678,,MS-DRG,999999999,Case Rate,,23701.05678,,MS-DRG,999999999,Case Rate,,23928.95156,,MS-DRG,999999999,Case Rate,,24156.84634,,MS-DRG,999999999,Case Rate,,23928.95156,,MS-DRG,999999999,Case Rate,,24156.84634,,MS-DRG,999999999,Case Rate,,24498.6885,,MS-DRG,999999999,Case Rate,,22789.47768,,MS-DRG,999999999,Case Rate,,23473.16201,,MS-DRG,999999999,Case Rate,,23928.95156,,MS-DRG,999999999,Case Rate,,23928.95156,,MS-DRG,999999999,Case Rate,,24156.84634,,MS-DRG,999999999,Case Rate,,22789.47768,,MS-DRG,999999999,Case Rate,,22789.47768,,MS-DRG,999999999,Case Rate,,22789.47768,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,275,MS-DRG,,,,,inpatient,,,,,,50057.56,76530.39243,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76530.39243,,MS-DRG,999999999,Case Rate,,76530.39243,,MS-DRG,999999999,Case Rate,,53571.2747,,MS-DRG,999999999,Case Rate,,53061.07209,,MS-DRG,999999999,Case Rate,,53061.07209,,MS-DRG,50057.56,Case Rate,,53571.2747,,MS-DRG,999999999,Case Rate,,54081.47732,,MS-DRG,999999999,Case Rate,,53571.2747,,MS-DRG,999999999,Case Rate,,54081.47732,,MS-DRG,999999999,Case Rate,,54846.78124,,MS-DRG,999999999,Case Rate,,51020.26162,,MS-DRG,999999999,Case Rate,,52550.86947,,MS-DRG,999999999,Case Rate,,53571.2747,,MS-DRG,999999999,Case Rate,,53571.2747,,MS-DRG,999999999,Case Rate,,54081.47732,,MS-DRG,999999999,Case Rate,,51020.26162,,MS-DRG,999999999,Case Rate,,51020.26162,,MS-DRG,999999999,Case Rate,,51020.26162,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,276,MS-DRG,,,,,inpatient,,,,,,44777.43798,67166.15698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67166.15698,,MS-DRG,999999999,Case Rate,,67166.15698,,MS-DRG,999999999,Case Rate,,47016.30988,,MS-DRG,999999999,Case Rate,,46568.5355,,MS-DRG,999999999,Case Rate,,46568.5355,,MS-DRG,45475.79,Case Rate,,47016.30988,,MS-DRG,999999999,Case Rate,,47464.08426,,MS-DRG,999999999,Case Rate,,47016.30988,,MS-DRG,999999999,Case Rate,,47464.08426,,MS-DRG,999999999,Case Rate,,48135.74583,,MS-DRG,999999999,Case Rate,,44777.43798,,MS-DRG,999999999,Case Rate,,46120.76112,,MS-DRG,999999999,Case Rate,,47016.30988,,MS-DRG,999999999,Case Rate,,47016.30988,,MS-DRG,999999999,Case Rate,,47464.08426,,MS-DRG,999999999,Case Rate,,44777.43798,,MS-DRG,999999999,Case Rate,,44777.43798,,MS-DRG,999999999,Case Rate,,44777.43798,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,277,MS-DRG,,,,,inpatient,,,,,,33741.96301,50612.94452,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50612.94452,,MS-DRG,999999999,Case Rate,,50612.94452,,MS-DRG,999999999,Case Rate,,35429.06116,,MS-DRG,999999999,Case Rate,,35091.64153,,MS-DRG,999999999,Case Rate,,35091.64153,,MS-DRG,999999999,Case Rate,,35429.06116,,MS-DRG,999999999,Case Rate,,35766.48079,,MS-DRG,999999999,Case Rate,,35429.06116,,MS-DRG,999999999,Case Rate,,35766.48079,,MS-DRG,999999999,Case Rate,,36272.61024,,MS-DRG,999999999,Case Rate,,33741.96301,,MS-DRG,999999999,Case Rate,,34754.2219,,MS-DRG,999999999,Case Rate,,35429.06116,,MS-DRG,999999999,Case Rate,,35429.06116,,MS-DRG,999999999,Case Rate,,35766.48079,,MS-DRG,999999999,Case Rate,,33741.96301,,MS-DRG,999999999,Case Rate,,33741.96301,,MS-DRG,999999999,Case Rate,,33741.96301,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,278,MS-DRG,,,,,inpatient,,,,,,210.39,54383.96485,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54383.96485,,MS-DRG,999999999,Case Rate,,54383.96485,,MS-DRG,999999999,Case Rate,,38068.77539,,MS-DRG,210.39,Case Rate,,37706.21563,,MS-DRG,999999999,Case Rate,,37706.21563,,MS-DRG,999999999,Case Rate,,38068.77539,,MS-DRG,999999999,Case Rate,,38431.33516,,MS-DRG,999999999,Case Rate,,38068.77539,,MS-DRG,999999999,Case Rate,,38431.33516,,MS-DRG,999999999,Case Rate,,38975.17481,,MS-DRG,999999999,Case Rate,,36255.97657,,MS-DRG,999999999,Case Rate,,37343.65586,,MS-DRG,999999999,Case Rate,,38068.77539,,MS-DRG,999999999,Case Rate,,38068.77539,,MS-DRG,999999999,Case Rate,,38431.33516,,MS-DRG,999999999,Case Rate,,36255.97657,,MS-DRG,999999999,Case Rate,,36255.97657,,MS-DRG,999999999,Case Rate,,36255.97657,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,279,MS-DRG,,,,,inpatient,,,,,,23386.14452,35079.21679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35079.21679,,MS-DRG,999999999,Case Rate,,35079.21679,,MS-DRG,999999999,Case Rate,,24555.45175,,MS-DRG,999999999,Case Rate,,24321.59031,,MS-DRG,999999999,Case Rate,,24321.59031,,MS-DRG,999999999,Case Rate,,24555.45175,,MS-DRG,999999999,Case Rate,,24789.3132,,MS-DRG,999999999,Case Rate,,24555.45175,,MS-DRG,999999999,Case Rate,,24789.3132,,MS-DRG,999999999,Case Rate,,25140.10536,,MS-DRG,999999999,Case Rate,,23386.14452,,MS-DRG,999999999,Case Rate,,24087.72886,,MS-DRG,999999999,Case Rate,,24555.45175,,MS-DRG,999999999,Case Rate,,24555.45175,,MS-DRG,999999999,Case Rate,,24789.3132,,MS-DRG,999999999,Case Rate,,23386.14452,,MS-DRG,999999999,Case Rate,,23386.14452,,MS-DRG,999999999,Case Rate,,23386.14452,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",280,MS-DRG,,,,,inpatient,,,,,,5167.885,18306.01026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18306.01026,,MS-DRG,999999999,Case Rate,,18306.01026,,MS-DRG,999999999,Case Rate,,12814.20718,,MS-DRG,5167.885,Case Rate,,12692.16711,,MS-DRG,11604.47875,Case Rate,,12692.16711,,MS-DRG,8889.385143,Case Rate,,12814.20718,,MS-DRG,999999999,Case Rate,,12936.24725,,MS-DRG,999999999,Case Rate,,12814.20718,,MS-DRG,999999999,Case Rate,,12936.24725,,MS-DRG,999999999,Case Rate,,13119.30735,,MS-DRG,10420.695,Case Rate,,12204.00684,,MS-DRG,999999999,Case Rate,,12570.12704,,MS-DRG,999999999,Case Rate,,12814.20718,,MS-DRG,999999999,Case Rate,,12814.20718,,MS-DRG,999999999,Case Rate,,12936.24725,,MS-DRG,999999999,Case Rate,,12204.00684,,MS-DRG,999999999,Case Rate,,12204.00684,,MS-DRG,999999999,Case Rate,,12204.00684,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",281,MS-DRG,,,,,inpatient,,,,,,5033.764,10583.68178,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10583.68178,,MS-DRG,999999999,Case Rate,,10583.68178,,MS-DRG,999999999,Case Rate,,7408.577244,,MS-DRG,6294.115,Case Rate,,7338.019365,,MS-DRG,6876.66,Case Rate,,7338.019365,,MS-DRG,5033.764,Case Rate,,7408.577244,,MS-DRG,5566.49,Case Rate,,7479.135122,,MS-DRG,999999999,Case Rate,,7408.577244,,MS-DRG,999999999,Case Rate,,7479.135122,,MS-DRG,999999999,Case Rate,,7584.97194,,MS-DRG,6831.794444,Case Rate,,7055.787851,,MS-DRG,999999999,Case Rate,,7267.461487,,MS-DRG,999999999,Case Rate,,7408.577244,,MS-DRG,999999999,Case Rate,,7408.577244,,MS-DRG,999999999,Case Rate,,7479.135122,,MS-DRG,999999999,Case Rate,,7055.787851,,MS-DRG,999999999,Case Rate,,7055.787851,,MS-DRG,999999999,Case Rate,,7055.787851,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",282,MS-DRG,,,,,inpatient,,,,,,785.45,8472.811832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8472.811832,,MS-DRG,999999999,Case Rate,,8472.811832,,MS-DRG,999999999,Case Rate,,5930.968282,,MS-DRG,999999999,Case Rate,,5874.48287,,MS-DRG,999999999,Case Rate,,5874.48287,,MS-DRG,2409.058,Case Rate,,5930.968282,,MS-DRG,999999999,Case Rate,,5987.453694,,MS-DRG,999999999,Case Rate,,5930.968282,,MS-DRG,999999999,Case Rate,,5987.453694,,MS-DRG,999999999,Case Rate,,6072.181813,,MS-DRG,785.45,Case Rate,,5648.541221,,MS-DRG,999999999,Case Rate,,5817.997458,,MS-DRG,999999999,Case Rate,,5930.968282,,MS-DRG,999999999,Case Rate,,5930.968282,,MS-DRG,999999999,Case Rate,,5987.453694,,MS-DRG,999999999,Case Rate,,5648.541221,,MS-DRG,999999999,Case Rate,,5648.541221,,MS-DRG,999999999,Case Rate,,5648.541221,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",283,MS-DRG,,,,,inpatient,,,,,,13083.125,21675.67555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21675.67555,,MS-DRG,999999999,Case Rate,,21675.67555,,MS-DRG,999999999,Case Rate,,15172.97288,,MS-DRG,14781.08667,Case Rate,,15028.46838,,MS-DRG,999999999,Case Rate,,15028.46838,,MS-DRG,13083.125,Case Rate,,15172.97288,,MS-DRG,999999999,Case Rate,,15317.47739,,MS-DRG,999999999,Case Rate,,15172.97288,,MS-DRG,999999999,Case Rate,,15317.47739,,MS-DRG,999999999,Case Rate,,15534.23414,,MS-DRG,13547.74,Case Rate,,14450.45037,,MS-DRG,999999999,Case Rate,,14883.96388,,MS-DRG,999999999,Case Rate,,15172.97288,,MS-DRG,999999999,Case Rate,,15172.97288,,MS-DRG,999999999,Case Rate,,15317.47739,,MS-DRG,999999999,Case Rate,,14450.45037,,MS-DRG,999999999,Case Rate,,14450.45037,,MS-DRG,999999999,Case Rate,,14450.45037,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",284,MS-DRG,,,,,inpatient,,,,,,5762.294253,8643.44138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8643.44138,,MS-DRG,999999999,Case Rate,,8643.44138,,MS-DRG,999999999,Case Rate,,6050.408966,,MS-DRG,999999999,Case Rate,,5992.786023,,MS-DRG,999999999,Case Rate,,5992.786023,,MS-DRG,999999999,Case Rate,,6050.408966,,MS-DRG,999999999,Case Rate,,6108.031908,,MS-DRG,999999999,Case Rate,,6050.408966,,MS-DRG,999999999,Case Rate,,6108.031908,,MS-DRG,999999999,Case Rate,,6194.466322,,MS-DRG,999999999,Case Rate,,5762.294253,,MS-DRG,999999999,Case Rate,,5935.163081,,MS-DRG,999999999,Case Rate,,6050.408966,,MS-DRG,999999999,Case Rate,,6050.408966,,MS-DRG,999999999,Case Rate,,6108.031908,,MS-DRG,999999999,Case Rate,,5762.294253,,MS-DRG,999999999,Case Rate,,5762.294253,,MS-DRG,999999999,Case Rate,,5762.294253,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",285,MS-DRG,,,,,inpatient,,,,,,4477.38579,6716.078685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6716.078685,,MS-DRG,999999999,Case Rate,,6716.078685,,MS-DRG,999999999,Case Rate,,4701.255079,,MS-DRG,999999999,Case Rate,,4656.481221,,MS-DRG,999999999,Case Rate,,4656.481221,,MS-DRG,999999999,Case Rate,,4701.255079,,MS-DRG,999999999,Case Rate,,4746.028937,,MS-DRG,999999999,Case Rate,,4701.255079,,MS-DRG,999999999,Case Rate,,4746.028937,,MS-DRG,999999999,Case Rate,,4813.189724,,MS-DRG,999999999,Case Rate,,4477.38579,,MS-DRG,999999999,Case Rate,,4611.707364,,MS-DRG,999999999,Case Rate,,4701.255079,,MS-DRG,999999999,Case Rate,,4701.255079,,MS-DRG,999999999,Case Rate,,4746.028937,,MS-DRG,999999999,Case Rate,,4477.38579,,MS-DRG,999999999,Case Rate,,4477.38579,,MS-DRG,999999999,Case Rate,,4477.38579,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",286,MS-DRG,,,,,inpatient,,,,,,11062.695,24443.30828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24443.30828,,MS-DRG,999999999,Case Rate,,24443.30828,,MS-DRG,999999999,Case Rate,,17110.3158,,MS-DRG,999999999,Case Rate,,16947.36041,,MS-DRG,999999999,Case Rate,,16947.36041,,MS-DRG,11062.695,Case Rate,,17110.3158,,MS-DRG,999999999,Case Rate,,17273.27119,,MS-DRG,999999999,Case Rate,,17110.3158,,MS-DRG,999999999,Case Rate,,17273.27119,,MS-DRG,999999999,Case Rate,,17517.70427,,MS-DRG,15299.8075,Case Rate,,16295.53886,,MS-DRG,999999999,Case Rate,,16784.40502,,MS-DRG,999999999,Case Rate,,17110.3158,,MS-DRG,999999999,Case Rate,,17110.3158,,MS-DRG,999999999,Case Rate,,17273.27119,,MS-DRG,999999999,Case Rate,,16295.53886,,MS-DRG,999999999,Case Rate,,16295.53886,,MS-DRG,999999999,Case Rate,,16295.53886,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",287,MS-DRG,,,,,inpatient,,,,,,4622.596667,12385.48688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12385.48688,,MS-DRG,999999999,Case Rate,,12385.48688,,MS-DRG,999999999,Case Rate,,8669.840816,,MS-DRG,4622.596667,Case Rate,,8587.270903,,MS-DRG,5273.3,Case Rate,,8587.270903,,MS-DRG,5168.223333,Case Rate,,8669.840816,,MS-DRG,999999999,Case Rate,,8752.410728,,MS-DRG,999999999,Case Rate,,8669.840816,,MS-DRG,999999999,Case Rate,,8752.410728,,MS-DRG,999999999,Case Rate,,8876.265597,,MS-DRG,5266.473333,Case Rate,,8256.991253,,MS-DRG,999999999,Case Rate,,8504.700991,,MS-DRG,999999999,Case Rate,,8669.840816,,MS-DRG,999999999,Case Rate,,8669.840816,,MS-DRG,999999999,Case Rate,,8752.410728,,MS-DRG,999999999,Case Rate,,8256.991253,,MS-DRG,999999999,Case Rate,,8256.991253,,MS-DRG,999999999,Case Rate,,8256.991253,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,288,MS-DRG,,,,,inpatient,,,,,,20002.8861,30004.32916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30004.32916,,MS-DRG,999999999,Case Rate,,30004.32916,,MS-DRG,999999999,Case Rate,,21003.03041,,MS-DRG,999999999,Case Rate,,20803.00155,,MS-DRG,999999999,Case Rate,,20803.00155,,MS-DRG,999999999,Case Rate,,21003.03041,,MS-DRG,999999999,Case Rate,,21203.05927,,MS-DRG,999999999,Case Rate,,21003.03041,,MS-DRG,999999999,Case Rate,,21203.05927,,MS-DRG,999999999,Case Rate,,21503.10256,,MS-DRG,999999999,Case Rate,,20002.8861,,MS-DRG,999999999,Case Rate,,20602.97269,,MS-DRG,999999999,Case Rate,,21003.03041,,MS-DRG,999999999,Case Rate,,21003.03041,,MS-DRG,999999999,Case Rate,,21203.05927,,MS-DRG,999999999,Case Rate,,20002.8861,,MS-DRG,999999999,Case Rate,,20002.8861,,MS-DRG,999999999,Case Rate,,20002.8861,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,289,MS-DRG,,,,,inpatient,,,,,,11741.125,17611.68751,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17611.68751,,MS-DRG,999999999,Case Rate,,17611.68751,,MS-DRG,999999999,Case Rate,,12328.18125,,MS-DRG,999999999,Case Rate,,12210.77,,MS-DRG,999999999,Case Rate,,12210.77,,MS-DRG,999999999,Case Rate,,12328.18125,,MS-DRG,999999999,Case Rate,,12445.5925,,MS-DRG,999999999,Case Rate,,12328.18125,,MS-DRG,999999999,Case Rate,,12445.5925,,MS-DRG,999999999,Case Rate,,12621.70938,,MS-DRG,999999999,Case Rate,,11741.125,,MS-DRG,999999999,Case Rate,,12093.35875,,MS-DRG,999999999,Case Rate,,12328.18125,,MS-DRG,999999999,Case Rate,,12328.18125,,MS-DRG,999999999,Case Rate,,12445.5925,,MS-DRG,999999999,Case Rate,,11741.125,,MS-DRG,999999999,Case Rate,,11741.125,,MS-DRG,999999999,Case Rate,,11741.125,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,290,MS-DRG,,,,,inpatient,,,,,,7465.012596,11197.51889,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11197.51889,,MS-DRG,999999999,Case Rate,,11197.51889,,MS-DRG,999999999,Case Rate,,7838.263225,,MS-DRG,999999999,Case Rate,,7763.613099,,MS-DRG,999999999,Case Rate,,7763.613099,,MS-DRG,999999999,Case Rate,,7838.263225,,MS-DRG,999999999,Case Rate,,7912.913351,,MS-DRG,999999999,Case Rate,,7838.263225,,MS-DRG,999999999,Case Rate,,7912.913351,,MS-DRG,999999999,Case Rate,,8024.88854,,MS-DRG,999999999,Case Rate,,7465.012596,,MS-DRG,999999999,Case Rate,,7688.962973,,MS-DRG,999999999,Case Rate,,7838.263225,,MS-DRG,999999999,Case Rate,,7838.263225,,MS-DRG,999999999,Case Rate,,7912.913351,,MS-DRG,999999999,Case Rate,,7465.012596,,MS-DRG,999999999,Case Rate,,7465.012596,,MS-DRG,999999999,Case Rate,,7465.012596,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEART FAILURE AND SHOCK WITH MCC,291,MS-DRG,,,,,inpatient,,,,,,5947.327,14693.81492,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14693.81492,,MS-DRG,999999999,Case Rate,,14693.81492,,MS-DRG,999999999,Case Rate,,10285.67044,,MS-DRG,5947.327,Case Rate,,10187.71168,,MS-DRG,9526.196,Case Rate,,10187.71168,,MS-DRG,6675.212609,Case Rate,,10285.67044,,MS-DRG,999999999,Case Rate,,10383.62921,,MS-DRG,999999999,Case Rate,,10285.67044,,MS-DRG,999999999,Case Rate,,10383.62921,,MS-DRG,999999999,Case Rate,,10530.56736,,MS-DRG,7330.670556,Case Rate,,9795.876612,,MS-DRG,999999999,Case Rate,,10089.75291,,MS-DRG,999999999,Case Rate,,10285.67044,,MS-DRG,999999999,Case Rate,,10285.67044,,MS-DRG,999999999,Case Rate,,10383.62921,,MS-DRG,999999999,Case Rate,,9795.876612,,MS-DRG,999999999,Case Rate,,9795.876612,,MS-DRG,999999999,Case Rate,,9795.876612,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEART FAILURE AND SHOCK WITH CC,292,MS-DRG,,,,,inpatient,,,,,,5045.386667,9933.357838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9933.357838,,MS-DRG,999999999,Case Rate,,9933.357838,,MS-DRG,999999999,Case Rate,,6953.350487,,MS-DRG,999999999,Case Rate,,6887.128101,,MS-DRG,999999999,Case Rate,,6887.128101,,MS-DRG,5045.386667,Case Rate,,6953.350487,,MS-DRG,999999999,Case Rate,,7019.572872,,MS-DRG,999999999,Case Rate,,6953.350487,,MS-DRG,999999999,Case Rate,,7019.572872,,MS-DRG,999999999,Case Rate,,7118.906451,,MS-DRG,999999999,Case Rate,,6622.238559,,MS-DRG,999999999,Case Rate,,6820.905716,,MS-DRG,999999999,Case Rate,,6953.350487,,MS-DRG,999999999,Case Rate,,6953.350487,,MS-DRG,999999999,Case Rate,,7019.572872,,MS-DRG,999999999,Case Rate,,6622.238559,,MS-DRG,999999999,Case Rate,,6622.238559,,MS-DRG,999999999,Case Rate,,6622.238559,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEART FAILURE AND SHOCK WITHOUT CC/MCC,293,MS-DRG,,,,,inpatient,,,,,,4386.52645,6579.789675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6579.789675,,MS-DRG,999999999,Case Rate,,6579.789675,,MS-DRG,999999999,Case Rate,,4605.852772,,MS-DRG,999999999,Case Rate,,4561.987508,,MS-DRG,999999999,Case Rate,,4561.987508,,MS-DRG,999999999,Case Rate,,4605.852772,,MS-DRG,999999999,Case Rate,,4649.718037,,MS-DRG,999999999,Case Rate,,4605.852772,,MS-DRG,999999999,Case Rate,,4649.718037,,MS-DRG,999999999,Case Rate,,4715.515933,,MS-DRG,999999999,Case Rate,,4386.52645,,MS-DRG,999999999,Case Rate,,4518.122243,,MS-DRG,999999999,Case Rate,,4605.852772,,MS-DRG,999999999,Case Rate,,4605.852772,,MS-DRG,999999999,Case Rate,,4649.718037,,MS-DRG,999999999,Case Rate,,4386.52645,,MS-DRG,999999999,Case Rate,,4386.52645,,MS-DRG,999999999,Case Rate,,4386.52645,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,294,MS-DRG,,,,,inpatient,,,,,,9246.428004,13869.64201,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13869.64201,,MS-DRG,999999999,Case Rate,,13869.64201,,MS-DRG,999999999,Case Rate,,9708.749404,,MS-DRG,999999999,Case Rate,,9616.285124,,MS-DRG,999999999,Case Rate,,9616.285124,,MS-DRG,999999999,Case Rate,,9708.749404,,MS-DRG,999999999,Case Rate,,9801.213684,,MS-DRG,999999999,Case Rate,,9708.749404,,MS-DRG,999999999,Case Rate,,9801.213684,,MS-DRG,999999999,Case Rate,,9939.910104,,MS-DRG,999999999,Case Rate,,9246.428004,,MS-DRG,999999999,Case Rate,,9523.820844,,MS-DRG,999999999,Case Rate,,9708.749404,,MS-DRG,999999999,Case Rate,,9708.749404,,MS-DRG,999999999,Case Rate,,9801.213684,,MS-DRG,999999999,Case Rate,,9246.428004,,MS-DRG,999999999,Case Rate,,9246.428004,,MS-DRG,999999999,Case Rate,,9246.428004,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,295,MS-DRG,,,,,inpatient,,,,,,6111.423056,9167.134584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9167.134584,,MS-DRG,999999999,Case Rate,,9167.134584,,MS-DRG,999999999,Case Rate,,6416.994209,,MS-DRG,999999999,Case Rate,,6355.879978,,MS-DRG,999999999,Case Rate,,6355.879978,,MS-DRG,999999999,Case Rate,,6416.994209,,MS-DRG,999999999,Case Rate,,6478.10844,,MS-DRG,999999999,Case Rate,,6416.994209,,MS-DRG,999999999,Case Rate,,6478.10844,,MS-DRG,999999999,Case Rate,,6569.779785,,MS-DRG,999999999,Case Rate,,6111.423056,,MS-DRG,999999999,Case Rate,,6294.765748,,MS-DRG,999999999,Case Rate,,6416.994209,,MS-DRG,999999999,Case Rate,,6416.994209,,MS-DRG,999999999,Case Rate,,6478.10844,,MS-DRG,999999999,Case Rate,,6111.423056,,MS-DRG,999999999,Case Rate,,6111.423056,,MS-DRG,999999999,Case Rate,,6111.423056,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARDIAC ARREST, UNEXPLAINED WITH MCC",296,MS-DRG,,,,,inpatient,,,,,,12182.544,18273.816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18273.816,,MS-DRG,999999999,Case Rate,,18273.816,,MS-DRG,999999999,Case Rate,,12791.6712,,MS-DRG,999999999,Case Rate,,12669.84576,,MS-DRG,999999999,Case Rate,,12669.84576,,MS-DRG,999999999,Case Rate,,12791.6712,,MS-DRG,999999999,Case Rate,,12913.49664,,MS-DRG,999999999,Case Rate,,12791.6712,,MS-DRG,999999999,Case Rate,,12913.49664,,MS-DRG,999999999,Case Rate,,13096.2348,,MS-DRG,999999999,Case Rate,,12182.544,,MS-DRG,999999999,Case Rate,,12548.02032,,MS-DRG,999999999,Case Rate,,12791.6712,,MS-DRG,999999999,Case Rate,,12791.6712,,MS-DRG,999999999,Case Rate,,12913.49664,,MS-DRG,999999999,Case Rate,,12182.544,,MS-DRG,999999999,Case Rate,,12182.544,,MS-DRG,999999999,Case Rate,,12182.544,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARDIAC ARREST, UNEXPLAINED WITH CC",297,MS-DRG,,,,,inpatient,,,,,,4772.99,8250.671476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8250.671476,,MS-DRG,999999999,Case Rate,,8250.671476,,MS-DRG,999999999,Case Rate,,5775.470034,,MS-DRG,999999999,Case Rate,,5720.465557,,MS-DRG,999999999,Case Rate,,5720.465557,,MS-DRG,4772.99,Case Rate,,5775.470034,,MS-DRG,999999999,Case Rate,,5830.47451,,MS-DRG,999999999,Case Rate,,5775.470034,,MS-DRG,999999999,Case Rate,,5830.47451,,MS-DRG,999999999,Case Rate,,5912.981225,,MS-DRG,999999999,Case Rate,,5500.447651,,MS-DRG,999999999,Case Rate,,5665.461081,,MS-DRG,999999999,Case Rate,,5775.470034,,MS-DRG,999999999,Case Rate,,5775.470034,,MS-DRG,999999999,Case Rate,,5830.47451,,MS-DRG,999999999,Case Rate,,5500.447651,,MS-DRG,999999999,Case Rate,,5500.447651,,MS-DRG,999999999,Case Rate,,5500.447651,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",298,MS-DRG,,,,,inpatient,,,,,,3621.018624,5431.527935,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5431.527935,,MS-DRG,999999999,Case Rate,,5431.527935,,MS-DRG,999999999,Case Rate,,3802.069555,,MS-DRG,999999999,Case Rate,,3765.859368,,MS-DRG,999999999,Case Rate,,3765.859368,,MS-DRG,999999999,Case Rate,,3802.069555,,MS-DRG,999999999,Case Rate,,3838.279741,,MS-DRG,999999999,Case Rate,,3802.069555,,MS-DRG,999999999,Case Rate,,3838.279741,,MS-DRG,999999999,Case Rate,,3892.59502,,MS-DRG,999999999,Case Rate,,3621.018624,,MS-DRG,999999999,Case Rate,,3729.649182,,MS-DRG,999999999,Case Rate,,3802.069555,,MS-DRG,999999999,Case Rate,,3802.069555,,MS-DRG,999999999,Case Rate,,3838.279741,,MS-DRG,999999999,Case Rate,,3621.018624,,MS-DRG,999999999,Case Rate,,3621.018624,,MS-DRG,999999999,Case Rate,,3621.018624,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERIPHERAL VASCULAR DISORDERS WITH MCC,299,MS-DRG,,,,,inpatient,,,,,,1436.47,18050.60251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18050.60251,,MS-DRG,999999999,Case Rate,,18050.60251,,MS-DRG,999999999,Case Rate,,12635.42176,,MS-DRG,999999999,Case Rate,,12515.08441,,MS-DRG,1436.47,Case Rate,,12515.08441,,MS-DRG,999999999,Case Rate,,12635.42176,,MS-DRG,999999999,Case Rate,,12755.75911,,MS-DRG,999999999,Case Rate,,12635.42176,,MS-DRG,999999999,Case Rate,,12755.75911,,MS-DRG,999999999,Case Rate,,12936.26513,,MS-DRG,999999999,Case Rate,,12033.735,,MS-DRG,999999999,Case Rate,,12394.74705,,MS-DRG,999999999,Case Rate,,12635.42176,,MS-DRG,999999999,Case Rate,,12635.42176,,MS-DRG,999999999,Case Rate,,12755.75911,,MS-DRG,999999999,Case Rate,,12033.735,,MS-DRG,999999999,Case Rate,,12033.735,,MS-DRG,999999999,Case Rate,,12033.735,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERIPHERAL VASCULAR DISORDERS WITH CC,300,MS-DRG,,,,,inpatient,,,,,,6181.636667,12180.51679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12180.51679,,MS-DRG,999999999,Case Rate,,12180.51679,,MS-DRG,999999999,Case Rate,,8526.361755,,MS-DRG,6876.52,Case Rate,,8445.15831,,MS-DRG,999999999,Case Rate,,8445.15831,,MS-DRG,6591,Case Rate,,8526.361755,,MS-DRG,999999999,Case Rate,,8607.565201,,MS-DRG,999999999,Case Rate,,8526.361755,,MS-DRG,999999999,Case Rate,,8607.565201,,MS-DRG,999999999,Case Rate,,8729.370369,,MS-DRG,6181.636667,Case Rate,,8120.344529,,MS-DRG,999999999,Case Rate,,8363.954865,,MS-DRG,999999999,Case Rate,,8526.361755,,MS-DRG,999999999,Case Rate,,8526.361755,,MS-DRG,999999999,Case Rate,,8607.565201,,MS-DRG,999999999,Case Rate,,8120.344529,,MS-DRG,999999999,Case Rate,,8120.344529,,MS-DRG,999999999,Case Rate,,8120.344529,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,301,MS-DRG,,,,,inpatient,,,,,,3557.06,8347.25424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8347.25424,,MS-DRG,999999999,Case Rate,,8347.25424,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5787.429606,,MS-DRG,999999999,Case Rate,,5787.429606,,MS-DRG,3557.06,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5898.726329,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5898.726329,,MS-DRG,999999999,Case Rate,,5982.198872,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,5731.781245,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5898.726329,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATHEROSCLEROSIS WITH MCC,302,MS-DRG,,,,,inpatient,,,,,,7356.16,13175.31925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13175.31925,,MS-DRG,999999999,Case Rate,,13175.31925,,MS-DRG,999999999,Case Rate,,9222.723477,,MS-DRG,999999999,Case Rate,,9134.888016,,MS-DRG,999999999,Case Rate,,9134.888016,,MS-DRG,7356.16,Case Rate,,9222.723477,,MS-DRG,999999999,Case Rate,,9310.558939,,MS-DRG,999999999,Case Rate,,9222.723477,,MS-DRG,999999999,Case Rate,,9310.558939,,MS-DRG,999999999,Case Rate,,9442.312132,,MS-DRG,999999999,Case Rate,,8783.546169,,MS-DRG,999999999,Case Rate,,9047.052554,,MS-DRG,999999999,Case Rate,,9222.723477,,MS-DRG,999999999,Case Rate,,9222.723477,,MS-DRG,999999999,Case Rate,,9310.558939,,MS-DRG,999999999,Case Rate,,8783.546169,,MS-DRG,999999999,Case Rate,,8783.546169,,MS-DRG,999999999,Case Rate,,8783.546169,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ATHEROSCLEROSIS WITHOUT MCC,303,MS-DRG,,,,,inpatient,,,,,,3136.13,7907.266097,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7907.266097,,MS-DRG,999999999,Case Rate,,7907.266097,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5482.37116,,MS-DRG,999999999,Case Rate,,5482.37116,,MS-DRG,3136.13,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5587.801375,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5587.801375,,MS-DRG,999999999,Case Rate,,5666.874036,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,5429.656053,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5535.086268,,MS-DRG,999999999,Case Rate,,5587.801375,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,5271.510731,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYPERTENSION WITH MCC,304,MS-DRG,,,,,inpatient,,,,,,3185.01,13298.73056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13298.73056,,MS-DRG,999999999,Case Rate,,13298.73056,,MS-DRG,999999999,Case Rate,,9309.111393,,MS-DRG,999999999,Case Rate,,9220.45319,,MS-DRG,999999999,Case Rate,,9220.45319,,MS-DRG,3359.726667,Case Rate,,9309.111393,,MS-DRG,999999999,Case Rate,,9397.769597,,MS-DRG,999999999,Case Rate,,9309.111393,,MS-DRG,999999999,Case Rate,,9397.769597,,MS-DRG,999999999,Case Rate,,9530.756903,,MS-DRG,3185.01,Case Rate,,8865.820375,,MS-DRG,999999999,Case Rate,,9131.794986,,MS-DRG,999999999,Case Rate,,9309.111393,,MS-DRG,999999999,Case Rate,,9309.111393,,MS-DRG,999999999,Case Rate,,9397.769597,,MS-DRG,999999999,Case Rate,,8865.820375,,MS-DRG,999999999,Case Rate,,8865.820375,,MS-DRG,999999999,Case Rate,,8865.820375,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HYPERTENSION WITHOUT MCC,305,MS-DRG,,,,,inpatient,,,,,,44.22,8747.536136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8747.536136,,MS-DRG,999999999,Case Rate,,8747.536136,,MS-DRG,999999999,Case Rate,,6123.275295,,MS-DRG,44.22,Case Rate,,6064.958387,,MS-DRG,5887.86,Case Rate,,6064.958387,,MS-DRG,2306.9875,Case Rate,,6123.275295,,MS-DRG,999999999,Case Rate,,6181.592203,,MS-DRG,999999999,Case Rate,,6123.275295,,MS-DRG,999999999,Case Rate,,6181.592203,,MS-DRG,999999999,Case Rate,,6269.067564,,MS-DRG,3292.27,Case Rate,,5831.690757,,MS-DRG,999999999,Case Rate,,6006.64148,,MS-DRG,999999999,Case Rate,,6123.275295,,MS-DRG,999999999,Case Rate,,6123.275295,,MS-DRG,999999999,Case Rate,,6181.592203,,MS-DRG,999999999,Case Rate,,5831.690757,,MS-DRG,999999999,Case Rate,,5831.690757,,MS-DRG,999999999,Case Rate,,5831.690757,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,306,MS-DRG,,,,,inpatient,,,,,,11173.7907,16760.68605,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16760.68605,,MS-DRG,999999999,Case Rate,,16760.68605,,MS-DRG,999999999,Case Rate,,11732.48023,,MS-DRG,999999999,Case Rate,,11620.74233,,MS-DRG,999999999,Case Rate,,11620.74233,,MS-DRG,999999999,Case Rate,,11732.48023,,MS-DRG,999999999,Case Rate,,11844.21814,,MS-DRG,999999999,Case Rate,,11732.48023,,MS-DRG,999999999,Case Rate,,11844.21814,,MS-DRG,999999999,Case Rate,,12011.825,,MS-DRG,999999999,Case Rate,,11173.7907,,MS-DRG,999999999,Case Rate,,11509.00442,,MS-DRG,999999999,Case Rate,,11732.48023,,MS-DRG,999999999,Case Rate,,11732.48023,,MS-DRG,999999999,Case Rate,,11844.21814,,MS-DRG,999999999,Case Rate,,11173.7907,,MS-DRG,999999999,Case Rate,,11173.7907,,MS-DRG,999999999,Case Rate,,11173.7907,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,307,MS-DRG,,,,,inpatient,,,,,,7088.697533,10633.0463,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10633.0463,,MS-DRG,999999999,Case Rate,,10633.0463,,MS-DRG,999999999,Case Rate,,7443.13241,,MS-DRG,999999999,Case Rate,,7372.245435,,MS-DRG,999999999,Case Rate,,7372.245435,,MS-DRG,999999999,Case Rate,,7443.13241,,MS-DRG,999999999,Case Rate,,7514.019385,,MS-DRG,999999999,Case Rate,,7443.13241,,MS-DRG,999999999,Case Rate,,7514.019385,,MS-DRG,999999999,Case Rate,,7620.349848,,MS-DRG,999999999,Case Rate,,7088.697533,,MS-DRG,999999999,Case Rate,,7301.358459,,MS-DRG,999999999,Case Rate,,7443.13241,,MS-DRG,999999999,Case Rate,,7443.13241,,MS-DRG,999999999,Case Rate,,7514.019385,,MS-DRG,999999999,Case Rate,,7088.697533,,MS-DRG,999999999,Case Rate,,7088.697533,,MS-DRG,999999999,Case Rate,,7088.697533,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,308,MS-DRG,,,,,inpatient,,,,,,6969.27,13632.47767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13632.47767,,MS-DRG,999999999,Case Rate,,13632.47767,,MS-DRG,999999999,Case Rate,,9542.734366,,MS-DRG,8956.63,Case Rate,,9451.851182,,MS-DRG,9000.54,Case Rate,,9451.851182,,MS-DRG,6969.27,Case Rate,,9542.734366,,MS-DRG,7649.59,Case Rate,,9633.61755,,MS-DRG,999999999,Case Rate,,9542.734366,,MS-DRG,999999999,Case Rate,,9633.61755,,MS-DRG,999999999,Case Rate,,9769.942327,,MS-DRG,7214.89,Case Rate,,9088.318444,,MS-DRG,999999999,Case Rate,,9360.967997,,MS-DRG,999999999,Case Rate,,9542.734366,,MS-DRG,999999999,Case Rate,,9542.734366,,MS-DRG,999999999,Case Rate,,9633.61755,,MS-DRG,999999999,Case Rate,,9088.318444,,MS-DRG,999999999,Case Rate,,9088.318444,,MS-DRG,999999999,Case Rate,,9088.318444,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,309,MS-DRG,,,,,inpatient,,,,,,35.12,8625.197969,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8625.197969,,MS-DRG,999999999,Case Rate,,8625.197969,,MS-DRG,999999999,Case Rate,,6037.638578,,MS-DRG,5111.99,Case Rate,,5980.137259,,MS-DRG,7960.04,Case Rate,,5980.137259,,MS-DRG,2663.479231,Case Rate,,6037.638578,,MS-DRG,35.12,Case Rate,,6095.139898,,MS-DRG,999999999,Case Rate,,6037.638578,,MS-DRG,999999999,Case Rate,,6095.139898,,MS-DRG,999999999,Case Rate,,6181.391878,,MS-DRG,5581.556,Case Rate,,5750.131979,,MS-DRG,999999999,Case Rate,,5922.635939,,MS-DRG,999999999,Case Rate,,6037.638578,,MS-DRG,999999999,Case Rate,,6037.638578,,MS-DRG,999999999,Case Rate,,6095.139898,,MS-DRG,999999999,Case Rate,,5750.131979,,MS-DRG,999999999,Case Rate,,5750.131979,,MS-DRG,999999999,Case Rate,,5750.131979,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,310,MS-DRG,,,,,inpatient,,,,,,531.1233333,6695.68899,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6695.68899,,MS-DRG,999999999,Case Rate,,6695.68899,,MS-DRG,999999999,Case Rate,,4686.982293,,MS-DRG,999999999,Case Rate,,4642.344367,,MS-DRG,999999999,Case Rate,,4642.344367,,MS-DRG,531.1233333,Case Rate,,4686.982293,,MS-DRG,999999999,Case Rate,,4731.62022,,MS-DRG,999999999,Case Rate,,4686.982293,,MS-DRG,999999999,Case Rate,,4731.62022,,MS-DRG,999999999,Case Rate,,4798.57711,,MS-DRG,4510.41,Case Rate,,4463.79266,,MS-DRG,999999999,Case Rate,,4597.70644,,MS-DRG,999999999,Case Rate,,4686.982293,,MS-DRG,999999999,Case Rate,,4686.982293,,MS-DRG,999999999,Case Rate,,4731.62022,,MS-DRG,999999999,Case Rate,,4463.79266,,MS-DRG,999999999,Case Rate,,4463.79266,,MS-DRG,999999999,Case Rate,,4463.79266,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANGINA PECTORIS,311,MS-DRG,,,,,inpatient,,,,,,5456.806551,8185.209826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8185.209826,,MS-DRG,999999999,Case Rate,,8185.209826,,MS-DRG,999999999,Case Rate,,5729.646878,,MS-DRG,999999999,Case Rate,,5675.078813,,MS-DRG,999999999,Case Rate,,5675.078813,,MS-DRG,999999999,Case Rate,,5729.646878,,MS-DRG,999999999,Case Rate,,5784.214944,,MS-DRG,999999999,Case Rate,,5729.646878,,MS-DRG,999999999,Case Rate,,5784.214944,,MS-DRG,999999999,Case Rate,,5866.067042,,MS-DRG,999999999,Case Rate,,5456.806551,,MS-DRG,999999999,Case Rate,,5620.510747,,MS-DRG,999999999,Case Rate,,5729.646878,,MS-DRG,999999999,Case Rate,,5729.646878,,MS-DRG,999999999,Case Rate,,5784.214944,,MS-DRG,999999999,Case Rate,,5456.806551,,MS-DRG,999999999,Case Rate,,5456.806551,,MS-DRG,999999999,Case Rate,,5456.806551,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SYNCOPE AND COLLAPSE,312,MS-DRG,,,,,inpatient,,,,,,1021.53,10041.74516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10041.74516,,MS-DRG,999999999,Case Rate,,10041.74516,,MS-DRG,999999999,Case Rate,,7029.221613,,MS-DRG,1021.53,Case Rate,,6962.276645,,MS-DRG,5501.248,Case Rate,,6962.276645,,MS-DRG,3010.556,Case Rate,,7029.221613,,MS-DRG,5166.3,Case Rate,,7096.166581,,MS-DRG,999999999,Case Rate,,7029.221613,,MS-DRG,999999999,Case Rate,,7096.166581,,MS-DRG,999999999,Case Rate,,7196.584032,,MS-DRG,3838.6,Case Rate,,6694.496774,,MS-DRG,999999999,Case Rate,,6895.331677,,MS-DRG,999999999,Case Rate,,7029.221613,,MS-DRG,999999999,Case Rate,,7029.221613,,MS-DRG,999999999,Case Rate,,7096.166581,,MS-DRG,999999999,Case Rate,,6694.496774,,MS-DRG,999999999,Case Rate,,6694.496774,,MS-DRG,999999999,Case Rate,,6694.496774,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHEST PAIN,313,MS-DRG,,,,,inpatient,,,,,,1875.715,8347.25424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8347.25424,,MS-DRG,999999999,Case Rate,,8347.25424,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,3671.065,Case Rate,,5787.429606,,MS-DRG,5422.1,Case Rate,,5787.429606,,MS-DRG,1875.715,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5898.726329,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5898.726329,,MS-DRG,999999999,Case Rate,,5982.198872,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,5731.781245,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5843.077968,,MS-DRG,999999999,Case Rate,,5898.726329,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,5564.83616,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,314,MS-DRG,,,,,inpatient,,,,,,9417.146667,23801.56948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23801.56948,,MS-DRG,999999999,Case Rate,,23801.56948,,MS-DRG,999999999,Case Rate,,16661.09864,,MS-DRG,999999999,Case Rate,,16502.42151,,MS-DRG,15195.2,Case Rate,,16502.42151,,MS-DRG,9417.146667,Case Rate,,16661.09864,,MS-DRG,999999999,Case Rate,,16819.77577,,MS-DRG,999999999,Case Rate,,16661.09864,,MS-DRG,999999999,Case Rate,,16819.77577,,MS-DRG,999999999,Case Rate,,17057.79146,,MS-DRG,9811.386667,Case Rate,,15867.71299,,MS-DRG,999999999,Case Rate,,16343.74438,,MS-DRG,999999999,Case Rate,,16661.09864,,MS-DRG,999999999,Case Rate,,16661.09864,,MS-DRG,999999999,Case Rate,,16819.77577,,MS-DRG,999999999,Case Rate,,15867.71299,,MS-DRG,999999999,Case Rate,,15867.71299,,MS-DRG,999999999,Case Rate,,15867.71299,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,315,MS-DRG,,,,,inpatient,,,,,,7273.34,11018.30421,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11018.30421,,MS-DRG,999999999,Case Rate,,11018.30421,,MS-DRG,999999999,Case Rate,,7712.812947,,MS-DRG,999999999,Case Rate,,7639.357586,,MS-DRG,999999999,Case Rate,,7639.357586,,MS-DRG,999999999,Case Rate,,7712.812947,,MS-DRG,999999999,Case Rate,,7786.268309,,MS-DRG,999999999,Case Rate,,7712.812947,,MS-DRG,999999999,Case Rate,,7786.268309,,MS-DRG,999999999,Case Rate,,7896.451351,,MS-DRG,7273.34,Case Rate,,7345.53614,,MS-DRG,999999999,Case Rate,,7565.902225,,MS-DRG,999999999,Case Rate,,7712.812947,,MS-DRG,999999999,Case Rate,,7712.812947,,MS-DRG,999999999,Case Rate,,7786.268309,,MS-DRG,999999999,Case Rate,,7345.53614,,MS-DRG,999999999,Case Rate,,7345.53614,,MS-DRG,999999999,Case Rate,,7345.53614,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,316,MS-DRG,,,,,inpatient,,,,,,5345.199802,8017.799703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8017.799703,,MS-DRG,999999999,Case Rate,,8017.799703,,MS-DRG,999999999,Case Rate,,5612.459792,,MS-DRG,999999999,Case Rate,,5559.007794,,MS-DRG,999999999,Case Rate,,5559.007794,,MS-DRG,999999999,Case Rate,,5612.459792,,MS-DRG,999999999,Case Rate,,5665.91179,,MS-DRG,999999999,Case Rate,,5612.459792,,MS-DRG,999999999,Case Rate,,5665.91179,,MS-DRG,999999999,Case Rate,,5746.089787,,MS-DRG,999999999,Case Rate,,5345.199802,,MS-DRG,999999999,Case Rate,,5505.555796,,MS-DRG,999999999,Case Rate,,5612.459792,,MS-DRG,999999999,Case Rate,,5612.459792,,MS-DRG,999999999,Case Rate,,5665.91179,,MS-DRG,999999999,Case Rate,,5345.199802,,MS-DRG,999999999,Case Rate,,5345.199802,,MS-DRG,999999999,Case Rate,,5345.199802,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,317,MS-DRG,,,,,inpatient,,,,,,44720.20375,67080.30563,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67080.30563,,MS-DRG,999999999,Case Rate,,67080.30563,,MS-DRG,999999999,Case Rate,,46956.21394,,MS-DRG,999999999,Case Rate,,46509.0119,,MS-DRG,999999999,Case Rate,,46509.0119,,MS-DRG,999999999,Case Rate,,46956.21394,,MS-DRG,999999999,Case Rate,,47403.41598,,MS-DRG,999999999,Case Rate,,46956.21394,,MS-DRG,999999999,Case Rate,,47403.41598,,MS-DRG,999999999,Case Rate,,48074.21904,,MS-DRG,999999999,Case Rate,,44720.20375,,MS-DRG,999999999,Case Rate,,46061.80987,,MS-DRG,999999999,Case Rate,,46956.21394,,MS-DRG,999999999,Case Rate,,46956.21394,,MS-DRG,999999999,Case Rate,,47403.41598,,MS-DRG,999999999,Case Rate,,44720.20375,,MS-DRG,999999999,Case Rate,,44720.20375,,MS-DRG,999999999,Case Rate,,44720.20375,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,319,MS-DRG,,,,,inpatient,,,,,,31888.28939,47832.43408,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47832.43408,,MS-DRG,999999999,Case Rate,,47832.43408,,MS-DRG,999999999,Case Rate,,33482.70386,,MS-DRG,999999999,Case Rate,,33163.82097,,MS-DRG,999999999,Case Rate,,33163.82097,,MS-DRG,999999999,Case Rate,,33482.70386,,MS-DRG,999999999,Case Rate,,33801.58675,,MS-DRG,999999999,Case Rate,,33482.70386,,MS-DRG,999999999,Case Rate,,33801.58675,,MS-DRG,999999999,Case Rate,,34279.91109,,MS-DRG,999999999,Case Rate,,31888.28939,,MS-DRG,999999999,Case Rate,,32844.93807,,MS-DRG,999999999,Case Rate,,33482.70386,,MS-DRG,999999999,Case Rate,,33482.70386,,MS-DRG,999999999,Case Rate,,33801.58675,,MS-DRG,999999999,Case Rate,,31888.28939,,MS-DRG,999999999,Case Rate,,31888.28939,,MS-DRG,999999999,Case Rate,,31888.28939,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,320,MS-DRG,,,,,inpatient,,,,,,17021.69815,25532.54722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25532.54722,,MS-DRG,999999999,Case Rate,,25532.54722,,MS-DRG,999999999,Case Rate,,17872.78306,,MS-DRG,999999999,Case Rate,,17702.56607,,MS-DRG,999999999,Case Rate,,17702.56607,,MS-DRG,999999999,Case Rate,,17872.78306,,MS-DRG,999999999,Case Rate,,18043.00004,,MS-DRG,999999999,Case Rate,,17872.78306,,MS-DRG,999999999,Case Rate,,18043.00004,,MS-DRG,999999999,Case Rate,,18298.32551,,MS-DRG,999999999,Case Rate,,17021.69815,,MS-DRG,999999999,Case Rate,,17532.34909,,MS-DRG,999999999,Case Rate,,17872.78306,,MS-DRG,999999999,Case Rate,,17872.78306,,MS-DRG,999999999,Case Rate,,18043.00004,,MS-DRG,999999999,Case Rate,,17021.69815,,MS-DRG,999999999,Case Rate,,17021.69815,,MS-DRG,999999999,Case Rate,,17021.69815,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,321,MS-DRG,,,,,inpatient,,,,,,20042.77,31241.66167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31241.66167,,MS-DRG,999999999,Case Rate,,31241.66167,,MS-DRG,999999999,Case Rate,,21869.16317,,MS-DRG,999999999,Case Rate,,21660.88542,,MS-DRG,21016.505,Case Rate,,21660.88542,,MS-DRG,20042.77,Case Rate,,21869.16317,,MS-DRG,999999999,Case Rate,,22077.44091,,MS-DRG,999999999,Case Rate,,21869.16317,,MS-DRG,999999999,Case Rate,,22077.44091,,MS-DRG,999999999,Case Rate,,22389.85753,,MS-DRG,20622.69333,Case Rate,,20827.77444,,MS-DRG,999999999,Case Rate,,21452.60768,,MS-DRG,999999999,Case Rate,,21869.16317,,MS-DRG,999999999,Case Rate,,21869.16317,,MS-DRG,999999999,Case Rate,,22077.44091,,MS-DRG,999999999,Case Rate,,20827.77444,,MS-DRG,999999999,Case Rate,,20827.77444,,MS-DRG,999999999,Case Rate,,20827.77444,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,322,MS-DRG,,,,,inpatient,,,,,,13204.26857,20106.74222,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20106.74222,,MS-DRG,999999999,Case Rate,,20106.74222,,MS-DRG,999999999,Case Rate,,14074.71955,,MS-DRG,999999999,Case Rate,,13940.67461,,MS-DRG,13440.66,Case Rate,,13940.67461,,MS-DRG,13204.26857,Case Rate,,14074.71955,,MS-DRG,999999999,Case Rate,,14208.7645,,MS-DRG,999999999,Case Rate,,14074.71955,,MS-DRG,999999999,Case Rate,,14208.7645,,MS-DRG,13356.88,Case Rate,,14409.83192,,MS-DRG,14008.25833,Case Rate,,13404.49481,,MS-DRG,999999999,Case Rate,,13806.62966,,MS-DRG,999999999,Case Rate,,14074.71955,,MS-DRG,999999999,Case Rate,,14074.71955,,MS-DRG,999999999,Case Rate,,14208.7645,,MS-DRG,999999999,Case Rate,,13404.49481,,MS-DRG,999999999,Case Rate,,13404.49481,,MS-DRG,999999999,Case Rate,,13404.49481,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,323,MS-DRG,,,,,inpatient,,,,,,29873.79,46400.86291,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46400.86291,,MS-DRG,999999999,Case Rate,,46400.86291,,MS-DRG,999999999,Case Rate,,32480.60403,,MS-DRG,32136.1,Case Rate,,32171.26495,,MS-DRG,29873.79,Case Rate,,32171.26495,,MS-DRG,999999999,Case Rate,,32480.60403,,MS-DRG,999999999,Case Rate,,32789.94312,,MS-DRG,999999999,Case Rate,,32480.60403,,MS-DRG,999999999,Case Rate,,32789.94312,,MS-DRG,999999999,Case Rate,,33253.95175,,MS-DRG,999999999,Case Rate,,30933.9086,,MS-DRG,999999999,Case Rate,,31861.92586,,MS-DRG,999999999,Case Rate,,32480.60403,,MS-DRG,999999999,Case Rate,,32480.60403,,MS-DRG,999999999,Case Rate,,32789.94312,,MS-DRG,999999999,Case Rate,,30933.9086,,MS-DRG,999999999,Case Rate,,30933.9086,,MS-DRG,999999999,Case Rate,,30933.9086,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,324,MS-DRG,,,,,inpatient,,,,,,21868.16,34979.4146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34979.4146,,MS-DRG,999999999,Case Rate,,34979.4146,,MS-DRG,999999999,Case Rate,,24485.59022,,MS-DRG,999999999,Case Rate,,24252.39412,,MS-DRG,999999999,Case Rate,,24252.39412,,MS-DRG,21868.16,Case Rate,,24485.59022,,MS-DRG,999999999,Case Rate,,24718.78632,,MS-DRG,999999999,Case Rate,,24485.59022,,MS-DRG,999999999,Case Rate,,24718.78632,,MS-DRG,999999999,Case Rate,,25068.58046,,MS-DRG,999999999,Case Rate,,23319.60973,,MS-DRG,999999999,Case Rate,,24019.19802,,MS-DRG,999999999,Case Rate,,24485.59022,,MS-DRG,999999999,Case Rate,,24485.59022,,MS-DRG,999999999,Case Rate,,24718.78632,,MS-DRG,999999999,Case Rate,,23319.60973,,MS-DRG,999999999,Case Rate,,23319.60973,,MS-DRG,999999999,Case Rate,,23319.60973,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,325,MS-DRG,,,,,inpatient,,,,,,20937.23491,31405.85236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31405.85236,,MS-DRG,999999999,Case Rate,,31405.85236,,MS-DRG,999999999,Case Rate,,21984.09665,,MS-DRG,999999999,Case Rate,,21774.7243,,MS-DRG,999999999,Case Rate,,21774.7243,,MS-DRG,999999999,Case Rate,,21984.09665,,MS-DRG,999999999,Case Rate,,22193.469,,MS-DRG,999999999,Case Rate,,21984.09665,,MS-DRG,999999999,Case Rate,,22193.469,,MS-DRG,999999999,Case Rate,,22507.52753,,MS-DRG,999999999,Case Rate,,20937.23491,,MS-DRG,999999999,Case Rate,,21565.35196,,MS-DRG,999999999,Case Rate,,21984.09665,,MS-DRG,999999999,Case Rate,,21984.09665,,MS-DRG,999999999,Case Rate,,22193.469,,MS-DRG,999999999,Case Rate,,20937.23491,,MS-DRG,999999999,Case Rate,,20937.23491,,MS-DRG,999999999,Case Rate,,20937.23491,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",326,MS-DRG,,,,,inpatient,,,,,,36797.55547,55196.3332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55196.3332,,MS-DRG,999999999,Case Rate,,55196.3332,,MS-DRG,999999999,Case Rate,,38637.43324,,MS-DRG,999999999,Case Rate,,38269.45769,,MS-DRG,999999999,Case Rate,,38269.45769,,MS-DRG,999999999,Case Rate,,38637.43324,,MS-DRG,999999999,Case Rate,,39005.4088,,MS-DRG,999999999,Case Rate,,38637.43324,,MS-DRG,999999999,Case Rate,,39005.4088,,MS-DRG,999999999,Case Rate,,39557.37213,,MS-DRG,37514.73,Case Rate,,36797.55547,,MS-DRG,999999999,Case Rate,,37901.48213,,MS-DRG,999999999,Case Rate,,38637.43324,,MS-DRG,999999999,Case Rate,,38637.43324,,MS-DRG,999999999,Case Rate,,39005.4088,,MS-DRG,999999999,Case Rate,,36797.55547,,MS-DRG,999999999,Case Rate,,36797.55547,,MS-DRG,999999999,Case Rate,,36797.55547,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",327,MS-DRG,,,,,inpatient,,,,,,17832.27793,26748.4169,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26748.4169,,MS-DRG,999999999,Case Rate,,26748.4169,,MS-DRG,999999999,Case Rate,,18723.89183,,MS-DRG,18724.45,Case Rate,,18545.56905,,MS-DRG,999999999,Case Rate,,18545.56905,,MS-DRG,999999999,Case Rate,,18723.89183,,MS-DRG,999999999,Case Rate,,18902.21461,,MS-DRG,999999999,Case Rate,,18723.89183,,MS-DRG,999999999,Case Rate,,18902.21461,,MS-DRG,999999999,Case Rate,,19169.69878,,MS-DRG,999999999,Case Rate,,17832.27793,,MS-DRG,999999999,Case Rate,,18367.24627,,MS-DRG,999999999,Case Rate,,18723.89183,,MS-DRG,999999999,Case Rate,,18723.89183,,MS-DRG,999999999,Case Rate,,18902.21461,,MS-DRG,999999999,Case Rate,,17832.27793,,MS-DRG,999999999,Case Rate,,17832.27793,,MS-DRG,999999999,Case Rate,,17832.27793,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",328,MS-DRG,,,,,inpatient,,,,,,10749.475,17791.97533,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17791.97533,,MS-DRG,999999999,Case Rate,,17791.97533,,MS-DRG,999999999,Case Rate,,12454.38273,,MS-DRG,999999999,Case Rate,,12335.76956,,MS-DRG,999999999,Case Rate,,12335.76956,,MS-DRG,10749.475,Case Rate,,12454.38273,,MS-DRG,999999999,Case Rate,,12572.9959,,MS-DRG,999999999,Case Rate,,12454.38273,,MS-DRG,999999999,Case Rate,,12572.9959,,MS-DRG,999999999,Case Rate,,12750.91565,,MS-DRG,999999999,Case Rate,,11861.31689,,MS-DRG,999999999,Case Rate,,12217.15639,,MS-DRG,999999999,Case Rate,,12454.38273,,MS-DRG,999999999,Case Rate,,12454.38273,,MS-DRG,999999999,Case Rate,,12572.9959,,MS-DRG,999999999,Case Rate,,11861.31689,,MS-DRG,999999999,Case Rate,,11861.31689,,MS-DRG,999999999,Case Rate,,11861.31689,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,329,MS-DRG,,,,,inpatient,,,,,,33042.67,49969.05943,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49969.05943,,MS-DRG,999999999,Case Rate,,49969.05943,,MS-DRG,999999999,Case Rate,,34978.3416,,MS-DRG,999999999,Case Rate,,34645.21454,,MS-DRG,33042.67,Case Rate,,34645.21454,,MS-DRG,33274.33333,Case Rate,,34978.3416,,MS-DRG,999999999,Case Rate,,35311.46867,,MS-DRG,999999999,Case Rate,,34978.3416,,MS-DRG,999999999,Case Rate,,35311.46867,,MS-DRG,999999999,Case Rate,,35811.15926,,MS-DRG,999999999,Case Rate,,33312.70629,,MS-DRG,999999999,Case Rate,,34312.08748,,MS-DRG,999999999,Case Rate,,34978.3416,,MS-DRG,999999999,Case Rate,,34978.3416,,MS-DRG,999999999,Case Rate,,35311.46867,,MS-DRG,999999999,Case Rate,,33312.70629,,MS-DRG,999999999,Case Rate,,33312.70629,,MS-DRG,999999999,Case Rate,,33312.70629,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,330,MS-DRG,,,,,inpatient,,,,,,16523.9225,26057.31357,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26057.31357,,MS-DRG,999999999,Case Rate,,26057.31357,,MS-DRG,999999999,Case Rate,,18240.1195,,MS-DRG,999999999,Case Rate,,18066.40407,,MS-DRG,999999999,Case Rate,,18066.40407,,MS-DRG,16523.9225,Case Rate,,18240.1195,,MS-DRG,999999999,Case Rate,,18413.83492,,MS-DRG,999999999,Case Rate,,18240.1195,,MS-DRG,999999999,Case Rate,,18413.83492,,MS-DRG,999999999,Case Rate,,18674.40806,,MS-DRG,999999999,Case Rate,,17371.54238,,MS-DRG,999999999,Case Rate,,17892.68865,,MS-DRG,999999999,Case Rate,,18240.1195,,MS-DRG,999999999,Case Rate,,18240.1195,,MS-DRG,999999999,Case Rate,,18413.83492,,MS-DRG,999999999,Case Rate,,17371.54238,,MS-DRG,999999999,Case Rate,,17371.54238,,MS-DRG,999999999,Case Rate,,17371.54238,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,331,MS-DRG,,,,,inpatient,,,,,,12272.68792,18409.03187,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18409.03187,,MS-DRG,999999999,Case Rate,,18409.03187,,MS-DRG,999999999,Case Rate,,12886.32231,,MS-DRG,999999999,Case Rate,,12763.59543,,MS-DRG,999999999,Case Rate,,12763.59543,,MS-DRG,999999999,Case Rate,,12886.32231,,MS-DRG,999999999,Case Rate,,13009.04919,,MS-DRG,999999999,Case Rate,,12886.32231,,MS-DRG,999999999,Case Rate,,13009.04919,,MS-DRG,999999999,Case Rate,,13193.13951,,MS-DRG,999999999,Case Rate,,12272.68792,,MS-DRG,999999999,Case Rate,,12640.86855,,MS-DRG,999999999,Case Rate,,12886.32231,,MS-DRG,999999999,Case Rate,,12886.32231,,MS-DRG,999999999,Case Rate,,13009.04919,,MS-DRG,999999999,Case Rate,,12272.68792,,MS-DRG,999999999,Case Rate,,12272.68792,,MS-DRG,999999999,Case Rate,,12272.68792,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RECTAL RESECTION WITH MCC,332,MS-DRG,,,,,inpatient,,,,,,25277.0204,37915.5306,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37915.5306,,MS-DRG,999999999,Case Rate,,37915.5306,,MS-DRG,999999999,Case Rate,,26540.87142,,MS-DRG,999999999,Case Rate,,26288.10121,,MS-DRG,999999999,Case Rate,,26288.10121,,MS-DRG,999999999,Case Rate,,26540.87142,,MS-DRG,999999999,Case Rate,,26793.64162,,MS-DRG,999999999,Case Rate,,26540.87142,,MS-DRG,999999999,Case Rate,,26793.64162,,MS-DRG,999999999,Case Rate,,27172.79693,,MS-DRG,999999999,Case Rate,,25277.0204,,MS-DRG,999999999,Case Rate,,26035.33101,,MS-DRG,999999999,Case Rate,,26540.87142,,MS-DRG,999999999,Case Rate,,26540.87142,,MS-DRG,999999999,Case Rate,,26793.64162,,MS-DRG,999999999,Case Rate,,25277.0204,,MS-DRG,999999999,Case Rate,,25277.0204,,MS-DRG,999999999,Case Rate,,25277.0204,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RECTAL RESECTION WITH CC,333,MS-DRG,,,,,inpatient,,,,,,15665.96233,23498.94349,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23498.94349,,MS-DRG,999999999,Case Rate,,23498.94349,,MS-DRG,999999999,Case Rate,,16449.26044,,MS-DRG,999999999,Case Rate,,16292.60082,,MS-DRG,999999999,Case Rate,,16292.60082,,MS-DRG,999999999,Case Rate,,16449.26044,,MS-DRG,999999999,Case Rate,,16605.92007,,MS-DRG,999999999,Case Rate,,16449.26044,,MS-DRG,999999999,Case Rate,,16605.92007,,MS-DRG,999999999,Case Rate,,16840.9095,,MS-DRG,999999999,Case Rate,,15665.96233,,MS-DRG,999999999,Case Rate,,16135.9412,,MS-DRG,999999999,Case Rate,,16449.26044,,MS-DRG,999999999,Case Rate,,16449.26044,,MS-DRG,999999999,Case Rate,,16605.92007,,MS-DRG,999999999,Case Rate,,15665.96233,,MS-DRG,999999999,Case Rate,,15665.96233,,MS-DRG,999999999,Case Rate,,15665.96233,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RECTAL RESECTION WITHOUT CC/MCC,334,MS-DRG,,,,,inpatient,,,,,,12327.06043,18490.59065,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18490.59065,,MS-DRG,999999999,Case Rate,,18490.59065,,MS-DRG,999999999,Case Rate,,12943.41346,,MS-DRG,999999999,Case Rate,,12820.14285,,MS-DRG,999999999,Case Rate,,12820.14285,,MS-DRG,999999999,Case Rate,,12943.41346,,MS-DRG,999999999,Case Rate,,13066.68406,,MS-DRG,999999999,Case Rate,,12943.41346,,MS-DRG,999999999,Case Rate,,13066.68406,,MS-DRG,999999999,Case Rate,,13251.58997,,MS-DRG,999999999,Case Rate,,12327.06043,,MS-DRG,999999999,Case Rate,,12696.87225,,MS-DRG,999999999,Case Rate,,12943.41346,,MS-DRG,999999999,Case Rate,,12943.41346,,MS-DRG,999999999,Case Rate,,13066.68406,,MS-DRG,999999999,Case Rate,,12327.06043,,MS-DRG,999999999,Case Rate,,12327.06043,,MS-DRG,999999999,Case Rate,,12327.06043,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITONEAL ADHESIOLYSIS WITH MCC,335,MS-DRG,,,,,inpatient,,,,,,25496.94,39575.68098,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39575.68098,,MS-DRG,999999999,Case Rate,,39575.68098,,MS-DRG,999999999,Case Rate,,27702.97669,,MS-DRG,999999999,Case Rate,,27439.13881,,MS-DRG,25496.94,Case Rate,,27439.13881,,MS-DRG,999999999,Case Rate,,27702.97669,,MS-DRG,999999999,Case Rate,,27966.81456,,MS-DRG,999999999,Case Rate,,27702.97669,,MS-DRG,999999999,Case Rate,,27966.81456,,MS-DRG,999999999,Case Rate,,28362.57137,,MS-DRG,999999999,Case Rate,,26383.78732,,MS-DRG,999999999,Case Rate,,27175.30094,,MS-DRG,999999999,Case Rate,,27702.97669,,MS-DRG,999999999,Case Rate,,27702.97669,,MS-DRG,999999999,Case Rate,,27966.81456,,MS-DRG,999999999,Case Rate,,26383.78732,,MS-DRG,999999999,Case Rate,,26383.78732,,MS-DRG,999999999,Case Rate,,26383.78732,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITONEAL ADHESIOLYSIS WITH CC,336,MS-DRG,,,,,inpatient,,,,,,15572.9567,23359.43505,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23359.43505,,MS-DRG,999999999,Case Rate,,23359.43505,,MS-DRG,999999999,Case Rate,,16351.60454,,MS-DRG,999999999,Case Rate,,16195.87497,,MS-DRG,999999999,Case Rate,,16195.87497,,MS-DRG,999999999,Case Rate,,16351.60454,,MS-DRG,999999999,Case Rate,,16507.3341,,MS-DRG,999999999,Case Rate,,16351.60454,,MS-DRG,999999999,Case Rate,,16507.3341,,MS-DRG,999999999,Case Rate,,16740.92845,,MS-DRG,999999999,Case Rate,,15572.9567,,MS-DRG,999999999,Case Rate,,16040.1454,,MS-DRG,999999999,Case Rate,,16351.60454,,MS-DRG,999999999,Case Rate,,16351.60454,,MS-DRG,999999999,Case Rate,,16507.3341,,MS-DRG,999999999,Case Rate,,15572.9567,,MS-DRG,999999999,Case Rate,,15572.9567,,MS-DRG,999999999,Case Rate,,15572.9567,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,337,MS-DRG,,,,,inpatient,,,,,,11443.50701,17165.26051,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17165.26051,,MS-DRG,999999999,Case Rate,,17165.26051,,MS-DRG,999999999,Case Rate,,12015.68236,,MS-DRG,999999999,Case Rate,,11901.24729,,MS-DRG,999999999,Case Rate,,11901.24729,,MS-DRG,999999999,Case Rate,,12015.68236,,MS-DRG,999999999,Case Rate,,12130.11743,,MS-DRG,999999999,Case Rate,,12015.68236,,MS-DRG,999999999,Case Rate,,12130.11743,,MS-DRG,999999999,Case Rate,,12301.77003,,MS-DRG,999999999,Case Rate,,11443.50701,,MS-DRG,999999999,Case Rate,,11786.81222,,MS-DRG,999999999,Case Rate,,12015.68236,,MS-DRG,999999999,Case Rate,,12015.68236,,MS-DRG,999999999,Case Rate,,12130.11743,,MS-DRG,999999999,Case Rate,,11443.50701,,MS-DRG,999999999,Case Rate,,11443.50701,,MS-DRG,999999999,Case Rate,,11443.50701,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,344,MS-DRG,,,,,inpatient,,,,,,19738.17779,29607.26668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29607.26668,,MS-DRG,999999999,Case Rate,,29607.26668,,MS-DRG,999999999,Case Rate,,20725.08668,,MS-DRG,999999999,Case Rate,,20527.7049,,MS-DRG,999999999,Case Rate,,20527.7049,,MS-DRG,999999999,Case Rate,,20725.08668,,MS-DRG,999999999,Case Rate,,20922.46846,,MS-DRG,999999999,Case Rate,,20725.08668,,MS-DRG,999999999,Case Rate,,20922.46846,,MS-DRG,999999999,Case Rate,,21218.54112,,MS-DRG,999999999,Case Rate,,19738.17779,,MS-DRG,999999999,Case Rate,,20330.32312,,MS-DRG,999999999,Case Rate,,20725.08668,,MS-DRG,999999999,Case Rate,,20725.08668,,MS-DRG,999999999,Case Rate,,20922.46846,,MS-DRG,999999999,Case Rate,,19738.17779,,MS-DRG,999999999,Case Rate,,19738.17779,,MS-DRG,999999999,Case Rate,,19738.17779,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,345,MS-DRG,,,,,inpatient,,,,,,11111.54847,16667.32271,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16667.32271,,MS-DRG,999999999,Case Rate,,16667.32271,,MS-DRG,999999999,Case Rate,,11667.1259,,MS-DRG,999999999,Case Rate,,11556.01041,,MS-DRG,999999999,Case Rate,,11556.01041,,MS-DRG,999999999,Case Rate,,11667.1259,,MS-DRG,999999999,Case Rate,,11778.24138,,MS-DRG,999999999,Case Rate,,11667.1259,,MS-DRG,999999999,Case Rate,,11778.24138,,MS-DRG,999999999,Case Rate,,11944.91461,,MS-DRG,999999999,Case Rate,,11111.54847,,MS-DRG,999999999,Case Rate,,11444.89493,,MS-DRG,999999999,Case Rate,,11667.1259,,MS-DRG,999999999,Case Rate,,11667.1259,,MS-DRG,999999999,Case Rate,,11778.24138,,MS-DRG,999999999,Case Rate,,11111.54847,,MS-DRG,999999999,Case Rate,,11111.54847,,MS-DRG,999999999,Case Rate,,11111.54847,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,346,MS-DRG,,,,,inpatient,,,,,,9370.197026,14055.29554,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14055.29554,,MS-DRG,999999999,Case Rate,,14055.29554,,MS-DRG,999999999,Case Rate,,9838.706878,,MS-DRG,999999999,Case Rate,,9745.004908,,MS-DRG,999999999,Case Rate,,9745.004908,,MS-DRG,999999999,Case Rate,,9838.706878,,MS-DRG,999999999,Case Rate,,9932.408848,,MS-DRG,999999999,Case Rate,,9838.706878,,MS-DRG,999999999,Case Rate,,9932.408848,,MS-DRG,999999999,Case Rate,,10072.9618,,MS-DRG,999999999,Case Rate,,9370.197026,,MS-DRG,999999999,Case Rate,,9651.302937,,MS-DRG,999999999,Case Rate,,9838.706878,,MS-DRG,999999999,Case Rate,,9838.706878,,MS-DRG,999999999,Case Rate,,9932.408848,,MS-DRG,999999999,Case Rate,,9370.197026,,MS-DRG,999999999,Case Rate,,9370.197026,,MS-DRG,999999999,Case Rate,,9370.197026,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANAL AND STOMAL PROCEDURES WITH MCC,347,MS-DRG,,,,,inpatient,,,,,,17393.72064,26090.58097,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26090.58097,,MS-DRG,999999999,Case Rate,,26090.58097,,MS-DRG,999999999,Case Rate,,18263.40668,,MS-DRG,999999999,Case Rate,,18089.46947,,MS-DRG,999999999,Case Rate,,18089.46947,,MS-DRG,999999999,Case Rate,,18263.40668,,MS-DRG,999999999,Case Rate,,18437.34388,,MS-DRG,999999999,Case Rate,,18263.40668,,MS-DRG,999999999,Case Rate,,18437.34388,,MS-DRG,999999999,Case Rate,,18698.24969,,MS-DRG,999999999,Case Rate,,17393.72064,,MS-DRG,999999999,Case Rate,,17915.53226,,MS-DRG,999999999,Case Rate,,18263.40668,,MS-DRG,999999999,Case Rate,,18263.40668,,MS-DRG,999999999,Case Rate,,18437.34388,,MS-DRG,999999999,Case Rate,,17393.72064,,MS-DRG,999999999,Case Rate,,17393.72064,,MS-DRG,999999999,Case Rate,,17393.72064,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANAL AND STOMAL PROCEDURES WITH CC,348,MS-DRG,,,,,inpatient,,,,,,9467.495217,14201.24283,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14201.24283,,MS-DRG,999999999,Case Rate,,14201.24283,,MS-DRG,999999999,Case Rate,,9940.869978,,MS-DRG,999999999,Case Rate,,9846.195026,,MS-DRG,999999999,Case Rate,,9846.195026,,MS-DRG,999999999,Case Rate,,9940.869978,,MS-DRG,999999999,Case Rate,,10035.54493,,MS-DRG,999999999,Case Rate,,9940.869978,,MS-DRG,999999999,Case Rate,,10035.54493,,MS-DRG,999999999,Case Rate,,10177.55736,,MS-DRG,999999999,Case Rate,,9467.495217,,MS-DRG,999999999,Case Rate,,9751.520074,,MS-DRG,999999999,Case Rate,,9940.869978,,MS-DRG,999999999,Case Rate,,9940.869978,,MS-DRG,999999999,Case Rate,,10035.54493,,MS-DRG,999999999,Case Rate,,9467.495217,,MS-DRG,999999999,Case Rate,,9467.495217,,MS-DRG,999999999,Case Rate,,9467.495217,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,349,MS-DRG,,,,,inpatient,,,,,,6763.17785,10144.76678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10144.76678,,MS-DRG,999999999,Case Rate,,10144.76678,,MS-DRG,999999999,Case Rate,,7101.336743,,MS-DRG,999999999,Case Rate,,7033.704964,,MS-DRG,999999999,Case Rate,,7033.704964,,MS-DRG,999999999,Case Rate,,7101.336743,,MS-DRG,999999999,Case Rate,,7168.968521,,MS-DRG,999999999,Case Rate,,7101.336743,,MS-DRG,999999999,Case Rate,,7168.968521,,MS-DRG,999999999,Case Rate,,7270.416189,,MS-DRG,999999999,Case Rate,,6763.17785,,MS-DRG,999999999,Case Rate,,6966.073186,,MS-DRG,999999999,Case Rate,,7101.336743,,MS-DRG,999999999,Case Rate,,7101.336743,,MS-DRG,999999999,Case Rate,,7168.968521,,MS-DRG,999999999,Case Rate,,6763.17785,,MS-DRG,999999999,Case Rate,,6763.17785,,MS-DRG,999999999,Case Rate,,6763.17785,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,350,MS-DRG,,,,,inpatient,,,,,,17765.02771,26647.54157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26647.54157,,MS-DRG,999999999,Case Rate,,26647.54157,,MS-DRG,999999999,Case Rate,,18653.2791,,MS-DRG,999999999,Case Rate,,18475.62882,,MS-DRG,999999999,Case Rate,,18475.62882,,MS-DRG,999999999,Case Rate,,18653.2791,,MS-DRG,999999999,Case Rate,,18830.92937,,MS-DRG,999999999,Case Rate,,18653.2791,,MS-DRG,999999999,Case Rate,,18830.92937,,MS-DRG,999999999,Case Rate,,19097.40479,,MS-DRG,999999999,Case Rate,,17765.02771,,MS-DRG,999999999,Case Rate,,18297.97854,,MS-DRG,999999999,Case Rate,,18653.2791,,MS-DRG,999999999,Case Rate,,18653.2791,,MS-DRG,999999999,Case Rate,,18830.92937,,MS-DRG,999999999,Case Rate,,17765.02771,,MS-DRG,999999999,Case Rate,,17765.02771,,MS-DRG,999999999,Case Rate,,17765.02771,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,351,MS-DRG,,,,,inpatient,,,,,,11224.58608,16836.87912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16836.87912,,MS-DRG,999999999,Case Rate,,16836.87912,,MS-DRG,999999999,Case Rate,,11785.81538,,MS-DRG,999999999,Case Rate,,11673.56952,,MS-DRG,999999999,Case Rate,,11673.56952,,MS-DRG,999999999,Case Rate,,11785.81538,,MS-DRG,999999999,Case Rate,,11898.06124,,MS-DRG,999999999,Case Rate,,11785.81538,,MS-DRG,999999999,Case Rate,,11898.06124,,MS-DRG,999999999,Case Rate,,12066.43003,,MS-DRG,11292.15,Case Rate,,11224.58608,,MS-DRG,999999999,Case Rate,,11561.32366,,MS-DRG,999999999,Case Rate,,11785.81538,,MS-DRG,999999999,Case Rate,,11785.81538,,MS-DRG,999999999,Case Rate,,11898.06124,,MS-DRG,999999999,Case Rate,,11224.58608,,MS-DRG,999999999,Case Rate,,11224.58608,,MS-DRG,999999999,Case Rate,,11224.58608,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,352,MS-DRG,,,,,inpatient,,,,,,8349.281449,12523.92217,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12523.92217,,MS-DRG,999999999,Case Rate,,12523.92217,,MS-DRG,999999999,Case Rate,,8766.745521,,MS-DRG,999999999,Case Rate,,8683.252707,,MS-DRG,999999999,Case Rate,,8683.252707,,MS-DRG,999999999,Case Rate,,8766.745521,,MS-DRG,999999999,Case Rate,,8850.238336,,MS-DRG,999999999,Case Rate,,8766.745521,,MS-DRG,999999999,Case Rate,,8850.238336,,MS-DRG,999999999,Case Rate,,8975.477558,,MS-DRG,999999999,Case Rate,,8349.281449,,MS-DRG,999999999,Case Rate,,8599.759892,,MS-DRG,999999999,Case Rate,,8766.745521,,MS-DRG,999999999,Case Rate,,8766.745521,,MS-DRG,999999999,Case Rate,,8850.238336,,MS-DRG,999999999,Case Rate,,8349.281449,,MS-DRG,999999999,Case Rate,,8349.281449,,MS-DRG,999999999,Case Rate,,8349.281449,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,353,MS-DRG,,,,,inpatient,,,,,,21444.47327,32166.70991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32166.70991,,MS-DRG,999999999,Case Rate,,32166.70991,,MS-DRG,999999999,Case Rate,,22516.69694,,MS-DRG,999999999,Case Rate,,22302.2522,,MS-DRG,999999999,Case Rate,,22302.2522,,MS-DRG,999999999,Case Rate,,22516.69694,,MS-DRG,999999999,Case Rate,,22731.14167,,MS-DRG,999999999,Case Rate,,22516.69694,,MS-DRG,999999999,Case Rate,,22731.14167,,MS-DRG,999999999,Case Rate,,23052.80877,,MS-DRG,999999999,Case Rate,,21444.47327,,MS-DRG,999999999,Case Rate,,22087.80747,,MS-DRG,999999999,Case Rate,,22516.69694,,MS-DRG,999999999,Case Rate,,22516.69694,,MS-DRG,999999999,Case Rate,,22731.14167,,MS-DRG,999999999,Case Rate,,21444.47327,,MS-DRG,999999999,Case Rate,,21444.47327,,MS-DRG,999999999,Case Rate,,21444.47327,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,354,MS-DRG,,,,,inpatient,,,,,,7257.78,18946.67592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18946.67592,,MS-DRG,999999999,Case Rate,,18946.67592,,MS-DRG,999999999,Case Rate,,13262.67314,,MS-DRG,999999999,Case Rate,,13136.36197,,MS-DRG,999999999,Case Rate,,13136.36197,,MS-DRG,999999999,Case Rate,,13262.67314,,MS-DRG,12064.14,Case Rate,,13388.98432,,MS-DRG,999999999,Case Rate,,13262.67314,,MS-DRG,999999999,Case Rate,,13388.98432,,MS-DRG,999999999,Case Rate,,13578.45108,,MS-DRG,7257.78,Case Rate,,12631.11728,,MS-DRG,999999999,Case Rate,,13010.0508,,MS-DRG,999999999,Case Rate,,13262.67314,,MS-DRG,999999999,Case Rate,,13262.67314,,MS-DRG,999999999,Case Rate,,13388.98432,,MS-DRG,999999999,Case Rate,,12631.11728,,MS-DRG,999999999,Case Rate,,12631.11728,,MS-DRG,999999999,Case Rate,,12631.11728,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,355,MS-DRG,,,,,inpatient,,,,,,9999.058129,14998.58719,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14998.58719,,MS-DRG,999999999,Case Rate,,14998.58719,,MS-DRG,999999999,Case Rate,,10499.01103,,MS-DRG,999999999,Case Rate,,10399.02045,,MS-DRG,999999999,Case Rate,,10399.02045,,MS-DRG,999999999,Case Rate,,10499.01103,,MS-DRG,999999999,Case Rate,,10599.00162,,MS-DRG,999999999,Case Rate,,10499.01103,,MS-DRG,999999999,Case Rate,,10599.00162,,MS-DRG,999999999,Case Rate,,10748.98749,,MS-DRG,999999999,Case Rate,,9999.058129,,MS-DRG,999999999,Case Rate,,10299.02987,,MS-DRG,999999999,Case Rate,,10499.01103,,MS-DRG,999999999,Case Rate,,10499.01103,,MS-DRG,999999999,Case Rate,,10599.00162,,MS-DRG,999999999,Case Rate,,9999.058129,,MS-DRG,999999999,Case Rate,,9999.058129,,MS-DRG,999999999,Case Rate,,9999.058129,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,356,MS-DRG,,,,,inpatient,,,,,,30978.98056,46468.47084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46468.47084,,MS-DRG,999999999,Case Rate,,46468.47084,,MS-DRG,999999999,Case Rate,,32527.92959,,MS-DRG,999999999,Case Rate,,32218.13978,,MS-DRG,999999999,Case Rate,,32218.13978,,MS-DRG,35772.45,Case Rate,,32527.92959,,MS-DRG,999999999,Case Rate,,32837.71939,,MS-DRG,999999999,Case Rate,,32527.92959,,MS-DRG,999999999,Case Rate,,32837.71939,,MS-DRG,999999999,Case Rate,,33302.4041,,MS-DRG,999999999,Case Rate,,30978.98056,,MS-DRG,999999999,Case Rate,,31908.34998,,MS-DRG,999999999,Case Rate,,32527.92959,,MS-DRG,999999999,Case Rate,,32527.92959,,MS-DRG,999999999,Case Rate,,32837.71939,,MS-DRG,999999999,Case Rate,,30978.98056,,MS-DRG,999999999,Case Rate,,30978.98056,,MS-DRG,999999999,Case Rate,,30978.98056,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,357,MS-DRG,,,,,inpatient,,,,,,10137.15,24858.61417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24858.61417,,MS-DRG,999999999,Case Rate,,24858.61417,,MS-DRG,999999999,Case Rate,,17401.02992,,MS-DRG,999999999,Case Rate,,17235.30582,,MS-DRG,10137.15,Case Rate,,17235.30582,,MS-DRG,10364.57,Case Rate,,17401.02992,,MS-DRG,999999999,Case Rate,,17566.75401,,MS-DRG,999999999,Case Rate,,17401.02992,,MS-DRG,999999999,Case Rate,,17566.75401,,MS-DRG,999999999,Case Rate,,17815.34015,,MS-DRG,17034.29,Case Rate,,16572.40944,,MS-DRG,999999999,Case Rate,,17069.58173,,MS-DRG,999999999,Case Rate,,17401.02992,,MS-DRG,999999999,Case Rate,,17401.02992,,MS-DRG,999999999,Case Rate,,17566.75401,,MS-DRG,999999999,Case Rate,,16572.40944,,MS-DRG,999999999,Case Rate,,16572.40944,,MS-DRG,999999999,Case Rate,,16572.40944,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,358,MS-DRG,,,,,inpatient,,,,,,10155.73683,15233.60525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15233.60525,,MS-DRG,999999999,Case Rate,,15233.60525,,MS-DRG,999999999,Case Rate,,10663.52367,,MS-DRG,999999999,Case Rate,,10561.96631,,MS-DRG,999999999,Case Rate,,10561.96631,,MS-DRG,999999999,Case Rate,,10663.52367,,MS-DRG,999999999,Case Rate,,10765.08104,,MS-DRG,999999999,Case Rate,,10663.52367,,MS-DRG,999999999,Case Rate,,10765.08104,,MS-DRG,999999999,Case Rate,,10917.4171,,MS-DRG,999999999,Case Rate,,10155.73683,,MS-DRG,999999999,Case Rate,,10460.40894,,MS-DRG,999999999,Case Rate,,10663.52367,,MS-DRG,999999999,Case Rate,,10663.52367,,MS-DRG,999999999,Case Rate,,10765.08104,,MS-DRG,999999999,Case Rate,,10155.73683,,MS-DRG,999999999,Case Rate,,10155.73683,,MS-DRG,999999999,Case Rate,,10155.73683,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR ESOPHAGEAL DISORDERS WITH MCC,368,MS-DRG,,,,,inpatient,,,,,,12408.61921,18612.92882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18612.92882,,MS-DRG,999999999,Case Rate,,18612.92882,,MS-DRG,999999999,Case Rate,,13029.05017,,MS-DRG,999999999,Case Rate,,12904.96398,,MS-DRG,999999999,Case Rate,,12904.96398,,MS-DRG,999999999,Case Rate,,13029.05017,,MS-DRG,999999999,Case Rate,,13153.13636,,MS-DRG,999999999,Case Rate,,13029.05017,,MS-DRG,999999999,Case Rate,,13153.13636,,MS-DRG,999999999,Case Rate,,13339.26565,,MS-DRG,999999999,Case Rate,,12408.61921,,MS-DRG,999999999,Case Rate,,12780.87779,,MS-DRG,999999999,Case Rate,,13029.05017,,MS-DRG,999999999,Case Rate,,13029.05017,,MS-DRG,999999999,Case Rate,,13153.13636,,MS-DRG,999999999,Case Rate,,12408.61921,,MS-DRG,999999999,Case Rate,,12408.61921,,MS-DRG,999999999,Case Rate,,12408.61921,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR ESOPHAGEAL DISORDERS WITH CC,369,MS-DRG,,,,,inpatient,,,,,,6330.62,11611.75163,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11611.75163,,MS-DRG,999999999,Case Rate,,11611.75163,,MS-DRG,999999999,Case Rate,,8128.226143,,MS-DRG,6330.62,Case Rate,,8050.814465,,MS-DRG,999999999,Case Rate,,8050.814465,,MS-DRG,999999999,Case Rate,,8128.226143,,MS-DRG,999999999,Case Rate,,8205.637821,,MS-DRG,999999999,Case Rate,,8128.226143,,MS-DRG,999999999,Case Rate,,8205.637821,,MS-DRG,999999999,Case Rate,,8321.755337,,MS-DRG,999999999,Case Rate,,7741.167755,,MS-DRG,999999999,Case Rate,,7973.402788,,MS-DRG,999999999,Case Rate,,8128.226143,,MS-DRG,999999999,Case Rate,,8128.226143,,MS-DRG,999999999,Case Rate,,8205.637821,,MS-DRG,999999999,Case Rate,,7741.167755,,MS-DRG,999999999,Case Rate,,7741.167755,,MS-DRG,999999999,Case Rate,,7741.167755,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,370,MS-DRG,,,,,inpatient,,,,,,5454.660267,8181.9904,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8181.9904,,MS-DRG,999999999,Case Rate,,8181.9904,,MS-DRG,999999999,Case Rate,,5727.39328,,MS-DRG,999999999,Case Rate,,5672.846678,,MS-DRG,999999999,Case Rate,,5672.846678,,MS-DRG,999999999,Case Rate,,5727.39328,,MS-DRG,999999999,Case Rate,,5781.939883,,MS-DRG,999999999,Case Rate,,5727.39328,,MS-DRG,999999999,Case Rate,,5781.939883,,MS-DRG,999999999,Case Rate,,5863.759787,,MS-DRG,999999999,Case Rate,,5454.660267,,MS-DRG,999999999,Case Rate,,5618.300075,,MS-DRG,999999999,Case Rate,,5727.39328,,MS-DRG,999999999,Case Rate,,5727.39328,,MS-DRG,999999999,Case Rate,,5781.939883,,MS-DRG,999999999,Case Rate,,5454.660267,,MS-DRG,999999999,Case Rate,,5454.660267,,MS-DRG,999999999,Case Rate,,5454.660267,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,371,MS-DRG,,,,,inpatient,,,,,,12757.13,19449.97943,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19449.97943,,MS-DRG,999999999,Case Rate,,19449.97943,,MS-DRG,999999999,Case Rate,,13614.9856,,MS-DRG,999999999,Case Rate,,13485.31907,,MS-DRG,999999999,Case Rate,,13485.31907,,MS-DRG,999999999,Case Rate,,13614.9856,,MS-DRG,999999999,Case Rate,,13744.65213,,MS-DRG,999999999,Case Rate,,13614.9856,,MS-DRG,999999999,Case Rate,,13744.65213,,MS-DRG,999999999,Case Rate,,13939.15193,,MS-DRG,12757.13,Case Rate,,12966.65295,,MS-DRG,999999999,Case Rate,,13355.65254,,MS-DRG,999999999,Case Rate,,13614.9856,,MS-DRG,999999999,Case Rate,,13614.9856,,MS-DRG,999999999,Case Rate,,13744.65213,,MS-DRG,999999999,Case Rate,,12966.65295,,MS-DRG,999999999,Case Rate,,12966.65295,,MS-DRG,999999999,Case Rate,,12966.65295,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,372,MS-DRG,,,,,inpatient,,,,,,4329.57,11737.30922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11737.30922,,MS-DRG,999999999,Case Rate,,11737.30922,,MS-DRG,999999999,Case Rate,,8216.116457,,MS-DRG,999999999,Case Rate,,8137.867729,,MS-DRG,999999999,Case Rate,,8137.867729,,MS-DRG,7146.915,Case Rate,,8216.116457,,MS-DRG,999999999,Case Rate,,8294.365186,,MS-DRG,999999999,Case Rate,,8216.116457,,MS-DRG,999999999,Case Rate,,8294.365186,,MS-DRG,999999999,Case Rate,,8411.738278,,MS-DRG,4329.57,Case Rate,,7824.872817,,MS-DRG,999999999,Case Rate,,8059.619001,,MS-DRG,999999999,Case Rate,,8216.116457,,MS-DRG,999999999,Case Rate,,8216.116457,,MS-DRG,999999999,Case Rate,,8294.365186,,MS-DRG,999999999,Case Rate,,7824.872817,,MS-DRG,999999999,Case Rate,,7824.872817,,MS-DRG,999999999,Case Rate,,7824.872817,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,373,MS-DRG,,,,,inpatient,,,,,,5650.687505,8476.031257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8476.031257,,MS-DRG,999999999,Case Rate,,8476.031257,,MS-DRG,999999999,Case Rate,,5933.22188,,MS-DRG,999999999,Case Rate,,5876.715005,,MS-DRG,999999999,Case Rate,,5876.715005,,MS-DRG,999999999,Case Rate,,5933.22188,,MS-DRG,999999999,Case Rate,,5989.728755,,MS-DRG,999999999,Case Rate,,5933.22188,,MS-DRG,999999999,Case Rate,,5989.728755,,MS-DRG,999999999,Case Rate,,6074.489068,,MS-DRG,999999999,Case Rate,,5650.687505,,MS-DRG,999999999,Case Rate,,5820.20813,,MS-DRG,999999999,Case Rate,,5933.22188,,MS-DRG,999999999,Case Rate,,5933.22188,,MS-DRG,999999999,Case Rate,,5989.728755,,MS-DRG,999999999,Case Rate,,5650.687505,,MS-DRG,999999999,Case Rate,,5650.687505,,MS-DRG,999999999,Case Rate,,5650.687505,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGESTIVE MALIGNANCY WITH MCC,374,MS-DRG,,,,,inpatient,,,,,,13771.94,23349.77678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23349.77678,,MS-DRG,999999999,Case Rate,,23349.77678,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,13771.94,Case Rate,,16189.17857,,MS-DRG,999999999,Case Rate,,16189.17857,,MS-DRG,14068.2,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16500.50892,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16500.50892,,MS-DRG,999999999,Case Rate,,16734.00669,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,16033.51339,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16500.50892,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGESTIVE MALIGNANCY WITH CC,375,MS-DRG,,,,,inpatient,,,,,,9251.435999,13877.154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13877.154,,MS-DRG,999999999,Case Rate,,13877.154,,MS-DRG,999999999,Case Rate,,9714.007799,,MS-DRG,999999999,Case Rate,,9621.493439,,MS-DRG,999999999,Case Rate,,9621.493439,,MS-DRG,999999999,Case Rate,,9714.007799,,MS-DRG,999999999,Case Rate,,9806.522159,,MS-DRG,999999999,Case Rate,,9714.007799,,MS-DRG,999999999,Case Rate,,9806.522159,,MS-DRG,999999999,Case Rate,,9945.293699,,MS-DRG,999999999,Case Rate,,9251.435999,,MS-DRG,999999999,Case Rate,,9528.979079,,MS-DRG,999999999,Case Rate,,9714.007799,,MS-DRG,999999999,Case Rate,,9714.007799,,MS-DRG,999999999,Case Rate,,9806.522159,,MS-DRG,999999999,Case Rate,,9251.435999,,MS-DRG,999999999,Case Rate,,9251.435999,,MS-DRG,999999999,Case Rate,,9251.435999,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIGESTIVE MALIGNANCY WITHOUT CC/MCC,376,MS-DRG,,,,,inpatient,,,,,,6778.201836,10167.30275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10167.30275,,MS-DRG,999999999,Case Rate,,10167.30275,,MS-DRG,999999999,Case Rate,,7117.111927,,MS-DRG,999999999,Case Rate,,7049.329909,,MS-DRG,999999999,Case Rate,,7049.329909,,MS-DRG,999999999,Case Rate,,7117.111927,,MS-DRG,999999999,Case Rate,,7184.893946,,MS-DRG,999999999,Case Rate,,7117.111927,,MS-DRG,999999999,Case Rate,,7184.893946,,MS-DRG,999999999,Case Rate,,7286.566973,,MS-DRG,999999999,Case Rate,,6778.201836,,MS-DRG,999999999,Case Rate,,6981.547891,,MS-DRG,999999999,Case Rate,,7117.111927,,MS-DRG,999999999,Case Rate,,7117.111927,,MS-DRG,999999999,Case Rate,,7184.893946,,MS-DRG,999999999,Case Rate,,6778.201836,,MS-DRG,999999999,Case Rate,,6778.201836,,MS-DRG,999999999,Case Rate,,6778.201836,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GASTROINTESTINAL HEMORRHAGE WITH MCC,377,MS-DRG,,,,,inpatient,,,,,,7086.115,20203.32498,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20203.32498,,MS-DRG,999999999,Case Rate,,20203.32498,,MS-DRG,999999999,Case Rate,,14142.32749,,MS-DRG,13571,Case Rate,,14007.63865,,MS-DRG,999999999,Case Rate,,14007.63865,,MS-DRG,8576.811429,Case Rate,,14142.32749,,MS-DRG,13206.49,Case Rate,,14277.01632,,MS-DRG,999999999,Case Rate,,14142.32749,,MS-DRG,999999999,Case Rate,,14277.01632,,MS-DRG,999999999,Case Rate,,14479.04957,,MS-DRG,7086.115,Case Rate,,13468.88332,,MS-DRG,999999999,Case Rate,,13872.94982,,MS-DRG,999999999,Case Rate,,14142.32749,,MS-DRG,999999999,Case Rate,,14142.32749,,MS-DRG,999999999,Case Rate,,14277.01632,,MS-DRG,999999999,Case Rate,,13468.88332,,MS-DRG,999999999,Case Rate,,13468.88332,,MS-DRG,999999999,Case Rate,,13468.88332,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GASTROINTESTINAL HEMORRHAGE WITH CC,378,MS-DRG,,,,,inpatient,,,,,,5713.237143,11271.56568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11271.56568,,MS-DRG,999999999,Case Rate,,11271.56568,,MS-DRG,999999999,Case Rate,,7890.095975,,MS-DRG,6425.378333,Case Rate,,7814.952204,,MS-DRG,999999999,Case Rate,,7814.952204,,MS-DRG,6241.506667,Case Rate,,7890.095975,,MS-DRG,999999999,Case Rate,,7965.239746,,MS-DRG,999999999,Case Rate,,7890.095975,,MS-DRG,999999999,Case Rate,,7965.239746,,MS-DRG,999999999,Case Rate,,8077.955403,,MS-DRG,5713.237143,Case Rate,,7514.377119,,MS-DRG,999999999,Case Rate,,7739.808432,,MS-DRG,999999999,Case Rate,,7890.095975,,MS-DRG,999999999,Case Rate,,7890.095975,,MS-DRG,999999999,Case Rate,,7965.239746,,MS-DRG,999999999,Case Rate,,7514.377119,,MS-DRG,999999999,Case Rate,,7514.377119,,MS-DRG,999999999,Case Rate,,7514.377119,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,379,MS-DRG,,,,,inpatient,,,,,,5016.10298,7524.154469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7524.154469,,MS-DRG,999999999,Case Rate,,7524.154469,,MS-DRG,999999999,Case Rate,,5266.908129,,MS-DRG,999999999,Case Rate,,5216.747099,,MS-DRG,999999999,Case Rate,,5216.747099,,MS-DRG,999999999,Case Rate,,5266.908129,,MS-DRG,999999999,Case Rate,,5317.069158,,MS-DRG,999999999,Case Rate,,5266.908129,,MS-DRG,999999999,Case Rate,,5317.069158,,MS-DRG,999999999,Case Rate,,5392.310703,,MS-DRG,999999999,Case Rate,,5016.10298,,MS-DRG,999999999,Case Rate,,5166.586069,,MS-DRG,999999999,Case Rate,,5266.908129,,MS-DRG,999999999,Case Rate,,5266.908129,,MS-DRG,999999999,Case Rate,,5317.069158,,MS-DRG,999999999,Case Rate,,5016.10298,,MS-DRG,999999999,Case Rate,,5016.10298,,MS-DRG,999999999,Case Rate,,5016.10298,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPLICATED PEPTIC ULCER WITH MCC,380,MS-DRG,,,,,inpatient,,,,,,13168.46,21341.92845,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21341.92845,,MS-DRG,999999999,Case Rate,,21341.92845,,MS-DRG,999999999,Case Rate,,14939.34991,,MS-DRG,999999999,Case Rate,,14797.07039,,MS-DRG,999999999,Case Rate,,14797.07039,,MS-DRG,13168.46,Case Rate,,14939.34991,,MS-DRG,999999999,Case Rate,,15081.62944,,MS-DRG,999999999,Case Rate,,14939.34991,,MS-DRG,999999999,Case Rate,,15081.62944,,MS-DRG,999999999,Case Rate,,15295.04872,,MS-DRG,999999999,Case Rate,,14227.9523,,MS-DRG,999999999,Case Rate,,14654.79087,,MS-DRG,999999999,Case Rate,,14939.34991,,MS-DRG,999999999,Case Rate,,14939.34991,,MS-DRG,999999999,Case Rate,,15081.62944,,MS-DRG,999999999,Case Rate,,14227.9523,,MS-DRG,999999999,Case Rate,,14227.9523,,MS-DRG,999999999,Case Rate,,14227.9523,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPLICATED PEPTIC ULCER WITH CC,381,MS-DRG,,,,,inpatient,,,,,,8252.698686,12379.04803,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12379.04803,,MS-DRG,999999999,Case Rate,,12379.04803,,MS-DRG,999999999,Case Rate,,8665.33362,,MS-DRG,999999999,Case Rate,,8582.806633,,MS-DRG,999999999,Case Rate,,8582.806633,,MS-DRG,999999999,Case Rate,,8665.33362,,MS-DRG,999999999,Case Rate,,8747.860607,,MS-DRG,999999999,Case Rate,,8665.33362,,MS-DRG,999999999,Case Rate,,8747.860607,,MS-DRG,999999999,Case Rate,,8871.651087,,MS-DRG,9606.505,Case Rate,,8252.698686,,MS-DRG,999999999,Case Rate,,8500.279646,,MS-DRG,999999999,Case Rate,,8665.33362,,MS-DRG,999999999,Case Rate,,8665.33362,,MS-DRG,999999999,Case Rate,,8747.860607,,MS-DRG,999999999,Case Rate,,8252.698686,,MS-DRG,999999999,Case Rate,,8252.698686,,MS-DRG,999999999,Case Rate,,8252.698686,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,382,MS-DRG,,,,,inpatient,,,,,,5821.674767,8732.51215,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8732.51215,,MS-DRG,999999999,Case Rate,,8732.51215,,MS-DRG,999999999,Case Rate,,6112.758505,,MS-DRG,999999999,Case Rate,,6054.541758,,MS-DRG,999999999,Case Rate,,6054.541758,,MS-DRG,999999999,Case Rate,,6112.758505,,MS-DRG,999999999,Case Rate,,6170.975253,,MS-DRG,999999999,Case Rate,,6112.758505,,MS-DRG,999999999,Case Rate,,6170.975253,,MS-DRG,999999999,Case Rate,,6258.300374,,MS-DRG,999999999,Case Rate,,5821.674767,,MS-DRG,999999999,Case Rate,,5996.32501,,MS-DRG,999999999,Case Rate,,6112.758505,,MS-DRG,999999999,Case Rate,,6112.758505,,MS-DRG,999999999,Case Rate,,6170.975253,,MS-DRG,999999999,Case Rate,,5821.674767,,MS-DRG,999999999,Case Rate,,5821.674767,,MS-DRG,999999999,Case Rate,,5821.674767,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UNCOMPLICATED PEPTIC ULCER WITH MCC,383,MS-DRG,,,,,inpatient,,,,,,9505.412895,14258.11934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14258.11934,,MS-DRG,999999999,Case Rate,,14258.11934,,MS-DRG,999999999,Case Rate,,9980.68354,,MS-DRG,999999999,Case Rate,,9885.629411,,MS-DRG,999999999,Case Rate,,9885.629411,,MS-DRG,999999999,Case Rate,,9980.68354,,MS-DRG,999999999,Case Rate,,10075.73767,,MS-DRG,999999999,Case Rate,,9980.68354,,MS-DRG,999999999,Case Rate,,10075.73767,,MS-DRG,999999999,Case Rate,,10218.31886,,MS-DRG,999999999,Case Rate,,9505.412895,,MS-DRG,999999999,Case Rate,,9790.575282,,MS-DRG,999999999,Case Rate,,9980.68354,,MS-DRG,999999999,Case Rate,,9980.68354,,MS-DRG,999999999,Case Rate,,10075.73767,,MS-DRG,999999999,Case Rate,,9505.412895,,MS-DRG,999999999,Case Rate,,9505.412895,,MS-DRG,999999999,Case Rate,,9505.412895,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,384,MS-DRG,,,,,inpatient,,,,,,6682.3345,10023.50175,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10023.50175,,MS-DRG,999999999,Case Rate,,10023.50175,,MS-DRG,999999999,Case Rate,,7016.451225,,MS-DRG,999999999,Case Rate,,6949.62788,,MS-DRG,999999999,Case Rate,,6949.62788,,MS-DRG,999999999,Case Rate,,7016.451225,,MS-DRG,999999999,Case Rate,,7083.27457,,MS-DRG,999999999,Case Rate,,7016.451225,,MS-DRG,999999999,Case Rate,,7083.27457,,MS-DRG,999999999,Case Rate,,7183.509588,,MS-DRG,999999999,Case Rate,,6682.3345,,MS-DRG,999999999,Case Rate,,6882.804535,,MS-DRG,999999999,Case Rate,,7016.451225,,MS-DRG,999999999,Case Rate,,7016.451225,,MS-DRG,999999999,Case Rate,,7083.27457,,MS-DRG,999999999,Case Rate,,6682.3345,,MS-DRG,999999999,Case Rate,,6682.3345,,MS-DRG,999999999,Case Rate,,6682.3345,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLAMMATORY BOWEL DISEASE WITH MCC,385,MS-DRG,,,,,inpatient,,,,,,12085.24581,18127.86872,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18127.86872,,MS-DRG,999999999,Case Rate,,18127.86872,,MS-DRG,999999999,Case Rate,,12689.5081,,MS-DRG,999999999,Case Rate,,12568.65564,,MS-DRG,999999999,Case Rate,,12568.65564,,MS-DRG,999999999,Case Rate,,12689.5081,,MS-DRG,999999999,Case Rate,,12810.36056,,MS-DRG,999999999,Case Rate,,12689.5081,,MS-DRG,999999999,Case Rate,,12810.36056,,MS-DRG,999999999,Case Rate,,12991.63925,,MS-DRG,999999999,Case Rate,,12085.24581,,MS-DRG,999999999,Case Rate,,12447.80319,,MS-DRG,999999999,Case Rate,,12689.5081,,MS-DRG,999999999,Case Rate,,12689.5081,,MS-DRG,999999999,Case Rate,,12810.36056,,MS-DRG,999999999,Case Rate,,12085.24581,,MS-DRG,999999999,Case Rate,,12085.24581,,MS-DRG,999999999,Case Rate,,12085.24581,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLAMMATORY BOWEL DISEASE WITH CC,386,MS-DRG,,,,,inpatient,,,,,,6008.42,11342.39304,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11342.39304,,MS-DRG,999999999,Case Rate,,11342.39304,,MS-DRG,999999999,Case Rate,,7939.675127,,MS-DRG,999999999,Case Rate,,7864.059173,,MS-DRG,999999999,Case Rate,,7864.059173,,MS-DRG,6008.42,Case Rate,,7939.675127,,MS-DRG,999999999,Case Rate,,8015.29108,,MS-DRG,999999999,Case Rate,,7939.675127,,MS-DRG,999999999,Case Rate,,8015.29108,,MS-DRG,999999999,Case Rate,,8128.715011,,MS-DRG,999999999,Case Rate,,7561.595359,,MS-DRG,999999999,Case Rate,,7788.443219,,MS-DRG,999999999,Case Rate,,7939.675127,,MS-DRG,999999999,Case Rate,,7939.675127,,MS-DRG,999999999,Case Rate,,8015.29108,,MS-DRG,999999999,Case Rate,,7561.595359,,MS-DRG,999999999,Case Rate,,7561.595359,,MS-DRG,999999999,Case Rate,,7561.595359,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,387,MS-DRG,,,,,inpatient,,,,,,4681.12,7884.730118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7884.730118,,MS-DRG,999999999,Case Rate,,7884.730118,,MS-DRG,999999999,Case Rate,,5519.311083,,MS-DRG,999999999,Case Rate,,5466.746215,,MS-DRG,999999999,Case Rate,,5466.746215,,MS-DRG,4681.12,Case Rate,,5519.311083,,MS-DRG,999999999,Case Rate,,5571.87595,,MS-DRG,999999999,Case Rate,,5519.311083,,MS-DRG,999999999,Case Rate,,5571.87595,,MS-DRG,999999999,Case Rate,,5650.723252,,MS-DRG,999999999,Case Rate,,5256.486746,,MS-DRG,999999999,Case Rate,,5414.181348,,MS-DRG,999999999,Case Rate,,5519.311083,,MS-DRG,999999999,Case Rate,,5519.311083,,MS-DRG,999999999,Case Rate,,5571.87595,,MS-DRG,999999999,Case Rate,,5256.486746,,MS-DRG,999999999,Case Rate,,5256.486746,,MS-DRG,999999999,Case Rate,,5256.486746,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GASTROINTESTINAL OBSTRUCTION WITH MCC,388,MS-DRG,,,,,inpatient,,,,,,10977.04803,16465.57205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16465.57205,,MS-DRG,999999999,Case Rate,,16465.57205,,MS-DRG,999999999,Case Rate,,11525.90044,,MS-DRG,999999999,Case Rate,,11416.12995,,MS-DRG,999999999,Case Rate,,11416.12995,,MS-DRG,10983.82,Case Rate,,11525.90044,,MS-DRG,999999999,Case Rate,,11635.67092,,MS-DRG,999999999,Case Rate,,11525.90044,,MS-DRG,999999999,Case Rate,,11635.67092,,MS-DRG,999999999,Case Rate,,11800.32664,,MS-DRG,999999999,Case Rate,,10977.04803,,MS-DRG,999999999,Case Rate,,11306.35947,,MS-DRG,999999999,Case Rate,,11525.90044,,MS-DRG,999999999,Case Rate,,11525.90044,,MS-DRG,999999999,Case Rate,,11635.67092,,MS-DRG,999999999,Case Rate,,10977.04803,,MS-DRG,999999999,Case Rate,,10977.04803,,MS-DRG,999999999,Case Rate,,10977.04803,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GASTROINTESTINAL OBSTRUCTION WITH CC,389,MS-DRG,,,,,inpatient,,,,,,3747.506667,9293.765318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9293.765318,,MS-DRG,999999999,Case Rate,,9293.765318,,MS-DRG,999999999,Case Rate,,6505.635723,,MS-DRG,5330.82,Case Rate,,6443.677287,,MS-DRG,999999999,Case Rate,,6443.677287,,MS-DRG,3747.506667,Case Rate,,6505.635723,,MS-DRG,999999999,Case Rate,,6567.594158,,MS-DRG,999999999,Case Rate,,6505.635723,,MS-DRG,999999999,Case Rate,,6567.594158,,MS-DRG,999999999,Case Rate,,6660.531811,,MS-DRG,3982.75,Case Rate,,6195.843545,,MS-DRG,999999999,Case Rate,,6381.718852,,MS-DRG,999999999,Case Rate,,6505.635723,,MS-DRG,999999999,Case Rate,,6505.635723,,MS-DRG,999999999,Case Rate,,6567.594158,,MS-DRG,999999999,Case Rate,,6195.843545,,MS-DRG,999999999,Case Rate,,6195.843545,,MS-DRG,999999999,Case Rate,,6195.843545,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,390,MS-DRG,,,,,inpatient,,,,,,3087.19,6563.692547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6563.692547,,MS-DRG,999999999,Case Rate,,6563.692547,,MS-DRG,999999999,Case Rate,,4594.584783,,MS-DRG,999999999,Case Rate,,4550.826833,,MS-DRG,999999999,Case Rate,,4550.826833,,MS-DRG,4367.21,Case Rate,,4594.584783,,MS-DRG,999999999,Case Rate,,4638.342734,,MS-DRG,999999999,Case Rate,,4594.584783,,MS-DRG,999999999,Case Rate,,4638.342734,,MS-DRG,999999999,Case Rate,,4703.979659,,MS-DRG,3087.19,Case Rate,,4375.795032,,MS-DRG,999999999,Case Rate,,4507.068883,,MS-DRG,999999999,Case Rate,,4594.584783,,MS-DRG,999999999,Case Rate,,4594.584783,,MS-DRG,999999999,Case Rate,,4638.342734,,MS-DRG,999999999,Case Rate,,4375.795032,,MS-DRG,999999999,Case Rate,,4375.795032,,MS-DRG,999999999,Case Rate,,4375.795032,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",391,MS-DRG,,,,,inpatient,,,,,,6108.543333,14475.96713,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14475.96713,,MS-DRG,999999999,Case Rate,,14475.96713,,MS-DRG,999999999,Case Rate,,10133.17699,,MS-DRG,8466.8,Case Rate,,10036.67054,,MS-DRG,999999999,Case Rate,,10036.67054,,MS-DRG,8601.27,Case Rate,,10133.17699,,MS-DRG,999999999,Case Rate,,10229.68344,,MS-DRG,999999999,Case Rate,,10133.17699,,MS-DRG,999999999,Case Rate,,10229.68344,,MS-DRG,999999999,Case Rate,,10374.44311,,MS-DRG,6108.543333,Case Rate,,9650.644753,,MS-DRG,999999999,Case Rate,,9940.164096,,MS-DRG,999999999,Case Rate,,10133.17699,,MS-DRG,999999999,Case Rate,,10133.17699,,MS-DRG,999999999,Case Rate,,10229.68344,,MS-DRG,999999999,Case Rate,,9650.644753,,MS-DRG,999999999,Case Rate,,9650.644753,,MS-DRG,999999999,Case Rate,,9650.644753,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",392,MS-DRG,,,,,inpatient,,,,,,2890.765,9065.186112,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9065.186112,,MS-DRG,999999999,Case Rate,,9065.186112,,MS-DRG,999999999,Case Rate,,6345.630278,,MS-DRG,6257.26,Case Rate,,6285.195704,,MS-DRG,2890.765,Case Rate,,6285.195704,,MS-DRG,3235.296,Case Rate,,6345.630278,,MS-DRG,999999999,Case Rate,,6406.064853,,MS-DRG,999999999,Case Rate,,6345.630278,,MS-DRG,999999999,Case Rate,,6406.064853,,MS-DRG,999999999,Case Rate,,6496.716714,,MS-DRG,3441.843333,Case Rate,,6043.457408,,MS-DRG,999999999,Case Rate,,6224.76113,,MS-DRG,999999999,Case Rate,,6345.630278,,MS-DRG,999999999,Case Rate,,6345.630278,,MS-DRG,999999999,Case Rate,,6406.064853,,MS-DRG,999999999,Case Rate,,6043.457408,,MS-DRG,999999999,Case Rate,,6043.457408,,MS-DRG,999999999,Case Rate,,6043.457408,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,393,MS-DRG,,,,,inpatient,,,,,,12091.625,18462.68896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18462.68896,,MS-DRG,999999999,Case Rate,,18462.68896,,MS-DRG,999999999,Case Rate,,12923.88227,,MS-DRG,999999999,Case Rate,,12800.79768,,MS-DRG,999999999,Case Rate,,12800.79768,,MS-DRG,999999999,Case Rate,,12923.88227,,MS-DRG,999999999,Case Rate,,13046.96687,,MS-DRG,999999999,Case Rate,,12923.88227,,MS-DRG,999999999,Case Rate,,13046.96687,,MS-DRG,999999999,Case Rate,,13231.59376,,MS-DRG,12091.625,Case Rate,,12308.45931,,MS-DRG,999999999,Case Rate,,12677.71309,,MS-DRG,999999999,Case Rate,,12923.88227,,MS-DRG,999999999,Case Rate,,12923.88227,,MS-DRG,999999999,Case Rate,,13046.96687,,MS-DRG,999999999,Case Rate,,12308.45931,,MS-DRG,999999999,Case Rate,,12308.45931,,MS-DRG,999999999,Case Rate,,12308.45931,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,394,MS-DRG,,,,,inpatient,,,,,,5197.453333,10792.94443,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10792.94443,,MS-DRG,999999999,Case Rate,,10792.94443,,MS-DRG,999999999,Case Rate,,7555.061101,,MS-DRG,999999999,Case Rate,,7483.108138,,MS-DRG,999999999,Case Rate,,7483.108138,,MS-DRG,5197.453333,Case Rate,,7555.061101,,MS-DRG,999999999,Case Rate,,7627.014064,,MS-DRG,999999999,Case Rate,,7555.061101,,MS-DRG,999999999,Case Rate,,7627.014064,,MS-DRG,999999999,Case Rate,,7734.943508,,MS-DRG,999999999,Case Rate,,7195.296287,,MS-DRG,999999999,Case Rate,,7411.155175,,MS-DRG,999999999,Case Rate,,7555.061101,,MS-DRG,999999999,Case Rate,,7555.061101,,MS-DRG,999999999,Case Rate,,7627.014064,,MS-DRG,999999999,Case Rate,,7195.296287,,MS-DRG,999999999,Case Rate,,7195.296287,,MS-DRG,999999999,Case Rate,,7195.296287,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,395,MS-DRG,,,,,inpatient,,,,,,5013.956696,7520.935044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7520.935044,,MS-DRG,999999999,Case Rate,,7520.935044,,MS-DRG,999999999,Case Rate,,5264.654531,,MS-DRG,999999999,Case Rate,,5214.514964,,MS-DRG,999999999,Case Rate,,5214.514964,,MS-DRG,999999999,Case Rate,,5264.654531,,MS-DRG,999999999,Case Rate,,5314.794098,,MS-DRG,999999999,Case Rate,,5264.654531,,MS-DRG,999999999,Case Rate,,5314.794098,,MS-DRG,999999999,Case Rate,,5390.003448,,MS-DRG,999999999,Case Rate,,5013.956696,,MS-DRG,999999999,Case Rate,,5164.375397,,MS-DRG,999999999,Case Rate,,5264.654531,,MS-DRG,999999999,Case Rate,,5264.654531,,MS-DRG,999999999,Case Rate,,5314.794098,,MS-DRG,999999999,Case Rate,,5013.956696,,MS-DRG,999999999,Case Rate,,5013.956696,,MS-DRG,999999999,Case Rate,,5013.956696,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APPENDIX PROCEDURES WITH MCC,397,MS-DRG,,,,,inpatient,,,,,,18187.84558,27281.76838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27281.76838,,MS-DRG,999999999,Case Rate,,27281.76838,,MS-DRG,999999999,Case Rate,,19097.23786,,MS-DRG,999999999,Case Rate,,18915.35941,,MS-DRG,999999999,Case Rate,,18915.35941,,MS-DRG,999999999,Case Rate,,19097.23786,,MS-DRG,999999999,Case Rate,,19279.11632,,MS-DRG,999999999,Case Rate,,19097.23786,,MS-DRG,999999999,Case Rate,,19279.11632,,MS-DRG,999999999,Case Rate,,19551.934,,MS-DRG,999999999,Case Rate,,18187.84558,,MS-DRG,999999999,Case Rate,,18733.48095,,MS-DRG,999999999,Case Rate,,19097.23786,,MS-DRG,999999999,Case Rate,,19097.23786,,MS-DRG,999999999,Case Rate,,19279.11632,,MS-DRG,999999999,Case Rate,,18187.84558,,MS-DRG,999999999,Case Rate,,18187.84558,,MS-DRG,999999999,Case Rate,,18187.84558,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APPENDIX PROCEDURES WITH CC,398,MS-DRG,,,,,inpatient,,,,,,11286.8283,16930.24246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16930.24246,,MS-DRG,999999999,Case Rate,,16930.24246,,MS-DRG,999999999,Case Rate,,11851.16972,,MS-DRG,999999999,Case Rate,,11738.30144,,MS-DRG,999999999,Case Rate,,11738.30144,,MS-DRG,999999999,Case Rate,,11851.16972,,MS-DRG,999999999,Case Rate,,11964.038,,MS-DRG,999999999,Case Rate,,11851.16972,,MS-DRG,999999999,Case Rate,,11964.038,,MS-DRG,999999999,Case Rate,,12133.34043,,MS-DRG,999999999,Case Rate,,11286.8283,,MS-DRG,999999999,Case Rate,,11625.43315,,MS-DRG,999999999,Case Rate,,11851.16972,,MS-DRG,999999999,Case Rate,,11851.16972,,MS-DRG,999999999,Case Rate,,11964.038,,MS-DRG,999999999,Case Rate,,11286.8283,,MS-DRG,999999999,Case Rate,,11286.8283,,MS-DRG,999999999,Case Rate,,11286.8283,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
APPENDIX PROCEDURES WITHOUT CC/MCC,399,MS-DRG,,,,,inpatient,,,,,,8500.952158,12751.42824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12751.42824,,MS-DRG,999999999,Case Rate,,12751.42824,,MS-DRG,999999999,Case Rate,,8925.999766,,MS-DRG,999999999,Case Rate,,8840.990245,,MS-DRG,999999999,Case Rate,,8840.990245,,MS-DRG,999999999,Case Rate,,8925.999766,,MS-DRG,999999999,Case Rate,,9011.009288,,MS-DRG,999999999,Case Rate,,8925.999766,,MS-DRG,999999999,Case Rate,,9011.009288,,MS-DRG,999999999,Case Rate,,9138.52357,,MS-DRG,999999999,Case Rate,,8500.952158,,MS-DRG,999999999,Case Rate,,8755.980723,,MS-DRG,999999999,Case Rate,,8925.999766,,MS-DRG,999999999,Case Rate,,8925.999766,,MS-DRG,999999999,Case Rate,,9011.009288,,MS-DRG,999999999,Case Rate,,8500.952158,,MS-DRG,999999999,Case Rate,,8500.952158,,MS-DRG,999999999,Case Rate,,8500.952158,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,402,MS-DRG,,,,,inpatient,,,,,,28449.94302,42674.91453,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42674.91453,,MS-DRG,999999999,Case Rate,,42674.91453,,MS-DRG,999999999,Case Rate,,29872.44017,,MS-DRG,999999999,Case Rate,,29587.94074,,MS-DRG,999999999,Case Rate,,29587.94074,,MS-DRG,999999999,Case Rate,,29872.44017,,MS-DRG,999999999,Case Rate,,30156.9396,,MS-DRG,999999999,Case Rate,,29872.44017,,MS-DRG,999999999,Case Rate,,30156.9396,,MS-DRG,999999999,Case Rate,,30583.68875,,MS-DRG,999999999,Case Rate,,28449.94302,,MS-DRG,999999999,Case Rate,,29303.44131,,MS-DRG,999999999,Case Rate,,29872.44017,,MS-DRG,999999999,Case Rate,,29872.44017,,MS-DRG,999999999,Case Rate,,30156.9396,,MS-DRG,999999999,Case Rate,,28449.94302,,MS-DRG,999999999,Case Rate,,28449.94302,,MS-DRG,999999999,Case Rate,,28449.94302,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",405,MS-DRG,,,,,inpatient,,,,,,39299.40675,58949.11012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58949.11012,,MS-DRG,999999999,Case Rate,,58949.11012,,MS-DRG,999999999,Case Rate,,41264.37708,,MS-DRG,999999999,Case Rate,,40871.38302,,MS-DRG,999999999,Case Rate,,40871.38302,,MS-DRG,999999999,Case Rate,,41264.37708,,MS-DRG,999999999,Case Rate,,41657.37115,,MS-DRG,999999999,Case Rate,,41264.37708,,MS-DRG,999999999,Case Rate,,41657.37115,,MS-DRG,999999999,Case Rate,,42246.86225,,MS-DRG,999999999,Case Rate,,39299.40675,,MS-DRG,999999999,Case Rate,,40478.38895,,MS-DRG,999999999,Case Rate,,41264.37708,,MS-DRG,999999999,Case Rate,,41264.37708,,MS-DRG,999999999,Case Rate,,41657.37115,,MS-DRG,999999999,Case Rate,,39299.40675,,MS-DRG,999999999,Case Rate,,39299.40675,,MS-DRG,999999999,Case Rate,,39299.40675,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",406,MS-DRG,,,,,inpatient,,,,,,20553.05014,30829.57521,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30829.57521,,MS-DRG,999999999,Case Rate,,30829.57521,,MS-DRG,999999999,Case Rate,,21580.70265,,MS-DRG,999999999,Case Rate,,21375.17215,,MS-DRG,999999999,Case Rate,,21375.17215,,MS-DRG,999999999,Case Rate,,21580.70265,,MS-DRG,999999999,Case Rate,,21786.23315,,MS-DRG,999999999,Case Rate,,21580.70265,,MS-DRG,999999999,Case Rate,,21786.23315,,MS-DRG,999999999,Case Rate,,22094.5289,,MS-DRG,999999999,Case Rate,,20553.05014,,MS-DRG,999999999,Case Rate,,21169.64164,,MS-DRG,999999999,Case Rate,,21580.70265,,MS-DRG,999999999,Case Rate,,21580.70265,,MS-DRG,999999999,Case Rate,,21786.23315,,MS-DRG,999999999,Case Rate,,20553.05014,,MS-DRG,999999999,Case Rate,,20553.05014,,MS-DRG,999999999,Case Rate,,20553.05014,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",407,MS-DRG,,,,,inpatient,,,,,,15741.08225,23611.62338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23611.62338,,MS-DRG,999999999,Case Rate,,23611.62338,,MS-DRG,999999999,Case Rate,,16528.13637,,MS-DRG,999999999,Case Rate,,16370.72554,,MS-DRG,999999999,Case Rate,,16370.72554,,MS-DRG,999999999,Case Rate,,16528.13637,,MS-DRG,999999999,Case Rate,,16685.54719,,MS-DRG,999999999,Case Rate,,16528.13637,,MS-DRG,999999999,Case Rate,,16685.54719,,MS-DRG,999999999,Case Rate,,16921.66342,,MS-DRG,999999999,Case Rate,,15741.08225,,MS-DRG,999999999,Case Rate,,16213.31472,,MS-DRG,999999999,Case Rate,,16528.13637,,MS-DRG,999999999,Case Rate,,16528.13637,,MS-DRG,999999999,Case Rate,,16685.54719,,MS-DRG,999999999,Case Rate,,15741.08225,,MS-DRG,999999999,Case Rate,,15741.08225,,MS-DRG,999999999,Case Rate,,15741.08225,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,408,MS-DRG,,,,,inpatient,,,,,,25510.24988,38265.37483,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38265.37483,,MS-DRG,999999999,Case Rate,,38265.37483,,MS-DRG,999999999,Case Rate,,26785.76238,,MS-DRG,999999999,Case Rate,,26530.65988,,MS-DRG,999999999,Case Rate,,26530.65988,,MS-DRG,999999999,Case Rate,,26785.76238,,MS-DRG,999999999,Case Rate,,27040.86488,,MS-DRG,999999999,Case Rate,,26785.76238,,MS-DRG,999999999,Case Rate,,27040.86488,,MS-DRG,999999999,Case Rate,,27423.51863,,MS-DRG,999999999,Case Rate,,25510.24988,,MS-DRG,999999999,Case Rate,,26275.55738,,MS-DRG,999999999,Case Rate,,26785.76238,,MS-DRG,999999999,Case Rate,,26785.76238,,MS-DRG,999999999,Case Rate,,27040.86488,,MS-DRG,999999999,Case Rate,,25510.24988,,MS-DRG,999999999,Case Rate,,25510.24988,,MS-DRG,999999999,Case Rate,,25510.24988,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,409,MS-DRG,,,,,inpatient,,,,,,15459.9191,23189.87865,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23189.87865,,MS-DRG,999999999,Case Rate,,23189.87865,,MS-DRG,999999999,Case Rate,,16232.91505,,MS-DRG,999999999,Case Rate,,16078.31586,,MS-DRG,999999999,Case Rate,,16078.31586,,MS-DRG,999999999,Case Rate,,16232.91505,,MS-DRG,999999999,Case Rate,,16387.51424,,MS-DRG,999999999,Case Rate,,16232.91505,,MS-DRG,999999999,Case Rate,,16387.51424,,MS-DRG,999999999,Case Rate,,16619.41303,,MS-DRG,999999999,Case Rate,,15459.9191,,MS-DRG,999999999,Case Rate,,15923.71667,,MS-DRG,999999999,Case Rate,,16232.91505,,MS-DRG,999999999,Case Rate,,16232.91505,,MS-DRG,999999999,Case Rate,,16387.51424,,MS-DRG,999999999,Case Rate,,15459.9191,,MS-DRG,999999999,Case Rate,,15459.9191,,MS-DRG,999999999,Case Rate,,15459.9191,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,410,MS-DRG,,,,,inpatient,,,,,,11557.97547,17336.9632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17336.9632,,MS-DRG,999999999,Case Rate,,17336.9632,,MS-DRG,999999999,Case Rate,,12135.87424,,MS-DRG,999999999,Case Rate,,12020.29449,,MS-DRG,999999999,Case Rate,,12020.29449,,MS-DRG,999999999,Case Rate,,12135.87424,,MS-DRG,999999999,Case Rate,,12251.454,,MS-DRG,999999999,Case Rate,,12135.87424,,MS-DRG,999999999,Case Rate,,12251.454,,MS-DRG,999999999,Case Rate,,12424.82363,,MS-DRG,999999999,Case Rate,,11557.97547,,MS-DRG,999999999,Case Rate,,11904.71473,,MS-DRG,999999999,Case Rate,,12135.87424,,MS-DRG,999999999,Case Rate,,12135.87424,,MS-DRG,999999999,Case Rate,,12251.454,,MS-DRG,999999999,Case Rate,,11557.97547,,MS-DRG,999999999,Case Rate,,11557.97547,,MS-DRG,999999999,Case Rate,,11557.97547,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECYSTECTOMY WITH C.D.E. WITH MCC,411,MS-DRG,,,,,inpatient,,,,,,20037.94207,30056.9131,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30056.9131,,MS-DRG,999999999,Case Rate,,30056.9131,,MS-DRG,999999999,Case Rate,,21039.83917,,MS-DRG,999999999,Case Rate,,20839.45975,,MS-DRG,999999999,Case Rate,,20839.45975,,MS-DRG,999999999,Case Rate,,21039.83917,,MS-DRG,999999999,Case Rate,,21240.21859,,MS-DRG,999999999,Case Rate,,21039.83917,,MS-DRG,999999999,Case Rate,,21240.21859,,MS-DRG,999999999,Case Rate,,21540.78772,,MS-DRG,999999999,Case Rate,,20037.94207,,MS-DRG,999999999,Case Rate,,20639.08033,,MS-DRG,999999999,Case Rate,,21039.83917,,MS-DRG,999999999,Case Rate,,21039.83917,,MS-DRG,999999999,Case Rate,,21240.21859,,MS-DRG,999999999,Case Rate,,20037.94207,,MS-DRG,999999999,Case Rate,,20037.94207,,MS-DRG,999999999,Case Rate,,20037.94207,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECYSTECTOMY WITH C.D.E. WITH CC,412,MS-DRG,,,,,inpatient,,,,,,15711.03428,23566.55142,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23566.55142,,MS-DRG,999999999,Case Rate,,23566.55142,,MS-DRG,999999999,Case Rate,,16496.586,,MS-DRG,999999999,Case Rate,,16339.47565,,MS-DRG,999999999,Case Rate,,16339.47565,,MS-DRG,999999999,Case Rate,,16496.586,,MS-DRG,999999999,Case Rate,,16653.69634,,MS-DRG,999999999,Case Rate,,16496.586,,MS-DRG,999999999,Case Rate,,16653.69634,,MS-DRG,999999999,Case Rate,,16889.36185,,MS-DRG,999999999,Case Rate,,15711.03428,,MS-DRG,999999999,Case Rate,,16182.36531,,MS-DRG,999999999,Case Rate,,16496.586,,MS-DRG,999999999,Case Rate,,16496.586,,MS-DRG,999999999,Case Rate,,16653.69634,,MS-DRG,999999999,Case Rate,,15711.03428,,MS-DRG,999999999,Case Rate,,15711.03428,,MS-DRG,999999999,Case Rate,,15711.03428,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,413,MS-DRG,,,,,inpatient,,,,,,12354.96212,18532.44318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18532.44318,,MS-DRG,999999999,Case Rate,,18532.44318,,MS-DRG,999999999,Case Rate,,12972.71023,,MS-DRG,999999999,Case Rate,,12849.16061,,MS-DRG,999999999,Case Rate,,12849.16061,,MS-DRG,999999999,Case Rate,,12972.71023,,MS-DRG,999999999,Case Rate,,13096.25985,,MS-DRG,999999999,Case Rate,,12972.71023,,MS-DRG,999999999,Case Rate,,13096.25985,,MS-DRG,999999999,Case Rate,,13281.58428,,MS-DRG,999999999,Case Rate,,12354.96212,,MS-DRG,999999999,Case Rate,,12725.61098,,MS-DRG,999999999,Case Rate,,12972.71023,,MS-DRG,999999999,Case Rate,,12972.71023,,MS-DRG,999999999,Case Rate,,13096.25985,,MS-DRG,999999999,Case Rate,,12354.96212,,MS-DRG,999999999,Case Rate,,12354.96212,,MS-DRG,999999999,Case Rate,,12354.96212,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,414,MS-DRG,,,,,inpatient,,,,,,25528.13558,38292.20337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38292.20337,,MS-DRG,999999999,Case Rate,,38292.20337,,MS-DRG,999999999,Case Rate,,26804.54236,,MS-DRG,999999999,Case Rate,,26549.261,,MS-DRG,999999999,Case Rate,,26549.261,,MS-DRG,999999999,Case Rate,,26804.54236,,MS-DRG,999999999,Case Rate,,27059.82372,,MS-DRG,999999999,Case Rate,,26804.54236,,MS-DRG,999999999,Case Rate,,27059.82372,,MS-DRG,999999999,Case Rate,,27442.74575,,MS-DRG,999999999,Case Rate,,25528.13558,,MS-DRG,999999999,Case Rate,,26293.97965,,MS-DRG,999999999,Case Rate,,26804.54236,,MS-DRG,999999999,Case Rate,,26804.54236,,MS-DRG,999999999,Case Rate,,27059.82372,,MS-DRG,999999999,Case Rate,,25528.13558,,MS-DRG,999999999,Case Rate,,25528.13558,,MS-DRG,999999999,Case Rate,,25528.13558,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,415,MS-DRG,,,,,inpatient,,,,,,14612.85249,21919.27874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21919.27874,,MS-DRG,999999999,Case Rate,,21919.27874,,MS-DRG,999999999,Case Rate,,15343.49512,,MS-DRG,15212.01,Case Rate,,15197.36659,,MS-DRG,999999999,Case Rate,,15197.36659,,MS-DRG,999999999,Case Rate,,15343.49512,,MS-DRG,999999999,Case Rate,,15489.62364,,MS-DRG,999999999,Case Rate,,15343.49512,,MS-DRG,999999999,Case Rate,,15489.62364,,MS-DRG,999999999,Case Rate,,15708.81643,,MS-DRG,999999999,Case Rate,,14612.85249,,MS-DRG,999999999,Case Rate,,15051.23807,,MS-DRG,999999999,Case Rate,,15343.49512,,MS-DRG,999999999,Case Rate,,15343.49512,,MS-DRG,999999999,Case Rate,,15489.62364,,MS-DRG,999999999,Case Rate,,14612.85249,,MS-DRG,999999999,Case Rate,,14612.85249,,MS-DRG,999999999,Case Rate,,14612.85249,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,416,MS-DRG,,,,,inpatient,,,,,,10263.76644,15395.64966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15395.64966,,MS-DRG,999999999,Case Rate,,15395.64966,,MS-DRG,999999999,Case Rate,,10776.95476,,MS-DRG,999999999,Case Rate,,10674.3171,,MS-DRG,999999999,Case Rate,,10674.3171,,MS-DRG,999999999,Case Rate,,10776.95476,,MS-DRG,999999999,Case Rate,,10879.59243,,MS-DRG,999999999,Case Rate,,10776.95476,,MS-DRG,999999999,Case Rate,,10879.59243,,MS-DRG,999999999,Case Rate,,11033.54893,,MS-DRG,999999999,Case Rate,,10263.76644,,MS-DRG,999999999,Case Rate,,10571.67944,,MS-DRG,999999999,Case Rate,,10776.95476,,MS-DRG,999999999,Case Rate,,10776.95476,,MS-DRG,999999999,Case Rate,,10879.59243,,MS-DRG,999999999,Case Rate,,10263.76644,,MS-DRG,999999999,Case Rate,,10263.76644,,MS-DRG,999999999,Case Rate,,10263.76644,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,417,MS-DRG,,,,,inpatient,,,,,,11516.08,26194.67572,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26194.67572,,MS-DRG,999999999,Case Rate,,26194.67572,,MS-DRG,999999999,Case Rate,,18336.27301,,MS-DRG,999999999,Case Rate,,18161.64183,,MS-DRG,999999999,Case Rate,,18161.64183,,MS-DRG,999999999,Case Rate,,18336.27301,,MS-DRG,999999999,Case Rate,,18510.90418,,MS-DRG,999999999,Case Rate,,18336.27301,,MS-DRG,999999999,Case Rate,,18510.90418,,MS-DRG,999999999,Case Rate,,18772.85093,,MS-DRG,11516.08,Case Rate,,17463.11715,,MS-DRG,999999999,Case Rate,,17987.01066,,MS-DRG,999999999,Case Rate,,18336.27301,,MS-DRG,999999999,Case Rate,,18336.27301,,MS-DRG,999999999,Case Rate,,18510.90418,,MS-DRG,999999999,Case Rate,,17463.11715,,MS-DRG,999999999,Case Rate,,17463.11715,,MS-DRG,999999999,Case Rate,,17463.11715,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,418,MS-DRG,,,,,inpatient,,,,,,12325.62958,18488.44437,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18488.44437,,MS-DRG,999999999,Case Rate,,18488.44437,,MS-DRG,999999999,Case Rate,,12941.91106,,MS-DRG,999999999,Case Rate,,12818.65476,,MS-DRG,999999999,Case Rate,,12818.65476,,MS-DRG,999999999,Case Rate,,12941.91106,,MS-DRG,999999999,Case Rate,,13065.16735,,MS-DRG,999999999,Case Rate,,12941.91106,,MS-DRG,999999999,Case Rate,,13065.16735,,MS-DRG,999999999,Case Rate,,13250.0518,,MS-DRG,999999999,Case Rate,,12325.62958,,MS-DRG,999999999,Case Rate,,12695.39847,,MS-DRG,999999999,Case Rate,,12941.91106,,MS-DRG,999999999,Case Rate,,12941.91106,,MS-DRG,999999999,Case Rate,,13065.16735,,MS-DRG,999999999,Case Rate,,12325.62958,,MS-DRG,999999999,Case Rate,,12325.62958,,MS-DRG,999999999,Case Rate,,12325.62958,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,419,MS-DRG,,,,,inpatient,,,,,,9887.45138,14831.17707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14831.17707,,MS-DRG,999999999,Case Rate,,14831.17707,,MS-DRG,999999999,Case Rate,,10381.82395,,MS-DRG,999999999,Case Rate,,10282.94944,,MS-DRG,999999999,Case Rate,,10282.94944,,MS-DRG,999999999,Case Rate,,10381.82395,,MS-DRG,999999999,Case Rate,,10480.69846,,MS-DRG,999999999,Case Rate,,10381.82395,,MS-DRG,999999999,Case Rate,,10480.69846,,MS-DRG,999999999,Case Rate,,10629.01023,,MS-DRG,999999999,Case Rate,,9887.45138,,MS-DRG,999999999,Case Rate,,10184.07492,,MS-DRG,999999999,Case Rate,,10381.82395,,MS-DRG,999999999,Case Rate,,10381.82395,,MS-DRG,999999999,Case Rate,,10480.69846,,MS-DRG,999999999,Case Rate,,9887.45138,,MS-DRG,999999999,Case Rate,,9887.45138,,MS-DRG,999999999,Case Rate,,9887.45138,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,420,MS-DRG,,,,,inpatient,,,,,,25712.00055,38568.00082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38568.00082,,MS-DRG,999999999,Case Rate,,38568.00082,,MS-DRG,999999999,Case Rate,,26997.60057,,MS-DRG,999999999,Case Rate,,26740.48057,,MS-DRG,999999999,Case Rate,,26740.48057,,MS-DRG,999999999,Case Rate,,26997.60057,,MS-DRG,999999999,Case Rate,,27254.72058,,MS-DRG,999999999,Case Rate,,26997.60057,,MS-DRG,999999999,Case Rate,,27254.72058,,MS-DRG,999999999,Case Rate,,27640.40059,,MS-DRG,999999999,Case Rate,,25712.00055,,MS-DRG,999999999,Case Rate,,26483.36056,,MS-DRG,999999999,Case Rate,,26997.60057,,MS-DRG,999999999,Case Rate,,26997.60057,,MS-DRG,999999999,Case Rate,,27254.72058,,MS-DRG,999999999,Case Rate,,25712.00055,,MS-DRG,999999999,Case Rate,,25712.00055,,MS-DRG,999999999,Case Rate,,25712.00055,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,421,MS-DRG,,,,,inpatient,,,,,,12176.82058,18265.23087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18265.23087,,MS-DRG,999999999,Case Rate,,18265.23087,,MS-DRG,999999999,Case Rate,,12785.66161,,MS-DRG,999999999,Case Rate,,12663.8934,,MS-DRG,999999999,Case Rate,,12663.8934,,MS-DRG,999999999,Case Rate,,12785.66161,,MS-DRG,999999999,Case Rate,,12907.42981,,MS-DRG,999999999,Case Rate,,12785.66161,,MS-DRG,999999999,Case Rate,,12907.42981,,MS-DRG,999999999,Case Rate,,13090.08212,,MS-DRG,999999999,Case Rate,,12176.82058,,MS-DRG,999999999,Case Rate,,12542.1252,,MS-DRG,999999999,Case Rate,,12785.66161,,MS-DRG,999999999,Case Rate,,12785.66161,,MS-DRG,999999999,Case Rate,,12907.42981,,MS-DRG,999999999,Case Rate,,12176.82058,,MS-DRG,999999999,Case Rate,,12176.82058,,MS-DRG,999999999,Case Rate,,12176.82058,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,422,MS-DRG,,,,,inpatient,,,,,,10973.47089,16460.20634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16460.20634,,MS-DRG,999999999,Case Rate,,16460.20634,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11412.40973,,MS-DRG,999999999,Case Rate,,11412.40973,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11631.87915,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11631.87915,,MS-DRG,999999999,Case Rate,,11796.48121,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,11302.67502,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11631.87915,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,423,MS-DRG,,,,,inpatient,,,,,,29560.28708,44340.43063,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44340.43063,,MS-DRG,999999999,Case Rate,,44340.43063,,MS-DRG,999999999,Case Rate,,31038.30144,,MS-DRG,999999999,Case Rate,,30742.69857,,MS-DRG,999999999,Case Rate,,30742.69857,,MS-DRG,999999999,Case Rate,,31038.30144,,MS-DRG,999999999,Case Rate,,31333.90431,,MS-DRG,999999999,Case Rate,,31038.30144,,MS-DRG,999999999,Case Rate,,31333.90431,,MS-DRG,999999999,Case Rate,,31777.30862,,MS-DRG,999999999,Case Rate,,29560.28708,,MS-DRG,999999999,Case Rate,,30447.0957,,MS-DRG,999999999,Case Rate,,31038.30144,,MS-DRG,999999999,Case Rate,,31038.30144,,MS-DRG,999999999,Case Rate,,31333.90431,,MS-DRG,999999999,Case Rate,,29560.28708,,MS-DRG,999999999,Case Rate,,29560.28708,,MS-DRG,999999999,Case Rate,,29560.28708,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,424,MS-DRG,,,,,inpatient,,,,,,16796.33837,25194.50755,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25194.50755,,MS-DRG,999999999,Case Rate,,25194.50755,,MS-DRG,999999999,Case Rate,,17636.15529,,MS-DRG,999999999,Case Rate,,17468.1919,,MS-DRG,999999999,Case Rate,,17468.1919,,MS-DRG,999999999,Case Rate,,17636.15529,,MS-DRG,999999999,Case Rate,,17804.11867,,MS-DRG,999999999,Case Rate,,17636.15529,,MS-DRG,999999999,Case Rate,,17804.11867,,MS-DRG,999999999,Case Rate,,18056.06375,,MS-DRG,999999999,Case Rate,,16796.33837,,MS-DRG,999999999,Case Rate,,17300.22852,,MS-DRG,999999999,Case Rate,,17636.15529,,MS-DRG,999999999,Case Rate,,17636.15529,,MS-DRG,999999999,Case Rate,,17804.11867,,MS-DRG,999999999,Case Rate,,16796.33837,,MS-DRG,999999999,Case Rate,,16796.33837,,MS-DRG,999999999,Case Rate,,16796.33837,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,425,MS-DRG,,,,,inpatient,,,,,,11520.05779,17280.08669,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17280.08669,,MS-DRG,999999999,Case Rate,,17280.08669,,MS-DRG,999999999,Case Rate,,12096.06068,,MS-DRG,999999999,Case Rate,,11980.8601,,MS-DRG,999999999,Case Rate,,11980.8601,,MS-DRG,999999999,Case Rate,,12096.06068,,MS-DRG,999999999,Case Rate,,12211.26126,,MS-DRG,999999999,Case Rate,,12096.06068,,MS-DRG,999999999,Case Rate,,12211.26126,,MS-DRG,999999999,Case Rate,,12384.06212,,MS-DRG,999999999,Case Rate,,11520.05779,,MS-DRG,999999999,Case Rate,,11865.65952,,MS-DRG,999999999,Case Rate,,12096.06068,,MS-DRG,999999999,Case Rate,,12096.06068,,MS-DRG,999999999,Case Rate,,12211.26126,,MS-DRG,999999999,Case Rate,,11520.05779,,MS-DRG,999999999,Case Rate,,11520.05779,,MS-DRG,999999999,Case Rate,,11520.05779,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,426,MS-DRG,,,,,inpatient,,,,,,75404.90531,113107.358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113107.358,,MS-DRG,999999999,Case Rate,,113107.358,,MS-DRG,999999999,Case Rate,,79175.15058,,MS-DRG,999999999,Case Rate,,78421.10152,,MS-DRG,999999999,Case Rate,,78421.10152,,MS-DRG,999999999,Case Rate,,79175.15058,,MS-DRG,999999999,Case Rate,,79929.19963,,MS-DRG,999999999,Case Rate,,79175.15058,,MS-DRG,999999999,Case Rate,,79929.19963,,MS-DRG,999999999,Case Rate,,81060.27321,,MS-DRG,999999999,Case Rate,,75404.90531,,MS-DRG,999999999,Case Rate,,77667.05247,,MS-DRG,999999999,Case Rate,,79175.15058,,MS-DRG,999999999,Case Rate,,79175.15058,,MS-DRG,999999999,Case Rate,,79929.19963,,MS-DRG,999999999,Case Rate,,75404.90531,,MS-DRG,999999999,Case Rate,,75404.90531,,MS-DRG,999999999,Case Rate,,75404.90531,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,427,MS-DRG,,,,,inpatient,,,,,,51275.66937,76913.50406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76913.50406,,MS-DRG,999999999,Case Rate,,76913.50406,,MS-DRG,999999999,Case Rate,,53839.45284,,MS-DRG,999999999,Case Rate,,53326.69615,,MS-DRG,999999999,Case Rate,,53326.69615,,MS-DRG,999999999,Case Rate,,53839.45284,,MS-DRG,999999999,Case Rate,,54352.20953,,MS-DRG,999999999,Case Rate,,53839.45284,,MS-DRG,999999999,Case Rate,,54352.20953,,MS-DRG,999999999,Case Rate,,55121.34458,,MS-DRG,999999999,Case Rate,,51275.66937,,MS-DRG,999999999,Case Rate,,52813.93945,,MS-DRG,999999999,Case Rate,,53839.45284,,MS-DRG,999999999,Case Rate,,53839.45284,,MS-DRG,999999999,Case Rate,,54352.20953,,MS-DRG,999999999,Case Rate,,51275.66937,,MS-DRG,999999999,Case Rate,,51275.66937,,MS-DRG,999999999,Case Rate,,51275.66937,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,428,MS-DRG,,,,,inpatient,,,,,,39838.83936,59758.25905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59758.25905,,MS-DRG,999999999,Case Rate,,59758.25905,,MS-DRG,999999999,Case Rate,,41830.78133,,MS-DRG,999999999,Case Rate,,41432.39294,,MS-DRG,999999999,Case Rate,,41432.39294,,MS-DRG,999999999,Case Rate,,41830.78133,,MS-DRG,999999999,Case Rate,,42229.16973,,MS-DRG,999999999,Case Rate,,41830.78133,,MS-DRG,999999999,Case Rate,,42229.16973,,MS-DRG,999999999,Case Rate,,42826.75232,,MS-DRG,999999999,Case Rate,,39838.83936,,MS-DRG,999999999,Case Rate,,41034.00454,,MS-DRG,999999999,Case Rate,,41830.78133,,MS-DRG,999999999,Case Rate,,41830.78133,,MS-DRG,999999999,Case Rate,,42229.16973,,MS-DRG,999999999,Case Rate,,39838.83936,,MS-DRG,999999999,Case Rate,,39838.83936,,MS-DRG,999999999,Case Rate,,39838.83936,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,429,MS-DRG,,,,,inpatient,,,,,,60131.95104,90197.92655,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90197.92655,,MS-DRG,999999999,Case Rate,,90197.92655,,MS-DRG,999999999,Case Rate,,63138.54859,,MS-DRG,999999999,Case Rate,,62537.22908,,MS-DRG,999999999,Case Rate,,62537.22908,,MS-DRG,999999999,Case Rate,,63138.54859,,MS-DRG,999999999,Case Rate,,63739.8681,,MS-DRG,999999999,Case Rate,,63138.54859,,MS-DRG,999999999,Case Rate,,63739.8681,,MS-DRG,999999999,Case Rate,,64641.84736,,MS-DRG,999999999,Case Rate,,60131.95104,,MS-DRG,999999999,Case Rate,,61935.90957,,MS-DRG,999999999,Case Rate,,63138.54859,,MS-DRG,999999999,Case Rate,,63138.54859,,MS-DRG,999999999,Case Rate,,63739.8681,,MS-DRG,999999999,Case Rate,,60131.95104,,MS-DRG,999999999,Case Rate,,60131.95104,,MS-DRG,999999999,Case Rate,,60131.95104,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,430,MS-DRG,,,,,inpatient,,,,,,39598.4556,59397.6834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59397.6834,,MS-DRG,999999999,Case Rate,,59397.6834,,MS-DRG,999999999,Case Rate,,41578.37838,,MS-DRG,999999999,Case Rate,,41182.39382,,MS-DRG,999999999,Case Rate,,41182.39382,,MS-DRG,999999999,Case Rate,,41578.37838,,MS-DRG,999999999,Case Rate,,41974.36293,,MS-DRG,999999999,Case Rate,,41578.37838,,MS-DRG,999999999,Case Rate,,41974.36293,,MS-DRG,999999999,Case Rate,,42568.33977,,MS-DRG,999999999,Case Rate,,39598.4556,,MS-DRG,999999999,Case Rate,,40786.40927,,MS-DRG,999999999,Case Rate,,41578.37838,,MS-DRG,999999999,Case Rate,,41578.37838,,MS-DRG,999999999,Case Rate,,41974.36293,,MS-DRG,999999999,Case Rate,,39598.4556,,MS-DRG,999999999,Case Rate,,39598.4556,,MS-DRG,999999999,Case Rate,,39598.4556,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,432,MS-DRG,,,,,inpatient,,,,,,12772.98,21715.3818,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21715.3818,,MS-DRG,999999999,Case Rate,,21715.3818,,MS-DRG,999999999,Case Rate,,15200.76726,,MS-DRG,999999999,Case Rate,,15055.99805,,MS-DRG,13450.25,Case Rate,,15055.99805,,MS-DRG,12772.98,Case Rate,,15200.76726,,MS-DRG,999999999,Case Rate,,15345.53647,,MS-DRG,999999999,Case Rate,,15200.76726,,MS-DRG,999999999,Case Rate,,15345.53647,,MS-DRG,999999999,Case Rate,,15562.69029,,MS-DRG,14385.25,Case Rate,,14476.9212,,MS-DRG,999999999,Case Rate,,14911.22883,,MS-DRG,999999999,Case Rate,,15200.76726,,MS-DRG,999999999,Case Rate,,15200.76726,,MS-DRG,999999999,Case Rate,,15345.53647,,MS-DRG,999999999,Case Rate,,14476.9212,,MS-DRG,999999999,Case Rate,,14476.9212,,MS-DRG,999999999,Case Rate,,14476.9212,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,433,MS-DRG,,,,,inpatient,,,,,,6196.853333,12171.93166,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12171.93166,,MS-DRG,999999999,Case Rate,,12171.93166,,MS-DRG,999999999,Case Rate,,8520.352161,,MS-DRG,999999999,Case Rate,,8439.20595,,MS-DRG,999999999,Case Rate,,8439.20595,,MS-DRG,6196.853333,Case Rate,,8520.352161,,MS-DRG,999999999,Case Rate,,8601.498372,,MS-DRG,999999999,Case Rate,,8520.352161,,MS-DRG,999999999,Case Rate,,8601.498372,,MS-DRG,999999999,Case Rate,,8723.217689,,MS-DRG,999999999,Case Rate,,8114.621106,,MS-DRG,999999999,Case Rate,,8358.059739,,MS-DRG,999999999,Case Rate,,8520.352161,,MS-DRG,999999999,Case Rate,,8520.352161,,MS-DRG,999999999,Case Rate,,8601.498372,,MS-DRG,999999999,Case Rate,,8114.621106,,MS-DRG,999999999,Case Rate,,8114.621106,,MS-DRG,999999999,Case Rate,,8114.621106,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,434,MS-DRG,,,,,inpatient,,,,,,5443.928849,8165.893273,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8165.893273,,MS-DRG,999999999,Case Rate,,8165.893273,,MS-DRG,999999999,Case Rate,,5716.125291,,MS-DRG,999999999,Case Rate,,5661.686003,,MS-DRG,999999999,Case Rate,,5661.686003,,MS-DRG,999999999,Case Rate,,5716.125291,,MS-DRG,999999999,Case Rate,,5770.56458,,MS-DRG,999999999,Case Rate,,5716.125291,,MS-DRG,999999999,Case Rate,,5770.56458,,MS-DRG,999999999,Case Rate,,5852.223513,,MS-DRG,999999999,Case Rate,,5443.928849,,MS-DRG,999999999,Case Rate,,5607.246714,,MS-DRG,999999999,Case Rate,,5716.125291,,MS-DRG,999999999,Case Rate,,5716.125291,,MS-DRG,999999999,Case Rate,,5770.56458,,MS-DRG,999999999,Case Rate,,5443.928849,,MS-DRG,999999999,Case Rate,,5443.928849,,MS-DRG,999999999,Case Rate,,5443.928849,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,435,MS-DRG,,,,,inpatient,,,,,,13514.67071,20272.00606,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20272.00606,,MS-DRG,999999999,Case Rate,,20272.00606,,MS-DRG,999999999,Case Rate,,14190.40424,,MS-DRG,999999999,Case Rate,,14055.25753,,MS-DRG,999999999,Case Rate,,14055.25753,,MS-DRG,999999999,Case Rate,,14190.40424,,MS-DRG,999999999,Case Rate,,14325.55095,,MS-DRG,999999999,Case Rate,,14190.40424,,MS-DRG,999999999,Case Rate,,14325.55095,,MS-DRG,999999999,Case Rate,,14528.27101,,MS-DRG,999999999,Case Rate,,13514.67071,,MS-DRG,999999999,Case Rate,,13920.11083,,MS-DRG,999999999,Case Rate,,14190.40424,,MS-DRG,999999999,Case Rate,,14190.40424,,MS-DRG,999999999,Case Rate,,14325.55095,,MS-DRG,999999999,Case Rate,,13514.67071,,MS-DRG,999999999,Case Rate,,13514.67071,,MS-DRG,999999999,Case Rate,,13514.67071,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,436,MS-DRG,,,,,inpatient,,,,,,8528.853846,12793.28077,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12793.28077,,MS-DRG,999999999,Case Rate,,12793.28077,,MS-DRG,999999999,Case Rate,,8955.296538,,MS-DRG,999999999,Case Rate,,8870.007999,,MS-DRG,999999999,Case Rate,,8870.007999,,MS-DRG,999999999,Case Rate,,8955.296538,,MS-DRG,999999999,Case Rate,,9040.585076,,MS-DRG,999999999,Case Rate,,8955.296538,,MS-DRG,999999999,Case Rate,,9040.585076,,MS-DRG,999999999,Case Rate,,9168.517884,,MS-DRG,999999999,Case Rate,,8528.853846,,MS-DRG,999999999,Case Rate,,8784.719461,,MS-DRG,999999999,Case Rate,,8955.296538,,MS-DRG,999999999,Case Rate,,8955.296538,,MS-DRG,999999999,Case Rate,,9040.585076,,MS-DRG,999999999,Case Rate,,8528.853846,,MS-DRG,999999999,Case Rate,,8528.853846,,MS-DRG,999999999,Case Rate,,8528.853846,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,437,MS-DRG,,,,,inpatient,,,,,,6078.513374,9117.770061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9117.770061,,MS-DRG,999999999,Case Rate,,9117.770061,,MS-DRG,999999999,Case Rate,,6382.439043,,MS-DRG,999999999,Case Rate,,6321.653909,,MS-DRG,999999999,Case Rate,,6321.653909,,MS-DRG,999999999,Case Rate,,6382.439043,,MS-DRG,999999999,Case Rate,,6443.224176,,MS-DRG,999999999,Case Rate,,6382.439043,,MS-DRG,999999999,Case Rate,,6443.224176,,MS-DRG,999999999,Case Rate,,6534.401877,,MS-DRG,999999999,Case Rate,,6078.513374,,MS-DRG,999999999,Case Rate,,6260.868775,,MS-DRG,999999999,Case Rate,,6382.439043,,MS-DRG,999999999,Case Rate,,6382.439043,,MS-DRG,999999999,Case Rate,,6443.224176,,MS-DRG,999999999,Case Rate,,6078.513374,,MS-DRG,999999999,Case Rate,,6078.513374,,MS-DRG,999999999,Case Rate,,6078.513374,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,438,MS-DRG,,,,,inpatient,,,,,,5428.13,18545.32088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18545.32088,,MS-DRG,999999999,Case Rate,,18545.32088,,MS-DRG,999999999,Case Rate,,12981.72462,,MS-DRG,999999999,Case Rate,,12858.08915,,MS-DRG,999999999,Case Rate,,12858.08915,,MS-DRG,5428.13,Case Rate,,12981.72462,,MS-DRG,999999999,Case Rate,,13105.36009,,MS-DRG,999999999,Case Rate,,12981.72462,,MS-DRG,999999999,Case Rate,,13105.36009,,MS-DRG,999999999,Case Rate,,13290.8133,,MS-DRG,8942.97,Case Rate,,12363.54726,,MS-DRG,999999999,Case Rate,,12734.45367,,MS-DRG,999999999,Case Rate,,12981.72462,,MS-DRG,999999999,Case Rate,,12981.72462,,MS-DRG,999999999,Case Rate,,13105.36009,,MS-DRG,999999999,Case Rate,,12363.54726,,MS-DRG,999999999,Case Rate,,12363.54726,,MS-DRG,999999999,Case Rate,,12363.54726,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,439,MS-DRG,,,,,inpatient,,,,,,1726.675,9922.62642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9922.62642,,MS-DRG,999999999,Case Rate,,9922.62642,,MS-DRG,999999999,Case Rate,,6945.838494,,MS-DRG,3874.73,Case Rate,,6879.687651,,MS-DRG,999999999,Case Rate,,6879.687651,,MS-DRG,999999999,Case Rate,,6945.838494,,MS-DRG,999999999,Case Rate,,7011.989337,,MS-DRG,999999999,Case Rate,,6945.838494,,MS-DRG,999999999,Case Rate,,7011.989337,,MS-DRG,999999999,Case Rate,,7111.215601,,MS-DRG,1726.675,Case Rate,,6615.08428,,MS-DRG,999999999,Case Rate,,6813.536809,,MS-DRG,999999999,Case Rate,,6945.838494,,MS-DRG,999999999,Case Rate,,6945.838494,,MS-DRG,999999999,Case Rate,,7011.989337,,MS-DRG,999999999,Case Rate,,6615.08428,,MS-DRG,999999999,Case Rate,,6615.08428,,MS-DRG,999999999,Case Rate,,6615.08428,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,440,MS-DRG,,,,,inpatient,,,,,,2073.21,7292.355838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7292.355838,,MS-DRG,999999999,Case Rate,,7292.355838,,MS-DRG,999999999,Case Rate,,5104.649087,,MS-DRG,999999999,Case Rate,,5056.033381,,MS-DRG,999999999,Case Rate,,5056.033381,,MS-DRG,4885.31,Case Rate,,5104.649087,,MS-DRG,999999999,Case Rate,,5153.264792,,MS-DRG,999999999,Case Rate,,5104.649087,,MS-DRG,999999999,Case Rate,,5153.264792,,MS-DRG,999999999,Case Rate,,5226.188351,,MS-DRG,2073.21,Case Rate,,4861.570559,,MS-DRG,999999999,Case Rate,,5007.417675,,MS-DRG,999999999,Case Rate,,5104.649087,,MS-DRG,999999999,Case Rate,,5104.649087,,MS-DRG,999999999,Case Rate,,5153.264792,,MS-DRG,999999999,Case Rate,,4861.570559,,MS-DRG,999999999,Case Rate,,4861.570559,,MS-DRG,999999999,Case Rate,,4861.570559,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",441,MS-DRG,,,,,inpatient,,,,,,12114.345,20978.13337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20978.13337,,MS-DRG,999999999,Case Rate,,20978.13337,,MS-DRG,999999999,Case Rate,,14684.69336,,MS-DRG,999999999,Case Rate,,14544.83914,,MS-DRG,999999999,Case Rate,,14544.83914,,MS-DRG,12114.345,Case Rate,,14684.69336,,MS-DRG,999999999,Case Rate,,14824.54758,,MS-DRG,999999999,Case Rate,,14684.69336,,MS-DRG,999999999,Case Rate,,14824.54758,,MS-DRG,999999999,Case Rate,,15034.32892,,MS-DRG,999999999,Case Rate,,13985.42225,,MS-DRG,999999999,Case Rate,,14404.98492,,MS-DRG,999999999,Case Rate,,14684.69336,,MS-DRG,999999999,Case Rate,,14684.69336,,MS-DRG,999999999,Case Rate,,14824.54758,,MS-DRG,999999999,Case Rate,,13985.42225,,MS-DRG,999999999,Case Rate,,13985.42225,,MS-DRG,999999999,Case Rate,,13985.42225,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",442,MS-DRG,,,,,inpatient,,,,,,5690.96,11060.15674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11060.15674,,MS-DRG,999999999,Case Rate,,11060.15674,,MS-DRG,999999999,Case Rate,,7742.109719,,MS-DRG,999999999,Case Rate,,7668.375341,,MS-DRG,999999999,Case Rate,,7668.375341,,MS-DRG,5690.96,Case Rate,,7742.109719,,MS-DRG,999999999,Case Rate,,7815.844097,,MS-DRG,999999999,Case Rate,,7742.109719,,MS-DRG,999999999,Case Rate,,7815.844097,,MS-DRG,999999999,Case Rate,,7926.445665,,MS-DRG,999999999,Case Rate,,7373.437828,,MS-DRG,999999999,Case Rate,,7594.640962,,MS-DRG,999999999,Case Rate,,7742.109719,,MS-DRG,999999999,Case Rate,,7742.109719,,MS-DRG,999999999,Case Rate,,7815.844097,,MS-DRG,999999999,Case Rate,,7373.437828,,MS-DRG,999999999,Case Rate,,7373.437828,,MS-DRG,999999999,Case Rate,,7373.437828,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",443,MS-DRG,,,,,inpatient,,,,,,5488.285377,8232.428066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8232.428066,,MS-DRG,999999999,Case Rate,,8232.428066,,MS-DRG,999999999,Case Rate,,5762.699646,,MS-DRG,999999999,Case Rate,,5707.816792,,MS-DRG,999999999,Case Rate,,5707.816792,,MS-DRG,999999999,Case Rate,,5762.699646,,MS-DRG,999999999,Case Rate,,5817.5825,,MS-DRG,999999999,Case Rate,,5762.699646,,MS-DRG,999999999,Case Rate,,5817.5825,,MS-DRG,999999999,Case Rate,,5899.90678,,MS-DRG,999999999,Case Rate,,5488.285377,,MS-DRG,999999999,Case Rate,,5652.933938,,MS-DRG,999999999,Case Rate,,5762.699646,,MS-DRG,999999999,Case Rate,,5762.699646,,MS-DRG,999999999,Case Rate,,5817.5825,,MS-DRG,999999999,Case Rate,,5488.285377,,MS-DRG,999999999,Case Rate,,5488.285377,,MS-DRG,999999999,Case Rate,,5488.285377,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISORDERS OF THE BILIARY TRACT WITH MCC,444,MS-DRG,,,,,inpatient,,,,,,8593.02,18767.46124,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18767.46124,,MS-DRG,999999999,Case Rate,,18767.46124,,MS-DRG,999999999,Case Rate,,13137.22287,,MS-DRG,8593.02,Case Rate,,13012.10646,,MS-DRG,999999999,Case Rate,,13012.10646,,MS-DRG,999999999,Case Rate,,13137.22287,,MS-DRG,999999999,Case Rate,,13262.33927,,MS-DRG,999999999,Case Rate,,13137.22287,,MS-DRG,999999999,Case Rate,,13262.33927,,MS-DRG,999999999,Case Rate,,13450.01389,,MS-DRG,11894.8,Case Rate,,12511.64083,,MS-DRG,999999999,Case Rate,,12886.99005,,MS-DRG,999999999,Case Rate,,13137.22287,,MS-DRG,999999999,Case Rate,,13137.22287,,MS-DRG,999999999,Case Rate,,13262.33927,,MS-DRG,999999999,Case Rate,,12511.64083,,MS-DRG,999999999,Case Rate,,12511.64083,,MS-DRG,999999999,Case Rate,,12511.64083,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISORDERS OF THE BILIARY TRACT WITH CC,445,MS-DRG,,,,,inpatient,,,,,,6804.13,12329.68351,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12329.68351,,MS-DRG,999999999,Case Rate,,12329.68351,,MS-DRG,999999999,Case Rate,,8630.778454,,MS-DRG,999999999,Case Rate,,8548.580564,,MS-DRG,999999999,Case Rate,,8548.580564,,MS-DRG,8326.96,Case Rate,,8630.778454,,MS-DRG,6804.13,Case Rate,,8712.976344,,MS-DRG,999999999,Case Rate,,8630.778454,,MS-DRG,999999999,Case Rate,,8712.976344,,MS-DRG,999999999,Case Rate,,8836.273179,,MS-DRG,8409.48,Case Rate,,8219.789004,,MS-DRG,999999999,Case Rate,,8466.382674,,MS-DRG,999999999,Case Rate,,8630.778454,,MS-DRG,999999999,Case Rate,,8630.778454,,MS-DRG,999999999,Case Rate,,8712.976344,,MS-DRG,999999999,Case Rate,,8219.789004,,MS-DRG,999999999,Case Rate,,8219.789004,,MS-DRG,999999999,Case Rate,,8219.789004,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,446,MS-DRG,,,,,inpatient,,,,,,5346.87,9247.62022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9247.62022,,MS-DRG,999999999,Case Rate,,9247.62022,,MS-DRG,999999999,Case Rate,,6473.334154,,MS-DRG,5346.87,Case Rate,,6411.683353,,MS-DRG,999999999,Case Rate,,6411.683353,,MS-DRG,999999999,Case Rate,,6473.334154,,MS-DRG,999999999,Case Rate,,6534.984956,,MS-DRG,999999999,Case Rate,,6473.334154,,MS-DRG,999999999,Case Rate,,6534.984956,,MS-DRG,999999999,Case Rate,,6627.461158,,MS-DRG,999999999,Case Rate,,6165.080147,,MS-DRG,999999999,Case Rate,,6350.032551,,MS-DRG,999999999,Case Rate,,6473.334154,,MS-DRG,999999999,Case Rate,,6473.334154,,MS-DRG,999999999,Case Rate,,6534.984956,,MS-DRG,999999999,Case Rate,,6165.080147,,MS-DRG,999999999,Case Rate,,6165.080147,,MS-DRG,999999999,Case Rate,,6165.080147,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,447,MS-DRG,,,,,inpatient,,,,,,48428.26643,72642.39965,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72642.39965,,MS-DRG,999999999,Case Rate,,72642.39965,,MS-DRG,999999999,Case Rate,,50849.67975,,MS-DRG,999999999,Case Rate,,50365.39709,,MS-DRG,999999999,Case Rate,,50365.39709,,MS-DRG,999999999,Case Rate,,50849.67975,,MS-DRG,999999999,Case Rate,,51333.96242,,MS-DRG,999999999,Case Rate,,50849.67975,,MS-DRG,999999999,Case Rate,,51333.96242,,MS-DRG,999999999,Case Rate,,52060.38641,,MS-DRG,999999999,Case Rate,,48428.26643,,MS-DRG,999999999,Case Rate,,49881.11442,,MS-DRG,999999999,Case Rate,,50849.67975,,MS-DRG,999999999,Case Rate,,50849.67975,,MS-DRG,999999999,Case Rate,,51333.96242,,MS-DRG,999999999,Case Rate,,48428.26643,,MS-DRG,999999999,Case Rate,,48428.26643,,MS-DRG,999999999,Case Rate,,48428.26643,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,448,MS-DRG,,,,,inpatient,,,,,,29675.47097,44513.20646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44513.20646,,MS-DRG,999999999,Case Rate,,44513.20646,,MS-DRG,999999999,Case Rate,,31159.24452,,MS-DRG,999999999,Case Rate,,30862.48981,,MS-DRG,999999999,Case Rate,,30862.48981,,MS-DRG,999999999,Case Rate,,31159.24452,,MS-DRG,999999999,Case Rate,,31455.99923,,MS-DRG,999999999,Case Rate,,31159.24452,,MS-DRG,999999999,Case Rate,,31455.99923,,MS-DRG,999999999,Case Rate,,31901.1313,,MS-DRG,999999999,Case Rate,,29675.47097,,MS-DRG,999999999,Case Rate,,30565.7351,,MS-DRG,999999999,Case Rate,,31159.24452,,MS-DRG,999999999,Case Rate,,31159.24452,,MS-DRG,999999999,Case Rate,,31455.99923,,MS-DRG,999999999,Case Rate,,29675.47097,,MS-DRG,999999999,Case Rate,,29675.47097,,MS-DRG,999999999,Case Rate,,29675.47097,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,450,MS-DRG,,,,,inpatient,,,,,,37306.22469,55959.33703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55959.33703,,MS-DRG,999999999,Case Rate,,55959.33703,,MS-DRG,999999999,Case Rate,,39171.53592,,MS-DRG,999999999,Case Rate,,38798.47367,,MS-DRG,999999999,Case Rate,,38798.47367,,MS-DRG,999999999,Case Rate,,39171.53592,,MS-DRG,999999999,Case Rate,,39544.59817,,MS-DRG,999999999,Case Rate,,39171.53592,,MS-DRG,999999999,Case Rate,,39544.59817,,MS-DRG,999999999,Case Rate,,40104.19154,,MS-DRG,999999999,Case Rate,,37306.22469,,MS-DRG,999999999,Case Rate,,38425.41143,,MS-DRG,999999999,Case Rate,,39171.53592,,MS-DRG,999999999,Case Rate,,39171.53592,,MS-DRG,999999999,Case Rate,,39544.59817,,MS-DRG,999999999,Case Rate,,37306.22469,,MS-DRG,999999999,Case Rate,,37306.22469,,MS-DRG,999999999,Case Rate,,37306.22469,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,451,MS-DRG,,,,,inpatient,,,,,,22539.07792,33808.61688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33808.61688,,MS-DRG,999999999,Case Rate,,33808.61688,,MS-DRG,999999999,Case Rate,,23666.03182,,MS-DRG,999999999,Case Rate,,23440.64104,,MS-DRG,999999999,Case Rate,,23440.64104,,MS-DRG,999999999,Case Rate,,23666.03182,,MS-DRG,999999999,Case Rate,,23891.4226,,MS-DRG,999999999,Case Rate,,23666.03182,,MS-DRG,999999999,Case Rate,,23891.4226,,MS-DRG,999999999,Case Rate,,24229.50876,,MS-DRG,999999999,Case Rate,,22539.07792,,MS-DRG,999999999,Case Rate,,23215.25026,,MS-DRG,999999999,Case Rate,,23666.03182,,MS-DRG,999999999,Case Rate,,23666.03182,,MS-DRG,999999999,Case Rate,,23891.4226,,MS-DRG,999999999,Case Rate,,22539.07792,,MS-DRG,999999999,Case Rate,,22539.07792,,MS-DRG,999999999,Case Rate,,22539.07792,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",456,MS-DRG,,,,,inpatient,,,,,,61051.99128,91577.98693,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91577.98693,,MS-DRG,999999999,Case Rate,,91577.98693,,MS-DRG,999999999,Case Rate,,64104.59085,,MS-DRG,999999999,Case Rate,,63494.07093,,MS-DRG,999999999,Case Rate,,63494.07093,,MS-DRG,999999999,Case Rate,,64104.59085,,MS-DRG,999999999,Case Rate,,64715.11076,,MS-DRG,999999999,Case Rate,,64104.59085,,MS-DRG,999999999,Case Rate,,64715.11076,,MS-DRG,999999999,Case Rate,,65630.89063,,MS-DRG,999999999,Case Rate,,61051.99128,,MS-DRG,999999999,Case Rate,,62883.55102,,MS-DRG,999999999,Case Rate,,64104.59085,,MS-DRG,999999999,Case Rate,,64104.59085,,MS-DRG,999999999,Case Rate,,64715.11076,,MS-DRG,999999999,Case Rate,,61051.99128,,MS-DRG,999999999,Case Rate,,61051.99128,,MS-DRG,999999999,Case Rate,,61051.99128,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",457,MS-DRG,,,,,inpatient,,,,,,41522.24115,62283.36173,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62283.36173,,MS-DRG,999999999,Case Rate,,62283.36173,,MS-DRG,999999999,Case Rate,,43598.35321,,MS-DRG,999999999,Case Rate,,43183.1308,,MS-DRG,999999999,Case Rate,,43183.1308,,MS-DRG,999999999,Case Rate,,43598.35321,,MS-DRG,999999999,Case Rate,,44013.57562,,MS-DRG,999999999,Case Rate,,43598.35321,,MS-DRG,999999999,Case Rate,,44013.57562,,MS-DRG,999999999,Case Rate,,44636.40924,,MS-DRG,999999999,Case Rate,,41522.24115,,MS-DRG,999999999,Case Rate,,42767.90839,,MS-DRG,999999999,Case Rate,,43598.35321,,MS-DRG,999999999,Case Rate,,43598.35321,,MS-DRG,999999999,Case Rate,,44013.57562,,MS-DRG,999999999,Case Rate,,41522.24115,,MS-DRG,999999999,Case Rate,,41522.24115,,MS-DRG,999999999,Case Rate,,41522.24115,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",458,MS-DRG,,,,,inpatient,,,,,,31353.14934,47029.72401,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47029.72401,,MS-DRG,999999999,Case Rate,,47029.72401,,MS-DRG,999999999,Case Rate,,32920.80681,,MS-DRG,999999999,Case Rate,,32607.27531,,MS-DRG,999999999,Case Rate,,32607.27531,,MS-DRG,999999999,Case Rate,,32920.80681,,MS-DRG,999999999,Case Rate,,33234.3383,,MS-DRG,999999999,Case Rate,,32920.80681,,MS-DRG,999999999,Case Rate,,33234.3383,,MS-DRG,999999999,Case Rate,,33704.63554,,MS-DRG,999999999,Case Rate,,31353.14934,,MS-DRG,999999999,Case Rate,,32293.74382,,MS-DRG,999999999,Case Rate,,32920.80681,,MS-DRG,999999999,Case Rate,,32920.80681,,MS-DRG,999999999,Case Rate,,33234.3383,,MS-DRG,999999999,Case Rate,,31353.14934,,MS-DRG,999999999,Case Rate,,31353.14934,,MS-DRG,999999999,Case Rate,,31353.14934,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,461,MS-DRG,,,,,inpatient,,,,,,44364.6361,66546.95415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66546.95415,,MS-DRG,999999999,Case Rate,,66546.95415,,MS-DRG,999999999,Case Rate,,46582.86791,,MS-DRG,999999999,Case Rate,,46139.22154,,MS-DRG,999999999,Case Rate,,46139.22154,,MS-DRG,999999999,Case Rate,,46582.86791,,MS-DRG,999999999,Case Rate,,47026.51427,,MS-DRG,999999999,Case Rate,,46582.86791,,MS-DRG,999999999,Case Rate,,47026.51427,,MS-DRG,999999999,Case Rate,,47691.98381,,MS-DRG,999999999,Case Rate,,44364.6361,,MS-DRG,999999999,Case Rate,,45695.57518,,MS-DRG,999999999,Case Rate,,46582.86791,,MS-DRG,999999999,Case Rate,,46582.86791,,MS-DRG,999999999,Case Rate,,47026.51427,,MS-DRG,999999999,Case Rate,,44364.6361,,MS-DRG,999999999,Case Rate,,44364.6361,,MS-DRG,999999999,Case Rate,,44364.6361,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,462,MS-DRG,,,,,inpatient,,,,,,20949.39718,31424.09577,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31424.09577,,MS-DRG,999999999,Case Rate,,31424.09577,,MS-DRG,999999999,Case Rate,,21996.86704,,MS-DRG,21655.33,Case Rate,,21787.37307,,MS-DRG,999999999,Case Rate,,21787.37307,,MS-DRG,999999999,Case Rate,,21996.86704,,MS-DRG,999999999,Case Rate,,22206.36101,,MS-DRG,999999999,Case Rate,,21996.86704,,MS-DRG,999999999,Case Rate,,22206.36101,,MS-DRG,999999999,Case Rate,,22520.60197,,MS-DRG,999999999,Case Rate,,20949.39718,,MS-DRG,999999999,Case Rate,,21577.8791,,MS-DRG,999999999,Case Rate,,21996.86704,,MS-DRG,999999999,Case Rate,,21996.86704,,MS-DRG,999999999,Case Rate,,22206.36101,,MS-DRG,999999999,Case Rate,,20949.39718,,MS-DRG,999999999,Case Rate,,20949.39718,,MS-DRG,999999999,Case Rate,,20949.39718,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,463,MS-DRG,,,,,inpatient,,,,,,23742.86,58651.84984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58651.84984,,MS-DRG,999999999,Case Rate,,58651.84984,,MS-DRG,999999999,Case Rate,,41056.29489,,MS-DRG,999999999,Case Rate,,40665.28255,,MS-DRG,999999999,Case Rate,,40665.28255,,MS-DRG,999999999,Case Rate,,41056.29489,,MS-DRG,999999999,Case Rate,,41447.30722,,MS-DRG,999999999,Case Rate,,41056.29489,,MS-DRG,999999999,Case Rate,,41447.30722,,MS-DRG,999999999,Case Rate,,42033.82572,,MS-DRG,23742.86,Case Rate,,39101.23322,,MS-DRG,999999999,Case Rate,,40274.27022,,MS-DRG,999999999,Case Rate,,41056.29489,,MS-DRG,999999999,Case Rate,,41056.29489,,MS-DRG,999999999,Case Rate,,41447.30722,,MS-DRG,999999999,Case Rate,,39101.23322,,MS-DRG,999999999,Case Rate,,39101.23322,,MS-DRG,999999999,Case Rate,,39101.23322,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,464,MS-DRG,,,,,inpatient,,,,,,21556.08002,32334.12003,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32334.12003,,MS-DRG,999999999,Case Rate,,32334.12003,,MS-DRG,999999999,Case Rate,,22633.88402,,MS-DRG,999999999,Case Rate,,22418.32322,,MS-DRG,999999999,Case Rate,,22418.32322,,MS-DRG,999999999,Case Rate,,22633.88402,,MS-DRG,999999999,Case Rate,,22849.44482,,MS-DRG,999999999,Case Rate,,22633.88402,,MS-DRG,999999999,Case Rate,,22849.44482,,MS-DRG,999999999,Case Rate,,23172.78602,,MS-DRG,999999999,Case Rate,,21556.08002,,MS-DRG,999999999,Case Rate,,22202.76242,,MS-DRG,999999999,Case Rate,,22633.88402,,MS-DRG,999999999,Case Rate,,22633.88402,,MS-DRG,999999999,Case Rate,,22849.44482,,MS-DRG,999999999,Case Rate,,21556.08002,,MS-DRG,999999999,Case Rate,,21556.08002,,MS-DRG,999999999,Case Rate,,21556.08002,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,465,MS-DRG,,,,,inpatient,,,,,,12881.51704,19322.27555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19322.27555,,MS-DRG,999999999,Case Rate,,19322.27555,,MS-DRG,999999999,Case Rate,,13525.59289,,MS-DRG,999999999,Case Rate,,13396.77772,,MS-DRG,999999999,Case Rate,,13396.77772,,MS-DRG,999999999,Case Rate,,13525.59289,,MS-DRG,999999999,Case Rate,,13654.40806,,MS-DRG,999999999,Case Rate,,13525.59289,,MS-DRG,999999999,Case Rate,,13654.40806,,MS-DRG,999999999,Case Rate,,13847.63081,,MS-DRG,999999999,Case Rate,,12881.51704,,MS-DRG,999999999,Case Rate,,13267.96255,,MS-DRG,999999999,Case Rate,,13525.59289,,MS-DRG,999999999,Case Rate,,13525.59289,,MS-DRG,999999999,Case Rate,,13654.40806,,MS-DRG,999999999,Case Rate,,12881.51704,,MS-DRG,999999999,Case Rate,,12881.51704,,MS-DRG,999999999,Case Rate,,12881.51704,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,466,MS-DRG,,,,,inpatient,,,,,,36127.615,55363.74332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55363.74332,,MS-DRG,999999999,Case Rate,,55363.74332,,MS-DRG,999999999,Case Rate,,38754.62033,,MS-DRG,999999999,Case Rate,,38385.5287,,MS-DRG,999999999,Case Rate,,38385.5287,,MS-DRG,36127.615,Case Rate,,38754.62033,,MS-DRG,999999999,Case Rate,,39123.71195,,MS-DRG,999999999,Case Rate,,38754.62033,,MS-DRG,999999999,Case Rate,,39123.71195,,MS-DRG,999999999,Case Rate,,39677.34938,,MS-DRG,999999999,Case Rate,,36909.16222,,MS-DRG,999999999,Case Rate,,38016.43708,,MS-DRG,999999999,Case Rate,,38754.62033,,MS-DRG,999999999,Case Rate,,38754.62033,,MS-DRG,999999999,Case Rate,,39123.71195,,MS-DRG,999999999,Case Rate,,36909.16222,,MS-DRG,999999999,Case Rate,,36909.16222,,MS-DRG,999999999,Case Rate,,36909.16222,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REVISION OF HIP OR KNEE REPLACEMENT WITH CC,467,MS-DRG,,,,,inpatient,,,,,,24579.255,37448.71391,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37448.71391,,MS-DRG,999999999,Case Rate,,37448.71391,,MS-DRG,999999999,Case Rate,,26214.09974,,MS-DRG,999999999,Case Rate,,25964.44164,,MS-DRG,25279.26,Case Rate,,25964.44164,,MS-DRG,24579.255,Case Rate,,26214.09974,,MS-DRG,999999999,Case Rate,,26463.75783,,MS-DRG,999999999,Case Rate,,26214.09974,,MS-DRG,999999999,Case Rate,,26463.75783,,MS-DRG,999999999,Case Rate,,26838.24497,,MS-DRG,26512.96667,Case Rate,,24965.80927,,MS-DRG,999999999,Case Rate,,25714.78355,,MS-DRG,999999999,Case Rate,,26214.09974,,MS-DRG,999999999,Case Rate,,26214.09974,,MS-DRG,999999999,Case Rate,,26463.75783,,MS-DRG,999999999,Case Rate,,24965.80927,,MS-DRG,999999999,Case Rate,,24965.80927,,MS-DRG,999999999,Case Rate,,24965.80927,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,468,MS-DRG,,,,,inpatient,,,,,,19228.79314,28843.18971,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28843.18971,,MS-DRG,999999999,Case Rate,,28843.18971,,MS-DRG,999999999,Case Rate,,20190.2328,,MS-DRG,999999999,Case Rate,,19997.94487,,MS-DRG,20950.56,Case Rate,,19997.94487,,MS-DRG,999999999,Case Rate,,20190.2328,,MS-DRG,999999999,Case Rate,,20382.52073,,MS-DRG,999999999,Case Rate,,20190.2328,,MS-DRG,999999999,Case Rate,,20382.52073,,MS-DRG,999999999,Case Rate,,20670.95263,,MS-DRG,999999999,Case Rate,,19228.79314,,MS-DRG,999999999,Case Rate,,19805.65694,,MS-DRG,999999999,Case Rate,,20190.2328,,MS-DRG,999999999,Case Rate,,20190.2328,,MS-DRG,999999999,Case Rate,,20382.52073,,MS-DRG,999999999,Case Rate,,19228.79314,,MS-DRG,999999999,Case Rate,,19228.79314,,MS-DRG,999999999,Case Rate,,19228.79314,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,469,MS-DRG,,,,,inpatient,,,,,,23846.16465,35769.24697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35769.24697,,MS-DRG,999999999,Case Rate,,35769.24697,,MS-DRG,999999999,Case Rate,,25038.47288,,MS-DRG,999999999,Case Rate,,24800.01123,,MS-DRG,999999999,Case Rate,,24800.01123,,MS-DRG,999999999,Case Rate,,25038.47288,,MS-DRG,999999999,Case Rate,,25276.93453,,MS-DRG,999999999,Case Rate,,25038.47288,,MS-DRG,999999999,Case Rate,,25276.93453,,MS-DRG,999999999,Case Rate,,25634.627,,MS-DRG,999999999,Case Rate,,23846.16465,,MS-DRG,999999999,Case Rate,,24561.54959,,MS-DRG,999999999,Case Rate,,25038.47288,,MS-DRG,999999999,Case Rate,,25038.47288,,MS-DRG,999999999,Case Rate,,25276.93453,,MS-DRG,999999999,Case Rate,,23846.16465,,MS-DRG,999999999,Case Rate,,23846.16465,,MS-DRG,999999999,Case Rate,,23846.16465,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,470,MS-DRG,,,,,inpatient,,,,,,9765.61,20925.54942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20925.54942,,MS-DRG,999999999,Case Rate,,20925.54942,,MS-DRG,999999999,Case Rate,,14647.8846,,MS-DRG,9765.61,Case Rate,,14508.38093,,MS-DRG,13925.442,Case Rate,,14508.38093,,MS-DRG,13309.54,Case Rate,,14647.8846,,MS-DRG,999999999,Case Rate,,14787.38826,,MS-DRG,999999999,Case Rate,,14647.8846,,MS-DRG,999999999,Case Rate,,14787.38826,,MS-DRG,999999999,Case Rate,,14996.64375,,MS-DRG,13479.06143,Case Rate,,13950.36628,,MS-DRG,999999999,Case Rate,,14368.87727,,MS-DRG,999999999,Case Rate,,14647.8846,,MS-DRG,999999999,Case Rate,,14647.8846,,MS-DRG,999999999,Case Rate,,14787.38826,,MS-DRG,999999999,Case Rate,,13950.36628,,MS-DRG,999999999,Case Rate,,13950.36628,,MS-DRG,999999999,Case Rate,,13950.36628,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CERVICAL SPINAL FUSION WITH MCC,471,MS-DRG,,,,,inpatient,,,,,,35211.45187,52817.1778,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52817.1778,,MS-DRG,999999999,Case Rate,,52817.1778,,MS-DRG,999999999,Case Rate,,36972.02446,,MS-DRG,999999999,Case Rate,,36619.90994,,MS-DRG,999999999,Case Rate,,36619.90994,,MS-DRG,999999999,Case Rate,,36972.02446,,MS-DRG,999999999,Case Rate,,37324.13898,,MS-DRG,999999999,Case Rate,,36972.02446,,MS-DRG,999999999,Case Rate,,37324.13898,,MS-DRG,999999999,Case Rate,,37852.31076,,MS-DRG,999999999,Case Rate,,35211.45187,,MS-DRG,999999999,Case Rate,,36267.79542,,MS-DRG,999999999,Case Rate,,36972.02446,,MS-DRG,999999999,Case Rate,,36972.02446,,MS-DRG,999999999,Case Rate,,37324.13898,,MS-DRG,999999999,Case Rate,,35211.45187,,MS-DRG,999999999,Case Rate,,35211.45187,,MS-DRG,999999999,Case Rate,,35211.45187,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CERVICAL SPINAL FUSION WITH CC,472,MS-DRG,,,,,inpatient,,,,,,21155.02,31782.52514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31782.52514,,MS-DRG,999999999,Case Rate,,31782.52514,,MS-DRG,999999999,Case Rate,,22247.7676,,MS-DRG,21155.02,Case Rate,,22035.8841,,MS-DRG,999999999,Case Rate,,22035.8841,,MS-DRG,999999999,Case Rate,,22247.7676,,MS-DRG,999999999,Case Rate,,22459.6511,,MS-DRG,999999999,Case Rate,,22247.7676,,MS-DRG,999999999,Case Rate,,22459.6511,,MS-DRG,999999999,Case Rate,,22777.47635,,MS-DRG,999999999,Case Rate,,21188.35009,,MS-DRG,999999999,Case Rate,,21824.0006,,MS-DRG,999999999,Case Rate,,22247.7676,,MS-DRG,999999999,Case Rate,,22247.7676,,MS-DRG,999999999,Case Rate,,22459.6511,,MS-DRG,999999999,Case Rate,,21188.35009,,MS-DRG,999999999,Case Rate,,21188.35009,,MS-DRG,999999999,Case Rate,,21188.35009,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CERVICAL SPINAL FUSION WITHOUT CC/MCC,473,MS-DRG,,,,,inpatient,,,,,,17398.01321,26097.01982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26097.01982,,MS-DRG,999999999,Case Rate,,26097.01982,,MS-DRG,999999999,Case Rate,,18267.91387,,MS-DRG,999999999,Case Rate,,18093.93374,,MS-DRG,999999999,Case Rate,,18093.93374,,MS-DRG,999999999,Case Rate,,18267.91387,,MS-DRG,999999999,Case Rate,,18441.894,,MS-DRG,999999999,Case Rate,,18267.91387,,MS-DRG,999999999,Case Rate,,18441.894,,MS-DRG,999999999,Case Rate,,18702.8642,,MS-DRG,999999999,Case Rate,,17398.01321,,MS-DRG,999999999,Case Rate,,17919.95361,,MS-DRG,999999999,Case Rate,,18267.91387,,MS-DRG,999999999,Case Rate,,18267.91387,,MS-DRG,999999999,Case Rate,,18441.894,,MS-DRG,999999999,Case Rate,,17398.01321,,MS-DRG,999999999,Case Rate,,17398.01321,,MS-DRG,999999999,Case Rate,,17398.01321,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,474,MS-DRG,,,,,inpatient,,,,,,30769.24,48818.65141,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48818.65141,,MS-DRG,999999999,Case Rate,,48818.65141,,MS-DRG,999999999,Case Rate,,34173.05599,,MS-DRG,999999999,Case Rate,,33847.59831,,MS-DRG,999999999,Case Rate,,33847.59831,,MS-DRG,999999999,Case Rate,,34173.05599,,MS-DRG,999999999,Case Rate,,34498.51366,,MS-DRG,999999999,Case Rate,,34173.05599,,MS-DRG,999999999,Case Rate,,34498.51366,,MS-DRG,999999999,Case Rate,,34986.70018,,MS-DRG,30769.24,Case Rate,,32545.76761,,MS-DRG,999999999,Case Rate,,33522.14064,,MS-DRG,999999999,Case Rate,,34173.05599,,MS-DRG,999999999,Case Rate,,34173.05599,,MS-DRG,999999999,Case Rate,,34498.51366,,MS-DRG,999999999,Case Rate,,32545.76761,,MS-DRG,999999999,Case Rate,,32545.76761,,MS-DRG,999999999,Case Rate,,32545.76761,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,475,MS-DRG,,,,,inpatient,,,,,,15893.83,23842.34887,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23842.34887,,MS-DRG,999999999,Case Rate,,23842.34887,,MS-DRG,999999999,Case Rate,,16689.64421,,MS-DRG,999999999,Case Rate,,16530.69522,,MS-DRG,999999999,Case Rate,,16530.69522,,MS-DRG,15893.83,Case Rate,,16689.64421,,MS-DRG,999999999,Case Rate,,16848.5932,,MS-DRG,999999999,Case Rate,,16689.64421,,MS-DRG,999999999,Case Rate,,16848.5932,,MS-DRG,999999999,Case Rate,,17087.01669,,MS-DRG,999999999,Case Rate,,15894.89925,,MS-DRG,999999999,Case Rate,,16371.74622,,MS-DRG,999999999,Case Rate,,16689.64421,,MS-DRG,999999999,Case Rate,,16689.64421,,MS-DRG,999999999,Case Rate,,16848.5932,,MS-DRG,999999999,Case Rate,,15894.89925,,MS-DRG,999999999,Case Rate,,15894.89925,,MS-DRG,999999999,Case Rate,,15894.89925,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,476,MS-DRG,,,,,inpatient,,,,,,8782.115313,13173.17297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13173.17297,,MS-DRG,999999999,Case Rate,,13173.17297,,MS-DRG,999999999,Case Rate,,9221.221079,,MS-DRG,999999999,Case Rate,,9133.399926,,MS-DRG,999999999,Case Rate,,9133.399926,,MS-DRG,999999999,Case Rate,,9221.221079,,MS-DRG,999999999,Case Rate,,9309.042232,,MS-DRG,999999999,Case Rate,,9221.221079,,MS-DRG,999999999,Case Rate,,9309.042232,,MS-DRG,999999999,Case Rate,,9440.773962,,MS-DRG,999999999,Case Rate,,8782.115313,,MS-DRG,999999999,Case Rate,,9045.578773,,MS-DRG,999999999,Case Rate,,9221.221079,,MS-DRG,999999999,Case Rate,,9221.221079,,MS-DRG,999999999,Case Rate,,9309.042232,,MS-DRG,999999999,Case Rate,,8782.115313,,MS-DRG,999999999,Case Rate,,8782.115313,,MS-DRG,999999999,Case Rate,,8782.115313,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,477,MS-DRG,,,,,inpatient,,,,,,25064.53832,37596.80748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37596.80748,,MS-DRG,999999999,Case Rate,,37596.80748,,MS-DRG,999999999,Case Rate,,26317.76523,,MS-DRG,999999999,Case Rate,,26067.11985,,MS-DRG,999999999,Case Rate,,26067.11985,,MS-DRG,999999999,Case Rate,,26317.76523,,MS-DRG,999999999,Case Rate,,26568.41062,,MS-DRG,999999999,Case Rate,,26317.76523,,MS-DRG,999999999,Case Rate,,26568.41062,,MS-DRG,999999999,Case Rate,,26944.37869,,MS-DRG,999999999,Case Rate,,25064.53832,,MS-DRG,999999999,Case Rate,,25816.47447,,MS-DRG,999999999,Case Rate,,26317.76523,,MS-DRG,999999999,Case Rate,,26317.76523,,MS-DRG,999999999,Case Rate,,26568.41062,,MS-DRG,999999999,Case Rate,,25064.53832,,MS-DRG,999999999,Case Rate,,25064.53832,,MS-DRG,999999999,Case Rate,,25064.53832,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,478,MS-DRG,,,,,inpatient,,,,,,112.44,25787.95497,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25787.95497,,MS-DRG,999999999,Case Rate,,25787.95497,,MS-DRG,999999999,Case Rate,,18051.56848,,MS-DRG,999999999,Case Rate,,17879.64878,,MS-DRG,999999999,Case Rate,,17879.64878,,MS-DRG,112.44,Case Rate,,18051.56848,,MS-DRG,999999999,Case Rate,,18223.48818,,MS-DRG,999999999,Case Rate,,18051.56848,,MS-DRG,999999999,Case Rate,,18223.48818,,MS-DRG,999999999,Case Rate,,18481.36773,,MS-DRG,999999999,Case Rate,,17191.96998,,MS-DRG,999999999,Case Rate,,17707.72908,,MS-DRG,999999999,Case Rate,,18051.56848,,MS-DRG,999999999,Case Rate,,18051.56848,,MS-DRG,999999999,Case Rate,,18223.48818,,MS-DRG,999999999,Case Rate,,17191.96998,,MS-DRG,999999999,Case Rate,,17191.96998,,MS-DRG,999999999,Case Rate,,17191.96998,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,479,MS-DRG,,,,,inpatient,,,,,,13165.5419,19748.31285,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19748.31285,,MS-DRG,999999999,Case Rate,,19748.31285,,MS-DRG,999999999,Case Rate,,13823.819,,MS-DRG,999999999,Case Rate,,13692.16358,,MS-DRG,999999999,Case Rate,,13692.16358,,MS-DRG,999999999,Case Rate,,13823.819,,MS-DRG,999999999,Case Rate,,13955.47442,,MS-DRG,999999999,Case Rate,,13823.819,,MS-DRG,999999999,Case Rate,,13955.47442,,MS-DRG,999999999,Case Rate,,14152.95755,,MS-DRG,999999999,Case Rate,,13165.5419,,MS-DRG,999999999,Case Rate,,13560.50816,,MS-DRG,999999999,Case Rate,,13823.819,,MS-DRG,999999999,Case Rate,,13823.819,,MS-DRG,999999999,Case Rate,,13955.47442,,MS-DRG,999999999,Case Rate,,13165.5419,,MS-DRG,999999999,Case Rate,,13165.5419,,MS-DRG,999999999,Case Rate,,13165.5419,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,480,MS-DRG,,,,,inpatient,,,,,,12500.785,32252.56125,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32252.56125,,MS-DRG,999999999,Case Rate,,32252.56125,,MS-DRG,999999999,Case Rate,,22576.79288,,MS-DRG,18817.625,Case Rate,,22361.7758,,MS-DRG,12500.785,Case Rate,,22361.7758,,MS-DRG,18491.7625,Case Rate,,22576.79288,,MS-DRG,999999999,Case Rate,,22791.80995,,MS-DRG,999999999,Case Rate,,22576.79288,,MS-DRG,999999999,Case Rate,,22791.80995,,MS-DRG,999999999,Case Rate,,23114.33556,,MS-DRG,18295.32,Case Rate,,21501.7075,,MS-DRG,999999999,Case Rate,,22146.75873,,MS-DRG,999999999,Case Rate,,22576.79288,,MS-DRG,999999999,Case Rate,,22576.79288,,MS-DRG,999999999,Case Rate,,22791.80995,,MS-DRG,999999999,Case Rate,,21501.7075,,MS-DRG,999999999,Case Rate,,21501.7075,,MS-DRG,999999999,Case Rate,,21501.7075,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,481,MS-DRG,,,,,inpatient,,,,,,14187.16071,22958.08002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22958.08002,,MS-DRG,999999999,Case Rate,,22958.08002,,MS-DRG,999999999,Case Rate,,16070.65601,,MS-DRG,15227.35,Case Rate,,15917.60214,,MS-DRG,15435.955,Case Rate,,15917.60214,,MS-DRG,14187.16071,Case Rate,,16070.65601,,MS-DRG,999999999,Case Rate,,16223.70988,,MS-DRG,999999999,Case Rate,,16070.65601,,MS-DRG,999999999,Case Rate,,16223.70988,,MS-DRG,999999999,Case Rate,,16453.29068,,MS-DRG,16075.07,Case Rate,,15305.38668,,MS-DRG,999999999,Case Rate,,15764.54828,,MS-DRG,999999999,Case Rate,,16070.65601,,MS-DRG,999999999,Case Rate,,16070.65601,,MS-DRG,999999999,Case Rate,,16223.70988,,MS-DRG,999999999,Case Rate,,15305.38668,,MS-DRG,999999999,Case Rate,,15305.38668,,MS-DRG,999999999,Case Rate,,15305.38668,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,482,MS-DRG,,,,,inpatient,,,,,,10735.08333,17715.78226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17715.78226,,MS-DRG,999999999,Case Rate,,17715.78226,,MS-DRG,999999999,Case Rate,,12401.04758,,MS-DRG,12627.99,Case Rate,,12282.94237,,MS-DRG,999999999,Case Rate,,12282.94237,,MS-DRG,10735.08333,Case Rate,,12401.04758,,MS-DRG,999999999,Case Rate,,12519.1528,,MS-DRG,999999999,Case Rate,,12401.04758,,MS-DRG,999999999,Case Rate,,12519.1528,,MS-DRG,999999999,Case Rate,,12696.31062,,MS-DRG,11042.73,Case Rate,,11810.52151,,MS-DRG,999999999,Case Rate,,12164.83715,,MS-DRG,999999999,Case Rate,,12401.04758,,MS-DRG,999999999,Case Rate,,12401.04758,,MS-DRG,999999999,Case Rate,,12519.1528,,MS-DRG,999999999,Case Rate,,11810.52151,,MS-DRG,999999999,Case Rate,,11810.52151,,MS-DRG,999999999,Case Rate,,11810.52151,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,483,MS-DRG,,,,,inpatient,,,,,,18691.50681,28037.26021,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28037.26021,,MS-DRG,999999999,Case Rate,,28037.26021,,MS-DRG,999999999,Case Rate,,19626.08215,,MS-DRG,999999999,Case Rate,,19439.16708,,MS-DRG,999999999,Case Rate,,19439.16708,,MS-DRG,999999999,Case Rate,,19626.08215,,MS-DRG,999999999,Case Rate,,19812.99722,,MS-DRG,999999999,Case Rate,,19626.08215,,MS-DRG,999999999,Case Rate,,19812.99722,,MS-DRG,999999999,Case Rate,,20093.36982,,MS-DRG,999999999,Case Rate,,18691.50681,,MS-DRG,999999999,Case Rate,,19252.25201,,MS-DRG,999999999,Case Rate,,19626.08215,,MS-DRG,999999999,Case Rate,,19626.08215,,MS-DRG,999999999,Case Rate,,19812.99722,,MS-DRG,999999999,Case Rate,,18691.50681,,MS-DRG,999999999,Case Rate,,18691.50681,,MS-DRG,999999999,Case Rate,,18691.50681,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,485,MS-DRG,,,,,inpatient,,,,,,23492.74328,35239.11492,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35239.11492,,MS-DRG,999999999,Case Rate,,35239.11492,,MS-DRG,999999999,Case Rate,,24667.38044,,MS-DRG,999999999,Case Rate,,24432.45301,,MS-DRG,999999999,Case Rate,,24432.45301,,MS-DRG,999999999,Case Rate,,24667.38044,,MS-DRG,999999999,Case Rate,,24902.30787,,MS-DRG,999999999,Case Rate,,24667.38044,,MS-DRG,999999999,Case Rate,,24902.30787,,MS-DRG,999999999,Case Rate,,25254.69902,,MS-DRG,999999999,Case Rate,,23492.74328,,MS-DRG,999999999,Case Rate,,24197.52558,,MS-DRG,999999999,Case Rate,,24667.38044,,MS-DRG,999999999,Case Rate,,24667.38044,,MS-DRG,999999999,Case Rate,,24902.30787,,MS-DRG,999999999,Case Rate,,23492.74328,,MS-DRG,999999999,Case Rate,,23492.74328,,MS-DRG,999999999,Case Rate,,23492.74328,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,486,MS-DRG,,,,,inpatient,,,,,,15634.4835,23451.72525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23451.72525,,MS-DRG,999999999,Case Rate,,23451.72525,,MS-DRG,999999999,Case Rate,,16416.20767,,MS-DRG,999999999,Case Rate,,16259.86284,,MS-DRG,999999999,Case Rate,,16259.86284,,MS-DRG,999999999,Case Rate,,16416.20767,,MS-DRG,999999999,Case Rate,,16572.55251,,MS-DRG,999999999,Case Rate,,16416.20767,,MS-DRG,999999999,Case Rate,,16572.55251,,MS-DRG,999999999,Case Rate,,16807.06976,,MS-DRG,999999999,Case Rate,,15634.4835,,MS-DRG,999999999,Case Rate,,16103.518,,MS-DRG,999999999,Case Rate,,16416.20767,,MS-DRG,999999999,Case Rate,,16416.20767,,MS-DRG,999999999,Case Rate,,16572.55251,,MS-DRG,999999999,Case Rate,,15634.4835,,MS-DRG,999999999,Case Rate,,15634.4835,,MS-DRG,999999999,Case Rate,,15634.4835,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,487,MS-DRG,,,,,inpatient,,,,,,11766.16498,17649.24747,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17649.24747,,MS-DRG,999999999,Case Rate,,17649.24747,,MS-DRG,999999999,Case Rate,,12354.47323,,MS-DRG,999999999,Case Rate,,12236.81158,,MS-DRG,999999999,Case Rate,,12236.81158,,MS-DRG,999999999,Case Rate,,12354.47323,,MS-DRG,999999999,Case Rate,,12472.13488,,MS-DRG,999999999,Case Rate,,12354.47323,,MS-DRG,999999999,Case Rate,,12472.13488,,MS-DRG,999999999,Case Rate,,12648.62735,,MS-DRG,999999999,Case Rate,,11766.16498,,MS-DRG,999999999,Case Rate,,12119.14993,,MS-DRG,999999999,Case Rate,,12354.47323,,MS-DRG,999999999,Case Rate,,12354.47323,,MS-DRG,999999999,Case Rate,,12472.13488,,MS-DRG,999999999,Case Rate,,11766.16498,,MS-DRG,999999999,Case Rate,,11766.16498,,MS-DRG,999999999,Case Rate,,11766.16498,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,488,MS-DRG,,,,,inpatient,,,,,,14377.37,21782.98973,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21782.98973,,MS-DRG,999999999,Case Rate,,21782.98973,,MS-DRG,999999999,Case Rate,,15248.09281,,MS-DRG,999999999,Case Rate,,15102.87288,,MS-DRG,999999999,Case Rate,,15102.87288,,MS-DRG,14377.37,Case Rate,,15248.09281,,MS-DRG,999999999,Case Rate,,15393.31274,,MS-DRG,999999999,Case Rate,,15248.09281,,MS-DRG,999999999,Case Rate,,15393.31274,,MS-DRG,999999999,Case Rate,,15611.14264,,MS-DRG,999999999,Case Rate,,14521.99315,,MS-DRG,999999999,Case Rate,,14957.65295,,MS-DRG,999999999,Case Rate,,15248.09281,,MS-DRG,999999999,Case Rate,,15248.09281,,MS-DRG,999999999,Case Rate,,15393.31274,,MS-DRG,999999999,Case Rate,,14521.99315,,MS-DRG,999999999,Case Rate,,14521.99315,,MS-DRG,999999999,Case Rate,,14521.99315,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,489,MS-DRG,,,,,inpatient,,,,,,58.38,13981.24875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13981.24875,,MS-DRG,999999999,Case Rate,,13981.24875,,MS-DRG,999999999,Case Rate,,9786.874128,,MS-DRG,58.38,Case Rate,,9693.665803,,MS-DRG,999999999,Case Rate,,9693.665803,,MS-DRG,999999999,Case Rate,,9786.874128,,MS-DRG,999999999,Case Rate,,9880.082453,,MS-DRG,999999999,Case Rate,,9786.874128,,MS-DRG,999999999,Case Rate,,9880.082453,,MS-DRG,999999999,Case Rate,,10019.89494,,MS-DRG,999999999,Case Rate,,9320.832503,,MS-DRG,999999999,Case Rate,,9600.457478,,MS-DRG,999999999,Case Rate,,9786.874128,,MS-DRG,999999999,Case Rate,,9786.874128,,MS-DRG,999999999,Case Rate,,9880.082453,,MS-DRG,999999999,Case Rate,,9320.832503,,MS-DRG,999999999,Case Rate,,9320.832503,,MS-DRG,999999999,Case Rate,,9320.832503,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",492,MS-DRG,,,,,inpatient,,,,,,22428.1,38800.87259,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38800.87259,,MS-DRG,999999999,Case Rate,,38800.87259,,MS-DRG,999999999,Case Rate,,27160.61081,,MS-DRG,999999999,Case Rate,,26901.93833,,MS-DRG,999999999,Case Rate,,26901.93833,,MS-DRG,22428.1,Case Rate,,27160.61081,,MS-DRG,999999999,Case Rate,,27419.2833,,MS-DRG,999999999,Case Rate,,27160.61081,,MS-DRG,999999999,Case Rate,,27419.2833,,MS-DRG,999999999,Case Rate,,27807.29202,,MS-DRG,999999999,Case Rate,,25867.24839,,MS-DRG,999999999,Case Rate,,26643.26585,,MS-DRG,999999999,Case Rate,,27160.61081,,MS-DRG,999999999,Case Rate,,27160.61081,,MS-DRG,999999999,Case Rate,,27419.2833,,MS-DRG,999999999,Case Rate,,25867.24839,,MS-DRG,999999999,Case Rate,,25867.24839,,MS-DRG,999999999,Case Rate,,25867.24839,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",493,MS-DRG,,,,,inpatient,,,,,,110.58,26457.59547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26457.59547,,MS-DRG,999999999,Case Rate,,26457.59547,,MS-DRG,999999999,Case Rate,,18520.31683,,MS-DRG,999999999,Case Rate,,18343.93286,,MS-DRG,17758.25,Case Rate,,18343.93286,,MS-DRG,17345.06,Case Rate,,18520.31683,,MS-DRG,999999999,Case Rate,,18696.7008,,MS-DRG,999999999,Case Rate,,18520.31683,,MS-DRG,999999999,Case Rate,,18696.7008,,MS-DRG,999999999,Case Rate,,18961.27675,,MS-DRG,110.58,Case Rate,,17638.39698,,MS-DRG,999999999,Case Rate,,18167.54889,,MS-DRG,999999999,Case Rate,,18520.31683,,MS-DRG,999999999,Case Rate,,18520.31683,,MS-DRG,999999999,Case Rate,,18696.7008,,MS-DRG,999999999,Case Rate,,17638.39698,,MS-DRG,999999999,Case Rate,,17638.39698,,MS-DRG,999999999,Case Rate,,17638.39698,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",494,MS-DRG,,,,,inpatient,,,,,,6907.005,20924.47628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20924.47628,,MS-DRG,999999999,Case Rate,,20924.47628,,MS-DRG,999999999,Case Rate,,14647.1334,,MS-DRG,999999999,Case Rate,,14507.63689,,MS-DRG,13728.41,Case Rate,,14507.63689,,MS-DRG,11551.97,Case Rate,,14647.1334,,MS-DRG,999999999,Case Rate,,14786.62991,,MS-DRG,999999999,Case Rate,,14647.1334,,MS-DRG,999999999,Case Rate,,14786.62991,,MS-DRG,999999999,Case Rate,,14995.87467,,MS-DRG,6907.005,Case Rate,,13949.65085,,MS-DRG,999999999,Case Rate,,14368.14038,,MS-DRG,999999999,Case Rate,,14647.1334,,MS-DRG,999999999,Case Rate,,14647.1334,,MS-DRG,999999999,Case Rate,,14786.62991,,MS-DRG,999999999,Case Rate,,13949.65085,,MS-DRG,999999999,Case Rate,,13949.65085,,MS-DRG,999999999,Case Rate,,13949.65085,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,495,MS-DRG,,,,,inpatient,,,,,,25648.32746,38472.4912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38472.4912,,MS-DRG,999999999,Case Rate,,38472.4912,,MS-DRG,999999999,Case Rate,,26930.74384,,MS-DRG,999999999,Case Rate,,26674.26056,,MS-DRG,999999999,Case Rate,,26674.26056,,MS-DRG,999999999,Case Rate,,26930.74384,,MS-DRG,999999999,Case Rate,,27187.22711,,MS-DRG,999999999,Case Rate,,26930.74384,,MS-DRG,999999999,Case Rate,,27187.22711,,MS-DRG,999999999,Case Rate,,27571.95202,,MS-DRG,999999999,Case Rate,,25648.32746,,MS-DRG,999999999,Case Rate,,26417.77729,,MS-DRG,999999999,Case Rate,,26930.74384,,MS-DRG,999999999,Case Rate,,26930.74384,,MS-DRG,999999999,Case Rate,,27187.22711,,MS-DRG,999999999,Case Rate,,25648.32746,,MS-DRG,999999999,Case Rate,,25648.32746,,MS-DRG,999999999,Case Rate,,25648.32746,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,496,MS-DRG,,,,,inpatient,,,,,,12794.85,21864.54851,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21864.54851,,MS-DRG,999999999,Case Rate,,21864.54851,,MS-DRG,999999999,Case Rate,,15305.18396,,MS-DRG,999999999,Case Rate,,15159.4203,,MS-DRG,999999999,Case Rate,,15159.4203,,MS-DRG,12794.85,Case Rate,,15305.18396,,MS-DRG,999999999,Case Rate,,15450.94761,,MS-DRG,999999999,Case Rate,,15305.18396,,MS-DRG,999999999,Case Rate,,15450.94761,,MS-DRG,999999999,Case Rate,,15669.5931,,MS-DRG,999999999,Case Rate,,14576.36567,,MS-DRG,999999999,Case Rate,,15013.65664,,MS-DRG,999999999,Case Rate,,15305.18396,,MS-DRG,999999999,Case Rate,,15305.18396,,MS-DRG,999999999,Case Rate,,15450.94761,,MS-DRG,999999999,Case Rate,,14576.36567,,MS-DRG,999999999,Case Rate,,14576.36567,,MS-DRG,999999999,Case Rate,,14576.36567,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,497,MS-DRG,,,,,inpatient,,,,,,10066.30835,15099.46252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15099.46252,,MS-DRG,999999999,Case Rate,,15099.46252,,MS-DRG,999999999,Case Rate,,10569.62377,,MS-DRG,999999999,Case Rate,,10468.96068,,MS-DRG,999999999,Case Rate,,10468.96068,,MS-DRG,999999999,Case Rate,,10569.62377,,MS-DRG,999999999,Case Rate,,10670.28685,,MS-DRG,999999999,Case Rate,,10569.62377,,MS-DRG,999999999,Case Rate,,10670.28685,,MS-DRG,999999999,Case Rate,,10821.28147,,MS-DRG,999999999,Case Rate,,10066.30835,,MS-DRG,999999999,Case Rate,,10368.2976,,MS-DRG,999999999,Case Rate,,10569.62377,,MS-DRG,999999999,Case Rate,,10569.62377,,MS-DRG,999999999,Case Rate,,10670.28685,,MS-DRG,999999999,Case Rate,,10066.30835,,MS-DRG,999999999,Case Rate,,10066.30835,,MS-DRG,999999999,Case Rate,,10066.30835,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,498,MS-DRG,,,,,inpatient,,,,,,18524.81211,27787.21817,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27787.21817,,MS-DRG,999999999,Case Rate,,27787.21817,,MS-DRG,999999999,Case Rate,,19451.05272,,MS-DRG,999999999,Case Rate,,19265.8046,,MS-DRG,999999999,Case Rate,,19265.8046,,MS-DRG,999999999,Case Rate,,19451.05272,,MS-DRG,999999999,Case Rate,,19636.30084,,MS-DRG,999999999,Case Rate,,19451.05272,,MS-DRG,999999999,Case Rate,,19636.30084,,MS-DRG,999999999,Case Rate,,19914.17302,,MS-DRG,999999999,Case Rate,,18524.81211,,MS-DRG,999999999,Case Rate,,19080.55648,,MS-DRG,999999999,Case Rate,,19451.05272,,MS-DRG,999999999,Case Rate,,19451.05272,,MS-DRG,999999999,Case Rate,,19636.30084,,MS-DRG,999999999,Case Rate,,18524.81211,,MS-DRG,999999999,Case Rate,,18524.81211,,MS-DRG,999999999,Case Rate,,18524.81211,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,499,MS-DRG,,,,,inpatient,,,,,,8765.660472,13148.49071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13148.49071,,MS-DRG,999999999,Case Rate,,13148.49071,,MS-DRG,999999999,Case Rate,,9203.943496,,MS-DRG,999999999,Case Rate,,9116.286891,,MS-DRG,999999999,Case Rate,,9116.286891,,MS-DRG,999999999,Case Rate,,9203.943496,,MS-DRG,999999999,Case Rate,,9291.6001,,MS-DRG,999999999,Case Rate,,9203.943496,,MS-DRG,999999999,Case Rate,,9291.6001,,MS-DRG,999999999,Case Rate,,9423.085008,,MS-DRG,999999999,Case Rate,,8765.660472,,MS-DRG,999999999,Case Rate,,9028.630286,,MS-DRG,999999999,Case Rate,,9203.943496,,MS-DRG,999999999,Case Rate,,9203.943496,,MS-DRG,999999999,Case Rate,,9291.6001,,MS-DRG,999999999,Case Rate,,8765.660472,,MS-DRG,999999999,Case Rate,,8765.660472,,MS-DRG,999999999,Case Rate,,8765.660472,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOFT TISSUE PROCEDURES WITH MCC,500,MS-DRG,,,,,inpatient,,,,,,23130.73677,34696.10516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34696.10516,,MS-DRG,999999999,Case Rate,,34696.10516,,MS-DRG,999999999,Case Rate,,24287.27361,,MS-DRG,999999999,Case Rate,,24055.96624,,MS-DRG,23803.52,Case Rate,,24055.96624,,MS-DRG,23849.94,Case Rate,,24287.27361,,MS-DRG,999999999,Case Rate,,24518.58098,,MS-DRG,999999999,Case Rate,,24287.27361,,MS-DRG,999999999,Case Rate,,24518.58098,,MS-DRG,999999999,Case Rate,,24865.54203,,MS-DRG,999999999,Case Rate,,23130.73677,,MS-DRG,999999999,Case Rate,,23824.65888,,MS-DRG,999999999,Case Rate,,24287.27361,,MS-DRG,999999999,Case Rate,,24287.27361,,MS-DRG,999999999,Case Rate,,24518.58098,,MS-DRG,999999999,Case Rate,,23130.73677,,MS-DRG,999999999,Case Rate,,23130.73677,,MS-DRG,999999999,Case Rate,,23130.73677,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOFT TISSUE PROCEDURES WITH CC,501,MS-DRG,,,,,inpatient,,,,,,13028.95,19843.82248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19843.82248,,MS-DRG,999999999,Case Rate,,19843.82248,,MS-DRG,999999999,Case Rate,,13890.67573,,MS-DRG,13028.95,Case Rate,,13758.38358,,MS-DRG,999999999,Case Rate,,13758.38358,,MS-DRG,999999999,Case Rate,,13890.67573,,MS-DRG,999999999,Case Rate,,14022.96788,,MS-DRG,999999999,Case Rate,,13890.67573,,MS-DRG,999999999,Case Rate,,14022.96788,,MS-DRG,999999999,Case Rate,,14221.40611,,MS-DRG,999999999,Case Rate,,13229.21498,,MS-DRG,999999999,Case Rate,,13626.09143,,MS-DRG,999999999,Case Rate,,13890.67573,,MS-DRG,999999999,Case Rate,,13890.67573,,MS-DRG,999999999,Case Rate,,14022.96788,,MS-DRG,999999999,Case Rate,,13229.21498,,MS-DRG,999999999,Case Rate,,13229.21498,,MS-DRG,999999999,Case Rate,,13229.21498,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SOFT TISSUE PROCEDURES WITHOUT CC/MCC,502,MS-DRG,,,,,inpatient,,,,,,10456.93197,15685.39795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15685.39795,,MS-DRG,999999999,Case Rate,,15685.39795,,MS-DRG,999999999,Case Rate,,10979.77857,,MS-DRG,999999999,Case Rate,,10875.20925,,MS-DRG,999999999,Case Rate,,10875.20925,,MS-DRG,999999999,Case Rate,,10979.77857,,MS-DRG,999999999,Case Rate,,11084.34789,,MS-DRG,999999999,Case Rate,,10979.77857,,MS-DRG,999999999,Case Rate,,11084.34789,,MS-DRG,999999999,Case Rate,,11241.20187,,MS-DRG,999999999,Case Rate,,10456.93197,,MS-DRG,999999999,Case Rate,,10770.63993,,MS-DRG,999999999,Case Rate,,10979.77857,,MS-DRG,999999999,Case Rate,,10979.77857,,MS-DRG,999999999,Case Rate,,11084.34789,,MS-DRG,999999999,Case Rate,,10456.93197,,MS-DRG,999999999,Case Rate,,10456.93197,,MS-DRG,999999999,Case Rate,,10456.93197,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOOT PROCEDURES WITH MCC,503,MS-DRG,,,,,inpatient,,,,,,19395.48784,29093.23176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29093.23176,,MS-DRG,999999999,Case Rate,,29093.23176,,MS-DRG,999999999,Case Rate,,20365.26223,,MS-DRG,999999999,Case Rate,,20171.30735,,MS-DRG,999999999,Case Rate,,20171.30735,,MS-DRG,999999999,Case Rate,,20365.26223,,MS-DRG,999999999,Case Rate,,20559.21711,,MS-DRG,999999999,Case Rate,,20365.26223,,MS-DRG,999999999,Case Rate,,20559.21711,,MS-DRG,999999999,Case Rate,,20850.14943,,MS-DRG,999999999,Case Rate,,19395.48784,,MS-DRG,999999999,Case Rate,,19977.35247,,MS-DRG,999999999,Case Rate,,20365.26223,,MS-DRG,999999999,Case Rate,,20365.26223,,MS-DRG,999999999,Case Rate,,20559.21711,,MS-DRG,999999999,Case Rate,,19395.48784,,MS-DRG,999999999,Case Rate,,19395.48784,,MS-DRG,999999999,Case Rate,,19395.48784,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOOT PROCEDURES WITH CC,504,MS-DRG,,,,,inpatient,,,,,,8982.363333,19525.09936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19525.09936,,MS-DRG,999999999,Case Rate,,19525.09936,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13537.40222,,MS-DRG,999999999,Case Rate,,13537.40222,,MS-DRG,8982.363333,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13797.73688,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13797.73688,,MS-DRG,999999999,Case Rate,,13992.98787,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,13407.23489,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13797.73688,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FOOT PROCEDURES WITHOUT CC/MCC,505,MS-DRG,,,,,inpatient,,,,,,13016.7329,19525.09936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19525.09936,,MS-DRG,999999999,Case Rate,,19525.09936,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13537.40222,,MS-DRG,999999999,Case Rate,,13537.40222,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13797.73688,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13797.73688,,MS-DRG,999999999,Case Rate,,13992.98787,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,13407.23489,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13667.56955,,MS-DRG,999999999,Case Rate,,13797.73688,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,13016.7329,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR THUMB OR JOINT PROCEDURES,506,MS-DRG,,,,,inpatient,,,,,,11185.95297,16778.92946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16778.92946,,MS-DRG,999999999,Case Rate,,16778.92946,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11633.39109,,MS-DRG,999999999,Case Rate,,11633.39109,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11857.11015,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11857.11015,,MS-DRG,999999999,Case Rate,,12024.89945,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,11521.53156,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11745.25062,,MS-DRG,999999999,Case Rate,,11857.11015,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,11185.95297,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,507,MS-DRG,,,,,inpatient,,,,,,14327.39677,21491.09516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21491.09516,,MS-DRG,999999999,Case Rate,,21491.09516,,MS-DRG,999999999,Case Rate,,15043.76661,,MS-DRG,999999999,Case Rate,,14900.49264,,MS-DRG,999999999,Case Rate,,14900.49264,,MS-DRG,999999999,Case Rate,,15043.76661,,MS-DRG,999999999,Case Rate,,15187.04058,,MS-DRG,999999999,Case Rate,,15043.76661,,MS-DRG,999999999,Case Rate,,15187.04058,,MS-DRG,999999999,Case Rate,,15401.95153,,MS-DRG,999999999,Case Rate,,14327.39677,,MS-DRG,999999999,Case Rate,,14757.21868,,MS-DRG,999999999,Case Rate,,15043.76661,,MS-DRG,999999999,Case Rate,,15043.76661,,MS-DRG,999999999,Case Rate,,15187.04058,,MS-DRG,999999999,Case Rate,,14327.39677,,MS-DRG,999999999,Case Rate,,14327.39677,,MS-DRG,999999999,Case Rate,,14327.39677,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,508,MS-DRG,,,,,inpatient,,,,,,9694.285854,14541.42878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14541.42878,,MS-DRG,999999999,Case Rate,,14541.42878,,MS-DRG,999999999,Case Rate,,10179.00015,,MS-DRG,999999999,Case Rate,,10082.05729,,MS-DRG,999999999,Case Rate,,10082.05729,,MS-DRG,999999999,Case Rate,,10179.00015,,MS-DRG,999999999,Case Rate,,10275.94301,,MS-DRG,999999999,Case Rate,,10179.00015,,MS-DRG,999999999,Case Rate,,10275.94301,,MS-DRG,999999999,Case Rate,,10421.35729,,MS-DRG,999999999,Case Rate,,9694.285854,,MS-DRG,999999999,Case Rate,,9985.114429,,MS-DRG,999999999,Case Rate,,10179.00015,,MS-DRG,999999999,Case Rate,,10179.00015,,MS-DRG,999999999,Case Rate,,10275.94301,,MS-DRG,999999999,Case Rate,,9694.285854,,MS-DRG,999999999,Case Rate,,9694.285854,,MS-DRG,999999999,Case Rate,,9694.285854,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ARTHROSCOPY,509,MS-DRG,,,,,inpatient,,,,,,13028.89518,19543.34277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19543.34277,,MS-DRG,999999999,Case Rate,,19543.34277,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13550.05099,,MS-DRG,999999999,Case Rate,,13550.05099,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,14006.06232,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13419.76203,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",510,MS-DRG,,,,,inpatient,,,,,,20908.61779,31362.92669,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31362.92669,,MS-DRG,999999999,Case Rate,,31362.92669,,MS-DRG,999999999,Case Rate,,21954.04868,,MS-DRG,999999999,Case Rate,,21744.96251,,MS-DRG,999999999,Case Rate,,21744.96251,,MS-DRG,999999999,Case Rate,,21954.04868,,MS-DRG,999999999,Case Rate,,22163.13486,,MS-DRG,999999999,Case Rate,,21954.04868,,MS-DRG,999999999,Case Rate,,22163.13486,,MS-DRG,999999999,Case Rate,,22476.76413,,MS-DRG,999999999,Case Rate,,20908.61779,,MS-DRG,999999999,Case Rate,,21535.87633,,MS-DRG,999999999,Case Rate,,21954.04868,,MS-DRG,999999999,Case Rate,,21954.04868,,MS-DRG,999999999,Case Rate,,22163.13486,,MS-DRG,999999999,Case Rate,,20908.61779,,MS-DRG,999999999,Case Rate,,20908.61779,,MS-DRG,999999999,Case Rate,,20908.61779,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",511,MS-DRG,,,,,inpatient,,,,,,14491.94518,21737.91777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21737.91777,,MS-DRG,999999999,Case Rate,,21737.91777,,MS-DRG,999999999,Case Rate,,15216.54244,,MS-DRG,999999999,Case Rate,,15071.62299,,MS-DRG,999999999,Case Rate,,15071.62299,,MS-DRG,999999999,Case Rate,,15216.54244,,MS-DRG,999999999,Case Rate,,15361.46189,,MS-DRG,999999999,Case Rate,,15216.54244,,MS-DRG,999999999,Case Rate,,15361.46189,,MS-DRG,999999999,Case Rate,,15578.84107,,MS-DRG,999999999,Case Rate,,14491.94518,,MS-DRG,999999999,Case Rate,,14926.70354,,MS-DRG,999999999,Case Rate,,15216.54244,,MS-DRG,999999999,Case Rate,,15216.54244,,MS-DRG,999999999,Case Rate,,15361.46189,,MS-DRG,999999999,Case Rate,,14491.94518,,MS-DRG,999999999,Case Rate,,14491.94518,,MS-DRG,999999999,Case Rate,,14491.94518,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",512,MS-DRG,,,,,inpatient,,,,,,11963.62307,17945.43461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17945.43461,,MS-DRG,999999999,Case Rate,,17945.43461,,MS-DRG,999999999,Case Rate,,12561.80423,,MS-DRG,999999999,Case Rate,,12442.168,,MS-DRG,999999999,Case Rate,,12442.168,,MS-DRG,999999999,Case Rate,,12561.80423,,MS-DRG,999999999,Case Rate,,12681.44046,,MS-DRG,999999999,Case Rate,,12561.80423,,MS-DRG,999999999,Case Rate,,12681.44046,,MS-DRG,999999999,Case Rate,,12860.8948,,MS-DRG,999999999,Case Rate,,11963.62307,,MS-DRG,999999999,Case Rate,,12322.53177,,MS-DRG,999999999,Case Rate,,12561.80423,,MS-DRG,999999999,Case Rate,,12561.80423,,MS-DRG,999999999,Case Rate,,12681.44046,,MS-DRG,999999999,Case Rate,,11963.62307,,MS-DRG,999999999,Case Rate,,11963.62307,,MS-DRG,999999999,Case Rate,,11963.62307,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",513,MS-DRG,,,,,inpatient,,,,,,11232.45578,16848.68368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16848.68368,,MS-DRG,999999999,Case Rate,,16848.68368,,MS-DRG,999999999,Case Rate,,11794.07857,,MS-DRG,999999999,Case Rate,,11681.75402,,MS-DRG,999999999,Case Rate,,11681.75402,,MS-DRG,999999999,Case Rate,,11794.07857,,MS-DRG,999999999,Case Rate,,11906.40313,,MS-DRG,999999999,Case Rate,,11794.07857,,MS-DRG,999999999,Case Rate,,11906.40313,,MS-DRG,999999999,Case Rate,,12074.88997,,MS-DRG,999999999,Case Rate,,11232.45578,,MS-DRG,999999999,Case Rate,,11569.42946,,MS-DRG,999999999,Case Rate,,11794.07857,,MS-DRG,999999999,Case Rate,,11794.07857,,MS-DRG,999999999,Case Rate,,11906.40313,,MS-DRG,999999999,Case Rate,,11232.45578,,MS-DRG,999999999,Case Rate,,11232.45578,,MS-DRG,999999999,Case Rate,,11232.45578,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",514,MS-DRG,,,,,inpatient,,,,,,7755.476313,11633.21447,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11633.21447,,MS-DRG,999999999,Case Rate,,11633.21447,,MS-DRG,999999999,Case Rate,,8143.250128,,MS-DRG,999999999,Case Rate,,8065.695365,,MS-DRG,999999999,Case Rate,,8065.695365,,MS-DRG,999999999,Case Rate,,8143.250128,,MS-DRG,999999999,Case Rate,,8220.804892,,MS-DRG,999999999,Case Rate,,8143.250128,,MS-DRG,999999999,Case Rate,,8220.804892,,MS-DRG,999999999,Case Rate,,8337.137036,,MS-DRG,999999999,Case Rate,,7755.476313,,MS-DRG,999999999,Case Rate,,7988.140602,,MS-DRG,999999999,Case Rate,,8143.250128,,MS-DRG,999999999,Case Rate,,8143.250128,,MS-DRG,999999999,Case Rate,,8220.804892,,MS-DRG,999999999,Case Rate,,7755.476313,,MS-DRG,999999999,Case Rate,,7755.476313,,MS-DRG,999999999,Case Rate,,7755.476313,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,515,MS-DRG,,,,,inpatient,,,,,,22584.8653,33877.29796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33877.29796,,MS-DRG,999999999,Case Rate,,33877.29796,,MS-DRG,999999999,Case Rate,,23714.10857,,MS-DRG,999999999,Case Rate,,23488.25992,,MS-DRG,999999999,Case Rate,,23488.25992,,MS-DRG,999999999,Case Rate,,23714.10857,,MS-DRG,999999999,Case Rate,,23939.95722,,MS-DRG,999999999,Case Rate,,23714.10857,,MS-DRG,999999999,Case Rate,,23939.95722,,MS-DRG,999999999,Case Rate,,24278.7302,,MS-DRG,999999999,Case Rate,,22584.8653,,MS-DRG,999999999,Case Rate,,23262.41126,,MS-DRG,999999999,Case Rate,,23714.10857,,MS-DRG,999999999,Case Rate,,23714.10857,,MS-DRG,999999999,Case Rate,,23939.95722,,MS-DRG,999999999,Case Rate,,22584.8653,,MS-DRG,999999999,Case Rate,,22584.8653,,MS-DRG,999999999,Case Rate,,22584.8653,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,516,MS-DRG,,,,,inpatient,,,,,,14773.04,22279.85439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22279.85439,,MS-DRG,999999999,Case Rate,,22279.85439,,MS-DRG,999999999,Case Rate,,15595.89807,,MS-DRG,999999999,Case Rate,,15447.36571,,MS-DRG,999999999,Case Rate,,15447.36571,,MS-DRG,14773.04,Case Rate,,15595.89807,,MS-DRG,999999999,Case Rate,,15744.43044,,MS-DRG,999999999,Case Rate,,15595.89807,,MS-DRG,999999999,Case Rate,,15744.43044,,MS-DRG,999999999,Case Rate,,15967.22898,,MS-DRG,999999999,Case Rate,,14853.23626,,MS-DRG,999999999,Case Rate,,15298.83335,,MS-DRG,999999999,Case Rate,,15595.89807,,MS-DRG,999999999,Case Rate,,15595.89807,,MS-DRG,999999999,Case Rate,,15744.43044,,MS-DRG,999999999,Case Rate,,14853.23626,,MS-DRG,999999999,Case Rate,,14853.23626,,MS-DRG,999999999,Case Rate,,14853.23626,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,517,MS-DRG,,,,,inpatient,,,,,,11140.16559,16710.24838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16710.24838,,MS-DRG,999999999,Case Rate,,16710.24838,,MS-DRG,999999999,Case Rate,,11697.17387,,MS-DRG,999999999,Case Rate,,11585.77221,,MS-DRG,999999999,Case Rate,,11585.77221,,MS-DRG,999999999,Case Rate,,11697.17387,,MS-DRG,999999999,Case Rate,,11808.57552,,MS-DRG,999999999,Case Rate,,11697.17387,,MS-DRG,999999999,Case Rate,,11808.57552,,MS-DRG,999999999,Case Rate,,11975.67801,,MS-DRG,999999999,Case Rate,,11140.16559,,MS-DRG,999999999,Case Rate,,11474.37056,,MS-DRG,999999999,Case Rate,,11697.17387,,MS-DRG,999999999,Case Rate,,11697.17387,,MS-DRG,999999999,Case Rate,,11808.57552,,MS-DRG,999999999,Case Rate,,11140.16559,,MS-DRG,999999999,Case Rate,,11140.16559,,MS-DRG,999999999,Case Rate,,11140.16559,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,518,MS-DRG,,,,,inpatient,,,,,,26101.90874,39152.86311,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39152.86311,,MS-DRG,999999999,Case Rate,,39152.86311,,MS-DRG,999999999,Case Rate,,27407.00417,,MS-DRG,999999999,Case Rate,,27145.98509,,MS-DRG,999999999,Case Rate,,27145.98509,,MS-DRG,999999999,Case Rate,,27407.00417,,MS-DRG,999999999,Case Rate,,27668.02326,,MS-DRG,999999999,Case Rate,,27407.00417,,MS-DRG,999999999,Case Rate,,27668.02326,,MS-DRG,999999999,Case Rate,,28059.55189,,MS-DRG,999999999,Case Rate,,26101.90874,,MS-DRG,999999999,Case Rate,,26884.966,,MS-DRG,999999999,Case Rate,,27407.00417,,MS-DRG,999999999,Case Rate,,27407.00417,,MS-DRG,999999999,Case Rate,,27668.02326,,MS-DRG,999999999,Case Rate,,26101.90874,,MS-DRG,999999999,Case Rate,,26101.90874,,MS-DRG,999999999,Case Rate,,26101.90874,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,519,MS-DRG,,,,,inpatient,,,,,,14568.49597,21852.74395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21852.74395,,MS-DRG,999999999,Case Rate,,21852.74395,,MS-DRG,999999999,Case Rate,,15296.92076,,MS-DRG,999999999,Case Rate,,15151.2358,,MS-DRG,999999999,Case Rate,,15151.2358,,MS-DRG,999999999,Case Rate,,15296.92076,,MS-DRG,999999999,Case Rate,,15442.60572,,MS-DRG,999999999,Case Rate,,15296.92076,,MS-DRG,999999999,Case Rate,,15442.60572,,MS-DRG,999999999,Case Rate,,15661.13316,,MS-DRG,999999999,Case Rate,,14568.49597,,MS-DRG,999999999,Case Rate,,15005.55084,,MS-DRG,999999999,Case Rate,,15296.92076,,MS-DRG,999999999,Case Rate,,15296.92076,,MS-DRG,999999999,Case Rate,,15442.60572,,MS-DRG,999999999,Case Rate,,14568.49597,,MS-DRG,999999999,Case Rate,,14568.49597,,MS-DRG,999999999,Case Rate,,14568.49597,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,520,MS-DRG,,,,,inpatient,,,,,,10714.486,16071.72901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16071.72901,,MS-DRG,999999999,Case Rate,,16071.72901,,MS-DRG,999999999,Case Rate,,11250.2103,,MS-DRG,999999999,Case Rate,,11143.06544,,MS-DRG,999999999,Case Rate,,11143.06544,,MS-DRG,999999999,Case Rate,,11250.2103,,MS-DRG,999999999,Case Rate,,11357.35516,,MS-DRG,999999999,Case Rate,,11250.2103,,MS-DRG,999999999,Case Rate,,11357.35516,,MS-DRG,999999999,Case Rate,,11518.07245,,MS-DRG,999999999,Case Rate,,10714.486,,MS-DRG,999999999,Case Rate,,11035.92058,,MS-DRG,999999999,Case Rate,,11250.2103,,MS-DRG,999999999,Case Rate,,11250.2103,,MS-DRG,999999999,Case Rate,,11357.35516,,MS-DRG,999999999,Case Rate,,10714.486,,MS-DRG,999999999,Case Rate,,10714.486,,MS-DRG,999999999,Case Rate,,10714.486,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,521,MS-DRG,,,,,inpatient,,,,,,18237.815,31970.32496,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31970.32496,,MS-DRG,999999999,Case Rate,,31970.32496,,MS-DRG,999999999,Case Rate,,22379.22747,,MS-DRG,999999999,Case Rate,,22166.09197,,MS-DRG,999999999,Case Rate,,22166.09197,,MS-DRG,20160.575,Case Rate,,22379.22747,,MS-DRG,999999999,Case Rate,,22592.36297,,MS-DRG,999999999,Case Rate,,22379.22747,,MS-DRG,999999999,Case Rate,,22592.36297,,MS-DRG,999999999,Case Rate,,22912.06622,,MS-DRG,18237.815,Case Rate,,21313.54997,,MS-DRG,999999999,Case Rate,,21952.95647,,MS-DRG,999999999,Case Rate,,22379.22747,,MS-DRG,999999999,Case Rate,,22379.22747,,MS-DRG,999999999,Case Rate,,22592.36297,,MS-DRG,999999999,Case Rate,,21313.54997,,MS-DRG,999999999,Case Rate,,21313.54997,,MS-DRG,999999999,Case Rate,,21313.54997,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,522,MS-DRG,,,,,inpatient,,,,,,9732.316667,23314.3631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23314.3631,,MS-DRG,999999999,Case Rate,,23314.3631,,MS-DRG,999999999,Case Rate,,16320.05417,,MS-DRG,16156.91,Case Rate,,16164.62508,,MS-DRG,15691.82,Case Rate,,16164.62508,,MS-DRG,14716.918,Case Rate,,16320.05417,,MS-DRG,999999999,Case Rate,,16475.48326,,MS-DRG,999999999,Case Rate,,16320.05417,,MS-DRG,999999999,Case Rate,,16475.48326,,MS-DRG,999999999,Case Rate,,16708.62689,,MS-DRG,9732.316667,Case Rate,,15542.90873,,MS-DRG,999999999,Case Rate,,16009.19599,,MS-DRG,999999999,Case Rate,,16320.05417,,MS-DRG,999999999,Case Rate,,16320.05417,,MS-DRG,999999999,Case Rate,,16475.48326,,MS-DRG,999999999,Case Rate,,15542.90873,,MS-DRG,999999999,Case Rate,,15542.90873,,MS-DRG,999999999,Case Rate,,15542.90873,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FRACTURES OF FEMUR WITH MCC,533,MS-DRG,,,,,inpatient,,,,,,11370.53336,17055.80005,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17055.80005,,MS-DRG,999999999,Case Rate,,17055.80005,,MS-DRG,999999999,Case Rate,,11939.06003,,MS-DRG,999999999,Case Rate,,11825.3547,,MS-DRG,999999999,Case Rate,,11825.3547,,MS-DRG,999999999,Case Rate,,11939.06003,,MS-DRG,999999999,Case Rate,,12052.76537,,MS-DRG,999999999,Case Rate,,11939.06003,,MS-DRG,999999999,Case Rate,,12052.76537,,MS-DRG,999999999,Case Rate,,12223.32337,,MS-DRG,999999999,Case Rate,,11370.53336,,MS-DRG,999999999,Case Rate,,11711.64937,,MS-DRG,999999999,Case Rate,,11939.06003,,MS-DRG,999999999,Case Rate,,11939.06003,,MS-DRG,999999999,Case Rate,,12052.76537,,MS-DRG,999999999,Case Rate,,11370.53336,,MS-DRG,999999999,Case Rate,,11370.53336,,MS-DRG,999999999,Case Rate,,11370.53336,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FRACTURES OF FEMUR WITHOUT MCC,534,MS-DRG,,,,,inpatient,,,,,,6284.556602,9426.834903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9426.834903,,MS-DRG,999999999,Case Rate,,9426.834903,,MS-DRG,999999999,Case Rate,,6598.784432,,MS-DRG,999999999,Case Rate,,6535.938866,,MS-DRG,999999999,Case Rate,,6535.938866,,MS-DRG,999999999,Case Rate,,6598.784432,,MS-DRG,999999999,Case Rate,,6661.629998,,MS-DRG,999999999,Case Rate,,6598.784432,,MS-DRG,999999999,Case Rate,,6661.629998,,MS-DRG,999999999,Case Rate,,6755.898347,,MS-DRG,999999999,Case Rate,,6284.556602,,MS-DRG,999999999,Case Rate,,6473.0933,,MS-DRG,999999999,Case Rate,,6598.784432,,MS-DRG,999999999,Case Rate,,6598.784432,,MS-DRG,999999999,Case Rate,,6661.629998,,MS-DRG,999999999,Case Rate,,6284.556602,,MS-DRG,999999999,Case Rate,,6284.556602,,MS-DRG,999999999,Case Rate,,6284.556602,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FRACTURES OF HIP AND PELVIS WITH MCC,535,MS-DRG,,,,,inpatient,,,,,,7887.75,14963.17351,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14963.17351,,MS-DRG,999999999,Case Rate,,14963.17351,,MS-DRG,999999999,Case Rate,,10474.22146,,MS-DRG,999999999,Case Rate,,10374.46697,,MS-DRG,999999999,Case Rate,,10374.46697,,MS-DRG,7887.75,Case Rate,,10474.22146,,MS-DRG,999999999,Case Rate,,10573.97595,,MS-DRG,999999999,Case Rate,,10474.22146,,MS-DRG,999999999,Case Rate,,10573.97595,,MS-DRG,999999999,Case Rate,,10723.60768,,MS-DRG,999999999,Case Rate,,9975.449009,,MS-DRG,999999999,Case Rate,,10274.71248,,MS-DRG,999999999,Case Rate,,10474.22146,,MS-DRG,999999999,Case Rate,,10474.22146,,MS-DRG,999999999,Case Rate,,10573.97595,,MS-DRG,999999999,Case Rate,,9975.449009,,MS-DRG,999999999,Case Rate,,9975.449009,,MS-DRG,999999999,Case Rate,,9975.449009,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FRACTURES OF HIP AND PELVIS WITHOUT MCC,536,MS-DRG,,,,,inpatient,,,,,,2945.695,9393.567507,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9393.567507,,MS-DRG,999999999,Case Rate,,9393.567507,,MS-DRG,999999999,Case Rate,,6575.497255,,MS-DRG,4418.385,Case Rate,,6512.873471,,MS-DRG,6096.3,Case Rate,,6512.873471,,MS-DRG,2945.695,Case Rate,,6575.497255,,MS-DRG,999999999,Case Rate,,6638.121038,,MS-DRG,999999999,Case Rate,,6575.497255,,MS-DRG,999999999,Case Rate,,6638.121038,,MS-DRG,999999999,Case Rate,,6732.056713,,MS-DRG,6122.27,Case Rate,,6262.378338,,MS-DRG,999999999,Case Rate,,6450.249688,,MS-DRG,999999999,Case Rate,,6575.497255,,MS-DRG,999999999,Case Rate,,6575.497255,,MS-DRG,999999999,Case Rate,,6638.121038,,MS-DRG,999999999,Case Rate,,6262.378338,,MS-DRG,999999999,Case Rate,,6262.378338,,MS-DRG,999999999,Case Rate,,6262.378338,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",537,MS-DRG,,,,,inpatient,,,,,,7035.755871,10553.63381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10553.63381,,MS-DRG,999999999,Case Rate,,10553.63381,,MS-DRG,999999999,Case Rate,,7387.543664,,MS-DRG,999999999,Case Rate,,7317.186105,,MS-DRG,999999999,Case Rate,,7317.186105,,MS-DRG,999999999,Case Rate,,7387.543664,,MS-DRG,999999999,Case Rate,,7457.901223,,MS-DRG,999999999,Case Rate,,7387.543664,,MS-DRG,999999999,Case Rate,,7457.901223,,MS-DRG,999999999,Case Rate,,7563.437561,,MS-DRG,999999999,Case Rate,,7035.755871,,MS-DRG,999999999,Case Rate,,7246.828547,,MS-DRG,999999999,Case Rate,,7387.543664,,MS-DRG,999999999,Case Rate,,7387.543664,,MS-DRG,999999999,Case Rate,,7457.901223,,MS-DRG,999999999,Case Rate,,7035.755871,,MS-DRG,999999999,Case Rate,,7035.755871,,MS-DRG,999999999,Case Rate,,7035.755871,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",538,MS-DRG,,,,,inpatient,,,,,,5265.07188,7897.60782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7897.60782,,MS-DRG,999999999,Case Rate,,7897.60782,,MS-DRG,999999999,Case Rate,,5528.325474,,MS-DRG,999999999,Case Rate,,5475.674755,,MS-DRG,999999999,Case Rate,,5475.674755,,MS-DRG,999999999,Case Rate,,5528.325474,,MS-DRG,999999999,Case Rate,,5580.976193,,MS-DRG,999999999,Case Rate,,5528.325474,,MS-DRG,999999999,Case Rate,,5580.976193,,MS-DRG,999999999,Case Rate,,5659.952271,,MS-DRG,999999999,Case Rate,,5265.07188,,MS-DRG,999999999,Case Rate,,5423.024037,,MS-DRG,999999999,Case Rate,,5528.325474,,MS-DRG,999999999,Case Rate,,5528.325474,,MS-DRG,999999999,Case Rate,,5580.976193,,MS-DRG,999999999,Case Rate,,5265.07188,,MS-DRG,999999999,Case Rate,,5265.07188,,MS-DRG,999999999,Case Rate,,5265.07188,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSTEOMYELITIS WITH MCC,539,MS-DRG,,,,,inpatient,,,,,,12904.09,22394.68056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22394.68056,,MS-DRG,999999999,Case Rate,,22394.68056,,MS-DRG,999999999,Case Rate,,15676.27639,,MS-DRG,999999999,Case Rate,,15526.97852,,MS-DRG,999999999,Case Rate,,15526.97852,,MS-DRG,12904.09,Case Rate,,15676.27639,,MS-DRG,999999999,Case Rate,,15825.57427,,MS-DRG,999999999,Case Rate,,15676.27639,,MS-DRG,999999999,Case Rate,,15825.57427,,MS-DRG,999999999,Case Rate,,16049.52107,,MS-DRG,15122.39,Case Rate,,14929.78704,,MS-DRG,999999999,Case Rate,,15377.68065,,MS-DRG,999999999,Case Rate,,15676.27639,,MS-DRG,999999999,Case Rate,,15676.27639,,MS-DRG,999999999,Case Rate,,15825.57427,,MS-DRG,999999999,Case Rate,,14929.78704,,MS-DRG,999999999,Case Rate,,14929.78704,,MS-DRG,999999999,Case Rate,,14929.78704,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSTEOMYELITIS WITH CC,540,MS-DRG,,,,,inpatient,,,,,,1493.25,14578.98874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14578.98874,,MS-DRG,999999999,Case Rate,,14578.98874,,MS-DRG,999999999,Case Rate,,10205.29212,,MS-DRG,1493.25,Case Rate,,10108.09886,,MS-DRG,999999999,Case Rate,,10108.09886,,MS-DRG,999999999,Case Rate,,10205.29212,,MS-DRG,999999999,Case Rate,,10302.48538,,MS-DRG,999999999,Case Rate,,10205.29212,,MS-DRG,999999999,Case Rate,,10302.48538,,MS-DRG,999999999,Case Rate,,10448.27527,,MS-DRG,999999999,Case Rate,,9719.325829,,MS-DRG,999999999,Case Rate,,10010.9056,,MS-DRG,999999999,Case Rate,,10205.29212,,MS-DRG,999999999,Case Rate,,10205.29212,,MS-DRG,999999999,Case Rate,,10302.48538,,MS-DRG,999999999,Case Rate,,9719.325829,,MS-DRG,999999999,Case Rate,,9719.325829,,MS-DRG,999999999,Case Rate,,9719.325829,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OSTEOMYELITIS WITHOUT CC/MCC,541,MS-DRG,,,,,inpatient,,,,,,563.99,10080.37827,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10080.37827,,MS-DRG,999999999,Case Rate,,10080.37827,,MS-DRG,999999999,Case Rate,,7056.264787,,MS-DRG,999999999,Case Rate,,6989.062265,,MS-DRG,999999999,Case Rate,,6989.062265,,MS-DRG,563.99,Case Rate,,7056.264787,,MS-DRG,999999999,Case Rate,,7123.467308,,MS-DRG,999999999,Case Rate,,7056.264787,,MS-DRG,999999999,Case Rate,,7123.467308,,MS-DRG,999999999,Case Rate,,7224.271091,,MS-DRG,999999999,Case Rate,,6720.252178,,MS-DRG,999999999,Case Rate,,6921.859743,,MS-DRG,999999999,Case Rate,,7056.264787,,MS-DRG,999999999,Case Rate,,7056.264787,,MS-DRG,999999999,Case Rate,,7123.467308,,MS-DRG,999999999,Case Rate,,6720.252178,,MS-DRG,999999999,Case Rate,,6720.252178,,MS-DRG,999999999,Case Rate,,6720.252178,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,542,MS-DRG,,,,,inpatient,,,,,,13804.419,20706.62849,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20706.62849,,MS-DRG,999999999,Case Rate,,20706.62849,,MS-DRG,999999999,Case Rate,,14494.63995,,MS-DRG,999999999,Case Rate,,14356.59576,,MS-DRG,999999999,Case Rate,,14356.59576,,MS-DRG,999999999,Case Rate,,14494.63995,,MS-DRG,999999999,Case Rate,,14632.68413,,MS-DRG,999999999,Case Rate,,14494.63995,,MS-DRG,999999999,Case Rate,,14632.68413,,MS-DRG,999999999,Case Rate,,14839.75042,,MS-DRG,999999999,Case Rate,,13804.419,,MS-DRG,999999999,Case Rate,,14218.55157,,MS-DRG,999999999,Case Rate,,14494.63995,,MS-DRG,999999999,Case Rate,,14494.63995,,MS-DRG,999999999,Case Rate,,14632.68413,,MS-DRG,999999999,Case Rate,,13804.419,,MS-DRG,999999999,Case Rate,,13804.419,,MS-DRG,999999999,Case Rate,,13804.419,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,543,MS-DRG,,,,,inpatient,,,,,,5361.745,12076.42204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12076.42204,,MS-DRG,999999999,Case Rate,,12076.42204,,MS-DRG,999999999,Case Rate,,8453.495426,,MS-DRG,999999999,Case Rate,,8372.985946,,MS-DRG,999999999,Case Rate,,8372.985946,,MS-DRG,5361.745,Case Rate,,8453.495426,,MS-DRG,999999999,Case Rate,,8534.004907,,MS-DRG,999999999,Case Rate,,8453.495426,,MS-DRG,999999999,Case Rate,,8534.004907,,MS-DRG,999999999,Case Rate,,8654.769127,,MS-DRG,999999999,Case Rate,,8050.948025,,MS-DRG,999999999,Case Rate,,8292.476466,,MS-DRG,999999999,Case Rate,,8453.495426,,MS-DRG,999999999,Case Rate,,8453.495426,,MS-DRG,999999999,Case Rate,,8534.004907,,MS-DRG,999999999,Case Rate,,8050.948025,,MS-DRG,999999999,Case Rate,,8050.948025,,MS-DRG,999999999,Case Rate,,8050.948025,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,544,MS-DRG,,,,,inpatient,,,,,,5867.462151,8801.193226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8801.193226,,MS-DRG,999999999,Case Rate,,8801.193226,,MS-DRG,999999999,Case Rate,,6160.835258,,MS-DRG,999999999,Case Rate,,6102.160637,,MS-DRG,999999999,Case Rate,,6102.160637,,MS-DRG,999999999,Case Rate,,6160.835258,,MS-DRG,999999999,Case Rate,,6219.50988,,MS-DRG,999999999,Case Rate,,6160.835258,,MS-DRG,999999999,Case Rate,,6219.50988,,MS-DRG,999999999,Case Rate,,6307.521812,,MS-DRG,999999999,Case Rate,,5867.462151,,MS-DRG,999999999,Case Rate,,6043.486015,,MS-DRG,999999999,Case Rate,,6160.835258,,MS-DRG,999999999,Case Rate,,6160.835258,,MS-DRG,999999999,Case Rate,,6219.50988,,MS-DRG,999999999,Case Rate,,5867.462151,,MS-DRG,999999999,Case Rate,,5867.462151,,MS-DRG,999999999,Case Rate,,5867.462151,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONNECTIVE TISSUE DISORDERS WITH MCC,545,MS-DRG,,,,,inpatient,,,,,,18539.12067,27808.68101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27808.68101,,MS-DRG,999999999,Case Rate,,27808.68101,,MS-DRG,999999999,Case Rate,,19466.07671,,MS-DRG,999999999,Case Rate,,19280.6855,,MS-DRG,999999999,Case Rate,,19280.6855,,MS-DRG,999999999,Case Rate,,19466.07671,,MS-DRG,999999999,Case Rate,,19651.46791,,MS-DRG,999999999,Case Rate,,19466.07671,,MS-DRG,999999999,Case Rate,,19651.46791,,MS-DRG,999999999,Case Rate,,19929.55472,,MS-DRG,999999999,Case Rate,,18539.12067,,MS-DRG,999999999,Case Rate,,19095.29429,,MS-DRG,999999999,Case Rate,,19466.07671,,MS-DRG,999999999,Case Rate,,19466.07671,,MS-DRG,999999999,Case Rate,,19651.46791,,MS-DRG,999999999,Case Rate,,18539.12067,,MS-DRG,999999999,Case Rate,,18539.12067,,MS-DRG,999999999,Case Rate,,18539.12067,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONNECTIVE TISSUE DISORDERS WITH CC,546,MS-DRG,,,,,inpatient,,,,,,8743.482208,13115.22331,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13115.22331,,MS-DRG,999999999,Case Rate,,13115.22331,,MS-DRG,999999999,Case Rate,,9180.656318,,MS-DRG,999999999,Case Rate,,9093.221496,,MS-DRG,999999999,Case Rate,,9093.221496,,MS-DRG,999999999,Case Rate,,9180.656318,,MS-DRG,999999999,Case Rate,,9268.091141,,MS-DRG,999999999,Case Rate,,9180.656318,,MS-DRG,999999999,Case Rate,,9268.091141,,MS-DRG,999999999,Case Rate,,9399.243374,,MS-DRG,999999999,Case Rate,,8743.482208,,MS-DRG,999999999,Case Rate,,9005.786674,,MS-DRG,999999999,Case Rate,,9180.656318,,MS-DRG,999999999,Case Rate,,9180.656318,,MS-DRG,999999999,Case Rate,,9268.091141,,MS-DRG,999999999,Case Rate,,8743.482208,,MS-DRG,999999999,Case Rate,,8743.482208,,MS-DRG,999999999,Case Rate,,8743.482208,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,547,MS-DRG,,,,,inpatient,,,,,,5799.496503,8699.244754,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8699.244754,,MS-DRG,999999999,Case Rate,,8699.244754,,MS-DRG,999999999,Case Rate,,6089.471328,,MS-DRG,999999999,Case Rate,,6031.476363,,MS-DRG,999999999,Case Rate,,6031.476363,,MS-DRG,999999999,Case Rate,,6089.471328,,MS-DRG,999999999,Case Rate,,6147.466293,,MS-DRG,999999999,Case Rate,,6089.471328,,MS-DRG,999999999,Case Rate,,6147.466293,,MS-DRG,999999999,Case Rate,,6234.45874,,MS-DRG,999999999,Case Rate,,5799.496503,,MS-DRG,999999999,Case Rate,,5973.481398,,MS-DRG,999999999,Case Rate,,6089.471328,,MS-DRG,999999999,Case Rate,,6089.471328,,MS-DRG,999999999,Case Rate,,6147.466293,,MS-DRG,999999999,Case Rate,,5799.496503,,MS-DRG,999999999,Case Rate,,5799.496503,,MS-DRG,999999999,Case Rate,,5799.496503,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEPTIC ARTHRITIS WITH MCC,548,MS-DRG,,,,,inpatient,,,,,,14873.98367,22310.9755,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22310.9755,,MS-DRG,999999999,Case Rate,,22310.9755,,MS-DRG,999999999,Case Rate,,15617.68285,,MS-DRG,999999999,Case Rate,,15468.94302,,MS-DRG,999999999,Case Rate,,15468.94302,,MS-DRG,999999999,Case Rate,,15617.68285,,MS-DRG,999999999,Case Rate,,15766.42269,,MS-DRG,999999999,Case Rate,,15617.68285,,MS-DRG,999999999,Case Rate,,15766.42269,,MS-DRG,999999999,Case Rate,,15989.53244,,MS-DRG,999999999,Case Rate,,14873.98367,,MS-DRG,999999999,Case Rate,,15320.20318,,MS-DRG,999999999,Case Rate,,15617.68285,,MS-DRG,999999999,Case Rate,,15617.68285,,MS-DRG,999999999,Case Rate,,15766.42269,,MS-DRG,999999999,Case Rate,,14873.98367,,MS-DRG,999999999,Case Rate,,14873.98367,,MS-DRG,999999999,Case Rate,,14873.98367,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEPTIC ARTHRITIS WITH CC,549,MS-DRG,,,,,inpatient,,,,,,9082.595021,13623.89253,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13623.89253,,MS-DRG,999999999,Case Rate,,13623.89253,,MS-DRG,999999999,Case Rate,,9536.724772,,MS-DRG,999999999,Case Rate,,9445.898822,,MS-DRG,999999999,Case Rate,,9445.898822,,MS-DRG,999999999,Case Rate,,9536.724772,,MS-DRG,999999999,Case Rate,,9627.550722,,MS-DRG,999999999,Case Rate,,9536.724772,,MS-DRG,999999999,Case Rate,,9627.550722,,MS-DRG,999999999,Case Rate,,9763.789647,,MS-DRG,999999999,Case Rate,,9082.595021,,MS-DRG,999999999,Case Rate,,9355.072871,,MS-DRG,999999999,Case Rate,,9536.724772,,MS-DRG,999999999,Case Rate,,9536.724772,,MS-DRG,999999999,Case Rate,,9627.550722,,MS-DRG,999999999,Case Rate,,9082.595021,,MS-DRG,999999999,Case Rate,,9082.595021,,MS-DRG,999999999,Case Rate,,9082.595021,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEPTIC ARTHRITIS WITHOUT CC/MCC,550,MS-DRG,,,,,inpatient,,,,,,6628.67741,9943.016115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9943.016115,,MS-DRG,999999999,Case Rate,,9943.016115,,MS-DRG,999999999,Case Rate,,6960.11128,,MS-DRG,999999999,Case Rate,,6893.824506,,MS-DRG,999999999,Case Rate,,6893.824506,,MS-DRG,999999999,Case Rate,,6960.11128,,MS-DRG,999999999,Case Rate,,7026.398054,,MS-DRG,999999999,Case Rate,,6960.11128,,MS-DRG,999999999,Case Rate,,7026.398054,,MS-DRG,999999999,Case Rate,,7125.828215,,MS-DRG,999999999,Case Rate,,6628.67741,,MS-DRG,999999999,Case Rate,,6827.537732,,MS-DRG,999999999,Case Rate,,6960.11128,,MS-DRG,999999999,Case Rate,,6960.11128,,MS-DRG,999999999,Case Rate,,7026.398054,,MS-DRG,999999999,Case Rate,,6628.67741,,MS-DRG,999999999,Case Rate,,6628.67741,,MS-DRG,999999999,Case Rate,,6628.67741,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDICAL BACK PROBLEMS WITH MCC,551,MS-DRG,,,,,inpatient,,,,,,80.27,19003.55244,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19003.55244,,MS-DRG,999999999,Case Rate,,19003.55244,,MS-DRG,999999999,Case Rate,,13302.48671,,MS-DRG,999999999,Case Rate,,13175.79636,,MS-DRG,999999999,Case Rate,,13175.79636,,MS-DRG,80.27,Case Rate,,13302.48671,,MS-DRG,999999999,Case Rate,,13429.17706,,MS-DRG,999999999,Case Rate,,13302.48671,,MS-DRG,999999999,Case Rate,,13429.17706,,MS-DRG,999999999,Case Rate,,13619.21258,,MS-DRG,9890.73,Case Rate,,12669.03496,,MS-DRG,999999999,Case Rate,,13049.10601,,MS-DRG,999999999,Case Rate,,13302.48671,,MS-DRG,999999999,Case Rate,,13302.48671,,MS-DRG,999999999,Case Rate,,13429.17706,,MS-DRG,999999999,Case Rate,,12669.03496,,MS-DRG,999999999,Case Rate,,12669.03496,,MS-DRG,999999999,Case Rate,,12669.03496,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MEDICAL BACK PROBLEMS WITHOUT MCC,552,MS-DRG,,,,,inpatient,,,,,,2424.147778,11034.40134,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11034.40134,,MS-DRG,999999999,Case Rate,,11034.40134,,MS-DRG,999999999,Case Rate,,7724.080936,,MS-DRG,999999999,Case Rate,,7650.518261,,MS-DRG,999999999,Case Rate,,7650.518261,,MS-DRG,2424.147778,Case Rate,,7724.080936,,MS-DRG,999999999,Case Rate,,7797.643612,,MS-DRG,999999999,Case Rate,,7724.080936,,MS-DRG,999999999,Case Rate,,7797.643612,,MS-DRG,999999999,Case Rate,,7907.987625,,MS-DRG,5734.985,Case Rate,,7356.267559,,MS-DRG,999999999,Case Rate,,7576.955585,,MS-DRG,999999999,Case Rate,,7724.080936,,MS-DRG,999999999,Case Rate,,7724.080936,,MS-DRG,999999999,Case Rate,,7797.643612,,MS-DRG,999999999,Case Rate,,7356.267559,,MS-DRG,999999999,Case Rate,,7356.267559,,MS-DRG,999999999,Case Rate,,7356.267559,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BONE DISEASES AND ARTHROPATHIES WITH MCC,553,MS-DRG,,,,,inpatient,,,,,,9804.461747,14706.69262,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14706.69262,,MS-DRG,999999999,Case Rate,,14706.69262,,MS-DRG,999999999,Case Rate,,10294.68483,,MS-DRG,999999999,Case Rate,,10196.64022,,MS-DRG,999999999,Case Rate,,10196.64022,,MS-DRG,999999999,Case Rate,,10294.68483,,MS-DRG,999999999,Case Rate,,10392.72945,,MS-DRG,999999999,Case Rate,,10294.68483,,MS-DRG,999999999,Case Rate,,10392.72945,,MS-DRG,999999999,Case Rate,,10539.79638,,MS-DRG,10378.34,Case Rate,,9804.461747,,MS-DRG,999999999,Case Rate,,10098.5956,,MS-DRG,999999999,Case Rate,,10294.68483,,MS-DRG,999999999,Case Rate,,10294.68483,,MS-DRG,999999999,Case Rate,,10392.72945,,MS-DRG,999999999,Case Rate,,9804.461747,,MS-DRG,999999999,Case Rate,,9804.461747,,MS-DRG,999999999,Case Rate,,9804.461747,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,554,MS-DRG,,,,,inpatient,,,,,,38.76,9647.902116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9647.902116,,MS-DRG,999999999,Case Rate,,9647.902116,,MS-DRG,999999999,Case Rate,,6753.531481,,MS-DRG,38.76,Case Rate,,6689.212134,,MS-DRG,999999999,Case Rate,,6689.212134,,MS-DRG,999999999,Case Rate,,6753.531481,,MS-DRG,999999999,Case Rate,,6817.850829,,MS-DRG,999999999,Case Rate,,6753.531481,,MS-DRG,999999999,Case Rate,,6817.850829,,MS-DRG,999999999,Case Rate,,6914.32985,,MS-DRG,999999999,Case Rate,,6431.934744,,MS-DRG,999999999,Case Rate,,6624.892786,,MS-DRG,999999999,Case Rate,,6753.531481,,MS-DRG,999999999,Case Rate,,6753.531481,,MS-DRG,999999999,Case Rate,,6817.850829,,MS-DRG,999999999,Case Rate,,6431.934744,,MS-DRG,999999999,Case Rate,,6431.934744,,MS-DRG,999999999,Case Rate,,6431.934744,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,555,MS-DRG,,,,,inpatient,,,,,,10094.92546,15142.3882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15142.3882,,MS-DRG,999999999,Case Rate,,15142.3882,,MS-DRG,999999999,Case Rate,,10599.67174,,MS-DRG,999999999,Case Rate,,10498.72248,,MS-DRG,999999999,Case Rate,,10498.72248,,MS-DRG,999999999,Case Rate,,10599.67174,,MS-DRG,999999999,Case Rate,,10700.62099,,MS-DRG,999999999,Case Rate,,10599.67174,,MS-DRG,999999999,Case Rate,,10700.62099,,MS-DRG,999999999,Case Rate,,10852.04487,,MS-DRG,999999999,Case Rate,,10094.92546,,MS-DRG,999999999,Case Rate,,10397.77323,,MS-DRG,999999999,Case Rate,,10599.67174,,MS-DRG,999999999,Case Rate,,10599.67174,,MS-DRG,999999999,Case Rate,,10700.62099,,MS-DRG,999999999,Case Rate,,10094.92546,,MS-DRG,999999999,Case Rate,,10094.92546,,MS-DRG,999999999,Case Rate,,10094.92546,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,556,MS-DRG,,,,,inpatient,,,,,,1071.07,9453.663448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9453.663448,,MS-DRG,999999999,Case Rate,,9453.663448,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6554.539991,,MS-DRG,999999999,Case Rate,,6554.539991,,MS-DRG,1071.07,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6680.588837,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6680.588837,,MS-DRG,999999999,Case Rate,,6775.125471,,MS-DRG,4660.35,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,6491.515568,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6680.588837,,MS-DRG,999999999,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",557,MS-DRG,,,,,inpatient,,,,,,7475.58,30615.58,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17321.93922,,MS-DRG,999999999,Case Rate,,17321.93922,,MS-DRG,999999999,Case Rate,,12125.35745,,MS-DRG,30615.58,Case Rate,,12009.87786,,MS-DRG,999999999,Case Rate,,12009.87786,,MS-DRG,999999999,Case Rate,,12125.35745,,MS-DRG,11873.87,Case Rate,,12240.83705,,MS-DRG,999999999,Case Rate,,12125.35745,,MS-DRG,999999999,Case Rate,,12240.83705,,MS-DRG,999999999,Case Rate,,12414.05644,,MS-DRG,7475.58,Case Rate,,11547.95948,,MS-DRG,999999999,Case Rate,,11894.39826,,MS-DRG,999999999,Case Rate,,12125.35745,,MS-DRG,999999999,Case Rate,,12125.35745,,MS-DRG,999999999,Case Rate,,12240.83705,,MS-DRG,999999999,Case Rate,,11547.95948,,MS-DRG,999999999,Case Rate,,11547.95948,,MS-DRG,999999999,Case Rate,,11547.95948,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",558,MS-DRG,,,,,inpatient,,,,,,1547.96,9961.259525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9961.259525,,MS-DRG,999999999,Case Rate,,9961.259525,,MS-DRG,999999999,Case Rate,,6972.881668,,MS-DRG,6866.43,Case Rate,,6906.473271,,MS-DRG,999999999,Case Rate,,6906.473271,,MS-DRG,1547.96,Case Rate,,6972.881668,,MS-DRG,999999999,Case Rate,,7039.290065,,MS-DRG,999999999,Case Rate,,6972.881668,,MS-DRG,999999999,Case Rate,,7039.290065,,MS-DRG,999999999,Case Rate,,7138.90266,,MS-DRG,5912.48,Case Rate,,6640.839684,,MS-DRG,999999999,Case Rate,,6840.064874,,MS-DRG,999999999,Case Rate,,6972.881668,,MS-DRG,999999999,Case Rate,,6972.881668,,MS-DRG,999999999,Case Rate,,7039.290065,,MS-DRG,999999999,Case Rate,,6640.839684,,MS-DRG,999999999,Case Rate,,6640.839684,,MS-DRG,999999999,Case Rate,,6640.839684,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",559,MS-DRG,,,,,inpatient,,,,,,13741.46134,20612.19201,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20612.19201,,MS-DRG,999999999,Case Rate,,20612.19201,,MS-DRG,999999999,Case Rate,,14428.53441,,MS-DRG,999999999,Case Rate,,14291.1198,,MS-DRG,999999999,Case Rate,,14291.1198,,MS-DRG,999999999,Case Rate,,14428.53441,,MS-DRG,999999999,Case Rate,,14565.94902,,MS-DRG,999999999,Case Rate,,14428.53441,,MS-DRG,999999999,Case Rate,,14565.94902,,MS-DRG,999999999,Case Rate,,14772.07094,,MS-DRG,999999999,Case Rate,,13741.46134,,MS-DRG,999999999,Case Rate,,14153.70518,,MS-DRG,999999999,Case Rate,,14428.53441,,MS-DRG,999999999,Case Rate,,14428.53441,,MS-DRG,999999999,Case Rate,,14565.94902,,MS-DRG,999999999,Case Rate,,13741.46134,,MS-DRG,999999999,Case Rate,,13741.46134,,MS-DRG,999999999,Case Rate,,13741.46134,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",560,MS-DRG,,,,,inpatient,,,,,,4740.67,12911.32637,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12911.32637,,MS-DRG,999999999,Case Rate,,12911.32637,,MS-DRG,999999999,Case Rate,,9037.928457,,MS-DRG,8683.38,Case Rate,,8951.852948,,MS-DRG,999999999,Case Rate,,8951.852948,,MS-DRG,4740.67,Case Rate,,9037.928457,,MS-DRG,999999999,Case Rate,,9124.003967,,MS-DRG,999999999,Case Rate,,9037.928457,,MS-DRG,999999999,Case Rate,,9124.003967,,MS-DRG,999999999,Case Rate,,9253.11723,,MS-DRG,999999999,Case Rate,,8607.550912,,MS-DRG,999999999,Case Rate,,8865.777439,,MS-DRG,999999999,Case Rate,,9037.928457,,MS-DRG,999999999,Case Rate,,9037.928457,,MS-DRG,999999999,Case Rate,,9124.003967,,MS-DRG,999999999,Case Rate,,8607.550912,,MS-DRG,999999999,Case Rate,,8607.550912,,MS-DRG,999999999,Case Rate,,8607.550912,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",561,MS-DRG,,,,,inpatient,,,,,,6310.312005,9465.468008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9465.468008,,MS-DRG,999999999,Case Rate,,9465.468008,,MS-DRG,999999999,Case Rate,,6625.827606,,MS-DRG,999999999,Case Rate,,6562.724486,,MS-DRG,999999999,Case Rate,,6562.724486,,MS-DRG,999999999,Case Rate,,6625.827606,,MS-DRG,999999999,Case Rate,,6688.930726,,MS-DRG,999999999,Case Rate,,6625.827606,,MS-DRG,999999999,Case Rate,,6688.930726,,MS-DRG,999999999,Case Rate,,6783.585406,,MS-DRG,999999999,Case Rate,,6310.312005,,MS-DRG,999999999,Case Rate,,6499.621366,,MS-DRG,999999999,Case Rate,,6625.827606,,MS-DRG,999999999,Case Rate,,6625.827606,,MS-DRG,999999999,Case Rate,,6688.930726,,MS-DRG,999999999,Case Rate,,6310.312005,,MS-DRG,999999999,Case Rate,,6310.312005,,MS-DRG,999999999,Case Rate,,6310.312005,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",562,MS-DRG,,,,,inpatient,,,,,,9912.82,16396.89097,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16396.89097,,MS-DRG,999999999,Case Rate,,16396.89097,,MS-DRG,999999999,Case Rate,,11477.82368,,MS-DRG,999999999,Case Rate,,11368.51108,,MS-DRG,999999999,Case Rate,,11368.51108,,MS-DRG,9912.82,Case Rate,,11477.82368,,MS-DRG,999999999,Case Rate,,11587.13629,,MS-DRG,999999999,Case Rate,,11477.82368,,MS-DRG,999999999,Case Rate,,11587.13629,,MS-DRG,999999999,Case Rate,,11751.1052,,MS-DRG,999999999,Case Rate,,10931.26065,,MS-DRG,999999999,Case Rate,,11259.19847,,MS-DRG,999999999,Case Rate,,11477.82368,,MS-DRG,999999999,Case Rate,,11477.82368,,MS-DRG,999999999,Case Rate,,11587.13629,,MS-DRG,999999999,Case Rate,,10931.26065,,MS-DRG,999999999,Case Rate,,10931.26065,,MS-DRG,999999999,Case Rate,,10931.26065,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",563,MS-DRG,,,,,inpatient,,,,,,2233.02,10283.20207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10283.20207,,MS-DRG,999999999,Case Rate,,10283.20207,,MS-DRG,999999999,Case Rate,,7198.241448,,MS-DRG,2233.02,Case Rate,,7129.686768,,MS-DRG,999999999,Case Rate,,7129.686768,,MS-DRG,999999999,Case Rate,,7198.241448,,MS-DRG,999999999,Case Rate,,7266.796129,,MS-DRG,999999999,Case Rate,,7198.241448,,MS-DRG,999999999,Case Rate,,7266.796129,,MS-DRG,999999999,Case Rate,,7369.62815,,MS-DRG,3314.05,Case Rate,,6855.468046,,MS-DRG,999999999,Case Rate,,7061.132087,,MS-DRG,999999999,Case Rate,,7198.241448,,MS-DRG,999999999,Case Rate,,7198.241448,,MS-DRG,999999999,Case Rate,,7266.796129,,MS-DRG,999999999,Case Rate,,6855.468046,,MS-DRG,999999999,Case Rate,,6855.468046,,MS-DRG,999999999,Case Rate,,6855.468046,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,564,MS-DRG,,,,,inpatient,,,,,,4455.595,17531.20187,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17531.20187,,MS-DRG,999999999,Case Rate,,17531.20187,,MS-DRG,999999999,Case Rate,,12271.84131,,MS-DRG,999999999,Case Rate,,12154.96663,,MS-DRG,999999999,Case Rate,,12154.96663,,MS-DRG,999999999,Case Rate,,12271.84131,,MS-DRG,999999999,Case Rate,,12388.71599,,MS-DRG,999999999,Case Rate,,12271.84131,,MS-DRG,999999999,Case Rate,,12388.71599,,MS-DRG,999999999,Case Rate,,12564.02801,,MS-DRG,4455.595,Case Rate,,11687.46791,,MS-DRG,999999999,Case Rate,,12038.09195,,MS-DRG,999999999,Case Rate,,12271.84131,,MS-DRG,999999999,Case Rate,,12271.84131,,MS-DRG,999999999,Case Rate,,12388.71599,,MS-DRG,999999999,Case Rate,,11687.46791,,MS-DRG,999999999,Case Rate,,11687.46791,,MS-DRG,999999999,Case Rate,,11687.46791,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,565,MS-DRG,,,,,inpatient,,,,,,7470.45,11634.28761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11634.28761,,MS-DRG,999999999,Case Rate,,11634.28761,,MS-DRG,999999999,Case Rate,,8144.001328,,MS-DRG,999999999,Case Rate,,8066.43941,,MS-DRG,999999999,Case Rate,,8066.43941,,MS-DRG,7470.45,Case Rate,,8144.001328,,MS-DRG,999999999,Case Rate,,8221.563245,,MS-DRG,999999999,Case Rate,,8144.001328,,MS-DRG,999999999,Case Rate,,8221.563245,,MS-DRG,999999999,Case Rate,,8337.906121,,MS-DRG,999999999,Case Rate,,7756.191741,,MS-DRG,999999999,Case Rate,,7988.877493,,MS-DRG,999999999,Case Rate,,8144.001328,,MS-DRG,999999999,Case Rate,,8144.001328,,MS-DRG,999999999,Case Rate,,8221.563245,,MS-DRG,999999999,Case Rate,,7756.191741,,MS-DRG,999999999,Case Rate,,7756.191741,,MS-DRG,999999999,Case Rate,,7756.191741,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,566,MS-DRG,,,,,inpatient,,,,,,5813.089632,8719.634449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8719.634449,,MS-DRG,999999999,Case Rate,,8719.634449,,MS-DRG,999999999,Case Rate,,6103.744114,,MS-DRG,999999999,Case Rate,,6045.613218,,MS-DRG,999999999,Case Rate,,6045.613218,,MS-DRG,999999999,Case Rate,,6103.744114,,MS-DRG,999999999,Case Rate,,6161.87501,,MS-DRG,999999999,Case Rate,,6103.744114,,MS-DRG,999999999,Case Rate,,6161.87501,,MS-DRG,999999999,Case Rate,,6249.071355,,MS-DRG,999999999,Case Rate,,5813.089632,,MS-DRG,999999999,Case Rate,,5987.482321,,MS-DRG,999999999,Case Rate,,6103.744114,,MS-DRG,999999999,Case Rate,,6103.744114,,MS-DRG,999999999,Case Rate,,6161.87501,,MS-DRG,999999999,Case Rate,,5813.089632,,MS-DRG,999999999,Case Rate,,5813.089632,,MS-DRG,999999999,Case Rate,,5813.089632,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN DEBRIDEMENT WITH MCC,570,MS-DRG,,,,,inpatient,,,,,,21505.395,32995.17539,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32995.17539,,MS-DRG,999999999,Case Rate,,32995.17539,,MS-DRG,999999999,Case Rate,,23096.62277,,MS-DRG,999999999,Case Rate,,22876.65493,,MS-DRG,21505.395,Case Rate,,22876.65493,,MS-DRG,999999999,Case Rate,,23096.62277,,MS-DRG,999999999,Case Rate,,23316.59061,,MS-DRG,999999999,Case Rate,,23096.62277,,MS-DRG,999999999,Case Rate,,23316.59061,,MS-DRG,999999999,Case Rate,,23646.54236,,MS-DRG,999999999,Case Rate,,21996.78359,,MS-DRG,999999999,Case Rate,,22656.6871,,MS-DRG,999999999,Case Rate,,23096.62277,,MS-DRG,999999999,Case Rate,,23096.62277,,MS-DRG,999999999,Case Rate,,23316.59061,,MS-DRG,999999999,Case Rate,,21996.78359,,MS-DRG,999999999,Case Rate,,21996.78359,,MS-DRG,999999999,Case Rate,,21996.78359,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN DEBRIDEMENT WITH CC,571,MS-DRG,,,,,inpatient,,,,,,10427.31,18659.07391,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18659.07391,,MS-DRG,999999999,Case Rate,,18659.07391,,MS-DRG,999999999,Case Rate,,13061.35174,,MS-DRG,999999999,Case Rate,,12936.95791,,MS-DRG,999999999,Case Rate,,12936.95791,,MS-DRG,10427.31,Case Rate,,13061.35174,,MS-DRG,999999999,Case Rate,,13185.74557,,MS-DRG,999999999,Case Rate,,13061.35174,,MS-DRG,999999999,Case Rate,,13185.74557,,MS-DRG,999999999,Case Rate,,13372.33631,,MS-DRG,999999999,Case Rate,,12439.38261,,MS-DRG,999999999,Case Rate,,12812.56409,,MS-DRG,999999999,Case Rate,,13061.35174,,MS-DRG,999999999,Case Rate,,13061.35174,,MS-DRG,999999999,Case Rate,,13185.74557,,MS-DRG,999999999,Case Rate,,12439.38261,,MS-DRG,999999999,Case Rate,,12439.38261,,MS-DRG,999999999,Case Rate,,12439.38261,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN DEBRIDEMENT WITHOUT CC/MCC,572,MS-DRG,,,,,inpatient,,,,,,8634.021743,12951.03261,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12951.03261,,MS-DRG,999999999,Case Rate,,12951.03261,,MS-DRG,999999999,Case Rate,,9065.72283,,MS-DRG,999999999,Case Rate,,8979.382613,,MS-DRG,999999999,Case Rate,,8979.382613,,MS-DRG,999999999,Case Rate,,9065.72283,,MS-DRG,999999999,Case Rate,,9152.063048,,MS-DRG,999999999,Case Rate,,9065.72283,,MS-DRG,999999999,Case Rate,,9152.063048,,MS-DRG,999999999,Case Rate,,9281.573374,,MS-DRG,999999999,Case Rate,,8634.021743,,MS-DRG,999999999,Case Rate,,8893.042395,,MS-DRG,999999999,Case Rate,,9065.72283,,MS-DRG,999999999,Case Rate,,9065.72283,,MS-DRG,999999999,Case Rate,,9152.063048,,MS-DRG,999999999,Case Rate,,8634.021743,,MS-DRG,999999999,Case Rate,,8634.021743,,MS-DRG,999999999,Case Rate,,8634.021743,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,573,MS-DRG,,,,,inpatient,,,,,,44518.45309,66777.67964,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66777.67964,,MS-DRG,999999999,Case Rate,,66777.67964,,MS-DRG,999999999,Case Rate,,46744.37575,,MS-DRG,999999999,Case Rate,,46299.19122,,MS-DRG,999999999,Case Rate,,46299.19122,,MS-DRG,999999999,Case Rate,,46744.37575,,MS-DRG,999999999,Case Rate,,47189.56028,,MS-DRG,999999999,Case Rate,,46744.37575,,MS-DRG,999999999,Case Rate,,47189.56028,,MS-DRG,999999999,Case Rate,,47857.33708,,MS-DRG,999999999,Case Rate,,44518.45309,,MS-DRG,999999999,Case Rate,,45854.00669,,MS-DRG,999999999,Case Rate,,46744.37575,,MS-DRG,999999999,Case Rate,,46744.37575,,MS-DRG,999999999,Case Rate,,47189.56028,,MS-DRG,999999999,Case Rate,,44518.45309,,MS-DRG,999999999,Case Rate,,44518.45309,,MS-DRG,999999999,Case Rate,,44518.45309,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,574,MS-DRG,,,,,inpatient,,,,,,25249.83414,37874.75121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37874.75121,,MS-DRG,999999999,Case Rate,,37874.75121,,MS-DRG,999999999,Case Rate,,26512.32585,,MS-DRG,999999999,Case Rate,,26259.8275,,MS-DRG,999999999,Case Rate,,26259.8275,,MS-DRG,999999999,Case Rate,,26512.32585,,MS-DRG,999999999,Case Rate,,26764.82419,,MS-DRG,999999999,Case Rate,,26512.32585,,MS-DRG,999999999,Case Rate,,26764.82419,,MS-DRG,999999999,Case Rate,,27143.5717,,MS-DRG,999999999,Case Rate,,25249.83414,,MS-DRG,999999999,Case Rate,,26007.32916,,MS-DRG,999999999,Case Rate,,26512.32585,,MS-DRG,999999999,Case Rate,,26512.32585,,MS-DRG,999999999,Case Rate,,26764.82419,,MS-DRG,999999999,Case Rate,,25249.83414,,MS-DRG,999999999,Case Rate,,25249.83414,,MS-DRG,999999999,Case Rate,,25249.83414,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,575,MS-DRG,,,,,inpatient,,,,,,14745.92208,22118.88312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22118.88312,,MS-DRG,999999999,Case Rate,,22118.88312,,MS-DRG,999999999,Case Rate,,15483.21818,,MS-DRG,999999999,Case Rate,,15335.75896,,MS-DRG,999999999,Case Rate,,15335.75896,,MS-DRG,999999999,Case Rate,,15483.21818,,MS-DRG,999999999,Case Rate,,15630.6774,,MS-DRG,999999999,Case Rate,,15483.21818,,MS-DRG,999999999,Case Rate,,15630.6774,,MS-DRG,999999999,Case Rate,,15851.86623,,MS-DRG,999999999,Case Rate,,14745.92208,,MS-DRG,999999999,Case Rate,,15188.29974,,MS-DRG,999999999,Case Rate,,15483.21818,,MS-DRG,999999999,Case Rate,,15483.21818,,MS-DRG,999999999,Case Rate,,15630.6774,,MS-DRG,999999999,Case Rate,,14745.92208,,MS-DRG,999999999,Case Rate,,14745.92208,,MS-DRG,999999999,Case Rate,,14745.92208,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,576,MS-DRG,,,,,inpatient,,,,,,39060.45384,58590.68075,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58590.68075,,MS-DRG,999999999,Case Rate,,58590.68075,,MS-DRG,999999999,Case Rate,,41013.47653,,MS-DRG,999999999,Case Rate,,40622.87199,,MS-DRG,999999999,Case Rate,,40622.87199,,MS-DRG,999999999,Case Rate,,41013.47653,,MS-DRG,999999999,Case Rate,,41404.08107,,MS-DRG,999999999,Case Rate,,41013.47653,,MS-DRG,999999999,Case Rate,,41404.08107,,MS-DRG,999999999,Case Rate,,41989.98787,,MS-DRG,999999999,Case Rate,,39060.45384,,MS-DRG,999999999,Case Rate,,40232.26745,,MS-DRG,999999999,Case Rate,,41013.47653,,MS-DRG,999999999,Case Rate,,41013.47653,,MS-DRG,999999999,Case Rate,,41404.08107,,MS-DRG,999999999,Case Rate,,39060.45384,,MS-DRG,999999999,Case Rate,,39060.45384,,MS-DRG,999999999,Case Rate,,39060.45384,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,577,MS-DRG,,,,,inpatient,,,,,,18053.87,29267.08073,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29267.08073,,MS-DRG,999999999,Case Rate,,29267.08073,,MS-DRG,999999999,Case Rate,,20486.95651,,MS-DRG,999999999,Case Rate,,20291.84264,,MS-DRG,999999999,Case Rate,,20291.84264,,MS-DRG,18053.87,Case Rate,,20486.95651,,MS-DRG,999999999,Case Rate,,20682.07038,,MS-DRG,999999999,Case Rate,,20486.95651,,MS-DRG,999999999,Case Rate,,20682.07038,,MS-DRG,999999999,Case Rate,,20974.74119,,MS-DRG,999999999,Case Rate,,19511.38715,,MS-DRG,999999999,Case Rate,,20096.72877,,MS-DRG,999999999,Case Rate,,20486.95651,,MS-DRG,999999999,Case Rate,,20486.95651,,MS-DRG,999999999,Case Rate,,20682.07038,,MS-DRG,999999999,Case Rate,,19511.38715,,MS-DRG,999999999,Case Rate,,19511.38715,,MS-DRG,999999999,Case Rate,,19511.38715,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,578,MS-DRG,,,,,inpatient,,,,,,12554.5665,18831.84975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18831.84975,,MS-DRG,999999999,Case Rate,,18831.84975,,MS-DRG,999999999,Case Rate,,13182.29482,,MS-DRG,999999999,Case Rate,,13056.74916,,MS-DRG,999999999,Case Rate,,13056.74916,,MS-DRG,999999999,Case Rate,,13182.29482,,MS-DRG,999999999,Case Rate,,13307.84049,,MS-DRG,999999999,Case Rate,,13182.29482,,MS-DRG,999999999,Case Rate,,13307.84049,,MS-DRG,999999999,Case Rate,,13496.15899,,MS-DRG,999999999,Case Rate,,12554.5665,,MS-DRG,999999999,Case Rate,,12931.20349,,MS-DRG,999999999,Case Rate,,13182.29482,,MS-DRG,999999999,Case Rate,,13182.29482,,MS-DRG,999999999,Case Rate,,13307.84049,,MS-DRG,999999999,Case Rate,,12554.5665,,MS-DRG,999999999,Case Rate,,12554.5665,,MS-DRG,999999999,Case Rate,,12554.5665,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",579,MS-DRG,,,,,inpatient,,,,,,23779.62986,35669.44478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35669.44478,,MS-DRG,999999999,Case Rate,,35669.44478,,MS-DRG,999999999,Case Rate,,24968.61135,,MS-DRG,999999999,Case Rate,,24730.81505,,MS-DRG,999999999,Case Rate,,24730.81505,,MS-DRG,999999999,Case Rate,,24968.61135,,MS-DRG,999999999,Case Rate,,25206.40765,,MS-DRG,999999999,Case Rate,,24968.61135,,MS-DRG,999999999,Case Rate,,25206.40765,,MS-DRG,999999999,Case Rate,,25563.10209,,MS-DRG,999999999,Case Rate,,23779.62986,,MS-DRG,999999999,Case Rate,,24493.01875,,MS-DRG,999999999,Case Rate,,24968.61135,,MS-DRG,999999999,Case Rate,,24968.61135,,MS-DRG,999999999,Case Rate,,25206.40765,,MS-DRG,999999999,Case Rate,,23779.62986,,MS-DRG,999999999,Case Rate,,23779.62986,,MS-DRG,999999999,Case Rate,,23779.62986,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",580,MS-DRG,,,,,inpatient,,,,,,10903.74,19718.26488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19718.26488,,MS-DRG,999999999,Case Rate,,19718.26488,,MS-DRG,999999999,Case Rate,,13802.78542,,MS-DRG,11860.68,Case Rate,,13671.33032,,MS-DRG,999999999,Case Rate,,13671.33032,,MS-DRG,12668.31,Case Rate,,13802.78542,,MS-DRG,999999999,Case Rate,,13934.24052,,MS-DRG,999999999,Case Rate,,13802.78542,,MS-DRG,999999999,Case Rate,,13934.24052,,MS-DRG,999999999,Case Rate,,14131.42317,,MS-DRG,10903.74,Case Rate,,13145.50992,,MS-DRG,999999999,Case Rate,,13539.87522,,MS-DRG,999999999,Case Rate,,13802.78542,,MS-DRG,999999999,Case Rate,,13802.78542,,MS-DRG,999999999,Case Rate,,13934.24052,,MS-DRG,999999999,Case Rate,,13145.50992,,MS-DRG,999999999,Case Rate,,13145.50992,,MS-DRG,999999999,Case Rate,,13145.50992,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",581,MS-DRG,,,,,inpatient,,,,,,10757.41168,16136.11751,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16136.11751,,MS-DRG,999999999,Case Rate,,16136.11751,,MS-DRG,999999999,Case Rate,,11295.28226,,MS-DRG,999999999,Case Rate,,11187.70814,,MS-DRG,999999999,Case Rate,,11187.70814,,MS-DRG,999999999,Case Rate,,11295.28226,,MS-DRG,999999999,Case Rate,,11402.85638,,MS-DRG,999999999,Case Rate,,11295.28226,,MS-DRG,999999999,Case Rate,,11402.85638,,MS-DRG,999999999,Case Rate,,11564.21755,,MS-DRG,999999999,Case Rate,,10757.41168,,MS-DRG,999999999,Case Rate,,11080.13403,,MS-DRG,999999999,Case Rate,,11295.28226,,MS-DRG,999999999,Case Rate,,11295.28226,,MS-DRG,999999999,Case Rate,,11402.85638,,MS-DRG,999999999,Case Rate,,10757.41168,,MS-DRG,999999999,Case Rate,,10757.41168,,MS-DRG,999999999,Case Rate,,10757.41168,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MASTECTOMY FOR MALIGNANCY WITH CC/MCC,582,MS-DRG,,,,,inpatient,,,,,,12989.54665,19484.31997,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19484.31997,,MS-DRG,999999999,Case Rate,,19484.31997,,MS-DRG,999999999,Case Rate,,13639.02398,,MS-DRG,999999999,Case Rate,,13509.12851,,MS-DRG,14540.83,Case Rate,,13509.12851,,MS-DRG,999999999,Case Rate,,13639.02398,,MS-DRG,999999999,Case Rate,,13768.91944,,MS-DRG,999999999,Case Rate,,13639.02398,,MS-DRG,999999999,Case Rate,,13768.91944,,MS-DRG,999999999,Case Rate,,13963.76264,,MS-DRG,999999999,Case Rate,,12989.54665,,MS-DRG,999999999,Case Rate,,13379.23305,,MS-DRG,999999999,Case Rate,,13639.02398,,MS-DRG,999999999,Case Rate,,13639.02398,,MS-DRG,999999999,Case Rate,,13768.91944,,MS-DRG,999999999,Case Rate,,12989.54665,,MS-DRG,999999999,Case Rate,,12989.54665,,MS-DRG,999999999,Case Rate,,12989.54665,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,583,MS-DRG,,,,,inpatient,,,,,,12213.3074,18319.9611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18319.9611,,MS-DRG,999999999,Case Rate,,18319.9611,,MS-DRG,999999999,Case Rate,,12823.97277,,MS-DRG,999999999,Case Rate,,12701.8397,,MS-DRG,999999999,Case Rate,,12701.8397,,MS-DRG,999999999,Case Rate,,12823.97277,,MS-DRG,999999999,Case Rate,,12946.10585,,MS-DRG,999999999,Case Rate,,12823.97277,,MS-DRG,999999999,Case Rate,,12946.10585,,MS-DRG,999999999,Case Rate,,13129.30546,,MS-DRG,999999999,Case Rate,,12213.3074,,MS-DRG,999999999,Case Rate,,12579.70662,,MS-DRG,999999999,Case Rate,,12823.97277,,MS-DRG,999999999,Case Rate,,12823.97277,,MS-DRG,999999999,Case Rate,,12946.10585,,MS-DRG,999999999,Case Rate,,12213.3074,,MS-DRG,999999999,Case Rate,,12213.3074,,MS-DRG,999999999,Case Rate,,12213.3074,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",584,MS-DRG,,,,,inpatient,,,,,,15108.64401,22662.96602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22662.96602,,MS-DRG,999999999,Case Rate,,22662.96602,,MS-DRG,999999999,Case Rate,,15864.07621,,MS-DRG,999999999,Case Rate,,15712.98977,,MS-DRG,999999999,Case Rate,,15712.98977,,MS-DRG,999999999,Case Rate,,15864.07621,,MS-DRG,999999999,Case Rate,,16015.16265,,MS-DRG,999999999,Case Rate,,15864.07621,,MS-DRG,999999999,Case Rate,,16015.16265,,MS-DRG,999999999,Case Rate,,16241.79231,,MS-DRG,999999999,Case Rate,,15108.64401,,MS-DRG,999999999,Case Rate,,15561.90333,,MS-DRG,999999999,Case Rate,,15864.07621,,MS-DRG,999999999,Case Rate,,15864.07621,,MS-DRG,999999999,Case Rate,,16015.16265,,MS-DRG,999999999,Case Rate,,15108.64401,,MS-DRG,999999999,Case Rate,,15108.64401,,MS-DRG,999999999,Case Rate,,15108.64401,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",585,MS-DRG,,,,,inpatient,,,,,,14662.93245,21994.39867,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21994.39867,,MS-DRG,999999999,Case Rate,,21994.39867,,MS-DRG,999999999,Case Rate,,15396.07907,,MS-DRG,999999999,Case Rate,,15249.44974,,MS-DRG,999999999,Case Rate,,15249.44974,,MS-DRG,999999999,Case Rate,,15396.07907,,MS-DRG,999999999,Case Rate,,15542.70839,,MS-DRG,999999999,Case Rate,,15396.07907,,MS-DRG,999999999,Case Rate,,15542.70839,,MS-DRG,999999999,Case Rate,,15762.65238,,MS-DRG,999999999,Case Rate,,14662.93245,,MS-DRG,999999999,Case Rate,,15102.82042,,MS-DRG,999999999,Case Rate,,15396.07907,,MS-DRG,999999999,Case Rate,,15396.07907,,MS-DRG,999999999,Case Rate,,15542.70839,,MS-DRG,999999999,Case Rate,,14662.93245,,MS-DRG,999999999,Case Rate,,14662.93245,,MS-DRG,999999999,Case Rate,,14662.93245,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN ULCERS WITH MCC,592,MS-DRG,,,,,inpatient,,,,,,15172.31709,22758.47564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22758.47564,,MS-DRG,999999999,Case Rate,,22758.47564,,MS-DRG,999999999,Case Rate,,15930.93295,,MS-DRG,999999999,Case Rate,,15779.20978,,MS-DRG,999999999,Case Rate,,15779.20978,,MS-DRG,999999999,Case Rate,,15930.93295,,MS-DRG,999999999,Case Rate,,16082.65612,,MS-DRG,999999999,Case Rate,,15930.93295,,MS-DRG,999999999,Case Rate,,16082.65612,,MS-DRG,999999999,Case Rate,,16310.24087,,MS-DRG,999999999,Case Rate,,15172.31709,,MS-DRG,999999999,Case Rate,,15627.4866,,MS-DRG,999999999,Case Rate,,15930.93295,,MS-DRG,999999999,Case Rate,,15930.93295,,MS-DRG,999999999,Case Rate,,16082.65612,,MS-DRG,999999999,Case Rate,,15172.31709,,MS-DRG,999999999,Case Rate,,15172.31709,,MS-DRG,999999999,Case Rate,,15172.31709,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN ULCERS WITH CC,593,MS-DRG,,,,,inpatient,,,,,,2698.585,13812.76549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13812.76549,,MS-DRG,999999999,Case Rate,,13812.76549,,MS-DRG,999999999,Case Rate,,9668.935843,,MS-DRG,999999999,Case Rate,,9576.85074,,MS-DRG,9181.1,Case Rate,,9576.85074,,MS-DRG,2698.585,Case Rate,,9668.935843,,MS-DRG,999999999,Case Rate,,9761.020946,,MS-DRG,999999999,Case Rate,,9668.935843,,MS-DRG,999999999,Case Rate,,9761.020946,,MS-DRG,999999999,Case Rate,,9899.148601,,MS-DRG,999999999,Case Rate,,9208.510327,,MS-DRG,999999999,Case Rate,,9484.765637,,MS-DRG,999999999,Case Rate,,9668.935843,,MS-DRG,999999999,Case Rate,,9668.935843,,MS-DRG,999999999,Case Rate,,9761.020946,,MS-DRG,999999999,Case Rate,,9208.510327,,MS-DRG,999999999,Case Rate,,9208.510327,,MS-DRG,999999999,Case Rate,,9208.510327,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN ULCERS WITHOUT CC/MCC,594,MS-DRG,,,,,inpatient,,,,,,6532.810075,9799.215112,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9799.215112,,MS-DRG,999999999,Case Rate,,9799.215112,,MS-DRG,999999999,Case Rate,,6859.450578,,MS-DRG,999999999,Case Rate,,6794.122477,,MS-DRG,999999999,Case Rate,,6794.122477,,MS-DRG,999999999,Case Rate,,6859.450578,,MS-DRG,999999999,Case Rate,,6924.778679,,MS-DRG,999999999,Case Rate,,6859.450578,,MS-DRG,999999999,Case Rate,,6924.778679,,MS-DRG,999999999,Case Rate,,7022.77083,,MS-DRG,999999999,Case Rate,,6532.810075,,MS-DRG,999999999,Case Rate,,6728.794377,,MS-DRG,999999999,Case Rate,,6859.450578,,MS-DRG,999999999,Case Rate,,6859.450578,,MS-DRG,999999999,Case Rate,,6924.778679,,MS-DRG,999999999,Case Rate,,6532.810075,,MS-DRG,999999999,Case Rate,,6532.810075,,MS-DRG,999999999,Case Rate,,6532.810075,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR SKIN DISORDERS WITH MCC,595,MS-DRG,,,,,inpatient,,,,,,15592.98868,23389.48302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23389.48302,,MS-DRG,999999999,Case Rate,,23389.48302,,MS-DRG,999999999,Case Rate,,16372.63812,,MS-DRG,999999999,Case Rate,,16216.70823,,MS-DRG,999999999,Case Rate,,16216.70823,,MS-DRG,999999999,Case Rate,,16372.63812,,MS-DRG,999999999,Case Rate,,16528.568,,MS-DRG,999999999,Case Rate,,16372.63812,,MS-DRG,999999999,Case Rate,,16528.568,,MS-DRG,999999999,Case Rate,,16762.46283,,MS-DRG,999999999,Case Rate,,15592.98868,,MS-DRG,999999999,Case Rate,,16060.77834,,MS-DRG,999999999,Case Rate,,16372.63812,,MS-DRG,999999999,Case Rate,,16372.63812,,MS-DRG,999999999,Case Rate,,16528.568,,MS-DRG,999999999,Case Rate,,15592.98868,,MS-DRG,999999999,Case Rate,,15592.98868,,MS-DRG,999999999,Case Rate,,15592.98868,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR SKIN DISORDERS WITHOUT MCC,596,MS-DRG,,,,,inpatient,,,,,,8195.464456,12293.19668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12293.19668,,MS-DRG,999999999,Case Rate,,12293.19668,,MS-DRG,999999999,Case Rate,,8605.237679,,MS-DRG,999999999,Case Rate,,8523.283034,,MS-DRG,999999999,Case Rate,,8523.283034,,MS-DRG,999999999,Case Rate,,8605.237679,,MS-DRG,999999999,Case Rate,,8687.192323,,MS-DRG,999999999,Case Rate,,8605.237679,,MS-DRG,999999999,Case Rate,,8687.192323,,MS-DRG,999999999,Case Rate,,8810.12429,,MS-DRG,999999999,Case Rate,,8195.464456,,MS-DRG,999999999,Case Rate,,8441.32839,,MS-DRG,999999999,Case Rate,,8605.237679,,MS-DRG,999999999,Case Rate,,8605.237679,,MS-DRG,999999999,Case Rate,,8687.192323,,MS-DRG,999999999,Case Rate,,8195.464456,,MS-DRG,999999999,Case Rate,,8195.464456,,MS-DRG,999999999,Case Rate,,8195.464456,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MALIGNANT BREAST DISORDERS WITH MCC,597,MS-DRG,,,,,inpatient,,,,,,13028.89518,19543.34277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19543.34277,,MS-DRG,999999999,Case Rate,,19543.34277,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13550.05099,,MS-DRG,999999999,Case Rate,,13550.05099,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,14006.06232,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13419.76203,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13680.33994,,MS-DRG,999999999,Case Rate,,13810.62889,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,13028.89518,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MALIGNANT BREAST DISORDERS WITH CC,598,MS-DRG,,,,,inpatient,,,,,,8179.725043,12269.58756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12269.58756,,MS-DRG,999999999,Case Rate,,12269.58756,,MS-DRG,999999999,Case Rate,,8588.711295,,MS-DRG,999999999,Case Rate,,8506.914044,,MS-DRG,999999999,Case Rate,,8506.914044,,MS-DRG,999999999,Case Rate,,8588.711295,,MS-DRG,999999999,Case Rate,,8670.508545,,MS-DRG,999999999,Case Rate,,8588.711295,,MS-DRG,999999999,Case Rate,,8670.508545,,MS-DRG,999999999,Case Rate,,8793.204421,,MS-DRG,999999999,Case Rate,,8179.725043,,MS-DRG,999999999,Case Rate,,8425.116794,,MS-DRG,999999999,Case Rate,,8588.711295,,MS-DRG,999999999,Case Rate,,8588.711295,,MS-DRG,999999999,Case Rate,,8670.508545,,MS-DRG,999999999,Case Rate,,8179.725043,,MS-DRG,999999999,Case Rate,,8179.725043,,MS-DRG,999999999,Case Rate,,8179.725043,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,599,MS-DRG,,,,,inpatient,,,,,,6577.166603,9865.749904,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9865.749904,,MS-DRG,999999999,Case Rate,,9865.749904,,MS-DRG,999999999,Case Rate,,6906.024933,,MS-DRG,999999999,Case Rate,,6840.253267,,MS-DRG,999999999,Case Rate,,6840.253267,,MS-DRG,999999999,Case Rate,,6906.024933,,MS-DRG,999999999,Case Rate,,6971.796599,,MS-DRG,999999999,Case Rate,,6906.024933,,MS-DRG,999999999,Case Rate,,6971.796599,,MS-DRG,999999999,Case Rate,,7070.454098,,MS-DRG,999999999,Case Rate,,6577.166603,,MS-DRG,999999999,Case Rate,,6774.481601,,MS-DRG,999999999,Case Rate,,6906.024933,,MS-DRG,999999999,Case Rate,,6906.024933,,MS-DRG,999999999,Case Rate,,6971.796599,,MS-DRG,999999999,Case Rate,,6577.166603,,MS-DRG,999999999,Case Rate,,6577.166603,,MS-DRG,999999999,Case Rate,,6577.166603,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,600,MS-DRG,,,,,inpatient,,,,,,7304.756752,10957.13513,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10957.13513,,MS-DRG,999999999,Case Rate,,10957.13513,,MS-DRG,999999999,Case Rate,,7669.994589,,MS-DRG,999999999,Case Rate,,7596.947022,,MS-DRG,999999999,Case Rate,,7596.947022,,MS-DRG,999999999,Case Rate,,7669.994589,,MS-DRG,999999999,Case Rate,,7743.042157,,MS-DRG,999999999,Case Rate,,7669.994589,,MS-DRG,999999999,Case Rate,,7743.042157,,MS-DRG,999999999,Case Rate,,7852.613508,,MS-DRG,999999999,Case Rate,,7304.756752,,MS-DRG,999999999,Case Rate,,7523.899454,,MS-DRG,999999999,Case Rate,,7669.994589,,MS-DRG,999999999,Case Rate,,7669.994589,,MS-DRG,999999999,Case Rate,,7743.042157,,MS-DRG,999999999,Case Rate,,7304.756752,,MS-DRG,999999999,Case Rate,,7304.756752,,MS-DRG,999999999,Case Rate,,7304.756752,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,601,MS-DRG,,,,,inpatient,,,,,,4749.96381,7124.945715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7124.945715,,MS-DRG,999999999,Case Rate,,7124.945715,,MS-DRG,999999999,Case Rate,,4987.462001,,MS-DRG,999999999,Case Rate,,4939.962363,,MS-DRG,999999999,Case Rate,,4939.962363,,MS-DRG,999999999,Case Rate,,4987.462001,,MS-DRG,999999999,Case Rate,,5034.961639,,MS-DRG,999999999,Case Rate,,4987.462001,,MS-DRG,999999999,Case Rate,,5034.961639,,MS-DRG,999999999,Case Rate,,5106.211096,,MS-DRG,999999999,Case Rate,,4749.96381,,MS-DRG,999999999,Case Rate,,4892.462724,,MS-DRG,999999999,Case Rate,,4987.462001,,MS-DRG,999999999,Case Rate,,4987.462001,,MS-DRG,999999999,Case Rate,,5034.961639,,MS-DRG,999999999,Case Rate,,4749.96381,,MS-DRG,999999999,Case Rate,,4749.96381,,MS-DRG,999999999,Case Rate,,4749.96381,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELLULITIS WITH MCC,602,MS-DRG,,,,,inpatient,,,,,,10510.13333,16458.06006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16458.06006,,MS-DRG,999999999,Case Rate,,16458.06006,,MS-DRG,999999999,Case Rate,,11520.64204,,MS-DRG,15435.00667,Case Rate,,11410.92164,,MS-DRG,999999999,Case Rate,,11410.92164,,MS-DRG,11220.3,Case Rate,,11520.64204,,MS-DRG,999999999,Case Rate,,11630.36244,,MS-DRG,999999999,Case Rate,,11520.64204,,MS-DRG,999999999,Case Rate,,11630.36244,,MS-DRG,999999999,Case Rate,,11794.94304,,MS-DRG,10510.13333,Case Rate,,10972.04004,,MS-DRG,999999999,Case Rate,,11301.20124,,MS-DRG,999999999,Case Rate,,11520.64204,,MS-DRG,999999999,Case Rate,,11520.64204,,MS-DRG,999999999,Case Rate,,11630.36244,,MS-DRG,999999999,Case Rate,,10972.04004,,MS-DRG,999999999,Case Rate,,10972.04004,,MS-DRG,999999999,Case Rate,,10972.04004,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CELLULITIS WITHOUT MCC,603,MS-DRG,,,,,inpatient,,,,,,3644.48875,10143.69363,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10143.69363,,MS-DRG,999999999,Case Rate,,10143.69363,,MS-DRG,999999999,Case Rate,,7100.585543,,MS-DRG,6740.26,Case Rate,,7032.960919,,MS-DRG,5067.863333,Case Rate,,7032.960919,,MS-DRG,3644.48875,Case Rate,,7100.585543,,MS-DRG,999999999,Case Rate,,7168.210168,,MS-DRG,999999999,Case Rate,,7100.585543,,MS-DRG,999999999,Case Rate,,7168.210168,,MS-DRG,999999999,Case Rate,,7269.647104,,MS-DRG,4694.386667,Case Rate,,6762.462422,,MS-DRG,999999999,Case Rate,,6965.336295,,MS-DRG,999999999,Case Rate,,7100.585543,,MS-DRG,999999999,Case Rate,,7100.585543,,MS-DRG,999999999,Case Rate,,7168.210168,,MS-DRG,999999999,Case Rate,,6762.462422,,MS-DRG,999999999,Case Rate,,6762.462422,,MS-DRG,999999999,Case Rate,,6762.462422,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",604,MS-DRG,,,,,inpatient,,,,,,11090.08564,16635.12846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16635.12846,,MS-DRG,999999999,Case Rate,,16635.12846,,MS-DRG,999999999,Case Rate,,11644.58992,,MS-DRG,999999999,Case Rate,,11533.68906,,MS-DRG,999999999,Case Rate,,11533.68906,,MS-DRG,999999999,Case Rate,,11644.58992,,MS-DRG,999999999,Case Rate,,11755.49078,,MS-DRG,999999999,Case Rate,,11644.58992,,MS-DRG,999999999,Case Rate,,11755.49078,,MS-DRG,999999999,Case Rate,,11921.84206,,MS-DRG,999999999,Case Rate,,11090.08564,,MS-DRG,999999999,Case Rate,,11422.78821,,MS-DRG,999999999,Case Rate,,11644.58992,,MS-DRG,999999999,Case Rate,,11644.58992,,MS-DRG,999999999,Case Rate,,11755.49078,,MS-DRG,999999999,Case Rate,,11090.08564,,MS-DRG,999999999,Case Rate,,11090.08564,,MS-DRG,999999999,Case Rate,,11090.08564,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",605,MS-DRG,,,,,inpatient,,,,,,7069.380981,10604.07147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10604.07147,,MS-DRG,999999999,Case Rate,,10604.07147,,MS-DRG,999999999,Case Rate,,7422.85003,,MS-DRG,999999999,Case Rate,,7352.15622,,MS-DRG,999999999,Case Rate,,7352.15622,,MS-DRG,999999999,Case Rate,,7422.85003,,MS-DRG,999999999,Case Rate,,7493.54384,,MS-DRG,999999999,Case Rate,,7422.85003,,MS-DRG,999999999,Case Rate,,7493.54384,,MS-DRG,999999999,Case Rate,,7599.584554,,MS-DRG,999999999,Case Rate,,7069.380981,,MS-DRG,999999999,Case Rate,,7281.46241,,MS-DRG,999999999,Case Rate,,7422.85003,,MS-DRG,999999999,Case Rate,,7422.85003,,MS-DRG,999999999,Case Rate,,7493.54384,,MS-DRG,999999999,Case Rate,,7069.380981,,MS-DRG,999999999,Case Rate,,7069.380981,,MS-DRG,999999999,Case Rate,,7069.380981,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR SKIN DISORDERS WITH MCC,606,MS-DRG,,,,,inpatient,,,,,,11981.50877,17972.26315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17972.26315,,MS-DRG,999999999,Case Rate,,17972.26315,,MS-DRG,999999999,Case Rate,,12580.58421,,MS-DRG,999999999,Case Rate,,12460.76912,,MS-DRG,999999999,Case Rate,,12460.76912,,MS-DRG,999999999,Case Rate,,12580.58421,,MS-DRG,999999999,Case Rate,,12700.3993,,MS-DRG,999999999,Case Rate,,12580.58421,,MS-DRG,999999999,Case Rate,,12700.3993,,MS-DRG,999999999,Case Rate,,12880.12193,,MS-DRG,999999999,Case Rate,,11981.50877,,MS-DRG,999999999,Case Rate,,12340.95403,,MS-DRG,999999999,Case Rate,,12580.58421,,MS-DRG,999999999,Case Rate,,12580.58421,,MS-DRG,999999999,Case Rate,,12700.3993,,MS-DRG,999999999,Case Rate,,11981.50877,,MS-DRG,999999999,Case Rate,,11981.50877,,MS-DRG,999999999,Case Rate,,11981.50877,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR SKIN DISORDERS WITHOUT MCC,607,MS-DRG,,,,,inpatient,,,,,,42.14,9965.552093,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9965.552093,,MS-DRG,999999999,Case Rate,,9965.552093,,MS-DRG,999999999,Case Rate,,6975.886465,,MS-DRG,42.14,Case Rate,,6909.449451,,MS-DRG,999999999,Case Rate,,6909.449451,,MS-DRG,999999999,Case Rate,,6975.886465,,MS-DRG,999999999,Case Rate,,7042.323479,,MS-DRG,999999999,Case Rate,,6975.886465,,MS-DRG,999999999,Case Rate,,7042.323479,,MS-DRG,999999999,Case Rate,,7141.979,,MS-DRG,7158.09,Case Rate,,6643.701395,,MS-DRG,999999999,Case Rate,,6843.012437,,MS-DRG,999999999,Case Rate,,6975.886465,,MS-DRG,999999999,Case Rate,,6975.886465,,MS-DRG,999999999,Case Rate,,7042.323479,,MS-DRG,999999999,Case Rate,,6643.701395,,MS-DRG,999999999,Case Rate,,6643.701395,,MS-DRG,999999999,Case Rate,,6643.701395,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,614,MS-DRG,,,,,inpatient,,,,,,16765.57497,25148.36245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25148.36245,,MS-DRG,999999999,Case Rate,,25148.36245,,MS-DRG,999999999,Case Rate,,17603.85372,,MS-DRG,999999999,Case Rate,,17436.19797,,MS-DRG,999999999,Case Rate,,17436.19797,,MS-DRG,999999999,Case Rate,,17603.85372,,MS-DRG,999999999,Case Rate,,17771.50947,,MS-DRG,999999999,Case Rate,,17603.85372,,MS-DRG,999999999,Case Rate,,17771.50947,,MS-DRG,999999999,Case Rate,,18022.99309,,MS-DRG,999999999,Case Rate,,16765.57497,,MS-DRG,999999999,Case Rate,,17268.54222,,MS-DRG,999999999,Case Rate,,17603.85372,,MS-DRG,999999999,Case Rate,,17603.85372,,MS-DRG,999999999,Case Rate,,17771.50947,,MS-DRG,999999999,Case Rate,,16765.57497,,MS-DRG,999999999,Case Rate,,16765.57497,,MS-DRG,999999999,Case Rate,,16765.57497,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,615,MS-DRG,,,,,inpatient,,,,,,10713.05515,16069.58272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16069.58272,,MS-DRG,999999999,Case Rate,,16069.58272,,MS-DRG,999999999,Case Rate,,11248.70791,,MS-DRG,999999999,Case Rate,,11141.57735,,MS-DRG,999999999,Case Rate,,11141.57735,,MS-DRG,999999999,Case Rate,,11248.70791,,MS-DRG,999999999,Case Rate,,11355.83846,,MS-DRG,999999999,Case Rate,,11248.70791,,MS-DRG,999999999,Case Rate,,11355.83846,,MS-DRG,999999999,Case Rate,,11516.53428,,MS-DRG,999999999,Case Rate,,10713.05515,,MS-DRG,999999999,Case Rate,,11034.4468,,MS-DRG,999999999,Case Rate,,11248.70791,,MS-DRG,999999999,Case Rate,,11248.70791,,MS-DRG,999999999,Case Rate,,11355.83846,,MS-DRG,999999999,Case Rate,,10713.05515,,MS-DRG,999999999,Case Rate,,10713.05515,,MS-DRG,999999999,Case Rate,,10713.05515,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",616,MS-DRG,,,,,inpatient,,,,,,27077.51,42168.3916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42168.3916,,MS-DRG,999999999,Case Rate,,42168.3916,,MS-DRG,999999999,Case Rate,,29517.87412,,MS-DRG,999999999,Case Rate,,29236.75151,,MS-DRG,999999999,Case Rate,,29236.75151,,MS-DRG,27077.51,Case Rate,,29517.87412,,MS-DRG,999999999,Case Rate,,29798.99673,,MS-DRG,999999999,Case Rate,,29517.87412,,MS-DRG,999999999,Case Rate,,29798.99673,,MS-DRG,999999999,Case Rate,,30220.68065,,MS-DRG,999999999,Case Rate,,28112.26107,,MS-DRG,999999999,Case Rate,,28955.6289,,MS-DRG,999999999,Case Rate,,29517.87412,,MS-DRG,999999999,Case Rate,,29517.87412,,MS-DRG,999999999,Case Rate,,29798.99673,,MS-DRG,999999999,Case Rate,,28112.26107,,MS-DRG,999999999,Case Rate,,28112.26107,,MS-DRG,999999999,Case Rate,,28112.26107,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",617,MS-DRG,,,,,inpatient,,,,,,8307.868,21420.2678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21420.2678,,MS-DRG,999999999,Case Rate,,21420.2678,,MS-DRG,999999999,Case Rate,,14994.18746,,MS-DRG,13097.07,Case Rate,,14851.38567,,MS-DRG,14504.32,Case Rate,,14851.38567,,MS-DRG,8307.868,Case Rate,,14994.18746,,MS-DRG,13238.2,Case Rate,,15136.98924,,MS-DRG,999999999,Case Rate,,14994.18746,,MS-DRG,999999999,Case Rate,,15136.98924,,MS-DRG,999999999,Case Rate,,15351.19192,,MS-DRG,13592.48,Case Rate,,14280.17853,,MS-DRG,999999999,Case Rate,,14708.58389,,MS-DRG,999999999,Case Rate,,14994.18746,,MS-DRG,999999999,Case Rate,,14994.18746,,MS-DRG,999999999,Case Rate,,15136.98924,,MS-DRG,999999999,Case Rate,,14280.17853,,MS-DRG,999999999,Case Rate,,14280.17853,,MS-DRG,999999999,Case Rate,,14280.17853,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",618,MS-DRG,,,,,inpatient,,,,,,9368.766171,14053.14926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14053.14926,,MS-DRG,999999999,Case Rate,,14053.14926,,MS-DRG,999999999,Case Rate,,9837.204479,,MS-DRG,999999999,Case Rate,,9743.516818,,MS-DRG,999999999,Case Rate,,9743.516818,,MS-DRG,999999999,Case Rate,,9837.204479,,MS-DRG,999999999,Case Rate,,9930.892141,,MS-DRG,999999999,Case Rate,,9837.204479,,MS-DRG,999999999,Case Rate,,9930.892141,,MS-DRG,999999999,Case Rate,,10071.42363,,MS-DRG,999999999,Case Rate,,9368.766171,,MS-DRG,999999999,Case Rate,,9649.829156,,MS-DRG,999999999,Case Rate,,9837.204479,,MS-DRG,999999999,Case Rate,,9837.204479,,MS-DRG,999999999,Case Rate,,9930.892141,,MS-DRG,999999999,Case Rate,,9368.766171,,MS-DRG,999999999,Case Rate,,9368.766171,,MS-DRG,999999999,Case Rate,,9368.766171,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
O.R. PROCEDURES FOR OBESITY WITH MCC,619,MS-DRG,,,,,inpatient,,,,,,19967.11471,29950.67206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29950.67206,,MS-DRG,999999999,Case Rate,,29950.67206,,MS-DRG,999999999,Case Rate,,20965.47045,,MS-DRG,999999999,Case Rate,,20765.7993,,MS-DRG,999999999,Case Rate,,20765.7993,,MS-DRG,999999999,Case Rate,,20965.47045,,MS-DRG,999999999,Case Rate,,21165.14159,,MS-DRG,999999999,Case Rate,,20965.47045,,MS-DRG,999999999,Case Rate,,21165.14159,,MS-DRG,999999999,Case Rate,,21464.64831,,MS-DRG,999999999,Case Rate,,19967.11471,,MS-DRG,999999999,Case Rate,,20566.12815,,MS-DRG,999999999,Case Rate,,20965.47045,,MS-DRG,999999999,Case Rate,,20965.47045,,MS-DRG,999999999,Case Rate,,21165.14159,,MS-DRG,999999999,Case Rate,,19967.11471,,MS-DRG,999999999,Case Rate,,19967.11471,,MS-DRG,999999999,Case Rate,,19967.11471,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
O.R. PROCEDURES FOR OBESITY WITH CC,620,MS-DRG,,,,,inpatient,,,,,,11886.35686,17829.53529,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17829.53529,,MS-DRG,999999999,Case Rate,,17829.53529,,MS-DRG,999999999,Case Rate,,12480.67471,,MS-DRG,999999999,Case Rate,,12361.81114,,MS-DRG,999999999,Case Rate,,12361.81114,,MS-DRG,999999999,Case Rate,,12480.67471,,MS-DRG,999999999,Case Rate,,12599.53827,,MS-DRG,999999999,Case Rate,,12480.67471,,MS-DRG,999999999,Case Rate,,12599.53827,,MS-DRG,999999999,Case Rate,,12777.83363,,MS-DRG,999999999,Case Rate,,11886.35686,,MS-DRG,999999999,Case Rate,,12242.94757,,MS-DRG,999999999,Case Rate,,12480.67471,,MS-DRG,999999999,Case Rate,,12480.67471,,MS-DRG,999999999,Case Rate,,12599.53827,,MS-DRG,999999999,Case Rate,,11886.35686,,MS-DRG,999999999,Case Rate,,11886.35686,,MS-DRG,999999999,Case Rate,,11886.35686,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,621,MS-DRG,,,,,inpatient,,,,,,10919.09838,16378.64756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16378.64756,,MS-DRG,999999999,Case Rate,,16378.64756,,MS-DRG,999999999,Case Rate,,11465.05329,,MS-DRG,999999999,Case Rate,,11355.86231,,MS-DRG,999999999,Case Rate,,11355.86231,,MS-DRG,999999999,Case Rate,,11465.05329,,MS-DRG,999999999,Case Rate,,11574.24428,,MS-DRG,999999999,Case Rate,,11465.05329,,MS-DRG,999999999,Case Rate,,11574.24428,,MS-DRG,999999999,Case Rate,,11738.03075,,MS-DRG,999999999,Case Rate,,10919.09838,,MS-DRG,999999999,Case Rate,,11246.67133,,MS-DRG,999999999,Case Rate,,11465.05329,,MS-DRG,999999999,Case Rate,,11465.05329,,MS-DRG,999999999,Case Rate,,11574.24428,,MS-DRG,999999999,Case Rate,,10919.09838,,MS-DRG,999999999,Case Rate,,10919.09838,,MS-DRG,999999999,Case Rate,,10919.09838,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",622,MS-DRG,,,,,inpatient,,,,,,27232.28478,40848.42717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40848.42717,,MS-DRG,999999999,Case Rate,,40848.42717,,MS-DRG,999999999,Case Rate,,28593.89902,,MS-DRG,999999999,Case Rate,,28321.57617,,MS-DRG,999999999,Case Rate,,28321.57617,,MS-DRG,999999999,Case Rate,,28593.89902,,MS-DRG,999999999,Case Rate,,28866.22187,,MS-DRG,999999999,Case Rate,,28593.89902,,MS-DRG,999999999,Case Rate,,28866.22187,,MS-DRG,999999999,Case Rate,,29274.70614,,MS-DRG,999999999,Case Rate,,27232.28478,,MS-DRG,999999999,Case Rate,,28049.25332,,MS-DRG,999999999,Case Rate,,28593.89902,,MS-DRG,999999999,Case Rate,,28593.89902,,MS-DRG,999999999,Case Rate,,28866.22187,,MS-DRG,999999999,Case Rate,,27232.28478,,MS-DRG,999999999,Case Rate,,27232.28478,,MS-DRG,999999999,Case Rate,,27232.28478,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",623,MS-DRG,,,,,inpatient,,,,,,14145.67809,21218.51714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21218.51714,,MS-DRG,999999999,Case Rate,,21218.51714,,MS-DRG,999999999,Case Rate,,14852.962,,MS-DRG,999999999,Case Rate,,14711.50522,,MS-DRG,999999999,Case Rate,,14711.50522,,MS-DRG,999999999,Case Rate,,14852.962,,MS-DRG,999999999,Case Rate,,14994.41878,,MS-DRG,999999999,Case Rate,,14852.962,,MS-DRG,999999999,Case Rate,,14994.41878,,MS-DRG,999999999,Case Rate,,15206.60395,,MS-DRG,999999999,Case Rate,,14145.67809,,MS-DRG,999999999,Case Rate,,14570.04843,,MS-DRG,999999999,Case Rate,,14852.962,,MS-DRG,999999999,Case Rate,,14852.962,,MS-DRG,999999999,Case Rate,,14994.41878,,MS-DRG,999999999,Case Rate,,14145.67809,,MS-DRG,999999999,Case Rate,,14145.67809,,MS-DRG,999999999,Case Rate,,14145.67809,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",624,MS-DRG,,,,,inpatient,,,,,,7637.430713,11456.14607,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11456.14607,,MS-DRG,999999999,Case Rate,,11456.14607,,MS-DRG,999999999,Case Rate,,8019.302249,,MS-DRG,999999999,Case Rate,,7942.927942,,MS-DRG,999999999,Case Rate,,7942.927942,,MS-DRG,999999999,Case Rate,,8019.302249,,MS-DRG,999999999,Case Rate,,8095.676556,,MS-DRG,999999999,Case Rate,,8019.302249,,MS-DRG,999999999,Case Rate,,8095.676556,,MS-DRG,999999999,Case Rate,,8210.238017,,MS-DRG,999999999,Case Rate,,7637.430713,,MS-DRG,999999999,Case Rate,,7866.553635,,MS-DRG,999999999,Case Rate,,8019.302249,,MS-DRG,999999999,Case Rate,,8019.302249,,MS-DRG,999999999,Case Rate,,8095.676556,,MS-DRG,999999999,Case Rate,,7637.430713,,MS-DRG,999999999,Case Rate,,7637.430713,,MS-DRG,999999999,Case Rate,,7637.430713,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",625,MS-DRG,,,,,inpatient,,,,,,20973.0063,31459.50945,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31459.50945,,MS-DRG,999999999,Case Rate,,31459.50945,,MS-DRG,999999999,Case Rate,,22021.65662,,MS-DRG,999999999,Case Rate,,21811.92655,,MS-DRG,999999999,Case Rate,,21811.92655,,MS-DRG,999999999,Case Rate,,22021.65662,,MS-DRG,999999999,Case Rate,,22231.38668,,MS-DRG,999999999,Case Rate,,22021.65662,,MS-DRG,999999999,Case Rate,,22231.38668,,MS-DRG,999999999,Case Rate,,22545.98177,,MS-DRG,999999999,Case Rate,,20973.0063,,MS-DRG,999999999,Case Rate,,21602.19649,,MS-DRG,999999999,Case Rate,,22021.65662,,MS-DRG,999999999,Case Rate,,22021.65662,,MS-DRG,999999999,Case Rate,,22231.38668,,MS-DRG,999999999,Case Rate,,20973.0063,,MS-DRG,999999999,Case Rate,,20973.0063,,MS-DRG,999999999,Case Rate,,20973.0063,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",626,MS-DRG,,,,,inpatient,,,,,,11258.92662,16888.38992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16888.38992,,MS-DRG,999999999,Case Rate,,16888.38992,,MS-DRG,999999999,Case Rate,,11821.87295,,MS-DRG,999999999,Case Rate,,11709.28368,,MS-DRG,999999999,Case Rate,,11709.28368,,MS-DRG,999999999,Case Rate,,11821.87295,,MS-DRG,999999999,Case Rate,,11934.46221,,MS-DRG,999999999,Case Rate,,11821.87295,,MS-DRG,999999999,Case Rate,,11934.46221,,MS-DRG,999999999,Case Rate,,12103.34611,,MS-DRG,999999999,Case Rate,,11258.92662,,MS-DRG,999999999,Case Rate,,11596.69441,,MS-DRG,999999999,Case Rate,,11821.87295,,MS-DRG,999999999,Case Rate,,11821.87295,,MS-DRG,999999999,Case Rate,,11934.46221,,MS-DRG,999999999,Case Rate,,11258.92662,,MS-DRG,999999999,Case Rate,,11258.92662,,MS-DRG,999999999,Case Rate,,11258.92662,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",627,MS-DRG,,,,,inpatient,,,,,,9461.32,14287.09417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14287.09417,,MS-DRG,999999999,Case Rate,,14287.09417,,MS-DRG,999999999,Case Rate,,10000.96592,,MS-DRG,999999999,Case Rate,,9905.718625,,MS-DRG,999999999,Case Rate,,9905.718625,,MS-DRG,999999999,Case Rate,,10000.96592,,MS-DRG,999999999,Case Rate,,10096.21321,,MS-DRG,999999999,Case Rate,,10000.96592,,MS-DRG,999999999,Case Rate,,10096.21321,,MS-DRG,999999999,Case Rate,,10239.08416,,MS-DRG,9461.32,Case Rate,,9524.729447,,MS-DRG,999999999,Case Rate,,9810.471331,,MS-DRG,999999999,Case Rate,,10000.96592,,MS-DRG,999999999,Case Rate,,10000.96592,,MS-DRG,999999999,Case Rate,,10096.21321,,MS-DRG,999999999,Case Rate,,9524.729447,,MS-DRG,999999999,Case Rate,,9524.729447,,MS-DRG,999999999,Case Rate,,9524.729447,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",628,MS-DRG,,,,,inpatient,,,,,,27274.925,43034.41704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43034.41704,,MS-DRG,999999999,Case Rate,,43034.41704,,MS-DRG,999999999,Case Rate,,30124.09193,,MS-DRG,999999999,Case Rate,,29837.19582,,MS-DRG,999999999,Case Rate,,29837.19582,,MS-DRG,27274.925,Case Rate,,30124.09193,,MS-DRG,999999999,Case Rate,,30410.98804,,MS-DRG,999999999,Case Rate,,30124.09193,,MS-DRG,999999999,Case Rate,,30410.98804,,MS-DRG,999999999,Case Rate,,30841.33221,,MS-DRG,28475.28,Case Rate,,28689.61136,,MS-DRG,999999999,Case Rate,,29550.2997,,MS-DRG,999999999,Case Rate,,30124.09193,,MS-DRG,999999999,Case Rate,,30124.09193,,MS-DRG,999999999,Case Rate,,30410.98804,,MS-DRG,999999999,Case Rate,,28689.61136,,MS-DRG,999999999,Case Rate,,28689.61136,,MS-DRG,999999999,Case Rate,,28689.61136,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",629,MS-DRG,,,,,inpatient,,,,,,7943.15,24827.49305,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24827.49305,,MS-DRG,999999999,Case Rate,,24827.49305,,MS-DRG,999999999,Case Rate,,17379.24514,,MS-DRG,11781.415,Case Rate,,17213.72852,,MS-DRG,999999999,Case Rate,,17213.72852,,MS-DRG,15477.29,Case Rate,,17379.24514,,MS-DRG,7943.15,Case Rate,,17544.76176,,MS-DRG,999999999,Case Rate,,17379.24514,,MS-DRG,999999999,Case Rate,,17544.76176,,MS-DRG,999999999,Case Rate,,17793.03669,,MS-DRG,15488.66,Case Rate,,16551.66203,,MS-DRG,999999999,Case Rate,,17048.2119,,MS-DRG,999999999,Case Rate,,17379.24514,,MS-DRG,999999999,Case Rate,,17379.24514,,MS-DRG,999999999,Case Rate,,17544.76176,,MS-DRG,999999999,Case Rate,,16551.66203,,MS-DRG,999999999,Case Rate,,16551.66203,,MS-DRG,999999999,Case Rate,,16551.66203,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",630,MS-DRG,,,,,inpatient,,,,,,10486.26451,15729.39677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15729.39677,,MS-DRG,999999999,Case Rate,,15729.39677,,MS-DRG,999999999,Case Rate,,11010.57774,,MS-DRG,999999999,Case Rate,,10905.71509,,MS-DRG,999999999,Case Rate,,10905.71509,,MS-DRG,999999999,Case Rate,,11010.57774,,MS-DRG,999999999,Case Rate,,11115.44038,,MS-DRG,999999999,Case Rate,,11010.57774,,MS-DRG,999999999,Case Rate,,11115.44038,,MS-DRG,999999999,Case Rate,,11272.73435,,MS-DRG,999999999,Case Rate,,10486.26451,,MS-DRG,999999999,Case Rate,,10800.85245,,MS-DRG,999999999,Case Rate,,11010.57774,,MS-DRG,999999999,Case Rate,,11010.57774,,MS-DRG,999999999,Case Rate,,11115.44038,,MS-DRG,999999999,Case Rate,,10486.26451,,MS-DRG,999999999,Case Rate,,10486.26451,,MS-DRG,999999999,Case Rate,,10486.26451,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIABETES WITH MCC,637,MS-DRG,,,,,inpatient,,,,,,7144.175,16319.62476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16319.62476,,MS-DRG,999999999,Case Rate,,16319.62476,,MS-DRG,999999999,Case Rate,,11423.73733,,MS-DRG,7144.175,Case Rate,,11314.93984,,MS-DRG,10467.48,Case Rate,,11314.93984,,MS-DRG,12074.575,Case Rate,,11423.73733,,MS-DRG,999999999,Case Rate,,11532.53483,,MS-DRG,999999999,Case Rate,,11423.73733,,MS-DRG,999999999,Case Rate,,11532.53483,,MS-DRG,999999999,Case Rate,,11695.73108,,MS-DRG,7500.3625,Case Rate,,10879.74984,,MS-DRG,999999999,Case Rate,,11206.14234,,MS-DRG,999999999,Case Rate,,11423.73733,,MS-DRG,999999999,Case Rate,,11423.73733,,MS-DRG,999999999,Case Rate,,11532.53483,,MS-DRG,999999999,Case Rate,,10879.74984,,MS-DRG,999999999,Case Rate,,10879.74984,,MS-DRG,999999999,Case Rate,,10879.74984,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIABETES WITH CC,638,MS-DRG,,,,,inpatient,,,,,,3331.473,10534.31725,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10534.31725,,MS-DRG,999999999,Case Rate,,10534.31725,,MS-DRG,999999999,Case Rate,,7374.022077,,MS-DRG,4325.388,Case Rate,,7303.793296,,MS-DRG,6345.435,Case Rate,,7303.793296,,MS-DRG,3331.473,Case Rate,,7374.022077,,MS-DRG,999999999,Case Rate,,7444.250859,,MS-DRG,999999999,Case Rate,,7374.022077,,MS-DRG,999999999,Case Rate,,7444.250859,,MS-DRG,999999999,Case Rate,,7549.594031,,MS-DRG,6101.196667,Case Rate,,7022.878169,,MS-DRG,999999999,Case Rate,,7233.564514,,MS-DRG,999999999,Case Rate,,7374.022077,,MS-DRG,999999999,Case Rate,,7374.022077,,MS-DRG,999999999,Case Rate,,7444.250859,,MS-DRG,999999999,Case Rate,,7022.878169,,MS-DRG,999999999,Case Rate,,7022.878169,,MS-DRG,999999999,Case Rate,,7022.878169,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DIABETES WITHOUT CC/MCC,639,MS-DRG,,,,,inpatient,,,,,,927.47,7415.767146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7415.767146,,MS-DRG,999999999,Case Rate,,7415.767146,,MS-DRG,999999999,Case Rate,,5191.037003,,MS-DRG,999999999,Case Rate,,5141.598555,,MS-DRG,999999999,Case Rate,,5141.598555,,MS-DRG,1751.375,Case Rate,,5191.037003,,MS-DRG,999999999,Case Rate,,5240.47545,,MS-DRG,999999999,Case Rate,,5191.037003,,MS-DRG,999999999,Case Rate,,5240.47545,,MS-DRG,999999999,Case Rate,,5314.633122,,MS-DRG,927.47,Case Rate,,4943.844764,,MS-DRG,999999999,Case Rate,,5092.160107,,MS-DRG,999999999,Case Rate,,5191.037003,,MS-DRG,999999999,Case Rate,,5191.037003,,MS-DRG,999999999,Case Rate,,5240.47545,,MS-DRG,999999999,Case Rate,,4943.844764,,MS-DRG,999999999,Case Rate,,4943.844764,,MS-DRG,999999999,Case Rate,,4943.844764,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",640,MS-DRG,,,,,inpatient,,,,,,5258.98,14942.78382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14942.78382,,MS-DRG,999999999,Case Rate,,14942.78382,,MS-DRG,999999999,Case Rate,,10459.94867,,MS-DRG,5258.98,Case Rate,,10360.33011,,MS-DRG,7777.836667,Case Rate,,10360.33011,,MS-DRG,5368.150714,Case Rate,,10459.94867,,MS-DRG,999999999,Case Rate,,10559.56723,,MS-DRG,999999999,Case Rate,,10459.94867,,MS-DRG,999999999,Case Rate,,10559.56723,,MS-DRG,999999999,Case Rate,,10708.99507,,MS-DRG,7067.326,Case Rate,,9961.855879,,MS-DRG,999999999,Case Rate,,10260.71156,,MS-DRG,999999999,Case Rate,,10459.94867,,MS-DRG,999999999,Case Rate,,10459.94867,,MS-DRG,999999999,Case Rate,,10559.56723,,MS-DRG,999999999,Case Rate,,9961.855879,,MS-DRG,999999999,Case Rate,,9961.855879,,MS-DRG,999999999,Case Rate,,9961.855879,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",641,MS-DRG,,,,,inpatient,,,,,,2766.714167,9076.990672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9076.990672,,MS-DRG,999999999,Case Rate,,9076.990672,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,3800.423333,Case Rate,,6293.380199,,MS-DRG,2809.535,Case Rate,,6293.380199,,MS-DRG,2766.714167,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6414.406742,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6414.406742,,MS-DRG,999999999,Case Rate,,6505.176648,,MS-DRG,4496.524,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,6232.866928,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6414.406742,,MS-DRG,999999999,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INBORN AND OTHER DISORDERS OF METABOLISM,642,MS-DRG,,,,,inpatient,,,,,,9340.149056,14010.22358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14010.22358,,MS-DRG,999999999,Case Rate,,14010.22358,,MS-DRG,999999999,Case Rate,,9807.156509,,MS-DRG,999999999,Case Rate,,9713.755018,,MS-DRG,999999999,Case Rate,,9713.755018,,MS-DRG,999999999,Case Rate,,9807.156509,,MS-DRG,999999999,Case Rate,,9900.557999,,MS-DRG,999999999,Case Rate,,9807.156509,,MS-DRG,999999999,Case Rate,,9900.557999,,MS-DRG,999999999,Case Rate,,10040.66023,,MS-DRG,999999999,Case Rate,,9340.149056,,MS-DRG,999999999,Case Rate,,9620.353527,,MS-DRG,999999999,Case Rate,,9807.156509,,MS-DRG,999999999,Case Rate,,9807.156509,,MS-DRG,999999999,Case Rate,,9900.557999,,MS-DRG,999999999,Case Rate,,9340.149056,,MS-DRG,999999999,Case Rate,,9340.149056,,MS-DRG,999999999,Case Rate,,9340.149056,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENDOCRINE DISORDERS WITH MCC,643,MS-DRG,,,,,inpatient,,,,,,10437.44,18476.63981,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18476.63981,,MS-DRG,999999999,Case Rate,,18476.63981,,MS-DRG,999999999,Case Rate,,12933.64786,,MS-DRG,999999999,Case Rate,,12810.47027,,MS-DRG,999999999,Case Rate,,12810.47027,,MS-DRG,10437.44,Case Rate,,12933.64786,,MS-DRG,999999999,Case Rate,,13056.82546,,MS-DRG,999999999,Case Rate,,12933.64786,,MS-DRG,999999999,Case Rate,,13056.82546,,MS-DRG,999999999,Case Rate,,13241.59186,,MS-DRG,10965.39,Case Rate,,12317.75987,,MS-DRG,999999999,Case Rate,,12687.29267,,MS-DRG,999999999,Case Rate,,12933.64786,,MS-DRG,999999999,Case Rate,,12933.64786,,MS-DRG,999999999,Case Rate,,13056.82546,,MS-DRG,999999999,Case Rate,,12317.75987,,MS-DRG,999999999,Case Rate,,12317.75987,,MS-DRG,999999999,Case Rate,,12317.75987,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENDOCRINE DISORDERS WITH CC,644,MS-DRG,,,,,inpatient,,,,,,7006.426667,11781.30804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11781.30804,,MS-DRG,999999999,Case Rate,,11781.30804,,MS-DRG,999999999,Case Rate,,8246.915627,,MS-DRG,999999999,Case Rate,,8168.373574,,MS-DRG,999999999,Case Rate,,8168.373574,,MS-DRG,7006.426667,Case Rate,,8246.915627,,MS-DRG,999999999,Case Rate,,8325.457681,,MS-DRG,999999999,Case Rate,,8246.915627,,MS-DRG,999999999,Case Rate,,8325.457681,,MS-DRG,999999999,Case Rate,,8443.270761,,MS-DRG,7330.95,Case Rate,,7854.20536,,MS-DRG,999999999,Case Rate,,8089.83152,,MS-DRG,999999999,Case Rate,,8246.915627,,MS-DRG,999999999,Case Rate,,8246.915627,,MS-DRG,999999999,Case Rate,,8325.457681,,MS-DRG,999999999,Case Rate,,7854.20536,,MS-DRG,999999999,Case Rate,,7854.20536,,MS-DRG,999999999,Case Rate,,7854.20536,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ENDOCRINE DISORDERS WITHOUT CC/MCC,645,MS-DRG,,,,,inpatient,,,,,,6032.010562,9048.015843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9048.015843,,MS-DRG,999999999,Case Rate,,9048.015843,,MS-DRG,999999999,Case Rate,,6333.61109,,MS-DRG,999999999,Case Rate,,6273.290985,,MS-DRG,999999999,Case Rate,,6273.290985,,MS-DRG,999999999,Case Rate,,6333.61109,,MS-DRG,999999999,Case Rate,,6393.931196,,MS-DRG,999999999,Case Rate,,6333.61109,,MS-DRG,999999999,Case Rate,,6393.931196,,MS-DRG,999999999,Case Rate,,6484.411354,,MS-DRG,999999999,Case Rate,,6032.010562,,MS-DRG,999999999,Case Rate,,6212.970879,,MS-DRG,999999999,Case Rate,,6333.61109,,MS-DRG,999999999,Case Rate,,6333.61109,,MS-DRG,999999999,Case Rate,,6393.931196,,MS-DRG,999999999,Case Rate,,6032.010562,,MS-DRG,999999999,Case Rate,,6032.010562,,MS-DRG,999999999,Case Rate,,6032.010562,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,650,MS-DRG,,,,,inpatient,,,,,,33422.88218,50134.32327,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50134.32327,,MS-DRG,999999999,Case Rate,,50134.32327,,MS-DRG,999999999,Case Rate,,35094.02629,,MS-DRG,999999999,Case Rate,,34759.79747,,MS-DRG,999999999,Case Rate,,34759.79747,,MS-DRG,999999999,Case Rate,,35094.02629,,MS-DRG,999999999,Case Rate,,35428.25511,,MS-DRG,999999999,Case Rate,,35094.02629,,MS-DRG,999999999,Case Rate,,35428.25511,,MS-DRG,999999999,Case Rate,,35929.59835,,MS-DRG,999999999,Case Rate,,33422.88218,,MS-DRG,999999999,Case Rate,,34425.56865,,MS-DRG,999999999,Case Rate,,35094.02629,,MS-DRG,999999999,Case Rate,,35094.02629,,MS-DRG,999999999,Case Rate,,35428.25511,,MS-DRG,999999999,Case Rate,,33422.88218,,MS-DRG,999999999,Case Rate,,33422.88218,,MS-DRG,999999999,Case Rate,,33422.88218,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,651,MS-DRG,,,,,inpatient,,,,,,25304.20666,37956.30999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37956.30999,,MS-DRG,999999999,Case Rate,,37956.30999,,MS-DRG,999999999,Case Rate,,26569.41699,,MS-DRG,999999999,Case Rate,,26316.37492,,MS-DRG,999999999,Case Rate,,26316.37492,,MS-DRG,999999999,Case Rate,,26569.41699,,MS-DRG,999999999,Case Rate,,26822.45906,,MS-DRG,999999999,Case Rate,,26569.41699,,MS-DRG,999999999,Case Rate,,26822.45906,,MS-DRG,999999999,Case Rate,,27202.02216,,MS-DRG,999999999,Case Rate,,25304.20666,,MS-DRG,999999999,Case Rate,,26063.33286,,MS-DRG,999999999,Case Rate,,26569.41699,,MS-DRG,999999999,Case Rate,,26569.41699,,MS-DRG,999999999,Case Rate,,26822.45906,,MS-DRG,999999999,Case Rate,,25304.20666,,MS-DRG,999999999,Case Rate,,25304.20666,,MS-DRG,999999999,Case Rate,,25304.20666,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY TRANSPLANT,652,MS-DRG,,,,,inpatient,,,,,,22434.62545,33651.93818,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33651.93818,,MS-DRG,999999999,Case Rate,,33651.93818,,MS-DRG,999999999,Case Rate,,23556.35672,,MS-DRG,999999999,Case Rate,,23332.01047,,MS-DRG,999999999,Case Rate,,23332.01047,,MS-DRG,999999999,Case Rate,,23556.35672,,MS-DRG,999999999,Case Rate,,23780.70298,,MS-DRG,999999999,Case Rate,,23556.35672,,MS-DRG,999999999,Case Rate,,23780.70298,,MS-DRG,999999999,Case Rate,,24117.22236,,MS-DRG,999999999,Case Rate,,22434.62545,,MS-DRG,999999999,Case Rate,,23107.66421,,MS-DRG,999999999,Case Rate,,23556.35672,,MS-DRG,999999999,Case Rate,,23556.35672,,MS-DRG,999999999,Case Rate,,23780.70298,,MS-DRG,999999999,Case Rate,,22434.62545,,MS-DRG,999999999,Case Rate,,22434.62545,,MS-DRG,999999999,Case Rate,,22434.62545,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR BLADDER PROCEDURES WITH MCC,653,MS-DRG,,,,,inpatient,,,,,,40343.21602,60514.82402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60514.82402,,MS-DRG,999999999,Case Rate,,60514.82402,,MS-DRG,999999999,Case Rate,,42360.37682,,MS-DRG,999999999,Case Rate,,41956.94466,,MS-DRG,999999999,Case Rate,,41956.94466,,MS-DRG,999999999,Case Rate,,42360.37682,,MS-DRG,999999999,Case Rate,,42763.80898,,MS-DRG,999999999,Case Rate,,42360.37682,,MS-DRG,999999999,Case Rate,,42763.80898,,MS-DRG,999999999,Case Rate,,43368.95722,,MS-DRG,999999999,Case Rate,,40343.21602,,MS-DRG,999999999,Case Rate,,41553.5125,,MS-DRG,999999999,Case Rate,,42360.37682,,MS-DRG,999999999,Case Rate,,42360.37682,,MS-DRG,999999999,Case Rate,,42763.80898,,MS-DRG,999999999,Case Rate,,40343.21602,,MS-DRG,999999999,Case Rate,,40343.21602,,MS-DRG,999999999,Case Rate,,40343.21602,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR BLADDER PROCEDURES WITH CC,654,MS-DRG,,,,,inpatient,,,,,,20651.06376,30976.59564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30976.59564,,MS-DRG,999999999,Case Rate,,30976.59564,,MS-DRG,999999999,Case Rate,,21683.61695,,MS-DRG,999999999,Case Rate,,21477.10631,,MS-DRG,999999999,Case Rate,,21477.10631,,MS-DRG,999999999,Case Rate,,21683.61695,,MS-DRG,999999999,Case Rate,,21890.12758,,MS-DRG,999999999,Case Rate,,21683.61695,,MS-DRG,999999999,Case Rate,,21890.12758,,MS-DRG,999999999,Case Rate,,22199.89354,,MS-DRG,999999999,Case Rate,,20651.06376,,MS-DRG,999999999,Case Rate,,21270.59567,,MS-DRG,999999999,Case Rate,,21683.61695,,MS-DRG,999999999,Case Rate,,21683.61695,,MS-DRG,999999999,Case Rate,,21890.12758,,MS-DRG,999999999,Case Rate,,20651.06376,,MS-DRG,999999999,Case Rate,,20651.06376,,MS-DRG,999999999,Case Rate,,20651.06376,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,655,MS-DRG,,,,,inpatient,,,,,,15322.55695,22983.83542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22983.83542,,MS-DRG,999999999,Case Rate,,22983.83542,,MS-DRG,999999999,Case Rate,,16088.68479,,MS-DRG,999999999,Case Rate,,15935.45922,,MS-DRG,999999999,Case Rate,,15935.45922,,MS-DRG,999999999,Case Rate,,16088.68479,,MS-DRG,999999999,Case Rate,,16241.91036,,MS-DRG,999999999,Case Rate,,16088.68479,,MS-DRG,999999999,Case Rate,,16241.91036,,MS-DRG,999999999,Case Rate,,16471.74872,,MS-DRG,999999999,Case Rate,,15322.55695,,MS-DRG,999999999,Case Rate,,15782.23365,,MS-DRG,999999999,Case Rate,,16088.68479,,MS-DRG,999999999,Case Rate,,16088.68479,,MS-DRG,999999999,Case Rate,,16241.91036,,MS-DRG,999999999,Case Rate,,15322.55695,,MS-DRG,999999999,Case Rate,,15322.55695,,MS-DRG,999999999,Case Rate,,15322.55695,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,656,MS-DRG,,,,,inpatient,,,,,,23769.61387,35654.4208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35654.4208,,MS-DRG,999999999,Case Rate,,35654.4208,,MS-DRG,999999999,Case Rate,,24958.09456,,MS-DRG,999999999,Case Rate,,24720.39842,,MS-DRG,999999999,Case Rate,,24720.39842,,MS-DRG,999999999,Case Rate,,24958.09456,,MS-DRG,999999999,Case Rate,,25195.7907,,MS-DRG,999999999,Case Rate,,24958.09456,,MS-DRG,999999999,Case Rate,,25195.7907,,MS-DRG,999999999,Case Rate,,25552.33491,,MS-DRG,999999999,Case Rate,,23769.61387,,MS-DRG,999999999,Case Rate,,24482.70228,,MS-DRG,999999999,Case Rate,,24958.09456,,MS-DRG,999999999,Case Rate,,24958.09456,,MS-DRG,999999999,Case Rate,,25195.7907,,MS-DRG,999999999,Case Rate,,23769.61387,,MS-DRG,999999999,Case Rate,,23769.61387,,MS-DRG,999999999,Case Rate,,23769.61387,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,657,MS-DRG,,,,,inpatient,,,,,,11603.23,20309.56602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20309.56602,,MS-DRG,999999999,Case Rate,,20309.56602,,MS-DRG,999999999,Case Rate,,14216.69622,,MS-DRG,14314.53,Case Rate,,14081.29911,,MS-DRG,999999999,Case Rate,,14081.29911,,MS-DRG,12720.8,Case Rate,,14216.69622,,MS-DRG,999999999,Case Rate,,14352.09332,,MS-DRG,999999999,Case Rate,,14216.69622,,MS-DRG,999999999,Case Rate,,14352.09332,,MS-DRG,999999999,Case Rate,,14555.18898,,MS-DRG,11603.23,Case Rate,,13539.71068,,MS-DRG,999999999,Case Rate,,13945.902,,MS-DRG,999999999,Case Rate,,14216.69622,,MS-DRG,999999999,Case Rate,,14216.69622,,MS-DRG,999999999,Case Rate,,14352.09332,,MS-DRG,999999999,Case Rate,,13539.71068,,MS-DRG,999999999,Case Rate,,13539.71068,,MS-DRG,999999999,Case Rate,,13539.71068,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,658,MS-DRG,,,,,inpatient,,,,,,10843.98333,16831.51341,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16831.51341,,MS-DRG,999999999,Case Rate,,16831.51341,,MS-DRG,999999999,Case Rate,,11782.05939,,MS-DRG,999999999,Case Rate,,11669.8493,,MS-DRG,999999999,Case Rate,,11669.8493,,MS-DRG,999999999,Case Rate,,11782.05939,,MS-DRG,999999999,Case Rate,,11894.26948,,MS-DRG,999999999,Case Rate,,11782.05939,,MS-DRG,999999999,Case Rate,,11894.26948,,MS-DRG,999999999,Case Rate,,12062.58461,,MS-DRG,10843.98333,Case Rate,,11221.00894,,MS-DRG,999999999,Case Rate,,11557.63921,,MS-DRG,999999999,Case Rate,,11782.05939,,MS-DRG,999999999,Case Rate,,11782.05939,,MS-DRG,999999999,Case Rate,,11894.26948,,MS-DRG,999999999,Case Rate,,11221.00894,,MS-DRG,999999999,Case Rate,,11221.00894,,MS-DRG,999999999,Case Rate,,11221.00894,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,659,MS-DRG,,,,,inpatient,,,,,,11631.68,28424.66441,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28424.66441,,MS-DRG,999999999,Case Rate,,28424.66441,,MS-DRG,999999999,Case Rate,,19897.26509,,MS-DRG,999999999,Case Rate,,19707.76732,,MS-DRG,999999999,Case Rate,,19707.76732,,MS-DRG,11631.68,Case Rate,,19897.26509,,MS-DRG,999999999,Case Rate,,20086.76285,,MS-DRG,999999999,Case Rate,,19897.26509,,MS-DRG,999999999,Case Rate,,20086.76285,,MS-DRG,999999999,Case Rate,,20371.00949,,MS-DRG,999999999,Case Rate,,18949.77627,,MS-DRG,999999999,Case Rate,,19518.26956,,MS-DRG,999999999,Case Rate,,19897.26509,,MS-DRG,999999999,Case Rate,,19897.26509,,MS-DRG,999999999,Case Rate,,20086.76285,,MS-DRG,999999999,Case Rate,,18949.77627,,MS-DRG,999999999,Case Rate,,18949.77627,,MS-DRG,999999999,Case Rate,,18949.77627,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,660,MS-DRG,,,,,inpatient,,,,,,7296.82,15071.56084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15071.56084,,MS-DRG,999999999,Case Rate,,15071.56084,,MS-DRG,999999999,Case Rate,,10550.09259,,MS-DRG,10301.71,Case Rate,,10449.61551,,MS-DRG,999999999,Case Rate,,10449.61551,,MS-DRG,7296.82,Case Rate,,10550.09259,,MS-DRG,999999999,Case Rate,,10650.56966,,MS-DRG,999999999,Case Rate,,10550.09259,,MS-DRG,999999999,Case Rate,,10650.56966,,MS-DRG,999999999,Case Rate,,10801.28527,,MS-DRG,10274.09,Case Rate,,10047.70722,,MS-DRG,999999999,Case Rate,,10349.13844,,MS-DRG,999999999,Case Rate,,10550.09259,,MS-DRG,999999999,Case Rate,,10550.09259,,MS-DRG,999999999,Case Rate,,10650.56966,,MS-DRG,999999999,Case Rate,,10047.70722,,MS-DRG,999999999,Case Rate,,10047.70722,,MS-DRG,999999999,Case Rate,,10047.70722,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,661,MS-DRG,,,,,inpatient,,,,,,6892.33,11708.3344,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11708.3344,,MS-DRG,999999999,Case Rate,,11708.3344,,MS-DRG,999999999,Case Rate,,8195.834077,,MS-DRG,999999999,Case Rate,,8117.778515,,MS-DRG,999999999,Case Rate,,8117.778515,,MS-DRG,6892.33,Case Rate,,8195.834077,,MS-DRG,999999999,Case Rate,,8273.88964,,MS-DRG,999999999,Case Rate,,8195.834077,,MS-DRG,999999999,Case Rate,,8273.88964,,MS-DRG,999999999,Case Rate,,8390.972984,,MS-DRG,999999999,Case Rate,,7805.556264,,MS-DRG,999999999,Case Rate,,8039.722952,,MS-DRG,999999999,Case Rate,,8195.834077,,MS-DRG,999999999,Case Rate,,8195.834077,,MS-DRG,999999999,Case Rate,,8273.88964,,MS-DRG,999999999,Case Rate,,7805.556264,,MS-DRG,999999999,Case Rate,,7805.556264,,MS-DRG,999999999,Case Rate,,7805.556264,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR BLADDER PROCEDURES WITH MCC,662,MS-DRG,,,,,inpatient,,,,,,22779.46169,34169.19253,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34169.19253,,MS-DRG,999999999,Case Rate,,34169.19253,,MS-DRG,999999999,Case Rate,,23918.43477,,MS-DRG,999999999,Case Rate,,23690.64015,,MS-DRG,999999999,Case Rate,,23690.64015,,MS-DRG,999999999,Case Rate,,23918.43477,,MS-DRG,999999999,Case Rate,,24146.22939,,MS-DRG,999999999,Case Rate,,23918.43477,,MS-DRG,999999999,Case Rate,,24146.22939,,MS-DRG,999999999,Case Rate,,24487.92131,,MS-DRG,999999999,Case Rate,,22779.46169,,MS-DRG,999999999,Case Rate,,23462.84554,,MS-DRG,999999999,Case Rate,,23918.43477,,MS-DRG,999999999,Case Rate,,23918.43477,,MS-DRG,999999999,Case Rate,,24146.22939,,MS-DRG,999999999,Case Rate,,22779.46169,,MS-DRG,999999999,Case Rate,,22779.46169,,MS-DRG,999999999,Case Rate,,22779.46169,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR BLADDER PROCEDURES WITH CC,663,MS-DRG,,,,,inpatient,,,,,,11388.41906,17082.62859,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17082.62859,,MS-DRG,999999999,Case Rate,,17082.62859,,MS-DRG,999999999,Case Rate,,11957.84001,,MS-DRG,999999999,Case Rate,,11843.95582,,MS-DRG,999999999,Case Rate,,11843.95582,,MS-DRG,999999999,Case Rate,,11957.84001,,MS-DRG,999999999,Case Rate,,12071.72421,,MS-DRG,999999999,Case Rate,,11957.84001,,MS-DRG,999999999,Case Rate,,12071.72421,,MS-DRG,999999999,Case Rate,,12242.55049,,MS-DRG,999999999,Case Rate,,11388.41906,,MS-DRG,999999999,Case Rate,,11730.07163,,MS-DRG,999999999,Case Rate,,11957.84001,,MS-DRG,999999999,Case Rate,,11957.84001,,MS-DRG,999999999,Case Rate,,12071.72421,,MS-DRG,999999999,Case Rate,,11388.41906,,MS-DRG,999999999,Case Rate,,11388.41906,,MS-DRG,999999999,Case Rate,,11388.41906,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MINOR BLADDER PROCEDURES WITHOUT CC/MCC,664,MS-DRG,,,,,inpatient,,,,,,8186.163893,12279.24584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12279.24584,,MS-DRG,999999999,Case Rate,,12279.24584,,MS-DRG,999999999,Case Rate,,8595.472088,,MS-DRG,999999999,Case Rate,,8513.610449,,MS-DRG,999999999,Case Rate,,8513.610449,,MS-DRG,999999999,Case Rate,,8595.472088,,MS-DRG,999999999,Case Rate,,8677.333727,,MS-DRG,999999999,Case Rate,,8595.472088,,MS-DRG,999999999,Case Rate,,8677.333727,,MS-DRG,999999999,Case Rate,,8800.126185,,MS-DRG,999999999,Case Rate,,8186.163893,,MS-DRG,999999999,Case Rate,,8431.74881,,MS-DRG,999999999,Case Rate,,8595.472088,,MS-DRG,999999999,Case Rate,,8595.472088,,MS-DRG,999999999,Case Rate,,8677.333727,,MS-DRG,999999999,Case Rate,,8186.163893,,MS-DRG,999999999,Case Rate,,8186.163893,,MS-DRG,999999999,Case Rate,,8186.163893,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROSTATECTOMY WITH MCC,665,MS-DRG,,,,,inpatient,,,,,,21014.09,37538.85782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37538.85782,,MS-DRG,999999999,Case Rate,,37538.85782,,MS-DRG,999999999,Case Rate,,26277.20047,,MS-DRG,21014.09,Case Rate,,26026.94142,,MS-DRG,999999999,Case Rate,,26026.94142,,MS-DRG,999999999,Case Rate,,26277.20047,,MS-DRG,999999999,Case Rate,,26527.45953,,MS-DRG,999999999,Case Rate,,26277.20047,,MS-DRG,999999999,Case Rate,,26527.45953,,MS-DRG,999999999,Case Rate,,26902.8481,,MS-DRG,999999999,Case Rate,,25025.90521,,MS-DRG,999999999,Case Rate,,25776.68237,,MS-DRG,999999999,Case Rate,,26277.20047,,MS-DRG,999999999,Case Rate,,26277.20047,,MS-DRG,999999999,Case Rate,,26527.45953,,MS-DRG,999999999,Case Rate,,25025.90521,,MS-DRG,999999999,Case Rate,,25025.90521,,MS-DRG,999999999,Case Rate,,25025.90521,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROSTATECTOMY WITH CC,666,MS-DRG,,,,,inpatient,,,,,,12246.21708,18369.32563,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18369.32563,,MS-DRG,999999999,Case Rate,,18369.32563,,MS-DRG,999999999,Case Rate,,12858.52794,,MS-DRG,999999999,Case Rate,,12736.06577,,MS-DRG,999999999,Case Rate,,12736.06577,,MS-DRG,999999999,Case Rate,,12858.52794,,MS-DRG,999999999,Case Rate,,12980.99011,,MS-DRG,999999999,Case Rate,,12858.52794,,MS-DRG,999999999,Case Rate,,12980.99011,,MS-DRG,999999999,Case Rate,,13164.68336,,MS-DRG,999999999,Case Rate,,12246.21708,,MS-DRG,999999999,Case Rate,,12613.6036,,MS-DRG,999999999,Case Rate,,12858.52794,,MS-DRG,999999999,Case Rate,,12858.52794,,MS-DRG,999999999,Case Rate,,12980.99011,,MS-DRG,999999999,Case Rate,,12246.21708,,MS-DRG,999999999,Case Rate,,12246.21708,,MS-DRG,999999999,Case Rate,,12246.21708,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PROSTATECTOMY WITHOUT CC/MCC,667,MS-DRG,,,,,inpatient,,,,,,7814.141399,11721.2121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11721.2121,,MS-DRG,999999999,Case Rate,,11721.2121,,MS-DRG,999999999,Case Rate,,8204.848468,,MS-DRG,999999999,Case Rate,,8126.707054,,MS-DRG,999999999,Case Rate,,8126.707054,,MS-DRG,999999999,Case Rate,,8204.848468,,MS-DRG,999999999,Case Rate,,8282.989882,,MS-DRG,999999999,Case Rate,,8204.848468,,MS-DRG,999999999,Case Rate,,8282.989882,,MS-DRG,999999999,Case Rate,,8400.202003,,MS-DRG,999999999,Case Rate,,7814.141399,,MS-DRG,999999999,Case Rate,,8048.56564,,MS-DRG,999999999,Case Rate,,8204.848468,,MS-DRG,999999999,Case Rate,,8204.848468,,MS-DRG,999999999,Case Rate,,8282.989882,,MS-DRG,999999999,Case Rate,,7814.141399,,MS-DRG,999999999,Case Rate,,7814.141399,,MS-DRG,999999999,Case Rate,,7814.141399,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANSURETHRAL PROCEDURES WITH MCC,668,MS-DRG,,,,,inpatient,,,,,,21324.99682,31987.49522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31987.49522,,MS-DRG,999999999,Case Rate,,31987.49522,,MS-DRG,999999999,Case Rate,,22391.24666,,MS-DRG,999999999,Case Rate,,22177.99669,,MS-DRG,999999999,Case Rate,,22177.99669,,MS-DRG,999999999,Case Rate,,22391.24666,,MS-DRG,999999999,Case Rate,,22604.49663,,MS-DRG,999999999,Case Rate,,22391.24666,,MS-DRG,999999999,Case Rate,,22604.49663,,MS-DRG,999999999,Case Rate,,22924.37158,,MS-DRG,999999999,Case Rate,,21324.99682,,MS-DRG,999999999,Case Rate,,21964.74672,,MS-DRG,999999999,Case Rate,,22391.24666,,MS-DRG,999999999,Case Rate,,22391.24666,,MS-DRG,999999999,Case Rate,,22604.49663,,MS-DRG,999999999,Case Rate,,21324.99682,,MS-DRG,999999999,Case Rate,,21324.99682,,MS-DRG,999999999,Case Rate,,21324.99682,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANSURETHRAL PROCEDURES WITH CC,669,MS-DRG,,,,,inpatient,,,,,,11532.22006,17298.3301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17298.3301,,MS-DRG,999999999,Case Rate,,17298.3301,,MS-DRG,999999999,Case Rate,,12108.83107,,MS-DRG,11709.98,Case Rate,,11993.50887,,MS-DRG,999999999,Case Rate,,11993.50887,,MS-DRG,999999999,Case Rate,,12108.83107,,MS-DRG,999999999,Case Rate,,12224.15327,,MS-DRG,999999999,Case Rate,,12108.83107,,MS-DRG,999999999,Case Rate,,12224.15327,,MS-DRG,999999999,Case Rate,,12397.13657,,MS-DRG,999999999,Case Rate,,11532.22006,,MS-DRG,999999999,Case Rate,,11878.18667,,MS-DRG,999999999,Case Rate,,12108.83107,,MS-DRG,999999999,Case Rate,,12108.83107,,MS-DRG,999999999,Case Rate,,12224.15327,,MS-DRG,999999999,Case Rate,,11532.22006,,MS-DRG,999999999,Case Rate,,11532.22006,,MS-DRG,999999999,Case Rate,,11532.22006,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,670,MS-DRG,,,,,inpatient,,,,,,7298.317901,10947.47685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10947.47685,,MS-DRG,999999999,Case Rate,,10947.47685,,MS-DRG,999999999,Case Rate,,7663.233796,,MS-DRG,999999999,Case Rate,,7590.250617,,MS-DRG,999999999,Case Rate,,7590.250617,,MS-DRG,999999999,Case Rate,,7663.233796,,MS-DRG,999999999,Case Rate,,7736.216975,,MS-DRG,999999999,Case Rate,,7663.233796,,MS-DRG,999999999,Case Rate,,7736.216975,,MS-DRG,999999999,Case Rate,,7845.691743,,MS-DRG,7414.03,Case Rate,,7298.317901,,MS-DRG,999999999,Case Rate,,7517.267438,,MS-DRG,999999999,Case Rate,,7663.233796,,MS-DRG,999999999,Case Rate,,7663.233796,,MS-DRG,999999999,Case Rate,,7736.216975,,MS-DRG,999999999,Case Rate,,7298.317901,,MS-DRG,999999999,Case Rate,,7298.317901,,MS-DRG,999999999,Case Rate,,7298.317901,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URETHRAL PROCEDURES WITH CC/MCC,671,MS-DRG,,,,,inpatient,,,,,,12792.80398,19189.20597,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19189.20597,,MS-DRG,999999999,Case Rate,,19189.20597,,MS-DRG,999999999,Case Rate,,13432.44418,,MS-DRG,999999999,Case Rate,,13304.51614,,MS-DRG,999999999,Case Rate,,13304.51614,,MS-DRG,999999999,Case Rate,,13432.44418,,MS-DRG,999999999,Case Rate,,13560.37222,,MS-DRG,999999999,Case Rate,,13432.44418,,MS-DRG,999999999,Case Rate,,13560.37222,,MS-DRG,999999999,Case Rate,,13752.26428,,MS-DRG,999999999,Case Rate,,12792.80398,,MS-DRG,999999999,Case Rate,,13176.5881,,MS-DRG,999999999,Case Rate,,13432.44418,,MS-DRG,999999999,Case Rate,,13432.44418,,MS-DRG,999999999,Case Rate,,13560.37222,,MS-DRG,999999999,Case Rate,,12792.80398,,MS-DRG,999999999,Case Rate,,12792.80398,,MS-DRG,999999999,Case Rate,,12792.80398,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URETHRAL PROCEDURES WITHOUT CC/MCC,672,MS-DRG,,,,,inpatient,,,,,,8290.616363,12435.92454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12435.92454,,MS-DRG,999999999,Case Rate,,12435.92454,,MS-DRG,999999999,Case Rate,,8705.147181,,MS-DRG,999999999,Case Rate,,8622.241018,,MS-DRG,999999999,Case Rate,,8622.241018,,MS-DRG,999999999,Case Rate,,8705.147181,,MS-DRG,999999999,Case Rate,,8788.053345,,MS-DRG,999999999,Case Rate,,8705.147181,,MS-DRG,999999999,Case Rate,,8788.053345,,MS-DRG,999999999,Case Rate,,8912.41259,,MS-DRG,999999999,Case Rate,,8290.616363,,MS-DRG,999999999,Case Rate,,8539.334854,,MS-DRG,999999999,Case Rate,,8705.147181,,MS-DRG,999999999,Case Rate,,8705.147181,,MS-DRG,999999999,Case Rate,,8788.053345,,MS-DRG,999999999,Case Rate,,8290.616363,,MS-DRG,999999999,Case Rate,,8290.616363,,MS-DRG,999999999,Case Rate,,8290.616363,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,673,MS-DRG,,,,,inpatient,,,,,,7397.8,45651.80992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45651.80992,,MS-DRG,999999999,Case Rate,,45651.80992,,MS-DRG,999999999,Case Rate,,31956.26695,,MS-DRG,999999999,Case Rate,,31651.92155,,MS-DRG,7397.8,Case Rate,,31651.92155,,MS-DRG,36301.74,Case Rate,,31956.26695,,MS-DRG,999999999,Case Rate,,32260.61234,,MS-DRG,999999999,Case Rate,,31956.26695,,MS-DRG,999999999,Case Rate,,32260.61234,,MS-DRG,999999999,Case Rate,,32717.13044,,MS-DRG,27536.37667,Case Rate,,30434.53995,,MS-DRG,999999999,Case Rate,,31347.57615,,MS-DRG,999999999,Case Rate,,31956.26695,,MS-DRG,999999999,Case Rate,,31956.26695,,MS-DRG,999999999,Case Rate,,32260.61234,,MS-DRG,999999999,Case Rate,,30434.53995,,MS-DRG,999999999,Case Rate,,30434.53995,,MS-DRG,999999999,Case Rate,,30434.53995,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,674,MS-DRG,,,,,inpatient,,,,,,16975.91076,25463.86615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25463.86615,,MS-DRG,999999999,Case Rate,,25463.86615,,MS-DRG,999999999,Case Rate,,17824.7063,,MS-DRG,999999999,Case Rate,,17654.9472,,MS-DRG,999999999,Case Rate,,17654.9472,,MS-DRG,999999999,Case Rate,,17824.7063,,MS-DRG,999999999,Case Rate,,17994.46541,,MS-DRG,999999999,Case Rate,,17824.7063,,MS-DRG,999999999,Case Rate,,17994.46541,,MS-DRG,999999999,Case Rate,,18249.10407,,MS-DRG,999999999,Case Rate,,16975.91076,,MS-DRG,999999999,Case Rate,,17485.18809,,MS-DRG,999999999,Case Rate,,17824.7063,,MS-DRG,999999999,Case Rate,,17824.7063,,MS-DRG,999999999,Case Rate,,17994.46541,,MS-DRG,999999999,Case Rate,,16975.91076,,MS-DRG,999999999,Case Rate,,16975.91076,,MS-DRG,999999999,Case Rate,,16975.91076,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,675,MS-DRG,,,,,inpatient,,,,,,11659.56623,17489.34934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17489.34934,,MS-DRG,999999999,Case Rate,,17489.34934,,MS-DRG,999999999,Case Rate,,12242.54454,,MS-DRG,999999999,Case Rate,,12125.94888,,MS-DRG,999999999,Case Rate,,12125.94888,,MS-DRG,999999999,Case Rate,,12242.54454,,MS-DRG,999999999,Case Rate,,12359.1402,,MS-DRG,999999999,Case Rate,,12242.54454,,MS-DRG,999999999,Case Rate,,12359.1402,,MS-DRG,999999999,Case Rate,,12534.03369,,MS-DRG,999999999,Case Rate,,11659.56623,,MS-DRG,999999999,Case Rate,,12009.35321,,MS-DRG,999999999,Case Rate,,12242.54454,,MS-DRG,999999999,Case Rate,,12242.54454,,MS-DRG,999999999,Case Rate,,12359.1402,,MS-DRG,999999999,Case Rate,,11659.56623,,MS-DRG,999999999,Case Rate,,11659.56623,,MS-DRG,999999999,Case Rate,,11659.56623,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RENAL FAILURE WITH MCC,682,MS-DRG,,,,,inpatient,,,,,,5384.2125,16808.97743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16808.97743,,MS-DRG,999999999,Case Rate,,16808.97743,,MS-DRG,999999999,Case Rate,,11766.2842,,MS-DRG,5538.165,Case Rate,,11654.22435,,MS-DRG,999999999,Case Rate,,11654.22435,,MS-DRG,8062.953333,Case Rate,,11766.2842,,MS-DRG,999999999,Case Rate,,11878.34405,,MS-DRG,999999999,Case Rate,,11766.2842,,MS-DRG,999999999,Case Rate,,11878.34405,,MS-DRG,999999999,Case Rate,,12046.43383,,MS-DRG,5384.2125,Case Rate,,11205.98495,,MS-DRG,999999999,Case Rate,,11542.1645,,MS-DRG,999999999,Case Rate,,11766.2842,,MS-DRG,999999999,Case Rate,,11766.2842,,MS-DRG,999999999,Case Rate,,11878.34405,,MS-DRG,999999999,Case Rate,,11205.98495,,MS-DRG,999999999,Case Rate,,11205.98495,,MS-DRG,999999999,Case Rate,,11205.98495,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RENAL FAILURE WITH CC,683,MS-DRG,,,,,inpatient,,,,,,3242.420714,10230.61812,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10230.61812,,MS-DRG,999999999,Case Rate,,10230.61812,,MS-DRG,999999999,Case Rate,,7161.432684,,MS-DRG,6849.905,Case Rate,,7093.228563,,MS-DRG,5473.35,Case Rate,,7093.228563,,MS-DRG,3242.420714,Case Rate,,7161.432684,,MS-DRG,999999999,Case Rate,,7229.636805,,MS-DRG,999999999,Case Rate,,7161.432684,,MS-DRG,999999999,Case Rate,,7229.636805,,MS-DRG,999999999,Case Rate,,7331.942986,,MS-DRG,6104.4625,Case Rate,,6820.41208,,MS-DRG,999999999,Case Rate,,7025.024443,,MS-DRG,999999999,Case Rate,,7161.432684,,MS-DRG,999999999,Case Rate,,7161.432684,,MS-DRG,999999999,Case Rate,,7229.636805,,MS-DRG,999999999,Case Rate,,6820.41208,,MS-DRG,999999999,Case Rate,,6820.41208,,MS-DRG,999999999,Case Rate,,6820.41208,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RENAL FAILURE WITHOUT CC/MCC,684,MS-DRG,,,,,inpatient,,,,,,4806.482612,7209.723918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7209.723918,,MS-DRG,999999999,Case Rate,,7209.723918,,MS-DRG,999999999,Case Rate,,5046.806743,,MS-DRG,999999999,Case Rate,,4998.741917,,MS-DRG,999999999,Case Rate,,4998.741917,,MS-DRG,999999999,Case Rate,,5046.806743,,MS-DRG,999999999,Case Rate,,5094.871569,,MS-DRG,999999999,Case Rate,,5046.806743,,MS-DRG,999999999,Case Rate,,5094.871569,,MS-DRG,999999999,Case Rate,,5166.968808,,MS-DRG,4947.03,Case Rate,,4806.482612,,MS-DRG,999999999,Case Rate,,4950.677091,,MS-DRG,999999999,Case Rate,,5046.806743,,MS-DRG,999999999,Case Rate,,5046.806743,,MS-DRG,999999999,Case Rate,,5094.871569,,MS-DRG,999999999,Case Rate,,4806.482612,,MS-DRG,999999999,Case Rate,,4806.482612,,MS-DRG,999999999,Case Rate,,4806.482612,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,686,MS-DRG,,,,,inpatient,,,,,,13951.79714,20927.69571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20927.69571,,MS-DRG,999999999,Case Rate,,20927.69571,,MS-DRG,999999999,Case Rate,,14649.38699,,MS-DRG,999999999,Case Rate,,14509.86902,,MS-DRG,999999999,Case Rate,,14509.86902,,MS-DRG,999999999,Case Rate,,14649.38699,,MS-DRG,999999999,Case Rate,,14788.90497,,MS-DRG,999999999,Case Rate,,14649.38699,,MS-DRG,999999999,Case Rate,,14788.90497,,MS-DRG,999999999,Case Rate,,14998.18192,,MS-DRG,999999999,Case Rate,,13951.79714,,MS-DRG,999999999,Case Rate,,14370.35105,,MS-DRG,999999999,Case Rate,,14649.38699,,MS-DRG,999999999,Case Rate,,14649.38699,,MS-DRG,999999999,Case Rate,,14788.90497,,MS-DRG,999999999,Case Rate,,13951.79714,,MS-DRG,999999999,Case Rate,,13951.79714,,MS-DRG,999999999,Case Rate,,13951.79714,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,687,MS-DRG,,,,,inpatient,,,,,,49.3,11988.42441,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11988.42441,,MS-DRG,999999999,Case Rate,,11988.42441,,MS-DRG,999999999,Case Rate,,8391.897086,,MS-DRG,999999999,Case Rate,,8311.974257,,MS-DRG,999999999,Case Rate,,8311.974257,,MS-DRG,1205.42,Case Rate,,8391.897086,,MS-DRG,999999999,Case Rate,,8471.819916,,MS-DRG,999999999,Case Rate,,8391.897086,,MS-DRG,999999999,Case Rate,,8471.819916,,MS-DRG,999999999,Case Rate,,8591.70416,,MS-DRG,49.3,Case Rate,,7992.282939,,MS-DRG,999999999,Case Rate,,8232.051428,,MS-DRG,999999999,Case Rate,,8391.897086,,MS-DRG,999999999,Case Rate,,8391.897086,,MS-DRG,999999999,Case Rate,,8471.819916,,MS-DRG,999999999,Case Rate,,7992.282939,,MS-DRG,999999999,Case Rate,,7992.282939,,MS-DRG,999999999,Case Rate,,7992.282939,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,688,MS-DRG,,,,,inpatient,,,,,,5642.10237,8463.153555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8463.153555,,MS-DRG,999999999,Case Rate,,8463.153555,,MS-DRG,999999999,Case Rate,,5924.207489,,MS-DRG,999999999,Case Rate,,5867.786465,,MS-DRG,999999999,Case Rate,,5867.786465,,MS-DRG,999999999,Case Rate,,5924.207489,,MS-DRG,999999999,Case Rate,,5980.628512,,MS-DRG,999999999,Case Rate,,5924.207489,,MS-DRG,999999999,Case Rate,,5980.628512,,MS-DRG,999999999,Case Rate,,6065.260048,,MS-DRG,999999999,Case Rate,,5642.10237,,MS-DRG,999999999,Case Rate,,5811.365441,,MS-DRG,999999999,Case Rate,,5924.207489,,MS-DRG,999999999,Case Rate,,5924.207489,,MS-DRG,999999999,Case Rate,,5980.628512,,MS-DRG,999999999,Case Rate,,5642.10237,,MS-DRG,999999999,Case Rate,,5642.10237,,MS-DRG,999999999,Case Rate,,5642.10237,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,689,MS-DRG,,,,,inpatient,,,,,,4191.52375,13250.43918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13250.43918,,MS-DRG,999999999,Case Rate,,13250.43918,,MS-DRG,999999999,Case Rate,,9275.307426,,MS-DRG,4191.52375,Case Rate,,9186.971165,,MS-DRG,8683.96,Case Rate,,9186.971165,,MS-DRG,5353.985385,Case Rate,,9275.307426,,MS-DRG,999999999,Case Rate,,9363.643687,,MS-DRG,999999999,Case Rate,,9275.307426,,MS-DRG,999999999,Case Rate,,9363.643687,,MS-DRG,7495.93,Case Rate,,9496.148079,,MS-DRG,5112.702,Case Rate,,8833.62612,,MS-DRG,999999999,Case Rate,,9098.634904,,MS-DRG,999999999,Case Rate,,9275.307426,,MS-DRG,999999999,Case Rate,,9275.307426,,MS-DRG,999999999,Case Rate,,9363.643687,,MS-DRG,999999999,Case Rate,,8833.62612,,MS-DRG,999999999,Case Rate,,8833.62612,,MS-DRG,999999999,Case Rate,,8833.62612,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,690,MS-DRG,,,,,inpatient,,,,,,1514.12,9304.496736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9304.496736,,MS-DRG,999999999,Case Rate,,9304.496736,,MS-DRG,999999999,Case Rate,,6513.147715,,MS-DRG,4029.165,Case Rate,,6451.117737,,MS-DRG,5551.476,Case Rate,,6451.117737,,MS-DRG,2687.021818,Case Rate,,6513.147715,,MS-DRG,999999999,Case Rate,,6575.177694,,MS-DRG,999999999,Case Rate,,6513.147715,,MS-DRG,999999999,Case Rate,,6575.177694,,MS-DRG,1514.12,Case Rate,,6668.222661,,MS-DRG,5463.883333,Case Rate,,6202.997824,,MS-DRG,999999999,Case Rate,,6389.087759,,MS-DRG,999999999,Case Rate,,6513.147715,,MS-DRG,999999999,Case Rate,,6513.147715,,MS-DRG,999999999,Case Rate,,6575.177694,,MS-DRG,999999999,Case Rate,,6202.997824,,MS-DRG,999999999,Case Rate,,6202.997824,,MS-DRG,999999999,Case Rate,,6202.997824,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URINARY STONES WITH MCC,693,MS-DRG,,,,,inpatient,,,,,,10980.62517,16470.93776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16470.93776,,MS-DRG,999999999,Case Rate,,16470.93776,,MS-DRG,999999999,Case Rate,,11529.65643,,MS-DRG,999999999,Case Rate,,11419.85018,,MS-DRG,999999999,Case Rate,,11419.85018,,MS-DRG,999999999,Case Rate,,11529.65643,,MS-DRG,999999999,Case Rate,,11639.46268,,MS-DRG,999999999,Case Rate,,11529.65643,,MS-DRG,999999999,Case Rate,,11639.46268,,MS-DRG,999999999,Case Rate,,11804.17206,,MS-DRG,999999999,Case Rate,,10980.62517,,MS-DRG,999999999,Case Rate,,11310.04393,,MS-DRG,999999999,Case Rate,,11529.65643,,MS-DRG,999999999,Case Rate,,11529.65643,,MS-DRG,999999999,Case Rate,,11639.46268,,MS-DRG,999999999,Case Rate,,10980.62517,,MS-DRG,999999999,Case Rate,,10980.62517,,MS-DRG,999999999,Case Rate,,10980.62517,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URINARY STONES WITHOUT MCC,694,MS-DRG,,,,,inpatient,,,,,,6051.327115,9076.990672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9076.990672,,MS-DRG,999999999,Case Rate,,9076.990672,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6293.380199,,MS-DRG,999999999,Case Rate,,6293.380199,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6414.406742,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6414.406742,,MS-DRG,999999999,Case Rate,,6505.176648,,MS-DRG,999999999,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,6232.866928,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6353.89347,,MS-DRG,999999999,Case Rate,,6414.406742,,MS-DRG,999999999,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,6051.327115,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,695,MS-DRG,,,,,inpatient,,,,,,8529.569273,12794.35391,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12794.35391,,MS-DRG,999999999,Case Rate,,12794.35391,,MS-DRG,999999999,Case Rate,,8956.047737,,MS-DRG,999999999,Case Rate,,8870.752044,,MS-DRG,999999999,Case Rate,,8870.752044,,MS-DRG,999999999,Case Rate,,8956.047737,,MS-DRG,999999999,Case Rate,,9041.34343,,MS-DRG,999999999,Case Rate,,8956.047737,,MS-DRG,999999999,Case Rate,,9041.34343,,MS-DRG,999999999,Case Rate,,9169.286969,,MS-DRG,999999999,Case Rate,,8529.569273,,MS-DRG,999999999,Case Rate,,8785.456352,,MS-DRG,999999999,Case Rate,,8956.047737,,MS-DRG,999999999,Case Rate,,8956.047737,,MS-DRG,999999999,Case Rate,,9041.34343,,MS-DRG,999999999,Case Rate,,8529.569273,,MS-DRG,999999999,Case Rate,,8529.569273,,MS-DRG,999999999,Case Rate,,8529.569273,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,696,MS-DRG,,,,,inpatient,,,,,,5098.09,8115.455608,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8115.455608,,MS-DRG,999999999,Case Rate,,8115.455608,,MS-DRG,999999999,Case Rate,,5680.818926,,MS-DRG,999999999,Case Rate,,5626.715888,,MS-DRG,999999999,Case Rate,,5626.715888,,MS-DRG,5098.09,Case Rate,,5680.818926,,MS-DRG,999999999,Case Rate,,5734.921963,,MS-DRG,999999999,Case Rate,,5680.818926,,MS-DRG,999999999,Case Rate,,5734.921963,,MS-DRG,999999999,Case Rate,,5816.076519,,MS-DRG,999999999,Case Rate,,5410.303739,,MS-DRG,999999999,Case Rate,,5572.612851,,MS-DRG,999999999,Case Rate,,5680.818926,,MS-DRG,999999999,Case Rate,,5680.818926,,MS-DRG,999999999,Case Rate,,5734.921963,,MS-DRG,999999999,Case Rate,,5410.303739,,MS-DRG,999999999,Case Rate,,5410.303739,,MS-DRG,999999999,Case Rate,,5410.303739,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
URETHRAL STRICTURE,697,MS-DRG,,,,,inpatient,,,,,,7628.130151,11442.19523,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11442.19523,,MS-DRG,999999999,Case Rate,,11442.19523,,MS-DRG,999999999,Case Rate,,8009.536659,,MS-DRG,999999999,Case Rate,,7933.255357,,MS-DRG,999999999,Case Rate,,7933.255357,,MS-DRG,999999999,Case Rate,,8009.536659,,MS-DRG,999999999,Case Rate,,8085.81796,,MS-DRG,999999999,Case Rate,,8009.536659,,MS-DRG,999999999,Case Rate,,8085.81796,,MS-DRG,999999999,Case Rate,,8200.239912,,MS-DRG,999999999,Case Rate,,7628.130151,,MS-DRG,999999999,Case Rate,,7856.974056,,MS-DRG,999999999,Case Rate,,8009.536659,,MS-DRG,999999999,Case Rate,,8009.536659,,MS-DRG,999999999,Case Rate,,8085.81796,,MS-DRG,999999999,Case Rate,,7628.130151,,MS-DRG,999999999,Case Rate,,7628.130151,,MS-DRG,999999999,Case Rate,,7628.130151,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,698,MS-DRG,,,,,inpatient,,,,,,650.9,18729.90127,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18729.90127,,MS-DRG,999999999,Case Rate,,18729.90127,,MS-DRG,999999999,Case Rate,,13110.93089,,MS-DRG,650.9,Case Rate,,12986.06488,,MS-DRG,10013.555,Case Rate,,12986.06488,,MS-DRG,6483.375,Case Rate,,13110.93089,,MS-DRG,999999999,Case Rate,,13235.7969,,MS-DRG,999999999,Case Rate,,13110.93089,,MS-DRG,999999999,Case Rate,,13235.7969,,MS-DRG,999999999,Case Rate,,13423.09591,,MS-DRG,7433.648,Case Rate,,12486.60085,,MS-DRG,999999999,Case Rate,,12861.19888,,MS-DRG,999999999,Case Rate,,13110.93089,,MS-DRG,999999999,Case Rate,,13110.93089,,MS-DRG,999999999,Case Rate,,13235.7969,,MS-DRG,999999999,Case Rate,,12486.60085,,MS-DRG,999999999,Case Rate,,12486.60085,,MS-DRG,999999999,Case Rate,,12486.60085,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,699,MS-DRG,,,,,inpatient,,,,,,3836.47,11636.43389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11636.43389,,MS-DRG,999999999,Case Rate,,11636.43389,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,3836.47,Case Rate,,8067.9275,,MS-DRG,999999999,Case Rate,,8067.9275,,MS-DRG,6060.738,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8223.079952,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8223.079952,,MS-DRG,999999999,Case Rate,,8339.444291,,MS-DRG,4461.34,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,7990.351274,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8223.079952,,MS-DRG,999999999,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,700,MS-DRG,,,,,inpatient,,,,,,5427.474008,8141.211012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8141.211012,,MS-DRG,999999999,Case Rate,,8141.211012,,MS-DRG,999999999,Case Rate,,5698.847708,,MS-DRG,999999999,Case Rate,,5644.572968,,MS-DRG,999999999,Case Rate,,5644.572968,,MS-DRG,999999999,Case Rate,,5698.847708,,MS-DRG,999999999,Case Rate,,5753.122448,,MS-DRG,999999999,Case Rate,,5698.847708,,MS-DRG,999999999,Case Rate,,5753.122448,,MS-DRG,999999999,Case Rate,,5834.534558,,MS-DRG,999999999,Case Rate,,5427.474008,,MS-DRG,999999999,Case Rate,,5590.298228,,MS-DRG,999999999,Case Rate,,5698.847708,,MS-DRG,999999999,Case Rate,,5698.847708,,MS-DRG,999999999,Case Rate,,5753.122448,,MS-DRG,999999999,Case Rate,,5427.474008,,MS-DRG,999999999,Case Rate,,5427.474008,,MS-DRG,999999999,Case Rate,,5427.474008,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,707,MS-DRG,,,,,inpatient,,,,,,14344.56704,21516.85056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21516.85056,,MS-DRG,999999999,Case Rate,,21516.85056,,MS-DRG,999999999,Case Rate,,15061.79539,,MS-DRG,999999999,Case Rate,,14918.34972,,MS-DRG,999999999,Case Rate,,14918.34972,,MS-DRG,999999999,Case Rate,,15061.79539,,MS-DRG,999999999,Case Rate,,15205.24106,,MS-DRG,999999999,Case Rate,,15061.79539,,MS-DRG,999999999,Case Rate,,15205.24106,,MS-DRG,999999999,Case Rate,,15420.40957,,MS-DRG,999999999,Case Rate,,14344.56704,,MS-DRG,999999999,Case Rate,,14774.90405,,MS-DRG,999999999,Case Rate,,15061.79539,,MS-DRG,999999999,Case Rate,,15061.79539,,MS-DRG,999999999,Case Rate,,15205.24106,,MS-DRG,999999999,Case Rate,,14344.56704,,MS-DRG,999999999,Case Rate,,14344.56704,,MS-DRG,999999999,Case Rate,,14344.56704,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,708,MS-DRG,,,,,inpatient,,,,,,11067.19195,16600.78792,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16600.78792,,MS-DRG,999999999,Case Rate,,16600.78792,,MS-DRG,999999999,Case Rate,,11620.55154,,MS-DRG,999999999,Case Rate,,11509.87962,,MS-DRG,999999999,Case Rate,,11509.87962,,MS-DRG,999999999,Case Rate,,11620.55154,,MS-DRG,999999999,Case Rate,,11731.22346,,MS-DRG,999999999,Case Rate,,11620.55154,,MS-DRG,999999999,Case Rate,,11731.22346,,MS-DRG,999999999,Case Rate,,11897.23134,,MS-DRG,999999999,Case Rate,,11067.19195,,MS-DRG,999999999,Case Rate,,11399.2077,,MS-DRG,999999999,Case Rate,,11620.55154,,MS-DRG,999999999,Case Rate,,11620.55154,,MS-DRG,999999999,Case Rate,,11731.22346,,MS-DRG,999999999,Case Rate,,11067.19195,,MS-DRG,999999999,Case Rate,,11067.19195,,MS-DRG,999999999,Case Rate,,11067.19195,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENIS PROCEDURES WITH CC/MCC,709,MS-DRG,,,,,inpatient,,,,,,16537.35348,24806.03022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24806.03022,,MS-DRG,999999999,Case Rate,,24806.03022,,MS-DRG,999999999,Case Rate,,17364.22115,,MS-DRG,999999999,Case Rate,,17198.84762,,MS-DRG,999999999,Case Rate,,17198.84762,,MS-DRG,999999999,Case Rate,,17364.22115,,MS-DRG,999999999,Case Rate,,17529.59469,,MS-DRG,999999999,Case Rate,,17364.22115,,MS-DRG,999999999,Case Rate,,17529.59469,,MS-DRG,999999999,Case Rate,,17777.65499,,MS-DRG,999999999,Case Rate,,16537.35348,,MS-DRG,999999999,Case Rate,,17033.47408,,MS-DRG,999999999,Case Rate,,17364.22115,,MS-DRG,999999999,Case Rate,,17364.22115,,MS-DRG,999999999,Case Rate,,17529.59469,,MS-DRG,999999999,Case Rate,,16537.35348,,MS-DRG,999999999,Case Rate,,16537.35348,,MS-DRG,999999999,Case Rate,,16537.35348,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PENIS PROCEDURES WITHOUT CC/MCC,710,MS-DRG,,,,,inpatient,,,,,,11202.40781,16803.61172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16803.61172,,MS-DRG,999999999,Case Rate,,16803.61172,,MS-DRG,999999999,Case Rate,,11762.5282,,MS-DRG,999999999,Case Rate,,11650.50413,,MS-DRG,999999999,Case Rate,,11650.50413,,MS-DRG,999999999,Case Rate,,11762.5282,,MS-DRG,999999999,Case Rate,,11874.55228,,MS-DRG,999999999,Case Rate,,11762.5282,,MS-DRG,999999999,Case Rate,,11874.55228,,MS-DRG,999999999,Case Rate,,12042.5884,,MS-DRG,999999999,Case Rate,,11202.40781,,MS-DRG,999999999,Case Rate,,11538.48005,,MS-DRG,999999999,Case Rate,,11762.5282,,MS-DRG,999999999,Case Rate,,11762.5282,,MS-DRG,999999999,Case Rate,,11874.55228,,MS-DRG,999999999,Case Rate,,11202.40781,,MS-DRG,999999999,Case Rate,,11202.40781,,MS-DRG,999999999,Case Rate,,11202.40781,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TESTES PROCEDURES WITH CC/MCC,711,MS-DRG,,,,,inpatient,,,,,,14129.93868,21194.90802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21194.90802,,MS-DRG,999999999,Case Rate,,21194.90802,,MS-DRG,999999999,Case Rate,,14836.43561,,MS-DRG,999999999,Case Rate,,14695.13623,,MS-DRG,999999999,Case Rate,,14695.13623,,MS-DRG,999999999,Case Rate,,14836.43561,,MS-DRG,999999999,Case Rate,,14977.735,,MS-DRG,999999999,Case Rate,,14836.43561,,MS-DRG,999999999,Case Rate,,14977.735,,MS-DRG,999999999,Case Rate,,15189.68408,,MS-DRG,999999999,Case Rate,,14129.93868,,MS-DRG,999999999,Case Rate,,14553.83684,,MS-DRG,999999999,Case Rate,,14836.43561,,MS-DRG,999999999,Case Rate,,14836.43561,,MS-DRG,999999999,Case Rate,,14977.735,,MS-DRG,999999999,Case Rate,,14129.93868,,MS-DRG,999999999,Case Rate,,14129.93868,,MS-DRG,999999999,Case Rate,,14129.93868,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TESTES PROCEDURES WITHOUT CC/MCC,712,MS-DRG,,,,,inpatient,,,,,,8113.19025,12169.78538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12169.78538,,MS-DRG,999999999,Case Rate,,12169.78538,,MS-DRG,999999999,Case Rate,,8518.849763,,MS-DRG,999999999,Case Rate,,8437.71786,,MS-DRG,999999999,Case Rate,,8437.71786,,MS-DRG,999999999,Case Rate,,8518.849763,,MS-DRG,999999999,Case Rate,,8599.981665,,MS-DRG,999999999,Case Rate,,8518.849763,,MS-DRG,999999999,Case Rate,,8599.981665,,MS-DRG,999999999,Case Rate,,8721.679519,,MS-DRG,999999999,Case Rate,,8113.19025,,MS-DRG,999999999,Case Rate,,8356.585958,,MS-DRG,999999999,Case Rate,,8518.849763,,MS-DRG,999999999,Case Rate,,8518.849763,,MS-DRG,999999999,Case Rate,,8599.981665,,MS-DRG,999999999,Case Rate,,8113.19025,,MS-DRG,999999999,Case Rate,,8113.19025,,MS-DRG,999999999,Case Rate,,8113.19025,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,713,MS-DRG,,,,,inpatient,,,,,,10806.06077,16209.09116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16209.09116,,MS-DRG,999999999,Case Rate,,16209.09116,,MS-DRG,999999999,Case Rate,,11346.36381,,MS-DRG,999999999,Case Rate,,11238.3032,,MS-DRG,999999999,Case Rate,,11238.3032,,MS-DRG,10846.9,Case Rate,,11346.36381,,MS-DRG,999999999,Case Rate,,11454.42442,,MS-DRG,999999999,Case Rate,,11346.36381,,MS-DRG,999999999,Case Rate,,11454.42442,,MS-DRG,999999999,Case Rate,,11616.51533,,MS-DRG,999999999,Case Rate,,10806.06077,,MS-DRG,999999999,Case Rate,,11130.24259,,MS-DRG,999999999,Case Rate,,11346.36381,,MS-DRG,999999999,Case Rate,,11346.36381,,MS-DRG,999999999,Case Rate,,11454.42442,,MS-DRG,999999999,Case Rate,,10806.06077,,MS-DRG,999999999,Case Rate,,10806.06077,,MS-DRG,999999999,Case Rate,,10806.06077,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,714,MS-DRG,,,,,inpatient,,,,,,7183.849441,10775.77416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10775.77416,,MS-DRG,999999999,Case Rate,,10775.77416,,MS-DRG,999999999,Case Rate,,7543.041913,,MS-DRG,999999999,Case Rate,,7471.203418,,MS-DRG,999999999,Case Rate,,7471.203418,,MS-DRG,999999999,Case Rate,,7543.041913,,MS-DRG,999999999,Case Rate,,7614.880407,,MS-DRG,999999999,Case Rate,,7543.041913,,MS-DRG,999999999,Case Rate,,7614.880407,,MS-DRG,999999999,Case Rate,,7722.638149,,MS-DRG,999999999,Case Rate,,7183.849441,,MS-DRG,999999999,Case Rate,,7399.364924,,MS-DRG,999999999,Case Rate,,7543.041913,,MS-DRG,999999999,Case Rate,,7543.041913,,MS-DRG,999999999,Case Rate,,7614.880407,,MS-DRG,999999999,Case Rate,,7183.849441,,MS-DRG,999999999,Case Rate,,7183.849441,,MS-DRG,999999999,Case Rate,,7183.849441,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,715,MS-DRG,,,,,inpatient,,,,,,16617.4814,24926.2221,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24926.2221,,MS-DRG,999999999,Case Rate,,24926.2221,,MS-DRG,999999999,Case Rate,,17448.35547,,MS-DRG,999999999,Case Rate,,17282.18066,,MS-DRG,999999999,Case Rate,,17282.18066,,MS-DRG,999999999,Case Rate,,17448.35547,,MS-DRG,999999999,Case Rate,,17614.53028,,MS-DRG,999999999,Case Rate,,17448.35547,,MS-DRG,999999999,Case Rate,,17614.53028,,MS-DRG,999999999,Case Rate,,17863.7925,,MS-DRG,999999999,Case Rate,,16617.4814,,MS-DRG,999999999,Case Rate,,17116.00584,,MS-DRG,999999999,Case Rate,,17448.35547,,MS-DRG,999999999,Case Rate,,17448.35547,,MS-DRG,999999999,Case Rate,,17614.53028,,MS-DRG,999999999,Case Rate,,16617.4814,,MS-DRG,999999999,Case Rate,,16617.4814,,MS-DRG,999999999,Case Rate,,16617.4814,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,716,MS-DRG,,,,,inpatient,,,,,,10615.04153,15922.56229,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15922.56229,,MS-DRG,999999999,Case Rate,,15922.56229,,MS-DRG,999999999,Case Rate,,11145.79361,,MS-DRG,999999999,Case Rate,,11039.64319,,MS-DRG,999999999,Case Rate,,11039.64319,,MS-DRG,999999999,Case Rate,,11145.79361,,MS-DRG,999999999,Case Rate,,11251.94402,,MS-DRG,999999999,Case Rate,,11145.79361,,MS-DRG,999999999,Case Rate,,11251.94402,,MS-DRG,999999999,Case Rate,,11411.16964,,MS-DRG,999999999,Case Rate,,10615.04153,,MS-DRG,999999999,Case Rate,,10933.49277,,MS-DRG,999999999,Case Rate,,11145.79361,,MS-DRG,999999999,Case Rate,,11145.79361,,MS-DRG,999999999,Case Rate,,11251.94402,,MS-DRG,999999999,Case Rate,,10615.04153,,MS-DRG,999999999,Case Rate,,10615.04153,,MS-DRG,999999999,Case Rate,,10615.04153,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,717,MS-DRG,,,,,inpatient,,,,,,13735.73792,20603.60688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20603.60688,,MS-DRG,999999999,Case Rate,,20603.60688,,MS-DRG,999999999,Case Rate,,14422.52482,,MS-DRG,999999999,Case Rate,,14285.16744,,MS-DRG,999999999,Case Rate,,14285.16744,,MS-DRG,999999999,Case Rate,,14422.52482,,MS-DRG,999999999,Case Rate,,14559.88219,,MS-DRG,999999999,Case Rate,,14422.52482,,MS-DRG,999999999,Case Rate,,14559.88219,,MS-DRG,999999999,Case Rate,,14765.91826,,MS-DRG,999999999,Case Rate,,13735.73792,,MS-DRG,999999999,Case Rate,,14147.81006,,MS-DRG,999999999,Case Rate,,14422.52482,,MS-DRG,999999999,Case Rate,,14422.52482,,MS-DRG,999999999,Case Rate,,14559.88219,,MS-DRG,999999999,Case Rate,,13735.73792,,MS-DRG,999999999,Case Rate,,13735.73792,,MS-DRG,999999999,Case Rate,,13735.73792,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,718,MS-DRG,,,,,inpatient,,,,,,9274.329691,13911.49454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13911.49454,,MS-DRG,999999999,Case Rate,,13911.49454,,MS-DRG,999999999,Case Rate,,9738.046176,,MS-DRG,999999999,Case Rate,,9645.302879,,MS-DRG,999999999,Case Rate,,9645.302879,,MS-DRG,999999999,Case Rate,,9738.046176,,MS-DRG,999999999,Case Rate,,9830.789473,,MS-DRG,999999999,Case Rate,,9738.046176,,MS-DRG,999999999,Case Rate,,9830.789473,,MS-DRG,999999999,Case Rate,,9969.904418,,MS-DRG,999999999,Case Rate,,9274.329691,,MS-DRG,999999999,Case Rate,,9552.559582,,MS-DRG,999999999,Case Rate,,9738.046176,,MS-DRG,999999999,Case Rate,,9738.046176,,MS-DRG,999999999,Case Rate,,9830.789473,,MS-DRG,999999999,Case Rate,,9274.329691,,MS-DRG,999999999,Case Rate,,9274.329691,,MS-DRG,999999999,Case Rate,,9274.329691,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",722,MS-DRG,,,,,inpatient,,,,,,12830.00623,19245.00934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19245.00934,,MS-DRG,999999999,Case Rate,,19245.00934,,MS-DRG,999999999,Case Rate,,13471.50654,,MS-DRG,999999999,Case Rate,,13343.20648,,MS-DRG,999999999,Case Rate,,13343.20648,,MS-DRG,999999999,Case Rate,,13471.50654,,MS-DRG,999999999,Case Rate,,13599.8066,,MS-DRG,999999999,Case Rate,,13471.50654,,MS-DRG,999999999,Case Rate,,13599.8066,,MS-DRG,999999999,Case Rate,,13792.2567,,MS-DRG,999999999,Case Rate,,12830.00623,,MS-DRG,999999999,Case Rate,,13214.90642,,MS-DRG,999999999,Case Rate,,13471.50654,,MS-DRG,999999999,Case Rate,,13471.50654,,MS-DRG,999999999,Case Rate,,13599.8066,,MS-DRG,999999999,Case Rate,,12830.00623,,MS-DRG,999999999,Case Rate,,12830.00623,,MS-DRG,999999999,Case Rate,,12830.00623,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",723,MS-DRG,,,,,inpatient,,,,,,8494.513308,12741.76996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12741.76996,,MS-DRG,999999999,Case Rate,,12741.76996,,MS-DRG,999999999,Case Rate,,8919.238973,,MS-DRG,999999999,Case Rate,,8834.29384,,MS-DRG,999999999,Case Rate,,8834.29384,,MS-DRG,999999999,Case Rate,,8919.238973,,MS-DRG,999999999,Case Rate,,9004.184106,,MS-DRG,999999999,Case Rate,,8919.238973,,MS-DRG,999999999,Case Rate,,9004.184106,,MS-DRG,999999999,Case Rate,,9131.601806,,MS-DRG,999999999,Case Rate,,8494.513308,,MS-DRG,999999999,Case Rate,,8749.348707,,MS-DRG,999999999,Case Rate,,8919.238973,,MS-DRG,999999999,Case Rate,,8919.238973,,MS-DRG,999999999,Case Rate,,9004.184106,,MS-DRG,999999999,Case Rate,,8494.513308,,MS-DRG,999999999,Case Rate,,8494.513308,,MS-DRG,999999999,Case Rate,,8494.513308,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",724,MS-DRG,,,,,inpatient,,,,,,5673.581197,8510.371795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8510.371795,,MS-DRG,999999999,Case Rate,,8510.371795,,MS-DRG,999999999,Case Rate,,5957.260257,,MS-DRG,999999999,Case Rate,,5900.524445,,MS-DRG,999999999,Case Rate,,5900.524445,,MS-DRG,999999999,Case Rate,,5957.260257,,MS-DRG,999999999,Case Rate,,6013.996069,,MS-DRG,999999999,Case Rate,,5957.260257,,MS-DRG,999999999,Case Rate,,6013.996069,,MS-DRG,999999999,Case Rate,,6099.099786,,MS-DRG,999999999,Case Rate,,5673.581197,,MS-DRG,999999999,Case Rate,,5843.788633,,MS-DRG,999999999,Case Rate,,5957.260257,,MS-DRG,999999999,Case Rate,,5957.260257,,MS-DRG,999999999,Case Rate,,6013.996069,,MS-DRG,999999999,Case Rate,,5673.581197,,MS-DRG,999999999,Case Rate,,5673.581197,,MS-DRG,999999999,Case Rate,,5673.581197,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENIGN PROSTATIC HYPERTROPHY WITH MCC,725,MS-DRG,,,,,inpatient,,,,,,9493.966049,14240.94907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14240.94907,,MS-DRG,999999999,Case Rate,,14240.94907,,MS-DRG,999999999,Case Rate,,9968.664351,,MS-DRG,999999999,Case Rate,,9873.724691,,MS-DRG,999999999,Case Rate,,9873.724691,,MS-DRG,999999999,Case Rate,,9968.664351,,MS-DRG,999999999,Case Rate,,10063.60401,,MS-DRG,999999999,Case Rate,,9968.664351,,MS-DRG,999999999,Case Rate,,10063.60401,,MS-DRG,999999999,Case Rate,,10206.0135,,MS-DRG,999999999,Case Rate,,9493.966049,,MS-DRG,999999999,Case Rate,,9778.78503,,MS-DRG,999999999,Case Rate,,9968.664351,,MS-DRG,999999999,Case Rate,,9968.664351,,MS-DRG,999999999,Case Rate,,10063.60401,,MS-DRG,999999999,Case Rate,,9493.966049,,MS-DRG,999999999,Case Rate,,9493.966049,,MS-DRG,999999999,Case Rate,,9493.966049,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,726,MS-DRG,,,,,inpatient,,,,,,34.48,8679.928201,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8679.928201,,MS-DRG,999999999,Case Rate,,8679.928201,,MS-DRG,999999999,Case Rate,,6075.949741,,MS-DRG,999999999,Case Rate,,6018.083553,,MS-DRG,999999999,Case Rate,,6018.083553,,MS-DRG,34.48,Case Rate,,6075.949741,,MS-DRG,999999999,Case Rate,,6133.815929,,MS-DRG,999999999,Case Rate,,6075.949741,,MS-DRG,999999999,Case Rate,,6133.815929,,MS-DRG,999999999,Case Rate,,6220.615211,,MS-DRG,999999999,Case Rate,,5786.618801,,MS-DRG,999999999,Case Rate,,5960.217365,,MS-DRG,999999999,Case Rate,,6075.949741,,MS-DRG,999999999,Case Rate,,6075.949741,,MS-DRG,999999999,Case Rate,,6133.815929,,MS-DRG,999999999,Case Rate,,5786.618801,,MS-DRG,999999999,Case Rate,,5786.618801,,MS-DRG,999999999,Case Rate,,5786.618801,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,727,MS-DRG,,,,,inpatient,,,,,,6439,16460.20634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16460.20634,,MS-DRG,999999999,Case Rate,,16460.20634,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11412.40973,,MS-DRG,11822.46,Case Rate,,11412.40973,,MS-DRG,6439,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11631.87915,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11631.87915,,MS-DRG,999999999,Case Rate,,11796.48121,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,11302.67502,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11522.14444,,MS-DRG,999999999,Case Rate,,11631.87915,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,10973.47089,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,728,MS-DRG,,,,,inpatient,,,,,,591.905,9460.102299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9460.102299,,MS-DRG,999999999,Case Rate,,9460.102299,,MS-DRG,999999999,Case Rate,,6622.071609,,MS-DRG,999999999,Case Rate,,6559.004261,,MS-DRG,999999999,Case Rate,,6559.004261,,MS-DRG,591.905,Case Rate,,6622.071609,,MS-DRG,999999999,Case Rate,,6685.138958,,MS-DRG,999999999,Case Rate,,6622.071609,,MS-DRG,999999999,Case Rate,,6685.138958,,MS-DRG,999999999,Case Rate,,6779.739981,,MS-DRG,999999999,Case Rate,,6306.734866,,MS-DRG,999999999,Case Rate,,6495.936912,,MS-DRG,999999999,Case Rate,,6622.071609,,MS-DRG,999999999,Case Rate,,6622.071609,,MS-DRG,999999999,Case Rate,,6685.138958,,MS-DRG,999999999,Case Rate,,6306.734866,,MS-DRG,999999999,Case Rate,,6306.734866,,MS-DRG,999999999,Case Rate,,6306.734866,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,729,MS-DRG,,,,,inpatient,,,,,,8337.119175,12505.67876,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12505.67876,,MS-DRG,999999999,Case Rate,,12505.67876,,MS-DRG,999999999,Case Rate,,8753.975134,,MS-DRG,999999999,Case Rate,,8670.603942,,MS-DRG,999999999,Case Rate,,8670.603942,,MS-DRG,999999999,Case Rate,,8753.975134,,MS-DRG,999999999,Case Rate,,8837.346326,,MS-DRG,999999999,Case Rate,,8753.975134,,MS-DRG,999999999,Case Rate,,8837.346326,,MS-DRG,999999999,Case Rate,,8962.403113,,MS-DRG,999999999,Case Rate,,8337.119175,,MS-DRG,999999999,Case Rate,,8587.23275,,MS-DRG,999999999,Case Rate,,8753.975134,,MS-DRG,999999999,Case Rate,,8753.975134,,MS-DRG,999999999,Case Rate,,8837.346326,,MS-DRG,999999999,Case Rate,,8337.119175,,MS-DRG,999999999,Case Rate,,8337.119175,,MS-DRG,999999999,Case Rate,,8337.119175,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,730,MS-DRG,,,,,inpatient,,,,,,4802.905473,7204.358209,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7204.358209,,MS-DRG,999999999,Case Rate,,7204.358209,,MS-DRG,999999999,Case Rate,,5043.050747,,MS-DRG,999999999,Case Rate,,4995.021692,,MS-DRG,999999999,Case Rate,,4995.021692,,MS-DRG,999999999,Case Rate,,5043.050747,,MS-DRG,999999999,Case Rate,,5091.079801,,MS-DRG,999999999,Case Rate,,5043.050747,,MS-DRG,999999999,Case Rate,,5091.079801,,MS-DRG,999999999,Case Rate,,5163.123383,,MS-DRG,999999999,Case Rate,,4802.905473,,MS-DRG,999999999,Case Rate,,4946.992637,,MS-DRG,999999999,Case Rate,,5043.050747,,MS-DRG,999999999,Case Rate,,5043.050747,,MS-DRG,999999999,Case Rate,,5091.079801,,MS-DRG,999999999,Case Rate,,4802.905473,,MS-DRG,999999999,Case Rate,,4802.905473,,MS-DRG,999999999,Case Rate,,4802.905473,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",734,MS-DRG,,,,,inpatient,,,,,,15504.99105,23257.48658,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23257.48658,,MS-DRG,999999999,Case Rate,,23257.48658,,MS-DRG,999999999,Case Rate,,16280.24061,,MS-DRG,999999999,Case Rate,,16125.1907,,MS-DRG,999999999,Case Rate,,16125.1907,,MS-DRG,999999999,Case Rate,,16280.24061,,MS-DRG,999999999,Case Rate,,16435.29052,,MS-DRG,999999999,Case Rate,,16280.24061,,MS-DRG,999999999,Case Rate,,16435.29052,,MS-DRG,999999999,Case Rate,,16667.86538,,MS-DRG,999999999,Case Rate,,15504.99105,,MS-DRG,999999999,Case Rate,,15970.14079,,MS-DRG,999999999,Case Rate,,16280.24061,,MS-DRG,999999999,Case Rate,,16280.24061,,MS-DRG,999999999,Case Rate,,16435.29052,,MS-DRG,999999999,Case Rate,,15504.99105,,MS-DRG,999999999,Case Rate,,15504.99105,,MS-DRG,999999999,Case Rate,,15504.99105,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",735,MS-DRG,,,,,inpatient,,,,,,9145.552674,13718.32901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13718.32901,,MS-DRG,999999999,Case Rate,,13718.32901,,MS-DRG,999999999,Case Rate,,9602.830307,,MS-DRG,999999999,Case Rate,,9511.374781,,MS-DRG,999999999,Case Rate,,9511.374781,,MS-DRG,999999999,Case Rate,,9602.830307,,MS-DRG,999999999,Case Rate,,9694.285834,,MS-DRG,999999999,Case Rate,,9602.830307,,MS-DRG,999999999,Case Rate,,9694.285834,,MS-DRG,999999999,Case Rate,,9831.469124,,MS-DRG,999999999,Case Rate,,9145.552674,,MS-DRG,999999999,Case Rate,,9419.919254,,MS-DRG,999999999,Case Rate,,9602.830307,,MS-DRG,999999999,Case Rate,,9602.830307,,MS-DRG,999999999,Case Rate,,9694.285834,,MS-DRG,999999999,Case Rate,,9145.552674,,MS-DRG,999999999,Case Rate,,9145.552674,,MS-DRG,999999999,Case Rate,,9145.552674,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,736,MS-DRG,,,,,inpatient,,,,,,28631.6617,42947.49255,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42947.49255,,MS-DRG,999999999,Case Rate,,42947.49255,,MS-DRG,999999999,Case Rate,,30063.24479,,MS-DRG,999999999,Case Rate,,29776.92817,,MS-DRG,999999999,Case Rate,,29776.92817,,MS-DRG,999999999,Case Rate,,30063.24479,,MS-DRG,999999999,Case Rate,,30349.56141,,MS-DRG,999999999,Case Rate,,30063.24479,,MS-DRG,999999999,Case Rate,,30349.56141,,MS-DRG,999999999,Case Rate,,30779.03633,,MS-DRG,999999999,Case Rate,,28631.6617,,MS-DRG,999999999,Case Rate,,29490.61155,,MS-DRG,999999999,Case Rate,,30063.24479,,MS-DRG,999999999,Case Rate,,30063.24479,,MS-DRG,999999999,Case Rate,,30349.56141,,MS-DRG,999999999,Case Rate,,28631.6617,,MS-DRG,999999999,Case Rate,,28631.6617,,MS-DRG,999999999,Case Rate,,28631.6617,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,737,MS-DRG,,,,,inpatient,,,,,,14758.08435,22137.12653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22137.12653,,MS-DRG,999999999,Case Rate,,22137.12653,,MS-DRG,999999999,Case Rate,,15495.98857,,MS-DRG,999999999,Case Rate,,15348.40773,,MS-DRG,999999999,Case Rate,,15348.40773,,MS-DRG,999999999,Case Rate,,15495.98857,,MS-DRG,999999999,Case Rate,,15643.56941,,MS-DRG,999999999,Case Rate,,15495.98857,,MS-DRG,999999999,Case Rate,,15643.56941,,MS-DRG,999999999,Case Rate,,15864.94068,,MS-DRG,999999999,Case Rate,,14758.08435,,MS-DRG,999999999,Case Rate,,15200.82688,,MS-DRG,999999999,Case Rate,,15495.98857,,MS-DRG,999999999,Case Rate,,15495.98857,,MS-DRG,999999999,Case Rate,,15643.56941,,MS-DRG,999999999,Case Rate,,14758.08435,,MS-DRG,999999999,Case Rate,,14758.08435,,MS-DRG,999999999,Case Rate,,14758.08435,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,738,MS-DRG,,,,,inpatient,,,,,,11313.29913,16969.9487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16969.9487,,MS-DRG,999999999,Case Rate,,16969.9487,,MS-DRG,999999999,Case Rate,,11878.96409,,MS-DRG,999999999,Case Rate,,11765.8311,,MS-DRG,999999999,Case Rate,,11765.8311,,MS-DRG,999999999,Case Rate,,11878.96409,,MS-DRG,999999999,Case Rate,,11992.09708,,MS-DRG,999999999,Case Rate,,11878.96409,,MS-DRG,999999999,Case Rate,,11992.09708,,MS-DRG,999999999,Case Rate,,12161.79657,,MS-DRG,999999999,Case Rate,,11313.29913,,MS-DRG,999999999,Case Rate,,11652.69811,,MS-DRG,999999999,Case Rate,,11878.96409,,MS-DRG,999999999,Case Rate,,11878.96409,,MS-DRG,999999999,Case Rate,,11992.09708,,MS-DRG,999999999,Case Rate,,11313.29913,,MS-DRG,999999999,Case Rate,,11313.29913,,MS-DRG,999999999,Case Rate,,11313.29913,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,739,MS-DRG,,,,,inpatient,,,,,,28941.44197,43412.16296,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43412.16296,,MS-DRG,999999999,Case Rate,,43412.16296,,MS-DRG,999999999,Case Rate,,30388.51407,,MS-DRG,999999999,Case Rate,,30099.09965,,MS-DRG,999999999,Case Rate,,30099.09965,,MS-DRG,999999999,Case Rate,,30388.51407,,MS-DRG,999999999,Case Rate,,30677.92849,,MS-DRG,999999999,Case Rate,,30388.51407,,MS-DRG,999999999,Case Rate,,30677.92849,,MS-DRG,999999999,Case Rate,,31112.05012,,MS-DRG,999999999,Case Rate,,28941.44197,,MS-DRG,999999999,Case Rate,,29809.68523,,MS-DRG,999999999,Case Rate,,30388.51407,,MS-DRG,999999999,Case Rate,,30388.51407,,MS-DRG,999999999,Case Rate,,30677.92849,,MS-DRG,999999999,Case Rate,,28941.44197,,MS-DRG,999999999,Case Rate,,28941.44197,,MS-DRG,999999999,Case Rate,,28941.44197,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,740,MS-DRG,,,,,inpatient,,,,,,13469.59875,20204.39812,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20204.39812,,MS-DRG,999999999,Case Rate,,20204.39812,,MS-DRG,999999999,Case Rate,,14143.07869,,MS-DRG,999999999,Case Rate,,14008.3827,,MS-DRG,999999999,Case Rate,,14008.3827,,MS-DRG,999999999,Case Rate,,14143.07869,,MS-DRG,999999999,Case Rate,,14277.77467,,MS-DRG,999999999,Case Rate,,14143.07869,,MS-DRG,999999999,Case Rate,,14277.77467,,MS-DRG,999999999,Case Rate,,14479.81866,,MS-DRG,999999999,Case Rate,,13469.59875,,MS-DRG,999999999,Case Rate,,13873.68671,,MS-DRG,999999999,Case Rate,,14143.07869,,MS-DRG,999999999,Case Rate,,14143.07869,,MS-DRG,999999999,Case Rate,,14277.77467,,MS-DRG,999999999,Case Rate,,13469.59875,,MS-DRG,999999999,Case Rate,,13469.59875,,MS-DRG,999999999,Case Rate,,13469.59875,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,741,MS-DRG,,,,,inpatient,,,,,,10288.09099,15432.13649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15432.13649,,MS-DRG,999999999,Case Rate,,15432.13649,,MS-DRG,999999999,Case Rate,,10802.49554,,MS-DRG,999999999,Case Rate,,10699.61463,,MS-DRG,999999999,Case Rate,,10699.61463,,MS-DRG,999999999,Case Rate,,10802.49554,,MS-DRG,999999999,Case Rate,,10905.37645,,MS-DRG,999999999,Case Rate,,10802.49554,,MS-DRG,999999999,Case Rate,,10905.37645,,MS-DRG,999999999,Case Rate,,11059.69781,,MS-DRG,999999999,Case Rate,,10288.09099,,MS-DRG,999999999,Case Rate,,10596.73372,,MS-DRG,999999999,Case Rate,,10802.49554,,MS-DRG,999999999,Case Rate,,10802.49554,,MS-DRG,999999999,Case Rate,,10905.37645,,MS-DRG,999999999,Case Rate,,10288.09099,,MS-DRG,999999999,Case Rate,,10288.09099,,MS-DRG,999999999,Case Rate,,10288.09099,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,742,MS-DRG,,,,,inpatient,,,,,,13529.69469,20294.54204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20294.54204,,MS-DRG,999999999,Case Rate,,20294.54204,,MS-DRG,999999999,Case Rate,,14206.17943,,MS-DRG,999999999,Case Rate,,14070.88248,,MS-DRG,999999999,Case Rate,,14070.88248,,MS-DRG,999999999,Case Rate,,14206.17943,,MS-DRG,999999999,Case Rate,,14341.47637,,MS-DRG,999999999,Case Rate,,14206.17943,,MS-DRG,999999999,Case Rate,,14341.47637,,MS-DRG,999999999,Case Rate,,14544.42179,,MS-DRG,999999999,Case Rate,,13529.69469,,MS-DRG,999999999,Case Rate,,13935.58553,,MS-DRG,999999999,Case Rate,,14206.17943,,MS-DRG,999999999,Case Rate,,14206.17943,,MS-DRG,999999999,Case Rate,,14341.47637,,MS-DRG,999999999,Case Rate,,13529.69469,,MS-DRG,999999999,Case Rate,,13529.69469,,MS-DRG,999999999,Case Rate,,13529.69469,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,743,MS-DRG,,,,,inpatient,,,,,,9036.807637,13555.21146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13555.21146,,MS-DRG,999999999,Case Rate,,13555.21146,,MS-DRG,999999999,Case Rate,,9488.648019,,MS-DRG,999999999,Case Rate,,9398.279942,,MS-DRG,999999999,Case Rate,,9398.279942,,MS-DRG,999999999,Case Rate,,9488.648019,,MS-DRG,999999999,Case Rate,,9579.016095,,MS-DRG,999999999,Case Rate,,9488.648019,,MS-DRG,999999999,Case Rate,,9579.016095,,MS-DRG,999999999,Case Rate,,9714.56821,,MS-DRG,999999999,Case Rate,,9036.807637,,MS-DRG,999999999,Case Rate,,9307.911866,,MS-DRG,999999999,Case Rate,,9488.648019,,MS-DRG,999999999,Case Rate,,9488.648019,,MS-DRG,999999999,Case Rate,,9579.016095,,MS-DRG,999999999,Case Rate,,9036.807637,,MS-DRG,999999999,Case Rate,,9036.807637,,MS-DRG,999999999,Case Rate,,9036.807637,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",744,MS-DRG,,,,,inpatient,,,,,,14440.43438,21660.65156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21660.65156,,MS-DRG,999999999,Case Rate,,21660.65156,,MS-DRG,999999999,Case Rate,,15162.45609,,MS-DRG,999999999,Case Rate,,15018.05175,,MS-DRG,999999999,Case Rate,,15018.05175,,MS-DRG,999999999,Case Rate,,15162.45609,,MS-DRG,999999999,Case Rate,,15306.86044,,MS-DRG,999999999,Case Rate,,15162.45609,,MS-DRG,999999999,Case Rate,,15306.86044,,MS-DRG,999999999,Case Rate,,15523.46695,,MS-DRG,999999999,Case Rate,,14440.43438,,MS-DRG,999999999,Case Rate,,14873.64741,,MS-DRG,999999999,Case Rate,,15162.45609,,MS-DRG,999999999,Case Rate,,15162.45609,,MS-DRG,999999999,Case Rate,,15306.86044,,MS-DRG,999999999,Case Rate,,14440.43438,,MS-DRG,999999999,Case Rate,,14440.43438,,MS-DRG,999999999,Case Rate,,14440.43438,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",745,MS-DRG,,,,,inpatient,,,,,,7792.678562,11689.01784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11689.01784,,MS-DRG,999999999,Case Rate,,11689.01784,,MS-DRG,999999999,Case Rate,,8182.31249,,MS-DRG,999999999,Case Rate,,8104.385705,,MS-DRG,999999999,Case Rate,,8104.385705,,MS-DRG,999999999,Case Rate,,8182.31249,,MS-DRG,999999999,Case Rate,,8260.239276,,MS-DRG,999999999,Case Rate,,8182.31249,,MS-DRG,999999999,Case Rate,,8260.239276,,MS-DRG,999999999,Case Rate,,8377.129454,,MS-DRG,999999999,Case Rate,,7792.678562,,MS-DRG,999999999,Case Rate,,8026.458919,,MS-DRG,999999999,Case Rate,,8182.31249,,MS-DRG,999999999,Case Rate,,8182.31249,,MS-DRG,999999999,Case Rate,,8260.239276,,MS-DRG,999999999,Case Rate,,7792.678562,,MS-DRG,999999999,Case Rate,,7792.678562,,MS-DRG,999999999,Case Rate,,7792.678562,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",746,MS-DRG,,,,,inpatient,,,,,,12441.52889,18662.29334,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18662.29334,,MS-DRG,999999999,Case Rate,,18662.29334,,MS-DRG,999999999,Case Rate,,13063.60534,,MS-DRG,999999999,Case Rate,,12939.19005,,MS-DRG,999999999,Case Rate,,12939.19005,,MS-DRG,999999999,Case Rate,,13063.60534,,MS-DRG,999999999,Case Rate,,13188.02063,,MS-DRG,999999999,Case Rate,,13063.60534,,MS-DRG,999999999,Case Rate,,13188.02063,,MS-DRG,999999999,Case Rate,,13374.64356,,MS-DRG,999999999,Case Rate,,12441.52889,,MS-DRG,999999999,Case Rate,,12814.77476,,MS-DRG,999999999,Case Rate,,13063.60534,,MS-DRG,999999999,Case Rate,,13063.60534,,MS-DRG,999999999,Case Rate,,13188.02063,,MS-DRG,999999999,Case Rate,,12441.52889,,MS-DRG,999999999,Case Rate,,12441.52889,,MS-DRG,999999999,Case Rate,,12441.52889,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",747,MS-DRG,,,,,inpatient,,,,,,7294.740761,10942.11114,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10942.11114,,MS-DRG,999999999,Case Rate,,10942.11114,,MS-DRG,999999999,Case Rate,,7659.477799,,MS-DRG,999999999,Case Rate,,7586.530392,,MS-DRG,999999999,Case Rate,,7586.530392,,MS-DRG,999999999,Case Rate,,7659.477799,,MS-DRG,999999999,Case Rate,,7732.425207,,MS-DRG,999999999,Case Rate,,7659.477799,,MS-DRG,999999999,Case Rate,,7732.425207,,MS-DRG,999999999,Case Rate,,7841.846318,,MS-DRG,999999999,Case Rate,,7294.740761,,MS-DRG,999999999,Case Rate,,7513.582984,,MS-DRG,999999999,Case Rate,,7659.477799,,MS-DRG,999999999,Case Rate,,7659.477799,,MS-DRG,999999999,Case Rate,,7732.425207,,MS-DRG,999999999,Case Rate,,7294.740761,,MS-DRG,999999999,Case Rate,,7294.740761,,MS-DRG,999999999,Case Rate,,7294.740761,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,MS-DRG,,,,,inpatient,,,,,,4590.24,15310.87146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15310.87146,,MS-DRG,999999999,Case Rate,,15310.87146,,MS-DRG,999999999,Case Rate,,10717.61002,,MS-DRG,999999999,Case Rate,,10615.53755,,MS-DRG,999999999,Case Rate,,10615.53755,,MS-DRG,4590.24,Case Rate,,10717.61002,,MS-DRG,999999999,Case Rate,,10819.6825,,MS-DRG,999999999,Case Rate,,10717.61002,,MS-DRG,999999999,Case Rate,,10819.6825,,MS-DRG,999999999,Case Rate,,10972.79121,,MS-DRG,999999999,Case Rate,,10207.24764,,MS-DRG,999999999,Case Rate,,10513.46507,,MS-DRG,999999999,Case Rate,,10717.61002,,MS-DRG,999999999,Case Rate,,10717.61002,,MS-DRG,999999999,Case Rate,,10819.6825,,MS-DRG,999999999,Case Rate,,10207.24764,,MS-DRG,999999999,Case Rate,,10207.24764,,MS-DRG,999999999,Case Rate,,10207.24764,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,749,MS-DRG,,,,,inpatient,,,,,,18980.53967,28470.80951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28470.80951,,MS-DRG,999999999,Case Rate,,28470.80951,,MS-DRG,999999999,Case Rate,,19929.56665,,MS-DRG,999999999,Case Rate,,19739.76126,,MS-DRG,999999999,Case Rate,,19739.76126,,MS-DRG,999999999,Case Rate,,19929.56665,,MS-DRG,999999999,Case Rate,,20119.37205,,MS-DRG,999999999,Case Rate,,19929.56665,,MS-DRG,999999999,Case Rate,,20119.37205,,MS-DRG,999999999,Case Rate,,20404.08015,,MS-DRG,999999999,Case Rate,,18980.53967,,MS-DRG,999999999,Case Rate,,19549.95586,,MS-DRG,999999999,Case Rate,,19929.56665,,MS-DRG,999999999,Case Rate,,19929.56665,,MS-DRG,999999999,Case Rate,,20119.37205,,MS-DRG,999999999,Case Rate,,18980.53967,,MS-DRG,999999999,Case Rate,,18980.53967,,MS-DRG,999999999,Case Rate,,18980.53967,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,750,MS-DRG,,,,,inpatient,,,,,,9686.416147,14529.62422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14529.62422,,MS-DRG,999999999,Case Rate,,14529.62422,,MS-DRG,999999999,Case Rate,,10170.73695,,MS-DRG,999999999,Case Rate,,10073.87279,,MS-DRG,999999999,Case Rate,,10073.87279,,MS-DRG,999999999,Case Rate,,10170.73695,,MS-DRG,999999999,Case Rate,,10267.60112,,MS-DRG,999999999,Case Rate,,10170.73695,,MS-DRG,999999999,Case Rate,,10267.60112,,MS-DRG,999999999,Case Rate,,10412.89736,,MS-DRG,999999999,Case Rate,,9686.416147,,MS-DRG,999999999,Case Rate,,9977.008632,,MS-DRG,999999999,Case Rate,,10170.73695,,MS-DRG,999999999,Case Rate,,10170.73695,,MS-DRG,999999999,Case Rate,,10267.60112,,MS-DRG,999999999,Case Rate,,9686.416147,,MS-DRG,999999999,Case Rate,,9686.416147,,MS-DRG,999999999,Case Rate,,9686.416147,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",754,MS-DRG,,,,,inpatient,,,,,,13405.21024,20107.81536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20107.81536,,MS-DRG,999999999,Case Rate,,20107.81536,,MS-DRG,999999999,Case Rate,,14075.47075,,MS-DRG,999999999,Case Rate,,13941.41865,,MS-DRG,999999999,Case Rate,,13941.41865,,MS-DRG,999999999,Case Rate,,14075.47075,,MS-DRG,999999999,Case Rate,,14209.52286,,MS-DRG,999999999,Case Rate,,14075.47075,,MS-DRG,999999999,Case Rate,,14209.52286,,MS-DRG,999999999,Case Rate,,14410.60101,,MS-DRG,999999999,Case Rate,,13405.21024,,MS-DRG,999999999,Case Rate,,13807.36655,,MS-DRG,999999999,Case Rate,,14075.47075,,MS-DRG,999999999,Case Rate,,14075.47075,,MS-DRG,999999999,Case Rate,,14209.52286,,MS-DRG,999999999,Case Rate,,13405.21024,,MS-DRG,999999999,Case Rate,,13405.21024,,MS-DRG,999999999,Case Rate,,13405.21024,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",755,MS-DRG,,,,,inpatient,,,,,,8402.93854,12604.40781,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12604.40781,,MS-DRG,999999999,Case Rate,,12604.40781,,MS-DRG,999999999,Case Rate,,8823.085467,,MS-DRG,999999999,Case Rate,,8739.056081,,MS-DRG,999999999,Case Rate,,8739.056081,,MS-DRG,999999999,Case Rate,,8823.085467,,MS-DRG,999999999,Case Rate,,8907.114852,,MS-DRG,999999999,Case Rate,,8823.085467,,MS-DRG,999999999,Case Rate,,8907.114852,,MS-DRG,999999999,Case Rate,,9033.15893,,MS-DRG,999999999,Case Rate,,8402.93854,,MS-DRG,999999999,Case Rate,,8655.026696,,MS-DRG,999999999,Case Rate,,8823.085467,,MS-DRG,999999999,Case Rate,,8823.085467,,MS-DRG,999999999,Case Rate,,8907.114852,,MS-DRG,999999999,Case Rate,,8402.93854,,MS-DRG,999999999,Case Rate,,8402.93854,,MS-DRG,999999999,Case Rate,,8402.93854,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",756,MS-DRG,,,,,inpatient,,,,,,7293.309906,10939.96486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10939.96486,,MS-DRG,999999999,Case Rate,,10939.96486,,MS-DRG,999999999,Case Rate,,7657.975401,,MS-DRG,999999999,Case Rate,,7585.042302,,MS-DRG,999999999,Case Rate,,7585.042302,,MS-DRG,999999999,Case Rate,,7657.975401,,MS-DRG,999999999,Case Rate,,7730.9085,,MS-DRG,999999999,Case Rate,,7657.975401,,MS-DRG,999999999,Case Rate,,7730.9085,,MS-DRG,999999999,Case Rate,,7840.308148,,MS-DRG,999999999,Case Rate,,7293.309906,,MS-DRG,999999999,Case Rate,,7512.109203,,MS-DRG,999999999,Case Rate,,7657.975401,,MS-DRG,999999999,Case Rate,,7657.975401,,MS-DRG,999999999,Case Rate,,7730.9085,,MS-DRG,999999999,Case Rate,,7293.309906,,MS-DRG,999999999,Case Rate,,7293.309906,,MS-DRG,999999999,Case Rate,,7293.309906,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",757,MS-DRG,,,,,inpatient,,,,,,10586.42441,15879.63662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15879.63662,,MS-DRG,999999999,Case Rate,,15879.63662,,MS-DRG,999999999,Case Rate,,11115.74563,,MS-DRG,999999999,Case Rate,,11009.88139,,MS-DRG,999999999,Case Rate,,11009.88139,,MS-DRG,999999999,Case Rate,,11115.74563,,MS-DRG,999999999,Case Rate,,11221.60988,,MS-DRG,999999999,Case Rate,,11115.74563,,MS-DRG,999999999,Case Rate,,11221.60988,,MS-DRG,999999999,Case Rate,,11380.40624,,MS-DRG,999999999,Case Rate,,10586.42441,,MS-DRG,999999999,Case Rate,,10904.01715,,MS-DRG,999999999,Case Rate,,11115.74563,,MS-DRG,999999999,Case Rate,,11115.74563,,MS-DRG,999999999,Case Rate,,11221.60988,,MS-DRG,999999999,Case Rate,,10586.42441,,MS-DRG,999999999,Case Rate,,10586.42441,,MS-DRG,999999999,Case Rate,,10586.42441,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",758,MS-DRG,,,,,inpatient,,,,,,7753.330029,11629.99504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11629.99504,,MS-DRG,999999999,Case Rate,,11629.99504,,MS-DRG,999999999,Case Rate,,8140.996531,,MS-DRG,999999999,Case Rate,,8063.46323,,MS-DRG,999999999,Case Rate,,8063.46323,,MS-DRG,999999999,Case Rate,,8140.996531,,MS-DRG,999999999,Case Rate,,8218.529831,,MS-DRG,999999999,Case Rate,,8140.996531,,MS-DRG,999999999,Case Rate,,8218.529831,,MS-DRG,999999999,Case Rate,,8334.829781,,MS-DRG,999999999,Case Rate,,7753.330029,,MS-DRG,999999999,Case Rate,,7985.92993,,MS-DRG,999999999,Case Rate,,8140.996531,,MS-DRG,999999999,Case Rate,,8140.996531,,MS-DRG,999999999,Case Rate,,8218.529831,,MS-DRG,999999999,Case Rate,,7753.330029,,MS-DRG,999999999,Case Rate,,7753.330029,,MS-DRG,999999999,Case Rate,,7753.330029,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",759,MS-DRG,,,,,inpatient,,,,,,5039.7121,7559.568149,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7559.568149,,MS-DRG,999999999,Case Rate,,7559.568149,,MS-DRG,999999999,Case Rate,,5291.697705,,MS-DRG,999999999,Case Rate,,5241.300584,,MS-DRG,999999999,Case Rate,,5241.300584,,MS-DRG,999999999,Case Rate,,5291.697705,,MS-DRG,999999999,Case Rate,,5342.094826,,MS-DRG,999999999,Case Rate,,5291.697705,,MS-DRG,999999999,Case Rate,,5342.094826,,MS-DRG,999999999,Case Rate,,5417.690507,,MS-DRG,999999999,Case Rate,,5039.7121,,MS-DRG,999999999,Case Rate,,5190.903463,,MS-DRG,999999999,Case Rate,,5291.697705,,MS-DRG,999999999,Case Rate,,5291.697705,,MS-DRG,999999999,Case Rate,,5342.094826,,MS-DRG,999999999,Case Rate,,5039.7121,,MS-DRG,999999999,Case Rate,,5039.7121,,MS-DRG,999999999,Case Rate,,5039.7121,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,760,MS-DRG,,,,,inpatient,,,,,,7512.230835,11268.34625,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11268.34625,,MS-DRG,999999999,Case Rate,,11268.34625,,MS-DRG,999999999,Case Rate,,7887.842377,,MS-DRG,999999999,Case Rate,,7812.720069,,MS-DRG,999999999,Case Rate,,7812.720069,,MS-DRG,999999999,Case Rate,,7887.842377,,MS-DRG,999999999,Case Rate,,7962.964685,,MS-DRG,999999999,Case Rate,,7887.842377,,MS-DRG,999999999,Case Rate,,7962.964685,,MS-DRG,999999999,Case Rate,,8075.648148,,MS-DRG,999999999,Case Rate,,7512.230835,,MS-DRG,999999999,Case Rate,,7737.59776,,MS-DRG,999999999,Case Rate,,7887.842377,,MS-DRG,999999999,Case Rate,,7887.842377,,MS-DRG,999999999,Case Rate,,7962.964685,,MS-DRG,999999999,Case Rate,,7512.230835,,MS-DRG,999999999,Case Rate,,7512.230835,,MS-DRG,999999999,Case Rate,,7512.230835,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,761,MS-DRG,,,,,inpatient,,,,,,4996.070999,7494.106499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7494.106499,,MS-DRG,999999999,Case Rate,,7494.106499,,MS-DRG,999999999,Case Rate,,5245.874549,,MS-DRG,999999999,Case Rate,,5195.913839,,MS-DRG,999999999,Case Rate,,5195.913839,,MS-DRG,999999999,Case Rate,,5245.874549,,MS-DRG,999999999,Case Rate,,5295.835259,,MS-DRG,999999999,Case Rate,,5245.874549,,MS-DRG,999999999,Case Rate,,5295.835259,,MS-DRG,999999999,Case Rate,,5370.776324,,MS-DRG,999999999,Case Rate,,4996.070999,,MS-DRG,999999999,Case Rate,,5145.953129,,MS-DRG,999999999,Case Rate,,5245.874549,,MS-DRG,999999999,Case Rate,,5245.874549,,MS-DRG,999999999,Case Rate,,5295.835259,,MS-DRG,999999999,Case Rate,,4996.070999,,MS-DRG,999999999,Case Rate,,4996.070999,,MS-DRG,999999999,Case Rate,,4996.070999,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,768,MS-DRG,,,,,inpatient,,,,,,8304.209493,12456.31424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12456.31424,,MS-DRG,999999999,Case Rate,,12456.31424,,MS-DRG,999999999,Case Rate,,8719.419967,,MS-DRG,999999999,Case Rate,,8636.377873,,MS-DRG,999999999,Case Rate,,8636.377873,,MS-DRG,999999999,Case Rate,,8719.419967,,MS-DRG,999999999,Case Rate,,8802.462062,,MS-DRG,999999999,Case Rate,,8719.419967,,MS-DRG,999999999,Case Rate,,8802.462062,,MS-DRG,999999999,Case Rate,,8927.025205,,MS-DRG,999999999,Case Rate,,8304.209493,,MS-DRG,999999999,Case Rate,,8553.335778,,MS-DRG,999999999,Case Rate,,8719.419967,,MS-DRG,999999999,Case Rate,,8719.419967,,MS-DRG,999999999,Case Rate,,8802.462062,,MS-DRG,999999999,Case Rate,,8304.209493,,MS-DRG,999999999,Case Rate,,8304.209493,,MS-DRG,999999999,Case Rate,,8304.209493,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,769,MS-DRG,,,,,inpatient,,,,,,10401.84402,15602.76603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15602.76603,,MS-DRG,999999999,Case Rate,,15602.76603,,MS-DRG,999999999,Case Rate,,10921.93622,,MS-DRG,999999999,Case Rate,,10817.91778,,MS-DRG,999999999,Case Rate,,10817.91778,,MS-DRG,999999999,Case Rate,,10921.93622,,MS-DRG,999999999,Case Rate,,11025.95466,,MS-DRG,999999999,Case Rate,,10921.93622,,MS-DRG,999999999,Case Rate,,11025.95466,,MS-DRG,999999999,Case Rate,,11181.98232,,MS-DRG,999999999,Case Rate,,10401.84402,,MS-DRG,999999999,Case Rate,,10713.89934,,MS-DRG,999999999,Case Rate,,10921.93622,,MS-DRG,999999999,Case Rate,,10921.93622,,MS-DRG,999999999,Case Rate,,11025.95466,,MS-DRG,999999999,Case Rate,,10401.84402,,MS-DRG,999999999,Case Rate,,10401.84402,,MS-DRG,999999999,Case Rate,,10401.84402,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,MS-DRG,,,,,inpatient,,,,,,8158.977634,12238.46645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12238.46645,,MS-DRG,999999999,Case Rate,,12238.46645,,MS-DRG,999999999,Case Rate,,8566.926516,,MS-DRG,999999999,Case Rate,,8485.33674,,MS-DRG,999999999,Case Rate,,8485.33674,,MS-DRG,999999999,Case Rate,,8566.926516,,MS-DRG,999999999,Case Rate,,8648.516292,,MS-DRG,999999999,Case Rate,,8566.926516,,MS-DRG,999999999,Case Rate,,8648.516292,,MS-DRG,999999999,Case Rate,,8770.900957,,MS-DRG,999999999,Case Rate,,8158.977634,,MS-DRG,999999999,Case Rate,,8403.746963,,MS-DRG,999999999,Case Rate,,8566.926516,,MS-DRG,999999999,Case Rate,,8566.926516,,MS-DRG,999999999,Case Rate,,8648.516292,,MS-DRG,999999999,Case Rate,,8158.977634,,MS-DRG,999999999,Case Rate,,8158.977634,,MS-DRG,999999999,Case Rate,,8158.977634,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,776,MS-DRG,,,,,inpatient,,,,,,5565.551588,8348.327381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8348.327381,,MS-DRG,999999999,Case Rate,,8348.327381,,MS-DRG,999999999,Case Rate,,5843.829167,,MS-DRG,999999999,Case Rate,,5788.173651,,MS-DRG,999999999,Case Rate,,5788.173651,,MS-DRG,999999999,Case Rate,,5843.829167,,MS-DRG,999999999,Case Rate,,5899.484683,,MS-DRG,999999999,Case Rate,,5843.829167,,MS-DRG,999999999,Case Rate,,5899.484683,,MS-DRG,999999999,Case Rate,,5982.967957,,MS-DRG,999999999,Case Rate,,5565.551588,,MS-DRG,999999999,Case Rate,,5732.518135,,MS-DRG,999999999,Case Rate,,5843.829167,,MS-DRG,999999999,Case Rate,,5843.829167,,MS-DRG,999999999,Case Rate,,5899.484683,,MS-DRG,999999999,Case Rate,,5565.551588,,MS-DRG,999999999,Case Rate,,5565.551588,,MS-DRG,999999999,Case Rate,,5565.551588,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ABORTION WITHOUT D&C,779,MS-DRG,,,,,inpatient,,,,,,7148.793475,10723.19021,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10723.19021,,MS-DRG,999999999,Case Rate,,10723.19021,,MS-DRG,999999999,Case Rate,,7506.233149,,MS-DRG,999999999,Case Rate,,7434.745214,,MS-DRG,999999999,Case Rate,,7434.745214,,MS-DRG,999999999,Case Rate,,7506.233149,,MS-DRG,999999999,Case Rate,,7577.721083,,MS-DRG,999999999,Case Rate,,7506.233149,,MS-DRG,999999999,Case Rate,,7577.721083,,MS-DRG,999999999,Case Rate,,7684.952985,,MS-DRG,999999999,Case Rate,,7148.793475,,MS-DRG,999999999,Case Rate,,7363.257279,,MS-DRG,999999999,Case Rate,,7506.233149,,MS-DRG,999999999,Case Rate,,7506.233149,,MS-DRG,999999999,Case Rate,,7577.721083,,MS-DRG,999999999,Case Rate,,7148.793475,,MS-DRG,999999999,Case Rate,,7148.793475,,MS-DRG,999999999,Case Rate,,7148.793475,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CESAREAN SECTION WITH STERILIZATION WITH MCC,783,MS-DRG,,,,,inpatient,,,,,,13639.87058,20459.80588,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20459.80588,,MS-DRG,999999999,Case Rate,,20459.80588,,MS-DRG,999999999,Case Rate,,14321.86411,,MS-DRG,999999999,Case Rate,,14185.46541,,MS-DRG,999999999,Case Rate,,14185.46541,,MS-DRG,999999999,Case Rate,,14321.86411,,MS-DRG,999999999,Case Rate,,14458.26282,,MS-DRG,999999999,Case Rate,,14321.86411,,MS-DRG,999999999,Case Rate,,14458.26282,,MS-DRG,999999999,Case Rate,,14662.86088,,MS-DRG,999999999,Case Rate,,13639.87058,,MS-DRG,999999999,Case Rate,,14049.0667,,MS-DRG,999999999,Case Rate,,14321.86411,,MS-DRG,999999999,Case Rate,,14321.86411,,MS-DRG,999999999,Case Rate,,14458.26282,,MS-DRG,999999999,Case Rate,,13639.87058,,MS-DRG,999999999,Case Rate,,13639.87058,,MS-DRG,999999999,Case Rate,,13639.87058,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CESAREAN SECTION WITH STERILIZATION WITH CC,784,MS-DRG,,,,,inpatient,,,,,,8209.057585,12313.58638,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12313.58638,,MS-DRG,999999999,Case Rate,,12313.58638,,MS-DRG,999999999,Case Rate,,8619.510465,,MS-DRG,999999999,Case Rate,,8537.419889,,MS-DRG,999999999,Case Rate,,8537.419889,,MS-DRG,999999999,Case Rate,,8619.510465,,MS-DRG,999999999,Case Rate,,8701.601041,,MS-DRG,999999999,Case Rate,,8619.510465,,MS-DRG,999999999,Case Rate,,8701.601041,,MS-DRG,999999999,Case Rate,,8824.736904,,MS-DRG,999999999,Case Rate,,8209.057585,,MS-DRG,999999999,Case Rate,,8455.329313,,MS-DRG,999999999,Case Rate,,8619.510465,,MS-DRG,999999999,Case Rate,,8619.510465,,MS-DRG,999999999,Case Rate,,8701.601041,,MS-DRG,999999999,Case Rate,,8209.057585,,MS-DRG,999999999,Case Rate,,8209.057585,,MS-DRG,999999999,Case Rate,,8209.057585,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,785,MS-DRG,,,,,inpatient,,,,,,6710.236187,10065.35428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10065.35428,,MS-DRG,999999999,Case Rate,,10065.35428,,MS-DRG,999999999,Case Rate,,7045.747997,,MS-DRG,999999999,Case Rate,,6978.645635,,MS-DRG,999999999,Case Rate,,6978.645635,,MS-DRG,999999999,Case Rate,,7045.747997,,MS-DRG,999999999,Case Rate,,7112.850359,,MS-DRG,999999999,Case Rate,,7045.747997,,MS-DRG,999999999,Case Rate,,7112.850359,,MS-DRG,999999999,Case Rate,,7213.503902,,MS-DRG,999999999,Case Rate,,6710.236187,,MS-DRG,999999999,Case Rate,,6911.543273,,MS-DRG,999999999,Case Rate,,7045.747997,,MS-DRG,999999999,Case Rate,,7045.747997,,MS-DRG,999999999,Case Rate,,7112.850359,,MS-DRG,999999999,Case Rate,,6710.236187,,MS-DRG,999999999,Case Rate,,6710.236187,,MS-DRG,999999999,Case Rate,,6710.236187,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,786,MS-DRG,,,,,inpatient,,,,,,12021.57273,18032.3591,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18032.3591,,MS-DRG,999999999,Case Rate,,18032.3591,,MS-DRG,999999999,Case Rate,,12622.65137,,MS-DRG,999999999,Case Rate,,12502.43564,,MS-DRG,999999999,Case Rate,,12502.43564,,MS-DRG,999999999,Case Rate,,12622.65137,,MS-DRG,999999999,Case Rate,,12742.86709,,MS-DRG,999999999,Case Rate,,12622.65137,,MS-DRG,999999999,Case Rate,,12742.86709,,MS-DRG,999999999,Case Rate,,12923.19069,,MS-DRG,999999999,Case Rate,,12021.57273,,MS-DRG,999999999,Case Rate,,12382.21991,,MS-DRG,999999999,Case Rate,,12622.65137,,MS-DRG,999999999,Case Rate,,12622.65137,,MS-DRG,999999999,Case Rate,,12742.86709,,MS-DRG,999999999,Case Rate,,12021.57273,,MS-DRG,999999999,Case Rate,,12021.57273,,MS-DRG,999999999,Case Rate,,12021.57273,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CESAREAN SECTION WITHOUT STERILIZATION WITH CC,787,MS-DRG,,,,,inpatient,,,,,,8057.386876,12086.08031,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12086.08031,,MS-DRG,999999999,Case Rate,,12086.08031,,MS-DRG,999999999,Case Rate,,8460.25622,,MS-DRG,999999999,Case Rate,,8379.682351,,MS-DRG,999999999,Case Rate,,8379.682351,,MS-DRG,999999999,Case Rate,,8460.25622,,MS-DRG,999999999,Case Rate,,8540.830089,,MS-DRG,999999999,Case Rate,,8460.25622,,MS-DRG,999999999,Case Rate,,8540.830089,,MS-DRG,999999999,Case Rate,,8661.690892,,MS-DRG,999999999,Case Rate,,8057.386876,,MS-DRG,999999999,Case Rate,,8299.108482,,MS-DRG,999999999,Case Rate,,8460.25622,,MS-DRG,999999999,Case Rate,,8460.25622,,MS-DRG,999999999,Case Rate,,8540.830089,,MS-DRG,999999999,Case Rate,,8057.386876,,MS-DRG,999999999,Case Rate,,8057.386876,,MS-DRG,999999999,Case Rate,,8057.386876,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,788,MS-DRG,,,,,inpatient,,,,,,6933.449684,10400.17453,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10400.17453,,MS-DRG,999999999,Case Rate,,10400.17453,,MS-DRG,999999999,Case Rate,,7280.122169,,MS-DRG,999999999,Case Rate,,7210.787672,,MS-DRG,999999999,Case Rate,,7210.787672,,MS-DRG,999999999,Case Rate,,7280.122169,,MS-DRG,999999999,Case Rate,,7349.456666,,MS-DRG,999999999,Case Rate,,7280.122169,,MS-DRG,999999999,Case Rate,,7349.456666,,MS-DRG,999999999,Case Rate,,7453.458411,,MS-DRG,999999999,Case Rate,,6933.449684,,MS-DRG,999999999,Case Rate,,7141.453175,,MS-DRG,999999999,Case Rate,,7280.122169,,MS-DRG,999999999,Case Rate,,7280.122169,,MS-DRG,999999999,Case Rate,,7349.456666,,MS-DRG,999999999,Case Rate,,6933.449684,,MS-DRG,999999999,Case Rate,,6933.449684,,MS-DRG,999999999,Case Rate,,6933.449684,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",789,MS-DRG,,,,,inpatient,,,,,,13357.27657,20035.91486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20035.91486,,MS-DRG,999999999,Case Rate,,20035.91486,,MS-DRG,999999999,Case Rate,,14025.1404,,MS-DRG,999999999,Case Rate,,13891.56764,,MS-DRG,999999999,Case Rate,,13891.56764,,MS-DRG,999999999,Case Rate,,14025.1404,,MS-DRG,999999999,Case Rate,,14158.71317,,MS-DRG,999999999,Case Rate,,14025.1404,,MS-DRG,999999999,Case Rate,,14158.71317,,MS-DRG,999999999,Case Rate,,14359.07232,,MS-DRG,999999999,Case Rate,,13357.27657,,MS-DRG,999999999,Case Rate,,13757.99487,,MS-DRG,999999999,Case Rate,,14025.1404,,MS-DRG,999999999,Case Rate,,14025.1404,,MS-DRG,999999999,Case Rate,,14158.71317,,MS-DRG,999999999,Case Rate,,13357.27657,,MS-DRG,999999999,Case Rate,,13357.27657,,MS-DRG,999999999,Case Rate,,13357.27657,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",790,MS-DRG,,,,,inpatient,,,,,,42991.73001,64487.59501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64487.59501,,MS-DRG,999999999,Case Rate,,64487.59501,,MS-DRG,999999999,Case Rate,,45141.31651,,MS-DRG,999999999,Case Rate,,44711.39921,,MS-DRG,999999999,Case Rate,,44711.39921,,MS-DRG,999999999,Case Rate,,45141.31651,,MS-DRG,999999999,Case Rate,,45571.23381,,MS-DRG,999999999,Case Rate,,45141.31651,,MS-DRG,999999999,Case Rate,,45571.23381,,MS-DRG,999999999,Case Rate,,46216.10976,,MS-DRG,999999999,Case Rate,,42991.73001,,MS-DRG,999999999,Case Rate,,44281.48191,,MS-DRG,999999999,Case Rate,,45141.31651,,MS-DRG,999999999,Case Rate,,45141.31651,,MS-DRG,999999999,Case Rate,,45571.23381,,MS-DRG,999999999,Case Rate,,42991.73001,,MS-DRG,999999999,Case Rate,,42991.73001,,MS-DRG,999999999,Case Rate,,42991.73001,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREMATURITY WITH MAJOR PROBLEMS,791,MS-DRG,,,,,inpatient,,,,,,29506.62999,44259.94499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44259.94499,,MS-DRG,999999999,Case Rate,,44259.94499,,MS-DRG,999999999,Case Rate,,30981.96149,,MS-DRG,999999999,Case Rate,,30686.89519,,MS-DRG,999999999,Case Rate,,30686.89519,,MS-DRG,999999999,Case Rate,,30981.96149,,MS-DRG,999999999,Case Rate,,31277.02779,,MS-DRG,999999999,Case Rate,,30981.96149,,MS-DRG,999999999,Case Rate,,31277.02779,,MS-DRG,999999999,Case Rate,,31719.62724,,MS-DRG,999999999,Case Rate,,29506.62999,,MS-DRG,999999999,Case Rate,,30391.82889,,MS-DRG,999999999,Case Rate,,30981.96149,,MS-DRG,999999999,Case Rate,,30981.96149,,MS-DRG,999999999,Case Rate,,31277.02779,,MS-DRG,999999999,Case Rate,,29506.62999,,MS-DRG,999999999,Case Rate,,29506.62999,,MS-DRG,999999999,Case Rate,,29506.62999,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PREMATURITY WITHOUT MAJOR PROBLEMS,792,MS-DRG,,,,,inpatient,,,,,,17986.81035,26980.21553,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26980.21553,,MS-DRG,999999999,Case Rate,,26980.21553,,MS-DRG,999999999,Case Rate,,18886.15087,,MS-DRG,999999999,Case Rate,,18706.28277,,MS-DRG,999999999,Case Rate,,18706.28277,,MS-DRG,999999999,Case Rate,,18886.15087,,MS-DRG,999999999,Case Rate,,19066.01897,,MS-DRG,999999999,Case Rate,,18886.15087,,MS-DRG,999999999,Case Rate,,19066.01897,,MS-DRG,999999999,Case Rate,,19335.82113,,MS-DRG,999999999,Case Rate,,17986.81035,,MS-DRG,999999999,Case Rate,,18526.41466,,MS-DRG,999999999,Case Rate,,18886.15087,,MS-DRG,999999999,Case Rate,,18886.15087,,MS-DRG,999999999,Case Rate,,19066.01897,,MS-DRG,999999999,Case Rate,,17986.81035,,MS-DRG,999999999,Case Rate,,17986.81035,,MS-DRG,999999999,Case Rate,,17986.81035,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULL TERM NEONATE WITH MAJOR PROBLEMS,793,MS-DRG,,,,,inpatient,,,,,,30297.89322,45446.83984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45446.83984,,MS-DRG,999999999,Case Rate,,45446.83984,,MS-DRG,999999999,Case Rate,,31812.78789,,MS-DRG,999999999,Case Rate,,31509.80895,,MS-DRG,999999999,Case Rate,,31509.80895,,MS-DRG,999999999,Case Rate,,31812.78789,,MS-DRG,999999999,Case Rate,,32115.76682,,MS-DRG,999999999,Case Rate,,31812.78789,,MS-DRG,999999999,Case Rate,,32115.76682,,MS-DRG,999999999,Case Rate,,32570.23522,,MS-DRG,999999999,Case Rate,,30297.89322,,MS-DRG,999999999,Case Rate,,31206.83002,,MS-DRG,999999999,Case Rate,,31812.78789,,MS-DRG,999999999,Case Rate,,31812.78789,,MS-DRG,999999999,Case Rate,,32115.76682,,MS-DRG,999999999,Case Rate,,30297.89322,,MS-DRG,999999999,Case Rate,,30297.89322,,MS-DRG,999999999,Case Rate,,30297.89322,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEONATE WITH OTHER SIGNIFICANT PROBLEMS,794,MS-DRG,,,,,inpatient,,,,,,11022.11999,16533.17998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16533.17998,,MS-DRG,999999999,Case Rate,,16533.17998,,MS-DRG,999999999,Case Rate,,11573.22599,,MS-DRG,999999999,Case Rate,,11463.00479,,MS-DRG,999999999,Case Rate,,11463.00479,,MS-DRG,999999999,Case Rate,,11573.22599,,MS-DRG,999999999,Case Rate,,11683.44719,,MS-DRG,999999999,Case Rate,,11573.22599,,MS-DRG,999999999,Case Rate,,11683.44719,,MS-DRG,999999999,Case Rate,,11848.77899,,MS-DRG,999999999,Case Rate,,11022.11999,,MS-DRG,999999999,Case Rate,,11352.78359,,MS-DRG,999999999,Case Rate,,11573.22599,,MS-DRG,999999999,Case Rate,,11573.22599,,MS-DRG,999999999,Case Rate,,11683.44719,,MS-DRG,999999999,Case Rate,,11022.11999,,MS-DRG,999999999,Case Rate,,11022.11999,,MS-DRG,999999999,Case Rate,,11022.11999,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NORMAL NEWBORN,795,MS-DRG,,,,,inpatient,,,,,,1890.398594,2835.597891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2835.597891,,MS-DRG,999999999,Case Rate,,2835.597891,,MS-DRG,999999999,Case Rate,,1984.918524,,MS-DRG,999999999,Case Rate,,1966.014538,,MS-DRG,999999999,Case Rate,,1966.014538,,MS-DRG,999999999,Case Rate,,1984.918524,,MS-DRG,999999999,Case Rate,,2003.82251,,MS-DRG,999999999,Case Rate,,1984.918524,,MS-DRG,999999999,Case Rate,,2003.82251,,MS-DRG,999999999,Case Rate,,2032.178489,,MS-DRG,999999999,Case Rate,,1890.398594,,MS-DRG,999999999,Case Rate,,1947.110552,,MS-DRG,999999999,Case Rate,,1984.918524,,MS-DRG,999999999,Case Rate,,1984.918524,,MS-DRG,999999999,Case Rate,,2003.82251,,MS-DRG,999999999,Case Rate,,1890.398594,,MS-DRG,999999999,Case Rate,,1890.398594,,MS-DRG,999999999,Case Rate,,1890.398594,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,796,MS-DRG,,,,,inpatient,,,,,,9594.125951,14391.18893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14391.18893,,MS-DRG,999999999,Case Rate,,14391.18893,,MS-DRG,999999999,Case Rate,,10073.83225,,MS-DRG,999999999,Case Rate,,9977.890989,,MS-DRG,999999999,Case Rate,,9977.890989,,MS-DRG,999999999,Case Rate,,10073.83225,,MS-DRG,999999999,Case Rate,,10169.77351,,MS-DRG,999999999,Case Rate,,10073.83225,,MS-DRG,999999999,Case Rate,,10169.77351,,MS-DRG,999999999,Case Rate,,10313.6854,,MS-DRG,999999999,Case Rate,,9594.125951,,MS-DRG,999999999,Case Rate,,9881.94973,,MS-DRG,999999999,Case Rate,,10073.83225,,MS-DRG,999999999,Case Rate,,10073.83225,,MS-DRG,999999999,Case Rate,,10169.77351,,MS-DRG,999999999,Case Rate,,9594.125951,,MS-DRG,999999999,Case Rate,,9594.125951,,MS-DRG,999999999,Case Rate,,9594.125951,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,797,MS-DRG,,,,,inpatient,,,,,,7387.746385,11081.61958,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11081.61958,,MS-DRG,999999999,Case Rate,,11081.61958,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7683.25624,,MS-DRG,999999999,Case Rate,,7683.25624,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7831.011168,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7831.011168,,MS-DRG,999999999,Case Rate,,7941.827364,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,7609.378777,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7831.011168,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,798,MS-DRG,,,,,inpatient,,,,,,7387.746385,11081.61958,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11081.61958,,MS-DRG,999999999,Case Rate,,11081.61958,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7683.25624,,MS-DRG,999999999,Case Rate,,7683.25624,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7831.011168,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7831.011168,,MS-DRG,999999999,Case Rate,,7941.827364,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,7609.378777,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7757.133704,,MS-DRG,999999999,Case Rate,,7831.011168,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,7387.746385,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPLENIC PROCEDURES WITH MCC,799,MS-DRG,,,,,inpatient,,,,,,34478.1383,51717.20745,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51717.20745,,MS-DRG,999999999,Case Rate,,51717.20745,,MS-DRG,999999999,Case Rate,,36202.04521,,MS-DRG,999999999,Case Rate,,35857.26383,,MS-DRG,999999999,Case Rate,,35857.26383,,MS-DRG,999999999,Case Rate,,36202.04521,,MS-DRG,999999999,Case Rate,,36546.82659,,MS-DRG,999999999,Case Rate,,36202.04521,,MS-DRG,999999999,Case Rate,,36546.82659,,MS-DRG,999999999,Case Rate,,37063.99867,,MS-DRG,999999999,Case Rate,,34478.1383,,MS-DRG,999999999,Case Rate,,35512.48245,,MS-DRG,999999999,Case Rate,,36202.04521,,MS-DRG,999999999,Case Rate,,36202.04521,,MS-DRG,999999999,Case Rate,,36546.82659,,MS-DRG,999999999,Case Rate,,34478.1383,,MS-DRG,999999999,Case Rate,,34478.1383,,MS-DRG,999999999,Case Rate,,34478.1383,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPLENIC PROCEDURES WITH CC,800,MS-DRG,,,,,inpatient,,,,,,21307.11112,31960.66668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31960.66668,,MS-DRG,999999999,Case Rate,,31960.66668,,MS-DRG,999999999,Case Rate,,22372.46668,,MS-DRG,999999999,Case Rate,,22159.39556,,MS-DRG,999999999,Case Rate,,22159.39556,,MS-DRG,999999999,Case Rate,,22372.46668,,MS-DRG,999999999,Case Rate,,22585.53779,,MS-DRG,999999999,Case Rate,,22372.46668,,MS-DRG,999999999,Case Rate,,22585.53779,,MS-DRG,999999999,Case Rate,,22905.14445,,MS-DRG,999999999,Case Rate,,21307.11112,,MS-DRG,999999999,Case Rate,,21946.32445,,MS-DRG,999999999,Case Rate,,22372.46668,,MS-DRG,999999999,Case Rate,,22372.46668,,MS-DRG,999999999,Case Rate,,22585.53779,,MS-DRG,999999999,Case Rate,,21307.11112,,MS-DRG,999999999,Case Rate,,21307.11112,,MS-DRG,999999999,Case Rate,,21307.11112,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SPLENIC PROCEDURES WITHOUT CC/MCC,801,MS-DRG,,,,,inpatient,,,,,,12206.15312,18309.22968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18309.22968,,MS-DRG,999999999,Case Rate,,18309.22968,,MS-DRG,999999999,Case Rate,,12816.46078,,MS-DRG,999999999,Case Rate,,12694.39925,,MS-DRG,999999999,Case Rate,,12694.39925,,MS-DRG,999999999,Case Rate,,12816.46078,,MS-DRG,999999999,Case Rate,,12938.52231,,MS-DRG,999999999,Case Rate,,12816.46078,,MS-DRG,999999999,Case Rate,,12938.52231,,MS-DRG,999999999,Case Rate,,13121.61461,,MS-DRG,999999999,Case Rate,,12206.15312,,MS-DRG,999999999,Case Rate,,12572.33772,,MS-DRG,999999999,Case Rate,,12816.46078,,MS-DRG,999999999,Case Rate,,12816.46078,,MS-DRG,999999999,Case Rate,,12938.52231,,MS-DRG,999999999,Case Rate,,12206.15312,,MS-DRG,999999999,Case Rate,,12206.15312,,MS-DRG,999999999,Case Rate,,12206.15312,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,802,MS-DRG,,,,,inpatient,,,,,,26107.63216,39161.44824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39161.44824,,MS-DRG,999999999,Case Rate,,39161.44824,,MS-DRG,999999999,Case Rate,,27413.01377,,MS-DRG,999999999,Case Rate,,27151.93745,,MS-DRG,999999999,Case Rate,,27151.93745,,MS-DRG,999999999,Case Rate,,27413.01377,,MS-DRG,999999999,Case Rate,,27674.09009,,MS-DRG,999999999,Case Rate,,27413.01377,,MS-DRG,999999999,Case Rate,,27674.09009,,MS-DRG,999999999,Case Rate,,28065.70457,,MS-DRG,999999999,Case Rate,,26107.63216,,MS-DRG,999999999,Case Rate,,26890.86113,,MS-DRG,999999999,Case Rate,,27413.01377,,MS-DRG,999999999,Case Rate,,27413.01377,,MS-DRG,999999999,Case Rate,,27674.09009,,MS-DRG,999999999,Case Rate,,26107.63216,,MS-DRG,999999999,Case Rate,,26107.63216,,MS-DRG,999999999,Case Rate,,26107.63216,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,803,MS-DRG,,,,,inpatient,,,,,,13195.58987,19793.38481,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19793.38481,,MS-DRG,999999999,Case Rate,,19793.38481,,MS-DRG,999999999,Case Rate,,13855.36937,,MS-DRG,999999999,Case Rate,,13723.41347,,MS-DRG,999999999,Case Rate,,13723.41347,,MS-DRG,999999999,Case Rate,,13855.36937,,MS-DRG,999999999,Case Rate,,13987.32527,,MS-DRG,999999999,Case Rate,,13855.36937,,MS-DRG,999999999,Case Rate,,13987.32527,,MS-DRG,999999999,Case Rate,,14185.25911,,MS-DRG,999999999,Case Rate,,13195.58987,,MS-DRG,999999999,Case Rate,,13591.45757,,MS-DRG,999999999,Case Rate,,13855.36937,,MS-DRG,999999999,Case Rate,,13855.36937,,MS-DRG,999999999,Case Rate,,13987.32527,,MS-DRG,999999999,Case Rate,,13195.58987,,MS-DRG,999999999,Case Rate,,13195.58987,,MS-DRG,999999999,Case Rate,,13195.58987,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,804,MS-DRG,,,,,inpatient,,,,,,8370.744285,12556.11643,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12556.11643,,MS-DRG,999999999,Case Rate,,12556.11643,,MS-DRG,999999999,Case Rate,,8789.281499,,MS-DRG,999999999,Case Rate,,8705.574057,,MS-DRG,999999999,Case Rate,,8705.574057,,MS-DRG,999999999,Case Rate,,8789.281499,,MS-DRG,999999999,Case Rate,,8872.988942,,MS-DRG,999999999,Case Rate,,8789.281499,,MS-DRG,999999999,Case Rate,,8872.988942,,MS-DRG,999999999,Case Rate,,8998.550107,,MS-DRG,999999999,Case Rate,,8370.744285,,MS-DRG,999999999,Case Rate,,8621.866614,,MS-DRG,999999999,Case Rate,,8789.281499,,MS-DRG,999999999,Case Rate,,8789.281499,,MS-DRG,999999999,Case Rate,,8872.988942,,MS-DRG,999999999,Case Rate,,8370.744285,,MS-DRG,999999999,Case Rate,,8370.744285,,MS-DRG,999999999,Case Rate,,8370.744285,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,805,MS-DRG,,,,,inpatient,,,,,,7600.943892,11401.41584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11401.41584,,MS-DRG,999999999,Case Rate,,11401.41584,,MS-DRG,999999999,Case Rate,,7980.991086,,MS-DRG,999999999,Case Rate,,7904.981647,,MS-DRG,999999999,Case Rate,,7904.981647,,MS-DRG,999999999,Case Rate,,7980.991086,,MS-DRG,999999999,Case Rate,,8057.000525,,MS-DRG,999999999,Case Rate,,7980.991086,,MS-DRG,999999999,Case Rate,,8057.000525,,MS-DRG,999999999,Case Rate,,8171.014684,,MS-DRG,999999999,Case Rate,,7600.943892,,MS-DRG,999999999,Case Rate,,7828.972209,,MS-DRG,999999999,Case Rate,,7980.991086,,MS-DRG,999999999,Case Rate,,7980.991086,,MS-DRG,999999999,Case Rate,,8057.000525,,MS-DRG,999999999,Case Rate,,7600.943892,,MS-DRG,999999999,Case Rate,,7600.943892,,MS-DRG,999999999,Case Rate,,7600.943892,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,806,MS-DRG,,,,,inpatient,,,,,,5637.809803,8456.714704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8456.714704,,MS-DRG,999999999,Case Rate,,8456.714704,,MS-DRG,999999999,Case Rate,,5919.700293,,MS-DRG,999999999,Case Rate,,5863.322195,,MS-DRG,999999999,Case Rate,,5863.322195,,MS-DRG,999999999,Case Rate,,5919.700293,,MS-DRG,999999999,Case Rate,,5976.078391,,MS-DRG,999999999,Case Rate,,5919.700293,,MS-DRG,999999999,Case Rate,,5976.078391,,MS-DRG,999999999,Case Rate,,6060.645538,,MS-DRG,999999999,Case Rate,,5637.809803,,MS-DRG,999999999,Case Rate,,5806.944097,,MS-DRG,999999999,Case Rate,,5919.700293,,MS-DRG,999999999,Case Rate,,5919.700293,,MS-DRG,999999999,Case Rate,,5976.078391,,MS-DRG,999999999,Case Rate,,5637.809803,,MS-DRG,999999999,Case Rate,,5637.809803,,MS-DRG,999999999,Case Rate,,5637.809803,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,807,MS-DRG,,,,,inpatient,,,,,,5020.395547,7530.59332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7530.59332,,MS-DRG,999999999,Case Rate,,7530.59332,,MS-DRG,999999999,Case Rate,,5271.415324,,MS-DRG,999999999,Case Rate,,5221.211369,,MS-DRG,999999999,Case Rate,,5221.211369,,MS-DRG,999999999,Case Rate,,5271.415324,,MS-DRG,999999999,Case Rate,,5321.61928,,MS-DRG,999999999,Case Rate,,5271.415324,,MS-DRG,999999999,Case Rate,,5321.61928,,MS-DRG,999999999,Case Rate,,5396.925213,,MS-DRG,999999999,Case Rate,,5020.395547,,MS-DRG,999999999,Case Rate,,5171.007413,,MS-DRG,999999999,Case Rate,,5271.415324,,MS-DRG,999999999,Case Rate,,5271.415324,,MS-DRG,999999999,Case Rate,,5321.61928,,MS-DRG,999999999,Case Rate,,5020.395547,,MS-DRG,999999999,Case Rate,,5020.395547,,MS-DRG,999999999,Case Rate,,5020.395547,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,808,MS-DRG,,,,,inpatient,,,,,,15225.05,25269.62748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25269.62748,,MS-DRG,999999999,Case Rate,,25269.62748,,MS-DRG,999999999,Case Rate,,17688.73924,,MS-DRG,999999999,Case Rate,,17520.27505,,MS-DRG,999999999,Case Rate,,17520.27505,,MS-DRG,999999999,Case Rate,,17688.73924,,MS-DRG,999999999,Case Rate,,17857.20342,,MS-DRG,999999999,Case Rate,,17688.73924,,MS-DRG,999999999,Case Rate,,17857.20342,,MS-DRG,999999999,Case Rate,,18109.89969,,MS-DRG,15225.05,Case Rate,,16846.41832,,MS-DRG,999999999,Case Rate,,17351.81087,,MS-DRG,999999999,Case Rate,,17688.73924,,MS-DRG,999999999,Case Rate,,17688.73924,,MS-DRG,999999999,Case Rate,,17857.20342,,MS-DRG,999999999,Case Rate,,16846.41832,,MS-DRG,999999999,Case Rate,,16846.41832,,MS-DRG,999999999,Case Rate,,16846.41832,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,809,MS-DRG,,,,,inpatient,,,,,,8987.36,13982.3219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13982.3219,,MS-DRG,999999999,Case Rate,,13982.3219,,MS-DRG,999999999,Case Rate,,9787.625328,,MS-DRG,999999999,Case Rate,,9694.409848,,MS-DRG,999999999,Case Rate,,9694.409848,,MS-DRG,999999999,Case Rate,,9787.625328,,MS-DRG,999999999,Case Rate,,9880.840807,,MS-DRG,999999999,Case Rate,,9787.625328,,MS-DRG,999999999,Case Rate,,9880.840807,,MS-DRG,999999999,Case Rate,,10020.66403,,MS-DRG,8987.36,Case Rate,,9321.547931,,MS-DRG,999999999,Case Rate,,9601.194369,,MS-DRG,999999999,Case Rate,,9787.625328,,MS-DRG,999999999,Case Rate,,9787.625328,,MS-DRG,999999999,Case Rate,,9880.840807,,MS-DRG,999999999,Case Rate,,9321.547931,,MS-DRG,999999999,Case Rate,,9321.547931,,MS-DRG,999999999,Case Rate,,9321.547931,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,810,MS-DRG,,,,,inpatient,,,,,,7270.416214,10905.62432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10905.62432,,MS-DRG,999999999,Case Rate,,10905.62432,,MS-DRG,999999999,Case Rate,,7633.937024,,MS-DRG,999999999,Case Rate,,7561.232862,,MS-DRG,999999999,Case Rate,,7561.232862,,MS-DRG,999999999,Case Rate,,7633.937024,,MS-DRG,999999999,Case Rate,,7706.641186,,MS-DRG,999999999,Case Rate,,7633.937024,,MS-DRG,999999999,Case Rate,,7706.641186,,MS-DRG,999999999,Case Rate,,7815.69743,,MS-DRG,999999999,Case Rate,,7270.416214,,MS-DRG,999999999,Case Rate,,7488.5287,,MS-DRG,999999999,Case Rate,,7633.937024,,MS-DRG,999999999,Case Rate,,7633.937024,,MS-DRG,999999999,Case Rate,,7706.641186,,MS-DRG,999999999,Case Rate,,7270.416214,,MS-DRG,999999999,Case Rate,,7270.416214,,MS-DRG,999999999,Case Rate,,7270.416214,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RED BLOOD CELL DISORDERS WITH MCC,811,MS-DRG,,,,,inpatient,,,,,,414.18,15789.49271,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15789.49271,,MS-DRG,999999999,Case Rate,,15789.49271,,MS-DRG,999999999,Case Rate,,11052.6449,,MS-DRG,6487.88,Case Rate,,10947.38161,,MS-DRG,10203.78,Case Rate,,10947.38161,,MS-DRG,8562.54,Case Rate,,11052.6449,,MS-DRG,999999999,Case Rate,,11157.90818,,MS-DRG,999999999,Case Rate,,11052.6449,,MS-DRG,999999999,Case Rate,,11157.90818,,MS-DRG,999999999,Case Rate,,11315.80311,,MS-DRG,414.18,Case Rate,,10526.32847,,MS-DRG,999999999,Case Rate,,10842.11833,,MS-DRG,999999999,Case Rate,,11052.6449,,MS-DRG,999999999,Case Rate,,11052.6449,,MS-DRG,999999999,Case Rate,,11157.90818,,MS-DRG,999999999,Case Rate,,10526.32847,,MS-DRG,999999999,Case Rate,,10526.32847,,MS-DRG,999999999,Case Rate,,10526.32847,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RED BLOOD CELL DISORDERS WITHOUT MCC,812,MS-DRG,,,,,inpatient,,,,,,1348.04,10595.48634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10595.48634,,MS-DRG,999999999,Case Rate,,10595.48634,,MS-DRG,999999999,Case Rate,,7416.840436,,MS-DRG,1348.04,Case Rate,,7346.20386,,MS-DRG,999999999,Case Rate,,7346.20386,,MS-DRG,4757.985,Case Rate,,7416.840436,,MS-DRG,999999999,Case Rate,,7487.477011,,MS-DRG,999999999,Case Rate,,7416.840436,,MS-DRG,999999999,Case Rate,,7487.477011,,MS-DRG,999999999,Case Rate,,7593.431875,,MS-DRG,5923.91,Case Rate,,7063.657558,,MS-DRG,999999999,Case Rate,,7275.567284,,MS-DRG,999999999,Case Rate,,7416.840436,,MS-DRG,999999999,Case Rate,,7416.840436,,MS-DRG,999999999,Case Rate,,7487.477011,,MS-DRG,999999999,Case Rate,,7063.657558,,MS-DRG,999999999,Case Rate,,7063.657558,,MS-DRG,999999999,Case Rate,,7063.657558,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COAGULATION DISORDERS,813,MS-DRG,,,,,inpatient,,,,,,5905.615,17303.69581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17303.69581,,MS-DRG,999999999,Case Rate,,17303.69581,,MS-DRG,999999999,Case Rate,,12112.58706,,MS-DRG,999999999,Case Rate,,11997.22909,,MS-DRG,999999999,Case Rate,,11997.22909,,MS-DRG,5905.615,Case Rate,,12112.58706,,MS-DRG,999999999,Case Rate,,12227.94504,,MS-DRG,999999999,Case Rate,,12112.58706,,MS-DRG,999999999,Case Rate,,12227.94504,,MS-DRG,999999999,Case Rate,,12400.98199,,MS-DRG,7657.84,Case Rate,,11535.7972,,MS-DRG,999999999,Case Rate,,11881.87112,,MS-DRG,999999999,Case Rate,,12112.58706,,MS-DRG,999999999,Case Rate,,12112.58706,,MS-DRG,999999999,Case Rate,,12227.94504,,MS-DRG,999999999,Case Rate,,11535.7972,,MS-DRG,999999999,Case Rate,,11535.7972,,MS-DRG,999999999,Case Rate,,11535.7972,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,814,MS-DRG,,,,,inpatient,,,,,,15416.99343,23125.49014,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23125.49014,,MS-DRG,999999999,Case Rate,,23125.49014,,MS-DRG,999999999,Case Rate,,16187.8431,,MS-DRG,999999999,Case Rate,,16033.67316,,MS-DRG,999999999,Case Rate,,16033.67316,,MS-DRG,999999999,Case Rate,,16187.8431,,MS-DRG,999999999,Case Rate,,16342.01303,,MS-DRG,999999999,Case Rate,,16187.8431,,MS-DRG,999999999,Case Rate,,16342.01303,,MS-DRG,999999999,Case Rate,,16573.26793,,MS-DRG,999999999,Case Rate,,15416.99343,,MS-DRG,999999999,Case Rate,,15879.50323,,MS-DRG,999999999,Case Rate,,16187.8431,,MS-DRG,999999999,Case Rate,,16187.8431,,MS-DRG,999999999,Case Rate,,16342.01303,,MS-DRG,999999999,Case Rate,,15416.99343,,MS-DRG,999999999,Case Rate,,15416.99343,,MS-DRG,999999999,Case Rate,,15416.99343,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,815,MS-DRG,,,,,inpatient,,,,,,7730.436337,11595.65451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11595.65451,,MS-DRG,999999999,Case Rate,,11595.65451,,MS-DRG,999999999,Case Rate,,8116.958154,,MS-DRG,999999999,Case Rate,,8039.653791,,MS-DRG,999999999,Case Rate,,8039.653791,,MS-DRG,999999999,Case Rate,,8116.958154,,MS-DRG,999999999,Case Rate,,8194.262517,,MS-DRG,999999999,Case Rate,,8116.958154,,MS-DRG,999999999,Case Rate,,8194.262517,,MS-DRG,999999999,Case Rate,,8310.219062,,MS-DRG,999999999,Case Rate,,7730.436337,,MS-DRG,999999999,Case Rate,,7962.349427,,MS-DRG,999999999,Case Rate,,8116.958154,,MS-DRG,999999999,Case Rate,,8116.958154,,MS-DRG,999999999,Case Rate,,8194.262517,,MS-DRG,999999999,Case Rate,,7730.436337,,MS-DRG,999999999,Case Rate,,7730.436337,,MS-DRG,999999999,Case Rate,,7730.436337,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,816,MS-DRG,,,,,inpatient,,,,,,5178.505107,7767.757661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7767.757661,,MS-DRG,999999999,Case Rate,,7767.757661,,MS-DRG,999999999,Case Rate,,5437.430363,,MS-DRG,999999999,Case Rate,,5385.645312,,MS-DRG,999999999,Case Rate,,5385.645312,,MS-DRG,999999999,Case Rate,,5437.430363,,MS-DRG,999999999,Case Rate,,5489.215414,,MS-DRG,999999999,Case Rate,,5437.430363,,MS-DRG,999999999,Case Rate,,5489.215414,,MS-DRG,999999999,Case Rate,,5566.89299,,MS-DRG,999999999,Case Rate,,5178.505107,,MS-DRG,999999999,Case Rate,,5333.86026,,MS-DRG,999999999,Case Rate,,5437.430363,,MS-DRG,999999999,Case Rate,,5437.430363,,MS-DRG,999999999,Case Rate,,5489.215414,,MS-DRG,999999999,Case Rate,,5178.505107,,MS-DRG,999999999,Case Rate,,5178.505107,,MS-DRG,999999999,Case Rate,,5178.505107,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,817,MS-DRG,,,,,inpatient,,,,,,18597.78576,27896.67864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27896.67864,,MS-DRG,999999999,Case Rate,,27896.67864,,MS-DRG,999999999,Case Rate,,19527.67505,,MS-DRG,999999999,Case Rate,,19341.69719,,MS-DRG,999999999,Case Rate,,19341.69719,,MS-DRG,999999999,Case Rate,,19527.67505,,MS-DRG,999999999,Case Rate,,19713.6529,,MS-DRG,999999999,Case Rate,,19527.67505,,MS-DRG,999999999,Case Rate,,19713.6529,,MS-DRG,999999999,Case Rate,,19992.61969,,MS-DRG,999999999,Case Rate,,18597.78576,,MS-DRG,999999999,Case Rate,,19155.71933,,MS-DRG,999999999,Case Rate,,19527.67505,,MS-DRG,999999999,Case Rate,,19527.67505,,MS-DRG,999999999,Case Rate,,19713.6529,,MS-DRG,999999999,Case Rate,,18597.78576,,MS-DRG,999999999,Case Rate,,18597.78576,,MS-DRG,999999999,Case Rate,,18597.78576,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,818,MS-DRG,,,,,inpatient,,,,,,9675.684729,14513.52709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14513.52709,,MS-DRG,999999999,Case Rate,,14513.52709,,MS-DRG,999999999,Case Rate,,10159.46897,,MS-DRG,999999999,Case Rate,,10062.71212,,MS-DRG,999999999,Case Rate,,10062.71212,,MS-DRG,999999999,Case Rate,,10159.46897,,MS-DRG,999999999,Case Rate,,10256.22581,,MS-DRG,999999999,Case Rate,,10159.46897,,MS-DRG,999999999,Case Rate,,10256.22581,,MS-DRG,999999999,Case Rate,,10401.36108,,MS-DRG,999999999,Case Rate,,9675.684729,,MS-DRG,999999999,Case Rate,,9965.955271,,MS-DRG,999999999,Case Rate,,10159.46897,,MS-DRG,999999999,Case Rate,,10159.46897,,MS-DRG,999999999,Case Rate,,10256.22581,,MS-DRG,999999999,Case Rate,,9675.684729,,MS-DRG,999999999,Case Rate,,9675.684729,,MS-DRG,999999999,Case Rate,,9675.684729,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,819,MS-DRG,,,,,inpatient,,,,,,6302.442299,9453.663448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9453.663448,,MS-DRG,999999999,Case Rate,,9453.663448,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6554.539991,,MS-DRG,999999999,Case Rate,,6554.539991,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6680.588837,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6680.588837,,MS-DRG,999999999,Case Rate,,6775.125471,,MS-DRG,999999999,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,6491.515568,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6617.564414,,MS-DRG,999999999,Case Rate,,6680.588837,,MS-DRG,999999999,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,6302.442299,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,820,MS-DRG,,,,,inpatient,,,,,,42115.33086,63172.99629,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63172.99629,,MS-DRG,999999999,Case Rate,,63172.99629,,MS-DRG,999999999,Case Rate,,44221.09741,,MS-DRG,999999999,Case Rate,,43799.9441,,MS-DRG,999999999,Case Rate,,43799.9441,,MS-DRG,999999999,Case Rate,,44221.09741,,MS-DRG,999999999,Case Rate,,44642.25071,,MS-DRG,999999999,Case Rate,,44221.09741,,MS-DRG,999999999,Case Rate,,44642.25071,,MS-DRG,999999999,Case Rate,,45273.98068,,MS-DRG,999999999,Case Rate,,42115.33086,,MS-DRG,999999999,Case Rate,,43378.79079,,MS-DRG,999999999,Case Rate,,44221.09741,,MS-DRG,999999999,Case Rate,,44221.09741,,MS-DRG,999999999,Case Rate,,44642.25071,,MS-DRG,999999999,Case Rate,,42115.33086,,MS-DRG,999999999,Case Rate,,42115.33086,,MS-DRG,999999999,Case Rate,,42115.33086,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,821,MS-DRG,,,,,inpatient,,,,,,16432.18558,24648.27837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24648.27837,,MS-DRG,999999999,Case Rate,,24648.27837,,MS-DRG,999999999,Case Rate,,17253.79486,,MS-DRG,999999999,Case Rate,,17089.473,,MS-DRG,999999999,Case Rate,,17089.473,,MS-DRG,999999999,Case Rate,,17253.79486,,MS-DRG,999999999,Case Rate,,17418.11671,,MS-DRG,999999999,Case Rate,,17253.79486,,MS-DRG,999999999,Case Rate,,17418.11671,,MS-DRG,999999999,Case Rate,,17664.5995,,MS-DRG,999999999,Case Rate,,16432.18558,,MS-DRG,999999999,Case Rate,,16925.15115,,MS-DRG,999999999,Case Rate,,17253.79486,,MS-DRG,999999999,Case Rate,,17253.79486,,MS-DRG,999999999,Case Rate,,17418.11671,,MS-DRG,999999999,Case Rate,,16432.18558,,MS-DRG,999999999,Case Rate,,16432.18558,,MS-DRG,999999999,Case Rate,,16432.18558,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,822,MS-DRG,,,,,inpatient,,,,,,8643.322306,12964.98346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12964.98346,,MS-DRG,999999999,Case Rate,,12964.98346,,MS-DRG,999999999,Case Rate,,9075.488421,,MS-DRG,999999999,Case Rate,,8989.055198,,MS-DRG,999999999,Case Rate,,8989.055198,,MS-DRG,999999999,Case Rate,,9075.488421,,MS-DRG,999999999,Case Rate,,9161.921644,,MS-DRG,999999999,Case Rate,,9075.488421,,MS-DRG,999999999,Case Rate,,9161.921644,,MS-DRG,999999999,Case Rate,,9291.571478,,MS-DRG,999999999,Case Rate,,8643.322306,,MS-DRG,999999999,Case Rate,,8902.621975,,MS-DRG,999999999,Case Rate,,9075.488421,,MS-DRG,999999999,Case Rate,,9075.488421,,MS-DRG,999999999,Case Rate,,9161.921644,,MS-DRG,999999999,Case Rate,,8643.322306,,MS-DRG,999999999,Case Rate,,8643.322306,,MS-DRG,999999999,Case Rate,,8643.322306,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,823,MS-DRG,,,,,inpatient,,,,,,33939.42111,50909.13166,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50909.13166,,MS-DRG,999999999,Case Rate,,50909.13166,,MS-DRG,999999999,Case Rate,,35636.39216,,MS-DRG,999999999,Case Rate,,35296.99795,,MS-DRG,999999999,Case Rate,,35296.99795,,MS-DRG,999999999,Case Rate,,35636.39216,,MS-DRG,999999999,Case Rate,,35975.78637,,MS-DRG,999999999,Case Rate,,35636.39216,,MS-DRG,999999999,Case Rate,,35975.78637,,MS-DRG,999999999,Case Rate,,36484.87769,,MS-DRG,999999999,Case Rate,,33939.42111,,MS-DRG,999999999,Case Rate,,34957.60374,,MS-DRG,999999999,Case Rate,,35636.39216,,MS-DRG,999999999,Case Rate,,35636.39216,,MS-DRG,999999999,Case Rate,,35975.78637,,MS-DRG,999999999,Case Rate,,33939.42111,,MS-DRG,999999999,Case Rate,,33939.42111,,MS-DRG,999999999,Case Rate,,33939.42111,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,824,MS-DRG,,,,,inpatient,,,,,,16196.09438,24294.14157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24294.14157,,MS-DRG,999999999,Case Rate,,24294.14157,,MS-DRG,999999999,Case Rate,,17005.8991,,MS-DRG,999999999,Case Rate,,16843.93816,,MS-DRG,999999999,Case Rate,,16843.93816,,MS-DRG,999999999,Case Rate,,17005.8991,,MS-DRG,999999999,Case Rate,,17167.86004,,MS-DRG,999999999,Case Rate,,17005.8991,,MS-DRG,999999999,Case Rate,,17167.86004,,MS-DRG,999999999,Case Rate,,17410.80146,,MS-DRG,999999999,Case Rate,,16196.09438,,MS-DRG,999999999,Case Rate,,16681.97721,,MS-DRG,999999999,Case Rate,,17005.8991,,MS-DRG,999999999,Case Rate,,17005.8991,,MS-DRG,999999999,Case Rate,,17167.86004,,MS-DRG,999999999,Case Rate,,16196.09438,,MS-DRG,999999999,Case Rate,,16196.09438,,MS-DRG,999999999,Case Rate,,16196.09438,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,825,MS-DRG,,,,,inpatient,,,,,,9266.459985,13899.68998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13899.68998,,MS-DRG,999999999,Case Rate,,13899.68998,,MS-DRG,999999999,Case Rate,,9729.782984,,MS-DRG,999999999,Case Rate,,9637.118384,,MS-DRG,999999999,Case Rate,,9637.118384,,MS-DRG,999999999,Case Rate,,9729.782984,,MS-DRG,999999999,Case Rate,,9822.447584,,MS-DRG,999999999,Case Rate,,9729.782984,,MS-DRG,999999999,Case Rate,,9822.447584,,MS-DRG,999999999,Case Rate,,9961.444483,,MS-DRG,999999999,Case Rate,,9266.459985,,MS-DRG,999999999,Case Rate,,9544.453784,,MS-DRG,999999999,Case Rate,,9729.782984,,MS-DRG,999999999,Case Rate,,9729.782984,,MS-DRG,999999999,Case Rate,,9822.447584,,MS-DRG,999999999,Case Rate,,9266.459985,,MS-DRG,999999999,Case Rate,,9266.459985,,MS-DRG,999999999,Case Rate,,9266.459985,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,826,MS-DRG,,,,,inpatient,,,,,,34626.23187,51939.3478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51939.3478,,MS-DRG,999999999,Case Rate,,51939.3478,,MS-DRG,999999999,Case Rate,,36357.54346,,MS-DRG,999999999,Case Rate,,36011.28114,,MS-DRG,999999999,Case Rate,,36011.28114,,MS-DRG,999999999,Case Rate,,36357.54346,,MS-DRG,999999999,Case Rate,,36703.80578,,MS-DRG,999999999,Case Rate,,36357.54346,,MS-DRG,999999999,Case Rate,,36703.80578,,MS-DRG,999999999,Case Rate,,37223.19926,,MS-DRG,999999999,Case Rate,,34626.23187,,MS-DRG,999999999,Case Rate,,35665.01882,,MS-DRG,999999999,Case Rate,,36357.54346,,MS-DRG,999999999,Case Rate,,36357.54346,,MS-DRG,999999999,Case Rate,,36703.80578,,MS-DRG,999999999,Case Rate,,34626.23187,,MS-DRG,999999999,Case Rate,,34626.23187,,MS-DRG,999999999,Case Rate,,34626.23187,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,827,MS-DRG,,,,,inpatient,,,,,,17344.35612,26016.53418,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26016.53418,,MS-DRG,999999999,Case Rate,,26016.53418,,MS-DRG,999999999,Case Rate,,18211.57393,,MS-DRG,999999999,Case Rate,,18038.13037,,MS-DRG,999999999,Case Rate,,18038.13037,,MS-DRG,999999999,Case Rate,,18211.57393,,MS-DRG,999999999,Case Rate,,18385.01749,,MS-DRG,999999999,Case Rate,,18211.57393,,MS-DRG,999999999,Case Rate,,18385.01749,,MS-DRG,999999999,Case Rate,,18645.18283,,MS-DRG,999999999,Case Rate,,17344.35612,,MS-DRG,999999999,Case Rate,,17864.6868,,MS-DRG,999999999,Case Rate,,18211.57393,,MS-DRG,999999999,Case Rate,,18211.57393,,MS-DRG,999999999,Case Rate,,18385.01749,,MS-DRG,999999999,Case Rate,,17344.35612,,MS-DRG,999999999,Case Rate,,17344.35612,,MS-DRG,999999999,Case Rate,,17344.35612,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,828,MS-DRG,,,,,inpatient,,,,,,11928.56711,17892.85066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17892.85066,,MS-DRG,999999999,Case Rate,,17892.85066,,MS-DRG,999999999,Case Rate,,12524.99546,,MS-DRG,999999999,Case Rate,,12405.70979,,MS-DRG,999999999,Case Rate,,12405.70979,,MS-DRG,999999999,Case Rate,,12524.99546,,MS-DRG,999999999,Case Rate,,12644.28113,,MS-DRG,999999999,Case Rate,,12524.99546,,MS-DRG,999999999,Case Rate,,12644.28113,,MS-DRG,999999999,Case Rate,,12823.20964,,MS-DRG,999999999,Case Rate,,11928.56711,,MS-DRG,999999999,Case Rate,,12286.42412,,MS-DRG,999999999,Case Rate,,12524.99546,,MS-DRG,999999999,Case Rate,,12524.99546,,MS-DRG,999999999,Case Rate,,12644.28113,,MS-DRG,999999999,Case Rate,,11928.56711,,MS-DRG,999999999,Case Rate,,11928.56711,,MS-DRG,999999999,Case Rate,,11928.56711,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,829,MS-DRG,,,,,inpatient,,,,,,22523.33851,33785.00776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33785.00776,,MS-DRG,999999999,Case Rate,,33785.00776,,MS-DRG,999999999,Case Rate,,23649.50543,,MS-DRG,999999999,Case Rate,,23424.27205,,MS-DRG,999999999,Case Rate,,23424.27205,,MS-DRG,999999999,Case Rate,,23649.50543,,MS-DRG,999999999,Case Rate,,23874.73882,,MS-DRG,999999999,Case Rate,,23649.50543,,MS-DRG,999999999,Case Rate,,23874.73882,,MS-DRG,999999999,Case Rate,,24212.5889,,MS-DRG,999999999,Case Rate,,22523.33851,,MS-DRG,999999999,Case Rate,,23199.03866,,MS-DRG,999999999,Case Rate,,23649.50543,,MS-DRG,999999999,Case Rate,,23649.50543,,MS-DRG,999999999,Case Rate,,23874.73882,,MS-DRG,999999999,Case Rate,,22523.33851,,MS-DRG,999999999,Case Rate,,22523.33851,,MS-DRG,999999999,Case Rate,,22523.33851,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,830,MS-DRG,,,,,inpatient,,,,,,10924.10637,16386.15956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16386.15956,,MS-DRG,999999999,Case Rate,,16386.15956,,MS-DRG,999999999,Case Rate,,11470.31169,,MS-DRG,999999999,Case Rate,,11361.07063,,MS-DRG,999999999,Case Rate,,11361.07063,,MS-DRG,999999999,Case Rate,,11470.31169,,MS-DRG,999999999,Case Rate,,11579.55275,,MS-DRG,999999999,Case Rate,,11470.31169,,MS-DRG,999999999,Case Rate,,11579.55275,,MS-DRG,999999999,Case Rate,,11743.41435,,MS-DRG,999999999,Case Rate,,10924.10637,,MS-DRG,999999999,Case Rate,,11251.82956,,MS-DRG,999999999,Case Rate,,11470.31169,,MS-DRG,999999999,Case Rate,,11470.31169,,MS-DRG,999999999,Case Rate,,11579.55275,,MS-DRG,999999999,Case Rate,,10924.10637,,MS-DRG,999999999,Case Rate,,10924.10637,,MS-DRG,999999999,Case Rate,,10924.10637,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,831,MS-DRG,,,,,inpatient,,,,,,8695.54854,13043.32281,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13043.32281,,MS-DRG,999999999,Case Rate,,13043.32281,,MS-DRG,999999999,Case Rate,,9130.325967,,MS-DRG,999999999,Case Rate,,9043.370482,,MS-DRG,999999999,Case Rate,,9043.370482,,MS-DRG,999999999,Case Rate,,9130.325967,,MS-DRG,999999999,Case Rate,,9217.281453,,MS-DRG,999999999,Case Rate,,9130.325967,,MS-DRG,999999999,Case Rate,,9217.281453,,MS-DRG,999999999,Case Rate,,9347.714681,,MS-DRG,999999999,Case Rate,,8695.54854,,MS-DRG,999999999,Case Rate,,8956.414997,,MS-DRG,999999999,Case Rate,,9130.325967,,MS-DRG,999999999,Case Rate,,9130.325967,,MS-DRG,999999999,Case Rate,,9217.281453,,MS-DRG,999999999,Case Rate,,8695.54854,,MS-DRG,999999999,Case Rate,,8695.54854,,MS-DRG,999999999,Case Rate,,8695.54854,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,832,MS-DRG,,,,,inpatient,,,,,,5808.081637,8712.122456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8712.122456,,MS-DRG,999999999,Case Rate,,8712.122456,,MS-DRG,999999999,Case Rate,,6098.485719,,MS-DRG,999999999,Case Rate,,6040.404903,,MS-DRG,999999999,Case Rate,,6040.404903,,MS-DRG,999999999,Case Rate,,6098.485719,,MS-DRG,999999999,Case Rate,,6156.566535,,MS-DRG,999999999,Case Rate,,6098.485719,,MS-DRG,999999999,Case Rate,,6156.566535,,MS-DRG,999999999,Case Rate,,6243.68776,,MS-DRG,999999999,Case Rate,,5808.081637,,MS-DRG,999999999,Case Rate,,5982.324086,,MS-DRG,999999999,Case Rate,,6098.485719,,MS-DRG,999999999,Case Rate,,6098.485719,,MS-DRG,999999999,Case Rate,,6156.566535,,MS-DRG,999999999,Case Rate,,5808.081637,,MS-DRG,999999999,Case Rate,,5808.081637,,MS-DRG,999999999,Case Rate,,5808.081637,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,833,MS-DRG,,,,,inpatient,,,,,,4179.767794,6269.651691,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6269.651691,,MS-DRG,999999999,Case Rate,,6269.651691,,MS-DRG,999999999,Case Rate,,4388.756184,,MS-DRG,999999999,Case Rate,,4346.958506,,MS-DRG,999999999,Case Rate,,4346.958506,,MS-DRG,999999999,Case Rate,,4388.756184,,MS-DRG,999999999,Case Rate,,4430.553862,,MS-DRG,999999999,Case Rate,,4388.756184,,MS-DRG,999999999,Case Rate,,4430.553862,,MS-DRG,999999999,Case Rate,,4493.250378,,MS-DRG,999999999,Case Rate,,4179.767794,,MS-DRG,999999999,Case Rate,,4305.160828,,MS-DRG,999999999,Case Rate,,4388.756184,,MS-DRG,999999999,Case Rate,,4388.756184,,MS-DRG,999999999,Case Rate,,4430.553862,,MS-DRG,999999999,Case Rate,,4179.767794,,MS-DRG,999999999,Case Rate,,4179.767794,,MS-DRG,999999999,Case Rate,,4179.767794,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE LEUKEMIA WITH MCC,834,MS-DRG,,,,,inpatient,,,,,,40004.81863,60007.22795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60007.22795,,MS-DRG,999999999,Case Rate,,60007.22795,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,41605.01138,,MS-DRG,999999999,Case Rate,,41605.01138,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42405.10775,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42405.10775,,MS-DRG,999999999,Case Rate,,43005.18003,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,41204.96319,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42005.05956,,MS-DRG,999999999,Case Rate,,42405.10775,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,40004.81863,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE LEUKEMIA WITH CC,835,MS-DRG,,,,,inpatient,,,,,,15741.79768,23612.69652,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23612.69652,,MS-DRG,999999999,Case Rate,,23612.69652,,MS-DRG,999999999,Case Rate,,16528.88756,,MS-DRG,999999999,Case Rate,,16371.46959,,MS-DRG,999999999,Case Rate,,16371.46959,,MS-DRG,999999999,Case Rate,,16528.88756,,MS-DRG,999999999,Case Rate,,16686.30554,,MS-DRG,999999999,Case Rate,,16528.88756,,MS-DRG,999999999,Case Rate,,16686.30554,,MS-DRG,999999999,Case Rate,,16922.43251,,MS-DRG,999999999,Case Rate,,15741.79768,,MS-DRG,999999999,Case Rate,,16214.05161,,MS-DRG,999999999,Case Rate,,16528.88756,,MS-DRG,999999999,Case Rate,,16528.88756,,MS-DRG,999999999,Case Rate,,16686.30554,,MS-DRG,999999999,Case Rate,,15741.79768,,MS-DRG,999999999,Case Rate,,15741.79768,,MS-DRG,999999999,Case Rate,,15741.79768,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE LEUKEMIA WITHOUT CC/MCC,836,MS-DRG,,,,,inpatient,,,,,,9551.915707,14327.87356,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14327.87356,,MS-DRG,999999999,Case Rate,,14327.87356,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,9933.992335,,MS-DRG,999999999,Case Rate,,9933.992335,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10125.03065,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10125.03065,,MS-DRG,999999999,Case Rate,,10268.30938,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,9838.473178,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10125.03065,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,837,MS-DRG,,,,,inpatient,,,,,,36283.87825,54425.81738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54425.81738,,MS-DRG,999999999,Case Rate,,54425.81738,,MS-DRG,999999999,Case Rate,,38098.07217,,MS-DRG,999999999,Case Rate,,37735.23338,,MS-DRG,999999999,Case Rate,,37735.23338,,MS-DRG,999999999,Case Rate,,38098.07217,,MS-DRG,999999999,Case Rate,,38460.91095,,MS-DRG,999999999,Case Rate,,38098.07217,,MS-DRG,999999999,Case Rate,,38460.91095,,MS-DRG,999999999,Case Rate,,39005.16912,,MS-DRG,999999999,Case Rate,,36283.87825,,MS-DRG,999999999,Case Rate,,37372.3946,,MS-DRG,999999999,Case Rate,,38098.07217,,MS-DRG,999999999,Case Rate,,38098.07217,,MS-DRG,999999999,Case Rate,,38460.91095,,MS-DRG,999999999,Case Rate,,36283.87825,,MS-DRG,999999999,Case Rate,,36283.87825,,MS-DRG,999999999,Case Rate,,36283.87825,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,838,MS-DRG,,,,,inpatient,,,,,,14971.28186,22456.92279,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22456.92279,,MS-DRG,999999999,Case Rate,,22456.92279,,MS-DRG,999999999,Case Rate,,15719.84595,,MS-DRG,999999999,Case Rate,,15570.13313,,MS-DRG,999999999,Case Rate,,15570.13313,,MS-DRG,999999999,Case Rate,,15719.84595,,MS-DRG,999999999,Case Rate,,15869.55877,,MS-DRG,999999999,Case Rate,,15719.84595,,MS-DRG,999999999,Case Rate,,15869.55877,,MS-DRG,999999999,Case Rate,,16094.128,,MS-DRG,999999999,Case Rate,,14971.28186,,MS-DRG,999999999,Case Rate,,15420.42032,,MS-DRG,999999999,Case Rate,,15719.84595,,MS-DRG,999999999,Case Rate,,15719.84595,,MS-DRG,999999999,Case Rate,,15869.55877,,MS-DRG,999999999,Case Rate,,14971.28186,,MS-DRG,999999999,Case Rate,,14971.28186,,MS-DRG,999999999,Case Rate,,14971.28186,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,839,MS-DRG,,,,,inpatient,,,,,,10265.1973,15397.79595,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15397.79595,,MS-DRG,999999999,Case Rate,,15397.79595,,MS-DRG,999999999,Case Rate,,10778.45716,,MS-DRG,999999999,Case Rate,,10675.80519,,MS-DRG,999999999,Case Rate,,10675.80519,,MS-DRG,999999999,Case Rate,,10778.45716,,MS-DRG,999999999,Case Rate,,10881.10914,,MS-DRG,999999999,Case Rate,,10778.45716,,MS-DRG,999999999,Case Rate,,10881.10914,,MS-DRG,999999999,Case Rate,,11035.0871,,MS-DRG,999999999,Case Rate,,10265.1973,,MS-DRG,999999999,Case Rate,,10573.15322,,MS-DRG,999999999,Case Rate,,10778.45716,,MS-DRG,999999999,Case Rate,,10778.45716,,MS-DRG,999999999,Case Rate,,10881.10914,,MS-DRG,999999999,Case Rate,,10265.1973,,MS-DRG,999999999,Case Rate,,10265.1973,,MS-DRG,999999999,Case Rate,,10265.1973,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,840,MS-DRG,,,,,inpatient,,,,,,23275.96863,34913.95295,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34913.95295,,MS-DRG,999999999,Case Rate,,34913.95295,,MS-DRG,999999999,Case Rate,,24439.76706,,MS-DRG,999999999,Case Rate,,24207.00738,,MS-DRG,999999999,Case Rate,,24207.00738,,MS-DRG,999999999,Case Rate,,24439.76706,,MS-DRG,999999999,Case Rate,,24672.52675,,MS-DRG,999999999,Case Rate,,24439.76706,,MS-DRG,999999999,Case Rate,,24672.52675,,MS-DRG,999999999,Case Rate,,25021.66628,,MS-DRG,999999999,Case Rate,,23275.96863,,MS-DRG,999999999,Case Rate,,23974.24769,,MS-DRG,999999999,Case Rate,,24439.76706,,MS-DRG,999999999,Case Rate,,24439.76706,,MS-DRG,999999999,Case Rate,,24672.52675,,MS-DRG,999999999,Case Rate,,23275.96863,,MS-DRG,999999999,Case Rate,,23275.96863,,MS-DRG,999999999,Case Rate,,23275.96863,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,841,MS-DRG,,,,,inpatient,,,,,,74.22,17518.32417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17518.32417,,MS-DRG,999999999,Case Rate,,17518.32417,,MS-DRG,999999999,Case Rate,,12262.82692,,MS-DRG,999999999,Case Rate,,12146.03809,,MS-DRG,999999999,Case Rate,,12146.03809,,MS-DRG,74.22,Case Rate,,12262.82692,,MS-DRG,999999999,Case Rate,,12379.61575,,MS-DRG,999999999,Case Rate,,12262.82692,,MS-DRG,999999999,Case Rate,,12379.61575,,MS-DRG,999999999,Case Rate,,12554.79899,,MS-DRG,999999999,Case Rate,,11678.88278,,MS-DRG,999999999,Case Rate,,12029.24926,,MS-DRG,999999999,Case Rate,,12262.82692,,MS-DRG,999999999,Case Rate,,12262.82692,,MS-DRG,999999999,Case Rate,,12379.61575,,MS-DRG,999999999,Case Rate,,11678.88278,,MS-DRG,999999999,Case Rate,,11678.88278,,MS-DRG,999999999,Case Rate,,11678.88278,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,842,MS-DRG,,,,,inpatient,,,,,,7986.559516,11979.83927,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11979.83927,,MS-DRG,999999999,Case Rate,,11979.83927,,MS-DRG,999999999,Case Rate,,8385.887492,,MS-DRG,999999999,Case Rate,,8306.021897,,MS-DRG,999999999,Case Rate,,8306.021897,,MS-DRG,999999999,Case Rate,,8385.887492,,MS-DRG,999999999,Case Rate,,8465.753087,,MS-DRG,999999999,Case Rate,,8385.887492,,MS-DRG,999999999,Case Rate,,8465.753087,,MS-DRG,999999999,Case Rate,,8585.55148,,MS-DRG,999999999,Case Rate,,7986.559516,,MS-DRG,999999999,Case Rate,,8226.156302,,MS-DRG,999999999,Case Rate,,8385.887492,,MS-DRG,999999999,Case Rate,,8385.887492,,MS-DRG,999999999,Case Rate,,8465.753087,,MS-DRG,999999999,Case Rate,,7986.559516,,MS-DRG,999999999,Case Rate,,7986.559516,,MS-DRG,999999999,Case Rate,,7986.559516,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,843,MS-DRG,,,,,inpatient,,,,,,13933.42,21009.25448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21009.25448,,MS-DRG,999999999,Case Rate,,21009.25448,,MS-DRG,999999999,Case Rate,,14706.47814,,MS-DRG,999999999,Case Rate,,14566.41644,,MS-DRG,999999999,Case Rate,,14566.41644,,MS-DRG,13933.42,Case Rate,,14706.47814,,MS-DRG,999999999,Case Rate,,14846.53984,,MS-DRG,999999999,Case Rate,,14706.47814,,MS-DRG,999999999,Case Rate,,14846.53984,,MS-DRG,999999999,Case Rate,,15056.63238,,MS-DRG,999999999,Case Rate,,14006.16966,,MS-DRG,999999999,Case Rate,,14426.35475,,MS-DRG,999999999,Case Rate,,14706.47814,,MS-DRG,999999999,Case Rate,,14706.47814,,MS-DRG,999999999,Case Rate,,14846.53984,,MS-DRG,999999999,Case Rate,,14006.16966,,MS-DRG,999999999,Case Rate,,14006.16966,,MS-DRG,999999999,Case Rate,,14006.16966,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,844,MS-DRG,,,,,inpatient,,,,,,9011.767661,13517.65149,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13517.65149,,MS-DRG,999999999,Case Rate,,13517.65149,,MS-DRG,999999999,Case Rate,,9462.356044,,MS-DRG,999999999,Case Rate,,9372.238368,,MS-DRG,999999999,Case Rate,,9372.238368,,MS-DRG,999999999,Case Rate,,9462.356044,,MS-DRG,999999999,Case Rate,,9552.473721,,MS-DRG,999999999,Case Rate,,9462.356044,,MS-DRG,999999999,Case Rate,,9552.473721,,MS-DRG,999999999,Case Rate,,9687.650236,,MS-DRG,999999999,Case Rate,,9011.767661,,MS-DRG,999999999,Case Rate,,9282.120691,,MS-DRG,999999999,Case Rate,,9462.356044,,MS-DRG,999999999,Case Rate,,9462.356044,,MS-DRG,999999999,Case Rate,,9552.473721,,MS-DRG,999999999,Case Rate,,9011.767661,,MS-DRG,999999999,Case Rate,,9011.767661,,MS-DRG,999999999,Case Rate,,9011.767661,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,845,MS-DRG,,,,,inpatient,,,,,,6447.674157,9671.511236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9671.511236,,MS-DRG,999999999,Case Rate,,9671.511236,,MS-DRG,999999999,Case Rate,,6770.057865,,MS-DRG,999999999,Case Rate,,6705.581124,,MS-DRG,999999999,Case Rate,,6705.581124,,MS-DRG,999999999,Case Rate,,6770.057865,,MS-DRG,999999999,Case Rate,,6834.534607,,MS-DRG,999999999,Case Rate,,6770.057865,,MS-DRG,999999999,Case Rate,,6834.534607,,MS-DRG,999999999,Case Rate,,6931.249719,,MS-DRG,999999999,Case Rate,,6447.674157,,MS-DRG,999999999,Case Rate,,6641.104382,,MS-DRG,999999999,Case Rate,,6770.057865,,MS-DRG,999999999,Case Rate,,6770.057865,,MS-DRG,999999999,Case Rate,,6834.534607,,MS-DRG,999999999,Case Rate,,6447.674157,,MS-DRG,999999999,Case Rate,,6447.674157,,MS-DRG,999999999,Case Rate,,6447.674157,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,846,MS-DRG,,,,,inpatient,,,,,,18731.57077,28097.35615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28097.35615,,MS-DRG,999999999,Case Rate,,28097.35615,,MS-DRG,999999999,Case Rate,,19668.14931,,MS-DRG,999999999,Case Rate,,19480.8336,,MS-DRG,999999999,Case Rate,,19480.8336,,MS-DRG,999999999,Case Rate,,19668.14931,,MS-DRG,999999999,Case Rate,,19855.46502,,MS-DRG,999999999,Case Rate,,19668.14931,,MS-DRG,999999999,Case Rate,,19855.46502,,MS-DRG,999999999,Case Rate,,20136.43858,,MS-DRG,999999999,Case Rate,,18731.57077,,MS-DRG,999999999,Case Rate,,19293.51789,,MS-DRG,999999999,Case Rate,,19668.14931,,MS-DRG,999999999,Case Rate,,19668.14931,,MS-DRG,999999999,Case Rate,,19855.46502,,MS-DRG,999999999,Case Rate,,18731.57077,,MS-DRG,999999999,Case Rate,,18731.57077,,MS-DRG,999999999,Case Rate,,18731.57077,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,847,MS-DRG,,,,,inpatient,,,,,,9551.915707,14327.87356,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14327.87356,,MS-DRG,999999999,Case Rate,,14327.87356,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,9933.992335,,MS-DRG,999999999,Case Rate,,9933.992335,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10125.03065,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10125.03065,,MS-DRG,999999999,Case Rate,,10268.30938,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,9838.473178,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10029.51149,,MS-DRG,999999999,Case Rate,,10125.03065,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,9551.915707,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,848,MS-DRG,,,,,inpatient,,,,,,6319.612568,9479.418852,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9479.418852,,MS-DRG,999999999,Case Rate,,9479.418852,,MS-DRG,999999999,Case Rate,,6635.593196,,MS-DRG,999999999,Case Rate,,6572.39707,,MS-DRG,999999999,Case Rate,,6572.39707,,MS-DRG,999999999,Case Rate,,6635.593196,,MS-DRG,999999999,Case Rate,,6698.789322,,MS-DRG,999999999,Case Rate,,6635.593196,,MS-DRG,999999999,Case Rate,,6698.789322,,MS-DRG,999999999,Case Rate,,6793.58351,,MS-DRG,999999999,Case Rate,,6319.612568,,MS-DRG,999999999,Case Rate,,6509.200945,,MS-DRG,999999999,Case Rate,,6635.593196,,MS-DRG,999999999,Case Rate,,6635.593196,,MS-DRG,999999999,Case Rate,,6698.789322,,MS-DRG,999999999,Case Rate,,6319.612568,,MS-DRG,999999999,Case Rate,,6319.612568,,MS-DRG,999999999,Case Rate,,6319.612568,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
RADIOTHERAPY,849,MS-DRG,,,,,inpatient,,,,,,19570.76767,29356.1515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29356.1515,,MS-DRG,999999999,Case Rate,,29356.1515,,MS-DRG,999999999,Case Rate,,20549.30605,,MS-DRG,999999999,Case Rate,,20353.59837,,MS-DRG,999999999,Case Rate,,20353.59837,,MS-DRG,999999999,Case Rate,,20549.30605,,MS-DRG,999999999,Case Rate,,20745.01373,,MS-DRG,999999999,Case Rate,,20549.30605,,MS-DRG,999999999,Case Rate,,20745.01373,,MS-DRG,999999999,Case Rate,,21038.57524,,MS-DRG,999999999,Case Rate,,19570.76767,,MS-DRG,999999999,Case Rate,,20157.8907,,MS-DRG,999999999,Case Rate,,20549.30605,,MS-DRG,999999999,Case Rate,,20549.30605,,MS-DRG,999999999,Case Rate,,20745.01373,,MS-DRG,999999999,Case Rate,,19570.76767,,MS-DRG,999999999,Case Rate,,19570.76767,,MS-DRG,999999999,Case Rate,,19570.76767,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE LEUKEMIA WITH OTHER PROCEDURES,850,MS-DRG,,,,,inpatient,,,,,,66365.47411,99548.21117,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99548.21117,,MS-DRG,999999999,Case Rate,,99548.21117,,MS-DRG,999999999,Case Rate,,69683.74782,,MS-DRG,999999999,Case Rate,,69020.09307,,MS-DRG,999999999,Case Rate,,69020.09307,,MS-DRG,999999999,Case Rate,,69683.74782,,MS-DRG,999999999,Case Rate,,70347.40256,,MS-DRG,999999999,Case Rate,,69683.74782,,MS-DRG,999999999,Case Rate,,70347.40256,,MS-DRG,999999999,Case Rate,,71342.88467,,MS-DRG,999999999,Case Rate,,66365.47411,,MS-DRG,999999999,Case Rate,,68356.43833,,MS-DRG,999999999,Case Rate,,69683.74782,,MS-DRG,999999999,Case Rate,,69683.74782,,MS-DRG,999999999,Case Rate,,70347.40256,,MS-DRG,999999999,Case Rate,,66365.47411,,MS-DRG,999999999,Case Rate,,66365.47411,,MS-DRG,999999999,Case Rate,,66365.47411,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,853,MS-DRG,,,,,inpatient,,,,,,23961.8,54362.50201,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54362.50201,,MS-DRG,999999999,Case Rate,,54362.50201,,MS-DRG,999999999,Case Rate,,38053.75141,,MS-DRG,25244.415,Case Rate,,37691.33473,,MS-DRG,23961.8,Case Rate,,37691.33473,,MS-DRG,41439.9225,Case Rate,,38053.75141,,MS-DRG,999999999,Case Rate,,38416.16809,,MS-DRG,999999999,Case Rate,,38053.75141,,MS-DRG,999999999,Case Rate,,38416.16809,,MS-DRG,999999999,Case Rate,,38959.79311,,MS-DRG,37119.59,Case Rate,,36241.66801,,MS-DRG,999999999,Case Rate,,37328.91805,,MS-DRG,999999999,Case Rate,,38053.75141,,MS-DRG,999999999,Case Rate,,38053.75141,,MS-DRG,999999999,Case Rate,,38416.16809,,MS-DRG,999999999,Case Rate,,36241.66801,,MS-DRG,999999999,Case Rate,,36241.66801,,MS-DRG,999999999,Case Rate,,36241.66801,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,854,MS-DRG,,,,,inpatient,,,,,,13774.69,22133.9071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22133.9071,,MS-DRG,999999999,Case Rate,,22133.9071,,MS-DRG,999999999,Case Rate,,15493.73497,,MS-DRG,999999999,Case Rate,,15346.17559,,MS-DRG,999999999,Case Rate,,15346.17559,,MS-DRG,13774.69,Case Rate,,15493.73497,,MS-DRG,999999999,Case Rate,,15641.29435,,MS-DRG,999999999,Case Rate,,15493.73497,,MS-DRG,999999999,Case Rate,,15641.29435,,MS-DRG,999999999,Case Rate,,15862.63342,,MS-DRG,14087.66,Case Rate,,14755.93807,,MS-DRG,999999999,Case Rate,,15198.61621,,MS-DRG,999999999,Case Rate,,15493.73497,,MS-DRG,999999999,Case Rate,,15493.73497,,MS-DRG,999999999,Case Rate,,15641.29435,,MS-DRG,999999999,Case Rate,,14755.93807,,MS-DRG,999999999,Case Rate,,14755.93807,,MS-DRG,999999999,Case Rate,,14755.93807,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,855,MS-DRG,,,,,inpatient,,,,,,12090.96923,18136.45385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18136.45385,,MS-DRG,999999999,Case Rate,,18136.45385,,MS-DRG,999999999,Case Rate,,12695.5177,,MS-DRG,999999999,Case Rate,,12574.608,,MS-DRG,999999999,Case Rate,,12574.608,,MS-DRG,999999999,Case Rate,,12695.5177,,MS-DRG,999999999,Case Rate,,12816.42739,,MS-DRG,999999999,Case Rate,,12695.5177,,MS-DRG,999999999,Case Rate,,12816.42739,,MS-DRG,999999999,Case Rate,,12997.79193,,MS-DRG,999999999,Case Rate,,12090.96923,,MS-DRG,999999999,Case Rate,,12453.69831,,MS-DRG,999999999,Case Rate,,12695.5177,,MS-DRG,999999999,Case Rate,,12695.5177,,MS-DRG,999999999,Case Rate,,12816.42739,,MS-DRG,999999999,Case Rate,,12090.96923,,MS-DRG,999999999,Case Rate,,12090.96923,,MS-DRG,999999999,Case Rate,,12090.96923,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,856,MS-DRG,,,,,inpatient,,,,,,30660.15,49107.32656,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49107.32656,,MS-DRG,999999999,Case Rate,,49107.32656,,MS-DRG,999999999,Case Rate,,34375.12859,,MS-DRG,999999999,Case Rate,,34047.74641,,MS-DRG,999999999,Case Rate,,34047.74641,,MS-DRG,30660.15,Case Rate,,34375.12859,,MS-DRG,999999999,Case Rate,,34702.51077,,MS-DRG,999999999,Case Rate,,34375.12859,,MS-DRG,999999999,Case Rate,,34702.51077,,MS-DRG,999999999,Case Rate,,35193.58403,,MS-DRG,999999999,Case Rate,,32738.21771,,MS-DRG,999999999,Case Rate,,33720.36424,,MS-DRG,999999999,Case Rate,,34375.12859,,MS-DRG,999999999,Case Rate,,34375.12859,,MS-DRG,999999999,Case Rate,,34702.51077,,MS-DRG,999999999,Case Rate,,32738.21771,,MS-DRG,999999999,Case Rate,,32738.21771,,MS-DRG,999999999,Case Rate,,32738.21771,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,857,MS-DRG,,,,,inpatient,,,,,,12069.35,24074.1475,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24074.1475,,MS-DRG,999999999,Case Rate,,24074.1475,,MS-DRG,999999999,Case Rate,,16851.90325,,MS-DRG,999999999,Case Rate,,16691.40893,,MS-DRG,999999999,Case Rate,,16691.40893,,MS-DRG,14981.81,Case Rate,,16851.90325,,MS-DRG,999999999,Case Rate,,17012.39757,,MS-DRG,999999999,Case Rate,,16851.90325,,MS-DRG,999999999,Case Rate,,17012.39757,,MS-DRG,999999999,Case Rate,,17253.13904,,MS-DRG,12069.35,Case Rate,,16049.43167,,MS-DRG,999999999,Case Rate,,16530.91462,,MS-DRG,999999999,Case Rate,,16851.90325,,MS-DRG,999999999,Case Rate,,16851.90325,,MS-DRG,999999999,Case Rate,,17012.39757,,MS-DRG,999999999,Case Rate,,16049.43167,,MS-DRG,999999999,Case Rate,,16049.43167,,MS-DRG,999999999,Case Rate,,16049.43167,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,858,MS-DRG,,,,,inpatient,,,,,,9678.546441,14517.81966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14517.81966,,MS-DRG,999999999,Case Rate,,14517.81966,,MS-DRG,999999999,Case Rate,,10162.47376,,MS-DRG,999999999,Case Rate,,10065.6883,,MS-DRG,999999999,Case Rate,,10065.6883,,MS-DRG,999999999,Case Rate,,10162.47376,,MS-DRG,999999999,Case Rate,,10259.25923,,MS-DRG,999999999,Case Rate,,10162.47376,,MS-DRG,999999999,Case Rate,,10259.25923,,MS-DRG,999999999,Case Rate,,10404.43742,,MS-DRG,999999999,Case Rate,,9678.546441,,MS-DRG,999999999,Case Rate,,9968.902834,,MS-DRG,999999999,Case Rate,,10162.47376,,MS-DRG,999999999,Case Rate,,10162.47376,,MS-DRG,999999999,Case Rate,,10259.25923,,MS-DRG,999999999,Case Rate,,9678.546441,,MS-DRG,999999999,Case Rate,,9678.546441,,MS-DRG,999999999,Case Rate,,9678.546441,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,862,MS-DRG,,,,,inpatient,,,,,,13508.45,20423.31905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20423.31905,,MS-DRG,999999999,Case Rate,,20423.31905,,MS-DRG,999999999,Case Rate,,14296.32334,,MS-DRG,999999999,Case Rate,,14160.16788,,MS-DRG,999999999,Case Rate,,14160.16788,,MS-DRG,13508.45,Case Rate,,14296.32334,,MS-DRG,999999999,Case Rate,,14432.4788,,MS-DRG,999999999,Case Rate,,14296.32334,,MS-DRG,999999999,Case Rate,,14432.4788,,MS-DRG,999999999,Case Rate,,14636.71199,,MS-DRG,999999999,Case Rate,,13615.54604,,MS-DRG,999999999,Case Rate,,14024.01242,,MS-DRG,999999999,Case Rate,,14296.32334,,MS-DRG,999999999,Case Rate,,14296.32334,,MS-DRG,999999999,Case Rate,,14432.4788,,MS-DRG,999999999,Case Rate,,13615.54604,,MS-DRG,999999999,Case Rate,,13615.54604,,MS-DRG,999999999,Case Rate,,13615.54604,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,863,MS-DRG,,,,,inpatient,,,,,,593.88,11421.80553,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11421.80553,,MS-DRG,999999999,Case Rate,,11421.80553,,MS-DRG,999999999,Case Rate,,7995.263872,,MS-DRG,999999999,Case Rate,,7919.118502,,MS-DRG,999999999,Case Rate,,7919.118502,,MS-DRG,593.88,Case Rate,,7995.263872,,MS-DRG,999999999,Case Rate,,8071.409243,,MS-DRG,999999999,Case Rate,,7995.263872,,MS-DRG,999999999,Case Rate,,8071.409243,,MS-DRG,999999999,Case Rate,,8185.627298,,MS-DRG,999999999,Case Rate,,7614.537021,,MS-DRG,999999999,Case Rate,,7842.973132,,MS-DRG,999999999,Case Rate,,7995.263872,,MS-DRG,999999999,Case Rate,,7995.263872,,MS-DRG,999999999,Case Rate,,8071.409243,,MS-DRG,999999999,Case Rate,,7614.537021,,MS-DRG,999999999,Case Rate,,7614.537021,,MS-DRG,999999999,Case Rate,,7614.537021,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FEVER AND INFLAMMATORY CONDITIONS,864,MS-DRG,,,,,inpatient,,,,,,6885.516017,10328.27403,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10328.27403,,MS-DRG,999999999,Case Rate,,10328.27403,,MS-DRG,999999999,Case Rate,,7229.791818,,MS-DRG,999999999,Case Rate,,7160.936658,,MS-DRG,999999999,Case Rate,,7160.936658,,MS-DRG,999999999,Case Rate,,7229.791818,,MS-DRG,999999999,Case Rate,,7298.646978,,MS-DRG,999999999,Case Rate,,7229.791818,,MS-DRG,999999999,Case Rate,,7298.646978,,MS-DRG,999999999,Case Rate,,7401.929718,,MS-DRG,999999999,Case Rate,,6885.516017,,MS-DRG,999999999,Case Rate,,7092.081497,,MS-DRG,999999999,Case Rate,,7229.791818,,MS-DRG,999999999,Case Rate,,7229.791818,,MS-DRG,999999999,Case Rate,,7298.646978,,MS-DRG,999999999,Case Rate,,6885.516017,,MS-DRG,999999999,Case Rate,,6885.516017,,MS-DRG,999999999,Case Rate,,6885.516017,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIRAL ILLNESS WITH MCC,865,MS-DRG,,,,,inpatient,,,,,,7904.19,16529.96056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16529.96056,,MS-DRG,999999999,Case Rate,,16529.96056,,MS-DRG,999999999,Case Rate,,11570.97239,,MS-DRG,999999999,Case Rate,,11460.77265,,MS-DRG,999999999,Case Rate,,11460.77265,,MS-DRG,999999999,Case Rate,,11570.97239,,MS-DRG,999999999,Case Rate,,11681.17213,,MS-DRG,999999999,Case Rate,,11570.97239,,MS-DRG,999999999,Case Rate,,11681.17213,,MS-DRG,999999999,Case Rate,,11846.47173,,MS-DRG,7904.19,Case Rate,,11019.97371,,MS-DRG,999999999,Case Rate,,11350.57292,,MS-DRG,999999999,Case Rate,,11570.97239,,MS-DRG,999999999,Case Rate,,11570.97239,,MS-DRG,999999999,Case Rate,,11681.17213,,MS-DRG,999999999,Case Rate,,11019.97371,,MS-DRG,999999999,Case Rate,,11019.97371,,MS-DRG,999999999,Case Rate,,11019.97371,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
VIRAL ILLNESS WITHOUT MCC,866,MS-DRG,,,,,inpatient,,,,,,6791.079537,10186.61931,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10186.61931,,MS-DRG,999999999,Case Rate,,10186.61931,,MS-DRG,999999999,Case Rate,,7130.633514,,MS-DRG,999999999,Case Rate,,7062.722719,,MS-DRG,999999999,Case Rate,,7062.722719,,MS-DRG,999999999,Case Rate,,7130.633514,,MS-DRG,999999999,Case Rate,,7198.54431,,MS-DRG,999999999,Case Rate,,7130.633514,,MS-DRG,999999999,Case Rate,,7198.54431,,MS-DRG,999999999,Case Rate,,7300.410503,,MS-DRG,999999999,Case Rate,,6791.079537,,MS-DRG,999999999,Case Rate,,6994.811923,,MS-DRG,999999999,Case Rate,,7130.633514,,MS-DRG,999999999,Case Rate,,7130.633514,,MS-DRG,999999999,Case Rate,,7198.54431,,MS-DRG,999999999,Case Rate,,6791.079537,,MS-DRG,999999999,Case Rate,,6791.079537,,MS-DRG,999999999,Case Rate,,6791.079537,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,867,MS-DRG,,,,,inpatient,,,,,,15801.89362,23702.84043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23702.84043,,MS-DRG,999999999,Case Rate,,23702.84043,,MS-DRG,999999999,Case Rate,,16591.9883,,MS-DRG,999999999,Case Rate,,16433.96937,,MS-DRG,999999999,Case Rate,,16433.96937,,MS-DRG,999999999,Case Rate,,16591.9883,,MS-DRG,999999999,Case Rate,,16750.00724,,MS-DRG,999999999,Case Rate,,16591.9883,,MS-DRG,999999999,Case Rate,,16750.00724,,MS-DRG,999999999,Case Rate,,16987.03564,,MS-DRG,999999999,Case Rate,,15801.89362,,MS-DRG,999999999,Case Rate,,16275.95043,,MS-DRG,999999999,Case Rate,,16591.9883,,MS-DRG,999999999,Case Rate,,16591.9883,,MS-DRG,999999999,Case Rate,,16750.00724,,MS-DRG,999999999,Case Rate,,15801.89362,,MS-DRG,999999999,Case Rate,,15801.89362,,MS-DRG,999999999,Case Rate,,15801.89362,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,868,MS-DRG,,,,,inpatient,,,,,,7973.681815,11960.52272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11960.52272,,MS-DRG,999999999,Case Rate,,11960.52272,,MS-DRG,999999999,Case Rate,,8372.365905,,MS-DRG,999999999,Case Rate,,8292.629087,,MS-DRG,999999999,Case Rate,,8292.629087,,MS-DRG,999999999,Case Rate,,8372.365905,,MS-DRG,999999999,Case Rate,,8452.102723,,MS-DRG,999999999,Case Rate,,8372.365905,,MS-DRG,999999999,Case Rate,,8452.102723,,MS-DRG,999999999,Case Rate,,8571.707951,,MS-DRG,999999999,Case Rate,,7973.681815,,MS-DRG,999999999,Case Rate,,8212.892269,,MS-DRG,999999999,Case Rate,,8372.365905,,MS-DRG,999999999,Case Rate,,8372.365905,,MS-DRG,999999999,Case Rate,,8452.102723,,MS-DRG,999999999,Case Rate,,7973.681815,,MS-DRG,999999999,Case Rate,,7973.681815,,MS-DRG,999999999,Case Rate,,7973.681815,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,869,MS-DRG,,,,,inpatient,,,,,,5609.192688,8413.789032,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8413.789032,,MS-DRG,999999999,Case Rate,,8413.789032,,MS-DRG,999999999,Case Rate,,5889.652322,,MS-DRG,999999999,Case Rate,,5833.560395,,MS-DRG,999999999,Case Rate,,5833.560395,,MS-DRG,999999999,Case Rate,,5889.652322,,MS-DRG,999999999,Case Rate,,5945.744249,,MS-DRG,999999999,Case Rate,,5889.652322,,MS-DRG,999999999,Case Rate,,5945.744249,,MS-DRG,999999999,Case Rate,,6029.88214,,MS-DRG,999999999,Case Rate,,5609.192688,,MS-DRG,999999999,Case Rate,,5777.468469,,MS-DRG,999999999,Case Rate,,5889.652322,,MS-DRG,999999999,Case Rate,,5889.652322,,MS-DRG,999999999,Case Rate,,5945.744249,,MS-DRG,999999999,Case Rate,,5609.192688,,MS-DRG,999999999,Case Rate,,5609.192688,,MS-DRG,999999999,Case Rate,,5609.192688,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,870,MS-DRG,,,,,inpatient,,,,,,47908.96,75344.57073,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75344.57073,,MS-DRG,999999999,Case Rate,,75344.57073,,MS-DRG,999999999,Case Rate,,52741.19951,,MS-DRG,999999999,Case Rate,,52238.90237,,MS-DRG,999999999,Case Rate,,52238.90237,,MS-DRG,47908.96,Case Rate,,52741.19951,,MS-DRG,999999999,Case Rate,,53243.49665,,MS-DRG,999999999,Case Rate,,52741.19951,,MS-DRG,999999999,Case Rate,,53243.49665,,MS-DRG,999999999,Case Rate,,53996.94236,,MS-DRG,52618.33,Case Rate,,50229.71382,,MS-DRG,999999999,Case Rate,,51736.60523,,MS-DRG,999999999,Case Rate,,52741.19951,,MS-DRG,999999999,Case Rate,,52741.19951,,MS-DRG,999999999,Case Rate,,53243.49665,,MS-DRG,999999999,Case Rate,,50229.71382,,MS-DRG,999999999,Case Rate,,50229.71382,,MS-DRG,999999999,Case Rate,,50229.71382,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,871,MS-DRG,,,,,inpatient,,,,,,10884.45147,21747.57605,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21747.57605,,MS-DRG,999999999,Case Rate,,21747.57605,,MS-DRG,999999999,Case Rate,,15223.30324,,MS-DRG,12348.152,Case Rate,,15078.3194,,MS-DRG,15680.35308,Case Rate,,15078.3194,,MS-DRG,13894.30317,Case Rate,,15223.30324,,MS-DRG,14155.89333,Case Rate,,15368.28708,,MS-DRG,999999999,Case Rate,,15223.30324,,MS-DRG,999999999,Case Rate,,15368.28708,,MS-DRG,999999999,Case Rate,,15585.76284,,MS-DRG,10884.45147,Case Rate,,14498.38403,,MS-DRG,999999999,Case Rate,,14933.33555,,MS-DRG,999999999,Case Rate,,15223.30324,,MS-DRG,999999999,Case Rate,,15223.30324,,MS-DRG,999999999,Case Rate,,15368.28708,,MS-DRG,999999999,Case Rate,,14498.38403,,MS-DRG,999999999,Case Rate,,14498.38403,,MS-DRG,999999999,Case Rate,,14498.38403,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,872,MS-DRG,,,,,inpatient,,,,,,1382.37,11755.55264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11755.55264,,MS-DRG,999999999,Case Rate,,11755.55264,,MS-DRG,999999999,Case Rate,,8228.886845,,MS-DRG,4479.548,Case Rate,,8150.516494,,MS-DRG,6056.36,Case Rate,,8150.516494,,MS-DRG,6039.69,Case Rate,,8228.886845,,MS-DRG,1382.37,Case Rate,,8307.257196,,MS-DRG,999999999,Case Rate,,8228.886845,,MS-DRG,999999999,Case Rate,,8307.257196,,MS-DRG,999999999,Case Rate,,8424.812722,,MS-DRG,4702.752,Case Rate,,7837.035091,,MS-DRG,999999999,Case Rate,,8072.146143,,MS-DRG,999999999,Case Rate,,8228.886845,,MS-DRG,999999999,Case Rate,,8228.886845,,MS-DRG,999999999,Case Rate,,8307.257196,,MS-DRG,999999999,Case Rate,,7837.035091,,MS-DRG,999999999,Case Rate,,7837.035091,,MS-DRG,999999999,Case Rate,,7837.035091,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,876,MS-DRG,,,,,inpatient,,,,,,28574.42747,42861.64121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42861.64121,,MS-DRG,999999999,Case Rate,,42861.64121,,MS-DRG,999999999,Case Rate,,30003.14885,,MS-DRG,999999999,Case Rate,,29717.40457,,MS-DRG,999999999,Case Rate,,29717.40457,,MS-DRG,999999999,Case Rate,,30003.14885,,MS-DRG,999999999,Case Rate,,30288.89312,,MS-DRG,999999999,Case Rate,,30003.14885,,MS-DRG,999999999,Case Rate,,30288.89312,,MS-DRG,999999999,Case Rate,,30717.50953,,MS-DRG,999999999,Case Rate,,28574.42747,,MS-DRG,999999999,Case Rate,,29431.6603,,MS-DRG,999999999,Case Rate,,30003.14885,,MS-DRG,999999999,Case Rate,,30003.14885,,MS-DRG,999999999,Case Rate,,30288.89312,,MS-DRG,999999999,Case Rate,,28574.42747,,MS-DRG,999999999,Case Rate,,28574.42747,,MS-DRG,999999999,Case Rate,,28574.42747,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,880,MS-DRG,,,,,inpatient,,,,,,7314.55,10978.59796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10978.59796,,MS-DRG,999999999,Case Rate,,10978.59796,,MS-DRG,999999999,Case Rate,,7685.018575,,MS-DRG,999999999,Case Rate,,7611.827921,,MS-DRG,999999999,Case Rate,,7611.827921,,MS-DRG,999999999,Case Rate,,7685.018575,,MS-DRG,999999999,Case Rate,,7758.209228,,MS-DRG,999999999,Case Rate,,7685.018575,,MS-DRG,999999999,Case Rate,,7758.209228,,MS-DRG,999999999,Case Rate,,7867.995207,,MS-DRG,7314.55,Case Rate,,7319.065309,,MS-DRG,999999999,Case Rate,,7538.637268,,MS-DRG,999999999,Case Rate,,7685.018575,,MS-DRG,999999999,Case Rate,,7685.018575,,MS-DRG,999999999,Case Rate,,7758.209228,,MS-DRG,999999999,Case Rate,,7319.065309,,MS-DRG,999999999,Case Rate,,7319.065309,,MS-DRG,999999999,Case Rate,,7319.065309,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DEPRESSIVE NEUROSES,881,MS-DRG,,,,,inpatient,,,,,,3432.56,10501.04986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10501.04986,,MS-DRG,999999999,Case Rate,,10501.04986,,MS-DRG,999999999,Case Rate,,7350.7349,,MS-DRG,3432.56,Case Rate,,7280.727901,,MS-DRG,999999999,Case Rate,,7280.727901,,MS-DRG,999999999,Case Rate,,7350.7349,,MS-DRG,999999999,Case Rate,,7420.741899,,MS-DRG,999999999,Case Rate,,7350.7349,,MS-DRG,999999999,Case Rate,,7420.741899,,MS-DRG,999999999,Case Rate,,7525.752398,,MS-DRG,3915.77,Case Rate,,7000.699905,,MS-DRG,999999999,Case Rate,,7210.720902,,MS-DRG,999999999,Case Rate,,7350.7349,,MS-DRG,999999999,Case Rate,,7350.7349,,MS-DRG,999999999,Case Rate,,7420.741899,,MS-DRG,999999999,Case Rate,,7000.699905,,MS-DRG,999999999,Case Rate,,7000.699905,,MS-DRG,999999999,Case Rate,,7000.699905,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NEUROSES EXCEPT DEPRESSIVE,882,MS-DRG,,,,,inpatient,,,,,,5042.36,11015.08479,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11015.08479,,MS-DRG,999999999,Case Rate,,11015.08479,,MS-DRG,999999999,Case Rate,,7710.55935,,MS-DRG,999999999,Case Rate,,7637.125451,,MS-DRG,999999999,Case Rate,,7637.125451,,MS-DRG,5042.36,Case Rate,,7710.55935,,MS-DRG,999999999,Case Rate,,7783.993248,,MS-DRG,999999999,Case Rate,,7710.55935,,MS-DRG,999999999,Case Rate,,7783.993248,,MS-DRG,999999999,Case Rate,,7894.144096,,MS-DRG,7959.86,Case Rate,,7343.389857,,MS-DRG,999999999,Case Rate,,7563.691553,,MS-DRG,999999999,Case Rate,,7710.55935,,MS-DRG,999999999,Case Rate,,7710.55935,,MS-DRG,999999999,Case Rate,,7783.993248,,MS-DRG,999999999,Case Rate,,7343.389857,,MS-DRG,999999999,Case Rate,,7343.389857,,MS-DRG,999999999,Case Rate,,7343.389857,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,883,MS-DRG,,,,,inpatient,,,,,,13724.29107,20586.43661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20586.43661,,MS-DRG,999999999,Case Rate,,20586.43661,,MS-DRG,999999999,Case Rate,,14410.50563,,MS-DRG,999999999,Case Rate,,14273.26272,,MS-DRG,999999999,Case Rate,,14273.26272,,MS-DRG,999999999,Case Rate,,14410.50563,,MS-DRG,999999999,Case Rate,,14547.74854,,MS-DRG,999999999,Case Rate,,14410.50563,,MS-DRG,999999999,Case Rate,,14547.74854,,MS-DRG,999999999,Case Rate,,14753.6129,,MS-DRG,999999999,Case Rate,,13724.29107,,MS-DRG,999999999,Case Rate,,14136.01981,,MS-DRG,999999999,Case Rate,,14410.50563,,MS-DRG,999999999,Case Rate,,14410.50563,,MS-DRG,999999999,Case Rate,,14547.74854,,MS-DRG,999999999,Case Rate,,13724.29107,,MS-DRG,999999999,Case Rate,,13724.29107,,MS-DRG,999999999,Case Rate,,13724.29107,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,884,MS-DRG,,,,,inpatient,,,,,,1546.53,27949.1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18615.0751,,MS-DRG,999999999,Case Rate,,18615.0751,,MS-DRG,999999999,Case Rate,,13030.55257,,MS-DRG,1546.53,Case Rate,,12906.45207,,MS-DRG,27949.1,Case Rate,,12906.45207,,MS-DRG,6914.84,Case Rate,,13030.55257,,MS-DRG,999999999,Case Rate,,13154.65307,,MS-DRG,999999999,Case Rate,,13030.55257,,MS-DRG,999999999,Case Rate,,13154.65307,,MS-DRG,999999999,Case Rate,,13340.80382,,MS-DRG,13622.91,Case Rate,,12410.05007,,MS-DRG,999999999,Case Rate,,12782.35157,,MS-DRG,999999999,Case Rate,,13030.55257,,MS-DRG,999999999,Case Rate,,13030.55257,,MS-DRG,999999999,Case Rate,,13154.65307,,MS-DRG,999999999,Case Rate,,12410.05007,,MS-DRG,999999999,Case Rate,,12410.05007,,MS-DRG,999999999,Case Rate,,12410.05007,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
PSYCHOSES,885,MS-DRG,,,,,inpatient,,,,,,1575.1,15818.46754,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15818.46754,,MS-DRG,999999999,Case Rate,,15818.46754,,MS-DRG,999999999,Case Rate,,11072.92728,,MS-DRG,1575.1,Case Rate,,10967.47083,,MS-DRG,5099.455,Case Rate,,10967.47083,,MS-DRG,5127.4925,Case Rate,,11072.92728,,MS-DRG,999999999,Case Rate,,11178.38373,,MS-DRG,999999999,Case Rate,,11072.92728,,MS-DRG,999999999,Case Rate,,11178.38373,,MS-DRG,999999999,Case Rate,,11336.5684,,MS-DRG,8754.569167,Case Rate,,10545.64502,,MS-DRG,999999999,Case Rate,,10862.01438,,MS-DRG,999999999,Case Rate,,11072.92728,,MS-DRG,999999999,Case Rate,,11072.92728,,MS-DRG,999999999,Case Rate,,11178.38373,,MS-DRG,999999999,Case Rate,,10545.64502,,MS-DRG,999999999,Case Rate,,10545.64502,,MS-DRG,999999999,Case Rate,,10545.64502,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
BEHAVIORAL AND DEVELOPMENTAL DISORDERS,886,MS-DRG,,,,,inpatient,,,,,,13313.63547,19970.45321,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19970.45321,,MS-DRG,999999999,Case Rate,,19970.45321,,MS-DRG,999999999,Case Rate,,13979.31725,,MS-DRG,999999999,Case Rate,,13846.18089,,MS-DRG,999999999,Case Rate,,13846.18089,,MS-DRG,999999999,Case Rate,,13979.31725,,MS-DRG,999999999,Case Rate,,14112.4536,,MS-DRG,999999999,Case Rate,,13979.31725,,MS-DRG,999999999,Case Rate,,14112.4536,,MS-DRG,999999999,Case Rate,,14312.15813,,MS-DRG,999999999,Case Rate,,13313.63547,,MS-DRG,999999999,Case Rate,,13713.04454,,MS-DRG,999999999,Case Rate,,13979.31725,,MS-DRG,999999999,Case Rate,,13979.31725,,MS-DRG,999999999,Case Rate,,14112.4536,,MS-DRG,999999999,Case Rate,,13313.63547,,MS-DRG,999999999,Case Rate,,13313.63547,,MS-DRG,999999999,Case Rate,,13313.63547,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MENTAL DISORDER DIAGNOSES,887,MS-DRG,,,,,inpatient,,,,,,730.84,13455.40927,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13455.40927,,MS-DRG,999999999,Case Rate,,13455.40927,,MS-DRG,999999999,Case Rate,,9418.786487,,MS-DRG,999999999,Case Rate,,9329.083758,,MS-DRG,999999999,Case Rate,,9329.083758,,MS-DRG,999999999,Case Rate,,9418.786487,,MS-DRG,999999999,Case Rate,,9508.489215,,MS-DRG,999999999,Case Rate,,9418.786487,,MS-DRG,999999999,Case Rate,,9508.489215,,MS-DRG,999999999,Case Rate,,9643.043308,,MS-DRG,730.84,Case Rate,,8970.272844,,MS-DRG,999999999,Case Rate,,9239.38103,,MS-DRG,999999999,Case Rate,,9418.786487,,MS-DRG,999999999,Case Rate,,9418.786487,,MS-DRG,999999999,Case Rate,,9508.489215,,MS-DRG,999999999,Case Rate,,8970.272844,,MS-DRG,999999999,Case Rate,,8970.272844,,MS-DRG,999999999,Case Rate,,8970.272844,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,MS-DRG,,,,,inpatient,,,,,,4925.959067,7388.938601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7388.938601,,MS-DRG,999999999,Case Rate,,7388.938601,,MS-DRG,999999999,Case Rate,,5172.257021,,MS-DRG,999999999,Case Rate,,5122.99743,,MS-DRG,999999999,Case Rate,,5122.99743,,MS-DRG,999999999,Case Rate,,5172.257021,,MS-DRG,999999999,Case Rate,,5221.516611,,MS-DRG,999999999,Case Rate,,5172.257021,,MS-DRG,999999999,Case Rate,,5221.516611,,MS-DRG,999999999,Case Rate,,5295.405997,,MS-DRG,999999999,Case Rate,,4925.959067,,MS-DRG,999999999,Case Rate,,5073.737839,,MS-DRG,999999999,Case Rate,,5172.257021,,MS-DRG,999999999,Case Rate,,5172.257021,,MS-DRG,999999999,Case Rate,,5221.516611,,MS-DRG,999999999,Case Rate,,4925.959067,,MS-DRG,999999999,Case Rate,,4925.959067,,MS-DRG,999999999,Case Rate,,4925.959067,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",895,MS-DRG,,,,,inpatient,,,,,,10819.6539,16229.48085,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16229.48085,,MS-DRG,999999999,Case Rate,,16229.48085,,MS-DRG,999999999,Case Rate,,11360.6366,,MS-DRG,999999999,Case Rate,,11252.44006,,MS-DRG,999999999,Case Rate,,11252.44006,,MS-DRG,999999999,Case Rate,,11360.6366,,MS-DRG,999999999,Case Rate,,11468.83314,,MS-DRG,999999999,Case Rate,,11360.6366,,MS-DRG,999999999,Case Rate,,11468.83314,,MS-DRG,999999999,Case Rate,,11631.12794,,MS-DRG,999999999,Case Rate,,10819.6539,,MS-DRG,999999999,Case Rate,,11144.24352,,MS-DRG,999999999,Case Rate,,11360.6366,,MS-DRG,999999999,Case Rate,,11360.6366,,MS-DRG,999999999,Case Rate,,11468.83314,,MS-DRG,999999999,Case Rate,,10819.6539,,MS-DRG,999999999,Case Rate,,10819.6539,,MS-DRG,999999999,Case Rate,,10819.6539,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",896,MS-DRG,,,,,inpatient,,,,,,12834.24,31248.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19801.96995,,MS-DRG,999999999,Case Rate,,19801.96995,,MS-DRG,999999999,Case Rate,,13861.37896,,MS-DRG,999999999,Case Rate,,13729.36583,,MS-DRG,12834.24,Case Rate,,13729.36583,,MS-DRG,30531.55,Case Rate,,13861.37896,,MS-DRG,999999999,Case Rate,,13993.39209,,MS-DRG,999999999,Case Rate,,13861.37896,,MS-DRG,999999999,Case Rate,,13993.39209,,MS-DRG,999999999,Case Rate,,14191.41179,,MS-DRG,31248.2,Case Rate,,13201.3133,,MS-DRG,999999999,Case Rate,,13597.3527,,MS-DRG,999999999,Case Rate,,13861.37896,,MS-DRG,999999999,Case Rate,,13861.37896,,MS-DRG,999999999,Case Rate,,13993.39209,,MS-DRG,999999999,Case Rate,,13201.3133,,MS-DRG,999999999,Case Rate,,13201.3133,,MS-DRG,999999999,Case Rate,,13201.3133,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",897,MS-DRG,,,,,inpatient,,,,,,13.45333333,10158.71762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10158.71762,,MS-DRG,999999999,Case Rate,,10158.71762,,MS-DRG,999999999,Case Rate,,7111.102333,,MS-DRG,999999999,Case Rate,,7043.377549,,MS-DRG,999999999,Case Rate,,7043.377549,,MS-DRG,13.45333333,Case Rate,,7111.102333,,MS-DRG,999999999,Case Rate,,7178.827117,,MS-DRG,999999999,Case Rate,,7111.102333,,MS-DRG,999999999,Case Rate,,7178.827117,,MS-DRG,999999999,Case Rate,,7280.414294,,MS-DRG,3425.445,Case Rate,,6772.478413,,MS-DRG,999999999,Case Rate,,6975.652765,,MS-DRG,999999999,Case Rate,,7111.102333,,MS-DRG,999999999,Case Rate,,7111.102333,,MS-DRG,999999999,Case Rate,,7178.827117,,MS-DRG,999999999,Case Rate,,6772.478413,,MS-DRG,999999999,Case Rate,,6772.478413,,MS-DRG,999999999,Case Rate,,6772.478413,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,901,MS-DRG,,,,,inpatient,,,,,,32158.0057,48237.00855,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48237.00855,,MS-DRG,999999999,Case Rate,,48237.00855,,MS-DRG,999999999,Case Rate,,33765.90598,,MS-DRG,999999999,Case Rate,,33444.32593,,MS-DRG,999999999,Case Rate,,33444.32593,,MS-DRG,999999999,Case Rate,,33765.90598,,MS-DRG,999999999,Case Rate,,34087.48604,,MS-DRG,999999999,Case Rate,,33765.90598,,MS-DRG,999999999,Case Rate,,34087.48604,,MS-DRG,999999999,Case Rate,,34569.85613,,MS-DRG,999999999,Case Rate,,32158.0057,,MS-DRG,999999999,Case Rate,,33122.74587,,MS-DRG,999999999,Case Rate,,33765.90598,,MS-DRG,999999999,Case Rate,,33765.90598,,MS-DRG,999999999,Case Rate,,34087.48604,,MS-DRG,999999999,Case Rate,,32158.0057,,MS-DRG,999999999,Case Rate,,32158.0057,,MS-DRG,999999999,Case Rate,,32158.0057,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WOUND DEBRIDEMENTS FOR INJURIES WITH CC,902,MS-DRG,,,,,inpatient,,,,,,12553.9,21055.39958,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21055.39958,,MS-DRG,999999999,Case Rate,,21055.39958,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14598.41038,,MS-DRG,999999999,Case Rate,,14598.41038,,MS-DRG,12553.9,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14879.14904,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14879.14904,,MS-DRG,999999999,Case Rate,,15089.70303,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,14458.04105,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14738.77971,,MS-DRG,999999999,Case Rate,,14879.14904,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,14036.93305,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,903,MS-DRG,,,,,inpatient,,,,,,9182.754923,13774.13238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13774.13238,,MS-DRG,999999999,Case Rate,,13774.13238,,MS-DRG,999999999,Case Rate,,9641.892669,,MS-DRG,999999999,Case Rate,,9550.06512,,MS-DRG,999999999,Case Rate,,9550.06512,,MS-DRG,999999999,Case Rate,,9641.892669,,MS-DRG,999999999,Case Rate,,9733.720219,,MS-DRG,999999999,Case Rate,,9641.892669,,MS-DRG,999999999,Case Rate,,9733.720219,,MS-DRG,999999999,Case Rate,,9871.461542,,MS-DRG,999999999,Case Rate,,9182.754923,,MS-DRG,999999999,Case Rate,,9458.237571,,MS-DRG,999999999,Case Rate,,9641.892669,,MS-DRG,999999999,Case Rate,,9641.892669,,MS-DRG,999999999,Case Rate,,9733.720219,,MS-DRG,999999999,Case Rate,,9182.754923,,MS-DRG,999999999,Case Rate,,9182.754923,,MS-DRG,999999999,Case Rate,,9182.754923,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFTS FOR INJURIES WITH CC/MCC,904,MS-DRG,,,,,inpatient,,,,,,28084.35938,42126.53907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42126.53907,,MS-DRG,999999999,Case Rate,,42126.53907,,MS-DRG,999999999,Case Rate,,29488.57735,,MS-DRG,999999999,Case Rate,,29207.73375,,MS-DRG,999999999,Case Rate,,29207.73375,,MS-DRG,999999999,Case Rate,,29488.57735,,MS-DRG,999999999,Case Rate,,29769.42094,,MS-DRG,999999999,Case Rate,,29488.57735,,MS-DRG,999999999,Case Rate,,29769.42094,,MS-DRG,999999999,Case Rate,,30190.68633,,MS-DRG,999999999,Case Rate,,28084.35938,,MS-DRG,999999999,Case Rate,,28926.89016,,MS-DRG,999999999,Case Rate,,29488.57735,,MS-DRG,999999999,Case Rate,,29488.57735,,MS-DRG,999999999,Case Rate,,29769.42094,,MS-DRG,999999999,Case Rate,,28084.35938,,MS-DRG,999999999,Case Rate,,28084.35938,,MS-DRG,999999999,Case Rate,,28084.35938,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,905,MS-DRG,,,,,inpatient,,,,,,12252.65593,18378.9839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18378.9839,,MS-DRG,999999999,Case Rate,,18378.9839,,MS-DRG,999999999,Case Rate,,12865.28873,,MS-DRG,999999999,Case Rate,,12742.76217,,MS-DRG,999999999,Case Rate,,12742.76217,,MS-DRG,999999999,Case Rate,,12865.28873,,MS-DRG,999999999,Case Rate,,12987.81529,,MS-DRG,999999999,Case Rate,,12865.28873,,MS-DRG,999999999,Case Rate,,12987.81529,,MS-DRG,999999999,Case Rate,,13171.60513,,MS-DRG,999999999,Case Rate,,12252.65593,,MS-DRG,999999999,Case Rate,,12620.23561,,MS-DRG,999999999,Case Rate,,12865.28873,,MS-DRG,999999999,Case Rate,,12865.28873,,MS-DRG,999999999,Case Rate,,12987.81529,,MS-DRG,999999999,Case Rate,,12252.65593,,MS-DRG,999999999,Case Rate,,12252.65593,,MS-DRG,999999999,Case Rate,,12252.65593,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HAND PROCEDURES FOR INJURIES,906,MS-DRG,,,,,inpatient,,,,,,16075.18707,24112.78061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24112.78061,,MS-DRG,999999999,Case Rate,,24112.78061,,MS-DRG,999999999,Case Rate,,16878.94642,,MS-DRG,999999999,Case Rate,,16718.19455,,MS-DRG,999999999,Case Rate,,16718.19455,,MS-DRG,999999999,Case Rate,,16878.94642,,MS-DRG,999999999,Case Rate,,17039.69829,,MS-DRG,999999999,Case Rate,,16878.94642,,MS-DRG,999999999,Case Rate,,17039.69829,,MS-DRG,999999999,Case Rate,,17280.8261,,MS-DRG,999999999,Case Rate,,16075.18707,,MS-DRG,999999999,Case Rate,,16557.44268,,MS-DRG,999999999,Case Rate,,16878.94642,,MS-DRG,999999999,Case Rate,,16878.94642,,MS-DRG,999999999,Case Rate,,17039.69829,,MS-DRG,999999999,Case Rate,,16075.18707,,MS-DRG,999999999,Case Rate,,16075.18707,,MS-DRG,999999999,Case Rate,,16075.18707,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,907,MS-DRG,,,,,inpatient,,,,,,28961.47395,69543.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43442.21093,,MS-DRG,999999999,Case Rate,,43442.21093,,MS-DRG,999999999,Case Rate,,30409.54765,,MS-DRG,999999999,Case Rate,,30119.93291,,MS-DRG,999999999,Case Rate,,30119.93291,,MS-DRG,999999999,Case Rate,,30409.54765,,MS-DRG,999999999,Case Rate,,30699.16239,,MS-DRG,999999999,Case Rate,,30409.54765,,MS-DRG,999999999,Case Rate,,30699.16239,,MS-DRG,999999999,Case Rate,,31133.5845,,MS-DRG,69543.37,Case Rate,,28961.47395,,MS-DRG,999999999,Case Rate,,29830.31817,,MS-DRG,999999999,Case Rate,,30409.54765,,MS-DRG,999999999,Case Rate,,30409.54765,,MS-DRG,999999999,Case Rate,,30699.16239,,MS-DRG,999999999,Case Rate,,28961.47395,,MS-DRG,999999999,Case Rate,,28961.47395,,MS-DRG,999999999,Case Rate,,28961.47395,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES FOR INJURIES WITH CC,908,MS-DRG,,,,,inpatient,,,,,,14891.86937,22337.80405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22337.80405,,MS-DRG,999999999,Case Rate,,22337.80405,,MS-DRG,999999999,Case Rate,,15636.46283,,MS-DRG,999999999,Case Rate,,15487.54414,,MS-DRG,999999999,Case Rate,,15487.54414,,MS-DRG,999999999,Case Rate,,15636.46283,,MS-DRG,999999999,Case Rate,,15785.38153,,MS-DRG,999999999,Case Rate,,15636.46283,,MS-DRG,999999999,Case Rate,,15785.38153,,MS-DRG,999999999,Case Rate,,16008.75957,,MS-DRG,999999999,Case Rate,,14891.86937,,MS-DRG,999999999,Case Rate,,15338.62545,,MS-DRG,999999999,Case Rate,,15636.46283,,MS-DRG,999999999,Case Rate,,15636.46283,,MS-DRG,999999999,Case Rate,,15785.38153,,MS-DRG,999999999,Case Rate,,14891.86937,,MS-DRG,999999999,Case Rate,,14891.86937,,MS-DRG,999999999,Case Rate,,14891.86937,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,909,MS-DRG,,,,,inpatient,,,,,,9534.745438,14302.11816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14302.11816,,MS-DRG,999999999,Case Rate,,14302.11816,,MS-DRG,999999999,Case Rate,,10011.48271,,MS-DRG,999999999,Case Rate,,9916.135255,,MS-DRG,999999999,Case Rate,,9916.135255,,MS-DRG,999999999,Case Rate,,10011.48271,,MS-DRG,999999999,Case Rate,,10106.83016,,MS-DRG,999999999,Case Rate,,10011.48271,,MS-DRG,999999999,Case Rate,,10106.83016,,MS-DRG,999999999,Case Rate,,10249.85135,,MS-DRG,999999999,Case Rate,,9534.745438,,MS-DRG,999999999,Case Rate,,9820.787801,,MS-DRG,999999999,Case Rate,,10011.48271,,MS-DRG,999999999,Case Rate,,10011.48271,,MS-DRG,999999999,Case Rate,,10106.83016,,MS-DRG,999999999,Case Rate,,9534.745438,,MS-DRG,999999999,Case Rate,,9534.745438,,MS-DRG,999999999,Case Rate,,9534.745438,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC INJURY WITH MCC,913,MS-DRG,,,,,inpatient,,,,,,861.35,18058.1145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18058.1145,,MS-DRG,999999999,Case Rate,,18058.1145,,MS-DRG,999999999,Case Rate,,12640.68015,,MS-DRG,999999999,Case Rate,,12520.29272,,MS-DRG,999999999,Case Rate,,12520.29272,,MS-DRG,861.35,Case Rate,,12640.68015,,MS-DRG,999999999,Case Rate,,12761.06758,,MS-DRG,999999999,Case Rate,,12640.68015,,MS-DRG,999999999,Case Rate,,12761.06758,,MS-DRG,999999999,Case Rate,,12941.64872,,MS-DRG,999999999,Case Rate,,12038.743,,MS-DRG,999999999,Case Rate,,12399.90529,,MS-DRG,999999999,Case Rate,,12640.68015,,MS-DRG,999999999,Case Rate,,12640.68015,,MS-DRG,999999999,Case Rate,,12761.06758,,MS-DRG,999999999,Case Rate,,12038.743,,MS-DRG,999999999,Case Rate,,12038.743,,MS-DRG,999999999,Case Rate,,12038.743,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
TRAUMATIC INJURY WITHOUT MCC,914,MS-DRG,,,,,inpatient,,,,,,7017.154746,10525.73212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10525.73212,,MS-DRG,999999999,Case Rate,,10525.73212,,MS-DRG,999999999,Case Rate,,7368.012483,,MS-DRG,999999999,Case Rate,,7297.840936,,MS-DRG,999999999,Case Rate,,7297.840936,,MS-DRG,999999999,Case Rate,,7368.012483,,MS-DRG,999999999,Case Rate,,7438.184031,,MS-DRG,999999999,Case Rate,,7368.012483,,MS-DRG,999999999,Case Rate,,7438.184031,,MS-DRG,999999999,Case Rate,,7543.441352,,MS-DRG,999999999,Case Rate,,7017.154746,,MS-DRG,999999999,Case Rate,,7227.669388,,MS-DRG,999999999,Case Rate,,7368.012483,,MS-DRG,999999999,Case Rate,,7368.012483,,MS-DRG,999999999,Case Rate,,7438.184031,,MS-DRG,999999999,Case Rate,,7017.154746,,MS-DRG,999999999,Case Rate,,7017.154746,,MS-DRG,999999999,Case Rate,,7017.154746,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLERGIC REACTIONS WITH MCC,915,MS-DRG,,,,,inpatient,,,,,,1326.78,19341.59211,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19341.59211,,MS-DRG,999999999,Case Rate,,19341.59211,,MS-DRG,999999999,Case Rate,,13539.11448,,MS-DRG,999999999,Case Rate,,13410.17053,,MS-DRG,999999999,Case Rate,,13410.17053,,MS-DRG,1326.78,Case Rate,,13539.11448,,MS-DRG,999999999,Case Rate,,13668.05842,,MS-DRG,999999999,Case Rate,,13539.11448,,MS-DRG,999999999,Case Rate,,13668.05842,,MS-DRG,999999999,Case Rate,,13861.47434,,MS-DRG,999999999,Case Rate,,12894.39474,,MS-DRG,999999999,Case Rate,,13281.22658,,MS-DRG,999999999,Case Rate,,13539.11448,,MS-DRG,999999999,Case Rate,,13539.11448,,MS-DRG,999999999,Case Rate,,13668.05842,,MS-DRG,999999999,Case Rate,,12894.39474,,MS-DRG,999999999,Case Rate,,12894.39474,,MS-DRG,999999999,Case Rate,,12894.39474,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
ALLERGIC REACTIONS WITHOUT MCC,916,MS-DRG,,,,,inpatient,,,,,,5212.130217,7818.195326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7818.195326,,MS-DRG,999999999,Case Rate,,7818.195326,,MS-DRG,999999999,Case Rate,,5472.736728,,MS-DRG,999999999,Case Rate,,5420.615426,,MS-DRG,999999999,Case Rate,,5420.615426,,MS-DRG,999999999,Case Rate,,5472.736728,,MS-DRG,999999999,Case Rate,,5524.85803,,MS-DRG,999999999,Case Rate,,5472.736728,,MS-DRG,999999999,Case Rate,,5524.85803,,MS-DRG,999999999,Case Rate,,5603.039984,,MS-DRG,999999999,Case Rate,,5212.130217,,MS-DRG,999999999,Case Rate,,5368.494124,,MS-DRG,999999999,Case Rate,,5472.736728,,MS-DRG,999999999,Case Rate,,5472.736728,,MS-DRG,999999999,Case Rate,,5524.85803,,MS-DRG,999999999,Case Rate,,5212.130217,,MS-DRG,999999999,Case Rate,,5212.130217,,MS-DRG,999999999,Case Rate,,5212.130217,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,917,MS-DRG,,,,,inpatient,,,,,,5540.31,18287.76685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18287.76685,,MS-DRG,999999999,Case Rate,,18287.76685,,MS-DRG,999999999,Case Rate,,12801.43679,,MS-DRG,5540.31,Case Rate,,12679.51835,,MS-DRG,8983.57,Case Rate,,12679.51835,,MS-DRG,6397.126667,Case Rate,,12801.43679,,MS-DRG,999999999,Case Rate,,12923.35524,,MS-DRG,999999999,Case Rate,,12801.43679,,MS-DRG,999999999,Case Rate,,12923.35524,,MS-DRG,999999999,Case Rate,,13106.23291,,MS-DRG,10921.21,Case Rate,,12191.84457,,MS-DRG,999999999,Case Rate,,12557.5999,,MS-DRG,999999999,Case Rate,,12801.43679,,MS-DRG,999999999,Case Rate,,12801.43679,,MS-DRG,999999999,Case Rate,,12923.35524,,MS-DRG,999999999,Case Rate,,12191.84457,,MS-DRG,999999999,Case Rate,,12191.84457,,MS-DRG,999999999,Case Rate,,12191.84457,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,918,MS-DRG,,,,,inpatient,,,,,,40.61,10184.47302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10184.47302,,MS-DRG,999999999,Case Rate,,10184.47302,,MS-DRG,999999999,Case Rate,,7129.131116,,MS-DRG,999999999,Case Rate,,7061.234629,,MS-DRG,3216.265,Case Rate,,7061.234629,,MS-DRG,40.61,Case Rate,,7129.131116,,MS-DRG,999999999,Case Rate,,7197.027603,,MS-DRG,999999999,Case Rate,,7129.131116,,MS-DRG,999999999,Case Rate,,7197.027603,,MS-DRG,999999999,Case Rate,,7298.872333,,MS-DRG,5715.965,Case Rate,,6789.648682,,MS-DRG,999999999,Case Rate,,6993.338142,,MS-DRG,999999999,Case Rate,,7129.131116,,MS-DRG,999999999,Case Rate,,7129.131116,,MS-DRG,999999999,Case Rate,,7197.027603,,MS-DRG,999999999,Case Rate,,6789.648682,,MS-DRG,999999999,Case Rate,,6789.648682,,MS-DRG,999999999,Case Rate,,6789.648682,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPLICATIONS OF TREATMENT WITH MCC,919,MS-DRG,,,,,inpatient,,,,,,6510.65,20261.27464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20261.27464,,MS-DRG,999999999,Case Rate,,20261.27464,,MS-DRG,999999999,Case Rate,,14182.89225,,MS-DRG,13803.94,Case Rate,,14047.81708,,MS-DRG,999999999,Case Rate,,14047.81708,,MS-DRG,6510.65,Case Rate,,14182.89225,,MS-DRG,999999999,Case Rate,,14317.96741,,MS-DRG,999999999,Case Rate,,14182.89225,,MS-DRG,999999999,Case Rate,,14317.96741,,MS-DRG,999999999,Case Rate,,14520.58016,,MS-DRG,12489.07,Case Rate,,13507.51643,,MS-DRG,999999999,Case Rate,,13912.74192,,MS-DRG,999999999,Case Rate,,14182.89225,,MS-DRG,999999999,Case Rate,,14182.89225,,MS-DRG,999999999,Case Rate,,14317.96741,,MS-DRG,999999999,Case Rate,,13507.51643,,MS-DRG,999999999,Case Rate,,13507.51643,,MS-DRG,999999999,Case Rate,,13507.51643,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPLICATIONS OF TREATMENT WITH CC,920,MS-DRG,,,,,inpatient,,,,,,7729.005481,11593.50822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11593.50822,,MS-DRG,999999999,Case Rate,,11593.50822,,MS-DRG,999999999,Case Rate,,8115.455755,,MS-DRG,999999999,Case Rate,,8038.165701,,MS-DRG,999999999,Case Rate,,8038.165701,,MS-DRG,999999999,Case Rate,,8115.455755,,MS-DRG,999999999,Case Rate,,8192.74581,,MS-DRG,999999999,Case Rate,,8115.455755,,MS-DRG,999999999,Case Rate,,8192.74581,,MS-DRG,999999999,Case Rate,,8308.680892,,MS-DRG,999999999,Case Rate,,7729.005481,,MS-DRG,999999999,Case Rate,,7960.875646,,MS-DRG,999999999,Case Rate,,8115.455755,,MS-DRG,999999999,Case Rate,,8115.455755,,MS-DRG,999999999,Case Rate,,8192.74581,,MS-DRG,999999999,Case Rate,,7729.005481,,MS-DRG,999999999,Case Rate,,7729.005481,,MS-DRG,999999999,Case Rate,,7729.005481,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,921,MS-DRG,,,,,inpatient,,,,,,5380.971196,8071.456794,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8071.456794,,MS-DRG,999999999,Case Rate,,8071.456794,,MS-DRG,999999999,Case Rate,,5650.019756,,MS-DRG,999999999,Case Rate,,5596.210044,,MS-DRG,999999999,Case Rate,,5596.210044,,MS-DRG,999999999,Case Rate,,5650.019756,,MS-DRG,999999999,Case Rate,,5703.829468,,MS-DRG,999999999,Case Rate,,5650.019756,,MS-DRG,999999999,Case Rate,,5703.829468,,MS-DRG,999999999,Case Rate,,5784.544036,,MS-DRG,999999999,Case Rate,,5380.971196,,MS-DRG,999999999,Case Rate,,5542.400332,,MS-DRG,999999999,Case Rate,,5650.019756,,MS-DRG,999999999,Case Rate,,5650.019756,,MS-DRG,999999999,Case Rate,,5703.829468,,MS-DRG,999999999,Case Rate,,5380.971196,,MS-DRG,999999999,Case Rate,,5380.971196,,MS-DRG,999999999,Case Rate,,5380.971196,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",922,MS-DRG,,,,,inpatient,,,,,,854.78,18821.11833,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18821.11833,,MS-DRG,999999999,Case Rate,,18821.11833,,MS-DRG,999999999,Case Rate,,13174.78283,,MS-DRG,999999999,Case Rate,,13049.30871,,MS-DRG,999999999,Case Rate,,13049.30871,,MS-DRG,854.78,Case Rate,,13174.78283,,MS-DRG,999999999,Case Rate,,13300.25695,,MS-DRG,999999999,Case Rate,,13174.78283,,MS-DRG,999999999,Case Rate,,13300.25695,,MS-DRG,999999999,Case Rate,,13488.46814,,MS-DRG,999999999,Case Rate,,12547.41222,,MS-DRG,999999999,Case Rate,,12923.83459,,MS-DRG,999999999,Case Rate,,13174.78283,,MS-DRG,999999999,Case Rate,,13174.78283,,MS-DRG,999999999,Case Rate,,13300.25695,,MS-DRG,999999999,Case Rate,,12547.41222,,MS-DRG,999999999,Case Rate,,12547.41222,,MS-DRG,999999999,Case Rate,,12547.41222,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",923,MS-DRG,,,,,inpatient,,,,,,7757.622596,11636.43389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11636.43389,,MS-DRG,999999999,Case Rate,,11636.43389,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8067.9275,,MS-DRG,999999999,Case Rate,,8067.9275,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8223.079952,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8223.079952,,MS-DRG,999999999,Case Rate,,8339.444291,,MS-DRG,999999999,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,7990.351274,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8145.503726,,MS-DRG,999999999,Case Rate,,8223.079952,,MS-DRG,999999999,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,7757.622596,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,927,MS-DRG,,,,,inpatient,,,,,,170180.4976,255270.7464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,255270.7464,,MS-DRG,999999999,Case Rate,,255270.7464,,MS-DRG,999999999,Case Rate,,178689.5225,,MS-DRG,999999999,Case Rate,,176987.7175,,MS-DRG,999999999,Case Rate,,176987.7175,,MS-DRG,999999999,Case Rate,,178689.5225,,MS-DRG,999999999,Case Rate,,180391.3275,,MS-DRG,999999999,Case Rate,,178689.5225,,MS-DRG,999999999,Case Rate,,180391.3275,,MS-DRG,999999999,Case Rate,,182944.0349,,MS-DRG,999999999,Case Rate,,170180.4976,,MS-DRG,999999999,Case Rate,,175285.9125,,MS-DRG,999999999,Case Rate,,178689.5225,,MS-DRG,999999999,Case Rate,,178689.5225,,MS-DRG,999999999,Case Rate,,180391.3275,,MS-DRG,999999999,Case Rate,,170180.4976,,MS-DRG,999999999,Case Rate,,170180.4976,,MS-DRG,999999999,Case Rate,,170180.4976,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,928,MS-DRG,,,,,inpatient,,,,,,48243.68604,72365.52906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72365.52906,,MS-DRG,999999999,Case Rate,,72365.52906,,MS-DRG,999999999,Case Rate,,50655.87034,,MS-DRG,999999999,Case Rate,,50173.43348,,MS-DRG,999999999,Case Rate,,50173.43348,,MS-DRG,999999999,Case Rate,,50655.87034,,MS-DRG,999999999,Case Rate,,51138.3072,,MS-DRG,999999999,Case Rate,,50655.87034,,MS-DRG,999999999,Case Rate,,51138.3072,,MS-DRG,999999999,Case Rate,,51861.96249,,MS-DRG,999999999,Case Rate,,48243.68604,,MS-DRG,999999999,Case Rate,,49690.99662,,MS-DRG,999999999,Case Rate,,50655.87034,,MS-DRG,999999999,Case Rate,,50655.87034,,MS-DRG,999999999,Case Rate,,51138.3072,,MS-DRG,999999999,Case Rate,,48243.68604,,MS-DRG,999999999,Case Rate,,48243.68604,,MS-DRG,999999999,Case Rate,,48243.68604,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,929,MS-DRG,,,,,inpatient,,,,,,23214.44183,34821.66275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34821.66275,,MS-DRG,999999999,Case Rate,,34821.66275,,MS-DRG,999999999,Case Rate,,24375.16393,,MS-DRG,999999999,Case Rate,,24143.01951,,MS-DRG,999999999,Case Rate,,24143.01951,,MS-DRG,999999999,Case Rate,,24375.16393,,MS-DRG,999999999,Case Rate,,24607.30834,,MS-DRG,999999999,Case Rate,,24375.16393,,MS-DRG,999999999,Case Rate,,24607.30834,,MS-DRG,999999999,Case Rate,,24955.52497,,MS-DRG,999999999,Case Rate,,23214.44183,,MS-DRG,999999999,Case Rate,,23910.87509,,MS-DRG,999999999,Case Rate,,24375.16393,,MS-DRG,999999999,Case Rate,,24375.16393,,MS-DRG,999999999,Case Rate,,24607.30834,,MS-DRG,999999999,Case Rate,,23214.44183,,MS-DRG,999999999,Case Rate,,23214.44183,,MS-DRG,999999999,Case Rate,,23214.44183,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,933,MS-DRG,,,,,inpatient,,,,,,31416.82242,47125.23363,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47125.23363,,MS-DRG,999999999,Case Rate,,47125.23363,,MS-DRG,999999999,Case Rate,,32987.66354,,MS-DRG,999999999,Case Rate,,32673.49532,,MS-DRG,999999999,Case Rate,,32673.49532,,MS-DRG,999999999,Case Rate,,32987.66354,,MS-DRG,999999999,Case Rate,,33301.83177,,MS-DRG,999999999,Case Rate,,32987.66354,,MS-DRG,999999999,Case Rate,,33301.83177,,MS-DRG,999999999,Case Rate,,33773.0841,,MS-DRG,999999999,Case Rate,,31416.82242,,MS-DRG,999999999,Case Rate,,32359.32709,,MS-DRG,999999999,Case Rate,,32987.66354,,MS-DRG,999999999,Case Rate,,32987.66354,,MS-DRG,999999999,Case Rate,,33301.83177,,MS-DRG,999999999,Case Rate,,31416.82242,,MS-DRG,999999999,Case Rate,,31416.82242,,MS-DRG,999999999,Case Rate,,31416.82242,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,934,MS-DRG,,,,,inpatient,,,,,,15812.62504,23718.93756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23718.93756,,MS-DRG,999999999,Case Rate,,23718.93756,,MS-DRG,999999999,Case Rate,,16603.25629,,MS-DRG,999999999,Case Rate,,16445.13004,,MS-DRG,999999999,Case Rate,,16445.13004,,MS-DRG,999999999,Case Rate,,16603.25629,,MS-DRG,999999999,Case Rate,,16761.38254,,MS-DRG,999999999,Case Rate,,16603.25629,,MS-DRG,999999999,Case Rate,,16761.38254,,MS-DRG,999999999,Case Rate,,16998.57192,,MS-DRG,999999999,Case Rate,,15812.62504,,MS-DRG,999999999,Case Rate,,16287.00379,,MS-DRG,999999999,Case Rate,,16603.25629,,MS-DRG,999999999,Case Rate,,16603.25629,,MS-DRG,999999999,Case Rate,,16761.38254,,MS-DRG,999999999,Case Rate,,15812.62504,,MS-DRG,999999999,Case Rate,,15812.62504,,MS-DRG,999999999,Case Rate,,15812.62504,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-EXTENSIVE BURNS,935,MS-DRG,,,,,inpatient,,,,,,16174.63154,24261.94732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24261.94732,,MS-DRG,999999999,Case Rate,,24261.94732,,MS-DRG,999999999,Case Rate,,16983.36312,,MS-DRG,999999999,Case Rate,,16821.61681,,MS-DRG,999999999,Case Rate,,16821.61681,,MS-DRG,999999999,Case Rate,,16983.36312,,MS-DRG,999999999,Case Rate,,17145.10944,,MS-DRG,999999999,Case Rate,,16983.36312,,MS-DRG,999999999,Case Rate,,17145.10944,,MS-DRG,999999999,Case Rate,,17387.72891,,MS-DRG,999999999,Case Rate,,16174.63154,,MS-DRG,999999999,Case Rate,,16659.87049,,MS-DRG,999999999,Case Rate,,16983.36312,,MS-DRG,999999999,Case Rate,,16983.36312,,MS-DRG,999999999,Case Rate,,17145.10944,,MS-DRG,999999999,Case Rate,,16174.63154,,MS-DRG,999999999,Case Rate,,16174.63154,,MS-DRG,999999999,Case Rate,,16174.63154,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,939,MS-DRG,,,,,inpatient,,,,,,23168.65445,34752.98168,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34752.98168,,MS-DRG,999999999,Case Rate,,34752.98168,,MS-DRG,999999999,Case Rate,,24327.08717,,MS-DRG,999999999,Case Rate,,24095.40063,,MS-DRG,999999999,Case Rate,,24095.40063,,MS-DRG,999999999,Case Rate,,24327.08717,,MS-DRG,999999999,Case Rate,,24558.77372,,MS-DRG,999999999,Case Rate,,24327.08717,,MS-DRG,999999999,Case Rate,,24558.77372,,MS-DRG,999999999,Case Rate,,24906.30353,,MS-DRG,999999999,Case Rate,,23168.65445,,MS-DRG,999999999,Case Rate,,23863.71408,,MS-DRG,999999999,Case Rate,,24327.08717,,MS-DRG,999999999,Case Rate,,24327.08717,,MS-DRG,999999999,Case Rate,,24558.77372,,MS-DRG,999999999,Case Rate,,23168.65445,,MS-DRG,999999999,Case Rate,,23168.65445,,MS-DRG,999999999,Case Rate,,23168.65445,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,940,MS-DRG,,,,,inpatient,,,,,,15566.51785,23349.77678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23349.77678,,MS-DRG,999999999,Case Rate,,23349.77678,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16189.17857,,MS-DRG,999999999,Case Rate,,16189.17857,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16500.50892,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16500.50892,,MS-DRG,999999999,Case Rate,,16734.00669,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,16033.51339,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16344.84374,,MS-DRG,999999999,Case Rate,,16500.50892,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,15566.51785,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,941,MS-DRG,,,,,inpatient,,,,,,14442.58066,21663.87099,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21663.87099,,MS-DRG,999999999,Case Rate,,21663.87099,,MS-DRG,999999999,Case Rate,,15164.70969,,MS-DRG,999999999,Case Rate,,15020.28389,,MS-DRG,999999999,Case Rate,,15020.28389,,MS-DRG,999999999,Case Rate,,15164.70969,,MS-DRG,999999999,Case Rate,,15309.1355,,MS-DRG,999999999,Case Rate,,15164.70969,,MS-DRG,999999999,Case Rate,,15309.1355,,MS-DRG,999999999,Case Rate,,15525.77421,,MS-DRG,999999999,Case Rate,,14442.58066,,MS-DRG,999999999,Case Rate,,14875.85808,,MS-DRG,999999999,Case Rate,,15164.70969,,MS-DRG,999999999,Case Rate,,15164.70969,,MS-DRG,999999999,Case Rate,,15309.1355,,MS-DRG,999999999,Case Rate,,14442.58066,,MS-DRG,999999999,Case Rate,,14442.58066,,MS-DRG,999999999,Case Rate,,14442.58066,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REHABILITATION WITH CC/MCC,945,MS-DRG,,,,,inpatient,,,,,,11381.98021,17072.97032,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17072.97032,,MS-DRG,999999999,Case Rate,,17072.97032,,MS-DRG,999999999,Case Rate,,11951.07922,,MS-DRG,999999999,Case Rate,,11837.25942,,MS-DRG,999999999,Case Rate,,11837.25942,,MS-DRG,999999999,Case Rate,,11951.07922,,MS-DRG,999999999,Case Rate,,12064.89902,,MS-DRG,999999999,Case Rate,,11951.07922,,MS-DRG,999999999,Case Rate,,12064.89902,,MS-DRG,999999999,Case Rate,,12235.62873,,MS-DRG,999999999,Case Rate,,11381.98021,,MS-DRG,999999999,Case Rate,,11723.43962,,MS-DRG,999999999,Case Rate,,11951.07922,,MS-DRG,999999999,Case Rate,,11951.07922,,MS-DRG,999999999,Case Rate,,12064.89902,,MS-DRG,999999999,Case Rate,,11381.98021,,MS-DRG,999999999,Case Rate,,11381.98021,,MS-DRG,999999999,Case Rate,,11381.98021,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
REHABILITATION WITHOUT CC/MCC,946,MS-DRG,,,,,inpatient,,,,,,8448.725924,12673.08889,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12673.08889,,MS-DRG,999999999,Case Rate,,12673.08889,,MS-DRG,999999999,Case Rate,,8871.16222,,MS-DRG,999999999,Case Rate,,8786.674961,,MS-DRG,999999999,Case Rate,,8786.674961,,MS-DRG,999999999,Case Rate,,8871.16222,,MS-DRG,999999999,Case Rate,,8955.649479,,MS-DRG,999999999,Case Rate,,8871.16222,,MS-DRG,999999999,Case Rate,,8955.649479,,MS-DRG,999999999,Case Rate,,9082.380368,,MS-DRG,999999999,Case Rate,,8448.725924,,MS-DRG,999999999,Case Rate,,8702.187701,,MS-DRG,999999999,Case Rate,,8871.16222,,MS-DRG,999999999,Case Rate,,8871.16222,,MS-DRG,999999999,Case Rate,,8955.649479,,MS-DRG,999999999,Case Rate,,8448.725924,,MS-DRG,999999999,Case Rate,,8448.725924,,MS-DRG,999999999,Case Rate,,8448.725924,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIGNS AND SYMPTOMS WITH MCC,947,MS-DRG,,,,,inpatient,,,,,,9662.807027,14494.21054,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14494.21054,,MS-DRG,999999999,Case Rate,,14494.21054,,MS-DRG,999999999,Case Rate,,10145.94738,,MS-DRG,999999999,Case Rate,,10049.31931,,MS-DRG,999999999,Case Rate,,10049.31931,,MS-DRG,999999999,Case Rate,,10145.94738,,MS-DRG,999999999,Case Rate,,10242.57545,,MS-DRG,999999999,Case Rate,,10145.94738,,MS-DRG,999999999,Case Rate,,10242.57545,,MS-DRG,999999999,Case Rate,,10387.51755,,MS-DRG,999999999,Case Rate,,9662.807027,,MS-DRG,999999999,Case Rate,,9952.691238,,MS-DRG,999999999,Case Rate,,10145.94738,,MS-DRG,999999999,Case Rate,,10145.94738,,MS-DRG,999999999,Case Rate,,10242.57545,,MS-DRG,999999999,Case Rate,,9662.807027,,MS-DRG,999999999,Case Rate,,9662.807027,,MS-DRG,999999999,Case Rate,,9662.807027,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
SIGNS AND SYMPTOMS WITHOUT MCC,948,MS-DRG,,,,,inpatient,,,,,,1978.703333,9217.572249,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9217.572249,,MS-DRG,999999999,Case Rate,,9217.572249,,MS-DRG,999999999,Case Rate,,6452.300575,,MS-DRG,999999999,Case Rate,,6390.850093,,MS-DRG,999999999,Case Rate,,6390.850093,,MS-DRG,1978.703333,Case Rate,,6452.300575,,MS-DRG,999999999,Case Rate,,6513.751056,,MS-DRG,999999999,Case Rate,,6452.300575,,MS-DRG,999999999,Case Rate,,6513.751056,,MS-DRG,999999999,Case Rate,,6605.926779,,MS-DRG,4447.84,Case Rate,,6145.048166,,MS-DRG,999999999,Case Rate,,6329.399611,,MS-DRG,999999999,Case Rate,,6452.300575,,MS-DRG,999999999,Case Rate,,6452.300575,,MS-DRG,999999999,Case Rate,,6513.751056,,MS-DRG,999999999,Case Rate,,6145.048166,,MS-DRG,999999999,Case Rate,,6145.048166,,MS-DRG,999999999,Case Rate,,6145.048166,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AFTERCARE WITH CC/MCC,949,MS-DRG,,,,,inpatient,,,,,,8180.44047,12270.66071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12270.66071,,MS-DRG,999999999,Case Rate,,12270.66071,,MS-DRG,999999999,Case Rate,,8589.462494,,MS-DRG,999999999,Case Rate,,8507.658089,,MS-DRG,999999999,Case Rate,,8507.658089,,MS-DRG,999999999,Case Rate,,8589.462494,,MS-DRG,999999999,Case Rate,,8671.266899,,MS-DRG,999999999,Case Rate,,8589.462494,,MS-DRG,999999999,Case Rate,,8671.266899,,MS-DRG,999999999,Case Rate,,8793.973506,,MS-DRG,999999999,Case Rate,,8180.44047,,MS-DRG,999999999,Case Rate,,8425.853685,,MS-DRG,999999999,Case Rate,,8589.462494,,MS-DRG,999999999,Case Rate,,8589.462494,,MS-DRG,999999999,Case Rate,,8671.266899,,MS-DRG,999999999,Case Rate,,8180.44047,,MS-DRG,999999999,Case Rate,,8180.44047,,MS-DRG,999999999,Case Rate,,8180.44047,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
AFTERCARE WITHOUT CC/MCC,950,MS-DRG,,,,,inpatient,,,,,,4654.096475,6981.144712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6981.144712,,MS-DRG,999999999,Case Rate,,6981.144712,,MS-DRG,999999999,Case Rate,,4886.801299,,MS-DRG,999999999,Case Rate,,4840.260334,,MS-DRG,999999999,Case Rate,,4840.260334,,MS-DRG,999999999,Case Rate,,4886.801299,,MS-DRG,999999999,Case Rate,,4933.342263,,MS-DRG,999999999,Case Rate,,4886.801299,,MS-DRG,999999999,Case Rate,,4933.342263,,MS-DRG,999999999,Case Rate,,5003.153711,,MS-DRG,999999999,Case Rate,,4654.096475,,MS-DRG,999999999,Case Rate,,4793.719369,,MS-DRG,999999999,Case Rate,,4886.801299,,MS-DRG,999999999,Case Rate,,4886.801299,,MS-DRG,999999999,Case Rate,,4933.342263,,MS-DRG,999999999,Case Rate,,4654.096475,,MS-DRG,999999999,Case Rate,,4654.096475,,MS-DRG,999999999,Case Rate,,4654.096475,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,MS-DRG,,,,,inpatient,,,,,,3937.5,6776.174626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6776.174626,,MS-DRG,999999999,Case Rate,,6776.174626,,MS-DRG,999999999,Case Rate,,4743.322238,,MS-DRG,4576.67,Case Rate,,4698.147741,,MS-DRG,999999999,Case Rate,,4698.147741,,MS-DRG,4463.3,Case Rate,,4743.322238,,MS-DRG,999999999,Case Rate,,4788.496736,,MS-DRG,999999999,Case Rate,,4743.322238,,MS-DRG,999999999,Case Rate,,4788.496736,,MS-DRG,999999999,Case Rate,,4856.258482,,MS-DRG,3937.5,Case Rate,,4517.449751,,MS-DRG,999999999,Case Rate,,4652.973243,,MS-DRG,999999999,Case Rate,,4743.322238,,MS-DRG,999999999,Case Rate,,4743.322238,,MS-DRG,999999999,Case Rate,,4788.496736,,MS-DRG,999999999,Case Rate,,4517.449751,,MS-DRG,999999999,Case Rate,,4517.449751,,MS-DRG,999999999,Case Rate,,4517.449751,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,955,MS-DRG,,,,,inpatient,,,,,,49312.53528,73968.80293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73968.80293,,MS-DRG,999999999,Case Rate,,73968.80293,,MS-DRG,999999999,Case Rate,,51778.16205,,MS-DRG,999999999,Case Rate,,51285.0367,,MS-DRG,999999999,Case Rate,,51285.0367,,MS-DRG,999999999,Case Rate,,51778.16205,,MS-DRG,999999999,Case Rate,,52271.2874,,MS-DRG,999999999,Case Rate,,51778.16205,,MS-DRG,999999999,Case Rate,,52271.2874,,MS-DRG,999999999,Case Rate,,53010.97543,,MS-DRG,999999999,Case Rate,,49312.53528,,MS-DRG,999999999,Case Rate,,50791.91134,,MS-DRG,999999999,Case Rate,,51778.16205,,MS-DRG,999999999,Case Rate,,51778.16205,,MS-DRG,999999999,Case Rate,,52271.2874,,MS-DRG,999999999,Case Rate,,49312.53528,,MS-DRG,999999999,Case Rate,,49312.53528,,MS-DRG,999999999,Case Rate,,49312.53528,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",956,MS-DRG,,,,,inpatient,,,,,,27807.48879,41711.23319,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41711.23319,,MS-DRG,999999999,Case Rate,,41711.23319,,MS-DRG,999999999,Case Rate,,29197.86323,,MS-DRG,999999999,Case Rate,,28919.78834,,MS-DRG,28434.74,Case Rate,,28919.78834,,MS-DRG,999999999,Case Rate,,29197.86323,,MS-DRG,999999999,Case Rate,,29475.93812,,MS-DRG,999999999,Case Rate,,29197.86323,,MS-DRG,999999999,Case Rate,,29475.93812,,MS-DRG,999999999,Case Rate,,29893.05045,,MS-DRG,999999999,Case Rate,,27807.48879,,MS-DRG,999999999,Case Rate,,28641.71345,,MS-DRG,999999999,Case Rate,,29197.86323,,MS-DRG,999999999,Case Rate,,29197.86323,,MS-DRG,999999999,Case Rate,,29475.93812,,MS-DRG,999999999,Case Rate,,27807.48879,,MS-DRG,999999999,Case Rate,,27807.48879,,MS-DRG,999999999,Case Rate,,27807.48879,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,957,MS-DRG,,,,,inpatient,,,,,,53399.17,80792.91171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80792.91171,,MS-DRG,999999999,Case Rate,,80792.91171,,MS-DRG,999999999,Case Rate,,56555.0382,,MS-DRG,999999999,Case Rate,,56016.41879,,MS-DRG,999999999,Case Rate,,56016.41879,,MS-DRG,999999999,Case Rate,,56555.0382,,MS-DRG,999999999,Case Rate,,57093.65761,,MS-DRG,999999999,Case Rate,,56555.0382,,MS-DRG,999999999,Case Rate,,57093.65761,,MS-DRG,999999999,Case Rate,,57901.58673,,MS-DRG,53399.17,Case Rate,,53861.94114,,MS-DRG,999999999,Case Rate,,55477.79937,,MS-DRG,999999999,Case Rate,,56555.0382,,MS-DRG,999999999,Case Rate,,56555.0382,,MS-DRG,999999999,Case Rate,,57093.65761,,MS-DRG,999999999,Case Rate,,53861.94114,,MS-DRG,999999999,Case Rate,,53861.94114,,MS-DRG,999999999,Case Rate,,53861.94114,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,958,MS-DRG,,,,,inpatient,,,,,,29863.6285,44795.44276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44795.44276,,MS-DRG,999999999,Case Rate,,44795.44276,,MS-DRG,999999999,Case Rate,,31356.80993,,MS-DRG,999999999,Case Rate,,31058.17364,,MS-DRG,999999999,Case Rate,,31058.17364,,MS-DRG,999999999,Case Rate,,31356.80993,,MS-DRG,999999999,Case Rate,,31655.44621,,MS-DRG,999999999,Case Rate,,31356.80993,,MS-DRG,999999999,Case Rate,,31655.44621,,MS-DRG,999999999,Case Rate,,32103.40064,,MS-DRG,999999999,Case Rate,,29863.6285,,MS-DRG,999999999,Case Rate,,30759.53736,,MS-DRG,999999999,Case Rate,,31356.80993,,MS-DRG,999999999,Case Rate,,31356.80993,,MS-DRG,999999999,Case Rate,,31655.44621,,MS-DRG,999999999,Case Rate,,29863.6285,,MS-DRG,999999999,Case Rate,,29863.6285,,MS-DRG,999999999,Case Rate,,29863.6285,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,959,MS-DRG,,,,,inpatient,,,,,,19376.17129,29064.25693,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29064.25693,,MS-DRG,999999999,Case Rate,,29064.25693,,MS-DRG,999999999,Case Rate,,20344.97985,,MS-DRG,999999999,Case Rate,,20151.21814,,MS-DRG,999999999,Case Rate,,20151.21814,,MS-DRG,999999999,Case Rate,,20344.97985,,MS-DRG,999999999,Case Rate,,20538.74156,,MS-DRG,999999999,Case Rate,,20344.97985,,MS-DRG,999999999,Case Rate,,20538.74156,,MS-DRG,999999999,Case Rate,,20829.38413,,MS-DRG,999999999,Case Rate,,19376.17129,,MS-DRG,999999999,Case Rate,,19957.45642,,MS-DRG,999999999,Case Rate,,20344.97985,,MS-DRG,999999999,Case Rate,,20344.97985,,MS-DRG,999999999,Case Rate,,20538.74156,,MS-DRG,999999999,Case Rate,,19376.17129,,MS-DRG,999999999,Case Rate,,19376.17129,,MS-DRG,999999999,Case Rate,,19376.17129,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,963,MS-DRG,,,,,inpatient,,,,,,19897.00278,29845.50417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29845.50417,,MS-DRG,999999999,Case Rate,,29845.50417,,MS-DRG,999999999,Case Rate,,20891.85292,,MS-DRG,999999999,Case Rate,,20692.88289,,MS-DRG,999999999,Case Rate,,20692.88289,,MS-DRG,999999999,Case Rate,,20891.85292,,MS-DRG,999999999,Case Rate,,21090.82294,,MS-DRG,999999999,Case Rate,,20891.85292,,MS-DRG,999999999,Case Rate,,21090.82294,,MS-DRG,999999999,Case Rate,,21389.27799,,MS-DRG,999999999,Case Rate,,19897.00278,,MS-DRG,999999999,Case Rate,,20493.91286,,MS-DRG,999999999,Case Rate,,20891.85292,,MS-DRG,999999999,Case Rate,,20891.85292,,MS-DRG,999999999,Case Rate,,21090.82294,,MS-DRG,999999999,Case Rate,,19897.00278,,MS-DRG,999999999,Case Rate,,19897.00278,,MS-DRG,999999999,Case Rate,,19897.00278,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,964,MS-DRG,,,,,inpatient,,,,,,11193.10725,16789.66088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16789.66088,,MS-DRG,999999999,Case Rate,,16789.66088,,MS-DRG,999999999,Case Rate,,11752.76261,,MS-DRG,999999999,Case Rate,,11640.83154,,MS-DRG,999999999,Case Rate,,11640.83154,,MS-DRG,999999999,Case Rate,,11752.76261,,MS-DRG,999999999,Case Rate,,11864.69369,,MS-DRG,999999999,Case Rate,,11752.76261,,MS-DRG,999999999,Case Rate,,11864.69369,,MS-DRG,999999999,Case Rate,,12032.5903,,MS-DRG,999999999,Case Rate,,11193.10725,,MS-DRG,999999999,Case Rate,,11528.90047,,MS-DRG,999999999,Case Rate,,11752.76261,,MS-DRG,999999999,Case Rate,,11752.76261,,MS-DRG,999999999,Case Rate,,11864.69369,,MS-DRG,999999999,Case Rate,,11193.10725,,MS-DRG,999999999,Case Rate,,11193.10725,,MS-DRG,999999999,Case Rate,,11193.10725,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,965,MS-DRG,,,,,inpatient,,,,,,6989.968487,10484.95273,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10484.95273,,MS-DRG,999999999,Case Rate,,10484.95273,,MS-DRG,999999999,Case Rate,,7339.466911,,MS-DRG,999999999,Case Rate,,7269.567226,,MS-DRG,999999999,Case Rate,,7269.567226,,MS-DRG,999999999,Case Rate,,7339.466911,,MS-DRG,999999999,Case Rate,,7409.366596,,MS-DRG,999999999,Case Rate,,7339.466911,,MS-DRG,999999999,Case Rate,,7409.366596,,MS-DRG,999999999,Case Rate,,7514.216123,,MS-DRG,999999999,Case Rate,,6989.968487,,MS-DRG,999999999,Case Rate,,7199.667541,,MS-DRG,999999999,Case Rate,,7339.466911,,MS-DRG,999999999,Case Rate,,7339.466911,,MS-DRG,999999999,Case Rate,,7409.366596,,MS-DRG,999999999,Case Rate,,6989.968487,,MS-DRG,999999999,Case Rate,,6989.968487,,MS-DRG,999999999,Case Rate,,6989.968487,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,969,MS-DRG,,,,,inpatient,,,,,,45706.77879,68560.16819,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68560.16819,,MS-DRG,999999999,Case Rate,,68560.16819,,MS-DRG,999999999,Case Rate,,47992.11773,,MS-DRG,999999999,Case Rate,,47535.04995,,MS-DRG,999999999,Case Rate,,47535.04995,,MS-DRG,999999999,Case Rate,,47992.11773,,MS-DRG,999999999,Case Rate,,48449.18552,,MS-DRG,999999999,Case Rate,,47992.11773,,MS-DRG,999999999,Case Rate,,48449.18552,,MS-DRG,999999999,Case Rate,,49134.7872,,MS-DRG,999999999,Case Rate,,45706.77879,,MS-DRG,999999999,Case Rate,,47077.98216,,MS-DRG,999999999,Case Rate,,47992.11773,,MS-DRG,999999999,Case Rate,,47992.11773,,MS-DRG,999999999,Case Rate,,48449.18552,,MS-DRG,999999999,Case Rate,,45706.77879,,MS-DRG,999999999,Case Rate,,45706.77879,,MS-DRG,999999999,Case Rate,,45706.77879,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,970,MS-DRG,,,,,inpatient,,,,,,19443.42151,29165.13226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29165.13226,,MS-DRG,999999999,Case Rate,,29165.13226,,MS-DRG,999999999,Case Rate,,20415.59258,,MS-DRG,999999999,Case Rate,,20221.15837,,MS-DRG,999999999,Case Rate,,20221.15837,,MS-DRG,999999999,Case Rate,,20415.59258,,MS-DRG,999999999,Case Rate,,20610.0268,,MS-DRG,999999999,Case Rate,,20415.59258,,MS-DRG,999999999,Case Rate,,20610.0268,,MS-DRG,999999999,Case Rate,,20901.67812,,MS-DRG,999999999,Case Rate,,19443.42151,,MS-DRG,999999999,Case Rate,,20026.72415,,MS-DRG,999999999,Case Rate,,20415.59258,,MS-DRG,999999999,Case Rate,,20415.59258,,MS-DRG,999999999,Case Rate,,20610.0268,,MS-DRG,999999999,Case Rate,,19443.42151,,MS-DRG,999999999,Case Rate,,19443.42151,,MS-DRG,999999999,Case Rate,,19443.42151,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIV WITH MAJOR RELATED CONDITION WITH MCC,974,MS-DRG,,,,,inpatient,,,,,,21825.0809,32737.62135,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32737.62135,,MS-DRG,999999999,Case Rate,,32737.62135,,MS-DRG,999999999,Case Rate,,22916.33495,,MS-DRG,999999999,Case Rate,,22698.08414,,MS-DRG,999999999,Case Rate,,22698.08414,,MS-DRG,999999999,Case Rate,,22916.33495,,MS-DRG,999999999,Case Rate,,23134.58576,,MS-DRG,999999999,Case Rate,,22916.33495,,MS-DRG,999999999,Case Rate,,23134.58576,,MS-DRG,999999999,Case Rate,,23461.96197,,MS-DRG,999999999,Case Rate,,21825.0809,,MS-DRG,999999999,Case Rate,,22479.83333,,MS-DRG,999999999,Case Rate,,22916.33495,,MS-DRG,999999999,Case Rate,,22916.33495,,MS-DRG,999999999,Case Rate,,23134.58576,,MS-DRG,999999999,Case Rate,,21825.0809,,MS-DRG,999999999,Case Rate,,21825.0809,,MS-DRG,999999999,Case Rate,,21825.0809,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIV WITH MAJOR RELATED CONDITION WITH CC,975,MS-DRG,,,,,inpatient,,,,,,10630.06551,15945.09827,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15945.09827,,MS-DRG,999999999,Case Rate,,15945.09827,,MS-DRG,999999999,Case Rate,,11161.56879,,MS-DRG,999999999,Case Rate,,11055.26813,,MS-DRG,999999999,Case Rate,,11055.26813,,MS-DRG,999999999,Case Rate,,11161.56879,,MS-DRG,999999999,Case Rate,,11267.86945,,MS-DRG,999999999,Case Rate,,11161.56879,,MS-DRG,999999999,Case Rate,,11267.86945,,MS-DRG,999999999,Case Rate,,11427.32043,,MS-DRG,999999999,Case Rate,,10630.06551,,MS-DRG,999999999,Case Rate,,10948.96748,,MS-DRG,999999999,Case Rate,,11161.56879,,MS-DRG,999999999,Case Rate,,11161.56879,,MS-DRG,999999999,Case Rate,,11267.86945,,MS-DRG,999999999,Case Rate,,10630.06551,,MS-DRG,999999999,Case Rate,,10630.06551,,MS-DRG,999999999,Case Rate,,10630.06551,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,976,MS-DRG,,,,,inpatient,,,,,,7636.715286,11455.07293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11455.07293,,MS-DRG,999999999,Case Rate,,11455.07293,,MS-DRG,999999999,Case Rate,,8018.55105,,MS-DRG,999999999,Case Rate,,7942.183897,,MS-DRG,999999999,Case Rate,,7942.183897,,MS-DRG,999999999,Case Rate,,8018.55105,,MS-DRG,999999999,Case Rate,,8094.918203,,MS-DRG,999999999,Case Rate,,8018.55105,,MS-DRG,999999999,Case Rate,,8094.918203,,MS-DRG,999999999,Case Rate,,8209.468932,,MS-DRG,999999999,Case Rate,,7636.715286,,MS-DRG,999999999,Case Rate,,7865.816744,,MS-DRG,999999999,Case Rate,,8018.55105,,MS-DRG,999999999,Case Rate,,8018.55105,,MS-DRG,999999999,Case Rate,,8094.918203,,MS-DRG,999999999,Case Rate,,7636.715286,,MS-DRG,999999999,Case Rate,,7636.715286,,MS-DRG,999999999,Case Rate,,7636.715286,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
HIV WITH OR WITHOUT OTHER RELATED CONDITION,977,MS-DRG,,,,,inpatient,,,,,,10776.72823,16165.09234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16165.09234,,MS-DRG,999999999,Case Rate,,16165.09234,,MS-DRG,999999999,Case Rate,,11315.56464,,MS-DRG,999999999,Case Rate,,11207.79736,,MS-DRG,999999999,Case Rate,,11207.79736,,MS-DRG,999999999,Case Rate,,11315.56464,,MS-DRG,999999999,Case Rate,,11423.33192,,MS-DRG,999999999,Case Rate,,11315.56464,,MS-DRG,999999999,Case Rate,,11423.33192,,MS-DRG,999999999,Case Rate,,11584.98285,,MS-DRG,999999999,Case Rate,,10776.72823,,MS-DRG,999999999,Case Rate,,11100.03008,,MS-DRG,999999999,Case Rate,,11315.56464,,MS-DRG,999999999,Case Rate,,11315.56464,,MS-DRG,999999999,Case Rate,,11423.33192,,MS-DRG,999999999,Case Rate,,10776.72823,,MS-DRG,999999999,Case Rate,,10776.72823,,MS-DRG,999999999,Case Rate,,10776.72823,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,981,MS-DRG,,,,,inpatient,,,,,,27711.05,51707.54917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51707.54917,,MS-DRG,999999999,Case Rate,,51707.54917,,MS-DRG,999999999,Case Rate,,36195.28442,,MS-DRG,33759.04,Case Rate,,35850.56742,,MS-DRG,999999999,Case Rate,,35850.56742,,MS-DRG,48351.16,Case Rate,,36195.28442,,MS-DRG,999999999,Case Rate,,36540.00141,,MS-DRG,999999999,Case Rate,,36195.28442,,MS-DRG,999999999,Case Rate,,36540.00141,,MS-DRG,999999999,Case Rate,,37057.0769,,MS-DRG,27711.05,Case Rate,,34471.69945,,MS-DRG,999999999,Case Rate,,35505.85043,,MS-DRG,999999999,Case Rate,,36195.28442,,MS-DRG,999999999,Case Rate,,36195.28442,,MS-DRG,999999999,Case Rate,,36540.00141,,MS-DRG,999999999,Case Rate,,34471.69945,,MS-DRG,999999999,Case Rate,,34471.69945,,MS-DRG,999999999,Case Rate,,34471.69945,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,982,MS-DRG,,,,,inpatient,,,,,,17976.79436,26965.19154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26965.19154,,MS-DRG,999999999,Case Rate,,26965.19154,,MS-DRG,999999999,Case Rate,,18875.63408,,MS-DRG,999999999,Case Rate,,18695.86614,,MS-DRG,999999999,Case Rate,,18695.86614,,MS-DRG,999999999,Case Rate,,18875.63408,,MS-DRG,999999999,Case Rate,,19055.40202,,MS-DRG,999999999,Case Rate,,18875.63408,,MS-DRG,999999999,Case Rate,,19055.40202,,MS-DRG,999999999,Case Rate,,19325.05394,,MS-DRG,999999999,Case Rate,,17976.79436,,MS-DRG,999999999,Case Rate,,18516.09819,,MS-DRG,999999999,Case Rate,,18875.63408,,MS-DRG,999999999,Case Rate,,18875.63408,,MS-DRG,999999999,Case Rate,,19055.40202,,MS-DRG,999999999,Case Rate,,17976.79436,,MS-DRG,999999999,Case Rate,,17976.79436,,MS-DRG,999999999,Case Rate,,17976.79436,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,983,MS-DRG,,,,,inpatient,,,,,,12395.74151,18593.61226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18593.61226,,MS-DRG,999999999,Case Rate,,18593.61226,,MS-DRG,999999999,Case Rate,,13015.52859,,MS-DRG,999999999,Case Rate,,12891.57117,,MS-DRG,999999999,Case Rate,,12891.57117,,MS-DRG,999999999,Case Rate,,13015.52859,,MS-DRG,999999999,Case Rate,,13139.486,,MS-DRG,999999999,Case Rate,,13015.52859,,MS-DRG,999999999,Case Rate,,13139.486,,MS-DRG,999999999,Case Rate,,13325.42212,,MS-DRG,999999999,Case Rate,,12395.74151,,MS-DRG,999999999,Case Rate,,12767.61375,,MS-DRG,999999999,Case Rate,,13015.52859,,MS-DRG,999999999,Case Rate,,13015.52859,,MS-DRG,999999999,Case Rate,,13139.486,,MS-DRG,999999999,Case Rate,,12395.74151,,MS-DRG,999999999,Case Rate,,12395.74151,,MS-DRG,999999999,Case Rate,,12395.74151,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,987,MS-DRG,,,,,inpatient,,,,,,25520.26588,38280.39881,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38280.39881,,MS-DRG,999999999,Case Rate,,38280.39881,,MS-DRG,999999999,Case Rate,,26796.27917,,MS-DRG,999999999,Case Rate,,26541.07651,,MS-DRG,29339.32,Case Rate,,26541.07651,,MS-DRG,999999999,Case Rate,,26796.27917,,MS-DRG,999999999,Case Rate,,27051.48183,,MS-DRG,999999999,Case Rate,,26796.27917,,MS-DRG,999999999,Case Rate,,27051.48183,,MS-DRG,999999999,Case Rate,,27434.28582,,MS-DRG,999999999,Case Rate,,25520.26588,,MS-DRG,999999999,Case Rate,,26285.87385,,MS-DRG,999999999,Case Rate,,26796.27917,,MS-DRG,999999999,Case Rate,,26796.27917,,MS-DRG,999999999,Case Rate,,27051.48183,,MS-DRG,999999999,Case Rate,,25520.26588,,MS-DRG,999999999,Case Rate,,25520.26588,,MS-DRG,999999999,Case Rate,,25520.26588,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,988,MS-DRG,,,,,inpatient,,,,,,11277.39,19106.57405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19106.57405,,MS-DRG,999999999,Case Rate,,19106.57405,,MS-DRG,999999999,Case Rate,,13374.60184,,MS-DRG,999999999,Case Rate,,13247.22468,,MS-DRG,999999999,Case Rate,,13247.22468,,MS-DRG,999999999,Case Rate,,13374.60184,,MS-DRG,999999999,Case Rate,,13501.979,,MS-DRG,999999999,Case Rate,,13374.60184,,MS-DRG,999999999,Case Rate,,13501.979,,MS-DRG,999999999,Case Rate,,13693.04474,,MS-DRG,11277.39,Case Rate,,12737.71603,,MS-DRG,999999999,Case Rate,,13119.84751,,MS-DRG,999999999,Case Rate,,13374.60184,,MS-DRG,999999999,Case Rate,,13374.60184,,MS-DRG,999999999,Case Rate,,13501.979,,MS-DRG,999999999,Case Rate,,12737.71603,,MS-DRG,999999999,Case Rate,,12737.71603,,MS-DRG,999999999,Case Rate,,12737.71603,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,989,MS-DRG,,,,,inpatient,,,,,,8727.742795,13091.61419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13091.61419,,MS-DRG,999999999,Case Rate,,13091.61419,,MS-DRG,999999999,Case Rate,,9164.129935,,MS-DRG,999999999,Case Rate,,9076.852507,,MS-DRG,999999999,Case Rate,,9076.852507,,MS-DRG,999999999,Case Rate,,9164.129935,,MS-DRG,999999999,Case Rate,,9251.407362,,MS-DRG,999999999,Case Rate,,9164.129935,,MS-DRG,999999999,Case Rate,,9251.407362,,MS-DRG,999999999,Case Rate,,9382.323504,,MS-DRG,999999999,Case Rate,,8727.742795,,MS-DRG,999999999,Case Rate,,8989.575079,,MS-DRG,999999999,Case Rate,,9164.129935,,MS-DRG,999999999,Case Rate,,9164.129935,,MS-DRG,999999999,Case Rate,,9251.407362,,MS-DRG,999999999,Case Rate,,8727.742795,,MS-DRG,999999999,Case Rate,,8727.742795,,MS-DRG,999999999,Case Rate,,8727.742795,,MS-DRG,999999999,Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,outpatient,,,,,,20675.70186,59057.6238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52495.6656,,,,fee schedule,,51558.243,,,,fee schedule,,56245.356,,,,fee schedule,,59057.6238,,,,fee schedule,,21709.48696,,,,fee schedule,,20675.70186,,,,fee schedule,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,outpatient,,,,,,20675.70186,67921.9632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60375.0784,,,,fee schedule,,59296.952,,,,fee schedule,,64687.584,,,,fee schedule,,67921.9632,,,,fee schedule,,21709.48696,,,,fee schedule,,20675.70186,,,,fee schedule,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,outpatient,,,,,,28464.52869,84550.6116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75156.0992,,,,fee schedule,,73814.026,,,,fee schedule,,80524.392,,,,fee schedule,,84550.6116,,,,fee schedule,,29887.75512,,,,fee schedule,,28464.52869,,,,fee schedule,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,outpatient,,,,,,66457.40394,180739.5786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160657.4032,,,,fee schedule,,157788.521,,,,fee schedule,,172132.932,,,,fee schedule,,180739.5786,,,,fee schedule,,69780.27414,,,,fee schedule,,66457.40394,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,outpatient,,,,,,83344.45975,112166.8254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99703.8448,,,,fee schedule,,97923.419,,,,fee schedule,,106825.548,,,,fee schedule,,112166.8254,,,,fee schedule,,87511.68274,,,,fee schedule,,83344.45975,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,outpatient,,,,,,83344.45975,121967.5716,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108415.6192,,,,fee schedule,,106479.626,,,,fee schedule,,116159.592,,,,fee schedule,,121967.5716,,,,fee schedule,,87511.68274,,,,fee schedule,,83344.45975,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,outpatient,,,,,,83344.45975,167595.372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148973.664,,,,fee schedule,,146313.42,,,,fee schedule,,159614.64,,,,fee schedule,,167595.372,,,,fee schedule,,87511.68274,,,,fee schedule,,83344.45975,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,outpatient,,,,,,187197.1685,298480.6062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,265316.0944,,,,fee schedule,,260578.307,,,,fee schedule,,284267.244,,,,fee schedule,,298480.6062,,,,fee schedule,,196557.0269,,,,fee schedule,,187197.1685,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,outpatient,,,,,,30322.19958,61636.3902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54787.9024,,,,fee schedule,,53809.547,,,,fee schedule,,58701.324,,,,fee schedule,,61636.3902,,,,fee schedule,,31838.30955,,,,fee schedule,,30322.19958,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,outpatient,,,,,,30322.19958,69456.744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61739.328,,,,fee schedule,,60636.84,,,,fee schedule,,66149.28,,,,fee schedule,,69456.744,,,,fee schedule,,31838.30955,,,,fee schedule,,30322.19958,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,outpatient,,,,,,57466.55478,112559.1012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100052.5344,,,,fee schedule,,98265.882,,,,fee schedule,,107199.144,,,,fee schedule,,112559.1012,,,,fee schedule,,60339.88252,,,,fee schedule,,57466.55478,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,outpatient,,,,,,75627.64057,179501.2632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,159556.6784,,,,fee schedule,,156707.452,,,,fee schedule,,170953.584,,,,fee schedule,,179501.2632,,,,fee schedule,,79409.0226,,,,fee schedule,,75627.64057,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,outpatient,,,,,,23705.70773,41462.7192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36855.7504,,,,fee schedule,,36197.612,,,,fee schedule,,39488.304,,,,fee schedule,,41462.7192,,,,fee schedule,,24890.99311,,,,fee schedule,,23705.70773,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,outpatient,,,,,,23705.70773,53402.0508,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47468.4896,,,,fee schedule,,46620.838,,,,fee schedule,,50859.096,,,,fee schedule,,53402.0508,,,,fee schedule,,24890.99311,,,,fee schedule,,23705.70773,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,outpatient,,,,,,38963.7485,80877.258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71890.896,,,,fee schedule,,70607.13,,,,fee schedule,,77025.96,,,,fee schedule,,80877.258,,,,fee schedule,,40911.93593,,,,fee schedule,,38963.7485,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,outpatient,,,,,,53585.09011,117083.925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104074.6,,,,fee schedule,,102216.125,,,,fee schedule,,111508.5,,,,fee schedule,,117083.925,,,,fee schedule,,56264.34462,,,,fee schedule,,53585.09011,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,outpatient,,,,,,20306.18895,55311.0516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49165.3792,,,,fee schedule,,48287.426,,,,fee schedule,,52677.192,,,,fee schedule,,55311.0516,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,outpatient,,,,,,20306.18895,73958.0562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65740.4944,,,,fee schedule,,64566.557,,,,fee schedule,,70436.244,,,,fee schedule,,73958.0562,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,outpatient,,,,,,20306.18895,92367.3618,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82104.3216,,,,fee schedule,,80638.173,,,,fee schedule,,87968.916,,,,fee schedule,,92367.3618,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,outpatient,,,,,,20306.18895,130019.3244,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,115572.7328,,,,fee schedule,,113508.934,,,,fee schedule,,123827.928,,,,fee schedule,,130019.3244,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,outpatient,,,,,,62959.3484,75667.2966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67259.8192,,,,fee schedule,,66058.751,,,,fee schedule,,72064.092,,,,fee schedule,,75667.2966,,,,fee schedule,,66107.31582,,,,fee schedule,,62959.3484,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,outpatient,,,,,,62959.3484,79649.7912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70799.8144,,,,fee schedule,,69535.532,,,,fee schedule,,75856.944,,,,fee schedule,,79649.7912,,,,fee schedule,,66107.31582,,,,fee schedule,,62959.3484,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,outpatient,,,,,,78483.94378,99327.2238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88290.8656,,,,fee schedule,,86714.243,,,,fee schedule,,94597.356,,,,fee schedule,,99327.2238,,,,fee schedule,,82408.14097,,,,fee schedule,,78483.94378,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,outpatient,,,,,,160114.7146,203233.5018,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180652.0016,,,,fee schedule,,177426.073,,,,fee schedule,,193555.716,,,,fee schedule,,203233.5018,,,,fee schedule,,168120.4503,,,,fee schedule,,160114.7146,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,outpatient,,,,,,26516.138,30608.02106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26998.2496,,,,fee schedule,,26516.138,,,,fee schedule,,28926.696,,,,fee schedule,,30373.0308,,,,fee schedule,,30608.02106,,,,fee schedule,,29150.49625,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,outpatient,,,,,,29150.49625,43299.4086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38488.3632,,,,fee schedule,,37801.071,,,,fee schedule,,41237.532,,,,fee schedule,,43299.4086,,,,fee schedule,,30608.02106,,,,fee schedule,,29150.49625,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,outpatient,,,,,,44869.825,51396.345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45685.64,,,,fee schedule,,44869.825,,,,fee schedule,,48948.9,,,,fee schedule,,51396.345,,,,fee schedule,,49951.73766,,,,fee schedule,,47573.08348,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,outpatient,,,,,,63114.73331,100730.952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89538.624,,,,fee schedule,,87939.72,,,,fee schedule,,95934.24,,,,fee schedule,,100730.952,,,,fee schedule,,66270.46998,,,,fee schedule,,63114.73331,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,outpatient,,,,,,34513.17079,49948.3278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44398.5136,,,,fee schedule,,43605.683,,,,fee schedule,,47569.836,,,,fee schedule,,49948.3278,,,,fee schedule,,36238.82933,,,,fee schedule,,34513.17079,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,outpatient,,,,,,34513.17079,52575.9066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46734.1392,,,,fee schedule,,45899.601,,,,fee schedule,,50072.292,,,,fee schedule,,52575.9066,,,,fee schedule,,36238.82933,,,,fee schedule,,34513.17079,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,outpatient,,,,,,34513.17079,87147.459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77464.408,,,,fee schedule,,76081.115,,,,fee schedule,,82997.58,,,,fee schedule,,87147.459,,,,fee schedule,,36238.82933,,,,fee schedule,,34513.17079,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,outpatient,,,,,,83211.81409,202214.8296,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,179746.5152,,,,fee schedule,,176536.756,,,,fee schedule,,192585.552,,,,fee schedule,,202214.8296,,,,fee schedule,,87372.4048,,,,fee schedule,,83211.81409,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,outpatient,,,,,,40591.32,49484.1617,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41329.344,,,,fee schedule,,40591.32,,,,fee schedule,,44281.44,,,,fee schedule,,46495.512,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,outpatient,,,,,,47127.77305,101963.8368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90634.5216,,,,fee schedule,,89016.048,,,,fee schedule,,97108.416,,,,fee schedule,,101963.8368,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,outpatient,,,,,,47127.77305,118751.5728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105556.9536,,,,fee schedule,,103672.008,,,,fee schedule,,113096.736,,,,fee schedule,,118751.5728,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,outpatient,,,,,,47127.77305,203620.3596,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180995.8752,,,,fee schedule,,177763.806,,,,fee schedule,,193924.152,,,,fee schedule,,203620.3596,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,outpatient,,,,,,11099.9485,22584.3156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20074.9472,,,,fee schedule,,19716.466,,,,fee schedule,,21508.872,,,,fee schedule,,22584.3156,,,,fee schedule,,11654.94593,,,,fee schedule,,11099.9485,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,outpatient,,,,,,14709.17375,26090.4546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23191.5152,,,,fee schedule,,22777.381,,,,fee schedule,,24848.052,,,,fee schedule,,26090.4546,,,,fee schedule,,15444.63244,,,,fee schedule,,14709.17375,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,outpatient,,,,,,20364.93203,37322.0568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33175.1616,,,,fee schedule,,32582.748,,,,fee schedule,,35544.816,,,,fee schedule,,37322.0568,,,,fee schedule,,21383.17863,,,,fee schedule,,20364.93203,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,outpatient,,,,,,33246.08891,59914.4994,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53257.3328,,,,fee schedule,,52306.309,,,,fee schedule,,57061.428,,,,fee schedule,,59914.4994,,,,fee schedule,,34908.39336,,,,fee schedule,,33246.08891,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,outpatient,,,,,,12470.62032,21213.1332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18856.1184,,,,fee schedule,,18519.402,,,,fee schedule,,20202.984,,,,fee schedule,,21213.1332,,,,fee schedule,,13094.15134,,,,fee schedule,,12470.62032,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,outpatient,,,,,,16030.57718,27366.7338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24325.9856,,,,fee schedule,,23891.593,,,,fee schedule,,26063.556,,,,fee schedule,,27366.7338,,,,fee schedule,,16832.10604,,,,fee schedule,,16030.57718,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,outpatient,,,,,,25025.21622,41325.3288,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36733.6256,,,,fee schedule,,36077.668,,,,fee schedule,,39357.456,,,,fee schedule,,41325.3288,,,,fee schedule,,26276.47703,,,,fee schedule,,25025.21622,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,outpatient,,,,,,39281.46644,66876.1758,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59445.4896,,,,fee schedule,,58383.963,,,,fee schedule,,63691.596,,,,fee schedule,,66876.1758,,,,fee schedule,,41245.53976,,,,fee schedule,,39281.46644,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,outpatient,,,,,,9612.422174,13968.5364,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12416.4768,,,,fee schedule,,12194.754,,,,fee schedule,,13303.368,,,,fee schedule,,13968.5364,,,,fee schedule,,10093.04328,,,,fee schedule,,9612.422174,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,outpatient,,,,,,11143.53208,17096.8644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15197.2128,,,,fee schedule,,14925.834,,,,fee schedule,,16282.728,,,,fee schedule,,17096.8644,,,,fee schedule,,11700.70868,,,,fee schedule,,11143.53208,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,outpatient,,,,,,16695.06877,26381.502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23450.224,,,,fee schedule,,23031.47,,,,fee schedule,,25125.24,,,,fee schedule,,26381.502,,,,fee schedule,,17529.82221,,,,fee schedule,,16695.06877,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,outpatient,,,,,,45243.066,51823.8756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46065.6672,,,,fee schedule,,45243.066,,,,fee schedule,,49356.072,,,,fee schedule,,51823.8756,,,,fee schedule,,50203.76441,,,,fee schedule,,47813.10896,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,outpatient,,,,,,10287.0201,18229.428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16203.936,,,,fee schedule,,15914.58,,,,fee schedule,,17361.36,,,,fee schedule,,18229.428,,,,fee schedule,,10801.37111,,,,fee schedule,,10287.0201,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,outpatient,,,,,,15837.2935,23445.702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20840.624,,,,fee schedule,,20468.47,,,,fee schedule,,22329.24,,,,fee schedule,,23445.702,,,,fee schedule,,16629.15818,,,,fee schedule,,15837.2935,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,outpatient,,,,,,23175.12509,38890.278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34569.136,,,,fee schedule,,33951.83,,,,fee schedule,,37038.36,,,,fee schedule,,38890.278,,,,fee schedule,,24333.88134,,,,fee schedule,,23175.12509,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,outpatient,,,,,,34367.26056,61399.5732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54577.3984,,,,fee schedule,,53602.802,,,,fee schedule,,58475.784,,,,fee schedule,,61399.5732,,,,fee schedule,,36085.62359,,,,fee schedule,,34367.26056,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,outpatient,,,,,,6017.093142,9882.1044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8784.0928,,,,fee schedule,,8627.234,,,,fee schedule,,9411.528,,,,fee schedule,,9882.1044,,,,fee schedule,,6317.947799,,,,fee schedule,,6017.093142,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,outpatient,,,,,,7297.439584,13292.433,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11815.496,,,,fee schedule,,11604.505,,,,fee schedule,,12659.46,,,,fee schedule,,13292.433,,,,fee schedule,,7662.311563,,,,fee schedule,,7297.439584,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,outpatient,,,,,,12420.72029,23945.5566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21284.9392,,,,fee schedule,,20904.851,,,,fee schedule,,22805.292,,,,fee schedule,,23945.5566,,,,fee schedule,,13041.7563,,,,fee schedule,,12420.72029,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,outpatient,,,,,,23940.68004,43603.1064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38758.3168,,,,fee schedule,,38066.204,,,,fee schedule,,41526.768,,,,fee schedule,,43603.1064,,,,fee schedule,,25137.71404,,,,fee schedule,,23940.68004,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,outpatient,,,,,,8033.307174,14268.6306,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12683.2272,,,,fee schedule,,12456.741,,,,fee schedule,,13589.172,,,,fee schedule,,14268.6306,,,,fee schedule,,8434.972533,,,,fee schedule,,8033.307174,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,outpatient,,,,,,9635.793076,18264.6702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16235.2624,,,,fee schedule,,15945.347,,,,fee schedule,,17394.924,,,,fee schedule,,18264.6702,,,,fee schedule,,10117.58273,,,,fee schedule,,9635.793076,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,outpatient,,,,,,14724.9649,27240.192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24213.504,,,,fee schedule,,23781.12,,,,fee schedule,,25943.04,,,,fee schedule,,27240.192,,,,fee schedule,,15461.21314,,,,fee schedule,,14724.9649,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,outpatient,,,,,,35074.07243,50869.3878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45217.2336,,,,fee schedule,,44409.783,,,,fee schedule,,48447.036,,,,fee schedule,,50869.3878,,,,fee schedule,,36827.77606,,,,fee schedule,,35074.07243,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,outpatient,,,,,,11113.21307,19136.0106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17009.7872,,,,fee schedule,,16706.041,,,,fee schedule,,18224.772,,,,fee schedule,,19136.0106,,,,fee schedule,,11668.87372,,,,fee schedule,,11113.21307,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,outpatient,,,,,,13443.98681,21643.3728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19238.5536,,,,fee schedule,,18895.008,,,,fee schedule,,20612.736,,,,fee schedule,,21643.3728,,,,fee schedule,,14116.18615,,,,fee schedule,,13443.98681,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,outpatient,,,,,,18417.56741,35870.4234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31884.8208,,,,fee schedule,,31315.449,,,,fee schedule,,34162.308,,,,fee schedule,,35870.4234,,,,fee schedule,,19338.44578,,,,fee schedule,,18417.56741,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,outpatient,,,,,,32538.64539,62686.701,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55721.512,,,,fee schedule,,54726.485,,,,fee schedule,,59701.62,,,,fee schedule,,62686.701,,,,fee schedule,,34165.57766,,,,fee schedule,,32538.64539,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,outpatient,,,,,,13166.06257,22639.4532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20123.9584,,,,fee schedule,,19764.602,,,,fee schedule,,21561.384,,,,fee schedule,,22639.4532,,,,fee schedule,,13824.3657,,,,fee schedule,,13166.06257,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,outpatient,,,,,,15462.09578,25568.9154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22727.9248,,,,fee schedule,,22322.069,,,,fee schedule,,24351.348,,,,fee schedule,,25568.9154,,,,fee schedule,,16235.20057,,,,fee schedule,,15462.09578,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,outpatient,,,,,,18766.86765,28765.9386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25569.7232,,,,fee schedule,,25113.121,,,,fee schedule,,27396.132,,,,fee schedule,,28765.9386,,,,fee schedule,,19705.21103,,,,fee schedule,,18766.86765,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,outpatient,,,,,,31680.87012,43995.3948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39107.0176,,,,fee schedule,,38408.678,,,,fee schedule,,41900.376,,,,fee schedule,,43995.3948,,,,fee schedule,,33264.91363,,,,fee schedule,,31680.87012,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,outpatient,,,,,,14457.14699,19588.8546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17412.3152,,,,fee schedule,,17101.381,,,,fee schedule,,18656.052,,,,fee schedule,,19588.8546,,,,fee schedule,,15180.00434,,,,fee schedule,,14457.14699,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,outpatient,,,,,,16370.40273,27044.0478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24039.1536,,,,fee schedule,,23609.883,,,,fee schedule,,25756.236,,,,fee schedule,,27044.0478,,,,fee schedule,,17188.92286,,,,fee schedule,,16370.40273,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,outpatient,,,,,,22105.74841,36724.59,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32644.08,,,,fee schedule,,32061.15,,,,fee schedule,,34975.8,,,,fee schedule,,36724.59,,,,fee schedule,,23211.03583,,,,fee schedule,,22105.74841,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,outpatient,,,,,,32574.64921,49315.6188,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43836.1056,,,,fee schedule,,43053.318,,,,fee schedule,,46967.256,,,,fee schedule,,49315.6188,,,,fee schedule,,34203.38167,,,,fee schedule,,32574.64921,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,outpatient,,,,,,5634.947312,10794.1176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9594.7712,,,,fee schedule,,9423.436,,,,fee schedule,,10280.112,,,,fee schedule,,10794.1176,,,,fee schedule,,5916.694678,,,,fee schedule,,5634.947312,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,outpatient,,,,,,11079.73583,14531.6556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12917.0272,,,,fee schedule,,12686.366,,,,fee schedule,,13839.672,,,,fee schedule,,14531.6556,,,,fee schedule,,11633.72262,,,,fee schedule,,11079.73583,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,outpatient,,,,,,17984.384,21982.07379,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18311.3728,,,,fee schedule,,17984.384,,,,fee schedule,,19619.328,,,,fee schedule,,20600.2944,,,,fee schedule,,21982.07379,,,,fee schedule,,20935.30837,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,outpatient,,,,,,20935.30837,29187.144,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25944.128,,,,fee schedule,,25480.84,,,,fee schedule,,27797.28,,,,fee schedule,,29187.144,,,,fee schedule,,21982.07379,,,,fee schedule,,20935.30837,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,outpatient,,,,,,4746.853036,8991.7884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7992.7008,,,,fee schedule,,7849.974,,,,fee schedule,,8563.608,,,,fee schedule,,8991.7884,,,,fee schedule,,4984.195688,,,,fee schedule,,4746.853036,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,outpatient,,,,,,5399.975,9230.4072,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8204.8064,,,,fee schedule,,8058.292,,,,fee schedule,,8790.864,,,,fee schedule,,9230.4072,,,,fee schedule,,5669.97375,,,,fee schedule,,5399.975,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,outpatient,,,,,,8070.574288,12635.3178,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11231.3936,,,,fee schedule,,11030.833,,,,fee schedule,,12033.636,,,,fee schedule,,12635.3178,,,,fee schedule,,8474.103002,,,,fee schedule,,8070.574288,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,outpatient,,,,,,11735.38438,19543.6584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17372.1408,,,,fee schedule,,17061.924,,,,fee schedule,,18613.008,,,,fee schedule,,19543.6584,,,,fee schedule,,12322.1536,,,,fee schedule,,11735.38438,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,outpatient,,,,,,6371.981,7298.8146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6487.8352,,,,fee schedule,,6371.981,,,,fee schedule,,6951.252,,,,fee schedule,,7298.8146,,,,fee schedule,,7264.374583,,,,fee schedule,,6918.451984,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,outpatient,,,,,,7040.359662,9201.4902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8179.1024,,,,fee schedule,,8033.047,,,,fee schedule,,8763.324,,,,fee schedule,,9201.4902,,,,fee schedule,,7392.377645,,,,fee schedule,,7040.359662,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,outpatient,,,,,,10547.25825,13645.8504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12129.6448,,,,fee schedule,,11913.044,,,,fee schedule,,12996.048,,,,fee schedule,,13645.8504,,,,fee schedule,,11074.62117,,,,fee schedule,,10547.25825,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,outpatient,,,,,,20988.36663,25969.3434,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23083.8608,,,,fee schedule,,22671.649,,,,fee schedule,,24732.708,,,,fee schedule,,25969.3434,,,,fee schedule,,22037.78497,,,,fee schedule,,20988.36663,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,outpatient,,,,,,5360.812948,9452.7594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8402.4528,,,,fee schedule,,8252.409,,,,fee schedule,,9002.628,,,,fee schedule,,9452.7594,,,,fee schedule,,5628.853595,,,,fee schedule,,5360.812948,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,outpatient,,,,,,8299.861786,13089.069,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11634.728,,,,fee schedule,,11426.965,,,,fee schedule,,12465.78,,,,fee schedule,,13089.069,,,,fee schedule,,8714.854875,,,,fee schedule,,8299.861786,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,outpatient,,,,,,15222.70195,19316.7954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17170.4848,,,,fee schedule,,16863.869,,,,fee schedule,,18396.948,,,,fee schedule,,19316.7954,,,,fee schedule,,15983.83704,,,,fee schedule,,15222.70195,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,outpatient,,,,,,28553.59078,36805.0284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32715.5808,,,,fee schedule,,32131.374,,,,fee schedule,,35052.408,,,,fee schedule,,36805.0284,,,,fee schedule,,29981.27031,,,,fee schedule,,28553.59078,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,outpatient,,,,,,4327.440092,8966.475,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7970.2,,,,fee schedule,,7827.875,,,,fee schedule,,8539.5,,,,fee schedule,,8966.475,,,,fee schedule,,4543.812097,,,,fee schedule,,4327.440092,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,outpatient,,,,,,7037.833078,12022.4916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10686.6592,,,,fee schedule,,10495.826,,,,fee schedule,,11449.992,,,,fee schedule,,12022.4916,,,,fee schedule,,7389.724732,,,,fee schedule,,7037.833078,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,outpatient,,,,,,10077.94528,17076.9816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15179.5392,,,,fee schedule,,14908.476,,,,fee schedule,,16263.792,,,,fee schedule,,17076.9816,,,,fee schedule,,10581.84254,,,,fee schedule,,10077.94528,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,outpatient,,,,,,15169.01204,21750.0318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19333.3616,,,,fee schedule,,18988.123,,,,fee schedule,,20714.316,,,,fee schedule,,21750.0318,,,,fee schedule,,15927.46264,,,,fee schedule,,15169.01204,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,outpatient,,,,,,3791.172638,7833.0168,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6962.6816,,,,fee schedule,,6838.348,,,,fee schedule,,7460.016,,,,fee schedule,,7833.0168,,,,fee schedule,,3980.73127,,,,fee schedule,,3791.172638,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,outpatient,,,,,,5707.586602,10091.8062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8970.4944,,,,fee schedule,,8810.307,,,,fee schedule,,9611.244,,,,fee schedule,,10091.8062,,,,fee schedule,,5992.965932,,,,fee schedule,,5707.586602,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,outpatient,,,,,,8455.246702,14297.5476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12708.9312,,,,fee schedule,,12481.986,,,,fee schedule,,13616.712,,,,fee schedule,,14297.5476,,,,fee schedule,,8878.009037,,,,fee schedule,,8455.246702,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,outpatient,,,,,,14658.64207,23866.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21215.04,,,,fee schedule,,20836.2,,,,fee schedule,,22730.4,,,,fee schedule,,23866.92,,,,fee schedule,,15391.57417,,,,fee schedule,,14658.64207,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,outpatient,,,,,,4513.775662,8004.7548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7115.3376,,,,fee schedule,,6988.278,,,,fee schedule,,7623.576,,,,fee schedule,,8004.7548,,,,fee schedule,,4739.464445,,,,fee schedule,,4513.775662,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,outpatient,,,,,,4759.485956,9187.9326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8167.0512,,,,fee schedule,,8021.211,,,,fee schedule,,8750.412,,,,fee schedule,,9187.9326,,,,fee schedule,,4997.460254,,,,fee schedule,,4759.485956,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,outpatient,,,,,,5660.844798,11922.1578,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10597.4736,,,,fee schedule,,10408.233,,,,fee schedule,,11354.436,,,,fee schedule,,11922.1578,,,,fee schedule,,5943.887038,,,,fee schedule,,5660.844798,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,outpatient,,,,,,5660.844798,23727.7152,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21091.3024,,,,fee schedule,,20714.672,,,,fee schedule,,22597.824,,,,fee schedule,,23727.7152,,,,fee schedule,,5943.887038,,,,fee schedule,,5660.844798,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,outpatient,,,,,,3189.214,7345.8252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6529.6224,,,,fee schedule,,6413.022,,,,fee schedule,,6996.024,,,,fee schedule,,7345.8252,,,,fee schedule,,3348.6747,,,,fee schedule,,3189.214,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,outpatient,,,,,,3912.44867,8230.7232,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7316.1984,,,,fee schedule,,7185.552,,,,fee schedule,,7838.784,,,,fee schedule,,8230.7232,,,,fee schedule,,4108.071104,,,,fee schedule,,3912.44867,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,outpatient,,,,,,6809.808872,10395.504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9240.448,,,,fee schedule,,9075.44,,,,fee schedule,,9900.48,,,,fee schedule,,10395.504,,,,fee schedule,,7150.299316,,,,fee schedule,,6809.808872,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,outpatient,,,,,,6809.808872,18893.7756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16794.4672,,,,fee schedule,,16494.566,,,,fee schedule,,17994.072,,,,fee schedule,,18893.7756,,,,fee schedule,,7150.299316,,,,fee schedule,,6809.808872,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,outpatient,,,,,,3893.49929,7221.9924,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6419.5488,,,,fee schedule,,6304.914,,,,fee schedule,,6878.088,,,,fee schedule,,7221.9924,,,,fee schedule,,4088.174255,,,,fee schedule,,3893.49929,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,outpatient,,,,,,4954.66457,8128.575,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7225.4,,,,fee schedule,,7096.375,,,,fee schedule,,7741.5,,,,fee schedule,,8128.575,,,,fee schedule,,5202.397799,,,,fee schedule,,4954.66457,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,outpatient,,,,,,6980.353292,11302.0992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10046.3104,,,,fee schedule,,9866.912,,,,fee schedule,,10763.904,,,,fee schedule,,11302.0992,,,,fee schedule,,7329.370957,,,,fee schedule,,6980.353292,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,outpatient,,,,,,14129.95437,22265.2458,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19791.3296,,,,fee schedule,,19437.913,,,,fee schedule,,21204.996,,,,fee schedule,,22265.2458,,,,fee schedule,,14836.45208,,,,fee schedule,,14129.95437,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,outpatient,,,,,,5689.268868,10019.4948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8906.2176,,,,fee schedule,,8747.178,,,,fee schedule,,9542.376,,,,fee schedule,,10019.4948,,,,fee schedule,,5973.732311,,,,fee schedule,,5689.268868,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,outpatient,,,,,,10396.29486,20942.8632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18615.8784,,,,fee schedule,,18283.452,,,,fee schedule,,19945.584,,,,fee schedule,,20942.8632,,,,fee schedule,,10916.1096,,,,fee schedule,,10396.29486,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,outpatient,,,,,,12636.11158,23854.257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21203.784,,,,fee schedule,,20825.145,,,,fee schedule,,22718.34,,,,fee schedule,,23854.257,,,,fee schedule,,13267.91715,,,,fee schedule,,12636.11158,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,outpatient,,,,,,24669.59952,38825.199,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34511.288,,,,fee schedule,,33895.015,,,,fee schedule,,36976.38,,,,fee schedule,,38825.199,,,,fee schedule,,25903.0795,,,,fee schedule,,24669.59952,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,outpatient,,,,,,4468.928796,7405.4736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6582.6432,,,,fee schedule,,6465.096,,,,fee schedule,,7052.832,,,,fee schedule,,7405.4736,,,,fee schedule,,4692.375236,,,,fee schedule,,4468.928796,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,outpatient,,,,,,8480.512542,14123.1006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12553.8672,,,,fee schedule,,12329.691,,,,fee schedule,,13450.572,,,,fee schedule,,14123.1006,,,,fee schedule,,8904.538169,,,,fee schedule,,8480.512542,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,outpatient,,,,,,14795.0776,22604.1984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20092.6208,,,,fee schedule,,19733.824,,,,fee schedule,,21527.808,,,,fee schedule,,22604.1984,,,,fee schedule,,15534.83148,,,,fee schedule,,14795.0776,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,outpatient,,,,,,31671.39543,43978.221,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39091.752,,,,fee schedule,,38393.685,,,,fee schedule,,41884.02,,,,fee schedule,,43978.221,,,,fee schedule,,33254.9652,,,,fee schedule,,31671.39543,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,outpatient,,,,,,3699.583968,5361.804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4766.048,,,,fee schedule,,4680.94,,,,fee schedule,,5106.48,,,,fee schedule,,5361.804,,,,fee schedule,,3884.563166,,,,fee schedule,,3699.583968,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,outpatient,,,,,,4818.229034,7548.2946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6709.5952,,,,fee schedule,,6589.781,,,,fee schedule,,7188.852,,,,fee schedule,,7548.2946,,,,fee schedule,,5059.140486,,,,fee schedule,,4818.229034,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,outpatient,,,,,,8754.646906,13464.171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11968.152,,,,fee schedule,,11754.435,,,,fee schedule,,12823.02,,,,fee schedule,,13464.171,,,,fee schedule,,9192.379251,,,,fee schedule,,8754.646906,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,outpatient,,,,,,8754.646906,25916.9148,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23037.2576,,,,fee schedule,,22625.878,,,,fee schedule,,24682.776,,,,fee schedule,,25916.9148,,,,fee schedule,,9192.379251,,,,fee schedule,,8754.646906,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,outpatient,,,,,,3571.35983,6488.9496,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5767.9552,,,,fee schedule,,5664.956,,,,fee schedule,,6179.952,,,,fee schedule,,6488.9496,,,,fee schedule,,3749.927822,,,,fee schedule,,3571.35983,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,outpatient,,,,,,4565.570634,7259.049,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6452.488,,,,fee schedule,,6337.265,,,,fee schedule,,6913.38,,,,fee schedule,,7259.049,,,,fee schedule,,4793.849166,,,,fee schedule,,4565.570634,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,outpatient,,,,,,6962.035558,9905.6034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8804.9808,,,,fee schedule,,8647.749,,,,fee schedule,,9433.908,,,,fee schedule,,9905.6034,,,,fee schedule,,7310.137336,,,,fee schedule,,6962.035558,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,outpatient,,,,,,14545.57743,21554.7948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19159.8176,,,,fee schedule,,18817.678,,,,fee schedule,,20528.376,,,,fee schedule,,21554.7948,,,,fee schedule,,15272.85631,,,,fee schedule,,14545.57743,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,outpatient,,,,,,3764.01186,5829.1128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5181.4336,,,,fee schedule,,5088.908,,,,fee schedule,,5551.536,,,,fee schedule,,5829.1128,,,,fee schedule,,3952.212453,,,,fee schedule,,3764.01186,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,outpatient,,,,,,4545.989608,7266.2814,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6458.9168,,,,fee schedule,,6343.579,,,,fee schedule,,6920.268,,,,fee schedule,,7266.2814,,,,fee schedule,,4773.289088,,,,fee schedule,,4545.989608,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,outpatient,,,,,,6075.204574,10403.6436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9247.6832,,,,fee schedule,,9082.546,,,,fee schedule,,9908.232,,,,fee schedule,,10403.6436,,,,fee schedule,,6378.964803,,,,fee schedule,,6075.204574,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,outpatient,,,,,,11700.0122,23247.756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20664.672,,,,fee schedule,,20295.66,,,,fee schedule,,22140.72,,,,fee schedule,,23247.756,,,,fee schedule,,12285.01281,,,,fee schedule,,11700.0122,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,outpatient,,,,,,3990.772774,6659.7804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5919.8048,,,,fee schedule,,5814.094,,,,fee schedule,,6342.648,,,,fee schedule,,6659.7804,,,,fee schedule,,4190.311413,,,,fee schedule,,3990.772774,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,outpatient,,,,,,4988.141808,7838.4348,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6967.4976,,,,fee schedule,,6843.078,,,,fee schedule,,7465.176,,,,fee schedule,,7838.4348,,,,fee schedule,,5237.548898,,,,fee schedule,,4988.141808,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,outpatient,,,,,,5386.078788,10257.219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9117.528,,,,fee schedule,,8954.715,,,,fee schedule,,9768.78,,,,fee schedule,,10257.219,,,,fee schedule,,5655.382727,,,,fee schedule,,5386.078788,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,outpatient,,,,,,6387.237698,16943.2074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15060.6288,,,,fee schedule,,14791.689,,,,fee schedule,,16136.388,,,,fee schedule,,16943.2074,,,,fee schedule,,6706.599583,,,,fee schedule,,6387.237698,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,outpatient,,,,,,3398.920472,7494.9588,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6662.1856,,,,fee schedule,,6543.218,,,,fee schedule,,7138.056,,,,fee schedule,,7494.9588,,,,fee schedule,,3568.866496,,,,fee schedule,,3398.920472,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,outpatient,,,,,,4744.958098,10528.3836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9358.5632,,,,fee schedule,,9191.446,,,,fee schedule,,10027.032,,,,fee schedule,,10528.3836,,,,fee schedule,,4982.206003,,,,fee schedule,,4744.958098,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,outpatient,,,,,,7967.61599,16173.0954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14376.0848,,,,fee schedule,,14119.369,,,,fee schedule,,15402.948,,,,fee schedule,,16173.0954,,,,fee schedule,,8365.99679,,,,fee schedule,,7967.61599,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,outpatient,,,,,,13078.26378,29761.1118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26454.3216,,,,fee schedule,,25981.923,,,,fee schedule,,28343.916,,,,fee schedule,,29761.1118,,,,fee schedule,,13732.17696,,,,fee schedule,,13078.26378,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,outpatient,,,,,,3024.354394,7557.3288,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6717.6256,,,,fee schedule,,6597.668,,,,fee schedule,,7197.456,,,,fee schedule,,7557.3288,,,,fee schedule,,3175.572114,,,,fee schedule,,3024.354394,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,outpatient,,,,,,6651.265726,9229.5,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8204,,,,fee schedule,,8057.5,,,,fee schedule,,8790,,,,fee schedule,,9229.5,,,,fee schedule,,6983.829012,,,,fee schedule,,6651.265726,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,outpatient,,,,,,6651.265726,14771.1816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13129.9392,,,,fee schedule,,12895.476,,,,fee schedule,,14067.792,,,,fee schedule,,14771.1816,,,,fee schedule,,6983.829012,,,,fee schedule,,6651.265726,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,outpatient,,,,,,6651.265726,23934.708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21275.296,,,,fee schedule,,20895.38,,,,fee schedule,,22794.96,,,,fee schedule,,23934.708,,,,fee schedule,,6983.829012,,,,fee schedule,,6651.265726,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,outpatient,,,,,,3138.68232,7029.4644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6248.4128,,,,fee schedule,,6136.834,,,,fee schedule,,6694.728,,,,fee schedule,,7029.4644,,,,fee schedule,,3295.616436,,,,fee schedule,,3138.68232,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,outpatient,,,,,,4192.899494,9785.3868,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8698.1216,,,,fee schedule,,8542.798,,,,fee schedule,,9319.416,,,,fee schedule,,9785.3868,,,,fee schedule,,4402.544469,,,,fee schedule,,4192.899494,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,outpatient,,,,,,5668.42455,14440.3686,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12835.8832,,,,fee schedule,,12606.671,,,,fee schedule,,13752.732,,,,fee schedule,,14440.3686,,,,fee schedule,,5951.845778,,,,fee schedule,,5668.42455,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,outpatient,,,,,,10748.12168,22994.6724,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20439.7088,,,,fee schedule,,20074.714,,,,fee schedule,,21899.688,,,,fee schedule,,22994.6724,,,,fee schedule,,11285.52777,,,,fee schedule,,10748.12168,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,outpatient,,,,,,5895.81711,9105.6672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8093.9264,,,,fee schedule,,7949.392,,,,fee schedule,,8672.064,,,,fee schedule,,9105.6672,,,,fee schedule,,6190.607966,,,,fee schedule,,5895.81711,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,outpatient,,,,,,8385.765642,12199.6476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10844.1312,,,,fee schedule,,10650.486,,,,fee schedule,,11618.712,,,,fee schedule,,12199.6476,,,,fee schedule,,8805.053924,,,,fee schedule,,8385.765642,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,outpatient,,,,,,12091.63272,15685.9038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13943.0256,,,,fee schedule,,13694.043,,,,fee schedule,,14938.956,,,,fee schedule,,15685.9038,,,,fee schedule,,12696.21436,,,,fee schedule,,12091.63272,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,outpatient,,,,,,19624.143,22478.5638,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19980.9456,,,,fee schedule,,19624.143,,,,fee schedule,,21408.156,,,,fee schedule,,22478.5638,,,,fee schedule,,21107.27566,,,,fee schedule,,20102.1673,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,outpatient,,,,,,6585.04,9285.894442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6704.768,,,,fee schedule,,6585.04,,,,fee schedule,,7183.68,,,,fee schedule,,7542.864,,,,fee schedule,,9285.894442,,,,fee schedule,,8843.708992,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,outpatient,,,,,,8843.708992,11065.2822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9835.8064,,,,fee schedule,,9660.167,,,,fee schedule,,10538.364,,,,fee schedule,,11065.2822,,,,fee schedule,,9285.894442,,,,fee schedule,,8843.708992,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,outpatient,,,,,,10176.48205,16963.0902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15078.3024,,,,fee schedule,,14809.047,,,,fee schedule,,16155.324,,,,fee schedule,,16963.0902,,,,fee schedule,,10685.30615,,,,fee schedule,,10176.48205,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,outpatient,,,,,,12692.95972,22931.3952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20383.4624,,,,fee schedule,,20019.472,,,,fee schedule,,21839.424,,,,fee schedule,,22931.3952,,,,fee schedule,,13327.6077,,,,fee schedule,,12692.95972,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,outpatient,,,,,,6413.76683,10809.4896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9608.4352,,,,fee schedule,,9436.856,,,,fee schedule,,10294.752,,,,fee schedule,,10809.4896,,,,fee schedule,,6734.455172,,,,fee schedule,,6413.76683,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,outpatient,,,,,,8042.781864,13644.0486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12128.0432,,,,fee schedule,,11911.471,,,,fee schedule,,12994.332,,,,fee schedule,,13644.0486,,,,fee schedule,,8444.920957,,,,fee schedule,,8042.781864,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,outpatient,,,,,,13332.81711,21161.6118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18810.3216,,,,fee schedule,,18474.423,,,,fee schedule,,20153.916,,,,fee schedule,,21161.6118,,,,fee schedule,,13999.45797,,,,fee schedule,,13332.81711,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,outpatient,,,,,,25648.01918,38079.5058,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33848.4496,,,,fee schedule,,33244.013,,,,fee schedule,,36266.196,,,,fee schedule,,38079.5058,,,,fee schedule,,26930.42013,,,,fee schedule,,25648.01918,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,outpatient,,,,,,4190.37291,6379.5816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5670.7392,,,,fee schedule,,5569.476,,,,fee schedule,,6075.792,,,,fee schedule,,6379.5816,,,,fee schedule,,4399.891556,,,,fee schedule,,4190.37291,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,outpatient,,,,,,5050.043116,7837.5276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6966.6912,,,,fee schedule,,6842.286,,,,fee schedule,,7464.312,,,,fee schedule,,7837.5276,,,,fee schedule,,5302.545272,,,,fee schedule,,5050.043116,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,outpatient,,,,,,6785.174678,11914.9254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10591.0448,,,,fee schedule,,10401.919,,,,fee schedule,,11347.548,,,,fee schedule,,11914.9254,,,,fee schedule,,7124.433412,,,,fee schedule,,6785.174678,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,outpatient,,,,,,11605.89695,23899.4532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21243.9584,,,,fee schedule,,20864.602,,,,fee schedule,,22761.384,,,,fee schedule,,23899.4532,,,,fee schedule,,12186.1918,,,,fee schedule,,11605.89695,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,outpatient,,,,,,12166.16695,18100.1646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16089.0352,,,,fee schedule,,15801.731,,,,fee schedule,,17238.252,,,,fee schedule,,18100.1646,,,,fee schedule,,12774.4753,,,,fee schedule,,12166.16695,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,outpatient,,,,,,14219.6481,23187.2004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20610.8448,,,,fee schedule,,20242.794,,,,fee schedule,,22083.048,,,,fee schedule,,23187.2004,,,,fee schedule,,14930.6305,,,,fee schedule,,14219.6481,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,outpatient,,,,,,23550.32281,41873.076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37220.512,,,,fee schedule,,36555.86,,,,fee schedule,,39879.12,,,,fee schedule,,41873.076,,,,fee schedule,,24727.83895,,,,fee schedule,,23550.32281,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,outpatient,,,,,,33016.80141,55684.3518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49497.2016,,,,fee schedule,,48613.323,,,,fee schedule,,53032.716,,,,fee schedule,,55684.3518,,,,fee schedule,,34667.64148,,,,fee schedule,,33016.80141,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,outpatient,,,,,,8153.319914,15972.4404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14197.7248,,,,fee schedule,,13944.194,,,,fee schedule,,15211.848,,,,fee schedule,,15972.4404,,,,fee schedule,,8560.98591,,,,fee schedule,,8153.319914,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,outpatient,,,,,,16033.10376,24665.0418,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21924.4816,,,,fee schedule,,21532.973,,,,fee schedule,,23490.516,,,,fee schedule,,24665.0418,,,,fee schedule,,16834.75895,,,,fee schedule,,16033.10376,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,outpatient,,,,,,22789.18938,42521.157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37796.584,,,,fee schedule,,37121.645,,,,fee schedule,,40496.34,,,,fee schedule,,42521.157,,,,fee schedule,,23928.64885,,,,fee schedule,,22789.18938,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,outpatient,,,,,,42545.81297,67986.135,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60432.12,,,,fee schedule,,59352.975,,,,fee schedule,,64748.7,,,,fee schedule,,67986.135,,,,fee schedule,,44673.10362,,,,fee schedule,,42545.81297,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,outpatient,,,,,,7472.405526,14791.0644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13147.6128,,,,fee schedule,,12912.834,,,,fee schedule,,14086.728,,,,fee schedule,,14791.0644,,,,fee schedule,,7846.025802,,,,fee schedule,,7472.405526,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,outpatient,,,,,,8636.529104,19426.1634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17267.7008,,,,fee schedule,,16959.349,,,,fee schedule,,18501.108,,,,fee schedule,,19426.1634,,,,fee schedule,,9068.355559,,,,fee schedule,,8636.529104,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,outpatient,,,,,,15410.93245,30159.7128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26808.6336,,,,fee schedule,,26329.908,,,,fee schedule,,28723.536,,,,fee schedule,,30159.7128,,,,fee schedule,,16181.47908,,,,fee schedule,,15410.93245,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,outpatient,,,,,,21836.66721,57666.5586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51259.1632,,,,fee schedule,,50343.821,,,,fee schedule,,54920.532,,,,fee schedule,,57666.5586,,,,fee schedule,,22928.50057,,,,fee schedule,,21836.66721,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,outpatient,,,,,,6718.220202,9016.1946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8014.3952,,,,fee schedule,,7871.281,,,,fee schedule,,8586.852,,,,fee schedule,,9016.1946,,,,fee schedule,,7054.131212,,,,fee schedule,,6718.220202,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,outpatient,,,,,,8552.520186,10160.5014,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9031.5568,,,,fee schedule,,8870.279,,,,fee schedule,,9676.668,,,,fee schedule,,10160.5014,,,,fee schedule,,8980.146195,,,,fee schedule,,8552.520186,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,outpatient,,,,,,9444.404338,17016.4134,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15125.7008,,,,fee schedule,,14855.599,,,,fee schedule,,16206.108,,,,fee schedule,,17016.4134,,,,fee schedule,,9916.624555,,,,fee schedule,,9444.404338,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,outpatient,,,,,,9444.404338,31774.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28243.6,,,,fee schedule,,27739.25,,,,fee schedule,,30261,,,,fee schedule,,31774.05,,,,fee schedule,,9916.624555,,,,fee schedule,,9444.404338,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,outpatient,,,,,,5022.882338,6504.309,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5781.608,,,,fee schedule,,5678.365,,,,fee schedule,,6194.58,,,,fee schedule,,6504.309,,,,fee schedule,,5274.026455,,,,fee schedule,,5022.882338,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,outpatient,,,,,,6394.81745,9616.3704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8547.8848,,,,fee schedule,,8395.244,,,,fee schedule,,9158.448,,,,fee schedule,,9616.3704,,,,fee schedule,,6714.558323,,,,fee schedule,,6394.81745,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,outpatient,,,,,,13509.67799,15701.2758,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13956.6896,,,,fee schedule,,13707.463,,,,fee schedule,,14953.596,,,,fee schedule,,15701.2758,,,,fee schedule,,14185.16189,,,,fee schedule,,13509.67799,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,outpatient,,,,,,13509.67799,27929.853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24826.536,,,,fee schedule,,24383.205,,,,fee schedule,,26599.86,,,,fee schedule,,27929.853,,,,fee schedule,,14185.16189,,,,fee schedule,,13509.67799,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,outpatient,,,,,,5363.971178,9559.4184,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8497.2608,,,,fee schedule,,8345.524,,,,fee schedule,,9104.208,,,,fee schedule,,9559.4184,,,,fee schedule,,5632.169737,,,,fee schedule,,5363.971178,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,outpatient,,,,,,8001.724874,13415.3712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11924.7744,,,,fee schedule,,11711.832,,,,fee schedule,,12776.544,,,,fee schedule,,13415.3712,,,,fee schedule,,8401.811118,,,,fee schedule,,8001.724874,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,outpatient,,,,,,12944.35482,22446.9252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19952.8224,,,,fee schedule,,19596.522,,,,fee schedule,,21378.024,,,,fee schedule,,22446.9252,,,,fee schedule,,13591.57257,,,,fee schedule,,12944.35482,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,outpatient,,,,,,23288.18972,41102.0694,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36535.1728,,,,fee schedule,,35882.759,,,,fee schedule,,39144.828,,,,fee schedule,,41102.0694,,,,fee schedule,,24452.59921,,,,fee schedule,,23288.18972,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,outpatient,,,,,,4464.507274,8842.6422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7860.1264,,,,fee schedule,,7719.767,,,,fee schedule,,8421.564,,,,fee schedule,,8842.6422,,,,fee schedule,,4687.732638,,,,fee schedule,,4464.507274,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,outpatient,,,,,,5831.389218,10185.8022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9054.0464,,,,fee schedule,,8892.367,,,,fee schedule,,9700.764,,,,fee schedule,,10185.8022,,,,fee schedule,,6122.958679,,,,fee schedule,,5831.389218,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,outpatient,,,,,,8572.732858,14834.4588,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13186.1856,,,,fee schedule,,12950.718,,,,fee schedule,,14128.056,,,,fee schedule,,14834.4588,,,,fee schedule,,9001.369501,,,,fee schedule,,8572.732858,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,outpatient,,,,,,13385.87538,25612.3098,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22766.4976,,,,fee schedule,,22359.953,,,,fee schedule,,24392.676,,,,fee schedule,,25612.3098,,,,fee schedule,,14055.16915,,,,fee schedule,,13385.87538,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,outpatient,,,,,,3766.538444,6422.0562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5708.4944,,,,fee schedule,,5606.557,,,,fee schedule,,6116.244,,,,fee schedule,,6422.0562,,,,fee schedule,,3954.865366,,,,fee schedule,,3766.538444,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,outpatient,,,,,,3892.867644,7123.473,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6331.976,,,,fee schedule,,6218.905,,,,fee schedule,,6784.26,,,,fee schedule,,7123.473,,,,fee schedule,,4087.511026,,,,fee schedule,,3892.867644,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,outpatient,,,,,,4849.179688,8764.9128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7791.0336,,,,fee schedule,,7651.908,,,,fee schedule,,8347.536,,,,fee schedule,,8764.9128,,,,fee schedule,,5091.638672,,,,fee schedule,,4849.179688,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,outpatient,,,,,,4849.179688,18921.798,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16819.376,,,,fee schedule,,16519.03,,,,fee schedule,,18020.76,,,,fee schedule,,18921.798,,,,fee schedule,,5091.638672,,,,fee schedule,,4849.179688,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,outpatient,,,,,,3200.583628,3815.2674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3391.3488,,,,fee schedule,,3330.789,,,,fee schedule,,3633.588,,,,fee schedule,,3815.2674,,,,fee schedule,,3360.612809,,,,fee schedule,,3200.583628,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,outpatient,,,,,,4079.203214,5307.5736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4717.8432,,,,fee schedule,,4633.596,,,,fee schedule,,5054.832,,,,fee schedule,,5307.5736,,,,fee schedule,,4283.163375,,,,fee schedule,,4079.203214,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,outpatient,,,,,,5558.518146,7811.3196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6943.3952,,,,fee schedule,,6819.406,,,,fee schedule,,7439.352,,,,fee schedule,,7811.3196,,,,fee schedule,,5836.444053,,,,fee schedule,,5558.518146,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,outpatient,,,,,,11559.78679,16628.661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14781.032,,,,fee schedule,,14517.085,,,,fee schedule,,15836.82,,,,fee schedule,,16628.661,,,,fee schedule,,12137.77613,,,,fee schedule,,11559.78679,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,outpatient,,,,,,3779.80301,4470.5808,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3973.8496,,,,fee schedule,,3902.888,,,,fee schedule,,4257.696,,,,fee schedule,,4470.5808,,,,fee schedule,,3968.793161,,,,fee schedule,,3779.80301,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,outpatient,,,,,,5518.964,6731.13903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5619.3088,,,,fee schedule,,5518.964,,,,fee schedule,,6020.688,,,,fee schedule,,6321.7224,,,,fee schedule,,6731.13903,,,,fee schedule,,6410.6086,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,outpatient,,,,,,6410.6086,9467.2242,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8415.3104,,,,fee schedule,,8265.037,,,,fee schedule,,9016.404,,,,fee schedule,,9467.2242,,,,fee schedule,,6731.13903,,,,fee schedule,,6410.6086,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,outpatient,,,,,,6410.6086,19437.9066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17278.1392,,,,fee schedule,,16969.601,,,,fee schedule,,18512.292,,,,fee schedule,,19437.9066,,,,fee schedule,,6731.13903,,,,fee schedule,,6410.6086,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,outpatient,,,,,,4021.091782,5545.2978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4929.1536,,,,fee schedule,,4841.133,,,,fee schedule,,5281.236,,,,fee schedule,,5545.2978,,,,fee schedule,,4222.146371,,,,fee schedule,,4021.091782,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,outpatient,,,,,,4972.350658,7580.8278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6738.5136,,,,fee schedule,,6618.183,,,,fee schedule,,7219.836,,,,fee schedule,,7580.8278,,,,fee schedule,,5220.968191,,,,fee schedule,,4972.350658,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,outpatient,,,,,,7119.947058,11879.6832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10559.7184,,,,fee schedule,,10371.152,,,,fee schedule,,11313.984,,,,fee schedule,,11879.6832,,,,fee schedule,,7475.944411,,,,fee schedule,,7119.947058,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,outpatient,,,,,,18357.636,21027.8376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18691.4112,,,,fee schedule,,18357.636,,,,fee schedule,,20026.512,,,,fee schedule,,21027.8376,,,,fee schedule,,19968.51267,,,,fee schedule,,19017.63111,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,outpatient,,,,,,11120.16118,18010.692,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16009.504,,,,fee schedule,,15723.62,,,,fee schedule,,17153.04,,,,fee schedule,,18010.692,,,,fee schedule,,11676.16923,,,,fee schedule,,11120.16118,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,outpatient,,,,,,13546.94511,22510.1898,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20009.0576,,,,fee schedule,,19651.753,,,,fee schedule,,21438.276,,,,fee schedule,,22510.1898,,,,fee schedule,,14224.29236,,,,fee schedule,,13546.94511,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,outpatient,,,,,,19504.63018,33920.7624,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30151.7888,,,,fee schedule,,29613.364,,,,fee schedule,,32305.488,,,,fee schedule,,33920.7624,,,,fee schedule,,20479.86169,,,,fee schedule,,19504.63018,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,outpatient,,,,,,39062.28528,64155.4956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57027.1072,,,,fee schedule,,56008.766,,,,fee schedule,,61100.472,,,,fee schedule,,64155.4956,,,,fee schedule,,41015.39954,,,,fee schedule,,39062.28528,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,outpatient,,,,,,9192.377584,13970.3508,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12418.0896,,,,fee schedule,,12196.338,,,,fee schedule,,13305.096,,,,fee schedule,,13970.3508,,,,fee schedule,,9651.996463,,,,fee schedule,,9192.377584,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,outpatient,,,,,,11125.21434,18228.5208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16203.1296,,,,fee schedule,,15913.788,,,,fee schedule,,17360.496,,,,fee schedule,,18228.5208,,,,fee schedule,,11681.47506,,,,fee schedule,,11125.21434,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,outpatient,,,,,,17338.0844,28977.4422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25757.7264,,,,fee schedule,,25297.767,,,,fee schedule,,27597.564,,,,fee schedule,,28977.4422,,,,fee schedule,,18204.98862,,,,fee schedule,,17338.0844,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,outpatient,,,,,,28635.07311,50849.505,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45199.56,,,,fee schedule,,44392.425,,,,fee schedule,,48428.1,,,,fee schedule,,50849.505,,,,fee schedule,,30066.82677,,,,fee schedule,,28635.07311,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,outpatient,,,,,,20435.67638,30547.4778,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27153.3136,,,,fee schedule,,26668.433,,,,fee schedule,,29092.836,,,,fee schedule,,30547.4778,,,,fee schedule,,21457.4602,,,,fee schedule,,20435.67638,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,outpatient,,,,,,20435.67638,33998.4918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30220.8816,,,,fee schedule,,29681.223,,,,fee schedule,,32379.516,,,,fee schedule,,33998.4918,,,,fee schedule,,21457.4602,,,,fee schedule,,20435.67638,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,outpatient,,,,,,26337.77661,41235.8436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36654.0832,,,,fee schedule,,35999.546,,,,fee schedule,,39272.232,,,,fee schedule,,41235.8436,,,,fee schedule,,27654.66544,,,,fee schedule,,26337.77661,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,outpatient,,,,,,34340.09978,54051.9462,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48046.1744,,,,fee schedule,,47188.207,,,,fee schedule,,51478.044,,,,fee schedule,,54051.9462,,,,fee schedule,,36057.10477,,,,fee schedule,,34340.09978,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,outpatient,,,,,,11694.463,16266.3723,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11907.0896,,,,fee schedule,,11694.463,,,,fee schedule,,12757.596,,,,fee schedule,,13395.4758,,,,fee schedule,,16266.3723,,,,fee schedule,,15491.78314,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,outpatient,,,,,,15124.692,17324.6472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15399.6864,,,,fee schedule,,15124.692,,,,fee schedule,,16499.664,,,,fee schedule,,17324.6472,,,,fee schedule,,16266.3723,,,,fee schedule,,15491.78314,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,outpatient,,,,,,20288.50287,23486.3874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20876.7888,,,,fee schedule,,20503.989,,,,fee schedule,,22367.988,,,,fee schedule,,23486.3874,,,,fee schedule,,21302.92801,,,,fee schedule,,20288.50287,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,outpatient,,,,,,22224.49786,30801.4686,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27379.0832,,,,fee schedule,,26890.171,,,,fee schedule,,29334.732,,,,fee schedule,,30801.4686,,,,fee schedule,,23335.72275,,,,fee schedule,,22224.49786,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,outpatient,,,,,,3619.605,5134.085284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3685.416,,,,fee schedule,,3619.605,,,,fee schedule,,3948.66,,,,fee schedule,,4146.093,,,,fee schedule,,5134.085284,,,,fee schedule,,4889.605032,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,outpatient,,,,,,5582.093,6751.035879,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5683.5856,,,,fee schedule,,5582.093,,,,fee schedule,,6089.556,,,,fee schedule,,6394.0338,,,,fee schedule,,6751.035879,,,,fee schedule,,6429.55798,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,outpatient,,,,,,10497.399,17187.59641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10688.2608,,,,fee schedule,,10497.399,,,,fee schedule,,11451.708,,,,fee schedule,,12024.2934,,,,fee schedule,,17187.59641,,,,fee schedule,,16369.13944,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,outpatient,,,,,,15575.263,30955.55269,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15858.4496,,,,fee schedule,,15575.263,,,,fee schedule,,16991.196,,,,fee schedule,,17840.7558,,,,fee schedule,,30955.55269,,,,fee schedule,,29481.47875,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,outpatient,,,,,,3717.45,5360.246134,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3785.04,,,,fee schedule,,3717.45,,,,fee schedule,,4055.4,,,,fee schedule,,4258.17,,,,fee schedule,,5360.246134,,,,fee schedule,,5104.996318,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,outpatient,,,,,,5245.22173,7341.3018,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6525.6016,,,,fee schedule,,6409.073,,,,fee schedule,,6991.716,,,,fee schedule,,7341.3018,,,,fee schedule,,5507.482817,,,,fee schedule,,5245.22173,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,outpatient,,,,,,7593.049912,11317.4586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10059.9632,,,,fee schedule,,9880.321,,,,fee schedule,,10778.532,,,,fee schedule,,11317.4586,,,,fee schedule,,7972.702408,,,,fee schedule,,7593.049912,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,outpatient,,,,,,11736.01603,19450.5696,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17289.3952,,,,fee schedule,,16980.656,,,,fee schedule,,18524.352,,,,fee schedule,,19450.5696,,,,fee schedule,,12322.81683,,,,fee schedule,,11736.01603,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,outpatient,,,,,,3424.817958,5724.2682,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5088.2384,,,,fee schedule,,4997.377,,,,fee schedule,,5451.684,,,,fee schedule,,5724.2682,,,,fee schedule,,3596.058856,,,,fee schedule,,3424.817958,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,outpatient,,,,,,4312.912234,7510.3308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6675.8496,,,,fee schedule,,6556.638,,,,fee schedule,,7152.696,,,,fee schedule,,7510.3308,,,,fee schedule,,4528.557846,,,,fee schedule,,4312.912234,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,outpatient,,,,,,6615.261904,11591.3448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10303.4176,,,,fee schedule,,10119.428,,,,fee schedule,,11039.376,,,,fee schedule,,11591.3448,,,,fee schedule,,6946.024999,,,,fee schedule,,6615.261904,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,outpatient,,,,,,10584.52537,19474.9632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17311.0784,,,,fee schedule,,17001.952,,,,fee schedule,,18547.584,,,,fee schedule,,19474.9632,,,,fee schedule,,11113.75164,,,,fee schedule,,10584.52537,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,outpatient,,,,,,3519.564858,7802.2854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6935.3648,,,,fee schedule,,6811.519,,,,fee schedule,,7430.748,,,,fee schedule,,7802.2854,,,,fee schedule,,3695.543101,,,,fee schedule,,3519.564858,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,outpatient,,,,,,4023.618366,8975.5092,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7978.2304,,,,fee schedule,,7835.762,,,,fee schedule,,8548.104,,,,fee schedule,,8975.5092,,,,fee schedule,,4224.799284,,,,fee schedule,,4023.618366,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,outpatient,,,,,,6104.26029,12886.5996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11454.7552,,,,fee schedule,,11250.206,,,,fee schedule,,12272.952,,,,fee schedule,,12886.5996,,,,fee schedule,,6409.473305,,,,fee schedule,,6104.26029,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,outpatient,,,,,,8768.543118,22521.9456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20019.5072,,,,fee schedule,,19662.016,,,,fee schedule,,21449.472,,,,fee schedule,,22521.9456,,,,fee schedule,,9206.970274,,,,fee schedule,,8768.543118,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,outpatient,,,,,,5239.536916,7641.396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6792.352,,,,fee schedule,,6671.06,,,,fee schedule,,7277.52,,,,fee schedule,,7641.396,,,,fee schedule,,5501.513762,,,,fee schedule,,5239.536916,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,outpatient,,,,,,5381.657266,9728.4474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8647.5088,,,,fee schedule,,8493.089,,,,fee schedule,,9265.188,,,,fee schedule,,9728.4474,,,,fee schedule,,5650.740129,,,,fee schedule,,5381.657266,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,outpatient,,,,,,7543.781524,13902.5628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12357.8336,,,,fee schedule,,12137.158,,,,fee schedule,,13240.536,,,,fee schedule,,13902.5628,,,,fee schedule,,7920.9706,,,,fee schedule,,7543.781524,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,outpatient,,,,,,11645.69065,21281.8284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18917.1808,,,,fee schedule,,18579.374,,,,fee schedule,,20268.408,,,,fee schedule,,21281.8284,,,,fee schedule,,12227.97518,,,,fee schedule,,11645.69065,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,outpatient,,,,,,4308.490712,6113.835,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5434.52,,,,fee schedule,,5337.475,,,,fee schedule,,5822.7,,,,fee schedule,,6113.835,,,,fee schedule,,4523.915248,,,,fee schedule,,4308.490712,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,outpatient,,,,,,5441.663636,7826.679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6957.048,,,,fee schedule,,6832.815,,,,fee schedule,,7453.98,,,,fee schedule,,7826.679,,,,fee schedule,,5713.746818,,,,fee schedule,,5441.663636,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,outpatient,,,,,,6032.252646,10455.165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9293.48,,,,fee schedule,,9127.525,,,,fee schedule,,9957.3,,,,fee schedule,,10455.165,,,,fee schedule,,6333.865278,,,,fee schedule,,6032.252646,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,outpatient,,,,,,9355.973898,19706.3622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17516.7664,,,,fee schedule,,17203.967,,,,fee schedule,,18767.964,,,,fee schedule,,19706.3622,,,,fee schedule,,9823.772593,,,,fee schedule,,9355.973898,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,outpatient,,,,,,2988.326,3976.7519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3042.6592,,,,fee schedule,,2988.326,,,,fee schedule,,3259.992,,,,fee schedule,,3422.9916,,,,fee schedule,,3976.7519,,,,fee schedule,,3787.382762,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,outpatient,,,,,,4340.842,4972.2372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4419.7664,,,,fee schedule,,4340.842,,,,fee schedule,,4735.464,,,,fee schedule,,4972.2372,,,,fee schedule,,4968.278209,,,,fee schedule,,4731.693532,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,outpatient,,,,,,7198.961,8246.0826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7329.8512,,,,fee schedule,,7198.961,,,,fee schedule,,7853.412,,,,fee schedule,,8246.0826,,,,fee schedule,,7656.342509,,,,fee schedule,,7291.75477,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,outpatient,,,,,,14177.32782,20314.6776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18057.4912,,,,fee schedule,,17735.036,,,,fee schedule,,19347.312,,,,fee schedule,,20314.6776,,,,fee schedule,,14886.19421,,,,fee schedule,,14177.32782,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,outpatient,,,,,,3429.23948,4673.0502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4153.8224,,,,fee schedule,,4079.647,,,,fee schedule,,4450.524,,,,fee schedule,,4673.0502,,,,fee schedule,,3600.701454,,,,fee schedule,,3429.23948,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,outpatient,,,,,,4148.684274,6129.207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5448.184,,,,fee schedule,,5350.895,,,,fee schedule,,5837.34,,,,fee schedule,,6129.207,,,,fee schedule,,4356.118488,,,,fee schedule,,4148.684274,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,outpatient,,,,,,5432.820592,9217.7568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8193.5616,,,,fee schedule,,8047.248,,,,fee schedule,,8778.816,,,,fee schedule,,9217.7568,,,,fee schedule,,5704.461622,,,,fee schedule,,5432.820592,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,outpatient,,,,,,8549.361956,16747.9704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14887.0848,,,,fee schedule,,14621.244,,,,fee schedule,,15950.448,,,,fee schedule,,16747.9704,,,,fee schedule,,8976.830054,,,,fee schedule,,8549.361956,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,outpatient,,,,,,3798.75239,5198.2056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4620.6272,,,,fee schedule,,4538.116,,,,fee schedule,,4950.672,,,,fee schedule,,5198.2056,,,,fee schedule,,3988.69001,,,,fee schedule,,3798.75239,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,outpatient,,,,,,4257.327386,6536.8548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5810.5376,,,,fee schedule,,5706.778,,,,fee schedule,,6225.576,,,,fee schedule,,6536.8548,,,,fee schedule,,4470.193755,,,,fee schedule,,4257.327386,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,outpatient,,,,,,4878.86705,8209.026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7296.912,,,,fee schedule,,7166.61,,,,fee schedule,,7818.12,,,,fee schedule,,8209.026,,,,fee schedule,,5122.810403,,,,fee schedule,,4878.86705,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,outpatient,,,,,,6841.391172,15958.8828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14185.6736,,,,fee schedule,,13932.358,,,,fee schedule,,15198.936,,,,fee schedule,,15958.8828,,,,fee schedule,,7183.460731,,,,fee schedule,,6841.391172,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,outpatient,,,,,,3592.835794,4542.8922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4038.1264,,,,fee schedule,,3966.017,,,,fee schedule,,4326.564,,,,fee schedule,,4542.8922,,,,fee schedule,,3772.477584,,,,fee schedule,,3592.835794,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,outpatient,,,,,,4275.64512,6508.8324,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5785.6288,,,,fee schedule,,5682.314,,,,fee schedule,,6198.888,,,,fee schedule,,6508.8324,,,,fee schedule,,4489.427376,,,,fee schedule,,4275.64512,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,outpatient,,,,,,5238.273624,7506.7146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6672.6352,,,,fee schedule,,6553.481,,,,fee schedule,,7149.252,,,,fee schedule,,7506.7146,,,,fee schedule,,5500.187305,,,,fee schedule,,5238.273624,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,outpatient,,,,,,7316.388964,15225.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13534.08,,,,fee schedule,,13292.4,,,,fee schedule,,14500.8,,,,fee schedule,,15225.84,,,,fee schedule,,7682.208412,,,,fee schedule,,7316.388964,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,outpatient,,,,,,4060.88548,6767.334,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6015.408,,,,fee schedule,,5907.99,,,,fee schedule,,6445.08,,,,fee schedule,,6767.334,,,,fee schedule,,4263.929754,,,,fee schedule,,4060.88548,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,outpatient,,,,,,5243.326792,8026.4394,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7134.6128,,,,fee schedule,,7007.209,,,,fee schedule,,7644.228,,,,fee schedule,,8026.4394,,,,fee schedule,,5505.493132,,,,fee schedule,,5243.326792,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,outpatient,,,,,,6349.970584,12181.5666,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10828.0592,,,,fee schedule,,10634.701,,,,fee schedule,,11601.492,,,,fee schedule,,12181.5666,,,,fee schedule,,6667.469113,,,,fee schedule,,6349.970584,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,outpatient,,,,,,9616.843696,21762.6822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19344.6064,,,,fee schedule,,18999.167,,,,fee schedule,,20726.364,,,,fee schedule,,21762.6822,,,,fee schedule,,10097.68588,,,,fee schedule,,9616.843696,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,outpatient,,,,,,3953.50566,5612.1786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4988.6032,,,,fee schedule,,4899.521,,,,fee schedule,,5344.932,,,,fee schedule,,5612.1786,,,,fee schedule,,4151.180943,,,,fee schedule,,3953.50566,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,outpatient,,,,,,4984.983578,8012.8818,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7122.5616,,,,fee schedule,,6995.373,,,,fee schedule,,7631.316,,,,fee schedule,,8012.8818,,,,fee schedule,,5234.232757,,,,fee schedule,,4984.983578,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,outpatient,,,,,,6900.13425,12421.9998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11041.7776,,,,fee schedule,,10844.603,,,,fee schedule,,11830.476,,,,fee schedule,,12421.9998,,,,fee schedule,,7245.140963,,,,fee schedule,,6900.13425,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,outpatient,,,,,,11126.47764,20755.7658,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18449.5696,,,,fee schedule,,18120.113,,,,fee schedule,,19767.396,,,,fee schedule,,20755.7658,,,,fee schedule,,11682.80152,,,,fee schedule,,11126.47764,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,outpatient,,,,,,3709.690304,5708.8962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5074.5744,,,,fee schedule,,4983.957,,,,fee schedule,,5437.044,,,,fee schedule,,5708.8962,,,,fee schedule,,3895.174819,,,,fee schedule,,3709.690304,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,outpatient,,,,,,5295.75341,7450.6698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6622.8176,,,,fee schedule,,6504.553,,,,fee schedule,,7095.876,,,,fee schedule,,7450.6698,,,,fee schedule,,5560.541081,,,,fee schedule,,5295.75341,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,outpatient,,,,,,6788.964554,11288.5416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10034.2592,,,,fee schedule,,9855.076,,,,fee schedule,,10750.992,,,,fee schedule,,11288.5416,,,,fee schedule,,7128.412782,,,,fee schedule,,6788.964554,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,outpatient,,,,,,10160.6909,20494.5426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18217.3712,,,,fee schedule,,17892.061,,,,fee schedule,,19518.612,,,,fee schedule,,20494.5426,,,,fee schedule,,10668.72545,,,,fee schedule,,10160.6909,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,outpatient,,,,,,3432.39771,5321.1312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4729.8944,,,,fee schedule,,4645.432,,,,fee schedule,,5067.744,,,,fee schedule,,5321.1312,,,,fee schedule,,3604.017596,,,,fee schedule,,3432.39771,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,outpatient,,,,,,4066.570294,6611.8752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5877.2224,,,,fee schedule,,5772.272,,,,fee schedule,,6297.024,,,,fee schedule,,6611.8752,,,,fee schedule,,4269.898809,,,,fee schedule,,4066.570294,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,outpatient,,,,,,6069.51976,8617.581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7660.072,,,,fee schedule,,7523.285,,,,fee schedule,,8207.22,,,,fee schedule,,8617.581,,,,fee schedule,,6372.995748,,,,fee schedule,,6069.51976,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,outpatient,,,,,,10571.2608,15510.5622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13787.1664,,,,fee schedule,,13540.967,,,,fee schedule,,14771.964,,,,fee schedule,,15510.5622,,,,fee schedule,,11099.82384,,,,fee schedule,,10571.2608,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,outpatient,,,,,,23587.58992,29729.4732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26426.1984,,,,fee schedule,,25954.302,,,,fee schedule,,28313.784,,,,fee schedule,,29729.4732,,,,fee schedule,,24766.96942,,,,fee schedule,,23587.58992,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,outpatient,,,,,,26678.86545,37806.5268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33605.8016,,,,fee schedule,,33005.698,,,,fee schedule,,36006.216,,,,fee schedule,,37806.5268,,,,fee schedule,,28012.80872,,,,fee schedule,,26678.86545,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,outpatient,,,,,,38385.79241,60444.1782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53728.1584,,,,fee schedule,,52768.727,,,,fee schedule,,57565.884,,,,fee schedule,,60444.1782,,,,fee schedule,,40305.08203,,,,fee schedule,,38385.79241,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,outpatient,,,,,,92679.55599,149240.3094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132658.0528,,,,fee schedule,,130289.159,,,,fee schedule,,142133.628,,,,fee schedule,,149240.3094,,,,fee schedule,,97313.53379,,,,fee schedule,,92679.55599,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,outpatient,,,,,,115561.391,173048.8998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117662.5072,,,,fee schedule,,115561.391,,,,fee schedule,,126066.972,,,,fee schedule,,132370.3206,,,,fee schedule,,173048.8998,,,,fee schedule,,164808.476,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,outpatient,,,,,,121291.049,173048.8998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123496.3408,,,,fee schedule,,121291.049,,,,fee schedule,,132317.508,,,,fee schedule,,138933.3834,,,,fee schedule,,173048.8998,,,,fee schedule,,164808.476,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,outpatient,,,,,,151100.103,173078.2998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,153847.3776,,,,fee schedule,,151100.103,,,,fee schedule,,164836.476,,,,fee schedule,,173078.2998,,,,fee schedule,,173048.8998,,,,fee schedule,,164808.476,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,outpatient,,,,,,212757.3555,255796.7454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,227374.8848,,,,fee schedule,,223314.619,,,,fee schedule,,243615.948,,,,fee schedule,,255796.7454,,,,fee schedule,,223395.2233,,,,fee schedule,,212757.3555,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,outpatient,,,,,,20208.91547,41642.5968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37015.6416,,,,fee schedule,,36354.648,,,,fee schedule,,39659.616,,,,fee schedule,,41642.5968,,,,fee schedule,,21219.36124,,,,fee schedule,,20208.91547,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,outpatient,,,,,,27966.79164,48412.6398,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43033.4576,,,,fee schedule,,42265.003,,,,fee schedule,,46107.276,,,,fee schedule,,48412.6398,,,,fee schedule,,29365.13122,,,,fee schedule,,27966.79164,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,outpatient,,,,,,35807.41344,65087.3916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57855.4592,,,,fee schedule,,56822.326,,,,fee schedule,,61987.992,,,,fee schedule,,65087.3916,,,,fee schedule,,37597.78411,,,,fee schedule,,35807.41344,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,outpatient,,,,,,49145.88202,101883.3984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90563.0208,,,,fee schedule,,88945.824,,,,fee schedule,,97031.808,,,,fee schedule,,101883.3984,,,,fee schedule,,51603.17612,,,,fee schedule,,49145.88202,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,outpatient,,,,,,20916.99064,35680.6044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31716.0928,,,,fee schedule,,31149.734,,,,fee schedule,,33981.528,,,,fee schedule,,35680.6044,,,,fee schedule,,21962.84017,,,,fee schedule,,20916.99064,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,outpatient,,,,,,22990.05281,40667.3064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36148.7168,,,,fee schedule,,35503.204,,,,fee schedule,,38730.768,,,,fee schedule,,40667.3064,,,,fee schedule,,24139.55545,,,,fee schedule,,22990.05281,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,outpatient,,,,,,29727.18904,54159.4998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48141.7776,,,,fee schedule,,47282.103,,,,fee schedule,,51580.476,,,,fee schedule,,54159.4998,,,,fee schedule,,31213.5485,,,,fee schedule,,29727.18904,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,outpatient,,,,,,49699.20392,84867.8796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75438.1152,,,,fee schedule,,74091.006,,,,fee schedule,,80826.552,,,,fee schedule,,84867.8796,,,,fee schedule,,52184.16411,,,,fee schedule,,49699.20392,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,outpatient,,,,,,21903.62169,36958.698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32852.176,,,,fee schedule,,32265.53,,,,fee schedule,,35198.76,,,,fee schedule,,36958.698,,,,fee schedule,,22998.80277,,,,fee schedule,,21903.62169,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,outpatient,,,,,,21903.62169,41473.5678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36865.3936,,,,fee schedule,,36207.083,,,,fee schedule,,39498.636,,,,fee schedule,,41473.5678,,,,fee schedule,,22998.80277,,,,fee schedule,,21903.62169,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,outpatient,,,,,,25799.61422,53042.3082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47148.7184,,,,fee schedule,,46306.777,,,,fee schedule,,50516.484,,,,fee schedule,,53042.3082,,,,fee schedule,,27089.59493,,,,fee schedule,,25799.61422,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,outpatient,,,,,,35746.14378,79258.41,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70451.92,,,,fee schedule,,69193.85,,,,fee schedule,,75484.2,,,,fee schedule,,79258.41,,,,fee schedule,,37533.45097,,,,fee schedule,,35746.14378,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,outpatient,,,,,,17784.02648,30692.1006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27281.8672,,,,fee schedule,,26794.691,,,,fee schedule,,29230.572,,,,fee schedule,,30692.1006,,,,fee schedule,,18673.2278,,,,fee schedule,,17784.02648,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,outpatient,,,,,,18822.4525,35414.8704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31479.8848,,,,fee schedule,,30917.744,,,,fee schedule,,33728.448,,,,fee schedule,,35414.8704,,,,fee schedule,,19763.57513,,,,fee schedule,,18822.4525,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,outpatient,,,,,,22691.28425,44586.5238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39632.4656,,,,fee schedule,,38924.743,,,,fee schedule,,42463.356,,,,fee schedule,,44586.5238,,,,fee schedule,,23825.84846,,,,fee schedule,,22691.28425,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,outpatient,,,,,,32994.06216,69407.9316,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61695.9392,,,,fee schedule,,60594.226,,,,fee schedule,,66102.792,,,,fee schedule,,69407.9316,,,,fee schedule,,34643.76526,,,,fee schedule,,32994.06216,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,outpatient,,,,,,15477.88693,30683.0664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27273.8368,,,,fee schedule,,26786.804,,,,fee schedule,,29221.968,,,,fee schedule,,30683.0664,,,,fee schedule,,16251.78128,,,,fee schedule,,15477.88693,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,outpatient,,,,,,16767.70806,31769.5266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28239.5792,,,,fee schedule,,27735.301,,,,fee schedule,,30256.692,,,,fee schedule,,31769.5266,,,,fee schedule,,17606.09347,,,,fee schedule,,16767.70806,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,outpatient,,,,,,25315.14173,49098.6846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43643.2752,,,,fee schedule,,42863.931,,,,fee schedule,,46760.652,,,,fee schedule,,49098.6846,,,,fee schedule,,26580.89882,,,,fee schedule,,25315.14173,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,outpatient,,,,,,39350.9475,85444.5564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75950.7168,,,,fee schedule,,74594.454,,,,fee schedule,,81375.768,,,,fee schedule,,85444.5564,,,,fee schedule,,41318.49488,,,,fee schedule,,39350.9475,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,outpatient,,,,,,13653.69328,27962.3862,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24855.4544,,,,fee schedule,,24411.607,,,,fee schedule,,26630.844,,,,fee schedule,,27962.3862,,,,fee schedule,,14336.37795,,,,fee schedule,,13653.69328,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,outpatient,,,,,,14260.70509,28455.903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25294.136,,,,fee schedule,,24842.455,,,,fee schedule,,27100.86,,,,fee schedule,,28455.903,,,,fee schedule,,14973.74034,,,,fee schedule,,14260.70509,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,outpatient,,,,,,21716.02283,38629.0674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34336.9488,,,,fee schedule,,33723.789,,,,fee schedule,,36789.588,,,,fee schedule,,38629.0674,,,,fee schedule,,22801.82397,,,,fee schedule,,21716.02283,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,outpatient,,,,,,32484.95548,61167.2796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54370.9152,,,,fee schedule,,53400.006,,,,fee schedule,,58254.552,,,,fee schedule,,61167.2796,,,,fee schedule,,34109.20325,,,,fee schedule,,32484.95548,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,outpatient,,,,,,15267.54881,20664.4788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18368.4256,,,,fee schedule,,18040.418,,,,fee schedule,,19680.456,,,,fee schedule,,20664.4788,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,outpatient,,,,,,15267.54881,21804.2622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19381.5664,,,,fee schedule,,19035.467,,,,fee schedule,,20765.964,,,,fee schedule,,21804.2622,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,outpatient,,,,,,15267.54881,31558.9176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28052.3712,,,,fee schedule,,27551.436,,,,fee schedule,,30056.112,,,,fee schedule,,31558.9176,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,outpatient,,,,,,15267.54881,44861.3046,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39876.7152,,,,fee schedule,,39164.631,,,,fee schedule,,42725.052,,,,fee schedule,,44861.3046,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,outpatient,,,,,,9808.232434,15649.7544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13910.8928,,,,fee schedule,,13662.484,,,,fee schedule,,14904.528,,,,fee schedule,,15649.7544,,,,fee schedule,,10298.64406,,,,fee schedule,,9808.232434,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,outpatient,,,,,,11597.68555,17970.9138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15974.1456,,,,fee schedule,,15688.893,,,,fee schedule,,17115.156,,,,fee schedule,,17970.9138,,,,fee schedule,,12177.56983,,,,fee schedule,,11597.68555,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,outpatient,,,,,,14065.52647,24125.4216,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21444.8192,,,,fee schedule,,21061.876,,,,fee schedule,,22976.592,,,,fee schedule,,24125.4216,,,,fee schedule,,14768.8028,,,,fee schedule,,14065.52647,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,outpatient,,,,,,25593.69762,38681.4834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34383.5408,,,,fee schedule,,33769.549,,,,fee schedule,,36839.508,,,,fee schedule,,38681.4834,,,,fee schedule,,26873.3825,,,,fee schedule,,25593.69762,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,outpatient,,,,,,8288.492158,18402.0606,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16357.3872,,,,fee schedule,,16065.291,,,,fee schedule,,17525.772,,,,fee schedule,,18402.0606,,,,fee schedule,,8702.916766,,,,fee schedule,,8288.492158,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,outpatient,,,,,,9142.47755,20393.3142,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18127.3904,,,,fee schedule,,17803.687,,,,fee schedule,,19422.204,,,,fee schedule,,20393.3142,,,,fee schedule,,9599.601428,,,,fee schedule,,9142.47755,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,outpatient,,,,,,11056.36493,26344.4454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23417.2848,,,,fee schedule,,22999.119,,,,fee schedule,,25089.948,,,,fee schedule,,26344.4454,,,,fee schedule,,11609.18318,,,,fee schedule,,11056.36493,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,outpatient,,,,,,16626.851,39275.334,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34911.408,,,,fee schedule,,34287.99,,,,fee schedule,,37405.08,,,,fee schedule,,39275.334,,,,fee schedule,,17458.19355,,,,fee schedule,,16626.851,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,outpatient,,,,,,9231.539636,21589.1424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19190.3488,,,,fee schedule,,18847.664,,,,fee schedule,,20561.088,,,,fee schedule,,21589.1424,,,,fee schedule,,9693.116618,,,,fee schedule,,9231.539636,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,outpatient,,,,,,10984.35729,23772.0042,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21130.6704,,,,fee schedule,,20753.337,,,,fee schedule,,22640.004,,,,fee schedule,,23772.0042,,,,fee schedule,,11533.57515,,,,fee schedule,,10984.35729,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,outpatient,,,,,,14261.96838,29834.3178,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26519.3936,,,,fee schedule,,26045.833,,,,fee schedule,,28413.636,,,,fee schedule,,29834.3178,,,,fee schedule,,14975.0668,,,,fee schedule,,14261.96838,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,outpatient,,,,,,23187.12636,44220.456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39307.072,,,,fee schedule,,38605.16,,,,fee schedule,,42114.72,,,,fee schedule,,44220.456,,,,fee schedule,,24346.48268,,,,fee schedule,,23187.12636,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,outpatient,,,,,,10407.03284,16926.0336,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15045.3632,,,,fee schedule,,14776.696,,,,fee schedule,,16120.032,,,,fee schedule,,16926.0336,,,,fee schedule,,10927.38448,,,,fee schedule,,10407.03284,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,outpatient,,,,,,10407.03284,21080.2536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18738.0032,,,,fee schedule,,18403.396,,,,fee schedule,,20076.432,,,,fee schedule,,21080.2536,,,,fee schedule,,10927.38448,,,,fee schedule,,10407.03284,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,outpatient,,,,,,22801.8223,31882.5108,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28340.0096,,,,fee schedule,,27833.938,,,,fee schedule,,30364.296,,,,fee schedule,,31882.5108,,,,fee schedule,,23941.91342,,,,fee schedule,,22801.8223,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,outpatient,,,,,,29347.5698,54756.0594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48672.0528,,,,fee schedule,,47802.909,,,,fee schedule,,52148.628,,,,fee schedule,,54756.0594,,,,fee schedule,,30814.94829,,,,fee schedule,,29347.5698,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,outpatient,,,,,,7342.918096,13606.992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12095.104,,,,fee schedule,,11879.12,,,,fee schedule,,12959.04,,,,fee schedule,,13606.992,,,,fee schedule,,7710.064001,,,,fee schedule,,7342.918096,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,outpatient,,,,,,7342.918096,18343.3194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16305.1728,,,,fee schedule,,16014.009,,,,fee schedule,,17469.828,,,,fee schedule,,18343.3194,,,,fee schedule,,7710.064001,,,,fee schedule,,7342.918096,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,outpatient,,,,,,11569.89313,27229.3434,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24203.8608,,,,fee schedule,,23771.649,,,,fee schedule,,25932.708,,,,fee schedule,,27229.3434,,,,fee schedule,,12148.38778,,,,fee schedule,,11569.89313,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,outpatient,,,,,,20139.43441,35116.5906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31214.7472,,,,fee schedule,,30657.341,,,,fee schedule,,33444.372,,,,fee schedule,,35116.5906,,,,fee schedule,,21146.40613,,,,fee schedule,,20139.43441,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,outpatient,,,,,,34299.04279,48856.4496,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43427.9552,,,,fee schedule,,42652.456,,,,fee schedule,,46529.952,,,,fee schedule,,48856.4496,,,,fee schedule,,36013.99493,,,,fee schedule,,34299.04279,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,outpatient,,,,,,34299.04279,57587.922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51189.264,,,,fee schedule,,50275.17,,,,fee schedule,,54845.64,,,,fee schedule,,57587.922,,,,fee schedule,,36013.99493,,,,fee schedule,,34299.04279,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,outpatient,,,,,,34299.04279,59906.3598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53250.0976,,,,fee schedule,,52299.203,,,,fee schedule,,57053.676,,,,fee schedule,,59906.3598,,,,fee schedule,,36013.99493,,,,fee schedule,,34299.04279,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,outpatient,,,,,,57364.85977,81329.1948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72292.6176,,,,fee schedule,,71001.678,,,,fee schedule,,77456.376,,,,fee schedule,,81329.1948,,,,fee schedule,,60233.10276,,,,fee schedule,,57364.85977,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,outpatient,,,,,,24600.75011,34167.5208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30371.1296,,,,fee schedule,,29828.788,,,,fee schedule,,32540.496,,,,fee schedule,,34167.5208,,,,fee schedule,,25830.78761,,,,fee schedule,,24600.75011,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,outpatient,,,,,,25701.07744,38881.2438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34561.1056,,,,fee schedule,,33943.943,,,,fee schedule,,37029.756,,,,fee schedule,,38881.2438,,,,fee schedule,,26986.13131,,,,fee schedule,,25701.07744,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,outpatient,,,,,,29291.3533,47704.0032,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42403.5584,,,,fee schedule,,41646.352,,,,fee schedule,,45432.384,,,,fee schedule,,47704.0032,,,,fee schedule,,30755.92097,,,,fee schedule,,29291.3533,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,outpatient,,,,,,39606.13248,65911.734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58588.208,,,,fee schedule,,57541.99,,,,fee schedule,,62773.08,,,,fee schedule,,65911.734,,,,fee schedule,,41586.43911,,,,fee schedule,,39606.13248,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,outpatient,,,,,,7067.52044,12732.0354,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11317.3648,,,,fee schedule,,11115.269,,,,fee schedule,,12125.748,,,,fee schedule,,12732.0354,,,,fee schedule,,7420.896462,,,,fee schedule,,7067.52044,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,outpatient,,,,,,8479.24925,16209.2574,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14408.2288,,,,fee schedule,,14150.939,,,,fee schedule,,15437.388,,,,fee schedule,,16209.2574,,,,fee schedule,,8903.211713,,,,fee schedule,,8479.24925,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,outpatient,,,,,,12169.32518,22725.3222,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20200.2864,,,,fee schedule,,19839.567,,,,fee schedule,,21643.164,,,,fee schedule,,22725.3222,,,,fee schedule,,12777.79144,,,,fee schedule,,12169.32518,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,outpatient,,,,,,22369.14479,39466.9548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35081.7376,,,,fee schedule,,34455.278,,,,fee schedule,,37587.576,,,,fee schedule,,39466.9548,,,,fee schedule,,23487.60203,,,,fee schedule,,22369.14479,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,outpatient,,,,,,9102.052206,14849.8182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13199.8384,,,,fee schedule,,12964.127,,,,fee schedule,,14142.684,,,,fee schedule,,14849.8182,,,,fee schedule,,9557.154816,,,,fee schedule,,9102.052206,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,outpatient,,,,,,12758.01925,21574.6776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19177.4912,,,,fee schedule,,18835.036,,,,fee schedule,,20547.312,,,,fee schedule,,21574.6776,,,,fee schedule,,13395.92022,,,,fee schedule,,12758.01925,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,outpatient,,,,,,19329.66424,34051.815,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30268.28,,,,fee schedule,,29727.775,,,,fee schedule,,32430.3,,,,fee schedule,,34051.815,,,,fee schedule,,20296.14745,,,,fee schedule,,19329.66424,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,outpatient,,,,,,31534.9599,53246.592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47330.304,,,,fee schedule,,46485.12,,,,fee schedule,,50711.04,,,,fee schedule,,53246.592,,,,fee schedule,,33111.70789,,,,fee schedule,,31534.9599,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,outpatient,,,,,,10983.72564,19911.5406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17699.1472,,,,fee schedule,,17383.091,,,,fee schedule,,18963.372,,,,fee schedule,,19911.5406,,,,fee schedule,,11532.91192,,,,fee schedule,,10983.72564,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,outpatient,,,,,,12171.85177,22339.359,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19857.208,,,,fee schedule,,19502.615,,,,fee schedule,,21275.58,,,,fee schedule,,22339.359,,,,fee schedule,,12780.44435,,,,fee schedule,,12171.85177,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,outpatient,,,,,,15216.38549,27364.932,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24324.384,,,,fee schedule,,23890.02,,,,fee schedule,,26061.84,,,,fee schedule,,27364.932,,,,fee schedule,,15977.20476,,,,fee schedule,,15216.38549,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,outpatient,,,,,,30975.95319,48607.8768,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43207.0016,,,,fee schedule,,42435.448,,,,fee schedule,,46293.216,,,,fee schedule,,48607.8768,,,,fee schedule,,32524.75085,,,,fee schedule,,30975.95319,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,outpatient,,,,,,32535.404,37372.28649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33126.9568,,,,fee schedule,,32535.404,,,,fee schedule,,35493.168,,,,fee schedule,,37267.8264,,,,fee schedule,,37372.28649,,,,fee schedule,,35592.6538,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,outpatient,,,,,,34117.545,39080.097,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34737.864,,,,fee schedule,,34117.545,,,,fee schedule,,37219.14,,,,fee schedule,,39080.097,,,,fee schedule,,38432.78854,,,,fee schedule,,36602.65575,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,outpatient,,,,,,40690.03702,47467.1862,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42193.0544,,,,fee schedule,,41439.607,,,,fee schedule,,45206.844,,,,fee schedule,,47467.1862,,,,fee schedule,,42724.53887,,,,fee schedule,,40690.03702,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,outpatient,,,,,,57576.46118,70876.7388,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63001.5456,,,,fee schedule,,61876.518,,,,fee schedule,,67501.656,,,,fee schedule,,70876.7388,,,,fee schedule,,60455.28424,,,,fee schedule,,57576.46118,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,outpatient,,,,,,3992.667712,8052.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7157.92,,,,fee schedule,,7030.1,,,,fee schedule,,7669.2,,,,fee schedule,,8052.66,,,,fee schedule,,4192.301098,,,,fee schedule,,3992.667712,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,outpatient,,,,,,4796.121424,8931.2202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7938.8624,,,,fee schedule,,7797.097,,,,fee schedule,,8505.924,,,,fee schedule,,8931.2202,,,,fee schedule,,5035.927495,,,,fee schedule,,4796.121424,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,outpatient,,,,,,6033.515938,12151.7424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10801.5488,,,,fee schedule,,10608.664,,,,fee schedule,,11573.088,,,,fee schedule,,12151.7424,,,,fee schedule,,6335.191735,,,,fee schedule,,6033.515938,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,outpatient,,,,,,9280.176378,20643.6888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18349.9456,,,,fee schedule,,18022.268,,,,fee schedule,,19660.656,,,,fee schedule,,20643.6888,,,,fee schedule,,9744.185197,,,,fee schedule,,9280.176378,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,outpatient,,,,,,4647.052968,9748.3302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8665.1824,,,,fee schedule,,8510.447,,,,fee schedule,,9284.124,,,,fee schedule,,9748.3302,,,,fee schedule,,4879.405616,,,,fee schedule,,4647.052968,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,outpatient,,,,,,5463.771246,11099.6298,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9866.3376,,,,fee schedule,,9690.153,,,,fee schedule,,10571.076,,,,fee schedule,,11099.6298,,,,fee schedule,,5736.959808,,,,fee schedule,,5463.771246,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,outpatient,,,,,,7105.4192,15242.1066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13548.5392,,,,fee schedule,,13306.601,,,,fee schedule,,14516.292,,,,fee schedule,,15242.1066,,,,fee schedule,,7460.69016,,,,fee schedule,,7105.4192,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,outpatient,,,,,,10237.75171,27612.585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24544.52,,,,fee schedule,,24106.225,,,,fee schedule,,26297.7,,,,fee schedule,,27612.585,,,,fee schedule,,10749.6393,,,,fee schedule,,10237.75171,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,outpatient,,,,,,5200.374864,10322.298,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9175.376,,,,fee schedule,,9011.53,,,,fee schedule,,9830.76,,,,fee schedule,,10322.298,,,,fee schedule,,5460.393607,,,,fee schedule,,5200.374864,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,outpatient,,,,,,6587.46948,12583.7964,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11185.5968,,,,fee schedule,,10985.854,,,,fee schedule,,11984.568,,,,fee schedule,,12583.7964,,,,fee schedule,,6916.842954,,,,fee schedule,,6587.46948,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,outpatient,,,,,,10018.57055,18523.1844,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16465.0528,,,,fee schedule,,16171.034,,,,fee schedule,,17641.128,,,,fee schedule,,18523.1844,,,,fee schedule,,10519.49908,,,,fee schedule,,10018.57055,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,outpatient,,,,,,16676.11939,33018.6906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29349.9472,,,,fee schedule,,28825.841,,,,fee schedule,,31446.372,,,,fee schedule,,33018.6906,,,,fee schedule,,17509.92536,,,,fee schedule,,16676.11939,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,outpatient,,,,,,5418.92438,9440.109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8391.208,,,,fee schedule,,8241.365,,,,fee schedule,,8990.58,,,,fee schedule,,9440.109,,,,fee schedule,,5689.870599,,,,fee schedule,,5418.92438,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,outpatient,,,,,,5504.19659,11194.533,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9950.696,,,,fee schedule,,9773.005,,,,fee schedule,,10661.46,,,,fee schedule,,11194.533,,,,fee schedule,,5779.40642,,,,fee schedule,,5504.19659,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,outpatient,,,,,,7368.183936,15777.2034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14024.1808,,,,fee schedule,,13773.749,,,,fee schedule,,15025.908,,,,fee schedule,,15777.2034,,,,fee schedule,,7736.593133,,,,fee schedule,,7368.183936,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,outpatient,,,,,,11386.71579,24768.9918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22016.8816,,,,fee schedule,,21623.723,,,,fee schedule,,23589.516,,,,fee schedule,,24768.9918,,,,fee schedule,,11956.05158,,,,fee schedule,,11386.71579,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,outpatient,,,,,,3682.529526,5177.4156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4602.1472,,,,fee schedule,,4519.966,,,,fee schedule,,4930.872,,,,fee schedule,,5177.4156,,,,fee schedule,,3866.656002,,,,fee schedule,,3682.529526,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,outpatient,,,,,,4606.627624,6916.4802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6147.9824,,,,fee schedule,,6038.197,,,,fee schedule,,6587.124,,,,fee schedule,,6916.4802,,,,fee schedule,,4836.959005,,,,fee schedule,,4606.627624,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,outpatient,,,,,,6310.176886,10258.1136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9118.3232,,,,fee schedule,,8955.496,,,,fee schedule,,9769.632,,,,fee schedule,,10258.1136,,,,fee schedule,,6625.68573,,,,fee schedule,,6310.176886,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,outpatient,,,,,,10721.59255,19237.2516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17099.7792,,,,fee schedule,,16794.426,,,,fee schedule,,18321.192,,,,fee schedule,,19237.2516,,,,fee schedule,,11257.67218,,,,fee schedule,,10721.59255,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,outpatient,,,,,,3978.645,4633.347917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4050.984,,,,fee schedule,,3978.645,,,,fee schedule,,4340.34,,,,fee schedule,,4557.357,,,,fee schedule,,4633.347917,,,,fee schedule,,4412.712302,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,outpatient,,,,,,4412.712302,5855.3208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5204.7296,,,,fee schedule,,5111.788,,,,fee schedule,,5576.496,,,,fee schedule,,5855.3208,,,,fee schedule,,4633.347917,,,,fee schedule,,4412.712302,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,outpatient,,,,,,5760.01322,9931.824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8828.288,,,,fee schedule,,8670.64,,,,fee schedule,,9458.88,,,,fee schedule,,9931.824,,,,fee schedule,,6048.013881,,,,fee schedule,,5760.01322,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,outpatient,,,,,,12106.79223,19788.615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17589.88,,,,fee schedule,,17275.775,,,,fee schedule,,18846.3,,,,fee schedule,,19788.615,,,,fee schedule,,12712.13184,,,,fee schedule,,12106.79223,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,outpatient,,,,,,3810.122018,5867.0766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5215.1792,,,,fee schedule,,5122.051,,,,fee schedule,,5587.692,,,,fee schedule,,5867.0766,,,,fee schedule,,4000.628119,,,,fee schedule,,3810.122018,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,outpatient,,,,,,4432.293328,7418.1366,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6593.8992,,,,fee schedule,,6476.151,,,,fee schedule,,7064.892,,,,fee schedule,,7418.1366,,,,fee schedule,,4653.907994,,,,fee schedule,,4432.293328,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,outpatient,,,,,,5640.632126,10635.9372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9454.1664,,,,fee schedule,,9285.342,,,,fee schedule,,10129.464,,,,fee schedule,,10635.9372,,,,fee schedule,,5922.663732,,,,fee schedule,,5640.632126,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,outpatient,,,,,,11720.22488,20121.2424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17885.5488,,,,fee schedule,,17566.164,,,,fee schedule,,19163.088,,,,fee schedule,,20121.2424,,,,fee schedule,,12306.23612,,,,fee schedule,,11720.22488,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,outpatient,,,,,,3062.8848,5579.6454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4959.6848,,,,fee schedule,,4871.119,,,,fee schedule,,5313.948,,,,fee schedule,,5579.6454,,,,fee schedule,,3216.02904,,,,fee schedule,,3062.8848,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,outpatient,,,,,,3649.052288,6405.7896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5694.0352,,,,fee schedule,,5592.356,,,,fee schedule,,6100.752,,,,fee schedule,,6405.7896,,,,fee schedule,,3831.504902,,,,fee schedule,,3649.052288,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,outpatient,,,,,,5097.416566,8536.2354,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7587.7648,,,,fee schedule,,7452.269,,,,fee schedule,,8129.748,,,,fee schedule,,8536.2354,,,,fee schedule,,5352.287394,,,,fee schedule,,5097.416566,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,outpatient,,,,,,9712.222242,17120.3634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15218.1008,,,,fee schedule,,14946.349,,,,fee schedule,,16305.108,,,,fee schedule,,17120.3634,,,,fee schedule,,10197.83335,,,,fee schedule,,9712.222242,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,outpatient,,,,,,3264.379874,5655.573,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5027.176,,,,fee schedule,,4937.405,,,,fee schedule,,5386.26,,,,fee schedule,,5655.573,,,,fee schedule,,3427.598868,,,,fee schedule,,3264.379874,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,outpatient,,,,,,4070.991816,6648.9318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5910.1616,,,,fee schedule,,5804.623,,,,fee schedule,,6332.316,,,,fee schedule,,6648.9318,,,,fee schedule,,4274.541407,,,,fee schedule,,4070.991816,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,outpatient,,,,,,5516.82951,9408.4704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8363.0848,,,,fee schedule,,8213.744,,,,fee schedule,,8960.448,,,,fee schedule,,9408.4704,,,,fee schedule,,5792.670986,,,,fee schedule,,5516.82951,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,outpatient,,,,,,8819.706444,17137.5372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15233.3664,,,,fee schedule,,14961.342,,,,fee schedule,,16321.464,,,,fee schedule,,17137.5372,,,,fee schedule,,9260.691766,,,,fee schedule,,8819.706444,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,outpatient,,,,,,3214.47984,6290.991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5591.992,,,,fee schedule,,5492.135,,,,fee schedule,,5991.42,,,,fee schedule,,6290.991,,,,fee schedule,,3375.203832,,,,fee schedule,,3214.47984,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,outpatient,,,,,,5387.34208,8188.236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7278.432,,,,fee schedule,,7148.46,,,,fee schedule,,7798.32,,,,fee schedule,,8188.236,,,,fee schedule,,5656.709184,,,,fee schedule,,5387.34208,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,outpatient,,,,,,9961.722412,11902.275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10579.8,,,,fee schedule,,10390.875,,,,fee schedule,,11335.5,,,,fee schedule,,11902.275,,,,fee schedule,,10459.80853,,,,fee schedule,,9961.722412,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,outpatient,,,,,,18683.533,43600.66346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19023.2336,,,,fee schedule,,18683.533,,,,fee schedule,,20382.036,,,,fee schedule,,21401.1378,,,,fee schedule,,43600.66346,,,,fee schedule,,41524.44139,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,outpatient,,,,,,3308.595094,4628.7612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4114.4544,,,,fee schedule,,4040.982,,,,fee schedule,,4408.344,,,,fee schedule,,4628.7612,,,,fee schedule,,3474.024849,,,,fee schedule,,3308.595094,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,outpatient,,,,,,3904.237272,5956.5618,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5294.7216,,,,fee schedule,,5200.173,,,,fee schedule,,5672.916,,,,fee schedule,,5956.5618,,,,fee schedule,,4099.449136,,,,fee schedule,,3904.237272,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,outpatient,,,,,,5655.159984,9207.8154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8184.7248,,,,fee schedule,,8038.569,,,,fee schedule,,8769.348,,,,fee schedule,,9207.8154,,,,fee schedule,,5937.917983,,,,fee schedule,,5655.159984,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,outpatient,,,,,,10355.86952,17846.1738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15863.2656,,,,fee schedule,,15579.993,,,,fee schedule,,16996.356,,,,fee schedule,,17846.1738,,,,fee schedule,,10873.66299,,,,fee schedule,,10355.86952,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,outpatient,,,,,,3000.983492,5930.3538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5271.4256,,,,fee schedule,,5177.293,,,,fee schedule,,5647.956,,,,fee schedule,,5930.3538,,,,fee schedule,,3151.032667,,,,fee schedule,,3000.983492,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,outpatient,,,,,,3695.162446,6612.7824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5878.0288,,,,fee schedule,,5773.064,,,,fee schedule,,6297.888,,,,fee schedule,,6612.7824,,,,fee schedule,,3879.920568,,,,fee schedule,,3695.162446,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,outpatient,,,,,,5247.748314,8229.816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7315.392,,,,fee schedule,,7184.76,,,,fee schedule,,7837.92,,,,fee schedule,,8229.816,,,,fee schedule,,5510.13573,,,,fee schedule,,5247.748314,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,outpatient,,,,,,6068.256468,14188.1796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12611.7152,,,,fee schedule,,12386.506,,,,fee schedule,,13512.552,,,,fee schedule,,14188.1796,,,,fee schedule,,6371.669291,,,,fee schedule,,6068.256468,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,outpatient,,,,,,3412.816684,6583.8528,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5852.3136,,,,fee schedule,,5747.808,,,,fee schedule,,6270.336,,,,fee schedule,,6583.8528,,,,fee schedule,,3583.457518,,,,fee schedule,,3412.816684,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,outpatient,,,,,,4281.96158,7253.631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6447.672,,,,fee schedule,,6332.535,,,,fee schedule,,6908.22,,,,fee schedule,,7253.631,,,,fee schedule,,4496.059659,,,,fee schedule,,4281.96158,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,outpatient,,,,,,5795.385396,9143.631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8127.672,,,,fee schedule,,7982.535,,,,fee schedule,,8708.22,,,,fee schedule,,9143.631,,,,fee schedule,,6085.154666,,,,fee schedule,,5795.385396,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,outpatient,,,,,,7142.686314,16578.9414,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14736.8368,,,,fee schedule,,14473.679,,,,fee schedule,,15789.468,,,,fee schedule,,16578.9414,,,,fee schedule,,7499.82063,,,,fee schedule,,7142.686314,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,outpatient,,,,,,2959.294856,6166.2636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5481.1232,,,,fee schedule,,5383.246,,,,fee schedule,,5872.632,,,,fee schedule,,6166.2636,,,,fee schedule,,3107.259599,,,,fee schedule,,2959.294856,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,outpatient,,,,,,5690.993,8778.524792,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5794.4656,,,,fee schedule,,5690.993,,,,fee schedule,,6208.356,,,,fee schedule,,6518.7738,,,,fee schedule,,8778.524792,,,,fee schedule,,8360.499802,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,outpatient,,,,,,8360.499802,10835.6976,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9631.7312,,,,fee schedule,,9459.736,,,,fee schedule,,10319.712,,,,fee schedule,,10835.6976,,,,fee schedule,,8778.524792,,,,fee schedule,,8360.499802,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,outpatient,,,,,,8360.499802,23414.9706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20813.3072,,,,fee schedule,,20441.641,,,,fee schedule,,22299.972,,,,fee schedule,,23414.9706,,,,fee schedule,,8778.524792,,,,fee schedule,,8360.499802,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,outpatient,,,,,,5269.224278,7778.7738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6914.4656,,,,fee schedule,,6790.993,,,,fee schedule,,7408.356,,,,fee schedule,,7778.7738,,,,fee schedule,,5532.685492,,,,fee schedule,,5269.224278,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,outpatient,,,,,,5269.224278,8189.1432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7279.2384,,,,fee schedule,,7149.252,,,,fee schedule,,7799.184,,,,fee schedule,,8189.1432,,,,fee schedule,,5532.685492,,,,fee schedule,,5269.224278,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,outpatient,,,,,,7381.448502,11873.3454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10554.0848,,,,fee schedule,,10365.619,,,,fee schedule,,11307.948,,,,fee schedule,,11873.3454,,,,fee schedule,,7750.520927,,,,fee schedule,,7381.448502,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,outpatient,,,,,,14104.05688,22788.5868,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20256.5216,,,,fee schedule,,19894.798,,,,fee schedule,,21703.416,,,,fee schedule,,22788.5868,,,,fee schedule,,14809.25972,,,,fee schedule,,14104.05688,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,outpatient,,,,,,3570.096538,5746.86,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5108.32,,,,fee schedule,,5017.1,,,,fee schedule,,5473.2,,,,fee schedule,,5746.86,,,,fee schedule,,3748.601365,,,,fee schedule,,3570.096538,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,outpatient,,,,,,4569.36051,7371.126,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6552.112,,,,fee schedule,,6435.11,,,,fee schedule,,7020.12,,,,fee schedule,,7371.126,,,,fee schedule,,4797.828536,,,,fee schedule,,4569.36051,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,outpatient,,,,,,6562.20364,10750.7358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9556.2096,,,,fee schedule,,9385.563,,,,fee schedule,,10238.796,,,,fee schedule,,10750.7358,,,,fee schedule,,6890.313822,,,,fee schedule,,6562.20364,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,outpatient,,,,,,16537.78892,19996.5024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17774.6688,,,,fee schedule,,17457.264,,,,fee schedule,,19044.288,,,,fee schedule,,19996.5024,,,,fee schedule,,17364.67836,,,,fee schedule,,16537.78892,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,outpatient,,,,,,8837.392532,15092.0658,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13415.1696,,,,fee schedule,,13175.613,,,,fee schedule,,14373.396,,,,fee schedule,,15092.0658,,,,fee schedule,,9279.262159,,,,fee schedule,,8837.392532,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,outpatient,,,,,,11387.34743,21173.355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18820.76,,,,fee schedule,,18484.675,,,,fee schedule,,20165.1,,,,fee schedule,,21173.355,,,,fee schedule,,11956.71481,,,,fee schedule,,11387.34743,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,outpatient,,,,,,18596.95488,32538.7314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28923.3168,,,,fee schedule,,28406.829,,,,fee schedule,,30989.268,,,,fee schedule,,32538.7314,,,,fee schedule,,19526.80262,,,,fee schedule,,18596.95488,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,outpatient,,,,,,36672.13681,61569.4968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54728.4416,,,,fee schedule,,53751.148,,,,fee schedule,,58637.616,,,,fee schedule,,61569.4968,,,,fee schedule,,38505.74365,,,,fee schedule,,36672.13681,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,outpatient,,,,,,5578.730818,8218.0602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7304.9424,,,,fee schedule,,7174.497,,,,fee schedule,,7826.724,,,,fee schedule,,8218.0602,,,,fee schedule,,5857.667359,,,,fee schedule,,5578.730818,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,outpatient,,,,,,8635.265812,14413.2534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12811.7808,,,,fee schedule,,12582.999,,,,fee schedule,,13726.908,,,,fee schedule,,14413.2534,,,,fee schedule,,9067.029103,,,,fee schedule,,8635.265812,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,outpatient,,,,,,11598.94884,21825.9594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19400.8528,,,,fee schedule,,19054.409,,,,fee schedule,,20786.628,,,,fee schedule,,21825.9594,,,,fee schedule,,12178.89629,,,,fee schedule,,11598.94884,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,outpatient,,,,,,22957.83886,42240.9582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37547.5184,,,,fee schedule,,36877.027,,,,fee schedule,,40229.484,,,,fee schedule,,42240.9582,,,,fee schedule,,24105.73081,,,,fee schedule,,22957.83886,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,outpatient,,,,,,6384.079468,11523.5442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10243.1504,,,,fee schedule,,10060.237,,,,fee schedule,,10974.804,,,,fee schedule,,11523.5442,,,,fee schedule,,6703.283441,,,,fee schedule,,6384.079468,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,outpatient,,,,,,9529.676548,14702.4864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13068.8768,,,,fee schedule,,12835.504,,,,fee schedule,,14002.368,,,,fee schedule,,14702.4864,,,,fee schedule,,10006.16038,,,,fee schedule,,9529.676548,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,outpatient,,,,,,14104.68853,20800.962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18489.744,,,,fee schedule,,18159.57,,,,fee schedule,,19810.44,,,,fee schedule,,20800.962,,,,fee schedule,,14809.92295,,,,fee schedule,,14104.68853,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,outpatient,,,,,,24701.81347,41896.5876,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37241.4112,,,,fee schedule,,36576.386,,,,fee schedule,,39901.512,,,,fee schedule,,41896.5876,,,,fee schedule,,25936.90414,,,,fee schedule,,24701.81347,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,outpatient,,,,,,7541.886586,13693.7556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12172.2272,,,,fee schedule,,11954.866,,,,fee schedule,,13041.672,,,,fee schedule,,13693.7556,,,,fee schedule,,7918.980915,,,,fee schedule,,7541.886586,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,outpatient,,,,,,9226.486468,15957.9756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14184.8672,,,,fee schedule,,13931.566,,,,fee schedule,,15198.072,,,,fee schedule,,15957.9756,,,,fee schedule,,9687.810791,,,,fee schedule,,9226.486468,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,outpatient,,,,,,14124.26955,23184.4914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20608.4368,,,,fee schedule,,20240.429,,,,fee schedule,,22080.468,,,,fee schedule,,23184.4914,,,,fee schedule,,14830.48303,,,,fee schedule,,14124.26955,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,outpatient,,,,,,26664.96924,40526.2998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36023.3776,,,,fee schedule,,35380.103,,,,fee schedule,,38596.476,,,,fee schedule,,40526.2998,,,,fee schedule,,27998.2177,,,,fee schedule,,26664.96924,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,outpatient,,,,,,5344.390152,8415.1116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7480.0992,,,,fee schedule,,7346.526,,,,fee schedule,,8014.392,,,,fee schedule,,8415.1116,,,,fee schedule,,5611.60966,,,,fee schedule,,5344.390152,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,outpatient,,,,,,6152.897032,10611.531,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9432.472,,,,fee schedule,,9264.035,,,,fee schedule,,10106.22,,,,fee schedule,,10611.531,,,,fee schedule,,6460.541884,,,,fee schedule,,6152.897032,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,outpatient,,,,,,11669.6932,16233.6636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14429.9232,,,,fee schedule,,14172.246,,,,fee schedule,,15460.632,,,,fee schedule,,16233.6636,,,,fee schedule,,12253.17786,,,,fee schedule,,11669.6932,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,outpatient,,,,,,11669.6932,30862.0368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27432.9216,,,,fee schedule,,26943.048,,,,fee schedule,,29392.416,,,,fee schedule,,30862.0368,,,,fee schedule,,12253.17786,,,,fee schedule,,11669.6932,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,outpatient,,,,,,7130.053394,11774.826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10466.512,,,,fee schedule,,10279.61,,,,fee schedule,,11214.12,,,,fee schedule,,11774.826,,,,fee schedule,,7486.556064,,,,fee schedule,,7130.053394,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,outpatient,,,,,,8827.917842,14379.8004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12782.0448,,,,fee schedule,,12553.794,,,,fee schedule,,13695.048,,,,fee schedule,,14379.8004,,,,fee schedule,,9269.313734,,,,fee schedule,,8827.917842,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,outpatient,,,,,,12067.63018,21073.0212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18731.5744,,,,fee schedule,,18397.082,,,,fee schedule,,20069.544,,,,fee schedule,,21073.0212,,,,fee schedule,,12671.01168,,,,fee schedule,,12067.63018,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,outpatient,,,,,,24070.79911,41159.916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36586.592,,,,fee schedule,,35933.26,,,,fee schedule,,39199.92,,,,fee schedule,,41159.916,,,,fee schedule,,25274.33907,,,,fee schedule,,24070.79911,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,outpatient,,,,,,4962.244322,9889.3368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8790.5216,,,,fee schedule,,8633.548,,,,fee schedule,,9418.416,,,,fee schedule,,9889.3368,,,,fee schedule,,5210.356538,,,,fee schedule,,4962.244322,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,outpatient,,,,,,6559.677056,12309.0156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10941.3472,,,,fee schedule,,10745.966,,,,fee schedule,,11722.872,,,,fee schedule,,12309.0156,,,,fee schedule,,6887.660909,,,,fee schedule,,6559.677056,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,outpatient,,,,,,9755.17417,17159.2344,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15252.6528,,,,fee schedule,,14980.284,,,,fee schedule,,16342.128,,,,fee schedule,,17159.2344,,,,fee schedule,,10242.93288,,,,fee schedule,,9755.17417,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,outpatient,,,,,,19059.9514,32951.7972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29290.4864,,,,fee schedule,,28767.442,,,,fee schedule,,31382.664,,,,fee schedule,,32951.7972,,,,fee schedule,,20012.94897,,,,fee schedule,,19059.9514,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,outpatient,,,,,,6299.438904,11859.7878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10542.0336,,,,fee schedule,,10353.783,,,,fee schedule,,11295.036,,,,fee schedule,,11859.7878,,,,fee schedule,,6614.410849,,,,fee schedule,,6299.438904,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,outpatient,,,,,,8522.832824,16455.1086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14626.7632,,,,fee schedule,,14365.571,,,,fee schedule,,15671.532,,,,fee schedule,,16455.1086,,,,fee schedule,,8948.974465,,,,fee schedule,,8522.832824,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,outpatient,,,,,,13412.40451,24651.4842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21912.4304,,,,fee schedule,,21521.137,,,,fee schedule,,23477.604,,,,fee schedule,,24651.4842,,,,fee schedule,,14083.02474,,,,fee schedule,,13412.40451,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,outpatient,,,,,,30063.22472,42917.0616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38148.4992,,,,fee schedule,,37467.276,,,,fee schedule,,40873.392,,,,fee schedule,,42917.0616,,,,fee schedule,,31566.38595,,,,fee schedule,,30063.22472,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,outpatient,,,,,,8175.427524,13415.3712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11924.7744,,,,fee schedule,,11711.832,,,,fee schedule,,12776.544,,,,fee schedule,,13415.3712,,,,fee schedule,,8584.1989,,,,fee schedule,,8175.427524,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,outpatient,,,,,,10976.77753,18656.0514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16583.1568,,,,fee schedule,,16287.029,,,,fee schedule,,17767.668,,,,fee schedule,,18656.0514,,,,fee schedule,,11525.61641,,,,fee schedule,,10976.77753,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,outpatient,,,,,,17151.74883,27552.9366,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24491.4992,,,,fee schedule,,24054.151,,,,fee schedule,,26240.892,,,,fee schedule,,27552.9366,,,,fee schedule,,18009.33627,,,,fee schedule,,17151.74883,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,outpatient,,,,,,33336.41429,50757.3108,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45117.6096,,,,fee schedule,,44311.938,,,,fee schedule,,48340.296,,,,fee schedule,,50757.3108,,,,fee schedule,,35003.235,,,,fee schedule,,33336.41429,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,outpatient,,,,,,9117.21171,14523.516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12909.792,,,,fee schedule,,12679.26,,,,fee schedule,,13831.92,,,,fee schedule,,14523.516,,,,fee schedule,,9573.072296,,,,fee schedule,,9117.21171,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,outpatient,,,,,,11055.73328,18382.1778,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16339.7136,,,,fee schedule,,16047.933,,,,fee schedule,,17506.836,,,,fee schedule,,18382.1778,,,,fee schedule,,11608.51995,,,,fee schedule,,11055.73328,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,outpatient,,,,,,14463.46345,26707.8042,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23740.2704,,,,fee schedule,,23316.337,,,,fee schedule,,25436.004,,,,fee schedule,,26707.8042,,,,fee schedule,,15186.63663,,,,fee schedule,,14463.46345,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,outpatient,,,,,,23688.02164,43777.5534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38913.3808,,,,fee schedule,,38218.499,,,,fee schedule,,41692.908,,,,fee schedule,,43777.5534,,,,fee schedule,,24872.42272,,,,fee schedule,,23688.02164,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,outpatient,,,,,,7666.952494,11324.691,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10066.392,,,,fee schedule,,9886.635,,,,fee schedule,,10785.42,,,,fee schedule,,11324.691,,,,fee schedule,,8050.300119,,,,fee schedule,,7666.952494,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,outpatient,,,,,,10278.17706,13916.1204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12369.8848,,,,fee schedule,,12148.994,,,,fee schedule,,13253.448,,,,fee schedule,,13916.1204,,,,fee schedule,,10792.08591,,,,fee schedule,,10278.17706,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,outpatient,,,,,,18126.37861,20943.7704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18616.6848,,,,fee schedule,,18284.244,,,,fee schedule,,19946.448,,,,fee schedule,,20943.7704,,,,fee schedule,,19032.69754,,,,fee schedule,,18126.37861,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,outpatient,,,,,,18126.37861,62260.9722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55343.0864,,,,fee schedule,,54354.817,,,,fee schedule,,59296.164,,,,fee schedule,,62260.9722,,,,fee schedule,,19032.69754,,,,fee schedule,,18126.37861,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,outpatient,,,,,,7924.664062,10507.5936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9340.0832,,,,fee schedule,,9173.296,,,,fee schedule,,10007.232,,,,fee schedule,,10507.5936,,,,fee schedule,,8320.897265,,,,fee schedule,,7924.664062,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,outpatient,,,,,,9316.1802,13390.965,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11903.08,,,,fee schedule,,11690.525,,,,fee schedule,,12753.3,,,,fee schedule,,13390.965,,,,fee schedule,,9781.98921,,,,fee schedule,,9316.1802,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,outpatient,,,,,,14212.69999,18753.6762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16669.9344,,,,fee schedule,,16372.257,,,,fee schedule,,17860.644,,,,fee schedule,,18753.6762,,,,fee schedule,,14923.33499,,,,fee schedule,,14212.69999,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,outpatient,,,,,,14212.69999,29404.9854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26137.7648,,,,fee schedule,,25671.019,,,,fee schedule,,28004.748,,,,fee schedule,,29404.9854,,,,fee schedule,,14923.33499,,,,fee schedule,,14212.69999,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,outpatient,,,,,,4858.654378,9633.5442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8563.1504,,,,fee schedule,,8410.237,,,,fee schedule,,9174.804,,,,fee schedule,,9633.5442,,,,fee schedule,,5101.587097,,,,fee schedule,,4858.654378,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,outpatient,,,,,,6331.021204,11668.167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10371.704,,,,fee schedule,,10186.495,,,,fee schedule,,11112.54,,,,fee schedule,,11668.167,,,,fee schedule,,6647.572264,,,,fee schedule,,6331.021204,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,outpatient,,,,,,11238.27898,17550.6156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15600.5472,,,,fee schedule,,15321.966,,,,fee schedule,,16714.872,,,,fee schedule,,17550.6156,,,,fee schedule,,11800.19293,,,,fee schedule,,11238.27898,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,outpatient,,,,,,11238.27898,31035.5766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27587.1792,,,,fee schedule,,27094.551,,,,fee schedule,,29557.692,,,,fee schedule,,31035.5766,,,,fee schedule,,11800.19293,,,,fee schedule,,11238.27898,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,outpatient,,,,,,4878.86705,8385.2874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7453.5888,,,,fee schedule,,7320.489,,,,fee schedule,,7985.988,,,,fee schedule,,8385.2874,,,,fee schedule,,5122.810403,,,,fee schedule,,4878.86705,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,outpatient,,,,,,5937.505746,9571.1742,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8507.7104,,,,fee schedule,,8355.787,,,,fee schedule,,9115.404,,,,fee schedule,,9571.1742,,,,fee schedule,,6234.381033,,,,fee schedule,,5937.505746,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,outpatient,,,,,,7994.776768,13560.8886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12054.1232,,,,fee schedule,,11838.871,,,,fee schedule,,12915.132,,,,fee schedule,,13560.8886,,,,fee schedule,,8394.515606,,,,fee schedule,,7994.776768,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,outpatient,,,,,,13834.97568,23245.9542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20663.0704,,,,fee schedule,,20294.087,,,,fee schedule,,22139.004,,,,fee schedule,,23245.9542,,,,fee schedule,,14526.72447,,,,fee schedule,,13834.97568,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,outpatient,,,,,,4055.832312,6515.1576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5791.2512,,,,fee schedule,,5687.836,,,,fee schedule,,6204.912,,,,fee schedule,,6515.1576,,,,fee schedule,,4258.623928,,,,fee schedule,,4055.832312,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,outpatient,,,,,,4815.70245,7755.2748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6893.5776,,,,fee schedule,,6770.478,,,,fee schedule,,7385.976,,,,fee schedule,,7755.2748,,,,fee schedule,,5056.487573,,,,fee schedule,,4815.70245,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,outpatient,,,,,,6661.372062,11729.6298,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10426.3376,,,,fee schedule,,10240.153,,,,fee schedule,,11171.076,,,,fee schedule,,11729.6298,,,,fee schedule,,6994.440665,,,,fee schedule,,6661.372062,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,outpatient,,,,,,12727.0686,23904.8838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21248.7856,,,,fee schedule,,20869.343,,,,fee schedule,,22766.556,,,,fee schedule,,23904.8838,,,,fee schedule,,13363.42203,,,,fee schedule,,12727.0686,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,outpatient,,,,,,3700.215614,5853.519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5203.128,,,,fee schedule,,5110.215,,,,fee schedule,,5574.78,,,,fee schedule,,5853.519,,,,fee schedule,,3885.226395,,,,fee schedule,,3700.215614,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,outpatient,,,,,,4575.67697,7534.737,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6697.544,,,,fee schedule,,6577.945,,,,fee schedule,,7175.94,,,,fee schedule,,7534.737,,,,fee schedule,,4804.460819,,,,fee schedule,,4575.67697,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,outpatient,,,,,,6345.549062,10996.587,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9774.744,,,,fee schedule,,9600.195,,,,fee schedule,,10472.94,,,,fee schedule,,10996.587,,,,fee schedule,,6662.826515,,,,fee schedule,,6345.549062,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,outpatient,,,,,,17414.51357,23874.1524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21221.4688,,,,fee schedule,,20842.514,,,,fee schedule,,22737.288,,,,fee schedule,,23874.1524,,,,fee schedule,,18285.23924,,,,fee schedule,,17414.51357,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,outpatient,,,,,,4566.833926,6363.3024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5656.2688,,,,fee schedule,,5555.264,,,,fee schedule,,6060.288,,,,fee schedule,,6363.3024,,,,fee schedule,,4795.175622,,,,fee schedule,,4566.833926,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,outpatient,,,,,,5254.064774,7573.5954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6732.0848,,,,fee schedule,,6611.869,,,,fee schedule,,7212.948,,,,fee schedule,,7573.5954,,,,fee schedule,,5516.768013,,,,fee schedule,,5254.064774,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,outpatient,,,,,,7670.74237,11058.957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9830.184,,,,fee schedule,,9654.645,,,,fee schedule,,10532.34,,,,fee schedule,,11058.957,,,,fee schedule,,8054.279489,,,,fee schedule,,7670.74237,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,outpatient,,,,,,11943.82756,20866.9482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18548.3984,,,,fee schedule,,18217.177,,,,fee schedule,,19873.284,,,,fee schedule,,20866.9482,,,,fee schedule,,12541.01894,,,,fee schedule,,11943.82756,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,outpatient,,,,,,3569.464892,5213.5776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4634.2912,,,,fee schedule,,4551.536,,,,fee schedule,,4965.312,,,,fee schedule,,5213.5776,,,,fee schedule,,3747.938137,,,,fee schedule,,3569.464892,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,outpatient,,,,,,4223.850148,7031.2662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6250.0144,,,,fee schedule,,6138.407,,,,fee schedule,,6696.444,,,,fee schedule,,7031.2662,,,,fee schedule,,4435.042655,,,,fee schedule,,4223.850148,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,outpatient,,,,,,6090.364078,11071.6074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9841.4288,,,,fee schedule,,9665.689,,,,fee schedule,,10544.388,,,,fee schedule,,11071.6074,,,,fee schedule,,6394.882282,,,,fee schedule,,6090.364078,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,outpatient,,,,,,9663.5855,20734.0686,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18430.2832,,,,fee schedule,,18101.171,,,,fee schedule,,19746.732,,,,fee schedule,,20734.0686,,,,fee schedule,,10146.76478,,,,fee schedule,,9663.5855,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,outpatient,,,,,,4108.890576,5848.101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5198.312,,,,fee schedule,,5105.485,,,,fee schedule,,5569.62,,,,fee schedule,,5848.101,,,,fee schedule,,4314.335105,,,,fee schedule,,4108.890576,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,outpatient,,,,,,5306.491392,7733.5902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6874.3024,,,,fee schedule,,6751.547,,,,fee schedule,,7365.324,,,,fee schedule,,7733.5902,,,,fee schedule,,5571.815962,,,,fee schedule,,5306.491392,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,outpatient,,,,,,7625.263858,11894.1354,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10572.5648,,,,fee schedule,,10383.769,,,,fee schedule,,11327.748,,,,fee schedule,,11894.1354,,,,fee schedule,,8006.527051,,,,fee schedule,,7625.263858,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,outpatient,,,,,,12284.9164,20838.9258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18523.4896,,,,fee schedule,,18192.713,,,,fee schedule,,19846.596,,,,fee schedule,,20838.9258,,,,fee schedule,,12899.16222,,,,fee schedule,,12284.9164,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,outpatient,,,,,,4028.039888,6033.384,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5363.008,,,,fee schedule,,5267.24,,,,fee schedule,,5746.08,,,,fee schedule,,6033.384,,,,fee schedule,,4229.441882,,,,fee schedule,,4028.039888,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,outpatient,,,,,,5071.51908,7621.5006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6774.6672,,,,fee schedule,,6653.691,,,,fee schedule,,7258.572,,,,fee schedule,,7621.5006,,,,fee schedule,,5325.095034,,,,fee schedule,,5071.51908,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,outpatient,,,,,,9880.321,13933.13514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10059.9632,,,,fee schedule,,9880.321,,,,fee schedule,,10778.532,,,,fee schedule,,11317.4586,,,,fee schedule,,13933.13514,,,,fee schedule,,13269.65251,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,outpatient,,,,,,13269.65251,18679.5504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16604.0448,,,,fee schedule,,16307.544,,,,fee schedule,,17790.048,,,,fee schedule,,18679.5504,,,,fee schedule,,13933.13514,,,,fee schedule,,13269.65251,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,outpatient,,,,,,3499.352186,4767.0588,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4237.3856,,,,fee schedule,,4161.718,,,,fee schedule,,4540.056,,,,fee schedule,,4767.0588,,,,fee schedule,,3674.319795,,,,fee schedule,,3499.352186,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,outpatient,,,,,,4722.218842,6266.5848,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5570.2976,,,,fee schedule,,5470.828,,,,fee schedule,,5968.176,,,,fee schedule,,6266.5848,,,,fee schedule,,4958.329784,,,,fee schedule,,4722.218842,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,outpatient,,,,,,6909.60894,10040.2848,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8924.6976,,,,fee schedule,,8765.328,,,,fee schedule,,9562.176,,,,fee schedule,,10040.2848,,,,fee schedule,,7255.089387,,,,fee schedule,,6909.60894,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,outpatient,,,,,,13537.47042,19834.7184,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17630.8608,,,,fee schedule,,17316.024,,,,fee schedule,,18890.208,,,,fee schedule,,19834.7184,,,,fee schedule,,14214.34394,,,,fee schedule,,13537.47042,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,outpatient,,,,,,4127.839956,5376.2688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4778.9056,,,,fee schedule,,4693.568,,,,fee schedule,,5120.256,,,,fee schedule,,5376.2688,,,,fee schedule,,4334.231954,,,,fee schedule,,4127.839956,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,outpatient,,,,,,5101.206442,7237.3518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6433.2016,,,,fee schedule,,6318.323,,,,fee schedule,,6892.716,,,,fee schedule,,7237.3518,,,,fee schedule,,5356.266764,,,,fee schedule,,5101.206442,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,outpatient,,,,,,7517.884038,11112.2802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9877.5824,,,,fee schedule,,9701.197,,,,fee schedule,,10583.124,,,,fee schedule,,11112.2802,,,,fee schedule,,7893.77824,,,,fee schedule,,7517.884038,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,outpatient,,,,,,18752.184,25113.17459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19093.1328,,,,fee schedule,,18752.184,,,,fee schedule,,20456.928,,,,fee schedule,,21479.7744,,,,fee schedule,,25113.17459,,,,fee schedule,,23917.30914,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,outpatient,,,,,,3841.704318,5055.3972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4493.6864,,,,fee schedule,,4413.442,,,,fee schedule,,4814.664,,,,fee schedule,,5055.3972,,,,fee schedule,,4033.789534,,,,fee schedule,,3841.704318,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,outpatient,,,,,,4526.408582,6112.9278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5433.7136,,,,fee schedule,,5336.683,,,,fee schedule,,5821.836,,,,fee schedule,,6112.9278,,,,fee schedule,,4752.729011,,,,fee schedule,,4526.408582,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,outpatient,,,,,,6573.573268,9123.7482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8109.9984,,,,fee schedule,,7965.177,,,,fee schedule,,8689.284,,,,fee schedule,,9123.7482,,,,fee schedule,,6902.251931,,,,fee schedule,,6573.573268,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,outpatient,,,,,,12307.65566,18765.4194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16680.3728,,,,fee schedule,,16382.509,,,,fee schedule,,17871.828,,,,fee schedule,,18765.4194,,,,fee schedule,,12923.03844,,,,fee schedule,,12307.65566,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,outpatient,,,,,,3683.792818,5629.3524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5003.8688,,,,fee schedule,,4914.514,,,,fee schedule,,5361.288,,,,fee schedule,,5629.3524,,,,fee schedule,,3867.982459,,,,fee schedule,,3683.792818,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,outpatient,,,,,,4469.560442,6855.0174,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6093.3488,,,,fee schedule,,5984.539,,,,fee schedule,,6528.588,,,,fee schedule,,6855.0174,,,,fee schedule,,4693.038464,,,,fee schedule,,4469.560442,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,outpatient,,,,,,6132.68436,9248.4882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8220.8784,,,,fee schedule,,8074.077,,,,fee schedule,,8808.084,,,,fee schedule,,9248.4882,,,,fee schedule,,6439.318578,,,,fee schedule,,6132.68436,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,outpatient,,,,,,6132.68436,15807.0276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14050.6912,,,,fee schedule,,13799.786,,,,fee schedule,,15054.312,,,,fee schedule,,15807.0276,,,,fee schedule,,6439.318578,,,,fee schedule,,6132.68436,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,outpatient,,,,,,4909.817704,6392.232,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5681.984,,,,fee schedule,,5580.52,,,,fee schedule,,6087.84,,,,fee schedule,,6392.232,,,,fee schedule,,5155.308589,,,,fee schedule,,4909.817704,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,outpatient,,,,,,5701.270142,7954.128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7070.336,,,,fee schedule,,6944.08,,,,fee schedule,,7575.36,,,,fee schedule,,7954.128,,,,fee schedule,,5986.333649,,,,fee schedule,,5701.270142,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,outpatient,,,,,,8138.16041,12087.5706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10744.5072,,,,fee schedule,,10552.641,,,,fee schedule,,11511.972,,,,fee schedule,,12087.5706,,,,fee schedule,,8545.068431,,,,fee schedule,,8138.16041,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,outpatient,,,,,,13097.21316,24290.8344,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21591.8528,,,,fee schedule,,21206.284,,,,fee schedule,,23134.128,,,,fee schedule,,24290.8344,,,,fee schedule,,13752.07381,,,,fee schedule,,13097.21316,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,outpatient,,,,,,3842.335964,5925.8304,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5267.4048,,,,fee schedule,,5173.344,,,,fee schedule,,5643.648,,,,fee schedule,,5925.8304,,,,fee schedule,,4034.452762,,,,fee schedule,,3842.335964,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,outpatient,,,,,,4562.412404,7527.5046,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6691.1152,,,,fee schedule,,6571.631,,,,fee schedule,,7169.052,,,,fee schedule,,7527.5046,,,,fee schedule,,4790.533024,,,,fee schedule,,4562.412404,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,outpatient,,,,,,6635.474576,11272.275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10019.8,,,,fee schedule,,9840.875,,,,fee schedule,,10735.5,,,,fee schedule,,11272.275,,,,fee schedule,,6967.248305,,,,fee schedule,,6635.474576,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,outpatient,,,,,,12007.62381,20632.8402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18340.3024,,,,fee schedule,,18012.797,,,,fee schedule,,19650.324,,,,fee schedule,,20632.8402,,,,fee schedule,,12608.005,,,,fee schedule,,12007.62381,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,outpatient,,,,,,4355.864162,5782.1148,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5139.6576,,,,fee schedule,,5047.878,,,,fee schedule,,5506.776,,,,fee schedule,,5782.1148,,,,fee schedule,,4573.65737,,,,fee schedule,,4355.864162,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,outpatient,,,,,,5215.534368,7390.1142,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6568.9904,,,,fee schedule,,6451.687,,,,fee schedule,,7038.204,,,,fee schedule,,7390.1142,,,,fee schedule,,5476.311086,,,,fee schedule,,5215.534368,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,outpatient,,,,,,7816.02095,11077.038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9846.256,,,,fee schedule,,9670.43,,,,fee schedule,,10549.56,,,,fee schedule,,11077.038,,,,fee schedule,,8206.821998,,,,fee schedule,,7816.02095,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,outpatient,,,,,,17613.508,20175.4728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17933.7536,,,,fee schedule,,17613.508,,,,fee schedule,,19214.736,,,,fee schedule,,20175.4728,,,,fee schedule,,19959.8907,,,,fee schedule,,19009.41972,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,outpatient,,,,,,10742.43687,19328.5386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17180.9232,,,,fee schedule,,16874.121,,,,fee schedule,,18408.132,,,,fee schedule,,19328.5386,,,,fee schedule,,11279.55871,,,,fee schedule,,10742.43687,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,outpatient,,,,,,13524.8375,23701.5072,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21068.0064,,,,fee schedule,,20691.792,,,,fee schedule,,22572.864,,,,fee schedule,,23701.5072,,,,fee schedule,,14201.07937,,,,fee schedule,,13524.8375,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,outpatient,,,,,,16940.77907,32800.8492,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29156.3104,,,,fee schedule,,28635.662,,,,fee schedule,,31238.904,,,,fee schedule,,32800.8492,,,,fee schedule,,17787.81802,,,,fee schedule,,16940.77907,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,outpatient,,,,,,32867.10131,63640.2816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56569.1392,,,,fee schedule,,55558.976,,,,fee schedule,,60609.792,,,,fee schedule,,63640.2816,,,,fee schedule,,34510.45638,,,,fee schedule,,32867.10131,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,outpatient,,,,,,8257.541504,15091.1586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13414.3632,,,,fee schedule,,13174.821,,,,fee schedule,,14372.532,,,,fee schedule,,15091.1586,,,,fee schedule,,8670.418579,,,,fee schedule,,8257.541504,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,outpatient,,,,,,12391.03293,20552.3892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18268.7904,,,,fee schedule,,17942.562,,,,fee schedule,,19573.704,,,,fee schedule,,20552.3892,,,,fee schedule,,13010.58457,,,,fee schedule,,12391.03293,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,outpatient,,,,,,23780.8736,28538.1558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25367.2496,,,,fee schedule,,24914.263,,,,fee schedule,,27179.196,,,,fee schedule,,28538.1558,,,,fee schedule,,24969.91728,,,,fee schedule,,23780.8736,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,outpatient,,,,,,24356.93475,55163.7072,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49034.4064,,,,fee schedule,,48158.792,,,,fee schedule,,52536.864,,,,fee schedule,,55163.7072,,,,fee schedule,,25574.78149,,,,fee schedule,,24356.93475,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,outpatient,,,,,,5875.604438,11579.589,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10292.968,,,,fee schedule,,10109.165,,,,fee schedule,,11028.18,,,,fee schedule,,11579.589,,,,fee schedule,,6169.38466,,,,fee schedule,,5875.604438,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,outpatient,,,,,,7407.977634,14078.8116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12514.4992,,,,fee schedule,,12291.026,,,,fee schedule,,13408.392,,,,fee schedule,,14078.8116,,,,fee schedule,,7778.376516,,,,fee schedule,,7407.977634,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,outpatient,,,,,,9042.045836,17807.3154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15828.7248,,,,fee schedule,,15546.069,,,,fee schedule,,16959.348,,,,fee schedule,,17807.3154,,,,fee schedule,,9494.148128,,,,fee schedule,,9042.045836,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,outpatient,,,,,,16580.74085,36445.2858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32395.8096,,,,fee schedule,,31817.313,,,,fee schedule,,34709.796,,,,fee schedule,,36445.2858,,,,fee schedule,,17409.77789,,,,fee schedule,,16580.74085,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,outpatient,,,,,,9001.620492,14169.204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12594.848,,,,fee schedule,,12369.94,,,,fee schedule,,13494.48,,,,fee schedule,,14169.204,,,,fee schedule,,9451.701517,,,,fee schedule,,9001.620492,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,outpatient,,,,,,9001.620492,15655.1724,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13915.7088,,,,fee schedule,,13667.214,,,,fee schedule,,14909.688,,,,fee schedule,,15655.1724,,,,fee schedule,,9451.701517,,,,fee schedule,,9001.620492,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,outpatient,,,,,,13028.99539,24064.866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21390.992,,,,fee schedule,,21009.01,,,,fee schedule,,22918.92,,,,fee schedule,,24064.866,,,,fee schedule,,13680.44516,,,,fee schedule,,13028.99539,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,outpatient,,,,,,30307.67172,51203.817,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45514.504,,,,fee schedule,,44701.745,,,,fee schedule,,48765.54,,,,fee schedule,,51203.817,,,,fee schedule,,31823.0553,,,,fee schedule,,30307.67172,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,outpatient,,,,,,3328.17612,5258.7612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4674.4544,,,,fee schedule,,4590.982,,,,fee schedule,,5008.344,,,,fee schedule,,5258.7612,,,,fee schedule,,3494.584926,,,,fee schedule,,3328.17612,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,outpatient,,,,,,4676.108684,6809.8212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6053.1744,,,,fee schedule,,5945.082,,,,fee schedule,,6485.544,,,,fee schedule,,6809.8212,,,,fee schedule,,4909.914118,,,,fee schedule,,4676.108684,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,outpatient,,,,,,7342.918096,10950.4836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9733.7632,,,,fee schedule,,9559.946,,,,fee schedule,,10429.032,,,,fee schedule,,10950.4836,,,,fee schedule,,7710.064001,,,,fee schedule,,7342.918096,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,outpatient,,,,,,14192.48732,24338.7396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21634.4352,,,,fee schedule,,21248.106,,,,fee schedule,,23179.752,,,,fee schedule,,24338.7396,,,,fee schedule,,14902.11169,,,,fee schedule,,14192.48732,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,outpatient,,,,,,3509.458522,5474.7882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4866.4784,,,,fee schedule,,4779.577,,,,fee schedule,,5214.084,,,,fee schedule,,5474.7882,,,,fee schedule,,3684.931448,,,,fee schedule,,3509.458522,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,outpatient,,,,,,4439.241434,7172.2728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6375.3536,,,,fee schedule,,6261.508,,,,fee schedule,,6830.736,,,,fee schedule,,7172.2728,,,,fee schedule,,4661.203506,,,,fee schedule,,4439.241434,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,outpatient,,,,,,6461.771926,11383.4448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10118.6176,,,,fee schedule,,9937.928,,,,fee schedule,,10841.376,,,,fee schedule,,11383.4448,,,,fee schedule,,6784.860522,,,,fee schedule,,6461.771926,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,outpatient,,,,,,14616.32179,25079.922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22293.264,,,,fee schedule,,21895.17,,,,fee schedule,,23885.64,,,,fee schedule,,25079.922,,,,fee schedule,,15347.13788,,,,fee schedule,,14616.32179,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,outpatient,,,,,,4366.602144,7661.2788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6810.0256,,,,fee schedule,,6688.418,,,,fee schedule,,7296.456,,,,fee schedule,,7661.2788,,,,fee schedule,,4584.932251,,,,fee schedule,,4366.602144,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,outpatient,,,,,,5363.339532,9654.3216,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8581.6192,,,,fee schedule,,8428.376,,,,fee schedule,,9194.592,,,,fee schedule,,9654.3216,,,,fee schedule,,5631.506509,,,,fee schedule,,5363.339532,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,outpatient,,,,,,6885.606392,12825.1368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11400.1216,,,,fee schedule,,11196.548,,,,fee schedule,,12214.416,,,,fee schedule,,12825.1368,,,,fee schedule,,7229.886712,,,,fee schedule,,6885.606392,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,outpatient,,,,,,9704.64249,19802.1726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17601.9312,,,,fee schedule,,17287.611,,,,fee schedule,,18859.212,,,,fee schedule,,19802.1726,,,,fee schedule,,10189.87461,,,,fee schedule,,9704.64249,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,outpatient,,,,,,3567.569954,5350.9554,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4756.4048,,,,fee schedule,,4671.469,,,,fee schedule,,5096.148,,,,fee schedule,,5350.9554,,,,fee schedule,,3745.948452,,,,fee schedule,,3567.569954,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,outpatient,,,,,,4405.764196,7071.0444,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6285.3728,,,,fee schedule,,6173.134,,,,fee schedule,,6734.328,,,,fee schedule,,7071.0444,,,,fee schedule,,4626.052406,,,,fee schedule,,4405.764196,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,outpatient,,,,,,6611.472028,11608.5186,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10318.6832,,,,fee schedule,,10134.421,,,,fee schedule,,11055.732,,,,fee schedule,,11608.5186,,,,fee schedule,,6942.045629,,,,fee schedule,,6611.472028,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,outpatient,,,,,,15321.23872,26659.899,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23697.688,,,,fee schedule,,23274.515,,,,fee schedule,,25390.38,,,,fee schedule,,26659.899,,,,fee schedule,,16087.30066,,,,fee schedule,,15321.23872,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,outpatient,,,,,,3253.641892,5525.415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4911.48,,,,fee schedule,,4823.775,,,,fee schedule,,5262.3,,,,fee schedule,,5525.415,,,,fee schedule,,3416.323987,,,,fee schedule,,3253.641892,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,outpatient,,,,,,4079.203214,7014.9996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6235.5552,,,,fee schedule,,6124.206,,,,fee schedule,,6680.952,,,,fee schedule,,7014.9996,,,,fee schedule,,4283.163375,,,,fee schedule,,4079.203214,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,outpatient,,,,,,6214.79834,10676.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9490.32,,,,fee schedule,,9320.85,,,,fee schedule,,10168.2,,,,fee schedule,,10676.61,,,,fee schedule,,6525.538257,,,,fee schedule,,6214.79834,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,outpatient,,,,,,13936.03904,21434.5782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19052.9584,,,,fee schedule,,18712.727,,,,fee schedule,,20413.884,,,,fee schedule,,21434.5782,,,,fee schedule,,14632.841,,,,fee schedule,,13936.03904,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,outpatient,,,,,,3911.817024,7206.6204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6405.8848,,,,fee schedule,,6291.494,,,,fee schedule,,6863.448,,,,fee schedule,,7206.6204,,,,fee schedule,,4107.407875,,,,fee schedule,,3911.817024,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,outpatient,,,,,,5061.412744,9138.213,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8122.856,,,,fee schedule,,7977.805,,,,fee schedule,,8703.06,,,,fee schedule,,9138.213,,,,fee schedule,,5314.483381,,,,fee schedule,,5061.412744,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,outpatient,,,,,,7038.464724,13052.907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11602.584,,,,fee schedule,,11395.395,,,,fee schedule,,12431.34,,,,fee schedule,,13052.907,,,,fee schedule,,7390.38796,,,,fee schedule,,7038.464724,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,outpatient,,,,,,15246.70449,23311.0332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20720.9184,,,,fee schedule,,20350.902,,,,fee schedule,,22200.984,,,,fee schedule,,23311.0332,,,,fee schedule,,16009.03972,,,,fee schedule,,15246.70449,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,outpatient,,,,,,29004.58602,40806.5112,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36272.4544,,,,fee schedule,,35624.732,,,,fee schedule,,38863.344,,,,fee schedule,,40806.5112,,,,fee schedule,,30454.81532,,,,fee schedule,,29004.58602,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,outpatient,,,,,,36011.4351,51256.2456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45561.1072,,,,fee schedule,,44747.516,,,,fee schedule,,48815.472,,,,fee schedule,,51256.2456,,,,fee schedule,,37812.00685,,,,fee schedule,,36011.4351,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,outpatient,,,,,,52029.34601,73045.1484,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64929.0208,,,,fee schedule,,63769.574,,,,fee schedule,,69566.808,,,,fee schedule,,73045.1484,,,,fee schedule,,54630.81331,,,,fee schedule,,52029.34601,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,outpatient,,,,,,69148.2159,107188.2504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95278.4448,,,,fee schedule,,93577.044,,,,fee schedule,,102084.048,,,,fee schedule,,107188.2504,,,,fee schedule,,72605.6267,,,,fee schedule,,69148.2159,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,outpatient,,,,,,17968.46711,26781.0228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23805.3536,,,,fee schedule,,23380.258,,,,fee schedule,,25505.736,,,,fee schedule,,26781.0228,,,,fee schedule,,18866.89046,,,,fee schedule,,17968.46711,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,outpatient,,,,,,21286.50355,33024.1086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29354.7632,,,,fee schedule,,28830.571,,,,fee schedule,,31451.532,,,,fee schedule,,33024.1086,,,,fee schedule,,22350.82872,,,,fee schedule,,21286.50355,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,outpatient,,,,,,30081.54245,48337.6194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42966.7728,,,,fee schedule,,42199.509,,,,fee schedule,,46035.828,,,,fee schedule,,48337.6194,,,,fee schedule,,31585.61957,,,,fee schedule,,30081.54245,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,outpatient,,,,,,41235.14752,75152.0826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66801.8512,,,,fee schedule,,65608.961,,,,fee schedule,,71573.412,,,,fee schedule,,75152.0826,,,,fee schedule,,43296.90489,,,,fee schedule,,41235.14752,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,outpatient,,,,,,7283.543372,10113.5034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8989.7808,,,,fee schedule,,8829.249,,,,fee schedule,,9631.908,,,,fee schedule,,10113.5034,,,,fee schedule,,7647.720541,,,,fee schedule,,7283.543372,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,outpatient,,,,,,8990.88251,13871.8314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12330.5168,,,,fee schedule,,12110.329,,,,fee schedule,,13211.268,,,,fee schedule,,13871.8314,,,,fee schedule,,9440.426636,,,,fee schedule,,8990.88251,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,outpatient,,,,,,12499.67604,21922.677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19486.824,,,,fee schedule,,19138.845,,,,fee schedule,,20878.74,,,,fee schedule,,21922.677,,,,fee schedule,,13124.65984,,,,fee schedule,,12499.67604,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,outpatient,,,,,,20069.95335,41190.6474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36613.9088,,,,fee schedule,,35960.089,,,,fee schedule,,39229.188,,,,fee schedule,,41190.6474,,,,fee schedule,,21073.45102,,,,fee schedule,,20069.95335,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,outpatient,,,,,,8234.170602,13476.834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11979.408,,,,fee schedule,,11765.49,,,,fee schedule,,12835.08,,,,fee schedule,,13476.834,,,,fee schedule,,8645.879132,,,,fee schedule,,8234.170602,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,outpatient,,,,,,10261.12262,15859.4562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14097.2944,,,,fee schedule,,13845.557,,,,fee schedule,,15104.244,,,,fee schedule,,15859.4562,,,,fee schedule,,10774.17875,,,,fee schedule,,10261.12262,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,outpatient,,,,,,13603.79325,21059.4636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18719.5232,,,,fee schedule,,18385.246,,,,fee schedule,,20056.632,,,,fee schedule,,21059.4636,,,,fee schedule,,14283.98291,,,,fee schedule,,13603.79325,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,outpatient,,,,,,21165.85916,32366.0862,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28769.8544,,,,fee schedule,,28256.107,,,,fee schedule,,30824.844,,,,fee schedule,,32366.0862,,,,fee schedule,,22224.15212,,,,fee schedule,,21165.85916,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,outpatient,,,,,,9206.273796,14910.3864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13253.6768,,,,fee schedule,,13017.004,,,,fee schedule,,14200.368,,,,fee schedule,,14910.3864,,,,fee schedule,,9666.587486,,,,fee schedule,,9206.273796,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,outpatient,,,,,,11897.7174,19292.3892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17148.7904,,,,fee schedule,,16842.562,,,,fee schedule,,18373.704,,,,fee schedule,,19292.3892,,,,fee schedule,,12492.60327,,,,fee schedule,,11897.7174,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,outpatient,,,,,,15758.9694,28020.2328,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24906.8736,,,,fee schedule,,24462.108,,,,fee schedule,,26685.936,,,,fee schedule,,28020.2328,,,,fee schedule,,16546.91787,,,,fee schedule,,15758.9694,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,outpatient,,,,,,24067.64088,42632.3394,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37895.4128,,,,fee schedule,,37218.709,,,,fee schedule,,40602.228,,,,fee schedule,,42632.3394,,,,fee schedule,,25271.02293,,,,fee schedule,,24067.64088,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,outpatient,,,,,,6773.173404,12289.1328,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10923.6736,,,,fee schedule,,10728.608,,,,fee schedule,,11703.936,,,,fee schedule,,12289.1328,,,,fee schedule,,7111.832074,,,,fee schedule,,6773.173404,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,outpatient,,,,,,10534.62533,16493.9796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14661.3152,,,,fee schedule,,14399.506,,,,fee schedule,,15708.552,,,,fee schedule,,16493.9796,,,,fee schedule,,11061.3566,,,,fee schedule,,10534.62533,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,outpatient,,,,,,13562.10461,22749.7158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20221.9696,,,,fee schedule,,19860.863,,,,fee schedule,,21666.396,,,,fee schedule,,22749.7158,,,,fee schedule,,14240.20984,,,,fee schedule,,13562.10461,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,outpatient,,,,,,22110.80158,43527.1788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38690.8256,,,,fee schedule,,37999.918,,,,fee schedule,,41454.456,,,,fee schedule,,43527.1788,,,,fee schedule,,23216.34165,,,,fee schedule,,22110.80158,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,outpatient,,,,,,9005.410368,14712.4278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13077.7136,,,,fee schedule,,12844.183,,,,fee schedule,,14011.836,,,,fee schedule,,14712.4278,,,,fee schedule,,9455.680886,,,,fee schedule,,9005.410368,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,outpatient,,,,,,12205.96065,22636.7316,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20121.5392,,,,fee schedule,,19762.226,,,,fee schedule,,21558.792,,,,fee schedule,,22636.7316,,,,fee schedule,,12816.25868,,,,fee schedule,,12205.96065,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,outpatient,,,,,,18917.1994,37265.1048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33124.5376,,,,fee schedule,,32533.028,,,,fee schedule,,35490.576,,,,fee schedule,,37265.1048,,,,fee schedule,,19863.05937,,,,fee schedule,,18917.1994,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,outpatient,,,,,,37644.87165,70379.6058,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62559.6496,,,,fee schedule,,61442.513,,,,fee schedule,,67028.196,,,,fee schedule,,70379.6058,,,,fee schedule,,39527.11524,,,,fee schedule,,37644.87165,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,outpatient,,,,,,8336.497254,13947.7464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12397.9968,,,,fee schedule,,12176.604,,,,fee schedule,,13283.568,,,,fee schedule,,13947.7464,,,,fee schedule,,8753.322117,,,,fee schedule,,8336.497254,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,outpatient,,,,,,9883.398308,17898.6024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15909.8688,,,,fee schedule,,15625.764,,,,fee schedule,,17046.288,,,,fee schedule,,17898.6024,,,,fee schedule,,10377.56822,,,,fee schedule,,9883.398308,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,outpatient,,,,,,14357.97857,26590.2966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23635.8192,,,,fee schedule,,23213.751,,,,fee schedule,,25324.092,,,,fee schedule,,26590.2966,,,,fee schedule,,15075.8775,,,,fee schedule,,14357.97857,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,outpatient,,,,,,21335.14029,42728.1498,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37980.5776,,,,fee schedule,,37302.353,,,,fee schedule,,40693.476,,,,fee schedule,,42728.1498,,,,fee schedule,,22401.8973,,,,fee schedule,,21335.14029,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,outpatient,,,,,,7490.72326,11970.063,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10640.056,,,,fee schedule,,10450.055,,,,fee schedule,,11400.06,,,,fee schedule,,11970.063,,,,fee schedule,,7865.259423,,,,fee schedule,,7490.72326,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,outpatient,,,,,,7505.882764,12087.5706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10744.5072,,,,fee schedule,,10552.641,,,,fee schedule,,11511.972,,,,fee schedule,,12087.5706,,,,fee schedule,,7881.176902,,,,fee schedule,,7505.882764,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,outpatient,,,,,,9162.690222,16416.2376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14592.2112,,,,fee schedule,,14331.636,,,,fee schedule,,15634.512,,,,fee schedule,,16416.2376,,,,fee schedule,,9620.824733,,,,fee schedule,,9162.690222,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,outpatient,,,,,,14661.16865,29780.0874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26471.1888,,,,fee schedule,,25998.489,,,,fee schedule,,28361.988,,,,fee schedule,,29780.0874,,,,fee schedule,,15394.22708,,,,fee schedule,,14661.16865,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,outpatient,,,,,,5354.496488,11547.0558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10264.0496,,,,fee schedule,,10080.763,,,,fee schedule,,10997.196,,,,fee schedule,,11547.0558,,,,fee schedule,,5622.221312,,,,fee schedule,,5354.496488,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,outpatient,,,,,,9136.792736,16870.896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14996.352,,,,fee schedule,,14728.56,,,,fee schedule,,16067.52,,,,fee schedule,,16870.896,,,,fee schedule,,9593.632373,,,,fee schedule,,9136.792736,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,outpatient,,,,,,12590.63306,25088.0616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22300.4992,,,,fee schedule,,21902.276,,,,fee schedule,,23893.392,,,,fee schedule,,25088.0616,,,,fee schedule,,13220.16472,,,,fee schedule,,12590.63306,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,outpatient,,,,,,20559.479,44022.51,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39131.12,,,,fee schedule,,38432.35,,,,fee schedule,,41926.2,,,,fee schedule,,44022.51,,,,fee schedule,,21587.45295,,,,fee schedule,,20559.479,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,outpatient,,,,,,5211.112846,9696.8088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8619.3856,,,,fee schedule,,8465.468,,,,fee schedule,,9235.056,,,,fee schedule,,9696.8088,,,,fee schedule,,5471.668488,,,,fee schedule,,5211.112846,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,outpatient,,,,,,6430.821272,12564.8208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11168.7296,,,,fee schedule,,10969.288,,,,fee schedule,,11966.496,,,,fee schedule,,12564.8208,,,,fee schedule,,6752.362336,,,,fee schedule,,6430.821272,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,outpatient,,,,,,9968.038872,19190.2536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17058.0032,,,,fee schedule,,16753.396,,,,fee schedule,,18276.432,,,,fee schedule,,19190.2536,,,,fee schedule,,10466.44082,,,,fee schedule,,9968.038872,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,outpatient,,,,,,14668.7484,36527.5386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32468.9232,,,,fee schedule,,31889.121,,,,fee schedule,,34788.132,,,,fee schedule,,36527.5386,,,,fee schedule,,15402.18582,,,,fee schedule,,14668.7484,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,outpatient,,,,,,5832.020864,10439.793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9279.816,,,,fee schedule,,9114.105,,,,fee schedule,,9942.66,,,,fee schedule,,10439.793,,,,fee schedule,,6123.621907,,,,fee schedule,,5832.020864,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,outpatient,,,,,,7488.196676,13613.3172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12100.7264,,,,fee schedule,,11884.642,,,,fee schedule,,12965.064,,,,fee schedule,,13613.3172,,,,fee schedule,,7862.60651,,,,fee schedule,,7488.196676,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,outpatient,,,,,,10959.09145,21082.9752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18740.4224,,,,fee schedule,,18405.772,,,,fee schedule,,20079.024,,,,fee schedule,,21082.9752,,,,fee schedule,,11507.04602,,,,fee schedule,,10959.09145,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,outpatient,,,,,,21467.1543,39164.1516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34812.5792,,,,fee schedule,,34190.926,,,,fee schedule,,37299.192,,,,fee schedule,,39164.1516,,,,fee schedule,,22540.51202,,,,fee schedule,,21467.1543,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,outpatient,,,,,,7074.468546,11432.2572,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10162.0064,,,,fee schedule,,9980.542,,,,fee schedule,,10887.864,,,,fee schedule,,11432.2572,,,,fee schedule,,7428.191973,,,,fee schedule,,7074.468546,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,outpatient,,,,,,9138.056028,16079.0994,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14292.5328,,,,fee schedule,,14037.309,,,,fee schedule,,15313.428,,,,fee schedule,,16079.0994,,,,fee schedule,,9594.958829,,,,fee schedule,,9138.056028,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,outpatient,,,,,,12308.91895,23482.7712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20873.5744,,,,fee schedule,,20500.832,,,,fee schedule,,22364.544,,,,fee schedule,,23482.7712,,,,fee schedule,,12924.3649,,,,fee schedule,,12308.91895,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,outpatient,,,,,,21038.89831,42963.165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38189.48,,,,fee schedule,,37507.525,,,,fee schedule,,40917.3,,,,fee schedule,,42963.165,,,,fee schedule,,22090.84323,,,,fee schedule,,21038.89831,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,outpatient,,,,,,11439.77405,18128.187,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16113.944,,,,fee schedule,,15826.195,,,,fee schedule,,17264.94,,,,fee schedule,,18128.187,,,,fee schedule,,12011.76275,,,,fee schedule,,11439.77405,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,outpatient,,,,,,14236.07089,22329.4176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19848.3712,,,,fee schedule,,19493.936,,,,fee schedule,,21266.112,,,,fee schedule,,22329.4176,,,,fee schedule,,14947.87444,,,,fee schedule,,14236.07089,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,outpatient,,,,,,19932.88617,31475.7702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27978.4624,,,,fee schedule,,27478.847,,,,fee schedule,,29976.924,,,,fee schedule,,31475.7702,,,,fee schedule,,20929.53048,,,,fee schedule,,19932.88617,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,outpatient,,,,,,31322.09519,50768.1468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45127.2416,,,,fee schedule,,44321.398,,,,fee schedule,,48350.616,,,,fee schedule,,50768.1468,,,,fee schedule,,32888.19995,,,,fee schedule,,31322.09519,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,outpatient,,,,,,10360.29104,15628.0572,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13891.6064,,,,fee schedule,,13643.542,,,,fee schedule,,14883.864,,,,fee schedule,,15628.0572,,,,fee schedule,,10878.30559,,,,fee schedule,,10360.29104,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,outpatient,,,,,,10938.24713,17438.526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15500.912,,,,fee schedule,,15224.11,,,,fee schedule,,16608.12,,,,fee schedule,,17438.526,,,,fee schedule,,11485.15948,,,,fee schedule,,10938.24713,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,outpatient,,,,,,15832.87198,25167.5928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22371.1936,,,,fee schedule,,21971.708,,,,fee schedule,,23969.136,,,,fee schedule,,25167.5928,,,,fee schedule,,16624.51558,,,,fee schedule,,15832.87198,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,outpatient,,,,,,15832.87198,35380.5228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31449.3536,,,,fee schedule,,30887.758,,,,fee schedule,,33695.736,,,,fee schedule,,35380.5228,,,,fee schedule,,16624.51558,,,,fee schedule,,15832.87198,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,outpatient,,,,,,10547.8899,15430.1112,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13715.6544,,,,fee schedule,,13470.732,,,,fee schedule,,14695.344,,,,fee schedule,,15430.1112,,,,fee schedule,,11075.2844,,,,fee schedule,,10547.8899,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,outpatient,,,,,,12244.49106,17694.3312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15728.2944,,,,fee schedule,,15447.432,,,,fee schedule,,16851.744,,,,fee schedule,,17694.3312,,,,fee schedule,,12856.71561,,,,fee schedule,,12244.49106,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,outpatient,,,,,,16152.48486,24478.839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21758.968,,,,fee schedule,,21370.415,,,,fee schedule,,23313.18,,,,fee schedule,,24478.839,,,,fee schedule,,16960.1091,,,,fee schedule,,16152.48486,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,outpatient,,,,,,25625.91157,35375.0922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31444.5264,,,,fee schedule,,30883.017,,,,fee schedule,,33690.564,,,,fee schedule,,35375.0922,,,,fee schedule,,26907.20714,,,,fee schedule,,25625.91157,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,outpatient,,,,,,9054.678756,12950.7714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11511.7968,,,,fee schedule,,11306.229,,,,fee schedule,,12334.068,,,,fee schedule,,12950.7714,,,,fee schedule,,9507.412694,,,,fee schedule,,9054.678756,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,outpatient,,,,,,9956.037598,14792.8788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13149.2256,,,,fee schedule,,12914.418,,,,fee schedule,,14088.456,,,,fee schedule,,14792.8788,,,,fee schedule,,10453.83948,,,,fee schedule,,9956.037598,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,outpatient,,,,,,13179.95878,22084.461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19630.632,,,,fee schedule,,19280.085,,,,fee schedule,,21032.82,,,,fee schedule,,22084.461,,,,fee schedule,,13838.95672,,,,fee schedule,,13179.95878,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,outpatient,,,,,,18944.99182,37228.0482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33091.5984,,,,fee schedule,,32500.677,,,,fee schedule,,35455.284,,,,fee schedule,,37228.0482,,,,fee schedule,,19892.24142,,,,fee schedule,,18944.99182,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,outpatient,,,,,,13785.07565,20282.1318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18028.5616,,,,fee schedule,,17706.623,,,,fee schedule,,19316.316,,,,fee schedule,,20282.1318,,,,fee schedule,,14474.32943,,,,fee schedule,,13785.07565,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,outpatient,,,,,,14729.38642,23619.2544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20994.8928,,,,fee schedule,,20619.984,,,,fee schedule,,22494.528,,,,fee schedule,,23619.2544,,,,fee schedule,,15465.85574,,,,fee schedule,,14729.38642,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,outpatient,,,,,,21023.10716,31377.2382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27890.8784,,,,fee schedule,,27392.827,,,,fee schedule,,29883.084,,,,fee schedule,,31377.2382,,,,fee schedule,,22074.26252,,,,fee schedule,,21023.10716,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,outpatient,,,,,,27967.42329,45928.7892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40825.5904,,,,fee schedule,,40096.562,,,,fee schedule,,43741.704,,,,fee schedule,,45928.7892,,,,fee schedule,,29365.79445,,,,fee schedule,,27967.42329,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,outpatient,,,,,,8793.177312,12758.2434,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11340.6608,,,,fee schedule,,11138.149,,,,fee schedule,,12150.708,,,,fee schedule,,12758.2434,,,,fee schedule,,9232.836178,,,,fee schedule,,8793.177312,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,outpatient,,,,,,10043.20475,14217.1092,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12637.4304,,,,fee schedule,,12411.762,,,,fee schedule,,13540.104,,,,fee schedule,,14217.1092,,,,fee schedule,,10545.36498,,,,fee schedule,,10043.20475,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,outpatient,,,,,,14610.63697,20309.247,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18052.664,,,,fee schedule,,17730.295,,,,fee schedule,,19342.14,,,,fee schedule,,20309.247,,,,fee schedule,,15341.16882,,,,fee schedule,,14610.63697,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,outpatient,,,,,,18530.63205,30992.1948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27548.6176,,,,fee schedule,,27056.678,,,,fee schedule,,29516.376,,,,fee schedule,,30992.1948,,,,fee schedule,,19457.16365,,,,fee schedule,,18530.63205,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,outpatient,,,,,,3018.037934,4907.1582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4361.9184,,,,fee schedule,,4284.027,,,,fee schedule,,4673.484,,,,fee schedule,,4907.1582,,,,fee schedule,,3168.939831,,,,fee schedule,,3018.037934,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,outpatient,,,,,,4076.044984,6224.1102,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5532.5424,,,,fee schedule,,5433.747,,,,fee schedule,,5927.724,,,,fee schedule,,6224.1102,,,,fee schedule,,4279.847233,,,,fee schedule,,4076.044984,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,outpatient,,,,,,7277.858558,9214.1406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8190.3472,,,,fee schedule,,8044.091,,,,fee schedule,,8775.372,,,,fee schedule,,9214.1406,,,,fee schedule,,7641.751486,,,,fee schedule,,7277.858558,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,outpatient,,,,,,7277.858558,15370.4502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13662.6224,,,,fee schedule,,13418.647,,,,fee schedule,,14638.524,,,,fee schedule,,15370.4502,,,,fee schedule,,7641.751486,,,,fee schedule,,7277.858558,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,outpatient,,,,,,3770.959966,5403.384,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4803.008,,,,fee schedule,,4717.24,,,,fee schedule,,5146.08,,,,fee schedule,,5403.384,,,,fee schedule,,3959.507964,,,,fee schedule,,3770.959966,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,outpatient,,,,,,4060.253834,6479.9028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5759.9136,,,,fee schedule,,5657.058,,,,fee schedule,,6171.336,,,,fee schedule,,6479.9028,,,,fee schedule,,4263.266526,,,,fee schedule,,4060.253834,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,outpatient,,,,,,4801.806238,8786.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7810.32,,,,fee schedule,,7670.85,,,,fee schedule,,8368.2,,,,fee schedule,,8786.61,,,,fee schedule,,5041.89655,,,,fee schedule,,4801.806238,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,outpatient,,,,,,7860.867816,16064.6346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14279.6752,,,,fee schedule,,14024.681,,,,fee schedule,,15299.652,,,,fee schedule,,16064.6346,,,,fee schedule,,8253.911207,,,,fee schedule,,7860.867816,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,outpatient,,,,,,3398.920472,6083.1036,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5407.2032,,,,fee schedule,,5310.646,,,,fee schedule,,5793.432,,,,fee schedule,,6083.1036,,,,fee schedule,,3568.866496,,,,fee schedule,,3398.920472,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,outpatient,,,,,,4146.789336,7464.2274,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6634.8688,,,,fee schedule,,6516.389,,,,fee schedule,,7108.788,,,,fee schedule,,7464.2274,,,,fee schedule,,4354.128803,,,,fee schedule,,4146.789336,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,outpatient,,,,,,6046.148858,10708.2486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9518.4432,,,,fee schedule,,9348.471,,,,fee schedule,,10198.332,,,,fee schedule,,10708.2486,,,,fee schedule,,6348.456301,,,,fee schedule,,6046.148858,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,outpatient,,,,,,7178.05849,19206.5202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17072.4624,,,,fee schedule,,16767.597,,,,fee schedule,,18291.924,,,,fee schedule,,19206.5202,,,,fee schedule,,7536.961415,,,,fee schedule,,7178.05849,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,outpatient,,,,,,6252.6971,8812.818,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7833.616,,,,fee schedule,,7693.73,,,,fee schedule,,8393.16,,,,fee schedule,,8812.818,,,,fee schedule,,6565.331955,,,,fee schedule,,6252.6971,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,outpatient,,,,,,6271.64648,10278.9036,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9136.8032,,,,fee schedule,,8973.646,,,,fee schedule,,9789.432,,,,fee schedule,,10278.9036,,,,fee schedule,,6585.228804,,,,fee schedule,,6271.64648,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,outpatient,,,,,,8489.987232,15792.5628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14037.8336,,,,fee schedule,,13787.158,,,,fee schedule,,15040.536,,,,fee schedule,,15792.5628,,,,fee schedule,,8914.486594,,,,fee schedule,,8489.987232,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,outpatient,,,,,,13137.00685,26673.4566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23709.7392,,,,fee schedule,,23286.351,,,,fee schedule,,25403.292,,,,fee schedule,,26673.4566,,,,fee schedule,,13793.8572,,,,fee schedule,,13137.00685,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,outpatient,,,,,,5015.302586,7427.1708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6601.9296,,,,fee schedule,,6484.038,,,,fee schedule,,7073.496,,,,fee schedule,,7427.1708,,,,fee schedule,,5266.067715,,,,fee schedule,,5015.302586,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,outpatient,,,,,,5612.839702,9307.242,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8273.104,,,,fee schedule,,8125.37,,,,fee schedule,,8864.04,,,,fee schedule,,9307.242,,,,fee schedule,,5893.481687,,,,fee schedule,,5612.839702,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,outpatient,,,,,,7548.834692,13665.7458,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12147.3296,,,,fee schedule,,11930.413,,,,fee schedule,,13014.996,,,,fee schedule,,13665.7458,,,,fee schedule,,7926.276427,,,,fee schedule,,7548.834692,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,outpatient,,,,,,10196.69472,22284.2214,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19808.1968,,,,fee schedule,,19454.479,,,,fee schedule,,21223.068,,,,fee schedule,,22284.2214,,,,fee schedule,,10706.52946,,,,fee schedule,,10196.69472,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,outpatient,,,,,,5934.347516,7430.787,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6605.144,,,,fee schedule,,6487.195,,,,fee schedule,,7076.94,,,,fee schedule,,7430.787,,,,fee schedule,,6231.064892,,,,fee schedule,,5934.347516,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,outpatient,,,,,,7308.177566,9892.0458,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8792.9296,,,,fee schedule,,8635.913,,,,fee schedule,,9420.996,,,,fee schedule,,9892.0458,,,,fee schedule,,7673.586444,,,,fee schedule,,7308.177566,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,outpatient,,,,,,11358.92336,15374.0664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13665.8368,,,,fee schedule,,13421.804,,,,fee schedule,,14641.968,,,,fee schedule,,15374.0664,,,,fee schedule,,11926.86953,,,,fee schedule,,11358.92336,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,outpatient,,,,,,22167.01807,32526.0684,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28912.0608,,,,fee schedule,,28395.774,,,,fee schedule,,30977.208,,,,fee schedule,,32526.0684,,,,fee schedule,,23275.36897,,,,fee schedule,,22167.01807,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,outpatient,,,,,,4074.150046,7111.7172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6321.5264,,,,fee schedule,,6208.642,,,,fee schedule,,6773.064,,,,fee schedule,,7111.7172,,,,fee schedule,,4277.857548,,,,fee schedule,,4074.150046,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,outpatient,,,,,,4678.003622,8594.9766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7639.9792,,,,fee schedule,,7503.551,,,,fee schedule,,8185.692,,,,fee schedule,,8594.9766,,,,fee schedule,,4911.903803,,,,fee schedule,,4678.003622,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,outpatient,,,,,,6149.107156,11854.3698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10537.2176,,,,fee schedule,,10349.053,,,,fee schedule,,11289.876,,,,fee schedule,,11854.3698,,,,fee schedule,,6456.562514,,,,fee schedule,,6149.107156,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,outpatient,,,,,,10931.93067,21790.7046,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19369.5152,,,,fee schedule,,19023.631,,,,fee schedule,,20753.052,,,,fee schedule,,21790.7046,,,,fee schedule,,11478.5272,,,,fee schedule,,10931.93067,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,outpatient,,,,,,3624.418094,6302.7468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5602.4416,,,,fee schedule,,5502.398,,,,fee schedule,,6002.616,,,,fee schedule,,6302.7468,,,,fee schedule,,3805.638999,,,,fee schedule,,3624.418094,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,outpatient,,,,,,4994.458268,8550.6876,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7600.6112,,,,fee schedule,,7464.886,,,,fee schedule,,8143.512,,,,fee schedule,,8550.6876,,,,fee schedule,,5244.181181,,,,fee schedule,,4994.458268,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,outpatient,,,,,,7018.252052,12307.2138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10939.7456,,,,fee schedule,,10744.393,,,,fee schedule,,11721.156,,,,fee schedule,,12307.2138,,,,fee schedule,,7369.164655,,,,fee schedule,,7018.252052,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,outpatient,,,,,,12038.57446,21390.2892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19013.5904,,,,fee schedule,,18674.062,,,,fee schedule,,20371.704,,,,fee schedule,,21390.2892,,,,fee schedule,,12640.50318,,,,fee schedule,,12038.57446,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,outpatient,,,,,,3956.66389,6109.3116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5430.4992,,,,fee schedule,,5333.526,,,,fee schedule,,5818.392,,,,fee schedule,,6109.3116,,,,fee schedule,,4154.497085,,,,fee schedule,,3956.66389,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,outpatient,,,,,,4388.709754,6701.3604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5956.7648,,,,fee schedule,,5850.394,,,,fee schedule,,6382.248,,,,fee schedule,,6701.3604,,,,fee schedule,,4608.145242,,,,fee schedule,,4388.709754,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,outpatient,,,,,,7181.21672,10466.9208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9303.9296,,,,fee schedule,,9137.788,,,,fee schedule,,9968.496,,,,fee schedule,,10466.9208,,,,fee schedule,,7540.277556,,,,fee schedule,,7181.21672,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,outpatient,,,,,,16580.1092,19857.3102,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17650.9424,,,,fee schedule,,17335.747,,,,fee schedule,,18911.724,,,,fee schedule,,19857.3102,,,,fee schedule,,17409.11466,,,,fee schedule,,16580.1092,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,outpatient,,,,,,9141.845904,16395.4602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14573.7424,,,,fee schedule,,14313.497,,,,fee schedule,,15614.724,,,,fee schedule,,16395.4602,,,,fee schedule,,9598.938199,,,,fee schedule,,9141.845904,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,outpatient,,,,,,11355.13349,20317.3866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18059.8992,,,,fee schedule,,17737.401,,,,fee schedule,,19349.892,,,,fee schedule,,20317.3866,,,,fee schedule,,11922.89016,,,,fee schedule,,11355.13349,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,outpatient,,,,,,23617.27729,31691.7972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28170.4864,,,,fee schedule,,27667.442,,,,fee schedule,,30182.664,,,,fee schedule,,31691.7972,,,,fee schedule,,24798.14115,,,,fee schedule,,23617.27729,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,outpatient,,,,,,23617.27729,68190.4062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60613.6944,,,,fee schedule,,59531.307,,,,fee schedule,,64943.244,,,,fee schedule,,68190.4062,,,,fee schedule,,24798.14115,,,,fee schedule,,23617.27729,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,outpatient,,,,,,8718.011438,14871.5154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13219.1248,,,,fee schedule,,12983.069,,,,fee schedule,,14163.348,,,,fee schedule,,14871.5154,,,,fee schedule,,9153.91201,,,,fee schedule,,8718.011438,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,outpatient,,,,,,11786.54771,22444.2162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19950.4144,,,,fee schedule,,19594.157,,,,fee schedule,,21375.444,,,,fee schedule,,22444.2162,,,,fee schedule,,12375.87509,,,,fee schedule,,11786.54771,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,outpatient,,,,,,16345.13689,24419.1906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21705.9472,,,,fee schedule,,21318.341,,,,fee schedule,,23256.372,,,,fee schedule,,24419.1906,,,,fee schedule,,17162.39373,,,,fee schedule,,16345.13689,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,outpatient,,,,,,16345.13689,33195.8466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29507.4192,,,,fee schedule,,28980.501,,,,fee schedule,,31615.092,,,,fee schedule,,33195.8466,,,,fee schedule,,17162.39373,,,,fee schedule,,16345.13689,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,outpatient,,,,,,5024.14563,12958.911,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11519.032,,,,fee schedule,,11313.335,,,,fee schedule,,12341.82,,,,fee schedule,,12958.911,,,,fee schedule,,5275.352912,,,,fee schedule,,5024.14563,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,outpatient,,,,,,10545.99496,21556.5966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19161.4192,,,,fee schedule,,18819.251,,,,fee schedule,,20530.092,,,,fee schedule,,21556.5966,,,,fee schedule,,11073.29471,,,,fee schedule,,10545.99496,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,outpatient,,,,,,16487.88888,26805.429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23827.048,,,,fee schedule,,23401.565,,,,fee schedule,,25528.98,,,,fee schedule,,26805.429,,,,fee schedule,,17312.28333,,,,fee schedule,,16487.88888,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,outpatient,,,,,,16487.88888,51011.289,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45343.368,,,,fee schedule,,44533.665,,,,fee schedule,,48582.18,,,,fee schedule,,51011.289,,,,fee schedule,,17312.28333,,,,fee schedule,,16487.88888,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,outpatient,,,,,,4662.212472,8353.6488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7425.4656,,,,fee schedule,,7292.868,,,,fee schedule,,7955.856,,,,fee schedule,,8353.6488,,,,fee schedule,,4895.323096,,,,fee schedule,,4662.212472,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,outpatient,,,,,,5958.98171,11225.2644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9978.0128,,,,fee schedule,,9799.834,,,,fee schedule,,10690.728,,,,fee schedule,,11225.2644,,,,fee schedule,,6256.930796,,,,fee schedule,,5958.98171,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,outpatient,,,,,,9341.44604,18350.5392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16311.5904,,,,fee schedule,,16020.312,,,,fee schedule,,17476.704,,,,fee schedule,,18350.5392,,,,fee schedule,,9808.518342,,,,fee schedule,,9341.44604,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,outpatient,,,,,,19191.33376,34544.4372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30706.1664,,,,fee schedule,,30157.842,,,,fee schedule,,32899.464,,,,fee schedule,,34544.4372,,,,fee schedule,,20150.90045,,,,fee schedule,,19191.33376,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,outpatient,,,,,,3738.74602,5680.8738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5049.6656,,,,fee schedule,,4959.493,,,,fee schedule,,5410.356,,,,fee schedule,,5680.8738,,,,fee schedule,,3925.683321,,,,fee schedule,,3738.74602,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,outpatient,,,,,,4707.059338,7228.3176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6425.1712,,,,fee schedule,,6310.436,,,,fee schedule,,6884.112,,,,fee schedule,,7228.3176,,,,fee schedule,,4942.412305,,,,fee schedule,,4707.059338,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,outpatient,,,,,,7247.53955,11288.5416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10034.2592,,,,fee schedule,,9855.076,,,,fee schedule,,10750.992,,,,fee schedule,,11288.5416,,,,fee schedule,,7609.916528,,,,fee schedule,,7247.53955,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,outpatient,,,,,,10861.18632,20744.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18439.12,,,,fee schedule,,18109.85,,,,fee schedule,,19756.2,,,,fee schedule,,20744.01,,,,fee schedule,,11404.24563,,,,fee schedule,,10861.18632,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,outpatient,,,,,,3861.858,4651.91831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3932.0736,,,,fee schedule,,3861.858,,,,fee schedule,,4212.936,,,,fee schedule,,4423.5828,,,,fee schedule,,4651.91831,,,,fee schedule,,4430.39839,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,outpatient,,,,,,5430.294008,7617.8844,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6771.4528,,,,fee schedule,,6650.534,,,,fee schedule,,7255.128,,,,fee schedule,,7617.8844,,,,fee schedule,,5701.808708,,,,fee schedule,,5430.294008,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,outpatient,,,,,,11965.30352,15169.7952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13484.2624,,,,fee schedule,,13243.472,,,,fee schedule,,14447.424,,,,fee schedule,,15169.7952,,,,fee schedule,,12563.5687,,,,fee schedule,,11965.30352,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,outpatient,,,,,,11965.30352,31449.5496,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27955.1552,,,,fee schedule,,27455.956,,,,fee schedule,,29951.952,,,,fee schedule,,31449.5496,,,,fee schedule,,12563.5687,,,,fee schedule,,11965.30352,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,outpatient,,,,,,5091.731752,7458.8094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6630.0528,,,,fee schedule,,6511.659,,,,fee schedule,,7103.628,,,,fee schedule,,7458.8094,,,,fee schedule,,5346.31834,,,,fee schedule,,5091.731752,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,outpatient,,,,,,5091.731752,8616.6738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7659.2656,,,,fee schedule,,7522.493,,,,fee schedule,,8206.356,,,,fee schedule,,8616.6738,,,,fee schedule,,5346.31834,,,,fee schedule,,5091.731752,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,outpatient,,,,,,6529.989694,12347.8866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10975.8992,,,,fee schedule,,10779.901,,,,fee schedule,,11759.892,,,,fee schedule,,12347.8866,,,,fee schedule,,6856.489179,,,,fee schedule,,6529.989694,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,outpatient,,,,,,11597.05391,18516.8592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16459.4304,,,,fee schedule,,16165.512,,,,fee schedule,,17635.104,,,,fee schedule,,18516.8592,,,,fee schedule,,12176.9066,,,,fee schedule,,11597.05391,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,outpatient,,,,,,3546.09399,4724.5716,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4199.6192,,,,fee schedule,,4124.626,,,,fee schedule,,4499.592,,,,fee schedule,,4724.5716,,,,fee schedule,,3723.39869,,,,fee schedule,,3546.09399,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,outpatient,,,,,,4417.133824,6189.7626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5502.0112,,,,fee schedule,,5403.761,,,,fee schedule,,5895.012,,,,fee schedule,,6189.7626,,,,fee schedule,,4637.990515,,,,fee schedule,,4417.133824,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,outpatient,,,,,,6168.056536,9687.7746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8611.3552,,,,fee schedule,,8457.581,,,,fee schedule,,9226.452,,,,fee schedule,,9687.7746,,,,fee schedule,,6476.459363,,,,fee schedule,,6168.056536,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,outpatient,,,,,,10511.88608,19568.0646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17393.8352,,,,fee schedule,,17083.231,,,,fee schedule,,18636.252,,,,fee schedule,,19568.0646,,,,fee schedule,,11037.48038,,,,fee schedule,,10511.88608,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,outpatient,,,,,,3354.073606,7037.604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6255.648,,,,fee schedule,,6143.94,,,,fee schedule,,6702.48,,,,fee schedule,,7037.604,,,,fee schedule,,3521.777286,,,,fee schedule,,3354.073606,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,outpatient,,,,,,4317.965402,8084.286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7186.032,,,,fee schedule,,7057.71,,,,fee schedule,,7699.32,,,,fee schedule,,8084.286,,,,fee schedule,,4533.863672,,,,fee schedule,,4317.965402,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,outpatient,,,,,,7148.371128,11720.5956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10418.3072,,,,fee schedule,,10232.266,,,,fee schedule,,11162.472,,,,fee schedule,,11720.5956,,,,fee schedule,,7505.789684,,,,fee schedule,,7148.371128,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,outpatient,,,,,,8961.195148,19557.216,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17384.192,,,,fee schedule,,17073.76,,,,fee schedule,,18625.92,,,,fee schedule,,19557.216,,,,fee schedule,,9409.254905,,,,fee schedule,,8961.195148,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,outpatient,,,,,,3904.868918,5263.2846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4678.4752,,,,fee schedule,,4594.931,,,,fee schedule,,5012.652,,,,fee schedule,,5263.2846,,,,fee schedule,,4100.112364,,,,fee schedule,,3904.868918,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,outpatient,,,,,,4736.115054,6615.4914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5880.4368,,,,fee schedule,,5775.429,,,,fee schedule,,6300.468,,,,fee schedule,,6615.4914,,,,fee schedule,,4972.920807,,,,fee schedule,,4736.115054,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,outpatient,,,,,,6873.605118,10608.822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9430.064,,,,fee schedule,,9261.67,,,,fee schedule,,10103.64,,,,fee schedule,,10608.822,,,,fee schedule,,7217.285374,,,,fee schedule,,6873.605118,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,outpatient,,,,,,15188.59306,20675.3148,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18378.0576,,,,fee schedule,,18049.878,,,,fee schedule,,19690.776,,,,fee schedule,,20675.3148,,,,fee schedule,,15948.02272,,,,fee schedule,,15188.59306,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,outpatient,,,,,,9471.565116,13667.5476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12148.9312,,,,fee schedule,,11931.986,,,,fee schedule,,13016.712,,,,fee schedule,,13667.5476,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,outpatient,,,,,,9471.565116,24038.658,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21367.696,,,,fee schedule,,20986.13,,,,fee schedule,,22893.96,,,,fee schedule,,24038.658,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,outpatient,,,,,,9471.565116,34381.7334,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30561.5408,,,,fee schedule,,30015.799,,,,fee schedule,,32744.508,,,,fee schedule,,34381.7334,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,outpatient,,,,,,9471.565116,48171.312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42818.944,,,,fee schedule,,42054.32,,,,fee schedule,,45877.44,,,,fee schedule,,48171.312,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,outpatient,,,,,,7977.722326,11605.797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10316.264,,,,fee schedule,,10132.045,,,,fee schedule,,11053.14,,,,fee schedule,,11605.797,,,,fee schedule,,8376.608442,,,,fee schedule,,7977.722326,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,outpatient,,,,,,8757.17349,13252.6674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11780.1488,,,,fee schedule,,11569.789,,,,fee schedule,,12621.588,,,,fee schedule,,13252.6674,,,,fee schedule,,9195.032165,,,,fee schedule,,8757.17349,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,outpatient,,,,,,12151.00745,21661.4538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19254.6256,,,,fee schedule,,18910.793,,,,fee schedule,,20629.956,,,,fee schedule,,21661.4538,,,,fee schedule,,12758.55782,,,,fee schedule,,12151.00745,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,outpatient,,,,,,23432.20501,48063.7458,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42723.3296,,,,fee schedule,,41960.413,,,,fee schedule,,45774.996,,,,fee schedule,,48063.7458,,,,fee schedule,,24603.81526,,,,fee schedule,,23432.20501,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,outpatient,,,,,,6962.035558,10885.4046,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9675.9152,,,,fee schedule,,9503.131,,,,fee schedule,,10367.052,,,,fee schedule,,10885.4046,,,,fee schedule,,7310.137336,,,,fee schedule,,6962.035558,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,outpatient,,,,,,8724.959544,15234.8742,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13542.1104,,,,fee schedule,,13300.287,,,,fee schedule,,14509.404,,,,fee schedule,,15234.8742,,,,fee schedule,,9161.207521,,,,fee schedule,,8724.959544,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,outpatient,,,,,,14526.62805,25796.6982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22930.3984,,,,fee schedule,,22520.927,,,,fee schedule,,24568.284,,,,fee schedule,,25796.6982,,,,fee schedule,,15252.95946,,,,fee schedule,,14526.62805,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,outpatient,,,,,,14526.62805,50808.8322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45163.4064,,,,fee schedule,,44356.917,,,,fee schedule,,48389.364,,,,fee schedule,,50808.8322,,,,fee schedule,,15252.95946,,,,fee schedule,,14526.62805,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,outpatient,,,,,,8054.783138,14714.2422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13079.3264,,,,fee schedule,,12845.767,,,,fee schedule,,14013.564,,,,fee schedule,,14714.2422,,,,fee schedule,,8457.522295,,,,fee schedule,,8054.783138,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,outpatient,,,,,,8447.035304,15825.1086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14066.7632,,,,fee schedule,,13815.571,,,,fee schedule,,15071.532,,,,fee schedule,,15825.1086,,,,fee schedule,,8869.387069,,,,fee schedule,,8447.035304,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,outpatient,,,,,,14105.32017,24232.9878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21540.4336,,,,fee schedule,,21155.783,,,,fee schedule,,23079.036,,,,fee schedule,,24232.9878,,,,fee schedule,,14810.58618,,,,fee schedule,,14105.32017,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,outpatient,,,,,,31113.02037,48860.0658,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43431.1696,,,,fee schedule,,42655.613,,,,fee schedule,,46533.396,,,,fee schedule,,48860.0658,,,,fee schedule,,32668.67139,,,,fee schedule,,31113.02037,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,outpatient,,,,,,3750.115648,4968.621,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4416.552,,,,fee schedule,,4337.685,,,,fee schedule,,4732.02,,,,fee schedule,,4968.621,,,,fee schedule,,3937.62143,,,,fee schedule,,3750.115648,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,outpatient,,,,,,3957.295536,5773.9752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5132.4224,,,,fee schedule,,5040.772,,,,fee schedule,,5499.024,,,,fee schedule,,5773.9752,,,,fee schedule,,4155.160313,,,,fee schedule,,3957.295536,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,outpatient,,,,,,5540.200412,9007.1478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8006.3536,,,,fee schedule,,7863.383,,,,fee schedule,,8578.236,,,,fee schedule,,9007.1478,,,,fee schedule,,5817.210433,,,,fee schedule,,5540.200412,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,outpatient,,,,,,9846.131194,19570.7862,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17396.2544,,,,fee schedule,,17085.607,,,,fee schedule,,18638.844,,,,fee schedule,,19570.7862,,,,fee schedule,,10338.43775,,,,fee schedule,,9846.131194,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,outpatient,,,,,,4614.654,5285.8764,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4698.5568,,,,fee schedule,,4614.654,,,,fee schedule,,5034.168,,,,fee schedule,,5285.8764,,,,fee schedule,,5063.783084,,,,fee schedule,,4822.650556,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,outpatient,,,,,,6240.201,7487.88252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6353.6592,,,,fee schedule,,6240.201,,,,fee schedule,,6807.492,,,,fee schedule,,7147.8666,,,,fee schedule,,7487.88252,,,,fee schedule,,7131.316686,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,outpatient,,,,,,9864.547,11356.49319,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10043.9024,,,,fee schedule,,9864.547,,,,fee schedule,,10761.324,,,,fee schedule,,11299.3902,,,,fee schedule,,11356.49319,,,,fee schedule,,10815.7078,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,outpatient,,,,,,19673.852,22535.5032,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20031.5584,,,,fee schedule,,19673.852,,,,fee schedule,,21462.384,,,,fee schedule,,22535.5032,,,,fee schedule,,21429.60461,,,,fee schedule,,20409.14725,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,outpatient,,,,,,3476.61293,4096.3734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3641.2208,,,,fee schedule,,3576.199,,,,fee schedule,,3901.308,,,,fee schedule,,4096.3734,,,,fee schedule,,3650.443577,,,,fee schedule,,3476.61293,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,outpatient,,,,,,4305.964128,5467.5558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4860.0496,,,,fee schedule,,4773.263,,,,fee schedule,,5207.196,,,,fee schedule,,5467.5558,,,,fee schedule,,4521.262334,,,,fee schedule,,4305.964128,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,outpatient,,,,,,5760.01322,8087.9022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7189.2464,,,,fee schedule,,7060.867,,,,fee schedule,,7702.764,,,,fee schedule,,8087.9022,,,,fee schedule,,6048.013881,,,,fee schedule,,5760.01322,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,outpatient,,,,,,10484.09365,14413.2534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12811.7808,,,,fee schedule,,12582.999,,,,fee schedule,,13726.908,,,,fee schedule,,14413.2534,,,,fee schedule,,11008.29834,,,,fee schedule,,10484.09365,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,outpatient,,,,,,5712.008124,7490.448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6658.176,,,,fee schedule,,6539.28,,,,fee schedule,,7133.76,,,,fee schedule,,7490.448,,,,fee schedule,,5997.60853,,,,fee schedule,,5712.008124,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,outpatient,,,,,,6148.47551,8278.6284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7358.7808,,,,fee schedule,,7227.374,,,,fee schedule,,7884.408,,,,fee schedule,,8278.6284,,,,fee schedule,,6455.899286,,,,fee schedule,,6148.47551,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,outpatient,,,,,,12107.42387,14254.1658,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12670.3696,,,,fee schedule,,12444.113,,,,fee schedule,,13575.396,,,,fee schedule,,14254.1658,,,,fee schedule,,12712.79507,,,,fee schedule,,12107.42387,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,outpatient,,,,,,12107.42387,41152.6962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36580.1744,,,,fee schedule,,35926.957,,,,fee schedule,,39193.044,,,,fee schedule,,41152.6962,,,,fee schedule,,12712.79507,,,,fee schedule,,12107.42387,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,outpatient,,,,,,4203.637476,5842.6704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5193.4848,,,,fee schedule,,5100.744,,,,fee schedule,,5564.448,,,,fee schedule,,5842.6704,,,,fee schedule,,4413.81935,,,,fee schedule,,4203.637476,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,outpatient,,,,,,5074.67731,8192.7594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7282.4528,,,,fee schedule,,7152.409,,,,fee schedule,,7802.628,,,,fee schedule,,8192.7594,,,,fee schedule,,5328.411176,,,,fee schedule,,5074.67731,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,outpatient,,,,,,8380.712474,12213.2052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10856.1824,,,,fee schedule,,10662.322,,,,fee schedule,,11631.624,,,,fee schedule,,12213.2052,,,,fee schedule,,8799.748098,,,,fee schedule,,8380.712474,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,outpatient,,,,,,12667.69388,21969.675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19528.6,,,,fee schedule,,19179.875,,,,fee schedule,,20923.5,,,,fee schedule,,21969.675,,,,fee schedule,,13301.07857,,,,fee schedule,,12667.69388,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,outpatient,,,,,,3119.73294,4587.1812,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4077.4944,,,,fee schedule,,4004.682,,,,fee schedule,,4368.744,,,,fee schedule,,4587.1812,,,,fee schedule,,3275.719587,,,,fee schedule,,3119.73294,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,outpatient,,,,,,4023.618366,5811.0318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5165.3616,,,,fee schedule,,5073.123,,,,fee schedule,,5534.316,,,,fee schedule,,5811.0318,,,,fee schedule,,4224.799284,,,,fee schedule,,4023.618366,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,outpatient,,,,,,5727.167628,8630.2314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7671.3168,,,,fee schedule,,7534.329,,,,fee schedule,,8219.268,,,,fee schedule,,8630.2314,,,,fee schedule,,6013.526009,,,,fee schedule,,5727.167628,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,outpatient,,,,,,9265.64852,19008.5616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16896.4992,,,,fee schedule,,16594.776,,,,fee schedule,,18103.392,,,,fee schedule,,19008.5616,,,,fee schedule,,9728.930946,,,,fee schedule,,9265.64852,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,outpatient,,,,,,3394.49895,4842.9864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4304.8768,,,,fee schedule,,4228.004,,,,fee schedule,,4612.368,,,,fee schedule,,4842.9864,,,,fee schedule,,3564.223898,,,,fee schedule,,3394.49895,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,outpatient,,,,,,4305.332482,6439.23,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5723.76,,,,fee schedule,,5621.55,,,,fee schedule,,6132.6,,,,fee schedule,,6439.23,,,,fee schedule,,4520.599106,,,,fee schedule,,4305.332482,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,outpatient,,,,,,6562.835286,9986.0544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8876.4928,,,,fee schedule,,8717.984,,,,fee schedule,,9510.528,,,,fee schedule,,9986.0544,,,,fee schedule,,6890.97705,,,,fee schedule,,6562.835286,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,outpatient,,,,,,11322.91954,18584.6472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16519.6864,,,,fee schedule,,16224.692,,,,fee schedule,,17699.664,,,,fee schedule,,18584.6472,,,,fee schedule,,11889.06552,,,,fee schedule,,11322.91954,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,outpatient,,,,,,3553.673742,5498.2998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4887.3776,,,,fee schedule,,4800.103,,,,fee schedule,,5236.476,,,,fee schedule,,5498.2998,,,,fee schedule,,3731.357429,,,,fee schedule,,3553.673742,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,outpatient,,,,,,4304.700836,7071.0444,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6285.3728,,,,fee schedule,,6173.134,,,,fee schedule,,6734.328,,,,fee schedule,,7071.0444,,,,fee schedule,,4519.935878,,,,fee schedule,,4304.700836,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,outpatient,,,,,,7370.71052,11070.7002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9840.6224,,,,fee schedule,,9664.897,,,,fee schedule,,10543.524,,,,fee schedule,,11070.7002,,,,fee schedule,,7739.246046,,,,fee schedule,,7370.71052,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,outpatient,,,,,,9139.31932,23006.4282,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20450.1584,,,,fee schedule,,20084.977,,,,fee schedule,,21910.884,,,,fee schedule,,23006.4282,,,,fee schedule,,9596.285286,,,,fee schedule,,9139.31932,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,outpatient,,,,,,13909.50991,46527.1506,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41357.4672,,,,fee schedule,,40618.941,,,,fee schedule,,44311.572,,,,fee schedule,,46527.1506,,,,fee schedule,,14604.98541,,,,fee schedule,,13909.50991,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,outpatient,,,,,,13909.50991,50434.6248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44830.7776,,,,fee schedule,,44030.228,,,,fee schedule,,48032.976,,,,fee schedule,,50434.6248,,,,fee schedule,,14604.98541,,,,fee schedule,,13909.50991,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,outpatient,,,,,,24804.14012,57700.9062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51289.6944,,,,fee schedule,,50373.807,,,,fee schedule,,54953.244,,,,fee schedule,,57700.9062,,,,fee schedule,,26044.34713,,,,fee schedule,,24804.14012,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,outpatient,,,,,,24804.14012,95211.8622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84632.7664,,,,fee schedule,,83121.467,,,,fee schedule,,90677.964,,,,fee schedule,,95211.8622,,,,fee schedule,,26044.34713,,,,fee schedule,,24804.14012,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,outpatient,,,,,,12193.973,14341.02054,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12415.6816,,,,fee schedule,,12193.973,,,,fee schedule,,13302.516,,,,fee schedule,,13967.6418,,,,fee schedule,,14341.02054,,,,fee schedule,,13658.1148,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,outpatient,,,,,,13658.1148,22665.6612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20147.2544,,,,fee schedule,,19787.482,,,,fee schedule,,21586.344,,,,fee schedule,,22665.6612,,,,fee schedule,,14341.02054,,,,fee schedule,,13658.1148,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,outpatient,,,,,,18121.32544,30356.7642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26983.7904,,,,fee schedule,,26501.937,,,,fee schedule,,28911.204,,,,fee schedule,,30356.7642,,,,fee schedule,,19027.39171,,,,fee schedule,,18121.32544,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,outpatient,,,,,,27560.01162,56226.6684,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49979.2608,,,,fee schedule,,49086.774,,,,fee schedule,,53549.208,,,,fee schedule,,56226.6684,,,,fee schedule,,28938.0122,,,,fee schedule,,27560.01162,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,outpatient,,,,,,8464.721392,13902.5628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12357.8336,,,,fee schedule,,12137.158,,,,fee schedule,,13240.536,,,,fee schedule,,13902.5628,,,,fee schedule,,8887.957462,,,,fee schedule,,8464.721392,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,outpatient,,,,,,9613.685466,16137.8532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14344.7584,,,,fee schedule,,14088.602,,,,fee schedule,,15369.384,,,,fee schedule,,16137.8532,,,,fee schedule,,10094.36974,,,,fee schedule,,9613.685466,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,outpatient,,,,,,14569.57998,24628.8798,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21892.3376,,,,fee schedule,,21501.403,,,,fee schedule,,23456.076,,,,fee schedule,,24628.8798,,,,fee schedule,,15298.05898,,,,fee schedule,,14569.57998,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,outpatient,,,,,,21999.00023,45006.8346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40006.0752,,,,fee schedule,,39291.681,,,,fee schedule,,42863.652,,,,fee schedule,,45006.8346,,,,fee schedule,,23098.95025,,,,fee schedule,,21999.00023,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,outpatient,,,,,,7341.023158,12685.0374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11275.5888,,,,fee schedule,,11074.239,,,,fee schedule,,12080.988,,,,fee schedule,,12685.0374,,,,fee schedule,,7708.074316,,,,fee schedule,,7341.023158,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,outpatient,,,,,,8073.732518,14706.1026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13072.0912,,,,fee schedule,,12838.661,,,,fee schedule,,14005.812,,,,fee schedule,,14706.1026,,,,fee schedule,,8477.419144,,,,fee schedule,,8073.732518,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,outpatient,,,,,,15315.55391,21633.4314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19229.7168,,,,fee schedule,,18886.329,,,,fee schedule,,20603.268,,,,fee schedule,,21633.4314,,,,fee schedule,,16081.3316,,,,fee schedule,,15315.55391,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,outpatient,,,,,,15315.55391,40019.2254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35572.6448,,,,fee schedule,,34937.419,,,,fee schedule,,38113.548,,,,fee schedule,,40019.2254,,,,fee schedule,,16081.3316,,,,fee schedule,,15315.55391,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,outpatient,,,,,,8557.573354,10734.4566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9541.7392,,,,fee schedule,,9371.351,,,,fee schedule,,10223.292,,,,fee schedule,,10734.4566,,,,fee schedule,,8985.452022,,,,fee schedule,,8557.573354,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,outpatient,,,,,,8557.573354,15720.2514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13973.5568,,,,fee schedule,,13724.029,,,,fee schedule,,14971.668,,,,fee schedule,,15720.2514,,,,fee schedule,,8985.452022,,,,fee schedule,,8557.573354,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,outpatient,,,,,,12468.09374,23316.4512,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20725.7344,,,,fee schedule,,20355.632,,,,fee schedule,,22206.144,,,,fee schedule,,23316.4512,,,,fee schedule,,13091.49843,,,,fee schedule,,12468.09374,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,outpatient,,,,,,21381.25045,41642.5968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37015.6416,,,,fee schedule,,36354.648,,,,fee schedule,,39659.616,,,,fee schedule,,41642.5968,,,,fee schedule,,22450.31297,,,,fee schedule,,21381.25045,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,outpatient,,,,,,6099.838768,10513.0116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9344.8992,,,,fee schedule,,9178.026,,,,fee schedule,,10012.392,,,,fee schedule,,10513.0116,,,,fee schedule,,6404.830706,,,,fee schedule,,6099.838768,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,outpatient,,,,,,10322.39228,12984.2118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11541.5216,,,,fee schedule,,11335.423,,,,fee schedule,,12365.916,,,,fee schedule,,12984.2118,,,,fee schedule,,10838.51189,,,,fee schedule,,10322.39228,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,outpatient,,,,,,12426.4051,18848.5794,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16754.2928,,,,fee schedule,,16455.109,,,,fee schedule,,17951.028,,,,fee schedule,,18848.5794,,,,fee schedule,,13047.72536,,,,fee schedule,,12426.4051,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,outpatient,,,,,,12426.4051,35530.5636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31582.7232,,,,fee schedule,,31018.746,,,,fee schedule,,33838.632,,,,fee schedule,,35530.5636,,,,fee schedule,,13047.72536,,,,fee schedule,,12426.4051,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,outpatient,,,,,,4610.4175,9089.4006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8079.4672,,,,fee schedule,,7935.191,,,,fee schedule,,8656.572,,,,fee schedule,,9089.4006,,,,fee schedule,,4840.938375,,,,fee schedule,,4610.4175,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,outpatient,,,,,,5695.585328,10796.8266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9597.1792,,,,fee schedule,,9425.801,,,,fee schedule,,10282.692,,,,fee schedule,,10796.8266,,,,fee schedule,,5980.364594,,,,fee schedule,,5695.585328,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,outpatient,,,,,,9998.989526,17490.0474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15546.7088,,,,fee schedule,,15269.089,,,,fee schedule,,16657.188,,,,fee schedule,,17490.0474,,,,fee schedule,,10498.939,,,,fee schedule,,9998.989526,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,outpatient,,,,,,15361.03242,32042.493,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28482.216,,,,fee schedule,,27973.605,,,,fee schedule,,30516.66,,,,fee schedule,,32042.493,,,,fee schedule,,16129.08404,,,,fee schedule,,15361.03242,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,outpatient,,,,,,8735.06588,13245.435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11773.72,,,,fee schedule,,11563.475,,,,fee schedule,,12614.7,,,,fee schedule,,13245.435,,,,fee schedule,,9171.819174,,,,fee schedule,,8735.06588,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,outpatient,,,,,,8735.06588,15922.7208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14153.5296,,,,fee schedule,,13900.788,,,,fee schedule,,15164.496,,,,fee schedule,,15922.7208,,,,fee schedule,,9171.819174,,,,fee schedule,,8735.06588,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,outpatient,,,,,,11598.94884,23034.438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20475.056,,,,fee schedule,,20109.43,,,,fee schedule,,21937.56,,,,fee schedule,,23034.438,,,,fee schedule,,12178.89629,,,,fee schedule,,11598.94884,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,outpatient,,,,,,30017.11456,45526.5594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40468.0528,,,,fee schedule,,39745.409,,,,fee schedule,,43358.628,,,,fee schedule,,45526.5594,,,,fee schedule,,31517.97029,,,,fee schedule,,30017.11456,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,outpatient,,,,,,6220.483154,7541.0622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6703.1664,,,,fee schedule,,6583.467,,,,fee schedule,,7181.964,,,,fee schedule,,7541.0622,,,,fee schedule,,6531.507312,,,,fee schedule,,6220.483154,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,outpatient,,,,,,6220.483154,8643.789,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7683.368,,,,fee schedule,,7546.165,,,,fee schedule,,8232.18,,,,fee schedule,,8643.789,,,,fee schedule,,6531.507312,,,,fee schedule,,6220.483154,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,outpatient,,,,,,8580.944256,13117.986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11660.432,,,,fee schedule,,11452.21,,,,fee schedule,,12493.32,,,,fee schedule,,13117.986,,,,fee schedule,,9009.991469,,,,fee schedule,,8580.944256,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,outpatient,,,,,,8580.944256,20840.7276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18525.0912,,,,fee schedule,,18194.286,,,,fee schedule,,19848.312,,,,fee schedule,,20840.7276,,,,fee schedule,,9009.991469,,,,fee schedule,,8580.944256,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,outpatient,,,,,,4095.62601,5501.0088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4889.7856,,,,fee schedule,,4802.468,,,,fee schedule,,5239.056,,,,fee schedule,,5501.0088,,,,fee schedule,,4300.407311,,,,fee schedule,,4095.62601,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,outpatient,,,,,,6073.309636,7592.5836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6748.9632,,,,fee schedule,,6628.446,,,,fee schedule,,7231.032,,,,fee schedule,,7592.5836,,,,fee schedule,,6376.975118,,,,fee schedule,,6073.309636,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,outpatient,,,,,,11628.63621,14125.8096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12556.2752,,,,fee schedule,,12332.056,,,,fee schedule,,13453.152,,,,fee schedule,,14125.8096,,,,fee schedule,,12210.06802,,,,fee schedule,,11628.63621,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,outpatient,,,,,,11628.63621,25925.0418,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23044.4816,,,,fee schedule,,22632.973,,,,fee schedule,,24690.516,,,,fee schedule,,25925.0418,,,,fee schedule,,12210.06802,,,,fee schedule,,11628.63621,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,outpatient,,,,,,3538.514238,5202.729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4624.648,,,,fee schedule,,4542.065,,,,fee schedule,,4954.98,,,,fee schedule,,5202.729,,,,fee schedule,,3715.43995,,,,fee schedule,,3538.514238,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,outpatient,,,,,,4335.65149,6148.1826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5465.0512,,,,fee schedule,,5367.461,,,,fee schedule,,5855.412,,,,fee schedule,,6148.1826,,,,fee schedule,,4552.434065,,,,fee schedule,,4335.65149,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,outpatient,,,,,,6051.833672,8540.7462,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7591.7744,,,,fee schedule,,7456.207,,,,fee schedule,,8134.044,,,,fee schedule,,8540.7462,,,,fee schedule,,6354.425356,,,,fee schedule,,6051.833672,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,outpatient,,,,,,9271.96498,15124.599,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13444.088,,,,fee schedule,,13204.015,,,,fee schedule,,14404.38,,,,fee schedule,,15124.599,,,,fee schedule,,9735.563229,,,,fee schedule,,9271.96498,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,outpatient,,,,,,3656.000394,5737.8258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5100.2896,,,,fee schedule,,5009.213,,,,fee schedule,,5464.596,,,,fee schedule,,5737.8258,,,,fee schedule,,3838.800414,,,,fee schedule,,3656.000394,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,outpatient,,,,,,4256.69574,6798.9726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6043.5312,,,,fee schedule,,5935.611,,,,fee schedule,,6475.212,,,,fee schedule,,6798.9726,,,,fee schedule,,4469.530527,,,,fee schedule,,4256.69574,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,outpatient,,,,,,6476.299784,10926.09,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9712.08,,,,fee schedule,,9538.65,,,,fee schedule,,10405.8,,,,fee schedule,,10926.09,,,,fee schedule,,6800.114773,,,,fee schedule,,6476.299784,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,outpatient,,,,,,12778.23193,19063.6992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16945.5104,,,,fee schedule,,16642.912,,,,fee schedule,,18155.904,,,,fee schedule,,19063.6992,,,,fee schedule,,13417.14352,,,,fee schedule,,12778.23193,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,outpatient,,,,,,3543.567406,5099.6862,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4533.0544,,,,fee schedule,,4452.107,,,,fee schedule,,4856.844,,,,fee schedule,,5099.6862,,,,fee schedule,,3720.745776,,,,fee schedule,,3543.567406,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,outpatient,,,,,,4522.618706,6600.1194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5866.7728,,,,fee schedule,,5762.009,,,,fee schedule,,6285.828,,,,fee schedule,,6600.1194,,,,fee schedule,,4748.749641,,,,fee schedule,,4522.618706,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,outpatient,,,,,,6245.748994,9935.4402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8831.5024,,,,fee schedule,,8673.797,,,,fee schedule,,9462.324,,,,fee schedule,,9935.4402,,,,fee schedule,,6558.036444,,,,fee schedule,,6245.748994,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,outpatient,,,,,,9264.385228,16319.5326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14506.2512,,,,fee schedule,,14247.211,,,,fee schedule,,15542.412,,,,fee schedule,,16319.5326,,,,fee schedule,,9727.604489,,,,fee schedule,,9264.385228,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,outpatient,,,,,,4011.617092,5423.2668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4820.6816,,,,fee schedule,,4734.598,,,,fee schedule,,5165.016,,,,fee schedule,,5423.2668,,,,fee schedule,,4212.197947,,,,fee schedule,,4011.617092,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,outpatient,,,,,,4957.8228,7123.473,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6331.976,,,,fee schedule,,6218.905,,,,fee schedule,,6784.26,,,,fee schedule,,7123.473,,,,fee schedule,,5205.71394,,,,fee schedule,,4957.8228,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,outpatient,,,,,,6557.782118,10475.955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9311.96,,,,fee schedule,,9145.675,,,,fee schedule,,9977.1,,,,fee schedule,,10475.955,,,,fee schedule,,6885.671224,,,,fee schedule,,6557.782118,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,outpatient,,,,,,16597.16364,19695.5136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17507.1232,,,,fee schedule,,17194.496,,,,fee schedule,,18757.632,,,,fee schedule,,19695.5136,,,,fee schedule,,17427.02182,,,,fee schedule,,16597.16364,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,outpatient,,,,,,3302.278634,4746.2688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4218.9056,,,,fee schedule,,4143.568,,,,fee schedule,,4520.256,,,,fee schedule,,4746.2688,,,,fee schedule,,3467.392566,,,,fee schedule,,3302.278634,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,outpatient,,,,,,4240.90459,6431.9976,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5717.3312,,,,fee schedule,,5615.236,,,,fee schedule,,6125.712,,,,fee schedule,,6431.9976,,,,fee schedule,,4452.94982,,,,fee schedule,,4240.90459,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,outpatient,,,,,,6923.505152,10799.5482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9599.5984,,,,fee schedule,,9428.177,,,,fee schedule,,10285.284,,,,fee schedule,,10799.5482,,,,fee schedule,,7269.68041,,,,fee schedule,,6923.505152,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,outpatient,,,,,,12758.6509,22281.5124,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19805.7888,,,,fee schedule,,19452.114,,,,fee schedule,,21220.488,,,,fee schedule,,22281.5124,,,,fee schedule,,13396.58345,,,,fee schedule,,12758.6509,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,outpatient,,,,,,4210.635,4925.831597,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4287.192,,,,fee schedule,,4210.635,,,,fee schedule,,4593.42,,,,fee schedule,,4823.091,,,,fee schedule,,4925.831597,,,,fee schedule,,4691.268188,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,outpatient,,,,,,4691.268188,6331.6638,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5628.1456,,,,fee schedule,,5527.643,,,,fee schedule,,6030.156,,,,fee schedule,,6331.6638,,,,fee schedule,,4925.831597,,,,fee schedule,,4691.268188,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,outpatient,,,,,,7650.529698,10317.7746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9171.3552,,,,fee schedule,,9007.581,,,,fee schedule,,9826.452,,,,fee schedule,,10317.7746,,,,fee schedule,,8033.056183,,,,fee schedule,,7650.529698,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,outpatient,,,,,,12562.20899,21346.9074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18975.0288,,,,fee schedule,,18636.189,,,,fee schedule,,20330.388,,,,fee schedule,,21346.9074,,,,fee schedule,,13190.31944,,,,fee schedule,,12562.20899,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,outpatient,,,,,,7851.393126,13297.8636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11820.3232,,,,fee schedule,,11609.246,,,,fee schedule,,12664.632,,,,fee schedule,,13297.8636,,,,fee schedule,,8243.962782,,,,fee schedule,,7851.393126,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,outpatient,,,,,,9760.858984,14967.3258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13304.2896,,,,fee schedule,,13066.713,,,,fee schedule,,14254.596,,,,fee schedule,,14967.3258,,,,fee schedule,,10248.90193,,,,fee schedule,,9760.858984,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,outpatient,,,,,,9760.858984,26183.556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23274.272,,,,fee schedule,,22858.66,,,,fee schedule,,24936.72,,,,fee schedule,,26183.556,,,,fee schedule,,10248.90193,,,,fee schedule,,9760.858984,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,outpatient,,,,,,9760.858984,43599.4902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38755.1024,,,,fee schedule,,38063.047,,,,fee schedule,,41523.324,,,,fee schedule,,43599.4902,,,,fee schedule,,10248.90193,,,,fee schedule,,9760.858984,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,outpatient,,,,,,5238.90527,8119.5408,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7217.3696,,,,fee schedule,,7088.488,,,,fee schedule,,7732.896,,,,fee schedule,,8119.5408,,,,fee schedule,,5500.850534,,,,fee schedule,,5238.90527,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,outpatient,,,,,,6287.43763,10000.5192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8889.3504,,,,fee schedule,,8730.612,,,,fee schedule,,9524.304,,,,fee schedule,,10000.5192,,,,fee schedule,,6601.809512,,,,fee schedule,,6287.43763,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,outpatient,,,,,,9997.726234,18166.1508,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16147.6896,,,,fee schedule,,15859.338,,,,fee schedule,,17301.096,,,,fee schedule,,18166.1508,,,,fee schedule,,10497.61255,,,,fee schedule,,9997.726234,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,outpatient,,,,,,9997.726234,31578.813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28070.056,,,,fee schedule,,27568.805,,,,fee schedule,,30075.06,,,,fee schedule,,31578.813,,,,fee schedule,,10497.61255,,,,fee schedule,,9997.726234,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,outpatient,,,,,,5304.596454,11081.5488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9850.2656,,,,fee schedule,,9674.368,,,,fee schedule,,10553.856,,,,fee schedule,,11081.5488,,,,fee schedule,,5569.826277,,,,fee schedule,,5304.596454,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,outpatient,,,,,,7629.053734,14084.2422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12519.3264,,,,fee schedule,,12295.767,,,,fee schedule,,13413.564,,,,fee schedule,,14084.2422,,,,fee schedule,,8010.506421,,,,fee schedule,,7629.053734,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,outpatient,,,,,,13545.05017,21133.5894,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18785.4128,,,,fee schedule,,18449.959,,,,fee schedule,,20127.228,,,,fee schedule,,21133.5894,,,,fee schedule,,14222.30268,,,,fee schedule,,13545.05017,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,outpatient,,,,,,13545.05017,38872.2096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34553.0752,,,,fee schedule,,33936.056,,,,fee schedule,,37021.152,,,,fee schedule,,38872.2096,,,,fee schedule,,14222.30268,,,,fee schedule,,13545.05017,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,outpatient,,,,,,7886.133656,12615.435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11213.72,,,,fee schedule,,11013.475,,,,fee schedule,,12014.7,,,,fee schedule,,12615.435,,,,fee schedule,,8280.440339,,,,fee schedule,,7886.133656,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,outpatient,,,,,,7886.133656,14671.755,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13041.56,,,,fee schedule,,12808.675,,,,fee schedule,,13973.1,,,,fee schedule,,14671.755,,,,fee schedule,,8280.440339,,,,fee schedule,,7886.133656,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,outpatient,,,,,,10263.6492,18091.1304,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16081.0048,,,,fee schedule,,15793.844,,,,fee schedule,,17229.648,,,,fee schedule,,18091.1304,,,,fee schedule,,10776.83166,,,,fee schedule,,10263.6492,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,outpatient,,,,,,10263.6492,40054.4802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35603.9824,,,,fee schedule,,34968.197,,,,fee schedule,,38147.124,,,,fee schedule,,40054.4802,,,,fee schedule,,10776.83166,,,,fee schedule,,10263.6492,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,outpatient,,,,,,5820.651236,7775.1702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6911.2624,,,,fee schedule,,6787.847,,,,fee schedule,,7404.924,,,,fee schedule,,7775.1702,,,,fee schedule,,6111.683798,,,,fee schedule,,5820.651236,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,outpatient,,,,,,5820.651236,8147.5632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7242.2784,,,,fee schedule,,7112.952,,,,fee schedule,,7759.584,,,,fee schedule,,8147.5632,,,,fee schedule,,6111.683798,,,,fee schedule,,5820.651236,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,outpatient,,,,,,6793.386076,12252.0762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10890.7344,,,,fee schedule,,10696.257,,,,fee schedule,,11668.644,,,,fee schedule,,12252.0762,,,,fee schedule,,7133.05538,,,,fee schedule,,6793.386076,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,outpatient,,,,,,6793.386076,24542.1162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21815.2144,,,,fee schedule,,21425.657,,,,fee schedule,,23373.444,,,,fee schedule,,24542.1162,,,,fee schedule,,7133.05538,,,,fee schedule,,6793.386076,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,outpatient,,,,,,3371.759694,5268.7026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4683.2912,,,,fee schedule,,4599.661,,,,fee schedule,,5017.812,,,,fee schedule,,5268.7026,,,,fee schedule,,3540.347679,,,,fee schedule,,3371.759694,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,outpatient,,,,,,4583.888368,6835.1346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6075.6752,,,,fee schedule,,5967.181,,,,fee schedule,,6509.652,,,,fee schedule,,6835.1346,,,,fee schedule,,4813.082786,,,,fee schedule,,4583.888368,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,outpatient,,,,,,6680.321442,10266.2532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9125.5584,,,,fee schedule,,8962.602,,,,fee schedule,,9777.384,,,,fee schedule,,10266.2532,,,,fee schedule,,7014.337514,,,,fee schedule,,6680.321442,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,outpatient,,,,,,10266.17578,20440.3122,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18169.1664,,,,fee schedule,,17844.717,,,,fee schedule,,19466.964,,,,fee schedule,,20440.3122,,,,fee schedule,,10779.48457,,,,fee schedule,,10266.17578,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,outpatient,,,,,,5643.15871,13653.0828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12136.0736,,,,fee schedule,,11919.358,,,,fee schedule,,13002.936,,,,fee schedule,,13653.0828,,,,fee schedule,,5925.316646,,,,fee schedule,,5643.15871,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,outpatient,,,,,,9442.5094,16182.1422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14384.1264,,,,fee schedule,,14127.267,,,,fee schedule,,15411.564,,,,fee schedule,,16182.1422,,,,fee schedule,,9914.63487,,,,fee schedule,,9442.5094,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,outpatient,,,,,,9442.5094,28430.6022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25271.6464,,,,fee schedule,,24820.367,,,,fee schedule,,27076.764,,,,fee schedule,,28430.6022,,,,fee schedule,,9914.63487,,,,fee schedule,,9442.5094,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,outpatient,,,,,,9442.5094,53436.3984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47499.0208,,,,fee schedule,,46650.824,,,,fee schedule,,50891.808,,,,fee schedule,,53436.3984,,,,fee schedule,,9914.63487,,,,fee schedule,,9442.5094,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,outpatient,,,,,,8081.943916,14161.0644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12587.6128,,,,fee schedule,,12362.834,,,,fee schedule,,13486.728,,,,fee schedule,,14161.0644,,,,fee schedule,,8486.041112,,,,fee schedule,,8081.943916,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,outpatient,,,,,,9798.757744,17244.1962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15328.1744,,,,fee schedule,,15054.457,,,,fee schedule,,16423.044,,,,fee schedule,,17244.1962,,,,fee schedule,,10288.69563,,,,fee schedule,,9798.757744,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,outpatient,,,,,,14378.82289,25700.8878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22845.2336,,,,fee schedule,,22437.283,,,,fee schedule,,24477.036,,,,fee schedule,,25700.8878,,,,fee schedule,,15097.76403,,,,fee schedule,,14378.82289,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,outpatient,,,,,,14378.82289,50916.3858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45259.0096,,,,fee schedule,,44450.813,,,,fee schedule,,48491.796,,,,fee schedule,,50916.3858,,,,fee schedule,,15097.76403,,,,fee schedule,,14378.82289,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,outpatient,,,,,,7816.652596,13653.0828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12136.0736,,,,fee schedule,,11919.358,,,,fee schedule,,13002.936,,,,fee schedule,,13653.0828,,,,fee schedule,,8207.485226,,,,fee schedule,,7816.652596,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,outpatient,,,,,,8667.479758,15370.4502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13662.6224,,,,fee schedule,,13418.647,,,,fee schedule,,14638.524,,,,fee schedule,,15370.4502,,,,fee schedule,,9100.853746,,,,fee schedule,,8667.479758,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,outpatient,,,,,,10599.05323,25760.5362,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22898.2544,,,,fee schedule,,22489.357,,,,fee schedule,,24533.844,,,,fee schedule,,25760.5362,,,,fee schedule,,11129.00589,,,,fee schedule,,10599.05323,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,outpatient,,,,,,10599.05323,45038.4606,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40034.1872,,,,fee schedule,,39319.291,,,,fee schedule,,42893.772,,,,fee schedule,,45038.4606,,,,fee schedule,,11129.00589,,,,fee schedule,,10599.05323,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,outpatient,,,,,,5586.942216,10168.641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9038.792,,,,fee schedule,,8877.385,,,,fee schedule,,9684.42,,,,fee schedule,,10168.641,,,,fee schedule,,5866.289327,,,,fee schedule,,5586.942216,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,outpatient,,,,,,6520.515004,12084.8616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10742.0992,,,,fee schedule,,10550.276,,,,fee schedule,,11509.392,,,,fee schedule,,12084.8616,,,,fee schedule,,6846.540754,,,,fee schedule,,6520.515004,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,outpatient,,,,,,9926.981882,19744.326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17550.512,,,,fee schedule,,17237.11,,,,fee schedule,,18804.12,,,,fee schedule,,19744.326,,,,fee schedule,,10423.33098,,,,fee schedule,,9926.981882,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,outpatient,,,,,,12219.85686,34699.896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30844.352,,,,fee schedule,,30293.56,,,,fee schedule,,33047.52,,,,fee schedule,,34699.896,,,,fee schedule,,12830.84971,,,,fee schedule,,12219.85686,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,outpatient,,,,,,4811.280928,8532.6192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7584.5504,,,,fee schedule,,7449.112,,,,fee schedule,,8126.304,,,,fee schedule,,8532.6192,,,,fee schedule,,5051.844974,,,,fee schedule,,4811.280928,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,outpatient,,,,,,6856.550676,13026.699,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11579.288,,,,fee schedule,,11372.515,,,,fee schedule,,12406.38,,,,fee schedule,,13026.699,,,,fee schedule,,7199.37821,,,,fee schedule,,6856.550676,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,outpatient,,,,,,6856.550676,20148.3576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17909.6512,,,,fee schedule,,17589.836,,,,fee schedule,,19188.912,,,,fee schedule,,20148.3576,,,,fee schedule,,7199.37821,,,,fee schedule,,6856.550676,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,outpatient,,,,,,6856.550676,53648.8092,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47687.8304,,,,fee schedule,,46836.262,,,,fee schedule,,51094.104,,,,fee schedule,,53648.8092,,,,fee schedule,,7199.37821,,,,fee schedule,,6856.550676,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,outpatient,,,,,,4638.209924,7894.4796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7017.3152,,,,fee schedule,,6892.006,,,,fee schedule,,7518.552,,,,fee schedule,,7894.4796,,,,fee schedule,,4870.12042,,,,fee schedule,,4638.209924,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,outpatient,,,,,,5039.305134,9685.9602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8609.7424,,,,fee schedule,,8455.997,,,,fee schedule,,9224.724,,,,fee schedule,,9685.9602,,,,fee schedule,,5291.270391,,,,fee schedule,,5039.305134,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,outpatient,,,,,,9178.481372,15382.206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13673.072,,,,fee schedule,,13428.91,,,,fee schedule,,14649.72,,,,fee schedule,,15382.206,,,,fee schedule,,9637.405441,,,,fee schedule,,9178.481372,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,outpatient,,,,,,9178.481372,27107.325,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24095.4,,,,fee schedule,,23665.125,,,,fee schedule,,25816.5,,,,fee schedule,,27107.325,,,,fee schedule,,9637.405441,,,,fee schedule,,9178.481372,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,outpatient,,,,,,4834.65183,9410.2848,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8364.6976,,,,fee schedule,,8215.328,,,,fee schedule,,8962.176,,,,fee schedule,,9410.2848,,,,fee schedule,,5076.384422,,,,fee schedule,,4834.65183,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,outpatient,,,,,,6710.64045,13423.4982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11931.9984,,,,fee schedule,,11718.927,,,,fee schedule,,12784.284,,,,fee schedule,,13423.4982,,,,fee schedule,,7046.172473,,,,fee schedule,,6710.64045,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,outpatient,,,,,,11604.00201,23576.7672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20957.1264,,,,fee schedule,,20582.892,,,,fee schedule,,22454.064,,,,fee schedule,,23576.7672,,,,fee schedule,,12184.20211,,,,fee schedule,,11604.00201,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,outpatient,,,,,,11604.00201,49780.206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44249.072,,,,fee schedule,,43458.91,,,,fee schedule,,47409.72,,,,fee schedule,,49780.206,,,,fee schedule,,12184.20211,,,,fee schedule,,11604.00201,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,outpatient,,,,,,5573.046004,9674.217,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8599.304,,,,fee schedule,,8445.745,,,,fee schedule,,9213.54,,,,fee schedule,,9674.217,,,,fee schedule,,5851.698304,,,,fee schedule,,5573.046004,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,outpatient,,,,,,6847.075986,12633.516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11229.792,,,,fee schedule,,11029.26,,,,fee schedule,,12031.92,,,,fee schedule,,12633.516,,,,fee schedule,,7189.429785,,,,fee schedule,,6847.075986,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,outpatient,,,,,,14504.52044,21680.4294,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19271.4928,,,,fee schedule,,18927.359,,,,fee schedule,,20648.028,,,,fee schedule,,21680.4294,,,,fee schedule,,15229.74647,,,,fee schedule,,14504.52044,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,outpatient,,,,,,14504.52044,42162.3216,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37477.6192,,,,fee schedule,,36808.376,,,,fee schedule,,40154.592,,,,fee schedule,,42162.3216,,,,fee schedule,,15229.74647,,,,fee schedule,,14504.52044,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,outpatient,,,,,,4230.798254,7034.8824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6253.2288,,,,fee schedule,,6141.564,,,,fee schedule,,6699.888,,,,fee schedule,,7034.8824,,,,fee schedule,,4442.338167,,,,fee schedule,,4230.798254,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,outpatient,,,,,,4971.719012,8556.1182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7605.4384,,,,fee schedule,,7469.627,,,,fee schedule,,8148.684,,,,fee schedule,,8556.1182,,,,fee schedule,,5220.304963,,,,fee schedule,,4971.719012,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,outpatient,,,,,,7079.521714,13032.117,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11584.104,,,,fee schedule,,11377.245,,,,fee schedule,,12411.54,,,,fee schedule,,13032.117,,,,fee schedule,,7433.4978,,,,fee schedule,,7079.521714,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,outpatient,,,,,,13019.5207,23216.1174,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20636.5488,,,,fee schedule,,20268.039,,,,fee schedule,,22110.588,,,,fee schedule,,23216.1174,,,,fee schedule,,13670.49673,,,,fee schedule,,13019.5207,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,outpatient,,,,,,3479.139514,5265.099,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4680.088,,,,fee schedule,,4596.515,,,,fee schedule,,5014.38,,,,fee schedule,,5265.099,,,,fee schedule,,3653.09649,,,,fee schedule,,3479.139514,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,outpatient,,,,,,4180.266574,6845.076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6084.512,,,,fee schedule,,5975.86,,,,fee schedule,,6519.12,,,,fee schedule,,6845.076,,,,fee schedule,,4389.279903,,,,fee schedule,,4180.266574,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,outpatient,,,,,,7398.502944,11387.061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10121.832,,,,fee schedule,,9941.085,,,,fee schedule,,10844.82,,,,fee schedule,,11387.061,,,,fee schedule,,7768.428091,,,,fee schedule,,7398.502944,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,outpatient,,,,,,7398.502944,19975.7124,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17756.1888,,,,fee schedule,,17439.114,,,,fee schedule,,19024.488,,,,fee schedule,,19975.7124,,,,fee schedule,,7768.428091,,,,fee schedule,,7398.502944,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,outpatient,,,,,,3503.142062,5083.4196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4518.5952,,,,fee schedule,,4437.906,,,,fee schedule,,4841.352,,,,fee schedule,,5083.4196,,,,fee schedule,,3678.299165,,,,fee schedule,,3503.142062,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,outpatient,,,,,,3994.56265,6096.6612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5419.2544,,,,fee schedule,,5322.482,,,,fee schedule,,5806.344,,,,fee schedule,,6096.6612,,,,fee schedule,,4194.290783,,,,fee schedule,,3994.56265,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,outpatient,,,,,,4950.874694,9153.585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8136.52,,,,fee schedule,,7991.225,,,,fee schedule,,8717.7,,,,fee schedule,,9153.585,,,,fee schedule,,5198.418429,,,,fee schedule,,4950.874694,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,outpatient,,,,,,4950.874694,18725.6538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16645.0256,,,,fee schedule,,16347.793,,,,fee schedule,,17833.956,,,,fee schedule,,18725.6538,,,,fee schedule,,5198.418429,,,,fee schedule,,4950.874694,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,outpatient,,,,,,4705.1644,5813.7534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5167.7808,,,,fee schedule,,5075.499,,,,fee schedule,,5536.908,,,,fee schedule,,5813.7534,,,,fee schedule,,4940.42262,,,,fee schedule,,4705.1644,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,outpatient,,,,,,5178.8989,6971.6178,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6196.9936,,,,fee schedule,,6086.333,,,,fee schedule,,6639.636,,,,fee schedule,,6971.6178,,,,fee schedule,,5437.843845,,,,fee schedule,,5178.8989,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,outpatient,,,,,,7037.833078,11197.2546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9953.1152,,,,fee schedule,,9775.381,,,,fee schedule,,10664.052,,,,fee schedule,,11197.2546,,,,fee schedule,,7389.724732,,,,fee schedule,,7037.833078,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,outpatient,,,,,,11974.14657,28290.5028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25147.1136,,,,fee schedule,,24698.058,,,,fee schedule,,26943.336,,,,fee schedule,,28290.5028,,,,fee schedule,,12572.8539,,,,fee schedule,,11974.14657,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,outpatient,,,,,,4453.769292,5738.7204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5101.0848,,,,fee schedule,,5009.994,,,,fee schedule,,5465.448,,,,fee schedule,,5738.7204,,,,fee schedule,,4676.457757,,,,fee schedule,,4453.769292,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,outpatient,,,,,,5282.488844,7153.2972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6358.4864,,,,fee schedule,,6244.942,,,,fee schedule,,6812.664,,,,fee schedule,,7153.2972,,,,fee schedule,,5546.613286,,,,fee schedule,,5282.488844,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,outpatient,,,,,,6222.378092,9819.7344,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8728.6528,,,,fee schedule,,8572.784,,,,fee schedule,,9352.128,,,,fee schedule,,9819.7344,,,,fee schedule,,6533.496997,,,,fee schedule,,6222.378092,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,outpatient,,,,,,10467.03921,20520.7506,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18240.6672,,,,fee schedule,,17914.941,,,,fee schedule,,19543.572,,,,fee schedule,,20520.7506,,,,fee schedule,,10990.39117,,,,fee schedule,,10467.03921,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,outpatient,,,,,,4701.374524,5745.9528,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5107.5136,,,,fee schedule,,5016.308,,,,fee schedule,,5472.336,,,,fee schedule,,5745.9528,,,,fee schedule,,4936.44325,,,,fee schedule,,4701.374524,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,outpatient,,,,,,5046.25324,6007.176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5339.712,,,,fee schedule,,5244.36,,,,fee schedule,,5721.12,,,,fee schedule,,6007.176,,,,fee schedule,,5298.565902,,,,fee schedule,,5046.25324,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,outpatient,,,,,,5750.53853,8198.1774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7287.2688,,,,fee schedule,,7157.139,,,,fee schedule,,7807.788,,,,fee schedule,,8198.1774,,,,fee schedule,,6038.065457,,,,fee schedule,,5750.53853,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,outpatient,,,,,,7182.480012,13775.1138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12244.5456,,,,fee schedule,,12025.893,,,,fee schedule,,13119.156,,,,fee schedule,,13775.1138,,,,fee schedule,,7541.604013,,,,fee schedule,,7182.480012,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,outpatient,,,,,,3372.611,4166.435194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3433.9312,,,,fee schedule,,3372.611,,,,fee schedule,,3679.212,,,,fee schedule,,3863.1726,,,,fee schedule,,4166.435194,,,,fee schedule,,3968.033518,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,outpatient,,,,,,4031.511,4624.725949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4104.8112,,,,fee schedule,,4031.511,,,,fee schedule,,4398.012,,,,fee schedule,,4617.9126,,,,fee schedule,,4624.725949,,,,fee schedule,,4404.500904,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,outpatient,,,,,,5640.632126,7809.5052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6941.7824,,,,fee schedule,,6817.822,,,,fee schedule,,7437.624,,,,fee schedule,,7809.5052,,,,fee schedule,,5922.663732,,,,fee schedule,,5640.632126,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,outpatient,,,,,,12913.40417,24062.157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21388.584,,,,fee schedule,,21006.645,,,,fee schedule,,22916.34,,,,fee schedule,,24062.157,,,,fee schedule,,13559.07438,,,,fee schedule,,12913.40417,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,outpatient,,,,,,3048.988588,5425.9884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4823.1008,,,,fee schedule,,4736.974,,,,fee schedule,,5167.608,,,,fee schedule,,5425.9884,,,,fee schedule,,3201.438017,,,,fee schedule,,3048.988588,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,outpatient,,,,,,3832.229628,6851.4012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6090.1344,,,,fee schedule,,5981.382,,,,fee schedule,,6525.144,,,,fee schedule,,6851.4012,,,,fee schedule,,4023.841109,,,,fee schedule,,3832.229628,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,outpatient,,,,,,4772.118876,10345.797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9196.264,,,,fee schedule,,9032.045,,,,fee schedule,,9853.14,,,,fee schedule,,10345.797,,,,fee schedule,,5010.72482,,,,fee schedule,,4772.118876,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,outpatient,,,,,,8355.446634,25329.3894,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22515.0128,,,,fee schedule,,22112.959,,,,fee schedule,,24123.228,,,,fee schedule,,25329.3894,,,,fee schedule,,8773.218966,,,,fee schedule,,8355.446634,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,outpatient,,,,,,4587.046598,7202.1096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6401.8752,,,,fee schedule,,6287.556,,,,fee schedule,,6859.152,,,,fee schedule,,7202.1096,,,,fee schedule,,4816.398928,,,,fee schedule,,4587.046598,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,outpatient,,,,,,5603.996658,9841.4316,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8747.9392,,,,fee schedule,,8591.726,,,,fee schedule,,9372.792,,,,fee schedule,,9841.4316,,,,fee schedule,,5884.196491,,,,fee schedule,,5603.996658,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,outpatient,,,,,,8472.93279,16100.784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14311.808,,,,fee schedule,,14056.24,,,,fee schedule,,15334.08,,,,fee schedule,,16100.784,,,,fee schedule,,8896.57943,,,,fee schedule,,8472.93279,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,outpatient,,,,,,14030.1543,28623.1302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25442.7824,,,,fee schedule,,24988.447,,,,fee schedule,,27260.124,,,,fee schedule,,28623.1302,,,,fee schedule,,14731.66201,,,,fee schedule,,14030.1543,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,outpatient,,,,,,3273.854564,4927.041,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4379.592,,,,fee schedule,,4301.385,,,,fee schedule,,4692.42,,,,fee schedule,,4927.041,,,,fee schedule,,3437.547292,,,,fee schedule,,3273.854564,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,outpatient,,,,,,5046.25324,9551.2914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8490.0368,,,,fee schedule,,8338.429,,,,fee schedule,,9096.468,,,,fee schedule,,9551.2914,,,,fee schedule,,5298.565902,,,,fee schedule,,5046.25324,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,outpatient,,,,,,9437.456232,16218.2916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14416.2592,,,,fee schedule,,14158.826,,,,fee schedule,,15445.992,,,,fee schedule,,16218.2916,,,,fee schedule,,9909.329044,,,,fee schedule,,9437.456232,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,outpatient,,,,,,18769.39424,36547.434,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32486.608,,,,fee schedule,,31906.49,,,,fee schedule,,34807.08,,,,fee schedule,,36547.434,,,,fee schedule,,19707.86395,,,,fee schedule,,18769.39424,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,outpatient,,,,,,2977.271,3826.199076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3031.4032,,,,fee schedule,,2977.271,,,,fee schedule,,3247.932,,,,fee schedule,,3410.3286,,,,fee schedule,,3826.199076,,,,fee schedule,,3643.99912,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,outpatient,,,,,,3375.768,4161.129368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3437.1456,,,,fee schedule,,3375.768,,,,fee schedule,,3682.656,,,,fee schedule,,3866.7888,,,,fee schedule,,4161.129368,,,,fee schedule,,3962.98035,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,outpatient,,,,,,4659.685888,5510.9502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4898.6224,,,,fee schedule,,4811.147,,,,fee schedule,,5248.524,,,,fee schedule,,5510.9502,,,,fee schedule,,4892.670182,,,,fee schedule,,4659.685888,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,outpatient,,,,,,6565.993516,10549.1736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9377.0432,,,,fee schedule,,9209.596,,,,fee schedule,,10046.832,,,,fee schedule,,10549.1736,,,,fee schedule,,6894.293192,,,,fee schedule,,6565.993516,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,outpatient,,,,,,2334.948,2674.5768,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2377.4016,,,,fee schedule,,2334.948,,,,fee schedule,,2547.216,,,,fee schedule,,2674.5768,,,,fee schedule,,2530.250978,,,,fee schedule,,2409.762836,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,outpatient,,,,,,3177.212726,4202.1378,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3735.2336,,,,fee schedule,,3668.533,,,,fee schedule,,4002.036,,,,fee schedule,,4202.1378,,,,fee schedule,,3336.073362,,,,fee schedule,,3177.212726,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,outpatient,,,,,,4206.795706,6999.6402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6221.9024,,,,fee schedule,,6110.797,,,,fee schedule,,6666.324,,,,fee schedule,,6999.6402,,,,fee schedule,,4417.135491,,,,fee schedule,,4206.795706,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,outpatient,,,,,,7457.877668,16712.7156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14855.7472,,,,fee schedule,,14590.466,,,,fee schedule,,15916.872,,,,fee schedule,,16712.7156,,,,fee schedule,,7830.771551,,,,fee schedule,,7457.877668,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,outpatient,,,,,,2647.893378,3270.2292,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2906.8704,,,,fee schedule,,2854.962,,,,fee schedule,,3114.504,,,,fee schedule,,3270.2292,,,,fee schedule,,2780.288047,,,,fee schedule,,2647.893378,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,outpatient,,,,,,3277.64444,4506.7428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4005.9936,,,,fee schedule,,3934.458,,,,fee schedule,,4292.136,,,,fee schedule,,4506.7428,,,,fee schedule,,3441.526662,,,,fee schedule,,3277.64444,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,outpatient,,,,,,5955.82348,7240.968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6436.416,,,,fee schedule,,6321.48,,,,fee schedule,,6896.16,,,,fee schedule,,7240.968,,,,fee schedule,,6253.614654,,,,fee schedule,,5955.82348,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,outpatient,,,,,,5955.82348,24394.7844,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21684.2528,,,,fee schedule,,21297.034,,,,fee schedule,,23233.128,,,,fee schedule,,24394.7844,,,,fee schedule,,6253.614654,,,,fee schedule,,5955.82348,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,outpatient,,,,,,2523.543,2890.6038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2569.4256,,,,fee schedule,,2523.543,,,,fee schedule,,2752.956,,,,fee schedule,,2890.6038,,,,fee schedule,,2815.439147,,,,fee schedule,,2681.370616,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,outpatient,,,,,,3263.748228,3878.5446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3447.5952,,,,fee schedule,,3386.031,,,,fee schedule,,3693.852,,,,fee schedule,,3878.5446,,,,fee schedule,,3426.935639,,,,fee schedule,,3263.748228,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,outpatient,,,,,,3890.972706,6140.043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5457.816,,,,fee schedule,,5360.355,,,,fee schedule,,5847.66,,,,fee schedule,,6140.043,,,,fee schedule,,4085.521341,,,,fee schedule,,3890.972706,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,outpatient,,,,,,9018.674934,12730.221,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11315.752,,,,fee schedule,,11113.685,,,,fee schedule,,12124.02,,,,fee schedule,,12730.221,,,,fee schedule,,9469.608681,,,,fee schedule,,9018.674934,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,outpatient,,,,,,2665.579466,3075.8994,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2734.1328,,,,fee schedule,,2685.309,,,,fee schedule,,2929.428,,,,fee schedule,,3075.8994,,,,fee schedule,,2798.858439,,,,fee schedule,,2665.579466,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,outpatient,,,,,,2836.755532,4551.939,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4046.168,,,,fee schedule,,3973.915,,,,fee schedule,,4335.18,,,,fee schedule,,4551.939,,,,fee schedule,,2978.593309,,,,fee schedule,,2836.755532,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,outpatient,,,,,,3954.768952,7386.498,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6565.776,,,,fee schedule,,6448.53,,,,fee schedule,,7034.76,,,,fee schedule,,7386.498,,,,fee schedule,,4152.5074,,,,fee schedule,,3954.768952,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,outpatient,,,,,,3954.768952,11594.961,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10306.632,,,,fee schedule,,10122.585,,,,fee schedule,,11042.82,,,,fee schedule,,11594.961,,,,fee schedule,,4152.5074,,,,fee schedule,,3954.768952,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,outpatient,,,,,,903.518,1334.450353,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,919.9456,,,,fee schedule,,903.518,,,,fee schedule,,985.656,,,,fee schedule,,1034.9388,,,,fee schedule,,1334.450353,,,,fee schedule,,1270.905098,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,outpatient,,,,,,1460.624,1673.0784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1487.1808,,,,fee schedule,,1460.624,,,,fee schedule,,1593.408,,,,fee schedule,,1673.0784,,,,fee schedule,,1617.648837,,,,fee schedule,,1540.61794,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,outpatient,,,,,,1654.31422,2868.012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2549.344,,,,fee schedule,,2503.82,,,,fee schedule,,2731.44,,,,fee schedule,,2868.012,,,,fee schedule,,1737.029931,,,,fee schedule,,1654.31422,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,outpatient,,,,,,2086.99173,5304.8646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4715.4352,,,,fee schedule,,4631.231,,,,fee schedule,,5052.252,,,,fee schedule,,5304.8646,,,,fee schedule,,2191.341317,,,,fee schedule,,2086.99173,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,outpatient,,,,,,163069.962,224261.3995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,166034.8704,,,,fee schedule,,163069.962,,,,fee schedule,,177894.504,,,,fee schedule,,186789.2292,,,,fee schedule,,224261.3995,,,,fee schedule,,213582.2852,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,outpatient,,,,,,213582.2852,256979.0286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228425.8032,,,,fee schedule,,224346.771,,,,fee schedule,,244741.932,,,,fee schedule,,256979.0286,,,,fee schedule,,224261.3995,,,,fee schedule,,213582.2852,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,outpatient,,,,,,224504.7078,334688.1804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,297500.6048,,,,fee schedule,,292188.094,,,,fee schedule,,318750.648,,,,fee schedule,,334688.1804,,,,fee schedule,,235729.9432,,,,fee schedule,,224504.7078,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,outpatient,,,,,,224504.7078,516628.1106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,459224.9872,,,,fee schedule,,451024.541,,,,fee schedule,,492026.772,,,,fee schedule,,516628.1106,,,,fee schedule,,235729.9432,,,,fee schedule,,224504.7078,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,outpatient,,,,,,111849.3804,164868.3666,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146549.6592,,,,fee schedule,,143932.701,,,,fee schedule,,157017.492,,,,fee schedule,,164868.3666,,,,fee schedule,,117441.8495,,,,fee schedule,,111849.3804,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,outpatient,,,,,,111849.3804,192345.3756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170973.6672,,,,fee schedule,,167920.566,,,,fee schedule,,183186.072,,,,fee schedule,,192345.3756,,,,fee schedule,,117441.8495,,,,fee schedule,,111849.3804,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,outpatient,,,,,,117553.1438,219202.326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194846.512,,,,fee schedule,,191367.11,,,,fee schedule,,208764.12,,,,fee schedule,,219202.326,,,,fee schedule,,123430.801,,,,fee schedule,,117553.1438,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,outpatient,,,,,,232059.194,337040.9784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,299591.9808,,,,fee schedule,,294242.124,,,,fee schedule,,320991.408,,,,fee schedule,,337040.9784,,,,fee schedule,,243662.1537,,,,fee schedule,,232059.194,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,outpatient,,,,,,48749.83998,131661.6714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117032.5968,,,,fee schedule,,114942.729,,,,fee schedule,,125392.068,,,,fee schedule,,131661.6714,,,,fee schedule,,51187.33198,,,,fee schedule,,48749.83998,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,outpatient,,,,,,48749.83998,127777.7088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113580.1856,,,,fee schedule,,111551.968,,,,fee schedule,,121693.056,,,,fee schedule,,127777.7088,,,,fee schedule,,51187.33198,,,,fee schedule,,48749.83998,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,outpatient,,,,,,51216.41761,125055.2268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111160.2016,,,,fee schedule,,109175.198,,,,fee schedule,,119100.216,,,,fee schedule,,125055.2268,,,,fee schedule,,53777.23849,,,,fee schedule,,51216.41761,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,outpatient,,,,,,17045.358,53777.23849,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17355.2736,,,,fee schedule,,17045.358,,,,fee schedule,,18594.936,,,,fee schedule,,19524.6828,,,,fee schedule,,53777.23849,,,,fee schedule,,51216.41761,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,outpatient,,,,,,42466.22557,72442.2636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64393.1232,,,,fee schedule,,63243.246,,,,fee schedule,,68992.632,,,,fee schedule,,72442.2636,,,,fee schedule,,44589.53685,,,,fee schedule,,42466.22557,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,outpatient,,,,,,42466.22557,120512.3346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107122.0752,,,,fee schedule,,105209.181,,,,fee schedule,,114773.652,,,,fee schedule,,120512.3346,,,,fee schedule,,44589.53685,,,,fee schedule,,42466.22557,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,outpatient,,,,,,56074.407,158920.8516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141262.9792,,,,fee schedule,,138740.426,,,,fee schedule,,151353.192,,,,fee schedule,,158920.8516,,,,fee schedule,,58878.12735,,,,fee schedule,,56074.407,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,outpatient,,,,,,100694.5121,214109.8722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,190319.8864,,,,fee schedule,,186921.317,,,,fee schedule,,203914.164,,,,fee schedule,,214109.8722,,,,fee schedule,,105729.2377,,,,fee schedule,,100694.5121,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,outpatient,,,,,,21306.505,45482.24214,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21693.896,,,,fee schedule,,21306.505,,,,fee schedule,,23243.46,,,,fee schedule,,24405.633,,,,fee schedule,,45482.24214,,,,fee schedule,,43316.42109,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,outpatient,,,,,,43316.42109,112775.1282,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100244.5584,,,,fee schedule,,98454.477,,,,fee schedule,,107404.884,,,,fee schedule,,112775.1282,,,,fee schedule,,45482.24214,,,,fee schedule,,43316.42109,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,outpatient,,,,,,68085.78733,137691.4518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122392.4016,,,,fee schedule,,120206.823,,,,fee schedule,,131134.716,,,,fee schedule,,137691.4518,,,,fee schedule,,71490.0767,,,,fee schedule,,68085.78733,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,outpatient,,,,,,108415.7528,198534.231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176474.872,,,,fee schedule,,173323.535,,,,fee schedule,,189080.22,,,,fee schedule,,198534.231,,,,fee schedule,,113836.5404,,,,fee schedule,,108415.7528,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,outpatient,,,,,,21670.275,27519.36687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22064.28,,,,fee schedule,,21670.275,,,,fee schedule,,23640.3,,,,fee schedule,,24822.315,,,,fee schedule,,27519.36687,,,,fee schedule,,26208.92082,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,outpatient,,,,,,44286.62934,83629.5642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74337.3904,,,,fee schedule,,73009.937,,,,fee schedule,,79647.204,,,,fee schedule,,83629.5642,,,,fee schedule,,46500.96081,,,,fee schedule,,44286.62934,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,outpatient,,,,,,60286.85417,104576.0436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92956.4832,,,,fee schedule,,91296.546,,,,fee schedule,,99596.232,,,,fee schedule,,104576.0436,,,,fee schedule,,63301.19688,,,,fee schedule,,60286.85417,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,outpatient,,,,,,74413.61696,147427.1316,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,131046.3392,,,,fee schedule,,128706.226,,,,fee schedule,,140406.792,,,,fee schedule,,147427.1316,,,,fee schedule,,78134.29781,,,,fee schedule,,74413.61696,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,outpatient,,,,,,18202.184,20849.7744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18533.1328,,,,fee schedule,,18202.184,,,,fee schedule,,19856.928,,,,fee schedule,,20849.7744,,,,fee schedule,,20104.47447,,,,fee schedule,,19147.11854,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,outpatient,,,,,,26084.48656,45228.2796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40202.9152,,,,fee schedule,,39485.006,,,,fee schedule,,43074.552,,,,fee schedule,,45228.2796,,,,fee schedule,,27388.71089,,,,fee schedule,,26084.48656,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,outpatient,,,,,,43590.55545,81114.9696,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72102.1952,,,,fee schedule,,70814.656,,,,fee schedule,,77252.352,,,,fee schedule,,81114.9696,,,,fee schedule,,45770.08322,,,,fee schedule,,43590.55545,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,outpatient,,,,,,43590.55545,183638.3094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163234.0528,,,,fee schedule,,160319.159,,,,fee schedule,,174893.628,,,,fee schedule,,183638.3094,,,,fee schedule,,45770.08322,,,,fee schedule,,43590.55545,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,outpatient,,,,,,27283.35067,32024.4246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28466.1552,,,,fee schedule,,27957.831,,,,fee schedule,,30499.452,,,,fee schedule,,32024.4246,,,,fee schedule,,28647.5182,,,,fee schedule,,27283.35067,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,outpatient,,,,,,36481.37972,57765.078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51346.736,,,,fee schedule,,50429.83,,,,fee schedule,,55014.36,,,,fee schedule,,57765.078,,,,fee schedule,,38305.44871,,,,fee schedule,,36481.37972,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,outpatient,,,,,,51918.80796,78213.5172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69523.1264,,,,fee schedule,,68281.642,,,,fee schedule,,74489.064,,,,fee schedule,,78213.5172,,,,fee schedule,,54514.74836,,,,fee schedule,,51918.80796,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,outpatient,,,,,,73601.3202,112984.83,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100430.96,,,,fee schedule,,98637.55,,,,fee schedule,,107604.6,,,,fee schedule,,112984.83,,,,fee schedule,,77281.38621,,,,fee schedule,,73601.3202,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,outpatient,,,,,,15991.118,18412.57908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16281.8656,,,,fee schedule,,15991.118,,,,fee schedule,,17444.856,,,,fee schedule,,18317.0988,,,,fee schedule,,18412.57908,,,,fee schedule,,17535.7896,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,outpatient,,,,,,24061.32442,42569.9694,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37839.9728,,,,fee schedule,,37164.259,,,,fee schedule,,40542.828,,,,fee schedule,,42569.9694,,,,fee schedule,,25264.39065,,,,fee schedule,,24061.32442,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,outpatient,,,,,,36782.67486,56840.4144,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50524.8128,,,,fee schedule,,49622.584,,,,fee schedule,,54133.728,,,,fee schedule,,56840.4144,,,,fee schedule,,38621.80861,,,,fee schedule,,36782.67486,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,outpatient,,,,,,36782.67486,71384.7204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63453.0848,,,,fee schedule,,62319.994,,,,fee schedule,,67985.448,,,,fee schedule,,71384.7204,,,,fee schedule,,38621.80861,,,,fee schedule,,36782.67486,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,outpatient,,,,,,37861.824,60939.4409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38550.2208,,,,fee schedule,,37861.824,,,,fee schedule,,41303.808,,,,fee schedule,,43368.9984,,,,fee schedule,,60939.4409,,,,fee schedule,,58037.56276,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,outpatient,,,,,,39854.309,60939.4409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40578.9328,,,,fee schedule,,39854.309,,,,fee schedule,,43477.428,,,,fee schedule,,45651.2994,,,,fee schedule,,60939.4409,,,,fee schedule,,58037.56276,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,outpatient,,,,,,60981.03312,82742.8644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73549.2128,,,,fee schedule,,72235.834,,,,fee schedule,,78802.728,,,,fee schedule,,82742.8644,,,,fee schedule,,64030.08478,,,,fee schedule,,60981.03312,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,outpatient,,,,,,149074.8058,221605.7382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,196982.8784,,,,fee schedule,,193465.327,,,,fee schedule,,211053.084,,,,fee schedule,,221605.7382,,,,fee schedule,,156528.5461,,,,fee schedule,,149074.8058,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,outpatient,,,,,,10433.56197,16160.445,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14364.84,,,,fee schedule,,14108.325,,,,fee schedule,,15390.9,,,,fee schedule,,16160.445,,,,fee schedule,,10955.24007,,,,fee schedule,,10433.56197,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,outpatient,,,,,,23394.30625,32055.156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28493.472,,,,fee schedule,,27984.66,,,,fee schedule,,30528.72,,,,fee schedule,,32055.156,,,,fee schedule,,24564.02156,,,,fee schedule,,23394.30625,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,outpatient,,,,,,31568.43713,56574.6678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50288.5936,,,,fee schedule,,49390.583,,,,fee schedule,,53880.636,,,,fee schedule,,56574.6678,,,,fee schedule,,33146.85899,,,,fee schedule,,31568.43713,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,outpatient,,,,,,57841.7525,91572.8436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81398.0832,,,,fee schedule,,79944.546,,,,fee schedule,,87212.232,,,,fee schedule,,91572.8436,,,,fee schedule,,60733.84013,,,,fee schedule,,57841.7525,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,outpatient,,,,,,19332.82247,25845.5106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22973.7872,,,,fee schedule,,22563.541,,,,fee schedule,,24614.772,,,,fee schedule,,25845.5106,,,,fee schedule,,20299.46359,,,,fee schedule,,19332.82247,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,outpatient,,,,,,27961.10683,39731.7942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35317.1504,,,,fee schedule,,34686.487,,,,fee schedule,,37839.804,,,,fee schedule,,39731.7942,,,,fee schedule,,29359.16217,,,,fee schedule,,27961.10683,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,outpatient,,,,,,33958.5856,50279.1534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44692.5808,,,,fee schedule,,43894.499,,,,fee schedule,,47884.908,,,,fee schedule,,50279.1534,,,,fee schedule,,35656.51488,,,,fee schedule,,33958.5856,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,outpatient,,,,,,54113.14617,80705.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71738.24,,,,fee schedule,,70457.2,,,,fee schedule,,76862.4,,,,fee schedule,,80705.52,,,,fee schedule,,56818.80347,,,,fee schedule,,54113.14617,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,outpatient,,,,,,11223.75112,21374.0226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18999.1312,,,,fee schedule,,18659.861,,,,fee schedule,,20356.212,,,,fee schedule,,21374.0226,,,,fee schedule,,11784.93868,,,,fee schedule,,11223.75112,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,outpatient,,,,,,18041.73804,29263.9788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26012.4256,,,,fee schedule,,25547.918,,,,fee schedule,,27870.456,,,,fee schedule,,29263.9788,,,,fee schedule,,18943.82495,,,,fee schedule,,18041.73804,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,outpatient,,,,,,18933.6222,55838.0088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49633.7856,,,,fee schedule,,48747.468,,,,fee schedule,,53179.056,,,,fee schedule,,55838.0088,,,,fee schedule,,19880.30331,,,,fee schedule,,18933.6222,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,outpatient,,,,,,18933.6222,92002.1886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81779.7232,,,,fee schedule,,80319.371,,,,fee schedule,,87621.132,,,,fee schedule,,92002.1886,,,,fee schedule,,19880.30331,,,,fee schedule,,18933.6222,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,outpatient,,,,,,9194.904168,13261.7016,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11788.1792,,,,fee schedule,,11577.676,,,,fee schedule,,12630.192,,,,fee schedule,,13261.7016,,,,fee schedule,,9654.649376,,,,fee schedule,,9194.904168,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,outpatient,,,,,,13951.83019,25135.9668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22343.0816,,,,fee schedule,,21944.098,,,,fee schedule,,23939.016,,,,fee schedule,,25135.9668,,,,fee schedule,,14649.4217,,,,fee schedule,,13951.83019,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,outpatient,,,,,,27563.80149,45232.803,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40206.936,,,,fee schedule,,39488.955,,,,fee schedule,,43078.86,,,,fee schedule,,45232.803,,,,fee schedule,,28941.99157,,,,fee schedule,,27563.80149,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,outpatient,,,,,,27563.80149,65890.0368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58568.9216,,,,fee schedule,,57523.048,,,,fee schedule,,62752.416,,,,fee schedule,,65890.0368,,,,fee schedule,,28941.99157,,,,fee schedule,,27563.80149,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,outpatient,,,,,,4737.378346,6309.072,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5608.064,,,,fee schedule,,5507.92,,,,fee schedule,,6008.64,,,,fee schedule,,6309.072,,,,fee schedule,,4974.247263,,,,fee schedule,,4737.378346,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,outpatient,,,,,,12768.75724,19361.979,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17210.648,,,,fee schedule,,16903.315,,,,fee schedule,,18439.98,,,,fee schedule,,19361.979,,,,fee schedule,,13407.1951,,,,fee schedule,,12768.75724,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,outpatient,,,,,,30108.70323,38207.8494,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33962.5328,,,,fee schedule,,33356.059,,,,fee schedule,,36388.428,,,,fee schedule,,38207.8494,,,,fee schedule,,31614.13839,,,,fee schedule,,30108.70323,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,outpatient,,,,,,56809.01129,77518.4382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68905.2784,,,,fee schedule,,67674.827,,,,fee schedule,,73827.084,,,,fee schedule,,77518.4382,,,,fee schedule,,59649.46186,,,,fee schedule,,56809.01129,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,outpatient,,,,,,11472.61964,16657.578,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14806.736,,,,fee schedule,,14542.33,,,,fee schedule,,15864.36,,,,fee schedule,,16657.578,,,,fee schedule,,12046.25063,,,,fee schedule,,11472.61964,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,outpatient,,,,,,17996.89118,24745.4802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21995.9824,,,,fee schedule,,21603.197,,,,fee schedule,,23567.124,,,,fee schedule,,24745.4802,,,,fee schedule,,18896.73574,,,,fee schedule,,17996.89118,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,outpatient,,,,,,18886.24875,28519.1802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25350.3824,,,,fee schedule,,24897.697,,,,fee schedule,,27161.124,,,,fee schedule,,28519.1802,,,,fee schedule,,19830.56118,,,,fee schedule,,18886.24875,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,outpatient,,,,,,36248.30235,48223.728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42865.536,,,,fee schedule,,42100.08,,,,fee schedule,,45927.36,,,,fee schedule,,48223.728,,,,fee schedule,,38060.71747,,,,fee schedule,,36248.30235,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,outpatient,,,,,,8536.09739,12269.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10906,,,,fee schedule,,10711.25,,,,fee schedule,,11685,,,,fee schedule,,12269.25,,,,fee schedule,,8962.90226,,,,fee schedule,,8536.09739,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,outpatient,,,,,,12851.50286,20499.9732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18222.1984,,,,fee schedule,,17896.802,,,,fee schedule,,19523.784,,,,fee schedule,,20499.9732,,,,fee schedule,,13494.07801,,,,fee schedule,,12851.50286,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,outpatient,,,,,,13476.8324,43408.7766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38585.5792,,,,fee schedule,,37896.551,,,,fee schedule,,41341.692,,,,fee schedule,,43408.7766,,,,fee schedule,,14150.67402,,,,fee schedule,,13476.8324,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,outpatient,,,,,,13476.8324,54311.355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48276.76,,,,fee schedule,,47414.675,,,,fee schedule,,51725.1,,,,fee schedule,,54311.355,,,,fee schedule,,14150.67402,,,,fee schedule,,13476.8324,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,outpatient,,,,,,7828.022224,14185.4706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12609.3072,,,,fee schedule,,12384.141,,,,fee schedule,,13509.972,,,,fee schedule,,14185.4706,,,,fee schedule,,8219.423335,,,,fee schedule,,7828.022224,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,outpatient,,,,,,11639.37419,17790.1416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15813.4592,,,,fee schedule,,15531.076,,,,fee schedule,,16942.992,,,,fee schedule,,17790.1416,,,,fee schedule,,12221.3429,,,,fee schedule,,11639.37419,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,outpatient,,,,,,12202.17077,31549.8834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28044.3408,,,,fee schedule,,27543.549,,,,fee schedule,,30047.508,,,,fee schedule,,31549.8834,,,,fee schedule,,12812.27931,,,,fee schedule,,12202.17077,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,outpatient,,,,,,12202.17077,64461.915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57299.48,,,,fee schedule,,56276.275,,,,fee schedule,,61392.3,,,,fee schedule,,64461.915,,,,fee schedule,,12812.27931,,,,fee schedule,,12202.17077,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,outpatient,,,,,,1578.203,2234.451156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1606.8976,,,,fee schedule,,1578.203,,,,fee schedule,,1721.676,,,,fee schedule,,1807.7598,,,,fee schedule,,2234.451156,,,,fee schedule,,2128.04872,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,outpatient,,,,,,2041.402,2417.502167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2078.5184,,,,fee schedule,,2041.402,,,,fee schedule,,2226.984,,,,fee schedule,,2338.3332,,,,fee schedule,,2417.502167,,,,fee schedule,,2302.383016,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,outpatient,,,,,,6040.562,6919.1892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6150.3904,,,,fee schedule,,6040.562,,,,fee schedule,,6589.704,,,,fee schedule,,6919.1892,,,,fee schedule,,6414.115903,,,,fee schedule,,6108.681812,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,outpatient,,,,,,6108.681812,22345.6842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19862.8304,,,,fee schedule,,19508.137,,,,fee schedule,,21281.604,,,,fee schedule,,22345.6842,,,,fee schedule,,6414.115903,,,,fee schedule,,6108.681812,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,outpatient,,,,,,27984.66,44466.83962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28493.472,,,,fee schedule,,27984.66,,,,fee schedule,,30528.72,,,,fee schedule,,32055.156,,,,fee schedule,,44466.83962,,,,fee schedule,,42349.37106,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,outpatient,,,,,,42349.37106,67181.688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59717.056,,,,fee schedule,,58650.68,,,,fee schedule,,63982.56,,,,fee schedule,,67181.688,,,,fee schedule,,44466.83962,,,,fee schedule,,42349.37106,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,outpatient,,,,,,64283.27841,117398.4714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104354.1968,,,,fee schedule,,102490.729,,,,fee schedule,,111808.068,,,,fee schedule,,117398.4714,,,,fee schedule,,67497.44233,,,,fee schedule,,64283.27841,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,outpatient,,,,,,144695.6041,245859.5034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218541.7808,,,,fee schedule,,214639.249,,,,fee schedule,,234151.908,,,,fee schedule,,245859.5034,,,,fee schedule,,151930.3843,,,,fee schedule,,144695.6041,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,outpatient,,,,,,7289.711,26659.82299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7422.2512,,,,fee schedule,,7289.711,,,,fee schedule,,7952.412,,,,fee schedule,,8350.0326,,,,fee schedule,,26659.82299,,,,fee schedule,,25390.30761,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,outpatient,,,,,,25390.30761,42425.3466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37711.4192,,,,fee schedule,,37038.001,,,,fee schedule,,40405.092,,,,fee schedule,,42425.3466,,,,fee schedule,,26659.82299,,,,fee schedule,,25390.30761,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,outpatient,,,,,,48912.80465,65328.732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58069.984,,,,fee schedule,,57033.02,,,,fee schedule,,62217.84,,,,fee schedule,,65328.732,,,,fee schedule,,51358.44488,,,,fee schedule,,48912.80465,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,outpatient,,,,,,127797.8103,217561.7808,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,193388.2496,,,,fee schedule,,189934.888,,,,fee schedule,,207201.696,,,,fee schedule,,217561.7808,,,,fee schedule,,134187.7008,,,,fee schedule,,127797.8103,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,outpatient,,,,,,2119.524,2469.233974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2158.0608,,,,fee schedule,,2119.524,,,,fee schedule,,2312.208,,,,fee schedule,,2427.8184,,,,fee schedule,,2469.233974,,,,fee schedule,,2351.651404,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,outpatient,,,,,,7569.67901,9315.369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8280.328,,,,fee schedule,,8132.465,,,,fee schedule,,8871.78,,,,fee schedule,,9315.369,,,,fee schedule,,7948.162961,,,,fee schedule,,7569.67901,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,outpatient,,,,,,23252.1859,28350.1512,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25200.1344,,,,fee schedule,,24750.132,,,,fee schedule,,27000.144,,,,fee schedule,,28350.1512,,,,fee schedule,,24414.79519,,,,fee schedule,,23252.1859,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,outpatient,,,,,,62692.79378,76738.3974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68211.9088,,,,fee schedule,,66993.839,,,,fee schedule,,73084.188,,,,fee schedule,,76738.3974,,,,fee schedule,,65827.43347,,,,fee schedule,,62692.79378,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,outpatient,,,,,,5185.21536,7061.103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6276.536,,,,fee schedule,,6164.455,,,,fee schedule,,6724.86,,,,fee schedule,,7061.103,,,,fee schedule,,5444.476128,,,,fee schedule,,5185.21536,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,outpatient,,,,,,10060.25919,14940.2106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13280.1872,,,,fee schedule,,13043.041,,,,fee schedule,,14228.772,,,,fee schedule,,14940.2106,,,,fee schedule,,10563.27215,,,,fee schedule,,10060.25919,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,outpatient,,,,,,12480.72666,17057.0988,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15161.8656,,,,fee schedule,,14891.118,,,,fee schedule,,16244.856,,,,fee schedule,,17057.0988,,,,fee schedule,,13104.76299,,,,fee schedule,,12480.72666,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,outpatient,,,,,,36675.29504,45635.0202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40564.4624,,,,fee schedule,,39840.097,,,,fee schedule,,43461.924,,,,fee schedule,,45635.0202,,,,fee schedule,,38509.0598,,,,fee schedule,,36675.29504,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,outpatient,,,,,,4806.22776,7673.9292,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6821.2704,,,,fee schedule,,6699.462,,,,fee schedule,,7308.504,,,,fee schedule,,7673.9292,,,,fee schedule,,5046.539148,,,,fee schedule,,4806.22776,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,outpatient,,,,,,6063.834946,12865.8096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11436.2752,,,,fee schedule,,11232.056,,,,fee schedule,,12253.152,,,,fee schedule,,12865.8096,,,,fee schedule,,6367.026693,,,,fee schedule,,6063.834946,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,outpatient,,,,,,15458.93755,26460.1386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23520.1232,,,,fee schedule,,23100.121,,,,fee schedule,,25200.132,,,,fee schedule,,26460.1386,,,,fee schedule,,16231.88443,,,,fee schedule,,15458.93755,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,outpatient,,,,,,15458.93755,34310.3292,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30498.0704,,,,fee schedule,,29953.462,,,,fee schedule,,32676.504,,,,fee schedule,,34310.3292,,,,fee schedule,,16231.88443,,,,fee schedule,,15458.93755,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,outpatient,,,,,,4170.397,5168.573155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4246.2224,,,,fee schedule,,4170.397,,,,fee schedule,,4549.524,,,,fee schedule,,4777.0002,,,,fee schedule,,5168.573155,,,,fee schedule,,4922.450624,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,outpatient,,,,,,6645.012,9238.805232,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6765.8304,,,,fee schedule,,6645.012,,,,fee schedule,,7249.104,,,,fee schedule,,7611.5592,,,,fee schedule,,9238.805232,,,,fee schedule,,8798.862126,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,outpatient,,,,,,18409.35602,21415.6026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19036.0912,,,,fee schedule,,18696.161,,,,fee schedule,,20395.812,,,,fee schedule,,21415.6026,,,,fee schedule,,19329.82382,,,,fee schedule,,18409.35602,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,outpatient,,,,,,18409.35602,33663.1554,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29922.8048,,,,fee schedule,,29388.469,,,,fee schedule,,32060.148,,,,fee schedule,,33663.1554,,,,fee schedule,,19329.82382,,,,fee schedule,,18409.35602,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,outpatient,,,,,,960.333,1884.266614,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,977.7936,,,,fee schedule,,960.333,,,,fee schedule,,1047.636,,,,fee schedule,,1100.0178,,,,fee schedule,,1884.266614,,,,fee schedule,,1794.539632,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,outpatient,,,,,,1376.188,2143.588879,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1401.2096,,,,fee schedule,,1376.188,,,,fee schedule,,1501.296,,,,fee schedule,,1576.3608,,,,fee schedule,,2143.588879,,,,fee schedule,,2041.513218,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,outpatient,,,,,,3146.935,3604.671,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3204.152,,,,fee schedule,,3146.935,,,,fee schedule,,3433.02,,,,fee schedule,,3604.671,,,,fee schedule,,3457.444141,,,,fee schedule,,3292.803944,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,outpatient,,,,,,3292.803944,20443.0212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18171.5744,,,,fee schedule,,17847.082,,,,fee schedule,,19469.544,,,,fee schedule,,20443.0212,,,,fee schedule,,3457.444141,,,,fee schedule,,3292.803944,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,outpatient,,,,,,8647.898732,14149.3212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12577.1744,,,,fee schedule,,12352.582,,,,fee schedule,,13475.544,,,,fee schedule,,14149.3212,,,,fee schedule,,9080.293669,,,,fee schedule,,8647.898732,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,outpatient,,,,,,10541.57344,18871.1838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16774.3856,,,,fee schedule,,16474.843,,,,fee schedule,,17972.556,,,,fee schedule,,18871.1838,,,,fee schedule,,11068.65211,,,,fee schedule,,10541.57344,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,outpatient,,,,,,16407.0382,26634.5856,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23675.1872,,,,fee schedule,,23252.416,,,,fee schedule,,25366.272,,,,fee schedule,,26634.5856,,,,fee schedule,,17227.39011,,,,fee schedule,,16407.0382,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,outpatient,,,,,,16470.83444,46158.3738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41029.6656,,,,fee schedule,,40296.993,,,,fee schedule,,43960.356,,,,fee schedule,,46158.3738,,,,fee schedule,,17294.37616,,,,fee schedule,,16470.83444,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,outpatient,,,,,,5969.719692,11846.2302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10529.9824,,,,fee schedule,,10341.947,,,,fee schedule,,11282.124,,,,fee schedule,,11846.2302,,,,fee schedule,,6268.205677,,,,fee schedule,,5969.719692,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,outpatient,,,,,,8481.775834,16761.528,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14899.136,,,,fee schedule,,14633.08,,,,fee schedule,,15963.36,,,,fee schedule,,16761.528,,,,fee schedule,,8905.864626,,,,fee schedule,,8481.775834,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,outpatient,,,,,,11665.90332,24679.5066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21937.3392,,,,fee schedule,,21545.601,,,,fee schedule,,23504.292,,,,fee schedule,,24679.5066,,,,fee schedule,,12249.19849,,,,fee schedule,,11665.90332,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,outpatient,,,,,,11665.90332,52985.3688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47098.1056,,,,fee schedule,,46257.068,,,,fee schedule,,50462.256,,,,fee schedule,,52985.3688,,,,fee schedule,,12249.19849,,,,fee schedule,,11665.90332,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,outpatient,,,,,,5766.32968,7500.3894,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6667.0128,,,,fee schedule,,6547.959,,,,fee schedule,,7143.228,,,,fee schedule,,7500.3894,,,,fee schedule,,6054.646164,,,,fee schedule,,5766.32968,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,outpatient,,,,,,6619.05178,8381.6712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7450.3744,,,,fee schedule,,7317.332,,,,fee schedule,,7982.544,,,,fee schedule,,8381.6712,,,,fee schedule,,6950.004369,,,,fee schedule,,6619.05178,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,outpatient,,,,,,9700.220968,13221.936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11752.832,,,,fee schedule,,11542.96,,,,fee schedule,,12592.32,,,,fee schedule,,13221.936,,,,fee schedule,,10185.23202,,,,fee schedule,,9700.220968,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,outpatient,,,,,,28246.636,40898.00813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28760.2112,,,,fee schedule,,28246.636,,,,fee schedule,,30814.512,,,,fee schedule,,32355.2376,,,,fee schedule,,40898.00813,,,,fee schedule,,38950.48394,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,outpatient,,,,,,6157.9502,8547.0714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7597.3968,,,,fee schedule,,7461.729,,,,fee schedule,,8140.068,,,,fee schedule,,8547.0714,,,,fee schedule,,6465.84771,,,,fee schedule,,6157.9502,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,outpatient,,,,,,7188.164826,11439.4896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10168.4352,,,,fee schedule,,9986.856,,,,fee schedule,,10894.752,,,,fee schedule,,11439.4896,,,,fee schedule,,7547.573067,,,,fee schedule,,7188.164826,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,outpatient,,,,,,12383.349,14184.5634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12608.5008,,,,fee schedule,,12383.349,,,,fee schedule,,13509.108,,,,fee schedule,,14184.5634,,,,fee schedule,,13322.30188,,,,fee schedule,,12687.90655,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,outpatient,,,,,,23589.48486,27176.9148,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24157.2576,,,,fee schedule,,23725.878,,,,fee schedule,,25882.776,,,,fee schedule,,27176.9148,,,,fee schedule,,24768.95911,,,,fee schedule,,23589.48486,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,outpatient,,,,,,4995.793,5722.4538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5086.6256,,,,fee schedule,,4995.793,,,,fee schedule,,5449.956,,,,fee schedule,,5722.4538,,,,fee schedule,,5490.238881,,,,fee schedule,,5228.798934,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,outpatient,,,,,,6613.998612,7814.0286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6945.8032,,,,fee schedule,,6821.771,,,,fee schedule,,7441.932,,,,fee schedule,,7814.0286,,,,fee schedule,,6944.698543,,,,fee schedule,,6613.998612,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,outpatient,,,,,,8150.79333,11960.1216,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10631.2192,,,,fee schedule,,10441.376,,,,fee schedule,,11390.592,,,,fee schedule,,11960.1216,,,,fee schedule,,8558.332997,,,,fee schedule,,8150.79333,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,outpatient,,,,,,13003.0979,24845.814,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22085.168,,,,fee schedule,,21690.79,,,,fee schedule,,23662.68,,,,fee schedule,,24845.814,,,,fee schedule,,13653.2528,,,,fee schedule,,13003.0979,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,outpatient,,,,,,3916.870192,5411.5236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4810.2432,,,,fee schedule,,4724.346,,,,fee schedule,,5153.832,,,,fee schedule,,5411.5236,,,,fee schedule,,4112.713702,,,,fee schedule,,3916.870192,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,outpatient,,,,,,4778.435336,7448.868,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6621.216,,,,fee schedule,,6502.98,,,,fee schedule,,7094.16,,,,fee schedule,,7448.868,,,,fee schedule,,5017.357103,,,,fee schedule,,4778.435336,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,outpatient,,,,,,6754.224024,10701.0162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9512.0144,,,,fee schedule,,9342.157,,,,fee schedule,,10191.444,,,,fee schedule,,10701.0162,,,,fee schedule,,7091.935225,,,,fee schedule,,6754.224024,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,outpatient,,,,,,11439.14241,19246.2858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17107.8096,,,,fee schedule,,16802.313,,,,fee schedule,,18329.796,,,,fee schedule,,19246.2858,,,,fee schedule,,12011.09953,,,,fee schedule,,11439.14241,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,outpatient,,,,,,8975.723006,16520.1876,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14684.6112,,,,fee schedule,,14422.386,,,,fee schedule,,15733.512,,,,fee schedule,,16520.1876,,,,fee schedule,,9424.509156,,,,fee schedule,,8975.723006,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,outpatient,,,,,,11953.30225,22455.9594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19960.8528,,,,fee schedule,,19604.409,,,,fee schedule,,21386.628,,,,fee schedule,,22455.9594,,,,fee schedule,,12550.96736,,,,fee schedule,,11953.30225,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,outpatient,,,,,,20138.80276,36120.798,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32107.376,,,,fee schedule,,31534.03,,,,fee schedule,,34400.76,,,,fee schedule,,36120.798,,,,fee schedule,,21145.7429,,,,fee schedule,,20138.80276,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,outpatient,,,,,,33846.78426,77452.452,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68846.624,,,,fee schedule,,67617.22,,,,fee schedule,,73764.24,,,,fee schedule,,77452.452,,,,fee schedule,,35539.12347,,,,fee schedule,,33846.78426,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,outpatient,,,,,,7045.41283,12439.1736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11057.0432,,,,fee schedule,,10859.596,,,,fee schedule,,11846.832,,,,fee schedule,,12439.1736,,,,fee schedule,,7397.683472,,,,fee schedule,,7045.41283,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,outpatient,,,,,,11175.74602,16825.6998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14956.1776,,,,fee schedule,,14689.103,,,,fee schedule,,16024.476,,,,fee schedule,,16825.6998,,,,fee schedule,,11734.53333,,,,fee schedule,,11175.74602,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,outpatient,,,,,,19256.3933,28503.8082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25336.7184,,,,fee schedule,,24884.277,,,,fee schedule,,27146.484,,,,fee schedule,,28503.8082,,,,fee schedule,,20219.21297,,,,fee schedule,,19256.3933,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,outpatient,,,,,,50387.69806,70574.8428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62733.1936,,,,fee schedule,,61612.958,,,,fee schedule,,67214.136,,,,fee schedule,,70574.8428,,,,fee schedule,,52907.08296,,,,fee schedule,,50387.69806,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,outpatient,,,,,,11440.374,19493.64121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11648.3808,,,,fee schedule,,11440.374,,,,fee schedule,,12480.408,,,,fee schedule,,13104.4284,,,,fee schedule,,19493.64121,,,,fee schedule,,18565.37258,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,outpatient,,,,,,18565.37258,23345.3808,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20751.4496,,,,fee schedule,,20380.888,,,,fee schedule,,22233.696,,,,fee schedule,,23345.3808,,,,fee schedule,,19493.64121,,,,fee schedule,,18565.37258,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,outpatient,,,,,,35345.387,40486.5342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35988.0304,,,,fee schedule,,35345.387,,,,fee schedule,,38558.604,,,,fee schedule,,40486.5342,,,,fee schedule,,38271.62406,,,,fee schedule,,36449.16578,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,outpatient,,,,,,57143.15203,69912.297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62144.264,,,,fee schedule,,61034.545,,,,fee schedule,,66583.14,,,,fee schedule,,69912.297,,,,fee schedule,,60000.30963,,,,fee schedule,,57143.15203,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,outpatient,,,,,,7085.838174,10918.8576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9705.6512,,,,fee schedule,,9532.336,,,,fee schedule,,10398.912,,,,fee schedule,,10918.8576,,,,fee schedule,,7440.130083,,,,fee schedule,,7085.838174,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,outpatient,,,,,,8386.397288,14036.337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12476.744,,,,fee schedule,,12253.945,,,,fee schedule,,13367.94,,,,fee schedule,,14036.337,,,,fee schedule,,8805.717152,,,,fee schedule,,8386.397288,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,outpatient,,,,,,14064.89483,20821.752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18508.224,,,,fee schedule,,18177.72,,,,fee schedule,,19830.24,,,,fee schedule,,20821.752,,,,fee schedule,,14768.13957,,,,fee schedule,,14064.89483,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,outpatient,,,,,,23630.54185,40929.4368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36381.7216,,,,fee schedule,,35732.048,,,,fee schedule,,38980.416,,,,fee schedule,,40929.4368,,,,fee schedule,,24812.06894,,,,fee schedule,,23630.54185,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,outpatient,,,,,,8639.055688,11799.2322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10488.2064,,,,fee schedule,,10300.917,,,,fee schedule,,11237.364,,,,fee schedule,,11799.2322,,,,fee schedule,,9071.008472,,,,fee schedule,,8639.055688,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,outpatient,,,,,,8639.055688,16438.842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14612.304,,,,fee schedule,,14351.37,,,,fee schedule,,15656.04,,,,fee schedule,,16438.842,,,,fee schedule,,9071.008472,,,,fee schedule,,8639.055688,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,outpatient,,,,,,8639.055688,24689.448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21946.176,,,,fee schedule,,21554.28,,,,fee schedule,,23513.76,,,,fee schedule,,24689.448,,,,fee schedule,,9071.008472,,,,fee schedule,,8639.055688,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,outpatient,,,,,,18693.59672,35144.613,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31239.656,,,,fee schedule,,30681.805,,,,fee schedule,,33471.06,,,,fee schedule,,35144.613,,,,fee schedule,,19628.27655,,,,fee schedule,,18693.59672,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,outpatient,,,,,,4459.454106,7486.8318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6654.9616,,,,fee schedule,,6536.123,,,,fee schedule,,7130.316,,,,fee schedule,,7486.8318,,,,fee schedule,,4682.426811,,,,fee schedule,,4459.454106,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,outpatient,,,,,,5023.513984,9121.0392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8107.5904,,,,fee schedule,,7962.812,,,,fee schedule,,8686.704,,,,fee schedule,,9121.0392,,,,fee schedule,,5274.689683,,,,fee schedule,,5023.513984,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,outpatient,,,,,,9040.782544,13852.8432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12313.6384,,,,fee schedule,,12093.752,,,,fee schedule,,13193.184,,,,fee schedule,,13852.8432,,,,fee schedule,,9492.821671,,,,fee schedule,,9040.782544,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,outpatient,,,,,,15558.73762,25532.766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22695.792,,,,fee schedule,,22290.51,,,,fee schedule,,24316.92,,,,fee schedule,,25532.766,,,,fee schedule,,16336.6745,,,,fee schedule,,15558.73762,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,outpatient,,,,,,4937.405,7247.130647,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5027.176,,,,fee schedule,,4937.405,,,,fee schedule,,5386.26,,,,fee schedule,,5655.573,,,,fee schedule,,7247.130647,,,,fee schedule,,6902.029188,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,outpatient,,,,,,6902.029188,9518.7456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8461.1072,,,,fee schedule,,8310.016,,,,fee schedule,,9065.472,,,,fee schedule,,9518.7456,,,,fee schedule,,7247.130647,,,,fee schedule,,6902.029188,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,outpatient,,,,,,17847.19108,22647.5802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20131.1824,,,,fee schedule,,19771.697,,,,fee schedule,,21569.124,,,,fee schedule,,22647.5802,,,,fee schedule,,18739.55063,,,,fee schedule,,17847.19108,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,outpatient,,,,,,50104.089,61954.5528,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55070.7136,,,,fee schedule,,54087.308,,,,fee schedule,,59004.336,,,,fee schedule,,61954.5528,,,,fee schedule,,52609.29345,,,,fee schedule,,50104.089,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,outpatient,,,,,,6311.440178,7911.6534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7032.5808,,,,fee schedule,,6906.999,,,,fee schedule,,7534.908,,,,fee schedule,,7911.6534,,,,fee schedule,,6627.012187,,,,fee schedule,,6311.440178,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,outpatient,,,,,,8165.952834,9657.9378,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8584.8336,,,,fee schedule,,8431.533,,,,fee schedule,,9198.036,,,,fee schedule,,9657.9378,,,,fee schedule,,8574.250476,,,,fee schedule,,8165.952834,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,outpatient,,,,,,13644.334,15628.9644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13892.4128,,,,fee schedule,,13644.334,,,,fee schedule,,14884.728,,,,fee schedule,,15628.9644,,,,fee schedule,,14379.48779,,,,fee schedule,,13694.75027,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,outpatient,,,,,,26093.32961,34006.6314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30228.1168,,,,fee schedule,,29688.329,,,,fee schedule,,32387.268,,,,fee schedule,,34006.6314,,,,fee schedule,,27397.99609,,,,fee schedule,,26093.32961,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,outpatient,,,,,,5266.066048,11270.4606,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10018.1872,,,,fee schedule,,9839.291,,,,fee schedule,,10733.772,,,,fee schedule,,11270.4606,,,,fee schedule,,5529.36935,,,,fee schedule,,5266.066048,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,outpatient,,,,,,7816.652596,15853.131,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14091.672,,,,fee schedule,,13840.035,,,,fee schedule,,15098.22,,,,fee schedule,,15853.131,,,,fee schedule,,8207.485226,,,,fee schedule,,7816.652596,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,outpatient,,,,,,12912.14088,25972.0524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23086.2688,,,,fee schedule,,22674.014,,,,fee schedule,,24735.288,,,,fee schedule,,25972.0524,,,,fee schedule,,13557.74792,,,,fee schedule,,12912.14088,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,outpatient,,,,,,29724.66246,47711.2356,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42409.9872,,,,fee schedule,,41652.666,,,,fee schedule,,45439.272,,,,fee schedule,,47711.2356,,,,fee schedule,,31210.89558,,,,fee schedule,,29724.66246,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,outpatient,,,,,,6943.717824,11233.404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9985.248,,,,fee schedule,,9806.94,,,,fee schedule,,10698.48,,,,fee schedule,,11233.404,,,,fee schedule,,7290.903715,,,,fee schedule,,6943.717824,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,outpatient,,,,,,9024.359748,15047.7768,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13375.8016,,,,fee schedule,,13136.948,,,,fee schedule,,14331.216,,,,fee schedule,,15047.7768,,,,fee schedule,,9475.577735,,,,fee schedule,,9024.359748,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,outpatient,,,,,,15080.5816,25120.5948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22329.4176,,,,fee schedule,,21930.678,,,,fee schedule,,23924.376,,,,fee schedule,,25120.5948,,,,fee schedule,,15834.61068,,,,fee schedule,,15080.5816,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,outpatient,,,,,,29012.79742,45862.803,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40766.936,,,,fee schedule,,40038.955,,,,fee schedule,,43678.86,,,,fee schedule,,45862.803,,,,fee schedule,,30463.43729,,,,fee schedule,,29012.79742,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,outpatient,,,,,,3756.432108,6140.9502,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5458.6224,,,,fee schedule,,5361.147,,,,fee schedule,,5848.524,,,,fee schedule,,6140.9502,,,,fee schedule,,3944.253713,,,,fee schedule,,3756.432108,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,outpatient,,,,,,4656.527658,7783.2972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6918.4864,,,,fee schedule,,6794.942,,,,fee schedule,,7412.664,,,,fee schedule,,7783.2972,,,,fee schedule,,4889.354041,,,,fee schedule,,4656.527658,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,outpatient,,,,,,7010.6723,12147.219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10797.528,,,,fee schedule,,10604.715,,,,fee schedule,,11568.78,,,,fee schedule,,12147.219,,,,fee schedule,,7361.205915,,,,fee schedule,,7010.6723,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,outpatient,,,,,,13555.15651,23806.3518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21161.2016,,,,fee schedule,,20783.323,,,,fee schedule,,22672.716,,,,fee schedule,,23806.3518,,,,fee schedule,,14232.91433,,,,fee schedule,,13555.15651,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,outpatient,,,,,,4676.108684,6137.334,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5455.408,,,,fee schedule,,5357.99,,,,fee schedule,,5845.08,,,,fee schedule,,6137.334,,,,fee schedule,,4909.914118,,,,fee schedule,,4676.108684,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,outpatient,,,,,,5522.514324,8329.2426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7403.7712,,,,fee schedule,,7271.561,,,,fee schedule,,7932.612,,,,fee schedule,,8329.2426,,,,fee schedule,,5798.64004,,,,fee schedule,,5522.514324,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,outpatient,,,,,,8671.269634,13318.6536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11838.8032,,,,fee schedule,,11627.396,,,,fee schedule,,12684.432,,,,fee schedule,,13318.6536,,,,fee schedule,,9104.833116,,,,fee schedule,,8671.269634,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,outpatient,,,,,,15978.15056,23696.9838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21063.9856,,,,fee schedule,,20687.843,,,,fee schedule,,22568.556,,,,fee schedule,,23696.9838,,,,fee schedule,,16777.05809,,,,fee schedule,,15978.15056,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,outpatient,,,,,,3729.27133,4443.4656,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3949.7472,,,,fee schedule,,3879.216,,,,fee schedule,,4231.872,,,,fee schedule,,4443.4656,,,,fee schedule,,3915.734897,,,,fee schedule,,3729.27133,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,outpatient,,,,,,4715.270736,6179.8212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5493.1744,,,,fee schedule,,5395.082,,,,fee schedule,,5885.544,,,,fee schedule,,6179.8212,,,,fee schedule,,4951.034273,,,,fee schedule,,4715.270736,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,outpatient,,,,,,6802.22912,8845.3512,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7862.5344,,,,fee schedule,,7722.132,,,,fee schedule,,8424.144,,,,fee schedule,,8845.3512,,,,fee schedule,,7142.340576,,,,fee schedule,,6802.22912,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,outpatient,,,,,,10152.4795,14655.4884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13027.1008,,,,fee schedule,,12794.474,,,,fee schedule,,13957.608,,,,fee schedule,,14655.4884,,,,fee schedule,,10660.10348,,,,fee schedule,,10152.4795,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,outpatient,,,,,,3770.327,4318.7382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3838.8784,,,,fee schedule,,3770.327,,,,fee schedule,,4113.084,,,,fee schedule,,4318.7382,,,,fee schedule,,4171.077792,,,,fee schedule,,3972.45504,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,outpatient,,,,,,4570.623802,5814.648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5168.576,,,,fee schedule,,5076.28,,,,fee schedule,,5537.76,,,,fee schedule,,5814.648,,,,fee schedule,,4799.154992,,,,fee schedule,,4570.623802,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,outpatient,,,,,,8102.479,11186.70675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8249.7968,,,,fee schedule,,8102.479,,,,fee schedule,,8839.068,,,,fee schedule,,9281.0214,,,,fee schedule,,11186.70675,,,,fee schedule,,10654.00643,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,outpatient,,,,,,10654.00643,23377.0194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20779.5728,,,,fee schedule,,20408.509,,,,fee schedule,,22263.828,,,,fee schedule,,23377.0194,,,,fee schedule,,11186.70675,,,,fee schedule,,10654.00643,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,outpatient,,,,,,5022.250692,6313.5954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5612.0848,,,,fee schedule,,5511.869,,,,fee schedule,,6012.948,,,,fee schedule,,6313.5954,,,,fee schedule,,5273.363227,,,,fee schedule,,5022.250692,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,outpatient,,,,,,5918.556366,7612.4664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6766.6368,,,,fee schedule,,6645.804,,,,fee schedule,,7249.968,,,,fee schedule,,7612.4664,,,,fee schedule,,6214.484184,,,,fee schedule,,5918.556366,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,outpatient,,,,,,9385.66126,12487.986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11100.432,,,,fee schedule,,10902.21,,,,fee schedule,,11893.32,,,,fee schedule,,12487.986,,,,fee schedule,,9854.944323,,,,fee schedule,,9385.66126,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,outpatient,,,,,,14033.31253,26518.8924,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23572.3488,,,,fee schedule,,23151.414,,,,fee schedule,,25256.088,,,,fee schedule,,26518.8924,,,,fee schedule,,14734.97815,,,,fee schedule,,14033.31253,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,outpatient,,,,,,9634.911,11036.3526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9810.0912,,,,fee schedule,,9634.911,,,,fee schedule,,10510.812,,,,fee schedule,,11036.3526,,,,fee schedule,,11002.99251,,,,fee schedule,,10479.04049,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,outpatient,,,,,,10823.296,16818.17824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11020.0832,,,,fee schedule,,10823.296,,,,fee schedule,,11807.232,,,,fee schedule,,12397.5936,,,,fee schedule,,16818.17824,,,,fee schedule,,16017.31261,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,outpatient,,,,,,16017.31261,28086.219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24965.528,,,,fee schedule,,24519.715,,,,fee schedule,,26748.78,,,,fee schedule,,28086.219,,,,fee schedule,,16818.17824,,,,fee schedule,,16017.31261,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,outpatient,,,,,,16017.31261,70286.5044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62476.8928,,,,fee schedule,,61361.234,,,,fee schedule,,66939.528,,,,fee schedule,,70286.5044,,,,fee schedule,,16818.17824,,,,fee schedule,,16017.31261,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,outpatient,,,,,,5592.356,7940.867449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5694.0352,,,,fee schedule,,5592.356,,,,fee schedule,,6100.752,,,,fee schedule,,6405.7896,,,,fee schedule,,7940.867449,,,,fee schedule,,7562.730904,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,outpatient,,,,,,7180.811,8225.2926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7311.3712,,,,fee schedule,,7180.811,,,,fee schedule,,7833.612,,,,fee schedule,,8225.2926,,,,fee schedule,,7940.867449,,,,fee schedule,,7562.730904,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,outpatient,,,,,,11846.55408,13749.8004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12222.0448,,,,fee schedule,,12003.794,,,,fee schedule,,13095.048,,,,fee schedule,,13749.8004,,,,fee schedule,,12438.88178,,,,fee schedule,,11846.55408,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,outpatient,,,,,,25139.95,28796.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25597.04,,,,fee schedule,,25139.95,,,,fee schedule,,27425.4,,,,fee schedule,,28796.67,,,,fee schedule,,28307.94531,,,,fee schedule,,26959.94792,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,outpatient,,,,,,3281.872,4849.560343,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3341.5424,,,,fee schedule,,3281.872,,,,fee schedule,,3580.224,,,,fee schedule,,3759.2352,,,,fee schedule,,4849.560343,,,,fee schedule,,4618.628898,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,outpatient,,,,,,4650.173,5393.407549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4734.7216,,,,fee schedule,,4650.173,,,,fee schedule,,5072.916,,,,fee schedule,,5326.5618,,,,fee schedule,,5393.407549,,,,fee schedule,,5136.578618,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,outpatient,,,,,,7966.984344,10391.8878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9237.2336,,,,fee schedule,,9072.283,,,,fee schedule,,9897.036,,,,fee schedule,,10391.8878,,,,fee schedule,,8365.333561,,,,fee schedule,,7966.984344,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,outpatient,,,,,,18737.191,21462.6006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19077.8672,,,,fee schedule,,18737.191,,,,fee schedule,,20440.572,,,,fee schedule,,21462.6006,,,,fee schedule,,20592.6105,,,,fee schedule,,19612.01,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,outpatient,,,,,,2763.431,6743.077139,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2813.6752,,,,fee schedule,,2763.431,,,,fee schedule,,3014.652,,,,fee schedule,,3165.3846,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,outpatient,,,,,,4009.423,6743.077139,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4082.3216,,,,fee schedule,,4009.423,,,,fee schedule,,4373.916,,,,fee schedule,,4592.6118,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,outpatient,,,,,,6421.978228,13120.7076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11662.8512,,,,fee schedule,,11454.586,,,,fee schedule,,12495.912,,,,fee schedule,,13120.7076,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,outpatient,,,,,,6421.978228,24354.1116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21648.0992,,,,fee schedule,,21261.526,,,,fee schedule,,23194.392,,,,fee schedule,,24354.1116,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,outpatient,,,,,,3663.792,5213.009451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3730.4064,,,,fee schedule,,3663.792,,,,fee schedule,,3996.864,,,,fee schedule,,4196.7072,,,,fee schedule,,5213.009451,,,,fee schedule,,4964.770906,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,outpatient,,,,,,5127.573,5873.4018,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5220.8016,,,,fee schedule,,5127.573,,,,fee schedule,,5593.716,,,,fee schedule,,5873.4018,,,,fee schedule,,5760.172799,,,,fee schedule,,5485.878856,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,outpatient,,,,,,7848.866542,11475.639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10200.568,,,,fee schedule,,10018.415,,,,fee schedule,,10929.18,,,,fee schedule,,11475.639,,,,fee schedule,,8241.309869,,,,fee schedule,,7848.866542,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,outpatient,,,,,,17955.982,20567.7612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18282.4544,,,,fee schedule,,17955.982,,,,fee schedule,,19588.344,,,,fee schedule,,20567.7612,,,,fee schedule,,20333.95146,,,,fee schedule,,19365.66806,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,outpatient,,,,,,2839.969,5638.80202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2891.6048,,,,fee schedule,,2839.969,,,,fee schedule,,3098.148,,,,fee schedule,,3253.0554,,,,fee schedule,,5638.80202,,,,fee schedule,,5370.287638,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,outpatient,,,,,,3992.846,6648.235493,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4065.4432,,,,fee schedule,,3992.846,,,,fee schedule,,4355.832,,,,fee schedule,,4573.6236,,,,fee schedule,,6648.235493,,,,fee schedule,,6331.65285,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,outpatient,,,,,,7165.818,9246.763972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7296.1056,,,,fee schedule,,7165.818,,,,fee schedule,,7817.256,,,,fee schedule,,8208.1188,,,,fee schedule,,9246.763972,,,,fee schedule,,8806.441878,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,outpatient,,,,,,8806.441878,19764.2088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17568.1856,,,,fee schedule,,17254.468,,,,fee schedule,,18823.056,,,,fee schedule,,19764.2088,,,,fee schedule,,9246.763972,,,,fee schedule,,8806.441878,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,outpatient,,,,,,2732.653,5530.032579,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2782.3376,,,,fee schedule,,2732.653,,,,fee schedule,,2981.076,,,,fee schedule,,3130.1298,,,,fee schedule,,5530.032579,,,,fee schedule,,5266.697694,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,outpatient,,,,,,4097.797,7139.024435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4172.3024,,,,fee schedule,,4097.797,,,,fee schedule,,4470.324,,,,fee schedule,,4693.8402,,,,fee schedule,,7139.024435,,,,fee schedule,,6799.07089,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,outpatient,,,,,,6838.348,9619.498277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6962.6816,,,,fee schedule,,6838.348,,,,fee schedule,,7460.016,,,,fee schedule,,7833.0168,,,,fee schedule,,9619.498277,,,,fee schedule,,9161.42693,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,outpatient,,,,,,9161.42693,11932.0992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10606.3104,,,,fee schedule,,10416.912,,,,fee schedule,,11363.904,,,,fee schedule,,11932.0992,,,,fee schedule,,9619.498277,,,,fee schedule,,9161.42693,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,outpatient,,,,,,4566.529,5656.045956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4649.5568,,,,fee schedule,,4566.529,,,,fee schedule,,4981.668,,,,fee schedule,,5230.7514,,,,fee schedule,,5656.045956,,,,fee schedule,,5386.710434,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,outpatient,,,,,,5735.18,6569.388,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5839.456,,,,fee schedule,,5735.18,,,,fee schedule,,6256.56,,,,fee schedule,,6569.388,,,,fee schedule,,6392.892597,,,,fee schedule,,6088.46914,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,outpatient,,,,,,6386.193,7315.0938,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6502.3056,,,,fee schedule,,6386.193,,,,fee schedule,,6966.756,,,,fee schedule,,7315.0938,,,,fee schedule,,7154.278685,,,,fee schedule,,6813.598748,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,outpatient,,,,,,8585.365778,17492.769,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15549.128,,,,fee schedule,,15271.465,,,,fee schedule,,16659.78,,,,fee schedule,,17492.769,,,,fee schedule,,9014.634067,,,,fee schedule,,8585.365778,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,outpatient,,,,,,4768.533,10400.11799,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4855.2336,,,,fee schedule,,4768.533,,,,fee schedule,,5202.036,,,,fee schedule,,5462.1378,,,,fee schedule,,10400.11799,,,,fee schedule,,9904.874272,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,outpatient,,,,,,6861.228,12263.12628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6985.9776,,,,fee schedule,,6861.228,,,,fee schedule,,7484.976,,,,fee schedule,,7859.2248,,,,fee schedule,,12263.12628,,,,fee schedule,,11679.16789,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,outpatient,,,,,,11595.045,13281.597,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11805.864,,,,fee schedule,,11595.045,,,,fee schedule,,12649.14,,,,fee schedule,,13281.597,,,,fee schedule,,12263.12628,,,,fee schedule,,11679.16789,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,outpatient,,,,,,11679.16789,26320.9464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23396.3968,,,,fee schedule,,22978.604,,,,fee schedule,,25067.568,,,,fee schedule,,26320.9464,,,,fee schedule,,12263.12628,,,,fee schedule,,11679.16789,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,outpatient,,,,,,3580.148,9632.762843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3645.2416,,,,fee schedule,,3580.148,,,,fee schedule,,3905.616,,,,fee schedule,,4100.8968,,,,fee schedule,,9632.762843,,,,fee schedule,,9174.05985,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,outpatient,,,,,,4420.537,13864.1594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4500.9104,,,,fee schedule,,4420.537,,,,fee schedule,,4822.404,,,,fee schedule,,5063.5242,,,,fee schedule,,13864.1594,,,,fee schedule,,13203.96133,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,outpatient,,,,,,8485.983,21840.14293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8640.2736,,,,fee schedule,,8485.983,,,,fee schedule,,9257.436,,,,fee schedule,,9720.3078,,,,fee schedule,,21840.14293,,,,fee schedule,,20800.13613,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,outpatient,,,,,,20954.8894,51406.2864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45694.4768,,,,fee schedule,,44878.504,,,,fee schedule,,48958.368,,,,fee schedule,,51406.2864,,,,fee schedule,,22002.63387,,,,fee schedule,,20954.8894,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,outpatient,,,,,,8648.541,12076.0959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8805.7872,,,,fee schedule,,8648.541,,,,fee schedule,,9434.772,,,,fee schedule,,9906.5106,,,,fee schedule,,12076.0959,,,,fee schedule,,11501.04371,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,outpatient,,,,,,10627.606,12173.4396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10820.8352,,,,fee schedule,,10627.606,,,,fee schedule,,11593.752,,,,fee schedule,,12173.4396,,,,fee schedule,,12076.0959,,,,fee schedule,,11501.04371,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,outpatient,,,,,,13894.98205,17833.5234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15852.0208,,,,fee schedule,,15568.949,,,,fee schedule,,16984.308,,,,fee schedule,,17833.5234,,,,fee schedule,,14589.73116,,,,fee schedule,,13894.98205,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,outpatient,,,,,,13894.98205,66000.312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58666.944,,,,fee schedule,,57619.32,,,,fee schedule,,62857.44,,,,fee schedule,,66000.312,,,,fee schedule,,14589.73116,,,,fee schedule,,13894.98205,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,outpatient,,,,,,4466.308,8463.49135,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4547.5136,,,,fee schedule,,4466.308,,,,fee schedule,,4872.336,,,,fee schedule,,5115.9528,,,,fee schedule,,8463.49135,,,,fee schedule,,8060.467952,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,outpatient,,,,,,6676.582,9348.90113,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6797.9744,,,,fee schedule,,6676.582,,,,fee schedule,,7283.544,,,,fee schedule,,7647.7212,,,,fee schedule,,9348.90113,,,,fee schedule,,8903.715362,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,outpatient,,,,,,10381.404,14956.49641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10570.1568,,,,fee schedule,,10381.404,,,,fee schedule,,11325.168,,,,fee schedule,,11891.4264,,,,fee schedule,,14956.49641,,,,fee schedule,,14244.28229,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,outpatient,,,,,,14244.28229,24576.4638,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21845.7456,,,,fee schedule,,21455.643,,,,fee schedule,,23406.156,,,,fee schedule,,24576.4638,,,,fee schedule,,14956.49641,,,,fee schedule,,14244.28229,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,outpatient,,,,,,2495.922,2943.442209,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2541.3024,,,,fee schedule,,2495.922,,,,fee schedule,,2722.824,,,,fee schedule,,2858.9652,,,,fee schedule,,2943.442209,,,,fee schedule,,2803.278294,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,outpatient,,,,,,3573.886414,4209.3576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3741.6512,,,,fee schedule,,3674.836,,,,fee schedule,,4008.912,,,,fee schedule,,4209.3576,,,,fee schedule,,3752.580735,,,,fee schedule,,3573.886414,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,outpatient,,,,,,5717.061292,7019.523,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6239.576,,,,fee schedule,,6128.155,,,,fee schedule,,6685.26,,,,fee schedule,,7019.523,,,,fee schedule,,6002.914357,,,,fee schedule,,5717.061292,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,outpatient,,,,,,11010.25477,14998.0572,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13331.6064,,,,fee schedule,,13093.542,,,,fee schedule,,14283.864,,,,fee schedule,,14998.0572,,,,fee schedule,,11560.76751,,,,fee schedule,,11010.25477,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,outpatient,,,,,,3275.117856,4754.3958,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4226.1296,,,,fee schedule,,4150.663,,,,fee schedule,,4527.996,,,,fee schedule,,4754.3958,,,,fee schedule,,3438.873749,,,,fee schedule,,3275.117856,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,outpatient,,,,,,3429.23948,6644.4084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5906.1408,,,,fee schedule,,5800.674,,,,fee schedule,,6328.008,,,,fee schedule,,6644.4084,,,,fee schedule,,3600.701454,,,,fee schedule,,3429.23948,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,outpatient,,,,,,4564.938988,8466.633,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7525.896,,,,fee schedule,,7391.505,,,,fee schedule,,8063.46,,,,fee schedule,,8466.633,,,,fee schedule,,4793.185937,,,,fee schedule,,4564.938988,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,outpatient,,,,,,4564.938988,20956.4208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18627.9296,,,,fee schedule,,18295.288,,,,fee schedule,,19958.496,,,,fee schedule,,20956.4208,,,,fee schedule,,4793.185937,,,,fee schedule,,4564.938988,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,outpatient,,,,,,2573.252,4143.885432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2620.0384,,,,fee schedule,,2573.252,,,,fee schedule,,2807.184,,,,fee schedule,,2947.5432,,,,fee schedule,,4143.885432,,,,fee schedule,,3946.557554,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,outpatient,,,,,,3820.036,4433.716199,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3889.4912,,,,fee schedule,,3820.036,,,,fee schedule,,4167.312,,,,fee schedule,,4375.6776,,,,fee schedule,,4433.716199,,,,fee schedule,,4222.586856,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,outpatient,,,,,,6947.5077,8650.1142,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7688.9904,,,,fee schedule,,7551.687,,,,fee schedule,,8238.204,,,,fee schedule,,8650.1142,,,,fee schedule,,7294.883085,,,,fee schedule,,6947.5077,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,outpatient,,,,,,13211.54108,20387.8836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18122.5632,,,,fee schedule,,17798.946,,,,fee schedule,,19417.032,,,,fee schedule,,20387.8836,,,,fee schedule,,13872.11814,,,,fee schedule,,13211.54108,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,outpatient,,,,,,3281.872,4403.207697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3341.5424,,,,fee schedule,,3281.872,,,,fee schedule,,3580.224,,,,fee schedule,,3759.2352,,,,fee schedule,,4403.207697,,,,fee schedule,,4193.53114,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,outpatient,,,,,,3835.821,4634.674374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3905.5632,,,,fee schedule,,3835.821,,,,fee schedule,,4184.532,,,,fee schedule,,4393.7586,,,,fee schedule,,4634.674374,,,,fee schedule,,4413.975594,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,outpatient,,,,,,6713.167034,8284.9536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7364.4032,,,,fee schedule,,7232.896,,,,fee schedule,,7890.432,,,,fee schedule,,8284.9536,,,,fee schedule,,7048.825386,,,,fee schedule,,6713.167034,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,outpatient,,,,,,12125.10996,19695.5136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17507.1232,,,,fee schedule,,17194.496,,,,fee schedule,,18757.632,,,,fee schedule,,19695.5136,,,,fee schedule,,12731.36546,,,,fee schedule,,12125.10996,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,outpatient,,,,,,3575.418,4313.008648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3640.4256,,,,fee schedule,,3575.418,,,,fee schedule,,3900.456,,,,fee schedule,,4095.4788,,,,fee schedule,,4313.008648,,,,fee schedule,,4107.627284,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,outpatient,,,,,,4825.348,5527.2168,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4913.0816,,,,fee schedule,,4825.348,,,,fee schedule,,5264.016,,,,fee schedule,,5527.2168,,,,fee schedule,,5458.403922,,,,fee schedule,,5198.479926,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,outpatient,,,,,,7709.904422,9946.2762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8841.1344,,,,fee schedule,,8683.257,,,,fee schedule,,9472.644,,,,fee schedule,,9946.2762,,,,fee schedule,,8095.399643,,,,fee schedule,,7709.904422,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,outpatient,,,,,,15287.12984,23375.205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20777.96,,,,fee schedule,,20406.925,,,,fee schedule,,22262.1,,,,fee schedule,,23375.205,,,,fee schedule,,16051.48633,,,,fee schedule,,15287.12984,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,outpatient,,,,,,3917.881,5667.320837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3989.1152,,,,fee schedule,,3917.881,,,,fee schedule,,4274.052,,,,fee schedule,,4487.7546,,,,fee schedule,,5667.320837,,,,fee schedule,,5397.448416,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,outpatient,,,,,,4339.258,5667.320837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4418.1536,,,,fee schedule,,4339.258,,,,fee schedule,,4733.736,,,,fee schedule,,4970.4228,,,,fee schedule,,5667.320837,,,,fee schedule,,5397.448416,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,outpatient,,,,,,7676.372,8792.9352,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7815.9424,,,,fee schedule,,7676.372,,,,fee schedule,,8374.224,,,,fee schedule,,8792.9352,,,,fee schedule,,8064.227913,,,,fee schedule,,7680.21706,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,outpatient,,,,,,7680.21706,17434.0152,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15496.9024,,,,fee schedule,,15220.172,,,,fee schedule,,16603.824,,,,fee schedule,,17434.0152,,,,fee schedule,,8064.227913,,,,fee schedule,,7680.21706,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,outpatient,,,,,,9816.443832,14221.6326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12641.4512,,,,fee schedule,,12415.711,,,,fee schedule,,13544.412,,,,fee schedule,,14221.6326,,,,fee schedule,,10307.26602,,,,fee schedule,,9816.443832,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,outpatient,,,,,,10907.29647,18180.6156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16160.5472,,,,fee schedule,,15871.966,,,,fee schedule,,17314.872,,,,fee schedule,,18180.6156,,,,fee schedule,,11452.6613,,,,fee schedule,,10907.29647,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,outpatient,,,,,,18917.83105,27420.9642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24374.1904,,,,fee schedule,,23938.937,,,,fee schedule,,26115.204,,,,fee schedule,,27420.9642,,,,fee schedule,,19863.7226,,,,fee schedule,,18917.83105,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,outpatient,,,,,,46297.79021,53538.534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47589.808,,,,fee schedule,,46739.99,,,,fee schedule,,50989.08,,,,fee schedule,,53538.534,,,,fee schedule,,48612.67972,,,,fee schedule,,46297.79021,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,outpatient,,,,,,6809.177226,10911.6252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9699.2224,,,,fee schedule,,9526.022,,,,fee schedule,,10392.024,,,,fee schedule,,10911.6252,,,,fee schedule,,7149.636087,,,,fee schedule,,6809.177226,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,outpatient,,,,,,9359.132128,14705.1954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13071.2848,,,,fee schedule,,12837.869,,,,fee schedule,,14004.948,,,,fee schedule,,14705.1954,,,,fee schedule,,9827.088734,,,,fee schedule,,9359.132128,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,outpatient,,,,,,13699.80344,22490.307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19991.384,,,,fee schedule,,19634.395,,,,fee schedule,,21419.34,,,,fee schedule,,22490.307,,,,fee schedule,,14384.79361,,,,fee schedule,,13699.80344,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,outpatient,,,,,,22533.37275,44221.3632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39307.8784,,,,fee schedule,,38605.952,,,,fee schedule,,42115.584,,,,fee schedule,,44221.3632,,,,fee schedule,,23660.04139,,,,fee schedule,,22533.37275,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,outpatient,,,,,,5477.035812,8851.689,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7868.168,,,,fee schedule,,7727.665,,,,fee schedule,,8430.18,,,,fee schedule,,8851.689,,,,fee schedule,,5750.887603,,,,fee schedule,,5477.035812,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,outpatient,,,,,,7159.10911,11668.167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10371.704,,,,fee schedule,,10186.495,,,,fee schedule,,11112.54,,,,fee schedule,,11668.167,,,,fee schedule,,7517.064566,,,,fee schedule,,7159.10911,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,outpatient,,,,,,10691.90519,17535.2436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15586.8832,,,,fee schedule,,15308.546,,,,fee schedule,,16700.232,,,,fee schedule,,17535.2436,,,,fee schedule,,11226.50045,,,,fee schedule,,10691.90519,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,outpatient,,,,,,20860.77414,33088.2804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29411.8048,,,,fee schedule,,28886.594,,,,fee schedule,,31512.648,,,,fee schedule,,33088.2804,,,,fee schedule,,21903.81285,,,,fee schedule,,20860.77414,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,outpatient,,,,,,3702.110552,5202.729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4624.648,,,,fee schedule,,4542.065,,,,fee schedule,,4954.98,,,,fee schedule,,5202.729,,,,fee schedule,,3887.21608,,,,fee schedule,,3702.110552,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,outpatient,,,,,,4940.768358,6951.735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6179.32,,,,fee schedule,,6068.975,,,,fee schedule,,6620.7,,,,fee schedule,,6951.735,,,,fee schedule,,5187.806776,,,,fee schedule,,4940.768358,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,outpatient,,,,,,7435.770058,11241.5436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9992.4832,,,,fee schedule,,9814.046,,,,fee schedule,,10706.232,,,,fee schedule,,11241.5436,,,,fee schedule,,7807.558561,,,,fee schedule,,7435.770058,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,outpatient,,,,,,14005.5201,23609.313,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20986.056,,,,fee schedule,,20611.305,,,,fee schedule,,22485.06,,,,fee schedule,,23609.313,,,,fee schedule,,14705.79611,,,,fee schedule,,14005.5201,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,outpatient,,,,,,3080.570888,3646.251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3241.112,,,,fee schedule,,3183.235,,,,fee schedule,,3472.62,,,,fee schedule,,3646.251,,,,fee schedule,,3234.599432,,,,fee schedule,,3080.570888,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,outpatient,,,,,,3726.744746,5446.7784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4841.5808,,,,fee schedule,,4755.124,,,,fee schedule,,5187.408,,,,fee schedule,,5446.7784,,,,fee schedule,,3913.081983,,,,fee schedule,,3726.744746,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,outpatient,,,,,,5940.663976,10794.1176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9594.7712,,,,fee schedule,,9423.436,,,,fee schedule,,10280.112,,,,fee schedule,,10794.1176,,,,fee schedule,,6237.697175,,,,fee schedule,,5940.663976,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,outpatient,,,,,,10516.93925,22598.7678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20087.7936,,,,fee schedule,,19729.083,,,,fee schedule,,21522.636,,,,fee schedule,,22598.7678,,,,fee schedule,,11042.78621,,,,fee schedule,,10516.93925,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,outpatient,,,,,,2979.507528,3982.4946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3539.9952,,,,fee schedule,,3476.781,,,,fee schedule,,3792.852,,,,fee schedule,,3982.4946,,,,fee schedule,,3128.482904,,,,fee schedule,,2979.507528,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,outpatient,,,,,,3650.31558,5572.413,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4953.256,,,,fee schedule,,4864.805,,,,fee schedule,,5307.06,,,,fee schedule,,5572.413,,,,fee schedule,,3832.831359,,,,fee schedule,,3650.31558,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,outpatient,,,,,,4651.47449,8553.4092,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7603.0304,,,,fee schedule,,7467.262,,,,fee schedule,,8146.104,,,,fee schedule,,8553.4092,,,,fee schedule,,4884.048215,,,,fee schedule,,4651.47449,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,outpatient,,,,,,7699.798086,17121.2706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15218.9072,,,,fee schedule,,14947.141,,,,fee schedule,,16305.972,,,,fee schedule,,17121.2706,,,,fee schedule,,8084.78799,,,,fee schedule,,7699.798086,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,outpatient,,,,,,4328.071738,6373.2438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5665.1056,,,,fee schedule,,5563.943,,,,fee schedule,,6069.756,,,,fee schedule,,6373.2438,,,,fee schedule,,4544.475325,,,,fee schedule,,4328.071738,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,outpatient,,,,,,5153.63306,7839.342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6968.304,,,,fee schedule,,6843.87,,,,fee schedule,,7466.04,,,,fee schedule,,7839.342,,,,fee schedule,,5411.314713,,,,fee schedule,,5153.63306,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,outpatient,,,,,,7097.839448,11600.379,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10311.448,,,,fee schedule,,10127.315,,,,fee schedule,,11047.98,,,,fee schedule,,11600.379,,,,fee schedule,,7452.73142,,,,fee schedule,,7097.839448,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,outpatient,,,,,,11907.82374,21976.0002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19534.2224,,,,fee schedule,,19185.397,,,,fee schedule,,20929.524,,,,fee schedule,,21976.0002,,,,fee schedule,,12503.21492,,,,fee schedule,,11907.82374,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,outpatient,,,,,,4037.514578,4744.4544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4217.2928,,,,fee schedule,,4141.984,,,,fee schedule,,4518.528,,,,fee schedule,,4744.4544,,,,fee schedule,,4239.390307,,,,fee schedule,,4037.514578,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,outpatient,,,,,,5452.689,6245.8074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5551.8288,,,,fee schedule,,5452.689,,,,fee schedule,,5948.388,,,,fee schedule,,6245.8074,,,,fee schedule,,6183.975683,,,,fee schedule,,5889.50065,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,outpatient,,,,,,9754.855,11605.20381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9932.216,,,,fee schedule,,9754.855,,,,fee schedule,,10641.66,,,,fee schedule,,11173.743,,,,fee schedule,,11605.20381,,,,fee schedule,,11052.57505,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,outpatient,,,,,,21765.755,24931.683,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22161.496,,,,fee schedule,,21765.755,,,,fee schedule,,23744.46,,,,fee schedule,,24931.683,,,,fee schedule,,24747.7358,,,,fee schedule,,23569.27219,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,outpatient,,,,,,3067.937968,6709.4874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5963.9888,,,,fee schedule,,5857.489,,,,fee schedule,,6389.988,,,,fee schedule,,6709.4874,,,,fee schedule,,3221.334866,,,,fee schedule,,3067.937968,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,outpatient,,,,,,3928.23982,7062.9048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6278.1376,,,,fee schedule,,6166.028,,,,fee schedule,,6726.576,,,,fee schedule,,7062.9048,,,,fee schedule,,4124.651811,,,,fee schedule,,3928.23982,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,outpatient,,,,,,4547.884546,8677.2294,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7713.0928,,,,fee schedule,,7575.359,,,,fee schedule,,8264.028,,,,fee schedule,,8677.2294,,,,fee schedule,,4775.278773,,,,fee schedule,,4547.884546,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,outpatient,,,,,,8117.947738,16887.1626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15010.8112,,,,fee schedule,,14742.761,,,,fee schedule,,16083.012,,,,fee schedule,,16887.1626,,,,fee schedule,,8523.845125,,,,fee schedule,,8117.947738,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,outpatient,,,,,,3436.532,3936.3912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3499.0144,,,,fee schedule,,3436.532,,,,fee schedule,,3748.944,,,,fee schedule,,3936.3912,,,,fee schedule,,3666.361056,,,,fee schedule,,3491.772434,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,outpatient,,,,,,4489.773114,5172.8922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4598.1264,,,,fee schedule,,4516.017,,,,fee schedule,,4926.564,,,,fee schedule,,5172.8922,,,,fee schedule,,4714.26177,,,,fee schedule,,4489.773114,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,outpatient,,,,,,5631.789082,8987.265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7988.68,,,,fee schedule,,7846.025,,,,fee schedule,,8559.3,,,,fee schedule,,8987.265,,,,fee schedule,,5913.378536,,,,fee schedule,,5631.789082,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,outpatient,,,,,,9060.995216,18543.0672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16482.7264,,,,fee schedule,,16188.392,,,,fee schedule,,17660.064,,,,fee schedule,,18543.0672,,,,fee schedule,,9514.044977,,,,fee schedule,,9060.995216,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,outpatient,,,,,,45966.679,156540.4842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46802.4368,,,,fee schedule,,45966.679,,,,fee schedule,,50145.468,,,,fee schedule,,52652.7414,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,outpatient,,,,,,45966.679,156540.4842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46802.4368,,,,fee schedule,,45966.679,,,,fee schedule,,50145.468,,,,fee schedule,,52652.7414,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,outpatient,,,,,,67748.219,156540.4842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68980.0048,,,,fee schedule,,67748.219,,,,fee schedule,,73907.148,,,,fee schedule,,77602.5054,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,outpatient,,,,,,149086.1754,242491.662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215548.144,,,,fee schedule,,211699.07,,,,fee schedule,,230944.44,,,,fee schedule,,242491.662,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,outpatient,,,,,,14450.007,16551.8262,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14712.7344,,,,fee schedule,,14450.007,,,,fee schedule,,15763.644,,,,fee schedule,,16551.8262,,,,fee schedule,,15743.7484,,,,fee schedule,,14994.04609,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,outpatient,,,,,,19344.1921,24141.7008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21459.2896,,,,fee schedule,,21076.088,,,,fee schedule,,22992.096,,,,fee schedule,,24141.7008,,,,fee schedule,,20311.4017,,,,fee schedule,,19344.1921,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,outpatient,,,,,,33227.77118,45856.4778,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40761.3136,,,,fee schedule,,40033.433,,,,fee schedule,,43672.836,,,,fee schedule,,45856.4778,,,,fee schedule,,34889.15973,,,,fee schedule,,33227.77118,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,outpatient,,,,,,62634.68235,124188.4098,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110389.6976,,,,fee schedule,,108418.453,,,,fee schedule,,118274.676,,,,fee schedule,,124188.4098,,,,fee schedule,,65766.41647,,,,fee schedule,,62634.68235,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,outpatient,,,,,,5540.271,6668.79557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5641.0032,,,,fee schedule,,5540.271,,,,fee schedule,,6043.932,,,,fee schedule,,6346.1286,,,,fee schedule,,6668.79557,,,,fee schedule,,6351.233876,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,outpatient,,,,,,6547.044136,9797.1426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8708.5712,,,,fee schedule,,8553.061,,,,fee schedule,,9330.612,,,,fee schedule,,9797.1426,,,,fee schedule,,6874.396343,,,,fee schedule,,6547.044136,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,outpatient,,,,,,11941.30098,14192.703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12615.736,,,,fee schedule,,12390.455,,,,fee schedule,,13516.86,,,,fee schedule,,14192.703,,,,fee schedule,,12538.36602,,,,fee schedule,,11941.30098,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,outpatient,,,,,,11941.30098,27876.5172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24779.1264,,,,fee schedule,,24336.642,,,,fee schedule,,26549.064,,,,fee schedule,,27876.5172,,,,fee schedule,,12538.36602,,,,fee schedule,,11941.30098,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,outpatient,,,,,,4045.725976,5220.7974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4640.7088,,,,fee schedule,,4557.839,,,,fee schedule,,4972.188,,,,fee schedule,,5220.7974,,,,fee schedule,,4248.012275,,,,fee schedule,,4045.725976,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,outpatient,,,,,,6568.5201,8313.8706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7390.1072,,,,fee schedule,,7258.141,,,,fee schedule,,7917.972,,,,fee schedule,,8313.8706,,,,fee schedule,,6896.946105,,,,fee schedule,,6568.5201,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,outpatient,,,,,,9621.265218,13228.2612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11758.4544,,,,fee schedule,,11548.482,,,,fee schedule,,12598.344,,,,fee schedule,,13228.2612,,,,fee schedule,,10102.32848,,,,fee schedule,,9621.265218,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,outpatient,,,,,,9621.265218,31017.4956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27571.1072,,,,fee schedule,,27078.766,,,,fee schedule,,29540.472,,,,fee schedule,,31017.4956,,,,fee schedule,,10102.32848,,,,fee schedule,,9621.265218,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,outpatient,,,,,,11806.76038,19003.1436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16891.6832,,,,fee schedule,,16590.046,,,,fee schedule,,18098.232,,,,fee schedule,,19003.1436,,,,fee schedule,,12397.0984,,,,fee schedule,,11806.76038,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,outpatient,,,,,,14700.96235,25681.8996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22828.3552,,,,fee schedule,,22420.706,,,,fee schedule,,24458.952,,,,fee schedule,,25681.8996,,,,fee schedule,,15436.01047,,,,fee schedule,,14700.96235,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,outpatient,,,,,,28411.47043,34365.4668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30547.0816,,,,fee schedule,,30001.598,,,,fee schedule,,32729.016,,,,fee schedule,,34365.4668,,,,fee schedule,,29832.04395,,,,fee schedule,,28411.47043,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,outpatient,,,,,,69813.293,79967.9538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71082.6256,,,,fee schedule,,69813.293,,,,fee schedule,,76159.956,,,,fee schedule,,79967.9538,,,,fee schedule,,74853.97064,,,,fee schedule,,71289.49584,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,outpatient,,,,,,13227.96388,17711.505,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15743.56,,,,fee schedule,,15462.425,,,,fee schedule,,16868.1,,,,fee schedule,,17711.505,,,,fee schedule,,13889.36207,,,,fee schedule,,13227.96388,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,outpatient,,,,,,15785.165,18081.189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16072.168,,,,fee schedule,,15785.165,,,,fee schedule,,17220.18,,,,fee schedule,,18081.189,,,,fee schedule,,17942.35021,,,,fee schedule,,17087.95258,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,outpatient,,,,,,22088.06232,28479.402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25315.024,,,,fee schedule,,24862.97,,,,fee schedule,,27123.24,,,,fee schedule,,28479.402,,,,fee schedule,,23192.46544,,,,fee schedule,,22088.06232,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,outpatient,,,,,,69012.41201,97807.8024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86940.2688,,,,fee schedule,,85387.764,,,,fee schedule,,93150.288,,,,fee schedule,,97807.8024,,,,fee schedule,,72463.03261,,,,fee schedule,,69012.41201,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,outpatient,,,,,,10119.428,11656.27239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10303.4176,,,,fee schedule,,10119.428,,,,fee schedule,,11039.376,,,,fee schedule,,11591.3448,,,,fee schedule,,11656.27239,,,,fee schedule,,11101.2118,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,outpatient,,,,,,12938.882,14820.9012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13174.1344,,,,fee schedule,,12938.882,,,,fee schedule,,14115.144,,,,fee schedule,,14820.9012,,,,fee schedule,,14225.61882,,,,fee schedule,,13548.2084,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,outpatient,,,,,,16403.816,18789.8256,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16702.0672,,,,fee schedule,,16403.816,,,,fee schedule,,17895.072,,,,fee schedule,,18789.8256,,,,fee schedule,,18229.52807,,,,fee schedule,,17361.4553,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,outpatient,,,,,,20475.576,23453.8416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20847.8592,,,,fee schedule,,20475.576,,,,fee schedule,,22336.992,,,,fee schedule,,23453.8416,,,,fee schedule,,21946.25946,,,,fee schedule,,20901.19949,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,outpatient,,,,,,4240.90459,5139.4518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4568.4016,,,,fee schedule,,4486.823,,,,fee schedule,,4894.716,,,,fee schedule,,5139.4518,,,,fee schedule,,4452.94982,,,,fee schedule,,4240.90459,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,outpatient,,,,,,5063.307682,6761.916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6010.592,,,,fee schedule,,5903.26,,,,fee schedule,,6439.92,,,,fee schedule,,6761.916,,,,fee schedule,,5316.473066,,,,fee schedule,,5063.307682,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,outpatient,,,,,,7780.017128,10173.1518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9042.8016,,,,fee schedule,,8881.323,,,,fee schedule,,9688.716,,,,fee schedule,,10173.1518,,,,fee schedule,,8169.017984,,,,fee schedule,,7780.017128,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,outpatient,,,,,,9220.801654,16673.8446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14821.1952,,,,fee schedule,,14556.531,,,,fee schedule,,15879.852,,,,fee schedule,,16673.8446,,,,fee schedule,,9681.841737,,,,fee schedule,,9220.801654,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,outpatient,,,,,,4594.139,8757.301487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4677.6688,,,,fee schedule,,4594.139,,,,fee schedule,,5011.788,,,,fee schedule,,5262.3774,,,,fee schedule,,8757.301487,,,,fee schedule,,8340.28713,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,outpatient,,,,,,8500.195,10638.88017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8654.744,,,,fee schedule,,8500.195,,,,fee schedule,,9272.94,,,,fee schedule,,9736.587,,,,fee schedule,,10638.88017,,,,fee schedule,,10132.26683,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,outpatient,,,,,,8757.441,14685.89926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8916.6672,,,,fee schedule,,8757.441,,,,fee schedule,,9553.572,,,,fee schedule,,10031.2506,,,,fee schedule,,14685.89926,,,,fee schedule,,13986.57072,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,outpatient,,,,,,9109.375,27476.25703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9275,,,,fee schedule,,9109.375,,,,fee schedule,,9937.5,,,,fee schedule,,10434.375,,,,fee schedule,,27476.25703,,,,fee schedule,,26167.86383,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,outpatient,,,,,,6565.993516,12809.7648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11386.4576,,,,fee schedule,,11183.128,,,,fee schedule,,12199.776,,,,fee schedule,,12809.7648,,,,fee schedule,,6894.293192,,,,fee schedule,,6565.993516,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,outpatient,,,,,,21671.067,25771.76029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22065.0864,,,,fee schedule,,21671.067,,,,fee schedule,,23641.164,,,,fee schedule,,24823.2222,,,,fee schedule,,25771.76029,,,,fee schedule,,24544.53361,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,outpatient,,,,,,42554.611,48744.3726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43328.3312,,,,fee schedule,,42554.611,,,,fee schedule,,46423.212,,,,fee schedule,,48744.3726,,,,fee schedule,,45691.82229,,,,fee schedule,,43516.02122,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,outpatient,,,,,,57383.80915,94100.0886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83644.5232,,,,fee schedule,,82150.871,,,,fee schedule,,89619.132,,,,fee schedule,,94100.0886,,,,fee schedule,,60252.99961,,,,fee schedule,,57383.80915,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,outpatient,,,,,,5237.010332,8660.0556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7697.8272,,,,fee schedule,,7560.366,,,,fee schedule,,8247.672,,,,fee schedule,,8660.0556,,,,fee schedule,,5498.860849,,,,fee schedule,,5237.010332,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,outpatient,,,,,,5237.010332,9115.6212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8102.7744,,,,fee schedule,,7958.082,,,,fee schedule,,8681.544,,,,fee schedule,,9115.6212,,,,fee schedule,,5498.860849,,,,fee schedule,,5237.010332,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,outpatient,,,,,,8772.96464,15585.5826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13853.8512,,,,fee schedule,,13606.461,,,,fee schedule,,14843.412,,,,fee schedule,,15585.5826,,,,fee schedule,,9211.612872,,,,fee schedule,,8772.96464,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,outpatient,,,,,,14952.9891,32180.7906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28605.1472,,,,fee schedule,,28094.341,,,,fee schedule,,30648.372,,,,fee schedule,,32180.7906,,,,fee schedule,,15700.63856,,,,fee schedule,,14952.9891,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,outpatient,,,,,,4629.998526,7555.527,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6716.024,,,,fee schedule,,6596.095,,,,fee schedule,,7195.74,,,,fee schedule,,7555.527,,,,fee schedule,,4861.498452,,,,fee schedule,,4629.998526,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,outpatient,,,,,,4629.998526,8994.4974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7995.1088,,,,fee schedule,,7852.339,,,,fee schedule,,8566.188,,,,fee schedule,,8994.4974,,,,fee schedule,,4861.498452,,,,fee schedule,,4629.998526,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,outpatient,,,,,,7081.416652,12407.5476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11028.9312,,,,fee schedule,,10831.986,,,,fee schedule,,11816.712,,,,fee schedule,,12407.5476,,,,fee schedule,,7435.487485,,,,fee schedule,,7081.416652,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,outpatient,,,,,,8619.474662,20764.8,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18457.6,,,,fee schedule,,18128,,,,fee schedule,,19776,,,,fee schedule,,20764.8,,,,fee schedule,,9050.448395,,,,fee schedule,,8619.474662,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,outpatient,,,,,,5648.211878,9184.3164,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8163.8368,,,,fee schedule,,8018.054,,,,fee schedule,,8746.968,,,,fee schedule,,9184.3164,,,,fee schedule,,5930.622472,,,,fee schedule,,5648.211878,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,outpatient,,,,,,5648.211878,9779.0616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8692.4992,,,,fee schedule,,8537.276,,,,fee schedule,,9313.392,,,,fee schedule,,9779.0616,,,,fee schedule,,5930.622472,,,,fee schedule,,5648.211878,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,outpatient,,,,,,7129.421748,12925.4706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11489.3072,,,,fee schedule,,11284.141,,,,fee schedule,,12309.972,,,,fee schedule,,12925.4706,,,,fee schedule,,7485.892835,,,,fee schedule,,7129.421748,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,outpatient,,,,,,7129.421748,19135.116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17008.992,,,,fee schedule,,16705.26,,,,fee schedule,,18223.92,,,,fee schedule,,19135.116,,,,fee schedule,,7485.892835,,,,fee schedule,,7129.421748,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,outpatient,,,,,,3733.692852,6861.3426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6098.9712,,,,fee schedule,,5990.061,,,,fee schedule,,6534.612,,,,fee schedule,,6861.3426,,,,fee schedule,,3920.377495,,,,fee schedule,,3733.692852,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,outpatient,,,,,,4815.070804,8417.8206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7482.5072,,,,fee schedule,,7348.891,,,,fee schedule,,8016.972,,,,fee schedule,,8417.8206,,,,fee schedule,,5055.824344,,,,fee schedule,,4815.070804,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,outpatient,,,,,,6346.812354,11778.4422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10469.7264,,,,fee schedule,,10282.767,,,,fee schedule,,11217.564,,,,fee schedule,,11778.4422,,,,fee schedule,,6664.152972,,,,fee schedule,,6346.812354,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,outpatient,,,,,,6346.812354,18554.823,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16493.176,,,,fee schedule,,16198.655,,,,fee schedule,,17671.26,,,,fee schedule,,18554.823,,,,fee schedule,,6664.152972,,,,fee schedule,,6346.812354,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,outpatient,,,,,,10154.37444,26245.0188,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23328.9056,,,,fee schedule,,22912.318,,,,fee schedule,,24995.256,,,,fee schedule,,26245.0188,,,,fee schedule,,10662.09316,,,,fee schedule,,10154.37444,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,outpatient,,,,,,10154.37444,27625.248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24555.776,,,,fee schedule,,24117.28,,,,fee schedule,,26309.76,,,,fee schedule,,27625.248,,,,fee schedule,,10662.09316,,,,fee schedule,,10154.37444,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,outpatient,,,,,,25112.38337,48111.651,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42765.912,,,,fee schedule,,42002.235,,,,fee schedule,,45820.62,,,,fee schedule,,48111.651,,,,fee schedule,,26368.00254,,,,fee schedule,,25112.38337,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,outpatient,,,,,,40986.91064,71746.2648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63774.4576,,,,fee schedule,,62635.628,,,,fee schedule,,68329.776,,,,fee schedule,,71746.2648,,,,fee schedule,,43036.25617,,,,fee schedule,,40986.91064,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,outpatient,,,,,,10079.84021,18454.4892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16403.9904,,,,fee schedule,,16111.062,,,,fee schedule,,17575.704,,,,fee schedule,,18454.4892,,,,fee schedule,,10583.83222,,,,fee schedule,,10079.84021,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,outpatient,,,,,,10079.84021,22792.203,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20259.736,,,,fee schedule,,19897.955,,,,fee schedule,,21706.86,,,,fee schedule,,22792.203,,,,fee schedule,,10583.83222,,,,fee schedule,,10079.84021,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,outpatient,,,,,,12999.93967,31236.2442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27765.5504,,,,fee schedule,,27269.737,,,,fee schedule,,29748.804,,,,fee schedule,,31236.2442,,,,fee schedule,,13649.93666,,,,fee schedule,,12999.93967,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,outpatient,,,,,,35310.30804,67286.5326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59810.2512,,,,fee schedule,,58742.211,,,,fee schedule,,64082.412,,,,fee schedule,,67286.5326,,,,fee schedule,,37075.82344,,,,fee schedule,,35310.30804,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,outpatient,,,,,,11235.12075,21227.5854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18868.9648,,,,fee schedule,,18532.019,,,,fee schedule,,20216.748,,,,fee schedule,,21227.5854,,,,fee schedule,,11796.87679,,,,fee schedule,,11235.12075,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,outpatient,,,,,,11235.12075,22342.9752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19860.4224,,,,fee schedule,,19505.772,,,,fee schedule,,21279.024,,,,fee schedule,,22342.9752,,,,fee schedule,,11796.87679,,,,fee schedule,,11235.12075,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,outpatient,,,,,,17835.82145,36060.2424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32053.5488,,,,fee schedule,,31481.164,,,,fee schedule,,34343.088,,,,fee schedule,,36060.2424,,,,fee schedule,,18727.61252,,,,fee schedule,,17835.82145,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,outpatient,,,,,,31919.00066,62922.6108,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55931.2096,,,,fee schedule,,54932.438,,,,fee schedule,,59926.296,,,,fee schedule,,62922.6108,,,,fee schedule,,33514.9507,,,,fee schedule,,31919.00066,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,outpatient,,,,,,3050.883526,8740.5066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7769.3392,,,,fee schedule,,7630.601,,,,fee schedule,,8324.292,,,,fee schedule,,8740.5066,,,,fee schedule,,3203.427702,,,,fee schedule,,3050.883526,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,outpatient,,,,,,4699.479586,10190.3256,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9058.0672,,,,fee schedule,,8896.316,,,,fee schedule,,9705.072,,,,fee schedule,,10190.3256,,,,fee schedule,,4934.453565,,,,fee schedule,,4699.479586,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,outpatient,,,,,,6992.354566,16661.1942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14809.9504,,,,fee schedule,,14545.487,,,,fee schedule,,15867.804,,,,fee schedule,,16661.1942,,,,fee schedule,,7341.972294,,,,fee schedule,,6992.354566,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,outpatient,,,,,,20470.41691,33310.6452,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29609.4624,,,,fee schedule,,29080.722,,,,fee schedule,,31724.424,,,,fee schedule,,33310.6452,,,,fee schedule,,21493.93776,,,,fee schedule,,20470.41691,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,outpatient,,,,,,9813.917248,15750.9954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14000.8848,,,,fee schedule,,13750.869,,,,fee schedule,,15000.948,,,,fee schedule,,15750.9954,,,,fee schedule,,10304.61311,,,,fee schedule,,9813.917248,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,outpatient,,,,,,12869.18895,20855.1924,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18537.9488,,,,fee schedule,,18206.914,,,,fee schedule,,19862.088,,,,fee schedule,,20855.1924,,,,fee schedule,,13512.6484,,,,fee schedule,,12869.18895,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,outpatient,,,,,,19431.99089,31882.5108,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28340.0096,,,,fee schedule,,27833.938,,,,fee schedule,,30364.296,,,,fee schedule,,31882.5108,,,,fee schedule,,20403.59043,,,,fee schedule,,19431.99089,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,outpatient,,,,,,45011.12731,59138.0622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52567.1664,,,,fee schedule,,51628.467,,,,fee schedule,,56321.964,,,,fee schedule,,59138.0622,,,,fee schedule,,47261.68367,,,,fee schedule,,45011.12731,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,outpatient,,,,,,6486.40612,12036.0492,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10698.7104,,,,fee schedule,,10507.662,,,,fee schedule,,11462.904,,,,fee schedule,,12036.0492,,,,fee schedule,,6810.726426,,,,fee schedule,,6486.40612,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,outpatient,,,,,,8095.208482,16113.447,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14323.064,,,,fee schedule,,14067.295,,,,fee schedule,,15346.14,,,,fee schedule,,16113.447,,,,fee schedule,,8499.968906,,,,fee schedule,,8095.208482,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,outpatient,,,,,,14219.6481,24398.4006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21687.4672,,,,fee schedule,,21300.191,,,,fee schedule,,23236.572,,,,fee schedule,,24398.4006,,,,fee schedule,,14930.6305,,,,fee schedule,,14219.6481,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,outpatient,,,,,,29844.6752,44384.9616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39453.2992,,,,fee schedule,,38748.776,,,,fee schedule,,42271.392,,,,fee schedule,,44384.9616,,,,fee schedule,,31336.90896,,,,fee schedule,,29844.6752,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,outpatient,,,,,,6494.617518,10040.2848,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8924.6976,,,,fee schedule,,8765.328,,,,fee schedule,,9562.176,,,,fee schedule,,10040.2848,,,,fee schedule,,6819.348394,,,,fee schedule,,6494.617518,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,outpatient,,,,,,7104.787554,13409.9406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11919.9472,,,,fee schedule,,11707.091,,,,fee schedule,,12771.372,,,,fee schedule,,13409.9406,,,,fee schedule,,7460.026932,,,,fee schedule,,7104.787554,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,outpatient,,,,,,12444.09119,21584.619,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19186.328,,,,fee schedule,,18843.715,,,,fee schedule,,20556.78,,,,fee schedule,,21584.619,,,,fee schedule,,13066.29575,,,,fee schedule,,12444.09119,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,outpatient,,,,,,27948.47391,41450.0688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36844.5056,,,,fee schedule,,36186.568,,,,fee schedule,,39476.256,,,,fee schedule,,41450.0688,,,,fee schedule,,29345.8976,,,,fee schedule,,27948.47391,,,,fee schedule,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,inpatient,,,,,,20675.70186,51558.243,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48277.2639,,,,fee schedule,,46871.13,,,,fee schedule,,51558.243,,,,fee schedule,,51558.243,,,,fee schedule,,21709.48696,,,,fee schedule,,20675.70186,,,,fee schedule,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,inpatient,,,,,,20675.70186,59296.952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55523.5096,,,,fee schedule,,53906.32,,,,fee schedule,,59296.952,,,,fee schedule,,59296.952,,,,fee schedule,,21709.48696,,,,fee schedule,,20675.70186,,,,fee schedule,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,inpatient,,,,,,28464.52869,73814.026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69116.7698,,,,fee schedule,,67103.66,,,,fee schedule,,73814.026,,,,fee schedule,,73814.026,,,,fee schedule,,29887.75512,,,,fee schedule,,28464.52869,,,,fee schedule,,
LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,1,APR-DRG,,,,,inpatient,,,,,,66457.40394,157788.521,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147747.4333,,,,fee schedule,,143444.11,,,,fee schedule,,157788.521,,,,fee schedule,,157788.521,,,,fee schedule,,69780.27414,,,,fee schedule,,66457.40394,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,inpatient,,,,,,83344.45975,97923.419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91691.9287,,,,fee schedule,,89021.29,,,,fee schedule,,97923.419,,,,fee schedule,,97923.419,,,,fee schedule,,87511.68274,,,,fee schedule,,83344.45975,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,inpatient,,,,,,83344.45975,106479.626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99703.6498,,,,fee schedule,,96799.66,,,,fee schedule,,106479.626,,,,fee schedule,,106479.626,,,,fee schedule,,87511.68274,,,,fee schedule,,83344.45975,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,inpatient,,,,,,83344.45975,146313.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137002.566,,,,fee schedule,,133012.2,,,,fee schedule,,146313.42,,,,fee schedule,,146313.42,,,,fee schedule,,87511.68274,,,,fee schedule,,83344.45975,,,,fee schedule,,
HEART AND/OR LUNG TRANSPLANT,2,APR-DRG,,,,,inpatient,,,,,,187197.1685,260578.307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243996.0511,,,,fee schedule,,236889.37,,,,fee schedule,,260578.307,,,,fee schedule,,260578.307,,,,fee schedule,,196557.0269,,,,fee schedule,,187197.1685,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,inpatient,,,,,,30322.19958,53809.547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50385.3031,,,,fee schedule,,48917.77,,,,fee schedule,,53809.547,,,,fee schedule,,53809.547,,,,fee schedule,,31838.30955,,,,fee schedule,,30322.19958,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,inpatient,,,,,,30322.19958,60636.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56778.132,,,,fee schedule,,55124.4,,,,fee schedule,,60636.84,,,,fee schedule,,60636.84,,,,fee schedule,,31838.30955,,,,fee schedule,,30322.19958,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,inpatient,,,,,,57466.55478,98265.882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92012.5986,,,,fee schedule,,89332.62,,,,fee schedule,,98265.882,,,,fee schedule,,98265.882,,,,fee schedule,,60339.88252,,,,fee schedule,,57466.55478,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,4,APR-DRG,,,,,inpatient,,,,,,75627.64057,156707.452,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146735.1596,,,,fee schedule,,142461.32,,,,fee schedule,,156707.452,,,,fee schedule,,156707.452,,,,fee schedule,,79409.0226,,,,fee schedule,,75627.64057,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,inpatient,,,,,,23705.70773,36197.612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33894.1276,,,,fee schedule,,32906.92,,,,fee schedule,,36197.612,,,,fee schedule,,36197.612,,,,fee schedule,,24890.99311,,,,fee schedule,,23705.70773,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,inpatient,,,,,,23705.70773,46620.838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43654.0574,,,,fee schedule,,42382.58,,,,fee schedule,,46620.838,,,,fee schedule,,46620.838,,,,fee schedule,,24890.99311,,,,fee schedule,,23705.70773,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,inpatient,,,,,,38963.7485,70607.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66113.949,,,,fee schedule,,64188.3,,,,fee schedule,,70607.13,,,,fee schedule,,70607.13,,,,fee schedule,,40911.93593,,,,fee schedule,,38963.7485,,,,fee schedule,,
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,5,APR-DRG,,,,,inpatient,,,,,,53585.09011,102216.125,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95711.4625,,,,fee schedule,,92923.75,,,,fee schedule,,102216.125,,,,fee schedule,,102216.125,,,,fee schedule,,56264.34462,,,,fee schedule,,53585.09011,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,inpatient,,,,,,20306.18895,48287.426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45214.5898,,,,fee schedule,,43897.66,,,,fee schedule,,48287.426,,,,fee schedule,,48287.426,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,inpatient,,,,,,20306.18895,64566.557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60457.7761,,,,fee schedule,,58696.87,,,,fee schedule,,64566.557,,,,fee schedule,,64566.557,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,inpatient,,,,,,20306.18895,80638.173,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75506.6529,,,,fee schedule,,73307.43,,,,fee schedule,,80638.173,,,,fee schedule,,80638.173,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
PANCREAS TRANSPLANT,6,APR-DRG,,,,,inpatient,,,,,,20306.18895,113508.934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,106285.6382,,,,fee schedule,,103189.94,,,,fee schedule,,113508.934,,,,fee schedule,,113508.934,,,,fee schedule,,21321.4984,,,,fee schedule,,20306.18895,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,inpatient,,,,,,60053.41,66107.31582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61855.0123,,,,fee schedule,,60053.41,,,,fee schedule,,66058.751,,,,fee schedule,,66058.751,,,,fee schedule,,66107.31582,,,,fee schedule,,62959.3484,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,inpatient,,,,,,62959.3484,69535.532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65110.5436,,,,fee schedule,,63214.12,,,,fee schedule,,69535.532,,,,fee schedule,,69535.532,,,,fee schedule,,66107.31582,,,,fee schedule,,62959.3484,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,inpatient,,,,,,78483.94378,86714.243,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81196.0639,,,,fee schedule,,78831.13,,,,fee schedule,,86714.243,,,,fee schedule,,86714.243,,,,fee schedule,,82408.14097,,,,fee schedule,,78483.94378,,,,fee schedule,,
ALLOGENEIC BONE MARROW TRANSPLANT,7,APR-DRG,,,,,inpatient,,,,,,160114.7146,177426.073,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,166135.3229,,,,fee schedule,,161296.43,,,,fee schedule,,177426.073,,,,fee schedule,,177426.073,,,,fee schedule,,168120.4503,,,,fee schedule,,160114.7146,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,inpatient,,,,,,24105.58,30608.02106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24828.7474,,,,fee schedule,,24105.58,,,,fee schedule,,26516.138,,,,fee schedule,,26516.138,,,,fee schedule,,30608.02106,,,,fee schedule,,29150.49625,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,inpatient,,,,,,29150.49625,37801.071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35395.5483,,,,fee schedule,,34364.61,,,,fee schedule,,37801.071,,,,fee schedule,,37801.071,,,,fee schedule,,30608.02106,,,,fee schedule,,29150.49625,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,inpatient,,,,,,40790.75,49951.73766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42014.4725,,,,fee schedule,,40790.75,,,,fee schedule,,44869.825,,,,fee schedule,,44869.825,,,,fee schedule,,49951.73766,,,,fee schedule,,47573.08348,,,,fee schedule,,
AUTOLOGOUS BONE MARROW TRANSPLANT,8,APR-DRG,,,,,inpatient,,,,,,63114.73331,87939.72,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82343.556,,,,fee schedule,,79945.2,,,,fee schedule,,87939.72,,,,fee schedule,,87939.72,,,,fee schedule,,66270.46998,,,,fee schedule,,63114.73331,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,inpatient,,,,,,34513.17079,43605.683,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40830.7759,,,,fee schedule,,39641.53,,,,fee schedule,,43605.683,,,,fee schedule,,43605.683,,,,fee schedule,,36238.82933,,,,fee schedule,,34513.17079,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,inpatient,,,,,,34513.17079,45899.601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42978.7173,,,,fee schedule,,41726.91,,,,fee schedule,,45899.601,,,,fee schedule,,45899.601,,,,fee schedule,,36238.82933,,,,fee schedule,,34513.17079,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,inpatient,,,,,,34513.17079,76081.115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71239.5895,,,,fee schedule,,69164.65,,,,fee schedule,,76081.115,,,,fee schedule,,76081.115,,,,fee schedule,,36238.82933,,,,fee schedule,,34513.17079,,,,fee schedule,,
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),9,APR-DRG,,,,,inpatient,,,,,,83211.81409,176536.756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165302.5988,,,,fee schedule,,160487.96,,,,fee schedule,,176536.756,,,,fee schedule,,176536.756,,,,fee schedule,,87372.4048,,,,fee schedule,,83211.81409,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,inpatient,,,,,,36901.2,49484.1617,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38008.236,,,,fee schedule,,36901.2,,,,fee schedule,,40591.32,,,,fee schedule,,40591.32,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,inpatient,,,,,,47127.77305,89016.048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83351.3904,,,,fee schedule,,80923.68,,,,fee schedule,,89016.048,,,,fee schedule,,89016.048,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,inpatient,,,,,,47127.77305,103672.008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97074.6984,,,,fee schedule,,94247.28,,,,fee schedule,,103672.008,,,,fee schedule,,103672.008,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,11,APR-DRG,,,,,inpatient,,,,,,47127.77305,177763.806,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,166451.5638,,,,fee schedule,,161603.46,,,,fee schedule,,177763.806,,,,fee schedule,,177763.806,,,,fee schedule,,49484.1617,,,,fee schedule,,47127.77305,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,inpatient,,,,,,11099.9485,19716.466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18461.7818,,,,fee schedule,,17924.06,,,,fee schedule,,19716.466,,,,fee schedule,,19716.466,,,,fee schedule,,11654.94593,,,,fee schedule,,11099.9485,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,inpatient,,,,,,14709.17375,22777.381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21327.9113,,,,fee schedule,,20706.71,,,,fee schedule,,22777.381,,,,fee schedule,,22777.381,,,,fee schedule,,15444.63244,,,,fee schedule,,14709.17375,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,inpatient,,,,,,20364.93203,32582.748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30509.3004,,,,fee schedule,,29620.68,,,,fee schedule,,32582.748,,,,fee schedule,,32582.748,,,,fee schedule,,21383.17863,,,,fee schedule,,20364.93203,,,,fee schedule,,
OPEN CRANIOTOMY FOR TRAUMA,20,APR-DRG,,,,,inpatient,,,,,,33246.08891,52306.309,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48977.7257,,,,fee schedule,,47551.19,,,,fee schedule,,52306.309,,,,fee schedule,,52306.309,,,,fee schedule,,34908.39336,,,,fee schedule,,33246.08891,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,inpatient,,,,,,12470.62032,18519.402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17340.8946,,,,fee schedule,,16835.82,,,,fee schedule,,18519.402,,,,fee schedule,,18519.402,,,,fee schedule,,13094.15134,,,,fee schedule,,12470.62032,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,inpatient,,,,,,16030.57718,23891.593,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22371.2189,,,,fee schedule,,21719.63,,,,fee schedule,,23891.593,,,,fee schedule,,23891.593,,,,fee schedule,,16832.10604,,,,fee schedule,,16030.57718,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,inpatient,,,,,,25025.21622,36077.668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33781.8164,,,,fee schedule,,32797.88,,,,fee schedule,,36077.668,,,,fee schedule,,36077.668,,,,fee schedule,,26276.47703,,,,fee schedule,,25025.21622,,,,fee schedule,,
OPEN CRANIOTOMY EXCEPT TRAUMA,21,APR-DRG,,,,,inpatient,,,,,,39281.46644,58383.963,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54668.6199,,,,fee schedule,,53076.33,,,,fee schedule,,58383.963,,,,fee schedule,,58383.963,,,,fee schedule,,41245.53976,,,,fee schedule,,39281.46644,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,inpatient,,,,,,9612.422174,12194.754,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11418.7242,,,,fee schedule,,11086.14,,,,fee schedule,,12194.754,,,,fee schedule,,12194.754,,,,fee schedule,,10093.04328,,,,fee schedule,,9612.422174,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,inpatient,,,,,,11143.53208,14925.834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13976.0082,,,,fee schedule,,13568.94,,,,fee schedule,,14925.834,,,,fee schedule,,14925.834,,,,fee schedule,,11700.70868,,,,fee schedule,,11143.53208,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,inpatient,,,,,,16695.06877,23031.47,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21565.831,,,,fee schedule,,20937.7,,,,fee schedule,,23031.47,,,,fee schedule,,23031.47,,,,fee schedule,,17529.82221,,,,fee schedule,,16695.06877,,,,fee schedule,,
VENTRICULAR SHUNT PROCEDURES,22,APR-DRG,,,,,inpatient,,,,,,41130.06,50203.76441,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42363.9618,,,,fee schedule,,41130.06,,,,fee schedule,,45243.066,,,,fee schedule,,45243.066,,,,fee schedule,,50203.76441,,,,fee schedule,,47813.10896,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,inpatient,,,,,,10287.0201,15914.58,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14901.834,,,,fee schedule,,14467.8,,,,fee schedule,,15914.58,,,,fee schedule,,15914.58,,,,fee schedule,,10801.37111,,,,fee schedule,,10287.0201,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,inpatient,,,,,,15837.2935,20468.47,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19165.931,,,,fee schedule,,18607.7,,,,fee schedule,,20468.47,,,,fee schedule,,20468.47,,,,fee schedule,,16629.15818,,,,fee schedule,,15837.2935,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,inpatient,,,,,,23175.12509,33951.83,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31791.259,,,,fee schedule,,30865.3,,,,fee schedule,,33951.83,,,,fee schedule,,33951.83,,,,fee schedule,,24333.88134,,,,fee schedule,,23175.12509,,,,fee schedule,,
SPINAL PROCEDURES,23,APR-DRG,,,,,inpatient,,,,,,34367.26056,53602.802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50191.7146,,,,fee schedule,,48729.82,,,,fee schedule,,53602.802,,,,fee schedule,,53602.802,,,,fee schedule,,36085.62359,,,,fee schedule,,34367.26056,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,inpatient,,,,,,6017.093142,8627.234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8078.2282,,,,fee schedule,,7842.94,,,,fee schedule,,8627.234,,,,fee schedule,,8627.234,,,,fee schedule,,6317.947799,,,,fee schedule,,6017.093142,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,inpatient,,,,,,7297.439584,11604.505,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10866.0365,,,,fee schedule,,10549.55,,,,fee schedule,,11604.505,,,,fee schedule,,11604.505,,,,fee schedule,,7662.311563,,,,fee schedule,,7297.439584,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,inpatient,,,,,,12420.72029,20904.851,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19574.5423,,,,fee schedule,,19004.41,,,,fee schedule,,20904.851,,,,fee schedule,,20904.851,,,,fee schedule,,13041.7563,,,,fee schedule,,12420.72029,,,,fee schedule,,
OPEN EXTRACRANIAL VASCULAR PROCEDURES,24,APR-DRG,,,,,inpatient,,,,,,23940.68004,38066.204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35643.8092,,,,fee schedule,,34605.64,,,,fee schedule,,38066.204,,,,fee schedule,,38066.204,,,,fee schedule,,25137.71404,,,,fee schedule,,23940.68004,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,inpatient,,,,,,8033.307174,12456.741,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11664.0393,,,,fee schedule,,11324.31,,,,fee schedule,,12456.741,,,,fee schedule,,12456.741,,,,fee schedule,,8434.972533,,,,fee schedule,,8033.307174,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,inpatient,,,,,,9635.793076,15945.347,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14930.6431,,,,fee schedule,,14495.77,,,,fee schedule,,15945.347,,,,fee schedule,,15945.347,,,,fee schedule,,10117.58273,,,,fee schedule,,9635.793076,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,inpatient,,,,,,14724.9649,23781.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22267.776,,,,fee schedule,,21619.2,,,,fee schedule,,23781.12,,,,fee schedule,,23781.12,,,,fee schedule,,15461.21314,,,,fee schedule,,14724.9649,,,,fee schedule,,
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,26,APR-DRG,,,,,inpatient,,,,,,35074.07243,44409.783,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41583.7059,,,,fee schedule,,40372.53,,,,fee schedule,,44409.783,,,,fee schedule,,44409.783,,,,fee schedule,,36827.77606,,,,fee schedule,,35074.07243,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,inpatient,,,,,,11113.21307,16706.041,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15642.9293,,,,fee schedule,,15187.31,,,,fee schedule,,16706.041,,,,fee schedule,,16706.041,,,,fee schedule,,11668.87372,,,,fee schedule,,11113.21307,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,inpatient,,,,,,13443.98681,18895.008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17692.5984,,,,fee schedule,,17177.28,,,,fee schedule,,18895.008,,,,fee schedule,,18895.008,,,,fee schedule,,14116.18615,,,,fee schedule,,13443.98681,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,inpatient,,,,,,18417.56741,31315.449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29322.6477,,,,fee schedule,,28468.59,,,,fee schedule,,31315.449,,,,fee schedule,,31315.449,,,,fee schedule,,19338.44578,,,,fee schedule,,18417.56741,,,,fee schedule,,
OTHER OPEN CRANIOTOMY,27,APR-DRG,,,,,inpatient,,,,,,32538.64539,54726.485,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51243.8905,,,,fee schedule,,49751.35,,,,fee schedule,,54726.485,,,,fee schedule,,54726.485,,,,fee schedule,,34165.57766,,,,fee schedule,,32538.64539,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,inpatient,,,,,,13166.06257,19764.602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18506.8546,,,,fee schedule,,17967.82,,,,fee schedule,,19764.602,,,,fee schedule,,19764.602,,,,fee schedule,,13824.3657,,,,fee schedule,,13166.06257,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,inpatient,,,,,,15462.09578,22322.069,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20901.5737,,,,fee schedule,,20292.79,,,,fee schedule,,22322.069,,,,fee schedule,,22322.069,,,,fee schedule,,16235.20057,,,,fee schedule,,15462.09578,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,inpatient,,,,,,18766.86765,25113.121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23515.0133,,,,fee schedule,,22830.11,,,,fee schedule,,25113.121,,,,fee schedule,,25113.121,,,,fee schedule,,19705.21103,,,,fee schedule,,18766.86765,,,,fee schedule,,
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,29,APR-DRG,,,,,inpatient,,,,,,31680.87012,38408.678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35964.4894,,,,fee schedule,,34916.98,,,,fee schedule,,38408.678,,,,fee schedule,,38408.678,,,,fee schedule,,33264.91363,,,,fee schedule,,31680.87012,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,inpatient,,,,,,14457.14699,17101.381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16013.1113,,,,fee schedule,,15546.71,,,,fee schedule,,17101.381,,,,fee schedule,,17101.381,,,,fee schedule,,15180.00434,,,,fee schedule,,14457.14699,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,inpatient,,,,,,16370.40273,23609.883,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22107.4359,,,,fee schedule,,21463.53,,,,fee schedule,,23609.883,,,,fee schedule,,23609.883,,,,fee schedule,,17188.92286,,,,fee schedule,,16370.40273,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,inpatient,,,,,,22105.74841,32061.15,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30020.895,,,,fee schedule,,29146.5,,,,fee schedule,,32061.15,,,,fee schedule,,32061.15,,,,fee schedule,,23211.03583,,,,fee schedule,,22105.74841,,,,fee schedule,,
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,30,APR-DRG,,,,,inpatient,,,,,,32574.64921,43053.318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40313.5614,,,,fee schedule,,39139.38,,,,fee schedule,,43053.318,,,,fee schedule,,43053.318,,,,fee schedule,,34203.38167,,,,fee schedule,,32574.64921,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,inpatient,,,,,,5634.947312,9423.436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8823.7628,,,,fee schedule,,8566.76,,,,fee schedule,,9423.436,,,,fee schedule,,9423.436,,,,fee schedule,,5916.694678,,,,fee schedule,,5634.947312,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,inpatient,,,,,,11079.73583,12686.366,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11879.0518,,,,fee schedule,,11533.06,,,,fee schedule,,12686.366,,,,fee schedule,,12686.366,,,,fee schedule,,11633.72262,,,,fee schedule,,11079.73583,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,inpatient,,,,,,16349.44,21982.07379,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16839.9232,,,,fee schedule,,16349.44,,,,fee schedule,,17984.384,,,,fee schedule,,17984.384,,,,fee schedule,,21982.07379,,,,fee schedule,,20935.30837,,,,fee schedule,,
SPINAL DISORDERS AND INJURIES,40,APR-DRG,,,,,inpatient,,,,,,20935.30837,25480.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23859.332,,,,fee schedule,,23164.4,,,,fee schedule,,25480.84,,,,fee schedule,,25480.84,,,,fee schedule,,21982.07379,,,,fee schedule,,20935.30837,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,inpatient,,,,,,4746.853036,7849.974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7350.4302,,,,fee schedule,,7136.34,,,,fee schedule,,7849.974,,,,fee schedule,,7849.974,,,,fee schedule,,4984.195688,,,,fee schedule,,4746.853036,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,inpatient,,,,,,5399.975,8058.292,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7545.4916,,,,fee schedule,,7325.72,,,,fee schedule,,8058.292,,,,fee schedule,,8058.292,,,,fee schedule,,5669.97375,,,,fee schedule,,5399.975,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,inpatient,,,,,,8070.574288,11030.833,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10328.8709,,,,fee schedule,,10028.03,,,,fee schedule,,11030.833,,,,fee schedule,,11030.833,,,,fee schedule,,8474.103002,,,,fee schedule,,8070.574288,,,,fee schedule,,
NERVOUS SYSTEM MALIGNANCY,41,APR-DRG,,,,,inpatient,,,,,,11735.38438,17061.924,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15976.1652,,,,fee schedule,,15510.84,,,,fee schedule,,17061.924,,,,fee schedule,,17061.924,,,,fee schedule,,12322.1536,,,,fee schedule,,11735.38438,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,inpatient,,,,,,5792.71,7264.374583,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5966.4913,,,,fee schedule,,5792.71,,,,fee schedule,,6371.981,,,,fee schedule,,6371.981,,,,fee schedule,,7264.374583,,,,fee schedule,,6918.451984,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,inpatient,,,,,,7040.359662,8033.047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7521.8531,,,,fee schedule,,7302.77,,,,fee schedule,,8033.047,,,,fee schedule,,8033.047,,,,fee schedule,,7392.377645,,,,fee schedule,,7040.359662,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,inpatient,,,,,,10547.25825,11913.044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11154.9412,,,,fee schedule,,10830.04,,,,fee schedule,,11913.044,,,,fee schedule,,11913.044,,,,fee schedule,,11074.62117,,,,fee schedule,,10547.25825,,,,fee schedule,,
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,42,APR-DRG,,,,,inpatient,,,,,,20610.59,22671.649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21228.9077,,,,fee schedule,,20610.59,,,,fee schedule,,22671.649,,,,fee schedule,,22671.649,,,,fee schedule,,22037.78497,,,,fee schedule,,20988.36663,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,inpatient,,,,,,5360.812948,8252.409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7727.2557,,,,fee schedule,,7502.19,,,,fee schedule,,8252.409,,,,fee schedule,,8252.409,,,,fee schedule,,5628.853595,,,,fee schedule,,5360.812948,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,inpatient,,,,,,8299.861786,11426.965,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10699.7945,,,,fee schedule,,10388.15,,,,fee schedule,,11426.965,,,,fee schedule,,11426.965,,,,fee schedule,,8714.854875,,,,fee schedule,,8299.861786,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,inpatient,,,,,,15222.70195,16863.869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15790.7137,,,,fee schedule,,15330.79,,,,fee schedule,,16863.869,,,,fee schedule,,16863.869,,,,fee schedule,,15983.83704,,,,fee schedule,,15222.70195,,,,fee schedule,,
"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",43,APR-DRG,,,,,inpatient,,,,,,28553.59078,32131.374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30086.6502,,,,fee schedule,,29210.34,,,,fee schedule,,32131.374,,,,fee schedule,,32131.374,,,,fee schedule,,29981.27031,,,,fee schedule,,28553.59078,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,inpatient,,,,,,4327.440092,7827.875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7329.7375,,,,fee schedule,,7116.25,,,,fee schedule,,7827.875,,,,fee schedule,,7827.875,,,,fee schedule,,4543.812097,,,,fee schedule,,4327.440092,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,inpatient,,,,,,7037.833078,10495.826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9827.9098,,,,fee schedule,,9541.66,,,,fee schedule,,10495.826,,,,fee schedule,,10495.826,,,,fee schedule,,7389.724732,,,,fee schedule,,7037.833078,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,inpatient,,,,,,10077.94528,14908.476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13959.7548,,,,fee schedule,,13553.16,,,,fee schedule,,14908.476,,,,fee schedule,,14908.476,,,,fee schedule,,10581.84254,,,,fee schedule,,10077.94528,,,,fee schedule,,
INTRACRANIAL HEMORRHAGE,44,APR-DRG,,,,,inpatient,,,,,,15169.01204,18988.123,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17779.7879,,,,fee schedule,,17261.93,,,,fee schedule,,18988.123,,,,fee schedule,,18988.123,,,,fee schedule,,15927.46264,,,,fee schedule,,15169.01204,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,inpatient,,,,,,3791.172638,6838.348,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6403.1804,,,,fee schedule,,6216.68,,,,fee schedule,,6838.348,,,,fee schedule,,6838.348,,,,fee schedule,,3980.73127,,,,fee schedule,,3791.172638,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,inpatient,,,,,,5707.586602,8810.307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8249.6511,,,,fee schedule,,8009.37,,,,fee schedule,,8810.307,,,,fee schedule,,8810.307,,,,fee schedule,,5992.965932,,,,fee schedule,,5707.586602,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,inpatient,,,,,,8455.246702,12481.986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11687.6778,,,,fee schedule,,11347.26,,,,fee schedule,,12481.986,,,,fee schedule,,12481.986,,,,fee schedule,,8878.009037,,,,fee schedule,,8455.246702,,,,fee schedule,,
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,45,APR-DRG,,,,,inpatient,,,,,,14658.64207,20836.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19510.26,,,,fee schedule,,18942,,,,fee schedule,,20836.2,,,,fee schedule,,20836.2,,,,fee schedule,,15391.57417,,,,fee schedule,,14658.64207,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,inpatient,,,,,,4513.775662,6988.278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6543.5694,,,,fee schedule,,6352.98,,,,fee schedule,,6988.278,,,,fee schedule,,6988.278,,,,fee schedule,,4739.464445,,,,fee schedule,,4513.775662,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,inpatient,,,,,,4759.485956,8021.211,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7510.7703,,,,fee schedule,,7292.01,,,,fee schedule,,8021.211,,,,fee schedule,,8021.211,,,,fee schedule,,4997.460254,,,,fee schedule,,4759.485956,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,inpatient,,,,,,5660.844798,10408.233,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9745.8909,,,,fee schedule,,9462.03,,,,fee schedule,,10408.233,,,,fee schedule,,10408.233,,,,fee schedule,,5943.887038,,,,fee schedule,,5660.844798,,,,fee schedule,,
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,46,APR-DRG,,,,,inpatient,,,,,,5660.844798,20714.672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19396.4656,,,,fee schedule,,18831.52,,,,fee schedule,,20714.672,,,,fee schedule,,20714.672,,,,fee schedule,,5943.887038,,,,fee schedule,,5660.844798,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,inpatient,,,,,,3189.214,6413.022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6004.9206,,,,fee schedule,,5830.02,,,,fee schedule,,6413.022,,,,fee schedule,,6413.022,,,,fee schedule,,3348.6747,,,,fee schedule,,3189.214,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,inpatient,,,,,,3912.44867,7185.552,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6728.2896,,,,fee schedule,,6532.32,,,,fee schedule,,7185.552,,,,fee schedule,,7185.552,,,,fee schedule,,4108.071104,,,,fee schedule,,3912.44867,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,inpatient,,,,,,6809.808872,9075.44,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8497.912,,,,fee schedule,,8250.4,,,,fee schedule,,9075.44,,,,fee schedule,,9075.44,,,,fee schedule,,7150.299316,,,,fee schedule,,6809.808872,,,,fee schedule,,
TRANSIENT ISCHEMIA,47,APR-DRG,,,,,inpatient,,,,,,6809.808872,16494.566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15444.9118,,,,fee schedule,,14995.06,,,,fee schedule,,16494.566,,,,fee schedule,,16494.566,,,,fee schedule,,7150.299316,,,,fee schedule,,6809.808872,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,inpatient,,,,,,3893.49929,6304.914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5903.6922,,,,fee schedule,,5731.74,,,,fee schedule,,6304.914,,,,fee schedule,,6304.914,,,,fee schedule,,4088.174255,,,,fee schedule,,3893.49929,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,inpatient,,,,,,4954.66457,7096.375,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6644.7875,,,,fee schedule,,6451.25,,,,fee schedule,,7096.375,,,,fee schedule,,7096.375,,,,fee schedule,,5202.397799,,,,fee schedule,,4954.66457,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,inpatient,,,,,,6980.353292,9866.912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9239.0176,,,,fee schedule,,8969.92,,,,fee schedule,,9866.912,,,,fee schedule,,9866.912,,,,fee schedule,,7329.370957,,,,fee schedule,,6980.353292,,,,fee schedule,,
"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",48,APR-DRG,,,,,inpatient,,,,,,14129.95437,19437.913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18200.9549,,,,fee schedule,,17670.83,,,,fee schedule,,19437.913,,,,fee schedule,,19437.913,,,,fee schedule,,14836.45208,,,,fee schedule,,14129.95437,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,inpatient,,,,,,5689.268868,8747.178,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8190.5394,,,,fee schedule,,7951.98,,,,fee schedule,,8747.178,,,,fee schedule,,8747.178,,,,fee schedule,,5973.732311,,,,fee schedule,,5689.268868,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,inpatient,,,,,,10396.29486,18283.452,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17119.9596,,,,fee schedule,,16621.32,,,,fee schedule,,18283.452,,,,fee schedule,,18283.452,,,,fee schedule,,10916.1096,,,,fee schedule,,10396.29486,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,inpatient,,,,,,12636.11158,20825.145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19499.9085,,,,fee schedule,,18931.95,,,,fee schedule,,20825.145,,,,fee schedule,,20825.145,,,,fee schedule,,13267.91715,,,,fee schedule,,12636.11158,,,,fee schedule,,
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,49,APR-DRG,,,,,inpatient,,,,,,24669.59952,33895.015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31738.0595,,,,fee schedule,,30813.65,,,,fee schedule,,33895.015,,,,fee schedule,,33895.015,,,,fee schedule,,25903.0795,,,,fee schedule,,24669.59952,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,inpatient,,,,,,4468.928796,6465.096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6053.6808,,,,fee schedule,,5877.36,,,,fee schedule,,6465.096,,,,fee schedule,,6465.096,,,,fee schedule,,4692.375236,,,,fee schedule,,4468.928796,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,inpatient,,,,,,8480.512542,12329.691,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11545.0743,,,,fee schedule,,11208.81,,,,fee schedule,,12329.691,,,,fee schedule,,12329.691,,,,fee schedule,,8904.538169,,,,fee schedule,,8480.512542,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,inpatient,,,,,,14795.0776,19733.824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18478.0352,,,,fee schedule,,17939.84,,,,fee schedule,,19733.824,,,,fee schedule,,19733.824,,,,fee schedule,,15534.83148,,,,fee schedule,,14795.0776,,,,fee schedule,,
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,50,APR-DRG,,,,,inpatient,,,,,,31671.39543,38393.685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35950.4505,,,,fee schedule,,34903.35,,,,fee schedule,,38393.685,,,,fee schedule,,38393.685,,,,fee schedule,,33254.9652,,,,fee schedule,,31671.39543,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,inpatient,,,,,,3699.583968,4680.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4383.062,,,,fee schedule,,4255.4,,,,fee schedule,,4680.94,,,,fee schedule,,4680.94,,,,fee schedule,,3884.563166,,,,fee schedule,,3699.583968,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,inpatient,,,,,,4818.229034,6589.781,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6170.4313,,,,fee schedule,,5990.71,,,,fee schedule,,6589.781,,,,fee schedule,,6589.781,,,,fee schedule,,5059.140486,,,,fee schedule,,4818.229034,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,inpatient,,,,,,8754.646906,11754.435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11006.4255,,,,fee schedule,,10685.85,,,,fee schedule,,11754.435,,,,fee schedule,,11754.435,,,,fee schedule,,9192.379251,,,,fee schedule,,8754.646906,,,,fee schedule,,
VIRAL MENINGITIS,51,APR-DRG,,,,,inpatient,,,,,,8754.646906,22625.878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21186.0494,,,,fee schedule,,20568.98,,,,fee schedule,,22625.878,,,,fee schedule,,22625.878,,,,fee schedule,,9192.379251,,,,fee schedule,,8754.646906,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,inpatient,,,,,,3571.35983,5664.956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5304.4588,,,,fee schedule,,5149.96,,,,fee schedule,,5664.956,,,,fee schedule,,5664.956,,,,fee schedule,,3749.927822,,,,fee schedule,,3571.35983,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,inpatient,,,,,,4565.570634,6337.265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5933.9845,,,,fee schedule,,5761.15,,,,fee schedule,,6337.265,,,,fee schedule,,6337.265,,,,fee schedule,,4793.849166,,,,fee schedule,,4565.570634,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,inpatient,,,,,,6962.035558,8647.749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8097.4377,,,,fee schedule,,7861.59,,,,fee schedule,,8647.749,,,,fee schedule,,8647.749,,,,fee schedule,,7310.137336,,,,fee schedule,,6962.035558,,,,fee schedule,,
ALTERATION IN CONSCIOUSNESS,52,APR-DRG,,,,,inpatient,,,,,,14545.57743,18817.678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17620.1894,,,,fee schedule,,17106.98,,,,fee schedule,,18817.678,,,,fee schedule,,18817.678,,,,fee schedule,,15272.85631,,,,fee schedule,,14545.57743,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,inpatient,,,,,,3764.01186,5088.908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4765.0684,,,,fee schedule,,4626.28,,,,fee schedule,,5088.908,,,,fee schedule,,5088.908,,,,fee schedule,,3952.212453,,,,fee schedule,,3764.01186,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,inpatient,,,,,,4545.989608,6343.579,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5939.8967,,,,fee schedule,,5766.89,,,,fee schedule,,6343.579,,,,fee schedule,,6343.579,,,,fee schedule,,4773.289088,,,,fee schedule,,4545.989608,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,inpatient,,,,,,6075.204574,9082.546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8504.5658,,,,fee schedule,,8256.86,,,,fee schedule,,9082.546,,,,fee schedule,,9082.546,,,,fee schedule,,6378.964803,,,,fee schedule,,6075.204574,,,,fee schedule,,
SEIZURE,53,APR-DRG,,,,,inpatient,,,,,,11700.0122,20295.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19004.118,,,,fee schedule,,18450.6,,,,fee schedule,,20295.66,,,,fee schedule,,20295.66,,,,fee schedule,,12285.01281,,,,fee schedule,,11700.0122,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,inpatient,,,,,,3990.772774,5814.094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5444.1062,,,,fee schedule,,5285.54,,,,fee schedule,,5814.094,,,,fee schedule,,5814.094,,,,fee schedule,,4190.311413,,,,fee schedule,,3990.772774,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,inpatient,,,,,,4988.141808,6843.078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6407.6094,,,,fee schedule,,6220.98,,,,fee schedule,,6843.078,,,,fee schedule,,6843.078,,,,fee schedule,,5237.548898,,,,fee schedule,,4988.141808,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,inpatient,,,,,,5386.078788,8954.715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8384.8695,,,,fee schedule,,8140.65,,,,fee schedule,,8954.715,,,,fee schedule,,8954.715,,,,fee schedule,,5655.382727,,,,fee schedule,,5386.078788,,,,fee schedule,,
MIGRAINE AND OTHER HEADACHES,54,APR-DRG,,,,,inpatient,,,,,,6387.237698,14791.689,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13850.3997,,,,fee schedule,,13446.99,,,,fee schedule,,14791.689,,,,fee schedule,,14791.689,,,,fee schedule,,6706.599583,,,,fee schedule,,6387.237698,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,inpatient,,,,,,3398.920472,6543.218,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6126.8314,,,,fee schedule,,5948.38,,,,fee schedule,,6543.218,,,,fee schedule,,6543.218,,,,fee schedule,,3568.866496,,,,fee schedule,,3398.920472,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,inpatient,,,,,,4744.958098,9191.446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8606.5358,,,,fee schedule,,8355.86,,,,fee schedule,,9191.446,,,,fee schedule,,9191.446,,,,fee schedule,,4982.206003,,,,fee schedule,,4744.958098,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,inpatient,,,,,,7967.61599,14119.369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13220.8637,,,,fee schedule,,12835.79,,,,fee schedule,,14119.369,,,,fee schedule,,14119.369,,,,fee schedule,,8365.99679,,,,fee schedule,,7967.61599,,,,fee schedule,,
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,55,APR-DRG,,,,,inpatient,,,,,,13078.26378,25981.923,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24328.5279,,,,fee schedule,,23619.93,,,,fee schedule,,25981.923,,,,fee schedule,,25981.923,,,,fee schedule,,13732.17696,,,,fee schedule,,13078.26378,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,inpatient,,,,,,3024.354394,6597.668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6177.8164,,,,fee schedule,,5997.88,,,,fee schedule,,6597.668,,,,fee schedule,,6597.668,,,,fee schedule,,3175.572114,,,,fee schedule,,3024.354394,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,inpatient,,,,,,6651.265726,8057.5,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7544.75,,,,fee schedule,,7325,,,,fee schedule,,8057.5,,,,fee schedule,,8057.5,,,,fee schedule,,6983.829012,,,,fee schedule,,6651.265726,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,inpatient,,,,,,6651.265726,12895.476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12074.8548,,,,fee schedule,,11723.16,,,,fee schedule,,12895.476,,,,fee schedule,,12895.476,,,,fee schedule,,6983.829012,,,,fee schedule,,6651.265726,,,,fee schedule,,
"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",56,APR-DRG,,,,,inpatient,,,,,,6651.265726,20895.38,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19565.674,,,,fee schedule,,18995.8,,,,fee schedule,,20895.38,,,,fee schedule,,20895.38,,,,fee schedule,,6983.829012,,,,fee schedule,,6651.265726,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,inpatient,,,,,,3138.68232,6136.834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5746.3082,,,,fee schedule,,5578.94,,,,fee schedule,,6136.834,,,,fee schedule,,6136.834,,,,fee schedule,,3295.616436,,,,fee schedule,,3138.68232,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,inpatient,,,,,,4192.899494,8542.798,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7999.1654,,,,fee schedule,,7766.18,,,,fee schedule,,8542.798,,,,fee schedule,,8542.798,,,,fee schedule,,4402.544469,,,,fee schedule,,4192.899494,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,inpatient,,,,,,5668.42455,12606.671,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11804.4283,,,,fee schedule,,11460.61,,,,fee schedule,,12606.671,,,,fee schedule,,12606.671,,,,fee schedule,,5951.845778,,,,fee schedule,,5668.42455,,,,fee schedule,,
"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",57,APR-DRG,,,,,inpatient,,,,,,10748.12168,20074.714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18797.2322,,,,fee schedule,,18249.74,,,,fee schedule,,20074.714,,,,fee schedule,,20074.714,,,,fee schedule,,11285.52777,,,,fee schedule,,10748.12168,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,inpatient,,,,,,5895.81711,7949.392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7443.5216,,,,fee schedule,,7226.72,,,,fee schedule,,7949.392,,,,fee schedule,,7949.392,,,,fee schedule,,6190.607966,,,,fee schedule,,5895.81711,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,inpatient,,,,,,8385.765642,10650.486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9972.7278,,,,fee schedule,,9682.26,,,,fee schedule,,10650.486,,,,fee schedule,,10650.486,,,,fee schedule,,8805.053924,,,,fee schedule,,8385.765642,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,inpatient,,,,,,12091.63272,13694.043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12822.6039,,,,fee schedule,,12449.13,,,,fee schedule,,13694.043,,,,fee schedule,,13694.043,,,,fee schedule,,12696.21436,,,,fee schedule,,12091.63272,,,,fee schedule,,
OTHER DISORDERS OF NERVOUS SYSTEM,58,APR-DRG,,,,,inpatient,,,,,,17840.13,21107.27566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18375.3339,,,,fee schedule,,17840.13,,,,fee schedule,,19624.143,,,,fee schedule,,19624.143,,,,fee schedule,,21107.27566,,,,fee schedule,,20102.1673,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,inpatient,,,,,,5986.4,9285.894442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6165.992,,,,fee schedule,,5986.4,,,,fee schedule,,6585.04,,,,fee schedule,,6585.04,,,,fee schedule,,9285.894442,,,,fee schedule,,8843.708992,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,inpatient,,,,,,8781.97,9660.167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9045.4291,,,,fee schedule,,8781.97,,,,fee schedule,,9660.167,,,,fee schedule,,9660.167,,,,fee schedule,,9285.894442,,,,fee schedule,,8843.708992,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,inpatient,,,,,,10176.48205,14809.047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13866.6531,,,,fee schedule,,13462.77,,,,fee schedule,,14809.047,,,,fee schedule,,14809.047,,,,fee schedule,,10685.30615,,,,fee schedule,,10176.48205,,,,fee schedule,,
ANOXIC AND OTHER SEVERE BRAIN DAMAGE,59,APR-DRG,,,,,inpatient,,,,,,12692.95972,20019.472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18745.5056,,,,fee schedule,,18199.52,,,,fee schedule,,20019.472,,,,fee schedule,,20019.472,,,,fee schedule,,13327.6077,,,,fee schedule,,12692.95972,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,inpatient,,,,,,6413.76683,9436.856,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8836.3288,,,,fee schedule,,8578.96,,,,fee schedule,,9436.856,,,,fee schedule,,9436.856,,,,fee schedule,,6734.455172,,,,fee schedule,,6413.76683,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,inpatient,,,,,,8042.781864,11911.471,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11153.4683,,,,fee schedule,,10828.61,,,,fee schedule,,11911.471,,,,fee schedule,,11911.471,,,,fee schedule,,8444.920957,,,,fee schedule,,8042.781864,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,inpatient,,,,,,13332.81711,18474.423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17298.7779,,,,fee schedule,,16794.93,,,,fee schedule,,18474.423,,,,fee schedule,,18474.423,,,,fee schedule,,13999.45797,,,,fee schedule,,13332.81711,,,,fee schedule,,
ORBIT AND EYE PROCEDURES,73,APR-DRG,,,,,inpatient,,,,,,25648.01918,33244.013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31128.4849,,,,fee schedule,,30221.83,,,,fee schedule,,33244.013,,,,fee schedule,,33244.013,,,,fee schedule,,26930.42013,,,,fee schedule,,25648.01918,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,inpatient,,,,,,4190.37291,5569.476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5215.0548,,,,fee schedule,,5063.16,,,,fee schedule,,5569.476,,,,fee schedule,,5569.476,,,,fee schedule,,4399.891556,,,,fee schedule,,4190.37291,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,inpatient,,,,,,5050.043116,6842.286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6406.8678,,,,fee schedule,,6220.26,,,,fee schedule,,6842.286,,,,fee schedule,,6842.286,,,,fee schedule,,5302.545272,,,,fee schedule,,5050.043116,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,inpatient,,,,,,6785.174678,10401.919,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9739.9787,,,,fee schedule,,9456.29,,,,fee schedule,,10401.919,,,,fee schedule,,10401.919,,,,fee schedule,,7124.433412,,,,fee schedule,,6785.174678,,,,fee schedule,,
EYE INFECTIONS AND OTHER EYE DISORDERS,82,APR-DRG,,,,,inpatient,,,,,,11605.89695,20864.602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19536.8546,,,,fee schedule,,18967.82,,,,fee schedule,,20864.602,,,,fee schedule,,20864.602,,,,fee schedule,,12186.1918,,,,fee schedule,,11605.89695,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,inpatient,,,,,,12166.16695,15801.731,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14796.1663,,,,fee schedule,,14365.21,,,,fee schedule,,15801.731,,,,fee schedule,,15801.731,,,,fee schedule,,12774.4753,,,,fee schedule,,12166.16695,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,inpatient,,,,,,14219.6481,20242.794,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18954.6162,,,,fee schedule,,18402.54,,,,fee schedule,,20242.794,,,,fee schedule,,20242.794,,,,fee schedule,,14930.6305,,,,fee schedule,,14219.6481,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,inpatient,,,,,,23550.32281,36555.86,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34229.578,,,,fee schedule,,33232.6,,,,fee schedule,,36555.86,,,,fee schedule,,36555.86,,,,fee schedule,,24727.83895,,,,fee schedule,,23550.32281,,,,fee schedule,,
MAJOR CRANIAL OR FACIAL BONE PROCEDURES,89,APR-DRG,,,,,inpatient,,,,,,33016.80141,48613.323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45519.7479,,,,fee schedule,,44193.93,,,,fee schedule,,48613.323,,,,fee schedule,,48613.323,,,,fee schedule,,34667.64148,,,,fee schedule,,33016.80141,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,inpatient,,,,,,8153.319914,13944.194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13056.8362,,,,fee schedule,,12676.54,,,,fee schedule,,13944.194,,,,fee schedule,,13944.194,,,,fee schedule,,8560.98591,,,,fee schedule,,8153.319914,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,inpatient,,,,,,16033.10376,21532.973,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20162.6929,,,,fee schedule,,19575.43,,,,fee schedule,,21532.973,,,,fee schedule,,21532.973,,,,fee schedule,,16834.75895,,,,fee schedule,,16033.10376,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,inpatient,,,,,,22789.18938,37121.645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34759.3585,,,,fee schedule,,33746.95,,,,fee schedule,,37121.645,,,,fee schedule,,37121.645,,,,fee schedule,,23928.64885,,,,fee schedule,,22789.18938,,,,fee schedule,,
OTHER MAJOR HEAD AND NECK PROCEDURES,91,APR-DRG,,,,,inpatient,,,,,,42545.81297,59352.975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55575.9675,,,,fee schedule,,53957.25,,,,fee schedule,,59352.975,,,,fee schedule,,59352.975,,,,fee schedule,,44673.10362,,,,fee schedule,,42545.81297,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,inpatient,,,,,,7472.405526,12912.834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12091.1082,,,,fee schedule,,11738.94,,,,fee schedule,,12912.834,,,,fee schedule,,12912.834,,,,fee schedule,,7846.025802,,,,fee schedule,,7472.405526,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,inpatient,,,,,,8636.529104,16959.349,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15880.1177,,,,fee schedule,,15417.59,,,,fee schedule,,16959.349,,,,fee schedule,,16959.349,,,,fee schedule,,9068.355559,,,,fee schedule,,8636.529104,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,inpatient,,,,,,15410.93245,26329.908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24654.3684,,,,fee schedule,,23936.28,,,,fee schedule,,26329.908,,,,fee schedule,,26329.908,,,,fee schedule,,16181.47908,,,,fee schedule,,15410.93245,,,,fee schedule,,
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,92,APR-DRG,,,,,inpatient,,,,,,21836.66721,50343.821,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47140.1233,,,,fee schedule,,45767.11,,,,fee schedule,,50343.821,,,,fee schedule,,50343.821,,,,fee schedule,,22928.50057,,,,fee schedule,,21836.66721,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,inpatient,,,,,,6718.220202,7871.281,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7370.3813,,,,fee schedule,,7155.71,,,,fee schedule,,7871.281,,,,fee schedule,,7871.281,,,,fee schedule,,7054.131212,,,,fee schedule,,6718.220202,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,inpatient,,,,,,8063.89,8980.146195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8305.8067,,,,fee schedule,,8063.89,,,,fee schedule,,8870.279,,,,fee schedule,,8870.279,,,,fee schedule,,8980.146195,,,,fee schedule,,8552.520186,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,inpatient,,,,,,9444.404338,14855.599,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13910.2427,,,,fee schedule,,13505.09,,,,fee schedule,,14855.599,,,,fee schedule,,14855.599,,,,fee schedule,,9916.624555,,,,fee schedule,,9444.404338,,,,fee schedule,,
CLEFT LIP AND PALATE REPAIR,95,APR-DRG,,,,,inpatient,,,,,,9444.404338,27739.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25974.025,,,,fee schedule,,25217.5,,,,fee schedule,,27739.25,,,,fee schedule,,27739.25,,,,fee schedule,,9916.624555,,,,fee schedule,,9444.404338,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,inpatient,,,,,,5022.882338,5678.365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5317.0145,,,,fee schedule,,5162.15,,,,fee schedule,,5678.365,,,,fee schedule,,5678.365,,,,fee schedule,,5274.026455,,,,fee schedule,,5022.882338,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,inpatient,,,,,,6394.81745,8395.244,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7861.0012,,,,fee schedule,,7632.04,,,,fee schedule,,8395.244,,,,fee schedule,,8395.244,,,,fee schedule,,6714.558323,,,,fee schedule,,6394.81745,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,inpatient,,,,,,12461.33,14185.16189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12835.1699,,,,fee schedule,,12461.33,,,,fee schedule,,13707.463,,,,fee schedule,,13707.463,,,,fee schedule,,14185.16189,,,,fee schedule,,13509.67799,,,,fee schedule,,
TONSIL AND ADENOID PROCEDURES,97,APR-DRG,,,,,inpatient,,,,,,13509.67799,24383.205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22831.5465,,,,fee schedule,,22166.55,,,,fee schedule,,24383.205,,,,fee schedule,,24383.205,,,,fee schedule,,14185.16189,,,,fee schedule,,13509.67799,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,inpatient,,,,,,5363.971178,8345.524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7814.4452,,,,fee schedule,,7586.84,,,,fee schedule,,8345.524,,,,fee schedule,,8345.524,,,,fee schedule,,5632.169737,,,,fee schedule,,5363.971178,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,inpatient,,,,,,8001.724874,11711.832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10966.5336,,,,fee schedule,,10647.12,,,,fee schedule,,11711.832,,,,fee schedule,,11711.832,,,,fee schedule,,8401.811118,,,,fee schedule,,8001.724874,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,inpatient,,,,,,12944.35482,19596.522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18349.4706,,,,fee schedule,,17815.02,,,,fee schedule,,19596.522,,,,fee schedule,,19596.522,,,,fee schedule,,13591.57257,,,,fee schedule,,12944.35482,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",98,APR-DRG,,,,,inpatient,,,,,,23288.18972,35882.759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33599.3107,,,,fee schedule,,32620.69,,,,fee schedule,,35882.759,,,,fee schedule,,35882.759,,,,fee schedule,,24452.59921,,,,fee schedule,,23288.18972,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,inpatient,,,,,,4464.507274,7719.767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7228.5091,,,,fee schedule,,7017.97,,,,fee schedule,,7719.767,,,,fee schedule,,7719.767,,,,fee schedule,,4687.732638,,,,fee schedule,,4464.507274,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,inpatient,,,,,,5831.389218,8892.367,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8326.4891,,,,fee schedule,,8083.97,,,,fee schedule,,8892.367,,,,fee schedule,,8892.367,,,,fee schedule,,6122.958679,,,,fee schedule,,5831.389218,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,inpatient,,,,,,8572.732858,12950.718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12126.5814,,,,fee schedule,,11773.38,,,,fee schedule,,12950.718,,,,fee schedule,,12950.718,,,,fee schedule,,9001.369501,,,,fee schedule,,8572.732858,,,,fee schedule,,
"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110,APR-DRG,,,,,inpatient,,,,,,13385.87538,22359.953,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20937.0469,,,,fee schedule,,20327.23,,,,fee schedule,,22359.953,,,,fee schedule,,22359.953,,,,fee schedule,,14055.16915,,,,fee schedule,,13385.87538,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,inpatient,,,,,,3766.538444,5606.557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5249.7761,,,,fee schedule,,5096.87,,,,fee schedule,,5606.557,,,,fee schedule,,5606.557,,,,fee schedule,,3954.865366,,,,fee schedule,,3766.538444,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,inpatient,,,,,,3892.867644,6218.905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5823.1565,,,,fee schedule,,5653.55,,,,fee schedule,,6218.905,,,,fee schedule,,6218.905,,,,fee schedule,,4087.511026,,,,fee schedule,,3892.867644,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,inpatient,,,,,,4849.179688,7651.908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7164.9684,,,,fee schedule,,6956.28,,,,fee schedule,,7651.908,,,,fee schedule,,7651.908,,,,fee schedule,,5091.638672,,,,fee schedule,,4849.179688,,,,fee schedule,,
VERTIGO AND OTHER LABYRINTH DISORDERS,111,APR-DRG,,,,,inpatient,,,,,,4849.179688,16519.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15467.819,,,,fee schedule,,15017.3,,,,fee schedule,,16519.03,,,,fee schedule,,16519.03,,,,fee schedule,,5091.638672,,,,fee schedule,,4849.179688,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,inpatient,,,,,,3027.99,3360.612809,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3118.8297,,,,fee schedule,,3027.99,,,,fee schedule,,3330.789,,,,fee schedule,,3330.789,,,,fee schedule,,3360.612809,,,,fee schedule,,3200.583628,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,inpatient,,,,,,4079.203214,4633.596,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4338.7308,,,,fee schedule,,4212.36,,,,fee schedule,,4633.596,,,,fee schedule,,4633.596,,,,fee schedule,,4283.163375,,,,fee schedule,,4079.203214,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,inpatient,,,,,,5558.518146,6819.406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6385.4438,,,,fee schedule,,6199.46,,,,fee schedule,,6819.406,,,,fee schedule,,6819.406,,,,fee schedule,,5836.444053,,,,fee schedule,,5558.518146,,,,fee schedule,,
INFECTIONS OF UPPER RESPIRATORY TRACT,113,APR-DRG,,,,,inpatient,,,,,,11559.78679,14517.085,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13593.2705,,,,fee schedule,,13197.35,,,,fee schedule,,14517.085,,,,fee schedule,,14517.085,,,,fee schedule,,12137.77613,,,,fee schedule,,11559.78679,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,inpatient,,,,,,3548.08,3968.793161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3654.5224,,,,fee schedule,,3548.08,,,,fee schedule,,3902.888,,,,fee schedule,,3902.888,,,,fee schedule,,3968.793161,,,,fee schedule,,3779.80301,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,inpatient,,,,,,5017.24,6731.13903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5167.7572,,,,fee schedule,,5017.24,,,,fee schedule,,5518.964,,,,fee schedule,,5518.964,,,,fee schedule,,6731.13903,,,,fee schedule,,6410.6086,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,inpatient,,,,,,6410.6086,8265.037,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7739.0801,,,,fee schedule,,7513.67,,,,fee schedule,,8265.037,,,,fee schedule,,8265.037,,,,fee schedule,,6731.13903,,,,fee schedule,,6410.6086,,,,fee schedule,,
DENTAL DISEASES AND DISORDERS,114,APR-DRG,,,,,inpatient,,,,,,6410.6086,16969.601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15889.7173,,,,fee schedule,,15426.91,,,,fee schedule,,16969.601,,,,fee schedule,,16969.601,,,,fee schedule,,6731.13903,,,,fee schedule,,6410.6086,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,inpatient,,,,,,4021.091782,4841.133,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4533.0609,,,,fee schedule,,4401.03,,,,fee schedule,,4841.133,,,,fee schedule,,4841.133,,,,fee schedule,,4222.146371,,,,fee schedule,,4021.091782,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,inpatient,,,,,,4972.350658,6618.183,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6197.0259,,,,fee schedule,,6016.53,,,,fee schedule,,6618.183,,,,fee schedule,,6618.183,,,,fee schedule,,5220.968191,,,,fee schedule,,4972.350658,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,inpatient,,,,,,7119.947058,10371.152,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9711.1696,,,,fee schedule,,9428.32,,,,fee schedule,,10371.152,,,,fee schedule,,10371.152,,,,fee schedule,,7475.944411,,,,fee schedule,,7119.947058,,,,fee schedule,,
"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115,APR-DRG,,,,,inpatient,,,,,,16688.76,19968.51267,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17189.4228,,,,fee schedule,,16688.76,,,,fee schedule,,18357.636,,,,fee schedule,,18357.636,,,,fee schedule,,19968.51267,,,,fee schedule,,19017.63111,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,inpatient,,,,,,11120.16118,15723.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14723.026,,,,fee schedule,,14294.2,,,,fee schedule,,15723.62,,,,fee schedule,,15723.62,,,,fee schedule,,11676.16923,,,,fee schedule,,11120.16118,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,inpatient,,,,,,13546.94511,19651.753,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18401.1869,,,,fee schedule,,17865.23,,,,fee schedule,,19651.753,,,,fee schedule,,19651.753,,,,fee schedule,,14224.29236,,,,fee schedule,,13546.94511,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,inpatient,,,,,,19504.63018,29613.364,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27728.8772,,,,fee schedule,,26921.24,,,,fee schedule,,29613.364,,,,fee schedule,,29613.364,,,,fee schedule,,20479.86169,,,,fee schedule,,19504.63018,,,,fee schedule,,
MAJOR RESPIRATORY AND CHEST PROCEDURES,120,APR-DRG,,,,,inpatient,,,,,,39062.28528,56008.766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52444.5718,,,,fee schedule,,50917.06,,,,fee schedule,,56008.766,,,,fee schedule,,56008.766,,,,fee schedule,,41015.39954,,,,fee schedule,,39062.28528,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,inpatient,,,,,,9192.377584,12196.338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11420.2074,,,,fee schedule,,11087.58,,,,fee schedule,,12196.338,,,,fee schedule,,12196.338,,,,fee schedule,,9651.996463,,,,fee schedule,,9192.377584,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,inpatient,,,,,,11125.21434,15913.788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14901.0924,,,,fee schedule,,14467.08,,,,fee schedule,,15913.788,,,,fee schedule,,15913.788,,,,fee schedule,,11681.47506,,,,fee schedule,,11125.21434,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,inpatient,,,,,,17338.0844,25297.767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23687.9091,,,,fee schedule,,22997.97,,,,fee schedule,,25297.767,,,,fee schedule,,25297.767,,,,fee schedule,,18204.98862,,,,fee schedule,,17338.0844,,,,fee schedule,,
OTHER RESPIRATORY AND CHEST PROCEDURES,121,APR-DRG,,,,,inpatient,,,,,,28635.07311,44392.425,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41567.4525,,,,fee schedule,,40356.75,,,,fee schedule,,44392.425,,,,fee schedule,,44392.425,,,,fee schedule,,30066.82677,,,,fee schedule,,28635.07311,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,inpatient,,,,,,20435.67638,26668.433,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24971.3509,,,,fee schedule,,24244.03,,,,fee schedule,,26668.433,,,,fee schedule,,26668.433,,,,fee schedule,,21457.4602,,,,fee schedule,,20435.67638,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,inpatient,,,,,,20435.67638,29681.223,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27792.4179,,,,fee schedule,,26982.93,,,,fee schedule,,29681.223,,,,fee schedule,,29681.223,,,,fee schedule,,21457.4602,,,,fee schedule,,20435.67638,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,inpatient,,,,,,26337.77661,35999.546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33708.6658,,,,fee schedule,,32726.86,,,,fee schedule,,35999.546,,,,fee schedule,,35999.546,,,,fee schedule,,27654.66544,,,,fee schedule,,26337.77661,,,,fee schedule,,
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130,APR-DRG,,,,,inpatient,,,,,,34340.09978,47188.207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44185.3211,,,,fee schedule,,42898.37,,,,fee schedule,,47188.207,,,,fee schedule,,47188.207,,,,fee schedule,,36057.10477,,,,fee schedule,,34340.09978,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,inpatient,,,,,,10631.33,16266.3723,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10950.2699,,,,fee schedule,,10631.33,,,,fee schedule,,11694.463,,,,fee schedule,,11694.463,,,,fee schedule,,16266.3723,,,,fee schedule,,15491.78314,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,inpatient,,,,,,13749.72,16266.3723,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14162.2116,,,,fee schedule,,13749.72,,,,fee schedule,,15124.692,,,,fee schedule,,15124.692,,,,fee schedule,,16266.3723,,,,fee schedule,,15491.78314,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,inpatient,,,,,,18639.99,21302.92801,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19199.1897,,,,fee schedule,,18639.99,,,,fee schedule,,20503.989,,,,fee schedule,,20503.989,,,,fee schedule,,21302.92801,,,,fee schedule,,20288.50287,,,,fee schedule,,
CYSTIC FIBROSIS - PULMONARY DISEASE,131,APR-DRG,,,,,inpatient,,,,,,22224.49786,26890.171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25178.9783,,,,fee schedule,,24445.61,,,,fee schedule,,26890.171,,,,fee schedule,,26890.171,,,,fee schedule,,23335.72275,,,,fee schedule,,22224.49786,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,inpatient,,,,,,3290.55,5134.085284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3389.2665,,,,fee schedule,,3290.55,,,,fee schedule,,3619.605,,,,fee schedule,,3619.605,,,,fee schedule,,5134.085284,,,,fee schedule,,4889.605032,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,inpatient,,,,,,5074.63,6751.035879,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5226.8689,,,,fee schedule,,5074.63,,,,fee schedule,,5582.093,,,,fee schedule,,5582.093,,,,fee schedule,,6751.035879,,,,fee schedule,,6429.55798,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,inpatient,,,,,,9543.09,17187.59641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9829.3827,,,,fee schedule,,9543.09,,,,fee schedule,,10497.399,,,,fee schedule,,10497.399,,,,fee schedule,,17187.59641,,,,fee schedule,,16369.13944,,,,fee schedule,,
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132,APR-DRG,,,,,inpatient,,,,,,14159.33,30955.55269,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14584.1099,,,,fee schedule,,14159.33,,,,fee schedule,,15575.263,,,,fee schedule,,15575.263,,,,fee schedule,,30955.55269,,,,fee schedule,,29481.47875,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,inpatient,,,,,,3379.5,5360.246134,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3480.885,,,,fee schedule,,3379.5,,,,fee schedule,,3717.45,,,,fee schedule,,3717.45,,,,fee schedule,,5360.246134,,,,fee schedule,,5104.996318,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,inpatient,,,,,,5245.22173,6409.073,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6001.2229,,,,fee schedule,,5826.43,,,,fee schedule,,6409.073,,,,fee schedule,,6409.073,,,,fee schedule,,5507.482817,,,,fee schedule,,5245.22173,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,inpatient,,,,,,7593.049912,9880.321,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9251.5733,,,,fee schedule,,8982.11,,,,fee schedule,,9880.321,,,,fee schedule,,9880.321,,,,fee schedule,,7972.702408,,,,fee schedule,,7593.049912,,,,fee schedule,,
RESPIRATORY FAILURE,133,APR-DRG,,,,,inpatient,,,,,,11736.01603,16980.656,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15900.0688,,,,fee schedule,,15436.96,,,,fee schedule,,16980.656,,,,fee schedule,,16980.656,,,,fee schedule,,12322.81683,,,,fee schedule,,11736.01603,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,inpatient,,,,,,3424.817958,4997.377,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4679.3621,,,,fee schedule,,4543.07,,,,fee schedule,,4997.377,,,,fee schedule,,4997.377,,,,fee schedule,,3596.058856,,,,fee schedule,,3424.817958,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,inpatient,,,,,,4312.912234,6556.638,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6139.3974,,,,fee schedule,,5960.58,,,,fee schedule,,6556.638,,,,fee schedule,,6556.638,,,,fee schedule,,4528.557846,,,,fee schedule,,4312.912234,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,inpatient,,,,,,6615.261904,10119.428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9475.4644,,,,fee schedule,,9199.48,,,,fee schedule,,10119.428,,,,fee schedule,,10119.428,,,,fee schedule,,6946.024999,,,,fee schedule,,6615.261904,,,,fee schedule,,
PULMONARY EMBOLISM,134,APR-DRG,,,,,inpatient,,,,,,10584.52537,17001.952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15920.0096,,,,fee schedule,,15456.32,,,,fee schedule,,17001.952,,,,fee schedule,,17001.952,,,,fee schedule,,11113.75164,,,,fee schedule,,10584.52537,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,inpatient,,,,,,3519.564858,6811.519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6378.0587,,,,fee schedule,,6192.29,,,,fee schedule,,6811.519,,,,fee schedule,,6811.519,,,,fee schedule,,3695.543101,,,,fee schedule,,3519.564858,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,inpatient,,,,,,4023.618366,7835.762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7337.1226,,,,fee schedule,,7123.42,,,,fee schedule,,7835.762,,,,fee schedule,,7835.762,,,,fee schedule,,4224.799284,,,,fee schedule,,4023.618366,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,inpatient,,,,,,6104.26029,11250.206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10534.2838,,,,fee schedule,,10227.46,,,,fee schedule,,11250.206,,,,fee schedule,,11250.206,,,,fee schedule,,6409.473305,,,,fee schedule,,6104.26029,,,,fee schedule,,
MAJOR CHEST AND RESPIRATORY TRAUMA,135,APR-DRG,,,,,inpatient,,,,,,8768.543118,19662.016,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18410.7968,,,,fee schedule,,17874.56,,,,fee schedule,,19662.016,,,,fee schedule,,19662.016,,,,fee schedule,,9206.970274,,,,fee schedule,,8768.543118,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,inpatient,,,,,,5239.536916,6671.06,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6246.538,,,,fee schedule,,6064.6,,,,fee schedule,,6671.06,,,,fee schedule,,6671.06,,,,fee schedule,,5501.513762,,,,fee schedule,,5239.536916,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,inpatient,,,,,,5381.657266,8493.089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7952.6197,,,,fee schedule,,7720.99,,,,fee schedule,,8493.089,,,,fee schedule,,8493.089,,,,fee schedule,,5650.740129,,,,fee schedule,,5381.657266,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,inpatient,,,,,,7543.781524,12137.158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11364.7934,,,,fee schedule,,11033.78,,,,fee schedule,,12137.158,,,,fee schedule,,12137.158,,,,fee schedule,,7920.9706,,,,fee schedule,,7543.781524,,,,fee schedule,,
RESPIRATORY MALIGNANCY,136,APR-DRG,,,,,inpatient,,,,,,11645.69065,18579.374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17397.0502,,,,fee schedule,,16890.34,,,,fee schedule,,18579.374,,,,fee schedule,,18579.374,,,,fee schedule,,12227.97518,,,,fee schedule,,11645.69065,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,inpatient,,,,,,4308.490712,5337.475,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4997.8175,,,,fee schedule,,4852.25,,,,fee schedule,,5337.475,,,,fee schedule,,5337.475,,,,fee schedule,,4523.915248,,,,fee schedule,,4308.490712,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,inpatient,,,,,,5441.663636,6832.815,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6397.9995,,,,fee schedule,,6211.65,,,,fee schedule,,6832.815,,,,fee schedule,,6832.815,,,,fee schedule,,5713.746818,,,,fee schedule,,5441.663636,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,inpatient,,,,,,6032.252646,9127.525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8546.6825,,,,fee schedule,,8297.75,,,,fee schedule,,9127.525,,,,fee schedule,,9127.525,,,,fee schedule,,6333.865278,,,,fee schedule,,6032.252646,,,,fee schedule,,
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137,APR-DRG,,,,,inpatient,,,,,,9355.973898,17203.967,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16109.1691,,,,fee schedule,,15639.97,,,,fee schedule,,17203.967,,,,fee schedule,,17203.967,,,,fee schedule,,9823.772593,,,,fee schedule,,9355.973898,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,inpatient,,,,,,2716.66,3976.7519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2798.1598,,,,fee schedule,,2716.66,,,,fee schedule,,2988.326,,,,fee schedule,,2988.326,,,,fee schedule,,3976.7519,,,,fee schedule,,3787.382762,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,inpatient,,,,,,3946.22,4968.278209,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4064.6066,,,,fee schedule,,3946.22,,,,fee schedule,,4340.842,,,,fee schedule,,4340.842,,,,fee schedule,,4968.278209,,,,fee schedule,,4731.693532,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,inpatient,,,,,,6544.51,7656.342509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6740.8453,,,,fee schedule,,6544.51,,,,fee schedule,,7198.961,,,,fee schedule,,7198.961,,,,fee schedule,,7656.342509,,,,fee schedule,,7291.75477,,,,fee schedule,,
BRONCHIOLITIS AND RSV PNEUMONIA,138,APR-DRG,,,,,inpatient,,,,,,14177.32782,17735.036,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16606.4428,,,,fee schedule,,16122.76,,,,fee schedule,,17735.036,,,,fee schedule,,17735.036,,,,fee schedule,,14886.19421,,,,fee schedule,,14177.32782,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,inpatient,,,,,,3429.23948,4079.647,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3820.0331,,,,fee schedule,,3708.77,,,,fee schedule,,4079.647,,,,fee schedule,,4079.647,,,,fee schedule,,3600.701454,,,,fee schedule,,3429.23948,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,inpatient,,,,,,4148.684274,5350.895,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5010.3835,,,,fee schedule,,4864.45,,,,fee schedule,,5350.895,,,,fee schedule,,5350.895,,,,fee schedule,,4356.118488,,,,fee schedule,,4148.684274,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,inpatient,,,,,,5432.820592,8047.248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7535.1504,,,,fee schedule,,7315.68,,,,fee schedule,,8047.248,,,,fee schedule,,8047.248,,,,fee schedule,,5704.461622,,,,fee schedule,,5432.820592,,,,fee schedule,,
OTHER PNEUMONIA,139,APR-DRG,,,,,inpatient,,,,,,8549.361956,14621.244,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13690.8012,,,,fee schedule,,13292.04,,,,fee schedule,,14621.244,,,,fee schedule,,14621.244,,,,fee schedule,,8976.830054,,,,fee schedule,,8549.361956,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,inpatient,,,,,,3798.75239,4538.116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4249.3268,,,,fee schedule,,4125.56,,,,fee schedule,,4538.116,,,,fee schedule,,4538.116,,,,fee schedule,,3988.69001,,,,fee schedule,,3798.75239,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,inpatient,,,,,,4257.327386,5706.778,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5343.6194,,,,fee schedule,,5187.98,,,,fee schedule,,5706.778,,,,fee schedule,,5706.778,,,,fee schedule,,4470.193755,,,,fee schedule,,4257.327386,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,inpatient,,,,,,4878.86705,7166.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6710.553,,,,fee schedule,,6515.1,,,,fee schedule,,7166.61,,,,fee schedule,,7166.61,,,,fee schedule,,5122.810403,,,,fee schedule,,4878.86705,,,,fee schedule,,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140,APR-DRG,,,,,inpatient,,,,,,6841.391172,13932.358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13045.7534,,,,fee schedule,,12665.78,,,,fee schedule,,13932.358,,,,fee schedule,,13932.358,,,,fee schedule,,7183.460731,,,,fee schedule,,6841.391172,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,inpatient,,,,,,3592.835794,3966.017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3713.6341,,,,fee schedule,,3605.47,,,,fee schedule,,3966.017,,,,fee schedule,,3966.017,,,,fee schedule,,3772.477584,,,,fee schedule,,3592.835794,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,inpatient,,,,,,4275.64512,5682.314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5320.7122,,,,fee schedule,,5165.74,,,,fee schedule,,5682.314,,,,fee schedule,,5682.314,,,,fee schedule,,4489.427376,,,,fee schedule,,4275.64512,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,inpatient,,,,,,5238.273624,6553.481,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6136.4413,,,,fee schedule,,5957.71,,,,fee schedule,,6553.481,,,,fee schedule,,6553.481,,,,fee schedule,,5500.187305,,,,fee schedule,,5238.273624,,,,fee schedule,,
ASTHMA,141,APR-DRG,,,,,inpatient,,,,,,7316.388964,13292.4,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12446.52,,,,fee schedule,,12084,,,,fee schedule,,13292.4,,,,fee schedule,,13292.4,,,,fee schedule,,7682.208412,,,,fee schedule,,7316.388964,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,inpatient,,,,,,4060.88548,5907.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5532.027,,,,fee schedule,,5370.9,,,,fee schedule,,5907.99,,,,fee schedule,,5907.99,,,,fee schedule,,4263.929754,,,,fee schedule,,4060.88548,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,inpatient,,,,,,5243.326792,7007.209,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6561.2957,,,,fee schedule,,6370.19,,,,fee schedule,,7007.209,,,,fee schedule,,7007.209,,,,fee schedule,,5505.493132,,,,fee schedule,,5243.326792,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,inpatient,,,,,,6349.970584,10634.701,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9957.9473,,,,fee schedule,,9667.91,,,,fee schedule,,10634.701,,,,fee schedule,,10634.701,,,,fee schedule,,6667.469113,,,,fee schedule,,6349.970584,,,,fee schedule,,
INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142,APR-DRG,,,,,inpatient,,,,,,9616.843696,18999.167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17790.1291,,,,fee schedule,,17271.97,,,,fee schedule,,18999.167,,,,fee schedule,,18999.167,,,,fee schedule,,10097.68588,,,,fee schedule,,9616.843696,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,inpatient,,,,,,3953.50566,4899.521,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4587.7333,,,,fee schedule,,4454.11,,,,fee schedule,,4899.521,,,,fee schedule,,4899.521,,,,fee schedule,,4151.180943,,,,fee schedule,,3953.50566,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,inpatient,,,,,,4984.983578,6995.373,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6550.2129,,,,fee schedule,,6359.43,,,,fee schedule,,6995.373,,,,fee schedule,,6995.373,,,,fee schedule,,5234.232757,,,,fee schedule,,4984.983578,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,inpatient,,,,,,6900.13425,10844.603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10154.4919,,,,fee schedule,,9858.73,,,,fee schedule,,10844.603,,,,fee schedule,,10844.603,,,,fee schedule,,7245.140963,,,,fee schedule,,6900.13425,,,,fee schedule,,
"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143,APR-DRG,,,,,inpatient,,,,,,11126.47764,18120.113,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16967.0149,,,,fee schedule,,16472.83,,,,fee schedule,,18120.113,,,,fee schedule,,18120.113,,,,fee schedule,,11682.80152,,,,fee schedule,,11126.47764,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,inpatient,,,,,,3709.690304,4983.957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4666.7961,,,,fee schedule,,4530.87,,,,fee schedule,,4983.957,,,,fee schedule,,4983.957,,,,fee schedule,,3895.174819,,,,fee schedule,,3709.690304,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,inpatient,,,,,,5295.75341,6504.553,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6090.6269,,,,fee schedule,,5913.23,,,,fee schedule,,6504.553,,,,fee schedule,,6504.553,,,,fee schedule,,5560.541081,,,,fee schedule,,5295.75341,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,inpatient,,,,,,6788.964554,9855.076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9227.9348,,,,fee schedule,,8959.16,,,,fee schedule,,9855.076,,,,fee schedule,,9855.076,,,,fee schedule,,7128.412782,,,,fee schedule,,6788.964554,,,,fee schedule,,
"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144,APR-DRG,,,,,inpatient,,,,,,10160.6909,17892.061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16753.4753,,,,fee schedule,,16265.51,,,,fee schedule,,17892.061,,,,fee schedule,,17892.061,,,,fee schedule,,10668.72545,,,,fee schedule,,10160.6909,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,inpatient,,,,,,3432.39771,4645.432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4349.8136,,,,fee schedule,,4223.12,,,,fee schedule,,4645.432,,,,fee schedule,,4645.432,,,,fee schedule,,3604.017596,,,,fee schedule,,3432.39771,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,inpatient,,,,,,4066.570294,5772.272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5404.9456,,,,fee schedule,,5247.52,,,,fee schedule,,5772.272,,,,fee schedule,,5772.272,,,,fee schedule,,4269.898809,,,,fee schedule,,4066.570294,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,inpatient,,,,,,6069.51976,7523.285,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7044.5305,,,,fee schedule,,6839.35,,,,fee schedule,,7523.285,,,,fee schedule,,7523.285,,,,fee schedule,,6372.995748,,,,fee schedule,,6069.51976,,,,fee schedule,,
ACUTE BRONCHITIS AND RELATED SYMPTOMS,145,APR-DRG,,,,,inpatient,,,,,,10571.2608,13540.967,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12679.2691,,,,fee schedule,,12309.97,,,,fee schedule,,13540.967,,,,fee schedule,,13540.967,,,,fee schedule,,11099.82384,,,,fee schedule,,10571.2608,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,inpatient,,,,,,23587.58992,25954.302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24302.6646,,,,fee schedule,,23594.82,,,,fee schedule,,25954.302,,,,fee schedule,,25954.302,,,,fee schedule,,24766.96942,,,,fee schedule,,23587.58992,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,inpatient,,,,,,26678.86545,33005.698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30905.3354,,,,fee schedule,,30005.18,,,,fee schedule,,33005.698,,,,fee schedule,,33005.698,,,,fee schedule,,28012.80872,,,,fee schedule,,26678.86545,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,inpatient,,,,,,38385.79241,52768.727,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49410.7171,,,,fee schedule,,47971.57,,,,fee schedule,,52768.727,,,,fee schedule,,52768.727,,,,fee schedule,,40305.08203,,,,fee schedule,,38385.79241,,,,fee schedule,,
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160,APR-DRG,,,,,inpatient,,,,,,92679.55599,130289.159,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121998.0307,,,,fee schedule,,118444.69,,,,fee schedule,,130289.159,,,,fee schedule,,130289.159,,,,fee schedule,,97313.53379,,,,fee schedule,,92679.55599,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,inpatient,,,,,,105055.81,173048.8998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108207.4843,,,,fee schedule,,105055.81,,,,fee schedule,,115561.391,,,,fee schedule,,115561.391,,,,fee schedule,,173048.8998,,,,fee schedule,,164808.476,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,inpatient,,,,,,110264.59,173048.8998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113572.5277,,,,fee schedule,,110264.59,,,,fee schedule,,121291.049,,,,fee schedule,,121291.049,,,,fee schedule,,173048.8998,,,,fee schedule,,164808.476,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,inpatient,,,,,,137363.73,173048.8998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141484.6419,,,,fee schedule,,137363.73,,,,fee schedule,,151100.103,,,,fee schedule,,151100.103,,,,fee schedule,,173048.8998,,,,fee schedule,,164808.476,,,,fee schedule,,
IMPLANTABLE HEART ASSIST SYSTEMS,161,APR-DRG,,,,,inpatient,,,,,,203013.29,223395.2233,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209103.6887,,,,fee schedule,,203013.29,,,,fee schedule,,223314.619,,,,fee schedule,,223314.619,,,,fee schedule,,223395.2233,,,,fee schedule,,212757.3555,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,inpatient,,,,,,20208.91547,36354.648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34041.1704,,,,fee schedule,,33049.68,,,,fee schedule,,36354.648,,,,fee schedule,,36354.648,,,,fee schedule,,21219.36124,,,,fee schedule,,20208.91547,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,inpatient,,,,,,27966.79164,42265.003,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39575.4119,,,,fee schedule,,38422.73,,,,fee schedule,,42265.003,,,,fee schedule,,42265.003,,,,fee schedule,,29365.13122,,,,fee schedule,,27966.79164,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,inpatient,,,,,,35807.41344,56822.326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53206.3598,,,,fee schedule,,51656.66,,,,fee schedule,,56822.326,,,,fee schedule,,56822.326,,,,fee schedule,,37597.78411,,,,fee schedule,,35807.41344,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162,APR-DRG,,,,,inpatient,,,,,,49145.88202,88945.824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83285.6352,,,,fee schedule,,80859.84,,,,fee schedule,,88945.824,,,,fee schedule,,88945.824,,,,fee schedule,,51603.17612,,,,fee schedule,,49145.88202,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,inpatient,,,,,,20916.99064,31149.734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29167.4782,,,,fee schedule,,28317.94,,,,fee schedule,,31149.734,,,,fee schedule,,31149.734,,,,fee schedule,,21962.84017,,,,fee schedule,,20916.99064,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,inpatient,,,,,,22990.05281,35503.204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33243.9092,,,,fee schedule,,32275.64,,,,fee schedule,,35503.204,,,,fee schedule,,35503.204,,,,fee schedule,,24139.55545,,,,fee schedule,,22990.05281,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,inpatient,,,,,,29727.18904,47282.103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44273.2419,,,,fee schedule,,42983.73,,,,fee schedule,,47282.103,,,,fee schedule,,47282.103,,,,fee schedule,,31213.5485,,,,fee schedule,,29727.18904,,,,fee schedule,,
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163,APR-DRG,,,,,inpatient,,,,,,49699.20392,74091.006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69376.1238,,,,fee schedule,,67355.46,,,,fee schedule,,74091.006,,,,fee schedule,,74091.006,,,,fee schedule,,52184.16411,,,,fee schedule,,49699.20392,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,inpatient,,,,,,21903.62169,32265.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30212.269,,,,fee schedule,,29332.3,,,,fee schedule,,32265.53,,,,fee schedule,,32265.53,,,,fee schedule,,22998.80277,,,,fee schedule,,21903.62169,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,inpatient,,,,,,21903.62169,36207.083,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33902.9959,,,,fee schedule,,32915.53,,,,fee schedule,,36207.083,,,,fee schedule,,36207.083,,,,fee schedule,,22998.80277,,,,fee schedule,,21903.62169,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,inpatient,,,,,,25799.61422,46306.777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43359.9821,,,,fee schedule,,42097.07,,,,fee schedule,,46306.777,,,,fee schedule,,46306.777,,,,fee schedule,,27089.59493,,,,fee schedule,,25799.61422,,,,fee schedule,,
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165,APR-DRG,,,,,inpatient,,,,,,35746.14378,69193.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64790.605,,,,fee schedule,,62903.5,,,,fee schedule,,69193.85,,,,fee schedule,,69193.85,,,,fee schedule,,37533.45097,,,,fee schedule,,35746.14378,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,inpatient,,,,,,17784.02648,26794.691,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25089.5743,,,,fee schedule,,24358.81,,,,fee schedule,,26794.691,,,,fee schedule,,26794.691,,,,fee schedule,,18673.2278,,,,fee schedule,,17784.02648,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,inpatient,,,,,,18822.4525,30917.744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28950.2512,,,,fee schedule,,28107.04,,,,fee schedule,,30917.744,,,,fee schedule,,30917.744,,,,fee schedule,,19763.57513,,,,fee schedule,,18822.4525,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,inpatient,,,,,,22691.28425,38924.743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36447.7139,,,,fee schedule,,35386.13,,,,fee schedule,,38924.743,,,,fee schedule,,38924.743,,,,fee schedule,,23825.84846,,,,fee schedule,,22691.28425,,,,fee schedule,,
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166,APR-DRG,,,,,inpatient,,,,,,32994.06216,60594.226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56738.2298,,,,fee schedule,,55085.66,,,,fee schedule,,60594.226,,,,fee schedule,,60594.226,,,,fee schedule,,34643.76526,,,,fee schedule,,32994.06216,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,inpatient,,,,,,15477.88693,26786.804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25082.1892,,,,fee schedule,,24351.64,,,,fee schedule,,26786.804,,,,fee schedule,,26786.804,,,,fee schedule,,16251.78128,,,,fee schedule,,15477.88693,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,inpatient,,,,,,16767.70806,27735.301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25970.3273,,,,fee schedule,,25213.91,,,,fee schedule,,27735.301,,,,fee schedule,,27735.301,,,,fee schedule,,17606.09347,,,,fee schedule,,16767.70806,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,inpatient,,,,,,25315.14173,42863.931,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40136.2263,,,,fee schedule,,38967.21,,,,fee schedule,,42863.931,,,,fee schedule,,42863.931,,,,fee schedule,,26580.89882,,,,fee schedule,,25315.14173,,,,fee schedule,,
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167,APR-DRG,,,,,inpatient,,,,,,39350.9475,74594.454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69847.5342,,,,fee schedule,,67813.14,,,,fee schedule,,74594.454,,,,fee schedule,,74594.454,,,,fee schedule,,41318.49488,,,,fee schedule,,39350.9475,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,inpatient,,,,,,13653.69328,24411.607,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22858.1411,,,,fee schedule,,22192.37,,,,fee schedule,,24411.607,,,,fee schedule,,24411.607,,,,fee schedule,,14336.37795,,,,fee schedule,,13653.69328,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,inpatient,,,,,,14260.70509,24842.455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23261.5715,,,,fee schedule,,22584.05,,,,fee schedule,,24842.455,,,,fee schedule,,24842.455,,,,fee schedule,,14973.74034,,,,fee schedule,,14260.70509,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,inpatient,,,,,,21716.02283,33723.789,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31577.7297,,,,fee schedule,,30657.99,,,,fee schedule,,33723.789,,,,fee schedule,,33723.789,,,,fee schedule,,22801.82397,,,,fee schedule,,21716.02283,,,,fee schedule,,
MAJOR ABDOMINAL VASCULAR PROCEDURES,169,APR-DRG,,,,,inpatient,,,,,,32484.95548,53400.006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50001.8238,,,,fee schedule,,48545.46,,,,fee schedule,,53400.006,,,,fee schedule,,53400.006,,,,fee schedule,,34109.20325,,,,fee schedule,,32484.95548,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,inpatient,,,,,,15267.54881,18040.418,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16892.3914,,,,fee schedule,,16400.38,,,,fee schedule,,18040.418,,,,fee schedule,,18040.418,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,inpatient,,,,,,15267.54881,19035.467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17824.1191,,,,fee schedule,,17304.97,,,,fee schedule,,19035.467,,,,fee schedule,,19035.467,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,inpatient,,,,,,15267.54881,27551.436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25798.1628,,,,fee schedule,,25046.76,,,,fee schedule,,27551.436,,,,fee schedule,,27551.436,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170,APR-DRG,,,,,inpatient,,,,,,15267.54881,39164.631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36672.3363,,,,fee schedule,,35604.21,,,,fee schedule,,39164.631,,,,fee schedule,,39164.631,,,,fee schedule,,16030.92625,,,,fee schedule,,15267.54881,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,inpatient,,,,,,9808.232434,13662.484,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12793.0532,,,,fee schedule,,12420.44,,,,fee schedule,,13662.484,,,,fee schedule,,13662.484,,,,fee schedule,,10298.64406,,,,fee schedule,,9808.232434,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,inpatient,,,,,,11597.68555,15688.893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14690.5089,,,,fee schedule,,14262.63,,,,fee schedule,,15688.893,,,,fee schedule,,15688.893,,,,fee schedule,,12177.56983,,,,fee schedule,,11597.68555,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,inpatient,,,,,,14065.52647,21061.876,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19721.5748,,,,fee schedule,,19147.16,,,,fee schedule,,21061.876,,,,fee schedule,,21061.876,,,,fee schedule,,14768.8028,,,,fee schedule,,14065.52647,,,,fee schedule,,
"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171,APR-DRG,,,,,inpatient,,,,,,25593.69762,33769.549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31620.5777,,,,fee schedule,,30699.59,,,,fee schedule,,33769.549,,,,fee schedule,,33769.549,,,,fee schedule,,26873.3825,,,,fee schedule,,25593.69762,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,inpatient,,,,,,8288.492158,16065.291,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15042.9543,,,,fee schedule,,14604.81,,,,fee schedule,,16065.291,,,,fee schedule,,16065.291,,,,fee schedule,,8702.916766,,,,fee schedule,,8288.492158,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,inpatient,,,,,,9142.47755,17803.687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16670.7251,,,,fee schedule,,16185.17,,,,fee schedule,,17803.687,,,,fee schedule,,17803.687,,,,fee schedule,,9599.601428,,,,fee schedule,,9142.47755,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,inpatient,,,,,,11056.36493,22999.119,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21535.5387,,,,fee schedule,,20908.29,,,,fee schedule,,22999.119,,,,fee schedule,,22999.119,,,,fee schedule,,11609.18318,,,,fee schedule,,11056.36493,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174,APR-DRG,,,,,inpatient,,,,,,16626.851,34287.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32106.027,,,,fee schedule,,31170.9,,,,fee schedule,,34287.99,,,,fee schedule,,34287.99,,,,fee schedule,,17458.19355,,,,fee schedule,,16626.851,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,inpatient,,,,,,9231.539636,18847.664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17648.2672,,,,fee schedule,,17134.24,,,,fee schedule,,18847.664,,,,fee schedule,,18847.664,,,,fee schedule,,9693.116618,,,,fee schedule,,9231.539636,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,inpatient,,,,,,10984.35729,20753.337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19432.6701,,,,fee schedule,,18866.67,,,,fee schedule,,20753.337,,,,fee schedule,,20753.337,,,,fee schedule,,11533.57515,,,,fee schedule,,10984.35729,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,inpatient,,,,,,14261.96838,26045.833,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24388.3709,,,,fee schedule,,23678.03,,,,fee schedule,,26045.833,,,,fee schedule,,26045.833,,,,fee schedule,,14975.0668,,,,fee schedule,,14261.96838,,,,fee schedule,,
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175,APR-DRG,,,,,inpatient,,,,,,23187.12636,38605.16,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36148.468,,,,fee schedule,,35095.6,,,,fee schedule,,38605.16,,,,fee schedule,,38605.16,,,,fee schedule,,24346.48268,,,,fee schedule,,23187.12636,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,inpatient,,,,,,10407.03284,14776.696,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13836.3608,,,,fee schedule,,13433.36,,,,fee schedule,,14776.696,,,,fee schedule,,14776.696,,,,fee schedule,,10927.38448,,,,fee schedule,,10407.03284,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,inpatient,,,,,,10407.03284,18403.396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17232.2708,,,,fee schedule,,16730.36,,,,fee schedule,,18403.396,,,,fee schedule,,18403.396,,,,fee schedule,,10927.38448,,,,fee schedule,,10407.03284,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,inpatient,,,,,,22801.8223,27833.938,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26062.6874,,,,fee schedule,,25303.58,,,,fee schedule,,27833.938,,,,fee schedule,,27833.938,,,,fee schedule,,23941.91342,,,,fee schedule,,22801.8223,,,,fee schedule,,
"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176,APR-DRG,,,,,inpatient,,,,,,29347.5698,47802.909,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44760.9057,,,,fee schedule,,43457.19,,,,fee schedule,,47802.909,,,,fee schedule,,47802.909,,,,fee schedule,,30814.94829,,,,fee schedule,,29347.5698,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,inpatient,,,,,,7342.918096,11879.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11123.176,,,,fee schedule,,10799.2,,,,fee schedule,,11879.12,,,,fee schedule,,11879.12,,,,fee schedule,,7710.064001,,,,fee schedule,,7342.918096,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,inpatient,,,,,,7342.918096,16014.009,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14994.9357,,,,fee schedule,,14558.19,,,,fee schedule,,16014.009,,,,fee schedule,,16014.009,,,,fee schedule,,7710.064001,,,,fee schedule,,7342.918096,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,inpatient,,,,,,11569.89313,23771.649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22258.9077,,,,fee schedule,,21610.59,,,,fee schedule,,23771.649,,,,fee schedule,,23771.649,,,,fee schedule,,12148.38778,,,,fee schedule,,11569.89313,,,,fee schedule,,
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177,APR-DRG,,,,,inpatient,,,,,,20139.43441,30657.341,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28706.4193,,,,fee schedule,,27870.31,,,,fee schedule,,30657.341,,,,fee schedule,,30657.341,,,,fee schedule,,21146.40613,,,,fee schedule,,20139.43441,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,inpatient,,,,,,34299.04279,42652.456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39938.2088,,,,fee schedule,,38774.96,,,,fee schedule,,42652.456,,,,fee schedule,,42652.456,,,,fee schedule,,36013.99493,,,,fee schedule,,34299.04279,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,inpatient,,,,,,34299.04279,50275.17,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47075.841,,,,fee schedule,,45704.7,,,,fee schedule,,50275.17,,,,fee schedule,,50275.17,,,,fee schedule,,36013.99493,,,,fee schedule,,34299.04279,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,inpatient,,,,,,34299.04279,52299.203,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48971.0719,,,,fee schedule,,47544.73,,,,fee schedule,,52299.203,,,,fee schedule,,52299.203,,,,fee schedule,,36013.99493,,,,fee schedule,,34299.04279,,,,fee schedule,,
EXTERNAL HEART ASSIST SYSTEMS,178,APR-DRG,,,,,inpatient,,,,,,57364.85977,71001.678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66483.3894,,,,fee schedule,,64546.98,,,,fee schedule,,71001.678,,,,fee schedule,,71001.678,,,,fee schedule,,60233.10276,,,,fee schedule,,57364.85977,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,inpatient,,,,,,24600.75011,29828.788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27930.5924,,,,fee schedule,,27117.08,,,,fee schedule,,29828.788,,,,fee schedule,,29828.788,,,,fee schedule,,25830.78761,,,,fee schedule,,24600.75011,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,inpatient,,,,,,25701.07744,33943.943,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31783.8739,,,,fee schedule,,30858.13,,,,fee schedule,,33943.943,,,,fee schedule,,33943.943,,,,fee schedule,,26986.13131,,,,fee schedule,,25701.07744,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,inpatient,,,,,,29291.3533,41646.352,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38996.1296,,,,fee schedule,,37860.32,,,,fee schedule,,41646.352,,,,fee schedule,,41646.352,,,,fee schedule,,30755.92097,,,,fee schedule,,29291.3533,,,,fee schedule,,
DEFIBRILLATOR IMPLANTS,179,APR-DRG,,,,,inpatient,,,,,,39606.13248,57541.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53880.227,,,,fee schedule,,52310.9,,,,fee schedule,,57541.99,,,,fee schedule,,57541.99,,,,fee schedule,,41586.43911,,,,fee schedule,,39606.13248,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,inpatient,,,,,,7067.52044,11115.269,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10407.9337,,,,fee schedule,,10104.79,,,,fee schedule,,11115.269,,,,fee schedule,,11115.269,,,,fee schedule,,7420.896462,,,,fee schedule,,7067.52044,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,inpatient,,,,,,8479.24925,14150.939,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13250.4247,,,,fee schedule,,12864.49,,,,fee schedule,,14150.939,,,,fee schedule,,14150.939,,,,fee schedule,,8903.211713,,,,fee schedule,,8479.24925,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,inpatient,,,,,,12169.32518,19839.567,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18577.0491,,,,fee schedule,,18035.97,,,,fee schedule,,19839.567,,,,fee schedule,,19839.567,,,,fee schedule,,12777.79144,,,,fee schedule,,12169.32518,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM PROCEDURES,180,APR-DRG,,,,,inpatient,,,,,,22369.14479,34455.278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32262.6694,,,,fee schedule,,31322.98,,,,fee schedule,,34455.278,,,,fee schedule,,34455.278,,,,fee schedule,,23487.60203,,,,fee schedule,,22369.14479,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,inpatient,,,,,,9102.052206,12964.127,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12139.1371,,,,fee schedule,,11785.57,,,,fee schedule,,12964.127,,,,fee schedule,,12964.127,,,,fee schedule,,9557.154816,,,,fee schedule,,9102.052206,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,inpatient,,,,,,12758.01925,18835.036,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17636.4428,,,,fee schedule,,17122.76,,,,fee schedule,,18835.036,,,,fee schedule,,18835.036,,,,fee schedule,,13395.92022,,,,fee schedule,,12758.01925,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,inpatient,,,,,,19329.66424,29727.775,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27836.0075,,,,fee schedule,,27025.25,,,,fee schedule,,29727.775,,,,fee schedule,,29727.775,,,,fee schedule,,20296.14745,,,,fee schedule,,19329.66424,,,,fee schedule,,
LOWER EXTREMITY ARTERIAL PROCEDURES,181,APR-DRG,,,,,inpatient,,,,,,31534.9599,46485.12,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43526.976,,,,fee schedule,,42259.2,,,,fee schedule,,46485.12,,,,fee schedule,,46485.12,,,,fee schedule,,33111.70789,,,,fee schedule,,31534.9599,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,inpatient,,,,,,10983.72564,17383.091,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16276.8943,,,,fee schedule,,15802.81,,,,fee schedule,,17383.091,,,,fee schedule,,17383.091,,,,fee schedule,,11532.91192,,,,fee schedule,,10983.72564,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,inpatient,,,,,,12171.85177,19502.615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18261.5395,,,,fee schedule,,17729.65,,,,fee schedule,,19502.615,,,,fee schedule,,19502.615,,,,fee schedule,,12780.44435,,,,fee schedule,,12171.85177,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,inpatient,,,,,,15216.38549,23890.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22369.746,,,,fee schedule,,21718.2,,,,fee schedule,,23890.02,,,,fee schedule,,23890.02,,,,fee schedule,,15977.20476,,,,fee schedule,,15216.38549,,,,fee schedule,,
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182,APR-DRG,,,,,inpatient,,,,,,30975.95319,42435.448,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39735.0104,,,,fee schedule,,38577.68,,,,fee schedule,,42435.448,,,,fee schedule,,42435.448,,,,fee schedule,,32524.75085,,,,fee schedule,,30975.95319,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,inpatient,,,,,,29577.64,37372.28649,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30464.9692,,,,fee schedule,,29577.64,,,,fee schedule,,32535.404,,,,fee schedule,,32535.404,,,,fee schedule,,37372.28649,,,,fee schedule,,35592.6538,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,inpatient,,,,,,31015.95,38432.78854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31946.4285,,,,fee schedule,,31015.95,,,,fee schedule,,34117.545,,,,fee schedule,,34117.545,,,,fee schedule,,38432.78854,,,,fee schedule,,36602.65575,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,inpatient,,,,,,37672.37,42724.53887,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38802.5411,,,,fee schedule,,37672.37,,,,fee schedule,,41439.607,,,,fee schedule,,41439.607,,,,fee schedule,,42724.53887,,,,fee schedule,,40690.03702,,,,fee schedule,,
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183,APR-DRG,,,,,inpatient,,,,,,56251.38,61876.518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57938.9214,,,,fee schedule,,56251.38,,,,fee schedule,,61876.518,,,,fee schedule,,61876.518,,,,fee schedule,,60455.28424,,,,fee schedule,,57576.46118,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,inpatient,,,,,,3992.667712,7030.1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6582.73,,,,fee schedule,,6391,,,,fee schedule,,7030.1,,,,fee schedule,,7030.1,,,,fee schedule,,4192.301098,,,,fee schedule,,3992.667712,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,inpatient,,,,,,4796.121424,7797.097,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7300.9181,,,,fee schedule,,7088.27,,,,fee schedule,,7797.097,,,,fee schedule,,7797.097,,,,fee schedule,,5035.927495,,,,fee schedule,,4796.121424,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,inpatient,,,,,,6033.515938,10608.664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9933.5672,,,,fee schedule,,9644.24,,,,fee schedule,,10608.664,,,,fee schedule,,10608.664,,,,fee schedule,,6335.191735,,,,fee schedule,,6033.515938,,,,fee schedule,,
ACUTE MYOCARDIAL INFARCTION,190,APR-DRG,,,,,inpatient,,,,,,9280.176378,18022.268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16875.3964,,,,fee schedule,,16383.88,,,,fee schedule,,18022.268,,,,fee schedule,,18022.268,,,,fee schedule,,9744.185197,,,,fee schedule,,9280.176378,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,inpatient,,,,,,4647.052968,8510.447,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7968.8731,,,,fee schedule,,7736.77,,,,fee schedule,,8510.447,,,,fee schedule,,8510.447,,,,fee schedule,,4879.405616,,,,fee schedule,,4647.052968,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,inpatient,,,,,,5463.771246,9690.153,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9073.5069,,,,fee schedule,,8809.23,,,,fee schedule,,9690.153,,,,fee schedule,,9690.153,,,,fee schedule,,5736.959808,,,,fee schedule,,5463.771246,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,inpatient,,,,,,7105.4192,13306.601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12459.8173,,,,fee schedule,,12096.91,,,,fee schedule,,13306.601,,,,fee schedule,,13306.601,,,,fee schedule,,7460.69016,,,,fee schedule,,7105.4192,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191,APR-DRG,,,,,inpatient,,,,,,10237.75171,24106.225,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22572.1925,,,,fee schedule,,21914.75,,,,fee schedule,,24106.225,,,,fee schedule,,24106.225,,,,fee schedule,,10749.6393,,,,fee schedule,,10237.75171,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,inpatient,,,,,,5200.374864,9011.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8438.069,,,,fee schedule,,8192.3,,,,fee schedule,,9011.53,,,,fee schedule,,9011.53,,,,fee schedule,,5460.393607,,,,fee schedule,,5200.374864,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,inpatient,,,,,,6587.46948,10985.854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10286.7542,,,,fee schedule,,9987.14,,,,fee schedule,,10985.854,,,,fee schedule,,10985.854,,,,fee schedule,,6916.842954,,,,fee schedule,,6587.46948,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,inpatient,,,,,,10018.57055,16171.034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15141.9682,,,,fee schedule,,14700.94,,,,fee schedule,,16171.034,,,,fee schedule,,16171.034,,,,fee schedule,,10519.49908,,,,fee schedule,,10018.57055,,,,fee schedule,,
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192,APR-DRG,,,,,inpatient,,,,,,16676.11939,28825.841,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26991.4693,,,,fee schedule,,26205.31,,,,fee schedule,,28825.841,,,,fee schedule,,28825.841,,,,fee schedule,,17509.92536,,,,fee schedule,,16676.11939,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,inpatient,,,,,,5418.92438,8241.365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7716.9145,,,,fee schedule,,7492.15,,,,fee schedule,,8241.365,,,,fee schedule,,8241.365,,,,fee schedule,,5689.870599,,,,fee schedule,,5418.92438,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,inpatient,,,,,,5504.19659,9773.005,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9151.0865,,,,fee schedule,,8884.55,,,,fee schedule,,9773.005,,,,fee schedule,,9773.005,,,,fee schedule,,5779.40642,,,,fee schedule,,5504.19659,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,inpatient,,,,,,7368.183936,13773.749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12897.2377,,,,fee schedule,,12521.59,,,,fee schedule,,13773.749,,,,fee schedule,,13773.749,,,,fee schedule,,7736.593133,,,,fee schedule,,7368.183936,,,,fee schedule,,
ACUTE AND SUBACUTE ENDOCARDITIS,193,APR-DRG,,,,,inpatient,,,,,,11386.71579,21623.723,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20247.6679,,,,fee schedule,,19657.93,,,,fee schedule,,21623.723,,,,fee schedule,,21623.723,,,,fee schedule,,11956.05158,,,,fee schedule,,11386.71579,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,inpatient,,,,,,3682.529526,4519.966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4232.3318,,,,fee schedule,,4109.06,,,,fee schedule,,4519.966,,,,fee schedule,,4519.966,,,,fee schedule,,3866.656002,,,,fee schedule,,3682.529526,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,inpatient,,,,,,4606.627624,6038.197,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5653.9481,,,,fee schedule,,5489.27,,,,fee schedule,,6038.197,,,,fee schedule,,6038.197,,,,fee schedule,,4836.959005,,,,fee schedule,,4606.627624,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,inpatient,,,,,,6310.176886,8955.496,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8385.6008,,,,fee schedule,,8141.36,,,,fee schedule,,8955.496,,,,fee schedule,,8955.496,,,,fee schedule,,6625.68573,,,,fee schedule,,6310.176886,,,,fee schedule,,
HEART FAILURE,194,APR-DRG,,,,,inpatient,,,,,,10721.59255,16794.426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15725.6898,,,,fee schedule,,15267.66,,,,fee schedule,,16794.426,,,,fee schedule,,16794.426,,,,fee schedule,,11257.67218,,,,fee schedule,,10721.59255,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,inpatient,,,,,,3616.95,4633.347917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3725.4585,,,,fee schedule,,3616.95,,,,fee schedule,,3978.645,,,,fee schedule,,3978.645,,,,fee schedule,,4633.347917,,,,fee schedule,,4412.712302,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,inpatient,,,,,,4412.712302,5111.788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4786.4924,,,,fee schedule,,4647.08,,,,fee schedule,,5111.788,,,,fee schedule,,5111.788,,,,fee schedule,,4633.347917,,,,fee schedule,,4412.712302,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,inpatient,,,,,,5760.01322,8670.64,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8118.872,,,,fee schedule,,7882.4,,,,fee schedule,,8670.64,,,,fee schedule,,8670.64,,,,fee schedule,,6048.013881,,,,fee schedule,,5760.01322,,,,fee schedule,,
CARDIAC ARREST AND SHOCK,196,APR-DRG,,,,,inpatient,,,,,,12106.79223,17275.775,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16176.4075,,,,fee schedule,,15705.25,,,,fee schedule,,17275.775,,,,fee schedule,,17275.775,,,,fee schedule,,12712.13184,,,,fee schedule,,12106.79223,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,inpatient,,,,,,3810.122018,5122.051,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4796.1023,,,,fee schedule,,4656.41,,,,fee schedule,,5122.051,,,,fee schedule,,5122.051,,,,fee schedule,,4000.628119,,,,fee schedule,,3810.122018,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,inpatient,,,,,,4432.293328,6476.151,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6064.0323,,,,fee schedule,,5887.41,,,,fee schedule,,6476.151,,,,fee schedule,,6476.151,,,,fee schedule,,4653.907994,,,,fee schedule,,4432.293328,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,inpatient,,,,,,5640.632126,9285.342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8694.4566,,,,fee schedule,,8441.22,,,,fee schedule,,9285.342,,,,fee schedule,,9285.342,,,,fee schedule,,5922.663732,,,,fee schedule,,5640.632126,,,,fee schedule,,
PERIPHERAL AND OTHER VASCULAR DISORDERS,197,APR-DRG,,,,,inpatient,,,,,,11720.22488,17566.164,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16448.3172,,,,fee schedule,,15969.24,,,,fee schedule,,17566.164,,,,fee schedule,,17566.164,,,,fee schedule,,12306.23612,,,,fee schedule,,11720.22488,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,inpatient,,,,,,3062.8848,4871.119,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4561.1387,,,,fee schedule,,4428.29,,,,fee schedule,,4871.119,,,,fee schedule,,4871.119,,,,fee schedule,,3216.02904,,,,fee schedule,,3062.8848,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,inpatient,,,,,,3649.052288,5592.356,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5236.4788,,,,fee schedule,,5083.96,,,,fee schedule,,5592.356,,,,fee schedule,,5592.356,,,,fee schedule,,3831.504902,,,,fee schedule,,3649.052288,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,inpatient,,,,,,5097.416566,7452.269,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6978.0337,,,,fee schedule,,6774.79,,,,fee schedule,,7452.269,,,,fee schedule,,7452.269,,,,fee schedule,,5352.287394,,,,fee schedule,,5097.416566,,,,fee schedule,,
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198,APR-DRG,,,,,inpatient,,,,,,9712.222242,14946.349,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13995.2177,,,,fee schedule,,13587.59,,,,fee schedule,,14946.349,,,,fee schedule,,14946.349,,,,fee schedule,,10197.83335,,,,fee schedule,,9712.222242,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,inpatient,,,,,,3264.379874,4937.405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4623.2065,,,,fee schedule,,4488.55,,,,fee schedule,,4937.405,,,,fee schedule,,4937.405,,,,fee schedule,,3427.598868,,,,fee schedule,,3264.379874,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,inpatient,,,,,,4070.991816,5804.623,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5435.2379,,,,fee schedule,,5276.93,,,,fee schedule,,5804.623,,,,fee schedule,,5804.623,,,,fee schedule,,4274.541407,,,,fee schedule,,4070.991816,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,inpatient,,,,,,5516.82951,8213.744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7691.0512,,,,fee schedule,,7467.04,,,,fee schedule,,8213.744,,,,fee schedule,,8213.744,,,,fee schedule,,5792.670986,,,,fee schedule,,5516.82951,,,,fee schedule,,
HYPERTENSION,199,APR-DRG,,,,,inpatient,,,,,,8819.706444,14961.342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14009.2566,,,,fee schedule,,13601.22,,,,fee schedule,,14961.342,,,,fee schedule,,14961.342,,,,fee schedule,,9260.691766,,,,fee schedule,,8819.706444,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,inpatient,,,,,,3214.47984,5492.135,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5142.6355,,,,fee schedule,,4992.85,,,,fee schedule,,5492.135,,,,fee schedule,,5492.135,,,,fee schedule,,3375.203832,,,,fee schedule,,3214.47984,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,inpatient,,,,,,5387.34208,7148.46,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6693.558,,,,fee schedule,,6498.6,,,,fee schedule,,7148.46,,,,fee schedule,,7148.46,,,,fee schedule,,5656.709184,,,,fee schedule,,5387.34208,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,inpatient,,,,,,9446.25,10459.80853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9729.6375,,,,fee schedule,,9446.25,,,,fee schedule,,10390.875,,,,fee schedule,,10390.875,,,,fee schedule,,10459.80853,,,,fee schedule,,9961.722412,,,,fee schedule,,
CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200,APR-DRG,,,,,inpatient,,,,,,16985.03,43600.66346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17494.5809,,,,fee schedule,,16985.03,,,,fee schedule,,18683.533,,,,fee schedule,,18683.533,,,,fee schedule,,43600.66346,,,,fee schedule,,41524.44139,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,inpatient,,,,,,3308.595094,4040.982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3783.8286,,,,fee schedule,,3673.62,,,,fee schedule,,4040.982,,,,fee schedule,,4040.982,,,,fee schedule,,3474.024849,,,,fee schedule,,3308.595094,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,inpatient,,,,,,3904.237272,5200.173,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4869.2529,,,,fee schedule,,4727.43,,,,fee schedule,,5200.173,,,,fee schedule,,5200.173,,,,fee schedule,,4099.449136,,,,fee schedule,,3904.237272,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,inpatient,,,,,,5655.159984,8038.569,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7527.0237,,,,fee schedule,,7307.79,,,,fee schedule,,8038.569,,,,fee schedule,,8038.569,,,,fee schedule,,5937.917983,,,,fee schedule,,5655.159984,,,,fee schedule,,
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201,APR-DRG,,,,,inpatient,,,,,,10355.86952,15579.993,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14588.5389,,,,fee schedule,,14163.63,,,,fee schedule,,15579.993,,,,fee schedule,,15579.993,,,,fee schedule,,10873.66299,,,,fee schedule,,10355.86952,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,inpatient,,,,,,3000.983492,5177.293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4847.8289,,,,fee schedule,,4706.63,,,,fee schedule,,5177.293,,,,fee schedule,,5177.293,,,,fee schedule,,3151.032667,,,,fee schedule,,3000.983492,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,inpatient,,,,,,3695.162446,5773.064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5405.6872,,,,fee schedule,,5248.24,,,,fee schedule,,5773.064,,,,fee schedule,,5773.064,,,,fee schedule,,3879.920568,,,,fee schedule,,3695.162446,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,inpatient,,,,,,5247.748314,7184.76,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6727.548,,,,fee schedule,,6531.6,,,,fee schedule,,7184.76,,,,fee schedule,,7184.76,,,,fee schedule,,5510.13573,,,,fee schedule,,5247.748314,,,,fee schedule,,
CHEST PAIN,203,APR-DRG,,,,,inpatient,,,,,,6068.256468,12386.506,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11598.2738,,,,fee schedule,,11260.46,,,,fee schedule,,12386.506,,,,fee schedule,,12386.506,,,,fee schedule,,6371.669291,,,,fee schedule,,6068.256468,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,inpatient,,,,,,3412.816684,5747.808,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5382.0384,,,,fee schedule,,5225.28,,,,fee schedule,,5747.808,,,,fee schedule,,5747.808,,,,fee schedule,,3583.457518,,,,fee schedule,,3412.816684,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,inpatient,,,,,,4281.96158,6332.535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5929.5555,,,,fee schedule,,5756.85,,,,fee schedule,,6332.535,,,,fee schedule,,6332.535,,,,fee schedule,,4496.059659,,,,fee schedule,,4281.96158,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,inpatient,,,,,,5795.385396,7982.535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7474.5555,,,,fee schedule,,7256.85,,,,fee schedule,,7982.535,,,,fee schedule,,7982.535,,,,fee schedule,,6085.154666,,,,fee schedule,,5795.385396,,,,fee schedule,,
SYNCOPE AND COLLAPSE,204,APR-DRG,,,,,inpatient,,,,,,7142.686314,14473.679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13552.6267,,,,fee schedule,,13157.89,,,,fee schedule,,14473.679,,,,fee schedule,,14473.679,,,,fee schedule,,7499.82063,,,,fee schedule,,7142.686314,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,inpatient,,,,,,2959.294856,5383.246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5040.6758,,,,fee schedule,,4893.86,,,,fee schedule,,5383.246,,,,fee schedule,,5383.246,,,,fee schedule,,3107.259599,,,,fee schedule,,2959.294856,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,inpatient,,,,,,5173.63,8778.524792,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5328.8389,,,,fee schedule,,5173.63,,,,fee schedule,,5690.993,,,,fee schedule,,5690.993,,,,fee schedule,,8778.524792,,,,fee schedule,,8360.499802,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,inpatient,,,,,,8360.499802,9459.736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8857.7528,,,,fee schedule,,8599.76,,,,fee schedule,,9459.736,,,,fee schedule,,9459.736,,,,fee schedule,,8778.524792,,,,fee schedule,,8360.499802,,,,fee schedule,,
CARDIOMYOPATHY,205,APR-DRG,,,,,inpatient,,,,,,8360.499802,20441.641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19140.8093,,,,fee schedule,,18583.31,,,,fee schedule,,20441.641,,,,fee schedule,,20441.641,,,,fee schedule,,8778.524792,,,,fee schedule,,8360.499802,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,inpatient,,,,,,5269.224278,6790.993,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6358.8389,,,,fee schedule,,6173.63,,,,fee schedule,,6790.993,,,,fee schedule,,6790.993,,,,fee schedule,,5532.685492,,,,fee schedule,,5269.224278,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,inpatient,,,,,,5269.224278,7149.252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6694.2996,,,,fee schedule,,6499.32,,,,fee schedule,,7149.252,,,,fee schedule,,7149.252,,,,fee schedule,,5532.685492,,,,fee schedule,,5269.224278,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,inpatient,,,,,,7381.448502,10365.619,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9705.9887,,,,fee schedule,,9423.29,,,,fee schedule,,10365.619,,,,fee schedule,,10365.619,,,,fee schedule,,7750.520927,,,,fee schedule,,7381.448502,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206,APR-DRG,,,,,inpatient,,,,,,14104.05688,19894.798,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18628.7654,,,,fee schedule,,18086.18,,,,fee schedule,,19894.798,,,,fee schedule,,19894.798,,,,fee schedule,,14809.25972,,,,fee schedule,,14104.05688,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,inpatient,,,,,,3570.096538,5017.1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4697.83,,,,fee schedule,,4561,,,,fee schedule,,5017.1,,,,fee schedule,,5017.1,,,,fee schedule,,3748.601365,,,,fee schedule,,3570.096538,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,inpatient,,,,,,4569.36051,6435.11,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6025.603,,,,fee schedule,,5850.1,,,,fee schedule,,6435.11,,,,fee schedule,,6435.11,,,,fee schedule,,4797.828536,,,,fee schedule,,4569.36051,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,inpatient,,,,,,6562.20364,9385.563,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8788.2999,,,,fee schedule,,8532.33,,,,fee schedule,,9385.563,,,,fee schedule,,9385.563,,,,fee schedule,,6890.313822,,,,fee schedule,,6562.20364,,,,fee schedule,,
OTHER CIRCULATORY SYSTEM DIAGNOSES,207,APR-DRG,,,,,inpatient,,,,,,15870.24,17457.264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16346.3472,,,,fee schedule,,15870.24,,,,fee schedule,,17457.264,,,,fee schedule,,17457.264,,,,fee schedule,,17364.67836,,,,fee schedule,,16537.78892,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,inpatient,,,,,,8837.392532,13175.613,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12337.1649,,,,fee schedule,,11977.83,,,,fee schedule,,13175.613,,,,fee schedule,,13175.613,,,,fee schedule,,9279.262159,,,,fee schedule,,8837.392532,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,inpatient,,,,,,11387.34743,18484.675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17308.3775,,,,fee schedule,,16804.25,,,,fee schedule,,18484.675,,,,fee schedule,,18484.675,,,,fee schedule,,11956.71481,,,,fee schedule,,11387.34743,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,inpatient,,,,,,18596.95488,28406.829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26599.1217,,,,fee schedule,,25824.39,,,,fee schedule,,28406.829,,,,fee schedule,,28406.829,,,,fee schedule,,19526.80262,,,,fee schedule,,18596.95488,,,,fee schedule,,
"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220,APR-DRG,,,,,inpatient,,,,,,36672.13681,53751.148,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50330.6204,,,,fee schedule,,48864.68,,,,fee schedule,,53751.148,,,,fee schedule,,53751.148,,,,fee schedule,,38505.74365,,,,fee schedule,,36672.13681,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,inpatient,,,,,,5578.730818,7174.497,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6717.9381,,,,fee schedule,,6522.27,,,,fee schedule,,7174.497,,,,fee schedule,,7174.497,,,,fee schedule,,5857.667359,,,,fee schedule,,5578.730818,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,inpatient,,,,,,8635.265812,12582.999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11782.2627,,,,fee schedule,,11439.09,,,,fee schedule,,12582.999,,,,fee schedule,,12582.999,,,,fee schedule,,9067.029103,,,,fee schedule,,8635.265812,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,inpatient,,,,,,11598.94884,19054.409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17841.8557,,,,fee schedule,,17322.19,,,,fee schedule,,19054.409,,,,fee schedule,,19054.409,,,,fee schedule,,12178.89629,,,,fee schedule,,11598.94884,,,,fee schedule,,
"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222,APR-DRG,,,,,inpatient,,,,,,22957.83886,36877.027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34530.3071,,,,fee schedule,,33524.57,,,,fee schedule,,36877.027,,,,fee schedule,,36877.027,,,,fee schedule,,24105.73081,,,,fee schedule,,22957.83886,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,inpatient,,,,,,6384.079468,10060.237,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9420.0401,,,,fee schedule,,9145.67,,,,fee schedule,,10060.237,,,,fee schedule,,10060.237,,,,fee schedule,,6703.283441,,,,fee schedule,,6384.079468,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,inpatient,,,,,,9529.676548,12835.504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12018.6992,,,,fee schedule,,11668.64,,,,fee schedule,,12835.504,,,,fee schedule,,12835.504,,,,fee schedule,,10006.16038,,,,fee schedule,,9529.676548,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,inpatient,,,,,,14104.68853,18159.57,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17003.961,,,,fee schedule,,16508.7,,,,fee schedule,,18159.57,,,,fee schedule,,18159.57,,,,fee schedule,,14809.92295,,,,fee schedule,,14104.68853,,,,fee schedule,,
OTHER SMALL AND LARGE BOWEL PROCEDURES,223,APR-DRG,,,,,inpatient,,,,,,24701.81347,36576.386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34248.7978,,,,fee schedule,,33251.26,,,,fee schedule,,36576.386,,,,fee schedule,,36576.386,,,,fee schedule,,25936.90414,,,,fee schedule,,24701.81347,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,inpatient,,,,,,7541.886586,11954.866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11194.1018,,,,fee schedule,,10868.06,,,,fee schedule,,11954.866,,,,fee schedule,,11954.866,,,,fee schedule,,7918.980915,,,,fee schedule,,7541.886586,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,inpatient,,,,,,9226.486468,13931.566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13045.0118,,,,fee schedule,,12665.06,,,,fee schedule,,13931.566,,,,fee schedule,,13931.566,,,,fee schedule,,9687.810791,,,,fee schedule,,9226.486468,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,inpatient,,,,,,14124.26955,20240.429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18952.4017,,,,fee schedule,,18400.39,,,,fee schedule,,20240.429,,,,fee schedule,,20240.429,,,,fee schedule,,14830.48303,,,,fee schedule,,14124.26955,,,,fee schedule,,
PERITONEAL ADHESIOLYSIS,224,APR-DRG,,,,,inpatient,,,,,,26664.96924,35380.103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33128.6419,,,,fee schedule,,32163.73,,,,fee schedule,,35380.103,,,,fee schedule,,35380.103,,,,fee schedule,,27998.2177,,,,fee schedule,,26664.96924,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,inpatient,,,,,,5344.390152,7346.526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6879.0198,,,,fee schedule,,6678.66,,,,fee schedule,,7346.526,,,,fee schedule,,7346.526,,,,fee schedule,,5611.60966,,,,fee schedule,,5344.390152,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,inpatient,,,,,,6152.897032,9264.035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8674.5055,,,,fee schedule,,8421.85,,,,fee schedule,,9264.035,,,,fee schedule,,9264.035,,,,fee schedule,,6460.541884,,,,fee schedule,,6152.897032,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,inpatient,,,,,,11669.6932,14172.246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13270.3758,,,,fee schedule,,12883.86,,,,fee schedule,,14172.246,,,,fee schedule,,14172.246,,,,fee schedule,,12253.17786,,,,fee schedule,,11669.6932,,,,fee schedule,,
ANAL AND PERINEAL PROCEDURES,226,APR-DRG,,,,,inpatient,,,,,,11669.6932,26943.048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25228.4904,,,,fee schedule,,24493.68,,,,fee schedule,,26943.048,,,,fee schedule,,26943.048,,,,fee schedule,,12253.17786,,,,fee schedule,,11669.6932,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,inpatient,,,,,,7130.053394,10279.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9625.453,,,,fee schedule,,9345.1,,,,fee schedule,,10279.61,,,,fee schedule,,10279.61,,,,fee schedule,,7486.556064,,,,fee schedule,,7130.053394,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,inpatient,,,,,,8827.917842,12553.794,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11754.9162,,,,fee schedule,,11412.54,,,,fee schedule,,12553.794,,,,fee schedule,,12553.794,,,,fee schedule,,9269.313734,,,,fee schedule,,8827.917842,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,inpatient,,,,,,12067.63018,18397.082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17226.3586,,,,fee schedule,,16724.62,,,,fee schedule,,18397.082,,,,fee schedule,,18397.082,,,,fee schedule,,12671.01168,,,,fee schedule,,12067.63018,,,,fee schedule,,
"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227,APR-DRG,,,,,inpatient,,,,,,24070.79911,35933.26,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33646.598,,,,fee schedule,,32666.6,,,,fee schedule,,35933.26,,,,fee schedule,,35933.26,,,,fee schedule,,25274.33907,,,,fee schedule,,24070.79911,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,inpatient,,,,,,4962.244322,8633.548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8084.1404,,,,fee schedule,,7848.68,,,,fee schedule,,8633.548,,,,fee schedule,,8633.548,,,,fee schedule,,5210.356538,,,,fee schedule,,4962.244322,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,inpatient,,,,,,6559.677056,10745.966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10062.1318,,,,fee schedule,,9769.06,,,,fee schedule,,10745.966,,,,fee schedule,,10745.966,,,,fee schedule,,6887.660909,,,,fee schedule,,6559.677056,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,inpatient,,,,,,9755.17417,14980.284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14026.9932,,,,fee schedule,,13618.44,,,,fee schedule,,14980.284,,,,fee schedule,,14980.284,,,,fee schedule,,10242.93288,,,,fee schedule,,9755.17417,,,,fee schedule,,
"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228,APR-DRG,,,,,inpatient,,,,,,19059.9514,28767.442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26936.7866,,,,fee schedule,,26152.22,,,,fee schedule,,28767.442,,,,fee schedule,,28767.442,,,,fee schedule,,20012.94897,,,,fee schedule,,19059.9514,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,inpatient,,,,,,6299.438904,10353.783,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9694.9059,,,,fee schedule,,9412.53,,,,fee schedule,,10353.783,,,,fee schedule,,10353.783,,,,fee schedule,,6614.410849,,,,fee schedule,,6299.438904,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,inpatient,,,,,,8522.832824,14365.571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13451.3983,,,,fee schedule,,13059.61,,,,fee schedule,,14365.571,,,,fee schedule,,14365.571,,,,fee schedule,,8948.974465,,,,fee schedule,,8522.832824,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,inpatient,,,,,,13412.40451,21521.137,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20151.6101,,,,fee schedule,,19564.67,,,,fee schedule,,21521.137,,,,fee schedule,,21521.137,,,,fee schedule,,14083.02474,,,,fee schedule,,13412.40451,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229,APR-DRG,,,,,inpatient,,,,,,30063.22472,37467.276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35082.9948,,,,fee schedule,,34061.16,,,,fee schedule,,37467.276,,,,fee schedule,,37467.276,,,,fee schedule,,31566.38595,,,,fee schedule,,30063.22472,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,inpatient,,,,,,8175.427524,11711.832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10966.5336,,,,fee schedule,,10647.12,,,,fee schedule,,11711.832,,,,fee schedule,,11711.832,,,,fee schedule,,8584.1989,,,,fee schedule,,8175.427524,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,inpatient,,,,,,10976.77753,16287.029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15250.5817,,,,fee schedule,,14806.39,,,,fee schedule,,16287.029,,,,fee schedule,,16287.029,,,,fee schedule,,11525.61641,,,,fee schedule,,10976.77753,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,inpatient,,,,,,17151.74883,24054.151,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22523.4323,,,,fee schedule,,21867.41,,,,fee schedule,,24054.151,,,,fee schedule,,24054.151,,,,fee schedule,,18009.33627,,,,fee schedule,,17151.74883,,,,fee schedule,,
MAJOR SMALL BOWEL PROCEDURES,230,APR-DRG,,,,,inpatient,,,,,,33336.41429,44311.938,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41492.0874,,,,fee schedule,,40283.58,,,,fee schedule,,44311.938,,,,fee schedule,,44311.938,,,,fee schedule,,35003.235,,,,fee schedule,,33336.41429,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,inpatient,,,,,,9117.21171,12679.26,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11872.398,,,,fee schedule,,11526.6,,,,fee schedule,,12679.26,,,,fee schedule,,12679.26,,,,fee schedule,,9573.072296,,,,fee schedule,,9117.21171,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,inpatient,,,,,,11055.73328,16047.933,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15026.7009,,,,fee schedule,,14589.03,,,,fee schedule,,16047.933,,,,fee schedule,,16047.933,,,,fee schedule,,11608.51995,,,,fee schedule,,11055.73328,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,inpatient,,,,,,14463.46345,23316.337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21832.5701,,,,fee schedule,,21196.67,,,,fee schedule,,23316.337,,,,fee schedule,,23316.337,,,,fee schedule,,15186.63663,,,,fee schedule,,14463.46345,,,,fee schedule,,
MAJOR LARGE BOWEL PROCEDURES,231,APR-DRG,,,,,inpatient,,,,,,23688.02164,38218.499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35786.4127,,,,fee schedule,,34744.09,,,,fee schedule,,38218.499,,,,fee schedule,,38218.499,,,,fee schedule,,24872.42272,,,,fee schedule,,23688.02164,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,inpatient,,,,,,7666.952494,9886.635,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9257.4855,,,,fee schedule,,8987.85,,,,fee schedule,,9886.635,,,,fee schedule,,9886.635,,,,fee schedule,,8050.300119,,,,fee schedule,,7666.952494,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,inpatient,,,,,,10278.17706,12148.994,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11375.8762,,,,fee schedule,,11044.54,,,,fee schedule,,12148.994,,,,fee schedule,,12148.994,,,,fee schedule,,10792.08591,,,,fee schedule,,10278.17706,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,inpatient,,,,,,16622.04,19032.69754,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17120.7012,,,,fee schedule,,16622.04,,,,fee schedule,,18284.244,,,,fee schedule,,18284.244,,,,fee schedule,,19032.69754,,,,fee schedule,,18126.37861,,,,fee schedule,,
GASTRIC FUNDOPLICATION,232,APR-DRG,,,,,inpatient,,,,,,18126.37861,54354.817,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50895.8741,,,,fee schedule,,49413.47,,,,fee schedule,,54354.817,,,,fee schedule,,54354.817,,,,fee schedule,,19032.69754,,,,fee schedule,,18126.37861,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,inpatient,,,,,,7924.664062,9173.296,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8589.5408,,,,fee schedule,,8339.36,,,,fee schedule,,9173.296,,,,fee schedule,,9173.296,,,,fee schedule,,8320.897265,,,,fee schedule,,7924.664062,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,inpatient,,,,,,9316.1802,11690.525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10946.5825,,,,fee schedule,,10627.75,,,,fee schedule,,11690.525,,,,fee schedule,,11690.525,,,,fee schedule,,9781.98921,,,,fee schedule,,9316.1802,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,inpatient,,,,,,14212.69999,16372.257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15330.3861,,,,fee schedule,,14883.87,,,,fee schedule,,16372.257,,,,fee schedule,,16372.257,,,,fee schedule,,14923.33499,,,,fee schedule,,14212.69999,,,,fee schedule,,
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233,APR-DRG,,,,,inpatient,,,,,,14212.69999,25671.019,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24037.4087,,,,fee schedule,,23337.29,,,,fee schedule,,25671.019,,,,fee schedule,,25671.019,,,,fee schedule,,14923.33499,,,,fee schedule,,14212.69999,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,inpatient,,,,,,4858.654378,8410.237,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7875.0401,,,,fee schedule,,7645.67,,,,fee schedule,,8410.237,,,,fee schedule,,8410.237,,,,fee schedule,,5101.587097,,,,fee schedule,,4858.654378,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,inpatient,,,,,,6331.021204,10186.495,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9538.2635,,,,fee schedule,,9260.45,,,,fee schedule,,10186.495,,,,fee schedule,,10186.495,,,,fee schedule,,6647.572264,,,,fee schedule,,6331.021204,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,inpatient,,,,,,11238.27898,15321.966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14346.9318,,,,fee schedule,,13929.06,,,,fee schedule,,15321.966,,,,fee schedule,,15321.966,,,,fee schedule,,11800.19293,,,,fee schedule,,11238.27898,,,,fee schedule,,
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234,APR-DRG,,,,,inpatient,,,,,,11238.27898,27094.551,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25370.3523,,,,fee schedule,,24631.41,,,,fee schedule,,27094.551,,,,fee schedule,,27094.551,,,,fee schedule,,11800.19293,,,,fee schedule,,11238.27898,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,inpatient,,,,,,4878.86705,7320.489,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6854.6397,,,,fee schedule,,6654.99,,,,fee schedule,,7320.489,,,,fee schedule,,7320.489,,,,fee schedule,,5122.810403,,,,fee schedule,,4878.86705,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,inpatient,,,,,,5937.505746,8355.787,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7824.0551,,,,fee schedule,,7596.17,,,,fee schedule,,8355.787,,,,fee schedule,,8355.787,,,,fee schedule,,6234.381033,,,,fee schedule,,5937.505746,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,inpatient,,,,,,7994.776768,11838.871,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11085.4883,,,,fee schedule,,10762.61,,,,fee schedule,,11838.871,,,,fee schedule,,11838.871,,,,fee schedule,,8394.515606,,,,fee schedule,,7994.776768,,,,fee schedule,,
DIGESTIVE MALIGNANCY,240,APR-DRG,,,,,inpatient,,,,,,13834.97568,20294.087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19002.6451,,,,fee schedule,,18449.17,,,,fee schedule,,20294.087,,,,fee schedule,,20294.087,,,,fee schedule,,14526.72447,,,,fee schedule,,13834.97568,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,inpatient,,,,,,4055.832312,5687.836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5325.8828,,,,fee schedule,,5170.76,,,,fee schedule,,5687.836,,,,fee schedule,,5687.836,,,,fee schedule,,4258.623928,,,,fee schedule,,4055.832312,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,inpatient,,,,,,4815.70245,6770.478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6339.6294,,,,fee schedule,,6154.98,,,,fee schedule,,6770.478,,,,fee schedule,,6770.478,,,,fee schedule,,5056.487573,,,,fee schedule,,4815.70245,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,inpatient,,,,,,6661.372062,10240.153,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9588.5069,,,,fee schedule,,9309.23,,,,fee schedule,,10240.153,,,,fee schedule,,10240.153,,,,fee schedule,,6994.440665,,,,fee schedule,,6661.372062,,,,fee schedule,,
PEPTIC ULCER AND GASTRITIS,241,APR-DRG,,,,,inpatient,,,,,,12727.0686,20869.343,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19541.2939,,,,fee schedule,,18972.13,,,,fee schedule,,20869.343,,,,fee schedule,,20869.343,,,,fee schedule,,13363.42203,,,,fee schedule,,12727.0686,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,inpatient,,,,,,3700.215614,5110.215,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4785.0195,,,,fee schedule,,4645.65,,,,fee schedule,,5110.215,,,,fee schedule,,5110.215,,,,fee schedule,,3885.226395,,,,fee schedule,,3700.215614,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,inpatient,,,,,,4575.67697,6577.945,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6159.3485,,,,fee schedule,,5979.95,,,,fee schedule,,6577.945,,,,fee schedule,,6577.945,,,,fee schedule,,4804.460819,,,,fee schedule,,4575.67697,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,inpatient,,,,,,6345.549062,9600.195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8989.2735,,,,fee schedule,,8727.45,,,,fee schedule,,9600.195,,,,fee schedule,,9600.195,,,,fee schedule,,6662.826515,,,,fee schedule,,6345.549062,,,,fee schedule,,
MAJOR ESOPHAGEAL DISORDERS,242,APR-DRG,,,,,inpatient,,,,,,17414.51357,20842.514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19516.1722,,,,fee schedule,,18947.74,,,,fee schedule,,20842.514,,,,fee schedule,,20842.514,,,,fee schedule,,18285.23924,,,,fee schedule,,17414.51357,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,inpatient,,,,,,4566.833926,5555.264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5201.7472,,,,fee schedule,,5050.24,,,,fee schedule,,5555.264,,,,fee schedule,,5555.264,,,,fee schedule,,4795.175622,,,,fee schedule,,4566.833926,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,inpatient,,,,,,5254.064774,6611.869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6191.1137,,,,fee schedule,,6010.79,,,,fee schedule,,6611.869,,,,fee schedule,,6611.869,,,,fee schedule,,5516.768013,,,,fee schedule,,5254.064774,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,inpatient,,,,,,7670.74237,9654.645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9040.2585,,,,fee schedule,,8776.95,,,,fee schedule,,9654.645,,,,fee schedule,,9654.645,,,,fee schedule,,8054.279489,,,,fee schedule,,7670.74237,,,,fee schedule,,
OTHER ESOPHAGEAL DISORDERS,243,APR-DRG,,,,,inpatient,,,,,,11943.82756,18217.177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17057.9021,,,,fee schedule,,16561.07,,,,fee schedule,,18217.177,,,,fee schedule,,18217.177,,,,fee schedule,,12541.01894,,,,fee schedule,,11943.82756,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,inpatient,,,,,,3569.464892,4551.536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4261.8928,,,,fee schedule,,4137.76,,,,fee schedule,,4551.536,,,,fee schedule,,4551.536,,,,fee schedule,,3747.938137,,,,fee schedule,,3569.464892,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,inpatient,,,,,,4223.850148,6138.407,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5747.7811,,,,fee schedule,,5580.37,,,,fee schedule,,6138.407,,,,fee schedule,,6138.407,,,,fee schedule,,4435.042655,,,,fee schedule,,4223.850148,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,inpatient,,,,,,6090.364078,9665.689,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9050.5997,,,,fee schedule,,8786.99,,,,fee schedule,,9665.689,,,,fee schedule,,9665.689,,,,fee schedule,,6394.882282,,,,fee schedule,,6090.364078,,,,fee schedule,,
DIVERTICULITIS AND DIVERTICULOSIS,244,APR-DRG,,,,,inpatient,,,,,,9663.5855,18101.171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16949.2783,,,,fee schedule,,16455.61,,,,fee schedule,,18101.171,,,,fee schedule,,18101.171,,,,fee schedule,,10146.76478,,,,fee schedule,,9663.5855,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,inpatient,,,,,,4108.890576,5105.485,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4780.5905,,,,fee schedule,,4641.35,,,,fee schedule,,5105.485,,,,fee schedule,,5105.485,,,,fee schedule,,4314.335105,,,,fee schedule,,4108.890576,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,inpatient,,,,,,5306.491392,6751.547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6321.9031,,,,fee schedule,,6137.77,,,,fee schedule,,6751.547,,,,fee schedule,,6751.547,,,,fee schedule,,5571.815962,,,,fee schedule,,5306.491392,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,inpatient,,,,,,7625.263858,10383.769,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9722.9837,,,,fee schedule,,9439.79,,,,fee schedule,,10383.769,,,,fee schedule,,10383.769,,,,fee schedule,,8006.527051,,,,fee schedule,,7625.263858,,,,fee schedule,,
INFLAMMATORY BOWEL DISEASE,245,APR-DRG,,,,,inpatient,,,,,,12284.9164,18192.713,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17034.9949,,,,fee schedule,,16538.83,,,,fee schedule,,18192.713,,,,fee schedule,,18192.713,,,,fee schedule,,12899.16222,,,,fee schedule,,12284.9164,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,inpatient,,,,,,4028.039888,5267.24,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4932.052,,,,fee schedule,,4788.4,,,,fee schedule,,5267.24,,,,fee schedule,,5267.24,,,,fee schedule,,4229.441882,,,,fee schedule,,4028.039888,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,inpatient,,,,,,5071.51908,6653.691,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6230.2743,,,,fee schedule,,6048.81,,,,fee schedule,,6653.691,,,,fee schedule,,6653.691,,,,fee schedule,,5325.095034,,,,fee schedule,,5071.51908,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,inpatient,,,,,,8982.11,13933.13514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9251.5733,,,,fee schedule,,8982.11,,,,fee schedule,,9880.321,,,,fee schedule,,9880.321,,,,fee schedule,,13933.13514,,,,fee schedule,,13269.65251,,,,fee schedule,,
GASTROINTESTINAL VASCULAR INSUFFICIENCY,246,APR-DRG,,,,,inpatient,,,,,,13269.65251,16307.544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15269.7912,,,,fee schedule,,14825.04,,,,fee schedule,,16307.544,,,,fee schedule,,16307.544,,,,fee schedule,,13933.13514,,,,fee schedule,,13269.65251,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,inpatient,,,,,,3499.352186,4161.718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3896.8814,,,,fee schedule,,3783.38,,,,fee schedule,,4161.718,,,,fee schedule,,4161.718,,,,fee schedule,,3674.319795,,,,fee schedule,,3499.352186,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,inpatient,,,,,,4722.218842,5470.828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5122.6844,,,,fee schedule,,4973.48,,,,fee schedule,,5470.828,,,,fee schedule,,5470.828,,,,fee schedule,,4958.329784,,,,fee schedule,,4722.218842,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,inpatient,,,,,,6909.60894,8765.328,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8207.5344,,,,fee schedule,,7968.48,,,,fee schedule,,8765.328,,,,fee schedule,,8765.328,,,,fee schedule,,7255.089387,,,,fee schedule,,6909.60894,,,,fee schedule,,
INTESTINAL OBSTRUCTION,247,APR-DRG,,,,,inpatient,,,,,,13537.47042,17316.024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16214.0952,,,,fee schedule,,15741.84,,,,fee schedule,,17316.024,,,,fee schedule,,17316.024,,,,fee schedule,,14214.34394,,,,fee schedule,,13537.47042,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,inpatient,,,,,,4127.839956,4693.568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4394.8864,,,,fee schedule,,4266.88,,,,fee schedule,,4693.568,,,,fee schedule,,4693.568,,,,fee schedule,,4334.231954,,,,fee schedule,,4127.839956,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,inpatient,,,,,,5101.206442,6318.323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5916.2479,,,,fee schedule,,5743.93,,,,fee schedule,,6318.323,,,,fee schedule,,6318.323,,,,fee schedule,,5356.266764,,,,fee schedule,,5101.206442,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,inpatient,,,,,,7517.884038,9701.197,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9083.8481,,,,fee schedule,,8819.27,,,,fee schedule,,9701.197,,,,fee schedule,,9701.197,,,,fee schedule,,7893.77824,,,,fee schedule,,7517.884038,,,,fee schedule,,
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248,APR-DRG,,,,,inpatient,,,,,,17047.44,25113.17459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17558.8632,,,,fee schedule,,17047.44,,,,fee schedule,,18752.184,,,,fee schedule,,18752.184,,,,fee schedule,,25113.17459,,,,fee schedule,,23917.30914,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,inpatient,,,,,,3841.704318,4413.442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4132.5866,,,,fee schedule,,4012.22,,,,fee schedule,,4413.442,,,,fee schedule,,4413.442,,,,fee schedule,,4033.789534,,,,fee schedule,,3841.704318,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,inpatient,,,,,,4526.408582,5336.683,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4997.0759,,,,fee schedule,,4851.53,,,,fee schedule,,5336.683,,,,fee schedule,,5336.683,,,,fee schedule,,4752.729011,,,,fee schedule,,4526.408582,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,inpatient,,,,,,6573.573268,7965.177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7458.3021,,,,fee schedule,,7241.07,,,,fee schedule,,7965.177,,,,fee schedule,,7965.177,,,,fee schedule,,6902.251931,,,,fee schedule,,6573.573268,,,,fee schedule,,
"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249,APR-DRG,,,,,inpatient,,,,,,12307.65566,16382.509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15339.9857,,,,fee schedule,,14893.19,,,,fee schedule,,16382.509,,,,fee schedule,,16382.509,,,,fee schedule,,12923.03844,,,,fee schedule,,12307.65566,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,inpatient,,,,,,3683.792818,4914.514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4601.7722,,,,fee schedule,,4467.74,,,,fee schedule,,4914.514,,,,fee schedule,,4914.514,,,,fee schedule,,3867.982459,,,,fee schedule,,3683.792818,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,inpatient,,,,,,4469.560442,5984.539,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5603.7047,,,,fee schedule,,5440.49,,,,fee schedule,,5984.539,,,,fee schedule,,5984.539,,,,fee schedule,,4693.038464,,,,fee schedule,,4469.560442,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,inpatient,,,,,,6132.68436,8074.077,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7560.2721,,,,fee schedule,,7340.07,,,,fee schedule,,8074.077,,,,fee schedule,,8074.077,,,,fee schedule,,6439.318578,,,,fee schedule,,6132.68436,,,,fee schedule,,
ABDOMINAL PAIN,251,APR-DRG,,,,,inpatient,,,,,,6132.68436,13799.786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12921.6178,,,,fee schedule,,12545.26,,,,fee schedule,,13799.786,,,,fee schedule,,13799.786,,,,fee schedule,,6439.318578,,,,fee schedule,,6132.68436,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,inpatient,,,,,,4909.817704,5580.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5225.396,,,,fee schedule,,5073.2,,,,fee schedule,,5580.52,,,,fee schedule,,5580.52,,,,fee schedule,,5155.308589,,,,fee schedule,,4909.817704,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,inpatient,,,,,,5701.270142,6944.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6502.184,,,,fee schedule,,6312.8,,,,fee schedule,,6944.08,,,,fee schedule,,6944.08,,,,fee schedule,,5986.333649,,,,fee schedule,,5701.270142,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,inpatient,,,,,,8138.16041,10552.641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9881.1093,,,,fee schedule,,9593.31,,,,fee schedule,,10552.641,,,,fee schedule,,10552.641,,,,fee schedule,,8545.068431,,,,fee schedule,,8138.16041,,,,fee schedule,,
"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252,APR-DRG,,,,,inpatient,,,,,,13097.21316,21206.284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19856.7932,,,,fee schedule,,19278.44,,,,fee schedule,,21206.284,,,,fee schedule,,21206.284,,,,fee schedule,,13752.07381,,,,fee schedule,,13097.21316,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,inpatient,,,,,,3842.335964,5173.344,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4844.1312,,,,fee schedule,,4703.04,,,,fee schedule,,5173.344,,,,fee schedule,,5173.344,,,,fee schedule,,4034.452762,,,,fee schedule,,3842.335964,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,inpatient,,,,,,4562.412404,6571.631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6153.4363,,,,fee schedule,,5974.21,,,,fee schedule,,6571.631,,,,fee schedule,,6571.631,,,,fee schedule,,4790.533024,,,,fee schedule,,4562.412404,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,inpatient,,,,,,6635.474576,9840.875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9214.6375,,,,fee schedule,,8946.25,,,,fee schedule,,9840.875,,,,fee schedule,,9840.875,,,,fee schedule,,6967.248305,,,,fee schedule,,6635.474576,,,,fee schedule,,
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253,APR-DRG,,,,,inpatient,,,,,,12007.62381,18012.797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16866.5281,,,,fee schedule,,16375.27,,,,fee schedule,,18012.797,,,,fee schedule,,18012.797,,,,fee schedule,,12608.005,,,,fee schedule,,12007.62381,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,inpatient,,,,,,4355.864162,5047.878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4726.6494,,,,fee schedule,,4588.98,,,,fee schedule,,5047.878,,,,fee schedule,,5047.878,,,,fee schedule,,4573.65737,,,,fee schedule,,4355.864162,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,inpatient,,,,,,5215.534368,6451.687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6041.1251,,,,fee schedule,,5865.17,,,,fee schedule,,6451.687,,,,fee schedule,,6451.687,,,,fee schedule,,5476.311086,,,,fee schedule,,5215.534368,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,inpatient,,,,,,7816.02095,9670.43,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9055.039,,,,fee schedule,,8791.3,,,,fee schedule,,9670.43,,,,fee schedule,,9670.43,,,,fee schedule,,8206.821998,,,,fee schedule,,7816.02095,,,,fee schedule,,
OTHER DIGESTIVE SYSTEM DIAGNOSES,254,APR-DRG,,,,,inpatient,,,,,,16012.28,19959.8907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16492.6484,,,,fee schedule,,16012.28,,,,fee schedule,,17613.508,,,,fee schedule,,17613.508,,,,fee schedule,,19959.8907,,,,fee schedule,,19009.41972,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,inpatient,,,,,,10742.43687,16874.121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15800.3133,,,,fee schedule,,15340.11,,,,fee schedule,,16874.121,,,,fee schedule,,16874.121,,,,fee schedule,,11279.55871,,,,fee schedule,,10742.43687,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,inpatient,,,,,,13524.8375,20691.792,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19375.0416,,,,fee schedule,,18810.72,,,,fee schedule,,20691.792,,,,fee schedule,,20691.792,,,,fee schedule,,14201.07937,,,,fee schedule,,13524.8375,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,inpatient,,,,,,16940.77907,28635.662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26813.3926,,,,fee schedule,,26032.42,,,,fee schedule,,28635.662,,,,fee schedule,,28635.662,,,,fee schedule,,17787.81802,,,,fee schedule,,16940.77907,,,,fee schedule,,
"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260,APR-DRG,,,,,inpatient,,,,,,32867.10131,55558.976,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52023.4048,,,,fee schedule,,50508.16,,,,fee schedule,,55558.976,,,,fee schedule,,55558.976,,,,fee schedule,,34510.45638,,,,fee schedule,,32867.10131,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,inpatient,,,,,,8257.541504,13174.821,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12336.4233,,,,fee schedule,,11977.11,,,,fee schedule,,13174.821,,,,fee schedule,,13174.821,,,,fee schedule,,8670.418579,,,,fee schedule,,8257.541504,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,inpatient,,,,,,12391.03293,17942.562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16800.7626,,,,fee schedule,,16311.42,,,,fee schedule,,17942.562,,,,fee schedule,,17942.562,,,,fee schedule,,13010.58457,,,,fee schedule,,12391.03293,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,inpatient,,,,,,22649.33,24969.91728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23328.8099,,,,fee schedule,,22649.33,,,,fee schedule,,24914.263,,,,fee schedule,,24914.263,,,,fee schedule,,24969.91728,,,,fee schedule,,23780.8736,,,,fee schedule,,
MAJOR BILIARY TRACT PROCEDURES,261,APR-DRG,,,,,inpatient,,,,,,24356.93475,48158.792,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45094.1416,,,,fee schedule,,43780.72,,,,fee schedule,,48158.792,,,,fee schedule,,48158.792,,,,fee schedule,,25574.78149,,,,fee schedule,,24356.93475,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,inpatient,,,,,,5875.604438,10109.165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9465.8545,,,,fee schedule,,9190.15,,,,fee schedule,,10109.165,,,,fee schedule,,10109.165,,,,fee schedule,,6169.38466,,,,fee schedule,,5875.604438,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,inpatient,,,,,,7407.977634,12291.026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11508.8698,,,,fee schedule,,11173.66,,,,fee schedule,,12291.026,,,,fee schedule,,12291.026,,,,fee schedule,,7778.376516,,,,fee schedule,,7407.977634,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,inpatient,,,,,,9042.045836,15546.069,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14556.7737,,,,fee schedule,,14132.79,,,,fee schedule,,15546.069,,,,fee schedule,,15546.069,,,,fee schedule,,9494.148128,,,,fee schedule,,9042.045836,,,,fee schedule,,
CHOLECYSTECTOMY,263,APR-DRG,,,,,inpatient,,,,,,16580.74085,31817.313,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29792.5749,,,,fee schedule,,28924.83,,,,fee schedule,,31817.313,,,,fee schedule,,31817.313,,,,fee schedule,,17409.77789,,,,fee schedule,,16580.74085,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,inpatient,,,,,,9001.620492,12369.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11582.762,,,,fee schedule,,11245.4,,,,fee schedule,,12369.94,,,,fee schedule,,12369.94,,,,fee schedule,,9451.701517,,,,fee schedule,,9001.620492,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,inpatient,,,,,,9001.620492,13667.214,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12797.4822,,,,fee schedule,,12424.74,,,,fee schedule,,13667.214,,,,fee schedule,,13667.214,,,,fee schedule,,9451.701517,,,,fee schedule,,9001.620492,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,inpatient,,,,,,13028.99539,21009.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19672.073,,,,fee schedule,,19099.1,,,,fee schedule,,21009.01,,,,fee schedule,,21009.01,,,,fee schedule,,13680.44516,,,,fee schedule,,13028.99539,,,,fee schedule,,
"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264,APR-DRG,,,,,inpatient,,,,,,30307.67172,44701.745,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41857.0885,,,,fee schedule,,40637.95,,,,fee schedule,,44701.745,,,,fee schedule,,44701.745,,,,fee schedule,,31823.0553,,,,fee schedule,,30307.67172,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,inpatient,,,,,,3328.17612,4590.982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4298.8286,,,,fee schedule,,4173.62,,,,fee schedule,,4590.982,,,,fee schedule,,4590.982,,,,fee schedule,,3494.584926,,,,fee schedule,,3328.17612,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,inpatient,,,,,,4676.108684,5945.082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5566.7586,,,,fee schedule,,5404.62,,,,fee schedule,,5945.082,,,,fee schedule,,5945.082,,,,fee schedule,,4909.914118,,,,fee schedule,,4676.108684,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,inpatient,,,,,,7342.918096,9559.946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8951.5858,,,,fee schedule,,8690.86,,,,fee schedule,,9559.946,,,,fee schedule,,9559.946,,,,fee schedule,,7710.064001,,,,fee schedule,,7342.918096,,,,fee schedule,,
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279,APR-DRG,,,,,inpatient,,,,,,14192.48732,21248.106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19895.9538,,,,fee schedule,,19316.46,,,,fee schedule,,21248.106,,,,fee schedule,,21248.106,,,,fee schedule,,14902.11169,,,,fee schedule,,14192.48732,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,inpatient,,,,,,3509.458522,4779.577,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4475.4221,,,,fee schedule,,4345.07,,,,fee schedule,,4779.577,,,,fee schedule,,4779.577,,,,fee schedule,,3684.931448,,,,fee schedule,,3509.458522,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,inpatient,,,,,,4439.241434,6261.508,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5863.0484,,,,fee schedule,,5692.28,,,,fee schedule,,6261.508,,,,fee schedule,,6261.508,,,,fee schedule,,4661.203506,,,,fee schedule,,4439.241434,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,inpatient,,,,,,6461.771926,9937.928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9305.5144,,,,fee schedule,,9034.48,,,,fee schedule,,9937.928,,,,fee schedule,,9937.928,,,,fee schedule,,6784.860522,,,,fee schedule,,6461.771926,,,,fee schedule,,
ALCOHOLIC LIVER DISEASE,280,APR-DRG,,,,,inpatient,,,,,,14616.32179,21895.17,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20501.841,,,,fee schedule,,19904.7,,,,fee schedule,,21895.17,,,,fee schedule,,21895.17,,,,fee schedule,,15347.13788,,,,fee schedule,,14616.32179,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,inpatient,,,,,,4366.602144,6688.418,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6262.7914,,,,fee schedule,,6080.38,,,,fee schedule,,6688.418,,,,fee schedule,,6688.418,,,,fee schedule,,4584.932251,,,,fee schedule,,4366.602144,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,inpatient,,,,,,5363.339532,8428.376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7892.0248,,,,fee schedule,,7662.16,,,,fee schedule,,8428.376,,,,fee schedule,,8428.376,,,,fee schedule,,5631.506509,,,,fee schedule,,5363.339532,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,inpatient,,,,,,6885.606392,11196.548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10484.0404,,,,fee schedule,,10178.68,,,,fee schedule,,11196.548,,,,fee schedule,,11196.548,,,,fee schedule,,7229.886712,,,,fee schedule,,6885.606392,,,,fee schedule,,
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281,APR-DRG,,,,,inpatient,,,,,,9704.64249,17287.611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16187.4903,,,,fee schedule,,15716.01,,,,fee schedule,,17287.611,,,,fee schedule,,17287.611,,,,fee schedule,,10189.87461,,,,fee schedule,,9704.64249,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,inpatient,,,,,,3567.569954,4671.469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4374.1937,,,,fee schedule,,4246.79,,,,fee schedule,,4671.469,,,,fee schedule,,4671.469,,,,fee schedule,,3745.948452,,,,fee schedule,,3567.569954,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,inpatient,,,,,,4405.764196,6173.134,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5780.2982,,,,fee schedule,,5611.94,,,,fee schedule,,6173.134,,,,fee schedule,,6173.134,,,,fee schedule,,4626.052406,,,,fee schedule,,4405.764196,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,inpatient,,,,,,6611.472028,10134.421,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9489.5033,,,,fee schedule,,9213.11,,,,fee schedule,,10134.421,,,,fee schedule,,10134.421,,,,fee schedule,,6942.045629,,,,fee schedule,,6611.472028,,,,fee schedule,,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282,APR-DRG,,,,,inpatient,,,,,,15321.23872,23274.515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21793.4095,,,,fee schedule,,21158.65,,,,fee schedule,,23274.515,,,,fee schedule,,23274.515,,,,fee schedule,,16087.30066,,,,fee schedule,,15321.23872,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,inpatient,,,,,,3253.641892,4823.775,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4516.8075,,,,fee schedule,,4385.25,,,,fee schedule,,4823.775,,,,fee schedule,,4823.775,,,,fee schedule,,3416.323987,,,,fee schedule,,3253.641892,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,inpatient,,,,,,4079.203214,6124.206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5734.4838,,,,fee schedule,,5567.46,,,,fee schedule,,6124.206,,,,fee schedule,,6124.206,,,,fee schedule,,4283.163375,,,,fee schedule,,4079.203214,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,inpatient,,,,,,6214.79834,9320.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8727.705,,,,fee schedule,,8473.5,,,,fee schedule,,9320.85,,,,fee schedule,,9320.85,,,,fee schedule,,6525.538257,,,,fee schedule,,6214.79834,,,,fee schedule,,
OTHER DISORDERS OF THE LIVER,283,APR-DRG,,,,,inpatient,,,,,,13936.03904,18712.727,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17521.9171,,,,fee schedule,,17011.57,,,,fee schedule,,18712.727,,,,fee schedule,,18712.727,,,,fee schedule,,14632.841,,,,fee schedule,,13936.03904,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,inpatient,,,,,,3911.817024,6291.494,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5891.1262,,,,fee schedule,,5719.54,,,,fee schedule,,6291.494,,,,fee schedule,,6291.494,,,,fee schedule,,4107.407875,,,,fee schedule,,3911.817024,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,inpatient,,,,,,5061.412744,7977.805,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7470.1265,,,,fee schedule,,7252.55,,,,fee schedule,,7977.805,,,,fee schedule,,7977.805,,,,fee schedule,,5314.483381,,,,fee schedule,,5061.412744,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,inpatient,,,,,,7038.464724,11395.395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10670.2335,,,,fee schedule,,10359.45,,,,fee schedule,,11395.395,,,,fee schedule,,11395.395,,,,fee schedule,,7390.38796,,,,fee schedule,,7038.464724,,,,fee schedule,,
DISORDERS OF GALLBLADDER AND BILIARY TRACT,284,APR-DRG,,,,,inpatient,,,,,,15246.70449,20350.902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19055.8446,,,,fee schedule,,18500.82,,,,fee schedule,,20350.902,,,,fee schedule,,20350.902,,,,fee schedule,,16009.03972,,,,fee schedule,,15246.70449,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,inpatient,,,,,,29004.58602,35624.732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33357.7036,,,,fee schedule,,32386.12,,,,fee schedule,,35624.732,,,,fee schedule,,35624.732,,,,fee schedule,,30454.81532,,,,fee schedule,,29004.58602,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,inpatient,,,,,,36011.4351,44747.516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41899.9468,,,,fee schedule,,40679.56,,,,fee schedule,,44747.516,,,,fee schedule,,44747.516,,,,fee schedule,,37812.00685,,,,fee schedule,,36011.4351,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,inpatient,,,,,,52029.34601,63769.574,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59711.5102,,,,fee schedule,,57972.34,,,,fee schedule,,63769.574,,,,fee schedule,,63769.574,,,,fee schedule,,54630.81331,,,,fee schedule,,52029.34601,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303,APR-DRG,,,,,inpatient,,,,,,69148.2159,93577.044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87622.1412,,,,fee schedule,,85070.04,,,,fee schedule,,93577.044,,,,fee schedule,,93577.044,,,,fee schedule,,72605.6267,,,,fee schedule,,69148.2159,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,inpatient,,,,,,17968.46711,23380.258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21892.4234,,,,fee schedule,,21254.78,,,,fee schedule,,23380.258,,,,fee schedule,,23380.258,,,,fee schedule,,18866.89046,,,,fee schedule,,17968.46711,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,inpatient,,,,,,21286.50355,28830.571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26995.8983,,,,fee schedule,,26209.61,,,,fee schedule,,28830.571,,,,fee schedule,,28830.571,,,,fee schedule,,22350.82872,,,,fee schedule,,21286.50355,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,inpatient,,,,,,30081.54245,42199.509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39514.0857,,,,fee schedule,,38363.19,,,,fee schedule,,42199.509,,,,fee schedule,,42199.509,,,,fee schedule,,31585.61957,,,,fee schedule,,30081.54245,,,,fee schedule,,
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304,APR-DRG,,,,,inpatient,,,,,,41235.14752,65608.961,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61433.8453,,,,fee schedule,,59644.51,,,,fee schedule,,65608.961,,,,fee schedule,,65608.961,,,,fee schedule,,43296.90489,,,,fee schedule,,41235.14752,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,inpatient,,,,,,7283.543372,8829.249,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8267.3877,,,,fee schedule,,8026.59,,,,fee schedule,,8829.249,,,,fee schedule,,8829.249,,,,fee schedule,,7647.720541,,,,fee schedule,,7283.543372,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,inpatient,,,,,,8990.88251,12110.329,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11339.6717,,,,fee schedule,,11009.39,,,,fee schedule,,12110.329,,,,fee schedule,,12110.329,,,,fee schedule,,9440.426636,,,,fee schedule,,8990.88251,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,inpatient,,,,,,12499.67604,19138.845,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17920.9185,,,,fee schedule,,17398.95,,,,fee schedule,,19138.845,,,,fee schedule,,19138.845,,,,fee schedule,,13124.65984,,,,fee schedule,,12499.67604,,,,fee schedule,,
AMPUTATION OF LOWER LIMB EXCEPT TOES,305,APR-DRG,,,,,inpatient,,,,,,20069.95335,35960.089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33671.7197,,,,fee schedule,,32690.99,,,,fee schedule,,35960.089,,,,fee schedule,,35960.089,,,,fee schedule,,21073.45102,,,,fee schedule,,20069.95335,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,inpatient,,,,,,8234.170602,11765.49,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11016.777,,,,fee schedule,,10695.9,,,,fee schedule,,11765.49,,,,fee schedule,,11765.49,,,,fee schedule,,8645.879132,,,,fee schedule,,8234.170602,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,inpatient,,,,,,10261.12262,13845.557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12964.4761,,,,fee schedule,,12586.87,,,,fee schedule,,13845.557,,,,fee schedule,,13845.557,,,,fee schedule,,10774.17875,,,,fee schedule,,10261.12262,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,inpatient,,,,,,13603.79325,18385.246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17215.2758,,,,fee schedule,,16713.86,,,,fee schedule,,18385.246,,,,fee schedule,,18385.246,,,,fee schedule,,14283.98291,,,,fee schedule,,13603.79325,,,,fee schedule,,
HIP AND FEMUR FRACTURE REPAIR,308,APR-DRG,,,,,inpatient,,,,,,21165.85916,28256.107,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26457.9911,,,,fee schedule,,25687.37,,,,fee schedule,,28256.107,,,,fee schedule,,28256.107,,,,fee schedule,,22224.15212,,,,fee schedule,,21165.85916,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,inpatient,,,,,,9206.273796,13017.004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12188.6492,,,,fee schedule,,11833.64,,,,fee schedule,,13017.004,,,,fee schedule,,13017.004,,,,fee schedule,,9666.587486,,,,fee schedule,,9206.273796,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,inpatient,,,,,,11897.7174,16842.562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15770.7626,,,,fee schedule,,15311.42,,,,fee schedule,,16842.562,,,,fee schedule,,16842.562,,,,fee schedule,,12492.60327,,,,fee schedule,,11897.7174,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,inpatient,,,,,,15758.9694,24462.108,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22905.4284,,,,fee schedule,,22238.28,,,,fee schedule,,24462.108,,,,fee schedule,,24462.108,,,,fee schedule,,16546.91787,,,,fee schedule,,15758.9694,,,,fee schedule,,
OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309,APR-DRG,,,,,inpatient,,,,,,24067.64088,37218.709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34850.2457,,,,fee schedule,,33835.19,,,,fee schedule,,37218.709,,,,fee schedule,,37218.709,,,,fee schedule,,25271.02293,,,,fee schedule,,24067.64088,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,inpatient,,,,,,6773.173404,10728.608,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10045.8784,,,,fee schedule,,9753.28,,,,fee schedule,,10728.608,,,,fee schedule,,10728.608,,,,fee schedule,,7111.832074,,,,fee schedule,,6773.173404,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,inpatient,,,,,,10534.62533,14399.506,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13483.1738,,,,fee schedule,,13090.46,,,,fee schedule,,14399.506,,,,fee schedule,,14399.506,,,,fee schedule,,11061.3566,,,,fee schedule,,10534.62533,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,inpatient,,,,,,13562.10461,19860.863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18596.9899,,,,fee schedule,,18055.33,,,,fee schedule,,19860.863,,,,fee schedule,,19860.863,,,,fee schedule,,14240.20984,,,,fee schedule,,13562.10461,,,,fee schedule,,
VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310,APR-DRG,,,,,inpatient,,,,,,22110.80158,37999.918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35581.7414,,,,fee schedule,,34545.38,,,,fee schedule,,37999.918,,,,fee schedule,,37999.918,,,,fee schedule,,23216.34165,,,,fee schedule,,22110.80158,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,inpatient,,,,,,9005.410368,12844.183,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12026.8259,,,,fee schedule,,11676.53,,,,fee schedule,,12844.183,,,,fee schedule,,12844.183,,,,fee schedule,,9455.680886,,,,fee schedule,,9005.410368,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,inpatient,,,,,,12205.96065,19762.226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18504.6298,,,,fee schedule,,17965.66,,,,fee schedule,,19762.226,,,,fee schedule,,19762.226,,,,fee schedule,,12816.25868,,,,fee schedule,,12205.96065,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,inpatient,,,,,,18917.1994,32533.028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30462.7444,,,,fee schedule,,29575.48,,,,fee schedule,,32533.028,,,,fee schedule,,32533.028,,,,fee schedule,,19863.05937,,,,fee schedule,,18917.1994,,,,fee schedule,,
"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312,APR-DRG,,,,,inpatient,,,,,,37644.87165,61442.513,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57532.5349,,,,fee schedule,,55856.83,,,,fee schedule,,61442.513,,,,fee schedule,,61442.513,,,,fee schedule,,39527.11524,,,,fee schedule,,37644.87165,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,inpatient,,,,,,8336.497254,12176.604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11401.7292,,,,fee schedule,,11069.64,,,,fee schedule,,12176.604,,,,fee schedule,,12176.604,,,,fee schedule,,8753.322117,,,,fee schedule,,8336.497254,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,inpatient,,,,,,9883.398308,15625.764,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14631.3972,,,,fee schedule,,14205.24,,,,fee schedule,,15625.764,,,,fee schedule,,15625.764,,,,fee schedule,,10377.56822,,,,fee schedule,,9883.398308,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,inpatient,,,,,,14357.97857,23213.751,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21736.5123,,,,fee schedule,,21103.41,,,,fee schedule,,23213.751,,,,fee schedule,,23213.751,,,,fee schedule,,15075.8775,,,,fee schedule,,14357.97857,,,,fee schedule,,
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313,APR-DRG,,,,,inpatient,,,,,,21335.14029,37302.353,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34928.5669,,,,fee schedule,,33911.23,,,,fee schedule,,37302.353,,,,fee schedule,,37302.353,,,,fee schedule,,22401.8973,,,,fee schedule,,21335.14029,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,inpatient,,,,,,7490.72326,10450.055,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9785.0515,,,,fee schedule,,9500.05,,,,fee schedule,,10450.055,,,,fee schedule,,10450.055,,,,fee schedule,,7865.259423,,,,fee schedule,,7490.72326,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,inpatient,,,,,,7505.882764,10552.641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9881.1093,,,,fee schedule,,9593.31,,,,fee schedule,,10552.641,,,,fee schedule,,10552.641,,,,fee schedule,,7881.176902,,,,fee schedule,,7505.882764,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,inpatient,,,,,,9162.690222,14331.636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13419.6228,,,,fee schedule,,13028.76,,,,fee schedule,,14331.636,,,,fee schedule,,14331.636,,,,fee schedule,,9620.824733,,,,fee schedule,,9162.690222,,,,fee schedule,,
FOOT AND TOE PROCEDURES,314,APR-DRG,,,,,inpatient,,,,,,14661.16865,25998.489,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24344.0397,,,,fee schedule,,23634.99,,,,fee schedule,,25998.489,,,,fee schedule,,25998.489,,,,fee schedule,,15394.22708,,,,fee schedule,,14661.16865,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,inpatient,,,,,,5354.496488,10080.763,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9439.2599,,,,fee schedule,,9164.33,,,,fee schedule,,10080.763,,,,fee schedule,,10080.763,,,,fee schedule,,5622.221312,,,,fee schedule,,5354.496488,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,inpatient,,,,,,9136.792736,14728.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13791.288,,,,fee schedule,,13389.6,,,,fee schedule,,14728.56,,,,fee schedule,,14728.56,,,,fee schedule,,9593.632373,,,,fee schedule,,9136.792736,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,inpatient,,,,,,12590.63306,21902.276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20508.4948,,,,fee schedule,,19911.16,,,,fee schedule,,21902.276,,,,fee schedule,,21902.276,,,,fee schedule,,13220.16472,,,,fee schedule,,12590.63306,,,,fee schedule,,
"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315,APR-DRG,,,,,inpatient,,,,,,20559.479,38432.35,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35986.655,,,,fee schedule,,34938.5,,,,fee schedule,,38432.35,,,,fee schedule,,38432.35,,,,fee schedule,,21587.45295,,,,fee schedule,,20559.479,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,inpatient,,,,,,5211.112846,8465.468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7926.7564,,,,fee schedule,,7695.88,,,,fee schedule,,8465.468,,,,fee schedule,,8465.468,,,,fee schedule,,5471.668488,,,,fee schedule,,5211.112846,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,inpatient,,,,,,6430.821272,10969.288,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10271.2424,,,,fee schedule,,9972.08,,,,fee schedule,,10969.288,,,,fee schedule,,10969.288,,,,fee schedule,,6752.362336,,,,fee schedule,,6430.821272,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,inpatient,,,,,,9968.038872,16753.396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15687.2708,,,,fee schedule,,15230.36,,,,fee schedule,,16753.396,,,,fee schedule,,16753.396,,,,fee schedule,,10466.44082,,,,fee schedule,,9968.038872,,,,fee schedule,,
HAND AND WRIST PROCEDURES,316,APR-DRG,,,,,inpatient,,,,,,14668.7484,31889.121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29859.8133,,,,fee schedule,,28990.11,,,,fee schedule,,31889.121,,,,fee schedule,,31889.121,,,,fee schedule,,15402.18582,,,,fee schedule,,14668.7484,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,inpatient,,,,,,5832.020864,9114.105,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8534.1165,,,,fee schedule,,8285.55,,,,fee schedule,,9114.105,,,,fee schedule,,9114.105,,,,fee schedule,,6123.621907,,,,fee schedule,,5832.020864,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,inpatient,,,,,,7488.196676,11884.642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11128.3466,,,,fee schedule,,10804.22,,,,fee schedule,,11884.642,,,,fee schedule,,11884.642,,,,fee schedule,,7862.60651,,,,fee schedule,,7488.196676,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,inpatient,,,,,,10959.09145,18405.772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17234.4956,,,,fee schedule,,16732.52,,,,fee schedule,,18405.772,,,,fee schedule,,18405.772,,,,fee schedule,,11507.04602,,,,fee schedule,,10959.09145,,,,fee schedule,,
"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317,APR-DRG,,,,,inpatient,,,,,,21467.1543,34190.926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32015.1398,,,,fee schedule,,31082.66,,,,fee schedule,,34190.926,,,,fee schedule,,34190.926,,,,fee schedule,,22540.51202,,,,fee schedule,,21467.1543,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,inpatient,,,,,,7074.468546,9980.542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9345.4166,,,,fee schedule,,9073.22,,,,fee schedule,,9980.542,,,,fee schedule,,9980.542,,,,fee schedule,,7428.191973,,,,fee schedule,,7074.468546,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,inpatient,,,,,,9138.056028,14037.309,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13144.0257,,,,fee schedule,,12761.19,,,,fee schedule,,14037.309,,,,fee schedule,,14037.309,,,,fee schedule,,9594.958829,,,,fee schedule,,9138.056028,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,inpatient,,,,,,12308.91895,20500.832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19196.2336,,,,fee schedule,,18637.12,,,,fee schedule,,20500.832,,,,fee schedule,,20500.832,,,,fee schedule,,12924.3649,,,,fee schedule,,12308.91895,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320,APR-DRG,,,,,inpatient,,,,,,21038.89831,37507.525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35120.6825,,,,fee schedule,,34097.75,,,,fee schedule,,37507.525,,,,fee schedule,,37507.525,,,,fee schedule,,22090.84323,,,,fee schedule,,21038.89831,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,inpatient,,,,,,11439.77405,15826.195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14819.0735,,,,fee schedule,,14387.45,,,,fee schedule,,15826.195,,,,fee schedule,,15826.195,,,,fee schedule,,12011.76275,,,,fee schedule,,11439.77405,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,inpatient,,,,,,14236.07089,19493.936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18253.4128,,,,fee schedule,,17721.76,,,,fee schedule,,19493.936,,,,fee schedule,,19493.936,,,,fee schedule,,14947.87444,,,,fee schedule,,14236.07089,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,inpatient,,,,,,19932.88617,27478.847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25730.1931,,,,fee schedule,,24980.77,,,,fee schedule,,27478.847,,,,fee schedule,,27478.847,,,,fee schedule,,20929.53048,,,,fee schedule,,19932.88617,,,,fee schedule,,
SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321,APR-DRG,,,,,inpatient,,,,,,31322.09519,44321.398,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41500.9454,,,,fee schedule,,40292.18,,,,fee schedule,,44321.398,,,,fee schedule,,44321.398,,,,fee schedule,,32888.19995,,,,fee schedule,,31322.09519,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,inpatient,,,,,,10360.29104,13643.542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12775.3166,,,,fee schedule,,12403.22,,,,fee schedule,,13643.542,,,,fee schedule,,13643.542,,,,fee schedule,,10878.30559,,,,fee schedule,,10360.29104,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,inpatient,,,,,,10938.24713,15224.11,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14255.303,,,,fee schedule,,13840.1,,,,fee schedule,,15224.11,,,,fee schedule,,15224.11,,,,fee schedule,,11485.15948,,,,fee schedule,,10938.24713,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,inpatient,,,,,,15832.87198,21971.708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20573.5084,,,,fee schedule,,19974.28,,,,fee schedule,,21971.708,,,,fee schedule,,21971.708,,,,fee schedule,,16624.51558,,,,fee schedule,,15832.87198,,,,fee schedule,,
SHOULDER AND ELBOW JOINT REPLACEMENT,322,APR-DRG,,,,,inpatient,,,,,,15832.87198,30887.758,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28922.1734,,,,fee schedule,,28079.78,,,,fee schedule,,30887.758,,,,fee schedule,,30887.758,,,,fee schedule,,16624.51558,,,,fee schedule,,15832.87198,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,inpatient,,,,,,10547.8899,13470.732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12613.5036,,,,fee schedule,,12246.12,,,,fee schedule,,13470.732,,,,fee schedule,,13470.732,,,,fee schedule,,11075.2844,,,,fee schedule,,10547.8899,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,inpatient,,,,,,12244.49106,15447.432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14464.4136,,,,fee schedule,,14043.12,,,,fee schedule,,15447.432,,,,fee schedule,,15447.432,,,,fee schedule,,12856.71561,,,,fee schedule,,12244.49106,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,inpatient,,,,,,16152.48486,21370.415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20010.4795,,,,fee schedule,,19427.65,,,,fee schedule,,21370.415,,,,fee schedule,,21370.415,,,,fee schedule,,16960.1091,,,,fee schedule,,16152.48486,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323,APR-DRG,,,,,inpatient,,,,,,25625.91157,30883.017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28917.7341,,,,fee schedule,,28075.47,,,,fee schedule,,30883.017,,,,fee schedule,,30883.017,,,,fee schedule,,26907.20714,,,,fee schedule,,25625.91157,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,inpatient,,,,,,9054.678756,11306.229,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10586.7417,,,,fee schedule,,10278.39,,,,fee schedule,,11306.229,,,,fee schedule,,11306.229,,,,fee schedule,,9507.412694,,,,fee schedule,,9054.678756,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,inpatient,,,,,,9956.037598,12914.418,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12092.5914,,,,fee schedule,,11740.38,,,,fee schedule,,12914.418,,,,fee schedule,,12914.418,,,,fee schedule,,10453.83948,,,,fee schedule,,9956.037598,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,inpatient,,,,,,13179.95878,19280.085,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18053.1705,,,,fee schedule,,17527.35,,,,fee schedule,,19280.085,,,,fee schedule,,19280.085,,,,fee schedule,,13838.95672,,,,fee schedule,,13179.95878,,,,fee schedule,,
ELECTIVE HIP JOINT REPLACEMENT,324,APR-DRG,,,,,inpatient,,,,,,18944.99182,32500.677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30432.4521,,,,fee schedule,,29546.07,,,,fee schedule,,32500.677,,,,fee schedule,,32500.677,,,,fee schedule,,19892.24142,,,,fee schedule,,18944.99182,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,inpatient,,,,,,13785.07565,17706.623,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16579.8379,,,,fee schedule,,16096.93,,,,fee schedule,,17706.623,,,,fee schedule,,17706.623,,,,fee schedule,,14474.32943,,,,fee schedule,,13785.07565,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,inpatient,,,,,,14729.38642,20619.984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19307.8032,,,,fee schedule,,18745.44,,,,fee schedule,,20619.984,,,,fee schedule,,20619.984,,,,fee schedule,,15465.85574,,,,fee schedule,,14729.38642,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,inpatient,,,,,,21023.10716,27392.827,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25649.6471,,,,fee schedule,,24902.57,,,,fee schedule,,27392.827,,,,fee schedule,,27392.827,,,,fee schedule,,22074.26252,,,,fee schedule,,21023.10716,,,,fee schedule,,
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325,APR-DRG,,,,,inpatient,,,,,,27967.42329,40096.562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37544.9626,,,,fee schedule,,36451.42,,,,fee schedule,,40096.562,,,,fee schedule,,40096.562,,,,fee schedule,,29365.79445,,,,fee schedule,,27967.42329,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,inpatient,,,,,,8793.177312,11138.149,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10429.3577,,,,fee schedule,,10125.59,,,,fee schedule,,11138.149,,,,fee schedule,,11138.149,,,,fee schedule,,9232.836178,,,,fee schedule,,8793.177312,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,inpatient,,,,,,10043.20475,12411.762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11621.9226,,,,fee schedule,,11283.42,,,,fee schedule,,12411.762,,,,fee schedule,,12411.762,,,,fee schedule,,10545.36498,,,,fee schedule,,10043.20475,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,inpatient,,,,,,14610.63697,17730.295,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16602.0035,,,,fee schedule,,16118.45,,,,fee schedule,,17730.295,,,,fee schedule,,17730.295,,,,fee schedule,,15341.16882,,,,fee schedule,,14610.63697,,,,fee schedule,,
ELECTIVE KNEE JOINT REPLACEMENT,326,APR-DRG,,,,,inpatient,,,,,,18530.63205,27056.678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25334.8894,,,,fee schedule,,24596.98,,,,fee schedule,,27056.678,,,,fee schedule,,27056.678,,,,fee schedule,,19457.16365,,,,fee schedule,,18530.63205,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,inpatient,,,,,,3018.037934,4284.027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4011.4071,,,,fee schedule,,3894.57,,,,fee schedule,,4284.027,,,,fee schedule,,4284.027,,,,fee schedule,,3168.939831,,,,fee schedule,,3018.037934,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,inpatient,,,,,,4076.044984,5433.747,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5087.9631,,,,fee schedule,,4939.77,,,,fee schedule,,5433.747,,,,fee schedule,,5433.747,,,,fee schedule,,4279.847233,,,,fee schedule,,4076.044984,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,inpatient,,,,,,7277.858558,8044.091,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7532.1943,,,,fee schedule,,7312.81,,,,fee schedule,,8044.091,,,,fee schedule,,8044.091,,,,fee schedule,,7641.751486,,,,fee schedule,,7277.858558,,,,fee schedule,,
FRACTURE OF FEMUR,340,APR-DRG,,,,,inpatient,,,,,,7277.858558,13418.647,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12564.7331,,,,fee schedule,,12198.77,,,,fee schedule,,13418.647,,,,fee schedule,,13418.647,,,,fee schedule,,7641.751486,,,,fee schedule,,7277.858558,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,inpatient,,,,,,3770.959966,4717.24,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4417.052,,,,fee schedule,,4288.4,,,,fee schedule,,4717.24,,,,fee schedule,,4717.24,,,,fee schedule,,3959.507964,,,,fee schedule,,3770.959966,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,inpatient,,,,,,4060.253834,5657.058,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5297.0634,,,,fee schedule,,5142.78,,,,fee schedule,,5657.058,,,,fee schedule,,5657.058,,,,fee schedule,,4263.266526,,,,fee schedule,,4060.253834,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,inpatient,,,,,,4801.806238,7670.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7182.705,,,,fee schedule,,6973.5,,,,fee schedule,,7670.85,,,,fee schedule,,7670.85,,,,fee schedule,,5041.89655,,,,fee schedule,,4801.806238,,,,fee schedule,,
FRACTURE OF PELVIS OR DISLOCATION OF HIP,341,APR-DRG,,,,,inpatient,,,,,,7860.867816,14024.681,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13132.2013,,,,fee schedule,,12749.71,,,,fee schedule,,14024.681,,,,fee schedule,,14024.681,,,,fee schedule,,8253.911207,,,,fee schedule,,7860.867816,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,inpatient,,,,,,3398.920472,5310.646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4972.6958,,,,fee schedule,,4827.86,,,,fee schedule,,5310.646,,,,fee schedule,,5310.646,,,,fee schedule,,3568.866496,,,,fee schedule,,3398.920472,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,inpatient,,,,,,4146.789336,6516.389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6101.7097,,,,fee schedule,,5923.99,,,,fee schedule,,6516.389,,,,fee schedule,,6516.389,,,,fee schedule,,4354.128803,,,,fee schedule,,4146.789336,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,inpatient,,,,,,6046.148858,9348.471,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8753.5683,,,,fee schedule,,8498.61,,,,fee schedule,,9348.471,,,,fee schedule,,9348.471,,,,fee schedule,,6348.456301,,,,fee schedule,,6046.148858,,,,fee schedule,,
"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342,APR-DRG,,,,,inpatient,,,,,,7178.05849,16767.597,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15700.5681,,,,fee schedule,,15243.27,,,,fee schedule,,16767.597,,,,fee schedule,,16767.597,,,,fee schedule,,7536.961415,,,,fee schedule,,7178.05849,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,inpatient,,,,,,6252.6971,7693.73,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7204.129,,,,fee schedule,,6994.3,,,,fee schedule,,7693.73,,,,fee schedule,,7693.73,,,,fee schedule,,6565.331955,,,,fee schedule,,6252.6971,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,inpatient,,,,,,6271.64648,8973.646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8402.5958,,,,fee schedule,,8157.86,,,,fee schedule,,8973.646,,,,fee schedule,,8973.646,,,,fee schedule,,6585.228804,,,,fee schedule,,6271.64648,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,inpatient,,,,,,8489.987232,13787.158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12909.7934,,,,fee schedule,,12533.78,,,,fee schedule,,13787.158,,,,fee schedule,,13787.158,,,,fee schedule,,8914.486594,,,,fee schedule,,8489.987232,,,,fee schedule,,
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343,APR-DRG,,,,,inpatient,,,,,,13137.00685,23286.351,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21804.4923,,,,fee schedule,,21169.41,,,,fee schedule,,23286.351,,,,fee schedule,,23286.351,,,,fee schedule,,13793.8572,,,,fee schedule,,13137.00685,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,inpatient,,,,,,5015.302586,6484.038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6071.4174,,,,fee schedule,,5894.58,,,,fee schedule,,6484.038,,,,fee schedule,,6484.038,,,,fee schedule,,5266.067715,,,,fee schedule,,5015.302586,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,inpatient,,,,,,5612.839702,8125.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7608.301,,,,fee schedule,,7386.7,,,,fee schedule,,8125.37,,,,fee schedule,,8125.37,,,,fee schedule,,5893.481687,,,,fee schedule,,5612.839702,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,inpatient,,,,,,7548.834692,11930.413,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11171.2049,,,,fee schedule,,10845.83,,,,fee schedule,,11930.413,,,,fee schedule,,11930.413,,,,fee schedule,,7926.276427,,,,fee schedule,,7548.834692,,,,fee schedule,,
"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344,APR-DRG,,,,,inpatient,,,,,,10196.69472,19454.479,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18216.4667,,,,fee schedule,,17685.89,,,,fee schedule,,19454.479,,,,fee schedule,,19454.479,,,,fee schedule,,10706.52946,,,,fee schedule,,10196.69472,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,inpatient,,,,,,5897.45,6487.195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6074.3735,,,,fee schedule,,5897.45,,,,fee schedule,,6487.195,,,,fee schedule,,6487.195,,,,fee schedule,,6231.064892,,,,fee schedule,,5934.347516,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,inpatient,,,,,,7308.177566,8635.913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8086.3549,,,,fee schedule,,7850.83,,,,fee schedule,,8635.913,,,,fee schedule,,8635.913,,,,fee schedule,,7673.586444,,,,fee schedule,,7308.177566,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,inpatient,,,,,,11358.92336,13421.804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12567.6892,,,,fee schedule,,12201.64,,,,fee schedule,,13421.804,,,,fee schedule,,13421.804,,,,fee schedule,,11926.86953,,,,fee schedule,,11358.92336,,,,fee schedule,,
CONNECTIVE TISSUE DISORDERS,346,APR-DRG,,,,,inpatient,,,,,,22167.01807,28395.774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26588.7702,,,,fee schedule,,25814.34,,,,fee schedule,,28395.774,,,,fee schedule,,28395.774,,,,fee schedule,,23275.36897,,,,fee schedule,,22167.01807,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,inpatient,,,,,,4074.150046,6208.642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5813.5466,,,,fee schedule,,5644.22,,,,fee schedule,,6208.642,,,,fee schedule,,6208.642,,,,fee schedule,,4277.857548,,,,fee schedule,,4074.150046,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,inpatient,,,,,,4678.003622,7503.551,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7026.0523,,,,fee schedule,,6821.41,,,,fee schedule,,7503.551,,,,fee schedule,,7503.551,,,,fee schedule,,4911.903803,,,,fee schedule,,4678.003622,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,inpatient,,,,,,6149.107156,10349.053,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9690.4769,,,,fee schedule,,9408.23,,,,fee schedule,,10349.053,,,,fee schedule,,10349.053,,,,fee schedule,,6456.562514,,,,fee schedule,,6149.107156,,,,fee schedule,,
"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347,APR-DRG,,,,,inpatient,,,,,,10931.93067,19023.631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17813.0363,,,,fee schedule,,17294.21,,,,fee schedule,,19023.631,,,,fee schedule,,19023.631,,,,fee schedule,,11478.5272,,,,fee schedule,,10931.93067,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,inpatient,,,,,,3624.418094,5502.398,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5152.2454,,,,fee schedule,,5002.18,,,,fee schedule,,5502.398,,,,fee schedule,,5502.398,,,,fee schedule,,3805.638999,,,,fee schedule,,3624.418094,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,inpatient,,,,,,4994.458268,7464.886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6989.8478,,,,fee schedule,,6786.26,,,,fee schedule,,7464.886,,,,fee schedule,,7464.886,,,,fee schedule,,5244.181181,,,,fee schedule,,4994.458268,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,inpatient,,,,,,7018.252052,10744.393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10060.6589,,,,fee schedule,,9767.63,,,,fee schedule,,10744.393,,,,fee schedule,,10744.393,,,,fee schedule,,7369.164655,,,,fee schedule,,7018.252052,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349,APR-DRG,,,,,inpatient,,,,,,12038.57446,18674.062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17485.7126,,,,fee schedule,,16976.42,,,,fee schedule,,18674.062,,,,fee schedule,,18674.062,,,,fee schedule,,12640.50318,,,,fee schedule,,12038.57446,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,inpatient,,,,,,3956.66389,5333.526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4994.1198,,,,fee schedule,,4848.66,,,,fee schedule,,5333.526,,,,fee schedule,,5333.526,,,,fee schedule,,4154.497085,,,,fee schedule,,3956.66389,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,inpatient,,,,,,4388.709754,5850.394,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5478.0962,,,,fee schedule,,5318.54,,,,fee schedule,,5850.394,,,,fee schedule,,5850.394,,,,fee schedule,,4608.145242,,,,fee schedule,,4388.709754,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,inpatient,,,,,,7181.21672,9137.788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8556.2924,,,,fee schedule,,8307.08,,,,fee schedule,,9137.788,,,,fee schedule,,9137.788,,,,fee schedule,,7540.277556,,,,fee schedule,,7181.21672,,,,fee schedule,,
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351,APR-DRG,,,,,inpatient,,,,,,15759.77,17409.11466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16232.5631,,,,fee schedule,,15759.77,,,,fee schedule,,17335.747,,,,fee schedule,,17335.747,,,,fee schedule,,17409.11466,,,,fee schedule,,16580.1092,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,inpatient,,,,,,9141.845904,14313.497,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13402.6381,,,,fee schedule,,13012.27,,,,fee schedule,,14313.497,,,,fee schedule,,14313.497,,,,fee schedule,,9598.938199,,,,fee schedule,,9141.845904,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,inpatient,,,,,,11355.13349,17737.401,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16608.6573,,,,fee schedule,,16124.91,,,,fee schedule,,17737.401,,,,fee schedule,,17737.401,,,,fee schedule,,11922.89016,,,,fee schedule,,11355.13349,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,inpatient,,,,,,23617.27729,27667.442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25906.7866,,,,fee schedule,,25152.22,,,,fee schedule,,27667.442,,,,fee schedule,,27667.442,,,,fee schedule,,24798.14115,,,,fee schedule,,23617.27729,,,,fee schedule,,
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361,APR-DRG,,,,,inpatient,,,,,,23617.27729,59531.307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55742.9511,,,,fee schedule,,54119.37,,,,fee schedule,,59531.307,,,,fee schedule,,59531.307,,,,fee schedule,,24798.14115,,,,fee schedule,,23617.27729,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,inpatient,,,,,,8718.011438,12983.069,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12156.8737,,,,fee schedule,,11802.79,,,,fee schedule,,12983.069,,,,fee schedule,,12983.069,,,,fee schedule,,9153.91201,,,,fee schedule,,8718.011438,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,inpatient,,,,,,11786.54771,19594.157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18347.2561,,,,fee schedule,,17812.87,,,,fee schedule,,19594.157,,,,fee schedule,,19594.157,,,,fee schedule,,12375.87509,,,,fee schedule,,11786.54771,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,inpatient,,,,,,16345.13689,21318.341,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19961.7193,,,,fee schedule,,19380.31,,,,fee schedule,,21318.341,,,,fee schedule,,21318.341,,,,fee schedule,,17162.39373,,,,fee schedule,,16345.13689,,,,fee schedule,,
MASTECTOMY PROCEDURES,362,APR-DRG,,,,,inpatient,,,,,,16345.13689,28980.501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27136.2873,,,,fee schedule,,26345.91,,,,fee schedule,,28980.501,,,,fee schedule,,28980.501,,,,fee schedule,,17162.39373,,,,fee schedule,,16345.13689,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,inpatient,,,,,,5024.14563,11313.335,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10593.3955,,,,fee schedule,,10284.85,,,,fee schedule,,11313.335,,,,fee schedule,,11313.335,,,,fee schedule,,5275.352912,,,,fee schedule,,5024.14563,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,inpatient,,,,,,10545.99496,18819.251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17621.6623,,,,fee schedule,,17108.41,,,,fee schedule,,18819.251,,,,fee schedule,,18819.251,,,,fee schedule,,11073.29471,,,,fee schedule,,10545.99496,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,inpatient,,,,,,16487.88888,23401.565,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21912.3745,,,,fee schedule,,21274.15,,,,fee schedule,,23401.565,,,,fee schedule,,23401.565,,,,fee schedule,,17312.28333,,,,fee schedule,,16487.88888,,,,fee schedule,,
BREAST PROCEDURES EXCEPT MASTECTOMY,363,APR-DRG,,,,,inpatient,,,,,,16487.88888,44533.665,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41699.7045,,,,fee schedule,,40485.15,,,,fee schedule,,44533.665,,,,fee schedule,,44533.665,,,,fee schedule,,17312.28333,,,,fee schedule,,16487.88888,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,inpatient,,,,,,4662.212472,7292.868,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6828.7764,,,,fee schedule,,6629.88,,,,fee schedule,,7292.868,,,,fee schedule,,7292.868,,,,fee schedule,,4895.323096,,,,fee schedule,,4662.212472,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,inpatient,,,,,,5958.98171,9799.834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9176.2082,,,,fee schedule,,8908.94,,,,fee schedule,,9799.834,,,,fee schedule,,9799.834,,,,fee schedule,,6256.930796,,,,fee schedule,,5958.98171,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,inpatient,,,,,,9341.44604,16020.312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15000.8376,,,,fee schedule,,14563.92,,,,fee schedule,,16020.312,,,,fee schedule,,16020.312,,,,fee schedule,,9808.518342,,,,fee schedule,,9341.44604,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364,APR-DRG,,,,,inpatient,,,,,,19191.33376,30157.842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28238.7066,,,,fee schedule,,27416.22,,,,fee schedule,,30157.842,,,,fee schedule,,30157.842,,,,fee schedule,,20150.90045,,,,fee schedule,,19191.33376,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,inpatient,,,,,,3738.74602,4959.493,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4643.8889,,,,fee schedule,,4508.63,,,,fee schedule,,4959.493,,,,fee schedule,,4959.493,,,,fee schedule,,3925.683321,,,,fee schedule,,3738.74602,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,inpatient,,,,,,4707.059338,6310.436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5908.8628,,,,fee schedule,,5736.76,,,,fee schedule,,6310.436,,,,fee schedule,,6310.436,,,,fee schedule,,4942.412305,,,,fee schedule,,4707.059338,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,inpatient,,,,,,7247.53955,9855.076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9227.9348,,,,fee schedule,,8959.16,,,,fee schedule,,9855.076,,,,fee schedule,,9855.076,,,,fee schedule,,7609.916528,,,,fee schedule,,7247.53955,,,,fee schedule,,
SKIN ULCERS,380,APR-DRG,,,,,inpatient,,,,,,10861.18632,18109.85,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16957.405,,,,fee schedule,,16463.5,,,,fee schedule,,18109.85,,,,fee schedule,,18109.85,,,,fee schedule,,11404.24563,,,,fee schedule,,10861.18632,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,inpatient,,,,,,3510.78,4651.91831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3616.1034,,,,fee schedule,,3510.78,,,,fee schedule,,3861.858,,,,fee schedule,,3861.858,,,,fee schedule,,4651.91831,,,,fee schedule,,4430.39839,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,inpatient,,,,,,5430.294008,6650.534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6227.3182,,,,fee schedule,,6045.94,,,,fee schedule,,6650.534,,,,fee schedule,,6650.534,,,,fee schedule,,5701.808708,,,,fee schedule,,5430.294008,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,inpatient,,,,,,11965.30352,13243.472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12400.7056,,,,fee schedule,,12039.52,,,,fee schedule,,13243.472,,,,fee schedule,,13243.472,,,,fee schedule,,12563.5687,,,,fee schedule,,11965.30352,,,,fee schedule,,
MAJOR SKIN DISORDERS,381,APR-DRG,,,,,inpatient,,,,,,11965.30352,27455.956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25708.7588,,,,fee schedule,,24959.96,,,,fee schedule,,27455.956,,,,fee schedule,,27455.956,,,,fee schedule,,12563.5687,,,,fee schedule,,11965.30352,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,inpatient,,,,,,5091.731752,6511.659,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6097.2807,,,,fee schedule,,5919.69,,,,fee schedule,,6511.659,,,,fee schedule,,6511.659,,,,fee schedule,,5346.31834,,,,fee schedule,,5091.731752,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,inpatient,,,,,,5091.731752,7522.493,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7043.7889,,,,fee schedule,,6838.63,,,,fee schedule,,7522.493,,,,fee schedule,,7522.493,,,,fee schedule,,5346.31834,,,,fee schedule,,5091.731752,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,inpatient,,,,,,6529.989694,10779.901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10093.9073,,,,fee schedule,,9799.91,,,,fee schedule,,10779.901,,,,fee schedule,,10779.901,,,,fee schedule,,6856.489179,,,,fee schedule,,6529.989694,,,,fee schedule,,
MALIGNANT BREAST DISORDERS,382,APR-DRG,,,,,inpatient,,,,,,11597.05391,16165.512,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15136.7976,,,,fee schedule,,14695.92,,,,fee schedule,,16165.512,,,,fee schedule,,16165.512,,,,fee schedule,,12176.9066,,,,fee schedule,,11597.05391,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,inpatient,,,,,,3546.09399,4124.626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3862.1498,,,,fee schedule,,3749.66,,,,fee schedule,,4124.626,,,,fee schedule,,4124.626,,,,fee schedule,,3723.39869,,,,fee schedule,,3546.09399,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,inpatient,,,,,,4417.133824,5403.761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5059.8853,,,,fee schedule,,4912.51,,,,fee schedule,,5403.761,,,,fee schedule,,5403.761,,,,fee schedule,,4637.990515,,,,fee schedule,,4417.133824,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,inpatient,,,,,,6168.056536,8457.581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7919.3713,,,,fee schedule,,7688.71,,,,fee schedule,,8457.581,,,,fee schedule,,8457.581,,,,fee schedule,,6476.459363,,,,fee schedule,,6168.056536,,,,fee schedule,,
CELLULITIS AND OTHER SKIN INFECTIONS,383,APR-DRG,,,,,inpatient,,,,,,10511.88608,17083.231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15996.1163,,,,fee schedule,,15530.21,,,,fee schedule,,17083.231,,,,fee schedule,,17083.231,,,,fee schedule,,11037.48038,,,,fee schedule,,10511.88608,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,inpatient,,,,,,3354.073606,6143.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5752.962,,,,fee schedule,,5585.4,,,,fee schedule,,6143.94,,,,fee schedule,,6143.94,,,,fee schedule,,3521.777286,,,,fee schedule,,3354.073606,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,inpatient,,,,,,4317.965402,7057.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6608.583,,,,fee schedule,,6416.1,,,,fee schedule,,7057.71,,,,fee schedule,,7057.71,,,,fee schedule,,4533.863672,,,,fee schedule,,4317.965402,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,inpatient,,,,,,7148.371128,10232.266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9581.1218,,,,fee schedule,,9302.06,,,,fee schedule,,10232.266,,,,fee schedule,,10232.266,,,,fee schedule,,7505.789684,,,,fee schedule,,7148.371128,,,,fee schedule,,
"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384,APR-DRG,,,,,inpatient,,,,,,8961.195148,17073.76,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15987.248,,,,fee schedule,,15521.6,,,,fee schedule,,17073.76,,,,fee schedule,,17073.76,,,,fee schedule,,9409.254905,,,,fee schedule,,8961.195148,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,inpatient,,,,,,3904.868918,4594.931,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4302.5263,,,,fee schedule,,4177.21,,,,fee schedule,,4594.931,,,,fee schedule,,4594.931,,,,fee schedule,,4100.112364,,,,fee schedule,,3904.868918,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,inpatient,,,,,,4736.115054,5775.429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5407.9017,,,,fee schedule,,5250.39,,,,fee schedule,,5775.429,,,,fee schedule,,5775.429,,,,fee schedule,,4972.920807,,,,fee schedule,,4736.115054,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,inpatient,,,,,,6873.605118,9261.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8672.291,,,,fee schedule,,8419.7,,,,fee schedule,,9261.67,,,,fee schedule,,9261.67,,,,fee schedule,,7217.285374,,,,fee schedule,,6873.605118,,,,fee schedule,,
"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385,APR-DRG,,,,,inpatient,,,,,,15188.59306,18049.878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16901.2494,,,,fee schedule,,16408.98,,,,fee schedule,,18049.878,,,,fee schedule,,18049.878,,,,fee schedule,,15948.02272,,,,fee schedule,,15188.59306,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,inpatient,,,,,,9471.565116,11931.986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11172.6778,,,,fee schedule,,10847.26,,,,fee schedule,,11931.986,,,,fee schedule,,11931.986,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,inpatient,,,,,,9471.565116,20986.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19650.649,,,,fee schedule,,19078.3,,,,fee schedule,,20986.13,,,,fee schedule,,20986.13,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,inpatient,,,,,,9471.565116,30015.799,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28105.7027,,,,fee schedule,,27287.09,,,,fee schedule,,30015.799,,,,fee schedule,,30015.799,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
ADRENAL PROCEDURES,401,APR-DRG,,,,,inpatient,,,,,,9471.565116,42054.32,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39378.136,,,,fee schedule,,38231.2,,,,fee schedule,,42054.32,,,,fee schedule,,42054.32,,,,fee schedule,,9945.143372,,,,fee schedule,,9471.565116,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,inpatient,,,,,,7977.722326,10132.045,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9487.2785,,,,fee schedule,,9210.95,,,,fee schedule,,10132.045,,,,fee schedule,,10132.045,,,,fee schedule,,8376.608442,,,,fee schedule,,7977.722326,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,inpatient,,,,,,8757.17349,11569.789,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10833.5297,,,,fee schedule,,10517.99,,,,fee schedule,,11569.789,,,,fee schedule,,11569.789,,,,fee schedule,,9195.032165,,,,fee schedule,,8757.17349,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,inpatient,,,,,,12151.00745,18910.793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17707.3789,,,,fee schedule,,17191.63,,,,fee schedule,,18910.793,,,,fee schedule,,18910.793,,,,fee schedule,,12758.55782,,,,fee schedule,,12151.00745,,,,fee schedule,,
PROCEDURES FOR OBESITY,403,APR-DRG,,,,,inpatient,,,,,,23432.20501,41960.413,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39290.2049,,,,fee schedule,,38145.83,,,,fee schedule,,41960.413,,,,fee schedule,,41960.413,,,,fee schedule,,24603.81526,,,,fee schedule,,23432.20501,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,inpatient,,,,,,6962.035558,9503.131,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8898.3863,,,,fee schedule,,8639.21,,,,fee schedule,,9503.131,,,,fee schedule,,9503.131,,,,fee schedule,,7310.137336,,,,fee schedule,,6962.035558,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,inpatient,,,,,,8724.959544,13300.287,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12453.9051,,,,fee schedule,,12091.17,,,,fee schedule,,13300.287,,,,fee schedule,,13300.287,,,,fee schedule,,9161.207521,,,,fee schedule,,8724.959544,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,inpatient,,,,,,14526.62805,22520.927,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21087.7771,,,,fee schedule,,20473.57,,,,fee schedule,,22520.927,,,,fee schedule,,22520.927,,,,fee schedule,,15252.95946,,,,fee schedule,,14526.62805,,,,fee schedule,,
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404,APR-DRG,,,,,inpatient,,,,,,14526.62805,44356.917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41534.2041,,,,fee schedule,,40324.47,,,,fee schedule,,44356.917,,,,fee schedule,,44356.917,,,,fee schedule,,15252.95946,,,,fee schedule,,14526.62805,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,inpatient,,,,,,8054.783138,12845.767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12028.3091,,,,fee schedule,,11677.97,,,,fee schedule,,12845.767,,,,fee schedule,,12845.767,,,,fee schedule,,8457.522295,,,,fee schedule,,8054.783138,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,inpatient,,,,,,8447.035304,13815.571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12936.3983,,,,fee schedule,,12559.61,,,,fee schedule,,13815.571,,,,fee schedule,,13815.571,,,,fee schedule,,8869.387069,,,,fee schedule,,8447.035304,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,inpatient,,,,,,14105.32017,21155.783,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19809.5059,,,,fee schedule,,19232.53,,,,fee schedule,,21155.783,,,,fee schedule,,21155.783,,,,fee schedule,,14810.58618,,,,fee schedule,,14105.32017,,,,fee schedule,,
"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405,APR-DRG,,,,,inpatient,,,,,,31113.02037,42655.613,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39941.1649,,,,fee schedule,,38777.83,,,,fee schedule,,42655.613,,,,fee schedule,,42655.613,,,,fee schedule,,32668.67139,,,,fee schedule,,31113.02037,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,inpatient,,,,,,3750.115648,4337.685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4061.6505,,,,fee schedule,,3943.35,,,,fee schedule,,4337.685,,,,fee schedule,,4337.685,,,,fee schedule,,3937.62143,,,,fee schedule,,3750.115648,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,inpatient,,,,,,3957.295536,5040.772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4719.9956,,,,fee schedule,,4582.52,,,,fee schedule,,5040.772,,,,fee schedule,,5040.772,,,,fee schedule,,4155.160313,,,,fee schedule,,3957.295536,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,inpatient,,,,,,5540.200412,7863.383,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7362.9859,,,,fee schedule,,7148.53,,,,fee schedule,,7863.383,,,,fee schedule,,7863.383,,,,fee schedule,,5817.210433,,,,fee schedule,,5540.200412,,,,fee schedule,,
DIABETES,420,APR-DRG,,,,,inpatient,,,,,,9846.131194,17085.607,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15998.3411,,,,fee schedule,,15532.37,,,,fee schedule,,17085.607,,,,fee schedule,,17085.607,,,,fee schedule,,10338.43775,,,,fee schedule,,9846.131194,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,inpatient,,,,,,4195.14,5063.783084,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4320.9942,,,,fee schedule,,4195.14,,,,fee schedule,,4614.654,,,,fee schedule,,4614.654,,,,fee schedule,,5063.783084,,,,fee schedule,,4822.650556,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,inpatient,,,,,,5672.91,7487.88252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5843.0973,,,,fee schedule,,5672.91,,,,fee schedule,,6240.201,,,,fee schedule,,6240.201,,,,fee schedule,,7487.88252,,,,fee schedule,,7131.316686,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,inpatient,,,,,,8967.77,11356.49319,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9236.8031,,,,fee schedule,,8967.77,,,,fee schedule,,9864.547,,,,fee schedule,,9864.547,,,,fee schedule,,11356.49319,,,,fee schedule,,10815.7078,,,,fee schedule,,
"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421,APR-DRG,,,,,inpatient,,,,,,17885.32,21429.60461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18421.8796,,,,fee schedule,,17885.32,,,,fee schedule,,19673.852,,,,fee schedule,,19673.852,,,,fee schedule,,21429.60461,,,,fee schedule,,20409.14725,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,inpatient,,,,,,3251.09,3650.443577,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3348.6227,,,,fee schedule,,3251.09,,,,fee schedule,,3576.199,,,,fee schedule,,3576.199,,,,fee schedule,,3650.443577,,,,fee schedule,,3476.61293,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,inpatient,,,,,,4305.964128,4773.263,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4469.5099,,,,fee schedule,,4339.33,,,,fee schedule,,4773.263,,,,fee schedule,,4773.263,,,,fee schedule,,4521.262334,,,,fee schedule,,4305.964128,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,inpatient,,,,,,5760.01322,7060.867,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6611.5391,,,,fee schedule,,6418.97,,,,fee schedule,,7060.867,,,,fee schedule,,7060.867,,,,fee schedule,,6048.013881,,,,fee schedule,,5760.01322,,,,fee schedule,,
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422,APR-DRG,,,,,inpatient,,,,,,10484.09365,12582.999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11782.2627,,,,fee schedule,,11439.09,,,,fee schedule,,12582.999,,,,fee schedule,,12582.999,,,,fee schedule,,11008.29834,,,,fee schedule,,10484.09365,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,inpatient,,,,,,5712.008124,6539.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6123.144,,,,fee schedule,,5944.8,,,,fee schedule,,6539.28,,,,fee schedule,,6539.28,,,,fee schedule,,5997.60853,,,,fee schedule,,5712.008124,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,inpatient,,,,,,6148.47551,7227.374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6767.4502,,,,fee schedule,,6570.34,,,,fee schedule,,7227.374,,,,fee schedule,,7227.374,,,,fee schedule,,6455.899286,,,,fee schedule,,6148.47551,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,inpatient,,,,,,11312.83,12712.79507,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11652.2149,,,,fee schedule,,11312.83,,,,fee schedule,,12444.113,,,,fee schedule,,12444.113,,,,fee schedule,,12712.79507,,,,fee schedule,,12107.42387,,,,fee schedule,,
INBORN ERRORS OF METABOLISM,423,APR-DRG,,,,,inpatient,,,,,,12107.42387,35926.957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33640.6961,,,,fee schedule,,32660.87,,,,fee schedule,,35926.957,,,,fee schedule,,35926.957,,,,fee schedule,,12712.79507,,,,fee schedule,,12107.42387,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,inpatient,,,,,,4203.637476,5100.744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4776.1512,,,,fee schedule,,4637.04,,,,fee schedule,,5100.744,,,,fee schedule,,5100.744,,,,fee schedule,,4413.81935,,,,fee schedule,,4203.637476,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,inpatient,,,,,,5074.67731,7152.409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6697.2557,,,,fee schedule,,6502.19,,,,fee schedule,,7152.409,,,,fee schedule,,7152.409,,,,fee schedule,,5328.411176,,,,fee schedule,,5074.67731,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,inpatient,,,,,,8380.712474,10662.322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9983.8106,,,,fee schedule,,9693.02,,,,fee schedule,,10662.322,,,,fee schedule,,10662.322,,,,fee schedule,,8799.748098,,,,fee schedule,,8380.712474,,,,fee schedule,,
OTHER ENDOCRINE DISORDERS,424,APR-DRG,,,,,inpatient,,,,,,12667.69388,19179.875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17959.3375,,,,fee schedule,,17436.25,,,,fee schedule,,19179.875,,,,fee schedule,,19179.875,,,,fee schedule,,13301.07857,,,,fee schedule,,12667.69388,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,inpatient,,,,,,3119.73294,4004.682,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3749.8386,,,,fee schedule,,3640.62,,,,fee schedule,,4004.682,,,,fee schedule,,4004.682,,,,fee schedule,,3275.719587,,,,fee schedule,,3119.73294,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,inpatient,,,,,,4023.618366,5073.123,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4750.2879,,,,fee schedule,,4611.93,,,,fee schedule,,5073.123,,,,fee schedule,,5073.123,,,,fee schedule,,4224.799284,,,,fee schedule,,4023.618366,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,inpatient,,,,,,5727.167628,7534.329,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7054.8717,,,,fee schedule,,6849.39,,,,fee schedule,,7534.329,,,,fee schedule,,7534.329,,,,fee schedule,,6013.526009,,,,fee schedule,,5727.167628,,,,fee schedule,,
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425,APR-DRG,,,,,inpatient,,,,,,9265.64852,16594.776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15538.7448,,,,fee schedule,,15086.16,,,,fee schedule,,16594.776,,,,fee schedule,,16594.776,,,,fee schedule,,9728.930946,,,,fee schedule,,9265.64852,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,inpatient,,,,,,3394.49895,4228.004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3958.9492,,,,fee schedule,,3843.64,,,,fee schedule,,4228.004,,,,fee schedule,,4228.004,,,,fee schedule,,3564.223898,,,,fee schedule,,3394.49895,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,inpatient,,,,,,4305.332482,5621.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5263.815,,,,fee schedule,,5110.5,,,,fee schedule,,5621.55,,,,fee schedule,,5621.55,,,,fee schedule,,4520.599106,,,,fee schedule,,4305.332482,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,inpatient,,,,,,6562.835286,8717.984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8163.2032,,,,fee schedule,,7925.44,,,,fee schedule,,8717.984,,,,fee schedule,,8717.984,,,,fee schedule,,6890.97705,,,,fee schedule,,6562.835286,,,,fee schedule,,
NON-HYPOVOLEMIC SODIUM DISORDERS,426,APR-DRG,,,,,inpatient,,,,,,11322.91954,16224.692,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15192.2116,,,,fee schedule,,14749.72,,,,fee schedule,,16224.692,,,,fee schedule,,16224.692,,,,fee schedule,,11889.06552,,,,fee schedule,,11322.91954,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,inpatient,,,,,,3553.673742,4800.103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4494.6419,,,,fee schedule,,4363.73,,,,fee schedule,,4800.103,,,,fee schedule,,4800.103,,,,fee schedule,,3731.357429,,,,fee schedule,,3553.673742,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,inpatient,,,,,,4304.700836,6173.134,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5780.2982,,,,fee schedule,,5611.94,,,,fee schedule,,6173.134,,,,fee schedule,,6173.134,,,,fee schedule,,4519.935878,,,,fee schedule,,4304.700836,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,inpatient,,,,,,7370.71052,9664.897,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9049.8581,,,,fee schedule,,8786.27,,,,fee schedule,,9664.897,,,,fee schedule,,9664.897,,,,fee schedule,,7739.246046,,,,fee schedule,,7370.71052,,,,fee schedule,,
THYROID DISORDERS,427,APR-DRG,,,,,inpatient,,,,,,9139.31932,20084.977,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18806.8421,,,,fee schedule,,18259.07,,,,fee schedule,,20084.977,,,,fee schedule,,20084.977,,,,fee schedule,,9596.285286,,,,fee schedule,,9139.31932,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,inpatient,,,,,,13909.50991,40618.941,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38034.0993,,,,fee schedule,,36926.31,,,,fee schedule,,40618.941,,,,fee schedule,,40618.941,,,,fee schedule,,14604.98541,,,,fee schedule,,13909.50991,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,inpatient,,,,,,13909.50991,44030.228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41228.3044,,,,fee schedule,,40027.48,,,,fee schedule,,44030.228,,,,fee schedule,,44030.228,,,,fee schedule,,14604.98541,,,,fee schedule,,13909.50991,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,inpatient,,,,,,24804.14012,50373.807,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47168.2011,,,,fee schedule,,45794.37,,,,fee schedule,,50373.807,,,,fee schedule,,50373.807,,,,fee schedule,,26044.34713,,,,fee schedule,,24804.14012,,,,fee schedule,,
KIDNEY TRANSPLANT,440,APR-DRG,,,,,inpatient,,,,,,24804.14012,83121.467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77831.9191,,,,fee schedule,,75564.97,,,,fee schedule,,83121.467,,,,fee schedule,,83121.467,,,,fee schedule,,26044.34713,,,,fee schedule,,24804.14012,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,inpatient,,,,,,11085.43,14341.02054,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11417.9929,,,,fee schedule,,11085.43,,,,fee schedule,,12193.973,,,,fee schedule,,12193.973,,,,fee schedule,,14341.02054,,,,fee schedule,,13658.1148,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,inpatient,,,,,,13658.1148,19787.482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18528.2786,,,,fee schedule,,17988.62,,,,fee schedule,,19787.482,,,,fee schedule,,19787.482,,,,fee schedule,,14341.02054,,,,fee schedule,,13658.1148,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,inpatient,,,,,,18121.32544,26501.937,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24815.4501,,,,fee schedule,,24092.67,,,,fee schedule,,26501.937,,,,fee schedule,,26501.937,,,,fee schedule,,19027.39171,,,,fee schedule,,18121.32544,,,,fee schedule,,
MAJOR BLADDER PROCEDURES,441,APR-DRG,,,,,inpatient,,,,,,27560.01162,49086.774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45963.0702,,,,fee schedule,,44624.34,,,,fee schedule,,49086.774,,,,fee schedule,,49086.774,,,,fee schedule,,28938.0122,,,,fee schedule,,27560.01162,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,inpatient,,,,,,8464.721392,12137.158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11364.7934,,,,fee schedule,,11033.78,,,,fee schedule,,12137.158,,,,fee schedule,,12137.158,,,,fee schedule,,8887.957462,,,,fee schedule,,8464.721392,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,inpatient,,,,,,9613.685466,14088.602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13192.0546,,,,fee schedule,,12807.82,,,,fee schedule,,14088.602,,,,fee schedule,,14088.602,,,,fee schedule,,10094.36974,,,,fee schedule,,9613.685466,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,inpatient,,,,,,14569.57998,21501.403,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20133.1319,,,,fee schedule,,19546.73,,,,fee schedule,,21501.403,,,,fee schedule,,21501.403,,,,fee schedule,,15298.05898,,,,fee schedule,,14569.57998,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442,APR-DRG,,,,,inpatient,,,,,,21999.00023,39291.681,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36791.3013,,,,fee schedule,,35719.71,,,,fee schedule,,39291.681,,,,fee schedule,,39291.681,,,,fee schedule,,23098.95025,,,,fee schedule,,21999.00023,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,inpatient,,,,,,7341.023158,11074.239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10369.5147,,,,fee schedule,,10067.49,,,,fee schedule,,11074.239,,,,fee schedule,,11074.239,,,,fee schedule,,7708.074316,,,,fee schedule,,7341.023158,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,inpatient,,,,,,8073.732518,12838.661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12021.6553,,,,fee schedule,,11671.51,,,,fee schedule,,12838.661,,,,fee schedule,,12838.661,,,,fee schedule,,8477.419144,,,,fee schedule,,8073.732518,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,inpatient,,,,,,15315.55391,18886.329,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17684.4717,,,,fee schedule,,17169.39,,,,fee schedule,,18886.329,,,,fee schedule,,18886.329,,,,fee schedule,,16081.3316,,,,fee schedule,,15315.55391,,,,fee schedule,,
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443,APR-DRG,,,,,inpatient,,,,,,15315.55391,34937.419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32714.1287,,,,fee schedule,,31761.29,,,,fee schedule,,34937.419,,,,fee schedule,,34937.419,,,,fee schedule,,16081.3316,,,,fee schedule,,15315.55391,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,inpatient,,,,,,8519.41,9371.351,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8774.9923,,,,fee schedule,,8519.41,,,,fee schedule,,9371.351,,,,fee schedule,,9371.351,,,,fee schedule,,8985.452022,,,,fee schedule,,8557.573354,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,inpatient,,,,,,8557.573354,13724.029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12850.6817,,,,fee schedule,,12476.39,,,,fee schedule,,13724.029,,,,fee schedule,,13724.029,,,,fee schedule,,8985.452022,,,,fee schedule,,8557.573354,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,inpatient,,,,,,12468.09374,20355.632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19060.2736,,,,fee schedule,,18505.12,,,,fee schedule,,20355.632,,,,fee schedule,,20355.632,,,,fee schedule,,13091.49843,,,,fee schedule,,12468.09374,,,,fee schedule,,
RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444,APR-DRG,,,,,inpatient,,,,,,21381.25045,36354.648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34041.1704,,,,fee schedule,,33049.68,,,,fee schedule,,36354.648,,,,fee schedule,,36354.648,,,,fee schedule,,22450.31297,,,,fee schedule,,21381.25045,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,inpatient,,,,,,6099.838768,9178.026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8593.9698,,,,fee schedule,,8343.66,,,,fee schedule,,9178.026,,,,fee schedule,,9178.026,,,,fee schedule,,6404.830706,,,,fee schedule,,6099.838768,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,inpatient,,,,,,10304.93,11335.423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10614.0779,,,,fee schedule,,10304.93,,,,fee schedule,,11335.423,,,,fee schedule,,11335.423,,,,fee schedule,,10838.51189,,,,fee schedule,,10322.39228,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,inpatient,,,,,,12426.4051,16455.109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15407.9657,,,,fee schedule,,14959.19,,,,fee schedule,,16455.109,,,,fee schedule,,16455.109,,,,fee schedule,,13047.72536,,,,fee schedule,,12426.4051,,,,fee schedule,,
OTHER BLADDER PROCEDURES,445,APR-DRG,,,,,inpatient,,,,,,12426.4051,31018.746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29044.8258,,,,fee schedule,,28198.86,,,,fee schedule,,31018.746,,,,fee schedule,,31018.746,,,,fee schedule,,13047.72536,,,,fee schedule,,12426.4051,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,inpatient,,,,,,4610.4175,7935.191,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7430.2243,,,,fee schedule,,7213.81,,,,fee schedule,,7935.191,,,,fee schedule,,7935.191,,,,fee schedule,,4840.938375,,,,fee schedule,,4610.4175,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,inpatient,,,,,,5695.585328,9425.801,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8825.9773,,,,fee schedule,,8568.91,,,,fee schedule,,9425.801,,,,fee schedule,,9425.801,,,,fee schedule,,5980.364594,,,,fee schedule,,5695.585328,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,inpatient,,,,,,9998.989526,15269.089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14297.4197,,,,fee schedule,,13880.99,,,,fee schedule,,15269.089,,,,fee schedule,,15269.089,,,,fee schedule,,10498.939,,,,fee schedule,,9998.989526,,,,fee schedule,,
URETHRAL AND TRANSURETHRAL PROCEDURES,446,APR-DRG,,,,,inpatient,,,,,,15361.03242,27973.605,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26193.4665,,,,fee schedule,,25430.55,,,,fee schedule,,27973.605,,,,fee schedule,,27973.605,,,,fee schedule,,16129.08404,,,,fee schedule,,15361.03242,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,inpatient,,,,,,8735.06588,11563.475,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10827.6175,,,,fee schedule,,10512.25,,,,fee schedule,,11563.475,,,,fee schedule,,11563.475,,,,fee schedule,,9171.819174,,,,fee schedule,,8735.06588,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,inpatient,,,,,,8735.06588,13900.788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13016.1924,,,,fee schedule,,12637.08,,,,fee schedule,,13900.788,,,,fee schedule,,13900.788,,,,fee schedule,,9171.819174,,,,fee schedule,,8735.06588,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,inpatient,,,,,,11598.94884,20109.43,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18829.739,,,,fee schedule,,18281.3,,,,fee schedule,,20109.43,,,,fee schedule,,20109.43,,,,fee schedule,,12178.89629,,,,fee schedule,,11598.94884,,,,fee schedule,,
"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447,APR-DRG,,,,,inpatient,,,,,,30017.11456,39745.409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37216.1557,,,,fee schedule,,36132.19,,,,fee schedule,,39745.409,,,,fee schedule,,39745.409,,,,fee schedule,,31517.97029,,,,fee schedule,,30017.11456,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,inpatient,,,,,,5984.97,6583.467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6164.5191,,,,fee schedule,,5984.97,,,,fee schedule,,6583.467,,,,fee schedule,,6583.467,,,,fee schedule,,6531.507312,,,,fee schedule,,6220.483154,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,inpatient,,,,,,6220.483154,7546.165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7065.9545,,,,fee schedule,,6860.15,,,,fee schedule,,7546.165,,,,fee schedule,,7546.165,,,,fee schedule,,6531.507312,,,,fee schedule,,6220.483154,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,inpatient,,,,,,8580.944256,11452.21,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10723.433,,,,fee schedule,,10411.1,,,,fee schedule,,11452.21,,,,fee schedule,,11452.21,,,,fee schedule,,9009.991469,,,,fee schedule,,8580.944256,,,,fee schedule,,
KIDNEY AND URINARY TRACT MALIGNANCY,461,APR-DRG,,,,,inpatient,,,,,,8580.944256,18194.286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17036.4678,,,,fee schedule,,16540.26,,,,fee schedule,,18194.286,,,,fee schedule,,18194.286,,,,fee schedule,,9009.991469,,,,fee schedule,,8580.944256,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,inpatient,,,,,,4095.62601,4802.468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4496.8564,,,,fee schedule,,4365.88,,,,fee schedule,,4802.468,,,,fee schedule,,4802.468,,,,fee schedule,,4300.407311,,,,fee schedule,,4095.62601,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,inpatient,,,,,,6025.86,6628.446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6206.6358,,,,fee schedule,,6025.86,,,,fee schedule,,6628.446,,,,fee schedule,,6628.446,,,,fee schedule,,6376.975118,,,,fee schedule,,6073.309636,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,inpatient,,,,,,11210.96,12332.056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11547.2888,,,,fee schedule,,11210.96,,,,fee schedule,,12332.056,,,,fee schedule,,12332.056,,,,fee schedule,,12210.06802,,,,fee schedule,,11628.63621,,,,fee schedule,,
NEPHRITIS AND NEPHROSIS,462,APR-DRG,,,,,inpatient,,,,,,11628.63621,22632.973,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21192.6929,,,,fee schedule,,20575.43,,,,fee schedule,,22632.973,,,,fee schedule,,22632.973,,,,fee schedule,,12210.06802,,,,fee schedule,,11628.63621,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,inpatient,,,,,,3538.514238,4542.065,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4253.0245,,,,fee schedule,,4129.15,,,,fee schedule,,4542.065,,,,fee schedule,,4542.065,,,,fee schedule,,3715.43995,,,,fee schedule,,3538.514238,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,inpatient,,,,,,4335.65149,5367.461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5025.8953,,,,fee schedule,,4879.51,,,,fee schedule,,5367.461,,,,fee schedule,,5367.461,,,,fee schedule,,4552.434065,,,,fee schedule,,4335.65149,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,inpatient,,,,,,6051.833672,7456.207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6981.7211,,,,fee schedule,,6778.37,,,,fee schedule,,7456.207,,,,fee schedule,,7456.207,,,,fee schedule,,6354.425356,,,,fee schedule,,6051.833672,,,,fee schedule,,
KIDNEY AND URINARY TRACT INFECTIONS,463,APR-DRG,,,,,inpatient,,,,,,9271.96498,13204.015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12363.7595,,,,fee schedule,,12003.65,,,,fee schedule,,13204.015,,,,fee schedule,,13204.015,,,,fee schedule,,9735.563229,,,,fee schedule,,9271.96498,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,inpatient,,,,,,3656.000394,5009.213,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4690.4449,,,,fee schedule,,4553.83,,,,fee schedule,,5009.213,,,,fee schedule,,5009.213,,,,fee schedule,,3838.800414,,,,fee schedule,,3656.000394,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,inpatient,,,,,,4256.69574,5935.611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5557.8903,,,,fee schedule,,5396.01,,,,fee schedule,,5935.611,,,,fee schedule,,5935.611,,,,fee schedule,,4469.530527,,,,fee schedule,,4256.69574,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,inpatient,,,,,,6476.299784,9538.65,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8931.645,,,,fee schedule,,8671.5,,,,fee schedule,,9538.65,,,,fee schedule,,9538.65,,,,fee schedule,,6800.114773,,,,fee schedule,,6476.299784,,,,fee schedule,,
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465,APR-DRG,,,,,inpatient,,,,,,12778.23193,16642.912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15583.8176,,,,fee schedule,,15129.92,,,,fee schedule,,16642.912,,,,fee schedule,,16642.912,,,,fee schedule,,13417.14352,,,,fee schedule,,12778.23193,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,inpatient,,,,,,3543.567406,4452.107,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4168.7911,,,,fee schedule,,4047.37,,,,fee schedule,,4452.107,,,,fee schedule,,4452.107,,,,fee schedule,,3720.745776,,,,fee schedule,,3543.567406,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,inpatient,,,,,,4522.618706,5762.009,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5395.3357,,,,fee schedule,,5238.19,,,,fee schedule,,5762.009,,,,fee schedule,,5762.009,,,,fee schedule,,4748.749641,,,,fee schedule,,4522.618706,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,inpatient,,,,,,6245.748994,8673.797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8121.8281,,,,fee schedule,,7885.27,,,,fee schedule,,8673.797,,,,fee schedule,,8673.797,,,,fee schedule,,6558.036444,,,,fee schedule,,6245.748994,,,,fee schedule,,
"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466,APR-DRG,,,,,inpatient,,,,,,9264.385228,14247.211,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13340.5703,,,,fee schedule,,12952.01,,,,fee schedule,,14247.211,,,,fee schedule,,14247.211,,,,fee schedule,,9727.604489,,,,fee schedule,,9264.385228,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,inpatient,,,,,,4011.617092,4734.598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4433.3054,,,,fee schedule,,4304.18,,,,fee schedule,,4734.598,,,,fee schedule,,4734.598,,,,fee schedule,,4212.197947,,,,fee schedule,,4011.617092,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,inpatient,,,,,,4957.8228,6218.905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5823.1565,,,,fee schedule,,5653.55,,,,fee schedule,,6218.905,,,,fee schedule,,6218.905,,,,fee schedule,,5205.71394,,,,fee schedule,,4957.8228,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,inpatient,,,,,,6557.782118,9145.675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8563.6775,,,,fee schedule,,8314.25,,,,fee schedule,,9145.675,,,,fee schedule,,9145.675,,,,fee schedule,,6885.671224,,,,fee schedule,,6557.782118,,,,fee schedule,,
"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468,APR-DRG,,,,,inpatient,,,,,,15631.36,17427.02182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16100.3008,,,,fee schedule,,15631.36,,,,fee schedule,,17194.496,,,,fee schedule,,17194.496,,,,fee schedule,,17427.02182,,,,fee schedule,,16597.16364,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,inpatient,,,,,,3302.278634,4143.568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3879.8864,,,,fee schedule,,3766.88,,,,fee schedule,,4143.568,,,,fee schedule,,4143.568,,,,fee schedule,,3467.392566,,,,fee schedule,,3302.278634,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,inpatient,,,,,,4240.90459,5615.236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5257.9028,,,,fee schedule,,5104.76,,,,fee schedule,,5615.236,,,,fee schedule,,5615.236,,,,fee schedule,,4452.94982,,,,fee schedule,,4240.90459,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,inpatient,,,,,,6923.505152,9428.177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8828.2021,,,,fee schedule,,8571.07,,,,fee schedule,,9428.177,,,,fee schedule,,9428.177,,,,fee schedule,,7269.68041,,,,fee schedule,,6923.505152,,,,fee schedule,,
ACUTE KIDNEY INJURY,469,APR-DRG,,,,,inpatient,,,,,,12758.6509,19452.114,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18214.2522,,,,fee schedule,,17683.74,,,,fee schedule,,19452.114,,,,fee schedule,,19452.114,,,,fee schedule,,13396.58345,,,,fee schedule,,12758.6509,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,inpatient,,,,,,3827.85,4925.831597,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3942.6855,,,,fee schedule,,3827.85,,,,fee schedule,,4210.635,,,,fee schedule,,4210.635,,,,fee schedule,,4925.831597,,,,fee schedule,,4691.268188,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,inpatient,,,,,,4691.268188,5527.643,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5175.8839,,,,fee schedule,,5025.13,,,,fee schedule,,5527.643,,,,fee schedule,,5527.643,,,,fee schedule,,4925.831597,,,,fee schedule,,4691.268188,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,inpatient,,,,,,7650.529698,9007.581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8434.3713,,,,fee schedule,,8188.71,,,,fee schedule,,9007.581,,,,fee schedule,,9007.581,,,,fee schedule,,8033.056183,,,,fee schedule,,7650.529698,,,,fee schedule,,
CHRONIC KIDNEY DISEASE,470,APR-DRG,,,,,inpatient,,,,,,12562.20899,18636.189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17450.2497,,,,fee schedule,,16941.99,,,,fee schedule,,18636.189,,,,fee schedule,,18636.189,,,,fee schedule,,13190.31944,,,,fee schedule,,12562.20899,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,inpatient,,,,,,7851.393126,11609.246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10870.4758,,,,fee schedule,,10553.86,,,,fee schedule,,11609.246,,,,fee schedule,,11609.246,,,,fee schedule,,8243.962782,,,,fee schedule,,7851.393126,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,inpatient,,,,,,9760.858984,13066.713,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12235.1949,,,,fee schedule,,11878.83,,,,fee schedule,,13066.713,,,,fee schedule,,13066.713,,,,fee schedule,,10248.90193,,,,fee schedule,,9760.858984,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,inpatient,,,,,,9760.858984,22858.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21404.018,,,,fee schedule,,20780.6,,,,fee schedule,,22858.66,,,,fee schedule,,22858.66,,,,fee schedule,,10248.90193,,,,fee schedule,,9760.858984,,,,fee schedule,,
MAJOR MALE PELVIC PROCEDURES,480,APR-DRG,,,,,inpatient,,,,,,9760.858984,38063.047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35640.8531,,,,fee schedule,,34602.77,,,,fee schedule,,38063.047,,,,fee schedule,,38063.047,,,,fee schedule,,10248.90193,,,,fee schedule,,9760.858984,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,inpatient,,,,,,5238.90527,7088.488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6637.4024,,,,fee schedule,,6444.08,,,,fee schedule,,7088.488,,,,fee schedule,,7088.488,,,,fee schedule,,5500.850534,,,,fee schedule,,5238.90527,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,inpatient,,,,,,6287.43763,8730.612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8175.0276,,,,fee schedule,,7936.92,,,,fee schedule,,8730.612,,,,fee schedule,,8730.612,,,,fee schedule,,6601.809512,,,,fee schedule,,6287.43763,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,inpatient,,,,,,9997.726234,15859.338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14850.1074,,,,fee schedule,,14417.58,,,,fee schedule,,15859.338,,,,fee schedule,,15859.338,,,,fee schedule,,10497.61255,,,,fee schedule,,9997.726234,,,,fee schedule,,
TRANSURETHRAL PROSTATECTOMY,482,APR-DRG,,,,,inpatient,,,,,,9997.726234,27568.805,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25814.4265,,,,fee schedule,,25062.55,,,,fee schedule,,27568.805,,,,fee schedule,,27568.805,,,,fee schedule,,10497.61255,,,,fee schedule,,9997.726234,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,inpatient,,,,,,5304.596454,9674.368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9058.7264,,,,fee schedule,,8794.88,,,,fee schedule,,9674.368,,,,fee schedule,,9674.368,,,,fee schedule,,5569.826277,,,,fee schedule,,5304.596454,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,inpatient,,,,,,7629.053734,12295.767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11513.3091,,,,fee schedule,,11177.97,,,,fee schedule,,12295.767,,,,fee schedule,,12295.767,,,,fee schedule,,8010.506421,,,,fee schedule,,7629.053734,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,inpatient,,,,,,13545.05017,18449.959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17275.8707,,,,fee schedule,,16772.69,,,,fee schedule,,18449.959,,,,fee schedule,,18449.959,,,,fee schedule,,14222.30268,,,,fee schedule,,13545.05017,,,,fee schedule,,
"PENIS, TESTES AND SCROTAL PROCEDURES",483,APR-DRG,,,,,inpatient,,,,,,13545.05017,33936.056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31776.4888,,,,fee schedule,,30850.96,,,,fee schedule,,33936.056,,,,fee schedule,,33936.056,,,,fee schedule,,14222.30268,,,,fee schedule,,13545.05017,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,inpatient,,,,,,7886.133656,11013.475,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10312.6175,,,,fee schedule,,10012.25,,,,fee schedule,,11013.475,,,,fee schedule,,11013.475,,,,fee schedule,,8280.440339,,,,fee schedule,,7886.133656,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,inpatient,,,,,,7886.133656,12808.675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11993.5775,,,,fee schedule,,11644.25,,,,fee schedule,,12808.675,,,,fee schedule,,12808.675,,,,fee schedule,,8280.440339,,,,fee schedule,,7886.133656,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,inpatient,,,,,,10263.6492,15793.844,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14788.7812,,,,fee schedule,,14358.04,,,,fee schedule,,15793.844,,,,fee schedule,,15793.844,,,,fee schedule,,10776.83166,,,,fee schedule,,10263.6492,,,,fee schedule,,
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484,APR-DRG,,,,,inpatient,,,,,,10263.6492,34968.197,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32742.9481,,,,fee schedule,,31789.27,,,,fee schedule,,34968.197,,,,fee schedule,,34968.197,,,,fee schedule,,10776.83166,,,,fee schedule,,10263.6492,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,inpatient,,,,,,5820.651236,6787.847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6355.8931,,,,fee schedule,,6170.77,,,,fee schedule,,6787.847,,,,fee schedule,,6787.847,,,,fee schedule,,6111.683798,,,,fee schedule,,5820.651236,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,inpatient,,,,,,5820.651236,7112.952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6660.3096,,,,fee schedule,,6466.32,,,,fee schedule,,7112.952,,,,fee schedule,,7112.952,,,,fee schedule,,6111.683798,,,,fee schedule,,5820.651236,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,inpatient,,,,,,6793.386076,10696.257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10015.5861,,,,fee schedule,,9723.87,,,,fee schedule,,10696.257,,,,fee schedule,,10696.257,,,,fee schedule,,7133.05538,,,,fee schedule,,6793.386076,,,,fee schedule,,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500,APR-DRG,,,,,inpatient,,,,,,6793.386076,21425.657,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20062.2061,,,,fee schedule,,19477.87,,,,fee schedule,,21425.657,,,,fee schedule,,21425.657,,,,fee schedule,,7133.05538,,,,fee schedule,,6793.386076,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,inpatient,,,,,,3371.759694,4599.661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4306.9553,,,,fee schedule,,4181.51,,,,fee schedule,,4599.661,,,,fee schedule,,4599.661,,,,fee schedule,,3540.347679,,,,fee schedule,,3371.759694,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,inpatient,,,,,,4583.888368,5967.181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5587.4513,,,,fee schedule,,5424.71,,,,fee schedule,,5967.181,,,,fee schedule,,5967.181,,,,fee schedule,,4813.082786,,,,fee schedule,,4583.888368,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,inpatient,,,,,,6680.321442,8962.602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8392.2546,,,,fee schedule,,8147.82,,,,fee schedule,,8962.602,,,,fee schedule,,8962.602,,,,fee schedule,,7014.337514,,,,fee schedule,,6680.321442,,,,fee schedule,,
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501,APR-DRG,,,,,inpatient,,,,,,10266.17578,17844.717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16709.1441,,,,fee schedule,,16222.47,,,,fee schedule,,17844.717,,,,fee schedule,,17844.717,,,,fee schedule,,10779.48457,,,,fee schedule,,10266.17578,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,inpatient,,,,,,5643.15871,11919.358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11160.8534,,,,fee schedule,,10835.78,,,,fee schedule,,11919.358,,,,fee schedule,,11919.358,,,,fee schedule,,5925.316646,,,,fee schedule,,5643.15871,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,inpatient,,,,,,9442.5094,14127.267,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13228.2591,,,,fee schedule,,12842.97,,,,fee schedule,,14127.267,,,,fee schedule,,14127.267,,,,fee schedule,,9914.63487,,,,fee schedule,,9442.5094,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,inpatient,,,,,,9442.5094,24820.367,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23240.8891,,,,fee schedule,,22563.97,,,,fee schedule,,24820.367,,,,fee schedule,,24820.367,,,,fee schedule,,9914.63487,,,,fee schedule,,9442.5094,,,,fee schedule,,
"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510,APR-DRG,,,,,inpatient,,,,,,9442.5094,46650.824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43682.1352,,,,fee schedule,,42409.84,,,,fee schedule,,46650.824,,,,fee schedule,,46650.824,,,,fee schedule,,9914.63487,,,,fee schedule,,9442.5094,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,inpatient,,,,,,8081.943916,12362.834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11576.1082,,,,fee schedule,,11238.94,,,,fee schedule,,12362.834,,,,fee schedule,,12362.834,,,,fee schedule,,8486.041112,,,,fee schedule,,8081.943916,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,inpatient,,,,,,9798.757744,15054.457,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14096.4461,,,,fee schedule,,13685.87,,,,fee schedule,,15054.457,,,,fee schedule,,15054.457,,,,fee schedule,,10288.69563,,,,fee schedule,,9798.757744,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,inpatient,,,,,,14378.82289,22437.283,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21009.4559,,,,fee schedule,,20397.53,,,,fee schedule,,22437.283,,,,fee schedule,,22437.283,,,,fee schedule,,15097.76403,,,,fee schedule,,14378.82289,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511,APR-DRG,,,,,inpatient,,,,,,14378.82289,44450.813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41622.1249,,,,fee schedule,,40409.83,,,,fee schedule,,44450.813,,,,fee schedule,,44450.813,,,,fee schedule,,15097.76403,,,,fee schedule,,14378.82289,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,inpatient,,,,,,7816.652596,11919.358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11160.8534,,,,fee schedule,,10835.78,,,,fee schedule,,11919.358,,,,fee schedule,,11919.358,,,,fee schedule,,8207.485226,,,,fee schedule,,7816.652596,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,inpatient,,,,,,8667.479758,13418.647,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12564.7331,,,,fee schedule,,12198.77,,,,fee schedule,,13418.647,,,,fee schedule,,13418.647,,,,fee schedule,,9100.853746,,,,fee schedule,,8667.479758,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,inpatient,,,,,,10599.05323,22489.357,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21058.2161,,,,fee schedule,,20444.87,,,,fee schedule,,22489.357,,,,fee schedule,,22489.357,,,,fee schedule,,11129.00589,,,,fee schedule,,10599.05323,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512,APR-DRG,,,,,inpatient,,,,,,10599.05323,39319.291,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36817.1543,,,,fee schedule,,35744.81,,,,fee schedule,,39319.291,,,,fee schedule,,39319.291,,,,fee schedule,,11129.00589,,,,fee schedule,,10599.05323,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,inpatient,,,,,,5586.942216,8877.385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8312.4605,,,,fee schedule,,8070.35,,,,fee schedule,,8877.385,,,,fee schedule,,8877.385,,,,fee schedule,,5866.289327,,,,fee schedule,,5586.942216,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,inpatient,,,,,,6520.515004,10550.276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9878.8948,,,,fee schedule,,9591.16,,,,fee schedule,,10550.276,,,,fee schedule,,10550.276,,,,fee schedule,,6846.540754,,,,fee schedule,,6520.515004,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,inpatient,,,,,,9926.981882,17237.11,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16140.203,,,,fee schedule,,15670.1,,,,fee schedule,,17237.11,,,,fee schedule,,17237.11,,,,fee schedule,,10423.33098,,,,fee schedule,,9926.981882,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513,APR-DRG,,,,,inpatient,,,,,,12219.85686,30293.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28365.788,,,,fee schedule,,27539.6,,,,fee schedule,,30293.56,,,,fee schedule,,30293.56,,,,fee schedule,,12830.84971,,,,fee schedule,,12219.85686,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,inpatient,,,,,,4811.280928,7449.112,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6975.0776,,,,fee schedule,,6771.92,,,,fee schedule,,7449.112,,,,fee schedule,,7449.112,,,,fee schedule,,5051.844974,,,,fee schedule,,4811.280928,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,inpatient,,,,,,6856.550676,11372.515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10648.8095,,,,fee schedule,,10338.65,,,,fee schedule,,11372.515,,,,fee schedule,,11372.515,,,,fee schedule,,7199.37821,,,,fee schedule,,6856.550676,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,inpatient,,,,,,6856.550676,17589.836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16470.4828,,,,fee schedule,,15990.76,,,,fee schedule,,17589.836,,,,fee schedule,,17589.836,,,,fee schedule,,7199.37821,,,,fee schedule,,6856.550676,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514,APR-DRG,,,,,inpatient,,,,,,6856.550676,46836.262,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43855.7726,,,,fee schedule,,42578.42,,,,fee schedule,,46836.262,,,,fee schedule,,46836.262,,,,fee schedule,,7199.37821,,,,fee schedule,,6856.550676,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,inpatient,,,,,,4638.209924,6892.006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6453.4238,,,,fee schedule,,6265.46,,,,fee schedule,,6892.006,,,,fee schedule,,6892.006,,,,fee schedule,,4870.12042,,,,fee schedule,,4638.209924,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,inpatient,,,,,,5039.305134,8455.997,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7917.8881,,,,fee schedule,,7687.27,,,,fee schedule,,8455.997,,,,fee schedule,,8455.997,,,,fee schedule,,5291.270391,,,,fee schedule,,5039.305134,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,inpatient,,,,,,9178.481372,13428.91,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12574.343,,,,fee schedule,,12208.1,,,,fee schedule,,13428.91,,,,fee schedule,,13428.91,,,,fee schedule,,9637.405441,,,,fee schedule,,9178.481372,,,,fee schedule,,
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517,APR-DRG,,,,,inpatient,,,,,,9178.481372,23665.125,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22159.1625,,,,fee schedule,,21513.75,,,,fee schedule,,23665.125,,,,fee schedule,,23665.125,,,,fee schedule,,9637.405441,,,,fee schedule,,9178.481372,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,inpatient,,,,,,4834.65183,8215.328,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7692.5344,,,,fee schedule,,7468.48,,,,fee schedule,,8215.328,,,,fee schedule,,8215.328,,,,fee schedule,,5076.384422,,,,fee schedule,,4834.65183,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,inpatient,,,,,,6710.64045,11718.927,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10973.1771,,,,fee schedule,,10653.57,,,,fee schedule,,11718.927,,,,fee schedule,,11718.927,,,,fee schedule,,7046.172473,,,,fee schedule,,6710.64045,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,inpatient,,,,,,11604.00201,20582.892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19273.0716,,,,fee schedule,,18711.72,,,,fee schedule,,20582.892,,,,fee schedule,,20582.892,,,,fee schedule,,12184.20211,,,,fee schedule,,11604.00201,,,,fee schedule,,
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518,APR-DRG,,,,,inpatient,,,,,,11604.00201,43458.91,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40693.343,,,,fee schedule,,39508.1,,,,fee schedule,,43458.91,,,,fee schedule,,43458.91,,,,fee schedule,,12184.20211,,,,fee schedule,,11604.00201,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,inpatient,,,,,,5573.046004,8445.745,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7908.2885,,,,fee schedule,,7677.95,,,,fee schedule,,8445.745,,,,fee schedule,,8445.745,,,,fee schedule,,5851.698304,,,,fee schedule,,5573.046004,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,inpatient,,,,,,6847.075986,11029.26,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10327.398,,,,fee schedule,,10026.6,,,,fee schedule,,11029.26,,,,fee schedule,,11029.26,,,,fee schedule,,7189.429785,,,,fee schedule,,6847.075986,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,inpatient,,,,,,14504.52044,18927.359,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17722.8907,,,,fee schedule,,17206.69,,,,fee schedule,,18927.359,,,,fee schedule,,18927.359,,,,fee schedule,,15229.74647,,,,fee schedule,,14504.52044,,,,fee schedule,,
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519,APR-DRG,,,,,inpatient,,,,,,14504.52044,36808.376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34466.0248,,,,fee schedule,,33462.16,,,,fee schedule,,36808.376,,,,fee schedule,,36808.376,,,,fee schedule,,15229.74647,,,,fee schedule,,14504.52044,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,inpatient,,,,,,4230.798254,6141.564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5750.7372,,,,fee schedule,,5583.24,,,,fee schedule,,6141.564,,,,fee schedule,,6141.564,,,,fee schedule,,4442.338167,,,,fee schedule,,4230.798254,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,inpatient,,,,,,4971.719012,7469.627,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6994.2871,,,,fee schedule,,6790.57,,,,fee schedule,,7469.627,,,,fee schedule,,7469.627,,,,fee schedule,,5220.304963,,,,fee schedule,,4971.719012,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,inpatient,,,,,,7079.521714,11377.245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10653.2385,,,,fee schedule,,10342.95,,,,fee schedule,,11377.245,,,,fee schedule,,11377.245,,,,fee schedule,,7433.4978,,,,fee schedule,,7079.521714,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530,APR-DRG,,,,,inpatient,,,,,,13019.5207,20268.039,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18978.2547,,,,fee schedule,,18425.49,,,,fee schedule,,20268.039,,,,fee schedule,,20268.039,,,,fee schedule,,13670.49673,,,,fee schedule,,13019.5207,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,inpatient,,,,,,3479.139514,4596.515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4304.0095,,,,fee schedule,,4178.65,,,,fee schedule,,4596.515,,,,fee schedule,,4596.515,,,,fee schedule,,3653.09649,,,,fee schedule,,3479.139514,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,inpatient,,,,,,4180.266574,5975.86,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5595.578,,,,fee schedule,,5432.6,,,,fee schedule,,5975.86,,,,fee schedule,,5975.86,,,,fee schedule,,4389.279903,,,,fee schedule,,4180.266574,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,inpatient,,,,,,7398.502944,9941.085,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9308.4705,,,,fee schedule,,9037.35,,,,fee schedule,,9941.085,,,,fee schedule,,9941.085,,,,fee schedule,,7768.428091,,,,fee schedule,,7398.502944,,,,fee schedule,,
FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531,APR-DRG,,,,,inpatient,,,,,,7398.502944,17439.114,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16329.3522,,,,fee schedule,,15853.74,,,,fee schedule,,17439.114,,,,fee schedule,,17439.114,,,,fee schedule,,7768.428091,,,,fee schedule,,7398.502944,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,inpatient,,,,,,3503.142062,4437.906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4155.4938,,,,fee schedule,,4034.46,,,,fee schedule,,4437.906,,,,fee schedule,,4437.906,,,,fee schedule,,3678.299165,,,,fee schedule,,3503.142062,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,inpatient,,,,,,3994.56265,5322.482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4983.7786,,,,fee schedule,,4838.62,,,,fee schedule,,5322.482,,,,fee schedule,,5322.482,,,,fee schedule,,4194.290783,,,,fee schedule,,3994.56265,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,inpatient,,,,,,4950.874694,7991.225,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7482.6925,,,,fee schedule,,7264.75,,,,fee schedule,,7991.225,,,,fee schedule,,7991.225,,,,fee schedule,,5198.418429,,,,fee schedule,,4950.874694,,,,fee schedule,,
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532,APR-DRG,,,,,inpatient,,,,,,4950.874694,16347.793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15307.4789,,,,fee schedule,,14861.63,,,,fee schedule,,16347.793,,,,fee schedule,,16347.793,,,,fee schedule,,5198.418429,,,,fee schedule,,4950.874694,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,inpatient,,,,,,4614.09,5075.499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4752.5127,,,,fee schedule,,4614.09,,,,fee schedule,,5075.499,,,,fee schedule,,5075.499,,,,fee schedule,,4940.42262,,,,fee schedule,,4705.1644,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,inpatient,,,,,,5178.8989,6086.333,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5699.0209,,,,fee schedule,,5533.03,,,,fee schedule,,6086.333,,,,fee schedule,,6086.333,,,,fee schedule,,5437.843845,,,,fee schedule,,5178.8989,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,inpatient,,,,,,7037.833078,9775.381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9153.3113,,,,fee schedule,,8886.71,,,,fee schedule,,9775.381,,,,fee schedule,,9775.381,,,,fee schedule,,7389.724732,,,,fee schedule,,7037.833078,,,,fee schedule,,
CESAREAN SECTION WITH STERILIZATION,539,APR-DRG,,,,,inpatient,,,,,,11974.14657,24698.058,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23126.3634,,,,fee schedule,,22452.78,,,,fee schedule,,24698.058,,,,fee schedule,,24698.058,,,,fee schedule,,12572.8539,,,,fee schedule,,11974.14657,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,inpatient,,,,,,4453.769292,5009.994,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4691.1762,,,,fee schedule,,4554.54,,,,fee schedule,,5009.994,,,,fee schedule,,5009.994,,,,fee schedule,,4676.457757,,,,fee schedule,,4453.769292,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,inpatient,,,,,,5282.488844,6244.942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5847.5366,,,,fee schedule,,5677.22,,,,fee schedule,,6244.942,,,,fee schedule,,6244.942,,,,fee schedule,,5546.613286,,,,fee schedule,,5282.488844,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,inpatient,,,,,,6222.378092,8572.784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8027.2432,,,,fee schedule,,7793.44,,,,fee schedule,,8572.784,,,,fee schedule,,8572.784,,,,fee schedule,,6533.496997,,,,fee schedule,,6222.378092,,,,fee schedule,,
CESAREAN SECTION WITHOUT STERILIZATION,540,APR-DRG,,,,,inpatient,,,,,,10467.03921,17914.941,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16774.8993,,,,fee schedule,,16286.31,,,,fee schedule,,17914.941,,,,fee schedule,,17914.941,,,,fee schedule,,10990.39117,,,,fee schedule,,10467.03921,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,inpatient,,,,,,4560.28,5016.308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4697.0884,,,,fee schedule,,4560.28,,,,fee schedule,,5016.308,,,,fee schedule,,5016.308,,,,fee schedule,,4936.44325,,,,fee schedule,,4701.374524,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,inpatient,,,,,,4767.6,5298.565902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4910.628,,,,fee schedule,,4767.6,,,,fee schedule,,5244.36,,,,fee schedule,,5244.36,,,,fee schedule,,5298.565902,,,,fee schedule,,5046.25324,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,inpatient,,,,,,5750.53853,7157.139,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6701.6847,,,,fee schedule,,6506.49,,,,fee schedule,,7157.139,,,,fee schedule,,7157.139,,,,fee schedule,,6038.065457,,,,fee schedule,,5750.53853,,,,fee schedule,,
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541,APR-DRG,,,,,inpatient,,,,,,7182.480012,12025.893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11260.6089,,,,fee schedule,,10932.63,,,,fee schedule,,12025.893,,,,fee schedule,,12025.893,,,,fee schedule,,7541.604013,,,,fee schedule,,7182.480012,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,inpatient,,,,,,3066.01,4166.435194,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3157.9903,,,,fee schedule,,3066.01,,,,fee schedule,,3372.611,,,,fee schedule,,3372.611,,,,fee schedule,,4166.435194,,,,fee schedule,,3968.033518,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,inpatient,,,,,,3665.01,4624.725949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3774.9603,,,,fee schedule,,3665.01,,,,fee schedule,,4031.511,,,,fee schedule,,4031.511,,,,fee schedule,,4624.725949,,,,fee schedule,,4404.500904,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,inpatient,,,,,,5640.632126,6817.822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6383.9606,,,,fee schedule,,6198.02,,,,fee schedule,,6817.822,,,,fee schedule,,6817.822,,,,fee schedule,,5922.663732,,,,fee schedule,,5640.632126,,,,fee schedule,,
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542,APR-DRG,,,,,inpatient,,,,,,12913.40417,21006.645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19669.8585,,,,fee schedule,,19096.95,,,,fee schedule,,21006.645,,,,fee schedule,,21006.645,,,,fee schedule,,13559.07438,,,,fee schedule,,12913.40417,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,inpatient,,,,,,3048.988588,4736.974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4435.5302,,,,fee schedule,,4306.34,,,,fee schedule,,4736.974,,,,fee schedule,,4736.974,,,,fee schedule,,3201.438017,,,,fee schedule,,3048.988588,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,inpatient,,,,,,3832.229628,5981.382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5600.7486,,,,fee schedule,,5437.62,,,,fee schedule,,5981.382,,,,fee schedule,,5981.382,,,,fee schedule,,4023.841109,,,,fee schedule,,3832.229628,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,inpatient,,,,,,4772.118876,9032.045,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8457.2785,,,,fee schedule,,8210.95,,,,fee schedule,,9032.045,,,,fee schedule,,9032.045,,,,fee schedule,,5010.72482,,,,fee schedule,,4772.118876,,,,fee schedule,,
"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543,APR-DRG,,,,,inpatient,,,,,,8355.446634,22112.959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20705.7707,,,,fee schedule,,20102.69,,,,fee schedule,,22112.959,,,,fee schedule,,22112.959,,,,fee schedule,,8773.218966,,,,fee schedule,,8355.446634,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,inpatient,,,,,,4587.046598,6287.556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5887.4388,,,,fee schedule,,5715.96,,,,fee schedule,,6287.556,,,,fee schedule,,6287.556,,,,fee schedule,,4816.398928,,,,fee schedule,,4587.046598,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,inpatient,,,,,,5603.996658,8591.726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8044.9798,,,,fee schedule,,7810.66,,,,fee schedule,,8591.726,,,,fee schedule,,8591.726,,,,fee schedule,,5884.196491,,,,fee schedule,,5603.996658,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,inpatient,,,,,,8472.93279,14056.24,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13161.752,,,,fee schedule,,12778.4,,,,fee schedule,,14056.24,,,,fee schedule,,14056.24,,,,fee schedule,,8896.57943,,,,fee schedule,,8472.93279,,,,fee schedule,,
ANTEPARTUM WITH O.R. PROCEDURE,547,APR-DRG,,,,,inpatient,,,,,,14030.1543,24988.447,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23398.2731,,,,fee schedule,,22716.77,,,,fee schedule,,24988.447,,,,fee schedule,,24988.447,,,,fee schedule,,14731.66201,,,,fee schedule,,14030.1543,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,inpatient,,,,,,3273.854564,4301.385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4027.6605,,,,fee schedule,,3910.35,,,,fee schedule,,4301.385,,,,fee schedule,,4301.385,,,,fee schedule,,3437.547292,,,,fee schedule,,3273.854564,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,inpatient,,,,,,5046.25324,8338.429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7807.8017,,,,fee schedule,,7580.39,,,,fee schedule,,8338.429,,,,fee schedule,,8338.429,,,,fee schedule,,5298.565902,,,,fee schedule,,5046.25324,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,inpatient,,,,,,9437.456232,14158.826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13257.8098,,,,fee schedule,,12871.66,,,,fee schedule,,14158.826,,,,fee schedule,,14158.826,,,,fee schedule,,9909.329044,,,,fee schedule,,9437.456232,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548,APR-DRG,,,,,inpatient,,,,,,18769.39424,31906.49,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29876.077,,,,fee schedule,,29005.9,,,,fee schedule,,31906.49,,,,fee schedule,,31906.49,,,,fee schedule,,19707.86395,,,,fee schedule,,18769.39424,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,inpatient,,,,,,2706.61,3826.199076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2787.8083,,,,fee schedule,,2706.61,,,,fee schedule,,2977.271,,,,fee schedule,,2977.271,,,,fee schedule,,3826.199076,,,,fee schedule,,3643.99912,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,inpatient,,,,,,3068.88,4161.129368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3160.9464,,,,fee schedule,,3068.88,,,,fee schedule,,3375.768,,,,fee schedule,,3375.768,,,,fee schedule,,4161.129368,,,,fee schedule,,3962.98035,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,inpatient,,,,,,4373.77,4892.670182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4504.9831,,,,fee schedule,,4373.77,,,,fee schedule,,4811.147,,,,fee schedule,,4811.147,,,,fee schedule,,4892.670182,,,,fee schedule,,4659.685888,,,,fee schedule,,
VAGINAL DELIVERY,560,APR-DRG,,,,,inpatient,,,,,,6565.993516,9209.596,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8623.5308,,,,fee schedule,,8372.36,,,,fee schedule,,9209.596,,,,fee schedule,,9209.596,,,,fee schedule,,6894.293192,,,,fee schedule,,6565.993516,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,inpatient,,,,,,2122.68,2530.250978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2186.3604,,,,fee schedule,,2122.68,,,,fee schedule,,2334.948,,,,fee schedule,,2334.948,,,,fee schedule,,2530.250978,,,,fee schedule,,2409.762836,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,inpatient,,,,,,3177.212726,3668.533,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3435.0809,,,,fee schedule,,3335.03,,,,fee schedule,,3668.533,,,,fee schedule,,3668.533,,,,fee schedule,,3336.073362,,,,fee schedule,,3177.212726,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,inpatient,,,,,,4206.795706,6110.797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5721.9281,,,,fee schedule,,5555.27,,,,fee schedule,,6110.797,,,,fee schedule,,6110.797,,,,fee schedule,,4417.135491,,,,fee schedule,,4206.795706,,,,fee schedule,,
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561,APR-DRG,,,,,inpatient,,,,,,7457.877668,14590.466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13661.9818,,,,fee schedule,,13264.06,,,,fee schedule,,14590.466,,,,fee schedule,,14590.466,,,,fee schedule,,7830.771551,,,,fee schedule,,7457.877668,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,inpatient,,,,,,2595.42,2854.962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2673.2826,,,,fee schedule,,2595.42,,,,fee schedule,,2854.962,,,,fee schedule,,2854.962,,,,fee schedule,,2780.288047,,,,fee schedule,,2647.893378,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,inpatient,,,,,,3277.64444,3934.458,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3684.0834,,,,fee schedule,,3576.78,,,,fee schedule,,3934.458,,,,fee schedule,,3934.458,,,,fee schedule,,3441.526662,,,,fee schedule,,3277.64444,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,inpatient,,,,,,5746.8,6321.48,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5919.204,,,,fee schedule,,5746.8,,,,fee schedule,,6321.48,,,,fee schedule,,6321.48,,,,fee schedule,,6253.614654,,,,fee schedule,,5955.82348,,,,fee schedule,,
"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564,APR-DRG,,,,,inpatient,,,,,,5955.82348,21297.034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19941.7682,,,,fee schedule,,19360.94,,,,fee schedule,,21297.034,,,,fee schedule,,21297.034,,,,fee schedule,,6253.614654,,,,fee schedule,,5955.82348,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,inpatient,,,,,,2294.13,2815.439147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2362.9539,,,,fee schedule,,2294.13,,,,fee schedule,,2523.543,,,,fee schedule,,2523.543,,,,fee schedule,,2815.439147,,,,fee schedule,,2681.370616,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,inpatient,,,,,,3078.21,3426.935639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3170.5563,,,,fee schedule,,3078.21,,,,fee schedule,,3386.031,,,,fee schedule,,3386.031,,,,fee schedule,,3426.935639,,,,fee schedule,,3263.748228,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,inpatient,,,,,,3890.972706,5360.355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5019.2415,,,,fee schedule,,4873.05,,,,fee schedule,,5360.355,,,,fee schedule,,5360.355,,,,fee schedule,,4085.521341,,,,fee schedule,,3890.972706,,,,fee schedule,,
ANTEPARTUM WITHOUT O.R. PROCEDURE,566,APR-DRG,,,,,inpatient,,,,,,9018.674934,11113.685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10406.4505,,,,fee schedule,,10103.35,,,,fee schedule,,11113.685,,,,fee schedule,,11113.685,,,,fee schedule,,9469.608681,,,,fee schedule,,9018.674934,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,inpatient,,,,,,2441.19,2798.858439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2514.4257,,,,fee schedule,,2441.19,,,,fee schedule,,2685.309,,,,fee schedule,,2685.309,,,,fee schedule,,2798.858439,,,,fee schedule,,2665.579466,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,inpatient,,,,,,2836.755532,3973.915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3721.0295,,,,fee schedule,,3612.65,,,,fee schedule,,3973.915,,,,fee schedule,,3973.915,,,,fee schedule,,2978.593309,,,,fee schedule,,2836.755532,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,inpatient,,,,,,3954.768952,6448.53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6038.169,,,,fee schedule,,5862.3,,,,fee schedule,,6448.53,,,,fee schedule,,6448.53,,,,fee schedule,,4152.5074,,,,fee schedule,,3954.768952,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580,APR-DRG,,,,,inpatient,,,,,,3954.768952,10122.585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9478.4205,,,,fee schedule,,9202.35,,,,fee schedule,,10122.585,,,,fee schedule,,10122.585,,,,fee schedule,,4152.5074,,,,fee schedule,,3954.768952,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,inpatient,,,,,,821.38,1334.450353,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,846.0214,,,,fee schedule,,821.38,,,,fee schedule,,903.518,,,,fee schedule,,903.518,,,,fee schedule,,1334.450353,,,,fee schedule,,1270.905098,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,inpatient,,,,,,1327.84,1617.648837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1367.6752,,,,fee schedule,,1327.84,,,,fee schedule,,1460.624,,,,fee schedule,,1460.624,,,,fee schedule,,1617.648837,,,,fee schedule,,1540.61794,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,inpatient,,,,,,1654.31422,2503.82,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2344.486,,,,fee schedule,,2276.2,,,,fee schedule,,2503.82,,,,fee schedule,,2503.82,,,,fee schedule,,1737.029931,,,,fee schedule,,1654.31422,,,,fee schedule,,
"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581,APR-DRG,,,,,inpatient,,,,,,2086.99173,4631.231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4336.5163,,,,fee schedule,,4210.21,,,,fee schedule,,4631.231,,,,fee schedule,,4631.231,,,,fee schedule,,2191.341317,,,,fee schedule,,2086.99173,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,inpatient,,,,,,148245.42,224261.3995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152692.7826,,,,fee schedule,,148245.42,,,,fee schedule,,163069.962,,,,fee schedule,,163069.962,,,,fee schedule,,224261.3995,,,,fee schedule,,213582.2852,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,inpatient,,,,,,203951.61,224346.771,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,210070.1583,,,,fee schedule,,203951.61,,,,fee schedule,,224346.771,,,,fee schedule,,224346.771,,,,fee schedule,,224261.3995,,,,fee schedule,,213582.2852,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,inpatient,,,,,,224504.7078,292188.094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273594.3062,,,,fee schedule,,265625.54,,,,fee schedule,,292188.094,,,,fee schedule,,292188.094,,,,fee schedule,,235729.9432,,,,fee schedule,,224504.7078,,,,fee schedule,,
NEONATE WITH ECMO,583,APR-DRG,,,,,inpatient,,,,,,224504.7078,451024.541,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,422322.9793,,,,fee schedule,,410022.31,,,,fee schedule,,451024.541,,,,fee schedule,,451024.541,,,,fee schedule,,235729.9432,,,,fee schedule,,224504.7078,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,inpatient,,,,,,111849.3804,143932.701,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134773.3473,,,,fee schedule,,130847.91,,,,fee schedule,,143932.701,,,,fee schedule,,143932.701,,,,fee schedule,,117441.8495,,,,fee schedule,,111849.3804,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,inpatient,,,,,,111849.3804,167920.566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157234.7118,,,,fee schedule,,152655.06,,,,fee schedule,,167920.566,,,,fee schedule,,167920.566,,,,fee schedule,,117441.8495,,,,fee schedule,,111849.3804,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,inpatient,,,,,,117553.1438,191367.11,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,179189.203,,,,fee schedule,,173970.1,,,,fee schedule,,191367.11,,,,fee schedule,,191367.11,,,,fee schedule,,123430.801,,,,fee schedule,,117553.1438,,,,fee schedule,,
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588,APR-DRG,,,,,inpatient,,,,,,232059.194,294242.124,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,275517.6252,,,,fee schedule,,267492.84,,,,fee schedule,,294242.124,,,,fee schedule,,294242.124,,,,fee schedule,,243662.1537,,,,fee schedule,,232059.194,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,inpatient,,,,,,48749.83998,114942.729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107628.1917,,,,fee schedule,,104493.39,,,,fee schedule,,114942.729,,,,fee schedule,,114942.729,,,,fee schedule,,51187.33198,,,,fee schedule,,48749.83998,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,inpatient,,,,,,48749.83998,111551.968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104453.2064,,,,fee schedule,,101410.88,,,,fee schedule,,111551.968,,,,fee schedule,,111551.968,,,,fee schedule,,51187.33198,,,,fee schedule,,48749.83998,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,inpatient,,,,,,51216.41761,109175.198,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102227.6854,,,,fee schedule,,99250.18,,,,fee schedule,,109175.198,,,,fee schedule,,109175.198,,,,fee schedule,,53777.23849,,,,fee schedule,,51216.41761,,,,fee schedule,,
"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE",589,APR-DRG,,,,,inpatient,,,,,,15495.78,53777.23849,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15960.6534,,,,fee schedule,,15495.78,,,,fee schedule,,17045.358,,,,fee schedule,,17045.358,,,,fee schedule,,53777.23849,,,,fee schedule,,51216.41761,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,inpatient,,,,,,42466.22557,63243.246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59218.6758,,,,fee schedule,,57493.86,,,,fee schedule,,63243.246,,,,fee schedule,,63243.246,,,,fee schedule,,44589.53685,,,,fee schedule,,42466.22557,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,inpatient,,,,,,42466.22557,105209.181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98514.0513,,,,fee schedule,,95644.71,,,,fee schedule,,105209.181,,,,fee schedule,,105209.181,,,,fee schedule,,44589.53685,,,,fee schedule,,42466.22557,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,inpatient,,,,,,56074.407,138740.426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129911.4898,,,,fee schedule,,126127.66,,,,fee schedule,,138740.426,,,,fee schedule,,138740.426,,,,fee schedule,,58878.12735,,,,fee schedule,,56074.407,,,,fee schedule,,
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591,APR-DRG,,,,,inpatient,,,,,,100694.5121,186921.317,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175026.3241,,,,fee schedule,,169928.47,,,,fee schedule,,186921.317,,,,fee schedule,,186921.317,,,,fee schedule,,105729.2377,,,,fee schedule,,100694.5121,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,inpatient,,,,,,19369.55,45482.24214,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19950.6365,,,,fee schedule,,19369.55,,,,fee schedule,,21306.505,,,,fee schedule,,21306.505,,,,fee schedule,,45482.24214,,,,fee schedule,,43316.42109,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,inpatient,,,,,,43316.42109,98454.477,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92189.1921,,,,fee schedule,,89504.07,,,,fee schedule,,98454.477,,,,fee schedule,,98454.477,,,,fee schedule,,45482.24214,,,,fee schedule,,43316.42109,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,inpatient,,,,,,68085.78733,120206.823,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112557.2979,,,,fee schedule,,109278.93,,,,fee schedule,,120206.823,,,,fee schedule,,120206.823,,,,fee schedule,,71490.0767,,,,fee schedule,,68085.78733,,,,fee schedule,,
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593,APR-DRG,,,,,inpatient,,,,,,108415.7528,173323.535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162293.8555,,,,fee schedule,,157566.85,,,,fee schedule,,173323.535,,,,fee schedule,,173323.535,,,,fee schedule,,113836.5404,,,,fee schedule,,108415.7528,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,inpatient,,,,,,19700.25,27519.36687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20291.2575,,,,fee schedule,,19700.25,,,,fee schedule,,21670.275,,,,fee schedule,,21670.275,,,,fee schedule,,27519.36687,,,,fee schedule,,26208.92082,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,inpatient,,,,,,44286.62934,73009.937,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68363.8501,,,,fee schedule,,66372.67,,,,fee schedule,,73009.937,,,,fee schedule,,73009.937,,,,fee schedule,,46500.96081,,,,fee schedule,,44286.62934,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,inpatient,,,,,,60286.85417,91296.546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85486.7658,,,,fee schedule,,82996.86,,,,fee schedule,,91296.546,,,,fee schedule,,91296.546,,,,fee schedule,,63301.19688,,,,fee schedule,,60286.85417,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602,APR-DRG,,,,,inpatient,,,,,,74413.61696,128706.226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120515.8298,,,,fee schedule,,117005.66,,,,fee schedule,,128706.226,,,,fee schedule,,128706.226,,,,fee schedule,,78134.29781,,,,fee schedule,,74413.61696,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,inpatient,,,,,,16547.44,20104.47447,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17043.8632,,,,fee schedule,,16547.44,,,,fee schedule,,18202.184,,,,fee schedule,,18202.184,,,,fee schedule,,20104.47447,,,,fee schedule,,19147.11854,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,inpatient,,,,,,26084.48656,39485.006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36972.3238,,,,fee schedule,,35895.46,,,,fee schedule,,39485.006,,,,fee schedule,,39485.006,,,,fee schedule,,27388.71089,,,,fee schedule,,26084.48656,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,inpatient,,,,,,43590.55545,70814.656,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66308.2688,,,,fee schedule,,64376.96,,,,fee schedule,,70814.656,,,,fee schedule,,70814.656,,,,fee schedule,,45770.08322,,,,fee schedule,,43590.55545,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603,APR-DRG,,,,,inpatient,,,,,,43590.55545,160319.159,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150117.0307,,,,fee schedule,,145744.69,,,,fee schedule,,160319.159,,,,fee schedule,,160319.159,,,,fee schedule,,45770.08322,,,,fee schedule,,43590.55545,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,inpatient,,,,,,25416.21,28647.5182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26178.6963,,,,fee schedule,,25416.21,,,,fee schedule,,27957.831,,,,fee schedule,,27957.831,,,,fee schedule,,28647.5182,,,,fee schedule,,27283.35067,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,inpatient,,,,,,36481.37972,50429.83,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47220.659,,,,fee schedule,,45845.3,,,,fee schedule,,50429.83,,,,fee schedule,,50429.83,,,,fee schedule,,38305.44871,,,,fee schedule,,36481.37972,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,inpatient,,,,,,51918.80796,68281.642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63936.4466,,,,fee schedule,,62074.22,,,,fee schedule,,68281.642,,,,fee schedule,,68281.642,,,,fee schedule,,54514.74836,,,,fee schedule,,51918.80796,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607,APR-DRG,,,,,inpatient,,,,,,73601.3202,98637.55,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92360.615,,,,fee schedule,,89670.5,,,,fee schedule,,98637.55,,,,fee schedule,,98637.55,,,,fee schedule,,77281.38621,,,,fee schedule,,73601.3202,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,inpatient,,,,,,14537.38,18412.57908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14973.5014,,,,fee schedule,,14537.38,,,,fee schedule,,15991.118,,,,fee schedule,,15991.118,,,,fee schedule,,18412.57908,,,,fee schedule,,17535.7896,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,inpatient,,,,,,24061.32442,37164.259,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34799.2607,,,,fee schedule,,33785.69,,,,fee schedule,,37164.259,,,,fee schedule,,37164.259,,,,fee schedule,,25264.39065,,,,fee schedule,,24061.32442,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,inpatient,,,,,,36782.67486,49622.584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46464.7832,,,,fee schedule,,45111.44,,,,fee schedule,,49622.584,,,,fee schedule,,49622.584,,,,fee schedule,,38621.80861,,,,fee schedule,,36782.67486,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608,APR-DRG,,,,,inpatient,,,,,,36782.67486,62319.994,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58354.1762,,,,fee schedule,,56654.54,,,,fee schedule,,62319.994,,,,fee schedule,,62319.994,,,,fee schedule,,38621.80861,,,,fee schedule,,36782.67486,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,inpatient,,,,,,34419.84,60939.4409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35452.4352,,,,fee schedule,,34419.84,,,,fee schedule,,37861.824,,,,fee schedule,,37861.824,,,,fee schedule,,60939.4409,,,,fee schedule,,58037.56276,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,inpatient,,,,,,36231.19,60939.4409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37318.1257,,,,fee schedule,,36231.19,,,,fee schedule,,39854.309,,,,fee schedule,,39854.309,,,,fee schedule,,60939.4409,,,,fee schedule,,58037.56276,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,inpatient,,,,,,60981.03312,72235.834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67639.0082,,,,fee schedule,,65668.94,,,,fee schedule,,72235.834,,,,fee schedule,,72235.834,,,,fee schedule,,64030.08478,,,,fee schedule,,60981.03312,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609,APR-DRG,,,,,inpatient,,,,,,149074.8058,193465.327,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181153.8971,,,,fee schedule,,175877.57,,,,fee schedule,,193465.327,,,,fee schedule,,193465.327,,,,fee schedule,,156528.5461,,,,fee schedule,,149074.8058,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,inpatient,,,,,,10433.56197,14108.325,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13210.5225,,,,fee schedule,,12825.75,,,,fee schedule,,14108.325,,,,fee schedule,,14108.325,,,,fee schedule,,10955.24007,,,,fee schedule,,10433.56197,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,inpatient,,,,,,23394.30625,27984.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26203.818,,,,fee schedule,,25440.6,,,,fee schedule,,27984.66,,,,fee schedule,,27984.66,,,,fee schedule,,24564.02156,,,,fee schedule,,23394.30625,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,inpatient,,,,,,31568.43713,49390.583,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46247.5459,,,,fee schedule,,44900.53,,,,fee schedule,,49390.583,,,,fee schedule,,49390.583,,,,fee schedule,,33146.85899,,,,fee schedule,,31568.43713,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611,APR-DRG,,,,,inpatient,,,,,,57841.7525,79944.546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74857.1658,,,,fee schedule,,72676.86,,,,fee schedule,,79944.546,,,,fee schedule,,79944.546,,,,fee schedule,,60733.84013,,,,fee schedule,,57841.7525,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,inpatient,,,,,,19332.82247,22563.541,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21127.6793,,,,fee schedule,,20512.31,,,,fee schedule,,22563.541,,,,fee schedule,,22563.541,,,,fee schedule,,20299.46359,,,,fee schedule,,19332.82247,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,inpatient,,,,,,27961.10683,34686.487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32479.1651,,,,fee schedule,,31533.17,,,,fee schedule,,34686.487,,,,fee schedule,,34686.487,,,,fee schedule,,29359.16217,,,,fee schedule,,27961.10683,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,inpatient,,,,,,33958.5856,43894.499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41101.2127,,,,fee schedule,,39904.09,,,,fee schedule,,43894.499,,,,fee schedule,,43894.499,,,,fee schedule,,35656.51488,,,,fee schedule,,33958.5856,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612,APR-DRG,,,,,inpatient,,,,,,54113.14617,70457.2,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65973.56,,,,fee schedule,,64052,,,,fee schedule,,70457.2,,,,fee schedule,,70457.2,,,,fee schedule,,56818.80347,,,,fee schedule,,54113.14617,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,inpatient,,,,,,11223.75112,18659.861,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17472.4153,,,,fee schedule,,16963.51,,,,fee schedule,,18659.861,,,,fee schedule,,18659.861,,,,fee schedule,,11784.93868,,,,fee schedule,,11223.75112,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,inpatient,,,,,,18041.73804,25547.918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23922.1414,,,,fee schedule,,23225.38,,,,fee schedule,,25547.918,,,,fee schedule,,25547.918,,,,fee schedule,,18943.82495,,,,fee schedule,,18041.73804,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,inpatient,,,,,,18933.6222,48747.468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45645.3564,,,,fee schedule,,44315.88,,,,fee schedule,,48747.468,,,,fee schedule,,48747.468,,,,fee schedule,,19880.30331,,,,fee schedule,,18933.6222,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613,APR-DRG,,,,,inpatient,,,,,,18933.6222,80319.371,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75208.1383,,,,fee schedule,,73017.61,,,,fee schedule,,80319.371,,,,fee schedule,,80319.371,,,,fee schedule,,19880.30331,,,,fee schedule,,18933.6222,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,inpatient,,,,,,9194.904168,11577.676,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10840.9148,,,,fee schedule,,10525.16,,,,fee schedule,,11577.676,,,,fee schedule,,11577.676,,,,fee schedule,,9654.649376,,,,fee schedule,,9194.904168,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,inpatient,,,,,,13951.83019,21944.098,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20547.6554,,,,fee schedule,,19949.18,,,,fee schedule,,21944.098,,,,fee schedule,,21944.098,,,,fee schedule,,14649.4217,,,,fee schedule,,13951.83019,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,inpatient,,,,,,27563.80149,39488.955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36976.0215,,,,fee schedule,,35899.05,,,,fee schedule,,39488.955,,,,fee schedule,,39488.955,,,,fee schedule,,28941.99157,,,,fee schedule,,27563.80149,,,,fee schedule,,
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614,APR-DRG,,,,,inpatient,,,,,,27563.80149,57523.048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53862.4904,,,,fee schedule,,52293.68,,,,fee schedule,,57523.048,,,,fee schedule,,57523.048,,,,fee schedule,,28941.99157,,,,fee schedule,,27563.80149,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,inpatient,,,,,,4737.378346,5507.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5157.416,,,,fee schedule,,5007.2,,,,fee schedule,,5507.92,,,,fee schedule,,5507.92,,,,fee schedule,,4974.247263,,,,fee schedule,,4737.378346,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,inpatient,,,,,,12768.75724,16903.315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15827.6495,,,,fee schedule,,15366.65,,,,fee schedule,,16903.315,,,,fee schedule,,16903.315,,,,fee schedule,,13407.1951,,,,fee schedule,,12768.75724,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,inpatient,,,,,,30108.70323,33356.059,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31233.4007,,,,fee schedule,,30323.69,,,,fee schedule,,33356.059,,,,fee schedule,,33356.059,,,,fee schedule,,31614.13839,,,,fee schedule,,30108.70323,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621,APR-DRG,,,,,inpatient,,,,,,56809.01129,67674.827,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63368.2471,,,,fee schedule,,61522.57,,,,fee schedule,,67674.827,,,,fee schedule,,67674.827,,,,fee schedule,,59649.46186,,,,fee schedule,,56809.01129,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,inpatient,,,,,,11472.61964,14542.33,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13616.909,,,,fee schedule,,13220.3,,,,fee schedule,,14542.33,,,,fee schedule,,14542.33,,,,fee schedule,,12046.25063,,,,fee schedule,,11472.61964,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,inpatient,,,,,,17996.89118,21603.197,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20228.4481,,,,fee schedule,,19639.27,,,,fee schedule,,21603.197,,,,fee schedule,,21603.197,,,,fee schedule,,18896.73574,,,,fee schedule,,17996.89118,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,inpatient,,,,,,18886.24875,24897.697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23313.2981,,,,fee schedule,,22634.27,,,,fee schedule,,24897.697,,,,fee schedule,,24897.697,,,,fee schedule,,19830.56118,,,,fee schedule,,18886.24875,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622,APR-DRG,,,,,inpatient,,,,,,36248.30235,42100.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39420.984,,,,fee schedule,,38272.8,,,,fee schedule,,42100.08,,,,fee schedule,,42100.08,,,,fee schedule,,38060.71747,,,,fee schedule,,36248.30235,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,inpatient,,,,,,8536.09739,10711.25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10029.625,,,,fee schedule,,9737.5,,,,fee schedule,,10711.25,,,,fee schedule,,10711.25,,,,fee schedule,,8962.90226,,,,fee schedule,,8536.09739,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,inpatient,,,,,,12851.50286,17896.802,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16757.9146,,,,fee schedule,,16269.82,,,,fee schedule,,17896.802,,,,fee schedule,,17896.802,,,,fee schedule,,13494.07801,,,,fee schedule,,12851.50286,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,inpatient,,,,,,13476.8324,37896.551,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35484.9523,,,,fee schedule,,34451.41,,,,fee schedule,,37896.551,,,,fee schedule,,37896.551,,,,fee schedule,,14150.67402,,,,fee schedule,,13476.8324,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623,APR-DRG,,,,,inpatient,,,,,,13476.8324,47414.675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44397.3775,,,,fee schedule,,43104.25,,,,fee schedule,,47414.675,,,,fee schedule,,47414.675,,,,fee schedule,,14150.67402,,,,fee schedule,,13476.8324,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,inpatient,,,,,,7828.022224,12384.141,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11596.0593,,,,fee schedule,,11258.31,,,,fee schedule,,12384.141,,,,fee schedule,,12384.141,,,,fee schedule,,8219.423335,,,,fee schedule,,7828.022224,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,inpatient,,,,,,11639.37419,15531.076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14542.7348,,,,fee schedule,,14119.16,,,,fee schedule,,15531.076,,,,fee schedule,,15531.076,,,,fee schedule,,12221.3429,,,,fee schedule,,11639.37419,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,inpatient,,,,,,12202.17077,27543.549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25790.7777,,,,fee schedule,,25039.59,,,,fee schedule,,27543.549,,,,fee schedule,,27543.549,,,,fee schedule,,12812.27931,,,,fee schedule,,12202.17077,,,,fee schedule,,
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625,APR-DRG,,,,,inpatient,,,,,,12202.17077,56276.275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52695.0575,,,,fee schedule,,51160.25,,,,fee schedule,,56276.275,,,,fee schedule,,56276.275,,,,fee schedule,,12812.27931,,,,fee schedule,,12202.17077,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,inpatient,,,,,,1434.73,2234.451156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1477.7719,,,,fee schedule,,1434.73,,,,fee schedule,,1578.203,,,,fee schedule,,1578.203,,,,fee schedule,,2234.451156,,,,fee schedule,,2128.04872,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,inpatient,,,,,,1855.82,2417.502167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1911.4946,,,,fee schedule,,1855.82,,,,fee schedule,,2041.402,,,,fee schedule,,2041.402,,,,fee schedule,,2417.502167,,,,fee schedule,,2302.383016,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,inpatient,,,,,,5491.42,6414.115903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5656.1626,,,,fee schedule,,5491.42,,,,fee schedule,,6040.562,,,,fee schedule,,6040.562,,,,fee schedule,,6414.115903,,,,fee schedule,,6108.681812,,,,fee schedule,,
"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626,APR-DRG,,,,,inpatient,,,,,,6108.681812,19508.137,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18266.7101,,,,fee schedule,,17734.67,,,,fee schedule,,19508.137,,,,fee schedule,,19508.137,,,,fee schedule,,6414.115903,,,,fee schedule,,6108.681812,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,inpatient,,,,,,25440.6,44466.83962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26203.818,,,,fee schedule,,25440.6,,,,fee schedule,,27984.66,,,,fee schedule,,27984.66,,,,fee schedule,,44466.83962,,,,fee schedule,,42349.37106,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,inpatient,,,,,,42349.37106,58650.68,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54918.364,,,,fee schedule,,53318.8,,,,fee schedule,,58650.68,,,,fee schedule,,58650.68,,,,fee schedule,,44466.83962,,,,fee schedule,,42349.37106,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,inpatient,,,,,,64283.27841,102490.729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95968.5917,,,,fee schedule,,93173.39,,,,fee schedule,,102490.729,,,,fee schedule,,102490.729,,,,fee schedule,,67497.44233,,,,fee schedule,,64283.27841,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630,APR-DRG,,,,,inpatient,,,,,,144695.6041,214639.249,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200980.3877,,,,fee schedule,,195126.59,,,,fee schedule,,214639.249,,,,fee schedule,,214639.249,,,,fee schedule,,151930.3843,,,,fee schedule,,144695.6041,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,inpatient,,,,,,6627.01,26659.82299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6825.8203,,,,fee schedule,,6627.01,,,,fee schedule,,7289.711,,,,fee schedule,,7289.711,,,,fee schedule,,26659.82299,,,,fee schedule,,25390.30761,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,inpatient,,,,,,25390.30761,37038.001,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34681.0373,,,,fee schedule,,33670.91,,,,fee schedule,,37038.001,,,,fee schedule,,37038.001,,,,fee schedule,,26659.82299,,,,fee schedule,,25390.30761,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,inpatient,,,,,,48912.80465,57033.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53403.646,,,,fee schedule,,51848.2,,,,fee schedule,,57033.02,,,,fee schedule,,57033.02,,,,fee schedule,,51358.44488,,,,fee schedule,,48912.80465,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631,APR-DRG,,,,,inpatient,,,,,,127797.8103,189934.888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,177848.1224,,,,fee schedule,,172668.08,,,,fee schedule,,189934.888,,,,fee schedule,,189934.888,,,,fee schedule,,134187.7008,,,,fee schedule,,127797.8103,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,inpatient,,,,,,1926.84,2469.233974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1984.6452,,,,fee schedule,,1926.84,,,,fee schedule,,2119.524,,,,fee schedule,,2119.524,,,,fee schedule,,2469.233974,,,,fee schedule,,2351.651404,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,inpatient,,,,,,7393.15,8132.465,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7614.9445,,,,fee schedule,,7393.15,,,,fee schedule,,8132.465,,,,fee schedule,,8132.465,,,,fee schedule,,7948.162961,,,,fee schedule,,7569.67901,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,inpatient,,,,,,22500.12,24750.132,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23175.1236,,,,fee schedule,,22500.12,,,,fee schedule,,24750.132,,,,fee schedule,,24750.132,,,,fee schedule,,24414.79519,,,,fee schedule,,23252.1859,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633,APR-DRG,,,,,inpatient,,,,,,60903.49,66993.839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62730.5947,,,,fee schedule,,60903.49,,,,fee schedule,,66993.839,,,,fee schedule,,66993.839,,,,fee schedule,,65827.43347,,,,fee schedule,,62692.79378,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,inpatient,,,,,,5185.21536,6164.455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5772.1715,,,,fee schedule,,5604.05,,,,fee schedule,,6164.455,,,,fee schedule,,6164.455,,,,fee schedule,,5444.476128,,,,fee schedule,,5185.21536,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,inpatient,,,,,,10060.25919,13043.041,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12213.0293,,,,fee schedule,,11857.31,,,,fee schedule,,13043.041,,,,fee schedule,,13043.041,,,,fee schedule,,10563.27215,,,,fee schedule,,10060.25919,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,inpatient,,,,,,12480.72666,14891.118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13943.5014,,,,fee schedule,,13537.38,,,,fee schedule,,14891.118,,,,fee schedule,,14891.118,,,,fee schedule,,13104.76299,,,,fee schedule,,12480.72666,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634,APR-DRG,,,,,inpatient,,,,,,36218.27,39840.097,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37304.8181,,,,fee schedule,,36218.27,,,,fee schedule,,39840.097,,,,fee schedule,,39840.097,,,,fee schedule,,38509.0598,,,,fee schedule,,36675.29504,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,inpatient,,,,,,4806.22776,6699.462,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6273.1326,,,,fee schedule,,6090.42,,,,fee schedule,,6699.462,,,,fee schedule,,6699.462,,,,fee schedule,,5046.539148,,,,fee schedule,,4806.22776,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,inpatient,,,,,,6063.834946,11232.056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10517.2888,,,,fee schedule,,10210.96,,,,fee schedule,,11232.056,,,,fee schedule,,11232.056,,,,fee schedule,,6367.026693,,,,fee schedule,,6063.834946,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,inpatient,,,,,,15458.93755,23100.121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21630.1133,,,,fee schedule,,21000.11,,,,fee schedule,,23100.121,,,,fee schedule,,23100.121,,,,fee schedule,,16231.88443,,,,fee schedule,,15458.93755,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636,APR-DRG,,,,,inpatient,,,,,,15458.93755,29953.462,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28047.3326,,,,fee schedule,,27230.42,,,,fee schedule,,29953.462,,,,fee schedule,,29953.462,,,,fee schedule,,16231.88443,,,,fee schedule,,15458.93755,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,inpatient,,,,,,3791.27,5168.573155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3905.0081,,,,fee schedule,,3791.27,,,,fee schedule,,4170.397,,,,fee schedule,,4170.397,,,,fee schedule,,5168.573155,,,,fee schedule,,4922.450624,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,inpatient,,,,,,6040.92,9238.805232,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6222.1476,,,,fee schedule,,6040.92,,,,fee schedule,,6645.012,,,,fee schedule,,6645.012,,,,fee schedule,,9238.805232,,,,fee schedule,,8798.862126,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,inpatient,,,,,,16996.51,19329.82382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17506.4053,,,,fee schedule,,16996.51,,,,fee schedule,,18696.161,,,,fee schedule,,18696.161,,,,fee schedule,,19329.82382,,,,fee schedule,,18409.35602,,,,fee schedule,,
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639,APR-DRG,,,,,inpatient,,,,,,18409.35602,29388.469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27518.2937,,,,fee schedule,,26716.79,,,,fee schedule,,29388.469,,,,fee schedule,,29388.469,,,,fee schedule,,19329.82382,,,,fee schedule,,18409.35602,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,inpatient,,,,,,873.03,1884.266614,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,899.2209,,,,fee schedule,,873.03,,,,fee schedule,,960.333,,,,fee schedule,,960.333,,,,fee schedule,,1884.266614,,,,fee schedule,,1794.539632,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,inpatient,,,,,,1251.08,2143.588879,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1288.6124,,,,fee schedule,,1251.08,,,,fee schedule,,1376.188,,,,fee schedule,,1376.188,,,,fee schedule,,2143.588879,,,,fee schedule,,2041.513218,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,inpatient,,,,,,2860.85,3457.444141,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2946.6755,,,,fee schedule,,2860.85,,,,fee schedule,,3146.935,,,,fee schedule,,3146.935,,,,fee schedule,,3457.444141,,,,fee schedule,,3292.803944,,,,fee schedule,,
"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640,APR-DRG,,,,,inpatient,,,,,,3292.803944,17847.082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16711.3586,,,,fee schedule,,16224.62,,,,fee schedule,,17847.082,,,,fee schedule,,17847.082,,,,fee schedule,,3457.444141,,,,fee schedule,,3292.803944,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,inpatient,,,,,,8647.898732,12352.582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11566.5086,,,,fee schedule,,11229.62,,,,fee schedule,,12352.582,,,,fee schedule,,12352.582,,,,fee schedule,,9080.293669,,,,fee schedule,,8647.898732,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,inpatient,,,,,,10541.57344,16474.843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15426.4439,,,,fee schedule,,14977.13,,,,fee schedule,,16474.843,,,,fee schedule,,16474.843,,,,fee schedule,,11068.65211,,,,fee schedule,,10541.57344,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,inpatient,,,,,,16407.0382,23252.416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21772.7168,,,,fee schedule,,21138.56,,,,fee schedule,,23252.416,,,,fee schedule,,23252.416,,,,fee schedule,,17227.39011,,,,fee schedule,,16407.0382,,,,fee schedule,,
SPLENIC PROCEDURES,650,APR-DRG,,,,,inpatient,,,,,,16470.83444,40296.993,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37732.6389,,,,fee schedule,,36633.63,,,,fee schedule,,40296.993,,,,fee schedule,,40296.993,,,,fee schedule,,17294.37616,,,,fee schedule,,16470.83444,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,inpatient,,,,,,5969.719692,10341.947,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9683.8231,,,,fee schedule,,9401.77,,,,fee schedule,,10341.947,,,,fee schedule,,10341.947,,,,fee schedule,,6268.205677,,,,fee schedule,,5969.719692,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,inpatient,,,,,,8481.775834,14633.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13701.884,,,,fee schedule,,13302.8,,,,fee schedule,,14633.08,,,,fee schedule,,14633.08,,,,fee schedule,,8905.864626,,,,fee schedule,,8481.775834,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,inpatient,,,,,,11665.90332,21545.601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20174.5173,,,,fee schedule,,19586.91,,,,fee schedule,,21545.601,,,,fee schedule,,21545.601,,,,fee schedule,,12249.19849,,,,fee schedule,,11665.90332,,,,fee schedule,,
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651,APR-DRG,,,,,inpatient,,,,,,11665.90332,46257.068,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43313.4364,,,,fee schedule,,42051.88,,,,fee schedule,,46257.068,,,,fee schedule,,46257.068,,,,fee schedule,,12249.19849,,,,fee schedule,,11665.90332,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,inpatient,,,,,,5766.32968,6547.959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6131.2707,,,,fee schedule,,5952.69,,,,fee schedule,,6547.959,,,,fee schedule,,6547.959,,,,fee schedule,,6054.646164,,,,fee schedule,,5766.32968,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,inpatient,,,,,,6619.05178,7317.332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6851.6836,,,,fee schedule,,6652.12,,,,fee schedule,,7317.332,,,,fee schedule,,7317.332,,,,fee schedule,,6950.004369,,,,fee schedule,,6619.05178,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,inpatient,,,,,,9700.220968,11542.96,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10808.408,,,,fee schedule,,10493.6,,,,fee schedule,,11542.96,,,,fee schedule,,11542.96,,,,fee schedule,,10185.23202,,,,fee schedule,,9700.220968,,,,fee schedule,,
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660,APR-DRG,,,,,inpatient,,,,,,25678.76,40898.00813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26449.1228,,,,fee schedule,,25678.76,,,,fee schedule,,28246.636,,,,fee schedule,,28246.636,,,,fee schedule,,40898.00813,,,,fee schedule,,38950.48394,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,inpatient,,,,,,6157.9502,7461.729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6986.8917,,,,fee schedule,,6783.39,,,,fee schedule,,7461.729,,,,fee schedule,,7461.729,,,,fee schedule,,6465.84771,,,,fee schedule,,6157.9502,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,inpatient,,,,,,7188.164826,9986.856,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9351.3288,,,,fee schedule,,9078.96,,,,fee schedule,,9986.856,,,,fee schedule,,9986.856,,,,fee schedule,,7547.573067,,,,fee schedule,,7188.164826,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,inpatient,,,,,,11257.59,13322.30188,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11595.3177,,,,fee schedule,,11257.59,,,,fee schedule,,12383.349,,,,fee schedule,,12383.349,,,,fee schedule,,13322.30188,,,,fee schedule,,12687.90655,,,,fee schedule,,
COAGULATION AND PLATELET DISORDERS,661,APR-DRG,,,,,inpatient,,,,,,21568.98,24768.95911,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22216.0494,,,,fee schedule,,21568.98,,,,fee schedule,,23725.878,,,,fee schedule,,23725.878,,,,fee schedule,,24768.95911,,,,fee schedule,,23589.48486,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,inpatient,,,,,,4541.63,5490.238881,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4677.8789,,,,fee schedule,,4541.63,,,,fee schedule,,4995.793,,,,fee schedule,,4995.793,,,,fee schedule,,5490.238881,,,,fee schedule,,5228.798934,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,inpatient,,,,,,6201.61,6944.698543,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6387.6583,,,,fee schedule,,6201.61,,,,fee schedule,,6821.771,,,,fee schedule,,6821.771,,,,fee schedule,,6944.698543,,,,fee schedule,,6613.998612,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,inpatient,,,,,,8150.79333,10441.376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9776.9248,,,,fee schedule,,9492.16,,,,fee schedule,,10441.376,,,,fee schedule,,10441.376,,,,fee schedule,,8558.332997,,,,fee schedule,,8150.79333,,,,fee schedule,,
SICKLE CELL ANEMIA CRISIS,662,APR-DRG,,,,,inpatient,,,,,,13003.0979,21690.79,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20310.467,,,,fee schedule,,19718.9,,,,fee schedule,,21690.79,,,,fee schedule,,21690.79,,,,fee schedule,,13653.2528,,,,fee schedule,,13003.0979,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,inpatient,,,,,,3916.870192,4724.346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4423.7058,,,,fee schedule,,4294.86,,,,fee schedule,,4724.346,,,,fee schedule,,4724.346,,,,fee schedule,,4112.713702,,,,fee schedule,,3916.870192,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,inpatient,,,,,,4778.435336,6502.98,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6089.154,,,,fee schedule,,5911.8,,,,fee schedule,,6502.98,,,,fee schedule,,6502.98,,,,fee schedule,,5017.357103,,,,fee schedule,,4778.435336,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,inpatient,,,,,,6754.224024,9342.157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8747.6561,,,,fee schedule,,8492.87,,,,fee schedule,,9342.157,,,,fee schedule,,9342.157,,,,fee schedule,,7091.935225,,,,fee schedule,,6754.224024,,,,fee schedule,,
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663,APR-DRG,,,,,inpatient,,,,,,11439.14241,16802.313,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15733.0749,,,,fee schedule,,15274.83,,,,fee schedule,,16802.313,,,,fee schedule,,16802.313,,,,fee schedule,,12011.09953,,,,fee schedule,,11439.14241,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,inpatient,,,,,,8975.723006,14422.386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13504.5978,,,,fee schedule,,13111.26,,,,fee schedule,,14422.386,,,,fee schedule,,14422.386,,,,fee schedule,,9424.509156,,,,fee schedule,,8975.723006,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,inpatient,,,,,,11953.30225,19604.409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18356.8557,,,,fee schedule,,17822.19,,,,fee schedule,,19604.409,,,,fee schedule,,19604.409,,,,fee schedule,,12550.96736,,,,fee schedule,,11953.30225,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,inpatient,,,,,,20138.80276,31534.03,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29527.319,,,,fee schedule,,28667.3,,,,fee schedule,,31534.03,,,,fee schedule,,31534.03,,,,fee schedule,,21145.7429,,,,fee schedule,,20138.80276,,,,fee schedule,,
"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680,APR-DRG,,,,,inpatient,,,,,,33846.78426,67617.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63314.306,,,,fee schedule,,61470.2,,,,fee schedule,,67617.22,,,,fee schedule,,67617.22,,,,fee schedule,,35539.12347,,,,fee schedule,,33846.78426,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,inpatient,,,,,,7045.41283,10859.596,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10168.5308,,,,fee schedule,,9872.36,,,,fee schedule,,10859.596,,,,fee schedule,,10859.596,,,,fee schedule,,7397.683472,,,,fee schedule,,7045.41283,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,inpatient,,,,,,11175.74602,14689.103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13754.3419,,,,fee schedule,,13353.73,,,,fee schedule,,14689.103,,,,fee schedule,,14689.103,,,,fee schedule,,11734.53333,,,,fee schedule,,11175.74602,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,inpatient,,,,,,19256.3933,24884.277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23300.7321,,,,fee schedule,,22622.07,,,,fee schedule,,24884.277,,,,fee schedule,,24884.277,,,,fee schedule,,20219.21297,,,,fee schedule,,19256.3933,,,,fee schedule,,
"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681,APR-DRG,,,,,inpatient,,,,,,50387.69806,61612.958,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57692.1334,,,,fee schedule,,56011.78,,,,fee schedule,,61612.958,,,,fee schedule,,61612.958,,,,fee schedule,,52907.08296,,,,fee schedule,,50387.69806,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,inpatient,,,,,,10400.34,19493.64121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10712.3502,,,,fee schedule,,10400.34,,,,fee schedule,,11440.374,,,,fee schedule,,11440.374,,,,fee schedule,,19493.64121,,,,fee schedule,,18565.37258,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,inpatient,,,,,,18528.08,20380.888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19083.9224,,,,fee schedule,,18528.08,,,,fee schedule,,20380.888,,,,fee schedule,,20380.888,,,,fee schedule,,19493.64121,,,,fee schedule,,18565.37258,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,inpatient,,,,,,32132.17,38271.62406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33096.1351,,,,fee schedule,,32132.17,,,,fee schedule,,35345.387,,,,fee schedule,,35345.387,,,,fee schedule,,38271.62406,,,,fee schedule,,36449.16578,,,,fee schedule,,
ACUTE LEUKEMIA,690,APR-DRG,,,,,inpatient,,,,,,55485.95,61034.545,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57150.5285,,,,fee schedule,,55485.95,,,,fee schedule,,61034.545,,,,fee schedule,,61034.545,,,,fee schedule,,60000.30963,,,,fee schedule,,57143.15203,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,inpatient,,,,,,7085.838174,9532.336,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8925.7328,,,,fee schedule,,8665.76,,,,fee schedule,,9532.336,,,,fee schedule,,9532.336,,,,fee schedule,,7440.130083,,,,fee schedule,,7085.838174,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,inpatient,,,,,,8386.397288,12253.945,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11474.1485,,,,fee schedule,,11139.95,,,,fee schedule,,12253.945,,,,fee schedule,,12253.945,,,,fee schedule,,8805.717152,,,,fee schedule,,8386.397288,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,inpatient,,,,,,14064.89483,18177.72,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17020.956,,,,fee schedule,,16525.2,,,,fee schedule,,18177.72,,,,fee schedule,,18177.72,,,,fee schedule,,14768.13957,,,,fee schedule,,14064.89483,,,,fee schedule,,
"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691,APR-DRG,,,,,inpatient,,,,,,23630.54185,35732.048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33458.1904,,,,fee schedule,,32483.68,,,,fee schedule,,35732.048,,,,fee schedule,,35732.048,,,,fee schedule,,24812.06894,,,,fee schedule,,23630.54185,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,inpatient,,,,,,8639.055688,10300.917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9645.4041,,,,fee schedule,,9364.47,,,,fee schedule,,10300.917,,,,fee schedule,,10300.917,,,,fee schedule,,9071.008472,,,,fee schedule,,8639.055688,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,inpatient,,,,,,8639.055688,14351.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13438.101,,,,fee schedule,,13046.7,,,,fee schedule,,14351.37,,,,fee schedule,,14351.37,,,,fee schedule,,9071.008472,,,,fee schedule,,8639.055688,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,inpatient,,,,,,8639.055688,21554.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20182.644,,,,fee schedule,,19594.8,,,,fee schedule,,21554.28,,,,fee schedule,,21554.28,,,,fee schedule,,9071.008472,,,,fee schedule,,8639.055688,,,,fee schedule,,
RADIOTHERAPY,692,APR-DRG,,,,,inpatient,,,,,,18693.59672,30681.805,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28729.3265,,,,fee schedule,,27892.55,,,,fee schedule,,30681.805,,,,fee schedule,,30681.805,,,,fee schedule,,19628.27655,,,,fee schedule,,18693.59672,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,inpatient,,,,,,4459.454106,6536.123,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6120.1879,,,,fee schedule,,5941.93,,,,fee schedule,,6536.123,,,,fee schedule,,6536.123,,,,fee schedule,,4682.426811,,,,fee schedule,,4459.454106,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,inpatient,,,,,,5023.513984,7962.812,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7456.0876,,,,fee schedule,,7238.92,,,,fee schedule,,7962.812,,,,fee schedule,,7962.812,,,,fee schedule,,5274.689683,,,,fee schedule,,5023.513984,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,inpatient,,,,,,9040.782544,12093.752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11324.1496,,,,fee schedule,,10994.32,,,,fee schedule,,12093.752,,,,fee schedule,,12093.752,,,,fee schedule,,9492.821671,,,,fee schedule,,9040.782544,,,,fee schedule,,
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694,APR-DRG,,,,,inpatient,,,,,,15558.73762,22290.51,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20872.023,,,,fee schedule,,20264.1,,,,fee schedule,,22290.51,,,,fee schedule,,22290.51,,,,fee schedule,,16336.6745,,,,fee schedule,,15558.73762,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,inpatient,,,,,,4488.55,7247.130647,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4623.2065,,,,fee schedule,,4488.55,,,,fee schedule,,4937.405,,,,fee schedule,,4937.405,,,,fee schedule,,7247.130647,,,,fee schedule,,6902.029188,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,inpatient,,,,,,6902.029188,8310.016,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7781.1968,,,,fee schedule,,7554.56,,,,fee schedule,,8310.016,,,,fee schedule,,8310.016,,,,fee schedule,,7247.130647,,,,fee schedule,,6902.029188,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,inpatient,,,,,,17847.19108,19771.697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18513.4981,,,,fee schedule,,17974.27,,,,fee schedule,,19771.697,,,,fee schedule,,19771.697,,,,fee schedule,,18739.55063,,,,fee schedule,,17847.19108,,,,fee schedule,,
CHEMOTHERAPY FOR ACUTE LEUKEMIA,695,APR-DRG,,,,,inpatient,,,,,,49170.28,54087.308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50645.3884,,,,fee schedule,,49170.28,,,,fee schedule,,54087.308,,,,fee schedule,,54087.308,,,,fee schedule,,52609.29345,,,,fee schedule,,50104.089,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,inpatient,,,,,,6279.09,6906.999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6467.4627,,,,fee schedule,,6279.09,,,,fee schedule,,6906.999,,,,fee schedule,,6906.999,,,,fee schedule,,6627.012187,,,,fee schedule,,6311.440178,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,inpatient,,,,,,7665.03,8574.250476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7894.9809,,,,fee schedule,,7665.03,,,,fee schedule,,8431.533,,,,fee schedule,,8431.533,,,,fee schedule,,8574.250476,,,,fee schedule,,8165.952834,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,inpatient,,,,,,12403.94,14379.48779,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12776.0582,,,,fee schedule,,12403.94,,,,fee schedule,,13644.334,,,,fee schedule,,13644.334,,,,fee schedule,,14379.48779,,,,fee schedule,,13694.75027,,,,fee schedule,,
OTHER CHEMOTHERAPY,696,APR-DRG,,,,,inpatient,,,,,,26093.32961,29688.329,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27799.0717,,,,fee schedule,,26989.39,,,,fee schedule,,29688.329,,,,fee schedule,,29688.329,,,,fee schedule,,27397.99609,,,,fee schedule,,26093.32961,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,inpatient,,,,,,5266.066048,9839.291,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9213.1543,,,,fee schedule,,8944.81,,,,fee schedule,,9839.291,,,,fee schedule,,9839.291,,,,fee schedule,,5529.36935,,,,fee schedule,,5266.066048,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,inpatient,,,,,,7816.652596,13840.035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12959.3055,,,,fee schedule,,12581.85,,,,fee schedule,,13840.035,,,,fee schedule,,13840.035,,,,fee schedule,,8207.485226,,,,fee schedule,,7816.652596,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,inpatient,,,,,,12912.14088,22674.014,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21231.1222,,,,fee schedule,,20612.74,,,,fee schedule,,22674.014,,,,fee schedule,,22674.014,,,,fee schedule,,13557.74792,,,,fee schedule,,12912.14088,,,,fee schedule,,
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710,APR-DRG,,,,,inpatient,,,,,,29724.66246,41652.666,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39002.0418,,,,fee schedule,,37866.06,,,,fee schedule,,41652.666,,,,fee schedule,,41652.666,,,,fee schedule,,31210.89558,,,,fee schedule,,29724.66246,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,inpatient,,,,,,6943.717824,9806.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9182.862,,,,fee schedule,,8915.4,,,,fee schedule,,9806.94,,,,fee schedule,,9806.94,,,,fee schedule,,7290.903715,,,,fee schedule,,6943.717824,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,inpatient,,,,,,9024.359748,13136.948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12300.9604,,,,fee schedule,,11942.68,,,,fee schedule,,13136.948,,,,fee schedule,,13136.948,,,,fee schedule,,9475.577735,,,,fee schedule,,9024.359748,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,inpatient,,,,,,15080.5816,21930.678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20535.0894,,,,fee schedule,,19936.98,,,,fee schedule,,21930.678,,,,fee schedule,,21930.678,,,,fee schedule,,15834.61068,,,,fee schedule,,15080.5816,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711,APR-DRG,,,,,inpatient,,,,,,29012.79742,40038.955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37491.0215,,,,fee schedule,,36399.05,,,,fee schedule,,40038.955,,,,fee schedule,,40038.955,,,,fee schedule,,30463.43729,,,,fee schedule,,29012.79742,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,inpatient,,,,,,3756.432108,5361.147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5019.9831,,,,fee schedule,,4873.77,,,,fee schedule,,5361.147,,,,fee schedule,,5361.147,,,,fee schedule,,3944.253713,,,,fee schedule,,3756.432108,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,inpatient,,,,,,4656.527658,6794.942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6362.5366,,,,fee schedule,,6177.22,,,,fee schedule,,6794.942,,,,fee schedule,,6794.942,,,,fee schedule,,4889.354041,,,,fee schedule,,4656.527658,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,inpatient,,,,,,7010.6723,10604.715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9929.8695,,,,fee schedule,,9640.65,,,,fee schedule,,10604.715,,,,fee schedule,,10604.715,,,,fee schedule,,7361.205915,,,,fee schedule,,7010.6723,,,,fee schedule,,
SEPTICEMIA AND DISSEMINATED INFECTIONS,720,APR-DRG,,,,,inpatient,,,,,,13555.15651,20783.323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19460.7479,,,,fee schedule,,18893.93,,,,fee schedule,,20783.323,,,,fee schedule,,20783.323,,,,fee schedule,,14232.91433,,,,fee schedule,,13555.15651,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,inpatient,,,,,,4676.108684,5357.99,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5017.027,,,,fee schedule,,4870.9,,,,fee schedule,,5357.99,,,,fee schedule,,5357.99,,,,fee schedule,,4909.914118,,,,fee schedule,,4676.108684,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,inpatient,,,,,,5522.514324,7271.561,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6808.8253,,,,fee schedule,,6610.51,,,,fee schedule,,7271.561,,,,fee schedule,,7271.561,,,,fee schedule,,5798.64004,,,,fee schedule,,5522.514324,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,inpatient,,,,,,8671.269634,11627.396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10887.4708,,,,fee schedule,,10570.36,,,,fee schedule,,11627.396,,,,fee schedule,,11627.396,,,,fee schedule,,9104.833116,,,,fee schedule,,8671.269634,,,,fee schedule,,
"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721,APR-DRG,,,,,inpatient,,,,,,15978.15056,20687.843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19371.3439,,,,fee schedule,,18807.13,,,,fee schedule,,20687.843,,,,fee schedule,,20687.843,,,,fee schedule,,16777.05809,,,,fee schedule,,15978.15056,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,inpatient,,,,,,3526.56,3915.734897,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3632.3568,,,,fee schedule,,3526.56,,,,fee schedule,,3879.216,,,,fee schedule,,3879.216,,,,fee schedule,,3915.734897,,,,fee schedule,,3729.27133,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,inpatient,,,,,,4715.270736,5395.082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5051.7586,,,,fee schedule,,4904.62,,,,fee schedule,,5395.082,,,,fee schedule,,5395.082,,,,fee schedule,,4951.034273,,,,fee schedule,,4715.270736,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,inpatient,,,,,,6802.22912,7722.132,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7230.7236,,,,fee schedule,,7020.12,,,,fee schedule,,7722.132,,,,fee schedule,,7722.132,,,,fee schedule,,7142.340576,,,,fee schedule,,6802.22912,,,,fee schedule,,
FEVER AND INFLAMMATORY CONDITIONS,722,APR-DRG,,,,,inpatient,,,,,,10152.4795,12794.474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11980.2802,,,,fee schedule,,11631.34,,,,fee schedule,,12794.474,,,,fee schedule,,12794.474,,,,fee schedule,,10660.10348,,,,fee schedule,,10152.4795,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,inpatient,,,,,,3427.57,4171.077792,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3530.3971,,,,fee schedule,,3427.57,,,,fee schedule,,3770.327,,,,fee schedule,,3770.327,,,,fee schedule,,4171.077792,,,,fee schedule,,3972.45504,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,inpatient,,,,,,4570.623802,5076.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4753.244,,,,fee schedule,,4614.8,,,,fee schedule,,5076.28,,,,fee schedule,,5076.28,,,,fee schedule,,4799.154992,,,,fee schedule,,4570.623802,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,inpatient,,,,,,7365.89,11186.70675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7586.8667,,,,fee schedule,,7365.89,,,,fee schedule,,8102.479,,,,fee schedule,,8102.479,,,,fee schedule,,11186.70675,,,,fee schedule,,10654.00643,,,,fee schedule,,
VIRAL ILLNESS,723,APR-DRG,,,,,inpatient,,,,,,10654.00643,20408.509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19109.7857,,,,fee schedule,,18553.19,,,,fee schedule,,20408.509,,,,fee schedule,,20408.509,,,,fee schedule,,11186.70675,,,,fee schedule,,10654.00643,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,inpatient,,,,,,5010.79,5511.869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5161.1137,,,,fee schedule,,5010.79,,,,fee schedule,,5511.869,,,,fee schedule,,5511.869,,,,fee schedule,,5273.363227,,,,fee schedule,,5022.250692,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,inpatient,,,,,,5918.556366,6645.804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6222.8892,,,,fee schedule,,6041.64,,,,fee schedule,,6645.804,,,,fee schedule,,6645.804,,,,fee schedule,,6214.484184,,,,fee schedule,,5918.556366,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,inpatient,,,,,,9385.66126,10902.21,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10208.433,,,,fee schedule,,9911.1,,,,fee schedule,,10902.21,,,,fee schedule,,10902.21,,,,fee schedule,,9854.944323,,,,fee schedule,,9385.66126,,,,fee schedule,,
OTHER INFECTIOUS AND PARASITIC DISEASES,724,APR-DRG,,,,,inpatient,,,,,,14033.31253,23151.414,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21678.1422,,,,fee schedule,,21046.74,,,,fee schedule,,23151.414,,,,fee schedule,,23151.414,,,,fee schedule,,14734.97815,,,,fee schedule,,14033.31253,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,inpatient,,,,,,8759.01,11002.99251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9021.7803,,,,fee schedule,,8759.01,,,,fee schedule,,9634.911,,,,fee schedule,,9634.911,,,,fee schedule,,11002.99251,,,,fee schedule,,10479.04049,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,inpatient,,,,,,9839.36,16818.17824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10134.5408,,,,fee schedule,,9839.36,,,,fee schedule,,10823.296,,,,fee schedule,,10823.296,,,,fee schedule,,16818.17824,,,,fee schedule,,16017.31261,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,inpatient,,,,,,16017.31261,24519.715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22959.3695,,,,fee schedule,,22290.65,,,,fee schedule,,24519.715,,,,fee schedule,,24519.715,,,,fee schedule,,16818.17824,,,,fee schedule,,16017.31261,,,,fee schedule,,
MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740,APR-DRG,,,,,inpatient,,,,,,16017.31261,61361.234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57456.4282,,,,fee schedule,,55782.94,,,,fee schedule,,61361.234,,,,fee schedule,,61361.234,,,,fee schedule,,16818.17824,,,,fee schedule,,16017.31261,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,inpatient,,,,,,5083.96,7940.867449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5236.4788,,,,fee schedule,,5083.96,,,,fee schedule,,5592.356,,,,fee schedule,,5592.356,,,,fee schedule,,7940.867449,,,,fee schedule,,7562.730904,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,inpatient,,,,,,6528.01,7940.867449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6723.8503,,,,fee schedule,,6528.01,,,,fee schedule,,7180.811,,,,fee schedule,,7180.811,,,,fee schedule,,7940.867449,,,,fee schedule,,7562.730904,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,inpatient,,,,,,10912.54,12438.88178,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11239.9162,,,,fee schedule,,10912.54,,,,fee schedule,,12003.794,,,,fee schedule,,12003.794,,,,fee schedule,,12438.88178,,,,fee schedule,,11846.55408,,,,fee schedule,,
SCHIZOPHRENIA,750,APR-DRG,,,,,inpatient,,,,,,22854.5,28307.94531,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23540.135,,,,fee schedule,,22854.5,,,,fee schedule,,25139.95,,,,fee schedule,,25139.95,,,,fee schedule,,28307.94531,,,,fee schedule,,26959.94792,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,inpatient,,,,,,2983.52,4849.560343,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3073.0256,,,,fee schedule,,2983.52,,,,fee schedule,,3281.872,,,,fee schedule,,3281.872,,,,fee schedule,,4849.560343,,,,fee schedule,,4618.628898,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,inpatient,,,,,,4227.43,5393.407549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4354.2529,,,,fee schedule,,4227.43,,,,fee schedule,,4650.173,,,,fee schedule,,4650.173,,,,fee schedule,,5393.407549,,,,fee schedule,,5136.578618,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,inpatient,,,,,,7966.984344,9072.283,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8494.9559,,,,fee schedule,,8247.53,,,,fee schedule,,9072.283,,,,fee schedule,,9072.283,,,,fee schedule,,8365.333561,,,,fee schedule,,7966.984344,,,,fee schedule,,
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751,APR-DRG,,,,,inpatient,,,,,,17033.81,20592.6105,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17544.8243,,,,fee schedule,,17033.81,,,,fee schedule,,18737.191,,,,fee schedule,,18737.191,,,,fee schedule,,20592.6105,,,,fee schedule,,19612.01,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,inpatient,,,,,,2512.21,6743.077139,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2587.5763,,,,fee schedule,,2512.21,,,,fee schedule,,2763.431,,,,fee schedule,,2763.431,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,inpatient,,,,,,3644.93,6743.077139,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3754.2779,,,,fee schedule,,3644.93,,,,fee schedule,,4009.423,,,,fee schedule,,4009.423,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,inpatient,,,,,,6421.978228,11454.586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10725.6578,,,,fee schedule,,10413.26,,,,fee schedule,,11454.586,,,,fee schedule,,11454.586,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752,APR-DRG,,,,,inpatient,,,,,,6421.978228,21261.526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19908.5198,,,,fee schedule,,19328.66,,,,fee schedule,,21261.526,,,,fee schedule,,21261.526,,,,fee schedule,,6743.077139,,,,fee schedule,,6421.978228,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,inpatient,,,,,,3330.72,5213.009451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3430.6416,,,,fee schedule,,3330.72,,,,fee schedule,,3663.792,,,,fee schedule,,3663.792,,,,fee schedule,,5213.009451,,,,fee schedule,,4964.770906,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,inpatient,,,,,,4661.43,5760.172799,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4801.2729,,,,fee schedule,,4661.43,,,,fee schedule,,5127.573,,,,fee schedule,,5127.573,,,,fee schedule,,5760.172799,,,,fee schedule,,5485.878856,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,inpatient,,,,,,7848.866542,10018.415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9380.8795,,,,fee schedule,,9107.65,,,,fee schedule,,10018.415,,,,fee schedule,,10018.415,,,,fee schedule,,8241.309869,,,,fee schedule,,7848.866542,,,,fee schedule,,
BIPOLAR DISORDERS,753,APR-DRG,,,,,inpatient,,,,,,16323.62,20333.95146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16813.3286,,,,fee schedule,,16323.62,,,,fee schedule,,17955.982,,,,fee schedule,,17955.982,,,,fee schedule,,20333.95146,,,,fee schedule,,19365.66806,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,inpatient,,,,,,2581.79,5638.80202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2659.2437,,,,fee schedule,,2581.79,,,,fee schedule,,2839.969,,,,fee schedule,,2839.969,,,,fee schedule,,5638.80202,,,,fee schedule,,5370.287638,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,inpatient,,,,,,3629.86,6648.235493,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3738.7558,,,,fee schedule,,3629.86,,,,fee schedule,,3992.846,,,,fee schedule,,3992.846,,,,fee schedule,,6648.235493,,,,fee schedule,,6331.65285,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,inpatient,,,,,,6514.38,9246.763972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6709.8114,,,,fee schedule,,6514.38,,,,fee schedule,,7165.818,,,,fee schedule,,7165.818,,,,fee schedule,,9246.763972,,,,fee schedule,,8806.441878,,,,fee schedule,,
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754,APR-DRG,,,,,inpatient,,,,,,8806.441878,17254.468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16156.4564,,,,fee schedule,,15685.88,,,,fee schedule,,17254.468,,,,fee schedule,,17254.468,,,,fee schedule,,9246.763972,,,,fee schedule,,8806.441878,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,inpatient,,,,,,2484.23,5530.032579,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2558.7569,,,,fee schedule,,2484.23,,,,fee schedule,,2732.653,,,,fee schedule,,2732.653,,,,fee schedule,,5530.032579,,,,fee schedule,,5266.697694,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,inpatient,,,,,,3725.27,7139.024435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3837.0281,,,,fee schedule,,3725.27,,,,fee schedule,,4097.797,,,,fee schedule,,4097.797,,,,fee schedule,,7139.024435,,,,fee schedule,,6799.07089,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,inpatient,,,,,,6216.68,9619.498277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6403.1804,,,,fee schedule,,6216.68,,,,fee schedule,,6838.348,,,,fee schedule,,6838.348,,,,fee schedule,,9619.498277,,,,fee schedule,,9161.42693,,,,fee schedule,,
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755,APR-DRG,,,,,inpatient,,,,,,9161.42693,10416.912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9754.0176,,,,fee schedule,,9469.92,,,,fee schedule,,10416.912,,,,fee schedule,,10416.912,,,,fee schedule,,9619.498277,,,,fee schedule,,9161.42693,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,inpatient,,,,,,4151.39,5656.045956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4275.9317,,,,fee schedule,,4151.39,,,,fee schedule,,4566.529,,,,fee schedule,,4566.529,,,,fee schedule,,5656.045956,,,,fee schedule,,5386.710434,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,inpatient,,,,,,5213.8,6392.892597,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5370.214,,,,fee schedule,,5213.8,,,,fee schedule,,5735.18,,,,fee schedule,,5735.18,,,,fee schedule,,6392.892597,,,,fee schedule,,6088.46914,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,inpatient,,,,,,5805.63,7154.278685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5979.7989,,,,fee schedule,,5805.63,,,,fee schedule,,6386.193,,,,fee schedule,,6386.193,,,,fee schedule,,7154.278685,,,,fee schedule,,6813.598748,,,,fee schedule,,
ACUTE ANXIETY AND DELIRIUM STATES,756,APR-DRG,,,,,inpatient,,,,,,8585.365778,15271.465,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14299.6445,,,,fee schedule,,13883.15,,,,fee schedule,,15271.465,,,,fee schedule,,15271.465,,,,fee schedule,,9014.634067,,,,fee schedule,,8585.365778,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,inpatient,,,,,,4335.03,10400.11799,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4465.0809,,,,fee schedule,,4335.03,,,,fee schedule,,4768.533,,,,fee schedule,,4768.533,,,,fee schedule,,10400.11799,,,,fee schedule,,9904.874272,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,inpatient,,,,,,6237.48,12263.12628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6424.6044,,,,fee schedule,,6237.48,,,,fee schedule,,6861.228,,,,fee schedule,,6861.228,,,,fee schedule,,12263.12628,,,,fee schedule,,11679.16789,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,inpatient,,,,,,10540.95,12263.12628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10857.1785,,,,fee schedule,,10540.95,,,,fee schedule,,11595.045,,,,fee schedule,,11595.045,,,,fee schedule,,12263.12628,,,,fee schedule,,11679.16789,,,,fee schedule,,
ORGANIC MENTAL HEALTH DISTURBANCES,757,APR-DRG,,,,,inpatient,,,,,,11679.16789,22978.604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21516.3292,,,,fee schedule,,20889.64,,,,fee schedule,,22978.604,,,,fee schedule,,22978.604,,,,fee schedule,,12263.12628,,,,fee schedule,,11679.16789,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,inpatient,,,,,,3254.68,9632.762843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3352.3204,,,,fee schedule,,3254.68,,,,fee schedule,,3580.148,,,,fee schedule,,3580.148,,,,fee schedule,,9632.762843,,,,fee schedule,,9174.05985,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,inpatient,,,,,,4018.67,13864.1594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4139.2301,,,,fee schedule,,4018.67,,,,fee schedule,,4420.537,,,,fee schedule,,4420.537,,,,fee schedule,,13864.1594,,,,fee schedule,,13203.96133,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,inpatient,,,,,,7714.53,21840.14293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7945.9659,,,,fee schedule,,7714.53,,,,fee schedule,,8485.983,,,,fee schedule,,8485.983,,,,fee schedule,,21840.14293,,,,fee schedule,,20800.13613,,,,fee schedule,,
BEHAVIORAL DISORDERS,758,APR-DRG,,,,,inpatient,,,,,,20954.8894,44878.504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42022.5992,,,,fee schedule,,40798.64,,,,fee schedule,,44878.504,,,,fee schedule,,44878.504,,,,fee schedule,,22002.63387,,,,fee schedule,,20954.8894,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,inpatient,,,,,,7862.31,12076.0959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8098.1793,,,,fee schedule,,7862.31,,,,fee schedule,,8648.541,,,,fee schedule,,8648.541,,,,fee schedule,,12076.0959,,,,fee schedule,,11501.04371,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,inpatient,,,,,,9661.46,12076.0959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9951.3038,,,,fee schedule,,9661.46,,,,fee schedule,,10627.606,,,,fee schedule,,10627.606,,,,fee schedule,,12076.0959,,,,fee schedule,,11501.04371,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,inpatient,,,,,,13894.98205,15568.949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14578.1977,,,,fee schedule,,14153.59,,,,fee schedule,,15568.949,,,,fee schedule,,15568.949,,,,fee schedule,,14589.73116,,,,fee schedule,,13894.98205,,,,fee schedule,,
EATING DISORDERS,759,APR-DRG,,,,,inpatient,,,,,,13894.98205,57619.32,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53952.636,,,,fee schedule,,52381.2,,,,fee schedule,,57619.32,,,,fee schedule,,57619.32,,,,fee schedule,,14589.73116,,,,fee schedule,,13894.98205,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,inpatient,,,,,,4060.28,8463.49135,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4182.0884,,,,fee schedule,,4060.28,,,,fee schedule,,4466.308,,,,fee schedule,,4466.308,,,,fee schedule,,8463.49135,,,,fee schedule,,8060.467952,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,inpatient,,,,,,6069.62,9348.90113,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6251.7086,,,,fee schedule,,6069.62,,,,fee schedule,,6676.582,,,,fee schedule,,6676.582,,,,fee schedule,,9348.90113,,,,fee schedule,,8903.715362,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,inpatient,,,,,,9437.64,14956.49641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9720.7692,,,,fee schedule,,9437.64,,,,fee schedule,,10381.404,,,,fee schedule,,10381.404,,,,fee schedule,,14956.49641,,,,fee schedule,,14244.28229,,,,fee schedule,,
OTHER MENTAL HEALTH DISORDERS,760,APR-DRG,,,,,inpatient,,,,,,14244.28229,21455.643,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20090.2839,,,,fee schedule,,19505.13,,,,fee schedule,,21455.643,,,,fee schedule,,21455.643,,,,fee schedule,,14956.49641,,,,fee schedule,,14244.28229,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,inpatient,,,,,,2269.02,2943.442209,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2337.0906,,,,fee schedule,,2269.02,,,,fee schedule,,2495.922,,,,fee schedule,,2495.922,,,,fee schedule,,2943.442209,,,,fee schedule,,2803.278294,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,inpatient,,,,,,3340.76,3752.580735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3440.9828,,,,fee schedule,,3340.76,,,,fee schedule,,3674.836,,,,fee schedule,,3674.836,,,,fee schedule,,3752.580735,,,,fee schedule,,3573.886414,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,inpatient,,,,,,5571.05,6128.155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5738.1815,,,,fee schedule,,5571.05,,,,fee schedule,,6128.155,,,,fee schedule,,6128.155,,,,fee schedule,,6002.914357,,,,fee schedule,,5717.061292,,,,fee schedule,,
"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770,APR-DRG,,,,,inpatient,,,,,,11010.25477,13093.542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12260.3166,,,,fee schedule,,11903.22,,,,fee schedule,,13093.542,,,,fee schedule,,13093.542,,,,fee schedule,,11560.76751,,,,fee schedule,,11010.25477,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,inpatient,,,,,,3275.117856,4150.663,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3886.5299,,,,fee schedule,,3773.33,,,,fee schedule,,4150.663,,,,fee schedule,,4150.663,,,,fee schedule,,3438.873749,,,,fee schedule,,3275.117856,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,inpatient,,,,,,3429.23948,5800.674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5431.5402,,,,fee schedule,,5273.34,,,,fee schedule,,5800.674,,,,fee schedule,,5800.674,,,,fee schedule,,3600.701454,,,,fee schedule,,3429.23948,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,inpatient,,,,,,4564.938988,7391.505,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6921.1365,,,,fee schedule,,6719.55,,,,fee schedule,,7391.505,,,,fee schedule,,7391.505,,,,fee schedule,,4793.185937,,,,fee schedule,,4564.938988,,,,fee schedule,,
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772,APR-DRG,,,,,inpatient,,,,,,4564.938988,18295.288,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17131.0424,,,,fee schedule,,16632.08,,,,fee schedule,,18295.288,,,,fee schedule,,18295.288,,,,fee schedule,,4793.185937,,,,fee schedule,,4564.938988,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,inpatient,,,,,,2339.32,4143.885432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2409.4996,,,,fee schedule,,2339.32,,,,fee schedule,,2573.252,,,,fee schedule,,2573.252,,,,fee schedule,,4143.885432,,,,fee schedule,,3946.557554,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,inpatient,,,,,,3472.76,4433.716199,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3576.9428,,,,fee schedule,,3472.76,,,,fee schedule,,3820.036,,,,fee schedule,,3820.036,,,,fee schedule,,4433.716199,,,,fee schedule,,4222.586856,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,inpatient,,,,,,6865.17,7551.687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7071.1251,,,,fee schedule,,6865.17,,,,fee schedule,,7551.687,,,,fee schedule,,7551.687,,,,fee schedule,,7294.883085,,,,fee schedule,,6947.5077,,,,fee schedule,,
OPIOID ABUSE AND DEPENDENCE,773,APR-DRG,,,,,inpatient,,,,,,13211.54108,17798.946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16666.2858,,,,fee schedule,,16180.86,,,,fee schedule,,17798.946,,,,fee schedule,,17798.946,,,,fee schedule,,13872.11814,,,,fee schedule,,13211.54108,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,inpatient,,,,,,2983.52,4403.207697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3073.0256,,,,fee schedule,,2983.52,,,,fee schedule,,3281.872,,,,fee schedule,,3281.872,,,,fee schedule,,4403.207697,,,,fee schedule,,4193.53114,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,inpatient,,,,,,3487.11,4634.674374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3591.7233,,,,fee schedule,,3487.11,,,,fee schedule,,3835.821,,,,fee schedule,,3835.821,,,,fee schedule,,4634.674374,,,,fee schedule,,4413.975594,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,inpatient,,,,,,6575.36,7232.896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6772.6208,,,,fee schedule,,6575.36,,,,fee schedule,,7232.896,,,,fee schedule,,7232.896,,,,fee schedule,,7048.825386,,,,fee schedule,,6713.167034,,,,fee schedule,,
COCAINE ABUSE AND DEPENDENCE,774,APR-DRG,,,,,inpatient,,,,,,12125.10996,17194.496,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16100.3008,,,,fee schedule,,15631.36,,,,fee schedule,,17194.496,,,,fee schedule,,17194.496,,,,fee schedule,,12731.36546,,,,fee schedule,,12125.10996,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,inpatient,,,,,,3250.38,4313.008648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3347.8914,,,,fee schedule,,3250.38,,,,fee schedule,,3575.418,,,,fee schedule,,3575.418,,,,fee schedule,,4313.008648,,,,fee schedule,,4107.627284,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,inpatient,,,,,,4386.68,5458.403922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4518.2804,,,,fee schedule,,4386.68,,,,fee schedule,,4825.348,,,,fee schedule,,4825.348,,,,fee schedule,,5458.403922,,,,fee schedule,,5198.479926,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,inpatient,,,,,,7709.904422,8683.257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8130.6861,,,,fee schedule,,7893.87,,,,fee schedule,,8683.257,,,,fee schedule,,8683.257,,,,fee schedule,,8095.399643,,,,fee schedule,,7709.904422,,,,fee schedule,,
ALCOHOL ABUSE AND DEPENDENCE,775,APR-DRG,,,,,inpatient,,,,,,15287.12984,20406.925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19108.3025,,,,fee schedule,,18551.75,,,,fee schedule,,20406.925,,,,fee schedule,,20406.925,,,,fee schedule,,16051.48633,,,,fee schedule,,15287.12984,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,inpatient,,,,,,3561.71,5667.320837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3668.5613,,,,fee schedule,,3561.71,,,,fee schedule,,3917.881,,,,fee schedule,,3917.881,,,,fee schedule,,5667.320837,,,,fee schedule,,5397.448416,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,inpatient,,,,,,3944.78,5667.320837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4063.1234,,,,fee schedule,,3944.78,,,,fee schedule,,4339.258,,,,fee schedule,,4339.258,,,,fee schedule,,5667.320837,,,,fee schedule,,5397.448416,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,inpatient,,,,,,6978.52,8064.227913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7187.8756,,,,fee schedule,,6978.52,,,,fee schedule,,7676.372,,,,fee schedule,,7676.372,,,,fee schedule,,8064.227913,,,,fee schedule,,7680.21706,,,,fee schedule,,
OTHER DRUG ABUSE AND DEPENDENCE,776,APR-DRG,,,,,inpatient,,,,,,7680.21706,15220.172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14251.6156,,,,fee schedule,,13836.52,,,,fee schedule,,15220.172,,,,fee schedule,,15220.172,,,,fee schedule,,8064.227913,,,,fee schedule,,7680.21706,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,inpatient,,,,,,9816.443832,12415.711,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11625.6203,,,,fee schedule,,11287.01,,,,fee schedule,,12415.711,,,,fee schedule,,12415.711,,,,fee schedule,,10307.26602,,,,fee schedule,,9816.443832,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,inpatient,,,,,,10907.29647,15871.966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14861.9318,,,,fee schedule,,14429.06,,,,fee schedule,,15871.966,,,,fee schedule,,15871.966,,,,fee schedule,,11452.6613,,,,fee schedule,,10907.29647,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,inpatient,,,,,,18917.83105,23938.937,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22415.5501,,,,fee schedule,,21762.67,,,,fee schedule,,23938.937,,,,fee schedule,,23938.937,,,,fee schedule,,19863.7226,,,,fee schedule,,18917.83105,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792,APR-DRG,,,,,inpatient,,,,,,42490.9,48612.67972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43765.627,,,,fee schedule,,42490.9,,,,fee schedule,,46739.99,,,,fee schedule,,46739.99,,,,fee schedule,,48612.67972,,,,fee schedule,,46297.79021,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,inpatient,,,,,,6809.177226,9526.022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8919.8206,,,,fee schedule,,8660.02,,,,fee schedule,,9526.022,,,,fee schedule,,9526.022,,,,fee schedule,,7149.636087,,,,fee schedule,,6809.177226,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,inpatient,,,,,,9359.132128,12837.869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12020.9137,,,,fee schedule,,11670.79,,,,fee schedule,,12837.869,,,,fee schedule,,12837.869,,,,fee schedule,,9827.088734,,,,fee schedule,,9359.132128,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,inpatient,,,,,,13699.80344,19634.395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18384.9335,,,,fee schedule,,17849.45,,,,fee schedule,,19634.395,,,,fee schedule,,19634.395,,,,fee schedule,,14384.79361,,,,fee schedule,,13699.80344,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793,APR-DRG,,,,,inpatient,,,,,,22533.37275,38605.952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36149.2096,,,,fee schedule,,35096.32,,,,fee schedule,,38605.952,,,,fee schedule,,38605.952,,,,fee schedule,,23660.04139,,,,fee schedule,,22533.37275,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,inpatient,,,,,,5477.035812,7727.665,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7235.9045,,,,fee schedule,,7025.15,,,,fee schedule,,7727.665,,,,fee schedule,,7727.665,,,,fee schedule,,5750.887603,,,,fee schedule,,5477.035812,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,inpatient,,,,,,7159.10911,10186.495,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9538.2635,,,,fee schedule,,9260.45,,,,fee schedule,,10186.495,,,,fee schedule,,10186.495,,,,fee schedule,,7517.064566,,,,fee schedule,,7159.10911,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,inpatient,,,,,,10691.90519,15308.546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14334.3658,,,,fee schedule,,13916.86,,,,fee schedule,,15308.546,,,,fee schedule,,15308.546,,,,fee schedule,,11226.50045,,,,fee schedule,,10691.90519,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794,APR-DRG,,,,,inpatient,,,,,,20860.77414,28886.594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27048.3562,,,,fee schedule,,26260.54,,,,fee schedule,,28886.594,,,,fee schedule,,28886.594,,,,fee schedule,,21903.81285,,,,fee schedule,,20860.77414,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,inpatient,,,,,,3702.110552,4542.065,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4253.0245,,,,fee schedule,,4129.15,,,,fee schedule,,4542.065,,,,fee schedule,,4542.065,,,,fee schedule,,3887.21608,,,,fee schedule,,3702.110552,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,inpatient,,,,,,4940.768358,6068.975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5682.7675,,,,fee schedule,,5517.25,,,,fee schedule,,6068.975,,,,fee schedule,,6068.975,,,,fee schedule,,5187.806776,,,,fee schedule,,4940.768358,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,inpatient,,,,,,7435.770058,9814.046,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9189.5158,,,,fee schedule,,8921.86,,,,fee schedule,,9814.046,,,,fee schedule,,9814.046,,,,fee schedule,,7807.558561,,,,fee schedule,,7435.770058,,,,fee schedule,,
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810,APR-DRG,,,,,inpatient,,,,,,14005.5201,20611.305,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19299.6765,,,,fee schedule,,18737.55,,,,fee schedule,,20611.305,,,,fee schedule,,20611.305,,,,fee schedule,,14705.79611,,,,fee schedule,,14005.5201,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,inpatient,,,,,,2893.85,3234.599432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2980.6655,,,,fee schedule,,2893.85,,,,fee schedule,,3183.235,,,,fee schedule,,3183.235,,,,fee schedule,,3234.599432,,,,fee schedule,,3080.570888,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,inpatient,,,,,,3726.744746,4755.124,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4452.5252,,,,fee schedule,,4322.84,,,,fee schedule,,4755.124,,,,fee schedule,,4755.124,,,,fee schedule,,3913.081983,,,,fee schedule,,3726.744746,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,inpatient,,,,,,5940.663976,9423.436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8823.7628,,,,fee schedule,,8566.76,,,,fee schedule,,9423.436,,,,fee schedule,,9423.436,,,,fee schedule,,6237.697175,,,,fee schedule,,5940.663976,,,,fee schedule,,
ALLERGIC REACTIONS,811,APR-DRG,,,,,inpatient,,,,,,10516.93925,19729.083,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18473.5959,,,,fee schedule,,17935.53,,,,fee schedule,,19729.083,,,,fee schedule,,19729.083,,,,fee schedule,,11042.78621,,,,fee schedule,,10516.93925,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,inpatient,,,,,,2979.507528,3476.781,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3255.5313,,,,fee schedule,,3160.71,,,,fee schedule,,3476.781,,,,fee schedule,,3476.781,,,,fee schedule,,3128.482904,,,,fee schedule,,2979.507528,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,inpatient,,,,,,3650.31558,4864.805,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4555.2265,,,,fee schedule,,4422.55,,,,fee schedule,,4864.805,,,,fee schedule,,4864.805,,,,fee schedule,,3832.831359,,,,fee schedule,,3650.31558,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,inpatient,,,,,,4651.47449,7467.262,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6992.0726,,,,fee schedule,,6788.42,,,,fee schedule,,7467.262,,,,fee schedule,,7467.262,,,,fee schedule,,4884.048215,,,,fee schedule,,4651.47449,,,,fee schedule,,
POISONING OF MEDICINAL AGENTS,812,APR-DRG,,,,,inpatient,,,,,,7699.798086,14947.141,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13995.9593,,,,fee schedule,,13588.31,,,,fee schedule,,14947.141,,,,fee schedule,,14947.141,,,,fee schedule,,8084.78799,,,,fee schedule,,7699.798086,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,inpatient,,,,,,4328.071738,5563.943,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5209.8739,,,,fee schedule,,5058.13,,,,fee schedule,,5563.943,,,,fee schedule,,5563.943,,,,fee schedule,,4544.475325,,,,fee schedule,,4328.071738,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,inpatient,,,,,,5153.63306,6843.87,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6408.351,,,,fee schedule,,6221.7,,,,fee schedule,,6843.87,,,,fee schedule,,6843.87,,,,fee schedule,,5411.314713,,,,fee schedule,,5153.63306,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,inpatient,,,,,,7097.839448,10127.315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9482.8495,,,,fee schedule,,9206.65,,,,fee schedule,,10127.315,,,,fee schedule,,10127.315,,,,fee schedule,,7452.73142,,,,fee schedule,,7097.839448,,,,fee schedule,,
OTHER COMPLICATIONS OF TREATMENT,813,APR-DRG,,,,,inpatient,,,,,,11907.82374,19185.397,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17964.5081,,,,fee schedule,,17441.27,,,,fee schedule,,19185.397,,,,fee schedule,,19185.397,,,,fee schedule,,12503.21492,,,,fee schedule,,11907.82374,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,inpatient,,,,,,3765.44,4239.390307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3878.4032,,,,fee schedule,,3765.44,,,,fee schedule,,4141.984,,,,fee schedule,,4141.984,,,,fee schedule,,4239.390307,,,,fee schedule,,4037.514578,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,inpatient,,,,,,4956.99,6183.975683,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5105.6997,,,,fee schedule,,4956.99,,,,fee schedule,,5452.689,,,,fee schedule,,5452.689,,,,fee schedule,,6183.975683,,,,fee schedule,,5889.50065,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,inpatient,,,,,,8868.05,11605.20381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9134.0915,,,,fee schedule,,8868.05,,,,fee schedule,,9754.855,,,,fee schedule,,9754.855,,,,fee schedule,,11605.20381,,,,fee schedule,,11052.57505,,,,fee schedule,,
"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815,APR-DRG,,,,,inpatient,,,,,,19787.05,24747.7358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20380.6615,,,,fee schedule,,19787.05,,,,fee schedule,,21765.755,,,,fee schedule,,21765.755,,,,fee schedule,,24747.7358,,,,fee schedule,,23569.27219,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,inpatient,,,,,,3067.937968,5857.489,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5484.7397,,,,fee schedule,,5324.99,,,,fee schedule,,5857.489,,,,fee schedule,,5857.489,,,,fee schedule,,3221.334866,,,,fee schedule,,3067.937968,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,inpatient,,,,,,3928.23982,6166.028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5773.6444,,,,fee schedule,,5605.48,,,,fee schedule,,6166.028,,,,fee schedule,,6166.028,,,,fee schedule,,4124.651811,,,,fee schedule,,3928.23982,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,inpatient,,,,,,4547.884546,7575.359,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7093.2907,,,,fee schedule,,6886.69,,,,fee schedule,,7575.359,,,,fee schedule,,7575.359,,,,fee schedule,,4775.278773,,,,fee schedule,,4547.884546,,,,fee schedule,,
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816,APR-DRG,,,,,inpatient,,,,,,8117.947738,14742.761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13804.5853,,,,fee schedule,,13402.51,,,,fee schedule,,14742.761,,,,fee schedule,,14742.761,,,,fee schedule,,8523.845125,,,,fee schedule,,8117.947738,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,inpatient,,,,,,3124.12,3666.361056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3217.8436,,,,fee schedule,,3124.12,,,,fee schedule,,3436.532,,,,fee schedule,,3436.532,,,,fee schedule,,3666.361056,,,,fee schedule,,3491.772434,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,inpatient,,,,,,4105.47,4714.26177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4228.6341,,,,fee schedule,,4105.47,,,,fee schedule,,4516.017,,,,fee schedule,,4516.017,,,,fee schedule,,4714.26177,,,,fee schedule,,4489.773114,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,inpatient,,,,,,5631.789082,7846.025,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7346.7325,,,,fee schedule,,7132.75,,,,fee schedule,,7846.025,,,,fee schedule,,7846.025,,,,fee schedule,,5913.378536,,,,fee schedule,,5631.789082,,,,fee schedule,,
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817,APR-DRG,,,,,inpatient,,,,,,9060.995216,16188.392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15158.2216,,,,fee schedule,,14716.72,,,,fee schedule,,16188.392,,,,fee schedule,,16188.392,,,,fee schedule,,9514.044977,,,,fee schedule,,9060.995216,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,inpatient,,,,,,41787.89,156540.4842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43041.5267,,,,fee schedule,,41787.89,,,,fee schedule,,45966.679,,,,fee schedule,,45966.679,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,inpatient,,,,,,41787.89,156540.4842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43041.5267,,,,fee schedule,,41787.89,,,,fee schedule,,45966.679,,,,fee schedule,,45966.679,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,inpatient,,,,,,61589.29,156540.4842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63436.9687,,,,fee schedule,,61589.29,,,,fee schedule,,67748.219,,,,fee schedule,,67748.219,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841,APR-DRG,,,,,inpatient,,,,,,149086.1754,211699.07,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,198227.311,,,,fee schedule,,192453.7,,,,fee schedule,,211699.07,,,,fee schedule,,211699.07,,,,fee schedule,,156540.4842,,,,fee schedule,,149086.1754,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,inpatient,,,,,,13136.37,15743.7484,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13530.4611,,,,fee schedule,,13136.37,,,,fee schedule,,14450.007,,,,fee schedule,,14450.007,,,,fee schedule,,15743.7484,,,,fee schedule,,14994.04609,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,inpatient,,,,,,19160.08,21076.088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19734.8824,,,,fee schedule,,19160.08,,,,fee schedule,,21076.088,,,,fee schedule,,21076.088,,,,fee schedule,,20311.4017,,,,fee schedule,,19344.1921,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,inpatient,,,,,,33227.77118,40033.433,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37485.8509,,,,fee schedule,,36394.03,,,,fee schedule,,40033.433,,,,fee schedule,,40033.433,,,,fee schedule,,34889.15973,,,,fee schedule,,33227.77118,,,,fee schedule,,
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842,APR-DRG,,,,,inpatient,,,,,,62634.68235,108418.453,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101519.0969,,,,fee schedule,,98562.23,,,,fee schedule,,108418.453,,,,fee schedule,,108418.453,,,,fee schedule,,65766.41647,,,,fee schedule,,62634.68235,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,inpatient,,,,,,5036.61,6668.79557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5187.7083,,,,fee schedule,,5036.61,,,,fee schedule,,5540.271,,,,fee schedule,,5540.271,,,,fee schedule,,6668.79557,,,,fee schedule,,6351.233876,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,inpatient,,,,,,6547.044136,8553.061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8008.7753,,,,fee schedule,,7775.51,,,,fee schedule,,8553.061,,,,fee schedule,,8553.061,,,,fee schedule,,6874.396343,,,,fee schedule,,6547.044136,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,inpatient,,,,,,11264.05,12538.36602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11601.9715,,,,fee schedule,,11264.05,,,,fee schedule,,12390.455,,,,fee schedule,,12390.455,,,,fee schedule,,12538.36602,,,,fee schedule,,11941.30098,,,,fee schedule,,
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843,APR-DRG,,,,,inpatient,,,,,,11941.30098,24336.642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22787.9466,,,,fee schedule,,22124.22,,,,fee schedule,,24336.642,,,,fee schedule,,24336.642,,,,fee schedule,,12538.36602,,,,fee schedule,,11941.30098,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,inpatient,,,,,,4045.725976,4557.839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4267.7947,,,,fee schedule,,4143.49,,,,fee schedule,,4557.839,,,,fee schedule,,4557.839,,,,fee schedule,,4248.012275,,,,fee schedule,,4045.725976,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,inpatient,,,,,,6568.5201,7258.141,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6796.2593,,,,fee schedule,,6598.31,,,,fee schedule,,7258.141,,,,fee schedule,,7258.141,,,,fee schedule,,6896.946105,,,,fee schedule,,6568.5201,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,inpatient,,,,,,9621.265218,11548.482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10813.5786,,,,fee schedule,,10498.62,,,,fee schedule,,11548.482,,,,fee schedule,,11548.482,,,,fee schedule,,10102.32848,,,,fee schedule,,9621.265218,,,,fee schedule,,
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844,APR-DRG,,,,,inpatient,,,,,,9621.265218,27078.766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25355.5718,,,,fee schedule,,24617.06,,,,fee schedule,,27078.766,,,,fee schedule,,27078.766,,,,fee schedule,,10102.32848,,,,fee schedule,,9621.265218,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,inpatient,,,,,,11806.76038,16590.046,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15534.3158,,,,fee schedule,,15081.86,,,,fee schedule,,16590.046,,,,fee schedule,,16590.046,,,,fee schedule,,12397.0984,,,,fee schedule,,11806.76038,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,inpatient,,,,,,14700.96235,22420.706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20993.9338,,,,fee schedule,,20382.46,,,,fee schedule,,22420.706,,,,fee schedule,,22420.706,,,,fee schedule,,15436.01047,,,,fee schedule,,14700.96235,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,inpatient,,,,,,27274.18,30001.598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28092.4054,,,,fee schedule,,27274.18,,,,fee schedule,,30001.598,,,,fee schedule,,30001.598,,,,fee schedule,,29832.04395,,,,fee schedule,,28411.47043,,,,fee schedule,,
"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850,APR-DRG,,,,,inpatient,,,,,,63466.63,74853.97064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65370.6289,,,,fee schedule,,63466.63,,,,fee schedule,,69813.293,,,,fee schedule,,69813.293,,,,fee schedule,,74853.97064,,,,fee schedule,,71289.49584,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,inpatient,,,,,,13227.96388,15462.425,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14478.4525,,,,fee schedule,,14056.75,,,,fee schedule,,15462.425,,,,fee schedule,,15462.425,,,,fee schedule,,13889.36207,,,,fee schedule,,13227.96388,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,inpatient,,,,,,14350.15,17942.35021,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14780.6545,,,,fee schedule,,14350.15,,,,fee schedule,,15785.165,,,,fee schedule,,15785.165,,,,fee schedule,,17942.35021,,,,fee schedule,,17087.95258,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,inpatient,,,,,,22088.06232,24862.97,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23280.781,,,,fee schedule,,22602.7,,,,fee schedule,,24862.97,,,,fee schedule,,24862.97,,,,fee schedule,,23192.46544,,,,fee schedule,,22088.06232,,,,fee schedule,,
GENDER RELATED PROCEDURES,851,APR-DRG,,,,,inpatient,,,,,,69012.41201,85387.764,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79953.9972,,,,fee schedule,,77625.24,,,,fee schedule,,85387.764,,,,fee schedule,,85387.764,,,,fee schedule,,72463.03261,,,,fee schedule,,69012.41201,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,inpatient,,,,,,9199.48,11656.27239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9475.4644,,,,fee schedule,,9199.48,,,,fee schedule,,10119.428,,,,fee schedule,,10119.428,,,,fee schedule,,11656.27239,,,,fee schedule,,11101.2118,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,inpatient,,,,,,11762.62,14225.61882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12115.4986,,,,fee schedule,,11762.62,,,,fee schedule,,12938.882,,,,fee schedule,,12938.882,,,,fee schedule,,14225.61882,,,,fee schedule,,13548.2084,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,inpatient,,,,,,14912.56,18229.52807,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15359.9368,,,,fee schedule,,14912.56,,,,fee schedule,,16403.816,,,,fee schedule,,16403.816,,,,fee schedule,,18229.52807,,,,fee schedule,,17361.4553,,,,fee schedule,,
REHABILITATION,860,APR-DRG,,,,,inpatient,,,,,,18614.16,21946.25946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19172.5848,,,,fee schedule,,18614.16,,,,fee schedule,,20475.576,,,,fee schedule,,20475.576,,,,fee schedule,,21946.25946,,,,fee schedule,,20901.19949,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,inpatient,,,,,,4078.93,4486.823,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4201.2979,,,,fee schedule,,4078.93,,,,fee schedule,,4486.823,,,,fee schedule,,4486.823,,,,fee schedule,,4452.94982,,,,fee schedule,,4240.90459,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,inpatient,,,,,,5063.307682,5903.26,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5527.598,,,,fee schedule,,5366.6,,,,fee schedule,,5903.26,,,,fee schedule,,5903.26,,,,fee schedule,,5316.473066,,,,fee schedule,,5063.307682,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,inpatient,,,,,,7780.017128,8881.323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8316.1479,,,,fee schedule,,8073.93,,,,fee schedule,,8881.323,,,,fee schedule,,8881.323,,,,fee schedule,,8169.017984,,,,fee schedule,,7780.017128,,,,fee schedule,,
"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861,APR-DRG,,,,,inpatient,,,,,,9220.801654,14556.531,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13630.2063,,,,fee schedule,,13233.21,,,,fee schedule,,14556.531,,,,fee schedule,,14556.531,,,,fee schedule,,9681.841737,,,,fee schedule,,9220.801654,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,inpatient,,,,,,4176.49,8757.301487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4301.7847,,,,fee schedule,,4176.49,,,,fee schedule,,4594.139,,,,fee schedule,,4594.139,,,,fee schedule,,8757.301487,,,,fee schedule,,8340.28713,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,inpatient,,,,,,7727.45,10638.88017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7959.2735,,,,fee schedule,,7727.45,,,,fee schedule,,8500.195,,,,fee schedule,,8500.195,,,,fee schedule,,10638.88017,,,,fee schedule,,10132.26683,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,inpatient,,,,,,7961.31,14685.89926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8200.1493,,,,fee schedule,,7961.31,,,,fee schedule,,8757.441,,,,fee schedule,,8757.441,,,,fee schedule,,14685.89926,,,,fee schedule,,13986.57072,,,,fee schedule,,
OTHER AFTERCARE AND CONVALESCENCE,862,APR-DRG,,,,,inpatient,,,,,,8281.25,27476.25703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8529.6875,,,,fee schedule,,8281.25,,,,fee schedule,,9109.375,,,,fee schedule,,9109.375,,,,fee schedule,,27476.25703,,,,fee schedule,,26167.86383,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,inpatient,,,,,,6565.993516,11183.128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10471.4744,,,,fee schedule,,10166.48,,,,fee schedule,,11183.128,,,,fee schedule,,11183.128,,,,fee schedule,,6894.293192,,,,fee schedule,,6565.993516,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,inpatient,,,,,,19700.97,25771.76029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20291.9991,,,,fee schedule,,19700.97,,,,fee schedule,,21671.067,,,,fee schedule,,21671.067,,,,fee schedule,,25771.76029,,,,fee schedule,,24544.53361,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,inpatient,,,,,,38686.01,45691.82229,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39846.5903,,,,fee schedule,,38686.01,,,,fee schedule,,42554.611,,,,fee schedule,,42554.611,,,,fee schedule,,45691.82229,,,,fee schedule,,43516.02122,,,,fee schedule,,
NEONATAL AFTERCARE,863,APR-DRG,,,,,inpatient,,,,,,57383.80915,82150.871,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76923.0883,,,,fee schedule,,74682.61,,,,fee schedule,,82150.871,,,,fee schedule,,82150.871,,,,fee schedule,,60252.99961,,,,fee schedule,,57383.80915,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,inpatient,,,,,,5237.010332,7560.366,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7079.2518,,,,fee schedule,,6873.06,,,,fee schedule,,7560.366,,,,fee schedule,,7560.366,,,,fee schedule,,5498.860849,,,,fee schedule,,5237.010332,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,inpatient,,,,,,5237.010332,7958.082,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7451.6586,,,,fee schedule,,7234.62,,,,fee schedule,,7958.082,,,,fee schedule,,7958.082,,,,fee schedule,,5498.860849,,,,fee schedule,,5237.010332,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,inpatient,,,,,,8772.96464,13606.461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12740.5953,,,,fee schedule,,12369.51,,,,fee schedule,,13606.461,,,,fee schedule,,13606.461,,,,fee schedule,,9211.612872,,,,fee schedule,,8772.96464,,,,fee schedule,,
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890,APR-DRG,,,,,inpatient,,,,,,14952.9891,28094.341,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26306.5193,,,,fee schedule,,25540.31,,,,fee schedule,,28094.341,,,,fee schedule,,28094.341,,,,fee schedule,,15700.63856,,,,fee schedule,,14952.9891,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,inpatient,,,,,,4629.998526,6596.095,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6176.3435,,,,fee schedule,,5996.45,,,,fee schedule,,6596.095,,,,fee schedule,,6596.095,,,,fee schedule,,4861.498452,,,,fee schedule,,4629.998526,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,inpatient,,,,,,4629.998526,7852.339,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7352.6447,,,,fee schedule,,7138.49,,,,fee schedule,,7852.339,,,,fee schedule,,7852.339,,,,fee schedule,,4861.498452,,,,fee schedule,,4629.998526,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,inpatient,,,,,,7081.416652,10831.986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10142.6778,,,,fee schedule,,9847.26,,,,fee schedule,,10831.986,,,,fee schedule,,10831.986,,,,fee schedule,,7435.487485,,,,fee schedule,,7081.416652,,,,fee schedule,,
HIV WITH MAJOR HIV RELATED CONDITION,892,APR-DRG,,,,,inpatient,,,,,,8619.474662,18128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16974.4,,,,fee schedule,,16480,,,,fee schedule,,18128,,,,fee schedule,,18128,,,,fee schedule,,9050.448395,,,,fee schedule,,8619.474662,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,inpatient,,,,,,5648.211878,8018.054,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7507.8142,,,,fee schedule,,7289.14,,,,fee schedule,,8018.054,,,,fee schedule,,8018.054,,,,fee schedule,,5930.622472,,,,fee schedule,,5648.211878,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,inpatient,,,,,,5648.211878,8537.276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7993.9948,,,,fee schedule,,7761.16,,,,fee schedule,,8537.276,,,,fee schedule,,8537.276,,,,fee schedule,,5930.622472,,,,fee schedule,,5648.211878,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,inpatient,,,,,,7129.421748,11284.141,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10566.0593,,,,fee schedule,,10258.31,,,,fee schedule,,11284.141,,,,fee schedule,,11284.141,,,,fee schedule,,7485.892835,,,,fee schedule,,7129.421748,,,,fee schedule,,
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893,APR-DRG,,,,,inpatient,,,,,,7129.421748,16705.26,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15642.198,,,,fee schedule,,15186.6,,,,fee schedule,,16705.26,,,,fee schedule,,16705.26,,,,fee schedule,,7485.892835,,,,fee schedule,,7129.421748,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,inpatient,,,,,,3733.692852,5990.061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5608.8753,,,,fee schedule,,5445.51,,,,fee schedule,,5990.061,,,,fee schedule,,5990.061,,,,fee schedule,,3920.377495,,,,fee schedule,,3733.692852,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,inpatient,,,,,,4815.070804,7348.891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6881.2343,,,,fee schedule,,6680.81,,,,fee schedule,,7348.891,,,,fee schedule,,7348.891,,,,fee schedule,,5055.824344,,,,fee schedule,,4815.070804,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,inpatient,,,,,,6346.812354,10282.767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9628.4091,,,,fee schedule,,9347.97,,,,fee schedule,,10282.767,,,,fee schedule,,10282.767,,,,fee schedule,,6664.152972,,,,fee schedule,,6346.812354,,,,fee schedule,,
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894,APR-DRG,,,,,inpatient,,,,,,6346.812354,16198.655,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15167.8315,,,,fee schedule,,14726.05,,,,fee schedule,,16198.655,,,,fee schedule,,16198.655,,,,fee schedule,,6664.152972,,,,fee schedule,,6346.812354,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,inpatient,,,,,,10154.37444,22912.318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21454.2614,,,,fee schedule,,20829.38,,,,fee schedule,,22912.318,,,,fee schedule,,22912.318,,,,fee schedule,,10662.09316,,,,fee schedule,,10154.37444,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,inpatient,,,,,,10154.37444,24117.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22582.544,,,,fee schedule,,21924.8,,,,fee schedule,,24117.28,,,,fee schedule,,24117.28,,,,fee schedule,,10662.09316,,,,fee schedule,,10154.37444,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,inpatient,,,,,,25112.38337,42002.235,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39329.3655,,,,fee schedule,,38183.85,,,,fee schedule,,42002.235,,,,fee schedule,,42002.235,,,,fee schedule,,26368.00254,,,,fee schedule,,25112.38337,,,,fee schedule,,
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910,APR-DRG,,,,,inpatient,,,,,,40986.91064,62635.628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58649.7244,,,,fee schedule,,56941.48,,,,fee schedule,,62635.628,,,,fee schedule,,62635.628,,,,fee schedule,,43036.25617,,,,fee schedule,,40986.91064,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,inpatient,,,,,,10079.84021,16111.062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15085.8126,,,,fee schedule,,14646.42,,,,fee schedule,,16111.062,,,,fee schedule,,16111.062,,,,fee schedule,,10583.83222,,,,fee schedule,,10079.84021,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,inpatient,,,,,,10079.84021,19897.955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18631.7215,,,,fee schedule,,18089.05,,,,fee schedule,,19897.955,,,,fee schedule,,19897.955,,,,fee schedule,,10583.83222,,,,fee schedule,,10079.84021,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,inpatient,,,,,,12999.93967,27269.737,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25534.3901,,,,fee schedule,,24790.67,,,,fee schedule,,27269.737,,,,fee schedule,,27269.737,,,,fee schedule,,13649.93666,,,,fee schedule,,12999.93967,,,,fee schedule,,
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911,APR-DRG,,,,,inpatient,,,,,,35310.30804,58742.211,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55004.0703,,,,fee schedule,,53402.01,,,,fee schedule,,58742.211,,,,fee schedule,,58742.211,,,,fee schedule,,37075.82344,,,,fee schedule,,35310.30804,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,inpatient,,,,,,11235.12075,18532.019,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17352.7087,,,,fee schedule,,16847.29,,,,fee schedule,,18532.019,,,,fee schedule,,18532.019,,,,fee schedule,,11796.87679,,,,fee schedule,,11235.12075,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,inpatient,,,,,,11235.12075,19505.772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18264.4956,,,,fee schedule,,17732.52,,,,fee schedule,,19505.772,,,,fee schedule,,19505.772,,,,fee schedule,,11796.87679,,,,fee schedule,,11235.12075,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,inpatient,,,,,,17835.82145,31481.164,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29477.8172,,,,fee schedule,,28619.24,,,,fee schedule,,31481.164,,,,fee schedule,,31481.164,,,,fee schedule,,18727.61252,,,,fee schedule,,17835.82145,,,,fee schedule,,
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912,APR-DRG,,,,,inpatient,,,,,,31919.00066,54932.438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51436.7374,,,,fee schedule,,49938.58,,,,fee schedule,,54932.438,,,,fee schedule,,54932.438,,,,fee schedule,,33514.9507,,,,fee schedule,,31919.00066,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,inpatient,,,,,,3050.883526,7630.601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7145.0173,,,,fee schedule,,6936.91,,,,fee schedule,,7630.601,,,,fee schedule,,7630.601,,,,fee schedule,,3203.427702,,,,fee schedule,,3050.883526,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,inpatient,,,,,,4699.479586,8896.316,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8330.1868,,,,fee schedule,,8087.56,,,,fee schedule,,8896.316,,,,fee schedule,,8896.316,,,,fee schedule,,4934.453565,,,,fee schedule,,4699.479586,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,inpatient,,,,,,6992.354566,14545.487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13619.8651,,,,fee schedule,,13223.17,,,,fee schedule,,14545.487,,,,fee schedule,,14545.487,,,,fee schedule,,7341.972294,,,,fee schedule,,6992.354566,,,,fee schedule,,
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930,APR-DRG,,,,,inpatient,,,,,,20470.41691,29080.722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27230.1306,,,,fee schedule,,26437.02,,,,fee schedule,,29080.722,,,,fee schedule,,29080.722,,,,fee schedule,,21493.93776,,,,fee schedule,,20470.41691,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,inpatient,,,,,,9813.917248,13750.869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12875.8137,,,,fee schedule,,12500.79,,,,fee schedule,,13750.869,,,,fee schedule,,13750.869,,,,fee schedule,,10304.61311,,,,fee schedule,,9813.917248,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,inpatient,,,,,,12869.18895,18206.914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17048.2922,,,,fee schedule,,16551.74,,,,fee schedule,,18206.914,,,,fee schedule,,18206.914,,,,fee schedule,,13512.6484,,,,fee schedule,,12869.18895,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,inpatient,,,,,,19431.99089,27833.938,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26062.6874,,,,fee schedule,,25303.58,,,,fee schedule,,27833.938,,,,fee schedule,,27833.938,,,,fee schedule,,20403.59043,,,,fee schedule,,19431.99089,,,,fee schedule,,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950,APR-DRG,,,,,inpatient,,,,,,45011.12731,51628.467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48343.0191,,,,fee schedule,,46934.97,,,,fee schedule,,51628.467,,,,fee schedule,,51628.467,,,,fee schedule,,47261.68367,,,,fee schedule,,45011.12731,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,inpatient,,,,,,6486.40612,10507.662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9838.9926,,,,fee schedule,,9552.42,,,,fee schedule,,10507.662,,,,fee schedule,,10507.662,,,,fee schedule,,6810.726426,,,,fee schedule,,6486.40612,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,inpatient,,,,,,8095.208482,14067.295,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13172.1035,,,,fee schedule,,12788.45,,,,fee schedule,,14067.295,,,,fee schedule,,14067.295,,,,fee schedule,,8499.968906,,,,fee schedule,,8095.208482,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,inpatient,,,,,,14219.6481,21300.191,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19944.7243,,,,fee schedule,,19363.81,,,,fee schedule,,21300.191,,,,fee schedule,,21300.191,,,,fee schedule,,14930.6305,,,,fee schedule,,14219.6481,,,,fee schedule,,
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951,APR-DRG,,,,,inpatient,,,,,,29844.6752,38748.776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36282.9448,,,,fee schedule,,35226.16,,,,fee schedule,,38748.776,,,,fee schedule,,38748.776,,,,fee schedule,,31336.90896,,,,fee schedule,,29844.6752,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,inpatient,,,,,,6494.617518,8765.328,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8207.5344,,,,fee schedule,,7968.48,,,,fee schedule,,8765.328,,,,fee schedule,,8765.328,,,,fee schedule,,6819.348394,,,,fee schedule,,6494.617518,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,inpatient,,,,,,7104.787554,11707.091,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10962.0943,,,,fee schedule,,10642.81,,,,fee schedule,,11707.091,,,,fee schedule,,11707.091,,,,fee schedule,,7460.026932,,,,fee schedule,,7104.787554,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,inpatient,,,,,,12444.09119,18843.715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17644.5695,,,,fee schedule,,17130.65,,,,fee schedule,,18843.715,,,,fee schedule,,18843.715,,,,fee schedule,,13066.29575,,,,fee schedule,,12444.09119,,,,fee schedule,,
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952,APR-DRG,,,,,inpatient,,,,,,27948.47391,36186.568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33883.7864,,,,fee schedule,,32896.88,,,,fee schedule,,36186.568,,,,fee schedule,,36186.568,,,,fee schedule,,29345.8976,,,,fee schedule,,27948.47391,,,,fee schedule,,